2023-11-14T12:20:06-06:00 2022-12-31 BDO USA 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2022-01-01 540555201 SOUTHSIDE COMMUNITY HOSPITAL INC % THOMAS L ANGELO SOUT 4343152776 800 OAK STREET FARMVILLE VA 23901 THOMAS L ANGELO CEO 4342004712 2023-11-14 true THOMAS L ANGELO 999009999 Marc Berger P01871563 7038930600 2023-11-13 3 2022 2023-04-26 12:10:37Z THOMAS L ANGELO 800 OAK STREET FARMVILLE VA 23901 115725421 false X HTTP://SCH.CENTRAHEALTH.COM X 1926 VA TO PROVIDE HEALTHCARE SERVICES FOR EIGHT COUNTIES IN CENTRAL VIRGINIA 17 13 644 42 0 0 4152586 499559 106017978 114399322 167538 -5907 793263 826540 111131365 115719514 166050 7379 0 0 34769747 36271236 0 0 0 48970414 68914605 83906211 105193220 27225154 10526294 139378592 141312777 17621097 9028988 121757495 132283789 X WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE WITH A PERSONAL TOUCH. false false 82282771 7379 114929150 SOUTHSIDE COMMUNITY HOSPITAL, INC. IS A 501(C)(3) HOSPITAL COMMITTED TO OFFERING AFFORDABLE HEALTHCARE TO THE RESIDENTS OF SOUTHSIDE VIRGINIA. WE ARE DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITIES WE SERVE BY PROVIDING HIGH QUALITY HEALTHCARE. COMMUNITY BENEFIT HIGHLIGHTS * DURING FY 2022, $6,029,235 IN CHARGES AT AN ESTIMATED COST OF $1,692,499 WAS CONTRIBUTED AS TRADITIONAL CHARITY CARE TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. ELIGIBILITY FOR CHARITY CARE IS BASED ON POVERTY INCOME LEVELS SET BY THE STATE. * CHARGES OF $10,044,628 AT AN ESTIMATED COST OF $2,819,681, WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. * LOSS FROM MEDICARE BASED ON COST TO CHARGE RATIO TOTALED $0 * LOSS FROM MEDICAID BASED ON COST TO CHARGE RATIO TOTALED $0. VOLUNTEER SERVICES CENTRA SOUTHSIDE COMMUNITY HOSPITAL IS HONORED TO HAVE VOLUNTEERS FROM THROUGHOUT OUR SERVICE AREA MAKING A DIFFERENCE TO OUR PATIENTS, VISITORS, AND STAFF. SOME OF OUR VOLUNTEER SERVICES ARE: * AUXILIARY OF SOUTHSIDE COMMUNITY HOSPITAL: FUNDRAISING FOR HOSPITAL - PROVIDES SCHOLARSHIPS FOR MEDICAL/NURSING STUDENTS. * CSCH VOLUNTEERS: FRONT DESK, REGISTRATION, EMERGENCY DEPT., TRANSPORT, TELE-MED-SURG, OB, SAME DAY SURGERY, ETC. * HOSPICE VOLUNTEERS: CARE FOR END-OF-LIFE PATIENTS * CARDIO-REHAB VOLUNTEERS: ASSISTANTS IN THE GYM FOR CARDIO PATIENTS * PACE (PROGRAM FOR ALL INCLUSIVE CARE FOR THE ELDERLY) VOLUNTEERS: ASSISTS WITH ACTIVITIES FOR THE ELDERLY * LONGWOOD UNIVERSITY/HAMPDEN-SYDNEY COLLEGE/LOCAL HIGH SCHOOL STUDENT VOLUNTEERS IN 2022, FARMVILLE HOSPICE VOLUNTEERS DONATED 1,929.25. HOURS OF SERVICE TO THE HOSPICE PROGRAM. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO GROCERY SHOPPING, MEAL, AND MEDICATION DELIVERY. VOLUNTEERS DEVELOPED A NEW PROGRAM OF SENDING CARDS, PHONE CALLS AND SMALL GIFTS TO PATIENTS AND FAMILIES. HOSPICE MEMORIAL SERVICES MOVED TO ON VIRTUAL FORMAT ON FACEBOOK LIVE. DEVELOPED A NEW VIRTUAL SERVICE WHICH WAS PROVIDE EACH QUARTEROUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 3,553 MILES IN 2022. The following is a list of community benefit programs/events and number of participants: *Childbirth/Baby Care/Infant Safety, 1 Event, 4 participants *Drug Addition, 3 Events *Pulmonary Disease, 1 EVENT *Speakers Bureau (Health Topics), 10 Events, 39 participants Total community benefit realized for Southside Community Hospital in 2022 is $31,509.60. STORIES OF ASSISTANCE TO THE COMMUNITY CENTRA SOUTHSIDE COMMUNITY HOSPITAL SERVES ITS COMMUNITY AND THE SURROUNDING EIGHT COUNTIES IN MANY WAYS. OUR NURSES AND STAFF ARE ENTHUSIASTIC ABOUT PARTICIPATING IN COMMUNITY EVENTS BY CONDUCTING BLOOD PRESSURE CHECKS, PROVIDING FREE HEALTH EDUCATION MATERIALS TO THE PUBLIC, AND ASSISTING IN HEALTH SCREENINGS. WE WERE ABLE TO DO MORE THIS YEAR, SINCE COVID BANS WERE LIFTED, AND WE WERE ABLE TO BE OUT IN THE PUBLIC AGAIN. WE CONTINUALLY DONATE SCHOOL SUPPLIES TO AREA SCHOOL SUPPLY DRIVES, AND WE HAVE ACTIVE MEMBERS IN MANY CIVIC ORGANIZATIONS, SUCH AS THE LIONS CLUB, THE ROTARY CLUB, CHAMBER OF COMMERCE, VFW, HABITAT FOR HUMANITY, AND THE DOWNTOWN FARMVILLE ORGANIZATION. WE CONTINUE TO PARTNER WITH THE LIONS CLUB TO SUPPLY A FOOD PANTRY AT THE LOCAL HIGH SCHOOL. A TEAM OF EMPLOYEES AND VOLUNTEERS REGULARLY VOLUNTEER AT THE LOCAL PUBLIC SCHOOL MONTHLY FOOD MARKET, AND FACES, THE LOCAL FOOD PANTRY. OUR HOSPITAL ALSO HAS AN EMPLOYEE FOOD PANTRY THAT STAYS WELL STOCKED. WE COLLECT EGG CARTONS FOR THE LOCAL FOOD PANTRY, AND BOOKS FOR THE VIRGINIA CHILDREN'S BOOK FESTIVAL. WE HAVE A HUGE COAT DRIVE EVERY YEAR AND DISTRIBUTE THE COATS AT THE LOCAL FOOD PANTRY IN DECEMBER. