2025-11-05T11:21:49-06:00 2024-12-31 990 2024-01-01 540506331 SENTARA RMH MEDICAL CENTER SENT 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 MEGAN W YEAGER TREASURER 7574557020 2025-11-05 1 2024 2025-03-06 01:10:19Z DOUGLAS J MOYER 2010 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 656057893 0 X WWW.SENTARA.COM X 1908 VA AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY. 9 5 2186 158 0 0 2824876 3328798 523669037 563024014 672544 8794569 2588 24332 527169045 575171713 8867564 7640567 0 0 228602633 244077004 0 0 1193542 303695127 324729621 541165324 576447192 -13996279 -1275479 264914885 281795460 45335019 51344719 219579866 230450741 X SEE SCHEDULE O 0 0 436228038 7640567 563024014 SEE SCHEDULE O 436228038 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 X 82 0 1 2186 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 VA X CORPORATE OFFICERS 7574557020 1300 SENTARA PARK VIRGINIA BEACH VA 23464 TERRIE L EDWARDS DIRECTOR 1.00 44.00 X 0 1752076 55659 PAUL A GADEN DIRECTOR 1.00 46.40 X 0 1100833 141071 RITA A BUNCH DIRECTOR 1.00 41.40 X 0 495165 31068 MORRIS FENDLEY MD DIRECTOR 40.00 0.40 X 324664 0 -7077 JOSEPH K FUNKHOUSER II DIRECTOR/CHAIR 1.00 3.50 X X 0 40000 0 A JERRY BENSON PHD DIRECTOR 1.00 0.40 X 0 0 0 ARTHUR DEAN II DIRECTOR 1.00 0.00 X 0 0 0 C WAYNE GATES MD DIRECTOR 1.00 0.40 X 0 0 0 DEVON ANDERS DIRECTOR 1.00 0.40 X 0 0 0 ROBERT A BROERMANN TREASURER 1.00 50.00 X 0 3111555 345144 EARL J BARNES II SECRETARY 1.00 51.00 X 0 1489106 152653 DOUGLAS J MOYER PRESIDENT 40.00 3.00 X 776501 0 93230 ROBERT GARWOOD KE (VP/CMO) 40.00 1.00 X 520304 0 58713 GINA YOST KE (VP/CNO) 40.00 0.00 X 300453 0 115745 CATHERINE HUGHES KE (VP OPERATIONS) 40.00 1.00 X 279189 0 38887 JAMIN C ENGEL KE (REGIONAL DIRECTOR PHARMACY OPS) 40.00 0.00 X 279010 0 37429 EDWARD A SANDY KE (EXEC DIRECTOR MED GROUP) 40.00 0.00 X 270394 0 13486 ERWIN SECRETOV PHYSICIAN 40.00 0.00 X 1082429 0 48744 CHRISTOPHER J HESS MD PHYSICIAN 40.00 0.00 X 1056122 0 36116 CLARK BAUMBUSCH PHYSICIAN 20.00 20.00 X 320417 571961 18888 ALAN JOHNSON MD PHYSICIAN 40.00 0.00 X 882324 0 50680 ROBERT LANCEY MD PHYSICIAN 40.00 1.00 X 882324 0 50680 DONNA S HAHN FORMER KE 0.00 0.00 X 0 108782 3148 6974131 8669478 1284264 459 1 1 0 TRIMEDX 5451 LAKEVIEW PARKWAY SOUTH DRIVE INDIANAPOLIS IN 46268 CLINICAL ASSET MANAGEMENT 5888933 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SAN DIEGO CA 92130 HEALTHCARE STAFFING SOLUTIONS 5425769 OBHG VA LLC 777 LOWNDES HILL ROAD GREENVILLE SC 29607 MEDICAL PROFESSIONAL SERVICES 3466996 NIELSEN BUILDERS INC 3588 EARLY ROAD HARRISONBURG VA 22801 CONSTRUCTION 3004522 LANTZ CONSTRUCTION COMPANY 539 SOUTH MAIN STREET BROADWAY VA 22815 CONSTRUCTION 2283920 42 1114227 2214571 5000 3328798 NET PATIENT SRVC REV 621300 559670303 559670303 OTHER PROGRAM SERVICES 621300 3343801 3343801 PREMIUM & CAPITATION REVENUE 621300 9910 9910 563024014 1226895 1226895 84284 259061 -174777 -174777 -174777 88083313 111480 80624115 3004 7459198 108476 7567674 7567674 SALES OF NON-MEDICAL GOODS 900099 192244 192244 DIETARY SALES 722210 6865 6865 199109 575171713 563024014 0 8818901 7233171 7233171 407396 407396 3100928 2556715 544213 190870138 157372429 32886663 611046 12970411 10694104 2243310 32997 24648146 20322396 4244789 80961 12487381 10295846 2152045 39490 115406 95152 20254 182340 150339 32001 26484136 26484136 332882 274461 42378 16043 11153695 9196222 1673985 283488 560285 461955 52931 45399 11296294 9313794 1982500 436425 359832 62703 13890 65895 54330 11565 4090735 3372811 717924 16668649 13743301 2924698 650 3478126 2867715 610411 MEDICAL SUPPLIES 113100206 113100206 SENTARA SERVICE EXPENSE 85965811 85965811 TAXES & LICENSES 34334999 34297375 37624 PURCHASED & CONTRACTED 13925612 11481667 2417830 26115 2538125 2092685 401977 43463 576447192 436228038 139025612 1193542 14384714 17238865 98899 590433 58323285 63812798 101543 107518 9450822 11546219 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DONOR RESTRICTIONS. SCHEDULE D, PART V PRIOR YEAR WAS RESTATED DUE TO A REPORTING ERROR. 1 1 1 X 300.000000000000 1 X 1 1 0 1 1 9376900 9376900 0.01630 93318105 93376941 0 0.00000 102695005 93376941 9376900 0.01630 2856765 2856765 0.00500 4381727 2062121 2319606 0.00400 80563851 49885816 30678035 0.05320 6022722 6022722 0.01040 93825065 51947937 41877128 0.07260 196520070 145324878 51254028 0.08890 266276 266276 0.00050 19043 19043 0.00000 170239 170239 0.00030 245 245 0.00000 8253 8253 0.00000 3671 3671 0.00000 295404 295404 0.00050 192993 192993 0.00030 296216 296216 0.00050 1252340 1252340 0.00210 1 18807391 125779811 139412828 -13633017 X 1 1 1 1 SENTARA RMH MEDICAL CENTER 2010 HEALTH CAMPUS DR HARRISONBURG VA 22801 WWW.SENTARA.COM H-0001891 X X X OTHER MENTAL HEALTH AND SUBSTANCE ABUSE SENTARA RMH MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X SEE SECTION C BELOW. X X 1 22 0 1 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X WWW.SENTARA.COM/BILLING/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X X 1 X 0 0 SENTARA RMH MEDICAL CENTER PART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SENTARA RMH MEDICAL CENTER (SRMC) TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING REPRESENTATIVES OF THE LOCAL PUBLIC HEALTH DEPARTMENTS AND ORGANIZATIONS SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS THROUGH: 1) SURVEYING KEY COMMUNITY STAKEHOLDERS BY USE OF AN ONLINE SURVEY TO IDENTIFY SIGNIFICANT HEALTH PROBLEMS AND SERVICE GAPS; 2) REVIEW OF ASSESSMENTS AND OTHER PLANNING DOCUMENTS PREPARED BY COMMUNITY ORGANIZATIONS SUCH AS THE LOCAL HEALTH DEPARTMENT; AND 3) DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS THROUGH FOCUS GROUPS AND INTERVIEWS.1)SRMC CONVENED A CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT, INCLUDING THE SURVEY. THE COMMITTEE WAS RESPONSIBLE FOR IDENTIFYING KEY STAKEHOLDERS TO RECEIVE THE SURVEY. THE SURVEY LIST WAS REVIEWED TO ENSURE BROAD REPRESENTATION, INCLUDING REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENTS, FREE CLINICS, FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS, COMMUNITY SERVICES BOARDS (MENTAL HEALTH AND SUBSTANCE ABUSE), SOCIAL SERVICES DEPARTMENTS, EDUCATIONAL INSTITUTIONS, PROVIDERS (MEDICAL, DENTAL, ETC.), BUSINESSES, VOLUNTARY HEALTH AGENCIES, AREA AGENCIES ON AGING, CIVIC LEAGUES, THE FAITH COMMUNITY AND OTHER HEALTH AND HUMAN SERVICES ORGANIZATIONS AND GROUPS. DURING THE SURVEY PROCESS, THE RESPONSE RATE WAS MONITORED AND FOLLOW-UP WAS MADE TO ENSURE GOOD AND BROAD REPRESENTATIVE PARTICIPATION.2)THE STEERING COMMITTEE ALSO REVIEWED HEALTH-RELATED ASSESSMENTS AND PLANS DEVELOPED BY OTHER ORGANIZATIONS. AN EXAMPLE IS THE HEALTHY COMMUNITY ASSESSMENT CONDUCTED BY THE HEALTHY COMMUNITY COUNCIL. THE FINDINGS OF THESE REPORTS WERE TAKEN INTO ACCOUNT IN THE IDENTIFICATION OF SIGNIFICANT HEALTH ISSUES AND IN THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION STRATEGIES.3)DIRECT COMMUNICATION WITH COMMUNITY STAKEHOLDERS WAS ALSO AN IMPORTANT PART OF THE PROCESS. MEMBERS OF THE STEERING COMMITTEE PROVIDED INPUT BASED UPON THEIR INVOLVEMENT IN COMMUNITY COALITIONS AND COMMUNITY HEALTH INITIATIVES AND THEIR COMMUNICATIONS WITH INDIVIDUALS IN THE COMMUNITY. IN ADDITION, HOSPITAL STAFF CONDUCTED FOCUS GROUPS TO RECEIVE INPUT FROM SAFETY NET PROVIDERS, A COMMUNITY FOUNDATION, AND OTHERS.4)IN ADDITION TO THE ONLINE SURVEYS FOR COMMUNITY INSIGHT, SRMC CARRIED OUT A SERIES OF MORE IN-DEPTH COMMUNITY FOCUS GROUPS TO OBTAIN GREATER INSIGHT FROM DIVERSE COMMUNITY MEMBERS. FOCUS GROUPS WERE PROMOTED, ELECTRONICALLY AND BY WORD OF MOUTH, TO HOSPITAL PATIENTS AND VISITORS, EXISTING HOSPITAL AND COMMUNITY GROUPS, AND PARTNER ORGANIZATIONS. INPUT WAS ALSO SOUGHT FROM OTHER POPULATIONS IN THE COMMUNITY, INCLUDING REPRESENTATIVES OF UNDERSERVED COMMUNITIES AND CONSUMERS OF SERVICES. SENTARA RMH MEDICAL CENTER PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENT HAVE BEEN MADE AVAILABLE TO OTHER ORGANIZATIONS. THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS: HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SENTARA RMH MEDICAL CENTER PART V, SECTION B, LINE 11: THE SRMC COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED NUMEROUS HEALTH ISSUES. DURING THE CHNA PROCESS, THE HOSPITAL UNDERWENT A PRIORITIZATION PROCESS TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS FOR WHICH IMPLEMENTATION STRATEGIES SHOULD BE DEVELOPED. THE PROCESS CONSIDERED FACTORS SUCH AS SIZE AND SCOPE OF THE HEALTH PROBLEM, THE INTENSITY AND SEVERITY OF THE ISSUE, THE POTENTIAL TO EFFECTIVELY ADDRESS