SENTARA HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SENTARA HEALTH (EIN 52-1271901)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-12-13
IRS object ID: 201133479349300313
Schema version: 2010v3.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-12-13T08:16:53-08:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	521271901	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SENTARA HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SENT	NameControl
Phone	7574557020	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6015 POPLAR HALL DRIVE	AddressLine1
City	NORFOLK	City
State	VA	State
ZIP Code	23502	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ROBERT BROERMANN	Name
Title	SR VP/CFO/TREASURER	Title
Date Signed	2011-12-13	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	X	AmendedReturn
Name Of Principal Officer Person	DAVID L BERND	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	6015 POPLAR HALL DRIVE	AddressLine1
City	NORFOLK	City
State	VA	State
ZIP Code	23502	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	402443254	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	WWW.SENTARA.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	WE IMPROVE HEALTH EVERY DAY THROUGH coordinatING, promotING and planNING for the provision of health services AND the promotion of health, medical education, and the social, cultural, educational, and economic development of the community.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	504	TotalNbrEmployees
Total Nbr Volunteers	62	TotalNbrVolunteers
Total Gross UBI	1749256	TotalGrossUBI
Net Unrelated Business Txbl Income	44511	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	35320786	ContributionsGrantsPriorYear
Contributions Grants Current Year	13489023	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	44182503	ProgramServiceRevenuePriorYear
Program Service Revenue CY	57371284	ProgramServiceRevenueCY
Investment Income Prior Year	8357771	InvestmentIncomePriorYear
Investment Income Current Year	10442469	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1840316	OtherRevenuePriorYear
Other Revenue Current Year	784146	OtherRevenueCurrentYear
Total Revenue Prior Year	89701376	TotalRevenuePriorYear
Total Revenue Current Year	82086922	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1058426	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1181501	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	48640049	SalariesEtcPriorYear
Salaries Etc Current Year	53138165	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	60455	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	66225	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	595297	TotalFundrsngExpCurrentYear
Other Expense Prior Year	19820061	OtherExpensePriorYear
Other Expenses Current Year	30742822	OtherExpensesCurrentYear
Total Expenses Prior Year	69578991	TotalExpensesPriorYear
Total Expenses Current Year	85128713	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	20122385	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-3041791	RevenuesLessExpensesCY
Total Assets BOY	1524102388	TotalAssetsBOY
Total Assets EOY	1742443036	TotalAssetsEOY
Total Liabilities BOY	1051689287	TotalLiabilitiesBOY
Total Liabilities EOY	1235963289	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	472413101	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	506479747	NetAssetsOrFundBalancesEOY
Mission Description	WE IMPROVE HEALTH EVERY DAY THROUGH coordinatING, promotING and planNING for the provision of health services AND the promotion of health, medical education, and the social, cultural, educational, and economic development of the community.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	69023525	Expense
Grants	1181501	Grants
Revenue	53767421	Revenue
Description	Sentara Healthcare is the parent corporation of an integrated health care delivery system which provides services to more than two million Hampton Roads, Virginia and Northeastern North Carolina residents, as well as 370,000 residents of Northern Virginia. Sentara's mission is to provide patients with innovative services to treat illness and disease and to promote the improvement of their personal health. "Modern Healthcare" magazine has consistently ranked Sentara Healthcare as one of the nation's top ten integrated healthcare organizations. SEE SCHEDULE O FOR A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTHCARE SYSTEM FOR 2010.	Description
Total Program Service Expense	69023525	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	true	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	true	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	true	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	147	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	504	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	true	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Form720 Filed	false	Form720Filed
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	CORPORATE OFFICERS	NamePerson
Telephone Number	7574557020	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	6015 POPLAR HALL DR	AddressLine1
City	NORFOLK	City
State	VA	State
ZIP Code	23502	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (86 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee	OfficerOfficer	FormerFormer
WILLIAM P EDMONDSON JR MD
Trustee	1.00	X	0	31603	8138
WILLIAM K BUTLER II
Trustee	1.00	X	100	0	0
WILLIAM K BARLOW
Trustee	1.00	X	0	0	0
W ANDREW DICKINSON MD
Dir/Trustee	2.00	X	0	0	0
VINCENT A NAPOLITANO
Trustee	1.00	X	0	0	0
VIKKI LORENZ
VP, CORP. FINANCE	40.00		354381	0	82432	X
VICKY GRAY
SR VP	40.00		736136	0	114907		X
VERNON M GEDDY II
Trustee	1.00	X	0	0	0
TOY D SAVAGE JR
Trustee	1.00	X	0	0	0
THOMAS L WOODWARD
DIR/TRUSTEE	2.00	X	0	0	0
THOMAS L ROSS
Trustee	1.00	X	0	0	0
SUSAN MAYO
Trustee	1.00	X	0	0	0
RONY THOMAS
Trustee	1.00	X	0	0	0
ROBIN D RAY
Trustee	1.00	X	0	0	0
ROBERT SHUFORD
Trustee	1.00	X	0	0	0
ROBERT MILLER
Trustee	1.00	X	0	0	0
ROBERT GRAVES
CORP VP	5.00		0	639730	105165		X
ROBERT C FORT
Dir/Trus/VChair	3.00	X	0	0	0		X
ROBERT BROERMANN
CFO/TREAS/SR VP	40.00		1063115	0	241687		X
RICHARD F CLARK MD
Dir/Trustee	2.00	X	0	0	0
RICHARD CHENG PHD
Trustee	1.00	X	0	0	0
R SCOTT MORGAN
Trustee	1.00	X	0	0	0
R P PETERSON
Trustee	1.00	X	0	0	0
R MICHAEL SORENSON
Trustee	1.00	X	0	0	0
R DAWSON TAYLOR
Trustee	1.00	X	0	0	0
PETER D PRUDEN III
Dir/Trustee	2.00	X	0	0	0
PAUL V MICHELS
Trustee	1.00	X	0	0	0
PAUL DRESSER
Trustee	1.00	X	0	0	0
NORMAN HOFFMAN
Trustee	1.00	X	0	0	0
NANCY A BAGRANOFF
Trustee	1.00	X	0	0	0
MICHAEL V TAYLOR
SR VP	40.00		680629	0	147107		X
MICHAEL S IVES
Trustee	1.00	X	0	0	0
MICHAEL GENTRY
CORP VP	5.00		0	645670	122388		X
MICHAEL DUDLEY
SR VP	10.00		821526	0	639581		X
MICHAEL D LUBELEY
Trustee	1.00	X	0	0	0
MEGAN R PERRY
CORP VP	5.00		445776	0	139543		X
MARY BLUNT
CORP VP	5.00		0	847464	154326		X
MARK SZALWINSKI
CORP VP	5.00		0	498744	184260		X
MARION WALL
DIR/TRUSTEE	2.00	X	0	0	0
MARC SHARP
DIR/TRUS/Chair	3.00	X	0	0	0		X
LESTER ELJAIEK
VP, HOSP. FINANCE	40.00		361432	0	33444	X
LAWRENCE CUMMING
Dir/Trustee	2.00	X	0	0	0
L ALVIN GARRISON JR
Dir/Trustee	2.00	X	0	0	0
KENNETH M KRAKAUR
SR VP	40.00		929277	0	132253		X
JOHN F MALBON
DIR/TRUSTEE	2.00	X	0	0	0
JOAN BROCK
Dir/Trustee	2.00	X	0	0	0
JERRY A BRIDGES
Dir/Trustee	2.00	X	0	0	0
JEFFREY P KING
SEC/GEN COUNSEL	40.00		486551	0	84087		X
JEAN BRUCE
Trustee	1.00	X	0	0	0
JAMES R MESSNER
Trustee	1.00	X	0	0	0
JAMES CROCKER
Trustee	1.00	X	100	0	0
JAMES A SQUIRES
Trustee	1.00	X	0	0	0
JAMES A JOSEPH
Trustee	1.00	X	0	0	0
JACK G EZZELL JR
Dir/Trustee	2.00	X	0	0	0
HOWARD P KERN
COO/PRESIDENT	40.00		1431118	0	733973		X
HENRY U HARRIS III
Dir/Trustee	2.00	X	0	0	0
GRACE R HINES
VP, STRAT. SUPPORT	40.00		337112	0	158271	X
GENEMARIE MCGEE
CHIEF NURSE EXC	5.00		0	225602	103952		X
GARY YATES
SR VP/CMO	40.00		1088200	0	287717		X
GARY T MCCOLLUM
Trustee	1.00	X	0	0	0
GAIL HEAGEN
FORMER OFFICER	0.00		170070	0	81613			X
FREDERICK C COBLE
Trustee	1.00	X	0	0	0
F DUDLEY FULTON
Trustee	1.00	X	0	0	0
EDWARD L HAMM JR
Trustee	1.00	X	0	0	0
DOUGLAS THOMPSON
CORP VP	40.00		450589	0	92008		X
DOUGLAS JOHNSON MD
FORMER KEY EMPLOYEE	0.00		1002067	0	17426			X
DONALD V JELLIG
FORMER OFFICER	0.00		0	1679083	0			X
DONALD S HOWELL MD
Trustee	1.00	X	0	0	0
DONALD CLARK
Dir/Trustee	2.00	X	0	0	0
DIAN T CALDERONE
Trustee	1.00	X	0	0	0
DENNIS GARDNER
Trustee	1.00	X	0	0	0
DEBORAH A DICROCE
Dir/Trustee	2.00	X	0	0	0
DAVID MAIZEL
CORP VP	5.00		0	579180	174097		X
DAVID L BERND
CEO/DIR/TRUSTEE	40.00	X	3444338	0	669144		X
CLARENCE A HOLLAND MD
Trustee	1.00	X	0	22589	3971
CHARLES R BIRDSONG
Trustee	1.00	X	0	0	0
CHARLES F LOVELL JR MD
Dir/Trustee	2.00	X	0	1600	0
C EDWARD RUSSELL JR
Trustee	1.00	X	0	0	0
BRUCE S ROBERTSON
VP & ADMINISTRATOR	5.00		303193	0	122751	X
BERTRAM S REESE
CIO/SR VP	10.00		0	773142	173627		X
BARBARA B STOLTZFUS
Trustee	1.00	X	0	0	0
AUBREY L LAYNE JR
Trustee	1.00	X	0	0	0
AUBREY E LOVING JR
Dir/Trustee	2.00	X	0	0	0
ANN E C HOMAN
DIR/TRUSTEE	2.00	X	0	0	0
ANDREW WEDDLE
VP, REVENUE CYCLE	40.00		277675	0	64490	X
ALLAN G DONN
Dir/Trustee	2.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	14383385	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	5944407	TotalReportableCompFrmRltdOrgs
Total Other Compensation	4872358	TotalOtherCompensation
Number Individuals GT100 K	89	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
VIRGINIAN PILOT
PO BOX 79917	BALTIMORE	MD	212790917	MEDIA ADVERTISING	560679
MERCER HUMAN RESOURCE CONSULTING
PO BOX 905234	CHARLOTTE	NC	28290	PROFESSIONAL SVCS	544808
MCMAHON CREATIVE INC
117 PINEWOOD RD	VIRGINIA BEACH	VA	23451	MEDIA ADVERTISING	622896
KPMG LLP
PO BOX 120001 DEPT 0566	DALLAS	TX	75312	PROFESSIONAL SVCS	707065
ERNST AND YOUNG LLP
PO BOX 640382	PITTSBURGH	PA	152640382	PROFESSIONAL SVCS	664990

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	35	NumberOfContractorsGT100K
Related Organizations	13173193	RelatedOrganizations
All Other Contributions	315830	AllOtherContributions
Noncash Contributions	1819	NoncashContributions
Total Contributions	13489023	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	SUPPORT SERVICES	Description
Business Code	900099	BusinessCode
Total Revenue Column	57371284	TotalRevenueColumn
Related Or Exempt Function Income	55672485	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1698799	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	57371284	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	34932425	TotalRevenueColumn
Exclusion	$34,932,425	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	295862656	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	320352612	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-24489956	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-24489956	TotalRevenueColumn
Exclusion	-$24,489,956	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	16598	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	3720	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	12878	TotalRevenueColumn
Exclusion	$12,878	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	ExclusionExclusionAmount
SUBPART F INCOME	524298	751969	49512	$702,457
DEEMED DISTR. FR. CFC	524298	751969		$751,969
DEEMED DISTR. FR. CFC	524298	1171449		$1,171,449

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-1904119	TotalRevenueColumn
Related Or Exempt Function Income	-1905064	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	945	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	771268	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	82086922	TotalRevenueColumn
Related Or Exempt Function Income	53767421	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1749256	UnrelatedBusinessRevenue
Exclusion	$13,081,222	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1023595	Total
Program Services	1023595	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	157906	Total
Program Services	157906	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	14859462	Total
Program Services	12036164	ProgramServices
Management And General	2823298	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	147952	Total
Program Services	119841	ProgramServices
Management And General	28111	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	30663590	Total
Program Services	24627583	ProgramServices
Management And General	5776840	ManagementAndGeneral
Fundraising	259167	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2398687	Total
Program Services	1925532	ProgramServices
Management And General	451668	ManagementAndGeneral
Fundraising	21487	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2883073	Total
Program Services	2325224	ProgramServices
Management And General	545423	ManagementAndGeneral
Fundraising	12426	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2185401	Total
Program Services	1755038	ProgramServices
Management And General	411675	ManagementAndGeneral
Fundraising	18688	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1924695	Total
Program Services	1559003	ProgramServices
Management And General	365692	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	885729	Total
Program Services	715346	ProgramServices
Management And General	167797	ManagementAndGeneral
Fundraising	2586	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	622623	Total
Program Services	504325	ProgramServices
Management And General	118298	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	34906	Total
Program Services	28274	ProgramServices
Management And General	6632	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	66225	Total
Fundraising	66225	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	4404492	Total
Program Services	3567639	ProgramServices
Management And General	836853	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4709301	Total
Program Services	4101085	ProgramServices
Management And General	558316	ManagementAndGeneral
Fundraising	49900	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	4930525	Total
Program Services	3963721	ProgramServices
Management And General	929762	ManagementAndGeneral
Fundraising	37042	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2878835	Total
Program Services	2271389	ProgramServices
Management And General	532795	ManagementAndGeneral
Fundraising	74651	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	616290	Total
Program Services	499195	ProgramServices
Management And General	117095	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	918169	Total
Program Services	743717	ProgramServices
Management And General	174452	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	633537	Total
Program Services	513165	ProgramServices
Management And General	120372	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	68350	Total
Program Services	55364	ProgramServices
Management And General	12986	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3345312	Total
Program Services	2709703	ProgramServices
Management And General	635609	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	448858	Total
Program Services	363575	ProgramServices
Management And General	85283	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4538	Total
Program Services	3676	ProgramServices
Management And General	862	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
PURCHASED AND CONTRACTED SVCS	2399074	1907035	447329	44710
OTHER TAXES & LICENSES	236558	191612	44946
OTHER EXPENSES	709091	567548	133128	8415
ORGANIZATION DUES	1007530	816099	191431
BAD DEBT PROVISION	75000	60750	14250

