CENTRA HEALTH INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: CENTRA HEALTH INC (EIN 54-0715569)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-11
IRS object ID: 201903159349303420
Schema version: 2018v3.1
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-11T14:33:35-06:00	ReturnTs
Tax Period End	2018-12-31	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	2018-01-01	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	% ANDY MUELLER 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	ANDY MUELLER	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	4342004712	PhoneNum
Signature	2019-11-11	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	4.15.233.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	54621820193155000011	FederalOriginalSubmissionId
Federal Original Submission Id	2019-11-11	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C44969C09172B32DC5279494C6AE8494327A5917	AtSubmissionCreationDeviceId
At Submission Filing Device Id	651D255A1A915A1FDEE8CC96D476D00223E3EE33	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-03-31 21:24:44Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ANDY MUELLER	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	$1,161,288,028	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	8701	TotalEmployeeCnt
Total Volunteers	866	TotalVolunteersCnt
Total Gross UBI	$2,326,423	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,209,024	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,131,252	PYContributionsGrantsAmt
CY Contributions Grants	$5,840,717	CYContributionsGrantsAmt
PY Program Service Revenue	$900,321,376	PYProgramServiceRevenueAmt
CY Program Service Revenue	$963,722,544	CYProgramServiceRevenueAmt
PY Investment Income	$49,372,387	PYInvestmentIncomeAmt
CY Investment Income	$2,456,510	CYInvestmentIncomeAmt
PY Other Revenue	$3,635,999	PYOtherRevenueAmt
CY Other Revenue	$4,274,518	CYOtherRevenueAmt
PY Total Revenue	$958,461,014	PYTotalRevenueAmt
CY Total Revenue	$976,294,289	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,224,068	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,885,694	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$480,075,281	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$537,725,228	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$406,307,444	PYOtherExpensesAmt
CY Other Expenses	$452,655,362	CYOtherExpensesAmt
PY Total Expenses	$887,606,793	PYTotalExpensesAmt
CY Total Expenses	$992,266,284	CYTotalExpensesAmt
PY Revenues Less Expenses	$70,854,221	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$15,971,995	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,183,004,773	TotalAssetsBOYAmt
Total Assets EOY	$1,265,868,801	TotalAssetsEOYAmt
Total Liabilities BOY	$487,085,111	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$606,364,563	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$695,919,662	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$659,504,238	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	EXCELLENT CARE FOR LIFE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$897,083,471	ExpenseAmt
Grant	$1,885,694	GrantAmt
Revenue	$965,556,917	RevenueAmt
Desc	AS THE REGIONAL HEALTH CARE LEADER, CENTRA HEALTH, INC.'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 ILL 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	$897,083,471	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	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	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
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	656	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	8701	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	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	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
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ANDY MUELLER 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 (28 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	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
AMY G RAY
CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GEORGE R ZIPPEL
VICE-CHAIRMAN	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
EW TIBBS
PRESIDENT/CEO (THRU 9/18)	50.0	0.0	Yes (X)	Yes (X)	$2,017,436	$0	$221,900
MICHAEL BRADFORD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JULIE P DOYLE
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
THOMAS NYGAARD MD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
FRANCIS E WOOD JR
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
SHARON L HARRUP
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
HYLAN HUBBARD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
TODD IRBY
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
VERNA R SELLERS MD
DIRECTOR	50.0	0.0	Yes (X)		$258,314	$0	$11,937
R SACKETT WOOD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
PETER CAPRISE MD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
ALBERT M BAKER MD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
AMANDA STANLEY
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
DAVID G GOUGH
TREASURER & SVP/CFO	50.0	0.0		Yes (X)	$481,004	$0	$101,156
DAVID D ADAMS
SECRETARY & EVP/CSO	50.0	0.0		Yes (X)	$661,652	$0	$44,007
MICHAEL I ELLIOTT
INTERIM CEO (AS OF 10/18)	50.0	0.0		Yes (X)	$592,581	$0	$116,584
CURTIS BAKER
SVP/CHIEF NURSING OFFICER	50.0	0.0			$421,862	$0	$44,797	Yes (X)
JANICE H WALKER
SVP/CHIEF HR OFFICER	50.0	0.0			$459,859	$0	$20,894	Yes (X)
WILLIAM BASS
SVP/COMMUNITY HOSPITALS & RMC	50.0	0.0			$425,522	$0	$20,350	Yes (X)
CHRIS THOMSON MD
SVP CHIEF MEDICAL OFFICER	50.0	0.0			$545,635	$0	$142,080	Yes (X)
LES REED
SVP-CPE/CMG PRESIDENT	50.0	0.0			$694,425	$0	$35,540	Yes (X)
KENNETH SAUM MD
PHYSICIAN	50.0	0.0			$1,154,311	$0	$22,425		Yes (X)
HOUMAN TAVAF-MOTAMEN MD
PHYSICIAN	50.0	0.0			$1,112,289	$0	$29,064		Yes (X)
MATTHEW SACKETT MD
PHYSICIAN	50.0	0.0			$813,704	$0	$43,964		Yes (X)
BIKRAM BAL MD
PHYSICIAN	50.0	0.0			$875,302	$0	$15,770		Yes (X)
CHAD HOYT MD
PHYSICIAN	50.0	0.0			$832,397	$0	$62,136		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,346,293	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$932,604	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	635	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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	$21,843,630
VIZIENT INC
5543 LEGACY DRIVE	PLANO	TX	75024	CONTRACT LABOR SVCS	$20,881,947
ATOS DIGITAL HEALTH SOLUTIONS INC
DEPT 772066 PO BOX 78000	DETROIT	MI	482781177	SOFTWARE SVCS	$8,854,569
COMPHEALTH
PO BOX 972651	DALLAS	TX	75397	PHYSICIAN SERVICES	$6,725,088
ROI HEALTHCARE SOLUTIONS
5555 GLENRIDGE CONNECTOR SUITE 200	ATLANTA	GA	30342	IT CONSULTING SVCS	$4,944,780

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	152	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,233,984	RelatedOrganizationsAmt
Government Grants	$129,133	GovernmentGrantsAmt
All Other Contributions	$477,600	AllOtherContributionsAmt
Total Contributions	$5,840,717	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICES REVENUE	624100	$886,425,468	$884,105,953	$2,319,515
TUITION & EDUCATION	611600	$33,945,300	$33,945,300
ANCILLARY SERVICES	900099	$34,637,044	$34,637,044
CONTROLLED ENTITIES	900099	$8,782,548	$8,782,548
MEANINGFUL USE	900099	-$67,816	-$67,816

Field	Value	IRS element (for citing)
Total Program Service Revenue	$963,722,544	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,360,472	TotalRevenueColumnAmt
Unrelated Business Revenue	$6,908	UnrelatedBusinessRevenueAmt
Exclusion	$2,353,564	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	$4,163,410	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$4,042,780	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$120,630	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$120,630	TotalRevenueColumnAmt
Exclusion	$120,630	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$180,998,902	SecuritiesAmt
Other	$48,095	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$180,950,959	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$47,943	SecuritiesAmt
Other	$48,095	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$96,038	TotalRevenueColumnAmt
Exclusion	$96,038	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	$3,327,876	$3,327,876
SUBSIDIARY MANAGEMENT FEE	541610	$826,012	$826,012

Field	Value	IRS element (for citing)
Other Revenue Total	$4,153,888	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$976,294,289	TotalRevenueColumnAmt
Related Or Exempt Func Income	$965,556,917	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,326,423	UnrelatedBusinessRevenueAmt
Exclusion	$2,570,232	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,885,694	TotalAmt
Program Services	$1,885,694	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	$7,317,535	TotalAmt
Program Services	$270,251	ProgramServicesAmt
Management And General	$7,047,284	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$255,891	TotalAmt
Program Services	$26,701	ProgramServicesAmt
Management And General	$229,190	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$431,046,945	TotalAmt
Program Services	$424,228,851	ProgramServicesAmt
Management And General	$6,818,094	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$20,562	TotalAmt
Program Services	$19,030	ProgramServicesAmt
Management And General	$1,532	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$50,817,427	TotalAmt
Program Services	$45,676,116	ProgramServicesAmt
Management And General	$5,141,311	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$48,266,868	TotalAmt
Program Services	$44,670,617	ProgramServicesAmt
Management And General	$3,596,251	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,660,096	TotalAmt
Program Services	$1,047,592	ProgramServicesAmt
Management And General	$612,504	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,760,683	TotalAmt
Program Services	$4,406,235	ProgramServicesAmt
Management And General	$1,354,448	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$258,797	TotalAmt
Program Services	$57,149	ProgramServicesAmt
Management And General	$201,648	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	$1,810,247	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,810,247	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$132,014,418	TotalAmt
Program Services	$103,625,679	ProgramServicesAmt
Management And General	$28,388,739	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,802,881	TotalAmt
Program Services	$1,728,095	ProgramServicesAmt
Management And General	$1,074,786	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$42,719,312	TotalAmt
Program Services	$22,509,051	ProgramServicesAmt
Management And General	$20,210,261	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$27,688,132	TotalAmt
Program Services	$26,098,541	ProgramServicesAmt
Management And General	$1,589,591	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,180,154	TotalAmt
Program Services	$12,693,122	ProgramServicesAmt
Management And General	$487,032	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,264,499	TotalAmt
Program Services	$2,102,081	ProgramServicesAmt
Management And General	$162,418	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	$3,284,799	TotalAmt
Program Services	$2,869,853	ProgramServicesAmt
Management And General	$414,946	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$13,375,887	TotalAmt
Program Services	$13,375,887	ProgramServicesAmt
Management And General	$0	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	$41,590,771	TotalAmt
Program Services	$25,616,122	ProgramServicesAmt
Management And General	$15,974,649	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,870,427	TotalAmt
Program Services	$6,802,545	ProgramServicesAmt
Management And General	$67,882	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$85,058,843	$85,058,843
DRUGS	$71,760,524	$71,760,524
BOND COST AMORTIZATION	$554,892	$554,892

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$992,266,284	TotalAmt
Program Services	$897,083,471	ProgramServicesAmt
Management And General	$95,182,813	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,970,772	BOYAmt
EOY	$31,131,986	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	$128,344,039	BOYAmt
EOY	$200,581,590	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	$20,601,987	BOYAmt
EOY	$20,512,362	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,239,346	BOYAmt
EOY	$9,146,708	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,082,839,130	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$670,788,027	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$379,175,789	BOYAmt
EOY	$412,051,103	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$420,319,066	BOYAmt
EOY	$340,973,679	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$179,144,950	BOYAmt
EOY	$206,015,140	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	$38,208,824	BOYAmt
EOY	$45,456,233	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,183,004,773	BOYAmt
EOY	$1,265,868,801	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$74,502,938	BOYAmt
EOY	$81,854,760	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	$2,221,480	BOYAmt
EOY	$1,001,928	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$314,559,431	BOYAmt
EOY	$407,470,685	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	$25,000,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$10,000,000	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$85,801,262	BOYAmt
EOY	$91,037,190	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$487,085,111	BOYAmt
EOY	$606,364,563	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$629,767,794	BOYAmt
EOY	$597,122,336	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,273,490	BOYAmt
EOY	$33,503,524	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,878,378	BOYAmt
EOY	$28,878,378	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$695,919,662	BOYAmt
EOY	$659,504,238	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,183,004,773	BOYAmt
EOY	$1,265,868,801	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$15,971,995	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$19,272,040	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,171,389	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	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$30,137	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$45,642	OtherActivitiesAmt
Total Lobbying Expenditures	$75,779	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE C, PART II-B, LINE 1(G):	DIRECT CONTACT WITH LEGISLATORS, ETC: PAID STAFFS LOBBYING ACTIVITIES INCLUDES REGISTRATION FEES, TRAVEL TO WASHINGTON, DC AND RICHMOND, VA DURING 2018 ATTRIBUTABLE TO LOBBYING EXPENSES, HOTELS, PARKING, MEALS, ETC. WAS $9,493. 15% OF ONE EMPLOYEES 2018 SALARY WAS ATTRIBUTABLE TO DIRECT LOBBYING: $20,644.
SCHEDULE C, PART II-B, LINE 1(I):	OTHER LOBBYING ACTIVITIES: A PORTION OF THE ORGANIZATION'S VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION (VHHA) DUES FOR 2018 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $45,642.

