2020-09-29T16:18:48-05:00 2019-12-31 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2019-01-01 541929580 CCRC INC % TIM FRITZ CCRC 4342004712 1920 Atherholt Road Lynchburg VA 24501 MRS TRACEY JENNINGS President & Chairman 4342004712 2020-09-25 true Marc Berger P01871563 7038930600 108.18.98.230 54621820202735000154 2020-09-29 P 1559189AB611C6D07109AB02E40BE1709676A263 651D255A1A915A1FDEE8CC96D476D00223E3EE33 2019 2021-01-29 14:40:06Z MRS TRACEY JENNINGS 1920 Atherholt Road Lynchburg VA 24501 5113543 false X WWW.SUMMITLYNCHBURG.COM X 1998 VA CONTINUING CARE RETIREMENT CENTER. 9 5 29 55 0 0 0 3438406 3454376 47281 46619 1200596 1325726 4686283 4826721 0 0 0 0 1003552 952084 0 0 0 3489427 3316262 4492979 4268346 193304 558375 21611869 24220576 25296006 25050633 -3684137 -830057 X CCRC, INC. (THE SUMMIT) IS A SENIOR LIVING COMMUNITY PROVIDING AN ENVIRONMENT FOR EACH RESIDENT TO BE ENGAGED IN LIFE. false false 3415105 4780102 CCRC, INC. IS A CONTINUING CARE RETIREMENT COMMUNITY INCORPORATED ON DECEMBER 8, 1998 TO BUILD AND ESTABLISH A SENIOR LIVING COMMUNITY, THE SUMMIT, DEDICATED TO PROVIDING AN ENVIRONMENT FOR EACH RESIDENT TO BE ENGAGED IN LIFE. THE SUMMIT CONSISTS OF 85 INDEPENDENT LIVING APARTMENTS, 16 GARDEN HOMES AND A COMMUNITY ROOM ON A CAMPUS THAT INCLUDES AN 8 1/2-ACRE LAKE, WALKING TRAILS AND OTHER LANDSCAPE FEATURES. (CONTINUED ON SCHEDULE O.) 3415105 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 23 0 true 29 true false false false false false false false false false false false false X 9 5 false false false false true true true true true false false true true true true true true false false false X TIM FRITZ 4342002578 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 X DAVID ADAMS PRES & CHAIRMAN (THRU 4/2019) 2.0 50.0 X X 0 566729 14197 WILLIAM BASS JR DIRECTOR 2.0 50.0 X 0 356171 20786 JOSEPH ARCHAMBEAULT DIRECTOR 2.0 50.0 X 0 316979 29303 DAVID G GOUGH SECRETARY (THRU 4/2019) 2.0 50.0 X X 0 241046 17947 JULIE SLEDD SECRETARY (AS OF 5/2019) 2.0 50.0 X X 0 174227 35434 TRACEY JENNINGS PRES & CHAIRMAN (AS OF 5/2019) 2.0 50.0 X X 0 175322 24985 GINA MEADOWS DIRECTOR OF CCRC 50.0 0.0 X 124746 0 9028 REV STEPHANIE MCLEMOR VICE CHAIRMAN 2.0 0.0 X X 0 0 0 GARY FOSTER DIRECTOR 2.0 0.0 X 0 0 0 JAMES POATS DIRECTOR 2.0 0.0 X 0 0 0 REV CORETHA LOUGHRIDG DIRECTOR 2.0 0.0 X 0 0 0 R SACKETT WOOD DIRECTOR 2.0 0.0 X 0 0 0 124746 1830474 151680 1 false true false MERIWETHER-GODSEY INC 4944 OLD BOONSBORO ROAD LYNCHBURG VA 24503 CATERING SERVICES 1129303 WITT MECHANICAL 702 RAILROAD AVE BEDFORD VA 24523 HEATING & AIR SVCS 103964 2 0 RESIDENT REVENUE 623000 3325233 3325233 ANCILLARY REVENUE 900099 129143 129143 3454376 0 0 0 0 0 0 333441 286822 46619 46619 46619 0 0 0 0 0 0 0 0 0 GAIN/LOSS ON UNIT TURNOVER 623000 608366 608366 ENTRANCE FEE AMORTIZATION 623000 717360 717360 1325726 4826721 4780102 46619 X 0 0 0 0 133774 133774 0 624295 461894 162401 0 194015 118257 75758 0 0 0 134589 134589 0 0 43548 43548 997406 874161 123245 64664 64664 90973 62945 28028 0 0 991877 977098 14779 521 521 0 448 169 279 0 0 933976 920060 13916 58260 58260 4268346 3415105 853241 0 1944126 1086145 0 0 0 0 117510 196045 0 0 0 0 0 0 0 0 114375 7819 25153924 17615949 8104127 7537975 11149807 15186082 0 0 0 0 0 0 181924 206510 21611869 24220576 2983605 3091623 0 0 13845032 13472160 0 0 0 0 0 0 0 0 0 0 8467369 8486850 25296006 25050633 X 4400000 4400000 0 0 -8084137 -5230057 -3684137 -830057 21611869 24220576 558375 2295705 X false true X true false X X 1 CENTRA HEALTH INC 540715569 3 true 3415105 0 1 3415105 0 true false