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	-110591	Total
Program Services	-89579	ProgramServices
Management And General	-21012	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	85128713	Total
Program Services	69023525	ProgramServices
Management And General	15509891	ManagementAndGeneral
Fundraising	595297	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	321647852	BOY
EOY	476687965	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	924298	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	411700	BOY
EOY	0	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5069965	BOY
EOY	4951743	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	20106767	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	14216728	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	4017500	BOY
EOY	5890039	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	878858820	BOY
EOY	1068063283	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	71233310	BOY
EOY	116837387	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	242863241	BOY
EOY	69088321	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1524102388	BOY
EOY	1742443036	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	126470840	BOY
EOY	120111785	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	170000	BOY
EOY	90000	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	545440000	BOY
EOY	769214033	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	379608447	BOY
EOY	346547471	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1051689287	BOY
EOY	1235963289	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	470905559	BOY
EOY	505103016	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1507542	BOY
EOY	1376731	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	472413101	BOY
EOY	506479747	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1524102388	BOY
EOY	1742443036	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-3041791	ReconcilationRevenueExpenses
Reconcilation Other Changes	37108437	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	27910653	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27010949	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	34121648	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	35320786	CurrentTaxYearMinus1Year
Current Tax Year	13489023	CurrentTaxYear
Total	137853059	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	27910653	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	27010949	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	34121648	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	35320786	CurrentTaxYearMinus1Year
Current Tax Year	13489023	CurrentTaxYear
Total	137853059	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	34316671	AmountsSubstContributorsTotal
Public Support Total170	103536388	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	17785581	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	23007467	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	60262969	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	29713824	CurrentTaxYearMinus1Year
Current Tax Year	36386851	CurrentTaxYear
Total	167156692	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1050717	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1148721	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1379382	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	391523	CurrentTaxYearMinus1Year
Current Tax Year	29377	CurrentTaxYear
Total	3999720	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	309009471	TotalSupport
Public Support Pertcentage170	0.33510	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.13820	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	true	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$81,964	DirectContactLegislatorsAmount
Rallies Demonstrations	true	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$185,349	OtherActivitiesAmount
Total Lobbying Expenditures IIB	267313	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i	Identifier
Return Reference	Part II-B, Line 1i - Other Activities Description	ReturnReference
Explanation	THE ORGANIZATION ENGAGED IN THE DISSEMINATION OF INFORMATION CONCERNING HEALTH CARE LEGISLATION TO EMPLOYEES VIA EMAIL. THE ORGANIZATION IS INVOLVED IN INDIRECT LOBBYING ACTIVITIES THROUGH PAYMENT OF MEMBERSHIP DUES TO VHHA AND AHA. FURTHERMORE, THE ORGANIZATION ENGAGED VECTRE CORPORATION TO MONITOR AND PROVIDE CONSULTATION ON FEDERAL, STATE, AND LOCAL HEALTH CARE LEGISLATION.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	77901428	BeginningOfYearBalance
Contributions	324828	Contributions
Investment Earnings Or Losses	-3720513	InvestmentEarningsOrLosses
Grants Or Scholarships	157906	GrantsOrScholarships
Other Expenditures	436283	OtherExpenditures
End Of Year Balance	73911554	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	70232826	BeginningOfYearBalance
Contributions	1592765	Contributions
Investment Earnings Or Losses	6496683	InvestmentEarningsOrLosses
Grants Or Scholarships	202741	GrantsOrScholarships
Other Expenditures	218105	OtherExpenditures
End Of Year Balance	77901428	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	70961613	BeginningOfYearBalance
Contributions	4830492	Contributions
Investment Earnings Or Losses	-5043974	InvestmentEarningsOrLosses
Grants Or Scholarships	200000	GrantsOrScholarships
Other Expenditures	315305	OtherExpenditures
End Of Year Balance	70232826	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.98140	BoardDesignatedEOYBalance
Term Endowment EOY Balance	0.01860	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2493820	OtherCostOrOtherBasis
Book Value	2493820	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3852108	OtherCostOrOtherBasis
Depreciation	3483798	Depreciation
Book Value	368310	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	162873	OtherCostOrOtherBasis
Depreciation	146885	Depreciation
Book Value	15988	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11051404	OtherCostOrOtherBasis
Depreciation	10249013	Depreciation
Book Value	802391	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2546562	OtherCostOrOtherBasis
Depreciation	337032	Depreciation
Book Value	2209530	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	5890039	TotalOfBookValueLandBuildings
Total Of Book Value Securities	116837387	TotalOfBookValueSecurities
Federal Income Tax Liability	200000	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
OTHER LT LIABILITIES	$162,504,474
OTHER CURRENT LIABILITIES	$43,331,110
DUE TO AFFILIATES	$140,511,887

Field	Value	IRS element (for citing)
Total Of Amounts	346547471	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part XI, Line 8	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	CAPITAL DISTRIBUTION FROM SUB $18000000 RECLASS OF INTERCOMPANY BALANCES TO EQUITY $ -29529961 RESTRICTED ASSET TRANSFER TO RELATED ENTITY $ -21878 PARTNERSHIP INCOME TAX BOOK $ -945 SUBPART F LOSS NOT ON BOOKS $ -751969 DEEMED DISTRIBUTION FROM CFC NOT ON BOOKS $ -1923418 PENSION LIABILITY TRANSFERRED FROM SUB $ -20924029 MISCELLANEOUS ADJUSTMENT $ -2346 CAPITAL CONTRIBUTION TO SUB $ -10000000 UNFUNDED PENSION LIABILITY $ -1172449
Part V, Line 4	Part V, Line 4: Intended uses of the endowment fund.	The board designated endowment fund is set aside for the Sentara Foundation's use. The Foundation assists the community with filling the health care gaps, developing new programs, and building consensus around current health issues. In 2010, the Foundation awarded $629,486 in grants to 501(c)(3) organizations within the community. The temporarily restricted endowment funds are used predominantly for Education & Research, Heart funds and Sentara's Hope Fund, which is an emergency financial resource for Sentara employees that are experiencing catastrophic hardship or loss through no fault of their own.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Total ExpendituresTotalExpenditures
EUROPE	INVESTMENTS	488245
CENTRAL AMERICA AND THE CARIBBEAN	INVESTMENTS	72954435
CENTRAL AMERICA AND THE CARIBBEAN	UNRELATED TRADE OR BUSINESS	0

Field	Value	IRS element (for citing)
Subtotal Amount Spent	73442680	SubtotalAmountSpent
Total Amount Spent	73442680	TotalAmountSpent
No Recipient Over5 K	X	NoRecipientOver5K
Transfer To Foreign Corp	true	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	true	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	true	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	Additional Supplemental Information	Identifier
Explanation	PART I LINE 3, CENTRAL AMERICA AND THE CARIBBEAN, UNRELATED TRADE OR BUSINESS - The organization owns Bay Primex Insurance Company, Ltd., a captive insurance company whose sole activity is the reinsurance, on a facultative basis, of the claims-made professional and managed care liability insurance policies, and the occurrence-based general liability policy issued by Lexington Insurance Company to the organization and its related entities. Coverage includes the employees of the organization, its controlled subsidiaries, its affiliated joint ventures, certain physicians on the medical staff of its related facilities, and some non-employed physicians. Provision of insurance to non-employed physicians is considered an unrelated trade or business and is reported as such on Form 990 Part VIII line 11.	Explanation

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Agreement Ref Fundraising	true	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

Field	Value	IRS element (for citing)
Business Name Line1	CORPORATE DEVEL	BusinessNameLine1

Field	Value	IRS element (for citing)
Activity	CPTL CMPGN FUND	Activity
Fundraiser Control Of Funds	false	FundraiserControlOfFunds
Gross Receipts	853963	GrossReceipts
Amount Retained By Contractor	66225	AmountRetainedByContractor
Net To Organization	787738	NetToOrganization

Field	Value	IRS element (for citing)
Total Gross Receipts	853963	TotalGrossReceipts
Total Retained By Contractors	66225	TotalRetainedByContractors
Total Net To Organization	787738	TotalNetToOrganization
Licensed States	VA	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	NERD GOLF TOURNAMENT	NameOfEvent1
Gross Receipts Event1	16598	GrossReceiptsEvent1
Gross Revenue Event1	16598	GrossRevenueEvent1
Non Cash Prizes Event1	134	NonCashPrizesEvent1
Rent Facility Costs Event1	2819	RentFacilityCostsEvent1
Other Direct Expenses Event1	767	OtherDirectExpensesEvent1
Gross Receipts Total	16598	GrossReceiptsTotal
Gross Revenue Total Events	16598	GrossRevenueTotalEvents
Non Cash Prizes Total Events	134	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	2819	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	767	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	3720	DirectExpenseSummaryEvents
Net Income Summary	12878	NetIncomeSummary

Form990 Schedule G Part IV Form990ScheduleGPartIV

Field	Value	IRS element (for citing)
Identifier	Part I, Line 2b - Fundraiser Additional Information	Identifier
Explanation	As the parent organization, Sentara Healthcare performs fundraising activities for all of its 501(C)(3) subsidiaries. Contributions raised are reported on the applicable Form 990, depending on donor specifications.	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (34 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
WESTERN TIDEWATER FREE CLINIC
2019 MEADE PKWY	SUFFOLK	VA	23434	263302837	501(C)(3)	32000	0	PROVIDE DENTAL PRG ACCESS
W&M ATHLETIC EDU FOUND
PO Box 399	WILLIAMSBURG	VA	23187	546056480	501(C)(3)	15500	0	SPONSORSHIP
VA SUPPORTIVE HOUSING
P O Box 8585	RICHMOND	VA	23226	541444564	501(C)(3)	10000	0	HLTH & MNTL HLTH SCREENINGS
VA HEALTH CARE FOUNDAT
707 E MAIN ST STE 1350	RICHMOND	VA	23219	541639924	501(C)(3)	50000	0	SPONSORSHIP
VA BEACH EVENTS UNLIMITED
265 KINGS GRANT RD STE 102	VIRGINIA BEACH	VA	23452	521372330	501(C)(3)	26750	0	NEPTUNE FESTIVAL
UNITED WAY OF THE VA PENINSULA
739 Thimble Shoals Blvd Suite 400	NEWPORT NEWS	VA	23606	540535602	501(C)(3)	8000	0	SPONSORSHIP
UNITED WAY OF SOUTH HAMPTON ROADS
2515 WALMER ROAD PO BOX 41069	NORFOLK	VA	23513	540506322	501(C)(3)	13500	0	SPONSORSHIP
UNITED WAY GREATER WILLIAMSBURG
312 Waller Mill Road Suite 100	WILLIAMSBURG	VA	23185	540844073	501(C)(3)	6500	0	SPONSORSHIP
UNION MISSION MINISTRIES
P O Box 3203	NORFOLK	VA	23514	540506427	501(C)(3)	35000	0	HEALTHCARE FOR HOMELESS
ST MARYS HOME
6171 KEMPSVILLE CR	NORFOLK	VA	23502	540505952	501(C)(3)	100700	0	CARE FOR DISABLED CHILDREN
SETON YOUTH SHELTERS
3333 Virginia Beach Blvd STE 28	VIRGINIA BEACH	VA	23452	541250483	501(C)(3)	15000	0	HIGH-RISK TEEN MNTL HLTHCR
SENIOR SRVCS OF SE VA
6350 CENTER DR BLDG 5 STE 101	NORFOLK	VA	23502	546069786	501(C)(3)	10000	0	TRANSPORT SVC FOR SENIORS
SALVATION ARMY
PO BOX 388	NORFOLK	VA	23501	132923701	501(C)(3)	100000	0	EDUCATIONAL & RECR. PRGRMS
RESOURCE MOTHERS
2410 WICKHAM AVE	NEWPORT NEWS	VA	23607	237014485	501(C)(3)	36861	0	TEEN PREGNANCY SUPPORT
PORTSMOUTH COMMUNITY HEALTH CENTER INC
664 Lincoln St	PORTSMOUTH	VA	23704	541626757	501(C)(3)	60000	0	HLTHCR ACCESS FOR INDIGENTS
PENINSULA INST FR COMMUNITY HLTH
4714 MARSHALL AVE	NEWPORT NEWS	VA	23607	541083954	501(C)(3)	35000	0	PEDIATRIC HLTHCR FOR INDIGENTS
OLDE TOWN MEDICAL CTR
5249 OLDE TOWNE RD STE D	WILLIAMSBURG	VA	23188	541663905	501(C)(3)	15000	0	PEDIATRIC DENTAL SVCS
NORFOLK COMMUNITY SERVICES BOARD
225 W OLNEY RD	NORFOLK	VA	23510	541093798	501(C)(3)	23000	0	MENTAL HLTH SVCS FOR HMLSS
MEDICAL SOC OF VA FOUN
2924 EMERYWOOD PKWY STE 300	RICHMOND	VA	23294	521394768	501(C)(3)	10000	0	SPONSORSHIP
MARY BUCKLEY FOUNDATION
3808C Virginia Beach Blvd	VIRGINIA BEACH	VA	23452	203609232	501(C)(3)	10000	0	TRAUMATIC BRAIN INJ PRGRM
LACKEY FREE CLINIC
1620 OLD WILLIAMSBURG RD	YORKTOWN	VA	23690	541850915	501(C)(3)	15000	0	HEALTHCARE FOR INDIGENTS
H E L P INC
P O Box 190	HAMPTON	VA	23669	541209213	501(C)(3)	10000	0	DENTAL CARE FOR INDIGENTS
GLOUCESTER-MATHEWS FREE CLINIC
2276 GEORGE WASHINGTON MEM HWY	HAYES	VA	23072	541875619	501(C)(3)	12000	0	HEALTHCARE FOR INDIGENTS
FORKIDS INC
P O Box 6044	NORFOLK	VA	23508	541477799	501(C)(3)	27500	0	HEALTHCARE FOR HMLSS SHLTR
CHESP HEALTH INVESTMENT PROGRAM
1302 Jefferson St	CHESAPEAKE	VA	23324	541893166	501(C)(3)	25000	0	CASEMGT TO PRENATAL HISPANICS
CHESAPEAKE CARE INC
2145 S Military Hwy	CHESAPEAKE	VA	23320	541642754	501(C)(3)	25000	0	HEALTHCARE FOR UNINSURED
BEACH HEALTH CLINIC
3396 Holland Rd Ste 102	VIRGINIA BEACH	VA	23452	541366960	501(C)(3)	20000	0	PHARMACY SVS FOR INDIGENT
AMERICAN RED CROSS
606 W 29th St	NORFOLK	VA	23510	540505864	501(C)(3)	19000	0	ADULT DENTAL CLINIC & AUCTION
AMERICAN HEART ASSOCIATION
500 E PLUME ST STE 110	NORFOLK	VA	23510	135613797	501(C)(3)	10000	0	HEART WALKS
AMERICAN DIABETES ASSOC - SE DIV
870 GREENBRIER CIR STE 404	CHESAPEAKE	VA	23320	131623888	501(C)(3)	7500	0	DIABETES EDUCATION
AMERICAN CANCER SOCIETY
4416 EXPRESSWAY DR	VIRGINIA BEACH	VA	23452	580659875	501(C)(3)	30000	0	MEN'S HEALTH & RELAYS FOR LIFE
ALZHEIMERS ASSOCIATION
6350 CENTER DR STE 102	NORFOLK	VA	23502	541204329	501(C)(3)	13500	0	ALZHEIMER'S EDUCATION & HEALTHCARE
ACCESS PARTNERSHIP
P O Box 41093	NORFOLK	VA	23541	201830252	501(C)(3)	60000	0	HEALTHCARE ACCESS TO UNDERINSURED
ACCESS AIDS CARE
222 W 21ST ST STE F-308	NORFOLK	VA	23517	541545157	501(C)(3)	12500	0	TRANSPORTATION ASSISTANCE

