2022-11-03T10:47:28-05:00 2021-12-31 990 2021-01-01 540261840 MARTHA JEFFERSON HOSPITAL MART 7574557020 6015 POPLAR HALL DR NORFOLK VA 23502 ROBERT A BROERMANN TREASURER 7574557020 2022-11-03 ROBERT BROERMANN XXX-XX-XXXX 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z PAUL GADEN 6015 POPLAR HALL DR NORFOLK VA 23502 387898509 0 X WWW.SENTARA.COM X 1929 VA AS PART OF SENTARA HEALTHCARE'S INTEGRATED DELIVERY SYSTEM, WE IMPROVE HEALTH EVERY DAY. 9 5 1504 173 958000 0 15983157 25962225 313582994 357300648 -75641 140481 4082 -73840 329494592 383329514 2408171 1443906 0 0 147285602 160236850 0 0 0 184746046 198228735 334439819 359909491 -4945227 23420023 230353823 250872760 80475597 75284124 149878226 175588636 X SEE SCHEDULE O 0 0 283552298 1443906 356377521 THE HOSPITAL PROVIDES HIGH-QUALITY HEALTH CARE TO THE COMMUNITY BY OFFERING THE LATEST TECHNOLOGY AND THE BEST TECHNICAL EXPERTISE. THE HOSPITAL IS A 176-BED FACILITY FEATURING ALL PATIENT-FRIENDLY PRIVATE ROOMS AND PROVIDED 106,663 ADJUSTED PATIENT DAYS OF CARE DURING 2021. SENTARA MARTHA JEFFERSON HOSPITAL OFFERS MANY ADVANCED CLINICAL SERVICES. AMONG THE NUMEROUS SERVICES THE HOSPITAL OFFERS ARE CANCER CARE, CARDIAC CARE, EMERGENCY CARE MATERNITY, NEUROLOGY, ORTHOPEDICS AND SURGERY.SEE SCHEDULE O FOR A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTHCARE SYSTEM AS A WHOLE FOR 2021. 283552298 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 X 73 0 1 1504 1 1 1 0 0 0 0 1 1 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 6015 POPLAR HALL DR NORFOLK VA 23502 DOUGLAS J MOYER DIRECTOR 1.00 41.00 X 0 648755 104870 ELWOOD B BOONE III DIRECTOR (THROUGH 11/2021) 1.00 40.00 X 0 559787 84123 JOHN LIGUSH MD DIRECTOR 40.00 0.00 X 526139 0 75489 LILLIAN R BEVIER DIRECTOR 1.00 0.00 X 0 0 0 CAROL HURT DIRECTOR/CHAIR (EFFECTIVE 1/1/21) 1.00 0.00 X X 0 0 0 E RAY MURPHY DIRECTOR 1.00 3.90 X 0 45000 0 LARRY MARTIN DIRECTOR 1.00 0.00 X 0 0 0 JOSHUA J FISCHER MD DIRECTOR 1.00 0.00 X 0 0 0 PAUL A GADEN PRESIDENT/DIRECTOR (EFFECTIVE 4/5/2021) 1.00 45.40 X X 0 843103 163001 ROBERT A BROERMANN TREASURER 1.00 50.00 X 0 2171787 55654 SAMUEL J HAWLEY ASS'T SECRETARY 1.00 45.00 X 0 283751 43405 JONATHAN S DAVIS PRESIDENT THROUGH (3/1/2021) 40.00 2.00 X 378213 0 6776 LOUIS PATALANO IV SECRETARY (THROUGH 9/25/2021) 1.00 49.00 X 0 1141330 75182 JOHNSA MORRIS KE (VP, CNE) 40.00 0.00 X 299026 0 204708 BRUCE D CLEMONS KE (VP, MEDICAL GROUP) 40.00 0.00 X 468871 0 63892 AMELIA S BLACK KE (VP, COO) 40.00 1.00 X 477994 0 74457 JUDITH D TOBIN KE EXECUTIVE DIRECTOR BUS OPERATIONS 40.00 0.00 X 208928 0 42667 JOHN Z EDWARDS MD PHYSICIAN 40.00 0.00 X 1007815 0 52687 CLARK BAUMBUSCH PHYSICIAN 40.00 0.00 X 963584 0 24938 STEPHEN A HOOVER PHYSICIAN 40.00 0.00 X 780137 0 58712 BRIAN M SHOWALTER PHYSICIAN 40.00 0.00 X 753188 0 49719 OSMOND CHIA-LIANG WU PHYSICIAN 40.00 0.00 X 747616 0 63066 MICHAEL V GENTRY DIRECTOR 1.00 49.00 X 0 1912697 552158 DEBORAH L THEXTON FORMER KE 0.00 41.00 X 0 219216 51880 ALLISON N CRAWFORD FORMER KE 40.00 0.00 X 189039 0 38444 SUSAN M HUNT FORMER KE 40.00 0.00 X 159590 0 34804 6960140 7825426 1920632 289 1 1 0 HOURIGAN CONSTRUCTION CORPORATION 4429 BONNEY ROAD STE 200 VIRGINIA BEACH VA 23462 CONSTRUCTION 7415968 TRIMEDX 5451 LAKEVIEW PARKWAY SOUTH DRIVE INDIANAPOLIS IN 46268 CLINICAL ASSET MANAGEMENT 4656450 BLUE RIDGE AREA INT NEURORADIOLOGY 500 MARTHA JEFFERSON DR CHARLOTTESVILLE VA 22911 DIAGNOSTIC IMAGING 2368575 HANDCRAFT SERVICES 2810 COFER ROAD RICHMOND VA 23224 LINEN SERVICES 1176914 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 160266 MOBILE AL 36625 FOOD AND FACILITIES MANAGEMENT 875809 29 17436 1587282 9537745 14819762 286828 25962225 PATIENT SERVICES 621500 354795220 353837220 958000 OTHER PROGRAM SERVICE REVENUE 900099 1655575 1655575 PREMIUM CAPITATION 621500 849853 849853 357300648 105608 105608 3745092 4223498 -478406 -478406 -478406 350000 315127 34873 34873 34873 191306 17436 30370 160936 160936 CONVENIENCE STORE 445100 243630 243630 243630 383329514 356377521 958000 31768 1443906 1443906 2827160 2375505 451655 125462691 105419323 20043368 11508675 9670100 1838575 12391127 10411575 1979552 8047197 6761612 1285585 139863 117519 22344 50254 42226 8028 399 335 64 10818773 10678640 140133 59849 50288 9561 9303991 7817626 1486365 859502 722192 137310 5689498 4780569 908929 189607 159316 30291 28605 24035 4570 4006337 3366302 640035 9439498 7931485 1508013 2452454 2060661 391793 UBIT -41250 -41250 MEDICAL SUPPLIES 78672409 78672409 SENTARA SERVICE EXPENSE 42202718 42202718 TAXES & LICENSES 14028304 14007499 20805 20327924 17080425 3247499 359909491 283552298 76357193 0 174809 1998149 635237 533572 38226071 41795114 5205803 5504526 1198193 412562 278064552 108187856 164016406 169876696 1770296 1889790 18634007 28369119 493001 493232 230353823 250872760 38644158 12700749 41831439 62583375 80475597 75284124 X 132895542 157008777 16982684 18579859 149878226 175588636 230353823 250872760 X 23420023 26450585 -24160198 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25898609 4795870 1587282 29107197 24909335 3071344 2082070 25898609 22443334 4942791 2476790 24909335 26336153 -1624246 2241313 27260 22443334 27330292 3867648 3631399 1230388 26336153 1.00000 0 1 1 12728158 22435000 35163158 124338616 27748696 96589920 1332838 1014764 318074 96230282 77404431 18825851 20999658 2019965 18979693 169876696 GENERAL RESERVE 2053272 DUE TO AFFILIATES 5845446 DUE TO 3RD PARTY PAYORS 23543295 OTHER LIABILITIES 2618863 ROU LIABILITIES 28522499 62583375 PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO SUPPORT THE HEALTH CARE NEEDS OF THE COMMUNITY. CHAMPION'S GOLF 71220 3220 68000 21794 MARTHA'S MARKET 118397 12541 105856 7051 1 19125 1675 17450 1525 208742 17436 191306 30370 30370 160936 1 1 X 1 X 300.000000000000 1 X 1 1 0 1 1 3888990 3888990 0.01080 40391595 34181555 6210040 0.01730 44280585 34181555 10099030 0.02810 1777897 1777897 0.00490 820038 518669 301369 0.00080 39582580 30977787 8604793 0.02390 382680 382680 0.00110 42563195 31496456 11066739 0.03070 86843780 65678011 21165769 0.05880 172838 172838 0.00050 28508 611 27897 0.00010 224470 224470 0.00060 284107 284107 0.00080 78504 43798 34706 0.00010 132804 132804 0.00040 921231 44409 876822 0.00250 1 15436981 85628174 91537172 -5908998 X 1 1 1 MARTHA JEFFERSON PHO MANAGED CARE 0.50000 0.50000 2 1 MARTHA JEFFERSON HOSPITAL 500 MARTHA JEFFERSON DRIVE CHARLOTTESVILLE VA 22911 WWW.SENTARA.COM H1872 X X X 2 MARTHA JEFFERSON OUTPATIENT SURGERY CENTER 595 MARTHA JEFFERSON DRIVE CHARLOTTESVILLE VA 22911 WWW.SENTARA.COM OH662 X OUTPATIENT SURGERY CENTER MARTHA JEFFERSON HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE SECTION C BELOW X X 1 19 0 1 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X X 1 X 0 0 MARTHA JEFFERSON OUTPATIENT SURGERY CENT 2 0 0 1 X X X X X X X X X 19 1 1 1 1 X SEE SECTION C BELOW X X 1 19 0 1 0 1 X 300.