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SOUTHSIDE COMMUNITY HOSPITAL INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SOUTHSIDE COMMUNITY HOSPITAL INC (EIN 54-0555201)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-03
IRS object ID
202023089349301742
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-03T16:16:07-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18401 GREENSBORO DRIVE 800AddressLine1Txt
CityMCLEANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540555201EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHSIDE COMMUNITY HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% THOMAS L ANGELOInCareOfNm
Business Name ControlSOUTBusinessNameControlTxt
Phone4343152776PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 OAK STREETAddressLine1Txt
CityFARMVILLECityNm
State AbbreviationVAStateAbbreviationCd
ZIP23901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS L ANGELOPersonNm
Person TitleCEOPersonTitleTxt
Phone4342004712PhoneNum
Signature2020-11-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMarc BergerPreparerPersonNm
PTINP01871563PTIN
Phone7038930600PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address108.18.98.230IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id54621820203085000014FederalOriginalSubmissionId
Federal Original Submission Id2020-11-03FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1559189AB611C6D07109AB02E40BE1709676A263AtSubmissionCreationDeviceId
At Submission Filing Device Id651D255A1A915A1FDEE8CC96D476D00223E3EE33AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CENTRA SOUTHSIDE COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTHOMAS L ANGELOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 OAK STREETAddressLine1Txt
CityFARMVILLECityNm
State AbbreviationVAStateAbbreviationCd
ZIP23901ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$96,516,218GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://SCH.CENTRAHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1926FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTHCARE SERVICES FOR EIGHT COUNTIES IN CENTRAL VIRGINIAActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee652TotalEmployeeCnt
Total Volunteers51TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$116,251PYContributionsGrantsAmt
CY Contributions Grants$23,070CYContributionsGrantsAmt
PY Program Service Revenue$91,153,978PYProgramServiceRevenueAmt
CY Program Service Revenue$95,254,440CYProgramServiceRevenueAmt
PY Investment Income$167,525PYInvestmentIncomeAmt
CY Investment Income$164,467CYInvestmentIncomeAmt
PY Other Revenue$1,197,018PYOtherRevenueAmt
CY Other Revenue$1,074,241CYOtherRevenueAmt
PY Total Revenue$92,634,772PYTotalRevenueAmt
CY Total Revenue$96,516,218CYTotalRevenueAmt
PY Grants And Similar Paid$54,050PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$26,450CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$34,500,168PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,549,691CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$44,299,087PYOtherExpensesAmt
CY Other Expenses$46,326,081CYOtherExpensesAmt
PY Total Expenses$78,853,305PYTotalExpensesAmt
CY Total Expenses$80,902,222CYTotalExpensesAmt
PY Revenues Less Expenses$13,781,467PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,613,996CYRevenuesLessExpensesAmt
Total Assets BOY$68,834,782TotalAssetsBOYAmt
Total Assets EOY$84,765,991TotalAssetsEOYAmt
Total Liabilities BOY$7,034,862TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,110,826TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$61,799,920NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$77,655,165NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionWE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE WITH A PERSONAL TOUCH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$70,717,523ExpenseAmt
Grant$26,450GrantAmt
Revenue$95,254,440RevenueAmt
DescSOUTHSIDE COMMUNITY HOSPITAL, INC. IS A 501(C)(3) HOSPITAL COMMITTED TO OFFERING AFFORDABLE HEALTHCARE TO THE RESIDENTS OF SOUTHSIDE VIRGINIA. WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE. (PLEASE SEE THE CONTINUATION ON SCHEDULE O.)Desc
Total Program Service Expenses$70,717,523TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document66IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee652EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHOMAS L ANGELOPersonNm
Phone4343152776PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 OAK STREETAddressLine1Txt
CityFARMVILLECityNm
State AbbreviationVAStateAbbreviationCd
ZIP23901ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndOfficerOfficerInd
BIKRAM S BAL MD
DIRECTOR50.00.0Yes (X)$994,015$0$14,395
HANY MOUSTAFA MD
MEDICAL DOCTOR50.00.0$480,399$0$16,864Yes (X)
EDWARD FENTON MD
MEDICAL DOCTOR50.00.0$408,950$0$53,140Yes (X)
JONATHAN LOGAN MD
MEDICAL DOCTOR50.00.0$412,021$0$44,150Yes (X)
ZAKI ELSARRAG MD
MEDICAL DOCTOR50.00.0$418,121$0$32,767Yes (X)
JOHN KONA MD
MEDICAL DOCTOR50.00.0$427,398$0$22,115Yes (X)
WILLIAM BASS JR
VP & BMH CEO2.050.0Yes (X)$0$356,171$20,786
THOMAS ANGELO
VP & SCH CEO50.00.0$223,759$0$51,570Yes (X)
CLAUDIA MEINHARD
CHIEF NURSING OFFICER50.00.0$182,044$0$28,190Yes (X)
SHARON L HARRUP
CHAIRMAN2.00.0Yes (X)$0$0$0Yes (X)
FRANCIS E WOOD JR
VICE CHAIRMAN2.00.0Yes (X)$0$0$0Yes (X)
LEROY O PFEIFFER JR
SECRETARY/TREASURER2.00.0Yes (X)$0$0$0Yes (X)
RHONDA B ALGEIER MD
DIRECTOR2.00.0Yes (X)$0$0$0
REV CALVIN GRAY
DIRECTOR2.00.0Yes (X)$0$0$0
HAROLD M HARRIS JR
DIRECTOR2.00.0Yes (X)$0$0$0
WILLIAM MCGUIRE
DIRECTOR2.00.0Yes (X)$0$0$0
ODESSA PRIDE
DIRECTOR2.00.0Yes (X)$0$0$0
TIMOTHY R THARPE
DIRECTOR2.00.0Yes (X)$0$0$0
PATRICIA TUCKER
DIRECTOR2.00.0Yes (X)$0$0$0
CSCOTT DAVIS
DIRECTOR2.00.0Yes (X)$0$0$0
KEMPER BEASLEY III
DIRECTOR2.00.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,546,707TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$356,171TotReportableCompRltdOrgAmt
Total Other Compensation$283,977TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VIZIENT INC
5543 LEGACY DRIVEPLANOTX75024CONTRACT LABOR SVS$2,699,239
CROTHALL FACILITIES MGMT
955 CHESTERBROOK BLVD SUITE 300WAYNEPA19087HOUSEKEEPING SVCS$1,532,068
MOORES ELECTRICAL
PO BOX 119ALTAVISTAVA24517ELECTRICAL SERVICES$575,412
PATHOLOGY CONSULTANTS
1914 THOMSON DRLYNCHBURGVA24501PATHOLOGY SERVICES$352,091
PUTNEY MECHANICAL
PO BOX AFARMVILLEVA23901MECHANICAL SERVICES$328,590
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Related Organizations$0RelatedOrganizationsAmt
All Other Contributions$23,070AllOtherContributionsAmt
Total Contributions$23,070TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT REVENUE621400$94,698,502$94,698,502$0$0
ANCILLARY SERVICES900099$555,938$555,938$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$95,254,440TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,434TotalRevenueColumnAmt
Exclusion$96,434ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$302,447RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$302,447RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$302,447TotalRevenueColumnAmt
