2022-09-21T12:01:08-05:00 2021-12-31 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2021-01-01 540555201 SOUTHSIDE COMMUNITY HOSPITAL INC % THOMAS L ANGELO SOUT 4343152776 800 OAK STREET FARMVILLE VA 23901 THOMAS L ANGELO CEO 4342004712 2022-09-19 true THOMAS L ANGELO 999009999 Marc Berger P01871563 7038930600 2 2021 2022-09-23 18:48:47Z CENTRA SOUTHSIDE COMMUNITY HOSPITAL THOMAS L ANGELO 800 OAK STREET FARMVILLE VA 23901 111131365 false X HTTP://SCH.CENTRAHEALTH.COM X 1926 VA TO PROVIDE HEALTHCARE SERVICES FOR EIGHT COUNTIES IN CENTRAL VIRGINIA 16 13 573 31 0 7054719 4152586 87967440 106017978 89427 167538 851881 793263 95963467 111131365 0 166050 0 0 33133203 34769747 0 0 0 46289673 48970414 79422876 83906211 16540591 27225154 131365145 139378592 37003287 17621097 94361858 121757495 X WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE WITH A PERSONAL TOUCH. false false 73150090 166050 106518900 SOUTHSIDE COMMUNITY HOSPITAL, INC. IS A 501(C)(3) HOSPITAL COMMITTED TO OFFERING AFFORDABLE HEALTHCARE TO THE RESIDENTS OF SOUTHSIDE VIRGINIA. WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE. (PLEASE SEE THE CONTINUATION ON SCHEDULE O.) 73150090 true true false false false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true false false false true 22 0 true 573 true false false false false false false false false false false false false X 16 13 true false false false true true true true true false false true true true true true true false false false VA X THOMAS L ANGELO 4343152776 800 OAK STREET FARMVILLE VA 23901 X BIKRAM S BAL MD DIRECTOR 50.0 0.0 X 930886 0 17505 RICHARD TUGMAN DIRECTOR 2.0 50.0 X 0 654247 107333 MICHAEL ELLIOTT DIRECTOR 2.0 50.0 X 0 598225 124343 THOMAS ANGELO VP & SCH CEO 50.0 0.0 X 304905 0 45804 VERNA SELLERS MD DIRECTOR 2.0 0.0 X 0 259516 19640 ANDREW MUELLER MD Director 2.0 50.0 X 0 219948 14090 ROBERT JEFFERSON PHARMACIST 50.0 0.0 X 155363 0 63188 CLAUDIA MEINHARD CHIEF NURSING OFFICER 50.0 0.0 X 195923 0 14860 ANGELA DYER RN ACUTE CARE WEO A CNEP 4 50.0 0.0 X 163389 0 31072 GLORIA MOORE RN ACUTE CARE CNEP 4 50.0 0.0 X 155785 0 36608 MATTHEW MURRAY MANAGER PHARMACY OPS 50.0 0.0 X 150571 0 21825 HARRY ELAM PHARMACIST 50.0 0.0 X 156551 0 4654 SHARON HARRUP CHAIRMAN 2.0 0.0 X X 0 0 0 KEMPER BEASLEY III VICE CHAIRMAN 2.0 0.0 X X 0 0 0 LEE PFEIFFER JR SECRETARY/TREASURER 2.0 0.0 X X 0 0 0 RHONDA B ALGEIER MD DIRECTOR 2.0 0.0 X 0 0 0 C SCOTT DAVIS LPD DIRECTOR 2.0 0.0 X 0 0 0 REV DR CALVIN GRAY DIRECTOR 2.0 0.0 X 0 0 0 HAROLD M HARRIS JR DIRECTOR 2.0 0.0 X 0 0 0 WILLIAM MCGUIRE DIRECTOR 2.0 0.0 X 0 0 0 RODNEY NEWTON DIRECTOR 2.0 0.0 X 0 0 0 CAMERON PATTERSON DIRECTOR 2.0 0.0 X 0 0 0 ODESSA PRIDE ED D DIRECTOR 2.0 0.0 X 0 0 0 TIM THARPE DIRECTOR 2.0 0.0 X 0 0 0 FRANCIS E WOOD JR DIRECTOR 2.0 0.0 X 0 0 0 2213373 1731936 500922 34 false true false CROTHALL FACILITIES MGMT 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 HOUSEKEEPING SVCS 1247334 PATHOLOGY CONSULTANTS 1914 THOMSON DRIVE LYNCHBURG VA 24501 PATHOLOGY SERVICES 323997 STATE SERV 1201 S ALMA SCHOOL RD MESA AZ 85210 EQUIPMENT RENTAL 173188 PRICE SIMPSON HARVEY PO BOX 14837 RICHMOND VA 23221 ARCHT & ENGR SVCS 146292 VIRGINIA PAVING SEALCOATING 70 TOWN COUNTRY TRAIL FARMVILLE VA 23901 PAVING/SEALING SVCS 107300 5 7145 4145441 0 4152586 NET PATIENT REVENUE 621400 105228235 105228235 ANCILLARY SERVICES 900099 789743 789743 106017978 167538 167538 0 0 292341 292341 0 292341 292341 0 0 0 0 0 0 0 0 0 0 CAFETERIA 621400 357682 357682 MISCELLANEOUS REVENUE 900099 143240 143240 500922 111131365 106518900 459879 166050 166050 0 0 0 1509883 1351734 158149 0 26887521 24071249 2816272 699451 632576 66875 5672892 5064271 608621 0 4181033 19488 4161545 14820 14820 0 0 0 0 17365806 17093789 272017 227941 31223 196718 2614223 1791716 822507 44565 3155 41410 0 3697485 3301934 395551 477510 442102 35408 0 21758 7500 14258 0 0 3242630 2902442 340188 640048 640048 DRUGS 10335755 10313258 22497 MEDICAL SUPPLIES 6030398 5955103 75295 COLLECTIONS EXPENSES 76442 2500 73942 0 83906211 73150090 10756121 0 14197240 18157828 0 0 0 0 13549314 14767629 0 0 0 0 0 0 3329298 3322186 0 17398 93777899 69705773 23904692 24072126 3012336 156671 0 0 0 0 0 0 73372265 78884754 131365145 139378592 6321169 5565040 0 0 124548 110803 0 0 0 0 0 0 0 0 0 0 30557570 11945254 37003287 17621097 X 94361858 121757495 0 0 94361858 121757495 131365145 139378592 X 27225154 135199 35284 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 163194 163194 49405852 31235604 18170248 209622 202955 6667 39560612 35763765 3796847 4438619 2503449 1935170 24072126 RECEIVABLES FROM 3RD PARTY 2314224 OTHER ASSETS 879969 DUE FROM RELATED PARTIES 75690561 78884754 0 LEASE AGREEMENT 876020 OTHER LT LIABILITIES 2455572 PAYABLE TO ESTIMATED 3RD PARTY 8515500 DUE TO RELATED PARTY 98162 11945254 X PART X, LINE 2: ACCORDING TO CENTRA HEALTH, INC.'S CONSOLIDATED 2021 AUDIT REPORT. CENTRA HEALTH, INC., CCRC, INC., CENTRA HEALTH FOUNDATION, SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL ARE TAX-EXEMPT FROM INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS EXCEPT FOR TAXES RELATED TO CERTAIN UNRELATED BUSINESS INCOME ENGAGED IN BY CENTRA. