2011-11-15T14:13:06-06:00 2010-12-31 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2010-01-01 540715569 CENTRA HEALTH INC CENT 4342004708 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 LEWIS ADDISON CFO 4342004708 2011-11-15 1 AMY BIBBY 8282542254 2010 2016-03-07 17:11:31Z LEWIS ADDISON 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 591464163 0 X WWW.CENTRAHEALTH.COM X 1962 VA PROVISION OF HEALTHCARE 26 16 6047 1014 9487610 1195405 5121113 6622986 527115603 548556853 -1323136 32683319 4045895 3601005 534959475 591464163 676584 786760 0 0 274569629 288315559 0 0 0 242880878 255864270 518127091 544966589 16832384 46497574 625784713 696503851 276802396 333399102 348982317 363104749 EXCELLENT CARE, EVERY TIME. 0 0 489293450 786760 539069243 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.PLEASE SEE THE CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O. 489293450 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 1 0 0 0 1 321 0 1 6047 1 1 1 0 0 0 0 0 0 0 0 0 X 26 16 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 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 686339 0 39571 GEORGE W DAWSON 50.00 X X 1131633 0 145311 ALBERT M BAKER MD 2.00 X 0 0 0 WILLIAM A BLACKMAN MD 50.00 X 159793 0 21219 MICHAEL V BRADFORD 2.00 X 0 0 0 LAURA L HAMILTON 2.00 X 0 0 0 WILLIAM R CHAMBERS 2.00 X 0 0 0 WILLIAM COLEMAN 2.00 X 0 0 0 ROBERT D COOK MD 50.00 X 347911 0 21439 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 KIRSTEN L HUBER MD 2.00 X 0 297412 11740 TERRY H JAMERSON 2.00 X 0 0 0 STEPHEN C KEITH EDD 2.00 X 0 0 0 CHRISTINE A MARRACCINI MD 2.00 X 0 0 0 AUGUSTUS PETTICOLAS JR DDS 2.00 X 0 0 0 CHARLES W PRYOR JR 2.00 X 0 0 0 SHARON L HARRUP 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 J SCOTT WADE 2.00 X 0 0 0 CONSUELLA K WOODS 2.00 X 0 0 0 THOMAS C JIVIDEN 50.00 X 703364 0 80304 LEWIS C ADDISON 50.00 X 566479 0 76508 DAVID D ADAMS 50.00 X 220417 0 49022 PATTI S MCCUE SCED 50.00 X 317441 0 42053 CHALMERS M NUNN JR 50.00 X 506176 0 74200 EW TIBBS 50.00 X 364331 0 85643 DAVID W FRANTZ MD 50.00 X 605104 0 30374 CHRISTOPHER W LEWIS MD 50.00 X 616312 0 30285 HARRY E MEADOR 50.00 X 208108 0 48948 DAVID B TRUITTE MD 50.00 X 600489 0 53083 DANIEL CAREY MD 50.00 X 652684 0 48652 PETER K O'BRIEN MD 50.00 X 657328 0 40756 MATTHEW C SACKETT MD 50.00 X 713986 0 30374 CARL M VALENTINE MD 50.00 X 765760 0 48456 CHAD A HOYT MD 50.00 X 674709 0 47289 10498364 297412 1025227 239 0 1 0 MEDICAL ASSOCIATES OF CENTRAL VIRGINIA PO BOX 11889 LYNCHBURG VA 24506 PHYSICIANS 7533239 HERITAGE HEALTHCARE INC 536 OLD HOWELL ROAD GREENVILLE SC 29615 THERAPISTS 3627004 VIRGINIA HOSPITAL LAUNDRY 1601 OLIVER HILL WAY RICHMOND VA 23219 LINEN SERVICES 2133536 LYNCHBURG ANESTHESIA ASSOCIATES 1922 THOMPSON DRIVE LYNCHBURG VA 24501 PHYSICIANS 1588938 CENTRAL VIRGINIA NEUROSURGERY 2138 LANGHORNE ROAD A LYNCHBURG VA 24501 PHYSICIANS 1453631 189 2094879 4528107 6622986 NET PATIENT SVC REVENU 621400 524537886 524537886 TUITION & EDUCATION 611600 13234447 13234447 LAB SERVICES 621500 9468802 9468802 ANCILLARY SERVICES 900099 7843480 7824672 18808 CONTROLLED ENTITIES 900099 -6527762 -6527762 548556853 4366277 4366277 458538 458538 458538 458538 28304940 12102 28304940 12102 28317042 28317042 CAFETERIA/VEND/DIETARY 722210 2550763 2550763 MANAGEMENT/CONSULTING 541610 591704 591704 3142467 591464163 539069243 9487610 36284324 786760 786760 7831857 3211919 4619938 222746039 213970337 8775702 -2012383 -1970063 -42320 36949183 34196641 2752542 22800863 21174070 1626793 842105 686536 155569 3357150 