Form990
Click to see list of attachments
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
SENTARA HEALTHCARE
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
6015 POPLAR HALL DRIVE
 
Room/suite
City or town, state or country, and ZIP + 4
NORFOLK, VA23502
D Employer identification number

52-1271901
E Telephone number

G Gross receipts $ 402,443,254
F Name and address of principal officer:
 
 
 
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SENTARA.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1982
M State of legal domicile: VA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: 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.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 20
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 18
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 504
6 Total number of volunteers (estimate if necessary) .... 6 62
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 1,749,256
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 44,511
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 35,320,786 13,489,023
9 Program service revenue (Part VIII, line 2g) ......... 44,182,503 57,371,284
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 8,357,771 10,442,469
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,840,316 784,146
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 89,701,376 82,086,922
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,058,426 1,181,501
14 Benefits paid to or for members (Part IX, column (A), line 4) ....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 48,640,049 53,138,165
16a Professional fundraising fees (Part IX, column (A), line 11e).... 60,455 66,225
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet595,297    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 19,820,061 30,742,822
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 69,578,991 85,128,713
19 Revenue less expenses. Subtract line 18 from line 12...... 20,122,385 -3,041,791
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,524,102,388 1,742,443,036
21 Total liabilities (Part X, line 26)............ 1,051,689,287 1,235,963,289
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 472,413,101 506,479,747
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 69,023,525 including grants of $ 1,181,501 ) (Revenue $ 53,767,421 )
Sentara Healthcare is the parent corporation of an integrated health care delivery system which provides services to more than two million Hampton Roads, Virginia and Northeastern North Carolina residents, as well as 370,000 residents of Northern Virginia. Sentara's mission is to provide patients with innovative services to treat illness and disease and to promote the improvement of their personal health. "Modern Healthcare" magazine has consistently ranked Sentara Healthcare as one of the nation's top ten integrated healthcare organizations. SEE SCHEDULE O FOR A DESCRIPTION OF PROGRAMS AND ACCOMPLISHMENTS OF THE SENTARA HEALTHCARE SYSTEM FOR 2010.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 69,023,525
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part IIIClick to see attachment........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part IClick to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II.......... Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III................... Click to see attachment
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
147
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
504
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
No
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
No
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
No
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
0
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
No
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
No
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
No
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
No
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
No
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
20
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
18
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
No
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
CORPORATE OFFICERS
6015 POPLAR HALL DR
NORFOLK,VA23502
(757) 455-7020
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) WILLIAM P EDMONDSON JR MD
Trustee
 1.00 X           0 31,603 8,138
(2) WILLIAM K BUTLER II
Trustee
 1.00 X           100 0 0
(3) WILLIAM K BARLOW
Trustee
 1.00 X           0 0 0
(4) W ANDREW DICKINSON MD
Dir/Trustee
 2.00 X           0 0 0
(5) VINCENT A NAPOLITANO
Trustee
 1.00 X           0 0 0
(6) VIKKI LORENZ
VP, CORP. FINANCE
 40.00         X   354,381 0 82,432
(7) VICKY GRAY
SR VP
 40.00     X       736,136 0 114,907
(8) VERNON M GEDDY II
Trustee
 1.00 X           0 0 0
(9) TOY D SAVAGE JR
Trustee
 1.00 X           0 0 0
(10) THOMAS L WOODWARD
DIR/TRUSTEE
 2.00 X           0 0 0
(11) THOMAS L ROSS
Trustee
 1.00 X           0 0 0
(12) SUSAN MAYO
Trustee
 1.00 X           0 0 0
(13) RONY THOMAS
Trustee
 1.00 X           0 0 0
(14) ROBIN D RAY
Trustee
 1.00 X           0 0 0
(15) ROBERT SHUFORD
Trustee
 1.00 X           0 0 0
(16) ROBERT MILLER
Trustee
 1.00 X           0 0 0
(17) ROBERT GRAVES
CORP VP
 5.00     X       0 639,730 105,165
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) ROBERT C FORT
Dir/Trus/VChair
 3.00 X   X       0 0 0
(19) ROBERT BROERMANN
CFO/TREAS/SR VP
 40.00     X       1,063,115 0 241,687
(20) RICHARD F CLARK MD
Dir/Trustee
 2.00 X           0 0 0
(21) RICHARD CHENG PHD
Trustee
 1.00 X           0 0 0
(22) R SCOTT MORGAN
Trustee
 1.00 X           0 0 0
(23) R P PETERSON
Trustee
 1.00 X           0 0 0
(24) R MICHAEL SORENSON
Trustee
 1.00 X           0 0 0
(25) R DAWSON TAYLOR
Trustee
 1.00 X           0 0 0
(26) PETER D PRUDEN III
Dir/Trustee
 2.00 X           0 0 0
(27) PAUL V MICHELS
Trustee
 1.00 X           0 0 0
(28) PAUL DRESSER
Trustee
 1.00 X           0 0 0
(29) NORMAN HOFFMAN
Trustee
 1.00 X           0 0 0
(30) NANCY A BAGRANOFF
Trustee
 1.00 X           0 0 0
(31) MICHAEL V TAYLOR
SR VP
 40.00     X       680,629 0 147,107
(32) MICHAEL S IVES
Trustee
 1.00 X           0 0 0
(33) MICHAEL GENTRY
CORP VP
 5.00     X       0 645,670 122,388
(34) MICHAEL DUDLEY
SR VP
 10.00     X       821,526 0 639,581
(35) MICHAEL D LUBELEY
Trustee
 1.00 X           0 0 0
(36) MEGAN R PERRY
CORP VP
 5.00     X       445,776 0 139,543
(37) MARY BLUNT
CORP VP
 5.00     X       0 847,464 154,326
(38) MARK SZALWINSKI
CORP VP
 5.00     X       0 498,744 184,260
(39) MARION WALL
DIR/TRUSTEE
 2.00 X           0 0 0
(40) MARC SHARP
DIR/TRUS/Chair
 3.00 X   X       0 0 0
(41) LESTER ELJAIEK
VP, HOSP. FINANCE
 40.00         X   361,432 0 33,444
(42) LAWRENCE CUMMING
Dir/Trustee
 2.00 X           0 0 0
(43) L ALVIN GARRISON JR
Dir/Trustee
 2.00 X           0 0 0
(44) KENNETH M KRAKAUR
SR VP
 40.00     X       929,277 0 132,253
(45) JOHN F MALBON
DIR/TRUSTEE
 2.00 X           0 0 0
(46) JOAN BROCK
Dir/Trustee
 2.00 X           0 0 0
(47) JERRY A BRIDGES
Dir/Trustee
 2.00 X           0 0 0
(48) JEFFREY P KING
SEC/GEN COUNSEL
 40.00     X       486,551 0 84,087
(49) JEAN BRUCE
Trustee
 1.00 X           0 0 0
(50) JAMES R MESSNER
Trustee
 1.00 X           0 0 0
(51) JAMES CROCKER
Trustee
 1.00 X           100 0 0
(52) JAMES A SQUIRES
Trustee
 1.00 X           0 0 0
(53) JAMES A JOSEPH
Trustee
 1.00 X           0 0 0
(54) JACK G EZZELL JR
Dir/Trustee
 2.00 X           0 0 0
(55) HOWARD P KERN
COO/PRESIDENT
 40.00     X       1,431,118 0 733,973
(56) HENRY U HARRIS III
Dir/Trustee
 2.00 X           0 0 0
(57) GRACE R HINES
VP, STRAT. SUPPORT
 40.00         X   337,112 0 158,271
(58) GENEMARIE MCGEE
CHIEF NURSE EXC
 5.00     X       0 225,602 103,952
(59) GARY YATES
SR VP/CMO
 40.00     X       1,088,200 0 287,717
(60) GARY T MCCOLLUM
Trustee
 1.00 X           0 0 0
(61) GAIL HEAGEN
FORMER OFFICER
 0.00           X 170,070 0 81,613
(62) FREDERICK C COBLE
Trustee
 1.00 X           0 0 0
(63) F DUDLEY FULTON
Trustee
 1.00 X           0 0 0
(64) EDWARD L HAMM JR
Trustee
 1.00 X           0 0 0
(65) DOUGLAS THOMPSON
CORP VP
 40.00     X       450,589 0 92,008
(66) DOUGLAS JOHNSON MD
FORMER KEY EMPLOYEE
 0.00           X 1,002,067 0 17,426
(67) DONALD V JELLIG
FORMER OFFICER
 0.00           X 0 1,679,083 0
(68) DONALD S HOWELL MD
Trustee
 1.00 X           0 0 0
(69) DONALD CLARK
Dir/Trustee
 2.00 X           0 0 0
(70) DIAN T CALDERONE
Trustee
 1.00 X           0 0 0
(71) DENNIS GARDNER
Trustee
 1.00 X           0 0 0
(72) DEBORAH A DICROCE
Dir/Trustee
 2.00 X           0 0 0
(73) DAVID MAIZEL
CORP VP
 5.00     X       0 579,180 174,097
(74) DAVID L BERND
CEO/DIR/TRUSTEE
 40.00 X   X       3,444,338 0 669,144
(75) CLARENCE A HOLLAND MD
Trustee
 1.00 X           0 22,589 3,971
(76) CHARLES R BIRDSONG
Trustee
 1.00 X           0 0 0
(77) CHARLES F LOVELL JR MD
Dir/Trustee
 2.00 X           0 1,600 0
(78) C EDWARD RUSSELL JR
Trustee
 1.00 X           0 0 0
(79) BRUCE S ROBERTSON
VP & ADMINISTRATOR
 5.00         X   303,193 0 122,751
(80) BERTRAM S REESE
CIO/SR VP
 10.00     X       0 773,142 173,627
(81) BARBARA B STOLTZFUS
Trustee
 1.00 X           0 0 0
(82) AUBREY L LAYNE JR
Trustee
 1.00 X           0 0 0
(83) AUBREY E LOVING JR
Dir/Trustee
 2.00 X           0 0 0
(84) ANN E C HOMAN
DIR/TRUSTEE
 2.00 X           0 0 0
(85) ANDREW WEDDLE
VP, REVENUE CYCLE
 0.00         X   277,675 0 64,490
(86) ALLAN G DONN
Dir/Trustee
 2.00 X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 14,383,385 5,944,407 4,872,358
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet89
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
VIRGINIAN PILOT
PO BOX 79917
BALTIMORE,MD212790917 		MEDIA ADVERTISING 560,679
MERCER HUMAN RESOURCE CONSULTING
PO BOX 905234
CHARLOTTE,NC28290 		PROFESSIONAL SVCS 544,808
MCMAHON CREATIVE INC
117 PINEWOOD RD
VIRGINIA BEACH,VA23451 		MEDIA ADVERTISING 622,896
KPMG LLP
PO BOX 120001 DEPT 0566
DALLAS,TX75312 		PROFESSIONAL SVCS 707,065
ERNST AND YOUNG LLP
PO BOX 640382
PITTSBURGH,PA152640382 		PROFESSIONAL SVCS 664,990
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet35
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 13,173,193
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		315,830
g Noncash contributions included in lines 1a-1f:$ 1,819
h Total. Add lines 1a-1f.......MediumBullet 13,489,023
Program Service Revenue Business Code
2a SUPPORT SERVICES 900,099 57,371,284 55,672,485 1,698,799  
b
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 57,371,284
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 34,932,425     34,932,425
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet 0      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 295,862,656  
b Less: cost or other basis and sales expenses 320,352,612  
c Gain or (loss) -24,489,956  
d Net gain or (loss)..........MediumBullet -24,489,956     -24,489,956
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a 16,598
b Less: direct expenses ...b 3,720
c Net income or (loss) from fundraising events..MediumBullet 12,878   12,878
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a SUBPART F INCOME 524,298 751,969   49,512 702,457
b DEEMED DISTR. FR. CFC 524,298 751,969     751,969
c DEEMED DISTR. FR. CFC 524,298 1,171,449     1,171,449
d All other revenue .... -1,904,119 -1,905,064 945  
e Total. Add lines 11a–11d ......MediumBullet 771,268
12 Total revenue. See Instructions....MediumBullet 82,086,922 53,767,421 1,749,256 13,081,222
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 1,023,595 1,023,595
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 157,906 157,906
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 14,859,462 12,036,164 2,823,298  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 147,952 119,841 28,111  
7 Other salaries and wages 30,663,590 24,627,583 5,776,840 259,167
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 2,398,687 1,925,532 451,668 21,487
9 Other employee benefits ....... 2,883,073 2,325,224 545,423 12,426
10 Payroll taxes ........... 2,185,401 1,755,038 411,675 18,688
11 Fees for services (non-employees):        
a Management ...... 1,924,695 1,559,003 365,692  
b Legal ......... 885,729 715,346 167,797 2,586
c Accounting ........... 622,623 504,325 118,298  
d Lobbying ........... 34,906 28,274 6,632  
e Professional fundraising. See Part IV, line 17.. 66,225 66,225
f Investment management fees ...... 4,404,492 3,567,639 836,853  
g Other .......... 4,709,301 4,101,085 558,316 49,900
12 Advertising and promotion .... 4,930,525 3,963,721 929,762 37,042
13 Office expenses ....... 2,878,835 2,271,389 532,795 74,651
14 Information technology ...... 616,290 499,195 117,095  
15 Royalties .. 0      
16 Occupancy ........... 918,169 743,717 174,452  
17 Travel ............ 633,537 513,165 120,372  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 68,350 55,364 12,986  
20 Interest ........... 3,345,312 2,709,703 635,609  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 448,858 363,575 85,283  
23 Insurance .............. 4,538 3,676 862  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PURCHASED AND CONTRACTED SVCS 2,399,074 1,907,035 447,329 44,710
b OTHER TAXES & LICENSES 236,558 191,612 44,946  
c OTHER EXPENSES 709,091 567,548 133,128 8,415
d ORGANIZATION DUES 1,007,530 816,099 191,431  
e BAD DEBT PROVISION 75,000 60,750 14,250  
f All other expenses -110,591 -89,579 -21,012  
25 Total functional expenses. Add lines 1 through 24f 85,128,713 69,023,525 15,509,891 595,297
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1 0
2 Savings and temporary cash investments ....... 321,647,852 2 476,687,965
3 Pledges and grants receivable, net .........   3 924,298
4 Accounts receivable, net ......... 411,700 4 0
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5 0
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6 0
7 Notes and loans receivable, net .............   7 0
8 Inventories for sale or use ..............   8 0
9 Prepaid expenses and deferred charges ............ 5,069,965 9 4,951,743
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 20,106,767
b Less: accumulated depreciation. ..... 10b 14,216,728 4,017,500 10c 5,890,039
11 Investments—publicly traded securities .......... 878,858,820 11 1,068,063,283
12 Investments—other securities. See Part IV, line 11 ...... 71,233,310 12 116,837,387
13 Investments—program-related. See Part IV, line 11 ..   13 0
14 Intangible assets .........   14 0
15 Other assets. See Part IV, line 11 ........... 242,863,241 15 69,088,321
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,524,102,388 16 1,742,443,036
Liabilities 17 Accounts payable and accrued expenses . 126,470,840 17 120,111,785
18 Grants payable .......... 170,000 18 90,000
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 545,440,000 20 769,214,033
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 379,608,447 25 346,547,471
26 Total liabilities. Add lines 17 through 25..... 1,051,689,287 26 1,235,963,289
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 470,905,559 27 505,103,016
28 Temporarily restricted net assets ..... 1,507,542 28 1,376,731
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 472,413,101 33 506,479,747
34 Total liabilities and net assets/fund balances ..... 1,524,102,388 34 1,742,443,036
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
82,086,922
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
85,128,713
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
-3,041,791
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
472,413,101
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
37,108,437
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
506,479,747
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
No
Form 990 (2010)
Additional Data


