CENTRA HEALTH INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: CENTRA HEALTH INC (EIN 54-0715569)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-12
IRS object ID: 202203169349301015
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-12T09:54:14-06:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8401 GREENSBORO DRIVE 800	AddressLine1Txt
City	MCLEAN	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540715569	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRA HEALTH INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% TIM FRITZ CONTROLLER	InCareOfNm
Business Name Control	CENT	BusinessNameControlTxt
Phone	4342004712	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1920 Atherholt Road	AddressLine1Txt
City	Lynchburg	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24501	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DOUGLAS DAVENPORT	PersonNm
Person Title	SVP CFO	PersonTitleTxt
Phone	4342004712	PhoneNum
Signature	2022-11-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DOUGLAS	PersonFirstNm
Person Last	DAVENPORT	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Marc Berger	PreparerPersonNm
PTIN	P01871563	PTIN
Phone	7038930600	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DOUGLAS DAVENPORT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1920 Atherholt Road	AddressLine1Txt
City	Lynchburg	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24501	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,400,804,117	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.centrahealth.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1962	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	To Improve the Health and Quality of life for the Communities we Serve.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	7294	TotalEmployeeCnt
Total Volunteers	516	TotalVolunteersCnt
Total Gross UBI	$4,091,319	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$51,301,248	PYContributionsGrantsAmt
CY Contributions Grants	$42,486,990	CYContributionsGrantsAmt
PY Program Service Revenue	$977,244,501	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,058,858,716	CYProgramServiceRevenueAmt
PY Investment Income	$50,644,492	PYInvestmentIncomeAmt
CY Investment Income	$49,755,040	CYInvestmentIncomeAmt
PY Other Revenue	$19,277,210	PYOtherRevenueAmt
CY Other Revenue	$13,474,936	CYOtherRevenueAmt
PY Total Revenue	$1,098,467,451	PYTotalRevenueAmt
CY Total Revenue	$1,164,575,682	CYTotalRevenueAmt
PY Grants And Similar Paid	$708,684	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,686,321	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$545,121,366	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$548,531,364	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$471,720,447	PYOtherExpensesAmt
CY Other Expenses	$508,019,844	CYOtherExpensesAmt
PY Total Expenses	$1,017,550,497	PYTotalExpensesAmt
CY Total Expenses	$1,058,237,529	CYTotalExpensesAmt
PY Revenues Less Expenses	$80,916,954	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$106,338,153	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,863,162,363	TotalAssetsBOYAmt
Total Assets EOY	$1,949,948,916	TotalAssetsEOYAmt
Total Liabilities BOY	$1,073,009,044	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$995,849,983	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$790,153,319	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$954,098,933	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To Improve the Health and Quality of Life for the Communities we Serve.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$845,884,994	ExpenseAmt
Grant	$1,686,321	GrantAmt
Revenue	$1,067,948,785	RevenueAmt
Desc	AS THE REGIONAL HEALTH CARE LEADER, CENTRA'S COMMITMENT TO THE CENTRAL VIRGINIA REGION EXTENDS FAR BEYOND THE WALLS OF ITS HEALTH SYSTEM FACILITIES. CENTRA HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE SICK AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR DECADES, 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.	Desc
Total Program Service Expenses	$845,884,994	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	415	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7294	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TIM FRITZ CONTROLLER	PersonNm
Phone	4342004705	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1920 ATHERHOLT ROAD	AddressLine1Txt
City	LYNCHBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24501	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MATTHEW SACKETT
Doctor Medical	50.0	0.0	Yes (X)	$1,051,266	$0	$60,491
KENNETH SAUM
Doctor Medical	50.0	0.0	Yes (X)	$1,059,012	$0	$49,958
RICHARD KUK
Doctor Medical	50.0	0.0	Yes (X)	$988,006	$0	$69,180
SAMUEL OMOTOYE
Doctor Medical	50.0	0.0	Yes (X)	$950,537	$0	$32,886
HOUMAN TAVAF-MOTAMEN
Doctor Medical	50.0	0.0	Yes (X)	$934,741	$0	$31,779
DOUGLAS DAVENPORT
SVP CHIEF FINANCIAL OFFICER	50.0	2.0		$635,031	$0	$136,594	Yes (X)
RICHARD TUGMAN
INTERIM CEO (THRU AUG 2021)	50.0	4.0		$654,247	$0	$107,333		Yes (X)	Yes (X)
MICHAEL ELLIOTT
SVP CHIEF TRANSFORMATION OFF	50.0	0.0		$598,225	$0	$124,343	Yes (X)
CHRISTOPHER LEWIS
SVP CHIEF CLINICAL OFFICER	50.0	0.0		$484,772	$0	$96,421	Yes (X)
RICHARD GROOMS
SVP CHIEF PEOPLE OFFICER	50.0	0.0		$434,180	$0	$132,642	Yes (X)
HOLLY TRENT
SVP CHIEF LEGAL OFFICER	50.0	0.0		$474,909	$0	$71,341	Yes (X)
EILEEN CLARK
VP CIO	50.0	0.0		$433,447	$0	$84,550	Yes (X)
AMY F CARRIER
PRESIDENT/CEO	50.0	0.0		$385,940	$0	$5,884		Yes (X)	Yes (X)
JOAN DEAL
INTERIM SVP CHIEF NURSING OFFI	50.0	0.0		$280,212	$0	$34,797	Yes (X)
TABITHA CULBERTSON
VP SITE ADMINISTRATOR LAC	50.0	0.0		$280,212	$0	$34,797	Yes (X)
VERNA R SELLERS MD
DIRECTOR	50.0	2.0		$259,516	$0	$19,640		Yes (X)
MATTHEW FOSTER
SVP CHIEF PHYSICIAN EXECUTIVE	50.0	0.0		$257,250	$0	$16,010	Yes (X)
ANDREW MUELLER MD
PRESIDENT/CEO	50.0	2.0		$219,948	$0	$14,090		Yes (X)	Yes (X)
CURTIS BAKER
SVP CHIEF NURSING OFFICER	50.0	0.0		$189,588	$0	$0				Yes (X)
GEETA RAKHERAM MD
DIRECTOR	2.0	0.0		$136,590	$0	$35,434		Yes (X)
AMY G RAY
BOARD CHAIR	2.0	0.0		$0	$0	$0		Yes (X)	Yes (X)
GEORGE R ZIPPEL
BOARD VICE-CHAIR	2.0	0.0		$0	$0	$0		Yes (X)	Yes (X)
MICHAEL V BRADFORD
DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)
PETER CAPRISE MD
DIRECTOR	50.0	0.0		$0	$0	$0		Yes (X)
JULIE P DOYLE
DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)
HAROLD M HARRIS JR
DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)
SHARON L HARRUP
DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)
HYLAN HUBBARD
DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)
D TODD IRBY
DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)
THOMAS NYGAARD MD
DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)
BONNIE SVRCEK
DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)
R SACKETT WOOD
DIRECTOR	2.0	0.0		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,707,629	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,158,170	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	771	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PATHOLOGY CONSULTANTS
1914 THOMSON DR	LYNCHBURG	VA	24501	PATHOLOGY SERVICES	$8,079,484
XTEND HEALTHCARE LLC
90 VOLUNTEER DRIVE	HENERSONVILL	TN	37075	MEDICAL SUPPLY SVCS	$6,905,329
CHANGE HEALTHCARE
22423 NETWORK PL	CHICAGO	IL	60673	SOFTWARE SVCS	$4,916,174
PHI AIR MEDICAL
2001 SE EVANGELINE THRUWAY	LAFAYETTE	LA	70508	AVIATION SVCS	$2,434,800
SPM MARKETING COMMUNICATIONS LLC
15 W HARRIS	LA GRANGE	IL	60525	MARKETING/ COMM SVCS	$1,701,790

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	95	CntrctRcvdGreaterThan100KCnt
Related Organizations	$3,017,263	RelatedOrganizationsAmt
Government Grants	$38,011,372	GovernmentGrantsAmt
All Other Contributions	$1,458,355	AllOtherContributionsAmt
Total Contributions	$42,486,990	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES REVENUE	624100	$979,761,934	$975,670,615	$4,091,319
ANCILLARY SERVICES	900099	$16,014,589	$16,014,589
TUITION & EDUCATION	611600	$2,941,567	$2,941,567
CONTROLLED ENTITIES	900099	$60,140,626	$60,140,626

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,058,858,716	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,009,617	TotalRevenueColumnAmt
Exclusion	$11,009,617	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$293,548	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$293,548	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$293,548	TotalRevenueColumnAmt
Exclusion	$293,548	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$239,382,920	SecuritiesAmt
Other	$35,590,938	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$234,627,284	SecuritiesAmt
Other	$1,601,151	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,755,636	SecuritiesAmt
Other	$33,989,787	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$38,745,423	TotalRevenueColumnAmt
Exclusion	$38,745,423	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS REVENUE	900099	$10,694,911	$10,694,911
CAFETERIA/VENDING/DIETARY	722210	$2,486,477	$2,486,477