Exclusion$302,447ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$68,033SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$68,033SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,033TotalRevenueColumnAmt
Exclusion$68,033ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA621400$454,531$0$0$454,531
MISCELLANEOUS REVENUE900099$317,263$0$0$317,263
FieldValueIRS element (for citing)
Other Revenue Total$771,794OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$96,516,218TotalRevenueColumnAmt
Related Or Exempt Func Income$95,254,440RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,238,708ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$26,450TotalAmt
Program Services$26,450ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$485,563TotalAmt
Program Services$0ProgramServicesAmt
Management And General$485,563ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,913,222TotalAmt
Program Services$25,111,639ProgramServicesAmt
Management And General$1,801,583ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,150,906TotalAmt
Program Services$6,566,484ProgramServicesAmt
Management And General$584,422ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,576,495TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,576,495ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$37,129TotalAmt
Program Services$0ProgramServicesAmt
Management And General$37,129ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,706TotalAmt
Program Services$0ProgramServicesAmt
Management And General$33,706ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$13,177TotalAmt
Program Services$0ProgramServicesAmt
Management And General$13,177ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$18,477,653TotalAmt
Program Services$15,519,759ProgramServicesAmt
Management And General$2,957,894ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$323,940TotalAmt
Program Services$0ProgramServicesAmt
Management And General$323,940ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,248,018TotalAmt
Program Services$2,963,276ProgramServicesAmt
Management And General$284,742ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$36,303TotalAmt
Program Services$0ProgramServicesAmt
Management And General$36,303ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,461,224TotalAmt
Program Services$1,461,224ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$508,548TotalAmt
Program Services$462,585ProgramServicesAmt
Management And General$45,963ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,031TotalAmt
Program Services$6,249ProgramServicesAmt
Management And General$3,782ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,400TotalAmt
Program Services$15,400ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,808,528TotalAmt
Program Services$3,808,528ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$485,846TotalAmt
Program Services$485,846ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DRUGS$8,896,913$8,896,913$0$0
MEDICAL SUPPLIES$5,329,923$5,329,923$0$0
COLLECTIONS EXPENSES$63,247$63,247$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$80,902,222TotalAmt
Program Services$70,717,523ProgramServicesAmt
Management And General$10,184,699ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,904,365BOYAmt
EOY$5,506,339EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$113,113BOYAmt
EOY$214,488EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,984,348BOYAmt
EOY$18,360,219EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,118,573BOYAmt
EOY$2,921,553EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$257,321BOYAmt
EOY$126,350EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$89,155,798LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$62,939,963LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$28,374,210BOYAmt
EOY$26,215,835EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,325,202BOYAmt
EOY$2,599,231EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$13,757,650BOYAmt
EOY$28,821,976EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$68,834,782BOYAmt
EOY$84,765,991EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,166,247BOYAmt
EOY$4,199,360EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$200,382BOYAmt
EOY$265,895EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,668,233BOYAmt
EOY$2,645,571EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,034,862BOYAmt
EOY$7,110,826EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$61,799,920BOYAmt
EOY$77,655,165EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,799,920BOYAmt
EOY$77,655,165EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$68,834,782BOYAmt
EOY$84,765,991EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,613,996ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$237,596NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,653OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$163,194OtherCostOrOtherBasisAmt
Book Value$163,194BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,266,850OtherCostOrOtherBasisAmt
Depreciation$27,283,168DepreciationAmt
Book Value$19,983,682BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,787,804OtherCostOrOtherBasisAmt
Depreciation$2,603,452DepreciationAmt
Book Value$184,352BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,343,624OtherCostOrOtherBasisAmt
Depreciation$33,053,343DepreciationAmt
Book Value$5,290,281BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$594,326OtherCostOrOtherBasisAmt
Book Value$594,326BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,215,835TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
RECEIVABLES FROM 3RD PARTY$2,009,317
OTHER ASSETS$1,227,536
DUE FROM RELATED PARTIES$25,600,441
OTHER ACCOUNTS RECEIVABLE-$15,318
FieldValueIRS element (for citing)
Total Book Value Other Assets$28,821,976TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
LEASE AGREEMENT$1,226,222
OTHER LT LIABILITIES$815,000
PAYABLE TO ESTIMATED 3RD PARTY$564,819
INTEREST RATE SWAP$39,530
FieldValueIRS element (for citing)
Total Liability$2,645,571TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationSOUTHSIDE COMMUNITY HOSPITAL, INC. IS INCLUDED IN CENTRA HEALTH, INCS CONSOLIDATED AUDIT REPORT FOR YEAR ENDING DECEMBER 31, 2019. THE FOLLOWING FOOTNOTE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN48) IS FOUND IN THIS CONSOLIDATED REPORT. CENTRA HEALTH, INC., CCRC, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD ARE EXEMPT FROM INCOME TAX UNDER SECTION 501 (A) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS EXCEPT FOR TAXES RELATED TO CERTAIN UNRELATED BUSINESS INCOME ENGAGED IN BY CENTRA. CENTRA MEDICAL GROUP, LLC, CHIC, CENTRA SPECIALTY HOSPITAL, HEALTHWORKS, CVQCN, AND OUTPATIENT REHAB ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER CENTRAS 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 SUBSIDIARYS ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. 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, 2019. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2016.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetfalseFinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,986,585TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,986,585NetCommunityBenefitExpnsAmt
