2023-11-09T06:38:32-06:00 2022-12-31 990 2022-01-01 541283337 SENTARA HEALTH PLANS SENT 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 ROBERT A BROERMANN TREASURER 7574557020 2023-11-07 ROBERT BROERMANN XXX-XX-XXXX 1 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X COLIN DROZDOWSKI 1300 SENTARA PARK VIRGINIA BEACH VA 23464 11167925301 0 X WWW.OPTIMAHEALTH.COM X 1984 VA AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY. 9 5 8 5 2497937 0 0 0 3052924585 3358739824 12419188 -3621747 0 0 3065343773 3355118077 0 0 0 0 3677770 3265118 0 0 0 2964367403 3295041099 2968045173 3298306217 97298600 56811860 829480959 887162964 433708057 511363553 395772902 375799411 X AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY BY SUPPORTING THE CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES OF SENTARA HEALTH AND SUBSIDIARIES. 0 0 3241486640 3356241887 SENTARA HEALTH PLANS MAINTAINS CONTRACTS WITH AREA PROVIDERS TO SUPPLY STATE OF THE ART SYSTEMS OF HEALTH CARE, DISEASE PREVENTION AND HEALTH PROMOTION FOR INDIVIDUALS AND FAMILIES IN THE COMMUNITY IN AN EFFECTIVE, ACCESSIBLE AND AFFORDABLE MANNER.SEE ALSO SCHEDULE O 3241486640 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 657 0 1 8 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 5 1 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 X CORPORATE OFFICERS 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 HOWARD P KERN DIRECTOR (THROUGH 9/22) 1.00 46.00 X 0 10168793 -310858 DENNIS A MATHEIS DIRECTOR/PRES (THROUGH 9/22) 22.00 28.00 X X 924579 1410346 269863 RONALD STINE MD DIRECTOR 1.00 40.00 X 0 1019175 16050 COLIN DROZDOWSKI DIRECTOR/PRESIDENT (EFF 9/22) 22.00 20.00 X X 493695 405262 138525 G WILKINS HUBBARD II MD DIRECTOR 1.00 40.00 X 0 250543 -81464 CATHIE J VICK DIRECTOR 1.00 1.00 X 0 0 0 JEFFERY O SMITH ED D DIRECTOR 1.00 3.80 X 0 40000 0 ROBERT C FORT DIRECTOR/CHAIRMAN 1.00 1.00 X X 0 0 0 J LES HALL DIRECTOR 1.00 4.80 X 0 0 0 FREDERICK C COBLE DIRECTOR 1.00 0.00 X 0 0 0 ROBERT A BROERMANN TREASURER 1.00 50.00 X 0 2401429 -86268 JAMES A HILBERT SR. VP/CFO (THROUGH 1/22) 22.00 18.00 X 170614 140054 -86482 PATRICIA DARNLEY SR. VP, GOV'T PROGRAMS 22.00 19.00 X 421993 346404 129034 JOHN E DEGRUTTOLA SR. VP SALES & MKTING 22.00 18.00 X 385052 316080 -37058 KHALED GHALEY SR VP, OPS 22.00 18.00 X 328102 269332 38480 SAMUEL J HAWLEY ASST SECRETARY (THROUGH 6/22) 1.00 45.00 X 0 229108 -41470 EARL J BARNES II SECRETARY (EFF 6/22) 1.00 46.00 X 0 502537 73874 SHARILYN CAMPBELL SR. VP/CFO (EFF 9/22) 22.00 18.00 X 158666 130246 14999 KRISTYN GREIFER SR. VP/CMO (EFF 9/22) 22.00 18.00 X 185059 151910 8899 MICHAEL V GENTRY FORMER OFFICER 0.00 50.00 X 0 3479384 -40215 LOUIS PATALANO IV FORMER OFFICER 0.00 0.00 X 0 1103191 -16296 THOMAS LUNDQUIST FORMER OFFICER 0.00 0.00 X 198655 128581 -64869 JAMES A JUILLERAT FORMER KE 0.00 40.00 X 0 426180 -72695 JEFF C SNYDER FORMER KE 0.00 42.00 X 0 342380 -147687 EDWARD RANDY RICKER FORMER KE 0.00 40.00 X 0 353209 -28648 3266415 23614144 -324286 9 1 1 0 SENTARA BEHAVIORAL HEALTH SERVICES 1330 SENTARA PARK VIRGINIA BEACH VA 23464 HEALTHCARE PROVIDER 5896602 OPTUMRX INC PO BOX 27275 NEW YORK NY 10087 PHARMACY SERVICES 5647282 SENTARA HOSPITALS PO BOX 79603 BALTIMORE MD 21279 HEALTHCARE PROVIDER 3100560 SENTARA HEALTH 1300 SENTARA PARK VIRGINIA BEACH VA 23464 POPULATION HEALTH MGT 890724 WEBMD HEALTH SERVICES GROUP INC 111 8TH AVENUE 7TH FLOOR NEW YORK NY 10011 WELLNESS SERVICES AND PROGRAMS 834812 20 SUBSCRIBER PREMIUMS 524298 3358739824 3356241887 2497937 3358739824 7252715 7252715 7801932762 7812807224 -10874462 -10874462 -10874462 3355118077 3356241887 2497937 -3621747 X 3265118 2725065 540053 325843 271948 53895 347571636 291806125 55765511 2781835 2321717 460118 MEDICAL CLAIMS & CAPITA 2940492991 2940492991 TAXES & LICENSES 3720598 3720598 UBIT 8258 8258 139938 139938 3298306217 3241486640 56819577 0 86157672 122715287 320280106 341173945 8338657 11179475 25949835 21196013 8412493 4753822 405686376 365032740 158399 605655 42149296 829480959 887162964 13142350 8847183 8663335 3973985 411902372 498542385 433708057 511363553 X 0 0 0 0 395772902 375799411 395772902 375799411 829480959 887162964 X 56811860 -36785351 -40000000 X 0 1 X 1 0 X X 1 SENTARA HEALTH 521271901 7 1 40000000 0 1 40000000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 5015873 4013519 1002354 20879215 17182494 3696721 54747 54747 4753822 MEDICAL CLAIMS PAYABLE 302221448 DUE TO AFFILIATES 39085091 CONTRACT SETTLEMENTS 9940273 PROVIDER REFUNDS 21218344 MEDICAID RISK RESERVE 77076155 ROU LIABILITIES 158395 OTHER LIABILITITES 48842679 498542385 X X X 1 1 1 1 0 0 0 0 0 1 0 HOWARD P KERN DIRECTOR (THROUGH 9/22) 0 2184653 0 2627694 0 5356446 0 -331126 0 20268 0 9857935 0 2438903 MICHAEL V GENTRY FORMER OFFICER 0 1135214 0 943662 0 1400508 0 -71826 0 31611 0 3439169 0 904144 DENNIS A MATHEIS DIRECTOR/PRES (THROUGH 9/22) 396535 938285 508885 417733 19159 54328 73428 168610 10580 17245 1008587 1596201 0 29375 ROBERT A BROERMANN TREASURER 0 1136501 0 969392 0 295536 