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    <Timestamp>2011-01-11T07:45:34-06:00</Timestamp>
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        <BusinessNameLine1>DIXON HUGHES PLLC</BusinessNameLine1>
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        <AddressLine1>500 Ridgefield Court</AddressLine1>
        <City>Asheville</City>
        <State>NC</State>
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        <AddressLine1>1920 ATHERHOLT ROAD</AddressLine1>
        <City>LYNCHBURG</City>
        <State>VA</State>
        <ZIPCode>24501</ZIPCode>
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      <Name>LEWIS ADDISON CFO</Name>
      <Title>SENIOR VP/CFO</Title>
      <Phone>4342004708</Phone>
      <DateSigned>2011-01-10</DateSigned>
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    <Preparer>
      <Name>Amy Bibby</Name>
      <Phone>8282542254</Phone>
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        <State>VA</State>
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      <StateLegalDomicile>VA</StateLegalDomicile>
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      <MissionDescription>EXCELLENT CARE, EVERY TIME.</MissionDescription>
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      <Description>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 20 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 IT SERVES. 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 2008, CENTRA RECEIVED THE FOLLOWING NATIONAL AWARDS AND ACCOLADES:RANKINGS AS ONE OF THE TOP HEART HOSPITALS IN THE COUNTRY. CENTRA HAS BEEN NAMED ONE OF THE TOP CARDIOVASCULAR HOSPITALS IN THE COUNTRY AND HOLDS THE SOCIETY OF THORACIC SURGEONS' HIGHEST RATING FOR QUALITY IN CARDIAC SURGERY.NATIONAL RECOGNITION FOR ITS USE OF INFORMATION TECHNOLOGY IN ITS DELIVERY OF EXCELLENT PATIENT CARE. IN JULY, CENTRA WAS NAMED ONE OF THE MOST WIRED HOSPITALS AND HEALTH SYSTEMS IN THE COUNTRY BY H&amp;HN (HOSPITALS &amp; HEALTH NETWORKS) MAGAZINE. JUST DAYS LATER, CENTRA RECEIVED A NATIONAL 2008 VIP AWARD FROM MCKESSON TECHNOLOGY SOLUTIONS FOR ITS USE OF INFORMATION TECHNOLOGY TO ACHIEVE OUTSTANDING RESULTS IN THE DELIVERY OF HEALTH CARE.AWARDS FOR CRITICAL CARE EXCELLENCE AND CLINICAL EXCELLENCE IN ITS INTENSIVE CARE UNITS, HAVING EARNED THE BEACON AWARD FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE AS WELL AS TOP AWARDS FROM VHA.2008 COMMUNITY BENEFIT HIGHLIGHTSCENTRA CONTRIBUTED MORE THAN $55 MILLION TOWARD COMMUNITY BENEFITS, INCLUDING:TRADITIONAL CHARITY CARE, WHICH INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2008, $36,247,450 OF CHARGES AT AN ESTIMATED COST OF $19,153,582 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 150 PERCENT OF THE STATE APPROVED POVERTY GUIDELINE. PATIENTS WHO HAVE A FAMILY INCOME OF GREATER THAN 150 PERCENT TO 300 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, TOTALED $22,951,781.UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS, TOTALED $12,152,378.COMMUNITY HEALTH INITIATIVE GRANTS, WHICH INCLUDE CONTRIBUTIONS MADE BY CENTRA TO THE CENTRA HEALTH FOUNDATION TO SUPPORT COMMUNITY INITIATIVE PROGRAMS, TOTALED $250,000.CASH/IN-KIND DONATIONS, WHICH INCLUDE CONTRIBUTIONS MADE ON BEHALF OF CENTRA TO THE COMMUNITY AND IN-KIND DONATIONS, TOTALED $472,190.MEDICAL EDUCATION, WHICH INCLUDES CONTINUING MEDICAL EDUCATION AND SCHOLARSHIPS FOR NURSES AND OTHER HEALTH CARE PROFESSIONALS, TOTALED $134,286. COMMUNITY EDUCATION, WHICH INCLUDES COMMUNITY/PATIENT HEALTH EDUCATION PROGRAMS, HEALTH SCREENINGS, COUNSELING AND SUPPORT GROUPS, TOTALED $76,586.RESEARCH, WHICH INCLUDES FUNDS TO SUPPORT CLINICAL RESEARCH ACTIVITIES, TOTALED $69,113.COMMUNITY EDUCATION &amp; HEALTH SCREENINGSCENTRAL 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 2008 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 2008, HEALTH EDUCATION PROGRAMS AND HEALTH FAIRS REACHED MORE THAN 13,800 PEOPLE.BREAST HEALTH EDUCATION: AN EDUCATIONAL PROGRAM OFFERED TO THE COMMUNITY TO ADDRESS BREAST HEALTH, SELF BREAST EXAMS, CLINICAL BREAST EXAMS AND MAMMOGRAMS. THIS PROGRAM'S OBJECTIVE IS TO INCREASE HEALTH SEEKING BEHAVIORS RELATED TO BREAST HEALTH AND DECREASE MORBIDITY AND MORTALITY RELATED TO BREAST CANCER. IN 2008, 1,376 PEOPLE WERE SERVED BY THIS PROGRAM.CARDIAC EDUCATION AND SCREENINGS:PROGRAMS OFFER RESIDENTS