2658467 698683 175081 43596 131485 33319 33319 53907077 41622681 12284396 1993509 1788508 205001 77112688 76000297 1112391 12140018 12140018 9079260 8633484 445776 1205617 1159513 46104 1621145 1350907 270238 5444693 5444693 32519155 22140221 10378934 3977668 3939098 38570 BAD DEBT EXPENSE 31317422 31317422 DRUGS 19398574 19398574 BOND COST AMORTIZATION 1739789 1739789 544966589 489293450 55673139 0 21670571 25272752 47986728 45832242 144188 144189 12037088 12122178 3095471 3511937 618060155 369738461 247214937 248321694 181056300 216267618 19430795 48112363 81777315 84966263 11371320 11952615 625784713 696503851 42808054 54712474 493132 432218 199932192 224932412 33569018 53321998 276802396 333399102 X 304479925 314516103 14704014 18790268 29798378 29798378 348982317 363104749 625784713 696503851 X 46497574 -32375142 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 33319 33319 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: ATTENDANCE AT THE VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION 2010 LEGISLATIVE ISSUES CONFERENCE: REGISTRATION EXPENSES, HOTEL, TRAVEL, & MEALS: $ 2,902 A PORTION OF THE ORGANIZATION'S HOSPITAL ASSOCIATION DUES FOR THE 2010 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $30,417. 7724308 7724308 323552599 170709606 152842993 14549311 5924949 8624362 266506076 193103906 73402170 5727861 5727861 248321694 16094701 F ASSETS LIMITED BY EXTERNAL BOND INDENTURE 2092662 F ASSETS LIMITED BY EXTERNAL FOR CONSTRUCTION 29925000 F 48112363 INVESTED CAPITAL IN CONTROLLED ENTITIES 81462130 F DUE FROM RELATED PARTIES 3504133 F 84966263 ACCRUED INTEREST PAYABLE 339387 ESTIMATED 3RD PARTY LIABILITIES 2043026 OTHER LIABILITIES 7314331 PENSION LIABILITY 28388796 INTEREST RATE SWAP AGREEMENT 12964604 PHYSICIAN RECRUITMENT LIABILITY 148918 DUE TO RELATED PARTIES 2122936 53321998 591464163 544966589 46497574 -5751833 -26623309 -32375142 14122432 559089021 -5751833 -26623309 -32375142 591464163 0 591464163 544966589 0 544966589 0 544966589 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, 2010. 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 -21,686,417. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -4,948,229. NET ASSETS RELEASED FROM RESTRICTION TO AFFILIATED ENTITIES 45,755. MINORITY INTEREST -34,418. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN PENSION REPORTING -21,686,417. CHANGE IN VALUE OF INTEREST RATE SWAP -4,948,229. NET ASSETS RELEASED FROM RESTRICTION TO AFFILIATED ENTITIES 45,755. MINORITY INTEREST -34,418. 1 1 X 1 X 1 X 1 1 1 0 1 1 20279821 20279821 0.03950 76903270 58520495 18382775 0.03580 1468793 905484 563309 0.00110 98651884 59425979 39225905 0.07640 60399 60399 0.00010 767094 767094 0.00150 827493 827493 0.00160 99479377 59425979 40053398 0.07800 60399 60399 0.00010 60399 60399 0.00010 0 16151979 232754999 256928610 -24173611 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 2 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 NA FOR 2010 1 42 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

FAMILY PRACTICE 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 23472

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

FAMILY PRACTICE 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 24501

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

