2024-11-15T17:34:00-06:00 2023-12-31 BDO USA 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2023-01-01 540555201 SOUTHSIDE COMMUNITY HOSPITAL INC % THOMAS L ANGELO SOUT 4343152776 800 OAK STREET FARMVILLE VA 23901 JULIE SLEDD VP, SYS FINANCE 4342004712 2024-11-15 true true Marc Berger P01871563 7038930600 2024-10-04 2023 2024-10-15 13:58:12Z THOMAS L ANGELO 800 OAK STREET FARMVILLE VA 23901 118982283 false X HTTP://SCH.CENTRAHEALTH.COM X 1926 VA WE EXIST TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE. 15 13 705 12 0 0 499559 164233 114399322 117356117 -5907 0 826540 1461933 115719514 118982283 7379 42618 0 0 36271236 37260345 0 0 0 68914605 68359961 105193220 105662924 10526294 13319359 141312777 90579716 9028988 5130787 132283789 85448929 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 83812952 42618 118516898 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 2023, $5,171,820 IN CHARGES AT AN ESTIMATED COST OF $1,356,765 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 $9,686,434 AT AN ESTIMATED COST OF $2,541,115, 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 $2,189,716. 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 2023, CENTRA FARMVILLE HOSPICE EXPERIENCED A SIGNIFICANT OUTPOURING OF COMMUNITY SUPPORT THROUGH THE FARMVILLE HOSPICE VOLUNTEER PROGRAM. THIS REPORT HIGHLIGHTS THE INVALUABLE CONTRIBUTION MADE BY VOLUNTEERS, HIGHLIGHTING THEIR DEDICATION, COMPASSION, AND SELFLESSNESS IN SERVING PATIENTS AND FAMILIES WITHIN THE HOSPICE PROGRAM. THROUGHOUT THE YEAR, FARMVILLE HOSPICE VOLUNTEERS GENEROUSLY DONATED 2225.92 HOURS OF THEIR TIME TO SUPPORT THE PROGRAM, EXTENDING THEIR COMMITMENT TO VARIOUS ESSENTIAL TASKS, INCLUDING MEDICATION DELIVERY, PATIENT INTERACTION, AND EMOTIONAL SUPPORT THROUGH PHONE CALLS, HOME VISITS, CARD SENDING, AND CRAFTING BLANKETS AND NECK PILLOWS. THE PROGRAM ALSO HONORS HOSPICE VETERANS WITH A SPECIAL PINNING CEREMONY, AND VOLUNTEERS PROVIDE OFFICE SUPPORT TO HOSPICE STAFF. ADDITIONALLY, VOLUNTEERS COLLECTIVELY DONATED 15,784.20 MILES BY DRIVING THEIR OWN CARS TO PROVIDE HOSPICE SERVICES. THE COLLECTIVE EFFORTS OF FARMVILLE HOSPICE VOLUNTEERS IN 2023 RESULTED IN SUBSTANTIAL COST SAVINGS FOR CENTRA FARMVILLE HOSPICE. BY VOLUNTEERING THEIR TIME AND RESOURCES, THESE INDIVIDUALS CONTRIBUTED TO TOTAL SAVINGS OF $53,550.80 FOR CENTRA HOSPICE. THIS SIGNIFICANT FINANCIAL BENEFIT UNDERSCORES THE INDISPENSABLE ROLE PLAYED BY VOLUNTEERS IN SUPPLEMENTING THE HOSPITAL'S OPERATIONS AND DELIVERING ESSENTIAL SERVICES TO THE COMMUNITY. 83812952 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 705 true false false false false false false false false false false false false X 15 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 PRESIDENT/CEO 2.0 50.0 X 0 1283620 275838 BIKRAM S BAL MD DIRECTOR 2.0 50.0 X 0 984425 20230 SUNIL RAJAN MD DIRECTOR 2.0 50.0 X 0 780197 44907 THOMAS ANGELO VP & SCH CEO 50.0 0.0 X 375173 0 63915 CLAUDIA MEINHARD CHIEF NURSING OFFICER 50.0 0.0 X 222964 0 12961 ROBERT JEFFERSON PHARMACIST 50.0 0.0 X 149428 0 50777 LAURA BAKER PHARMACIST 50.0 0.0 X 153968 0 37066 LEE WILLIAMS PHARMACIST 50.0 0.0 X 140728 0 48287 GLORIA MOORE RN ACUTE CARE CNEP 4 50.0 0.0 X 159399 0 18752 TIFFANY ROSS PHARMACIST 50.0 0.0 X 153976 0 13552 SHARON HARRUP CHAIRMAN 2.0 0.0 X X 0 0 0 KEMPNER BEASLEY III VICE CHAIR 2.0 0.0 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 GEORGE ZIPPEL DIRECTOR 2.0 0.0 X 0 0 0 1355636 3048242 586285 32 false true false CROTHALL FACILITIES MGMT 13028 COLLECTIONS CENTER DR CHICAGO IL 60693 HOUSEKEEPING SVCS 580836 JACKSON COKER PO BOX 277638 