2022-10-01T10:44:14-05:00 2021-12-31 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2021-01-01 541929580 CCRC INC % TIM FRITZ CCRC 4342004712 1920 Atherholt Road Lynchburg VA 24501 JULIE SLEDD SECRETARY 4342004712 2022-09-30 true JULIE SLEDD 999009999 Marc Berger P01871563 7038930600 2 2021 2022-09-23 18:48:47Z JULIE SLEDD 1920 Atherholt Road Lynchburg VA 24501 38468018 false X WWW.SUMMITLYNCHBURG.COM X 1998 VA CONTINUING CARE RETIREMENT CENTER. X 8 8 24 22 0 0 0 3442068 3074337 3575165 13387696 896994 383702 7914227 16845735 0 0 0 0 1097309 756911 0 0 0 3053943 2171603 4151252 2928514 3762975 13917221 26405664 3215074 25938399 3215074 467265 0 X CCRC, INC. (THE SUMMIT) IS A SENIOR LIVING COMMUNITY PROVIDING AN ENVIRONMENT FOR EACH RESIDENT TO BE ENGAGED IN LIFE. false true 1660527 3458039 CCRC, INC. WAS A CONTINUING CARE RETIREMENT COMMUNITY INCORPORATED ON DECEMBER 8, 1998, TO BUILD AND ESTABLISH A SENIOR LIVING COMMUNITY, THE SUMMIT, DEDICATED TO PROVIDING AN ENVIRONMENT FOR EACH RESIDENT TO BE ENGAGED IN LIFE. THE SUMMIT CONSISTED OF 85 INDEPENDENT LIVING APARTMENTS, 16 GARDEN HOMES AND A COMMUNITY ROOM ON A CAMPUS THAT INCLUDES AN 8 1/2-ACRE LAKE, WALKING TRAILS AND OTHER LANDSCAPE FEATURES. (CONTINUED ON SCHEDULE O.) 1660527 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false true false true false false false true 13 0 true 24 true false false false false false false false false false false false false X 8 8 false false false false true true true true true false false true true true true true true false false false X TIM FRITZ 4342002578 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 X JOSEPH ARCHAMBEAULT DIRECTOR 2.0 50.0 X 0 342095 31110 WILLIAM BASS JR DIRECTOR 2.0 50.0 X 0 293436 18654 JULIE SLEDD SECRETARY 2.0 50.0 X X 0 249203 50779 TRACEY JENNINGS PRESIDENT & CHAIRMAN 2.0 50.0 X X 0 258332 26199 GINA MEADOWS DIR OF CCRC (THRU APR 2021) 50.0 0.0 X 53956 0 8331 BILL SPANGLER-DUNNING DIRECTOR 2.0 0.0 X 0 0 0 REV STEPHANIE MCLEMORE VICE CHAIRMAN 2.0 0.0 X X 0 0 0 LARRY HURT DIRECTOR 2.0 0.0 X 0 0 0 STEVE COATS DIRECTOR 2.0 0.0 X 0 0 0 R SACKETT WOOD DIRECTOR 2.0 0.0 X 0 0 0 BOB JOHNSON DIRECTOR 2.0 0.0 X 0 0 0 KEN BURGER DIRECTOR 2.0 0.0 X 0 0 0 DEVELYN JOHNSON DIRECTOR 2.0 0.0 X 0 0 0 53956 1143066 135073 0 false true false MERIWETHER-GODSEY INC 4944 OLD BOONSBORO ROAD LYNCHBURG VA 24503 CATERING SERVICES 543647 H2C 4655 EXECUTIVE DRIVE SUITE 280 SAN DIEGO CA 92121 CONSULTING 411066 HANCOCK DANIEL JOHNSON PC PO BOX 72050 RICHMOND VA 23255 CONSULTING 178135 3 0 RESIDENT REVENUE 623000 2991043 2991043 ANCILLARY REVENUE 900099 83294 83294 3074337 1049 1049 0 0 0 0 0 16648930 18360000 16648930 4973353 13386647 13386647 13386647 0 0 0 0 0 0 0 0 0 GAIN/LOSS ON UNIT TURNOVER 623000 376588 376588 MISCELLANEOUS 623000 7114 7114 383702 16845735 3458039 13387696 0 0 0 0 62287 62287 0 532822 