2025-11-07T16:23:10-06:00 2024-12-31 990 2024-01-01 540648699 HALIFAX REGIONAL HOSPITAL INC HALI 4345173183 1300 SENTARA PARK VIRGINIA BEACH VA 23464 MEGAN R PERRY TREASURER 4345173183 2025-11-07 1 2024 2025-03-06 01:10:19Z BRIAN K ZWOYER 2204 WILBORN AVE SOUTH BOSTON VA 24592 98224665 0 X WWW.SENTARA.COM X 1948 VA AS PART OF SENTARA HEALTH'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY. 13 7 466 45 0 0 73617 78561 102945254 97980575 -3803017 62660 40660 53110 99256514 98174906 2116024 1609020 0 0 46258992 45366947 0 0 0 80466702 77223305 128841718 124199272 -29585204 -26024366 51020502 52977021 12358321 26376655 38662181 26600366 X SEE SCHEDULE O 0 0 93088342 1609020 97980575 SEE SCHEDULE O. 93088342 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 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 1 X 41 0 1 466 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 7 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 MEGAN R PERRY DIRECTOR/TREASURER 1.00 42.40 X X 0 1901177 49920 PAUL A GADEN DIRECTOR/VICE CHAIR 1.00 46.40 X X 0 1100833 141071 JOANNE M INMAN DIRECTOR 1.00 41.00 X 0 664914 61301 HABIB BASSIL MD DIRECTOR/SECRETARY 1.00 0.00 X X 68375 0 0 CAROL C THOMAS DIRECTOR/CHAIR 1.60 2.30 X X 0 40000 0 TERRANCE J TRUITT MD DIRECTOR 1.00 0.00 X 19138 0 0 DABNEY TP GILLIAM JR DIRECTOR 1.00 0.00 X 0 0 0 DAVID H WHITE JR DIRECTOR 1.00 0.00 X 0 0 0 J KENNETH MORGAN DIRECTOR 1.00 0.00 X 0 0 0 JEREMY SATTERFIELD DIRECTOR 1.00 0.00 X 0 0 0 KATHRYN F ROBERTS DIRECTOR 1.00 0.00 X 0 0 0 SAID B ISKANDAR MD DIRECTOR (VOTING EX-OFFICIO) 1.00 0.00 X 0 0 0 VALDIVIA T MARSHALL DIRECTOR 1.00 0.00 X 0 0 0 BRIAN K ZWOYER PRESIDENT 40.00 4.00 X 336387 0 75277 NICOLE L DOCKERY KE (VP, CNO) 40.00 0.00 X 230625 0 20114 SHERRI F BEE KE (DIR CARDIAC SVCS) 40.00 0.00 X 184016 0 19504 VICTOR MIHAL PHYSICIAN 40.00 0.00 X 383598 0 23829 PABLO SOUZA MD PHYSICIAN 40.00 0.00 X 379510 0 49069 SOWMYA SRIMANTHULA MD PHYSICIAN 40.00 0.00 X 341508 0 42076 JONI O ABBOTT PHYSICIAN 40.00 0.00 X 293671 0 46186 CANDACE CLOCKER PHYSICIAN 40.00 0.00 X 281652 0 14736 2518480 3706924 543083 80 0 1 0 PREMIER ANESTHESIA OF VA 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 HEALTHCARE STAFFING SOLUTIONS 3398802 WM JORDAN COMPANY INC 11010 JEFFERSON AVE NEWPORT NEWS VA 23601 CONSTRUCTION 2638318 PULMONARY ASSOCIATES OF SOUTHSIDE VA 2210 WILBORN AVE SOUTH BOSTON VA 24592 MEDICAL PROFESSIONAL SERVICES 2172406 KAHLER SLATER INC 790 N WATER ST SUITE 1700 MILWAUKEE WI 53202 ARCHITECTURAL SERVICES 2126869 MEP HEALTH LLC 4535 DRESSLER RD NW CANTON OH 44718 HEALTHCARE SERVICES 2026310 21 2000 76561 78561 NET PATIENT SERVICE REVENUE 541900 97763076 97763076 OTHER PROGRAM SERVICE REVENUE 990009 180389 180389 PREMIUM & CAPITATION REVENUE 621300 37110 37110 97980575 6079 6079 12107 0 12107 12107 12107 86679 