2024-11-15T18:21:33-06:00 2023-12-31 BDO USA 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2023-01-01 540715569 CENTRA HEALTH INC % TIM FRITZ CONTROLLER CENT 4342004712 1920 Atherholt Road Lynchburg VA 24501 ROBERT TONKINSON SVP CFO 4342004712 2024-11-15 true true Marc Berger P01871563 7038930600 2023 2024-10-15 13:58:12Z ROBERT TONKINSON 1920 Atherholt Road Lynchburg VA 24501 1178473811 false X www.centrahealth.com X 1962 VA We exist to improve the health and quality of life for the communities we serve. 18 15 7781 297 0 0 14106180 6592685 1063652879 1108494725 5376625 -9078255 13780399 25021898 1096916083 1131031053 2190050 4011101 0 0 552890310 576357306 0 0 0 542327140 533081569 1097407500 1113449976 -491417 17581077 1489176130 1504732242 863352884 744702026 625823246 760030216 X WE EXIST TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE. false false 889114695 4011101 1129605535 AS A REGIONAL HEALTH CARE LEADER, CENTRA IS COMMITED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THOSE WHO LIVE, WORK, AND PLAY IN THE CENTRAL VIRGINIA REGION. CENTRA HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. PLEASE SEE THE CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O. 889114695 true true false false false false false false false false true false 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 false false false false false false false false false true true true true false false true 372 0 true 7781 true true true false false false false false false false false false true false X 18 15 true false false false false false false true true false false true true true true true true true true true true VA X TIM FRITZ CONTROLLER 4342004705 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 X AMY F CARRIER CENTRA PRESIDENT/CEO 5.0 0.0 X X 1283620 0 275838 MATTHEW SACKETT DOCTOR MEDICAL 50.0 0.0 X 1222412 0 64269 MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE 50.0 0.0 X 1193656 0 65010 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER 50.0 0.0 X 1215395 0 30806 RICHARD KUK DOCTOR MEDICAL 50.0 0.0 X 1148133 0 72650 KENNETH SAUM DOCTOR MEDICAL 50.0 0.0 X 1155528 0 53829 JOSE SILVA DOCTOR MEDICAL 50.0 0.0 X 1104776 0 69607 BIKRAM BAL DOCTOR MEDICAL CSCH 50.0 0.0 X 984425 0 20230 HOLLY TRENT SVP CHIEF LEGAL OFFICER 50.0 0.0 X 742221 0 74595 RICHARD TUGMAN VP & CEO PCHP 50.0 0.0 X 701694 0 77124 CHRISTOPHER LEWIS SVP CHIEF CLINICAL OFFICER 50.0 0.0 X 630456 0 145619 CAESAR GONZALES VP CHIEF MEDICAL OFFICER 50.0 0.0 X 495394 0 115636 CLINTON BEVERLY MD DIRECTOR 50.0 0.0 X 573377 0 18710 JOAN DEAL SVP CHIEF NURSING OFFICER 50.0 0.0 X 409830 0 18475 JEFFERY WIGGINS VP CHIEF COMPLIANCE OFFICER 50.0 0.0 X 247823 0 51193 GEETA RAKHERAM MD DIRECTOR 50.0 0.0 X 160996 0 58092 ROBIN HILDWEIN SVP AND CHIEF INFO. OFFICER 50.0 0.0 X 199673 0 5458 GEORGE R ZIPPEL BOARD CHAIR 2.0 0.0 X X 0 0 0 THOMAS NYGAARD MD BOARD VICE CHAIR 2.0 0.0 X X 0 0 0 MICHAEL V BRADFORD DIRECTOR 2.0 0.0 X 0 0 0 PETER CAPRISE MD DIRECTOR 2.0 0.0 X 0 0 0 SHARON L HARRUP DIRECTOR 2.0 0.0 X 0 0 0 D TODD IRBY DIRECTOR 2.0 0.0 X 0 0 0 KEMPER BEASLEY III DIRECTOR 2.0 0.0 X 0 0 0 CYNTHIA GUNNOE DIRECTOR 2.0 0.0 X 0 0 0 GARY MIGNOGNA DIRECTOR 2.0 0.0 X 0 0 0 JOHN A FEES DIRECTOR 2.0 0.0 X 0 0 0 ALISON MORRISON-SHETLAR DIRECTOR 2.0 0.0 X 0 0 0 BERNADETTE SVRCEK DIRECTOR 2.0 0.0 X 0 0 0 GLORIA T WITT DIRECTOR 2.0 0.0 X 0 0 0 ELIZABETH COOK MD EX-OFFICIO 2.0 0.0 X 0 0 0 CAROLYN W JACQUES EX-OFFICIO 2.0 0.0 X 0 0 0 13469409 0 1217141 925 false true false RALEIGH RADIOLOGY ASSOCIATES INC 5220 GREENS DAIRY ROAD RALEIGH NC 27616 DIAG. IMAGING SVCS 6058699 IMAGES OF AMERICA INC 829 BLAIR STREET THOMASVILLE NC 27360 HEALTHCARE FURN. MAN 2924261 PHI AIR MEDICAL 2001 SE EVANGELINE THRUWAY LAFAYETTE LA 70508 AVIATION TRANS. 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AS REQUIRED BY U.S. GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE FOUNDATION'S 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. SCHEDULE D, PART X, LINE 2: CENTRA HEALTH, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD 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, CHIC, CENTRA SPECIALTY HOSPITAL, HEALTHWORKS, CVQCN, AND OUTPATIENT REHAB 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. 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. CHIC IS WHOLLY OWNED BY CENTRA HEALTH, INC. ANY LIABILITY FOR TAXES IS PASSED THROUGH TO CENTRA HEALTH, INC. A PROVISION WILL BE MADE WHEN OPERATIONS OF THIS SUBSIDIARY INDICATES A LIABILITY FOR TAXES. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2023. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2017. true true X true X true X true false true true 9662905 9662905 0.00870 79556248 90726442 0 89219153 90726442 9662905 0.00870 1652959 1652959 0.00150 12068941 4126207 7942734 0.00710 2377134 2377134 0.00210 16099034 4126207 11972827 0.01070 105318187 94852649 21635732 0.01940 19 471 5346 0 5346 0.02000 178 2368 193060 0 193060 0.80000 47 1588 19581 0 19581 0.08000 17 493 6276 0 6276 0.03000 28 1965 15858 0 15858 0.07000 289 6885 240121 0 240121 1.00000 true 44034589 12695147 190372932 211767526 -21394594 X true true THE SURGERY CENTER OUTPATIENT SURGERY SERVICES 0.5 0.01 0.49 3 1 LYNCHBURG GENERAL HOSPITAL 1901 TATE SPRINGS ROAD LYNCHBURG VA 24501 WWW.CENTRAHEALTH.COM X X X 2 VIRGINIA BAPTIST HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 WWW.CENTRAHEALTH.COM X X 3 CENTRA SPECIALTY HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 WWW.CENTRAHEALTH.COM X LONG TERM CARE LYNCHBURG GENERAL HOSPITAL 1 false false true X X X X X X X X X 21 true true false true X WWW.CENTRAHEALTH.COM X X true 21 true WWW.CENTRAHEALTH.COM false true X 200. 