Total Expense0.02460TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,114,105TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,800,361DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,313,744NetCommunityBenefitExpnsAmt
Total Expense0.01620TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,100,690TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,800,361DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,300,329NetCommunityBenefitExpnsAmt
Total Expense0.04080TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$100,919TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$100,919NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,450TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$26,450NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$127,369TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$127,369NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,228,059TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,800,361DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,427,698NetCommunityBenefitExpnsAmt
Total Expense0.04230TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,299TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,299NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,974TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,974NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,138TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,138NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,411TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,411NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$8,680,656BadDebtExpenseAmt
Reimbursed By Medicare$30,786,613ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$34,493,392CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,706,779MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1NONEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHSIDE COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 OAK STREETAddressLine1Txt
CityFARMVILLECityNm
State AbbreviationVAStateAbbreviationCd
ZIP23901ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CENTRAHEALTH.COM/SCHWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1SOUTHSIDE COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CENTRAHEALTH.COM/SCHOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.CENTRAHEALTH.COM/SCHStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.CENTRAHEALTH.COM/SCHFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.CENTRAHEALTH.COM/SCHFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.CENTRAHEALTH.COM/SCHFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5:IN 2017, THE PARTNERSHIP FOR HEALTHY COMMUNITIES WAS FORMED AND 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. THE PARTNERS ARE COMMITTED TO REGIONAL ALIGNMENT OF A COLLABORATIVE AND RIGOROUS NEEDS ASSESSMENT PROCESS THAT WILL RESULT IN ACTION-ORIENTED SOLUTIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. A COMMUNITY HEALTH ASSESSMENT TEAM COMPOSED OF 30 INDIVIDUALS WITH A BROAD REPRESENTATION OF COMMUNITY LEADERS AND CROSS-SECTOR STAKEHOLDERS ACTED TO OVERSEE, ADVISE AND SUPPORT THE CHNA ACTIVITIES. THE PARTICIPANTS OF THIS CHNA & IMPLEMENTATION PLAN WERE: 2018 Farmville Area Core Team - Greater Lynchburg Community Foundation Centra- Pittsylvania Central Virginia Health District Community Access Network Centra Foundation Central Virginia Health District 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 Farmville Area Community Health Assessment Team - Centra Southside Community Hospital STEPS, Inc. Community Action Agency Greater Lynchburg Community Foundation Community Foundation United Way Community Foundation Central Virginia Health District Public Health Piedmont Health Coalition/HEAL Community Coalition Buckingham County DSS Social Services Community Access Network Health center; free clinic Cumberland County Government Farmville Police Department Public Safety Amelia County Government Longwood University Education Central VA Health Services Health center Roma Morris Department of Social Services, Prince Edward County Piedmont Health District Public Health Christopher Nye Consulting Data consultant Community Volunteers Farmville Presbyterian Church Faith-based FACES Food Pantry Hampden Sydney College Education Heart of Virginia Free Clinic Consultant- Economic Development Va Coop Extension Central Virginia Health Services Health center UW Central VA Community Foundation CommunityWorks Project Management Piedmont Senior Resources Area Agency on Aging
SCHEDULE H, PART V, SECTION B, LINE 7d:HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS.
SCHEDULE H, PART V, SECTION B, LINE 11:THE FARMVILLE AREA COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN WAS CONDUCTED IN 2018 AND IDENTIFIED THREE OVERARCHING ACTION PLAN PRIORITIES AIMED AT IMPROVING THE HEALTH OF THE VARIOUS COMMUNITIES SERVED. THESE PRIORITIES INCLUDED TRANSPORTATION; ACCESS TO AFFORDABLE HEALTHCARE AND ACCESS TO AFFORDABLE HOUSING. WITH REGARD TO TRANSPORTATION, THE CENTRA FOUNDATION, FOR TWO YEARS, HAS COLLABORATED WITH PIEDMONT SENIOR RESOURCES TO PROVIDE VEHICLES TO TRANSPORT THEIR SENIOR CITIZENS. IN JUNE OF 2018, CENTRA STARTED A COMMUNITY PARAMEDIC PROGRAM IN FARMVILLE. IN THIS PROGRAM PARAMEDICS VISIT PATIENTS IN THEIR HOMES AFTER HOSPITAL ADMISSIONS TO PROVIDE CARE AND COORDINATE TRANSPORTATION TO VARIOUS MEDICAL APPOINTMENTS. CENTRA HAS IMPLEMENTED TELEMEDICINE; THE ACCESS TO AFFORDABLE HEALTHCARE PRIORITY HAS RESULTED IN CONTINUED EXPANSION OF THE CENTRA SOUTHSIDE COMMUNITY MEDICAL CENTER IN FARMVILLE. CENTRA HAS ADDED SEVERAL MORE PROVIDERS AND SPECIALISTS AND HAS EXTENDED THE HOURS OF OUR MAIN CLINIC TO 8AM-8PM, MONDAY-SATURDAY. CENTRA HAS UTILIZED THE MAMMO-VAN TO INCREASE THE NUMBER OF MAMMOGRAMS TO BE PERFORMED IN THIS AREA. CENTRA CONTINUES TO PROVIDE HEALTHFAIRS AND SCREENINGS IN MANY OF ITS COMMUNITIES, INCLUDING VERY DISCOUNTED SPORTS PHYSICLAS FOR CHILDREN, AND A CARDIAC FAIR AT THE HOSPITAL. THE AUXULIARY CONTINUES THE GUILD FUND, WHICH OFFSETS THE COSTS OF PRESCRIPTIONS FOR THOSE WHO CANNOT AFFORD THEM. WITH REGARD TO AFFORDABLE HOUSING, A COALITION WITH HOSPITAL REPRESENTATION HAS BEEN FORMED. AN APPROXIMATE $3 MILLLION DOLLAR GRANT HAS BEEN SECURED TO PARTNER WITH OTHER BUSINESSES AND SCHOOLS TO DEVELOP A LARGE COMMUNITY THAT HAS MULTIPLE TYPES OF HOUSING. CENTR AHS PARTNERED WITH HABITAT FOR HUMANITY AS WELL. RATIONALE FOR NOT INCLUDING THE REMAINING INDICATORS AS PRIORITIZED BY OUR CHNA COMMUNITY ADVISORY BOARD INCLUDED A SENSE THAT THESE CRITICAL NEEDS WERE HIGHLY COMPLEX IN NATURE AND AFFECTED A WIDE VARIETY OF INFLUENCING FACTORS - MANY WELL BEYOND THE CAPABILITY AND RESOURCES AND AVAILABLE THROUGH CENTRA AND/OR ITS COLLABORATING PARTNERS. FURTHERMORE, OTHER COMMUNITY-BASED INITIATIVES WERE ALREADY TARGETING THESE ISSUES.
