Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $70,786,442

• 1f · All other contributions, gifts and grants

  $2,615,040

• 2a · Program service revenue: SUPPORT SERVICES

  total $312,217,265 · related or exempt $312,037,562 · unrelated business $179,703

• 2b · Program service revenue: MEDICARE SSP

  total $22,293,489 · related or exempt $22,293,489

• 2c · Program service revenue: SQCN

  total $6,552,499 · related or exempt $3,978,054 · unrelated business $2,574,445

• 3 · Investment income

  total $114,001,664 · excluded $114,001,664

• 7a · Gross sales of assets other than inventory

  securities $10,740,599,753 · other assets $600

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

  securities $9,831,048,788 · other assets $18,500

• 7c · Gain or loss

  securities $909,550,965 · other assets -$17,900

• 7d · Net gain or loss

  total $909,533,065 · excluded $909,533,065

• 11a · Other revenue: OTHER

  total $8,218,842 · related or exempt $8,218,842

• 11b · Other revenue: SUBPART F INCOME

  total $2,514,441 · unrelated business $709,893 · excluded $1,804,548

• 11c · Other revenue: LOSS FROM PARTNERSHIPS

  total -$3,470,139 · unrelated business -$3,470,139

• 11d · All other revenue

  total -$183,381,849 · related or exempt -$183,381,849

• 11e · Other revenue, total

  -$176,118,705

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $65,076,247 · program services $65,076,247

• 5 · Compensation of officers, directors and key employees

  total $24,813,834 · program services $20,458,451 · management and general $4,355,383

• 7 · Other salaries and wages

  total $134,756,814 · program services $111,103,981 · management and general $23,420,357 · fundraising $232,476

• 8 · Pension plan contributions

  total $9,194,937 · program services $7,581,020 · management and general $1,607,779 · fundraising $6,138

• 9 · Other employee benefits

  total $26,123,428 · program services $21,538,182 · management and general $4,560,315 · fundraising $24,931

• 10 · Payroll taxes

  total $9,615,323 · program services $7,927,619 · management and general $1,669,972 · fundraising $17,732

• 11a · Fees: management

  total $4,732,075 · program services $3,901,490 · management and general $830,585

• 11b · Fees: legal

  total $11,766,499 · program services $9,701,215 · management and general $2,065,284

• 11c · Fees: accounting

  total $4,896,409 · program services $4,036,980 · management and general $859,429

• 11d · Fees: lobbying

  total $65,973 · program services $54,393 · management and general $11,580

• 11e · Fees: professional fundraising services

  total $192,583 · fundraising $192,583

• 11f · Fees: investment management

  total $9,695,020 · program services $7,993,327 · management and general $1,701,693

• 11g · Fees: other

  total $83,937,724 · program services $74,866,456 · management and general $9,071,268

• 12 · Advertising and promotion

  total $13,881,427 · program services $11,444,926 · management and general $2,387,319 · fundraising $49,182

• 13 · Office expenses

  total $3,549,863 · program services $2,926,783 · management and general $605,935 · fundraising $17,145

• 14 · Information technology

  total $3,784,585 · program services $3,120,306 · management and general $635,608 · fundraising $28,671

• 16 · Occupancy

  total $7,056,736 · program services $5,818,121 · management and general $1,238,615

• 17 · Travel

  total $981,913 · program services $809,565 · management and general $162,840 · fundraising $9,508

• 19 · Conferences, conventions and meetings

  total $236,122 · program services $194,677 · management and general $39,746 · fundraising $1,699

• 20 · Interest

  total $11,844,780 · program services $9,765,756 · management and general $2,079,024

• 22 · Depreciation, depletion and amortization

  total $738,822 · program services $609,142 · management and general $129,680

• 23 · Insurance

  total $4,128,441 · program services $3,403,807 · management and general $724,634

• 24a · Other expenses: PURCHASED & CONTRACTED

  total $7,980,493 · program services $6,579,738 · management and general $1,167,657 · fundraising $233,098

• 24b · Other expenses: ORGANIZATIONAL DUES

  total $3,514,582 · program services $2,897,694 · management and general $610,804 · fundraising $6,084

• 24c · Other expenses: UNRELATED BUSINESS TAX

  total $247,441 · program services $247,441

• 24d · Other expenses: OTHER

  total $5,344,630 · program services $4,406,528 · management and general $935,720 · fundraising $2,382

• 24e · All other expenses

  total -$4,620,541 · program services -$3,615,370 · management and general -$1,005,171