24 HOUR ER 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 CARE 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 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 $ 31317422. 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: SURPLUS OF FUNDS ARE CARRIED FORWARD TO FUTURE YEARS FOR THE CONTINUATION AND SUPPORT OF CENTRA HEALTH'S CHARITABLE MISSION. PART III, LINE 9B: CHARITY AND FINANCIAL ASSISTANCE IS AVAILABLE TO ALL CENTRA PATIENTS INCLUDING ACCOUNTS PLACED IN BAD DEBT. IF AFTER APPLYING FOR THE PATIENT'S MULTIPLE OPPORTUNITIES TO SEEK FINANCIAL ASSISTANCE, CENTRA USES PRESUMPTIVE SOFTWARE INTELLIGENCE TO IDENTIFY PATIENTS WHO ARE LIKELY FINANCIALLY INDIGENT PRIOR TO BAD DEBT. CHARITY DISCOUNTS ARE EXTENDED TO THESE PATIENTS DESPITE THE ABSENCE OF A FINANCIAL ASSISTANCE APPLICATION. CENTRA'S CHARITY POLICY UNDER SECTION F, PRESUMPTIVE CHARITY, REFERENCES THIS PROCESS. ACCOUNTS WITH BALANCES GREATER THAN $2,000 ARE MANUALLY REVIEWED FOR CHARITY QUALIFICATIONS PRIOR TO BAD DEBT PLACEMENT WHICH CAN BE FOUND IN CENTRA'S BAD DEBT POLICY UNDER PROCEDURE STEP 3. 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 GAGE 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 ADDRESS 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 385,643 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 385,643, WITH AN ETHNIC MIX OF 22.7% BLACK AND 74.5% WHITE. THE PERCENT OF THE TOTAL PSA/SSA POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS 16.1%. IT IS PROJECTED THAT BY 2013, THIS SAME AGE RANGE OF 65 PLUS WILL ACCOUNT FOR 17.7% OF THE TOTAL PSA/SSA POPULATION. THE AVERAGE HOUSEHOLD INCOME IN THE PSA/SSA IS $40,250. THE CURRENT UNEMPLOYMENT RATE IS APPROXIMATELY 6.7% FOR THIS SERVICE AREA. CENTRA PROMOTES THE NECESSITY OF HAVING A CULTURALLY SENSITIVE WORKFORCE AND PROVIDES AN OVERVIEW OF THE POPULATION MIX FOR ORIENTATION OF NEW EMPLOYEES. CENTRA HOSTS WORKSHOPS ON CULTURAL COMPETENCE, PROVIDES REFERENCE BOOKS FOR EACH PATIENT CARE AREA AND PROVIDES A LESSON ON CULTURAL DIVERSITY AS PART OF YEARLY MANDATORY EDUCATION. THERE ARE ALSO CHAPLAINS AVAILABLE WITH EXPERIENCE AND TRAINING TO SUPPORT CLINICAL STAFF WHO MIGHT HAVE NEEDS WITH CULTURALLY SENSITIVE ISSUES. PART VI, LINE 6: 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. PART VI, LINE 7: 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 HOSPITALS HELICOPTER AND HANGAR AND ARE EXPOSED TO MANY CAREER OPPORTUNITIES. CENTRA DISTRIBUTES A WEALTH OF PRINTED AND ONLINE HEALTH INFORMATION THROUGH ITS PUBLICATIONS, MEDIA STORIES AND INTERACTIVE WEBSITE. THIS INFORMATION IS PRODUCED SPECIFICALLY FOR THE REGIONAL POPULATION AND TO MEET IDENTIFIED NEEDS. AS THE SOLE HEALTH CARE SYSTEM IN ITS SERVICE AREA, CENTRA USES ITS HOSPITAL-BASED RESOURCES AS A VALUABLE VEHICLE FOR MANAGING AND PROMOTING HEALTH CARE AS PART OF ITS NONPROFIT MISSION. REPORTS FILED WITH STATES PART VI, LINE 7 VA 1 CENTRAL VIRGINIA COMMUNITY COLLEGE 3506 WARDS ROAD LYNCHBURG VA 24502 541268278 GOV'T 9000 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) 12000 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) 30000 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 LYNCHBURG COLLEGE 1501 LAKESIDE DRIVE LYNCHBURG VA 24501 540505922 GOV'T 250000 N/A N/A CHARITABLE CONTRIBUTION FOR EQUIPMENT PURCAHSES FOR START-UP DOCTORATE OF PHYSICAL THERAPY PROGRAM UNITED WAY 1010 MILLER PARK SQUARE LYNCHBURG VA 24501 540505923 501(C)(3) 25000 N/A N/A CHARITABLE CONTRIBUTION 9 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 378494 0 287512 0 20333 0 7350 0 32221 0 725910 0 0 0 GEORGE W DAWSON 595865 0 0 0 535768 0 129956 0 15355 0 1276944 0 0 0 WILLIAM A BLACKMAN MD 125346 0 33266 0 1181 0 4559 0 16660 0 181012 0 0 0 ROBERT D COOK MD 248445 0 84554 0 14912 0 7350 0 14089 0 369350 0 0 0 KIRSTEN L HUBER