2013-11-15T06:56:43-06:00 2012-12-31 KPMG LLP 1676 International Drive McLean VA 22102 990 2012-01-01 540715569 Centra Health Inc % Lewis C Addison CENT 4342004708 1920 Atherholt Road Suite Lynchburg VA 24501 Lewis C Addison 4342004708 2013-11-13 true 7032868000 2012 2016-02-25 16:41:14Z Lewis Addison 1920 Atherholt Road Lynchburg VA 24501 630090431 false X www.centrahealth.com X 1962 VA Excellent Care - Every Time. 27 17 6330 1018 9490632 178621 2204465 3801580 603065082 593965951 11866039 28007817 3797120 3170581 620932706 628945929 554372 572960 0 0 309611313 330674511 0 0 0 265771502 244318461 575937187 575565932 44995519 53379997 739401611 801567246 391024184 390787592 348377427 410779654 X Excellent care - Every Time. false false 508969754 572960 584479319 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 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. 508969754 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 407 0 true 6330 true true true false false false false false false false false false X 27 17 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 X Kirsten Huber MD 0.0 50.0 X 0 255287 14212 Kenneth S White 2.0 0.0 X X 0 0 0 Thomas W Nygaard MD 50.0 0.0 X X 403802 0 25065 Albert M Baker MD 2.0 0.0 X 0 0 0 Michael V Bradford 2.0 0.0 X 0 0 0 Rev William Coleman 2.0 0.0 X 0 0 0 Robert D Cook MD 50.0 0.0 X 367030 0 21533 Michael Diminick MD 2.0 0.0 X 0 0 0 Julie P Doyle 2.0 0.0 X 0 0 0 Rodger W Fauber 2.0 0.0 X 0 0 0 Stuart C Fauber 2.0 0.0 X 0 0 0 John A Fees 2.0 0.0 X 0 0 0 Laura L Hamilton 2.0 0.0 X 0 0 0 Sharon L Harrup 2.0 0.0 X 0 0 0 Terry H Jamerson 2.0 0.0 X 0 0 0 Stephen C Keith EdD 2.0 0.0 X 0 0 0 Augustus A Petticolas Jr DDS 2.0 0.0 X 0 0 0 Charles W Pryor Jr PhD 2.0 0.0 X 0 0 0 Amy G Ray 2.0 0.0 X 0 0 0 Marc A Schewel 2.0 0.0 X 0 0 0 Kirkham W Sydnor III MD 2.0 0.0 X 0 0 0 Walker P Sydnor 2.0 0.0 X 0 0 0 Chris Thomson MD 50.0 0.0 X 389343 0 39674 J Scott Wade MD 2.0 0.0 X 0 0 0 R Sackett Wood 2.0 0.0 X 0 0 0 Consuella K Woods 2.0 0.0 X 0 0 0 W Michael Bryant 50.0 0.0 X X 696459 0 138509 Lewis C Addison 50.0 0.0 X 545928 0 80642 Thomas C Jividen 50.0 0.0 X 867384 0 28517 David D Adams 50.0 0.0 X 400683 0 65451 Patti S McCue ScEd 50.0 0.0 X 399169 0 47460 E W Tibbs 50.0 0.0 X 459940 0 92603 David W Frantz MD 50.0 0.0 X 597395 0 33347 Christopher W Lewis MD 50.0 0.0 X 664503 0 30168 Harry E Meador 50.0 0.0 X 240305 0 48718 David B Truitte MD 50.0 0.0 X 573235 0 55753 Carl M Valentine MD 50.0 0.0 X 653261 0 50200 Daniel Carey MD 50.0 0.0 X 668458 0 48529 Matthew C Sackett MD 50.0 0.0 X 682197 0 39930 Katrina Murphy MD 50.0 0.0 X 724972 0 30708 Dilantha Ellegala MD 50.0 0.0 X 874630 0 35691 George W Dawson 0.0 0.0 X 1873346 0 2669 12082040 255287 929379 309 true true false Medical Associates of Central Virgi 2215 Landover Place Lynchburg VA 24501 Physician Services 9002954 Heritage Healthcare 536 Old Howell Road Greenville SC 29615 Therapy Mgmt Svcs. 4473329 Virginia Hospital Laundry 1601 Oliver Hill Way Richmond VA 23219 Laundry/Linen Svcs 2322334 McDermott Will Emery 227 West Monroe St Suite 4400 Chicago IL 60606 Attorneys 1979395 Lynchburg Pulmonary Associates 2011 Tates Springs Road Lynchburg VA 24501 Physician Services 1585125 25 2886881 914699 3801580 Net Patient Service Revenue 621400 566411723 556921091 9490632 Ancillary Services 900099 16584979 16584979 Tuition & Education 611600 13491442 13491442 Controlled Entities 900099 -2522193 -2522193 593965951 6491084 6491084 0 0 1405608 1144502 261106 0 261106 261106 21503593 13140 21503593 13140 21516733 21516733 0 0 0 Cafeteria/Vending/Dietary 722210 2503847 2503847 SUBSIDIARY MGMT FEE 541610 405628 405628 2909475 628945929 584475319 9490632 31178398 572960 572960 0 0 0 6945207 1246446 5698761 0 0 250336634 241110884 9225750 8983257 8320086 663171 41684627 38511277 3173350 22724786 21047174 1677612 1784292 1577007 207285 5114782 2121971 2992811 166612 27019 139593 0 0 1153948 1153948 59454607 47806410 11648197 2633015 2458407 174608 28988660 27805217 1183443 14745066 14745066 0 8288360 7850870 437490 1475843 1414393 61450 0 2004253 1680994 323259 5482503 5482503 0 35005721 21972195 13033526 3758745 3714362 44383 Medical Supplies 54550311 54537836 12475 DRUGS 18099925 18099925 BOND COST AMORTIZATION 1611818 1611818 575565932 508969754 66596178 0 39049580 36625883 0 0 0 0 55972775 55697323 0 0 0 711 144188 144188 12845821 13039209 2282407 3951635 688978768 441642842 243080047 247335926 274845806 307966129 99082682 117608871 0 0 0 0 12098305 19197371 739401611 801567246 59515625 60433237 0 0 802131 957905 219322395 211963596 0 0 0 0 0 0 0 0 111384033 117432854 391024184 390787592 X 300220897 359013094 18358152 21968182 29798378 29798378 348377427 410779654 739401611 801567246 X 53379997 8542384 479846 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 40295 40295 false OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1(I) ATTENDANCE AT VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION 2012 LEGISLATIVE ISSUES CONFERENCES (REGISTRATION EXPENSES, HOTEL, TRAVEL, & MEALS): $ 1,217. A PORTION OF THE ORGANIZATION'S HOSPITAL ASSOCIATION DUES FOR 2012 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $ 39,078. 29734229 293321 293321 29734229 29734229 374984 374984 29734229 29734229 336616 336616 29734229 29734229 324058 324058 29734229 43467313 420000 -13772985 380099 29734229 0.03090 0.96910 false true true 11902554 11902554 336685679 192653267 144032412 16770845 9982202 6788643 307047001 239007373 68039628 16572689 16572689 247335926 LEVEL 3 INVEST IN REAL ESTATE 19287234 F EQUITY IN AFFLIATES 14729184 F INVESTED CAPITAL-CONTROLLED 83592453 F 117608871 0 Estimated payables to 3rd party payors 13373570 PHYSICIAN RECRUITMENT LIABILITY 306989 Current installments due to SCH 842622 Accrued interest payable 216613 Interest rate swap agreement 26761913 Pension Liability 64531024 Estimated liability for unpaid claims 11400123 117432854 X 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-IMPOSTED RESTRICTIONS. THE FOUNDATION HAS A POLICY OF REQUESTING FOR DISTRIBUTION EACH YEAR EITHER NET INCOME OF THE ASSET OR A PERCENTAGE OF THE ASSETS AVERAGE FAIR VALUE WHICH RESULTS IN AN AVERAGE NET CASH DISTRIBUTION OF 2.4% OF TOTAL ASSETS. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF 4.3% ANNUALLY. THIS IS CONSISTENT WITH THE FOUNDATION'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN. 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 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. EFFECTIVE JANUARY 1, 2009, CENTRA ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ("FASB") AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE FINANCIAL STATEMENTS. TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2012. THE ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON CENTRA'S FINANCIAL POSITION OR RESULTS OF OPERATIONS. true true X true X true X true true false true true 22518165 22518165 0.03910 86077786 63729709 22348077 0.03880 108595951 63729709 44866242 0.07790 410431 410431 0.00070 8334261 8077473 256788 0.00040 1058026 1058026 0.00180 9802718 8077473 1725245 0.00290 118398669 71807182 46591487 0.08080 3865 3865 211 211 3451 3451 421 421 7948 7948 false 29303233 14757563 255002871 283771238 -28768367 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 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 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 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 47 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 Centra Hospice-Farmville

