2020-11-05T13:08:31-06:00 2019-12-31 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2019-01-01 540715569 CENTRA HEALTH INC % ANDREW MUELLER PRESIDENT/CE CENT 4342004712 1920 Atherholt Road Lynchburg VA 24501 ANDREW MUELLER PRESIDENT/CEO 4342004712 2020-11-02 true Marc Berger P01871563 7038930600 108.18.98.230 54621820203105000004 2020-11-05 P 651D255A1A915A1FDEE8CC96D476D00223E3EE33 651D255A1A915A1FDEE8CC96D476D00223E3EE33 2019 2021-01-29 14:40:06Z ANDREW MUELLER 1920 Atherholt Road Lynchburg VA 24501 1295519285 false X www.centrahealth.com X 1962 VA EXCELLENT CARE FOR LIFE 15 13 8801 849 3343955 581791 5840717 3086633 963722544 1036086950 2456510 34829567 4274518 4581421 976294289 1078584571 1885694 1540495 0 0 537725228 569392411 0 0 0 452655362 499110885 992266284 1070043791 -15971995 8540780 1265868801 1344282006 606364563 645673099 659504238 698608907 X EXCELLENT CARE FOR LIFE false false 925760114 1540495 1037045374 AS THE REGIONAL HEALTH CARE LEADER, CENTRAS COMMITMENT TO THE CENTRAL VIRGINIA REGION EXTENDS FAR BEYOND THE WALLS OF ITS HEALTH SYSTEM FACILITIES. CENTRA HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE SICK AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR DECADES, AND HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. PLEASE SEE THE CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O. 925760114 true true false true false false false false false true true true false false true true false true false false false false false false false false true true true false true true false false false false false false false false true false false false false false true true true true false false true 574 0 true 8801 true true true false false false false false false false false false false false X 15 13 true false false false false false false true true false false true true true true true true true true true true VA X X ANDREW MUELLER PRESIDENTCE 4342004705 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 X Kenneth Saum MD Physician 50.0 0.0 X 968657 0 47867 Jordan Synkowski DO Physician 50.0 0.0 X 963784 0 44150 Chad Hoyt MD Physician 50.0 0.0 X 896727 0 52740 Matthew Sackett MD Physician 50.0 0.0 X 888196 0 44150 An Bui MD Physician 50.0 0.0 X 874372 0 53990 Andrew Mueller MD President/CEO (AS OF 5/19) 50.0 2.0 X X 587325 0 168551 Michael Elliott SVP Chief Transformation OfF 50.0 2.0 X 558283 0 153331 Chris Thomson MD SVP/Chief Medical Officer 50.0 0.0 X 526418 0 135314 Harrell Les Reed SVP-CPE/CMG PRESIDENT 50.0 0.0 X 564029 0 36748 David D Adams BD Sec & EVP-CSO (THRU 4/19) 50.0 0.0 X 566729 0 14197 Janice Jan H Walker SVP/Chf Admin Off. (THRU 4/19) 50.0 0.0 X 399895 0 6824 Curt Baker SVP Chief Nursing Officer 50.0 0.0 X 380465 0 20866 Holly Trent BD Sec & SVP-CLO (AS OF 5/19) 50.0 0.0 X 325433 0 42216 Verna R Sellers MD Director 50.0 0.0 X 259567 0 12325 David G Gough BD TREAS & SVP-CFO (THRU 4/19) 50.0 2.0 X 241046 0 17947 Amy G Ray Chairman of Board 2.0 0.0 X X 0 0 0 George R Zippel Vice-Chairman of Board 2.0 0.0 X X 0 0 0 Michael Bradford Treasurer (as of 5/19) 2.0 0.0 X X 0 0 0 Hylan Hank Hubbard Director 2.0 0.0 X 0 0 0 Julie P Doyle Director 2.0 0.0 X 0 0 0 Matthew Foster MD Director 2.0 0.0 X 0 0 0 Harold Harris Jr Director 2.0 0.0 X 0 0 0 R Sackett Wood Director 2.0 0.0 X 0 0 0 Thomas Nygaard MD Director 2.0 0.0 X 0 0 0 Amanda Stanley Director 2.0 0.0 X 0 0 0 D Todd Irby Director 2.0 0.0 X 0 0 0 Peter Caprise MD Director 2.0 0.0 X 0 0 0 Sharon Harrup Director 2.0 0.0 X 0 0 0 9000926 0 851216 671 false true false HOSPITALIST ASSOCIATES OF VIRGINIA 2215 LANDOVER PLACE LYNCHBURG VA 24501 PHYSICIAN SERVICES 26590222 VIZIENT INC 5543 LEGACY DRIVE PLANO TX 75024 CONTRACT LABOR SVCS 17451968 COMPHEALTH PO BOX 972651 DALLAS TX 75397 PHYSICIAN SERVICES 9025783 CHANGE HEALTHCARE TECHNOLOGY PO BOX 98347 CHICAGO IL 60693 SOFTWARE SUPPORT SVC 3847729 TRUSTHCS 2042 South Brentwood Blvd Suite A SPRINGFIELD MO 65804 CONSULTING SERVICES 3532099 263 2866125 0 220508 3086633 NET PATIENT SERVICES REVENUE 624100 919228621 915884666 3343955 0 ANCILLARY SERVICES 900099 51664036 51664036 0 0 TUITION & EDUCATION 611600 37611366 37611366 0 0 CONTROLLED ENTITIES 900099 27582927 27582927 0 0 1036086950 15351079 15351079 0 0 5180125 4901083 279042 0 279042 279042 231493944 18175 212033631 0 19460313 18175 19478488 19478488 0 0 0 0 0 0 0 0 0 CAFETERIA/VENDING/DIETARY 722210 3504794 3504794 0 0 SUBSIDIARY MANAGEMENT FEE 541610 797585 797585 0 0 4302379 1078584571 1037045374 3343955 35108609 X 1540495 1540495 0 0 0 5017509 271892 4745617 0 93255 0 93255 0 458590143 413879686 44710457 0 7170 6548 622 0 54314496 48400073 5914423 0 51369838 46912024 4457814 0 2501313 418875 2082438 0 4298704 3112894 1185810 0 349140 68907 280233 0 0 0 1737179 0 1737179 0 161339985 134060516 27279469 0 1765363 1417671 347692 0 40117244 34998175 5119069 0 39927758 0 39927758 0 0 13723565 7876286 5847279 0 2290488 2038929 251559 0 0 1943965 1729009 214956 0 15883543 15883543 0 0 0 43581962 43581962 0 0 4851203 4763156 88047 0 MEDICAL SUPPLIES 91546955 91546955 0 0 DRUGS 72825577 72825577 0 0 BOND COST AMORTIZATION 426941 426941 0 0 1070043791 925760114 144283677 0 31131986 37649939 0 0 0 0 200581590 183963714 0 0 0 0 0 0 20512362 23577164 9146708 7653242 1097196742 696244421 412051103 400952321 340973679 400757414 206015140 228304847 0 0 0 0 45456233 61423365 1265868801 1344282006 81854760 76781386 0 0 1001928 736898 407470685 417109680 0 0 0 0 25000000 0 0 0 91037190 151045135 606364563 645673099 X 597122336 626136082 62381902 72472825 659504238 698608907 1265868801 1344282006 X 8540780 34583415 -4019526 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 18464 false true 46627 65091 false SCHEDULE C, PART II-B, LINE 1(G): DIRECT CONTACT WITH LEGISLATORS, ETC: PAID STAFFS LOBBYING ACTIVITIES INCLUDES REGISTRATION FEES, TRAVEL TO WASHINGTON, DC AND RICHMOND, VA DURING 2019 ATTRIBUTABLE TO LOBBYING EXPENSES, HOTELS, PARKING, MEALS, ETC. WAS $8,872. 15% OF ONE EMPLOYEES 2019 SALARY WAS ATTRIBUTABLE TO DIRECT LOBBYING: $9,592. SCHEDULE C, PART II-B, LINE 1(I): OTHER LOBBYING ACTIVITIES: A PORTION OF THE ORGANIZATION'S VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION (VHHA) DUES FOR 2019 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $46,627. 40574112 64149 6541083 633899 46545445 44759553 -3688592 496849 40574112 40943860 4470117 654424 44759553 40330243 1235527 621910 40943860 42943742 -2040466 573033 40330243 0.01980 0.62440 0.35580 false true true 28394351 28394351 495907493 285571448 210336045 27355844 17065186 10290658 517273863 393607787 123666076 28265191 28265191 400952321 INVEST CAPITAL-CONTROLLED ENT 228304847 F 228304847 0 OTHER ACCRUED LIABILITIES 76718208 PENSION LIABILITY 24586549 EST PAYABLE TO 3RD PARTY 17116436 INTEREST RATE SWAP 15806712 OTHER LIABILITIES 11732993 ACCRUED INTEREST PAYABLE 5084237 151045135 X SCHEDULE D, PART V, LINE 4: THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE FOUNTATIONS BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY U.S. GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE FOUNDATIONS BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSTED RESTRICTIONS. THE FOUNDATION HAS A POLICY OF REQUESTING FOR DISTRIBUTION EACH YEAR EITHER NET INCOME OF THE ASSET OR A PERCENTAGE OF THE ASSETS AVERAGE FAIR VALUE, WHICH RESULTS IN AN AVERAGE NET CASH DISTRIBUTION OF 2.4% OF TOTAL ASSETS. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF 4.3% ANNUALLY. THIS IS CONSISTENT WITH THE FOUNDATION'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. SCHEDULE D, PART X, LINE 2: CENTRA HEALTH, INC., CCRC, INC., CENTRA HEALTH FOUNDATION, SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL 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 MEDICAL GROUP, LLC, CHIC, CENTRA SPECIALTY HOSPITAL, HEALTHWORKS CLINIC, LLC, CENTRAL VA. QUALITY CARE NETWORK, LLC, AND CENTRA OUTPATIENT REHABILITATION SERVICES, LLC ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER CENTRAS TAX RETURN. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARIES, GBC, PCHP HOLDING INC. AND PCHP. UNDER THE ASSET-AND-LIABILITY METHOD FOR THESE STANDARDS, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASIS OF THE SUBSIDIARYS ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. CHIC IS WHOLLY OWNED BY CENTRA HEALTH, INC. ANY LIABILITY FOR TAXES IS PASSED THROUGH TO CENTRA HEALTH, INC. A PROVISION WILL BE MADE WHEN OPERATIONS OF THIS SUBSIDIARY INDICATES A LIABILITY FOR TAXES. 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 X true X true X true false true true 20266260 20266260 0.01890 155661298 120277688 35383610 0.03310 175927558 120277688 55649870 0.05200 139391 139391 0.00010 19384036 10127354 9256682 0.00870 1626092 1626092 0.00150 21149519 10127354 11022165 0.01030 197077077 130405042 66672035 0.06230 2633 2633 0.00000 2903 2903 0.00000 505 505 0.00000 6041 6041 0.00000 true 54147324 310074358 402602129 -92527771 X true true CENTRAL VIRGINIA IMA IMAGING SERVICES 0.5 0.0 0.5 THE SURGERY CENTER O OUTPATIENT SURGERY SVCS 0.5 0.01 0.49 3 1 LYNCHBURG GENERAL HOSPITAL 1901 TATE SPRINGS ROAD LYNCHBURG VA 24501 WWW.CENTRAHEALTH.COM X X X 2 VIRGINIA BAPTIST HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 WWW.CENTRAHEALTH.COM X X 3 CENTRA SPECIALTY HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 WWW.CENTRAHEALTH.COM X LONG TERM CARE LYNCHBURG GENERAL HOSPITAL 1 false false true X X X X X X X X X 18 true true false true X WWW.CENTRAHEALTH.COM X X true 18 true WWW.CENTRAHEALTH.COM false true X 200. 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false VIRGINIA BAPTIST HOSPITAL 2 false false true X X X X X X X X X 18 true true false true X WWW.CENTRAHEALTH.COM X X true 18 true WWW.CENTRAHEALTH.COM false true X 200. 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false CENTRA SPECIALTY HOSPITAL 3 false false true X X X X X X X X X 18 true true false true X WWW.CENTRAHEALTH.COM X X true 18 true WWW.CENTRAHEALTH.COM false true X 200. 