CENTRA HEALTH INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CENTRA HEALTH INC (EIN 54-0715569)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-13
IRS object ID: 202143179349300544
Schema version: 2020v4.1
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-13T15:13:36-06:00	ReturnTs
Tax Period End	2020-12-31	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	2020-01-01	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	% AMY CARRIER PRESIDENT/CEO	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	AMY CARRIER	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	4342004712	PhoneNum
Signature	2021-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	AMY	PersonFirstNm
Person Last	CARRIER	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	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	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	AMY CARRIER	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	$1,301,099,309	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	EXCELLENT CARE FOR LIFE	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	8520	TotalEmployeeCnt
Total Volunteers	512	TotalVolunteersCnt
Total Gross UBI	$1,079,186	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,086,633	PYContributionsGrantsAmt
CY Contributions Grants	$51,301,248	CYContributionsGrantsAmt
PY Program Service Revenue	$1,036,086,950	PYProgramServiceRevenueAmt
CY Program Service Revenue	$977,244,501	CYProgramServiceRevenueAmt
PY Investment Income	$34,829,567	PYInvestmentIncomeAmt
CY Investment Income	$50,644,492	CYInvestmentIncomeAmt
PY Other Revenue	$4,581,421	PYOtherRevenueAmt
CY Other Revenue	$19,277,210	CYOtherRevenueAmt
PY Total Revenue	$1,078,584,571	PYTotalRevenueAmt
CY Total Revenue	$1,098,467,451	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,540,495	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$708,684	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$569,392,411	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$545,121,366	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$499,110,885	PYOtherExpensesAmt
CY Other Expenses	$471,720,447	CYOtherExpensesAmt
PY Total Expenses	$1,070,043,791	PYTotalExpensesAmt
CY Total Expenses	$1,017,550,497	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,540,780	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$80,916,954	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,344,282,006	TotalAssetsBOYAmt
Total Assets EOY	$1,863,162,363	TotalAssetsEOYAmt
Total Liabilities BOY	$645,673,099	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,073,009,044	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$698,608,907	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$790,153,319	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	EXCELLENT CARE FOR LIFE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	Yes (true)	SignificantChangeInd
Expense	$787,334,552	ExpenseAmt
Grant	$708,684	GrantAmt
Revenue	$995,225,641	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	$787,334,552	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	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	689	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8520	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	AMY CARRIER PRESIDENTCEO	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 (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Key EmployeeKeyEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Andrew Mueller MD
President/CEO	50.0	2.0	Yes (X)	Yes (X)	$944,485	$0	$275,495
Audry Graham MD
Physician	50.0	0.0			$1,025,491	$0	$36,775	Yes (X)
Houman Tavaf-Motamen MD
Physician	50.0	0.0			$955,507	$0	$27,883	Yes (X)
Jordan Synkowski DO
Physician	50.0	0.0			$927,912	$0	$45,420	Yes (X)
Matthew Sackett MD
Physician	50.0	0.0			$876,144	$0	$52,161	Yes (X)
Kenneth Saum MD
Physician	50.0	0.0			$867,484	$0	$48,433	Yes (X)
Douglas Davenport
SVP/Chief Financial Officer	50.0	0.0			$590,425	$0	$125,857		Yes (X)
Chris Thomson MD
SVP/Chief Medical Officer	50.0	0.0			$538,546	$0	$130,126		Yes (X)
Michael Elliott
SVP/Chief Transformation OfF	50.0	2.0			$536,604	$0	$115,479		Yes (X)
Rick Grooms
SVP/Chief People Officer	50.0	0.0			$408,028	$0	$112,807		Yes (X)
Shelley Harris
SVP/Chief Nursing Officer	50.0	0.0			$432,808	$0	$69,222		Yes (X)
Richard Tugman
SVP/CEO PCHP	50.0	0.0			$420,559	$0	$78,857		Yes (X)
Holly Trent
SEC OF BOARD/SVP-CLO	50.0	0.0		Yes (X)	$433,320	$0	$65,918
David D Adams
SEC OF BOARD/EVP-CSO	50.0	0.0			$409,349	$0	$0			Yes (X)
Eileen Clark
SVP/Chief Information Officer	50.0	0.0			$299,542	$0	$80,730		Yes (X)
Curt Baker
SVP/Chief Nursing Officer	50.0	0.0			$330,706	$0	$1,638			Yes (X)
Janice Jan H Walker
SVP/Chf Admin OffICER	50.0	0.0			$285,583	$0	$0			Yes (X)
Verna R Sellers MD
Director	50.0	0.0	Yes (X)		$257,235	$0	$18,434
Jeff Wiggins
VP/Chief Compliance Officer	50.0	2.0			$218,623	$0	$28,798		Yes (X)
Georgia Harrington
SVP/Chief Operating Officer	50.0	0.0			$142,702	$0	$3,396		Yes (X)
Amy G Ray
Chairman of Board	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
George R Zippel
Vice-Chairman of Board	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Michael Bradford
Treasurer	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Hylan Hank Hubbard
Director	2.0	0.0	Yes (X)		$0	$0	$0
Julie P Doyle
Director	2.0	0.0	Yes (X)		$0	$0	$0
Matthew Foster MD
Director	2.0	0.0	Yes (X)		$0	$0	$0
Harold Harris Jr
Director	2.0	0.0	Yes (X)		$0	$0	$0
R Sackett Wood
Director	2.0	0.0	Yes (X)		$0	$0	$0
Thomas Nygaard MD
Director	2.0	0.0	Yes (X)		$0	$0	$0
Amanda Stanley
Director	2.0	0.0	Yes (X)		$0	$0	$0
D Todd Irby
Director	2.0	0.0	Yes (X)		$0	$0	$0
Peter Caprise MD
Director	2.0	0.0	Yes (X)		$0	$0	$0
Sharon Harrup
Director	2.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,901,053	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,317,429	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	746	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
HOSPITALIST ASSOCIATES OF VIRGINIA
2215 LANDOVER PLACE	LYNCHBURG	VA	24501	PHYSICIAN SERVICES	$28,817,896
VIZIENT INC
5543 LEGACY DRIVE	PLANO	TX	75024	CONTRACT LABOR SVCS	$14,389,089
LAB CORP
231 MAPLE AVE	BURLINGTON	NC	27215	DIAGNOSTIC TESTING	$4,008,138
HEALTHPRO HERITAGE
536 OLD HOWELL RD	GREENVILLE	SC	29615	HEALTHCARE SERVICES	$2,754,748
VA HOSPITAL LAUNDRY
1601 OLIVER HILL WA	RICHMOND	VA	23219	LAUNDRY SERVICES	$2,647,530