713 Oak Street Farmville VA 23901

Hospice Care 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 Caroline Ave PO Box 120 Brookneal VA 24528

Family Practice Centra Medical Group - Danville

404 Airport Road Suite C Danville VA 24540

Cardiology, Neurology, Urology Orthopedics, Physical Therapy, Occupational Rehab Gretna Medical Center

1220 West Gretna Road Gretna VA 24557

Internal Medicine, Cardiology Lynchburg Internal Medicine

1901 Thomson Drive Lynchburg VA 24501

Internal Medicine Village Practice - Moneta

4830 Rucker Road Moneta VA 24121

Family Practice Center for Pain Management

3300 Rivermont Avenue Lynchburg VA 24503

Pain Management Wound Care Center

3300 Rivermont Avenue Lynchburg VA 24503

Wound Care Seven Hills Urology

2542 Langhorne Road Lynchburg VA 24501

Urology Seven Hills Urology-Oak Vassar Office

1330 Oak Lane Suite 203 Lynchburg VA 24503

Urology Seven HIlls Urology-Danville Office

173 Executive Drive Danville VA 24540

Urology Seven Hills Urology-Moneta Office

1039 Mayberry Crossing Drive Moneta VA 24121

Urology Danville Specialty Clinic

173 Executive Drive Danville VA 24540

Specialty Services (Urology, Neurosurgery, Plastics, Cardiology, etc.) Dominion Primary Care

110 Exchange St Suite F Danville VA 24540

Family Practice Forest 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 Cardiothoracic Surgery Inc

2015 Tate Springs Road Lynchburg VA 24501

Cardiothoracic Surgery The Cardiovascular Group - Main Office

2410 Atherholt Road Lynchburg VA 24501

Cardiology Center The Cardiovascular Group-Bedford Campus

1613 Oakwood Avenue Bedford VA 24523

Cardiology Center The Cardiovascular Group-Farmville Campu

900 West Third Street Farmville VA 23901

Cardiology Center The Cardiovascular Group-Moneta Campus

1039 Mayberry Crossing Drive Suite Moneta VA 24121

Cardiology Center The Cardiovascular Group-Gretna Campus

1220 West Gretna Road Gretna VA 24557

Cardiology Center The Cardiovascular Group-Danville Campus

173 Executive Drive Danville VA 24540

Cardiology Center Vascular Surgery

2410 Atherholt Road Lynchburg VA 24501

Vascular Surgery Centra Health Emergency Physicians

1901 Tate Springs Road Lynchburg VA 24501

Emergency Physicians 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 Rehab & Geriatric Services