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false VIRGINIA BAPTIST HOSPITAL 2 false false true X X X X X X X X X 21 true true false true X WWW.CENTRAHEALTH.COM X X true 21 true WWW.CENTRAHEALTH.COM false true X 200. 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false CENTRA SPECIALTY HOSPITAL 3 false false true X X X X X X X X X 21 true true false true X WWW.CENTRAHEALTH.COM X X true 21 true WWW.CENTRAHEALTH.COM false true X 200. 400. X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X false 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 HOSPITALS 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 HOSPITALS' (CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS) PLANNED RESPONSE TO THE NEEDS IDENTIFIED IN THE 2021 LYNCHBURG 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 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. PART V, SECTION B, LINE 6a: THE ORGANIZATION'S CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL. PART V, SECTION B, LINE 7d: HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. PART V, SECTION B, LINE 11: DURING THE THREE-MONTH PERIOD, CENTRA HOSPITALS' 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 LYNCHBURG 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 HOSPITALS IN THEIR 2022- 2025 IMPLEMENTATION PLAN INCLUDE THE FOLLOWING: PRIORITY AREAS OF NEED: . ACCESS TO HEALTHCARE SERVICES* . MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES* . ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE; CHILD ABUSE/NEGLECT . CHRONIC DISEASE 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, ETC.). THE GLOBAL PANDEMIC HAS RESULTED IN INCREASED BARRIERS TO ACCESSING CHILDCARE SERVICES INCLUDING A LACK OF PROVIDERS IN THE LYNCHBURG AREA. IN THE 2021 LYNCHBURG AREA COMMUNITY HEALTH SURVEY, 29% OF RESPONDENTS RANKED CHILDCARE AS THE MOST DIFFICULT SOCIAL/SUPPORT RESOURCE TO GET AND 26% RANKED CHILD ABUSE/NEGLECT AS THE MOST IMPORTANT HEALTH FACTOR ISSUE THAT IMPACTS THE HEALTH OF OUR COMMUNITY. WHEN COMMUNITY HEALTH SURVEY RESPONDENTS WERE ASKED "WHAT ARE THE MOST IMPORTANT HEALTH CONDITIONS THAT AFFECT THE HEALTH OF OUR COMMUNITY?", MORE THAN 30% REPORTED CHRONIC DISEASES INCLUDING COVID-19; DIABETES; OVERWEIGHT/OBESITY; HIGH BLOOD PRESSURE; HEART DISEASE AND STROKE; CANCERS; AND MENTAL HEALTH PROBLEMS. *PRIORITY AREAS OF NEED THAT WILL BE ADDRESSED ACROSS THE ENTIRE CENTRA SERVICE REGION CENTRA PRIORITY NEEDS NOT ADDRESSED SPECIFICALLY IN THE IMPLEMENTATION PLAN ALTHOUGH CENTRA HOSPITALS [LYNCHBURG GENERAL HOSPITAL (LGH) AND VIRGINIA BAPTIST HOSPITAL (VBH)] DID NOT INCLUDE ALL THE TOP 10 AREAS OF NEED FOR THE LYNCHBURG REGION, MANY OF OUR PARTNERS IN THE COMMUNITY ARE ADDRESSING THEM. CENTRA WILL HAVE REPRESENTATION IN THESE EFFORTS AND 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 LYNCHBURG AREA COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIFIC GOALS AND STRATEGIES IN THE IMPLEMENTATION PLAN WERE NOT DEVELOPED FOR THE FOLLOWING: . POVERTY AND EQUITY, INCLUSION & DIVERSITY: OUR TARGET POPULATION INCLUDES A FOCUS ON LOW-INCOME POPULATIONS AND WILL BE AN OVERARCHING THEME FOR THIS PLAN. IN ADDITION, WE WILL ENSURE THAT PROGRAMS AND INITIATIVES THAT ARE DEVELOPED AS A RESULT OF THIS PLAN ARE INCLUSIVE, EQUITABLE, AND JUST TO THE DIVERSE COMMUNITIES WE SERVE. IN 2022, THE HEALTH SYSTEM WILL UTILIZE DR. RUBY PAYNE'S "BRIDGES OUT OF POVERTY" MODEL TO EDUCATE CENTRA CAREGIVERS ABOUT THE IMPACT OF POVERTY. COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE BRIDGES TO PROGRESS; UNITED WAY OF CENTRAL VIRGINIA; PARTNERSHIP FOR HEALTHY COMMUNITIES; AND GOODWILL OF THE VALLEYS. . AGING AND ELDERCARE: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE CENTRAL VIRGINIA AREA ON AGING; CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING; MEALS ON WHEELS; AND PARTNERSHIP FOR HEALTHY COMMUNITIES. . HOUSING: CENTRAL VIRGINIA CONTINUUM OF CARE; LYNCHBURG AREA HOUSING COALITION; THE LIGHTHOUSE; PARTNERSHIP FOR HEALTHY COMMUNITIES; LYNCHBURG REGIONAL HOUSING AUTHORITY. . FINANCIAL STABILITY: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE BANK OF THE JAMES; FREEDOM FIRST CREDIT UNION; UNIVERSITY OF LYNCHBURG; LENDING KIND (AFFILIATE OF HUMANKIND) . FOOD INSECURITY AND NUTRITION: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE HUNGER ACTION COALITION; LYNCHBURG TOMORROW; THE HEALTH COLLABORATIVE; AND PARTNERSHIP FOR HEALTHY COMMUNITIES. PART V, SECTION B, LINE 16A, B, C: THE ENTIRE FNANCIAL ASSISTANCE POLICY (FAP), INCLUDING FAP APPLICATION AND PLAIN LANGUAGE SUMMARY IS LOCATED AT THE FOLLOWING URL. HTTPS://WWW.CENTRAHEALTH.COM/FINANCIAL-POLICY/FINANCIAL-ASSISTANCE-DISCOUN T-PROGRAMS PART V, SECTION B, LINE 21: (POLICY RELATING TO EMERGENCY MEDICAL CARE) FACILITY: CENTRA SPECIALITY HOSPITAL CENTRA SPECIALITY HOSPITAL DOES NOT HAVE AN EMERGENCY DEPARTMENT DUE TO THE NATURE OF THE HOSPITAL'S SERVICES. 