Field	Value	IRS element (for citing)
Other Revenue Total	$13,181,388	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,164,575,682	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,067,948,785	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,091,319	UnrelatedBusinessRevenueAmt
Exclusion	$50,048,588	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,686,321	TotalAmt
Program Services	$1,686,321	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,229,540	TotalAmt
Program Services	$7,520,262	ProgramServicesAmt
Management And General	$1,709,278	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$437,309,989	TotalAmt
Program Services	$356,446,526	ProgramServicesAmt
Management And General	$80,863,463	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$19,277,271	TotalAmt
Program Services	$8,114,398	ProgramServicesAmt
Management And General	$11,162,873	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$82,714,564	TotalAmt
Program Services	$61,571,035	ProgramServicesAmt
Management And General	$21,143,529	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$6,075,656	TotalAmt
Program Services	$6,075,656	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,889,517	TotalAmt
Program Services	$90,075	ProgramServicesAmt
Management And General	$1,799,442	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$458,627	TotalAmt
Program Services	$28,463	ProgramServicesAmt
Management And General	$430,164	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,398,525	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,398,525	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$153,802,278	TotalAmt
Program Services	$127,786,238	ProgramServicesAmt
Management And General	$26,016,040	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,487,515	TotalAmt
Program Services	$336,748	ProgramServicesAmt
Management And General	$2,150,767	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$40,268,302	TotalAmt
Program Services	$36,478,287	ProgramServicesAmt
Management And General	$3,790,015	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,506,725	TotalAmt
Program Services	$695,964	ProgramServicesAmt
Management And General	$9,810,761	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$22,414,869	TotalAmt
Program Services	$17,638,008	ProgramServicesAmt
Management And General	$4,776,861	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,989,781	TotalAmt
Program Services	$1,660,132	ProgramServicesAmt
Management And General	$329,649	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,505,481	TotalAmt
Program Services	$1,991,772	ProgramServicesAmt
Management And General	$513,709	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,276,426	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$16,276,426	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$43,951,125	TotalAmt
Program Services	$23,483,305	ProgramServicesAmt
Management And General	$20,467,820	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,136,087	TotalAmt
Program Services	$2,136,087	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$106,440,685	$104,387,410	$2,053,275	$0
DRUGS	$81,065,125	$81,065,125	$0	$0
COLLECTIONS EXPENSES	$13,353,120	$6,693,182	$6,659,938	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,058,237,529	TotalAmt
Program Services	$845,884,994	ProgramServicesAmt
Management And General	$212,352,535	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$114,640,486	BOYAmt
EOY	$103,713,144	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$173,871,517	BOYAmt
EOY	$205,665,145	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,327,460	BOYAmt
EOY	$25,396,923	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,275,640	BOYAmt
EOY	$4,866,047	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,108,427,144	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$749,431,212	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$380,220,926	BOYAmt
EOY	$358,995,932	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$795,028,272	BOYAmt
EOY	$897,237,730	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$241,648,510	BOYAmt
EOY	$249,905,527	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$128,149,552	BOYAmt
EOY	$104,168,468	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,863,162,363	BOYAmt
EOY	$1,949,948,916	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$150,102,968	BOYAmt
EOY	$221,714,498	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$336,947	BOYAmt
EOY	$2,696,263	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$545,554,097	BOYAmt
EOY	$551,014,550	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$377,015,032	BOYAmt
EOY	$220,424,672	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,073,009,044	BOYAmt
EOY	$995,849,983	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$709,650,892	BOYAmt
EOY	$865,447,908	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$80,502,427	BOYAmt
EOY	$88,651,025	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$790,153,319	BOYAmt
EOY	$954,098,933	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,863,162,363	BOYAmt
EOY	$1,949,948,916	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$106,338,153	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$41,402,824	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$16,204,637	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,652,445	BeginningYearBalanceAmt
Contributions	$99,234	ContributionsAmt
Investment Earnings Or Losses	$5,688,318	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,580,817	OtherExpendituresAmt
End Year Balance	$53,859,180	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$46,545,445	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,629,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,522,000	OtherExpendituresAmt
End Year Balance	$49,652,445	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,574,112	BeginningYearBalanceAmt
Contributions	$64,149	ContributionsAmt
Investment Earnings Or Losses	$6,541,083	InvestmentEarningsOrLossesAmt
Other Expenditures	$633,899	OtherExpendituresAmt
End Year Balance	$46,545,445	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$44,759,553	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$3,688,592	InvestmentEarningsOrLossesAmt
Other Expenditures	$496,849	OtherExpendituresAmt
End Year Balance	$40,574,112	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,943,860	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,470,117	InvestmentEarningsOrLossesAmt
Other Expenditures	$654,424	OtherExpendituresAmt
End Year Balance	$44,759,553	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.54920	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.45080	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$28,054,329	OtherCostOrOtherBasisAmt
Book Value	$28,054,329	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$484,760,456	OtherCostOrOtherBasisAmt
Depreciation	$297,414,409	DepreciationAmt
Book Value	$187,346,047	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,354,574	OtherCostOrOtherBasisAmt
Depreciation	$7,701,911	DepreciationAmt
Book Value	$4,652,663	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$529,129,009	OtherCostOrOtherBasisAmt
Depreciation	$435,288,838	DepreciationAmt
Book Value	$93,900,171	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,128,776	OtherCostOrOtherBasisAmt
Depreciation	$9,086,054	DepreciationAmt
Book Value	$45,042,722	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$358,995,932	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVEST CAPITAL-CONTROLLED ENT	Desc
Book Value	$249,905,527	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$249,905,527	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$49,116,500
OTHER RECEIVABLES	$36,297,469
OTHER ASSETS	$18,754,499

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$104,168,468	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
INTEREST RATE SWAP	$14,251,467
OTHER LIABILITIES	$77,442,054
DUE TO RELATED PARTIES	$104,674,147
EST PAYABLE TO 3RD PARTY	$24,057,004

Field	Value	IRS element (for citing)
Total Liability	$220,424,672	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4:

THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE FOUNDATION'S BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY U.S. GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE FOUNDATION'S BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSTED RESTRICTIONS. THE FOUNDATION HAS A POLICY OF REQUESTING FOR DISTRIBUTION EACH YEAR EITHER NET INCOME OF THE ASSET OR A PERCENTAGE OF THE ASSETS AVERAGE FAIR VALUE, WHICH RESULTS IN AN AVERAGE NET CASH DISTRIBUTION OF 2.4% OF TOTAL ASSETS. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF 4.3% ANNUALLY. THIS IS CONSISTENT WITH THE FOUNDATION'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.

SCHEDULE D, PART X, LINE 2:

ACCORDING TO CENTRA HEALTH, INC.'S CONSOLIDATED 2021 AUDIT REPORT. CENTRA HEALTH, INC., CCRC, INC., CENTRA HEALTH FOUNDATION, SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL ARE TAX-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 BELIEVED THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2018.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,408,466	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,408,466	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176,039,223	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$171,063,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,976,037	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$187,447,689	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$171,063,186	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,384,503	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$260	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$260	NetCommunityBenefitExpnsAmt

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,810,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,396,112	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,414,421	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$606,900	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$606,900	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,417,693	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,396,112	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,021,581	NetCommunityBenefitExpnsAmt
Total Expense	0.01150	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$211,865,382	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$183,459,298	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,406,084	NetCommunityBenefitExpnsAmt
Total Expense	0.02700	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$44,797,615	BadDebtExpenseAmt
Reimbursed By Medicare	$306,273,633	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$372,324,327	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$66,050,694	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct
CENTRAL VIRGINIA IMA
IMAGING SERVICES	0.5	0.5
THE SURGERY CENTER O
OUTPATIENT SURGERY SVCS	0.5	0.49	1.0

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
LYNCHBURG GENERAL HOSPITAL
1	1901 TATE SPRINGS ROAD	LYNCHBURG	VA	24501	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (X)
VIRGINIA BAPTIST HOSPITAL
2	3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)
CENTRA SPECIALTY HOSPITAL
3	3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	WWW.CENTRAHEALTH.COM	Yes (X)			LONG TERM CARE

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd
LYNCHBURG GENERAL HOSPITAL
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	21	Yes (true)	WWW.CENTRAHEALTH.COM	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
VIRGINIA BAPTIST HOSPITAL
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	21	Yes (true)	WWW.CENTRAHEALTH.COM	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
CENTRA SPECIALTY HOSPITAL
3	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	21	Yes (true)	WWW.CENTRAHEALTH.COM	false	Yes (true)	Yes (X)	200.	400.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	Yes (X)	false	false	Yes (X)

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5:	A COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) WITH OVER 70 INDIVIDUALS AND A BROAD REPRESENTATION OF COMMUNITY LEADERS AND CROSS-SECTOR STAKEHOLDERS IN THE SERVICE AREA WAS DEVELOPED. THE ROLE OF THE CHAT IS TO OVERSEE, ADVISE AND ASSIST IN CHNA DATA COLLECTION ACTIVITIES, PRIORITIZE NEEDS, AND PARTICIPATE IN THE DEVELOPMENT OF THE IMPLEMENTATION PLAN AS APPROPRIATE. THE PARTNERSHIP FOR HEALTHY COMMUNITIES (PHC) IS A PLANNING INITIATIVE LED BY CENTRA, THE COMMUNITY ACCESS NETWORK, THE CENTRAL VIRGINIA, PIEDMONT, AND PITTSYLVANIA/DANVILLE HEALTH DISTRICTS, THE BEDFORD COMMUNITY HEALTH FOUNDATION, GREATER LYNCHBURG COMMUNITY FOUNDATION, JOHNSON HEALTH CENTER AND UNITED WAY OF CENTRAL VIRGINIA. THE PARTNERS ARE COMMITTED TO REGIONAL ALIGNMENT OF A COLLABORATIVE AND RIGOROUS NEEDS ASSESSMENT PROCESS THAT WILL RESULT IN ACTION-ORIENTED SOLUTIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. MEMBERS FROM THE PHC PARTICIPATED IN THE CHAT.
PART V, SECTION B, LINE 6a:	THE ORGANIZATION'S CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL.
PART V, SECTION B, LINE 7d:	HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS.
PART V, SECTION B, LINE 11:	IN 2021, CENTRA'S DEPARTMENT OF COMMUNITY HEALTH CONDUCTED THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CENTRA HOSPITALS (CENTRA LYNCHBURG GENERAL, VIRGINIA BAPTIST, AND SPECIALTY HOSPITALS) HEADQUARTERED IN LYNCHBURG, VIRGINIA. CENTRA DEFINES ITS TRIENNIAL CHNA AS A CONTINUOUS PROCESS FOR EVALUATING THE HEALTH NEEDS OF THE COMMUNITIES SERVED. IT IS USED TO SUPPORT THE SYSTEM'S "JUST CAUSE" WHICH IS "PARTNERING WITH YOU TO LIVE YOUR BEST LIFE." IN 2021-2022, CENTRA IS UNDERGOING A STRATEGIC PLANNING PROCESS AND THE CHNA WILL HELP INFORM THE DESIGN AND IMPLEMENTATION OF NEW SERVICES, PROGRAMS, AND PARTNERSHIPS IN RESPONSE TO IDENTIFIED UNMET COMMUNITY HEALTH NEEDS. IN ADDITION, THE CHNA AND IMPLEMENTATION PLAN IS USED TO GUIDE THE ACTIONS OF CENTRA'S BOARD OF DIRECTORS' COMMUNITY BENEFIT COMMITTEE, WHICH PROVIDES COMMUNITY-BASED GRANT AND SPONSORSHIP FUNDING TO AREA NON-PROFIT ORGANIZATIONS ADDRESSING PRIORITIZED NEEDS IDENTIFIED THROUGH THE CHNA. LASTLY, THE COMPLETION OF BOTH THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT AND SUCCESSFUL EXECUTION OF THE ASSOCIATED IMPLEMENTATION PLAN ENSURES COMPLIANCE WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 WHICH IS PROMULGATED IN REGULATION BY THE INTERNAL REVENUE AS DOCUMENTED ANNUALLY IN CENTRA'S FORM 990- SCHEDULE H. THE SERVICE AREA IS REFERRED TO AS THE LYNCHBURG AREA AND INCLUDES THE CITY OF LYNCHBURG AND THE COUNTIES OF AMHERST, APPOMATTOX, CAMPBELL, AND PITTSYLVANIA. THE TARGET POPULATION IS DEFINED AS (1) THE MEDICALLY UNDERSERVED, LOW-INCOME, OR MINORITY POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE; (2) THE GEOGRAPHIC AREA SERVED BY THE HOSPITAL(S); AND (3) TARGETED POPULATIONS SERVED BY THE HOSPITAL(S) (I.E., CHILDREN, WOMEN, SENIORS, CANCER PATIENTS). THE 2021 LYNCHBURG AREA COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOCUSED ON LIFTING THE VOICE OF THE COMMUNITY THROUGH THE COLLECTION OF 4450 COMMUNITY HEALTH SURVEYS AS WELL AS CONDUCTING A STAKEHOLDER FOCUS GROUP/SURVEY. IN ADDITION, OVER 65 SOURCES OF PUBLICLY AVAILABLE SECONDARY DATA WERE COLLECTED. CHNA ACTIVITIES BEGAN IN MARCH 2021 AND CONCLUDED IN MID-SEPTEMBER WITH THE PRIORITIZATION OF NEEDS.
PART V, SECTION B, LINE 16A, B, C:	(LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL) THE ENTIRE FNANCIAL ASSISTANCE POLICY (FAP), INCLUDING FAP APPLICATION AND PLAIN LANGUAGE SUMMARY IS LOCATED AT THE FOLLOWING URL. HTTP://CENTRAHEALTHONLINEBILLPAY.PATIENTCOMPASS.COM
PART V, SECTION B, LINE 21:	(POLICY RELATING TO EMERGENCY MEDICAL CARE) FACILITY: CENTRA SPECIALITY HOSPITAL CENTRA SPECIALITY HOSPITAL DOES NOT HAVE AN EMERGENCY DEPARTMENT DUE TO THE NATURE OF THE HOSPITAL'S SERVICES.