30098 56581 56581 56581 51549 19661 31888 31888 CAFE/VENDING 721000 5327 5327 MISCELLANEOUS 900099 3788 3788 9115 98174906 97980575 0 115770 X 1609020 1609020 953436 786108 167328 33928369 27973940 5954429 2459548 2027897 431651 5576654 4597951 978703 2448940 2019151 429789 1154688 952040 202648 1750 1443 307 1176 970 206 14740331 14740331 2143 1767 376 3725261 3071478 653783 179444 147952 31492 2875625 2370953 504672 81548 67236 14312 13825 11399 2426 4166620 3435378 731242 775440 639350 136090 SENTARA SERVICE EXPENSE 20464604 20464604 MEDICAL SUPPLIES 19196816 19196816 TAXES & LICENSES 7557951 7552287 5664 PURCHASED SERVICES 2651297 2185994 465303 -365214 -301119 -64095 124199272 93088342 31110930 0 102498 86504 15079522 15104870 12376 381375 2103729 2012119 691977 740346 75901403 44480144 29356871 31421259 2444670 2432209 1228859 798339 51020502 52977021 6445400 7401285 41227 32982 5871694 18942388 12358321 26376655 X 37412751 26312197 1249430 288169 38662181 26600366 51020502 52977021 X -26024366 4270702 9691849 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1249430 43000 1004261 288169 1265195 45000 60765 1249430 1218247 50000 3052 1265195 520986 715000 17739 1218247 148110 438540 65664 520986 1.00000 0 0 2576000 2576000 30407984 16709926 13698058 51444 26636 24808 33408124 25406466 8001658 9457851 2337116 7120735 31421259 OTHER LIABILITIES 2499964 GENERAL RESERVE 140469 ROU LIABILITIES 2491446 DUE TO AFFILIATES 13810509 18942388 PART V, LINE 4: THE CLARK MEMORIAL FUNDS HELP TO DEFRAY THE COST OF MEDICAL CARE FOR RESIDENTS OF HALIFAX COUNTY WHO QUALIFY FOR THE PATIENT FINANCIAL ASSISTANCE (PFA) PROGRAM OFFERED BY THE HOSPITAL. THE FUNDS ARE USED TO ASSIST IN PAYING MAJOR MEDICAL EXPENSES THAT PERSIST AFTER THE PFA ADJUSTMENT HAS DECREASED THE INITIAL EXPENSE. SURGERIES AND OTHER MAJOR HOSPITALIZATIONS CAN LEAVE INDIVIDUALS WITH THOUSANDS OF DOLLARS IN UNEXPECTED DEBT, AND SOMETIMES WITH DIMINISHED CAPACITY TO EARN MONEY TO PAY THE INCURRED EXPENSES. WHILE THOSE WHO ARE COMPLETELY WITHOUT RESOURCES WILL RECEIVE A 100% DISCOUNT FROM THE HOSPITAL, THOSE WHO HAVE SOME, BUT INSUFFICIENT, RESOURCES WILL GET A LESSER DISCOUNT AND MAY SPEND YEARS TRYING TO CLEAR THE DEBT. THE CLARK FUNDS WILL BE USED TO ASSIST THOSE VERY-LOW-INCOME INDIVIDUALS. 1 1 1 X 300.000000000000 1 X 1 1 0 1 1 1992407 1992407 0.01600 28087497 24194566 3892931 0.03130 30079904 24194566 5885338 0.04730 569230 569230 0.00460 19113 19113 0.00020 2488104 812941 1675163 0.01350 988470 988470 0.00800 4064917 812941 3251976 0.02630 34144821 25007507 9137314 0.07360 58812 58812 0.00050 1232 1232 0.00000 62473 62473 0.00050 1823 1823 0.00000 2159 2159 0.00000 58142 58142 0.00050 50421 50421 0.00040 73744 73744 0.00060 308806 308806 0.00250 1 3736672 20160908 26530377 -6369469 X 1 1 1 HALIFAX PHO INC MANAGED CARE 