CENTRA HEALTH INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CENTRA HEALTH INC (EIN 54-0715569)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-08
IRS object ID: 201743129349300134
Schema version: 2016v3.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-08T08:23:16-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1676 INTERNATIONAL DRIVE	AddressLine1Txt
City	McLean	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540715569	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRA HEALTH INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DAVID GOUGH SR VP/ CFO	InCareOfNm
Business Name Control	CENT	BusinessNameControlTxt
Phone	4342004712	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1920 Atherholt Road	AddressLine1Txt
City	Lynchburg	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24501	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID GOUGH	PersonNm
Person Title	SR VP/CFO	PersonTitleTxt
Phone	4342004712	PhoneNum
Signature	2017-11-07	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JG White	PreparerPersonNm
PTIN	P01498698	PTIN
Phone	7032868000	PhoneNum
Preparation	2017-11-07	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	54028020173125000001	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-08	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	6D46BA34C949FAA56B9EE98EB9A4B3386700C41C	AtSubmissionCreationDeviceId
At Submission Filing Device Id	338DF67F7D76F452896565F2BC00488146B8E0D7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2018-03-14 21:41:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID GOUGH SR VPCFO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1920 Atherholt Road	AddressLine1Txt
City	Lynchburg	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24501	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,001,432,359	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.centrahealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1962	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	EXCELLENT CARE FOR LIFE	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	7564	TotalEmployeeCnt
Total Volunteers	948	TotalVolunteersCnt
Total Gross UBI	$11,685,025	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,307,298	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,268,501	PYContributionsGrantsAmt
CY Contributions Grants	$7,949,398	CYContributionsGrantsAmt
PY Program Service Revenue	$728,508,042	PYProgramServiceRevenueAmt
CY Program Service Revenue	$794,665,065	CYProgramServiceRevenueAmt
PY Investment Income	$4,736,274	PYInvestmentIncomeAmt
CY Investment Income	$15,723,456	CYInvestmentIncomeAmt
PY Other Revenue	$5,221,649	PYOtherRevenueAmt
CY Other Revenue	$5,268,034	CYOtherRevenueAmt
PY Total Revenue	$742,734,466	PYTotalRevenueAmt
CY Total Revenue	$823,605,953	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,570,105	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,416,782	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$388,970,540	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$419,461,760	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$326,886,405	PYOtherExpensesAmt
CY Other Expenses	$367,793,632	CYOtherExpensesAmt
PY Total Expenses	$717,427,050	PYTotalExpensesAmt
CY Total Expenses	$788,672,174	CYTotalExpensesAmt
PY Revenues Less Expenses	$25,307,416	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$34,933,779	CYRevenuesLessExpensesAmt
Total Assets BOY	$956,477,534	TotalAssetsBOYAmt
Total Assets EOY	$1,034,356,001	TotalAssetsEOYAmt
Total Liabilities BOY	$391,042,789	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$421,340,147	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$565,434,745	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$613,015,854	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	EXCELLENT CARE FOR LIFE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$693,868,508	ExpenseAmt
Grant	$1,416,782	GrantAmt
Revenue	$782,979,856	RevenueAmt
Desc	AS THE REGIONAL HEALTH CARE LEADER, CENTRA HEALTH, INC.'S COMMITMENT TO THE CENTRAL VIRGINIA REGION EXTENDS FAR BEYOND THE WALLS OF ITS HEALTH SYSTEM FACILITIES. CENTRA HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR DECADES, AND HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. PLEASE SEE THE CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O.	Desc
Total Program Service Expenses	$693,868,508	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	809	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7564	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID GOUGH SR VP CFO	PersonNm
Phone	4342004712	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1920 ATHERHOLT ROAD	AddressLine1Txt
City	LYNCHBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24501	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
WALKER P SYDNOR
CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
AMY G RAY
VICE-CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
EW TIBBS
PRESIDENT/CEO	50.0	0.0	Yes (X)	Yes (X)	$933,309	$0	$238,624
ALBERT M BAKER MD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MICHAEL BRADFORD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JULIE P DOYLE
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
HC ESCHENROEDER JR MD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
FRANCIS E WOOD JR
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
SHARON L HARRUP
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
HYLAN HUBBARD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JOHN R MACK
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
GEORGE R ZIPPEL
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
VERNA R SELLERS MD
DIRECTOR	50.0	0.0	Yes (X)		$268,432	$0	$11,046
R SACKETT WOOD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JEFF ROWAN
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
ROBERT TONKINSON AS OF 416
TREASURER & SENIOR VP/CFO	50.0	0.0		Yes (X)	$438,791	$0	$95,642
DAVID G GOUGH THRU 316
INTERIM TREASURER & VP FINANCE	50.0	0.0		Yes (X)	$225,545	$0	$29,752
DAVID D ADAMS
SECRETARY & EVP/CSO	50.0	0.0		Yes (X)	$737,898	$0	$65,170
DANIEL CAREY MD
SVP/CHIEF MEDICAL OFFICER	50.0	0.0			$480,486	$0	$122,788	Yes (X)
MICHAEL I ELLIOTT
SVP/CHIEF OPERATING OFFICER	50.0	0.0			$303,017	$0	$76,533	Yes (X)
PATTI S MCCUE THRU 1016
SVP/CHIEF NURSING OFFICER	50.0	0.0			$356,553	$0	$18,184	Yes (X)
JANICE H WALKER
SVP/CHIEF ADMIN OFFICER	50.0	0.0			$426,210	$0	$49,090	Yes (X)
WILLIAM BASS
SVP/COMMUNITY HOSPITAL & RMC	50.0	0.0			$310,817	$0	$26,393	Yes (X)
AUDREY E GRAHAM MD
MD: MAMMOGRAPHY	50.0	0.0			$855,303	$0	$27,644		Yes (X)
MATTHEW C SACKETT MD
MD: CARDIOVASCULAR	50.0	0.0			$745,666	$0	$48,212		Yes (X)
KENNETH SAUM MD
MD: CARDIOVASCULAR	50.0	0.0			$724,971	$0	$21,128		Yes (X)
CHAD HOYT MD
MD: CARDIOVASCULAR	50.0	0.0			$655,169	$0	$53,734		Yes (X)
RICHARD KUK MD
MD: CARDIOVASCULAR	50.0	0.0			$646,224	$0	$41,400		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,108,391	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$925,340	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	392	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BLAIR CONSTRUCTION INC
ROUTE 29 SOUTH	GRETNA	VA	24557	GENERAL CONTRACTORS	$9,977,314
HOSPITALIST ASSOCIATES OF VIRGINIA
2215 LANDOVER PLACE	LYNCHBURG	VA	24501	PHYSICIAN SERVICES	$9,293,962
JAMERSON-LEWIS CONSTRUCTION INC
PO BOX 10728	LYNCHBURG	VA	24508	GENERAL CONTRACTORS	$7,084,689
GLASS ASSOCIATES INC
1601 WYTHE ROAD	LYNCHBURG	VA	24501	GENERAL CONTRACTORS	$5,204,911
MEDICAL SOLUTIONS
1010 N 102ND STREET SUITE 300	OMAHA	NE	68114	CONTRACT LABOR SVCS	$4,870,726

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	121	CntrctRcvdGreaterThan100KCnt
Related Organizations	$6,908,678	RelatedOrganizationsAmt
Government Grants	$333,216	GovernmentGrantsAmt
All Other Contributions	$707,504	AllOtherContributionsAmt
Total Contributions	$7,949,398	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES REVENUE	624100	$746,107,304	$734,422,095	$11,685,209
ANCILLARY SERVICES	900099	$29,138,263	$29,138,263
TUITION & EDUCATION	611600	$24,978,308	$24,978,308
CONTROLLED ENTITIES	900099	-$4,849,160	-$4,849,160
MEANINGFUL USE	900099	-$709,650	-$709,650

Field	Value	IRS element (for citing)
Total Program Service Revenue	$794,665,065	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,001,680	TotalRevenueColumnAmt
Unrelated Business Revenue	-$184	UnrelatedBusinessRevenueAmt
Exclusion	$2,001,864	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$7,503,082	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$5,265,568	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,237,514	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,237,514	TotalRevenueColumnAmt
Exclusion	$2,237,514	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$186,263,600	SecuritiesAmt
Other	$19,014	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$172,560,838	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$13,702,762	SecuritiesAmt
Other	$19,014	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,721,776	TotalRevenueColumnAmt
Exclusion	$13,721,776	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA/VENDING/DIETARY	722210	$2,749,050	$2,749,050
SUBSIDIARY MANAGEMENT FEE	541610	$281,470	$281,470

Field	Value	IRS element (for citing)
Other Revenue Total	$3,030,520	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$823,605,953	TotalRevenueColumnAmt
Related Or Exempt Func Income	$782,979,856	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$11,685,025	UnrelatedBusinessRevenueAmt
Exclusion	$20,991,674	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,416,782	TotalAmt
Program Services	$1,416,782	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,214,280	TotalAmt
Program Services	$279,478	ProgramServicesAmt
Management And General	$4,934,802	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$278,098	TotalAmt
Program Services	$278,098	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$333,388,117	TotalAmt
Program Services	$305,382,910	ProgramServicesAmt
Management And General	$28,005,207	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,366,547	TotalAmt
Program Services	$5,001,202	ProgramServicesAmt
Management And General	$365,345	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,569,845	TotalAmt
Program Services	$36,709,086	ProgramServicesAmt
Management And General	$2,860,759	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$35,644,873	TotalAmt
Program Services	$33,218,231	ProgramServicesAmt
Management And General	$2,426,642	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$739,632	TotalAmt
Program Services	$595,187	ProgramServicesAmt
Management And General	$144,445	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,076,867	TotalAmt
Program Services	$3,439,855	ProgramServicesAmt
Management And General	$1,637,012	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$259,957	TotalAmt
Program Services	$38,925	ProgramServicesAmt
Management And General	$221,032	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,691,236	TotalAmt
Management And General	$1,691,236	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$94,691,434	TotalAmt
Program Services	$79,979,935	ProgramServicesAmt
Management And General	$14,711,499	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,146,716	TotalAmt
Program Services	$2,638,468	ProgramServicesAmt
Management And General	$508,248	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$44,099,155	TotalAmt
Program Services	$42,106,060	ProgramServicesAmt
Management And General	$1,993,095	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,966,105	TotalAmt
Management And General	$19,966,105	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,305,342	TotalAmt
Program Services	$11,829,978	ProgramServicesAmt
Management And General	$475,364	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,764,093	TotalAmt
Program Services	$1,651,874	ProgramServicesAmt
Management And General	$112,219	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,105,688	TotalAmt
Program Services	$1,835,463	ProgramServicesAmt
Management And General	$270,225	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,259,407	TotalAmt
Program Services	$6,259,407	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$40,731,992	TotalAmt
Program Services	$26,330,420	ProgramServicesAmt
Management And General	$14,401,572	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,804,610	TotalAmt
Program Services	$3,740,798	ProgramServicesAmt
Management And General	$63,812	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$69,094,432	$69,079,385	$15,047
DRUGS	$60,637,693	$60,637,693
BOND COST AMORTIZATION	$1,419,273	$1,419,273

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$788,672,174	TotalAmt
Program Services	$693,868,508	ProgramServicesAmt
Management And General	$94,803,666	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$25,666,748	BOYAmt
EOY	$25,285,739	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$92,983,769	BOYAmt
EOY	$99,781,032	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$144,188	BOYAmt
EOY	$144,189	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$17,132,995	BOYAmt
EOY	$19,112,384	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,057,962	BOYAmt
EOY	$6,217,778	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$938,341,333	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$593,535,667	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$309,440,076	BOYAmt
EOY	$344,805,666	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$309,234,015	BOYAmt
EOY	$340,685,269	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$163,489,844	BOYAmt
EOY	$164,709,547	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$33,327,937	BOYAmt
EOY	$33,614,397	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$956,477,534	BOYAmt
EOY	$1,034,356,001	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$59,470,630	BOYAmt
EOY	$75,376,470	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$913,106	BOYAmt
EOY	$1,072,912	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$245,563,676	BOYAmt
EOY	$264,445,305	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$85,095,377	BOYAmt
EOY	$80,445,460	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$391,042,789	BOYAmt
EOY	$421,340,147	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$503,764,351	BOYAmt
EOY	$553,332,692	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,792,016	BOYAmt
EOY	$30,804,784	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,878,378	BOYAmt
EOY	$28,878,378	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$565,434,745	BOYAmt
EOY	$613,015,854	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$956,477,534	BOYAmt
EOY	$1,034,356,001	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$34,933,779	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,626,955	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$5,020,375	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$31,518	OtherActivitiesAmt
Total Lobbying Expenditures	$31,518	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	OTHER LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	SCHEDULE C, Part II-B, Ln 1(I) ATTENDANCE AT VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION 2016 LEGISLATIVE ISSUES CONFERENCES (REGISTRATION EXPENSES, HOTEL, TRAVEL, & MEALS): $1,838. ATTENDANCE AT VIRGINIA HEALTH CARE ASSOCIATION 2016 LEGISLATIVE ISSUES CONFERENCE (REGISTRATION EXPENSES, TRAVEL, & MEALS): $2,730. A PORTION OF THE ORGANIZATION'S HOSPITAL ASSOCIATION DUES FOR 2016 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $ 26,950.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,330,243	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,235,527	InvestmentEarningsOrLossesAmt
Other Expenditures	$621,910	OtherExpendituresAmt
End Year Balance	$40,943,860	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$42,943,742	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$2,040,466	InvestmentEarningsOrLossesAmt
Other Expenditures	$573,033	OtherExpendituresAmt
End Year Balance	$40,330,243	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$42,984,832	BeginningYearBalanceAmt
Investment Earnings Or Losses	$501,833	InvestmentEarningsOrLossesAmt
Other Expenditures	$542,923	OtherExpendituresAmt
End Year Balance	$42,943,742	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$38,188,253	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,134,898	InvestmentEarningsOrLossesAmt
Other Expenditures	$338,319	OtherExpendituresAmt
End Year Balance	$42,984,832	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,734,229	BeginningYearBalanceAmt
Investment Earnings Or Losses	$293,321	InvestmentEarningsOrLossesAmt
Other Expenditures	$293,321	OtherExpendituresAmt
End Year Balance	$29,734,229	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.02250	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.70370	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.27380	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,497,846	OtherCostOrOtherBasisAmt
Book Value	$20,497,846	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$455,344,259	OtherCostOrOtherBasisAmt
Depreciation	$244,749,114	DepreciationAmt
Book Value	$210,595,145	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,741,447	OtherCostOrOtherBasisAmt
Depreciation	$13,962,084	DepreciationAmt
Book Value	$6,779,363	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$408,266,069	OtherCostOrOtherBasisAmt
Depreciation	$334,824,469	DepreciationAmt
Book Value	$73,441,600	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,491,712	OtherCostOrOtherBasisAmt
Book Value	$33,491,712	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$344,805,666	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVEST CAPITAL-CONTROLLED ENTI	$135,486,718	F
LEVEL 3 INVEST. IN REAL ESTATE	$24,697,939	F
EQUITY IN AFFILIATES	$4,524,890	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$164,709,547	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$36,994,450
INTEREST RATE SWAP	$18,201,355
EST. LIAB. FOR UNPAID CLAIMS	$14,043,119
EST PAYABLE TO 3RD PARTY	$9,547,166
CURRENT INSTALLMENTS DUE TO SCH	$842,622
PHYSICIAN RECRUITMENT LIAB	$553,168
ACCRUED INTEREST PAYABLE	$263,580

Field	Value	IRS element (for citing)
Total Liability	$80,445,460	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY U.S. GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSTED RESTRICTIONS. THE FOUNDATION HAS A POLICY OF REQUESTING FOR DISTRIBUTION EACH YEAR EITHER NET INCOME OF THE ASSET OR A PERCENTAGE OF THE ASSETS AVERAGE FAIR VALUE, WHICH RESULTS IN AN AVERAGE NET CASH DISTRIBUTION OF 2.4% OF TOTAL ASSETS. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF 4.3% ANNUALLY. THIS IS CONSISTENT WITH THE FOUNDATION'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.

