CENTRA HEALTH INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: CENTRA HEALTH INC (EIN 54-0715569)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-07
IRS object ID: 201413119349301266
Schema version: 2013v3.1
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 K
Schedule L
Schedule O
Schedule R
Reasonable Cause Explanation

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-07T12:33:44-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1676 International Drive	AddressLine1
City	McLean	City
State	VA	State
ZIP Code	22102	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% LEWIS C ADDISON	InCareOfNm
Business Name Control	CENT	BusinessNameControlTxt
Phone	4342004708	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1920 Atherholt Road	AddressLine1
Address Line2	Suite	AddressLine2
City	Lynchburg	City
State	VA	State
ZIP Code	24501	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Lewis C Addison	PersonNm
Person Title	SVP/CFO	PersonTitleTxt
Phone	4342004708	PhoneNum
Signature	2014-11-04	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARGARET A BRADSHAW	PreparerPersonNm
PTIN	P00501222	PTIN
Phone	4342004708	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Lewis Addison	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1920 Atherholt Road	AddressLine1
City	Lynchburg	City
State	VA	State
ZIP Code	24501	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$1,369,635,635	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 - Every Time.	ActivityOrMissionDesc
Voting Members Governing Body	24	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	6307	TotalEmployeeCnt
Total Volunteers	1058	TotalVolunteersCnt
Total Gross UBI	$9,604,673	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$731,718	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,801,580	PYContributionsGrantsAmt
CY Contributions Grants	$3,377,699	CYContributionsGrantsAmt
PY Program Service Revenue	$593,965,951	PYProgramServiceRevenueAmt
CY Program Service Revenue	$605,976,778	CYProgramServiceRevenueAmt
PY Investment Income	$28,007,817	PYInvestmentIncomeAmt
CY Investment Income	$41,833,890	CYInvestmentIncomeAmt
PY Other Revenue	$3,170,581	PYOtherRevenueAmt
CY Other Revenue	$3,208,296	CYOtherRevenueAmt
PY Total Revenue	$628,945,929	PYTotalRevenueAmt
CY Total Revenue	$654,396,663	CYTotalRevenueAmt
PY Grants And Similar Paid	$572,960	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$897,430	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$330,674,511	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$341,507,664	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$244,318,461	PYOtherExpensesAmt
CY Other Expenses	$254,156,403	CYOtherExpensesAmt
PY Total Expenses	$575,565,932	PYTotalExpensesAmt
CY Total Expenses	$596,561,497	CYTotalExpensesAmt
PY Revenues Less Expenses	$53,379,997	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$57,835,166	CYRevenuesLessExpensesAmt
Total Assets BOY	$801,567,246	TotalAssetsBOYAmt
Total Assets EOY	$854,632,293	TotalAssetsEOYAmt
Total Liabilities BOY	$390,787,592	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$329,973,066	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$410,779,654	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$524,659,227	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	EXCELLENT CARE - EVERY TIME.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$523,170,813	ExpenseAmt
Grant	$897,430	GrantAmt
Revenue	$596,372,105	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 HEALTH, INC. (CENTRA) HAS BEEN BRINGING BABIES IN THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR OVER 25 YEARS, 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	$523,170,813	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	Yes (true)	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	Yes (true)	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	493	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6307	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	24	GoverningBodyVotingMembersCnt
Independent Voting Member	16	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	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	LEWIS C ADDISON	PersonNm
Phone	4342004708	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1920 ATHERHOLT ROAD	AddressLine1
City	Lynchburg	City
State	VA	State
ZIP Code	24501	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (44 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Thomas W Nygaard MD
DIRECTOR	50.0	0.0	Yes (X)	Yes (X)	$397,632	$0	$56,033
Kirsten Huber MD
Director	2.0	50.0	Yes (X)		$0	$246,199	$15,075
Kenneth S White
Chairman of the Board	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Albert M Baker MD
Director	2.0	0.0	Yes (X)		$0	$0	$0
Michael V Bradford
Director	2.0	0.0	Yes (X)		$0	$0	$0
Rev William Coleman
Director	2.0	0.0	Yes (X)		$0	$0	$0
Robert D Cook MD
Director	50.0	0.0	Yes (X)		$312,052	$0	$22,620
Michael Diminick MD
Director	2.0	0.0	Yes (X)		$0	$0	$0
Julie P Doyle
Director	2.0	0.0	Yes (X)		$0	$0	$0
Rodger W Fauber
Director	2.0	0.0	Yes (X)		$0	$0	$0
Stuart C Fauber
Director	2.0	0.0	Yes (X)		$0	$0	$0
Laura L Hamilton
Director	2.0	0.0	Yes (X)		$0	$0	$0
Sharon L Harrup
Director	2.0	0.0	Yes (X)		$0	$0	$0
Terry H Jamerson
Director	2.0	0.0	Yes (X)		$0	$0	$0
Stephen C Keith EdD
Director	2.0	0.0	Yes (X)		$0	$0	$0
Augustus A Petticolas Jr DDS
Director	2.0	0.0	Yes (X)		$0	$0	$0
Charles W Pryor Jr PhD
Director	2.0	0.0	Yes (X)		$0	$0	$0
Amy G Ray
VICE CHAIRMAN OF THE BOARD	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Marc A Schewel
Director	2.0	0.0	Yes (X)		$0	$0	$0
Walker P Sydnor
Director	2.0	0.0	Yes (X)		$0	$0	$0
Chris Thomson MD
President-Medical Staff	50.0	0.0	Yes (X)		$354,959	$0	$44,300
J Scott Wade MD
Director	2.0	0.0	Yes (X)		$0	$0	$0
R Sackett Wood
Director	2.0	0.0	Yes (X)		$0	$0	$0
Consuella K Woods
Director	2.0	0.0	Yes (X)		$0	$0	$0
W Michael Bryant
PRESIDENT/CEO UNTIL APRIL 2013	50.0	0.0	Yes (X)	Yes (X)	$1,130,080	$0	$78,829
E W Tibbs
President/CEO as of April 2013	50.0	0.0	Yes (X)	Yes (X)	$572,733	$0	$155,212
Lewis C Addison
Treasurer & Senior VP/CFO	50.0	0.0		Yes (X)	$685,482	$0	$76,136
David D Adams
Secretary/Sr VP & CSO	50.0	0.0		Yes (X)	$405,836	$0	$88,784
Peter K O'Brien
MD: Cardiovascular	50.0	0.0			$615,016	$0	$46,523	Yes (X)
Chad A Hoyt MD
MD: Cardiovascular	50.0	0.0			$707,649	$0	$49,741	Yes (X)
James G Warner MD
MD: Cardiovascular	50.0	0.0			$444,695	$0	$23,658	Yes (X)
Matthew C Sackett MD
MD: Cardiovascular	50.0	0.0			$691,266	$0	$40,086	Yes (X)
Brian Schietinger MD
MD: Cardiovascular	50.0	0.0			$612,047	$0	$28,009	Yes (X)
Patti S McCue ScEd
Sr VP-Patient Care Svcs	50.0	0.0			$484,058	$0	$43,203	Yes (X)
David W Frantz MD
MD: Cardiovascular	50.0	0.0			$657,875	$0	$34,166	Yes (X)
Mark D Townsend MD
MD: Cardiovascular	50.0	0.0			$352,704	$0	$35,347	Yes (X)
Curtis N Baker
VP Cardiology & Oncology	50.0	0.0			$229,804	$0	$42,463	Yes (X)
Carl M Valentine MD
MD: Cardiovascular	50.0	0.0			$628,498	$0	$45,577		Yes (X)
Dilantha Ellegala MD
MD: Neurosurgery	50.0	0.0			$912,958	$0	$36,216		Yes (X)
Christopher W Lewis MD
MD: Cardiovascular	50.0	0.0			$642,948	$0	$43,138		Yes (X)
Justin D Anderson MD
MD: Cardiovascular	50.0	0.0			$602,066	$0	$26,936		Yes (X)
Jason M Hackenbracht MD
MD: Cardiovascular	50.0	0.0			$583,218	$0	$33,671		Yes (X)
George W Dawson
Former Centra CEO & Officer	0.0	0.0			$161,956	$0	$0			Yes (X)
Thomas C Jividen
Former Secretary/Executive VP	0.0	0.0			$329,217	$0	$18,399			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,514,749	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$246,199	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,084,122	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	335	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Medical Associates of Central Virgi
2215 Landover Place	LYNCHBURG	VA	24501	Physician Services	$9,707,038
Heritage Healthcare
536 Old Howell Road	GREENVILLE	SC	29615	Therapy Mgmt Svcs	$4,312,786
Virginia Hospital Laundry
1601 Oliver Hill Way	RICHMOND	VA	23219	Laundry/Linen Svcs	$2,217,624
Pathology Consultants
1914 Thomson Drive	Lynchburg	VA	24501	Physician Svcs	$1,413,430
Lynchburg Pulmonary Associates
2011 Tates Springs Road	LYNCHBURG	VA	24501	Physician Services	$1,409,464