87 CENTRA ALAN B PEARSON CANCER CENTER 1701 THOMSON DRIVE LYNCHBURG VA 24501 CANCER CENTER & PALLIATIVE CARE CENTRA GRETNA MEDICAL CENTER 291 McBride Lane Gretna VA 24557 Emergency, Imaging, Internal Medicine, Cardiology, Rehab, Lab CENTRA HOSPICE-LYNCHBURG 2097 LANGHORNE ROAD LYNCHBURG VA 24501 HOSPICE CARE CENTRA HOME HEALTH - LYNCHBURG 1204 FENWICK DRIVE LYNCHBURG VA 24502 HOME HEALTH SERVICES CENTRA PACE - LYNCHBURG 407 FEDERAL STREET LYNCHBURG VA 24504 CARE FOR ELDERLY CMG PIEDMONT PSYCHIATRIC CTR - LYNCHBURG 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 MENTAL HEALTH BRIDGES TREATMENT CENTER 693 LEESVILLE ROAD LYNCHBURG VA 245022828 MENTAL HEALTH CMG - ATLAVISTA 1280 A MAIN STREET ALTAVISTA VA 24517 PRIMARY CARE CMG - BROOKNEAL 104 CAROLINA AVENUE BROOKNEAL VA 24528 PRIMARY CARE CMG - DANVILLE 414 PARK AVENUE DANVILLE VA 24541 PRIMARY CARE CENTRA LYNCHBURG MEDICAL CTR -NATIONWIDE 125 Nationwide Drive LYNCHBURG VA 24502 INTERNAL MEDICINE, REHAB & THERAPY SERVICES, PRIMARY CARE, LAB SERVICES CMG - VILLAGE 4830 RUCKER RD MONETA VA 24121 PRIMARY CARE, lab services CMG UROLOGY CENTER - LANGHORNE ROAD 2542 LANGHORNE ROAD LYNCHBURG VA 24501 SURGICAL SERVICES CMG FOREST WOMEN'S CENTER 2007 GRAVES MILL ROAD FOREST VA 24551 WOMEN & CHILDREN'S HEALTH, MATERNITY SERVICES, MIDWIFERY, GYNECOLOGIC SERVICES CARDIAC REHABILITATION - JAMERSON YMCA 801 WYNDHURST DRIVE LYNCHBURG VA 24502 REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, HEADACHE CENTER, OUTPATIENT GERIATRIC PSYCHIATRIC UNIT 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 PSYCHIATRIC INPATIENT GERIATRIC & ADULT, ACUTE PSYCHIATRIC INPATIENT MAMMOGRAPHY CENTER - TIMBERLAKE 20293 TIMBERLAKE ROAD LYNCHBURG VA 24502 MAMMOGRAPHY & BREAST IMAGING CMG SOUTHSIDE NEUROLOGY CENTER 800 Oak Street Farmville VA 23901 BRAIN & SPINE CARE CMG - Lynchburg Family Medicine 2323 Memorial Avenue Suite 10 Lynchburg VA 24501 PRIMARY CARE, MATERNITY SERVICES, LABORATORY SERVICES, PEDIATRIC SERVICES CMG - BEDFORD 1613 Oakwood Street Suite 201 Bedford VA 24523 PRIMARY CARE, REHAB & THERAPY SERVICES CMG PLASTIC SURGERY CENTER 1330 Oak Lane Suite 100 Lynchburg VA 24503 SURGICAL SERVICES, PLASTIC SURGERY CMG NEUROLOGY ctr lynchburg-TATE SPRINGS 2025 Tate Springs Road Lynchburg VA 24501 BRAIN & SPINE CARE, HEADACHE CENTER CMG SURGICAL SPECIALISTS - 1911 THOMSON 1911 Thomson Drive Lynchburg VA 24501 GENERAL SURGERY CMG SURGICAL SPECIALISTS - 1906 THOMSON 1906 Thomson Drive Lynchburg VA 24501 GENERAL SURGERY CENTRA COLLEGE OF NURSING - MAIN CAMPUS 905 Lakeside Dr Suite A Lynchburg VA 24501 COLLEGE OF NURSING ROSEMARY & GEORGE DAWSON INN 2012 Tate Springs Road Lynchburg VA 24501 PATIENT/FAMILY INN CARDIAC REHABILITATION - BEDFORD 1710 Whitfield Drive Bedford VA 24523 HEMATOLOGY & ONCOLOGY, REHAB & THERAPY SERVICES CMG NEUROLOGY CENTER - BEDFORD 1615 OAKWOOD STREET SUITE A BEDFORD VA 24523 BRAIN & SPINE CARE CMG HEALTHY SKIN CENTER 1330 OAK LANE SUITE 103 LYNCHBURG VA 24503 SKIN CLINIC CENTRA PACE - GRETNA 1220 W Gretna Road Gretna VA 24557 CARE FOR ELDERLY CMG - KEYSVILLE 312 Kings Street Keysville VA 23947 PRIMARY CARE & LABORATORY SERVICES CMG - FARMVILLE 935 South Main Street Farmville VA 23901 PRIMARY CARE & LABORATORY SERVICES CMG - BURKEVILLE 412 Namozine Street Burkeville VA 23922 PRIMARY CARE & LABORATORY SERVICES CMG - CUMBERLAND 1758 Anderson Highway Cumberland VA 23942 PRIMARY CARE CMG SOUTHSIDE GASTROINTESTINAL CENTER 800 Oak Street Farmville VA 23901 GASTROLOGY CMG Southside Orthopedic & Rehab Center 935 South Main Street Farmville VA 23901 ORTHOPEDIC CARE CMG Southside Surgery Center 800 Oak Street Farmville VA 23901 GENERAL SURGERY, AMBULATORY CARE CMG Southside Women's Center 800 Oak Street Farmville VA 23901 WOMEN & CHILDREN'S HEALTH, MATERNITY SERVICES,GYNECOLOGIC SERVICES, LABORATORY SERVICES CMG Southside Urology Center 800 Oak Street Farmville VA 23901 UROLOGY, surgical services CMG Bedford General Surgery Center 1615 Oakwood Street Suite D Bedford VA 24523 GENERAL SURGERY & ambulatory care CMG Bedford Pulmonology Center 1615 Oakwood Street Ste b Bedford VA 24523 PULMONARY SVCS Autism and Developmental Services Center 693 Leesville Road Lynchburg VA 245022828 Mental Health Centra Acute Adult Psychiatric Unit 3300 Leesville Road Lynchburg VA 245022828 Mental Health Centra Amherst Medical Center 115 Ambriar Court Amherst VA 24521 Family Practice Centra College - Branch Campus 1613 Oakwood Street Bedford VA 24523 College of Nursing Centra Danville Medical Center 414 Park Avenue Danville VA 24541 Family Practice Centra Heart & Vascular Institute - Bedf 1613 Oakwood Drive Bedford VA 24523 Wound Care CENTRA HEART & VASCULAR - DANVILLE 414 PARK AVENUE DANVILLE VA 24541 VEIN CARE CENTRA HEART & VASCULAR - FARMVILLE 900 WEST THIRD STREET FARMVILLE VA 23901 VEIN CARE, CARDIAC & PULMINARY REHAB, ELECTROPHYSIOLOGY CENTRA HEART & VASCULAR - FARMVILLE 800 OAK ST FARMVILLE VA 23901 WEIGHT LOSS & BARIATRIC SURGERY CENTRA HEART & VASCULAR - GRETNA 291 MCBRIDE LANE GRETNA VA 24557 VEIN CARE, WOUND CARE, WEIGHT LOSS & BARIATRIC SURGERY CENTRA HEART & VASCULAR - LYNCHBURG 2410 ATHERHOLT RD LYNCHBURG VA 24501 CARDIOLOGY CENTER & CARDIOVASCULAR SURGERY CENTRA HEART & VASCULAR - MONETA 1039 MAYBERRY CROSSING DR SUITE C MONETA VA 24121 CARDIOLOGY CENTER CARDIAC REHABILITATION - ATHERHOLT RD 1905 ATHERHOLT RD LYNCHBURG VA 24501 REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, BRAIN & SPINE CARE, HEADACHE CENTER CARDIAC REHABILITATION - FARMVILLE 935 S MAIN STREET FARMVILLE VA 23901 REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, OUTPATIENT REHAB CARDIAC REHABILITATION - GRETNA 291 MCBRIDE LANE GRETNA VA 24557 REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, OUTPATIENT