2025-11-05T17:15:29+00:00 2024-12-31 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-01-01 540715569 CENTRA HEALTH INC CENT 4342004712 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 ROBERT TONKINSON SVP CFO 2025-11-05 true SANDRA L FEINSMITH P01064157 9197549370 2025-11-04 2024 2025-03-06 01:10:19Z ROBERT TONKINSON 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 1166748172 false X WWW.CENTRAHEALTH.COM X 1962 VA WE EXIST TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE. 18 15 7991 300 0 6592685 6067482 1108494725 1127625930 -9078255 17657152 25021898 14998230 1131031053 1166348794 4011101 6638429 0 0 576357306 632514610 0 0 0 533081569 535835483 1113449976 1174988522 17581077 -8639728 1504732242 1499449617 744702026 715000143 760030216 784449474 To operate an integrated regional health care delivery system that provides services across the continuum of care. false false 942874920 6638429 1141222579 As a regional health care leader, Centra Health is committed to providing access to quality health care throughout central and southern Virginia. During 2024 Centra's employees, medical staff and volunteers provided the region with over 25,240 inpatient admissions and over 137,900 days of care. The hospital has performed more than 15,000 surgeries and had over 92,600 emergency room visits. Centra is actively engaged in the community through business, civic and service organizations, and through its financial support of other not-for-profit organizations. Please see schedule H and visit our website for additional information about our services, recognitions and awards: WWW.Centrahealth.com 942874920 true true false false false false false false false false true false 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 false false false false false false true true true true false false true X 412 0 true 7991 true true true false false false false false false false false false true false X 18 15 false false false false false false false true true false false false true true true true true true true true true true VA X TIM FRITZ CORPORATE CONTROLLER 4342002578 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 AMY CARRIER PRESIDENT/CEO (thru 4/18/2024) 50.0 6.0 X X 2851509 0 27147 RICHARD TUGMAN PRESIDENT/CEO (as of 4/18/2024) 50.0 6.0 X X 782536 0 54586 ROB TONKINSON SVP CHIEF FINANCIAL OFFICER (as of 8/14/2024) 50.0 4.0 X X 294231 0 0 ALISON MORRISON-SHETLAR DIRECTOR 2.0 0 X 0 0 0 AMY GALLAGHER DIRECTOR 2.0 0 X 0 0 0 BERNADETTE SVRCEK DIRECTOR 2.0 0 X 0 0 0 CAROLYN W JACQUES DIRECTOR 2.0 2.0 X 0 0 0 CLINTON BEVERLY MD EXEC MEDICAL DIRECTOR 50.0 0 X 610837 0 56141 CYNTHIA GUNNOE DIRECTOR 2.0 2.0 X 0 0 0 D TODD IRBY BOARD VICE-CHAIR 2.0 0 X 0 0 0 ELIZABETH COOK MD DIRECTOR 2.0 0 X 0 0 0 GARY MIGNOGNA DIRECTOR 2.0 0 X 0 0 0 GEETA RAKHERAM MD DOCTOR MEDICAL 50.0 0 X 168545 0 38213 GLORIA T WITT DIRECTOR 2.0 0 X 0 0 0 JOHN A FEES DIRECTOR 2.0 0 X 0 0 0 KEMPER M BEASLEY III DIRECTOR 2.0 2.0 X 0 0 0 MICHAEL V BRADFORD DIRECTOR 2.0 0 X 0 0 0 PETER CAPRISE MD DIRECTOR 2.0 0 X 0 0 0 SHARON L HARRUP DIRECTOR 2.0 2.0 X 0 0 0 THOMAS NYGAARD MD BOARD CHAIR 2.0 0 X 0 0 0 Kristin KING svp chief hr officer 50.0 0 X 297368 0 78007 Tabitha Culbertson hospital president 50.0 0 X 511414 0 82121 Thomas Morales svp chief strategy officer 50.0 0 X 268481 0 0 CHRIS THOMSON SVP CHIEF PHYSICIAN EXECUTIVE 50.0 2.0 X 430770 0 29427 CHRISTOPHER LEWIS SVP CHIEF CLINICAL OFFICER 50.0 0 X 649901 0 118866 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER (thru 8/14/2024) 50.0 4.0 X 1801574 0 27500 HANK CREASY SVP CHIEF LEGAL OFFICER 50.0 0 X 347598 0 47808 MARY ANN FUCHS SVP CHIEF NURSING EXECUTIVE 50.0 0 X 512721 0 21630 ROBIN HILDWEIN SVP AND CHIEF INFORMATION OFFICER 50.0 0 X 559937 0 15614 Audrey Graham DIRECTOR MEDICAL 50.0 0 X 1311089 0 56954 BIKRAM S BAL MD DIRECTOR MEDICAL 50.0 2.0 X 966788 0 31015 Jose Silva DIRECTOR MEDICAL 50.0 0 X 1060579 0 58932 Matthew Sackett DIRECTOR MEDICAL 50.0 0 X 1095338 0 56769 Richard Kuk DIRECTOR MEDICAL 50.0 0 X 1023231 0 60167 15544447 0 860897 1088 false true false RALEIGH RADIOLOGY ASSOCIATES INC 3200 BLUE RIDGE ROAD SUITE 100 RALEIGH NC 27612 PHYSICIANS 8761505 KAHLER SLATER INC 790 N WATER STREET SUITE 1700 MILWAUKEE WI 53202 ARCHITECTURE CONSULTING 7552582 MBS LOCUMS LLC 100 W CYPRESS CREEK ROAD FORT LAUDERDALE FL 33309 STAFFING 3018251 PHI AIR MEDICAL 43 AVIATION CIR WEYERS CAVE VA 24486 TRANSPORTATION 2593452 HEALTHCARE REVENUE CYCLE MANAGEMENT SOLUTIONS LLC 11762 DE PALMA ROAD SUITE 1C CORONA CA 92883 REVENUE CYCLE SERVICES 2515855 95 6042874 3793 20815 6067482 NET PATIENT SERVICES REVENUE 624100 1095683861 1095683861 ANCILLARY SERVICES 900099 29256469 29256469 TUITION & EDUCATION 611600 2685600 2685600 0 0 0 0 1127625930 18049530 18049530 1401581 1401581 0 1401581 1401581 7000 399378 0 -392378 -392378 -392378 0 MISCELLANEOUS REVENUE 900099 9145328 9145328 CAFETERIA/VENDING/DIETARY 722210 3799321 3799321 PREMIUM REVENUE 900099 652000 652000 0 0 0 0 13596649 1166348794 1141222579 0 19058733 X 6638429 6638429 0 0 0 0 0 0 11295733 11295733 0 523090966 424799543 98291423 0 18546076 13641542 4904534 0 45105552 33925707 11179845 0 34476283 27154704 7321579 0 14954174 9054606 5899568 0 2700596 153447 2547149 0 349486 39800 309686 0 2403324 0 2403324 0 177651062 156843943 20807119 0 2658966 323767 2335199 0 32398440 23836412 8562028 0 31005553 882162 30123391 0 30878926 27353364 3525562 0 2073248 1690898 382350 0 4487846 3422774 1065072 0 21381604 0 21381604 0 0 0 32544073 17514478 15029595 0 2352340 2352340 0 MEDICAL SUPPLIES 110786871 110786871 0 0 DRUGS 80346676 80346676 0 0 COLLECTIONS EXPENSES 12458428 1168518 11289910 0 OVERHEAD ALLOCATIONS -25596130 944939 -26541069 0 0 0 0 0 1174988522 942874920 232113602 0 9390465 44646932 0 0 0 0 199138677 178308483 0 0 0 0 0 0 31813972 30436667 11189038 15968026 987926931 604757775 372795386 383169156 808745673 783608633 3148668 3716746 0 1344146 1344146 67166217 58250828 1504732242 1499449617 133230369 135639730 0 0 184958 183479 525487961 525307059 0 0 0 0 0 0 0 0 85798738 53869875 744702026 715000143 X 760030216 784449474 0 0 760030216 784449474 1504732242 1499449617 X -8639728 33932236 -873250 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 37134021 37134021 500565688 323262101 177303587 13534904 8144868 5390036 391292285 263572013 127720272 45400033 9778793 35621240 383169156 Federal Income Taxes DUE TO RELATED PARTIES 131720353 OTHER LIABILITIES 44853004 FUTURE LEASE OBLIGATIONS 5403148 EST PAYABLE TO 3RD PARTY 1173799 ELIMINATIONS -129280429 53869875 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part V, Line 4 Intended uses of endowment funds THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE FOUNDATION'S BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY U.S. GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE FOUNDATION'S BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED 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 FIN 48 (ASC 740) footnote CENTRA HEALTH, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD ARE EXEMPT FROM INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE (IRC). 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, CVQCN, OUTPATIENT REHAB, AND CVI ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER CENTRA'S TAX RETURN. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARIES, GBC, PCHP HOLDING, INC., HEALTHWORKS AND PCHP. DURING 2024 HEALTHWORKS MERGED INTO CENTRA MEDICAL GROUP, LLC AND IS NO LONGER A SEPARATE ENTITY. ALSO, THE TAX STATUS OF PCHP HOLDING, INC. WAS CHANGED TO A DISREGARDED ENTITY OF CENTRA HEALTH, INC. 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 SUBSIDIARY'S 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. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2024 AND 2023. CENTRA BELIEVES INCOME TAXES FOR REPORTING PERIODS THROUGH DECEMBER 31, 2021 ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS. true true X true X true X 14496781 0 14496781 0.01234 184386081 213048243 0 0.0 0 0 0 0.0 0 0 198882862 213048243 14496781 0.01234 2136647 0 2136647 0.00182 11752590 2159078 9593512 0.00816 0 0 0 0.0 0 0 0 0.0 6489294 0 6489294 0.00552 0 0 20378531 2159078 18219453 0.01551 0 0 219261393 215207321 32716234 0.02784 1 6 38 38 0.00000 29 674 9420 9420 0.00001 94 1268 55863 55863 0.00005 0 0.0 0 0.0 79 1503 22482 22482 0.00002 35 995 21199 21199 0.00002 28 815 19685 19685 0.00002 0 0.0 266 5261 128687 0 128687 0.00011 true 14337074 3993920 256314581 331246346 -74931765 X true true THE SURGERY CENTER OUTPATIENT SURGERY SERVICES 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 24 true true false true X www.centrahealth.com/community-resources/community-health#chna X X true 24 true www.centrahealth.com/community-resources/community-health#chna false true X 200.0 400.0 X X X X true true X X X X true X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X X X X X X true X false X X X X true X false false VIRGINIA BAPTIST HOSPITAL 1 false false true X X X X X X X X X 24 true true false true X www.centrahealth.com/community-resources/community-health#chna X X true 24 true www.centrahealth.com/community-resources/community-health#chna false true X 200.0 400.0 X X X X true true X X X X true X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X X X X X X true X false X X X X true X false false CENTRA SPECIALTY HOSPITAL 1 false false true X X X X X X X X X 24 true true false true X www.centrahealth.com/community-resources/community-health#chna X X true 24 true www.centrahealth.com/community-resources/community-health#chna false true X 200.0 400.0 X X X X true true X X X X true X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X X X X X X true X false X X X X false X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - LYNCHBURG GENERAL HOSPITAL. In 2024, a Community Health Assessment Team (CHAT) composed of over 140 individuals with a broad representation of community leaders and cross-sector stakeholders acted to oversee, advise, and support the CHNA activities. On average, 72 individuals attended each of the four meetings conducted throughout the assessment. This team was committed to regional alignment of a collaborative and rigorous needs assessment process that result in action-oriented solutions to improve the health of the communities they serve. The Central Virginia and Pittsylvania/Danville Health Districts served as pivotal partners in 2024, participating in the planning of the CHNA as well as leading efforts in the collection of our primary data. In addition, the University of Lynchburg's Research Center team was engaged in the revisions and analysis of the primary data. The 2024 Lynchburg Area Community Health Needs Assessment focused on lifting the voice of the community through the collection of 2577 Community Health Surveys as well as conducting a stakeholder focus group and 6 target population focus groups. In addition, over 75 sources of publicly available secondary data were collected. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - LYNCHBURG GENERAL HOSPITAL. THE ORGANIZATION'S CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - LYNCHBURG GENERAL HOSPITAL. HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - LYNCHBURG GENERAL HOSPITAL. The 2025-2028 Centra Hospitals implementation planning process was led by Centra's Community Health Services team. The Centra Implementation Plan Leadership Team, composed of key Centra executive leaders, including the Vice Presidents (VP)/Chief Executive Officers (CEO) and Chief Nursing Officers for Centra hospitals, were instrumental in the development of the plan. Team members participated in the following activities: Ranked the top three to five Priority Areas of Needs for the service area that will be addressed by Centra - Identified policies, programs, and resources already available to address the needs - Identified additional resources and partnerships needed to address gaps and barriers - Developed 3-year goals to address the priority needs - Developed strategies to support the goals and considered whether these strategies were measurable, realistic, as well as considering organizational capacity and resources, and opportunities for community Collaboration - Developed evaluative measures for the goals and/or strategies Identified which priority needs will not be addressed by Centra and why The Priority Areas of Needs to be addressed by Centra Hospitals (Lynchburg General and Virginia Baptist Hospitals) and their 2025-2028 Implementation Plans includes the following: - Access to Healthcare Services* - Mental Health and Substance Use Disorders & Access to Services* - Food Insecurity & Nutrition* - Coordination of Resources & Outreach *Priority Areas of Need that will be addressed across the entire Centra service region. In 2025, all Centra hospitals located in Bedford, Farmville, and Lynchburg Virginia are aligning their strategies and goals by prioritizing Access to Healthcare Services; Mental Health and Substance Use Disorder; and Food Insecurity & Nutrition. These shared focus areas reflect ongoing challenges voiced by community members across the Centra footprint. Additionally, Centra Hospitals will be addressing Coordination of Resources and Outreach focused on improved communication and knowledge of existing resources in the area. Except for Campbell County, all localities in the Lynchburg Area are designated as federal Medically Underserved Areas and as Health Professional Shortage Areas for Primary Care, Mental Health, and Dental. In addition, the 2024 Lynchburg Community Health Survey highlighted persistent gaps in care and support services, with 65% of respondents identifying mental health problems as a major health issue and 54% ranking access to healthy foods as a key health factor. Additionally, 49% reported mental health and counseling services as the most difficult to access. Focus group participants in Amherst County further emphasized limited awareness of available resources in the community. Addressing these priorities requires continued collaboration with local partners, organizations, and community members. As the largest health system in the region, Centra will continue to lead efforts to improve access and reduce barriers to care. While Centra Hospitals' Implementation Plan does not include goals and strategies for all ten Priority Areas identified in the 2024 Lynchburg Area Community Health Needs Assessment, we recognize and value the work of community partners addressing these needs. We will continue to align and collaborate with these partners, including the Central Virginia Health District (CVHD) and others, to maintain open communication, track progress, and monitor community impact. The following outlines the Priority Areas not addressed in this plan and organizations actively working to meet those needs (not necessarily all inclusive). - Homelessness and Housing: Central Virginia Continuum of Care; Miriam's House; Lynchburg Redevelopment & Housing Authority; Greater Lynchburg Habitat for Humanity; Interfaith Outreach; YWCA of Central Virginia; The Refuge on Memorial; The Salvation Army Lynchburg; Lynchburg Community Action Group; and Pittsylvania County Community Action. - Issues Impacting Children & their Families - Child Abuse & Neglect; Childcare: Department of Social Services; HumanKind; YWCA of Central Virginia; CASA of Central Virginia; Lynchburg Community Action Group; Teachable Moments Preschool; The Motherhood Collective; FIVE18 Family Services; and Impact Living Services. - Aging and Eldercare: Central Virginia Alliance for Community Living; Meals on Wheels of Greater Lynchburg; Centra PACE; and Southern Area Agency on Aging. - Chronic Disease: By the nature of our work, Centra addresses the prevention and management of chronic disease with our patients. Community partners in these efforts include Virginia Cooperative Extension; Central Virginia Health District; Pittsylvania-Danville Health District; Free Clinic of Central Virginia; Johnson Health Center; Central Virginia Family Physicians; Sovah Health; and the Community Access Network. - Transportation: Greater Lynchburg Transit Company; Central Virginia Alliance for Community Living (Dial-ARide); and MoveUP Lynchburg. - Financial Stability & Assistance: Bank of the James; Freedom First Credit Union; HumanKind; Interfaith Outreach; Lynchburg Community Action Group; United Way of Central Virginia; Donation a Week Neighbor (DAWN); Virginia Career Works; Park View Community Mission; and Department of Social Services. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - VIRGINIA BAPTIST HOSPITAL. In 2024, a Community Health Assessment Team (CHAT) composed of over 140 individuals with a broad representation of community leaders and cross-sector stakeholders acted to oversee, advise, and support the CHNA activities. On average, 72 individuals attended each of the four meetings conducted throughout the assessment. This team was committed to regional alignment of a collaborative and rigorous needs assessment process that result in action-oriented solutions to improve the health of the communities they serve. The Central Virginia and Pittsylvania/Danville Health Districts served as pivotal partners in 2024, participating in the planning of the CHNA as well as leading efforts in the collection of our primary data. In addition, the University of Lynchburg's Research Center team was engaged in the revisions and analysis of the primary data. The 2024 Lynchburg Area Community Health Needs Assessment focused on lifting the voice of the community through the collection of 2577 Community Health Surveys as well as conducting a stakeholder focus group and 6 target population focus groups. In addition, over 75 sources of publicly available secondary data were collected. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - VIRGINIA BAPTIST HOSPITAL. THE ORGANIZATION'S CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - VIRGINIA BAPTIST HOSPITAL. HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - VIRGINIA BAPTIST HOSPITAL. The 2025-2028 Centra Hospitals implementation planning process was led by Centra's Community Health Services team. The Centra Implementation Plan Leadership Team, composed of key Centra executive leaders, including the Vice Presidents (VP)/Chief Executive Officers (CEO) and Chief Nursing Officers for Centra hospitals, were instrumental in the development of the plan. Team members participated in the following activities: Ranked the top three to five Priority Areas of Needs for the service area that will be addressed by Centra - Identified policies, programs, and resources already available to address the needs - Identified additional resources and partnerships needed to address gaps and barriers - Developed 3-year goals to address the priority needs - Developed strategies to support the goals and considered whether these strategies were measurable, realistic, as well as considering organizational capacity and resources, and opportunities for community Collaboration - Developed evaluative measures for the goals and/or strategies Identified which priority needs will not be addressed by Centra and why The Priority Areas of Needs to be addressed by Centra Hospitals (Lynchburg General and Virginia Baptist Hospitals) and their 2025-2028 Implementation Plans includes the following: - Access to Healthcare Services* - Mental Health and Substance Use Disorders & Access to Services* - Food Insecurity & Nutrition* - Coordination of Resources & Outreach *Priority Areas of Need that will be addressed across the entire Centra service region. In 2025, all Centra hospitals located in Bedford, Farmville, and Lynchburg Virginia are aligning their strategies and goals by prioritizing Access to Healthcare Services; Mental Health and Substance Use Disorder; and Food Insecurity & Nutrition. These shared focus areas reflect ongoing challenges voiced by community members across the Centra footprint. Additionally, Centra Hospitals will be addressing Coordination of Resources and Outreach focused on improved communication and knowledge of existing resources in the area. Except for Campbell County, all localities in the Lynchburg Area are designated as federal Medically Underserved Areas and as Health Professional Shortage Areas for Primary Care, Mental Health, and Dental. In addition, the 2024 Lynchburg Community Health Survey highlighted persistent gaps in care and support services, with 65% of respondents identifying mental health problems as a major health issue and 54% ranking access to healthy foods as a key health factor. Additionally, 49% reported mental health and counseling services as the most difficult to access. Focus group participants in Amherst County further emphasized limited awareness of available resources in the community. Addressing these priorities requires continued collaboration with local partners, organizations, and community members. As the largest health system in the region, Centra will continue to lead efforts to improve access and reduce barriers to care. While Centra Hospitals' Implementation Plan does not include goals and strategies for all ten Priority Areas identified in the 2024 Lynchburg Area Community Health Needs Assessment, we recognize and value the work of community partners addressing these needs. We will continue to align and collaborate with these partners, including the Central Virginia Health District (CVHD) and others, to maintain open communication, track progress, and monitor community impact. The following outlines the Priority Areas not addressed in this plan and organizations actively working to meet those needs (not necessarily all inclusive). - Homelessness and Housing: Central Virginia Continuum of Care; Miriam's House; Lynchburg Redevelopment & Housing Authority; Greater Lynchburg Habitat for Humanity; Interfaith Outreach; YWCA of Central Virginia; The Refuge on Memorial; The Salvation Army Lynchburg; Lynchburg Community Action Group; and Pittsylvania County Community Action. - Issues Impacting Children & their Families - Child Abuse & Neglect; Childcare: Department of Social Services; HumanKind; YWCA of Central Virginia; CASA of Central Virginia; Lynchburg Community Action Group; Teachable Moments Preschool; The Motherhood Collective; FIVE18 Family Services; and Impact Living Services. - Aging and Eldercare: Central Virginia Alliance for Community Living; Meals on Wheels of Greater Lynchburg; Centra PACE; and Southern Area Agency on Aging. - Chronic Disease: By the nature of our work, Centra addresses the prevention and management of chronic disease with our patients. Community partners in these efforts include Virginia Cooperative Extension; Central Virginia Health District; Pittsylvania-Danville Health District; Free Clinic of Central Virginia; Johnson Health Center; Central Virginia Family Physicians; Sovah Health; and the Community Access Network. - Transportation: Greater Lynchburg Transit Company; Central Virginia Alliance for Community Living (Dial-ARide); and MoveUP Lynchburg. - Financial Stability & Assistance: Bank of the James; Freedom First Credit Union; HumanKind; Interfaith Outreach; Lynchburg Community Action Group; United Way of Central Virginia; Donation a Week Neighbor (DAWN); Virginia Career Works; Park View Community Mission; and Department of Social Services. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - CENTRA SPECIALTY HOSPITAL. In 2024, a Community Health Assessment Team (CHAT) composed of over 140 individuals with a broad representation of community leaders and cross-sector stakeholders acted to oversee, advise, and support the CHNA activities. On average, 72 individuals attended each of the four meetings conducted throughout the assessment. This team was committed to regional alignment of a collaborative and rigorous needs assessment process that result in action-oriented solutions to improve the health of the communities they serve. The Central Virginia and Pittsylvania/Danville Health Districts served as pivotal partners in 2024, participating in the planning of the CHNA as well as leading efforts in the collection of our primary data. In addition, the University of Lynchburg's Research Center team was engaged in the revisions and analysis of the primary data. The 2024 Lynchburg Area Community Health Needs Assessment focused on lifting the voice of the community through the collection of 2577 Community Health Surveys as well as conducting a stakeholder focus group and 6 target population focus groups. In addition, over 75 sources of publicly available secondary data were collected. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - CENTRA SPECIALTY HOSPITAL. THE ORGANIZATION'S CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - CENTRA SPECIALTY HOSPITAL. HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - CENTRA SPECIALTY HOSPITAL. The 2025-2028 Centra Hospitals implementation planning process was led by Centra's Community Health Services team. The Centra Implementation Plan Leadership Team, composed of key Centra executive leaders, including the Vice Presidents (VP)/Chief Executive Officers (CEO) and Chief Nursing Officers for Centra hospitals, were instrumental in the development of the plan. Team members participated in the following activities: Ranked the top three to five Priority Areas of Needs for the service area that will be addressed by Centra - Identified policies, programs, and resources already available to address the needs - Identified additional resources and partnerships needed to address gaps and barriers - Developed 3-year goals to address the priority needs - Developed strategies to support the goals and considered whether these strategies were measurable, realistic, as well as considering organizational capacity and resources, and opportunities for community Collaboration - Developed evaluative measures for the goals and/or strategies Identified which priority needs will not be addressed by Centra and why The Priority Areas of Needs to be addressed by Centra Hospitals (Lynchburg General and Virginia Baptist Hospitals) and their 2025-2028 Implementation Plans includes the following: - Access to Healthcare Services* - Mental Health and Substance Use Disorders & Access to Services* - Food Insecurity & Nutrition* - Coordination of Resources & Outreach *Priority Areas of Need that will be addressed across the entire Centra service region. In 2025, all Centra hospitals located in Bedford, Farmville, and Lynchburg Virginia are aligning their strategies and goals by prioritizing Access to Healthcare Services; Mental Health and Substance Use Disorder; and Food Insecurity & Nutrition. These shared focus areas reflect ongoing challenges voiced by community members across the Centra footprint. Additionally, Centra Hospitals will be addressing Coordination of Resources and Outreach focused on improved communication and knowledge of existing resources in the area. Except for Campbell County, all localities in the Lynchburg Area are designated as federal Medically Underserved Areas and as Health Professional Shortage Areas for Primary Care, Mental Health, and Dental. In addition, the 2024 Lynchburg Community Health Survey highlighted persistent gaps in care and support services, with 65% of respondents identifying mental health problems as a major health issue and 54% ranking access to healthy foods as a key health factor. Additionally, 49% reported mental health and counseling services as the most difficult to access. Focus group participants in Amherst County further emphasized limited awareness of available resources in the community. Addressing these priorities requires continued collaboration with local partners, organizations, and community members. As the largest health system in the region, Centra will continue to lead efforts to improve access and reduce barriers to care. While Centra Hospitals' Implementation Plan does not include goals and strategies for all ten Priority Areas identified in the 2024 Lynchburg Area Community Health Needs Assessment, we recognize and value the work of community partners addressing these needs. We will continue to align and collaborate with these partners, including the Central Virginia Health District (CVHD) and others, to maintain open communication, track progress, and monitor community impact. The following outlines the Priority Areas not addressed in this plan and organizations actively working to meet those needs (not necessarily all inclusive). - Homelessness and Housing: Central Virginia Continuum of Care; Miriam's House; Lynchburg Redevelopment & Housing Authority; Greater Lynchburg Habitat for Humanity; Interfaith Outreach; YWCA of Central Virginia; The Refuge on Memorial; The Salvation Army Lynchburg; Lynchburg Community Action Group; and Pittsylvania County Community Action. - Issues Impacting Children & their Families - Child Abuse & Neglect; Childcare: Department of Social Services; HumanKind; YWCA of Central Virginia; CASA of Central Virginia; Lynchburg Community Action Group; Teachable Moments Preschool; The Motherhood Collective; FIVE18 Family Services; and Impact Living Services. - Aging and Eldercare: Central Virginia Alliance for Community Living; Meals on Wheels of Greater Lynchburg; Centra PACE; and Southern Area Agency on Aging. - Chronic Disease: By the nature of our work, Centra addresses the prevention and management of chronic disease with our patients. Community partners in these efforts include Virginia Cooperative Extension; Central Virginia Health District; Pittsylvania-Danville Health District; Free Clinic of Central Virginia; Johnson Health Center; Central Virginia Family Physicians; Sovah Health; and the Community Access Network. - Transportation: Greater Lynchburg Transit Company; Central Virginia Alliance for Community Living (Dial-ARide); and MoveUP Lynchburg. - Financial Stability & Assistance: Bank of the James; Freedom First Credit Union; HumanKind; Interfaith Outreach; Lynchburg Community Action Group; United Way of Central Virginia; Donation a Week Neighbor (DAWN); Virginia Career Works; Park View Community Mission; and Department of Social Services. 97 CENTRA ALAN B PEARSON CANCER CENTER 1701 THOMSON DRIVE LYNCHBURG VA 24501 CANCER CENTER & PALLIATIVE CARE CENTRA GRETNA MEDICAL CENTER 291 MCBRIDE LANE GRETNA VA 24557 EMERGENCY, IMAGING, INTERNAL MEDICINE, CARDIOLOGY, REHAB, LAB CENTRA HOSPICE-LYNCHBURG 2097 LANGHORNE ROAD LYNCHBURG VA 24501 HOSPICE CARE CENTRA HOME HEALTH - LYNCHBURG 2010 ATHERHOLT ROAD LYNCHBURG VA 24501 HOME HEALTH SERVICES CENTRA PACE - LYNCHBURG 407 FEDERAL STREET LYNCHBURG VA 24504 CARE FOR ELDERLY CMG PIEDMONT PSYCHIATRIC CTR - LYNCHBURG 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 MENTAL HEALTH BRIDGES TREATMENT CENTER 693 LEESVILLE ROAD LYNCHBURG VA 245022828 MENTAL HEALTH CMG - ATLAVISTA 1280 A MAIN STREET ALTAVISTA VA 24517 PRIMARY CARE CMG - BROOKNEAL 104 CAROLINA AVENUE BROOKNEAL VA 24528 PRIMARY CARE CMG - DANVILLE 414 PARK AVENUE DANVILLE VA 24541 PRIMARY CARE CENTRA LYNCHBURG MEDICAL CTR -NATIONWIDE 125 NATIONWIDE DRIVE LYNCHBURG VA 24502 INTERNAL MEDICINE, REHAB & THERAPY SERVICES, PRIMARY CARE, LAB SERVICES CMG - MONETA VILLAGE FAMILY PHYSICIANS 4830 RUCKER RD MONETA VA 24121 PRIMARY CARE, LAB SERVICES CMG UROLOGY CENTER - LANGHORNE ROAD 2542 LANGHORNE ROAD LYNCHBURG VA 24501 SURGICAL SERVICES CMG FOREST WOMEN'S CENTER 2007 GRAVES MILL ROAD FOREST VA 24551 WOMEN & CHILDREN'S HEALTH, MATERNITY SERVICES, MIDWIFERY, GYNECOLOGIC SERVICES CENTRA REHABILITATION - JAMERSON YMCA 801 WYNDHURST DRIVE LYNCHBURG VA 24502 REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, HEADACHE CENTER, OUTPATIENT MAMMOGRAPHY CENTER - TIMBERLAKE 20293 TIMBERLAKE ROAD LYNCHBURG VA 24502 MAMMOGRAPHY & BREAST IMAGING CMG SOUTHSIDE NEUROLOGY CENTER 800 OAK STREET FARMVILLE VA 23901 BRAIN & SPINE CARE CMG - LYNCHBURG FAMILY MEDICINE 2323 MEMORIAL AVENUE SUITE 10 LYNCHBURG VA 24501 PRIMARY CARE, MATERNITY SERVICES, LABORATORY SERVICES, PEDIATRIC SERVICES CMG - BEDFORD 1613 OAKWOOD STREET SUITE 201 BEDFORD VA 24523 PRIMARY CARE, REHAB & THERAPY SERVICES CMG PLASTIC SURGERY CENTER 1330 OAK LANE SUITE 100 LYNCHBURG VA 24503 SURGICAL SERVICES, PLASTIC SURGERY CMG NEUROLOGY CTR LYNCHBURG-TATE SPRINGS 2025 TATE SPRINGS ROAD LYNCHBURG VA 24501 BRAIN & SPINE CARE, HEADACHE CENTER CMG SURGICAL SPECIALISTS 1911 THOMSON DRIVE LYNCHBURG VA 24501 GENERAL SURGERY CMG SURGICAL SPECIALISTS 1906 THOMSON DRIVE LYNCHBURG VA 24501 GENERAL SURGERY CENTRA COLLEGE OF NURSING - MAIN CAMPUS 905 LAKESIDE DR SUITE A LYNCHBURG VA 24501 COLLEGE OF NURSING ROSEMARY & GEORGE DAWSON INN 2012 TATE SPRINGS ROAD LYNCHBURG VA 24501 PATIENT/FAMILY INN CENTRA CARDIAC REHABILITATION - BEDFORD 1710 WHITFIELD DRIVE BEDFORD VA 24523 HEMATOLOGY & ONCOLOGY, REHAB & THERAPY SERVICES CMG HEALTHY SKIN CENTER 1330 OAK LANE SUITE 103 LYNCHBURG VA 24503 SKIN CLINIC CENTRA PACE - GRETNA 1220 W GRETNA ROAD GRETNA VA 24557 CARE FOR ELDERLY CMG - KEYSVILLE 312 KINGS STREET KEYSVILLE VA 23947 PRIMARY CARE & LABORATORY SERVICES CMG - FARMVILLE 935 SOUTH MAIN STREET FARMVILLE VA 23901 PRIMARY CARE & LABORATORY SERVICES CMG - BURKEVILLE 412 NAMOZINE STREET BURKEVILLE VA 23922 PRIMARY CARE & LABORATORY SERVICES CMG SOUTHSIDE GASTROINTESTINAL CENTER 800 OAK STREET FARMVILLE VA 23901 GASTROLOGY CMG SOUTHSIDE SURGERY CENTER 800 OAK STREET FARMVILLE VA 23901 GENERAL SURGERY, AMBULATORY CARE CMG SOUTHSIDE WOMEN'S CENTER 800 OAK STREET FARMVILLE VA 23901 WOMEN & CHILDREN'S HEALTH, MATERNITY SERVICES, GYNECOLOGIC SERVICES, LABORATORY SERVICES CMG BEDFORD GENERAL SURGERY CENTER 1615 OAKWOOD STREET SUITE D BEDFORD VA 24523 GENERAL SURGERY & AMBULATORY CARE CMG BEDFORD PULMONOLOGY CENTER 1615 OAKWOOD STREET STE B BEDFORD VA 24523 PULMONARY SVCS AUTISM AND DEVELOPMENTAL SERVICES CENTER 693 LEESVILLE ROAD LYNCHBURG VA 245022828 MENTAL HEALTH CENTRA ACUTE ADULT PSYCHIATRIC UNIT 3300 LEESVILLE ROAD LYNCHBURG VA 245022828 MENTAL HEALTH CENTRA AMHERST MEDICAL CENTER 115 AMBRIAR COURT AMHERST VA 24521 FAMILY PRACTICE CENTRA COLLEGE - BRANCH CAMPUS 1613 OAKWOOD STREET BEDFORD VA 24523 COLLEGE OF NURSING CENTRA DANVILLE MEDICAL CENTER 414 PARK AVENUE DANVILLE VA 24541 FAMILY PRACTICE CENTRA HEART & VASCULAR INSTITUTE - BEDF 1613 OAKWOOD DRIVE BEDFORD VA 24523 WOUND CARE CENTRA HEART & VASCULAR - DANVILLE 414 PARK AVENUE DANVILLE VA 24541 VEIN CARE CENTRA HEART & VASCULAR - FARMVILLE 900 WEST THIRD STREET FARMVILLE VA 23901 VEIN CARE, CARDIAC & PULMONARY REHAB, ELECTROPHYSIOLOGY CENTRA HEART & VASCULAR - FARMVILLE 800 OAK ST FARMVILLE VA 23901 WEIGHT LOSS & BARIATRIC SURGERY CENTRA HEART & VASCULAR - GRETNA 291 MCBRIDE LANE GRETNA VA 24557 VEIN CARE, WOUND CARE, WEIGHT LOSS & BARIATRIC SURGERY CENTRA HEART & VASCULAR - LYNCHBURG 2410 ATHERHOLT RD LYNCHBURG VA 24501 CARDIOLOGY CENTER & CARDIOVASCULAR SURGERY CENTRA HEART & VASCULAR - MONETA 1039 MAYBERRY CROSSING DR SUITE C MONETA VA 24121 CARDIOLOGY CENTER CARDIAC REHABILITATION - ATHERHOLT RD 1905 ATHERHOLT RD LYNCHBURG VA 24501 REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, BRAIN & SPINE CARE, HEADACHE CENTER CENTRA CARDIAC REHABILITATION - FARMVILLE 935 S MAIN STREET FARMVILLE VA 23901 REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, OUTPATIENT REHAB CARDIAC REHABILITATION - GRETNA 291 MCBRIDE LANE GRETNA VA 24557 REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, OUTPATIENT REHAB CARDIAC REHABILITATION - NATIONWIDE DR 123 NATIONWIDE DRIVE LYNCHBURG VA 24502 REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, HEADACHE CENTER CARDIAC REHAB - VA BAPTIST HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 HEMATOLOGY & ONCOLOGY, REHAB & THERAPY SERVICES, BRAIN & SPINE CARE CARDIAC REHAB CENTER FOR PELVIC HEALTH 1905 ATHERHOLT ROAD LYNCHBURG VA 24501 HEMATOLOGY & ONCOLOGY, REHAB & THERAPY SERVICES CENTRA SLEEP DISORDERS CTR - LYNCHBURG 2512 LANGHORNE ROAD LYNCHBURG VA 24501 SLEEP SERVICES CENTRA SOUTHSIDE HEMATOLOGY ONCOLOGY 800 OAK STREET FARMVILLE VA 23901 HEMATOLOGY & ONCOLOGY CENTRA SOUTHSIDE MEDICAL CENTER 935 S MAIN STREET FARMVILLE VA 23901 PRIMARY CARE, REHABILITATION & THERAPY SERVICES, URGENT CARE, ACUTE CARE CENTRA URGENT CARE - FOREST 16890 FOREST ROAD FOREST VA 24551 URGENT CARE & LABORATORY SERVICES CENTRAL VA CTR FOR SIMULATION & VIRTUAL 905 LAKESIDE DRIVE STE B LYNCHBURG VA 24501 SIMULATION & VIRTUAL LEARNING CMG - CARDIOPULMONARY REHABILITATION 2410 ATHERHOLT ROAD LYNCHBURG VA 24501 CARDIOPULMONARY REHABILITATION CMG - GRETNA 291 MCBRIDE LANE GRETNA VA 24557 PRIMARY CARE CMG - NEUROLOGY - PHYSICAL THERAPY 2025 TATE SPRINGS ROAD LYNCHBURG VA 24501 NEUROLOGY & PHYSICAL THERAPY CMG - SOUTHSIDE PEDIATRICS & PEDIATRIC 935 S MAIN STREET FARMVILLE VA 23901 PEDIATRIC SERVICES & ENDOCRINOLOGY CMG ADDICTION TREATMENT CENTER 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 ADDICTION & RECOVERY, CMG ADDICTION TREATMENT SERVICES CMG ENDOCRINOLOGY CENTER 2015 TATE SPRINGS ROAD LYNCHBURG VA 24501 ENDOCRINOLOGY CENTER CMG NEUROLOGY CENTER - GRETNA 291 MCBRIDE LANE GRETNA VA 24557 BRAIN & SPINE CARE CMG NEUROLOGY CTR LYNCHBURG (LINKHORNE) 2811 LINKHORNE DRIVE LYNCHBURG VA 24503 BRAIN & SPINE CARE, HEADACHE CENTER CMG NEUROSURGERY CENTER 2138 LANGHORNE ROAD LYNCHBURG VA 24501 NEUROSURGERY, REHAB & THERAPY SERVICES CMG PHYSICAL MEDICINE & PAIN MANAGEMENT 1330 OAK LANE STE 202 LYNCHBURG VA 24503 AMBULATORY CARE CMG PHYSICAL MEDICINE & PAIN MANAGEMENT 935 S MAIN STREET FARMVILLE VA 23901 AMBULATORY CARE CMG PIEDMONT PSYCHIATRIC CTE - FARMVILLE 935 S MAIN STREET FARMVILLE VA 23901 MENTAL HEALTH CMG SOUTHSIDE PULMONOLOGY CENTER 800 OAK STREET FARMVILLE VA 23901 PULMONOLOGY CENTER CMG WOUND CARE & HYPERBARIC MEDICINE CTR 2410 ATHERHOLT ROAD LYNCHBURG VA 24501 WOUND CARE HEALTHWORKS NATIONWIDE 125 NATIONWIDE DR LYNCHBURG VA 24502 OCCUPATIONAL MEDICINE & WELLNESS SERVICES MATERNAL FETAL MEDICINE SPECIALTY CLINIC 3300 RIVERMONT AVE LYNCHBURG VA 24503 MATERNITY PATHWAYS RESIDENTIAL TREATMENT CENTER 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 MENTAL HEALTH PEDIATRIC SPECIALTY CENTER 3300 RIVERMONT AVENUE LYNCHBURG VA 24502 PULMONOLOGY PIEDMONT COMMUNITY HEALTH PLAN 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 COMMUNITY HEALTH PLAN PRESURGERY CENTER 1330 OAK LANE SUITE 203 LYNCHBURG VA 24503 AMBULATORY CARE, SURGICAL SERVICES, GENERAL SURGERY PSYCHIATRIC INPATIENT CHILD & ADOLESCENT 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 MENTAL HEALTH CENTRAL VIRGINIA IMAGING 113 NATIONWIDE DRIVE LYNCHBURG VA 24502 OUTPATIENT IMAGING CENTER CMG ADDICTION TREATMENT CENTER 800 OAK STREET FARMVILLE VA 23901 CMG ADDICTION TREATMENT SERVICES CMG BUCKINGHAM 65 BRICKYARD DRIVE DILLWYN VA 23936 PRIMARY CARE CMG HEART & VASCULAR INSTITUTE - AMHERST 115 AMBRIAR COURT AMHERST VA 24521 VEIN CARE, CARDIAC & PULMINARY REHAB, ELECTROPHYSIOLOGY CMG INTENSIVE OUTPATIENT 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 INTENSIVE OUTPATIENT PROGRAM (IOP) CMG STROOBANTS CARDIOVASCULAR CENTER - LYNCHBURG 2410 ATHERHOLT ROAD LYNCHBURG VA 24501 LABORATORY SERVICES CENTRA WEIGHT LOSS & BARIATRIC SURGERY - LYNCHBURG 125 NATIONWIDE DRIVE LYNCHBURG VA 24502 WEIGHT LOSS AND BARIATRIC SURGERY CENTRA OUTPATIENT REHABILITATION THERAPY 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 HEMATOLOGY & ONCOLOGY, REHAB & THERAPY SERVICES, BRAIN & SPINE CARE CENTRA PACE - SOUTHSIDE 1530 S MAIN STREET FARMVILLE VA 23901 CARE FOR ELDERLY CENTRA SLEEP DISORDERS CENTER - LYNCHBURG 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 SLEEP SERVICES CENTRA SOUTHSIDE COMMUNITY HOSPITAL - FARMVILLE 800 OAK STREET FARMVILLE VA 23901 EMERGENCY SERVICES, HOME HEALTH, HOSPICE CARE, MAMMOGRAPHY & BREAST IMAGING CENTRA SOUTHSIDE COMMUNITY HOSPITAL ED - FARMVILLE 800 OAK STREET FARMVILLE VA 23901 FORENSIC SERVICES, CENTRA ONE FLIGHT SERVICES CENTRA VIRGINIA BAPTIST HOSPITAL - LYNCHBURG 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 MAMMOGRAPHY & BREAST IMAGING, MATERNITY SERVICES, HOSPICE CARE, ACUTE REHABILITATION CMG PIEDMONT PSYCHIATRIC ADULT URGENT CARE - LYNCHBURG 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 MENTAL HEALTH HOSPICE HOUSE - BEDFORD 1025 TURNING POINT ROAD BEDFORD VA 24523 HOSPICE CARE INFUSION CENTER 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 GYNECOLOGIC SERVICE, PEDIATRIC, HOSPITAL SERVICES, HEMATOLOGY & ONCOLOGY LYNCHBURG GENERAL HOSPITAL EMERGENCY DEPARTMENT 1901 TATE SPRINGS ROAD LYNCHBURG VA 24501 EMERGENCY, FORENSIC SERVICES, EMPATH, PEDIATRIC SERVICES, CRITICAL CARE Schedule H, Part III, Line 1 REPORTING BAD DEBT EXP IN ACCORDANCE WITH HEALTHCARE FMA STMNT NO. 15 ON JANUARY 1, 2012, CENTRA ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, WHICH CHANGED CENTRA'S PRESENTATION OF PROVISION FOR DOUBTFUL ACCOUNTS TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. THIS HAS BEEN DISCLOSED IN THE FOOTNOTES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THEREFORE, CENTRA, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT CONSISTENT WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. Schedule H, Part V, Section B, Line 21 POLICY RELATING TO EMERGENCY MEDICAL CARE FACILITY: CENTRA SPECIALIY HOSPITAL Description: CENTRA SPECIALTY HOSPITAL DOES NOT HAVE AN EMERGENCY DEPARTMENT DUE TO THE NATURE OF THE HOSPITAL'S SERVICES. Schedule H, Part I, Line 6a Community benefit report prepared by related organization INFORMATION ON COMMUNITY BENEFITS IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSES. Schedule H, Part II Community Building Activities COMMUNITY SUPPORT: CENTRA HEALTH, INC. (CENTRA) 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. CENTRA BELIEVES 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. FOR EXAMPLE, CENTRA OPENS ITS CANCER CENTER FACILITY TO VARIOUS GROUPS IN ORDER FOR THEM TO MEET, SOCIALIZE, EXERCISE, AND DISCUSS LIFE STRUGGLES. CENTRA ALSO HOSTS COMMUNITY EDUCATION CLASSES, SUPPORT GROUPS, AND YOGA CLASSES. COALITION BUILDING: CENTRA LEADERSHIP SERVES ON VARIOUS COMMUNITY BOARDS, TASK FORCES, AND COMMITTEES TO FURTHER THE WORK BEING DONE IN THE LYNCHBURG SERVICE AREA INCLUDING THE LYNCHBURG REGIONAL BUSINESS ALLIANCE, VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION, COMMUNITY ACCESS NETWORK, VIRGINIA COUNCIL OF NURSE PRACTITIONERS, VIRGINIA CENTER FOR INCLUSIVE COMMUNITIES, AND HEALTH & EQUITY LEARNING COLLABORATIVE, AMONG OTHERS. CENTRA CONTINUES TO REACH OUT TO THE COMMUNITY IN ORDER TO INFORM THEPUBLIC ABOUT THE NUMEROUS HEALTH FAIRS, HEALTH SEMINARS, AND GENERAL INFORMATIONAL SESSIONS OFFERED BY CENTRA, THROUGHOUT THE YEAR. IN ADDITION, CENTRA PACE HAS A ROBUST COMMUNITY OUTREACH FOR SENIORS WITH AN ACTIVE FOOD PANTRY, AND EDUCATIONAL & SOCIALIZATION PROGRAMMING. CENTRA'S NURSE-MIDWIVES PROVIDE LOVING, EDUCATED AND COMPETENT CARE TO WOMEN OF ALL AGES THROUGH PRENATAL CARE, DELIVERIES, TEACHING WOMEN HOW TO PREVENT DISEASE AND MAINTAIN GOOD HEALTH THROUGHOUT THEIR LIVES. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF CENTRA. IMPROVING ACCESS TO CARE, MENTAL HEALTH & SUBSTANCE USE DISORDERS, ISSUES IMPACTING CHILDREN AND THEIR FAMILIES, AND CHRONIC DISEASE ARE KEY PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESMENT. CENTRA PARTICIPATES 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 THESE NEEDS THROUGHOUT OUR REGION. CENTRA ALSO PARTICIPATES IN HEALTH ADVOCACY DAYS AT THE VIRGINIA GENERAL ASSEMBLY AND IS ACTIVE WITH THE VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION, AMONG MANY OTHERS. WORKFORCE DEVELOPMENT: CENTRA IS COMMITTED TO HAVING EDUCATED, EXPERIENCED HEALTHCARE PROFESSIONALS WORKING WITHIN OUR COMMUNITIES. BY DISCUSSING HEALTHCARE WITH CHILDREN BEGINNING AT AN EARLY AGE, IT IS HOPED THAT 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. 