2018-11-09T12:53:18-06:00 2017-12-31 990 2017-01-01 521271901 SENTARA HEALTHCARE SENT 7574557020 6015 POPLAR HALL DRIVE NORFOLK VA 23502 ROBERT A BROERMANN EXECUTIVE VP/CFO 7574557020 2018-11-09 163.230.250.203 2018-11-09 13:52:13 ES P D64F4F5DFCDF89C51048D545CDB41D2F0B5DC81C D64F4F5DFCDF89C51048D545CDB41D2F0B5DC81C 2017 2019-02-21 02:37:17Z HOWARD P KERN 6015 POPLAR HALL DRIVE NORFOLK VA 23502 358297984 0 X WWW.SENTARA.COM X 1982 VA AT SENTARA, WE IMPROVE HEALTH EVERY DAY. 19 18 728 25 3268577 -579899 29480324 39207864 88195579 108478537 23040311 33184730 -8400027 31923609 132316187 212794740 1912154 2480123 0 0 86732087 90857441 14682 14967 593101 52464092 56023474 141123015 149376005 -8806828 63418735 3468852721 4115245894 1932088423 2066396507 1536764298 2048849387 X WE IMPROVE HEALTH EVERY DAY THROUGH COORDINATING, PROMOTING AND PLANNING FOR THE PROVISION OF HEALTH SERVICES AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. 0 0 121114560 2480123 135720696 SEE SCHEDULE O. 121114560 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 X 163 0 1 728 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 19 18 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X CORPORATE OFFICERS 7574557020 6015 POPLAR HALL DR NORFOLK VA 23502 WILLIAM L ACHENBACH DIRECTOR 1.00 1.00 X 0 0 0 JOHN AGOLA DIRECTOR 1.00 1.00 X 0 0 0 GILBERT BLAND DIRECTOR 1.00 1.00 X 0 0 0 FREDERICK C COBLE DIRECTOR 1.00 1.00 X 0 0 0 JACK L EZZELL JR DIRECTOR (THRU 11/17) 1.00 1.00 X 0 0 0 ROBERT C FORT DIRECTOR 1.00 1.00 X 0 0 0 J LES HALL DIRECTOR 1.00 1.00 X 0 0 0 ANN E C HOMAN DIRECTOR 1.00 3.00 X 0 0 0 CHARLES F LOVELL JR MD DIRECTOR 1.00 1.00 X 0 1100 0 L ALLAN PARROTT JR DIRECTOR 1.00 1.00 X 0 0 0 JEFFERY O SMITH ED D DIRECTOR 1.00 1.00 X 0 0 0 CAROL C THOMAS DIRECTOR 1.00 6.00 X 0 0 0 MARION WALL DIRECTOR 1.00 1.00 X 0 0 0 PETER BROOKS DIRECTOR (EFFEC 11/17) 1.00 3.00 X 0 0 0 EDWARD GEORGE DR DIRECTOR (EFFEC 11/17) 1.00 1.00 X 0 0 0 WHITNEY RG SAUNDERS DIRECTOR (EFFEC 11/17) 1.00 1.00 X 0 0 0 MICHAEL S SMITH DIRECTOR (EFFEC 11/17) 1.00 1.00 X 0 0 0 DIAN T CALDERONE DIRECTOR/VICE CHAIRMAN 2.00 1.00 X X 0 0 0 HENRY U HARRIS III DIRECTOR/CHAIRMAN 2.00 2.00 X X 0 0 0 HOWARD P KERN PRES/CEO/EX-EFFICIO DIRECTOR 40.00 15.00 X X 3279335 0 1920755 ROBERT A BROERMANN CFO 40.00 13.00 X 1605158 0 99572 MICHAEL V GENTRY COO 40.00 13.00 X 1328663 0 174150 JEFFREY P KING SECRETARY 40.00 9.00 X 700147 0 117974 BECKY C SAWYER KE (SVP & CHRO) EFFEC 5/17 40.00 0.00 X 316096 0 133772 LESTER R ELJAIEK VP, HOSPITAL FINANCE 40.00 0.00 X 524112 0 99939 TERRY M GILLILAND MD KE (SVP & CMO) 40.00 4.00 X 1399070 0 171429 VICKY G GRAY KE (SVP, SYSTEM DEVELOPMENT) 40.00 1.00 X 730020 0 107500 MICHAEL V TAYLOR KE (SVP HUMAN RESOURCES) THRU 5/17 40.00 0.00 X 927634 0 90780 DAVID L BERND CEO EMERITUS 20.00 1.00 X 3421602 0 14282 MEGAN R PERRY CVP, MERGERS & ACQUISITIONS 40.00 1.00 X 870649 0 253943 GRACE R HINES CVP, SYSTEM INTERGRATION 40.00 0.00 X 615516 0 91591 DOUGLAS M THOMPSON VP, DECISION SUPPORT 40.00 0.00 X 587986 0 101264 VIKKI CHARLES VP, CORP FINANCE 40.00 0.00 X 435179 0 172242 MARY L BLUNT FORMER OFFICER 0.00 41.00 X 0 1232363 195775 GENEMARIE W MCGEE FORMER OFFICER 0.00 40.00 X 0 692699 181548 GARY R YATES MD FORMER OFFICER 0.00 0.00 X 145205 0 84202 SAMUEL J HAWLEY FORMER OFFICER 40.00 5.00 X 167249 0 27282 MICHAEL M DUDLEY FORMER OFFICER 0.00 41.00 X 0 1009398 403843 STEPHEN D PORTER FORMER TOP 5 0.00 0.00 X 603272 0 125460 17656893 2935560 4567303 169 1 1 0 PMA COMPANIES PO BOX 824857 PHILADELPHIA PA 19182 COMMERCIAL INSURANCE UNDERWRITER 3531334 EPAM SYSTEMS INC PO BOX 822469 PHILADELPHIA PA 19182 SOFTWARE ENGINEERING 1685270 KPMG LLC PO BOX 71544 CHICAGO IL 60694 PROFESSIONAL SERVICES 1485985 HIGHLAND ASSOC INC PO BOX 55469 BIRMINGHAM AL 322555469 INVESTMENT MGMT FEES 1465995 TRUVEN HEALTH ANALYTICS INC PO BOX 95334 CHICAGO IL 60694 HEALTHCARE CONSULTANTS 1345493 58 38441400 766464 11605 39207864 SUPPORT SERVICES 900099 104236314 101907820 2328494 SQCN 900099 4242223 3056492 1185731 108478537 22817988 22817988 155869986 145503244 10366742 10366742 10366742 DIVIDENDS FROM SUBSIDIARIES 900099 21141393 21141393 INTERCO INTEREST CHARGES 900099 6590950 6590950 OTHER 900099 4191266 3024041 -245648 1412873 31923609 212794740 135720696 3268577 34597603 2333516 2333516 146607 146607 13726106 10843624 2882482 91828 72544 19284 61061887 47947656 12745579 368652 6614217 5192044 1380163 42010 5231341 4106510 1091604 33227 4132062 3245347 862687 24028 5497145 4342745 1154400 715723 565421 150302 1197442 945979 251463 40047 31637 8410 14967 14967 5335648 4215162 1120486 8712906 7810632 902274 9183080 7253706 1928200 1174 1869287 1424771 378737 65779 2232703 1763835 468868 1754173 1385797 368376 1149527 908126 241401 324207 256124 68083 10124423 10112816 11607 765710 604911 160799 1445213 1141718 303495 UNRELATED BUSINESS TAX -128134 -128134 PURCHASED & CONTRACTED 3535837 2764223 734793 36821 ORGANIZATIONAL DUES 1760254 1390601 369653 MEDICAL SUPPLIES 645863 645863 -137580 -209221 65198 6443 149376005 121114560 27668344 593101 382558820 431546823 900597 666161 133165067 135352205 9127300 7225568 23357477 17425417 6304403 5932060 2034859640 2486624454 842168786 933164147 59768108 114734476 3468852721 4115245894 220705021 316919319 16863624 13608583 1266852068 1392437620 427667710 343430985 1932088423 2066396507 X 1533365104 2045206127 3399194 3643260 1536764298 2048849387 3468852721 4115245894 X 63418735 332858792 115807562 X 0 1 X 1 0 X 29774513 29714011 25243485 29480354 39207864 153420227 29774513 29714011 25243485 29480354 39207864 153420227 153420227 40863885 57200957 43487068 17870375 24230861 183653146 619603 468849 88078 346544 0 1523074 338596447 453881623 0.45310 0.39760 X 0 1 0 1 0 0 1 35767 1 1 256552 292319 0 PART II-B, LINE 1: THE ORGANIZATION ENGAGED IN THE DISSEMINATION OF INFORMATION CONCERNING HEALTH CARE LEGISLATION TO EMPLOYEES VIA EMAIL. THE ORGANIZATION IS INVOLVED IN INDIRECT LOBBYING ACTIVITIES THROUGH PAYMENT OF MEMBERSHIP DUES TO VHHA AND AHA. FURTHERMORE, THE ORGANIZATION ENGAGED VECTRE CORPORATION TO MONITOR AND PROVIDE CONSULTATION ON FEDERAL, STATE, AND LOCAL HEALTH CARE LEGISLATION. 78955874 760191 12288059 150000 450791 91403333 80973164 899335 -1710443 680000 526182 78955874 80469527 1288253 -224709 165000 394907 80973164 77170379 1048397 2784835 450000 84084 80469527 71429647 783033 5356116 190000 208417 77170379 0.96010 0.03990 0 0 2493820 2493820 4960102 3935093 1025009 228337 228337 0 15329339 12903667 2425672 345879 358320 -12441 5932060 OAKTREE MEZZANINE FUND II 465836 F UBS TRUMBULL PROPERTY INCOME FUND 175649224 F UBS TRUMBULL PROPERTY FUND 83614527 F OAKTREE REAL ESTATE OPPORTUNITIES FUND IV 1523742 F OAKTREE REAL ESTATE OPPORTUNITIES FUND V 1826639 F HEALTH ENTERPRISES PARTNERS I, LP 1664316 F SANTE HEALTH VENTURES I, LP 3939314 F SANTE HEALTH VENTURES II, LP 3662730 F HEALTH ENTERPRISES PARTNERS II, LP 2366169 F OAKTREE PRIVATE INVESTMENT FUND 2012 21455280 F PIMCO BRAVO II FUND 20195049 F TTCP FUND I LP 6612575 F PELOTON EQUITY FUND I LP 3904779 F OAKTREE PRINCIPAL OPPORTUNITIES FD IV, L.P. 712798 F OAKTREE PRINCIPAL OPPORTUNITIES FD IV, AIF 144306 F PINEBRIDGE GLOBAL DYNAMIC ASSET ALLOCATION FUND LLC 134161028 F HIGHLAND PUBLIC INFLATION HEDGE 224029686 F HIGHLAND DIRECT HEDGED EQUITY 239002265 F PIMCO CORPORATE OPPORTUNITIES FUND 5800737 F PRIME STORAGE FUND II IDF, LP 2433147 F 933164147 DUE TO AFFILIATES 6038325 OTHER LIABILITIES 80900350 RETIREMENT OBLIGATIONS 246492310 SELF-INSURANCE RESERVE 10000000 343430985 PART V, LINE 4: INTENDED USES OF ENDOWMENT FUND THE BOARD DESIGNATED ENDOWMENT FUND IS SET ASIDE FOR THE SENTARA FOUNDATION'S USE. THE FOUNDATION ASSISTS THE COMMUNITY WITH FILLING THE HEALTH CARE GAPS, DEVELOPING NEW PROGRAMS, AND BUILDING CONSENSUS AROUND CURRENT HEALTH ISSUES. THE TEMPORARILY RESTRICTED ENDOWMENT FUNDS ARE USED PREDOMINANTLY FOR EDUCATION & RESEARCH, HOSPICE HOUSE, HEART FUNDS AND SENTARA'S HOPE FUND, WHICH IS AN EMERGENCY FINANCIAL RESOURCE FOR SENTARA EMPLOYEES THAT ARE EXPERIENCING CATASTROPHIC HARDSHIP OR LOSS THROUGH NO FAULT OF THEIR OWN. CENTRAL AMERICA AND THE CARIBBEAN 0 0 UNRELATED TRADE OR BUSINESS CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 241238805 0 0 0 0 0 0 241238805 0 241238805 1 0 1 1 1 0 PART I, LINE 3 CENTRAL AMERICA AND THE CARIBBEAN, UNRELATED TRADE OR BUSINESS: THE ORGANIZATION OWNS BAY PRIMEX INSURANCE COMPANY, LTD., A CAPTIVE INSURANCE COMPANY WHOSE PRINCIPAL ACTIVITY IS THE REINSURANCE, ON A FACULTATIVE BASIS, OF A MODIFIED CLAIMS-MADE RETROSPECTIVELY RATED PROFESSIONAL AND COMMERCIAL GENERAL LIABILITY INSURANCE POLICY ISSUED BY LEXINGTON INSURANCE COMPANY. COVERAGE INCLUDES THE EMPLOYEES OF THE ORGANIZATION, ITS CONTROLLED SUBSIDIARIES, ITS AFFILIATED JOINT VENTURES, CERTAIN PHYSICIANS ON THE MEDICAL STAFF OF ITS RELATED FACILITIES, AND SOME NON-EMPLOYED PHYSICIANS. PROVISION OF INSURANCE TO NON-EMPLOYED PHYSICIANS IS TREATED AS AN UNRELATED TRADE OR BUSINESS. TO THE EXTENT THERE IS SUBPART F INCOME, IT IS REPORTED AS SUCH ON FORM 990 PART VIII LINE 11. 