CENTRA HEALTH INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: CENTRA HEALTH INC (EIN 54-0715569)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-10
IRS object ID: 201543149349300709
Schema version: 2014v5.0
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	2015-11-10T07:27:09-06:00	ReturnTs
Tax Period End	2014-12-31	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	2014-01-01	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 G GOUGH	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 ADAMS	PersonNm
Person Title	VP Finance	PersonTitleTxt
Phone	4342004712	PhoneNum
Signature	2015-11-06	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARGARET BRADSHAW	PreparerPersonNm
PTIN	P00501222	PTIN
Phone	7032868000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	EW Tibbs	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	$1,891,110,057	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 - Every Time.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	6691	TotalEmployeeCnt
Total Volunteers	986	TotalVolunteersCnt
Total Gross UBI	$9,435,301	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,023,920	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,377,699	PYContributionsGrantsAmt
CY Contributions Grants	$2,444,918	CYContributionsGrantsAmt
PY Program Service Revenue	$605,976,778	PYProgramServiceRevenueAmt
CY Program Service Revenue	$643,507,287	CYProgramServiceRevenueAmt
PY Investment Income	$41,833,890	PYInvestmentIncomeAmt
CY Investment Income	$31,416,244	CYInvestmentIncomeAmt
PY Other Revenue	$3,208,296	PYOtherRevenueAmt
CY Other Revenue	$3,225,444	CYOtherRevenueAmt
PY Total Revenue	$654,396,663	PYTotalRevenueAmt
CY Total Revenue	$680,593,893	CYTotalRevenueAmt
PY Grants And Similar Paid	$897,430	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,535,028	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$341,507,664	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$351,812,055	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$254,156,403	PYOtherExpensesAmt
CY Other Expenses	$280,457,462	CYOtherExpensesAmt
PY Total Expenses	$596,561,497	PYTotalExpensesAmt
CY Total Expenses	$633,804,545	CYTotalExpensesAmt
PY Revenues Less Expenses	$57,835,166	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$46,789,348	CYRevenuesLessExpensesAmt
Total Assets BOY	$854,632,293	TotalAssetsBOYAmt
Total Assets EOY	$929,094,060	TotalAssetsEOYAmt
Total Liabilities BOY	$329,973,066	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$397,911,264	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$524,659,227	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$531,182,796	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	EXCELLENT CARE - EVERY TIME.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$557,617,759	ExpenseAmt
Grant	$1,535,028	GrantAmt
Revenue	$634,071,986	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 HEALTH, INC. (CENTRA) HAS BEEN BRINGING BABIES IN THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR OVER 25 YEARS, 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	$557,617,759	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	661	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6691	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	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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 G GOUGH	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

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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
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)	$784,884	$0	$156,229
ALBERT M BAKER MD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MICHAEL V 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
LAURA L HAMILTON
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
SHARON L HARRUP
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
TERRY H JAMERSON
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
STEPHEN C KEITH EDD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
AUGUSTUS A PETTICOLAS JR DDS
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
CHARLES W PRYOR JR PHD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
VERNA R SELLERS MD
DIRECTOR	50.0	0.0	Yes (X)		$257,695	$0	$12,175
R SACKETT WOOD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
LEWIS C ADDISON
TREASURER & SENIOR VP/CFO	50.0	0.0		Yes (X)	$554,837	$0	$30,906
DAVID D ADAMS
SECRETARY/EVP, CSO	50.0	0.0		Yes (X)	$498,372	$0	$77,883
DANIEL CAREY MD
SVP/CHIEF MEDICAL OFFICER	50.0	0.0			$457,142	$0	$46,801	Yes (X)
MICHAEL I ELLIOTT
SVP/CHIEF OPERATING OFFICER	50.0	0.0			$246,937	$0	$39,926	Yes (X)
PATTI S MCCUE SCED
SVP/CHIEF NURSING OFFICER	50.0	0.0			$406,201	$0	$14,201	Yes (X)
THOMAS W NYGAARD MD
SVP/CHIEF MEDICAL OFFICER	50.0	0.0			$599,391	$0	$77,656	Yes (X)
JANICE H WALKER
SVP/CHIEF ADMIN OFFICER	50.0	0.0			$294,532	$0	$57,019	Yes (X)
DAVID W FRANTZ MD
MD: CARDIOVASCULAR	50.0	0.0			$802,652	$0	$41,032		Yes (X)
THEOFILOS MACHINIS MD
MD: NEUROSURGERY	50.0	0.0			$804,819	$0	$27,796		Yes (X)
DILANTHA ELLEGALA MD
MD: NEUROSURGERY	50.0	0.0			$736,817	$0	$42,126		Yes (X)
MATTHEW C SACKETT MD
MD: CARDIOVASCULAR	50.0	0.0			$699,485	$0	$41,215		Yes (X)
W MICHAEL BRYANT
FORMER PRESIDENT/CEO	0.0	0.0			$690,825	$0	$17,540			Yes (X)
CHAD A HOYT MD
MD: CARDIOVASCULAR	50.0	0.0			$715,012	$0	$52,845			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,549,601	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$735,350	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	416	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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
MEDICAL ASSOCIATES OF CENTRAL VIRGI
PO BOX 11889	LYNCHBURG	VA	24506	PHYSICIAN SERVICES	$10,895,674
BLAIR CONSTRUCTION
PO BOX 612	GRETNA	VA	24557	GENERAL CONTRACTORS	$8,641,204
JAMERSON-LEWIS CONSTRUCTION INC
PO BOX 10728	LYNCHBURG	VA	24506	GENERAL CONTRACTORS	$3,880,504
HERITAGE HEALTHCARE INC
536 OLD HOWELL ROAD	GREENVILLE	SC	29615	THERAPY MGMT SVCS	$3,261,487
VIRGINIA HOSPITAL LAUNDRY INC
1601 OLIVER HILL WAY	RICHMOND	VA	23219	LAUNDRY/LINEN SVCS	$2,229,817

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	59	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,514,837	RelatedOrganizationsAmt
All Other Contributions	$930,081	AllOtherContributionsAmt
Total Contributions	$2,444,918	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	624100	$606,526,100	$597,090,799	$9,435,301
ANCILLARY SERVICES	900099	$17,772,342	$17,772,342
TUITION & EDUCATION	611600	$18,724,124	$18,724,124
CONTROLLED ENTITIES	900099	-$266,418	-$266,418
MEANINGFUL USE	900099	$751,139	$751,139

Field	Value	IRS element (for citing)
Total Program Service Revenue	$643,507,287	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,835,144	TotalRevenueColumnAmt
Exclusion	$5,835,144	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	$3,554,216	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,895,201	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$659,015	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$659,015	TotalRevenueColumnAmt
Exclusion	$659,015	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,233,170,848	SecuritiesAmt
Other	$31,215	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,207,620,963	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$25,549,885	SecuritiesAmt
Other	$31,215	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,581,100	TotalRevenueColumnAmt
Exclusion	$25,581,100	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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	$2,466,335	$2,466,335
REIMBURSED COSTS	541610	$100,094	$100,094