3300 Rivermont Avenue Lynchburg VA 24503

Drs. provide services to nursi skilled care facialities, hosp and Rehab Mammography

3300 Rivermont Avenue Lynchburg VA 24503

Mammographers read screenings diagnostic breast imaging cent Timberlake, Tate Springs, & Mo Piedmont PrimeCare-Main

130 Enterprise Drive Danville VA 24540

Family Practice Piedmont PrimeCare-East

404 Airport Drive Suite A Danville VA 24540

Family Practice Village Practice - North

1618 Oakwood Ave Suite 202 Bedford VA 24523

Family Practice Part II 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. Here are a few EXAMPLES... CENTRA HEALTH PARTICIPATED IN A BREAST CANCER CLASSIC basketball game to create awareness about breast cancer and to honor its survivors. Centra provided staff/volunteers and various supplies (ie: catering, bulbs & gardening supplies, etc) for the 24th Annual Walk to Remember (a national pregnancy & infant loss awareness event). A community memorial service, walk, and memorial garden planting were preformed for all community members that wished to attend. Centra held a "Clergy & Faith Health Summit" in 2012. Area clergy attended this event to learn what resources are available within the Centra organization which may be beneficial to their parishioners. Centra participants answered any questions they may have had regarding the availability of these services and what was provided by the services. Also, Centra participated in several HiPE (Healthy people through Prevension and Education) coalition meetings throughout the year. These meetings focus on tobacco and substance abuse, childhood obesity, and supporting healthy activities for youth and collaborate with Horizon Behavioral Health, Lynchburg Health Department, area social services, parks & recreations, city schools, family medicine, etc. Centra also connected with faith based communities through its Congregational Health programs. Centra held several "Congregational Health Promoter" courses throughout 2012. 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 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/CHARITY. 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 DEBTS/CHARITY." 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 its 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 2012 was $25,645,144. Part III, Line 9B: Centra recognizes that medical expenses are often unexpected and cause financial hardship. All accounts with self pay balances will follow the same collection protocols. These protocols are electronically administered through Centra's hospital information system. When an account reaches the end of the system generated collection cycle and meets said criteria, the account balance will be processed as bad debt and reported to a collection agency. Criteria for bad debt will be applied consistently regardless of age, race, or religion. Part V, Section B, Line 18C: Centra Speciality Hospital Centra Speciality Hospital does not have an Emergency Department due to the nature of the hospital's services. Part VI, Line 2: 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. Centra is working on a formal, in depth Community Health Needs Assessment (CHNA) to better understand how to improve the health of the people it serves. With the assessment, Lynchburg General, Virginia Baptist and Centra Specialty hospitals are in one community and Centra Southside Community Hospital is in the other. Centra is seeking input from the communities and identifying health needs priorities to develop a comprehensive three-year plan to address those needs. 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 will examine these areas and identify 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. Part VI, Line 3: 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: Centra is a comprehensive health care system covering a service area of 431,373 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 431,373, with an ethnic mix of 17.9% black and 77.8% white. The percent of the total PSA/SSA population that is 65 years of age and older is 16.2%. It is projected that by 2017, this same age range of 65 plus will account for 18% of the total PSA/SSA population. The average household income in the PSA/SSA is $43,831. 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: 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 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. Centra's Mental Health division participates in numerous conferences and meetings throughout the community to lend guidance and support. Some examples of these conferences/meetings are: VSHMPR (Virginia Society for Healthcare Marketing & Public Relations), VADAP (Virginia Drug and Alcohol Programs), Lynchburg Junior League, Ethics Conferences, Psychiatric Society of Virginia Distinguished Fellowship Committee, and Gerontology Conferences, etc. These events usually deal with mental health/substance abuse care. An important part of what Centra's Mental Health division does is to serve on boards and committees, and support other organizations who also strive for community health and well-being. Centra's Pathways Treatment Center holds relationship building events between the alums and the program which is used to encourage the alums to continue in their sobriety and lets them know that even though they are alums, we are still connected and invested in them. Part VI, Line 6: 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. STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI VA, true Amazement Square 27 9th Street Lynchburg VA 24504 541713204 501(c)(3) 10600 0 N/A N/A Charitable contribution American Cancer Society 2316 Atherholt Road Lynchburg VA 24501 580659875 501(c)(3) 20000 0 N/A N/A Charitable contribution Big BrothersBig Sisters of Central Virginia 2901 Langhorne Rd Lynchburg VA 24501 540908680 501(c)(3) 12400 0 N/A N/A Charitable contribution Region 2000 Technology Council 828 Main Street 12th Floor Lynchburg VA 24504 421541117 501(c)(6) 10000 0 N/A N/A COMMUNITY contribution United Way of Central Virginia 1010 Miller Park Square Lynchburg VA 24501 540505923 501(c)(3) 50000 0 N/A N/A Charitable contribution Virginia's Region 2000 828 Main Street 12th Floor Lynchburg VA 24504 541859984 501(c)(3) 30000 0 N/A N/A Charitable contribution Centra Health Foundation 1920 Atherholt Road Lynchburg VA 24501 541604094 501(c)(3) 255443 0 N/A N/A Charitable