2024-11-11T08:28:40-06:00 2023-12-31 990 2023-01-01 541283337 SENTARA HEALTH PLANS SENT 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 ROBERT A BROERMANN TREASURER 7574557020 2024-11-11 1 2023 2024-10-15 13:58:12Z COLIN DROZDOWSKI 1300 SENTARA PARK VIRGINIA BEACH VA 23464 17060692568 0 X WWW.SENTARAHEALTHPLANS.COM X 1984 VA AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY. 9 5 9 4 2677618 0 0 0 3358739824 5239687228 -3621747 8531274 0 0 3355118077 5248218502 0 0 0 0 3265118 3425350 0 0 0 3295041099 5164203667 3298306217 5167629017 56811860 80589485 887162964 1625590879 511363553 796654856 375799411 828936023 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 5066020559 5237009610 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 5066020559 1 0 0 0 0 0 0 0 0 0 1 0 0 1 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 14651 0 1 9 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 9 5 1 0 1 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 COLIN DROZDOWSKI DIRECTOR/PRESIDENT 22.00 19.00 X X 841906 672324 197193 ROBERT C FORT DIRECTOR/CHAIR 1.00 1.00 X X 0 0 0 CATHIE J VICK DIRECTOR 1.00 1.00 X 0 0 0 FREDERICK C COBLE DIRECTOR 1.00 1.00 X 0 0 0 G WILKINS HUBBARD II MD DIRECTOR 1.00 41.00 X 0 263478 33519 J LES HALL DIRECTOR 1.00 3.20 X 0 2077 0 JEFFERY O SMITH ED D DIRECTOR 1.00 3.80 X 0 44191 0 DENNIS A MATHEIS DIRECTOR 1.00 46.00 X 0 5723707 84854 JAMES M REPP DIRECTOR 1.00 40.00 X 0 0 0 EARL J BARNES II SECRETARY 1.00 48.00 X 0 1094606 143768 JOHN E DEGRUTTOLA SR. VP SALES & MKTING 22.00 18.00 X 435063 347431 118109 KHALED GHALEY SR VP, OPS 22.00 18.00 X 367684 293625 68049 KRISTYN GREIFER SR. VP/CMO 22.00 18.00 X 334169 266858 36010 PATRICIA DARNLEY SR. VP, GOV'T PROGRAMS 22.00 18.00 X 530106 423330 173297 ROBERT A BROERMANN TREASURER (THROUGH 11/23) 1.00 50.00 X 0 2673690 135907 SHARILYN CAMPBELL SR. VP/CFO/TREASURER (EFF 11/23) 22.00 18.00 X 554101 442493 59003 LOUIS PATALANO IV FORMER OFFICER 0.00 0.00 X 0 210869 6 MICHAEL V GENTRY FORMER OFFICER 0.00 50.00 X 0 2142866 78055 3063029 14601545 1127770 9 1 1 0 EXPRESS SCRIPTS ONE EXPRESS WAY SAINT LOUIS MO 63121 PHARMACY BENEFIT MANAGEMENT 516154066 KAISER PERMANENTE PO BOX 64533 NORFOLK VA 23510 HEALTHCARE PROVIDER 200714980 CONSUMER DIRECT CARE NETWORK VA 100 CONSUMER DIRECT WAY MISSOULA MT 21264 FISCAL/EMPLOYER AGENT PROVIDER 164703628 SENTARA HOSPITALS 1300 SENTARA PARK VIRGINIA BEACH VA 23464 HEALTHCARE PROVIDER 91555401 CARILION MEDICAL PO BOX 826755 PHILADELPHIA VA 19182 HEALTHCARE PROVIDER 90007369 1200 SUBSCRIBER PREMIUMS 524298 5239687228 5237009610 2677618 5239687228 16590754 16590754 11804414586 11812461940 12126 -8047354 -12126 -8059480 -8059480 5248218502 5237009610 2677618 8531274 X 3425350 2802279 623071 989271 809323 179948 576712897 476466639 100246258 3074114 2514933 559181 MEDICAL CLAIMS & CAPITA 4576849801 4576849801 TAXES & LICENSES 6749350 6749350 UBIT -171766 -171766 5167629017 5066020559 101608458 0 122715287 145213515 341173945 669601226 11179475 24486180 34533129 24270127 4753822 10263002 365032740 636680439 158399 17565065 42149296 121781452 887162964 1625590879 8847183 33010480 3973985 3293320 498542385 760351056 511363553 796654856 X 0 0 0 0 375799411 828936023 375799411 828936023 887162964 1625590879 X 80589485 26340908 346206219 X 0 1 X 1 0 X X 1 SENTARA HEALTH 521271901 7 1 62000000 0 1 62000000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 310000 310000 1617966 68439 1549527 5015873 4505056 510817 27579292 19696632 7882660 9998 9998 10263002 RECEIVABLES DUE FROM AFFILIATES 121772619 OTHER ASSETS 8833 121781452 MEDICAL CLAIMS PAYABLE 466956580 DUE TO AFFILIATES 111873181 CONTRACT SETTLEMENTS 10586004 PROVIDER REFUNDS 26655817 MEDICAID RISK RESERVE 142171067 ROU LIABILITIES 158395 OTHER LIABILITITES 1950012 760351056 X X X 1 1 1 1 0 0 0 0 0 1 0 DENNIS A MATHEIS DIRECTOR 0 2115675 0 2319360 0 1288672 0 53706 0 31148 0 5808561 0 746489 ROBERT A BROERMANN TREASURER (THROUGH 11/23) 0 1250127 0 1116632 0 306931 0 106554 0 29353 0 2809597 0 0 MICHAEL V GENTRY FORMER OFFICER 0 676459 0 1177775 0 288632 0 