2024-11-08T18:13:02-06:00 2023-12-31 990 2023-01-01 521271901 SENTARA HEALTH SENT 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 ROBERT A BROERMANN EXECUTIVE VP/CFO 7574557020 2024-11-08 1 2023 2024-10-15 13:58:12Z X DENNIS A MATHEIS 1300 SENTARA PARK VIRGINIA BEACH VA 23464 1300533830 0 X WWW.SENTARA.COM X 1982 VA AT SENTARA, WE IMPROVE HEALTH EVERY DAY. 16 15 892 16 2177967 596926 32255741 85038263 246493670 350472498 22009620 74943162 100447606 -25354768 401206637 485099155 20030251 43900301 0 0 141470916 170239565 0 194080 605304 118785384 176137337 280286551 390471283 120920086 94627872 6930695848 7144421433 2243322260 2008258771 4687373588 5136162662 X 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. 0 0 331623973 43900301 321130856 SEE SCHEDULE O 331623973 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 271 0 1 892 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 16 15 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X CORPORATE OFFICERS 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 DENNIS A MATHEIS PRESIDENT/CEO/EX-OFFICIO DIRECTOR 40.00 7.00 X X 5723707 0 84854 DIAN T CALDERONE DIRECTOR 3.10 0.00 X 45000 0 0 L ALLAN PARROTT JR DIRECTOR/CHAIR 3.90 0.00 X X 50000 0 0 WHITNEY RG SAUNDERS DIRECTOR/VICE CHAIR 4.80 0.00 X X 48451 0 0 CAROL C THOMAS DIRECTOR 3.30 2.00 X 40000 0 0 E RAY MURPHY DIRECTOR 4.20 1.00 X 48147 0 0 EDWARD GEORGE MD DIRECTOR 3.10 0.00 X 42807 0 0 GILBERT BLAND DIRECTOR 3.50 0.00 X 45000 0 0 J LES HALL DIRECTOR 2.20 2.00 X 2077 0 0 JEFFERY O SMITH ED D DIRECTOR 2.80 2.00 X 44191 0 0 JOHN AGOLA DIRECTOR 2.70 0.00 X 0 0 0 JOSEPH K FUNKHOUSER II DIRECTOR 3.10 1.40 X 41151 0 0 LATISHA OWENS TARRANT DIRECTOR 2.70 0.00 X 3384 0 0 LT GEN FRANCES C WILSON EDD DIRECTOR 3.00 0.00 X 40000 0 0 PETER BROOKS DIRECTOR 3.30 0.00 X 42930 0 0 WILLIAM R ERMATINGER DIRECTOR 3.30 0.00 X 0 0 0 AUBREY L LAYNE SECRETARY (THROUGH 12/23) 40.00 1.00 X 1829812 0 28947 MICHAEL V GENTRY COO/EVP (THROUGH 5/23) 40.00 10.00 X 2142866 0 78055 ROBERT A BROERMANN CFO/EVP 40.00 11.00 X 2673690 0 135907 EARL J BARNES II SECRETARY (EFFECTIVE 12/23) 40.00 9.00 X 1094606 0 143768 BECKY C SAWYER KE (EVP & CPO) 40.00 0.00 X 1728775 0 251767 JORDAN R ASHER MD KE (EVP & CHIEF PHYSICIAN EXEC) 40.00 1.00 X 2069516 0 224633 MELINDA S HANCOCK KE (EVP & CAO) 40.00 0.00 X 1548492 0 166263 MEGAN R PERRY SVP & CHIEF STRATEGY OFFICER 40.00 3.40 X 1606990 0 186150 STEPHANIE K SCHNITTGER SVP & CHIEF FINANCIAL OFFICER 40.00 0.00 X 615346 0 66973 LANCE TORCOM SVP & CHIEF MANAGED CARE OFFICER 40.00 0.00 X 575904 0 95078 HOWARD P KERN CEO EMERITUS 40.00 0.00 X 5705453 0 42542 JENNIFER BODNER SVP/CFO CARE DELIVERY 40.00 0.00 X 647694 0 81813 LOUIS PATALANO IV FORMER OFFICER 0.00 0.00 X 210869 0 6 VICKY G GRAY FORMER KE 0.00 0.00 X 122129 0 0 GRACE R HINES FORMER T5 0.00 0.00 X 721840 0 50624 29510827 0 1637380 345 1 1 0 MCKINSEY AND COMPANY INC UNITED STATES PO BOX 7247-7255 PHILADELPHIA PA 19170 CONSULTING SERVICES 42945000 LEWIS MEDIA PARTNERS LLC 500 LIBBIE AVENUE SUITE 2-C RICHMOND VA 23226 MEDIA AND MARKETING SERVICES 4854569 KORN FERRY PO BOX 1450 MINNEAPOLIS MN 55485 RECRUITING SERVICES 4186831 PMA COMPANIES PO BOX 824857 PHILADELPHIA PA 19182 COMMERCIAL INSURANCE UNDERWRITER 3615292 K AND L GATES LLP PO BOX 830304 PHILADELPHIA PA 19182 LEGAL SERVICES 3152602 93 81911000 3127263 85038263 SUPPORT SERVICES 900099 327787879 327545880 241999 MEDICARE SSP 900099 18715255 18715255 SQCN 900099 3969364 1687431 2281933 350472498 60976571 60976571 829361941 39325 815434675 0 13927266 39325 13966591 13966591 OTHER 900099 7975231 7975231 SUBPART F INCOME 523000 1755798 1755798 INTEREST INCOME FROM OPERATIONS 900009 142778 142778 -35228575 -34792941 -345965 -89669 -25354768 485099155 321130856 2177967 76752069 X 43856947 43856947 43354 43354 20418796 16704617 3714179 113965908 93235509 20591954 138445 8528384 6977071 1548338 2975 19307514 15795477 3501281 10756 8018963 6560314 1449889 8760 4666218 3817433 848785 11606612 9495369 2111243 4016356 3285781 730575 61954 50685 11269 194080 194080 6883728 5631578 1252150 95477105 82106413 13370692 14541269 11896212 2634187 10870 3575540 2925149 607303 43088 2164897 1771102 331990 61805 2579909 2110624 469285 1109845 907964 195304 6577 187094 153062 30875 3157 11959700 9784231 2175469 767073 627542 139531 3614409 2956948 657461 UNRELATED BUSINESS TAX -36027 -36027 OTHER 12801621 10473006 2327355 1260 PURCHASED & CONTRACTED 5681936 4807169 751571 123196 ORGANIZATIONAL DUES 2083869 1704813 378721 335 -7605771 -6018370 -1587401 390471283 331623973 58242006 605304 811275245 810955913 4160470 3857600 129639434 122099983 10713401 13884802 31546933 22268574 12848009 9278359 888881566 978559093 4276361383 4788554836 4764728 796816340 412466119 6930695848 7144421433 132668816 167104611 10907852 9239926 1651684393 1624516246 448061199 207397988 2243322260 2008258771 X 4669707573 5117924432 17666015 18238230 4687373588 5136162662 6930695848 7144421433 X 94627872 606759868 -252598666 X 0 1 X 1 0 X 40603785 25378922 25066117 32255741 85038263 208342828 40603785 25378922 25066117 32255741 85038263 208342828 208342828 42595198 26396667 36437466 48943111 62875147 217247589 1587279 684732 386268 179226 471572 3309077 428899494 1283498289 0.48580 0.47030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 0 0 1 110870 1 1 309547 420417 0 PART II-B, LINE 1: 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 AND OLD DOMINION PUBLIC AFFAIRS LLC TO MONITOR AND PROVIDE CONSULTATION ON FEDERAL, STATE, AND LOCAL HEALTH CARE LEGISLATION. 117541366 3127263 6236235 51724 2853097 124000043 126683183 3493762 -10751682 1883897 117541366 104821440 10595042 12076782 199150 610931 126683183 101895357 2504371 1372060 304500 645848 104821440 85838156 1120433 16161589 110000 1114821 101895357 0.85290 0.00730 0.13980 0 0 2493820 2493820 5439987 4573209 866778 228337 228337 0 18538273 17086278 1451995 4846516 380750 4465766 9278359 APAX X 25242207 F CAHABA PARTERNS CORE FIXED INCOME FUND 1238858327 F CAHABA PARTNERS EQUITY PLUS 1667540802 F CAHABA PARTNERS PUBLIC INFLATION HEDGE 316170033 F CAHABA PARTNERS TACTICAL EQUITY PROGRAM 545157930 F CAHABA PARTNERS TOTAL RETURN FUND LTD 211054701 F COLLABORATIVE HEALTH VENTURES V, L.P 2347524 F EATON VANCE INSTITUTIONAL 45344779 F GRYPHON PARTNERS V-A, LP 19771100 F HA INTL EQUITY CEF FD CL-A 113636217 F HEALTH ENTERPRISE IV HEALTH ENTERPRISE IV 2264725 F HEALTH ENTERPRISES PARTNERS II, LP 1118667 F HEALTH ENTERPRISE PARTNERS III, LP 3289929 F HEALTH ENTERPRISES PARTNERS I, LP 55825 F LEAVITT EQUITY PARTNERS II, LP 10784184 F LEAVITT EQUITY PARTNERS III, L.P. 3731228 F OAKTREE PRIVATE INVESTMENT FUND 2012 16822322 F OAKTREE REAL ESTATE OPPORTUNITIES FUND IV 32240 F OAKTREE REAL ESTATE OPPORTUNITIES FUND V 88686 F PARTNERS GROUP PRIVATE EQ II (TEI) - CLASS A, LLC 99847140 F PELOTON EQUITY FUND I, LP 3646110 F PELOTON EQUITY II, LP 3550802 F PIMCO BRAVO II FUND 759516 F PIMCO CORPORATE OPPORTUNITIES FUND ONSHORE FEEDER, LP 19927545 F PINEBRIDGE SENIOR SECURED LOAN UNIT 44394524 F PRIME STORAGE FUND II IDF, LP 10151340 F RREEF CORE PLUS INDUSTRIAL FUND L.P 51724860 F SANTE HEALTH VENTURES III, LP 14906742 F SANTE' HEALTH VENTURES IV, LP 5117296 F SANTE HEALTH VENTURES I, LP 1620328 F SANTE HEALTH VENTURES II, LP 1259896 F SOLUS SPC OFFSHORE FUND LTD 18050550 F STEPSTONE VC GLOBAL PARTNERS XI (CAYMAN), LP 2119722 F STEPSTONE VC