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	33	CntrctRcvdGreaterThan100KCnt
Related Organizations	$2,287,484	RelatedOrganizationsAmt
All Other Contributions	$1,090,215	AllOtherContributionsAmt
Total Contributions	$3,377,699	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621400	$572,011,695	$562,407,022	$9,604,673
ANCILLARY SERVICES	900099	$13,183,168	$13,183,168
TUITION & EDUCATION	611600	$15,426,953	$15,426,953
CONTROLLED ENTITIES	900099	$1,536,341	$1,536,341
MEANINGFUL USE	900099	$3,818,621	$3,818,621

Field	Value	IRS element (for citing)
Total Program Service Revenue	$605,976,778	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,614,674	TotalRevenueColumnAmt
Exclusion	$12,614,674	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	$2,408,097	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,894,862	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$513,235	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$513,235	TotalRevenueColumnAmt
Exclusion	$513,235	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$742,250,292	SecuritiesAmt
Other	$313,034	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$713,140,057	SecuritiesAmt
Other	$204,053	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$29,110,235	SecuritiesAmt
Other	$108,981	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,219,216	TotalRevenueColumnAmt
Exclusion	$29,219,216	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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	ExclusionExclusionAmt
CAFETERIA/VENDING/DIETARY	722210	$2,474,849	$2,474,849
SUBSIDIARY MGMT FEE	541610	$220,212	$220,212

Field	Value	IRS element (for citing)
Other Revenue Total	$2,695,061	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$654,396,663	TotalRevenueColumnAmt
Related Or Exempt Func Income	$596,372,105	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,604,673	UnrelatedBusinessRevenueAmt
Exclusion	$45,042,186	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$897,430	TotalAmt
Program Services	$897,430	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	$9,009,426	TotalAmt
Program Services	$5,072,713	ProgramServicesAmt
Management And General	$3,936,713	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$646,425	TotalAmt
Program Services	$136,853	ProgramServicesAmt
Management And General	$509,572	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$255,152,429	TotalAmt
Program Services	$243,317,455	ProgramServicesAmt
Management And General	$11,834,974	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,180,040	TotalAmt
Program Services	$8,534,758	ProgramServicesAmt
Management And General	$645,282	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$44,192,981	TotalAmt
Program Services	$40,440,014	ProgramServicesAmt
Management And General	$3,752,967	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$23,326,363	TotalAmt
Program Services	$21,686,709	ProgramServicesAmt
Management And General	$1,639,654	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,523,109	TotalAmt
Program Services	$1,173,539	ProgramServicesAmt
Management And General	$349,570	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,375,892	TotalAmt
Program Services	$1,458,384	ProgramServicesAmt
Management And General	$1,917,508	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$178,544	TotalAmt
Program Services	$30,409	ProgramServicesAmt
Management And General	$148,135	ManagementAndGeneralAmt

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	$1,349,883	TotalAmt
Management And General	$1,349,883	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$62,468,878	TotalAmt
Program Services	$48,381,817	ProgramServicesAmt
Management And General	$14,087,061	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,847,401	TotalAmt
Program Services	$2,679,034	ProgramServicesAmt
Management And General	$168,367	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$29,451,783	TotalAmt
Program Services	$28,044,566	ProgramServicesAmt
Management And General	$1,407,217	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$18,125,258	TotalAmt
Management And General	$18,125,258	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,684,449	TotalAmt
Program Services	$9,258,080	ProgramServicesAmt
Management And General	$426,369	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,560,739	TotalAmt
Program Services	$1,496,393	ProgramServicesAmt
Management And General	$64,346	ManagementAndGeneralAmt

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	$2,108,397	TotalAmt
Program Services	$1,766,893	ProgramServicesAmt
Management And General	$341,504	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,230,099	TotalAmt
Program Services	$5,230,099	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$35,854,439	TotalAmt
Program Services	$23,215,039	ProgramServicesAmt
Management And General	$12,639,400	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,866,977	TotalAmt
Program Services	$2,824,565	ProgramServicesAmt
Management And General	$42,412	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$55,694,430	$55,689,938	$4,492
DRUGS	$20,329,931	$20,329,931
BOND COST AMORTIZATION	$1,506,194	$1,506,194

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$596,561,497	TotalAmt
Program Services	$523,170,813	ProgramServicesAmt
Management And General	$73,390,684	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$36,625,883	BOYAmt
EOY	$24,713,837	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	$55,697,323	BOYAmt
EOY	$61,346,710	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	$711	BOYAmt
EOY	$32	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$144,188	BOYAmt
EOY	$144,188	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,039,209	BOYAmt
EOY	$14,163,831	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,951,635	BOYAmt
EOY	$5,165,605	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$736,912,919	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$477,442,301	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$247,335,926	BOYAmt
EOY	$259,470,618	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$307,966,129	BOYAmt
EOY	$342,976,076	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$117,608,871	BOYAmt
EOY	$127,534,611	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	$19,197,371	BOYAmt
EOY	$19,116,785	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$801,567,246	BOYAmt
EOY	$854,632,293	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$60,433,237	BOYAmt
EOY	$61,716,565	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	$957,905	BOYAmt
EOY	$896,622	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$211,963,596	BOYAmt
EOY	$204,353,893	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$117,432,854	BOYAmt
EOY	$63,005,986	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$390,787,592	BOYAmt
EOY	$329,973,066	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$359,013,094	BOYAmt
EOY	$465,637,364	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,968,182	BOYAmt
EOY	$30,143,485	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,798,378	BOYAmt
EOY	$28,878,378	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$410,779,654	BOYAmt
EOY	$524,659,227	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$801,567,246	BOYAmt
EOY	$854,632,293	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$57,835,166	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,383,350	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	-$4,629,580	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$54,290,637	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$27,987	OtherActivitiesAmt
Total Lobbying Expenditures	$27,987	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	OTHER LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	Part II-B, Ln 1(I) ATTENDANCE AT VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION 2013 LEGISLATIVE ISSUES CONFERENCES (REGISTRATION EXPENSES, HOTEL, TRAVEL, & MEALS): $ 803. A PORTION OF THE ORGANIZATION'S HOSPITAL ASSOCIATION DUES FOR 2013 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $ 27,184.	ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$38,188,253	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,134,898	InvestmentEarningsOrLossesAmt
Other Expenditures	$338,319	OtherExpendituresAmt
End Year Balance	$42,984,832	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,734,229	BeginningYearBalanceAmt
Investment Earnings Or Losses	$293,321	InvestmentEarningsOrLossesAmt
Other Expenditures	$293,321	OtherExpendituresAmt
End Year Balance	$29,734,229	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,734,229	BeginningYearBalanceAmt
Investment Earnings Or Losses	$374,984	InvestmentEarningsOrLossesAmt
Other Expenditures	$374,984	OtherExpendituresAmt
End Year Balance	$29,734,229	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,734,229	BeginningYearBalanceAmt
Investment Earnings Or Losses	$336,616	InvestmentEarningsOrLossesAmt
Other Expenditures	$336,616	OtherExpendituresAmt
End Year Balance	$29,734,229	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,734,229	BeginningYearBalanceAmt
Investment Earnings Or Losses	$324,058	InvestmentEarningsOrLossesAmt
Other Expenditures	$324,058	OtherExpendituresAmt
End Year Balance	$29,734,229	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.02140	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.67030	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.30830	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	$15,253,753	OtherCostOrOtherBasisAmt
Book Value	$15,253,753	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$353,246,866	OtherCostOrOtherBasisAmt
Depreciation	$204,506,318	DepreciationAmt
Book Value	$148,740,548	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,342,686	OtherCostOrOtherBasisAmt
Depreciation	$10,988,633	DepreciationAmt
Book Value	$6,354,053	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$334,313,344	OtherCostOrOtherBasisAmt
Depreciation	$261,947,350	DepreciationAmt
Book Value	$72,365,994	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,756,270	OtherCostOrOtherBasisAmt
Book Value	$16,756,270	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$259,470,618	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LEVEL 3 INVEST IN REAL ESTATE	$21,551,893	F
EQUITY IN AFFLIATES	$17,092,978	F
INVESTED CAPITAL-CONTROLLED	$88,889,740	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$127,534,611	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
ESTIMATED PAYABLES TO 3RD PARTY PAY	$11,362,479
PHYSICIAN RECRUITMENT LIABILITY	$752,350
CURRENT INSTALLMENTS DUE TO SCH	$842,622
ACCRUED INTEREST PAYABLE	$144,152
INTEREST RATE SWAP AGREEMENT	$14,855,261
PENSION LIABILITY	$22,138,122
ESTIMATED LIABILITY FOR UNPAID CLAI	$12,911,000

Field	Value	IRS element (for citing)
Total Liability	$63,005,986	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 1a

CURRENT YEAR BEGINNING BALANCE INCLUDES TEMPORARILY RESTRICTED NET ASSETS NOT REFLECTED IN PRIOR YEAR ENDING BALANCE. ENDOWMENT PART V, LINE 4 THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP), NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED 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.