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2021. CENTRA BELIEVED THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2018. true true X true X true X true false true true 1430430 1430430 0.01700 19621181 24995856 21051611 24995856 1430430 0.01700 0 0 0.00000 0 0 0.00000 21051611 24995856 1430430 0.01700 true 10987450 25385898 23318159 2067739 X true true NONE 1 1 SOUTHSIDE COMMUNITY HOSPITAL 800 OAK STREET FARMVILLE VA 23901 WWW.CENTRAHEALTH.COM/SCH X X X SOUTHSIDE COMMUNITY HOSPITAL 1 false false true X X X X X X X X X 21 true false false true X WWW.CENTRAHEALTH.COM/SCH X X true 21 true WWW.CENTRAHEALTH.COM/SCH false true X 200. 400. X X X X true true X X X X true X WWW.CENTRAHEALTH.COM/SCH X WWW.CENTRAHEALTH.COM/SCH X WWW.CENTRAHEALTH.COM/SCH X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5: IN 2021, CENTRA'S DEPARTMENT OF COMMUNITY HEALTH CONDUCTED THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CENTRA SOUTHSIDE COMMUNITY HOSPITAL LOCATED IN FARMVILLE, VIRGINIA. CENTRA DEFINES ITS TRIENNIAL CHNA AS A CONTINUOUS PROCESS FOR EVALUATING THE HEALTH NEEDS OF THE COMMUNITIES SERVED. IT IS USED TO SUPPORT THE SYSTEM'S "JUST CAUSE" WHICH IS "PARTNERING WITH YOU TO LIVE YOUR BEST LIFE." IN 2021-2022, CENTRA IS UNDERGOING A STRATEGIC PLANNING PROCESS AND THE CHNA WILL HELP INFORM THE DESIGN AND IMPLEMENTATION OF NEW SERVICES, PROGRAMS, AND PARTNERSHIPS IN RESPONSE TO IDENTIFIED UNMET COMMUNITY HEALTH NEEDS. IN ADDITION, THE CHNA AND IMPLEMENTATION PLAN IS USED TO GUIDE THE ACTIONS OF CENTRA'S BOARD OF DIRECTORS' COMMUNITY BENEFIT COMMITTEE, WHICH PROVIDES COMMUNITY-BASED GRANT AND SPONSORSHIP FUNDING TO AREA NON-PROFIT ORGANIZATIONS ADDRESSING PRIORITIZED NEEDS IDENTIFIED THROUGH THE CHNA. LASTLY, THE COMPLETION OF BOTH THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT AND SUCCESSFUL EXECUTION OF THE ASSOCIATED IMPLEMENTATION PLAN ENSURES COMPLIANCE WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 WHICH IS PROMULGATED IN REGULATION BY THE INTERNAL REVENUE AS DOCUMENTED ANNUALLY IN CENTRA'S FORM 990- SCHEDULE H. THE SERVICE AREA IS REFERRED TO AS THE FARMVILLE AREA AND INCLUDES THE TOWN OF FARMVILLE AND THE COUNTIES OF AMELIA, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, AND PRINCE EDWARD. THE TARGET POPULATION IS DEFINED AS (1) THE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE; (2) THE GEOGRAPHIC AREA SERVED BY THE HOSPITAL(S); AND (3) TARGETED POPULATIONS SERVED BY THE HOSPITAL(S) (I.E., CHILDREN, WOMEN, SENIORS, CANCER PATIENTS). THE 2021 FARMVILLE AREA COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSED ON LIFTING THE VOICE OF THE COMMUNITY THROUGH THE COLLECTION OF 1056 COMMUNITY HEALTH SURVEYS AS WELL AS CONDUCTING A STAKEHOLDER FOCUS GROUP/SURVEY. IN ADDITION, OVER 65 SOURCES OF PUBLICLY AVAILABLE SECONDARY DATA WERE COLLECTED. CHNA ACTIVITIES BEGAN IN MARCH 2021 AND CONCLUDED IN EARLY OCTOBER WITH THE PRIORITIZATION OF NEEDS. SCHEDULE H, PART V, SECTION B, LINE 7d: HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. SCHEDULE H, PART V, SECTION B, LINE 11: THE FARMVILLE AREA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS CONDUCTED IN 2018 AND IDENTIFIED THREE OVERARCHING ACTION PLAN PRIORITIES AIMED AT IMPROVING THE HEALTH OF THE VARIOUS COMMUNITIES SERVED. THESE PRIORITIES INCLUDED TRANSPORTATION, ACCESS TO AFFORDABLE HEALTHCARE AND ACCESS TO AFFORDABLE HOUSING. WITH REGARD TO "TRANSPORTATION," THE CENTRA FOUNDATION, FOR TWO YEARS, HAS COLLABORATED WITH PEIDMONT SENIOR RESOURCES TO PROVIDE VEHICLES TO TRANSPORT THEIR SENIOR CITIZENS. IN JUNE OF 2018, CENTRA STARTED A COMMUNITY PARAMEDIC PROGRAM IN FARMVILLE. IN THIS PROGRAM PARAMEDICS VISIT PATIENTS IN THEIR HOMES AFTER HOSPITAL ADMISSIONS TO PROVIDE CARE AND COORDINATE TRANSPORTATION TO VARIOUS MEDICAL APPOINTMENTS. CENTRA HAS IMPLEMENTED TELEMEDICINE. THE "ACCESS TO AFFORDABLE HEALTHCARE" PRIORITY HAS RESULTED IN CONTINUED EXPANSION OF THE CENTRA SOUTHSIDE COMMUNITY MEDICAL CENTER IN FARMVILLE. CENTRA HAS ADDED SEVERAL MORE PROVIDERS AND SPECIALISTS AND HAS EXTENDED THE HOURS OF OUR MAIN CLINIC TO 8AM-8PM, MONDAY-SATURDAY. CENTRA HAS UTILIZED THE MAMMO-VAN TO INCREASE THE NUMBER OF MAMMOGRAMS TO BE PERFORMED IN THIS AREA. CENTRA CONTINUES TO PROVIDE HEALTHFAIRS AND SCREENINGS IN MANY OF ITS COMMUNITIES, INCLUDING VERY DISCOUNTED SPORTS PHYSICLAS FOR CHILDREN, AND A CARDIAC FAIR AT THE HOSPITAL. THE AUXULIARY CONTINUES THE GUILD FUND, WHICH OFFSETS THE COSTS OF PRESCRIPTIONS FOR THOSE WHO CANNOT AFFORD THEM. WITH REGARD TO AFFORDABLE HOUSING, A COALITION WITH HOSPITAL REPRESENTATION HAS BEEN FORMED. AN APPROXIMATE $3 MILLLION DOLLAR GRANT HAS BEEN SECURED TO PARTNER WITH OTHER BUSINESSES AND SCHOOLS TO DEVELOP A LARGE COMMUNITY THAT HAS MULTIPLE TYPES OF HOUSING. CENTR HAS PARTNERED WITH HABITAT FOR HUMANITY AS WELL. RATIONALE FOR NOT INCLUDING THE REMAINING INDICATORS AS PRIORITIZED BY OUR CHNA COMMUNITY ADVISORY BOARD INCLUDED A SENSE THAT THESE CRITICAL NEEDS WERE HIGHLY COMPLEX IN NATURE AND AFFECTED A WIDE VARIETY OF INFLUENCING FACTORS - MANY WELL BEYOND THE CAPABILITY AND RESOURCES AND AVAILABLE THROUGH CENTRA AND/OR ITS COLLABORATING PARTNERS. FURTHERMORE, OTHER COMMUNITY-BASED INITIATIVES WERE ALREADY TARGETING THESE ISSUES. 3 SOUTHSIDE COMM HOSP HOMECARE SERVICES 711 OAK STREET FARMVILLE VA 23901 HOME HEALTH SERVICES SOUTHSIDE HOSPICE 713 OAK STREET FARMVILLE VA 23901 HOSPICE CARE SOUTHSIDE PACE 1530 SOUTH MAIN STREET FARMVILLE VA 23901 CARE FOR THE ELDERLY PART I, LINE 6A: INFORMATION ON COMMUNITY BENEFIT IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC., SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL, INC. PART I, LINE 7: COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE. PART II: SOUTHSIDE COMMUNITY HOSPITAL, INC. CONTINUOUSLY IMPROVES ITS RELATIONSHIP WITH THE COMMUNITY IT SERVES BY OFFERING MANY SERVICES, SUCH AS, COMMUNITY SUPPORT, COMMUNITY HEALTH IMPROVEMENT, WORKFORCE DEVELOPMENT, ETC. SOUTHSIDE COMMUNITY HOSPITAL, INC. ALSO HOSTS AND/OR PARTICIPATES IN VARIOUS CAREER FAIRS IN ORDER TO REACH OUT TO YOUNG ADULTS WHO MAY BE INTERESTED IN THE HEALTHCARE PROFESSION. COMMUNITY SUPPORT: SOUTHSIDE COMMUNITY HOSPITAL, INC. CONTINUOUSLY IMPROVES ITS RELATIONSHIP WITH THE COMMUNITY IT SERVES BY PARTICIPATING IN NUMEROUS HEALTH FAIRS, CONDUCTING HEALTH EDUCATION SEMINARS, PROVIDING SCHOOL-BASED HEALTH PROGRAMS, ETC. IT SPONSORS AND/OR PARTICIPATES IN NUMEROUS EVENTS THROUGHOUT THE YEAR. WE FEEL AN ESSENTIAL PART OF BEING A GOOD NEIGHBOR WITHIN THE COMMUNITY IS TO PROMOTE HEALTH, SAFETY, AND WELL-BEING ACTIVITIES IN ORDER TO BENEFIT THOSE AROUND THE COMMUNITY. COALITION BUILDING: SOUTHSIDE COMMUNITY HOSPITAL, INC. IS COMMITTED TO REACHING OUT TO THE COMMUNITY IN ORDER TO INFORM THE PUBLIC ABOUT THE NUMEROUS HEALTH FAIRS, HEALTH SEMINARS, AND GENERAL INFORMATIONAL SESSIONS OFFERED BY THE ORGANIZATION THROUGHOUT THE YEAR. WE PARTICIPATE IN LOCAL EVENTS IN ORDER TO REACH AS MANY COMMUNITY MEMBERS AS POSSIBLE IN ORDER TO PROMOTE HEALTH AND WELL-BEING TO AS MANY INDIVIDUALS AS POSSIBLE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF SOUTHSIDE COMMUNITY HOSPITAL, INC. WE FEEL PASSIONATE ABOUT IMPROVING ACCESS TO CARE, PUBLIC HEALTH, ETC. WE ARE EXCITED TO PARTICIPATE IN NUMEROUS EVENTS SUCH AS THE MORTON COMMUNITY PRAYER BREAKFASTS THROUGHOUT THE YEAR IN ORDER TO STAY CONNECTED TO THE COMMUNITY WE SERVE. BY STAYING CONNECTED WE ARE ABLE TO RECOGNIZE AND ADDRESS NEEDS THROUGHOUT OUR REGION. PART III, SECTION A, LINE 1: ON JANUARY 1, 2012, CENTRA HEALTH, INC. AND SUBSIDIARIES ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07 WHICH CHANGED CENTRA'S PRESENTATION OF PROVISION FOR DOUBTFUL ACCOUNTS TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. THIS HAS BEEN DISCLOSED IN THE FOOTNOTES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THEREFORE, CENTRA HEALTH, INC. AND ITS SUBSIDIARIES, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC. AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. PART III, SECTION A, LINES 2 & 3: SEE DESCRIPTION FOR PART III, SECTION A, LINE 4. PART III, SECTION A, LINE 4: THE ORGANIZATION BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NATURE, AMOUNT, TIMING, AND UNCERTAINTY OF THESE REVENUES AND CASH FLOWS. ADJUSTMENTS TO PREVIOUS REIMBURSEMENT ESTIMATES ARE REPORTED IN NET PATIENT SERVICE REVENUES IN