2022-11-12T09:54:14-06:00 2021-12-31 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2021-01-01 540715569 CENTRA HEALTH INC % TIM FRITZ CONTROLLER CENT 4342004712 1920 Atherholt Road Lynchburg VA 24501 DOUGLAS DAVENPORT SVP CFO 4342004712 2022-11-09 true DOUGLAS DAVENPORT 999009999 Marc Berger P01871563 7038930600 2 2021 2022-09-23 18:48:47Z DOUGLAS DAVENPORT 1920 Atherholt Road Lynchburg VA 24501 1400804117 false X www.centrahealth.com X 1962 VA To Improve the Health and Quality of life for the Communities we Serve. 15 13 7294 516 4091319 0 51301248 42486990 977244501 1058858716 50644492 49755040 19277210 13474936 1098467451 1164575682 708684 1686321 0 0 545121366 548531364 0 0 0 471720447 508019844 1017550497 1058237529 80916954 106338153 1863162363 1949948916 1073009044 995849983 790153319 954098933 X To Improve the Health and Quality of Life for the Communities we Serve. false true 845884994 1686321 1067948785 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. 845884994 true true false false false false false false false true true true false true true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false true true true true false false true 415 0 true 7294 true true true false false false false false false false false false false false X 15 13 true false false false false false false true true false false true true true true true true true true true true VA X TIM FRITZ CONTROLLER 4342004705 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 X MATTHEW SACKETT Doctor Medical 50.0 0.0 X 1051266 0 60491 KENNETH SAUM Doctor Medical 50.0 0.0 X 1059012 0 49958 RICHARD KUK Doctor Medical 50.0 0.0 X 988006 0 69180 SAMUEL OMOTOYE Doctor Medical 50.0 0.0 X 950537 0 32886 HOUMAN TAVAF-MOTAMEN Doctor Medical 50.0 0.0 X 934741 0 31779 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER 50.0 2.0 X 635031 0 136594 RICHARD TUGMAN INTERIM CEO (THRU AUG 2021) 50.0 4.0 X X 654247 0 107333 MICHAEL ELLIOTT SVP CHIEF TRANSFORMATION OFF 50.0 0.0 X 598225 0 124343 CHRISTOPHER LEWIS SVP CHIEF CLINICAL OFFICER 50.0 0.0 X 484772 0 96421 RICHARD GROOMS SVP CHIEF PEOPLE OFFICER 50.0 0.0 X 434180 0 132642 HOLLY TRENT SVP CHIEF LEGAL OFFICER 50.0 0.0 X 474909 0 71341 EILEEN CLARK VP CIO 50.0 0.0 X 433447 0 84550 AMY F CARRIER PRESIDENT/CEO 50.0 0.0 X X 385940 0 5884 JOAN DEAL INTERIM SVP CHIEF NURSING OFFI 50.0 0.0 X 280212 0 34797 TABITHA CULBERTSON VP SITE ADMINISTRATOR LAC 50.0 0.0 X 280212 0 34797 VERNA R SELLERS MD DIRECTOR 50.0 2.0 X 259516 0 19640 MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE 50.0 0.0 X 257250 0 16010 ANDREW MUELLER MD PRESIDENT/CEO 50.0 2.0 X X 219948 0 14090 CURTIS BAKER SVP CHIEF NURSING OFFICER 50.0 0.0 X 189588 0 0 GEETA RAKHERAM MD DIRECTOR 2.0 0.0 X 136590 0 35434 AMY G RAY BOARD CHAIR 2.0 0.0 X X 0 0 0 GEORGE R ZIPPEL BOARD VICE-CHAIR 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529129009 435288838 93900171 54128776 9086054 45042722 358995932 INVEST CAPITAL-CONTROLLED ENT 249905527 F 249905527 DUE FROM RELATED PARTIES 49116500 OTHER RECEIVABLES 36297469 OTHER ASSETS 18754499 104168468 0 INTEREST RATE SWAP 14251467 OTHER LIABILITIES 77442054 DUE TO RELATED PARTIES 104674147 EST PAYABLE TO 3RD PARTY 24057004 220424672 X 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. true true X true X true X true false true true 11408466 11408466 0.01080 176039223 171063186 4976037 0.00470 187447689 171063186 16384503 0.01550 260 260 23810533 12396112 11414421 0.01090 606900 606900 0.00060 