0 -115045 0 28777 0 2315161 0 0 LOUIS PATALANO IV FORMER OFFICER 0 0 0 0 0 1103191 0 -17502 0 1206 0 1086895 0 0 COLIN DROZDOWSKI DIRECTOR/PRESIDENT (EFF 9/22) 362769 297788 120274 98730 10652 8744 58029 47634 18047 14815 569771 467711 0 0 RONALD STINE MD DIRECTOR 0 871345 0 119177 0 28653 0 -18337 0 34387 0 1035225 0 0 PATRICIA DARNLEY SR. VP, GOV'T PROGRAMS 284977 233932 117000 96042 20016 16430 53351 43794 17513 14376 492857 404574 0 0 JOHN E DEGRUTTOLA SR. VP SALES & MKTING 193516 158852 190331 156239 1205 989 -36861 -30258 16509 13552 364700 299374 0 0 KHALED GHALEY SR VP, OPS 224308 184129 84013 68965 19781 16238 2314 1899 18819 15448 349235 286679 0 0 EARL J BARNES II SECRETARY (EFF 6/22) 0 339835 0 116099 0 46603 0 62617 0 11257 0 576411 0 0 JAMES A JUILLERAT FORMER KE 0 312967 0 111897 0 1316 0 -100293 0 27598 0 353485 0 0 KRISTYN GREIFER SR. VP/CMO (EFF 9/22) 92390 75840 0 0 92669 76070 2788 2289 2099 1723 189946 155922 0 0 EDWARD RANDY RICKER FORMER KE 0 256204 0 90206 0 6799 0 -54032 0 25384 0 324561 0 0 SHARILYN CAMPBELL SR. VP/CFO (EFF 9/22) 99527 81699 42506 34893 16633 13654 4319 3546 3918 3216 166903 137008 0 0 THOMAS LUNDQUIST FORMER OFFICER 8135 6678 91384 75015 99136 46888 -38110 -31283 2485 2039 163030 99337 51629 42381 JAMES A HILBERT SR. VP/CFO (THROUGH 1/22) 33462 27469 103046 84588 34106 27997 -49580 -40699 2085 1712 123119 101067 0 0 JEFF C SNYDER FORMER KE 0 249032 0 82184 0 11164 0 -185791 0 38104 0 194693 0 0 SAMUEL J HAWLEY ASST SECRETARY (THROUGH 6/22) 0 100573 0 37816 0 90719 0 -51443 0 9973 0 187638 0 50475 G WILKINS HUBBARD II MD DIRECTOR 0 250543 0 0 0 0 0 -81486 0 22 0 169079 0 0 PART I, LINE 1A THE ORGANIZATION PAID FOR ITS ALLOCABLE SHARE OF FIRST-CLASS TRAVEL FOR ONE OF ITS OFFICERS. THE TRAVEL WAS APPROVED BY THE CEO OF SENTARA HEALTH, THE ORGANIZATION'S SOLE MEMBER. THE ORGANIZATION PAID FOR TAXABLE RELOCATION EXPENSES OF EXECUTIVE RECRUITS, INCLUDING TEMPORARY HOUSING AND THE ADDITIONAL TAXES ASSOCIATED WITH SUCH BENEFITS, ALL OF WHICH WERE TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES. PART I, LINE 3 SENTARA HEALTH, THE SECTION 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY SENTARA HEALTH'S COMPENSATION COMMITTEE. SENTARA HEALTH RECOGNIZES THAT PROVIDING THE BEST POSSIBLE CARE REQUIRES US TO ATTRACT AND RETAIN THE VERY BEST EMPLOYEES. OUR ORGANIZATION IS COMMITTED TO INVESTING IN OUR PEOPLE BY OFFERING COMPETITIVE COMPENSATION OPPORTUNITIES AND A STRONG WORKPLACE ENVIRONMENT. THE SENTARA HEALTH BOARD HAS DIRECTED A COMMITTEE OF INDEPENDENT, CONFLICT-FREE BOARD MEMBERS TO DEVOTE THEIR TIME AND ATTENTION TO THE OVERSIGHT OF SENTARA HEALTH'S EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE CONSISTS OF PROFESSIONAL, EXPERIENCED, AND DEDICATED BOARD MEMBERS WHO TAKE THIS RESPONSIBILITY VERY SERIOUSLY. THE COMPENSATION COMMITTEE FOLLOWS GOVERNANCE BEST PRACTICES IN THE REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE IS ASSISTED BY OUTSIDE ADVISORS WHO ARE ENGAGED BY THE COMMITTEE. PART I, LINES 4A-B LOUIS PATALANO, IV RECEIVED $1,103,191 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AND HAS ATTAINED NORMAL RETIREMENT AGE UNDER THE PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY SENTARA HEALTH'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. THE PLAN IS A DEFINED BENEFIT ARRANGEMENT UNDER WHICH MEMBERS ACCRUE AN ANNUAL FORMULA-BASED BENEFIT DURING EACH YEAR OF COVERED EMPLOYMENT, WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE FOR FEDERAL INCOME TAX PURPOSES UNTIL THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION OR UPON DEATH. FICA AND FUTA TAXATION OF PORTIONS OF THE ACCRUED BENEFIT MAY OCCUR EARLIER THAN FEDERAL INCOME TAXATION IN ACCORDANCE WITH APPLICABLE LAW. DISTRIBUTION OF PLAN BENEFITS MAY OCCUR AT THE DATE OF APPLICABLE TAXATION (TO THE EXTENT REQUIRED TO COVER APPLICABLE TAXES) AND IN ACCORDANCE WITH THE PARTICIPANT'S ELECTED INSTALLMENT DISTRIBUTION SCHEDULE FOLLOWING TERMINATION OF EMPLOYMENT, SUBJECT TO ADHERENCE WITH THE NON-COMPETE RESTRICTIONS. IN THE CURRENT YEAR, MR. KERN WAS EMPLOYED AND ACTIVELY ACCRUING PLAN BENEFITS IN ACCORDANCE WITH THE PLAN'S TERMS. MR. KERN WAS SUBJECT TO FICA AND FUTA TAXATION ON HIS ACCRUED PLAN BENEFITS IN 2022 AND RECEIVED TAXABLE PLAN DISTRIBUTIONS OF $181,970 TO COVER APPLICABLE TAXES FOR 2022. HOWARD KERN, ROBERT BROERMANN, MICHAEL GENTRY, JAMES HILBERT, PATRICIA DARNLEY, COLIN DROZDOWSKI, EARL BARNES, AND DENNIS MATHEIS PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTH'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). DURING 2022, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($202,592); HOWARD KERN ($812,849); MICHAEL GENTRY ($172,528); DENNIS MATHEIS ($32,207) AND JAMES HILBERT ($2,835). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. DURING THE CURRENT TAX YEAR, DENNIS MATHEIS, PATRICIA DARNLEY, AND KHALED R GHALY PARTICIPATED IN THE SENTARA NON-QUALIFIED DEFERRED COMPENSATION PLAN. A NEW PLAN YEAR BEGINS EACH JANUARY 1ST. ELIGIBILITY REQUIRES THAT AN EMPLOYEE MUST BE IN THE TOP 5% BY SALARY AND HAVE COMPENSATION GREATER THAN OR EQUAL TO THE HIGHLY COMPENSATED AMOUNT SET BY THE PLAN IN ORDER TO PARTICIPATE. PARTICIPANTS MUST MAKE THEIR ELECTIONS IN THE YEAR PRECEDING THE DEFERRAL YEAR AND SELECT A DISTRIBUTION DATE. NEW ELECTIONS MUST BE MADE EACH YEAR. ALL PARTICIPANTS ARE 100% VESTED IN THEIR ACCOUNT BALANCES AND LUMP SUM IS THE FORM OF PAYMENT AT THE DISTRIBUTION DATE UNLESS A 5 OR 10 YEAR INSTALLMENT PAYMENT WAS SELECTED. THOMAS LUNDQUIST RECEIVED A LUMP SUM DISTRIBUTION OF $173,412 RELATED TO HIS PARTICIPATION IN PRIOR PLAN YEARS. PART I, LINE 7 DURING THE CURRENT TAX YEAR, 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. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS SENTARA HEALTH I. SENTARA HEALTH YOUR NOT-FOR-PROFIT HEALTHCARE PARTNER SENTARA HEALTH CELEBRATES 134 YEARS IN PURSUIT OF ITS MISSION "WE IMPROVE HEALTH EVERY DAY." SENTARA IS AN INTEGRATED, NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEM WITH MORE THAN 29,000 EMPLOYEES (INCLUDING 1,375 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES OVER 1,000,000 MEMBERS IN VIRGINIA, NORTH CAROLINA, AND FLORIDA. SENTARA IS RECOGNIZED NATIONALLY FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND MEMBERS. SENTARA WAS RECOGNIZED AS A "BEST EMPLOYER FOR NEW GRADS", "VETERANS AND "AMERICA'S BEST EMPLOYER" BY FORBES IN 2022. SENTARA HAS A LEVEL I TRAUMA CENTER, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, AND THE ACCREDITED SENTARA CANCER NETWORK, TWO ORTHOPEDIC HOSPITALS, AND THE SENTARA NEUROSCIENCES INSTITUTE. SENTARA ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE (MADE 863 LIFE-SAVING TRIPS IN 2022 ALONE), HOME CARE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, A CLINICALLY INTEGRATED NETWORK, AND THE SENTARA COLLEGE OF HEALTH SCIENCES. EFFORTS ARE CENTERED ON PROVIDING THE RIGHT CARE IN THE RIGHT SETTING AT THE RIGHT TIME AND ADDING VALUE TO THE COMMUNITIES WE SERVE. WE STRIVE TO SERVE ALL OUR COMMUNITIES THROUGH HEALTH OUTREACH PROGRAMS, EDUCATION, AND FINANCIAL SUPPORT FOR OTHER NOT FOR PROFIT ORGANIZATIONS WITH SIMILAR HEALTH MISSIONS. AS AN INTEGRATED DELIVERY NETWORK (IDN), SENTARA PROVIDES BOTH HEALTH CARE SERVICES (HOSPITALS, CLINICS, PROVIDERS) AND HEALTH INSURANCE PLANS, WHICH ENABLES SENTARA TO FULLY UNDERSTAND AND DELIVER ON THE NEEDS OF OUR CONSUMERS IN A UNIQUE AND INSIGHTFUL WAY. ADDITIONALLY, SERVING AS AN IDN PROVIDES US WITH THE OPPORTUNITY TO IMPACT AND LIFT OUR COMMUNITIES GIVEN THE COMPREHENSIVE NATURE OF OUR ABILITY TO DELIVER CARE AND RESOURCES WITHIN THE WALLS OF OUR CARE SITES AS WELL AS DEEP WITHIN THE COMMUNITY. II. COMMITMENT TO THE COMMUNITY SENTARA HAS PROVIDED MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. THE 2022 VALUE OF COMMUNITY BENEFIT TOTALED $260.2 MILLION. SENTARA PROVIDED $157 MILLION IN NET UNCOMPENSATED PATIENT CARE COSTS; $48.5 MILLION IN TEACHING & TRAINING OF HEALTHCARE PROFESSIONALS; $48 MILLION IN COMMUNITY GIVING; AND $6.7 MILLION IN HEALTH & PREVENTION PROGRAMS. SENTARA EMPLOYEES CONTRIBUTED $1.9 MILLION THROUGH DIRECT CONTRIBUTION AND EMPLOYEE MATCHING TO UNITED WAYS IN VIRGINIA AND NORTH CAROLINA. A. SENTARA CONTINUES ITS EFFORTS THROUGH THE COMMUNITY ENGAGEMENT AND IMPACT (CEI) PROGRAM, SENTARA CARES, TO INSPIRE, EMPOWER AND SUPPORT THE COMMUNITIES WE SERVE IN THE MOST IMPACTFUL WAY. SENTARA AWARDED 86 GRANTS TOTALING $8,609,557 FOR OUR COMMUNITIES AS WELL AS $1,069,683 IN MICROGRANTS REACHING THE DEEPEST LEVELS IN OUR COMMUNITIES. SENTARA INVESTED $3,850,300 FOR SENTARA SCHOLARS AND SENTARA CHOICE, WHICH ARE PROGRAMS TO SUPPORT STUDENTS WITH A VISION AND PATHWAY FOR SUCCESS THAT INCLUDES SUPPORT AND REMOVES BARRIERS TO HIGHER PAYING, MEANINGFUL HEALTHCARE CAREERS. SENTARA DONATED NEARLY $3.5 MILLION IN MEDICAL SUPPLIES TO SUPPORT CHARITIES ADDRESSING HUMANITARIAN CRISES IN UKRAINE, POLAND, HAITI, AND THE PHILIPPINES. THE CEI PROGRAM DELIVERS ECONOMIC, SOCIAL, AND ENVIROMENTAL BENEFITS FOR STAKEHOLDERS ACROSS ALL SENTARA MARKETS AND INCREASES OUR COMMUNITY CONNECTION. IT BUILDS ON SENTARA RECOGNIZED LEADERSHIP AND COMMITMENT TO THE COMMUNITIES WE SERVE. B. IN 2022, SENTARA LAUNCHED SENTARA COMMUNITY CARE, A NEW MODEL OF CARE WHICH INCLUDES SENTARA COMMUNITY CARE CENTERS AND SENTARA MOBILE CARE. SENTARA OPENED THE FIRST SENTARA COMMUNITY CARE CENTER AT UNION MISSION (HOMELESS SHELTER) IN NORFOLK, VIRGINIA FOLLOWED BY A CENTER IN THE BERKLEY NEIGHBORHOOD OF NORFOLK. ADDITIONALLY, SENTARA MOBILE CARE LAUNCHED, DELIVERING CARE IN A NUMBER OF COMMUNITIES WHO ARE UNDERSERVED AND LACKING ACCESS TO HEALTHCARE. C. SENTARA CONTINUED THE FOCUS ON THE IMPORTANT WORK OF DIVERSITY IN OUR WORKFORCE, TO DEEPEN OUR UNDERSTANDING OF CARING FOR OUR DIVERSE PATIENT POPULATION AND TO DEVELOP STRONG RELATIONSHIPS WITH DIVERSE COMMUNITY POPULATIONS. WE FORMED SEVERAL PARTNERSHIPS WITH KEY DIVERSITY-FOCUSED ORGANIZATIONS. WE CONTINUE THE WORK OF THE DIVERSITY AND INCLUSION COUNCILS AT ALL 12 HOSPITALS. AND WE CONTINUE TO DEVELOP