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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$42,943,742	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$2,040,466	InvestmentEarningsOrLossesAmt
Other Expenditures	$573,033	OtherExpendituresAmt
End Year Balance	$40,330,243	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$42,984,832	BeginningYearBalanceAmt
Investment Earnings Or Losses	$501,833	InvestmentEarningsOrLossesAmt
Other Expenditures	$542,923	OtherExpendituresAmt
End Year Balance	$42,943,742	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.02270	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.71170	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.26560	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	$28,293,520	OtherCostOrOtherBasisAmt
Book Value	$28,293,520	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$486,117,683	OtherCostOrOtherBasisAmt
Depreciation	$274,078,667	DepreciationAmt
Book Value	$212,039,016	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$25,484,005	OtherCostOrOtherBasisAmt
Depreciation	$16,064,739	DepreciationAmt
Book Value	$9,419,266	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$511,039,601	OtherCostOrOtherBasisAmt
Depreciation	$380,644,621	DepreciationAmt
Book Value	$130,394,980	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,904,321	OtherCostOrOtherBasisAmt
Book Value	$31,904,321	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$412,051,103	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVEST CAPITAL-CONTROLLED ENT	$182,097,162	F
LEVEL 3 INVEST. IN REAL ESTATE	$23,917,978	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$206,015,140	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$30,562,717
OTHER ACCRUED LIABILITIES	$20,004,455
INTEREST RATE SWAP	$12,767,741
OTHER LIABILITIES	$10,659,198
EST PAYABLE TO 3RD PARTY	$12,094,508
ACCRUED INTEREST PAYABLE	$4,948,345
DUE TO RELATED PARTIES	$226

Field	Value	IRS element (for citing)
Total Liability	$91,037,190	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 FOUNTATIONS BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY U.S. GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE FOUNDATIONS 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 Centras tax return. Centra Medical Group Southside, LLC and Centra Medical Group, LLC are disregarded for federal income tax purposes and, therefore, are included under Southside's and Bedford's tax return, respectively. 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, 2018. Centra believes they are no longer subject to income tax examinations for years prior to December 31, 2015.