THE PROBLEM AND THE AVAILABILITY OF COMMUNITY RESOURCES, IMPACT ON HEALTH DISPARITIES, THE IMPORTANCE TO THE COMMUNITY, AND SENTARA'S MISSION "TO IMPROVE HEALTH EVERYDAY". FOR THE SIGNIFICANT HEALTH NEEDS, IN ADDITION TO EXECUTION OF THE IMPLEMENTATION STRATEGIES, THE HOSPITAL IS PARTICIPATING IN THE COUNTY-WIDE COLLABORATIVE, THE HEALTHY COMMUNITY COUNCIL (OF HARRISONBURG AND ROCKINGHAM COUNTY). SOME OF THE AREA NEEDS WHICH ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGY WERE IDENTIFIED AS LOWER PRIORITY BECAUSE THEY DID NOT RANK HIGH WITH THE PRIORITIZATION FACTORS. IMPROVING THE MENTAL AND EMOTIONAL WELL-BEING OF ALL LIVING IN THE SRMC SERVICE AREA BY INCREASING ACCESS TO BEHAVIORAL HEALTH SERVICES IS AN IMPORTANT PRIORITY. SENTARA CONTINUES TO IMPROVE ACCESS TO BEHAVIORAL HEALTH RESOURCES KNOWING THAT ONE IN FIVE ADULTS WILL HAVE A MENTAL ILLNESS SEVERE ENOUGH TO REQUIRE TREATMENT, AND MANY MORE WILL HAVE EMOTIONAL AND MENTAL HEALTH PROBLEMS THAT PREVENT THEM FROM FULLY ENJOYING THEIR LIVES. SRMC OFFERS A CONTINUUM OF BEHAVIORAL HEALTH SERVICES, INCLUDING INPATIENT, OUTPATIENT, AND EMERGENCY SERVICES. OUR ADULT BEHAVIORAL HEALTH INPATIENT PROGRAMS PROVIDE DIAGNOSTIC SERVICES AND TREATMENT FOR PEOPLE 18 AND OLDER WHO ARE IN CRISIS DUE TO MENTAL ILLNESS, EMOTIONAL DISTRESS, OR DESTRUCTIVE BEHAVIOR PATTERNS. OUR OUTPATIENT PROGRAM OFFERS A PARTIAL HOSPITALIZATION PROGRAM, INTENSIVE OUTPATIENT PROGRAM, RECOVERY PROGRAMS, AND COUNSELING SERVICES. SENTARA WILL CONTINUE TO PARTNER WITH COMMUNITY MENTAL HEALTH PROGRAMS TO IDENTIFY ALTERNATE PLACEMENT OPTIONS FOR BEHAVIORAL HEALTH EMERGENCY DEPARTMENT PATIENTS.SRMC IS WORKING TO REDUCE THE IMPACT OF CHRONIC DISEASES ON MORBIDITY AND MORTALITY FOR THE COMMUNITY LIVING IN THE SERVICE AREA BY INCREASING DISEASE MANAGEMENT, SUPPORT RESOURCES, AND EDUCATION. SRMC EXTENDS THEIR REACH INTO THE COMMUNITY, WHERE LIFE HAPPENS. SENTARA BRINGS PREVENTION, HOPE, INSPIRATION, AND SUPPORT TO OUR LOCAL COMMUNITY WHERE SRMC ARE WORKING TO REDUCE CHRONIC DISEASE IMPACT. THE CANCER EDUCATORS IMPLEMENT PROGRAMS FOCUSED ON CANCER PREVENTION AND DETECTION AND PROVIDE COMMUNITY OUTREACH BY HOSTING AND PARTICIPATING IN SCREENING AND EDUCATION EVENTS. LOCAL CANCER SCREENING EVENTS FOR ORAL, HEAD AND NECK CANCERS, FIT TESTING FOR COLORECTAL CANCER, BREAST CANCER MAMMOGRAPHY SCREENING AND SKIN CANCER SCREENING EVENTS ARE OFFERED. SRMC CONTINUE TO REMOVE BARRIERS TO WELLNESS FOR UNINSURED OR UNDERINSURED WOMEN FOR MAMMOGRAPHY, INCLUDING SUPPLEMENTING TRADITIONAL MEASURES, SUCH AS ITS MOBILE MAMMOGRAPHY VAN, WITH MORE TARGETED EFFORTS TO REACH UNDERSERVED COMMUNITIES, INCLUDING CONNECTING WITH FAITH LEADERS, PROVIDING TRANSPORTATION FOR THOSE WHO NEED IT AND BUILDING TRUST WITH PATIENTS.IN THE SRMC SERVICE REGION, POPULATIONS WITH GREATEST HEALTH DISPARITIES INCLUDE IMMIGRANTS AND REFUGEES, OLDER ADULTS, LOW-INCOME HOUSEHOLDS, INDIVIDUALS EXPERIENCING HOMELESSNESS, AND RESIDENTS OF RURAL AREAS. ACCESS TO SERVICES IS A KEY DRIVER OF HEALTH DISPARITIES IN THESE POPULATIONS AND INCLUDES LACK OF HEALTHCARE COVERAGE, LACK OF PROVIDER CAPACITY AND AVAILABILITY OF SERVICES, LACK OF TRANSPORTATION AND OTHER SOCIAL DRIVERS OF HEALTH. SRMC THROUGH THE RMH FOUNDATION SUPPORTS THE SUITCASE CLINIC THAT TAKES HEALTHCARE TO HOMELESS SHELTERS AND ADDRESSES HOUSING INSECURITY. JOB TRAINING THROUGH THE HOUSING REDEVELOPMENT AUTHORITY (AHA HOSPITAL SURVEY - PARTNERSHIPS). SRMC PARTNERED WITH OPEN DOORS TO GET THE CITY OF HARRISONBURG TO APPROVE PERMITS TO SHELTER UP TO 10 PEOPLE PER NIGHT FOR 5 NIGHTS FOR THE WINTER OF 2023. SRMC ALSO PARTNERS WITH PRIORITY TRANSPORT FOR PATIENT TRANSPORT TO/FROM APPOINTMENTS AT THE CANCER CENTER.EACH HOSPITAL HAS IMPLEMENTED THE USE OF UNITE US, A CROSS-SECTOR COLLABORATION SOFTWARE ESTABLISHING A NEW STANDARD OF CARE THAT IDENTIFIES SOCIAL NEEDS IN COMMUNITIES, MANAGES ENROLLMENT OF INDIVIDUALS IN SERVICES, AND LEVERAGES MEANINGFUL OUTCOMES DATA AND ANALYTICS TO FURTHER DRIVE COMMUNITY INVESTMENT. TO INCREASE ECONOMIC GROWTH, JOB SECURITY, AND EDUCATIONAL OPPORTUNITIES, SRMC CONTINUES TO COLLABORATE WITH MULTIPLE COLLEGES AND UNIVERSITIES TO PROVIDE FELLOWSHIPS, INTERNSHIPS AND PRECEPTORSHIPS FOR HEALTHCARE PROFESSIONALS AND STUDENTS. SENTARA RMH MEDICAL CENTER PART V, SECTION B, LINE 20E: THE HOSPITAL USES OUTSIDE VENDORS THAT SCREEN ALL PATIENTS WITHOUT INSURANCE FOR ELIGIBILITY FOR GOVERNMENT PROGRAMS, AND FINANCIAL COUNSELORS WHO SCREEN THOSE THAT ARE NOT ELIGIBLE FOR GOVERNMENT PROGRAMS TO DETERMINE WHETHER THEY MEET CRITERIA FOR FINANCIAL ASSISTANCE. IN ADDITION, THE PRESUMPTIVE ELIGIBILITY PROCESS ELIMINATES FROM COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES. PART V, LINE 3E: THE SIGNIFICANT HEALTH NEEDS PRESENTED IN THE CHNA ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY IDENTIFIED BY COMMUNITY MEMBERS VIA MULTIPLE METHODS. IN ADDITION TO A KEY STAKEHOLDER SURVEY CONDUCTED ONLINE, FOCUS GROUPS ARE CONDUCTED, WITH ADDITIONAL INTERVIEWS WITH POLICY MAKERS AND REPRESENTATIVES OF INDEPENDENT COMMUNITY ORGANIZATIONS. SENTARA ENSURES THAT RESPONDENTS TO REQUESTS FOR INPUT REPRESENT MANY TYPES OF COMMUNITY ACTORS: POLICY MAKERS, SERVICE PROVIDERS, REPRESENTATIVES OF PUBLIC HEALTH ORGANIZATIONS, REPRESENTATIVES OF UNDERSERVED POPULATIONS, SOCIAL SERVICE PROVIDERS AND GOVERNMENT FUNCTIONS SUCH AS SCHOOLS, AND THE BUSINESS AND LARGER COMMUNITIES. 28 1 - HAHN CANCER CENTER 2008 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 OUTPATIENT CANCER CENTER 2 - SENTARA RMH ORTHO & SPORTS MED 2509 PLEASANT RUN DRIVE HARRISONBURG VA 22801 REHAB & IMAGING & ORTHOPEDIC CENTER & SPECIALTY PHYSICIAN OFFICE 3 - SENTARA CARDIOLOGY SPECIALISTS 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 4 - SENTARA NEUROLOGY SPECIALISTS 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 5 - SENTARA EVELYN BYRD HEALTH CENTER 1871 EVELYN BYRD AVENUE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES, LAB 6 - REHAB SERVICES-PAVILION 2500 WELLNESS DRIVE HARRISONBURG VA 22801 REHABILITATION SERVICES 7 - SENTARA TIMBER WAY HEALTH CENTER 13892 TIMBER WAY BROADWAY VA 22815 FAMILY PRACTICE, LAB, IMAGING & REHAB 8 - SENTARA RMH FUNKHOUSER WOMENS CTR 2275 HEALTH CAMPS DRIVE HARRISONBURG VA 22801 MAMMOGRAPHY SERVICES, IMAGE RECOVERY 9 - SENTARA SOUTH MAIN HEALTH CENTER 1661 SOUTH MAIN STREET 1ST FLOOR HARRISONBURG VA 22801 FAMILY PRACTICE, LAB, IMAGING & SPECIALTY PHYSICIAN OFFICE 10 - SENTARA E ROCKINGHAM HEALTH CTR 13737 SPOTSWOOD TRAIL ELKTON VA 22827 FAMILY PRACTICE, LAB, IMAGING & REHAB 11 - SENTARA SURGERY SPECIALISTS 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 12 - SENTARA VASCULAR SPECIALISTS 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 13 - SENTARA PULMONARY AND CC SPEC 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 14 - SENTARA BEHAVIORAL HEALTH SPECIALISTS 136 W ELIZABETH ST SUITE 201 HARRISONBURG VA 22801 MENTAL HEALTH CLINIC, MENTAL HEALTH SERVICES 15 - REHAB SERVICES-INDUSTRIAL 1790 E MARKET ST 64B HARRISONBURG VA 22801 FAMILY PRACTICE, IMAGING, OUTPATIENT LAB, & OCCUPATIONAL HEALTH 16 - SENTARA SLEEP MEDICINE SPECIALISTS 1661 SOUTH MAIN STREET 2ND FLOOR HARRISONBURG VA 22801 SLEEP CLINIC, SLEEP LAB 17 - SENTARA RHEUMATOLOGY SPECIALISTS 2509 PLEASANT RUN DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 18 - SENTARA THERAPY CTR EAST ROCKINGHAM 14171 SPOTSWOOD TRAIL ELKTON VA 22827 THERAPY CENTER 19 - SENTARA CARDIOTHORACIC SURGERY SPEC 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 20 - SENTARA MOUNT JACKSON HEALTH CENTER 120 MEDICAL AVENUE MOUNT JACKSON VA 22842 FAMILY PRACTICE 21 - SENTARA EAST MARKET STREET HEALTH CTR 1790-64B EAST MARKET STREET HARRISONBURG VA 22801 FAMILY PRACTICE, IMAGING, OUTPATIENT LAB, & OCCUPATIONAL HEALTH 22 - SENTARA RMH BEHAVIORAL HEALTH 136 W ELIZABETH ST SUITE 201 HARRISONBURG VA 22801 MENTAL HEALTH CLINIC, MENTAL HEALTH SERVICES 23 - SENTARA INTEGRATIVE MED PHYSICIANS 1931 MEDICAL AVENUE HARRISONBURG VA 22801 INTEGRATIVE MEDICINE & SPECIALTY PHYSICIAN OFFICES 24 - SENTARA PRIM CARE & THER CTR-STAUNTON 103 COMMUNITY WAY STAUNTON VA 24401 THERAPY CENTER 25 - SENTARA PALLIATIVE CARE SPECIALISTS 1931 MEDICAL AVENUE HARRISONBURG VA 22801 INTEGRATIVE MEDICINE & SPECIALTY PHYSICIAN OFFICES 26 - SENTARA INFECTIOUS DISEASE SPEC 2006 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 27 - SENTARA OBGYN & MIDWIFERY SPECIALISTS 1790 E MARKET ST STE 64B HARRISONBURG VA 22801 SPECIALTY PHYSICIAN OFFICES 28 - RMG BEHAVIORAL HEALTH OUTPATIENT 2275 HEALTH CAMPUS DRIVE HARRISONBURG VA 22801 MENTAL HEALTH SERVICES PART I, LINE 3C: IN ADDITION TO FPG, THE ORGANIZATION ALSO USED INSURANCE STATUS AND AN ASSET TEST AS FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE:-UNINSURED PATIENTS WITH A HOUSEHOLD INCOME AT OR BELOW 300% OF FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR FREE CARE.