Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 2a · Program service revenue: SUBSCRIBER PREMIUMS

  total $6,463,225,163 · related or exempt $6,456,333,414 · unrelated business $6,891,749

• 3 · Investment income

  total $38,882,894 · excluded $38,882,894

• 7a · Gross sales of assets other than inventory

  securities $12,493,829,346

• 7b · Less cost or other basis and sales expenses

  securities $12,497,940,866 · other assets $1,515,254

• 7c · Gain or loss

  securities -$4,111,520 · other assets -$1,515,254

• 7d · Net gain or loss

  total -$5,626,774 · excluded -$5,626,774

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $2,510,431 · program services $2,069,850 · management and general $440,581

• 11f · Fees: investment management

  total $908,673 · program services $749,201 · management and general $159,472

• 11g · Fees: other

  total $770,271,597 · program services $642,244,965 · management and general $128,026,632

• 22 · Depreciation, depletion and amortization

  total $1,852,076 · program services $1,527,037 · management and general $325,039

• 24a · Other expenses: MEDICAL CLAIMS & CAPITA

  total $7,001,578,915 · program services $7,001,578,915

• 24b · Other expenses: TAXES & LICENSES

  total $10,606,168 · program services $10,606,168

• 24c · Other expenses: UBIT

  total $29,503 · program services $29,503

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $145,213,515 · end of year $478,350,817

• 4 · Accounts receivable

  beginning of year $669,601,226 · end of year $629,665,510

• 9 · Prepaid expenses and deferred charges

  beginning of year $24,486,180 · end of year $27,662,654

• 10a · Land, buildings and equipment: cost or other basis

  $21,432,905

• 10b · Land, buildings and equipment: accumulated depreciation

  $14,167,230

• 10c · Land, buildings and equipment, net

  beginning of year $10,263,002 · end of year $7,265,675

• 11 · Investments: publicly traded securities

  beginning of year $636,680,439 · end of year $481,933,134

• 14 · Intangible assets

  beginning of year $17,565,065 · end of year $17,185,065

• 15 · Other assets

  beginning of year $121,781,452 · end of year $73,584,558

• 17 · Accounts payable and accrued expenses

  beginning of year $33,010,480 · end of year $41,228,457

• 19 · Deferred revenue

  beginning of year $3,293,320 · end of year $11,120,967

• 25 · Other liabilities

  beginning of year $760,351,056 · end of year $1,415,535,343

• 29 · Capital stock, trust principal or current funds

  beginning of year $0 · end of year $0

• 30 · Paid-in or capital surplus, or land, building or equipment fund

  beginning of year $0 · end of year $0

• 31 · Retained earnings, endowment or other funds

  beginning of year $828,936,023 · end of year $247,762,646

The filer's explanations (Part III)

PART I, LINE 3

SENTARA HEALTH, THE 501(C)(3) TAX EXEMPT PARENT OF THE SENTARA HEALTH SYSTEM, ESTABLISHED THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL THROUGH THE USE OF A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A COMPENSATION STUDY, AND APPROVAL BY SENTARA HEALTH'S COMPENSATION COMMITTEE. THE MOST RECENT COMPENSATION ANALYSIS AND RECOMMENDATIONS WERE SUBMITTED TO THE COMPENSATION COMMITTEE IN 2024. SENTARA HEALTH RECOGNIZES THAT PROVIDING THE BEST POSSIBLE CARE REQUIRES US TO ATTRACT AND RETAIN THE VERY BEST EMPLOYEES. OUR ORGANIZATION IS COMMITTED TO INVESTING IN OUR PEOPLE BY OFFERING COMPETITIVE COMPENSATION OPPORTUNITIES AND A STRONG WORKPLACE ENVIRONMENT. THE SENTARA HEALTH BOARD HAS DIRECTED A COMMITTEE OF INDEPENDENT, CONFLICT-FREE BOARD MEMBERS TO DEVOTE THEIR TIME AND ATTENTION TO THE OVERSIGHT OF SENTARA HEALTH'S EXECUTIVE COMPENSATION AND BENEFITS PROGRAMS. THE COMPENSATION COMMITTEE CONSISTS OF PROFESSIONAL, EXPERIENCED, AND DEDICATED BOARD MEMBERS WHO TAKE THIS RESPONSIBILITY VERY SERIOUSLY. THE COMPENSATION COMMITTEE FOLLOWS GOVERNANCE BEST PRACTICES IN THE REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE IS ASSISTED BY OUTSIDE ADVISORS WHO ARE ENGAGED BY THE COMMITTEE.