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	34	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
UTILITIES	141	44620
RENT	105	89078
MORTGAGE PAYMENTS	26	21658
FOOD	23	2550

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grantmaker's Description of How Grants are Used	Identifier
Explanation	The Sentara Health Foundation, a division of the organization, is responsible for awarding and monitoring the use of grant and sponsorship funds donated to other organizations in the community who share the same mission as the organization: IMPROVING HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH SERVICES, AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. Community Recognition Grants are awarded annually by the Foundation's Grant Committee to other 501(c)(3) organizations within the community after a rigorous application and review process. Once awarded, the grants are distributed the following year in two payments - at the beginning of the year, then after an interim report has been filed with the Foundation. The interim report must include the grant objectives, any changes in status of the organization's 501(c)(3) status, details of the grant outcomes to date and compliance with submitted financial budget. Grantees are required to submit with the report a detailed listing of measurements including the number of people served, genders, age ranges, and income levels. Further, a plan of program sustainability must be completed to promote the initiative's goals for the future. Community Benefit Sponsorships are awarded quarterly based on the recommendation of the Foundation's Sponsorship Review Committee. Applicants must submit a proposal in writing demonstrating how funds will be used to improve the health status of the community. Sponsorships are generally awarded to other 501(c)(3) organizations with active community boards who oversee the expenditure of such funds.THE SENTARA HEALTH FOUNDATION ALSO ADMINISTERS The H.O.P.E. (Helping Overcome Personal Emergency) Fund, a program for employees of the Sentara Healthcare system who are in need of emergency assistance. This program is funded by DONATIONS FROM employees and managed by The Planning Council, a human services agency used to process all H.O.P.E. Fund applications to maintain confidentiality. Employees who experience catastrophic events through no fault of their own such as fire, death in the family, flooding, hurricane, tornado, current personal illness or serious personal family illness that result in hardship may apply for assistance.Applicants must complete an Employee Assistance Program consent form and a 3-page application form. Applicants submit these forms along with their latest pay stub, copies of the bills being submitted for payment, and official documentation of the catastrophic event. The Planning Council then interviews the applicant and determines if the guidelines are met for assistance. IN THE EVENT OF A NATURAL DISASTER, APPLICANTS MUST FIRST APPLY TO OTHER EMERGENCY ASSISTANCE PROGRAMS, SUCH AS THE AMERICAN RED CROSS, SALVATION ARMY, OR F.E.M.A., BEFORE BECOMING ELIGIBLE FOR ASSISTANCE FROM THE H.O.P.E. FUND. A REVIEW COMMITTEE EVALUATES EACH APPLICATION AND DETERMINES ASSISTANCE LEVELS BASED ON DOCUMENTED,APPROPRIATE NEED. FUNDS MAY ONLY BE USED TO PAY EXISTING BILLS OR ANTICIPATED EXTRAORDINARY EXPENSES RELATED TO A CATASTROPHIC EVENT. BILLS THAT ARE NOT NECESSARY FOR THE PRESERVATION OF DAILY LIVING, INCLUDING NON-ESSENTIAL UTILITIES (I.E., WIRELESS PHONES, CABLE TV, ETC.), ARE NOT COVERED. PAYMENTS ARE MADE DIRECTLY TO SERVICE PROVIDERS RATHER THAN TO INDIVIDUAL RECIPIENTS.FUNDS ARE ONLY DISTRIBUTED PROVIDED ADEQUATE EMPLOYEE DONATIONS HAVE BEEN MADE BY EMPLOYEES FOR EMPLOYEES. ASSISTANCE IS PROVIDED AS THE AVAILABILITY OF FUNDS PERMIT; DECISIONS ARE MADE IN THE ORDER IN WHICH COMPLETED APPLICATIONS REQUESTS ARE RECEIVED.ASSISTANCE FOR AN INDIVIDUAL EMPLOYEE IS LIMITED TO ONCE PER 12-MONTH PERIOD AND MAY NOT EXCEED $1,000. DURING 2010, 295 INDIVIDUAL EMPLOYEES WERE ASSISTED BY THE HOPE FUND.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Club Dues Or Fees	X	ClubDuesOrFees
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException
Rebuttable Presumption Procedure	false	RebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Deferred Comp Filing OrgDeferredCompFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
VIKKI LORENZ
233764	115650	4967	79541	2891	436813	28143
VICKY GRAY
305802	302479	127855	87121	27786	851043	167640
ROBERT GRAVES
							282359	200515	156856	86168	18997	744895	168067
ROBERT BROERMANN
540744	501389	20982	213639	28048	1304802	215688
MICHAEL V TAYLOR
332186	331076	17367	126169	20938	827736	132421
MICHAEL GENTRY
						734	366637	177105	101928	108866	13522	768058	18346
MICHAEL DUDLEY
395785	358604	67137	615696	23885	1461107	193022
MEGAN R PERRY
281573	124761	39442	120826	18717	585319	36513
MARY BLUNT
							337838	318608	191018	133934	20392	1001790	190525
MARK SZALWINSKI
						2136	300216	179485	19043	157992	26268	683004	53400
LESTER ELJAIEK
196087	152483	12862	16519	16925	394876
KENNETH M KRAKAUR
425528	395520	108229	110469	21784	1061530	185786
JEFFREY P KING
351336	41419	93796	66558	17529	570638
HOWARD P KERN
674814	729038	27266	714210	19763	2165091	322495
GRACE R HINES
218466	95391	23255	142668	15603	495383	34654
GENEMARIE MCGEE
							160797	64540	265	86947	17005	329554
GARY YATES
543039	502990	42171	260462	27255	1375917	215444
GAIL HEAGEN
		170070	81613		251683
DOUGLAS THOMPSON
211041	183553	55995	69322	22686	542597	67947
DOUGLAS JOHNSON MD
		1002067	17426		1019493	1002067
DONALD V JELLIG
									1679083			1679083	1014311
DAVID MAIZEL
							351745	150147	77288	150341	23756	753277
DAVID L BERND
994709	1306738	1142891	643792	25352	4113482	634843
BRUCE S ROBERTSON
194969	96181	12043	114894	7857	425944	29051
BERTRAM S REESE
							341306	356782	75054	150156	23471	946769	136406
ANDREW WEDDLE
179979	90353	7343	49482	15008	342165

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Sch J, Part III, Additional Information	Part III, Additional Information	(Part I, line 4 continued)The organization owns a Supplemental Survivor Split-Dollar Life Insurance Policy for Douglas Johnson. The organization also owns Spousal Survivor Split-Dollar Life Insurance Policies for Mary Blunt, Michael Dudley (through April 30, 2010), Kenneth Krakaur, and Douglas Thompson. The Split Dollar Plans provide for transfer of the policies to the participant upon certain events. At transfer (or the participant's death), the organization recovers the premiums that it has paid. Effective May 1, 2010, ownership of Michael Dudley's policy rolled over to him. The policy value remaining after reduction for corporate recovery of premiums and after tax ART amounts was $4,749. This amount was treated as additional taxable compensation and has been reported in Column(B)(iii) of Schedule J Part II. Douglas Johnson also owns Whole Life and Split Dollar Insurance Policies which are collaterally assigned to the organization and are subject to the terms of the organization's Supplemental Survivor Split-Dollar Life Insurance Policies.
Sch J, Part I, Line 7	Part I, Line 7: Non-Fixed payments not listed above	During 2010, the organization made non-fixed payments of compensation under the following incentive programs:Annual incentive program - Executives and senior leaders are eligible for annual awards based on system and individual performance. Both system and individual scores are determined after year-end, at which point awards may be paid and reported as compensation. Target and maximum opportunities vary by level. Top Hat- Within the annual incentive program, executives and senior leaders may receive additional incentive pay to reward exceptional individual performance.Long term incentive program - Executives and senior leaders are eligible for long-term incentive awards based on achieving system mission and strategic imperatives and values in the areas of financial performance, patient safety, clinical quality, and other key metrics over 3-year periods. Award opportunities vary by level. Prior to 2009, a new cycle began every other year. Awards were made in two installments with the first payment occurring within 90 days of the end of the performance period and the second payment, equal to the first payment plus interest, paid one year later. In 2010, the second payment associated with the 2006-2008 cycle was paid. Effective in 2009, the plan design was changed so that a new 3-year cycle begins each year. For Form 990 purposes, estimated annual earnings under each active cycle are reported as deferred compensation in the year earned; and actual earnings for each 3-year cycle are reported as incentive compensation in the year paid.
Sch J, Part I, Line 1a	Part I, Line 1a: Relevant information in regards to selections on 1a.	The indicated benefits are provided to certain senior executives of the organization as part of overall compensation packages and are considered in evaluating the reasonableness of compensation (see Form 990, Part VI, line 15, for a description of the process used to determine executive compensation).Charter travel was provided to certain Board members and officers of the organization in connection with business purposes only and was not included in taxable income. Companion travel and financial planning (i.e., personal services) expenses paid by or on behalf of the organization's senior executives are treated as additional compensation and reported on Form W-2 as taxable wages. Social club dues paid on behalf of the organization's senior executives are allocated between business and personal use, the personal use of which is treated as additional compensation and reported on Form W-2 as taxable wages. In limited circumstances, housing allowances are provided for temporary housing in connection with recruitment or retention of executives or key employees and are treated as additional taxable compensation and reported on Form W-2 as taxable wages. The organization also provides gross-up payments to senior executives on taxable dental and medical premiums paid, thereby creating additional compensation which is reported on Form W-2 as taxable wages.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	VA SMALL BUS FIN AUTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	541300845	IssuerEIN
CUSIP Number	928105AV7	CUSIPNumber
Date Issued	2010-01-28	DateIssued
Issue Price	296243684	IssuePrice
Description Of Purpose	FINANCING OF ACUTE CARE FAC.	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	8635000	AmountRetired
Total Proceeds	296243684	TotalProceeds
Amount In Reserve Fund	230000000	AmountInReserveFund
Refunding Escrow	63496188	RefundingEscrow
Issuance Costs From Proceeds	2747496	IssuanceCostsFromProceeds
Capital Expenditures	230000000	CapitalExpenditures
Year Of Subst Completion	2010	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	false	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Bond Counsel Routinely Engaged	true	BondCounselRoutinelyEngaged
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	false	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing	CUSIP NumberCUSIPNumber
EDA THE CITY OF NORFOLK
237253445	2003-07-16	53100000	FINANCING FOR FIXED ASSETS	false	false	false
EDA THE CITY OF NORFOLK
237253445	2010-03-03	132480000	REFUNDED BONDS ISSUED 5/04	false	false	false	65588TAL3
EDA THE CITY OF NORFOLK
237253445	2009-03-18	68890000	REFUNDED BONDS ISSUED 5/04	false	false	false	65588TAH2
EDA THE CITY OF SUFFOLK
541131047	2008-06-25	156615000	REFUNDED BONDS ISSUED 10/06	false	false	false	86481QAA7

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Total ProceedsTotalProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds
53100000	53100000	2003	false	false	true	true
132480000		2010	true	false	true	true	132480000
68890000		2009	true	false	true	true	68890000	434772
156615000		2008	true	false	true	true	156615000

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	false	false	false	true	true
false	false	false	false	true	true
false	false	false	false	true	true
false	false	false	false	true	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
NA
true	true	false	false	NA	false	false
CITIGROUPGOLDMAN
false	true	true	false	NA	false	false	29.8000	true	false
CITIGROUP
false	true	true	false	NA	false	false	29.8000	true	false
CITIGROUP
false	false	true	false	NA	false	false	10.0000	false	false