-INSURED PATIENTS WITH A HOUSEHOLD INCOME AT OR BELOW 200% OF FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR FREE CARE.-UNINSURED PATIENTS WITH A HOUSEHOLD INCOME ABOVE 300%, BUT AT OR BELOW 400%, OF THE FPG AND WITH LESS THAN $50,000 IN AVAILABLE ASSETS WERE ELIGIBLE FOR DISCOUNTED CARE AT 75% OFF OF GROSS CHARGES."AVAILABLE ASSETS" INCLUDE THE PATIENT HOUSEHOLD'S TOTAL AMOUNT OF ASSETS AVAILABLE, INCLUDING ANY LIQUID AND/OR FIXED ASSETS, FOR USE IN PAYING FOR MEDICAL CARE INCLUDING, BUT NOT LIMITED TO: CASH AND CASH EQUIVALENTS, BANK ACCOUNTS, CERTIFICATES OF DEPOSIT, INVESTMENTS, TRUST ACCOUNTS, AUTOMOBILES, RECREATIONAL VEHICLES AND OTHER FORMS OF LEISURE TRANSPORT, AND REAL ESTATE EQUITY IN REAL PROPERTY OTHER THAN THE PRINCIPAL PLACE OF RESIDENCE. SPECIFICALLY EXCLUDED FROM AVAILABLE ASSETS IS THE EQUITY IN AN APPLICANT'S PRINCIPAL PLACE OF RESIDENCE, PRIMARY SOURCE OF TRANSPORTATION, IRS RECOGNIZED RETIREMENT SAVINGS ACCOUNTS, BUSINESS ASSETS, AND 3.99 ACRES OF LAND. PART I, LINE 6A: THE ORGANIZATION'S COMMUNITY BENEFITS REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTH, EIN 52-1271901, THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. PART I, LINE 7: EXCEPT FOR SUBSIDIZED HEALTH SERVICES, A COST-TO-CHARGE RATIO, CALCULATED USING WORKSHEET 2, WAS USED TO CALCULATE COSTS REPORTED IN THE TABLE. SUBSIDIZED HEALTH SERVICES WERE REPORTED USING A COST-TO-CHARGE RATIO SPECIFIC TO EACH COST CENTER PROVIDING SUCH SERVICES. PART I, LINE 7G: $24,591,232 OF THE AMOUNT REPORTED IN COLUMN (E) IS ATTRIBUTABLE TO PHYSICIAN CLINICS. PART II, COMMUNITY BUILDING ACTIVITIES: THE ORGANIZATION IS PART OF THE SENTARA HEALTH SYSTEM AND FUNDS THE SYSTEM'S COMMUNITY ENGAGEMENT DEPARTMENT AND ITS PROGRAM, SENTARA CARES. SENTARA CARES GOES ABOVE AND BEYOND THE DELIVERY OF MEDICAL CARE AND COMPREHENSIVE HEALTH SERVICES TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH--THE CONDITIONS IN WHICH PEOPLE LIVE, WORK, AND LEARN--WHICH ARE PROVEN TO HAVE A SIGNIFICANT AND LASTING IMPACT ON HEALTH OUTCOMES. THROUGH THE PROGRAM, SENTARA COLLABORATES WITH COMMUNITY ORGANIZATIONS TO ELIMINATE HEALTH DISPARITIES AND PROMOTE EQUITABLE ACCESS TO NUTRITIOUS FOOD, EDUCATION, SAFE AND AFFORDABLE HOUSING, AND STABLE, REWARDING JOB OPPORTUNITIES. DURING THE CURRENT YEAR, THE PROGRAM INCLUDED PARTNERSHIPS WITH LOCAL YMCAS, SCHOOLS, FOOD BANKS, AND HOMELESS SHELTERS; HABITAT FOR HUMANITY; AND VETERAN AND SENIOR SERVICES ORGANIZATIONS. THE ORGANIZATION ALSO PARTICIPATES IN THE FOLLOWING COMMUNITY BUILDING ACTIVITIES:-PHYSICAL IMPROVEMENTS AND HOUSING - THE ORGANIZATION PARTNERED WITH CENTRAL VALLEY HABITAT FOR HUMANITY, COUNCIL ON DOMESTIC VIOLENCE FOR PAGE COUNTY INC., AND STRENGTH IN PEERS TO IMPROVE ACCESS TO HOUSING.-COMMUNITY SUPPORT - TO PROVIDE ADDITIONAL COMMUNITY SUPPORT, THE ORGANIZATION PARTNERED WITH BOYS & GIRLS CLUB OF HARRISONBURG AND ROCKINGHAM COUNTY, CHURCH WORLD SERVICE, CITY OF HARRISONBURG FIRE DEPARTMENT, CREATIVE WORKS FARM, INC., ROCKINGHAM COUNTY, THE SALVATION ARMY, AND VAIL.-LEADERSHIP DEVELOPMENT AND TRAINING - THE ORGANIZATION PARTNERED WITH JAMES MADISON UNIVERSITY TO INCREASE LEADERSHIP DEVELOPMENT OPPORTUNITIES FOR COMMUNITY MEMBERS.-COMMUNITY HEALTH IMPROVEMENT ADVOCACY THE ORGANIZATION PARTNERED WITH MULTIPLE COMMUNITY ORGANIZATIONS SUCH AS CENTRAL SHENANDOAH EMS COUNCIL, INC., COMITE SALVADORENO PAISANOS UNIDOS, HARRISONBURG COMMUNITY HEALTH CENTER, INC., SHENANDOAH LGBTQ CENTER, SHENANDOAH VALLEY PRIDE ALLIANCE, AND VIJANA AFRICA.-OTHER - EMPLOYEES OF THE ORGANIZATION PARTICIPATE IN THE UNITED WAY DAY OF CARING, WHICH CAN INCLUDE ACTIVITIES SUCH AS VARIOUS MAINTENANCE PROJECTS FOR OTHER 501(C)(3) TAX EXEMPT ORGANIZATIONS IN THE COMMUNITY. ADDITIONALLY, THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO WORK WITH COMMUNITY PARTNERS GRANTED FUNDS THROUGH SENTARA CARES ON COMMUNITY BUILDING ACTIVITIES WHICH INCLUDE THE FOLLOWING PARTNERS FOR THE SRMC SERVICE AREA: ADAGIO HOUSE, AVA CARE OF HARRISONBURG, BLUE RIDGE FREE CLINIC, BRIDGE OF HOPE INC., COMIT SALVADOREO PAISANOS UNIDOS (COSPU), DENTON FAMILY CHARITABLE FOUNDATION LTD., EASTERN MENNONITE UNIVERSITY, FIRST STEP: A RESPONSE TO DOMESTIC VIOLENCE, INC., HARRISONBURG CITY SCHOOLS FAMILY AND COMMUNITY ENGAGEMENT DEPARTMENT, HARRISONBURG DOWNTOWN RENAISSANCE, HARRISONBURG ROCKINGHAM COMMUNITY SERVICES BOARD, HOPE DISTRIBUTED, CDC, NEW CREATION VA, NEW BRIDGES IMMIGRANT RESOURCE CENTER, ON THE ROAD COLLABORATIVE, ROCKINGHAM COUNTY, SHENANDOAH HOUSING CORPORATION, SHENANDOAH VALLEY SCHOLARS LATINO INITIATIVE INC., SKYLINE LITERACY, THE ARC OF HARRISONBURG AND ROCKINGHAM INC., UNITED WAY OF HARRISONBURG & ROCKINGHAM COUNTY, INC., VALLEY INTERFAITH ACTION, VALLEY PROGRAM FOR AGING SERVICES, VIRGINIA ORGANIZING, AND WAY TO GO. PART III, LINE 2: FOR SCHEDULE H PART III LINE 2 PURPOSES, THE ORGANIZATION REPORTS WHAT WOULD'VE BEEN CONSIDERED BAD DEBT EXPENSE PRIOR TO ITS 2018 ADOPTION OF ASC TOPIC 606. ASC TOPIC 606 NOW CLASSIFIES THIS COMPONENT OF UNCOMPENSATED CARE AS IMPLICIT PRICE CONCESSIONS, WHICH ARE A REDUCTION TO NET OPERATING REVENUE.IMPLICIT PRICE CONCESSIONS REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS THE ORGANIZATION EXPECTS TO COLLECT BASED ON ITS COLLECTIONS HISTORY WITH THOSE PATIENTS AND CURRENT MARKET CONDITIONS. IT UTILIZES A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS WITH SIMILAR CHARACTERISTICS AS A COLLECTIVE GROUP RATHER THAN INDIVIDUALLY.SEE FOOTNOTE 4 ON PAGES 15-19 OF THE ATTACHED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. PART III, LINE 4: SEE FOOTNOTE 4 ON PAGES 15-19 OF THE ATTACHED FINANCIAL STATEMENTS FOR THE FOOTNOTE WHICH DISCUSSES IMPLICIT PRICE CONCESSIONS (FORMERLY BAD DEBT.) PART III, LINE 8: WORKSHEET A IN THE INSTRUCTIONS WAS USED TO COMPUTE THE AMOUNT REPORTED ON LINE 6. PART III, LINE 9B: UNDER THE ORGANIZATION'S WRITTEN DEBT COLLECTION POLICY, A HOSPITAL FACILITY MUST TAKE REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE PRIOR TO ENGAGING IN COLLECTION EFFORTS AGAINST A PATIENT. SUCH EFFORTS INCLUDE NOTIFYING PATIENTS OF THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE; PROVIDING ASSISTANCE IN THE APPLICATION PROCESS; ADVERTISING THE AVAILABILITY OF FINANCIAL ASSISTANCE ON PATIENT STATEMENTS AND IN THE SENTARA BILL PAY (SBP) ONLINE PORTAL ACCESSED BY PATIENTS THROUGH THE SENTARA WEBSITE, SENTARA MYCHART, OR THE SENTARA APP; FOLLOWING UP WITH PATIENTS WHO HAVE SUBMITTED INCOMPLETE APPLICATIONS TO TRY AND OBTAIN THE MISSING INFORMATION; AND INFORMING APPLICANTS REGARDING THEIR ELIGIBILITY DETERMINATION. IF THE PATIENT QUALIFIES FOR DISCOUNTED CARE THE APPROPRIATE DISCOUNT AMOUNT IS APPLIED TO THE PATIENT'S HOSPITAL ACCOUNTS AND THEY ARE ADVISED OF THE DISCOUNT. PRIOR TO TURNING THE ACCOUNTS OF UNRESPONSIVE PATIENTS OVER TO COLLECTIONS, THE HOSPITAL FACILITY ALSO ATTEMPTS TO QUALIFY AND WRITE OFF BALANCES UNDER THE FINANCIAL ASSISTANCE POLICY BASED ON CREDIT REPORTING DATA THAT ASSISTS IN DETERMINING INCOME AND CREDIT WORTHINESS. WHEN THE CREDIT DATA SUGGESTS THAT A PATIENT'S INCOME IS AT OR BELOW THE 300% FEDERAL POVERTY GUIDELINES THE ACCOUNT BALANCE IS WRITTEN-OFF TO PRESUMPTIVE CHARITY; AND ALL COLLECTIONS EFFORTS CEASE. IF THE CREDIT REPORTING DATA IS UNCLEAR ON AN UNRESPONSIVE PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT MAY BE MOVED TO BAD DEBT AND FURTHER COLLECTIONS ACTIONS TAKEN. IF AT ANY TIME DURING THE BAD DEBT COLLECTIONS PROCESS THE HOSPITAL FACILITY RECEIVES INFORMATION THAT THE PATIENT IS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY, THE COLLECTION EFFORTS CEASE; AND THE ACCOUNT IS DEEMED UNCOLLECTIBLE IN THE HOSPITAL'S COLLECTION SYSTEM AND ALL ATTEMPTS TO COLLECT ON THAT BALANCE STOP. PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITIES THROUGH THESE MEANS:-ANALYSIS OF AREA SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA: THE ANALYSIS FOCUSES ON IDENTIFICATION OF HEALTH CARE NEEDS FOR PLANNING AND DEVELOPMENT OF HEALTH SERVICES AND PROGRAMS. THIS ANALYSIS IS UTILIZED IN THE DEVELOPMENT OF ORGANIZATIONAL PLANS. -OBTAINING INPUT FROM KEY STAKEHOLDERS AND THE PUBLIC HEALTH COMMUNITY: IN ADDITION TO THE ANALYSIS OF SOCIODEMOGRAPHIC, HEALTH STATUS, AND OTHER DATA, ADDITIONAL INFORMATION IS OBTAINED AND ANALYZED. THIS INCLUDES INPUT FROM KEY STAKEHOLDERS INCLUDING THE LOCAL PUBLIC HEALTH COMMUNITY.