FURP.ORG / PUBLIC DATA EXPLORER

MPB INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MPB INC (EIN 54-1346393)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201143199349302804
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T08:01:01-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541346393EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MPB INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMPBINameControl
Phone7574557020Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16015 POPLAR HALL DRIVEAddressLine1
CityNORFOLKCity
StateVAState
ZIP Code23502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT BROERMANNName
TitleTreasurerTitle
Date Signed2011-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts12398486GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionAS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, MPB, INC. WAS Organized pursuant to IRC 501(c)(2) exclusiveLY FOR holding title to property, collecting income there from, and turning over the entire amount thereof, less expenses, to Sentara Enterprises.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11639847ProgramServiceRevenuePriorYear
Program Service Revenue CY12361141ProgramServiceRevenueCY
Investment Income Prior Year52339InvestmentIncomePriorYear
Investment Income Current Year-14674InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year11692186TotalRevenuePriorYear
Total Revenue Current Year12346467TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10771778OtherExpensePriorYear
Other Expenses Current Year10716877OtherExpensesCurrentYear
Total Expenses Prior Year10771778TotalExpensesPriorYear
Total Expenses Current Year10716877TotalExpensesCurrentYear
Revenues Less Expenses Prior Year920408RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1629590RevenuesLessExpensesCY
Total Assets BOY101459901TotalAssetsBOY
Total Assets EOY100280724TotalAssetsEOY
Total Liabilities BOY4155362TotalLiabilitiesBOY
Total Liabilities EOY5326535TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY97304539NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY94954189NetAssetsOrFundBalancesEOY
Mission DescriptionAS PART OF SENTARA HEALTHCARE'S INTEGRATED HEALTH CARE SYSTEM, MPB, INC. WAS Organized pursuant to IRC 501(c)(2) for the exclusive purpose of holding title to property, collecting income there from, and turning over the entire amount thereof, less expenses, to Sentara Enterprises, Inc., ITS 501(C)(3) TAX EXEMPT PARENT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8680671Expense
Revenue12361141Revenue
DescriptionMPB, INC. HOLDS TITLE TO PROPERTY, COLLECTS RENT,AND TURNS OVER THE ENTIRE AMOUNT, LESS EXPENSES, TO IT'S 501(c)(3) TAX EXEMPT PARENT, SENTARA ENTERPRISES.Description
Total Program Service Expense8680671TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109613NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCORPORATE OFFICERSNamePerson
Telephone Number7574557020TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16015 POPLAR HALL DRAddressLine1
CityNORFOLKCity
StateVAState
ZIP Code23502ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
ROBERT BROERMANN
Dir/Pres/Treas1.00XX01063115241687
HOWARD P KERN
Director1.00X01431118733973
GRACE HINES
Secretary1.00X0337112158271
GAIL HEAGEN
FORMER OFFICER0.00017007081613X
DONALD V JELLIG
FORMER OFFICER & DIRECTOR0.00016790830X
DAVID L BERND
Dir/Chairman1.00XX03444338669144
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs8124836TotalReportableCompFrmRltdOrgs
Total Other Compensation1884688TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
VALLEYCREST LANDSCAPE & MAINT
PO BO 404083ATLANTAGA30384LANDSCAPING SERVICES283360
PENINSULA CLEANING SVC INC
12610 PATRICK HENRY DR STE ANEWPORT NEWSVA23602JANITORIAL SERVICES287026
JANI KING OF HAMPTON ROADS
3290 AIRLINE BLVDPORTSMOUTHVA23701JANITORIAL SERVICES118069
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE REVENUEDescription
Business Code531120BusinessCode
Total Revenue Column12361141TotalRevenueColumn
Related Or Exempt Function Income12361141RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12361141TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column37345TotalRevenueColumn
Exclusion$37,345ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other52019Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-52019Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-52019TotalRevenueColumn
Exclusion-$52,019ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12346467TotalRevenueColumn
Related Or Exempt Function Income12361141RelatedOrExemptFunctionIncome
Exclusion-$14,674ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total781445Total
Program Services632970ProgramServices
Management And General148475ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total28096Total
Program Services22758ProgramServices
Management And General5338ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total64033Total
Program Services51867ProgramServices
Management And General12166ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total-550Total
Program Services-446ProgramServices
Management And General-104ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total524271Total
Program Services424660ProgramServices
Management And General99611ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1609Total
Program Services1303ProgramServices
Management And General306ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2200726Total
Program Services1782588ProgramServices
Management And General418138ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4322Total
Program Services3501ProgramServices
Management And General821ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total38337Total
Program Services31053ProgramServices
Management And General7284ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5555734Total
Program Services4500145ProgramServices
Management And General1055589ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total126566Total
Program Services102518ProgramServices
Management And General24048ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TAXES & LICENSES30171244395732
PURCHASED & CONTRACTED SVCS.13616201102912258708
BAD DEBT PROVISION49740394