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	85	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,826,303	RelatedOrganizationsAmt
Government Grants	$47,092,615	GovernmentGrantsAmt
All Other Contributions	$1,382,330	AllOtherContributionsAmt
Total Contributions	$51,301,248	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	$892,316,203	$891,237,017	$1,079,186
ANCILLARY SERVICES	900099	$8,535,460	$8,535,460
TUITION & EDUCATION	611600	$29,313,223	$29,313,223
CONTROLLED ENTITIES	900099	$47,079,615	$47,079,615

Field	Value	IRS element (for citing)
Total Program Service Revenue	$977,244,501	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,289,282	TotalRevenueColumnAmt
Exclusion	$4,289,282	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	$216,884	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$216,884	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$216,884	TotalRevenueColumnAmt
Exclusion	$216,884	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$195,487,068	SecuritiesAmt
Other	$53,500,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$193,094,829	SecuritiesAmt
Other	$9,537,029	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,392,239	SecuritiesAmt
Other	$43,962,971	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$46,355,210	TotalRevenueColumnAmt
Exclusion	$46,355,210	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
CAFETERIA/VENDING/DIETARY	722210	$1,948,244	$1,948,244
MISCELLANEOUS REVENUE	900099	$17,112,082	$17,112,082

Field	Value	IRS element (for citing)
Other Revenue Total	$19,060,326	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,098,467,451	TotalRevenueColumnAmt
Related Or Exempt Func Income	$995,225,641	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,079,186	UnrelatedBusinessRevenueAmt
Exclusion	$50,861,376	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$708,684	TotalAmt
Program Services	$708,684	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,355,272	TotalAmt
Program Services	$6,060,488	ProgramServicesAmt
Management And General	$1,294,784	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$445,036,478	TotalAmt
Program Services	$366,694,541	ProgramServicesAmt
Management And General	$78,341,937	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$18,933,927	TotalAmt
Program Services	$8,309,691	ProgramServicesAmt
Management And General	$10,624,236	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$73,795,689	TotalAmt
Program Services	$66,781,037	ProgramServicesAmt
Management And General	$7,014,652	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

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

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$7,524,156	TotalAmt
Program Services	$5,738,643	ProgramServicesAmt
Management And General	$1,785,513	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,667,563	TotalAmt
Program Services	$67,311	ProgramServicesAmt
Management And General	$1,600,252	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$325,060	TotalAmt
Program Services	$49,750	ProgramServicesAmt
Management And General	$275,310	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,721,516	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,721,516	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$116,635,876	TotalAmt
Program Services	$90,310,622	ProgramServicesAmt
Management And General	$26,325,254	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,028,069	TotalAmt
Program Services	$244,195	ProgramServicesAmt
Management And General	$1,783,874	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$66,962,491	TotalAmt
Program Services	$29,437,875	ProgramServicesAmt
Management And General	$37,524,616	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$22,760,837	TotalAmt
Program Services	$143,969	ProgramServicesAmt
Management And General	$22,616,868	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$27,379,954	TotalAmt
Program Services	$19,314,524	ProgramServicesAmt
Management And General	$8,065,430	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,026,015	TotalAmt
Program Services	$1,740,245	ProgramServicesAmt
Management And General	$285,770	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,339,918	TotalAmt
Program Services	$1,058,723	ProgramServicesAmt
Management And General	$281,195	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,447,285	TotalAmt
Program Services	$10,020,490	ProgramServicesAmt
Management And General	$7,426,795	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$46,350,836	TotalAmt
Program Services	$25,435,657	ProgramServicesAmt
Management And General	$20,915,179	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,023,013	TotalAmt
Program Services	$690,249	ProgramServicesAmt
Management And General	$2,332,764	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$71,928,130	$71,928,130	$0	$0
DRUGS	$73,557,926	$73,557,926	$0	$0
COLLECTIONS EXPENSES	$9,041,802	$9,041,802	$0	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,017,550,497	TotalAmt
Program Services	$787,334,552	ProgramServicesAmt
Management And General	$230,215,945	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$37,649,939	BOYAmt
EOY	$114,640,486	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	$183,963,714	BOYAmt
EOY	$173,871,517	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	$23,577,164	BOYAmt
EOY	$19,327,460	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,653,242	BOYAmt
EOY	$10,275,640	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,119,208,334	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$738,987,408	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$400,952,321	BOYAmt
EOY	$380,220,926	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$400,757,414	BOYAmt
EOY	$795,028,272	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$228,304,847	BOYAmt
EOY	$241,648,510	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	$61,423,365	BOYAmt
EOY	$128,149,552	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,344,282,006	BOYAmt
EOY	$1,863,162,363	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$76,781,386	BOYAmt
EOY	$150,102,968	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	$736,898	BOYAmt
EOY	$336,947	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$417,109,680	BOYAmt
EOY	$545,554,097	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	$151,045,135	BOYAmt
EOY	$377,015,032	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$645,673,099	BOYAmt
EOY	$1,073,009,044	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	$626,136,082	BOYAmt
EOY	$709,650,892	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$72,472,825	BOYAmt
EOY	$80,502,427	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$698,608,907	BOYAmt
EOY	$790,153,319	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,344,282,006	BOYAmt
EOY	$1,863,162,363	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$80,916,954	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$33,309,804	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$22,682,346	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 C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$51,740	OtherActivitiesAmt
Total Lobbying Expenditures	$51,740	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(I):	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: A PORTION OF THE ORGANIZATION'S VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION (VHHA) DUES FOR 2020 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $51,740.	ExplanationTxt

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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,330,243	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,235,527	InvestmentEarningsOrLossesAmt
Other Expenditures	$621,910	OtherExpendituresAmt
End Year Balance	$40,943,860	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.03100	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.96900	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	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	$28,394,351	OtherCostOrOtherBasisAmt
Book Value	$28,394,351	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$502,569,779	OtherCostOrOtherBasisAmt
Depreciation	$268,861,634	DepreciationAmt
Book Value	$233,708,145	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,392,271	OtherCostOrOtherBasisAmt
Depreciation	$18,102,769	DepreciationAmt
Book Value	$6,289,502	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$528,383,068	OtherCostOrOtherBasisAmt
Depreciation	$452,023,005	DepreciationAmt
Book Value	$76,360,063	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$35,468,865	OtherCostOrOtherBasisAmt
Book Value	$35,468,865	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$380,220,926	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	$241,648,510	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$241,648,510	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTIES	$60,810,579
OTHER RECEIVABLES	$49,011,326
OTHER ASSETS	$18,327,647