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, CENTRA'S HEALTH CAREER CAMPS FOR MIDDLE AND HIGH SCHOOL STUDENTS 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 LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHAT'S INVOLVED IN VARIOUS CAREERS WITHIN THE HEALTHCARE SYSTEM WHICH ALLOWS THEM TO DETERMINE IF ONE OF THESE FIELDS ARE RIGHT FOR THEM. 2024 IMPLEMENTATION PLAN UPDATES THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROVIDES AN OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. IT PROVIDES A DEEPER UNDERSTANDING OF THE NEEDS OF THE LYNCHBURG AREA AS WELL AS TO GUIDE CENTRA HEALTH, AND ITS COMMUNITY PARTNERS AND STAKEHOLDERS, IN DEVELOPING IMPLEMENTATION PLANS TO ADDRESS THE PRIORITIZED NEEDS IDENTIFIED AS PART OF THE ASSESSMENT PROCESS. UPON COMPLETION OF THE 2021 -2023 COMMUNITY HEALTH NEEDS ASSESSMENT, CENTRA LEADERSHIP MET TO RANK THE TOP THREE TO FIVE PRIORITY AREAS FOR THE SERVICE AREA. A 2022-2025 IMPLEMENTATION PLAN WAS DEVELOPED TO ADDRESS THE FOLLOWING PRIORITY NEEDS. ACCESS TO HEALTHCARE: LAUNCHED SYSTEM-WIDE CLOSED LOOP REFERRAL PLATFORM, UNITE VA- A TOOL THAT ASSISTS IN ADDRESSING SOCIAL DETERMINANTS OF HEALTH (SDOH) THROUGH THE USE OF THE PRAPARE SCREENING TOOL TO IMPROVE ACCESS TO HEALTHCARE SERVICES & COMMUNITY RESOURCES- PATIENTS 18YRS+ ARE SCREENED UPON ADMISSION INTO THE HOSPITAL FOR NEEDS RELATED TO (FOOD, HOUSING, TRANSPORTATION, UTILITIES & INTERPERSONAL SAFETY) AND REFERRALS ARE SENT TO COMMUNITY PARTNERS VIA THE UNITE VA PLATFORM OR OTHER REFERRAL METHODS. REMOTE HOME MONITORING PROGRAM ENHANCES PATIENT CARE AND ACCESS TO HEALTHCARE SERVICES THROUGH THE USE OF TECHNOLOGY- PATIENTS WHO OPT TO PARTICIPATE RECEIVE A TABLET, DIGITAL SCALE, BLOOD PRESSURE CUFF, PULSE OXIMETER AND HEART RATE MONITOR WHICH CONNECT VIA BLUETOOTH TO PROVIDE INSTANT COMMUNICATION TO THE CENTRA COMMAND CENTER TEAM FOR CONTINUOUS PATIENT MONITORING. CENTRA HOSTS/PARTICIPATES IN MANY COMMUNITY EVENTS AIMED AT ADDRESSING ACCESS TO HEALTHCARE SERVICES SUCH AS A "WALK WITH A DOC" EVENTS, STROKE PREVENTION EVENTS, SKIN CANCER SCREENING EVENTS, AND OTHER HEALTH FAIRS AND EVENTS. THE BREAST IMAGING TEAM'S BREAST CANCER PREVENTION EVENT, MAAM (MAMMOGRAMS ANNUALLY A MUST), OFFERS FREE MAMMOGRAMS PROVIDED VIA CENTRA'S MAAM VAN. CENTRA CONVENED A PROVIDER RECRUITMENT TEAM WITH PLANS TO HIRE 45 ADDITIONAL PROVIDERS FOR PRIMARY CARE 2024-2026. MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES: LGH/VBH PARTNERS WITH COMMUNITY ORGANIZATIONS TO PROVIDE A VARIETY OF MENTAL HEALTH & SUBSTANCE USE DISORDERS SERVICES THAT MEET THE NEEDS OF PATIENTS AND THE COMMUNITY. THE REGION'S FIRST EMERGENCY PSYCHIATRIC ASSESSMENT, TREATMENT AND HEALING (EMPATH) UNIT OPENED AT CENTRA LYNCHBURG GENERAL HOSPITAL. CENTRA IS STRIVING TO MAKE IMPROVEMENTS WITH THE OPIOID EPIDEMIC THROUGH EMPATH UNIT, INPATIENT PSYCHIATRIC UNITS OFFERING ASSESSMENT, DETOX, CONNECTION AND RECOVERY SUPPORT, THE PATHWAYS TREATMENT CENTER, AND THE ADDICTION TREATMENT CENTER. CENTRA BRIDGES TREATMENT CENTER FOR CHILDREN ADDRESSES PSYCHIATRIC, MENTAL, AND BEHAVIORAL HEALTH NEEDS. CENTRA PIEDMONT PSYCHIATRIC ADULT URGENT CARE (PPAUC) CENTER OPENED IN LYNCHBURG NOVEMBER 14, 2024- PPAUC IS A SPECIALTY URGENT CARE CENTER FOR ADULTS AGED 18 AND OLDER EXPERIENCING MENTAL HEALTH CONCERNS. PPAUC OFFERS RESOURCES FOR MOOD DISORDERS, DISTRESSING THOUGHTS, PSYCHOSIS AND UNCONTROLLED BEHAVIORS. ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE: CENTRA SUPPORTS AND/OR PROVIDES FUNDING FOR CHILDCARE EFFORTS SUCH AS: TEACHABLE MOMENTS FACILITY (3-YEAR FUNDING), ELIZABETH'S EARLY LEARNING CENTER, BEDFORD YMCA, ALTAVISTA YMCA, UNITED WAY OF CENTRAL VA, VA BUSINESS ROUNDTABLE FOR EARLY EDUCATION AND OTHER LOCAL COMMUNITY NONPROFIT PROGRAMS/EFFORTS. CENTRA HEALTH'S WOMEN AND CHILDREN SERVICE LINE INCORPORATED THE FOLLOWING: A STANDARD OF PRACTICE THAT INCLUDES IMPLEMENTED SERVICES/EDUCATION ON: PERIOD OF PURPLE CRYING, SAFE SLEEP, LIFE BEYOND CENTRA, AND INFANT FALLS; BEREAVEMENT COORDINATOR IN PLACE TO ADDRESS INFANT/MATERNAL MORTALITY NEEDS; DEPLOYED HUMAN TRAFFICKING INFOGRAPHICS FOR AWARENESS AND EDUCATION; UNIVERSAL CORD BLOOD SCREENING ON ALL NEWBORNS; QUARTERLY COMMUNITY COLLABORATIVE MEETING THAT FOCUSES ON DIFFERENT TOPICS RELATED TO MATERNAL HEALTH (CURRENT FOCUS MATERNAL MENTAL HEALTH AND HYPERTENSION), SAFE HAVEN BOXES HAVING VENDORS COME IN TO REVIEW WHERE THEY WILL OR CAN BE PLACED. CHRONIC DISEASE: CENTRA'S REMOTE HOME MONITORING PROGRAM ENHANCES PATIENT CARE AND ACCESS TO HEALTHCARE SERVICES THROUGH THE USE OF TECHNOLOGY. CENTRA IS ADDRESSING DIABETES CONCERNS RELATED TO INCREASED READMISSION RATES AND LACK OF COMMUNITY RESOURCES/ EDUCATORS. CENTRA PARTICIPATES IN MANY HEALTH FAIRS AND EVENTS TO PROVIDE EDUCATION AND PREVENTATIVE SCREENINGS SUCH AS SKIN CANCER SCREENINGS, MAMMOGRAMS, BLOOD PRESSURE SCREENINGS, STI EDUCATION, TICK BORN ILLNESS EDUCATION, ETC. IN 2024, CENTRA CONDUCTED A 2024-2027 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA PROVIDES AN OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZATION OF NEEDS WAS APPROVED BY THE CENTRA COMMUNITY BENEFIT COMMITTEE ON NOVEMBER 22, 2024, AND THE CENTRA BOARD OF DIRECTORS ON DECEMBER 9, 2024. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount SEE DESCRIPTION FOR PART III, SECTION A, LINE 4. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SEE DESCRIPTION FOR PART III, SECTION A, LINE 4. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NATURE, AMOUNT, TIMING AND UNCERTAINTY OF THESE REVENUES AND CASH FLOWS. ADJUSTMENTS TO PREVIOUS REIMBURSEMENT ESTIMATES ARE REPORTED IN NET PATIENT SERVICE REVENUES IN THE PERIODS THAT SUCH ADJUSTMENTS BECOME KNOWN. FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTION PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 AUDIT REPORT, PAGE 13) "CENTRA DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH CENTRA'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. CENTRA DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. CENTRA DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS A GROUP RATHER THAN INDIVIDUALLY. THE FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS OPERATING EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE PROVISION FOR DOUBTFUL ACCOUNTS WAS NOT MATERIAL FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 AUDIT REPORT, PAGE 13) "CONSISTENT WITH CENTRA'S MISSION, SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CENTRA HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CENTRA EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 AUDIT REPORT, PAGE 14) "PATIENTS WHO MEET CENTRA'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS SUBSTANTIALLY LESS THAN ESTABLISHED RATES IN ACCORDANCE WITH CENTRA'S FINANCIAL ASSISTANCE POLICY. SINCE CENTRA DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE DETERMINED TO QUALIFY AS CHARITY CARE AND ARE NOT REPORTED AS REVENUE. WHILE CHARITY CARE IS EXCLUDED FROM NET PATIENT SERVICE REVENUE, CENTRA MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THIS INCLUDES THE AMOUNT OF CHARGES FOREGONE AND THE ESTIMATED COSTS INCURRED FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. COSTS INCURRED ARE ESTIMATED BASED ON THE RATIO OF TOTAL OPERATING EXPENSE TO GROSS CHARGES." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 AUDIT REPORT, PAGE 14-15) Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THE TOTAL AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE CENTRA HEALTH'S 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website - LYNCHBURG GENERAL HOSPITAL: Line 16a URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; - VIRGINIA BAPTIST HOSPITAL: Line 16a URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; - CENTRA SPECIALTY HOSPITAL: Line 16a URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; Schedule H, Part V, Section B, Line 16b FAP Application website - LYNCHBURG GENERAL HOSPITAL: Line 16b URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; - VIRGINIA BAPTIST HOSPITAL: Line 16b URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; - CENTRA SPECIALTY HOSPITAL: Line 16b URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - LYNCHBURG GENERAL HOSPITAL: Line 16c URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; - VIRGINIA BAPTIST HOSPITAL: Line 16c URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; - CENTRA SPECIALTY HOSPITAL: Line 16c URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; Schedule H, Part VI, Line 2 Needs assessment In 2024, Centra Health conducted its triennial Community Health Needs Assessment (CHNA) for Centra Hospital (Centra Lynchburg General and Virginia Baptist Hospitals) located in Lynchburg, Virginia. The service area is referred to as the Lynchburg Area and includes the city of Lynchburg and the counties of Amherst, Appomattox, Campbell and Pittsylvania. The CHNA provides an overview of the health status of the communities served by the health system. It is distributed to the public to provide a deeper understanding of the needs of the Lynchburg Area as well as to guide Centra Health, and its community partners and stakeholders, in developing Implementation Plans to address the prioritized needs identified as part of the assessment process. The Community Health Needs Assessment and Prioritization of Needs was approved by the Centra Community Benefit Committee on November 22, 2024, and the Centra Board of Directors on December 9, 2024. The impact of the COVID-19 pandemic was a key component of the 2021 Community Health Needs Assessments. While the immediate crisis phase has passed, COVID-19's ripple effects continue to shape Virginia's public health landscape and policy priorities. Since 2022, the impact of COVID-19 on the health of Virginians has evolved significantly. While the severity of the illness has generally declined due to increased vaccination and the availability of effective treatments, COVID-19 continues to affect public health and social systems. Virginia experienced a reduction in severe cases and deaths compared to earlier years, largely attributed to widespread immunity from vaccination and previous infections. However, the virus still poses challenges, particularly for vulnerable populations such as the elderly and those with preexisting conditions. The state's public health policy has transitioned from emergency measures to integrated management of COVID-19 alongside other respiratory illnesses like influenza. This includes continued vaccine availability, updated booster recommendations, and increased access to testing and treatment options. The Virginia Department of Health has also shifted towards tracking COVID-19 data through broader respiratory illness dashboards and wastewater surveillance to monitor trends. The pandemic has also highlighted social determinants of health, with lasting impacts on mental health, educational attainment, and healthcare