2012-08-10T05:36:58-05:00 2011-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2011-01-01 540715569 CENTRA HEALTH INC CENT 4342004708 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 LEWIS ADDISON CFO 4342004708 2012-08-10 1 AMY BIBBY P00445891 8282542254 2011 2016-02-24 21:20:13Z LEWIS ADDISON 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 620932706 0 X WWW.CENTRAHEALTH.COM X 1962 VA PROVISION OF HEALTHCARE 27 16 5534 1149 8497329 253722 6622986 2204465 548556853 603065082 32683319 11866039 3601005 3797120 591464163 620932706 786760 554372 0 0 288315559 309611313 0 0 0 255864270 265771502 544966589 575937187 46497574 44995519 696503851 739401611 333399102 391024184 363104749 348377427 EXCELLENT CARE, EVERY TIME. 0 0 517058303 554372 594567753 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 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. 517058303 1 1 0 1 0 0 0 0 0 1 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 1 0 0 0 1 686 0 1 5534 1 1 1 0 0 0 0 0 0 0 0 0 X 27 16 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 VA X X LEWIS C ADDISON 4342004708 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 X KENNETH S WHITE 2.00 X X 0 0 0 THOMAS W NYGAARD MD 50.00 X X 721828 0 29758 ALBERT M BAKER MD 2.00 X 0 0 0 MICHAEL V BRADFORD 2.00 X 0 0 0 WILLIAM COLEMAN 2.00 X 0 0 0 ROBERT D COOK MD 50.00 X 360221 0 21568 JULIE P DOYLE 2.00 X 0 0 0 RODGER W FAUBER 2.00 X 0 0 0 STUART C FAUBER 2.00 X 0 0 0 JOHN A FEES 2.00 X 0 0 0 LAURA L HAMILTON 2.00 X 0 0 0 SHARON L HARRUP 2.00 X 0 0 0 KIRSTEN L HUBER MD 50.00 X 0 230141 12334 TERRY H JAMERSON 2.00 X 0 0 0 STEPHEN C KEITH ED D 2.00 X 0 0 0 CHRISTINE A MARRACCINI MD 2.00 X 0 0 0 AUGUSTUS A PETTICOLAS JR DDS 2.00 X 0 0 0 CHARLES W PRYOR JR PHD 2.00 X 0 0 0 AMY G RAY CPA 2.00 X 0 0 0 MARC A SCHEWEL 2.00 X 0 0 0 KIRKHAM W SYDNOR III MD 2.00 X 0 0 0 WALKER P SYDNOR 2.00 X 0 0 0 CHRIS THOMSON MD 50.00 X 429102 0 45469 SCOTT J WADE MD 2.00 X 0 0 0 R SACKETT WOOD 2.00 X 0 0 0 CONSUELLA K WOODS 2.00 X 0 0 0 GEORGE W DAWSON 50.00 X X 1156668 0 19612 W MICHAEL BRYANT 50.00 X X 164246 0 28678 LEWIS C ADDISON 50.00 X 446660 0 86514 THOMAS C JIVIDEN 50.00 X 526453 0 26638 DAVID D ADAMS 50.00 X 309439 0 58975 PATTI S MCCUE SC ED 50.00 X 322307 0 47454 CHALMERS M NUNN JR MD 50.00 X 483341 0 67940 EW TIBBS 50.00 X 405552 0 86642 DAVID W FRANTZ MD 50.00 X 538534 0 31907 CHRISTOPHER W LEWIS MD 50.00 X 743782 0 29754 HARRY E MEADOR 50.00 X 223319 0 48766 DAVID B TRUITTE MD 50.00 X 713650 0 51273 DANIEL CAREY MD 50.00 X 823449 0 27742 CHAD A HOYT MD 50.00 X 810889 0 46572 PETER K O'BRIEN MD 50.00 X 766965 0 37095 MATTHEW C SACKETT MD 50.00 X 847824 0 27522 CARL M VALENTINE MD 50.00 X 898392 0 44786 11692621 230141 876999 139 0 1 0 MEDICAL ASSOCIATES OF CENTRAL VIRGINIA PO BOX 11889 LYNCHBURG VA 24506 PHYSICIANS 7870043 HERITAGE HEALTHCARE INC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPISTS 3770891 VIRGINIA HOSPITAL LAUNDRY 1601 OLIVER HILL WAY RICHMOND VA 23219 LINEN SERVICES 2340767 AMCOL SYSTEMS PO BOX 21625 COLUMBIA SC 29221 COLLECTIONS SERVICE 2291144 LYNCHBURG HEMATOLOGY 1701 THOMSON DRIVE LYNCHBURG VA 24501 PHYSICIANS 1498617 46 1803859 400606 2204465 NET PATIENT SVC REVENU 621400 570721765 570721765 ANCILLARY SERVICES 900099 13712850 13712850 TUITION & EDUCATION 611600 13639825 13639825 LAB SERVICES 621500 8497329 8497329 CONTROLLED ENTITIES 900099 -3506687 -3506687 603065082 2417465 2417465 956491 0 956491 956491 956491 9437537 11037 0 0 9437537 11037 9448574 9448574 CAFETERIA/VEND/DIETARY 722210 2488112 2488112 MANAGEMENT/CONSULTING 541610 352517 352517 2840629 620932706 594567753 8497329 15663159 554372 554372 5845066 1607946 4237120 239408623 230436593 8972030 2673793 2489251 184542 37175589 34481258 2694331 24508242 22816710 1691532 1171830 1076950 94880 3411109 2706346 704763 172854 49416 123438 58197281 44972157 13225124 2175886 1995570 180316 82485113 81215175 1269938 13308874 13308874 8592091 8199199 392892 1358470 1307541 50929 1782593 1568569 214024 5398827 5398827 33710951 22218725 11492226 3674519 3632594 41925 BAD DEBT EXPENSE 29916435 29916435 DRUGS 18634315 18634315 BOND COST AMORTIZATION 1780354 1780354 575937187 517058303 58878884 0 25272752 39049580 45832242 55972775 144189 144188 12122178 12845821 3511937 2282407 646666145 403586098 248321694 243080047 248285280 274845806 0 101060964 99082682 11952615 12098305 696503851 739401611 54712474 59515625 432218 802131 224932412 219322395 53321998 111384033 333399102 391024184 X 314516103 300220897 18790268 18358152 29798378 29798378 363104749 348377427 696503851 739401611 X 44995519 -59722841 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 26727 26727 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: ATTENDANCE AT VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION 2011 LEGISLATIVE ISSUES CONFERENCES (REGISTRATION EXPENSES, HOTEL, TRAVEL, & MEALS): $ 13,178. A PORTION OF THE ORGANIZATION'S HOSPITAL ASSOCIATION DUES FOR THE 2011 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $ 13,549. 29734229 374984 374984 29734229 29734229 336616 336616 29734229 29734229 324058 324058 29734229 43467313 420000 -13772985 380099 29734229 0.03000 0.97000 0 1 0 7861479 7861479 328346795 210719023 117627772 15761749 10115221 5646528 284767764 182751854 102015910 9928358 9928358 243080047 INVESTED CAPITAL IN CONTROLLED ENTITIES 77724998 F EQUITY IN AFFILIATES 15172613 F DUE FROM RELATED PARTIES 6185071 F 99082682 ACCRUED INTEREST PAYABLE 268741 ESTIMATED 3RD PARTY LIABILITIES 8286455 OTHER LIABILITIES 8233344 PENSION LIABILITY 65864741 INTEREST RATE SWAP AGREEMENT 27209852 PHYSICIAN RECRUITMENT LIABILITY 678278 DUE TO RELATED PARTIES 842622 111384033 620932706 575937187 44995519 -4150611 -55572230 -59722841 -14727322 561209865 -4150611 32054 -4118557 565328422 55604284 55604284 620932706 575937187 0 575937187 0 575937187 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: CENTRA HEALTH, INC., CENTRA HEALTH FOUNDATION, CCRC, INC., SOUTHSIDE COMMUNITY HOSPITAL, INC., 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 CARDIOVASCULAR SERVICES LLC, CENTRA HEALTH EMERGENCY SERVICES LLC AND CENTRAL VIRGINIA HOSPITAL FOR RESTORATIVE AND REHABILITATIVE CARE, LLC ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND THEREFORE ARE INCLUDED UNDER EITHER CENTRA'S OR LYNCHBURG FAMILY PRACTICE RESIDENCY PROGRAM'S TAX RETURN AS A TAXEXEMPT 501(C) ORGANIZATION. 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 SUBSIDIARYS ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. 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. EFFECTIVE JANUARY 1, 2009, CENTRA ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ("FASB") AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE FINANCIAL STATEMENTS. TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2011. THE ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON CENTRA'S FINANCIAL POSITION OR RESULTS OF OPERATIONS. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN PENSION REPORTING -41,352,922. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -14,245,248. NET ASSETS RELEASED FROM RESTRICTION TO AFFILIATED ENTITIES 32,054. MINORITY INTEREST -6,114. TOTAL TO SCHEDULE D, PART XI, LINE 8: -55,572,230. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTION TO AFFILIATED ENTITIES 32,054. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN PENSION REPORTING 41,352,922. CHANGE IN VALUE OF INTEREST RATE SWAP 14,245,248. MINORITY INTEREST 6,114. 1 1 X 1 X 1 X 1 1 0 1 1 18069708 18069708 0.03310 79980434 66917822 13062612 0.02390 1078945 685941 393004 0.00070 99129087 67603763 31525324 0.05770 280620 280620 0.00050 511729 511729 0.00090 792349 792349 0.00140 99921436 67603763 32317673 0.05910 2 120 2073 2073 0.00000 66 1472 2717 2717 0.00000 1 35 438 438 0.00000 69 1627 5228 5228 0 14745218 247721362 265555561 -17834199 X 1 1 1 PIEDMONT COMMUNITY HEALTH PLAN INC HEALTH INSURANCE 0.50000 0.50000 2 CENTRAL VIRGINIA IMAGING LLC IMAGING SERVICES 0.50000 0.50000 3 THE SURGERY CENTER OF LYNCHBURG LLC OUTPATIENT SURGERY 0.50000 0.01000 0.49000 3 1 LYNCHBURG GENERAL HOSPITAL