contribution Johnson Health Center 320 Federal Street Lynchburg VA 24504 541287905 501(c)(3) 160000 0 N/A N/A Rental contribution 7 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 false true false false false false false false false George W Dawson 194077 0 0 0 1679269 0 1500 0 1169 0 1876015 0 937248 0 Kirsten Huber MD 0 237521 0 1500 0 16266 0 6187 0 8025 0 269499 0 0 Thomas W Nygaard MD 378093 0 6979 0 18730 0 7500 0 17565 0 428867 0 0 0 Robert D Cook MD 279096 0 44000 0 43934 0 6465 0 15068 0 388563 0 0 0 Chris Thomson MD 370926 0 0 0 18417 0 7500 0 32174 0 429017 0 0 0 W Michael Bryant 671223 0 0 0 25236 0 108150 0 30359 0 834968 0 0 0 Lewis C Addison 378664 0 75600 0 91664 0 60722 0 19920 0 626570 0 60922 0 Thomas C Jividen 488635 0 263880 0 114869 0 7500 0 21017 0 895901 0 105622 0 Carl M Valentine MD 622340 0 10843 0 20078 0 7411 0 42789 0 703461 0 0 0 Daniel Carey MD 637537 0 10843 0 20078 0 7500 0 41029 0 716987 0 0 0 Matthew C Sackett MD 650560 0 10843 0 20794 0 7500 0 32430 0 722127 0 0 0 Katrina Murphy MD 668967 0 37409 0 18596 0 7500 0 23208 0 755680 0 0 0 Dilantha Ellegala MD 826196 0 30000 0 18434 0 7500 0 28191 0 910321 0 0 0 David D Adams 313913 0 56780 0 29990 0 44400 0 21051 0 466134 0 22482 0 Patti S McCue ScEd 285165 0 59000 0 55004 0 41646 0 5814 0 446629 0 30091 0 E W Tibbs 330022 0 69280 0 60638 0 50656 0 41947 0 552543 0 35554 0 David W Frantz MD 533835 0 43750 0 19810 0 7500 0 25847 0 630742 0 0 0 Christopher W Lewis MD 635064 0 10843 0 18596 0 6019 0 24149 0 694671 0 0 0 Harry E Meador 189484 0 18850 0 31971 0 25233 0 23485 0 289023 0 22927 0 David B Truitte MD 540449 0 10843 0 21943 0 9375 0 46378 0 628988 0 0 0 Sch J Supp Info Part 1 Line 4b The following individuals received a payout from a Nonqualified Retirement Plan during FY 2012. The amount was included in their W-2 wages. NAME TITLE AMOUNT OF PAYOUT DAVID ADAMS CHIEF STRATEGY OFFICER $ 22,482 LEWIS ADDISON CENTRA SR VP & CFO $ 60,922 WILLIAM L. BASS, JR. CENTRA SOUTHSIDE COMMUNITY HOSPITAL COO & VP (RELATED ORGANIZATION) $ 17,149 W. MICHAEL BRYANT CENTRA PRESIDENT & CEO NONE GEORGE DAWSON FORMER CENTRA PRESIDENT & CEO $937,248 THOMAS C. JIVIDEN CENTRA EXCUTIVE VP $ 54,534 PATTI S.MCCUE CENTRA SR VP, PATIENT CARE SERVICES $ 30,091 HARRY E. MEADOR CENTRA VP, BUSINESS DEVELOPMENT $ 22,927 KATHRYN M. PUMPHREY CENTRA FOUNDTION EXEC. VP (RELATED ORG.) AND CENTRA VP OF DEVELOPMENT $ 11,908 E.W. TIBBS CENTRA SR VP, ACUTE CARE & COO/CENTRA SOUTHSIDE COMMUNITY HOSPITAL PRESIDENT $ 35,554 The following individuals had amounts deferred into a Nonqualified Retirement Plan in FY 2012: NAME TITLE AMOUNT DEFERRED DAVID ADAMS CHIEF STRATEGY OFFICER $ 36,900 LEWIS ADDISON CENTRA SR VP & CFO $ 53,690 WILLIAM L. BASS, JR. CENTRA SOUTH SIDE COMMUNITY HOSPITAL COO & VP (RELATED ORGANIZATION) $ 18,420 W. MICHAEL BRYANT CENTRA PRESIDENT & CEO $100,650 GEORGE DAWSON FORMER CENTRA PRESIDENT & CEO NONE THOMAS C. JIVIDEN CENTRA EXECUTIVE VP NONE PATTI S. MCCUE CENTRA SR VP, PATIENT CARE SERVICES $ 34,146 HARRY E. MEADOR CENTRA VP, BUSINESS DEVELOPMENT $ 19,420 KATHRYN M. PUMPHREY CENTRA FOUNDATION EXEC. VP (RELATED ORG.) AND CENTRA VP OF DEVELOPMENT $ 20,000 E.W. TIBBS CENTRA SR VP, ACUTE CARE & OO/ CENTRA SOUTHSIDE COMMUNITY HOSPITAL PRESIDENT $ 43,156 PART II, COLUMN B(III) CENTRA HEALTH'S PRESIDENT AND CEO, GEORGE DAWSON, RETIRED IN 2011 AFTER THREE DECADES OF LEADERSHIP. THE AMOUNT REPORTED IN SCHEDULE J, COLUMN B(III) REPRESENTS A PAYOUT OF DEFERRED COMPENSATION EARNED OVER THREE DECADES OF SERVICE TO CENTRA HEALTH AND SUBSIDIARIES. A Economic Devel Auth OF THE 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 521309406 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 3534701 0 30223487 0 0 0 185914 0 23486196 0 0 6551377 2013 false false false true B 1465740 0 7500000 0 0 0 50000 0 0 7450000 0 0 2008 false false true true C 1564664 0 8000000 0 0 0 60000 0 0 7940000 0 0 2008 false false true true D 1320530 0 7500000 0 0 0 60000 0 0 7440000 0 0 2007 false false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false false false false 0.00000 0.00000 0.00000 false false 0.00000 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 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 Economic Devel Auth of City of Lynchburg VA 541225193 551245HA4 2009-09-29 78950000 2004 A,D,E bonds CURRENT REFUNDING false false false A 43223243 0 129698243 0 10049028 0 905203 3198000 0 101772759 10500010 0 2007 true false true true B 3700000 0 78950000 0 0 0 0 0 0 0 78950000 0 2007 true false true true A false false false false 0.00000 0.00000 0.00000 false false 0.00000 false false B false false false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false false true true true UBS 30. 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 SCHEDULE K, PART IV, LINE 2C 0 A REBATE COMPUTATION WAS PERFORMED ON APRIL 8, 2009 FOR THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL AUCTION RATE SECURITIES REFUNDING REVENUE BONDS (CENTRA HEALTH), SERIES 2004A AND SERIES 2004B-F. Mark Addison FAMILY MEMBER OF to purchase computer X 840 711 false false true 711 Lynchburg Pulmonary Associates SEE PART V 1585125 SEE PART V false ORTHOPAEDIC CTR OF CENTRAL VIRGINIA SEE PART V 626254 SEE PART V false MEDICAL ASSOCIATES OF CENTRAL VA SEE PART V 9002954 SEE PART V false SCOTT INSURANCE SEE PART V 648598 SEE PART V false MARK C ADDISON SEE PART V 29986 SEE PART V false Mark A McKinney SEE PART V 101378 SEE PART V false Elizabeth Wade SEE PART V 18012 SEE PART V false Schedule L, Part IV, Business Transactions Involving Interested Persons: (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: $1,585,125 (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: $626,254 (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 and Kirkham Sydnor are partial owners of Medical Associates of Central Virginia (C) Amount of Transaction: $9,002,954 (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: $648,598 (D) Description of Transaction: Payment of insurance premiums provided 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: $29,986 (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, Key Employee of Centra Health, Inc. (C) Amount of Transaction: $101,378 (D) Description of Transaction: Compensation as employee of Centra Health, Inc. (E) Sharing of Organization Revenues?: No (A) Name of Person: Elizabeth Wade (B) Relationship