SCHEDULE D, PART X, LINE 2

CENTRA HEALTH, INC., CCRC, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD ARE EXEMPT FROM INCOME TAX UNDER SECTION 501 (A) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS EXCEPT FOR TAXES RELATED TO CERTAIN UNRELATED BUSINESS INCOME ENGAGED IN BY CENTRA. CENTRA MEDICAL GROUP, LLC, CHIC, CENTRA SPECIALTY HOSPITAL, PANORAMIC, CVQCN, AND OUTPATIENT REHAB ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER CENTRAS TAX RETURN. CENTRA MEDICAL GROUP SOUTHSIDE, LLC AND CENTRA MEDICAL GROUP, LLC ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER SOUTHSIDES AND BEDFORDS TAX RETURN, RESPECTIVELY. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARIES, GBC, PCHP HOLDING, INC. AND PCHP. UNDER THE ASSET-AND-LIABILITY METHOD FOR THESE STANDARDS, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASIS OF THE SUBSIDIARYS ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. CHIC IS WHOLLY OWNED BY CENTRA HEALTH, INC. ANY LIABILITY FOR TAXES IS PASSED THROUGH TO CENTRA HEALTH, INC. A PROVISION WILL BE MADE WHEN OPERATIONS OF THIS SUBSIDIARY INDICATES A LIABILITY FOR TAXES. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2016. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2013.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,078,407	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,078,407	NetCommunityBenefitExpnsAmt
Total Expense	0.02170	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$95,134,083	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,148,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,985,335	NetCommunityBenefitExpnsAmt
Total Expense	0.02410	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,212,490	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,148,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$36,063,742	NetCommunityBenefitExpnsAmt
Total Expense	0.04580	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,332,443	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,332,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,158,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,922,975	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,235,086	NetCommunityBenefitExpnsAmt
Total Expense	0.00410	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,630,837	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,630,837	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,121,341	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,922,975	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,198,366	NetCommunityBenefitExpnsAmt
Total Expense	0.00790	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$126,333,831	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,071,723	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,262,108	NetCommunityBenefitExpnsAmt
Total Expense	0.05370	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$156	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$156	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,105	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,105	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,662	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,662	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,494	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,494	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,275	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,275	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,692	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,692	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$42,501,130	BadDebtExpenseAmt
Reimbursed By Medicare	$263,896,208	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$276,280,664	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$12,384,456	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct
CENTRAL VIRGINIA IMA
IMAGING SERVICES	0.5	0.5
THE SURGERY CENTER O
OUTPATIENT SURGERY SVCS	0.5	0.49	0.01

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
LYNCHBURG GENERAL HOSPITAL
1	1901 TATE SPRINGS ROAD	LYNCHBURG	VA	24501	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (X)
VIRGINIA BAPTIST HOSPITAL
2	3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)
CENTRA SPECIALTY HOSPITAL
3	3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	WWW.CENTRAHEALTH.COM	Yes (X)			LONG TERM ACUTE CARE

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd
LYNCHBURG GENERAL HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	16	Yes (true)	WWW.CENTRAHEALTH.COM	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
VIRGINIA BAPTIST HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	16	Yes (true)	WWW.CENTRAHEALTH.COM	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
CENTRA SPECIALTY HOSPITAL
3	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	16	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	16	Yes (true)	WWW.CENTRAHEALTH.COM	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	false	Yes (X)

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5:	CENTRA ORGANIZED THREE COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY (CHNA) ADVISORY BOARDS ONE FOR THE CENTRA HEALTH, LYNCHBURG REGION, ONE FOR THE BEDFORD MEMORIAL HOSPITAL, BEDFORD REGION, AND ONE FOR THE SOUTHSIDE COMMUNITY HOSPITAL, INC., FARMVILLE REGION. THESE CHNA COMMUNITY ADVISORY BOARDS WERE COMPRISED OF COMMUNITY LEADERS REPRESENTING EDUCATION, BUSINESS, SOCIAL SERVICE AGENCIES, GOVERNMENT, PUBLIC HEALTH AUTHORITIES, COLLEGES (INCLUDING OUR LOCAL SCHOOL OF PUBLIC HEALTH), OTHER HEALTHCARE PROVIDERS, AND NEIGHBORHOOD CITIZEN ORGANIZATIONS IN AN EFFORT TO OBTAIN AS BROAD-BASED COMMUNITY INPUT AS POSSIBLE. PARTICIPANTS INCLUDED ORGANIZATIONS THAT REPRESENT THE NEEDS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. A LIST OF INDIVIDUAL PARTICIPANTS IS ON THE LAST FEW PAGES OF THE CHNA ASSESSMENT & IMPLEMENTATION PLAN REPORTS.
PART V, SECTION B, LINE 6a	THE ORGANIZATIONS CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL AND CENTRA SPECIALTY HOSPITAL
PART V, SECTION B, LINE 7d	HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS.
PART V, SECTION B, LINE 11	THE COMMUNITY HEALTH NEEDS ASSESSMENT & PLAN IDENTIFIED THREE OVERARCHING ACTION PLAN PRIORITIES AIMED AT IMPROVING THE HEALTH OF THE VARIOUS COMMUNITIES SERVED BY LYNCHBURG GENERAL, VIRGINIA BAPTIST AND CENTRA SPECIALTY HOSPITALS: COMMUNITY SUPPORT FOR SELF-ADVOCACY; MENTAL HEALTH EDUCATION, AWARENESS, AND ACCESS; AND ADDICTION EDUCATION, PREVENTION, AND ACCESS. FOR THE ACTION PLAN PRIORITY REGARDING COMMUNITY SUPPORT FOR SELF-ADVOCACY, THE HOSPITALS HAVE IDENTIFIED SEVERAL OPPORTUNITIES TO IMPROVE OUR COMMUNITYS ABILITY TO INVEST IN THEIR HEALTH AND HEALTHCARE, DESCRIBED IN ORDER OF PRIORITY. FIRST, WE WILL COLLABORATE WITH KEY NEIGHBORHOODS TO WORK WITH CENTRA TO HELP ID COMMUNITIES, LEADERS (POSSIBLY COMMUNITY HEALTH OR WELLNESS WORKER) AND DEVELOP PROGRAMS TO TRAIN AND SUPPORT THEM. SECONDLY, CENTRA WILL PARTNER WITH CHURCHES, SCHOOLS, CHAMBER OF COMMERCE, HEALTHCARE FACILITIES AND LOCAL GOVERNMENTS TO DEVELOP A HEALTHCARE COMMUNITY RESOURCE GUIDE THAT CAN BE DISTRIBUTED VIA COMMUNITY GATHERING SPOTS, NOT-FOR-PROFITS, 211 AND COMMUNITY PARTNERS. A HEALTHCARE COMMUNITY RESOURCE GUIDE CAN BE CREATED, SHARED AND PUBLISHED ELECTRONICALLY. ALSO, CENTRA WILL PARTNER WITH 211 AND UPDATE ALL SERVICES, TRANSPORTATION AND NUTRITION EDUCATION IN THEIR SYSTEM. FINALLY, CENTRA WILL PARTNER WITH NO WRONG DOOR TO INCREASE THE NUMBER OF NOT-FOR-PROFITS USING THE CRIA (COMMUNICATION, REFERRAL, INFORMATION AND ASSISTANCE) SERVICE. FOR THE ACTION PLAN PRIORITY REGARDING MENTAL HEALTH EDUCATION, AWARENESS, AND ACCESS, CENTRA HAS IDENTIFIED NUMEROUS OPPORTUNITIES AND INITIATIVES TO SUPPORT MENTAL HEALTH AWARENESS ISSUES IN THE COMMUNITY INCLUDING: WORK TO DE-STIGMATIZE & NORMALIZE MENTAL HEALTH AND CHANGE THE MENTAL HEALTH PARADIGM; BEGIN A PUBLIC AWARENESS CAMPAIGN TO NORMALIZE MENTAL HEALTH WITH A FOCUS ON PREVENTION; PROMOTE INCREASED AWARENESS AND EDUCATION ABOUT THE DAY-TO-DAY MENTAL HEALTH CHALLENGES SUCH AS STRESS, ANXIETY, DEPRESSION, ETC.; PURSUE INTEGRATION OF MENTAL HEALTH INTO MEDICAL OFFICES AND COMMUNITY SERVICES; RECRUIT MORE PROVIDERS TO INCREASE ACCESS; EXPLORE EDUCATION OF MEDICATION PRESCRIBING AND COLLABORATE WITH PHARMACY; AND RESEARCH EXISTING MENTAL HEALTH CRISIS LINES AND FORM PARTNERSHIPS TO PROMOTE THE COMMUNITY. IN THE AREA OF ADDICTION EDUCATION, PREVENTION, AND ACCESS, THE HOSPITALS HAVE IDENTIFIED A NUMBER OF OPPORTUNITIES IN WHICH TO BUILD PROGRAMS: INCREASE ACCESS TO PROFESSIONAL ADDICTION TREATMENT SERVICES AND A RANGE OF ALTERNATIVES WITH AN EMPHASIS ON TARGETING CHILDREN AND YOUNG ADULTS BEFORE AGE 20; PROVIDE EDUCATION AND SUPPORT TO THE CLINICAL (PROVIDERS, NURSES AND PHARM MDS) COMMUNITY FOR RESEARCHING AND PRESCRIBING ALTERNATIVE MEDICINES, PRACTICES AND TREATMENTS TO WRITING AN RX; INVESTIGATE A RECOVERY-FOCUSED TRAINING PROGRAM FOR PEER RECOVERY SPECIALISTS TO INCREASE CAPACITY OF PEER SUPPORTS; ADDRESS ADDICTION STIGMA AND STEREOTYPING OF ADDICTION WITH PROVIDERS, CONSUMERS AND CHILDREN (PEER PRESSURE) USE TESTIMONIALS, ATHLETES, STRONG, IMPACTFUL VISUALS; NURSES AND PROVIDERS TO COLLABORATE WITH PHARM MDS ON ADDICTION ISSUES; AND TO PROMOTE PMP DATABASE TRAINING. OF THE 9 TOP COMMUNITY HEALTH NEEDS THAT WERE IDENTIFIED AS OPPORTUNITIES, THE FOLLOWING AREAS DID NOT FIT WITHIN OUR PRIORITIZED STRATEGIC PLANS AND PILLARS: NUTRITION EDUCATION, BREAST FEEDING RATES, MENTAL HEALTH WRAP AROUND SERVICES, AFFORDABILITY OF CARE, DRUG/OPIATES ADDICTION AND PHARMACY RESOURCES. RATIONALE FOR NOT INCLUDING THESE INDICATORS AS PRIORITIZED BY OUR CHNA COMMUNITY ADVISORY BOARD INCLUDED A SENSE THAT THESE CRITICAL NEEDS WERE HIGHLY COMPLEX IN NATURE AND AFFECTED A WIDE VARIETY OF INFLUENCING FACTORS - MANY WELL BEYOND THE CAPABILITY AND RESOURCES AND AVAILABLE THROUGH CENTRA AND/OR ITS COLLABORATING PARTNERS. FURTHERMORE, OTHER COMMUNITY-BASED INITIATIVES WERE ALREADY TARGETING THESE ISSUES.
PART V, SECTION B, LINE 16A, B, C	(LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL) THE ENTIRE FNANCIAL ASSISTANCE POLICY (FAP), INCLUDING FAP APPLICATION AND PLAIN LANGUAGE SUMMARY IS LOCATED AT THE FOLLOWING URL: HTTP://CENTRAHEALTHONLINEBILLPAY.PATIENTCOMPASS.COM
PART V, SECTION B, LINE 21	(POLICY RELATING TO EMERGENCY MEDICAL CARE) FACILITY: CENTRA SPECIALITY HOSPITAL CENTRA SPECIALITY HOSPITAL DOES NOT HAVE AN EMERGENCY DEPARTMENT DUE TO THE NATURE OF THE HOSPITAL'S SERVICES.

Field	Value	IRS element (for citing)
Facility	76	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (76 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CENTRA ALAN B PEARSON CANCER CENTER
1701 THOMSON DRIVE	LYNCHBURG	VA	24501	CANCER CENTER & PALLIATIVE CARE
GRETNA MEDICAL CENTER
291 McBride Lane	Gretna	VA	24557	Emergency, Imaging, Internal Medicine, Cardiology, Rehab, Lab
CENTRA LAB PHLEBOTOMY CENTER
1900 TATE SPRINGS ROAD SUITE 9	LYNCHBURG	VA	24501	LAB SERVICES
GUGGENHEIMER HEALTH & REHABILITATION CTR
1902 GRACE STREET	LYNCHBURG	VA	24504	NURSING HOME
FAIRMONT CROSSING HEALTH & REHAB CENTER
173 BROCKMAN PARK DRIVE	AMHERST	VA	24521	NURSING HOME
SUMMIT HEALTH & REHABILITATION CENTER
1300 ENTERPRISE DRIVE	LYNCHBURG	VA	24502	NURSING HOME
SUMMIT ASSISTED LIVING
1320 ENTERPRISE DRIVE	LYNCHBURG	VA	24502	ASSISTED LIVING
CENTRA HOSPICE-LYNCHBURG
2097 LANGHORNE ROAD	LYNCHBURG	VA	24501	HOSPICE CARE
CENTRA HOSPICE HOUSE
4413 BOONESBORO ROAD	LYNCHBURG	VA	24503	HOSPICE HOUSE
CENTRA HOME HEALTH
1204 FENWICK DRIVE	LYNCHBURG	VA	24502	HOME HEALTH SERVICES
CENTRA PACE
407 FEDERAL STREET	LYNCHBURG	VA	24504	CARE FOR ELDERLY
PIEDMONT PSYCHIATRIC CENTER
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	MENTAL HEALTH
BRIDGES TREATMENT CENTER
693 LEESVILLE ROAD	LYNCHBURG	VA	245022828	MENTAL HEALTH
ALTAVISTA MEDICAL CENTER
1280 A MAIN STREET	ALTAVISTA	VA	24517	FAMILY PRACTICE
BROOKNEAL MEDICAL CENTER
104 CAROLINA AVENUE	BROOKNEAL	VA	24528	FAMILY PRACTICE
CMG - DANVILLE ORTHOPEDIC & REHAB SPECIA
404 AIRPORT ROAD SUITE C	DANVILLE	VA	24540	ORTHOPEDICS & PHYSICAL THERAPY
CMG - NATIONWIDE
125 Nationwide Drive	LYNCHBURG	VA	24502	INTERNAL MEDICINE, REHAB, URGENT CARE
VILLAGE PRACTICE - MONETA
4830 RUCKER RD	MONETA	VA	24121	FAMILY PRACTICE
CENTER FOR PAIN MANAGEMENT
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	PAIN MANAGEMENT
CENTER FOR WOUND CARE AND HYPERBARIC MED
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	WOUND CARE
CMG UROLOGY CENTER
2542 LANGHORNE ROAD	LYNCHBURG	VA	24501	UROLOGY
CMG UROLOGY CENTER-Oak Vassar Office
1330 Oak Lane Suite 203	LYNCHBURG	VA	24503	UROLOGY
CMG UROLOGY CENTER-Bedford
1613 Oakwood St Ste 202	Bedford	VA	24523	UROLOGY
MEDICAL & SURGICAL SPECIALISTS
173 EXECUTIVE DRIVE	DANVILLE	VA	24540	UROLOGY, NEUROSURGERY, PLASTICS, CARDIOLOGY SVCS
DOMINION PRIMARY CARE
110 EXCHANGE STREET SUITE F	DANVILLE	VA	24540	FAMILY PRACTICE
CMG WOMEN'S CENTER
2007 GRAVES MILL ROAD	FOREST	VA	24551	WOMEN'S HEALTH SVCS
LIBERTY UNIVERSITY HEALTH SERVICES
1971 UNIVERSITY BLVD	LYNCHBURG	VA	24502	FAMILY PRACTICE
JAMERSON YMCA REHAB CENTER
801 WYNDHURST DRIVE	LYNCHBURG	VA	24502	REHAB CENTER
STROOBANTS CARDIOVASCULAR CENTER- MAIN O
2410 ATHERHOLT ROAD	LYNCHBURG	VA	24501	CARDIOLOGY CENTER & CARDIOVASCULAR SURGERY
STROOBANTS CARDIOVASCULAR CENTER-BEDFORD
1613 OAKWOOD AVENUE	BEDFORD	VA	24523	CARDIOLOGY CENTER
STROOBANTS CARDIOVASCULAR CENTER- FARMVI
900 WEST THIRD STREET	FARMVILLE	VA	23901	CARDIOLOGY CENTER
STROOBANTS CARDIOVASCULAR CENTER- MONETA
1039 MAYBERRY CROSSING DRIVE SUITE	MONETA	VA	24121	CARDIOLOGY CENTER
STROOBANTS CARDIOVASCULAR CENTER- GRETNA
1220 WEST GRETNA ROAD	GRETNA	VA	24557	CARDIOLOGY CENTER
REHAB & GERIATRIC SERVICES
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	DRS. PROVIDE SERVICES TO NURSING HOMES, SKILLED CARE HOSPICE, PACE & REHAB
BREAST IMAGING CENTER
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	MAMMOGRAPHERS READ SCREENINGS FOR DIAGNOSTIC BREAST IMAGING
MAMMOGRAPHY CENTER-TIMBERLAKE
20293 TIMBERLAKE ROAD	LYNCHBURG	VA	24502	MAMMOGRAPHY CENTER
MAMMOGRAPHY CENTER-TATE SPRINGS
1900 TATE SPRINGS ROAD SUITE 1	LYNCHBURG	VA	24501	MAMMOGRAPHY CENTER
Pathways Recovery Lodge
1770 Earley Farm Road	Amherst	VA	24521	DRUG & ALCOHOL TREATMENT CENTER
Rivermont School-Chase City
633 N Main Street	Chase City	VA	23924	MENTAL HEALTH
Rivermont School- Dan River
4058 Franklin Turnpike	Danville	VA	24540	MENTAL HEALTH
Rivermont School- Roanoke
1354 8th Street	Roanoke	VA	24015	MENTAL HEALTH
Rivermont School-Hampton
303 Butler Farm Road Suite 100	Hampton	VA	23666	MENTAL HEALTH
Rivermont School-Tidewater
5163 Cleveland Street	Virginia Beach	VA	23462	MENTAL HEALTH
Rivermont School-Alleghany Highlands
331 West Main Street	Covington	VA	24426	MENTAL HEALTH
Rivermont School-Rockbridge
35 Magnolia Square Suite 7	Lexington	VA	24450	MENTAL HEALTH
Rivermont School - Lynchburg
3024 Forest Hills Circle	Lynchburg	VA	24501	MENTAL HEALTH
Rivermont School - Fredricksburg
30 Pulte Dr	Fredricksburg	VA	22406	MENTAL HEALTH
Rivermont School - Greater Petersburg
12318 Boydton Plank Road	Dinwiddie	VA	23841	MENTAL HEALTH
Centra Neuroscience Center-Farmville
800 Oak Street	Farmville	VA	23901	NEUROSCIENCE
Lynchburg Family Medicine Center
2323 Memorial Avenue Suite 10	Lynchburg	VA	24501	FAMILY PRACTICE RESIDENCY PROGRAM
CMG - Big Island Medical Center
Highway 501 North	Big Island	VA	24526	FAMILY PRACTICE
CMG - PrimeCare Main
130 Enterprise Drive	Danville	VA	24540	FAMILY PRACTICE, URGENT CARE
CMG - PrimeCare East
404 Airport Drive Suite A	Danville	VA	24540	FAMILY PRACTICE
CMG-BEDFORD MEDICAL CENTER
1613 Oakwood Street Suite 201	Bedford	VA	24523	FAMILY PRACTICE
LYNCHBURG EMPLOYEE CLINIC
901 CHURCH STREET	Lynchburg	VA	24504	EMPLOYEE WELLNESS CLINIC
CMG PLASTIC SURGERY CENTER
1330 Oak Lane Suite 100	Lynchburg	VA	24503	PLASTIC SURGERY
CMG NEUROSCIENCE CENTER
2025 Tate Springs Road	Lynchburg	VA	24501	NEUROSCIENCE
CMG Surgical Specialists - Seven Hills
1911 Thomson Drive	Lynchburg	VA	24501	SURGERY SPECIALISTS
CMG Surgical Specialists - Central Va
1906 Thomson Drive	Lynchburg	VA	24501	SURGERY SPECIALISTS
CENTRA COLLEGE OF NURSING
905 Lakeside Dr Suite A	Lynchburg	VA	24501	COLLEGE OF NURSING
HEALTHWORKS CLINIC
1905 Atherholt Road	Lynchburg	VA	24501	REHAB
ROSEMARY & GEORGE DAWSON INN
2012 Tate Springs Road	Lynchburg	VA	24501	PATIENT/FAMILY INN
CENTRA HEALTH EMERGENCY SERVICES
1901 TATE SPRINGS ROAD	LYNCHBURG	VA	24501	EMERGENCY SVCS
CMG - DANVILLE OCCUPATIONAL HEALTH SVCS
404 Airport Drive Suite B	Danville	VA	24540	OCCUPATIONAL REHAB SERVICES
CMG - NEUROSCIENCE CENTER BEDFORD
1615 OAKWOOD STREET SUITE D	BEDFORD	VA	24523	NEUROSURGERY
CMG - AMHERST MEDICAL CENTER
124 AMBRIAR COURT	AMHERST	VA	24521	FAMILY PRACTICE
CMG INFECTIOUS DISEASE CENTER
2216 LANDOVER PLACE	LYNCHBURG	VA	24501	INFECTIOUS DISEASE CTR
CENTRA PANORAMIC WELLNESS
1603 ENTERPRISE DRIVE SUITE A	LYNCHBURG	VA	24502	WELLNESS CENTER
CMG HEALTHY SKIN CENTER
1330 OAK LANE SUITE 103	LYNCHBURG	VA	24503	SKIN CLINIC
CMG - MOBILE MEDICAL SERVICES
2010 ATHERHOLT ROAD	LYNCHBURG	VA	24501	MOBILE MEDICAL SVCS
CMG - SLEEP DISORDERS CENTER-FOREST
1084 Thomas Jefferson Road	FOREST	VA	24551	SLEEP DISORDER SVCS
CENTRAL VIRGINIA NEUROSURGERY
2138 LANGHORNE ROAD	LYNCHBURG	VA	24501	NEUROSURGERY
CMG NEUROLOGY CENTER
1933 THOMSON DRIVE	LYNCHBURG	VA	24501	NEUROSURGERY
PACE Gretna
1220 W Gretna Road	Gretna	VA	24557	CARE FOR ELDERLY
CMG Rehabilitation Danville
414 Park Avenue	Danville	VA	24541	REHAB SVCS
RIVERMONT SCHOOL - FAIRFAX
6700 SPRINGFIELD CENTER DRIVE SUIT	SPRINGFIELD	VA	22150	MENTAL HEALTH