PART X, LINE 2:

SCHEDULE D, PART X, LINE 2 CENTRA HEALTH, INC., CENTRA HEALTH FOUNDATION, CCRC, INC., AND SOUTHSIDE COMMUNITY HOSPITAL INC., 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, CENTRA HEALTH CARDIOVASCULAR SERVICES LLC, CENTRA HEALTH EMERGENCY SERVICES LLC, CENTRA HEALTH INDEMNITY COMPANY LLC, AND CENTRAL VIRGINIA HOSPITAL FOR RESTORATIVE AND REHABILITATIVE CARE LLC, ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND THEREFORE ARE INCLUDED UNDER CENTRA'S TAX RETURN. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARY, GENERAL BUSINESS CONCERNS, INC. UNDER THE ASSET AND LIABILITY METHOD FOR THESE STANDARDS, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASIS OF THE SUBSIDIARY'S ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. CENTRA HEALTH INDEMNITY COMPANY LLC IS WHOLLY OWNED BY CENTRA HEALTH, INC. ANY LIABILITY FOR TAXES ARE 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, 2013. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2010.

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	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
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	$20,340,755	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,340,755	NetCommunityBenefitExpnsAmt
Total Expense	0.03410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,224,054	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,168,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,055,386	NetCommunityBenefitExpnsAmt
Total Expense	0.04370	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$112,564,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,168,668	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,396,141	NetCommunityBenefitExpnsAmt
Total Expense	0.07780	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$465,480	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$465,480	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,917,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,584,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,332,355	NetCommunityBenefitExpnsAmt
Total Expense	0.01060	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,402,964	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,402,964	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,785,697	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,584,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,200,799	NetCommunityBenefitExpnsAmt
Total Expense	0.01380	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$127,350,506	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,753,566	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,596,940	NetCommunityBenefitExpnsAmt
Total Expense	0.09160	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$132	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,191	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,191	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,252	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,252	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,371	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,371	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,946	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$20,946	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$17,498,543	BadDebtExpenseAmt
Reimbursed By Medicare	$254,366,829	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$285,906,186	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$31,539,357	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

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 (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct
Piedmont Community H
Health Insurance	0.50000	0.50000
Central Virginia Ima
Imaging Services	0.50000	0.50000
The Surgery Center o
Outpatient Surgery	0.50000	0.49000	0.01000

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

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
Lynchburg General Hospital
1	1901 Tate Springs Road	Lynchburg	VA	24501	Yes (X)	Yes (X)	Yes (X)
Virginia Baptist Hospital
2	3300 Rivermont Avenue	Lynchburg	VA	24503	Yes (X)	Yes (X)
Centra Specialty Hospital
3	3300 Rivermont Avenue	Lynchburg	VA	24503	Yes (X)			Long Term Acute Care

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (3 entries)

FacilityFacilityNum	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Rpt Available Upon RequestRptAvailableUponRequestInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Adopt Implementation StrategyAdoptImplementationStrategyInd	Exec Implementation StrategyExecImplementationStrategyInd	Develop Community Wide PlanDevelopCommunityWidePlanInd	Exec Community Wide PlanExecCommunityWidePlanInd	Include Operational PlanIncludeOperationalPlanInd	Adopt BudgetAdoptBudgetInd	Prioritize Health NeedsPrioritizeHealthNeedsInd	Prioritize ServicesPrioritizeServicesInd	All Needs AddressedAllNeedsAddressedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Explained BasisExplainedBasisInd	Income LevelIncomeLevelInd	Asset LevelAssetLevelInd	Medical IndigencyMedicalIndigencyInd	Insurance StatusInsuranceStatusInd	Uninsured DiscountUninsuredDiscountInd	Medicaid MedicareMedicaidMedicareInd	State RegulationStateRegulationInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	Posted On WebsitePostedOnWebsiteInd	Attached To InvoiceAttachedToInvoiceInd	Posted In Emergency RoomPostedInEmergencyRoomInd	Posted In Admission OfficePostedInAdmissionOfficeInd	Provided On AdmissionProvidedOnAdmissionInd	Available On RequestAvailableOnRequestInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Collection ActivitiesCollectionActivitiesInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Average Negotiated RatesAverageNegotiatedRatesInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	No Emergency CareNoEmergencyCareInd
Lynchburg General HOSPITAL
1	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (true)	Yes (true)	200.	Yes (true)	400.	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (true)	Yes (X)	false	false
Virginia Baptist Hospital
2	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (true)	Yes (true)	200.	Yes (true)	400.	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	Yes (true)	Yes (X)	false	false
Centra Specialty Hospital
3	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.CENTRAHEALTH.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	false	false	Yes (true)	Yes (true)	200.	Yes (true)	400.	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	false	false	Yes (X)	false	false	Yes (X)

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, SECTION B, LINE 3:	FormAndLineReferenceDesc
Explanation	CENTRA ORGANIZED TWO COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY ADVISORY BOARDS - ONE FOR THE LYNCHBURG REGION AND ONE FOR THE 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, OR MINORITY POPULATIONS. THE LIST OF INDIVIDUAL PARTICIPANTS IS LISTED ON THE LAST PAGE OF THE CHNA ASSESSMENT & IMPLEMENTATION PLAN REPORT. PART V, SECTION B, LINE 4: THE ORGANIZATION'S CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL. PART V, SECTION B, LINE 5D: HARD COPIES OF THE CHNA ASSESSMENT & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. PART V, SECTION B, LINE 7: TWO OF THE TOP TEN COMMUNITY HEALTH INDICATOR NEEDS WERE IDENTIFIED AS NOT FITTING WITHIN OUR PRIORITIZED STRATEGIC PLANS: FAMILIES LIVING BELOW THE POVERTY LEVEL AND ACCESS TO HEALTH INSURANCE. OUR RATIONALE FOR NOT INCLUDING THESE TWO INDICATORS AS PRIORITIZED NEEDS INCLUDED A SENSE THAT BOTH OF THESE CRITICAL NEEDS WERE HIGHLY COMPLEX IN NATURE AND AFFECTED BY A WIDE VARIETY OF INFLUENCING FACTORS - MANY WELL BEYOND THE CAPABILITY AND RESOURCES AVAILABLE THROUGH CENTRA AND/OR ITS COLLABORATING PARTNERS. FURTHERMORE WITH RESPECT TO THE ACCESS TO HEALTH INSURANCE INDICATOR, WE FELT THE FULL IMPLEMENTATION OF THE AFFORDABLE CARE ACT IN CY 2014 WOULD SERVE TO ADDRESS MUCH OF THIS NEED. PART V, SECTION B, LINE 19D: (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.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	62	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (62 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
Mammography Center-Timberlake
Timberlake Road	Lynchburg	VA	24502	Mammography Center
Mammography Center-Tate Springs
1900 Tate Springs Road Suite 1	Lynchburg	VA	24501	Mammography Center
Centra Alan B Pearson Cancer Center
1701 Thompson Drive	Lynchburg	VA	24501	Cancer Center
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 Corssing 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
CMG Urology Center-Bedford
1613 Oakwood St Suite 202	Bedford	VA	24523	Urology
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	24502	Mental Health
Bridges at Brightwell
1410 Kentmore Farm Rd	Madison Heights	VA	24572	Mental Health
Altavista Medical Center
1280A Main Street	Altavista	VA	24517	Family Practice
Brookneal Medical Center
104 Carolina Ave PO Box 120	Brookneal	VA	24528	Family Practice
Centra Medical Group - Danville
404 Airport Road Suite C	Danville	VA	24540	Orthopadics, Physical Therapy, Occupational Rehab
Gretna Medical Center
1220 West Gretna Road	Gretna	VA	24557	Internal Medicine, Cardiology, Rehab
Lynchburg Internal Medicine
1901 Thomson Drive	Lynchburg	VA	24501	Internal Medicine
Lynchburg Employee Clinic
901 Church Street	Lynchburg	VA	24504	Employee Wellness Clinic
Center for Pain Management
3300 Rivermont Avenue	Lynchburg	VA	24503	Pain Management
Wound Care Center
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-Danville
173 Executive Drive	Danville	VA	24540	Urology
Stroobants Cardiovascular Center-Main Of
2410 Atherholt Road	Lynchburg	VA	24501	Cardiology Center
Medical & Surgical Specialists
173 Executive Drive	Danville	VA	24540	Urology, Neurosurgery, Plastics, Cardiology, etc Cardiology, etc.)
Dominion Primary Care
110 Exchange Sreet Suite F	Danville	VA	24540	Family Practice
CMG Womens Center
2007 Graves Mill Road	Forest	VA	24551	Women's Health Services
Liberty University Health Services
1971 University Blvd	Lynchburg	VA	24502	Family Practice
Jamerson YMCA Rehab Center
801 Wyndhurst Drive	Lynchburg	VA	24502	Rehab Center
Cardiovascular Surgery
2410 Atherholt Road	Lynchburg	VA	24501	Cardiovascular Surgery
Stroobants Cardiovascular Center-Bedford
1613 Oakwood Avenue	Bedford	VA	24523	Cardiology Center
Stroobants Cardiovascular Center-Farmvil
900 West Third Street	Farmville	VA	23901	Cardiology Center
Stroobants Cardiovascular Center-Moneta
1039 Mayberry Crossing Dr Suite C	Moneta	VA	24121	Cardiology Center
Stroobants Cardiovascular Center-Gretna
1220 West Gretna Road	Gretna	VA	24557	Cardiology Center
Stroobants Cardiovascular Center-Danvill
173 Executive Drive	Danville	VA	24540	Cardiology Center
Pathways Treatment Center
3300 Rivermont Avenue	Lynchburg	VA	24503	Drug & Alcohol Treatment Center
Centra Health Emergency Physicians
1901 Tate Springs Road	Lynchburg	VA	24501	Emergency Physicians
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 Tate Springs Rd, Timberlake, M
CMG-PrimeCare Main
130 Enterprise Drive	Danville	VA	24540	Family Practice, Urgent Care
CMG-PrimeCare East
404 Airport Road Suite A	Danville	VA	24540	Family Practice
Village North
1613 Oakwood Street Suite 202	Bedford	VA	24523	Family Practice
Centra Hospice House
4413 Boonesboro Road	Lynchburg	VA	24503	Hospice Care
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 Clevelant Street	Virginia Beach	VA	23462	Mental Health
Rivermont School-Alleghany Highlands
331 West Main Street	Covinging	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-Fredericksburg
30 Pulte Drive	Fredericksburg	VA	22406	Mental Health
Rivermont School-Greater Petersburg
12318 Boydton Plank Road	Dinwiddie	VA	23841	Mental Health
Neuroscience Center
2025 Tate Springs Road	Lynchburg	VA	24501	Neurosurgery
Neuroscience Center-Farmville
800 Oak Street	Farmville	VA	23901	Neurosurgery
Lynchburg Family Medical Center
2323 Memorial Avenue Suite 10	Lynchburg	VA	24501	Family Practice Residency Prog
CMG-Big Island
10961 Lee Jackson Hwy	Big Island	VA	24526	Family Practice
Central Virginia Imaging LLC
113 Nationwide Drive	Lynchburg	VA	24502	50% Joint Venture w/ Radiology Consultants of Lynch
Surgery Center of Lynchburg LLC
2401 Atherholt Road	Lynchburg	VA	24501	50% Joint Venture w/ Individual Physicians
Village Practice-Moneta
4830 Rucker Road	Moneta	VA	24121	Family Practice