1 AMERICAN DIABETES ASSOCIATION 870 GREENBRIER CIRCLE SUITE 404 CHESAPEAKE VA 23320 131623888 501(C)(3) 6250 PREVENT AND CURE DIABETES AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 10000 BUILD HEALTHIER LIVES FREE OF CARDIOVASUCLAR DISEASES AND STROKE ANGELS OF MERCY INC 7151 RICHMOND ROAD SUITE 401 WILLIAMSBURG VA 23188 541901759 501(C)(3) 15000 REDESIGN PRIMARY CARE TO MEET NEEDS OF UNINSURED AND UNDERINSURED BEACH HEALTH CLINIC 3396 HOLLAND RD STE 102 VIRGINIA BEACH VA 23452 541366960 501(C)(3) 25000 DIAGNOSTIC AND PHARMACY SERVICES FOR INDIGENT BOYS AND GIRLS CLUBS 11825 ROCK LANDING DRIVE CHESAPEAKE BUILDING STE B NEWPORT NEWS VA 23606 540538202 501(C)(3) 15000 INSPIRE AND ENABLE YOUNG PEOPLE CATHOLIC CHARITIES OF EASTERN VA 5361A VIRGINIA BEACH BLVD VIRGINIA BEACH VA 23462 540505879 501(C)(3) 22000 MENTAL HEALTH SERVICES CHESAPEAKE CARE INC 2145 S MILITARY HWY CHESAPEAKE VA 23320 541642754 501(C)(3) 25000 HEALTHCARE FOR UNINSURED CHILDREN'S HEALTH INVESTMENT PROGRAM 1302 JEFFERSON ST CHESAPEAKE VA 23324 541893166 501(C)(3) 17000 ORAL HEALTH PROGRAM FOR CHILDREN COMMUNITY FREE CLINIC OF NEWPORT NEWS 727 25TH STREET NEWPORT NEWS VA 23607 273510814 501(C)(3) 25000 NEW CLINIC CONTRIBUTION EASTERN SHORE RURAL HEALTH SYSTEM INC 20280 MARKET STREET ONANCOCK VA 23417 510196935 501(C)(3) 250000 OPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS ELEVATE EARLY EDUCATION INC 112 GRANBY STREET SUITE 500 NORFOLK VA 23510 300759825 501(C)(3) 150000 EARLY NUTRTION PROGRAM FRIENDS OF THE ELIZABETH RIVER TRAIL FOUNDATION PO BOX 3042 NORFOLK VA 23514 814431199 501(C)(3) 500000 DEVELOPMENT OF THE ELIZABETH RIVER TRAIL EVMS RESEARCH FOUNDATION PO BOX 5 NORFOLK VA 23501 237053028 501(C)(3) 50000 DRUG TAKE BACK CAMPAIGN FLORIDA HOSPITAL ASSOCIATION 306 EAST COLLEGE AVENUE TALLAHASSEE FL 32301 596151162 501(C)(3) 75000 ASSIST HOSPITAL EMPLOYEES AFFECTED BY HURRICANE HARVEY FOODBANK OF THE VA PENINSULA 2401 ALUMINUM AVENUE NORFOLK VA 23661 541422298 501(C)(3) 50000 DISTRIBUTE FOOD TO MINIMIZE HUNGER AND PROMOTE NUTRITION EDUCATION FORKIDS INC P O BOX 6044 NORFOLK VA 23508 541477799 501(C)(3) 10000 HEALTHCARE FOR HOMELESS SHELTER GLOUCESTER-MATHEWS FREE CLINIC 2276 GEORGE WASHINGTON MEM HWY HAYES VA 23072 541875619 501(C)(3) 25000 HEALTHCARE FOR INDIGENTS HAMPTON ROADS COMMUNITY ACTION PROGRAM INC PO BOX 37 NEWPORT NEWS VA 23607 237014485 501(C)(3) 11000 EARLY CHILDHOOD DEVELOPMENT FOR DISADVANTAGED CHILDREN HEALTH RESEARCH & EDUCATIONAL TRUST (HRET) 155 NORTH WACKER DRIVE 400 CHICAGO IL 60606 362203931 501(C)(3) 50000 ASSIST HOSPITAL EMPLOYEES AFFECTED BY HURRICANE HARVEY HELP INC PO BOX 190 HAMPTON VA 23669 541209213 501(C)(3) 10000 PROVIDE DENTAL CARE TO UNISURED, LOW INCOME ADULTS HOSPICE HOUSE & SUPPORT CARE OF WILLIAMSBURG 4445 POWHATAN PARKWAY WILLIAMSBURG VA 23188 521289657 501(C)(3) 8000 SUPPORT FOR INVIDUALS IN THE LAST PHASES OF LIFE LACKEY FREE CLINIC 1620 OLD WILLIAMSBURG RD YORKTOWN VA 23690 541850915 501(C)(3) 25000 HEALTHCARE FOR INDIGENTS LEES FRIENDS 7400 HAMPTON BLVD NORFOLK VA 23505 541533488 501(C)(3) 10000 HELP AND SUPPORT CANCER PATIENTS AND THEIR FAMILIES LIFENET HEALTH FOUNDATION 1864 CONCERT DRIVE VIRGINIA BEACH VA 23453 542015370 501(C)(3) 10000 SUPPORT ORGAN AND TISSUE DONATION MARCH OF DIMES PO BOX 932852 ATLANTA GA 31193 131846366 501(C)(3) 8750 IMPROVE HEALTH OF BABIES BY PREVENTING BIRTH DEFECTS, PREMATURE BIRTH AND INFANT MORTALITY MOTHER SETON HOUSE 3333 VIRGINIA BEACH BLVD STE 28 VIRGINIA BEACH VA 23452 541250483 501(C)(3) 15000 HIGH-RISK TEEN MENTAL HEALTHCARE NEPTUNE FESTIVAL 265 KINGS GRANT ROAD STE 102 VIRGINIA BEACH VA 23452 521372330 501(C)(3) 26100 COMMUNITY ENJOYMENT AND ENRICHMENT OLDE TOWN MEDICAL CTR 5249 OLDE TOWNE RD STE D WILLIAMSBURG VA 23188 541663905 501(C)(3) 25000 PEDIATRIC DENTAL SERVICES PARK PLACE HEALTH AND DENTAL CLINIC 606 W 29TH ST NORFOLK VA 23508 453086608 501(C)(3) 25000 DENTAL HEALTH NEEDS OF LOW INCOME AND UNINSURED PENINSULA AGENCY ON AGING INC 739 THIMBLE SHOALS BLVD SUITE 1006 NEWPORT NEWS VA 23606 510151069 501(C)(3) 18750 SUPPORT THE INDEPENDENCE AND QUALITY OF LIFE OF PENINSULA SENIORS PIN MINISTRY 557 S BIRDNECK ROAD SUITE 109 VIRGINIA BEACH VA 23451 412126841 501(C)(3) 16000 RESOURCES FOR THE POOR PORTSMOUTH COMMUNITY HEALTH CENTER 664 LINCOLN STREET PORTSMOUTH VA 23704 541626757 501(C)(3) 50000 PROVIDE QUALITY AND AFFORDABLE HEALTH SERVICES IN A SAFE ENVIRONMENT PRIMEPLUS NORFOLK SENIOR CENTER 7300 NEWPORT AVE SUITE 100 NORFOLK VA 23505 541118218 501(C)(3) 6000 SUPPORT THE NEEDS OF ADULTS AGE 50 AND OVER EVERY DAY RX PARTNERSHIP 2924 EMERYWOOD PKWY STE 300 RICHMOND VA 23294 571186937 501(C)(3) 13000 ACCESS TO FREE MEDICATION SAMARITAN HOUSE INC 2620 SOUTHERN BLVD VIRGINIA BEACH VA 23452 541291021 501(C)(3) 10000 SERVING THE HOMELESS SENIOR SERVICES OF SOUTHEASTERN VIRGINIA 6350 CENTER DR BUILDING 5 NO 101 NORFOLK VA 23502 546069786 501(C)(3) 23000 ASSISTS OLDER PERSONS LOCATE AND ACCESS NEEDED SERVICES SOUTHEAST VIRGINIA COMMUNITY FOUNDATION 1435 CROSSWAYS BLVD SUITE 300 CHESAPEAKE VA 23320 272529017 501(C)(3) 10000 HELPS DONORS MEET LOCAL CHARITABLE NEEDS SOUTHEASTERN VIRGINIA HEALTH SYSTEM 1033 28TH STREET NEWPORT NEWS VA 23607 541083954 501(C)(3) 42500 LAB AND MEDICAL SERVICES FOR INDIGENTS ST COLUMBA ECUMENICAL MINISTRIES 2414 LAFAYETTE BLVD NORFOLK VA 23509 541394797 501(C)(3) 18000 PRESCRIPTIONS TEXAS HOSPITAL ASSOCIATION PO BOX 95353 GRAPEVINE TX 76099 741362741 501(C)(6) 75000 ASSIST HOSPITAL EMPLOYEES AFFECTED BY HURRICANE HARVEY UNITED NEGRO COLLEGE FUND 707 EAST MAIN STREET SUITE 350 RICHMOND VA 23219 131624241 501(C)(3) 6000 ADVOCATE THE IMPORTANCE OF MINORITY HIGHER EDUCATION UNION MISSION MINISTRIES P O BOX 3203 NORFOLK VA 23514 540506427 501(C)(3) 45000 HEALTHCARE FOR HOMELESS UNITED WAY OF SOUTH HAMPTON ROADS 2515 WALMER ROAD PO BOX 41069 NORFOLK VA 23513 540506322 501(C)(3) 17000 SPONSORSHIP UNITED WAY OF THE VA PENINSULA 739 THIMBLE SHOALS BLVD SUITE 400 NEWPORT NEWS VA 23606 540535602 501(C)(3) 19200 SPONSORSHIP UP CENTER 222 W 19TH ST NORFOLK VA 23517 540674774 501(C)(3) 23000 MENTORING PROGRAM FOR AT RISK YOUTH VA BASKETBALL ACADEMY PO BOX 2438 CHARLOTTESVILLE VA 22902 208861885 501(C)(3) 7500 BUILD CHARACTER AND SHAPE LIVES THROUGH BASKETBALL VA BUSINESS HIGHER EDUCATION COUNCIL 1108 EAST MAIN STREET SUITE 1100 RICHMOND VA 23219 541827038 501(C)(3) 125000 INCREASE STATE SUPPORT OF HIGHER EDUCATION IN VIRGINIA VA FOUNDATION FOR COMMUNITY COLLEGES 300 ARBORETUM PARKWAY NO 200 RICHMOND VA 23236 237004354 501(C)(3) 75000 PROVIDE ACCESS TO EDUCATION FOR ALL VIRGINIANS VA HEALTH CARE FOUNDATION 707 EAST MAIN STREET SUITE 1350 RICHMOND VA 23219 541639924 501(C)(3) 70000 INCREASE ACCESS TO MENTAL HEALTH SERVICES VA SUPPORTIVE HOUSING P O BOX 8585 RICHMOND VA 23226 541444564 501(C)(3) 