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $810,955,913 · end of year $370,537,965

• 3 · Pledges and grants receivable

  beginning of year $3,857,600 · end of year $3,192,749

• 7 · Other notes and loans receivable

  beginning of year $122,099,983 · end of year $120,204,353

• 9 · Prepaid expenses and deferred charges

  beginning of year $13,884,802 · end of year $16,653,321

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

  $39,566,313

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

  $22,928,147

• 10c · Land, buildings and equipment, net

  beginning of year $9,278,359 · end of year $16,638,166

• 11 · Investments: publicly traded securities

  beginning of year $978,559,093 · end of year $4,884,669,238

• 12 · Investments: other securities

  beginning of year $4,788,554,836 · end of year $1,090,034,756

• 14 · Intangible assets

  beginning of year $4,764,728 · end of year $32,096,184

• 15 · Other assets

  beginning of year $412,466,119 · end of year $703,275,732

• 17 · Accounts payable and accrued expenses

  beginning of year $167,104,611 · end of year $133,038,775

• 18 · Grants payable

  beginning of year $9,239,926 · end of year $15,771,796

• 19 · Deferred revenue

  end of year $60,130

• 20 · Tax-exempt bond liabilities

  beginning of year $1,624,516,246 · end of year $1,596,633,889

• 25 · Other liabilities

  beginning of year $207,397,988 · end of year $252,956,259

• 27 · Net assets without donor restrictions

  beginning of year $5,117,924,432 · end of year $5,221,224,647

• 28 · Net assets with donor restrictions

  beginning of year $18,238,230 · end of year $17,616,968

The filer's explanations (Part III)

PART I, LINE 1A

THE ORGANIZATION PAID TAXABLE RELOCATION EXPENSES AND HOUSING ALLOWANCES FOR EXECUTIVE RECRUITS AND PROVIDED A HOUSING ALLOWANCE TO A SENIOR EXECUTIVE RELATED TO RELOCATION. THE ORGANIZATION ALSO COVERED THE ASSOCIATED TAXES ON THESE BENEFITS, ALL OF WHICH WERE TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES. CHARTER TRAVEL WAS PROVIDED TO THE ORGANIZATION'S CEO AND ONE SENIOR EXECUTIVE FOR BUSINESS-RELATED PURPOSES. THE USE OF CHARTERED TRANSPORTATION WAS DEEMED NECESSARY TO ACCOMMODATE SCHEDULING AND TO SUPPORT THE TIMELY EXECUTION OF ORGANIZATIONAL RESPONSIBILITIES. ALL TRAVEL WAS DIRECTLY CONNECTED TO THE ORGANIZATION'S OPERATIONS AND MISSION-RELATED ACTIVITIES.