access. Virginia's response included increased support for mental health services, efforts to mitigate educational disruptions, and policies aimed at addressing disparities exposed by the pandemic. The state has adapted social policies, promoting telehealth and flexible work arrangements, which have had positive long-term effects on health equity and access. In 2024, a Community Health Assessment Team (CHAT) composed of over 140 individuals with a broad representation of community leaders and cross-sector stakeholders acted to oversee, advise, and support the CHNA activities. On average, 72 individuals attended each of the four meetings conducted throughout the assessment. This team was committed to regional alignment of a collaborative and rigorous needs assessment process that result in action-oriented solutions to improve the health of the communities they serve. The Central Virginia and Pittsylvania/Danville Health Districts served as pivotal partners in 2024, participating in the planning of the CHNA as well as leading efforts in the collection of our primary data. In addition, the University of Lynchburg's Research Center team was engaged in the revisions and analysis of the primary data. The 2024 Lynchburg Area Community Health Needs Assessment focused on lifting the voice of the community through the collection of 2577 Community Health Surveys as well as conducting a stakeholder focus group and 6 target population focus groups. In addition, over 75 sources of publicly available secondary data were collected. Community Need On September 26, 2024, an in-person CHAT meeting was held to prioritize the top 10 priority areas of need for the 2024 Lynchburg Area Community Health Needs Assessment. There were 65 in attendance and members were asked to rank the 19 Areas of Need from 1 to 10. The answer choice with the most responses had the largest weight and was ranked as #1 and the answer choice with the least responses had the smallest weight and was ranked as #19. The top 10 priority areas are reflective of the County Health Rankings' four categories for Health Factors including Social and Economic Factors, Health Behaviors, Clinical Care, and Physical Environment. At Centra, we view all these health factors through the lens of equity, inclusion, and diversity. Bedford Area - Top 10 Priority Areas of Need - 2021 and 2024 Compared Ranking #1 - 2021 Access to healthcare services / 2024 Access to healthcare services Ranking #2 - 2021 Mental Health and Substance Use Disorders & Access to Services / 2024 Mental Health and Substance Use Disorders & Access to Services Ranking #3 - 2021 Issues Impacting children & their Families: Childcare Child Abuse-Neglect / 2024 Food Insecurity & Nutrition Ranking #4 - 2021 Poverty / 2024 Homelessness & Housing Ranking #5 - 2021 Aging and Eldercare / 2024 Issues Impacting Children & their Families: Child Abuse & Neglect Childcare Ranking #6 - 2021 Housing / 2024 Aging and Eldercare Ranking #7 - 2021 Financial Stability / 2024 Coordination of Resources & Outreach Ranking #8 - 2021 Chronic Disease / 2024 Chronic Disease Ranking #9 - 2021 Food Insecurity and Nutrition / 2024 Transportation Ranking #10 - 2021 Equity, Inclusion & Diversity / 2024 Financial Stability The final assessment is posted at https://www.centrahealth.com/community-resources/community-health#chna. Schedule H, 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: "CAN'T PAY YOUR BILL? FINANCIAL ASSISTANCE AND FLEXIBLE PAYMENT OPTIONS ARE AVAILABLE BY CONTACTING CENTRA CUSTOMER SERVICE AT (434) 200-3777." Schedule H, Part VI, Line 4 Community information According to the U.S. Census, the total population for the service area is 242,904 where 48.3% of the population is male and 51.9% is female. The median age for the service area is 41.3 years and ranges from 28.4 years in Lynchburg to 48 years in Pittsylvania County. The median age in Virginia is 38.7. Approximately 19.4% of the population is 65 years of age or older which is a slight increase since the 2021 needs assessment and slightly higher than those 65 years of age or older living in Virginia (16%). Approximately 73.5% of those living in the service area are White, 19.2% are Black, and 3.1% are Hispanic or Latino. The median household income in the service area is $57,042 as compared to $85,873 in Virginia with whites and Hispanic populations having higher median household incomes than blacks. Approximately 34.3% of the population lives at or below 200% of the Federal Poverty Level as compared to 36.6% in Virginia. In Lynchburg, 38.1% and in Pittsylvania County 42% of the population live at or below 200% of the Federal Poverty Level. Additionally, approximately 36% of the 95,227 households in the service area are classified as ALICE (Asset Limited, Income Constrained, Employed) as compared to 29% of households in Virginia. ALICE is a way of defining and understanding the struggles of households that earn above the Federal Poverty Level, but not enough to afford basic household needs (i.e., cost of living outpaces what they earn). Of the public school-aged children in the service area, 86% (25,644) are eligible for free and reduced lunches as compared to 58.1 % of children in the Commonwealth. This is even more pronounced for children attending Lynchburg City Schools where 100% are eligible for free and reduced lunches due to the Community Eligibility Provision (CEP). The CEP in Virginia allows high-poverty schools to provide free breakfast and lunch to all students without collecting individual applications. Almost 1 in 5 children under 18 years of age (18.5%) live below the Federal Poverty Level in the Lynchburg service area as compared to 12.8% in Virginia. This is even more pronounced in Pittsylvania and Appomattox counties (23.3% and 22.4% respectively) and the city of Lynchburg (21.9%). Although unemployment rates were decreasing in 2018 and 2019 across the Commonwealth, there was an almost doubling of these rates in 2020 because of the COVID-19 pandemic at 6.4% in the service area. However, these rates have slowly improved since the end of the pandemic with the service area rate at 3.5% in 2023 as compared to 2.9% in Virginia. Lynchburg City had the highest unemployment rate at 4.2% in 2023. In the service area, of the population age 25 and over, educational attainment is 11.5% for less than high school graduate; 34.5% for high school graduate or equivalent; 30.5% for some college or associate's degree; and 23.5% for bachelor's degree or higher. These statistics have improved slightly since they were last reported in the 2021 Community Health Needs Assessment. Schedule H, Part VI, Line 5 Promotion of community health As a result of the 2022-2025 Centra Lynchburg General and Virginia Baptist Hospitals Implementation Plan, the following initiatives were fully underway in 2024 addressing Priority Areas of Need. Centra Lynchburg General & Virginia Baptist Hospitals (CLGH/VBH) implemented the Remote Home Monitoring program to provide increased Access to Healthcare in March 2023. The hospitals' are addressing Chronic Disease through community outreach, education and screenings. CLGH/CVBH partners with community organizations to provide a variety of Mental Health & Substance Use Disorders services that meet the needs of patients and the community. The region's first Emergency Psychiatric Assessment, Treatment and Healing (EmPATH) unit opened at Centra Lynchburg General Hospital. Working with the University of Lynchburg, Lynchburg Child Protective Services and local church organizations, CLGH/CVBH addresses Impacting Children & their Families through education in an effort to reduce shaken baby syndrome, encourage safe sleep and support the transition to home with a newborn. Centra funding also supported childcare initiatives in the Greater Lynchburg Region. Modernization Plan Centra's Modernization Plan is a multi-year initiative that will encompass the most significant facility improvements and capital investments in Centra's 36-year history. Aligning with our long term strategic plan, this investment will address different needs found within our community based on findings from the Community Health Needs Assessment and will come to life with the assistance of our joint ventures, operations, long-term financing (bonds) and in partnership with the Centra Foundation and generous donors. This expansion will include, in part, a new tower at Lynchburg General Hospital, expansion of the emergency department, a new medical office building, a new behavioral health and rehab medical campus, additional parking at Lynchburg General Hospital and growth of Centra's home-based services. Community Health Workers Centra Community Health Workers (CHWs) play an important role in addressing social determinants of health (SDOH) in their communities. Their impact on SDOH is multifaceted, as they work at the grassroots level, understanding the factors influencing the health of the residents. Their work not only targets immediate health concerns but also aims to create sustainable changes by addressing the underlying social, economic, and environmental determinants of health. In 2024, Centra's first CHW continued serving patients and the surrounding community at Centra Medical Group- Brookneal in Campbell County. Remote Home Monitoring Centra's Remote Home Monitoring program seeks to extend care directly to patients' homes. The effort hopes to reduce readmissions and repeated emergency room visits as it helps patients manage conditions such as diabetes, congestive heart failure, pneumonia, COPD, and hypertension. The initiative is expanding to primary care offices, behavioral health services, and urgent care. The program emphasizes proactive care and continuous support which helps patients establish better health habits. Behavioral Health Centra focuses on the well-being of our communities through an integrated system of inpatient, outpatient, school-based, crisis, and residential treatment programs. Psychiatric, therapeutic, and clinical services are available for patients of all ages. Comprehensive support for individuals who want to reduce chemical dependency, physical medicine/pain management programs, autism and other developmental services are available at Centra. The innovative Emergency Psychiatric Assessment, Treatment and Healing (EmPATH) unit allows patients and their families to move around, interact and get help in a safe and soothing environment. The primary focus of the EmPATH unit is to return patients safely to their homes with the support of outpatient services, their families and community resources. Unite VA Unite VA is a statewide social care referral network in partnership with the Office of the Virginia Secretary of Health and Human Resources, the Virginia Department of Health, Centra and other community organizations to deliver integrated whole person care through a shared technology platform. The platform allows users to make electronic referrals for service, securely share patient information, and track outcomes together in an effort to provide comprehensive care to patients. 