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS WELL UNDERWAY. THE HOSPITAL LEADERSHIP CONTINUES TO HOST MEETINGS WITH LOCAL COMMUNITY LEADERS AND COMMUNITY REPRESENTATIVES TO BETTER UNDERSTAND THE MEDICAL NEEDS OF OUR COMMUNITY. THE HOSPITAL WANTS TO ENSURE THAT MEMBERS OF THE COMMUNITIES THAT WE SERVE CAN VOICE THEIR CURRENT MEDICAL CARE CONCERNS AND PROVIDE INSIGHT ON HOW THE HOSPITAL CAN BETTER MEET THE MEDICAL NEEDS OF THE COMMUNITY IN THE FUTURE. CENTRA SOUTHSIDE COMMUNITY HOSPITAL PARTICIPATES IN THE "HEART OF VIRGINIA FREE CLINIC", BY PROVIDING ALL LAB TESTS AND RADIOLOGY EXAMS FOR FREE. IN 2022, OVER 1000 TESTS AND EXAMS WERE PROVIDED TO THE COMMUNITY AT NO CHARGE. MANY OF OUR STAFF ALSO VOLUNTEER AT THE CLINIC. THE SCOPE/MEALS ON WHEELS PROGRAM PROVIDES BALANCED, NUTRITIOUS MEALS TO THE ELDERLY, DISABLED, OR HOMEBOUND WHO HAVE NO RELIABLE MEANS OF OBTAINING THEIR DAILY FOOD REQUIREMENTS. THE MEALS ARE PREPARED AT OUR HOSPITAL. OUR CARING VOLUNTEERS HELP TO ALLEVIATE THE SENSE OF ISOLATION AND WORRY OF CLIENTS AND OBSERVE THEIR PHYSICAL CONDITION. IN COOPERATION WITH THE COMMUNITY AND COUNTY AGENCIES, WE IDENTIFY THOSE IN NEED OF THESE SERVICES PREPARE ALL MEALS AND GET THEM READY FOR DISTRIBUTION BY VOLUNTEERS. 82282771 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 19 0 true 644 true false false false false false false false false false false false false X 17 13 true false false false true true true true true false false true true true true true true false false false VA X THOMAS L ANGELO 4343152776 800 OAK STREET FARMVILLE VA 23901 X AMY CARRIER DIRECTOR 2.0 54.0 X 0 1095007 261239 DOUGLAS DAVENPORT CHIEF FINANCIAL OFFICER 2.0 54.0 X 0 926896 142046 BIKRAM S BAL MD DIRECTOR 50.0 0.0 X 920849 0 18901 SUNIL RAJAN MD DIRECTOR As of 10/22 50.0 0.0 X 797213 0 42495 Michael Elliott Director through 3/22 2.0 50.0 X 0 423619 96195 THOMAS ANGELO VP & SCH CEO 50.0 0.0 X 331191 0 81171 CLAUDIA MEINHARD CHIEF NURSING OFFICER 50.0 0.0 X 238993 0 13174 KIRSTEN HUBER MD DIRECTOR Through 09/22 50.0 0.0 X 236891 0 12660 ROBERT JEFFERSON PHARMACIST 50.0 0.0 X 156939 0 51032 XIAOXIA ZHANG RN ACUTE CARE WEO A CNEP 4 50.0 0.0 X 157680 0 41304 GLORIA MOORE RN ACUTE CARE CNEP 4 50.0 0.0 X 163459 0 17867 HARRY ELAM PHARMACIST 50.0 0.0 X 147206 0 3952 KATHERINE KENDALL DIRECTOR NURSING SCH GMC 50.0 0.0 X 145849 0 4130 SHARON HARRUP CHAIRMAN 2.0 2.0 X X 0 0 0 KEMPER BEASLEY III VICE CHAIRMAN 2.0 2.0 X X 0 0 0 LEE PFEIFFER JR SECRETARY/TREASURER 2.0 0.0 X X 0 0 0 RHONDA B ALGEIER MD DIRECTOR 2.0 0.0 X 0 0 0 C SCOTT DAVIS LPD DIRECTOR 2.0 0.0 X 0 0 0 REV DR CALVIN GRAY DIRECTOR 2.0 0.0 X 0 0 0 HAROLD M HARRIS JR DIRECTOR 2.0 0.0 X 0 0 0 WILLIAM MCGUIRE DIRECTOR 2.0 0.0 X 0 0 0 RODNEY NEWTON DIRECTOR 2.0 0.0 X 0 0 0 CAMERON PATTERSON DIRECTOR 2.0 0.0 X 0 0 0 ODESSA PRIDE ED D DIRECTOR 2.0 0.0 X 0 0 0 TIM THARPE DIRECTOR 2.0 0.0 X 0 0 0 FRANCIS E WOOD JR DIRECTOR 2.0 0.0 X 0 0 0 GEORGE ZIPPEL DIRECTOR AS OF 06/22 2.0 2.0 X 0 0 0 3296270 2445522 786166 34 false true false CROTHALL FACILITIES MGMT 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 HOUSEKEEPING SVCS 662342 PATHOLOGY CONSULTANTS 1914 THOMSON DRIVE LYNCHBURG VA 24501 PATHOLOGY SERVICES 325920 PRICE SIMPSON HARVEY PO BOX 14837 RICHMOND VA 23221 ARCHT & ENGR SVCS 195677 STATE SERV 1201 S ALMA SCHOOL RD MESA AZ 85210 EQUIPMENT RENTAL 113943 4 915 498644 0 499559 NET PATIENT REVENUE 621400 113443798 113443798 ANCILLARY SERVICES 900099 955524 955524 114399322 0 0 0 296712 0 296712 0 296712 296712 0 5907 -5907 -5907 -5907 0 0 0 0 0 0 0 0 0 CAFETERIA 621400 368357 368357 MISCELLANEOUS REVENUE 900099 161471 161471 529828 115719514 114929150 290805 7379 7379 0 0 0 2693538 2373607 319931 0 26918269 23720996 3197273 751087 663464 87623 5908342 5024287 884055 0 251836 22435 229401 29528 3460 26068 0 0 0 0 23402649 23137325 265324 0 217969 22355 195614 2435324 1954652 480672 44781 10325 34456 0 3487966 2979639 508327 477509 428354 49155 0 74369 55363 19006 0 0 3176919 2902651 274268 636140 636140 DRUGS 13026758 13003507 23251 MEDICAL SUPPLIES 5933344 5933330 14 COLLECTIONS EXPENSES 200517 39642 160875 OVERHEAD ALLOCATION 15518996 15518996 105193220 82282771 22910449 0 18157828 8686875 0 0 0 0 14767629 13817715 0 0 0 0 0 0 3322186 3752658 17398 52027 98210718 73000544 24072126 25210174 156671 