PART I, LINES 4A-B

GRACE HINES RECEIVED $240,471 IN COMPENSATION RELATED TO HER SEPARATION FROM SERVICE. THIS AMOUNT HAS BEEN INCLUDED IN COLUMN (B)(III) OF SCHEDULE J, PART II. HOWARD KERN PARTICIPATED IN THE SENTARA SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AND HAS ATTAINED NORMAL RETIREMENT AGE UNDER THE PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO SELECT INDIVIDUALS AS APPROVED BY THE ORGANIZATIONS' BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. THE PLAN IS CURRENTLY CLOSED TO ADDITIONAL MEMBERS. THE PLAN IS A DEFINED BENEFIT ARRANGEMENT UNDER WHICH MEMBERS ACCRUE AN ANNUAL FORMULA-BASED BENEFIT DURING EACH YEAR OF COVERED EMPLOYMENT, WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE FOR FEDERAL INCOME TAX PURPOSES UNTIL THE COMPLETION OF A TWO YEAR NON-COMPETE PERIOD FOLLOWING TERMINATION OR UPON DEATH. FICA AND FUTA TAXATION OF PORTIONS OF THE ACCRUED BENEFIT MAY OCCUR EARLIER THAN FEDERAL INCOME TAXATION IN ACCORDANCE WITH APPLICABLE LAW. DISTRIBUTION OF PLAN BENEFITS MAY OCCUR AT THE DATE OF APPLICABLE TAXATION (TO THE EXTENT REQUIRED TO COVER APPLICABLE TAXES) AND IN ACCORDANCE WITH THE PARTICIPANT'S ELECTED INSTALLMENT DISTRIBUTION SCHEDULE FOLLOWING TERMINATION OF EMPLOYMENT, SUBJECT TO ADHERENCE WITH THE NON-COMPETE RESTRICTIONS. IN THE CURRENT YEAR, MR. KERN RECEIVED A DISTRIBUTION OF $2,791,475. HOWARD KERN, ROBERT BROERMANN, MEGAN PERRY, DENNIS MATHEIS, BECKY SAWYER, JORDAN ASHER, AUBREY LAYNE, MELINDA HANCOCK, EARL BARNES, II, ERIC CONLEY, PRASANA MOHANTY, AND ADAM HOLYK PARTICIPATED IN THE SENTARA CAPITAL ACCUMULATION ACCOUNT PLAN. THE CAPITAL ACCUMULATION PLAN IS A NONQUALIFIED DEFERRED COMPENSATION PROGRAM. SUCH PLANS ARE COMMONLY OFFERED TO NOT-FOR-PROFIT HEALTH CARE EXECUTIVES TO PROVIDE ADDITIONAL RETIREMENT BENEFITS TO SUPPLEMENT LIMITATIONS IN QUALIFIED PLANS. PARTICIPATION IS LIMITED TO A SELECT GROUP OF CORPORATE EXECUTIVES AS APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTOR'S COMPENSATION COMMITTEE. TERMS OF THE PLAN CHANGED EFFECTIVE JANUARY 1, 2009, WHEREBY VESTING OF CONTRIBUTIONS MADE ON OR AFTER THAT DATE NOW OCCURS ON THE EARLIER OF FIVE YEARS FOR EACH YEARS' CONTRIBUTIONS OR AGE 55 WITH 10 YEARS OF SERVICE. 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); HOWARD KERN ($571,538); MEGAN PERRY ($129,496); BECKY SAWYER ($642,924); AUBREY LAYNE ($118,360); JORDAN ASHER ($877,309); AND DENNIS MATHEIS ($468,400). THESE AMOUNTS HAVE BEEN REPORTED IN COLUMN (B)(III) OF SCHEDULE J, PART II.

PART I, LINE 7

DURING THE CURRENT TAX YEAR, THE ORGANIZATION MADE NON-FIXED PAYMENTS OF COMPENSATION UNDER THE FOLLOWING INCENTIVE PROGRAMS: ANNUAL INCENTIVE PROGRAM - EXECUTIVES AND SENIOR LEADERS ARE ELIGIBLE FOR ANNUAL AWARDS BASED ON SYSTEM AND INDIVIDUAL PERFORMANCE. BOTH SYSTEM AND INDIVIDUAL SCORES ARE DETERMINED AFTER YEAR-END, AT WHICH POINT AWARDS MAY BE PAID AND REPORTED AS COMPENSATION. TARGET AND MAXIMUM OPPORTUNITIES VARY BY LEVEL. TOP HAT- WITHIN THE ANNUAL INCENTIVE PROGRAM, EXECUTIVES AND SENIOR LEADERS MAY RECEIVE ADDITIONAL INCENTIVE PAY TO REWARD EXCEPTIONAL INDIVIDUAL PERFORMANCE. 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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• SENTARA QUALITY CARE NETWORK LLC

  HEALTHCARE · VA · income $6,534,899 · assets $143,526

  Directly controlled by SENTARA HEALTH

• SENTARA ACCOUNTABLE CARE ORGANIZATION LLC

  HEALTHCARE · VA · income $22,293,489 · assets $80,124

  Directly controlled by SENTARA HEALTH

• SENTARA HOLDINGS FLORIDA LLC

  HOLDING COMPANY · FL · income $0 · assets $0

  Directly controlled by SENTARA HEALTH

Related partnerships

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

• MANAGEMENT SERVICES LLC

  UNRELATED · HLTH MGT SV · VA · 40% owned · share of income -$1,216 · share of assets $204,822

  Directly controlled by SVI

• MANAGEMENT SERVICES LLC

  UNRELATED · HLTH MGT SV · VA · 20% owned · share of income -$607 · share of assets $102,418

  Directly controlled by SH

• PRINCESS ANNE AMB SURG MGT LLC

  RELATED · HEALTHCARE · VA · 52.6% owned · share of income $2,587,244 · share of assets $4,545,805

  Directly controlled by SH

• VA BEACH AMBULATORY SURGERY CENTER

  RELATED · HEALTHCARE · VA · 50% owned · share of income $580,276 · share of assets $3,994,471

  Directly controlled by SH

• CANCER CENTERS OF VA LLC

  RELATED · HEALTHCARE · VA · 50% owned · share of income -$275,564 · share of assets $5,669,514