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X WWW.SENTARA.COM/FINANCIALASSISTANCE X X X X X X 1 X 0 X X X X X 0 X X X 0 0 MARTHA JEFFERSON HOSPITAL PART V, SECTION B, LINE 5: MARTHA JEFFERSON HOSPITAL (MJH) PARTICIPATED WITH THE THOMAS JEFFERSON HEALTH DEPARTMENT IN A COLLABORATIVE EFFORT TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT OF THE SIX LOCALITIES (CHARLOTTESVILLE/ALBEMARLE, FLUVANNA, GREENE, LOUISA, NELSON) IN THE HEALTH DISTRICT. THESE LOCALITIES ARE CONSIDERED MJH'S SERVICE AREA, ACCOUNTING FOR APPROXIMATELY 83.5% OF MJH'S INPATIENTS. OTHER PARTICIPANTS IN THIS PROCESS INCLUDED THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM, THE UNIVERSITY OF VIRGINIA SCHOOL OF PUBLIC HEALTH, THE AREA AGENCY ON AGING, THE UNITED WAY, THE AREA FREE CLINIC, THE PLANNING DISTRICT COMMISSION, THE COOPERATIVE EXTENSION SERVICE, ETC. REGIONAL COUNTY INTERAGENCY COUNCILS WITH MJH REPRESENTATION WERE USED TO COLLECT EXISTING HEALTH DATA, COMMUNITY MEMBER SURVEYS, AND KEY STAKEHOLDER FOCUS GROUPS TO CREATE THE ASSESSMENT AND PLAN. THE PROCESS TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 5: THE FACILITY RELIED ON THE ASSESSMENT CONDUCTED BY MARTHA JEFFERSON HOSPITAL (MJH) WHEN CONDUCTING ITS OWN ASSESSMENT. SEE THE RESPONSE UNDER MJH FOR ADDITIONAL INFORMATION. MARTHA JEFFERSON HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA OF MARTHA JEFFERSON HOSPITAL WAS CONDUCTED WITH UNIVERSITY OF VIRGINIA HEALTH SYSTEM/MEDICAL CENTER AND MARTHA JEFFERSON OSC. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 6A: THE CHNA OF MARTHA JEFFERSON OUTPATIENT SURGERY CENTER WAS CONDUCTED WITH MARTHA JEFFERSON HOSPITAL AND THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM/MEDICAL CENTER. MARTHA JEFFERSON HOSPITAL PART V, SECTION B, LINE 6B: THE CHNA OF MARTHA JEFFERSON HOSPITAL CONDUCTED WITH THE THOMAS JEFFERSON HEALTH DISTRICT, I.E., THE LOCAL HEALTH DEPARTMENT. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 6B: THE CHNA OF MARTHA JEFFERSON OUTPATIENT SURGERY CENTER WAS CONDUCTED WITH THE THOMAS JEFFERSON HEALTH DISTRICT, I.E., THE LOCAL HEALTH DEPARTMENT. MARTHA JEFFERSON HOSPITAL PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENT HAVE BEEN MADE AVAILABLE TO OTHER ORGANIZATIONS.THE DIRECT URL ADDRESSES FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE:HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SMJH-SMJ-OSC-MAPP2HEALTH-REPORT.PDFHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SMJH-CHNA-SUPPLEMENTAL-REPORT.PDF MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 7D: COPIES OF THE ASSESSMENT HAVE BEEN MADE AVAILABLE TO OTHER ORGANIZATIONS.THE DIRECT URL ADDRESSES FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE:HTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SMJH-SMJ-OSC-MAPP2HEALTH-REPORT.PDFHTTPS://WWW.SENTARA.COM/ASSETS/PDF/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS/2019-SMJ-OSC-CHNA-SUPPLEMENTAL-REPORT.PDF MARTHA JEFFERSON HOSPITAL PART V, SECTION B, LINE 11: TO SELECT COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES, THE HANLON MODEL WAS USED TO RATE THE MAGNITUDE AND SERIOUSNESS OF THE HEALTH ISSUES AND THE FEASIBILITY OF ADDRESSING THEM AT THE LOCAL LEVEL. HOSPITAL AND OTHER PARTICIPANTS RECOGNIZED THAT RESOURCES NEEDED TO BE DIRECTED TO THE HIGHEST PRIORITY HEALTH PROBLEMS. THE HOSPITAL WORKS ACTIVELY ON A COLLABORATIVE BASIS WITH OTHER COMMUNITY PARTNERS IN THE EXECUTION OF THE IMPLEMENTATION STRATEGIES. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 11: THE FACILITY WORKED TOGETHER WITH MJH TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS CHNA AND WENT THROUGH THE SAME PRIORITIZATION PROCESS TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS FOR WHICH IMPLEMENTATION STRATEGIES SHOULD BE DEVELOPED. SEE THE RESPONSE FOR MJH FOR FURTHER INFORMATION. MARTHA JEFFERSON HOSPITAL 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 EXTERNAL COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES, EVEN IF THEY ARE INELIGIBLE FOR FINANCIAL ASSISTANCE BY MODEL. MARTHA JEFFERSON OUTPATIENT SURGERY 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 EXTERNAL COLLECTION EFFORTS THOSE PATIENTS WHO ARE UNLIKELY TO HAVE THE RESOURCES TO PAY THEIR ACCOUNT BALANCES, EVEN IF THEY ARE INELIGIBLE FOR FINANCIAL ASSISTANCE BY MODEL. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER PART V, SECTION B, LINE 21D: THE FACILITY IS AN AMBULATORY SURGERY CENTER AND DOES NOT TREAT INDIVIDUALS REQUIRING EMERGENCY MEDICAL CARE. ONLY PRE-PLANNED PROCEDURES ARE PERFORMED AT THE FACILITY. SEE PART VI NARRATIVE ON THE ORGANIZATION'S AMBULATORY SURGERY CENTERS FOR FURTHER INFORMATION. MARTHA JEFFERSON HOSPITAL: 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. MARTHA JEFFERSON OUTPATIENT SURGERY CENTER: 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. 21 1 - SENTARA MJ ORTHOPEDICS 595 MARTHA JEFFERSON DRIVE SUITE 180 CHARLOTTESVILLE VA 229034896 PHYSICIAN CLINIC 2 - SENTARA MJ WOUND CARE CENTER 595 MARTHA JEFFERSON DRIVE SUITE 140 CHARLOTTESVILLE VA 22911 WOUND CENTER 3 - SENTARA CENTER FOR PLASTIC SURGERY 595 MARTHA JEFFERSON DRIVE SUITE 280 CHARLOTTESVILLE VA 229118837 PHYSICIAN CLINIC 4 - SENTARA MJ SLEEP MEDICINE CENTER 1793 RICHMOND ROAD CHARLOTTESVILLE VA 22911 DIAGNOSTIC CENTER 5 - SENTARA MJ ORTHOPEDIC SERVICES-N 3263 PROFFIT ROAD SUITE 202 CHARLOTTESVILLE VA 22901 PHYSICIAN CLINIC 6 - SENTARA GREENE FAMILY MEDICINE 140 STONERIDGE DRIVE S SUITE 100 RUCKERSVILLE VA 229683096 PHYSICIAN CLINIC 7 - SENTARA FOREST LAKES FAMILY MEDICINE 3263 PROFFIT ROAD SUITE 201 CHARLOTTESVILLE VA 22911 PHYSICIAN CLINIC 8 - MARTHA JEFFERSON HEALTH & WELLNESS 590 PETER JEFFERSON PKWY 2ND FLOOR CHARLOTTESVILLE VA 22911 CARDIAC REHAB 9 - FAMILY MEDICINE AT BELVEDERE 540 BELVEDERE BLVD SUITE 100 CHARLOTTESVILLE VA 229013215 PHYSICIAN CLINIC 10 - SENTARA BLUE RIDGE INTERNAL MEDICINE 2250 IVY ROAD SUITE 200 CHARLOTTESVILLE VA 229034896 PHYSICIAN CLINIC 11 - SENTARA MJ INTERNAL MEDICINE 590 PETER JEFFERSON PKWY STE 100 CHARLOTTESVILLE VA 22911 PHYSICIAN CLINIC 12 - SENTARA PALMYRA MEDICAL ASSOCIATES 33 REBECCA DRIVE