60636 0 17419 0 2220921 0 38500 COLIN DROZDOWSKI DIRECTOR/PRESIDENT 506600 404558 271271 216630 64035 51136 92190 73620 17449 13934 951545 759878 0 0 EARL J BARNES II SECRETARY 0 739648 0 225826 0 129132 0 113312 0 30456 0 1238374 0 0 PATRICIA DARNLEY SR. VP, GOV'T PROGRAMS 330810 264177 116342 92908 82954 66245 78058 62336 18294 14609 626458 500275 0 0 SHARILYN CAMPBELL SR. VP/CFO/TREASURER (EFF 11/23) 412356 329298 41365 33033 100380 80162 11009 8791 21797 17406 586907 468690 0 0 JOHN E DEGRUTTOLA SR. VP SALES & MKTING 433790 346415 0 0 1273 1016 48906 39056 16762 13385 500731 399872 0 0 KHALED GHALEY SR VP, OPS 236255 188668 85416 68212 46013 36745 18530 14797 19305 15417 405519 323839 0 0 KRISTYN GREIFER SR. VP/CMO 293784 234608 39094 31219 1291 1031 10262 8195 9759 7794 354190 282847 0 0 G WILKINS HUBBARD II MD DIRECTOR 0 263478 0 0 0 0 0 33496 0 23 0 296997 0 0 LOUIS PATALANO IV FORMER OFFICER 0 0 0 0 0 210869 0 0 0 6 0 210875 0 9326 PART I, LINE 1A THE ORGANIZATION PROVIDED A HOUSING ALLOWANCE TO EXECUTIVE RECRUITS, 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 PAID FOR ITS ALLOCABLE SHARE OF AN OFFICER'S COMPANION TRAVEL TO THE HEALTH SYSTEM'S BOARD RETREAT. THE COMPANION TRAVEL WAS TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES. PART I, LINE 3 SENTARA HEALTH, THE 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 $210,869 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. ROBERT BROERMANN, MICHAEL GENTRY, PATRICIA DARNLEY, COLIN DROZDOWSKI, EARL BARNES, II, 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. 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); AND DENNIS MATHEIS ($1,243,768). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. DURING THE CURRENT TAX YEAR, 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. 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. 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. 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. 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 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 ESTABLISHED 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. SENTARA 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. SENTARA 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. SENTARA 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. SENTARA 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. SENTARA 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. SENTARA 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. SENTARA 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. SENTARA 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 RIGHT 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. SENTARA 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 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 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 THE TAX YEAR, THE FILING ORGANIZATION CHANGED ITS NAME FROM OPTIMA HEALTH PLAN TO SENTARA HEALTH PLANS. THE NAME CHANGE WAS REPORTED WITH THE FILING ORGANIZATION'S 2022 FORM 990. IN ADDITION, SENTARA HEALTH PLANS AND VIRGINIA PREMIER HEALTH PLANS, INC., MERGED JULY 1, 2023; SENTARA HEALTH PLANS IS THE SURVIVING ORGANIZATION. 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, HAS THE FOLLOWING RESERVED POWERS OVER CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION: 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 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 ITS 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 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 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 SECRETARY. THE SECRETARY ALSO SERVED AS EXECUTIVE VICE PRESIDENT AND CLO OF THE SYSTEM. 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 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 476,466,639. MANAGEMENT AND GENERAL EXPENSES 100,246,258. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 576,712,897. FORM 990, PART XI, LINE 9: CAPITAL DISTRIBUTION TO PARENT -62,000,000. MERGER OF VPHP 408,206,219. 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