  Directly controlled by SH

• HAMPTON ROADS LITHOTRIPSY LLC

  UNRELATED · HEALTHCARE · VA · 33.33% owned · share of income $104,395 · share of assets $64,889

  Directly controlled by SVI

• SENTARA OBICI AMBULATORY SURGERY LLC

  RELATED · HEALTHCARE · VA · 64.86% owned · share of income $1,740,760 · share of assets $7,856,774

  Directly controlled by SH

• POTOMAC INOVA HEALTHCARE ALLIANCE LLC

  RELATED · HEALTHCARE · VA · 50% owned · share of income $635,209 · share of assets $3,362,783

  Directly controlled by PHC

• CAREPLEX ORTHOPAEDIC ASC LLC

  RELATED · HEALTHCARE · VA · 50% owned · share of income $3,393,483 · share of assets $3,418,015 · general or managing partner

  Directly controlled by SH

• PHYSICAL THERAPY ACACLLC

  UNRELATED · HEALTHCARE · VA · 50% owned · share of income -$241,355 · share of assets $135,183

  Directly controlled by MJME

• MNS SUPPLY CHAIN NETWORK LLC

  UNRELATED · GPO · DE · 33.33% owned · share of income $4,204 · share of assets $24,870 · general or managing partner

  Directly controlled by SHC

• LAKE RIDGE AMBULATORY SURGERY CENTER LLC

  RELATED · HEALTHCARE · VA · 58.82% owned · share of income $137,836 · share of assets $3,631,912

  Directly controlled by PHC

• CAHABA PARTNERS CORE FIXED INCOME FUND

  EXCLUDED · POOLED INV FD · DE · 98.01% owned · share of income -$30,091,211 · share of assets $109,016

  Directly controlled by SHC

• CAHABA PARTNERS PUBLIC INFLATION HEDGES FD

  EXCLUDED · POOLED INV FD · DE · 71.33% owned · share of income -$19,995,480

  Directly controlled by SHC

• LEIGH ORTHOPEDIC SURGERY CENTER LLC

  RELATED · HEALTHCARE · VA · 51% owned · share of income $5,869,910 · share of assets $10,282,453

  Directly controlled by SH

• SURGICAL SUITES OF COASTAL VIRGINIA LLC

  RELATED · HEALTHCARE · VA · 52.61% owned · share of income $1,813,086 · share of assets $4,322,406

  Directly controlled by SH

• PORT WARWICK SURGERY CENTER LLC

  RELATED · HEALTHCARE · VA · 52.31% owned · share of income $1,761,895 · share of assets $3,831,128 · general or managing partner

  Directly controlled by SH

• CAHABA PARTNERS EQUITY PLUS FUND

  EXCLUDED · POOLED INV FD · DE · 60.78% owned · share of income $189,551,039

  Directly controlled by SHC

• CAHABA PARTNERS TACTICAL EQUITY FUND

  EXCLUDED · POOLED INV FD · DE · 59.49% owned · share of income $62,037,299 · share of assets $288,525

  Directly controlled by SHC

• HA INTL EQUITY CEF FD CL-A

  EXCLUDED · POOLED INV FD · DE · 68.13% owned · share of income $17,575,713

  Directly controlled by SHC

Related corporations and trusts

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

• SENTARA HOLDINGS INC

  C · HOLDING COMPANY · VA · 100% owned · share of assets $85,175,208 · controlled entity

  Directly controlled by SENTARA HEALTH

• SENTARA HEALTH ADMINISTRATION INC

  C · TPA · VA · 100% owned · share of income $73,700,013 · share of assets $489,127,116 · controlled entity

  Directly controlled by SENTARA HOLDINGS INC

• OPTIMA HEALTH GROUP INC

  C · HMO · VA · 100% owned · share of income $3,760 · controlled entity

  Directly controlled by SENTARA HEALTH ADMINISTRATION INC

• SENTARA HEALTH INSURANCE COMPANY

  C · HEALTH INSURANCE · VA · 100% owned · share of income $57,495,065 · share of assets $30,742,263 · controlled entity

  Directly controlled by SENTARA HEALTH ADMINISTRATION INC

• SENTARA BEHAVIORAL HEALTH SERVICES

  C · MENTAL HEALTH SVCS · VA · 100% owned · share of income $5,670,585 · share of assets $3,982,313 · controlled entity