35000 CASE MANAGEMENT FOR HOMELESS WESTERN TIDEWATER FREE CLINIC 2019 MEADE PKWY SUFFOLK VA 23434 263302837 501(C)(3) 25000 PROVIDE DENTAL PROGRAM ACCESS SENTARA ENTERPRISES 6015 POPLAR HALL DRIVE NORFOLK VA 23502 541917649 501(C)(3) 10000 CAMP LIGHTHOUSE SENTARA HOSPITALS 6015 POPLAR HALL DRIVE NORFOLK VA 23502 541547408 501(C)(3) 5650 JOHN J KRUEGER FUND 51 1 FOOD 75 11325 HOUSEHOLD GOODS 1 400 MORTGAGE ASSISTANCE 13 20419 RENTAL ASSISTANCE 51 85249 UTILITY ASSISTANCE 47 29214 PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. PROCEDURES FOR MONITORING USE OF GRANTS FUNDS IN U.S. THE SENTARA FOUNDATION - HAMPTON ROADS, A DIVISION OF THE ORGANIZATION, IS RESPONSIBLE FOR AWARDING AND MONITORING THE USE OF GRANT AND SPONSORSHIP FUNDS DONATED TO OTHER ORGANIZATIONS IN THE COMMUNITY WHO SHARE THE SAME MISSION AS THE ORGANIZATION: IMPROVING HEALTH EVERYDAY THROUGH THE PROVISION OF HEALTH SERVICES, AND THE PROMOTION OF HEALTH, MEDICAL EDUCATION, AND THE SOCIAL, CULTURAL, EDUCATIONAL, AND ECONOMIC DEVELOPMENT OF THE COMMUNITY. COMMUNITY RECOGNITION GRANTS ARE AWARDED ANNUALLY BY THE FOUNDATION'S GRANT COMMITTEE TO OTHER 501(C)(3) ORGANIZATIONS WITHIN THE COMMUNITY AFTER A RIGOROUS APPLICATION AND REVIEW PROCESS. ONCE AWARDED, THE GRANTS ARE DISTRIBUTED THE FOLLOWING YEAR IN TWO PAYMENTS - AT THE BEGINNING OF THE YEAR, THEN AFTER AN INTERIM REPORT HAS BEEN FILED WITH THE FOUNDATION. THE INTERIM REPORT MUST INCLUDE THE GRANT OBJECTIVES, ANY CHANGES IN STATUS OF THE ORGANIZATION'S 501(C)(3) STATUS, DETAILS OF THE GRANT OUTCOMES TO DATE AND COMPLIANCE WITH SUBMITTED FINANCIAL BUDGET. GRANTEES ARE REQUIRED TO SUBMIT WITH THE REPORT A DETAILED LISTING OF MEASUREMENTS INCLUDING THE NUMBER OF PEOPLE SERVED AND INCOME LEVELS. FURTHER, A PLAN OF PROGRAM SUSTAINABILITY MUST BE COMPLETED TO PROMOTE THE INITIATIVE'S GOALS FOR THE FUTURE. COMMUNITY BENEFIT SPONSORSHIPS ARE AWARDED QUARTERLY BASED ON THE RECOMMENDATION OF THE FOUNDATION'S SPONSORSHIP REVIEW COMMITTEE. APPLICANTS MUST SUBMIT A PROPOSAL IN WRITING DEMONSTRATING HOW FUNDS WILL BE USED TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY. SPONSORSHIPS ARE GENERALLY AWARDED TO OTHER 501(C)(3) ORGANIZATIONS WITH ACTIVE COMMUNITY BOARDS WHO OVERSEE THE EXPENDITURE OF SUCH FUNDS. THE SENTARA FOUNDATION - HAMPTON ROADS ALSO ADMINISTERS THE H.O.P.E. (HELPING OVERCOME PERSONAL EMERGENCY) FUND, A PROGRAM FOR EMPLOYEES OF THE SENTARA HEALTHCARE SYSTEM WHO ARE IN NEED OF EMERGENCY ASSISTANCE. THIS PROGRAM IS FUNDED BY DONATIONS FROM EMPLOYEES AND MANAGED BY THE PLANNING COUNCIL, A HUMAN SERVICES AGENCY USED TO PROCESS ALL H.O.P.E. FUND APPLICATIONS TO MAINTAIN CONFIDENTIALITY. EMPLOYEES WHO EXPERIENCE CATASTROPHIC EVENTS THROUGH NO FAULT OF THEIR OWN SUCH AS FIRE, DEATH IN THE FAMILY, FLOODING, HURRICANE, TORNADO, CURRENT PERSONAL ILLNESS OR SERIOUS PERSONAL FAMILY ILLNESS THAT RESULT IN HARDSHIP MAY APPLY FOR ASSISTANCE. APPLICANTS MUST COMPLETE A 3-PAGE APPLICATION FORM. APPLICANTS SUBMIT THESE FORMS ALONG WITH THEIR LATEST PAY STUBS, COPIES OF THE BILLS BEING SUBMITTED FOR PAYMENT, AND OFFICIAL DOCUMENTATION OF THE CATASTROPHIC EVENT. THE PLANNING COUNCIL THEN INTERVIEWS THE APPLICANT AND DETERMINES IF THE GUIDELINES ARE MET FOR ASSISTANCE. IN THE EVENT OF A NATURAL DISASTER, APPLICANTS MUST FIRST APPLY TO OTHER EMERGENCY ASSISTANCE PROGRAMS, SUCH AS THE AMERICAN RED CROSS, SALVATION ARMY, OR F.E.M.A., BEFORE BECOMING ELIGIBLE FOR ASSISTANCE FROM THE H.O.P.E. FUND. A REVIEW COMMITTEE EVALUATES EACH APPLICATION AND DETERMINES ASSISTANCE LEVELS BASED ON DOCUMENTED, APPROPRIATE NEED. FUNDS MAY ONLY BE USED TO PAY EXISTING BILLS OR EXTRAORDINARY EXPENSES RELATED TO A CATASTROPHIC EVENT. BILLS THAT ARE NOT NECESSARY FOR THE PRESERVATION OF DAILY LIVING, INCLUDING NON-ESSENTIAL UTILITIES (I.E., CABLE TV, ETC.), ARE NOT COVERED. PAYMENTS ARE MADE DIRECTLY TO SERVICE PROVIDERS RATHER THAN TO INDIVIDUAL RECIPIENTS. FUNDS ARE ONLY DISTRIBUTED PROVIDED ADEQUATE EMPLOYEE DONATIONS HAVE BEEN MADE BY EMPLOYEES FOR EMPLOYEES. ASSISTANCE IS PROVIDED AS THE AVAILABILITY OF FUNDS PERMIT; DECISIONS ARE MADE IN THE ORDER IN WHICH COMPLETED APPLICATIONS REQUESTS ARE RECEIVED. ASSISTANCE FOR AN INDIVIDUAL EMPLOYEE IS LIMITED TO ONCE PER 12-MONTH PERIOD AND TYPICALLY DOES NOT EXCEED $2,000. DURING 2017, 85 INDIVIDUAL EMPLOYEES WERE ASSISTED BY THE HOPE FUND. X X X X 0 1 0 0 0 0 0 1 0 HOWARD P KERN PRES/CEO/EX-EFFICIO DIRECTOR 1438006 0 1564957 0 276372 0 1898522 0 22233 0 5200090 0 0 0 ROBERT A BROERMANN CFO 784366 0 601050 0 219742 0 84075 0 15497 0 1704730 0 0 0 MICHAEL V GENTRY COO 715260 0 532145 0 81258 0 155802 0 18348 0 1502813 0 56565 0 JEFFREY P KING SECRETARY 464504 0 153652 0 81991 0 92570 0 25404 0 818121 0 27162 0 BECKY C SAWYER KE (SVP & CHRO) EFFEC 5/17 230220 0 63242 0 22634 0 125276 0 8496 0 449868 0 0 0 LESTER R ELJAIEK VP, HOSPITAL FINANCE 357758 0 121739 0 44615 0 66619 0 33320 0 624051 0 0 0 TERRY M GILLILAND MD KE (SVP & CMO) 789302 0 592526 0 17242 0 156356 0 15073 0 1570499 0 0 0 VICKY G GRAY KE (SVP, SYSTEM DEVELOPMENT) 348657 0 272933 0 108430 0 93421 0 14079 0 837520 0 11544 0 MICHAEL V TAYLOR KE (SVP HUMAN RESOURCES) THRU 5/17 409196 0 395035 0 123403 0 72839 0 17941 0 1018414 0 0 0 DAVID L BERND CEO EMERITUS 83816 0 511370 0 2826416 0 8100 0 6182 0 3435884 0 1127170 0 MEGAN R PERRY CVP, MERGERS & ACQUISITIONS 468121 0 297582 0 104946 0 238423 0 15520 0 1124592 0 63771 0 GRACE R HINES CVP, SYSTEM INTERGRATION 321270 0 214227 0 80019 0 69911 0 21680 0 707107 0 0 0 DOUGLAS M THOMPSON VP, DECISION SUPPORT 307443 0 182706 0 97837 0 87187 0 14077 0 689250 0 0 0 VIKKI CHARLES VP, CORP FINANCE 295583 0 101514 0 38082 0 152207 0 20035 0 607421 0 0 0 MARY L BLUNT FORMER OFFICER 0 610509 0 482270 0 139584 0 179433 0 16342 0 1428138 0 0 GENEMARIE W MCGEE FORMER OFFICER 0 366259 0 241494 0 84946 0 169356 0 12192 0 874247 0 0 GARY R YATES MD FORMER OFFICER 0 0 0 0 145205 0 84202 0 0 0 229407 0 8705 0 SAMUEL J HAWLEY FORMER OFFICER 146001 0 21133 0 115 0 17300 0 9982 0 194531 0 0 0 MICHAEL M DUDLEY FORMER OFFICER 0 556644 0 384067 0 68687 0 390331 0 13512 0 1413241 0 0 STEPHEN D PORTER FORMER TOP 5 2222 0 217421 0 383629 0 110854 0 14606 0 728732 0 0 0 PART I, LINE 4B HOWARD KERN AND MICHAEL DUDLEY PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY THE ORGANIZATIONS' BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. VESTING OCCURS UPON THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION AFTER EARLY RETIREMENT DATE OR UPON DEATH. EARLY RETIREMENT DATE IS WHEN THE EXECUTIVE OBTAINS AT LEAST AGE 55 AND HAS 10 YEARS OF SERVICE AND BENEFITS ARE FORFEITED IF PARTICIPANT LEAVES PRIOR TO AGE 55 WITH 10 YEARS OF SERVICE. DAVID BERND, HOWARD KERN, MICHAEL DUDLEY, MARY BLUNT, ROBERT BROERMANN, MICHAEL GENTRY, VICKY GRAY, MICHAEL TAYLOR, DOUGLAS THOMPSON, GARY YATES, M.D., GRACE HINES, MEGAN PERRY, JEFFREY KING, TERRY GILLILAND, M.D., GENEMARIE MCGEE, LESTER ELJIAEK AND BECKY SAWYER PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. 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 2017, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED VESTED DISTRIBUTIONS UNDER THE PLAN: DAVID BERND ($2,778,304) MARY BLUNT ($90,794); ROBERT BROERMANN ($143,052); MICHAEL DUDLEY ($28,861); MICHAEL GENTRY ($61,616); VICKY GRAY ($71,592); GRACE HINES ($49,210); HOWARD KERN ($229,936); JEFFREY KING ($42,350); GENEMARIE MCGEE ($55,094); MEGAN PERRY ($63,771); MICHAEL TAYLOR ($54,396); DOUGLAS THOMPSON ($46,138); AND GARY YATES M.D. ($145,205). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. PART I, LINE 7 NON-FIXED PAYMENTS NOT LISTED DURING THE CURRENT TAX YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE. MANAGER INCENTIVE PLAN - MANAGEMENT EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN ARE ELIGIBLE FOR THE MANAGEMENT INCENTIVE PLAN. AWARDS ARE BASED ON SYSTEM YEAR-END RESULTS 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. A EDA OF ALBEMARLE COUNTY VA 521297503 2013-06-05 160515000 REFUND MARTHA JEFFERSON SERIES 2008A, 2008B, 2008C, AND 2008D 0 0 0 B EDA THE CITY OF NORFOLK VA 521375010 2003-07-16 53100000 FINANCING FOR CAPITAL AND FIXED ASSETS 0 0 0 C EDA THE CITY OF SUFFOLK VA 541131047 86481QAA7 2008-06-25 156615000 REFUNDED BONDS ISSUED OCTOBER 2006 0 0 0 D VA SMALL BUSINESS FINANCING AUTHORITY 541300845 928105AV7 2010-01-28 296243684 REFUND PRIOR BONDS AND FUND NEW PROJECT 0 0 0 A 5965000 160515000 160515000 2013 1 0 1 1 B 20300000 53100000 53100000 2003 0 0 1 1 C 6980000 156615000 156615000 2008 1 0 1 1 D 67880000 296443256 2715612 230220167 63507476 2011 1 0 1 1 A 0 1 1 1 0 0 0 1 B 0 1 1 1 0 0 0 1 C 0 1 1 1 0 0 0 1 D 0 1 1 1 0 0 0 1 A 0 0 1 1 1 0 0 0 1 B 0 0 1 1 1 0 0 0 1 C 0 0 1 1 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: EDA THE CITY OF NORFOLK, VA DATE THE REBATE COMPUTATION WAS PERFORMED: 12/16/2007 SCHEDULE K, PART VI ENTITY 1, ISSUER A: SERIES 2013A & 2013B (MARTHA JEFFERSON HOSPITAL) HOSPITAL FACILITIES & DEBT NOW ACQUIRED AND OWNED BY SENTARA HEALTHCARE. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT ON OR AROUND DATE OF CLOSING FOR REFUNDING PURPOSES. PART II 7, - THE COST OF ISSUANCES EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - ISSUE CURRENT REFUNDED THE MARTHA JEFFERSON HOSPITAL SERIES 2008A, SERIES 2008B, SERIES 2008C, AND SERIES 2008D. PART IV, 2B - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. ARBITRAGE COMPLIANCE CERTIFICATE PROVIDED TO SENTARA. THE FIRST INSTALLMENT EVALUATION DATE FOR THE SERIES 2013A&B BONDS ENDED ON OCTOBER 1, 2017 AND NO ARBITRAGE REBATE PAYMENT WAS DUE TO THE IRS FOR THIS ISSUE AS OF THE FIFTH BOND YEAR. THE SERIES 2013A&B BONDS WERE CURRENT REFUNDED BY A SERIES 2018A&B ISSUE ON MAY 15, 2018. THIS WAS THE FINAL EVALUATION DATE FOR ARBITRAGE COMPLIANCE PURPOSES. ENTITY 1, ISSUE B: SERIES 2003 COMMERCIAL PAPER PROGRAM (SENTARA HEALTHCARE) PART II, 1 - SENTARA ISSUED TAXABLE COMMERCIAL PAPER NOTES IN 2012 TO PARTIALLY REFUND THIS 2003 COMMERCIAL PAPER PROGRAM. PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT WITHIN 18 MONTHS OF RECEIPT OF PROCEEDS. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART IV, 2C - SENTARA HAD ARBITRAGE COMPLIANCE REPORT COMPLETED FOR THIS ISSUE AS OF 12/16/2007, WHICH REFLECTED NO REBATE DUE TO THE IRS FOR THIS 2003 ISSUANCE. DEBT WAS ISSUED AS REIMBURSEMENT FOR PRIOR EXPENDITURES INCURRED. THEREFORE, THIS ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION. ENTITY 1, ISSUE C: SERIES 2008 ( SENTARA HEALTHCARE SYSTEM) PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDED ISSUE PRICE. NO INTEREST WAS EARNED, ALL PROCEEDS SPENT ON OR AROUND DATE OF CLOSING FOR REFUNDING PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - ISSUE REFUNDED A PRIOR SERIES 2006 ISSUE. THE REFUNDING WAS TREATED AS A CURRENT REFUNDING FOR FEDERAL TAX PURPOSES. ALL PROCEEDS WERE SPENT ON THE DAY OF ISSUE. PART IV, 2B - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA PROVIDED WITH ARBITRAGE COMPLIANCE CERTIFICATE IN SEPTEMBER OF 2008. FIRST INSTALLMENT EVALUATION DATE WOULD BE NO LATER THAN 6/25/2013. ON MAY 1, 2015, SENTARA HEALTHCARE MODIFIED AN EXISTING TOTAL RETURN SWAP ("TRS") FOR THE $156,615,000 SERIES 2008 REVENUE BONDS. THE TRS WAS NOT ORIGINALLY TREATED OR IDENTIFIED AS A QUALIFIED HEDGE FOR TAX PURPOSES AND THEREFORE ANY MODIFICATIONS SHOULD NOT HAVE RESULTED IN A REISSUANCE FOR FEDERAL TAX PURPOSES. HOWEVER, BOND COUNSEL AND THE SWAP PROVIDERS COUNSEL REVIEWED PRIVATE LETTER RULING PLR-147816-13, WHICH OUTLINED A VERY SIMILAR SITUATION. THE PLR CONCLUDED THAT AN AMENDMENT TO THE TRS WOULD NOT RESULT IN AN ABUSIVE ARBITRAGE DEVICE AS DEFINED WITHIN THE U.S. TREASURY REGULATIONS. THE PLR DID NOT CONCLUDE WHETHER OR NOT A REISSUANCE SHOULD APPLY IN SUCH A SITUATION. AS A CONSERVATIVE APPROACH, BOND COUNSEL AND THE SWAP PROVIDERS COUNSEL DECIDED TO FOLLOW THE DIRECTION TAKEN BY THE ISSUER IN THE PLR AND ALSO TREAT THE MODIFICATION OF THE TRS AS A REISSUANCE AND FILED A NEW FEDERAL FORM 8038 WITH THE INTERNAL REVENUE SERVICE, DATED MAY 1, 2015. AGAIN, THE TREATMENT OF THE TRS MODIFICATION AS A REISSUANCE WAS PURELY DONE AS A CONSERVATIVE APPROACH. AS STATED ABOVE, THE SERIES 2008 BONDS QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION. THEREFORE, THIS ISSUE WAS EXEMPT FROM THE ARBITRAGE REBATE CALCULATION. UNDER THE REISSUANCE TREATMENT, NO REBATE AMOUNTS WOULD HAVE BEEN DUE TO THE IRS AS OF THE MAY 1, 2015 REISSUANCE DATE. FURTHERMORE, THE 2008 REISSUED BONDS WOULD ALSO QUALIFY FOR THE SIX-MONTH SPENDING EXCEPTION AND WOULD NOT OWE AN ARBITRAGE REBATE PAYMENT TO THE IRS AS OF MAY 1, 2020 (FIFTH ANNIVERSARY DATE OF THE REISSUANCE). ENTITY 1, ISSUER D: SERIES 2010 (SENTARA HEALTHCARE SYSTEM - VSBFA) PART II, 3 - AMOUNT OF TOTAL PROCEEDS OF ISSUE INCLUDES ISSUE PRICE, PLUS INTEREST EARNINGS (MAINLY FROM PROJECT FUND AND ESCROW FUND). PART II, 11 - OTHER SPENT PROCEEDS INCLUDES REFUNDING PROCEEDS AND INTEREST EARNINGS FROM REFUNDING ESCROW FUND. PART II, 14 - ISSUE REFUNDED A PRIOR SERIES 1997A AND 1998 ISSUE. THE REFUNDINGS WERE TREATED AS CURRENT REFUNDINGS FOR FEDERAL TAX PURPOSES. REFUNDING PROCEEDS WERE DEPOSITED INTO AN ESCROW FUND AND INVESTED. THOSE AMOUNTS WERE FULLY EXPENDED ON OR AROUND 3/1/2010 TO REDEEM THE PRIOR BONDS. PART IV, 2B - FIRST INSTALLMENT PERIOD FOR THIS ISSUE ENDED ON1/28/2015. ARBITRAGE COMPLIANCE REPORT COMPLETED THROUGH DECEMBER 31, 2011, WHICH REFLECTED ALL PROCEEDS SPENT AND NO ACCRUING ARBITRAGE LIABILITY FOR SENTARA. ENTITY 2, ISSUER A: SERIES 2012B (SENTARA HEALTHCARE SYSTEM) PART II, 3 - TOTAL PROCEEDS OF THE ISSUE INCLUDES ISSUE PRICE, PLUS INTEREST EARNINGS ASSOCIATED WITH PROJECT FUND AND ESCROW FUNDS. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 11 - OTHER SPENT PROCEEDS INCLUDES REFUNDING PROCEEDS AND INTEREST EARNINGS FROM REFUNDING ESCROW FUNDS. PART II, 12 - UNSPENT PROCEEDS CONSIST OF THE REMAINING PROJECT FUND PROCEEDS. PART II, 15 - SERIES 2012B ADVANCE REFUNDED THE MARTHA JEFFERSON SERIES 2002 BONDS MATURING 10/1/2012 - 10/1/2035 WITH A CALL FOR REDEMPTION DATE OF 10/1/2012. THE SERIES 2012B ALSO ADVANCE REFUNDED THE POTOMAC HOSPITAL SERIES 2003 BONDS MATURING 10/1/2012 - 10/1/2036 WITH A CALL FOR REDEMPTION DATE OF 10/1/2013. PART IV, 2A, SENTARA RECEIVES ANNUAL ARBITRAGE COMPLIANCE REPORTS COMPLETED FOR THIS ISSUE. ALL PROCEEDS OF THE SERIES 2012B BONDS WERE FULLY EXPENDED AS OF 3/19/2014. ARBITRAGE COMPLIANCE CERTIFICATE WAS PROVIDED THROUGH THE 5/1/2017 FIFTH BOND YEAR, WHICH REFLECTED THAT NO ARBITRAGE REBATE LIABILITY WAS DUE TO THE IRS. ENTITY 2, ISSUER B: SERIES 2016A&B (SENTARA HEALTHCARE) PART II, 3 - COMBINED ISSUE PRICE OF THE SERIES 2016A AND 2016B BONDS. THE SERIES 2016A&B BONDS WERE TREATED AS A SINGLE ISSUE FOR FEDERAL TAX PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - SERIES 2016A&B CURRENT REFUNDED THE SERIES 2012A, 2010B, AND 2010C ON THE DATE OF CLOSING. PART IV, 2B&C - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE. NO REBATE PAYMENT IS EXPECTED TO BE DUE TO THE IRS FOR THIS ISSUE AS OF THE MAY 5, 2021 FIRST INSTALLMENT EVALUATION DATE. ENTITY 2, ISSUER C: SERIES 2016C&D (SENTARA RMH MEDICAL CENTER) PART II, 3 - PART II, 3 - COMBINED ISSUE PRICE OF THE SERIES 2016C AND 2016D BONDS. THE SERIES 2016C&D BONDS WERE TREATED AS A SINGLE ISSUE FOR FEDERAL TAX PURPOSES. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - SERIES 2016C&D CURRENT REFUNDED THE SERIES 2006 RMH BONDS ON THE DATE OF CLOSING. PART IV, 2B&C - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE. NO REBATE PAYMENT IS EXPECTED TO BE DUE TO THE IRS FOR THIS ISSUE AS OF THE AUGUST 15, 2021 FIRST INSTALLMENT EVALUATION DATE. ENTITY 2, ISSUER D: SERIES 2016E (SENTARA RMH MEDICAL CENTER) PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - SERIES 2016E CURRENT REFUNDED THE SERIES 2011AB&C RMH ON THE DATE OF CLOSING. PART IV, 2B&C - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE. NO REBATE PAYMENT IS EXPECTED TO BE DUE TO THE IRS FOR THIS ISSUE AS OF THE OCTOBER 4, 2021 FIRST INSTALLMENT EVALUATION DATE. SCHEDULE K, PART VI ENTITY 3, ISSUER A SERIES 2016F (SENTARA RMH MEDICAL CENTER) PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 14 - SERIES 2016F CURRENT REFUNDED THE SERIES 2010A, 2010B, AND 2010C RMH BONDS ON THE DATE OF CLOSING. SERIES 2010AB&C BONDS WERE MODIFIED/REISSUED ON 11/28/2011. PART IV, 2B&C - ISSUE QUALIFIED FOR THE SIX-MONTH SPENDING EXCEPTION TO REBATE. SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE. NO REBATE PAYMENT IS EXPECTED TO BE DUE TO THE IRS FOR THIS ISSUE AS OF THE NOVEMBER 1, 2021 FIRST INSTALLMENT EVALUATION DATE. ENTITY 3, ISSUER B SERIES 2017 (SENTARA HEALTHCARE) PART II, 3 - TOTAL PROCEEDS OF THE ISSUE INCLUDES ISSUE PRICE, PLUS INTEREST EARNINGS ASSOCIATED WITH PROJECT FUND THROUGH FISCAL YEAR-END DECEMBER 31, 2017. PART II, 7 - THE COST OF ISSUANCE EXPENSES OF THE ISSUE WERE PAID WITH EQUITY FROM SENTARA AND NOT FROM BOND PROCEEDS. PART II, 10 - A PORTION OF THE SERIES 2017 PROCEEDS WERE USED ON THE DATE OF CLOSING TO REIMBURSE SENTARA FOR PRIOR CAPITAL EXPENDITURES. PART IV, 2B - SENTARA RECEIVED AN ARBITRAGE REBATE COMPLIANCE CERTIFICATE FROM ITS ARBITRAGE CONSULTANT FOR THIS ISSUE THROUGH MAY 15, 2018, THE FINAL REDEMPTION DATE FOR THE SERIES 2017 BONDS. THE SERIES 2017 BONDS WERE CURRENT REFUNDED BY A SERIES 2018A&B BOND ISSUE ON MAY 15, 2018. THE ARBITRAGE COMPLIANCE REPORT REFLECTED THAT AN ARBITRAGE REBATE PAYMENT WAS NOT DUE TO THE INTERNAL REVENUE SERVICE AS OF THE FINAL COMPUTATION PERIOD. A EDA THE CITY OF NORFOLK VA 521375010 65588NBB7 2012-05-16 163163080 REF. POTOMAC 2003 & MARTHA JEFFERSON 2002 AND FINANCE NEW PROJECTS 0 0 0 B EDA THE CITY OF NORFOLK VA 521375010 65588TAP4 2016-05-05 197670000 REF. SERIES 2012A, 2010B, AND 2010C 0 0 0 C IDA OF THE CITY OF HARRISONBURG VA 542000436 2016-08-15 183535000 CURRENTLY REFUND SERIES 2006 RMH 0 0 0 D EDA OF THE CITY OF HARRISONBURG VA 542000436 2016-10-04 27600000 CURRENTLY REFUND SERIES 2011ABC RMH 0 0 0 A 13150000 163873559 75585411 88288148 2014 0 1 1 1 B 4060000 197670000 197670000 2016 1 0 1 1 C 1265000 183535000 183535000 2016 1 0 1 1 D 1200000 27600000 27600000 2016 1 0 1 1 A 0 1 1 1 0 0 0 1 B 0 1 1 1 1 1 0 0 1 C 0 1 1 1 0 0 0 1 D 0 1 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 1 0 1 0 0 0 1 C 0 1 1 0 1 0 0 0 1 D 0 1 1 0 1 0 0 0 1 A 1 B 1 C 1 D 1 A EDA OF THE CITY OF HARRISONBURG VA 542000436 2016-11-01 65379312 CURRENTLY REFUND SERIES 2010ABC RMH 0 0 0 B EDA OF THE CITY OF NORFOLK VA 521375010 65588TAR0 2017-12-21 150000000 FINANCING FOR HOSPITAL RENOVATIONS 0 0 0 A 2724138 65379312 65379312 2016 1 0 1 1 B 150009059 115770000 34239059 0 0 0 1 A 0 1 1 1 0 0 0 1 B 0 1 1 1 0 0 0 1 A 0 1 1 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 FORM 990, PART III, LINE 4A SENTARA HEALTHCARE I. SENTARA HEALTHCARE - YOUR NOT FOR PROFIT HEALTHCARE PARTNER SENTARA HEALTHCARE BASED IN NORFOLK, VA, CELEBRATES MORE THAN 129 YEARS IN RELENTLESS PURSUIT OF ITS MISSION TO IMPROVE HEALTH EVERY DAY THROUGH INNOVATION, COMPASSION AND COMMUNITY BENEFIT. SENTARA IS A FULLY INTEGRATED NOT-FOR-PROFIT SYSTEM WITH NEARLY 300 SITES OF CARE OF WHICH THERE ARE 12 HOSPITALS IN VIRGINIA AND NORTH CAROLINA, INCLUDING A LEVEL I TRAUMA CENTER WITH NIGHTINGALE REGIONAL AIR AMBULANCE AND THE NATIONALLY-RANKED SENTARA HEART HOSPITAL. THE SENTARA FAMILY INCLUDES FOUR MEDICAL GROUPS, AMBULATORY CAMPUSES, POST-ACUTE CARE SERVICES, THE PHYSICIAN-LED SENTARA QUALITY CARE NETWORK, THE ACCREDITED SENTARA CANCER NETWORK, THE SENTARA COLLEGE OF HEALTH SCIENCES, OPTIMA HEALTH PLAN MEMBERS IN VIRGINIA AND OHIO, AND A TEAM OF PROFESSIONALS NEARLY 28,000 STRONG. SENTARA PROUDLY INCLUDES ADVANCED IMAGING CENTERS, NURSING AND ASSISTED LIVING CENTERS, PHYSICAL THERAPY AND REHABILITATION SERVICES, HOME HEALTH AND HOSPICE, AND GROUND MEDICAL TRANSPORTATION. SENTARA IS STRATEGICALLY FOCUSED ON CONTINUOUS IMPROVEMENT IN QUALITY, SAFETY, CLINICAL OUTCOMES AND THE PATIENT EXPERIENCE AND PURSUES KEY CLINICAL GOALS THROUGH HIGH PERFORMANCE TEAMS ACROSS THE ENTERPRISE. 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 OF OUR COMMUNITIES THROUGH HEALTH OUTREACH PROGRAMS, EDUCATION, AND FINANCIAL SUPPORT OF OTHER NOT FOR PROFIT ORGANIZATIONS WITH SIMILAR HEALTH MISSIONS. II. COMMITMENT TO THE COMMUNITY A. SENTARA HAS PROVIDED MUCH IN THE WAY OF COMMUNITY BENEFIT AND CHARITY CARE ON AN ANNUAL BASIS. IN 2017, SENTARA COMMUNITY BENEFIT REACHED $364,956,000. SENTARA PROVIDED $325,197,000 IN NET UNCOMPENSATED PATIENT CARE; $18,341,000 IN MEDICAL EDUCATION; AND $21,418,000 IN COMMUNITY PROGRAMS. B. SENTARA IS PROUD OF THE MISSION-DRIVEN WORK OF THE THREE SENTARA FOUNDATIONS. THESE FOUNDATIONS RAISED MONEY TO SUPPORT THE CLINICAL NEEDS OF THE SYSTEM AND PROVIDED FUNDING THROUGH GRANTS AND DIRECT CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS THAT HAVE SIMILAR INTERESTS IN COMMUNITY HEALTH NEEDS. SENTARA FOUNDATION-HAMPTON ROADS SUPPORTS A WIDE RANGE OF PROGRAMS ACROSS HAMPTON ROADS. IN 2017, THE FOUNDATION RAISED $1.9M AND AWARDED 28 COMMUNITY GRANTS TOTALING $622,000 TO SUPPORT ITS KEY PRIORITY AREAS. THE MARTHA JEFFERSON HOSPITAL FOUNDATION IN CHARLOTTESVILLE, VIRGINIA RAISED OVER $3.5M IN NEW GIFTS AND COMMITMENTS AND FOCUSED THEIR EFFORTS ON A HIGH-RISK BREAST PROGRAM, A FAMILY CAREGIVER SUPPORT PROGRAM AND THE CENTER FOR CLINICAL EDUCATION. THE RMH FOUNDATION RAISED $3.59M IN NEW GIFTS AND COMMITMENTS AND FOCUSED THEIR EFFORTS ON A NEW LINEAR ACCELERATOR FOR THE SENTARA RMH HAHN CANCER CENTER AND THE INSTITUTE FOR NURSING EXCELLENCE AND INNOVATION. 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 2017, THE HOPE FUND AWARDED $147,000 TO SENTARA EMPLOYEES IN CRISES ACROSS THE SYSTEM. C. 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 2017: - HEALTH IMPROVEMENT EVENTS WERE OFFERED TO CHURCHES, EMPLOYER GROUPS INCLUDING SENTARA HEALTHCARE AND HAMPTON ROADS SANITATION DISTRICT, COMMUNITY HEALTH CENTERS AND OTHER COMMUNITY LOCATIONS INCLUDING THE POCKET EKG PROGRAM AND THE SENTARA LIVING PROGRAM. - SENTARA CONTINUED TO OFFER PROGRAMS SUCH AS EATING FOR LIFE, WALKABOUT WITH HEALTHY EDGE, HEALTH HABITS, HEALTHY YOU, MEDITATION, TAI CHI AND YOGA. - THE FLU PATROL ADMINISTERED A TOTAL OF 5,211 IMMUNIZATIONS. 4,182 WERE GIVEN TO OPTIMA HEALTH INSURED GROUPS THROUGHOUT VIRGINIA. THE REMAINDER WAS DELIVERED TO CHURCHES AND OTHER COMMUNITY GROUPS. - BIRTHDAY CARD REMINDERS FOR PREVENTIVE HEALTH SCREENINGS WERE DELIVERED TO ADULT MEMBERS OF OPTIMA HEALTH, OHIOHEALTH PLAN MEMBERS AND CHILDREN. SELF-CARE HANDBOOKS ON PLANNING A HEALTHY PREGNANCY WERE DISTRIBUTED TO OPTIMA HEALTH PLAN MEMBERS. - THE TOBACCO CESSATION PROGRAM AIDED OUR HOSPITALS IN UPDATING A VIDEO AVAILABLE TO PATIENTS. PATIENTS DISCHARGED FROM SENTARA VIRGINIA BEACH GENERAL HOSPITAL AND SENTARA HEART HOSPITAL WERE CONTACTED FOUR WEEKS AFTER THEIR HOSPITAL DISCHARGE FOR TOBACCO CESSATION FOLLOW-UP. - AS PART OF THE SENTARA BENEFIT ENROLLMENT PROCESS, 18,849 EMPLOYEES COMPLETED A HEALTH RISK ASSESSMENT IN CONJUNCTION WITH THE MISSION: HEALTH PROGRAM. - FINALLY, WEBMD, WHICH SERVES AS OUR HEALTH COACHING AND HEALTH EDUCATION PORTAL PARTNER, HAS NOW 22,649 REGISTERED MEMBERS OF WHICH 16,848 MEMBERS ARE ACTIVELY ENGAGED. SENTARA HOSTS A NUMBER OF COMMUNITY EVENTS RAISING AWARENESS AROUND KEY HEALTH AWARENESS MONTHS. ONE GOOD EXAMPLE IS THE FOCUS ON COLON CANCER PREVENTION: DON'T SIT ON COLON CANCER. THROUGH THE SENTARA CANCER NETWORK, SENTARA HOSTED A 5K AT SENTARA PRINCESS ANNE HOSPITAL IN VIRGINIA BEACH. THROUGH SENTARA HEART, WE PROMOTED THE "28 DAYS OF HEART" IN FEBRUARY, 2017 IN SUPPORT OF HEART HEALTH AWARENESS. ONLINE PROMOTIONS, RADIO ADS, FACEBOOK LIVE EDUCATION SESSIONS, SCREENINGS AND MORE WERE CONDUCTED TO RAISE AWARENESS OF HEART DISEASE THROUGHOUT THE COMMUNITIES WE SERVE IN VIRGINIA AND NORTH CAROLINA. III. GROWTH IN SENTARA HEALTHCARE SINCE THE BEGINNING, SENTARA HAS REACHED OUT TO OTHER INDUSTRY LEADERS AND JOINED FORCES TO EXTEND QUALITY HEALTHCARE AND SERVICES TO MORE PEOPLE. IN RECENT YEARS, WE HAVE GROWN IN VIRGINIA AND IN OTHER STATES - NORTH CAROLINA AND OHIO - BY SEEKING PARTNERSHIPS WITH SUCCESSFUL HOSPITALS AND HEALTH SYSTEMS THAT SHARE OUR DEDICATION TO EXCELLENCE, VALUE, QUALITY AND CUSTOMER FOCUS. OUR GROWTH IN 2017 INCLUDED THE FOLLOWING: A. SENTARA NORFOLK GENERAL HOSPITAL EXPERIENCED REMARKABLE GROWTH IN OUR TRANSPLANT PROGRAMS. SENTARA HEART HOSPITAL PERFORMED 28 HEART TRANSPLANTS REPRESENTING A 133% INCREASE OVER 2016(12). SENTARA NORFOLK GENERAL HOSPITAL PERFORMED 101 KIDNEY TRANSPLANTS REPRESENTING A 71% INCREASE OVER 2016(59). SENTARA NORFOLK GENERAL HOSPITAL PERFORMED 7 PANCREAS TRANSPLANTS REPRESENTING A 250% INCREASE OVER 2016(2). B. SENTARA, THROUGH OPTIMA HEALTH, LAUNCHED THE MANAGED LONG TERM SERVICES AND SUPPORTS PROGRAM, ALSO KNOWN AS OPTIMA HEALTH COMMUNITY CARE, THAT SERVES VIRGINIANS WITH COMPLEX HEALTH ISSUES, MANY OF WHOM REQUIRE LONG-TERM SUPPORT AS A RESULT OF AGING, CHRONIC ILLNESS OR DISABILITY. 