1901 TATE SPRINGS ROAD LYNCHBURG VA 24501

X X X 2 VIRGINIA BAPTIST HOSPITAL CAMPUS

3300 RIVERMONT AVENUE LYNCHBURG VA 24503

X X 3 CENTRA SPECIALTY HOSPITAL

3300 RIVERMONT AVENUE LYNCHBURG VA 24503

X LONG TERM ACUTE CARE LYNCHBURG GENERAL HOSPITAL 1 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 VIRGINIA BAPTIST HOSPITAL 2 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 CENTRA SPECIALTY HOSPITAL 3 1 1 200.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 0 X X 0 0 45 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 THOMPSON DRIVE LYNCHBURG VA 24501

CANCER CENTER GUGGENHEIMER HEALTH & REHAB CENTER

1902 GRACE STREET LYNCHBURG VA 24504

NURSING HOME FAIRMONT CROSSING HEALTH & REHABILITATIO

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 BRIDGES TREATMENT CENTER

693 LEESVILLE ROAD LYNCHBURG VA 24502

MENTAL HEALTH BRIDGES AT BRIGHTWELL

1410 KENTMORE FARM ROAD MADISON HEIGHTS VA 24572

MENTAL HEALTH GRETNA MEDICAL CENTER

1220 WEST GRETNA ROAD GRETNA VA 24557

INTERNAL MEDICINE, CARDIOLOGY, REHAB ALTAVISTA MEDICAL CENTER

1280 A MAIN STREET ALTAVISTA VA 24517

FAMILY PRACTICE CARDIOTHORACIC SURGERY INC

2015 TATE SRPINGS ROAD LYNCHBURG VA 24501

CARDIOTHORACIC SURGERY CENTRA MEDICAL GROUP - DANVILLE

404 AIRPORT ROAD SUITE C DANVILLE VA 24540

FAMILY PRACTICE SEVEN HILLS UROLOGY

2542 LANGHORNE ROAD LYNCHBURG VA 24501

UROLOGY BROOKNEAL MEDICAL CENTER

104 CAROLINA AVENUE BROOKNEAL VA 24528

FAMILY PRACTICE LYNCHBURG INTERNAL MEDICINE

1901 THOMPSON DRIVE LYNCHBURG VA 24501

INTERNAL MEDICINE PIEDMONT PSYCHIATRIC CENTER

3300 RIVERMONT AVENUE LYNCHBURG VA 24503

MENTAL HEALTH VILLAGE PRACTICE - MONETA

4830 RUCKER ROAD MONETA VA 24121

FAMILY PRACTICE CENTRA RESTORATIVE & REHAB CARE

3300 RIVERMONT AVENUE LYNCHBURG VA 24503

LONG-TERM CARE CENTER THE CARDIOVASCULAR GROUP-MAIN OFFICE

2410 ATHERHOLT ROAD LYNCHBURG VA 24501

CARDIOLOGY CENTER CENTRA HEALTH EMERGENCY PHYSICIANS

1901 TATE SPRINGS ROAD LYNCHBURG VA 24501

EMERGENCY PHYSICIANS CENTRA LAB PHLEBOTOMY CENTER

1900 TATE SPRINGS ROAD SUITE 9 LYNCHBURG VA 24501

LAB SERVICES CENTRA HOSPICE - LYNCHBURG

2097 LANGHORNE ROAD LYNCHBURG VA 24501

HOSPICE CARE CENTRA HOSPICE - FARMVILLE

713 OAK STREET FARMVILLE VA 23901

HOSPICE CARE CENTRA PACE

407 FEDERAL STREET LYNCHBURG VA 24504

CARE FOR ELDERLY JAMERSON YMCA REHAB CENTER

801 WYNDHURST DRIVE LYNCHBURG VA 24502

REHAB CENTER THE CARDIOVASCULAR GROUP - BEDFORD

1613 OAKWOOD AVENUE BEDFORD VA 24523

CARDIOLOGY CENTER THE CARDIOVASCULAR GROUP - FARMVILLE

900 WEST THIRD STREET FARMVILLE VA 23901

CARDIOLOGY CENTER THE CARDIOVASCULAR GROUP - MONETA

1039 MAYBERRY CROSSING DR C MONETA VA 24121

CARDIOLOGY CENTER CENTRAL VIRGINIA IMAGING LLC

113 NATIONWIDE DRIVE LYNCHBURG VA 24502

JV - RADIOLOGY CONSULTANTS SURGERY CENTER OF LYNCHBURG LLC

2401 ATHERHOLT ROAD LYNCHBURG VA 24501

JV - INDIV. PHYSICIAN PRACTICE CENTER FOR PAIN MANAGEMENT

3300 RIVERMONT AVENUE LYNCHBURG VA 24503

PAIN MANAGEMENT WOUND CARE CENTER

3300 RIVERMONT AVENUE LYNCHBURG VA 24503

WOUND CARE SEVEN HILLS UROLOGY - DANVILLE

173 EXECUTIVE DRIVE DANVILLE VA 24540

UROLOGY SEVEN HILLS UROLOGY - MONETA

1039 MAYBERRY CROSSING DR MONETA VA 24121

UROLOGY DANVILLE SPECIALTY CLINIC

173 EXECUTIVE DRIVE DANVILLE VA 24540

SPECIALTY SERVICES(UROLOGY, NEUROSURGERY,...) DOMINION PRIMARY CLINIC

110 EXCHANGE STREET SUITE F DANVILLE VA 24540

FAMILY PRACTICE FOREST 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 THE CARDIOVASCULAR GROUP - GRETNA

1220 WEST GRETNA ROAD GRETNA VA 24557

CARDIOLOGY CENTER THE CARDIOVASCULAR GROUP - DANVILLE

173 EXECUTIVE DRIVE DANVILLE VA 24540

CARDIOLOGY CENTER VASCULAR SURGERY

2410 ATHERHOLT ROAD LYNCHBURG VA 24501

VASCULAR SURGERY SEVEN HILLS UROLOGY - OAK VASSAR OFFICE

1330 OAK LANE SUITE 203 LYNCHBURG VA 24503

UROLOGY REHAB AND GERIATIC SERVICES

3300 RIVERMONT AVENUE LYNCHBURG VA 34503

REHAB AND GERIATRIC CARE MAMMOGRAPHY

3300 RIVERMONT AVENUE LYNCHBURG VA 24503

MAMMOGRAPHY CENTER PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 29916435. PART II: CENTRA HEALTH, INC. KNOWS THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES. CENTRA CONTINUOUSLY WORKS TO SEEK OUT WAYS IN WHICH WE CAN SUPPORT THE COMMUNITY. HERE ARE A COUPLE OF EXAMPLES... THE PATHWAYS TREATMENT CENTER'S CHRISTMAS PARTY WAS GIVEN FOR THE ALUMNI OF THE PATHWAYS PROGRAM. IT WAS A RELATIONSHIP BUILDING EVENT BETWEEN THE ALUMS AND THE PROGRAM WHICH IS USED TO ENCOURAGE THE ALUMS TO CONTINUE IN THEIR SOBRIETY AND LETS THEM KNOW THAT EVEN THOUGH THEY ARE ALUMS, WE ARE STILL CONNECTED WITH THEM AND INVESTED IN THEM.ALSO, CENTRA SUPPORTS MIRIAM'S HOUSE, A LOCAL ORGANIZATION SERVING AS A TRANSITION FOR HOMELESS WOMEN AND CHILDREN. THEY ARE "DESIGNED TO END THE CYCLE OF HOMELESSNESS, SERVES HOMELESS SINGLE WOMEN OR MOTHERS AND THEIR CHILDREN."CENTRA'S MENTAL HEALTH DIVISION PARTICIPATES IN NUMEROUS CONFERENCES AND MEETINGS THROUGH OUT THE COMMUNITY TO LEND GUIDANCE AND SUPPORT. SOME EXAMPLES OF THESE CONFERENCES/MEETINGS ARE: VSHMPR (VIRGINIA SOCIETY FOR HEALTHCARE MARKETING & PUBLIC RELATIONS), VADAP (VIRGINIA DRUG AND ALCOHOL PROGRAMS), LYNCHBURG JUNIOR LEAGUE, ETHICS CONFERENCES, PSYCHIATRIC SOCIETY OF VIRGINIA DISTINGUISHED FELLOWSHIP COMMITTEE, AND GERONTOLOGY CONFERENCES, ETC. THESE EVENTS USUALLY DEAL WITH MENTAL HEALTH/SUBSTANCE ABUSE CARE. AN IMPORTANT PART OF WHAT CENTRA'S MENTAL HEALTH DIVISION DOES IS TO SERVE ON BOARDS AND COMMITTEES, AND SUPPORT OTHER ORGANIZATIONS WHO ALSO STRIVE FOR COMMUNITY HEALTH AND WELL-BEING. CENTRA 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. PART III, LINE 4: THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT EXPENSE. IN ADDITION, 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. PART III, LINE 8: 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 2011 WAS $17,834,199. PART III, LINE 9B: CENTRA RECOGNIZES THAT MEDICAL EXPENSES ARE OFTEN UNEXPECTED AND CAN 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 SPECIALTY HOSPITAL PART V, SECTION B, LINE 18C: CENTRA SPECIALTY HOSPITAL DOES NOT HAVE AN EMERGENCY DEPARTMENT DUE TO THE NATURE OF THE HOPSITAL'S SERVICES. PART VI, LINE 2: 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. THESE ORGANIZATIONS RANGE FROM SPECIAL NONPROFIT CENTRAL VIRGINIA PROGRAMS ANSWERING SPECIFIC NEEDS TO THE REGIONAL CHAMBER OF COMMERCE AND UNITED WAY. 