Sentara health i. Sentara health your not-for-profit healthcare partner sentara health celebrates 134 years in pursuit of its mission "we improve health every day." sentara is an integrated, not-for-profit health care delivery system with more than 29,000 employees (including 1,375 physicians and advanced practice providers), 12 hospitals in virginia and northeastern north carolina and the sentara health plans division, which serves over 1,000,000 members in virginia, north carolina, and florida. Sentara is recognized nationally for clinical quality and safety and is strategically focused on innovation and creating an extraordinary health care experience for our patients and members. Sentara was recognized as a "BEST employer for new grads", "veterans and "america's BEST employer" by forbes in 2022. Sentara has a level i trauma center, the sentara heart hospital, the sentara health research center, the sentara brock cancer center, and the accredited sentara cancer network, two orthopedic hospitals, and the sentara neurosciences institute. Sentara also includes a medical group, nightingale regional AIR ambulance (made 863 life-saving trips in 2022 alone), home care, ambulatory outpatient campuses, advanced imaging and diagnostic centers, a clinically integrated network, and the sentara college of health sciences. Efforts are centered on providing the right care in the right setting at the right time and adding value to the communities we serve. We strive to serve ALL our communities through health outreach programs, education, and financial support for other not for profit organizations with similar health missions. As an integrated delivery network (IDN), sentara provides both health care services (hospitals, clinics, providers) and health insurance plans, which enables sentara to fully understand and deliver on the needs of our consumers in a unique and insightful way. Additionally, serving as an IDN provides us with the opportunity to impact and LIFT our communities given the comprehensive nature of our ability to deliver care and resources within the walls of our care sites as well as DEEP within the community. II. Commitment to the community sentara has provided much in the way of community benefit and charity care on an annual basis. The 2022 value of community benefit totaled $260.2 million. Sentara provided $157 million in NET uncompensated patient care costs; $48.5 million in teaching & training of healthcare professionals; $48 million in community giving; and $6.7 million in health & prevention programs. Sentara employees contributed $1.9 million through direct contribution and employee matching to united ways in virginia and north carolina. A. Sentara continues its efforts through the community engagement and impact (CEI) program, sentara cares, to inspire, empower and support the communities we serve in the most impactful way. Sentara awarded 86 grants totaling $8,609,557 for our communities as well as $1,069,683 in microgrants reaching the deepest levels in our communities. Sentara invested $3,850,300 for sentara scholars and sentara choice, which are programs to support students with a vision and pathway for success that includes support and removes barriers to higher paying, meaningful healthcare careers. Sentara donated nearly $3.5 million in medical supplies to support charities addressing humanitarian crises in ukraine, poland, haiti, and the philippines. The CEI program delivers economic, social, and enviromental benefits for stakeholders across ALL sentara markets and increases our community connection. It builds on sentara recognized leadership and commitment to the communities we serve. B. In 2022, sentara launched sentara community care, a new model of care which includes sentara community care centers and sentara mobile care. Sentara opened the first sentara community care center at union mission (homeless shelter) in norfolk, virginia followed by a center in the berkley neighborhood of norfolk. Additionally, sentara mobile care launched, delivering care in a number of communities who are underserved and lacking access to healthcare. C. Sentara continued the focus on the important work of diversity in our workforce, to deepen our understanding of caring for our diverse patient population and to develop strong relationships with diverse community populations. We formed several partnerships with key diversity-focused organizations. We continue the work of the diversity and inclusion councils at ALL 12 hospitals. And we continue to develop new diversity and inclusion components and education for ALL team members. Additionally, sentara continued the excellent work in identifying and reducing barriers so people CAN receive the care they need. The team identifies health disparities and research possible causes. This includes chronic health issues such as hypertension, diabetes, and the high rates of cancer deaths in minority communities. Additionally, we have policies and guidelines to ensure protection of lgbtq patients' rights and in 2022, implemented SOGI (sexual orientation, gender identity) questions into our EPIC EMR (electronic medical rcord) to further our ability to care for patients and create trusting relationships with them. Sentara also partnered with numerous community and faith-based groups to provide education and early detection for colorectal and breast cancers. Eleven sentara hospitals were named a "TOP performer" in the 2022 lgbtq healthcare equality index (HEI), which is awarded to those surveyed organizations that EARN high scores between 80 and 95 in the 2022 HEI survey. D. Sentara is proud of the mission-driven work of the three sentara foundations. These foundations raised $11,458,852 million to support the clinical needs of the system and provided funding through grants and direct contributions to community organizations that have similar interests in supporting community health needs. E. Several years AGO, sentara established the hope (helping overcome personal emergency) fund, which is an emergency financial resource for sentara employees that are experiencing catastrophic hardship or LOSS through no fault of their own. Sentara employees who receive aid from the hope fund have faced devastating crises such as fire, death, natural disasters, or serious personal or family illness. In 2022, employees donated $274,078 to the hope fund and we awarded $820,353 to sentara employees in crises across the company. F. In support of improving the public health of our communities, sentara contributed significantly toward the future old dominion university and eastern virginia medical school (EVMS) integration. And separately, sentara donated to old dominion university, norfolk state university and eastern virginia medical school in support of addressing healthcare disparities in underserved communities. G. Sentara is deeply committed to deepening the alignment between our healthcare services and our health plans. We understand that improving overall community health at ALL levels is critical to our efforts for improving health especially for underserved community members. Through our trusted partnerships with organizations, we worked to ensure greater access to behavioral health, secure, consistent, and equitable access to nutritious food, support targeted training for skilled careers in high-demand fields, develop emergency and diverse housing solutions and eliminate barriers to care and strengthen the cultural fabric of our communities. H. To support reducing health disparities we have ongoing partnerships with the universities in hampton roads which are operationalizing a $3m commitment made in 2021 to leverage our initial investment to build community engagement around critical issues identified in our community health needs assessment (CHNA) such as maternal health and substance use disorder, children's behavioral health, and working with minority communities to learn how to access crucial social services and resources. I. Sentara contributed $500,000 to the virginia federation of food banks to break DOWN barriers with a 3-year plan that AIMS to deepen food bank and healthcare partnerships. This effort was a health-focused, neighbor-centered transformation of virginia's pantry network that is a movement guiding ALL interested pantries to implement more health-focused and neighbor centered practices. This commitment to food security extends deeper into our communities as we partner with local food pantries and other community-based organizations that serve marginalized populations that was shared with over 30 organizations.