141674 0 0 0 0 0 0 78884754 89651654 139378592 141312777 5565040 5680700 0 0 110803 14515 0 0 0 0 0 0 0 0 0 0 11945254 3333773 17621097 9028988 X 121757495 132283789 0 0 121757495 132283789 139378592 141312777 10526294 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 163194 163194 50137621 33091807 17045814 209622 209622 0 43234229 37162868 6071361 4466052 2536247 1929805 25210174 DUE FROM RELATED PARTIES 84434659 RECEIVABLES FROM 3RD PARTY 4498480 OTHER ASSETS 718515 89651654 0 PAYABLE TO ESTIMATED 3RD PARTY 1245513 OTHER LT LIABILITIES 1086174 LEASE AGREEMENTS 713252 DUE TO RELATED PARTY 288834 3333773 X PART X, LINE 2: SOUTHSIDE COMMUNITY HOSPITAL, INC. IS INCLUDED IN CENTRA HEALTH, INC'S CONSOLIDATED AUDIT REPORT FOR YEAR ENDING DECEMBER 31, 2022. THE FOLLOWING FOOTNOTE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN48) IS FOUND IN THIS CONSOLIDATED REPORT. CENTRA HEALTH, INC., CCRC, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD ARE EXEMPT FROM INCOME TAX UNDER SECTION 501 (A) OF THE INTERNAL REVENUE CODE (IRC). CCRC, INC. WS ALSO EXEMPT FROM INCOME TAX UNDER SECTION 501 (A) OF THE IRC PRIOR TO ITS SALE IN 2021. 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 HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2022. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2019. true true X true X true X true false true true 1692527 1692527 0.01610 1692527 1692527 0.01610 61175 61175 0.00060 39593 39594 0.00040 11216 11216 0.00010 111984 111985 0.00110 1804511 1804512 0.01720 5 147 503 503 30 217 3139 3139 67 1926 14478 14478 34 922 10494 10494 10 639 1836 1836 7 30 1060 1060 153 3881 31510 31510 true 10044628 24894339 15666159 9228180 X true true NONE 1 1 SOUTHSIDE COMMUNITY HOSPITAL INC 800 OAK STREET FARMVILLE VA 23901 WWW.CENTRAHEALTH.COM/SCH X X X SOUTHSIDE COMMUNITY HOSPITAL 1 false false true X X X X X X X X X 21 true false false true X WWW.CENTRAHEALTH.COM/SCH X X true 21 true WWW.CENTRAHEALTH.COM/SCH false true X 200. 400. X X X X true true X X X X true X WWW.CENTRAHEALTH.COM/SCH X WWW.CENTRAHEALTH.COM/SCH X WWW.CENTRAHEALTH.COM/SCH X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5: THE COMPLETION OF BOTH THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND SUCCESSFUL EXECUTION OF THE ASSOCIATED IMPLEMENTATION PLAN ENSURES COMPLIANCE WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 WHICH IS PROMULGATED IN REGULATION BY THE INTERNAL REVENUE AS DOCUMENTED ANNUALLY IN CENTRA'S FORM 990- SCHEDULE H. IN 2022, THE 2022-2025 CENTRA SOUTHSIDE COMMUNITY HOSPITAL IMPLEMENTATION PLAN WAS PREPARED TO COMPLY WITH FEDERAL TAX LAW REQUIREMENTS SET FORTH BY THE DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE, 26 CFR PARTS 1 AND 53 AND REFLECTS THE FINAL RULES ISSUED ON DECEMBER 31, 2014. THIS IMPLEMENTATION PLAN DESCRIBES CENTRA SOUTHSIDE COMMUNITY HOSPITAL'S PLANNED RESPONSE TO THE NEEDS IDENTIFIED IN THE 2021 FARMVILLE AREA CHNA. CENTRA DEFINES ITS TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN AS A CONTINUOUS PROCESS FOR EVALUATING THE HEALTH NEEDS OF THE COMMUNITIES SERVED. IT IS USED TO SUPPORT THE SYSTEM'S MISSION WHICH IS "TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE." IN 2022, CENTRA COMPLETED A STRATEGIC PLANNING PROCESS AND BOTH THE CHNA AND IMPLEMENTATION PLAN WERE USED TO HELP INFORM THE DESIGN AND EXECUTION OF NEW SERVICES, PROGRAMS, AND PARTNERSHIPS IN RESPONSE TO IDENTIFIED UNMET COMMUNITY HEALTH NEEDS. LASTLY, THE CHNA AND IMPLEMENTATION PLAN ARE USED TO GUIDE THE ACTIONS OF CENTRA'S BOARD OF DIRECTORS' COMMUNITY BENEFIT COMMITTEE, WHICH IS RESPONSIBLE FOR ENSURING CENTRA MEETS THE REQUIREMENTS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE THUS MAINTAINING ITS NON-PROFIT STATUS. SCHEDULE H, PART V, SECTION B, LINE 7d: HARD COPIES OF THE CHNA & IMPLENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. SCHEDULE H, PART V, SECTION B, LINE 11: DURING THE THREE-MONTH PERIOD, CENTRA SOUTHSIDE COMMUNITY HOSPITAL'S VP & CEO AND CHIEF NURSING OFFICER MET WITH THEIR LEADERSHIP TEAMS TO IDENTIFY GOALS AND STRATEGIES FOR THE 2022-2025 IMPLEMENTATION PLAN. IN ADDITION, THEY ENGAGED WITH KEY COMMUNITY STAKEHOLDERS AND LEADERS SERVING THE FARMVILLE AREA TO DETERMINE COLLABORATIVE OPPORTUNITIES AND AVAILABLE RESOURCES THAT WILL SUPPORT THE GOALS AND STRATEGIES OF THE PLAN. THE PRIORITY NEEDS TO BE ADDRESSED BY CENTRA SOUTHSIDE COMMUNITY HOSPITAL IN THEIR 2022-2025 IMPLEMENTATION