false false false false false false false false false false false false false false true false 352816 352816 20101953 14230292 5871661 3276113 2394704 881409 1373065 990953 382112 49977 0 49977 7537975 0 NOTE PAYABLE TO CENTRA HEALTH 8180710 LAKE MAINTENANCE LIABILITY 206510 DUE TO RELATED PARTIES 99630 8486850 X Schedule D, Part X, Line 2 ACCORDING TO CENTRA HEALTH, INC.S CONSOLIDATED 2019 AUDIT REPORT...CENTRA HEALTH, INC., CCRC, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD ARE 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, 2019. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2016. true true false false false false false false false DAVID ADAMS PRES & CHAIRMAN (THRU 4/2019) 0 143912 0 0 0 422817 0 4386 0 9811 0 580926 0 45950 DAVID G GOUGH SECRETARY (THRU 4/2019) 0 171433 0 0 0 69613 0 5232 0 12715 0 258993 0 31764 TRACEY JENNINGS PRES & CHAIRMAN (AS OF 5/2019) 0 174615 0 0 0 707 0 4965 0 20020 0 200307 0 0 JOSEPH ARCHAMBEAULT DIRECTOR 0 256256 0 0 0 60723 0 8400 0 20903 0 346282 0 29696 JULIE SLEDD SECRETARY (AS OF 5/2019) 0 167831 0 0 0 6396 0 5246 0 30188 0 209661 0 0 WILLIAM BASS JR DIRECTOR 0 303651 0 0 0 52520 0 7586 0 13200 0 376957 0 50189 SCHEDULE J, PART I, LINE 3 COMPENSATION STUDY: UNDER A MANAGEMENT AGREEMENT WITH CENTRA HEALTH, INC., THE ORGANIZATION'S EXECUTIVE DIRECTOR'S 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) & COMPENSATION STUDY OR SURVEY. SCHEDULE J, PART I, LINE 4A DAVID ADAMS, FORMER CENTRA HEALTH, INC., EVP & CHIEF STRATEGY OFFICER (A RELATED PARTY, RECEIVED SEVERANCE PAYMENT DURING 2019 IN THE AMOUNT OF $350,870, INCLUDED IN HIS TAXABLE INCOME. THE TERMS OF THE SEVERANCE AGREEMENT WERE CONSISTENT WITH INDUSTRY STANDARDS. SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2019. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. Name Title Amount of Payout David Adams, Centra Health Executive $45,950 VP & CSO (a related party) DAVID GOUGH, Centra Health SR VP & CFO $31,764 (a related party) JOE ARCHAMBEAULT, Centra Health VP FACILITY & $29,696 SUPPORT SVCS (a related party) ---------- $107,410 NO INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN IN FY 2019. Form 990, Part III, Line 4a CCRC, INC. IS A CONTINUING CARE RETIREMENT COMMUNITY INCORPORATED ON DECEMBER 8, 1998 TO BUILD AND ESTABLISH A SENIOR LIVING COMMUNITY, THE SUMMIT, DEDICATED TO PROVIDING AN ENVIRONMENT FOR EACH RESIDENT TO BE ENGAGED IN LIFE. THE SUMMIT CONSISTS OF 85 INDEPENDENT LIVING APARTMENTS, 16 GARDEN HOMES AND A COMMUNITY ROOM ON A CAMPUS THAT INCLUDES AN 8 1/2-ACRE LAKE, WALKING TRAILS AND OTHER LANDSCAPE FEATURES. ALSO INCLUDED ON CAMPUS ARE THE SUMMIT ASSISTED LIVING AND THE SUMMIT HEALTH AND REHABILITATION, BOTH WHOLLY OWNED AND OPERATED BY CENTRA HEALTH, INC. AS SUCH, THE SUMMIT PROVIDES THE FACILITIES, SERVICES, AMENITIES AND PROGRAMS TO SUPPORT AN ENGAGING LIFESTYLE FOR RESIDENTS. THE SUMMIT HOSTS SEVERAL GROUPS THAT BENEFIT BOTH RESIDENTS AND MEMBERS FROM THE LARGER COMMUNITY, INCLUDING THE INTERFAITH VISION SUPPORT GROUP, THE JAMERSON YMCA AND THE CENTRAL VIRGINIA PARKINSON'S SUPPORT GROUP. THE SUMMIT HOSTS SEVERAL ANNUAL WYNDHURST COMMUNITY EVENTS INCLUDING WYNDHURST WEDNESDAY FOOD TRUCK EVENTS AND AN ANNUAL FOURTH OF JULY FIREWORKS CELEBRATION. THE SUMMIT HOSTS EDUCATIONAL EVENTS IN COOPERATION WITH AREA NONPROFIT AGENCIES SUCH AS AARP, POPLAR FOREST REDEVOLOPMENT GROUP, THE CENTRA FOUNDATION, CENTRAL AND WESTERN VIRGINIA ALZHEIMERS ASSOCAITION, JAMERSON FAMILY YMCA AND THE WYNDHURST ASSOCIATION. SEVERAL OF THE SUMMIT ACTIVITY PROGRAMS ARE OPEN TO BOTH