Field	Value	IRS element (for citing)
Facility	84	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (84 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CENTRA ALAN B PEARSON CANCER CENTER
1701 THOMSON DRIVE	LYNCHBURG	VA	24501	CANCER CENTER & PALLIATIVE CARE
GRETNA MEDICAL CENTER
291 McBride Lane	Gretna	VA	24557	Emergency, Imaging, Internal Medicine, Cardiology, Rehab, Lab
CENTRA LAB PHLEBOTOMY CENTER
1900 TATE SPRINGS ROAD SUITE 9	LYNCHBURG	VA	24501	LAB SERVICES
GUGGENHEIMER HEALTH & REHABILITATION CTR
1902 GRACE STREET	LYNCHBURG	VA	24504	NURSING HOME
FAIRMONT CROSSING HEALTH & REHAB CENTER
173 BROCKMAN PARK DRIVE	AMHERST	VA	24521	NURSING HOME
SUMMIT HEALTH & REHABILITATION CENTER
1300 ENTERPRISE DRIVE	LYNCHBURG	VA	24502	NURSING HOME
SUMMIT ASSISTED LIVING
1320 ENTERPRISE DRIVE	LYNCHBURG	VA	24502	ASSISTED LIVING
CENTRA HOSPICE-LYNCHBURG
2097 LANGHORNE ROAD	LYNCHBURG	VA	24501	HOSPICE CARE
CENTRA HOSPICE HOUSE
4413 BOONESBORO ROAD	LYNCHBURG	VA	24503	HOSPICE HOUSE
CENTRA HOME HEALTH
1204 FENWICK DRIVE	LYNCHBURG	VA	24502	HOME HEALTH SERVICES
CENTRA PACE
407 FEDERAL STREET	LYNCHBURG	VA	24504	CARE FOR ELDERLY
PIEDMONT PSYCHIATRIC CENTER
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	MENTAL HEALTH
BRIDGES TREATMENT CENTER
693 LEESVILLE ROAD	LYNCHBURG	VA	245022828	MENTAL HEALTH
ALTAVISTA MEDICAL CENTER
1280 A MAIN STREET	ALTAVISTA	VA	24517	FAMILY PRACTICE
BROOKNEAL MEDICAL CENTER
104 CAROLINA AVENUE	BROOKNEAL	VA	24528	FAMILY PRACTICE
CMG - DANVILLE ORTHOPEDIC & REHAB SPECIA
404 AIRPORT ROAD SUITE C	DANVILLE	VA	24540	ORTHOPEDICS & PHYSICAL THERAPY
CMG - NATIONWIDE
125 Nationwide Drive	LYNCHBURG	VA	24502	INTERNAL MEDICINE, REHAB, URGENT CARE
VILLAGE PRACTICE - MONETA
4830 RUCKER RD	MONETA	VA	24121	FAMILY PRACTICE
CENTER FOR PAIN MANAGEMENT
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	PAIN MANAGEMENT
CENTER FOR WOUND CARE AND HYPERBARIC MED
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	WOUND CARE
CMG UROLOGY CENTER
2542 LANGHORNE ROAD	LYNCHBURG	VA	24501	UROLOGY
CMG UROLOGY CENTER-Oak Vassar Office
1330 Oak Lane Suite 203	LYNCHBURG	VA	24503	UROLOGY
CMG UROLOGY CENTER-Bedford
1613 Oakwood St Ste 202	Bedford	VA	24523	UROLOGY
MEDICAL & SURGICAL SPECIALISTS
173 EXECUTIVE DRIVE	DANVILLE	VA	24540	UROLOGY, NEUROSURGERY, PLASTICS, CARDIOLOGY SVCS
DOMINION PRIMARY CARE
110 EXCHANGE STREET SUITE F	DANVILLE	VA	24540	Family Care, Urgent Care Urology, Neurology and Cardiology
CMG WOMEN'S CENTER
2007 GRAVES MILL ROAD	FOREST	VA	24551	WOMEN'S HEALTH SVCS
LIBERTY UNIVERSITY HEALTH SERVICES
1971 UNIVERSITY BLVD	LYNCHBURG	VA	24502	FAMILY PRACTICE
JAMERSON YMCA REHAB CENTER
801 WYNDHURST DRIVE	LYNCHBURG	VA	24502	REHAB CENTER
STROOBANTS CARDIOVASCULAR CENTER- MAIN O
2410 ATHERHOLT ROAD	LYNCHBURG	VA	24501	CARDIOLOGY CENTER & CARDIOVASCULAR SURGERY
STROOBANTS CARDIOVASCULAR CENTER-BEDFORD
1613 OAKWOOD AVENUE	BEDFORD	VA	24523	CARDIOLOGY CENTER
STROOBANTS CARDIOVASCULAR CENTER- FARMVI
900 WEST THIRD STREET	FARMVILLE	VA	23901	CARDIOLOGY CENTER
STROOBANTS CARDIOVASCULAR CENTER- MONETA
1039 MAYBERRY CROSSING DRIVE SUITE	MONETA	VA	24121	CARDIOLOGY CENTER
STROOBANTS CARDIOVASCULAR CENTER- GRETNA
1220 WEST GRETNA ROAD	GRETNA	VA	24557	CARDIOLOGY CENTER
REHAB & GERIATRIC SERVICES
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	DRS. PROVIDE SERVICES TO NURSING HOMES, SKILLED CARE HOSPICE, PACE & REHAB
BREAST IMAGING CENTER
3300 RIVERMONT AVENUE	LYNCHBURG	VA	24503	MAMMOGRAPHERS READ SCREENINGS FOR DIAGNOSTIC BREAST IMAGING
MAMMOGRAPHY CENTER-TIMBERLAKE
20293 TIMBERLAKE ROAD	LYNCHBURG	VA	24502	MAMMOGRAPHY CENTER
MAMMOGRAPHY CENTER-TATE SPRINGS
1900 TATE SPRINGS ROAD SUITE 1	LYNCHBURG	VA	24501	MAMMOGRAPHY CENTER
Pathways Recovery Lodge
1770 Earley Farm Road	Amherst	VA	24521	DRUG & ALCOHOL TREATMENT CENTER
Centra Neuroscience Center-Farmville
800 Oak Street	Farmville	VA	23901	NEUROSCIENCE
Lynchburg Family Medicine Center
2323 Memorial Avenue Suite 10	Lynchburg	VA	24501	FAMILY PRACTICE RESIDENCY PROGRAM
CMG - Big Island Medical Center
Highway 501 North	Big Island	VA	24526	FAMILY PRACTICE
CMG - PrimeCare Main
130 Enterprise Drive	Danville	VA	24540	FAMILY PRACTICE, URGENT CARE
CMG - PrimeCare East
404 Airport Drive Suite A	Danville	VA	24540	FAMILY PRACTICE
CMG-BEDFORD MEDICAL CENTER
1613 Oakwood Street Suite 201	Bedford	VA	24523	FAMILY PRACTICE
LYNCHBURG EMPLOYEE CLINIC
901 CHURCH STREET	Lynchburg	VA	24504	EMPLOYEE WELLNESS CLINIC
CMG PLASTIC SURGERY CENTER
1330 Oak Lane Suite 100	Lynchburg	VA	24503	PLASTIC SURGERY
CMG NEUROSCIENCE CENTER
2025 Tate Springs Road	Lynchburg	VA	24501	NEUROSCIENCE
CMG Surgical Specialists - Seven Hills
1911 Thomson Drive	Lynchburg	VA	24501	SURGERY SPECIALISTS
CMG Surgical Specialists - Central Va
1906 Thomson Drive	Lynchburg	VA	24501	SURGERY SPECIALISTS
CENTRA COLLEGE OF NURSING
905 Lakeside Dr Suite A	Lynchburg	VA	24501	COLLEGE OF NURSING
HEALTHWORKS CLINIC
1905 Atherholt Road	Lynchburg	VA	24501	REHAB
ROSEMARY & GEORGE DAWSON INN
2012 Tate Springs Road	Lynchburg	VA	24501	PATIENT/FAMILY INN
Centra - Bedford Rehab
1710 Whitfield Drive	Bedford	VA	24523	OP REHAB SVCS
CENTRA HEALTH EMERGENCY SERVICES
1901 TATE SPRINGS ROAD	LYNCHBURG	VA	24501	EMERGENCY SVCS
CMG - DANVILLE OCCUPATIONAL HEALTH SVCS
404 Airport Drive Suite B	Danville	VA	24540	OCCUPATIONAL REHAB SERVICES
CMG - NEUROSCIENCE CENTER BEDFORD
1615 OAKWOOD STREET SUITE D	BEDFORD	VA	24523	NEUROSURGERY
CMG - AMHERST MEDICAL CENTER
124 AMBRIAR COURT	AMHERST	VA	24521	FAMILY PRACTICE
CMG INFECTIOUS DISEASE CENTER
2216 LANDOVER PLACE	LYNCHBURG	VA	24501	INFECTIOUS DISEASE CTR
CMG HEALTHY SKIN CENTER
1330 OAK LANE SUITE 103	LYNCHBURG	VA	24503	SKIN CLINIC
CMG - MOBILE MEDICAL SERVICES
2010 ATHERHOLT ROAD	LYNCHBURG	VA	24501	MOBILE MEDICAL SVCS
PACE Gretna
1220 W Gretna Road	Gretna	VA	24557	CARE FOR ELDERLY
CMG Rehabilitation Danville
414 Park Avenue	Danville	VA	24541	REHAB SVCS
CMG - SLEEP DISORDERS CENTER-FOREST
1084 Thomas Jefferson Road	FOREST	VA	24551	SLEEP DISORDER SVCS
CMG Southside - Keysville
312 Kings Street	Keysville	VA	23947	FAMILY PRACTICE
CMG Southside - Farmville
935 South Main Street	Farmville	VA	23901	FAMILY PRACTICE
CMG Southside - Victoria
1418 6th Street	Victoria	VA	23974	FAMILY PRACTICE
CMG Southside - Burkeville
412 Namozine Street	Burkeville	VA	23922	FAMILY PRACTICE
CMG Southside - Cumberland
1758 Anderson Highway	Cumberland	VA	23942	FAMILY PRACTICE
Southside Ctr for Gastro Liver Disease
800 Oak Street	Farmville	VA	23901	GASTROLOGY
CMG Southside Orthopedic & Rehabilitatio
935 South Main Street	Farmville	VA	23901	ORTHOPEDIC & REHAB SVCS
CMG Southside - Surgery Center
800 Oak Street	Farmville	VA	23901	GENERAL SURGERY
CMG Southside - Women's Center
800 Oak Street	Farmville	VA	23901	WOMEN'S HEALTH SVCS
CMG Southside - Emergency Services
800 Oak Street	Farmville	VA	23901	EMERGENCY SVCS
CMG Southside - Nephrology Center
935 South Main Street	Farmville	VA	23901	NEPHROLOGY
CMG Southside - Neurology Center
800 OAK STREET	Farmville	VA	23901	Neurology
CMG Southside - Urology
800 Oak Street	Farmville	VA	23901	UROLOGY
CMG Southside - CRNA
800 Oak Street	Farmville	VA	23901	CRNA SVCS
CMG Southside - Hospitalists
800 Oak Street	Farmville	VA	23901	HOSPITALIST SVCS
CMG Bedford - General Surgery Center
1615 Oakwood Street Suite B	Bedford	VA	24523	GENERAL SURGERY
CMG Bedford - Pulmonology Center
1613 Oakwood Street Suite 202	Bedford	VA	24523	PULMONARY SVCS
CMG Bedford - Women's Center
1615 Oakwood Street Suite D	Bedford	VA	24523	WOMEN'S HEALTH SVCS
CMG Bedford - Emergency Services
1613 Oakwood Street	Bedford	VA	24523	EMERGENCY SVCS
CMG Bedford - Hospitalists
1613 Oakwood Street	Bedford	VA	24523	HOSPITALIST SVCS
CMG Bedford - CRNA
1613 Oakwood Street	Bedford	VA	24523	CRNA SVCS