NEW DIVERSITY AND INCLUSION COMPONENTS AND EDUCATION FOR ALL TEAM MEMBERS. ADDITIONALLY, SENTARA CONTINUED THE EXCELLENT WORK IN IDENTIFYING AND REDUCING BARRIERS SO PEOPLE CAN RECEIVE THE CARE THEY NEED. THE TEAM IDENTIFIES HEALTH DISPARITIES AND RESEARCH POSSIBLE CAUSES. THIS INCLUDES CHRONIC HEALTH ISSUES SUCH AS HYPERTENSION, DIABETES, AND THE HIGH RATES OF CANCER DEATHS IN MINORITY COMMUNITIES. ADDITIONALLY, WE HAVE POLICIES AND GUIDELINES TO ENSURE PROTECTION OF LGBTQ PATIENTS' RIGHTS AND IN 2022, IMPLEMENTED SOGI (SEXUAL ORIENTATION, GENDER IDENTITY) QUESTIONS INTO OUR EPIC EMR (ELECTRONIC MEDICAL RCORD) TO FURTHER OUR ABILITY TO CARE FOR PATIENTS AND CREATE TRUSTING RELATIONSHIPS WITH THEM. SENTARA ALSO PARTNERED WITH NUMEROUS COMMUNITY AND FAITH-BASED GROUPS TO PROVIDE EDUCATION AND EARLY DETECTION FOR COLORECTAL AND BREAST CANCERS. ELEVEN SENTARA HOSPITALS WERE NAMED A "TOP PERFORMER" IN THE 2022 LGBTQ HEALTHCARE EQUALITY INDEX (HEI), WHICH IS AWARDED TO THOSE SURVEYED ORGANIZATIONS THAT EARN HIGH SCORES BETWEEN 80 AND 95 IN THE 2022 HEI SURVEY. D. SENTARA IS PROUD OF THE MISSION-DRIVEN WORK OF THE THREE SENTARA FOUNDATIONS. THESE FOUNDATIONS RAISED $11,458,852 MILLION TO SUPPORT THE CLINICAL NEEDS OF THE SYSTEM AND PROVIDED FUNDING THROUGH GRANTS AND DIRECT CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT HAVE SIMILAR INTERESTS IN SUPPORTING COMMUNITY HEALTH NEEDS. E. SEVERAL YEARS AGO, SENTARA ESTABLISHED THE HOPE (HELPING OVERCOME PERSONAL EMERGENCY) FUND, WHICH IS AN EMERGENCY FINANCIAL RESOURCE FOR SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN. SENTARA EMPLOYEES WHO RECEIVE AID FROM THE HOPE FUND HAVE FACED DEVASTATING CRISES SUCH AS FIRE, DEATH, NATURAL DISASTERS, OR SERIOUS PERSONAL OR FAMILY ILLNESS. IN 2022, EMPLOYEES DONATED $274,078 TO THE HOPE FUND AND WE AWARDED $820,353 TO SENTARA EMPLOYEES IN CRISES ACROSS THE COMPANY. F. IN SUPPORT OF IMPROVING THE PUBLIC HEALTH OF OUR COMMUNITIES, SENTARA CONTRIBUTED SIGNIFICANTLY TOWARD THE FUTURE OLD DOMINION UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) INTEGRATION. AND SEPARATELY, SENTARA DONATED TO OLD DOMINION UNIVERSITY, NORFOLK STATE UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL IN SUPPORT OF ADDRESSING HEALTHCARE DISPARITIES IN UNDERSERVED COMMUNITIES. G. SENTARA IS DEEPLY COMMITTED TO DEEPENING THE ALIGNMENT BETWEEN OUR HEALTHCARE SERVICES AND OUR HEALTH PLANS. WE UNDERSTAND THAT IMPROVING OVERALL COMMUNITY HEALTH AT ALL LEVELS IS CRITICAL TO OUR EFFORTS FOR IMPROVING HEALTH ESPECIALLY FOR UNDERSERVED COMMUNITY MEMBERS. THROUGH OUR TRUSTED PARTNERSHIPS WITH ORGANIZATIONS, WE WORKED TO ENSURE GREATER ACCESS TO BEHAVIORAL HEALTH, SECURE, CONSISTENT, AND EQUITABLE ACCESS TO NUTRITIOUS FOOD, SUPPORT TARGETED TRAINING FOR SKILLED CAREERS IN HIGH-DEMAND FIELDS, DEVELOP EMERGENCY AND DIVERSE HOUSING SOLUTIONS AND ELIMINATE BARRIERS TO CARE AND STRENGTHEN THE CULTURAL FABRIC OF OUR COMMUNITIES. H. TO SUPPORT REDUCING HEALTH DISPARITIES WE HAVE ONGOING PARTNERSHIPS WITH THE UNIVERSITIES IN HAMPTON ROADS WHICH ARE OPERATIONALIZING A $3M COMMITMENT MADE IN 2021 TO LEVERAGE OUR INITIAL INVESTMENT TO BUILD COMMUNITY ENGAGEMENT AROUND CRITICAL ISSUES IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SUCH AS MATERNAL HEALTH AND SUBSTANCE USE DISORDER, CHILDREN'S BEHAVIORAL HEALTH, AND WORKING WITH MINORITY COMMUNITIES TO LEARN HOW TO ACCESS CRUCIAL SOCIAL SERVICES AND RESOURCES. I. SENTARA CONTRIBUTED $500,000 TO THE VIRGINIA FEDERATION OF FOOD BANKS TO BREAK DOWN BARRIERS WITH A 3-YEAR PLAN THAT AIMS TO DEEPEN FOOD BANK AND HEALTHCARE PARTNERSHIPS. THIS EFFORT WAS A HEALTH-FOCUSED, NEIGHBOR-CENTERED TRANSFORMATION OF VIRGINIA'S PANTRY NETWORK THAT IS A MOVEMENT GUIDING ALL INTERESTED PANTRIES TO IMPLEMENT MORE HEALTH-FOCUSED AND NEIGHBOR CENTERED PRACTICES. THIS COMMITMENT TO FOOD SECURITY EXTENDS DEEPER INTO OUR COMMUNITIES AS WE PARTNER WITH LOCAL FOOD PANTRIES AND OTHER COMMUNITY-BASED ORGANIZATIONS THAT SERVE MARGINALIZED POPULATIONS THAT WAS SHARED WITH OVER 30 ORGANIZATIONS. FORM 990, PART III, LINE 4A J. SENTARA CONTINUES TO RECOGNIZE THE NEED FOR HOUSING ALONG THE CONTINUUM TO INCLUDE SUPPORTING EMERGENCY, AFFORDABLE AND SUPPORTIVE HOUSING SERVICES IN CONNECTION WITH CITIES, COMMUNITY SERVICE BOARDS AND MENTAL HEALTH PROVIDERS ACROSS VIRGINIA. SENTARA ANNOUNCED AN $11M INVESTMENT IN THE MARSHALL-RIDLEY CHOICE NEIGHBORHOOD REVITALIZATION INITIATIVE IN NEWPORT NEWS, VIRGINIA. THIS PROJECT IS PART OF THE CHOICE NEIGHBORHOOD INITIATIVE, WHICH LEVERAGES PUBLIC AND PRIVATE INVESTMENTS TO REPLACE DISTRESSED PUBLIC HOUSING AND TRANSFORM NEIGHBORHOODS OF CONCENTRATED POVERTY INTO NEIGHBORHOODS OF OPPORTUNITY. IN 2022, SENTARA FUNDED A CAPITAL GRANT TO JUDEO CHRISTIAN OUTREACH CENTER (JCOC) IN SUPPORT OF AN AMBITIOUS CAMPUS REBUILD PROJECT THAT WILL DRAMATICALLY INCREASE OUR ABILITY TO LEAD PEOPLE OUT OF HUNGER AND HOMELESSNESS. THE NEW 20,644 SQ FT. FACILITY IN VIRGINIA BEACH WILL CREATE 38 SINGLE ROOM OCCUPANCY (SRO) AFFORDABLE-HOUSING