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II	COMMUNITY BUILDING ACTIVITIES: CENTRA HEALTH, INC. KNOWS THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES. CENTRA CONTINUOUSLY WORKS TO SEEK OUT WAYS IN WHICH WE CAN SUPPORT THE COMMUNITY. DURING 2013, CENTRA COLLABORATED WITH THE CITY OF LYNCHBURG TO ASSIST INDIVIDUALS WITHIN THE COMMUNITY WITH REPAIRS TO THEIR HOME. 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. CENTRA HEALTH, INC. IS ALSO A MEMBER OF AND PARTICIPATES IN THE LOCAL BEDFORD CHAMBER OF COMMERCE MEETINGS IN ORDER TO PROVIDE EXPERTISE AND RESOURCES FOR THE HEALTH CARE NEEDS OF THE COMMUNITY. CENTRA'S MENTAL HEALTH MARKETING DEPARTMENT PROVIDED AN ETHICS CONFERENCE DURING 2013 TO PROVIDERS WHO NEED IT FOR THEIR LICENSURE. THE TOPIC WAS ETHICS OF PRESSING CHARGES. CENTRA HEALTH, INC. 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. OUR FAITH-BASED PROGRAMS ARE A CRUCIAL PART OF OUR ATTEMPT TO REACH THE COMMUNITY. WE STRIVE TO EDUCATE LOCAL CLERGY AND COMMUNITY LEADERS SO THEY CAN PROMOTE THESE PROGRAMS WITHIN THEIR INDIVIDUAL COMMUNITIES, IN A COLLABORATIVE EFFORT WITH CENTRA. FOR EXAMPLE, CENTRA OFFERS "CONGREGATIONAL HEALTH PROMOTER" COURSES WHICH WE ADMINISTER NUMEROUS TIMES DURING THE YEAR THROUGHOUT VARIOUS COMMUNITY CHURCHES. THIS COURSE IS GEARED TOWARD ANY CHURCH MEMBER THAT IS INTERESTED AND PROVIDES INFORMATION AND RESOURCES REGARDING CHRONIC ILLNESSES AND HEALTH ISSUES, AND SPECIFIC STRATEGIES TO PROMOTE HEALTH OF OUR LOCAL COMMUNITIES. 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. ALSO, CENTRA PARTICIPATES IN THE HIPE (HEALTHY PEOPLE THROUGH PREVENTION & EDUCATION COALITION) WHICH FOCUSES ON TOBACCO AND SUBSTANCE ABUSE, CHILDHOOD OBESITY, AND 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 HEALTH, INC. PARTICIPITATES IN 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. THROUGHOUT THE YEAR, WE ALSO VISIT LOCAL ELEMENTARY AND MIDDLE SCHOOLS WITHIN THE COMMUNITY TO INTRODUCE THE YOUTH TO HEALTHCARE CAREERS. PART III, SECTION A, LINE 1 ON JANUARY 1, 2012, CENTRA HEALTH, INC. AND SUBSIDIARIES ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, WHICH CHANGED CENTRA'S PRESENTATION OF PROVISION FOR DOUBTFUL ACCOUNTS TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. THIS HAS BEEN DISCLOSED IN THE FOOTNOTES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THEREFORE, CENTRA HEALTH AND ITS SUBSIDIARIES REPORT BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. PART III, LINE 2: SEE DESCRIPTION FOR PART III, LINE 4
Part III, Line 4:	THE ORGANIZATION BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR BAD DEBTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, CENTRA ANALYZES HISTORICAL COLLECTIONS AND WRITE-OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CENTRA ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND PROVISION FOR CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAS ALREADY PAID, CENTRA RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT SOME PATIENTS ARE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR BAD DEBT." (CENTRA HEALTH, INC. FY 2013 AUDIT REPORT, PAGE 14)
Part III, Line 8:	THE TOTAL AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE CENTRA HEALTH'S MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE TO ANY OF OUR PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH REIMBURSEMENTS WERE LESS THAN THE COST TO PROVIDE SERVICE. TOTAL MEDICARE SHORTFALL FOR 2013 WAS $31,539,357.
Part III, Line 9B:	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 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 2013 CENTRA COMPLETED THE 2013 - 2016 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN TO MEASURE THE HEALTH NEEDS OF CENTRAL VIRGINIA RESIDENTS SERVED AT CENTRA LYNCHBURG GENERAL HOSPITAL, CENTRA VIRGINIA BAPTIST HOSPITAL AND CENTRA SOUTHSIDE COMMUNITY 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 THE 182,146 PEOPLE LIVING IN THE GREATER LYNCHBURG COMMUNITY, INCLUDING THE CITY OF LYNCHBURG AND BEDFORD, CAMPBELL, AMHERST, APPOMATTOX, AND NELSON COUNTIES. IN ADDITION, CENTRA STUDIED THE HEALTH NEEDS OF THE REGION SURROUNDING CENTRA SOUTHSIDE COMMUNITY HOSPITAL, WHICH SERVES PRINCE EDWARD, BUCKINGHAM, LUNENBURG, CUMBERLAND, CHARLOTTE AND NOTTOWAY COUNTIES. THE REGION HAS A POPULATION OF 92,106. THE CUMULATIVE REPORT OFFERS A STATISTICALLY RELIABLE SNAPSHOT OF THE COMMUNITY'S HEALTH AND PROVIDES A WEALTH OF INFORMATION TO GUIDE THE CENTRA FOUNDATION IN ITS GRANT FUNDING EFFORTS. EXPERTS SAY CLINICAL CARE INFLUENCES ONLY ABOUT 20% OF THE HEALTH OF A COMMUNITY. OTHER INFLUENCES INCLUDE SOCIAL AND ENVIRONMENTAL FACTORS SUCH AS EDUCATION, EMPLOYMENT AND INCOME LEVELS (40%); HEALTH STATUS AND BEHAVIORS SUCH AS DIET, SMOKING AND EXERCISE (30%); AND PHYSICAL ENVIRONMENT FACTORS SUCH AS AIR/WATER QUALITY, HOUSING AND ACCESS TO TRANSPORTATION (10%). 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 CENTRA'S LONG-RANGE PLANS ARE RESPONSIVE AND HELP GUIDE THE AWARDING OF COMMUNITY GRANTS. CENTRA ALSO HAS A COMMUNITY ADVISORY BOARD FROM DIVERSE DEMOGRAPHIC BACKGROUNDS COMPRISED OF REPRESENTATIVES AND LEADERS FROM THE BUSINESS, EDUCATION, GOVERNMENT, SOCIAL SERVICES, RELIGIOUS AND OTHER COMMUNITIES. HEALTH CARE NEEDS AND REQUESTS ALSO ARE ASSESSED THROUGH FOCUS GROUPS, AND SURVEYS OF COMMUNITY RESIDENTS AND CIVIC LEADERS AS WELL AS HOSPITAL AND HEALTH CARE SYSTEM PATIENTS. CENTRA ALSO TEAMS UP WITH AGENCIES AND ORGANIZATIONS TO STUDY COMMUNITY NEEDS AND PROPOSE THE BEST SOLUTIONS. CENTRA'S COMMUNITY EDUCATION COMMITTEE CONSISTS OF OVER 30 COMMUNITY EDUCATORS WHO ARE MAKING CONTINUOUS CONTACTS IN THE REGION AND REPORTING BACK TO THE MONTHLY COMMITTEE MEETING. THE PHYSICIAN ADVISORY BOARD CONSISTS OF OVER 10 COMMUNITY PHYSICIANS WHO MEET QUARTERLY TO DISCUSS COMMUNITY NEEDS AND PLAN TO FULFILL THE NEED. 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. CENTRA CONTINUES TO CONNECT WITH FAITH-BASED COMMUNITIES THROUGH ITS CONGREGATIONAL HEALTH PROGRAMS. CENTRA HELD SEVERAL "CONGREGATIONAL HEALTH PROMOTER" COURSES THROUGHOUT 2013. THESE COURSES WERE GEARED TOWARD ALL FAITH-BASED COMMUNITY MEMBERS IN ORDER TO PROVIDE THEM WITH INFORMATION REGARDING COMMUNITY RESOURCES, CHRONIC ILLNESS, AND SPECIFIC STRATEGIES TO IMPACT THE OVERALL HEALTH OF THE COMMUNITY.
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 AND EVERY PATIENT BILL, WHETHER UNINSURED OR INSURED, REFERENCES 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 SERVICE AREA OF 429,771 PEOPLE. CENTRA'S PRIMARY SERVICE AREA (PSA) INCLUDES THE CITIES OF LYNCHBURG AND BEDFORD, AND THE COUNTIES OF AMHERST, APPOMATTOX, BEDFORD, CAMPBELL, AND PITTSYLVANIA. CENTRA'S SECONDARY SERVICE AREA (SSA) INCLUDES THE COUNTIES OF BUCKINGHAM, CHARLOTTE, HALIFAX, NELSON, AND PRINCE EDWARD. THE POPULATION FOR THE TOTAL SERVICE AREA IS 429,771, WITH AN ETHNIC MIX OF 21.7% BLACK AND 75.1% WHITE. THE PERCENT OF THE TOTAL PSA/SSA POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS 17%. IT IS PROJECTED THAT BY 2018, THIS SAME AGE RANGE OF 65 PLUS WILL ACCOUNT FOR 19% OF THE TOTAL PSA/SSA POPULATION. THE AVERAGE HOUSEHOLD INCOME IN THE PSA/SSA IS $43,254. THE CURRENT UNEMPLOYMENT RATE IS APPROXIMATELY 6.7% FOR THIS 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.
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. ALSO, CENTRA PARTICIPATES IN NUMEROUS HEALTH FAIRS AND SCREENINGS THROUGHOUT THE COMMUNITY AT LOCAL EMPLOYERS, COLLEGES, CHURCHES, ETC., IN ORDER TO PROVIDE SCREENINGS AND INFORMATION ON MANY HEALTH ISSUES. FOR EXAMPLE, BLOOD PRESSURE/DIABETES/PSA/BLADDER SCREENINGS, ETC. ARE PROVIDED TO THOSE WHO WISH TO ATTEND.
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 NEED. 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 WITH TOOLS IN THE OPERATING ROOM, ENJOY A TOUR OF THE HOSPITAL'S HELICOPTER AND HANGAR AND ARE EXPOSED TO MANY CAREER OPPORTUNITIES. CENTRA DISTRIBUTES A WEALTH OF PRINTED AND ONLINE HEALTH INFORMATION THROUGH ITS PUBLICATIONS, MEDIA STORIES AND INTERACTIVE WEBSITE. THIS INFORMATION IS PRODUCED SPECIFICALLY FOR THE REGIONAL POPULATION AND TO MEET IDENTIFIED NEEDS. AS THE SOLE HEALTH CARE SYSTEM IN ITS SERVICE AREA, CENTRA USES ITS HOSPITAL-BASED RESOURCES AS A VALUABLE VEHICLE FOR MANAGING AND PROMOTING HEALTH CARE AS PART OF ITS NONPROFIT MISSION.
Rosemary and George Dawson Inn	IN DECEMBER 2012, CENTRA HEALTH OPENED THEIR NEW 20-ROOM ROSEMARY AND GEORGE DAWSON INN, LOCATED IN CLOSE PROXIMITY TO LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS AND THE ALAN B. PEARSON REGIONAL CANCER CENTER. THE INN WAS DESIGNED TO PROVIDE HOME-LIKE LODGING TO PATIENTS AND THEIR FAMILY MEMBERS WHO ARE RECEIVING MEDICAL TREATMENT IN THE LYNCHBURG AREA. THE OPERATION OF THE INN ENABLES FAMILY MEMBERS TO BE CLOSE TO THEIR LOVED ONES DURING THEIR STAY AT THE HOSPITAL, LIKELY HELPING IN TREATMENT AND RECOVERY FROM SICKNESS AND INJURY. DEMAND FOR MORE COMPLEX SURGERIES AND TREATMENTS CAN REQUIRE LONGER HOSPITAL STAYS AND A NEED TO FIND HOTEL LODGING NEAR LYNCHBURG. EARLY SURGICAL CASES MEAN AN EARLY WAKE UP FOR PATIENTS AND FAMILIES. SOME PATIENTS WAKE UP BEFORE 4 A.M. FOR A 6 A.M. SURGERY. LODGING ON CENTRA PROPERTY FOR THE NIGHT BEFORE OR AFTER CAN LESSEN PATIENT ANXIETY AND EXHAUSTION. THE DAWSON INN OFFERS FAMILIES A REFUGE AWAY FROM THE CRITICAL CARE FEEL OF THE HOSPITAL WHILE STILL ALLOWING CLOSE PROXIMITY.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2
Amazement Square
27 9th Street	Lynchburg	VA	24504	541713204	501(c)(3)	$10,000	N/A	N/A	Charitable contribution
American Cancer Society
2316 Atherholt Road 108	Lynchburg	VA	24501	580659875	501(c)(3)	$25,000	N/A	N/A	Charitable Contribution
Virginia Region 2000 Economic Development Council
828 Main Street	Lynchburg	VA	24504	541859984	501(c)(6)	$30,000	N/A	N/A	Charitable Contribution	12th Floor
CVCC Educational Foundation
3506 Wards Road	Lynchburg	VA	24502	541167908	501(c)(3)	$9,000	N/A	N/A	Charitable Contribution
Central Virginia Foundation for Economic Education
2015 Memorial Avenue	Lynchburg	VA	24501	541255814	501(c)(3)	$50,000	N/A	N/A	Charitable Contribution contribution	12th Floor
United Way of Central Virginia
1010 Miller Park Square	Lynchburg	VA	24501	540505923	501(c)(3)	$75,000	N/A	N/A	Charitable contribution	12th Floor
Virginia 10-Miler
PO Box 982	Lynchburg	VA	24505	541796447	501(c)(3)	$10,000	N/A	N/A	Charitable Contribution
Centra Health Foundation
1920 Atherholt Road	Lynchburg	VA	24501	541604094	501(c)(3)	$501,155	N/A	N/A	Charitable contribution
Johnson Health Center
320 Federal Street	Lynchburg	VA	24504	541287905	501(c)(3)	$160,000	N/A	N/A	Rental contribution