HEART HEALTHY EDUCATION, FREE CARDIOPULMONARY RESUSCITATION TRAINING, CHOLESTEROL SCREENINGS, CARDIAC RISK ASSESSMENTS AND BLOOD PRESSURE SCREENINGS. MANY PROGRAMS ARE OFFERED THROUGHOUT THE YEAR.DIABETIC EDUCATION:CENTRA EMPLOYS CERTIFIED DIABETIC EDUCATORS AND REGISTERED NURSES WITH SPECIAL EDUCATION. THESE NURSES OFFER DIABETIC EDUCATION PROGRAMS, GLUCOSE SCREENINGS AND DIABETIC EDUCATION CLASSES IN BOTH INPATIENT AND OUTPATIENT SETTINGS. IN ADDITION, EDUCATION AND SUPPORT IS PROVIDED TO FAMILY MEMBERS AND CAREGIVERS OF DIABETIC PATIENTS. NURSES OFTEN MEET WITH PEOPLE TO PROVIDE PERSONALIZED TEACHING IN ACCORDANCE WITH THEIR PHYSICIAN'S ORDERS. IN 2008, NURSES ALSO VISITED SCHOOLS IN THE COMMUNITY AND GAVE VALUABLE DIABETIC AWARENESS AND TREATMENT INFORMATION TO SCHOOL STAFF.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.LEARNING CONNECTION:THE LEARNING CONNECTION IS AN EDUCATIONAL AND SUPPORT PROGRAM FOR DIABETICS AND THEIR FAMILIES. IN 2008, 125 PEOPLE WERE SERVED BY THIS PROGRAM. ORTHOPEDIC COMMUNITY EDUCATION:PROGRAMS ARE OFFERED TO THE COMMUNITY TO EDUCATE ABOUT ARTHRITIS AND JOINT-RELATED DISEASES AND CONDITIONS. IN 2008, 161 PEOPLE WERE SERVED BY THESE PROGRAMS.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. THE WITNESS PROJECT:THE WITNESS PROJECT IS A BREAST HEALTH EDUCATION PROGRAM SERVING ALL WOMEN, AND TARGETING THE UNDERSERVED. IN 2008, MORE THAN 1,160 WOMEN WERE REACHED THROUGH CENTRA'S WITNESS PROJECT.AS PART OF THE PROGRAM, LAY HEALTH EDUCATORS AND BREAST CANCER SURVIVORS TRAIN WITH REGISTERED NURSES WHO ARE BREAST HEALTH EDUCATORS 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 THE SUSAN G. KOMEN FOUNDATION. VOUCHERS FOR SCREENING MAMMOGRAMS ARE ALSO AVAILABLE TO UNINSURED WOMEN WITH FINANCIAL NEEDS. CONTINUED ON NEXT STATEMENT...</Description>
      <Activity2>
        <Description>COMMUNITY CLASSESIN 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 AND NEW SIBLING CLASSES. SUPPORT GROUPSSUPPORT 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, OB/GYN CANCER, SLEEP DISORDERS AND CARDIAC REHABILITATION. MORE THAN 440 PEOPLE PARTICIPATED IN SUPPORT GROUPS AT CENTRA IN 2008.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. IN 2008, 89 INDIVIDUALS WERE SERVED.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 129 WOMEN IN 2008.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. IN 2008, 72 PEOPLE WERE SERVED. 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. MENDED HEARTS/CARDIAC REHAB SUPPORT GROUPS: THESE CARDIAC-RELATED SUPPORT GROUPS OFFER EDUCATION AND EMOTIONAL SUPPORT TO CARDIAC PATIENTS AND THEIR FAMILIES. OB/GYN CANCER SUPPORT GROUP:THE OB/GYN CANCER SUPPORT GROUP IS OFFERED TO WOMEN DIAGNOSED WITH OB/GYN CANCER AT ANY STAGE OF THE DISEASE. THIS SUPPORT GROUP ADDRESSES OB/GYN HEALTH AND RELATED ISSUES OF IMPORTANCE TO WOMEN WITH OB/GYN CANCER. SMOKING CESSATION SUPPORT GROUP:THIS CLINIC PROVIDES INFORMATION AND SUPPORT TO ASSIST PERSONS DESIRING TO BECOME AND REMAIN SMOKE-FREE. IN 2008, 151 PEOPLE RECEIVED VALUABLE SUPPORT AND EDUCATION.IN-KIND &amp; DONATIONSDURING 2008, CENTRA DONATED OVER $65,800 IN MEDICAL SUPPLIES TO GLEANING FOR THE WORLD AND OTHER VARIOUS ORGANIZATIONS AND AGENCIES IN THE REGION. EACH YEAR, CENTRA ALLOWS COMMUNITY AGENCIES AND ORGANIZATIONS THE USE OF MANY OF THE MEETING ROOMS THROUGHOUT ITS FACILITIES. ORGANIZATIONS BENEFITED FROM OVER 160 HOURS OF USAGE IN 2008. CENTRA LAB PROCESSED 2,443 LABORATORY TESTS FOR CENTRAL VIRGINIA FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT EXCEEDING $142,000. CENTRA PROVIDED HOUSING FOR APPROXIMATELY 122 VIRGINIA COMMONWEALTH UNIVERSITY DENTAL EXTERNS WHO WORKED AT THE VIRGINIA FREE CLINIC AT NO CHARGE.A TOTAL OF 11,009 MEALS WERE PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF $30,824. SPECIAL NEEDS PROJECTS &amp; MENTORINGCENTRA 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 &amp; BRITCHES, ETC. (B.A.B.E.): B.A.B.E. IS A PRENATAL CARE INCENTIVE PROGRAM DESIGNED IN RESPONSE TO FETAL &amp; INFANT DEATH 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 PRENATAL CARE DURING THE FIRST TRIMESTER OF PREGNANCY, 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. IS A CENTRA PROGRAM, FUNDED AND MANAGED BY THE SOUTH CENTRAL PERINATAL COUNCIL, AND RECEIVES SUPPORT FROM THE CHILDREN'S MIRACLE NETWORK, THE VIRGINIA MATERNAL