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Explanation	Bond B (EDA of the City of Norfolk): The original 2009 refunding issue consisted of 3 Series (A, B, and C) for a total issue price of $201,370,000. In 2010, Series B and C were refunded leaving Series A with an issue price of $68,890,000. Due to this refunding, the 8038 for Series 2009A does not agree to Schedule.Bond A (VA Small Business Financing Authority): Part II, Line 13 - Three projects were included in this issuance, by which two were competed in 2010. The third and final project is due for completion in 2011.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
COX COMMUNICATIONS
SEE BELOW	165546	COMMUNICATION SERVICES	false
KAREN L WEDDLE
SEE BELOW	132445	EMPLOYMENT	false
OPACCI I LLC
SEE BELOW	183036	RENT EXPENSE	false
WILLCOX & SAVAGE
SEE BELOW	288263	LEGAL SERVICES	false
USI INSURANCE SERVICES
SEE BELOW	1140592	INSURANCE SERVICES	false
ALLISON K KRAKAUR
SEE BELOW	74160	EMPLOYMENT	false
DIANA ROSS
SEE BELOW	73793	EMPLOYMENT	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Explanation	PART IV, TRANSACTIONS WITH INTERESTED PERSONSBoard/officer overlap with related taxable entitiesAllison Krakaur is a family member of Officer Kenneth Krakaur.Diana Ross is a family member of Trustee Thomas Ross.Karen Weddle is a family member of Highest Compensated Employee Andrew Weddle.Trustee Gary McCollum is the SVP & General Manager of Cox Communications.Trustee F. Dudley Fulton is an executive of USI Insurance Services.Director and trustee Allan G. Donn and trustee Toy D. Savage Jr are partial owners of Willcox & Savage.OFFICER KENNETH KRAKAUR IS A BOARD MEMBER OF OPACC I, LLC, A JOINT VENTURE OF SENTARA VENTURES, INC., A TAXABLE SUBSIDIARY OF SENTARA HOLDINGS, INC., WHICH IS A TAXABLE SUBSIDIARY OF THE ORGANIZATION.The organization pays various expenses on behalf of affiliated joint ventures, for which it is later reimbursed. For Schedule L purposes, expense reimbursements were not considered "business transactions" and accordingly, have not been reported.Directors/trustees/officers/key employees of the organization may also serve as directors/trustees/officers of related taxable entities within the Sentara Healthcare System. See Schedule R for a listing of transactions the organization had with these related taxable entities.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (25 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PROGRAM SERVICE ACCOMPLISHMENTS	(CONTINUED)VI. COMMITMENT TO THE COMMUNITYSENTARA'S BEDROCK INSTITUTION WAS FOUNDED IN 1888 IN NORFOLK AS A 25-BED RETREAT FOR THE SICK. TODAY'S ORGANIZATION IS TRULY AN INTEGRATED HEALTHCARE SYSTEM THAT PROVIDES PATIENTS WITH A COHESIVE AND INTERLOCKING NETWORK OF CAREGIVING THAT SPANS FROM BIRTH THROUGH THE END OF LIFE. AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, SENTARA CONTINUOUSLY REINVESTS IN THE COMMUNITY--WITH THE PURCHASE OF THE MOST MEDICALLY ADVANCED TECHNOLOGY; IN NEW, STATE-OF-THE-ART HEALTHCARE FACILITIES; WITH TRAINING MEDICAL PROFESSIONALS AND WITH PROVIDING THE HIGHEST QUALITY HEALTHCARE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IT'S NOT JUST OUR MISSION, IT'S OUR COMMITMENT TO THE COMMUNITY. A. THE SENTARA HEALTH FOUNDATIONTHE SENTARA HEALTH FOUNDATION WAS ESTABLISHED IN 1998 TO IMPROVE HEALTH AND QUALITY OF LIFE THROUGHOUT SOUTHEASTERN VIRGINIA AND NORTH CAROLINA, AND TO FURTHER DEMONSTRATE THE SENTARA NOT-FOR-PROFIT MISSION. THE FOUNDATION HAS TOUCHED THE LIVES OF MANY VIRGINIA RESIDENTS FROM THE EASTERN SHORE TO GREATER HAMPTON ROADS THROUGH GRANTS SUPPORTING COMMUNITY PROGRAMS. SPECIFICALLY, IT HAS AWARDED OVER $8 MILLION IN GRANTS ($629,500 in 2010). PROGRAMS INCLUDE MOBILE DENTAL CARE, PRENATAL SUPPORT, MEDICATION ASSISTANCE AND REDUCED-COST PRIMARY CARE. THE FOUNDATION ALSO SPONSORS COMMUNITY EVENTS, SUCH AS THE SUSAN G. KOMEN TIDEWATER RACE FOR THE CURE, THE AMERICAN HEART ASSOCIATION HEART GALA AND HEART WALK AND THE AMERICAN CANCER SOCIETY RELAY FOR LIFE. THE FOUNDATION'S CHARGE IS TO IDENTIFY COMMUNITY HEALTH-RELATED NEEDS AND ENABLE SOLUTIONS, WITH A PRIMARY FOCUS ON ACCESS TO BASIC HEALTH CARE SERVICES, IMPROVED PREGNANCY OUTCOMES, COALITION BUILDING AND SERVICES FOR FRAIL AND AT-RISK ELDERLY. B. IN SUPPORT OF THE COMMUNITYLED BY A VOLUNTEER COMMUNITY BOARD OF DIRECTORS, SENTARA PROUDLY PROVIDES CARE TO ALL, AND REINVESTS IN THE COMMUNITY IN NUMEROUS WAYS. 1. CONTRIBUTIONSEACH YEAR, SENTARA PROVIDES MILLIONS OF DOLLARS IN BENEFITS TO THE COMMUNITY. IN 2010, SENTARA REINVESTED APPROXIMATELY $179.4 MILLION INTO THE COMMUNITIES IT SERVES. THAT EQUALS MORE THAN $490,000 FOR EACH DAY IN 2010. THE MAJORITY OF THAT--$162.5 MILLION--WENT TOWARD UNCOMPENSATED PATIENT CARE SERVICES, SERVING 178,000 UNINSURED AND UNDERINSURED PATIENTS IN 2010. THAT BREAKS DOWN TO PROVIDING APPROXIMATELY 488 PEOPLE EACH DAY WITH FREE SERVICES. SENTARA INVESTED ANOTHER $14.7 MILLION IN HEALTH CARE TEACHING PROGRAMS TO ENSURE A QUALIFIED POOL OF PHYSICIANS AND NURSES. OVER $2.2 MILLION WENT TOWARD LOCAL COMMUNITY PROGRAMS, WHICH EXTENDED HEALTH EVENTS AND HEALTH SCREENINGS TO MORE THAN 39,000 INDIVIDUALS IN 2010. IN ADDITION, SENTARA EMPLOYEES PROVIDE ANNUAL CONTRIBUTIONS TO THE UNITED WAY, AND NUMEROUS EMPLOYEES VOLUNTEER FOR "WORK CREWS" AT UNITED WAY AGENCIES FOR THE ANNUAL DAY OF CARING. SENTARA IS COMMITTED TO PROVIDING QUALITY HEALTH CARE TO ALL, REGARDLESS OF ABILITY TO PAY. UNDER SENTARA'S CHARITY CARE POLICIES, PATIENTS MEETING CERTAIN FINANCIAL CRITERIA RECEIVE CARE WITHOUT CHARGE OR WITH A SIGNIFICANT DISCOUNT. PATIENTS WITH FAMILY INCOMES AT LESS THAN 200% OF THE FEDERAL POVERTY LEVEL RECEIVE CARE WITHOUT CHARGE. PATIENTS WITH FAMILY INCOMES GREATER THAN 200% OF THE FEDERAL POVERTY LEVEL RECEIVE SIGNIFICANT SLIDING DISCOUNTS. IN 2010, SENTARA COVERED BILLS FOR OVER 178,000 PATIENTS WHO COULD NOT PAY THEIR MOUNTING MEDICAL EXPENSES.2. MEDICALLY UNDERSERVEDSENTARA MEDICAL GROUP'S PHYSICIANS AND MEDICAL STAFF VOLUNTEER THOUSANDS OF HOURS TO EASTERN VIRGINIA MEDICAL SCHOOL, AREA FREE CLINICS, COMMUNITY EDUCATION AND CIVIC AND CHARITABLE PROGRAMS. SENTARA'S PRIORITY IS TO OPEN DOORS OF ACCESS TO BASIC HEALTH CARE THAT MANY AMERICANS TAKE FOR GRANTED.
PROGRAM SERVICE ACCOMPLISHMENTS	(CONTINUED)SERVING A POPULATION OF MORE THAN 200,000, THE HOSPITAL ADMITS MORE THAN 15,500 INPATIENTS ANNUALLY AND DELIVERS CLOSE TO 1,750 BABIES EACH YEAR. IN ADDITION, RMH AVERAGES MORE THAN 18,000 SURGICAL PROCEDURES ANNUALLY, WHILE THE RMH HAHN CENTER PROVIDES MORE THAN 16,000 CANCER TREATMENTS PER YEAR AND THE RMH EMERGENCY DEPARTMENT TREATS MORE THAN 70,000 PATIENTS PER YEAR. SIGNATURE SERVICES INCLUDE A COMPREHENSIVE HEART AND VASCULAR CENTER, FAMILY BIRTHPLACE, CENTER FOR SLEEP MEDICINE, IMAGING SERVICES, BEHAVIORAL HEALTH SERVICES, WOMEN'S CENTER, AND WELLNESS CENTER. THE RMH MEDICAL GROUP EMPLOYS 77 PHYSICIANS IN 13 SPECIALTIES. THE RMH MEDICAL STAFF HAS 289 PHYSICIANS IN 40 SPECIALTIES. THE AFFILIATION WAS FINALIZED IN MAY OF 2011. 2. MARTHA JEFFERSON HOSPITALIN SEPTEMBER 2010, MARTHA JEFFERSON HOSPITAL (MJH) SIGNED A LETTER OF INTENT TO AFFILIATE WITH SENTARA HEALTHCARE. MJH IS A 176-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN CHARLOTTESVILLE, VA, THAT SHARES THE SAME MISSION AS SENTARA TO STRIVE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. TOGETHER THEY WILL CONTINUE PROVIDING PERSONALIZED HEALTH CARE TO THE RESIDENTS OF CHARLOTTESVILLE AND CENTRAL VIRGINIA. THE HOSPITAL ADMITS MORE THAN 11,000 INPATIENTS AND TREATS MORE THAN 214,000 OUTPATIENTS ANNUALLY, AND DELIVERS CLOSE TO 1,800 BABIES EACH YEAR. IN ADDITION, MJH PERFORMS MORE THAN 2,700 INPATIENT AND MORE THAN 3,600 OUTPATIENT SURGICAL PROCEDURES ANNUALLY, WHILE THE EMERGENCY DEPARTMENT TREATS MORE THAN 48,700 PATIENTS PER YEAR. MAJOR SERVICES INCLUDE A CANCER CARE CENTER, DIGESTIVE CARE CENTER, CARDIOLOGY CARE CENTER, ORTHOPAEDICS INCLUDING SPINE SURGERY & JOINT REPLACEMENT SURGERY, WEIGHT LOSS SURGERY, STROKE CENTER SURGERY, THORACIC SURGERY, VASCULAR MEDICINE & SURGERY, AND A WOMEN'S HEALTH CENTER. MJH EMPLOYS 1,600 STAFF MEMBERS, INCLUDING 470 PHYSICIANS REPRESENTING MORE THAN 40 SPECIALTIES. MJH WILL BE THE TENTH HOSPITAL IN THE SENTARA HEALTHCARE SYSTEM OF NOT-FOR-PROFIT HOSPITALS. THE ATTRIBUTES OF THE COMBINED SYSTEMS WILL BETTER POSITION THE HOSPITAL TO ACHIEVE BEST PRACTICES IN HEALTHCARE DELIVERY THROUGH UTILIZATION OF TECHNOLOGIES AND INTEGRATED INFORMATION SYSTEMS WHILE ADDRESSING HEALTHCARE REFORM AND OTHER PROFOUND CHANGES AFFECTING THE HEALTHCARE ENVIROMENT. THE AFFILIATION WAS FINALIZED JUNE 1, 2011. III. CONSTANTLY LOOKING AHEADKNOWING HOW IMPORTANT IT IS TO KEEP UP WITH THE CHANGING TIMES, SENTARA CONSTANTLY SEEKS WAYS TO EXPAND AND ENHANCE ITS SERVICES. IT'S WHY WE AGGRESSIVELY RECRUIT PHYSICIANS AND STAFF WITH EXCEPTIONAL SKILLS AND STANDARDS. IT MEANS PURSUING RESEARCH AND CLINICAL TRIALS, SO THE LATEST METHODS WILL BE AVAILABLE TO OUR PATIENTS FIRST. SENTARA HAS A COMMITMENT TO GROW AS ONE OF THE NATION'S LEADING HEALTHCARE ORGANIZATIONS BY CREATING INNOVATIVE SYSTEMS OF CARE THAT HELP PEOPLE ACHIEVE AND MAINTAIN THEIR BEST POSSIBLE STATE OF HEALTH. WE FOCUS, PLAN AND ACT ON OUR COMMITMENT TO OUR COMMUNITY MISSION, TO OUR CUSTOMERS AND TO THE HIGHEST QUALITY STANDARDS OF HEALTHCARE TO ACHIEVE OUR VISION FOR THE FUTURE. A. EXPANSION OF SERVICE AREAS MEDICAL TRANSPORT, THE PREMIER COMMERCIAL EMS AGENCY AND AMBULANCE TRANSPORT SERVICE IN SOUTHEASTERN VIRGINIA, WITH ITS HOME OFFICE LOCATED IN VIRGINIA BEACH, VA, EXPANDED TO CHARLOTTESVILLE AND PETERSBURG, VA IN 2008, TO CHRISTIANBURG AND ROANOKE, VA IN 2009 AND TO THE PRINCE WILLIAM AREA IN 2010. MEDICAL TRANSPORT IS DEDICATED TO SERVING ITS PATIENTS WITH OUTSTANDING CUSTOMER SERVICE UTILIZING THE LARGEST FLEET OF AMBULANCES IN THE STATE OF VIRGINIA. SENTARA HOME CARE HAS BEEN BRINGING HIGH QUALITY HEALTHCARE HOME TO OUR PATIENTS SINCE 1982. TODAY, SENTARA HOME CARE SERVES PATIENTS THROUGHOUT MOST OF VIRGINIA AND BEYOND INCLUDING HAMPTON ROADS, RICHMOND, AND SEVERAL NORTHEASTERN NORTH CAROLINA COUNTIES. IN 2008 HOME CARE'S SERVICE AREA GREW TO INCLUDE CHARLOTTESVILLE AND COVINGTON, VA, AND IN 2009 IT EXPANDED EVEN FURTHER INTO BATH COUNTY IN WESTERN VIRGINIA.
PROGRAM SERVICE ACCOMPLISHMENTS	(CONTINUED)SENTARA SUPPORTS AND OPERATES UNCOMPENSATED CARE CLINICS THROUGHOUT THE REGION SUCH AS THE SENTARA AMBULATORY CARE CENTER (ACC). THE ACC IS A COLLABORATIVE EFFORT WITH EASTERN VIRGINIA MEDICAL SCHOOL AND IS LOCATED NEAR SENTARA NORFOLK GENERAL HOSPITAL. IT FEATURES AN APPOINTED SIDE, WHICH FUNCTIONS JUST LIKE A DOCTOR'S OFFICE AND A SAME-DAY "WALK-IN" SERVICE SIDE FOR MORE PRESSING AND IMMEDIATE HEALTH CONCERNS. THE APPOINTED SIDE OFFERS A HOST OF CLINICS AVAILABLE ON A ROTATING BASIS THROUGHOUT THE WEEK. THE WALK-IN SIDE FUNCTIONS LIKE AN URGENT CARE CENTER. C. IN SUPPORT OF EDUCATIONAS PART OF OUR COMMITMENT TO PROVIDE THE LATEST IN HEALTH INFORMATION, SENTARA OFFERS EXPLOREHEALTH WITH SENTARA, AN EDUCATIONAL PROGRAM THAT EXPLORES MEDICAL BREAKTHROUGHS, INNOVATIVE TREATMENT OPTIONS AND CONTEMPORARY HEALTH ISSUES IN OUR COMMUNITY. D. IN SUPPORT OF COMMUNITY HEALTH INITIATIVES1. SENTARA COMMUNITY HEALTH AND PREVENTIONAS PART OF SENTARA'S COMMITMENT TO PREVENTIVE HEALTH MEASURES, SENTARA PRESENTS SPECIAL COMMUNITY INITIATIVES THAT ARE DESIGNED TO EDUCATE THE COMMUNITY ABOUT ISSUES AFFECTING HEALTH. SENTARA PROMOTES INFORMATION CAMPAIGNS SUCH AS:--EATING FOR LIFE, AN AWARD-WINNING NUTRITION AND HEALTHY EATING PROGRAM--KNOW YOUR NUMBERS, A CARDIOVASCULAR RISK REDUCTION AND HEALTH IMPROVEMENT PROGRAM--WALK-ABOUT WITH HEALTHY EDGE, A WALKING PROGRAM THAT ENCOURAGES WALKING FOR CARDIOVASCULAR HEALTH--GET OFF YOUR BUTT: STAY SMOKELESS FOR LIFE, A SMOKING CESSATION PROGRAM--HEALTHY HEART PROGRAM, A CARDIOVASCULAR DISEASE REDUCTION PROGRAM--SENTARA LIVING, A COMPREHENSIVE WELLNESS PROGRAM FOR SENIORS --SENTARA'S MOBILE MAMMOGRAPHY UNIT VISITS NUMEROUS WORK SITES EVERY YEAR TO ENCOURAGE WELLNESS. --CAMP LIGHTHOUSE, A GRIEF CAMP FOR KIDS AGES 5-16 WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE. 2. TOBACCO FREE ENVIRONMENTSHOSPITALS SEE THE EFFECTS OF TOBACCO EVERY DAY IN HEART DISEASE, RESPIRATORY AILMENTS AND CANCERS. IN RESPONSE SENTARA HAS IMPLEMENTED ITS TOBACCO FREE ENVIRONMENT (TFE) CAMPAIGN. NO ONE IS ALLOWED TO SMOKE, CHEW OR DIP ANYWHERE ON CAMPUS, NOT EVEN IN CARS. THE GOAL IS NOT JUST TO AVOID THE AESTHETIC AND HEALTH ISSUES OF SECOND-HAND SMOKE, BUT TO PUT SENTARA'S MISSION INTO PRACTICE BY ENCOURAGING AND HELPING STAFF, PATIENTS AND VISITORS TO QUIT THIS HABIT. AS OF JANUARY 1, 2010, ALL SENTARA FACILITIES SYSTEM-WIDE HAVE ADOPTED THE TOBACCO FREE ENVIRONMENT INITIATIVES, WITH THE EXCEPTION OF SENTARA POTOMAC HOSPITAL WHICH WILL BE TOBACCO FREE IN 2011. IN ADDITION, SENTARA HEALTHCARE HAS EARNED THE AMERICAN CANCER SOCIETY "EXCELLENCE IN THE WORKPLACE TOBACCO CONTROL" AWARD FOR ITS EFFORTS. VII. OPTIMA HEALTH PLANA. IMPROVING HEALTHOPERATING WITH THE SAME MISSION IN MIND--TO IMPROVE HEALTH EVERYDAY--IS SENTARA'S HEALTH PLAN, OPTIMA HEALTH. WITH MORE THAN 25 YEARS OF HEALTH INSURANCE EXPERIENCE, OPTIMA HEALTH PROVIDES HEALTH PLAN COVERAGE TO MORE THAN 415,000 MEMBERS THROUGHOUT THE STATE. OUR QUALITY PROVIDER NETWORK FEATURES MORE THAN 15,000 PROVIDERS INCLUDING SPECIALISTS, PRIMARY CARE PHYSICIANS AND HOSPITALS ACROSS VIRGINIA.
PROGRAM SERVICE ACCOMPLISHMENTS	(CONTINUED)OPTIMA OFFERS ASSISTANCE IN REDUCING HEALTH RISKS, IMPROVING HEALTH AND PREVENTING DISEASE. THIS IS ACCOMPLISHED THROUGH HEALTH SCREENINGS, DIRECT MAILINGS AND COMMUNITY PARTNERSHIPS. EFFORTS FOR "AT RISK" POPULATIONS INCLUDE SPECIFIC INTERVENTIONS TO INCREASE PRENATAL CARE, CANCER SCREENINGS, IMMUNIZATIONS AND PREVENTIVE HEALTH VISITS WITH PHYSICIANS. OPTIMA ALSO OFFERS PREVENTION PROGRAMS TO REDUCE HEALTH RISKS THAT CONTRIBUTE TO CARDIOVASCULAR AND RESPIRATORY DISEASE. B. SUPPORTING THE COMMUNITYIN PARTNERSHIP WITH THE NORFOLK DEPARTMENT OF NEIGHBORHOOD & LEISURE SERVICES, OPTIMA ALSO SPONSORS A GIRLS COMMUNITY BASKETBALL PROGRAM WHICH SERVES MORE THAN 1,400 AT-RISK MIDDLE SCHOOL GIRLS THROUGHOUT VIRGINIA. THIS PROGRAM COMBINES HEALTH EDUCATION WITH SPORTS TO PROMOTE HEALTHY LIFESTYLE DECISIONS. PARTICIPANTS MUST ATTEND MANDATORY HEALTH EDUCATION CLASSES BEFORE GAMES, AS WELL AS PARTICIPATE IN PROGRAMS ON TOPICS SUCH AS CARDIOVASCULAR HEALTH, ASTHMA, DIABETES, HEALTHY EATING, AVOIDING TOBACCO AND DRUGS AND SEXUAL HEALTH. THIS PROGRAM WAS AWARDED THE 2008 COMMUNITY LEADERSHIP AWARD FROM AMERICA'S HEALTH INSURANCE PLANS (AHIP). C. ACCREDITATION AND AWARDSTHE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) HAS RECOGNIZED OUR QUEST FOR EXCELLENCE BY AWARDING OUR COMMERCIAL HMO AND MEDICAID HMO PRODUCTS WITH AN "EXCELLENT" ACCREDITATION STATUS. THIS RATING HAS BEEN MAINTAINED SINCE 1998, A CLAIM NO OTHER HEALTH PLAN IN THE REGION CAN MAKE. OPTIMA HEALTH RECEIVED AN A+ RATING FROM THE STREET (WEISS RATINGS, INC) FOR FINANCIAL SOUNDNESS, RECOGNIZING ITS ABILITY TO WITHSTAND SEVERE ECONOMIC ADVERSITY AND SHOWING EXCEPTIONAL FINANCIAL STRENGTH. THESTREET.COM IS THE NATION'S LEADING INDEPENDENT PROVIDER OF RATINGS AND ANALYSES OF FINANCIAL SERVICE COMPANIES, MUTUAL FUNDS, AND STOCKS. THE RATING RECOGNIZES OPTIMA HEALTH AS AN OUTSTANDING INSURER OFFERING EXCELLENT FINANCIAL STABILITY FOR ITS CUSTOMERS, VENDORS, AND EMPLOYEES. FEWER THAN FIVE PERCENT OF THE NATION'S HMO'S AND HEALTH INSURERS MEET THESTREET.COM RATING'S CRITERIA FOR EXCEPTIONAL FINANCIAL STRENGTH. WHILE OFFERING PROGRAMS TO PREVENT DISEASE AND HELP FAMILIES STAY WELL, OPTIMA STANDS OUT THROUGH SENTARA'S PASSION FOR HEALTH AND SERVICE EXCELLENCE. OPTIMA HEALTH WAS NAMED THE 2006/2007 CUSTOMER CARE AWARD WINNER FOR THE STATE OF VIRGINIA BY THE NATIONAL RESEARCH CORPORATION. AT SENTARA HEALTHCARE OUR MISSION IS TO IMPROVE HEALTH EVERYDAY. FROM OUR DEDICATION TO QUALITY TO OUR COMMITMENT TO THE COMMUNITY WE STRIVE TO FULFILL THIS MISSION FOR THE OVER TWO MILLION HAMPTON ROADS RESIDENTS AND THE OVER 370,000 NORTHERN VIRGINIA RESIDENTS WE SERVE.