17,893 MEMBERS WERE ASSIGNED TO OPTIMA HEALTH COMMUNITY CARE BETWEEN AUGUST 1 AND DECEMBER 31 FROM SIX REGIONS ACROSS VIRGINIA. THIS MODEL OF CARE FACILITATES PERSON-CENTERED CARE FEATURING BENEFITS SUCH AS COORDINATION AND MANAGEMENT OF ALL ASPECTS OF PHYSICAL HEALTH, BEHAVIORAL HEALTH, LONG-TERM CARE AND COMMUNITY-BASED SERVICES; SUPPORT OF AN INTERDISCIPLINARY CARE TEAM, ACCESS TO A CARE COORDINATOR AND REGULAR CARE ASSESSMENTS AN INDIVIDUALIZED CARE PLANS. C. WHILE CONTINUING TO IMPLEMENT THE 2017 SENTARA STRATEGIC PLAN, SENTARA CONTINUED ITS STRATEGIC PLANNING WORK THROUGH THE DEVELOPMENT AND APPROVAL OF TWO SERVICE LINES PLANS - HEART/VASCULAR AND NEUROSCIENCES. FORM 990, PART III, LINE 4A IV. NEW INITIATIVES A. SENTARA CONTINUED ITS FOCUS ON KEEPING THE COMPANY SAFE AND FORWARD THINKING IN THE CYBER WORLD. FOR OUR SECURITY OPERATIONS CENTER, WE PARTNERED WITH IBM TO PROVIDE US WITH 24/7 MONITORING OF CYBER SECURITY THREATS. UTILIZING WATSON, THIS SERVICE PROVIDES ARTIFICIAL INTELLIGENCE CAPABILITIES TO BOTH DETECT AND PRIORITIZE POTENTIAL CYBER SECURITY THREATS. B. ALSO IN THE REALM OF CYBER SECURITY, SENTARA IMPLEMENTED TWO FACTOR AUTHENTICATION FOR INDIVIDUALS LOGGING INTO THE SENTARA SYSTEMS EXTERNALLY. THUS, SENTARA HAS SECURE REMOTE ACCESS FOR ALL WORKFORCE MEMBERS. C. SENTARA ESTABLISHED AN INFORMATION SECURITY STUDENT STAFFING PROGRAM IN PARTNERSHIP WITH OLD DOMINION UNIVERSITY, REGENT UNIVERSITY, THOMAS NELSON COMMUNITY COLLEGE, TIDEWATER COMMUNITY COLLEGE AND THE UNIVERSITY OF VIRGINIA. THIS ALLOWS US ACCESS TO A SKILLED WORKFORCE WITH CYBER SECURITY TALENT. D. IN ITS THIRD YEAR, CLINICAL PERFORMANCE IMPROVEMENT (CLINICAL PI), AN INITIATIVE TO DRIVE CHANGE AND CREATE RAPID PROCESS IMPROVEMENT IN TARGETED CLINICAL AREAS, RESULTED IN SEEING POSITIVE TRENDS TOWARDS MEETING THE COMPANY'S ULTIMATE GOALS. E. THE VOICE OF THE CUSTOMER MODEL WAS DEVELOPED TO UNDERSTAND MORE FROM SENTARA 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. F. ADDRESSING THE OPIOID CRISIS IS A MAJOR FOCUS FOR SENTARA. SENTARA MEDICAL GROUP LAUNCHED ONE CLICK FOR PROVIDERS TO ACCESS THE VIRGINIA PRESCRIPTION MONITORING PROGRAM (PMP) IN THE SENTARA ECARE HEALTH NETWORK VIA A GATEWAY PROGRAM SAVING TIME FOR BOTH THE PROVIDER AND PATIENT AND IMPROVING COMPLIANCE. PROVIDERS ARE REQUIRED TO CONSULT THE VIRGINIA PMP BEFORE PRESCRIBING CONTROLLED DRUGS, BUT LEAVING THE ELECTRONIC MEDICAL RECORD (EMR) TO LOG INTO THE PMP ADDS EXTRA STEPS AND TIME TO THE PROCESS. SENTARA CAREPLEX HOSPITAL CONTINUED A PARTNERSHIP WITH THE NEWPORT NEWS AND HAMPTON POLICE DEPARTMENTS TO TRAIN POLICE OFFICERS ON HOW TO ADMINISTER TO THE LIFE-SAVING, OVERDOSE-REVERSING NARCAN. SENTARA RMH MEDICAL CENTER WAS AWARDED A FEDERAL GRANT FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES OFFICE ON WOMEN'S HEALTH TO HELP PREVENT OPIOID MISUSE IN THEIR REGION. V. OFFERING NEW PROCEDURES AND TECHNOLOGIES CLINICAL BREAKTHROUGHS AND ADVANCEMENTS: SENTARA INTRODUCED MANY NEW CLINICAL BREAKTHROUGHS AND ADVANCEMENTS THAT BENEFITED THE PATIENT IN MANY AREAS OF CARE, INCLUDING CARDIAC AND REDUCING INFECTIONS. A. COPPER: I. SENTARA DEPLOYED COPPER MATERIALS AT SENTARA HALIFAX REGIONAL HOSPITAL MAKING IT THE FINAL HOSPITAL IN THE SENTARA SYSTEM TO IMPLEMENT. ALL OF OUR HOSPITALS NOW HAVE THIS INFECTION-FIGHTING AND LIFE-SAVING INNOVATION. B. CARDIAC: I. SENTARA NORFOLK GENERAL HOSPITAL WAS THE FIRST IN HAMPTON ROADS TO PERFORM "CLOT-VAC", WHICH INVOLVES THE REMOVAL OF BLOOD CLOTS IN THE HEART WITHOUT OPEN HEART SURGERY. II. THE ORNISH LIFESTYLE MEDICINE PROGRAM EXPANDED TO ALLOW FOR A SECOND COHORT WITH ENLARGED SPACE AT SENTARA PRINCESS ANNE HOSPITAL. CLINICAL OUTCOMES HAVE BEEN POSITIVE FOR PARTICIPANTS RELATED TO BODY WEIGHT; BMI, TOTAL CHOLESTEROL, LDL CHOLESTEROL, SYSTOLIC BLOOD PRESSURE, HGA1C AND DEPRESSION SCORES. VI. EXPANDING EDUCATIONAL OPPORTUNITIES 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 2017, SENTARA MARKED FURTHER PROGRESS TOWARD ACHIEVING OUR GOAL OF 80% OF SENTARA NURSES HAVING A BSN BY 2020. IN 2017 SENTARA HAD 60.4% OF ITS NURSING WORKFORCE HOLDING A BSN OR HIGHER DEGREE WITH 16.6% OF LICENSED RNS WITH A CONTRACT TO COMPLETE THEIR BSN. RESEARCH: RESEARCH IS ANOTHER WAY SENTARA IS ALWAYS IMPROVING. HERE ARE A FEW EXAMPLES OF OUR WORK WITHIN THE RESEARCH REALM: A. CARDIAC: THROUGH THE SENTARA CARDIOVASCULAR RESEARCH INSTITUTE, CARDIOLOGISTS AND UNIQUELY TRAINED REGISTERED NURSE RESEARCH COORDINATORS MAKE SIGNIFICANT STRIDES IN ADVANCING THE UNDERSTANDING AND TREATMENT OF THE NUMBER ONE KILLER IN AMERICA: CARDIOVASCULAR DISEASE. AS THE PREEMINENT CARDIAC RESEARCH INSTITUTE IN THE MID-ATLANTIC REGION, SENTARA HEART WORKS COLLABORATIVELY WITH LOCAL INSTITUTIONS, GOVERNMENT AGENCIES AND BIOMEDICAL COMPANIES ON NATIONALLY AND INTERNATIONALLY RECOGNIZED CLINICAL RESEARCH TRIALS. WE FOCUS OUR EFFORTS ON DISCOVERING MORE EFFECTIVE CARDIOVASCULAR TREATMENTS AND PROTOCOLS WHILE ELIMINATING THOSE THAT ARE POTENTIALLY HARMFUL OR NOT AS BENEFICIAL. OUR ULTIMATE GOAL IS TO PROVIDE ENHANCED CLINICAL CARE THAT ADVANCES PATIENT OUTCOMES AND IMPROVES THE OVERALL HEALTH OF OUR COMMUNITY. OUR RESEARCH TOUCHES ON EVERY ASPECT OF HEART CARE, INCLUDING MEDICAL DEVICES, HEART FAILURE, ELECTROPHYSIOLOGY, CARDIAC SURGERY, CARDIAC INTERVENTIONAL PROCEDURES, STRUCTURAL HEART DISEASE, AND THE MEDICAL MANAGEMENT OF CORONARY ARTERY DISEASE RISK FACTORS SUCH AS DIABETES AND HIGH CHOLESTEROL. COLLECTIVELY, OUR RESEARCH NURSES COORDINATE MORE THAN 80 CLINICAL TRIALS AT ANY GIVEN TIME, SHEPHERDING PARTICIPANTS THROUGH THE ENTIRE TRIAL PROCESS, PROVIDING CARE DURING PERIODS OF NEED, AND TIRELESSLY ADVOCATING FOR THEIR PATIENTS' WELL-BEING. B. CANCER: WITHIN THE SENTARA CANCER NETWORK, CLINICIANS AND ACADEMIC RESEARCHERS WORK TOGETHER TO ELEVATE CARE FOR PATIENTS. THIS COLLABORATIVE PHILOSOPHY FOSTERS INNOVATION IN OUR NETWORK AND DRIVES ACCESS TO CLINICAL TRIAL OPTIONS FOR OUR PATIENTS. COLLABORATIONS BETWEEN SURGICAL, RADIATION AND MEDICAL ONCOLOGISTS IN OUR SENTARA CANCER NETWORK ARE ESPECIALLY INSTRUMENTAL IN CONNECTING PATIENTS WITH CLINICAL TRIALS. THROUGH COLLABORATION WITH THE NCI NATIONAL CLINICAL TRIALS NETWORK (NCTN), THE ALLIANCE FOR CLINICAL TRIALS IN ONCOLOGY AND NATIONAL RESEARCH GROUP ONCOLOGY, WE DEVELOP AND CONDUCT CLINICAL TRIALS WITH PROMISING NEW CANCER THERAPIES. THESE COLLABORATIVE EFFORTS ALLOW US TO UTILIZE THE BEST SCIENCE TO DEVELOP OPTIMAL TREATMENT AND PREVENTION STRATEGIES FOR CANCER, AS WELL AS RESEARCH METHODS TO ALLEVIATE SIDE EFFECTS OF CANCER AND CANCER TREATMENTS. FORM 990, PART III, LINE 4A C. ORTHOPEDICS: THROUGHOUT SENTARA, WE CONTINUALLY EMBRACE THE VALUE OF GOOD CLINICAL RESEARCH AND THE DIFFERENCE IT CAN MAKE IN PATIENT CARE. ORTHOPEDIC SURGEONS