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A	INFORMATION ON COMMUNITY BENEFIT IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC.
PART I, LINE 7	COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE. PART I, LINE 7A THE DECREASE IN COSTS ASSOCIATED WITH PROVIDING CHARITY SERVICES ARE A RESULT OF THE 25% INCREASE IN THE UNINSURED DISCOUNT FROM 2015 TO 2016. THIS INCREASE CAUSES A DECREASE IN UNINSURED PATIENTS FINANCIAL RESPONSIBILITY. UNCOMPENSATED COSTS ASSOCIATED WITH THESE PATIENT DISCOUNTS WAS APPROXIMATELY $20,576,000 IN 2016.
PART II	COMMUNITY BUILDING ACTIVITIES COMMUNITY SUPPORT: CENTRA HEALTH, INC. RECOGNIZES THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES. WE CONTINUOUSLY WORK TO SEEK OUT WAYS IN WHICH WE CAN SUPPORT THE COMMUNITY. HELPING THOSE IN NEED IS A MAIN FOCUS OF CENTRA, NOT ONLY WITH THEIR HEALTH NEEDS BUT WITH THE FUNDAMENTAL NEEDS OF INDIVIDUALS WITHIN OUR COMMUNITY, AS WELL. WE FEEL AN ESSENTIAL PART OF BEING A GOOD NEIGHBOR WITHIN THE COMMUNITY IS TO PROMOTE HEALTH, SAFETY, AND WELL-BEING ACTIVITIES IN ORDER TO BENEFIT THOSE AROUND US. LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS: CENTRA STRIVES TO EDUCATE ITS COMMUNITY REGARDING HEALTH ISSUES IN MANY WAYS. OUR FAITH BASED PROGRAMS ARE A CRUCIAL PART OF OUR ATTEMPT TO REACH THE COMMUNITY. WE STRIVE TO EDUCATE LOCAL CLERGY AND COMMUNITY LEADERS SO THEY CAN PROMOTE THESE PROGRAMS WITHIN THEIR INDIVIDUAL COMMUNITIES, IN A COLLABORATIVE EFFORT WITH CENTRA. "CONGREGATIONAL HEALTH PROMOTER" COURSES ARE ADMINISTERED NUMEROUS TIMES DURING THE YEAR THROUGHOUT VARIOUS COMMUNITY CHURCHES. THIS COURSE IS GEARED TOWARD ANY CHURCH MEMBER THAT IS INTERESTED AND PROVIDES INFORMATION AND RESOURCES REGARDING CHRONIC ILLNESSES AND HEALTH ISSUES, AND SPECIFIC STRATEGIES TO PROMOTE THE HEALTH OF OUR LOCAL COMMUNITIES. OUR COMMUNITY VOICE PROGRAM IS AN EVIDENCE BASED CONSUMER EDUCATION PROGRAM WHOSE GOALS ARE TO RAISE AWARENESS OF THE HEALTH DISPARITY THAT EXISTS IN INFANT MORTALITY, TO PROVIDE CULTURALLY RELEVANT PERINATAL HEALTH INFORMATION, AND TO INFLUENCE BEHAVIORS BY TAKING INFORMATION DIRECTLY TO THE PEOPLE WHOM WOMEN OF CHILD BEARING AGE ARE MOST LIKELY TO TRUST AND TRAIN THEM TO BE LAY HEALTH ADVISORS. ONCE TRAINED, LAY HEALTH ADVISORS HAVE THE KNOWLEDGE AND POWER TO TEACH, MOTIVATE, AND INFLUENCE THEIR FAMILY, FRIENDS, AND NEIGHBORS. COALITION BUILDING: CENTRA CONTINUES TO REACH OUT TO THE COMMUNITY IN ORDER TO INFORM THE PUBLIC ABOUT THE NUMEROUS HEALTH FAIRS, HEALTH SEMINARS, AND GENERAL INFORMATIONAL SESSIONS OFFERED BY CENTRA, THROUGHOUT THE YEAR. CENTRA PARTICIPATES IN THE HEALTHY PEOPLE THROUGH PREVENTION & EDUCATION COALITION (HIPE) WHICH FOCUSES ON TOBACCO AND SUBSTANCE ABUSE, CHILDHOOD OBESITY, SUPPORTING HEALTH ACTIVITIES FOR YOUTH. HIPE IS MADE UP OF COMMUNITY MEMBERS FROM ORGANIZATIONS SUCH AS, HORIZON BEHAVIORAL HEALTH, LYNCHBURG HEALTH DEPT., AREA SOCIAL SERVICES, PARKS AND RECS, CITY SCHOOLS, ETC., AND IS FOCUSED ON LOOKING AT BROADER HEALTH NEEDS IN THE COMMUNITY. CENTRA HOLDS HEALTH CAREER CAMPS IN ORDER TO PROMOTE THE IMPORTANCE OF HEALTHCARE PROFESSIONALS TO YOUNG ADULTS SO THEY MAY, POSSIBLY, BECOME MEMBERS OF THE HEALTHCARE COMMUNITY IN THE FUTURE. THROUGH OUT THE YEAR, WE ALSO VISIT LOCAL ELEMENTARY AND MIDDLE SCHOOLS WITHIN THE COMMUNITY TO INTRODUCE THE YOUTH TO HEALTHCARE CAREERS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF CENTRA. WE FEEL PASSIONATE ABOUT IMPROVING ACCESS TO CARE, PUBLIC HEALTH, ETC. WE ARE EXCITED TO PARTICIPATE IN NUMEROUS EVENTS THROUGHOUT THE YEAR IN ORDER TO STAY CONNECTED TO THE COMMUNITY WE SERVE. BY STAYING CONNECTED WE ARE ABLE TO RECOGNIZE AND ADDRESS NEEDS THROUGHOUT OUR REGION. LIVE HEALTHY LYNCHBURG IS THE UMBRELLA GROUP OF COMMUNITY COLLABORATORS WORKING ON COMMUNITY HEALTH INITIATIVES WHICH CENTRA IS A PARTNER. OTHER COMMUNITY PARTNERS WITHIN THIS GROUP ARE THE LYNCHBURG HEALTH DEPARTMENT, CHAMBER OF COMMERCE, CITY OF LYNCHBURG, LYNCHBURG CITY SCHOOLS, JOHNSON HEALTH CENTER, PRESBYTERIAN HOMES, ETC. WORKFORCE DEVELOPMENT: CENTRA HEALTH, INC. BELIEVES THAT IT IS CRUCIAL TO HAVE EDUCATED, EXPERIENCED HEALTHCARE PROFESSIONALS WORKING WITHIN OUR COMMUNITIES. BY DISCUSSING HEALTHCARE WITH CHILDREN BEGINNING AT AN EARLY AGE, WE FEEL IT WILL SPARK INTEREST AND HAVE OUR YOUTH THINKING ABOUT POSSIBLY SEEKING A CAREER IN HEALTHCARE AS THEY GET OLDER. CENTRA CONDUCTS PROGRAMS WHICH SEND OUR STAFF TO AREA SCHOOLS, BEGINNING AT THE ELEMENTARY LEVEL, AND SHARING AGE APPROPRIATE INFORMATION AND MATERIALS ABOUT HEALTH CAREER CHOICES AND THE ACADEMIC PATHWAY TO THOSE CAREERS. CENTRAS HEALTH CAREER CAMPS ALLOW CAMPERS TO PARTICIPATE IN TEAM BUILDING ACTIVITIES, LEARN ABOUT INFECTION PREVENTION, ORGAN DONATION, LISTEN TO PRESENTATIONS ON EMERGENCY MEDICINE, TOUR EMERGENCY VEHICLES, AND MANY MORE HEALTH RELATED ACTIVITIES. OUR MEDICAL CAREER CAMP ALLOWS CAMPERS TO PARTICIPATE IN ACTIVITIES RELATED TO TOPICS SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THEY ARE ALSO ENGAGED IN HANDS-ON ACTIVITIES SUCH AS DISSECTING A PIGS HEART AND LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHATS INVOLVED IN SUTURING, TAKING CARE OF WOUNDS, IV SIMULATIONS, ETC. WE GIVE CAMPERS A GENERAL EXPOSURE TO VARIOUS CAREERS WITHIN THE HEALTHCARE SYSTEM WHICH ALLOWS THEM TO DETERMINE IF ONE OF THESE FIELDS ARE RIGHT FOR THEM.
PART III, SECTION A, LINE 1	(HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STMT 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.
PART III, SECTION A, LINE 2	SEE DESCRIPTION FOR PART III, SECTION A, LINE 4
PART III, SECTION A, LINE 4	CENTRA BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR BAD DEBTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, CENTRA ANALYZES HISTORICAL COLLECTIONS AND WRITE-OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CENTRA ANALYZES CONTRACTUALLY AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND PROVISION FOR CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAS ALREADY PAID, CENTRA RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT SOME PATIENTS ARE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR BAD DEBTS." (CENTRA HEALTH, INC AND SUBSIDIARIES, FY 2016 AUDIT REPORT, PAGE 14)
PART III, SECTION B, LINE 8	THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATIONS REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THE TOTAL AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE CENTRA HEALTHS MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE TO ANY OF OUR PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH REIMBURSEMENTS WERE LESS THAN THE COST TO PROVIDE SERVICE. TOTAL MEDICARE SHORTFALL FOR 2016 WAS $12,384,456.
PART III, SECTION C, LINE 9B	CENTRA RECOGNIZES THAT MEDICAL EXPENSES ARE OFTEN UNEXPECTED AND CAUSE FINANCIAL HARDSHIP. ALL ACCOUNTS WITH SELF PAY BALANCES WILL FOLLOW UNIFORM COLLECTION PROTOCOLS. THESE PROTOCOLS ARE ELECTRONICALLY ADMINISTERED THROUGH CENTRA'S HOSPITAL INFORMATION SYSTEM. WHEN AN ACCOUNT REACHES THE END OF THE SYSTEM GENERATED COLLECTION CYCLE AND MEETS SAID CRITERIA, THE ACCOUNT BALANCE WILL BE PROCESSED AS BAD DEBT AND REPORTED TO A COLLECTION AGENCY. CRITERIA FOR BAD DEBT WILL BE APPLIED CONSISTENTLY REGARDLESS OF AGE, RACE, RELIGION OR OTHER PROTECTIVE CLASS. PRIOR TO BAD DEBT PROCESSING, ACCOUNTS ARE ELECTRONICALLY SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND WRITTEN DOWN TO ZERO WHEN SCORES ARE WITHIN PRE-ESTABLISHED RANGES. CENTRA APPLIES UNIFORM COLLECTION PROTOCOLS TO ALL UNPAID ELIGIBLE CHARGES REGARDLESS OF RACE, SEX, AGE, DISABILITY, NATIONAL ORIGIN OR RELIGION. PATIENTS KNOWN BY CENTRA TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PROTOCOLS. IF DURING COLLECTION PROTOCOLS, OR AFTER REFERRAL TO AN OUTSIDE COLLECTION AGENCY, IT IS DISCOVERED PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY, INCLUDING ANY AND ALL EXTRAORDINARY COLLECTION EFFORT, IS IMMEDIATELY STOPPED. FINANCIAL ASSISTANCE FOR ELIGIBLE CHARGES IS AVAILABLE TO ALL CENTRA PATIENTS WHO QUALIFY BASED ON ESTABLISHED AND WIDELY PUBLISHED INCOME AND ASSET CRITERIA.
PART VI, LINE 2	NEEDS ASSESSMENT: AS A NONPROFIT HEALTH CARE SYSTEM, CENTRA IS LED BY A BOARD OF DIRECTORS OF REGIONAL COMMUNITY LEADERS KNOWLEDGEABLE ABOUT THE HEALTH CARE NEEDS OF THE POPULATION. CENTRA ENCOURAGES ITS EXECUTIVE TEAM AND EMPLOYEES TO BE AN INTEGRAL PART OF COMMUNITY ORGANIZATIONS, NOT ONLY TO OFFER ADVICE AND SERVICE, BUT ALSO TO BETTER UNDERSTAND AND RECOGNIZE THE NEEDS OF THE REGIONAL COMMUNITY. IN 2016, CENTRA COMPLETED THE 2017 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN TO MEASURE THE HEALTH NEEDS OF CENTRAL VIRGINIA RESIDENTS SERVED AT CENTRA LYNCHBURG GENERAL HOSPITAL, CENTRA VIRGINIA BAPTIST HOSPITAL AND CENTRA SPECIALTY HOSPITAL. THE CENTRA FOUNDATION PROVIDED FUNDING FOR THE DETAILED REPORT, WHICH IDENTIFIES THE HEALTH NEEDS AND PRIORITIES FOR THE COMMUNITIES SERVED BY CENTRA. THE ASSESSMENT INCLUDES INDIVIDUALS LIVING IN THE GREATER LYNCHBURG COMMUNITY, INCLUDING THE CITY OF LYNCHBURG AND BEDFORD, CAMPBELL, AMHERST, APPOMATTOX, AND NELSON COUNTIES. THE CUMULATIVE REPORT OFFERS A STATISTICALLY RELIABLE SNAPSHOT OF THE COMMUNITYS HEALTH AND PROVIDES A WEALTH OF INFORMATION TO GUIDE THE CENTRA FOUNDATION IN ITS GRANT FUNDING EFFORTS. EXPERTS SAY CLINICAL CARE; SOCIAL AND ENVIRONMENTAL FACTORS SUCH AS EDUCATION, EMPLOYMENT, HEALTH STATUS AND BEHAVIORS SUCH AS DIET, SMOKING AND EXERCISE; AND PHYSICAL ENVIRONMENT FACTORS SUCH AS AIR/WATER QUALITY, HOUSING AND ACCESS TO TRANSPORTATION INFLUENCES THE HEALTH OF A COMMUNITY. THROUGH THE CHNA, CENTRA EXAMINED THESE AREAS AND IDENTIFIED OPPORTUNITIES TO MAKE CLINICAL SERVICES MORE RESPONSIVE TO COMMUNITY NEED AND TO COLLABORATE WITH OTHER LIKE-MINDED ORGANIZATIONS TO IMPROVE THE OTHER FACTORS THAT AFFECT THE HEALTH OF THE COMMUNITY. THE INFORMATION GLEANED CAN SUPPORT THE STRATEGIC PLAN, ENSURE CENTRAS LONG-RANGE PLANS ARE RESPONSIVE AND HELP GUIDE THE AWARDING OF COMMUNITY GRANTS. HEALTH CARE NEEDS AND REQUESTS ARE ALSO ASSESSED THROUGH FOCUS GROUPS, AND SURVEYS OF COMMUNITY RESIDENTS AND CIVIC LEADERS AS WELL AS HOSPITAL AND HEALTH CARE SYSTEM PATIENTS. CENTRA ALSO PARTNERS WITH AGENCIES AND ORGANIZATIONS TO STUDY COMMUNITY NEEDS AND PROPOSE THE BEST SOLUTIONS. IN ADDITION, A CALL CENTER RECEIVES CALLS AND REPORTS TO THE MARKETING DEPARTMENT FOR ADDITIONAL REQUESTS FROM THE COMMUNITY. CENTRAHEALTH.COM PROVIDES CONSTANT FEEDBACK FROM THE COMMUNITY, WHICH IS ADDRESSED IMMEDIATELY. SURVEYS ARE CONDUCTED AT EVERY COMMUNITY EVENT ON WHICH THE COMMUNITY IS ABLE TO OFFER FEEDBACK.
PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRA TAKES A MULTIDISCIPLINARY APPROACH TO INFORMING OUR PATIENTS AND COMMUNITY ABOUT FINANCIAL ASSISTANCE. INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CARE 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, AN INSERT ABOUT FINANCIAL ASSISTANCE IS MAILED IN EVERY UNINSURED BILL, REFERENCING AVAILABILITY OF FINANCIAL ASSISTANCE WITH CONTACT INFORMATION ON WHERE TO OBTAIN MORE INFORMATION.
PART VI, LINE 4	COMMUNITY INFORMATION: CENTRA IS A COMPREHENSIVE HEALTH CARE SYSTEM COVERING A PRIMARY SERVICE AREA (PSA) OF THE CITIES OF LYNCHBURG AND BEDFORD, AND THE COUNTIES OF AMHERST, APPOMATTOX, BEDFORD, CAMPBELL, AND PITTSYLVANIA. CENTRAS SECONDARY SERVICE AREA (SSA) INCLUDES THE COUNTIES OF BUCKINGHAM, CHARLOTTE, HALIFAX, NELSON, AND PRINCE EDWARD. THE POPULATION FOR THE TOTAL SERVICE AREA (PSA/SSA) IS 424,099, WITH AN ETHNIC MIX OF 22.56% BLACK AND 74.54% WHITE. THE PERCENT OF THE TOTAL PSA/SSA POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS 20.39%. THE AVERAGE HOUSEHOLD INCOME IN THE TOTAL SERVICE AREA IS $43,752. THE CURRENT RATE OF PERSONS IN POVERTY IS APPROXIMATELY 16.76% FOR THIS TOTAL SERVICE AREA. CENTRA PROMOTES THE NECESSITY OF HAVING A CULTURALLY SENSITIVE WORKFORCE AND PROVIDES AN OVERVIEW OF THE POPULATION MIX FOR ORIENTATION OF NEW EMPLOYEES. CENTRA HOSTS WORKSHOPS ON CULTURAL COMPETENCE, PROVIDES REFERENCE BOOKS FOR EACH PATIENT CARE AREA AND PROVIDES A LESSON ON CULTURAL DIVERSITY AS PART OF YEARLY MANDATORY EDUCATION. THERE ARE ALSO CHAPLAINS AVAILABLE WITH EXPERIENCE AND TRAINING TO SUPPORT CLINICAL STAFF WHO MIGHT HAVE NEEDS WITH CULTURALLY SENSITIVE ISSUES.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: IN ADDITION TO HEALTH EDUCATION PROGRAMS AND RESOURCES, CENTRA USES ITS HOSPITAL-BASED DEPARTMENTS TO IMPLEMENT NEW WAYS TO IMPROVE HEALTH CARE FOR THE REGION. HERE ARE THREE EXAMPLES: (1) CENTRA STARTED THE FIRST NATIONALLY CERTIFIED PROGRAM TO HELP PEOPLE RECEIVING TREATMENT AND CANCER SURVIVORS AS THEY HEAL AND RECOVER. WITH THIS PROGRAM, CALLED STAR, CANCER PATIENTS AND SURVIVORS CAN LESSEN PAIN, WEAKNESS, FATIGUE, DEPRESSION AND MEMORY LOSS THAT CAN OCCUR WITH CANCER. (2) CENTRA ESTABLISHED ITS PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) IN THE LYNCHBURG AND FARMVILLE AREAS TO OFFER ADULTS 55 YEARS OF AGE AND OLDER MEDICAL CARE AND EDUCATION THAT ALLOWS THEM TO STAY IN THEIR OWN HOMES. WITH LONG-TERM CARE EXPERTISE GAINED THROUGH HOSPITAL-BASED CENTERS, CENTRA PROFESSIONALS FOCUS ON DISEASE PREVENTION, INTERVENTION AND WELLNESS. THE PROGRAM IS BASED ON THE KNOWLEDGE OF PROFESSIONALS WHO ADVOCATE THAT IT IS BETTER FOR SENIORS WITH CHRONIC CARE NEEDS AND THEIR FAMILIES TO BE SERVED IN THE COMMUNITY FOR AS LONG AS IT IS MEDICALLY SAFE. COMPREHENSIVE SERVICES ARE DELIVERED BY AN INTERDISCIPLINARY TEAM OF PROFESSIONALS, INCLUDING A PRIMARY CARE PHYSICIAN, REGISTERED NURSES, REHABILITATION THERAPISTS, DIETITIANS AND RECREATION/ACTIVITY STAFF. (3) CENTRA HAS LEVERAGED ITS HIGH-BANDWIDTH CONNECTIVITY ACROSS FACILITIES AND PHYSICIAN PRACTICES TO IMPROVE THE HEALTH OF THE POPULATION THROUGH THE SHARING OF MEDICAL RECORDS. WITH THIS CONNECTIVITY, CENTRA ALSO IS ABLE TO ESTABLISH A CLINICAL REPOSITORY THAT CAN BE MINED TO PERFORM TRUE POPULATION-BASED ANALYTICS.
PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: WHETHER BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES, ENHANCING HEALTH OR PROVIDING NEEDED REGIONAL PROGRAMS AND SUPPORT, CENTRA SERVES AS A KEY PARTNER IN MANAGING AND PROMOTING HEALTH CARE THROUGHOUT ITS SYSTEM TO ENSURE CARE TO THE REGIONAL COMMUNITIES IT SERVES. DISEASE PREVENTION, TREATMENT AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES TO THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND PROGRAMS, CENTRA EXPANDS ITS HOSPITAL WALLS TO OFFER NATIONAL AWARD WINNING HEALTH CARE FOR ITS PATIENTS WHILE SEEKING TO ENHANCE THE HEALTH AND WELLNESS OF RESIDENTS IN ITS SERVICE AREA. AS THE REGIONAL HEALTH CARE LEADER, CENTRA BRINGS A CONTINUOUS FLOW OF HEALTHCARE SERVICES DESIGNED TO ENSURE THAT PATIENTS RECEIVE CARE THAT MEETS THEIR IDENTIFIED NEED. PATIENT CARE ENCOMPASSES WELLNESS AND PREVENTION, RECOGNITION OF DISEASE AND HEALTH PROBLEMS, PATIENT TEACHING, PATIENT ADVOCACY, SPIRITUALITY, AND RESEARCH THROUGHOUT THE CONTINUUM. THIS CARE IS DELIVERED THROUGH ORGANIZED AND SYSTEMATIC PROCESSES DESIGNED TO ENSURE SAFE, EFFECTIVE AND TIMELY CARE AND TREATMENT. DUE TO THE WAY THE HEALTH CARE SYSTEM MANAGES CARE, CENTRA CONTINUES TO MOVE TO A HIGHER LEVEL BY EVALUATING SPECIFIC PATIENT OUTCOMES AND PARTICIPATING IN VOLUNTARY NATIONAL CERTIFICATION PROGRAMS THAT EXAMINE PROCESSES AND PROFICIENCY. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF ITS REGIONAL POPULATION AND TAKES GREAT PRIDE IN PROVIDING THE FACILITIES, RESOURCES, EXPERTISE, AND PEOPLE TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE OF CENTRAL VIRGINIA. FOR EXAMPLE, CENTRA HAS BEEN INSTRUMENTAL IN ESTABLISHING AND SUPPORTING MEDICAL CLINICS FOR THE UNDERSERVED POPULATION. THESE INCLUDE SERVICES FOR PREGNANT WOMEN AND CHILDREN WHO OTHERWISE MAY NOT RECEIVE CRITICAL PREVENTIVE CARE. CENTRA ALSO DONATES LABORATORY TESTING, RADIOLOGY SERVICES AND EQUIPMENT. MULTIDISCIPLINARY TEAMS, INCLUDING PHYSICIANS FROM CENTRA PRACTICES AND EXPERTS IN LONG-TERM CARE AND REHABILITATION, OFFER PROFESSIONAL HEALTH EDUCATION CLASSES, LECTURES, SEMINARS, HEALTH FAIRS AND HEALTH SCREENINGS. THE HEALTH CARE SYSTEM ALSO PARTNERS WITH COMMUNITY ORGANIZATIONS TO CO-SPONSOR DOZENS OF REGIONAL EVENTS. IN ADDITION, DIETITIANS, DIABETIC INSTRUCTORS AND OTHER CENTRA PROFESSIONALS PROVIDE ONE-ON-ONE HEALTH COUNSELING AND EDUCATION FOR HOSPITAL AND SYSTEM PATIENTS. THE HEALTH CARE SYSTEM OFFERS A HEALTH CARE CAREERS CAMP FOR TEENAGERS. STUDENTS GAIN HANDS-ON EXPERIENCE, ENJOY A TOUR OF THE HOSPITALS HELICOPTER AND HANGAR AND ARE EXPOSED TO MANY CAREER OPPORTUNITIES. CENTRA DISTRIBUTES A WEALTH OF PRINTED AND ONLINE HEALTH INFORMATION THROUGH ITS PUBLICATIONS, MEDIA STORIES AND INTERACTIVE WEBSITE. THIS INFORMATION IS PRODUCED SPECIFICALLY FOR THE REGIONAL POPULATION AND TO MEET IDENTIFIED NEEDS. AS THE SOLE HEALTH CARE SYSTEM IN ITS SERVICE AREA, CENTRA USES ITS HOSPITAL-BASED RESOURCES AS A VALUABLE VEHICLE FOR MANAGING AND PROMOTING HEALTH CARE AS PART OF ITS NONPROFIT MISSION.
PART VI, LINE 6	STATE FILING OF COMMUNITY BENEFIT REPORT: VA,