0.50000 0.50000 1 1 HALIFAX REGIONAL HOSPITAL INC 2204 WILBORN AVENUE SOUTH BOSTON VA 24592 WWW.SENTARA.COM H-0001853 X X X HOME HEALTH HOSPICE HALIFAX REGIONAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X SEE SECTION C BELOW. X X 1 24 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 HALIFAX REGIONAL HOSPITAL, INC. PART V, SECTION B, LINE 5: IN CONDUCTING THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), SENTARA HALIFAX REGIONAL HOSPITAL (SHRH) 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 DEPARTMENT 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 INTERVIEWS AND A FOCUS GROUP.1) SHRH IDENTIFIED ITS SENIOR LEADERSHIP TEAM TO SERVE AS THE CHNA STEERING COMMITTEE RESPONSIBLE FOR OVERSEEING THE ASSESSMENT, INCLUDING THE SURVEY. IN COLLABORATION WITH THE SOUTHSIDE HEALTH DISTRICT, THE SURVEY QUESTIONS WERE DEVELOPED, AND THE DISTRIBUTION LIST WAS CAREFULLY REVIEWED TO ENSURE BROAD REPRESENTATION, INCLUDING REPRESENTATIVES OF THE LOCAL HEALTH DEPARTMENTS, 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) HEALTH-RELATED ASSESSMENTS AND PLANS DEVELOPED BY OTHER ORGANIZATIONS WERE IDENTIFIED AND REVIEWED. THESE FINDINGS 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 PARTNERED WITH A COMMUNITY ORGANIZATION TO ASSIST WITH CONDUCTING FOCUS GROUPS TO RECEIVE BROADER INPUT. HALIFAX REGIONAL HOSPITAL, INC. PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENT HAVE BEEN MADE AVAILABLE TO COMMUNITY ORGANIZATIONS.THE DIRECT URL ADDRESS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT IS:HTTPS://WWW.SENTARA.COM/ABOUTUS/COMMUNITY-OUTREACH/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS HALIFAX REGIONAL HOSPITAL, INC. PART V, SECTION B, LINE 11: THE SHRH 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 A VARIETY OF LOCAL INITIATIVES. 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 INITIALS 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. AT SENTARA, WE OFFER INPATIENT TREATMENT SERVICES THROUGH TELEPSYCHIATRY. OUR ADULT AND SENIOR 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. BECAUSE OUR TREATMENT FACILITIES ARE LOCATED WITHIN SEVERAL OF OUR HOSPITALS, PATIENTS HAVE ACCESS TO THE FULL RANGE OF BOTH PSYCHIATRIC AND MEDICAL CARE. SENTARA WILL CONTINUE TO PARTNER WITH COMMUNITY MENTAL HEALTH PROGRAMS TO IDENTIFY ALTERNATE PLACEMENT OPTIONS FOR BEHAVIORAL HEALTH EMERGENCY DEPARTMENT PATIENTS.SENTARA BEHAVIORAL HEALTH CREATED A DIALECTICAL BEHAVIOR THERAPY (DBT) SKILL BUILDING GROUP TO REDUCE BARRIERS TO ACCESS MENTAL HEALTH SERVICES AND PROVIDE EDUCATION TO THE COMMUNITY TO REDUCE THE STIGMA SURROUNDING MENTAL AND BEHAVIORAL HEALTH ISSUES. WEEKLY INDIVIDUAL AND GROUP SESSIONS WERE HELD TO HELP PEOPLE DEVELOP HEALTHIER WAYS OF THINKING AND ACCEPTING WHO THEY ARE. DIARY CARDS, BEHAVIORAL CHAIN ANALYSIS, PRIORITIZING