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	INFORMATION ON COMMUNITY BENEFITS IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC.
PART I, LINE 7:	COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE.
PART II:	COMMUNITY SUPPORT: CENTRA HEALTH, INC. RECOGNIZES THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES. WE CONTINUOUSLY WORK TO SEEK OUT WAYS IN WHICH WE CAN SUPPORT THE COMMUNITY. HELPING THOSE IN NEED IS A MAIN FOCUS OF CENTRA, NOT ONLY WITH THEIR HEALTH NEEDS BUT WITH THE FUNDAMENTAL NEEDS OF INDIVIDUALS WITHIN OUR COMMUNITY, AS WELL. WE FEEL AN ESSENTIAL PART OF BEING A GOOD NEIGHBOR WITHIN THE COMMUNITY IS TO PROMOTE HEALTH, SAFETY, AND WELL-BEING ACTIVITIES IN ORDER TO BENEFIT THOSE AROUND US. CENTRA OPENS ITS CANCER CENTER FACILITY TO VARIOUS GROUPS IN ORDER FOR THEM TO MEET, SOCIALIZE, EXERCISE, DISCUSS THEIR LIFE STRUGGLES AND TO JUST ENJOY EACH OTHER'S COMPANY. THE OFF THE NEEDLE KNITTING GROUP IS ONE OF THOSE GROUPS. WE ALSO HOST EXERCISE GROUPS SUCH AS MEDITATION GROUPS, TAI CHI CLASSES, AND YOGA CLASSES. COALITION BUILDING: CENTRA CONTINUES TO REACH OUT TO THE COMMUNITY IN ORDER TO INFORM THE PUBLIC ABOUT THE NUMEROUS HEALTH FAIRS, HEALTH SEMINARS, AND GENERAL INFORMATIONAL SESSIONS OFFERED BY CENTRA, THROUGHOUT THE YEAR. CENTRA HOLDS HEALTH CAREER CAMPS IN ORDER TO PROMOTE THE IMPORTANCE OF HEALTHCARE PROFESSIONALS TO YOUNG ADULTS SO THEY MAY, POSSIBLY, BECOME MEMBERS OF THE HEALTHCARE COMMUNITY IN THE FUTURE. THROUGH OUT THE YEAR, WE ALSO VISIT LOCAL ELEMENTARY AND MIDDLE SCHOOLS WITHIN THE COMMUNITY TO INTRODUCE THE YOUTH TO HEALTHCARE CAREERS. CENTRA IS A MEMBER OF THE CAMPBELL COUNTY ADVISORY BOARD WHICH ENABLES US TO REPRESENT CENTRA IN THE COMMUNITY TO HELP MEET THE NEEDS OF THOSE IN THE SCHOOL SYSTEM. OUR "COMMUNITY VOICE" PROGRAM IS AN EVIDENCED BASED CONSUMER EDUCATION PROGRAM WHOSE GOALS ARE TO RAISE AWARENESS OF THE HEALTH DISPARITY THAT EXISTS IN INFANT MORTALITY, TO PROVIDE CULTURALLY RELEVANT PERINATAL HEALTH INFORMATION, AND TO INFLUENCE BEHAVIORS BY TAKING INFORMATION DIRECTLY TO THE PEOPLE WHOM WOMEN OF CHILD BEARING AGE ARE MOST LIKELY TO TRUST AND TRAIN THEM TO BE LAY HEALTH ADVISORS. ONCE TRAINED, LAY HEALTH ADVISORS HAVE THE KNOWLEDGE AND POWER TO TEACH, MOTIVATE, AND INFLUENCE THEIR FAMILY, FRIENDS, AND NEIGHBORS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF CENTRA. WE FEEL PASSIONATE ABOUT IMPROVING ACCESS TO CARE, PUBLIC HEALTH, ETC. WE ARE EXCITED TO PARTICIPATE IN NUMEROUS EVENTS THROUGHOUT THE YEAR IN ORDER TO STAY CONNECTED TO THE COMMUNITY WE SERVE. BY STAYING CONNECTED WE ARE ABLE TO RECOGNIZE AND ADDRESS NEEDS THROUGHOUT OUR REGION. WORKFORCE DEVELOPMENT: CENTRA HEALTH, INC. BELIEVES THAT IT IS CRUCIAL TO HAVE EDUCATED, EXPERIENCED HEALTHCARE PROFESSIONALS WORKING WITHIN OUR COMMUNITIES. BY DISCUSSING HEALTHCARE WITH CHILDREN BEGINNING AT AN EARLY AGE, WE FEEL IT WILL SPARK INTEREST AND HAVE OUR YOUTH THINKING ABOUT POSSIBLY SEEKING A CAREER IN HEALTHCARE AS THEY GET OLDER. CENTRA CONDUCTS PROGRAMS WHICH SEND OUR STAFF TO AREA SCHOOLS, BEGINNING AT THE ELEMENTARY LEVEL, AND SHARING AGE-APPROPRIATE INFORMATION AND MATERIALS ABOUT HEATH CAREER CHOICES AND THE ACADEMIC PATHWAY TO THOSE CAREERS. CENTRA'S HEALTH CAREER CAMPS ALLOW CAMPERS TO PARTICIPATE IN TEAM BUILDING ACTIVITIES, LEARN ABOUT INFECTION PREVENTION, ORGAN DONATION, LISTEN TO PRESENTATIONS ON EMERGENCY MEDICINE, TOUR EMERGENCY VEHICLES, AND MANY MORE HEALTH RELATED ACTIVITIES. OUR MEDICAL CAREER CAMP ALLOW CAMPERS TO PARTICIPATE IN ACTIVITIES RELATED TO TOPICS SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THEY ARE ALSO ENGAGED IN HANDS-ON ACTIVITIES SUCH AS DISSECTING A PIG'S HEART AND LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHAT'S INVOLVED IN SUTURING, TAKING CARE OF WOUNDS, IV SIMULATIONS, ETC. WE GIVE CAMPERS A GENERAL EXPOSURE TO VARIOUS CAREERS WITHIN THE HEALTHCARE SYSTEM WHICH ALLOWS THEM TO DETERMINE IF ONE OF THESE FIELDS ARE RIGHT FOR THEM.
PART III, SECTION A, LINE 1:	ON JANUARY 1, 2012, CENTRA ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, WHICH CHANGED CENTRA'S PRESENTATION OF PROVISION FOR DOUBTFUL ACCOUNTS TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. THIS HAS BEEN DISCLOSED IN THE FOOTNOTES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THEREFORE, CENTRA, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT CONSISTENT WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15.
PART III, SECTION A, LINE 2 & 3:	SEE DESCRIPTION FOR PART III, SECTION A, LINE 4.
PART III, SECTION A, LINE 4:	CENTRA BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NATURE, AMOUNT, TIMING AND UNCERTAINTY OF THESE REVENUES AND CASH FLOWS. ADJUSTMENTS TO PREVIOUS REIMBURSEMENT ESTIMATES ARE REPORTED IN NET PATIENT SERVICE REVENUES IN THE PERIODS THAT SUCH ADJUSTMENTS BECOME KNOWN. FOR THE YEARS ENDED DECEMBER 31, 2021, AND 2020, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTION PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2021 AUDIT REPORT, PAGE 14). "CONSISTENT WITH CENTRA'S MISSION, SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CENTRA HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CENTRA EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2021 AUDIT REPORT, PAGE 16). "PATIENTS WHO MEET CENTRA'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS SUBSTANTIALLY LESS THAN ESTABLISHED RATES IN ACCORDANCE WITH CENTRA'S FINANCIAL ASSISTANCE POLICY. SINCE CENTRA DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. WHILE CHARITY CARE IS EXCLUDED FROM NET PATIENT SERVICE REVENUE, CENTRA MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THIS INCLUDES THE NUMBER OF CHARGES FOREGONE AND THE ESTIMATED COSTS INCURRED FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. COSTS INCURRED ARE ESTIMATED BASED ON THE RATIO OF TOTAL OPERATING EXPENSE TO GROSS CHARGES. THE ESTIMATED COST TO PROVIDE CHARITY CARE WAS APPROXIMATELY $49,177 AND $15,707 FOR 2021 AND 2020, RESPECTIVELY." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2021 AUDIT REPORT, PAGE 16).
PART III, SECTION B, LINE 8:	THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THE TOTAL AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE CENTRA HEALTH'S MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE TO ANY OF OUR PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH REIMBURSEMENTS WERE LESS THAN THE COST TO PROVIDE SERVICE. TOTAL MEDICARE SHORTFALL FOR 2021 WAS $145,626,545.
PART III, SECTION C, LINE 9B:	CENTRA RECOGNIZES THAT MEDICAL EXPENSES ARE OFTEN UNEXPECTED AND CAUSE FINANCIAL HARDSHIP. ALL ACCOUNTS WITH SELF PAY BALANCES WILL FOLLOW UNIFORM COLLECTION PROTOCOLS. THESE PROTOCOLS ARE ELECTRONICALLY ADMINISTERED THROUGH CENTRA'S HOSPITAL INFORMATION SYSTEM. WHEN AN ACCOUNT REACHES THE END OF THE SYSTEM GENERATED COLLECTION CYCLE AND MEETS SAID CRITERIA, THE ACCOUNT BALANCE WILL BE PROCESSED AS BAD DEBT AND REPORTED TO A COLLECTION AGENCY. CRITERIA FOR BAD DEBT WILL BE APPLIED CONSISTENTLY REGARDLESS OF AGE, RACE, RELIGION OR OTHER PROTECTIVE CLASS. PRIOR TO BAD DEBT PROCESSING, ACCOUNTS ARE ELECTRONICALLY SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND WRITTEN DOWN TO ZERO WHEN SCORES ARE WITHIN PRE-ESTABLISHED RANGES. CENTRA APPLIES UNIFORM COLLECTION PROTOCOLS TO ALL UNPAID ELIGIBLE CHARGES REGARDLESS OF RACE, SEX, AGE, DISABILITY, NATIONAL ORIGIN OR RELIGION. PATIENTS KNOWN BY CENTRA TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PROTOCOLS. IF DURING COLLECTION PROTOCOLS, OR AFTER REFERRAL TO AN OUTSIDE COLLECTION AGENCY, IT IS DISCOVERED PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY, INCLUDING ANY AND ALL EXTRAORDINARY COLLECTION EFFORT, IS IMMEDIATELY STOPPED. FINANCIAL ASSISTANCE FOR ELIGIBLE CHARGES IS AVAILABLE TO ALL CENTRA PATIENTS WHO QUALIFY BASED ON ESTABLISHED AND WIDELY PUBLISHED INCOME AND ASSET CRITERIA.
PART VI, LINE 2:	NEEDS ASSESSMENT: UPON COMPLETION OF PRIMARY AND SECONDARY DATA COLLECTION, THE LYNCHBURG AREA COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) WAS CHARGED WITH PRIORITIZING THE NEEDS OF THE COMMUNITY. A DETAILED "PRIORITIZATION OF NEEDS WORKSHEET" WAS DEVELOPED, AND THE CHAT WAS ASKED TO RANK THE TOP PRIORITY AREAS OF NEED. THE TOP 10 PRIORITY AREAS FOR THE LYNCHBURG AREA IN 2021 WERE: LYNCHBURG AREA: 2021 PRIORITIZATION OF NEEDS RANKING PRIORITY AREA 1 ACCESS TO HEALTHCARE SERVICES 2 MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES 3 ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE and CHILD ABUSE/NEGLECT 4 POVERTY 5 AGING AND ELDERCARE 6 HOUSING 7 FINANCIAL STABILITY 8 CHRONIC DISEASE 9 FOOD INSECURITY AND NUTRITION 10 EQUITY, INCLUSION & DIVERSITY THE CHNA PROVIDES AN OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. IT IS THE INTENT OF THE REPORT TO PROVIDE READERS WITH A DEEPER UNDERSTANDING OF THE NEEDS OF THE LYNCHBURG AREA AS WELL AS TO GUIDE CENTRA HEALTH, AND ITS COMMUNITY PARTNERS AND STAKEHOLDERS, IN DEVELOPING IMPLEMENTATION PLANS TO ADDRESS THE PRIORITIZED NEEDS IDENTIFIED BECAUSE OF THE ASSESSMENT PROCESS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZATION OF NEEDS WAS APPROVED BY THE CENTRA COMMUNITY BENEFIT COMMITTEE ON NOVEMBER 19, 2021, AND THE CENTRA BOARD OF DIRECTORS ON DECEMBER 6, 2021.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRA TAKES A MULTIDISCIPLINARY APPROACH TO INFORMING OUR PATIENTS AND COMMUNITY ABOUT FINANCIAL ASSISTANCE. INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CAN BE FOUND ON CENTRA'S INTERNET PAGE PROVIDING FULL DISCLOSURE ABOUT QUALIFICATIONS AND THE APPLICATION PROCESS. INDIVIDUALS MAY OBTAIN INFORMATION AND AN APPLICATION FROM ANY REGISTRATION POINT OR CUSTOMER SERVICE UNIT, IN PERSON OR BY PHONE. SIGNS ARE POSTED IN CONSPICUOUS LOCATIONS ALERTING INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHERE TO OBTAIN ADDITIONAL INFORMATION. BROCHURES ABOUT FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN REGISTRATION AND CUSTOMER SERVICE. WHILE PATIENTS ARE HOSPITALIZED, A FINANCIAL COUNSELOR PROVIDES FINANCIAL ASSISTANCE INFORMATION, SCREENS PATIENTS FOR FEDERAL AND STATE PROGRAMS AND GIVES AN OPPORTUNITY TO ASK QUESTIONS. ADDITIONALLY, ON THE BOTTOM OF THE CURRENT STATEMENTS IS THE FOLLOWING VERBIAGE: "CAN'T PAY YOUR BILL? FINANCIAL ASSISTANCE AND FLEXIBLE PAYMENT OPTIONS ARE AVAILABLE BY CONTACTING CENTRA CUSTOMER SERVICE AT (434) 200-3777."