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X false X X false false SCHEDULE H, PART V, SECTION B, LINE 5: CENTRA ORGANIZED THREE COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY (CHNA) ADVISORY BOARDS ONE FOR THE CENTRA HEALTH, LYNCHBURG REGION, ONE FOR THE BEDFORD MEMORIAL HOSPITAL, BEDFORD REGION, AND ONE FOR THE SOUTHSIDE COMMUNITY HOSPITAL, FARMVILLE REGION. THESE CHNA COMMUNITY ADVISORY BOARDS WERE COMPRISED OF COMMUNITY LEADERS REPRESENTING EDUCATION, BUSINESS, SOCIAL SERVICE AGENCIES, GOVERNMENT, PUBLIC HEALTH AUTHORITIES, COLLEGES (INCLUDING OUR LOCAL SCHOOL OF PUBLIC HEALTH), OTHER HEALTHCARE PROVIDERS, AND NEIGHBORHOOD CITIZEN ORGANIZATIONS IN AN EFFORT TO OBTAIN AS BROAD-BASED COMMUNITY INPUT AS POSSIBLE. PARTICIPANTS INCLUDED ORGANIZATIONS THAT REPRESENT THE NEEDS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. THE PARTICIPANTS OF THIS CHNA ASSESSMENT & IMPLEMENTATION PLAN WERE: 2018 LYNCHBURG AREA CORE TEAM - GREATER LYNCHBURG COMMUNITY FOUNDATION CENTRA- PITTSYLVANIA CENTRAL VIRGINIA HEALTH DISTRICT COMMUNITY ACCESS NETWORK CENTRA FOUNDATION BEDFORD COMMUNITY HEALTH FOUNDATION CENTRA- BEDFORD CENTRA- LYNCHBURG CENTRA- FARMVILLE PIEDMONT HEALTH DISTRICT CHRISTOPHER NYE CONSULTING PITTSYLVANIA/DANVILLE HEALTH DISTRICT UNITED WAY OF CENTRAL VIRGINIA COMMUNITYWORKS DATA ENTRY & ANALYSIS TEAM - LIBERTY UNIVERSITY CENTRA COLLEGE OF NURSING COMMUNITYWORKS VIRGINIA COMMONWEALTH UNIVERSITY 2018 LYNCHBURG AREA COMMUNITY HEALTH ASSESSMENT TEAM - YMCA RECREATION LYNCHBURG REDEVELOPMENT & HOUSING AUTHORITY HUMANKIND HUMAN GREATER LYNCHBURG COMMUNITY FOUNDATION LYNCHBURG CITY SCHOOLS PUBLIC SCHOOLS GREATER LYNCHBURG TRANSIT TRANSPORTATION CENTRA- ALAN B. PEARSON CANCER CENTER CENTRA HOSPITAL APPOMATTOX COUNTY DSS FAMILY SERVICES HORIZON BEHAVIORAL HEALTH PUBLIC BEHAVIORAL JOHNSON HEALTH CENTER HEALTH CENTRAL VIRGINIA COMMUNITY COLLEGE CENTRAL VA HEALTH DISTRICT PUBLIC HEALTH YWCA DOMESTIC-VIOLENCE SHELTERS LYNCHBURG COMMUNITY ACTION GROUP (LYN CAG) CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING (CVACL) HORIZON BEHAVIORAL HEALTH PUBLIC BEHAVIORAL HEALTH SYSTEM COMMUNITY ACCESS NETWORK HEALTH CENTER LYNCHBURG POLICE PUBLIC SAFETY CENTRA FOUNDATION LYNCHBURG MAYOR VDH PUBLIC HEALTH REGION 2000 LOCAL GOVERNMENT COUNCIL BEDFORD COMMUNITY HEALTH FOUNDATION CITY OF LYNCHBURG CITY GOVERNMENT HEALTH COLLABORATIVE- DANVILLE COMMUNITY COALITION LYNCHBURG PARKS AND RECREATION LIBERTY UNIVERSITY EDUCATION LACIL DISABILITY SERVICES AMHERST COUNTY DSS FAMILY SERVICES STEPHANIE MCBRIDE CENTRA HOSPITAL LYNCHBURG POLICE DEPARTMENT PUBLIC SAFETY LIBERTY UNIVERSITY INTERN STUDENT CHRISTOPHER NYE CONSULTING LYNCHBURG DEPARTMENT SOCIAL SERVICES ARCHETYPE HEALTH CVACL/DESIGNATED AREA AGENCY ON AGING JOHNSON HEALTH CENTER COMMUNITY HEALTH CENTER VA DEPARTMENT OF HEALTH PUBLIC HEALTH VIRGINIA COOPERATIVE EXTENSION STATE EXTENSION UNITED WAY OF CENTRAL VA BLUE RIDGE AREA FOOD BANK CENTRA PASTORAL CARE FAITH-BASED COMMUNITYWORKS PART V, SECTION B, LINE 6a: THE ORGANIZATIONS CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL AND CENTRA SPECIALTY HOSPITAL PART V, SECTION B, LINE 7d: HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. PART V, SECTION B, LINE 11: COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION PLAN IDENTIFIED THREE OVERARCHING ACTION PLAN PRIORITIES AIMED AT IMPROVING THE HEALTH OF THE VARIOUS COMMUNITIES SERVED BY LYNCHBURG GENERAL, VIRGINIA BAPTIST AND CENTRA SPECIALTY HOSPITALS: COMMUNITY SUPPORT FOR SELF-ADVOCACY; MENTAL HEALTH EDUCATION, AWARENESS AND ACCESS; AND ADDICTION EDUCATION, PREVENTION AND ACCESS. THE ACTION PLAN PRIORITY REGARDING COMMUNITY SUPPORT FOR SELF-ADVOCACY: CENTRA SUPPORTED THIS INITIATIVE IN MANY WAYS IN 2019. THE FOLLOWING ARE A FEW OF THESE INITIATIVES. CENTRA COLLABORATED WITH NEIGHBORS HELPING NEIGHBORS OF AMHERST COUNTY BY ASSISTING IN THE FUNDING OF A VAN TO BE USED FOR FOOD DISTRIBUTION AND ALSO SUPPORTED PURCHASING A VEHICLE FOR FOOD DISTRIBUTION IN LYNCHBURG ON BEHALF OF WHEELS FOR BREAD. CENTRAS SUPPORT OF THE FRESHRX LYNCHBURG GROWS PROGRAM PROVIDES FAMILIES WITH EDUCATION, COOKING CLASSES, AND A HEALTHY DIET. CENTRA WAS A LEAD SPONSOR IN THE HEART WALK AND EDUCATION FOR A HEALTHY LIFESTYLE. CENTRA SUPPORTED HEALTHY BEHAVIOR AND HEALTHY LIFE CHOICE PROGRAMS TO INCLUDE ITS CONTINUED SUPPORT OF THE FREE CLINIC IN A MEDICAL AND DENTAL INTEGRATION PROJECT. SUPPORT OF BOTH A PARTNERSHIP CORE PHARMACEUTICALS SERVICES PROGRAM AND ACCESS TO MEDICATION PROGRAM, A REDUCING FALLS AND PREMATURE HOME DISPLACEMENT PROGRAM, A SAFE AT HOME PROGRAM AND WORKING TO UNRAVEL THE EFFECTS OF CANCER IN A CANCER SUPPORT PROGRAM. THESE PROGRAMS AND CONTINUED PARTNERSHIP WITH OTHER COMMUNITY AGENCIES AND THE OPENING OF THE COMMUNITY ACCESS NETWORK ARE PART OF CENTRAS ACTIONS IN SUPPORT FOR SELF-ADVOCACY. THE ACTION PLAN PRIORITY REGARDING MENTAL HEALTH EDUCATION, AWARENESS AND ACCESS: IN THE AREA OF CHILD PSYCHOLOGY, WE HAVE CONTINUED OUR PARTIAL HOSPITALIZATION PROGRAM FOR CHILD AND ADOLESCENT PSYCHIATRY TO MEET THE NEEDS OF THE COMMUNITY. BEING ONE OF 2 HOSPITALS IN THE STATE THAT TREAT CHILDREN UNDER 10, WE DEVELOPED A SEPARATE TREATMENT AND PROGRAMMING TRACK, INCLUDING CAPITAL INVESTMENTS IN A SENSORY ROOM AND REDESIGNED ACTIVITY SPACES AS WELL AS UPDATED TREATMENT MATERIALS. IN THE AREA OF AUTISM, CENTRA HAS A FREESTANDING RIVERMONT SCHOOL IN LYNCHBURG FOR CHILDREN WITH AUTISM. DUE TO THE INCREASED PREVALENCE OF AUTISM, CENTRA RECEIVED FOUNDATION FUNDS TO EXPAND ITS MULTIDISCIPLINARY AUTISM CLINIC FROM ONE BUILDING TO TWO. WE ARE THE STATES ONLY MULTIDISCIPLINARY AUTISM CLINIC THAT PROVIDES PSYCHIATRY, DEVELOPMENTAL PEDIATRICS, SPEECH AND OCCUPATIONAL THERAPY, INDIVIDUAL AND FAMILY THERAPY, PARENT TRAINING AND APPLIED BEHAVIOR ANALYSIS (ABA) UNDER 1 ROOF. OUR AUTISM SERVICE LINE COORDINATES AND HOSTS THE ANNUAL CENTRAL VIRGINIA AUTISM RESOURCE FAIR IN LYNCHBURG, VA. THIS FREE COMMUNITY EVENT BRINGS TOGETHER LOCAL SERVICE PROVIDERS, NON-PROFITS, AND RESPITE CARE SERVICES TO PROVIDE CAREGIVERS AN OPPORTUNITY TO ACCESS RESOURCES IN A SUPPORTIVE, UNDERSTANDING ENVIRONMENT. IN THE AREA OF MENTAL HEALTH INTEGRATION, TO DATE, OUR MENTAL HEALTH INTEGRATION INITIATIVE HAS SUCCESSFULLY INTEGRATED LICENSED MENTAL HEALTH PROFESSIONALS IN THE FOLLOWING AREAS: STROOBANTS CARDIOLOGY, BARIATRICS, FOREST WOMENS CENTER, NATIONWIDE, SOUTHSIDE MEDICAL CENTER FARMVILLE, DANVILLE MEDICAL CENTER, PACE (PROGRAM FOR ALL-INCLUSIVE CARE OF THE ELDERLY), AS WELL AS OUR RECENTLY EXPANDED PIEDMONT PSYCHIATRIC CENTER MEDICATION ASSISTED TREATMENT CLINIC FOR PATIENTS WITH SUBSTANCE USE DISORDER. THE ACTION PLAN PRIORITY OF ADDICTION EDUCATION, PREVENTION AND ACCESS: CENTRA IS PRESIDENT OF THE CENTRAL VIRGINIA OPIOID PREVENTION COALITION (CVOPC). CVOPC STARTED THE HOPE INITIATIVE WHICH IS A MONTHLY DROP IN SESSION STAFFED BY CVOPC VOLUNTEERS TO PROVIDE A GATEWAY TO PROFESSIONAL RESOURCES IN THE COMMUNITY FOR PEOPLE SUFFERING FROM SUBSTANCE ABUSE DISORDERS. WE MAINTAIN A 7 BED UNIT AT VIRGINIA BAPTIST HOSPITAL FOR PATIENTS WITH SUBSTANCE ABUSE DIAGNOSES AND OPIOID ADDICTION TO BEGIN A HOSPITAL INITIATED MEDICATION ASSISTED WITHDRAWAL. WE HAVE EXPANDED OUR CLINIC FOR PRE/POST-PARTUM WOMEN WITH SUBSTANCE USE DISORDER TO WHICH INCLUDES A PIEDMONT PSYCHIATRIC CENTER MEDICATION ASSISTED TREATMENT (MAT) CLINIC. THE CLINIC MODEL INVOLVES COMPREHENSIVE CARE FOR INDIVIDUALS WITH OPIOID USE DISORDER INCLUDING ASSESSMENT OF MEDICAL AND PSYCHIATRIC NEEDS, CARE COORDINATION, INDIVIDUAL AND GROUP THERAPY, AND MEDICATION ASSISTED TREATMENT. 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. PART V, SECTION B, LINE 16A, B, C: (LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL) THE ENTIRE FNANCIAL ASSISTANCE POLICY (FAP), INCLUDING FAP APPLICATION AND PLAIN LANGUAGE SUMMARY IS LOCATED AT THE FOLLOWING URL: HTTP://CENTRAHEALTHONLINEBILLPAY.PATIENTCOMPASS.COM PART V, SECTION B, LINE 21: (POLICY RELATING TO EMERGENCY MEDICAL CARE) FACILITY: CENTRA SPECIALITY HOSPITAL CENTRA SPECIALITY HOSPITAL DOES NOT HAVE AN EMERGENCY DEPARTMENT DUE TO THE NATURE OF THE HOSPITAL'S SERVICES. 96 CENTRA ALAN B PEARSON CANCER CENTER 1701 THOMSON DRIVE LYNCHBURG VA 24501 CANCER CENTER & PALLIATIVE CARE GRETNA MEDICAL CENTER 291 McBride Lane Gretna VA 24557 Emergency, Imaging, Internal Medicine, Cardiology, Rehab, Lab CENTRA LAB PHLEBOTOMY CENTER 1900 TATE SPRINGS ROAD SUITE 9 LYNCHBURG VA 24501 LAB SERVICES GUGGENHEIMER HEALTH & REHABILITATION CTR 1902 GRACE STREET LYNCHBURG VA 24504 NURSING HOME FAIRMONT CROSSING HEALTH & REHAB CENTER 173 BROCKMAN PARK DRIVE AMHERST VA 24521 NURSING HOME SUMMIT HEALTH & REHABILITATION CENTER 1300 ENTERPRISE DRIVE LYNCHBURG VA 24502 NURSING HOME SUMMIT ASSISTED LIVING 1320 ENTERPRISE DRIVE LYNCHBURG VA 24502 ASSISTED LIVING CENTRA HOSPICE-LYNCHBURG 2097 LANGHORNE ROAD LYNCHBURG VA 24501 HOSPICE CARE CENTRA HOSPICE HOUSE 4413 BOONESBORO ROAD LYNCHBURG VA 24503 HOSPICE HOUSE CENTRA HOME HEALTH 1204 FENWICK DRIVE LYNCHBURG VA 24502 HOME HEALTH SERVICES CENTRA PACE 407 FEDERAL STREET LYNCHBURG VA 24504 CARE FOR ELDERLY PIEDMONT PSYCHIATRIC CENTER 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 MENTAL HEALTH BRIDGES TREATMENT CENTER 693 LEESVILLE ROAD LYNCHBURG VA 245022828 MENTAL HEALTH ALTAVISTA MEDICAL CENTER 1280 A MAIN STREET ALTAVISTA VA 24517 FAMILY PRACTICE BROOKNEAL MEDICAL CENTER 104 CAROLINA AVENUE BROOKNEAL VA 24528 FAMILY PRACTICE CMG - DANVILLE ORTHOPEDIC & REHAB SPECIA 404 AIRPORT ROAD SUITE C DANVILLE VA 24540 ORTHOPEDICS & PHYSICAL THERAPY CMG - NATIONWIDE 125 Nationwide Drive LYNCHBURG VA 24502 INTERNAL MEDICINE, REHAB, URGENT CARE VILLAGE PRACTICE - MONETA 4830 RUCKER RD MONETA VA 24121 FAMILY PRACTICE CENTER FOR PAIN MANAGEMENT 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 PAIN MANAGEMENT CENTER FOR WOUND CARE AND HYPERBARIC MED 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 WOUND CARE CMG UROLOGY CENTER 2542 LANGHORNE ROAD LYNCHBURG VA 24501 UROLOGY CMG UROLOGY CENTER-Oak Vassar Office 1330 Oak Lane Suite 203 LYNCHBURG VA 24503 UROLOGY CMG UROLOGY CENTER-Bedford 1613 Oakwood St Ste 202 Bedford VA 24523 UROLOGY MEDICAL & SURGICAL SPECIALISTS 