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$128,149,552	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$19,891,623
INTEREST RATE SWAP	$15,650,069
OTHER LIABILITIES	$80,405,366
ACCRUED INTEREST PAYABLE	$7,102,353
OTHER ACCRUED EXPENSES	$5,167,000
DUE TO RELATED PARTIES	$102,196,318
EST PAYABLE TO 3RD PARTY	$146,602,303

Field	Value	IRS element (for citing)
Total Liability	$377,015,032	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:

Centra Health, Inc., CCRC, Inc., Foundation, Southside, and Bedford are exempt from income tax under Section 501 (a) of the Internal Revenue Code. Accordingly, no income taxes have been provided for these entities in the accompanying consolidated financial statements except for taxes related to certain unrelated business income engaged in by Centra. Centra Medical Group, LLC, CHIC, Centra Specialty Hospital, Healthworks, CVQCN, and Outpatient Rehab are disregarded for federal income tax purposes and, therefore, are included under Centra's tax return. Centra has adopted relevant accounting standards related to taxes for its subsidiaries, GBC, PCHP Holding, Inc. and PCHP. Under the asset-and-liability method for these standards, deferred tax assets and liabilities are recognized for the temporary differences between the financial statement carrying amounts and the tax basis of the subsidiary's assets and liabilities at income tax rates expected to be in effect when such amounts are realized or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in earnings in the period that includes the enactment date. CHIC is wholly owned by Centra Health, Inc. Any liability for taxes is passed through to Centra Health, Inc. A provision will be made when operations of this subsidiary indicates a liability for taxes. Centra has determined that it does not have any material unrecognized tax benefits or obligations as of December 31, 2020. Centra believes they are no longer subject to income tax examinations for years prior to December 31, 2017.

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	$11,807,564	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,807,564	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$164,818,880	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$159,485,728	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,333,152	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176,626,444	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$159,485,728	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,140,716	NetCommunityBenefitExpnsAmt
Total Expense	0.01690	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$61,722	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$61,722	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,172,207	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,845,784	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,326,423	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$708,683	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$708,683	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,942,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,845,784	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,096,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$191,569,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$167,331,512	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,237,544	NetCommunityBenefitExpnsAmt
Total Expense	0.02390	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$41,449,093	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$301,058,764	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$341,368,402	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$40,309,638	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	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
CENTRAL VIRGINIA IMA
IMAGING SERVICES	0.5	0.0	0.5
THE SURGERY CENTER O
OUTPATIENT SURGERY SVCS	0.5	0.01	0.49