PLAN ARE AS FOLLOWS: PRIORITY AREAS OF NEED: * ACCESS TO HEALTHCARE SERVICES* * MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES* * COORDINATION OF RESOURCES AND COMMUNITY OUTREACH ACCESS TO HEALTHCARE AND MENTAL HEALTH/SUBSTANCE USE SERVICES CONTINUES TO BE TWO OF THE TOP PRIORITY AREAS THROUGHOUT THE ENTIRE CENTRA FOOTPRINT. AS THE LARGEST HEALTH SYSTEM IN THE REGION, CENTRA WILL CONTINUE TO LEAD EFFORTS TO IMPROVE ACCESS TO CARE WHILE WORKING TO DETERMINE WHAT "ACCESS" MEANS IN OUR COMMUNITIES (I.E., COST, AFTER-HOURS CLINICS, GEOGRAPHIC DISTANCE TO SERVICES, TYPE OF SERVICE, LANGUAGE SERVICES). ALTHOUGH THE FARMVILLE REGION IS RICH IN RESOURCES WITH A STRONG NETWORK OF NON-PROFITS, THERE IS A NEED TO FURTHER COORDINATE AND COMMUNICATE THESE RESOURCES TO THE COMMUNITY AT LARGE. IN THE 2021 FARMVILLE AREA COMMUNITY HEALTH SURVEY, 14% OF RESPONDENTS REPORTED THEY "DON'T KNOW WHAT TYPE OF SERVICES ARE AVAILABLE" IN THE COMMUNITY WHILE 26% OF STAKEHOLDER FOCUS GROUP PARTICIPANTS REPORTED THAT "COORDINATION OF SERVICES" IS NEEDED IN THE SERVICE AREA. *PRIORITY AREAS OF NEED THAT WILL BE ADDRESSED ACROSS THE ENTIRE CENTRA SERVICE REGION. PRIORITY NEEDS NOT ADDRESSED SPECIFICALLY IN THE IMPLEMENTATION PLAN: ALTHOUGH CENTRA SOUTHSIDE COMMUNITY HOSPITAL (CSCH) DID NOT INCLUDE ALL OF THE TOP 10 AREAS OF NEED FOR THE FARMVILLE REGION, MANY OF OUR PARTNERS IN THE COMMUNITY ARE ADDRESSING THEM. CSCH WILL HAVE REPRESENTATION IN THESE EFFORTS AND/OR WILL COLLABORATE WITH THESE PARTNERS TO ENSURE THERE IS ONGOING COMMUNICATION AND TRACKING OF THESE EFFORTS. OF THE TOP TEN PRIORITY NEEDS IDENTIFIED IN THE 2021 FARMVILLE AREA COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIFIC GOALS AND STRATEGIES IN THE IMPLEMENTATION PLAN WERE NOT DEVELOPED FOR THE FOLLOWING: * BROADBAND/INTERNET ACCESS: THROUGH THE AMERICAN RESCUE PLAN ACT OF 2021, VIRGINIA IS ON TRACK TO BECOME ONE OF THE FIRST STATES TO ACHIEVE UNIVERSAL BROADBAND ACCESS BY 2024. COUNTY ADMINISTRATORS WITHIN THE FARMVILLE REGION ARE ACTIVELY INVOLVED IN THESE EFFORTS. * ISSUES IMPACTING CHILDREN AND THEIR FAMILIES (CHILDCARE; CHILD ABUSE AND NEGLECT): COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE STEPS-INC. (HEAD START) AND PUBLIC-SCHOOL SYSTEMS AND DEPARTMENTS OF SOCIAL SERVICES (CHILD ABUSE AND NEGLECT). * AGING AND ELDERCARE: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE PIEDMONT SENIOR RESOURCES. * CHRONIC DISEASE: BY THE NATURE OF OUR WORK, CSCH ADDRESSES THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE WITH OUR PATIENTS. COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE VIRGINIA COOPERATIVE EXTENSION; PIEDMONT HEALTH DISTRICT; CENTRAL VIRGINIA HEALTH SYSTEMS; SOUTHERN DOMINION HEALTH SYSTEMS; AND HEART OF VIRGINIA FREE CLINIC. * EDUCATION AND LITERACY: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE PUBLIC SCHOOL SYSTEMS AND STEPS-INC. * HOUSING AND HOMELESSNESS: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE AFFORDABLE HOUSING COALITION; PRINCE EDWARD/FARMVILLE HOUSING COALITION; STEPS, INC.; AND SOUTH-CENTRAL VIRGINIA NONPROFIT NETWORK. * EMPLOYMENT/JOB ASSISTANCE: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE VIRGINIA CAREER WORKS; GOODWILL OF THE VALLEYS; AND STEPS-INC. 3 SOUTHSIDE COMM HOSP HOMECARE SERVICES 711 OAK STREET FARMVILLE VA 23901 HOME HEALTH SERVICES SOUTHSIDE HOSPICE 713 OAK STREET FARMVILLE VA 23901 HOSPICE CARE SOUTHSIDE PACE 1530 SOUTH MAIN STREET FARMVILLE VA 23901 CARE FOR THE ELDERLY PART I, LINE 6A: INFORMATION ON COMMUNITY BENEFIT IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC., SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL, INC. PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE. PART II: CENTRA SOUTHSIDE COMMUNITY HOSPITAL SERVES ITS COMMUNITY AND THE SURROUNDING EIGHT COUNTIES IN MANY WAYS. OUR NURSES AND STAFF ARE ENTHUSIASTIC ABOUT PARTICIPATING IN COMMUNITY EVENTS BY CONDUCTING BLOOD PRESSURE CHECKS, PROVIDING FREE HEALTH EDUCATION MATERIALS TO THE PUBLIC, AND ASSISTING IN HEALTH SCREENINGS. WE WERE ABLE TO DO MORE THIS YEAR, SINCE COVID BANS WERE LIFTED, AND WE WERE ABLE TO BE OUT IN THE PUBLIC AGAIN. WE CONTINUALLY DONATE SCHOOL SUPPLIES TO AREA SCHOOL SUPPLY DRIVES, AND WE HAVE ACTIVE MEMBERS IN MANY CIVIC ORGANIZATIONS, SUCH AS THE LIONS CLUB, THE ROTARY CLUB, CHAMBER OF COMMERCE, VFW, HABITAT FOR HUMANITY, AND THE DOWNTOWN FARMVILLE ORGANIZATION. WE CONTINUE TO PARTNER WITH THE LIONS CLUB TO SUPPLY A FOOD PANTRY AT THE LOCAL HIGH SCHOOL. A TEAM OF EMPLOYEES AND VOLUNTEERS REGULARLY VOLUNTEER AT THE LOCAL PUBLIC SCHOOL MONTHLY FOOD MARKET, AND FACES, THE LOCAL FOOD PANTRY. OUR HOSPITAL ALSO HAS AN EMPLOYEE FOOD PANTRY THAT STAYS WELL STOCKED. WE COLLECT EGG CARTONS FOR THE LOCAL FOOD PANTRY, AND BOOKS FOR THE VIRGINIA CHILDREN'S BOOK FESTIVAL. WE HAVE A HUGE COAT DRIVE EVERY YEAR AND DISTRIBUTE THE COATS AT THE LOCAL FOOD PANTRY IN DECEMBER. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS WELL UNDERWAY. THE HOSPITAL LEADERSHIP CONTINUES TO HOST MEETINGS WITH LOCAL COMMUNITY LEADERS AND COMMUNITY REPRESENTATIVES TO BETTER UNDERSTAND THE MEDICAL NEEDS OF OUR COMMUNITY. THE HOSPITAL WANTS TO ENSURE THAT MEMBERS OF THE COMMUNITIES THAT WE SERVE CAN VOICE THEIR CURRENT MEDICAL CARE CONCERNS AND PROVIDE INSIGHT ON HOW THE HOSPITAL CAN BETTER MEET THE MEDICAL NEEDS OF THE COMMUNITY IN THE FUTURE. 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, INC. AND ITS SUBSIDIARIES, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC. AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. PART III, SECTION A, LINES 2 & 3: SEE DESCRIPTION FOR PART III, SECTION A, LINE 4. PART III, SECTION A, LINE 4: THE ORGANIZATION BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NATURE, AMOUNT, TIMING AND UNCERTAINTY OF THESE REVENUES AND CASH FLOWS. ADJUSTMENTS TO PREVIOUS REIMBURSEMENT ESTIMATES ARE REPORTED IN NET PATIENT SERVICE REVENUES IN THE PERIODS THAT SUCH ADJUSTMENTS BECOME KNOWN. FOR THE YEARS ENDED DECEMBER 31, 2022, AND 2021, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTION PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2022 AUDIT REPORT, PAGE 13) "CENTRA DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH CENTRA'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. CENTRA DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. CENTRA DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS A GROUP RATHER THAN INDIVIDUALLY. THE FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS PROVISION FOR DOUBTFUL ACCOUNTS IN OTHER OPERATING EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE PROVISION FOR DOUBTFUL ACCOUNTS WAS NOT MATERIAL FOR THE YEARS ENDED DECEMBER 31, 2022, AND 2021." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2022 AUDIT REPORT, PAGE 13) "CONSISTENT WITH CENTRA'S MISSION, SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CENTRA HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CENTRA EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2022 AUDIT REPORT, PAGE 14-15) "PATIENTS WHO MEET CENTRA'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS SUBSTANTIALLY LESS THAN ESTABLISHED RATES IN ACCORDANCE WITH CENTRA'S FINANCIAL ASSISTANCE POLICY. SINCE CENTRA DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. WHILE CHARITY CARE IS EXCLUDED FROM NET PATIENT SERVICE REVENUE, CENTRA MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THIS INCLUDES THE AMOUNT OF CHARGES FOREGONE AND THE ESTIMATED COSTS INCURRED FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. COSTS INCURRED ARE ESTIMATED BASED ON THE RATIO OF TOTAL OPERATING EXPENSE TO GROSS CHARGES. THE ESTIMATED COST TO PROVIDE CHARITY CARE WAS APPROXIMATELY $13,762 AND $14,203 FOR 2022 AND 2021, RESPECTIVELY." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2022 AUDIT REPORT, PAGE 14-15) PART III, SECTION C, LINE 9B: SOUTHSIDE COMMUNITY HOSPITAL RECOGNIZES THAT MEDICAL EXPENSES ARE OFTEN UNEXPECTED AND CAUSE FINANCIAL HARDSHIP. ALL ACCOUNTS WITH SELF-PAY BALANCES WILL FOLLOW UNIFORM COLLECTION PROTOCOLS. THESE PROTOCOLS ARE ELECTRONICALLY ADMINISTERED THROUGH CENTRA'S HOSPITAL INFORMATION SYSTEM. WHEN AN ACCOUNT REACHES THE END OF THE SYSTEM GENERATED COLLECTION CYCLE AND MEETS SAID CRITERIA, THE ACCOUNT BALANCE WILL BE PROCESSED AS BAD DEBT AND REPORTED TO A COLLECTION AGENCY. CRITERIA FOR BAD DEBT WILL BE APPLIED CONSISTENTLY REGARDLESS OF AGE, RACE, RELIGION OR OTHER PROTECTIVE CLASS. PRIOR TO BAD DEBT PROCESSING, ACCOUNTS ARE ELECTRONICALLY SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND WRITTEN DOWN TO ZERO WHEN SCORES ARE WITHIN PRE-ESTABLISHED RANGES. SOUTHSIDE COMMUNITY HOSPITAL APPLIES UNIFORM COLLECTION PROTOCOLS TO ALL UNPAID ELIGIBLE CHARGES REGARDLESS OF RACE, SEX, AGE, DISABILITY, NATIONAL ORIGIN OR RELIGION. PATIENTS KNOWN BY CENTRA TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PROTOCOLS. IF