OPP. VII (CAYMAN), LP 4387173 F TIGER GLOBAL CROSSOVER (CAYMAN) 33989320 F TTCP FUND I, LP 2434661 F TTCP FUND II, LP 13653618 F TTCP FUND III, L.P. 4692247 F UBS TRUMBULL PROPERTY FUND 46166621 F UBS TRUMBULL PROPERTY INCOME FUND 156347091 F VISTA EQUITY PARTNERS FUND VII-A 26496308 F 4788554836 OTHER ASSETS 80506417 DUE FROM AFFILIATES 46383448 INVESTMENT IN AFFILIATES 285576254 412466119 OTHER LIABILITIES 114163739 SELF-INSURANCE RESERVES 88245553 ROU LIABILITY 4988696 207397988 PART V, LINE 4: INTENDED USES OF 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. THE TEMPORARILY RESTRICTED ENDOWMENT FUNDS ARE USED PREDOMINANTLY FOR EDUCATION & RESEARCH, HOSPICE HOUSE, 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. CENTRAL AMERICA AND THE CARIBBEAN 0 0 UNRELATED TRADE OR BUSINESS CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 505644002 EUROPE 0 0 INVESTMENTS 25242207 0 0 0 0 0 0 530886209 0 530886209 1 0 1 1 1 0 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 PRINCIPAL ACTIVITY IS THE REINSURANCE, ON A FACULTATIVE BASIS, OF A MODIFIED CLAIMS-MADE RETROSPECTIVELY RATED PROFESSIONAL AND COMMERCIAL GENERAL LIABILITY INSURANCE POLICY ISSUED BY LEXINGTON INSURANCE COMPANY. 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 TREATED AS AN UNRELATED TRADE OR BUSINESS. TO THE EXTENT THERE IS SUBPART F INCOME, IT IS REPORTED AS SUCH ON FORM 990 PART VIII LINE 11. 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HELENA ELEMENTARY SCHOOL COMMUNITY OUTREACH - MEAL PREPPING FOR BUSY PARENTS! YOUTH FOR TOMORROW NEW LIFE CENTER INC 11835 HAZEL CIRCLE DR BRISTOW VA 20136 521342268 501(C)(3) 98670 0 PWC BEHAVIORAL HEALTH YOUTH VOLUNTEER CORPS OF HAMPTON ROADS INC 10 SAN JOSE DR SUITE 4D NEWPORT NEWS VA 23606 272847985 501(C)(3) 15000 0 2024 ANNUAL SPONSORSHIP YWCA RICHMOND 6 NORTH 5TH ST RICHMOND VA 23219 540506493 501(C)(3) 90000 0 YWCA RICHMOND BEHAVIORAL HEALTH SERVICES YWCA SOUTH HAMPTON ROADS 606 W 29TH ST SUITE 140 NORFOLK VA 23508 540506491 501(C)(3) 130888 0 HOLISTIC BEHAVIORAL HEALTH CARE PASQUOTANK COUNTY NAACP PO BOX 211 ELIZABETH CITY NC 27909 912188138 501(C)(4) 10000 0 REEL STORY LIFE: TEACHING YOUTH AND ADOLESCENTS TO USING STORYTELLING IN SOCIAL MEDIA FOR HEALTHY LIFE OUTCOMES SHENANDOAH VALLEY PARTNERSHIP INC 220 UNIVERSITY BLVD SUITE 2100 HARRISONBURG VA 22807 541920119 501(C)(6) 100000 0 FACILITATE REGIONAL AND LOCAL ECONOMIC DEVELOPMENT EFFORTS VHHA PO BOX 31394 RICHMOND VA 23294 540701665 501(C)(6) 25000 0 VHHA ANNUAL EVENTS SPONSORSHIP BETHEL YOUTH ALIVE AND MULTI-PURPOSE CENTER 315 7TH ST SW CHARLOTTESVILLE VA 22901 921974588 10000 0 BETHEL URBAN AND RURAL INITIATIVE BLUE RIDGE DEPARTMENT OF PUBLIC HEALTH 1138 ROSE HILL DR CHARLOTTESVILLE VA 22903 546001775 58000 0 CHA/CHIP PROGRAM OFFICER CAMDEN COUNTY 117 NORTH NC SUITE 343 CAMDEN NC 27921 566000282 10000 0 BRANDON BLOUNT CHARLOTTESVILLE REDEVELOPMENT & HOUSING AUTHORITY PO BOX 1405 CHARLOTTESVILLE VA 22902 540653098 50000 0 CRHA RESIDENT SERVICES CITY OF HAMPTON 236 NORTH KING ST HAMPTON VA 23669 546001336 377700 0 HAMPTON DIVISION OF FIRE AND RESCUE MOBILE INTEGRATED HEALTH PROGRAM CITY OF SUFFOLK 134 S SIXTH ST SUFFOLK VA 23434 546001636 60000 0 KID ZONE PLAYGROUND CITY OF WILLIAMSBURG 401 LAFAYETTE ST WILLIAMSBURG VA 23185 546001680 100000 0 HOME FIRST - WILLIAMSBURG FIRST CALVARY BAPTIST CHURCH 813 HENRY ST NORFOLK VA 23508 540678905 10000 0 SENIORS ON THE MOVE/ OPERATION 813 S.A.F.E (SAFE, ACTIVE, FEED, EDUCATE) HARRISONBURG CITY SCHOOLS FAMILY AND COMMUNITY ENGAGEMENT DEPARTMENT 640 SOUTH MAIN ST HARRISONBURG VA 22801 540885804 26820 0 COMMUNITY ENGLISH CARE EXPANSION HARRISONBURG ROCKINGHAM COMMUNITY SERVICES BOARD 1241 N MAIN ST HARRISONBURG VA 22802 540960906 110000 0 PARAMEDICINE CO-RESPONSE TEAM NORFOLK STATE UNIVERSITY 700 PARK AVENUE NORFOLK VA 23504 546002808 90000 0 IMPROVING HISTORICALLY UNDERREPRESENTED MINORITY ACCESS TO HEALTHCARE CAREERS PASQUOTANK-CAMDEN EMERGENCY MANAGEMENT 200 E COLONIAL AVE ELIZABETH CITY NC 27909 566000328 8000 0 AED PROGRAM & FIRST AID SUPPLIES PAUL D CAMP COMMUNITY COLLEGE 100 NORTH COLLEGE DR FRANKLIN VA 23851 541268245 450000 0 ACQUISITION & RENOVATION OF HEALTHCARE PROFESSIONS PORTSMOUTH REDEVELOPMENT AND HOUSING AUTHORITY 3113 SOUTH ST PORTSMOUTH VA 23707 546001516 80000 0 A NEW DAY PRINCE WILLIAM COUNTY AREA AGENCY ON AGING 5 COUNTY COMPLEX COURT WOODBRIDGE VA 22192 546001531 15000 0 NO WRONG DOOR POVERTY AND SERVICE SIMULATION PW MOORE ECPPS 606 ROANOKE AVENUE ELIZABETH CITY NC 27909 560891512 10000 0 FAMILY NIGHT DINNER REVIVE COMMUNITY 5755 POPLAR HALL DR NORFOLK VA 23502 861861821 30000 0 FEED THE CITY SATURDAYS ROCKINGHAM COUNTY 20 E GAY ST HARRISONBURG VA 22802 546001582 40000 0 VEHICLE FOR CIT SALVATION ARMY-ELIZABETH CITY 602 NORTH HUGHES BOULEVARD ELIZABETH CITY NC 27909 580660607 10000 0 THE JOSHUA CHALLENGE SCIENCE MUSEUM OF VIRGINIA FOUNDATION PO BOX 11624 RICHMOND VA 23230 277185836 10000 0 VIRGINIA FIESTA SOUTH CENTRAL WORKFORCE DEVELOPMENT BOARD 285-C GEORGE WASHINGTON HIGHWAY CHARLOTTE COURT HOUSE VA 23923 546001198 75000 0 CAREER EXPLORATION/WORK BASED LEARNING SOUTHERN VIRGINIA HIGHER EDUCATION CENTER 820 BRUCE ST SOUTH BOSTON VA 24592 141931584 10000 0 CAREER & TECHNICAL EDUCATION SHOWCASE AND COMMUNITY CALL TO ACTION AND COMMUNITY CALL TO ACTION THE PEOPLE'S PANTRY 3000 HALIFAX RD SOUTH BOSTON VA 24592 540827478 12500 0 THE PEOPLE'S PANTRY FOOD INCREASE VIRGINIA FOUNDATION FOR HEALTHY YOUTH 701 E FRANKLIN ST 500 RICHMOND VA 23219 541992521 100000 0 CONNECTING LOCAL FARMERS, FOOD, AND NUTRITION EDUCATION TO YOUTH & FAMILIES THROUGH A FARMERS TRUCK WILLIAMSBURG REGIONAL LIBRARY 7770 CROAKER RD WILLIAMSBURG VA 23188 546001680 7500 0 BETTER HEALTH THROUGH CULINARY LITERACY WOODBRIDGE CHURCH OF THE NAZARENE 14001 SMOKETOWN RD WOODBRIDGE VA 22193 546134191 12000 0 FOOD PANTRY KITCHEN UPGRADE YORK COUNTY VIRGINIA 224 BALLARD ST YORKTOWN VA 23690 546001696 50000 0 CORNERSTONE SENTARA ENTERPRISES 1300 SENTARA PARK VIRGINIA BEACH VA 23464 541917649 501(C)(3) 8370 0 CONTRIBUTION 340 30 SCHOLARSHIPS 1 1500 HOLIDAY KINDESS BAGS 2027 COLORECTAL SCREENINGS 10747 PATIENT TRANSPORTATION 28336 MAMMOGRAM SCREENINGS 744 PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. SENTARA'S COMMUNITY ENGAGEMENT AND IMPACT DEPARTMENT 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 DEPARTMENT'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 DEPARTMENT. 