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	$40,790,467	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$40,790,467	NetCommunityBenefitExpnsAmt
Total Expense	0.04110	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$106,770,072	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,146,135	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,623,937	NetCommunityBenefitExpnsAmt
Total Expense	0.04400	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,560,539	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$63,146,135	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$84,414,404	NetCommunityBenefitExpnsAmt
Total Expense	0.08510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,300,444	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,300,444	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,401,457	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,721,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,680,233	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,965,820	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,965,820	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,667,721	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,721,224	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,946,497	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$165,228,260	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,867,359	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$92,360,901	NetCommunityBenefitExpnsAmt
Total Expense	0.09310	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,807	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,807	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,836	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$32,836	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$699	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$699	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$425	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$425	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,767	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$39,767	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$51,723,829	BadDebtExpenseAmt
Reimbursed By Medicare	$291,570,427	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$355,669,270	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$64,098,843	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 ACUTE 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:	COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION PLAN IDENTIFIED THREE OVERARCHING ACTION PLAN PRIORITIES AIMED AT IMPROVING THE HEALTH OF THE VARIOUS COMMUNITIES SERVED BY LYNCHBURG GENERAL, VIRGINIA BAPTIST AND CENTRA SPECIALTY HOSPITALS: COMMUNITY SUPPORT FOR SELF-ADVOCACY; MENTAL HEALTH EDUCATION, AWARENESS AND ACCESS; AND ADDICTION EDUCATION, PREVENTION AND ACCESS. THE ACTION PLAN PRIORITY REGARDING COMMUNITY SUPPORT FOR SELF-ADVOCACY: CENTRA SUPPORTED THIS INITIATIVE IN MANY WAYS IN 2018. THE FOLLOWING ARE A FEW OF THESE INITIATIVES. CENTRA COLLABORATED WITH NEIGHBORS HELPING NEIGHBORS OF AMHERST COUNTY BY ASSISTING IN THE FUNDING OF A VAN TO BE USED FOR FOOD DISTRIBUTION AND ALSO SUPPORTED PURCHASING A VEHICLE FOR FOOD DISTRIBUTION IN LYNCHBURG ON BEHALF OF WHEELS FOR BREAD. CENTRAS SUPPORT OF THE FRESHRX LYNCHBURG GROWS PROGRAM PROVIDES FAMILIES WITH EDUCATION, COOKING CLASSES, AND A HEALTHY DIET. CENTRA WAS A LEAD SPONSOR IN THE HEART WALK AND EDUCATION FOR A HEALTHY LIFESTYLE. CENTRA SUPPORTED HEALTHY BEHAVIOR AND HEALTHY LIFE CHOICE PROGRAMS TO INCLUDE ITS CONTINUED SUPPORT OF THE FREE CLINIC IN A MEDICAL AND DENTAL INTEGRATION PROJECT. SUPPORT OF BOTH A PARTNERSHIP CORE PHARMACEUTICALS SERVICES PROGRAM AND ACCESS TO MEDICATION PROGRAM, A REDUCING FALLS AND PREMATURE HOME DISPLACEMENT PROGRAM, A SAFE AT HOME PROGRAM AND WORKING TO UNRAVEL THE EFFECTS OF CANCER IN A CANCER SUPPORT PROGRAM. THESE PROGRAMS AND CONTINUED PARTNERSHIP WITH OTHER COMMUNITY AGENCIES AND THE OPENING OF THE COMMUNITY ACCESS NETWORK ARE PART OF CENTRAS ACTIONS IN SUPPORT FOR SELF-ADVOCACY. THE ACTION PLAN PRIORITY REGARDING MENTAL HEALTH EDUCATION, AWARENESS AND ACCESS: IN THE AREA OF CHILD PSYCHOLOGY, CENTRA SPONSORED THE 2018 "OUT OF THE DARKNESS" SUICIDE AWARENESS WALK AS WELL AS A KIDS HAVEN TRAINING EVENT (TRAIN COUNSELORS AND TEACHERS TO ASSIST GRIEVING CHILDREN). WE INCREASED OUR PARTIAL HOSPITALIZATION PROGRAM VOLUMES FOR CHILD AND ADOLESCENT PSYCHIATRY TO MEET THE NEEDS OF THE COMMUNITY. BEING ONE OF 2 HOSPITALS IN THE STATE THAT TREAT CHILDREN UNDER 10, WE DEVELOPED A SEPARATE TREATMENT AND PROGRAMMING TRACK, INCLUDING CAPITAL INVESTMENTS IN A SENSORY ROOM AND REDESIGNED ACTIVITY SPACES AS WELL AS UPDATED TREATMENT MATERIALS. IN THE AREA OF AUTISM, CENTRA OPENED A FREESTANDING RIVERMONT SCHOOL IN LYNCHBURG FOR CHILDREN WITH AUTISM. DUE TO THE INCREASED PREVALENCE OF AUTISM, CENTRA RECEIVED FOUNDATION FUNDS TO EXPAND ITS MULTIDISCIPLINARY AUTISM CLINIC FROM ONE BUILDING TO TWO. WE ARE THE STATES ONLY MULTIDISCIPLINARY AUTISM CLINIC THAT PROVIDES PSYCHIATRY, DEVELOPMENTAL PEDIATRICS, SPEECH AND OCCUPATIONAL THERAPY, INDIVIDUAL AND FAMILY THERAPY, PARENT TRAINING AND APPLIED BEHAVIOR ANALYSIS (ABA) UNDER 1 ROOF. OUR AUTISM IN HOME PROGRAM GREW FROM 6 TO 8 PROGRAMS AROUND THE STATE TO (EXPANDED ROANOKE, TIDEWATER AND ROCKBRIDGE). OUR AUTISM SERVICE LINE ALSO COORDINATES AND HOSTS THE ANNUAL CENTRAL VIRGINIA AUTISM RESOURCE FAIR IN LYNCHBURG, VA. THIS FREE COMMUNITY EVENT BRINGS TOGETHER LOCAL SERVICE PROVIDERS, NON-PROFITS, AND RESPITE CARE SERVICES TO PROVIDE CAREGIVERS AN OPPORTUNITY TO ACCESS RESOURCES IN A SUPPORTIVE, UNDERSTANDING ENVIRONMENT. IN THE AREA OF MENTAL HEALTH INTEGRATION, TO DATE, OUR MENTAL HEALTH INTEGRATION INITIATIVE HAS SUCCESSFULLY INTEGRATED LICENSED MENTAL HEALTH PROFESSIONALS IN THE FOLLOWING AREAS: STROOBANTS CARDIOLOGY, BARIATRICS, FOREST WOMENS CENTER, NATIONWIDE, SOUTHSIDE MEDICAL CENTER FARMVILLE, DANVILLE MEDICAL CENTER, PACE (PROGRAM FOR ALL-INCLUSIVE CARE OF THE ELDERLY), AS WELL AS OUR RECENTLY EXPANDED PIEDMONT PSYCHIATRIC CENTER MEDICATION ASSISTED TREATMENT CLINIC FOR PATIENTS WITH SUBSTANCE USE DISORDER. THE ACTION PLAN PRIORITY OF ADDICTION EDUCATION, PREVENTION AND ACCESS: CENTRA IS PRESIDENT OF THE CENTRAL VIRGINIA OPIOID PREVENTION COALITION (CVOPC). CVOPC STARTED THE HOPE INITIATIVE WHICH IS A MONTHLY DROP IN SESSION STAFFED BY CVOPC VOLUNTEERS TO PROVIDE A GATEWAY TO PROFESSIONAL RESOURCES IN THE COMMUNITY FOR PEOPLE SUFFERING FROM SUBSTANCE ABUSE DISORDERS. THE COALITION HOSTED A SECOND ANNUAL RECOVERY FEST IN 2018. WE HAVE OPENED A 7 BED UNIT AT VIRGINIA BAPTIST HOSPITAL FOR PATIENTS WITH SUBSTANCE ABUSE DIAGNOSES AND OPIOID ADDICTION TO BEGIN A HOSPITAL INITIATED MEDICATION ASSISTED WITHDRAWAL. WE RECEIVED A GRANT TO SEND PATIENTS HOME WITH RESCUE MEDICATION (NALOXONE) AS PART OF THEIR DISCHARGE PLAN. WE HAVE EXPANDED OUR CLINIC FOR PRE/POST-PARTUM WOMEN WITH SUBSTANCE USE DISORDER TO INCLUDE THE GENERAL POPULATION WITH THE NOVEMBER 2018 LAUNCH OF A PIEDMONT PSYCHIATRIC CENTER MEDICATION ASSISTED TREATMENT (MAT) CLINIC. THE CLINIC MODEL INVOLVES COMPREHENSIVE CARE FOR INDIVIDUALS WITH OPIOID USE DISORDER INCLUDING ASSESSMENT OF MEDICAL AND PSYCHIATRIC NEEDS, CARE COORDINATION, INDIVIDUAL AND GROUP THERAPY, AND MEDICATION ASSISTED TREATMENT. SINCE THAT TIME, WE HAVE BEEN AWARDED A 3 YEAR $1.5 MILLION SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) GRANT TO EXPAND EXISTING SERVICES FOR INDIVIDUALS WITH OPIOID ADDICTION. 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.
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	97	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (97 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	24501	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
CENTRA PANORAMIC WELLNESS
1603 ENTERPRISE DRIVE SUITE A	LYNCHBURG	VA	24502	WELLNESS CENTER
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. 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 PARTICIPATES IN THE HEALTHY PEOPLE THROUGH PREVENTION & EDUCATION COALITION (HIPE) WHICH FOCUSES ON TOBACCO AND SUBSTANCE ABUSE, CHILDHOOD OBESITY, SUPPORTING HEALTH ACTIVITIES FOR YOUTH. HIPE IS MADE UP OF COMMUNITY MEMBERS FROM ORGANIZATIONS SUCH AS, HORIZON BEHAVIORAL HEALTH, LYNCHBURG HEALTH DEPT., AREA SOCIAL SERVICES, PARKS AND RECS, CITY SCHOOLS, ETC., AND IS FOCUSED ON LOOKING AT BROADER HEALTH NEEDS IN THE COMMUNITY. 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. 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. LIVE HEALTHY LYNCHBURG IS THE UMBRELLA GROUP OF COMMUNITY COLLABORATORS WORKING ON COMMUNITY HEALTH INITIATIVES WHICH CENTRA IS A PARTNER. OTHER COMMUNITY PARTNERS WITHIN THIS GROUP ARE THE LYNCHBURG HEALTH DEPARTMENT, CHAMBER OF COMMERCE, CITY OF LYNCHBURG, LYNCHBURG CITY SCHOOLS, JOHNSON HEALTH CENTER, PRESBYTERIAN HOMES, ETC. 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 2018 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 CENTRA HEALTHS 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 THAT THE COST TO PROVIDE SERVICE. TOTAL MEDICARE SHORTFALL FOR 2018 WAS $64,098,843.
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, AN INSERT ABOUT FINANCIAL ASSISTANCE IS MAILED IN EVERY UNINSURED BILL, REFERENCING AVAILABILITY OF FINANCIAL ASSISTANCE WITH CONTACT INFORMATION ON WHERE TO OBTAIN MORE INFORMATION.
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 430,441, WITH AN ETHNIC MIX OF 23.0% BLACK AND 73.8% WHITE. THE PERCENT OF THE TOTAL PSA/SSA POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS 20.40%. THE AVERAGE HOUSEHOLD INCOME IN THE TOTAL SERVICE AREA IS $46,862. THE CURRENT RATE OF PERSONS IN POVERTY IS APPROXIMATELY 16.28% 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 (2017 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 (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
CENTRA HEALTH FOUNDATION
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541604094	501(c)(3)	$575,960	COMMUNITY WELLNESS CONTRIBUTION
JOHNSON HEALTH CENTER
320 FEDERAL STREET	LYNCHBURG	VA	24504	541287905	501(c)(3)	$160,000	RENTAL CONTRIBUTION
ACADEMY OF FINE ARTS
600 MAIN STREET	LYNCHBURG	VA	24504	237061145	501(c)(3)	$26,100	SUPPORT PARTNERSHIP IN ARTS
ALTAVISTACAMPBELL CTY HABITAT FOR HUMANITY
2187 LYNCH MILL RD	ALTAVISTA	VA	24517	541793590	501(c)(3)	$20,000	HOUSING GRANT PROJECT CONTRIBUTION FUNDRAISING COMPAIGNFUNDRAISING COMPAIGN FUNDRAISING COMPAIGN GRETNA MIDDLE SCHOOL PROJECTBCS-EXCELL PROJECT FUNDRAISING COMPAIGNFUNDRAISING COMPAIGN FREEDOM SCHOOL CONTRIBUTIONFUNDRAISING COMPAIGN ACHIEVEMENT GAP PROGRAMROOF REPLACEMENT PROGRAM
AMAZEMENT SQUARE
27 9TH STREET	LYNCHBURG	VA	24504	541713204	501(c)(3)	$160,500	CORPORATE PARTNERSHIP PROGRAM COMPAIGNFUNDRAISING COMPAIGN FUNDRAISING COMPAIGN GRETNA MIDDLE SCHOOL PROJECTBCS-EXCELL PROJECT FUNDRAISING COMPAIGNFUNDRAISING COMPAIGN FREEDOM SCHOOL CONTRIBUTIONFUNDRAISING COMPAIGN ACHIEVEMENT GAP PROGRAMROOF REPLACEMENT PROGRAM
AMERICAN HEART ASSOCIATION
4217 PARK PLACE CT	GLEN ALLEN	VA	23060	135613797	501(c)(3)	$25,000	FUNDRAISING CAMPAIGN
ELIZABETH'S EARLY LEARNING CENTER
2320 BEDFORD AVENUE	LYNCHBURG	VA	24503	541808771	501(c)(3)	$50,000	SAFE & EDUCATIONAL CHILD CARE PROJECT
FREE CLINIC OF CENTRAL VIRGINIA
1016 MAIN STREET	LYNCHBURG	VA	24504	541420756	501(C)(3)	$250,000	FUNDRAISING CAMPAIGN
LIBERTY UNI COLLEGE OF OSTEOPATHIC MEDICINE
1971 UNIVERSITY BLVD	LYNCHBURG	VA	24515	540946734	501(c)(3)	$14,000	COMMUNITY CARE COLLABORATIVE PROGRAM
LYNCHBURG BEACON OF HOPE
PO BOX 1261	LYNCHBURG	VA	24504	453798731	501(c)(3)	$100,000	CAPITAL CAMPAIGN CONTRIBUTION
LYNCHBURG REGIONAL BUSINESS ALLIANCE
2015 MEMORIAL AVE	LYNCHBURG	VA	24501	540165020	501(c)(6)	$41,667	FUNDRAISING CAMPAIGN CONTRIBUTION
MEDICAL SOCIETY OF VIRGINIA FOUNDATION
2924 EMERYWOOD PARKWAY	RICHMOND	VA	23294	521394768	501(C)(3)	$10,000	FUNDRAISING CAMPAIGN	SUITE 300
MONETA VOLUNTEER FIRE DEPT INC
12737 N OLD MONETA RD	MONETA	VA	24121	541713196	501(c)(3)	$8,500	FUNDRAISING CAMPAIGN
Pittsylvania County Parks & Recreation
18 Depot Street	CHATHAM	VA	24531	546001508	501(c)(3)	$53,408	GRETNA MIDDLE SCHOOL PROJECT
SMART BEGINNINGS-UNITED WAY OF CENTRAL VA INC
PO BOX 10008	LYNCHBURG	VA	24506	540505923	501(c)(3)	$40,320	BCS-EXCELL PROJECT
SOUTHSIDE VA FAMILY YMCA
580 COMMERCE ROAD	FARMVILLE	VA	23901	621487256	501(c)(3)	$100,000	FUNDRAISING CAMPAIGN
STEPS INC
225 INDUSTRIAL PARK RD	FARMVILLE	VA	23901	541209110	501(c)(3)	$39,319	FUNDRAISING CAMPAIGN
THE LISTENING INC
PO BOX 515	LYNCHBURG	VA	24504	812429529	501(C)(3)	$22,000	FREEDOM SCHOOL CONTRIBUTION
UNITED WAY OF CENTRAL VIRGINIA
1010 MILLER PARK SQUARE	LYNCHBURG	VA	24501	540505923	501(C)(3)	$25,000	FUNDRAISING CAMPAIGN
YMCA DOWNTOWN
1315 CHURCH STREET	LYNCHBURG	VA	24504	540505924	501(c)(3)	$120,560	ACHIEVEMENT GAP PROGRAM
YWCA OF CENTRAL VIRGINIA
626 CHURCH STREET	LYNCHBURG	VA	24504	540506490	501(c)(3)	$10,000	ROOF REPLACEMENT PROGRAM

Field	Value	IRS element (for citing)
Total501c3 Org	20	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	N/A	GrantTypeTxt