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.THE COMMUNITY EDUCATION COMMITTEE CONSISTS OF OVER 30 COMMUNITY EDUCATORS WHO ARE MAKING CONTINUOUS CONTACTS IN OUR 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.COMMUNITY ADVISORY BOARD CONSISTS OF 15 COMMUNITY MEMBERS FROM DIVERSE DEMOGRAPHIC BACKGROUNDS. THIS COMMITTEE WAS BEGUN FOR THE PURPOSE OF HAVING REGULAR OPEN DIALOGUE CONCERNING COMMUNITY HEALTH NEEDS WITH THE COMMUNITY IN OUR PRIMARY AND SECONDARY MARKET. THIS GROUP MEETS QUARTERLY.COMMUNITY NEEDS ASSESSMENTS HAVE BEEN CONDUCTED PERIODICALLY IN ORDER TO GAUGE THE HEALTH CARE NEEDS OF OUR COMMUNITY.A CALL CENTER RECEIVES CALLS AND REPORTS TO THE MARKETING DEPARTMENT ADDITIONAL REQUESTS FROM THE COMMUNITY.CENTRAHEALTH.COM PROVIDES CONSTANT FEEDBACK FROM THE COMMUNITY, AND IS ADDRESSED IMMEDIATELY.SURVEYS ARE CONDUCTED AT EVERY COMMUNITY EVENT ON WHICH THE COMMUNITY IS ABLE TO OFFER FEEDBACK. PART VI, LINE 3: 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: CENTRA IS A COMPREHENSIVE HEALTH CARE SYSTEM COVERING A SERVICE AREA OF 406,561 PEOPLE. CENTRA'S PRIMARY SERVICE AREA (PSA) INCLUDES THE CITIES OF LYNCHBURG AND BEDFORD, AND THE COUNTIES OF AMHERST, APPOMATTOX, BEDFORD, CAMPBELL, AND PITTSYLVANIA. OUR SECONDARY SERVICE AREA (SSA) INCLUDES THE COUNTIES OF BUCKINGHAM, CHARLOTTE, HALIFAX, NELSON, AND PRINCE EDWARD. THE POPULATION FOR OUR TOTAL SERVICE AREA IS 406,561, WITH AN ETHNIC MIX OF 17.9% BLACK AND 77.8% WHITE. THE PERCENT OF THE TOTAL PSA/SSA POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS 16.2%. IT IS PROJECTED THAT BY 2013, THIS SAME AGE RANGE OF 65 PLUS WILL ACCOUNT FOR 18% OF THE TOTAL PSA/SSA POPULATION. THE AVERAGE HOUSEHOLD INCOME IN THE PSA/SSA IS $42,764. THE CURRENT UNEMPLOYMENT RATE IS APPROXIMATELY 6.9% 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: 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) 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.ALSO, CENTRA PERFORMS COMMUNITY BUILDING ACTIVITIES BY LENDING THEIR PROFESSIONAL EXPERIENCE AND TIME IN MANY ASPECTS OF HEALTH & WELL-BEING WITHIN THE COMMUNITY. FOR EXAMPLE, CENTRA SUPPORTS MIRIAM'S HOUSE, A LOCAL ORGANIZATION SERVING AS A TRANSITION FOR HOMELESS WOMEN AND CHILDREN IN NEED. THEY ARE "DESIGNED TO END THE CYCLE OF HOMELESSNESS, SERVES HOMELESS SINGLE WOMEN OR MOTHERS AND THEIR CHILDREN." CENTRA 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. CENTRA'S MENTAL HEALTH DIVISION PARTICIPATES IN NUMEROUS CONFERENCES AND MEETINGS THROUGHOUT THE COMMUNITY TO LEND GUIDANCE AND SUPPORT. SOME EXAMPLES OF THESE CONFERENCES/MEETINGS ARE: VSHMPR (VIRGINIA SOCIETY FOR HEALTHCARE MARKETING & PUBLIC RELATIONS), VADAP (VIRGINIA DRUG AND ALCOHOL PROGRAMS), LYNCHBURG JUNIOR LEAGUE, ETHICS CONFERENCES, PSYCHIATRIC SOCIETY OF VIRGINIA DISTINGUISHED FELLOWSHIP COMMITTEE, AND GERONTOLOGY CONFERENCES, ETC. THESE EVENTS USUALLY DEAL WITH MENTAL HEALTH/SUBSTANCE ABUSE CARE. AN IMPORTANT PART OF WHAT CENTRA'S MENTAL HEALTH DIVISION DOES IS TO SERVE ON BOARDS AND COMMITTEES, AND SUPPORT OTHER ORGANIZATIONS WHO ALSO STRIVE FOR COMMUNITY HEALTH AND WELL-BEING. THE PATHWAYS TREATMENT CENTER'S CHRISTMAS PARTY WAS GIVEN FOR THE ALUMNI OF THE PATHWAYS PROGRAM. IT WAS A RELATIONSHIP BUILDING EVENT BETWEEN THE ALUMS AND THE PROGRAM WHICH IS USED TO ENCOURAGE THE ALUMS TO CONTINUE IN THEIR SOBRIETY AND LETS THEM KNOW THAT EVEN THOUGH THEY ARE ALUMS, WE ARE STILL CONNECTED WITH THEM AND INVESTED IN THEM. PART VI, LINE 6: 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 WITH TOOLS IN THE OPERATING ROOM, 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. REPORTS FILED WITH STATES PART VI, LINE 7 VA 1 CENTRAL VIRGINIA COMMUNITY COLLEGE 3506 WARDS ROAD LYNCHBURG VA 24502 541268278 GOV'T 5000 N/A N/A CHARITABLE CONTRIBUTION AMERICAN CANCER SOCIETY 2316 ATHERHOLT ROAD 108 LYNCHBURG VA 24501 580659875 501(C)(3) 20000 N/A N/A CHARITABLE CONTRIBUTION AMAZEMENT SQUARE 27 9TH STREET LYNCHBURG VA 24504 541713204 501(C)(3) 10600 N/A N/A CHARITABLE CONTRIBUTION ACADEMY OF FINE ARTS 600 MAIN STREET LYNCHBURG VA 24504 237061145 501(C)(3) 10000 N/A N/A CHARITABLE CONTRIBUTION VIRGINIA'S REGION 2000 828 MAIN STREET FLOOR 12 LYNCHBURG VA 24504 541859984 501(C)(3) 31000 N/A N/A CHARITABLE CONTRIBUTION CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 501(C)(3) 250525 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 UNITED WAY 1010 MILLER PARK SQUARE LYNCHBURG VA 24501 540505923 501(C)(3) 25000 N/A N/A CHARITABLE CONTRIBUTION BLUE RIDGE MENDED HEARTS CHAPTER 16 1901 TATE SPRINGS ROAD LYNCHBURG VA 24501 541523141 501(C)(3) 5000 N/A N/A CHARITABLE CONTRIBUTION LYNCHBURG ROAD RUNNERSVIRGINIA TEN MILER EVENT PO BOX 11223 LYNCHBURG VA 24506 541796447 501(C)(3) 10000 N/A N/A CHARITABLE CONTRIBUTION 10 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE 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 X 0 1 0 0 0 0 0 0 0 THOMAS W NYGAARD MD 559533 0 17474 0 144821 0 4589 0 25169 0 751586 0 0 0 ROBERT D COOK MD 300371 0 41000 0 18850 0 7350 0 14218 0 381789 0 0 0 KIRSTEN L HUBER MD 0 228595 0 0 0 1546 0 5062 0 7272 0 242475 0 0 CHRIS THOMSON MD 411026 0 0 0 18076 0 6456 0 39013 0 474571 0 0 0 GEORGE W DAWSON 628727 0 0 0 527941 0 4502 0 15110 0 1176280 0 0 0 W MICHAEL BRYANT 146226 0 0 0 18020 0 25250 0 3428 0 192924 0 0 0 LEWIS C ADDISON 356020 