173 EXECUTIVE DRIVE DANVILLE VA 24540 UROLOGY, NEUROSURGERY, PLASTICS, CARDIOLOGY SVCS DOMINION PRIMARY CARE 110 EXCHANGE STREET SUITE F DANVILLE VA 24540 Family Care, Urgent Care Urology, Neurology and Cardiology CMG WOMEN'S CENTER 2007 GRAVES MILL ROAD FOREST VA 24551 WOMEN'S HEALTH SVCS LIBERTY UNIVERSITY HEALTH SERVICES 1971 UNIVERSITY BLVD LYNCHBURG VA 24502 FAMILY PRACTICE JAMERSON YMCA REHAB CENTER 801 WYNDHURST DRIVE LYNCHBURG VA 24502 REHAB CENTER STROOBANTS CARDIOVASCULAR CENTER- MAIN O 2410 ATHERHOLT ROAD LYNCHBURG VA 24501 CARDIOLOGY CENTER & CARDIOVASCULAR SURGERY STROOBANTS CARDIOVASCULAR CENTER-BEDFORD 1613 OAKWOOD AVENUE BEDFORD VA 24523 CARDIOLOGY CENTER STROOBANTS CARDIOVASCULAR CENTER- FARMVI 900 WEST THIRD STREET FARMVILLE VA 23901 CARDIOLOGY CENTER STROOBANTS CARDIOVASCULAR CENTER- MONETA 1039 MAYBERRY CROSSING DRIVE SUITE MONETA VA 24121 CARDIOLOGY CENTER STROOBANTS CARDIOVASCULAR CENTER- GRETNA 1220 WEST GRETNA ROAD GRETNA VA 24557 CARDIOLOGY CENTER REHAB & GERIATRIC SERVICES 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 DRS. PROVIDE SERVICES TO NURSING HOMES, SKILLED CARE HOSPICE, PACE & REHAB BREAST IMAGING CENTER 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 MAMMOGRAPHERS READ SCREENINGS FOR DIAGNOSTIC BREAST IMAGING MAMMOGRAPHY CENTER-TIMBERLAKE 20293 TIMBERLAKE ROAD LYNCHBURG VA 24502 MAMMOGRAPHY CENTER MAMMOGRAPHY CENTER-TATE SPRINGS 1900 TATE SPRINGS ROAD SUITE 1 LYNCHBURG VA 24501 MAMMOGRAPHY CENTER Pathways Recovery Lodge 1770 Earley Farm Road Amherst VA 24521 DRUG & ALCOHOL TREATMENT CENTER Rivermont School-Chase City 633 N Main Street Chase City VA 23924 MENTAL HEALTH Rivermont School- Dan River 4058 Franklin Turnpike Danville VA 24540 MENTAL HEALTH Rivermont School- Roanoke 1354 8th Street Roanoke VA 24015 MENTAL HEALTH Rivermont School-Hampton 303 Butler Farm Road Suite 100 Hampton VA 23666 MENTAL HEALTH Rivermont School-Tidewater 5163 Cleveland Street Virginia Beach VA 23462 MENTAL HEALTH Rivermont School-Alleghany Highlands 331 West Main Street Covington VA 24426 MENTAL HEALTH Rivermont School-Rockbridge 35 Magnolia Square Suite 7 Lexington VA 24450 MENTAL HEALTH Rivermont School - Lynchburg 3024 Forest Hills Circle Lynchburg VA 24501 MENTAL HEALTH Rivermont School - Fredricksburg 30 Pulte Dr Fredricksburg VA 22406 MENTAL HEALTH Rivermont School - Greater Petersburg 12318 Boydton Plank Road Dinwiddie VA 23841 MENTAL HEALTH RIVERMONT SCHOOL - FAIRFAX 6700 SPRINGFIELD CENTER DRIVE SUIT SPRINGFIELD VA 22150 MENTAL HEALTH Rivermont School - Bridges Residential 693 Leesville Road Lynchburg VA 245022828 MENTAL HEALTH Centra Neuroscience Center-Farmville 800 Oak Street Farmville VA 23901 NEUROSCIENCE Lynchburg Family Medicine Center 2323 Memorial Avenue Suite 10 Lynchburg VA 24501 FAMILY PRACTICE RESIDENCY PROGRAM CMG - Big Island Medical Center Highway 501 North Big Island VA 24526 FAMILY PRACTICE CMG - PrimeCare Main 130 Enterprise Drive Danville VA 24540 FAMILY PRACTICE, URGENT CARE CMG - PrimeCare East 404 Airport Drive Suite A Danville VA 24540 FAMILY PRACTICE CMG-BEDFORD MEDICAL CENTER 1613 Oakwood Street Suite 201 Bedford VA 24523 FAMILY PRACTICE LYNCHBURG EMPLOYEE CLINIC 901 CHURCH STREET Lynchburg VA 24504 EMPLOYEE WELLNESS CLINIC CMG PLASTIC SURGERY CENTER 1330 Oak Lane Suite 100 Lynchburg VA 24503 PLASTIC SURGERY CMG NEUROSCIENCE CENTER 2025 Tate Springs Road Lynchburg VA 24501 NEUROSCIENCE CMG Surgical Specialists - Seven Hills 1911 Thomson Drive Lynchburg VA 24501 SURGERY SPECIALISTS CMG Surgical Specialists - Central Va 1906 Thomson Drive Lynchburg VA 24501 SURGERY SPECIALISTS CENTRA COLLEGE OF NURSING 905 Lakeside Dr Suite A Lynchburg VA 24501 COLLEGE OF NURSING HEALTHWORKS CLINIC 1905 Atherholt Road Lynchburg VA 24501 REHAB ROSEMARY & GEORGE DAWSON INN 2012 Tate Springs Road Lynchburg VA 24501 PATIENT/FAMILY INN Centra - Bedford Rehab 1710 Whitfield Drive Bedford VA 24523 OP REHAB SVCS CENTRA HEALTH EMERGENCY SERVICES 1901 TATE SPRINGS ROAD LYNCHBURG VA 24501 EMERGENCY SVCS CMG - DANVILLE OCCUPATIONAL HEALTH SVCS 404 Airport Drive Suite B Danville VA 24540 OCCUPATIONAL REHAB SERVICES CMG - NEUROSCIENCE CENTER BEDFORD 1615 OAKWOOD STREET SUITE D BEDFORD VA 24523 NEUROSURGERY CMG - AMHERST MEDICAL CENTER 124 AMBRIAR COURT AMHERST VA 24521 FAMILY PRACTICE CMG INFECTIOUS DISEASE CENTER 2216 LANDOVER PLACE LYNCHBURG VA 24501 INFECTIOUS DISEASE CTR CMG HEALTHY SKIN CENTER 1330 OAK LANE SUITE 103 LYNCHBURG VA 24503 SKIN CLINIC CMG - MOBILE MEDICAL SERVICES 2010 ATHERHOLT ROAD LYNCHBURG VA 24501 MOBILE MEDICAL SVCS PACE Gretna 1220 W Gretna Road Gretna VA 24557 CARE FOR ELDERLY CMG Rehabilitation Danville 414 Park Avenue Danville VA 24541 REHAB SVCS CMG - SLEEP DISORDERS CENTER-FOREST 1084 Thomas Jefferson Road FOREST VA 24551 SLEEP DISORDER SVCS CMG Southside - Keysville 312 Kings Street Keysville VA 23947 FAMILY PRACTICE CMG Southside - Farmville 935 South Main Street Farmville VA 23901 FAMILY PRACTICE CMG Southside - Victoria 1418 6th Street Victoria VA 23974 FAMILY PRACTICE CMG Southside - Burkeville 412 Namozine Street Burkeville VA 23922 FAMILY PRACTICE CMG Southside - Cumberland 1758 Anderson Highway Cumberland VA 23942 FAMILY PRACTICE Southside Ctr for Gastro Liver Disease 800 Oak Street Farmville VA 23901 GASTROLOGY CMG Southside Orthopedic & Rehabilitatio 935 South Main Street Farmville VA 23901 ORTHOPEDIC & REHAB SVCS CMG Southside - Surgery Center 800 Oak Street Farmville VA 23901 GENERAL SURGERY CMG Southside - Women's Center 800 Oak Street Farmville VA 23901 WOMEN'S HEALTH SVCS CMG Southside - Emergency Services 800 Oak Street Farmville VA 23901 EMERGENCY SVCS CMG Southside - Nephrology Center 935 South Main Street Farmville VA 23901 NEPHROLOGY CMG Southside - Neurology Center 800 OAK STREET Farmville VA 23901 Neurology CMG Southside - Urology 800 Oak Street Farmville VA 23901 UROLOGY CMG Southside - CRNA 800 Oak Street Farmville VA 23901 CRNA SVCS CMG Southside - Hospitalists 800 Oak Street Farmville VA 23901 HOSPITALIST SVCS CMG Bedford - General Surgery Center 1615 Oakwood Street Suite B Bedford VA 24523 GENERAL SURGERY CMG Bedford - Pulmonology Center 1613 Oakwood Street Suite 202 Bedford VA 24523 PULMONARY SVCS CMG Bedford - Women's Center 1615 Oakwood Street Suite D Bedford VA 24523 WOMEN'S HEALTH SVCS CMG Bedford - Emergency Services 1613 Oakwood Street Bedford VA 24523 EMERGENCY SVCS CMG Bedford - Hospitalists 1613 Oakwood Street Bedford VA 24523 HOSPITALIST SVCS CMG Bedford - CRNA 1613 Oakwood Street Bedford VA 24523 CRNA SVCS PART I, LINE 6A: INFORMATION ON COMMUNITY BENEFIT IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC. PART I, LINE 7: COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE. PART II: COMMUNITY BUILDING ACTIVITIES COMMUNITY SUPPORT: CENTRA HEALTH, INC. RECOGNIZES THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES. WE CONTINUOUSLY WORK TO SEEK OUT WAYS IN WHICH WE CAN SUPPORT THE COMMUNITY. HELPING THOSE IN NEED IS A MAIN FOCUS OF CENTRA, NOT ONLY WITH THEIR HEALTH NEEDS BUT WITH THE FUNDAMENTAL NEEDS OF INDIVIDUALS WITHIN OUR COMMUNITY, AS WELL. 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 US. CENTRA OPENS ITS CANCER CENTER FACILITY TO VARIOUS GROUPS IN ORDER FOR THEM TO MEET, SOCIALIZE, EXERCISE, DISCUSS THEIR LIFE STRUGGLES AND TO JUST ENJOY EACH OTHERS COMPANY. THE OFF THE NEEDLE KNITTING GROUP IS ONE OF THOSE GROUPS. WE ALSO HOST EXERCISE GROUPS SUCH AS MEDITATION GROUPS, TAI CHI CLASSES, AND YOGA CLASSES. COALITION BUILDING: CENTRA CONTINUES TO REACH OUT TO THE COMMUNITY IN ORDER TO INFORM THE PUBLIC ABOUT THE NUMEROUS HEALTH FAIRS, HEALTH SEMINARS, AND GENERAL INFORMATIONAL SESSIONS OFFERED BY CENTRA, THROUGHOUT THE YEAR. CENTRA HOLDS HEALTH CAREER CAMPS IN ORDER TO PROMOTE THE IMPORTANCE OF HEALTHCARE PROFESSIONALS TO YOUNG ADULTS SO THEY MAY, POSSIBLY, BECOME MEMBERS OF THE HEALTHCARE COMMUNITY IN THE FUTURE. THROUGH OUT THE YEAR, WE ALSO VISIT LOCAL ELEMENTARY AND MIDDLE SCHOOLS WITHIN THE COMMUNITY TO INTRODUCE THE YOUTH TO HEALTHCARE CAREERS. CENTRA IS A MEMBER OF THE CAMPBELL COUNTY ADVISORY BOARD WHICH ENABLES US TO REPRESENT CENTRA IN THE COMMUNITY TO HELP MEET THE NEEDS OF THOSE IN THE SCHOOL SYSTEM. OUR COMMUNITY VOICE PROGRAM IS AN EVIDENCED BASED CONSUMER EDUCATION PROGRAM WHOSE GOALS ARE TO RAISE AWARENESS OF THE HEALTH DISPARITY THAT EXISTS IN INFANT MORTALITY, TO PROVIDE CULTURALLY RELEVANT PERINATAL HEALTH INFORMATION, AND TO INFLUENCE BEHAVIORS BY TAKING INFORMATION DIRECTLY TO THE PEOPLE WHOM WOMEN OF CHILD BEARING AGE ARE MOST LIKELY TO TRUST AND TRAIN THEM TO BE LAY HEALTH ADVISORS. ONCE TRAINED, LAY HEALTH ADVISORS HAVE THE KNOWLEDGE AND POWER TO TEACH, MOTIVATE, AND INFLUENCE THEIR FAMILY, FRIENDS, AND NEIGHBORS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF CENTRA. WE FEEL PASSIONATE ABOUT IMPROVING ACCESS TO CARE, PUBLIC HEALTH, ETC. WE ARE EXCITED TO PARTICIPATE IN NUMEROUS EVENTS 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. WORKFORCE DEVELOPMENT: CENTRA HEALTH, INC. BELIEVES THAT IT IS CRUCIAL TO HAVE EDUCATED, EXPERIENCED HEALTHCARE PROFESSIONALS WORKING WITHIN OUR COMMUNITIES. BY DISCUSSING HEALTHCARE WITH CHILDREN BEGINNING AT AN EARLY AGE, WE FEEL IT WILL SPARK INTEREST AND HAVE OUR YOUTH THINKING ABOUT POSSIBLY SEEKING A CAREER IN HEALTHCARE AS THEY GET OLDER. CENTRA CONDUCTS PROGRAMS WHICH SEND OUR STAFF TO AREA SCHOOLS, BEGINNING AT THE ELEMENTARY LEVEL, AND SHARING AGE APPROPRIATE INFORMATION AND MATERIALS ABOUT HEATH CAREER CHOICES AND THE ACADEMIC PATHWAY TO THOSE CAREERS. CENTRAS HEALTH CAREER CAMPS ALLOW CAMPERS TO PARTICIPATE IN TEAM BUILDING ACTIVITIES, LEARN ABOUT INFECTION PREVENTION, ORGAN DONATION, LISTEN TO PRESENTATIONS ON EMERGENCY MEDICINE, TOUR EMERGENCY VEHICLES, AND MANY MORE HEALTH RELATED ACTIVITIES. OUR MEDICAL CAREER CAMP ALLOW CAMPERS TO PARTICIPATE IN ACTIVITIES RELATED TO TOPICS SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THEY ARE ALSO ENGAGED IN HANDS-ON ACTIVITIES SUCH AS DISSECTING A PIGS HEART AND LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHATS INVOLVED IN SUTURING, TAKING CARE OF WOUNDS, IV SIMULATIONS, ETC. WE GIVE CAMPERS A GENERAL EXPOSURE TO VARIOUS CAREERS WITHIN THE HEALTHCARE SYSTEM WHICH ALLOWS THEM TO DETERMINE IF ONE OF THESE FIELDS ARE RIGHT FOR THEM. PART III, SECTION A, LINE 1: ON JANUARY 1, 2012, CENTRA ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, WHICH CHANGED CENTRAS 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, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT CONSISTENT WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. PART III, SECTION A, LINE 2 & 3: SEE DESCRIPTION FOR PART III, SECTION A, LINE 4 PART III, SECTION A, LINE 4: CENTRA 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.(CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2019 AUDIT REPORT, PAGE 13-14) PART III, SECTION B, LINE 8: THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATIONS 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 TOTAL AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE CENTRA HEALTHS MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE TO ANY OF OUR PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH REIMBURSEMENTS WERE LESS THAN THE COST TO PROVIDE SERVICE. TOTAL MEDICARE SHORTFALL FOR 2019 WAS $92,527,771. PART III, SECTION C, LINE 9B: CENTRA 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. CENTRA 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: NEEDS ASSESSMENT: AS A NONPROFIT HEALTH CARE SYSTEM, CENTRA IS LED BY A BOARD OF DIRECTORS OF REGIONAL COMMUNITY LEADERS KNOWLEDGEABLE ABOUT THE HEALTH CARE NEEDS OF THE POPULATION. CENTRA ENCOURAGES ITS EXECUTIVE TEAM AND EMPLOYEES TO BE AN INTEGRAL PART OF COMMUNITY ORGANIZATIONS, NOT ONLY TO OFFER ADVICE AND SERVICE, BUT ALSO TO BETTER UNDERSTAND AND RECOGNIZE THE NEEDS OF THE REGIONAL COMMUNITY. IN 2018, CENTRA COMPLETED THE 2018 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN TO MEASURE THE HEALTH NEEDS OF CENTRAL VIRGINIA RESIDENTS SERVED AT CENTRA LYNCHBURG GENERAL HOSPITAL, CENTRA VIRGINIA BAPTIST HOSPITAL AND CENTRA SPECIALTY HOSPITAL. THE CENTRA FOUNDATION PROVIDED FUNDING FOR THE DETAILED REPORT, WHICH IDENTIFIES THE HEALTH NEEDS AND PRIORITIES FOR THE COMMUNITIES SERVED BY CENTRA. THE ASSESSMENT INCLUDES INDIVIDUALS LIVING IN THE GREATER LYNCHBURG COMMUNITY, INCLUDING THE CITY OF LYNCHBURG AND BEDFORD, CAMPBELL, AMHERST, APPOMATTOX, AND NELSON COUNTIES. THE CUMULATIVE REPORT OFFERS A STATISTICALLY RELIABLE SNAPSHOT OF THE COMMUNITYS HEALTH AND PROVIDES A WEALTH OF INFORMATION TO GUIDE THE CENTRA FOUNDATION IN ITS GRANT FUNDING EFFORTS. EXPERTS SAY CLINICAL CARE; SOCIAL AND ENVIRONMENTAL FACTORS SUCH AS EDUCATION, EMPLOYMENT, HEALTH STATUS AND BEHAVIORS SUCH AS DIET, SMOKING AND EXERCISE; AND PHYSICAL ENVIRONMENT FACTORS SUCH AS AIR/WATER QUALITY, HOUSING AND ACCESS TO TRANSPORTATION INFLUENCES THE HEALTH OF A COMMUNITY. THROUGH THE CHNA, CENTRA EXAMINED THESE AREAS AND IDENTIFIED OPPORTUNITIES TO MAKE CLINICAL SERVICES MORE RESPONSIVE TO COMMUNITY NEED AND TO COLLABORATE WITH OTHER LIKE-MINDED ORGANIZATIONS TO IMPROVE THE OTHER FACTORS THAT AFFECT THE HEALTH OF THE COMMUNITY. THE INFORMATION GLEANED CAN SUPPORT THE STRATEGIC PLAN, ENSURE CENTRAS LONG-RANGE PLANS ARE RESPONSIVE AND HELP GUIDE THE AWARDING OF COMMUNITY GRANTS. HEALTH CARE NEEDS AND REQUESTS ARE ALSO ASSESSED THROUGH FOCUS GROUPS, AND SURVEYS OF COMMUNITY RESIDENTS AND CIVIC LEADERS AS WELL AS HOSPITAL AND HEALTH CARE SYSTEM PATIENTS. CENTRA ALSO PARTNERS WITH AGENCIES AND ORGANIZATIONS TO STUDY COMMUNITY NEEDS AND PROPOSE THE BEST SOLUTIONS. IN ADDITION, A CALL CENTER RECEIVES CALLS AND REPORTS TO THE MARKETING DEPARTMENT FOR ADDITIONAL REQUESTS FROM THE COMMUNITY. CENTRAHEALTH.COM PROVIDES CONSTANT FEEDBACK FROM THE COMMUNITY, WHICH IS ADDRESSED IMMEDIATELY. SURVEYS ARE CONDUCTED AT EVERY COMMUNITY EVENT ON WHICH THE COMMUNITY IS ABLE TO OFFER FEEDBACK. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRA 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: CANT PAY YOUR BILL? FINANCIAL ASSISTANCE AND FLEXIBLE PAYMENT OPTIONS ARE AVAILABLE BY CONTACTING CENTRA CUSTOMER SERVICE AT (434) 200-3777. PART VI, LINE 4: COMMUNITY INFORMATION: CENTRA IS A COMPREHENSIVE HEALTH CARE SYSTEM COVERING A PRIMARY SERVICE AREA (PSA) OF THE CITIES OF LYNCHBURG AND BEDFORD, AND THE COUNTIES OF AMHERST, APPOMATTOX, BEDFORD, CAMPBELL, AND PITTSYLVANIA. CENTRAS SECONDARY SERVICE AREA (SSA) INCLUDES THE COUNTIES OF BUCKINGHAM, CHARLOTTE, HALIFAX, NELSON, AND PRINCE EDWARD. THE POPULATION FOR THE TOTAL SERVICE AREA (PSA/SSA) IS 431,720, WITH AN ETHNIC MIX OF 22.92% BLACK AND 73.67% WHITE. THE PERCENT OF THE TOTAL PSA/SSA POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS 20.74%. THE AVERAGE HOUSEHOLD INCOME IN THE TOTAL SERVICE AREA IS $48,605. THE CURRENT RATE OF PERSONS IN POVERTY IS APPROXIMATELY 16.45% FOR THIS TOTAL SERVICE AREA. CENTRA PROMOTES THE NECESSITY OF HAVING A CULTURALLY SENSITIVE WORKFORCE AND PROVIDES AN OVERVIEW OF THE POPULATION MIX FOR ORIENTATION OF NEW EMPLOYEES. CENTRA HOSTS WORKSHOPS ON CULTURAL COMPETENCE, PROVIDES REFERENCE BOOKS FOR EACH PATIENT CARE AREA AND PROVIDES A LESSON ON CULTURAL DIVERSITY AS PART OF YEARLY MANDATORY EDUCATION. THERE ARE ALSO CHAPLAINS AVAILABLE WITH EXPERIENCE AND TRAINING TO SUPPORT CLINICAL STAFF WHO MIGHT HAVE NEEDS WITH CULTURALLY SENSITIVE ISSUES. Source: www.census.gov/quickfacts (2018 stats) PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: IN ADDITION TO HEALTH EDUCATION PROGRAMS AND RESOURCES, CENTRA USES ITS HOSPITAL-BASED DEPARTMENTS TO IMPLEMENT NEW WAYS TO IMPROVE HEALTH CARE FOR THE REGION. HERE ARE THREE EXAMPLES: (1) CENTRA STARTED THE FIRST NATIONALLY CERTIFIED PROGRAM TO HELP PEOPLE RECEIVING TREATMENT AND CANCER SURVIVORS AS THEY HEAL AND RECOVER. WITH THIS PROGRAM, CALLED STAR, CANCER PATIENTS AND SURVIVORS CAN LESSEN PAIN, WEAKNESS, FATIGUE, DEPRESSION AND MEMORY LOSS THAT CAN OCCUR WITH CANCER. (2) CENTRA ESTABLISHED ITS PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) IN THE LYNCHBURG AND FARMVILLE AREAS TO OFFER ADULTS 55 YEARS OF AGE AND OLDER MEDICAL CARE AND EDUCATION THAT ALLOWS THEM TO STAY IN THEIR OWN HOMES. WITH LONG-TERM CARE EXPERTISE GAINED THROUGH HOSPITAL-BASED CENTERS, CENTRA PROFESSIONALS FOCUS ON DISEASE PREVENTION, INTERVENTION AND WELLNESS. THE PROGRAM IS BASED ON THE KNOWLEDGE OF PROFESSIONALS WHO ADVOCATE THAT IT IS BETTER FOR SENIORS WITH CHRONIC CARE NEEDS AND THEIR FAMILIES TO BE SERVED IN THE COMMUNITY FOR AS LONG AS IT IS MEDICALLY SAFE. COMPREHENSIVE SERVICES ARE DELIVERED BY AN INTERDISCIPLINARY TEAM OF PROFESSIONALS, INCLUDING A PRIMARY CARE PHYSICIAN, REGISTERED NURSES, REHABILITATION THERAPISTS, DIETITIANS AND RECREATION/ACTIVITY STAFF. (3) CENTRA HAS LEVERAGED ITS HIGH-BANDWIDTH CONNECTIVITY ACROSS FACILITIES AND PHYSICIAN PRACTICES TO IMPROVE THE HEALTH OF THE POPULATION THROUGH THE SHARING OF MEDICAL RECORDS. WITH THIS CONNECTIVITY, CENTRA ALSO IS ABLE TO ESTABLISH A CLINICAL REPOSITORY THAT CAN BE MINED TO PERFORM TRUE POPULATION-BASED ANALYTICS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: WHETHER BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES, ENHANCING HEALTH OR PROVIDING NEEDED REGIONAL PROGRAMS AND SUPPORT, CENTRA SERVES AS A KEY PARTNER IN MANAGING AND PROMOTING HEALTH CARE THROUGHOUT ITS SYSTEM TO ENSURE CARE TO THE REGIONAL COMMUNITIES IT SERVES. DISEASE PREVENTION, TREATMENT AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES TO THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND PROGRAMS, CENTRA EXPANDS ITS HOSPITAL WALLS TO OFFER NATIONAL AWARD-WINNING HEALTH CARE FOR ITS PATIENTS WHILE SEEKING TO ENHANCE THE HEALTH AND WELLNESS OF RESIDENTS IN ITS SERVICE AREA. AS THE REGIONAL HEALTH CARE LEADER, CENTRA BRINGS A CONTINUOUS FLOW OF HEALTH CARE SERVICES DESIGNED TO ENSURE THAT PATIENTS RECEIVE CARE THAT MEETS THEIR IDENTIFIED NEEDS. PATIENT CARE ENCOMPASSES WELLNESS AND PREVENTION, RECOGNITION OF DISEASE AND HEALTH PROBLEMS, PATIENT TEACHING, PATIENT ADVOCACY, SPIRITUALITY, AND RESEARCH THROUGHOUT THE CONTINUUM. THIS CARE IS DELIVERED THROUGH ORGANIZED AND SYSTEMATIC PROCESSES DESIGNED TO ENSURE SAFE, EFFECTIVE AND TIMELY CARE AND TREATMENT. DUE TO THE WAY THE HEALTH CARE SYSTEM MANAGES CARE, CENTRA CONTINUES TO MOVE TO A HIGHER LEVEL BY EVALUATING SPECIFIC PATIENT OUTCOMES AND PARTICIPATING IN VOLUNTARY NATIONAL CERTIFICATION PROGRAMS THAT EXAMINE PROCESSES AND PROFICIENCY. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF ITS REGIONAL POPULATION AND TAKES GREAT PRIDE IN PROVIDING THE FACILITIES, RESOURCES, EXPERTISE, AND PEOPLE TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE OF CENTRAL VIRGINIA. FOR EXAMPLE, CENTRA HAS BEEN INSTRUMENTAL IN ESTABLISHING AND SUPPORTING MEDICAL CLINICS FOR THE UNDERSERVED POPULATION. THESE INCLUDE SERVICES FOR PREGNANT WOMEN AND CHILDREN WHO OTHERWISE MAY NOT RECEIVE CRITICAL PREVENTIVE CARE. CENTRA ALSO DONATES LABORATORY TESTING, RADIOLOGY SERVICES AND EQUIPMENT. MULTIDISCIPLINARY TEAMS, INCLUDING PHYSICIANS FROM CENTRA PRACTICES AND EXPERTS IN LONG-TERM CARE AND REHABILITATION, OFFER PROFESSIONAL HEALTH EDUCATION CLASSES, LECTURES, SEMINARS, HEALTH FAIRS AND HEALTH SCREENINGS. THE HEALTH CARE SYSTEM ALSO PARTNERS WITH COMMUNITY ORGANIZATIONS TO CO-SPONSOR DOZENS OF REGIONAL EVENTS. IN ADDITION, DIETITIANS, DIABETIC INSTRUCTORS AND OTHER CENTRA PROFESSIONALS PROVIDE ONE-ON-ONE HEALTH COUNSELING AND EDUCATION FOR HOSPITAL AND SYSTEM PATIENTS. THE HEALTH CARE SYSTEM OFFERS A HEALTH CARE CAREERS CAMP FOR TEENAGERS. STUDENTS GAIN HANDS-ON EXPERIENCE, ENJOY A TOUR OF THE HOSPITALS HELICOPTER AND HANGAR AND ARE EXPOSED TO MANY CAREER OPPORTUNITIES. CENTRA DISTRIBUTES A WEALTH OF PRINTED AND ONLINE HEALTH INFORMATION THROUGH ITS PUBLICATIONS, MEDIA STORIES AND INTERACTIVE WEBSITE. THIS INFORMATION IS PRODUCED SPECIFICALLY FOR THE REGIONAL POPULATION AND TO MEET IDENTIFIED NEEDS. AS THE SOLE HEALTH CARE SYSTEM IN ITS SERVICE AREA, CENTRA USES ITS HOSPITAL-BASED RESOURCES AS A VALUABLE VEHICLE FOR MANAGING AND PROMOTING HEALTH CARE AS PART OF ITS NONPROFIT MISSION. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA true CENTRA HEALTH FOUNDATION 1920 Atherholt Road LYNCHBURG VA 24501 541604094 501(C)(3) 500000 COMMUNITY WELLNESS JOHNSON HEALTH CENTER 320 FEDERAL ST LYNCHBURG VA 24504 541287905 501(C)(3) 159138 RENTAL CONTRIBUTION ACADEMY OF FINE ARTS 600 MAIN ST LYNCHBURG VA 24504 237061145 501(C)(3) 25000 FUNDRAISING CAMPAIGN ALTAVISTA AREA YMCA PO Box 149 ALTAVISTA VA 24517 540895639 501(C)(3) 30000 ATHLETIC CENTER RENOVATION AMAZEMENT SQUARE 27 9th Street LYNCHBURG VA 24504 541713204 501(C)(3) 10600 MATURE MAKERS PROGRAM AMERICAN HEART ASSOCIATION 4217 Park Place Ct GLEN ALLEN VA 23060 135613797 501(C)(3) 17500 HEART WALK Central Virginia Community College WARDS ROAD LYNCHBURG VA 24502 541268278 GOV'T 27000 FUNDRAISING CAMPAIGN Free Clinic of Central Virginia 1016 Main St LYNCHBURG VA 24504 541420756 501(C)(3) 320000 FUNDRAISING CAMPAIGN JAMERSON FAMILY YMCA 801 WYNDHURST DR LYNCHBURG VA 24502 540505924 501(C)(3) 169880 POWER SCHOLAR ACADEMY Lynchburg Beacon of Hope PO BOX 1261 LYNCHBURG VA 24504 453798731 501(C)(3) 50000 STAY CLOSE, GO FAR CAMPAIGN Lynchburg Regional Business Alliance 2015 Memorial Avenue LYNCHBURG VA 24504 540165020 501(C)(6) 13889 FUNDRAISING CAMPAIGN Southside VA Family YMCA 580 Commerce Rd SUITE 300 FARMVILLE VA 23901 621487256 501(C)(3) 50000 FUNDRAISING CAMPAIGN The Listening Inc PO BOX 515 LYNCHBURG VA 24504 812429529 501(C)(3) 20000 FREEDOM SCHOOL United Way of Central Virginia 1010 MILLER PARK SQ LYNCHBURG VA 24501 540505923 501(C)(3) 61140 FUNDRAISING CAMPAIGN & SMART BEGINNINGS PROGRAM VA AMATEUR SPORTS INC 711-C 5th St NE ROANOKE VA 24016 541500181 501(C)(3) 27000 COMMONWEALTH GAMES 14 1 SCH I, PART I, LINE 2: THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. X X X X true true false false false false false false false Andrew Mueller MD President/CEO (AS OF 5/19) 540924 0 25000 0 21401 0 142740 0 25811 0 755876 0 0 0 Verna R Sellers MD Director 244919 0 13000 0 1648 0 7160 0 5165 0 271892 0 0 0 David G Gough BD TREAS & SVP-CFO (THRU 4/19) 171433 0 0 0 69613 0 5232 0 12715 0 258993 0 31764 0 David D Adams BD Sec & EVP-CSO (THRU 4/19) 143912 0 0 422817 0 4386 0 9811 0 580926 0 45950 0 Holly Trent BD Sec & SVP-CLO (AS OF 5/19) 317342 0 0 8091 0 42216 0 0 367649 0 0 0 Michael Elliott SVP Chief Transformation OfF 462088 0 12500 0 83695 0 122608 0 30723 0 711614 0 55471 0 Chris Thomson MD SVP/Chief Medical Officer 426585 0 15000 0 84833 0 89101 0 46213 0 661732 0 56307 0 Curt Baker SVP Chief Nursing Officer 306717 0 0 73748 0 8400 0 12466 0 401331 0 52695 0 Harrell Les Reed SVP-CPE/CMG PRESIDENT 494244 0 0 0 69785 0 8400 0 28348 0 600777 0 65544 0 Janice Jan H Walker SVP/Chf Admin Off. (THRU 4/19) 85518 0 0 0 314377 0 3060 0 3764 0 406719 0 29094 0 Kenneth Saum MD Physician 942133 0 0 26524 0 8400 0 39467 0 1016524 0 0 0 Jordan Synkowski DO Physician 923858 0 0 39926 0 8400 0 35750 0 1007934 0 0 0 Chad Hoyt MD Physician 775247 0 101228 0 20252 0 8000 0 44740 0 949467 0 0 0 Matthew Sackett MD Physician 767982 0 99978 0 20236 0 8400 0 35750 0 932346 0 0 0 An Bui MD Physician 739111 0 104978 0 30283 0 8400 0 45590 0 928362 0 0 0 SCHEDULE J, PART I, LINE 4A: JANICE WALKER, FORMER CENTRA HEALTH, INC., SR VP & CHIEF ADMIN OFFICER, RECEIVED SEVERANCE PAYMENT DURING 2019 IN THE AMOUNT OF $244,786, INCLUDED IN HER TAXABLE INCOME. THE TERMS OF THE SEVERANCE AGREEMENT WERE CONSISTENT WITH INDUSTRY STANDARDS. DAVID ADAMS, FORMER CENTRA HEALTH, INC., EVP & CHIEF STRATEGY OFFICER, 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 CHRIS THOMSON SVP/CHIEF MEDICAL OFFICER 56,307 CURT BAKER SR VP/CNO 52,695 DAVID ADAMS EXECUTIVE VP & CSO 45,950 DAVID GOUGH SR VP & CFO 31,764 HARRELL "LES" REED SVP - CPE/CMG PRESIDENT 65,544 JANICE WALKER SR VP & CHIEF ADMIN OFFICER 29,094 MICHAEL ELLIOTT SPV-CHIEF TRANSFORMATION OFFICER 55,471 -------------- 387,013 ============== THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2019. NAME TITLE AMOUNT OF DEFERRAL ANDREW MUELLER PRESIDENT & CEO 139,625 CHRIS THOMSON SVP/CHIEF MEDICAL OFFICER 80,701 HOLLY TRENT VP LEGAL SVCS-GENERAL COUNSEL 33,816 MICHAEL ELLIOTT SPV-CHIEF TRANSFORMATION OFF 114,208 -------------- 368,350 ============== A ECON DEVEL AUTH OF LYNCHBURG-2017 ABCD 541225193 2017-07-25 237637669 REFUNDING/NEW CONSTRUCTION false false false B ECON DEVEL AUTH OF LYNCHBURG-2014 AB 541225193 2014-09-10 79895000 NEW CONSTRUCTION false false false A 20082669 0 237637669 0 0 0 2106046 0 0 50000000 185531623 0 2019 true false true true B 14287966 0 79895000 0 0 0 443536 0 0 65485248 0 13966216 2017 false false true true A false false true true false 0 false false false true B false true true true false 0 false false false true A false true true false 0 false 0 false true B false true false false 0 false 0 false true A true B true PART I, LINE A, COL. (A) ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA 2017 A, B, C, D, BONDS PART I, LINE B, COL. (A) ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA 2014 A, B BONDS PART I, LINE A, COL. (C) CUSIP #55123TAU6, #55123TAW2, #55123TAT9, #55123TAS1 PART I, LINE A, COL. (F) THE PURPOSE OF THE ISSUE WAS NEW CONSTRUCTION; REFUND OF EDA OF CITY OF LYNCHBURG SERIES 2004A, 2004B, 2004C, 2004D, 2004E, 2004F, AND 2010; REFUND IDA OF TOWN OF AMHERST, SERIES 2007; REFUND IDA OF CAMPBELL COUNTY, SERIES 2007; REFUND OF EDA OF APPOMATTOX, SERIES 2007. PART II, LINE 12, COL. (B) - REGARDING THE 2014 A, B BOND... THIS BOND WAS ISSUED IN A DRAWDOWN STRUCTURE AND THE ENTIRE AMOUNT WAS NOT DRAWN AND IS NOT EXPECTED TO BE COMPLETELY DRAWN. PART IV, LINE 2C COL. (A) - CENTRA HEALTH SERIES 2017 A, B, C, D BONDS: A REBATE CALCULATION WAS PERFORMED ON SEPTEMBER 13, 2019 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL REVENUE AND REFUNDING BONDS, SERIES 2017 A, B, C, D. THE NEXT ARBITRAGE REBATE CALCULATION WILL IN AUGUST 2020. (NOTE: FINAL PROCEEDS WERE SPENT PRIOR TO DECEMBER 31, 2019) PART IV, LINE 2C COL. (B) - CENTRA HEALTH SERIES 2014 A&B BONDS: A REBATE CALCULATION WAS PERFORMED ON OCTOBER 30, 2018 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL BONDS SERIES 2014 A & B. NO FURTHER REVIEWS SHOULD BE REQUIRED FOR THIS SERIES 2014 A & B BOND ISSUE. JACK E WALKER SEE PART V 93255 SEE PART V false SCHEDULE L, PART IV: (A) NAME OF PERSON: JACK E. WALKER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JANICE H. WALKER, KEY EMPLOYEE OF CENTRA HEALTH, INC. (C) AMOUNT OF TRANSACTION: $93,255 (D) DESCRIPTION OF TRANSACTION: COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. (E) SHARING OF ORGANIZATION REVENUES?: NO Form 990 Part III, Line 4a: AS THE REGIONAL HEALTH CARE LEADER, CENTRAS COMMITMENT TO THE CENTRAL VIRGINIA REGION EXTENDS FAR BEYOND THE WALLS OF ITS HEALTH SYSTEM FACILITIES. CENTRA HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE SICK AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR DECADES, AND HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. HOWEVER, JUST AS IMPORTANT IS CENTRAS COMMITMENT AND DEDICATION TO SERVING AS A PARTNER IN THE REGIONAL COMMUNITIES. DISEASE PREVENTION AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES THROUGHOUT THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND EDUCATIONAL PROGRAMS, CENTRA IS COMMITTED TO PROVIDING THE BEST HEALTH CARE FOR ITS PATIENTS AND IMPROVING THE HEALTH AND WELLNESS OF ALL THE RESIDENTS OF CENTRAL VIRGINIA. CENTRA EMPLOYEES DEDICATE THEMSELVES TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY BY TAKING AN ACTIVE ROLE IN THE REGION, FROM VOLUNTEERING FOR LOCAL BOARDS AND CIVIC AND COMMUNITY ORGANIZATIONS TO PARTICIPATING IN COMMUNITY EVENTS. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF THE REGION AND TAKES GREAT PRIDE IN PROVIDING FACILITIES, RESOURCES AND EXPERTISE TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE THROUGHOUT CENTRAL VIRGINIA. IN 2019, CENTRA HELD MANY NATIONAL AWARDS AND ACCOLADES, SUCH AS; * 5-STAR CMS RATING CENTERS FOR MEDICARE AND MEDICAID- ONLY 337 HOSPITALS OUT OF 4,000 ACROSS THE COUNTRY WERE AWARDED THIS HIGHEST RANKING. IN VIRGINIA, CENTRA IS ONLY ONE OF 8 IN THE STATE TO BE RECOGNIZED WITH 5-STARS. THESE RANKINGS CAN BE FOUND ON THE CMS HOSPITAL COMPARE WEBSITE, THAT IS PROVIDED TO THE PUBLIC TO HELP PATIENTS MAKE EDUCATED DECISIONS. DATA IS ANALYZED IN CATEGORIES SUCH AS COMMUNICATION WITH NURSES, RESPONSIVENESS OF PHYSICIANS AND STAFF, READMISSIONS AND MORTALITY RATES, TIMELY AND EFFECTIVE CARE AND PAYMENT AND VALUE OF SERVICES. CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS BOTH RECEIVED THE PRESTIGIOUS 5-STAR RANKING. SCH RECEIVED 4-STARS AND BMH, RECEIVED 3-STARS. * 50 TOP CARDIOVASCULAR HOSPITAL IBM WATSON- CENTRA LYNCHBURG GENERAL HOSPITAL HAS BEEN SELECTED AS A 50 TOP CARDIOVASCULAR HOSPITAL IN AMERICA FOR THE EIGHTH TIME. CENTRA IS ONE OF TWO HOSPITALS IN THE STATE OF VIRGINIA TO RECEIVE THIS AWARD, AND THE ONLY HOSPITAL TO RECEIVE THIS AWARD 8 TIMES IN THE STATE OF VIRGINIA. THIS IS A NATIONAL HONOR FOR OUTSTANDING CARDIOVASCULAR PERFORMANCE. * MAGNET STATUS AMERICAN NURSES CREDENTIALING CENTER- THE AMERICAN NURSES CREDENTIALING CENTER HAS RE-DESIGNATED CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS AS MAGNET FACILITIES WHICH RECOGNIZE EXCELLENCE IN NURSING. CENTRA MEDICAL GROUP WAS ALSO AWARDED MAGNET STATUS. CENTRA WAS THE FIRST HEALTHCARE SYSTEM IN CENTRAL VIRGINIA TO ACHIEVE MAGNET STATUS IN 2006. * JOINT COMMISSION ADVANCED CERTIFICATION FOR PALLIATIVE CARE ADVANCED CERTIFICATION FOR PALLIATIVE CARE. PALLIATIVE CARE IS SPECIALIZED MEDICAL CARE FOCUSED ON PROVIDING PATIENTS WITH RELIEF FROM THE SYMPTOMS, PAIN, AND STRESS OF A SERIOUS ILLNESS - WHATEVER THE DIAGNOSIS. THE GOAL IS TO IMPROVE QUALITY OF LIFE FOR BOTH THE PATIENT AND THE FAMILY. * GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD AND TARGET STROKE ELITE PLUS HONOR ROLL AMERICAN HEART ASSOCIATION & AMERICAN STROKE ASSOCIATION CENTRA LYNCHBURG GENERAL HOSPITAL HAS RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD WHICH RECOGNIZES THE COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE BY ENSURING THAT