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)	18	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	18	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)	18	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	18	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)	18	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (true)	18	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:	CENTRA ORGANIZED THREE COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY (CHNA) ADVISORY BOARDS - ONE FOR THE CENTRA HEALTH, LYNCHBURG REGION, ONE FOR THE BEDFORD MEMORIAL HOSPITAL, BEDFORD REGION, AND ONE FOR THE SOUTHSIDE COMMUNITY HOSPITAL, FARMVILLE REGION. THESE CHNA COMMUNITY ADVISORY BOARDS WERE COMPRISED OF COMMUNITY LEADERS REPRESENTING EDUCATION, BUSINESS, SOCIAL SERVICE AGENCIES, GOVERNMENT, PUBLIC HEALTH AUTHORITIES, COLLEGES (INCLUDING OUR LOCAL SCHOOL OF PUBLIC HEALTH), OTHER HEALTHCARE PROVIDERS, AND NEIGHBORHOOD CITIZEN ORGANIZATIONS IN AN EFFORT TO OBTAIN AS BROAD-BASED COMMUNITY INPUT AS POSSIBLE. PARTICIPANTS INCLUDED ORGANIZATIONS THAT REPRESENT THE NEEDS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. THE PARTICIPANTS OF THIS CHNA ASSESSMENT & IMPLEMENTATION PLAN WERE: 2018 LYNCHBURG AREA CORE TEAM - GREATER LYNCHBURG COMMUNITY FOUNDATION CENTRA- PITTSYLVANIA CENTRAL VIRGINIA HEALTH DISTRICT COMMUNITY ACCESS NETWORK CENTRA FOUNDATION BEDFORD COMMUNITY HEALTH FOUNDATION CENTRA- BEDFORD CENTRA- LYNCHBURG CENTRA- FARMVILLE PIEDMONT HEALTH DISTRICT CHRISTOPHER NYE CONSULTING PITTSYLVANIA/DANVILLE HEALTH DISTRICT UNITED WAY OF CENTRAL VIRGINIA COMMUNITYWORKS DATA ENTRY & ANALYSIS TEAM - LIBERTY UNIVERSITY CENTRA COLLEGE OF NURSING COMMUNITYWORKS VIRGINIA COMMONWEALTH UNIVERSITY 2018 LYNCHBURG AREA COMMUNITY HEALTH ASSESSMENT TEAM - YMCA RECREATION LYNCHBURG REDEVELOPMENT & HOUSING AUTHORITY HUMANKIND HUMAN GREATER LYNCHBURG COMMUNITY FOUNDATION LYNCHBURG CITY SCHOOLS PUBLIC SCHOOLS GREATER LYNCHBURG TRANSIT TRANSPORTATION CENTRA- ALAN B. PEARSON CANCER CENTER CENTRA HOSPITAL APPOMATTOX COUNTY DSS FAMILY SERVICES HORIZON BEHAVIORAL HEALTH PUBLIC BEHAVIORAL JOHNSON HEALTH CENTER HEALTH CENTRAL VIRGINIA COMMUNITY COLLEGE CENTRAL VA HEALTH DISTRICT PUBLIC HEALTH YWCA DOMESTIC-VIOLENCE SHELTERS LYNCHBURG COMMUNITY ACTION GROUP (LYN CAG) CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING (CVACL) HORIZON BEHAVIORAL HEALTH PUBLIC BEHAVIORAL HEALTH SYSTEM COMMUNITY ACCESS NETWORK HEALTH CENTER LYNCHBURG POLICE PUBLIC SAFETY CENTRA FOUNDATION LYNCHBURG MAYOR VDH PUBLIC HEALTH REGION 2000 LOCAL GOVERNMENT COUNCIL BEDFORD COMMUNITY HEALTH FOUNDATION CITY OF LYNCHBURG CITY GOVERNMENT HEALTH COLLABORATIVE- DANVILLE COMMUNITY COALITION LYNCHBURG PARKS AND RECREATION LIBERTY UNIVERSITY EDUCATION LACIL DISABILITY SERVICES AMHERST COUNTY DSS FAMILY SERVICES STEPHANIE MCBRIDE CENTRA HOSPITAL LYNCHBURG POLICE DEPARTMENT PUBLIC SAFETY LIBERTY UNIVERSITY INTERN STUDENT CHRISTOPHER NYE CONSULTING LYNCHBURG DEPARTMENT SOCIAL SERVICES ARCHETYPE HEALTH CVACL/DESIGNATED AREA AGENCY ON AGING JOHNSON HEALTH CENTER COMMUNITY HEALTH CENTER VA DEPARTMENT OF HEALTH PUBLIC HEALTH VIRGINIA COOPERATIVE EXTENSION STATE EXTENSION UNITED WAY OF CENTRAL VA BLUE RIDGE AREA FOOD BANK CENTRA PASTORAL CARE FAITH-BASED COMMUNITYWORKS
PART V, SECTION B, LINE 6a:	THE ORGANIZATIONS 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 2018, Centra completed the triennial Community Health Needs Assessments (CHNA) for Centra Bedford Memorial Hospital headquartered in Bedford, Virginia; Centra Southside Community Hospital headquartered in Farmville, Virginia; and Centra Hospital (Centra Lynchburg General Hospital, Virginia Baptist Hospital, Specialty Hospital) headquartered in Lynchburg, Virginia. Once on staggered calendars, Centra moved to have all three regional CHNA's completed in the same calendar year in 2018. Additionally, the Partnership for Healthy Communities was formed which is a planning initiative led by Centra, Centra Foundation, the Community Access Network, and the Central Virginia, Piedmont, and Pittsylvania/Danville Health Districts in collaboration with the Bedford Community Health Foundation, Greater Lynchburg Community Foundation, and United Way of Central Virginia. These partners were committed to regional alignment of a collaborative and rigorous needs assessment process that resulted in action-oriented solutions to improve the health of the communities they serve. A Prioritization of Needs process identified ten priority areas which were similar for each region. In March 2019, a Centra leadership team met to develop system-wide implementation plans for 2019-2022 to address the following: (1) Access to affordable healthcare; (2) Access to mental health services and mental health problems; (3) Substance use and alcohol & illegal drug use; and (4) Access to healthy foods and alignment with overweight, obesity; poor eating habits; diabetes; hypertension; and active living. In addition, an administrative priority area addressing the CHNA's and Implementation Planning process was developed. The target population for the implementation plans include (1) medically underserved, low-income or minority populations & those suffering from chronic disease; (2) those living in the geographic area served by the hospital; and (3) targeted populations (i.e. children, women, seniors, cancer patients). A strong focus will be placed on those living in poverty in the service area. The COVID-19 pandemic brought a halt to some of the goals and strategies developed for these priority areas in 2020. Our progress for the implementation plans in 2020 are as follows: Priority Area: Access to affordable healthcare Goal: Provide increased and varied access to healthcare opportunities which are tailored to the needs of the community served by Centra Strategy 1: Commission a study to further define "affordable", "accessible" care based on the findings of the 2018 Centra Community Health Needs Assessment. Action Step: This action item was met. A cross-tab analysis of the 2018 Centra Community Health Survey data was completed in 2019. In 2020, follow-up with members of the Partnership for Healthy Communities occurred to further identify the needs/target population for healthcare services. Strategy 2: Increase the availability of appointments with Centra primary care providers (PCP). Action Step: Determine the provider & support staff needed to expand services at PCP practices. This action item was met. The benchmark is MGMA staff to provider ratio; service line strategy to increase