2014-11-07T12:33:44-06:00 2013-12-31 KPMG LLP 1676 International Drive McLean VA 22102 990 2013-01-01 540715569 CENTRA HEALTH INC % LEWIS C ADDISON CENT 4342004708 1920 Atherholt Road Suite Lynchburg VA 24501 Lewis C Addison SVP/CFO 4342004708 2014-11-04 true MARGARET A BRADSHAW P00501222 4342004708 2013 2015-11-30 17:44:51Z Lewis Addison 1920 Atherholt Road Lynchburg VA 24501 1369635635 false X www.centrahealth.com X 1962 VA Excellent Care - Every Time. 24 16 6307 1058 9604673 731718 3801580 3377699 593965951 605976778 28007817 41833890 3170581 3208296 628945929 654396663 572960 897430 0 0 330674511 341507664 0 0 0 244318461 254156403 575565932 596561497 53379997 57835166 801567246 854632293 390787592 329973066 410779654 524659227 X EXCELLENT CARE - EVERY TIME. false false 523170813 897430 596372105 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. 523170813 true true false true false false false false false true true true false false true true false true false false false false false false false false true true true false true true false false false false false true false false true true false false false false true true true true false false true 493 0 true 6307 true true true false false false false false false false false false X 24 16 true false false false false false false true true false false true true true true true true true true true false VA X LEWIS C ADDISON 4342004708 1920 ATHERHOLT ROAD Lynchburg VA 24501 Thomas W Nygaard MD DIRECTOR 50.0 0.0 X X 397632 0 56033 Kirsten Huber MD Director 2.0 50.0 X 0 246199 15075 Kenneth S White Chairman of the Board 2.0 0.0 X X 0 0 0 Albert M Baker MD Director 2.0 0.0 X 0 0 0 Michael V Bradford Director 2.0 0.0 X 0 0 0 Rev William Coleman Director 2.0 0.0 X 0 0 0 Robert D Cook MD Director 50.0 0.0 X 312052 0 22620 Michael Diminick MD Director 2.0 0.0 X 0 0 0 Julie P Doyle Director 2.0 0.0 X 0 0 0 Rodger W Fauber Director 2.0 0.0 X 0 0 0 Stuart C Fauber Director 2.0 0.0 X 0 0 0 Laura L Hamilton Director 2.0 0.0 X 0 0 0 Sharon L Harrup Director 2.0 0.0 X 0 0 0 Terry H Jamerson Director 2.0 0.0 X 0 0 0 Stephen C Keith EdD Director 2.0 0.0 X 0 0 0 Augustus A Petticolas Jr DDS Director 2.0 0.0 X 0 0 0 Charles W Pryor Jr PhD Director 2.0 0.0 X 0 0 0 Amy G Ray VICE CHAIRMAN OF THE BOARD 2.0 0.0 X X 0 0 0 Marc A Schewel Director 2.0 0.0 X 0 0 0 Walker P Sydnor Director 2.0 0.0 X 0 0 0 Chris Thomson MD President-Medical Staff 50.0 0.0 X 354959 0 44300 J Scott Wade MD Director 2.0 0.0 X 0 0 0 R Sackett Wood Director 2.0 0.0 X 0 0 0 Consuella K Woods Director 2.0 0.0 X 0 0 0 W Michael Bryant PRESIDENT/CEO UNTIL APRIL 2013 50.0 0.0 X X 1130080 0 78829 E W Tibbs President/CEO as of April 2013 50.0 0.0 X X 572733 0 155212 Lewis C Addison Treasurer & Senior VP/CFO 50.0 0.0 X 685482 0 76136 David D Adams Secretary/Sr VP & CSO 50.0 0.0 X 405836 0 88784 Peter K O'Brien MD: Cardiovascular 50.0 0.0 X 615016 0 46523 Chad A Hoyt MD MD: Cardiovascular 50.0 0.0 X 707649 0 49741 James G Warner MD MD: Cardiovascular 50.0 0.0 X 444695 0 23658 Matthew C Sackett MD MD: Cardiovascular 50.0 0.0 X 691266 0 40086 Brian Schietinger MD MD: Cardiovascular 50.0 0.0 X 612047 0 28009 Patti S McCue ScEd Sr VP-Patient Care Svcs 50.0 0.0 X 484058 0 43203 David W Frantz MD MD: Cardiovascular 50.0 0.0 X 657875 0 34166 Mark