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
SOUTHSIDE COMM HOSP HOMECARE SERVICES
711 OAK STREETFARMVILLEVA23901HOME HEALTH SERVICES
SOUTHSIDE HOSPICE
713 OAK STREETFARMVILLEVA23901HOSPICE CARE
SOUTHSIDE PACE
1530 SOUTH MAIN STREETFARMVILLEVA23901CARE FOR ELDERLY

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:INFORMATION ON COMMUNITY BENEFIT IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC., SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL, INC.
PART I, LINE 7:COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE.
PART II:SOUTHSIDE COMMUNITY HOSPITAL, INC. CONTINUOUSLY WORKS ON IMPROVING ITS RELATIONSHIP WITH THE COMMUNITY IT SERVES BY OFFERING MANY SERVICES, SUCH AS, COMMUNITY SUPPORT, COMMUNITY HEALTH IMPROVEMENT, WORKFORCE DEVELOPMENT, ETC. SOUTHSIDE COMMUNITY HOSPITAL, INC. ALSO HOSTS AND/OR PARTICIPATES IN VARIOUS CAREER FAIRS IN ORDER TO REACH OUT TO YOUNG ADULTS WHO MAY BE INTERESTED IN THE HEALTHCARE PROFESSION. COMMUNITY SUPPORT: SOUTHSIDE COMMUNITY HOSPITAL, INC. CONTINUOUSLY WORKS ON IMPROVING ITS RELATIONSHIP WITH THE COMMUNITY IT SERVES BY PARTICIPATING IN NUMEROUS HEALTH FAIRS, CONDUCTING HEALTH EDUCATION SEMINARS, PROVIDING SCHOOL-BASED HEALTH PROGRAMS, ETC. IT SPONSORS AND/OR PARTICIPATES IN NUMEROUS EVENTS THROUGHOUT THE YEAR. 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 THE COMMUNITY. COALITION BUILDING: SOUTHSIDE COMMUNITY HOSPITAL, INC. IS COMMITTED TO REACHING OUT TO THE COMMUNITY IN ORDER TO INFORM THE PUBLIC ABOUT THE NUMEROUS HEALTH FAIRS, HEALTH SEMINARS, AND GENERAL INFORMATIONAL SESSIONS OFFERED BY THE ORGANIZATION THROUGHOUT THE YEAR. WE PARTICIPATE IN LOCAL EVENTS IN ORDER TO REACH AS MANY COMMUNITY MEMBERS AS POSSIBLE IN ORDER TO PROMOTE HEALTH AND WELL-BEING TO AS MANY INDIVIDUALS AS POSSIBLE. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF SOUTHSIDE COMMUNITY HOSPITAL, INC. WE FEEL PASSIONATE ABOUT IMPROVING ACCESS TO CARE, PUBLIC HEALTH, ETC. WE ARE EXCITED TO PARTICIPATE IN NUMEROUS EVENTS SUCH AS THE MORTON COMMUNITY PRAYER BREAKFASTS 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.
PART III, SECTION A, LINE 1:ON JANUARY 1, 2012, CENTRA HEALTH, INC. AND SUBSIDIARIES 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 HEALTH, INC. AND ITS SUBSIDIARIES, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC. AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15.
PART III, SECTION A, LINES 2 & 3:SEE DESCRIPTION FOR PART III, SECTION A, LINE 4.
PART III, SECTION A, LINE 4:THE ORGANIZATION BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NEATURE, AMOUNT, TIMING, AND UNSERTAINTY OF THESE REVENUES AND CASH FLOWS. ADJUSTMENTS TO PREVIOUS REIMBURSEMENT ESTIMATES ARE REPORTED IN NET PATIENT SERVICE REVENUES IN THE PERIODS THAT SUCH ADJUSTMENTS BECOME KNOWN. FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTIONS PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD. (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2019 AUDIT REPORT, PAGE 13) CONSISTENT WITH CENTRAS MISSION, SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CENTRA HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURANCE BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CENTRA EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2019 AUDIT REPORT, PAGE 15) PATIENTS WHO MEET CENTRAS CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS SUBSTANTIALLY LESS THAN ESTABLISHED RATES IN ACCORDANCE WITH CENTRAS FINANCIAL ASSISTANCE POLICY. SINCE CENTRA DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE DETERMINED TO QUALIFY AS CHARITY CARE AND ARE NOT REPORTED AS REVENUE. WHILE CHARITY CARE IS EXCLUDED FROM NET PATIENT SERVICE REVENUE, CENTRA MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THIS INCLUDES THE AMOUNT OF CHARGES FOREGONE AND THE ESTIMATED COSTS INCURRED FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. COSTS INCURRED ARE ESTIMATED BASED ON THE RATIO OF TOTAL OPERATING EXPENSE TO GROSS CHARGES. (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2019 AUDIT REPORT, PAGE 15)
PART III, SECTION B, LINE 8:THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATIONS 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 SOUTHSIDE COMMUNITY HOSPITAL INCS 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 SERVICES. TOTAL MEDICARE SHORTFALL FOR 2019 WAS $3,706,779.