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 COMMUNITY BENEFITS 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 (15 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
EW TIBBS
PRESIDENT/CEO (THRU 9/18)	$649,545	$0	$181,441	$0	$1,186,450	$0	$171,812	$0	$50,088	$0	$2,239,336	$0	$887,284	$0
DAVID G GOUGH
TREASURER & SVP/CFO	$368,227	$0	$42,698	$0	$70,079	$0	$72,129	$0	$29,027	$0	$582,160	$0	$60,918	$0
DAVID D ADAMS
SECRETARY & EVP/CSO	$497,983	$0	$70,237	$0	$93,432	$0	$8,250	$0	$35,757	$0	$705,659	$0	$92,250	$0
MICHAEL I ELLIOTT
INTERIM CEO (AS OF 10/18)	$448,298	$0	$74,851	$0	$69,432	$0	$86,055	$0	$30,529	$0	$709,165	$0	$47,047	$0
VERNA R SELLERS MD
DIRECTOR	$238,991	$0	$17,620	$0	$1,703	$0	$6,731	$0	$5,206	$0	$270,251	$0	$0	$0
CURTIS BAKER
SVP/CHIEF NURSING OFFICER	$301,734	$0	$46,416	$0	$73,712	$0	$8,250	$0	$36,547	$0	$466,659	$0	$53,849	$0
JANICE H WALKER
SVP/CHIEF HR OFFICER	$331,578	$0	$49,001	$0	$79,280	$0	$8,250	$0	$12,644	$0	$480,753	$0	$58,538	$0
WILLIAM BASS
SVP/COMMUNITY HOSPITALS & RMC	$325,829	$0	$44,425	$0	$55,268	$0	$7,576	$0	$12,774	$0	$445,872	$0	$53,268	$0
KENNETH SAUM MD
PHYSICIAN	$1,056,554	$0	$75,000	$0	$22,757	$0	$8,250	$0	$14,175	$0	$1,176,736	$0	$0	$0
HOUMAN TAVAF-MOTAMEN MD
PHYSICIAN	$1,008,479	$0	$75,000	$0	$28,810	$0	$8,250	$0	$20,814	$0	$1,141,353	$0	$0	$0
MATTHEW SACKETT MD
PHYSICIAN	$693,752	$0	$99,978	$0	$19,974	$0	$8,250	$0	$35,714	$0	$857,668	$0	$0	$0
BIKRAM BAL MD
PHYSICIAN	$833,772	$0	$40,742	$0	$788	$0	$8,250	$0	$7,520	$0	$891,072	$0	$0	$0
CHAD HOYT MD
PHYSICIAN	$712,515	$0	$99,978	$0	$19,904	$0	$8,250	$0	$53,886	$0	$894,533	$0	$0	$0
CHRIS THOMSON MD
SVP CHIEF MEDICAL OFFICER	$423,722	$0	$49,689	$0	$72,224	$0	$89,301	$0	$52,779	$0	$687,715	$0	$52,779	$0
LES REED
SVP-CPE/CMG PRESIDENT	$494,205	$0	$70,744	$0	$129,476	$0	$8,250	$0	$27,290	$0	$729,965	$0	$120,657	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE J, PART I, LINE 4A:

EW TIBBS, FORMER CENTRA HEALTH, INC., CEO, RECEIVED SEVERANCE PAYMENT DURING 2018 IN THE AMOUNT OF $237,750, INCLUDED IN HIS TAXABLE INCOME. THE TERMS OF THE SEVERANCE AGREEMENT WERE CONSISTENT WITH INDUSTRY STANDARDS.

SCHEDULE J, PART I, LINE 4B:

THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2018. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT DAVID ADAMS EXECUTIVE VP & CSO 92,250 EW TIBBS (THRU 9/30/18) PRESIDENT & CEO 887,284 JANICE WALKER SR VP & CHIEF ADMIN OFFICER 58,538 MICHAEL ELLIOTT INTERIM CEO (AS OF OCT 2018) 47,047 WILLIAM BASS SVP COMMUNITY HOSP & RMC 53,268 DAVID GOUGH SR VP & CFO 60,918 CURTIS BAKER SR VP/CNO 53,849 CHRIS THOMSON SVP/CHEIF MEDICAL OFFICER 52,779 HARRELL "LES" REED SVP - CPE/CMG PRESIDENT 120,657 -------------- 1,426,590 ============== THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2018. NAME TITLE AMOUNT OF DEFERRAL DAVID ADAMS EXECUTIVE VP & CSO - EW TIBBS (THRU 9/30/18) PRESIDENT & CEO 163,562 JANICE WALKER SR VP & CHIEF ADMIN OFFICER - MICHAEL ELLIOTT INTERIM CEO (AS OF OCT 2018) 77,805 WILLIAM BASS SVP COMMUNITY HOSP & RMC - DAVID GOUGH SR VP & CFO 63,879 CURTIS BAKER SR VP/CNO - CHRIS THOMSON SVP/CHIEF MEDICAL OFFICER 81,051 HARRELL "LES" REED SVP - CPE/CMG PRESIDENT - ----------- 386,296 ===========

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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	Substantial CompletionSubstantialCompletionYr
A	$14,737,669	$0	$237,637,669	$0	$0	$0	$2,106,046	$0	$0	$35,589,073	$185,531,623	$14,410,927	Yes (true)	false	false	Yes (true)
B	$14,162,966	$0	$79,895,000	$0	$0	$0	$443,536	$0	$0	$65,485,248	$0	$1,396,216	false	false	false	Yes (true)	2017