UNITS. ALL RESIDENTS WILL HAVE ACCESS TO THE SUPPORT SERVICES PROVIDED BY JCOC AND OUR CONTINUUM OF CARE PARTNERS. THE COMPLEX WILL HOUSE OUR COMMUNITY DINNER, FOOD PANTRY AND FAMILY FOOD BOX PROGRAMS, WHICH SERVE MORE THAN 110,000 FREE MEALS WORTH OF FOOD A YEAR INCLUDING THE DISTRIBUTION OF MEAT AND NONPERISHABLES TO APPROXIMATELY 4,000 INDIVIDUALS ANNUALLY. SENTARA FUNDED 32 ORGANIZATIONS ACROSS VIRGINIA RANGING FROM $10,000-$500,000 THAT SUPPORT PROGRAMS AND PROJECTS WHO WORK IN THE AREA OF DISTRESSED PUBLIC HOUSING, TRANSFORMING NEIGHBORHOODS OF CONCENTRATED POVERTY INTO NEIGHBORHOODS OF OPPORTUNITY. K. COMMUNITY HEALTH INITIATIVES SENTARA AND SENTARA HEALTH PLANS, FORMERLY KNOWN AS OPTIMA HEALTH AND VIRGINIA PREMIER, HAVE LONG BEEN COMMITTED TO PROVIDING HEALTH AND PREVENTION SERVICES TO THE COMMUNITIES WE SERVE THROUGH MANY CHANNELS INCLUDING THE SENTARA HEALTH COMMUNITY HEALTH AND PREVENTION ORGANIZATION WITHIN SENTARA. BELOW ARE SOME KEY HIGHLIGHTS OF THE EFFORTS IN OUR COMMUNITIES IN 2022: SENTARA CONTINUED TO OFFER PROGRAMS SUCH AS EATING FOR LIFE, WALKABOUT WITH HEALTHY EDGE, HEALTH HABITS, HEALTHY YOU, MEDITATION, TAI CHI AND YOGA. SENTARA HOSTS SEVERAL COMMUNITY EVENTS RAISING AWARENESS AROUND KEY HEALTH AWARENESS MONTHS. ONE GOOD EXAMPLE IS THROUGH THE PROMOTION OF "28 DAYS OF HEART" IN FEBRUARY 2022 IN SUPPORT OF HEART HEALTH AWARENESS. ONLINE PROMOTIONS, RADIO ADS, VIDEOS, SCREENINGS, AND MORE WERE CONDUCTED TO RAISE AWARENESS OF HEART DISEASE THROUGHOUT THE COMMUNITIES WE SERVE IN VIRGINIA AND NORTH CAROLINA. ADDITIONALLY, SENTARA NORFOLK GENERAL HOSPITAL CONTINUED TO UTILIZE GRANT FUNDING THAT SUPPORTS COMMUNITY HEALTH WORKERS TO PROVIDE CASE MANAGEMENT SERVICES FOR SURVIVORS OF GUN VIOLENCE, ASSAULTS AND STABBINGS ADMITTED TO THE TRAUMA SERVICE OR DISCHARGED FROM THE EMERGENCY DEPARTMENT. THE PURPOSE OF THE PROGRAM IS TO ASSIST SURVIVORS OF VIOLENCE, ASSESS THEIR SOCIAL DETERMINANTS OF HEALTH AND, BASED ON THE RESULTS, DEVELOP AN INTERVENTION. III. COMMITMENT TO OUR TEAM MEMBERS A. SENTARA INVESTING IN OUR PEOPLE IS ALWAYS A TOP PRIORITY AND IN LINE WITH OUR MISSION TO IMPROVE HEALTH EVERY DAY. IN 2022 ALONE, SENTARA INVESTED MORE THAN $125M IN PAY INCREASES AND ENHANCED BENEFITS FOR OUR COLLEAGUES. THE PAY INCREASES TOTALED $110M AND $15M CONSTITUTED ENHANCED OR NEW BENEFITS INCLUDING - REIMBURSEMENT PROGRAMS TO ASSIST WITH ADOPTION EXPENSES; INFERTILITY CARE EXPENSES AND SURROGACY AND GESTATIONAL CARRIER EXPENSES; SHORT TERM DISABILITY ELIGIBILITY AT 7 DAYS; INCREASED PAID TIME OFF; PAID PARENTAL LEAVE; ENHANCED SICK TIME ELIGIBILITY; ADDITIONAL SUPPORT FOR FAMILY CAREGIVER; AND INCREASED EDUCATIONAL ASSISTANCE TO SUPPORT CAREER ADVANCEMENT. B. WORKPLACE SAFETY FOR OUR SENTARA COLLEAGUES IS PARAMOUNT. WE MUST KEEP OUR COLLEAGUES SAFE FOR THEM TO BE ABLE TO CARE FOR OUR MEMBERS, PATIENTS, AND THE COMMUNITIES WE SERVE. IN THE INTEREST OF EMPLOYEE, PATIENT AND VISITOR SAFETY, SENTARA IMPLEMENTED A VISITOR BADGING SYSTEM AT OUR HOSPITALS. ADDITIONALLY, PERSONAL SAFETY DEVICES WERE DISTRIBUTED TO THE HOME VISITING STAFF WHO WORK IN THE AREAS OF HOME HEALTH, INFUSION SERVICES, AND SENTARA PACE. THESE DEVICES ATTACH TO A SMART PHONE AND SUMMON HELP FOR A SAFETY RESPONSE TEAM AT A TOUCH OF A BUTTON. ALSO, SENTARA IMPLEMENTED A "BE KIND" MARKETING CAMPAIGN TO EMPHASIZE THE IMPORTANCE OF COMPASSION AND RESPECT, ESPECIALLY TOWARD HEALTH CARE EMPLOYEES. IV. GROWTH IN SENTARA HEALTH OUR GROWTH IN 2022 INCLUDED THE FOLLOWING: A. SENTARA BROKE GROUND ON ITS NEW SENTARA ALBEMARLE MEDICAL CENTER, A STATE-OF-THE-ART 88 BED HOSPITAL TO REPLACE THE CURRENT 60-YEAR-OLD FACILITY ALSO LOCATED IN ELIZABETH CITY, NC. THE NEW HOSPITAL WILL ADJOIN A 60,000 SQUARE FOOT MEDICAL OFFICE BUILDING THAT IS SLATED TO OPEN IN SPRING 2023. THIS CAMPUS REFLECTS THE MOST SIGNIFICANT INVESTMENT IN HEALTH CARE IN NORTHEAST NORTH CAROLINA SINCE THE CURRENT SENTARA ALBEMARLE MEDICAL CENTER WAS OPENED MORE THAN 60 YEARS AGO. B. SENTARA HEALTH PLANS, FORMERLY KNOWN AS OPTIMA HEALTH AND VIRGINIA PREMIER, CONTINUED TO COLLECTIVELY SERVE OVER 737,000 ELIGIBLE VIRGINIANS WHO QUALIFIED FOR MEDICAID. C. SENTARA ACQUIRED AVMED, INC., A NOT-FOR-PROFIT HEALTH PLAN IN FLORIDA. AVMED PROVIDES COMMERCIAL GROUP, INDIVIDUAL, AND MEDICARE ADVANTAGE COVERAGE TO ABOUT 200,000 MEMBERS. D. THE SENTARA BROCK CANCER CENTER IN NORFOLK, VIRGINIA, BEGAN ITS THIRD YEAR SERVING AS A PATIENT-CENTERED FACILITY THAT IS TRANSFORMING CANCER CARE IN SOUTHEAST VIRGINIA/NORTHEAST NORTH CAROLINA. THE SENTARA BROCK CANCER CENTER SERVES 700-1,000 PATIENTS PER DAY. ADDITIONALLY, SENTARA FORMED THE LUKE HILLIER CANCER RESEARCH ALLIANCE, AND DEDICATED THE LOBBY OF THE SENTARA BROCK CANCER CENTER IN HONOR OF KAY MORGAN STOCKWELL. ALSO, WITHIN THE CANCER CENTER, SENTARA OPENED THE CARILLO KERN CENTER FOR INTEGRATIVE THERAPIES. E. IN HAMPTON ROADS, SENTARA OPENED A NEW PLASTIC SURGERY PRACTICE; A NEW GASTROENTEROLOGY PRACTICE; A NEW WEIGHT LOSS PRACTICE AND OPENED A NEW COMPREHENSIVE CARE