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
CENTRA HEALTH FOUNDATION
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541604094	501(C)(3)	$505,000	CHARITABLE CONTRIBUTION
JOHNSON HEALTH CENTER
320 FEDERAL STREET	LYNCHBURG	VA	24504	541287905	501(C)(3)	$160,000	RENTAL RENTAL CONTRIBUTION
ACADEMY OF FINE ARTS
600 MAIN STREET	LYNCHBURG	VA	24504	237061145	501(C)(3)	$25,000	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION	12th Floor
AMAZEMENT SQUARE
27 9TH STREET	LYNCHBURG	VA	24504	541713204	501(C)(3)	$60,000	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION
ALTAVISTA YMCA
PO BOX 149	ALTAVISTA	VA	24517	540895639	501(C)(3)	$45,960	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION
AMERICAN HEART ASSOCIATION
4217 PARK PLACE COURT	GLEN ALLEN	VA	23060	135613797	501(C)(3)	$15,000	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION	12th Floor
BEDFORD COMMUNITY HEALTH FOUNDATION INC
321 N BRIDGE ST	BEDFORD	VA	24523	541088024	501(C)(3)	$12,500	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION	Suite 201
BROOK HILL RETIREMENT CENTER FOR HORSES INC
7289 BELLEVUE ROAD	FOREST	VA	24551	542058686	501(C)(3)	$7,500	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION	12th Floor
CENTRAL VIRGINIA FOUNDATION FOR ECON EDUC & IMPR
2015 MEMORIAL AVENUE	LYNCHBURG	VA	24501	541255814	501(C)(3)	$50,000	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION
DIAMOND HILL BAPTIST CHURCHWELLNESS MINISTRY
1415 GRACE STREET	LYNCHBURG	VA	24504	541225949	501(C)(3)	$7,000	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION	PO BOX 1125
FREE CLINIC OF CENTRAL VIRGINIA
1016 MAIN STREET	LYNCHBURG	VA	24504	541420756	501(C)(3)	$250,000	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION
INSTITUTE FOR PUBLIC HEALTH (PITTSYLVANIA-DANVILLE
1301 CONNECTICUTE AVE	WASHINGTON	DC	20036	463039129	GOVT	$25,000	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION
JAMERSON FAMILY YMCA
801 WYNDHURST DRIVE	LYNCHBURG	VA	24502	540505924	501(C)(3)	$43,840	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION
LYNCHBURG REGIONAL AIR SHOW INC
1065 AIRPORT ROAD	LYNCHBURG	VA	24502	275044415	501(C)(3)	$15,000	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION
LYNCHBURG REGIONAL BUSINESS ALLIANCE
2015 MEMORIAL AVENUE	LYNCHBURG	VA	24501	540165020	501(C)(6)	$30,000	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION
MEDICAL SOCIETY OF VIRGINIA
2924 EMERYWOOD PARKWAY	RICHMOND	VA	23294	521394768	501(C)(3)	$10,000	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION
PITTSYLVANIA COUNTY PARKS & RECREATION
18 DEPOT STREET	CHATHAM	VA	24531	546001508	GOVT	$46,592	CHARITABLE CONTRIBUTION CHARITABLE CONTRIBUTION	PO BOX 426
UNITED WAY OF CENTRAL VIRGINIA
1010 MILLER PARK SQUARE	LYNCHBURG	VA	24501	540505923	501(C)(3)	$80,000	CHARITABLE CONTRIBUTION

Field	Value	IRS element (for citing)
Total501c3 Org	17	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	N/A	GrantTypeTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
EW TIBBS
PRESIDENT/CEO	$746,926	$186,383	$192,840	$45,784	$1,171,933	$116,363
ROBERT TONKINSON AS OF 416
TREASURER & SENIOR VP/CFO	$412,790	$26,001	$77,408	$18,234	$534,433
DAVID G GOUGH THRU 316
INTERIM TREASURER & VP FINANCE	$204,532	$21,013	$6,256	$23,496	$255,297
DAVID D ADAMS
SECRETARY & EVP/CSO	$438,299	$299,599	$45,160	$20,010	$803,068	$298,963
VERNA R SELLERS MD
DIRECTOR	$251,400	$1,032	$6,606	$4,440	$279,478		$16,000
DANIEL CAREY MD
SVP/CHIEF MEDICAL OFFICER	$444,186	$36,300	$91,376	$31,412	$603,274	$16,252
MICHAEL I ELLIOTT
SVP/CHIEF OPERATING OFFICER	$276,885	$13,632	$49,688	$26,845	$379,550		$12,500
PATTI S MCCUE THRU 1016
SVP/CHIEF NURSING OFFICER	$234,247	$122,306	$7,572	$10,612	$374,737	$48,375
JANICE H WALKER
SVP/CHIEF ADMIN OFFICER	$280,580	$145,630	$28,541	$20,549	$475,300	$144,572
WILLIAM BASS
SVP/COMMUNITY HOSPITAL & RMC	$275,831	$34,986	$7,415	$18,978	$337,210	$28,039
AUDREY E GRAHAM MD
MD: MAMMOGRAPHY	$807,543	$19,260	$7,950	$19,694	$882,947		$28,500
MATTHEW C SACKETT MD
MD: CARDIOVASCULAR	$691,433	$19,233	$7,950	$40,262	$793,878		$35,000
KENNETH SAUM MD
MD: CARDIOVASCULAR	$608,778	$41,193	$7,950	$13,178	$746,099		$75,000
CHAD HOYT MD
MD: CARDIOVASCULAR	$596,062	$19,107	$7,950	$45,784	$708,903		$40,000
RICHARD KUK MD
MD: CARDIOVASCULAR	$595,004	$18,720	$7,950	$33,450	$687,624		$32,500

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4A:

PATTI MCCUE, FORMER CENTRA HEALTH SENIOR VP & CHIEF NURSING OFFICER RECEIVED SEVERANCE PAYMENT DURING 2016 IN THE AMOUNT OF $55,308.