PALMYRA VA 22963 PHYSICIAN CLINIC 13 - SENTARA AFTON FAMILY MEDICINE 10950 ROCKFISH VALLEY HWY AFTON VA 229203203 PHYSICIAN CLINIC 14 - SENTARA FAMILY MED 5TH ST STATION 435 MERCHANT WALK SQ BLDG 900 400 CHARLOTTESVILLE VA 22902 PHYSICIAN CLINIC 15 - SENTARA CROZET FAMILY MEDICINE 1646 PARK RIDGE DRIVE CROZET VA 229323155 PHYSICIAN CLINIC 16 - SENTARA MARTHA JEFFERSON VASC & VEIN 595 MARTHA JEFFERSON DRIVE SUITE 270 CHARLOTTESVILLE VA 22902 PHYSICIAN CLINIC 17 - SENTARA MARTHA JEFFERSON FAM MEDICINE 315 10 STREET NE CHARLOTTESVILLE VA 22901 PHYSICIAN CLINIC 18 - SENTARA WAYNESBORO INTERNAL MEDICINE 760 TOWN CENTER DRIVE STE 760A WAYNESBORO VA 22980 PHYSICIAN CLINIC 19 - SENTARA INTERNAL MEDICINE PHYSICIANS 1011 E JEFFERSON STREET CHARLOTTESVILLE VA 22902 PHYSICIAN CLINIC 20 - SENTARA MJ HEALTH SVCS SPRING CREEK 29 JEFFERSON COURT GORDONSVILLE VA 22942 PHYSICIAN CLINIC 21 - SENTARA STARR HILL HEALTH CENTER 233 FOURTH STREET NW CHARLOTTESVILLE VA 22911 PHYSICIAN CLINIC 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 HEALTHCARE, EIN 52-1271901, THE 501(C)(3) PARENT ORGANIZATION 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: $6,527,884 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. IN ADDITION TO THE SYSTEM-WIDE SENTARA CARES PROGRAM, THE ORGANIZATION'S OWN PROGRAMS ARE FOCUSED ON THE BLUE RIDGE HEALTH DISTRICT, INCLUDING THE CITY OF CHARLOTTESVILLE, AND THE SURROUNDING COUNTIES OF ALBEMARLE, FLUVANNA, GREENE, LOUISA AND NELSON. RECOGNIZING THAT HEALTH AND WELLNESS ARE ACHIEVED NOT SOLELY BY THE ABSENCE OF DISEASE OR INFIRMITY, THE ORGANIZATION ESTABLISHES ITS COMMUNITY HEALTH GOALS WITH CONSIDERATION TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH TO HELP ITS COMMUNITY BETTER REALIZE A BALANCE OF PHYSICAL, MENTAL, AND SOCIAL WELL-BEING. PRIORITIES INCLUDE FOUR STRATEGIC AREAS INCLUDING HEALTHY EATING AND ACTIVE LIVING; MENTAL HEALTH INCLUDING SUBSTANCE USE CONCERNS; HEALTH EQUITY AND ACCESS TO CARE; AND HEALTHY AND CONNECTED COMMUNITIES FOR ALL AGES. THE ORGANIZATION WORKS COLLABORATIVELY WITH COMMUNITY HEALTH PARTNERS, INCLUDING THE BLUE RIDGE HEALTH DEPARTMENT AND UVA HEALTH, TO DEVELOP AND DELIVER PROGRAMS WITH A SPECIFIC FOCUS ON POPULATIONS MOST IMPACTED BY LACK OF ACCESS, INCLUDING PEOPLE OF COLOR, ELDERS, LOW-WEALTH INDIVIDUALS, AND CHILDREN. PROGRAMS INCLUDE A COLLABORATION WITH THE LOCAL FOOD HUB TO ADDRESS FOOD INSECURITY AND ENSURE THAT PEOPLE HAVE ACCESS TO HEALTHY FOODS; PROVIDING FREE COUNSELING OFFICE AND MEETING SPACE TO THE WOMEN'S INITIATIVE WHICH PROVIDES MENTAL HEALTH SERVICES TO WOMEN IN OUR COMMUNITY AT NO COST; FREE CHRONIC DISEASE MANAGEMENT CLASSES AND CLINIC VISITS AT THE SENTARA STARR HILL HEALTH CLINIC; AND PARTNERSHIPS WITH PIEDMONT VIRGINIA COMMUNITY COLLEGE AND REGIONAL PUBLIC SCHOOLS TO ADVANCE WORKFORCE DEVELOPMENT OPPORTUNITIES FOR YOUNG PEOPLE IN OUR COMMUNITY. 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 17-21 OF THE ATTACHED FINANCIAL STATEMENTS FOR ADDITIONAL INFORMATION. PART III, LINE 4: SEE FOOTNOTE 4 ON PAGES 17-21 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; FOLLOWING UP WITH PATIENTS WHO HAVE SUBMITTED INCOMPLETE APPLICATIONS TO TRY AND OBTAIN THE MISSING INFORMATION; AND INFORMING APPLICANTS REGARDING THEIR ELIGIBILITY DETERMINATION. 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 200% FEDERAL POVERTY GUIDELINES, AND AN UNINSURED (SELF-PAY) PATIENT'S INCOME IS AT OR BELOW 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 COLLECTION SYSTEM AND ALL COLLECTION EFFORTS 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 THE LOCAL HEALTH DISTRICT AND OTHER ORGANIZATIONS. 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 TOLL-FREE 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 THE STATEMENTS 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 EMPLOYS AN EXTERNAL FIRM TO ASSIST IN THE ELIGIBILITY PROCESS AT NO COSTS TO PATIENTS. PART VI, LINE 4: SENTARA MARTHA JEFFERSON HOSPITAL SERVES RESIDENTS OF THE CITY OF CHARLOTTESVILLE, THE COUNTIES OF ALBEMARLE, FLUVANNA, GREENE, LOUISA, AND NELSON AND SURROUNDING COMMUNITIES.THE 2021 POPULATION OF THE SERVICE AREA IS 279,264, AND IS EXPECTED TO REMAIN RELATIVELY STABLE OVER THE NEXT FIVE YEARS, GROWING BY 5.1% WHILE THE OVERALL US POPULATION IS EXPECTED TO GROW BY 2.8%. THE AGE DISTRIBUTION OF THE POPULATION IS COMPARABLE TO THE OVERALL US DISTRIBUTION, WITH A HIGHER PERCENT OF THE POPULATION 65+ (19.3% VS. 17.0%) AND A LOWER PERCENT OF THE POPULATION YOUNGER THAN 20 YEARS (23.0% VS. 24.6%). A LOWER NUMBER OF RESIDENTS OF THE SERVICE AREA HAVE COMPLETED AT LEAST A HIGH SCHOOL DIPLOMA, 22.6% VS. 26.9% FOR THE US OVERALL, WHILE 22.4% HAVE ACHIEVED AT LEAST A BACHELOR'S DEGREE, VS. 20.3% FOR THE US AS A WHOLE. THE MEDIAN INCOME OF THE RESIDENTS OF THE SERVICE AREA IS $59,227 VS. $73,066 FOR THE US, AND A LOWER PERCENT OF HOUSEHOLDS, 15.0% VS. 18.3%, SUBSIST ON LESS THAN $25,000 PER YEAR. RACIALLY, THE SERVICE AREA IS HOME TO 71.4% WHITES (VS. 61.2% FOR THE US), 11.9% BLACK/AFRICAN AMERICANS (VS. 12.6% US), 7.4% ASIANS (VS. 6.7% US), WITH 2.6% REPORTING ANOTHER RACE VS. 8.1% NATIONALLY. ETHNICALLY, THE SERVICE AREA IS HOME TO 5.9% HISPANICS VS. 18.8% NATIONALLY, AND 94.1% NON-HISPANICS, VS. 81.2% 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 HEALTHCARE. A 501(C)(3) VIRGINIA NONSTOCK CORPORATION. SENTARA HEALTHCARE'S COMMUNITY-BASED BOARD IS COMPRISED OF A MAJORITY OF MEMBERS WHO ARE NEITHER EMPLOYEES NOR CONTRACTORS OF SENTARA HEALTHCARE, 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.") NAMED TO IBM WATSON HEALTH'S 2021 "TOP 15 HEALTH SYSTEMS," SENTARA IS AN INTEGRATED, NOT-FOR-PROFIT SYSTEM OF 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA, INCLUDING A LEVEL I TRAUMA CENTER, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER AND THE ACCREDITED SENTARA CANCER NETWORK, TWO ORTHOPEDIC HOSPITALS, AND THE SENTARA NEUROSCIENCES INSTITUTE. THE SENTARA FAMILY ALSO INCLUDES FOUR MEDICAL GROUPS, NIGHTINGALE REGIONAL AIR AMBULANCE, HOME CARE AND HOSPICE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, A CLINICALLY INTEGRATED NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, AND THE OPTIMA HEALTH PLAN AND VIRGINIA PREMIER HEALTH PLAN SERVING OVER 900,000 MEMBERS IN VIRGINIA, NORTH CAROLINA AND OHIO. SENTARA IS RECOGNIZED NATIONALLY FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR ITS PATIENTS AND MEMBERS. 