CHILD HEALTH DEPARTMENT AND COMMUNITY FUND-RAISING EVENTS. A TOTAL OF 100 NEW CLIENTS PARTICIPATED IN THE B.A.B.E. PROGRAM IN 2008, WITH A TOTAL OF 140 VISITS FOR NEW AND RETURNING PARTICIPANTS. COMMUNITY VOICE - DECREASING AFRICAN AMERICAN INFANT MORTALITY: CREATED IN RESPONSE TO FETAL INFANT MORTALITY REVIEW (FIMR) RECOMMENDATIONS FOR A NEED TO ADDRESS RACIAL DISPARITY IN INFANT MORTALITY RATES, COMMUNITY VOICE IS A COMMUNITY-BASED, COMMUNITY-PARTNERED OUTREACH INTERVENTION PROGRAM DESIGNED TO REDUCE DISPARITIES THROUGH IMPLEMENTATION OF THE TAKING IT TO THE PEOPLE CURRICULUM WRITTEN BY THE SOUTH CENTRAL PERINATAL COUNCIL. THE PROGRAM, WHICH IS FUNDED BY THE MARCH OF DIMES, CONSISTS OF FIVE TWO-HOUR SESSIONS AND COVERS BASIC PERINATAL HEALTH TOPICS AND PSYCHOSOCIAL ISSUES SUCH AS DOMESTIC VIOLENCE, RACISM AND SUBSTANCE ABUSE. CLASS GRADUATES BECOME LAY HEALTH ADVISERS AND SHARE THE INFORMATION IN THE EACH-ONE-TEACH-ONE PROGRAM. IN 2008, PERINATAL HEALTH INFORMATION WAS DISTRIBUTED TO 1,418 PEOPLE THROUGH 56 LAY HEALTH ADVISERS, 12 CLASSES, AND 10 COMMUNITY EVENTS. SINCE ITS INCEPTION IN 2000, 24,870 PEOPLE HAVE RECEIVED PERINATAL HEALTH INFORMATION.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 2008, THE PROGRAM HANDLED 605 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 323 CLIENTS IN 2008. THE PROGRAM ALSO RECEIVES GRANT SUPPORT FROM RYAN WHITE FUNDS, VIRGINIA STATE AIDS PROGRAM AND CENTRA HEALTH FOUNDATION. RIVERMONT SCHOOLS:CENTRA'S RIVERMONT SCHOOLS PROVIDE SPECIALIZED EDUCATION FOR STUDENTS WITH BEHAVIORAL OR EMOTIONAL CONCERNS. SEVEN SCHOOLS THROUGHOUT VIRGINIA ADDRESS THE NEEDS OF MORE THAN 350 STUDENTS AND OPERATE ON A 180-DAY SCHOOL YEAR CALENDAR. RIVERMONT SCHOOLS ARE LOCATED IN LYNCHBURG, DAN RIVER, ROANOKE, CHASE CITY, HAMPTON, 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. SENIOR NAVIGATOR:SENIOR NAVIGATOR PROVIDES FREE INFORMATION ABOUT THE HEALTH AND AGING RESOURCES AVAILABLE TO VIRGINIANS. THE INFORMATION FOCUSES ON SENIOR-RELATED ISSUES, INCLUDING HEALTH AND AGING, FINANCIAL CONCERNS, LEGAL QUESTIONS, HEALTH FACILITIES, ASSISTED LIVING AND HOUSING, EXERCISE PROGRAMS AND SUPPORT GROUPS. SENIOR NAVIGATOR OFFERS THE WEBSITE: WWW.SENIORNAVIGATOR.COM.IN ADDITION TO THE WEBSITE, SENIOR NAVIGATOR WORKS WITH A VOLUNTEER NETWORK TO PROVIDE THE INFORMATION ON THE WEBSITE TO PEOPLE WITHOUT COMPUTERS OR INTERNET ACCESS. THESE VOLUNTEERS, CALLED SENIOR NAVIGATORS, HELP STAFF SENIOR NAVIGATOR CENTERS. SENIOR NAVIGATOR CENTERS ARE ORGANIZATIONS THROUGHOUT VIRGINIA THAT VOLUNTARILY PROVIDE FREE ACCESS AND ASSISTANCE WITH THE WEBSITE. CONTINUED ON NEXT STATEMENTS...</Description>
      </Activity2>
      <Activity3>
        <Description>VOLUNTEER SERVICESCENTRA 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. GUGGENHEIMER HEALTH AND REHABILITATION'S TEEN VOLUNTEER PROGRAM OFFERS YOUTHS AGES 13 AND UP AN OPPORTUNITY ALSO TO SERVE. HOSPICE VOLUNTEERS:APPROXIMATELY 100 VOLUNTEERS DONATED 5,116 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.</Description>
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      <Form990ScheduleDPartXIV>
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        <Identifier>Part XII, Line 4b - Other Adjustments:</Identifier>
        <Explanation>CHANGE IN UNRESTRICTED NET ASSETS DUE TO IMPLEMENTATION OF SFAS 158: 54760327. CHANGE IN VALUE OF INTEREST RATE SWAP: 21636705. NET ASSETS RELEASED FROM RESTRICTION TO AFFILIATED ENTITIES: 195987.</Explanation>
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    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041700001">
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        <Name>
          <BusinessNameLine1>LYNCHBURG GENERAL HOSPITAL</BusinessNameLine1>
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        <Address>
          <AddressUS>
            <AddressLine1>1901 TATE SPRINGS ROAD</AddressLine1>
            <City>LYNCHBURG</City>
            <State>VA</State>
            <ZIPCode>24501</ZIPCode>
          </AddressUS>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
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      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>VIRGINIA BAPTIST HOSPITAL CAMPUS</BusinessNameLine1>
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        <Address>
