2015-11-10T07:27:09-06:00 2014-12-31 KPMG LLP 1676 International Drive McLean VA 22102 990 2014-01-01 540715569 CENTRA HEALTH INC % DAVID G GOUGH CENT 4342004712 1920 Atherholt Road Lynchburg VA 24501 DAVID ADAMS VP Finance 4342004712 2015-11-06 true MARGARET BRADSHAW P00501222 7032868000 2014 2016-04-25 22:37:26Z EW Tibbs 1920 Atherholt Road Lynchburg VA 24501 1891110057 false X www.centrahealth.com X 1962 VA Excellent Care - Every Time. 15 10 6691 986 9435301 1023920 3377699 2444918 605976778 643507287 41833890 31416244 3208296 3225444 654396663 680593893 897430 1535028 0 0 341507664 351812055 0 0 0 254156403 280457462 596561497 633804545 57835166 46789348 854632293 929094060 329973066 397911264 524659227 531182796 X EXCELLENT CARE - EVERY TIME. false false 557617759 1535028 634071986 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 557617759 true true false true false false false false false true true true false false true true false true false false false false false false false false true true true false true true false false false false false false false false true true false false false false true true true true false false true 661 0 true 6691 true true true false false false false false false false false false X 15 10 true false true false false false false true true false false true true true true true true true true true true VA X X DAVID G GOUGH 4342004712 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 WALKER P SYDNOR CHAIRMAN 2.0 0.0 X X 0 0 0 AMY G RAY VICE-CHAIRMAN 2.0 0.0 X X 0 0 0 EW TIBBS PRESIDENT/CEO 50.0 0.0 X X 784884 0 156229 ALBERT M BAKER MD DIRECTOR 2.0 0.0 X 0 0 0 MICHAEL V BRADFORD DIRECTOR 2.0 0.0 X 0 0 0 JULIE P DOYLE DIRECTOR 2.0 0.0 X 0 0 0 HC ESCHENROEDER JR MD DIRECTOR 2.0 0.0 X 0 0 0 LAURA L HAMILTON DIRECTOR 2.0 0.0 X 0 0 0 SHARON L HARRUP DIRECTOR 2.0 0.0 X 0 0 0 TERRY H JAMERSON DIRECTOR 2.0 0.0 X 0 0 0 STEPHEN C KEITH EDD DIRECTOR 2.0 0.0 X 0 0 0 AUGUSTUS A PETTICOLAS JR DDS DIRECTOR 2.0 0.0 X 0 0 0 CHARLES W PRYOR JR PHD DIRECTOR 2.0 0.0 X 0 0 0 VERNA R SELLERS MD DIRECTOR 50.0 0.0 X 257695 0 12175 R SACKETT WOOD DIRECTOR 2.0 0.0 X 0 0 0 LEWIS C ADDISON TREASURER & SENIOR VP/CFO 50.0 0.0 X 554837 0 30906 DAVID D ADAMS SECRETARY/EVP, CSO 50.0 0.0 X 498372 0 77883 DANIEL CAREY MD SVP/CHIEF MEDICAL OFFICER 50.0 0.0 X 457142 0 46801 MICHAEL I ELLIOTT SVP/CHIEF OPERATING OFFICER 50.0 0.0 X 246937 0 39926 PATTI S MCCUE SCED SVP/CHIEF NURSING OFFICER 50.0 0.0 X 406201 0 14201 THOMAS W NYGAARD MD SVP/CHIEF MEDICAL OFFICER 50.0 0.0 X 599391 0 77656 JANICE H WALKER SVP/CHIEF ADMIN OFFICER 50.0 0.0 X 294532 0 57019 DAVID W FRANTZ MD MD: CARDIOVASCULAR 50.0 0.0 X 802652 0 41032 THEOFILOS MACHINIS MD MD: NEUROSURGERY 50.0 0.0 X 804819 0 27796 DILANTHA ELLEGALA MD MD: NEUROSURGERY 50.0 0.0 X 736817 0 42126 MATTHEW C SACKETT MD MD: CARDIOVASCULAR 50.0 0.0 X 699485 0 41215 W MICHAEL BRYANT FORMER PRESIDENT/CEO 0.0 0.0 X 690825 0 17540 CHAD A HOYT MD MD: CARDIOVASCULAR 50.0 0.0 X 715012 0 52845 8549601 0 735350 416 true true false MEDICAL ASSOCIATES OF CENTRAL VIRGI PO BOX 11889 LYNCHBURG VA 24506 PHYSICIAN SERVICES 10895674 BLAIR CONSTRUCTION PO BOX 612 GRETNA VA 24557 GENERAL CONTRACTORS 8641204 JAMERSON-LEWIS