1 THE WOMEN'S INITIATIVE 1101 EAST HIGH STREET STE A CHARLOTTESVILLE VA 22902 205913090 501(C)(3) 25000 0 MENTAL HEALTH SERVICES CHARLOTTESVILLE FREE CLINIC 1138 ROSE HILL DRIVE 200 CHARLOTTESVILLE VA 22903 541610405 501(C)(3) 35000 0 COMMUNITY HEALTH SENTARA HEALTHCARE 6015 POPLAR HALL DRIVE NORFOLK VA 23502 541547408 501(C)(3) 1286096 0 CORPORATE OVERHEAD ALLOCATIONS COMMON GROUND HEALING ARTS 233 4TH STREET NW BOX C CHARLOTTESVILLE VA 22903 272111863 501(C)(3) 10000 0 COMMUNITY HEALTH TRINTY EPISCOPAL CHURCH 1118 PRESTON AVENUE CHARLOTTESVILLE VA 22903 541128335 501(C)(3) 14820 0 COMMUNITY HEALTH ALBEMARLE-CHARLOTTESVILLE NAACP 703-C CONCORD AVENUE CHARLOTTESVILLE VA 22903 541817782 501(C)(4) 10000 0 COMMUNITY HEALTH LOCAL FOOD HUB PO BOX 4647 CHARLOTTESVILLE VA 22903 264137130 501(C)(3) 9690 0 COMMUNITY HEALTH GREENE COUNTY DEPARTMENT OF PARKS AND RECREATION PO BOX 358 STANARDSVILLE VA 22903 501(C)(3) 10000 0 COMMUNITY HEALTH COMMUNITY CLIMATE COLLABORATIVE 415 8TH STREET NE CHARLOTTESVILLE VA 22902 832065573 501(C)(3) 6800 0 COMMUNITY HEALTH CONSCIOUS CAPITALIST FOUNDATION INC 420 E MAIN ST SUITE A CHARLOTTESVILLE VA 22902 842733195 501(C)(3) 10000 0 COMMUNITY HEALTH PIEDMONT FAMILY YMCA 151 MCINTIRE PARK DRIVE CHARLOTTESVILLE VA 22911 541717336 501(C)(3) 10000 0 COMMUNITY HEALTH 10 3 PART I, LINE 2: AS PART OF THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), THE ORGANIZATION DONATES FUNDS TO SENTARA HEALTHCARE, THE SECTION 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. MARTHA JEFFERSON HOSPITAL ALSO DONATES FUNDS IN FURTHERANCE OF THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY MAINTAINING, ENHANCING AND RESTORING PERSONAL HEALTH AND WELL BEING. ASSISTANCE IS GIVEN BASED ON DIRECTION FROM THE BOARD OF DIRECTORS AND COMMUNITY NEED. X 1 1 1 1 0 0 0 0 0 1 0 MICHAEL V GENTRY DIRECTOR 0 1000664 0 754388 0 157645 0 529145 0 23013 0 2464855 0 0 ROBERT A BROERMANN TREASURER 0 1018716 0 890138 0 262933 0 33599 0 22055 0 2227441 0 0 LOUIS PATALANO IV SECRETARY (THROUGH 9/25/2021) 0 469404 0 431615 0 240311 0 57915 0 17267 0 1216512 0 0 JOHN Z EDWARDS MD PHYSICIAN 928437 0 58499 0 20879 0 21895 0 30792 0 1060502 0 0 0 PAUL A GADEN PRESIDENT/DIRECTOR (EFFECTIVE 4/5/20 0 551150 0 287438 0 4515 0 138008 0 24993 0 1006104 0 0 CLARK BAUMBUSCH PHYSICIAN 909510 0 53499 0 575 0 22729 0 2209 0 988522 0 0 0 STEPHEN A HOOVER PHYSICIAN 725797 0 53499 0 841 0 22094 0 36618 0 838849 0 0 0 OSMOND CHIA-LIANG WU PHYSICIAN 680995 0 66000 0 621 0 48195 0 14871 0 810682 0 0 0 BRIAN M SHOWALTER PHYSICIAN 716615 0 36000 0 573 0 19570 0 30149 0 802907 0 0 0 DOUGLAS J MOYER DIRECTOR 0 466337 0 177704 0 4714 0 63223 0 41647 0 753625 0 0 ELWOOD B BOONE III DIRECTOR (THROUGH 11/2021) 0 374808 0 144490 0 40489 0 51353 0 32770 0 643910 0 22640 JOHN LIGUSH MD DIRECTOR 451512 0 71000 0 3627 0 38098 0 37391 0 601628 0 0 0 AMELIA S BLACK KE (VP, COO) 329005 0 120258 0 28731 0 42731 0 31726 0 552451 0 0 0 BRUCE D CLEMONS KE (VP, MEDICAL GROUP) 375790 0 73706 0 19375 0 25698 0 38194 0 532763 0 0 0 JOHNSA MORRIS KE (VP, CNE) 195509 0 70947 0 32570 0 171426 0 33282 0 503734 0 0 0 JONATHAN S DAVIS PRESIDENT THROUGH (3/1/2021) 70397 0 176677 0 131139 0 -368 0 7144 0 384989 0 28840 0 SAMUEL J HAWLEY ASS'T SECRETARY 0 199044 0 49676 0 35031 0 24374 0 19031 0 327156 0 0 DEBORAH L THEXTON FORMER KE 0 183884 0 34239 0 1093 0 33737 0 18143 0 271096 0 0 JUDITH D TOBIN KE EXECUTIVE DIRECTOR BUS OPERATION 178620 0 29294 0 1014 0 32110 0 10557 0 251595 0 0 0 ALLISON N CRAWFORD FORMER KE 151682 0 24901 0 12456 0 18593 0 19851 0 227483 0 0 0 SUSAN M HUNT FORMER KE 112635 0 24905 0 22050 0 19568 0 15236 0 194394 0 0 0 PART I, LINE 1A SOCIAL CLUB DUES PAID ON BEHALF OF THE ORGANIZATION'S SENIOR EXECUTIVES ARE ALLOCATED BETWEEN BUSINESS AND PERSONAL USE, THE PERSONAL USE OF WHICH WAS TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES. PART I, LINE 3 SENTARA HEALTHCARE, THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY SENTARA HEALTHCARE'S COMPENSATION COMMITTEE. SENTARA HEALTHCARE RECOGNIZES THAT PROVIDING THE BEST POSSIBLE CARE REQUIRES US TO ATTRACT AND RETAIN THE VERY BEST EMPLOYEES. OUR ORGANIZATION IS COMMITTED TO INVESTING IN OUR PEOPLE BY OFFERING COMPETITIVE COMPENSATION OPPORTUNITIES AND A STRONG WORKPLACE ENVIRONMENT. THE SENTARA HEALTHCARE BOARD HAS DIRECTED A COMMITTEE OF INDEPENDENT, CONFLICT-FREE BOARD MEMBERS TO DEVOTE THEIR TIME AND ATTENTION TO THE OVERSIGHT OF SENTARA HEALTHCARE'S EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE CONSISTS OF PROFESSIONAL, EXPERIENCED, AND DEDICATED BOARD MEMBERS WHO TAKE THIS RESPONSIBILITY VERY SERIOUSLY. THE COMPENSATION COMMITTEE FOLLOWS GOVERNANCE BEST PRACTICES IN THE REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE IS ASSISTED BY OUTSIDE ADVISORS WHO ARE ENGAGED BY THE COMMITTEE. PART I, LINES 4A-B LOUIS PATALANO, IV RECEIVED $130,308 IN COMPENSATION RELATED TO HIS SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. ROBERT BROERMANN, MICHAEL GENTRY, ELWOOD BOONE, JONATHAN DAVIS, DOUGLAS MOYER, PAUL GADEN AND LOUIS PATALANO 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 HEALTHCARE'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). DURING 2021, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($181,940); MICHAEL GENTRY ($139,700); JONATHAN DAVIS ($51,086) AND ELWOOD BOONE ($37,480). 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. 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 AS DETERMINED BY THE BOARD; BUSINESS UNIT RESULTS FOR FINANCIAL, SAFETY, QUALITY AND CUSTOMER SERVICE; 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. DARYAN ABSHIRE FAMILY MEMBER OF ALISON N. CRAWFORD, FORMER KEY EMPLOYEE 51557 EMPLOYMENT 0 MCKENZIE ABSHIRE FAMILY MEMBER OF ALISON N. CRAWFORD, FORMER KEY EMPLOYEE 17557 EMPLOYMENT 0 AMY HUNT FAMILY MEMBER OF SUSAN HUNT, FORMER KEY EMPLOYEE 93679 EMPLOYMENT 0 X 10 128742 COST OR SELLING PRICE X GIFT-IN-KIND 33 158087 FMV 0 1 1 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS. PART I, LINE 32B: MARTHA JEFFERSON HOSPITAL USES EXTERNAL PARTIES TO COORDINATE AN ARMS-LENGTH SALE OF NON-CASH CONTRIBUTIONS. FOR EXAMPLE, A LICENSED STOCK BROKER WAS USED THIS YEAR TO SELL GIFTS OF STOCK. FORM 990, PART III, LINE 1 AS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, WE IMPROVE HEALTH EVERY DAY THROUGH THE ESTABLISHMENT AND OPERATION OF NONPROFIT HOSPITALS AND RELATED HEALTH AND MEDICAL PROGRAMS FOR THE CARE OF THE SICK AND INJURED; THE OPERATION OF NONPROFIT SCHOOLS FOR THE EDUCATION AND TRAINING OF NURSES AND OTHER PERSONNEL NECESSARY OR DESIRABLE IN