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            <AddressLine1>3300 RIVERMONT AVENUE</AddressLine1>
            <City>LYNCHBURG</City>
            <State>VA</State>
            <ZIPCode>24503</ZIPCode>
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        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
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      <Form990ScheduleHPartV>
        <Name>
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        <Address>
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            <State>VA</State>
            <ZIPCode>24502</ZIPCode>
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            <State>VA</State>
            <ZIPCode>24501</ZIPCode>
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        <Name>
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        <Address>
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            <City>LYNCHBURG</City>
            <State>VA</State>
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            <City>MADISON HEIGHTS</City>
            <State>VA</State>
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            <AddressLine1>1220 WEST GRETNA ROAD</AddressLine1>
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            <State>VA</State>
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        <OtherCompensationFilingOrg>17876</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>29836</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>20792</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>467695</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>CHAD A HOYT MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>369631</BaseCompensationFilingOrg>
        <BonusFilingOrg>257933</BonusFilingOrg>
        <OtherCompensationFilingOrg>17007</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>14350</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>22426</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>681347</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>CHRISTOPHER LEWIS MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>348836</BaseCompensationFilingOrg>
        <BonusFilingOrg>49135</BonusFilingOrg>
        <OtherCompensationFilingOrg>16941</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12089</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21842</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>448843</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>HARRY E MEADOR</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>173269</BaseCompensationFilingOrg>
        <BonusFilingOrg>31509</BonusFilingOrg>
        <OtherCompensationFilingOrg>1218</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>46209</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>21931</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>274136</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>MATTHEW C SACKETT MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>369375</BaseCompensationFilingOrg>
        <BonusFilingOrg>304935</BonusFilingOrg>
        <OtherCompensationFilingOrg>17503</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>13912</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>23607</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>729332</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>DAVID B TRUITTE MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>365469</BaseCompensationFilingOrg>
        <BonusFilingOrg>234957</BonusFilingOrg>
        <OtherCompensationFilingOrg>17842</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>19727</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>41601</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>679596</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>CARL M VALENTINE MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>365858</BaseCompensationFilingOrg>
        <BonusFilingOrg>252460</BonusFilingOrg>
        <OtherCompensationFilingOrg>17818</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>18986</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>39807</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>694929</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>DANIEL CAREY MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>366481</BaseCompensationFilingOrg>