TARGETS, AND FORMAL ASSESSMENTS ARE INCLUDED IN INDIVIDUAL DBT SKILL BUILDING SESSIONS. THERE ARE FOUR MODES IN DBT: INDIVIDUAL THERAPY, GROUP SKILLS TRAINING, PEER CONSULTATION TEAM MEETINGS, AND INTERSESSION CONTACT BETWEEN THERAPIST AND PATIENT. SENTARA BEHAVIORAL HEALTH HAS ADDED TWO LICENSED RESIDENTS IN COUNSELING TO SERVE CLIENTS IN THIS SERVICE AREA. SHRH ALSO HOSTS COMMUNITY WELLNESS SCREENING ACTIVITIES TO PROVIDE ANXIETY SCREENING AND EDUCATIONAL MATERIALS TO THE COMMUNITY.SHRH COLLABORATES WITH MULTIPLE COMMUNITY PARTNERS TO IMPROVE THE HEALTH OF THE COMMUNITY. SHRH PROVIDES HEALTH EDUCATION THROUGH SOCIAL MEDIA AND EDUCATIONAL VIDEOS TO IMPROVE COMMUNITY AWARENESS OF PREVENTATIVE CARE AND SERVICES AVAILABLE. SHRH ALSO ATTENDS MULTIPLE COMMUNITY EVENTS EACH YEAR TO PROVIDE CANCER, CARDIAC, CHOLESTEROL, DIABETES, BMI, AND STROKE EDUCATION AND SCREENINGS TO COMMUNITY MEMBERS. DIABETES EDUCATION CLASSES ARE AVAILABLE TO LEARN ABOUT SELF-MONITORING BLOOD GLUCOSE, DIABETES COMPLICATIONS, STRESS MANAGEMENT, LIPID CONTROL, AND WEIGHT MANAGEMENT, WHICH INCLUDES SETTING HEALTH GOALS, EXERCISE, NUTRITION, AND MEAL PLANNING.SHRH CONTINUES TO MEET PEOPLE WHERE THEY LIVE, WORK AND PLAY TO INCREASE COMMUNITY HEALTH AND ACCESS TO SERVICES. SHRH PROVIDES COMMUNITY SUPPORT THROUGH MULTIPLE INITIATIVES. ONE INITIATIVE IS THE HEALTH HARVEST COMMUNITY GARDEN, WHICH PROVIDES FRESH PRODUCE FOR THOSE IN NEED, EDUCATION ON THE IMPORTANCE OF HEALTHY EATING, AND COLLABORATION WITH OTHER COMMUNITY ACTORS WHO WORK TOWARD THE SAME GOALS.SHRH 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, INITIALS CONTINUES TO COLLABORATE WITH MULTIPLE COLLEGES AND UNIVERSITIES TO PROVIDE FELLOWSHIPS, INTERNSHIPS AND PRECEPTORSHIPS FOR HEALTHCARE PROFESSIONALS AND STUDENTS. HALIFAX REGIONAL HOSPITAL, INC. 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. HALIFAX REGIONAL HOSPITAL, INC.: PART V, SECTION B, 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. 8 1 - SENTARA HALIFAX FAMILY MEDICINE 101 AUBREYS LOOP SOUTH BOSTON VA 24592 OTHER OUTPATIENT SITE 2 - SENTARA VOLENS FAMILY MEDICINE 15210 L P BAILEY MEMORIAL HIGHWAY NATHALIE VA 24577 OTHER OUTPATIENT SITE 3 - SENTARA CLARKSVILLE FAMILY MEDICINE 115 COLLEGE STREET CLARKSVILLE VA 23927 OTHER OUTPATIENT SITE 4 - SENTARA OBGYN-SOUTH BOSTON 2206 WILBORN AVENUE SOUTH BOSTON VA 24592 OTHER OUTPATIENT SITE 5 - CENTER FOR BEHAVIORAL HEALTH 504 WILBORN AVENUE SOUTH BOSTON VA 24592 REHABILITATION CENTER 6 - SENTARA HALIFAX PEDIATRICS 2100 WILBORN AVENUE SOUTH BOSTON VA 24592 OTHER OUTPATIENT SITE 7 - SENTARA CHASE CITY FAMILY MEDICINE 946 NORTH MAIN STREET CHASE CITY VA 23924 OTHER OUTPATIENT SITE 8 - SENTARA SOUTHSIDE HEMATOLOGY & ONC 2232 WILBORN AVENUE STE D SOUTH BOSTON VA 24592 OTHER OUTPATIENT SITE 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 