D Townsend MD MD: Cardiovascular 50.0 0.0 X 352704 0 35347 Curtis N Baker VP Cardiology & Oncology 50.0 0.0 X 229804 0 42463 Carl M Valentine MD MD: Cardiovascular 50.0 0.0 X 628498 0 45577 Dilantha Ellegala MD MD: Neurosurgery 50.0 0.0 X 912958 0 36216 Christopher W Lewis MD MD: Cardiovascular 50.0 0.0 X 642948 0 43138 Justin D Anderson MD MD: Cardiovascular 50.0 0.0 X 602066 0 26936 Jason M Hackenbracht MD MD: Cardiovascular 50.0 0.0 X 583218 0 33671 George W Dawson Former Centra CEO & Officer 0.0 0.0 X 161956 0 0 Thomas C Jividen Former Secretary/Executive VP 0.0 0.0 X 329217 0 18399 12514749 246199 1084122 335 true true false Medical Associates of Central Virgi 2215 Landover Place LYNCHBURG VA 24501 Physician Services 9707038 Heritage Healthcare 536 Old Howell Road GREENVILLE SC 29615 Therapy Mgmt Svcs 4312786 Virginia Hospital Laundry 1601 Oliver Hill Way RICHMOND VA 23219 Laundry/Linen Svcs 2217624 Pathology Consultants 1914 Thomson Drive Lynchburg VA 24501 Physician Svcs 1413430 Lynchburg Pulmonary Associates 2011 Tates Springs Road LYNCHBURG VA 24501 Physician Services 1409464 33 2287484 1090215 3377699 NET PATIENT SERVICE REVENUE 621400 572011695 562407022 9604673 ANCILLARY SERVICES 900099 13183168 13183168 TUITION & EDUCATION 611600 15426953 15426953 CONTROLLED ENTITIES 900099 1536341 1536341 MEANINGFUL USE 900099 3818621 3818621 605976778 12614674 12614674 0 0 2408097 1894862 513235 0 513235 513235 742250292 313034 713140057 204053 29110235 108981 29219216 29219216 0 0 0 CAFETERIA/VENDING/DIETARY 722210 2474849 2474849 SUBSIDIARY MGMT FEE 541610 220212 220212 2695061 654396663 596372105 9604673 45042186 X 897430 897430 0 0 0 9009426 5072713 3936713 0 646425 136853 509572 255152429 243317455 11834974 9180040 8534758 645282 44192981 40440014 3752967 23326363 21686709 1639654 1523109 1173539 349570 3375892 1458384 1917508 178544 30409 148135 0 0 1349883 1349883 62468878 48381817 14087061 2847401 2679034 168367 29451783 28044566 1407217 18125258 18125258 0 9684449 9258080 426369 1560739 1496393 64346 0 2108397 1766893 341504 5230099 5230099 0 35854439 23215039 12639400 2866977 2824565 42412 MEDICAL SUPPLIES 55694430 55689938 4492 DRUGS 20329931 20329931 BOND COST AMORTIZATION 1506194 1506194 596561497 523170813 73390684 0 36625883 24713837 0 0 0 0 55697323 61346710 0 0 711 32 144188 144188 13039209 14163831 3951635 5165605 736912919 477442301 247335926 259470618 307966129 342976076 117608871 127534611 0 0 0 0 19197371 19116785 801567246 854632293 60433237 61716565 0 0 957905 896622 211963596 204353893 0 0 0 0 0 0 0 0 117432854 63005986 390787592 329973066 X 359013094 465637364 21968182 30143485 29798378 28878378 410779654 524659227 801567246 854632293 X 57835166 6383350 -4629580 54290637 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 27987 27987 false OTHER LOBBYING ACTIVITIES: 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. 