0 0 0 90640 0 67533 0 18981 0 533174 0 54338 0 THOMAS C JIVIDEN 408343 0 0 0 118110 0 5582 0 21056 0 553091 0 101186 0 DAVID D ADAMS 276811 0 0 0 32628 0 38834 0 20141 0 368414 0 32061 0 PATTI S MCCUE SC ED 276498 0 0 0 45809 0 40537 0 6917 0 369761 0 25780 0 CHALMERS M NUNN JR MD 346677 0 53213 0 83451 0 51741 0 16199 0 551281 0 60938 0 EW TIBBS 308485 0 49433 0 47634 0 46354 0 40288 0 492194 0 29784 0 DAVID W FRANTZ MD 518731 0 0 0 19803 0 7350 0 24557 0 570441 0 0 0 CHRISTOPHER W LEWIS MD 583649 0 17474 0 142659 0 7350 0 22404 0 773536 0 0 0 HARRY E MEADOR 183370 0 12250 0 27699 0 24709 0 24057 0 272085 0 25974 0 DAVID B TRUITTE MD 551498 0 17474 0 144678 0 7350 0 43923 0 764923 0 0 0 DANIEL CAREY MD 661297 0 17474 0 144678 0 5156 0 22586 0 851191 0 0 0 CHAD A HOYT MD 650219 0 17474 0 143196 0 7350 0 39222 0 857461 0 0 0 PETER K O'BRIEN MD 606295 0 17474 0 143196 0 5000 0 32095 0 804060 0 0 0 MATTHEW C SACKETT MD 685464 0 17474 0 144886 0 5035 0 22487 0 875346 0 0 0 CARL M VALENTINE MD 736240 0 17474 0 144678 0 5564 0 39222 0 943178 0 0 0 PART I, LINE 4B GEORGE W. DAWSON, PRESIDENT/CEO OF THE ORGANIZATION, ACCRUED FOR 2011 $501,567 IN A NONQUALIFIED RETIREMENT PLAN, INCLUDED IN HIS W-2 WAGES. ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG VA 541225193 NONEAVAIL 2010-12-17 30000000 NEW CONSTRUCTION AND EQUIPMENT 0 0 0 INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF CAMPBELL VA 521309406 NONEAVAIL 2007-04-27 7500000 NEW CONSTRUCTION 0 0 0 INDUSTRIAL DEVELOPMENT AUTHORITY OF THE TOWN OF AMHERST VA 521309406 NONEAVAIL 2007-06-29 8000000 NEW CONSTRUCTION 0 0 0 INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF APPOMATTOX VA 541864523 NONEAVAIL 2007-11-29 7500000 NEW CONSTRUCTION 0 0 0 30223487 185914 13839147 16198426 2013 0 0 0 1 1174019 7500000 50000 7450000 2008 0 0 1 1 1253497 8000000 60000 7940000 2008 0 0 1 1 1034741 7500000 60000 7440000 2007 0 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 1 BRANCH BANKING AND TRUST BANKING 7.000000000000 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 SCHEDULE K, PART IV LN 7 POST ISSUANCE COMPLIANCE CENTRA HEALTH, INC DID NOT HAVE A FORMAL WRITTEN POLICY RELATING TO MANAGEMENT PRACTICES AND PROCEDURES TO ENSURE POST-ISSUANCE COMPLIANCE OF ITS TAX EXEMPT BOND LIABILITIES. THE ORGANIZATION HAS ADOPTED A FORMAL WRITTEN POLICY IN 2012 RELATING TO IS PRACTICES AND PROCEDURES TO ENSURE BOND COMPLIANCE. SCHEDULE K, PART V PROCEDURES TO UNDERTAKE CORRECTIVE ACTION CENTRA HEALTH, INC DID NOT HAVE A FORMAL WRITTEN PROCEDURE TO ENSURE THAT ANY POTENTIAL VIOLATIONS OF FEDERAL TAX REQUIREMENTS RELATING TO BOND COMPLIANCE WERE TIMELY IDENTIFIED AND CORRECTED. THE ORGANIZATION HAS ADOPTED A FORMAL WRITTEN POLICY IN 2012 RELATING TO ITS PRACTICES AND PROCEDURES TO BE UTILIZED IN ENSURING THAT ANY POTENTIAL BOND VIOLATIONS ARE IDENTIFIED AND CORRECTED IN A TIMELY MANNER. SCHEDULE K, PART II LN 11 OTHER SPENT PROCEEDS THE AMOUNT PRESENTED ON LINE 11 REPRESENTS AMOUNTS USED TO REISSUE PORTIONS OF THE SERIES 2004 ISSUE. INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG VA 541225193 551245GN7 2004-12-08 126425000 NEW CONSTRUCTION, CURRENT REFUNDING 0 0 0 ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG VA 541225193 551245HA4 2009-09-29 78950000 0 0 0 85350000 129698243 10049028 905203 3198000 101772759 10500010 2007 1 0 1 1 78950000 78950000 2007 1 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 1 UBS 30.000000000000 0 0 1 CITIGROUP FINANCIAL 2.500000000000 1 0 1 0 1 0 0 0 1 THOMAS JIVIDEN COMPUTER LOAN X 900 294 0 0 1 294 MARK ADDISON FAMILY MEMBER OF LEWIS ADDISON, OFFICER OF CENTRA HEALTH, INC. 29749 COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. 0 MARK MCKINNEY FAMILY MEMBER OF E.W. TIBBS, KEY EMPLOYEE OF CENTRA HEALTH, INC. 97385 COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. 0 SCOTT INSURANCE COMPANY PRESIDENT OF COMPANY, WALKER SYDNOR, IS A BOARD MEMBER OF CENTRA HEALTH 779296 PAYMENT FOR INSURANCE PREMIUMS PROVIDED TO CENTRA HEALTH, INC. 0 KATIE NUNN FAMILY MEMBER OF CHALMERS NUNN, OFFICER OF CENTRA HEALTH, INC. 12158 COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. 0 LYNCHBURG PULMONARY ASSOCIATES BOARD MEMBER ALBERT BAKER IS PARTIAL OWNER/PRESIDENT OF LPA 1346266 PAYMENTS FOR COVERAGE OF PATIENTS IN CRITICAL CARE UNITS RENDERED TO CENTRA HEALTH, INC IN LYNCHBURG, VIRGINIA. 0 MEDICAL ASSOCIATES OF CENTRAL VIRGINIA BD MBRS, SCOTT WADE & KIRKHAM SYDNOR ARE PARTIAL OWNER/DIRECTOR OF MACV 8530070 PAYMENTS FOR MEDICAL SERVICES RENDERED TO CENTRA HEALTH, INC. 0 WOMEN'S HEALTH SERVICES BOARD MEMBER CHRISTINE MARRACCINI IS PARTIAL OWNER OF WHS 440284 PAYMENTS FOR MEDICAL/ON-CALL SERVICES RENDERED TO CENTRA HEALTH, INC AND FACILITIES RENTAL (MAMMOGRAPHY OFFICE AT WOMEN'S HEALTH SERVICES). 0 THE NEWS & ADVANCE BOARD MEMBER TERRY H. JAMERSON IS PUBLISHER AND SR VP OF THE NEWS & ADVANCE 326685 PAYMENTS FOR ADVERTISEMENT/NEWS SERVICES RENDERED TO CENTRA HEALTH, INC. 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS RODGER FAUBER AND STUART FAUBER HAVE A FAMILY RELATIONSHIP. OFFICERS LEWIS ADDISON, GEORGE DAWSON, W. MICHAEL BRYANT, AND KEY EMPLOYEE E.W. TIBBS ARE EACH BOARD MEMBERS OF CENTRAL VIRGINIA IMAGING. BOARD MEMBER AUGUSTUS PETTICOLAS IS AN OFFICER OF BOARD OF DIRECTORS OF THE BANK OF THE JAMES, LYNCHBURG, VA. OFFICER LEWIS ADDISON AND JULIE DOYLE ARE BOARD MEMBERS OF THE BANK OF THE JAMES, LYNCHBURG, VA. OFFICERS W. MICHAEL BRYANT, LEWIS ADDISON, GEORGE DAWSON, THOMAS JIVIDEN, KEY EMPLOYEE DAVID ADAMS, AND BOARD MEMBER CONSUELLA WOODS ARE EACH BOARD MEMBERS OF THE BEDFORD MEMORIAL HOSPIAL, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. KEY EMPLOYEES DAVID ADAMS AND E.W. TIBBS ARE DIRECTORS OF HEALTHWORKS, WHICH IS OWNED 50% BY SCOTT INSURANCE, OF WHICH BOARD MEMBER WALKER SYDNOR IS AN OFFICER OF THE BOARD. OFFICER LEWIS ADDISON IS