-REVIEW OF HEALTH CARE NEEDS ASSESSMENTS AND DATA DEVELOPED BY COMMUNITY PARTNERS (SUCH AS STATE HEALTH DEPARTMENTS AND LOCAL HEALTH DISTRICTS), REGIONAL AGENCIES (SUCH AS THE PLANNING COUNCIL OR PLANNING DISTRICT COMMISSION), NATIONAL ORGANIZATIONS WHICH REPORT ON A LOCAL BASIS (SUCH AS COUNTY HEALTH RANKINGS), AND INFORMATION REPORTED IN LOCAL MEDIA: THIS INFORMATION IS STUDIED, INCORPORATED INTO THE ORGANIZATION'S PLANS, AND SHARED WITH ORGANIZATIONAL DECISION MAKERS.-PARTICIPATION IN COLLABORATIVE HEALTH PLANNING AND NEEDS ASSESSMENT ACTIVITIES SUCH AS THOSE SPONSORED BY LOCAL HEALTH DISTRICTS (MAPP - MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) AND OTHER ORGANIZATIONS SUCH AS UNITED WAY. INFORMATION GATHERED THROUGH THESE ACTIVITIES IS INCORPORATED INTO THE ORGANIZATION'S PLANNING.-INFORMATION AND INPUT FROM PATIENTS AND CARE PROVIDERS: PATIENT CHARACTERISTICS AND TRENDS ARE REVIEWED TO ASSIST IN IDENTIFYING NEW COMMUNITY NEEDS. INPUT FROM PATIENTS AND CARE PROVIDERS IS SOUGHT AND CYCLED INTO THE ASSESSMENT PHASE OF PROJECTS. PART VI, LINE 3: FINANCIAL ASSISTANCE BROCHURES AND OTHER INFORMATION ARE POSTED AT EACH POINT OF SERVICE. A LOCAL PHONE NUMBER IS GIVEN TO PATIENTS TO REACH CUSTOMER SERVICE REPRESENTATIVES DURING THE BUSINESS DAY FOR QUESTIONS OR CONCERNS. FINANCIAL ASSISTANCE PROGRAMS ARE ALSO PUBLISHED ON THE ORGANIZATION'S WEBSITE AND INCLUDED ON STATEMENTS AND OTHER NOTICES PROVIDED TO PATIENTS. THE ORGANIZATION EMPLOYS FINANCIAL COUNSELORS WHO ARE AVAILABLE TO HELP PATIENTS COMPLETE APPLICATIONS FOR MEDICAID OR OTHER GOVERNMENT PAYMENT ASSISTANCE PROGRAMS, OR APPLY FOR CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF APPLICABLE. THE ORGANIZATION ALSO CONTRACTS WITH EXTERNAL MEDICAID ELIGIBILITY VENDORS (MEV'S) TO ASSIST IN THE ELIGIBILITY PROCESS AT NO COST TO PATIENTS. PART VI, LINE 4: SENTARA RMH MEDICAL CENTER (SRMH) SERVES RESIDENTS OF THE CITIES OF HARRISONBURG, STAUNTON AND THE COUNTIES OF AUGUSTA, PAGE, ROCKINGHAM, AND SHENANDOAH.BASED ON THE US CENSUS JULY 2022 POPULATION ESTIMATES, THE 2024 POPULATION OF THE SERVICE AREA IS 309,241 AND IS EXPECTED TO GROW OVER THE NEXT TEN YEARS, GROWING BY 6.7% WHILE THE OVERALL US POPULATION IS EXPECTED TO GROW BY 5.7%. THE AGE DISTRIBUTION OF THE POPULATION IS COMPARABLE TO THE OVERALL US DISTRIBUTION, WITH A HIGHER PERCENT OF THE POPULATION 65+ ( 19.9% VS. 19.3%) AND A SLIGHTLY LOWER PERCENT OF THE POPULATION YOUNGER THAN 19 YEARS ( 19.5% VS. 21.7%). A LOWER NUMBER OF RESIDENTS OF THE SERVICE AREA HAVE COMPLETED AT LEAST A HIGH SCHOOL DIPLOMA, 88.0% VS. 89.1% FOR THE US OVERALL, WITH ONLY 26.8% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE, VS. 34.3% FOR THE US AS A WHOLE. THE MEDIAN INCOME OF THE RESIDENTS OF THE SERVICE AREA IS $ 64,007 VS. $ 75,149 FOR THE US, AND A HIGHER PERCENT OF HOUSEHOLDS, 13.3% VS. 11.5%, LIVE IN POVERTY. RACIALLY, THE SERVICE AREA IS HOME TO 88.8% WHITES (VS. 75.5% FOR THE US), 4.9% BLACK/AFRICAN AMERICANS (VS. 13.6% US), 22.8% ASIANS (VS. 6.3% US), WITH 3.8% REPORTING TWO OR MORE RACES VS. 3.0% NATIONALLY. ETHNICALLY, THE SERVICE AREA IS HOME TO 8.6% HISPANICS VS. 19.1% NATIONALLY, AND 83.5% NON-HISPANICS, VS. 58.9% NATIONALLY. PART VI, LINE 5: THE ORGANIZATION'S BOARD MEMBERSHIP IS DETERMINED ANNUALLY THROUGH APPOINTMENT OR RATIFICATION BY ITS SOLE MEMBER, SENTARA HOSPITALS, A 501(C)(3) SUBSIDIARY OF SENTARA HEALTH. A 501(C)(3) VIRGINIA NONSTOCK CORPORATION. SENTARA HEALTH'S COMMUNITY-BASED BOARD IS COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SENTARA HEALTH, NOR FAMILY MEMBERS THEREOF.GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MAY QUALIFY. THE ORGANIZATION'S SURPLUS FUNDS ARE USED FOR IMPROVEMENTS IN PATIENT CARE, PROVISION OF SERVICES TO THE UNINSURED AND UNDERINSURED, MEDICAL EDUCATION, AND COMMUNITY PROGRAMS. PART VI, LINE 6: THE ORGANIZATION IS AFFILIATED WITH THE SENTARA HEALTH SYSTEM ("SENTARA.") 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 34,000 EMPLOYEES (INCLUDING 1,600 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES 1.1M 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. 1 SENTARA HEALTH 1300 SENTARA PARK VIRGINIA BEACH VA 23464 521271901 501(C)(3) 7136061 0 CORPORATE ALLOCATION TO PARENT JAMES MADISON UNIVERSITY MSC 3516 738 S MASON ST ROOM 5100 HARRISONBURG VA 22807 546001756 501(C)(3) 97110 0 SUITCASE CLINIC 2 0 EMPLOYEE RELIEF FUND 25 40635 WELLNESS SCHOLARSHIP 96 52330 MELTON SCHOLARSHIPS 2 7307 SHOWALTER SCHOLARSHIPS 1 500 STEGER SCHOLARSHIPS 8 4000 CANCER PRO EX SHOLARSHIPS 450 CARDIAC PRO EX SCHOLARSHIPS 0 3960 BUSINESS OFFICE INDIGENT PT 12 266580 MAMMOGRAMS FOR INDIGENTS 135 25886 MEDICATIONS FOR CANCER PATIENTS 0 5416 NUTRITIONAL COUNSELING 332 PART I, LINE 2: PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO SENTARA HEALTH, THE 501(C)(3) PARENT ORGANIZATION OF THE SYSTEM, IN FURTHERANCE OF THE SYSTEM'S MISSION TO IMPROVE 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. EXPENDITURE OF SUCH FUNDS IS OVERSEEN BY AN INDEPENDENT COMMUNITY BOARD WHICH MANAGES THE BUSINESS AND AFFAIRS OF THE SYSTEM. SENTARA RMH MEDICAL CENTER HAS A CAREFUL SCREENING PROCESS IN REVIEWING GRANT APPLICANTS. THE APPLICATIONS ARE FIRST REVIEWED BY A SMALL COMMITTEE USING ESTABLISHED CRITERIA SUCH AS: 1) WHAT COMMUNITY NEED IS BEING ADDRESSED, 2) THE ROLE OF PARTNERS IN THE INITIATIVE, 3) AN ACTION PLAN WITH SPECIFIC ACTIVITIES, 4) MEASURABLE GOALS OR OUTCOMES, 5) BUDGET, AND 6) SUSTAINABILITY FOR THE PROJECT IN THE FUTURE. IF AWARDED THE GRANT, THE APPLICANT IS REQUIRED TO SUBMIT A WRITTEN REPORT OF THE OUTCOME WITHIN 12 MONTHS. NO GRANTS ARE MADE OUTSIDE OF THE UNITED STATES. 1 1 0 0 0 0 0 1 0 ROBERT A BROERMANN TREASURER 0 1353258 0 1462129 0 296168 0 313933 0 31211 0 3456699 0 0 TERRIE L EDWARDS DIRECTOR 0 771474 0 808264 0 172338 0 26802 0 28857 0 1807735 0 0 EARL J BARNES II SECRETARY 0 735550 0 624708 0 128848 0 120410 0 32243 0 1641759 0 0 PAUL A GADEN DIRECTOR 0 602947 0 416380 0 81506 0 105592 0 35479 0 1241904 0 7933 ERWIN SECRETOV PHYSICIAN 1020786 0 35000 0 26643 0 10350 0 38394 0 1131173 0 0 0 CHRISTOPHER J HESS MD PHYSICIAN 1004337 0 25000 0 26785 0 885 0 35231 0 1092238 0 0 0 ALAN JOHNSON MD PHYSICIAN 790695 0 50000 0 41629 0 10350 0 40330 0 933004 0 0 0 ROBERT LANCEY MD PHYSICIAN 790695 0 50000 0 41629 0 10350 0 40330 0 933004 0 0 0 CLARK BAUMBUSCH PHYSICIAN 320417 519976 0 49694 0 2291 5335 10590 0 2963 325752 585514 0 0 DOUGLAS J MOYER PRESIDENT 536375 0 176273 0 63853 0 55568 0 37662 0 869731 0 27271 0 ROBERT GARWOOD KE (VP/CMO) 373013 0 144749 0 2542 0 25342 0 33371 0 579017 0 0 0 RITA A BUNCH DIRECTOR 0 283098 0 170917 0 41150 0 21102 0 9966 0 526233 0 0 GINA YOST KE (VP/CNO) 219789 0 71087 0 9577 0 74639 0 41106 0 416198 0 0 0 CATHERINE HUGHES KE (VP OPERATIONS) 194572 0 76467 0 8150 0 4823 0 34064 0 318076 0 0 0 MORRIS FENDLEY MD DIRECTOR 267977 0 40000 0 16687 0 -9954 0 2877 0 317587 0 0 0 JAMIN C ENGEL KE (REGIONAL DIRECTOR PHARMACY OPS) 222518 0 38536 0 17956 0 3509 0 33920 0 316439 0 0 0 EDWARD A SANDY KE (EXEC DIRECTOR MED GROUP) 180452 0 63458 0 26484 0 0 0 13486 0 283880 0 0 0 DONNA S HAHN FORMER KE 0 0 0 0 0 108782 0 0 0 3148 0 111930 0 0 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 USING AN INDEPENDENT COMPENSATION CONSULTANT AND A COMPENSATION STUDY. THE MOST RECENT COMPENSATION ANALYSIS AND RECOMMENDATIONS WERE SUBMITTED TO THE COMPENSATION COMMITTEE IN 2024. 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. PART I, LINES 4A-B DONNA HAHN RECEIVED $108,782 IN COMPENSATION RELATED TO HER SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. ROBERT BROERMANN, TERRIE EDWARDS, DOUGLAS MOYER, PAUL GADEN, EARL BARNES, II, AND RITA BUNCH 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 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 2024, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED TAXABLE DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($245,580); TERRIE EDWARDS ($124,172); DOUGLAS MOYER ($39,182); AND PAUL GADEN ($9,878). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. 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 WILL 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. KEY CONTRIBUTOR AWARDS - REWARDS EXCEPTIONAL INDIVIDUALS OR TEAMS FOR SIGNIFICANT CONTRIBUTION AND RESULTS AS RECOGNIZED BY BUSINESS UNITS. 