PROGRAM SERVICE ACCOMPLISHMENTS	(CONTINUED)G. SENTARA LEIGH TOWERAT THE END OF 2010, THE CERTIFICATE OF PUBLIC NEED FILED BY SENTARA HEALTHCARE TO BUILD A FIVE STORY STATE-OF-THE-ART REPLACEMENT BED TOWER AT SENTARA LEIGH HOSPITAL WAS APPROVED. WITH BOOMING VOLUMES IN ORTHOPAEDICS, GYNECOLOGY AND GENERAL SURGERY AND MULTI-MILLION DOLLAR IMPROVEMENTS UNDERWAY TO THE EMERGENCY DEPARTMENT, OPERATING ROOMS AND STERILE SUPPORT AREAS, SENTARA LEIGH IS COMPLETING THE PACKAGE BY CONSTRUCTING A NEW TOWER TO SERVE THE FUTURE NEEDS OF ITS MANY PATIENTS FROM NORFOLK, VIRGINIA BEACH AND CHESAPEAKE. GROUNDBREAKING IS EXPECTED IN THE FALL OF 2011. V. SENTARA QUALITY & PATIENT SAFETY DISTINCTIONSA. MEASURING QUALITY HEALTHCARESINCE OUR HEALTH SYSTEM'S EARLIEST YEARS, MORE THAN 120 YEARS AGO, WE HAVE BELIEVED THE COMMUNITY DESERVES HEALTHCARE THAT IS MEASURABLY BETTER. SENTARA'S GOAL IS TO LEAD THE INDUSTRY TO ACHIEVE TOP 10 PERCENT PERFORMANCE WHEREVER NATIONAL BENCHMARKS EXIST. THESE RESULTS ARE THE MEASURES THAT CAN BE EXAMINED THROUGHOUT OUR ORGANIZATION.1. TOP 100 INTEGRATED HEALTHCARE NETWORKSENTARA HAS CONSISTENTLY RANKED AMONG THE NATION'S TOP INTEGRATED HEALTHCARE NETWORKS AS PUBLISHED IN MODERN HEALTHCARE'S FACT-BASED RANKING. THE ONLY HEALTHCARE SYSTEM IN THE COUNTRY TO BE AMONG THE NATION'S TOP 10 FOR ALL 14 YEARS OF THE SURVEY, SENTARA HAS LANDED AT NUMBER ONE IN 2001 AND AGAIN IN 2010. THE STUDY, PUBLISHED ANNUALLY, HIGHLIGHTS THE TOP 100 INTEGRATED HEALTH CARE NETWORKS ACROSS THE NATION AS SELECTED BY SDI, A HEALTH INFORMATION COMPANY. 2. USING TECHNOLOGY TO IMPROVE CARESENTARA NORFOLK GENERAL HOSPITAL WAS NAMED AS ONE OF THE NATION'S MOST WIRED HOSPITALS DURING 2010, ACCORDING TO THE RESULTS OF THE 2010 MOST WIRED SURVEY AND BENCHMARKING STUDY. THE "MOST WIRED" HOSPITALS USE COMPUTERS TO ENABLE PHYSICIANS TO CHECK OR ORDER PATIENT TESTS AND ENTER MEDICATION ORDERS ELECTRONICALLY, AND TO ENABLE PATIENTS TO PERFORM BILLING FUNCTIONS VIA COMPUTER. HOSPITALS ARE NAMED TO THE LIST BASED ON HOW THEY USE TECHNOLOGY TO ADDRESS SAFETY AND QUALITY, CUSTOMER SERVICE, BUSINESS PROCESSES, WORKFORCE AND PUBLIC HEALTH AND SAFETY. AMONG THE REASONS SENTARA NORFOLK GENERAL HOSPITAL WAS INCLUDED ON THE LIST WAS ITS INVESTMENT IN THE ELECTRONIC MEDICAL RECORD SYSTEM, SENTARA ECARE. IN 2010, SENTARA HEALTHCARE WAS ALSO HONORED AS A RECIPIENT OF THE 2010 HIMSS (HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY) DAVIES AWARD. HIMSS ANALYTICS, A COMPANY THAT COLLECTS AND ANALYZES HEALTHCARE DATA RELATED TO ITS PROCESSES AND ENVIRONMENTS, RECOGNIZES HEALTHCARE ORGANIZATIONS FOR SUCCESSFUL IMPLEMENTATION OF HEALTH INFORMATION TECHNOLOGY SYSTEMS, SUCH AS SENTARA ECARE, AS WELL AS A PROVEN ABILITY TO DERIVE VALUE IN THE FORM OF IMPROVED PATIENT CARE. SENTARA HEALTHCARE WAS HONORED WITH ITS STAGE 7 AWARD, A NATIONAL RECOGNITION WHICH REPRESENTS ATTAINMENT OF THE HIGHEST LEVEL OF ELECTRONIC MEDICAL RECORD ADOPTION MODEL-SM (EMRAM). WITH THIS AWARD, SENTARA JOINS A SELECT GROUP OF HEALTH SYSTEMS ACROSS THE COUNTRY TO HAVE ATTAINED THIS LEVEL OF ELECTRONIC MEDICAL RECORD IMPLEMENTATION. 3. AWARD-WINING CARDIAC CARESENTARA HEART HOSPITAL IS A COMPREHENSIVE NETWORK OF PROVIDERS, FACILITIES AND SERVICES WORKING TOGETHER TO ENSURE THE HIGHEST LEVEL OF CARDIAC CARE TO PATIENTS THROUGHOUT THE REGION. IT IS A REGIONAL AND NATIONAL LEADER IN CARDIAC CARE. FOR THE 11TH YEAR, SENTARA HEART HOSPITAL/SENTARA NORFOLK GENERAL HOSPITAL RANKED AMONG THE NATION'S BEST HEART PROGRAMS IN U.S. NEWS & WORLD REPORT'S 2010-2011 BEST HOSPITALS ISSUE. LISTED 43RD IN THE RANKING, SENTARA POSTS A MORTALITY SCORE THAT IS BETTER THAN FIVE OF THE TOP 10 PROGRAMS ON THE LIST. SENTARA REMAINS THE ONLY HEART PROGRAM IN THE REGION AND ONLY ONE OF TWO HOSPITALS IN VIRGINIA TO BE RANKED BY U.S. NEWS & WORLD REPORT.
PROGRAM SERVICE ACCOMPLISHMENTS	(CONTINUED)B. EXPANSION OF EDUCATIONAL SERVICES IN ADDITION TO EXPANDING OUR SERVICE AREA, SENTARA HAS ALSO EXPANDED ITS EDUCATIONAL SERVICES. THE SENTARA SCHOOL OF HEALTH PROFESSIONALS HAS CHANGED ITS NAME TO THE SENTARA COLLEGE OF HEALTH SCIENCES (SCHS) TO COINCIDE WITH APPROVAL TO OFFER A BACCALAUREATE DEGREE IN NURSING. THIS IS A BIG STEP IN PRESTIGE FOR THE SCHOOL, WHICH WILL QUALIFY GRADUATES TO APPLY FOR AN ADVANCED DEGREE PROGRAM SHOULD THEY WANT TO OBTAIN A MASTER OF SCIENCE DEGREE IN NURSING. SCHS WILL CONTINUE TO OFFER PROGRAMS IN TECHNICAL SUPPORT POSITIONS AS WELL. IV. BUILDING FOR THE FUTUREDELIVERING SUPERIOR OUTCOMES FOR OUR PATIENTS IS SENTARA'S FOREMOST GOAL. TO ASSURE THIS, WE SEEK WAYS TO EXPAND AND ENHANCE OUR SERVICES. THE NEXT DECADE WILL BE CHARACTERIZED BY INSPIRING GROWTH AND CHANGE--ALL DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY AND OUR PATIENTS. A. SENTARA LAKE RIDGECONSTRUCTION WILL BEGIN IN AUGUST 2011 ON SENTARA LAKE RIDGE-AN INNOVATIVE AND MODERN OUTPATIENT CAMPUS THAT WILL OFFER CONVENIENT, HIGH QUALITY MEDICAL SERVICES AND A PATIENT-FOCUSED EXPERIENCE. SENTARA LAKE RIDGE IS SENTARA HEALTHCARE'S FIRST OUTPATIENT FACILITY IN NORTHERN VIRGINIA TO PROVIDE 24-HOUR EMERGENCY CARE, AND ADVANCED IMAGING BY BOARD-CERTIFIED PHYSICIANS AND LABORATORY SERVICES. THE 43,500 SQUARE-FOOT FACILITY IS EXPECTED TO OPEN IN SPRING 2012. B. SENTARA PRINCESS ANNE HOSPITALIN PARTNERSHIP WITH BON SECOURS VIRGINIA, CONSTRUCTION BEGAN ON SENTARA PRINCESS ANNE HOSPITAL IN 2008. THE 5-STORY ACUTE CARE HOSPITAL OPENED ITS DOORS IN AUGUST, 2011. SOUTHERN VIRGINIA BEACH RESIDENTS HAVE ACCESS TO A STATE-OF-THE-ART ACUTE CARE HOSPITAL BUILT FOR THE FUTURE. THIS 330,400-SQUARE-FOOT HOSPITAL WILL COMPLEMENT THE CONVENIENT OUTPATIENT SERVICES ALREADY BEING PROVIDED AT SENTARA PRINCESS ANNE HEALTH CAMPUS. CURRENTLY LICENSED FOR 154 BEDS, THIS HOSPITAL WILL OFFER COMPREHENSIVE SURGICAL PROCEDURES, INTENSIVE CARE, ADVANCED CARDIAC CARE, AND A DEDICATED FAMILY MATERNITY CENTER. C. NEW PATIENT WING AT SENTARA OBICITHE ADDITION OF A NEW WING TO SENTARA OBICI HOSPITAL WAS COMPLETED IN JUNE OF 2010. THE NEW THREE-STORY, 63,480 SQUARE-FOOT WING INCLUDES ALL PRIVATE BEDS SERVING ORTHOPAEDIC, MEDICAL AND SURGICAL PATIENTS, AND WILL INCREASE THE HOSPITAL'S BED CAPACITY TO 168 BEDS. THE GOAL IS TO IMPROVE CARE AND ACCESS FOR SENTARA OBICI HOSPITAL PATIENTS AND THE SURROUNDING COMMUNITY, WHICH IS EXPECTED TO GROW 10 PERCENT BETWEEN 2009 AND 2014.D. ORTHOPAEDIC HOSPITAL AT SENTARA CAREPLEXSENTARA CAREPLEX HOSPITAL ALSO BEGAN AN EXPANSION IN 2008, DEDICATED EXCLUSIVELY TO ORTHOPAEDIC SERVICES. THE ORTHOPAEDIC HOSPITAL AT SENTARA CAREPLEX, WHICH OPENED IN JULY 2010, IS THE AREA'S FIRST DEDICATED ORTHOPAEDIC HOSPITAL, TAKING SPECIALIZED ORTHOPAEDIC CARE TO A NEW LEVEL. THE 55,000 SQUARE-FOOT, TWO-STORY FACILITY PROVIDES PATIENTS ACCESS TO THE FULL CONTINUUM OF ORTHOPAEDIC SERVICES, FROM THE PRE-OPERATIVE PHASE AND SURGERY TO REHABILITATION AND HOME CARE SERVICES. E. SENTARA ST. LUKE'SIN OCTOBER 2008, CONSTRUCTION BEGAN ON A NEW CAMPUS AT SENTARA SAINT LUKE'S, AN OUTPATIENT HEALTH CAMPUS LOCATED IN ISLE OF WIGHT COUNTY. FIRST TO OPEN IN 2010 WAS A TWO-STORY, 52,000 SQUARE-FOOT MEDICAL OFFICE BUILDING THAT FEATURES AN URGENT CARE CENTER, AN ADVANCED IMAGING CENTER, LABORATORY SERVICES, AND PHYSICAL THERAPY SERVICES. IT ALSO HOUSES SEVERAL PRIMARY CARE AND SPECIALTY PHYSICIANS. F. SECOND PACE LOCATIONA SECOND LOCATION FOR THE PACE PROGRAM OPERATED BY SENTARA LIFE CARE CORPORATION, SENTARA'S LONG-TERM CARE DIVISION, OPENED IN PORTSMOUTH, VA IN MARCH OF 2010. PACE, OR PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY, IS AN ADULT DAY CARE PROGRAM THAT IS A NURSING HOME ALTERNATIVE. THE FIRST OF ITS KIND IN VIRGINIA, THE PROGRAM IS A PREPAID HEALTH PLAN THAT PROVIDES TOTAL CARE FOR PARTICIPANTS, INCLUDING COMPREHENSIVE MEDICAL AND REHABILITATIVE SERVICES, IN-HOME SERVICES AND TRANSPORTATION.
PROGRAM SERVICE ACCOMPLISHMENTS	(CONTINUED)4. OUTSTANDING CANCER CARETHE SENTARA CANCER NETWORK WAS AWARDED AN OUTSTANDING ACHIEVEMENT AWARD FOR 2009 FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. ONLY 18 PERCENT OF 432 PROGRAMS SURVEYED DURING THE YEAR RECEIVED OUTSTANDING ACHIEVEMENT AWARDS-BASED ON FACTORS SUCH AS LEADERSHIP, RESEARCH AND QUALITY IMPROVEMENT. THE ACCREDITED PORTION OF THE SENTARA CANCER NETWORK INCLUDES SENTARA NORFOLK GENERAL HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA CAREPLEX HOSPITAL AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER. SENTARA LEIGH HOSPITAL WAS ADDED IN 2010. IN ADDITION, SENTARA POTOMAC HOSPITAL EARNED AN OUTSTANDING ACHIEVEMENT AWARD UNDER THE CATEGORY OF COMMUNITY HOSPITAL CANCER PROGRAMS. THE SENTARA CANCER NETWORK AND SENTARA POTOMAC HOSPITAL ARE THE ONLY CANCER PROGRAMS IN VIRGINIA TO EARN OUTSTANDING ACHIEVEMENT AWARDS FOR 2009. 5. COMPREHENSIVE BREAST HEALTH SERVICESSENTARA IS HOME TO SIX BREAST CENTERS. THREE OF SENTARA'S COMPREHENSIVE BREAST CENTERS ARE ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS WITH THREE ADDITIONAL CENTERS ACCREDITED IN 2011. TO GAIN ACCREDITATION THE CENTERS MUST FOLLOW A MULTIDISCIPLINARY TEAM APPROACH, PROVIDE ACCESS TO CLINICAL TRIAL INFORMATION AND OFFER NEW TREATMENT OPTIONS, AMONG OTHER REQUIREMENTS. THE BREAST CENTERS ARE ALSO AMONG THE ELITE GROUP DESIGNATED AS AN AMERICAN COLLEGE OF RADIOLOGY BREAST IMAGING CENTER OF EXCELLENCE. AFTER RIGOROUS EVALUATION OF STAFF, EQUIPMENT, PHYSICIAN CREDENTIALS, TECHNIQUE AND IMAGE QUALITY, THE CENTERS ARE NOW FULLY ACCREDITED IN THE THREE MAJOR AREAS OF BREAST IMAGING AND CANCER DETECTION, MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND ULTRASOUND-GUIDED BIOPSY.6. WEIGHT LOSS SURGERY EXCELLENCEAFTER A DETAILED REVIEW OF CLINICAL QUALITY AND SAFETY, SURGICAL OUTCOMES, AND OVERALL PERFORMANCE, WEIGHT LOSS SURGERY PROGRAMS AT SENTARA CAREPLEX HOSPITAL, SENTARA NORFOLK GENERAL HOSPITAL AND SENTARA POTOMAC HOSPITAL HAVE RECEIVED DESIGNATION AS A WEIGHT LOSS SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY. 7. CLINICAL EXCELLENCESENTARA BAYSIDE HOSPITAL WAS AWARDED A 'VOLUNTARY HOSPITALS OF AMERICA (VHA) 2009 LEADERSHIP AWARD FOR CLINICAL EXCELLENCE' FOR ACHIEVING A HIGH LEVEL OF PERFORMANCE IN AMI (ACUTE MYOCARDIAL INFARCTION), HEART FAILURE, PNEUMONIA AND SURGICAL CARE IMPROVEMENT PROGRAM (SCIP) CLINICAL QUALITY INDICATORS AS MEASURED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND THE JOINT COMMISSION. 8. GOLD SEAL OF APPROVALTHE JOINT COMMISSION HAS GIVEN SEVERAL SENTARA HOSPITALS ITS GOLD SEAL OF APPROVAL AND DISEASE SPECIFIC CARE CERTIFICATION. SENTARA NORFOLK GENERAL EARNED VASCULAR CERTIFICATION. THE JOINT COMMISSION ALSO RECOGNIZED SENTARA VIRGINIA BEACH GENERAL HOSPITAL FOR HEART FAILURE AND ACUTE MYOCARDIAL INFARCTION CARE. 9. EXCELLENCE IN STROKE CARESENTARA IS THE FIRST HOSPITAL IN THE REGION TO OFFER NATIONALLY CERTIFIED LEVELS OF STROKE CARE AT FIVE DISTINCT LOCATIONS. THE SENTARA PRIMARY STROKE CENTERS AT SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL AND SENTARA CAREPLEX HOSPITAL HAVE EARNED THE GOLD SEAL OF APPROVAL AND DISEASE SPECIFIC CARE CERTIFICATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER IS ACCREDITED BY THE DNVHC (DET NORSKE VERITAS HEALTHCARE, INC) AS A CERTIFIED PRIMARY STROKE CENTER BASED ON ITS CONTINUAL INTEGRATION OF QUALITY STANDARDS FOR MANAGEMENT OF STROKE PATIENTS. 10. HMC TOP QUALITY AWARDTHE HEALTHCARE MANAGEMENT COUNCIL (HMC) ISSUED ITS FIRST TOP QUALITY AWARDS AMONG ITS MEMBER HOSPITALS IN 2010. HMC CLIENT HOSPITALS WORK AGAINST A COMPLEX MATRIX OF PERFORMANCE BENCHMARKS TO IMPROVE CLINICAL OUTCOMES, SAFETY, QUALITY, AND FINANCIALS. ONLY SIX HOSPITALS RECEIVED PERFORMANCE AWARDS THIS YEAR. AMONG THE FOUR HONORABLE MENTIONS WAS SENTARA LEIGH HOSPITAL.
PROGRAM SERVICE ACCOMPLISHMENTS	(CONTINUED)1. THE LEAPFROG HOSPITAL SURVEYTHE LEAPFROG HOSPITAL RECOGNITION PROGRAM (LHRP) RECOGNIZES AND REWARDS HOSPITALS THAT DEMONSTRATE EXCELLENCE OR IMPROVEMENT IN THE PERFORMANCE AREAS OF PATIENT SAFETY, QUALITY, AND RESOURCE UTILIZATION. THE LHRP HAS RECOGNIZED SENTARA CAREPLEX HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA BAYSIDE HOSPITAL, AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER FOR TOP-LEVEL PERFORMANCE DURING 2010. THE ANNUAL SURVEY RECOGNIZED 65 OUT OF A FIELD OF NEARLY 1,200 HOSPITALS ACROSS 45 STATES. THE 2010 LIST INCLUDES UNIVERSITY AND OTHER TEACHING HOSPITALS, CHILDREN'S HOSPITALS AND COMMUNITY HOSPITALS IN RURAL, SUBURBAN AND URBAN SETTINGS. THE SELECTION IS BASED ON THE RESULTS OF THE LEAPFROG GROUP'S NATIONAL SURVEY THAT MEASURES HOSPITALS' PERFORMANCE IN CRUCIAL AREAS OF PATIENT SAFETY AND QUALITY. 2. INFECTION PREVENTIONPREVENTION OF HEALTH CARE-ASSOCIATED INFECTIONS IS A NATIONAL CONCERN, AND SENTARA CONTINUALLY STRIVES TO REDUCE THESE CASES. ALL SENTARA HOSPITALS HAVE BEEN WORKING DILIGENTLY TO REDUCE THE OCCURRENCE OF VENTILATOR-ASSOCIATED PNEUMONIA (VAP), WHICH CAN DEVELOP IN PATIENTS WHO HAVE BEEN ON MECHANICAL VENTILATION FOR 48 HOURS OR MORE. IN 2010, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER MARKED SIX CONSECUTIVE YEARS WITH ZERO CASES OF VAP. FURTHER EMPHASIZING THE SIGNIFICANCE OF THIS ACCOMPLISHMENT, VOLUNTARY HOSPITALS OF AMERICA (VHA), A VOLUNTARY NATIONAL ORGANIZATION FOCUSED ON HEALTH CARE FINANCIAL PERFORMANCE THROUGH CLINICAL EXCELLENCE AND SUPPLY CHAIN MANAGEMENT, PLANS TO "BLUEPRINT" THE PRACTICES AT SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER AS A MODEL FOR HOSPITALS ACROSS THE COUNTRY. ADDITIONALLY, CENTRAL LINE BLOODSTREAM INFECTIONS HAVE ALSO BEEN SHARPLY REDUCED. SENTARA BAYSIDE HOSPITAL IS ONE OF ONLY FIVE HOSPITALS IN VIRGINIA AND MENTIONED AMONG THE BEST IN THE COUNTRY FOR PROTECTING PATIENTS IN THE INTENSIVE CARE UNIT AGAINST LIFE-THREATENING CENTRAL LINE BLOODSTREAM INFECTIONS IN CONSUMER REPORTS MAGAZINE. 3. FAMILY INITIATED RAPID RESPONSE SAFETY TEAMIN 2008, SENTARA CAREPLEX HOSPITAL INTRODUCED THE FAMILY INITIATED RAPID RESPONSE SAFETY TEAM (FIRRST), A TOOL WHICH ALLOWS PATIENTS OR FAMILY MEMBERS TO INITIATE AN EMERGENCY CALL TO THE SAFETY RESPONSE TEAM FROM WITHIN THE HOSPITAL IF THEY DETECT SUBTLE CHANGES IN A PATIENT'S CONDITION. FIRRST CREATES A PARTNERSHIP BETWEEN PATIENTS, FAMILIES, VISITORS, NURSES AND PHYSICIANS AND HELPS HOSPITALS COMPLY WITH NATIONAL PATIENT SAFETY GOALS BY ENCOURAGING PATIENTS TO BE ACTIVELY INVOLVED IN THEIR OWN CARE. 4. IMPROVING PATIENT SAFETY THROUGH TECHNOLOGYSENTARA IS CONSTANTLY LOOKING FOR WAYS TO USE TECHNOLOGY TO IMPROVE CARE AND SAFETY.SENTARA HEALTHCARE PROVIDES THE SENTARA ECARE HEALTH NETWORK . THE CLINICAL SYSTEM USES INNOVATIVE TECHNOLOGY TO LINK PATIENT MEDICAL INFORMATION BETWEEN SENTARA HOSPITALS, PHYSICIAN PRACTICES AND OTHER HEALTH CARE SITES OVER A PROTECTED NETWORK, ENABLING THE SECURE SHARING OF PATIENT INFORMATION, INCREASING PATIENT SAFETY AND REDUCING PREVENTABLE MEDICAL ERRORS. 2010 MARKS THE TENTH YEAR THAT SENTARA HAS EMPLOYED ITS EICU REMOTE MONITORING SYSTEM FOR ITS SICKEST HOSPITAL PATIENTS. SENTARA WAS THE FIRST HOSPITAL SYSTEM IN THE COUNTRY TO IMPLEMENT THE EICU SYSTEM, WHICH USES A NETWORK OF CAMERAS, MONITORS, ALERTS, AND TWO-WAY COMMUNICATION LINKS. DOCTORS AND CRITICAL CARE NURSES AT THE EICU COMMAND CENTER MAKE VIRTUAL ROUNDS ON ICU PATIENTS. THIS SENTARA-PIONEERED TECHNOLOGY IS NOW USED TO HELP CARE FOR PATIENTS IN NEARLY 5,000 ICU BEDS NATIONALLY. ANOTHER SAFETY INITIATIVE ADOPTED BY SENTARA IS BEDSIDE MEDICATION VERIFICATION, INCLUDING BAR-CODING TECHNOLOGY. NATIONAL STUDIES HAVE FOUND THAT BEDSIDE VERIFICATION CAN REDUCE HOSPITAL MEDICATION ERRORS BY NEARLY 70 PERCENT.
PROGRAM SERVICE ACCOMPLISHMENTS	(CONTINUED)11. QUALITY SENIOR CARESENTARA LIFE CARE WAS AWARDED A BRONZE 2010 NATIONAL QUALITY AWARD FROM THE AMERICAN HEALTH CARE ASSOCIATION AND THE NATIONAL CENTER FOR ASSISTED LIVING. A BRONZE AWARD RECOGNIZES LONG TERM CARE PROGRAMS THAT HAVE MADE A SYSTEMATIC COMMITMENT TO QUALITY IMPROVEMENT AND DESIGNED WAYS TO MEASURE PROGRESS. 12. QUALITY ASSURANCE AWARDVIRGINIA BEACH FAMILY PRACTICE HAS BEEN AWARDED RECOGNITION BY THE NATIONAL COMMITTEE ON QUALITY ASSURANCE (NCQA) AS A PATIENT CENTERED MEDICAL HOME-LEVEL III, UNDER NCQA'S PHYSICIAN PRACTICE CONNECTIONS PROGRAM. 13. DISABILITY EMPLOYMENT CHAMPIONTHE VIRGINIA DEPARTMENT OF REHABILITATIVE SERVICES AWARDED SENTARA CAREPLEX HOSPITAL WITH A 2010 "DISABILITY EMPLOYMENT CHAMPION" AWARD FOR ITS PARTICIPATION IN VIRGINIA'S FIRST 'PROJECT SEARCH'. THE PROGRAM PUTS RECENT HIGH SCHOOL GRADUATES WITH DISABILITIES INTO TRAINING AND MENTORING PROGRAMS THAT CAN LEAD TO FULL TIME EMPLOYMENT. 14. SUPPORTING CAREER AND TECHNICAL EDUCATIONTHE VIRGINIA DEPARTMENT OF EDUCATION CHOSE SENTARA OBICI HOSPITAL AS A REGIONAL WINNER OF ITS 2009 'CREATING EXCELLENCE' AWARD FOR ITS SUPPORT OF CAREER AND TECHNICAL EDUCATION. OBICI HAS WORKED WITH THE SUFFOLK SCHOOLS FOR FOUR YEARS, PROVIDING STUDENTS IN THE 'INTRODUCTION TO HEALTH OCCUPATIONS' CURRICULUM WITH REAL-WORLD EXPOSURE TO HEALTH CAREERS, INCLUDING A MEDICAL CAMP FOR MORE THAN 100 STUDENTS. 15. CIO AWARD FOR EXCELLENCE IN I.T.SENTARA RECEIVED A PRESTIGIOUS CIO 100 AWARD IN 2009 FROM CIO MAGAZINE. THE 22ND ANNUAL AWARD PROGRAM RECOGNIZES ORGANIZATIONS AROUND THE WORLD THAT EXEMPLIFY THE HIGHEST LEVEL OF OPERATIONAL AND STRATEGIC EXCELLENCE IN INFORMATION TECHNOLOGY. SENTARA BEGAN ITS HOSPITAL IMPLEMENTATION OF SENTARA ECARE IN 2008. SENTARA POTOMAC HOSPITAL'S IMPLEMENTATION IS SET FOR FALL 2011. IN ADDITION, IT HAS BEEN IMPLEMENTING SENTARA ECARE ELECTRONIC MEDICAL RECORD TECHNOLOGY ACROSS ITS NETWORK OF SENTARA MEDICAL GROUP PHYSICIANS. IN ITS HOSPITAL SETTINGS, SENTARA IS ALREADY EXPERIENCING PHYSICIAN ORDER ENTRY RATES THAT EXCEED THE NATIONAL AVERAGE. ADDITIONALLY, THE LENGTH OF TIME FROM DRUGS BEING ORDERED BY A PHYSICIAN TO ADMINISTRATION TO THE PATIENT HAS BEEN REDUCED DRAMATICALLY. SENTARA ECARE IS ALSO THE REASON SENTARA HEALTHCARE HAS BEEN RANKED 21ST ON THE 2009 INFORMATIONWEEK 500 BY INFORMATIONWEEK, A BUSINESS PUBLICATION THAT IDENTIFIES AND HONORS THE NATION'S MOST INNOVATIVE USERS OF INFORMATION TECHNOLOGY. 16. MOST BEAUTIFUL HOSPITALIN JULY 2010, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER RANKED AS THE 9TH MOST BEAUTIFUL HOSPITAL IN THE COUNTRY IN A CONTEST BY SOLIANT HEALTH, A SPECIALTY HOSPITAL STAFFING PROVIDER. WINNERS WERE PICKED BY VISITORS TO WWW.SOLIANT.COM WHO CAST MORE THAN 10,000 VOTES FOR HOSPITALS AROUND THE COUNTRY. B. PATIENT SAFETYSENTARA HEALTHCARE'S FOCUS GOES BEYOND THE BASICS OF MAKING HEALTHCARE SAFE FOR ITS PATIENTS. SENTARA HAS BUILT A STRONG "CULTURE OF SAFETY" TO REDUCE MEDICAL ERRORS BY MODELING SUCCESSFUL PROGRAMS FROM THE NUCLEAR POWER AND AVIATION INDUSTRIES. THIS CULTURE OF SAFETY PROMOTES BEHAVIORS WHICH RESULT IN SAFE, RELIABLE AND EFFECTIVE CARE. THE FOUNDATION OF THIS CULTURE IS A STRONG ACCOUNTABILITY TO PERFORM REGIMENTED BEHAVIORS THAT REDUCE MEDICAL ERRORS. SENTARA STAFF USES GUIDELINES KNOWN AS "BEHAVIOR BASED EXPECTATIONS" OR BBE'S TO ENSURE THE HIGHEST STANDARD OF CARE. THE GOAL IS TO MAKE THESE TOOLS AND TECHNIQUES A HABIT. FOR ITS DEDICATION, SENTARA HAS RECEIVED NUMEROUS AWARDS FOR PATIENT SAFETY AND QUALITY OF CARE STANDARDS.