2024 Centra Community Grants Centra's Community Health Services, formed in 2020, exists "to improve the health and quality of life for the communities we serve". This includes system-wide triennial Community Health Needs Assessments (CHNA) and Implementation Plans, community-based grants, and Community Benefit Reporting. In 2024, Centra awarded $1,067,875 in community grants to our non-profit partners in the Lynchburg Area, addressing the CHNA priority needs in the community and projects of regional importance. Schedule H, Part VI, Line 6 Affiliated health care system CENTRA HEALTH, A REGIONAL NONPROFIT HEALTHCARE SYSTEM HEADQUARTERED IN LYNCHBURG, VIRGINIA, PLAYS A CENTRAL ROLE IN DELIVERING COMPREHENSIVE, HIGH-QUALITY MEDICAL SERVICES TO OVER 500,000 RESIDENTS ACROSS CENTRAL AND SOUTHERN VIRGINIA. AS THE DOMINANT HEALTHCARE PROVIDER IN THE REGION, CENTRA'S NETWORK INCLUDES FOUR HOSPITALS, SPECIALTY FACILITIES, OUTPATIENT CLINICS, AND A RANGE OF COMMUNITY-BASED SERVICES DESIGNED TO ADDRESS BOTH ACUTE MEDICAL NEEDS AND LONG-TERM WELLNESS. EACH AFFILIATE OF CENTRA CONTRIBUTES UNIQUELY TO COMMUNITY HEALTH: LYNCHBURG GENERAL HOSPITAL (LGH) PROVIDES CRITICAL AND EMERGENCY CARE, INCLUDING TRAUMA SERVICES AND A DEDICATED EMPATH UNIT FOR BEHAVIORAL HEALTH CRISES. VIRGINIA BAPTIST HOSPITAL (VBH) SPECIALIZES IN WOMEN'S AND CHILDREN'S HEALTH, MENTAL HEALTH SERVICES, AND REHABILITATION. SOUTHSIDE COMMUNITY HOSPITAL AND BEDFORD MEMORIAL HOSPITAL EXTEND ACCESS TO CARE IN RURAL COMMUNITIES, REINFORCING CENTRA'S REGIONAL REACH. THE CENTRA ALAN B. PEARSON REGIONAL CANCER CENTER AND HEART & VASCULAR INSTITUTE DELIVER CUTTING-EDGE SPECIALTY CARE FOR COMPLEX CONDITIONS. CENTRA MEDICAL GROUP (CMG) SUPPORTS BROAD ACCESS TO PRIMARY AND SPECIALTY CARE THROUGH ITS EXTENSIVE PROVIDER NETWORK. CENTRA COLLEGE HELPS STRENGTHEN THE LOCAL HEALTHCARE WORKFORCE BY TRAINING FUTURE NURSES AND HEALTHCARE PROFESSIONALS. THE CENTRA FOUNDATION RAISES PHILANTHROPIC SUPPORT TO ENHANCE CARE, FUND COMMUNITY GRANTS, AND IMPROVE ACCESS FOR UNDERSERVED POPULATIONS. ADDITIONALLY, CENTRA COMMUNITY HEALTH SERVICES LEADS SYSTEMWIDE EFFORTS TO IDENTIFY AND RESPOND TO COMMUNITY HEALTH NEEDS THROUGH REGULAR COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS), STRATEGIC IMPLEMENTATION PLANS, AND TARGETED GRANTMAKING. FROM 2021 TO 2023, CENTRA AWARDED OVER $3.8 MILLION IN GRANTS TO NONPROFIT PARTNERS ADDRESSING TOP COMMUNITY HEALTH PRIORITIES. LASTLY, THE CENTRA ALLIANCE (CVACC), AN ACCOUNTABLE CARE ORGANIZATION, ADVANCES COORDINATED, VALUE-BASED CARE MODELS TO IMPROVE OUTCOMES, ENHANCE PATIENT EXPERIENCES, AND MANAGE HEALTHCARE COSTS ACROSS THE SERVICE REGION. TOGETHER, CENTRA AND ITS AFFILIATES FORM AN INTEGRATED SYSTEM COMMITTED TO IMPROVING HEALTH OUTCOMES, EXPANDING ACCESS, AND PROMOTING HEALTH EQUITY ACROSS DIVERSE COMMUNITIES. Schedule H, Part VI, Line 7 State filing of community benefit report VA true Altavista Area YMCA 718 7th St Altavista VA 24517 540895639 501(C)(3) 125000 Issues Impacting Children and their Families: Childcare or Child Abuse/Neglect STEPS INC 225 INDUSTRIAL PARK RD FARMVILLE VA 23901 541209110 501(C)(3) 192319 Employment/Job Assistance; HOUSING AND HOMELESSNESS MEALS ON WHEELS INC PO BOX 1388 LYNCHBURG VA 24505 237399875 501(C)(3) 75000 FOOD INSECURITY AND NUTRITION LYNCHBURG BEACON OF HOPE 2600 MEMORIAL AVE LYNCHBURG VA 24501 453797831 501(C)(3) 60750 POVERTY LYNCHBURG GROWS 1339 ENGLEWOOD ST LYNCHBURG VA 24501 200934133 501(C)(3) 56700 FOOD INSECURITY AND NUTRITION UNITED WAY OF CENTRAL VIRGINIA INC 1010 MILLER PARK SQ LYNCHBURG VA 24501 540505923 501(C)(3) 50000 ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE OR CHILD ABUSE/NEGLECT ROADS TO RECOVERY INC 3000 LANGHORNE ROAD LYNCHBURG VA 24501 462885411 501(C)(3) 46875 MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES DRAKES BRANCH VOLUNTEER FIRE DEPART 4801 Drakes Main DRAKES BRANCH VA 23937 541791444 501(C)(3) 43551 ACCESS TO HEALTHCARE SERVICES INTERFAITH OUTREACH ASSOCIATION 701 CLAY ST LYNCHBURG VA 24504 541214253 501(C)(3) 40000 HOUSING AND HOMELESSNESS CENTRAL VA ALLIANCE FOR COMM LIVING 501 12TH STREET LYNCHBURG VA 24504 510189604 501(C)(3) 35000 TRANSPORTATION MEALS ON WHEELS INC PO BOX 1388 LYNCHBURG VA 24505 237399875 501(C)(3) 35000 AGING AND ELDERCARE BEDFORD FAMILY YOUNG MENS CHRISTIAN PO BOX 1026 BEDFORD VA 24523 541140513 501(C)(3) 30000 ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE OR CHILD ABUSE/NEGLECT FREEDOM 424 2306 Bedford Ave LYNCHBURG VA 24503 264320885 501(C)(3) 30000 ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE OR CHILD ABUSE/NEGLECT JOHNSON HEALTH CENTER 134 ELON ROAD MADISON HEIGHTS VA 24572 541287905 501(C)(3) 30000 ACCESS TO HEALTHCARE SERVICES LYNCHBURG DAILY BREAD 721 CLAY ST LYNCHBURG VA 24504 521268749 501(C)(3) 30000 FOOD INSECURITY AND NUTRITION PARK VIEW COMMUNITY MISSION INC 2420 MEMORIAL AVE LYNCHBURG VA 24501 403684893 501(C)(3) 30000 POVERTY FREE FOUNDATION FOR REHABILITATION EQUIPMENT & ENDOWMENT 1900 TATE SPRINGS RD SUITE 21 LYNCHBURG VA 24501 541934695 501(C)(3) 26000 COORDINATION OF RESOURCES & COMMUNITY OUTREACH FARMVILLE AREA COMMUNITY EMERGENCY SERVICES INC PO BOX 644 FARMVILLE VA 23901 541401031 501(C)(3) 25000 CHRONIC DISEASE CASA OF CENTRAL VIRGINIA PO BOX 11373 LYNCHBURG VA 24506 541695593 501(C)(3) 25000 ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE OR CHILD ABUSE/NEGLECT GLEANING FOR THE WORLD 7539 STAGE ROAD CONCORD VA 24538 541930105 501(C)(3) 25000 FOOD INSECURITY AND NUTRITION GREATER LYNCHBURG HABITAT FOR HUMANITY INC 360 ALLEGHANY AVE LYNCHBURG VA 24501 541464802 501(C)(3) 25000 HOUSING JUBILEE FAMILY DEVELOPMENT CENTER 1512 FLORIDA AVENUE LYNCHBURG VA 24501 541881948 501(C)(3) 25000 ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE OR CHILD ABUSE/NEGLECT PRESBYTERIAN HOMES & FAMILY SERVICES INC DBA HUMANKIND 1903 HUMANKIND WAY LYNCHBURG VA 24503 540346118 501(C)(3) 25000 ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE OR CHILD ABUSE/NEGLECT RUSH HOMES 1721 Monsview Pl LYNCHBURG VA 24504 311519694 501(C)(3) 25000 HOUSING ALTAVISTA AREACAMPBELL COUNTY HABITAT FOR HUMANITY INC PO BOX 232 ALTAVISTA VA 24517 546112680 501(C)(3) 20000 HOUSING BROOK HILL RETIREMENT CENTER FOR HORSES INC 7289 BELLEVUE RD FOREST VA 245513541 542058686 501(C)(3) 20000 MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES MIRIAM'S HOUSE 409 MAGNOLIA STREET LYNCHBURG VA 24503 541606543 501(C)(3) 20000 HOUSING AND HOMELESSNESS VIRGINIA LEGAL AID SOCIETY 513 CHURCH STREET LYNCHBURG VA 24504 510226448 501(C)(3) 20000 HOUSING YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL VIRGINIA 801 WYNDHURST DR LYNCHBURG VA 24502 540506490 501(C)(3) 17000 CHRONIC DISEASE LYNCHBURG COVENANT FELLOWSHIP INC 412 MADISON STREET LYNCHBURG VA 24504 546026892 501(C)(3) 16160 HOUSING PATRICK HENRY FAMILY SERVICES INC 1621 ENTERPRISE DRIVE LYNCHBURG VA 24502 540660819 501(C)(3) 16000 ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE OR CHILD ABUSE/NEGLECT SOUTHSIDE VIRGINIA COMMUNITY COLLEGE FOUNDATION INC 109 CAMPUS DR ALBERTA VA 23821 521238450 501(C)(3) 15000 ACCESS TO HEALTHCARE SERVICES AMAZEMENT SQUARE 27 9TH STREET LYNCHBURG VA 24504 541713204 501(C)(3) 15000 EQUITY, INCLUSION AND DIVERSITY COALITION FOR HIV AWARENESS & PREVENTION OF CENTRAL VIRGINIA INC PO BOX 161 LYNCHBURG VA 24504 311736924 501(C)(3) 15000 ACCESS TO HEALTHCARE SERVICES HOUSE OF HOPE INC 206 S Ridge St Danville VA 24541 263994804 501(C)(3) 15000 HOUSING LYNCHBURG CITY SCHOOLS EDUCATION FOUNDATION PO BOX 2497 LYNCHBURG VA 245052497 541385200 501(C)(3) 15000 EQUITY, INCLUSION AND DIVERSITY NORTHERN PITTSYLVANIA COUNTY FOOD CENTER 402 Cheney Ln GRETNA VA 24557 541857846 501(C)(3) 15000 FOOD INSECURITY AND NUTRITION VIRGINIA CENTER FOR INCLUSIVE COMMUNITIES 5511 STAPLES MILL ROAD 202 RICHMOND VA 23228 203188273 501(C)(3) 12500 EQUITY, INCLUSION AND DIVERSITY BOWER CENTER FOR THE ARTS 305 N BRIDGE ST BEDFORD VA 24523 810684725 501(C)(3) 10000 ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE OR CHILD ABUSE/NEGLECT CHILD HEALTH INVESTMENT PARTNERSHIP (CHIP) OF ROANOKE VALLEY 1201 THIRD STREET SW ROANOKE VA 24016 541566451 501(C)(3) 10000 ACCESS TO HEALTHCARE SERVICES DEPAUL COMMUNITY RESOURCES 5650 HOLLINS RD ROANOKE VA 24019 541108079 501(C)(3) 10000 MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES PIEDMONT SENIOR RESOURCES AREA AGENCY ON AGING INC 1413 S MAIN ST FARMVILLE VA 23901 541025127 501(C)(3) 10000 TRANSPORTATION CROSS ROAD COMMUNITY WELLNESS MINISTRY 191 CROSSROAD LANE EVINGTON VA 24550 824419805 501(C)(3) 10000 AGING AND ELDERCARE DANVILLE COMMUNITY COLLEGE EDUCATIONAL FOUNDATION INC 1008 SOUTH MAIN STREET DANVILLE VA 24541 541213521 501(C)(3) 10000 FOOD INSECURITY AND NUTRITION THE SOCIETY OF SAINT ANDREW INC 3383 SWEET HOLLOW RD BIG ISLAND VA 24526 541285793 501(C)(3) 10000 FOOD INSECURITY AND NUTRITION THE UP FOUNDATION 2420 MEMORIAL AVE LYNCHBURG VA 24501 471960657 501(C)(3) 10000 MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES GIRLS ON THE RUN CENTRAL VIRGINIA AND BLUE RIDGE 1713 12TH ST LYNCHBURG VA 24501 262858200 501(C)(3) 8000 MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES CENTRAL VIRGINIA COMMUNITY COLLEGE EDUCATIONAL FOUNDATION INC 3506 WARDS RD LYNCHBURG VA 24502 541167908 501(C)(3) 7500 ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE OR CHILD ABUSE/NEGLECT SECOND STAGE AMHERST INC 194 2ND ST AMHERST VA 24521 470964590 501(C)(3) 7500 FOOD INSECURITY AND NUTRITION HEART OF VIRGINIA FREE CLINIC INC 401 W 3RD ST FARMVILLE VA 23901 272785970 501(C)(3) 7419 ACCESS TO HEALTHCARE SERVICES ELEVEN PICTURES LTD DBA VIRGINIA CHILDREN'S BOOK FESTIVAL 1166 Morton Road KEYSVILLE VA 23947 204143989 501(C)(3) 6600 EDUCATION AND LITERACY (PRE-K & PUBLIC SCHOOLS) 50 1 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds IN 2023, UNDER THE LEADERSHIP OF THE CENTRA COMMUNITY BENEFIT COMMITTEE, CENTRA'S DEPARTMENT OF COMMUNITY HEALTH SERVICES GRANTED $1,479,000 TO COMMUNITY-BASED ORGANIZATIONS ACROSS CENTRA'S ENTIRE CATCHMENT AREA THAT ADDRESSED THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT TOP 10 PRIORITY AREAS OF NEED AND PROJECTS OF REGIONAL IMPORTANCE. FOR THE BEDFORD AREA, A TOTAL OF $945,700 IN GRANTS WERE AWARDED IN 2023. X X X X true true false false false false false false false AMY CARRIER PRESIDENT/CEO (thru 4/18/2024) 448984 0 1061495 0 1341030 0 15022 0 12125 0 2878656 0 503176 0 ROB TONKINSON SVP CHIEF FINANCIAL OFFICER (as of 8/14/2024) 294231 0 0 0 0 0 0 0 0 0 294231 0 0 0 RICHARD TUGMAN PRESIDENT/CEO (as of 4/18/2024) 724359 0 41139 0 17038 0 17250 0 37336 0 837122 0 0 0 CLINTON BEVERLY MD EXEC MEDICAL DIRECTOR 539810 0 68767 0 2260 0 17250 0 38891 0 666978 0 0 0 GEETA RAKHERAM MD DOCTOR MEDICAL 110645 0 12750 0 