THE PERIODS THAT SUCH ADJUSTMENTS BECOME KNOWN. FOR THE YEARS ENDED DECEMBER 31, 2021, AND 2020, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTIONS PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2021 AUDIT REPORT, PAGE 14) "CONSISTENT WITH CENTRA'S MISSION, SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CENTRA HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURANCE BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CENTRA EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2021 AUDIT REPORT, PAGE 15) "PATIENTS WHO MEET CENTRA'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS SUBSTANTIALLY LESS THAN ESTABLISHED RATES IN ACCORDANCE WITH CENTRA'S FINANCIAL ASSISTANCE POLICY. SINCE CENTRA DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE DETERMINED TO QUALIFY AS CHARITY CARE AND ARE NOT REPORTED AS REVENUE. WHILE CHARITY CARE IS EXCLUDED FROM NET PATIENT SERVICE REVENUE, CENTRA MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THIS INCLUDES THE AMOUNT OF CHARGES FOREGONE AND THE ESTIMATED COSTS INCURRED FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. COSTS INCURRED ARE ESTIMATED BASED ON THE RATIO OF TOTAL OPERATING EXPENSE TO GROSS CHARGES." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2021 AUDIT REPORT, PAGE 15-16) PART III, SECTION B, LINE 8: THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THE HOSPITAL DID NOT EXPERIENCE A MEDICARE SHORTFALL IN 2021, THUS NO COMMUNITY BENEFIT WAS RECOGNIZED DUE TO A SHORTFALL. PART III, SECTION C, LINE 9B: SOUTHSIDE COMMUNITY HOSPITAL RECOGNIZES THAT MEDICAL EXPENSES ARE OFTEN UNEXPECTED AND CAUSE FINANCIAL HARDSHIP. ALL ACCOUNTS WITH SELF PAY BALANCES WILL FOLLOW UNIFORM COLLECTION PROTOCOLS. THESE PROTOCOLS ARE ELECTRONICALLY ADMINISTERED THROUGH CENTRA'S HOSPITAL INFORMATION SYSTEM. WHEN AN ACCOUNT REACHES THE END OF THE SYSTEM GENERATED COLLECTION CYCLE AND MEETS SAID CRITERIA, THE ACCOUNT BALANCE WILL BE PROCESSED AS BAD DEBT AND REPORTED TO A COLLECTION AGENCY. CRITERIA FOR BAD DEBT WILL BE APPLIED CONSISTENTLY REGARDLESS OF AGE, RACE, RELIGION OR OTHER PROTECTIVE CLASS. PRIOR TO BAD DEBT PROCESSING, ACCOUNTS ARE ELECTRONICALLY SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND WRITTEN DOWN TO ZERO WHEN SCORES ARE WITHIN PRE-ESTABLISHED RANGES. SOUTHSIDE COMMUNITY HOSPITAL APPLIES UNIFORM COLLECTION PROTOCOLS TO ALL UNPAID ELIGIBLE CHARGES REGARDLESS OF RACE, SEX, AGE, DISABILITY, NATIONAL ORIGIN OR RELIGION. PATIENTS KNOWN BY CENTRA TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PROTOCOLS. IF DURING COLLECTION PROTOCOLS, OR AFTER REFERRAL TO AN OUTSIDE COLLECTION AGENCY, IT IS DISCOVERED PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY, INCLUDING ANY AND ALL EXTRAORDINARY COLLECTION EFFORT, IS IMMEDIATELY STOPPED. FINANCIAL ASSISTANCE FOR ELIGIBLE CHARGES IS AVAILABLE TO ALL CENTRA PATIENTS WHO QUALIFY BASED ON ESTABLISHED AND WIDELY PUBLISHED INCOME AND ASSET CRITERIA. PART VI, LINE 2: A COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) WITH ALMOST 40 INDIVIDUALS AND A BROAD REPRESENTATION OF COMMUNITY LEADERS AND CROSS-SECTOR STAKEHOLDERS IN THE SERVICE AREA WAS DEVELOPED. THE ROLE OF THE CHAT IS TO OVERSEE, ADVISE AND ASSIST IN CHNA DATA COLLECTION ACTIVITIES, PRIORITIZE NEEDS, AND PARTICIPATE IN THE DEVELOPMENT OF THE IMPLEMENTATION PLAN AS APPROPRIATE. THE PARTNERSHIP FOR HEALTHY COMMUNITIES (PHC) IS A PLANNING INITIATIVE LED BY CENTRA, THE COMMUNITY ACCESS NETWORK, THE CENTRAL VIRGINIA, PIEDMONT, AND PITTSYLVANIA/DANVILLE HEALTH DISTRICTS, THE BEDFORD COMMUNITY HEALTH FOUNDATION, GREATER LYNCHBURG COMMUNITY FOUNDATION, JOHNSON HEALTH CENTER AND UNITED WAY OF CENTRAL VIRGINIA. THE PARTNERS ARE COMMITTED TO REGIONAL ALIGNMENT OF A COLLABORATIVE AND RIGOROUS NEEDS ASSESSMENT PROCESS THAT WILL RESULT IN ACTION-ORIENTED SOLUTIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. FORMED IN 2020, THE SOUTH-CENTRAL VIRGINIA NON-PROFIT NETWORK (SCVNN) IS A COLLECTIVE OF AREA NONPROFITS COORDINATING TO SUPPORT THE COMMUNITIES IN THE FARMVILLE REGION AS WELL AS THE NONPROFITS WHO SERVE THESE COMMUNITIES. (HTTPS://SCVNN.ORG/ABOUT/) CURRENTLY, THE SCVNN SUPPORTS A WEBSITE AND MESSAGING CAMPAIGN REGARDING AVAILABLE RESOURCES IN THE REGION. IN ADDITION, THEY ARE CONSIDERING OTHER OUTREACH EFFORTS INCLUDING DIRECT MAILINGS TO RURAL RESIDENTS WHO LACK INTERNET ACCESS AND A QUESTIONNAIRE FOR NONPROFITS SEEKING VOLUNTEER ASSISTANCE. THE NETWORK IS LED BY CROSSROADS COMMUNITY SERVICES BOARD, STEPS-INC., PIEDMONT