REHAB CARDIAC REHABILITATION - NATIONWIDE DR 123 NATIONWIDE DRIVE LYNCHBURG VA 24502 REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, HEADACHE CENTER CARDIAC REHAB - VA BAPTIST HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 HEMATOLOGY & ONCOLOGY, REHAB & THERAPY SERVICES, BRAIN & SPINE CARE CARDIAC REHAB CENTER FOR PELVIC HEALTH 1905 ATHERHOLT ROAD LYNCHBURG VA 24501 HEMATOLOGY & ONCOLOGY, REHAB & THERAPY SERVICES CENTRA SLEEP DISORDERS CTR - FARMVILLE 800 OAK STREET FARMVILLE VA 23901 SLEEP SERVICES CENTRA SLEEP DISORDERS CTR - LYNCHBURG 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 SLEEP SERVICES CENTRA SOUTHSIDE HEMATOLOGY ONCOLOGY 800 OAK STREET FARMVILLE VA 23901 HEMATOLOGY & ONCOLOGY CENTRA SOUTHSIDE MEDICAL CENTER 935 S MAIN STREET FARMVILLE VA 23901 PRIMARY CARE, REHABILITATION & THERAPY SERVICES, URGENT CARE, ACUTE CARE CENTRA URGENT CARE - FOREST 16890 FOREST ROAD FOREST VA 24551 URGENT CARE & LABORATORY SERVICES CENTRAL VA CTR FOR SIMULATION & VIRTUAL 905 LAKESIDE DRIVE STE B LYNCHBURG VA 24501 SIMULATION & VIRTUAL LEARNING CMG - CARDIOPULMONARY REHABILITATION 2410 ATHERHOLT ROAD LYNCHBURG VA 24501 CARDIOPULMONARY REHABILITATION CMG - GRETNA 291 MCBRIDE LANE GRETNA VA 24557 PRIMARY CARE CMG - NEUROLOGY - PHYSICAL THERAPY 2025 TATE SPRINGS ROAD LYNCHBURG VA 24501 NEUROLOGY & PHYSICAL THERAPY CMG - SOUTHSIDE PEDIATRICS & PEDIATRIC 935 S MAIN STREET FARMVILLE VA 23901 PEDIATRIC SERVICES & ENDOCRINOLOGY CMG ADDICTION TREATMENT CENTER 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 ADDICTION & RECOVERY, CMG ADDICTION TREATMENT SERVICES CMG ENDOCRINOLOGY CENTER 125 NATIONWIDE DRIVE 2ND FLOOR LYNCHBURG VA 24502 ENDOCRINOLOGY CENTER CMG NEUROLOGY CENTER - GRETNA 291 MCBRIDE LANE GRETNA VA 24557 BRAIN & SPINE CARE CMG NEUROLOGY CTR LYNCHBURG (LINKHORNE) 2811 LINKHORNE DRIVE SUITE A LYNCHBURG VA 24503 BRAIN & SPINE CARE, headache center CMG NEUROSURGERY CENTER 2138 LANGHORNE ROAD LYNCHBURG VA 24501 NEUROSURGERY, REHAB & THERAPY SERVICES CMG PHYSICAL MEDICINE & PAIN MANAGEMENT 1330 OAK LANE STE 202 LYNCHBURG VA 24503 AMBULATORY CARE CMG PHYSICAL MEDICINE & PAIN MANAGEMENT 935 S MAIN STREET FARMVILLE VA 23901 AMBULATORY CARE CMG PIEDMONT PSYCHIATRIC CTE - FARMVILLE 935 S MAIN STREET FARMVILLE VA 23901 MENTAL HEALTH CMG SOUTHSIDE PULMONOLOGY CENTER 800 OAK STREET FARMVILLE VA 23901 PULMONOLOGY CENTER CMG WOUND CARE & HYPERBARIC MEDICINE CTR 2410 ATHERHOLT ROAD LYNCHBURG VA 24501 WOUND CARE HEALTHWORKS NATIONWIDE 125 NATIONWIDE DR LYNCHBURG VA 24502 OCCUPATIONAL MEDICINE & WELLNESS SERVICES MATERNAL FETAL MEDICINE SPECIALTY CLINIC 3300 RIVERMONT AVE LYNCHBURG VA 24503 MATERNITY PATHWAYS RESIDENTIAL TREATMENT CENTER 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 MENTAL HEALTH PEDIATRIC SPECIALTY CENTER 3300 RIVERMONT AVENUE LYNCHBURG VA 24502 PULMONOLOGY PIEDMONT COMMUNITY HEALTH PLAN 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 COMMUNITY HEALTH PLAN PRESURGERY CENTER 1330 OAK LANE SUITE 203 LYNCHBURG VA 24503 AMBULATORY CARE, SURGICAL SERVICES, GENERAL SURGERY PSYCHIATRIC INPATIENT CHILD & ADOLESCENT 3300 RIVERMONT AVENUE LYNCHBURG VA 24503 MENTAL HEALTH CENTRAL VIRGINIA IMAGING 113 NATIONWIDE DRIVE LYNCHBURG VA 24502 OUTPATIENT IMAGING CENTER PART I, LINE 6A: INFORMATION ON COMMUNITY BENEFITS IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC. PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE. PART II: COMMUNITY SUPPORT: CENTRA HEALTH, INC. RECOGNIZES THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES. WE CONTINUOUSLY WORK TO SEEK OUT WAYS IN WHICH WE CAN SUPPORT THE COMMUNITY. HELPING THOSE IN NEED IS A MAIN FOCUS OF CENTRA, NOT ONLY WITH THEIR HEALTH NEEDS BUT WITH THE FUNDAMENTAL NEEDS OF INDIVIDUALS WITHIN OUR COMMUNITY, AS WELL. WE FEEL AN ESSENTIAL PART OF BEING A GOOD NEIGHBOR WITHIN THE COMMUNITY IS TO PROMOTE HEALTH, SAFETY, AND WELL-BEING ACTIVITIES IN ORDER TO BENEFIT THOSE AROUND US. CENTRA OPENS ITS CANCER CENTER FACILITY TO VARIOUS GROUPS IN ORDER FOR THEM TO MEET, SOCIALIZE, EXERCISE, DISCUSS THEIR LIFE STRUGGLES AND TO JUST ENJOY EACH OTHER'S COMPANY. THE OFF THE NEEDLE KNITTING GROUP IS ONE OF THOSE GROUPS. WE ALSO HOST EXERCISE GROUPS SUCH AS MEDITATION GROUPS, TAI CHI CLASSES, AND YOGA CLASSES. COALITION BUILDING: CENTRA CONTINUES TO REACH OUT TO THE COMMUNITY IN ORDER TO INFORM THE PUBLIC ABOUT THE NUMEROUS HEALTH FAIRS, HEALTH SEMINARS, AND GENERAL INFORMATIONAL SESSIONS OFFERED BY CENTRA, THROUGHOUT THE YEAR. CENTRA HOLDS HEALTH CAREER CAMPS IN ORDER TO PROMOTE THE IMPORTANCE OF HEALTHCARE PROFESSIONALS TO YOUNG ADULTS SO THEY MAY, POSSIBLY, BECOME MEMBERS OF THE HEALTHCARE COMMUNITY IN THE FUTURE. THROUGH OUT THE YEAR, WE ALSO VISIT LOCAL ELEMENTARY AND MIDDLE SCHOOLS WITHIN THE COMMUNITY TO INTRODUCE YOUTH TO HEALTHCARE CAREERS. CENTRA IS A MEMBER OF THE CAMPBELL COUNTY ADVISORY BOARD WHICH ENABLES US TO REPRESENT CENTRA IN THE COMMUNITY TO HELP MEET THE NEEDS OF THOSE IN THE SCHOOL SYSTEM. OUR "COMMUNITY VOICE" PROGRAM IS AN EVIDENCED BASED CONSUMER EDUCATION PROGRAM WHOSE GOALS ARE TO RAISE AWARENESS OF THE HEALTH DISPARITY THAT EXISTS IN INFANT MORTALITY, TO PROVIDE CULTURALLY RELEVANT PERINATAL HEALTH INFORMATION, AND TO INFLUENCE BEHAVIORS BY TAKING INFORMATION DIRECTLY TO THE PEOPLE WHOM WOMEN OF CHILD BEARING AGE ARE MOST LIKELY TO TRUST AND TRAIN THEM TO BE LAY HEALTH ADVISORS. ONCE TRAINED, LAY HEALTH