FORM 990, PT VI, GOVERNING BODY INDEPENDENCE	Voting Members of the Governing BodyCore Form Part VI, lines 1a and 1bThe organization has individual members, known as Trustees, whose governance authority is limited to the annual election/ratification of the organization's Trustees and Directors; and the approval of the sale of all or substantially all of the organization's assets. Due to their limited authority, the organization's Trustees have not been counted as voting members of the governing body in response to Part VI, lines 1a and 1b.
FORM 990, PART VII, COMPENSATION OF ODTKE	PART VII: COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORSHOURS DEVOTED TO RELATED ORGANIZATIONSDavid Bernd devoted an average of 10 hours per week to related organizations.Mary Blunt devoted an average of 40 hours per week to related organizations.Robert Broermann devoted an average of 10 hours per week to related organizations.William K. Butler II devoted an average of 1 hours per week to related organizations.Dian T. Calderone devoted an average of 1 hour per week to related organizations.Michael Dudley devoted an average of 40 hours per week to related organizations.Michael Gentry devoted an average of 40 hours per week to related organizations.Robert Graves devoted an average of 40 hours per week to related organizations.Vicky Gray devoted an average of 2 hours per week to related organizations.Grace Hines devoted an average of 10 hours per week to related organizations.Howard Kern devoted an average of 10 hours per week to related organizations.Kenneth Krakaur devoted an average of 6 hours per week to related organizations.Charles Lovell devoted an average of 1 hour per week to related organizations.David Maizel devoted an average of 40 hours per week to related organizations.Genemarie McGee devoted an average of 40 hours per week to related organizations.Megan Perry devoted an average of 40 hours per week to related organizations.Bertram S. Reese devoted an average of 40 hours per week to related organizations.Bruce Robertson devoted an average of 40 hours per week to related organizations.R. Michael Sorenson devoted an average of 2 hours per week to related organizations.Mark Szalwinski devoted an average of 40 hours per week to related organizations.Douglas Thompson devoted an average of 1 hour per week to related organizations.Gary Yates devoted an average of 10 hours per week to related organizations.
FORM 990, PART VI, JOINT VENTURE POLICY	Form 990 Part VI line 16bThe organization has a written policy requiring evaluation of its participation in joint venture arrangements under applicable federal tax law. This policy was approved by management. The organization has also taken steps to safeguard the organization's exempt status with respect to such arrangements.
FORM 990, PART VI, DOCUMENT RETENTION POLICY	Form 990 Part VI line 14The organization has a written policy for document retention and destruction which was approved by management.
FORM 990, PART V, FORM 1096	Number Reported in Box 3 of Form 1096Core Form Part V line 1aThe organization is the 501(c)(3) sole member or shareholder of several other organizations for which it maintains agency relationships and issues 1099s. The number reported is a best estimate of the 1099s attributable to the organization. The exact number cannot be determined; as some of the 1099s issued by the organization are attributable to more than one entity, and there is no reporting mechanism to determine 1099s attributable solely to the organization.
FORM 990, PART IX, OTHER EXPENSES	PART IX, LINE 24Due to a software limitation, line 24 (other expenses) does not appear as it should per IRS instructions. Line 24 should appear as below:24a Purchased & contracted svcs 2,399,074 24b Organization dues 1,007,530 24c Other taxes and licenses 236,558 24d Bad debt provision 75,000 24e Unrelated business income taxes (110,591)24f All other expenses 709,091 Line 24f does not exceed 10% of the amount on line 25.
FORM 990, CORE PART III, PROG. SVS ACCOMPLISHMENTS	FORM 990, PART IIISTATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSSENTARA HEALTHCAREI. YOUR NOT-FOR-PROFIT HEALTH PARTNERSENTARA HEALTHCARE IS ONE OF THE MOST PROGRESSIVE AND INTEGRATED HEALTH CARE ORGANIZATIONS IN THE NATION, PROVIDING SERVICES TO MORE THAN TWO MILLION HAMPTON ROADS VIRGINIA AND NORTHEASTERN NORTH CAROLINA RESIDENTS AND 370,000 RESIDENTS OF NORTHERN VIRGINIA. OUR MISSION IS TO IMPROVE HEALTH EVERY DAY BY PROVIDING INNOVATIVE SERVICES TO TREAT ILLNESS AND DISEASE AND TO PROMOTE THE IMPROVEMENT OF PERSONAL HEALTH.SENTARA OPERATES MORE THAN 100 CARE GIVING SITES, INCLUDING EIGHT ACUTE CARE HOSPITALS, SIX OUTPATIENT CARE FACILITIES, SEVEN NURSING FACILITIES, THREE ASSISTED LIVING FACILITIES, TWO PACE PROGRAMS, ONE SENIOR ADULT DAY HEALTH CARE CENTER, EIGHT ADVANCED IMAGING CENTERS, AND EMPLOYS 383 PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. SENTARA OFFERS A FULL RANGE OF AWARD-WINNING HEALTH COVERAGE PLANS, HOME HEALTH AND HOSPICE SERVICES, PHYSICAL THERAPY AND REHABILITATION SERVICES, URGENT CARE FACILITIES, GROUND MEDICAL TRANSPORT SERVICES, AND MOBILE DIAGNOSTIC VANS. SENTARA ALSO OPERATES NIGHTINGALE - THE REGION'S FIRST AIR AMBULANCE SERVICE, WHICH BEGAN IN 1982 AS THE NATION'S 38TH AIR MEDICAL PROGRAM. NIGHTINGALE HAS FLOWN APPROXIMATELY 16,000 MISSIONS INVOLVING CRITCALLY ILL AND INJURED PATIENTS IN A 125-MILE RADIUS FROM SENTARA NORFOLK GENERAL HOSPITAL, THE REGION'S ONLY LEVEL I TRAUMA CENTER. ADDITIONALLY, SENTARA OPERATES THE REGION'S COMPREHENSIVE SOLID ORGAN TRANSPLANT CENTER WHICH HAS PERFORMED MORE THAN 2,200 TOTAL TRANSPLANTS.II. GROWING THE SENTARA FAMILYIN TODAY'S ECONOMIC ENVIRONMENT, SENTARA BELIEVES IN MAINTAINING A PRUDENT GROWTH INITIATIVE INTO MARKETS WHERE WE CAN ADD TANGIBLE VALUE AND ENHANCE COMMUNITY HEALTH SERVICES. THROUGH AFFILIATIONS WITH OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS WHO SHARE MANY OF OUR VALUES, WE ARE CREATING SERVICE DELIVERY SYSTEMS THAT SERVE COMMUNITY NEEDS AND OUR MISSION. A. SENTARA POTOMAC HOSPITALIN DECEMBER 2009, SENTARA HEALTHCARE FINALIZED ITS AFFILIATION WITH POTOMAC HOSPITAL IN NORTHERN VIRGINIA. SENTARA POTOMAC HOSPITAL (SPH) IS A 183-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN WOODBRIDGE, VA. POTOMAC HOSPITAL'S 1,000+ EMPLOYEES INCLUDE MORE THAN 250 MEDICAL STAFF MEMBERS. IT OFFERS A WIDE RANGE OF MEDICAL SPECIALTIES, A HIGHLY QUALIFIED MEDICAL AND CLINICAL STAFF, AND STATE-OF-THE-ART TECHNOLOGY REQUIRED TO UPHOLD ITS MISSION OF CARING FOR EVERYONE IN PRINCE WILLIAM COUNTY AND ITS SURROUNDING COMMUNITIES. THE SERVICE AREA POPULATION, THAT ENCOMPASSES EASTERN PRINCE WILLIAM, SOUTHERN FAIRFAX AND NORTHERN STAFFORD COUNTIES, EXCEEDS 370,000. RESIDENTS IN NORTHERN VIRGINIA WILL NOW HAVE THE OPTION OF RECEIVING CARDIOVASCULAR CARE CLOSER TO HOME, WITH THE NEW ARRAY OF SERVICES TO BE OFFERED IN THE SENTARA HEART AND VASCULAR CENTER AT POTOMAC HOSPITAL. RESIDENTS WILL ALSO BENEFIT FROM THE CONVENIENT, HIGH QUALITY CARE THAT WILL RESULT FROM THE PARTNERING OF SENTARA MEDICAL GROUP-WHICH BRINGS TOGETHER MULTI-SPECIALTY PHYSICIANS DEDICATED TO PROVIDING QUALITY PATIENT-FOCUSED CARE AND TO RAISING THE STANDARD OF HEALTHCARE IN THE REGIONS THEY SERVE-WITH PRACTICES IN NORTHERN VIRGINIA. B. FUTURE AFFILIATIONS1. RMH HEALTHCAREIN JULY 2010, SENTARA HEALTHCARE ANNOUNCED THE AFFILIATION OF SENTARA WITH RMH HEALTHCARE (FORMALLY ROCKINGHAM MEMORIAL HOSITAL). RMH IS A 238-BED, NOT-FOR-PROFIT INDEPENDENT COMMUNITY HOSPITAL LOCATED IN HARRISONBURG, VA, THAT HAS BEEN PROVIDING THE BEST IN HEALTHCARE SERVICES SINCE 1912. RMH SHARES SENTARA'S FOCUS ON PATIENT SAFETY AND QUALITY.
FORM 990, PART V, FORM W-3	Number of Employees Reported on Form W-3Core Form Part I line 5 and Part V line 2aThe organization is the 501(c)(3) sole member or shareholder of several other organizations for which it acts as common pay agent and issues all Form W-2s. Since the organization has no reporting mechanism to determine W-2s attributable solely to the organization, the number reported represents the average number of the organization's employees paid during each payroll cycle in 2010; which approximates the number of W-2s issued by the organization on its own behalf.
	THE FOLLOWING RETURN ITEMS HAVE BEEN AMENDED:CORE FORM 990 BOX F - THIS BOX WAS INADVERTANTLY LEFT BLANK ON THE ORIGINAL RETURN AND HAS NOW BEEN COMPLETED.CORE FORM 990 PART VII COLUMN (B) - HOURS FOR FORMERS WERE NOT SHOWING UP ON THE ORIGINAL RETURN DUE TO LACERTE SOFTWARE PROGRAMMING ERRORS. LACERTE'S MOST RECENT SOFTWARE UPDATE HAS CORRECTED THIS ISSUE.SCHEDULE J, PART II - SEVERAL AMOUNTS WERE NOT REPORTED ON THE CORRECT ROWS ON THE ORIGINAL RETURN DUE TO LACERTE SOFTWARE PROGRAMMING ERRORS. LACERTE'S MOST RECENT SOFTWARE UPDATE HAS CORRECTED THIS ISSUE.	Amended Explanation
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	The consolidated financial statements for Sentara Healthcare and Subsidiaries are made publicly available through the use of DAC Bond (disclosure dissemination agent) and can be found on the internet at www.dacbond.com. The organization's governing documents and conflicts of interest policy are generally not made available to the public.	Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	The organization followed processes and procedures set forth in its governing documents to ensure compliance with its obligations as a 501(c)(3) healthcare organization to pay disqualified persons reasonable compensation. Such processes and procedures are intended to establish the rebuttable presumption of reasonableness under the Internal Revenue Code Section 4958 regulations. The compensation philosophy of the organization is to base overall compensation and benefits for executives on market comparables, adjusted as applied to each executive, taking into consideration the individual skills and performance of the executive being compensated and overall performance of the organization. In line with this philosophy, the organization performed substantial due diligence as to market comparables. The Compensation Committee, which consists of Board members without conflicts of interests, engaged an outside consultant to conduct a study assessing the competitiveness of total compensation (including cash compensation, benefits and perquisites) of its senior executives prior to making decisions regarding annual base salary adjustments, approving incentive awards, or considering programmatic changes. The study compared the compensation of the organization's senior executives to compensation data from published survey sources based on the senior executive's functional responsibility. In conducting the study, the consultant targeted other health systems of similar size based on net revenue, premiums, or members, where possible. The consultant also conducts a review of the organization's performance relative to a group of not-for-profit health systems of comparable size and scope of operations every two to three years; the organization's financial performance based on measures such as net revenue growth and operating margin was in the top quartile relative to the comparison group in the most recent study conducted in early 2009. The compensation study was discussed with the organization's Compensation Committee, which made its decisions based on a)its review and analysis of the performance of both the organization and its senior executives and, b) a reasonableness of compensation analysis from an external expert in the compensation field. The Committee's bases for its decisions were documented in Committee minutes taken during the meeting and then circulated for review and approval. All decisions regarding compensation were made by the Committee, which consists of Board members without conflict of interests. This process was used to establish compensation for the organization's CEO,COO/President, CFO/Treasurer, CIO and Senior Vice Presidents. The process was last undertaken during 2010 for all positions listed.	Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	TRUSTEES, DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. THE ORGANIZATION'S LEGAL DEPARTMENT MONITORS TRANSACTIONS INVOLVING POTENTIAL CONFLICTS OF INTEREST, TO ENSURE THAT THEY ARE REASONABLE AND AT ARM'S LENGTH. REPORTS ON SUCH TRANSACTIONS ARE MADE TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD AS NECESSARY.	Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review Process	The organization uses its own in-house Tax Department, headed by a licensed certified public accountant, to both prepare and review its Form 990. During the preparation and review process, the Tax Department works closely with other departments, such as Legal, Compensation and Benefits, Compliance, Finance, and Marketing, to ensure that a complete and accurate return is filed.	Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body	The Board of Trustees, including ex officio Trustees, elect/ratify the Board of Directors, which serves as the organization's governing body.	Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder	The organization has members who are individuals designated individually as Trustees and collectively as the Board of Trustees. The Board of Trustees, except ex-officio Trustees, are divided into three (3) classes of approximately equal number and are elected for terms of three (3) years. Directors of the organization serve as ex officio Trustees with the same vote as other Trustees.	Form 990, Part VI, Line 6
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	DAVID BERND, HOWARD KERN, AND BERTRAM REESE HAVE A BUSINESS RELATIONSHIP THROUGH COMMOM OWNERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.RICHARD F. CLARK, M.D. AND ROBERT SHUFORD HAVE A BUSINESS RELATIONSHIP THROUGH COMMON BOARD MEMBERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.HOWARD KERN AND GARY YATES HAVE A BUSINESS RELATIONSHIP THROUGH COMMON BOARD MEMBERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.R. SCOTT MORGAN, LAWRENCE A. CUMMING, AUBREY L. LAYNE JR., W. ANDREW DICKINSON, AND JOHN F. MALBON HAVE A BUSINESS RELATIONSHIP THROUGH COMMON BOARD MEMBERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.C. EDWARD RUSSELL, JR. AND LAWRENCE CUMMING HAVE A BUSINESS RELATIONSHIP. BOTH ARE PARTNERS IN A LAW FIRM UNRELATED TO THE ORGANIZATION.TOY D. SAVAGE, JR. AND ALLAN G. DONN HAVE A BUSINESS RELATIONSHIP THROUGH COMMON MEMBERSHIP OF A LAW FIRM UNRELATED TO THE ORGANIZATION.THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVE TOGETHER ON THE BOARDS OF OTHER TAXABLE ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAS AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES.	Form 990, Part VI, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540853898	HEALTH CARE	VA	501(C)(3)	3	NA	true
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541283337	HMO	VA	501(C)(3)	11A - I	NA	true
MPB INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541346393	TITLE HOLDING COMPANY	VA	501(C)(2)		SENTARA ENTERPRISES	true
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217183	HEALTH CARE	VA	501(C)(3)	9	NA	true
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541917649	HEALTH CARE	VA	501(C)(3)	9	NA	true
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217184	HEALTH CARE	VA	501(C)(3)	9	NA	true
SENTARA HOSPITALS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541547408	HEALTH CARE	VA	501(C)(3)	3	NA	true
TIDEWATER HEALTH CARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521277419	HEALTH CARE	VA	501(C)(3)	11C - III-FI	NA	true