Field	Value	IRS element (for citing)
Other Revenue Total	$2,566,429	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$680,593,893	TotalRevenueColumnAmt
Related Or Exempt Func Income	$634,071,986	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,435,301	UnrelatedBusinessRevenueAmt
Exclusion	$34,641,688	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	$1,535,028	TotalAmt
Program Services	$1,535,028	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	$4,612,787	TotalAmt
Program Services	$269,870	ProgramServicesAmt
Management And General	$4,342,917	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$238,930	TotalAmt
Program Services	$238,930	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$277,462,504	TotalAmt
Program Services	$264,016,711	ProgramServicesAmt
Management And General	$13,445,793	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,886,067	TotalAmt
Program Services	$4,577,845	ProgramServicesAmt
Management And General	$308,222	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,939,425	TotalAmt
Program Services	$33,114,538	ProgramServicesAmt
Management And General	$3,824,887	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$27,672,342	TotalAmt
Program Services	$25,926,719	ProgramServicesAmt
Management And General	$1,745,623	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$989,265	TotalAmt
Program Services	$690,246	ProgramServicesAmt
Management And General	$299,019	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,762,805	TotalAmt
Program Services	$2,482,733	ProgramServicesAmt
Management And General	$1,280,072	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$208,677	TotalAmt
Program Services	$30,229	ProgramServicesAmt
Management And General	$178,448	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	$1,629,963	TotalAmt
Management And General	$1,629,963	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$66,112,780	TotalAmt
Program Services	$53,328,916	ProgramServicesAmt
Management And General	$12,783,864	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,813,477	TotalAmt
Program Services	$2,523,952	ProgramServicesAmt
Management And General	$289,525	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,816,259	TotalAmt
Program Services	$30,233,772	ProgramServicesAmt
Management And General	$1,582,487	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$21,244,550	TotalAmt
Program Services	$213,820	ProgramServicesAmt
Management And General	$21,030,730	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,935,170	TotalAmt
Program Services	$9,549,099	ProgramServicesAmt
Management And General	$386,071	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,641,784	TotalAmt
Program Services	$1,573,129	ProgramServicesAmt
Management And General	$68,655	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	$1,866,469	TotalAmt
Program Services	$1,570,179	ProgramServicesAmt
Management And General	$296,290	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,173,959	TotalAmt
Program Services	$5,173,959	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,897,337	TotalAmt
Program Services	$24,250,445	ProgramServicesAmt
Management And General	$12,646,892	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,750,393	TotalAmt
Program Services	$4,703,213	ProgramServicesAmt
Management And General	$47,180	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$58,216,348	$58,216,200	$148
DRUGS	$31,941,448	$31,941,448
BOND COST AMORTIZATION	$1,456,778	$1,456,778

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$633,804,545	TotalAmt
Program Services	$557,617,759	ProgramServicesAmt
Management And General	$76,186,786	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,713,837	BOYAmt
EOY	$14,666,339	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	$61,346,710	BOYAmt
EOY	$72,021,931	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	$32	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,163,831	BOYAmt
EOY	$16,187,372	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,165,605	BOYAmt
EOY	$6,661,252	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$804,718,990	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$514,300,162	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$259,470,618	BOYAmt
EOY	$290,418,828	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$342,976,076	BOYAmt
EOY	$350,716,105	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$127,534,611	BOYAmt
EOY	$154,085,710	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	$19,116,785	BOYAmt
EOY	$24,192,335	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$854,632,293	BOYAmt
EOY	$929,094,060	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$61,716,565	BOYAmt
EOY	$64,983,022	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	$896,622	BOYAmt
EOY	$490,768	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$204,353,893	BOYAmt
EOY	$227,511,257	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	$63,005,986	BOYAmt
EOY	$104,926,217	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$329,973,066	BOYAmt
EOY	$397,911,264	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$465,637,364	BOYAmt
EOY	$470,128,269	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,143,485	BOYAmt
EOY	$32,176,149	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	$524,659,227	BOYAmt
EOY	$531,182,796	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$854,632,293	BOYAmt
EOY	$929,094,060	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$46,789,348	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$7,070,805	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$33,194,974	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	$33,917	OtherActivitiesAmt
Total Lobbying Expenditures	$33,917	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	Part II-B, Ln 1(I) ATTENDANCE AT VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION 2014 LEGISLATIVE ISSUES CONFERENCES (REGISTRATION EXPENSES, HOTEL, TRAVEL, & MEALS): $ 346. A PORTION OF THE ORGANIZATION'S HOSPITAL ASSOCIATION DUES FOR 2014 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $ 33,571.	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	$42,984,832	BeginningYearBalanceAmt
Investment Earnings Or Losses	$501,833	InvestmentEarningsOrLossesAmt
Other Expenditures	$542,923	OtherExpendituresAmt
End Year Balance	$42,943,742	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,734,229	BeginningYearBalanceAmt
Investment Earnings Or Losses	$374,984	InvestmentEarningsOrLossesAmt
Other Expenditures	$374,984	OtherExpendituresAmt
End Year Balance	$29,734,229	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,734,229	BeginningYearBalanceAmt
Investment Earnings Or Losses	$336,616	InvestmentEarningsOrLossesAmt
Other Expenditures	$336,616	OtherExpendituresAmt
End Year Balance	$29,734,229	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.02140	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.67100	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.30760	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	$15,778,303	OtherCostOrOtherBasisAmt
Book Value	$15,778,303	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$381,455,558	OtherCostOrOtherBasisAmt
Depreciation	$216,833,652	DepreciationAmt
Book Value	$164,621,906	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,370,545	OtherCostOrOtherBasisAmt
Depreciation	$11,966,690	DepreciationAmt
Book Value	$6,403,855	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$365,247,209	OtherCostOrOtherBasisAmt
Depreciation	$285,499,820	DepreciationAmt
Book Value	$79,747,389	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,867,375	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$23,867,375	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$290,418,828	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LEVEL 3 INVEST. IN REAL ESTATE	$33,540,448	F
EQUITY IN AFFILIATES	$3,826,762	F
INVEST CAPITAL-CONTROL ENTITIE	$116,718,500	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$154,085,710	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
EST PAYABLE TO 3RD PARTY	$18,793,642
PHYSICIAN RECRUITMENT LIABILITY	$277,185
CURRENT INSTALLMENTS DUE TO SCH	$842,622
ACCRUED INTEREST PAYABLE	$159,174
INTEREST RATE SWAP AGREEMENT	$21,619,902
PENSION LIABILITY	$48,614,709
EST. LIABILITY FOR UNPAID CLAIMS	$14,618,983

Field	Value	IRS element (for citing)
Total Liability	$104,926,217	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

ENDOWMENT

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 GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (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-IMPOSED RESTRICTIONS. THE FOUNDATION HAS A POLICY OF REQUESTING FOR DISTRIBUTION EACH YEAR EITHER NET INCOME OF THE ASSET OR A PERCENTAGE OF THE ASSETS AVERAGE FAIR VALUE WHICH RESULTS IN AN AVERAGE NET CASH DISTRIBUTION OF 2.4% OF TOTAL ASSETS. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF 4.3% ANNUALLY. THIS IS CONSISTENT WITH THE FOUNDATION'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.

TAX FOOTNOTE

CENTRA HEALTH, INC., CENTRA HEALTH FOUNDATION, CCRC, INC., SOUTHSIDE COMMUNITY HOSPITAL INC., BEDFORD MEMORIAL HOSPITAL, AND LYNCHBURG FAMILY PRACTICE RESIDENCY PROGRAM, INC. 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, CENTRA HEALTH INDEMNITY COMPANY LLC, AND CENTRAL VIRGINIA HOSPITAL FOR RESTORATIVE AND REHABILITATIVE CARE, LLC ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND THEREFORE ARE INCLUDED UNDER CENTRA'S TAX RETURN. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARY, GENERAL BUSINESS CONCERNS, INC. UNDER THE ASSET AND LIABILITY METHOD FOR THESE STANDARDS, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASIS OF THE SUBSIDIARY'S ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. CENTRA HEALTH INDEMNITY COMPANY LLC IS WHOLLY OWNED BY CENTRA HEALTH, INC. ANY LIABILITY FOR TAXES ARE 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, 2014. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2011.