PART III, SECTION C, LINE 9B:SOUTHSIDE COMMUNITY HOSPITAL 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. SOUTHSIDE COMMUNITY HOSPITAL 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:THE 2018 FARMVILLE AREA COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCORPORATED AN EXPANDED COMMUNITY VOICE (PRIMARY DATA) AS WELL AS THE COLLECTION OF OVER 65 SOURCES OF PUBLICLY AVAILABLE SECONDARY DATA. IN ADDITION, INFORMATION REGARDING AVAILABLE COMMUNITY RESOURCES WAS GATHERED. PRIMARY DATA INCLUDED FINDINGS FROM A COMMUNITY HEALTH SURVEY; STAKEHOLDERS FOCUS GROUP AND SURVEY; AND TARGET POPULATION FOCUS GROUPS. DETAILS ON THE SPECIFIC METHODOLOGY AND FINDINGS OF THE PRIMARY AND SECONDARY DATA COMPONENTS ARE INCLUDED IN THE FOLLOWING SECTIONS. THE DATA COLLECTED FOR THE CHNA IS REPORTED USING THE FRAMEWORK FOR COUNTY HEALTH RANKINGS AND ROADMAPS, A COLLABORATION BETWEEN THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE AND THE ROBERT WOOD JOHNSON FOUNDATION. THE WORK IS ROOTED IN A DEEP BELIEF IN HEALTH EQUITY, THE IDEA THAT EVERYONE HAS A FAIR AND JUST OPPORTUNITY TO BE AS HEALTHY AS POSSIBLE, REGARDLESS OF RACE, ETHNICITY, GENDER, INCOME, LOCATION OR ANY OTHER FACTOR. RELEASED ANNUALLY, THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS, THAT IF IMPROVED, CAN HELP MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY. THE COUNTY HEALTH RANKINGS MODEL MEASURES HEALTH OUTCOMES AND HEALTH FACTORS FOR EACH COMMUNITY. HEALTH OUTCOMES REPRESENT HOW HEALTHY A COUNTY IS BY DETERMINING: * LENGTH OF LIFE (MORTALITY) --PREMATURE DEATH * QUALITY OF LIFE (MORBIDITY) --HEALTH-RELATED QUALITY OF LIFE (OVERALL HEALTH, PHYSICAL AND MENTAL HEALTH) --BIRTH OUTCOMES HEALTH FACTORS REPRESENT WHAT INFLUENCES THE HEALTH OF A COUNTY AND INCLUDES FOUR TYPES OF FACTORS: * SOCIAL AND ECONOMIC FACTORS (ACCOUNTS FOR 40% OF WHAT INFLUENCES HEALTH) --COMMUNITY SAFETY -- EDUCATION -- EMPLOYMENT -- FAMILY AND SOCIAL SUPPORT -- INCOME * HEALTH BEHAVIORS (ACCOUNTS FOR 30% OF WHAT INFLUENCES HEALTH) --ALCOHOL AND DRUG USE --DIET AND EXERCISE --SEXUAL ACTIVITY --TOBACCO USE --OTHER BEHAVIORS * CLINICAL CARE (ACCOUNTS FOR 20% OF WHAT INFLUENCES HEALTH) --ACCESS TO CARE --QUALITY OF CARE * PHYSICAL ENVIRONMENT (ACCOUNTS FOR 10% OF WHAT INFLUENCES HEALTH) --AIR AND WATER QUALITY --HOUSING AND TRANSIT (HTTP://WWW.COUNTYHEALTHRANKINGS.ORG/) ALL OF THE DATA COLLECTED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS USED TO PRIORITIZE NEEDS FOR THE FARMVILLE SERVICE AREA AND WILL BE USED TO DEVELOPMENT A 3-YEAR IMPLEMENTATION PLAN FOR THE HOSPITAL SYSTEM, COMMUNITY PARTNERS, AND STAKEHOLDERS IN THE FARMVILLE SERVICE AREA.
PART VI, LINE 3:SOUTHSIDE COMMUNITY HOSPITAL 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:SOUTHSIDE COMMUNITY HOSPITAL, INC. IS LOCATED IN FARMVILLE, VIRGINIA, WHICH IS 50 MILES EAST OF LYNCHBURG AND 50 SOUTHWEST OF RICHMOND. AS A SOLE COMMUNITY HOSPITAL, IT IS CENTRALLY LOCATED TO SERVE THE RESIDENTS OF AMELIA, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, AND PRINCE EDWARD COUNTIES, WHICH MAKES UP ITS PRIMARY SERVICE AREA (PSA). THE HOSPITAL WAS ESTABLISHED TO PROVIDE HEALTHCARE TO THIS MOSTLY RURAL AREA. THE 2019 POPULATION FOR THE HOSPITALS PSA WAS APPROXIMATELY 110,181. THE 2019 AVERAGE PERCENT OF THE PSA POPULATION THAT WAS 65 YEARS OF AGE AND OLDER WAS 19.28%. THE MEDIAN HOUSEHOLD INCOME (IN 2018 DOLLARS) IN THE PSA WAS $44,529 AS COMPARED TO THE STATE MEDIAN OF $71,564.