CONSTRUCTION INC PO BOX 10728 LYNCHBURG VA 24506 GENERAL CONTRACTORS 3880504 HERITAGE HEALTHCARE INC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPY MGMT SVCS 3261487 VIRGINIA HOSPITAL LAUNDRY INC 1601 OLIVER HILL WAY RICHMOND VA 23219 LAUNDRY/LINEN SVCS 2229817 59 1514837 930081 2444918 NET PATIENT SERVICE REVENUE 624100 606526100 597090799 9435301 ANCILLARY SERVICES 900099 17772342 17772342 TUITION & EDUCATION 611600 18724124 18724124 CONTROLLED ENTITIES 900099 -266418 -266418 MEANINGFUL USE 900099 751139 751139 643507287 5835144 5835144 0 0 3554216 2895201 659015 0 659015 659015 1233170848 31215 1207620963 25549885 31215 25581100 25581100 0 0 0 CAFETERIA/VENDING/DIETARY 722210 2466335 2466335 REIMBURSED COSTS 541610 100094 100094 2566429 680593893 634071986 9435301 34641688 X 1535028 1535028 0 0 0 4612787 269870 4342917 238930 238930 277462504 264016711 13445793 4886067 4577845 308222 36939425 33114538 3824887 27672342 25926719 1745623 989265 690246 299019 3762805 2482733 1280072 208677 30229 178448 0 0 1629963 1629963 66112780 53328916 12783864 2813477 2523952 289525 31816259 30233772 1582487 21244550 213820 21030730 0 9935170 9549099 386071 1641784 1573129 68655 0 1866469 1570179 296290 5173959 5173959 0 36897337 24250445 12646892 4750393 4703213 47180 MEDICAL SUPPLIES 58216348 58216200 148 DRUGS 31941448 31941448 BOND COST AMORTIZATION 1456778 1456778 633804545 557617759 76186786 0 24713837 14666339 0 0 0 0 61346710 72021931 0 0 32 0 144188 144188 14163831 16187372 5165605 6661252 804718990 514300162 259470618 290418828 342976076 350716105 127534611 154085710 0 0 0 0 19116785 24192335 854632293 929094060 61716565 64983022 0 0 896622 490768 204353893 227511257 0 0 0 0 0 0 0 0 63005986 104926217 329973066 397911264 X 465637364 470128269 30143485 32176149 28878378 28878378 524659227 531182796 854632293 929094060 X 46789348 -7070805 -33194974 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 33917 33917 false OTHER LOBBYING ACTIVITIES: 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. 42984832 501833 542923 42943742 38188253 5134898 338319 42984832 29734229 293321 293321 29734229 29734229 374984 374984 29734229 29734229 336616 336616 29734229 0.02140 0.67100 0.30760 false true true 15778303 15778303 381455558 216833652 164621906 18370545 11966690 6403855 365247209 285499820 79747389 23867375 0 23867375 290418828 LEVEL 3 INVEST. IN REAL ESTATE 33540448 F EQUITY IN AFFILIATES 3826762 F INVEST CAPITAL-CONTROL ENTITIE 116718500 F 154085710 0 EST PAYABLE TO 3RD PARTY 18793642 PHYSICIAN RECRUITMENT LIABILITY 277185 CURRENT INSTALLMENTS DUE TO SCH 842622 ACCRUED INTEREST PAYABLE 159174 INTEREST RATE SWAP AGREEMENT 21619902 PENSION LIABILITY 48614709 EST. LIABILITY FOR UNPAID CLAIMS 14618983 104926217 X 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. true true X true X true X true true true false true true 18116290 18116290 0.02860 89185026 69047962 20137064 0.03180 107301316 69047962 38253354 0.06040 716433 716433 0.00110 13033803 6583268 6450535 0.01020 991063 991063 0.00150 14741299 6583268 8158031 0.01280 122042615 75631230 46411385 0.07320 635 635 1623 1623 3423 3423 5681 5681 true 34951991 275392533 303131437 -27738904 X true true 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 0.01000 0.49000 3 1 LYNCHBURG GENERAL HOSPITAL 1901 TATE SPRINGS ROAD LYNCHBURG VA 24501 WWW.CENTRAHEALTH.COM X X X 2 VIRGINIA BAPTIST HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 WWW.CENTRAHEALTH.COM X X 3 CENTRA SPECIALTY HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 WWW.CENTRAHEALTH.COM X LONG TERM ACUTE CARE LYNCHBURG GENERAL HOSPITAL 1 false false true X X X X X X X X X 13 true true false true X WWW.CENTRAHEALTH.COM X X true 13 true WWW.CENTRAHEALTH.COM false false true X 200. 400. X X X X true true X X X X true X X X X X X X X X X X true X false X X X X true X false false VIRGINIA BAPTIST HOSPITAL 2 false false true X X X X X X X X X 13 true true false true X WWW.CENTRAHEALTH.COM X X true 13 true WWW.CENTRAHEALTH.COM false false true X 200. 400. X X X X true true X X X X true X X X X X X X X X X X true X false X X X X true X false false CENTRA SPECIALTY HOSPITAL 3 false false true X X X X X X X X X 13 true true false true X WWW.CENTRAHEALTH.COM X X true 13 true WWW.CENTRAHEALTH.COM false false true X 200. 400. X X X X true true X X X X true X X X X X X X X X X X true X false X X X X false X X false false 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. 64 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 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. true CENTRA HEALTH FOUNDATION 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 501(C)(3) 585149 N/A N/A CHARITABLE CONTRIBUTION JOHNSON HEALTH CENTER 320 FEDERAL STREET LYNCHBURG VA 24504 541287905 501(C)(3) 160000 N/A N/A RENTAL CONTRIBUTION ACADEMY OF FINE ARTS 600 MAIN STREET 12th Floor LYNCHBURG VA 24504 237061145 501(C)(3) 100000 N/A N/A CHARITABLE CONTRIBUTION AMAZEMENT SQUARE 27 9TH STREET LYNCHBURG VA 24504 541713204 501(C)(3) 10000 N/A N/A CHARITABLE CONTRIBUTION AMAZING GRACE BAPTIST CHURCH 2012 GRACE STREET LYNCHBURG VA 24504 270660703 501(C)(3) 10000 N/A N/A CHARITABLE CONTRIBUTION AVERETT UNIVERSITY (NURSING TECHNOLOGY LAB) 420 WEST MAIN STREET 12th Floor DANVILLE VA 24541 540129860 501(C)(3) 75000 N/A N/A CHARITABLE CONTRIBUTION CENTRAL VA FNDN FOR ECONOMIC EDUCATION & IMPROVEME 2015 MEMORIAL AVENUE Suite 201 LYNCHBURG VA 24501 541255814 501(C)(3) 50000 N/A N/A CHARITABLE CONTRIBUTION DIAMOND HILL BAPTIST CHURCH 1415 GRACE STREET 12th Floor LYNCHBURG VA 24504 541225949 501(C)(3) 7000 N/A N/A CHARITABLE CONTRIBUTION INTERFAITH OUTREACH ASSOCIATION 701 CLAY STREET PO BOX 1125 LYNCHBURG VA 24505 541214253 501(C)(3) 19479 N/A N/A CHARITABLE CONTRIBUTION LYNCHBURG COLLEGE BBB GERONTOLOGY 1501 LAKESIDE DRIVE LYNCHBURG VA 24501 540505922 501(C)(3) 250000 N/A N/A CHARITABLE CONTRIBUTION LYNCHBURG HUMANE SOCIETY 1211 OLD GRAVES MILL RD LYNCHBURG VA 24502 540570901 501(C)(3) 50000 N/A N/A CHARITABLE CONTRIBUTION MEDICAL SOCIETY OF VIRGINIA 2924 EMERYWOOD PARKWAY STE 300 RICHMOND VA 23294 521394768 501(C)(3) 10000 N/A N/A CHARITABLE CONTRIBUTION MONETA RESCUE SQUAD 12646 N OLD MONETA ROAD MONETA VA 24121 541118203 501(C)(3) 50000 N/A N/A CHARITABLE CONTRIBUTION TOWN OF FARMVILLE 116 NORTH MAIN STREET FARMVILLE VA 23901 546001272 GOVT 75000 N/A N/A CHARITABLE CONTRIBUTION