  Directly controlled by SENTARA HEALTH ADMINISTRATION INC

• SENTARA VENTURES INC

  C · HOLDING COMPANY · VA · 100% owned · share of income $48,251,873 · share of assets $169,113,660 · controlled entity

  Directly controlled by SENTARA HOLDINGS INC

• SENTARA HEALTH INSURANCE CO OF NC

  C · HEALTH INSURANCE · NC · 100% owned · share of income $93,248 · controlled entity

  Directly controlled by SENTARA HOLDINGS INC

• SENTARA HEALTH PLANS OF NC INC

  C · TPA · NC · 100% owned · controlled entity

  Directly controlled by SENTARA HOLDINGS INC

• MANAGED CARE SERVICES INC

  C · ALT HEALTH DELIVERY · VA · 100% owned · share of income $2,816,674 · share of assets $28,608,163 · controlled entity

  Directly controlled by SENTARA HEALTH ADMINISTRATION INC

• SENTARA SOUTHSIDE HEALTH SERVICES INC

  C · HEALTH SERVICES · VA · 100% owned · share of income $65,185 · share of assets $3,020,432 · controlled entity

  Directly controlled by HALIFAX REGIONAL HOSPITAL INC

• DOMINION HEALTH MEDICAL ASSOCIATES LTD

  C · PHYS PRACTICE · VA · 100% owned · share of income $3,656,463 · share of assets $5,442,992 · controlled entity

  Directly controlled by HALIFAX REGIONAL PROFESSIONAL SERVICES LLC

• SMG INNOVATIONS INC

  C · HEALTH CARE · VA · 100% owned · share of income $7,425,241 · share of assets $3,806,786 · controlled entity

  Directly controlled by SENTARA MEDICAL GROUP

• POTOMAC VENTURES CORPORATION

  C · HOLDING COMPANY · VA · 100% owned · share of income $188,797 · share of assets $2,796,402 · controlled entity

  Directly controlled by POTOMAC HOSPITAL CORP

• ROCKINGHAM HEALTH SERVICES INC

  C · CONTRACTING SVCS · VA · 100% owned · controlled entity

  Directly controlled by SENTARA RMH MEDICAL CENTER

• MARTHA JEFFERSON MEDICAL ENTERPRISES INC

  C · MEDICAL BILLING SVCS · VA · 100% owned · share of assets $3,698,533 · controlled entity

  Directly controlled by MARTHA JEFFERSON HOSPITAL

• BAY PRIMEX INSURANCE COMPANY LTD

  C · OTHER INSURANCE FUNDS · CJ · 100% owned · share of income $41,412,904 · share of assets $122,964,296 · controlled entity

  Directly controlled by SENTARA HEALTH

• ALBEMARLE PHYSICIAN SERVICES-SENTARA INC

  C · PHYS PRACTICE · NC · 100% owned · share of income $22,436,676 · share of assets $38,013,164 · controlled entity

  Directly controlled by SENTARA ALBEMARLE REGIONAL MEDICAL CENTER LLC

• THE PORT WARWICK MEDICAL ARTS BUILDING ASSOCIATION

  C · BUILDING ASSOCIATION · VA · 100% owned · share of income $349,144 · share of assets $520,877 · controlled entity

  Directly controlled by MPB INC

• MEDSTREAMING EGYPT SOFTWARE

  C · CONSULTING · EG · 53.87% owned · controlled entity

  Directly controlled by FIVOS INC

• CAHABA PARTNERS TOTAL RETURN FUND LTD

  C · POOLED INV FD · CJ · 70.88% owned · share of income $14,716,519 · share of assets $193,704,293

  Directly controlled by SENTARA HEALTH

• FIVOS INC

  C · HEALTHCARE IT · DE · 55.54% owned · share of income $8,711,971 · share of assets $5,722,335 · controlled entity

  Directly controlled by SENTARA VENTURES INC

• MEDICAL METRX HOLDING INC

  C · HOLDING COMPANY · DE · 55.54% owned · controlled entity

  Directly controlled by FIVOS INC

• M2S INC

  C · DATA COLLECTION/AGGREGATION · DE · 55.54% owned · controlled entity

  Directly controlled by MEDICAL METRX HOLDING INC

• AVMED ADMINISTRATORS INC

  C · TPA SERVICES · FL · 100% owned · controlled entity

  Directly controlled by AVMED INC

• SOLUS SPC OFFSHORE FUND LTD

  C · INVESTMENTS · CJ · 55.13% owned

  Directly controlled by SENTARA HEALTH