Field	Value	IRS element (for citing)
Total501c3 Org	8	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 EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 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
George W Dawson
Former Centra CEO & Officer	$0	$0	$0	$0	$161,956	$0	$0	$0	$0	$0	$161,956	$0	$0	$0
Thomas W Nygaard MD
DIRECTOR	$378,093	$0	$0	$0	$19,539	$0	$40,252	$0	$15,781	$0	$453,665	$0	$0	$0
Thomas C Jividen
Former Secretary/Executive VP	$0	$0	$0	$0	$329,217	$0	$0	$0	$18,399	$0	$347,616	$0	$0	$0
Kirsten Huber MD
Director	$0	$244,288	$0	$0	$0	$1,911	$0	$7,380	$0	$7,695	$0	$261,274	$0	$0
Robert D Cook MD
Director	$243,671	$0	$40,000	$0	$28,381	$0	$7,558	$0	$15,062	$0	$334,672	$0	$0	$0
Chris Thomson MD
President-Medical Staff	$335,599	$0	$0	$0	$19,360	$0	$7,650	$0	$36,650	$0	$399,259	$0	$0	$0
W Michael Bryant
PRESIDENT/CEO UNTIL APRIL 2013	$303,200	$0	$114,675	$0	$712,205	$0	$57,650	$0	$21,179	$0	$1,208,909	$0	$237,820	$0
E W Tibbs
President/CEO as of April 2013	$495,317	$0	$39,248	$0	$38,168	$0	$116,339	$0	$38,873	$0	$727,945	$0	$0	$0
Lewis C Addison
Treasurer & Senior VP/CFO	$391,103	$0	$44,110	$0	$250,269	$0	$54,592	$0	$21,544	$0	$761,618	$0	$218,425	$0
David D Adams
Secretary/Sr VP & CSO	$362,391	$0	$35,200	$0	$8,245	$0	$66,800	$0	$21,984	$0	$494,620	$0	$0	$0
Carl M Valentine MD
MD: Cardiovascular	$602,484	$0	$3,156	$0	$22,858	$0	$7,650	$0	$37,927	$0	$674,075	$0	$0	$0
Dilantha Ellegala MD
MD: Neurosurgery	$894,480	$0	$0	$0	$18,478	$0	$7,500	$0	$28,716	$0	$949,174	$0	$0	$0
Christopher W Lewis MD
MD: Cardiovascular	$620,696	$0	$3,156	$0	$19,096	$0	$7,650	$0	$35,488	$0	$686,086	$0	$0	$0
Justin D Anderson MD
MD: Cardiovascular	$582,970	$0	$0	$0	$19,096	$0	$7,650	$0	$19,286	$0	$629,002	$0	$0	$0
Jason M Hackenbracht MD
MD: Cardiovascular	$560,966	$0	$3,156	$0	$19,096	$0	$7,500	$0	$26,171	$0	$616,889	$0	$0	$0
Peter K O'Brien
MD: Cardiovascular	$592,194	$0	$3,156	$0	$19,666	$0	$7,650	$0	$38,873	$0	$661,539	$0	$0	$0
Chad A Hoyt MD
MD: Cardiovascular	$684,827	$0	$3,156	$0	$19,666	$0	$7,650	$0	$42,091	$0	$757,390	$0	$0	$0
James G Warner MD
MD: Cardiovascular	$424,666	$0	$0	$0	$20,029	$0	$7,650	$0	$16,008	$0	$468,353	$0	$0	$0
Matthew C Sackett MD
MD: Cardiovascular	$666,816	$0	$3,156	$0	$21,294	$0	$7,650	$0	$32,436	$0	$731,352	$0	$0	$0
Brian Schietinger MD
MD: Cardiovascular	$592,951	$0	$0	$0	$19,096	$0	$7,650	$0	$20,359	$0	$640,056	$0	$0	$0
Patti S McCue ScEd
Sr VP-Patient Care Svcs	$284,838	$0	$33,429	$0	$165,791	$0	$36,645	$0	$6,558	$0	$527,261	$0	$135,846	$0
David W Frantz MD
MD: Cardiovascular	$613,858	$0	$24,242	$0	$19,775	$0	$7,650	$0	$26,516	$0	$692,041	$0	$0	$0
Mark D Townsend MD
MD: Cardiovascular	$337,719	$0	$13,725	$0	$1,260	$0	$7,650	$0	$27,697	$0	$388,051	$0	$0	$0
Curtis N Baker
VP Cardiology & Oncology	$214,216	$0	$10,368	$0	$5,220	$0	$31,009	$0	$11,454	$0	$272,267	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Sch J Supp Info