Between Interested Person and Organization: Family member of Scott Wade, MD, Board member of Centra Health, Inc. (C) Amount of Transaction: $18,012 (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 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 well being 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. During 2012, Centra received the following national awards and accolades: -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. -Lynchburg General and Virginia Baptist hospitals were designated as Magnet facilities by the American Nurses Credentialing Center which recognizes excellence in nursing. -Centra was awarded a high rating by The Society of Thoracic Surgeons' for quality in cardiac surgery. Centra is the only healthcare system in Virginia to have received this award every year since its inception. -Centra Lynchburg General and Virginia Baptist hospitals received recognition as one of the Top 100 Most Wired and Top 25 Most Wireless Hospitals in the country by Hospitals & Health Networks magazine. -Centra Lynchburg General Hospital's Chest Pain Center has earned Cycle IV Accreditation of the Chest Pain Center, an 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 Lynchburg General Hospital has earned The Joint Commission's National Certificate of Distinction for Primary Stroke Centers. -Centra received re-certification for treatment of acute myocardial infarction (AMI) patients from The Joint Commission. -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. -The Lynchburg General Hospital School of Nursing Diploma Program has received Full Accreditation of Diploma Program from the National League of Nursing Accreditation Council. -The Centra Joint Replacement Center received Certification of the Total Knee and Total Hip Replacement Program by The Joint Commission. 2012 Community Benefit Highlights -Centra contributed more than $70 million toward community benefits, including: -Traditional Charity Care, which includes health care services to patients who do not have the ability to pay. During 2012, $45,629,442 of charges at an estimated cost of $22,518,165 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 $25,645,144. -Unpaid Costs of Medicaid, which reflects the cost not reimbursed by Medicaid for care rendered to Medicaid patients, and totaled $22,037,432 -Cash/In-Kind Donations, which include contributions made on behalf of Centra to the community and in-kind donations, and totaled $1,086,526, FY 2012. 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 2012 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 2012, health education programs and health fairs reached more than 12,000 people. Compassion Fatigue This class presents research, insight and tools on how you can take a load off, and avoid compassion fatigue while caring for others. The program's objective is to recognize the challenges that caregivers face, including emotional, physical and mental pain and fatigue, and most importantly give tools how to focus on healthy self-care and attention to their own needs. Knitting and Crocheting Class/Group This program offers cancer patients, caregivers, and others affected by cancer the opportunity to learn the art of knitting and crocheting. The objective of the class is to provide ways to pass time during treatments, to create donations for patients, and a place to build a support group that meets regularly so that participants have an easy way to connect and build relationships. Pressure Points Class This class was offered as a means of integrative medicine and alternative ways to deal with difficult side effects for cancer patients. The objective of the class was to show the class how to use reflexology points and acupuncture points to ease certain issues such as nausea, anxiety, and constipation, and how you can help yourself by stimulating these points, and was taught by our massage therapist, Jane Simms, M.A., C.M.T. Scrapbooking Class This class provided cancer patients and family members an opportunity to preserve their memories. The objective was to offer ways to keep the snapshots, handmade cards, concert tickets, old family photos, and other sentimental items so that those memories can be passed down for generations. Writing Workshops This series of workshops was a place for those affected by cancer to process their journey on paper. The objective was to provide a safe, open and healing environment to explore yourself on paper, whether it be childhood stories, the start to a memoir, personal reflections, or your cancer journey. They were led by Jeri Watts, Ph.D., Lynchburg College professor of human development and learning. Studies have shown that writing can decrease stress, anxiety, pain and other physical symptoms of illness, as well as improve personal well-being. Cardiac Education and Screenings Various programs within the Stroobants Heart Center offer members of the community free education, screenings and lectures. Through HeartAware, members of the community are able to take the free assessment to determine their individual risk of developing heart disease. Their risks are evaluated by cardiac nurses that determine a plan of action to lower or eliminate these risks. Along with HeartAware, community events, health fairs, lectures, blood pressure and cholesterol screenings are an effective approach to raising awareness and combating heart disease. Health Screenings and Community Health Education Centra provides sponsorship and support of community health education and health screening programs. Health and wellness topics span the health and wellness continuum, addressing both wellness and disease-related issues. Health screenings provided throughout the region include blood sugar, cholesterol, body fat percentage, pulmonary function, PSA for prostate cancer, skin and colorectal cancer, blood pressure screenings and osteoporosis screenings. Mammography screenings are also provided at no charge to women who are underinsured or uninsured. Sleep Disorders Center Outreach The Sleep Disorders Center at Virginia Baptist Hospital participated in numerous health fairs at local businesses and churches in the community. Staff members gave lectures and presentations on sleep disorders. Presentations included information related to healthy sleep habits, the importance of sleep, health risks due to sleep disorders and treatment