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	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$18,116,290	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,116,290	NetCommunityBenefitExpnsAmt
Total Expense	0.02860	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,185,026	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,047,962	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,137,064	NetCommunityBenefitExpnsAmt
Total Expense	0.03180	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,301,316	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,047,962	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,253,354	NetCommunityBenefitExpnsAmt
Total Expense	0.06040	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$716,433	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$716,433	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,033,803	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,583,268	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,450,535	NetCommunityBenefitExpnsAmt
Total Expense	0.01020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$991,063	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$991,063	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,741,299	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,583,268	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,158,031	NetCommunityBenefitExpnsAmt
Total Expense	0.01280	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$122,042,615	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$75,631,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,411,385	NetCommunityBenefitExpnsAmt
Total Expense	0.07320	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$635	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$635	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,623	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,623	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,423	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,423	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,681	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,681	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$34,951,991	BadDebtExpenseAmt
Reimbursed By Medicare	$275,392,533	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$303,131,437	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$27,738,904	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 (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct
PIEDMONT COMMUNITY H
HEALTH INSURANCE	0.50000	0.50000
CENTRAL VIRGINIA IMA
IMAGING SERVICES	0.50000	0.50000
THE SURGERY CENTER O
OUTPATIENT SURGERY SVCS	0.50000	0.49000	0.01000

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	Information GapsInformationGapsInd	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	Strategy AttachedStrategyAttachedInd	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	Described Suprt DocDescribedSuprtDocInd	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	FAP Notice DisplayedFAPNoticeDisplayedInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd	FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Average Negotiated RatesAverageNegotiatedRatesInd	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)	13	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	13	Yes (true)	WWW.CENTRAHEALTH.COM	false	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 (X)	Yes (true)	Yes (X)	X	Yes (X)	X	Yes (X)	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)	13	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	13	Yes (true)	WWW.CENTRAHEALTH.COM	false	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 (X)	Yes (true)	Yes (X)	X	Yes (X)	X	Yes (X)	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)	13	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	13	Yes (true)	WWW.CENTRAHEALTH.COM	false	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 (X)	Yes (true)	Yes (X)	X	Yes (X)	X	Yes (X)	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
PART V, SECTION B, LINE 5	CENTRA ORGANIZED TWO COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY ADVISORY BOARDS - ONE FOR THE CENTRA HEALTH, LYNCHBURG REGION AND ONE FOR THE SOUTHSIDE COMMUNITY HOSPITAL, FARMVILLE REGION. THESE CHNA COMMUNITY ADVISORY BOARDS WERE COMPRISED OF COMMUNITY LEADERS REPRESENTING EDUCATION, BUSINESS, SOCIAL SERVICE AGENCIES, GOVERNMENT, PUBLIC HEALTH AUTHORITIES, COLLEGES (INCLUDING OUR LOCAL SCHOOL OF PUBLIC HEALTH), OTHER HEALTHCARE PROVIDERS, AND NEIGHBORHOOD CITIZEN ORGANIZATIONS IN AN EFFORT TO OBTAIN AS BROAD-BASED COMMUNITY INPUT AS POSSIBLE. PARTICIPANTS INCLUDED ORGANIZATIONS THAT REPRESENT THE NEEDS OF MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. A LIST OF INDIVIDUAL PARTICIPANTS IS LISTED ON THE LAST PAGE OF THE CHNA ASSESSMENT & IMPLEMENTATION PLAN REPORTS.
PART V, SECTION B, LINE 6a	THE ORGANIZATION'S 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 ASSESSMENT & 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: ACCESS TO CARE; HEALTH STATUS IMPROVEMENT; AND HEALTH DISPARITIES. FOR THE ACTION PLAN PRIORITY REGARDING ACCESS TO CARE, THE HOSPITALS HAVE MADE SIGNIFICANT IMPROVEMENTS TO INCREASE ACCESS TO PRIMARY MEDICAL CARE THROUGH THE RECRUITMENT OF NEW PRIMARY CARE PROVIDERS TO CENTRA MEDICAL GROUP'S PRIMARY CARE PRACTICES IN GRETNA, LYNCHBURG, AMHERST, FARMVILLE, AND BEDFORD. ACCESS TO MENTAL HEALTH SERVICES HAS BEEN INCREASED BY ADDING NEW MENTAL HEALTH PROVIDERS IN FARMVILLE AND LYNCHBURG, AS WELL AS PROVIDING TELEPSYCHIATRY SERVICES TO BEDFORD MEMORIAL HOSPITAL. A MOBILE MEDICAL VAN SERVICE WAS INITIATED TO PROVIDE ACCESS TO PRIMARY CARE SERVICES TO TARGETED "HOT SPOT" NEIGHBORHOODS IN LYNCHBURG. LASTLY, CENTRA HAS INCREASED ITS COLLABORATION WITH THE CENTRA VIRGINIA FREE CLINIC BY PROVIDING FUNDS FOR FREE PRESCRIPTIONS AND FINANCIAL SUPPORT FOR ADDITIONAL PRIMARY AND SPECIALTY CARE PROVIDERS. FOR THE ACTION PLAN PRIORITY REGARDING HEALTH STATUS IMPROVEMENT, NUMEROUS INITIATIVES HAVE BEEN IMPLEMENTED TO SUPPORT HEALTH EDUCATION, WELLNESS AND PREVENTION. THESE INITIATIVES INCLUDE OPENING A HEALTHY FAMILY CENTER AT THE LYNCHBURG YMCA WHICH ADDRESSES CHILDHOOD OBESITY; FUNDED A HEALTH EDUCATION EXHIBIT AT THE LOCAL CHILDREN'S MUSEUM WHICH FOCUSES ON CHILDHOOD OBESITY, HEALTH EDUCATION, WELLNESS AND PREVENTION; INITIATED THE TAKE CHARGE PROGRAM WHICH FUNDS THE LOCAL CENTRAL VIRGINIA AREA ON AGING TO PROVIDE TRANSITIONAL SUPPORT SERVICES FOR ELDERLY PATIENTS RECENTLY DISCHARGED FROM THE HOSPITAL; AND FUNDED LIVE HEALTHY LYNCHBURG, WHICH IS A COMMUNITY IMPACT COLLABORATIVE WHICH PROVIDES TRANSPORTATION SERVICES, COMMUNITY GARDENS, AND ENCOURAGES HEALTHY CHILDREN'S PLAY. IN THE AREA OF HEALTH DISPARITIES, THE HOSPITALS HAVE INITIATED A NUMBER OF NEW SERVICES ALL AIMED AT REDUCING HEALTH DISPARITIES AMONG THE RACES AND IN PARTICULAR, REDUCING THE DISPARITIES FOUND IN ACCESS TO PRENATAL CARE. THESE INITIATIVES INCLUDE AN EXPANSION OF THE COMMUNITY VOICE PROGRAM, WHICH IS A LAY HEALTH EDUCATOR PROGRAM AIMED AT REDUCING INFANT MORTALITY AND IMPROVING ACCESS TO PRENATAL CARE. OTHER PROGRAMS AND SERVICES INCLUDE THE HEALTHY FAMILIES PROGRAM, WHICH PROVIDES INTENSIVE IN-HOME VISITATIONS WITH NEW AND EXPECTANT FAMILIES IN PROVIDING HEALTH EDUCATION AND TRANSPORTATION TO APPOINTMENTS. THE COMMUNITY HEALTH NEEDS ASSESSMENT DID IDENTIFY A NUMBER OF SIGNIFICANT NEEDS WHICH WERE CHOSEN NOT TO BE ADDRESSED. THESE INCLUDED FAMILIES LIVING BELOW THE POVERTY LEVEL AND ACCESS TO HEALTH INSURANCE. THE RATIONALE FOR NOT ADDRESSING THESE NEEDS WAS THAT IT WAS FELT THESE NEEDS WERE HIGHLY COMPLEX IN NATURE AND AFFECTED BY A WIDE VARIETY OF INFLUENCING FACTORS - MANY WELL BEYOND THE CAPABILITY AND RESOURCES AVAILABLE THROUGH CENTRA AND/OR ITS COLLABORATING PARTNERS. FURTHERMORE, WITH RESPECT TO ACCESS TO HEALTH INSURANCE, OUR ADVISORY BOARDS FELT THE FULL IMPLEMENTATION OF THE AFFORDABLE CARE ACT WOULD SERVE TO ADDRESS MUCH OF THE NEED AROUND ACCESS TO AFFORDABLE HEALTH INSURANCE.
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	64	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (64 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MAMMOGRAPHY CENTER-TIMBERLAKE
TIMBERLAKE ROAD	LYNCHBURG	VA	24502	Mammography Center
MAMMOGRAPHY CENTER-TATE SPRINGS
1900 TATE SPRINGS ROAD SUITE 1	LYNCHBURG	VA	24501	Mammography Center
CENTRA ALAN B PEARSON CANCER CENTER
1701 THOMSON DRIVE	LYNCHBURG	VA	24501	Cancer Center
CENTRA LAB PHLEBOTOMY CENTER
1900 TATE SPRINGS ROAD SUITE 9	LYNCHBURG	VA	24501	Lab Services
GUGGENHEIMER HEALTH & REHABILITATION CEN
1902 GRACE STREET	LYNCHBURG	VA	24504	Nursing Home
FAIRMONT CROSSING HEALTH & REHBILATION C
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 Care
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
BRIDGES AT BRIGHTWELL
1410 KENTMORE FARM RD	MADISON HEIGHTS	VA	24572	Mental Health
ALTAVISTA MEDICAL CENTER
1280A MAIN STREET	ALTAVISTA	VA	24517	Family Practice
BROOKNEAL MEDICAL CENTER
104 CAROLINA AVENUE PO BOX 120	BROOKNEAL	VA	24528	Family Practice
CENTRA MEDICAL GROUP - DANVILLE
404 AIRPORT ROAD SUITE C	DANVILLE	VA	24540	Orthopedics, Physical Therapy, Physical Therapy, Occupational Rehab
GRETNA MEDICAL CENTER
1220 WEST GRETNA ROAD	GRETNA	VA	24557	Internal Medicine , Cardiology Cardiology, Rehab
LYNCHBURG INTERNAL MEDICINE
1901 THOMSON DRIVE	LYNCHBURG	VA	24501	Internal Medicine
VILLAGE PRACTICE - MONETA
4830 RUCKER RD	MONETA	VA	24121	Family Practice
CENTER FOR PAIN MANAGEMENT
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	Pain Management
WOUND CARE CENTER
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-Danville
173 EXECUTIVE DRIVE	DANVILLE	VA	24540	Urology
CMG UROLOGY CENTER-Bedford
1613 Oakwood St Ste 202	Bedford	VA	24523	Urology
MEDICAL & SURGICAL SPECIALISTS
173 EXECUTIVE DRIVE	DANVILLE	VA	24540	Specialty Services (Urology, Plastics, Cardiology, etc.)
DOMINION PRIMARY CARE
110 EXCHANGE STREET SUITE F	DANVILLE	VA	24540	Family Practice
CMG WOMENS CENTER
2007 GRAVES MILL ROAD	FOREST	VA	24551	Women's Health Services
LIBERTY UNIVERSITY HEALTH SERVICES
1971 UNIVERSITY BLVD	LYNCHBURG	VA	24502	Family Practice
JAMERSON YMCA REHAB CENTER
801 WYNDHURST DRIVE	LYNCHBURG	VA	24502	Rehab Center
CARDIOVASCULAR SURGERY
2410 ATHERHOLT ROAD	LYNCHBURG	VA	24501	Cardiovascular Surgery
STROOBANTS CARDIOVASCULAR CENTER- MAIN O
2410 ATHERHOLT ROAD	LYNCHBURG	VA	24501	Cardiology Center
STROOBANTS CARDIOVASCULAR CENTER- BEDFOR
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 Center
STROOBANTS CARDIOVASCULAR CENTER- DANVIL
173 EXECUTIVE DRIVE	DANVILLE	VA	24540	Cardiology Center
CENTRA HEALTH EMERGENCY PHYSICIANS
1901 TATE SPRINGS ROAD	LYNCHBURG	VA	245011167	Emergency Physicians
CENTRAL VIRGINIA IMAGING LLC
113 NATIONWIDE DRIVE	LYNCHBURG	VA	24502	50% Joint Venture w/ Radiology Consultants of Lynchburg
SURGERY CENTER OF LYNCHBURG LLC
2401 ATHERHOLT ROAD	LYNCHBURG	VA	24501	50% Joint venture w/ Individual Physicians
REHAB & GERIATRIC SERVICES
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	Drs. provided svcs to nursing homes, skilled care facilities hospice, PACE & rehab
Breast Imaging Center
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	Mammographers read screenings for diagnostic breast imaging center and Timberlake
Pathways Treatment Center
3300 Rivermont Avenue	Lynchburg	VA	24503	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
Neuroscience Center-Farmville
800 Oak Street	Farmville	VA	23901	Neurosurgery
Lynchburg Family Medicine Center
2323 Memorial Avenue Suite 10	Lynchburg	VA	24501	Family Practice Residency Program
CMG - Big Island
10961 Lee Jackson Highway	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
VILLAGE NORTH
1613 Oakwood Street Suite 202	BEDFORD	VA	24523	Family Practice
LYNCHBURG EMPLOYEE CLINIC
901 CHURCH STREET	LYNCHBURG	VA	24504	EMPLOYEE WELLNESS CLINIC
Bedford Medical
171 W MAIN STREET	BEDFORD	VA	24523	Family Practice
CMG Plastic Surgery Center
1330 Oak Lane Suite 100	Lynchburg	VA	24503	Plastic Surgery
CMG Neurology
2025 Tate Springs Road	Lynchburg	VA	24501	Neurology