SCHEDULE J, PART I, LINE 4B:

THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2016. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT ROBERT TONKINSON SR VP & CFO - PATTI MCCUE SR VP & CNO 48,375 DAVID ADAMS EXECUTIVE VP & CSO 298,963 EW TIBBS PRESIDENT & CEO 116,363 JANICE WALKER SR VP & CHIEF ADMIN OFFICER 144,572 DANIEL CAREY SR VP & CMO 16,252 MICHAEL ELLIOTT SR VP & COO - WILLIAM BASS VP COMMUNITY HOSP & REG CTR 28,039 -------------- 652,564 ============== THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2016. NAME TITLE AMOUNT OF DEFERRAL ROBERT TONKINSON SR VP & CFO 70,139 PATTI MCCUE SR VP & CNO - DAVID ADAMS EXECUTIVE VP & CSO 37,210 EW TIBBS PRESIDENT & CEO 184,890 JANICE WALKER SR VP & CHIEF ADMIN OFFICER 20,591 DANIEL CAREY SR VP & CMO 83,426 MICHAEL ELLIOTT SR VP & COO 41,738 WILLIAM BASS VP COMMUNITY HOSP & REG CTR - ----------- 437,994 ===========

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ECONOMIC DEVEL AUTH OF CITY OF LYNCHBURG VA
A	541225193	999999999	2010-12-17	$30,000,000	NEW CONSTRUCTION & EQUIPMENT: 2010	false	false	false
INDUSTRIAL DEVEL AUTH OF COUNTY OF CAMPBELL VA
B	521309406	999999999	2007-04-27	$7,500,000	NEW CONSTRUCTION: COUNTY OF CAMPBE	false	false	false
INDUSTRIAL DEVEL AUTHO OF THE TOWN OF AMHERST
C	541804155	999999999	2007-06-29	$8,000,000	NEW CONSTRUCTION (TOWN OF AMHERST)	false	false	false
ECONOMIC DEVEL AUTH OF COUNTY OF APPOMATTOX
D	541864523	999999999	2007-11-29	$7,500,000	NEW CONSTRUCTION (COUNTY OF APPOMA	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$10,739,554	$0	$30,223,487	$0	$0	$0	$185,914	$0	$0	$30,037,573	$0	$0	2013	false	false	Yes (true)	Yes (true)
B	$2,764,536	$0	$7,500,000	$0	$0	$0	$50,000	$0	$0	$7,450,000	$0	$0	2008	false	false	Yes (true)	Yes (true)
C	$2,950,301	$0	$8,000,000	$0	$0	$0	$60,000	$0	$0	$7,940,000	$0	$0	2008	false	false	Yes (true)	Yes (true)
D	$2,593,049	$0	$7,500,000	$0	$0	$0	$60,000	$0	$0	$7,440,000	$0	$0	2007	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false		false	false	false	false	Yes (true)
C	false	false	false		false	false	false	false	Yes (true)
D	false	false	false		false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BRANCH BANKING & TRU
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	7.	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	Yes (true)	Yes (true)	false				false	0	false	Yes (true)
0
C	false	false	Yes (true)	Yes (true)	Yes (true)	false				false	0	false	Yes (true)
0
D	false	false	Yes (true)	Yes (true)	Yes (true)	false				false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE K, PART II, LINE 3

1. ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA BOND ISSUE PRICE: $30,000,000 TOTAL PROCEEDS OF ISSUE INCLUDES: INTEREST EARNINGS 2. 2004 SERIES B, C, F BONDS ISSUE PRICE: $126,425,000 TOTAL PROCEEDS OF ISSUE INCLUDES: INTEREST EARNINGS