options. In 2012, approximately 1,500 people were served. The Witness Project The Witness Project is a very important part of the Oncology Breast Navigation Program at Centra. The program targets the underserved in Lynchburg and the surrounding counties. As part of the program, lay health educators and breast cancer survivors train with registered nurses (Breast Navigators), to bring culturally competent programs to women in community settings. The project, part of a national program and the first in Virginia, receives support from Centra, Centra Health Foundation and Susan G. Komen For the Cure. Vouchers for screening and diagnostic mammograms are also available to uninsured women with financial needs. The Oncology Breast Navigation program through the help of The Witness Project volunteers served 1,196 people in 2012 through 14 events throughout the year. Community Classes In addition to free screenings, support groups and community outreach, Centra also provided educational classes to the community on a broad range of health and wellness topics. Classes included Family Emergency Care (CPR), Baby Care, Infant Massage, Breast-Feeding, Lamaze, Puberty, Safe Sitter, New Sibling classes, weight management and Smoking Cessation. Support Groups Support groups-offered to the community without charge-provide a forum for education and the exchange of ideas. These groups address an array of issues including bereavement, breast cancer, prostate cancer, sleep disorders and cardiac rehabilitation. Bereavement Support Group Resolve Through Sharing Bereavement Support Group is for parents who have experienced the loss of a baby in pregnancy or infancy, including ectopic pregnancy, miscarriage, stillbirth, medical interruption, neonatal death or SIDS. Parents share their experiences and coping strategies and a lending library is available at each meeting. Other bereavement support groups meet weekly and offer psycho educational support for adults who have experienced the death of a loved one. There is a speaker each week that focuses on a particular aspect of grief (e.g. physical, emotional, social, spiritual, and approaching holidays and special days). Each group provides a supportive sharing component for the participants who wish to share their experience of grief and is facilitated by a clinical social worker who is experienced in grief counseling. Breast Cancer Support Group A breast cancer support group is offered to women diagnosed with breast cancer at any stage of the disease. The support group addresses breast health and related issues of importance to women with breast cancer. This group meets once a month and reached 127 women in 2012. Central Virginia AWAKE (Alert, Well and Keeping Energetic) Support Group This group offers support and shares information about sleep disorders, treatments, equipment and supplies to improve the quality of sleep. Man To Man Man To Man is an American Cancer Society educational support group designed to meet the needs of men diagnosed with prostate cancer and spouses or caregivers. This support group meets at the Alan B. Pearson Regional Cancer Center and is supported through our Prostate Cancer Navigation program. Mended Hearts/Cardiac Rehab Support Groups These cardiac-related support groups offer education and emotional support to cardiac patients and their families. In-kind & Donations -During 2012, Centra donated over $396,927 in medical supplies to Gleaning for the World and other various organizations and agencies in the region. -Centra donated school supplies to area schools for underprivileged children, food to the community food drive, and a variety of furniture to the Grace Lodge, Central Virginia Area of Aging, Disabled American Veterans, Habitat for Humanity and many other community service organizations during the year. Centra also allowed community agencies and organizations the use of many of the meeting rooms throughout its facilities. -During 2012, Centra Lab processed 2,873 laboratory tests for Central Virginia Free Clinic clients at no charge. This donated service resulted in a community benefit exceeding $222,281. -A total of 2,643 meals were provided to the Lynchburg Meals on Wheels Program at a cost of approximately $7,400.40. Special Needs Projects & Mentoring Centra provides and promotes many special need projects and mentoring opportunities. Educational opportunities are offered to students in a broad range of professional and technical programs. At Centra, students gain experience in nursing, technical and clinical professions. Several high schools and universities in Virginia rotate students through Centra's facilities with Centra staff members, giving these students the opportunity to train and gain experience in their chosen career fields. Here is a list of special projects Centra supports: Beds & Britches, Etc. (B.A.B.E.) B.A.B.E. is a prenatal care incentive program designed in response to Fetal & Infant Mortality Review (FIMR) findings that showed lack of prenatal care was a common risk factor among infant death cases. To increase the number of women who receive early and consistent prenatal care, women who participate in the program receive incentives for compliance with prenatal care. Women with household incomes of $30,000 or less annually, Medicaid recipients and pregnant teens are eligible. The B.A.B.E. program is managed by the Childbirth and Family Education Department at Centra, and receives support from the Children's Miracle Network, and community fund-raising events. A total of 177 new clients participated in the B.A.B.E. program in 2012, with a total of 248 visits for new and returning participants. Community Voice - Decreasing African American Infant Mortality Created as an intervention based on Fetal & Infant Mortality Review (FIMR) findings and a need to address racial disparity in infant mortality rates, Community Voice is a grassroots community-based, community-partnered outreach intervention program designed to help reduce disparities in infant death through implementation of the Taking It to the People curriculum. The curriculum consists of five two-hour sessions and covers basic perinatal health topics and psychosocial issues that impact infant death. Once trained program participants become lay health advisers and share the information learned with family, friends and people in their individual