Supplemental Information Detail SupplementalInformationDetail (13 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 II	COMMUNITY BUILDING ACTIVITIES COMMUNITY SUPPORT: CENTRA HEALTH, INC. KNOWS 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 THE COMMUNITY. COALITION BUILDING: CENTRA HEALTH, INC. 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. 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. FOR EXAMPLE, CENTRA OFFERS "CONGREGATIONAL HEALTH PROMOTER" COURSES WHICH WE ADMINISTER 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 HEALTH OF OUR LOCAL COMMUNITIES. 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. ALSO, CENTRA PARTICIPATES IN THE HIPE (HEALTHY PEOPLE THROUGH PREVENTION & EDUCATION COALITION) 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 HEALTH, INC. PARTICIPATES IN 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 HEALTH, INC. WE FEEL PASSIONATELY 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.
PART III, SECTION A, LINE 1	ON JANUARY 1, 2012, CENTRA HEALTH, INC. AND SUBSIDIARIES ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, WHICH CHANGED CENTRA'S PRESENTATION OF PROVISION FOR DOUBTFUL ACCOUNTS TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. THIS HAS BEEN DISCLOSED IN THE FOOTNOTES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THEREFORE, CENTRA HEALTH AND ITS SUBSIDIARIES, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL AND BEDFORD MEMORIAL HOSPITAL REPORT BAD DEBT IN ACCORDANCE 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	THE ORGANIZATION BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S 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 DUE AMOUNTS 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 DEBT." (CENTRA HEALTH, INC. FY 2014 AUDIT REPORT, PAGE 13)
PART III, SECTION B, LINE 8	MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THE TOTAL AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE CENTRA HEALTH'S MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE TO ANY OF OUR PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH REIMBURSEMENTS WERE LESS THAN THE COST TO PROVIDE SERVICE. TOTAL MEDICARE SHORTFALL FOR 2014 WAS $27,738,904.
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 THE SAME 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, OR RELIGION. 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 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 2013, CENTRA COMPLETED THE 2013 - 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN TO MEASURE THE HEALTH NEEDS OF CENTRAL VIRGINIA RESIDENTS SERVED AT CENTRA LYNCHBURG GENERAL HOSPITAL, CENTRA VIRGINIA BAPTIST HOSPITAL AND CENTRA SOUTHSIDE COMMUNITY 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 THE 182,146 PEOPLE LIVING IN THE GREATER LYNCHBURG COMMUNITY, INCLUDING THE CITY OF LYNCHBURG AND BEDFORD, CAMPBELL, AMHERST, APPOMATTOX, AND NELSON COUNTIES. IN ADDITION, CENTRA STUDIED THE HEALTH NEEDS OF THE REGION SURROUNDING CENTRA SOUTHSIDE COMMUNITY HOSPITAL, WHICH SERVES PRINCE EDWARD, BUCKINGHAM, LUNENBURG, CUMBERLAND, CHARLOTTE AND NOTTOWAY COUNTIES. THE REGION HAS A POPULATION OF 92,106. THE CUMULATIVE REPORT OFFERS A STATISTICALLY RELIABLE SNAPSHOT OF THE COMMUNITY'S HEALTH AND PROVIDES A WEALTH OF INFORMATION TO GUIDE THE CENTRA FOUNDATION IN ITS GRANT FUNDING EFFORTS. EXPERTS SAY CLINICAL CARE INFLUENCES ONLY ABOUT 20% OF THE HEALTH OF A COMMUNITY. OTHER INFLUENCES INCLUDE SOCIAL AND ENVIRONMENTAL FACTORS SUCH AS EDUCATION, EMPLOYMENT AND INCOME LEVELS (40%); HEALTH STATUS AND BEHAVIORS SUCH AS DIET, SMOKING AND EXERCISE (30%); AND PHYSICAL ENVIRONMENT FACTORS SUCH AS AIR/WATER QUALITY, HOUSING AND ACCESS TO TRANSPORTATION (10%). 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 CENTRA'S LONG-RANGE PLANS ARE RESPONSIVE AND HELP GUIDE THE AWARDING OF COMMUNITY GRANTS. CENTRA ALSO HAS A COMMUNITY ADVISORY BOARD FROM DIVERSE DEMOGRAPHIC BACKGROUNDS COMPRISED OF REPRESENTATIVES AND LEADERS FROM THE BUSINESS, EDUCATION, GOVERNMENT, SOCIAL SERVICES, RELIGIOUS AND OTHER COMMUNITIES. HEALTH CARE NEEDS AND REQUESTS ALSO ARE ASSESSED THROUGH FOCUS GROUPS, AND SURVEYS OF COMMUNITY RESIDENTS AND CIVIC LEADERS AS WELL AS HOSPITAL AND HEALTH CARE SYSTEM PATIENTS. CENTRA ALSO TEAMS UP WITH AGENCIES AND ORGANIZATIONS TO STUDY COMMUNITY NEEDS AND PROPOSE THE BEST SOLUTIONS. CENTRA'S COMMUNITY EDUCATION COMMITTEE CONSISTS OF OVER 30 COMMUNITY EDUCATORS WHO ARE MAKING CONTINUOUS CONTACTS IN THE REGION AND REPORTING BACK TO THE MONTHLY COMMITTEE MEETING. THE PHYSICIAN ADVISORY BOARD CONSISTS OF OVER 10 COMMUNITY PHYSICIANS WHO MEET QUARTERLY TO DISCUSS COMMUNITY NEEDS AND PLAN TO FULFILL THE NEED. IN ADDITION, A CALL CENTER RECEIVES CALLS AND REPORTS TO THE MARKETING DEPARTMENT FOR ADDITIONAL REQUESTS FROM THE COMMUNITY. CENTRAHEALTH.COM PROVIDES CONSTANT FEEDBACK FROM THE COMMUNITY, WHICH IS ADDRESSED IMMEDIATELY. SURVEYS ARE CONDUCTED AT EVERY COMMUNITY EVENT ON WHICH THE COMMUNITY IS ABLE TO OFFER FEEDBACK.
PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRA TAKES A MULTIDISCIPLINARY APPROACH TO INFORMING OUR PATIENTS AND COMMUNITY ABOUT FINANCIAL ASSISTANCE. INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CAN BE FOUND ON CENTRA'S INTERNET PAGE PROVIDING FULL DISCLOSURE ABOUT QUALIFICATIONS AND THE APPLICATION PROCESS. INDIVIDUALS MAY OBTAIN INFORMATION AND AN APPLICATION FROM ANY REGISTRATION POINT OR CUSTOMER SERVICE UNIT, IN PERSON OR BY PHONE. SIGNS ARE POSTED IN CONSPICUOUS LOCATIONS ALERTING INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHERE TO OBTAIN ADDITIONAL INFORMATION. BROCHURES ABOUT FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN REGISTRATION AND CUSTOMER SERVICE. WHILE PATIENTS ARE HOSPITALIZED, A FINANCIAL COUNSELOR PROVIDES FINANCIAL ASSISTANCE INFORMATION, SCREENS PATIENTS FOR FEDERAL AND STATE PROGRAMS AND GIVES AN OPPORTUNITY TO ASK QUESTIONS. ADDITIONALLY, AN INSERT ABOUT FINANCIAL ASSISTANCE IS MAILED IN EVERY UNINSURED BILL AND EVERY PATIENT BILL, WHETHER UNINSURED OR INSURED, 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 SERVICE AREA OF 473,347 PEOPLE. CENTRA'S PRIMARY SERVICE AREA (PSA) INCLUDES THE CITIES OF LYNCHBURG AND BEDFORD, AND THE COUNTIES OF AMHERST, APPOMATTOX, BEDFORD, CAMPBELL, AND PITTSYLVANIA. CENTRA'S SECONDARY SERVICE AREA (SSA) INCLUDES THE COUNTIES OF BUCKINGHAM, CHARLOTTE, HALIFAX, NELSON, AND PRINCE EDWARD. THE POPULATION FOR THE TOTAL SERVICE AREA IS 473,347, WITH AN ETHNIC MIX OF 35% BLACK AND 60.8% WHITE. THE PERCENT OF THE TOTAL PSA/SSA POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS 18.52%. IT IS PROJECTED THAT BY 2020, THIS SAME AGE RANGE OF 65 PLUS WILL ACCOUNT FOR 20.74% OF THE TOTAL PSA/SSA POPULATION. THE AVERAGE HOUSEHOLD INCOME IN THE PSA/SSA IS $46,182. THE CURRENT UNEMPLOYMENT RATE IS APPROXIMATELY 5.7% FOR THIS 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) IS IN THE LYNCHBURG AND FARMVILLE AREAS TO OFFER ADULTS 55 YEARS OF AGE AND OLDER MEDICAL CARE AND EDUCATION THAT ALLOWS THEM TO STAY IN THEIR OWN HOMES. WITH LONG-TERM CARE EXPERTISE GAINED THROUGH HOSPITAL-BASED CENTERS, CENTRA PROFESSIONALS FOCUS ON DISEASE PREVENTION, INTERVENTION AND WELLNESS. THE PROGRAM IS BASED ON THE KNOWLEDGE OF PROFESSIONALS WHO ADVOCATE THAT IT IS BETTER FOR SENIORS WITH CHRONIC CARE NEEDS AND THEIR FAMILIES TO BE SERVED IN THE COMMUNITY FOR AS LONG AS IT IS MEDICALLY SAFE. COMPREHENSIVE SERVICES ARE DELIVERED BY AN INTERDISCIPLINARY TEAM OF PROFESSIONALS, INCLUDING A PRIMARY CARE PHYSICIAN, REGISTERED NURSES, REHABILITATION THERAPISTS, DIETITIANS AND RECREATION/ACTIVITY STAFF. (3) CENTRA HAS LEVERAGED ITS HIGH-BANDWIDTH CONNECTIVITY ACROSS FACILITIES AND PHYSICIAN PRACTICES TO IMPROVE THE HEALTH OF THE POPULATION THROUGH THE SHARING OF MEDICAL RECORDS. WITH THIS CONNECTIVITY, CENTRA ALSO IS ABLE TO ESTABLISH A CLINICAL REPOSITORY THAT CAN BE MINED TO PERFORM TRUE POPULATION-BASED ANALYTICS.
PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM: WHETHER BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES, ENHANCING HEALTH OR PROVIDING NEEDED REGIONAL PROGRAMS AND SUPPORT, CENTRA SERVES AS A KEY PARTNER IN MANAGING AND PROMOTING HEALTH CARE THROUGHOUT ITS SYSTEM TO ENSURE CARE TO THE REGIONAL COMMUNITIES IT SERVES. DISEASE PREVENTION, TREATMENT AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES TO THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND PROGRAMS, CENTRA EXPANDS ITS HOSPITAL WALLS TO OFFER NATIONAL AWARD WINNING HEALTH CARE FOR ITS PATIENTS WHILE SEEKING TO ENHANCE THE HEALTH AND WELLNESS OF RESIDENTS IN ITS SERVICE AREA. AS THE REGIONAL HEALTH CARE LEADER, CENTRA BRINGS A CONTINUOUS FLOW OF HEALTH CARE SERVICES DESIGNED TO ENSURE THAT PATIENTS RECEIVE CARE THAT MEETS THEIR IDENTIFIED 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 HOSPITAL'S 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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
CENTRA HEALTH FOUNDATION
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541604094	501(C)(3)	$585,149	N/A	N/A	CHARITABLE CONTRIBUTION
JOHNSON HEALTH CENTER
320 FEDERAL STREET	LYNCHBURG	VA	24504	541287905	501(C)(3)	$160,000	N/A	N/A	RENTAL CONTRIBUTION
ACADEMY OF FINE ARTS
600 MAIN STREET	LYNCHBURG	VA	24504	237061145	501(C)(3)	$100,000	N/A	N/A	CHARITABLE CONTRIBUTION	12th Floor
AMAZEMENT SQUARE
27 9TH STREET	LYNCHBURG	VA	24504	541713204	501(C)(3)	$10,000	N/A	N/A	CHARITABLE CONTRIBUTION
AMAZING GRACE BAPTIST CHURCH
2012 GRACE STREET	LYNCHBURG	VA	24504	270660703	501(C)(3)	$10,000	N/A	N/A	CHARITABLE CONTRIBUTION
AVERETT UNIVERSITY (NURSING TECHNOLOGY LAB)
420 WEST MAIN STREET	DANVILLE	VA	24541	540129860	501(C)(3)	$75,000	N/A	N/A	CHARITABLE CONTRIBUTION	12th Floor
CENTRAL VA FNDN FOR ECONOMIC EDUCATION & IMPROVEME
2015 MEMORIAL AVENUE	LYNCHBURG	VA	24501	541255814	501(C)(3)	$50,000	N/A	N/A	CHARITABLE CONTRIBUTION	Suite 201
DIAMOND HILL BAPTIST CHURCH
1415 GRACE STREET	LYNCHBURG	VA	24504	541225949	501(C)(3)	$7,000	N/A	N/A	CHARITABLE CONTRIBUTION	12th Floor
INTERFAITH OUTREACH ASSOCIATION
701 CLAY STREET	LYNCHBURG	VA	24505	541214253	501(C)(3)	$19,479	N/A	N/A	CHARITABLE CONTRIBUTION	PO BOX 1125
LYNCHBURG COLLEGE BBB GERONTOLOGY
1501 LAKESIDE DRIVE	LYNCHBURG	VA	24501	540505922	501(C)(3)	$250,000	N/A	N/A	CHARITABLE CONTRIBUTION
LYNCHBURG HUMANE SOCIETY
1211 OLD GRAVES MILL RD	LYNCHBURG	VA	24502	540570901	501(C)(3)	$50,000	N/A	N/A	CHARITABLE CONTRIBUTION
MEDICAL SOCIETY OF VIRGINIA
2924 EMERYWOOD PARKWAY STE 300	RICHMOND	VA	23294	521394768	501(C)(3)	$10,000	N/A	N/A	CHARITABLE CONTRIBUTION
MONETA RESCUE SQUAD
12646 N OLD MONETA ROAD	MONETA	VA	24121	541118203	501(C)(3)	$50,000	N/A	N/A	CHARITABLE CONTRIBUTION
TOWN OF FARMVILLE
116 NORTH MAIN STREET	FARMVILLE	VA	23901	546001272	GOVT	$75,000	N/A	N/A	CHARITABLE CONTRIBUTION
UNITED WAY OF CENTRAL VIRGINIA
1010 MILLER PARK SQUARE	LYNCHBURG	VA	24501	540505923	501(C)(3)	$25,000	N/A	N/A	CHARITABLE CONTRIBUTION
VIRGINIA'S REGION 2000 ECONOMIC DEVELOP COUNCIL
828 MAIN STREET 12TH FL	LYNCHBURG	VA	24504	541859984	501(C)(6)	$30,000	N/A	N/A	CHARITABLE CONTRIBUTION