38188253 5134898 338319 42984832 29734229 293321 293321 29734229 29734229 374984 374984 29734229 29734229 336616 336616 29734229 29734229 324058 324058 29734229 0.02140 0.67030 0.30830 false true true 15253753 15253753 353246866 204506318 148740548 17342686 10988633 6354053 334313344 261947350 72365994 16756270 16756270 259470618 LEVEL 3 INVEST IN REAL ESTATE 21551893 F EQUITY IN AFFLIATES 17092978 F INVESTED CAPITAL-CONTROLLED 88889740 F 127534611 0 ESTIMATED PAYABLES TO 3RD PARTY PAY 11362479 PHYSICIAN RECRUITMENT LIABILITY 752350 CURRENT INSTALLMENTS DUE TO SCH 842622 ACCRUED INTEREST PAYABLE 144152 INTEREST RATE SWAP AGREEMENT 14855261 PENSION LIABILITY 22138122 ESTIMATED LIABILITY FOR UNPAID CLAI 12911000 63005986 X 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. true true X true X true X true true false true true 20340755 20340755 0.03410 92224054 66168668 26055386 0.04370 112564809 66168668 46396141 0.07780 465480 465480 0.00080 12917253 6584898 6332355 0.01060 1402964 1402964 0.00240 14785697 6584898 8200799 0.01380 127350506 72753566 54596940 0.09160 132 132 4191 4191 7252 7252 9371 9371 20946 20946 true 17498543 254366829 285906186 -31539357 X true true 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 0.01000 0.49000 3 1 Lynchburg General Hospital 1901 Tate Springs Road Lynchburg VA 24501 X X X 2 Virginia Baptist Hospital 3300 Rivermont Avenue Lynchburg VA 24503 X X 3 Centra Specialty Hospital 3300 Rivermont Avenue Lynchburg VA 24503 X Long Term Acute Care Lynchburg General HOSPITAL 1 true X X X X X X X X X 13 true true true X WWW.CENTRAHEALTH.COM X X X X X X X X X X false false true true 200. true 400. true X X X X X X X true true X X X X X X true false true X false false Virginia Baptist Hospital 2 true X X X X X X X X X 13 true true true X WWW.CENTRAHEALTH.COM X X X X X X X X X X false false true true 200. true 400. true X X X X X X X true true X X X X X X true false true X false false Centra Specialty Hospital 3 true X X X X X X X X X 13 true true true X WWW.CENTRAHEALTH.COM X X X X X X X X X X false false true true 200. true 400. true X X X X X X X true true X X X X X X true false false X X false false PART V, SECTION B, LINE 3: 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. 62 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 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. true Amazement Square 27 9th Street Lynchburg VA 24504 541713204 501(c)(3) 10000 N/A N/A Charitable contribution American Cancer Society 2316 Atherholt Road 108 Lynchburg VA 24501 580659875 501(c)(3) 25000 N/A N/A Charitable Contribution Virginia Region 2000 Economic Development Council 828 Main Street 12th Floor Lynchburg VA 24504 541859984 501(c)(6) 30000 N/A N/A Charitable Contribution CVCC Educational Foundation 3506 Wards Road Lynchburg VA 24502 541167908 501(c)(3) 9000 N/A N/A Charitable Contribution Central Virginia Foundation for Economic Education 2015 Memorial Avenue 12th Floor Lynchburg VA 24501 541255814 501(c)(3) 50000 N/A N/A Charitable Contribution contribution United Way of Central Virginia 1010 Miller Park Square 12th Floor Lynchburg VA 24501 540505923 501(c)(3) 75000 N/A N/A Charitable contribution Virginia 10-Miler PO Box 982 Lynchburg VA 24505 541796447 501(c)(3) 10000 N/A N/A Charitable Contribution Centra Health Foundation 1920 Atherholt Road Lynchburg VA 24501 541604094 501(c)(3) 501155 N/A N/A Charitable contribution Johnson Health Center 320 Federal Street Lynchburg VA 24504 541287905 501(c)(3) 160000 N/A N/A Rental contribution 8 1 N/A SCH I, PART I, LINE 2 THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. X X X X true true false false false false false false false George W Dawson