        <BonusFilingOrg>226867</BonusFilingOrg>
        <OtherCompensationFilingOrg>17502</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>17629</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>36939</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>665418</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>JASON M HACKENBRACHT MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>370046</BaseCompensationFilingOrg>
        <BonusFilingOrg>218573</BonusFilingOrg>
        <OtherCompensationFilingOrg>16732</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12410</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>20517</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>638278</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>THOMAS M MEYER MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>367444</BaseCompensationFilingOrg>
        <BonusFilingOrg>200916</BonusFilingOrg>
        <OtherCompensationFilingOrg>16823</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>12753</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>31758</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>629694</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>PETER K O'BRIEN MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>367511</BaseCompensationFilingOrg>
        <BonusFilingOrg>228919</BonusFilingOrg>
        <OtherCompensationFilingOrg>16823</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>13912</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>32193</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>659358</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>WILLIAM M VANDYKE MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>373038</BaseCompensationFilingOrg>
        <BonusFilingOrg>183010</BonusFilingOrg>
        <OtherCompensationFilingOrg>21194</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>6900</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>6736</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>590878</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>GOLDEN H BETHUNE</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>181628</BaseCompensationFilingOrg>
        <TotalCompensationFilingOrg>181628</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>GLENN E MCGRATH</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>242681</BaseCompensationFilingOrg>
        <OtherCompensationFilingOrg>2669</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>1280</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>2985</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>249615</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>THE ORGANIZATION USED CHARTER TRAVEL SERVICES DURING THE YEAR FOR OFFICERS/EMPLOYEES OF THE ORGANIZATION TO ATTEND AN ANNUAL CONFERENCE. THE ORGANIZATION MADE THE BUSINESS DECISION TO USE A CHARTER PLANE TO MEET THE BUSINESS NEEDS OF THE ORGANIZATION. THE TOTAL COST OF THE CHARTER FLIGHT WAS CONSISTENT WITH THE COST OF COMMERCIAL FLIGHTS FOR THE NUMBER OF INDIVIDUALS TRAVELING TO THE CONFERENCE.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4a</ReturnReference>
        <Explanation>GEORGE W. DAWSON, PRESIDENT/CEO OF THE ORGANIZATION, ACCRUED FOR 2008 $251,903 IN A NONQUALIFIED RETIREMENT PLAN, INCLUDED IN HIS W-2 WAGES.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>ALBERT BAKER'S COMPENSATION WAS PAID BY LYNCHBURG PULMONARY ASSOCIATES FOR SERVICES RENDERED TO THE ORGANIZATION. H.C. ESCHENROEDER JR.'S COMPENSATION WAS PAID BY ORTHOPAEDIC CENTER OF CENTRAL VIRGINIA FOR SERVICES RENDERED TO THE ORGANIZATION. GEORGE A. HURT'S COMPENSATION WAS PAID BY CENTRAL VIRGINIA NEUROSURGERY FOR SERVICES RENDERED TO THE ORGANIZATION. KIRKHAM W. SYDNOR III'S COMPENSATION WAS PAID BY MEDICAL ASSOCIATES OF CENTRAL VIRGINIA HOSPITALS FOR SERVICES RENDERED TO THE ORGANIZATION. MICHAEL J. DIMINICK'S COMPENSATION WAS PAID BY ORTHOPAEDIC CENTER OF CENTRAL VIRGINIA FOR SERVICES RENDERED TO THE ORGANIZATION.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="RetDoc1053100001">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG VA</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>541225193</IssuerEIN>
        <CUSIPNumber>551245GN7</CUSIPNumber>
        <DateIssued>2004-12-08</DateIssued>
        <IssuePrice>126425000</IssuePrice>