PART VI, LINE 5:SOUTHSIDE COMMUNITY HOSPITAL, INC. PLAYS AN IMPORTANT ROLE IN PROMOTING HEALTH IN THE COMMUNITIES IT SERVES. THE HOSPITAL HOSTS FREE WORKSHOPS AND EDUCATIONAL SEMINARS ON DIABETES, STROKE PREVENTION, AND HEART HEALTH, TO NAME A FEW. SOUTHSIDE COMMUNITY HOSPITAL, INC. ALSO PARTICIPATES IN NUMEROUS HEALTH FAIRS ANNUALLY, PROVIDING FREE SCREENINGS TO THE PUBLIC. IN ADDITION TO THE FREE SCREENINGS AT HEALTH FAIRS, THE HOSPITAL PROVIDES FREE SERVICES, INCLUDING ALL LAB TESTS AND RADIOLOGY EXAMS AT NO CHARGE TO INDIVIDUALS AT THE HEART OF VIRGINIA FREE CLINIC LOCATED IN DOWNTOWN FARMVILLE. THE HOSPITAL HOSTED TWO ADVANCE DIRECTIVE DAYS TO BRING AWARENESS TO THE NEED OF PREPAREDNESS AT END OF LIFE. BREAST-FEEDING, CHILDBIRTH, AND CAR SEAT SAFETY ARE JUST A FEW OF OTHER CLASSES MADE AVAILABLE FOR COMMUNITY MEMBERS. SOUTHSIDE COMMUNITY HOSPITAL, INC. ALSO HOSTS SEVERAL SUPPORT GROUPS INCLUDING CHRONIC PAIN SUPPORT GROUP AND DIABETES SUPPORT GROUP. WE ALSO HAVE A TEEN VOLUNTEER PROGRAM AND A COLLEGE VOLUNTEER PROGRAM FOR STUDENTS AT LONGWOOD UNIVERSITY, HAMPDEN-SYDNEY COLLEGE, AND SOUTHSIDE VIRGINIA COMMUNITY COLLEGE. DURING THE YEAR, THE HOSPITAL ALSO SUPPORTS NUMEROUS HEALTH RELATED SUPPORT GROUPS WITH EDUCATIONAL MATERIALS AND PROFESSIONAL KNOWLEDGE.
PART VI, LINE 6:SOUTHSIDE COMMUNITY HOSPITAL, INC.S AFFILIATION WITH CENTRA HEALTH, INC. BEGAN JANUARY 2006. IT SEEMED ONLY NATURAL THAT SOUTHSIDE COMMUNITY HOSPITAL, INC. WOULD PARTNER WITH CENTRA HEALTH, INC. SINCE THE OTHER CENTRA HOSPITALS ARE LOCATED WITHIN 50 MILES WEST OF SOUTHSIDE COMMUNITY HOSPITAL, INC. CENTRA HEALTH, INC. HAS A NATIONAL REPUTATION FOR CLINICAL EXCELLENCE AND PATIENT SATISFACTION. SOUTHSIDE COMMUNITY HOSPITAL, INC. AND CENTRA OFFICIALS BELIEVE THE COMBINED ORGANIZATIONS WILL BE STRENGTHENED THROUGH AN EXCHANGE OF BEST PRACTICES AND ECONOMIES OF SCALE. SOUTHSIDE PATIENTS HAVE BETTER ACCESS TO A BROADER RANGE OF ADVANCED CLINICAL SERVICES THAT ARE AVAILABLE AT CENTRA HEALTH, INC.S LYNCHBURG HOSPITALS. THE AFFILIATION IS ONE IN A SERIES OF STEPS IN WHICH SOUTHSIDE COMMUNITY HOSPITAL, INC.S LEADERS RECOGNIZED THE NEED TO PARTNER WITH AN ORGANIZATION THAT SHARED A MISSION OF EXCELLENT CARE. SOUTHSIDE HAS BEEN ABLE TO MAKE STRUCTURAL IMPROVEMENTS, REPLACE MEDICAL EQUIPMENT WITH NEWER MEDICAL TECHNOLOGY, AND UPDATE COMPUTER SYSTEMS. SOUTHSIDE COMMUNITY HOSPITAL, INC. HAS, ALSO, SUCCESSFULLY RECRUITED BOARD-CERTIFIED SURGEONS AND SPECIALISTS, NEW EMERGENCY PHYSICIANS, AND EXTENDED THEIR HOSPITALIST PROGRAM. SOUTHSIDE COMMUNITY HOSPITAL, INC. HAS BEEN THE HEALTHCARE CENTER OF SOUTHSIDE VIRGINIA SINCE OPENING ITS DOORS NOVEMBER 9, 1927. SINCE THEN, IT HAS OPERATED ON A NON-PROFIT BASIS WITH THE GOAL OF HELPING TO HEAL THE ILL AND INJURED. THE HOSPITAL SERVES THE RESIDENTS OF THE TOWN OF FARMVILLE AND AMELIA, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, AND PRINCE EDWARD COUNTIES.
PART VI, LINE 7:STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1FARMVILLE AREA CHAMBER OF COMMERCEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1118 N MAIN STREETAddressLine1Txt
CityFARMVILLECityNm
State AbbreviationVAStateAbbreviationCd
ZIP23901ZIPCd
FieldValueIRS element (for citing)
Recipient EIN541785415RecipientEIN
IRC Section501(C)(6)IRCSectionDesc
Cash Grant$10,000CashGrantAmt
Purpose Of GrantGENERAL OPERATIONAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM BASS JR
VP & BMH CEO$0$303,651$0$0$0$52,520$0$7,586$0$13,200$0$376,957$0$50,189
BIKRAM S BAL MD
DIRECTOR$938,705$0$54,297$0$1,013$0$8,400$0$5,995$0$1,008,410$0$0$0
THOMAS ANGELO
VP & SCH CEO$217,303$0$0$0$6,456$0$6,832$0$44,738$0$275,329$0$0$0
CLAUDIA MEINHARD
CHIEF NURSING OFFICER$181,163$0$0$0$881$0$5,593$0$22,597$0$210,234$0$0$0
HANY MOUSTAFA MD
MEDICAL DOCTOR$435,033$0$25,500$0$19,866$0$8,400$0$8,464$0$497,263$0$0$0
JOHN KONA MD
MEDICAL DOCTOR$421,805$0$0$0$5,593$0$8,400$0$13,715$0$449,513$0$0$0
ZAKI ELSARRAG MD
MEDICAL DOCTOR$390,585$0$25,188$0$2,348$0$8,400$0$24,367$0$450,888$0$0$0
JONATHAN LOGAN MD
MEDICAL DOCTOR$344,205$0$47,452$0$20,364$0$8,400$0$35,750$0$456,171$0$0$0
EDWARD FENTON MD
MEDICAL DOCTOR$327,703$0$60,389$0$20,858$0$8,400$0$44,740$0$462,090$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3:UNDER A MANAGEMENT ARRANGEMENT WITH CENTRA HEALTH, INC. (A RELATED PARTY), THE ORGANIZATIONS EXECUTIVE COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH, INC.S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S), AND COMPENSATION STUDY OR SURVEY.