Software ID: 10000105
Software Version: 2010v3.2
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number

52-1271901
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... 27,910,653 27,010,949 34,121,648 35,320,786 13,489,023 137,853,059
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......           0
3 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
4 Total. Add lines 1 through 3.. 27,910,653 27,010,949 34,121,648 35,320,786 13,489,023 137,853,059
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..           34,316,671
6 Public Support. Subtract line 5 from line 4.           103,536,388
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4.. 27,910,653 27,010,949 34,121,648 35,320,786 13,489,023 137,853,059
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 17,785,581 23,007,467 60,262,969 29,713,824 36,386,851 167,156,692
9 Net income from unrelated business activities, whether or not the business is regularly carried on.. 1,050,717 1,148,721 1,379,382 391,523 29,377 3,999,720
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..           0
11 Total support (Add lines 7 through 10).           309,009,471
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
33.510 %
15
15
13.820 %
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID: 10000105
Software Version: 2010v3.2
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
SENTARA HEALTHCARE
 
Employer identification number

52-1271901
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
SENTARA HEALTHCARE
  		Employer identification number

52-1271901
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
SENTARA HEALTHCARE
  		Employer identification number

52-1271901
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
SENTARA HEALTHCARE
  		Employer identification number

52-1271901
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID: 10000105
Software Version: 2010v3.2
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number

52-1271901
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
 
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
81,964
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
Yes
 
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
185,349
j
Total. lines 1c through 1i ...................................
267,313
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Part II-B, Line 1i Part II-B, Line 1i - Other Activities Description 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.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID: 10000105
Software Version: 2010v3.2

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number

52-1271901
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 77,901,428 70,232,826 70,961,613
b Contributions ........ 324,828 1,592,765 4,830,492
c Investment earnings or losses ... -3,720,513 6,496,683 -5,043,974
d Grants or scholarships ..... 157,906 202,741 200,000
e Other expenditures for facilities
and programs ........ 		436,283 218,105 315,305
f Administrative expenses ....      
g End of year balance ...... 73,911,554 77,901,428 70,232,826
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet98.140 %
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet1.860 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
No
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   2,493,820 2,493,820
b Buildings ................   3,852,108 3,483,798 368,310
c Leasehold improvements ............   162,873 146,885 15,988
d Equipment ................   11,051,404 10,249,013 802,391
e Other .................   2,546,562 337,032 2,209,530
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 5,890,039
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet 116,837,387
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 200,000
OTHER LT LIABILITIES 162,504,474
OTHER CURRENT LIABILITIES 43,331,110
DUE TO AFFILIATES 140,511,887






Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 346,547,471
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances CAPITAL DISTRIBUTION FROM SUB $18000000 RECLASS OF INTERCOMPANY BALANCES TO EQUITY $ -29529961 RESTRICTED ASSET TRANSFER TO RELATED ENTITY $ -21878 PARTNERSHIP INCOME TAX BOOK $ -945 SUBPART F LOSS NOT ON BOOKS $ -751969 DEEMED DISTRIBUTION FROM CFC NOT ON BOOKS $ -1923418 PENSION LIABILITY TRANSFERRED FROM SUB $ -20924029 MISCELLANEOUS ADJUSTMENT $ -2346 CAPITAL CONTRIBUTION TO SUB $ -10000000 UNFUNDED PENSION LIABILITY $ -1172449
Part V, Line 4 Part V, Line 4: Intended uses of the 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. In 2010, the Foundation awarded $629,486 in grants to 501(c)(3) organizations within the community. The temporarily restricted endowment funds are used predominantly for Education & Research, 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.
Schedule D (Form 990) 2010

Additional Data


Software ID: 10000105
Software Version: 2010v3.2




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number

52-1271901
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
EUROPE 0 0 INVESTMENTS   488,245
CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS   72,954,435
CENTRAL AMERICA AND THE CARIBBEAN 0 0 UNRELATED TRADE OR BUSINESS   0
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .....     73,442,680
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b)     73,442,680
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
Additional Supplemental Information   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 sole activity is the reinsurance, on a facultative basis, of the claims-made professional and managed care liability insurance policies, and the occurrence-based general liability policy issued by Lexington Insurance Company to the organization and its related entities. 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 considered an unrelated trade or business and is reported as such on Form 990 Part VIII line 11.
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID: 10000105
Software Version: 2010v3.2



SCHEDULE G
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19,
or if the organization entered more than $15,000 on Form 990-EZ, line 6a.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number

52-1271901
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If “Yes,” list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization. Form 990-EZ filers are not required to complete this table.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
 
CORPORATE DEVEL 		CPTL CMPGN FUND   No 853,963 66,225 787,738
Total .................right arrow 853,963 66,225 787,738
3
List all states in which the organization is registered or licensed to solicit funds or has been notified it is exempt from registration or licensing.
VA
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 on Form 990-EZ, line 6a. List events with gross receipts greater than $5,000.
(a) Event #1

NERD GOLF TOURNAMENT
(event type) 		(b) Event #2

 
(event type) 		(c) Other Events

  
(total number) 		(d) Total Events
(Add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 16,598     16,598
2 Less: Charitable
contributions . . . 		       
3 Gross income (line 1
minus line 2) . . . 		16,598     16,598
VerticalDirectExpenses 4 Cash prizes . . .        
5 Non-cash prizes . . 134     134
6 Rent/facility costs . . 2,819     2,819
7 Food and beverages . .        
8 Entertainment . . .        
9 Other direct expenses . 767     767
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 3,720
11 Net income summary. Combine lines 3 and 10 in column (d)............ right arrow 12,878
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (Add col. (a) through col. (c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
 
 
 
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Combine lines 1 and 7 in column (d) .......... right arrow  
9
Enter the state(s) in which the organization operates gaming activities:
a
Is the organization licensed to operate gaming activities in each of these states? ............
b
If "No," Explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," Explain:
 
11
Does the organization operate gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ...........................
Schedule G (Form 990 or 990-EZ) 2010
Schedule G (Form 990 or 990-EZ) 2010
Page 3
13
Indicate the percentage of gaming activity operated in:
a
The organization's facility ......................
13a
 
b
An outside facility ........................
13b
 
14
Provide the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Complete this part to provide additional information for responses to quuestion on Schedule G (see instructions.)
Identifier ReturnReference Explanation
Part I, Line 2b - Fundraiser Additional Information   As the parent organization, Sentara Healthcare performs fundraising activities for all of its 501(C)(3) subsidiaries. Contributions raised are reported on the applicable Form 990, depending on donor specifications.
Schedule G (Form 990 or 990-EZ) 2010
Additional Data


Software ID: 10000105
Software Version: 2010v3.2
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number
52-1271901
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) WESTERN TIDEWATER FREE CLINIC2019 MEADE PKWY
SUFFOLK,VA23434 		26-3302837 501(C)(3) 32,000 0     PROVIDE DENTAL PRG ACCESS
(2) W&M ATHLETIC EDU FOUNDPO Box 399
WILLIAMSBURG,VA23187 		54-6056480 501(C)(3) 15,500 0     SPONSORSHIP
(3) VA SUPPORTIVE HOUSINGP O Box 8585
RICHMOND,VA23226 		54-1444564 501(C)(3) 10,000 0     HLTH & MNTL HLTH SCREENINGS
(4) VA HEALTH CARE FOUNDAT707 E MAIN ST STE 1350
RICHMOND,VA23219 		54-1639924 501(C)(3) 50,000 0     SPONSORSHIP
(5) VA BEACH EVENTS UNLIMITED265 KINGS GRANT RD STE 102
VIRGINIA BEACH,VA23452 		52-1372330 501(C)(3) 26,750 0     NEPTUNE FESTIVAL
(6) UNITED WAY OF THE VA PENINSULA739 Thimble Shoals Blvd Suite 400
NEWPORT NEWS,VA23606 		54-0535602 501(C)(3) 8,000 0     SPONSORSHIP
(7) UNITED WAY OF SOUTH HAMPTON ROADS2515 WALMER ROAD PO BOX 41069
NORFOLK,VA23513 		54-0506322 501(C)(3) 13,500 0     SPONSORSHIP
(8) UNITED WAY GREATER WILLIAMSBURG312 Waller Mill Road Suite 100
WILLIAMSBURG,VA23185 		54-0844073 501(C)(3) 6,500 0     SPONSORSHIP
(9) UNION MISSION MINISTRIESP O Box 3203
NORFOLK,VA23514 		54-0506427 501(C)(3) 35,000 0     HEALTHCARE FOR HOMELESS
(10) ST MARYS HOME6171 KEMPSVILLE CR
NORFOLK,VA23502 		54-0505952 501(C)(3) 100,700 0     CARE FOR DISABLED CHILDREN
(11) SETON YOUTH SHELTERS3333 Virginia Beach Blvd STE 28
VIRGINIA BEACH,VA23452 		54-1250483 501(C)(3) 15,000 0     HIGH-RISK TEEN MNTL HLTHCR
(12) SENIOR SRVCS OF SE VA6350 CENTER DR BLDG 5 STE 101
NORFOLK,VA23502 		54-6069786 501(C)(3) 10,000 0     TRANSPORT SVC FOR SENIORS
(13) SALVATION ARMYPO BOX 388
NORFOLK,VA23501 		13-2923701 501(C)(3) 100,000 0     EDUCATIONAL & RECR. PRGRMS
(14) RESOURCE MOTHERS2410 WICKHAM AVE
NEWPORT NEWS,VA23607 		23-7014485 501(C)(3) 36,861 0     TEEN PREGNANCY SUPPORT
(15) PORTSMOUTH COMMUNITY HEALTH CENTER INC664 Lincoln St
PORTSMOUTH,VA23704 		54-1626757 501(C)(3) 60,000 0     HLTHCR ACCESS FOR INDIGENTS
(16) PENINSULA INST FR COMMUNITY HLTH4714 MARSHALL AVE
NEWPORT NEWS,VA23607 		54-1083954 501(C)(3) 35,000 0     PEDIATRIC HLTHCR FOR INDIGENTS
(17) OLDE TOWN MEDICAL CTR5249 OLDE TOWNE RD STE D
WILLIAMSBURG,VA23188 		54-1663905 501(C)(3) 15,000 0     PEDIATRIC DENTAL SVCS
(18) NORFOLK COMMUNITY SERVICES BOARD225 W OLNEY RD
NORFOLK,VA23510 		54-1093798 501(C)(3) 23,000 0     MENTAL HLTH SVCS FOR HMLSS
(19) MEDICAL SOC OF VA FOUN2924 EMERYWOOD PKWY STE 300
RICHMOND,VA23294 		52-1394768 501(C)(3) 10,000 0     SPONSORSHIP
(20) MARY BUCKLEY FOUNDATION3808C Virginia Beach Blvd
VIRGINIA BEACH,VA23452 		20-3609232 501(C)(3) 10,000 0     TRAUMATIC BRAIN INJ PRGRM
(21) LACKEY FREE CLINIC1620 OLD WILLIAMSBURG RD
YORKTOWN,VA23690 		54-1850915 501(C)(3) 15,000 0     HEALTHCARE FOR INDIGENTS
(22) H E L P INCP O Box 190
HAMPTON,VA23669 		54-1209213 501(C)(3) 10,000 0     DENTAL CARE FOR INDIGENTS
(23) GLOUCESTER-MATHEWS FREE CLINIC2276 GEORGE WASHINGTON MEM HWY
HAYES,VA23072 		54-1875619 501(C)(3) 12,000 0     HEALTHCARE FOR INDIGENTS
(24) FORKIDS INCP O Box 6044
NORFOLK,VA23508 		54-1477799 501(C)(3) 27,500 0     HEALTHCARE FOR HMLSS SHLTR
(25) CHESP HEALTH INVESTMENT PROGRAM1302 Jefferson St
CHESAPEAKE,VA23324 		54-1893166 501(C)(3) 25,000 0     CASEMGT TO PRENATAL HISPANICS
(26) CHESAPEAKE CARE INC2145 S Military Hwy
CHESAPEAKE,VA23320 		54-1642754 501(C)(3) 25,000 0     HEALTHCARE FOR UNINSURED
(27) BEACH HEALTH CLINIC3396 Holland Rd Ste 102
VIRGINIA BEACH,VA23452 		54-1366960 501(C)(3) 20,000 0     PHARMACY SVS FOR INDIGENT
(28) AMERICAN RED CROSS606 W 29th St
NORFOLK,VA23510 		54-0505864 501(C)(3) 19,000 0     ADULT DENTAL CLINIC & AUCTION
(29) AMERICAN HEART ASSOCIATION500 E PLUME ST STE 110
NORFOLK,VA23510 		13-5613797 501(C)(3) 10,000 0     HEART WALKS
(30) AMERICAN DIABETES ASSOC - SE DIV870 GREENBRIER CIR STE 404
CHESAPEAKE,VA23320 		13-1623888 501(C)(3) 7,500 0     DIABETES EDUCATION
(31) AMERICAN CANCER SOCIETY4416 EXPRESSWAY DR
VIRGINIA BEACH,VA23452 		58-0659875 501(C)(3) 30,000 0     MEN'S HEALTH & RELAYS FOR LIFE
(32) ALZHEIMERS ASSOCIATION6350 CENTER DR STE 102
NORFOLK,VA23502 		54-1204329 501(C)(3) 13,500 0     ALZHEIMER'S EDUCATION & HEALTHCARE
(33) ACCESS PARTNERSHIPP O Box 41093
NORFOLK,VA23541 		20-1830252 501(C)(3) 60,000 0     HEALTHCARE ACCESS TO UNDERINSURED
(34) ACCESS AIDS CARE222 W 21ST ST STE F-308
NORFOLK,VA23517 		54-1545157 501(C)(3) 12,500 0     TRANSPORTATION ASSISTANCE
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
34
3
Enter total number of other organizations ................................ . Bullet Image
0
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) UTILITIES 141 44,620      
(2) RENT 105 89,078      
(3) MORTGAGE PAYMENTS 26 21,658      
(4) FOOD 23 2,550      







Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Grantmaker's Description of How Grants are Used   The Sentara Health Foundation, 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, genders, age ranges, 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 HEALTH FOUNDATION 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 an Employee Assistance Program consent form and a 3-page application form. Applicants submit these forms along with their latest pay stub, 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 ANTICIPATED EXTRAORDINARY EXPENSES RELATED TO A CATASTROPHIC EVENT. BILLS THAT ARE NOT NECESSARY FOR THE PRESERVATION OF DAILY LIVING, INCLUDING NON-ESSENTIAL UTILITIES (I.E., WIRELESS PHONES, 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 MAY NOT EXCEED $1,000. DURING 2010, 295 INDIVIDUAL EMPLOYEES WERE ASSISTED BY THE HOPE FUND.
Schedule I (Form 990) 2010