BENEFIT REPORT WAS CONTAINED IN A SYSTEM-WIDE REPORT PREPARED BY SENTARA HEALTH, EIN 52-1271901, THE ORGANIZATION'S 501(C)3 SOLE MEMBER. PART I, LINE 7: EXCEPT FOR SUBSIDIZED HEALTH SERVICES, THE ORGANIZATION USED A COST-TO-CHARGES RATIO FROM WORKSHEET 2 TO DETERMINE THE AMOUNTS REPORTED IN PART I, LINE 7. COST METHOD WAS USED FOR PHYSICIAN CLINIC SUBSIDIZED HEALTH SERVICES REPORTED ON (7G). ALL OTHER SUBSIDIZED HEALTH SERVICES REPORTED ON 7(G) USED A COST-TO-CHARGE RATIO SPECIFIC TO EACH COST CENTER PROVIDING SUCH SERVICES. PART I, LINE 7G: $576,539 OF THE AMOUNT REPORTED IN COLUMN (E) WAS 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:- COMMUNITY SUPPORT - THE HOSPITAL ALSO PARTNERED WITH ORGANIZATIONS TO IMPROVE COMMUNITY SUPPORT WHICH INCLUDED CHARLOTTE LEARNING CENTER, HALIFAX COUNTY HIGH SCHOOL, HEALTHY HARVEST COMMUNITY GARDEN, ORGANIZATION TO PROVIDE EQUAL ACCESS TO TECHNOLOGY, INC., PROJECT SEARCH, AND SOUTHERN VIRGINIA HIGHER EDUCATION FOUNDATION.- COMMUNITY HEALTH IMPROVEMENT ADVOCACY - THE ORGANIZATION'S EMPLOYEES DONATE HUNDREDS OF HOURS AND SHARE THEIR TALENTS AND EXPERTISE AS MEMBERS OF VARIOUS CIVIC AND RELIGIOUS ORGANIZATIONS IN THEIR COMMUNITIES, AS WELL AS SERVING ON RESCUE SQUADS AND FIRE DEPARTMENTS. THE HOSPITAL ALLOWS AND ENCOURAGES EMPLOYEES TO PROVIDE SERVICE TO THE COMMUNITY DURING WORKING HOURS ALSO. EMPLOYEES SERVE IN VARIOUS CAPACITIES INCLUDING ON BOARDS AND ADVISORY COMMITTEES OF A NUMBER OF COMMUNITY GROUPS AND STATE ORGANIZATIONS ADVANCING COMMUNITY HEALTH AND WELLNESS AND WORKFORCE DEVELOPMENT INCLUDING THE FOLLOWING: BRUNSWICK HEALTH AMBASSADORS, CLUSTER SPRINGS VOLUNTEER FIRE DEPARTMENT, HALIFAX COUNTY CANCER ASSOCIATION, HOUSE OF HOPE, TRIANGLE VOLUNTEER FIRE DEPARTMENT, AND TRUCKERS FOR A CAUSE.THE ORGANIZATION CONTINUES TO PARTICIPATE IN REGIONAL AND LOCAL EXERCISES TO TEST THE EMERGENCY OPERATIONS PLAN AND TO CONDUCT INTERNAL EXERCISES. THESE INITIATIVES HELP THE ORGANIZATION PREPARE FOR AND COORDINATE CRISIS RESPONSE AND RECOVERY OPERATIONS WITH STATE, LOCAL AND FEDERAL AGENCIES IN THE EVENT OF A BIOTERRORIST EVENT/DISASTER. OUTSIDE THE REALM OF THE GRANT FUNDING, THE ORGANIZATION SUPPLIED THE EMPLOYEE TIME INVOLVED IN TRAINING FOR COMMUNITY EMERGENCY PREPAREDNESS AS WELL AS FOR COMMUNITY DISASTER TRAINING DRILLS. OUR FOCUS CONTINUES TO BE ON PREPARING THE HOSPITAL STAFF AND THE COMMUNITY FOR "ALL HAZARDS." 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 HALIFAX REGIONAL HOSPITAL SERVES RESIDENTS OF HALIFAX, MECKLENBURG, AND CHARLOTTE COUNTIES.BASED ON THE US CENSUS JULY 2022 POPULATION ESTIMATES, THE 2024 POPULATION OF THE SERVICE AREA IS 75,627 AND IS EXPECTED TO DECLINE OVER THE NEXT TEN YEARS, DECREASING BY 9.7% 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+ ( 25.4% VS. 17.3%) AND A LOWER PERCENT OF THE