343542 189280 13793 10186 3607 148009 106155 41854 0 97785 97785 0 24750 24750 0 0 8176 8176 560497 509147 51350 0 84470 480 83990 379721 275811 103910 0 0 334935 326519 8416 693 693 0 300 50 250 7031 7031 0 624949 22380 602569 44619 44619 MEDICAL SUPPLIES 3677 3277 400 2928514 1660527 1267987 0 1352105 3202444 0 0 0 0 16811 12630 0 0 0 0 0 0 0 0 181309 0 0 0 7312618 0 16648930 0 0 0 0 0 0 0 893891 0 26405664 3215074 397246 1549395 0 0 6573345 0 0 0 0 0 0 0 0 0 0 0 18967808 1665679 25938399 3215074 X 4400000 0 0 0 -3932735 0 467265 0 26405664 3215074 X 13917221 -14384486 X false true X true false X X 1 CENTRA HEALTH INC 540715569 3 false 1663827 0 1 1663827 0 true false false false false false false false false false false false false false false true false 0 NOTE PAYABLE TO CENTRA HEALTH 1665679 1665679 X Schedule D, Part X, Line 2 ACCORDING TO CENTRA HEALTH, INC.'S CONSOLIDATED 2021 AUDIT REPORT. CENTRA HEALTH, INC., CCRC, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD 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 HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2021. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2018. false true false false false false false false false TRACEY JENNINGS PRESIDENT & CHAIRMAN 0 170451 0 46067 0 41814 0 7036 0 19163 0 284531 0 0 JOSEPH ARCHAMBEAULT DIRECTOR 0 228957 0 10000 0 103138 0 8632 0 22478 0 373205 0 0 JULIE SLEDD SECRETARY 0 203447 0 10000 0 35756 0 6519 0 44260 0 299982 0 0 WILLIAM BASS JR DIRECTOR 0 234673 0 10000 0 48763 0 10855 0 7799 0 312090 0 0 GINA MEADOWS DIR OF CCRC (THRU APR 2021) 41111 0 0 0 12845 0 6202 0 2129 0 62287 0 0 0 SCHEDULE J, PART I, LINE 3 COMPENSATION STUDY: UNDER A MANAGEMENT AGREEMENT WITH CENTRA HEALTH, INC., THE ORGANIZATION'S EXECUTIVE DIRECTOR'S COMPENSATION WAS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH, INC.'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDED THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S) & COMPENSATION STUDY OR SURVEY. SCHEDULE J, PART I, LINE 4B Joesph Archambeault RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2021 of $30,530. NO INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN IN FY 2021. FIXED ASSETS & LAND 2021-10-01 18360000 MARKET STUDY 540534405 LifeSpire of Virginia 3961 STILLMAN PARKWAY GLEN ALLEN VA 23060 501(C)(3) TRANSACTION EXPENSES 2021-10-01 422264 COST 363327521 H2C Securities Inc 4655 Executive Drive SAN DIEGO CA 92121 N/A TRANSACTION EXPENSES 2021-10-01 160069 COST 710916697 Hancock Daniel Johnson Pc 4701 Cox Rd Ste 400 GLEN ALLEN VA 23060 N/A TRANSACTION EXPENSES 2021-10-01 12300 COST 541294386 Woods Rogers Plc 10 S Jefferson St ROANOKE VA 24011 N/A TRANSACTION EXPENSES 2021-10-01 31808 COST 271451273 Berkeley Research Group LLC PO Box 676158 DALLAS TX 75267 N/A CASH 2021-12-29 10148542 MARKET 540715569 CENTRA HEALTH INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 501(C)(3) CASH 2021-10-04 1000000 MARKET 540538217 SEE PART III 1290 Enterprise Dr LYNCHBURG VA 24502 501(C)(3) CASH 2021-12-29 275983 MARKET 540538217 SEE PART III 1290 Enterprise Dr LYNCHBURG VA 24502 501(C)(3) false false false false SCHEDULE N, PART II, LINE 1 (7 & 8), COLUMN (F): NAME OF RECIPIENT: Christian Church (Disciples of Christ) in Virginia Form 990, Part III, Line 3 On October 1, 2021 CCRC, Inc. sold substantially all of its operating assets. The purchasers assumed all obligations and rights under The Summit resident agreements. In connection with the same transaction, Centra sold The Summit's assisted living facility along with the furniture, fixture, and equipment, residency agreements, and contracts used in the operation of the assisted living facility to such purchasers. The company was officially dissolved on May 17, 2022. Form 990, Part VI, Section A, Line 4A ALSO INCLUDED ON CAMPUS WAS THE SUMMIT ASSISTED LIVING AND THE SUMMIT HEALTH AND REHABILITATION, BOTH WHOLLY OWNED AND OPERATED BY CENTRA HEALTH, INC. AS SUCH, THE SUMMIT PROVIDED THE FACILITIES, SERVICES, AMENITIES AND PROGRAMS TO SUPPORT AN ENGAGING LIFESTYLE FOR RESIDENTS. THE SUMMIT HOSTED SEVERAL GROUPS THAT BENEFITED BOTH RESIDENTS AND MEMBERS FROM THE LARGER COMMUNITY, INCLUDING THE INTERFAITH VISION SUPPORT GROUP, THE JAMERSON YMCA AND THE CENTRAL VIRGINIA PARKINSON'S SUPPORT GROUP. THE SUMMIT HOSTED SEVERAL ANNUAL WYNDHURST COMMUNITY EVENTS INCLUDING WYNDHURST WEDNESDAY FOOD TRUCK EVENTS AND AN ANNUAL FOURTH OF JULY FIREWORKS CELEBRATION. THE SUMMIT HOSTED EDUCATIONAL EVENTS IN COOPERATION WITH AREA NONPROFIT AGENCIES SUCH AS AARP, POPLAR FOREST REDEVOLOPMENT GROUP, THE CENTRA FOUNDATION, CENTRAL AND WESTERN VIRGINIA ALZHEIMER'S ASSOCAITION, JAMERSON FAMILY YMCA AND THE WYNDHURST ASSOCIATION. SEVERAL OF THE SUMMIT ACTIVITY PROGRAMS WERE OPEN TO BOTH RESIDENT AND NONRESIDENTS, INCLUDING WELLNESS PROGRAMING, USE OF OUR FITNESS CENTER, EDUCATIONAL AND CULTURAL EVENTS. THE SUMMIT WAS HOST TO THE AREA BIRD WATCHING ASSOCIATION AND WAS A DESIGNATED WILDLIFE HABITAT BY THE NATIONAL WILDLIFE FOUNDATION. THE SUMMIT HOSTED A WEEKLY WORSHIP SERVICE FOR RESIDENTS, INVITING AREA CLERGY TO PROVIDE LEADERSHIP. STAFF PROVIDED VOLUNTEER SUPPORT FOR EACH OF THE ABOVE ORGANIZATIONS AND OTHERS INCLUDING THE WYNDHURST ASSOCIATION, VANHA, LEADINGAGE, THE LYNCHBURG REGIONAL BUSINESS ALLIANCE, AND OTHERS. ADDITIONALLY, THE SUMMIT PROVIDES IN-KIND SERVICES TO EVENTS SPONSORED BY THE WYNDHURST ASSOCIATION. OPERATIONS FOR CCRC CEASED AS OF OCTOBER , 2021. ASSOCIATION. OPERATIONS FOR CCRC CEASED AS OF OCTOBER , 2021. Form 990, Part VI, Section A, Line 6 THE ORGANIZATION IS A NOT-FOR-PROFIT, STOCK COMPANY. AS OF THE END OF 2021, THERE WERE 363 SHARES OF COMMON STOCK AND ZERO SHARES OF PREFERRED STOCK OUTSTANDING. CENTRA