Additional Data


Software ID: 10000105
Software Version: 2010v3.2


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number

52-1271901
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) VIKKI LORENZ (i)
(ii)		 233,764
  		115,650
  		4,967
  		79,541
  		2,891
  		436,813
  		28,143
 
(2) VICKY GRAY (i)
(ii)		  
282,359 		 
200,515 		 
156,856 		 
86,168 		 
18,997 		 
744,895 		 
168,067
(3) ROBERT GRAVES (i)
(ii)		  
366,637 		 
177,105 		 
101,928 		 
108,866 		 
13,522 		 
768,058 		734
18,346
(4) ROBERT BROERMANN (i)
(ii)		  
337,838 		 
318,608 		 
191,018 		 
133,934 		 
20,392 		 
1,001,790 		 
190,525
(5) MICHAEL V TAYLOR (i)
(ii)		  
341,306 		 
356,782 		 
75,054 		 
150,156 		 
23,471 		 
946,769 		 
136,406
(6) MICHAEL GENTRY (i)
(ii)		 395,785
  		358,604
  		67,137
  		615,696
  		23,885
  		1,461,107
  		193,022
 
(7) MICHAEL DUDLEY (i)
(ii)		 540,744
  		501,389
  		20,982
  		213,639
  		28,048
  		1,304,802
  		215,688
 
(8) MEGAN R PERRY (i)
(ii)		 281,573
  		124,761
  		39,442
  		120,826
  		18,717
  		585,319
  		36,513
 
(9) MARY BLUNT (i)
(ii)		 994,709
  		1,306,738
  		1,142,891
  		643,792
  		25,352
  		4,113,482
  		634,843
 
(10) MARK SZALWINSKI (i)
(ii)		 425,528
  		395,520
  		108,229
  		110,469
  		21,784
  		1,061,530
  		185,786
 
(11) LESTER ELJAIEK (i)
(ii)		 196,087
  		152,483
  		12,862
  		16,519
  		16,925
  		394,876
  		 
 
(12) KENNETH M KRAKAUR (i)
(ii)		  
  		 
  		 
  		 
  		 
  		 
  		 
 
(13) JEFFREY P KING (i)
(ii)		 211,041
  		183,553
  		55,995
  		69,322
  		22,686
  		542,597
  		67,947
 
(14) HOWARD P KERN (i)
(ii)		  
  		 
  		 
  		 
  		 
  		 
  		 
 
(15) GRACE R HINES (i)
(ii)		 218,466
  		95,391
  		23,255
  		142,668
  		15,603
  		495,383
  		34,654
 
(16) GENEMARIE MCGEE (i)
(ii)		  
160,797 		 
64,540 		 
265 		 
86,947 		 
17,005 		 
329,554 		 
 
(17) GARY YATES (i)
(ii)		 332,186
  		331,076
  		17,367
  		126,169
  		20,938
  		827,736
  		132,421
 
(18) GAIL HEAGEN (i)
(ii)		  
  		 
  		170,070
  		81,613
  		 
  		251,683
  		 
 
(19) DOUGLAS THOMPSON (i)
(ii)		  
300,216 		 
179,485 		 
19,043 		 
157,992 		 
26,268 		 
683,004 		2,136
53,400
(20) DOUGLAS JOHNSON MD (i)
(ii)		  
  		 
  		1,002,067
  		17,426
  		 
  		1,019,493
  		1,002,067
 
(21) DONALD V JELLIG (i)
(ii)		  
  		 
  		 
1,679,083 		 
  		 
  		 
1,679,083 		 
1,014,311
(22) DAVID MAIZEL (i)
(ii)		  
351,745 		 
150,147 		 
77,288 		 
150,341 		 
23,756 		 
753,277 		 
 
(23) DAVID L BERND (i)
(ii)		  
  		 
  		 
  		 
  		 
  		 
  		 
 
(24) BRUCE S ROBERTSON (i)
(ii)		 194,969
  		96,181
  		12,043
  		114,894
  		7,857
  		425,944
  		29,051
 
(25) BERTRAM S REESE (i)
(ii)		 674,814
  		729,038
  		27,266
  		714,210
  		19,763
  		2,165,091
  		322,495
 
(26) ANDREW WEDDLE (i)
(ii)		 179,979
  		90,353
  		7,343
  		49,482
  		15,008
  		342,165
  		 
 
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Sch J, Part III, Additional Information Part III, Additional Information (Part I, line 4 continued)The organization owns a Supplemental Survivor Split-Dollar Life Insurance Policy for Douglas Johnson. The organization also owns Spousal Survivor Split-Dollar Life Insurance Policies for Mary Blunt, Michael Dudley (through April 30, 2010), Kenneth Krakaur, and Douglas Thompson. The Split Dollar Plans provide for transfer of the policies to the participant upon certain events. At transfer (or the participant's death), the organization recovers the premiums that it has paid. Effective May 1, 2010, ownership of Michael Dudley's policy rolled over to him. The policy value remaining after reduction for corporate recovery of premiums and after tax ART amounts was $4,749. This amount was treated as additional taxable compensation and has been reported in Column(B)(iii) of Schedule J Part II. Douglas Johnson also owns Whole Life and Split Dollar Insurance Policies which are collaterally assigned to the organization and are subject to the terms of the organization's Supplemental Survivor Split-Dollar Life Insurance Policies.
Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above During 2010, 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.Long term incentive program - Executives and senior leaders are eligible for long-term incentive awards based on achieving system mission and strategic imperatives and values in the areas of financial performance, patient safety, clinical quality, and other key metrics over 3-year periods. Award opportunities vary by level. Prior to 2009, a new cycle began every other year. Awards were made in two installments with the first payment occurring within 90 days of the end of the performance period and the second payment, equal to the first payment plus interest, paid one year later. In 2010, the second payment associated with the 2006-2008 cycle was paid. Effective in 2009, the plan design was changed so that a new 3-year cycle begins each year. For Form 990 purposes, estimated annual earnings under each active cycle are reported as deferred compensation in the year earned; and actual earnings for each 3-year cycle are reported as incentive compensation in the year paid.
Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. The indicated benefits are provided to certain senior executives of the organization as part of overall compensation packages and are considered in evaluating the reasonableness of compensation (see Form 990, Part VI, line 15, for a description of the process used to determine executive compensation).Charter travel was provided to certain Board members and officers of the organization in connection with business purposes only and was not included in taxable income. Companion travel and financial planning (i.e., personal services) expenses paid by or on behalf of the organization's senior executives are treated as additional compensation and reported on Form W-2 as taxable wages. Social club dues paid on behalf of the organization's senior executives are allocated between business and personal use, the personal use of which is treated as additional compensation and reported on Form W-2 as taxable wages. In limited circumstances, housing allowances are provided for temporary housing in connection with recruitment or retention of executives or key employees and are treated as additional taxable compensation and reported on Form W-2 as taxable wages. The organization also provides gross-up payments to senior executives on taxable dental and medical premiums paid, thereby creating additional compensation which is reported on Form W-2 as taxable wages.
Schedule J (Form 990) 2010

Additional Data


Software ID: 10000105
Software Version: 2010v3.2
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number
52-1271901
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A VA SMALL BUS FIN AUTH
  		54-1300845 928105AV7 01-28-2010 296,243,684 FINANCING OF ACUTE CARE FAC.   X   X   X
B EDA THE CITY OF NORFOLK
  		23-7253445   07-16-2003 53,100,000 FINANCING FOR FIXED ASSETS   X   X   X
C EDA THE CITY OF NORFOLK
  		23-7253445 65588TAL3 03-03-2010 132,480,000 REFUNDED BONDS ISSUED 5/04   X   X   X
D EDA THE CITY OF NORFOLK
  		23-7253445 65588TAH2 03-18-2009 68,890,000 REFUNDED BONDS ISSUED 5/04   X   X   X
EDA THE CITY OF SUFFOLK
  		54-1131047 86481QAA7 06-25-2008 156,615,000 REFUNDED BONDS ISSUED 10/06   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 8,635,000      
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 296,243,684 132,480,000 68,890,000 156,615,000
4 Gross proceeds in reserve funds . . 230,000,000      
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . . 63,496,188 132,480,000 68,890,000 156,615,000
7 Issuance costs from proceeds . . . 2,747,496   434,772  
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 230,000,000      
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2010 2010 2009 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X     X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . .        
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X X   X     X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X X   X   X  
b Name of provider . NA
  		CITIGROUPGOLDMAN
  		CITIGROUP
  		 
 
c Term of hedge . . 29.8000 29.8000 29.8000 10.0000
d Was the hedge superintegrated? . X   X   X     X
e Was a hedge terminated? .   X   X   X   X
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider . NA
  		NA
  		NA
  		NA
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
    Bond B (EDA of the City of Norfolk): The original 2009 refunding issue consisted of 3 Series (A, B, and C) for a total issue price of $201,370,000. In 2010, Series B and C were refunded leaving Series A with an issue price of $68,890,000. Due to this refunding, the 8038 for Series 2009A does not agree to Schedule.Bond A (VA Small Business Financing Authority): Part II, Line 13 - Three projects were included in this issuance, by which two were competed in 2010. The third and final project is due for completion in 2011.
Schedule K (Form 990) 2010

Additional Data


Software ID: 10000105
Software Version: 2010v3.2

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number
52-1271901
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A VA SMALL BUS FIN AUTH
  		54-1300845 928105AV7 01-28-2010 296,243,684 FINANCING OF ACUTE CARE FAC.   X   X   X
B EDA THE CITY OF NORFOLK
  		23-7253445   07-16-2003 53,100,000 FINANCING FOR FIXED ASSETS   X   X   X
C EDA THE CITY OF NORFOLK
  		23-7253445 65588TAL3 03-03-2010 132,480,000 REFUNDED BONDS ISSUED 5/04   X   X   X
D EDA THE CITY OF NORFOLK
  		23-7253445 65588TAH2 03-18-2009 68,890,000 REFUNDED BONDS ISSUED 5/04   X   X   X
EDA THE CITY OF SUFFOLK
  		54-1131047 86481QAA7 06-25-2008 156,615,000 REFUNDED BONDS ISSUED 10/06   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 8,635,000      
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 296,243,684 132,480,000 68,890,000 156,615,000
4 Gross proceeds in reserve funds . . 230,000,000      
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . . 63,496,188 132,480,000 68,890,000 156,615,000
7 Issuance costs from proceeds . . . 2,747,496   434,772  
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 230,000,000      
11 Other spent proceeds . .        
12 Other unspent proceeds. . .        
13 Year of substantial completion . . . 2010 2010 2009 2008
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? X   X     X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . .   X X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet        
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet        
6 Total of lines 4 and 5 . . .. . . . . .        
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X X   X     X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X X   X   X  
b Name of provider . NA
  		CITIGROUPGOLDMAN
  		CITIGROUP
  		 
 
c Term of hedge . . 29.8000 29.8000 29.8000 10.0000
d Was the hedge superintegrated? . X   X   X     X
e Was a hedge terminated? .   X   X   X   X
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider . NA
  		NA
  		NA
  		NA
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . .   X   X   X   X
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
    Bond B (EDA of the City of Norfolk): The original 2009 refunding issue consisted of 3 Series (A, B, and C) for a total issue price of $201,370,000. In 2010, Series B and C were refunded leaving Series A with an issue price of $68,890,000. Due to this refunding, the 8038 for Series 2009A does not agree to Schedule.Bond A (VA Small Business Financing Authority): Part II, Line 13 - Three projects were included in this issuance, by which two were competed in 2010. The third and final project is due for completion in 2011.
Schedule K (Form 990) 2010

Additional Data


Software ID: 10000105
Software Version: 2010v3.2

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number

52-1271901
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) COX COMMUNICATIONS SEE BELOW 165,546 COMMUNICATION SERVICES   No
(2) KAREN L WEDDLE SEE BELOW 132,445 EMPLOYMENT   No
(3) OPACCI I LLC SEE BELOW 183,036 RENT EXPENSE   No
(4) WILLCOX & SAVAGE
  		SEE BELOW 288,263 LEGAL SERVICES   No
(5) USI INSURANCE SERVICES
  		SEE BELOW 1,140,592 INSURANCE SERVICES   No
(6) ALLISON K KRAKAUR SEE BELOW 74,160 EMPLOYMENT   No
(7) DIANA ROSS SEE BELOW 73,793 EMPLOYMENT   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
    PART IV, TRANSACTIONS WITH INTERESTED PERSONSBoard/officer overlap with related taxable entitiesAllison Krakaur is a family member of Officer Kenneth Krakaur.Diana Ross is a family member of Trustee Thomas Ross.Karen Weddle is a family member of Highest Compensated Employee Andrew Weddle.Trustee Gary McCollum is the SVP & General Manager of Cox Communications.Trustee F. Dudley Fulton is an executive of USI Insurance Services.Director and trustee Allan G. Donn and trustee Toy D. Savage Jr are partial owners of Willcox & Savage.OFFICER KENNETH KRAKAUR IS A BOARD MEMBER OF OPACC I, LLC, A JOINT VENTURE OF SENTARA VENTURES, INC., A TAXABLE SUBSIDIARY OF SENTARA HOLDINGS, INC., WHICH IS A TAXABLE SUBSIDIARY OF THE ORGANIZATION.The organization pays various expenses on behalf of affiliated joint ventures, for which it is later reimbursed. For Schedule L purposes, expense reimbursements were not considered "business transactions" and accordingly, have not been reported.Directors/trustees/officers/key employees of the organization may also serve as directors/trustees/officers of related taxable entities within the Sentara Healthcare System. See Schedule R for a listing of transactions the organization had with these related taxable entities.
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID: 10000105
Software Version: 2010v3.2