24417693 12396112 12021581 0.01150 211865382 183459298 28406084 0.02700 true 44797615 306273633 372324327 -66050694 X true true CENTRAL VIRGINIA IMA IMAGING SERVICES 0.5 0.5 THE SURGERY CENTER O OUTPATIENT SURGERY SVCS 0.5 1.0 0.49 3 1 LYNCHBURG GENERAL HOSPITAL 1901 TATE SPRINGS ROAD LYNCHBURG VA 24501 WWW.CENTRAHEALTH.COM X X X 2 VIRGINIA BAPTIST HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 WWW.CENTRAHEALTH.COM X X 3 CENTRA SPECIALTY HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 WWW.CENTRAHEALTH.COM X LONG TERM CARE LYNCHBURG GENERAL HOSPITAL 1 false false true X X X X X X X X X 21 true true false true X WWW.CENTRAHEALTH.COM X X true 21 true WWW.CENTRAHEALTH.COM false true X 200. 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false VIRGINIA BAPTIST HOSPITAL 2 false false true X X X X X X X X X 21 true true false true X WWW.CENTRAHEALTH.COM X X true 21 true WWW.CENTRAHEALTH.COM false true X 200. 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false CENTRA SPECIALTY HOSPITAL 3 false false true X X X X X X X X X 21 true true false true X WWW.CENTRAHEALTH.COM X X true 21 true WWW.CENTRAHEALTH.COM false true X 200. 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X false X X false false 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. 84 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 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 true Roads To Recovery Inc 3000 Langhorne Rd Lynchburg VA 24501 462885411 501(C)(3) 75000 Healthcare Central VA Alliance for Com Living Inc 501 12th Street Lynchburg VA 24504 510189604 501(C)(3) 60000 Healthcare Community Access Network 800 5th Street Lynchburg VA 24504 475194456 501(C)(3) 43628 Healthcare Young Men's Christian Assoc of Central VA 1309 Church Street Lynchburg VA 24504 540505924 501(C)(3) 40000 Academics Impact Living Services 316 Brook Park Pl Forest VA 24551 454769701 501(C)(3) 33750 Youth Svcs Meals on Wheels Inc P O Box 1388 Lynchburg VA 24505 237399875 501(C)(3) 25000 Meals Academy Center of the Arts 600 MAIN ST LYNCHBURG VA 24504 237061145 501(C)(3) 25000 Community Svcs Blue Ridge Area Food Bank PO Box 937 Verona VA 24482 521202644 501(C)(3) 25000 Community Svcs United Way of Central Virginia 1010 Miller Park Square Lynchburg VA 24501 540505923 501(C)(3) 25000 Community Svcs Virginia Amateur Sports Inc 711 C 5th Street Roanoke VA 24018 541500181 501(C)(3) 25000 Community Svcs Lynchburg Grows 1339 Englewood Street Lynchburg VA 24501 200934133 501(C)(3) 22750 Scholarships & Food Elizabeth's Early Learning Center Inc 2320 Bedford Avenue Lynchburg VA 24503 541808771 501(C)(3) 22500 Youth Svcs Lynchburg Daily Bread 721 Clay Street Lynchburg VA 24504 521268749 501(C)(3) 22500 Meals Lynchburg Daily Bread 721 CLAY ST LYNCHBURG VA 24504 521268749 501(C)(3) 20000 Meals Miriam's House 409 Magnolia Street Lynchburg VA 24503 541606543 501(C)(3) 20000 Community Svcs Second Stage Amherst 194 Second Street Amherst VA 24521 470964590 501(C)(3) 20000 Meals PPL Foundation 24 Military Drive Chatham VA 24531 521315406 501(C)(3) 17500 Community Svcs The Listening PO Box 515 Lynchburg VA 24504 812429529 501(C)(3) 17500 Community Svcs Free Clinic of Central Virginia Inc 1016 Main Street Lynchburg VA 24504 541420756 501(C)(3) 16200 Healthcare Interfaith Outreach Association 701 Clay St Lynchburg VA 24504 541214253 501(C)(3) 15000 Community Svcs Johnson Health Center 134 Elon Rd Madison Heights VA 24572 541287905 501(C)(3) 15000 Healthcare