PART VI, LINE 4:	COMMUNITY INFORMATION: CENTRA IS A COMPREHENSIVE HEALTH CARE SYSTEM COVERING A PRIMARY SERVICE AREA (PSA) OF THE CITIES OF LYNCHBURG AND BEDFORD, AND THE COUNTIES OF AMHERST, APPOMATTOX, BEDFORD, CAMPBELL, AND PITTSYLVANIA. CENTRA'S SECONDARY SERVICE AREA (SSA) INCLUDES THE COUNTIES OF BUCKINGHAM, CHARLOTTE, HALIFAX, NELSON, AND PRINCE EDWARD. THE POPULATION FOR THE TOTAL SERVICE AREA (PSA & SSA) IS 342,076, WITH AN AVERAGE ETHNIC MIX OF 22.3% BLACK AND 74.6% WHITE. THIS IS COMPARED TO VIRGINIA'S AVERAGE OF 19.9% BLACK AND 69.4% WHIRE. THE AVERAGE PERCENT OF THE TOTAL SERVICE AREA POPLUATION THAT IS 65 YEARS OF AGE AND OLDER IS 22.1% COMPARED TO VIRGINIA'S AVERAGE OF 15.9%. THE AVERAGE HOUSEHOLD INCOME IN THE TOTAL SERVICE AREA IS $52,150 COMPARED TO VIRGINIA'S AVERAGE OF $76,398. THE AVERAGE CURRENT RATE OF PERSONS IN POVERTY FOR THE TOTAL SERVICE ARE IS 14.0% COMPARED TO VIRGINIA'S RATE OF 9.2% 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. Source: (U.S. Census Bureau QuickFacts: Virginia) 2021 stats
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH: IN ADDITION TO HEALTH EDUCATION PROGRAMS AND RESOURCES, CENTRA USES ITS HOSPITAL-BASED DEPARTMENTS TO IMPLEMENT NEW WAYS TO IMPROVE HEALTH CARE FOR THE REGION. HERE ARE THREE EXAMPLES: (1) CENTRA STARTED THE FIRST NATIONALLY CERTIFIED PROGRAM TO HELP PEOPLE RECEIVING TREATMENT AND CANCER SURVIVORS AS THEY HEAL AND RECOVER. WITH THIS PROGRAM, CALLED STAR, CANCER PATIENTS AND SURVIVORS CAN LESSEN PAIN, WEAKNESS, FATIGUE, DEPRESSION AND MEMORY LOSS THAT CAN OCCUR WITH CANCER. (2) CENTRA ESTABLISHED ITS PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) IN THE LYNCHBURG AND FARMVILLE AREAS TO OFFER ADULTS 55 YEARS OF AGE AND OLDER MEDICAL CARE AND EDUCATION THAT ALLOWS THEM TO STAY IN THEIR OWN HOMES. WITH LONG-TERM CARE EXPERTISE GAINED THROUGH HOSPITAL-BASED CENTERS, CENTRA PROFESSIONALS FOCUS ON DISEASE PREVENTION, INTERVENTION AND WELLNESS. THE PROGRAM IS BASED ON THE KNOWLEDGE OF PROFESSIONALS WHO ADVOCATE THAT IT IS BETTER FOR SENIORS WITH CHRONIC CARE NEEDS AND THEIR FAMILIES TO BE SERVED IN THE COMMUNITY FOR AS LONG AS IT IS MEDICALLY SAFE. COMPREHENSIVE SERVICES ARE DELIVERED BY AN INTERDISCIPLINARY TEAM OF PROFESSIONALS, INCLUDING A PRIMARY CARE PHYSICIAN, REGISTERED NURSES, REHABILITATION THERAPISTS, DIETITIANS AND RECREATION/ACTIVITY STAFF. (3) CENTRA HAS LEVERAGED ITS HIGH-BANDWIDTH CONNECTIVITY ACROSS FACILITIES AND PHYSICIAN PRACTICES TO IMPROVE THE HEALTH OF THE POPULATION THROUGH THE SHARING OF MEDICAL RECORDS. WITH THIS CONNECTIVITY, CENTRA ALSO IS ABLE TO ESTABLISH A CLINICAL REPOSITORY THAT CAN BE MINED TO PERFORM TRUE POPULATION-BASED ANALYTICS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM: WHETHER BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES, ENHANCING HEALTH, OR PROVIDING NEEDED REGIONAL PROGRAMS AND SUPPORT, CENTRA SERVES AS A KEY PARTNER IN MANAGING AND PROMOTING HEALTH CARE THROUGHOUT ITS SYSTEM TO ENSURE CARE TO THE REGIONAL COMMUNITIES IT SERVES. DISEASE PREVENTION, TREATMENT AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES TO THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND PROGRAMS, CENTRA EXPANDS ITS HOSPITAL WALLS TO OFFER NATIONAL AWARD-WINNING HEALTH CARE FOR ITS PATIENTS WHILE SEEKING TO ENHANCE THE HEALTH AND WELLNESS OF RESIDENTS IN ITS SERVICE AREA. AS THE REGIONAL HEALTH CARE LEADER, CENTRA BRINGS A CONTINUOUS FLOW OF HEALTH CARE SERVICES DESIGNED TO ENSURE THAT PATIENTS RECEIVE CARE THAT MEETS THEIR IDENTIFIED NEEDS. PATIENT CARE ENCOMPASSES WELLNESS AND PREVENTION, RECOGNITION OF DISEASE AND HEALTH PROBLEMS, PATIENT TEACHING, PATIENT ADVOCACY, SPIRITUALITY, AND RESEARCH THROUGHOUT THE CONTINUUM. THIS CARE IS DELIVERED THROUGH ORGANIZED AND SYSTEMATIC PROCESSES DESIGNED TO ENSURE SAFE, EFFECTIVE AND TIMELY CARE AND TREATMENT. DUE TO THE WAY THE HEALTH CARE SYSTEM MANAGES CARE, CENTRA CONTINUES TO MOVE TO A HIGHER LEVEL BY EVALUATING SPECIFIC PATIENT OUTCOMES AND PARTICIPATING IN VOLUNTARY NATIONAL CERTIFICATION PROGRAMS THAT EXAMINE PROCESSES AND PROFICIENCY. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF ITS REGIONAL POPULATION AND TAKES GREAT PRIDE IN PROVIDING THE FACILITIES, RESOURCES, EXPERTISE, AND PEOPLE TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE OF CENTRAL VIRGINIA. FOR EXAMPLE, CENTRA HAS BEEN INSTRUMENTAL IN ESTABLISHING AND SUPPORTING MEDICAL CLINICS FOR THE UNDERSERVED POPULATION. THESE INCLUDE SERVICES FOR PREGNANT WOMEN AND CHILDREN WHO OTHERWISE MAY NOT RECEIVE CRITICAL PREVENTIVE CARE. CENTRA ALSO DONATES LABORATORY TESTING, RADIOLOGY SERVICES AND EQUIPMENT. MULTIDISCIPLINARY TEAMS, INCLUDING PHYSICIANS FROM CENTRA PRACTICES AND EXPERTS IN LONG-TERM CARE AND REHABILITATION, OFFER PROFESSIONAL HEALTH EDUCATION CLASSES, LECTURES, SEMINARS, HEALTH FAIRS AND HEALTH SCREENINGS. THE HEALTH CARE SYSTEM ALSO PARTNERS WITH COMMUNITY ORGANIZATIONS TO CO-SPONSOR DOZENS OF REGIONAL EVENTS. IN ADDITION, DIETITIANS, DIABETIC INSTRUCTORS AND OTHER CENTRA PROFESSIONALS PROVIDE ONE-ON-ONE HEALTH COUNSELING AND EDUCATION FOR HOSPITAL AND SYSTEM PATIENTS. THE HEALTH CARE SYSTEM OFFERS A HEALTH CARE CAREERS CAMP FOR TEENAGERS. STUDENTS GAIN HANDS-ON EXPERIENCE, ENJOY A TOUR OF THE HOSPITAL'S HELICOPTER AND HANGAR AND ARE EXPOSED TO MANY CAREER OPPORTUNITIES. CENTRA DISTRIBUTES A WEALTH OF PRINTED AND ONLINE HEALTH INFORMATION THROUGH ITS PUBLICATIONS, MEDIA STORIES AND INTERACTIVE WEBSITE. THIS INFORMATION IS PRODUCED SPECIFICALLY FOR THE REGIONAL POPULATION AND TO MEET IDENTIFIED NEEDS. AS THE SOLE HEALTH CARE SYSTEM IN ITS SERVICE AREA, CENTRA USES ITS HOSPITAL-BASED RESOURCES AS A VALUABLE VEHICLE FOR MANAGING AND PROMOTING HEALTH CARE AS PART OF ITS NONPROFIT MISSION.
PART VI, LINE 7:	STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (49 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Roads To Recovery Inc
3000 Langhorne Rd	Lynchburg	VA	24501	462885411	501(C)(3)	$75,000	Healthcare
Central VA Alliance for Com Living Inc
501 12th Street	Lynchburg	VA	24504	510189604	501(C)(3)	$60,000	Healthcare
Community Access Network
800 5th Street	Lynchburg	VA	24504	475194456	501(C)(3)	$43,628	Healthcare
Young Men's Christian Assoc of Central VA
1309 Church Street	Lynchburg	VA	24504	540505924	501(C)(3)	$40,000	Academics
Impact Living Services
316 Brook Park Pl	Forest	VA	24551	454769701	501(C)(3)	$33,750	Youth Svcs
Meals on Wheels Inc
P O Box 1388	Lynchburg	VA	24505	237399875	501(C)(3)	$25,000	Meals
Academy Center of the Arts
600 MAIN ST	LYNCHBURG	VA	24504	237061145	501(C)(3)	$25,000	Community Svcs
Blue Ridge Area Food Bank
PO Box 937	Verona	VA	24482	521202644	501(C)(3)	$25,000	Community Svcs
United Way of Central Virginia
1010 Miller Park Square	Lynchburg	VA	24501	540505923	501(C)(3)	$25,000	Community Svcs
Virginia Amateur Sports Inc
711 C 5th Street	Roanoke	VA	24018	541500181	501(C)(3)	$25,000	Community Svcs
Lynchburg Grows
1339 Englewood Street	Lynchburg	VA	24501	200934133	501(C)(3)	$22,750	Scholarships & Food
Elizabeth's Early Learning Center Inc
2320 Bedford Avenue	Lynchburg	VA	24503	541808771	501(C)(3)	$22,500	Youth Svcs
Lynchburg Daily Bread
721 Clay Street	Lynchburg	VA	24504	521268749	501(C)(3)	$22,500	Meals
Lynchburg Daily Bread
721 CLAY ST	LYNCHBURG	VA	24504	521268749	501(C)(3)	$20,000	Meals
Miriam's House
409 Magnolia Street	Lynchburg	VA	24503	541606543	501(C)(3)	$20,000	Community Svcs
Second Stage Amherst
194 Second Street	Amherst	VA	24521	470964590	501(C)(3)	$20,000	Meals
PPL Foundation
24 Military Drive	Chatham	VA	24531	521315406	501(C)(3)	$17,500	Community Svcs
The Listening
PO Box 515	Lynchburg	VA	24504	812429529	501(C)(3)	$17,500	Community Svcs
Free Clinic of Central Virginia Inc
1016 Main Street	Lynchburg	VA	24504	541420756	501(C)(3)	$16,200	Healthcare
Interfaith Outreach Association
701 Clay St	Lynchburg	VA	24504	541214253	501(C)(3)	$15,000	Community Svcs
Johnson Health Center
134 Elon Rd	Madison Heights	VA	24572	541287905	501(C)(3)	$15,000	Healthcare
Jubilee Family Development Center
1512 Florida Avenue	Lynchburg	VA	24501	541881948	501(C)(3)	$15,000	Youth Svcs
Brook Hill Retirement Ctr for Horses Inc
7289 Bellevue Rd	Forest	VA	24551	542058686	501(C)(3)	$13,500	Youth Svcs
Habitat for Humanity International Inc
360 Alleghany Avenue	Lynchburg	VA	24501	541464802	501(C)(3)	$13,500	Community Svcs
Presbyterian Homes & Family Services Inc DBA Hum
1903 Humankind Way	Lynchburg	VA	24503	540346118	501(C)(3)	$13,500	Youth Svcs
Lynchburg Beacon of Hope
2600 Memorial Ave Suite 106	Lynchburg	VA	24501	453797831	501(C)(3)	$13,050	Community Svcs
Diamond Hill Health & Wellness Cmty Svcs
111 Wooldridge Circle	Lynchburg	VA	24502	813640570	501(C)(3)	$12,000	Healthcare
Birth In Color RVA Foundation
13805 VILLAGE MILL DR STE 201	MIDLOTHIAN	VA	23114	833221701	501(C)(3)	$12,000	Community Svcs
Altavista Area Campbell County H4H
1007 Main Street Suite B	ALTAVISTA	VA	24517	541793590	501(C)(3)	$10,000	Community Svcs
Amazement Square
27 Ninth Street	Lynchburg	VA	24504	541713204	501(C)(3)	$10,000	Community Svcs
BOYS & GIRLS CLUB OF GREATER LYNCHBURG
1101 Madison St	Lynchburg	VA	24504	200199894	501(C)(3)	$10,000	Healthcare
Camp Kum Ba Yah Inc
4415 Boonsboro Rd	Lynchburg	VA	24503	541218073	501(C)(3)	$10,000	Healthcare
Children's Assistive Technology Service
12801 Moneta Road	Moneta	VA	24121	464866068	501(C)(3)	$10,000	Community Svcs
Coalition for HIV Awareness & Prevention
P O Box 161	Lynchburg	VA	24506	311736924	501(C)(3)	$10,000	Healthcare
FREE Foundation for Rehab Equip and Endow
1900 Tate Springs Rd Suite 21	Lynchburg	VA	24501	541934695	501(C)(3)	$10,000	Healthcare
The UP Foundation
2420 Memorial Avenue The UP Founda	Lynchburg	VA	24501	471960657	501(C)(3)	$10,000	Healthcare
Virginia Legal Aid Society
513 Church Street	Lynchburg	VA	24504	510226448	501(C)(3)	$10,000	Community Svcs
Lynchburg Symphony Orchestra
621 Court St	Lynchburg	VA	24504	521304854	501(C)(3)	$10,000	Community Svcs
United Way of Central Virginia
1010 Miller Park Square	Lynchburg	VA	24501	540505923	501(C)(3)	$10,000	Community Svcs
Adult Care Center of Central Virginia Inc
621 Court Street	Lynchburg	VA	24504	541297050	501(C)(3)	$9,000	Community Svcs
Danville Community College Educational Fdn
1008 South Main Street	Danville	VA	24541	541213521	501(C)(3)	$9,000	Meals
DePaul Community Resources
5650 Hollins Road	Roanoke	VA	24019	541108079	501(C)(3)	$9,000	Community Svcs
Gleaning For The World
7539 Stage Road	Concord	VA	24538	541930105	501(C)(3)	$9,000	Community Svcs
Greater Lynchburg Community Foundation
1100 Commerce St	Lynchburg	VA	24504	546112680	501(C)(3)	$9,000	Community Svcs
One Community One Voice Lynchburg
825 Taylor Street	Lynchburg	VA	24504	542754128	501(C)(3)	$9,000	Meals
Lynchburg Road Runners
2301 Rivermont Avenue	Lynchburg	VA	24503	541796447	501(C)(3)	$8,000	Community Svcs
Harvest Outreach Center Inc
2193 Sunnymeade Rd	Rustburg	VA	24588	201927928	501(C)(3)	$6,750	Community Svcs
American Red Cross of Blue Ridge Virginia
3700 Candlers Mountain Road Suite	Lynchburg	VA	24502	530196605	501(C)(3)	$6,309	Community Svcs
Camp Kum-Ba-Yah Inc
4415 Boonsboro Road	Lynchburg	VA	24503	541218073	501(C)(3)	$5,130	Youth Svcs