SCHEDULE J, PART I, LINE 4A: W. MICHAEL BRYANT, FORMER CENTRA HEALTH PRESIDENT & CHIEF EXECUTIVE OFFICER, RECEIVED A SEVERANCE PAYMENT DURING 2013 IN THE AMOUNT OF $464,593, INCLUDED IN HIS TAXABLE INCOME. THOMAS C. JIVIDEN, FORMER CENTRA HEALTH EXECUTIVE VICE PRESIDENT, RECEIVED A SEVERANCE PAYMENT DURING 2013 IN THE AMOUNT OF $333,333, INCLUDED IN HIS TAXABLE INCOME.

SCHEDULE J, PART I, LINE 4B:

THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2013. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT DAVID ADAMS CHIEF STRATEGY OFFICER NONE LEWIS ADDISON CENTRA SR VP & CFO $218,425 CURTIS BAKER CENTRA VP, CARDIOLOGY & ONCOLOGY NONE W. MICHAEL BRYANT FORMER CENTRA PRESIDENT & CEO $237,820 PATTI MCCUE CENTRA SR VP, PATIENT CARE SERVICES $135,846 THOMAS NYGAARD CENTRA SR VP & CMO NONE E.W. TIBBS CENTRA PRESIDENT & CEO NONE GEORGE DAWSON FORMER CENTRA PRESIDENT & CEO $161,956 THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN IN FY 2013: NAME TITLE AMOUNT DEFERRED DAVID ADAMS CHIEF STRATEGY OFFICER $ 59,150 LEWIS ADDISON CENTRA SR VP & CFO $ 46,942 CURTIS BAKER CENTRA VP, CARDIOLOGY & ONCOLOGY $ 24,506 W. MICHAEL BRYANT FORMER CENTRA PRESIDENT & CEO $ 50,150 PATTI MCCUE CENTRA SR VP, PATIENT CARE SERVICES $ 29,145 THOMAS NYGAARD CENTRA SR VP & CMO $ 32,602 E.W. TIBBS CENTRA PRESIDENT & CEO $108,689 GEORGE DAWSON FORMER CENTRA PRESIDENT & CEO NONE