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 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 DEPARTMENT'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 ORGANIZATION AWARDS SCHOLARSHIPS TO QUALIFIED APPLICANTS ACCORDING TO PRESCRIBED GUIDELINES. ALL SCHOLARSHIPS ARE AWARDED ON A NONDISCRIMINATORY BASIS, AND THEIR USE IS MONITORED BY ORGANIZATION PERSONNEL. X X X X 1 1 X X X X 1 1 0 0 0 0 0 1 0 DENNIS A MATHEIS PRESIDENT/CEO/EX-OFFICIO DIRECTOR 2115675 0 2319360 0 1288672 0 53706 0 31148 0 5808561 0 746489 0 HOWARD P KERN CEO EMERITUS 623835 0 3015385 0 2066233 0 9900 0 32642 0 5747995 0 321340 0 ROBERT A BROERMANN CFO/EVP 1250127 0 1116632 0 306931 0 106554 0 29353 0 2809597 0 0 0 JORDAN R ASHER MD KE (EVP & CHIEF PHYSICIAN EXEC) 1002513 0 974481 0 92522 0 179537 0 45096 0 2294149 0 41420 0 MICHAEL V GENTRY COO/EVP (THROUGH 5/23) 676459 0 1177775 0 288632 0 60636 0 17419 0 2220921 0 38500 0 BECKY C SAWYER KE (EVP & CPO) 817655 0 833514 0 77606 0 216287 0 35480 0 1980542 0 37364 0 AUBREY L LAYNE SECRETARY (THROUGH 12/23) 781392 0 714180 0 334240 0 18325 0 10622 0 1858759 0 156240 0 MEGAN R PERRY SVP & CHIEF STRATEGY OFFICER 808033 0 599986 0 198971 0 155231 0 30919 0 1793140 0 0 0 MELINDA S HANCOCK KE (EVP & CAO) 822686 0 694279 0 31527 0 134796 0 31467 0 1714755 0 0 0 EARL J BARNES II SECRETARY (EFFECTIVE 12/23) 739648 0 225826 0 129132 0 113312 0 30456 0 1238374 0 0 0 GRACE R HINES FORMER T5 15360 0 248009 0 458471 0 49456 0 1168 0 772464 0 0 0 JENNIFER BODNER SVP/CFO CARE DELIVERY 442939 0 187249 0 17506 0 45179 0 36634 0 729507 0 0 0 STEPHANIE K SCHNITTGER SVP & CHIEF FINANCIAL OFFICER 455864 0 149456 0 10026 0 33609 0 33364 0 682319 0 0 0 LANCE TORCOM SVP & CHIEF MANAGED CARE OFFICER 426157 0 144593 0 5154 0 61277 0 33801 0 670982 0 0 0 LOUIS PATALANO IV FORMER OFFICER 0 0 0 0 210869 0 0 0 6 0 210875 0 9326 0 VICKY G GRAY FORMER KE 0 0 0 0 122129 0 0 0 0 0 122129 0 41700 0 PART I, LINE 1A THE ORGANIZATION PROVIDED A HOUSING ALLOWANCE TO A SENIOR EXECUTIVE RELATED TO RELOCATION, INCLUDING THE ADDITIONAL TAXES ASSOCIATED WITH SUCH BENEFIT, ALL OF WHICH WERE TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES. THE ORGANIZATION HELD A BOARD RETREAT WHICH INCLUDED FIRST-CLASS TRAVEL FOR THE CEO, BOARD MEMBERS, AND THEIR COMPANIONS. EXECUTIVE LEADERS OF THE ORGANIZATION, ALONG WITH THEIR COMPANIONS, ALSO ATTENDED THE RETREAT. FIRST-CLASS TRAVEL ENABLED BOTH THE CEO AND BOARD MEMBERS TO CONDUCT BUSINESS WHILE IN FLIGHT. COMPANION TRAVEL WAS TREATED AS TAXABLE COMPENSATION AND PROPERLY REPORTED AS SUCH ON EITHER FORM 1099-NEC OR FORM W-2. PART I, LINES 4A-B LOUIS PATALANO, IV RECEIVED $210,869 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. GRACE HINES RECEIVED $404,710 IN COMPENSATION RELATED TO HER 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 THE ORGANIZATIONS' 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 ARTICIPANT'S ELECTED INSTALLMENT DISTRIBUTION SCHEDULE FOLLOWING TERMINATION OF EMPLOYMENT, SUBJECT TO ADHERENCE WITH THE NON-COMPETE RESTRICTIONS. IN THE CURRENT YEAR, MR. KERN WAS NO LONGER ACTIVELY ACCRUING BENEFITS; AND HE DID NOT RECEIVE ANY DISTRIBUTIONS. HOWARD KERN, ROBERT BROERMANN, MICHAEL GENTRY, MEGAN PERRY, DENNIS MATHEIS, BECKY SAWYER, JORDAN ASHER, AUBREY LAYNE, EARL BARNES, II AND MELINDA HANCOCK PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. THE CAPITAL ACCUMULATION PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PROGRAM. SUCH PLANS ARE COMMONLY OFFERED TO NOT-FOR-PROFIT HEALTH CARE EXECUTIVES TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO SUPPLEMENT LIMITATIONS IN QUALIFIED PLANS. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY THE ORGANIZATION'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. EFFECTIVE JANUARY 1, 2023, VESTING OF CONTRIBUTIONS EXPANDED TO INCLUDE AGE 60 WITH 5 YEARS OF SERVICE FROM THE DATE OF HIRE, OR AGE 65 WITH 2 YEARS OF SERVICE FROM THE CAA PLAN ENTRY DATE. 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). FICA AND FUTA TAXATION OF PRE-2009 CONTRIBUTIONS MAY OCCUR EARLIER THAN FEDERAL INCOME TAXATION IN ACCORDANCE WITH APPLICABLE LAW. DURING 2023, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED TAXABLE DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($222,448); MICHAEL GENTRY ($170,140); HOWARD KERN ($369,201); MEGAN PERRY ($104,772); BECKY SAWYER ($46,250); AUBREY LAYNE ($282,614); JORDAN ASHER ($55,146); AND DENNIS MATHEIS ($1,243,768). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. MR. KERN WAS ALSO SUBJECT TO FICA AND FUTA TAXATION ON HIS PRE-2009 CONTRIBUTIONS DURING 2023. 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. LONG TERM INCENTIVE PROGRAM - EXECUTIVES LEADERS WHO ARE LARGELY RESPONSIBLE FOR OVERALL POLICY, DIRECTION, AND SUCCESSFUL PERFORMANCE OF THE SYSTEM AND PLAY CRITICAL ROLES IN STRATEGIC INITIATIVES MEASURED BY THE PLAN ARE ELIGIBLE FOR LONG-TERM INCENTIVE AWARDS BASED ON ACHIEVING LONG-TERM PERFORMANCE OBJECTIVES AND SPECIFIC AWARD OPPORTUNITIES (AS A PERCENTAGE OF BASE SALARY) SET BY THE SYSTEM'S COMPENSATION COMMITTEE. AWARDS ARE AT THE SOLE DISCRETION OF THE COMMITTEE, AND NO PARTICIPANT HAS ANY LEGALLY BINDING RIGHT TO AN AWARD UNTIL THE COMMITTEE HAS HAD AN OPPORTUNITY TO EXERCISE THAT DISCRETION. A NEW 3-YEAR CYCLE BEGINS EACH YEAR. MANAGER INCENTIVE PLAN - MANAGEMENT EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN ARE ELIGIBLE FOR THE MANAGEMENT INCENTIVE PLAN. AWARDS ARE BASED ON SYSTEM YEAR-END RESULTS AND THE MANAGER'S INDIVIDUAL PERFORMANCE SCORE. SYSTEM, BUSINESS UNIT, AND INDIVIDUAL RESULTS ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. YEAR-END BONUS PAYMENTS EMPLOYEES WHO ARE NOT COVERED UNDER ANOTHER INCENTIVE PROGRAM ARE ELIGIBLE FOR YEAR-END BONUSES WHICH ARE CONDITIONED UPON SYSTEM YEAR-END RESULTS. PART I LINE 4 CERTAIN SENIOR EXECUTIVES OF THE SENTARA HEALTH SYSTEM ARE COVERED BY THE SENTARA HEALTH EXECUTIVE CHANGE IN CONTROL AND SEVERANCE BENEFIT PLAN. THE PLAN PROVIDES FOR SPECIFIED SEVERANCE PAY AND BENEFITS IN THE EVENT OF INVOLUNTARY TERMINATION OF EMPLOYMENT THAT OCCURS: (1) IN THE ORDINARY COURSE OF EMPLOYMENT OR (2) WITHIN TWO YEARS FOLLOWING A QUALIFYING CHANGE IN CONTROL TO ELIGIBLE INDIVIDUALS AS DEFINED IN THE PLAN. PLAN BENEFITS VARY BASED UPON AN ELIGIBLE INDIVIDUAL'S TIER LEVEL AND WHETHER THE TERMINATION IS OR IS NOT WITHIN TWO YEARS FOLLOWING A CHANGE IN CONTROL, BUT GENERALLY RANGE BETWEEN 12-18 MONTHS. THE PLAN IS UNFUNDED AND DESIGNED AS AN ERISA TOP HAT WELFARE BENEFIT PLAN. INDIVIDUALS THAT ARE NOT ELIGIBLE TO PARTICIPATE IN THE PLAN MAY BE COVERED UNDER INDIVIDUAL ARRANGEMENTS DEPENDING ON POSITION AND QUALIFYING CIRCUMSTANCES. A EDA THE CITY OF SUFFOLK VA 541131047 86481QAA7 2008-06-25 156615000 REFUNDED BONDS ISSUED OCTOBER 2006 0 0 0 B EDA THE CITY OF NORFOLK VA 521375010 65588NBB7 2012-05-16 163163080 REF. POTOMAC 2003, MJH 2002, NEW PROJ. 0 0 0 C EDA THE CITY OF NORFOLK VA 521375010 65588TAP4 2016-05-05 197670000 REF. SERIES 2012A, 2010B, AND 2010C 0 0 0 D EDA OF THE CITY OF NORFOLK 521375010 65588TAT6 2018-05-15 150000788 CURRENT REFUND SERIES 2017 BONDS 0 0 0 A 38865000 156615000 156615000 2008 1 0 1 1 B 128830000 163873559 75585411 88288148 2014 0 1 1 1 C 43340000 197670000 197670000 2016 1 0 1 1 D 169318695 788 19317907 150000000 2018 1 0 1 1 A 0 1 1 1 0 0 0 1 B 0 1 1 1 0 0 0 1 C 0 1 1 1 1 1 0 0 1 D 0 1 1 1 0 0 0 1 A 0 0 1 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 1 1 1 0 0 0 1 D 0 1 1 0 0 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K, PART VI ENTITY 1, ISSUE A: SERIES 2008 (SENTARA HEALTH SYSTEM) PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDED ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT ON OR AROUND DATE OF CLOSING FOR REFUNDING PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - ISSUE REFUNDED A PRIOR SERIES 2006 ISSUE. THE REFUNDING WAS TREATED AS A CURRENT REFUNDING FOR FEDERAL TAX PURPOSES. ALL PROCEEDS WERE SPENT ON THE DAY OF ISSUE. PART IV, 2B - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA PROVIDED WITH ARBITRAGE COMPLIANCE CERTIFICATE IN SEPTEMBER OF 2008. FIRST INSTALLMENT EVALUATION DATE WOULD BE NO LATER THAN 6/25/2013. ON MAY 1, 2015, SENTARA HEALTH MODIFIED AN EXISTING TOTAL RETURN SWAP ("TRS") FOR THE $156,615,000 SERIES 2008 REVENUE BONDS. THE TRS WAS NOT ORIGINALLY TREATED OR IDENTIFIED AS A QUALIFIED HEDGE FOR TAX PURPOSES AND THEREFORE