Former Centra CEO & Officer 0 0 0 0 161956 0 0 0 0 0 161956 0 0 0 Thomas W Nygaard MD DIRECTOR 378093 0 0 0 19539 0 40252 0 15781 0 453665 0 0 0 Thomas C Jividen Former Secretary/Executive VP 0 0 0 0 329217 0 0 0 18399 0 347616 0 0 0 Kirsten Huber MD Director 0 244288 0 0 0 1911 0 7380 0 7695 0 261274 0 0 Robert D Cook MD Director 243671 0 40000 0 28381 0 7558 0 15062 0 334672 0 0 0 Chris Thomson MD President-Medical Staff 335599 0 0 0 19360 0 7650 0 36650 0 399259 0 0 0 W Michael Bryant PRESIDENT/CEO UNTIL APRIL 2013 303200 0 114675 0 712205 0 57650 0 21179 0 1208909 0 237820 0 E W Tibbs President/CEO as of April 2013 495317 0 39248 0 38168 0 116339 0 38873 0 727945 0 0 0 Lewis C Addison Treasurer & Senior VP/CFO 391103 0 44110 0 250269 0 54592 0 21544 0 761618 0 218425 0 David D Adams Secretary/Sr VP & CSO 362391 0 35200 0 8245 0 66800 0 21984 0 494620 0 0 0 Carl M Valentine MD MD: Cardiovascular 602484 0 3156 0 22858 0 7650 0 37927 0 674075 0 0 0 Dilantha Ellegala MD MD: Neurosurgery 894480 0 0 0 18478 0 7500 0 28716 0 949174 0 0 0 Christopher W Lewis MD MD: Cardiovascular 620696 0 3156 0 19096 0 7650 0 35488 0 686086 0 0 0 Justin D Anderson MD MD: Cardiovascular 582970 0 0 0 19096 0 7650 0 19286 0 629002 0 0 0 Jason M Hackenbracht MD MD: Cardiovascular 560966 0 3156 0 19096 0 7500 0 26171 0 616889 0 0 0 Peter K O'Brien MD: Cardiovascular 592194 0 3156 0 19666 0 7650 0 38873 0 661539 0 0 0 Chad A Hoyt MD MD: Cardiovascular 684827 0 3156 0 19666 0 7650 0 42091 0 757390 0 0 0 James G Warner MD MD: Cardiovascular 424666 0 0 0 20029 0 7650 0 16008 0 468353 0 0 0 Matthew C Sackett MD MD: Cardiovascular 666816 0 3156 0 21294 0 7650 0 32436 0 731352 0 0 0 Brian Schietinger MD MD: Cardiovascular 592951 0 0 0 19096 0 7650 0 20359 0 640056 0 0 0 Patti S McCue ScEd Sr VP-Patient Care Svcs 284838 0 33429 0 165791 0 36645 0 6558 0 527261 0 135846 0 David W Frantz MD MD: Cardiovascular 613858 0 24242 0 19775 0 7650 0 26516 0 692041 0 0 0 Mark D Townsend MD MD: Cardiovascular 337719 0 13725 0 1260 0 7650 0 27697 0 388051 0 0 0 Curtis N Baker VP Cardiology & Oncology 214216 0 10368 0 5220 0 31009 0 11454 0 272267 0 0 0 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 A Industrial Devel Auth of City of Lynchburg VA 541225193 999999999 2010-12-17 30000000 New Construction & Equipment: 2010 false false false B Industrial Devel Auth of County of Campbell VA 521309406 999999999 2007-04-27 7500000 New Construction: County of Campbe false false false C INDUSTRIAL DEVEL AUTHO OF THE TOWN OF AMHERST 541804155 999999999 2007-06-29 8000000 NEW CONSTRUCTION (TOWN OF AMHERST) false false false D INDUSTRIAL DEVEL AUTH OF COUNTY OF APPOMATTOX 541864523 999999999 2007-11-29 7500000 NEW CONSTRUCTION (COUNTY OF APPOMA false false false A 5261069 0 30223487 0 0 0 185914 0 0 30037573 0 0 2013 false false true true B 1770540 0 7500000 0 0 0 50000 0 0 7450000 0 0 2008 false false true true C 1889898 0 8000000 0 0 0 60000 0 0 7940000 0 0 2008 false false true true D 1619230 0 7500000 0 0 0 60000 0 0 7440000 0 0 2007 false false true true A false false false false 0 false false false true B false false false false 0 false false false true C false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true D false false false false 0.00000 0.00000 0.00000 false false