POPULATION YOUNGER THAN 19 YEARS ( 19.8% VS. 21.7%). A LOWER NUMBER OF RESIDENTS OF THE SERVICE AREA HAVE COMPLETED AT LEAST A HIGH SCHOOL DIPLOMA, 84.5% VS. 89.1% FOR THE US OVERALL, AND ONLY 18.6% 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 $ 45,969 VS. $ 75,149 FOR THE US, AND A HIGHER PERCENT OF HOUSEHOLDS, 16.2% VS. 11.5%, LIVE IN POVERTY. RACIALLY, THE SERVICE AREA IS HOME TO 63.3% WHITES (VS. 75.5% FOR THE US), 33.6% BLACK/AFRICAN AMERICANS (VS. 13.6% US), 0.5% ASIANS (VS. 6.3% US), WITH 2.0% REPORTING TWO OR MORE RACES VS. 3.0% NATIONALLY. ETHNICALLY, THE SERVICE AREA IS HOME TO 2.6% HISPANICS VS. 19.1% NATIONALLY, AND 98.2% NON-HISPANICS, VS. 58.9% NATIONALLY. PART VI, LINE 5: THE ORGANIZATION'S GOVERNING BODY IS A COMMUNITY-BASED BOARD COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION OR ITS AFFILIATES, NOR FAMILY MEMBERS THEREOF. GENERALLY, MEDICAL STAFF MEMBERSHIP IS OPEN TO ALL CARE PROVIDERS WHO MEET CREDENTIALING REQUIREMENTS. 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) 1576120 0 CORPORATE ALLOCATION TO PARENT 1 PART I, LINE 2: AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO ITS 501(C)(3) PARENT ORGANIZATION, SENTARA HEALTH, 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. 0 1 0 0 0 0 0 1 0 MEGAN R PERRY DIRECTOR/TREASURER 0 868905 0 810992 0 221280 0 17050 0 32870 0 1951097 0 0 PAUL A GADEN DIRECTOR/VICE CHAIR 0 602947 0 416380 0 81506 0 105592 0 35479 0 1241904 0 7933 JOANNE M INMAN DIRECTOR 0 379698 0 220451 0 64765 0 20030 0 41271 0 726215 0 20284 PABLO SOUZA MD PHYSICIAN 352381 0 0 0 27129 0 13195 0 35874 0 428579 0 0 0 BRIAN K ZWOYER PRESIDENT 251970 0 80810 0 3607 0 36211 0 39066 0 411664 0 0 0 VICTOR MIHAL PHYSICIAN 289805 0 30720 0 63073 0 10350 0 13479 0 407427 0 0 0 SOWMYA SRIMANTHULA MD PHYSICIAN 288812 0 20000 0 32696 0 10350 0 31726 0 383584 0 0 0 JONI O ABBOTT PHYSICIAN 263849 0 15385 0 14437 0 9165 0 37021 0 339857 0 0 0 CANDACE CLOCKER PHYSICIAN 252538 0 12000 0 17114 0 2326 0 12410 0 296388 0 0 0 NICOLE L DOCKERY KE (VP, CNO) 176048 0 54025 0 552 0 6010 0 14104 0 250739 0 0 0 SHERRI F BEE KE (DIR CARDIAC SVCS) 159913 0 22343 0 1760 0 6187 0 13317 0 203520 0 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, LINE 4B MEGAN PERRY, JOANNE INMAN, PAUL GADEN, AND BRIAN ZWOYER 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: MEGAN PERRY ($129,496); JOANNE INMAN ($30,748); 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 MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. 