PRACTICE. ADDITIONALLY, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER WAS AWARDED THE HIGHEST RATING FROM THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS FOR SENIOR EMERGENCY CARE. F. IN THE BLUE RIDGE REGION (HARRISONBURG AND CHARLOTTESVILLE), SENTARA LAUNCHED A NEW PRIMARY CARE AND THERAPY CENTER IN STAUNTON AND OPENED A NEW OUTPATIENT CARE CENTER IN CHARLOTTESVILLE. G. IN THE HALIFAX REGION, SENTARA HALIFAX REGIONAL HOSPITAL INTRODUCED A DIALECTICAL BEHAVIOR THERAPY PROGRAM, WHICH IS COGNITIVE BEHAVIORAL THERAPY DESIGNED TO TREAT BORDERLINE PERSONALITY DISORDER AND FOR TREATMENT OF OTHER MENTAL HEALTH ISSUES. H. IN NORTHERN VIRGINIA, SENTARA OPENED A NEW FAMILY AND INTERNAL MEDICINE PRACTICE. I. THE VB STRONG CENTER, A PARTNERSHIP BETWEEN SENTARA AND THE CITY OF VIRGINIA BEACH, HAS RECEIVED FUNDING TO EXTEND ITS SERVICE TO THE COMMUNITY. THE CENTER IS COMMITTED TO EMPOWERING AND UPLIFTING THOSE AFFECTED BY THE VIRGINIA BEACH MUNICIPAL CENTER SHOOTING ON MAY 31, 2019. V. DIGITAL INITIATIVES AND INNOVATION SUCCESS A. SENTARA IMPLEMENTED KEY INFRASTRUCTURE TECHNOLOGIES TO IMPROVE ORGANIZATIONAL PERFORMANCE TO INCLUDE WORKDAY (FINANCE AND HR PLATFORM) AND STRATA (PRODUCTIVITY PERFORMANCE PLATFORM). B. SENTARA CONTINUED ITS FOCUS ON ENHANCING THE CONSUMER DIGITAL EXPERIENCE AND PROVIDING IMPROVED EFFICIENCIES BY CONVERTING FROM THE SENTARA APP TO THE SENTARA BRANDED EPIC MYCHART APP. C. THE VOICE OF THE CUSTOMER MODEL WAS HEAVILY UTILIZED TO UNDERSTAND MORE FROM OUR CONSUMERS. THE MODEL ENABLES SENTARA TO INTEGRATE THE VOICE OF THE CUSTOMER INTO ALL FACETS OF BUSINESS DECISION-MAKING AND PRODUCT DEVELOPMENT BOTH IN THE BRICK-AND-MORTAR WORLD AND IN THE WORLD OF VIRTUAL CARE. D. SENTARA HEALTH PLANS MIGRATED TO A NEW PHARMACY BENEFIT PLATFORM TO BETTER MANAGE PHARMACY SPEND AND OFFER COMPETITIVE PRICING AND ENHANCED SERVICES TO OUR CURRENT AND FUTURE CONSUMERS. E. SENTARA CREATED AN ENVIRONMENTAL STEWARDSHIP COUNCIL TO BETTER ALIGN THE COMPANY WITH COMMON ENVIRONMENTAL, SOCIAL AND GOVERNANCE (ESG) STANDARDS. THE COUNCIL SHARES BEST PRACTICES AND POLICIES WITHIN THE COMPANY AS WELL AS REVIEWS THE ACCOMPLISHMENTS FROM OTHER HEALTH SYSTEMS AND COMMUNITIES TO INTEGRATE INTO SUCCESSES FOR SENTARA. FORM 990, PART III, LINE 4A VI. BY THE NUMBERS: A. 786,063 EMERGENCY ROOM VISITS; 16,036 BABIES DELIVERED, 14 HEART TRANSPLANTS, 66 KIDNEY TRANSPLANTS, 2 PANCREAS TRANSPLANTS, 130 COVID-19 VACCINE CLINICS, 261,000 SENTARA LAB COVID-19 TESTS, 25,000 COVID-19 BOOSTERS AND FLU VACCINES BY SENTARA EMPLOYEE HEALTH, 863 LIFE-SAVING TRIPS FROM THE NIGHTINGALE AIR AMBULANCE, AND 157,967 MEDICAL, BEHAVIORAL AND PREGNANCY CASES MANAGED THROUGH OUR HEALTH PLANS. VII. EXPANDING EDUCATIONAL AND RESEARCH OPPORTUNITIES A. EDUCATION: SENTARA IS COMMITTED TO ALWAYS IMPROVING - INCLUDING ENCOURAGING REGISTERED NURSES (RNS) TO CONTINUE PURSUING EDUCATIONAL OPPORTUNITIES. CONTINUOUS LEARNING WILL ADVANCE THE CARE SENTARA NURSES DELIVER TO OUR PATIENTS AND ALLOW THEM TO ADVANCE IN THEIR CAREERS. IN 2022, SENTARA REACHED 78.1% OF SENTARA NURSES HAVING EARNED OR ARE UNDER CONTRACT TO EARN A BSN. SENTARA HAD 71.6% OF ITS NURSING WORKFORCE HOLDING A BSN OR HIGHER DEGREE WITH 6.5% OF LICENSED RNS WITH A CONTRACT TO COMPLETE THEIR BSN. B. RESEARCH: RESEARCH IS ANOTHER WAY SENTARA IS ALWAYS IMPROVING. IN 2022, SENTARA EXPERIENCED A 16.5% INCREASE IN CLINICAL TRIALS AND 31.5% INCREASE IN PRINCIPAL INVESTIGATORS COMPARED TO 2021. THE SENTARA HEALTH RESEARCH CENTER PROVIDES SCIENTIFIC, ADMINISTRATIVE, AND REGULATORY SUPPORT FOR RESEARCH CONDUCTED ACROSS SENTARA HEALTH AND IN OUR COMMUNITIES. THE SENTARA HEALTH RESEARCH CENTER STRIVES TO IMPROVE TREATMENT OPTIONS, MEDICAL TECHNOLOGY, AND HEALTH EQUITIES WITH OUR DEDICATED TEAM OF EXPERTS AND STATE-OF-THE-ART TECHNOLOGY. OUR RESEARCH TAKES PLACE INSIDE AND OUTSIDE OF THE HOSPITAL. WE ALSO CONDUCT RESEARCH IN OUR COMMUNITY AND PARTNER WITH MANY COMMUNITY PRACTICES. OUR RESEARCH HELPS TO ADVANCE SCIENTIFIC UNDERSTANDING OF DISEASES AND ADVANCE KNOWLEDGE THAT LEADS TO BETTER AND MORE EFFECTIVE TREATMENTS THAT IMPROVE THE HEALTH IN OUR COMMUNITIES. OUR AREAS OF RESEARCH INCLUDE: CANCER CARDIOVASCULAR HEALTHCARE DELIVERY AND HEALTH EQUITY INTERNAL MEDICINE NEUROSCIENCES ORTHOPEDICS PULMONARY CRITICAL CARE WITH HEALTH CARE FACILITIES THROUGHOUT VIRGINIA AND NORTH CAROLINA, SENTARA TREATS A DIVERSE POPULATION OF PATIENTS. BECAUSE OF OUR WEALTH OF EXPERTISE, CUTTING-EDGE TECHNOLOGY AND CENTRALIZED AND COHESIVE RESEARCH DEPARTMENT, SENTARA CONTINUES TO BE A PREMIER HEALTH RESEARCH PARTNER. VIII. QUALITY, PATIENT SAFETY, AND COMMUNITY DISTINCTIONS AND AWARDS A. AWARD-WINNING CARE - AS ALWAYS, SENTARA IS PROUD AND HUMBLED BY THE VARIOUS AWARDS AND RECOGNITIONS THE COMPANY RECEIVED OVER THE COURSE OF THE YEAR. OUR MISSION IS "WE IMPROVE HEALTH EVERY DAY". TO RECEIVE AN AWARD IS SIMPLY AN ADDED ACKNOWLEDGEMENT OF OUR MISSION DRIVEN WORK. HERE ARE A FEW OF THE 2022 AWARDS AND RECOGNITIONS: I. SENTARA HEALTH WAS NAMED BEST EMPLOYER - NEW