access and decrease cost; 18 patient per day standard set (21-24 RVUs); no standard was previously followed. Action Step: Create capacity to allow open-access primary care appointments within 3 to 4 days of appointment request. Work addressing this action step is underway but has yet to be met. Action Step: Provide PCP appointments 7 days/week at selected sites. This action item was 80% complete in 2020. Centra now has Urgent Care facilities in Danville and Forest and some Centra Medical Group practices (Gretna, Amherst, Brookneal, Village) have opened on Saturdays. Currently Centra is considering having an Urgent Care 7 days/week in each region. Strategy 3: Improve coordination of care and communication of resources. Action Step: Conduct an inventory of available hospital and community resources in Centra service areas related to CHNA top 10 priority areas. This action item is 75% complete. A list of resources is included in the 2018 CHNA however this has yet to be organized by priority area. Action Step: Identify gaps in resources & develop action plan to address these gaps. Although no specific action was taken on this item, capacity issues especially during the pandemic were apparent. Centra is considering a potential closed-loop referral system for social determinants of health to engage community resources and providers. Action Step: Continue to develop Patient Navigators in Centra service areas. This action item is 50% complete. Patient navigators in 2020 for Cardiology, COPD, insurance, oncology, and primary care. A Primary Care strategy is being developed for the LGH Emergency Department to refer to the Community Access Network. Efforts in 2020 were to make sure they are documenting in HealtheCare (part of HealtheIntent). Performance Improvement is helping with this process and tracking utilization. Strategy 4: Study an expansion of the Centra Paramedicine program to the entire Centra service region. Action Step: Commission a study of regional expansion of program. This action item is complete. There was a 53.5% reduction in readmissions in 2019 related to the program. The program began by targeting Piedmont Community Health Plan beneficiaries (PCHP) and a 10 mile radius. In 2020, the program had expanded to now include PCHP, COPD, Pulmonary, Cardiovascular, Mother baby, ICU syndrome, CMG-Village with 4 FTEs. They are covering our entire service area. Strategy 5: Explore strategies to remove transportation barriers to care. Action Step: Inventory existing transportation programs for publicly insured patients. This action item is complete. Medicaid providers include Logisticare, VA Premier, Deyo (Magellan), Southeast Transit (Optima and Anthem), National Med Trans, Uber Medical, Lyft. Action Step: Partner with community-based programs addressing transportation barriers. This work continued in 2020 and is still an opportunity for our communities. Leadership and coordination is needed. The Paramedicine program was a part of the COVID-19 homeless transportation and follow-up program. Strategy 6: Evaluate provider-based billing and its impact on access to healthcare services. Action Step: Conduct a financial analysis of loss of volume secondary to cost/care avoidance vs. revenue gain secondary to PBB revenue created. This action item is complete. Analysis of Cardiology and Hematology shows $32m margin impact. Urology is PBB as well. Telehealth does not have a facility component and therefore is a cost-efficient manner for patients to receive care. Telehealth visits picked up system wide including PBB clinics due to COVID-19. Priority Area: Access to mental health services and mental health problems Goal: Provide Increased access to, and integration of, mental health services which are tailored to the needs of the community served by Centra. Strategy 1: Integrate mental health services in primary care and specialty offices. Action Step: Continue to integrate mental health services into Centra Medical Group (CMG) practices. Large number of Centra patients have MH/SU disorders. The following service lines have Licensed Clinical Social Workers- all 3 PACE sites and Centra Medical Group practices (Cardiology, Nationwide, Farmville Medical Ctr, Danville, Bariatrics, W&C Forest Women's Ctr and substance abuse clinic). Next to integrate are SNFs, neurosciences, Village and Pain Mgmt. Hospice and Cancer Ctr have integration as well (non-CMG). Action Step: Expand integrated services to long-term care facilities and CMG practices in Amherst and Farmville. This work continues. Telehealth option was available in 2020 at Fairmont Crossing. Action Step: Expand hours for mental health services at integrated practices. This work continues. Centra's focus has been on expanding sites prior to the COVID-19 pandemic. The Addiction treatment Center expanded to evening groups and services. Strategy 2: Decrease utilization of the Emergency Department (ED) for mental health & substance use services. Action Step: Integrate mental health providers / LCSW or advanced practice clinician(s) to provide services in the ED. This action item is 75% complete. Two psychiatric NP's were hired (LGH and SCH). A consultation pathway is in place and a position posted for onsite leadership. Future ideas include: Expand Centra 24/7 and telehealth to prevent patients from going to the ED. Divert behavioral health patients from ED at triage. Action Step: Explore options for patient transportation that have a history of hospitalization due to mental illness. This action item is 50% complete. Transportation barriers can serve as a surrogate for mental health issues. Addiction Treatment Ctr provides transportation with SAMHSA grant. Cab and bus passes available. Action Step: Conduct an analysis of treatment of dental pain by prescribin
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	96	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (96 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
Rivermont School-Chase City
633 N Main Street	Chase City	VA	23924	MENTAL HEALTH
Rivermont School- Dan River
4058 Franklin Turnpike	Danville	VA	24540	MENTAL HEALTH
Rivermont School- Roanoke
1354 8th Street	Roanoke	VA	24015	MENTAL HEALTH
Rivermont School-Hampton
303 Butler Farm Road Suite 100	Hampton	VA	23666	MENTAL HEALTH
Rivermont School-Tidewater
5163 Cleveland Street	Virginia Beach	VA	23462	MENTAL HEALTH
Rivermont School-Alleghany Highlands
331 West Main Street	Covington	VA	24426	MENTAL HEALTH
Rivermont School-Rockbridge
35 Magnolia Square Suite 7	Lexington	VA	24450	MENTAL HEALTH