DURING COLLECTION PROTOCOLS, OR AFTER REFERRAL TO AN OUTSIDE COLLECTION AGENCY, IT IS DISCOVERED PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY, INCLUDING ANY AND ALL EXTRAORDINARY COLLECTION EFFORT, IS IMMEDIATELY STOPPED. FINANCIAL ASSISTANCE FOR ELIGIBLE CHARGES IS AVAILABLE TO ALL CENTRA PATIENTS WHO QUALIFY BASED ON ESTABLISHED AND WIDELY PUBLISHED INCOME AND ASSET CRITERIA. PART VI, LINE 2: NEED ASSESSMENT: THE DEVELOPMENT OF THE 2022-2025 CENTRA SOUTHSIDE COMMUNITY HOSPITAL IMPLEMENTATION PLAN OCCURRED FROM JANUARY THROUGH APRIL 2022. THESE EFFORTS WERE LED BY A LEADERSHIP TEAM COMPOSED OF KEY CENTRA EXECUTIVE LEADERS, INCLUDING THE VICE PRESIDENTS (VP)/CHIEF EXECUTIVE OFFICERS (CEO) AND CHIEF NURSING OFFICERS FOR EACH OF CENTRA'S HOSPITALS, WHO WERE INSTRUMENTAL IN THE DEVELOPMENT OF THE PLAN. THE SERVICE AREA FOR THE 2022-2025 CENTRA SOUTHSIDE COMMUNITY HOSPITAL IMPLEMENTATION PLAN IS REFERRED TO AS THE FARMVILLE AREA AND INCLUDES THE TOWN OF FARMVILLE AND THE COUNTIES OF AMELIA, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, & PRINCE EDWARD. THE TARGET POPULATION IS DEFINED AS (1) MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE; (2) GEOGRAPHIC AREA SERVED BY THE HOSPITAL; AND (3) TARGETED POPULATIONS SERVED BY THE HOSPITAL (I.E., CHILDREN, WOMEN, SENIORS, CANCER PATIENTS). A SERIES OF THREE MEETINGS WERE HELD WITH THE LEADERSHIP TEAM AND INCLUDED THE FOLLOWING ACTIVITIES: - RANKED THE TOP THREE TO FIVE PRIORITY AREAS OF NEEDS FOR THE SERVICE AREA THAT WILL BE ADDRESSED BY CENTRA 1) IDENTIFIED POLICIES, PROGRAMS, AND RESOURCES ALREADY AVAILABLE TO ADDRESS THE NEEDS 2) IDENTIFIED ADDITIONAL RESOURCES AND PARTNERSHIPS NEEDED TO ADDRESS GAPS AND BARRIERS 3) DEVELOPED 3-YEAR GOALS TO ADDRESS THE PRIORITY NEEDS 4) DEVELOPED STRATEGIES TO SUPPORT THE GOALS AND CONSIDERED WHETHER THESE STRATEGIES WERE MEASURABLE, REALISTIC, AS WELL AS CONSIDERING ORGANIZATIONAL CAPACITY AND RESOURCES, AND OPPORTUNITIES FOR COMMUNITY COLLABORATION 5) DEVELOPED EVALUATIVE MEASURES FOR THE GOALS AND/OR STRATEGIES - IDENTIFIED WHICH PRIORITY NEEDS WILL NOT BE ADDRESSED BY CENTRA AND WHY THE PLAN WAS APPROVED BY THE CENTRA SOUTHSIDE COMMUNITY HOSPITAL (CSCH) BOARD OF DIRECTORS AND THE CENTRA BOARD OF DIRECTORS AND WENT INTO EFFECT ON MAY 15, 2022. BY DECEMBER 2022, CSCH HAD A 93% COMPLETION RATE ON ITS YEAR 1 ACTIVITIES. A SYSTEM-WIDE CENTRA LEADERSHIP TEAM MET MONTHLY FROM JUNE TO DECEMBER 2022 TO PROVIDE UPDATES ON PLAN ACTIVITIES AND SHARE BEST PRACTICES AND RESOURCES. THE BOARD OF DIRECTORS AND THE CENTRA COMMUNITY BENEFIT COMMITTEE WERE INFORMED ON A REGULAR BASIS (AT LEAST QUARTERLY) OF THE IMPLEMENTATION PLAN PROGRESS AS WELL. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: SOUTHSIDE COMMUNITY HOSPITAL TAKES A MULTIDISCIPLINARY APPROACH TO INFORMING OUR PATIENTS AND COMMUNITY ABOUT FINANCIAL ASSISTANCE. INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CAN BE FOUND ON CENTRA'S INTERNET PAGE PROVIDING FULL DISCLOSURE ABOUT QUALIFICATIONS AND THE APPLICATION PROCESS. INDIVIDUALS MAY OBTAIN INFORMATION AND AN APPLICATION FROM ANY REGISTRATION POINT OR CUSTOMER SERVICE UNIT, IN PERSON OR BY PHONE. SIGNS ARE POSTED IN CONSPICUOUS LOCATIONS ALERTING INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHERE TO OBTAIN ADDITIONAL INFORMATION. BROCHURES ABOUT FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN REGISTRATION AND CUSTOMER SERVICE. WHILE PATIENTS ARE HOSPITALIZED, A FINANCIAL COUNSELOR PROVIDES FINANCIAL ASSISTANCE INFORMATION, SCREENS PATIENTS FOR FEDERAL AND STATE PROGRAMS AND GIVES AN OPPORTUNITY TO ASK QUESTIONS. ADDITIONALLY, ON THE BOTTOM OF THE CURRENT STATEMENTS IS THE FOLLOWING VERBIAGE: "CAN'T PAY YOUR BILL? FINANCIAL ASSISTANCE AND FLEXIBLE PAYMENT OPTIONS ARE AVAILABLE BY CONTACTING CENTRA CUSTOMER SERVICE AT (434) 200-3777." PART VI, LINE 4: COMMUNITY INFORMATION: SOUTHSIDE COMMUNITY HOSPITAL, INC., IS LOCATED IN FARMVILLE, VIRGINIA, WHICH IS 50 MILES EAST OF LYNCHBURG AND 50 SOUTHWEST OF RICHMOND. AS A SOLE COMMUNITY HOSPITAL, IT IS CENTRALLY LOCATED TO SERVE THE RESIDENTS OF AMELIA, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, AND PRINCE EDWARD COUNTIES, WHICH MAKES UP ITS PRIMARY SERVICE AREA (PSA). THE HOSPITAL WAS ESTABLISHED TO PROVIDE HEALTHCARE TO THIS MOSTLY RURAL AREA. THE 2022 POPULATION FOR THE HOSPITAL'S PSA WAS APPROXIMATELY 108,648. THE 2022 AVERAGE PERCENT OF THE