MD 0 296445 0 0 0 967 0 0 0 11740 0 309152 0 0 THOMAS C JIVIDEN 376268 0 0 0 327096 0 58399 0 21905 0 783668 0 27955 0 LEWIS C ADDISON 328394 0 0 0 238085 0 56847 0 19661 0 642987 0 29362 0 DAVID D ADAMS 203468 0 0 0 16949 0 28132 0 20890 0 269439 0 15956 0 PATTI S MCCUE SCED 267526 0 0 0 49915 0 37417 0 4636 0 359494 0 23787 0 CHALMERS M NUNN JR 334838 0 52200 0 119138 0 57984 0 16216 0 580376 0 44854 0 EW TIBBS 265215 0 51300 0 47816 0 42557 0 43086 0 449974 0 27421 0 DAVID W FRANTZ MD 415532 0 170788 0 18784 0 7350 0 23024 0 635478 0 0 0 CHRISTOPHER W LEWIS MD 380449 0 217312 0 18551 0 7350 0 22935 0 646597 0 0 0 HARRY E MEADOR 177710 0 7955 0 22443 0 25340 0 23608 0 257056 0 20651 0 DAVID B TRUITTE MD 375650 0 204321 0 20518 0 7350 0 45733 0 653572 0 0 0 DANIEL CAREY MD 376583 0 255776 0 20325 0 7350 0 41302 0 701336 0 0 0 PETER K O'BRIEN MD 378245 0 260304 0 18779 0 7350 0 33406 0 698084 0 0 0 MATTHEW C SACKETT MD 380430 0 313556 0 20000 0 7350 0 23024 0 744360 0 0 0 CARL M VALENTINE MD 376624 0 367337 0 21799 0 7350 0 41106 0 814216 0 0 0 CHAD A HOYT MD 376870 0 278878 0 18961 0 7350 0 39939 0 721998 0 0 0 PART I, LINE 4B GEORGE W. DAWSON, PRESIDENT/CEO OF THE ORGANIZATION, ACCRUED FOR 2010 $501,567 IN A NONQUALIFIED RETIREMENT PLAN, INCLUDED IN HIS W-2 WAGES. INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG VA 541225193 551245GN7 2004-12-08 126425000 NEW CONSTRUCTION, CURRENT REFUNDING 0 0 0 INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF CAMPBELL VA 521309406 NONEASSIG 2007-04-27 7500000 NEW CONSTRUCTION 0 0 0 INDUSTRIAL DEVELOPMENT AUTHORITY OF THE TOWN OF AMHERST VA 521309406 NONEASSIG 2007-06-29 8000000 NEW CONSTRUCTION 0 0 0 INDUSTRIAL DEVELOPMENT AUTHORITY OF THE COUNTY OF APPOMATTOX VA 541864523 NONEASSIG 2007-11-29 7500000 NEW CONSTRUCTION 0 0 0 26250000 129698243 10049028 905203 3198000 101772759 10500010 2007 1 0 1 1 893499 7500000 50000 7450000 2008 0 0 1 1 954216 8000000 60000 7940000 2008 0 0 1 1 759873 7500000 60000 7440000 2007 0 0 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 1 1 UBS 30.000000000000 0 0 1 CITIGROUP FINANCIAL PRODUCTS INC 2.500000000000 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG VA 541225193 551245GH0 2004-12-08 52700000 ADVANCE REFUNDING, CAPITAL ACQUISITION 0 0 0 ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG VA 541225193 NONEASSIG 2010-12-17 30000000 NEW CONSTRUCTION 0 0 0 52700000 403239 1180000 270761 50846000 2007 0 1 1 1 30000000 185914 29925000 2011 0 0 0 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 1 1 BB&T FUNDS MANAGEMENT 7.000000000000 0 0 0 0 0 THOMAS JIVIDEN COMPUTER LOAN X 1693 1003 0 0 1 LEWIS ADDISON COMPUTER LOAN X 2580 843 0 0 1 1846 MARK ADDISON FAMILY MEMBER OF LEWIS ADDISON, OFFICER OF CENTRA HEALTH, INC. 28626 COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. 0 HARRY ELAM MD FAMILY MEMBER OF SARAH PUCKETT, BOARD MEMBER OF CENTRA HEALTH, INC. 123652 COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. 0 TONY MCKINNEY FAMILY MEMBER OF E.W. TIBBS, OFFICER OF CENTRA HEALTH, INC. 91945 COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. 0 SCOTT INSURANCE COMPANY PRESIDENT OF COMPANY, WALKER SYDNOR, IS A BOARD MEMBER OF CENTRA HEALTH 663075 PAYMENT FOR INSURANCE PREMIUMS PROVIDED TO CENTRA HEALTH, INC 0 KATIE NUNN FAMILY MEMBER OF CHALMERS NUNN, OFFICER OF CENTRA HEALTH, INC. 12053 COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. 