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	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
0
A	false	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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. (C) CUSIP #55123TAU6, #55123TAW2, #55123TAT9, #55123TAS1 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SAMUEL GERSTEMEIER
SEE PART V	$137,628	SEE PART V	false
JACK E WALKER
SEE PART V	$91,562	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART IV:	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: SAMUEL GERSTEMEIER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF E.W. TIBBS, OFFICER OF CENTRA HEALTH, INC. (C) AMOUNT OF TRANSACTION: $137,628 (D) DESCRIPTION OF TRANSACTION: COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. (E) SHARING OF ORGANIZATION REVENUES?: NO (A) NAME OF PERSON: JACK E. WALKER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JANICE H. WALKER, KEY EMPLOYEE OF CENTRA HEALTH, INC. (C) AMOUNT OF TRANSACTION: $91,562 (D) DESCRIPTION OF TRANSACTION: COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. (E) SHARING OF ORGANIZATION REVENUES?: NO	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990 Part III, Line 4a:	AS THE REGIONAL HEALTH CARE LEADER, CENTRAS 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. HOWEVER, JUST AS IMPORTANT IS CENTRAS COMMITMENT AND DEDICATION TO SERVING AS A PARTNER IN THE REGIONAL COMMUNITIES. DISEASE PREVENTION AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES THROUGHOUT THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND EDUCATIONAL PROGRAMS, CENTRA IS COMMITTED TO PROVIDING THE BEST HEALTH CARE FOR ITS PATIENTS AND IMPROVING THE HEALTH AND WELLNESS OF ALL THE RESIDENTS OF CENTRAL VIRGINIA. CENTRAS COMMUNITY EVENTS, OFFERED IN COLLABORATION WITH THE CENTRA HEALTH FOUNDATION IS JUST ONE EXAMPLE OF CENTRAS MANY SERVICES TO THE COMMUNITY. IN ADDITION, CENTRA EMPLOYEES DEDICATE THEMSELVES TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY BY TAKING AN ACTIVE ROLE IN THE REGION, FROM VOLUNTEERING FOR LOCAL BOARDS AND CIVIC AND COMMUNITY ORGANIZATIONS TO PARTICIPATING IN COMMUNITY EVENTS AND STAFFING HEALTH AND WELLNESS FAIRS. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF THE REGION AND TAKES GREAT PRIDE IN PROVIDING FACILITIES, RESOURCES AND EXPERTISE TO IMPROVE THE HEALTH AND WELLNESS OF PEOPLE THROUGHOUT CENTRAL VIRGINIA. IN 2018, CENTRA HELD MANY NATIONAL AWARDS AND ACCOLADES, SUCH AS: * NATIONAL ACCREDITATION AS A COMPREHENSIVE CENTER FOR BARIATRIC SURGERY METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM- CENTRA WEIGHT LOSS SERVICES HAS RECEIVED NATIONAL ACCREDITATION FROM THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). THE MBSAQIP STANDARDS ENSURE THAT BARIATRIC SURGICAL PATIENTS RECEIVE A MULTIDISCIPLINARY PROGRAM, NOT JUST A SURGICAL PROCEDURE, WHICH IMPROVES PATIENT OUTCOMES AND LONG-TERM SUCCESS. * 5-STAR RATING CENTERS FOR MEDICARE AND MEDICAID- ONLY 337 HOSPITALS OUT OF 4,000 ACROSS THE COUNTRY WERE AWARDED THIS HIGHEST RANKING. IN VIRGINIA, CENTRA IS ONLY ONE OF 8 IN THE STATE TO BE RECOGNIZED WITH 5-STARS. THESE RANKINGS CAN BE FOUND ON THE CMS HOSPITAL COMPARE WEBSITE, THAT IS PROVIDED TO THE PUBLIC TO HELP PATIENTS MAKE EDUCATED DECISIONS. DATA IS ANALYZED IN CATEGORIES SUCH AS COMMUNICATION WITH NURSES, RESPONSIVENESS OF PHYSICIANS AND STAFF, READMISSIONS AND MORTALITY RATES, TIMELY AND EFFECTIVE CARE AND PAYMENT AND VALUE OF SERVICES. CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS RECEIVED THE PRESTIGIOUS 5-STAR RANKING. * 4-STAR RATING CENTERS FOR MEDICARE AND MEDICAID- ONLY 337 HOSPITALS OUT OF 4,000 ACROSS THE COUNTRY WERE AWARDED THIS HIGHEST RANKING. THESE RANKINGS CAN BE FOUND ON THE CMS HOSPITAL COMPARE WEBSITE, THAT IS PROVIDED TO THE PUBLIC TO HELP PATIENTS MAKE EDUCATED DECISIONS. DATA IS ANALYZED IN CATEGORIES SUCH AS COMMUNICATION WITH NURSES, RESPONSIVENESS OF PHYSICIANS AND STAFF, READMISSIONS AND MORTALITY RATES, TIMELY AND EFFECTIVE CARE AND PAYMENT AND VALUE OF SERVICES. CENTRA BEDFORD MEMORIAL HOSPITAL AND SOUTHSIDE COMMUNITY HOSPITAL RECEIVED THE 4-STAR RANKING. * 50 TOP CARDIOVASCULAR HOSPITAL IBM WATSON- CENTRA LYNCHBURG GENERAL HOSPITAL HAS BEEN SELECTED AS A 50 TOP CARDIOVASCULAR HOSPITAL IN AMERICA FOR THE SEVENTH TIME AND IS ONE OF ONLY THREE HOSPITALS IN VIRGINIA TO RECEIVE THIS NATIONAL HONOR FOR OUTSTANDING CARDIOVASCULAR PERFORMANCE. * GET WITH THE GUIDELINES-STROKE GOLD PLUS ACHIEVEMENT AWARD AND TARGET STROKE ELITE PLUS HONOR ROLL AMERICAN HEART ASSOCIATION & AMERICAN STROKE ASSOCIATION- CENTRA LYNCHBURG GENERAL HOSPITAL HAS RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS 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. * ACCREDITATION PROGRAM FOR EXCELLENCE (APEX) AMERICAN SOCIETY OF RADIATION ONCOLOGY- CENTRA IS ONE OF TWO HEALTHCARE SYSTEMS IN THE STATE OF VIRGINIA TO ACHIEVE THE ACCREDITATION PROGRAM FOR EXCELLENCE (APEX) FROM THE AMERICAN SOCIETY OF RADIATION ONCOLOGY. APEX IS A PROGRAM BASED ON A COMPREHENSIVE SET OF SIXTEEN EVIDENCE-BASED STANDARDS OF RADIATION ONCOLOGY PRACTICE. THESE STANDARDS ARE FOCUSED ON FIVE PILLARS OF PATIENT CARE: THE PROCESS OF CARE; THE RADIATION ONCOLOGY TEAM; SAFETY; QUALITY MANAGEMENT; AND PATIENT-CENTERED CARE. * MAGNET STATUS AMERICAN NURSES CREDENTIALING CENTER- THE AMERICAN NURSES CREDENTIALING CENTER HAS RE-DESIGNATED CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS AS MAGNET FACILITIES WHICH RECOGNIZE EXCELLENCE IN NURSING. CENTRA MEDICAL GROUP WAS ALSO AWARDED MAGNET STATUS. CENTRA WAS THE FIRST HEALTHCARE SYSTEM IN CENTRAL VIRGINIA TO ACHIEVE MAGNET STATUS IN 2006. * TOP 100 MOST WIRED CENTRA LYNCHBURG GENERAL, SOUTHSIDE COMMUNITY AND VIRGINIA BAPTIST HOSPITALS ARE THREE OF THE TOP 100 MOST WIRED HOSPITALS IN THE COUNTRY ACCORDING TO HOSPITALS & HEALTH NETWORKS MAGAZINE. 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. * PATHWAY TO EXCELLENCE DESIGNATION- BEDFORD MEMORIAL THE PATHWAY TO EXCELLENCE DESIGNATION IDENTIFIES THE ELEMENTS OF PROFESSIONAL WORK ENVIRONMENTS WHERE NURSES CAN FLOURISH AND FEEL EMPOWERED. THE DESIGNATION SUBSTANTIATES NURSING JOB SATISFACTION AND IDENTIFIES BEDFORD MEMORIAL HOSPITAL AS ONE OF THE BEST PLACES TO WORK. THE PATHWAY TO EXCELLENCE DESIGNATION IS GRANTED BASED ON THE CONFIRMED PRESENCE OF SIXTY-FOUR ELEMENTS OF PERFORMANCE, CATEGORIZED INTO SIX STANDARDS: SHARED DECISION-MAKING, LEADERSHIP, SAFETY, QUALITY, WELL-BEING AND PROFESSIONAL DEVELOPMENT.
2018 COMMUNITY BENEFIT HIGHLIGHTS	* CENTRA CONTINUES TO CONTRIBUTE MILLIONS OF DOLLARS TOWARD UNPAID COST OF PATIENT CARE, INCLUDING, BUT NOT LIMITED TO: o TRADITIONAL CHARITY CARE INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2018, $110,846,305 OF CHARGES AT AN ESTIMATED COST OF $40,790,467 WAS PROVIDED TO PATIENTS OF CENTRA. THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY ASSISTANCE FOCUSES ON INCOME LEVELS SET BY THE STATE OF VIRGINIA. THESE POLICIES CALL FOR PROVIDING CARE FREE OF CHARGE TO PATIENTS WHO DEMONSTRATE A FAMILY INCOME BELOW OR EQUAL TO 200 PERCENT OF THE STATE APPROVED POVERTY GUIDELINE. PATIENTS WHO HAVE A FAMILY INCOME OF GREATER THAN 200 PERCENT TO 400 PERCENT OF THE POVERTY LEVEL ARE ELIGIBLE FOR PARTIAL ASSISTANCE BASED ON A DISCOUNT SCHEDULE THAT CONSIDERS BOTH FAMILY GROSS INCOME AND ACCOUNT BALANCE. ASSISTANCE IS PROVIDED BY CENTRA AND FROM INDIGENT FUNDS MADE AVAILABLE BY CENTRA HEALTH FOUNDATION. * CHARGES OF $51,723,829 AT AN ESTIMATED COST OF $25,220,215 WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY DURING 2018. o 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. THEREFORE, THE UNREIMBURSED CALCULATED COSTS OF CARE RENDERED TO MEDICARE PATIENTS TOTALED $64,098,843 IN 2018. o UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS TOTALED $43,623,937 IN 2018. COMMUNITY EDUCATION & HEALTH SCREENINGS CENTRAL VIRGINIANS BENEFIT FROM QUALITY HEALTH EDUCATION OPPORTUNITIES AND SCREENINGS, THANKS TO THE PARTNERSHIP BETWEEN CENTRA AND THE CENTRA HEALTH FOUNDATION. INCLUDED BELOW IS A LIST OF SELECTED ACCOMPLISHMENTS AND COMMUNITY SUPPORT CENTRA PROVIDED IN 2018 AS A COMMUNITY PARTNER. CENTRA EMPLOYEES CONTINUALLY OFFER PROFESSIONAL HEALTH EDUCATION PROGRAMS, CLASSES, LECTURES, SEMINARS, HEALTH FAIRS AND HEALTH SCREENINGS THROUGHOUT THE REGION. IN ADDITION, DIETITIANS, DIABETIC INSTRUCTORS AND MANY OTHER PROFESSIONALS AT CENTRA PROVIDE ONE-ON-ONE PERSONALIZED EDUCATION. IN 2018, OVER 325 HEALTH EDUCATION PROGRAMS AND HEALTH FAIRS REACHED MORE THAN 22,000 INDIVIDUALS WITHIN THE COMMUNITY. KNITTING CLASSES THIS PROGRAM OFFERS CANCER PATIENTS, CAREGIVERS, AND OTHERS AFFECTED BY CANCER THE OPPORTUNITY TO LEARN THE ART OF KNITTING AND CROCHETING. THE OBJECTIVE OF THE CLASS IS TO PROVIDE WAYS TO PASS TIME DURING TREATMENTS, TO CREATE DONATIONS FOR PATIENTS, AND A PLACE TO BUILD A SUPPORT GROUP THAT MEETS REGULARLY SO THAT PARTICIPANTS HAVE AN EASY WAY TO CONNECT AND BUILD RELATIONSHIPS. NUTRITION CLASSES, COOKING DEMONSTRATIONS, FREE FARMERS MARKET THESE PROGRAMS OFFER A UNIQUE OPPORTUNITY TO ACQUIRE KNOWLEDGE ABOUT THE LINK BETWEEN DIET AND CANCER, EXPERIENCE THE BENEFITS OF PLANT-BASED NUTRITION, AND LEARN THE PRACTICAL COOKING SKILLS NEEDED TO HELP YOU ON YOUR JOURNEY TO BETTER HEALTH. IN THE CLASSES, ATTENDEES DO ALL OF THIS WHILE ENJOYING A COOKING DEMONSTRATION AND TASTING DELICIOUS, HEALTHFUL DISHES. ART CLASSES ART CLASSES ARE BEING OFFERED TO CANCER PATIENTS AS A FORM OF THERAPY. ART IS USED TO ASSIST CANCER PATIENTS TO USE THE CREATIVE SIDE OF THE BRAIN. IT IS BELIEVED IN THE MEDICAL WORLD THAT A CREATIVE ACTIVITY PROMOTES HEALING. YOGA AND TAI CHI EXERCISE CLASSES YOGA AND TAI CHI ARE OFFERED TO CAN HELP PATIENTS CENTER THEIR THOUGHTS AND MAINTAIN FLEXIBILITY, BUT BOTH HAVE BENEFITS SPECIFICALLY FOR PEOPLE LIVING WITH CANCER. SYMPTOMS OF FATIGUE, INSOMNIA, AND PAIN CAN ALL LOWER YOUR QUALITY OF LIFE WITH CANCER. IN RECENT YEARS, THE USE OF YOGA AND TAI CHI HAVE BEEN EVALUATED IN MANY STUDIES LOOKING AT CANCER SYMPTOMS. FIGHTING CANCER ISNT EASY BUT GIVING UP ISNT AN OPTION. YOGA AND TAI CHI HELP ENHANCE PHYSICAL AND EMOTIONAL WELLNESS AND HELPS BRING PEACE TO PATIENTS. MINDFUL MEDITATION CLASSES MINDFUL MEDITATION CLASSES CONSIST SIMPLY OF BEING AWARE OF THE PRESENT MOMENT. NEGATIVE REACTIONS TO PAIN, SUCH AS FEAR OR ANGER, ACTUALLY CAN MAKE PAIN WORSE. MINDFULNESS TEACHES ONE TO OBSERVE THOUGHTS AND FEELINGS INSTEAD OF REACTING TO THEM, SO ONE CAN LEARN TO EXPERIENCE PAIN/STRESS AS A MOMENT-TO-MOMENT SENSATION, WHICH THEN LESSENS THE INTENSITY. RESEARCH SHOWS MINDFULNESS-BASED STRESS REDUCTION TECHNIQUES CAN REDUCE CHRONIC PAIN AND ANXIETY AND INCREASE VITALITY. MUSIC THERAPY MANY PEOPLE FIND LISTENING TO MUSIC RELAXING, SOOTHING, AND ENJOYABLE. FOR CANCER PATIENTS, IT ALSO CAN BE A WAY TO COPE WITH SOME OF THE SYMPTOMS OF THEIR DISEASE AND SIDE EFFECTS OF THEIR TREATMENT. NEW RESEARCH SUPPORTS LISTENING TO RECORDED MUSIC, AS WELL AS MUSIC THERAPY, TO IMPROVE