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. HALIFAX HEART CENTER SEE BELOW 4664559 SEE BELOW 0 PULMONARY ASSOCIATES SEE BELOW 1910833 SEE BELOW 0 TAMARA SPENCE FAMILY MEMBER OF NICOLE DOCKERY 35564 EMPLOYMENT 0 SCH L, PART IV A) NAME OF PERSON: HALIFAX HEART CENTERB) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: 35%-CONTROLLED ENTITY OF BOARD MEMBERS HABIB BASSIL, MD AND SAID ISKANDAR, MDD) DESCRIPTION OF TRANSACTION: PROFESSIONAL FEES/SUBSIDIESA) NAME OF PERSON: PULMONARY ASSOCIATESB) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: 35%-CONTROLLED ENTITY OF BOARD MEMBER TERRANCE J. TRUITT, MDD) DESCRIPTION OF TRANSACTION: PROFESSIONAL FEES/SUBSIDIES 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 BUILDING, ESTABLISHING, MAINTAINING AND OPERATING HOSPITALS AND OTHER HEALTH CARE FACILITIES AND CLINICS; PROVIDING ANCILLARY AND RELATED MEDICAL AND OTHER HEALTHCARE SERVICES; PROVIDING MANAGEMENT, ADVISORY, SERVICE ASSISTANCE AND OTHER SUPPORT TO HEALTH CARE ORGANIZATIONS HAVING THE SAME PURPOSES AS OUR OWN; ENGAGING IN OTHER RELATED, EXCLUSIVELY CHARITABLE, SCIENTIFIC, EDUCATIONAL AND MEDICAL RESEARCH ACTIVITIES AS MAY BE AUTHORIZED FROM TIME TO TIME BY THE ORGANIZATION'S GOVERNING BODY; AND FOR SUCH PURPOSES, SOLICITING AND RECEIVING FUNDS AND OTHER PROPERTY BY GIFT, TRANSFER, DEVISE, OR BEQUEST, AND INVESTING, REINVESTING, HOLDING, MANAGING, ADMINISTERING, EXPENDING, AND APPLYING SUCH FUNDS AND PROPERTY SUBJECT TO APPLICABLE CONDITIONS AND LIMITATIONS. ALL SUCH ACTIVITIES SUPPORT THE ORGANIZATION'S MISSION TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE SERVED. FORM 990, PART III, LINE 4A HALIFAX REGIONAL HOSPITAL, INC. IS ORGANIZED TO BUILD, ESTABLISH, MAINTAIN AND OPERATE HOSPITALS AND OTHER HEALTH CARE FACILITIES AND CLINICS; PROVIDE ANCILLARY AND RELATED MEDICAL AND OTHER HEALTHCARE SERVICES; PROVIDE MANAGEMENT, ADVISORY, SERVICE ASSISTANCE AND OTHER SUPPORT TO HEALTH CARE ORGANIZATIONS HAVING THE SAME PURPOSES AS ITS OWN; ENGAGE IN OTHER RELATED, EXCLUSIVELY CHARITABLE, SCIENTIFIC, EDUCATIONAL AND MEDICAL RESEARCH ACTIVITIES AS MAY BE AUTHORIZED FROM TIME TO TIME BY ITS GOVERNING BODY; AND FOR SUCH PURPOSES, SOLICIT AND RECEIVE FUNDS AND OTHER PROPERTY BY GIFT, TRANSFER, DEVISE, OR BEQUEST, AND INVEST, REINVEST, HOLD, MANAGE, ADMINISTER, EXPEND, AND APPLY SUCH FUNDS AND PROPERTY SUBJECT TO APPLICABLE CONDITIONS AND LIMITATIONS. ALL SUCH ACTIVITIES SUPPORT ITS MISSION TO PROVIDE THE HIGHEST QUALITY CARE BASED ON THE HEALTHCARE NEEDS OF THE PEOPLE SERVED. 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 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, NUMBER REPORTED IN BOX 3 OF FORM 1096: SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, MAINTAINS AN AGENCY RELATIONSHIP WITH THE ORGANIZATION AND ISSUES ALL 1099S ON ITS BEHALF. THE NUMBER REPORTED IS A BEST ESTIMATE OF THE 1099S ATTRIBUTABLE TO THE ORGANIZATION. THE EXACT NUMBER CANNOT BE DETERMINED; AS SOME OF THE 1099S ISSUED BY THE AGENT ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099'S ATTRIBUTABLE SOLELY TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 DRS. HABIB BASSIL, SAID B. ISKANDAR AND TERRANCE J. TRUITT HAVE A BUSINESS RELATIONSHIP. 