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number

52-1271901
Identifier Return Reference Explanation
  PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)VI. COMMITMENT TO THE COMMUNITYSENTARA'S BEDROCK INSTITUTION WAS FOUNDED IN 1888 IN NORFOLK AS A 25-BED RETREAT FOR THE SICK. TODAY'S ORGANIZATION IS TRULY AN INTEGRATED HEALTHCARE SYSTEM THAT PROVIDES PATIENTS WITH A COHESIVE AND INTERLOCKING NETWORK OF CAREGIVING THAT SPANS FROM BIRTH THROUGH THE END OF LIFE. AS A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION, SENTARA CONTINUOUSLY REINVESTS IN THE COMMUNITY--WITH THE PURCHASE OF THE MOST MEDICALLY ADVANCED TECHNOLOGY; IN NEW, STATE-OF-THE-ART HEALTHCARE FACILITIES; WITH TRAINING MEDICAL PROFESSIONALS AND WITH PROVIDING THE HIGHEST QUALITY HEALTHCARE TO ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IT'S NOT JUST OUR MISSION, IT'S OUR COMMITMENT TO THE COMMUNITY. A. THE SENTARA HEALTH FOUNDATIONTHE SENTARA HEALTH FOUNDATION WAS ESTABLISHED IN 1998 TO IMPROVE HEALTH AND QUALITY OF LIFE THROUGHOUT SOUTHEASTERN VIRGINIA AND NORTH CAROLINA, AND TO FURTHER DEMONSTRATE THE SENTARA NOT-FOR-PROFIT MISSION. THE FOUNDATION HAS TOUCHED THE LIVES OF MANY VIRGINIA RESIDENTS FROM THE EASTERN SHORE TO GREATER HAMPTON ROADS THROUGH GRANTS SUPPORTING COMMUNITY PROGRAMS. SPECIFICALLY, IT HAS AWARDED OVER $8 MILLION IN GRANTS ($629,500 in 2010). PROGRAMS INCLUDE MOBILE DENTAL CARE, PRENATAL SUPPORT, MEDICATION ASSISTANCE AND REDUCED-COST PRIMARY CARE. THE FOUNDATION ALSO SPONSORS COMMUNITY EVENTS, SUCH AS THE SUSAN G. KOMEN TIDEWATER RACE FOR THE CURE, THE AMERICAN HEART ASSOCIATION HEART GALA AND HEART WALK AND THE AMERICAN CANCER SOCIETY RELAY FOR LIFE. THE FOUNDATION'S CHARGE IS TO IDENTIFY COMMUNITY HEALTH-RELATED NEEDS AND ENABLE SOLUTIONS, WITH A PRIMARY FOCUS ON ACCESS TO BASIC HEALTH CARE SERVICES, IMPROVED PREGNANCY OUTCOMES, COALITION BUILDING AND SERVICES FOR FRAIL AND AT-RISK ELDERLY. B. IN SUPPORT OF THE COMMUNITYLED BY A VOLUNTEER COMMUNITY BOARD OF DIRECTORS, SENTARA PROUDLY PROVIDES CARE TO ALL, AND REINVESTS IN THE COMMUNITY IN NUMEROUS WAYS. 1. CONTRIBUTIONSEACH YEAR, SENTARA PROVIDES MILLIONS OF DOLLARS IN BENEFITS TO THE COMMUNITY. IN 2010, SENTARA REINVESTED APPROXIMATELY $179.4 MILLION INTO THE COMMUNITIES IT SERVES. THAT EQUALS MORE THAN $490,000 FOR EACH DAY IN 2010. THE MAJORITY OF THAT--$162.5 MILLION--WENT TOWARD UNCOMPENSATED PATIENT CARE SERVICES, SERVING 178,000 UNINSURED AND UNDERINSURED PATIENTS IN 2010. THAT BREAKS DOWN TO PROVIDING APPROXIMATELY 488 PEOPLE EACH DAY WITH FREE SERVICES. SENTARA INVESTED ANOTHER $14.7 MILLION IN HEALTH CARE TEACHING PROGRAMS TO ENSURE A QUALIFIED POOL OF PHYSICIANS AND NURSES. OVER $2.2 MILLION WENT TOWARD LOCAL COMMUNITY PROGRAMS, WHICH EXTENDED HEALTH EVENTS AND HEALTH SCREENINGS TO MORE THAN 39,000 INDIVIDUALS IN 2010. IN ADDITION, SENTARA EMPLOYEES PROVIDE ANNUAL CONTRIBUTIONS TO THE UNITED WAY, AND NUMEROUS EMPLOYEES VOLUNTEER FOR "WORK CREWS" AT UNITED WAY AGENCIES FOR THE ANNUAL DAY OF CARING. SENTARA IS COMMITTED TO PROVIDING QUALITY HEALTH CARE TO ALL, REGARDLESS OF ABILITY TO PAY. UNDER SENTARA'S CHARITY CARE POLICIES, PATIENTS MEETING CERTAIN FINANCIAL CRITERIA RECEIVE CARE WITHOUT CHARGE OR WITH A SIGNIFICANT DISCOUNT. PATIENTS WITH FAMILY INCOMES AT LESS THAN 200% OF THE FEDERAL POVERTY LEVEL RECEIVE CARE WITHOUT CHARGE. PATIENTS WITH FAMILY INCOMES GREATER THAN 200% OF THE FEDERAL POVERTY LEVEL RECEIVE SIGNIFICANT SLIDING DISCOUNTS. IN 2010, SENTARA COVERED BILLS FOR OVER 178,000 PATIENTS WHO COULD NOT PAY THEIR MOUNTING MEDICAL EXPENSES.2. MEDICALLY UNDERSERVEDSENTARA MEDICAL GROUP'S PHYSICIANS AND MEDICAL STAFF VOLUNTEER THOUSANDS OF HOURS TO EASTERN VIRGINIA MEDICAL SCHOOL, AREA FREE CLINICS, COMMUNITY EDUCATION AND CIVIC AND CHARITABLE PROGRAMS. SENTARA'S PRIORITY IS TO OPEN DOORS OF ACCESS TO BASIC HEALTH CARE THAT MANY AMERICANS TAKE FOR GRANTED.
  PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)SERVING A POPULATION OF MORE THAN 200,000, THE HOSPITAL ADMITS MORE THAN 15,500 INPATIENTS ANNUALLY AND DELIVERS CLOSE TO 1,750 BABIES EACH YEAR. IN ADDITION, RMH AVERAGES MORE THAN 18,000 SURGICAL PROCEDURES ANNUALLY, WHILE THE RMH HAHN CENTER PROVIDES MORE THAN 16,000 CANCER TREATMENTS PER YEAR AND THE RMH EMERGENCY DEPARTMENT TREATS MORE THAN 70,000 PATIENTS PER YEAR. SIGNATURE SERVICES INCLUDE A COMPREHENSIVE HEART AND VASCULAR CENTER, FAMILY BIRTHPLACE, CENTER FOR SLEEP MEDICINE, IMAGING SERVICES, BEHAVIORAL HEALTH SERVICES, WOMEN'S CENTER, AND WELLNESS CENTER. THE RMH MEDICAL GROUP EMPLOYS 77 PHYSICIANS IN 13 SPECIALTIES. THE RMH MEDICAL STAFF HAS 289 PHYSICIANS IN 40 SPECIALTIES. THE AFFILIATION WAS FINALIZED IN MAY OF 2011. 2. MARTHA JEFFERSON HOSPITALIN SEPTEMBER 2010, MARTHA JEFFERSON HOSPITAL (MJH) SIGNED A LETTER OF INTENT TO AFFILIATE WITH SENTARA HEALTHCARE. MJH IS A 176-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN CHARLOTTESVILLE, VA, THAT SHARES THE SAME MISSION AS SENTARA TO STRIVE TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. TOGETHER THEY WILL CONTINUE PROVIDING PERSONALIZED HEALTH CARE TO THE RESIDENTS OF CHARLOTTESVILLE AND CENTRAL VIRGINIA. THE HOSPITAL ADMITS MORE THAN 11,000 INPATIENTS AND TREATS MORE THAN 214,000 OUTPATIENTS ANNUALLY, AND DELIVERS CLOSE TO 1,800 BABIES EACH YEAR. IN ADDITION, MJH PERFORMS MORE THAN 2,700 INPATIENT AND MORE THAN 3,600 OUTPATIENT SURGICAL PROCEDURES ANNUALLY, WHILE THE EMERGENCY DEPARTMENT TREATS MORE THAN 48,700 PATIENTS PER YEAR. MAJOR SERVICES INCLUDE A CANCER CARE CENTER, DIGESTIVE CARE CENTER, CARDIOLOGY CARE CENTER, ORTHOPAEDICS INCLUDING SPINE SURGERY & JOINT REPLACEMENT SURGERY, WEIGHT LOSS SURGERY, STROKE CENTER SURGERY, THORACIC SURGERY, VASCULAR MEDICINE & SURGERY, AND A WOMEN'S HEALTH CENTER. MJH EMPLOYS 1,600 STAFF MEMBERS, INCLUDING 470 PHYSICIANS REPRESENTING MORE THAN 40 SPECIALTIES. MJH WILL BE THE TENTH HOSPITAL IN THE SENTARA HEALTHCARE SYSTEM OF NOT-FOR-PROFIT HOSPITALS. THE ATTRIBUTES OF THE COMBINED SYSTEMS WILL BETTER POSITION THE HOSPITAL TO ACHIEVE BEST PRACTICES IN HEALTHCARE DELIVERY THROUGH UTILIZATION OF TECHNOLOGIES AND INTEGRATED INFORMATION SYSTEMS WHILE ADDRESSING HEALTHCARE REFORM AND OTHER PROFOUND CHANGES AFFECTING THE HEALTHCARE ENVIROMENT. THE AFFILIATION WAS FINALIZED JUNE 1, 2011. III. CONSTANTLY LOOKING AHEADKNOWING HOW IMPORTANT IT IS TO KEEP UP WITH THE CHANGING TIMES, SENTARA CONSTANTLY SEEKS WAYS TO EXPAND AND ENHANCE ITS SERVICES. IT'S WHY WE AGGRESSIVELY RECRUIT PHYSICIANS AND STAFF WITH EXCEPTIONAL SKILLS AND STANDARDS. IT MEANS PURSUING RESEARCH AND CLINICAL TRIALS, SO THE LATEST METHODS WILL BE AVAILABLE TO OUR PATIENTS FIRST. SENTARA HAS A COMMITMENT TO GROW AS ONE OF THE NATION'S LEADING HEALTHCARE ORGANIZATIONS BY CREATING INNOVATIVE SYSTEMS OF CARE THAT HELP PEOPLE ACHIEVE AND MAINTAIN THEIR BEST POSSIBLE STATE OF HEALTH. WE FOCUS, PLAN AND ACT ON OUR COMMITMENT TO OUR COMMUNITY MISSION, TO OUR CUSTOMERS AND TO THE HIGHEST QUALITY STANDARDS OF HEALTHCARE TO ACHIEVE OUR VISION FOR THE FUTURE. A. EXPANSION OF SERVICE AREAS MEDICAL TRANSPORT, THE PREMIER COMMERCIAL EMS AGENCY AND AMBULANCE TRANSPORT SERVICE IN SOUTHEASTERN VIRGINIA, WITH ITS HOME OFFICE LOCATED IN VIRGINIA BEACH, VA, EXPANDED TO CHARLOTTESVILLE AND PETERSBURG, VA IN 2008, TO CHRISTIANBURG AND ROANOKE, VA IN 2009 AND TO THE PRINCE WILLIAM AREA IN 2010. MEDICAL TRANSPORT IS DEDICATED TO SERVING ITS PATIENTS WITH OUTSTANDING CUSTOMER SERVICE UTILIZING THE LARGEST FLEET OF AMBULANCES IN THE STATE OF VIRGINIA. SENTARA HOME CARE HAS BEEN BRINGING HIGH QUALITY HEALTHCARE HOME TO OUR PATIENTS SINCE 1982. TODAY, SENTARA HOME CARE SERVES PATIENTS THROUGHOUT MOST OF VIRGINIA AND BEYOND INCLUDING HAMPTON ROADS, RICHMOND, AND SEVERAL NORTHEASTERN NORTH CAROLINA COUNTIES. IN 2008 HOME CARE'S SERVICE AREA GREW TO INCLUDE CHARLOTTESVILLE AND COVINGTON, VA, AND IN 2009 IT EXPANDED EVEN FURTHER INTO BATH COUNTY IN WESTERN VIRGINIA.
  PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)SENTARA SUPPORTS AND OPERATES UNCOMPENSATED CARE CLINICS THROUGHOUT THE REGION SUCH AS THE SENTARA AMBULATORY CARE CENTER (ACC). THE ACC IS A COLLABORATIVE EFFORT WITH EASTERN VIRGINIA MEDICAL SCHOOL AND IS LOCATED NEAR SENTARA NORFOLK GENERAL HOSPITAL. IT FEATURES AN APPOINTED SIDE, WHICH FUNCTIONS JUST LIKE A DOCTOR'S OFFICE AND A SAME-DAY "WALK-IN" SERVICE SIDE FOR MORE PRESSING AND IMMEDIATE HEALTH CONCERNS. THE APPOINTED SIDE OFFERS A HOST OF CLINICS AVAILABLE ON A ROTATING BASIS THROUGHOUT THE WEEK. THE WALK-IN SIDE FUNCTIONS LIKE AN URGENT CARE CENTER. C. IN SUPPORT OF EDUCATIONAS PART OF OUR COMMITMENT TO PROVIDE THE LATEST IN HEALTH INFORMATION, SENTARA OFFERS EXPLOREHEALTH WITH SENTARA, AN EDUCATIONAL PROGRAM THAT EXPLORES MEDICAL BREAKTHROUGHS, INNOVATIVE TREATMENT OPTIONS AND CONTEMPORARY HEALTH ISSUES IN OUR COMMUNITY. D. IN SUPPORT OF COMMUNITY HEALTH INITIATIVES1. SENTARA COMMUNITY HEALTH AND PREVENTIONAS PART OF SENTARA'S COMMITMENT TO PREVENTIVE HEALTH MEASURES, SENTARA PRESENTS SPECIAL COMMUNITY INITIATIVES THAT ARE DESIGNED TO EDUCATE THE COMMUNITY ABOUT ISSUES AFFECTING HEALTH. SENTARA PROMOTES INFORMATION CAMPAIGNS SUCH AS:--EATING FOR LIFE, AN AWARD-WINNING NUTRITION AND HEALTHY EATING PROGRAM--KNOW YOUR NUMBERS, A CARDIOVASCULAR RISK REDUCTION AND HEALTH IMPROVEMENT PROGRAM--WALK-ABOUT WITH HEALTHY EDGE, A WALKING PROGRAM THAT ENCOURAGES WALKING FOR CARDIOVASCULAR HEALTH--GET OFF YOUR BUTT: STAY SMOKELESS FOR LIFE, A SMOKING CESSATION PROGRAM--HEALTHY HEART PROGRAM, A CARDIOVASCULAR DISEASE REDUCTION PROGRAM--SENTARA LIVING, A COMPREHENSIVE WELLNESS PROGRAM FOR SENIORS --SENTARA'S MOBILE MAMMOGRAPHY UNIT VISITS NUMEROUS WORK SITES EVERY YEAR TO ENCOURAGE WELLNESS. --CAMP LIGHTHOUSE, A GRIEF CAMP FOR KIDS AGES 5-16 WHO HAVE EXPERIENCED THE DEATH OF A LOVED ONE. 2. TOBACCO FREE ENVIRONMENTSHOSPITALS SEE THE EFFECTS OF TOBACCO EVERY DAY IN HEART DISEASE, RESPIRATORY AILMENTS AND CANCERS. IN RESPONSE SENTARA HAS IMPLEMENTED ITS TOBACCO FREE ENVIRONMENT (TFE) CAMPAIGN. NO ONE IS ALLOWED TO SMOKE, CHEW OR DIP ANYWHERE ON CAMPUS, NOT EVEN IN CARS. THE GOAL IS NOT JUST TO AVOID THE AESTHETIC AND HEALTH ISSUES OF SECOND-HAND SMOKE, BUT TO PUT SENTARA'S MISSION INTO PRACTICE BY ENCOURAGING AND HELPING STAFF, PATIENTS AND VISITORS TO QUIT THIS HABIT. AS OF JANUARY 1, 2010, ALL SENTARA FACILITIES SYSTEM-WIDE HAVE ADOPTED THE TOBACCO FREE ENVIRONMENT INITIATIVES, WITH THE EXCEPTION OF SENTARA POTOMAC HOSPITAL WHICH WILL BE TOBACCO FREE IN 2011. IN ADDITION, SENTARA HEALTHCARE HAS EARNED THE AMERICAN CANCER SOCIETY "EXCELLENCE IN THE WORKPLACE TOBACCO CONTROL" AWARD FOR ITS EFFORTS. VII. OPTIMA HEALTH PLANA. IMPROVING HEALTHOPERATING WITH THE SAME MISSION IN MIND--TO IMPROVE HEALTH EVERYDAY--IS SENTARA'S HEALTH PLAN, OPTIMA HEALTH. WITH MORE THAN 25 YEARS OF HEALTH INSURANCE EXPERIENCE, OPTIMA HEALTH PROVIDES HEALTH PLAN COVERAGE TO MORE THAN 415,000 MEMBERS THROUGHOUT THE STATE. OUR QUALITY PROVIDER NETWORK FEATURES MORE THAN 15,000 PROVIDERS INCLUDING SPECIALISTS, PRIMARY CARE PHYSICIANS AND HOSPITALS ACROSS VIRGINIA.
  PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)OPTIMA OFFERS ASSISTANCE IN REDUCING HEALTH RISKS, IMPROVING HEALTH AND PREVENTING DISEASE. THIS IS ACCOMPLISHED THROUGH HEALTH SCREENINGS, DIRECT MAILINGS AND COMMUNITY PARTNERSHIPS. EFFORTS FOR "AT RISK" POPULATIONS INCLUDE SPECIFIC INTERVENTIONS TO INCREASE PRENATAL CARE, CANCER SCREENINGS, IMMUNIZATIONS AND PREVENTIVE HEALTH VISITS WITH PHYSICIANS. OPTIMA ALSO OFFERS PREVENTION PROGRAMS TO REDUCE HEALTH RISKS THAT CONTRIBUTE TO CARDIOVASCULAR AND RESPIRATORY DISEASE. B. SUPPORTING THE COMMUNITYIN PARTNERSHIP WITH THE NORFOLK DEPARTMENT OF NEIGHBORHOOD & LEISURE SERVICES, OPTIMA ALSO SPONSORS A GIRLS COMMUNITY BASKETBALL PROGRAM WHICH SERVES MORE THAN 1,400 AT-RISK MIDDLE SCHOOL GIRLS THROUGHOUT VIRGINIA. THIS PROGRAM COMBINES HEALTH EDUCATION WITH SPORTS TO PROMOTE HEALTHY LIFESTYLE DECISIONS. PARTICIPANTS MUST ATTEND MANDATORY HEALTH EDUCATION CLASSES BEFORE GAMES, AS WELL AS PARTICIPATE IN PROGRAMS ON TOPICS SUCH AS CARDIOVASCULAR HEALTH, ASTHMA, DIABETES, HEALTHY EATING, AVOIDING TOBACCO AND DRUGS AND SEXUAL HEALTH. THIS PROGRAM WAS AWARDED THE 2008 COMMUNITY LEADERSHIP AWARD FROM AMERICA'S HEALTH INSURANCE PLANS (AHIP). C. ACCREDITATION AND AWARDSTHE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) HAS RECOGNIZED OUR QUEST FOR EXCELLENCE BY AWARDING OUR COMMERCIAL HMO AND MEDICAID HMO PRODUCTS WITH AN "EXCELLENT" ACCREDITATION STATUS. THIS RATING HAS BEEN MAINTAINED SINCE 1998, A CLAIM NO OTHER HEALTH PLAN IN THE REGION CAN MAKE. OPTIMA HEALTH RECEIVED AN A+ RATING FROM THE STREET (WEISS RATINGS, INC) FOR FINANCIAL SOUNDNESS, RECOGNIZING ITS ABILITY TO WITHSTAND SEVERE ECONOMIC ADVERSITY AND SHOWING EXCEPTIONAL FINANCIAL STRENGTH. THESTREET.COM IS THE NATION'S LEADING INDEPENDENT PROVIDER OF RATINGS AND ANALYSES OF FINANCIAL SERVICE COMPANIES, MUTUAL FUNDS, AND STOCKS. THE RATING RECOGNIZES OPTIMA HEALTH AS AN OUTSTANDING INSURER OFFERING EXCELLENT FINANCIAL STABILITY FOR ITS CUSTOMERS, VENDORS, AND EMPLOYEES. FEWER THAN FIVE PERCENT OF THE NATION'S HMO'S AND HEALTH INSURERS MEET THESTREET.COM RATING'S CRITERIA FOR EXCEPTIONAL FINANCIAL STRENGTH. WHILE OFFERING PROGRAMS TO PREVENT DISEASE AND HELP FAMILIES STAY WELL, OPTIMA STANDS OUT THROUGH SENTARA'S PASSION FOR HEALTH AND SERVICE EXCELLENCE. OPTIMA HEALTH WAS NAMED THE 2006/2007 CUSTOMER CARE AWARD WINNER FOR THE STATE OF VIRGINIA BY THE NATIONAL RESEARCH CORPORATION. AT SENTARA HEALTHCARE OUR MISSION IS TO IMPROVE HEALTH EVERYDAY. FROM OUR DEDICATION TO QUALITY TO OUR COMMITMENT TO THE COMMUNITY WE STRIVE TO FULFILL THIS MISSION FOR THE OVER TWO MILLION HAMPTON ROADS RESIDENTS AND THE OVER 370,000 NORTHERN VIRGINIA RESIDENTS WE SERVE.
  PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)G. SENTARA LEIGH TOWERAT THE END OF 2010, THE CERTIFICATE OF PUBLIC NEED FILED BY SENTARA HEALTHCARE TO BUILD A FIVE STORY STATE-OF-THE-ART REPLACEMENT BED TOWER AT SENTARA LEIGH HOSPITAL WAS APPROVED. WITH BOOMING VOLUMES IN ORTHOPAEDICS, GYNECOLOGY AND GENERAL SURGERY AND MULTI-MILLION DOLLAR IMPROVEMENTS UNDERWAY TO THE EMERGENCY DEPARTMENT, OPERATING ROOMS AND STERILE SUPPORT AREAS, SENTARA LEIGH IS COMPLETING THE PACKAGE BY CONSTRUCTING A NEW TOWER TO SERVE THE FUTURE NEEDS OF ITS MANY PATIENTS FROM NORFOLK, VIRGINIA BEACH AND CHESAPEAKE. GROUNDBREAKING IS EXPECTED IN THE FALL OF 2011. V. SENTARA QUALITY & PATIENT SAFETY DISTINCTIONSA. MEASURING QUALITY HEALTHCARESINCE OUR HEALTH SYSTEM'S EARLIEST YEARS, MORE THAN 120 YEARS AGO, WE HAVE BELIEVED THE COMMUNITY DESERVES HEALTHCARE THAT IS MEASURABLY BETTER. SENTARA'S GOAL IS TO LEAD THE INDUSTRY TO ACHIEVE TOP 10 PERCENT PERFORMANCE WHEREVER NATIONAL BENCHMARKS EXIST. THESE RESULTS ARE THE MEASURES THAT CAN BE EXAMINED THROUGHOUT OUR ORGANIZATION.1. TOP 100 INTEGRATED HEALTHCARE NETWORKSENTARA HAS CONSISTENTLY RANKED AMONG THE NATION'S TOP INTEGRATED HEALTHCARE NETWORKS AS PUBLISHED IN MODERN HEALTHCARE'S FACT-BASED RANKING. THE ONLY HEALTHCARE SYSTEM IN THE COUNTRY TO BE AMONG THE NATION'S TOP 10 FOR ALL 14 YEARS OF THE SURVEY, SENTARA HAS LANDED AT NUMBER ONE IN 2001 AND AGAIN IN 2010. THE STUDY, PUBLISHED ANNUALLY, HIGHLIGHTS THE TOP 100 INTEGRATED HEALTH CARE NETWORKS ACROSS THE NATION AS SELECTED BY SDI, A HEALTH INFORMATION COMPANY. 2. USING TECHNOLOGY TO IMPROVE CARESENTARA NORFOLK GENERAL HOSPITAL WAS NAMED AS ONE OF THE NATION'S MOST WIRED HOSPITALS DURING 2010, ACCORDING TO THE RESULTS OF THE 2010 MOST WIRED SURVEY AND BENCHMARKING STUDY. THE "MOST WIRED" HOSPITALS USE COMPUTERS TO ENABLE PHYSICIANS TO CHECK OR ORDER PATIENT TESTS AND ENTER MEDICATION ORDERS ELECTRONICALLY, AND TO ENABLE PATIENTS TO PERFORM BILLING FUNCTIONS VIA COMPUTER. HOSPITALS ARE NAMED TO THE LIST BASED ON HOW THEY USE TECHNOLOGY TO ADDRESS SAFETY AND QUALITY, CUSTOMER SERVICE, BUSINESS PROCESSES, WORKFORCE AND PUBLIC HEALTH AND SAFETY. AMONG THE REASONS SENTARA NORFOLK GENERAL HOSPITAL WAS INCLUDED ON THE LIST WAS ITS INVESTMENT IN THE ELECTRONIC MEDICAL RECORD SYSTEM, SENTARA ECARE. IN 2010, SENTARA HEALTHCARE WAS ALSO HONORED AS A RECIPIENT OF THE 2010 HIMSS (HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY) DAVIES AWARD. HIMSS ANALYTICS, A COMPANY THAT COLLECTS AND ANALYZES HEALTHCARE DATA RELATED TO ITS PROCESSES AND ENVIRONMENTS, RECOGNIZES HEALTHCARE ORGANIZATIONS FOR SUCCESSFUL IMPLEMENTATION OF HEALTH INFORMATION TECHNOLOGY SYSTEMS, SUCH AS SENTARA ECARE, AS WELL AS A PROVEN ABILITY TO DERIVE VALUE IN THE FORM OF IMPROVED PATIENT CARE. SENTARA HEALTHCARE WAS HONORED WITH ITS STAGE 7 AWARD, A NATIONAL RECOGNITION WHICH REPRESENTS ATTAINMENT OF THE HIGHEST LEVEL OF ELECTRONIC MEDICAL RECORD ADOPTION MODEL-SM (EMRAM). WITH THIS AWARD, SENTARA JOINS A SELECT GROUP OF HEALTH SYSTEMS ACROSS THE COUNTRY TO HAVE ATTAINED THIS LEVEL OF ELECTRONIC MEDICAL RECORD IMPLEMENTATION. 3. AWARD-WINING CARDIAC CARESENTARA HEART HOSPITAL IS A COMPREHENSIVE NETWORK OF PROVIDERS, FACILITIES AND SERVICES WORKING TOGETHER TO ENSURE THE HIGHEST LEVEL OF CARDIAC CARE TO PATIENTS THROUGHOUT THE REGION. IT IS A REGIONAL AND NATIONAL LEADER IN CARDIAC CARE. FOR THE 11TH YEAR, SENTARA HEART HOSPITAL/SENTARA NORFOLK GENERAL HOSPITAL RANKED AMONG THE NATION'S BEST HEART PROGRAMS IN U.S. NEWS & WORLD REPORT'S 2010-2011 BEST HOSPITALS ISSUE. LISTED 43RD IN THE RANKING, SENTARA POSTS A MORTALITY SCORE THAT IS BETTER THAN FIVE OF THE TOP 10 PROGRAMS ON THE LIST. SENTARA REMAINS THE ONLY HEART PROGRAM IN THE REGION AND ONLY ONE OF TWO HOSPITALS IN VIRGINIA TO BE RANKED BY U.S. NEWS & WORLD REPORT.
  PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)B. EXPANSION OF EDUCATIONAL SERVICES IN ADDITION TO EXPANDING OUR SERVICE AREA, SENTARA HAS ALSO EXPANDED ITS EDUCATIONAL SERVICES. THE SENTARA SCHOOL OF HEALTH PROFESSIONALS HAS CHANGED ITS NAME TO THE SENTARA COLLEGE OF HEALTH SCIENCES (SCHS) TO COINCIDE WITH APPROVAL TO OFFER A BACCALAUREATE DEGREE IN NURSING. THIS IS A BIG STEP IN PRESTIGE FOR THE SCHOOL, WHICH WILL QUALIFY GRADUATES TO APPLY FOR AN ADVANCED DEGREE PROGRAM SHOULD THEY WANT TO OBTAIN A MASTER OF SCIENCE DEGREE IN NURSING. SCHS WILL CONTINUE TO OFFER PROGRAMS IN TECHNICAL SUPPORT POSITIONS AS WELL. IV. BUILDING FOR THE FUTUREDELIVERING SUPERIOR OUTCOMES FOR OUR PATIENTS IS SENTARA'S FOREMOST GOAL. TO ASSURE THIS, WE SEEK WAYS TO EXPAND AND ENHANCE OUR SERVICES. THE NEXT DECADE WILL BE CHARACTERIZED BY INSPIRING GROWTH AND CHANGE--ALL DEDICATED TO IMPROVING THE HEALTH OF OUR COMMUNITY AND OUR PATIENTS. A. SENTARA LAKE RIDGECONSTRUCTION WILL BEGIN IN AUGUST 2011 ON SENTARA LAKE RIDGE-AN INNOVATIVE AND MODERN OUTPATIENT CAMPUS THAT WILL OFFER CONVENIENT, HIGH QUALITY MEDICAL SERVICES AND A PATIENT-FOCUSED EXPERIENCE. SENTARA LAKE RIDGE IS SENTARA HEALTHCARE'S FIRST OUTPATIENT FACILITY IN NORTHERN VIRGINIA TO PROVIDE 24-HOUR EMERGENCY CARE, AND ADVANCED IMAGING BY BOARD-CERTIFIED PHYSICIANS AND LABORATORY SERVICES. THE 43,500 SQUARE-FOOT FACILITY IS EXPECTED TO OPEN IN SPRING 2012. B. SENTARA PRINCESS ANNE HOSPITALIN PARTNERSHIP WITH BON SECOURS VIRGINIA, CONSTRUCTION BEGAN ON SENTARA PRINCESS ANNE HOSPITAL IN 2008. THE 5-STORY ACUTE CARE HOSPITAL OPENED ITS DOORS IN AUGUST, 2011. SOUTHERN VIRGINIA BEACH RESIDENTS HAVE ACCESS TO A STATE-OF-THE-ART ACUTE CARE HOSPITAL BUILT FOR THE FUTURE. THIS 330,400-SQUARE-FOOT HOSPITAL WILL COMPLEMENT THE CONVENIENT OUTPATIENT SERVICES ALREADY BEING PROVIDED AT SENTARA PRINCESS ANNE HEALTH CAMPUS. CURRENTLY LICENSED FOR 154 BEDS, THIS HOSPITAL WILL OFFER COMPREHENSIVE SURGICAL PROCEDURES, INTENSIVE CARE, ADVANCED CARDIAC CARE, AND A DEDICATED FAMILY MATERNITY CENTER. C. NEW PATIENT WING AT SENTARA OBICITHE ADDITION OF A NEW WING TO SENTARA OBICI HOSPITAL WAS COMPLETED IN JUNE OF 2010. THE NEW THREE-STORY, 63,480 SQUARE-FOOT WING INCLUDES ALL PRIVATE BEDS SERVING ORTHOPAEDIC, MEDICAL AND SURGICAL PATIENTS, AND WILL INCREASE THE HOSPITAL'S BED CAPACITY TO 168 BEDS. THE GOAL IS TO IMPROVE CARE AND ACCESS FOR SENTARA OBICI HOSPITAL PATIENTS AND THE SURROUNDING COMMUNITY, WHICH IS EXPECTED TO GROW 10 PERCENT BETWEEN 2009 AND 2014.D. ORTHOPAEDIC HOSPITAL AT SENTARA CAREPLEXSENTARA CAREPLEX HOSPITAL ALSO BEGAN AN EXPANSION IN 2008, DEDICATED EXCLUSIVELY TO ORTHOPAEDIC SERVICES. THE ORTHOPAEDIC HOSPITAL AT SENTARA CAREPLEX, WHICH OPENED IN JULY 2010, IS THE AREA'S FIRST DEDICATED ORTHOPAEDIC HOSPITAL, TAKING SPECIALIZED ORTHOPAEDIC CARE TO A NEW LEVEL. THE 55,000 SQUARE-FOOT, TWO-STORY FACILITY PROVIDES PATIENTS ACCESS TO THE FULL CONTINUUM OF ORTHOPAEDIC SERVICES, FROM THE PRE-OPERATIVE PHASE AND SURGERY TO REHABILITATION AND HOME CARE SERVICES. E. SENTARA ST. LUKE'SIN OCTOBER 2008, CONSTRUCTION BEGAN ON A NEW CAMPUS AT SENTARA SAINT LUKE'S, AN OUTPATIENT HEALTH CAMPUS LOCATED IN ISLE OF WIGHT COUNTY. FIRST TO OPEN IN 2010 WAS A TWO-STORY, 52,000 SQUARE-FOOT MEDICAL OFFICE BUILDING THAT FEATURES AN URGENT CARE CENTER, AN ADVANCED IMAGING CENTER, LABORATORY SERVICES, AND PHYSICAL THERAPY SERVICES. IT ALSO HOUSES SEVERAL PRIMARY CARE AND SPECIALTY PHYSICIANS. F. SECOND PACE LOCATIONA SECOND LOCATION FOR THE PACE PROGRAM OPERATED BY SENTARA LIFE CARE CORPORATION, SENTARA'S LONG-TERM CARE DIVISION, OPENED IN PORTSMOUTH, VA IN MARCH OF 2010. PACE, OR PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY, IS AN ADULT DAY CARE PROGRAM THAT IS A NURSING HOME ALTERNATIVE. THE FIRST OF ITS KIND IN VIRGINIA, THE PROGRAM IS A PREPAID HEALTH PLAN THAT PROVIDES TOTAL CARE FOR PARTICIPANTS, INCLUDING COMPREHENSIVE MEDICAL AND REHABILITATIVE SERVICES, IN-HOME SERVICES AND TRANSPORTATION.
  PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)4. OUTSTANDING CANCER CARETHE SENTARA CANCER NETWORK WAS AWARDED AN OUTSTANDING ACHIEVEMENT AWARD FOR 2009 FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. ONLY 18 PERCENT OF 432 PROGRAMS SURVEYED DURING THE YEAR RECEIVED OUTSTANDING ACHIEVEMENT AWARDS-BASED ON FACTORS SUCH AS LEADERSHIP, RESEARCH AND QUALITY IMPROVEMENT. THE ACCREDITED PORTION OF THE SENTARA CANCER NETWORK INCLUDES SENTARA NORFOLK GENERAL HOSPITAL, SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA CAREPLEX HOSPITAL AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER. SENTARA LEIGH HOSPITAL WAS ADDED IN 2010. IN ADDITION, SENTARA POTOMAC HOSPITAL EARNED AN OUTSTANDING ACHIEVEMENT AWARD UNDER THE CATEGORY OF COMMUNITY HOSPITAL CANCER PROGRAMS. THE SENTARA CANCER NETWORK AND SENTARA POTOMAC HOSPITAL ARE THE ONLY CANCER PROGRAMS IN VIRGINIA TO EARN OUTSTANDING ACHIEVEMENT AWARDS FOR 2009. 5. COMPREHENSIVE BREAST HEALTH SERVICESSENTARA IS HOME TO SIX BREAST CENTERS. THREE OF SENTARA'S COMPREHENSIVE BREAST CENTERS ARE ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS WITH THREE ADDITIONAL CENTERS ACCREDITED IN 2011. TO GAIN ACCREDITATION THE CENTERS MUST FOLLOW A MULTIDISCIPLINARY TEAM APPROACH, PROVIDE ACCESS TO CLINICAL TRIAL INFORMATION AND OFFER NEW TREATMENT OPTIONS, AMONG OTHER REQUIREMENTS. THE BREAST CENTERS ARE ALSO AMONG THE ELITE GROUP DESIGNATED AS AN AMERICAN COLLEGE OF RADIOLOGY BREAST IMAGING CENTER OF EXCELLENCE. AFTER RIGOROUS EVALUATION OF STAFF, EQUIPMENT, PHYSICIAN CREDENTIALS, TECHNIQUE AND IMAGE QUALITY, THE CENTERS ARE NOW FULLY ACCREDITED IN THE THREE MAJOR AREAS OF BREAST IMAGING AND CANCER DETECTION, MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY AND ULTRASOUND-GUIDED BIOPSY.6. WEIGHT LOSS SURGERY EXCELLENCEAFTER A DETAILED REVIEW OF CLINICAL QUALITY AND SAFETY, SURGICAL OUTCOMES, AND OVERALL PERFORMANCE, WEIGHT LOSS SURGERY PROGRAMS AT SENTARA CAREPLEX HOSPITAL, SENTARA NORFOLK GENERAL HOSPITAL AND SENTARA POTOMAC HOSPITAL HAVE RECEIVED DESIGNATION AS A WEIGHT LOSS SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY OF METABOLIC AND BARIATRIC SURGERY. 7. CLINICAL EXCELLENCESENTARA BAYSIDE HOSPITAL WAS AWARDED A 'VOLUNTARY HOSPITALS OF AMERICA (VHA) 2009 LEADERSHIP AWARD FOR CLINICAL EXCELLENCE' FOR ACHIEVING A HIGH LEVEL OF PERFORMANCE IN AMI (ACUTE MYOCARDIAL INFARCTION), HEART FAILURE, PNEUMONIA AND SURGICAL CARE IMPROVEMENT PROGRAM (SCIP) CLINICAL QUALITY INDICATORS AS MEASURED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) AND THE JOINT COMMISSION. 8. GOLD SEAL OF APPROVALTHE JOINT COMMISSION HAS GIVEN SEVERAL SENTARA HOSPITALS ITS GOLD SEAL OF APPROVAL AND DISEASE SPECIFIC CARE CERTIFICATION. SENTARA NORFOLK GENERAL EARNED VASCULAR CERTIFICATION. THE JOINT COMMISSION ALSO RECOGNIZED SENTARA VIRGINIA BEACH GENERAL HOSPITAL FOR HEART FAILURE AND ACUTE MYOCARDIAL INFARCTION CARE. 9. EXCELLENCE IN STROKE CARESENTARA IS THE FIRST HOSPITAL IN THE REGION TO OFFER NATIONALLY CERTIFIED LEVELS OF STROKE CARE AT FIVE DISTINCT LOCATIONS. THE SENTARA PRIMARY STROKE CENTERS AT SENTARA VIRGINIA BEACH GENERAL HOSPITAL, SENTARA NORFOLK GENERAL HOSPITAL, SENTARA LEIGH HOSPITAL AND SENTARA CAREPLEX HOSPITAL HAVE EARNED THE GOLD SEAL OF APPROVAL AND DISEASE SPECIFIC CARE CERTIFICATION FROM THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS. SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER IS ACCREDITED BY THE DNVHC (DET NORSKE VERITAS HEALTHCARE, INC) AS A CERTIFIED PRIMARY STROKE CENTER BASED ON ITS CONTINUAL INTEGRATION OF QUALITY STANDARDS FOR MANAGEMENT OF STROKE PATIENTS. 10. HMC TOP QUALITY AWARDTHE HEALTHCARE MANAGEMENT COUNCIL (HMC) ISSUED ITS FIRST TOP QUALITY AWARDS AMONG ITS MEMBER HOSPITALS IN 2010. HMC CLIENT HOSPITALS WORK AGAINST A COMPLEX MATRIX OF PERFORMANCE BENCHMARKS TO IMPROVE CLINICAL OUTCOMES, SAFETY, QUALITY, AND FINANCIALS. ONLY SIX HOSPITALS RECEIVED PERFORMANCE AWARDS THIS YEAR. AMONG THE FOUR HONORABLE MENTIONS WAS SENTARA LEIGH HOSPITAL.
  PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)1. THE LEAPFROG HOSPITAL SURVEYTHE LEAPFROG HOSPITAL RECOGNITION PROGRAM (LHRP) RECOGNIZES AND REWARDS HOSPITALS THAT DEMONSTRATE EXCELLENCE OR IMPROVEMENT IN THE PERFORMANCE AREAS OF PATIENT SAFETY, QUALITY, AND RESOURCE UTILIZATION. THE LHRP HAS RECOGNIZED SENTARA CAREPLEX HOSPITAL, SENTARA LEIGH HOSPITAL, SENTARA BAYSIDE HOSPITAL, AND SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER FOR TOP-LEVEL PERFORMANCE DURING 2010. THE ANNUAL SURVEY RECOGNIZED 65 OUT OF A FIELD OF NEARLY 1,200 HOSPITALS ACROSS 45 STATES. THE 2010 LIST INCLUDES UNIVERSITY AND OTHER TEACHING HOSPITALS, CHILDREN'S HOSPITALS AND COMMUNITY HOSPITALS IN RURAL, SUBURBAN AND URBAN SETTINGS. THE SELECTION IS BASED ON THE RESULTS OF THE LEAPFROG GROUP'S NATIONAL SURVEY THAT MEASURES HOSPITALS' PERFORMANCE IN CRUCIAL AREAS OF PATIENT SAFETY AND QUALITY. 2. INFECTION PREVENTIONPREVENTION OF HEALTH CARE-ASSOCIATED INFECTIONS IS A NATIONAL CONCERN, AND SENTARA CONTINUALLY STRIVES TO REDUCE THESE CASES. ALL SENTARA HOSPITALS HAVE BEEN WORKING DILIGENTLY TO REDUCE THE OCCURRENCE OF VENTILATOR-ASSOCIATED PNEUMONIA (VAP), WHICH CAN DEVELOP IN PATIENTS WHO HAVE BEEN ON MECHANICAL VENTILATION FOR 48 HOURS OR MORE. IN 2010, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER MARKED SIX CONSECUTIVE YEARS WITH ZERO CASES OF VAP. FURTHER EMPHASIZING THE SIGNIFICANCE OF THIS ACCOMPLISHMENT, VOLUNTARY HOSPITALS OF AMERICA (VHA), A VOLUNTARY NATIONAL ORGANIZATION FOCUSED ON HEALTH CARE FINANCIAL PERFORMANCE THROUGH CLINICAL EXCELLENCE AND SUPPLY CHAIN MANAGEMENT, PLANS TO "BLUEPRINT" THE PRACTICES AT SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER AS A MODEL FOR HOSPITALS ACROSS THE COUNTRY. ADDITIONALLY, CENTRAL LINE BLOODSTREAM INFECTIONS HAVE ALSO BEEN SHARPLY REDUCED. SENTARA BAYSIDE HOSPITAL IS ONE OF ONLY FIVE HOSPITALS IN VIRGINIA AND MENTIONED AMONG THE BEST IN THE COUNTRY FOR PROTECTING PATIENTS IN THE INTENSIVE CARE UNIT AGAINST LIFE-THREATENING CENTRAL LINE BLOODSTREAM INFECTIONS IN CONSUMER REPORTS MAGAZINE. 3. FAMILY INITIATED RAPID RESPONSE SAFETY TEAMIN 2008, SENTARA CAREPLEX HOSPITAL INTRODUCED THE FAMILY INITIATED RAPID RESPONSE SAFETY TEAM (FIRRST), A TOOL WHICH ALLOWS PATIENTS OR FAMILY MEMBERS TO INITIATE AN EMERGENCY CALL TO THE SAFETY RESPONSE TEAM FROM WITHIN THE HOSPITAL IF THEY DETECT SUBTLE CHANGES IN A PATIENT'S CONDITION. FIRRST CREATES A PARTNERSHIP BETWEEN PATIENTS, FAMILIES, VISITORS, NURSES AND PHYSICIANS AND HELPS HOSPITALS COMPLY WITH NATIONAL PATIENT SAFETY GOALS BY ENCOURAGING PATIENTS TO BE ACTIVELY INVOLVED IN THEIR OWN CARE. 4. IMPROVING PATIENT SAFETY THROUGH TECHNOLOGYSENTARA IS CONSTANTLY LOOKING FOR WAYS TO USE TECHNOLOGY TO IMPROVE CARE AND SAFETY.SENTARA HEALTHCARE PROVIDES THE SENTARA ECARE HEALTH NETWORK . THE CLINICAL SYSTEM USES INNOVATIVE TECHNOLOGY TO LINK PATIENT MEDICAL INFORMATION BETWEEN SENTARA HOSPITALS, PHYSICIAN PRACTICES AND OTHER HEALTH CARE SITES OVER A PROTECTED NETWORK, ENABLING THE SECURE SHARING OF PATIENT INFORMATION, INCREASING PATIENT SAFETY AND REDUCING PREVENTABLE MEDICAL ERRORS. 2010 MARKS THE TENTH YEAR THAT SENTARA HAS EMPLOYED ITS EICU REMOTE MONITORING SYSTEM FOR ITS SICKEST HOSPITAL PATIENTS. SENTARA WAS THE FIRST HOSPITAL SYSTEM IN THE COUNTRY TO IMPLEMENT THE EICU SYSTEM, WHICH USES A NETWORK OF CAMERAS, MONITORS, ALERTS, AND TWO-WAY COMMUNICATION LINKS. DOCTORS AND CRITICAL CARE NURSES AT THE EICU COMMAND CENTER MAKE VIRTUAL ROUNDS ON ICU PATIENTS. THIS SENTARA-PIONEERED TECHNOLOGY IS NOW USED TO HELP CARE FOR PATIENTS IN NEARLY 5,000 ICU BEDS NATIONALLY. ANOTHER SAFETY INITIATIVE ADOPTED BY SENTARA IS BEDSIDE MEDICATION VERIFICATION, INCLUDING BAR-CODING TECHNOLOGY. NATIONAL STUDIES HAVE FOUND THAT BEDSIDE VERIFICATION CAN REDUCE HOSPITAL MEDICATION ERRORS BY NEARLY 70 PERCENT.
  PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED)11. QUALITY SENIOR CARESENTARA LIFE CARE WAS AWARDED A BRONZE 2010 NATIONAL QUALITY AWARD FROM THE AMERICAN HEALTH CARE ASSOCIATION AND THE NATIONAL CENTER FOR ASSISTED LIVING. A BRONZE AWARD RECOGNIZES LONG TERM CARE PROGRAMS THAT HAVE MADE A SYSTEMATIC COMMITMENT TO QUALITY IMPROVEMENT AND DESIGNED WAYS TO MEASURE PROGRESS. 12. QUALITY ASSURANCE AWARDVIRGINIA BEACH FAMILY PRACTICE HAS BEEN AWARDED RECOGNITION BY THE NATIONAL COMMITTEE ON QUALITY ASSURANCE (NCQA) AS A PATIENT CENTERED MEDICAL HOME-LEVEL III, UNDER NCQA'S PHYSICIAN PRACTICE CONNECTIONS PROGRAM. 13. DISABILITY EMPLOYMENT CHAMPIONTHE VIRGINIA DEPARTMENT OF REHABILITATIVE SERVICES AWARDED SENTARA CAREPLEX HOSPITAL WITH A 2010 "DISABILITY EMPLOYMENT CHAMPION" AWARD FOR ITS PARTICIPATION IN VIRGINIA'S FIRST 'PROJECT SEARCH'. THE PROGRAM PUTS RECENT HIGH SCHOOL GRADUATES WITH DISABILITIES INTO TRAINING AND MENTORING PROGRAMS THAT CAN LEAD TO FULL TIME EMPLOYMENT. 14. SUPPORTING CAREER AND TECHNICAL EDUCATIONTHE VIRGINIA DEPARTMENT OF EDUCATION CHOSE SENTARA OBICI HOSPITAL AS A REGIONAL WINNER OF ITS 2009 'CREATING EXCELLENCE' AWARD FOR ITS SUPPORT OF CAREER AND TECHNICAL EDUCATION. OBICI HAS WORKED WITH THE SUFFOLK SCHOOLS FOR FOUR YEARS, PROVIDING STUDENTS IN THE 'INTRODUCTION TO HEALTH OCCUPATIONS' CURRICULUM WITH REAL-WORLD EXPOSURE TO HEALTH CAREERS, INCLUDING A MEDICAL CAMP FOR MORE THAN 100 STUDENTS. 15. CIO AWARD FOR EXCELLENCE IN I.T.SENTARA RECEIVED A PRESTIGIOUS CIO 100 AWARD IN 2009 FROM CIO MAGAZINE. THE 22ND ANNUAL AWARD PROGRAM RECOGNIZES ORGANIZATIONS AROUND THE WORLD THAT EXEMPLIFY THE HIGHEST LEVEL OF OPERATIONAL AND STRATEGIC EXCELLENCE IN INFORMATION TECHNOLOGY. SENTARA BEGAN ITS HOSPITAL IMPLEMENTATION OF SENTARA ECARE IN 2008. SENTARA POTOMAC HOSPITAL'S IMPLEMENTATION IS SET FOR FALL 2011. IN ADDITION, IT HAS BEEN IMPLEMENTING SENTARA ECARE ELECTRONIC MEDICAL RECORD TECHNOLOGY ACROSS ITS NETWORK OF SENTARA MEDICAL GROUP PHYSICIANS. IN ITS HOSPITAL SETTINGS, SENTARA IS ALREADY EXPERIENCING PHYSICIAN ORDER ENTRY RATES THAT EXCEED THE NATIONAL AVERAGE. ADDITIONALLY, THE LENGTH OF TIME FROM DRUGS BEING ORDERED BY A PHYSICIAN TO ADMINISTRATION TO THE PATIENT HAS BEEN REDUCED DRAMATICALLY. SENTARA ECARE IS ALSO THE REASON SENTARA HEALTHCARE HAS BEEN RANKED 21ST ON THE 2009 INFORMATIONWEEK 500 BY INFORMATIONWEEK, A BUSINESS PUBLICATION THAT IDENTIFIES AND HONORS THE NATION'S MOST INNOVATIVE USERS OF INFORMATION TECHNOLOGY. 16. MOST BEAUTIFUL HOSPITALIN JULY 2010, SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER RANKED AS THE 9TH MOST BEAUTIFUL HOSPITAL IN THE COUNTRY IN A CONTEST BY SOLIANT HEALTH, A SPECIALTY HOSPITAL STAFFING PROVIDER. WINNERS WERE PICKED BY VISITORS TO WWW.SOLIANT.COM WHO CAST MORE THAN 10,000 VOTES FOR HOSPITALS AROUND THE COUNTRY. B. PATIENT SAFETYSENTARA HEALTHCARE'S FOCUS GOES BEYOND THE BASICS OF MAKING HEALTHCARE SAFE FOR ITS PATIENTS. SENTARA HAS BUILT A STRONG "CULTURE OF SAFETY" TO REDUCE MEDICAL ERRORS BY MODELING SUCCESSFUL PROGRAMS FROM THE NUCLEAR POWER AND AVIATION INDUSTRIES. THIS CULTURE OF SAFETY PROMOTES BEHAVIORS WHICH RESULT IN SAFE, RELIABLE AND EFFECTIVE CARE. THE FOUNDATION OF THIS CULTURE IS A STRONG ACCOUNTABILITY TO PERFORM REGIMENTED BEHAVIORS THAT REDUCE MEDICAL ERRORS. SENTARA STAFF USES GUIDELINES KNOWN AS "BEHAVIOR BASED EXPECTATIONS" OR BBE'S TO ENSURE THE HIGHEST STANDARD OF CARE. THE GOAL IS TO MAKE THESE TOOLS AND TECHNIQUES A HABIT. FOR ITS DEDICATION, SENTARA HAS RECEIVED NUMEROUS AWARDS FOR PATIENT SAFETY AND QUALITY OF CARE STANDARDS.
  FORM 990, PT VI, GOVERNING BODY INDEPENDENCE Voting Members of the Governing BodyCore Form Part VI, lines 1a and 1bThe organization has individual members, known as Trustees, whose governance authority is limited to the annual election/ratification of the organization's Trustees and Directors; and the approval of the sale of all or substantially all of the organization's assets. Due to their limited authority, the organization's Trustees have not been counted as voting members of the governing body in response to Part VI, lines 1a and 1b.