STROKE PATIENTS RECEIVE TREATMENT ACCORDING TO NATIONALLY ACCEPTED STANDARDS AND RECOMMENDATIONS. * AMERICAN HEART ASSOCIATIONS MISSION LIFELINE HEART ATTACK RECEIVING CENTER RE-ACCREDITATION THE AMERICAN HEART ASSOCIATION HAS RECOGNIZED CENTRA LYNCHBURG GENERAL HOSPITAL. THE ACCREDITATION PROGRAM PROVIDED BY THE AMERICAN HEART ASSOCIATION RECOGNIZES CENTERS THAT MEET OR EXCEED QUALITY OF CARE MEASURES FOR PEOPLE EXPERIENCING THE MOST SEVERE TYPE OF HEART ATTACK, ST-ELEVATION MYOCARDIAL INFARCTION (STEMI). THE ACCREDITATION IDENTIFIES HEALTHCARE FACILITIES THAT MEET SPECIFIC CRITERIA FOR LIFESAVING HEART ATTACK TREATMENTS THAT RESTORE BLOOD FLOW. KEY AREAS IN WHICH EXCEPTIONAL QUALITY OF CARE TO RECEIVE ACCREDITATION INCLUDE: o EXPERTISE, FACILITIES AND EQUIPMENT TO PERFORM PERCUTANEOUS CORONARY INTERVENTION (PCI), WHERE A SMALL BALLOON IS INSERTED THROUGH A CATHETER TO OPEN NARROWED OR BLOCKED BLOOD VESSELS IN THE HEART (CORONARY ARTERIES) o PCI READINESS ON A 24/7 BASIS o COORDINATION WITH EMERGENCY MEDICAL SERVICES (EMS) AND REFERRING CENTERS (NON-PCI) TO PREPARE FOR IMMEDIATE TREATMENT WHEN STEMI PATIENTS ARRIVE o FACILITATION OF STEMI PATIENT TRANSPORT PARTICIPATION IN A MULTIDISCIPLINARY TEAM WITH REPRESENTATIVES FROM EMS, CARDIAC CATHETERIZATION LAB, QUALITY IMPROVEMENT, CORONARY CARE UNIT, PHYSICIAN AND NURSING STAFF, MEET REGULARLY TO IDENTIFY CHALLENGES AND MAKE CONTINUOUS CARE IMPROVEMENTS * HEALTHGRADES AMERICA'S BEST 250 HOSPITALS AWARD TOP 5% IN THE NATION FOR CONSISTENTLY DELIVERING QUALITY CARE AND THE PATIENT SAFETY EXCELLENCE AWARD (TOP IN THE NATION FOR PROVIDING EXCELLENCE IN PATIENT SAFETY BY PREVENTING INFECTIONS, MEDICAL ERRORS, AND OTHER PREVENTABLE COMPLICATIONS) * BEST REGIONAL HOSPITALS - #8 IN VIRGINIA- US NEWS & WORLD REPORT CENTRA LYNCHBURG GENERAL HOSPITAL IS RANKED #8 IN VIRGINIA OUT OF 87 HOSPITALS IN VIRGINIA. 2019 COMMUNITY BENEFIT HIGHLIGHTS * CENTRA CONTINUES TO CONTRIBUTE MILLIONS OF DOLLARS TOWARD UNPAID COST OF PATIENT CARE, INCLUDING, BUT NOT LIMITED TO: o TRADITIONAL CHARITY CARE INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2019, $58,222,178 OF CHARGES AT AN ESTIMATED COST OF $20,266,260 WAS PROVIDED TO PATIENTS OF CENTRA. THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY ASSISTANCE FOCUSES ON INCOME LEVELS SET BY THE STATE OF VIRGINIA. THESE POLICIES CALL FOR PROVIDING CARE, FREE OF CHARGE, TO PATIENTS WHO DEMONSTRATE A FAMILY INCOME BELOW OR EQUAL TO 200 PERCENT OF THE STATE APPROVED POVERTY GUIDELINE. PATIENTS WHO HAVE A FAMILY INCOME OF GREATER THAN 200 PERCENT TO 400 PERCENT OF THE POVERTY LEVEL ARE ELIGIBLE FOR PARTIAL ASSISTANCE BASED ON A DISCOUNT SCHEDULE THAT CONSIDERS BOTH FAMILY GROSS INCOME AND ACCOUNT BALANCE. ASSISTANCE IS PROVIDED BY CENTRA AND FROM INDIGENT FUNDS MADE AVAILABLE BY CENTRA HEALTH FOUNDATION. * CHARGES OF $54,147,324 AT AN ESTIMATED COST OF $25,800,895 WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY DURING 2019. o THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATIONS 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. THEREFORE, THE UNREIMBURSED CALCULATED COSTS OF CARE RENDERED TO MEDICARE PATIENTS TOTALED $92,527,771 IN 2019. o UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS TOTALED $35,383,610 IN 2019. COMMUNITY EDUCATION & HEALTH SCREENINGS CENTRAL VIRGINIANS BENEFIT FROM QUALITY HEALTH EDUCATION OPPORTUNITIES AND SCREENINGS, THANKS TO THE PARTNERSHIP BETWEEN CENTRA AND THE CENTRA HEALTH FOUNDATION. INCLUDED BELOW IS A LIST OF SELECTED ACCOMPLISHMENTS AND COMMUNITY SUPPORT CENTRA PROVIDED IN 2019 AS A COMMUNITY PARTNER. CENTRA EMPLOYEES CONTINUALLY OFFER PROFESSIONAL HEALTH EDUCATION PROGRAMS, CLASSES, LECTURES, SEMINARS, HEALTH FAIRS AND HEALTH SCREENINGS THROUGHOUT THE REGION. IN ADDITION, DIETITIANS, DIABETIC INSTRUCTORS AND MANY OTHER PROFESSIONALS AT CENTRA PROVIDE ONE-ON-ONE PERSONALIZED EDUCATION. IN 2019, OVER 314 HEALTH EDUCATION PROGRAMS AND HEALTH FAIRS REACHED MORE THAN 16,200 INDIVIDUALS WITHIN THE COMMUNITY. KNITTING CLASSES THIS PROGRAM OFFERS CANCER PATIENTS, CAREGIVERS, AND OTHERS AFFECTED BY CANCER THE OPPORTUNITY TO LEARN THE ART OF KNITTING AND CROCHETING. THE OBJECTIVE OF THE CLASS IS TO PROVIDE WAYS TO PASS TIME DURING TREATMENTS, TO CREATE DONATIONS FOR PATIENTS, AND A PLACE TO BUILD A SUPPORT GROUP THAT MEETS REGULARLY SO THAT PARTICIPANTS HAVE AN EASY WAY TO CONNECT AND BUILD RELATIONSHIPS. FREE FARMERS MARKET THIS PROGRAM OFFERS A UNIQUE OPPORTUNITY TO ACQUIRE KNOWLEDGE ABOUT THE LINK BETWEEN DIET AND CANCER, EXPERIENCE THE BENEFITS OF PLANT-BASED NUTRITION, AND LEARN THE PRACTICAL COOKING SKILLS NEEDED TO HELP YOU ON YOUR JOURNEY TO BETTER HEALTH. IN THE CLASSES, ATTENDEES DO ALL OF THIS WHILE ENJOYING A COOKING DEMONSTRATION AND TASTING DELICIOUS, HEALTHFUL DISHES. CANCER PATIENTS AND THEIR CAREGIVERS ARE INVITED TO JOIN US AT A FARMERS MARKET WHERE THEY CAN NOT ONLY STOCK UP ON FRESH VEGETABLES, BUT THEY CAN SEE HOW TO TURN THEM INTO DELICIOUS MEALS DURING A FREE COOKING DEMONSTRATION. YOGA AND TAI CHI EXERCISE CLASSES YOGA AND TAI CHI ARE OFFERED TO CAN HELP PATIENTS CENTER THEIR THOUGHTS AND MAINTAIN FLEXIBILITY, BUT BOTH HAVE BENEFITS SPECIFICALLY FOR PEOPLE LIVING WITH CANCER. SYMPTOMS OF FATIGUE, INSOMNIA, AND PAIN CAN ALL LOWER YOUR QUALITY OF LIFE WITH CANCER. IN RECENT YEARS, THE USE OF YOGA AND TAI CHI HAVE BEEN EVALUATED IN MANY STUDIES LOOKING AT CANCER SYMPTOMS. FIGHTING CANCER ISNT EASY BUT GIVING UP ISNT AN OPTION. YOGA AND TAI CHI HELP ENHANCE PHYSICAL AND EMOTIONAL WELLNESS AND HELPS BRING PEACE TO PATIENTS. MINDFUL MEDITATION CLASSES MINDFUL MEDITATION CLASSES CONSIST SIMPLY OF BEING AWARE OF THE PRESENT MOMENT. NEGATIVE REACTIONS TO PAIN, SUCH AS FEAR OR ANGER, ACTUALLY CAN MAKE PAIN WORSE. MINDFULNESS TEACHES ONE TO OBSERVE THOUGHTS AND FEELINGS INSTEAD OF REACTING TO THEM, SO ONE CAN LEARN TO EXPERIENCE PAIN/STRESS AS A MOMENT-TO-MOMENT SENSATION, WHICH THEN LESSENS THE INTENSITY. RESEARCH SHOWS MINDFULNESS-BASED STRESS REDUCTION TECHNIQUES CAN REDUCE CHRONIC PAIN AND ANXIETY AND INCREASE VITALITY. MUSIC THERAPY MANY PEOPLE FIND LISTENING TO MUSIC RELAXING, SOOTHING, AND ENJOYABLE. FOR CANCER PATIENTS, IT ALSO CAN BE A WAY TO COPE WITH SOME OF THE SYMPTOMS OF THEIR DISEASE AND SIDE EFFECTS OF THEIR TREATMENT. NEW RESEARCH SUPPORTS LISTENING TO RECORDED MUSIC, AS WELL AS MUSIC THERAPY, TO IMPROVE ANXIETY, PAIN, MOOD, QUALITY OF LIFE, HEART RATE, RESPIRATORY RATE, AND BLOOD PRESSURE IN CANCER PATIENTS. DURING THE MONTH OF MARCH, WE HAVE A FEW PERFORMERS COME THROUGHOUT THE WEEKS AND PLAY ON A REGULAR BASIS FOR OUR CANCER PATIENTS. CARDIAC EDUCATION AND SCREENINGS VARIOUS PROGRAMS WITHIN THE STROOBANTS HEART CENTER OFFER MEMBERS OF THE COMMUNITY FREE EDUCATION, SCREENINGS AND LECTURES. HEARTAWARE AN ONLINE RISK ASSESSMENT WAS LAUNCHED ON THE CENTRA WEBSITE IN 2010. THROUGH HEARTAWARE, MEMBERS OF THE COMMUNITY ARE ABLE TO TAKE THE FREE ASSESSMENT TO DETERMINE THEIR INDIVIDUAL RISK OF DEVELOPING HEART DISEASE. THEIR RISKS ARE EVALUATED BY CARDIAC NURSES THAT DETERMINE A PLAN OF ACTION TO LOWER OR ELIMINATE THESE RISKS. ALONG WITH HEARTAWARE, COMMUNITY EVENTS, HEALTH FAIRS, LECTURES, BLOOD PRESSURE AND CHOLESTEROL SCREENINGS ARE AN EFFECTIVE APPROACH TO RAISING AWARENESS AND COMBATING HEART DISEASE. OTHER ONLINE WELLNESS ASSESSMENTS IN ADDITION TO THE HEARTAWARE ONLINE RISK ASSESSMENT, CENTRA ALSO HAS FIVE OTHER FREE ONLINE RISK ASSESSMENTS WHICH IS LOCATED ON CENTRA HEALTHS WEBSITE. THE COMMUNITY CAN LOCATE THESE ASSESSMENTS BY GOING TO WWW.CENTRAHEALTH.COM AND SELECTING COMMUNITY HEALTH ON THE TOP TAB, THEN SELECT WELLNESS ASSESSMENTS. THESE ASSESSEMENTS ARE: o LUNGAWARE TO ASSESS THE RISK OF LUNG DISEASE o PAD AWARE TO ASSESS THE RISK OF PERIPHERAL ARTERY DISEASE o DIABETESAWARE TO ASSESS THE RISK OF DIABETES o SLEEPAWARE TO ASSESS THE RISK OF OBSTRUCTIVE SLEEP DISORDER o SPINEAWARE TO ASSESS THE RISK OF BACK AND SPINAL DISORDERS BE TOBACCO FREE CLINIC CENTRA HEALTHS PULMONARY REHABILITATION PROGRAM OFFERS FREE ONE HOUR BE TOBACCO FREE PROGRAMS MONTHLY FOR PEOPLE CONSIDERING A TOBACCO-FREE LIFE, WHETHER ITS SMOKING, VAPING OR CHEWING TOBACCO. DURING 2019, 60 INDIVIDUALS PARTICIPATED. WE COORDINATED THE GREAT AMERICAN SMOKE OUT AT THE PEARSON CANCER CENTER AND STROOBANTS CARDIOVASCULAR CENTER IN ORDER TO HELP THE PUBLIC, PATIENTS, AND EMPLOYEES QUIT USING TOBACCO. WE WERE ABLE TO REACH 124 INDIVIDUALS DURING THIS PROGRAM. HEALTH SCREENINGS AND COMMUNITY HEALTH EDUCATION CENTRA PROVIDES SPONSORSHIP AND SUPPORT OF COMMUNITY HEALTH EDUCATION AND HEALTH SCREENING PROGRAMS. HEALTH AND WELLNESS TOPICS SPAN THE HEALTH AND WELLNESS CONTINUUM, ADDRESSING BOTH WELLNESS AND DISEASE-RELATED ISSUES. HEALTH SCREENINGS PROVIDED THROUGHOUT THE REGION INCLUDE BLOOD SUGAR, CHOLESTEROL, BODY FAT PERCENTAGE, PULMONARY FUNCTION, PSA FOR PROSTATE CANCER, SKIN AND COLORECTAL CANCER, BLOOD PRESSURE SCREENINGS AND OSTEOPOROSIS SCREENINGS. SLEEP DISORDERS CENTER OUTREACH THE SLEEP DISORDERS CENTER AT VIRGINIA BAPTIST HOSPITAL AND THE FOREST SLEEP CENTER PARTICIPATED IN ONE HEALTH FAIR AT A LOCAL BUSINESS IN 2019. STAFF MEMBERS GAVE LECTURES AND PRESENTATIONS ON SLEEP DISORDERS. PRESENTATIONS INCLUDED INFORMATION RELATED TO HEALTHY SLEEP HABITS, THE IMPORTANCE OF SLEEP, HEALTH RISKS DUE TO SLEEP DISORDERS AND TREATMENT OPTIONS. MAAM (MAMMOGRAMS ANNUALLY A MUST) DURING 2019, CENTRA HEALTH PROVIDED 222 SCREENING MAMMOGRAMS TO UNINSURED AND UNDERINSURED WOMEN IN THE COMMUNITY WITH THE SUPPORT OF THE CENTRA FOUNDATION MAAM PROGRAM. FREE SCREENING MAMMOGRAPHY DAYS WERE HELD THROUGHOUT THE YEAR AT ALL CENTRA HEALTH MAMMOGRAPHY FACILITIES. COMMUNITY CLASSES IN ADDITION TO FREE SCREENINGS, SUPPORT GROUPS AND COMMUNITY OUTREACH, CENTRA ALSO PROVIDED EDUCATIONAL CLASSES TO THE COMMUNITY ON A BROAD RANGE OF HEALTH AND WELLNESS TOPICS. CLASSES INCLUDE, BUT NOT LIMITED TO, CHILDBIRTH AND FAMILY EDUCATION, BABY CARE, BREAST-FEEDING, BOOTCAMP FOR DAD, DIABETES, DEPRESSION, AND HEART DISEASE. SUPPORT GROUPS SUPPORT GROUPS, OFFERED TO THE COMMUNITY WITHOUT CHARGE, PROVIDE A FORUM