GRADS, BEST EMPLOYER - VETERANS, AND AMERICA'S BEST EMPLOYER - ALL BY FORBES. II. ELEVEN SENTARA HOSPITALS EARNED A "TOP PERFORMER IN LGBTQ HEALTHCARE EQUALITY" IN THE 2022 TIMEFRAME FOR THE HEALTHCARE EQUALITY INDEX (HEI), A NATIONAL LGBTQ BENCHMARKING TOOL FROM THE HUMAN RIGHTS CAMPAIGN. III. SENTARA WAS ACKNOWLEDGED AS A LEADING COMPANY IN THE "GENEROUS VIRGINIANS" REPORT PUBLISHED IN VIRGINIA BUSINESS IN MAY 2022. SENTARA PROVIDED $18 MILLION TO EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) AND $2 MILLION TO THE EASTERN VIRGINIA MEDICAL SCHOOL'S SCHOOL OF PUBLIC HEALTH IN 2021. AND, IN THE CATEGORY OF TOTAL CORPORATE DONATIONS TO VIRGINIA NONPROFITS IN 2021, SENTARA WAS TOP OF THE LIST WITH DONATIONS TOTALING $35 MILLION. IV. SENTARA WAS NAMED DIGITAL HEALTH MOST WIRED HEALTH SYSTEM BY THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME). THE DIGITAL HEALTH MOST WIRED PROGRAM CONDUCTS AN ANNUAL SURVEY TO ASSESS HOW EFFECTIVELY HEALTHCARE ORGANIZATIONS APPLY CORE AND ADVANCED TECHNOLOGIES INTO THEIR CLINICAL AND BUSINESS PROGRAMS TO IMPROVE HEALTH AND CARE IN THEIR COMMUNITIES. V. SENTARA WAS AWARDED THE REGIONAL CORPORATION OF THE YEAR - CAROLINAS - VIRGINIA MINORITY SUPPLIERS DEVELOPMENT COUNCIL. THE AWARD RECOGNIZES A MEMBER COMPANY WHO HAS EVIDENCED THE MOST COMMITMENT TO MINORITY BUSINESS DEVELOPMENT DURING THE PREVIOUS YEAR. VI. SENTARA COLLEGE OF HEALTH SCIENCES WAS AWARDED THE BEST OF COASTAL VIRGINIA - PRIVATE COLLEGE/UNIVERSITY; BEST OF COASTAL VIRGINIA - SPECIALTY SCHOOL; BEST OF COASTAL VIRGINIA - TECHNICAL SCHOOL. IX. HEALTH PLANS A. GROWTH SENTARA HEALTH PLANS, FORMERLY KNOWN AS OPTIMA HEALTH AND VIRGINIA PREMIER, CONTINUES TO SEE GROWTH AND ALONG WITH AVMED, SERVES OVER ONE MILLION MEMBERS IN VIRGINIA, NORTH CAROLINA, AND FLORIDA. OPTIMA HEALTH MEDICARE STAR RATING INCREASED TO 4.0 FROM 3.5 AND SENTARA HEALTH PLANS CONTINUES TO PRESS FORWARD ON ITS QUALITY, AFFORDABILITY, ACCESSIBILITY, HEALTH AND WELLNESS, VIRTUAL CARE, AND CUSTOMER EXPERIENCE. X. COVID-19 A. THE THIRD YEAR OF THE PANDEMIC PRESENTED MANY CHALLENGES, YET MUCH HOPE GIVEN THE DISTRIBUTION OF THE COVID-19 VACCINES AND BOOSTERS. SENTARA LEADERS AND TEAM MEMBERS CONTINUED TO RISE TO NEW HEIGHTS WITH THEIR HARD WORK AND PERSEVERANCE IN TAKING CARE OF EACH OTHER AS WELL AS OUR MEMBERS AND PATIENTS. HERE ARE A FEW HIGHLIGHTS: I. SAFETY FOR OUR PATIENTS AND VISITORS: SENTARA CONTINUED ITS DILIGENCE FOR CLEANING/SANITIZING PATIENT CARE AREAS, MANDATORY MASKING, AND SOCIAL DISTANCING. II. VACCINE EDUCATION: SENTARA IMPLEMENTED SEVERAL MARKETING CAMPAIGNS TO EDUCATE ALL IN THE COMMUNITY THE NEED TO GET VACCINATED AND BOOSTED. III. PROTECTING OUR TEAM MEMBERS: SENTARA CONTINUED ITS RIGOROUS SCREENING PROCEDURES AT ALL OUR FACILITIES AND WORK LOCATIONS. IV. SUPPORTING OUR TEAM MEMBERS: SENTARA CONTINUED WITH THE PROGRAM, "YOU MATTER" TO HELP TEAM MEMBERS WITH THEIR SOCIAL, EMOTIONAL, AND BEHAVIORAL HEALTH NEEDS DURING THIS DIFFICULT PANDEMIC PERIOD. "YOU MATTER" HAS AN ABUNDANCE OF RESOURCES FOR STRESS MANAGEMENT, MINDFULNESS, RESILIENCE, MENTAL WELLNESS, AND CARE GIVER STRESS. SENTARA STRESSED THE NEED FOR TEAM MEMBERS TO TAKE CARE OF THEMSELVES AND EACH OTHER. SENTARA COVID-19 STEERING COMMITTEE: SENTARA CONTINUED TO DILIGENTLY MONITOR THE PANDEMIC CRISIS WITH THE ONGOING WORK OF THE COVID-19 STEERING COMMITTEE. LEADERS MET FREQUENTLY AND THIS ALLOWED SENTARA TO SUCCESSFULLY RESPOND, PIVOT, PLAN, AND COORDINATE ACTIONS IN RESPONSE TO THE UNPRECEDENTED PANDEMIC. SENTARA LEADERS FREQUENTLY WERE IN COMMUNICATION WITH FEDERAL, STATE, REGIONAL AND LOCAL ELECTED OFFICIALS, AND OTHER KEY STAKEHOLDERS TO COLLECTIVELY LEARN AND ADVISE OTHERS OF NEEDS AND ISSUES. CONCLUSION: SENTARA HEALTH IS COMMITTED TO OUR MISSION - WE IMPROVE HEALTH EVERY DAY. WE PROVIDE QUALITY CARE THROUGH EXPERT PROVIDERS, USING CUTTING-EDGE TECHNOLOGY, DEPLOYING MEDICAL BREAKTHROUGHS, AND PROVIDING EXCELLENT CUSTOMER SERVICE - ALL WITH A CONSTANT FOCUS ON INNOVATION. AND WE ARE COMMITTED TO SUPPORTING THE COMMUNITIES WE SERVE THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT PROGRAM, SERVING DIVERSITY AND EXPLORING HEALTH EQUITIES, VOLUNTEERISM, GRANTS, SPONSORSHIPS, AND SUPPORTING INITIATIVES THAT LIFT OUR COMMUNITIES. WE LOOK FORWARD TO ANOTHER YEAR OF COMMUNITY SUCCESS, GROWTH, AND INNOVATION IN 2023. FORM 990, PART V, LINE 1A, NUMBER REPORTED IN BOX 3 OF FORM 1096 SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, MAINTAINS AN AGENCY RELATIONSHIP WITH THE ORGANIZATION AND ISSUES ALL 1099S ON ITS BEHALF. 