  FORM 990, PART VII, COMPENSATION OF ODTKE PART VII: COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES, AND INDEPENDENT CONTRACTORSHOURS DEVOTED TO RELATED ORGANIZATIONSDavid Bernd devoted an average of 10 hours per week to related organizations.Mary Blunt devoted an average of 40 hours per week to related organizations.Robert Broermann devoted an average of 10 hours per week to related organizations.William K. Butler II devoted an average of 1 hours per week to related organizations.Dian T. Calderone devoted an average of 1 hour per week to related organizations.Michael Dudley devoted an average of 40 hours per week to related organizations.Michael Gentry devoted an average of 40 hours per week to related organizations.Robert Graves devoted an average of 40 hours per week to related organizations.Vicky Gray devoted an average of 2 hours per week to related organizations.Grace Hines devoted an average of 10 hours per week to related organizations.Howard Kern devoted an average of 10 hours per week to related organizations.Kenneth Krakaur devoted an average of 6 hours per week to related organizations.Charles Lovell devoted an average of 1 hour per week to related organizations.David Maizel devoted an average of 40 hours per week to related organizations.Genemarie McGee devoted an average of 40 hours per week to related organizations.Megan Perry devoted an average of 40 hours per week to related organizations.Bertram S. Reese devoted an average of 40 hours per week to related organizations.Bruce Robertson devoted an average of 40 hours per week to related organizations.R. Michael Sorenson devoted an average of 2 hours per week to related organizations.Mark Szalwinski devoted an average of 40 hours per week to related organizations.Douglas Thompson devoted an average of 1 hour per week to related organizations.Gary Yates devoted an average of 10 hours per week to related organizations.
  FORM 990, PART VI, JOINT VENTURE POLICY Form 990 Part VI line 16bThe organization has a written policy requiring evaluation of its participation in joint venture arrangements under applicable federal tax law. This policy was approved by management. The organization has also taken steps to safeguard the organization's exempt status with respect to such arrangements.
  FORM 990, PART VI, DOCUMENT RETENTION POLICY Form 990 Part VI line 14The organization has a written policy for document retention and destruction which was approved by management.
  FORM 990, PART V, FORM 1096 Number Reported in Box 3 of Form 1096Core Form Part V line 1aThe organization is the 501(c)(3) sole member or shareholder of several other organizations for which it maintains agency relationships and issues 1099s. 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 1099s attributable solely to the organization.
  FORM 990, PART IX, OTHER EXPENSES PART IX, LINE 24Due to a software limitation, line 24 (other expenses) does not appear as it should per IRS instructions. Line 24 should appear as below:24a Purchased & contracted svcs 2,399,074 24b Organization dues 1,007,530 24c Other taxes and licenses 236,558 24d Bad debt provision 75,000 24e Unrelated business income taxes (110,591)24f All other expenses 709,091 Line 24f does not exceed 10% of the amount on line 25.
  FORM 990, CORE PART III, PROG. SVS ACCOMPLISHMENTS FORM 990, PART IIISTATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSSENTARA HEALTHCAREI. YOUR NOT-FOR-PROFIT HEALTH PARTNERSENTARA HEALTHCARE IS ONE OF THE MOST PROGRESSIVE AND INTEGRATED HEALTH CARE ORGANIZATIONS IN THE NATION, PROVIDING SERVICES TO MORE THAN TWO MILLION HAMPTON ROADS VIRGINIA AND NORTHEASTERN NORTH CAROLINA RESIDENTS AND 370,000 RESIDENTS OF NORTHERN VIRGINIA. OUR MISSION IS TO IMPROVE HEALTH EVERY DAY BY PROVIDING INNOVATIVE SERVICES TO TREAT ILLNESS AND DISEASE AND TO PROMOTE THE IMPROVEMENT OF PERSONAL HEALTH.SENTARA OPERATES MORE THAN 100 CARE GIVING SITES, INCLUDING EIGHT ACUTE CARE HOSPITALS, SIX OUTPATIENT CARE FACILITIES, SEVEN NURSING FACILITIES, THREE ASSISTED LIVING FACILITIES, TWO PACE PROGRAMS, ONE SENIOR ADULT DAY HEALTH CARE CENTER, EIGHT ADVANCED IMAGING CENTERS, AND EMPLOYS 383 PHYSICIANS AND ADVANCED PRACTICE CLINICIANS. SENTARA OFFERS A FULL RANGE OF AWARD-WINNING HEALTH COVERAGE PLANS, HOME HEALTH AND HOSPICE SERVICES, PHYSICAL THERAPY AND REHABILITATION SERVICES, URGENT CARE FACILITIES, GROUND MEDICAL TRANSPORT SERVICES, AND MOBILE DIAGNOSTIC VANS. SENTARA ALSO OPERATES NIGHTINGALE - THE REGION'S FIRST AIR AMBULANCE SERVICE, WHICH BEGAN IN 1982 AS THE NATION'S 38TH AIR MEDICAL PROGRAM. NIGHTINGALE HAS FLOWN APPROXIMATELY 16,000 MISSIONS INVOLVING CRITCALLY ILL AND INJURED PATIENTS IN A 125-MILE RADIUS FROM SENTARA NORFOLK GENERAL HOSPITAL, THE REGION'S ONLY LEVEL I TRAUMA CENTER. ADDITIONALLY, SENTARA OPERATES THE REGION'S COMPREHENSIVE SOLID ORGAN TRANSPLANT CENTER WHICH HAS PERFORMED MORE THAN 2,200 TOTAL TRANSPLANTS.II. GROWING THE SENTARA FAMILYIN TODAY'S ECONOMIC ENVIRONMENT, SENTARA BELIEVES IN MAINTAINING A PRUDENT GROWTH INITIATIVE INTO MARKETS WHERE WE CAN ADD TANGIBLE VALUE AND ENHANCE COMMUNITY HEALTH SERVICES. THROUGH AFFILIATIONS WITH OTHER HOSPITALS AND HEALTHCARE ORGANIZATIONS WHO SHARE MANY OF OUR VALUES, WE ARE CREATING SERVICE DELIVERY SYSTEMS THAT SERVE COMMUNITY NEEDS AND OUR MISSION. A. SENTARA POTOMAC HOSPITALIN DECEMBER 2009, SENTARA HEALTHCARE FINALIZED ITS AFFILIATION WITH POTOMAC HOSPITAL IN NORTHERN VIRGINIA. SENTARA POTOMAC HOSPITAL (SPH) IS A 183-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN WOODBRIDGE, VA. POTOMAC HOSPITAL'S 1,000+ EMPLOYEES INCLUDE MORE THAN 250 MEDICAL STAFF MEMBERS. IT OFFERS A WIDE RANGE OF MEDICAL SPECIALTIES, A HIGHLY QUALIFIED MEDICAL AND CLINICAL STAFF, AND STATE-OF-THE-ART TECHNOLOGY REQUIRED TO UPHOLD ITS MISSION OF CARING FOR EVERYONE IN PRINCE WILLIAM COUNTY AND ITS SURROUNDING COMMUNITIES. THE SERVICE AREA POPULATION, THAT ENCOMPASSES EASTERN PRINCE WILLIAM, SOUTHERN FAIRFAX AND NORTHERN STAFFORD COUNTIES, EXCEEDS 370,000. RESIDENTS IN NORTHERN VIRGINIA WILL NOW HAVE THE OPTION OF RECEIVING CARDIOVASCULAR CARE CLOSER TO HOME, WITH THE NEW ARRAY OF SERVICES TO BE OFFERED IN THE SENTARA HEART AND VASCULAR CENTER AT POTOMAC HOSPITAL. RESIDENTS WILL ALSO BENEFIT FROM THE CONVENIENT, HIGH QUALITY CARE THAT WILL RESULT FROM THE PARTNERING OF SENTARA MEDICAL GROUP-WHICH BRINGS TOGETHER MULTI-SPECIALTY PHYSICIANS DEDICATED TO PROVIDING QUALITY PATIENT-FOCUSED CARE AND TO RAISING THE STANDARD OF HEALTHCARE IN THE REGIONS THEY SERVE-WITH PRACTICES IN NORTHERN VIRGINIA. B. FUTURE AFFILIATIONS1. RMH HEALTHCAREIN JULY 2010, SENTARA HEALTHCARE ANNOUNCED THE AFFILIATION OF SENTARA WITH RMH HEALTHCARE (FORMALLY ROCKINGHAM MEMORIAL HOSITAL). RMH IS A 238-BED, NOT-FOR-PROFIT INDEPENDENT COMMUNITY HOSPITAL LOCATED IN HARRISONBURG, VA, THAT HAS BEEN PROVIDING THE BEST IN HEALTHCARE SERVICES SINCE 1912. RMH SHARES SENTARA'S FOCUS ON PATIENT SAFETY AND QUALITY.
  FORM 990, PART V, FORM W-3 Number of Employees Reported on Form W-3Core Form Part I line 5 and Part V line 2aThe organization is the 501(c)(3) sole member or shareholder of several other organizations for which it acts as common pay agent and issues all Form W-2s. Since the organization has no reporting mechanism to determine W-2s attributable solely to the organization, the number reported represents the average number of the organization's employees paid during each payroll cycle in 2010; which approximates the number of W-2s issued by the organization on its own behalf.
Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The 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 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees 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 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 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 to conduct a study assessing the competitiveness of total compensation (including cash compensation, benefits and perquisites) of its senior executives prior to making decisions regarding annual base salary adjustments, approving incentive awards, or considering programmatic changes. The study compared the compensation of the organization's senior executives to compensation data from published survey sources based on 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 organization'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 organization'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 organization'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 Board members without conflict of interests. This process was used to establish compensation for the organization's CEO,COO/President, CFO/Treasurer, CIO and Senior Vice Presidents. The process was last undertaken during 2010 for all positions listed.
Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts TRUSTEES, 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 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 11 Form 990, Part VI, Line 11: Form 990 Review Process The organization uses 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 works closely with other 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 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The Board of Trustees, including ex officio Trustees, elect/ratify the Board of Directors, which serves as the organization's governing body.
Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder The organization has members who are individuals designated individually as Trustees and collectively as the Board of Trustees. The Board of Trustees, except ex-officio Trustees, are divided into three (3) classes of approximately equal number and are elected for terms of three (3) years. Directors of the organization serve as ex officio Trustees with the same vote as other Trustees.
Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et DAVID BERND, HOWARD KERN, AND BERTRAM REESE HAVE A BUSINESS RELATIONSHIP THROUGH COMMOM OWNERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.RICHARD F. CLARK, M.D. AND ROBERT SHUFORD HAVE A BUSINESS RELATIONSHIP THROUGH COMMON BOARD MEMBERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.HOWARD KERN AND GARY YATES HAVE A BUSINESS RELATIONSHIP THROUGH COMMON BOARD MEMBERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.R. SCOTT MORGAN, LAWRENCE A. CUMMING, AUBREY L. LAYNE JR., W. ANDREW DICKINSON, AND JOHN F. MALBON HAVE A BUSINESS RELATIONSHIP THROUGH COMMON BOARD MEMBERSHIP OF AN ENTITY UNRELATED TO THE ORGANIZATION.C. EDWARD RUSSELL, JR. AND LAWRENCE CUMMING HAVE A BUSINESS RELATIONSHIP. BOTH ARE PARTNERS IN A LAW FIRM UNRELATED TO THE ORGANIZATION.TOY D. SAVAGE, JR. AND ALLAN G. DONN HAVE A BUSINESS RELATIONSHIP THROUGH COMMON MEMBERSHIP OF A LAW FIRM 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID: 10000105
Software Version: 2010v3.2
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SENTARA HEALTHCARE
 