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10716877Total
Program Services8680671ProgramServices
Management And General2036206ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY150BOY
EOY150EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY775231BOY
EOY853779EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY445005BOY
EOY276281EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis142214065LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec43063551LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY99970232BOY
EOY99150514EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY269283BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY101459901BOY
EOY100280724EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17651BOY
EOY102856EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY761961BOY
EOY993095EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY888338BOY
EOY602926EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2487412BOY
EOY3627658EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4155362BOY
EOY5326535EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY97304539BOY
EOY94954189EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY97304539BOY
EOY94954189EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY101459901BOY
EOY100280724EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1629590ReconcilationRevenueExpenses
Reconcilation Other Changes-3979940ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis444539InvestmentCostOrOtherBasis
Other Cost Or Other Basis27982738OtherCostOrOtherBasis
Book Value28427277BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis64702400OtherCostOrOtherBasis
Depreciation27538222Depreciation
Book Value37164178BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis486552OtherCostOrOtherBasis
Depreciation486552Depreciation

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis21938466OtherCostOrOtherBasis
Depreciation9426930Depreciation
Book Value12511536BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26659370OtherCostOrOtherBasis
Depreciation5611847Depreciation
Book Value21047523BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings99150514TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
OTHER CURRENT LIABILITIES$62,432
DUE TO AFFILIATES$3,565,226
FieldValueIRS element (for citing)
Total Of Amounts3627658TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationRECLASS OF INTERCOMPANY BALANCES TO EQUITY $ -3979940Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT BROERMANN
54074450138920982213639280481304802215688
HOWARD P KERN
67481472903827266714210197632165091322495
GRACE HINES
21846695391232551426681560349538334654
GAIL HEAGEN
17007081613251683
DONALD V JELLIG
167908316790831014311
DAVID L BERND
99470913067381142891643792253524113482634843

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VII - COMPENSATION OF ODTKECOMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORS: HOURS DEVOTED TO RELATED ORGANIZATIONSDavid Bernd devoted an average of 49 hours per week to related organizations.Robert Broermann devoted an average of 49 hours per week to related organizations.Howard P. Kern devoted an average of 49 hours per week to related organizations.Grace R. Hines devoted an average of 49 hours per week to related organizations.
FORM 990, PART VI, line 1b - BOARD MEMBER INDEPENDENCEBoard members are elected annually by the organization's 501(c)(3) sole shareholder, Sentara Enterprises. The governing board of Sentara Enterprises' 501(c)(3) sole member, Sentara Healthcare, is a community-based board comprised of 20 voting members, 18 of which are considered independent, as defined in the Form 990 instructions.
FORM 990, PART VI, LINE 14 - DOCUMENT RETENTION POLICYThe organization has a written policy for document retention and destruction which was approved by management.
FORM 990, PART V, line 1a - NUMBER REPORTED IN BOX 3 OF FORM 1096The 501(c)(3) sole shareholder of the organization, Sentara Healthcare, 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, Line 19: Other Organization Documents Publicly AvailableThe consolidated financial statements for Sentara Healthcare and Subsidiaries are 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 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesAs part of the Sentara Healthcare 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 market comparables, adjusted as applied to each executive, taking into consideration the individual skills 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 interests, engaged an outside consultant 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 published survey sources based on the senior executive's functional responsibility. In conducting the study, the consultant targeted other health systems of similar size based on net revenue, premiums, or members, where possible. The consultant also conducts a review of the System's performance relative to a group of not-for-profit health systems of comparable size and scope of operations every two to three years; the System's financial performance based on measures such as net revenue growth and operating margin was in the top quartile relative to the comparison group in the most recent study conducted in early 2009. The compensation study was discussed with the System's Compensation Committee, which made its 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 from an external expert in the compensation 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 conflict of interests. This process was used to establish compensation for the organization's Chairman and President/Treasurer; who also serve as CEO and CFO/Treasurer of the System. The process was last undertaken during 2010 for the positions listed.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsDIRECTORS, 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 LEGAL DEPARTMENT MONITORS TRANSACTIONS INVOLVING POTENTIAL CONFLICTS OF INTEREST, TO ENSURE THAT THEY ARE REASONABLE AND AT ARM'S LENGTH. REPORTS ON SUCH TRANSACTIONS ARE MADE TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD AS NECESSARY.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessThe organization is part of the Sentara Healthcare system ("the System"), and as such, uses 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 works closely with other System departments, such as Legal, Compensation and Benefits, Compliance, Finance, and Marketing, to ensure that a complete and accurate return is filed.Form 990, Part VI, Line 11
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe Board of Directors, which serves as the organization's governing body, is elected by its sole SHAREHOLDER, Sentara Enterprises, a 501(c)(3) organization.Form 990, Part VI, Line 7a
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe organization has one class of common stock, the sole shareholder being Sentara Enterprises, a Virginia nonstock corporation described in Section 501(c)(3) of the Internal Revenue Code.Form 990, Part VI, Line 6
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtDAVID BERND AND HOWARD KERN HAVE A BUSINESS RELATIONSHIP THROUGH COMMON OWNERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVE TOGETHER ON THE BOARDS OF OTHER TAXABLE ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAS AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES.Form 990, Part VI, Line 2