SCHEDULE K, PART IV, LINE 2C

CENTRA HEALTH SERIES 2004 B, C, F BONDS: A REBATE CALCULATION WAS PERFORMED ON APRIL 8, 2009 FOR THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL AUCTION RATE SECURITIES REFUNDING REVENUE BONDS. NO FURTHER CALCULATIONS SHOULD BE REQUIRED FOR THIS SERIES 2004 B, C, F BOND ISSUE. CENTRA HEALTH SERIES 2004 A, D, E, BONDS: A REBATE CALCULATION WAS PERFORMED ON APRIL 23, 2010 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL VARIABLE RATE REVENUE BONDS. NO FURTHER CALCULATIONS SHOULD BE REQUIRED FOR THIS SERIES 2004 A, D & E REISSUED BONDS. CENTRA HEALTH SERIES 2010 BOND: A REBATE CALCULATION WAS PERFORMED ON JUNE 10, 2016 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VIRGINIA, HOSPITAL REVENUE BOND. NO FURTHER CALCULATIONS SHOULD BE REQUIRED FOR THIS SERIES 2010 BOND ISSUE. CENTRA HEALTH SERIES 2007 APPOMATTOX COUNTY, VA BOND: A REBATE CALCULATION WAS PERFORMED ON JANUARY 31, 2013 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF COUNTY OF APPOMATTOX, VA HEALTH CARE FACILITIES REVENUE BOND. NO FURTHER CALCULATIONS SHOULD BE REQUIRED FOR THE SERIES 2007 APPOMATTOX COUNTY, VA BOND. CENTRA HEALTH SERIES 2007 CAMPBELL COUNTY, VA BOND: A REBATE CALCULATION WAS PERFORMED ON JANUARY 31, 2013 FOR THE INDUSTRIAL DEVELOPMENT AUTHORITY OF COUNTY OF CAMPBELL, VA, HEALTH CARE FACILITIES REVENUE BOND. NO FURTHER CALCULATIONS SHOULD BE REQUIRED FOR THE SERIES 2007 CAMPBELL COUNTY, VA BOND. CENTRA HEALTH SERICE 2007 TOWN OF AMHERST, VA BOND: A REBATE CALCULATION WAS PERFORMED ON JANUARY 31, 2013 FOR THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE TOWN OF AMHERST, VA HEALTH CARE FACILITIES REVENUE BOND. NO FURTHER CALCULATIONS SHOULD BE REQUIRED FOR THE SERIES 2007 TOWN OF AMHERST, VA BOND.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
INDUSTRIAL DEVEL AUTH OF CITY OF LYNCHBURG VA
A	541225193	551245GN7	2004-12-08	$126,425,000	2004 B,C,F BONDS:NEW CONST./ CURRE	false	false	false
INDUSTRIAL DEVEL AUTH OF CITY OF LYNCHBURG VA
B	541225193	551245HA4	2009-09-29	$78,950,000	2004 A,D,E BONDS: CURRENT REFUNDIN	false	false	false
ECONOMIC DEVEL AUTH OF CITY OF LYNCHBURG VA
C	541225193	999999999	2014-09-10	$79,895,000	2014 A, B BONDS: NEW CONSTRUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$48,898,243	$0	$129,698,243	$0	$10,049,028	$0	$905,203	$3,198,000	$0	$101,772,759	$10,500,010	$0	2007	Yes (true)	false	Yes (true)	Yes (true)
B	$14,175,000	$0	$78,950,000	$0	$0	$0	$0	$0	$0	$0	$78,950,000	$0	2007	Yes (true)	false	Yes (true)	Yes (true)
C	$0	$0	$79,895,000	$0	$0	$0	$443,536	$0	$64,611,257	$0	$0	$14,840,207		false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
DEUTSCHE BANK
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	30.	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	Yes (true)	Yes (true)	false				false	0	false	Yes (true)
0
C	false	Yes (true)	Yes (true)	false	false	false				false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SAMUEL GERSTEMEIER
SEE PART V	$48,739	SEE PART V	false
MARK A MCKINNEY
SEE PART V	$120,917	SEE PART V	false
JACK E WALKER
SEE PART V	$87,268	SEE PART V	false
CHRISTOPHER B ELLIOTT
SEE PART V	$21,174	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: SAMUEL GERSTEMEIER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF E.W. TIBBS, OFFICER OF CENTRA HEALTH, INC. (C) AMOUNT OF TRANSACTION: $48,739 (D) DESCRIPTION OF TRANSACTION: COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. (E) SHARING OF ORGANIZATION REVENUES?: NO (A) NAME OF PERSON: MARK A. MCKINNEY (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF E.W. TIBBS, OFFICER OF CENTRA HEALTH, INC. (C) AMOUNT OF TRANSACTION: $120,917 (D) DESCRIPTION OF TRANSACTION: COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. (E) SHARING OF ORGANIZATION REVENUES?: NO (A) NAME OF PERSON: JACK E. WALKER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JANICE H. WALKER, KEY EMPLOYEE OF CENTRA HEALTH, INC. (C) AMOUNT OF TRANSACTION: $87,268 (D) DESCRIPTION OF TRANSACTION: COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. (E) SHARING OF ORGANIZATION REVENUES?: NO (A) NAME OF PERSON: CHRISTOPHER B. ELLIOTT (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF MICHAEL I. ELLIOTT, KEY EMPLOYEE OF CENTRA HEALTH, INC. (C) AMOUNT OF TRANSACTION: $21,174 (D) DESCRIPTION OF TRANSACTION: COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. (E) SHARING OF ORGANIZATION REVENUES?: NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a	AS THE REGIONAL HEALTH CARE LEADER, CENTRAS COMMITMENT TO THE CENTRAL VIRGINIA REGION EXTENDS FAR BEYOND THE WALLS OF ITS HEALTH SYSTEM FACILITIES. CENTRA HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR DECADES, AND HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. HOWEVER, JUST AS IMPORTANT IS CENTRAS COMMITMENT AND DEDICATION TO SERVING AS A PARTNER IN THE REGIONAL COMMUNITIES. DISEASE PREVENTION AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES THROUGHOUT THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND EDUCATIONAL PROGRAMS, CENTRA IS COMMITTED TO PROVIDING THE BEST HEALTH CARE FOR ITS PATIENTS AND IMPROVING THE HEALTH AND WELLNESS OF ALL THE RESIDENTS OF CENTRAL VIRGINIA. CENTRAS COMMUNITY EVENTS, OFFERED IN COLLABORATION WITH THE CENTRA HEALTH FOUNDATION AND THE CENTRA MEDICAL STAFF, IS JUST ONE EXAMPLE OF CENTRAS MANY SERVICES TO THE COMMUNITY. IN ADDITION, CENTRA EMPLOYEES DEDICATE THEMSELVES TO IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY BY TAKING AN ACTIVE ROLE IN THE REGION, FROM VOLUNTEERING FOR LOCAL BOARDS AND CIVIC AND COMMUNITY ORGANIZATIONS TO PARTICIPATING IN COMMUNITY EVENTS AND STAFFING HEALTH AND WELLNESS FAIRS. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF THE REGION AND TAKES GREAT PRIDE IN PROVIDING FACILITIES, RESOURCES AND EXPERTISE TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE THROUGHOUT CENTRAL VIRGINIA. IN 2016, CENTRA HELD MANY NATIONAL AWARDS AND ACCOLADES, SUCH AS: -THE AMERICAN NURSES CREDENTIALING CENTER HAS RE-DESIGNATED CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS AS MAGNET FACILITIES FOR THE SECOND TIME AND CENTRA MEDICAL GROUP HAS BEEN DESIGNATED FOR THE FIRST TIME. MAGNET RECOGNIZES EXCELLENCE IN NURSING. CENTRA WAS THE FIRST HEALTHCARE SYSTEM IN CENTRAL VIRGINIA TO ACHIEVE MAGNET STATUS IN 2005. -CENTRA LYNCHBURG GENERAL, SOUTHSIDE COMMUNITY AND VIRGINIA BAPTIST HOSPITALS ARE THREE OF THE TOP 100 MOST WIRED HOSPITALS IN THE COUNTRY, PER HOSPITALS & HEALTH NETWORKS MAGAZINE. CENTRA HAS ALSO RECEIVED A NATIONAL VIP AWARD FROM MCKESSON TECHNOLOGY SOLUTIONS FOR ITS USE OF INFORMATION TECHNOLOGY TO ACHIEVE OUTSTANDING RESULTS IN HEALTH CARE DELIVERY. -CENTRAS ALAN B. PEARSON REGIONAL CANCER CENTER RECEIVED THE ADVANCED CERTIFICATION FOR PALLIATIVE CARE FROM THE JOINT COMMISSION. PALLIATIVE CARE IS SPECIALIZED MEDICAL CARE FOCUSED ON PROVIDING PATIENTS WITH RELIEF FROM SYMPTOMS, PAIN, AND STRESS OF A SERIOUS ILLNESS WHATEVER THE DIAGNOSIS. THE GOAL IS TO IMPROVE QUALITY OF LIFE FOR BOTH THE PATIENT AND THE FAMILY. -CENTRA'S BREAST IMAGING CENTER HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ARC) FOR ITS DEDICATION TO IMPROVING WOMEN'S HEALTH AND FOR BEING FULLY ACCREDITED BY THE ARC IN MAMMOGRAPHY, BIOPSY, MRI, AND ULTRASOUND. -CENTRA HAS RECEIVED ACCREDITATION FOR ITS TREATMENT OF ACUTE MYOCARDIAL INFARCTION (HEART ATTACK) AND CHEST PAIN PATIENTS FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE (SCPC). THE NATIONAL ACCREDITATION ONCE AGAIN SHOWS THAT CENTRA EXCEEDS NATIONAL STANDARDS AND GUIDELINES THAT BRING HEART ATTACK CARE EXCELLENCE. -CENTRA HAS RECEIVED DISEASE SPECIFIC CERTIFICATION FOR CONGESTIVE HEART FAILURE FROM THE JOINT COMMISSION. THE NATIONAL CERTIFICATION SHOWS THAT CENTRA EXCEEDS NATIONAL STANDARDS AND GUIDELINES TO IMPLEMENT PROCESSES TO IMPROVE PATIENT OUTCOMES AND EXCELLENT TRANSITIONAL CARE. -CENTRA LYNCHBURG GENERAL HOSPITAL HAS AGAIN EARNED THE JOINT COMMISSION'S NATIONAL CERTIFICATE OF DISTINCTION FOR PRIMARY STROKE CENTERS AND WAS THE FIRST HOSPITAL IN CENTRAL, SOUTHERN, AND WESTERN VIRGINIA TO EARN THIS HONOR IN 2010. -CENTRAS LYNCHBURG HEMATOLOGY ONCOLOGY CENTER, LOCATED WITHIN THE CENTRA ALAN B. PEARSON REGIONAL CANCER CENTER, HAS RECEIVED QUALITY ONCOLOGY PRACTICE INITIATIVE (QOPI) CERTIFICATION FROM THE QOPI CERTIFICATION PROGRAM WHICH RECOGNIZES THIS PRACTICE IS COMMITTED TO DELIVERING THE HIGHEST QUALITY OF CANCER CARE. THIS CERTIFICATION VALIDATES PROCESSES THAT DEMONSTRATE A PRACTICES COMMITMENT TO QUALITY FOR PATIENTS, PAYERS, AND THE MEDICAL COMMUNITY. IN 2011, THIS PRACTICE WAS ONE OF THE FIRST FIVE CENTERS TO EARN QOPI CERTIFICATION. -CENTRA CANCER CARE SERVICES HAS AGAIN EARNED A THREE-YEAR FULL ACCREDITATION WITH COMMENDATION AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. -THE CENTRA JOINT REPLACEMENT CENTER HAS EARNED CERTIFICATION OF THE TOTAL KNEE AND TOTAL HIP REPLACEMENT PROGRAM. ITS TOTAL HIP AND TOTAL KNEE REPLACEMENT PROGRAMS ARE NATIONALLY CERTIFIED BY THE JOINT COMMISSION. -THE CENTRA COLLEGE OF NURSING MAINTAINS THEIR APPROVAL AND CERTIFICATION OF THE COLLEGE OF NURSING BY THE VIRGINIA BOARD OF NURSING AND IS CERTIFIED TO OPERATE BY THE STATE COUNCIL OF HIGHER EDUCATION AND IS A MEMBER OF THE NATIONAL ORGANIZATION FOR ASSOCIATE DEGREE IN NURSING. -CENTRA LYNCHBURG GENERAL HOSPITAL IS A LEVEL II TRAUMA CENTER, OFFERING 24-HOUR, COMPREHENSIVE EMERGENCY CARE AND TRANSPORTATION SERVICES, INCLUDING AIR MEDICAL TRANSPORT BY THE STATE-OF-THE-ART HELICOPTER, CENTRA ONE. -CENTRA'S INTERMEDIATE CARE UNIT NURSING TEAM IS THE FIRST IN VIRGINIA TO RECEIVE THE BEACON AWARD FOR QUALITY OF CARE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES. -CENTRA LYNCHBURG GENERAL HOSPITAL RECEIVED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATIONS MAP AWARD FOR HIGH PERFORMANCE IN REVENUE CYCLE. AS A NATIONAL AWARD WINNER, CENTRA LYNCHBURG GENERAL HOSPITAL HAS MET STRINGENT EVALUATION CRITERIA ADDRESSING CRITICAL PERFORMANCE FACTORS SUCH AS REVENUE CYCLE PROCESSES, FINANCIAL PERFORMANCE, INNOVATION, ADOPTION OF PATIENT FRIENDLY BILLING PRINCIPLES, AND PATIENT SATISFACTION. -CENTRA HEALTHS RIVERMONT SCHOOLS HAVE RECEIVED ADVANCED ACCREDITATION. ADVANCED IS THE LARGEST COMMUNITY OF EDUCATON PROFESSIONALS IN THE WORLD WHO CONDUCT RIGOROUS, ON-SITE EXTERNAL REVIEWS OF PREK-12 SCHOOLS AND SCHOOL SYSTEMS TO ENSURE THAT ALL LEARNERS REALIZE THEIR FULL POTENTIAL. THEY COMBINE THE KNOWLEDGE AND EXPERTISE OF A RESEARCH INSTITUTE, THE SKILLS OF A MANAGEMENT CONSULTING FIRM AND THE PASSION OF A GRASSROOTS MOVEMENT FOR EDUCATIONAL CHANGE, SERVING 32,000 SCHOOLS AND SCHOOL SYSTEMS ACROSS THE UNITED STATES AND 70 OTHER NATIONS. THEY CELEBRATED 30 YEARS OF PROVIDING EDUCATION TO THE COMMUNITIES THIS YEAR. -CENTRA HOME HEALTH WAS THE HHCAHPS HONORS ELITE RECIPIENT IN 2016. HHCAHPS HONORS IS A LANDMARK COMPILATION OF HOME HEALTH AGENCIES PROVIDING THE BEST PATIENT EXPERIENCE. ESTABLISHED BY DEYTA ANALYTICS, THIS PRESTIGIOUS ANNUAL REVIEW RECOGNIZES AGENCIES THAT CONTINUOUSLY PROVIDE QUALITY CARE AS MEASURED FROM THE PATIENTS POINT OF VIEW. -CENTRA STROOBANTS HEART CENTER HAS BEEN AWARDED A HIGH RATING BY THE SOCIETY OF THORACIC SURGEON FOR QUALITY IN CARDIAC SURGERY. CENTRA IS THE ONLY HEALTH CARE SYSTEM IN VIRGINIA TO HAVE RECEIVED THIS AWARD EVERY YEAR SINCE ITS INCEPTION. -CENTRA LYNCHBURG GENERAL HOSPITAL HAS RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES- STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD WHICH RECOGNIZES THE COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE BY ENSURING THAT STROKE PATIENTS RECEIVE TREATMENT PER NATIONALLY ACCEPTED STANDARDS AND RECOMMENDATIONS. -FOR THE SIXTH CONSECUTIVE YEAR, CENTRA HOME HEALTH HAS BEEN NAMED TO THE HOMECARE ELITE, A COMPILATION OF THE TOP-PERFORMING HOME HEALTH AGENCIES IN THE NATION FOR QUALITY CARE.
2016 COMMUNITY BENEFIT HIGHLIGHTS	-CENTRA CONTINUES TO CONTRIBUTE MILLIONS OF DOLLARS TOWARD UNPAID COST OF PATIENT CARE, INCLUDING, BUT NOT LIMITED TO: -TRADITIONAL CHARITY CARE INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2016, $39,652,466 OF CHARGES AT AN ESTIMATED COST OF $17,078,407 WAS PROVIDED TO PATIENTS OF CENTRA. THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY ASSISTANCE FOCUSES ON INCOME LEVELS SET BY THE STATE OF VIRGINIA. THESE POLICIES CALL FOR PROVIDING CARE FREE OF CHARGE TO PATIENTS WHO DEMONSTRATE A FAMILY INCOME BELOW OR EQUAL TO 200 PERCENT OF THE STATE APPROVED POVERTY GUIDELINE. PATIENTS WHO HAVE A FAMILY INCOME OF GREATER THAN 200 PERCENT TO 400 PERCENT OF THE POVERTY LEVEL ARE ELIGIBLE FOR PARTIAL ASSISTANCE BASED ON A DISCOUNT SCHEDULE THAT CONSIDERS BOTH FAMILY GROSS INCOME AND ACCOUNT BALANCE. ASSISTANCE IS PROVIDED BY CENTRA AND FROM INDIGENT FUNDS MADE AVAILABLE BY CENTRA HEALTH FOUNDATION. -THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATIONS REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THEREFORE, THE UNREIMBURSED CALCULATED COSTS OF CARE RENDERED TO MEDICARE PATIENTS TOTALED $12,384,456 IN 2016. -UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS TOTALED $15,824,654 IN 2016. COMMUNITY EDUCATION & HEALTH SCREENINGS -CENTRAL VIRGINIANS BENEFIT FROM QUALITY HEALTH EDUCATION OPPORTUNITIES AND SCREENINGS, THANKS TO THE PARTNERSHIP BETWEEN CENTRA AND THE CENTRA HEALTH FOUNDATION. INCLUDED BELOW IS A LIST OF SELECTED ACCOMPLISHMENTS AND COMMUNITY SUPPORT CENTRA PROVIDED IN 2016 AS A COMMUNITY PARTNER. CENTRA EMPLOYEES CONTINUALLY OFFER PROFESSIONAL HEALTH EDUCATION PROGRAMS, CLASSES, LECTURES, SEMINARS, HEALTH FAIRS AND HEALTH SCREENINGS THROUGHOUT THE REGION. IN ADDITION, DIETITIANS, DIABETIC INSTRUCTORS AND MANY OTHER PROFESSIONALS AT CENTRA PROVIDE 'ONE-ON-ONE' PERSONALIZED EDUCATION. IN 2016, OVER 440 HEALTH EDUCATION PROGRAMS AND HEALTH FAIRS REACHED MORE THAN 26,000 INDIVIDUALS WITHIN THE COMMUNITY. KNITTING CLASSES THIS PROGRAM OFFERS CANCER PATIENTS, CAREGIVERS, AND OTHERS AFFECTED BY CANCER THE OPPORTUNITY TO LEARN THE ART OF KNITTING AND CROCHETING. THE OBJECTIVE OF THE CLASS IS TO PROVIDE WAYS TO PASS TIME DURING TREATMENTS, TO CREATE DONATIONS FOR PATIENTS, AND A PLACE TO BUILD A SUPPORT GROUP THAT MEETS REGULARLY SO THAT PARTICIPANTS HAVE AN EASY WAY TO CONNECT AND BUILD RELATIONSHIPS. NUTRITION CLASSES, COOKING DEMONSTRATIONS, FREE FARMERS MARKET THESE PROGRAMS OFFER A UNIQUE OPPORTUNITY TO ACQUIRE KNOWLEDGE ABOUT THE LINK BETWEEN DIET AND CANCER, EXPERIENCE THE BENEFITS OF PLANT-BASED NUTRITION, AND LEARN THE PRACTICAL COOKING SKILLS NEEDED TO HELP YOU ON YOUR JOURNEY TO BETTER HEALTH. IN THE CLASSES, ATTENDEES DO ALL OF THIS WHILE ENJOYING A COOKING DEMONSTRATION AND TASTING DELICIOUS, HEALTHFUL DISHES. ART CLASSES THESE ART CLASSES ARE BEING OFFERED TO CANCER PATIENTS AS A FORM OF THERAPY. ART IS USED TO ASSIST CANCER PATIENTS TO USE THE CREATIVE SIDE OF THE BRAIN. IT IS BELIEVED IN THE MEDICAL WORLD THAT A CREATIVE ACTIVITY PROMOTES HEALING. YOGA AND TAI CHI EXERCISE CLASSES YOGA AND TAI CHI CAN HELP PATIENTS CENTER THEIR THOUGHTS AND MAINTAIN FLEXIBILITY, BUT ALSO HAS BENEFITS SPECIFICALLY FOR PEOPLE LIVING WITH CANCER. SYMPTOMS OF FATIGUE, INSOMNIA, AND PAIN CAN ALL LOWER YOUR QUALITY OF LIFE WITH CANCER. IN RECENT YEARS, THE USE OF YOGA AND TAI CHI HAVE BEEN EVALUATED IN MANY STUDIES LOOKING AT CANCER SYMPTOMS. MINDFUL MEDITATION CLASSES MINDFUL MEDITATION CLASSES CONSIST SIMPLY OF BEING AWARE OF THE PRESENT MOMENT. NEGATIVE REACTIONS TO PAIN- SUCH AS FEAR OR ANGER- ACTUALLY CAN MAKE PAIN WORSE. MINDFULNESS TEACHES ONE TO OBSERVE THOUGHTS AND FEELINGS INSTEAD OF REACTING TO THEM, SO YOU'LL LEARN TO EXPERIENCE PAIN/STRESS AS A MOMENT-TO-MOMENT SENSATION, WHICH THEN LESSENS THE INTENSITY. RESEARCH SHOWS MINDFULNESS-BASED STRESS REDUCTION TECHNIQUES CAN REDUCE CHRONIC PAIN AND ANXIETY AND INCREASE VITALITY. MUSIC THERAPY MANY PEOPLE FIND LISTENING TO MUSIC RELAXING, SOOTHING, AND ENJOYABLE. FOR CANCER PATIENTS, IT ALSO CAN BE A WAY TO COPE WITH SOME OF THE SYMPTOMS OF THEIR DISEASE AND SIDE EFFECTS OF THEIR TREATMENT. NEW RESEARCH SUPPORTS LISTENING TO RECORDED MUSIC, AS WELL AS MUSIC THERAPY, TO IMPROVE ANXIETY, PAIN, MOOD, QUALITY OF LIFE, HEART RATE, RESPIRATORY RATE, AND BLOOD PRESSURE IN CANCER PATIENTS. CARDIAC EDUCATION AND SCREENINGS VARIOUS PROGRAMS WITHIN THE STROOBANTS HEART CENTER OFFER MEMBERS OF THE COMMUNITY FREE EDUCATION, SCREENINGS AND LECTURES. HEARTAWARE AN ONLINE RISK ASSESSMENT WAS LAUNCHED ON THE CENTRA WEBSITE IN 2010. THROUGH HEARTAWARE, MEMBERS OF THE COMMUNITY ARE ABLE TO TAKE THE FREE ASSESSMENT TO DETERMINE THEIR INDIVIDUAL RISK OF DEVELOPING HEART DISEASE. THEIR RISKS ARE EVALUATED BY CARDIAC NURSES THAT DETERMINE A PLAN OF ACTION TO LOWER OR ELIMINATE THESE RISKS. ALONG WITH HEARTAWARE, COMMUNITY EVENTS, HEALTH FAIRS, LECTURES, BLOOD PRESSURE AND CHOLESTEROL SCREENINGS ARE AN EFFECTIVE APPROACH TO RAISING AWARENESS AND COMBATING HEART DISEASE. OTHER ONLINE WELLNESS ASSESSMENTS IN ADDITION TO THE HEARTAWARE ONLINE RISK ASSESSMENT, CENTRA ALSO HAS FOUR OTHER FREE ONLINE RISK ASSESSMENTS WHICH ARE LOCATED ON CENTRA HEALTHS WEBSITE. THE COMMUNITY CAN LOCATE THESE ASSESSMENTS BY GOING TO WWW.CENTRAHEALTH.COM AND SELECTING "WELLNESS" ON THE TOP TAB. THESE ASSESSEMENTS ARE: - LUNGAWARE TO ASSESS THE RISK OF LUNG DISEASE - PAD AWARE TO ASSESS THE RISK OF PERIPHERAL ARTERY DISEASE - DIABETESAWARE TO ASSESS THE RISK OF DIABETES - SLEEPAWARE TO ASSESS THE RISK OF OBSTRUCTIVE SLEEP DISORDER BE TOBACCO FREE CLINIC CENTRA HEALTHS PULMONARY REHABILITATION PROGRAM OFFERS FREE ONE HOUR BE TOBACCO FREE PROGRAMS MONTHLY FOR PEOPLE CONSIDERING A TOBACCO-FREE LIFE, WHETHER ITS SMOKING OR CHEWING TOBACCO. DURING 2016, 25 INDIVIDUALS PARTICIPATED. ADDITIONALLY, DURING 2016, WE BROUGHT THE BE TOBACCO FREE CLINIC TO AMERICAN NATIONAL UNIVERSITY AND REACHED APPROXIMATELY 60 INDIVIDUALS THIS WAY. WE COORDINATED THE GREAT AMERICAN SMOKE OUT AT OUR LOCAL HOSPITALS IN ORDER TO HELP THE PUBLIC, PATIENTS, AND EMPLOYEES QUIT USING TOBACCO. WE WERE ABLE TO REACH 160 INDIVIDUALS DURING THIS PROGRAM. LASTLY, WE GAVE A PRESENTATION ON VAPING TO THE HEALTHY PEOPLE THROUGH PREVENTION & EDUCATION COALITION (HiPE) COALITION CONSISTING OF APPROXIMATELY 15 INDIVIDUALS FROM CAMPBELL COUNTY PREVENTION, LYNCHBURG HEALTH DEPT., HUMANKIND, WSET, AND THE JUBILEE FAMILY CENTER. HEALTH SCREENINGS AND COMMUNITY HEALTH EDUCATION CENTRA PROVIDES SPONSORSHIP AND SUPPORT OF COMMUNITY HEALTH EDUCATION AND HEALTH SCREENING PROGRAMS. HEALTH AND WELLNESS TOPICS SPAN THE HEALTH AND WELLNESS CONTINUUM, ADDRESSING BOTH WELLNESS AND DISEASE-RELATED ISSUES. HEALTH SCREENINGS PROVIDED THROUGHOUT THE REGION INCLUDE BLOOD SUGAR, CHOLESTEROL, BODY FAT PERCENTAGE, PULMONARY FUNCTION, PSA FOR PROSTATE CANCER, SKIN AND COLORECTAL CANCER, BLOOD PRESSURE SCREENINGS AND OSTEOPOROSIS SCREENINGS. SLEEP DISORDERS CENTER OUTREACH THE SLEEP DISORDERS CENTER AT VIRGINIA BAPTIST HOSPITAL AND THE FOREST SLEEP CENTER PARTICIPATED IN NUMEROUS HEALTH FAIRS AT LOCAL BUSINESSES AND CHURCHES IN THE COMMUNITY. STAFF MEMBERS GAVE LECTURES AND PRESENTATIONS ON SLEEP DISORDERS. PRESENTATIONS INCLUDED INFORMATION RELATED TO HEALTHY SLEEP HABITS, THE IMPORTANCE OF SLEEP, HEALTH RISKS DUE TO SLEEP DISORDERS AND TREATMENT OPTIONS. KOMEN VOLUNTEER PROGRAM THE KOMEN VOLUNTEER PROGRAM IS A VERY IMPORTANT PART OF THE ONCOLOGY BREAST NAVIGATION PROGRAM AT CENTRA. THE PROGRAM TARGETS THE UNDERSERVED IN LYNCHBURG AND THE SURROUNDING COUNTIES. AS PART OF THE PROGRAM, KOMEN TRAINED VOLUNTEER EDUCATORS, CENTRAS COMMUNITY LIAISON, HEALTH PROMOTION INTERNS/STUDENTS, AND ONCOLOGY REGISTERED NURSES (BREAST NAVIGATORS) PROVIDE BREAST HEALTH EDUCATION TO WOMEN IN COMMUNITY SETTINGS. IN 2016, A TOTAL OF 1,792 INDIVIDUALS WERE REACHED THROUGH THIS PROGRAM. ALSO, 246 VOUCHERS FOR DIAGNOSTIC BREAST SERVICES WERE PROVIDED TO AREA PHYSICIANS TO GIVE TO THEIR UNINSURED AND/OR UNDERINSURED PATIENTS WITH FINANCIAL NEEDS DURING 2016. COMMUNITY CLASSES IN ADDITION TO FREE SCREENINGS, SUPPORT GROUPS AND COMMUNITY OUTREACH, CENTRA ALSO PROVIDED EDUCATIONAL CLASSES TO THE COMMUNITY ON A BROAD RANGE OF HEALTH AND WELLNESS TOPICS. CLASSES INCLUDE, BUT ARE NOT LIMITED TO, FAMILY EMERGENCY CARE (CPR), CHILDBIRTH, BABY CARE, INFANT MASSAGE, BREAST-FEEDING, PUBERTY, SAFE SITTER, NEW SIBLING CLASSES, DIABETES, WEIGHT MANAGEMENT, SMOKING CESSATION, DEPRESSION, HEART DISEASE, SURVIVORSHIP.