UNITED WAY OF CENTRAL VIRGINIA 1010 MILLER PARK SQUARE LYNCHBURG VA 24501 540505923 501(C)(3) 25000 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) 30000 N/A N/A CHARITABLE CONTRIBUTION 15 1 N/A SCH I, PART I, LINE 2 THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. X X X X true true false false false false false false false EW TIBBS PRESIDENT/CEO 614804 0 82498 0 87582 0 118708 0 37521 0 941113 0 44210 0 LEWIS C ADDISON TREASURER & SENIOR VP/CFO 415160 0 41390 0 98287 0 7800 0 23106 0 585743 0 77928 0 DAVID D ADAMS SECRETARY/EVP, CSO 411819 0 35000 0 51553 0 60563 0 17320 0 576255 0 43275 0 VERNA R SELLERS MD DIRECTOR 237689 0 19000 0 1006 0 5914 0 6261 0 269870 0 0 0 DANIEL CAREY MD SVP/CHIEF MEDICAL OFFICER 405351 0 33333 0 18458 0 7800 0 39001 0 503943 0 0 0 MICHAEL I ELLIOTT SVP/CHIEF OPERATING OFFICER 234473 0 10450 0 2014 0 7237 0 32689 0 286863 0 0 0 PATTI S MCCUE SCED SVP/CHIEF NURSING OFFICER 296467 0 30380 0 79354 0 7800 0 6401 0 420402 0 48636 0 THOMAS W NYGAARD MD SVP/CHIEF MEDICAL OFFICER 438401 0 43283 0 117707 0 66998 0 10658 0 677047 0 97245 0 JANICE H WALKER SVP/CHIEF ADMIN OFFICER 252200 0 11880 0 30452 0 29545 0 27474 0 351551 0 24595 0 DAVID W FRANTZ MD MD: CARDIOVASCULAR 637068 0 25000 0 140584 0 7800 0 33232 0 843684 0 0 0 THEOFILOS MACHINIS MD MD: NEUROSURGERY 804063 0 0 0 756 0 7800 0 19996 0 832615 0 0 0 DILANTHA ELLEGALA MD MD: NEUROSURGERY 717733 0 0 0 19084 0 7800 0 34326 0 778943 0 0 0 CHAD A HOYT MD MD: CARDIOVASCULAR 656124 0 40200 0 18688 0 7800 0 45045 0 767857 0 0 0 MATTHEW C SACKETT MD MD: CARDIOVASCULAR 640761 0 40000 0 18724 0 7800 0 33415 0 740700 0 0 0 W MICHAEL BRYANT FORMER PRESIDENT/CEO 0 0 0 0 690825 0 0 0 17540 0 708365 0 0 0 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 A INDUSTRIAL DEVEL AUTH OF CITY OF LYNCHBURG VA 541225193 999999999 2010-12-17 30000000 NEW CONSTRUCTION & EQUIPMENT: 2010 false false false B INDUSTRIAL DEVEL AUTH OF COUNTY OF CAMPBELL VA 521309406 999999999 2007-04-27 7500000 NEW CONSTRUCTION: COUNTY OF CAMPBE false false false C INDUSTRIAL DEVEL AUTHO OF THE TOWN OF AMHERST 541804155 999999999 2007-06-29 8000000 NEW CONSTRUCTION (TOWN OF AMHERST) false false false D INDUSTRIAL DEVEL AUTH OF COUNTY OF APPOMATTOX 541864523 999999999 2007-11-29 7500000 NEW CONSTRUCTION (COUNTY OF APPOMA false false false A 7036403 0 30223487 0 0 0 185914 0 0 30037573 0 0 2013 false false true true B 2088339 0 7500000 0 0 0 50000 0 0 7450000 0 0 2008 false false true true C 2228939 0 8000000 0 0 0 60000 0 0 7940000 0 0 2008 false false true true D 1930628 0 7500000 0 0 0 60000 0 0 7440000 0 0 2007 false false true true A false false true true false 0.00000 0.00000 0.00000 false false false true B false false false false 0 false false false true C false false false false 0 false false false true D false false false false 0 false false false true A false true false false true true BRANCH BANKING & TRU 7. false false false 0 false true B false false true false true false 0 false 0 false true C false false true false true false 0 false 0 false true D false false true false true false 0 false 0 false true A true B true C true D true 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. A