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVENORFOLKVA23502540853898HEALTH CAREVA501(C)(3)3NAtrue
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVENORFOLKVA23502541283337HMOVA501(C)(3)11A - ItrueN/A
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVENORFOLKVA23502541217183HEALTH CAREVA501(C)(3)9trueN/A
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVENORFOLKVA23502541917649HEALTH CAREVA501(C)(3)9falseN/A
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVENORFOLKVA23502541217184HEALTH CAREVA501(C)(3)9NAtrue
SENTARA HOSPITALS
6015 POPLAR HALL DRIVENORFOLKVA23502541547408HEALTH CAREVA501(C)(3)3NAtrue
TIDEWATER HEALTH CARE
6015 POPLAR HALL DRIVENORFOLKVA23502521277419HEALTH CAREVA501(C)(3)11C - III FINAtrue
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVENORFOLKVA23502521271901HEALTH CAREVA501(C)(3)7NAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNADisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
ORTHOPAEDIC HOSPITAL MANAGEMENT
3000 COLISEUM DRIVEHAMPTONVA23666274185117MGT SVCSVAN/Afalsefalse
PORT WARWICK II LLC
18000 W SARAH LANE STE 250BROOKFIELDVA53045202739075RENTAL REVAN/Atruefalse
CAREPLEX WEST LLC
18000 W SARAH LANE STE 250BROOKFIELDWI53045202738977RENTAL REVAN/Atruefalse
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8100 GATEHOUSE RD STE 400WFALLS CHURCHVA22042541802733HEALTHCAREVAN/Afalsefalse
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVENORFOLKVA23502272774684MOB RENTALVAN/Afalsefalse
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVDSUFFOLKVA23434260144898HEALTH CAREVAN/Afalsefalse
RADIOLOGY SERVICES
814 GREENBRIER CIRCLECHESAPEAKEVA23320541774472HEALTH CAREVAN/Afalsefalse
HEALTHCARE PERFORMANCE IMPROVEMENT LLC
5041 CORPORATE WOODS DR STE 180VIRGINIA BEACHVA23462204024074CONSULTINGVAN/Afalsefalse
HAMPTON ROADS LITHOTRIPSY LLC
6333 CENTER DRIVE BLDG 16NORFOLKVA23502200942600HEALTH CAREVAN/Afalsefalse
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DRIVENORFOLKVA23502201338518HEALTH CAREVAN/Afalsefalse
AMER HEALTH EVAL CTR-WMSBG LLC
PO BOX 3508WILLIAMSBURGVA23187263761741HEALTH CAREVAN/Afalsefalse
VA BEACH AMBULATORY SURGERY CENTER
1700 WILL O WISP DRIVEVA BEACHVA23454541448218HEALTH CAREVAfalsefalseNAN/A
PRINCESS ANNE AMBULATORY SURG MGT LLC
1975 GLENN MITCHELLVA BEACHVA23456204920880HEALTH CAREVAfalsefalseNA
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVENORFOLKVA23502261749881RE RENTALVAfalsefalseNA
MANAGEMENT SERVICES LLC
814 GREENBRIER CIRCLECHESAPEAKEVA23320541365012HLTH MGT SVVAfalsefalseNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BAY PRIMEX INSURANCE COMPANY LTD
PO BOX 1051GRAND CAYMANCAYMAN ISLANDSCJKY1-11102999999999INSURANCECJN/AC CORP
POTOMAC VENTURES CORP
541441420PHARMACYC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
SENTARA OBICI MED MGT SERVICES
541020941HEALTH CAREC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
SENTARA OBICI PROFESSIONAL CENTER
541445865RE RENTALC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
SMG INNOVATIONS INC
203730331HEALTH CAREC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
SENTARA VENTURES INC
541688615HOLDING COMPANYC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
SENTARA HAMPTON SERVICE CORP
541682025FITNESS CENTERC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
OPTIMA BEHAVIORAL HEALTH SERVICES
621382666MENTAL HEALTH SERVICESC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
OPTIMA HEALTH INSURANCE COMPANY
541642752HEALTH INSURANCEC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
OPTIMA HEALTH GROUP
541473382HMOC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
SENTARA HEALTH PLANS INC
522368125TPAC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
SENTARA HOLDINGS INC
541555638HOLDING COMPANYC CORP6015 POPLAR HALL DRIVENORFOLKVA23502VANA
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SENTARA HEALTH PLANS INC
a33033CORP BOOKS/REC
ST LUKES PROPERTIES LLC
a73953CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURG MGT LLC
r285413CORP BOOKS/REC
PRINCESS ANNE AMBULATORY SURG MGT LLC
a38337CORP BOOKS/REC
SENTARA MEDICAL GROUP
b4383120CORP BOOKS/REC
SENTARA MEDICAL GROUP
a4366770CORP BOOKS/REC
SENTARA HOSPITALS
m107966CORP BOOKS/REC
SENTARA HOSPITALS
b2994784CORP BOOKS/REC
SENTARA HOSPITALS
a3676982CORP BOOKS/REC