Form Sch J Part I Line 4b:THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2019. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT WILLIAM BASS, JR VP & CEO BEDFORD MEMORIAL HOSPITAL $ 50,189 (A RELATED PARTY)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (21 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4a:2019 SOUTHSIDE COMMUNITY HOSPITAL, INC. PROGRAM SERVICE ACCOMPLISHMENTS COMMUNITY BENEFIT HIGHLIGHTS * DURING FY 2019, $8,627,348 IN CHARGES AT AN ESTIMATED COST OF $1,986,585 WAS CONTRIBUTED AS TRADITIONAL CHARITY CARE TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. ELIGIBILITY FOR CHARITY CARE IS BASED ON POVERTY INCOME LEVELS SET BY THE STATE. * CHARGES OF $8,680,656 AT AN ESTIMATED COST OF $1,998,860 WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. * LOSS FROM MEDICARE BASED ON COST TO CHARGE RATIO TOTALED $3,706,779. * LOSS FROM MEDICAID BASED ON COST TO CHARGE RATIO TOTALED $1,313,744. * CASH DONATIONS MADE BY SOUTHSIDE COMMUNITY HOSPITAL, INC. TO THE COMMUNITY DURING 2019 TOTALED $26,450. SOUTHSIDE COMMUNITY HOSPITAL, INC. IS EAGER TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY, WHICH CONSISTS OF ITS EIGHT SURROUNDING COUNTIES OF AMELIA, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, APPOMATTOX, AND PRINCE EDWARD COUNTIES. EMPLOYEES CONTINUALLY OFFER PROFESSIONAL HEALTH EDUCATION PROGRAMS, CLASSES, LECTURES, HEALTH FAIRS, HEALTH SCREENINGS, SUPPORT GROUPS, ETC., THROUGHOUT SOUTHSIDE VIRGINIA. SOUTHSIDE COMMUNITY HOSPITAL, INC. IS DEDICATED TO IMPROVING THE HEALTHCARE OF ITS COMMUNITY. SOME EXAMPLES ARE LISTED BELOW. COMMUNITY EDUCATION AND HEALTH SCREENINGS - ADVANCED DIRECTIVES DAY COLON CANCER AWARENESS DAY COMMUNITY HEALTH FAIRS BREAST CANCER EDUCATION HEALTHY HEART/STROKE EDUCATION BLOOD PRESSURE SCREENINGS FAMILY EDUCATION AND COMMUNITY CLASSES - BREASTFEEDING CLASSES CAR SEAT CLASSES CHILDBIRTH AND FAMILY EDUCATION SUPPORT GROUPS BREAST FEEDING SUPPORT GROUP SPECIAL PROJECTS/ HEALTH MINISTRY WOMENS MINISTRY HEART HEALTH VOLUNTEER SERVICES SOUTHSIDE COMMUNITY HOSPITAL, INC. IS HONORED TO HAVE MANY VOLUNTEERS FROM THROUGHOUT OUR SERVICE AREA MAKING A DIFFERENCE TO OUR PATIENTS, VISITORS, AND STAFF. IN 2019, 39 VOLUNTEERS DONATED 5,101 HOURS OF SERVICE TO OUR HOSPITAL. SOME OF OUR VOLUNTEER SERVICES ARE: WOMENS AUXILIARY OF SOUTHSIDE COMMUNITY HOSPITAL, INC.: FUNDRAISING FOR HOSPITAL - PROVIDES SCHOLARSHIPS FOR MEDICAL/NURSING STUDENTS. CSCH VOLUNTEERS: FRONT DESK, REGISTRATION, EMERGENCY DEPT., CENTRA MEDICAL GROUP, TRANSPORT, TELE-MED-SURG, OB, SAME DAY SURGERY, GIFT SHOP, ETC. CARDIO-REHAB VOLUNTEERS: ASSISTANTS IN THE GYM FOR CARDIO PATIENTS PACE (PROGRAM FOR ALL INCLUSIVE CARE FOR THE ELDERLY) VOLUNTEERS: ASSISTS WITH ACTIVITIES FOR THE ELDERLY LONGWOOD UNIVERSITY/HAMPDEN-SYDNEY COLLEGE/LOCAL HIGH SCHOOL STUDENT VOLUNTEERS IN 2019, FARMVILLE HOSPICE VOLUNTEERS DONATED 1,091 HOURS OF SERVICE TO THE HOSPICE PROGRAM. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO THE HOSPICE HOUSE. VOLUNTEERS SUPPORT THE HOSPICE HOUSE BY GROCERY SHOPPING, MEAL AND MEDICATION DELIVERY, CLEANING, INTERACTING WITH PATIENTS AND FAMILIES. THEY ALSO OFFER SUPPORT TO FAMILIES WHO HAVE LOST A LOVED ONE THROUGH PARTICIPATING IN THE HOSPICE MEMORIAL SERVICES 6 TIMES DURING THE YEAR. OUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 395 MILES IN 2019. STORIES OF ASSISTANCE TO THE COMMUNITY Centra Southside Community Hospital serves its community and the surrounding eight counties in many ways. Our nurses and staff are enthusiastic about participating in community events by conducting blood pressure checks, providing free health education materials to the general public, and assisting in health screenings. Nurses from our Pediatric Unit teach breast feeding classes, child car seat classes and give free car seats to participants who qualify. Centra Southside Community Hospital employees are encouraged to share their professional health knowledge to the community by speaking to local organizations. We continually donate school supplies to area school supply drives, and we have active members in many civic organizations, such as the Lions Club, the Rotary Club, Chamber of Commerce, Prince Edward United Way, VFW, and the Downtown Farmville Organization. We partnered with the Lions Club this year to build a food pantry at the local High School. We also partnered with the Lions Club to give free vision screening to schools. A team of employees and volunteers regularly volunteer at FACES, the local food pantry. Several employees participated in high school career days at local high schools, in addition to a Chamber Youth Summit. We also partnered with the YMCA for many activities, one being Health Kids Day. During 2019, the hospital held many health fairs throughout the community offering cholesterol, glucose, BMI, and blood pressure screenings. We offered low cost or free school physicals for children playing sports in school, and school bus drivers. Centra Southside Community Hospital is the primary sponsor in the free monthly community Morton Museum Prayer Breakfast event, located in downtown Farmville. The hospital provides the breakfast and sends employees from different departments each month to assist in serving the breakfast and participating in the prayer time. The hospital is eager to connect with and to help serve our community in this way. The hospital leadership continues to conduct meetings with local community leaders and community representatives to better understand the medical needs of our community. The hospital wants to ensure that members of the communities that we serve have the opportunity to voice