SENIOR RESOURCES, AND THE UNITED WAY OF PRINCE EDWARD COUNTY. THE MISSION OF SCVNN IS TO PROVIDE A COMPREHENSIVE LIST OF ESSENTIAL SERVICES AND RESOURCES THAT SUPPORT INDIVIDUALS AND FAMILIES IN THE SEVEN-COUNTY SERVICE AREA. MEMBERS FROM THE PHC AND SCVNN PARTICIPATED IN THE CHAT. UPON COMPLETION OF PRIMARY AND SECONDARY DATA COLLECTION, THE FARMVILLE AREA COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) WAS CHARGED WITH PRIORITIZING THE NEEDS OF THE COMMUNITY. A DETAILED "PRIORITIZATION OF NEEDS WORKSHEET" WAS DEVELOPED, AND THE CHAT WAS ASKED TO RANK THE TOP PRIORITY AREAS OF NEED. THE TOP 10 PRIORITY AREAS FOR THE FARMVILLE AREA IN 2021 WERE: FARMVILLE AREA: 2021 PRIORITIZATION OF NEEDS RANKING PRIORITY AREA 1 ACCESS TO HEALTHCARE SERVICES 2 BROADBAND/INTERNET ACCESS 3 ISSUES IMPACTING CHILDREN & THEIR FAMILIES: * CHILDCARE * CHILD ABUSE/NEGLECT 4 MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES 5 AGING AND ELDERCARE 6 CHRONIC DISEASE 7 COORDINATION OF RESOURCES & COMMUNITY OUTREACH 8 EDUCATION AND LITERACY (PRE-K & PUBLIC SCHOOLS) 9 HOUSING & HOMELESSNESS 10 EMPLOYMENT/JOB ASSISTANCE THE CHNA PROVIDES AN OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. IT IS THE INTENT OF THE REPORT TO PROVIDE READERS WITH A DEEPER UNDERSTANDING OF THE NEEDS OF THE FARMVILLE AREA AS WELL AS TO GUIDE CENTRA HEALTH, AND ITS COMMUNITY PARTNERS AND STAKEHOLDERS, IN DEVELOPING IMPLEMENTATION PLANS TO ADDRESS THE PRIORITIZED NEEDS IDENTIFIED BECAUSE OF THE ASSESSMENT PROCESS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZATION OF NEEDS WAS APPROVED BY THE CENTRA COMMUNITY BENEFIT COMMITTEE ON NOVEMBER 19, 2021, THE CENTRA SOUTHSIDE COMMUNITY HOSPITAL BOARD OF DIRECTORS ON DECEMBER 1, 2021, AND THE CENTRA BOARD OF DIRECTORS ON DECEMBER 6, 2021. PART VI, LINE 3: SOUTHSIDE COMMUNITY HOSPITAL TAKES A MULTIDISCIPLINARY APPROACH TO INFORMING OUR PATIENTS AND COMMUNITY ABOUT FINANCIAL ASSISTANCE. INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CAN BE FOUND ON CENTRA'S INTERNET PAGE PROVIDING FULL DISCLOSURE ABOUT QUALIFICATIONS AND THE APPLICATION PROCESS. INDIVIDUALS MAY OBTAIN INFORMATION AND AN APPLICATION FROM ANY REGISTRATION POINT OR CUSTOMER SERVICE UNIT, IN PERSON OR BY PHONE. SIGNS ARE POSTED IN CONSPICUOUS LOCATIONS ALERTING INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHERE TO OBTAIN ADDITIONAL INFORMATION. BROCHURES ABOUT FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN REGISTRATION AND CUSTOMER SERVICE. WHILE PATIENTS ARE HOSPITALIZED, A FINANCIAL COUNSELOR PROVIDES FINANCIAL ASSISTANCE INFORMATION, SCREENS PATIENTS FOR FEDERAL AND STATE PROGRAMS AND GIVES AN OPPORTUNITY TO ASK QUESTIONS. ADDITIONALLY, ON THE BOTTOM OF THE CURRENT STATEMENTS IS THE FOLLOWING VERBIAGE: "CAN'T PAY YOUR BILL? FINANCIAL ASSISTANCE AND FLEXIBLE PAYMENT OPTIONS ARE AVAILABLE BY CONTACTING CENTRA CUSTOMER SERVICE AT (434) 200-3777." PART VI, LINE 4: SOUTHSIDE COMMUNITY HOSPITAL, INC. IS LOCATED IN FARMVILLE, VIRGINIA, WHICH IS 50 MILES EAST OF LYNCHBURG AND 50 SOUTHWEST OF RICHMOND. AS A SOLE COMMUNITY HOSPITAL, IT IS CENTRALLY LOCATED TO SERVE THE RESIDENTS OF AMELIA, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, AND PRINCE EDWARD COUNTIES, WHICH MAKES UP ITS PRIMARY SERVICE AREA (PSA). THE HOSPITAL WAS ESTABLISHED TO PROVIDE HEALTHCARE TO THIS MOSTLY RURAL AREA. THE 2021 POPULATION FOR THE HOSPITAL'S PSA WAS APPROXIMATELY 110,555. THE 2021 AVERAGE PERCENT OF THE PSA POPULATION THAT WAS 65 YEARS OF AGE AND OLDER WAS 20.1%. THE MEDIAN HOUSEHOLD INCOME IN THE PSA WAS $47,244 AS COMPARED TO THE STATE MEDIAN OF $76,398. __________________________________________________________________________ SCH - 2021 FORM 990, PART VI, LINE #4: COMMUNITY INFORMATION: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES: $ 33,133 FARMVILLE $ 40,924 CHARLOTTE $ 44,253 PRINCE EDWARD $ 45,884 LUNENBURG $ 48,603 BUCKINGHAM $ 49,983 NOTTOWAY $ 50,565 CUMBERLAND $ 63,918 AMELIA $ 47,244 MEDIAN HOUSEHOLD INCOME FOR PSA PART VI, LINE 5: SOUTHSIDE COMMUNITY HOSPITAL, INC. PLAYS AN IMPORTANT ROLE IN PROMOTING HEALTH IN THE COMMUNITIES IT SERVES. THE HOSPITAL HOSTS FREE WORKSHOPS AND EDUCATIONAL SEMINARS ON DIABETES, STROKE PREVENTION, AND HEART HEALTH, TO NAME A FEW. SOUTHSIDE COMMUNITY HOSPITAL, INC. ALSO PARTICIPATES IN NUMEROUS HEALTH FAIRS ANNUALLY, PROVIDING FREE SCREENINGS TO THE PUBLIC. THE HOSPITAL HOSTED TWO ADVANCE DIRECTIVE DAYS TO BRING AWARENESS TO THE NEED OF PREPAREDNESS AT END OF LIFE. BREAST-FEEDING, CHILDBIRTH, AND