SUPPORT GROUPS	SUPPORT GROUPS-OFFERED TO THE COMMUNITY WITHOUT CHARGE-PROVIDE A FORUM FOR EDUCATION AND THE EXCHANGE OF IDEAS. THESE GROUPS ADDRESS AN ARRAY OF ISSUES INCLUDING BEREAVEMENT, BREAST CANCER, PROSTATE CANCER, SLEEP DISORDERS AND CARDIAC REHABILITATION. ISSUES INCLUDING BEREAVEMENT, BREAST CANCER, PROSTATE CANCER, SLEEP DISORDERS AND CARDIAC REHABILITATION. BEREAVEMENT SUPPORT GROUPS IN 2016, THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED FOUR GRIEF SUPPORT GROUP SERIES, ENTITLED, "A JOURNEY TOWARD HOPE AND HEALING." THE SIX, SIX-WEEK SERIES PROVIDED AN INTERDISCIPLINARY AND HOLISTIC EDUCATIONAL AND SUPPORTIVE GROUP FORMAT, WITH THE HOSPICE MEDICAL DIRECTOR, HOSPICE CLINICAL SOCIAL WORKERS, AND HOSPICE CHAPLAINS SERVING AS FEATURED SPEAKERS. THE MULTI-SESSION GROUPS WERE HELD FOR AN HOUR-AND-A-HALF. THE SERIES WERE OFFERED EITHER IN THE EVENING OR IN THE DAYTIME TO ACCOMMODATE PARTICIPANTS LIFE SCHEDULES. TWENTY-FOUR PERSONS ATTENDED A GRIEF SUPPORT GROUP SERIES IN 2016. THE GRIEF SUPPORT GROUP SERIES ARE FREE AND OPEN TO THE COMMUNITY-AT-LARGE, AS WELL AS TO FAMILY MEMBERS OF PERSONS SERVED BY HOSPICE. THE CENTRA HOSPICE BEREAVEMENT PROGRAM ALSO OFFERED A GRIEF AND THE HOLIDAYS PROGRAM AT FOUR DIFFERENT VENUES/LOCATIONS (LYNCHBURG, AMHERST, FARMVILLE, AND APPOMATTOX), AS WELL AS TIMES, TO BETTER REACH THE RURAL COMMUNITY WE SERVE AND TO ACCOMMODATE PARTICIPANTS LIFE SCHEDULES. FORTY PERSONS ATTENDED THE PROGRAMS WHICH WERE FACILITATED BY MARTHA GUNTER, CENTRA HOSPICE BEREAVEMENT COORDINATOR (WHO IS A LICENSED PROFESSIONAL COUNSELOR), DEBRAH ZUERCHER, CENTRA HOSPICE CHAPLAIN, AND ELAINE TOLA, CENTRA HOSPICE CHAPLAIN. THE GRIEF AND THE HOLIDAYS PROGRAMS WERE FREE AND OPEN TO THE COMMUNITY-AT-LARGE, AS WELL AS FAMILY MEMBERS OF PERSONS SERVED BY HOSPICE. THEY WERE ADVERTISED THROUGH PRINT, MASS MAILING, LOCAL NEWSPAPERS, AND ELECTRONIC MEDIA. THIS PROGRAM PROVIDES SUPPORT TO THE COMMUNITY, AS WELL. MARTHA GUNTER, WAS INVITED TO SPEAK ABOUT GRIEF AND THE HOLIDAYS DURING AN ANNUAL MEMORIAL SERVICE HELD BY DIUGUID FUNERAL HOME ON DECEMBER 4, 2016. IN ADDITION, IT PROVIDES SUPPORT TO FACILITIES WHERE PATIENTS WERE SERVED IN COLLABORATION WITH CENTRA HOSPICE. AN IN-SERVICE ON SELF-CARE FOR HEALTHCARE PROFESSIONALS WAS FACILITATED BY MARTHA GUNTER, AT GUGGENHEIMER HEALTH & REHAB ON DECEMBER 29, 2016. THE PROGRAM OFFERED HOSPICE-SPONSORED MEMORIAL SERVICES IN ALL THREE BUSINESS UNITS THIS YEAR. SIX SERVICES WERE HELD IN LYNCHBURG AT TIMBERLAKE UNITED METHODIST CHURCH; THREE SERVICES WERE HELD IN FARMVILLE AT ST. JOHNS LUTHERAN CHURCH; AND TWO SERVICES WERE HELD IN BEDFORD AT BEDFORD CHRISTIAN CHURCH. OVERALL, THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED BEREAVEMENT SUPPORT TO OVER 1,045 FAMILY MEMBERS OF PERSONS SERVED BY CENTRA HOSPICE (739 IN THE LYNCHBURG BUSINESS UNIT; 172 IN THE FARMVILLE BUSINESS UNIT; AND 134 IN THE BEDFORD BUSINESS UNIT). IN ADDITION TO OUR GRIEF SUPPORT GROUP SESSIONS, 236 SUPPORTIVE BEREAVEMENT VISITS AND/OR SUPPORTIVE BEREAVEMENT COUNSELING SESSIONS WERE PROVIDED BY BEREAVEMENT STAFF EITHER IN THE PERSONS HOME OR AT THE HOSPICE OFFICE (148 IN THE LYNCHBURG BUSINESS UNIT; 70 IN THE FARMVILLE BUSINESS UNIT; AND 18 IN THE BEDFORD BUSINESS UNIT). 3,619 PHONE CALLS WERE PROVIDED BY SOCIAL WORKERS AND BEREAVEMENT STAFF TO OFFER AND/OR PROVIDE BEREAVEMENT SUPPORT (2,707 IN THE LYNCHBURG BUSINESS UNIT; 575 IN THE FARMVILLE BUSINESS UNIT; AND 337 IN THE BEDFORD BUSINESS UNIT). ON EAGLES WINGS BREAST CANCER SUPPORT GROUP THIS GROUP IS OFFERED TO WOMEN DIAGNOSED WITH BREAST CANCER AT ANY STAGE OF THE DISEASE. THE SUPPORT GROUP ADDRESSES BREAST HEALTH AND RELATED ISSUES OF IMPORTANCE TO WOMEN WITH BREAST CANCER. THIS GROUP MEETS ONCE A MONTH AND REACHED 47 WOMEN IN 2016. PROSTATE SUPPORT GROUP THIS GROUP IS AN EDUCATIONAL SUPPORT GROUP SUPPORTED BY CENTRAS NURSE NAVIGATORS, DESIGNED TO MEET THE NEEDS OF MEN DIAGNOSED WITH PROSTATE CANCER AND SPOUSES OR CAREGIVERS. THIS SUPPORT GROUP MEETS AT THE ALAN B. PEARSON REGIONAL CANCER CENTER AND IS SUPPORTED THROUGH OUR PROSTATE CANCER NAVIGATION PROGRAM. MENDED HEARTS/CARDIAC REHAB SUPPORT GROUPS THESE CARDIAC-RELATED SUPPORT GROUPS OFFER EDUCATION AND EMOTIONAL SUPPORT TO CARDIAC PATIENTS AND THEIR FAMILIES. IN-KIND & CASH DONATIONS * DURING 2016, CENTRA HEALTH DONATED APPROXIMATELY $95,504 IN MEDICAL SUPPLIES TO THE GLEANING FOR THE WORLD ORGANIZATION. * CENTRA DONATED OVER $2,450 IN MISCELLANEOUS FURNITURE TO THE HABITAT RESTORE AND E.C. GLASS HIGH SCHOOLS ECG CARES INITIATIVE DURING 2016. CENTRA ALSO ALLOWED COMMUNITY AGENCIES AND ORGANIZATIONS THE USE OF MANY OF THE MEETING ROOMS THROUGHOUT ITS FACILITIES. * DURING 2016, CENTRA LAB PROCESSED A COMBINED TOTAL OF 7,388 LABORATORY TESTS FOR CENTRAL VIRGINIA FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT OF APPROXIMATELY $836,160. * DURING 2016, APPROXIMATELY 13,656 MEALS WERE PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF APPROXIMATELY $42,330 * DURING 2016, CASH DONATIONS MADE BY CENTRA HEALTH TO THE COMMUNITY TOTALED $1,416,782. SPECIAL NEEDS PROJECTS & MENTORING CENTRA PROVIDES AND PROMOTES MANY SPECIAL NEED PROJECTS AND MENTORING OPPORTUNITIES. EDUCATIONAL OPPORTUNITIES ARE OFFERED TO STUDENTS IN A BROAD RANGE OF PROFESSIONAL AND TECHNICAL PROGRAMS. AT CENTRA, STUDENTS GAIN EXPERIENCE IN NURSING, TECHNICAL AND CLINICAL PROFESSIONS. SEVERAL HIGH SCHOOLS AND UNIVERSITIES IN VIRGINIA ROTATE STUDENTS THROUGH CENTRAS FACILITIES WITH CENTRA STAFF MEMBERS, GIVING THESE STUDENTS THE OPPORTUNITY TO TRAIN AND GAIN EXPERIENCE IN THEIR CHOSEN CAREER FIELDS. HERE IS A LIST OF SPECIAL PROJECTS CENTRA SUPPORTS: BEFORE BABY MOMS CLUB (BBMC) BEFORE BABY MOMS CLUB (BBMC) IS A FREE EVIDENCE BASED PROGRAM THAT IMPROVES BIRTH OUTCOMES BY PROVIDING PRENATAL EDUCATION AND EMOTIONAL SUPPORT FOR MOMS-TO-BE IN A FUN GROUP SETTING. IT OFFERS AN OPPORTUNITY FOR PREGNANT WOMEN IN VARIOUS STAGES OF THEIR PREGNANCIES TO EXPLORE ISSUES, RECEIVE INFORMATION, LEARN PRACTICAL SKILLS AND HAVE THEIR QUESTIONS ANSWERED AS A GROUP. BABY BASICS MOMS CLUBS ARE FACILITATED, BY A TRAINED EDUCATOR IN AN INFORMAL AND NON-INTIMIDATING SETTING, USING A COLORFUL, COMPREHENSIVE AND EASY TO UNDERSTAND PRENATAL GUIDE. PARTICIPANTS MEET IN LYNCHBURG THE FIRST FOUR THURSDAYS OF EVERY MONTH FROM 5:30PM-7:00PM AT THE CENTER FOR CHILDBIRTH AND FAMILY EDUCATION AT CENTRA VIRGINIA BAPTIST HOSPITAL AND THE FIRST FOUR WEDNESDAYS OF THE MONTH FROM 12:00PM-1:30PM AT CENTRA SOUTHSIDE COMMUNITY HOSPITAL. PARTICIPANTS RECEIVE INFORMATION AT EVERY MEETING ON AT LEAST ONE OF THE FOLLOWING CORE TOPICS; PRETERM LABOR, NUTRITION, SAFE SLEEP, BREASTFEEDING, SUBSTANCE USE AND ABUSE/DEPRESSION. * HOSTED 84 BBMC MEETINGS, 48 IN LYNCHBURG AND 36 IN FARMVILLE. * SERVED 814 PEOPLE OF WHOM, 577 WERE PREGNANT WOMEN AND 237 SUPPORT PERSONS * CONTINUED PARTNERSHIPS WITH KROGER, CHICK-FILA, PIZZA HUT, BELK, FRESH MARKET, ZOES KITCHEN, AND SYLVAIN MELLOUI TO PROVIDE SERVICES AND/OR FOOD FOR BBMC. ESTABLISHED NEW PARTNERSHIPS WITH JERSEY MIKES AND BUFFALO WILD WINGS. ACTIVITIES * RECRUITMENT BY PHONE AND THROUGH DISTRIBUTION OF FLYERS TO PRACTITIONERS * SHOPPED FOR BABY BASICS SPA DAY, REUNION, ETC. * PLANNED FOR APRIL MARCH OF DIMES WALK FOR BABIES * HOSTED 2 SPA DAYS, 2 GROCERY STORE TOURS AND BBMC REUNION * REACHED OUT TO POTENTIAL SPEAKERS, MIDWIVES, YWCA, FIRE DEPARTMENT * REACHED OUT TO CURRENT AND POTENTIALLY NEW BABY BASICS PARTNERS FOR MOMS GROUP ACTIVITIES COMMUNITY VOICE IN 2016 OVER 4,916 COMMUNITY RESIDENTS RECEIVED INFORMATION ON SAFE SLEEP, BREASTFEEDING, PRETERM BIRTH, SUBSTANCE USE AND ABUSE, NUTRITION, FOLIC ACID, PRENATAL CARE AND OTHER PERINATAL HEALTH TOPICS THROUGH A COMBINATION OF CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES. COMMUNITY VOICE IS AN EVIDENCE BASED, CONSUMER EDUCATION PROGRAM WHOSE GOALS ARE TO RAISE AWARENESS OF THE HEALTH DISPARITY THAT EXISTS IN INFANT MORTALITY, TO PROVIDE CULTURALLY RELEVANT PERINATAL HEALTH INFORMATION, AND TO INFLUENCE BEHAVIORS BY TAKING INFORMATION DIRECTLY TO THE PEOPLE WHOM WOMEN OF CHILDBEARING AGE ARE MOST LIKELY TO TRUST AND TRAIN THEM TO BE LAY HEALTH ADVISORS. ONCE TRAINED, LAY HEALTH ADVISORS HAVE THE KNOWLEDGE AND POWER TO TEACH, MOTIVATE, AND INFLUENCE THEIR FAMILY, FRIENDS AND NEIGHBORS. EXAMPLES OF ACTIVITIES DURING 2016: * TAUGHT 71 CLASSES IN LYNCHBURG * TAUGHT 17 CLASSES IN BEDFORD * 338 COMMUNITY RESIDENTS ATTEND AT LEAST 1 CLASS * TRAINED 77 LAY HEALTH ADVISORS * ATTENDED 18 COMMUNITY HEALTH FAIRS OR EVENTS * 8 COMMUNITY PRESENTATIONS * SPOKE AT VIRGINIA PREMIER EVENT * ASSISTED WITH I AM WOMAN RACE * TAUGHT ONE 'TRAIN THE TRAINER' IN RICHMOND, VA * DEVELOPED ONGOING PARTNERSHIPS WITH AGENCIES AND CHURCHES IN LYNCHBURG, AMHERST, PRINCE EDWARD COUNTY AND BEDFORD * ONGOING CV RECRUITMENT IN BEDFORD AND LYNCHBURG * ONGOING CV RECRUITMENT IN BEDFORD AND LYNCHBURG
COMMUNITY VOICE OUTREACH ACTIVITIES:	* DANIELS HILL * TINBRIDGE HIL * DIAMOND HILL * COLLEGE HILL * JUBILEE FAMILY DEVELOPMENT CENTER * HUNTON RANDOLPH CENTER * GOODWILL INDUSTRIES, MADISON HTS, VIRGINIA * JAMERSON YMCA * DOWNTOWN YMCA * JOHNSON HEALTH CENTER * MIRIAMS HOUSE * DOMESTIC VIOLENCE SHELTER * LIBERTY GODPARENT HOME * BLUE RIDGE PREGNANCY CENTER * BIRCHWOOD APARTMENTS * PARKVIEW MISSIONS * PRAYER OUTREACH MINISTRIES * BEDFORD COMMUNITY LIBRARY * SOCIAL MEDIA UPDATES AND POSTINGS * RAINBOW VILLAGE APARTMENTS COMMUNITY VOICE CLASS LOCATIONS: * PARKVIEW MISSIONS (CLASS, EVERY TUESDAY 2:00PM-3:30PM) * LYNCHBURG PARKS AND RECREATION (CLASSES EVERY TUESDAY 11AM-1PM) * BIRCHWOOD APARTMENTS * MIRIAMS HOUSE * BLUE RIDGE PREGNANCY CENTER * LIBERTY GODPARENTS HOME * LYNCHBURG DAILY BREAD * DOMESTIC VIOLENCE SHELTER * BEDFORD COMMUNITY LIBRARY * PRAYER OF FAITH OUTREACH MINISTRIES FORENSIC NURSE PROGRAM THE FORENSIC NURSE PROGRAM BEGAN IN 1997. IT CONSISTS OF REGISTERED NURSES TRAINED IN THE COLLECTION OF FORENSIC EVIDENCE. THE FORENSIC NURSES WORK WITH LAW ENFORCEMENT, SOCIAL SERVICES AND THE COURT SYSTEM. NURSES RESPOND TO VICTIMS OF PHYSICAL ASSAULT, SEXUAL ASSAULT AND ABUSE AND NEGLECT IN BOTH THE ADULT AND PEDIATRIC POPULATION. THEY ALSO PROVIDE EDUCATIONAL/TRAINING LECTURES TO RESCUE AGENCIES, POLICE DEPARTMENTS, POLICE ACADEMY, ATTORNEYS AND VARIOUS COLLEGES INCLUDING THE CRIMINAL JUSTICE AND NURSING PROGRAMS. THIS PROGRAM SERVES CLIENTS FROM CENTRAL VIRGINIA AND THE SURROUNDING AREA. IN 2016, THE PROGRAM SAW 805 PATIENTS AND HAD AN ADDITIONAL 505 CONSULTS. RIVERMONT SCHOOLS CENTRAS RIVERMONT SCHOOLS PROVIDE SPECIALIZED EDUCATION FOR STUDENTS WITH BEHAVIORAL OR EMOTIONAL CONCERNS AS WELL AS STUDENTS ON THE AUTISM SPECTRUM. TEN SCHOOLS THROUGHOUT VIRGINIA ADDRESS THE NEEDS OF MORE THAN 560 STUDENTS AND OPERATE ON A 180-DAY SCHOOL YEAR CALENDAR. RIVERMONT SCHOOLS ARE LOCATED IN FAIRFAX, LYNCHBURG, ROANOKE, CHASE CITY, DAN RIVER, HAMPTON ROADS, TIDEWATER, ALLEGHANY HIGHLANDS, FREDERICKSBURG, GREATER PETERSBURG, AND ROCKBRIDGE. RIVERMONT SCHOOLS PROVIDE A UNIQUE AND SUPPORTIVE ENVIRONMENT SERVING SCHOOL-AGE CHILDREN EXPERIENCING EMOTIONAL DIFFICULTIES AND AUTISM. EACH RIVERMONT STUDENT RECEIVES LEARNING OPPORTUNITIES THAT PROMOTE SELF-ACTUALIZATION, THE VALUE OF LEARNING, SELF-DISCIPLINE, COOPERATION, RESILIENCY AND SELF-ADVOCACY THROUGH TEACHING EXCELLENCE, THERAPEUTIC SUPPORT, FAMILY PARTICIPATION, AND COMMUNITY INVOLVEMENT. VOLUNTEER SERVICES CENTRA HAS MANY DEDICATED VOLUNTEERS FROM THROUGHOUT CENTRAL VIRGINIA WHO CHOOSE TO GIVE BACK TO THEIR COMMUNITY BY DONATING THEIR TIME AND TALENTS. GUGGENHEIMER VOLUNTEER SERVICES VOLUNTEERS DONATE TIME AT GUGGENHEIMER HEALTH AND REHABILITATION CENTER TO PROVIDE RESIDENTS WITH ENRICHMENT AND INTERACTION THROUGH THE 'ENHANCING LIVES EVERY DAY' PROGRAM. THEY SUPPORT MANY AREAS OF THE PROGRAM BY PROVIDING MUSICAL ENTERTAINMENT, EXERCISE CLASSES AND CRAFT CLASSES AS WELL AS ASSISTANCE IN TRANSPORTING RESIDENTS AND ANSWERING THE PHONE. HOSPICE VOLUNTEERS IN 2016, 80 VOLUNTEERS DONATED 5,954 HOURS OF SERVICE TO THE HOSPICE PROGRAM. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO THE HOSPICE HOUSE. VOLUNTEERS SUPPORT THE HOSPICE HOUSE BY GROCERY SHOPPING, MEAL AND MEDICATION DELIVERY, CLEANING, INTERACTING WITH PATIENTS AND FAMILIES. THEY ALSO OFFER SUPPORT TO FAMILIES WHO HAVE LOST A LOVED ONE THROUGH PARTICIPATING IN THE HOSPICE MEMORIAL SERVICES 6 TIMES DURING THE YEAR. OUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 47,636 MILES IN 2016. ASSISTANCE THROUGH DONATIONS CENTRA HEALTH, INC. DONATED $500,000 TO CENTRA HEALTH FOUNDATIONS COMMUNITY INITIATIVE FUND DURING 2016. NUMEROUS ORGANIZATIONS AND INDIVIDUALS BENEFIT FROM THE VARIOUS PROGRAMS AND ASSISTANCE PROVIDED WITH THE HELP OF THESE DONATIONS. BELOW IS THE LIST OF LOCAL ORGANIZATIONS WHICH CENTRA FUNDS SUPPORTED IN 2016: 1. AMAZING GRACE FOOD OUTREACH $30,000 AMAZING GRACE OUTREACH CHURCH FUNDS WILL BE USED TO PROVIDE TWO HOT MEALS A DAY TO CLIENTS AND TO PROVIDE BACK TO SCHOOL SUPPLIES FOR AREA YOUTH. 2. BEDFORD BRIDGES OUT OF POVERTY INITIATIVE $65,000 BEDFORD COMMUNITY HEALTH FOUNDATION FUNDS WILL BE USED TO PROVIDE BRIDGES OUT OF POVERTY TRAINING FOR AREA FAMILIES AND TO PROVIDE SUPPORT SERVICES AND OUTGOING CASE MANAGEMENT. 3. CENTRAL VIRGINIA HIV TESTING & COUNSELING PROJECT $13,000 COALITION FOR HIV & PREVENTION OF CENTRAL VIRGINIA FUNDS WILL BE USED TO PURCHASE HIV RAPID TESTS, HIV HOME TESTS, TESTING EQUIPMENT, COUNSELING AND FOLLOW-UP SERVICES FOR HIV POSITIVE INDIVIDUALS. 4. DENTAL CARE PROGRAM $21,250 HEART OF VIRGINIA FREE CLINIC-FARMVILLE FUNDS WILL BE USED TO SUPPORT DENTAL CARE FOR PATIENTS. 5. EMS TRAINING $40,000 CENTRA VIRGINIA COMMUNITY COLLEGE EDUCATIONAL FOUNDATION, INC. (CVCC) FUNDS WILL BE USED TO PROVIDE STUDENT TUITION FOR ADVANCED CARDIAC LIFE SUPPORT AND PEDIATRIC ADVANCED LIFE SUPPORT COURSES. 6. EXPANDING ACCESS TO HEALTHY FOOD: FRESH CORNER $8,420 LYNCHBURG GROWS FUNDS WILL BE USED TO PROVIDE ACCESS TO FRESH PRODUCE AT TWO KEY LOCATIONS WITHIN THE CITY OF LYNCHBURG. 7. FEAR 2 FREEDOM AFTER CARE KITS $5,000 FEAR 2 FREEDOM, INC. FUNDS WILL BE USED TO PROVIDE FREE KITS TO WOMEN AND CHILDREN WHO ARE VICTIMS OF DOMESTIC VIOLENCE. 8. HOSPITAL READMISSION PREVENTION-BURKEVILLE $20,000 PIEDMONT SENIOR RESOURCES, AREA AGENCY ON AGING, INC. FUNDS WILL BE USED TO SUPPORT PERSONNEL AND COVER COSTS OF SERVICES WHICH WILL ALLOW RECENTLY DISCHARGED HOSPITAL PATIENTS TO STAY IN THEIR HOMES. 9. MASS CASUALTY INCIDENT UNIT-FARMVILLE $5,000 PRINCE EDWARD VOLUNTEER RESCUE SQUAD FUNDS WILL BE USED TO PURCHASE MEDICAL SUPPLIES AND EQUIPMENT TO UPDATE A MASS CASUALTY UNIT. 10. MEDICAL/DENTAL SERVICES INTEGRATION PROJECT $60,000 FREE CLINIC OF CENTRAL VIRGINIA, INC. FUNDS WILL BE USED TO COVER PERSONNEL COSTS, DENTAL EQUIPMENT, SUPPLIES AND DENTAL EXTERN EXPENSES. 11. OAK LANE RESIDENTIAL RECOVERY PROGRAM FOR PREGNANT AND POST-PARTUM WOMEN & THEIR INFANTS $69,631 ROADS TO RECOVER FUNDS WILL BE USED TO SUPPORT A NEW RESIDENTIAL FACILITY THAT WILL PROVIDE RECOVERY CARE FOR MOTHERS AND BABIES SUFFERING FROM OPIOID ADDICTION. 12. PARK VIEW COMMUNITY MISSION PROGRAM COORDINATION $12,280 PARK VIEW COMMUNITY MISSION FUNDS WILL BE USED TO COVER START-UP FUNDS TO SUPPORT A PROGRAM COORDINATOR. 13. PEER TO PEER RECOVERY PROGRAM $10,000 (SUBSTANCE ABUSE RECOVERY FOR YOUTH) THE (UNLIMITED POTENTIAL) UP FOUNDATION FUNDS WILL BE USED TO SUPPORT SCHOLARSHIPS FOR 20 YOUTH RECOVERING FROM SUBSTANCE ABUSE. 14. RX PARTNERSHIP $10,000 RX DRUG ACCESS PARTNERSHIP FUNDS WILL BE USED TO PROVIDE FREE PRESCRIPTION MEDICATIONS TO PATIENTS OF THE LYNCHBURG FREE CLINIC. 15. SAFE AT HOME $20,000 INTERFAITH OUTREACH ASSOCIATION FUNDS WILL BE USED TO SUPPORT THE INSTALLATION OF SAFETY EQUIPMENT AND DURABLE MEDICAL EQUIPMENT SO THAT HEALTH-IMPAIRED INDIVIDUALS CAN STAY IN THEIR HOMES. 16. SUMMER CAMP SCHOLARSHIPS & 3 POINT PLAY PROGRAM $12,500 JUBILEE FAMILY DEVELOPMENT CENTER FUNDS WILL SUPPORT PARTIAL SCHOLARSHIPS FOR LOCAL DISADVANTAGED CHILDREN TO ATTEND JUBILEES SUMMER CAMP WHICH FOCUSES ON HEALTHY LIFESTYLES. 17. TAKE CHARGE: PRIORITY CARE TRANSITIONS PROGRAM $60,000 CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING, INC. FUNDS WILL BE USED TO PROVIDE COMMUNITY SUPPORT TO FRAIL, ELDERLY AND HIGH RISK INDIVIDUALS WHO HAVE BEEN DISCHARGED FROM THE HOSPITAL. 18. ZOLL X-SERIES MONITOR/DEFIBRILLATOR - AMELIA COUNTY $33,124 AMELIA COUNTY EMERGENCY SQUAD FUNDS WILL BE USES TO PURCHASE A NEW ZOLL X- SERIES MONITOR/DEFIBRILLATOR.PITTSYLVANIA COUNTY. MONITOR/DEFIBRILLATOR.PITTSYLVANIA COUNTY.
FORM 990, PART VI, SECTION A, LINE 2	OFFICERS E.W. TIBBS AND DAVID GOUGH ARE BOARD MEMBERS AND KEY EMPLOYEE MICHAEL ELLIOTT IS AN OFFICER OF CENTRAL VIRGINIA IMAGING, LLC, A 50% JOINT VENTURE OF CENTRA HEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 8A & B	MINUTES ARE TAKEN AT EACH MEETING.
FORM 990, PART VI, SECTION B, LINE 11B	CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, CENTRA REVIEWED THE FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C	ALL CENTRA OFFICERS AND DIRECTORS MUST COMPLETE A "POSSIBLE CONFLICT OF INTEREST" QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15A & 15B	CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS FOUR ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FIVE MEMBERS MEET THE IRS FORM 990 INDEPENDENCE DEFINITION. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. THE COMPENSATION COMMITTEE IS ALSO RESPONSIBLE FOR THE REVIEW AND APPROVAL OF SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF CENTRA, BASED ON THE RECOMMENDATIONS MADE BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES.
FORM 990, PART VI, SECTION B, 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 ORGANIZATIONS EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 18	PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. ADDITIONALLY, FILINGS OF THE FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AT ITS ADMINISTRATIVE OFFICE UPON REQUEST.
FORM 990, PART XI, LINE 9:	OTHER CHANGES IN NET ASSETS CHANGE IN PENSION REPORTING 2,763,844 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 2,682,657 NET ASSETS RELEASED FROM RESTICTIONS TO AFFILIATED ENTITIES (405,077) MINORITY INTEREST (21,049) ------------ TOTAL TO FORM 990, PART XI, LINE 9 5,020,375 ===========
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER TOTAL FEES:112642
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:59410610
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:35168182