WHO PRACTICE AT SENTARA FACILITIES CONTINUE TO PURSUE CLINICAL IMPROVEMENTS THROUGH CLINICAL TRIALS AND RESEARCH, BOTH AT THE LOCAL AND NATIONAL LEVELS. ACROSS THE SENTARA REGIONS, THESE SURGEONS ARE PRESENTING THEIR FINDING AT NATIONAL ASSOCIATION MEETINGS AND BEING PUBLISHED IN SPECIALTY TRADE JOURNALS. VII. BUILDING FOR THE FUTURE A. SENTARA NORTHERN VIRGINIA MEDICAL CENTER (SNVMC), LOCATED IN WOODBRIDGE, VIRGINIA, IMPLEMENTED A SECOND CATHETERIZATION LAB FOLLOWING THE OPENING OF THE DEDICATED ELECTROPHYSIOLOGY LAB IN THE SENTARA HEART AND VASCULAR CENTER IN 2016. SNVMC EXPERIENCED AN INCREASE IN PACEMAKER VOLUME AND DIAGNOSTIC CATHETERIZATION VOLUME IN 2017 COMPARED TO 2016. ELECTROPHYSIOLOGISTS PERFORMED THE FIRST MICRA PACEMAKER IMPLANT AT SNVMC. SNVMC ADOPTED THE TECHNOLOGY FOLLOWING SENTARA HEART HOSPITAL'S ADOPTION IN 2016 AFTER FDA APPROVAL. THE MICRA PACEMAKER IS THE WORLD'S SMALLEST PACEMAKER. IT IS IMPLANTED INTO THE HEART THROUGH A VEIN IN THE LEG, THUS THERE IS NO CHEST INCISION SCAR OR BUMP. SNVMC INCREASED INPATIENT ORTHOPEDIC SURGICAL VOLUME IN 2017 COMPARED TO 2016. ORTHOPEDIC ACHIEVEMENTS ALSO INCLUDED THE INTRODUCTION OF THE FOOT & ANKLE PROGRAM AND THE LAUNCH OF THE BACK & NECK CENTER. B. SENTARA RMH MEDICAL CENTER (SRMH), LOCATED IN HARRISONBURG, VIRGINIA, BEGAN PERFORMING THE TAVR (TRANSCATHETER AORTIC VALVE REPLACEMENT) PROCEDURE AND CONDUCTED 24 CASES IN 2017 IN THEIR NEWLY OPENED HYBRID OR. THE CARDIAC PROGRAM CONTINUES TO SEE SIGNIFICANT GROWTH IN OPEN HEART SURGERY CASES, CARDIAC INTERVENTIONS AND DIAGNOSTIC CATHETERIZATIONS. SENTARA RMH MEDICAL GROUP OPENED A TRANSITION OF CARE CLINIC, WHICH IS A COLLABORATIVE EFFORT BETWEEN THE HOSPITALIST DEPARTMENT, THE MEDICAL GROUP AND HOSPITAL CASE MANAGEMENT DEPARTMENT. C. SENTARA MARTHA JEFFERSON HOSPITAL (SMJH), LOCATED IN CHARLOTTESVILLE, VIRGINIA, OPENED THE SENTARA ORTHOJOINT CENTER, WHICH HAS A SINGULAR FOCUS ON THE NEEDS OF ORTHOPEDIC SURGICAL PATIENTS UNDERGOING HIP OR KNEE REPLACEMENT. THE CENTER CONCENTRATES THEIR EFFORT ON A DEDICATED TEAM APPROACH INVOLVING NURSES, ANESTHESIOLOGISTS, SURGEONS, PHYSICAL THERAPISTS AND HOME CARE. SENTARA MARTHA JEFFERSON MEDICAL GROUP EXPANDED ITS FOOT PRINT AT SENTARA SPRING CREEK FAMILY MEDICINE AND ACQUIRED THE WAYNESBORO PRIMARY CARE PRACTICE. ADDITIONALLY, THE MEDICAL GROUP IMPLEMENTED INQUICKER FOR ED PATIENTS NEEDING PRIMARY CARE FOLLOW UP, ENABLING PATIENTS TO BE SEEN SOONER AT THE NEW 5TH STREET PRACTICE. D. HAMPTON ROADS (SOUTHEASTERN VIRGINIA) I. SENTARA PRINCESS ANNE HOSPITAL (SPAH), LOCATED IN VIRGINIA BEACH, VIRGINIA, KICKED OFF A $35 MILLION MASTER FACILITY PLAN EXPANSION AND MODERNIZATION PROJECT. THIS PROJECT WILL ENABLE OUR CARE TEAMS TO TREAT MORE PATIENTS AND PROVIDE AN ENHANCED, PATIENT-CENTRIC EXPERIENCE. COMPLETION IS SCHEDULED FOR SEPTEMBER 2018. II. SENTARA VIRGINIA BEACH GENERAL HOSPITAL (SVBGH), LOCATED IN VIRGINIA BEACH, VIRGINIA, STARTED OFFERING ROBOTIC-ARM ASSISTED TOTAL KNEE REPLACEMENT SURGERY. USING A VIRTUAL 3D MODEL, THE ROBOTIC SYSTEM ALLOWS SURGEONS TO CREATE A PERSONALIZED SURGICAL PLAN BASED ON EACH PATIENT'S UNIQUE ANATOMY. ADDITIONALLY, SVBGH BEGAN A $53 MILLION MODERNIZATION OF PATIENT CARE AREAS AND INFRASTRUCTURE. THREE ICUS WILL BE CONSOLIDATED INTO ONE 24 BED UNIT. SIX OPERATIONS ROOMS WILL BE REPLACED IN A NEWLY CONSTRUCTED SURGERY WING AND FOUR OTHER OPERATING ROOMS WILL BE RENOVATED. OTHER GENERAL INFRASTRUCTURE WILL BE MODERNIZED AND EMERGENCY GENERATORS WILL BE REPLACED. III. SENTARA NORFOLK GENERAL HOSPITAL (SNGH), LOCATED IN NORFOLK, VIRGINIA, CELEBRATED THE 35TH ANNIVERSARY OF THE NIGHTINGALE AIR AMBULANCE. ADDITIONALLY, SNGH WAS THE FIRST IN HAMPTON ROADS TO PERFORM CLOT-VAC, WHICH INVOLVES THE REMOVAL OF BLOOD CLOTS WITHOUT OPEN HEART SURGERY. WOMEN'S SERVICES LEADERS AT SNGH HAD AN IDEA TO TAKE WIC-WOMEN, INFANTS AND CHILDREN, A SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN AND THEIR YOUNG CHILDREN, TO THE MOTHER DURING THEIR STAY FOR DELIVERING THEIR BABY. THIS APPROACH ALLOWED WOMEN TO IMMEDIATELY ACCESS THE BENEFITS OF WIC AS OPPOSED TO HAVING MOMS VISIT THE WIC OFFICE (REQUIRING DISTANT/INCONVENIENT TRAVEL TO THE WIC OFFICE WHILE HAVING THE DEMANDS OF BEING A NEW MOM) AFTER THEY GET HOME FROM THE HOSPITAL IN ORDER TO ACCESS THESE SAME BENEFITS OFFERED THROUGH WIC. IV. SENTARA LEIGH HOSPITAL (SLH), LOCATED IN NORFOLK, VIRGINIA, DESIGNATED ITS 48-BED ORTHOPEDIC CENTER OF SENTARA LEIGH HOSPITAL AS THE ORTHOPEDIC HOSPITAL AT SENTARA LEIGH. THIS IS THE FIRST DESIGNATED ORTHOPEDIC HOSPITAL IN SOUTH HAMPTON ROADS AND WILL JOIN THE ORTHOPAEDIC HOSPITAL AT SENTARA CAREPLEX ON THE PENINSULA AS THE ONLY TWO IN THE HAMPTON ROADS REGION. V. SENTARA OBICI HOSPITAL (SOH), LOCATED IN SUFFOLK, VIRGINIA, BEGAN OFFERING STEREOTACTIC RADIOSURGERY AND RADIOTHERAPY, ALLOWING RESIDENTS IN WESTERN TIDEWATER TO RECEIVE TREATMENT CLOSER TO HOME. ADDITIONALLY, SENTARA BELLEHARBOUR, AN OUTPATIENT CAMPUS ASSOCIATED WITH SENTARA OBICI HOSPITAL, BROKE GROUND ON AN 85,000 SQ.FT. $33.5 MILLION BUILDING THAT WILL FEATURE AN AMBULATORY SURGERY CENTER, EXPANDED EMERGENCY DEPARTMENT, 14 OBSERVATION BEDS FOR THE EMERGENCY DEPARTMENT PATIENTS, NEW MEDICAL OFFICE SPACE AND A HELIPAD. VI. SENTARA CAREPLEX HOSPITAL (SCH), LOCATED IN HAMPTON, VIRGINIA, INTRODUCED MATERNITY SERVICES AND HAPPILY DELIVERED ITS FIRST HAMPTON NEWBORN ON DECEMBER 31, 2017. THIS SERVICE WAS DESIGNED WITH CONSIDERABLE CONSUMER INPUT SO AS TO PROVIDE THE OPTIMAL EXPERIENCE FOR MOM AND FAMILY WHEN EXPERIENCING THIS UNIQUE AND HAPPY LIFE MILESTONE. VII. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER (SWRMC), LOCATED IN WILLIAMSBURG, VIRGINIA, OPENED THE SENTARA OUTPATIENT REHAB CENTER MOBILITY PARK HELPING REHAB PATIENTS OF ALL AGES WITH GAIT RELATED PROBLEMS TO HAVE MORE OPPORTUNITY TO PRACTICE THEIR WALKING SKILLS SAFELY. THE MOBILITY PARK, LOCATED OUTDOORS NEAR THE R.F. WILKINSON YMCA, WHICH HOUSES THE HOSPITAL'S LARGEST OUTPATIENT THERAPY CENTER, IS A PROJECT FUNDED THROUGH THE AUXILIARY OF SENTARA WILLIAMSBURG. VIII. SENTARA ALBEMARLE MEDICAL CENTER (SAMC), LOCATED IN ELIZABETH CITY, NC, COMPLETED ITS IMPLEMENTATION OF SENTARA ECARE (ELECTRONIC MEDICAL RECORD) SO IT IS NOW AVAILABLE TO PATIENTS RECEIVING HOSPITAL CARE AS WELL AS FOR PATIENTS IN OUR PHYSICIAN OFFICES. THE BREAST CENTER AT SAMC RECEIVED STEREOTACTIC ACCREDITATION FROM THE AMERICAN COLLEGE OF RADIATION ONCOLOGY. SAMC INTRODUCED THE SENTARA ORTHOJOINT CENTER AND THE SPORTS MEDICINE CENTER. THE SENTARA ORTHOJOINT CENTER HAS A SINGULAR FOCUS TO MEET THE NEEDS OF ORTHOPEDIC SURGICAL PATIENTS UNDERGOING HIP OR KNEE REPLACEMENT. FORM 990, PART III, LINE 4A E. SOUTH BOSTON/HALIFAX SENTARA HALIFAX REGIONAL HOSPITAL (SHRH), LOCATED IN SOUTH BOSTON, VIRGINIA, BEGAN OFFERING CT LUNG CANCER SCREENINGS TO INDIVIDUALS WHO ARE AT A HIGHER RISK OF DEVELOPING LUNG CANCER ENABLING THE EARLIER DETECTION OF CANCER. SENTARA OBSTETRICS AND GYNECOLOGY OPENED IN HALIFAX OFFERING COMPREHENSIVE, HIGH-QUALITY WOMEN'S HEALTHCARE OPTIONS ON THE HOSPITAL CAMPUS. WITH TWO OB/GYN PROVIDERS ON BOARD, THERE IS MORE ACCESS AND OPTIONS FOR WOMEN WHO NEED THESE SERVICES CLOSE TO HOME. SHRH OPENED AN OUTPATIENT THERAPY PROGRAM AT SENTARA MEADOWVIEW TERRACE NURSING FACILITY IN CLARKSVILLE, VIRGINIA. F. SENTARA ENTERPRISES SENTARA HOME HEALTH, HOSPICE AND INFUSION HAD A STRONG YEAR IN TERMS OF ACCREDITATION BY THE ACCREDITATION COMMISSION FOR HEALTH CARE (ACHC). ACHC HAS CMS DEEMING AUTHORITY FOR HOME HEALTH, HOSPICE, AND DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS AND SUPPLIES AND A QUALITY MANAGEMENT SYSTEM THAT IS ISO 9001: 2015 CERTIFIED. SENTARA ENTERPRISES ACHIEVED ACHC ACCREDITATION FOR 7 HOME HEALTH LEGACY LOCATIONS, 3 NEW HOME HEALTH PROVIDERS, ALL 3 HOSPICE PROVIDERS, AND IV INFUSION SERVICES. G. SENTARA LIFE CARE SENTARA LIFE CARE IS COMPRISED OF ASSISTED LIVING CENTERS, NURSING HOMES, MOBILE MEALS AND THE PROGRAM