Field	Value	IRS element (for citing)
Total501c3 Org	49	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH I, PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMTTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AMY F CARRIER
PRESIDENT/CEO	$264,399	$0	$82,153	$0	$39,388	$0	$0	$0	$5,884	$0	$391,824	$0	$0	$0
GEETA RAKHERAM MD
DIRECTOR	$127,590	$0	$9,000	$0	$0	$0	$5,292	$0	$30,142	$0	$172,024	$0	$0	$0
VERNA R SELLERS MD
DIRECTOR	$244,353	$0	$13,500	$0	$1,663	$0	$9,194	$0	$10,446	$0	$279,156	$0	$0	$0
MATTHEW FOSTER
SVP CHIEF PHYSICIAN EXECUTIVE	$219,004	$0	$0	$0	$38,246	$0	$0	$0	$16,010	$0	$273,260	$0	$0	$0
CHRISTOPHER LEWIS
SVP CHIEF CLINICAL OFFICER	$368,115	$0	$10,000	$0	$106,657	$0	$48,210	$0	$48,211	$0	$581,193	$0	$0	$0
HOLLY TRENT
SVP CHIEF LEGAL OFFICER	$357,701	$0	$20,000	$0	$97,208	$0	$71,341	$0	$0	$0	$546,250	$0	$0	$0
RICHARD GROOMS
SVP CHIEF PEOPLE OFFICER	$320,271	$0	$45,000	$0	$68,909	$0	$74,479	$0	$58,163	$0	$566,822	$0	$0	$0
DOUGLAS DAVENPORT
SVP CHIEF FINANCIAL OFFICER	$533,769	$0	$45,000	$0	$56,262	$0	$114,900	$0	$21,694	$0	$771,625	$0	$0	$0
JOAN DEAL
INTERIM SVP CHIEF NURSING OFFI	$254,861	$0	$0	$0	$25,351	$0	$7,440	$0	$27,357	$0	$315,009	$0	$0	$0
MICHAEL ELLIOTT
SVP CHIEF TRANSFORMATION OFF	$396,955	$0	$20,000	$0	$181,270	$0	$84,570	$0	$39,773	$0	$722,568	$0	$0	$0
EILEEN CLARK
VP CIO	$374,268	$0	$10,000	$0	$49,179	$0	$59,054	$0	$25,496	$0	$517,997	$0	$0	$0
CURTIS BAKER
SVP CHIEF NURSING OFFICER	$0	$0	$0	$0	$189,588	$0	$0	$0	$0	$0	$189,588	$0	$0	$0
HOUMAN TAVAF-MOTAMEN
Doctor Medical	$881,468	$0	$34,167	$0	$19,106	$0	$4,027	$0	$27,752	$0	$966,520	$0	$0	$0
MATTHEW SACKETT
Doctor Medical	$899,828	$0	$131,000	$0	$20,438	$0	$6,537	$0	$53,954	$0	$1,111,757	$0	$0	$0
RICHARD KUK
Doctor Medical	$836,957	$0	$131,000	$0	$20,049	$0	$6,205	$0	$62,975	$0	$1,057,186	$0	$0	$0
SAMUEL OMOTOYE
Doctor Medical	$723,109	$0	$211,704	$0	$15,724	$0	$6,416	$0	$26,470	$0	$983,423	$0	$0	$0
KENNETH SAUM
Doctor Medical	$1,001,972	$0	$34,167	$0	$22,873	$0	$5,673	$0	$44,285	$0	$1,108,970	$0	$0	$0
RICHARD TUGMAN
INTERIM CEO (THRU AUG 2021)	$438,675	$0	$57,187	$0	$158,385	$0	$44,358	$0	$62,975	$0	$761,580	$0	$0	$0
ANDREW MUELLER MD
PRESIDENT/CEO	$173,273	$0	$0	$0	$46,675	$0	$3,271	$0	$10,819	$0	$234,038	$0	$0	$0
TABITHA CULBERTSON
VP SITE ADMINISTRATOR LAC	$254,861	$0	$0	$0	$25,351	$0	$7,440	$0	$27,357	$0	$315,009	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4A:

CURTIS BAKER RECEIVED A SEVERANCE PAYMENT DURING 2021 IN THE AMOUNT OF $189,588, INCLUDED IN HIS TAXABLE INCOME. THE TERMS OF THE SEVERANCE AGREEMENT WERE CONSISTENT WITH INDUSTRY STANDARDS.

SCHEDULE J, PART I, LINE 4B:

NO INDIVIDUALS HAD A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2021. THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2021. NAME TITLE AMOUNT OF DEFERRAL DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER 106,200 MICHAEL ELLIOTT SVP CHIEF TRANSFORMATION OFFICER 76,757 RICHARD GROOMS SVP CHIEF PEOPLE OFFICER 64,400 HOLLY TRENT SVP CHIEF LEGAL OFFICER 63,520 EILEEN CLARK VP CIO 50,250 CHRISTOPHER LEWIS SVP CHIEF CLINICAL OFFICER 48,210 RICHARD TUGMAN INTERIM CEO 44,358

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ECON DEVEL AUTH OF LYNCHBURG-2017 ABCD
A	541225193	2017-07-25	$237,637,669	REFUNDING/NEW CONSTRUCTION	false	false	false
ECON DEVEL AUTH OF LYNCHBURG-2014 AB
B	541225193	2014-09-10	$79,895,000	NEW CONSTRUCTION	false	false	false
ECON DEVEL AUTH OF LYBG-2020 AB
C	541225193	2020-08-01	$150,000,000	NEW CONSTRUCTION	false	false	false
ECON DEVEL AUTH OF LYBG-2021
D	541225193	2021-11-27	$215,430,000	REFUNDING/NEW CONSTRUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$25,832,669	$0	$237,637,669	$0	$0	$0	$2,106,046	$0	$0	$50,000,000	$185,531,623	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$65,444,784	$0	$79,895,000	$0	$0	$0	$443,536	$0	$0	$65,485,248	$13,966,216	$0	false	false	Yes (true)	Yes (true)
C	$150,000,000	$0	$150,025,300	$0	$0	$0	$1,074,593	$0	$0	$0	$0	$150,025,300	false	false	false	Yes (true)
D	$0	$0	$246,263,579	$0	$0	$0	$2,505,652	$0	$0	$0	$212,848,668	$30,909,259	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
D	false	Yes (true)	Yes (true)	Yes (true)	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false		Yes (true)	false	false	0	false	Yes (true)	Yes (true)
0
D	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE A, COL. (A)	PART I, LINE A, COL (A) ECONCOMIC DEVELOPMENT OF THE CITY OF LYNCHBURG, VA 2014 A, B BONDS PART I, LINE B, COL (A) ECONCOMIC DEVELOPMENT OF THE CITY OF LYNCHBURG, VA 2017 A, B, C, D BONDS PART I, LINE C, COL (A) ECONCOMIC DEVELOPMENT OF THE CITY OF LYNCHBURG, VA 2020 A, B BONDS PART I, LINE D, COL (A) ECONCOMIC DEVELOPMENT OF THE CITY OF LYNCHBURG, VA 2021 BONDS PART I, LINE A, COL (C) - CUSIP #55123TAU6, #55123TAW2, #55123TAT9, #55123TAS1 PART I, LINE B, COL (C) - CUSIP #55123TAX0, #55123TAY8 PART I, LINE D, COL (C) - CUSIP #55123TAZ5, #55123TBA9, #55123TBB7, #55123TBC5, #55123TBD3, #55123TBE1, #55123TBF8, #55123TBG6, #55123TBH4, #55123TBJ0, #55123TBK7, #55123TBL5, #55123TBM3, #55123TBN1, #55123TBP6, #55123TBQ4, #55123TBR2, #55123TBS0 PART I, LINE D, COL (F) - THE PURPOSE OF THE ISSUE WAS NEW CONSTRUCTION AND REFUND OF EDA CITY OF LYNCHBURG SERIES 2017A, 2017B, 2017C, AND 2017D
PART II, LINE 12, COL. (B) -	REGARDING THE 2014 A, B BOND. THIS BOND WAS ISSUED IN A DRAWDOWN STRUCTURE AND THE ENTIRE AMOUNT WAS NOT DRAWN AND IS NOT EXPECTED TO BE COMPLETELY DRAWN.
PART IV, LINE 2C COL. (A) -	CENTRA HEALTH SERIES 2017 A, B, C, D BONDS: A REBATE CALCULATION WAS PERFORMED ON SEPTEMBER 13, 2019, FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL REVENUE AND REFUNDING BONDS, SERIES 2017 A, B, C, D. THE SERIES 2017 A, B, C, D WAS REFUNDED BY THE ISSUANCE OF THE SERIES 2020 A, B BONDS.
PART IV, LINE 2C COL. (B) -	CENTRA HEALTH SERIES 2014 A&B BONDS: A REBATE CALCULATION WAS PERFORMED ON OCTOBER 30, 2018 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL BONDS SERIES 2014 A & B. NO FURTHER REVIEWS SHOULD BE REQUIRED FOR THIS SERIES 2014 A & B BOND ISSUE.
PART IV, LINE 2C COL. (C) -	CENTRA HEALTH SERIES 2020 A, B BONDS: A REBATE CALCULATION WAS PERFORMED ON NOVEMBER 17, 2021 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL REVENUE AND REFUNDING BONDS, SERIES 2020 A, B. THE NEXT ARBITRAGE REBATE CALCULATION WILL BE IN SEPTEMBER 2022.
PART IV, LINE 2C COL. (D) -	CENTRA HEALTH SERIES 2021 BONDS: A REBATE CALCULATION WAS PERFORMED ON NOVEMBER 1, 2021 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL REVENUE AND REFUNDING BONDS, SERIES 2021. THE NEXT ARBITRAGE REBATE CALCULATION WILL BE IN 2026.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 Part III, Line 3:	DURING 2021 THE LONG TERM CARE FACILITIES WERE SOLD.
Form 990 Part III, Line 4A:	HOWEVER, JUST AS IMPORTANT IS CENTRA'S COMMITMENT AND DEDICATION TO SERVING AS A PARTNER IN THE REGIONAL COMMUNITIES. DISEASE PREVENTION AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES THROUGHOUT THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND EDUCATIONAL PROGRAMS, CENTRA IS COMMITTED TO PROVIDING THE BEST HEALTH CARE FOR ITS PATIENTS AND IMPROVING THE HEALTH AND WELLNESS OF ALL THE RESIDENTS OF CENTRAL VIRGINIA. CENTRA EMPLOYEES DEDICATE THEMSELVES TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY BY TAKING AN ACTIVE ROLE IN THE REGION, FROM VOLUNTEERING FOR LOCAL BOARDS AND CIVIC AND COMMUNITY ORGANIZATIONS TO PARTICIPATING IN COMMUNITY EVENTS. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF THE REGION AND TAKES GREAT PRIDE IN PROVIDING FACILITIES, RESOURCES AND EXPERTISE TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE THROUGHOUT CENTRAL VIRGINIA. IN 2021, CENTRA HELD MANY NATIONAL AWARDS AND ACCOLADES, SUCH AS; * 4-STAR CMS RATING THESE RANKINGS CAN BE FOUND ON THE CMS HOSPITAL COMPARE WEBSITE, THAT IS PROVIDED TO THE PUBLIC TO HELP PATIENTS MAKE EDUCATED DECISIONS. DATA IS ANALYZED IN CATEGORIES SUCH AS COMMUNICATION WITH NURSES, RESPONSIVENESS OF PHYSICIANS AND STAFF, READMISSIONS AND MORTALITY RATES, TIMELY AND EFFECTIVE CARE AND PAYMENT AND VALUE OF SERVICES. * MAGNET STATUS AMERICAN NURSES CREDENTIALING CENTER- THE AMERICAN NURSES CREDENTIALING CENTER HAS RE-DESIGNATED CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS AS MAGNET FACILITIES WHICH RECOGNIZE EXCELLENCE IN NURSING. CENTRA MEDICAL GROUP WAS ALSO AWARDED MAGNET STATUS. CENTRA WAS THE FIRST HEALTHCARE SYSTEM IN CENTRAL VIRGINIA TO ACHIEVE MAGNET STATUS IN 2006. * JOINT COMMISSION ADVANCED CERTIFICATION FOR PALLIATIVE CARE ADVANCED CERTIFICATION FOR PALLIATIVE CARE. PALLIATIVE CARE IS SPECIALIZED MEDICAL CARE FOCUSED ON PROVIDING PATIENTS WITH RELIEF FROM THE SYMPTOMS, PAIN, AND STRESS OF A SERIOUS ILLNESS ? WHATEVER THE DIAGNOSIS. THE GOAL IS TO IMPROVE QUALITY OF LIFE FOR BOTH THE PATIENT AND THE FAMILY. * BEST REGIONAL HOSPITALS - #6 IN VIRGINIA- US NEWS & WORLD REPORT CENTRA LYNCHBURG GENERAL HOSPITAL IS RANKED #6 OUT OF 87 HOSPITALS IN VIRGINIA. * DISEASE SPECIFIC STROKE CENTER CERTIFICATION- THE JOINT COMMISSION CENTRA NEUROLOGY CENTER ACHIEVED DISEASE SPECIFIC STROKE CENTER RECERTIFICATION WITH JOINT COMMISSION. THIS CERTIFICATION IS A REINFORCEMENT OF THE HIGH LEVEL OF QUALITY OUR CAREGIVERS PROVIDE FOR STROKE PATIENTS AND DEMONSTRATES THE ABILITY OF BOTH OUR INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLABORATE EFFECTIVELY TO IMPROVE THE HEALTH OF OUR COMMUNITIES. THIS IS A PARTICULARLY IMPORTANT ACHIEVEMENT BECAUSE OF THE HIGH VOLUME OF STROKE PATIENTS ACROSS OUR REGION WHO COME TO CENTRA FACILITIES FOR CARE. * QOPI CERTIFICATION- CENTRA HEMATOLOGY AND ONCOLOGY CLINIC QOPI CERTIFICATION REVIEWERS HAVE FOUND THAT YOUR PRACTICE HAS MET THE REQUIREMENTS FOR QOPI CERTIFICATION. THIS ACHIEVEMENT DEMONSTRATES A COMMITMENT TO EXCELLENCE AND ONGOING QUALITY IMPROVEMENT IN YOUR PRACTICE.
2021 COMMUNITY BENEFIT HIGHLIGHTS	CENTRA CONTINUES TO CONTRIBUTE MILLIONS OF DOLLARS TOWARD UNPAID COST OF PATIENT CARE, INCLUDING, BUT NOT LIMITED TO: - TRADITIONAL CHARITY CARE INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2021, $38,574,258 OF CHARGES AT AN ESTIMATED COST OF $11,408,466 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. - CHARGES OF $44,797,615 AT AN ESTIMATED COST OF $13,249,044 WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY DURING 2021. - THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THEREFORE, THE UNREIMBURSED CALCULATED COSTS OF CARE RENDERED TO MEDICARE PATIENTS TOTALED $145,626,545 IN 2021 . - UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS TOTALED $4,976,037 IN 2021. COMMUNITY EDUCATION & HEALTH SCREENINGS THE COVID 19 PANDEMIC NEGATIVELY IMPACTED 2021 COMMUNITY OUTREACH PROGRAMMING AT LYNCHBURG GENERAL HOSPITAL/VIRGINIA BAPTIST HOSPITAL. ALL ENTRIES WERE LISTED UNDER UNASSIGNED PROGRAMS (Z). THE FOLLOWING IS A LIST OF PROGRAMS AND NUMBER OF PARTICIPANTS. PROGRAM CANCER SURVIVORSHIP CLASSES 1 SESSION 66 PARTICIPANTS CHILDBIRTH EDUCATION CLASSES 12 SESSIONS 943 PARTICIPANTS LACTATION WARMLINE DISCHARGE COM 12 SESSIONS 2,435 PARTICIPANTS CANCER SUPPORT GROUP 6 SESSIONS 29 PARTICIPANTS CAREGIVER SUPPORT GROUP (CANCER) 2 SESSIONS 5 PARTICIPANTS YOUNG SURVIVORS' CANCER SUPPORT GROUP 2 SESSIONS 4 PARTICIPANTS PERINATAL OUTREACH NAVIGATION 12 SESSIONS 370 PARTICIPANTS PROSTATE CANCER SUPPORT GROUP 1 SESSION 3 PARTICIPANTS TOTAL COMMUNITY BENEFIT REALIZED FOR LYNCHBURG GENERAL HOSPITAL/VIRGINIA BAPTIST HOSPITAL IN 2021 IS $259.50. COMMUNITY CLASSES COMMUNITY HEALTH EDUCATION AND SUPPORT GROUPS WERE SIGNIFICANTLY IMPACTED BY THE CONTINUING COVID-19 PANDEMIC IN 2021. HOWEVER, LYNCHBURG GENERAL HOSPITAL AND VIRGINIA BAPTIST HOSPITAL WERE ABLE TO CONDUCT SEVERAL SESSIONS VIRTUALLY. EDUCATION CLASSES AND SUPPORT GROUPS WERE OPEN TO THE PATIENTS AND THE COMMUNITY. - CANCER SURVIVORSHIP CLASSES o ADDRESSED CANCER SURVIVORSHIP RELATED TOPICS, INCLUDING EXERCISE, LYMPHEDEMA, CHEMO BRAIN/COGNITION, SEXUALITY, NUTRITION, PHYSICIAN'S PERSPECTIVE/MEDICAL MANAGEMENT, Q&A AT NO COST. IN 2021, FIVE (5) SESSIONS WERE CONDUCTED WITH 66 PARTICIPANTS. - CHILDBIRTH EDUCATION CLASSES o EDUCATION TO HELP MEET THE NEEDS OF PREGNANT WOMEN THROUGH OUR CHILDBIRTH CLASSES, INCLUDING PREPARING FOR CHILDBIRTH, BREASTFEEDING, BABY CARE, INFANT SAFETY, AND NUTRITION AT NO COST. TWELVE (12) CLASSES WERE HELD IN 2021 WITH 943 PARTICIPANTS. - LACTATION WARMLINE DISCHARGE COMMUNICATION o THE LACTATION WARMLINE IS AN OPPORTUNITY FOR POSTPARTUM WOMEN TO SPEAK DIRECTLY TO A CERTIFIED LACTATION CONSULTANT ON THE PHONE AT NO COST. LACTATION DISCHARGE CHECK-UP CALLS WERE ALSO ADDED AS A WAY TO PROVIDE BREASTFEEDING SUPPORT FOR POSTPARTUM MOTHERS AFTER BABY CAF (BREASTFEEDING) SUPPORT GROUPS WERE CANCELLED DUE TO COVID-19. IN 2021, THE LACTATION WARMLINE PROVIDED EDUCATION TO 2,435 WOMEN SEEKING SUPPORT. - PERINATAL OUTREACH NAVIGATION o PERINATAL OUTREACH NAVIGATION PROVIDES ADDITIONAL SUPPORT TO ENSURE PRENATAL CARE IS OBTAINED IN PREGNANCY AND POSTPARTUM. RESOURCES PROVIDED DEPENDING ON NEED - EXAMPLE: TRANSPORTATION, APPOINTMENT SCHEDULED FOR HIGH-RISK PREGNANCY, SUBSTANCE ABUSE, COUNSELING OR PRENATAL CARE, ASSISTANCE WITH OBTAINING MEDICAID. PERINATAL NURSE NAVIGATORS ASSISTED 370 WOMEN IN 2021. SUPPORT GROUPS SUPPORT GROUPS, OFFERED TO THE COMMUNITY WITHOUT CHARGE, PROVIDE A FORUM FOR EDUCATION AND THE EXCHANGE OF IDEAS. THESE GROUPS ADDRESS AN ARRAY OF ISSUES. - CANCER SUPPORT GROUP o THE SUPPORT GROUP OFFERS CANCER SURVIVORS THE OPPORTUNITY TO SUPPORT EACH OTHER THROUGH THEIR JOURNEY. IN 2021, SIX (6) SESSIONS WERE ATTENDED BY 29 PARTICIPANTS. EXPENSES WERE $94.00. - CAREGIVER SUPPORT GROUP (CANCER) o THE SUPPORT GROUP ADDRESSES THE NEEDS OF CANCER CAREGIVERS AND PROVIDES SUPPORT TO THEM AND EACH OTHER. IN 2021, TWO (2) SESSIONS WERE ATTENDED BY FIVE (5) CAREGIVERS. EXPENSES WERE $35.00. - YOUNG SURVIVORS' CANCER SUPPORT GROUP o THE SUPPORT GROUP OFFERS YOUNG CANCER SURVIVORS THE OPPORTUNITY TO SUPPORT EACH OTHER THROUGH THEIR JOURNEY. IN 2021, TWO (2) SESSIONS WERE ATTENDED BY 4 PARTICIPANTS. EXPENSES WERE $70.50. - PROSTATE CANCER SUPPORT GROUP o THE SUPPORT GROUP OFFERS CANCER SURVIVORS THE OPPORTUNITY TO SUPPORT EACH OTHER THROUGH THEIR JOURNEY. IN 2021, ONE (1) SESSION WAS ATTENDED BY ONE (1) PARTICIPANT. EXPENSES WERE $60.00. IN-KIND & CASH DONATIONS DURING 2021, CENTRA HEALTH DONATED $350,369 IN MEDICAL SUPPLIES TO THE GLEANING OF THE WORLD ORGANIZATION. DURING 2021, APPROXIMATELY 82,752 MEALS WER PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF APPROXIMATELY $256,531. FORENSIC NURSE PROGRAM THE FORENSIC NURSE PROGRAM BEGAN IN 1997. IT CONSISTS OF REGISTERED NURSES TRAINED IN THE COLLECTION OF FORENSIC EVIDENCE. THE FORENSIC NURSES WORK WITH LAW ENFORCEMENT, SOCIAL SERVICES AND THE COURT SYSTEM. NURSES RESPOND TO VICTIMS OF PHYSICAL ASSAULT, SEXUAL ASSAULT AND ABUSE AND NEGLECT IN BOTH THE ADULT AND PEDIATRIC POPULATION. THEY ALSO PROVIDE EDUCATIONAL/TRAINING LECTURES TO RESCUE AGENCIES, POLICE DEPARTMENTS, POLICE ACADEMY, ATTORNEYS AND VARIOUS COLLEGES INCLUDING THE CRIMINAL JUSTICE AND NURSING PROGRAMS. THIS PROGRAM SERVES CLIENTS FROM CENTRAL VIRGINIA AND THE SURROUNDING AREA. IN 2021, THE PROGRAM SAW 922 PATIENTS AND HAD AN ADDITIONAL 589 CONSULTS. LGH GRETNA CAC TOTAL CONSULTS 374 58 N/A 432 PATIENTS 547 128 152 855 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. IN 2021, LYNCHBURG HOSPICE VOLUNTEERS DONATED 3,450.28 HOURS OF SERVICE TO THE HOSPICE PROGRAM. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO GROCERY SHOPPING, MEAL, AND MEDICATION DELIVERY. VOLUNTEERS DEVELOPED A NEW PROGRAM OF SENDING CARDS, PHONE CALLS AND SMALL GIFTS TO PATIENTS AND FAMILIES. HOSPICE MEMORIAL SERVICES MOVED TO ON VIRTUAL FORMAT ON FACEBOOK LIVE. DEVELOPING A NEW VIRTUAL SERVICE WHICH WAS PROVIDE EACH QUARTER. OUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 2,469.20 MILES IN 2021.
FORM 990, PART VI, SECTION A, LINE 2:	BOARD MEMBER PETER CARPISE, MD, IS A BOARD MEMBER OF THE SURGERY CENTER OF LYNCHBURG, A 50% JOINT VENTURE OF CENTRA HEALTH, INC.
FORM 990, PART VI, SECTION A, LINES 8 A & B:	MINUTES ARE TAKEN AT EACH MEETING.
FORM 990, PART VI, SECTION B, LINE 11B:	CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, CENTRA REVIEWED THE FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12 C:	ALL CENTRA OFFICERS AND DIRECTORS MUST COMPLETE A "POSSIBLE CONFLICT OF INTEREST" QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINES 15 A & 15B:	CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS FOUR ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL 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 COMPENSATION COMMITTEE IS ALSO RESPONSIBLE FOR THE REVIEW AND APPROVAL OF SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF CENTRA, BASED ON THE RECOMMENDATIONS MADE BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES.
FORM 990, PART VI, SECTION B, LINE 16B:	JOINT VENTURE POLICY - CENTRA HEALTH, INC. ADOPTED A JOINT VENTURE POLICY, IN 2014, WHICH REQUIRES THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW AND TAKE STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 18:	PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. ADDITIONALLY, FILINGS OF THE FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19:	THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AT ITS ADMINISTRATIVE OFFICE UPON REQUEST.
FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS	CHANGE IN PENSION REPORTING 22,248,694 EQUITY CONTRIBUTIONS (1,600,827) NET PERIODIC PENSION COST (10,945,438) BOOK TAX/SWAP 1,433,886 DEBT EXTINGUISHMENT (1,286,658) MINORITY INTEREST/INVEST SUBS 6,354,980
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PHYS REMUNERATION TOTAL FEES:53126503
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CONTRACT LBR TOTAL FEES:42329366
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCH SVCS TOTAL FEES:26944099
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER MED PURCH SVC TOTAL FEES:16542900
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CAP MED CLAIMS TOTAL FEES:7324199
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CHIC TOTAL FEES:5935417
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CLEARNING SVCS TOTAL FEES:1452522
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER COMMUNITY AWARENESS TOTAL FEES:147272