Rivermont School - Lynchburg
3024 Forest Hills Circle	Lynchburg	VA	24501	MENTAL HEALTH
Rivermont School - Fredricksburg
30 Pulte Dr	Fredricksburg	VA	22406	MENTAL HEALTH
Rivermont School - Greater Petersburg
12318 Boydton Plank Road	Dinwiddie	VA	23841	MENTAL HEALTH
RIVERMONT SCHOOL - FAIRFAX
6700 SPRINGFIELD CENTER DRIVE SUIT	SPRINGFIELD	VA	22150	MENTAL HEALTH
Rivermont School - Bridges Residential
693 Leesville Road	Lynchburg	VA	245022828	MENTAL HEALTH
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 BENEFIT 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 BUILDING ACTIVITIES 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 OTHERS 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. CENTRAS 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 PIGS HEART AND LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHATS 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 CENTRAS 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.(CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2019 AUDIT REPORT, PAGE 13-14)
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 2020 WAS $40,309,638.
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: AS A NONPROFIT HEALTH CARE SYSTEM, CENTRA IS LED BY A BOARD OF DIRECTORS OF REGIONAL COMMUNITY LEADERS KNOWLEDGEABLE ABOUT THE HEALTH CARE NEEDS OF THE POPULATION. CENTRA ENCOURAGES ITS EXECUTIVE TEAM AND EMPLOYEES TO BE AN INTEGRAL PART OF COMMUNITY ORGANIZATIONS, NOT ONLY TO OFFER ADVICE AND SERVICE, BUT ALSO TO BETTER UNDERSTAND AND RECOGNIZE THE NEEDS OF THE REGIONAL COMMUNITY. IN 2018, CENTRA COMPLETED THE 2018 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN TO MEASURE THE HEALTH NEEDS OF CENTRAL VIRGINIA RESIDENTS SERVED AT CENTRA LYNCHBURG GENERAL HOSPITAL, CENTRA VIRGINIA BAPTIST HOSPITAL AND CENTRA SPECIALTY HOSPITAL. THE CENTRA FOUNDATION PROVIDED FUNDING FOR THE DETAILED REPORT, WHICH IDENTIFIES THE HEALTH NEEDS AND PRIORITIES FOR THE COMMUNITIES SERVED BY CENTRA. THE ASSESSMENT INCLUDES INDIVIDUALS LIVING IN THE GREATER LYNCHBURG COMMUNITY, INCLUDING THE CITY OF LYNCHBURG AND BEDFORD, CAMPBELL, AMHERST, APPOMATTOX, AND NELSON COUNTIES. THE CUMULATIVE REPORT OFFERS A STATISTICALLY RELIABLE SNAPSHOT OF THE COMMUNITYS HEALTH AND PROVIDES A WEALTH OF INFORMATION TO GUIDE THE CENTRA FOUNDATION IN ITS GRANT FUNDING EFFORTS. EXPERTS SAY CLINICAL CARE; SOCIAL AND ENVIRONMENTAL FACTORS SUCH AS EDUCATION, EMPLOYMENT, HEALTH STATUS AND BEHAVIORS SUCH AS DIET, SMOKING AND EXERCISE; AND PHYSICAL ENVIRONMENT FACTORS SUCH AS AIR/WATER QUALITY, HOUSING AND ACCESS TO TRANSPORTATION INFLUENCES THE HEALTH OF A COMMUNITY. THROUGH THE CHNA, CENTRA EXAMINED THESE AREAS AND IDENTIFIED OPPORTUNITIES TO MAKE CLINICAL SERVICES MORE RESPONSIVE TO COMMUNITY NEED AND TO COLLABORATE WITH OTHER LIKE-MINDED ORGANIZATIONS TO IMPROVE THE OTHER FACTORS THAT AFFECT THE HEALTH OF THE COMMUNITY. THE INFORMATION GLEANED CAN SUPPORT THE STRATEGIC PLAN, ENSURE CENTRAS LONG-RANGE PLANS ARE RESPONSIVE AND HELP GUIDE THE AWARDING OF COMMUNITY GRANTS. HEALTH CARE NEEDS AND REQUESTS ARE ALSO ASSESSED THROUGH FOCUS GROUPS, AND SURVEYS OF COMMUNITY RESIDENTS AND CIVIC LEADERS AS WELL AS HOSPITAL AND HEALTH CARE SYSTEM PATIENTS. CENTRA ALSO PARTNERS WITH AGENCIES AND ORGANIZATIONS TO STUDY COMMUNITY NEEDS AND PROPOSE THE BEST SOLUTIONS. IN ADDITION, A CALL CENTER RECEIVES CALLS AND REPORTS TO THE MARKETING DEPARTMENT FOR ADDITIONAL REQUESTS FROM THE COMMUNITY. CENTRAHEALTH.COM PROVIDES CONSTANT FEEDBACK FROM THE COMMUNITY, WHICH IS ADDRESSED IMMEDIATELY. SURVEYS ARE CONDUCTED AT EVERY COMMUNITY EVENT ON WHICH THE COMMUNITY IS ABLE TO OFFER FEEDBACK.
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: CANT 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. CENTRAS 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 431,720, WITH AN ETHNIC MIX OF 22.92% BLACK AND 73.67% WHITE. THE PERCENT OF THE TOTAL PSA/SSA POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS 20.74%. THE AVERAGE HOUSEHOLD INCOME IN THE TOTAL SERVICE AREA IS $48,605. THE CURRENT RATE OF PERSONS IN POVERTY IS APPROXIMATELY 16.45% FOR THIS TOTAL SERVICE AREA. CENTRA PROMOTES THE NECESSITY OF HAVING A CULTURALLY SENSITIVE WORKFORCE AND PROVIDES AN OVERVIEW OF THE POPULATION MIX FOR ORIENTATION OF NEW EMPLOYEES. CENTRA HOSTS WORKSHOPS ON CULTURAL COMPETENCE, PROVIDES REFERENCE BOOKS FOR EACH PATIENT CARE AREA AND PROVIDES A LESSON ON CULTURAL DIVERSITY AS PART OF YEARLY MANDATORY EDUCATION. THERE ARE ALSO CHAPLAINS AVAILABLE WITH EXPERIENCE AND TRAINING TO SUPPORT CLINICAL STAFF WHO MIGHT HAVE NEEDS WITH CULTURALLY SENSITIVE ISSUES. Source: www.census.gov/quickfacts (2018 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 HOSPITALS HELICOPTER AND HANGAR AND ARE EXPOSED TO MANY CAREER OPPORTUNITIES. CENTRA DISTRIBUTES A WEALTH OF PRINTED AND ONLINE HEALTH INFORMATION THROUGH ITS PUBLICATIONS, MEDIA STORIES AND INTERACTIVE WEBSITE. THIS INFORMATION IS PRODUCED SPECIFICALLY FOR THE REGIONAL POPULATION AND TO MEET IDENTIFIED NEEDS. AS THE SOLE HEALTH CARE SYSTEM IN ITS SERVICE AREA, CENTRA USES ITS HOSPITAL-BASED RESOURCES AS A VALUABLE VEHICLE FOR MANAGING AND PROMOTING HEALTH CARE AS PART OF ITS NONPROFIT MISSION.
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 (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Free Clinic of Central Virginia
1016 Main St	LYNCHBURG	VA	24504	541420756	501(C)(3)	$250,000	CAPITAL FUNDING
Lynchburg Regional Business Alliance
2015 Memorial Avenue	LYNCHBURG	VA	24504	540165020	501(C)(6)	$55,554	CAPITAL FUNDING
United Way of Central Virginia
1010 MILLER PARK SQ	LYNCHBURG	VA	24501	540505923	501(C)(3)	$25,000	CORPORATE GIFT
Meals on Wheels of Prince Edward County
PO Box 758	Farmville	VA	23901	541245697	501(c)(3)	$8,000	Meals
Greater Lynchburg Community Foundation
1100 Commerce St	Lynchburg	VA	24504	546112680	501(c)(3)	$10,000	Share Greater Lynchburg
Lynchburg Daily Bread
721 CLAY ST	LYNCHBURG	VA	24504	521268749	501(c)(3)	$14,000	ACCESS TO HEALTHY FOOD FOR ALL
Meals on Wheels of Greater Lynchburg
PO BOX 1388	LYNCHBURG	VA	24505	237399875	501(c)(3)	$20,000	FEEDING THE HOMEBOUND
Community Access Network
800 5TH STREET	LYNCHBURG	VA	24504	475194456	501(C)(3)	$75,000	PARTNERSHIP FOR HEALTHY COMMUNITY
Second Stage Amherst
PO BOX 342	AMHERST	VA	24521	470964590	501(C)(3)	$20,000	SECOND HELPING 2.0
Park View Community Mission
2420 MEMORIAL AVE	LYNCHBURG	VA	24501	463684893	501(C)(3)	$6,732	FOOD FOR THOUGHT BACKPACK PROGRAM
Amazing Grace Outreach
2012 GRACE STREET	LYNCHBURG	VA	24504	270660703	501(C)(3)	$7,500	PPE (CLOTH MASKS) FOR DISTRIBUTION