        <DescriptionOfPurpose>HOSPITAL AUCTION RATE SECURITIES REVENUE AND REFUNDING BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF CAMPBELL VA</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309406</IssuerEIN>
        <DateIssued>2007-04-27</DateIssued>
        <IssuePrice>7500000</IssuePrice>
        <DescriptionOfPurpose>HEALTHCARE FACILITIES REVENUE BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEVELOPMENT AUTHORITY OF THE TOWN OF AMHERST VA</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>521309406</IssuerEIN>
        <DateIssued>2007-06-29</DateIssued>
        <IssuePrice>8000000</IssuePrice>
        <DescriptionOfPurpose>HEALTHCARE FACILITIES REVENUE BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF APPOMATTOX VA</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>541864523</IssuerEIN>
        <DateIssued>2007-11-29</DateIssued>
        <IssuePrice>7500000</IssuePrice>
        <DescriptionOfPurpose>HEALTHCARE FACILITIES REVENUE BONDS</DescriptionOfPurpose>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG VA</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>541225193</IssuerEIN>
        <CUSIPNumber>551245GH0</CUSIPNumber>
        <DateIssued>2004-12-08</DateIssued>
        <IssuePrice>52700000</IssuePrice>
        <Defeased>0</Defeased>
        <OnBehalfOfIssuer>0</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <LoanTable>
        <NamePerson>THOMAS JIVIDEN</NamePerson>
        <PurposeOfLoan>COMPUTER LOAN</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>793</OriginalPrincipalAmount>
        <BalanceDue>533</BalanceDue>
        <Default>0</Default>
        <ApprovedByBoard>0</ApprovedByBoard>
        <WrittenAgreement>1</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>533</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARK ADDISON</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF LEWIS ADDISON, BOARD MEMBER/OFFICER</Relationship>
        <AmountOfTransaction>36126</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>HARRY ELAM</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF SARAH PUCKETT, BOARD MEMBER</Relationship>
        <AmountOfTransaction>130444</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>TONY MCKINNEY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>FAMILY MEMBER OF E.W. TIBBS, OFFICER OF CENTRA HEALTH, INC.</Relationship>
        <AmountOfTransaction>81385</AmountOfTransaction>
        <DescriptionOfTransaction>COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC.</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>SCOTT INSURANCE COMPANY</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>PRESIDENT OF COMPANY, WALKER SYDNOR, IS A BOARD MEMBER OF CENTRA HEALTH</Relationship>
        <AmountOfTransaction>566901</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR INSURANCE PREMIUMS PROVIDED TO CENTRA HEALTH, INC</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>SCHEWELS FURNITURE COMPANY</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>PRESIDENT OF COMPANY, MARK SCHEWEL, IS A BOARD MEMBER OF CENTRA HEALTH</Relationship>
        <AmountOfTransaction>24316</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR SERVICES/GOODS PROVIDED TO CENTRA HEALTH, INC</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 2</Identifier>
        <Explanation>BOARD MEMBERS RODGER FAUBER AND STUART FAUBER HAVE A FAMILY RELATIONSHIP. BOARD MEMBERS LEWIS ADDISON AND KENNETH WHITE ARE EACH BOARD MEMBERS OF THE BANK OF THE JAMES, LYNCHBURG, VA. BOARD MEMBER AUGUSTUS PETTICOLAS IS AN OFFICER OF BOARD OF DIRECTORS OF THE BANK OF THE JAMES, LYNCHBURG, VA. BOARD MEMBERS DAVID ADAMS, LEWIS ADDISON, GEORGE DAWSON, STANLEY GOLDSMITH, THOMAS JIVIDEN, AND CONSUELLA WOODS ARE EACH BOARD MEMBERS OF THE BEDFORD MEMORIAL HOSPIAL, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. BOARD MEMBERS DAVID ADAMS AND GEORGE DAWSON ARE DIRECTORS OF HEALTHWORKS, WHICH IS OWNED 50% BY SCOTT INSURANCE, OF WHICH BOARD MEMBER WALKER SYDNOR IS AN OFFICER OF THE BOARD. BOARD MEMBERS MICHAEL BRADFORD, RODGER FAUBER, AND MARC SCHEWEL ARE EACH BOARD MEMBERS OF PIEDMONT COMMUNITY HEALTH PLAN, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. BOARD MEMBERS LEWIS ADDISON AND GEORGE DAWSON ARE OFFICERS OF THE BOARD OF PIEDMONT COMMUNITY HEALTH PLAN, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. BOARD MEMBERS MICHAEL DIMINICK, THOMAS JIVIDEN, AND E.W. TIBBS ARE ALL BOARD MEMBERS OF THE SURGERY CENTER OF LYNCHBURG, LLC, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. BOARD MEMBERS CHAD HOYT AND E.W. TIBBS ARE OWNERS OF AN UNRELATED LLC.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 10</Identifier>