PART I, LINE 4B

ROBERT BROERMANN, PATRICIA DARNLEY, COLIN DROZDOWSKI, EARL BARNES, II, AND DENNIS MATHEIS PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY SENTARA HEALTH'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. EFFECTIVE JANUARY 1, 2023, VESTING OF CONTRIBUTIONS EXPANDED TO INCLUDE AGE 60 WITH 5 YEARS OF SERVICE FROM THE DATE OF HIRE, OR AGE 65 WITH 2 YEARS OF SERVICE FROM THE CAA PLAN ENTRY DATE. UNDER THE OLD TERMS, VESTING OF CONTRIBUTIONS MADE PRIOR TO JANUARY 1, 2009 OCCURS ON THE EARLIEST OF ASSIGNED DISTRIBUTION DATE, DEATH, INVOLUNTARY TERMINATION WITHOUT CAUSE OR COMPLETION OF TWO-YEAR NON-COMPETE AFTER VOLUNTARY TERMINATION (REGARDLESS OF ORIGINAL ASSIGNED DISTRIBUTION DATE). FICA AND FUTA TAXATION OF PRE-2009 CONTRIBUTIONS MAY OCCUR EARLIER THAN FEDERAL INCOME TAXATION IN ACCORDANCE WITH APPLICABLE LAW. DURING 2024, THE FOLLOWING CORPORATE EXECUTIVES RECEIVED TAXABLE DISTRIBUTIONS UNDER THE PLAN: ROBERT BROERMANN ($245,580); PATRICIA DARNLEY ($280,874); AND DENNIS MATHEIS ($468,400). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II. DURING THE CURRENT TAX YEAR, KHALED R GHALY PARTICIPATED IN THE SENTARA NON-QUALIFIED DEFERRED COMPENSATION PLAN. A NEW PLAN YEAR BEGINS EACH JANUARY 1ST. ELIGIBILITY REQUIRES THAT AN EMPLOYEE MUST BE IN THE TOP 5% BY SALARY AND HAVE COMPENSATION GREATER THAN OR EQUAL TO THE HIGHLY COMPENSATED AMOUNT SET BY THE PLAN IN ORDER TO PARTICIPATE. PARTICIPANTS MUST MAKE THEIR ELECTIONS IN THE YEAR PRECEDING THE DEFERRAL YEAR AND SELECT A DISTRIBUTION DATE. NEW ELECTIONS MUST BE MADE EACH YEAR. ALL PARTICIPANTS ARE 100% VESTED IN THEIR ACCOUNT BALANCES AND LUMP SUM IS THE FORM OF PAYMENT AT THE DISTRIBUTION DATE UNLESS A 5 OR 10 YEAR INSTALLMENT PAYMENT WAS SELECTED.

PART I, LINE 7

DURING THE CURRENT TAX YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE. LONG TERM INCENTIVE PROGRAM - EXECUTIVES LEADERS WHO ARE LARGELY RESPONSIBLE FOR OVERALL POLICY, DIRECTION, AND SUCCESSFUL PERFORMANCE OF THE SYSTEM AND PLAY CRITICAL ROLES IN STRATEGIC INITIATIVES MEASURED BY THE PLAN ARE ELIGIBLE FOR LONG-TERM INCENTIVE AWARDS BASED ON ACHIEVING LONG-TERM PERFORMANCE OBJECTIVES AND SPECIFIC AWARD OPPORTUNITIES (AS A PERCENTAGE OF BASE SALARY) SET BY THE SYSTEM'S COMPENSATION COMMITTEE. AWARDS ARE AT THE SOLE DISCRETION OF THE COMMITTEE, AND NO PARTICIPANT HAS ANY LEGALLY BINDING RIGHT TO AN AWARD UNTIL THE COMMITTEE HAS HAD AN OPPORTUNITY TO EXERCISE THAT DISCRETION. A NEW 3-YEAR CYCLE BEGINS EACH YEAR. KEY CONTRIBUTOR AWARDS - REWARDS EXCEPTIONAL INDIVIDUALS OR TEAMS FOR SIGNIFICANT CONTRIBUTION AND RESULTS AS RECOGNIZED BY BUSINESS UNITS. MANAGER INCENTIVE PLAN - MANAGEMENT EMPLOYEES NOT COVERED UNDER ANOTHER INCENTIVE PLAN ARE ELIGIBLE FOR THE MANAGEMENT INCENTIVE PLAN. AWARDS ARE BASED ON SYSTEM YEAR-END RESULTS AND THE MANAGER'S INDIVIDUAL PERFORMANCE SCORE. SYSTEM, BUSINESS UNIT, AND INDIVIDUAL RESULTS ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION.

PART I LINE 4

CERTAIN SENIOR EXECUTIVES OF THE SENTARA HEALTH SYSTEM ARE COVERED BY THE SENTARA HEALTH EXECUTIVE CHANGE IN CONTROL AND SEVERANCE BENEFIT PLAN. THE PLAN PROVIDES FOR SPECIFIED SEVERANCE PAY AND BENEFITS IN THE EVENT OF INVOLUNTARY TERMINATION OF EMPLOYMENT THAT OCCURS: (1) IN THE ORDINARY COURSE OF EMPLOYMENT OR (2) WITHIN TWO YEARS FOLLOWING A QUALIFYING CHANGE IN CONTROL TO ELIGIBLE INDIVIDUALS AS DEFINED IN THE PLAN. PLAN BENEFITS VARY BASED UPON AN ELIGIBLE INDIVIDUAL'S TIER LEVEL AND WHETHER THE TERMINATION IS OR IS NOT WITHIN TWO YEARS FOLLOWING A CHANGE IN CONTROL, BUT GENERALLY RANGE BETWEEN 12-18 MONTHS. THE PLAN IS UNFUNDED AND DESIGNED AS AN ERISA TOP HAT WELFARE BENEFIT PLAN. INDIVIDUALS THAT ARE NOT ELIGIBLE TO PARTICIPATE IN THE PLAN MAY BE COVERED UNDER INDIVIDUAL ARRANGEMENTS DEPENDING ON POSITION AND QUALIFYING CIRCUMSTANCES.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• MANAGEMENT SERVICES LLC