Jubilee Family Development Center 1512 Florida Avenue Lynchburg VA 24501 541881948 501(C)(3) 15000 Youth Svcs Brook Hill Retirement Ctr for Horses Inc 7289 Bellevue Rd Forest VA 24551 542058686 501(C)(3) 13500 Youth Svcs Habitat for Humanity International Inc 360 Alleghany Avenue Lynchburg VA 24501 541464802 501(C)(3) 13500 Community Svcs Presbyterian Homes & Family Services Inc DBA Hum 1903 Humankind Way Lynchburg VA 24503 540346118 501(C)(3) 13500 Youth Svcs Lynchburg Beacon of Hope 2600 Memorial Ave Suite 106 Lynchburg VA 24501 453797831 501(C)(3) 13050 Community Svcs Diamond Hill Health & Wellness Cmty Svcs 111 Wooldridge Circle Lynchburg VA 24502 813640570 501(C)(3) 12000 Healthcare Birth In Color RVA Foundation 13805 VILLAGE MILL DR STE 201 MIDLOTHIAN VA 23114 833221701 501(C)(3) 12000 Community Svcs Altavista Area Campbell County H4H 1007 Main Street Suite B ALTAVISTA VA 24517 541793590 501(C)(3) 10000 Community Svcs Amazement Square 27 Ninth Street Lynchburg VA 24504 541713204 501(C)(3) 10000 Community Svcs BOYS & GIRLS CLUB OF GREATER LYNCHBURG 1101 Madison St Lynchburg VA 24504 200199894 501(C)(3) 10000 Healthcare Camp Kum Ba Yah Inc 4415 Boonsboro Rd Lynchburg VA 24503 541218073 501(C)(3) 10000 Healthcare Children's Assistive Technology Service 12801 Moneta Road Moneta VA 24121 464866068 501(C)(3) 10000 Community Svcs Coalition for HIV Awareness & Prevention P O Box 161 Lynchburg VA 24506 311736924 501(C)(3) 10000 Healthcare FREE Foundation for Rehab Equip and Endow 1900 Tate Springs Rd Suite 21 Lynchburg VA 24501 541934695 501(C)(3) 10000 Healthcare The UP Foundation 2420 Memorial Avenue The UP Founda Lynchburg VA 24501 471960657 501(C)(3) 10000 Healthcare Virginia Legal Aid Society 513 Church Street Lynchburg VA 24504 510226448 501(C)(3) 10000 Community Svcs Lynchburg Symphony Orchestra 621 Court St Lynchburg VA 24504 521304854 501(C)(3) 10000 Community Svcs United Way of Central Virginia 1010 Miller Park Square Lynchburg VA 24501 540505923 501(C)(3) 10000 Community Svcs Adult Care Center of Central Virginia Inc 621 Court Street Lynchburg VA 24504 541297050 501(C)(3) 9000 Community Svcs Danville Community College Educational Fdn 1008 South Main Street Danville VA 24541 541213521 501(C)(3) 9000 Meals DePaul Community Resources 5650 Hollins Road Roanoke VA 24019 541108079 501(C)(3) 9000 Community Svcs Gleaning For The World 7539 Stage Road Concord VA 24538 541930105 501(C)(3) 9000 Community Svcs Greater Lynchburg Community Foundation 1100 Commerce St Lynchburg VA 24504 546112680 501(C)(3) 9000 Community Svcs One Community One Voice Lynchburg 825 Taylor Street Lynchburg VA 24504 542754128 501(C)(3) 9000 Meals Lynchburg Road Runners 2301 Rivermont Avenue Lynchburg VA 24503 541796447 501(C)(3) 8000 Community Svcs Harvest Outreach Center Inc 2193 Sunnymeade Rd Rustburg VA 24588 201927928 501(C)(3) 6750 Community Svcs American Red Cross of Blue Ridge Virginia 3700 Candlers Mountain Road Suite Lynchburg VA 24502 530196605 501(C)(3) 6309 Community Svcs Camp Kum-Ba-Yah Inc 4415 Boonsboro Road Lynchburg VA 24503 541218073 501(C)(3) 5130 Youth Svcs 49 SCH I, PART I, LINE 2: THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMTTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. X X X X true true false false false false false false false AMY F CARRIER PRESIDENT/CEO 264399 0 82153 0 39388 0 0 0 5884 0 391824 0 0 0 GEETA RAKHERAM MD DIRECTOR 127590 0 9000 0 0 0 5292 0 30142 0 172024 0 0 0 VERNA R SELLERS MD DIRECTOR 