ANY MODIFICATIONS SHOULD NOT HAVE RESULTED IN A REISSUANCE FOR FEDERAL TAX PURPOSES. HOWEVER, BOND COUNSEL AND THE SWAP PROVIDERS COUNSEL REVIEWED PRIVATE LETTER RULING PLR-147816-13, WHICH OUTLINED A VERY SIMILAR SITUATION. THE PLR CONCLUDED THAT AN AMENDMENT TO THE TRS WOULD NOT RESULT IN AN ABUSIVE ARBITRAGE DEVICE AS DEFINED WITHIN THE U.S. TREASURY REGULATIONS. THE PLR DID NOT CONCLUDE WHETHER OR NOT A REISSUANCE SHOULD APPLY IN SUCH A SITUATION. AS A CONSERVATIVE APPROACH, BOND COUNSEL AND THE SWAP PROVIDERS COUNSEL DECIDED TO FOLLOW THE DIRECTION TAKEN BY THE ISSUER IN THE PLR AND ALSO TREAT THE MODIFICATION OF THE TRS AS A REISSUANCE AND FILED A NEW FEDERAL FORM 8038 WITH THE INTERNAL REVENUE SERVICE, DATED MAY 1, 2015. AGAIN, THE TREATMENT OF THE TRS MODIFICATION AS A REISSUANCE WAS PURELY DONE AS A CONSERVATIVE APPROACH. AS STATED ABOVE, THE SERIES 2008 BONDS QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION. THEREFORE, THIS ISSUE WAS EXEMPT FROM THE ARBITRAGE REBATE CALCULATION. UNDER THE REISSUANCE TREATMENT, NO REBATE AMOUNTS WOULD HAVE BEEN DUE TO THE IRS AS OF THE MAY 1, 2015 REISSUANCE DATE. FURTHERMORE, THE 2008 REISSUED BONDS WOULD ALSO QUALIFY FOR THE SIX-MONTH SPENDING EXCEPTION AND WOULD NOT OWE AN ARBITRAGE REBATE PAYMENT TO THE IRS AS OF MAY 1, 2020 (FIFTH ANNIVERSARY DATE OF THE REISSUANCE). ENTITY 1, ISSUER B: SERIES 2012B (SENTARA HEALTH SYSTEM) PART II, 3 - TOTAL PROCEEDS OF THE ISSUE INCLUDES ISSUE PRICE, PLUS INTEREST EARNINGS ASSOCIATED WITH PROJECT FUND AND ESCROW FUNDS. PART II, 15 - SERIES 2012B ADVANCE REFUNDED THE MARTHA JEFFERSON SERIES 2002 BONDS MATURING 10/1/2012 - 10/1/2035 WITH A CALL FOR REDEMPTION DATE OF 10/1/2012. THE SERIES 2012B ALSO ADVANCE REFUNDED THE POTOMAC HOSPITAL SERIES 2003 BONDS MATURING 10/1/2012 - 10/1/2036 WITH A CALL FOR REDEMPTION DATE OF 10/1/2013. PART IV, 2A, SENTARA RECEIVES ANNUAL ARBITRAGE COMPLIANCE REPORTS COMPLETED FOR THIS ISSUE. ALL PROCEEDS OF THE SERIES 2012B BONDS WERE FULLY EXPENDED AS OF 3/19/2014. ARBITRAGE COMPLIANCE CERTIFICATE WAS PROVIDED THROUGH THE 5/1/2017 FIFTH BOND YEAR, WHICH REFLECTED THAT NO ARBITRAGE REBATE LIABILITY WAS DUE TO THE IRS. THE SECOND INSTALLMENT EVALUATION DATE WOULD HAVE BEEN 5/1/2022. NO ARBITRAGE REBATE PAYMENT WAS DUE TO THE IRS FOR THE SECOND INSTALLMENT COMPUTATION PERIOD. ON 11/1/2022, SENTARA ISSUED SERIES 2022A BONDS TO PARTIALLY CURRENT REFUND THE SERIES 2012B BONDS. IN ADDITION, SENTARA ENTERED INTO A PURCHASE CONTRACT AND TOTAL RETURN SWAPFOR THE PURPOSE OF PURCHASING A PORTION OF THE SERIES 2012B BONDS IN LIEU OF REDEMPTION. THE PURCHASE CONTRACT AND TOTAL RETURN SWAP WERE NOT TREATED AS A REISSUANCE OF THE SERIES 2012B BONDS FOR FEDERAL TAX PURPOSES. THE REDEMPTION DATE FOR THESE REFUNDED/PURCHASED BONDS WAS ALSO 11/1/2022. ENTITY 1, ISSUER C: SERIES 2016A&B (SENTARA HEALTH) PART II, 3 - COMBINED ISSUE PRICE OF THE SERIES 2016A AND 2016B BONDS. THE SERIES 2016A&B BONDS WERE TREATED AS A SINGLE ISSUE FOR FEDERAL TAX PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - SERIES 2016A&B CURRENT REFUNDED THE SERIES 2012A, 2010B, AND 2010C ON THE DATE OF CLOSING. PART IV, 2B&C - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE. NO REBATE PAYMENT WAS DUE TO THE IRS FOR THIS ISSUE AS OF THE MAY 5, 2021 FIRST INSTALLMENT EVALUATION DATE. ENTITY 1, ISSUER D: SERIES 2018A&B (SENTARA HEALTH) PART II, 3 - COMBINED ISSUE PRICE OF THE SERIES 2018A AND 2018B BONDS. THE SERIES 2018A&B BONDS WERE TREATED AS A SINGLE ISSUE FOR FEDERAL TAX PURPOSES. THE TOTAL AMOUNT INCLUDED ON LINE 3 INCLUDES THE ISSUE PRICE OF THE SERIES 2018A&B BONDS, PLUS $19MM OF TRANSFERRED PROCEEDS, PLUS INTEREST EARNINGS RECEIVED FROM THE TRANSFERRED PROCEEDS (SERIES 2017 PROJECT FUND). PART II, 7 - ONLY A RESIDUAL AMOUNT OF BOND PROCEEDS WERE USED FOR COST OF ISSUANCE EXPENSES. A MAJORITY OF THESE COST OF ISSUANCE EXPENSES WERE PAID WITH EQUITY FROM SENTARA. PART II, 14 - SERIES 2018A&B CURRENT REFUNDED SERIES 2017 BONDS ON THE DATE OF CLOSING. THE SERIES 2018A&B BONDS RECEIVED TRANSFERRED PROCEEDS ON MAY 15, 2018 REDEMPTION DATE. PART IV, 2B&C - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. HOWEVER, THE SERIES 2018A&B RECEIVED TRANSFERRED PROCEEDS THAT WERE SUBJECT TO ARBITRAGE COMPLIANCE. SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE. ALL TRANSFERRED PROCEEDS WERE FULLY EXPENDED BY NOVEMBER 1, 2018. NO REBATE PAYMENT WAS DUE TO THE IRS FOR THIS ISSUE AS OF THE MAY 15, 2023 FIRST INSTALLMENT EVALUATION DATE. SCHEDULE K, PART VI ENTITY 2, ISSUER A: SERIES 2018A&B (SENTARA MARTHA JEFFERSON HOSPITAL) PART II, 3 - COMBINED ISSUE PRICE OF THE SERIES 2018A AND 2018B BONDS. THE SERIES 2018A&B BONDS WERE TREATED AS A SINGLE ISSUE FOR FEDERAL TAX PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - SERIES 2018A&B CURRENT REFUNDED SERIES 2013A&B BONDS ON THE DATE OF CLOSING. PART IV, 2B&C - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE. NO REBATE PAYMENT WAS DUE TO THE IRS FOR THIS ISSUE AS OF THE DECEMBER 31, 2022 FIRST INSTALLMENT EVALUATION DATE. ENTITY 2, ISSUER B: SERIES 2020 (SENTARA HEALTH - VSBFA) PART II, 3 - TOTAL PROCEEDS OF THE ISSUE INCLUDES ISSUE PRICE PLUS ORIGINAL ISSUE PREMIUM, PLUS INTEREST EARNINGS RECEIVED ON THE SERIES 2020 REFUNDING PROCEEDS WHILE OUTSTANDING. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - SERIES 2020 CURRENT REFUNDED SERIES 2010 BONDS ON MAY 1, 2020. PART IV, 2B&C - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE. NO REBATE PAYMENT IS EXPECTED TO BE DUE TO THE IRS FOR THIS ISSUE AS OF THE FEBRUARY 3, 2025 FIRST INSTALLMENT EVALUATION DATE. ENTITY 2, ISSUER C: SERIES 2021A (SENTARA RMH MEDICAL CENTER - VSBFA) PART II, 3 - TOTAL PROCEEDS OF THE ISSUE INCLUDES ISSUE PRICE LESS ORIGINAL ISSUE DISCOUNT. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - SERIES 2021A CURRENT REFUNDED THE SERIES 2016D RMH BONDS, SERIES 2016E RMH BONDS AND SERIES 2016F RMH BONDS ON OCTOBER 14, 2021. PART IV, 2B&C - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE. NO REBATE PAYMENT IS EXPECTED TO BE DUE TO THE IRS FOR THIS ISSUE AS OF THE OCTOBER 14, 2026 FIRST INSTALLMENT EVALUATION DATE. ENTITY 2, ISSUER D: SERIES 2022A (SENTARA HEALTH - VSBFA) PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE PLUS PROJECT FUND INTEREST EARNINGS. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 10 - CAPITAL EXPENDITURES FROM PROCEEDS INCLUDE $59,824,027.18 EXPENSE FROM PROJECT FUND. PART II, 11 - OTHER SPENT PROCEEDS INCLUDES CURRENT REFUNDING PROCEEDS. PART II, 12 - UNSPENT PROCEEDS CONSIST OF THE REMAINING PROJECT FUND PROCEEDS, PLUS ACCRUED INTEREST. PART II, 14 - SERIES 2022A PARTIALLY CURRENT REFUNDED THE SERIES 2012B EDA THE CITY OF NORFOLK, VA BONDS ON NOVEMBER 1, 2022. PART IV, 2B&C - REFUNDING PORTION OF ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. NEW MONEY PORTION WILL REQUIRE THE ARBITRAGE REBATE CALCULATION AND/OR SPENDING EXCEPTION REVIEW. THE FIRST INSTALLMENT EVALUATION DATE WILL BE NO LATER THAN NOVEMBER 1, 2027 FOR ARBITRAGE COMPLIANCE PURPOSES. SCHEDULE K, PART VI ENTITY 1, ISSUE A: SERIES 2023 (SENTARA HEALTH) PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - SERIES 2023 CURRENT REFUNDED THE SERIES 2016C RMH BONDS ON THE DATE OF CLOSING. PART IV, 2B&C - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE. NO REBATE PAYMENT WILL BE DUE TO THE IRS FOR THIS ISSUE AS OF THE AUGUST 15, 2028 FIRST