HEALTH, INC. OWN 91% OF THE COMMON STOCK. THE REMAINDER IS OWNED BY THE RETIREMENT CENTER OF THE CHRISTIAN CHURCH IN VIRGINIA, INC. Form 990, Part VI, Section A, Line 7A CENTRA HEALTH, INC., AS THE MAJORITY OWNER OF THE CCRC, INC. STOCK, HAS THE RIGHT TO APPOINT THE MAJORITY OF THE CCRC, INC. BOARD. Form 990, Part VI, Section B, Line 7b CENTRA HEALTH INC., AS THE MAJORITY OWNER OF THE CCRC, INC. STOCK, HAS THE RIGHT TO REVIEW AND APPROVE DECISIONS MADE BY THE GOVERNING BODY OF CCRC, INC. Form 990, Part VI, Section B, Line 11B 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. Form 990, Part VI, Section B, Line 12c ALL CENTRA HEALTH, INC./CCRC, INC. 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 THE BOARD OF DIRECTORS. Form 990, Part VI, Section C, Line 15a and 15b FORM 990, PART VI, LINES 15A AND 15B WERE ANSWERED AS "NO", HOWEVER, UNDER A MANAGEMENT AGREEMENT WITH CENTRA HEALTH, INC., A RELATED PARTY AND 91% SHAREHOLDER OF CCRC, INC., THE ORGANIZATION'S EXECUTIVE DIRECTOR'S COMPENSATION WAS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S), AND COMPENSATION STUDY OR SURVEY. Form 990, Part VI, Section C, Line 18 PHOTOCOPIES OF THE ORGANIZATION'S RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, FILINGS OF THE FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG. Form 990, Part VI, Section C, Line 19 PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. Form 990, Part XI, Line 9 RETURN OF CAPITAL DISTRIBUTIONS $-14,384,486 FORM 990 PART IX LINE 11G DESCRIPTION:CATERING SERVICES TOTAL FEES:470683 FORM 990 PART IX LINE 11G DESCRIPTION:RESIDENT SERVICES TOTAL FEES:29450 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MARKETING TOTAL FEES:1086 FORM 990 PART IX LINE 11G DESCRIPTION:HEALTHCARE BENEFITS TOTAL FEES:42350 FORM 990 PART IX LINE 11G DESCRIPTION:FACILITIES MAINTENANCE SVCS TOTAL FEES:7928 FORM 990 PART IX LINE 11G DESCRIPTION:SUMMIT BENEVOLENT FUND TOTAL FEES:9000 CENTRA HEALTH INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 540715569 HEALTHCARE VA 501(C)(3) 3 NA false CENTRA HEALTH FOUNDATION 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 SUPPORTING VA 501(C)(3) 12A NA false SOUTHSIDE COMMUNITY HOSPITAL 800 OAK STREET FARMVILLE VA 23901 540555201 HEALTHCARE VA 501(C)(3) 3 NA false BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 540566100 HEALTHCARE VA 501(C)(3) 3 NA false GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541299682 REAL ESTATE/PHYS VA NA C Corp 0 0 0.00000 false PCHP HOLDING INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541749492 HOLDING COMPANY VA NA C Corp 0 0 0.00000 false PIEDMONT COMMUNITY HEALTH PLAN INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541755768 HEALTH INSURANCE VA NA C Corp 0 0 0.00000 false false false false false false false false false false false false false false true true true false true false