0 LYNCHBURG PULMONARY ASSOCIATES BOARD MEMBER, ALBERT BAKER IS PARTIAL OWNER/PRESIDENT OF LPA 1340887 PAYMENTS FOR SERVICES RENDERED TO CENTRA HEALTH, INC 0 MEDICAL ASSOCIATES OF CENTRAL VIRGINIA BD MBRS, SCOTT WADE & KIRKHAM SYDNOR ARE PARTIAL OWNER/DIRECTOR OF MACV 7533239 PAYMENTS FOR SERVICES RENDERED TO CENTRA HEALTH, INC 0 WOMEN'S HEALTH SERVICES BOARD MEMBER, CHRISTINE MARRACCINI IS PARTIAL OWNER OF WHS 397889 PAYMENTS FOR SERVICES RENDERED TO CENTRA HEALTH, INC 0 MEDICAL ASSOCIATES OF CENTRAL VIRGINIA 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS RODGER FAUBER AND STUART FAUBER HAVE A FAMILY RELATIONSHIP. OFFICERS LEWIS ADDISON AND GEORGE DAWSON 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 IS A BOARD MEMBER OF THE BANK OF THE JAMES, LYNCHBURG, VA. OFFICERS DAVID ADAMS, LEWIS ADDISON, GEORGE DAWSON, THOMAS JIVIDEN, AND BOARD MEMBER CONSUELLA WOODS ARE EACH BOARD MEMBERS OF THE BEDFORD MEMORIAL HOSPIAL, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. OFFICERS 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. 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. OFFICERS LEWIS ADDISON AND GEORGE DAWSON ARE OFFICERS OF THE BOARD OF PIEDMONT COMMUNITY HEALTH PLAN, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. OFFICERS 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. CHAD HOYT AND OFFICER E.W. TIBBS ARE OWNERS OF AN UNRELATED LLC. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. COPIES OF THE FORM 990 HAVE BEEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS, AND ANY QUESTIONS RAISED BY THE BOARD OF DIRECTORS HAVE BEEN ADDRESSED. MANAGEMENT WILL ALSO REVIEW THE FORM 990 WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, WHO WILL THEN PRESENT 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: -5,751,833. CHANGE IN PENSION REPORTING -21,686,417. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -4,948,229. NET ASSETS RELEASED FROM RESTRICTION TO AFFILIATED ENTITIES 45,755. MINORITY INTEREST -34,418. TOTAL TO FORM 990, PART XI, LINE 5: -32,375,142. 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 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 2010, CENTRA RECEIVED THE FOLLOWING NATIONAL AWARDS AND ACCOLADES: - LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS WERE DESIGNATED FOR THE SECOND CONSECUTIVE TIME IN 2010 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. - CENTRA WAS AWARDED THE SOCIETY OF THORACIC SURGEONS' HIGHEST THREE-STAR RATING FOR QUALITY IN CARDIAC SURGERY. - 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 FOR DELIVERING EXCELLENT PATIENT CARE BY HOSPITALS & HEALTH NETWORKS MAGAZINE. CENTRA SOUTHSIDE COMMUNITY HOSPITAL RECEIVED RECOGNITION AS THE TOP 100 MOST WIRED HOSPITAL. - CENTRA CANCER CARE SERVICES EARNED FULL ACCREDITATION WITH COMMENDATION AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. - CENTRA LYNCHBURG GENERAL HOSPITAL EARNED THE JOINT COMMISSIONS NATIONAL CERTIFICATE OF DISTINCTION FOR PRIMARY STROKE CENTERS. - CENTRA RECEIVED 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 FIVE CONSECUTIVE YEARS AND THE HOME HEALTH OUTSTANDING ACHIEVEMENT AWARD FROM THE VIRGINIA HEALTH QUALITY CENTER. 2010 COMMUNITY BENEFIT HIGHLIGHTS - CENTRA CONTRIBUTED MORE THAN $59 MILLION TOWARD COMMUNITY BENEFITS, INCLUDING: - TRADITIONAL CHARITY CARE, WHICH INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2010, $41,622,078 OF CHARGES AT AN ESTIMATED COST OF $20,279,821 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 $24,176,611. - UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS, AND TOTALED $18,382,775. - COMMUNITY HEALTH INITIATIVE GRANTS, WHICH INCLUDE CONTRIBUTIONS MADE BY CENTRA TO THE CENTRA HEALTH FOUNDATION TO SUPPORT COMMUNITY INITIATIVE PROGRAMS, AND TOTALED $250,000. - CASH/IN-KIND DONATIONS, WHICH INCLUDE CONTRIBUTIONS MADE ON BEHALF OF CENTRA TO THE COMMUNITY AND IN-KIND DONATIONS, AND TOTALED $64,494. 