ADVISORS HAVE THE KNOWLEDGE AND POWER TO TEACH, MOTIVATE, AND INFLUENCE THEIR FAMILY, FRIENDS, AND NEIGHBORS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF CENTRA. WE FEEL PASSIONATE ABOUT IMPROVING ACCESS TO CARE, PUBLIC HEALTH, ETC. WE ARE EXCITED TO PARTICIPATE IN NUMEROUS EVENTS THROUGHOUT THE YEAR IN ORDER TO STAY CONNECTED TO THE COMMUNITY WE SERVE. BY STAYING CONNECTED WE ARE ABLE TO RECOGNIZE AND ADDRESS NEEDS THROUGHOUT OUR REGION. WORKFORCE DEVELOPMENT: CENTRA HEALTH, INC. BELIEVES THAT IT IS CRUCIAL TO HAVE EDUCATED, EXPERIENCED HEALTHCARE PROFESSIONALS WORKING WITHIN OUR COMMUNITIES. BY DISCUSSING HEALTHCARE WITH CHILDREN BEGINNING AT AN EARLY AGE, WE FEEL IT WILL SPARK INTEREST AND HAVE OUR YOUTH THINKING ABOUT POSSIBLY SEEKING A CAREER IN HEALTHCARE AS THEY GET OLDER. CENTRA CONDUCTS PROGRAMS WHICH SEND OUR STAFF TO AREA SCHOOLS, BEGINNING AT THE ELEMENTARY LEVEL, AND SHARING AGE-APPROPRIATE INFORMATION AND MATERIALS ABOUT HEATH CAREER CHOICES AND THE ACADEMIC PATHWAY TO THOSE CAREERS. CENTRA'S HEALTH CAREER CAMPS ALLOW CAMPERS TO PARTICIPATE IN TEAM BUILDING ACTIVITIES, LEARN ABOUT INFECTION PREVENTION, ORGAN DONATION, LISTEN TO PRESENTATIONS ON EMERGENCY MEDICINE, TOUR EMERGENCY VEHICLES, AND MANY MORE HEALTH RELATED ACTIVITIES. OUR MEDICAL CAREER CAMP ALLOW CAMPERS TO PARTICIPATE IN ACTIVITIES RELATED TO TOPICS SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THEY ARE ALSO ENGAGED IN HANDS-ON ACTIVITIES SUCH AS DISSECTING A PIG'S HEART AND LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHAT'S INVOLVED IN SUTURING, TAKING CARE OF WOUNDS, IV SIMULATIONS, ETC. WE GIVE CAMPERS A GENERAL EXPOSURE TO VARIOUS CAREERS WITHIN THE HEALTHCARE SYSTEM WHICH ALLOWS THEM TO DETERMINE IF ONE OF THESE FIELDS ARE RIGHT FOR THEM. 2023 IMPLEMENTATION PLAN UPDATES ACCESS TO HEALTHCARE: CENTRA LYNCHBURG GENERAL HOSPITAL/CENTRA VIRGINIA BAPTIST HOSPITAL (LGH/VBH) IMPLEMENTED REMOTE PATIENT MONITORING TO PROVIDE INCREASED ACCESS TO HEALTHCARE. THE HOSPITALS ARE ADDRESSING CHRONIC DISEASE THROUGH COMMUNITY OUTREACH, EDUCATION AND SCREENINGS. MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES: LGH/VBH PARTNERS WITH COMMUNITY ORGANIZATIONS TO PROVIDE A VARIETY OF MENTAL HEALTH & SUBSTANCE USE DISORDERS SERVICES THAT MEET THE NEEDS OF PATIENTS AND THE COMMUNITY. THE REGION'S FIRST EMERGENCY PSYCHIATRIC ASSESSMENT, TREATMENT AND HEALING (EMPATH) UNIT OPENED AT CENTRA LYNCHBURG GENERAL HOSPITAL. ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE; CHILD ABUSE/NEGLECT WORKING WITH THE UNIVERSITY OF LYNCHBURG, LYNCHBURG CHILD PROTECTIVE SERVICES AND LOCAL CHURCH ORGANIZATIONS, LGH/VBH ADDRESSES IMPACTING CHILDREN & THEIR FAMILIES THROUGH EDUCATION IN AN EFFORT TO REDUCE SHAKEN BABY SYNDROME, ENCOURAGE SAFE SLEEP AND SUPPORT THE TRANSITION TO HOME WITH A NEWBORN. CENTRA FUNDING ALSO SUPPORTS CHILDCARE INITIATIVES IN THE GREATER LYNCHBURG REGION. PART III, SECTION A, LINE 1: ON JANUARY 1, 2012, CENTRA 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, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT CONSISTENT WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. PART III, SECTION A, LINE 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 B, LINE 8: THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THE TOTAL AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE CENTRA HEALTH'S MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE TO ANY OF OUR PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH REIMBURSEMENTS WERE LESS THAN THE COST TO PROVIDE SERVICE. TOTAL MEDICARE SHORTFALL FOR 2023 WAS $21,394,594. PART III, SECTION C, LINE 9B: CENTRA 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. CENTRA APPLIES UNIFORM COLLECTION PROTOCOLS TO ALL UNPAID ELIGIBLE CHARGES REGARDLESS OF RACE, SEX, AGE, DISABILITY, NATIONAL ORIGIN OR RELIGION. PATIENTS KNOWN BY CENTRA TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PROTOCOLS. IF DURING COLLECTION PROTOCOLS, OR AFTER REFERRAL TO AN OUTSIDE COLLECTION AGENCY, IT IS DISCOVERED PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY, INCLUDING ANY AND ALL EXTRAORDINARY COLLECTION EFFORT, IS IMMEDIATELY STOPPED. FINANCIAL ASSISTANCE FOR ELIGIBLE CHARGES IS AVAILABLE TO ALL CENTRA PATIENTS WHO QUALIFY BASED ON ESTABLISHED AND WIDELY PUBLISHED INCOME AND ASSET CRITERIA. PART VI, LINE 2: NEEDS ASSESSMENT: THE DEVELOPMENT OF THE 2022-2025 CENTRA HOSPITALS 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 HOSPITALS IMPLEMENTATION PLAN IS REFERRED TO AS THE LYNCHBURG AREA AND INCLUDES THE CITY OF LYNCHBURG AND THE COUNTIES OF AMHERST, APPOMATTOX, CAMPBELL, AND PITTSYLVANIA. 