        <Explanation>THE MANAGEMENT OF CENTRA WILL REVIEW THE FORM 990 WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. AFTER THE FINANCE COMMITTEE HAS REVIEWED THE FORM 990, EACH VOTING BOARD MEMBER WILL RECEIVE A COPY FOR THEIR PERSONAL REVIEW PRIOR TO ITS FILING WITH THE IRS</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>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 (OF WHICH ONE IS A PHYSICIAN). FOUR OF THESE FIVE MEMBERS MEET THE IRS'S DEFINITION OF INDEPENDENCE FOR PURPOSES OF THE FORM 990. 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 SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF CENTRA, BASED ON RECOMMENDATIONS BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANTS AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND STUDIES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 18</Identifier>
        <Explanation>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, THE MOST RECENT FILING OF THE FORM 990 CAN BE FOUND ONLINE AT WWW.GUIDESTAR.ORG.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>PHOTOCOPIES OF THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990: AMENDED RETURN</Identifier>
        <Explanation>AMENDMENTS HAVE BEEN MADE TO SCHEDULE J PART II OF THE FORM 990. THE AMENDMENTS INCLUDE THE RECLASSIFICATION OF COMPENSATION FROM "BASE COMPENSATION" TO "OTHER COMPENSATION" AND VICE VERSA IN ORDER TO MORE PROPERLY ALIGN THE PRESENTATION OF COMPENSATION ON THE FORM 990 WITH THE GUIDANCE SET FORTH IN THE 2009 IRS FORM 990 INSTRUCTIONS. THE TOTAL COMPENSATION AMOUNTS REPORTED ON THE FORM 990 AND RELATED SCHEDULE J HAVE NOT CHANGED FROM THE PREVIOUSLY FILED VERSION.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CENTRA HEALTH PROFESSIONAL SERVICES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1920 ATHERHOLD ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>203639329</EIN>
        <PrimaryActivities>PHYSICIAN SERVICES</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <TotalIncome>20963620</TotalIncome>
        <EOYAssets>5286162</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CENTRA EMERGENCY PHYSICIAN SERVICES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1920 ATHERHOLD ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>205965653</EIN>
        <PrimaryActivities>EMERGENCY PHYSICIAN SERVICES</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <TotalIncome>13564047</TotalIncome>
        <EOYAssets>1552675</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CENTRA HEALTH CARDIOVASCULAR SERVICES LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1920 ATHERHOLD ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>205118331</EIN>
        <PrimaryActivities>CARDIOVASCULAR SERVICES</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <TotalIncome>16008584</TotalIncome>
        <EOYAssets>4157739</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CENTRAL VIRGINIA HOSPITAL FOR RESTORATIVE AND REHABILITATIVE CARE LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1920 ATHERHOLD ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>204712023</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <TotalIncome>6525656</TotalIncome>
        <EOYAssets>2915505</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CENTRA HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1920 ATHERHOLD ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>541604094</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>LYNCHBURG FAMILY PRACTICE RESIDENCY PROGRAM INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1920 ATHERHOLD ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>541457983</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SOUTHSIDE COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1920 ATHERHOLD ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
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        </AddressUS>