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 AGENT ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099'S ATTRIBUTABLE SOLELY TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS WITHIN THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAD AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAD AN ADMINISTRATIVE SERVICES AGREEMENT ("ASA") WITH SENTARA HEALTH ADMINISTRATION, INC. FORMERLY SENTARA HEALTH PLANS, INC., A RELATED ORGANIZATION. UNDER THE ASA, THE ORGANIZATION DELEGATED MANAGEMENT DUTIES SUCH AS PLANNING AND EXECUTING BUDGETS AND FINANCIAL OPERATIONS AND SUPERVISING EXEMPT OPERATIONS AND UNRELATED BUSINESS ACTIVITIES TO SENTARA HEALTH ADMINISTRATION, INC. ALL PERSONS LISTED AS FORMER KEY EMPLOYEES IN CORE PART VII SECTION A RECEIVED COMPENSATION FROM SENTARA HEALTH ADMINISTRATION, INC. FOR SERVICES PROVIDED TO THE ORGANIZATION. SEE CORE PART VII SECTION A COLUMNS (E) AND (F) FOR REPORTABLE AND OTHER COMPENSATION PAID BY SENTARA HEALTH ADMINISTRATION, INC. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, WAS ELECTED BY ITS SOLE MEMBER, SENTARA HEALTH, A VIRGINIA NON-STOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, IS ENTITLED TO ONE VOTE ON ALL MATTERS AND HAS THE RIGHT TO ELECT AND REMOVE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY; APPROVE ANY ALTERATION, AMENDMENT OR REPEAL OF ITS GOVERNING DOCUMENTS; APPROVE THE ANNUAL OPERATING AND CAPITAL BUDGET AND ALL FORMAL LONG-RANGE PLANS; APPROVE ANY SINGLE CAPITAL EXPENDITURE EXCEEDING $1 MILLION; APPROVE ALL BORROWING OR INDEBTEDNESS WHICH IN ANY ONE TRANSACTION OR RELATED SERIES OF TRANSACTIONS EXCEEDS $500,000; APPROVE ANY PLAN OF MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OF THE ORGANIZATION, OR REVOCATION OF VOLUNTARY DISSOLUTION PROCEEDINGS; REVIEW THE BOOKS AND RECORDS, CONDUCT AUDITS, AND APPROVE THE SELECTION OF AUDITORS CHOSEN TO CONDUCT AUDITS OF THE ORGANIZATION; AND APPROVE THE CREATION OR ACQUISITION OF ANY SUBSIDIARY OF THE ORGANIZATION, OR THE CREATION OF ANY OTHER CORPORATION OF WHICH THE ORGANIZATION IS TO BE A MEMBER, AND TO APPROVE ANY DISSOLUTION OR OTHER CHANGE IN ANY SUCH LEGAL RELATIONSHIP PREVIOUSLY APPROVED BY SENTARA HEALTH. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE ORGANIZATION'S FINAL FORM 990, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH VOTING MEMBER OF SENTARA HEALTH'S GOVERNING BODY BEFORE BEING FILED. SENTARA HEALTH IS A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM".) THE ORGANIZATION USED THE SYSTEM'S 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 WORKED CLOSELY WITH OTHER SYSTEM DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. ADDITIONALLY, EACH ORGANIZATION'S GOVERNING BOARD OR APPROPRIATE BODY MONITORS TRANSACTIONS INVOLVING DISCLOSED POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), 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 NOT-FOR-PROFIT MARKET COMPARABLES, TAKING INTO CONSIDERATION THE INDIVIDUAL SKILLS, EXPERIENCE, TENURE 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 INDEPENDENT BOARD MEMBERS WITHOUT CONFLICTS OF INTEREST, ENGAGED AN OUTSIDE CONSULTANT, WHO REPORTS TO THE COMPENSATION COMMITTEE, 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 EACH SENIOR EXECUTIVE'S FUNCTIONAL RESPONSIBILITY. IN CONDUCTING THE STUDY, THE CONSULTANT TARGETED OTHER NOT-FOR-PROFIT HEALTH SYSTEMS OF SIMILAR SIZE BASED ON NET REVENUE AND COMPLEXITY. FOR HEALTH PLAN POSITIONS, HEALTH PLANS WITH SIMILAR PREMIUMS, OR MEMBERS, WERE TARGETED. THE CONSULTANT ALSO CONDUCTS A REVIEW OF THE ORGANIZATION'S PERFORMANCE EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 28 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 36 INDEPENDENT AND INTEGRATED DELIVERY SYSTEM-OWNED HEALTH PLANS BASED ON NET REVENUE GROWTH, OPERATING MARGIN, VARIOUS CLINICAL QUALITY METRICS AND PATIENT SATISFACTION. OVERALL, THE CONSULTANT DETERMINED THAT SENTARA'S PAY WAS ALIGNED WITH ITS RELATIVE PERFORMANCE. THE COMPENSATION STUDY WAS PRESENTED TO THE ORGANIZATION'S COMPENSATION COMMITTEE, WHICH MADE ITS COMPENSATION 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 AND OPINION FROM AN EXTERNAL EXPERT IN THE COMPENSATION OF EXECUTIVES IN THE TAX-EXEMPT HEALTH CARE FIELD. THE COMMITTEE'S BASES FOR ITS DECISIONS WERE DOCUMENTED IN COMMITTEE MINUTES TAKEN DURING THE MEETINGS AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF INDEPENDENT BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, SECRETARY, TREASURER, AND CORPORATE VICE PRESIDENT. THE PRESIDENT, SECRETARY, AND TREASURER ALSO SERVED AS EXECUTIVE VICE PRESIDENT, CORPORATE VICE PRESIDENT AND CLO, AND EXECUTIVE VICE PRESIDENT AND CFO OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR THE POSITIONS LISTED. FORM 990, PART VI, SECTION C, LINE 19 THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTH AND SUBSIDIARIES WERE 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 1B, BOARD MEMBER INDEPENDENCE THE ORGANIZATION'S BOARD OF DIRECTORS IS ELECTED ANNUALLY BY SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. THE GOVERNING BOARD OF SENTARA HEALTH IS A COMMUNITY-BASED BOARD COMPRISED OF 16 VOTING MEMBERS, 15 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES AND SERVICES: PROGRAM SERVICE EXPENSES 291,806,125. MANAGEMENT AND GENERAL EXPENSES 55,765,511. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 347,571,636. FORM 990, PART XI, LINE 9: CAPITAL DISTRIBUTION TO PARENT -40,000,000. 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