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 2010 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 2010, HEALTH EDUCATION PROGRAMS AND HEALTH FAIRS REACHED MORE THAN 18,000 PEOPLE. ONCOLOGY BREAST NAVIGATION PROGRAM AN EDUCATIONAL PROGRAM OFFERED TO THE COMMUNITY TO ADDRESS BREAST HEALTH AND THE IMPORTANCE OF SELF BREAST EXAMS, CLINICAL BREAST EXAMS, AND MAMMOGRAMS. THIS PROGRAMS OBJECTIVE IS TO INCREASE HEALTH SEEKING BEHAVIORS RELATED TO BREAST HEALTH AND DECREASE MORBIDITY AND MORTALITY RELATED TO BREAST CANCER. CENTRA'S ONCOLOGY BREAST NAVIGATION NURSES HELP TO GUIDE NEWLY DIAGNOSED WOMEN AND THEIR FAMILIES THROUGH SURGERY, TREATMENT, AND ON TO SURVIVORSHIP. THEY CONSULT WITH PATIENTS, PROVIDE EDUCATIONAL MATERIALS, AND ASSIST IN NAVIGATING THEM THROUGH THE CENTRA HEALTH SYSTEM. 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, 15,000 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. 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. ORTHOPEDIC COMMUNITY EDUCATION PROGRAMS ARE OFFERED TO THE COMMUNITY TO EDUCATE ABOUT ARTHRITIS AND JOINT-RELATED DISEASES AND CONDITIONS. IN 2010, 400 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. IN 2010, 1,103 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, WHO ARE BREAST NAVIGATION NURSES, 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 2800 PEOPLE IN 2010. 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 AND SMOKING CESSATION. SUPPORT GROUPS SUPPORT GROUPS - OFFERED TO THE COMMUNITY WITHOUT CHARGEPROVIDE 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 145 WOMEN IN 2010. 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 2010, CENTRA DONATED OVER $60,240 IN MEDICAL SUPPLIES TO GLEANING FOR THE WORLD AND 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 DURING THE YEAR. CENTRA ALSO ALLOWED COMMUNITY AGENCIES AND ORGANIZATIONS THE USE OF MANY OF THE MEETING ROOMS THROUGHOUT ITS FACILITIES. - CENTRA LAB PROCESSED 3,043 LABORATORY TESTS FOR CENTRAL VIRGINIA FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT EXCEEDING $201,711. - A TOTAL OF 3,056 MEALS WERE PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF $10,781. 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 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 180 NEW CLIENTS PARTICIPATED IN THE B.A.B.E. PROGRAM IN 2010, WITH A TOTAL OF 267 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 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. 2010 - COMMUNITY VOICE SCHEDULED 15 CLASSES AND ATTENDED 6 COMMUNITY EVENTS. - 148 COMMUNITY RESIDENTS ENROLLED IN THE LAY HEALTH ADVISOR PROGRAM, WITH 110 INDIVIDUALS COMPLETING THE PROGRAM. - APPROXIMATELY 2,138 PEOPLE RECEIVED PERINATAL HEALTH INFORMATION THROUGH A COMBINATION OF LAY HEALTH ADVISER CONTACTS, COMMUNITY VOICE CLASSES, AND COMMUNITY EVENTS. 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 2010, THE PROGRAM HANDLED 579 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 360 CLIENTS IN 2010. THE PROGRAM ALSO RECEIVES GRANT SUPPORT FROM RYAN WHITE FUNDS AND VIRGINIA STATE AIDS PROGRAM. 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 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 2010, 139 VOLUNTEERS DONATED 6,306 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. 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