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 WAS 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: 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, 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: CENTRA IS A COMPREHENSIVE HEALTH CARE SYSTEM COVERING A PRIMARY SERVICE AREA (PSA) OF 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 (PSA & SSA) IS 343,126, WITH AN AVERAGE ETHNIC MIX OF 21.7% BLACK AND 74.8% WHITE. THIS IS COMPARED TO VIRGINIA'S AVERAGE OF 20.0% BLACK AND 68.3% WHITE. THE AVERAGE PERCENT OF THE TOTAL SERVICE AREA POPULATION IS 65 YEARS OF AGE AND OLDER IS 23.3% COMPARED TO VIRGINIA'S AVERAGE OF 17.2%. THE AVERAGE HOUSEHOLD INCOME IN THE TOTAL SERVICE AREA IS $59,283 COMPARED TO VIRGINIA'S AVERAGE OF $87,249. THE AVERAGE CURRENT RATE OF PERSONS IN POVERTY FOR THE TOTAL SERVICE ARE IS 14.8% COMPARED TO VIRGINIA'S RATE OF 10.2% 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. Source: (U.S. Census Bureau QuickFacts: Virginia) 2023 stats PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: IN ADDITION TO HEALTH EDUCATION PROGRAMS AND RESOURCES, CENTRA USES ITS HOSPITAL-BASED DEPARTMENTS TO IMPLEMENT NEW WAYS TO IMPROVE HEALTH CARE FOR THE REGION. HERE ARE THREE EXAMPLES: (1) CENTRA STARTED THE FIRST NATIONALLY CERTIFIED PROGRAM TO HELP PEOPLE RECEIVING TREATMENT AND CANCER SURVIVORS AS THEY HEAL AND RECOVER. WITH THIS PROGRAM, CALLED STAR, CANCER PATIENTS AND SURVIVORS CAN LESSEN PAIN, WEAKNESS, FATIGUE, DEPRESSION AND MEMORY LOSS THAT CAN OCCUR WITH CANCER. (2) CENTRA ESTABLISHED ITS PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) IN THE LYNCHBURG AND FARMVILLE AREAS TO OFFER ADULTS 55 YEARS OF AGE AND OLDER MEDICAL CARE AND EDUCATION THAT ALLOWS THEM TO STAY IN THEIR OWN HOMES. WITH LONG-TERM CARE EXPERTISE GAINED THROUGH HOSPITAL-BASED CENTERS, CENTRA PROFESSIONALS FOCUS ON DISEASE PREVENTION, INTERVENTION AND WELLNESS. THE PROGRAM IS BASED ON THE KNOWLEDGE OF PROFESSIONALS WHO ADVOCATE THAT IT IS BETTER FOR SENIORS WITH CHRONIC CARE NEEDS AND THEIR FAMILIES TO BE SERVED IN THE COMMUNITY FOR AS LONG AS IT IS MEDICALLY SAFE. COMPREHENSIVE SERVICES ARE DELIVERED BY AN INTERDISCIPLINARY TEAM OF PROFESSIONALS, INCLUDING A PRIMARY CARE PHYSICIAN, REGISTERED NURSES, REHABILITATION THERAPISTS, DIETITIANS AND RECREATION/ACTIVITY STAFF. (3) CENTRA HAS LEVERAGED ITS HIGH-BANDWIDTH CONNECTIVITY ACROSS FACILITIES AND PHYSICIAN PRACTICES TO IMPROVE THE HEALTH OF THE POPULATION THROUGH THE SHARING OF MEDICAL RECORDS. WITH THIS CONNECTIVITY, CENTRA IS ALSO ABLE TO ESTABLISH A CLINICAL REPOSITORY THAT CAN BE MINED TO PERFORM TRUE POPULATION-BASED ANALYTICS. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: WHETHER BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES, ENHANCING HEALTH, OR PROVIDING NEEDED REGIONAL PROGRAMS AND SUPPORT, CENTRA SERVES AS A KEY PARTNER IN MANAGING AND PROMOTING HEALTH CARE THROUGHOUT ITS SYSTEM TO ENSURE CARE TO THE REGIONAL COMMUNITIES IT SERVES. DISEASE PREVENTION, TREATMENT AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES TO THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND PROGRAMS, CENTRA EXPANDS ITS HOSPITAL WALLS TO OFFER NATIONAL AWARD-WINNING HEALTH CARE FOR ITS PATIENTS WHILE SEEKING TO ENHANCE THE HEALTH AND WELLNESS OF RESIDENTS IN ITS SERVICE AREA. AS THE REGIONAL HEALTH CARE LEADER, CENTRA BRINGS A CONTINUOUS FLOW OF HEALTH CARE SERVICES DESIGNED TO ENSURE THAT PATIENTS RECEIVE CARE THAT MEETS THEIR IDENTIFIED NEEDS. 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, 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. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA true STEPS Inc 225 Industrial Pk Road Farmville VA 23901 541209110 501c3 229170 Farmville Area: Housing and Homelessness Bedford Area: Issues Impacting Children and their Access to Healthcare Services Housing Aging and Eldercare Food Insecurity and Nutrition Equity, Inclusion and Diversity Aging and Eldercare Poverty Bedford Area: Transportation Farmville Area: Access to Healthcare Services Farmville Area: Access to Healthcare Services Housing Housing Issues Impacting Children and their Families: Chil Farmville Area: Chronic Disease Mental Health and Substance Use Disorders & Access Poverty Issues Impacting Children and their Families: Chil Farmville Area: Housing and Homelessness Food Insecurity and Nutrition Housing Bedford Area: Issues Impacting Children and their Issues Impacting Children and their Families: Chil Mental Health and Substance Use Disorders & Access Mental Health and Substance use Disorders & Access Equity, Inclusion and Diversity Access to Healthcare Services Access to Healthcare Services Equity, Inclusion and Diversity Equity, Inclusion and Div Bedford Area Family Young Men's Christian Associat PO Box 1026 Bedford VA 24523 541140513 501c3 100000 Johnson Health Center 134 Elon Rd Madison Heights VA 24572 541287905 501c3 100000 Roads To Recovery Inc 3000 LANGHORNE RD Lynchburg VA 24501 462885411 501c3 75000 Central Virginia Alliance for Community Living In 501 12th Street Lynchburg VA 24504 510189604 501c3 60000 Lynchburg Grows 1339 Englewood St Lynchburg VA 24501 200934133 501c3 53200 Friends of the Lynchburg Public Library 2315 MEMORIAL AVE Lynchburg VA 24501 546059813 501c3 50000 Meals on Wheels Inc P O Box 1388 Lynchburg VA 24505 237399875 501c3 50000 Lynchburg Beacon of Hope 2600 Memorial Ave Lynchburg VA 24501 453797831 501c3 47500 Central Virginia Alliance for Community Living In 501 12th Street Lynchburg VA 24504 510189604 501c3 35000 Amelia Emergency Squad Inc 11600 CLEMENTOWN RD AMELIA VA 23002 237429813 501c3 33190 Cumberland County Virginia PO Box 110 Cumberland VA 23040 236003119 N/A 30000 Interfaith Outreach Association 701 Clay St Lynchburg VA 24504 541214253 509c1 30000 Miriam's House 409 Magnolia St Lynchburg VA 24503 541606543 501c3 30000 CASA of Central Virginia PO BOX 11373 Lynchburg VA 24506 541695593 501c3 25000 Farmville Area Community Emergency Services PO BOX 644 Farmville VA 23901 541401031 501c3 25000 Harvest Outreach Center Inc 2193 SUNNYMEADE RD RUSTBURG VA 24588 201927928 501c3 25000 Lynchburg Daily Bread 721 CLAY ST LYNCHBURG VA 24504 521268749 501c3 24000 Elizabeth's