Field	Value	IRS element (for citing)
Total501c3 Org	15	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	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EW TIBBS
PRESIDENT/CEO	$614,804	$0	$82,498	$0	$87,582	$0	$118,708	$0	$37,521	$0	$941,113	$0	$44,210	$0
LEWIS C ADDISON
TREASURER & SENIOR VP/CFO	$415,160	$0	$41,390	$0	$98,287	$0	$7,800	$0	$23,106	$0	$585,743	$0	$77,928	$0
DAVID D ADAMS
SECRETARY/EVP, CSO	$411,819	$0	$35,000	$0	$51,553	$0	$60,563	$0	$17,320	$0	$576,255	$0	$43,275	$0
VERNA R SELLERS MD
DIRECTOR	$237,689	$0	$19,000	$0	$1,006	$0	$5,914	$0	$6,261	$0	$269,870	$0	$0	$0
DANIEL CAREY MD
SVP/CHIEF MEDICAL OFFICER	$405,351	$0	$33,333	$0	$18,458	$0	$7,800	$0	$39,001	$0	$503,943	$0	$0	$0
MICHAEL I ELLIOTT
SVP/CHIEF OPERATING OFFICER	$234,473	$0	$10,450	$0	$2,014	$0	$7,237	$0	$32,689	$0	$286,863	$0	$0	$0
PATTI S MCCUE SCED
SVP/CHIEF NURSING OFFICER	$296,467	$0	$30,380	$0	$79,354	$0	$7,800	$0	$6,401	$0	$420,402	$0	$48,636	$0
THOMAS W NYGAARD MD
SVP/CHIEF MEDICAL OFFICER	$438,401	$0	$43,283	$0	$117,707	$0	$66,998	$0	$10,658	$0	$677,047	$0	$97,245	$0
JANICE H WALKER
SVP/CHIEF ADMIN OFFICER	$252,200	$0	$11,880	$0	$30,452	$0	$29,545	$0	$27,474	$0	$351,551	$0	$24,595	$0
DAVID W FRANTZ MD
MD: CARDIOVASCULAR	$637,068	$0	$25,000	$0	$140,584	$0	$7,800	$0	$33,232	$0	$843,684	$0	$0	$0
THEOFILOS MACHINIS MD
MD: NEUROSURGERY	$804,063	$0	$0	$0	$756	$0	$7,800	$0	$19,996	$0	$832,615	$0	$0	$0
DILANTHA ELLEGALA MD
MD: NEUROSURGERY	$717,733	$0	$0	$0	$19,084	$0	$7,800	$0	$34,326	$0	$778,943	$0	$0	$0
CHAD A HOYT MD
MD: CARDIOVASCULAR	$656,124	$0	$40,200	$0	$18,688	$0	$7,800	$0	$45,045	$0	$767,857	$0	$0	$0
MATTHEW C SACKETT MD
MD: CARDIOVASCULAR	$640,761	$0	$40,000	$0	$18,724	$0	$7,800	$0	$33,415	$0	$740,700	$0	$0	$0
W MICHAEL BRYANT
FORMER PRESIDENT/CEO	$0	$0	$0	$0	$690,825	$0	$0	$0	$17,540	$0	$708,365	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4A:

W. MICHAEL BRYANT, FORMER CENTRA HEALTH PRESIDENT & CHIEF EXECUTIVE OFFICER, RECEIVED A SEVERANCE PAYMENT DURING 2014 IN THE AMOUNT OF $695,000, INCLUDED IN HIS TAXABLE INCOME.

SCHEDULE J, PART I, LINE 4B:

THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2014. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT DAVID ADAMS CHIEF STRATEGY OFFICER $ 43,275 LEWIS ADDISON CENTRA SR VP & CFO $ 77,928 PATTI MCCUE CENTRA SR VP, PATIENT CARE SERVICES $ 48,636 THOMAS NYGAARD CENTRA SR VP & CMO $ 97,245 E.W. TIBBS CENTRA PRESIDENT & CEO $ 44,210 JANICE WALKER CENTRA SVP CHIEF ADMIN OFFICER $ 24,595 THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN IN FY 2014: NAME TITLE AMOUNT DEFERRED DAVID ADAMS CHIEF STRATEGY OFFICER $ 52,763 LEWIS ADDISON CENTRA SR VP & CFO NONE PATTI MCCUE CENTRA SR VP, PATIENT CARE SERVICES NONE THOMAS NYGAARD CENTRA SR VP & CMO $ 59,198 E.W. TIBBS CENTRA PRESIDENT & CEO $110,908 JANICE WALKER CENTRA SVP CHIEF ADMIN OFFICER $ 21,783