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. PHYSICIAN PERFORMANCE INCENTIVE AN INCENTIVE DESIGNED TO ENCOURAGE AND RECOGNIZE THE CONTRIBUTIONS AND STEWARDSHIP OF PHYSICIANS IN SENTARA'S INTEGRATED DELIVERY SYSTEM. AWARDS ARE BASED ON THE ACHIEVEMENT OF CLINICAL QUALITY, PATIENT SATISFACTION, FISCAL RESPONSIBILITY AND SYSTEM ALIGNMENT GOALS. 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 1, ORGANIZATION'S MISSION AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH CONDUCTING AND MAINTAINING AN INSTITUTION FOR PERSONS IN NEED OF MEDICAL AND SURGICAL ATTENTION; CARRYING ON EDUCATIONAL ACTIVITIES RELATED TO RENDERING CARE TO SICK AND INJURED OR TO THE PROMOTION OF HEALTH; PROMOTING AND CARRYING ON SCIENTIFIC RESEARCH RELATED TO THE CARE OF THE SICK AND INJURED; AND PARTICIPATING IN ACTIVITIES DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS SENTARA HEALTH I. SENTARA HEALTH-OVERVIEW SENTARA HEALTH CELEBRATES MORE THAN 136 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 34,000 EMPLOYEES (INCLUDING 1,600 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES 1.1 MILLION MEMBERS IN VIRGINIA AND FLORIDA. SENTARA IS NATIONALLY RECOGNIZED 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. SENTARA ALSO PARTICIPATES IN AN ACCOUNTABLE CARE ORGANIZATION (ACO), WHICH SUPPORTS COORDINATED CARE EFFORTS AND VALUE-BASED INITIATIVES TO IMPROVE PATIENT OUTCOMES AND REDUCE HEALTHCARE COSTS. IN 2024, SENTARA CONTINUED THE BRAND EVOLUTION FROM SENTARA HEALTHCARE TO SENTARA HEALTH. THE NEW NAME REFLECTS OUR ENHANCED FOCUS ON PROMOTING THE OVERALL HEALTH AND WELL-BEING OF OUR CONSUMERS-OUR 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. SENTARA STRIVES 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 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 PROVIDES MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. THE VALUE OF COMMUNITY BENEFIT TOTALED $329 MILLION IN 2024. SENTARA PROVIDED $174 MILLION IN NET UNCOMPENSATED PATIENT CARE COSTS; $96 MILLION IN TEACHING & TRAINING OF HEALTHCARE PROFESSIONALS; $40 MILLION IN COMMUNITY GIVING; AND $19 MILLION IN HEALTH & PREVENTION PROGRAMS. SENTARA AND ITS TEAM MEMBERS CONTRIBUTED NEARLY $2.4 MILLION TO THE UNITED WAY THROUGH DIRECT EMPLOYEE CONTRIBUTIONS AND THE EMPLOYEE MATCHING PROGRAM. A. PREVIOUSLY LAUNCHED IN 2022, SENTARA COMMUNITY CARE (SCC) IS AN INNOVATIVE MODEL OF CARE THAT 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 SENTARA DELIVERS INSIDE OF OUR MEDICAL FACILITIES. IN 2024: I. SCC LAUNCHED AN INNOVATIVE SCHOOL-BASED TELEHEALTH PROGRAM IN PARTNERSHIP WITH HAMPTON AND HARRISONBURG, VIRGINIA SCHOOL SYSTEMS, DELIVERING ACUTE PRIMARY CARE SERVICES DIRECTLY TO STUDENTS AND FACULTY IN THEIR OWN SCHOOLS. SENTARA PLANS TO EXPAND TO MORE THAN 25 TITLE I SCHOOLS ACROSS THE COMMONWEALTH OF VIRGINIA. II. SCC OPENED A NEW COMMUNITY CARE CENTER IN HENRICO COUNTY, VIRGINIA. THE NEW CENTER OFFERS COMPREHENSIVE PRIMARY CARE, PEDIATRIC CARE, PRENATAL CARE, BEHAVIORAL HEALTH, ADDICTION MEDICINE, AND SOCIAL CARE SERVICES; A COMMUNITY FOOD PANTRY; AND GREATER ACCESS TO ESSENTIAL COMMUNITY RESOURCES-ALL IN ONE LOCATION. III. A SIXTH SCC "SENTARA MOBILE CARE" VEHICLE WAS INTRODUCED IN SOUTHERN VIRGINIA TO EXPAND ACCESS TO HIGH-QUALITY MEDICAL CARE AND SOCIAL CARE SERVICES ACROSS THE SENTARA NETWORK. IV. SCC PARTNERED WITH THE FOODBANK OF SOUTHEASTERN VIRGINIA AND THE EASTERN SHORE TO OPEN A NEW FOODBANK LOCATION NEXT DOOR TO OUR SCC CENTER IN NORFOLK, VIRGINIA. B. SENTARA CONTINUES OUR EFFORTS THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT (CEI) PROGRAM, SENTARA CARES, TO INSPIRE, EMPOWER AND SUPPORT THE COMMUNITIES SENTARA SERVES IN THE MOST IMPACTFUL WAY. SENTARA IS COMMITTED TO SUPPORTING COMMUNITY-BASED HEALTH OPPORTUNITY PROGRAMS THAT FOCUS ON IMPROVING PUBLIC HEALTH, TACKLING HEALTH INEQUITIES, ADDRESSING SOCIAL DRIVERS OF HEALTH, AND PROMOTING EQUITABLE ACCESS TO CARE IN TRADITIONALLY UNDERSERVED COMMUNITIES. I. SENTARA AWARDED APPROXIMATELY $10 MILLION IN SENTARA CARES GRANTS AND MICROGRANTS TO 219 COMMUNITY ORGANIZATIONS WORKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE INDIVIDUALS LIVING IN THE COMMUNITIES WE SERVE. II. SENTARA INVESTED $3 MILLION IN A BEHAVIORAL HEALTH INNOVATION FUND AIMED AT IMPROVING ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGHOUT THE COMMONWEALTH OF VIRGINIA. THIS FUND FOCUSES ON 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. A. SENTARA PARTNERED WITH THE VIRGINIA STAGE COMPANY (VSC) TO BRING "EVERY BRILLIANT THING," AN INSPIRATIONAL PLAY ABOUT MENTAL HEALTH TO COMMUNITIES. IN 2024, VSC PRESENTED 42 PERFORMANCES OF "EVERY BRILLIANT THING" AT OVER 30 VENUES, REACHING 5,535 ATTENDEES. III. 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. AS PART OF THE PARTNERSHIP WITH LISC, SENTARA SUPPORTED THE PREDEVELOPMENT OF AN UPCOMING 50-UNIT MULTI-FAMILY RENTAL FACILITY CALLED NEWPORT GARDENS; CONSTRUCTION OF 40 ADDITIONAL STUDIO APARTMENTS; AND AWARDING FORKIDS A GRANT TO PROVIDE EMERGENCY SHELTER FOR FAMILIES AND CHILDREN. IV. IN RESPONSE TO MEDICAL STAFF SHORTAGES PLAGUING OUR U.S. HEALTHCARE SYSTEM, SENTARA CONTINUED SENTARA SCHOLARS, ITS PIPELINE DEVELOPMENT PROGRAM TO PROVIDE FINANCIAL SUPPORT TO STUDENTS PURSUING HEALTHCARE CAREERS. IN 2024, SENTARA SCHOLARS PROVIDED $1.18 MILLION IN FINANCIAL SUPPORT TO STUDENTS ACROSS 13 UNIVERSITIES AND EDUCATIONAL INSTITUTIONS. V. SENTARA PARTNERED WITH THE FIVE CITIES OF SOUTH HAMPTON ROADS TO SECURE A $833,800 GRANT FROM THE VIRGINIA OPIOID ABATEMENT AUTHORITY TO PROVIDE A MOBILE CARE VEHICLE DEDICATED TO TREATMENT AND SERVICES FOR INDIVIDUALS WITH OPIOID USE DISORDER IN THE CITIES OF CHESAPEAKE, NORFOLK, PORTSMOUTH, SUFFOLK, AND VIRGINIA BEACH. THE VEHICLE IS PLANNED TO LAUNCH IN 2025. C. SENTARA COMMITTED $350 MILLION OVER 10 YEARS IN SUPPORT OF THE MERGER OF EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) AND OLD DOMINION UNIVERSITY (ODU) TO FORM THE LARGEST ACADEMIC HEALTH SCIENCE CENTER IN VIRGINIA. THE MERGED UNIVERSITY-MACON & JOAN BROCK VIRGINIA HEALTH SCIENCES AT OLD DOMINION UNIVERSITY-IS THE LARGEST HEALTH SCIENCES CENTER IN VIRGINIA WITH MORE THAN 50 DEGREES OFFERED, SEVERAL OF WHICH ARE NOT AVAILABLE ANYWHERE ELSE IN THE COMMONWEALTH. D. SENTARA HAS LONG BEEN COMMITTED TO SUPPORTING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE THROUGH A VARIETY OF PREVENTION AND WELLNESS PROGRAMS. THESE INCLUDE THE EATING FOR LIFE PROGRAM, WHICH PROMOTES BALANCED NUTRITION AND HEALTHY MEAL PLANNING, MOVEMENT RESOURCES THAT ENCOURAGE PHYSICAL ACTIVITY AND STRENGTH-BUILDING ROUTINES, AND YOGA AND MEDITATION TO SUPPORT MINDFULNESS AND STRESS MANAGEMENT. MONTHLY HEALTH AND WELLNESS WEBINARS ARE AVAILABLE ON TOPICS SUCH AS DIABETES MANAGEMENT, HEART HEALTH, NUTRITION, AND PREVENTIVE SCREENINGS. E. SENTARA ORGANIZES AND HOSTS NUMEROUS COMMUNITY EVENTS AIMED AT RAISING AWARENESS ABOUT CRUCIAL HEALTH ISSUES ALIGNED WITH KEY AWARENESS MONTHS. SENTARA CURRENTLY RECOGNIZES EIGHT KEY AREAS OF FOCUS: HEART AND VASCULAR HEALTH, STROKE AWARENESS, BEHAVIORAL HEALTH, COLON CANCER, PROSTATE CANCER, BREAST CANCER, LUNG CANCER, AND CANCER SURVIVORSHIP. THESE EFFORTS INCLUDE PROMOTING PREVENTIVE CARE AND EARLY DETECTION THROUGH HEALTH SCREENINGS, WEBINARS, AND WELLNESS RESOURCES. FORM 990, PART III, LINE 4A F. 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 INDIVIDUAL SURVIVORS AND THEIR FAMILIES IN IMPROVING THE QUALITY OF THEIR LIVES AND TACKLING THE GUN VIOLENCE EPIDEMIC. G. SENTARA'S 3D MOBILE MAMMOGRAPHY VAN-ORIGINALLY UNVEILED IN 2023-IS BUILDING DOZENS OF PARTNERSHIPS TO INCREASE BREAST CANCER SCREENINGS IN UNDERSERVED COMMUNITIES. IN 2024, THE MOBILE VAN PARTICIPATED IN SEVERAL COMMUNITY EVENTS IN PORTSMOUTH, VA AS PART OF HEALTHY PORTSMOUTH'S "YEAR OF MAMMOGRAPHY PROJECT" TO COMBAT THE CITY'S HIGH RATE OF BREAST CANCER DEATHS. THE VAN CONTINUES TO INCREASE ITS OUTREACH, INCLUDING A NEW PARTNERSHIP WITH OLD DOMINION UNIVERSITY COMMUNITY CARE AND AN UPDATED AGREEMENT WITH VIRGINIA BEACH CITY PUBLIC SCHOOLS. H. SENTARA HIRED A DIRECTOR OF SUSTAINABILITY TO REDUCE ITS CARBON FOOTPRINT AND MAXIMIZE HEALTHY ENVIRONMENTS FOR PATIENTS AND EMPLOYEES. THE SYSTEM EFFORT BEGAN WITH EVALUATING THOUSANDS OF PRODUCTS PURCHASED THROUGH SENTARA SUPPLY CHAIN AND EXTENDS TO AIR CONDITIONING AND HEATING SCHEDULES, RECYCLING, COMPOSTING, GREEN SPACES, AND WATER AND ENERGY CONSUMPTION. I. PARTNERING TO IMPROVE HEALTH AND WELLNESS: I. SENTARA PARTNERED WITH THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES AND COMMUNITY ORGANIZATIONS TO HOST A REGIONAL MATERNAL HEALTH