neighborhoods. During 2012, approximately 3,000 people received perinatal health information through a combination of the following Community Voice activities: -Taught 1 Train the Trainer Session: Miami, Florida and processed 13 Community Voice orders resulting in the program bringing in $31,135.60. -Completed Breastfeeding Certification -Assisted with VBH Bestfed Initiative-Storyboard -Developed Brochure for Childbirth and Family Ed -Developed African American Breastfeeding Brochure -Developed Car Seat Flyer -Assisted with "Life Begins at Centra" Book -Updated Community Voice Materials -Taught 55 Community Voice sessions (11 five-session classes) -Trained 102 Lay Health Advisors -1067 LHA Contacts -Taught 3 Community Safe Sitter classes -Taught 3 Community Breastfeeding Classes -Co-Facilitated 6 Family Emergency Care Classes -Taught 1 Family Emergency Care Class -1 Community Presentation: PMI Women's Conference, Topic: Infant Mortality -1 Speaking Engagement: Prematurity Awareness Day at Crossroads Baptist Church -Meetings: 4 Health Commissioner's Infant Mortality Workgroup, 1 Centra Diversity Sub-Committee, 2 Community Action Team, 3 Smart Beginnings, 10 College Hill Community Board, 2 Case Review Team, 3 Breastfeeding Coalition. -Attended 3 Community Events: National Night Out, I am Woman Race, Juneteenth -Attended 3 Healthfairs: YMCA Healthfair, Diamond Hill Community Center Healthfair, Genworth Healthfair, -Developed 8 Bulletin Board. -Manned BABe Store -Researched Grants -Managed CV Website and Facebook page -Developed consumer education flyers for bestfed initiative -Weekly recruitment and outreach activities Forensic Nurse Program The Forensic Nurse Program began in 1997. It consists of registered nurses trained in the collection of forensic evidence. The forensic nurses work with law enforcement, social services and the court system. We respond to victims of physical assault, sexual assault and abuse and neglect in both the adult and pediatric population. We provide educational/training lectures to rescue agencies, police departments, Police Academy, attorneys and various colleges including the criminal justice and nursing programs. This program serves clients from Central Virginia and the surrounding area. In 2012, the program handled 636 cases. Hospitality Suites Centra provides hospitality suites, which include overnight accommodations for patient families who need to stay close to their hospitalized family member. There is no charge for the suites. Suites are located at Virginia Baptist Hospital and Lynchburg General Hospital. The Infectious Diseases Center of Central Virginia The Infectious Diseases Center of Central Virginia is a partnership between independent service providers, Medical Associates of Central Virginia and Centra to provide medical care, pharmaceutical access and support services to people with HIV/AIDS. The centers in Lynchburg and Danville served 426 clients in 2012. Rivermont Schools Centra's Rivermont Schools provide specialized education for students with behavioral or emotional concerns as well as students on the autism spectrum. Seven schools throughout Virginia address the needs of more than 410 students and operate on a 180-day school year calendar. Rivermont Schools are located in Lynchburg, Roanoke, Chase City, Dan River, Hampton Roads, Tidewater, Alleghany and Rockbridge. The Rivermont Schools provide a unique, supportive environment serving children and adolescents with emotional problems, behavior disorders and learning disabilities. Academic subjects are taught in an environment that promotes behavioral management, interpersonal skills, family involvement and social awareness. Volunteer Services Centra has many dedicated volunteers from throughout central Virginia who choose to give back to their community by donating their time and talents. Guggenheimer Volunteer Services Over 60 volunteers donated time at Guggenheimer Health and Rehabilitation Center to provide residents with enrichment and interaction through the "Enhancing Lives Every Day" program. They support many areas of the program by providing musical entertainment, exercise classes and craft classes as well as assistance in transporting residents and answering the phone. Hospice Volunteers In 2012, 150 volunteers donated 7,758 hours of service to the Hospice program. A large portion of their time and talent was committed to the Hospice House. Volunteers support the Hospice House by grocery shopping, meal preparation, cleaning and decorating, interacting with patients and families and offering support to families who have lost a loved one. The volunteers have reported driving more than 62,710 miles in 2012. Stories of Assistance thru Donations to Centra Health Foundation Centra Health, Inc. donates funds to the Centra Health Foundation on an annual basis. A portion of the gifts to the Foundation provide financial assistance to patients who are in need. Below are just a few examples of this assistance. A 46 year old farmer without health insurance was diagnosed with cancer. With chemotherapy treatment fees of over $52,000, the man was facing bankruptcy and was unsure if he would survive his treatment. The Centra Foundation provided him with assistance in paying his bills. He went through all 16 of his treatments, is no longer facing bankruptcy, and his hair is beginning to grow back thanks to the help of the Centra Foundation. The mother of a family with a combined income of $30,000 per year with three children worked part time and had no health insurance. Faced with a $17,000 hospital bill, the woman and her family fell outside of the Medicaid guidelines for assistance. This amount was not within their means to pay, and so the Centra Foundation provided the family with the financial relief they needed. Because of Centra Health Inc.'s annual donation to Centra Health Foundation, the Foundation is able to provide assistance through numerous funds. One of those funds is the Patient Support Fund. Here are a few examples of how patients are assisted thru this particular fund. Early in the year, a young gentleman needed treatment for lymphoma. He was working, but lost his job just prior to being diagnosed. Due to his loss of income, the patient and his family were struggling financially. They could not afford gas for him to be able to travel 45 minutes from his home to the cancer