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
INDUSTRIAL 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
INDUSTRIAL 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	$7,036,403	$0	$30,223,487	$0	$0	$0	$185,914	$0	$0	$30,037,573	$0	$0	2013	false	false	Yes (true)	Yes (true)
B	$2,088,339	$0	$7,500,000	$0	$0	$0	$50,000	$0	$0	$7,450,000	$0	$0	2008	false	false	Yes (true)	Yes (true)
C	$2,228,939	$0	$8,000,000	$0	$0	$0	$60,000	$0	$0	$7,940,000	$0	$0	2008	false	false	Yes (true)	Yes (true)
D	$1,930,628	$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	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	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	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	false	false		false	0			false	false	false	Yes (true)
C	false	false	false		false	0			false	false	false	Yes (true)
D	false	false	false		false	0			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	Yes (true)	false	false	Yes (true)	Yes (true)	7.	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	false	Yes (true)	false				false	0	false	Yes (true)
0
C	false	false	Yes (true)	false	Yes (true)	false				false	0	false	Yes (true)
0
D	false	false	Yes (true)	false	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

Part II, Line 3

2004 SERIES B, C, F BONDS - ISSUE PRICE: $126,425,000 TOTAL PROCEEDS OF ISSUE INCLUDES: INTERST EARNINGS INDUSTRIAL DEVELOPMENT AUTH. OF CITY OF LYNCHBURG, VA BOND - ISSUE PRICE: $30,000,000 TOTAL PROCEEDS OF ISSUE INCLUDES: INTEREST EARNINGS

PART IV, LINE 2c:

CENTRA HEALTH SERIES 2004 B, C, F BONDS: DATE OF REPORT - 4/8/2009. 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-F BOND ISSUE. CENTRA HEALTH SERIES 2004 A, D, E, BONDS: DATE OF REPORT - 4/23/2010. A REBATE CALCULATION WAS PERFORMED ON APRIL 23, 2010 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 A, D & E REISSUED BONDS.

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 COUNTY OF CAMPBELL VA
B	541225193	551245HA4	2009-09-29	$78,950,000	2004 A,D,E BONDS CURRENT REFUNDING	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	$45,973,243	$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	$7,900,000	$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	$25,000,000	$0	$0	$54,451,464		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	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	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	0.00000	0.00000	0.00000	false	false	false	Yes (true)
B	false	false	false	false	0			false	false	false	Yes (true)
C	false	false	false	false	0			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	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
DEUTSCHE BANK
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	30.	false	false	Yes (true)	CITIGROUP FINANCIAL	2.5	Yes (true)	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false				false	0			false	Yes (true)
0
C	false	Yes (true)	false	false	Yes (true)	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