their current medical care concerns and provide insight on how the hospital can better meet the medical needs of the community in the future. Centra Southside Community Hospital participates in the Heart of Virginia Free Clinic, by providing all lab tests and radiology exams for free. In 2019, 623 tests and exams were provided to the community at no charge. This donated service resulted in a community benefit exceeding $89,631. Many of our staff volunteer at the clinic. We also provide food for the clinical workers at the clinic as a small token of appreciation for those individuals who volunteer their professional services to benefit those individuals who cannot afford medical care. The hospital is eager to help educate our community on the importance of preventive care. The SCOPE/Meals on Wheels program provides balanced, nutritious meals to the elderly, disabled, or homebound who have no reliable means of obtaining their daily food requirements. Our caring volunteers help alleviate the sense of isolation and worry of clients and observe their physical condition. In cooperation with the community and county agencies, we identify those in need of these services, prepare all meals, and get them ready for distribution by volunteers. During 2019, approximately 12,681 meals were provided by the hospital, at a cost of approximately $39,311. Below is a list of various educational classes and support groups provided by the hospital throughout the year, at no cost to the participants. Educational classes: Advance Directive Education Breastfeeding Classes & Support Group Car Seat Classes Childbirth and Family Education Nursing Career Day Organ Donation Education Stroke Awareness Volunteers: Centra Southside Community Hospital is honored to have many volunteers from throughout our service area making a difference to our patients, visitors, and staff. Some of our volunteer services are: Womens Auxiliary of Southside Community Hospital: Fundraising for hospital - provides scholarships for medical/nursing students. CSCH Volunteers: Front desk, Registration, Emergency Dept., Centra Medical Group, Transport, Tele-Med-Surg, OB, Same Day Surgery, Gift Shop. Hospice Volunteers: Care for end-of-life patients Cardio-Rehab Volunteers: Assistants in the gym for cardio patients PACE (Program for All Inclusive Care for the Elderly) Volunteers: Assists with activities for the elderly Longwood University/Hampden-Sydney College/Local High School Student Volunteers In 2019, 39 Centra Southside Community Hospital volunteers donated 5,101 hours of service.
Form 990, Part VI, Section A, Line 2:BOARD MEMBER WILLIAM MCGUIRE AND OFFICER LEROY PFEIFFER, JR. SERVE AS OFFICERS OF THE WOODLAND, INC.S BOARD OF DIRECTORS. THE WOODLAND. INC IS A FULL-SERVICE RETIREMENT COMMUNITY OFFERING INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING CARE FACILITIES.
FORM 990, PART VI, SECTION A, LINE 6:THROUGH AN AFFILIATION AGREEMENT, SOUTHSIDE COMMUNITY HOSPITAL, INC.S SOLE CORPORATE MEMBER IS CENTRA HEALTH, INC.
FORM 990, PART VI, SECTION A, LINES 7A & 7B:CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL, INC. AND HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF SOUTHSIDE COMMUNITY HOSPITAL, INC.S GOVERNING BODY AND APPROVE DECISIONS MADE BY SOUTHSIDE COMMUNITY HOSPITAL, INC.S BOARD.
FORM 990, PART VI, SECTION A, LINES 8A & 8B:MINUTES ARE TAKEN AT EACH MEETING.
FORM 990, PART VI, SECTION B, LINE 11B:THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. SOUTHSIDE COMMUNITY HOSPITAL, INC. WILL PROVIDE ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12C:ALL SOUTHSIDE COMMUNITY HOSPITAL, INC. OFFICERS, DIRECTORS, AND KEY EMPLOYEES, MUST COMPLETE A 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, DIRECTORS, AND KEY EMPLOYEES MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF SOUTHSIDE COMMUNITY HOSPITAL, INC.'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINES 15A & B:FORM 990, PART VI, LINES 15A & 15B WERE ANSWERED AS NO, HOWEVER, UNDER A MANAGEMENT AGREEMENT WITH CENTRA HEALTH, INC., A RELATED PARTY, THE ORGANIZATIONS CHIEF EXECUTIVE OFFICERS COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTHS EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S), AND COMPENSATION STUDY OR SURVEY.
FORM 990, PART VI, SECTION C, LINE 18:PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19:THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY UPON REQUEST AT ITS ADMINISTRATIVE OFFICE.
FORM 990, PART XI, LINE 9:CONTRIBUTED CAPITAL FROM CENTRA HEALTH $15,400 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT ($11,746) ROUNDING (1) --------- TOTAL TO FORM 990, PART XI, LINE 9 $3,653 =========
FORM 990, PART XII, LINE 2C:COMMITTEE RESPONSIBLE FOR AUDIT PROCESS OVERSIGHT THE AUDIT PROCESS OF THE ORGANIZATION INCLUDING THE OVERSIGHT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR IS OVERSEEN BY THE AUDIT & COMPLIANCE COMMITTEE OF CENTRA HEALTH, INC., SOLE MEMBER AND RELATED ORGANIZATION.
FORM 990 PART IX LINE 11GDESCRIPTION:INTERHOSPITAL CHARGES TOTAL FEES:7116823
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:3704080
FORM 990 PART IX LINE 11GDESCRIPTION:CAPITATED MEDICAL CLAIMS TOTAL FEES:2838180
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:2593604
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN REMUNERATION TOTAL FEES:1295525
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:902088
FORM 990 PART IX LINE 11GDESCRIPTION:INTERPRETER SERVICES TOTAL FEES:16101
FORM 990 PART IX LINE 11GDESCRIPTION:CLEANING SERVICES TOTAL FEES:9100
FORM 990 PART IX LINE 11GDESCRIPTION:MISCELLANEOUS TOTAL FEES:2152

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