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

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 SUBMITTED 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
Andrew Mueller MD
President/CEO	$897,481	$0	$25,000	$0	$22,004	$0	$245,233	$0	$30,262	$0	$1,219,980	$0	$0	$0
Verna R Sellers MD
Director	$249,012	$0	$6,495	$0	$1,728	$0	$8,181	$0	$10,253	$0	$275,669	$0	$0	$0
Douglas Davenport
SVP/Chief Financial Officer	$531,971	$0	$45,000	$0	$13,454	$0	$112,522	$0	$13,335	$0	$716,282	$0	$0	$0
David D Adams
SEC OF BOARD/EVP-CSO	$0	$0	$0	$0	$409,349	$0	$0	$0	$0	$0	$409,349	$0	$0	$0
Holly Trent
SEC OF BOARD/SVP-CLO	$384,904	$0	$0	$0	$48,416	$0	$65,918	$0	$0	$0	$499,238	$0	$38,472	$0
Michael Elliott
SVP/Chief Transformation OfF	$463,734	$0	$0	$0	$72,870	$0	$88,566	$0	$26,913	$0	$652,083	$0	$72,260	$0
Chris Thomson MD
SVP/Chief Medical Officer	$446,639	$0	$0	$0	$91,907	$0	$98,390	$0	$31,736	$0	$668,672	$0	$62,394	$0
Curt Baker
SVP/Chief Nursing Officer	$24,507	$0	$0	$0	$306,199	$0	$824	$0	$814	$0	$332,344	$0	$0	$0
Rick Grooms
SVP/Chief People Officer	$332,814	$0	$40,000	$0	$35,214	$0	$70,525	$0	$42,282	$0	$520,835	$0	$0	$0
Janice Jan H Walker
SVP/Chf Admin OffICER	$0	$0	$0	$0	$285,583	$0	$0	$0	$0	$0	$285,583	$0	$0	$0
Kenneth Saum MD
Physician	$816,005	$0	$28,600	$0	$22,879	$0	$14,422	$0	$34,011	$0	$915,917	$0	$0	$0
Jordan Synkowski DO
Physician	$821,832	$0	$66,100	$0	$39,980	$0	$12,460	$0	$32,960	$0	$973,332	$0	$0	$0
Audry Graham MD
Physician	$908,712	$0	$96,382	$0	$20,397	$0	$14,920	$0	$21,855	$0	$1,062,266	$0	$0	$0
Matthew Sackett MD
Physician	$739,677	$0	$116,024	$0	$20,443	$0	$11,932	$0	$40,229	$0	$928,305	$0	$0	$0
Houman Tavaf-Motamen MD
Physician	$889,795	$0	$46,600	$0	$19,112	$0	$10,357	$0	$17,526	$0	$983,390	$0	$0	$0
Eileen Clark
SVP/Chief Information Officer	$251,020	$0	$47,489	$0	$1,033	$0	$53,035	$0	$27,695	$0	$380,272	$0	$0	$0
Shelley Harris
SVP/Chief Nursing Officer	$385,873	$0	$45,000	$0	$1,935	$0	$55,867	$0	$13,355	$0	$502,030	$0	$0	$0
Georgia Harrington
SVP/Chief Operating Officer	$92,357	$0	$45,000	$0	$5,345	$0	$0	$0	$3,396	$0	$146,098	$0	$0	$0
Richard Tugman
SVP/CEO PCHP	$346,477	$0	$0	$0	$74,082	$0	$31,329	$0	$47,528	$0	$499,416	$0	$0	$0
Jeff Wiggins
VP/Chief Compliance Officer	$218,155	$0	$0	$0	$468	$0	$6,723	$0	$22,075	$0	$247,421	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4A:

CURT BAKER RECEIVED A SEVERANCE PAYMENT DURING 2020 IN THE AMOUNT OF $306,199, INCLUDED IN HIS TAXABLE INCOME. THE TERMS OF THE SEVERANCE AGREEMENT WERE CONSISTENT WITH INDUSTRY STANDARDS. JANICE H. WALKER RECEIVED A SEVERANCE PAYMENT DURING 2020 IN THE AMOUNT OF $285,583, INCLUDED IN HER TAXABLE INCOME. THE TERMS OF THE SEVERANCE AGREEMENT WERE CONSISTENT WITH INDUSTRY STANDARDS. DAVID G. GOUGH RECEIVED A SEVERANCE PAYMENT DURING 2020 IN THE AMOUNT OF $409,349, INCLUDED IN HIS TAXABLE INCOME. THE TERMS OF THE SEVERANCE AGREEMENT WERE CONSISTENT WITH INDUSTRY STANDARDS.

SCHEDULE J, PART I, LINE 4B:

NO INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2020. THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2020. NAME TITLE AMOUNT OF DEFERRAL MICHAEL ELLIOTT SVP/CHIEF TRANSFORMATION OFF 72,260 CHRIS THOMSON, MD SVP/CHIEF MEDICAL OFF 62,394 HOLLY TRENT SEC OF BOARD/SVP-CLO 38,472 RICHARD TUGMAN SVP/CEO PCHP 53,461 -------------- $226,587