Field	Value	IRS element (for citing)
Total Balance Due	$0	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LYNCHBURG PULMONARY ASSOCIATES
SEE PART V	$1,193,616	SEE PART V	false
ORTHOPAEDIC CTR OF CENTRAL VIRGINIA
SEE PART V	$644,313	SEE PART V	false
JAMERSON-LEWIS CONSTRUCTION
SEE PART V	$3,880,504	SEE PART V	false
MARK C ADDISON
SEE PART V	$33,355	SEE PART V	false
MARK A MCKINNEY
SEE PART V	$118,675	SEE PART V	false
JACK E WALKER
SEE PART V	$86,901	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	BUSINESS TRANSACTIONS (A) NAME OF PERSON: LYNCHBURG PULMONARY ASSOCIATES (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER ALBERT BAKER, MD IS PARTIAL OWNER OF LYNCHBURG PULMONARY ASSOCIATES (C) AMOUNT OF TRANSACTION: $1,193,616 (D) DESCRIPTION OF TRANSACTION: PAYMENTS FOR COVERAGE OF PATIENTS IN CRITICAL CARE UNITS RENDERED TO CENTRA HEALTH, INC. IN LYNCHBURG, VA (E) SHARING OF ORGANIZATION REVENUES?: NO (A) NAME OF PERSON: ORTHOPAEDIC CENTER OF CENTRAL VIRGINIA (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER H.C. ESCHENROEDER, JR, MD, IS SHAREHOLDER OF ORTHOPAEDIC CENTER OF CENTRAL VIRGINIA (C) AMOUNT OF TRANSACTION: $644,313 (D) DESCRIPTION OF TRANSACTION: PAYMENT FOR MEDICAL SERVICES RENDERED TO CENTRA HEALTH, INC (E) SHARING OF ORGANIZATION REVENUES?: NO (A) NAME OF PERSON: JAMERSON-LEWIS CONSTRUCTION (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER TERRY H. JAMERSON'S HUSBAND IS PARTIAL OWNER OF JAMERSON-LEWIS CONSTRUCTION (C) AMOUNT OF TRANSACTION: $3,880,504 (D) DESCRIPTION OF TRANSACTION: PAYMENT FOR CONSTRUCTION CONTRACTING SERVICES TO CENTRA HEALTH, INC. (E) SHARING OF ORGANIZATION REVENUES? NO (A) NAME OF PERSON: MARK C. ADDISON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF LEWIS ADDISON, OFFICER OF CENTRA HEALTH, INC. (C) AMOUNT OF TRANSACTION: $33,355 (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: $118,675 (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: $86,901 (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 (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a	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 HEALTH, INC. (CENTRA) HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR OVER 25 YEARS, AND HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. HOWEVER, JUST AS IMPORTANT IS CENTRA'S COMMITMENT AND DEDICATION TO SERVING AS A PARTNER IN THE REGIONAL COMMUNITIES. DISEASE PREVENTION AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES THROUGHOUT THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND EDUCATIONAL PROGRAMS, CENTRA IS COMMITTED TO PROVIDING THE BEST HEALTH CARE FOR ITS PATIENTS AND IMPROVING THE HEALTH AND WELLNESS OF ALL THE RESIDENTS OF CENTRAL VIRGINIA. CENTRA'S COMMUNITY EVENTS, OFFERED IN COLLABORATION WITH THE CENTRA HEALTH FOUNDATION AND THE CENTRA MEDICAL STAFF, IS JUST ONE EXAMPLE OF CENTRA'S MANY SERVICES TO THE COMMUNITY. IN ADDITION, CENTRA EMPLOYEES DEDICATE THEMSELVES TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY BY TAKING AN ACTIVE ROLE IN THE REGION, FROM VOLUNTEERING FOR LOCAL BOARDS AND CIVIC AND COMMUNITY ORGANIZATIONS TO PARTICIPATING IN COMMUNITY EVENTS 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 2014, CENTRA HELD MANY NATIONAL AWARDS AND ACCOLADES: -THE AMERICAN NURSES CREDENTIALING CENTER RE-DESIGNATED CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS AS MAGNET FACILITIES WHICH RECOGNIZE EXCELLENCE IN NURSING. CENTRA WAS THE FIRST HEALTHCARE SYSTEM IN CENTRAL VIRGINIA TO ACHIEVE MAGNET STATUS IN 2005. -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. -THE LYNCHBURG GENERAL HOSPITAL SCHOOL OF NURSING DIPLOMA PROGRAM HAS MAINTAINED FULL ACCREDITATION FROM THE NATIONAL LEAGUE OF NURSING ACCREDITATION COUNCIL. -CENTRA LYNCHBURG GENERAL, SOUTHSIDE COMMUNITY AND VIRGINIA BAPTIST HOSPITALS ARE THREE OF THE TOP 100 MOST WIRED HOSPITALS IN THE COUNTRY ACCORDING TO 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. -CENTRA CANCER CARE SERVICES HAS TWICE EARNED FULL ACCREDITATION WITH COMMENDATION AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. -CENTRA BREAST CANCER SERVICES HAS TWICE EARNED NATIONAL ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. -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 AND ULTRASOUND. -CENTRA HAS BEEN SELECTED SIX TIMES AS A 50 TOP CARDIOVASCULAR HOSPITAL IN AMERICA AND IS ONE OF ONLY THREE HOSPITALS IN VIRGINIA TO RECEIVE THIS NATIONAL HONOR FOR OUTSTANDING CARDIOVASCULAR PERFORMANCE. -CENTRA LYNCHBURG GENERAL HOSPITAL'S CHEST PAIN CENTER MAINTAINS THEIR INTERNATIONAL ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS FOR ACHIEVING A HIGH LEVEL OF EXPERTISE IN CARING FOR PATIENTS WHO ARRIVE WITH SYMPTOMS OF A HEART ATTACK. -CENTRA STROOBANTS HEART CENTER HAS BEEN AWARDED THE HIGHEST RATING BY THE SOCIETY OF THORACIC SURGEON FOR QUALITY IN CARDIAC SURGERY. CENTRA IS THE ONLY HEALTH CARE SYSTEM IN VIRGINIA TO HAVE RECEIVED A RATING EVERY YEAR SINCE ITS INCEPTION. -CENTRA HAS RECEIVED RE-CERTIFICATION FOR ITS TREATMENT OF ACUTE MYOCARDIAL INFARCTION (HEART ATTACK) PATIENTS FROM THE JOINT COMMISSION. THE NATIONAL CERTIFICATION ONCE AGAIN SHOWS THAT CENTRA EXCEEDS NATIONAL STANDARDS AND GUIDELINES THAT BRING HEART ATTACK CARE EXCELLENCE. -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 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, SOUTHSIDE AND WESTERN VIRGINIA TO EARN THIS HONOR IN 2010. -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 ACCORDING TO NATIONALLY ACCEPTED STANDARDS AND RECOMMENDATIONS. -THE CENTRA JOINT REPLACEMENT CENTER'S TOTAL HIP AND TOTAL KNEE REPLACEMENT PROGRAMS ARE NATIONALLY CERTIFIED BY THE JOINT COMMISSION. -CENTRA'S CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE HAS RECEIVED A THREE-YEAR RE-ACCREDITATION FROM THE UNDERSEA & HYPERBARIC MEDICAL SOCIETY AND IS ONE OF FIVE ACCREDITED CENTERS IN VIRGINIA. -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 ASSOCIATION'S 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 LYNCHBURG GENERAL HOSPITAL HAS EARNED NATIONAL RECOGNITION FOR EXCELLENCE IN TREATING PATIENTS WITH A HEART ATTACK. THE ACCREDITATION PROGRAM - SPONSORED BY THE AMERICAN HEART ASSOCIATION AND THE SOCIETY OF CHEST PAIN CENTERS - RECOGNIZES CENTERS THAT MEET OR EXCEED QUALITY OF CARE MEASURES FOR PEOPLE EXPERIENCING THE MOST SEVERE TYPE OF HEART ATTACK. -CENTRA'S 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 ALAN B. PEARSON REGIONAL CANCER CENTER HAS RECEIVED THE NATIONAL OUTSTANDING ACHIEVEMENT AWARD FROM THE COMMISSION ON CANCER COLLEGE OF SURGEONS. CENTRA IS ONE OF A SELECT GROUP OF U.S. HEALTH CARE FACILITIES WITH ACCREDITED CANCER PROGRAMS TO RECEIVE THIS NATIONAL HONOR FROM SURVEYS PERFORMED LAST YEAR. 2014 COMMUNITY BENEFIT HIGHLIGHTS -CENTRA CONTRIBUTED MORE THAN $66 MILLION TOWARD UNPAID COST OF PATIENT CARE, INCLUDING, BUT NOT LIMITED TO: -TRADITIONAL CHARITY CARE, WHICH INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2014, $37,728,686 OF CHARGES AT AN ESTIMATED COST OF $18,116,290 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. -UNPAID COSTS OF MEDICARE, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICARE FOR CARE RENDERED TO MEDICARE PATIENTS, AND TOTALED $27,738,904. -UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS, AND TOTALED $20,137,064. 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 2014 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 2014, OVER 550 HEALTH EDUCATION PROGRAMS AND HEALTH FAIRS REACHED MORE THAN 41,000 INDIVIDUALS WITHIN THE COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2	BOARD MEMBER AUGUSTUS PETTICOLAS, JR, IS OFFICER AND DIRECTOR OF THE BANK OF THE JAMES. BOARD MEMBER JULIE DOYLE AND OFFICER LEWIS ADDISON ARE EACH BOARD MEMBERS OF THE BANK OF THE JAMES, LYNCHBURG, VA. OFFICERS LEWIS ADDISION AND E.W. TIBBS ARE EACH BOARD MEMBERS OF CENTRAL VIRGINIA IMAGING. KEY EMPLOYEE MICHAEL ELLIOTT IS AN OFFICER AND DIRECTOR OF CENTRAL VIRGINIA IMAGING, LLC, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. OFFICERS DAVID ADAMS AND E.W. TIBBS ARE BOTH OFFICERS AND DIRECTORS OF THE BOARD OF PIEDMONT COMMUNITY HEALTH PLAN. OFFICERS LEWIS ADDISON AND AMY RAY ARE BOARD MEMBERS OF PIEDMONT COMMUNITY HEALTH PLAN. BOARD MEMBER MICHAEL BRADFORD IS A BOARD MEMBER OF PIEDMONT COMMUNITY HEALTH PLAN, A 50% JOINT VENTURE OF CENTRA HEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 4	THE ARTICLES AND BYLAWS WERE AMENDED. AS OF JULY 1, 2014, CENTRA HEALTH, INC. BECAME SOLE MEMBER OF BEDFORD MEMORIAL HOSPITAL AND THEREFORE HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF BEDFORD'S GOVERNING BODY AND APPROVE DECISIONS MADE BY BEDFORD'S BOARD.
FORM 990, PART VI, SECTION A, LINE 8 A & B	MINUTES ARE TAKEN AT EACH MEETING.
FORM 990, PART VI, SECTION B, LINE 11B	THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12 C	ALL CENTRA OFFICERS AND DIRECTORS MUST COMPLETE A "POSSIBLE CONFLICT OF INTEREST" QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINES 15A & 15B	CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS THREE ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FOUR 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 ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 18	PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. ADDITIONALLY, FILINGS OF THE FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AT ITS ADMINISTRATIVE OFFICE UPON REQUEST.
FORM 990, PART IX, LINE 11G:	OTHER FEES FOR SERVICES Total Mgmt Program OTHER 104,278 - 104,278 PURCHASED & CONTRACTED SVCS 40,251,695 12,510,464 27,741,231 PROFESSIONAL FEES 25,756,807 273,400 25,483,407 ---------------------------------------- TOTAL 66,112,780 12,783,864 53,328,916
FORM 990, PART XI, LINE 9:	OTHER CHANGES IN NET ASSETS CHANGE IN PENSION REPORTING (26,210,464) CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT (6,764,641) NET ASSETS RELEASED FROM RESTICTIONS TO AFFILIATED ENTITIES (223,796) MINORITY INTEREST 3,927 TOTAL TO FORM 990, PART XI, LINE 9 (33,194,974)
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER TOTAL FEES:104278
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:40251695
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:25756807

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 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	$4,003,478	$20,916,162	CENTRA HEALT
CENTRAL VIRGINIA HOSPITAL FOR RESTORATIV
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	204712023	HEALTHCARE	VA	$9,460,598	$2,544,102	CENTRA HEALT
CENTRA MEDICAL GROUP LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	203639329	PHYSICIAN SVC	VA	$60,907,390	$30,573,080	CENTRA HEALT
CENTRA PANORAMIC LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	471812326	WELLNESS CNTR	VA	$43,462	$461,185	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 11A, I	NA	Yes (true)
CENTRA HEALTH FOUNDATION INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541604094	SUPPORTING OR	VA	501(C)(3)	LINE 11A, 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 Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	NONE	BusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	GENERAL BUSINESS CONCERNS INC	BusinessNameLine1Txt

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)
EIN	541299682	EIN
Primary Activities	REAL ESTATE-PHYSI	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Share Of Total Income	$716,960	ShareOfTotalIncomeAmt
Share Of EOY Assets	$2,999,240	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	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 (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CENTRA HEALTH FOUNDATION
b	$585,149	BOOK VALUE
CENTRA HEALTH FOUNDATION
c	$1,514,837	BOOK VALUE
CENTRA HEALTH FOUNDATION
p	$1,161,422	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
b	$210,887	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
d	$378,740	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
q	$2,000,000	BOOK VALUE
CCRC INC
q	$100,075	BOOK VALUE
GENERAL BUSINESS CONCERNS INC
k	$329,378	BOOK VALUE
BEDFORD MEMORIAL HOSPITAL
q	$750,000	BOOK VALUE