PROVIDING HEALTH CARE; THE PROMOTION OF HEALTH; THE CARRYING ON OF SCIENTIFIC MEDICAL RESEARCH IN THE PUBLIC INTEREST; AND THE CARRYING ON OF ANY OTHER ACTIVITIES WHICH FURTHER OR ADVANCE THE GENERAL HEALTH AND WELFARE OF THE COMMUNITIES WE SERVE. FORM 990, PART III, LINE 4A I. SENTARA HEALTHCARE: YOUR NOT-FOR-PROFIT HEALTHCARE PARTNER SENTARA HEALTHCARE CELEBRATES MORE THAN 133 YEARS IN PURSUIT OF ITS MISSION "WE IMPROVE HEALTH EVERY DAY." SENTARA IS AN INTEGRATED, NOT-FOR-PROFIT HEALTH CARE DELIVERY SYSTEM WITH MORE THAN 29,000 EMPLOYEES (INCLUDING 1,375 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS), 12 HOSPITALS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA AND THE SENTARA HEALTH PLANS DIVISION, WHICH SERVES OVER 900,000 MEMBERS. SENTARA IS RECOGNIZED NATIONALLY FOR CLINICAL QUALITY AND SAFETY AND IS STRATEGICALLY FOCUSED ON INNOVATION AND CREATING AN EXTRAORDINARY HEALTH CARE EXPERIENCE FOR OUR PATIENTS AND MEMBERS. SENTARA WAS NAMED TO IBM WATSON HEALTH'S "TOP 15 HEALTH SYSTEMS" IN 2021 AND 2018, RECOGNIZED AS A "BEST EMPLOYER FOR WOMEN" BY FORBES IN 2020, AND RANKED AS ONE OF FORBES "AMERICA'S BEST EMPLOYERS" IN 2018. SENTARA HAS A LEVEL I TRAUMA CENTER, THE SENTARA HEART HOSPITAL, THE SENTARA HEALTH RESEARCH CENTER, THE SENTARA BROCK CANCER CENTER, AND THE ACCREDITED SENTARA CANCER NETWORK, TWO ORTHOPEDIC HOSPITALS, AND THE SENTARA NEUROSCIENCES INSTITUTE. THE SENTARA FAMILY ALSO INCLUDES A MEDICAL GROUP, NIGHTINGALE REGIONAL AIR AMBULANCE (MADE 778 LIFE-SAVING TRIPS IN 2021 ALONE), HOME CARE AND HOSPICE, AMBULATORY OUTPATIENT CAMPUSES, ADVANCED IMAGING AND DIAGNOSTIC CENTERS, A CLINICALLY INTEGRATED NETWORK, AND THE SENTARA COLLEGE OF HEALTH SCIENCES. EFFORTS ARE CENTERED ON PROVIDING THE RIGHT CARE IN THE RIGHT SETTING AT THE RIGHT TIME AND ADDING VALUE TO THE COMMUNITIES WE SERVE. WE STRIVE TO SERVE ALL OUR COMMUNITIES THROUGH HEALTH OUTREACH PROGRAMS, EDUCATION, AND FINANCIAL SUPPORT FOR OTHER NOT FOR PROFIT ORGANIZATIONS WITH SIMILAR HEALTH MISSIONS. AS AN INTEGRATED DELIVERY NETWORK (IDN), SENTARA PROVIDES BOTH HEALTH CARE SERVICES (HOSPITALS, CLINICS, PROVIDERS) AND HEALTH INSURANCE PLANS, WHICH ENABLES SENTARA TO FULLY UNDERSTAND AND DELIVER ON THE NEEDS OF OUR CONSUMERS IN A UNIQUE AND INSIGHTFUL WAY. ADDITIONALLY, SERVING AS AN IDN PROVIDES US WITH THE OPPORTUNITY TO IMPACT AND LIFT OUR COMMUNITIES GIVEN THE COMPREHENSIVE NATURE OF OUR ABILITY TO DELIVER CARE AND RESOURCES WITHIN THE WALLS OF OUR CARE SITES AS WELL AS WITHIN THE COMMUNITY. II. COMMITMENT TO THE COMMUNITY A. SENTARA HAS PROVIDED MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. THE 2021 VALUE OF COMMUNITY BENEFIT TOTALED $254,186,000. SENTARA PROVIDED $167,441,000 IN NET UNCOMPENSATED PATIENT CARE COSTS; $48,150,000 IN NET UNFUNDED COSTS OF TEACHING PROGRAMS; AND $38,595,000 IN INCURRED COSTS FOR COMMUNITY BENEFIT PROGRAMS. SENTARA EMPLOYEES CONTRIBUTED $2.5 MILLION TO UNITED WAYS IN VIRGINIA AND NORTH CAROLINA. B. SENTARA CONTINUES ITS EFFORTS IN THE COMMUNITY ENGAGEMENT AND IMPACT (CEI) PROGRAM, SENTARA CARES, TO INSPIRE, EMPOWER AND SUPPORT THE COMMUNITIES WE SERVE IN THE MOST IMPACTFUL WAY. IN 2021, SENTARA COMMITTED $50 MILLION TO ITS SENTARA HEALTHIER COMMUNITIES FUND TO ADDRESS HEALTH DISPARITIES MAGNIFIED BY THE IMPACT OF COVID-19 AND TO BOLSTER REGIONAL HEALTH SCIENCES PROGRAMS. THE CEI PROGRAM DELIVERS ECONOMIC, SOCIAL, AND ENVIRONMENTAL BENEFITS FOR STAKEHOLDERS ACROSS ALL SENTARA MARKETS AND INCREASES OUR COMMUNITY CONNECTION. IT BUILDS ON SENTARA RECOGNIZED LEADERSHIP AND COMMITMENT TO THE COMMUNITIES WE SERVE. C. SENTARA CONTINUED THE FOCUS ON THE IMPORTANT WORK OF DIVERSITY IN OUR WORKFORCE, TO DEEPEN OUR UNDERSTANDING ON CARING FOR OUR DIVERSE PATIENT POPULATION AND TO DEVELOP STRONG RELATIONSHIPS WITH DIVERSE COMMUNITY POPULATIONS. WE FORMED SEVERAL PARTNERSHIPS WITH KEY DIVERSITY-FOCUSED ORGANIZATIONS. WE CONTINUE THE WORK OF DIVERSITY AND INCLUSION COUNCILS AT ALL 12 HOSPITALS. AND WE CONTINUE TO DEVELOP NEW DIVERSITY AND INCLUSION COMPONENTS AND EDUCATION FOR ALL TEAM MEMBERS. THIS WAS ESPECIALLY IMPORTANT GIVEN THE SOCIAL JUSTICE ISSUES AND CIVIL UNREST IN 2020. ADDITIONALLY, SENTARA CONTINUED THE EXCELLENT WORK IN IDENTIFYING AND REDUCING BARRIERS SO PEOPLE CAN RECEIVE THE CARE THEY NEED. THE TEAM IDENTIFIES HEALTH DISPARITIES AND RESEARCH POSSIBLE CAUSES. THIS INCLUDES CHRONIC HEALTH ISSUES SUCH AS HYPERTENSION, DIABETES, AND THE HIGH RATES OF CANCER DEATHS IN MINORITY COMMUNITIES. ADDITIONALLY, WE CREATED POLICIES AND GUIDELINES TO ENSURE PROTECTION OF LGBTQ PATIENTS' RIGHTS AND PARTNERED WITH NUMEROUS COMMUNITY GROUPS TO PROVIDE EDUCATION AND EARLY DETECTION FOR COLORECTAL AND BREAST CANCERS. D. SENTARA IS PROUD OF THE MISSION-DRIVEN WORK OF THE THREE SENTARA FOUNDATIONS. THESE FOUNDATIONS RAISED $16.9 MILLION TO SUPPORT THE CLINICAL NEEDS OF THE SYSTEM AND PROVIDED FUNDING THROUGH GRANTS AND DIRECT CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT HAVE SIMILAR INTERESTS IN SUPPORTING COMMUNITY HEALTH NEEDS. E. SEVERAL YEARS AGO, SENTARA ESTABLISHED THE HOPE (HELPING OVERCOME PERSONAL EMERGENCY) FUND, WHICH IS AN EMERGENCY FINANCIAL RESOURCE FOR SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN. SENTARA EMPLOYEES WHO RECEIVE AID FROM THE HOPE FUND HAVE FACED DEVASTATING CRISES SUCH AS FIRE, DEATH, NATURAL DISASTERS, OR SERIOUS PERSONAL OR FAMILY ILLNESS. IN 2021, EMPLOYEES DONATED $271,469 TO THE HOPE FUND AND WE AWARDED $406,978 TO SENTARA EMPLOYEES IN CRISES ACROSS THE SYSTEM. F. IN SUPPORT OF IMPROVING THE PUBLIC HEALTH OF OUR COMMUNITIES, SENTARA DONATED $6 MILLION (AS PART OF OUR COMMUNITY BENEFIT) TO OLD DOMINION UNIVERSITY, NORFOLK STATE UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL TO START A NEW SCHOOL OF PUBLIC HEALTH. SENTARA SIGNED A MEMORANDUM OF UNDERSTANDING WITH OLD DOMINION UNIVERSITY AND EASTERN VIRGINIA MEDICAL SCHOOL TO STRENGTHEN MEDICAL EDUCATION IN HAMPTON ROADS. G. ALSO, AS PART OF OUR COMMUNITY BENEFIT, SENTARA CONTRIBUTED $150,000 TO VIRGINIA VETERANS SERVICES FOUNDATION TO BE USED FOR HOUSING ASSISTANCE AND SUICIDE PREVENTION PROGRAMS. H. BECAUSE OF THE GROWING NUMBER OF INDIVIDUALS FACING HOMELESSNESS, SENTARA CONTINUES TO PARTNER WITH MANY ORGANIZATIONS TO ADDRESS THIS CRITICAL NEED THAT HAS REACHED NEW HEIGHTS DUE TO THE COVID-19 PANDEMIC. HERE ARE A FEW EXAMPLES: 1. HEALTHY HOTEL PROJECT: THANKS TO OUR PARTNERSHIP WITH THE NORFOLK COMMUNITY SERVICES BOARD (NCSB), SENTARA'S MEDICAL GROUP AND HOME CARE DIVISIONS HAVE BEEN ABLE TO HELP NCSB SAFELY LEVERAGE HOTEL ROOMS CONVERTED INTO A SAFE AND SUPPORTIVE SHELTER PROGRAM. THROUGH THE HEALTHY HOTEL PROJECT, NCSB IS PROVIDING TEMPORARY SHELTER FOR NORFOLK'S MOST VULNERABLE HOMELESS RESIDENTS, WHILE SENTARA PROVIDES PREVENTIVE SCREENING, SUPPORT, AND CHRONIC DISEASE MANAGEMENT SERVICES. 