CAR SEAT SAFETY ARE JUST A FEW OF OTHER CLASSES MADE AVAILABLE FOR COMMUNITY MEMBERS. SOUTHSIDE COMMUNITY HOSPITAL, INC. ALSO HOSTS SEVERAL SUPPORT GROUPS INCLUDING CHRONIC PAIN SUPPORT GROUP AND DIABETES SUPPORT GROUP. WE ALSO HAVE A TEEN VOLUNTEER PROGRAM AND A COLLEGE VOLUNTEER PROGRAM FOR STUDENTS AT LONGWOOD UNIVERSITY, HAMPDEN-SYDNEY COLLEGE, AND SOUTHSIDE VIRGINIA COMMUNITY COLLEGE. DURING THE YEAR, THE HOSPITAL ALSO SUPPORTS NUMEROUS HEALTH RELATED SUPPORT GROUPS WITH EDUCATIONAL MATERIALS AND PROFESSIONAL KNOWLEDGE. PART VI, LINE 6: SOUTHSIDE COMMUNITY HOSPITAL, INC.'S AFFILIATION WITH CENTRA HEALTH, INC. BEGAN JANUARY 2006. IT SEEMED ONLY NATURAL THAT SOUTHSIDE COMMUNITY HOSPITAL, INC. WOULD PARTNER WITH CENTRA HEALTH, INC. SINCE THE OTHER CENTRA HOSPITALS ARE LOCATED WITHIN 50 MILES WEST OF SOUTHSIDE COMMUNITY HOSPITAL, INC. CENTRA HEALTH, INC. HAS A NATIONAL REPUTATION FOR CLINICAL EXCELLENCE AND PATIENT SATISFACTION. SOUTHSIDE COMMUNITY HOSPITAL, INC. AND CENTRA OFFICIALS BELIEVE THE COMBINED ORGANIZATIONS WILL BE STRENGTHENED THROUGH AN EXCHANGE OF BEST PRACTICES AND ECONOMIES OF SCALE. SOUTHSIDE PATIENTS HAVE BETTER ACCESS TO A BROADER RANGE OF ADVANCED CLINICAL SERVICES THAT ARE AVAILABLE AT CENTRA HEALTH, INC.'S LYNCHBURG HOSPITALS. THE AFFILIATION IS ONE IN A SERIES OF STEPS IN WHICH SOUTHSIDE COMMUNITY HOSPITAL, INC.'S LEADERS RECOGNIZED THE NEED TO PARTNER WITH AN ORGANIZATION THAT SHARED A MISSION OF EXCELLENT CARE. SOUTHSIDE HAS BEEN ABLE TO MAKE STRUCTURAL IMPROVEMENTS, REPLACE MEDICAL EQUIPMENT WITH NEWER MEDICAL TECHNOLOGY, AND UPDATE COMPUTER SYSTEMS. SOUTHSIDE COMMUNITY HOSPITAL, INC. HAS, ALSO, SUCCESSFULLY RECRUITED BOARD-CERTIFIED SURGEONS AND SPECIALISTS, NEW EMERGENCY PHYSICIANS, AND EXTENDED THEIR HOSPITALIST PROGRAM. SOUTHSIDE COMMUNITY HOSPITAL, INC. HAS BEEN THE HEALTHCARE CENTER OF SOUTHSIDE VIRGINIA SINCE OPENING ITS DOORS NOVEMBER 9, 1927. SINCE THEN, IT HAS OPERATED ON A NON-PROFIT BASIS WITH THE GOAL OF HELPING TO HEAL THE ILL AND INJURED. THE HOSPITAL SERVES THE RESIDENTS OF THE TOWN OF FARMVILLE AND AMELIA, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, AND PRINCE EDWARD COUNTIES. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA true STEPS INC 225 INDUSTRIAL PARK RD FARMVILLE VA 23901 541209110 501(C)(3) 81000 EMERGENCY SHLETER FARMVILLE AREA COMMUNITY EMERGENCY SERVICES 482 COMMERCE ROAD FARMVILLE VA 23901 541401031 501(C)(3) 20000 PRODUCE DISTRIBUTED PIEDMONT SENR RES AREA AGCY ON AGING INC 1413 South Main Street FARMVILLE VA 23901 541025127 501(C)(3) 15000 VACCINE TRANSPORT. PIEDMONT HABITAT FOR HUMANITY INC PO BOX 816 FARMVILLE VA 23901 541599433 501(C)(3) 10000 HOMEOWNER REPAIRS SR CITIZENS OF PRINCE EDWARD CTY MEALS ON WHEELS 505 GRIFFIN BLVD FARMVILLE VA 23901 541245697 501(C)(3) 10000 FOOD DISTRIBUTIONS HEART OF VIRGINIA FREE CLINIC 401 East Third St Farmville VA 23901 272785970 501(c)(3) 9250 HEALTHCARE 6 SCHEDULE I, PART I, LINE 2: THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMTTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. false true false false false false false false false BIKRAM S BAL MD DIRECTOR 821765 0 107988 0 1133 0 8700 0 8805 0 948391 0 0 0 MICHAEL ELLIOTT DIRECTOR 0 396955 0 20000 0 181270 0 84570 0 39773 0 722568 0 0 VERNA SELLERS MD DIRECTOR 0 244353 0 13500 0 1663 0 9194 0 10446 0 279156 0 0 THOMAS ANGELO VP & SCH CEO 253941 0 10000 0 40964 0 8368 0 37436 0 350709 0 0 0 CLAUDIA MEINHARD CHIEF NURSING OFFICER 172822 0 0 0 23101 0 5881 0 8979 0 210783 0 0 0 ROBERT JEFFERSON PHARMACIST 135287 0 1000 0 19076 0 4784 0 58404 0 218551 0 0 0 ANGELA DYER RN ACUTE CARE WEO A CNEP 4 110435 0 48428 0 4526 0 4727 0 26345 0 194461 0 0 0 GLORIA MOORE RN ACUTE CARE CNEP 4 130382 0 22090 0 3313 0 4530 0 32078 0 192393 0 0 0 HARRY ELAM PHARMACIST 138534 0 1000 0 17017 0 4654 0 0 0 161205 0 0 0 MATTHEW MURRAY MANAGER PHARMACY OPS 134367 0 1000 0 15204 0 4605 0 17220 0 172396 0 0 0 RICHARD TUGMAN DIRECTOR 0 438675 0 57187 0 158385 0 44358 0 62975 0 761580 0 0 ANDREW MUELLER MD Director 0 173273 0 0 0 46675 0 3271 0 10819 0 234038 0 0 PART I, LINE 3: UNDER A MANAGEMENT ARRANGEMENT WITH CENTRA HEALTH, INC. (A RELATED PARTY), THE ORGANIZATION'S EXECUTIVE COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH, INC.'