PSA POPULATION THAT WAS 65 YEARS OF AGE AND OLDER WAS 20.3%. THE MEDIAN HOUSEHOLD INCOME IN THE PSA WAS $49,430 AS COMPARED TO THE STATE MEDIAN OF $80,615. __________________________________________________________________________ SCH - 2022 FORM 990, PART VI, LINE #4: COMMUNITY INFORMATION: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES: $ 35,690 FARMVILLE $ 45,567 CHARLOTTE $ 49,019 PRINCE EDWARD $ 47,269 LUNENBURG $ 49,841 BUCKINGHAM $ 54,614 NOTTOWAY $ 57,568 CUMBERLAND $ 57,420 AMELIA $ 49,430 MEDIAN HOUSEHOLD INCOME FOR PSA PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: SOUTHSIDE COMMUNITY HOSPITAL, INC. PLAYS AN IMPORTANT ROLE IN PROMOTING HEALTH IN THE COMMUNITIES IT SERVES. THE HOSPITAL HOSTS FREE WORKSHOPS AND EDUCATIONAL SEMINARS ON DIABETES, STROKE PREVENTION, AND HEART HEALTH, TO NAME A FEW. SOUTHSIDE COMMUNITY HOSPITAL, INC. ALSO PARTICIPATES IN NUMEROUS HEALTH FAIRS ANNUALLY, PROVIDING FREE SCREENINGS TO THE PUBLIC. CENTRA SOUTHSIDE COMMUNITY HOSPITAL PARTICIPATES IN THE "HEART OF VIRGINIA FREE CLINIC," BY PROVIDING ALL LAB TESTS AND RADIOLOGY EXAMS FOR FREE. IN 2022, OVER 1000 TESTS AND EXAMS WERE PROVIDED TO THE COMMUNITY AT NO CHARGE. MANY OF OUR STAFF ALSO VOLUNTEER AT THE CLINIC. THE SCOPE/MEALS ON WHEELS PROGRAM PROVIDES BALANCED, NUTRITIOUS MEALS TO THE ELDERLY, DISABLED, OR HOMEBOUND WHO HAVE NO RELIABLE MEANS OF OBTAINING THEIR DAILY FOOD REQUIREMENTS. THE MEALS ARE PREPARED AT OUR HOSPITAL. OUR CARING VOLUNTEERS HELP ALLEVIATE THE SENSE OF ISOLATION AND WORRY OF CLIENTS AND OBSERVE THEIR PHYSICAL CONDITION. IN COOPERATION WITH THE COMMUNITY AND COUNTY AGENCIES, WE IDENTIFY THOSE IN NEED OF THESE SERVICES PREPARE ALL MEALS AND GET THEM READY FOR DISTRIBUTION BY VOLUNTEERS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: SOUTHSIDE COMMUNITY HOSPITAL, INC.'S AFFILIATION WITH CENTRA HEALTH, INC. BEGAN JANUARY 2006. IT SEEMED ONLY NATURAL THAT SOUTHSIDE COMMUNITY HOSPITAL, INC. WOULD PARTNER WITH CENTRA HEALTH, INC. SINCE THE OTHER CENTRA HOSPITALS ARE LOCATED WITHIN 50 MILES WEST OF SOUTHSIDE COMMUNITY HOSPITAL, INC. CENTRA HEALTH, INC. HAS A NATIONAL REPUTATION FOR CLINICAL EXCELLENCE AND PATIENT SATISFACTION. SOUTHSIDE COMMUNITY HOSPITAL, INC. AND CENTRA OFFICIALS BELIEVE THE COMBINED ORGANIZATIONS WILL BE STRENGTHENED THROUGH AN EXCHANGE OF BEST PRACTICES AND ECONOMIES OF SCALE. SOUTHSIDE PATIENTS HAVE BETTER ACCESS TO A BROADER RANGE OF ADVANCED CLINICAL SERVICES THAT ARE AVAILABLE AT CENTRA HEALTH, INC.'S LYNCHBURG HOSPITALS. THE AFFILIATION IS ONE IN A SERIES OF STEPS IN WHICH SOUTHSIDE COMMUNITY HOSPITAL, INC.'S LEADERS RECOGNIZED THE NEED TO PARTNER WITH AN ORGANIZATION THAT SHARED A MISSION OF EXCELLENT CARE. SOUTHSIDE HAS BEEN ABLE TO MAKE STRUCTURAL IMPROVEMENTS, REPLACE MEDICAL EQUIPMENT WITH NEWER MEDICAL TECHNOLOGY, AND UPDATE COMPUTER SYSTEMS. SOUTHSIDE COMMUNITY HOSPITAL, INC. HAS, ALSO, SUCCESSFULLY RECRUITED BOARD-CERTIFIED SURGEONS AND SPECIALISTS, NEW EMERGENCY PHYSICIANS, AND EXTENDED THEIR HOSPITALIST PROGRAM. SOUTHSIDE COMMUNITY HOSPITAL, INC. HAS BEEN THE HEALTHCARE CENTER OF SOUTHSIDE VIRGINIA SINCE OPENING ITS DOORS NOVEMBER 9, 1927. SINCE THEN, IT HAS OPERATED ON A NON-PROFIT BASIS WITH THE GOAL OF HELPING TO HEAL THE ILL AND INJURED. THE HOSPITAL SERVES THE RESIDENTS OF THE TOWN OF FARMVILLE AND AMELIA, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY, AND PRINCE EDWARD COUNTIES. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA false true false false false false false false false AMY CARRIER DIRECTOR 0 760606 0 167055 0 167346 0 230800 0 30439 0 1356246 0 0 DOUGLAS DAVENPORT CHIEF FINANCIAL OFFICER 0 540095 0 306377 0 80424 0 119360 0 22686 0 1068942 0 0 BIKRAM S BAL MD DIRECTOR 880319 0 39397 0 1133 0 9150 0 9751 0 939750 0 0 0 SUNIL RAJAN MD DIRECTOR As of 10/22 746053 0 49785 0 1375 0 9150 0 33345 0 839708 0 0 0 Michael Elliott Director through 3/22 0 131235 0 271208 0 21176 0 83824 0 12371 0 519814 0 163674 THOMAS ANGELO VP & SCH CEO 261371 0 40392 0 29428 0 40805 0 40366 0 412362 0 0 0 CLAUDIA MEINHARD CHIEF NURSING OFFICER 172339 0 12356 0 54298 0 6821 0 6353 0 252167 0 0 0 KIRSTEN HUBER MD DIRECTOR Through 09/22 235943 0 0 0 948 0 6721 0 5939 0 249551 0 0 0 ROBERT JEFFERSON PHARMACIST 142041 0 375 0 14523 0 5800 0 45232 0 207971 0 0 0 XIAOXIA ZHANG RN ACUTE CARE WEO A CNEP 4 128683 0 28989 0 8 0 4579 0 36725 0 198984 0 0 0 GLORIA MOORE RN ACUTE CARE CNEP 4 137544 0 22139 0 3776 0 4581 0 13286 0 181326 0 0 0 HARRY ELAM PHARMACIST 125326 0 375 0 21505 0 3952 0 0 0 151158 0 0 0 PART I, LINE 3: UNDER A MANAGEMENT ARRANGEMENT WITH CENTRA HEALTH, INC. (A RELATED PARTY), THE ORGANIZATION'S EXECUTIVE COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH, INC.'