244353 0 13500 0 1663 0 9194 0 10446 0 279156 0 0 0 MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE 219004 0 0 0 38246 0 0 0 16010 0 273260 0 0 0 CHRISTOPHER LEWIS SVP CHIEF CLINICAL OFFICER 368115 0 10000 0 106657 0 48210 0 48211 0 581193 0 0 0 HOLLY TRENT SVP CHIEF LEGAL OFFICER 357701 0 20000 0 97208 0 71341 0 0 0 546250 0 0 0 RICHARD GROOMS SVP CHIEF PEOPLE OFFICER 320271 0 45000 0 68909 0 74479 0 58163 0 566822 0 0 0 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER 533769 0 45000 0 56262 0 114900 0 21694 0 771625 0 0 0 JOAN DEAL INTERIM SVP CHIEF NURSING OFFI 254861 0 0 0 25351 0 7440 0 27357 0 315009 0 0 0 MICHAEL ELLIOTT SVP CHIEF TRANSFORMATION OFF 396955 0 20000 0 181270 0 84570 0 39773 0 722568 0 0 0 EILEEN CLARK VP CIO 374268 0 10000 0 49179 0 59054 0 25496 0 517997 0 0 0 CURTIS BAKER SVP CHIEF NURSING OFFICER 0 0 0 0 189588 0 0 0 0 0 189588 0 0 0 HOUMAN TAVAF-MOTAMEN Doctor Medical 881468 0 34167 0 19106 0 4027 0 27752 0 966520 0 0 0 MATTHEW SACKETT Doctor Medical 899828 0 131000 0 20438 0 6537 0 53954 0 1111757 0 0 0 RICHARD KUK Doctor Medical 836957 0 131000 0 20049 0 6205 0 62975 0 1057186 0 0 0 SAMUEL OMOTOYE Doctor Medical 723109 0 211704 0 15724 0 6416 0 26470 0 983423 0 0 0 KENNETH SAUM Doctor Medical 1001972 0 34167 0 22873 0 5673 0 44285 0 1108970 0 0 0 RICHARD TUGMAN INTERIM CEO (THRU AUG 2021) 438675 0 57187 0 158385 0 44358 0 62975 0 761580 0 0 0 ANDREW MUELLER MD PRESIDENT/CEO 173273 0 0 0 46675 0 3271 0 10819 0 234038 0 0 0 TABITHA CULBERTSON VP SITE ADMINISTRATOR LAC 254861 0 0 0 25351 0 7440 0 27357 0 315009 0 0 0 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 A ECON DEVEL AUTH OF LYNCHBURG-2017 ABCD 541225193 2017-07-25 237637669 REFUNDING/NEW CONSTRUCTION false false false B ECON DEVEL AUTH OF LYNCHBURG-2014 AB 541225193 2014-09-10 79895000 NEW CONSTRUCTION false false false C ECON DEVEL AUTH OF LYBG-2020 AB 541225193 2020-08-01 150000000 NEW CONSTRUCTION false false false D ECON DEVEL AUTH OF LYBG-2021 541225193 2021-11-27 215430000 REFUNDING/NEW CONSTRUCTION false false false A 25832669 0 237637669 0 0 0 2106046 0 0 50000000 185531623 0 true false true true B 65444784 0 79895000 0 0 0 443536 0 0 65485248 13966216 0 false false true true C 150000000 0 150025300 0 0 0 1074593 0 0 0 0 150025300 false false false true D 0 0 246263579 0 0 0 2505652 0 0 0 212848668 30909259 true false true true A false false true true false 0 false false true B false true true true false 0 false false true C false false true true false 0 false false true D false true true true false 0 false false true A false true true false 0 false 0 false true B false true true false 0 false 0 false true C false true true false 0 false 0 false true D false true true false 0 false 0 false true A true B true C true D true 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. 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 CENTRA HEALTH INDEMNITY COMPANY LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 270927253 CAPTIVE INSUR VT 6179160 35943298 CENTRA HEALT CENTRAL VA HOSPITAL FOR RESTORATIVE CARE 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 204712023 HEALTHCARE VA 10845039 3854178 CENTRA HEALT CENTRA MEDICAL GROUP LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 203639329 PHYSICIAN SVC VA 196335570 84412536 CENTRA HEALT CENTRAL VA QUALITY CARE NETWORK LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 474453641 INT. 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