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S), AND COMPENSATION STUDY OR SURVEY. PART I, LINE 4B: NO INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2021. THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2021. NAME TITLE AMOUNT of DEFERRAL MICHAEL ELLIOTT DIRECTOR $76,757 RICHARD TUGMAN DIRECTOR $44,358 Form 990, Part III, Line 4a: COMMUNITY BENEFIT HIGHLIGHTS * DURING FY 2021, $6,820,575 IN CHARGES AT AN ESTIMATED COST OF $1,430,430 WAS CONTRIBUTED AS TRADITIONAL CHARITY CARE TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. ELIGIBILITY FOR CHARITY CARE IS BASED ON POVERTY INCOME LEVELS SET BY THE STATE. * CHARGES OF $10,987,450 AT AN ESTIMATED COST OF $2,304,319, WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. * LOSS FROM MEDICARE BASED ON COST TO CHARGE RATIO TOTALED $0 * LOSS FROM MEDICAID BASED ON COST TO CHARGE RATIO TOTALED $0. VOLUNTEER SERVICES SOUTHSIDE COMMUNITY HOSPITAL, INC. IS HONORED TO HAVE MANY VOLUNTEERS FROM THROUGHOUT OUR SERVICE AREA MAKING A DIFFERENCE TO OUR PATIENTS, VISITORS, AND STAFF. IN 2021, 31 VOLUNTEERS DONATED 2,304 HOURS OF SERVICE TO OUR HOSPITAL. SOME OF OUR VOLUNTEER SERVICES ARE: * WOMEN'S AUXILIARY OF SOUTHSIDE COMMUNITY HOSPITAL: FUNDRAISING FOR HOSPITAL - PROVIDES SCHOLARSHIPS FOR MEDICAL/NURSING STUDENTS. * CSCH VOLUNTEERS: FRONT DESK, REGISTRATION, EMERGENCY DEPT., CENTRA MEDICAL GROUP, TRANSPORT, TELE-MED-SURG, OB, SAME DAY SURGERY, ETC. * HOSPICE VOLUNTEERS: CARE FOR END-OF-LIFE PATIENTS * CARDIO-REHAB VOLUNTEERS: ASSISTANTS IN THE GYM FOR CARDIO PATIENTS * PACE (PROGRAM FOR ALL INCLUSIVE CARE FOR THE ELDERLY) VOLUNTEERS: ASSISTS WITH ACTIVITIES FOR THE ELDERLY * LONGWOOD UNIVERSITY/HAMPDEN-SYDNEY COLLEGE/LOCAL HIGH SCHOOL STUDENT VOLUNTEERS SOUTHSIDE COMMUNITY HOSPITAL, INC. DID NOT RECORD ANY EVENTS IN CB TRACKER FOR 2021. IN 2021, FARMVILLE HOSPICE VOLUNTEERS DONATED 1,274 HOURS OF SERVICE TO THE HOSPICE PROGRAM. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO GROCERY SHOPPING, MEAL, AND MEDICATION DELIVERY. VOLUNTEERS DEVELOPED A NEW PROGRAM OF SENDING CARDS, PHONE CALLS AND SMALL GIFTS TO PATIENTS AND FAMILIES. HOSPICE MEMORIAL SERVICES MOVED TO ON VIRTUAL FORMAT ON FACEBOOK LIVE. DEVELOPING A NEW VIRTUAL SERVICE WHICH WAS PROVIDE EACH QUARTER OUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 3,543 MILES IN 2021. STORIES OF ASSISTANCE TO THE COMMUNITY CENTRA SOUTHSIDE COMMUNITY HOSPITAL SERVES ITS COMMUNITY AND THE SURROUNDING EIGHT COUNTIES IN MANY WAYS. OUR NURSES AND STAFF ARE ENTHUSIASTIC ABOUT PARTICIPATING IN COMMUNITY EVENTS BY CONDUCTING BLOOD PRESSURE CHECKS, PROVIDING FREE HEALTH EDUCATION MATERIALS TO THE GENERAL PUBLIC, AND ASSISTING IN HEALTH SCREENINGS. ALTHOUGH MANY OF THESE EVENTS WERE CANCELLED DUE TO THE PANDEMIC, WE WERE ABLE TO CONNECT THROUGH FACEBOOK LIVE EVENTS, A FEW OUTDOOR EVENTS, AND ONLINE MEETINGS. WE CONTINUALLY DONATE SCHOOL SUPPLIES TO AREA SCHOOL SUPPLY DRIVES, AND WE HAVE ACTIVE MEMBERS IN MANY CIVIC ORGANIZATIONS, SUCH AS THE LIONS CLUB, THE ROTARY CLUB, CHAMBER OF COMMERCE, PRINCE EDWARD UNITED WAY, VFW, HABITAT FOR HUMANITY, AND THE DOWNTOWN FARMVILLE ORGANIZATION. WE CONTINUE TO PARTNER WITH THE LIONS CLUB TO SUPPLY A FOOD PANTRY AT THE LOCAL HIGH SCHOOL. A TEAM OF EMPLOYEES AND VOLUNTEERS REGULARLY VOLUNTEER AT THE LOCAL SCHOOL MONTHLY FOOD MARKET, AND FACES, THE LOCAL FOOD PANTRY. AUGUST OF 2021 BROUGHT A GREAT DEAL OF CHANGE TO OUR COMMUNITY. ONE OF OUR COUNTIES WE SERVE BECAME THE HOME TO OVER 6000 AFGHAN REFUGEES. WE QUICKLY PIVOTED TO SERVE THEM WITH KINDNESS AND RESPECT. THEIR LANGUAGES ARE DIFFERENT, THEIR CUSTOMS AND DIET ARE DIFFERENT FROM OURS. WE HAD A MENU MADE JUST FOR THEM. WE FOUND INTERPRETERS, WE PURCHASED PRAYER RUGS AND QURANS. WE INSTALLED HUGE CLOTHES CLOSET FOR MEN, WOMEN AND CHILDREN, AS MOST HAD LEFT THEIR HOME COUNTRY WITH ONLY THE CLOTHES ON THEIR BACK. STAFF AND COMMUNITY MEMBERS BOUGHT SOCKS, UNDERWEAR, CHILDREN'S TOYS, DIAPERS, AND HYGIENE ITEMS. VOLUNTEERS SORTED AND ORGANIZED CLOTHING AND OTHER ITEMS. IN A SHORT TIME, MANY AFGHAN BABIES WERE BORN AT THE HOSPITAL. EVERYONE TRIED TO MAKE THE AFGHANS FEEL AS AT HOME AS POSSIBLE DURING THIS CRISIS. BY DECEMBER, ALL REFUGEES HAD BEEN PLACED ALL OVER THE COUNTRY. THE HOSPITAL LEADERSHIP CONTINUES TO HOST MEETINGS WITH LOCAL COMMUNITY LEADERS AND COMMUNITY REPRESENTATIVES TO BETTER UNDERSTAND THE MEDICAL NEEDS OF OUR COMMUNITY. THE HOSPITAL WANTS TO ENSURE THAT MEMBERS OF THE COMMUNITIES THAT WE SERVE HAVE THE OPPORTUNITY TO VOICE THEIR CURRENT MEDICAL CARE CONCERNS AND PROVIDE INSIGHT ON HOW THE HOSPITAL CAN BETTER MEET THE MEDICAL NEEDS OF THE COMMUNITY IN THE FUTURE. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS WELL UNDERWAY. CENTRA SOUTHSIDE COMMUNITY HOSPITAL PARTICIPATES IN THE "HEART OF VIRGINIA FREE CLINIC," BY PROVIDING ALL LAB TESTS AND RADIOLOGY EXAMS FOR FREE. IN 2021, ALMOST 1000 TESTS AND EXAMS WERE PROVIDED TO THE COMMUNITY AT NO CHARGE. MANY OF OUR STAFF VOLUNTEER AT THE CLINIC. WE ALSO PROVIDE FOOD FOR THE CLINICAL WORKERS AT THE CLINIC AS A SMALL TOKEN OF APPRECIATION FOR THOSE INDIVIDUALS WHO VOLUNTEER THEIR PROFESSIONAL SERVICES TO BENEFIT THOSE INDIVIDUALS WHO CANNOT AFFORD MEDICAL CARE. THE HOSPITAL IS EAGER TO HELP EDUCATE OUR COMMUNITY ON THE IMPORTANCE OF PREVENTIVE CARE. THE SCOPE/MEALS ON WHEELS PROGRAM PROVIDES BALANCED, NUTRITIOUS MEALS TO THE ELDERLY, DISABLED, OR HOMEBOUND WHO HAVE NO RELIABLE MEANS OF OBTAINING THEIR DAILY FOOD REQUIREMENTS. OUR CARING VOLUNTEERS HELP ALLEVIATE THE SENSE OF ISOLATION AND WORRY OF CLIENTS AND OBSERVE THEIR PHYSICAL CONDITION. IN COOPERATION WITH THE COMMUNITY AND COUNTY AGENCIES, WE IDENTIFY THOSE IN NEED OF THESE SERVICES PREPARE ALL MEALS AND GET THEM READY FOR DISTRIBUTION BY VOLUNTEERS. Form 990, Part VI, Section A, Line 2: BOARD MEMBER WILLIAM MCGUIRE AND OFFICER LEROY PFEIFFER, JR. SERVE AS OFFICERS OF THE WOODLAND, INC.'S BOARD OF DIRECTORS. THE WOODLAND. INC IS A FULL-SERVICE RETIREMENT COMMUNITY OFFERING INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING CARE FACILITIES. FORM 990, PART VI, SECTION A, LINE 6: THROUGH AN AFFILIATION AGREEMENT, SOUTHSIDE COMMUNITY HOSPITAL, INC.'S SOLE CORPORATE MEMBER IS CENTRA HEALTH, INC. FORM 990, PART VI, SECTION A, LINES 7A & 7B: CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL, INC. AND HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF SOUTHSIDE COMMUNITY HOSPITAL, INC.'S GOVERNING BODY AND APPROVE DECISIONS MADE BY SOUTHSIDE COMMUNITY HOSPITAL, INC.'S BOARD. FORM 990, PART VI, SECTION A, LINES 8A & 8B: MINUTES ARE TAKEN AT EACH MEETING. FORM 990, PART VI, SECTION B, LINE 11B: THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. SOUTHSIDE COMMUNITY HOSPITAL, INC. WILL PROVIDE ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C: ALL SOUTHSIDE COMMUNITY HOSPITAL, INC. OFFICERS, DIRECTORS, AND KEY EMPLOYEES, MUST COMPLETE A CONFLICT-OF-INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF SOUTHSIDE COMMUNITY HOSPITAL, INC.'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINES 15A & B: FORM 990, PART VI, LINES 15A & 15B WERE ANSWERED AS "NO", HOWEVER, UNDER A MANAGEMENT AGREEMENT WITH CENTRA HEALTH, INC., A RELATED PARTY, THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER'S COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S), AND COMPENSATION STUDY OR SURVEY. FORM 990, PART VI, SECTION C, LINE 18: PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY UPON REQUEST AT ITS ADMINISTRATIVE OFFICE. FORM 990, PART XI, LINE 9: CONTRIBUTED CAPITAL FROM CENTRA HEALTH $35,284 FORM 990, PART XII, LINE 2C: COMMITTEE RESPONSIBLE FOR AUDIT PROCESS OVERSIGHT - THE AUDIT PROCESS OF THE ORGANIZATION INCLUDING THE OVERSIGHT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR IS OVERSEEN BY THE AUDIT & COMPLIANCE COMMITTEE OF CENTRA HEALTH, INC., SOLE MEMBER AND RELATED ORGANIZATION. FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:5920724 FORM 990 PART IX LINE 11G DESCRIPTION:CAPITATED MEDICAL CLAIMS TOTAL FEES:4325024 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:2671046 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:2817152 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN REMUNERATION TOTAL FEES:1578210 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:37907 FORM 990 PART IX LINE 11G DESCRIPTION:COMMUNITY AWARENESS TOTAL FEES:15743 CENTRA HEALTH INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 540715569 HEALTHCARE VA 501(C)(3) 3 NA false CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 SUPPORTING OR VA 501(C)(3) 12A NA false CCRC INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541929580 CONTINUE CARE VA 501(C)(3) 12A NA false BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 540566100 HEALTHCARE VA 501(C)(3) 3 NA false GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541299682 REAL ESTATE/PHYS VA NA C Corp false PCHP HOLDING INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541749492 HOLDING COMPANY VA NA C Corp false PIEDMONT COMMUNITY HEALTH PLAN INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541755768 HEALTH INSURANCE VA NA C Corp false false false true true true false false false false true false false false false false true false false false