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 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	$14,450,216	$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	$0	$0	$150,025,300	$0	$0	$0	$1,074,593	$0	$0	$0	$0	$148,950,707	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE A, COL. (A)	PART I, LINE A, COL (A) - ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA 2017 A, B, C, D, BONDS PART I, LINE B, COL. (A) - ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA 2014 A, B BONDS PART I, LINE A, COL (A) - ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA 2020 A, B BONDS PART I, LINE A, COL. (C) - CUSIP #55123TAU6, #55123TAW2, #55123TAT9, #55123TAS1 PART I, LINE 1, COL (C) - CUSIP #55123TAX0, #55123TAY8 PART I, LINE A, COL. (F) - THE PURPOSE OF THE ISSUE WAS NEW CONSTRUCTION; REFUND OF EDA OF CITY OF LYNCHBURG SERIES 2004A, 2004B, 2004C, 2004D, 2004E, 2004F, AND 2010; REFUND IDA OF TOWN OF AMHERST, SERIES 2007; REFUND IDA OF CAMPBELL COUNTY, SERIES 2007; REFUND OF EDA OF APPOMATTOX, SERIES 2007.
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 II, LINE 3, COL (C) - ACCUMULATED INTEREST INCOME OF 25,300.
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 NEXT ARBITRAGE REBATE CALCULATION WILL IN AUGUST 2020. (NOTE: FINAL PROCEEDS WERE SPENT PRIOR TO DECEMBER 31, 2019)
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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 Part III, Line 3:	During 2020 the Rivermont School Program was sold in September of 2020. Form 990 Part III, Line 4a: Centra Health, Inc. ("Centra") is a leading healthcare provider in Central Virginia Headquartered in Lynchburg, VA * Provides care to over 500,000 people at over 50 locations throughout central and southern Virginia * 81.5% inpatient market share in PSA 1 * $1.1 billion in total unrestricted revenues and $700 million in unrestricted cash and investments * Over 27,000 medical/surgical discharges * Deeply rooted as the community healthcare provider dating back to 1912 * Four acute care hospitals with 634 licensed acute beds * Workforce of more than 7,600 individuals across the System * Over 450 employed physicians and advanced practice providers (Centra Medical Group) * Medical staff of approximately 1,000 * Owns Piedmont Community Health Plan, with total membership enrollment of approximately 20,600 * Operates Centra College of Nursing Centra has Created a Healthcare Delivery System That Provides a Wide Range of Leading Clinical Services to its Communities Across a Large Geographic Area.
2020 AWARDS AND RECOGNITIONS	The System has recently received numerous national awards and accolades. Those awards and accolades recently earned include: * LGH and CSCH received a four-star rating from CMS in 2020. * LGH was ranked sixth in the Commonwealth of Virginia by US News and World Report in 2020, with high performing marks in two specialties and ten procedures. LGH first made the annual US News and World Report Best Regional Hospital list in 2013. * Centra Breast Imaging Center and LGH have received the American College of Radiology ("ARC") accreditation for their dedication to improving women's health. * The American Nurses Credentialing Center recently designated LGH and CSCH as Magnet facilities which recognize excellence in nursing in 2019. Centra was the first healthcare system in central Virginia to achieve Magnet status in 2005. * Centra was recognized by the American College of Surgeon's Commission on Cancer in 2009, 2012, 2015 and 2018 with three-year full accreditation with commendation as a comprehensive cancer program. Centra is one of a select group of US health care facilities with accredited cancer programs to receive this honor. * LGH, Southside and VBH are three of the Top 100 Most Wired hospitals in the country according to Hospitals & Health Networks magazine from 2011 to 2015. Centra has also received a national VIP award from McKesson Technology Solutions for its use of information technology to achieve outstanding results in health care delivery. * Centra received the National Outstanding Achievement Award American College of Surgeon's Commission on Cancer. Centra is one of a select group of only 79 US health care facilities with accredited cancer programs to receive this national honor from surveys performed in 2016. * LGH has been selected six times as a Thomson Reuters 50 Top Cardiovascular Hospital in America and is one of only three hospitals in Virginia to receive this national honor for outstanding cardiovascular performance. * Stroobants Heart Center was first awarded a three-star rating in 2012 by the Society of Thoracic Surgeon for quality in cardiac surgery, its highest rating. * LGH has twice earned The Joint Commission's national Certificate of Distinction for Primary Stroke Centers and was the first hospital in central, southside and western Virginia to earn this honor in 2010. * LGH has received the American Heart Association and American Stroke Association's Get with the Guidelines-Stroke Gold Plus Performance Achievement Award which recognizes the commitment and success in implementing excellent care by ensuring that stroke patients receive treatment according to nationally accepted standards and recommendations. * VBH has earned the Press Ganey Associates, Inc. prestigious Summit Award for attaining the highest patient satisfaction ranking for three consecutive years. * Lynchburg General Hospital (LGH) and Lynchburg Pulmonary Associates (LPA) sought and gained collaborative accreditation from the Pulmonary Hypertension Association (PHA) in 2019. This 2-year accreditation designation demonstrates the ability to deliver quality patient care to patients living with pulmonary hypertension, a complex, often misdiagnosed, life-threatening disease. * Centra Hematology & Oncology Clinic achieved QOPI Certification in 2019 for 3 years. This achievement demonstrates a commitment to excellence and ongoing quality improvement in the practice. * Alan B Pearson Regional Cancer Center received an Advanced Certification for Palliative Care from Joint Commission Advanced Certification for Palliative Care in 2019. Two-year accreditation is 5/19 - 5/21.
2020 COMMUNITY BENEFIT HIGHLIGHTS	Due to COVID-19 - Many community events that happened in prior years WERE suspended for 2020. Total Expense for 2020 was $61,722 allocate per below. 1,385.36 Community Health Education-General 2,689.94 Community Health Education-Support Groups 1,418.38 Community-Based Clinical Services-Health Screening 11,025.60 Health Care Support Services - Family Support Services 45,202.66 Unassigned Section -Childbirth/Baby --------- 61,721.93
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 12C: ALL CENTRA OFFICERS AND DIRECTORS MUST COMPLETE A POSSIBLE CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINES 15A & 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 C, 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:	CHANGE IN PENSION REPORTING 7,410,611 EQUITY CONTRIBUTIONS (22,433,914) NET PERIODIC PENSION COST (7,815,685) BOOK TAX/SWAP 156,643 ROUNDING (1) ------------ TOTAL TO FORM 990, PART XI, LINE 9 (22,682,346)
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CHIC TOTAL FEES:3736783
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CAP MED CLAIMS TOTAL FEES:5438379
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CLEANING SERVICES TOTAL FEES:1837767
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER COMMUNITY AWARENESS TOTAL FEES:225789
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CONTRACT LBR TOTAL FEES:16072513
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER MED PURCH SVC TOTAL FEES:69555360
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PHYS REMUNERATION TOTAL FEES:55979236
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCH SVCS TOTAL FEES:-36209951

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 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	$3,775,000	$37,331,000	CENTRA HEALT
CENTRAL VA HOSPITAL FOR RESTORATIVE CARE
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	204712023	HEALTHCARE	VA	$10,322,000	$4,350,000	CENTRA HEALT
CENTRA MEDICAL GROUP LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	203639329	PHYSICIAN SVC	VA	$184,555,000	$90,378,000	CENTRA HEALT
CENTRAL VA QUALITY CARE NETWORK LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	474453641	INT. NETWORK	VA	$87,000	$187,000	CENTRA HEALT
CENTRA OP REHABILITATION SERVICES LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	471052716	OP REHAB	VA	$5,077,000	$1,073,000	CENTRA HEALT
HEALTHWORKS LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	263026223	OT PROVIDER	VA	$2,758,000	$3,626,000	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	$583,000	$2,140,000	1.00000	Yes (true)
PCHP HOLDING INC
2316 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541749492	HOLDING COMPA	VA	NA	C Corp	$0	$27,465,000	1.00000	Yes (true)
PIEDMONT COMMUNITY HEALTH PLAN INC
2316 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541755768	HEALTH INSURA	VA	NA	C Corp	$73,109,000	$66,577,000	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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
BEDFORD MEMORIAL HOSPITAL
K	$224,103	BOOK VALUE
BEDFORD MEMORIAL HOSPITAL
Q	$6,806,726	BOOK VALUE
GENERAL BUSINESS CONCERNS INC
K	$237,928	BOOK VALUE
PCHP
K	$141,543	BOOK VALUE
PCHP HOLDING INC
B	$22,399,136	BOOK VALUE
PCHP
Q	$175,048	BOOK VALUE
CENTRA HEALTH FOUNDATION INC
c	$2,826,303	BOOK VALUE
CENTRA HEALTH FOUNDATION INC
Q	$36,985	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
Q	$11,319,284	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
K	$396,000	BOOK VALUE
CCRC INC
Q	$113,243	BOOK VALUE
CCRC INC
D	$8,180,710	BOOK VALUE