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 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 COMPOSED OF TWO CLASSES OF DIRECTORS, A CLASS OF DIRECTORS APPOINTED BY THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, AND A CLASS OF DIRECTORS NOMINATED BY HALIFAX REGIONAL HOSPITAL, INC.'S NOMINATING COMMITTEE, AND RATIFIED BY THE BOARD OF DIRECTORS OF SENTARA HEALTH. 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 AND ANY OF ITS SUBSIDIARIES: APPROVAL OR ADOPTION OF 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 OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITON REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION; ELECTION OF NEW BOARD MEMBERS; ANY ALTERATION, AMENDMENT, RESTATEMENT OR REPEAL OF ANY GOVERNING DOCUMENTS; THE ADOPTION OF ANY NEW GOVERNING DOCUMENTS; OR ANY ACTION TO BE TAKEN AS THE MEMBER UNDER THE GOVERNING DOCUMENTS, APPROVAL OF STRATEGIC OR LONG-RANGE BUSINESS PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS; CREATION OR ACQUISITION OF SUBSIDIARIES OR INTERESTS IN WHICH THE ORGANIZATION WILL BE A MEMBER; ENTRANCE INTO JOINT VENTURE OR OTHER SIMILAR ARRANGEMENTS; EMPLOYMENT MATTERS CONCERNING THE ORGANIZATION'S PRESIDENT, CHIEF OPERATING OFFICER OR CHIEF FINANCIAL OFFICER; TRANSACTIONS WITH INTERESTED PARTIES; INDEBTEDNESS NOT INCLUDED IN AN OPERATING OR CAPITAL BUDGET APPROVED BY THE MEMBER; THE COMMENCEMENT OR SETTLEMENT OF CERTAIN LITIGATION; AND ENTERING INTO, TERMINATING OR CHANGING ANY THIRD-PARTY PAYOR CONTRACT. 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. THE OUTSIDE MARKET STUDY DESCRIBED ABOVE WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, TREASURER, AND VICE CHAIRMAN. THE PRESIDENT 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: SENTARA HEALTH, A VIRGINIA NONSTOCK CORPORATION AND THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, APPOINTS THE ORGANIZATION'S BOARD OF DIRECTORS AS DESCRIBED IN CORE PART VI LINE 7. 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 IX, LINE 11G NON-EMPLOYEE HEALTHCARE PROFESSIONALS: PROGRAM SERVICE EXPENSES 14,740,331. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,740,331. FORM 990, PART XI, LINE 9: BOOK RECLASS OF INTERCOMPANY ACCOUNT BALANCES TO EQUITY 9,691,849. 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SENTARA HEALTH PLANS L 9406632 CORP BOOK/REC SENTARA HOSPITALS B 126325232 CORP BOOK/REC SENTARA HOSPITALS C 16661753 CORP BOOK/REC SENTARA HOSPITALS L 204199 CORP BOOK/REC SENTARA HOSPITALS M 17013742 CORP BOOK/REC SENTARA MEDICAL GROUP B 213449 CORP BOOK/REC SENTARA MEDICAL GROUP C 936422 CORP BOOK/REC SENTARA MEDICAL GROUP M 261385 CORP BOOK/REC SENTARA RMH MEDICAL CENTER C 424907 CORP BOOK/REC SENTARA RMH MEDICAL CENTER M 362529 CORP BOOK/REC