false true A false true false false true true Branch Banking & Tru 7. false false false 0 false true B false false true false true false 0 false 0 false true C false false true false true false 0 false 0 false true D false false true false true false 0 false 0 false true A true B true C true D true 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. A Industrial Devel Auth of City of Lynchburg VA 541225193 551245GN7 2004-12-08 126425000 2004 B,C,F bonds:New CONST./ CURRE false false false B INDUSTRIAL DEVEL AUTH OF COUNTY OF CAMPBELL VA 541225193 551245HA4 2009-09-29 79850000 2004 A,D,E bonds CURRENT REFUNDING false false false A 44523243 0 129698243 0 10049028 0 905203 3198000 0 101772759 10500010 0 2007 true false true true B 5025000 0 78950000 0 0 0 0 0 0 0 78950000 0 2007 true false true true A false false false false 0 false false false true B false false false false 0 false false false true A false false false true true true Deutsche Bank 30. false false true Citigroup Financial 2.5 true false true B false false false true true false 0 false 0 false true A true B true Mark Addison FAMILY MEMBER OF to purchase computer X 840 32 false false false 32 LYNCHBURG PULMONARY ASSOCIATES SEE PART V 1409464 SEE PART V false ORTHOPAEDIC CTR OF CENTRAL VIRGINIA SEE PART V 528072 SEE PART V false MEDICAL ASSOCIATES OF CENTRAL VA SEE PART V 9707038 SEE PART V false SCOTT INSURANCE SEE PART V 1036058 SEE PART V false MARK C ADDISON SEE PART V 27431 SEE PART V false MARK A MCKINNEY SEE PART V 109422 SEE PART V false PATHOLOGY CONSULTANTS OF CENTRAL VA SEE PART V 1413430 SEE PART V false PART IV 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 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 Centra Health Indemnity Company LLC 1920 Atherholt Road Lynchburg VA 24501 270927253 Captive Insur VT 3541250 18815180 Centra Healt Centra Health Emergency Physician Servic 1920 Atherholt Road Lynchburg VA 24501 205965653 Emergency Phy VA 4064325 0 Centra Healt Central Virginia Hospital for Restorativ 1920 Atherholt Road Lynchburg VA 24501 204712023 Healthcare VA 10515794 2811179 Centra Healt Centra Medical Group LLC 1920 Atherholt Road Lynchburg VA 24501 203639329 Physician Svc VA 49061655 17373964 Centra Healt Southside Community Hospital 800 Oak Street Farmville VA 23901 540555201 Healthcare VA 501(c)(3) Line 3 NA true CCRC Inc 1920 Atherholt Road Lynchburg VA 24501 541929580 Healthcare VA 501(c)(3) Line 11A, I NA true Centra Health Foundation Inc 1920 Atherholt Road Lynchburg VA 24501 541604094 Supporting Or VA 501(c)(3) Line 11A, I NA true General Business Concerns Inc 1920 Atherholt Road Lynchburg VA 24501 541299682 Real Estate-Physi VA NA C Corp 708158 3078761 1.00000 true false true true true false false false false false true true false false false false true true false false CENTRA HEALTH FOUNDATION INC b 501155 BOOK VALUE CENTRA HEALTH FOUNDATION INC c 2287484 BOOK VALUE CENTRA HEALTH FOUNDATION INC p 927019 BOOK VALUE SOUTHSIDE COMMUNITY HOSPITAL INC b 235628 BOOK VALUE SOUTHSIDE COMMUNITY HOSPITAL INC d 9780895 BOOK VALUE SOUTHSIDE COMMUNITY HOSPITAL INC q 1750000 BOOK VALUE CCRC INC q 100000 BOOK VALUE GENERAL BUSINESS CONCERNS INC k 196408 BOOK VALUE INFORMATION NECESSARY TO PREPARE A COMPLETE AND ACCURATE RETURN IS NOT YET AVAILABLE.