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Industrial Devel Auth of City of Lynchburg VA
A	541225193	999999999	2010-12-17	$30,000,000	New Construction & Equipment: 2010	false	false	false
Industrial Devel Auth of County of Campbell VA
B	521309406	999999999	2007-04-27	$7,500,000	New Construction: County of Campbe	false	false	false
INDUSTRIAL DEVEL AUTHO OF THE TOWN OF AMHERST
C	541804155	999999999	2007-06-29	$8,000,000	NEW CONSTRUCTION (TOWN OF AMHERST)	false	false	false
INDUSTRIAL DEVEL AUTH OF COUNTY OF APPOMATTOX
D	541864523	999999999	2007-11-29	$7,500,000	NEW CONSTRUCTION (COUNTY OF APPOMA	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$5,261,069	$0	$30,223,487	$0	$0	$0	$185,914	$0	$0	$30,037,573	$0	$0	2013	false	false	Yes (true)	Yes (true)
B	$1,770,540	$0	$7,500,000	$0	$0	$0	$50,000	$0	$0	$7,450,000	$0	$0	2008	false	false	Yes (true)	Yes (true)
C	$1,889,898	$0	$8,000,000	$0	$0	$0	$60,000	$0	$0	$7,940,000	$0	$0	2008	false	false	Yes (true)	Yes (true)
D	$1,619,230	$0	$7,500,000	$0	$0	$0	$60,000	$0	$0	$7,440,000	$0	$0	2007	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	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	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct
A	false	false	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)
C	false	false	false	false	0.00000	false	false	false	Yes (true)	0.00000	0.00000	0.00000
D	false	false	false	false	0.00000	false	false	false	Yes (true)	0.00000	0.00000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Branch Banking & Tru
A	false	Yes (true)	false	false	Yes (true)	Yes (true)	7.	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	false	Yes (true)	false				false	0	false	Yes (true)
0
C	false	false	Yes (true)	false	Yes (true)	false				false	0	false	Yes (true)
0
D	false	false	Yes (true)	false	Yes (true)	false				false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II, Line 3	2004 SERIES B, C, F BONDS - ISSUE PRICE: $126,425,000 TOTAL PROCEEDS OF ISSUE INCLUDES: INTERST EARNINGS ECONOMIC DEVELOPMENT AUTH. OF CITY OF LYNCHBURG, VA BOND - ISSUE PRICE: $30,000,000 TOTAL PROCEEDS OF ISSUE INCLUDES: INTEREST EARNINGS
PART IV, LINE 2c:	CENTRA HEALTH SERIES 2004A AND SERIES B-F BONDS: A REBATE CALCULATION WAS PERFORMED ON APRIL 8, 2009 FOR THE INDUSTRIAL AND ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL AUCTION RATE SECURITIES REFUNDING REVENUE BONDS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
Industrial Devel Auth of City of Lynchburg VA
A	541225193	551245GN7	2004-12-08	$126,425,000	2004 B,C,F bonds:New CONST./ CURRE	false	false	false
INDUSTRIAL DEVEL AUTH OF COUNTY OF CAMPBELL VA
B	541225193	551245HA4	2009-09-29	$79,850,000	2004 A,D,E bonds CURRENT REFUNDING	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	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$44,523,243	$0	$129,698,243	$0	$10,049,028	$0	$905,203	$3,198,000	$0	$101,772,759	$10,500,010	$0	2007	Yes (true)	false	Yes (true)	Yes (true)
B	$5,025,000	$0	$78,950,000	$0	$0	$0	$0	$0	$0	$0	$78,950,000	$0	2007	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	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	false	false	0	false	false	false	Yes (true)
B	false	false	false	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
Deutsche Bank
A	false	false	false	Yes (true)	Yes (true)	Yes (true)	30.	false	false	Yes (true)	Citigroup Financial	2.5	Yes (true)	false	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false				false	0			false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	Mark Addison	PersonNm
Relationship With Org	FAMILY MEMBER OF	RelationshipWithOrgTxt
Loan Purpose	to purchase computer	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$840	OriginalPrincipalAmt
Balance Due	$32	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	false	BoardOrCommitteeApprovalInd
Written Agreement	false	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$32	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LYNCHBURG PULMONARY ASSOCIATES
SEE PART V	$1,409,464	SEE PART V	false
ORTHOPAEDIC CTR OF CENTRAL VIRGINIA
SEE PART V	$528,072	SEE PART V	false
MEDICAL ASSOCIATES OF CENTRAL VA
SEE PART V	$9,707,038	SEE PART V	false
SCOTT INSURANCE
SEE PART V	$1,036,058	SEE PART V	false
MARK C ADDISON
SEE PART V	$27,431	SEE PART V	false
MARK A MCKINNEY
SEE PART V	$109,422	SEE PART V	false
PATHOLOGY CONSULTANTS OF CENTRAL VA
SEE PART V	$1,413,430	SEE PART V	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	BUSINESS TRANSACTIONS (A) Name of Person: Lynchburg Pulmonary Associates (B) Relationship Between Interested Person and Organization: Board member Albert Baker, MD is partial owner of Lynchburg Pulmonary Associates (C) Amount of Transaction: $1,409,464 (D) Description of Transaction: Payments for coverage of patients in critical care units rendered to Centra Health, Inc. in Lynchburg, VA (E) Sharing of Organization Revenues?: No (A) Name of Person: Orthopaedic Center of Central Virginia (B) Relationship Between Interested Person and Organization: Board member Michael Diminick, MD is shareholder of Orthopaedic Center of Central Virginia (C) Amount of Transaction: $528,072 (D) Description of Transaction: Payment for medical services rendered to Centra Health, Inc (E) Sharing of Organization Revenues?: No (A) Name of Person: Medical Associates of Central Virginia (B) Relationship Between Interested Person and Organization: Board member Scott Wade, MD is a partial owner of Medical Associates of Central Virginia (C) Amount of Transaction: $9,707,038 (D) Description of Transaction: Payment for medical services rendered to Centra Health, Inc. (E) Sharing of Organization Revenues? No (A) Name of Person: Scott Insurance (B) Relationship Between Interested Person and Organization: Board member Walker Sydnor serves as President & Chairman of the Board of Scott Insurance. (C) Amount of Transaction: $1,036,058 (D) Description of Transaction: Payment of insurance premiums provided to Centra Health, Inc. (E) Sharing of Organization Revenues?: No (A) Name of Person: PATHOLOGY CONSULTANTS OF CENTRAL VIRGINIA (B) Relationship Between Interested Person and Organization: FAMILY MEMBER OF BOARD MEMBER ROBERT COOK, MD IS > 5% OWNER OF PATHOLOGY CONSULTANTS OF CENTRAL VIRGINIA. (C) Amount of Transaction: $1,413,430 (D) Description of Transaction: Payment FOR MEDICAL SERVICES RENDERED to Centra Health, Inc. (E) Sharing of Organization Revenues?: No (A) Name of Person: Mark C. Addison (B) Relationship Between Interested Person and Organization: Family member of Lewis Addison, Officer of Centra Health, Inc. (C) Amount of Transaction: $27,431 (D) Description of Transaction: Compensation as employee of Centra Health, Inc. (E) Sharing of Organization Revenues?: No (A) Name of Person: Mark A. McKinney (B) Relationship Between Interested Person and Organization: Family member of E.W. Tibbs, Officer of Centra Health, Inc. (C) Amount of Transaction: $109,422 (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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4a	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 HEALTH, INC. (CENTRA) HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR OVER 25 YEARS, AND HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. HOWEVER, JUST AS IMPORTANT IS CENTRA'S COMMITMENT AND DEDICATION TO SERVING AS A PARTNER IN THE REGIONAL COMMUNITIES. DISEASE PREVENTION AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES THROUGHOUT THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND EDUCATIONAL PROGRAMS, CENTRA IS COMMITTED TO PROVIDING THE BEST HEALTH CARE FOR ITS PATIENTS AND IMPROVING THE HEALTH AND WELLNESS OF ALL THE RESIDENTS OF CENTRAL VIRGINIA. CENTRA'S COMMUNITY EVENTS, OFFERED IN COLLABORATION WITH THE CENTRA HEALTH FOUNDATION AND THE CENTRA MEDICAL STAFF, IS JUST ONE EXAMPLE OF CENTRA'S 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 2013, CENTRA HELD MANY NATIONAL AWARDS AND ACCOLADES: -THE AMERICAN NURSES CREDENTIALING CENTER RE-DESIGNATED CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS AS MAGNET FACILITIES WHICH RECOGNIZE EXCELLENCE IN NURSING. CENTRA WAS THE FIRST HEALTHCARE SYSTEM IN CENTRAL VIRGINIA TO ACHIEVE MAGNET STATUS IN 2005. -THE CENTRA COLLEGE OF NURSING MAINTAINS THEIR APPROVAL AND CERTIFICATION OF THE COLLEGE OF NURSING BY THE VIRGINIA BOARD OF NURSING AND IS CERTIFIED TO OPERATE BY THE STATE COUNCIL OF HIGHER EDUCATION AND IS A MEMBER OF THE NATIONAL ORGANIZATION FOR ASSOCIATE DEGREE IN NURSING. -THE LYNCHBURG GENERAL HOSPITAL SCHOOL OF NURSING DIPLOMA PROGRAM HAS MAINTAINED FULL ACCREDITATION FROM THE NATIONAL LEAGUE OF NURSING ACCREDITATION COUNCIL. -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. -CENTRA CANCER CARE SERVICES HAS TWICE EARNED FULL ACCREDITATION WITH COMMENDATION AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER. -CENTRA BREAST CANCER SERVICES HAS TWICE EARNED NATIONAL ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. -CENTRA'S BREAST IMAGING CENTER HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ARC) FOR ITS DEDICATION TO IMPROVING WOMEN'S HEALTH AND FOR BEING FULLY ACCREDITED BY THE ARC IN MAMMOGRAPHY, BIOPSY AND ULTRASOUND. -CENTRA HAS BEEN SELECTED SIX TIMES AS A 50 TOP CARDIOVASCULAR HOSPITAL IN AMERICA AND IS ONE OF ONLY THREE HOSPITALS IN VIRGINIA TO RECEIVE THIS NATIONAL HONOR FOR OUTSTANDING CARDIOVASCULAR PERFORMANCE. -CENTRA LYNCHBURG GENERAL HOSPITAL'S CHEST PAIN CENTER MAINTAINS THEIR INTERNATIONAL ACCREDITATION FROM THE SOCIETY OF CHEST PAIN CENTERS FOR ACHIEVING A HIGH LEVEL OF EXPERTISE IN CARING FOR PATIENTS WHO ARRIVE WITH SYMPTOMS OF A HEART ATTACK. -CENTRA STROOBANTS HEART CENTER HAS BEEN AWARDED THE HIGHEST RATING BY THE SOCIETY OF THORACIC SURGEON FOR QUALITY IN CARDIAC SURGERY. CENTRA IS THE ONLY HEALTH CARE SYSTEM IN VIRGINIA TO HAVE RECEIVED A RATING EVERY YEAR SINCE ITS INCEPTION. -CENTRA HAS RECEIVED RE-CERTIFICATION FOR ITS TREATMENT OF ACUTE MYOCARDIAL INFARCTION (HEART ATTACK) PATIENTS FROM THE JOINT COMMISSION. THE NATIONAL CERTIFICATION ONCE AGAIN SHOWS THAT CENTRA EXCEEDS NATIONAL STANDARDS AND GUIDELINES THAT BRING HEART ATTACK CARE EXCELLENCE. -CENTRA LYNCHBURG GENERAL HOSPITAL IS A LEVEL II TRAUMA CENTER, OFFERING 24-HOUR, COMPREHENSIVE EMERGENCY CARE AND TRANSPORTATION SERVICES, INCLUDING AIR MEDICAL TRANSPORT BY THE STATE-OF-THE-ART HELICOPTER, CENTRA ONE. -CENTRA LYNCHBURG GENERAL HOSPITAL HAS AGAIN EARNED THE JOINT COMMISSION'S NATIONAL CERTIFICATE OF DISTINCTION FOR PRIMARY STROKE CENTERS AND WAS THE FIRST HOSPITAL IN CENTRAL, SOUTHSIDE AND WESTERN VIRGINIA TO EARN THIS HONOR IN 2010. -CENTRA LYNCHBURG GENERAL HOSPITAL HAS RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD WHICH RECOGNIZES THE COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE BY ENSURING THAT STROKE PATIENTS RECEIVE TREATMENT ACCORDING TO NATIONALLY ACCEPTED STANDARDS AND RECOMMENDATIONS. -THE CENTRA JOINT REPLACEMENT CENTER'S TOTAL HIP AND TOTAL KNEE REPLACEMENT PROGRAMS ARE NATIONALLY CERTIFIED BY THE JOINT COMMISSION. -CENTRA'S CENTER FOR WOUND CARE AND HYPERBARIC MEDICINE HAS RECEIVED A THREE-YEAR RE-ACCREDITATION FROM THE UNDERSEA & HYPERBARIC MEDICAL SOCIETY AND IS ONE OF FIVE ACCREDITED CENTERS IN VIRGINIA. -CENTRA'S INTERMEDIATE CARE UNIT NURSING TEAM IS THE FIRST IN VIRGINIA TO RECEIVE THE BEACON AWARD FOR QUALITY OF CARE FROM THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES. -CENTRA LYNCHBURG GENERAL HOSPITAL RECEIVED HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION'S MAP AWARD FOR HIGH PERFORMANCE IN REVENUE CYCLE. AS A NATIONAL AWARD WINNER, CENTRA LYNCHBURG GENERAL HOSPITAL HAS MET STRINGENT EVALUATION CRITERIA ADDRESSING CRITICAL PERFORMANCE FACTORS SUCH AS REVENUE CYCLE PROCESSES, FINANCIAL PERFORMANCE, INNOVATION, ADOPTION OF PATIENT FRIENDLY BILLING PRINCIPLES, AND PATIENT SATISFACTION. -CENTRA LYNCHBURG GENERAL HOSPITAL HAS EARNED NATIONAL RECOGNITION FOR EXCELLENCE IN TREATING PATIENTS WITH A HEART ATTACK. THE ACCREDITATION PROGRAM - SPONSORED BY THE AMERICAN HEART ASSOCIATION AND THE SOCIETY OF CHEST PAIN CENTERS - RECOGNIZES CENTERS THAT MEET OR EXCEED QUALITY OF CARE MEASURES FOR PEOPLE EXPERIENCING THE MOST SEVERE TYPE OF HEART ATTACK. -CENTRA'S ALAN B. PEARSON REGIONAL CANCER CENTER RECEIVED THE ADVANCED CERTIFICATION FOR PALLIATIVE CARE FROM THE JOINT COMMISSION. PALLIATIVE CARE IS SPECIALIZED MEDICAL CARE FOCUSED ON PROVIDING PATIENTS WITH RELIEF FROM SYMPTOMS, PAIN, AND STRESS OF A SERIOUS ILLNESS - WHATEVER THE DIAGNOSIS. THE GOAl IS TO IMPROVE QUALITY OF LIFE FOR BOTH THE PATIENT AND THE FAMILY. -CENTRA'S ALAN B. PEARSON REGIONAL CANCER CENTER HAS RECEIVED THE NATIONAL OUTSTANDING ACHIEVEMENT AWARD FROM THE COMMISSION ON CANCER COLLEGE OF SURGEONS. CENTRA IS ONE OF A SELECT GROUP OF ONLY 79 U.S. HEALTH CARE FACILITIES WITH ACCREDITED CANCER PROGRAMS TO RECEIVE THIS NATIONAL HONOR FROM SURVEYS PERFORMED LAST YEAR. 2013 COMMUNITY BENEFIT HIGHLIGHTS -CENTRA CONTRIBUTED MORE THAN $76 MILLION TOWARD UNPAID COST OF PATIENT CARE, INCLUDING, BUT NOT LIMITED TO: -TRADITIONAL CHARITY CARE, WHICH INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2013, $40,658,632 OF CHARGES AT AN ESTIMATED COST OF $20,340,755 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. -UNPAID COSTS OF MEDICARE, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICARE FOR CARE RENDERED TO MEDICARE PATIENTS, AND TOTALED $31,539,357. -UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS, AND TOTALED $24,585,147. 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 2013 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 2013, OVER 600 HEALTH EDUCATION PROGRAMS AND HEALTH FAIRS REACHED MORE THAN 132,000 PEOPLE. KNITTING CLASSES
FORM 990, PART VI, SECTION A, LINE 2:	BOARD MEMBERS RODGER FAUBER AND STUART FAUBER HAVE A FAMILY RELATIONSHIP. BOARD MEMBER AUGUSTUS PETTICOLAS, JR, IS OFFICER AND DIRECTOR OF THE BANK OF THE JAMES. BOARD MEMBER JULIE DOYLE AND OFFICER LEWIS ADDISON ARE EACH BOARD MEMBERS OF THE BANK OF THE JAMES, LYNCHBURG, VA. OFFICERS DAVID ADAMS AND E.W. TIBBS ARE DIRECTORS OF HEALTHWORKS, WHICH IS OWNED 50% BY SCOTT INSURANCE, OF WHICH BOARD MEMBER WALKER SYDNOR IS AN OFFICER OF THE BOARD. OFFICER LEWIS ADDISION IS BOARD MEMBER OF CENTRAL VIRGINIA IMAGING. OFFICER E.W. TIBBS SERVES AS OFFICER OF CENTRAL VIRGINIA IMAGING, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. OFFICERS LEWIS ADDISON, DAVID ADAMS, AND BOARD MEMBER CONSUELLA WOODS ARE EACH BOARD MEMBERS OF THE BEDFORD MEMORIAL HOSPITAL, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. OFFICERS DAVID ADAMS AND LEWIS ADDISON ARE BOTH OFFICERS OF THE BOARD OF PIEDMONT COMMUNITY HEALTH PLAN. OFFICER E.W. TIBBS IS A BOARD MEMBER OF PIEDMONT COMMUNITY HEALTH PLAN. BOARD MEMBERS MICHAEL BRADFORD, RODGER FAUBER, AND MARC SCHEWEL ARE EACH BOARD MEMBERS OF PIEDMONT COMMUNITY HEALTH PLAN, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. OFFICERS LEWIS ADDISON AND E.W. TIBBS ARE BOARD MEMBERS OF THE SURGERY CENTER OF LYNCHBURG, LLC, A 50% JOINT VENTURE OF CENTRA HEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 8A & 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, LINE 15:	CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS THREE ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FOUR 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. CONTEMPORANEOUS DOCUMENTATION IS KEPT OF THE COMPENSATION DECISION/DELIBERATION PROCESS.
FORM 990, PART VI, SECTION B, LINE 16B:	JOINT VENTURE POLICY - CENTRA HEALTH, INC. DID NOT HAVE A FORMAL WRITTEN JOINT VENTURE POLICY RELATING TO MONITORING JOINT VENTURES AT THE CLOSE OF THE 2013 TAX YEAR. THE ORGANIZATION IS DEVELOPING A FORMAL POLICY TO BECOME EFFECTIVE IN THE 2014 YEAR FORWARD.
FORM 990, PART VI, SECTION C, LINE 19:	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.
FORM 990, PART IX, LINE 11G:	OTHER FEES FOR SERVICES OTHER 93,117 PURCHASED & CONTRACTED SVCS 41,967,254 PROFESSIONAL FEES 20,408,507 -------------- TOTAL 62,468,878
FORM 990, PART XI, LINE 9:	OTHER CHANGES IN NET ASSETS CHANGE IN PENSION REPORTING 42,660,385 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 11,906,652 NET ASSETS RELEASED FROM RESTICTIONS TO AFFILIATED ENTITIES (213,363) MINORITY INTEREST (63,037) TOTAL TO FORM 990, PART XI, LINE 9 54,290,637