ANXIETY, PAIN, MOOD, QUALITY OF LIFE, HEART RATE, RESPIRATORY RATE, AND BLOOD PRESSURE IN CANCER PATIENTS. CARDIAC EDUCATION AND SCREENINGS VARIOUS PROGRAMS WITHIN THE STROOBANTS HEART CENTER OFFER MEMBERS OF THE COMMUNITY FREE EDUCATION, SCREENINGS AND LECTURES. HEARTAWARE AN ONLINE RISK ASSESSMENT WAS LAUNCHED ON THE CENTRA WEBSITE IN 2010. THROUGH HEARTAWARE, MEMBERS OF THE COMMUNITY ARE ABLE TO TAKE THE FREE ASSESSMENT TO DETERMINE THEIR INDIVIDUAL RISK OF DEVELOPING HEART DISEASE. THEIR RISKS ARE EVALUATED BY CARDIAC NURSES THAT DETERMINE A PLAN OF ACTION TO LOWER OR ELIMINATE THESE RISKS. ALONG WITH HEARTAWARE, COMMUNITY EVENTS, HEALTH FAIRS, LECTURES, BLOOD PRESSURE AND CHOLESTEROL SCREENINGS ARE AN EFFECTIVE APPROACH TO RAISING AWARENESS AND COMBATING HEART DISEASE. OTHER ONLINE WELLNESS ASSESSMENTS IN ADDITION TO THE HEARTAWARE ONLINE RISK ASSESSMENT, CENTRA ALSO HAS FIVE OTHER FREE ONLINE RISK ASSESSMENTS WHICH IS LOCATED ON CENTRA HEALTHS WEBSITE. THE COMMUNITY CAN LOCATE THESE ASSESSMENTS BY GOING TO WWW.CENTRAHEALTH.COM AND SELECTING "COMMUNITY HEALTH" ON THE TOP TAB, THEN SELECT "WELLNESS ASSESSMENTS". THESE ASSESSEMENTS ARE: o LUNGAWARE TO ASSESS THE RISK OF LUNG DISEASE o PAD AWARE TO ASSESS THE RISK OF PERIPHERAL ARTERY DISEASE o DIABETESAWARE TO ASSESS THE RISK OF DIABETES o SLEEPAWARE TO ASSESS THE RISK OF OBSTRUCTIVE SLEEP DISORDER o SPINEAWARE TO ASSESS THE RISK OF BACK AND SPINAL DISORDERS BE TOBACCO FREE CLINIC CENTRA HEALTHS PULMONARY REHABILITATION PROGRAM OFFERS FREE ONE HOUR BE TOBACCO FREE PROGRAMS MONTHLY FOR PEOPLE CONSIDERING A TOBACCO-FREE LIFE, WHETHER ITS SMOKING, VAPING OR CHEWING TOBACCO. DURING 2018, 58 INDIVIDUALS PARTICIPATED. WE COORDINATED THE GREAT AMERICAN SMOKE OUT AT THE PEARSON CANCER CENTER AND STROOBANTS CARDIOVASCULAR CENTER IN ORDER TO HELP THE PUBLIC, PATIENTS, AND EMPLOYEES QUIT USING TOBACCO. WE WERE ABLE TO REACH 123 INDIVIDUALS DURING THIS PROGRAM. HEALTH SCREENINGS AND COMMUNITY HEALTH EDUCATION CENTRA PROVIDES SPONSORSHIP AND SUPPORT OF COMMUNITY HEALTH EDUCATION AND HEALTH SCREENING PROGRAMS. HEALTH AND WELLNESS TOPICS SPAN THE HEALTH AND WELLNESS CONTINUUM, ADDRESSING BOTH WELLNESS AND DISEASE-RELATED ISSUES. HEALTH SCREENINGS PROVIDED THROUGHOUT THE REGION INCLUDE BLOOD SUGAR, CHOLESTEROL, BODY FAT PERCENTAGE, PULMONARY FUNCTION, PSA FOR PROSTATE CANCER, SKIN AND COLORECTAL CANCER, BLOOD PRESSURE SCREENINGS AND OSTEOPOROSIS SCREENINGS. SLEEP DISORDERS CENTER OUTREACH THE SLEEP DISORDERS CENTER AT VIRGINIA BAPTIST HOSPITAL AND THE FOREST SLEEP CENTER PARTICIPATED IN NUMEROUS HEALTH FAIRS AT LOCAL BUSINESSES AND CHURCHES IN THE COMMUNITY. STAFF MEMBERS GAVE LECTURES AND PRESENTATIONS ON SLEEP DISORDERS. PRESENTATIONS INCLUDED INFORMATION RELATED TO HEALTHY SLEEP HABITS, THE IMPORTANCE OF SLEEP, HEALTH RISKS DUE TO SLEEP DISORDERS AND TREATMENT OPTIONS. MAAM (MAMMOGRAMS ANNUALLY A MUST) DURING 2018, CENTRA HEALTH PROVIDED 350 SCREENING MAMMOGRAMS TO UNINSURED AND UNDERINSURED WOMEN IN THE COMMUNITY WITH THE SUPPORT OF THE CENTRA FOUNDATION MAAM PROGRAM. FREE SCREENING MAMMOGRAPHY DAYS WERE HELD THROUGHOUT THE YEAR AT ALL CENTRA HEALTH MAMMOGRAPHY FACILITIES.
COMMUNITY CLASSES	IN ADDITION TO FREE SCREENINGS, SUPPORT GROUPS AND COMMUNITY OUTREACH, CENTRA ALSO PROVIDED EDUCATIONAL CLASSES TO THE COMMUNITY ON A BROAD RANGE OF HEALTH AND WELLNESS TOPICS. CLASSES INCLUDE, BUT NOT LIMITED TO, FAMILY EMERGENCY CARE (CPR), CHILDBIRTH, BABY CARE, INFANT MASSAGE, BREAST-FEEDING, PUBERTY, SAFE SITTER, NEW SIBLING CLASSES, DIABETES, WEIGHT MANAGEMENT, SMOKING CESSATION, DEPRESSION, HEART DISEASE, SURVIVORSHIP. SUPPORT GROUPS SUPPORT GROUPS, OFFERED TO THE COMMUNITY WITHOUT CHARGE, PROVIDE A FORUM FOR EDUCATION AND THE EXCHANGE OF IDEAS. THESE GROUPS ADDRESS AN ARRAY OF ISSUES INCLUDING BEREAVEMENT, BREAST CANCER, COPD, PROSTATE CANCER, SLEEP DISORDERS AND CARDIAC REHABILITATION. BEREAVEMENT SUPPORT GROUPS IN 2018, THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED GRIEF SUPPORT GROUPS IN ALL 3 BUSINESS UNITS. THE GROUPS CONTINUE TO BE ENTITLED, "A JOURNEY TOWARD HOPE AND HEALING." THERE WAS A TOTAL OF 4 GROUP SERIES HELD IN LYNCHBURG, 2 GROUP SERIES HELD IN FARMVILLE, AND 2 GROUP SERIES HELD IN BEDFORD. THE SIX, SIX-WEEK SERIES PROVIDED AN INTERDISCIPLINARY AND HOLISTIC EDUCATIONAL AND SUPPORTIVE GROUP FORMAT, WITH THE HOSPICE MEDICAL DIRECTOR, HOSPICE CLINICAL SOCIAL WORKERS, HOSPICE BEREAVEMENT STAFF, AND HOSPICE CHAPLAINS SERVING AS FEATURED SPEAKERS. THE MULTI-SESSION GROUPS WERE HELD FOR AN HOUR-AND-A-HALF. THE SERIES WERE OFFERED EITHER IN THE EVENING OR IN THE DAYTIME TO ACCOMMODATE PARTICIPANTS LIFE SCHEDULES. APPROXIMATELY THIRTY-NINE (39) PERSONS ATTENDED A GRIEF SUPPORT GROUP SERIES IN 2018 (LYNCHBURG 27 ATTENDEES; FARMVILLE 8 ATTENDEES; BEDFORD 4 ATTENDEES). THE GRIEF SUPPORT GROUP SERIES ARE FREE AND OPEN TO THE COMMUNITY-AT-LARGE, AS WELL AS TO FAMILY MEMBERS OF PERSONS SERVED BY HOSPICE. THE CENTRA HOSPICE BEREAVEMENT PROGRAM ALSO OFFERED A "HOLIDAY HOPE" PROGRAM (FORMERLY KNOWN AS "GRIEF AND THE HOLIDAYS") AT SIX DIFFERENT VENUES/LOCATIONS ON THE DATES LISTED BELOW: - OCTOBER 29, 2018 (FAIRMONT CROSSING) - OCTOBER 30, 2018 (FARMVILLE HOSPICE OFFICE) - NOVEMBER 1, 2018 (SUMMIT) - NOVEMBER 13, 2018 (BEDFORD BOWER CENTER FOR THE ARTS) - NOVEMBER 14, 2018 (APPOMATTOX J. ROBERT JAMERSON MEMORIAL LIBRARY) - NOVEMBER 15, 2018 (GRETNA FIRST BAPTIST CHURCH OF GRETNA) FOURTEEN (14) PERSONS ATTENDED THE PROGRAMS WHICH WERE FACILITATED BY MARTHA GUNTER, CENTRA HOSPICE BEREAVEMENT MANAGER (WHO IS A LICENSED PROFESSIONAL COUNSELOR) AND THE FOLLOWING CENTRA HOSPICE CHAPLAINS: JUSTIN BROWN, SETH COTTON, ELAINE TOLA, SHERI WINESETT, AND DEBRAH ZUERCHER. THE "HOLIDAY HOPE" PROGRAMS WERE FREE AND OPEN TO THE COMMUNITY-AT-LARGE, AS WELL AS FAMILY MEMBERS OF PERSONS SERVED BY HOSPICE. THEY WERE ADVERTISED THROUGH PRINT, MASS MAILING, LOCAL NEWSPAPERS, AND ELECTRONIC MEDIA. THE CENTRA HOSPICE BEREAVEMENT PROGRAM CONTINUES TO PROVIDE SUPPORT TO THE COMMUNITY AS WELL. MARTHA GUNTER, CENTRA HOSPICE BEREAVEMENT MANAGER, WAS INVITED TO SPEAK AT TWO EVENTS HOSTED BY DIUGUID FUNERAL HOME ON WIGGINGTON ROAD; AND HERITAGE FUNERAL HOMES FIRST HOLIDAY MEMORIAL SERVICE. MS. GUNTER ALSO SPOKE WITH ATTENDEES AT THE NEWLY FORMED HEALTH & WELLNESS SENIOR PROGRAM AT CROSSROAD BAPTIST CHURCH ON GRIEF & LOSS. A MASS MAILING HAS OCCURRED TO AREA FUNERAL HOMES TO INFORM THEM OF THE AVAILABLE GRIEF SUPPORT GROUPS THROUGH CENTRA HOSPICE BEREAVEMENT SERVICES; AS WELL AS THE SCHEDULED "HOLIDAY HOPE" PROGRAMS. THE CENTRA HOSPICE BEREAVEMENT PROGRAM CONTINUES TO PROVIDE SUPPORT TO FACILITIES WHERE PATIENTS WERE SERVED IN COLLABORATION WITH CENTRA HOSPICE. LITERATURE HAS BEEN DISTRIBUTED TO AREA FACILITIES RELATED TO SUPPORT AVAILABLE TO FACILITY STAFF THROUGH CENTRA HOSPICE BEREAVEMENT SERVICES. AN IN-SERVICE ON "SELF-CARE FOR HEALTHCARE PROFESSIONALS" WAS FACILITATED BY MARTHA GUNTER, CENTRA HOSPICE BEREAVEMENT MANAGER, TO STAFF AT FAIRMONT CROSSING AND TO CENTRA BEDFORD HOSPICE HOUSE STAFF. MS. GUNTER PROVIDED STAFF AT THE LYNCHBURG HOSPICE HOUSE AND THE BEDFORD HOSPICE HOUSE WITH REMEMBRANCE ITEMS TO HAVE ON SITE AS A WAY TO REFLECT ON THE PATIENTS WHOM STAFF CARED FOR AT BOTH OF HOSPICE HOUSES UP TO THE PATIENTS PASSING. DURING 2018, MARTHA GUNTER, CENTRA HOSPICE BEREAVEMENT MANAGER, COLLABORATED WITH SETH COTTON, TO PLAN A REMEMBRANCE CEREMONIES AT GUGGENHEIMER HEALTH & REHAB AS A MEANS OF PROVIDING FACILITY SUPPORT. ANOTHER FUTURE REMEMBRANCE CEREMONY IS BEING PLANNED FOR EARLY 2019 AT GUGGENHEIMER HEALTH & REHAB. THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED HOSPICE-SPONSORED MEMORIAL SERVICES IN ALL THREE BUSINESS UNITS THIS YEAR. SIX SERVICES WERE HELD IN LYNCHBURG AT TIMBERLAKE UNITED METHODIST CHURCH; THREE SERVICES WERE HELD IN FARMVILLE AT ST. JOHNS LUTHERAN CHURCH; AND TWO SERVICES WERE HELD IN BEDFORD AT BEDFORD CHRISTIAN CHURCH. OVERALL, THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED BEREAVEMENT SUPPORT TO 992 +/- FAMILY MEMBERS OF PERSONS SERVED BY CENTRA HOSPICE (704 IN THE LYNCHBURG BUSINESS UNIT; 162 +/- IN THE FARMVILLE BUSINESS UNIT; AND 126 +/- IN THE BEDFORD BUSINESS UNIT). IN ADDITION TO OUR GRIEF SUPPORT GROUP SESSIONS, 220 SUPPORTIVE BEREAVEMENT VISITS AND/OR SUPPORTIVE BEREAVEMENT COUNSELING SESSIONS WERE PROVIDED BY BEREAVEMENT STAFF EITHER IN THE PERSONS HOME OR AT THE HOSPICE OFFICE (146 IN THE LYNCHBURG BUSINESS UNIT; 58 IN THE FARMVILLE BUSINESS UNIT; AND 16 IN THE BEDFORD BUSINESS UNIT). 2,700 PHONE CALLS WERE PROVIDED BY BEREAVEMENT STAFF TO OFFER AND/OR PROVIDE BEREAVEMENT SUPPORT (1,945 IN THE LYNCHBURG BUSINESS UNIT; 424 IN THE FARMVILLE BUSINESS UNIT; AND 331 IN THE BEDFORD BUSINESS UNIT). PEARSON CANCER CENTER BREAST CANCER SUPPORT GROUP THIS GROUP IS OFFERED TO WOMEN DIAGNOSED WITH BREAST CANCER AT ANY STAGE OF THE DISEASE. THE SUPPORT GROUP ADDRESSES BREAST HEALTH AND RELATED ISSUES OF IMPORTANCE TO WOMEN WITH BREAST CANCER. THIS GROUP MEETS ONCE A MONTH AND REACHED 30 WOMEN IN 2018. ASTHMA/COPD/BREATHING SUPPORT GROUP THIS GROUP IS OFFERED TO INDIVIDUALS TO CREATE AWARENESS OF CHRONIC LUNG DISEASES AND TO PROVIDE SUPPORT AND ENCOURAGEMENT TO INDIVIDUALS AND FAMILY MEMBERS OF THOSE WITH CHRONIC LUNG DISEASE. PROSTATE SUPPORT GROUP THIS GROUP IS AN EDUCATIONAL SUPPORT GROUP SUPPORTED BY CENTRAS NURSE NAVIGATORS, DESIGNED TO MEET THE NEEDS OF MEN DIAGNOSED WITH PROSTATE CANCER AND SPOUSES OR CAREGIVERS. THIS SUPPORT GROUP MEETS AT THE ALAN B. PEARSON REGIONAL CANCER CENTER AND IS SUPPORTED THROUGH OUR PROSTATE CANCER NAVIGATION PROGRAM. MENDED HEARTS/CARDIAC REHAB SUPPORT GROUPS THESE CARDIAC-RELATED SUPPORT GROUPS OFFER EDUCATION AND EMOTIONAL SUPPORT TO CARDIAC PATIENTS AND THEIR FAMILIES. IN-KIND & CASH DONATIONS * DURING 2018, CENTRA HEALTH DONATED OVER $128,936 IN MEDICAL SUPPLIES TO THE GLEANING FOR THE WORLD ORGANIZATION. * DURING 2018, CENTRA LAB PROCESSED A COMBINED TOTAL OF 4,835 LABORATORY TESTS FOR CENTRAL VIRGINIA FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT OF APPROXIMATELY $583,322. * DURING 2018, APPROXIMATELY 17,050 MEALS WERE PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF APPROXIMATELY $52,855. * DURING 2018, CASH DONATIONS MADE BY CENTRA HEALTH TO THE COMMUNITY TOTALED $1,336,884. SPECIAL NEEDS PROJECTS & MENTORING CENTRA PROVIDES AND PROMOTES MANY SPECIAL NEED PROJECTS AND MENTORING OPPORTUNITIES. EDUCATIONAL OPPORTUNITIES ARE OFFERED TO STUDENTS IN A BROAD RANGE OF PROFESSIONAL AND TECHNICAL PROGRAMS. AT CENTRA, STUDENTS GAIN EXPERIENCE IN NURSING, TECHNICAL AND CLINICAL PROFESSIONS. SEVERAL HIGH SCHOOLS AND UNIVERSITIES IN VIRGINIA ROTATE STUDENTS THROUGH CENTRAS FACILITIES WITH CENTRA STAFF MEMBERS, GIVING THESE STUDENTS THE OPPORTUNITY TO TRAIN AND GAIN EXPERIENCE IN THEIR CHOSEN CAREER FIELDS. HERE IS A LIST OF SPECIAL PROJECTS CENTRA SUPPORTS: BEFORE BABY MOMS CLUB (BBMC) BEFORE BABY MOMS CLUB (BBMC) IS A FREE EVIDENCE BASED PROGRAM THAT IMPROVES BIRTH OUTCOMES BY PROVIDING PRENATAL EDUCATION AND EMOTIONAL SUPPORT FOR MOMS-TO-BE IN A FUN GROUP SETTING. IT OFFERS AN OPPORTUNITY FOR PREGNANT WOMEN IN VARIOUS STAGES OF THEIR PREGNANCIES TO EXPLORE ISSUES, RECEIVE INFORMATION, LEARN PRACTICAL SKILLS AND HAVE THEIR QUESTIONS ANSWERED AS A GROUP. BEFORE BABY MOMS CLUBS ARE FACILITATED BY A TRAINED EDUCATOR IN AN INFORMAL AND NON-INTIMIDATING SETTING, USING A COLORFUL, COMPREHENSIVE AND EASY TO UNDERSTAND PRENATAL GUIDE. PARTICIPANTS MEET IN LYNCHBURG THE FIRST FOUR THURSDAYS OF EVERY MONTH FROM 5:30PM-7PM AT THE CENTER FOR CHILDBIRTH AND FAMILY EDUCATION AT CENTRA VIRGINIA BAPTIST HOSPITAL AND THE FIRST FOUR WEDNESDAYS OF THE MONTH FROM 12:00PM-1:30PM AT CENTRA SOUTHSIDE COMMUNITY HOSPITAL THROUGH JULY 2018. PARTICIPANTS RECEIVE INFORMATION AT EVERY MEETING ON AT LEAST ONE OF THE FOLLOWING CORE TOPICS; PRETERM LABOR, NUTRITION, SAFE SLEEP, BREASTFEEDING, SUBSTANCE USE AND ABUSE/DEPRESSION.