AN OFFICER OF THE BOARD OF PIEDMONT COMMUNITY HEALTH PLAN, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. OFFICERS GEORGE DAWSON AND W. MICHAEL BRYANT AND BOARD MEMBERS MICHAEL BRADFORD, RODGER FAUBER, AND MARC SCHEWEL ARE EACH BOARD MEMBERS OF PIEDMONT COMMUNITY HEALTH PLAN. OFFICER THOMAS JIVIDEN AND KEY EMPLOYEE E.W. TIBBS ARE BOARD MEMBERS OF THE SURGERY CENTER OF LYNCHBURG, LLC, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. CHAD HOYT AND KEY EMPLOYEE E.W. TIBBS ARE OWNERS OF AN UNRELATED LLC. FORM 990, PART VI, SECTION B, LINE 11 CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, CENTRA REVIEWED THE FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE, AND THEN PRESENTED IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ALL CENTRA OFFICERS AND DIRECTORS MUST COMPLETE A "POSSIBLE CONFLICT OF INTEREST" QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 CENTRA HAS ESTABLISHED AN EXECUTIVE COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS AN ADDITIONAL FOUR MEMBERS OF CENTRA'S BOARD OF DIRECTORS. FOUR OF THESE FIVE MEMBERS MEET THE IRS FORM 990 INDEPENDENCE DEFINITION. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. THE COMMITTEE IS ALSO RESPONSIBLE FOR THE REVIEW AND APPROVAL OF SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF CENTRA, BASED ON THE RECOMMENDATIONS MADE BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES. FORM 990, PART VI, SECTION C, LINE 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 BE FOUND ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 PHOTOCOPIES OF THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. FORM 990, PART VII, LINE 1, AVERAGE HOURS WORKED: KIRSTEN HUBER WORKED AN AVERAGE OF 50 HOURS PER WEEK FOR SOUTHSIDE COMMUNITY HOSPITAL, A RELATED ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -4,150,611. CHANGE IN PENSION REPORTING -41,352,922. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -14,245,248. NET ASSETS RELEASED FROM RESTRICTION TO AFFILIATED ENTITIES 32,054. MINORITY INTEREST -6,114. TOTAL TO FORM 990, PART XI, LINE 5: -59,722,841. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): FORM 990, PART III, LINE 4A: 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 WELL BEING OF THE COMMUNITY BY TAKING AN ACTIVE ROLE IN THE REGION, FROM VOLUNTEERING FOR LOCAL BOARDS AND CIVIC AND COMMUNITY ORGANIZATIONS TO PARTICIPATING IN COMMUNITY EVENTS AND STAFFING HEALTH AND WELLNESS FAIRS. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF THE REGION AND TAKES GREAT PRIDE IN PROVIDING FACILITIES, RESOURCES AND EXPERTISE TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE THROUGHOUT CENTRAL VIRGINIA. DURING 2011, CENTRA RECEIVED THE FOLLOWING NATIONAL AWARDS AND ACCOLADES: 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. LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS WERE DESIGNATED AS MAGNET FACILITIES BY THE AMERICAN NURSES CREDENTIALING CENTER WHICH RECOGNIZES EXCELLENCE IN NURSING. LYNCHBURG GENERAL HOSPITAL WAS RANKED AS ONE OF THE 50 TOP CARDIOVASCULAR HOSPITALS IN THE COUNTRY BY THOMSON REUTERS AND IS ONE OF ONLY THREE HOSPITALS IN VIRGINIA TO RECEIVE THIS NATIONAL HONOR FOR OUTSTANDING CARDIOVASCULAR PERFORMANCE. CENTRA WAS AWARDED A HIGH RATING BY THE SOCIETY OF THORACIC SURGEONS' FOR QUALITY IN CARDIAC SURGERY. CENTRA IS THE ONLY HEALTHCARE SYSTEM IN VIRGINIA TO HAVE RECEIVED THIS AWARD EVERY YEAR SINCE ITS INCEPTION. CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS RECEIVED RECOGNITION AS ONE OF THE TOP 100 MOST WIRED AND TOP 25 MOST WIRELESS HOSPITALS IN THE COUNTRY BY HOSPITALS & HEALTH NETWORKS MAGAZINE. CENTRA LYNCHBURG GENERAL HOSPITAL'S CHEST PAIN CENTER HAS EARNED CYCLE IV ACCREDITATION OF THE CHEST PAIN CENTER, AN 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 LYNCHBURG GENERAL HOSPITAL HAS EARNED THE JOINT COMMISSION'S NATIONAL CERTIFICATE OF DISTINCTION FOR PRIMARY STROKE CENTERS. CENTRA RECEIVED RE-CERTIFICATION FOR TREATMENT OF ACUTE MYOCARDIAL INFARCTION (AMI) PATIENTS FROM THE JOINT COMMISSION. NATIONAL AND STATE QUALITY AWARDS FOR CENTRA HOME HEALTH, INCLUDING HOMECARE ELITE FOR SIX CONSECUTIVE YEARS AND THE HOME HEALTH OUTSTANDING ACHIEVEMENT AWARD FROM THE VIRGINIA HEALTH QUALITY CENTER. 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 RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINE-STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD WHICH RECOGNIZES THE COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE BY ENSURING THE STROKE PATIENTS RECEIVE TREATMENT ACCORDING TO THE NATIONALLY ACCEPTED STANDARDS AND RECOMMENDATIONS. THE LYNCHBURG GENERAL HOSPITAL SCHOOL OF NURSING DIPLOMA PROGRAM HAS RECEIVED FULL ACCREDITATION OF DIPLOMA PROGRAM FROM THE NATIONAL LEAGUE OF NURSING ACCREDITATION COUNCIL. THE CENTRA JOINT REPLACEMENT CENTER RECEIVED CERTIFICATION OF THE TOTAL KNEE AND TOTAL HIP REPLACEMENT PROGRAM BY THE JOINT COMMISSION. 2011 COMMUNITY BENEFIT HIGHLIGHTS CENTRA CONTRIBUTED MORE THAN $49 MILLION TOWARD COMMUNITY BENEFITS, INCLUDING: TRADITIONAL CHARITY CARE, WHICH INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2011, $38,720,414 OF CHARGES AT AN ESTIMATED COST OF $18,069,708 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 $17,834,199. UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS, AND TOTALED $13,062,612. CASH/IN-KIND DONATIONS, WHICH INCLUDE CONTRIBUTIONS MADE ON BEHALF OF CENTRA TO THE COMMUNITY AND IN-KIND DONATIONS, TOTALED $511,729, FY 2011. 