Early Learning Center 2320 Bedford Ave Lynchburg VA 24503 541808771 501c3 22000 Piedmont Habitat for Humanity PO Box 816 Farmville VA 23901 541599433 501c3 21100 Gleaning For The World 7539 Stage Rd Concord VA 24538 541930105 501c3 20000 Greater Lynchburg Habitat for Humanity Inc 1100 Commerce St Lynchburg VA 24504 541464802 501c3 20000 United Way of Central Virginia Inc 1010 Miller Pk Square Lynchburg VA 24501 540505923 501c3 20000 Jubilee Family Development Center Inc 1512 Florida Ave Lynchburg VA 24501 541881948 501c3 20000 Patrick Henry Family Services 1621 Enterprise Dr Lynchburg VA 24502 540660819 501c3 20000 Camp Kum-Ba-Yah Inc 4415 Boonsboro Rd Lynchburg VA 24503 541218073 501c3 19000 Amazement Square 27 9th St Lynchburg VA 24504 541713204 501c3 18000 Coalition for HIV Awareness & Prevention of Centra PO Box 161 Lynchburg VA 24504 311736924 501c3 15000 FREE Foundation for Rehabilitation Equipment and E 1900 Tate Springs Rd Lynchburg VA 24501 541934695 501c3 15000 IRON Lives Inc 722B COMMERCE ST Lynchburg VA 14504 463986194 501c3 15000 Lynchburg City Schools Education Foundation PO BOX 2497 Lynchburg VA 245052497 541385200 501c3 15000 Lynchburg Covenant Fellowship Inc 412 MADISON ST Lynchburg VA 24504 546026892 501c3 15000 One Community One Voice Lynchburg 825 Taylor St Lynchburg VA 24504 842754128 501c3 15000 The Listening Inc PO BOX 515 Lynchburg VA 24504 812429529 501c3 30000 Virginia Center for Inclusive Communities 5511 STAPLES MILL RD 202 RICHMOND VA 23228 203188273 501c3 15000 Brook Hill Retirement Center for Horses Inc 7289 Bellevue Rd Forest VA 245513541 542058686 501c3 12500 Central Virginia Community College Educational Fou 3506 Wards Rd Lynchburg VA 24502 541167908 501c3 10000 Child Health Investment Partnership 1201 Third Street SW Roanoke VA 24016 541566451 501c3 10000 Cross Road Community Wellness Ministry 191 CROSSROAD Ln EVINGTON VA 24550 824419805 501c3 10000 Danville Community College Educational Foundation 1008 South Main St Danville VA 24541 541213521 501c3 10000 DePaul Community Resources 5650 HOLLINS RD ROANOKE VA 24019 541108079 501c3 10000 Piedmont Senior Resources Area Agency on Aging In 1413 S MAIN ST Farmville VA 23901 541025127 501c3 10000 Senior Citizens of Prince Edward CountyMeals on W PO BOX 758 Farmville VA 23901 541245697 501c3 10000 The Society of Saint Andrew Inc 3383 Sweet Hollow Rd Big Island VA 24526 541285793 501c3 10000 United Way of Central Virginia Inc 1010 Miller Park Square Lynchburg VA 24501 540505923 501c3 10000 Virginia Legal Aid Society 513 Church St Lynchburg VA 24504 510226448 501c3 10000 Campbell County Educational Foundation 684 VILLAGE HIGHWAY RUSTBURG VA 24588 820988857 501c3 7500 Revival Foundation 2700 Woodley Road Washington DC 20008 881794804 501(c)(3) 1942827 FMV Supplies Contribution Horizon Opportunities Inc PO Box 6320 Lynchburg VA 24505 461511243 1500000 Appraisal Real Property Contribution 49 1 SCH I, PART I, LINE 2: IN 2023, UNDER THE LEADERSHIP OF THE CENTRA COMMUNITY BENEFIT COMMITTEE, CENTRA'S DEPARTMENT OF COMMUNITY HEALTH SERVICES GRANTED $1,479,000 TO COMMUNITY-BASED ORGANIZATIONS ACROSS CENTRA'S ENTIRE CATCHMENT AREA THAT ADDRESSED THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT TOP 10 PRIORITY AREAS OF NEED AND PROJECTS OF REGIONAL IMPORTANCE. FOR THE BEDFORD AREA, A TOTAL OF $945,700 IN GRANTS WERE AWARDED IN 2023. X X X X false true false false false false false false false AMY F CARRIER CENTRA PRESIDENT/CEO 958579 0 300000 0 25041 0 243300 0 32538 0 1559458 0 0 0 MATTHEW SACKETT DOCTOR MEDICAL 1067158 0 131000 0 24254 0 7355 0 56914 0 1286681 0 0 0 JOSE SILVA DOCTOR MEDICAL 973470 0 131000 0 306 0 9900 0 59707 0 1174383 0 0 0 KENNETH SAUM DOCTOR MEDICAL 929068 0 200000 0 26460 0 7635 0 46194 0 1209357 0 0 0 RICHARD KUK DOCTOR MEDICAL 997084 0 131000 0 20049 0 6500 0 66150 0 1220783 0 0 0 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER 647298 0 104986 0 463111 0 9900 0 20906 0 1246201 0 322960 0 CHRISTOPHER LEWIS SVP CHIEF CLINICAL OFFICER 468701 0 96233 0 65522 0 94336 0 51283 0 776075 0 47869 0 MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE 424142 0 59573 0 709941 0 9900 0 55110 0 1258666 0 82050 0 RICHARD TUGMAN VP & CEO PCHP 376011 0 116191 0 209492 0 9900 0 67224 0 778818 0 143715 0 HOLLY TRENT SVP CHIEF LEGAL OFFICER 158204 0 91436 0 492581 0 74595 0 0 0 816816 0 38472 0 CLINTON BEVERLY MD DIRECTOR 470752 0 77772 0 24853 0 9900 0 8810 0 592087 0 0 0 JOAN DEAL SVP CHIEF NURSING OFFICER 117074 0 27844 0 264912 0 3427 0 15048 0 428305 0 0 0 GEETA RAKHERAM MD DIRECTOR 128596 0 9900 0 22500 0 5636 0 52456 0 219088 0 0 0 JEFFERY WIGGINS VP CHIEF COMPLIANCE OFFICER 234977 0 0 0 12846 0 7722 0 43471 0 299016 0 0 0 ROBIN HILDWEIN SVP AND CHIEF INFO. OFFICER 198462 0 0 0 1211 0 5458 0 0 0 205131 0 0 0 CAESAR GONZALES VP CHIEF MEDICAL OFFICER 402377 0 69875 0 23142 0 55929 0 59707 0 611030 0 0 0 BIKRAM BAL DOCTOR MEDICAL CSCH 888292 0 95000 0 1133 0 9900 0 10330 0 1004655 0 0 0 SCHEDULE J, PART I, LINE 4A: THE FOLLOWING INDIVIDUALS HAD SEVERANCE DURING FY 2023. NAME TITLE AMOUNT OF SEVERANCE MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE 513,240.00 HOLLY TRENT SVP CHIEF LEGAL OFFICER 424,053.00 JOAN DEAL SVP CHIEF NURSING OFFICER 211,326.87 -------------------------------------------------------------------------- TOTAL $1,148,619.87 SCHEDULE J, PART I, LINE 4B: THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2023. NAME