CONVENING, BRINGING TOGETHER HEALTHCARE PROFESSIONALS, ACADEMIC INSTITUTIONS, PROVIDERS, INSURERS, FAITH-BASED LEADERS, AND COMMUNITY LEADERS TO SHARE BEST PRACTICES AND RECOMMENDATIONS TO REDUCE DISPARITIES IN MATERNAL HEALTH. II. SENTARA IS PART OF A $2 MILLION REGIONAL PARTNERSHIP PROJECT AIMING TO REDUCE GUN VIOLENCE IN HAMPTON ROADS BY MERGING COMMUNITY-BASED PROGRAMS AND RESEARCH. UNDER THE INITIATIVE, GUN VIOLENCE VICTIMS AND AFFECTED PEOPLE WHO RECEIVE SUPPORT THROUGH HOSPITAL-BASED INTERVENTION PROGRAMS WILL BE CONNECTED WITH COMMUNITY PARTNERS AND SUPPORTED THROUGH THE SAFER TOGETHER PROGRAM. III. SENTARA PARTNERED WITH 10 BLACK CHURCHES IN HAMPTON ROADS TO STUDY THE BEST WAY TO CONTROL HIGH BLOOD PRESSURE, OR HYPERTENSION, WHICH DISPROPORTIONALLY IMPACTS BLACK COMMUNITIES. IV. AS PART OF NATIONAL MINORITY HEALTH MONTH, SENTARA PARTNERED WITH THE REGIONAL CANCER DISPARITIES COLLABORATIVE TO HOST THE THIRD ANNUAL HEALTH EQUITY PANEL: "LET'S GET TO THE BOTTOM OF CANCER." THE PURPOSE OF THE EVENT WAS TO EDUCATE COMMUNITY MEMBERS ABOUT COLORECTAL CANCER, ENCOURAGE SCREENINGS, AND PROVIDE RESOURCES TO THOSE IN NEED. V. SENTARA HOSTED A BLACK MEN IN WHITE COATS YOUTH SUMMIT, AN EVENT WHICH ENCOURAGES YOUNG PEOPLE OF COLOR, BOTH MALE AND FEMALE, TO PURSUE CAREERS IN THE MEDICAL FIELD. VI. SENTARA HEALTH PLANS AND VIRGINIA CHILDREN'S CARE NETWORK ANNOUNCED A NEW VALUE-BASED CARE PARTNERSHIP FOCUSING ON COMPREHENSIVE CARE COORDINATION FOR MEDICAID MEMBERS AND REDUCING AVOIDABLE HEALTHCARE EVENTS. THE PARTNERSHIP EXPECTS TO DRIVE BETTER CHILDHOOD HEALTH OUTCOMES, PARTICULARLY WITH CHILDHOOD IMMUNIZATIONS AND WELLNESS VISITS. VII. SENTARA HEALTH PLANS PARTNERED WITH HAMPTON ROADS PUBLIC SCHOOLS TO INTRODUCE A PIONEERING PROGRAM DESIGNED TO ADDRESS THE SOCIAL DRIVERS OF HEALTH AFFECTING STUDENTS, AND TO CONNECT THEM WITH VITAL COMMUNITY RESOURCES. THE PILOT PROGRAM ASSIGNS A DEDICATED LIAISON TO PUBLIC SCHOOLS IN THE VIRGINIA DEPARTMENT OF EDUCATION'S TIDEWATER REGION, WORKING CLOSELY WITH SCHOOL COUNSELORS, TEACHERS, AND ADMINISTRATORS TO CREATE A TAILORED APPROACH THAT MEETS THE UNIQUE NEEDS OF EACH SCHOOL AND REGION. 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. SENTARA CONTRIBUTED $75 MILLION IN RETIREMENT SAVINGS MATCHES AND WAS ABLE TO PROVIDE OUR TEAM MEMBERS WITH A YEAR-END BONUS TOTALING $17 MILLION. III. SENTARA CONTINUES TO INVEST IN EDUCATION AND LEARNING BENEFITS WITH $37.7 MILLION PAID TOWARDS EDUCATIONAL ASSISTANCE AND STUDENT LOAN REPAYMENTS. B. SENTARA ADDED MORE THAN 7,800 NEW PEOPLE TO OUR TEAM AND IS SEEING GREAT IMPROVEMENTS IN OUR RETENTION EFFORTS. TOTAL TURNOVER IN 2024 WAS 14.4% COMPARED TO THE INDUSTRY AVERAGE OF 20.7%. NURSING TURNOVER WAS 13.2%, VERSUS THE INDUSTRY AVERAGE OF 18.4%. C. SENTARA IMPLEMENTED AND EXPANDED SEVERAL WORKPLACE VIOLENCE PREVENTION PROGRAMS, INCLUDING THE FOLLOWING: I. IN 2024, SENTARA CONTINUED THE EXPANSION OF A TWO-YEAR PILOT WITH A CONCEALED WEAPON DETECTION SYSTEM IN OUR HOSPITALS. THE SYSTEM DETECTS FIREARMS, KNIVES, CHEMICAL MACE, AND OTHER WEAPONS AS VISITORS WALK THROUGH, SO ARMED SECURITY PERSONNEL CAN INTERCEPT. II. MORE THAN 100 SENTARA SECURITY OFFICERS HAVE UNDERGONE A VIRGINIA DEPARTMENT OF CRIMINAL JUSTICE SERVICES TRAINING PROGRAM, WHICH WILL PERMIT OFFICERS TO STAFF AND CARRY FIREARMS AT THE WEAPON DETECTION SYSTEMS. OFFICERS ARE ALSO TRAINED ON 'STOP THE BLEED' PROTOCOLS. III. SENTARA EXPANDED COMPUTER-BASED DE-ESCALATION TRAINING TO ALL COLLEAGUES, BEYOND THE REQUIRED TRAINING FOR WORKERS IN EDS, ICUS, AND FAMILY MATERNITY UNITS. IV. SENTARA STREAMLINED THE PROCESS FOR TEAM MEMBERS TO REPORT WORKPLACE VIOLENCE INCIDENTS. MOST HOSPITALS ARE INSTALLING TELEMAGISTRATE SYSTEMS THAT ENABLE TEAM MEMBERS TO TALK TO A MAGISTRATE AND FILE CHARGES FROM THE HOSPITAL, MAKING IT EASIER TO REQUEST A WARRANT AT ALL HOURS. V. OVERHEAD SECURITY ALERTS ARE NOW ANNOUNCED THROUGH A TIERED PROCESS OF THREE CATEGORIES TO ENSURE APPROPRIATE LEVELS OF RESPONSE BY SECURITY OFFICERS. D. SINCE 2003, SENTARA HAS ALLOCATED OVER $6.65 MILLION 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 2024, MORE THAN $865,000 WENT TO APPROXIMATELY 500 EMPLOYEES IN CRISIS. E. SENTARA OBICI HOSPITAL IS THE FIRST HOSPITAL IN VIRGINIA AND NORTH CAROLINA-AND ONE OF ONLY 101 IN THE COUNTRY-TO PARTICIPATE IN THE FEDERALLY FUNDED COMMUNITIES AND HOSPITALS ADVANCING MATERNITY PRACTICES OR CHAMPS. THE PROGRAM OFFERS TRAINING FOR STAFF ON BEST PRACTICES TO IMPROVE MATERNAL AND CHILD HEALTH OUTCOMES THROUGH BREASTFEEDING SUPPORT. F. TO ADDRESS THE NATIONWIDE SHORTAGE OF RESPIRATORY THERAPISTS, SENTARA AND TIDEWATER COMMUNITY COLLEGE (TCC) ESTABLISHED THE RESPIRATORY THERAPY APPRENTICESHIP PROGRAM, WHICH ALLOWS STUDENTS ENROLLED IN THE TWO-YEAR PROGRAM AT TCC TO BECOME FULL-TIME EMPLOYEES OF SENTARA, AND COVERS NEARLY $18,000 WORTH OF TUITION, BOOKS, SCRUBS, AND CERTIFICATION. G. SENTARA LAUNCHED A TRANSITION TO PRACTICE PROGRAM, WHICH AIMS TO SUPPORT 750 NEW NURSES A YEAR, PROVIDING SPECIALIZED SKILL TRAINING, MENTORING FROM VETERAN NURSES, AND CONFIDENCE-BUILDING EXERCISES. THE GOAL IS TO HELP NEW NURSES TRANSITION SEAMLESSLY INTO A RANGE OF POSITIONS ACROSS SENTARA'S ACUTE, POST-ACUTE AND AMBULATORY SYSTEM. IV. GROWTH IN SENTARA HEALTH A. OUR TRANSFORMATION OFFICE MANAGED 1,199 INITIATIVES LED BY 850 INITIATIVE OWNERS IN SUPPORT OF OUR STRATEGIC PLAN. B. SENTARA CONTINUED THE INTEGRATION OF FLORIDA-BASED AVMED INTO OUR SENTARA HEALTH PLANS OPERATIONS. C. SENTARA ANNOUNCED A $37 MILLION INCREASE ON ITS ORIGINAL INVESTMENT TO CONSTRUCT A NEW ACUTE CARE REPLACEMENT HOSPITAL FOR THE CURRENT SENTARA HALIFAX REGIONAL HOSPITAL, FROM $70 MILLION TO $107 MILLION. 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. D. SENTARA MEDICAL GROUP OPENED OR EXPANDED THE FOLLOWING NEW PRACTICES: I. SENTARA FAMILY MEDICINE PHYSICIANS (CENTERVILLE) IN VIRGINIA BEACH, VIRGINIA II. SENTARA FAMILY MEDICINE & PEDIATRICS IN HAMPTON, VIRGINIA III. SENTARA BEHAVIORAL HEALTH SPECIALISTS IN HAMPTON, VIRGINIA IV. SENTARA OBSTETRICS, GYNECOLOGY & MIDWIFERY SPECIALISTS IN HARRISONBURG, VIRGINIA (ACQUISITION) V. VELOCITY URGENT CARE (CENTERVILLE) IN VIRGINIA BEACH, VIRGINIA VI. SENTARA OBSTETRICS, GYNECOLOGY & MIDWIFERY SPECIALISTS IN ELIZABETH CITY, NORTH CAROLINA (ADDED MIDWIFERY) VII. THE CENTER FOR PLASTIC SURGERY AT SENTARA PRINCESS ANNE IN VIRGINIA BEACH, VIRGINIA (ADDED PROCEDURAL SUITE) FORM 990, PART III, LINE 4A E. SENTARA THERAPY SERVICES OPENED OR EXPANDED THE FOLLOWING PRACTICES: I. SENTARA THERAPY CENTER (CENTERVILLE) IN VIRGINIA BEACH, VIRGINIA II. SENTARA THERAPY CENTER (TANGLEWOOD PEDIATRICS) IN ELIZABETH CITY, NORTH CAROLINA (RELOCATION) F. SENTARA NORFOLK GENERAL HOSPITAL UNVEILED A NEWLY RENOVATED ANTEPARTUM UNIT FOR HIGH-RISK PREGNANT WOMEN, EXPANDING FROM 15 TO 21 BEDS TO INCREASE ACCESS TO CARE FOR WOMEN ACROSS HAMPTON ROADS. G. SENTARA OBSTETRICS, GYNECOLOGY, AND MIDWIFERY SPECIALISTS PARTNERED WITH HARRISONBURG OBGYN TO EXPAND AND ENHANCE WOMEN'S HEALTH SERVICES IN HARRISONBURG, VIRGINIA. H. SENTARA NORTHERN VIRGINIA MEDICAL CENTER IN WOODBRIDGE, VIRGINIA, INVESTED $1 MILLION IN IMPROVEMENTS TO ITS EMERGENCY DEPARTMENT TO INCREASE FUNCTIONALITY, ENHANCE THE PATIENT EXPERIENCE, AND STRENGTHEN SECURITY MEASURES FOR VISITORS AND STAFF. I. SENTARA ANNOUNCED PLANS TO ROUGHLY DOUBLE RESIDENCY POSITIONS IN THE NEXT SIX YEARS, SIGNIFICANTLY INCREASING THE PIPELINE OF FUTURE PHYSICIANS. SENTARA WILL ADD RESIDENCIES AND FELLOWSHIPS AT SENTARA NORFOLK GENERAL HOSPITAL IN NORFOLK, VIRGINIA, AND ESTABLISH NEW RESIDENCY PROGRAMS IN NORTHERN VIRGINIA, THE VIRGINIA PENINSULA, AND NORTHEASTERN NORTH CAROLINA. I. SENTARA ALSO IS PARTNERING WITH THE NEWLY FORMED MACON & JOAN BROCK VIRGINIA HEALTH SCIENCES AT OLD DOMINION UNIVERSITY TO BOOST TRAINING OPPORTUNITIES AND GROW THE HEALTHCARE WORKFORCE IN HAMPTON ROADS. J. ALL 12 SENTARA HOSPITALS IN VIRGINIA AND NORTH CAROLINA ARE ADDING THE PRITIKIN INTENSIVE CARDIAC REHAB PROGRAM TO HELP ENSURE THAT PATIENTS MAKE FULL AND LASTING RECOVERIES FROM CARDIAC EVENTS. THE PRITIKIN PROGRAM EMBRACES THREE PILLARS: EXERCISE, NUTRITION, AND A HEALTHY MINDSET TO EMPOWER PATIENTS TO MAKE GOOD, HEALTHY CHOICES. K. SENTARA HEALTH AND MACON & JOAN BROCK VIRGINIA HEALTH SCIENCES AT OLD DOMINION UNIVERSITY JOINED FORCES TO LAUNCH THE SENTARA-EVMS COMPREHENSIVE SICKLE CELL PROGRAM, THE FIRST ADULT SICKLE CELL CLINIC IN HAMPTON ROADS. L. SENTARA NORFOLK GENERAL HOSPITAL BEGAN OFFERING HYPERTHERMIC INTRAPERITONEAL CHEMOTHERAPY (HIPEC) TO TREAT OVARIAN