INSTALLMENT EVALUATION DATE. A EDA OF ALBERMARLE COUNTY VA 521297503 012663AM2 2018-05-15 154550000 CURRENTLY REFUND SERIES 2013AB BONDS 0 0 0 B VA SMALL BUSINESS FINANCING AUTHORITY 521300845 928105BY0 2020-02-03 211671094 CURRENTLY REFUND SERIES 2010 BONDS 0 0 0 C EDA OF ROCKINGHAM COUNTY VA 541155987 77345QAC8 2021-10-14 153790516 CUR. REFUND SERIES 2016D 2016E 2016F 0 0 0 D VA SMALL BUSINESS FINANCING AUTHORITY 521300845 2022-11-01 160000000 CURRENT REF. SERIES 2012B/NEW MONEY 0 0 0 A 9985000 154550000 154550000 2018 1 0 1 1 B 18690000 212454855 212454855 2020 1 0 1 1 C 153790516 153790516 2021 1 0 1 1 D 2870000 166840789 59824027 19385000 87631762 1 0 0 1 A 0 1 1 1 0 0 0 1 B 0 1 1 1 0 0 0 1 C 0 1 1 1 0 0 0 1 D 0 1 1 1 0 0 0 1 A 0 0 1 1 1 0 0 0 1 B 0 1 1 0 0 0 0 0 1 C 0 1 1 0 0 0 0 0 1 D 0 1 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A EDA OF THE CITY OF HARRISONBURG VA 542000436 415668AA0 2023-08-15 91990000 CURRENTLY REFUND SERIES 2016C BONDS 0 0 0 A 91990000 91990000 2023 1 0 1 1 A 0 1 1 1 0 0 0 1 A 0 1 1 0 1 0 0 0 1 A 1 FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS SENTARA HEALTH I. SENTARA HEALTH YOUR NOT-FOR-PROFIT HEALTHCARE PARTNER SENTARA HEALTH CELEBRATES MORE THAN 135 YEARS IN PURSUIT OF ITS MISSION "WE IMPROVE HEALTH EVERY DAY." SENTARA IS ONE OF THE LARGEST HEALTH SYSTEMS IN THE U.S. MID-ATLANTIC AND SOUTHEAST, AND AMONG THE TOP 20 LARGEST NOT-FOR-PROFIT INTEGRATED HEALTH SYSTEMS IN THE COUNTRY. SENTARA HAS MORE THAN 32,000 EMPLOYEES (INCLUDING 1,300 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES 1.2M MEMBERS IN VIRGINIA 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 HAS A LEVEL I TRAUMA CENTER, TWO LEVEL III TRAUMA CENTERS, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, THE ACCREDITED SENTARA CANCER NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND TWO ORTHOPEDIC HOSPITALS. SENTARA ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, AND A CLINICALLY INTEGRATED NETWORK. IN 2023, SENTARA ANNOUNCED THE NEXT EVOLUTION OF THE BRAND, CHANGING FROM SENTARA HEALTHCARE TO SENTARA HEALTH. WE ALSO RETIRED THE OPTIMA HEALTH AND VIRGINIA PREMIER BRANDS, UNIFYING THE PLANS UNDER ONE BRAND SENTARA HEALTH PLANS. THE NEW NAME REFLECTS OUR ENHANCED FOCUS ON PROMOTING THE OVERALL HEALTH AND WELL-BEING OF OUR CONSUMERS, PATIENTS, MEMBERS, AND COMMUNITIES WHO ARE AT THE CENTER OF EVERYTHING WE DO. THIS CHANGE ALSO REPRESENTS THE DEEPENING ALIGNMENT BETWEEN OUR HEALTHCARE SERVICES AND HEALTH PLANS. EFFORTS ARE CENTERED ON MAKING THE CONSUMER EXPERIENCE SIMPLE, SEAMLESS, PERSONAL, AND MORE AFFORDABLE, 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 2023 VALUE OF COMMUNITY BENEFIT TOTALED $294 MILLION. SENTARA PROVIDED $164 MILLION IN NET UNCOMPENSATED PATIENT CARE COSTS; $70 MILLION IN TEACHING & TRAINING OF HEALTHCARE PROFESSIONALS; $47.4 MILLION IN COMMUNITY GIVING; AND $12.7 MILLION IN HEALTH & PREVENTION PROGRAMS. SENTARA EMPLOYEES CONTRIBUTED NEARLY $2.3 MILLION THROUGH DIRECT CONTRIBUTION AND EMPLOYEE MATCHING TO UNITED WAY. A. SENTARA COMMUNITY CARE WAS CREATED TO TRANSFORM THE HEALTHCARE DELIVERY SYSTEM FOR OUR COMMUNITIES WITH THE GREATEST NEED FOR CARE. THIS INNOVATIVE MODEL OF CARE INTEGRATES PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES AND FOCUSES ON ADDRESSING THE ROOT FACTORS THAT GREATLY INFLUENCE A PERSON'S HEALTH AND WELL-BEING BEYOND THE CARE THAT WE DELIVER INSIDE OF OUR MEDICAL FACILITIES. I. AS PART OF THE SENTARA COMMUNITY CARE PROGRAM, SENTARA PARTNERED WITH HARRISONBURG CITY PUBLIC SCHOOLS IN HARRISONBURG, VA TO PROVIDE PRIMARY CARE SERVICES, BEHAVIORAL HEALTH SERVICES, SCHOOL ENTRY PHYSICALS, AND VACCINATIONS TO UNINSURED AND MEDICAID STUDENTS. SENTARA ALSO IS PROVIDING ADDITIONAL HEALTH AND WELLNESS SERVICES IN HARRISONBURG AND SURROUNDING RURAL COUNTIES IN A MORE FLEXIBLE AND CONVENIENT FORMAT VIA A SENTARA MOBILE CARE VEHICLE. II. SENTARA CELEBRATED THE LAUNCH OF SENTARA MOBILE CARE, PART OF THE SENTARA COMMUNITY CARE PROGRAM, IN PETERSBURG, VA. SENTARA MOBILE CARE WILL PROVIDE DIRECT PRIMARY CARE, BEHAVIORAL HEALTH, AND SOCIAL SUPPORT SERVICES TO THE PETERSBURG COMMUNITY IN A MORE FLEXIBLE AND CONVENIENT FORMAT. B. SENTARA CONTINUES OUR EFFORTS THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT (CEI) PROGRAM, SENTARA CARES, TO INSPIRE, EMPOWER AND SUPPORT THE COMMUNITIES WE SERVE IN THE MOST IMPACTFUL WAY. SENTARA IS COMMITTED TO SUPPORTING COMMUNITY-BASED HEALTH OPPORTUNITY PROGRAMS THAT FOCUS ON IMPROVING PUBLIC HEALTH, TACKLING HEALTH INEQUITIES, AND PROMOTING EQUITABLE ACCESS TO CARE IN TRADITIONALLY UNDERSERVED COMMUNITIES. THROUGH OUR PARTNERSHIPS AND INVESTMENTS, WE COMMIT OUR TIME, TALENT AND TREASURE TO PARTNERS WHO HELP US DECREASE HEALTH DISPARITIES AND WHO FOCUS ON BEHAVIORAL HEALTH, WORKFORCE DEVELOPMENT, COMMUNITY DEVELOPMENT, HOUSING, AND NUTRITION SECURITY. I. SENTARA AWARDED 141 GRANTS TOTALING $9.5 MILLION FOR OUR COMMUNITIES, AS WELL AS 161 MICROGRANTS TOTALING $1.4 MILLION WHICH FUNDED PROGRAMS THAT REACHED THE DEEPEST LEVELS IN OUR COMMUNITIES. THE CEI PROGRAM DELIVERS ECONOMIC, SOCIAL, AND ENVIRONMENTAL BENEFITS FOR STAKEHOLDERS ACROSS ALL SENTARA MARKETS AND INCREASES COLLECTIVE IMPACT WHERE WE WORK CLOSELY WITH TRUSTED GRASSROOTS PARTNERS. II. SENTARA ESTABLISHED THE $2 MILLION "SENTARA INNOVATION FUND" TARGETING FEDERALLY QUALIFIED HEALTH CENTERS IN FLORIDA. THESE INVESTMENTS HELP TO EXPAND ACCESS TO DENTAL CARE, MATERNAL AND CHILD HEALTHCARE, AND ENHANCE ECONOMIC MOBILITY THROUGHOUT THE REGION IN SUPPORT OF THE LONG-TERM SUCCESS FOR FLORIDA INDIVIDUALS AND COMMUNITIES. III. SENTARA PARTNERED WITH THE NETWORK OF REGIONAL ADVOCACY (NORA), AN INITIATIVE CREATED TO SERVE AS A GRANT PROVIDER TO FAITH-BASED AND OTHER CHARITABLE NONPROFIT ORGANIZATIONS, TO ADDRESS SOCIAL DETERMINANTS OF HEALTH THAT AFFECT HISTORICALLY MARGINALIZED AND MINORITIZED COMMUNITIES IN SOUTH HAMPTON ROADS, VA. THE PARTNERSHIP BETWEEN SENTARA AND NORA PRIMARILY FOCUSES ON PROVIDING GRANT FUNDING TO ORGANIZATIONS WORKING ON ISSUES SUCH AS FOOD INSECURITY, HEALTHCARE ACCESSIBILITY, HOUSING INEQUITY, FINANCIAL LITERACY, WORKFORCE DEVELOPMENT, SMALL BUSINESS DEVELOPMENT, AND OTHER INEQUITIES FACED BY LOW-INCOME HOUSEHOLDS AND ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED (ALICE) INDIVIDUALS. IV. SENTARA ESTABLISHED A $2 MILLION BEHAVIORAL HEALTH INNOVATION FUND AIMED AT IMPROVING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGHOUT THE COMMONWEALTH OF VIRGINIA. THIS FUND WILL FOCUS ON SEVERAL KEY AREAS, INCLUDING ENHANCING THE RESPONSE SYSTEM FOR BEHAVIORAL HEALTH NEEDS; IMPROVING ACCESS TO CARE; FOSTERING INNOVATION THAT CAN BE SCALABLE; AND STRENGTHENING PARTNERSHIPS WITH SAFETY NET PROVIDERS IN THIS SPACE. V. SENTARA FOUNDED THE HAMPTON ROADS LOCAL INITIATIVES SUPPORT CORPORATION (LISC) OFFICE IN 2019, WHICH IS A COMMUNITY DEVELOPMENT FINANCE INSTITUTION AND A NATIONALLY RECOGNIZED NONPROFIT THAT WORKS WITH LOCAL GOVERNMENT, COMMUNITY DEVELOPERS AND OTHER NONPROFITS TO REVITALIZE NEIGHBORHOODS AND CATALYZE OPPORTUNITIES IN UNDERSERVED COMMUNITIES. IN 2023, SENTARA MADE A $2 MILLION INSTALLMENT TO LISC TO CONTINUE A LONGSTANDING COMMITMENT TO IMPROVE THE SOCIAL DRIVERS OF HEALTH AT THE NEIGHBORHOOD LEVEL. VI. SENTARA CONTRIBUTED $600,000 TO THE VIRGINIA FEDERATION OF FOOD BANKS TO CONTINUE ANOTHER LONG-STANDING PARTNERSHIP THAT HAS CATALYZED THE STATEWIDE HEALTHY PANTRY