45150 0 5773 0 32440 0 206758 0 0 0 Tabitha Culbertson hospital president 442416 0 67200 0 1798 0 59250 0 22871 0 593535 0 0 0 Kristin KING svp chief hr officer 219824 0 77025 0 519 0 59653 0 18354 0 375375 0 0 0 Thomas Morales svp chief strategy officer 268481 0 0 0 0 0 0 0 0 0 268481 0 0 0 HANK CREASY SVP CHIEF LEGAL OFFICER 320135 0 0 0 27463 0 16154 0 31654 0 395406 0 0 0 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER (thru 8/14/2024) 464372 0 246262 0 1090940 0 17250 0 10250 0 1829074 0 0 0 MARY ANN FUCHS SVP CHIEF NURSING EXECUTIVE 418519 0 86866 0 7336 0 17250 0 4380 0 534351 0 2611 0 ROBIN HILDWEIN SVP AND CHIEF INFORMATION OFFICER 449973 0 100333 0 9631 0 13499 0 2115 0 575551 0 0 0 CHRISTOPHER LEWIS SVP CHIEF CLINICAL OFFICER 526735 0 120106 0 3060 0 76986 0 41880 0 768767 0 0 0 CHRIS THOMSON SVP CHIEF PHYSICIAN EXECUTIVE 352316 0 75000 0 3454 0 8585 0 20842 0 460197 0 0 0 BIKRAM S BAL MD DIRECTOR MEDICAL 354774 0 107126 0 504888 0 17250 0 13765 0 997803 0 0 0 Audrey Graham DIRECTOR MEDICAL 320713 0 75000 0 915376 0 17250 0 39704 0 1368043 0 0 0 Matthew Sackett DIRECTOR MEDICAL 494593 0 131000 0 469745 0 17250 0 39519 0 1152107 0 0 0 Jose Silva DIRECTOR MEDICAL 493393 0 131000 0 436186 0 17250 0 41682 0 1119511 0 0 0 Richard Kuk DIRECTOR MEDICAL 491393 0 131000 0 400838 0 16471 0 43696 0 1083398 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS HAD SEVERANCE DURING FY 2024. NAME: AMY CARRIER TITLE: PRESIDENT/CEO (THRU 4/18/2024) AMOUNT OF SEVERANCE PAYMENT: $818,727 NAME: DOUGLAS DAVENPORT TITLE: SVP CHIEF FINANCIAL OFFICER (THRU 8/14/2024) AMOUNT OF SEVERANCE PAYMENT: $1,085,276 TOTAL: $1,904,003 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2024. NAME: JEFFERY WIGGINS TITLE: VP CHIEF COMPLIANCE OFFICER AMOUNT OF DEFERRAL: $26,268 NAME: CHRISTOPHER LEWIS TITLE: SVP CHIEF CLINICAL OFFICER AMOUNT OF DEFERRAL: $76,986 NAME: CAESAR GONZALES TITLE: VP CHIEF MEDICAL OFFICER AMOUNT OF DEFERRAL: $45,150 NAME: PATRICK BROWN TITLE: VP CHIEF MEDICAL INFORMATION OFFICER AMOUNT OF DEFERRAL: $57,512 TOTAL: $205,916 THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2024. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME: AMY CARRIER TITLE: PRESIDENT/CEO (THRU 4/18/2024) AMOUNT OF PAYOUT: $706,576 NAME: DOUGLAS DAVENPORT TITLE: SVP CHIEF FINANCIAL OFFICER (THRU 8/14/2024) AMOUNT OF PAYOUT: $99,836 NAME: RICHARD TUGMAN TITLE: PRESIDENT/CEO (AS OF 4/18/2024) AMOUNT OF PAYOUT: $41,139 NAME: ROBIN HILDWEIN TITLE: SVP AND CHIEF INFORMATION OFFICER AMOUNT OF PAYOUT: $64,500 NAME: MARY ANN FUCHS TITLE: SVP CHIEF NURSING EXECUTIVE AMOUNT OF PAYOUT: $64,111 NAME: CHRISTOPHER LEWIS TITLE: SVP CHIEF CLINICAL OFFICER AMOUNT OF PAYOUT: $43,120 NAME: PATRICK BROWN TITLE: VP CHIEF MEDICAL INFORMATION OFFICER AMOUNT OF PAYOUT: $43,917 TOTAL: $1,063,199 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-2021 541225193 2021-11-17 215430000 REFUNDING/NEW CONSTRUCTION false false false A 25832669 237637669 2106046 50000000 185531623 true false true true B 246263579 2505652 49594729 66908279 127254919 true false true true A false false true true false false 0 0 0.0 false false 0 false true B false true true true false false 0 0 0.0 false false 0 false true A false false false true true false 0 false false false 0 false false true B false false false true true false 0 false false false 0 false false true A true B true Schedule K, Part I, Column (a) Line a - Issuer Name ECONOMIC DEVELOPMENT OF THE CITY OF LYNCHBURG, VA 2017 A, B, C, D BONDS. Schedule K, Part I, Column (a) Line b - Issuer Name ECONOMIC DEVELOPMENT OF THE CITY OF LYNCHBURG, VA 2021 BONDS. Schedule K, Part I, Column (c) Line a - CUSIP # CUSIP #55123TAX0, #55123TAY8 Schedule K, Part I, Column (c) Line b - CUSIP # PART I, LINE B, COL (C) - CUSIP #55123TAZ5, #55123TBA9, #55123TBB7, #55123TBC5, #55123TBD3, #55123TBE1, #55123TBF8, #55123TBG6, #55123TBH4, #55123TBJ0, #55123TBK7, #55123TBL5, #55123TBM3, #55123TBN1, #55123TBP6, #55123TBQ4, #55123TBR2, #55123TBS0. Schedule K, Part I, Column (f) Line b - description of purpose THE PURPOSE OF THE ISSUE WAS NEW CONSTRUCTION AND REFUND OF EDA CITY OF LYNCHBURG SERIES 2017A, 2017B, 2017C, AND 2017D. Schedule K, Part IV, Line 2c Column A - No rebate due CENTRA HEALTH SERIES 2017 A, B, C, D BONDS: A REBATE CALCULATION WAS PERFORMED ON SEPTEMBER 7, 2021 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL REVENUE AND REFUNDING BONDS, SERIES 2017 A, B, C, D. THE SERIES 2017 A, B, C, D WAS REFUNDED BY THE ISSUANCE OF THE SERIES 2020 A, B BONDS. Schedule K, Part IV, Line 2c Column B - No rebate due CENTRA HEALTH SERIES 2021 BONDS: A REBATE CALCULATION WAS PERFORMED ON NOVEMBER 1, 2021 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL REVENUE AND REFUNDING BONDS, SERIES 2021. THE NEXT ARBITRAGE REBATE CALCULATION WILL BE IN 2026. Form 990, Part V, Line 1a FORM 1096 FORM 1096 IS FILED BY CENTRA HEALTH, INC AND INCLUDES PAYMENTS MADE ON BEHALF OF BEDFORD MEMORIAL HOSPITAL (EIN: 54-0566100), CENTRA HEALTH FOUNDATION, INC. (EIN: 54-1604094), AND SOUTHSIDE COMMUNITY HOSPITAL (EIN: 54-0555201). THERE WERE 46 PAYMENTS IN 2024 INCLUDED ON THE 1096 FOR CENTRA HEALTH, INC, BUT WERE FOR PAYMENTS ON BEHALF OF BEDFORD MEMORIAL HOSPITAL, CENTRA HEALTH FOUNDATION, INC, OR SOUTHSIDE COMMUNITY HOSPITAL. Form 990, Part V, Line 2a FORM W-3 CENTRA HEALTH, INC INCLUDES BEDFORD MEMORIAL HOSPITAL (EIN: 54-0566100), CENTRA HEALTH FOUNDATION, INC. (EIN: 54-1604094), AND SOUTHSIDE COMMUNITY HOSPITAL (EIN: 54-0555201) ON FORM W-3. EMPLOYEES WHO SERVE BEDFORD MEMORIAL HOSPITAL, CENTRA HEALTH FOUNDATION, INC, OR SOUTHSIDE COMMUNITY HOSPITAL RECEIVE A W-2 FROM RELATED ORGANIZATION CENTRA HEALTH, INC. THERE WERE 1,004 EMPLOYEES IN 2024 INCLUDED ON THE W-3 FOR CENTRA HEALTH, INC, BUT WERE EMPLOYED BY BEDFORD MEMORIAL HOSPITAL, CENTRA HEALTH FOUNDATION, INC, OR SOUTHSIDE COMMUNITY HOSPITAL. Form 990, Part VI, 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, Line 18 HOW FORMS ARE MADE AVAILABLE TO THE PUBLIC PHOTOCOPIES OF FORM 1023 AND RECENT FILINGS OF FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. ADDITIONALLY, FILINGS OF FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG. Form 990, Part VI, Line 11b Review of form 990 by governing body CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, CENTRA REVIEWED FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL. Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 15a Process to establish compensation of top management official 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. 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, Line 15b Process to establish compensation of other employees 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. THE COMPENSATION COMMITTEE IS 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, Line 19 Required documents available to the public THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AT ITS ADMINISTRATIVE OFFICE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees OTHER PHYS RENUMERATION - Total Expense: 64363786, Program Service Expense: 62889035, Management and General Expenses: 1474751, Fundraising Expenses: 0; OTHER CONTRACT LBR - Total Expense: 48635064, Program Service Expense: 45753564, Management and General Expenses: 2881500, Fundraising Expenses: 0; OTHER MED PURCH SVC - Total Expense: 24102271, Program Service Expense: 8042512, Management and General Expenses: 16059759, Fundraising Expenses: 0; OTHER PURCH SVCS - Total Expense: 20082912, Program Service Expense: 20045094, Management and General Expenses: 37818, Fundraising Expenses: 0; OTHER CAP MED CLAIMS - Total Expense: 12851139, Program Service Expense: 12793283, Management and General Expenses: 57856, Fundraising Expenses: 0; OTHER CHIC - Total Expense: 5165661, Program Service Expense: 5165661, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER CLEANING SERVICES - Total Expense: 1811385, Program Service Expense: 1590014, Management and General Expenses: 221371, Fundraising Expenses: 0; OTHER COMMUNITY AWARENESS - Total Expense: 638844, Program Service Expense: 564780, Management and General Expenses: 74064, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY CONTRIBUTIONS - 43053726; NET PERIODIC PENSION COST - 1877557; BOOK TAX/SWAP - 1698540; LOSS ON DISCONTINUED OPERATIONS - -46981215; MERGE HEALTHWORKS INTO CENTRA MEDICAL GROUP - -521858; Total - -873250; FORM 990, PART VI, LINE 8A & 8B DOCUMENTATION OF MEETINGS MINUTES ARE TAKEN AT EACH MEETING. CENTRA MEDICAL GROUP LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 203639329 PHYSICIAN SVC VA 333127635 83086256 CENTRA HEALTH Inc CENTRAL VIRGINIA IMAGING LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541938123 PHYSICIAN SVC VA 8199970 4958977 CENTRA HEALTH INC CENTRAL VIRGINIA HOSPITAL FOR RESTORATIVE CARE LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 204712023 HEALTHCARE VA 12281323 3180120 CENTRA HEALTH INC CENTRA OUTPATIENT REHABILITATION SERVICES LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 471052716 OP REHAB VA 7105048 1301312 CENTRA HEALTH INC CENTRA HEALTH INDEMNITY COMPANY LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 270927253 CAPTIVE INSUR VT 7945391 36391945 CENTRA HEALTH INC CENTRAL VIRGINIA QUALITY CARE NETWORK LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 474453641 INT.NETWORK VA 3290000 167352 CENTRA HEALTH INC PCHP HOLDING LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541749492 HOLDING COMPANY VA 1451054 0 CENTRA HEALTH INC SOUTHSIDE COMMUNITY HOSPITAL 800 OAK STREET FARMVILLE VA 23901 540555201 HEALTHCARE VA 501(c)(3) 3 CENTRA HEALTH INC false CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 SUPPORT ORG VA 501(c)(3) Type I CENTRA HEALTH INC false BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 540566100 HEALTHCARE VA 501(c)(3) 3 CENTRA HEALTH INC false GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541299682 REAL ESTATE HOLDING COMPANY VA CENTRA HEALTH INC C Corporation 1 true PIEDMONT COMMUNITY HEALTH PLAN INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541755768 HEALTH INSURANCE COMPANY VA CENTRA HEALTH INC C Corporation 0 1 true false false true false false false false false false true true false false false false true true true true CENTRA HEALTH FOUNDATION C 6042874 Book Value SOUTHSIDE COMMUNITY HOSPITAL INC J 397722 Book Value BEDFORD MEMORIAL HOSPITAL J 219708 Book Value CENTRA HEALTH FOUNDATION J 3804 Book Value GENERAL BUSINESS CONCERNS INC K 240384 Book Value SOUTHSIDE COMMUNITY HOSPITAL INC P 615272 Book Value BEDFORD MEMORIAL HOSPITAL P 840544 Book Value SOUTHSIDE COMMUNITY HOSPITAL INC Q 25106838 Book Value BEDFORD MEMORIAL HOSPITAL Q 12322635 Book Value CENTRA HEALTH FOUNDATION Q 32500 Book Value PIEDMONT COMMUNITY HEALTH PLAN INC Q 228702 Book Value PIEDMONT COMMUNITY HEALTH PLAN INC R 27467389 Book Value SOUTHSIDE COMMUNITY HOSPITAL INC S 40000000 Book Value BEDFORD MEMORIAL HOSPITAL S 4500000 Book Value