        <EIN>540555201</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>HOSPITAL</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CCRC INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1920 ATHERHOLD ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>541929580</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>THE VIRGINIA BAPTIST HOSPITAL AUXILIARY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1920 ATHERHOLD ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>546060503</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
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        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
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      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>AUXILIARY TO LYNCHBURG GENERAL HOSPITAL INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1920 ATHERHOLD ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>546047293</EIN>
        <PrimaryActivities>SUPPORTING ORGANIZATION</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>509(A)(3)</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VBH ASSOCIATES</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1920 ATHERHOLT ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>541292948</EIN>
        <PrimaryActivity>OPERATION OF MEDICAL BUILDING</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>GENERAL BUSINESS CONCERNS INC</BusinessNameLine1>
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        <PredominantIncomeType>INVESTMENT</PredominantIncomeType>
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        <ShareOfEOYAssets>350573</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>1</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>GENERAL BUSINESS CONCERNS INC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>1920 ATHERHOLT ROAD</AddressLine1>
          <City>LYNCHBURG</City>
          <State>VA</State>
          <ZIPCode>24501</ZIPCode>
        </AddressUS>
        <EIN>541299682</EIN>
        <PrimaryActivity>REAL ESTATE - PHYSICIAN OFFICES</PrimaryActivity>
        <LegalDomicileState>VA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CENTRA HEALTH INC</BusinessNameLine1>
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        <TypeOfEntity>C</TypeOfEntity>
        <ShareOfTotalIncome>2389473</ShareOfTotalIncome>
        <ShareOfEOYAssets>1787628</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>1</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>1</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>0</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>1</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>1</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>1</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>1</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>1</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LYNCHBURG FAMILY PRACTICE RESIDENCY PROGRAM INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>75000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SOUTHSIDE COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LYNCHBURG FAMILY PRACTICE RESIDENCY PROGRAM INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>2640000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CENTRA HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>B</TransactionType>
        <AmountInvolved>250000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CENTRA HEALTH FOUNDATION INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>3716487</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CCRC INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
        <AmountInvolved>4000000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SOUTHSIDE COMMUNITY HOSPITAL INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>D</TransactionType>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CENTRA HEALTH FOUNDATION INC</BusinessNameLine1>
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        <TransactionType>O</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>CCRC INC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
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      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>LYNCHBURG FAMILY PRACTICE RESIDENCY PROGRAM INC</BusinessNameLine1>
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        <TransactionType>P</TransactionType>
        <AmountInvolved>208836</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>