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Centra Health Indemnity Company LLC
1920 Atherholt Road	Lynchburg	VA	24501	270927253	Captive Insur	VT	$3,541,250	$18,815,180	Centra Healt
Centra Health Emergency Physician Servic
1920 Atherholt Road	Lynchburg	VA	24501	205965653	Emergency Phy	VA	$4,064,325	$0	Centra Healt
Central Virginia Hospital for Restorativ
1920 Atherholt Road	Lynchburg	VA	24501	204712023	Healthcare	VA	$10,515,794	$2,811,179	Centra Healt
Centra Medical Group LLC
1920 Atherholt Road	Lynchburg	VA	24501	203639329	Physician Svc	VA	$49,061,655	$17,373,964	Centra Healt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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 11A, I	NA	Yes (true)
Centra Health Foundation Inc
1920 Atherholt Road	Lynchburg	VA	24501	541604094	Supporting Or	VA	501(c)(3)	Line 11A, I	NA	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	General Business Concerns Inc	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1920 Atherholt Road	AddressLine1
City	Lynchburg	City
State	VA	State
ZIP Code	24501	ZIPCode

Field	Value	IRS element (for citing)
EIN	541299682	EIN
Primary Activities	Real Estate-Physi	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corp	EntityTypeTxt
Share Of Total Income	$708,158	ShareOfTotalIncomeAmt
Share Of EOY Assets	$3,078,761	ShareOfEOYAssetsAmt
Ownership	1.00000	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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 (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CENTRA HEALTH FOUNDATION INC
b	$501,155	BOOK VALUE
CENTRA HEALTH FOUNDATION INC
c	$2,287,484	BOOK VALUE
CENTRA HEALTH FOUNDATION INC
p	$927,019	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL INC
b	$235,628	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL INC
d	$9,780,895	BOOK VALUE
SOUTHSIDE COMMUNITY HOSPITAL INC
q	$1,750,000	BOOK VALUE
CCRC INC
q	$100,000	BOOK VALUE
GENERAL BUSINESS CONCERNS INC
k	$196,408	BOOK VALUE

Reasonable Cause Explanation ReasonableCauseExplanation

Field	Value	IRS element (for citing)
Explanation	INFORMATION NECESSARY TO PREPARE A COMPLETE AND ACCURATE RETURN IS NOT YET AVAILABLE.	ExplanationTxt