  HLTH MGT SV · VA

• PRINCESS ANNE AMB SURG MGT LLC

  HEALTHCARE · VA

• VA BEACH AMBULATORY SURGERY CENTER

  HEALTHCARE · VA

• CANCER CENTERS OF VA LLC

  HEALTHCARE · VA

• HAMPTON ROADS LITHOTRIPSY LLC

  HEALTHCARE · VA

• SENTARA OBICI AMBULATORY SURGERY LLC

  HEALTHCARE · VA

• POTOMAC INOVA HEALTHCARE ALLIANCE LLC

  HEALTHCARE · VA

• CAREPLEX ORTHOPAEDIC ASC LLC

  HEALTHCARE · VA · general or managing partner

• PHYSICAL THERAPY ACACLLC

  HEALTHCARE · VA

• MNS SUPPLY CHAIN NETWORK LLC

  GPO · DE · general or managing partner

• LAKE RIDGE AMBULATORY SURGERY CENTER LLC

  HEALTHCARE · VA

• CAHABA PARTNERS CORE FIXED INCOME FUND

  POOLED INV FD · DE

• CAHABA PARTNERS PUBLIC INFLATION HEDGES FD

  POOLED INV FD · DE

• LEIGH ORTHOPEDIC SURGERY CENTER LLC

  HEALTHCARE · VA

• SURGICAL SUITES OF COASTAL VIRGINIA LLC

  HEALTHCARE · VA

• PORT WARWICK SURGERY CENTER LLC

  HEALTHCARE · VA · general or managing partner

• CAHABA PARTNERS EQUITY PLUS FUND

  POOLED INV FD · DE

• CAHABA PARTNERS TACTICAL EQUITY FUND

  POOLED INV FD · DE

• HA INTL EQUITY CEF FD CL-A

  POOLED INV FD · DE

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• SENTARA HOLDINGS INC

  C · HOLDING COMPANY · VA · controlled entity

• SENTARA HEALTH ADMINISTRATION INC

  C · TPA · VA · controlled entity

• OPTIMA HEALTH GROUP INC

  C · HMO · VA · controlled entity

• SENTARA HEALTH INSURANCE COMPANY

  C · HEALTH INSURANCE · VA · controlled entity

• SENTARA BEHAVIORAL HEALTH SERVICES

  C · MENTAL HEALTH SVCS · VA · controlled entity

• SENTARA VENTURES INC

  C · HOLDING COMPANY · VA · controlled entity

• SENTARA HEALTH INSURANCE CO OF NC

  C · HEALTH INSURANCE · NC · controlled entity

• SENTARA HEALTH PLANS OF NC INC

  C · TPA · NC · controlled entity

• MANAGED CARE SERVICES INC

  C · ALT HEALTH DELIVERY · VA · controlled entity

• SENTARA SOUTHSIDE HEALTH SERVICES INC

  C · HEALTH SERVICES · VA · controlled entity

• DOMINION HEALTH MEDICAL ASSOCIATES LTD

  C · PHYS PRACTICE · VA · controlled entity

• SMG INNOVATIONS INC

  C · HEALTHCARE · VA · controlled entity

• POTOMAC VENTURES CORPORATION

  C · HOLDING COMPANY · VA · controlled entity

• ROCKINGHAM HEALTH SERVICES INC

  C · CONTRACTING SVCS · VA · controlled entity

• MARTHA JEFFERSON MEDICAL ENTERPRISES INC

  C · MEDICAL BILLING SVCS · VA · controlled entity

• BAY PRIMEX INSURANCE COMPANY LTD

  C · OTHER INSURANCE FUNDS · CJ · controlled entity

• ALBEMARLE PHYSICIAN SERVICES-SENTARA INC

  C · PHYS PRACTICE · NC · controlled entity

• THE PORT WARWICK MEDICAL ARTS BUILDING ASSOCIATION

  C · BUILDING ASSOCIATION · VA · controlled entity

• MEDSTREAMING EGYPT SOFTWARE

  C · CONSULTING · EG · controlled entity

• CAHABA PARTNERS TOTAL RETURN FUND LTD

  C · POOLED INV FD · CJ

• FIVOS INC

  C · HEALTHCARE IT · DE · controlled entity

• MEDICAL METRX HOLDING INC

  C · HOLDING COMPANY · DE · controlled entity

• M2S INC

  C · DATA COLLECTION/AGGREGATION · DE · controlled entity

• AVMED ADMINISTRATORS INC

  C · TPA SERVICES · FL · controlled entity

• SOLUS SPC OFFSHORE FUND LTD

  C · INVESTMENTS · CJ