ATLANTA GA 30384 HEALTH. STAFFING SVC 388660 PATHOLOGY CONSULTANTS 1914 THOMSON DR LYNCHBURG VA 24501 PATHOLOGY SERVICES 302688 KAHLER SLATER INC 111W WISCONSIN AVE MILWAUKEE WI 53203 INTERIOR DESIGN SVCS 271417 SOLIANT PO BOX 934411 ATLANTA GA 31193 HEALTH STAFFING SVC 157137 9 114233 50000 164233 NET PATIENT REVENUE 621400 115294846 115294846 ANCILLARY SERVICES 900099 2061271 2061271 117356117 0 0 0 301152 301152 0 301152 301152 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS REVENUE 900099 775596 775596 CAFETERIA 621400 385185 385185 1160781 118982283 118516898 0 301152 X 42618 42618 0 0 0 2605967 1930587 675380 0 28573087 25740517 2832570 792347 707277 85070 3012445 2665507 346938 2276499 2014319 262180 238045 53634 184411 16828 12500 4328 0 0 0 0 22791378 22333243 458135 0 206633 2732 203901 2459959 1990728 469231 20609 8047 12562 0 4581935 3128199 1453736 505761 468700 37061 0 21048 16645 4403 0 0 2669957 2578283 91674 624061 0 624061 OVERHEAD 13953201 0 13953201 DRUGS 12855006 12833210 21796 MEDICAL SUPPLIES 7238343 7210808 27535 COLLECTIONS EXPENSES 177197 75398 101799 105662924 83812952 21849972 0 8686875 1128905 0 0 0 0 13817715 18214182 0 0 0 0 0 0 3752658 3645279 52027 0 88708265 61641579 25210174 27066686 141674 157573 0 0 0 0 0 0 89651654 40367091 141312777 90579716 5680700 3487654 0 0 14515 10545 0 176388 0 0 0 0 0 0 0 0 3333773 1456200 9028988 5130787 X 132283789 85448929 0 0 132283789 85448929 141312777 90579716 X 13319359 -154219 -60000000 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 163194 163194 51174393 34164281 17010112 2790400 2764016 26384 32972574 24713282 8259292 1607704 1607704 27066686 DUE FROM RELATED PARTIES 35177757 RECEIVABLES FROM 3RD PARTY 3699781 OTHER ASSETS 1489553 40367091 0 OTHER LT LIABILITIES 954000 LEASE AGREEMENTS 367127 OTHER CURRENT PAYABLES 135073 1456200 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., Foundation, Southside, and Bedford are exempt from income tax under Section 501(a) of the Internal Revenue Code (IRC). Accordingly, no income taxes have been provided for these entities in the accompanying consolidated financial statements except for taxes related to certain unrelated business income engaged in by Centra. Centra Medical Group, LLC, CHIC, Centra Specialty Hospital, CVQCN, Outpatient Rehab, and CVI 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 subsidiaries, GBC, PCHP Holding, Inc., Healthworks and PCHP. Under the asset-and-liability method for these standards, deferred tax assets and liabilities are recognized for the temporary differences between the financial statement carrying amounts and the tax basis of the 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 has determined that it does not have any material unrecognized tax benefits or obligations as of December 31, 2023. Centra believes they are no longer subject to income tax examinations for years prior to December 31, 2020. true true X true X true X true false true true 1356762 0 1356762 0.01280 10376414 14583743 0 11733176 14583743 1356762 0.01280 66993 66993 0.00060 95448 95448 0.00090 59199 59199 0.00060 221640 221640 0.00210 11954816 14583743 1578402 0.01490 1 25 156 0 156 0.01000 12 1482 0 1482 0.05000 57 1623 21582 0 21582 0.76000 18 53 2240 0 2240 0.08000 11 220 1087 0 1087 0.04000 15 35 1753 0 1753 0.06000 114 1956 28300 0 28300 1.00000 true 9686434 2541115 22077672 24267388 -2189716 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. FOR INFORMATION ABOUT THE 2021 CHNA PROCESS AND THE 2022-2025 IMPLEMENTATION PLAN AND FOR A COPY OF THE REPORT PLEASE VISIT HTTPS://WWW.CENTRAHEALTH.COM/COMMUNITY-RESOURCES/COMMUNITY-HEALTH#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 CHNAAND 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 OFTHETOP 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 COMMUNITYWHILE26% 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: . BROAD-BAND/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. 