FOR THE ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). IN 2017, SENTARA LIFE CARE OPENED A NEW CARE AND REHABILITATION RESIDENCE IN CHESAPEAKE, VIRGINIA. THE 120 BED FACILITY FEATURES AN INNOVATIVE "HOUSEHOLD" DESIGN WITH 20-40 RESIDENTS EACH, AND A RESIDENT-CENTERED APPROACH TO CARE. SHORT-TERM REHABILITATION ADMISSIONS INCREASED COMPARED TO 2016. SENTARA LIFE CARE IMPLEMENTED A MEDICAL DIRECTOR/PCP MODEL IN THE TWO PACE (PROGRAM FOR THE ALL-INCLUSIVE CARE FOR THE ELDERLY) CENTERS. PACE IS A COMPREHENSIVE HEALTH CARE AND SUPPORTIVE SERVICES PROGRAM FOR FRAIL SENIORS WHO WISH TO REMAIN IN THEIR HOMES AND COMMUNITY. THE PROGRAM IS ONE THAT PROVIDES TOTAL CARE FOR PARTICIPANTS, INCLUDING COMPREHENSIVE MEDICAL AND REHABILITATIVE SERVICES, IN-HOME SERVICES AND TRANSPORTATION. H. SENTARA MEDICAL GROUP (900+ PROVIDERS IN VIRGINIA AND NORTHEASTERN NORTH CAROLINA) I. SENTARA MEDICAL GROUP (SMG) COMPLETED THE 2017 SMG STRATEGIC PLAN WITH A FOCUS ON CARE DELIVERY, CUSTOMER EXPERIENCE, PROVIDER AND EMPLOYEE ENGAGEMENT AND GROWTH AND INNOVATION. SMG ESTABLISHED A CENTRALIZED NURSE ADVICE LINE PILOTED AT SELECT PRACTICES TO CONNECT PATIENTS TO A TRIAGE CALL CENTER FOR HEALTHCARE ADVICE. THIS PROGRAM STREAMLINES WORKFLOWS AND HELPS PATIENTS ARRANGE SAME-DAY CARE. SMG RENOVATED 14 PRACTICES AND OPENED 10 NEW PRACTICE LOCATIONS. ADDITIONALLY, SMG CONTINUED ITS IMPRESSIVE GROWTH IN MYCHART ENROLLEES (ELECTRONIC MEDICAL RECORD) BY EXCEEDING ITS GOAL OF 270,000 WITH A TOTAL OF 281,431 ENROLLEES. VIII. QUALITY AND PATIENT SAFETY DISTINCTIONS 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 2017 AWARDS AND RECOGNITIONS: I. FOR THE 17TH CONSECUTIVE YEAR, THE CARDIOLOGY AND HEART SURGERY PROGRAM AT SENTARA NORFOLK GENERAL HOSPITAL (SENTARA HEART HOSPITAL) WAS LISTED AMONG THE TOP 50 HEART PROGRAMS IN THE U.S. NEWS & WORLD REPORT 'BEST HOSPITALS' RANKING #24 IN 2017. DIABETES AND ENDOCRINOLOGY AT SENTARA NORFOLK GENERAL HOSPITAL, A SPECIALTY AT EASTERN VIRGINIA MEDICAL SCHOOL, RANKED #43. II. NINE SENTARA HOSPITALS EARNED HIGHEST GRADE OF "A" FOR DELIVERING SAFE CARE FOR PATIENTS ACCORDING TO THE LEAPFROG HOSPITAL SAFETY SCORE. III. SENTARA HEALTHCARE WAS NAMED 1 OF 52 GREAT HEALTH SYSTEMS TO KNOW ACCORDING TO BECKER'S HOSPITAL REVIEW. AND, SENTARA HALIFAX REGIONAL HOSPITAL WAS RANKED IN THE TOP 100 RURAL AND COMMUNITY HOSPITALS IN 2017. IV. SENTARA LEIGH HOSPITAL WAS NAMED TO TRUVEN TOP 100 HOSPITALS FROM TRUVEN HEALTH ANALYTICS AND MODERN HEALTHCARE. B. SENTARA CAREPLEX HOSPITAL BECAME THE LATEST HOSPITAL WITHIN THE SENTARA FAMILY TO EARN THE NURSING MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER. MAGNET SPEAKS TO A SUPPORTIVE WORKING ENVIRONMENT FOR NURSES AND SUPERIOR CLINICAL CARE BASED ON STRICT CRITERIA THAT MAGNET HOSPITALS MUST MEET. IX. OPTIMA HEALTH A. PROGRAM AND PRODUCT DEVELOPMENT OPTIMA HEALTH LAUNCHED OPTIMA HEALTH COMMUNITY CARE (OHCC), A NEW MEDICAID PRODUCT THAT SERVES VIRGINIANS WITH COMPLEX HEALTH ISSUES, MANY OF WHOM REQUIRE LONG-TERM SUPPORT AS A RESULT OF AGING, CHRONIC ILLNESS OR DISABILITY. 17,893 MEMBERS WERE ASSIGNED TO OPTIMA HEALTH COMMUNITY CARE FROM AUGUST 1 - DECEMBER 31, 2017 FROM SIX REGIONS ACROSS THE COMMONWEALTH. OHCC MODEL OF CARE FACILITATES PERSON-CENTERED CARE, FEATURING BENEFITS SUCH AS COORDINATION AND MANAGEMENT OF ALL ASPECTS OF PHYSICAL HEALTH, BEHAVIORAL HEALTH, LONG-TERM CARE AND COMMUNITY-BASED SERVICES. X. CONCLUSION: SENTARA HEALTHCARE IS COMMITTED TO IMPROVING HEALTH EVERY DAY. WE DO SO BY PROVIDING QUALITY CARE THROUGH EXPERT PROVIDERS, USING CUTTING-EDGE TECHNOLOGY, DEPLOYING MEDICAL BREAKTHROUGHS, AND PROVIDING EXCELLENT CUSTOMER SERVICE - ALL WITH A CONSTANT FOCUS ON INNOVATION. WE LOOK FORWARD TO ANOTHER YEAR OF GROWTH AND INNOVATION IN 2018. FORM 990, PART V, LINE 1A: FORM 1096 AS THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, THE ORGANIZATION MAINTAINS AGENCY RELATIONSHIPS AND ISSUES 1099S ON BEHALF OF OTHER ENTITIES IN THE SYSTEM. THE NUMBER REPORTED IS A BEST ESTIMATE OF THE 1099S ATTRIBUTABLE TO THE ORGANIZATION. THE EXACT NUMBER CANNOT BE DETERMINED; AS SOME OF THE 1099S ISSUED BY THE ORGANIZATION ARE ATTRIBUTABLE TO MORE THAN ONE ENTITY, AND THERE IS NO REPORTING MECHANISM TO DETERMINE 1099'S ATTRIBUTABLE SOLELY TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS: 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 B, LINE 11B FORM 990 REVIEW PROCESS THE ORGANIZATION USED ITS OWN IN-HOUSE TAX DEPARTMENT, HEADED BY A LICENSED CERTIFIED PUBLIC ACCOUNTANT, TO BOTH PREPARE AND REVIEW ITS FORM 990. DURING THE PREPARATION AND REVIEW PROCESS, THE TAX DEPARTMENT WORKED CLOSELY WITH OTHER DEPARTMENTS, SUCH AS LEGAL, COMPENSATION AND BENEFITS, COMPLIANCE, FINANCE, AND MARKETING, TO ENSURE THAT A COMPLETE AND ACCURATE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS: DIRECTORS, BOARD-NOMINATED OFFICERS, AND KEY EMPLOYEES SUBMIT AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE AND CERTIFY TO THE COMPLETION AND ACCURACY OF THE INFORMATION DISCLOSED. THE ORGANIZATION'S GOVERNING BOARD OR APPROPRIATE COMMITTEE MONITORS TRANSACTIONS INVOLVING DISCLOSED POTENTIAL CONFLICTS OF INTEREST, TO ENSURE THAT THEY ARE REASONABLE AND AT ARM'S LENGTH. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION FOLLOWED PROCESSES AND PROCEDURES SET FORTH IN ITS GOVERNING DOCUMENTS TO ENSURE COMPLIANCE WITH ITS OBLIGATIONS AS A 501(C)(3) HEALTHCARE ORGANIZATION TO PAY DISQUALIFIED PERSONS REASONABLE COMPENSATION. SUCH PROCESSES AND PROCEDURES ARE INTENDED TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERNAL REVENUE CODE SECTION 4958 REGULATIONS. THE COMPENSATION PHILOSOPHY OF THE ORGANIZATION IS TO BASE OVERALL COMPENSATION AND BENEFITS FOR EXECUTIVES ON NOT-FOR-PROFIT MARKET COMPARABLES, 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 ORGANIZATION PERFORMED SUBSTANTIAL DUE DILIGENCE AS TO MARKET COMPARABLES. THE COMPENSATION COMMITTEE, WHICH CONSISTS OF BOARD MEMBERS WITHOUT CONFLICTS OF INTERESTS, 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 MULTIPLE PUBLISHED SURVEY SOURCES BASED ON THE 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 32 NOT-FOR-PROFIT HEALTHCARE SYSTEMS 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 MEETING AND THEN CIRCULATED FOR REVIEW AND APPROVAL. ALL DECISIONS REGARDING COMPENSATION WERE MADE BY THE COMMITTEE, WHICH CONSISTS OF BOARD MEMBERS WITHOUT CONFLICT OF INTERESTS. THIS PROCESS WAS USED TO ESTABLISH COMPENSATION FOR THE ORGANIZATION'S PRESIDENT AND CEO, SENIOR VICE PRESIDENT AND COO, SENIOR VICE PRESIDENT AND CFO, AND OTHER SENIOR AND CORPORATE VICE PRESIDENTS. THE PROCESS WAS LAST UNDERTAKEN DURING THE CURRENT TAX YEAR FOR ALL POSITIONS LISTED. FORM 990, PART VI, SECTION C, LINE 19 PROVISION OF GOVERNING DOCS, COI POLICY AND FINANCIALS TO PUBLIC: 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 XI, LINE 9: CHANGE IN FUNDED STATUS OF PENSION LIABILITY -39,541,446. PARTNERSHIP INCOME BOOK > TAX 245,648. SUBPART F INCOME NOT ON BOOKS -1,412,873. DISTRIBUTION FROM SUBSIDIARY - RETURN OF CAPITAL 4,597,775. SECTION 351 TRANSFER TO SHI -10,049,832. SECTION 351 TRANSFERS TO SE -1,504,268. SECTION 351 TRANSFER TO SH -13,354,198. RECLASS OF INTERCOMPANY ACCTS TO EQUITY 128,031,404. CAPITAL CONTRIBUTIONS TO SUBS -10,000,000. NET ASSET TRANSFER FROM SUBSIDIARY 58,795,352. 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1412873 CORP BOOKS/REC SENTARA ENTERPRISES F 13354198 CORP BOOKS/REC SENTARA HOSPITALS R 13154198 CORP BOOKS/REC FORM 990, SCHEDULE R THE ORGANIZATION AND ITS SUBSIDIARIES PARTICIPATE IN CASH MANAGEMENT ARRANGEMENTS WHEREBY ALL CASH OPERATING ACCOUNTS ARE SWEPT INTO OR FUNDED BY A MASTER OVERNIGHT INVESTMENT ACCOUNT ON A DAILY BASIS, IN ORDER TO MAINTAIN A $0 BALANCE IN ALL OPERATING ACCOUNTS AND MAXIMIZE INVESTMENT EARNINGS. THE DAILY TRANSFERS OF CASH, WHICH RESULT FROM THIS CONSOLIDATED CASH ARRANGEMENT, HAVE NOT BEEN REPORTED ON SCHEDULE R PART V.