INITIATIVE AND EXPANDED FOOD PHARMACY PROGRAMS TO REACH OVER 29,000 PATIENTS ANNUALLY. THIS COMMITMENT TO FOOD SECURITY EXTENDS DEEPER INTO OUR COMMUNITIES AS WE PARTNER WITH LOCAL FOOD PANTRIES AND OTHER COMMUNITY-BASED ORGANIZATIONS TO SUPPORT SNAP ENROLLMENT AND SOLIDIFY A WHOLISTIC APPROACH TO HEALTHIER AND MORE CULTURALLY RESPONSIVE FOOD. VII. SENTARA RECOGNIZES THE CRITICAL ROLE THAT PUBLIC, PRIVATE AND FAITH-BASED PARTNERSHIPS PLAY IN COMMUNITY HEALTH IMPROVEMENT. NOT ONLY DO FAITH LEADERS HAVE THE TRUST OF THEIR CONSTITUENTS BUT THEY CAN ALSO REACH NEIGHBORS IN MARGINALIZED AREAS THAT HAVE TRADITIONALLY LACKED TRUST IN SYSTEMS. IN 2023, ONE OF MANY EXAMPLES WHERE SENTARA INVESTED IN INNOVATIVE PARTNERSHIPS WAS DEMONSTRATED BY BUILDING A STRATEGIC PARTNERSHIP UPON AN INITIAL INVESTMENT OF $255,000 TO A CHURCH-BASED HEALTH MINISTRY THAT WOULD PROVIDE SCREENINGS AND HEALTH CARE OUTREACH SUCH AS DISEASE MANAGEMENT AND HEALTHY EATING EDUCATION TO LOCAL RESIDENTS AND SCHOOLS. FORM 990, PART III, LINE 4A C. IN SUPPORT OF IMPROVING THE PUBLIC HEALTH OF OUR COMMUNITIES, SENTARA BEGAN NEGOTIATING AN UPDATED AFFILIATION AGREEMENT TO REFLECT LONG-TERM SUPPORT OF THE FUTURE OLD DOMINION UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL INTEGRATION. SENTARA ALSO CONTINUED ITS SUPPORT OF OLD DOMINION UNIVERSITY, NORFOLK STATE UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL IN THEIR O.N.E. SCHOOL OF PUBLIC HEALTH INITIATIVE, WHICH WILL ESTABLISH A NEW JOINT SCHOOL OF PUBLIC HEALTH. D. A NEW PROGRAM, CALLED THE SENTARA OPIOID BRIDGE TO RECOVERY, PROVIDES A NEW PATHWAY FOR PATIENTS WITH OPIOID USE DISORDER TO CONNECT WITH OUTPATIENT TREATMENT PROGRAMS. EMERGENCY DEPARTMENT (ED) PHYSICIANS AND OTHER PROVIDERS LICENSED TO PRESCRIBE NARCOTICS ARE NOW ABLE TO PRESCRIBE BUPRENORPHINE, AND ED STAFF MAKE APPOINTMENTS WITH LOCAL THERAPY PROGRAMS AND COMMUNITY SERVICES BOARDS (CSBS) BEFORE PATIENTS LEAVE THE ED. FOR PATIENTS SEEN AFTER HOURS, LOCAL CSBS, BEHAVIORAL HEALTH NAVIGATORS WITH SENTARA HEALTH PLANS, AND OTHER PROVIDERS RECEIVE SECURE PATIENT INFORMATION ELECTRONICALLY AND FOLLOW UP THE NEXT BUSINESS DAY. E. SENTARA HAS LONG BEEN COMMITTED TO PROVIDING HEALTH AND PREVENTION SERVICES TO THE COMMUNITIES WE SERVE THROUGH MANY CHANNELS INCLUDING THE SENTARA HEALTH & PREVENTIVE SERVICES ORGANIZATION WITHIN SENTARA. SENTARA CONTINUED TO OFFER PROGRAMS SUCH AS EATING FOR LIFE, MOVEABOUT, HEALTH HABITS, HEALTHY YOU, MEDITATION, TAI CHI AND YOGA. ADDITIONALLY, MONTHLY WEBINARS ON HEALTH TOPICS AND BIOMETRIC SCREENING SERVICES WERE OFFERED IN VARIOUS REGIONS. F. SENTARA ORGANIZES AND HOSTS NUMEROUS COMMUNITY EVENTS AIMED AT RAISING AWARENESS ABOUT CRUCIAL HEALTH ISSUES ALIGNED WITH KEY AWARENESS MONTHS. THROUGHOUT THE YEAR, WE PRIORITIZE AT LEAST SIX ESSENTIAL AREAS OF AWARENESS ACROSS OUR COMMUNITIES, INCLUDING PROMOTING HEART AND VASCULAR HEALTH, ADVOCATING FOR COLON CANCER PREVENTION, RAISING AWARENESS ABOUT STROKE PREVENTION, AND FACILITATING SCREENINGS FOR THE EARLY DETECTION OF PROSTATE, BREAST, AND LUNG CANCER. G. THROUGH OUR FORESIGHT VIOLENCE INTERVENTION PROGRAM, 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 PLAN. THE GOAL IS TO PROVIDE SKILLS AND KNOWLEDGE TO AID THE INDIVIDUAL AND FAMILY TO IMPROVE THE QUALITY OF THEIR LIVES. III. COMMITMENT TO OUR TEAM MEMBERS A. DIRECTLY INVESTING IN OUR COLLEAGUES REMAINS A TOP PRIORITY. I. NEARLY ALL OF OUR EMPLOYEES RECEIVED PAY INCREASES THROUGH A MERIT AND/OR MARKET ADJUSTMENT. II. WE CONTRIBUTED $80M IN RETIREMENT SAVINGS MATCHES AND WERE ABLE TO PROVIDE OUR TEAM MEMBERS WITH A YEAR-END BONUS TOTALING $17M. III. WE SPENT JUST OVER $40M ON SOME OF OUR NEW AND KEY BENEFITS, INCLUDING STUDENT DEBT REPAYMENT MATCHING, TUITION REIMBURSEMENT, FLOATING PAID ANNUAL LEAVE (PAL) DAY AND PARENTAL LEAVE. B. WE ADDED MORE THAN 8,500 NEW PEOPLE TO OUR TEAM, AND WE ARE SEEING GREAT IMPROVEMENTS IN OUR RETENTION EFFORTS. TOTAL TURNOVER IN 2023 WAS 14.6% COMPARED TO THE INDUSTRY AVERAGE OF 22.7%. NURSING TURNOVER EXPERIENCED A 1.3% REDUCTION FROM 2022 AND IS STILL FAR BELOW THE INDUSTRY AVERAGE OF 22.5%. 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 CONTINUE THE WORK OF THE DIVERSITY AND INCLUSION COUNCILS AT ALL 12 HOSPITALS TO DEVELOP NEW DIVERSITY AND INCLUSION COMPONENTS AND EDUCATION FOR ALL TEAM MEMBERS. D. SENTARA ESTABLISHED OUR FIRST THREE EMPLOYEE RESOURCE GROUPS (ERGS): WOMEN IN THE WORKPLACE, GENERATIONS IN THE WORKPLACE, AND AFRICAN AMERICAN (BLACK) IN THE WORKPLACE. AN ERG IS AN EMPLOYEE-LED GROUP THAT FOSTERS BELONGING AND BUILDS COMMUNITY BY HELPING COLLEAGUES CONNECT WITH COLLEAGUES WHO SHARE THEIR INTERESTS. E. SENTARA IMPLEMENTED AND EXPANDED SEVERAL WORKPLACE VIOLENCE PREVENTION PROGRAMS, INCLUDING THE FOLLOWING: I. WE COMPLETED THE ROLLOUT OF A VISITOR CHECK-IN AND BADGING SYSTEM AT ALL TWELVE OF OUR HOSPITALS. STUDIES INDICATE VISITOR BADGING CREATES A MORE RESPECTFUL ATMOSPHERE AND REDUCES VERBAL ABUSE. II. WE BEGAN EXPANSION OF A TWO-YEAR PILOT WITH A CONCEALED WEAPON DETECTION SYSTEM IN OUR HOSPITALS. III. WE'VE STREAMLINED THE PROCESS FOR TEAM MEMBERS TO REPORT WORKPLACE VIOLENCE INCIDENTS, AND MOST OF OUR HOSPITALS ARE INSTALLING TELEMAGISTRATE SYSTEMS SO TEAM MEMBERS CAN TALK TO A MAGISTRATE AND FILE CHARGES FROM THEIR HOSPITAL. IV. SENTARA HOSPITALS SCREEN ALL INPATIENTS FOR AGGRESSION RISK USING THE DYNAMIC APPRAISAL FOR SITUATIONAL AGGRESSION (DASA) TOOL, WHICH IS ALREADY IN USE IN OUR BEHAVIORAL HEALTH UNITS. V. FOR DIETARY, ESD AND FACILITIES STAFF, A MAGNETIC TRIANGLE DOOR PLACARD, PLACED ON THE DOOR FRAMES OF AGGRESSIVE PATIENTS, WILL ALERT TEAM MEMBERS TO STOP, ASK A NURSE, AND RECRUIT A PARTNER BEFORE ENTERING THE ROOM. VI. TO ENCOURAGE SAFETY AWARENESS BY OUR TEAM, THERE IS A NEW EPIC EMR FLAG FOR PATIENTS WITH A HIGH RISK FOR VIOLENCE. F. SENTARA JOINED THE "ALL IN: CARING FOR VIRGINIA'S CAREGIVERS INITIATIVE" WITH OTHER VIRGINIA'S HOSPITALS AND HEALTH SYSTEMS, THE MEDICAL SOCIETY OF VIRGINIA, AND THE VIRGINIA NURSES ASSOCIATION IN A STATEWIDE INITIATIVE TO PROTECT MENTAL HEALTH AND EMOTIONAL WELLBEING OF HEALTHCARE PROFESSIONALS. G. SINCE 2003, SENTARA HAS ALLOCATED OVER $5.8M TO OUR EMPLOYEES THROUGH THE H.O.P.E. (HELPING OVERCOME PERSONAL EMERGENCY) FUND. SENTARA'S COMPASSION HAS PROVIDED FINANCIAL RESOURCES FOR FELLOW SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN. SENTARA EMPLOYEES WHO RECEIVE AID FROM THE H.O.P.E. FUND HAVE FACED DEVASTATING CRISES SUCH AS FIRE, DEATH, NATURAL DISASTERS, OR SERIOUS PERSONAL OR FAMILY ILLNESS. IN 2023, FUND DONATIONS RECEIVED WERE $333,883, AND $699,697 WENT TO SENTARA EMPLOYEES IN CRISIS ACROSS THE COMPANY. H. SENTARA ESTABLISHED THE HOWARD KERN LEGACY SCHOLARSHIP TO FOSTER THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS. WITH AN ALLOCATION OF $1 MILLION TO THIS SCHOLARSHIP FUND, SENTARA AIMS TO SUPPORT THE EDUCATIONAL ASPIRATIONS OF THE CHILDREN AND GRANDCHILDREN OF SENTARA EMPLOYEES WHO ASPIRE TO PURSUE CAREERS IN HEALTHCARE AND RELATED FIELDS. THE INAUGURAL ROUND PROVIDED SCHOLARSHIPS TO NEARLY 170 STUDENTS. I. 