FOR EDUCATION AND THE EXCHANGE OF IDEAS. THESE GROUPS ADDRESS AN ARRAY OF ISSUES INCLUDING BEREAVEMENT, BREAST CANCER, PROSTATE CANCER, ETC. BEREAVEMENT SUPPORT GROUPS IN 2019, THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED GRIEF SUPPORT GROUPS IN ALL 3 BUSINESS UNITS. THE GROUPS CONTINUE TO BE ENTITLED, A JOURNEY TOWARD HOPE AND HEALING. THERE WAS A TOTAL OF 4 GROUP SERIES HELD IN LYNCHBURG, 1 GROUP SERIES HELD IN FARMVILLE, AND 2 GROUP SERIES OFFERED IN BEDFORD BUT CANCELLED DUE TO LACK OF PARTICIPATION. THE SIX, SIX-WEEK SERIES PROVIDED AN INTERDISCIPLINARY AND HOLISTIC EDUCATIONAL AND SUPPORTIVE GROUP FORMAT, WITH THE HOSPICE MEDICAL DIRECTOR, HOSPICE CLINICAL SOCIAL WORKERS, HOSPICE BEREAVEMENT STAFF, AND HOSPICE CHAPLAINS SERVING AS FEATURED SPEAKERS. THE MULTI-SESSION GROUPS WERE HELD FOR AN HOUR-AND-A-HALF. THE SERIES WERE OFFERED EITHER IN THE EVENING OR IN THE DAYTIME TO ACCOMMODATE PARTICIPANTS LIFE SCHEDULES. APPROXIMATELY EIGHTEEN (18) PERSONS ATTENDED A GRIEF SUPPORT GROUP SERIES IN 2019; (LYNCHBURG 16 ATTENDEES; FARMVILLE 2 ATTENDEES; BEDFORD 0 ATTENDEES). THE GRIEF SUPPORT GROUP SERIES ARE FREE AND OPEN TO THE COMMUNITY-AT-LARGE, AS WELL AS TO FAMILY MEMBERS OF PERSONS SERVED BY HOSPICE. COMMUNITY SUPPORT ON MAY 11TH THE ANNUAL IN-SERVICE SPONSORED BY WHITTENS WAS HELD AT THE CENTRA HOSPICE OFFICE IN LYNCHBURG. THE TOPIC OF THE IN-SERVICE WAS AGING AMERICA: COPING WITH LOSS & DEATH IN LATER LIFE. BEREAVEMENT MANAGER PRESENTED ON BEREAVEMENT SERVICES AND WE HONOR VETERANS TO NEW HIRES DURING THE NEW HIRE ORIENTATION TRAINING ON MARCH 11, 2019. BEREAVEMENT MANAGER PARTICIPATED WITH THE VIRGINIA HOSPICE VETERANS PARTNERSHIP (VHVP) CONFERENCE CALL ON MARCH 27, 2019. BEREAVEMENT MANAGER ALONG WITH THREE OTHER MEMBERS OF THE BEREAVEMENT TEAM ATTENDED THE 2019 CHILDRENS GRIEF SYMPOSIUM SPONSORED BY KIDS HAVEN ON MARCH 29, 2019. BEREAVEMENT MANAGER WAS ASKED TO SPEAK DURING HERITAGE FUNERAL HOMES HOLIDAY MEMORIAL SERVICE ON DECEMBER 14, 2019. THERE WERE 72 PARTICIPANTS AT THIS EVENT. DURING 2019, A MASS MAILING OCCURRED TO AREA NURSING HOMES AND ASSISTED LIVING FACILITIES RELATED TO AVAILABLE GRIEF SUPPORT GROUPS THROUGH CENTRA HOSPICE BEREAVEMENT SERVICES. FACILITY SUPPORT BEREAVEMENT MANAGER ATTENDED THE LYNCHBURG HOSPICE HOUSE STAFF MEETING ON FEBRUARY 21, 2019 IN ORDER TO PRESENT STAFF THE MEMORY WREATH FOR THE HOSPICE HOUSE. BEREAVEMENT MANAGER WENT TO THE LYNCHBURG HOSPICE HOUSE STAFF MEETING ON APRIL 18, 2019. STAFF WERE SHOWN THE DVD FROM THE MARCH 19TH LYNCHBURG MEMORIAL SERVICE. A REMEMBRANCE CEREMONY WAS HELD AT GUGGENHEIMER ON FEBRUARY 7TH AT 2PM. A BEREAVEMENT COUNSELOR AND A CHAPLAIN FACILITATED THE REMEMBRANCE CEREMONY. PATIENTS WHO PASSED DURING THE MONTHS OF JUNE - DECEMBER 2018 WERE REMEMBERED. BEREAVEMENT MANAGER PRESENTED THE REMEMBRANCE NOTEBOOK TO BEDFORD HOSPICE HOUSE STAFF DURING THEIR STAFF MEETING ON OCTOBER 29, 2019. THE MAY 5TH BEDFORD MEMORIAL SERVICE DVD WAS ALSO SHOWN TO STAFF ON THIS DATE. MEMORIAL SERVICES THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED HOSPICE-SPONSORED MEMORIAL SERVICES IN ALL THREE BUSINESS UNITS THIS YEAR. SIX SERVICES WERE HELD IN LYNCHBURG AT TIMBERLAKE UNITED METHODIST CHURCH; THREE SERVICES WERE HELD IN FARMVILLE AT ST. JOHNS LUTHERAN CHURCH; AND TWO SERVICES WERE HELD IN BEDFORD AT BEDFORD CHRISTIAN CHURCH. OVERALL, THERE WERE 629 DEATHS IN LYNCHBURG, 83 IN BEDFORD, 113 IN FARMVILLE. OVERALL, THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED BEREAVEMENT SUPPORT TO 1,350 +/- FAMILY MEMBERS OF PERSONS SERVED BY CENTRA HOSPICE. IN ADDITION TO OUR GRIEF SUPPORT GROUP SESSIONS, 298 SUPPORTIVE BEREAVEMENT VISITS AND/OR SUPPORTIVE BEREAVEMENT COUNSELING SESSIONS WERE PROVIDED BY BEREAVEMENT STAFF EITHER IN THE PERSONS HOME OR AT THE HOSPICE OFFICE (230 IN THE LYNCHBURG BUSINESS UNIT; 40 IN THE FARMVILLE BUSINESS UNIT; AND 28 IN THE BEDFORD BUSINESS UNIT). ADDITIONAL BEREAVEMENT UPDATES BEREAVEMENT MANAGER, HOSPICE MANAGER OF BUSINESS DEVELOPMENT, AND CENTRA HEALTH MARKETING MANAGER BEGAN DISCUSSIONS AND WORKING THROUGH THE DETAILS OF THE GRIEF AWARENESS COMMUNITY ENGAGEMENT CAMPAIGN. THE SIT AND SHARE BENCHES WERE CREATED AND PLACED WITHIN THE COMMUNITY DURING 2019. PEARSON CANCER CENTER BREAST CANCER SUPPORT GROUP THIS GROUP IS OFFERED TO WOMEN DIAGNOSED WITH EARLY BREAST CANCER. THE SUPPORT GROUP ADDRESSES BREAST HEALTH AND RELATED ISSUES OF IMPORTANCE TO WOMEN WITH BREAST CANCER. THIS GROUP MEETS ONCE A MONTH AND REACHED 28 WOMEN IN 2019. LUNG DISEASES AND TO PROVIDE SUPPORT AND ENCOURAGEMENT TO INDIVIDUALS AND FAMILY MEMBERS OF THOSE WITH CHRONIC LUNG DISEASE. PROSTATE SUPPORT GROUP THIS GROUP IS AN EDUCATIONAL SUPPORT GROUP SUPPORTED BY CENTRAS NURSE NAVIGATORS, DESIGNED TO MEET THE NEEDS OF MEN DIAGNOSED WITH PROSTATE CANCER AND SPOUSES OR CAREGIVERS. THIS SUPPORT GROUP MEETS AT THE ALAN B. PEARSON REGIONAL CANCER CENTER AND IS SUPPORTED THROUGH OUR PROSTATE CANCER NAVIGATION PROGRAM. IN-KIND & CASH DONATIONS * DURING 2019, CENTRA HEALTH DONATED OVER $64,147 IN MEDICAL SUPPLIES TO THE GLEANING FOR THE WORLD ORGANIZATION. * DURING 2019, CENTRA LAB PROCESSED A COMBINED TOTAL OF 2,148 LABORATORY TESTS FOR CENTRAL VIRGINIA FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT OF APPROXIMATELY $434,137. * DURING 2019, APPROXIMATELY 18,979 MEALS WERE PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF APPROXIMATELY $58,835. * DURING 2019, CASH DONATIONS MADE BY CENTRA HEALTH TO THE COMMUNITY TOTALED $1,040,396. SPECIAL NEEDS PROJECTS & MENTORING CENTRA PROVIDES AND PROMOTES MANY SPECIAL NEED PROJECTS AND MENTORING OPPORTUNITIES. EDUCATIONAL OPPORTUNITIES ARE OFFERED TO STUDENTS IN A BROAD RANGE OF PROFESSIONAL AND TECHNICAL PROGRAMS. AT CENTRA, STUDENTS GAIN EXPERIENCE IN NURSING, TECHNICAL AND CLINICAL PROFESSIONS. SEVERAL HIGH SCHOOLS AND UNIVERSITIES IN VIRGINIA ROTATE STUDENTS THROUGH CENTRAS FACILITIES WITH CENTRA STAFF MEMBERS, GIVING THESE STUDENTS THE OPPORTUNITY TO TRAIN AND GAIN EXPERIENCE IN THEIR CHOSEN CAREER FIELDS. HERE IS A LIST OF SPECIAL PROJECTS CENTRA SUPPORTS: BABY BASICS BABY BASICS IS A FREE PROGRAM THAT IMPROVES BIRTH OUTCOMES BY PROVIDING PRENATAL EDUCATION AND EMOTIONAL SUPPORT FOR MOMS-TO-BE IN A FUN GROUP SETTING. IT OFFERS AN OPPORTUNITY FOR PREGNANT WOMEN IN VARIOUS STAGES OF THEIR PREGNANCIES TO EXPLORE ISSUES, RECEIVE INFORMATION, LEARN PRACTICAL SKILLS AND HAVE THEIR QUESTIONS ANSWERED AS A GROUP. BABY BASICS IS FACILITATED BY A TRAINED EDUCATOR IN AN INFORMAL AND NON-INTIMIDATING SETTING, USING A COLORFUL, COMPREHENSIVE AND EASY TO UNDERSTAND PRENATAL GUIDE. PARTICIPANTS MET IN LYNCHBURG 2 THURSDAYS A MONTH JANUARY THROUGH MAY AND THE FIRST FOUR THURSDAYS OF THE MONTH JUNE THROUGH OCTOBER, FROM 5:30PM-7PM AT THE CENTER FOR CHILDBIRTH AND FAMILY EDUCATION AT CENTRA VIRGINIA BAPTIST HOSPITAL. PARTICIPANTS RECEIVED INFORMATION AT EVERY MEETING ON AT LEAST ONE OF THE FOLLOWING CORE TOPICS: PRETERM LABOR, NUTRITION, SAFE SLEEP, BREASTFEEDING, SUBSTANCE USE AND ABUSE/DEPRESSION. 2019 ACTIVITIES AND OUTREACH * HOSTED 28 BABY BASICS MEETINGS * SERVED 346 PREGNANT WOMEN AND THEIR SUPPORT PERSONS * CONTINUED PARTNERSHIPS WITH KROGER AND CENTRA CATERING TO PROVIDE SERVICES AND/OR FOOD. * RECRUITMENT BY PHONE AND THROUGH DISTRIBUTION OF FLYERS TO PRACTITIONERS. * REACHED OUT TO POTENTIAL SPEAKERS, LACTATION CONSULTANTS, MIDWIVES, YWCA, FIRE DEPARTMENT. COMMUNITY VOICE COMMUNITY VOICE IS AN EVIDENCED BASED, CONSUMER EDUCATION PROGRAM WHOSE GOALS WERE TO RAISE AWARENESS OF THE HEALTH DISPARITY THAT EXISTS IN INFANT MORTALITY, TO PROVIDE CULTURALLY RELEVANT PERINATAL HEALTH INFORMATION AND TO INFLUENCE BEHAVIORS BY TAKING INFORMATION DIRECTLY TO THE PEOPLE WHOM BLACK WOMEN OF CHILDBEARING AGE ARE MOST LIKELY TO TRUST AND TRAIN THEM TO BE LAY HEALTH ADVISORS. ONCE TRAINED, LAY HEALTH ADVISORS HAVE THE KNOWLEDGE AND POWER TO TEACH, MOTIVATE, AND INFLUENCE THEIR FAMILY, FRIENDS AND NEIGHBORS. IN 2019 OVER 67 COMMUNITY RESIDENTS RECEIVED INFORMATION ON SAFE SLEEP, BREASTFEEDING, PRETERM BIRTH, SUBSTANCE USE AND ABUSE, NUTRITION, FOLIC ACID, PRENATAL CARE AND OTHER PERINATAL HEALTH TOPICS THROUGH A COMBINATION OF CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES FROM JANUARY THROUGH MAY. *TAUGHT 13 CLASSES IN LYNCHBURG *ATTENDED 3 COMMUNITY HEALTH FAIRS OR EVENTS *DEVELOPED ONGOING PARTNERSHIPS WITH AGENCIES AND CHURCHES IN LYNCHBURG *ONGOING CV RECRUITMENT IN LYNCHBURG 2019 COMMUNITY VOICE OUTREACH LOCATIONS: *DANIELS HILL *TINBRIDGE HIL *DIAMOND HILL *COLLEGE HILL *JUBILEE FAMILY DEVELOPMENT CENTER *JOHNSON HEALTH CENTER *MIRIAMS HOUSE *DOMESTIC VIOLENCE SHELTER *LIBERTY GODPARENT HOME *BLUE RIDGE PREGNANCY CENTER *JAMES CROSSING APARTMENTS *PARKVIEW MISSIONS *PRAYER FAITH OUTREACH MINISTRIES *BEDFORD COMMUNITY COALITION *LIBERTY UNIVERSITY *VIRGINIA UNIVERSITY OF LYNCHBURG *LYNCHBURG COLLEGE 2019 COMMUNITY VOICE CLASS LOCATIONS: *PARKVIEW MISSIONS *LYNCHBURG PARKS AND RECREATION MILLER CENTER *COMMUNITY ACCESS NETWORK FORENSIC NURSE PROGRAM THE FORENSIC NURSE PROGRAM BEGAN IN 1997. IT CONSISTS OF REGISTERED NURSES TRAINED IN THE COLLECTION OF FORENSIC EVIDENCE. THE FORENSIC NURSES WORK WITH LAW ENFORCEMENT, SOCIAL SERVICES AND THE COURT SYSTEM. NURSES RESPOND TO VICTIMS OF PHYSICAL ASSAULT, SEXUAL ASSAULT AND ABUSE AND NEGLECT IN BOTH THE ADULT AND PEDIATRIC POPULATION. THEY ALSO PROVIDE EDUCATIONAL/TRAINING LECTURES TO RESCUE AGENCIES, POLICE DEPARTMENTS, POLICE ACADEMY, ATTORNEYS AND VARIOUS COLLEGES INCLUDING THE CRIMINAL JUSTICE AND NURSING PROGRAMS. THIS PROGRAM SERVES CLIENTS FROM CENTRAL VIRGINIA AND THE SURROUNDING AREA. IN 2019, THE PROGRAM SAW 855 PATIENTS AND HAD AN ADDITIONAL 503 CONSULTS. RIVERMONT SCHOOLS CENTRAS RIVERMONT SCHOOLS PROVIDE SPECIALIZED EDUCATION FOR STUDENTS WITH BEHAVIORAL OR EMOTIONAL CONCERNS AS WELL AS STUDENTS ON THE AUTISM SPECTRUM. FOURTEEN SCHOOLS THROUGHOUT VIRGINIA ADDRESS THE NEEDS OF MORE THAN 800 STUDENTS AND OPERATE ON A 180-220 DAY SCHOOL YEAR CALENDAR. RIVERMONT SCHOOLS ARE LOCATED IN LYNCHBURG, ROANOKE, CHASE CITY, DAN RIVER, HAMPTON ROADS, TIDEWATER, ALLEGHANY HIGHLANDS, FREDERICKSBURG, PETERSBURG, FAIRFAX, AND ROCKBRIDGE. RIVERMONT SCHOOLS PROVIDE A UNIQUE AND SUPPORTIVE ENVIRONMENT SERVING SCHOOL-AGE CHILDREN EXPERIENCING EMOTIONAL DIFFICULTIES AND AUTISM. EACH RIVERMONT STUDENT RECEIVES LEARNING OPPORTUNITIES THAT PROMOTE SELF-ACTUALIZATION, THE VALUE OF LEARNING, SELF-DISCIPLINE, COOPERATION, RESILIENCY AND SELF-ADVOCACY THROUGH TEACHING EXCELLENCE, THERAPEUTIC SUPPORT, FAMILY PARTICIPATION, AND COMMUNITY INVOLVEMENT. VOLUNTEER SERVICES CENTRA HAS MANY DEDICATED VOLUNTEERS FROM THROUGHOUT CENTRAL VIRGINIA WHO CHOOSE TO GIVE BACK TO THEIR COMMUNITY BY DONATING THEIR TIME AND TALENTS. GUGGENHEIMER VOLUNTEER SERVICES VOLUNTEERS DONATE TIME AT GUGGENHEIMER HEALTH AND REHABILITATION CENTER TO PROVIDE RESIDENTS WITH ENRICHMENT AND INTERACTION THROUGH THE ENHANCING LIVES EVERY DAY PROGRAM. THEY SUPPORT MANY AREAS OF THE PROGRAM BY PROVIDING MUSICAL ENTERTAINMENT, EXERCISE CLASSES AND CRAFT CLASSES AS WELL AS ASSISTANCE IN TRANSPORTING RESIDENTS AND ANSWERING THE PHONE. HOSPICE VOLUNTEERS IN 2019, LYNCHBURG HOSPICE VOLUNTEERS DONATED 6,049 HOURS OF SERVICE TO THE HOSPICE PROGRAM. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO THE HOSPICE HOUSE. VOLUNTEERS SUPPORT THE HOSPICE HOUSE BY GROCERY SHOPPING, MEAL AND MEDICATION DELIVERY, CLEANING, INTERACTING WITH PATIENTS AND FAMILIES. THEY ALSO OFFER SUPPORT TO FAMILIES WHO HAVE LOST A LOVED ONE THROUGH PARTICIPATING IN THE HOSPICE MEMORIAL SERVICES 6 TIMES DURING THE YEAR. OUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 1,457 MILES IN 2019. ASSISTANCE THRU DONATIONS CENTRA HEALTH, INC. DONATED $500,000 TO CENTRA HEALTH FOUNDATIONS COMMUNITY INITIATIVE FUND DURING 2019. NUMEROUS ORGANIZATIONS AND INDIVIDUALS BENEFIT FROM THE VARIOUS PROGRAMS AND ASSISTANCE PROVIDED WITH THE HELP OF THESE DONATIONS. BELOW IS THE LIST OF LOCAL ORGANIZATIONS WHICH CENTRA FUNDS SUPPORTED IN 2019: 1. Altavista Area/Campbell County Habitat for Humanity To support Altavista area/Campbell County partnership housing grant $10,000 2. Amelia Emergency Squad, Inc. To provide the Zoll X-Series Monitor/Defibrillator $31,370 3. Amherst Glebe Arts Response, Inc. (AGAR) To support Acrylic Painting arts class series for individuals attending CVAL (Centra/Fairmont Crossing) $3,771 4. Aspire Foundation, Inc. To support the Dolly Parton Imagination Library, Lynchburg $6,000 5. Boys & Girls Club of Greater Lynchburg To support healthy life choices programming $10,000 6. BrookHill Retirement Center for Horses To provide scholarships for low income youth with mental health disabilities; and support non-traditional therapy for children with emotional & physical disabilities $10,000 7. Camp Kum-Ba-Yah To support expansion of environmental education program to improve community $9,000 8. Central Virginia Alliance for Community Living, Inc. To support Bedford Ride volunteer non-emergency medical transportation $30,000 9. Central Virginia Alliance for Community Living, Inc. TAKE CHARGE: Priority Care Transitions Program a program that partners with Centra Health and other providers to address care transitions of high-risk patients from hospital/facility with a goal to reduce readmissions $69,000 10. Central Virginia Health Services To help provide access to early pregnancy care for uninsured & low- income women $6,400 11. Coalition of HIV Prevention (CHAP) of Central VA To support the purchase of HIV rapid tests, home tests, HIV testing equipment & provide counseling & follow-up $10,000 12. Danville Pittsylvania Cancer Association, Inc. To support the working to unravel the effects of cancer project $15,000 13. Farmville Area Habitat for Humanity To support improving access to affordable housing $10,000 14. Fear to Freedom To support the Aftercare Kits program $6,000 15. Foundation for Rehabilitation Equipment and Endowment a.k.a. F.R.E.E. To support keeping adults home safely $15,000 16. Friends of Lynchburg Parks & Recreation To support the Fit and Strong project $11,462 17. Girls on the Run To support and sustain Girls on the Run Teams in all areas of the Greater Lynchburg Region. $10,000 18. Heart of Virginia Free Clinic (Farmville) To support medication access program (MAP) $23,000 19. Interfaith Outreach Association To support the Safe at Home project $15,000 20. Johnson Health Center To support improving access to healthcare through transportation $35,000 21. Jubilee Family Development Center To support summer camp scholarships for Three-Point Play program for students $15,000 22. Literacy Volunteers of Campbell County Public Library To support health stories project for the purchase of books $700 23. Lynchburg City School Education Foundation, Inc. To support Classroom Innovation Grants project $5,000 24. Lynchburg Community Action Group, Inc. To support the Gateway program $25,000 25. Lynchburg Daily Bread To support the healthy choices for the underserves project $8,500 26. Lynchburg Grows To support the FreshRX III project $20,000 27. Meals on Wheels of Greater Lynchburg To support feeding the homebound project $10,000 28. Miriam's House To support the community first expansion project. $20,000 29. Park View Mission, Inc. To support the food for families and food for thought projects $28,000 30. Postpartum Support Virginia, Inc. (PSVA) To support Lynchburg maternal mental health coalition $8,000 31. Roads to Recovery To support the Roads to Recovery smiles initiative project $30,000 32. Rush Homes To support the James River Housing project $20,000 33. Second Stage/Amherst To support the Cultivate Amherst 2020 project $10,000 34. Virginia Legal Aid To support home improvement and protection (HIP) program $10,000 FORM 990, PART VI, SECTION A, LINE 2: Board member Peter Caprise, MD and Key Employee Chris Thomson are both board members of The Surgery Center of Lynchburg, a 50% joint venture of Centra Health, Inc. FORM 990, PART VI, SECTION A, LINES 8 A & B: MINUTES ARE TAKEN AT EACH MEETING. FORM 990, PART VI, SECTION B, LINE 11B: CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, CENTRA REVIEWED THE FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C: ALL CENTRA 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 CENTRA'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINES 15A & 15B: CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS FOUR ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FIVE MEMBERS MEET THE IRS FORM 990 INDEPENDENCE DEFINITION. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. THE COMPENSATION COMMITTEE IS ALSO RESPONSIBLE FOR THE REVIEW AND APPROVAL OF SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF CENTRA, BASED ON THE RECOMMENDATIONS MADE BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES. FORM 990, PART VI, SECTION C, LINE 16B: JOINT VENTURE POLICY - CENTRA HEALTH, INC. ADOPTED A JOINT VENTURE POLICY, IN 2014, WHICH REQUIRES THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW AND TAKE STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 18: PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. ADDITIONALLY, FILINGS OF THE FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AT ITS ADMINISTRATIVE OFFICE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN PENSION REPORTING 5,753,067 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT (3,038,971) NET ASSETS RELEASED FROM RESTICTIONS TO AFFILIATED ENTITIES (597,283) MINORITY INTEREST (259,436) NET PERIODIC PENSION COST (5,876,899) ROUNDING (4) ------------ TOTAL TO FORM 990, PART XI, LINE 9 ($4,019,526) =========== FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED/CONTRACTED SERVICES TOTAL FEES:82270980 FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:65883982 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER TOTAL FEES:13185023 CENTRA HEALTH INDEMNITY COMPANY LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 270927253 CAPTIVE INSUR VT 4912421 28545617 CENTRA HEALT CENTRAL VA HOSPITAL FOR RESTORATIVE CARE 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 204712023 HEALTHCARE VA 9740423 3740256 CENTRA HEALT CENTRA MEDICAL GROUP LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 203639329 PHYSICIAN SVC VA 194958746 72431782 CENTRA HEALT CENTRAL VA QUALITY CARE NETWORK LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 474453641 INT. NETWORK VA 47049 57554 CENTRA HEALT CENTRA OP REHABILITATION SERVICES LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 471052716 OP REHAB VA 5436807 974334 CENTRA HEALT HEALTHWORKS LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 263026223 OT PROVIDER VA 2770734 3592293 CENTRA HEALT SOUTHSIDE COMMUNITY HOSPITAL 800 OAK STREET FARMVILLE VA 23901 540555201 HEALTHCARE VA 501(C)(3) LINE 3 NA true CCRC INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541929580 HEALTHCARE VA 501(C)(3) LINE 12A, I NA true CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 SUPPORTING OR VA 501(C)(3) LINE 12A, I NA true BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 540566100 HEALTHCARE VA 501(C)(3) LINE 3 NA true GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541299682 REAL ESTATE-PHYS VA NA C Corp 523664 1710642 1.00000 true PCHP HOLDING INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541749492 HOLDING COMPANY VA NA C Corp 0 7366734 1.00000 true PIEDMONT COMMUNITY HEALTH PLAN INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541755768 HEALTH INSURANCE VA NA C Corp 89342328 79983698 1.00000 true false true true true false false false false false true true false false false false true true false false CENTRA HEALTH FOUNDATION b 500000 BOOK VALUE CENTRA HEALTH FOUNDATION c 2971489 BOOK VALUE CENTRA HEALTH FOUNDATION p 300158 BOOK VALUE SOUTHSIDE COMMUNITY HOSPITAL D 25585226 BOOK VALUE SOUTHSIDE COMMUNITY HOSPITAL Q 4083490 BOOK VALUE SOUTHSIDE COMMUNITY HOSPITAL K 311287 BOOK VALUE CCRC INC Q 106121 BOOK VALUE GENERAL BUSINESS CONCERNS INC K 284508 BOOK VALUE BEDFORD MEMORIAL HOSPITAL Q 2048387 BOOK VALUE BEDFORD MEMORIAL HOSPITAL K 241153 BOOK VALUE PCHP Q 234214 BOOK VALUE PCHP K 132770 BOOK VALUE