2023 IMPLEMENTATION PLAN UPDATES ACCESS TO HEALTHCARE CENTRA SOUTHSIDE COMMUNITY HOSPITAL (CSCH) CONDUCTED TELEHEALTH URGENT CARE VISITS IN AN EFFORT TO PROVIDE INCREASED ACCESS TO HEALTHCARE. IN ADDITION, THE BUCKINGHAM PRIMARY CARE PRACTICE OPENED IN 2023. MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES A MENTAL HEALTH PROFESSIONAL WAS HIRED FOR THE CSCH EMERGENCY DEPARTMENT TO WORK WITH THE COMMUNITY SERVICES BOARD TO MEET THE NEEDS OF PATIENTS WITH MENTAL HEALTH & SUBSTANCE USE DISORDERS. MENTAL HEALTH FIRST AID CLASSES FOR THE COMMUNITY WERE HOSTED ON THE CSCH CAMPUS. COORDINATION OF RESOURCES AND COMMUNITY OUTREACH CSCH ADDRESSES THE COORDINATION OF RESOURCES & COMMUNITY OUTREACH BY OSTING QUARTERLY MEETINGS WITH COMMUNITY PARTNERS TO COMMUNICATE AND SHARE RESOURCES THAT IMPACT THE PRIORITY AREAS OF NEED. CSCH ALSO HOSTED HEALTH EDUCATION LECTURES BY MEDICAL PROFESSIONALS IN PARTNERSHIP WITH THE FARMVILLE CHAMBER OF COMMERCE. 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 (AMELIA, APPOMATTOX, BUCKINGHAM, CHARLOTTE COUNTY, CUMBERLAND, LUNENBURG, NOTTOWAY, AND PRINCE EDWARD) IN MANY WAYS, OUR NURSES AND STAFF ARE ENTHUSIASTIC ABOUT PARTICIPATING IN COMMUNITY EVENTS BY DOING BLOOD PRESSURE CHECKS, PROVIDING FREE HEALTH EDUCATION MATERIALS TO THE PUBLIC, ASSISTING WITH FESTIVALS AND FAIRS, AND CONDUCTING HEALTH SCREENINGS. 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, FARMVILLE MINISTERIAL ASSOCIATION, MANY CHAMBERS OF COMMERCE, VFW, JAYCEES, 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. WE ALSO DELIVER SNACKS TO THE PRINCE EDWARD COUNTY FACES BACKPACK PROGRAM ONCE A MONTH. SEVERAL STAFF ARE SUBSTITUTE DRIVERS FOR MEALS ON WHEELS. 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 CLEANED COATS AT THE LOCAL FOOD PANTRY IN DECEMBER. SEVERAL STAFF ARE VERY ENGAGED AND ACTIVE IN THE PRINCE EDWARD CHRISTMAS MOTHER, AS WELL AS THE FARMVILLE PRIDE ORGANIZATION. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS WELL UNDERWAY. THE HOSPITAL LEADERSHIP CONTINUES TO HOST MEETINGS WITH LOCAL COMMUNITY LEADERS AND COMMUNITY REPRESENTATIVES TO BETTER UNQERSTAND 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, 2023, AND 2022, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTION PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 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, 2023, AND 2022." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 13-14) "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 2023 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 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 $12,257 AND $13,762 FOR 2023 AND 2022, RESPECTIVELY." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 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 0THER 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 ASISISTANCE 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 BOARD OF DIRECTORS AND WENT INTO EFFECT ON MAY 15, 2022, A SYSTEM-WIDE CENTRA LEADERSHIP TEAM MET MONTHLY FROM JANUARY TO DECEMBER 2023 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 2023 POPULATION FOR THE HOSPITAL'S PSA WAS APPROXIMATELY 110,912. THE 2023 AVERAGE PERCENT OF THE PSA POPULATION THAT WAS 65 YEARS OF AGE AND