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 2023, 73.7% OF SENTARA NURSES HAVE A BSN OR HIGHER DEGREE. IV. GROWTH IN SENTARA HEALTH A. SENTARA STABLISHED ITS FIRST ENTERPRISE TRANSFORMATION OFFICE AND HELD AN INAUGURAL BOTTOM-UP PLANNING (BUP) EVENT WHICH RESULTED IN NEARLY 840 INITIATIVES IN SUPPORT OF OUR STRATEGIC PLAN. B. SENTARA REMAINED IN THE TOP QUARTILE FOR FINANCIAL PERFORMANCE AGAINST OUR INTEGRATED DELIVERY NETWORK (IDN) PEERS. C. SENTARA DEVELOPED AND MOVED INTO OUR NEW CORPORATE CAMPUS, SENTARA PARK. D. SENTARA CONTINUED THE INTEGRATION OF AVMED INTO OUR SENTARA HEALTH PLANS OPERATIONS. E. SENTARA HEALTH PLANS CONTINUED TO SEE GROWTH, AND ALONG WITH AVMED SERVED 1.2M MEMBERS IN VIRGINIA AND FLORIDA. OF NOTE, WE HAVE SEEN SIGNIFICANT GROWTH IN THE VIRGINIA INDIVIDUAL EXCHANGE MARKET AND NOW SERVE OVER 70,000 MEMBERS. F. BECAME THE SOLE OWNER OF VELOCITY URGENT CARE, LLC, WHICH HAS BEEN OPERATED AS A JOINT VENTURE BETWEEN SENTARA AND A THIRD PARTY SINCE 2017. VELOCITY IS COMPRISED OF 17 URGENT CARE LOCATIONS ACROSS VIRGINIA WITH NEARLY 200 EMPLOYEES AND PLANS TO OPEN ITS NEWEST LOCATION IN EARLY 2024 IN ELIZABETH CITY, NC. G. OPENED THE NEW SENTARA ADVANCED IMAGING CENTER ON THE CAMPUS OF SENTARA NORTHERN VIRGINIA MEDICAL CENTER, IN WOODBRIDGE, VA. THE FACILITY OFFERS SOME OF THE NEWEST AND MOST INNOVATIVE IMAGING SERVICES AVAILABLE USING THE MOST ADVANCED TECHNOLOGY. H. SENTARA CAREPLEX HOSPITAL IN HAMPTON, VA AND SENTARA MEDICAL GROUP INTRODUCED A FULL-SCOPE MIDWIFERY PRACTICE TO THE HAMPTON ROADS, VA COMMUNITY. THE SENTARA MIDWIFERY SPECIALISTS IS THE FIRST MIDWIFERY PRACTICE FOR THE HEALTH SYSTEM, EXPANDING ACCESS FOR EXPECTING FAMILIES ACROSS HAMPTON ROADS. FORM 990, PART III, LINE 4A I. DEDICATED A NEW MOTHER BABY UNIT AT SENTARA NORFOLK GENERAL HOSPITAL IN NORFOLK, VA. THE $6 MILLION MODERNIZATION PROJECT WILL INCREASE THE UNIT FROM 21 BEDS TO 34 BEDS. EACH PATIENT ROOM PROVIDES A PRIVATE BATHROOM WITH SHOWER AND MORE FLOOR SPACE FOR HOSPITAL BEDS AND BASSINETTES. THIS LATEST MOVE FOLLOWS A PREVIOUS EXPANSION AND MODERNIZATION OF THE NEO-NATAL INTENSIVE CARE UNIT. WHEN THE CURRENT CONSTRUCTION PROJECT IS COMPLETE, THE HOSPITAL WILL HAVE INVESTED MORE THAN $20 MILLION IMPROVING WOMEN'S SERVICES AND ALL ASPECTS OF WOMEN'S HEALTH WILL BE LOCATED ON THE SAME FLOOR. J. EXPANDED CANCER SCREENINGS TO UNDERSERVED COMMUNITIES WITHIN A 2-HOUR DRIVING RADIUS OF NORFOLK, VA WITH A NEW 3D MAMMOGRAPHY VAN. THE 3D MAMMOGRAPHY VAN BRINGS THE SAME STATE OF THE ART TECHNOLOGY THAT A PATIENT WOULD RECEIVE IN A SENTARA FACILITY INTO OUR COMMUNITIES. THE SENTARA CANCER NETWORK WILL USE RESULTS FROM OUR ONGOING SENTARA COMMUNITY HEALTH NEEDS ASSESSMENTS TO DETERMINE WHERE THE 3D MAMMOGRAPHY VAN CAN PROVIDE THE MOST IMPACTFUL CARE. SENTARA WILL ALSO FOCUS ON PARTNERING WITH COMMUNITY ORGANIZATIONS AND LOCAL BUSINESSES TO PROVIDE CONVENIENT SCREENINGS FOR EMPLOYEES. K. SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN WOODBRIDGE, VA ANNOUNCED THAT ITS 3D MAMMOGRAPHY VAN WILL BEGIN VISITING COMMUNITIES THROUGHOUT ITS SERVICE AREA. SENTARA NORTHERN VIRGINIA MEDICAL CENTER ALSO EXPANDED ITS MOBILE PET/CT PROGRAM, DOUBLING THE AVAILABILITY OF THE MOBILE PET/CT UNIT EACH MONTH. L. INVESTED $6 MILLION TO EXPAND THE FAMILY MATERNITY CENTER AT SENTARA LEIGH HOSPITAL IN NORFOLK, VA. THE EXPANSION PROJECT ADDS 13 PRIVATE POSTPARTUM FAMILY ROOMS, GROWING THE FAMILY MATERNITY CENTER TO 41 TOTAL BEDS TO MEET THE NEEDS OF OUR PATIENTS AND COMMUNITY. SENTARA LEIGH HOSPITAL SAFELY DELIVERS ONE OF THE HIGHEST NUMBERS OF NEWBORNS THROUGHOUT ALL OF HAMPTON ROADS AND IS AMONG THE TOP 10 BUSIEST LABOR & DELIVERY UNITS IN VIRGINIA. M. ANNOUNCED A $70 MILLION INVESTMENT TO CONSTRUCT A NEW ACUTE CARE HOSPITAL TO REPLACE THE CURRENT SENTARA HALIFAX REGIONAL HOSPITAL. THE NEW HOSPITAL, SCHEDULED FOR COMPLETION IN 2025-2026, WILL HAVE A HIGH-EFFICIENCY, PATIENT-CENTRIC LAYOUT REPRESENTING THE TREND TOWARD PREVENTIVE CARE, OUTPATIENT SERVICES AND SHORTER HOSPITAL STAYS. N. CUT THE RIBBON ON AN 80,000-SQUARE-FOOT MEDICAL OFFICE BUILDING (MOB) ON THE 135-ACRE SENTARA ALBEMARLE REGIONAL HEALTH CAMPUS IN ELIZABETH CITY, NC. THE CAMPUS INCLUDES AN 80-BED HOSPITAL UNDER CONSTRUCTION AND THREE ACRES FOR THE PASQUOTANK/CAMDEN EMS PROGRAM TO BUILD A NEW STATION. THE $200 MILLION CAMPUS IS THE LARGEST CONSTRUCTION PROJECT IN THE REGION SINCE THE CURRENT HOSPITAL OPENED MORE THAN 60 YEARS AGO. I. THE MOB WILL CONSOLIDATE CANCER SERVICES UNDER THE NAME SENTARA CANCER CARE CENTER. THE CENTER WILL INCLUDE A STATE-OF-THE-ART LINEAR ACCELERATOR FOR RADIATION ONCOLOGY AND STEREOTACTIC RADIOSURGERY, PLUS CHEMOTHERAPY AND SUPPORTIVE PATIENT SERVICES. II. THE MOB WILL ALSO HOUSE A SENTARA FAMILY MEDICINE PRACTICE AND CARDIAC REHABILITATION PROGRAM. OTHER PRACTICES CONNECTED TO THE CURRENT HOSPITAL WILL MOVE INTO THE MOB WHEN THE NEW HOSPITAL OPENS IN 2025. PLANS CALL FOR A DIGITAL HUB CONNECTING PATIENTS VIRTUALLY WITH SENTARA MEDICAL SPECIALISTS IN THE HAMPTON ROADS, VIRGINIA AREA. O. SENTARA MEDICAL GROUP OPENED THE FOLLOWING NEW PRACTICES: I. SENTARA MIDWIFERY SPECIALISTS IN HAMPTON, VA II. SENTARA FAMILY MEDICINE PHYSICIANS IN CHESAPEAKE, VA III. SENTARA ENDOCRINOLOGY SPECIALISTS IN CHESAPEAKE, VA IV. SENTARA BREAST SURGERY SPECIALISTS IN CHARLOTTESVILLE, VA V. SENTARA UROLOGY SPECIALISTS IN CHARLOTTESVILLE, VA VI. SENTARA OBSTETRICS AND GYNECOLOGY SPECIALISTS IN CHARLOTTESVILLE, VA VII. SENTARA FAMILY MEDICINE PHYSICIANS IN LORTON, VA VIII. THE CENTER FOR PLASTIC SURGERY AT SENTARA FORT NORFOLK IN NORFOLK,VA P. SENTARA THERAPY SERVICES OPENED OR EXPANDED THE FOLLOWING PRACTICES: I. SENTARA PEDIATRIC THERAPY IN VIRGINIA BEACH, VA II. SENTARA THERAPY SPORTS & SPINE IN VIRGINIA BEACH, VA III. EXPANDED SENTARA THERAPY HEALTHY WAY IN VIRGINIA BEACH, VA IV. EXPANDED SENTARA THERAPY RED MILL IN VIRGINIA BEACH, VA Q. EXPANDED THE SENTARA MEDICAL GROUP NURSE ADVICE LINE SERVICES TO SUPPORT PATIENTS 24/7. R. TO IMPROVE ACCESS TO CARE AND GET CONSUMERS TO THE RIG HT CARE AT THE RIGHT TIME, SENTARA LAUNCHED A CENTRALIZED "CLINICAL ACCESSCENTER", WHICH STREAMLINES CARE NAVIGATION AND THE APPOINTMENT SCHEDULING EXPERIENCE FOR PRIMARY AND SPECIALTY CARE, IMAGING, THERAPY, AND OUTPATIENT PROCEDURES. S. DEPLOYED 108 REMOTE CAMERAS IN ALL 12 HOSPITALS TO PROVIDE 24-HOUR MONITORING OF AT-RISK PATIENTS. THE INVESTMENT FOLLOWED A PILOT AT TWO SENTARA HOSPITALS WHICH DEMONSTRATED THE TECHNOLOGY'S VALUE IN PREVENTING PATIENT HARM. V. BY THE NUMBERS: 1.5 MILLION PATIENTS; 1.2 MILLION HEALTH PLAN MEMBERS; 8,500 NEW COLLEAGUES; 129,000 ADULT HOSPITAL ADMISSIONS; 813,389 EMERGENCY DEPARTMENT VISITS; 16,036 BABIES DELIVERED; 820 LIFE-SAVING TRIPS FROM THE NIGHTINGALE REGIONAL AIR AMBULANCE; AND 145,816 MEDICAL, BEHAVIORAL AND PREGNANCY CASES MANAGED THROUGH OUR HEALTH PLANS. VI. DIGITAL INITIATIVES AND INVESTMENTS A. SENTARA FINALIZED THE SCOPE AND PLAN FOR A 3-YEAR (2023-2026) $400M INCREMENTAL IT INVESTMENT IN SUPPORT OF IT FOUNDATIONAL NEEDS AND 400 BUSINESS INITIATIVES REQUIRING IT ENABLEMENT. B. SENTARA LAUNCHED NEARLY 20 PLATFORMS AND SOLUTIONS THIS YEAR, INCLUDING TWO FOR OUR CONSUMER ASSISTANCE PROGRAM ON THE HEALTH PLAN SIDE, OUR ENTERPRISE RESOURCE PLANNING TOOL, WORKDAY, AND A MOBILE PLATFORM TO FACILITATE THE ABILITY FOR NURSES TO EASILY PICK UP AND TRADE WORK SHIFTS FORM 990, PART III, LINE 4A VII. EXPANDING RESEARCH OPPORTUNITIES A. THE SENTARA HEALTH RESEARCH CENTER PROVIDES SCIENTIFIC, ADMINISTRATIVE, AND REGULATORY SUPPORT FOR RESEARCH CONDUCTED ACROSS SENTARA AND IN OUR COMMUNITIES. LOCATED IN ONE OF THE MOST CULTURALLY DIVERSE REGIONS OF THE UNITED STATES, SENTARA HEALTH RESEARCH CENTER SERVES AS A PREMIER RESEARCH PARTNER. SENTARA