RESIDENT AND NONRESIDENTS, INCLUDING WELLNESS PROGRAMING, USE OF OUR FITNESS CENTER, EDUCATIONAL AND CULTURAL EVENTS. THE SUMMIT IS HOST TO THE AREA BIRD WATCHING ASSOCIATION AND IS A DESIGNATED WILDLIFE HABITAT BY THE NATIONAL WILDLIFE FOUNDATION. THE SUMMIT HOSTS A WEEKLY WORSHIP SERVICE FOR RESIDENTS, INVITING AREA CLERGY TO PROVIDE LEADERSHIP. STAFF PROVIDE VOLUNTEER SUPPORT FOR EACH OF THE ABOVE ORGANIZATIONS AND OTHERS INCLUDING THE WYNDHURST ASSOCIATION, VANHA, LEADINGAGE, THE LYNCHBURG REGIONAL BUSINESS ALLIANCE, AND OTHERS. ADDITIONALLY, THE SUMMIT PROVIDES IN-KIND SERVICES TO EVENTS SPONSORED BY THE WYNDHURST ASSOCIATION. Form 990, Part VI, Section A, Line 6 THE ORGANIZATION IS A NOT-FOR-PROFIT, STOCK COMPANY. AS OF THE END OF 2019, THERE WERE 363 SHARES OF COMMON STOCK AND ZERO SHARES OF PREFERRED STOCK OUTSTANDING. CENTRA HEALTH, INC. OWN 91% OF THE COMMON STOCK. THE REMAINDER IS OWNED BY THE RETIREMENT CENTER OF THE CHRISTIAN CHURCH IN VIRGINIA, INC. Form 990, Part VI, Section A, Line 7a CENTRA HEALTH, INC., AS THE MAJORITY OWNER OF THE CCRC, INC. STOCK, HAS THE RIGHT TO APPOINT THE MAJORITY OF THE CCRC, INC. BOARD. Form 990, Part VI, Section A, Line 7b CENTRA HEALTH INC., AS THE MAJORITY OWNER OF THE CCRC, INC. STOCK, HAS THE RIGHT TO REVIEW AND APPROVE DECISIONS MADE BY THE GOVERNING BODY OF CCRC, INC. Form 990, Part VI, Section B, Line 11b THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. COPIES OF THE FORM 990 HAVE BEEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS, AND ANY QUESTIONS RAISED BY THE BOARD OF DIRECTORS HAVE BEEN ADDRESSED. Form 990, Part VI, Section B, Line 12c ALL CENTRA HEALTH, INC./CCRC, INC. OFFICERS AND DIRECTORS MUST COMPLETE A POSSIBLE 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 AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, Line 15a and 15b FORM 990, PART VI, LINES 15A AND 15B WERE ANSWERED AS NO, HOWEVER, UNDER A MANAGEMENT AGREEMENT WITH CENTRA HEALTH, INC., A RELATED PARTY AND 91% SHAREHOLDER OF CCRC, INC., THE ORGANIZATIONS EXECUTIVE DIRECTORS COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTHS 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 RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, FILINGS OF THE FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG. Form 990, Part VI, Section C, Line 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990 PART IX LINE 11G DESCRIPTION:CATERING SERVICES TOTAL FEES:796412 FORM 990 PART IX LINE 11G DESCRIPTION:RESIDENT SERVICES TOTAL FEES:13575 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MARKETING TOTAL FEES:105603 FORM 990 PART IX LINE 11G DESCRIPTION:HEALTHCARE BENEFITS TOTAL FEES:46750 FORM 990 PART IX LINE 11G DESCRIPTION:FACILITIES MAINTENANCE SERVICE TOTAL FEES:16217 FORM 990 PART IX LINE 11G DESCRIPTION:SUMMIT BENEVOLENT FUND TOTAL FEES:12000 FORM 990 PART IX LINE 11G DESCRIPTION:PLANNING TOTAL FEES:6700 FORM 990 PART IX LINE 11G DESCRIPTION:MISCELLANEOUS TOTAL FEES:149 CENTRA HEALTH INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 540715569 HEALTHCARE VA 501(C)(3) 3 NA false CENTRA HEALTH FOUNDATION 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 SUPPORTING VA 501(C)(3) 12A NA false SOUTHSIDE COMMUNITY HOSPITAL 800 OAK STREET FARMVILLE VA 23901 540555201 HEALTHCARE VA 501(C)(3) 3 NA false BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 540566100 HEALTHCARE VA 501(C)(3) 3 NA false NONE 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 false false false false false false false false false false false true true true false false false NA