Employer identification number

52-1271901
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity

















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) POTOMAC HOSPITAL CORP OF PRINCE WILLIAM

6015 POPLAR HALL DRIVE

NORFOLK,VA23502
54-0853898 		HEALTH CARE VA 501(C)(3) 3 NA
 
Yes
 
(2) OPTIMA HEALTH PLAN

6015 POPLAR HALL DRIVE

NORFOLK,VA23502
54-1283337 		HMO VA 501(C)(3) 11A - I NA
 
Yes
 
(3) MPB INC

6015 POPLAR HALL DRIVE

NORFOLK,VA23502
54-1346393 		TITLE HOLDING COMPANY VA 501(C)(2)   SENTARA ENTERPRISES
 
Yes
 
(4) SENTARA LIFE CARE CORP

6015 POPLAR HALL DRIVE

NORFOLK,VA23502
54-1217183 		HEALTH CARE VA 501(C)(3) 9 NA
 
Yes
 
(5) SENTARA ENTERPRISES

6015 POPLAR HALL DRIVE

NORFOLK,VA23502
54-1917649 		HEALTH CARE VA 501(C)(3) 9 NA
 
Yes
 
(6) SENTARA MEDICAL GROUP

6015 POPLAR HALL DRIVE

NORFOLK,VA23502
54-1217184 		HEALTH CARE VA 501(C)(3) 9 NA
 
Yes
 
(7) SENTARA HOSPITALS

6015 POPLAR HALL DRIVE

NORFOLK,VA23502
54-1547408 		HEALTH CARE VA 501(C)(3) 3 NA
 
Yes
 
(8) TIDEWATER HEALTH CARE

6015 POPLAR HALL DRIVE

NORFOLK,VA23502
52-1277419 		HEALTH CARE VA 501(C)(3) 11C - III-FI NA
 
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) ORTHOPAEDIC HOSPITAL MANAGEMENT LLC

3000 COLISEUM DRIVE
HAMPTON,VA23666
27-4185117 		MGT SVCS VA SH
  		RELATED       No     No 40 %
(2) PORT WARWICK II LLC

18000 WEST SARAH LANE SUITE 250
BROOKFIELD,WI53045
20-2739075 		RENTAL RE VA SVI
  		UNRELATED -2,817 5,138,844 Yes       No 100 %
(3) CAREPLEX WEST LLC

18000 W SARAH LANE SUITE 250
BROOKFIELD,WI53045
20-2738977 		RENTAL RE VA SVI
  		UNRELATED -81,354 6,246,301 Yes       No 56.2 %
(4) POTOMAC INOVA HEALTHCARE ALLIANCE LLC

8110 GATEHOUSE RD SUITE 400W
FALLS CHURCH,VA22042
54-1802733 		HEALTHCARE VA PHC
  		RELATED 65,159 1,995,468   No     No 50 %
(5) ST LUKES PROPERTIES LLC

6015 POPLAR HALL DRIVE
NORFOLK,VA23502
27-2774684 		MOB RENTAL VA SE
  		RELATED -62,961 1,183,039   No     No 70 %
(6) SENTARA OBICI AMBULATORY SURGERY LLC

2750 GODWIN BLVD
SUFFOLK,VA23434
26-0144898 		HEALTH CARE VA SH
  		RELATED 152,863 852,215   No     No 50 %
(7) RADIOLOGY SERVICES OF HAMPTON ROADS LC

814 GREENBRIER CIRCLE STE L
CHESAPEAKE,VA23320
54-1774472 		HEALTH CARE VA SE
  		UNRELATED 163,050 922,889   No     No 25 %
(8) RADIOLOGY SERVICES OF HAMPTON ROADS LC

814 GREENBRIER CIRCLE STE L
CHESAPEAKE,VA23320
54-1774472 		HEALTH CARE VA SH
  		UNRELATED 163,050 922,888   No     No 25 %
(9) HEALTHCARE PERFORMANCE IMPROVEMENT LLC

5041 CORPORATE WOODS DR STE 180
VIRGINIA BEACH,VA23462
20-4024074 		CONSULTING VA SVI
  		UNRELATED 429,424 711,293   No     No 39.6 %
(10) HAMPTON ROADS LITHOTRIPSY LLC

6333 CENTER DRIVE BLDG 16
NORFOLK,VA23502
20-0942600 		HEALTH CARE VA SVI
  		UNRELATED 411,516 197,965   No     No 33.33 %
(11) CANCER CENTERS OF VA LLC

5900 LAKE WRIGHT DRIVE
NORFOLK,VA23502
20-1338518 		HEALTH CARE VA SH
  		RELATED -23,194 7,682,275   No     No 50 %
(12) AMER HEALTH EVAL CTR-WMSBG LLC

PO BOX 3508
WILLIAMSBURG,VA23187
26-3761741 		HEALTH CARE VA SVI
  		UNRELATED -83,446 383,352   No     No 20 %
(13) VA BEACH AMBULATORY SERVICE CENTER

1700 WILL O WISP DRIVE
VA BEACH,VA23454
54-1448218 		HEALTH CARE VA CHS
  		RELATED 119,616 328,529   No     No 5 %
(14) VA BEACH AMBULATORY SURGERY CENTER

1700 WILL O WISP DRIVE
VA BEACH,VA23454
54-1448218 		HEALTH CARE VA SH
  		RELATED 1,076,541 2,954,823   No     No 45 %
(15) PRINCESS ANNE AMB SURG MGT LLC

1975 GLENN MITCHELL SUITE 300
VA BEACH,VA23456
20-4920880 		HEALTH CARE VA SH
  		RELATED 880,085 1,500,581   No     No 53.32 %
(16) OBICI REAL ESTATE HOLDINGS LLC

6015 POPLAR HALL DRIVE
NORFOLK,VA23502
26-1749881 		RE RENTAL VA SH
  		RELATED 56,664 705,411   No     No 56 %
(17) MANAGEMENT SERVICES

814 GREENBRIER CIRCLE
CHESAPEAKE,VA23320
54-1365012 		HLTH MGT SV VA SH
  		EXCLUDED 1,780 210,306   No     No 20 %
(18) MANAGEMENT SERVICES LLC

814 GREENBRIER CIRCLE
CHESAPEAKE,VA23320
54-1365012 		HLTH MGT SV VA SVI
  		Excluded 3,560 420,607   No     No 40 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) BAY PRIMEX INSURANCE COMPANY LTD
PO BOX 1051
GRAND CAYMAN   KY1-1102
CJ
99-9999999 		INSURANCE CJ NA
  		C CORP 11,381,760 63,783,615 100.000 %
(2) POTOMAC VENTURES CORP
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
54-1441420 		PHARMACY VA POTOMAC HOSPITAL CORP
  		C CORP 306,804 1,103,150 100.000 %
(3) SENTARA OBICI MED MGT SERVICES
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
54-1020941 		HEALTH CARE VA SEN OBICI PROF CTR
  		C CORP   48,825 100.000 %
(4) SENTARA OBICI PROFESSIONAL CENTER
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
54-1445865 		RE RENTAL VA SENTARA HOLDINGS INC
  		C CORP 167,946 2,032,244 100.000 %
(5) SMG INNOVATIONS INC
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
20-3730331 		HEALTH CARE VA SENTARA MEDICAL GROUP
  		C CORP 5,521,335 1,440,175 100.000 %
(6) SENTARA VENTURES INC
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
54-1688615 		HOLDING COMPANY VA SENTARA HOLDINGS INC
  		C CORP 11,593,473 16,869,882 100.000 %
(7) SENTARA HAMPTON SERVICES CORP
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
54-1682025 		FITNESS CENTER VA SENTARA HOLDINGS INC
  		C CORP     100.000 %
(8) OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
62-1382666 		MENTAL HEALTH SVCS VA SENTARA HEALTH PLANS INC
  		C CORP 31,941,766 2,925,800 100.000 %
(9) OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
54-1642752 		HEALTH INSURANCE VA SENTARA HEALTH PLANS INC
  		C CORP 186,729,117 58,920,319 100.000 %
(10) OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
54-1473382 		HMO VA SENTARA HEALTH PLANS INC
  		C CORP 16,276 2,523,639 100.000 %
(11) SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
52-2368125 		TPA VA SENTARA HOLDINGS INC
  		C CORP 10,628,295 56,830,846 100.000 %
(12) SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVE
NORFOLK,VA23502
54-1555638 		HOLDING COMPANY VA N/A
 C CORP   4,640,385 100.000 %
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) BAY PRIMEX INSURANCE COMPANY LTD

 r 1,923,418 CORP BOOKS/REC
(2) SMG INNOVATIONS INC

 p 261,673 COPR BOOKS/REC
(3) SENTARA HEALTH PLANS INC

 p 17,953,089 CORP BOOKS/REC
(4) SENTARA HEALTH PLANS INC

 o 586,740 CORP BOOKS/REC
(5) SENTARA HEALTH PLANS INC

 n 869,646 CORP BOOKS/REC
(6) SENTARA HEALTH PLANS INC

 m 119,851 CORP BOOKS/REC
(7) SENTARA HEALTH PLANS INC

 l 4,495,688 CORP BOOKS/REC
(8) SENTARA HEALTH PLANS INC

 k 11,851,301 CORP BOOKS/REC
(9) SENTARA HOLDINGS INC

 b 10,000,000 CORP BOOKS/REC
(10) PRINCESS ANNE AMB SURG MGT LLC

 p 87,230 CORP BOOKS/REC
(11) POTOMAC HOSPITAL CORP OF PRINCE WILLIAM

 n 61,830 CORP BOOKS/REC
(12) OPTIMA HEALTH PLAN

 r 18,000,000 CORP BOOKS/REC
(13) MPB INC

 r 1,895,152 CORP BOOKS/REC
(14) MPB INC

 j 106,479 CORP BOOKS/REC
(15) MPB INC

 b 2,155,260 CORP BOOKS/REC
(16) SENTARA LIFE CARE CORP

 r 76,277,646 CORP BOOKS/REC
(17) SENTARA LIFE CARE CORP

 k 4,613,426 CORP BOOKS/REC
(18) SENTARA LIFE CARE CORP

 c 8,785,827 CORP BOOKS/REC
(19) SENTARA ENTERPRISES

 r 82,610,586 CORP BOOKS/REC
(20) SENTARA ENTERPRISES

 q 1,054,011 CORP BOOKS/REC
(21) SENTARA ENTERPRISES

 p 3,647,360 CORP BOOKS/REC
(22) SENTARA ENTERPRISES

 l 325,067 CORP BOOKS/REC
(23) SENTARA ENTERPRISES

 k 7,101,448 CORP BOOKS/REC
(24) SENTARA ENTERPRISES

 c 1,875,452 CORP BOOKS/REC
(25) SENTARA MEDICAL GROUP

 r 215,912,184 CORP BOOKS/REC
(26) SENTARA MEDICAL GROUP

 n 82,504 CORP BOOKS/REC
(27) SENTARA MEDICAL GROUP

 k 6,266,492 CORP BOOKS/REC
(28) SENTARA MEDICAL GROUP

 c 527,310 CORP BOOKS/REC
(29) SENTARA MEDICAL GROUP

 b 58,965,565 CORP BOOKS/REC
(30) SENTARA HOSPITALS

 r 1,608,750,148 CORP BOOKS/REC
(31) SENTARA HOSPITALS

 q 237,603 CORP BOOKS/REC
(32) SENTARA HOSPITALS

 p 142,913 CORP BOOKS/REC
(33) SENTARA HOSPITALS

 o 185,919 CORP BOOKS/REC
(34) SENTARA HOSPITALS

 m 379,140 CORP BOOKS/REC
(35) SENTARA HOSPITALS

 l 469,362 CORP BOOKS/REC
(36) SENTARA HOSPITALS

 k 32,784,203 CORP BOOKS/REC
(37) SENTARA HOSPITALS

 c 190,766,541 CORP BOOKS/REC
(38) SENTARA HOSPITALS

 b 157,706,334 CORP BOOKS/REC
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID: 10000105
Software Version: 2010v3.2