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTRA HEALTH INDEMNITY COMPANY LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	270927253	CAPTIVE INSUR	VT	$4,327,134	$21,522,179	CENTRA HEALT
CENTRAL VIRGINIA HOSPITAL FOR RESTORATIV
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	204712023	HEALTHCARE	VA	$9,108,027	$3,780,585	CENTRA HEALT
CENTRA MEDICAL GROUP LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	203639329	PHYSICIAN SVC	VA	$89,355,907	$42,745,472	CENTRA HEALT
CENTRA PANORAMIC LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	471812326	WELLNESS CNTR	VA	$198,052	$596,531	CENTRA HEALT
CENTRAL VA QUALITY CARE NETWORK LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	474453641	CLINICALLY IN	VA	$2,280	$2,894	CENTRA HEALT
CENTRA OP REHABILITATION SERVICES LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	471052716	OP REHAB	VA	$5,876,751	$3,904,980	CENTRA HEALT
HEALTHWORKS LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	263026223	OT PROVIDER	VA	$1,919,018	$1,239,801	CENTRA HEALT

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SOUTHSIDE COMMUNITY HOSPITAL
800 OAK STREET	FARMVILLE	VA	23901	540555201	HEALTHCARE	VA	501(C)(3)	LINE 3	NA	Yes (true)
CCRC INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541929580	HEALTHCARE	VA	501(C)(3)	LINE 12A, I	NA	Yes (true)
CENTRA HEALTH FOUNDATION INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541604094	SUPPORTING OR	VA	501(C)(3)	LINE 12A, I	NA	Yes (true)
BEDFORD MEMORIAL HOSPITAL
1613 OAKWOOD STREET	BEDFORD	VA	24523	540566100	HEALTHCARE	VA	501(C)(3)	LINE 3	NA	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
GENERAL BUSINESS CONCERNS INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541299682	REAL ESTATE-PHYSI	VA	NA	C Corp	$621,579	$1,894,966	1.00000	Yes (true)
PCHP HOLDING INC
2316 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541749492	HOLDING COMPANY	VA	NA	C Corp		$7,366,629	1.00000	Yes (true)
PIEDMONT COMMUNITY HEALTH PLAN INC
2316 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541755768	HEALTH INSURANCE	VA	NA	C Corp	$110,260,439	$35,245,044	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CENTRA HEALTH FOUNDATION
b	$505,000	BOOK VALUE
CENTRA HEALTH FOUNDATION
c	$6,908,678	BOOK VALUE
CENTRA HEALTH FOUNDATION
p	$2,948,231	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
b	$161,901	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
q	$3,103,024	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
j	$451,740	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
e	$106,192	BOOK VALUE
CCRC INC
q	$100,000	BOOK VALUE
GENERAL BUSINESS CONCERNS INC
k	$350,572	BOOK VALUE
BEDFORD MEMORIAL HOSPITAL
q	$2,017,685	BOOK VALUE
PCHP
q	$869,825	BOOK VALUE