CANCER. M. SENTARA OPENED A NEW CLINIC FOR BEHAVIORAL HEALTH CARE IN HAMPTON, VIRGINIA. THE NEW OUTPATIENT CENTER IS SENTARA'S FIRST DEDICATED BEHAVIORAL HEALTHCARE CLINIC ON THE VIRGINIA PENINSULA, HELPING TO EXPAND ACCESS IN THE REGION. V. BY THE NUMBERS 1.1 MILLION PATIENTS AND 1.1 MILLION HEALTH PLAN MEMBERS SERVED; 7,800 NEW COLLEAGUES; 135,000 ADULT HOSPITAL ADMISSIONS; 859,206 EMERGENCY DEPARTMENT VISITS; 15,404 BABIES DELIVERED; 746 LIFE-SAVING TRIPS FROM THE NIGHTINGALE REGIONAL AIR AMBULANCE; AND 117,776 MEDICAL, BEHAVIORAL AND PREGNANCY CASES MANAGED THROUGH OUR HEALTH PLANS. VI. DIGITAL & TECHNOLOGY INITIATIVES AND INVESTMENTS A. SENTARA LAUNCHED A MULTI-YEAR IT INVESTMENT PLAN (2023-2026) IN SUPPORT OF IT FOUNDATIONAL NEEDS. I. SENTARA ESTABLISHED CORE IT FOUNDATIONAL AND INNOVATION INVESTMENTS AROUND CLINICAL ACCESS AND CARE IMPROVEMENTS, CONSUMER RELATIONSHIP MANAGEMENT, WORKFORCE EFFICIENCIES, AND GENAI. II. SENTARA ESTABLISHED THREE ADDITIONAL CENTERS OF EXCELLENCE: TESTING, AUTOMATION, AND AGILE TRANSFORMATION. III. AS PART OF ITS COMMITMENT TO EXPAND ACCESS TO CARE, SENTARA LAUNCHED VIRTUAL EXPRESS CARE, A NEW, ON-DEMAND SERVICE THAT OFFERS VIDEO VISITS TO ADDRESS SIMPLE CONCERNS BY A TEAM OF VIRTUAL CARE PROVIDERS. WITH LESS THAN A 30-MINUTE AVERAGE WAIT, PATIENTS HAVE ACCESS TO THIS PROGRAM FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY. IV. SENTARA CREATED AN AI OVERSIGHT PROGRAM STAFFED BY SENIOR LEADERS TO OVERSEE USE CASES AND DEVELOPMENT OF AI TOOLS ACROSS SENTARA. THE COMMITTEE DEVISED EIGHT AI PRINCIPLES TO ENSURE THAT SENTARA DEVELOPS AND USES AI SOLUTIONS SAFELY, RESPONSIBLY, AND IN A TRUSTWORTHY FRAMEWORK. V. SENTARA LAUNCHED A CLINICAL ACCESS CENTER THAT IS NOW SERVING 188 MEDICAL PRACTICES AND IMAGING/DIAGNOSTIC TESTING FOR 12 HOSPITALS. VI. SENTARA MEDICAL GROUP BEGAN USING AN ARTIFICIAL INTELLIGENCE TOOL CALLED DAX COPILOT TO AUTOMATE CLINICAL NOTES, PART OF AN INITIATIVE TO REDUCE PROVIDER WORKLOAD WHILE IMPROVING PATIENT CARE. VII. AS THE HEALTHCARE INDUSTRY FACES ONGOING WORKFORCE CHALLENGES, SENTARA IMPLEMENTED A VIRTUAL NURSING SYSTEM TO REDUCE ADMINISTRATIVE WORKLOAD AND ASSIST WITH TASKS SUCH AS PATIENT ADMISSIONS, DISCHARGES, AND PATIENT EDUCATION. NEW TECHNOLOGY IS DEPLOYING ACROSS ALL 12 SENTARA HOSPITALS TO IMPROVE NURSING RETENTION/RECRUITING AND PATIENT EXPERIENCE. B. SENTARA CARDIOLOGY SPECIALISTS ADOPTED A NEW TECHNOLOGY FOR CONTROLLING ATRIAL FIBRILLATION, OR IRREGULAR HEARTBEAT. THE FARAPULSE PULSED FIELD ABLATION SYSTEM USES ELECTRICAL PULSES, RATHER THAN HEAT OR COLD, TO ABLATE THE HEART TISSUES CAUSING IRREGULAR HEART RHYTHMS. C. THE SURGERY TEAM AT SENTARA ALBEMARLE MEDICAL CENTER WELCOMED A DA VINCI ROBOTIC SURGERY SYSTEM TO PERFORM GYNECOLOGICAL AND GENERAL SURGERY CASES. D. AFTER BECOMING THE SOLE OWNER OF VELOCITY URGENT CARE IN DECEMBER 2023, SENTARA MOVED ITS 17 VELOCITY URGENT CARE CENTERS ONTO ITS EPIC ELECTRONIC MEDICAL RECORD. E. SENTARA EQUIPPED CLINICIANS AT ALL 12 HOSPITALS WITH NEARLY 6,000 SPECIALIZED SMARTPHONES THAT STREAMLINE COMMUNICATION AND IMPROVE PATIENT CARE. SMARTPHONES ARE EXPECTED TO FACILITATE FASTER ADMISSIONS TO THE EMERGENCY DEPARTMENT, REDUCE HOSPITAL LENGTH OF STAY, AND ACCELERATE THE AVERAGE NURSE RESPONSE TIME. 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 SENTARA SERVES. B. SENTARA IS ONE OF THREE VIRGINIA HEALTH SYSTEMS THAT TOGETHER WILL SERVE AS ONE OF EIGHT GROUPS IN THE U.S. TO CONDUCT GROUNDBREAKING RESEARCH FOR THE CANCER SCREENING RESEARCH NETWORK (CSRN), LAUNCHED BY THE NATIONAL CANCER INSTITUTE, PART OF THE NATIONAL INSTITUTES OF HEALTH. THE NEW CLINICAL TRIALS NETWORK CREATES A NATIONAL INFRASTRUCTURE TO STUDY EMERGING CANCER SCREENING AND PREVENTION TECHNOLOGIES, WITH THE GOAL OF REDUCING CANCER-RELATED ILLNESSES AND DEATHS. THE CSRN WILL AMPLIFY EFFORTS TO EVALUATE THE BENEFITS AND HARMS OF PROMISING NEW TECHNOLOGIES FOR CANCER SCREENING AND TO IDENTIFY EFFECTIVE STRATEGIES TO INCORPORATE THESE TECHNOLOGIES INTO THE STANDARD OF CARE. C. A NEW STUDY BY SENTARA RESEARCHERS OFFERS AN IN-DEPTH ANALYSIS OF HIGH BLOOD PRESSURE TRENDS IN SENTARA'S PATIENT POPULATION, WHICH SPANS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE RESEARCH, WHICH ANALYZES DATA FROM THE REGION, WILL HELP SENTARA CREATE TARGETED LOCAL HEALTHCARE INITIATIVES. VIII. QUALITY, PATIENT SAFETY, AND COMMUNITY DISTINCTIONS AND AWARDS A. 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 2024 ACCOMPLISHMENTS, AWARDS, AND RECOGNITIONS: I. APPROACHING TOP QUARTILE FOR PATIENT EXPERIENCE AND LENGTH OF STAY AGAINST PEER ORGANIZATIONS. II. APPROACHING TOP QUARTILE FOR SEPSIS SEP-1 BUNDLE COMPLIANCE AGAINST PEER ORGANIZATIONS. INCREASED COMPLIANCE BY 83% SINCE 2022. III. ACHIEVED 62% REDUCTION IN HOSPITAL ACQUIRED INFECTIONS SINCE 2016 (565 IN 2016 VERSUS 216 IN 2024). IV. APPROACHING TOP DECILE PERFORMANCE FOR RATE YOUR PROVIDER AMBULATORY CUSTOMER SATISFACTION SCORE. V. 13 OF 17 SENTARA EMERGENCY DEPARTMENTS (ED) ARE IN THE 61ST PERCENTILE OR ABOVE FOR ED TURNAROUND TIME, WITH THE MAJORITY BEING ABOVE THE 80TH PERCENTILE. VI. SENTARA WAS RECOGNIZED AS ONE OF "AMERICA'S BEST-IN-STATE EMPLOYERS" BY FORBES IN 2024. SENTARA RANKED 32 OUT OF 90 VIRGINIA EMPLOYERS ON THE LIST AND IS THE SECOND-RANKED HEALTHCARE EMPLOYER. VII. THREE SENTARA HOSPITALS EARNED RECOGNITION IN NEWSWEEK'S BEST-IN-STATE HOSPITALS 2024 RANKINGS, HIGHLIGHTING THE LEADING HOSPITALS IN EVERY STATE. THE RANKINGS ARE COMPILED USING PATIENT SAFETY AND QUALITY METRICS DATA FROM MORE THAN 700 OF THE NATION'S HOSPITALS, RESULTS FROM PATIENT EXPERIENCE SURVEYS, AND RESULTS FROM MEDICAL PROFESSIONAL SURVEYS. A. SENTARA MARTHA JEFFERSON HOSPITAL-CHARLOTTESVILLE, VIRGINIA B. SENTARA LEIGH HOSPITAL-NORFOLK, VIRGINIA C. SENTARA NORFOLK GENERAL HOSPITAL-NORFOLK, VIRGINIA FORM 990, PART III, LINE 4A THE HOSPITAL PROVIDES HIGH-QUALITY HEALTH CARE TO THE COMMUNITY BY OFFERING THE LATEST TECHNOLOGY AND THE BEST TECHNICAL EXPERTISE. THE HOSPITAL SERVES A SEVEN-COUNTY AREA WITH A POPULATION AROUND 309,000, ADMITTING MORE THAN 17,000 INPATIENTS IN 2024. THE HOSPITAL IS LICENSED AS A 238-BED HOSPITAL AND PROVIDES AN APPROPRIATE ARRAY OF REGIONAL COMMUNITY HOSPITAL SERVICES INCLUDING ONCOLOGY, CARDIOLOGY INCLUDING CARDIAC SURGERY, BEHAVIORAL HEALTH, OBSTETRICS AND WOMEN'S SERVICES, OUTPATIENT AND INPATIENT SURGERY, SLEEP MEDICINE, EMERGENCY CARE, SENIOR SERVICES, HOME AND HOSPICE CARE, PHYSICIAN PRACTICES AND A VARIETY OF OTHER OUTPATIENT SERVICES AS WELL AS EDUCATION AND OUTREACH. THE HOSPITAL IS HOME TO SCHOOLS OF RADIOLOGICAL TECHNOLOGY AND MEDICAL TECHNOLOGY. ALONG WITH TRADITIONAL HEALTH SERVICES, THE HOSPITAL MAKES ITS RESOURCES AVAILABLE TO SUPPORT MANY COMMUNITY HEALTH INITIATIVES AND PROGRAMS. FORM 990, PART III, LINE 4A VIII. FOUR SENTARA HOSPITALS WERE RECOGNIZED BY U.S. NEWS & WORLD REPORT AS AMONG THE BEST HOSPITALS IN VIRGINIA FOR MATERNITY CARE: A. SENTARA LEIGH HOSPITAL-NORFOLK, VIRGINIA B. SENTARA MARTHA JEFFERSON HOSPITAL-CHARLOTTESVILLE, VIRGINIA C. SENTARA RMH MEDICAL CENTER-HARRISONBURG, VIRGINIA D. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER-WILLIAMSBURG, VIRGINIA IX. TWO SENTARA PROGRAMS AND TWO SENTARA TEAM MEMBERS WERE HONORED WITH 2024 "HEALTH CARE HEROES" AWARDS BY INSIDE BUSINESS IN THE FOLLOWING CATEGORIES: COMMUNITY SERVICE, CORPORATE ACHIEVEMENT IN HEALTH CARE, PHYSICIAN, AND HEALTH CARE STAFF. X. SENTARA WAS ONCE AGAIN ACKNOWLEDGED AS THE LEADING COMPANY IN THE ANNUAL "GENEROUS VIRGINIANS" REPORT PUBLISHED BY VIRGINIA BUSINESS MAGAZINE FOR THE 5TH YEAR IN A ROW. XI. SENTARA COLLEGE OF HEALTH SCIENCES WON THE "BEST OF COASTAL VIRGINIA" MAGAZINE'S READERS' POLL FOR THE EIGHTH CONSECUTIVE YEAR, EARNING SOUTHSIDE GOLD FOR BEST TECHNICAL SCHOOL AND SOUTHSIDE SILVER FOR BEST PRIVATE COLLEGE/UNIVERSITY. XII. SENTARA'S CHIEF QUALITY & SAFETY OFFICER AND CHIEF NURSING OFFICER WERE JOINTLY AWARDED THE 2024 SENIOR LEADER QUALITY AND PATIENT SAFETY AWARD BY THE VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION (VHHA) TO RECOGNIZE THEIR POWERFUL PARTNERSHIP AND COMMITMENT TO PATIENT SAFETY. XIII. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER BECAME THE FIRST MEDICAL FACILITY IN VIRGINIA TO BE CERTIFIED AS SENSORY INCLUSIVE. THE INITIATIVE HELPS THE HOSPITAL WELCOME AND CARE FOR THOSE WITH SENSORY NEEDS, A GROUP THAT INCLUDES PEOPLE WITH AUTISM, PTSD, EARLY ONSET DEMENTIA, ANXIETY, STROKE, AND MORE. XIV. TWO SENTARA LEADERS RECEIVED THE VIRGINIA CENTER FOR INCLUSIVE COMMUNITIES HUMANITARIAN AWARD. THE ANNUAL AWARD RECOGNIZES INDIVIDUALS WHO HAVE DEMONSTRATED A PERSONAL COMMITMENT TO THE PROMOTION OF RESPECT AND UNDERSTANDING AMONG PEOPLE OF DIVERSE RACIAL, ETHNIC, AND RELIGIOUS BACKGROUNDS. XV. ALL 12 SENTARA HOSPITALS HAVE EARNED THE HIGH PERFORMER DESIGNATION FOR 2024 FROM THE HUMAN RIGHTS CAMPAIGN, A NATIONWIDE ORGANIZATION WORKING TO ACHIEVE EQUALITY AND INCLUSION FOR LGBTQ+ PERSONS. XVI. THE SENTARA EPILEPSY CENTER AT SENTARA NORFOLK GENERAL HOSPITAL BECAME A LEVEL IV EPILEPSY CENTER, THE HIGHEST LEVEL POSSIBLE. THE ACCREDITATION RECOGNIZES THE ADVANCED CARE OFFERED TO EPILEPSY PATIENTS. AS PART OF THE THREE-YEAR PROCESS TO BECOME A LEVEL IV CENTER, THE SENTARA EPILEPSY CENTER DEMONSTRATED THE CAPACITY TO PROVIDE THE MOST COMPLEX FORMS OF MONITORING AND TREATMENT, INCLUDING A RANGE OF SURGICAL PROCEDURES. XVII. SENTARA NORTHERN VIRGINIA MEDICAL CENTER EARNED MAGNET WITH DISTINCTION RECOGNITION AS A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK, AND SUPERIORITY IN PATIENT CARE. THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM IS THE HIGHEST NATIONAL HONOR FOR NURSING EXCELLENCE AND IDENTIFIES SUPERIOR QUALITY IN NURSING CARE. XVIII. ELEVEN SENTARA HOSPITALS RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S JOINT 'GET WITH THE GUIDELINES' AWARDS FOR PROVIDING EXCELLENT STROKE CARE AND FOLLOWING GUIDELINES THAT LEAD TO MORE LIVES SAVED AND SHORTER RECOVERY TIMES. XIX. EIGHT SENTARA HOSPITALS WERE AWARDED AMERICAN COLLEGE OF CARDIOLOGY CHEST PAIN CENTER ACCREDITATION BASED ON RIGOROUS ONSITE EVALUATION OF THE STAFF'S ABILITY TO EVALUATE, DIAGNOSE, AND TREAT PATIENTS WHO MAY BE EXPERIENCING A HEART ATTACK. XX. SENTARA NORTHERN VIRGINIA MEDICAL CENTER ACHIEVED ACCREDITATION FROM SURGICAL REVIEW CORPORATION AS A CENTER OF EXCELLENCE IN MINIMALLY INVASIVE GYNECOLOGY AND ROBOTIC SURGERY. THIS ACCREDITATION RECOGNIZES THE HOSPITAL'S COMMITMENT AND HIGH STANDARD OF DELIVERY OF QUALITY PATIENT CARE AND SAFETY. CONCLUSION: SENTARA HEALTH REMAINS COMMITTED TO OUR MISSION-WE IMPROVE HEALTH EVERY DAY. SENTARA PROVIDES QUALITY CARE AND SERVICE USING DEDICATED CLINICIANS, CUTTING-EDGE TECHNOLOGY, AND EXCELLENT CUSTOMER SERVICE-ALL WITH A CONSTANT FOCUS ON INNOVATION. SENTARA IS COMMITTED TO SUPPORTING THE COMMUNITIES WE SERVE, 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: 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 6 THE ORGANIZATION'S SOLE MEMBER WAS SENTARA HOSPITALS, 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 COMPOSED OF TWO CLASSES OF DIRECTORS, A CLASS OF DIRECTORS APPOINTED BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HOSPITALS, A VIRGINIA NONSTOCK CORPORATION, AND A CLASS OF DIRECTORS NOMINATED BY ROCKINGHAM HEALTH CARE, INC., A VIRGINIA NONSTOCK CORPORATION, AND RATIFIED BY SENTARA HOSPITALS. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER SENTARA HOSPITALS HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE ORGANIZATION AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE ORGANIZATION, SUBJECT TO THE OVERSIGHT OF THE ORGANIZATION'S BOARD OF DIRECTORS. SENTARA HOSPITALS HAS THE FOLLOWING RESERVED POWERS OVER CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION AND ANY OF ITS CURRENT OR FUTURE CONTROLLED SUBSIDIARIES ("CONTROLLED AFFILIATE"): (I) SUBJECT TO THE RIGHTS SET FORTH IN THE AFFILIATION AGREEMENT, APPROVE OR ADOPT 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 AND/OR A CONTROLLED AFFILIATE, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION AND/OR A CONTROLLED AFFILIATE, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION AND/OR CONTROLLED AFFILIATE; (II) APPROVE THE STRATEGIC OR LONG-RANGE BUSINESS PLANS, ANNUAL OPERATING OR CAPITAL BUDGET, OTHER STRATEGIC OR OPERATIONAL PLANS OF THE ORGANIZATION, ANY MODIFICATION OR AMENDMENT THERETO, AND ANY ACTION TO BE TAKEN INCONSISTENT WITH SUCH PLAN; (III) CREATE OR ACQUIRE ANY DIRECT OR INDIRECT SUBSIDIARY, OR INTERESTS OF ANY KIND IN OR OF ANY OTHER CORPORATION OF WHICH IT IS TO BE A MEMBER, OR ENTER INTO ANY JOINT VENTURE, PARTNERSHIP OR SIMILAR ARRANGEMENT WITH ANY OTHER ENTITY OR PERSON, OR DISSOLVE, TERMINATE OR OTHERWISE CHANGE ANY SUCH ENTITY OR PERSON OR LEGAL RELATIONSHIP EXISTING AS OF THE AFFILIATION DATE; (IV) HIRE, TERMINATE, OR ENTER INTO, TERMINATE, RENEW OR CHANGE ANY AGREEMENT, COMMITMENT OR OBLIGATION (WHETHER WRITTEN OR NOT) RELATING TO THE EMPLOYMENT OF THE PRESIDENT OF THE ORGANIZATION, SET THE COMPENSATION OF THE CORPORATE EXECUTIVES OF THE ORGANIZATION, INCLUDING THE PRESIDENT OF THE ORGANIZATION; (V) CHANGE THE ORGANIZATION'S INDEPENDENT ACCOUNTANTS OR AUDITORS, TAX YEAR, ACCOUNTING METHODS OR PRACTICES, PROCEDURES OR POLICIES, EXCEPT TO THE EXTENT MANDATED BY A CHANGE IN GENERALLY ACCEPTED ACCOUNTING PRINCIPLES; (VI) ENTER INTO ANY TRANSACTION, AGREEMENT OR COMMITMENT, WHETHER WRITTEN OR NOT, WITH ANY OFFICER, MANAGER OR DIRECTOR OF THE ORGANIZATION OR A CONTROLLED AFFILIATE, ANY MEMBER OF THE MEDICAL STAFF OF THE ORGANIZATION, ANY FAMILY MEMBER OF ANY OF THE FOREGOING, OR ANY ENTITY OF WHICH ANY OF THE EQUITY, RIGHT TO RECEIVE PROFITS OR VOTING INTERESTS ARE OWNED BY ANY OF THE FOREGOING; (VII) APPROVE ANY UNBUDGETED CAPITAL EXPENDITURE(S) FOR THE ORGANIZATION THAT IN THE AGGREGATE ON A CONSOLIDATED BASIS FOR THE ORGANIZATION AND ITS FACILITIES EXCEEDS $500,000 DURING ANY FISCAL YEAR; (VIII) INCUR INDEBTEDNESS OR OTHER FINANCIAL OBLIGATIONS, OR GUARANTY THE INDEBTEDNESS OF ANY THIRD PARTY, WHETHER SECURED OR UNSECURED, NOT INCLUDED IN AN OPERATING OR CAPITAL BUDGET APPROVED BY THE MEMBER, AND INCLUDING, BUT NOT LIMITED TO, LEASES, WITH RESPECT TO THE ORGANIZATION OR ITS CONTROLLED AFFILIATES; (IX) COMMENCE OR SETTLE ANY LITIGATION OR ARBITRATION OR OTHER PROCEEDING, OR CONFESS A JUDGMENT AGAINST THE ORGANIZATION OR ITS CONTROLLED AFFILIATES; (X) COMMENCE OR SETTLE ANY LITIGATION OR ARBITRATION OR OTHER PROCEEDING RELATED TO THE ORGANIZATION WHILE THE ORGANIZATION IS INSURED THROUGH SENTARA'S CAPTIVE INSURANCE COMPANY; (XI) ENTER INTO, TERMINATE OR CHANGE ANY THIRD PARTY PAYOR CONTRACT; OR (XII) AGREE OR COMMIT TO DO OR ALLOW ANY OF THE FOREGOING. DURING THE COVENANT PERIOD, THE AFOREMENTIONED ACTIONS SHALL REQUIRE THE PRIOR APPROVAL OF A MAJORITY OF THE CLASS A DIRECTORS OF THE BOARD, VOTING AS A SEPARATE CLASS, AND THE MEMBER. UPON THE EXPIRATION OF THE COVENANT PERIOD, THE MEMBER SHALL HAVE THE AUTHORITY TO TAKE SUCH ACTIONS WITHOUT THE APPROVAL OF THE CLASS A DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION WAS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), AND AS SUCH, USED THE SYSTEM'S IN-HOUSE TAX DEPARTMENT, HEADED BY A LICENSED CERTIFIED PUBLIC ACCOUNTANT, TO BOTH PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH OTHER SYSTEM DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED. THE PARENT OF THE SYSTEM IS SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT ENTITY. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, BOARD OFFICERS, AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. 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 29 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 38 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 TREASURER AND SECRETARY; WHO ALSO SERVED AS EXECUTIVE VICE PRESIDENT AND CFO, AND EXECUTIVE VICE PRESIDENT AND CLO OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR THE POSITIONS LISTED. THE OUTSIDE MARKET STUDY DESCRIBED ABOVE WAS ALSO USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, WHO IS CONSIDERED THE TOP MANAGEMENT OFFICIAL OF THE ORGANIZATION. RESULTS WERE PRESENTED TO THE PRESIDENT AND CEO OF THE SYSTEM FOR REVIEW AND APPROVAL RATHER THAN THE SYSTEM'S COMPENSATION COMMITTEE. 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, WHICH SERVES AS THE ORGANIZATION'S GOVERNING BODY, IS COMPOSED OF TWO CLASSES OF DIRECTORS, A CLASS OF DIRECTORS APPOINTED BY THE MEMBER, SENTARA HOSPITALS, A VIRGINIA NONSTOCK CORPORATION, AND A CLASS OF DIRECTORS THAT ARE NOMINATED BY ROCKINGHAM HEALTH CARE, INC., A VIRGINIA NONSTOCK CORPORATION, AND APPROVED BY THE MEMBER. THE BOARD OF DIRECTORS OF SENTARA HOSPITALS IS ELECTED BY ITS SOLE MEMBER, SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. THE GOVERNING BOARD OF SENTARA HEALTH IS A COMMUNITY-BASED BOARD COMPRISED OF 15 VOTING MEMBERS, 14 OF WHICH ARE CONSIDERED INDEPENDENT, AS DEFINED IN THE FORM 990 INSTRUCTIONS. FORM 990, PART XI, LINE 9: BOOK RECLASS OF INTERCOMPANY ACCOUNT BALANCES TO EQUITY -5,600,626. 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