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 2011 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 2011, HEALTH EDUCATION PROGRAMS AND HEALTH FAIRS REACHED MORE THAN 18,000 PEOPLE. COMPASSION FATIGUE THIS CLASS PRESENTS RESEARCH, INSIGHT AND TOOLS ON HOW YOU CAN TAKE A LOAD OFF, AND AVOID COMPASSION FATIGUE WHILE CARING FOR OTHERS. THE PROGRAM'S OBJECTIVE IS TO RECOGNIZE THE CHALLENGES THAT CAREGIVERS FACE, INCLUDING EMOTIONAL, PHYSICAL AND MENTAL PAIN AND FATIGUE, AND MOST IMPORTANTLY GIVE TOOLS HOW TO FOCUS ON HEALTHY SELF-CARE AND ATTENTION TO THEIR OWN NEEDS. KNITTING AND CROCHETING CLASS/GROUP THIS PROGRAM OFFERS CANCER PATIENTS, CAREGIVERS, AND OTHERS AFFECTED BY CANCER THE OPPORTUNITY TO LEARN THE ART OF KNITTING AND CROCHETING. THE OBJECTIVE OF THE CLASS IS TO PROVIDE WAYS TO PASS TIME DURING TREATMENTS, TO CREATE DONATIONS FOR PATIENTS, AND A PLACE TO BUILD A SUPPORT GROUP THAT MEETS REGULARLY SO THAT PARTICIPANTS HAVE AN EASY WAY TO CONNECT AND BUILD RELATIONSHIPS. PRESSURE POINTS CLASS THIS CLASS WAS OFFERED AS A MEANS OF INTEGRATIVE MEDICINE AND ALTERNATIVE WAYS TO DEAL WITH DIFFICULT SIDE EFFECTS FOR CANCER PATIENTS. THE OBJECTIVE OF THE CLASS WAS TO SHOW THE CLASS HOW TO USE REFLEXOLOGY POINTS AND ACUPUNCTURE POINTS TO EASE CERTAIN ISSUES SUCH AS NAUSEA, ANXIETY, AND CONSTIPATION, AND HOW YOU CAN HELP YOURSELF BY STIMULATING THESE POINTS, AND WAS TAUGHT BY OUR MASSAGE THERAPIST, JANE SIMMS, M.A., C.M.T. SCRAPBOOKING CLASS THIS CLASS PROVIDED CANCER PATIENTS AND FAMILY MEMBERS AN OPPORTUNITY TO PRESERVE THEIR MEMORIES. THE OBJECTIVE WAS TO OFFER WAYS TO KEEP THE SNAPSHOTS, HANDMADE CARDS, CONCERT TICKETS, OLD FAMILY PHOTOS, AND OTHER SENTIMENTAL ITEMS SO THAT THOSE MEMORIES CAN BE PASSED DOWN FOR GENERATIONS. WRITING WORKSHOPS THIS SERIES OF WORKSHOPS WAS A PLACE FOR THOSE AFFECTED BY CANCER TO PROCESS THEIR JOURNEY ON PAPER. THE OBJECTIVE WAS TO PROVIDE A SAFE, OPEN AND HEALING ENVIRONMENT TO EXPLORE YOURSELF ON PAPER, WHETHER IT BE CHILDHOOD STORIES, THE START TO A MEMOIR, PERSONAL REFLECTIONS, OR YOUR CANCER JOURNEY. THEY WERE LED BY JERI WATTS, PH.D., LYNCHBURG COLLEGE PROFESSOR OF HUMAN DEVELOPMENT AND LEARNING. STUDIES HAVE SHOWN THAT WRITING CAN DECREASE STRESS, ANXIETY, PAIN AND OTHER PHYSICAL SYMPTOMS OF ILLNESS, AS WELL AS IMPROVE PERSONAL WELL-BEING. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): FORM 990, PART III, LINE 4A: CARDIAC EDUCATION AND SCREENINGS VARIOUS PROGRAMS WITHIN THE STROOBANTS HEART CENTER OFFER MEMBERS OF THE COMMUNITY FREE EDUCATION, SCREENINGS AND LECTURES. OVER THE PAST YEAR, 18,000 PEOPLE WERE SERVED THROUGH VARIOUS MEANS. HEARTAWARE AN ONLINE RISK ASSESSMENT WAS LAUNCHED ON THE CENTRA WEBSITE IN 2010. THROUGH HEARTAWARE, MEMBERS OF THE COMMUNITY ARE ABLE TO TAKE THE FREE ASSESSMENT TO DETERMINE THEIR INDIVIDUAL RISK OF DEVELOPING HEART DISEASE. OVER 1800 ACCESSED THE RISK ASSESSMENT IN 2011, WITH 795 BEING DEEMED AT RISK FOR HEART DISEASE. 414 OF THESE INDIVIDUALS RECEIVED FREE CONSULTATIONS. THEIR RISKS ARE EVALUATED BY CARDIAC NURSES THAT DETERMINE A PLAN OF ACTION TO LOWER OR ELIMINATE THESE RISKS. ALONG WITH HEARTAWARE, COMMUNITY EVENTS, HEALTH FAIRS, LECTURES, BLOOD PRESSURE AND CHOLESTEROL SCREENINGS ARE AN EFFECTIVE APPROACH TO RAISING AWARENESS AND COMBATING HEART DISEASE. HEALTH SCREENINGS AND COMMUNITY HEALTH EDUCATION CENTRA PROVIDES SPONSORSHIP AND SUPPORT OF COMMUNITY HEALTH EDUCATION AND HEALTH SCREENING PROGRAMS. HEALTH AND WELLNESS TOPICS SPAN THE HEALTH AND WELLNESS CONTINUUM, ADDRESSING BOTH WELLNESS AND DISEASE-RELATED ISSUES. HEALTH SCREENINGS PROVIDED THROUGHOUT THE REGION INCLUDE BLOOD SUGAR, CHOLESTEROL, BODY FAT PERCENTAGE, PULMONARY FUNCTION, PSA FOR PROSTATE CANCER, SKIN AND COLORECTAL CANCER, BLOOD PRESSURE SCREENINGS AND OSTEOPOROSIS SCREENINGS. MAMMOGRAPHY SCREENINGS ARE ALSO PROVIDED AT NO CHARGE TO WOMEN WHO ARE UNDERINSURED OR UNINSURED. SLEEP DISORDERS CENTER OUTREACH THE SLEEP DISORDERS CENTER AT VIRGINIA BAPTIST HOSPITAL PARTICIPATED IN NUMEROUS HEALTH FAIRS AT LOCAL BUSINESSES AND CHURCHES IN THE COMMUNITY. STAFF MEMBERS GAVE LECTURES AND PRESENTATIONS ON SLEEP DISORDERS. PRESENTATIONS INCLUDED INFORMATION RELATED TO HEALTHY SLEEP HABITS, THE IMPORTANCE OF SLEEP, HEALTH RISKS DUE TO SLEEP DISORDERS AND TREATMENT OPTIONS. IN 2011, 2,031 PEOPLE WERE SERVED. THE WITNESS PROJECT THE WITNESS PROJECT IS A VERY IMPORTANT PART OF THE ONCOLOGY BREAST NAVIGATION PROGRAM AT CENTRA. THE PROGRAM TARGETS THE UNDERSERVED IN LYNCHBURG AND THE SURROUNDING COUNTIES. AS PART OF THE PROGRAM, LAY HEALTH EDUCATORS AND BREAST CANCER SURVIVORS TRAIN WITH REGISTERED NURSES (BREAST NAVIGATORS), TO BRING CULTURALLY COMPETENT PROGRAMS TO WOMEN IN COMMUNITY SETTINGS. THE PROJECT, PART OF A NATIONAL PROGRAM AND THE FIRST IN VIRGINIA, RECEIVES SUPPORT FROM CENTRA, CENTRA HEALTH FOUNDATION AND SUSAN G. KOMEN FOR THE CURE. VOUCHERS FOR SCREENING AND DIAGNOSTIC MAMMOGRAMS ARE ALSO AVAILABLE TO UNINSURED WOMEN WITH FINANCIAL NEEDS. THE ONCOLOGY BREAST NAVIGATION PROGRAM THROUGH THE HELP OF THE WITNESS PROJECT VOLUNTEERS SERVED 4400 PEOPLE IN 2011 COMMUNITY CLASSES IN ADDITION TO FREE SCREENINGS, SUPPORT GROUPS AND COMMUNITY OUTREACH, CENTRA ALSO PROVIDED EDUCATIONAL CLASSES TO THE COMMUNITY ON A BROAD RANGE OF HEALTH AND WELLNESS TOPICS. CLASSES INCLUDED FAMILY EMERGENCY CARE (CPR), BABY CARE, INFANT MASSAGE, BREAST-FEEDING, LAMAZE, PUBERTY, SAFE SITTER, NEW SIBLING CLASSES, WEIGHT MANAGEMENT AND SMOKING CESSATION. SUPPORT GROUPS SUPPORT GROUPS-OFFERED TO THE COMMUNITY WITHOUT CHARGE-PROVIDE A FORUM FOR EDUCATION AND THE EXCHANGE OF IDEAS. THESE GROUPS ADDRESS AN ARRAY OF ISSUES INCLUDING BEREAVEMENT, BREAST CANCER, PROSTATE CANCER, SLEEP DISORDERS AND CARDIAC REHABILITATION. BEREAVEMENT SUPPORT GROUP RESOLVE THROUGH SHARING BEREAVEMENT SUPPORT GROUP IS FOR PARENTS WHO HAVE EXPERIENCED THE LOSS OF A BABY IN PREGNANCY OR INFANCY, INCLUDING ECTOPIC PREGNANCY, MISCARRIAGE, STILLBIRTH, MEDICAL INTERRUPTION, NEONATAL DEATH OR SIDS. PARENTS SHARE THEIR EXPERIENCES AND COPING STRATEGIES AND A LENDING LIBRARY IS AVAILABLE AT EACH MEETING. BREAST CANCER SUPPORT GROUP A BREAST CANCER SUPPORT GROUP IS OFFERED TO WOMEN DIAGNOSED WITH BREAST CANCER AT ANY STAGE OF THE DISEASE. THE