center to get the treatment he needed. Through the Patient Support Fund, we were able to give this man gas cards so that he could get to his chemotherapy visits. He now has completed treatment and is doing well. Some patients have difficulty when treatment ends. One lady requested help from the Patient Support Fund because she could not afford orthotics for her shoes. After being treated for lung cancer, this lady developed neuropathy in her feet which made walking difficult for her. When her physician and physical therapist recommended orthotics to help with her mobility, the patient's Medicaid would not pay for them. Because she had limited income, this patient could not afford to pay $300.00 for orthotics. Through the Patient Support Fund, we were able to purchase the orthotics so that she could have more mobility and a better quality of life. Other quality of life issues for patients who are going through cancer treatment involve being able to have enough caloric intake to maintain their body weight. Recently, we were treating a gentleman who had head and neck cancer. One of the side effects of this type of treatment is temporary difficulty with swallowing. While patients are encouraged to eat to maintain their swallowing muscles, many are unable to eat food that is not in a puree or liquid form. In those circumstances, patients often rely on nutritional supplements to get the calories they need. This gentleman had Medicaid which would not pay for supplements because he was able to swallow some food. Because this gentleman was unable to pay for supplements, we were able to buy a one month supply of Ensure for him so that he could have the nutritional support he needed to get through treatment thanks to the Patient Support Fund. Basic necessities may also include deodorant. Some patients who are going through radiation treatment cannot use regular deodorant and have to rely on a specialty deodorant which is more costly or not use it at all. One patient who was being treated for breast cancer wanted to be able to use deodorant, but did not have the money to buy it. Staff from Image Recovery called to let us know of this lady's dilemma and her frustration with not being able to have the hygiene routine she had before cancer. Because of the Patient Support Fund, we were able to give this lady a basic necessity that we all take for granted and help her self esteem. While there are many things we do not even realize others cannot afford, many people have changes in their lives which are instant and which drastically alter their normal state of being. Cancer is one such change that can alter a person's life both physically and financially. Contributions to the Patient Support Fund have been very valuable to our patients who are in need. FORM 990, PART VI, SECTION A, LINE 2: BOARD MEMBERS RODGER FAUBER AND STUART FAUBER HAVE A FAMILY RELATIONSHIP. OFFICERS LEWIS ADDISION, W. MICHAEL BRYANT, AND KEY EMPLOYEE E.W. TIBBS ARE EACH BOARD MEMBERS OF CENTRAL VIRGINIA IMAGING. BOARD MEMBERS AUGUSTUS PETTICOLAS, JR, AND JULIE DOYLE, AND OFFICER LEWIS ADDISON ARE EACH BOARD MEMBERS OF THE BANK OF THE JAMES, LYNCHBURG, VA. OFFICERS W. MICHAEL BRYANT, LEWIS ADDISON, AND THOMAS JIVIDEN, KEY EMPLOYEES DAVID ADAMS, AND E.W. TIBBS, AND BOARD MEMBER CONSUELLA WOODS ARE EACH BOARD MEMBERS OF THE BEDFORD MEMORIAL HOSPITAL, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. KEY EMPLOYEES 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. KEY OFFICER DAVID ADAMS AND OFFICER W. MICHAEL BRYANT ARE BOTH OFFICERS OF THE BOARD OF PIEDMONT COMMUNITY HEALTH PLAN, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. BOARD MEMBERS LEWIS ADDISON, MICHAEL BRADFORD, RODGER FAUBER, AND MARC SCHEWEL ARE EACH BOARD MEMBERS OF PIEDMONT COMMUNITY HEALTH PLAN. KEY EMPLOYEE E.W. TIBBS IS A BOARD MEMBER OF THE SURGERY CENTER OF LYNCHBURG, LLC, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 8 A &B: MINUTES ARE TAKEN AT EACH MEETING. FORM 990, PART VI, SECTION B, LINE 11B CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, CENTRA REVIEWED THE FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12 C: 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. FORM 990, PART VI, SECTION C, LINE 18: PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19: PHOTOCOPIES OF THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. FORM 990, PART VI, LN 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 2012 TAX YEAR. THE ORGANIZATION IS DEVELOPING A FORMAL POLICY TO BECOME EFFECTIVE IN THE 2013 YEAR FORWARD. FORM 990, PART IX, LINE 11G: OTHER FEES FOR SERVICES OTHER 72,037 PURCHASED & CONTRACTED SVCS 40,205,235 PROFESSIONAL FEES 19,177,335 -------------- TOTAL 59,454,607 FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS CHANGE IN PENSION REPORTING 207,444 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 447,939 NET ASSETS RELEASED FROM RESTICTIONS TO AFFILIATED ENTITIES (123,847) MINORITY INTEREST (51,690) TOTAL TO FORM 990, PART XI, LINE 9 479,846 Centra Health Professional Services LLC 1920 Atherholt Road Lynchburg VA 24501 203639329 Physician Svc VA 41340394 13186049 Centra Healt Centra Health Emergency Physician Servic 1920 Atherholt Road Lynchburg VA 24501 205965653 Emergency Phy VA 8870328 1798294 Centra Healt Centra Health Cardiovascular Services L 1920 Atherholt Road Lynchburg VA 24501 205118331 Cardiovascula VA 6811836 0 Centra Healt Central Virginia Hospital for Restorativ 1920 Atherholt Road Lynchburg VA 24501 204712023 Healthcare VA 10698333 3279498 Centra Healt Centra Health Indemnity Company Inc 1920 Atherholt Road Lynchburg VA 24501 270927253 Captive Insur VT 4084036 15522974 Centra Healt Centra Health Foundation Inc 1920 Atherholt Road Lynchburg VA 24501 541604094 Supporting Or VA 501(c)(3) Line 11a, I NA true 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 General Business Concerns Inc 1920 Atherholt Road Lynchburg VA 24501 541299682 Real Estate-Physi VA NA C Corp 538139 2481095 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 255443 BOOK VALUE Centra Health Foundation Inc c 2886881 BOOK VALUE Centra Health Foundation Inc p 977121 BOOK VALUE Southside Community Hospital Inc b 4789567 BOOK VALUE Southside Community Hospital Inc d 13981660 BOOK VALUE Southside Community Hospital Inc q 1038000 BOOK VALUE CCRC Inc q 100000 BOOK VALUE General Business Concerns Inc k 182364 BOOK VALUE