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CENTRA HEALTH INDEMNITY COMPANY LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	270927253	CAPTIVE INSUR	VT	$6,179,160	$35,943,298	CENTRA HEALT
CENTRAL VA HOSPITAL FOR RESTORATIVE CARE
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	204712023	HEALTHCARE	VA	$10,845,039	$3,854,178	CENTRA HEALT
CENTRA MEDICAL GROUP LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	203639329	PHYSICIAN SVC	VA	$196,335,570	$84,412,536	CENTRA HEALT
CENTRAL VA QUALITY CARE NETWORK LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	474453641	INT. NETWORK	VA	$8,878	$190,558	CENTRA HEALT
CENTRA OP REHABILITATION SERVICES LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	471052716	OP REHAB	VA	$5,776,781	$1,020,295	CENTRA HEALT

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
SOUTHSIDE COMMUNITY HOSPITAL
800 OAK STREET	FARMVILLE	VA	23901	540555201	HEALTHCARE	VA	501(C)(3)	LINE 3	NA	Yes (true)
CCRC INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541929580	HEALTHCARE	VA	501(C)(3)	LINE 12A, I	NA	Yes (true)
CENTRA HEALTH FOUNDATION INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541604094	SUPPORTING OR	VA	501(C)(3)	LINE 12A, I	NA	Yes (true)
BEDFORD MEMORIAL HOSPITAL
1613 OAKWOOD STREET	BEDFORD	VA	24523	540566100	HEALTHCARE	VA	501(C)(3)	LINE 3	NA	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
GENERAL BUSINESS CONCERNS INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541299682	REAL ESTATE-P	VA	NA	C Corp	$497,973	$2,204,666	1.00000	Yes (true)
PCHP HOLDING INC
2316 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541749492	HOLDING CO.	VA	NA	C Corp	$0	$21,406,372	1.00000	Yes (true)
PIEDMONT COMMUNITY HEALTH PLAN INC
2316 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541755768	HEALTH INS	VA	NA	C Corp	$65,923,483	$65,681,939	1.00000	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CENTRA HEALTH FOUNDATION INC
B	$3,017,263	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
K	$292,341	BOOK VALUE
GENERAL BUSINESS CONCERNS INC
K	$242,447	BOOK VALUE
BEDFORD MEMORIAL HOSPITAL
K	$208,474	BOOK VALUE
PCHP
K	$140,856	BOOK VALUE
PCHP
Q	$2,413,735	BOOK VALUE
CCRC INC
S	$10,148,542	BOOK VALUE