2018 ACTIVITIES AND OUTREACH	* HOSTED 86 BBMC MEETINGS, 40 IN LYNCHBURG AND 26 IN FARMVILLE. * SERVED 707 PREGNANT WOMEN AND THEIR SUPPORT PERSONS, 650 IN LYNCHBURG AND 57 IN FARMVILLE. * CONTINUED PARTNERSHIPS WITH KROGER, AND CENTRA CATERING TO PROVIDE SERVICES AND/OR FOOD. * RECRUITMENT BY PHONE AND THROUGH DISTRIBUTION OF FLYERS TO PRACTITIONERS. * HOSTED 2 SPA DAYS, 2 GROCERY STORE TOURS AND BBMC REUNION. * REACHED OUT TO POTENTIAL SPEAKERS, LACTATION CONSULTANTS, MIDWIVES, YWCA, FIRE DEPARTMENT. * REACHED OUT TO CURRENT AND POTENTIALLY NEW MOMS CLUB PARTNERS FOR MOMS GROUP ACTIVITIES. COMMUNITY VOICE COMMUNITY VOICE 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 BLACK WOMEN OF CHILDBEARING 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. IN 2018 OVER 740 COMMUNITY RESIDENTS RECEIVED INFORMATION ON SAFE SLEEP, BREASTFEEDING, PRETERM BIRTH, SUBSTANCE USE AND ABUSE, NUTRITION, FOLIC ACID, PRENATAL CARE AND OTHER PERINATAL HEALTH TOPICS THROUGH A COMBINATION OF CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES. * TAUGHT 50 CLASSES IN LYNCHBURG * 286 COMMUNITY RESIDENTS ATTEND AT LEAST 1 CLASS * ATTENDED 8 COMMUNITY HEALTH FAIRS OR EVENTS * ASSISTED WITH I AM WOMAN RACE * DEVELOPED ONGOING PARTNERSHIPS WITH AGENCIES AND CHURCHES IN LYNCHBURG, FARMVILLE AND BEDFORD * ONGOING CV RECRUITMENT IN LYNCHBURG 2018 COMMUNITY VOICE OUTREACH LOCATIONS: * DANIELS HILL * TINBRIDGE HIL * DIAMOND HILL * COLLEGE HILL * JUBILEE FAMILY DEVELOPMENT CENTER * HUNTON RANDOLPH CENTER * GOODWILL INDUSTRIES, MADISON HTS, VIRGINIA * JAMERSON YMCA * DOWNTOWN YMCA * JOHNSON HEALTH CENTER * MIRIAMS HOUSE * DOMESTIC VIOLENCE SHELTER * LIBERTY GODPARENT HOME * BLUE RIDGE PREGNANCY CENTER * JAMES CROSSING APARTMENTS * PARKVIEW MISSIONS * PRAYER FAITH OUTREACH MINISTRIES * BEDFORD COMMUNITY COALITION * SOCIAL MEDIA UPDATES AND POSTINGS * LIBERTY UNIVERSITY * VIRGINIA UNIVERSITY OF LYNCHBURG * LYNCHBURG COLLEGE 2018 COMMUNITY VOICE CLASS LOCATIONS: * PARKVIEW MISSIONS * LYNCHBURG PARKS AND RECREATION MILLER CENTER (EVERY WEEK) * COMMUNITY ACCESS NETWORK FORENSIC NURSE PROGRAM THE FORENSIC NURSE PROGRAM BEGAN IN 1997. IT CONSISTS OF REGISTERED NURSES TRAINED IN THE COLLECTION OF FORENSIC EVIDENCE. THE FORENSIC NURSES WORK WITH LAW ENFORCEMENT, SOCIAL SERVICES AND THE COURT SYSTEM. NURSES RESPOND TO VICTIMS OF PHYSICAL ASSAULT, SEXUAL ASSAULT AND ABUSE AND NEGLECT IN BOTH THE ADULT AND PEDIATRIC POPULATION. THEY ALSO PROVIDE EDUCATIONAL/TRAINING LECTURES TO RESCUE AGENCIES, POLICE DEPARTMENTS, POLICE ACADEMY, ATTORNEYS AND VARIOUS COLLEGES INCLUDING THE CRIMINAL JUSTICE AND NURSING PROGRAMS. THIS PROGRAM SERVES CLIENTS FROM CENTRAL VIRGINIA AND THE SURROUNDING AREA. IN 2018, THE PROGRAM SAW 748 PATIENTS AND HAD AN ADDITIONAL 525 CONSULTS. RIVERMONT SCHOOLS CENTRAS RIVERMONT SCHOOLS PROVIDE SPECIALIZED EDUCATION FOR STUDENTS WITH BEHAVIORAL OR EMOTIONAL CONCERNS AS WELL AS STUDENTS ON THE AUTISM SPECTRUM. THIRTEEN SCHOOLS THROUGHOUT VIRGINIA ADDRESS THE NEEDS OF MORE THAN 800 STUDENTS AND OPERATE ON A 180-DAY SCHOOL YEAR CALENDAR. RIVERMONT SCHOOLS ARE LOCATED IN LYNCHBURG, ROANOKE, CHASE CITY, DAN RIVER, HAMPTON ROADS, TIDEWATER, ALLEGHANY HIGHLANDS, FREDERICKSBURG, GREATER PETERSBURG, FAIRFAX, AND ROCKBRIDGE. RIVERMONT SCHOOLS PROVIDE A UNIQUE AND SUPPORTIVE ENVIRONMENT SERVING SCHOOL-AGE CHILDREN EXPERIENCING EMOTIONAL DIFFICULTIES AND AUTISM. EACH RIVERMONT STUDENT RECEIVES LEARNING OPPORTUNITIES THAT PROMOTE SELF-ACTUALIZATION, THE VALUE OF LEARNING, SELF-DISCIPLINE, COOPERATION, RESILIENCY AND SELF-ADVOCACY THROUGH TEACHING EXCELLENCE, THERAPEUTIC SUPPORT, FAMILY PARTICIPATION, AND COMMUNITY INVOLVEMENT. VOLUNTEER SERVICES CENTRA HAS MANY DEDICATED VOLUNTEERS FROM THROUGHOUT CENTRAL VIRGINIA WHO CHOOSE TO GIVE BACK TO THEIR COMMUNITY BY DONATING THEIR TIME AND TALENTS. GUGGENHEIMER VOLUNTEER SERVICES VOLUNTEERS DONATE TIME AT GUGGENHEIMER HEALTH AND REHABILITATION CENTER TO PROVIDE RESIDENTS WITH ENRICHMENT AND INTERACTION THROUGH THE "ENHANCING LIVES EVERY DAY" PROGRAM. THEY SUPPORT MANY AREAS OF THE PROGRAM BY PROVIDING MUSICAL ENTERTAINMENT, EXERCISE CLASSES AND CRAFT CLASSES AS WELL AS ASSISTANCE IN TRANSPORTING RESIDENTS AND ANSWERING THE PHONE. HOSPICE VOLUNTEERS IN 2018, HOSPICE VOLUNTEERS DONATED 6,181 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 50,136 MILES IN 2018.
ASSISTANCE THRU DONATIONS	CENTRA HEALTH, INC. DONATED $500,000 TO CENTRA HEALTH FOUNDATIONS COMMUNITY INITIATIVE FUND DURING 2018. NUMEROUS ORGANIZATIONS AND INDIVIDUALS BENEFIT FROM THE VARIOUS PROGRAMS AND ASSISTANCE PROVIDED WITH THE HELP OF THESE DONATIONS. BELOW IS THE LIST OF LOCAL ORGANIZATIONS WHICH CENTRA FUNDS SUPPORTED IN 2018: 1. Bedford Ride Non-Emergency Medical Transportation Bedford Ride/Central VA Alliance for Community Living, Inc. Notes: Operational supplies, fuel, vehicle maintenance & repair. $25,000 2. A Cargo Van for Food Transportation (Amherst County) Neighbors Helping Neighbors of Amherst County Notes: Funds to help purchase a used van to be used for food distribution. $9,000 3. Central Virginia HIV Testing and Counseling Project Coalition for HIV Awareness & Prevention of Central VA (CHAP) Notes: Funds to purchase HIV rapid tests, home tests, HIV testing equipment & provide counseling & follow-up. $14,500 4. CLiC Care in Lynchburg and Danville Brain Injury Services of Southwest VA (SWVA) Notes: Support caregivers of brain injury patients through online classes. $3,375 5. EMS Training Grant for Year 2018 2019 Central Virginia Community College Educational Foundation (CVCC) Notes: Provide tuition and fees for eligible students, plus a small number of text books. Online training for ACLS, PALS, ACLS-EP. $27,000 6. Fresh RX Lynchburg Grows Notes: Family healthy diet sessions for 4 nine-week sessions serving a total of 60 families. $20,000 7. Fund for Colorectal Cancer Screenings (Farmville & Prince George) Central Virginia Health Services, Inc. Notes: Funding for colorectal screening tests. $10,000 8. Healthy Behaviors Diamond Hill Health & Wellness Community Services (DHHW) Notes: Expand exercise classes, summer day camp, & educational health workshops. $7,500 9. Healthy Life Choices Programming Boys & Girls Club of Greater Lynchburg Notes: To support supplies, training, staff & mentors for healthy lifestyle training. $10,000 10. Increasing Naloxone Access to Prevent Opioid Overdose for Community Safety E2 Dual Diagnosis Unit a part of VBH Adult Psychiatry Unit Notes: To fund Naloxone to uninsured patients identified with Opioid Abuse Disorder. (1 year start-up) $28,000 11. Kids Haven Grief Group Facilitation & Grief Support Skills Training Program Kids Haven A Center for Grieving Children Recommendation: Partial funding recommended Notes: Partial consulting fee to create gold-standard training in the area of childrens grief facilitation & provide childrens grief support skills. $8,000 12. Medical/Dental Services Integration Project Free Clinic of Central Virginia, Inc. Notes: For salaries and dental supplies. $80,000 13. Medical Necessity Transportation Program (Farmville) Piedmont Senior Resource Area Agency on Aging Notes: Start-up costs for driver & call coordinator. $25,000 14. Medication Access Program (MAP) Heart of Virginia Free Clinic (Farmville) Notes: To help purchase bulk generic drugs for uninsured patients. $14,000 15. Movies on the Menu (Amherst) Second Stage/Amherst, Inc. Notes: To support meals, snacks, & staff costs for healthy diet education. $5,000 16. Prevention and Alternative Peer Group Recovery Support Services (Drug & Alcohol) The Unlimited Potential UP Foundation Notes: Provide scholarships for 6 months of recovery services for youth. $24,000 17. Reducing Falls & Premature Home Displacement Foundation for Rehabilitation Equipment and Endowment (aka) FREE Notes: Funds for staff, equipment, repair & rehab & purchase of some specialized equipment. $23,900 18. RX Partnership Core Pharmaceuticals Services Program and Access to Medication Program RX Partnership (RxP) Notes: To help broker free prescriptions for the Lynchburg Free Clinic. $12,000 19. "Safe at Home" Interfaith Outreach Association Notes: For home safety modifications for elderly & handicapped. $15,000 20. Summer Camp Scholarship & 3 Point Play Program Jubilee Family Development Center Notes: To fund 28 partial scholarships for Three-Point Play Summer Program. $14,000 21. TAKE CHARGE: Priority Transitions Program Central Virginia Alliance for Community Living, Inc (designated Area Agency on Aging, Inc.) Notes: To fund staff salaries program reduces readmissions into Centra hospitals, very high success rate. $69,500 22. United Neigh Scholarship Fund Brook Hill Retirement Center for Horses, Inc. Notes: Non-traditional therapy for children with emotional & physical disabilities. $7,500 23. Wheels for Bread Lynchburg Daily Bread, Inc. Notes: To purchase a new van to be used for food distribution. $10,000 24. Why the Y (Farmville) Southside Virginia Family YMCA Notes: Supplies, free swim lessons, scholarships to residents who cannot afford memberships. $29,000 25. Working to Unravel the Effects of Cancer (Danville) Danville Pittsylvania Cancer Association, Inc. (Cancer Patient Support) Notes: Provide assistance with patient travel, medical, equipment, nutritional supplemental & education. $15,000
FORM 990, PART VI, SECTION A, LINE 2:	OFFICERS DAVID GOUGH AND MICHAEL ELLIOTT ARE BOARD MEMBERS OF CENTRAL VIRGINIA IMAGING, LLC, 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 1,434,097 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 3,112,149 NET ASSETS RELEASED FROM RESTICTIONS TO AFFILIATED ENTITIES (553,565) MINORITY INTEREST 40,664 NET PERIODIC PENSION COST (5,204,777) ROUNDING 43 ------------ TOTAL TO FORM 990, PART XI, LINE 9 ($1,171,389) ===========
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED & CONTRACTED SVCS TOTAL FEES:75472414
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:55814353
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER TOTAL FEES:727651