INDUSTRIAL DEVEL AUTH OF CITY OF LYNCHBURG VA 541225193 551245GN7 2004-12-08 126425000 2004 B,C,F BONDS:NEW CONST./ CURRE false false false B INDUSTRIAL DEVEL AUTH OF COUNTY OF CAMPBELL VA 541225193 551245HA4 2009-09-29 78950000 2004 A,D,E BONDS CURRENT REFUNDING false false false C ECONOMIC DEVEL AUTH OF CITY OF LYNCHBURG VA 541225193 999999999 2014-09-10 79895000 2014 A, B BONDS: NEW CONSTRUCTION false false false A 45973243 0 129698243 0 10049028 0 905203 3198000 0 101772759 10500010 0 2007 true false true true B 7900000 0 78950000 0 0 0 0 0 0 0 78950000 0 2007 true false true true C 0 0 79895000 0 0 0 443536 0 25000000 0 0 54451464 false false false true A false false false false 0.00000 0.00000 0.00000 false false false true B false false false false 0 false false false true C false false false false 0 false false false true A false false false true true true DEUTSCHE BANK 30. false false true CITIGROUP FINANCIAL 2.5 true false true B false false false true true false 0 false 0 false true C false true false false true false 0 false 0 false true A true B true C true 0 LYNCHBURG PULMONARY ASSOCIATES SEE PART V 1193616 SEE PART V false ORTHOPAEDIC CTR OF CENTRAL VIRGINIA SEE PART V 644313 SEE PART V false JAMERSON-LEWIS CONSTRUCTION SEE PART V 3880504 SEE PART V false MARK C ADDISON SEE PART V 33355 SEE PART V false MARK A MCKINNEY SEE PART V 118675 SEE PART V false JACK E WALKER SEE PART V 86901 SEE PART V false PART IV 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 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 CENTRA HEALTH INDEMNITY COMPANY LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 270927253 CAPTIVE INSUR VT 4003478 20916162 CENTRA HEALT CENTRAL VIRGINIA HOSPITAL FOR RESTORATIV 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 204712023 HEALTHCARE VA 9460598 2544102 CENTRA HEALT CENTRA MEDICAL GROUP LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 203639329 PHYSICIAN SVC VA 60907390 30573080 CENTRA HEALT CENTRA PANORAMIC LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 471812326 WELLNESS CNTR VA 43462 461185 CENTRA HEALT SOUTHSIDE COMMUNITY HOSPITAL 800 OAK STREET FARMVILLE VA 23901 540555201 HEALTHCARE VA 501(C)(3) LINE 3 NA true CCRC INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541929580 HEALTHCARE VA 501(C)(3) LINE 11A, I NA true CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 SUPPORTING OR VA 501(C)(3) LINE 11A, I NA true Bedford Memorial Hospital 1613 OAKWOOD STREET BEDFORD VA 24523 540566100 HEALTHCARE VA 501(C)(3) LINE 3 NA true NONE GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541299682 REAL ESTATE-PHYSI VA NA C CORP 716960 2999240 1.00000 true false true true true false false false false false true true false false false false true true false false CENTRA HEALTH FOUNDATION b 585149 BOOK VALUE CENTRA HEALTH FOUNDATION c 1514837 BOOK VALUE CENTRA HEALTH FOUNDATION p 1161422 BOOK VALUE SOUTHSIDE COMMUNITY HOSPITAL b 210887 BOOK VALUE SOUTHSIDE COMMUNITY HOSPITAL d 378740 BOOK VALUE SOUTHSIDE COMMUNITY HOSPITAL q 2000000 BOOK VALUE CCRC INC q 100075 BOOK VALUE GENERAL BUSINESS CONCERNS INC k 329378 BOOK VALUE BEDFORD MEMORIAL HOSPITAL q 750000 BOOK VALUE