Form990 Schedule R Part III Form990ScheduleRPartIII (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets
ORTHOPAEDIC HOSPITAL MANAGEMENT LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	274185117	MGT SVCS	VA	SH	RELATED	false	false	0.4
PORT WARWICK II LLC
18000 WEST SARAH LANE SUITE 250	BROOKFIELD	WI	53045	202739075	RENTAL RE	VA	SVI	UNRELATED	true	false	1	-2817	5138844
CAREPLEX WEST LLC
18000 W SARAH LANE SUITE 250	BROOKFIELD	WI	53045	202738977	RENTAL RE	VA	SVI	UNRELATED	true	false	0.562	-81354	6246301
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE RD SUITE 400W	FALLS CHURCH	VA	22042	541802733	HEALTHCARE	VA	PHC	RELATED	false	false	0.5	65159	1995468
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA	SE	RELATED	false	false	0.7	-62961	1183039
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA	SH	RELATED	false	false	0.5	152863	852215
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA	SE	UNRELATED	false	false	0.25	163050	922889
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIRCLE STE L	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA	SH	UNRELATED	false	false	0.25	163050	922888
HEALTHCARE PERFORMANCE IMPROVEMENT LLC
5041 CORPORATE WOODS DR STE 180	VIRGINIA BEACH	VA	23462	204024074	CONSULTING	VA	SVI	UNRELATED	false	false	0.396	429424	711293
HAMPTON ROADS LITHOTRIPSY LLC
6333 CENTER DRIVE BLDG 16	NORFOLK	VA	23502	200942600	HEALTH CARE	VA	SVI	UNRELATED	false	false	0.3333	411516	197965
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVE	NORFOLK	VA	23502	201338518	HEALTH CARE	VA	SH	RELATED	false	false	0.5	-23194	7682275
AMER HEALTH EVAL CTR-WMSBG LLC
PO BOX 3508	WILLIAMSBURG	VA	23187	263761741	HEALTH CARE	VA	SVI	UNRELATED	false	false	0.2	-83446	383352
VA BEACH AMBULATORY SERVICE CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA	CHS	RELATED	false	false	0.05	119616	328529
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVE	VA BEACH	VA	23454	541448218	HEALTH CARE	VA	SH	RELATED	false	false	0.45	1076541	2954823
PRINCESS ANNE AMB SURG MGT LLC
1975 GLENN MITCHELL SUITE 300	VA BEACH	VA	23456	204920880	HEALTH CARE	VA	SH	RELATED	false	false	0.5332	880085	1500581
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	RE RENTAL	VA	SH	RELATED	false	false	0.56	56664	705411
MANAGEMENT SERVICES
814 GREENBRIER CIRCLE	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA	SH	EXCLUDED	false	false	0.2	1780	210306
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLE	CHESAPEAKE	VA	23320	541365012	HLTH MGT SV	VA	SVI	Excluded	false	false	0.4	3560	420607