2. THE HELP CLINIC: THIS FREE CLINIC IN HAMPTON, VIRGINIA, CONTINUED TO OPERATE A SINGLE SITE SHELTER FOR THE HOMELESS WITH COVID-19 SAFEGUARDS. SENTARA CAREPLEX HOSPITAL CASE MANAGERS WORK WITH THE HELP CLINIC TO ENSURE HOMELESS INDIVIDUALS HAVE ACCESS TO THERMAL SHELTERS, WHERE THEY CAN LINK THE CLIENTS TO MORE PERMANENT HOUSING SOLUTIONS. 3. SUITCASE CLINIC: A COLLABORATION AMONG JAMES MADISON UNIVERSITY AND OTHER COMMUNITY PARTNERS, INCLUDING THE RMH FOUNDATION, WORKS TO OVERCOME BARRIERS TO HEALTHCARE IN THE HARRISONBURG, VIRGINIA COMMUNITY. IMPORTANTLY, IT SUPPORTS HEALTH AND WELLNESS AMONG THE REGION'S HOMELESS POPULATION THROUGH MOBILE HEALTH SERVICES. I. COMMUNITY HEALTH INITIATIVES SENTARA AND OPTIMA HEALTH HAVE LONG BEEN COMMITTED TO PROVIDING HEALTH AND PREVENTION SERVICES TO THE COMMUNITIES WE SERVE THROUGH MANY CHANNELS INCLUDING THE SENTARA HEALTHCARE COMMUNITY HEALTH AND PREVENTION ORGANIZATION WITHIN SENTARA. BELOW ARE SOME KEY HIGHLIGHTS OF THE EFFORTS IN OUR COMMUNITIES IN 2021: SENTARA CONTINUED TO OFFER PROGRAMS SUCH AS EATING FOR LIFE, WALKABOUT WITH HEALTHY EDGE, HEALTH HABITS, HEALTHY YOU, MEDITATION, TAI CHI AND YOGA. SENTARA HOSTS SEVERAL COMMUNITY EVENTS RAISING AWARENESS AROUND KEY HEALTH AWARENESS MONTHS. ONE GOOD EXAMPLE IS THROUGH THE PROMOTION OF "28 DAYS OF HEART" IN FEBRUARY 2021 IN SUPPORT OF HEART HEALTH AWARENESS. ONLINE PROMOTIONS, RADIO ADS, VIDEOS, SCREENINGS, AND MORE WERE CONDUCTED TO RAISE AWARENESS OF HEART DISEASE THROUGHOUT THE COMMUNITIES WE SERVE IN VIRGINIA AND NORTH CAROLINA. ADDITIONALLY, SENTARA NORFOLK GENERAL HOSPITAL RECEIVED GRANT FUNDING THAT SUPPORTS COMMUNITY HEALTH WORKERS TO PROVIDE CASE MANAGEMENT SERVICES FOR SURVIVORS OF GUN VIOLENCE, ASSAULTS AND STABBINGS ADMITTED TO THE TRAUMA SERVICE OR DISCHARGED FROM THE EMERGENCY DEPARTMENT. THE PURPOSE OF THE PROGRAM IS TO ASSIST SURVIVORS OF VIOLENCE, ASSESS THEIR SOCIAL DETERMINANTS OF HEALTH AND BASED ON THE RESULTS DEVELOP AN INTERVENTION PLAN. THE GOAL IS TO PROVIDE SKILLS AND KNOWLEDGE TO AID THE INDIVIDUAL AND FAMILY TO IMPROVE THE QUALITY OF THEIR LIVES. FORM 990, PART III, LINE 4A III. COMMITMENT TO OUR TEAM MEMBERS A. SENTARA INVESTING IN OUR PEOPLE IS ALWAYS A TOP PRIORITY AND IN LINE WITH OUR MISSION TO IMPROVE HEALTH EVERY DAY. IN 2021 ALONE, SENTARA GAVE OUT MONETARY APPRECIATION GIFTS IN APRIL AND DECEMBER OF UP TO $3,500 TOTAL PER TEAM MEMBER IN RECOGNITION OF THEIR SERVICE TO THE PUBLIC DURING THE COVID-19 PANDEMIC. THE COMPANY RAISED ITS STARTING WAGE TO $15 PER HOUR MORE THAN TWICE THE FEDERAL MINIMUM WAGE EARLIER THAN PREVIOUSLY ANNOUNCED. SENTARA COLLEAGUES ALSO RECEIVED MARKET AND MERIT INCREASES IN MAY 2021 OF UP TO 8%, VALUED AT OVER $50 MILLION. THE TOTAL INVESTED IN TEAM MEMBERS IN 2021 WAS APPROXIMATELY $185 MILLION. IV. GROWTH IN SENTARA HEALTHCARE OUR GROWTH IN 2021 INCLUDED THE FOLLOWING: A. SENTARA BROKE GROUND ON THE NEW 135-ACRE SENTARA ALBEMARLE REGIONAL HEALTH CAMPUS IN ELIZABETH CITY, NC THAT WILL HOUSE A HOSPITAL AND MEDICAL OFFICE BUILDING. THIS GROUNDBREAKING MARKS THE MOST SIGNIFICANT INVESTMENT IN HEALTH CARE IN NORTHEAST NORTH CAROLINA SINCE THE CURRENT SENTARA ALBEMARLE MEDICAL CENTER WAS OPENED MORE THAN 60 YEARS AGO. B. OPTIMA HEALTH AND VIRGINIA PREMIER CONTINUED TO COLLECTIVELY SERVE OVER 600,000 PLUS ELIGIBLE VIRGINIANS WHO QUALIFIED FOR MEDICAID. C. THE SENTARA BROCK CANCER CENTER IN NORFOLK, VIRGINIA, BEGAN ITS SECOND YEAR SERVING AS A PATIENT-CENTERED FACILITY THAT IS TRANSFORMING CANCER CARE IN SOUTHEAST VIRGINIA/NORTHEAST NORTH CAROLINA. THE SENTARA BROCK CANCER CENTER SERVES 700-1000 PATIENTS PER DAY. D. IN HAMPTON ROADS, SENTARA OPENED A NEW WEIGHT-LOSS SURGERY PRACTICE; OPENED THE SENTARA BEHAVIORAL HEALTH CARE CENTER; OPENED A NEW NEUROLOGY PRACTICE; LAUNCHED VIRTUAL PHYSICAL THERAPY SERVICES; AND LAUNCHED HOSPITAL AT HOME TO CARE FOR PATIENTS IN THEIR HOME WHO WOULD HAVE OTHERWISE RECEIVED CARE IN A HOSPITAL SETTING. E. IN THE BLUE RIDGE REGION (HARRISONBURG AND CHARLOTTESVILLE), SENTARA LAUNCHED NEW ANESTHESIA PROGRAMS; ADDED FIVE NEW ORTHOPEDIC SURGEONS; AND ADDED ONE NEW PRIMARY CARE OFFICE LOCATION IN WAYNESBORO. F. IN THE HALIFAX REGION, SENTARA HALIFAX REGIONAL HOSPITAL OPENED PHASE ONE AND TWO OF THE LABOR DELIVERY RECOVERY AND POSTPARTUM UNIT (LDRP). THIS NEW MOTHER, BABY AND FAMILY UNIT WILL TRANSFORM THE EXPERIENCE MOMS AND FAMILIES HAVE WHEN DELIVERING THEIR BABY. SENTARA HALIFAX REGIONAL HOSPITAL ALSO ADDED A NEW ORTHOPEDIC SURGEON. G. IN NORTHERN VIRGINIA, SENTARA NORTHERN VIRGINIA MEDICAL CENTER ACHIEVED A TRAUMA III DESIGNATION; INTRODUCED A NEW PRIMARY CARE PHYSICIAN; EXPANDED THERAPY SERVICES; AND ADDED THE MOBILE PET/CT SERVICE. V. DIGITAL INITIATIVES AND INNOVATION SUCCESS A. SENTARA CONTINUED ITS FOCUS ON ENHANCING THE CONSUMER DIGITAL EXPERIENCE THROUGH THE ONGOING DEVELOPMENT AND ENHANCEMENT OF THE SENTARA "APP AND THE OPTIMA "APP". AS OF DECEMBER 2021, CUMULATIVE INITIAL UNIQUE LOGINS TO THE SENTARA APP WERE 290,473 AND CUMULATIVE DIGITAL ACCOUNTS ARE 685,154. AS OF DECEMBER 2021, CUMULATIVE INITIAL UNIQUE LOGINS TO THE OPTIMA HEALTH APP WERE 59,374 AND CUMULATIVE DIGITAL ACCOUNTS ARE 226,585. THE FINAL COMBINED APP ADOPTION NUMBER IS 38.4% VS. A BASELINE OF 27.5%, A NEARLY 11-PERCENTAGE POINT INCREASE. OUR AIM IS TO CONTINUOUSLY IMPROVE THE VIRTUAL EXPERIENCE, ENABLE VOICE OF THE CUSTOMER TO DRIVE CHANGE TO THE EXPERIENCE, AND ALLOW FOR A MORE FRICTIONLESS EXPERIENCE. B. THE VOICE OF THE CUSTOMER MODEL WAS HEAVILY UTILIZED TO UNDERSTAND MORE FROM SENTARA AND OPTIMA CUSTOMERS. THE MODEL IS AN OPERATIONAL DESIGN THAT ENABLES SENTARA TO INTEGRATE THE VOICE OF THE CUSTOMER INTO ALL FACETS OF BUSINESS DECISION-MAKING AND PRODUCT DEVELOPMENT BOTH IN THE BRICK-AND-MORTAR WORLD AND IN THE WORLD OF VIRTUAL CARE. VI. BY THE NUMBERS: A. 734,339 EMERGENCY ROOM VISITS; 15,994 BABIES DELIVERED, 17 HEART TRANSPLANTS, 70 KIDNEY TRANSPLANTS, 1 PANCREAS TRANSPLANT, 260 CLINICAL TRIALS, 60 PUBLICATIONS IN MEDICAL JOURNALS, 778 LIFE-SAVING TRIPS FROM THE NIGHTINGALE AIR AMBULANCE, AND 4,182,096 POUNDS OF PAPER RECYCLED. VII. EXPANDING EDUCATIONAL AND RESEARCH OPPORTUNITIES