SUPPORT GROUP ADDRESSES BREAST HEALTH AND RELATED ISSUES OF IMPORTANCE TO WOMEN WITH BREAST CANCER. THIS GROUP MEETS ONCE A MONTH AND REACHED 125 WOMEN IN 2011. CENTRAL VIRGINIA AWAKE (ALERT, WELL AND KEEPING ENERGETIC) SUPPORT GROUP THIS GROUP OFFERS SUPPORT AND SHARES INFORMATION ABOUT SLEEP DISORDERS, TREATMENTS, EQUIPMENT AND SUPPLIES TO IMPROVE THE QUALITY OF SLEEP. MAN TO MAN MAN TO MAN IS AN AMERICAN CANCER SOCIETY EDUCATIONAL SUPPORT GROUP DESIGNED TO MEET THE NEEDS OF MEN DIAGNOSED WITH PROSTATE CANCER AND SPOUSES OR CAREGIVERS. THIS SUPPORT GROUP MEETS AT THE ALAN B. PEARSON REGIONAL CANCER CENTER AND IS SUPPORTED THROUGH OUR PROSTATE CANCER NAVIGATION PROGRAM. MENDED HEARTS/CARDIAC REHAB SUPPORT GROUPS THESE CARDIAC-RELATED SUPPORT GROUPS OFFER EDUCATION AND EMOTIONAL SUPPORT TO CARDIAC PATIENTS AND THEIR FAMILIES. IN-KIND & DONATIONS DURING 2011, CENTRA DONATED OVER $100,232 IN MEDICAL SUPPLIES TO GLEANING FOR THE WORLD AND OVER $6,711 OF MISCELLANEOUS FURNITURE TO OTHER VARIOUS ORGANIZATIONS AND AGENCIES IN THE REGION. CENTRA DONATED SCHOOL SUPPLIES TO AREA SCHOOLS FOR UNDERPRIVILEGED CHILDREN, FOOD TO THE COMMUNITY FOOD DRIVE, AND A VARIETY OF FURNITURE TO THE SALVATION ARMY, GOODWILL, HURT FIRE DEPARTMENT, AND TREE OF LIFE MINISTRIES DURING THE YEAR. CENTRA ALSO ALLOWED COMMUNITY AGENCIES AND ORGANIZATIONS THE USE OF MANY OF THE MEETING ROOMS THROUGHOUT ITS FACILITIES. CENTRA LAB PROCESSED 2,373 LABORATORY TESTS FOR CENTRAL VIRGINIA FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT EXCEEDING $164,252.25. A TOTAL OF 2,692 MEALS WERE PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF APPROXIMATELY $9,503.00. SPECIAL NEEDS PROJECTS & MENTORING CENTRA PROVIDES AND PROMOTES MANY SPECIAL NEED PROJECTS AND MENTORING OPPORTUNITIES. EDUCATIONAL OPPORTUNITIES ARE OFFERED TO STUDENTS IN A BROAD RANGE OF PROFESSIONAL AND TECHNICAL PROGRAMS. AT CENTRA, STUDENTS GAIN EXPERIENCE IN NURSING, TECHNICAL AND CLINICAL PROFESSIONS. SEVERAL HIGH SCHOOLS AND UNIVERSITIES IN VIRGINIA ROTATE STUDENTS THROUGH CENTRA'S FACILITIES WITH CENTRA STAFF MEMBERS, GIVING THESE STUDENTS THE OPPORTUNITY TO TRAIN AND GAIN EXPERIENCE IN THEIR CHOSEN CAREER FIELDS. HERE IS A LIST OF SPECIAL PROJECTS CENTRA SUPPORTS: BEDS & BRITCHES, ETC. (B.A.B.E.) B.A.B.E. IS A PRENATAL CARE INCENTIVE PROGRAM DESIGNED IN RESPONSE TO FETAL & INFANT MORTALITY REVIEW (FIMR) FINDINGS THAT SHOWED LACK OF PRENATAL CARE WAS A COMMON RISK FACTOR AMONG INFANT DEATH CASES. TO INCREASE THE NUMBER OF WOMEN WHO RECEIVE EARLY AND CONSISTENT PRENATAL CARE, WOMEN WHO PARTICIPATE IN THE PROGRAM RECEIVE INCENTIVES FOR COMPLIANCE WITH PRENATAL CARE. WOMEN WITH HOUSEHOLD INCOMES OF $30,000 OR LESS ANNUALLY, MEDICAID RECIPIENTS AND PREGNANT TEENS ARE ELIGIBLE. THE B.A.B.E. PROGRAM IS MANAGED BY THE CHILDBIRTH AND FAMILY EDUCATION DEPARTMENT AT CENTRA, AND RECEIVES SUPPORT FROM THE CHILDREN'S MIRACLE NETWORK, AND COMMUNITY FUND-RAISING EVENTS. A TOTAL OF 211 NEW CLIENTS PARTICIPATED IN THE B.A.B.E. PROGRAM IN 2011, WITH A TOTAL OF 312 VISITS FOR NEW AND RETURNING PARTICIPANTS. COMMUNITY VOICE - DECREASING AFRICAN AMERICAN INFANT MORTALITY CREATED AS AN INTERVENTION BASED ON FETAL & INFANT MORTALITY REVIEW (FIMR) FINDINGS AND A NEED TO ADDRESS RACIAL DISPARITY IN INFANT MORTALITY RATES, COMMUNITY VOICE IS A GRASSROOTS COMMUNITY-BASED, COMMUNITY-PARTNERED OUTREACH INTERVENTION PROGRAM DESIGNED TO HELP REDUCE DISPARITIES IN INFANT DEATH THROUGH IMPLEMENTATION OF THE TAKING IT TO THE PEOPLE CURRICULUM. THE CURRICULUM CONSISTS OF FIVE TWO-HOUR SESSIONS AND COVERS BASIC PERINATAL HEALTH TOPICS AND PSYCHOSOCIAL ISSUES THAT IMPACT INFANT DEATH. ONCE TRAINED PROGRAM PARTICIPANTS BECOME LAY HEALTH ADVISERS AND SHARE THE INFORMATION LEARNED WITH FAMILY, FRIENDS AND PEOPLE IN THEIR INDIVIDUAL NEIGHBORHOODS. APPROXIMATELY 2500 PEOPLE RECEIVED CORRECT PERINATAL HEALTH INFORMATION THROUGH A COMBINATION OF THE FOLLOWING COMMUNITY VOICE ACTIVITIES: TRAINED 112 LAY HEALTH ADVISOR 14 COMMUNITY VOICE CLASSES 1380 LAY HEALTH ADVISOR CONTACTS 2 TRAIN THE TRAINER SESSIONS ... MEMPHIS TN AND FT LAUDERDALE FL 1 PROFESSIONAL PRESENTATION... HEALTHY START COALITION IN WASHINGTON DC 2 COMMUNITY PRESENTATIONS... LCS AND JACKSON STREET UNITED METHODIST CHURCH ATTENDED, NATIONAL NITE OUT, JUNETEENTH, I AM WOMAN RACE, DAY IN THE PARK 4 COMMUNITY HEALTHFAIRS, JAMESON YMCA, DIAMOND HILL COMMUNITY CENTER, GENWORTH FINANCIAL, DANIEL'S HILL 4 NEWSLETTERS RECEIVED $39,718.80 THROUGH A COMBINATION OF TRAININGS AND MATERIALS STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS (CONTINUED): FORM 990, PART III, LINE 4A: FORENSIC NURSE PROGRAM THE FORENSIC NURSE PROGRAM BEGAN IN 1997. REGISTERED NURSES TRAINED IN FORENSICS WORK WITH LAW ENFORCEMENT, THE COURT SYSTEM AND VICTIMS OF RAPE, ABUSE OR NEGLECT. EDUCATIONAL/TRAINING LECTURES ARE PRESENTED TO RESCUE AGENCIES, POLICE INVESTIGATORS AND CRIMINAL JUSTICE TRAINING ACADEMY CADETS. THE PROGRAM SERVES CLIENTS FROM CENTRAL VIRGINIA AND THE SURROUNDING AREA. IN 2011, THE PROGRAM HANDLED 669 CASES. HOSPITALITY SUITES CENTRA PROVIDES HOSPITALITY SUITES, WHICH INCLUDE OVERNIGHT ACCOMMODATIONS FOR PATIENT FAMILIES WHO NEED TO STAY CLOSE TO THEIR HOSPITALIZED FAMILY MEMBER. THERE IS NO CHARGE FOR THE SUITES. SUITES ARE LOCATED AT VIRGINIA BAPTIST HOSPITAL AND LYNCHBURG GENERAL HOSPITAL. THE INFECTIOUS DISEASES CENTER OF CENTRAL VIRGINIA THE INFECTIOUS DISEASES CENTER OF CENTRAL VIRGINIA IS A PARTNERSHIP BETWEEN INDEPENDENT SERVICE PROVIDERS, MEDICAL ASSOCIATES OF CENTRAL VIRGINIA AND CENTRA TO PROVIDE MEDICAL CARE, PHARMACEUTICAL ACCESS AND SUPPORT SERVICES TO PEOPLE WITH HIV/AIDS. THE CENTERS IN LYNCHBURG AND DANVILLE SERVED 390 CLIENTS IN 2011. RIVERMONT SCHOOLS CENTRA'S RIVERMONT SCHOOLS PROVIDE SPECIALIZED EDUCATION FOR STUDENTS WITH BEHAVIORAL OR EMOTIONAL CONCERNS AS WELL AS STUDENTS