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA
BAY PRIMEX INSURANCE COMPANY LTD
PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	999999999	INSURANCE	CJ	NA	C CORP	11381760	63783615	1.00000
POTOMAC VENTURES CORP
				541441420	PHARMACY		POTOMAC HOSPITAL CORP	C CORP	306804	1103150	1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA
SENTARA OBICI MED MGT SERVICES
				541020941	HEALTH CARE		SEN OBICI PROF CTR	C CORP		48825	1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA
SENTARA OBICI PROFESSIONAL CENTER
				541445865	RE RENTAL		SENTARA HOLDINGS INC	C CORP	167946	2032244	1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA
SMG INNOVATIONS INC
				203730331	HEALTH CARE		SENTARA MEDICAL GROUP	C CORP	5521335	1440175	1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA
SENTARA VENTURES INC
				541688615	HOLDING COMPANY		SENTARA HOLDINGS INC	C CORP	11593473	16869882	1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA
SENTARA HAMPTON SERVICES CORP
				541682025	FITNESS CENTER		SENTARA HOLDINGS INC	C CORP			1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA
OPTIMA BEHAVIORAL HEALTH SERVICES
				621382666	MENTAL HEALTH SVCS		SENTARA HEALTH PLANS INC	C CORP	31941766	2925800	1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA
OPTIMA HEALTH INSURANCE COMPANY
				541642752	HEALTH INSURANCE		SENTARA HEALTH PLANS INC	C CORP	186729117	58920319	1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA
OPTIMA HEALTH GROUP
				541473382	HMO		SENTARA HEALTH PLANS INC	C CORP	16276	2523639	1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA
SENTARA HEALTH PLANS INC
				522368125	TPA		SENTARA HOLDINGS INC	C CORP	10628295	56830846	1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA
SENTARA HOLDINGS INC
				541555638	HOLDING COMPANY			C CORP		4640385	1.00000	6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	VA	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (38 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
BAY PRIMEX INSURANCE COMPANY LTD
r	1923418	CORP BOOKS/REC
SMG INNOVATIONS INC
p	261673	COPR BOOKS/REC
SENTARA HEALTH PLANS INC
p	17953089	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
o	586740	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
n	869646	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
m	119851	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
l	4495688	CORP BOOKS/REC
SENTARA HEALTH PLANS INC
k	11851301	CORP BOOKS/REC
SENTARA HOLDINGS INC
b	10000000	CORP BOOKS/REC
PRINCESS ANNE AMB SURG MGT LLC
p	87230	CORP BOOKS/REC
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
n	61830	CORP BOOKS/REC
OPTIMA HEALTH PLAN
r	18000000	CORP BOOKS/REC
MPB INC
r	1895152	CORP BOOKS/REC
MPB INC
j	106479	CORP BOOKS/REC
MPB INC
b	2155260	CORP BOOKS/REC
SENTARA LIFE CARE CORP
r	76277646	CORP BOOKS/REC
SENTARA LIFE CARE CORP
k	4613426	CORP BOOKS/REC
SENTARA LIFE CARE CORP
c	8785827	CORP BOOKS/REC
SENTARA ENTERPRISES
r	82610586	CORP BOOKS/REC
SENTARA ENTERPRISES
q	1054011	CORP BOOKS/REC
SENTARA ENTERPRISES
p	3647360	CORP BOOKS/REC
SENTARA ENTERPRISES
l	325067	CORP BOOKS/REC
SENTARA ENTERPRISES
k	7101448	CORP BOOKS/REC
SENTARA ENTERPRISES
c	1875452	CORP BOOKS/REC
SENTARA MEDICAL GROUP
r	215912184	CORP BOOKS/REC
SENTARA MEDICAL GROUP
n	82504	CORP BOOKS/REC
SENTARA MEDICAL GROUP
k	6266492	CORP BOOKS/REC
SENTARA MEDICAL GROUP
c	527310	CORP BOOKS/REC
SENTARA MEDICAL GROUP
b	58965565	CORP BOOKS/REC
SENTARA HOSPITALS
r	1608750148	CORP BOOKS/REC
SENTARA HOSPITALS
q	237603	CORP BOOKS/REC
SENTARA HOSPITALS
p	142913	CORP BOOKS/REC
SENTARA HOSPITALS
o	185919	CORP BOOKS/REC
SENTARA HOSPITALS
m	379140	CORP BOOKS/REC
SENTARA HOSPITALS
l	469362	CORP BOOKS/REC
SENTARA HOSPITALS
k	32784203	CORP BOOKS/REC
SENTARA HOSPITALS
c	190766541	CORP BOOKS/REC
SENTARA HOSPITALS
b	157706334	CORP BOOKS/REC