A. EDUCATION: SENTARA IS COMMITTED TO ALWAYS IMPROVING--INCLUDING ENCOURAGING REGISTERED NURSES (RNS) TO CONTINUE PURSUING EDUCATIONAL OPPORTUNITIES. CONTINUOUS LEARNING WILL ADVANCE THE CARE SENTARA NURSES DELIVER TO OUR PATIENTS AND ALLOW THEM TO ADVANCE IN THEIR CAREERS. IN 2021, SENTARA REACHED 83.2% OF SENTARA NURSES HAVING EARNED OR ARE UNDER CONTRACT TO EARN A BSN. SENTARA HAD 69.2% OF ITS NURSING WORKFORCE HOLDING A BSN OR HIGHER DEGREE WITH 14.0% OF LICENSED RNS WITH A CONTRACT TO COMPLETE THEIR BSN. B. RESEARCH: RESEARCH IS ANOTHER WAY SENTARA IS ALWAYS IMPROVING. IN 2021, SENTARA PARTICIPATED IN 260 CLINICAL TRIALS, INCLUDING 5 RELATED TO COVID-19. THE SENTARA HEALTH RESEARCH CENTER PROVIDES SCIENTIFIC, ADMINISTRATIVE, AND REGULATORY SUPPORT FOR RESEARCH CONDUCTED ACROSS SENTARA HEALTHCARE AND IN OUR COMMUNITIES. THE SENTARA HEALTH RESEARCH CENTER STRIVES TO IMPROVE TREATMENT OPTIONS, MEDICAL TECHNOLOGY, AND HEALTH EQUITIES WITH OUR DEDICATED TEAM OF EXPERTS AND STATE-OF-THE-ART TECHNOLOGY. OUR RESEARCH TAKES PLACE INSIDE AND OUTSIDE OF THE HOSPITAL. WE ALSO CONDUCT RESEARCH IN OUR COMMUNITY AND PARTNER WITH MANY COMMUNITY PRACTICES. OUR RESEARCH HELPS TO ADVANCE SCIENTIFIC UNDERSTANDING OF DISEASES AND ADVANCE KNOWLEDGE THAT LEADS TO BETTER AND MORE EFFECTIVE TREATMENTS THAT IMPROVE THE HEALTH IN OUR COMMUNITIES. OUR AREAS OF RESEARCH INCLUDE: CANCER CARDIOVASCULAR HEALTHCARE DELIVERY AND HEALTH EQUITY INTERNAL MEDICINE NEUROSCIENCES ORTHOPEDICS PULMONARY/CRITICAL CARE WITH HEALTH CARE FACILITIES THROUGHOUT VIRGINIA AND NORTH CAROLINA, SENTARA TREATS A DIVERSE POPULATION OF PATIENTS. BECAUSE OF OUR WEALTH OF EXPERTISE, CUTTING-EDGE TECHNOLOGY AND CENTRALIZED AND COHESIVE RESEARCH DEPARTMENT, SENTARA CONTINUES TO BE A PREMIER HEALTH RESEARCH PARTNER. VIII. QUALITY, PATIENT SAFETY, AND COMMUNITY DISTINCTIONS AND AWARDS A. AWARD-WINNING CARE-- AS ALWAYS, SENTARA IS PROUD AND HUMBLED BY THE VARIOUS AWARDS AND RECOGNITIONS THE SYSTEM RECEIVED OVER THE COURSE OF THE YEAR. OUR MISSION IS TO IMPROVE HEALTH EVERY DAY. TO RECEIVE AN AWARD IS SIMPLY AN ADDED ACKNOWLEDGEMENT OF OUR MISSION DRIVEN WORK. HERE ARE A FEW OF THE 2021 AWARDS AND RECOGNITIONS: 1. SENTARA HEALTHCARE WAS NAMED ONE OF THE TOP 15 HEALTH SYSTEMS IN THE NATION FOR 2021 BY IBM WATSON HEALTH. THIS IS THE SECOND TIME SENTARA RECEIVED THIS PRESTIGIOUS HONOR, WHICH HIGHLIGHTS TOP-PERFORMING U.S. HEALTH SYSTEMS WITH EXCELLENT CLINICAL OUTCOMES, OPERATIONAL EFFICIENCY, AND PATIENT EXPERIENCE. SENTARA HEALTHCARE IS THE ONLY HEALTH SYSTEM IN THE MID-ATLANTIC AND SOUTHEAST REGIONS TO BE RECOGNIZED WITH THIS HONOR. 2. SENTARA NORFOLK GENERAL HOSPITAL EARNED A TOP 50 NATIONAL RANKING FROM U.S. NEWS & WORLD REPORT: UROLOGY. THIS EXTRAORDINARY RANKING, 40TH IN THE NATION, IS DUE TO THE GREAT PARTNERSHIP AND COLLABORATION WITH UROLOGY OF VIRGINIA AND EASTERN VIRGINIA MEDICAL SCHOOL (EVMS). UROLOGY SERVICES INCLUDE EXPERT TREATMENT METHODS FOR KIDNEY STONES TO COMPLEX BLADDER SURGERY, ROBOTIC SURGERY FOR PROSTATE, KIDNEY AND BLADDER CANCERS, GREEN LIGHT THERAPY FOR ENLARGED PROSTATE, AND THE SENTARA-EVMS COMPREHENSIVE PELVIC FLOOR CENTER. 3. ALL 12 SENTARA HOSPITALS EARNED A "LEADER IN LGBTQ HEALTHCARE EQUALITY" IN THE 2020 - 2021 TIMEFRAME FOR THE HEALTHCARE EQUALITY INDEX (HEI), A NATIONAL LGBTQ BENCHMARKING TOOL FROM THE HUMAN RIGHTS CAMPAIGN. 4. SENTARA WAS ACKNOWLEDGED AS ONE OF THE LEADING COMPANIES IN THE "GENEROUS VIRGINIANS" REPORT PUBLISHED IN VIRGINIA BUSINESS IN MAY 2021. SENTARA PROVIDED THE LARGEST DONATION BY A COMPANY OR CORPORATE FOUNDATION THROUGH ITS DONATION OF $23.5 MILLION TO EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) IN 2020. AND, IN THE CATEGORY OF TOTAL CORPORATE DONATIONS TO VIRGINIA NONPROFITS IN 2020, SENTARA WAS TOP OF THE LIST WITH DONATIONS TOTALING $35.3 MILLION. IX. HEALTH PLANS A. GROWTH OPTIMA HEALTH CONTINUES TO SEE GROWTH IN THE COMMERCIAL EMPLOYER MARKET. OPTIMA HEALTH ALONG WITH VIRGINIA PREMIER SERVES OVER 951,000 MEMBERS IN VIRGINIA, NORTH CAROLINA, AND OHIO. OPTIMA MEDICARE STAR RATING INCREASED TO 4.0 FROM 3.5 AND OPTIMA CONTINUES TO PRESS FORWARD ON ITS QUALITY, AFFORDABILITY, ACCESSIBILITY, HEALTH AND WELLNESS, VIRTUAL CARE, AND CUSTOMER EXPERIENCE. FORM 990, PART III, LINE 4A X. COVID-19 A. THE SECOND YEAR OF THE PANDEMIC PRESENTED MANY CHALLENGES, YET MUCH HOPE GIVEN THE INTRODUCTION OF THE COVID-19 VACCINES. SENTARA LEADERS AND TEAM MEMBERS CONTINUED TO RISE TO NEW HEIGHTS WITH THEIR HARD WORK AND PERSEVERANCE IN TAKING CARE OF EACH OTHER AS WELL AS OUR MEMBERS AND PATIENTS. HERE ARE A FEW HIGHLIGHTS: 1. BY THE NUMBERS: - SENTARA WAS THE FIRST IN THE COMMONWEALTH OF VIRGINIA TO HOST A VACCINE CLINIC AND IN FULL, PARTNERED WITH COMMUNITY AND FAITH-BASED ORGANIZATIONS TO HOLD OVER 550 COVID-19 VACCINE CLINICS. SENTARA ADMINISTERED NEARLY 200,000 VACCINES. TEAM MEMBERS AND VOLUNTEERS REGISTERED MORE THAN 30,000 HOURS AT COVID-19 VACCINE CLINICS. SENTARA PARTICIPATED IN 5 COVID-19 CLINICAL TRIALS WITH MORE THAN 1,000 PATIENTS ENROLLED. - COVID-19 SINCE THE BEGINNING OF THE PANDEMIC, 19,080 COVID-19 PATIENTS WERE ADMITTED TO SENTARA HOSPITALS, 13,255 WERE IN 2021. SINCE THE BEGINNING OF THE PANDEMIC, SENTARA HAD 155,798 COVID-19 PATIENT DAYS, 98,806 DAYS WERE IN 2021; 33,736 TOTAL INTENSIVE CARE UNIT DAYS FOR COVID -19 PATIENTS; AND 27,235 TOTAL VENTILATOR DAYS FOR COVID-19 PATIENTS. 2. SAFETY FOR OUR PATIENTS AND VISITORS: SENTARA CONTINUED ITS DILIGENCE FOR CLEANING/SANITIZING PATIENT CARE AREAS, MANDATORY MASKING, AND SOCIAL DISTANCING. 3. VACCINE EDUCATION: SENTARA LAUNCHED SEVERAL MARKETING CAMPAIGNS TO EDUCATE ALL IN THE COMMUNITY THE NEED TO GET VACCINATED AND BOOSTED. 4. PROTECTING OUR TEAM MEMBERS: SENTARA CONTINUED ITS RIGOROUS SCREENING PROCEDURES AT ALL OUR FACILITIES AND WORK LOCATIONS. WE ALSO EMBARKED ON A "BE KIND" CAMPAIGN TO ENCOURAGE THE PUBLIC, PATIENTS, AND VISITORS TO TREAT OUR EMPLOYEES WITH KINDNESS, EMPATHY, AND COMPASSION. 