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S), AND COMPENSATION STUDY OR SURVEY. Part I, Line 4b: THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2022. NAME TITLE AMOUNT of DEFERRAL AMY CARRIER PRESIDENT/CEO 221,650 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER 110,210 MICHAEL ELLIOTT SVP CHIEF TRANSFORMATION OFFICER 79,589 THOMAS ANGELO VP & SCH CEO 29,376 TOTAL 440,825 THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2022. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT MICHAEL ELLIOTT SVP CHIEF TRANSFORMATION OFFICER 163,674 Form 990, Part VI, Section A, Line 2: BOARD MEMBER WILLIAM MCGUIRE AND OFFICER LEROY PFEIFFER, JR. SERVE AS OFFICERS OF THE WOODLAND, INC.'S BOARD OF DIRECTORS. THE WOODLAND, INC. IS A FULL-SERVICE RETIREMENT COMMUNITY OFFERING INDEPENDENT LIVING, ASSISTED LIVING AND SKILLED NURSING CARE FACILITIES. FORM 990, PART VI, SECTION A, LINE 6: THROUGH AN AFFILIATION AGREEMENT, SOUTHSIDE COMMUNITY HOSPITAL, INC.'S SOLE CORPORATE MEMBER IS CENTRA HEALTH, INC. FORM 990, PART VI, SECTION A, LINES 7A & 7B: CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL, INC. AND HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF SOUTHSIDE COMMUNITY HOSPITAL, INC.'S GOVERNING BODY AND APPROVE DECISIONS MADE BY SOUTHSIDE COMMUNITY HOSPITAL, INC.'S BOARD. FORM 990, PART VI, SECTION A, LINES 8A & 8B: MINUTES ARE TAKEN AT EACH MEETING. FORM 990, PART VI, SECTION B, LINE 11B: THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. SOUTHSIDE COMMUNITY HOSPITAL, INC. WILL PROVIDE ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C: ALL SOUTHSIDE COMMUNITY HOSPITAL, INC. OFFICERS, DIRECTORS, AND KEY EMPLOYEES, MUST COMPLETE A CONFLICT-OF-INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF SOUTHSIDE COMMUNITY HOSPITAL, INC.'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINES 15A & B: FORM 990, PART VI, LINES 15A & 15B WERE ANSWERED AS "NO", HOWEVER, UNDER A MANAGEMENT AGREEMENT WITH CENTRA HEALTH, INC., A RELATED PARTY, THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER'S COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S), AND COMPENSATION STUDY OR SURVEY. FORM 990, PART VI, SECTION C, LINE 18: PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY UPON REQUEST AT ITS ADMINISTRATIVE OFFICE. FORM 990, PART XII, LINE 2C: COMMITTEE RESPONSIBLE FOR AUDIT PROCESS OVERSIGHT - THE AUDIT PROCESS OF THE ORGANIZATION INCLUDING THE OVERSIGHT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR IS OVERSEEN BY THE AUDIT & COMPLIANCE COMMITTEE OF CENTRA HEALTH, INC., SOLE MEMBER AND RELATED ORGANIZATION. FORM 990 PART IX LINE 11G DESCRIPTION:CAPITATED MEDICAL CLAIMS TOTAL FEES:3559487 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:97660 FORM 990 PART IX LINE 11G DESCRIPTION:COMMUNITY AWARENESS TOTAL FEES:13235 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:8648434 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:7855092 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN RENUMERATION TOTAL FEES:1245148 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1983593 CENTRA HEALTH INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 540715569 HEALTHCARE VA 501(C)(3) 3 NA false CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 SUPPORT ORG VA 501(C)(3) 12A SEE PART VII false CCRC INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541929580 CONTINUE CARE VA 501(C)(3) 12A SEE PART VII false BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 540566100 HEALTHCARE VA 501(C)(3) 3 SEE PART VII false GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541299682 REAL ESTATE/P VA CENTRA HEALTH C Corp 0 0 0.00000 false PCHP HOLDING INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541749492 HOLDING COMPA VA CENTRA HEALTH C Corp 0 0 0.00000 false PIEDMONT COMMUNITY HEALTH PLAN INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541755768 HEALTH INSURA VA CENTRA HEALTH C Corp 0 0 0.00000 false false false true true true false false false false true false false false false false true false false false SCHEDULE R, PART II: Column (F) Direct Controlling Entity: Centra Health, Inc.