OLDER WAS 22.2%. THE MEDIAN HOUSEHOLD INCOME IN THE PSA WAS $45,468 AS COMPARED TO THE STATE MEDIAN OF $87,249. BAC. DEG HS DEG MEDIAN PERSON PERSON 65 PSA EDUC. EDUC. HOUSEHOLD IN POVERTY & over POPULATION INC. -------------------------------------------------------------------------- Amelia County 17.7% 86.4% 63,438 11.3% 21.5% 13,480 Buckingham County 10.9% 74.2% 39,591 26.9% 24.7% 19,087 Charlotte County 16.6% 84.5% 51,548 18.2% 22.9% 11,336 Cumberland County 18.5% 86.1% 56,497 15.1% 23.6% 9,878 Fannville (town) 30.1% 87.0% 39,233 18.9% 16.0% 7,478 Lunenburg County 11.1% 78.7% 54,438 21.9% 24.0% 12,038 Nottoway County 16.1% 83.8% 62,366 21.2% 18.7% 15,566 Prince Edward County 26.9% 88.4% 57,304 20.3% 17.2% 22,049 -------------------------------------------------------------------------- MEDIAN 17.2% 85.3% 55,468 19.6% 22.2% 110,912 MEDIAN 17.2% 85.3% 55,468 19.6% 22.2% 110,912 PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: CENTRA SOUTHSIDE COMMUNITY HOSPITAL PARTICIPATES IN THE "HEART OF VIRGINIA FREE CLINIC," BY PROVIDING ALL LAB TESTS AND RADIOLOGY EXAMS FOR FREE. WE ALSO HELD SEVERAL FREE MAMMOGRAM DAYS. 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. EACH YEAR, CSCH HAS A WEEK-LONG MEDICAL CAREER CAMP FOR MIDDLE SCHOOLERS. THIS PROVIDES AN OPPORTUNITY TO HOST A DOZEN KIDS AND EXPOSE THEM TO HANDS-ON CLINICAL ACTIVITIES. THIS YEAR, WE EXPANDED IT TO HIGH SCHOOL STUDENTS AS WELL. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: 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 PRESIDENT/CEO 0 958579 0 300000 0 25041 0 243300 0 32538 0 1559458 0 0 BIKRAM S BAL MD DIRECTOR 0 888292 0 95000 0 1133 0 9900 0 10330 0 1004655 0 0 THOMAS ANGELO VP & SCH CEO 298681 0 45537 0 30955 0 9706 0 54209 0 439088 0 0 0 CLAUDIA MEINHARD CHIEF NURSING OFFICER 208797 0 13364 0 803 0 6310 0 6651 0 235925 0 0 0 ROBERT JEFFERSON PHARMACIST 144782 0 195 0 4451 0 4666 0 46111 0 200205 0 0 0 GLORIA MOORE RN ACUTE CARE CNEP 4 144510 0 11116 0 3773 0 4689 0 14063 0 178151 0 0 0 LAURA BAKER PHARMACIST 153877 0 0 0 91 0 4483 0 32583 0 191034 0 0 0 TIFFANY ROSS PHARMACIST 153886 0 0 0 90 0 4679 0 8873 0 167528 0 0 0 SUNIL RAJAN MD DIRECTOR 0 715112 0 62976 0 2109 0 9900 0 35007 0 825104 0 LEE WILLIAMS PHARMACIST 140296 0 195 0 237 0 4515 0 43772 0 189015 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 RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2023. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT of PAYOUT THOMAS ANGELO VP & SCH CEO 30,257 Form 990, Part VI, Section A, Line 2: BOARD MEMBER WILLIAM MCGUIRE AND OFFICER LEROY PFEIFFER, JR. SERVE AS OFFICERS OF 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, 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 FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, FILINGS OF FORM 990 ARE AVAILABLE ONLINE ATWWW.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 XI, LINE 9: CONTRIBUTED CAPITAL TO CENTRA HEALTH .........$(60,000,000) 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:MEDICAL PURCHASED SERVICE TOTAL FEES:8722883 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:6440093 FORM 990 PART IX LINE 11G DESCRIPTION:CAPITATED MEDICAL CLAIMS TOTAL FEES:3728134 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:2114257 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN RENUMERATION TOTAL FEES:1694109 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:81089 FORM 990 PART IX LINE 11G DESCRIPTION:COMMUNITY AWARENESS TOTAL FEES:10813 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 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.