5. SUPPORTING OUR TEAM MEMBERS: SENTARA CONTINUED WITH THE PROGRAM, "YOU MATTER" TO HELP TEAM MEMBERS WITH THEIR SOCIAL, EMOTIONAL, AND BEHAVIORAL HEALTH NEEDS DURING THIS DIFFICULT PANDEMIC PERIOD. "YOU MATTER" HAS AN ABUNDANCE OF RESOURCES FOR STRESS MANAGEMENT, MINDFULNESS, RESILIENCE, MENTAL WELLNESS, AND CARE GIVER STRESS. SENTARA STRESSED THE NEED FOR TEAM MEMBERS TO TAKE CARE OF THEMSELVES AND EACH OTHER. WE ALSO LAUNCHED A PUBLIC "THANK YOU" ADVERTISING CAMPAIGN TO SHOW OUR APPRECIATION FOR OUR EMPLOYEES' RESILIENCE, DEDICATION, AND HARD WORK. 6. SENTARA COVID-19 STEERING COMMITTEE: SENTARA CONTINUED TO DILIGENTLY MONITOR THE PANDEMIC CRISIS WITH THE ONGOING WORK OF THE COVID-19 STEERING COMMITTEE. LEADERS MET FREQUENTLY AND THIS ALLOWED SENTARA TO SUCCESSFULLY RESPOND, PIVOT, PLAN, AND COORDINATE ACTIONS IN RESPONSE TO THE UNPRECEDENTED PANDEMIC ESPECIALLY DURING THE ADMINISTRATION OF VACCINES, STANDING UP VACCINE CLINICS AND WORKING IN THE COMMUNITY REACHING UNDERSERVED POPULATIONS. SENTARA LEADERS FREQUENTLY WERE IN COMMUNICATION WITH FEDERAL, STATE, REGIONAL AND LOCAL ELECTED OFFICIALS, AND OTHER KEY STAKEHOLDERS TO COLLECTIVELY LEARN AND ADVISE OTHERS OF NEEDS AND ISSUES. CONCLUSION: SENTARA HEALTHCARE IS COMMITTED TO OUR MISSION WE IMPROVE HEALTH EVERY DAY. WE PROVIDE QUALITY CARE THROUGH EXPERT PROVIDERS, USING CUTTING-EDGE TECHNOLOGY, DEPLOYING MEDICAL BREAKTHROUGHS, AND PROVIDING EXCELLENT CUSTOMER SERVICE ALL WITH A CONSTANT FOCUS ON INNOVATION. AND WE ARE COMMITTED TO SUPPORTING THE COMMUNITIES WE SERVE THROUGH OUR COMMUNITY ENGAGEMENT AND IMPACT PROGRAM, SERVING DIVERSITY AND EXPLORING HEALTH EQUITIES, VOLUNTEERISM, GRANTS, SPONSORSHIPS, AND SUPPORTING INITIATIVES THAT LIFT OUR COMMUNITIES. WE LOOK FORWARD TO ANOTHER YEAR OF COMMUNITY SUCCESS, GROWTH, AND INNOVATION IN 2022. FORM 990, PART V, LINE 1A SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND THE SECTION 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, MAINTAINS AN AGENCY RELATIONSHIP WITH THE ORGANIZATION AND ISSUES ALL 1099S ON ITS BEHALF. THE NUMBER REPORTED IS A BEST ESTIMATE OF THE 1099S ATTRIBUTABLE TO THE ORGANIZATION. THE EXACT NUMBER CANNOT BE DETERMINED; AS SOME OF THE 1099S ISSUED BY THE AGENT ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099'S ATTRIBUTABLE SOLELY TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVED TOGETHER ON THE BOARDS OF OTHER ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAD AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES. FORM 990, PART VI, SECTION A, LINE 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 A BOARD OF DIRECTORS, WHICH SERVED AS THE ORGANIZATION'S GOVERNING BODY, IS 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 MARTHA JEFFERSON HEALTH SERVICES CORPORATION, A VIRGINIA NONSTOCK CORPORATION, AND RATIFIED BY SENTARA HOSPITALS. FORM 990, PART VI, SECTION A, LINE 7B SENTARA HOSPITALS IS THE ORGANIZATION'S SOLE MEMBER ("MEMBER"). IN ACCORDANCE WITH THE AFFILIATION AGREEMENT, BY AND AMONG SENTARA HEALTHCARE ("SHC"), A VIRGINIA NONSTOCK CORPORATION AND THE SECTION 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, MARTHA JEFFERSON HEALTH SERVICES CORPORATION, A VIRGINIA NONSTOCK CORPORATION AND SECTION 501(C)(3) TAX EXEMPT ENTITY, MARTHA JEFFERSON HOSPITAL FOUNDATION, MJH FOUNDATION, AND MARTHA JEFFERSON MEDICAL ENTERPRISES, INC., SUBSIDIARIES OF THE ORGANIZATION, THE ORGANIZATION AND MARTHA JEFFERSON MEDICAL GROUP, LLC, DATED APRIL 1, 2011, AS AMENDED (THE "AFFILIATION AGREEMENT"), WHICH CONSTITUTES A MEMBER AGREEMENT AS PROVIDED IN VA. CODE SECTION 13.1-852.1, SHC SHALL HAVE 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 (THE "BOARD") TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S GOVERNANCE DOCUMENTS, AND TO THE EXTENT NOT CONTRARY TO THE AFFILIATION AGREEMENT. IN ADDITION TO MEMBER APPROVAL OR OTHER CONSENT RIGHTS PROVIDED IN THE ORGANIZATION'S GOVERNANCE DOCUMENTS, MEMBER SHALL HAVE THE FOLLOWING EXCLUSIVE RESERVED POWERS, SUCH THAT THE ORGANIZATION SHALL NOT TAKE OR ALLOW, AND SHALL NOT PERMIT ANY OF ITS CURRENT OR FUTURE CONTROLLED SUBSIDIARIES ("CONTROLLED AFFILIATE") TO TAKE THE FOLLOWING ACTIONS WITHOUT THE WRITTEN CONSENT OF THE MEMBER: (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 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 HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND SECTION 501(C)(3) TAX EXEMPT ENTITY. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES ARE REQUESTED TO SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. ADDITIONALLY, EACH ORGANIZATION'S GOVERNING BOARD OR APPROPRIATE BODY MONITORS TRANSACTIONS INVOLVING DISCLOSED POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 AS PART OF THE SENTARA HEALTH SYSTEM ("THE SYSTEM"), THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS' REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE SYSTEM AS A WHOLE IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, ADJUSTED AS APPLIED TO EACH EXECUTIVE, 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 SYSTEM PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE SYSTEM'S COMPENSATION COMMITTEE, WHICH CONSISTS OF SYSTEM 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 SYSTEM'S SENIOR EXECUTIVES TO COMPENSATION DATA FROM MULTIPLE 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 RELATIVE TO A GROUP OF NOT-FOR-PROFIT HEALTH SYSTEMS OF COMPARABLE SIZE AND SCOPE OF OPERATIONS EVERY YEAR. THE MOST RECENT STUDY COMPARED SENTARA'S PERFORMANCE TO 26 NOT-FOR-PROFIT HEALTHCARE SYSTEMS, AND 37 INDEPENDENT AND INTEGRATED DELIVERY SYSTEM-OWNED HEALTH PLANS THAT ARE COMPARABLE IN SIZE TO SENTARA'S HEALTH PLAN, 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 SYSTEM'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 MEETING AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF SYSTEM BOARD MEMBERS WITHOUT CONFLICTS OF INTEREST. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT, TREASURER, AND SECRETARY; WHO ALSO SERVED AS CORPORATE VICE PRESIDENT, EXECUTIVE VICE PRESIDENT AND CFO, AND SENIOR VICE PRESIDENT AND CLO OF THE SYSTEM, RESPECTIVELY. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR THE POSITIONS LISTED. FORM 990, PART VI, SECTION C, LINE 19 THE CONSOLIDATED FINANCIAL STATEMENTS FOR SENTARA HEALTHCARE 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 A BOARD OF DIRECTORS, WHICH SERVED 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 NOMINATED BY MARTHA JEFFERSON HEALTH SERVICES CORPORATION, A VIRGINIA NONSTOCK CORPORATION, AND APPROVED BY THE MEMBER. THE BOARD MEMBERS OF SENTARA HOSPITALS ARE ELECTED ANNUALLY BY ITS SOLE MEMBER, SENTARA HEALTHCARE, A VIRGINIA NONSTOCK CORPORATION AND THE SECTION 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM. THE GOVERNING BOARD OF SENTARA HEALTHCARE IS A COMMUNITY-BASED BOARD COMPRISED OF 17 VOTING MEMBERS, 16 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 -24,344,532. CHANGE IN VALUE OF BENEFICIAL INTERESTS 184,334. 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