ON THE AUTISM SPECTRUM. SEVEN SCHOOLS THROUGHOUT VIRGINIA ADDRESS THE NEEDS OF MORE THAN 410 STUDENTS AND OPERATE ON A 180-DAY SCHOOL YEAR CALENDAR. RIVERMONT SCHOOLS ARE LOCATED IN LYNCHBURG, ROANOKE, CHASE CITY, DAN RIVER, HAMPTON ROADS, TIDEWATER, ALLEGHANY AND ROCKBRIDGE. THE RIVERMONT SCHOOLS PROVIDE A UNIQUE, SUPPORTIVE ENVIRONMENT SERVING CHILDREN AND ADOLESCENTS WITH EMOTIONAL PROBLEMS, BEHAVIOR DISORDERS AND LEARNING DISABILITIES. ACADEMIC SUBJECTS ARE TAUGHT IN AN ENVIRONMENT THAT PROMOTES BEHAVIORAL MANAGEMENT, INTERPERSONAL SKILLS, FAMILY INVOLVEMENT AND SOCIAL AWARENESS. VOLUNTEER SERVICES CENTRA HAS MANY DEDICATED VOLUNTEERS FROM THROUGHOUT CENTRAL VIRGINIA WHO CHOOSE TO GIVE BACK TO THEIR COMMUNITY BY DONATING THEIR TIME AND TALENTS. GUGGENHEIMER VOLUNTEER SERVICES OVER 60 VOLUNTEERS DONATED TIME AT GUGGENHEIMER HEALTH AND REHABILITATION CENTER TO PROVIDE RESIDENTS WITH ENRICHMENT AND INTERACTION THROUGH THE "ENHANCING LIVES EVERY DAY" PROGRAM. THEY SUPPORT MANY AREAS OF THE PROGRAM BY PROVIDING MUSICAL ENTERTAINMENT, EXERCISE CLASSES AND CRAFT CLASSES AS WELL AS ASSISTANCE IN TRANSPORTING RESIDENTS AND ANSWERING THE PHONE. HOSPICE VOLUNTEERS IN 2011, 136 VOLUNTEERS DONATED 6,702.5 HOURS OF SERVICE TO THE HOSPICE PROGRAM. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO THE HOSPICE HOUSE. VOLUNTEERS SUPPORT THE HOSPICE HOUSE BY GROCERY SHOPPING, MEAL PREPARATION, CLEANING AND DECORATING, INTERACTING WITH PATIENTS AND FAMILIES AND OFFERING SUPPORT TO FAMILIES WHO HAVE LOST A LOVED ONE. THE VOLUNTEERS HAVE REPORTED DRIVING MORE THAN 57,000 MILES IN 2011. STORIES OF ASSISTANCE THRU DONATIONS TO CENTRA HEALTH FOUNDATION CENTRA HEALTH, INC. DONATES FUNDS TO THE CENTRA HEALTH FOUNDATION ON AN ANNUAL BASIS. A PORTION OF THE GIFTS TO THE FOUNDATION PROVIDE FINANCIAL ASSISTANCE TO PATIENTS WHO ARE IN NEED. BELOW ARE JUST A FEW EXAMPLES OF THIS ASSISTANCE. A DISABLED MAN WHO LIVES WITH HIS AILING MOTHER NEEDED CARDIAC SURGERY THAT WOULD SAVE HIS LIFE. HIS ONLY SOURCE OF INCOME WAS A MONTHLY SOCIAL SECURITY CHECK. WITHOUT INSURANCE HE WAS UNABLE TO PAY FOR HIS MUCH NEEDED HEALTH CARE. FUNDS FROM THE FOUNDATION WERE PROVIDED TO COVER THIS MAN'S CARDIAC SURGERY. A RETIRED RESIDENT OF OUR COMMUNITY WITHOUT INCOME WAS DIAGNOSED WITH BREAST CANCER AND IS CURRENTLY RECEIVING CHEMOTHERAPY TREATMENTS. GIFTS TO THE FOUNDATION PROVIDED THE FUNDS FOR THIS MUCH NEEDED CHEMOTHERAPY. A 28-YEAR-OLD FATHER EXPERIENCED CHEST PAIN BUT WAS AFRAID TO GO TO THE DOCTOR. HIS PLACE OF EMPLOYMENT DID NOT PROVIDE HEALTH INSURANCE. HIS HEALTH QUICKLY DETERIORATED. HIS WIFE WORRIED FOR HER HUSBAND AND THEIR YOUNG CHILD. AFTER SHORTNESS OF BREATH THAT COULD NOT BE IGNORED, THE YOUNG FATHER WENT TO THE EMERGENCY ROOM. THE DOCTORS PERFORMED THE CARDIAC SURGERY THAT SAVED HIS LIFE. GIFTS TO THE FOUNDATION PROVIDED THIS YOUNG FATHER RENEWED HEALTH AND THE GIFT OF LIFE. BECAUSE OF CENTRA HEALTH INC.'S ANNUAL DONATION TO CENTRA HEALTH FOUNDATION, THE FOUNDATION IS ABLE TO PROVIDE ASSISTANCE THROUGH NUMEROUS FUNDS. ONE OF THOSE FUNDS IS THE PATIENT SUPPORT FUND. HERE ARE A FEW EXAMPLES OF HOW PATIENTS ARE ASSISTED THRU THIS PARTICULAR FUND. THERE WERE TWO SISTERS, ONE WITH CANCER, AND ONE AS THE SUPPORT SYSTEM. THEY LIVED PAST FARMVILLE AND WOULD NOT HAVE BEEN ABLE TO COME TO GET RADIATION TREATMENTS, EXCEPT FOR THE FACT THAT THE PATIENT SUPPORT FUND PROVIDED THEM WITH A HOTEL ROOM FOR THE DURATION OF THE 45 TREATMENTS. DURING THOSE 45 DAYS, THE STAFF BECAME VERY CLOSE WITH THE SISTERS, WHO WOULD WALK HAND-IN-HAND INTO THE CANCER CENTER EACH DAY. THEY THANKED THEM EVERY SINGLE TIME THEY WALKED DOWN THE HALLWAY, AND THE STAFF GOT USED TO SEEING THEM SMILING, TALKING, HOLDING HANDS, EVERY DAY. NOT ONLY DID THIS ASSISTANCE MAKE THE WORLD OF DIFFERENCE TO THESE SISTERS, BUT IT IMPACTED THE LIVES OF STAFF WHO WON'T EVER FORGET THEM. A BREAST CANCER PATIENT WAS IN AN ABUSIVE RELATIONSHIP WITH HER HUSBAND AND ENDED UP TALKING WITH A CENTRA SOCIAL WORKER AND NAVIGATOR ABOUT IT. THEY WERE ABLE TO GET HER TRANSPORT, USING THE PATIENT SUPPORT FUND, TO A SHELTER SO THAT SHE COULD NOT ONLY RECEIVE TREATMENTS FOR BREAST CANCER, BUT WOULD ALSO BE IN A SAFE AND HEALING ENVIRONMENT. SHE IS NOW A SURVIVOR IN MORE WAYS THAN ONE, IN AN APARTMENT ON HER OWN AND HAS A BETTER LIFE AHEAD OF HER. ANOTHER PATIENT WAS NOT ABLE TO BREATHE WHEN SHE WAS LYING DOWN. SHE WAS IN A GREAT DEAL OF POST-SURGICAL PAIN AND SIMPLY WANTED TO BE IN HER OWN BED, BUT HER MEDICAID WOULD NOT PAY FOR A BED WEDGE SO THAT SHE COULD LAY IN HER BED AND BREATHE. SHE HAD BEEN THROUGH NUMEROUS SURGERIES, WAS IN A GREAT DEAL OF PAIN, AND SIMPLY WANTED TO SLEEP. SHE NEEDED REST AND HEALING, AND THE PATIENT SUPPORT FUND PURCHASED HER A BED WEDGE. THE "LITTLE" THINGS CAN SOMETIMES MAKE THE WORLD OF DIFFERENCE. CENTRA HEALTH'S NAVIGATORS AND SOCIAL WORKERS LEARN THINGS ABOUT PATIENTS AS THEY CHECK UP ON THEM DURING TREATMENTS AND ONE VERY POOR PATIENT MENTIONED THAT SHE WAS HUNGRY, AND WAS ASKING MEDICAL QUESTIONS ABOUT WHAT PILLS SHE COULD SKIP SO THAT SHE COULD BUY FOOD FOR HER FAMILY. THIS WAS A WOMAN WHO, THOUGH SHE HAD HARDLY ANYTHING HERSELF, WOULD GIVE YOU THE SHIRT OFF OF HER BACK - SHE WAS TAKING CARE OF BOTH HER SISTER AND HER FEEBLE HUSBAND, WHILE ALSO BATTLING CANCER HERSELF. WHEN WE LEARNED THAT SHE NEEDED FOOD, THE PATIENT SUPPORT FUND WAS USED SO THAT THIS PATIENT DID NOT HAVE TO CHOOSE BETWEEN TREATMENT AND GROCERIES. THEY WERE ABLE TO DELIVER GROCERIES TO HER HOUSE... ALL BECAUSE OF THE FUNDS PROVIDED. JOINT VENTURE POLICY FORM 990, PART VI, LN 16B CENTRA HEALTH, INC DID NOT HAVE A FORMAL WRITTEN POLICY RELATING TO MONITORING JOINT VENTURES AT THE CLOSE OF THE 2011 TAX YEAR. THE ORGANIZATION IS DEVELOPING A FORMAL POLICY TO BECOME EFFECTIVE IN THE 2012 YEAR FORWARD. 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