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	$4,201,008	$23,333,724	CENTRA HEALT
CENTRAL VA HOSPITAL FOR RESTORATIVE CARE
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	204712023	HEALTHCARE	VA	$8,305,699	$2,967,402	CENTRA HEALT
CENTRA MEDICAL GROUP LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	203639329	PHYSICIAN SVC	VA	$163,621,593	$64,137,965	CENTRA HEALT
CENTRAL VA QUALITY CARE NETWORK LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	474453641	INT. NETWORK	VA	$464,501	$357,622	CENTRA HEALT
CENTRA OP REHABILITATION SERVICES LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	471052716	OP REHAB	VA	$2,380,882	$877,960	CENTRA HEALT
HEALTHWORKS LLC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	263026223	OT PROVIDER	VA	$3,145,108	$3,903,611	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	$615,684	$1,700,970	1.00000	Yes (true)
PCHP HOLDING INC
2316 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541749492	HOLDING COMPANY	VA	NA	C Corp	$0	$7,366,629	1.00000	Yes (true)
PIEDMONT COMMUNITY HEALTH PLAN INC
2316 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541755768	HEALTH INSURANCE	VA	NA	C Corp	$263,738,503	$80,649,648	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
CENTRA HEALTH FOUNDATION
b	$500,000	BOOK VALUE
CENTRA HEALTH FOUNDATION
c	$5,269,388	BOOK VALUE
CENTRA HEALTH FOUNDATION
p	$178,827	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
D	$12,811,298	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
Q	$3,960,021	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL
K	$289,887	BOOK VALUE
CCRC INC
Q	$104,040	BOOK VALUE
GENERAL BUSINESS CONCERNS INC
K	$326,013	BOOK VALUE
BEDFORD MEMORIAL HOSPITAL
Q	$2,136,896	BOOK VALUE
BEDFORD MEMORIAL HOSPITAL
K	$241,153	BOOK VALUE
PCHP
Q	$621,833	BOOK VALUE
PCHP
K	$107,943	BOOK VALUE