IS UTILIZING THE RESEARCH CAPABILITY AND SCOPE OF OUR HEALTHCARE SYSTEM TO ADVANCE HEALTH THROUGHOUT THE COMMUNITIES WE SERVE. B. IN 2023, THE SENTARA HEALTH RESEARCH CENTER DEVELOPED THE SENTARA OUTCOMES RESEARCH CENTER, FURTHER ENABLING ORIGINAL RESEARCH THAT ADDRESSES ISSUES IN THE COMMUNITIES THAT WE SERVE. THE SENTARA OUTCOMES RESEARCH CENTER IS COMMITTED TO IMPROVING QUALITY, ACCOUNTABILITY AND MOST IMPORTANTLY IMPROVING THE HEALTH OF OUR COMMUNITY. C. SENTARA, IN PARTNERSHIP WITH YALE, MASSACHUSETTS GENERAL HOSPITAL AND HOUSTON METHODIST, WAS AWARDED A $3.4 MILLION DOLLAR GRANT BY THE PATIENT CENTERED OUTCOMES RESEARCH CENTER (PCORI) TO STUDY HYPERTENSION IN OUR UNDERSERVED POPULATIONS. THE STUDY IS OVER 5 YEARS AND HAS ENORMOUS OPPORTUNITY TO BETTER UNDERSTAND OUR COMMUNITY RELATED TO HYPERTENSION AND HOW TO BETTER CARE FOR THOSE INDIVIDUALS. D. SENTARA BECAME A FOUNDING MEMBER OF THE VIRGINIA COORDINATED CLINICAL RESEARCH NETWORK (VCCRN), WHICH WAS ESTABLISHED WITH INITIAL SUPPORT FROM THE VIRGINIA GENERAL ASSEMBLY. VCCRN IS A COALITION OF HEALTH CARE SYSTEMS, INSTITUTIONS OF HIGHER EDUCATION, AND OTHER ORGANIZATIONS. ITS MISSION IS TO STRENGTHEN COLLABORATION AMONG CLINICAL, ACADEMIC, AND BIOTECHNOLOGY AND LIFE SCIENCES ORGANIZATIONS TO ACCELERATE CLINICAL RESEARCH AND TRIALS ACROSS THE COMMONWEALTH TO ADDRESS HEALTH DISPARITIES, IMPROVE OUTCOMES, AND SUPPORT ECONOMIC GROWTH. E. SENTARA CREATED A NEW DEDICATED CHIEF ACADEMIC OFFICER POSITION, WHICH HAS OVERSIGHT OVER SENTARA'S RESEARCH INITIATIVES, PARTICIPATION IN AND SUPPORT OF ACADEMIC TRAINING PROGRAMS, AND CONTINUING MEDICAL EDUCATION (CME) ACTIVITIES. VIII. QUALITY, PATIENT SAFETY, AND COMMUNITY DISTINCTIONS AND AWARDS 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 2023 AWARDS AND RECOGNITIONS: A. SENTARA REMAINED IN THE TOP QUARTILE FOR CLINICAL QUALITY AND SAFETY PERFORMANCE AGAINST OUR INTEGRATED DELIVERY NETWORK (IDN) PEERS. B. SENTARA IS IN THE TOP 10% OF IDNS/PEER ORGANIZATIONS WHEN IT COMES TO ED THROUGHPUT, STANDARDIZED INFECTION RATIO, MEDICARE SPEND PER BENEFICIARY (MSPB), INDIVIDUAL MEDICAL LOSS RATIO (MLR), AND COMMERCIAL NCQA CUSTOMER SATISFACTION. WE RANK TOP QUARTILE FOR COMPLICATIONS, MORTALITY, LARGE GROUP MLR, AND MEDICAID NCQA CUSTOMER SATISFACTION. C. SENTARA WAS NAMED AMONG "THE BEST EMPLOYERS FOR VETERANS" BY FORBES IN 2023. THIS IS THE SECOND YEAR IN A ROW SENTARA HAS RECEIVED THIS RECOGNITION. D. TWO SENTARA PROJECT TEAMS AND TWO SENTARA TEAM MEMBERS WERE HONORED WITH 2023 "HEALTH CARE HEROES" AWARDS BY INSIDE BUSINESS IN THE FOLLOWING CATEGORIES: I. COMMUNITY SERVICE II. CORPORATE ACHIEVEMENT IN HEALTH CARE III. HEALTH CARE SCIENTIST IV. NURSE: INNOVATOR E. SENTARA WAS ONCE AGAIN ACKNOWLEDGED AS THE LEADING COMPANY IN THE ANNUAL "GENEROUS VIRGINIANS" REPORT PUBLISHED BY VIRGINIA BUSINESS MAGAZINE FOR THE 4TH YEAR IN A ROW. F. SENTARA COLLEGE OF HEALTH SCIENCES WON THE "BEST OF COASTAL VIRGINIA" MAGAZINE'S READERS' POLL FOR THE SEVENTH CONSECUTIVE YEAR AND IN THREE CATEGORIES: BEST PRIVATE COLLEGE/UNIVERSITY, BEST TECHNICAL SCHOOL, AND BEST SPECIALTY SCHOOL. THE COLLEGE HAS BEEN SELECTED AS ONE OF THE "2023 GREAT COLLEGES TO WORK FOR" BY MODERNTHINK, WITH DESIGNATION AS AN "HONOR ROLL INSTITUTION" BY EXCELLING IN ALL 10 CATEGORIES MEASURED IN THE SURVEY. G. FOUR SENTARA HOSPITALS WERE RECOGNIZED BY U.S. NEWS & WORLD REPORT AS AMONG THE BEST HOSPITALS IN VIRGINIA FOR MATERNITY CARE: I. SENTARA LEIGH HOSPITAL - NORFOLK, VA II. SENTARA MARTHA JEFFERSON HOSPITAL - CHARLOTTESVILLE, VA III. SENTARA RMH MEDICAL CENTER - HARRISONBURG, VA IV. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER - WILLIAMSBURG, VA H. SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN WOODBRIDGE, VA RECEIVED THE "IBCLC CARE AWARD FOR EXCELLENCE" IN PROVIDING A LACTATION PROGRAM FOR BREASTFEEDING FAMILIES AND IN RECOGNITION OF ITS STAFFING PROFESSIONALS WHO HOLD THE PRESTIGIOUS INTERNATIONAL BOARD - CERTIFIED LACTATION CONSULTANT (IBCLC) CREDENTIAL. I. TWELVE SENTARA HOSPITALS RECEIVED AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S JOINT "GET WITH THE GUIDELINES" (GWTG) AWARDS FOR PROVIDING EXCELLENT STROKE CARE, ULTIMATELY LEADING TO MORE LIVES SAVED AND SHORTER RECOVERY TIMES. GWTG RECOGNIZES HOSPITALS COMMITTED TO DELIVERING THE MOST APPROPRIATE TREATMENT FOR STROKE PATIENTS AND MEET CERTAIN CRITERIA, INCLUDING THE TIME IT TAKES TO GIVE "CLOT BUSTER" MEDICATION TO ACHIEVE THE BEST OUTCOMES. J. ELEVEN SENTARA HOSPITALS RECEIVED THE AMERICAN COLLEGE OF CARDIOLOGY'S "NCDR CHEST PAIN - MI REGISTRY PERFORMANCE ACHIEVEMENT AWARD AND THE "GET WITH THE GUIDELINES (GWTG) MISSION LIFELINE AWARD" FOR 2023. BOTH AWARDS RECOGNIZE SENTARA'S COMMITMENT AND SUCCESS IN IMPLEMENTING A HIGHER STANDARD OF CARE FOR HEART ATTACK PATIENTS. EACH HOSPITAL REACHED AN AGGRESSIVE GOAL OF TREATING PATIENTS WITH A STANDARD LEVEL OF CARE OUTLINED BY THE AMERICAN COLLEGE OF CARDIOLOGY AND THE AMERICAN HEART ASSOCIATION. CONCLUSION: SENTARA HEALTH REMAINS 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. WE ARE COMMITTED TO SUPPORTING THE COMMUNITIES WE SERVE THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT PROGRAM, CREATING A VIBRANT PLACE OF EMPLOYMENT, AND PROVIDING SOLUTIONS TO HEALTH INEQUITIES THROUGH VOLUNTEERISM, GRANTS, SPONSORSHIPS, AND PARTNERSHIPS. FORM 990, PART V, LINE 1A: FORM 1096 AS THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, THE ORGANIZATION MAINTAINS AGENCY RELATIONSHIPS AND ISSUES 1099S ON BEHALF OF OTHER ENTITIES IN THE SYSTEM. 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 1099'S ATTRIBUTABLE SOLELY TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVE TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS IN WHICH SENTARA HEALTH OR ITS SUBSIDIARIES HAVE AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. FORM 990, PART VI, SECTION A, LINE 4 DURING 2023, SENTARA HEALTHCARE CHANGED ITS NAME TO SENTARA HEALTH. THE NAME CHANGE WAS REPORTED WITH THE FILING ORGANIZATION'S 2022 FORM 990. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION USED 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 WORKED CLOSELY WITH OTHER 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 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 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 26 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 37 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 AND CEO, EXECUTIVE VICE PRESIDENT/CLO AND SECRETARY, EXECUTIVE VICE PRESIDENT AND COO, EXECUTIVE VICE PRESIDENT AND CFO, AND OTHER EXECUTIVE VICE PRESIDENTS. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR. 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 IX, LINE 11G NON-EMPLOYEE HEALTHCARE PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 21,971,374. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,971,374. OTHER NON-MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 60,135,039. MANAGEMENT AND GENERAL EXPENSES 13,370,692. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,505,731. FORM 990, PART XI, LINE 9: PARTNERSHIP INCOME BOOK > TAX 345,965. BOOK RECLASS OF INTERCOMPANY ACCOUNT BALANCES TO EQUITY 110,270,497. SUBPART F INCOME NOT ON BOOKS -1,755,798. CAPITAL DISTRIBUTION FROM SUBSIDIARIES 68,039,970. DIVESTMENT IN SUBSIDIARY -423,548,999. SECTION 351 TRANSFER TO SUBSIDIARY -5,950,301. 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