TITLE AMOUNT OF DEFERRAL AMY CARRIER CENTRA PRESIDENT/CEO 233,400.00 MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE 84,436.00 CHRISTOPHER LEWIS SVP CHIEF LEGAL OFFICER 84,436.00 HOLLY TRENT SVP CHIEF LEGAL OFFICER 70,191.66 JOAN DEAL SVP CHIEF NURSING OFFICER 49,500.00 CAESAR GONZALES VP CHIEF MEDICAL OFFICER 46,028.80 -------------------------------------------------------------------------- TOTAL $ 400,705.24 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 CHRISTOPHER LEWIS SVP CHIEF CLINICAL OFFICER 42,052.77 JOAN DEAL SVP CHIEF NURSING OFFICER 52,738.67 MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE 173,085.13 HOLLY TRENT SVP CHIEF LEGAL OFFICER 68,269.78 RICHARD TUGMAN VP & PCHP CEO 187,858.00 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER 458,496.16 -------------------------------------------------------------------------- TOTAL $ 1,033,256.47 A ECON DEVEL AUTH OF LYNCHBURG-2017 ABCD 541225193 2017-07-25 237637669 REFUNDING/NEW CONSTRUCTION false false false B ECON DEVEL AUTH OF LYNCHBURG-2021 541225193 2021-11-17 215430000 REFUNDING/NEW CONSTRUCTION false false false A 25832669 0 237637669 0 0 0 2106046 0 0 50000000 185531623 0 true false true true B 0 0 246263579 0 0 0 2505652 0 0 8637796 212848668 22271463 true false true true A false false true true false 0 false false true B false true true true false 0 false false true A false true true false 0 false 0 false true B false true true false 0 false 0 false true A true B true PART I, LINE A, COL (A) ECONCOMIC DEVELOPMENT OF THE CITY OF LYNCHBURG, VA 2017 A, B, C, D BONDS PART I, LINE B, COL (A) ECONCOMIC DEVELOPMENT OF THE CITY OF LYNCHBURG, VA 2021 BONDS PART I, LINE A, COL (C) CUSIP #55123TAX0, #55123TAY8 PART I, LINE B, COL (C) PART I, LINE B, COL (C) - CUSIP #55123TAZ5, #55123TBA9, #55123TBB7, #55123TBC5, #55123TBD3, #55123TBE1, #55123TBF8, #55123TBG6, #55123TBH4, #55123TBJ0, #55123TBK7, #55123TBL5, #55123TBM3, #55123TBN1, #55123TBP6, #55123TBQ4, #55123TBR2, #55123TBS0 PART I, LINE B, COL (F) THE PURPOSE OF THE ISSUE WAS NEW CONTRUCTION AND REFUND OF EDA CITY OF LYNCHBURG SERIES 2017A, 2017B, 2017C, AND 2017D PART IV, LN 2C (A) CENTRA HEALTH SERIES 2017 A, B, C, D BONDS: A REBATE CALCULATION WAS PERFORMED ON SEPTEMBER 13, 2019 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL REVENUE AND REFUNDING BONDS, SERIES 2017 A, B, C, D. THE SERIES 2017 A, B, C, D WAS REFUNDED BY THE ISSUANCE OF THE SERIES 2020 A, B BONDS PART IV, LN 2C (B) CENTRA HEALTH SERIES 2021 BONDS: A REBATE CALCULATION WAS PERFORMED ON NOVEMBER 1, 2021 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL REVENUE AND REFUNDING BONDS, SERIES 2021. THE NEXT ARBITRAGE REBATE CALCULATION WILL BE IN 2026. Form 990 Part III, Line 4A: HOWEVER, JUST AS IMPORTANT IS CENTRA'S COMMITMENT AND DEDICATION TO SERVING AS A PARTNER IN THE REGIONAL COMMUNITIES. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND EDUCATIONAL PROGRAMS, CENTRA IS COMMITTED TO PROVIDING THE BEST HEALTH CARE FOR ITS PATIENTS. CENTRA EMPLOYEES DEDICATE THEMSELVES TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY BY TAKING AN ACTIVE ROLE IN THE REGION, FROM VOLUNTEERING FOR LOCAL BOARDS AND CIVIC AND COMMUNITY ORGANIZATIONS TO PARTICIPATING IN COMMUNITY EVENTS. 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 THE COMMUNITIES WE SERVE. IN 2023, CENTRA HELD MANY NATIONAL CERTIFICATIONS, AWARDS AND ACCOLADES, SUCH AS: 5-STAR CMS RATING FOR LYNCHBURG GENERAL; 4-STAR CMS RATING FOR BEDFORD MEMORIAL AND SOUTHSIDE COMMUNITY HOSPITAL . THESE RANKINGS CAN BE FOUND ON THE CMS HOSPITAL COMPARE WEBSITE, WHICH IS PROVIDED TO THE PUBLIC TO HELP PATIENTS MAKE EDUCATED DECISIONS. DATA IS ANALYZED IN CATEGORIES SUCH AS COMMUNICATION WITH NURSES, RESPONSIVENESS OF PHYSICIANS AND STAFF, READMISSIONS AND MORTALITY RATES, TIMELY AND EFFECTIVE CARE AND PAYMENT AND VALUE OF SERVICES. MAGNET STATUS . THE AMERICAN NURSES CREDENTIALING CENTER HAS RE-DESIGNATED CENTRA LYNCHBURG GENERAL, VIRGINIA BAPTIST AND SOUTHSIDE COMMUNITY HOSPITALS AS MAGNET FACILITIES WHICH RECOGNIZE EXCELLENCE IN NURSING. CENTRA MEDICAL GROUP WAS ALSO AWARDED MAGNET STATUS. CENTRA WAS THE FIRST HEALTHCARE SYSTEM IN CENTRAL VIRGINIA TO ACHIEVE MAGNET STATUS IN 2006. PATHWAY TO EXCELLENCE . THE AMERICAN NURSES CREDENTIALING CENTER REDESIGNATED BEDFORD MEMORIAL HOSPITAL AS A PATHWAY TO EXCELLENCE FACILITY. ORGANIZATIONS MUST MEET THE SIX PATHWAY STANDARDS ESSENTIAL TO AN IDEAL NURSING PRACTICE ENVIRONMENT. BEST REGIONAL HOSPITALS - #12 IN VIRGINIA- US NEWS & WORLD REPORT . CENTRA LYNCHBURG GENERAL HOSPITAL IS RANKED #12 OUT OF 87 HOSPITALS IN VIRGINIA ACCORDING TO THE US NEW AND WORLD REPORT. THE JOINT COMMISSION THE JOINT COMMISSION DISEASE SPECIFIC CERTIFICATIONS (LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS) - THESE CERTIFICATIONS ARE A REINFORCEMENT OF THE HIGH LEVEL OF QUALITY OUR CAREGIVERS PROVIDE AND DEMONSTRATES THE ABILITY OF BOTH OUR INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLABORATE EFFECTIVELY TO IMPROVE THE HEALTH OF OUR COMMUNITIES. . ADVANCED THROMBECTOMY CAPABLE STROKE CENTER . JOINT REPLACEMENT - KNEE AND HIP . ADVANCED PALLIATIVE CARE . STROKE REHABILITATION HEART AND VASCULAR . PARTICIPATION IN VIRGINIA HEART ATTACK COALITION (VHAC) AND VIRGINIA CARDIAC STATEWIDE QUALITY INITIATIVE (VCSQI). . 2023 GET WITH THE GUIDELINES - HEART FAILURE GOLD PLUS AWARD . 2023 CHEST PAIN - MI REGISTRY PLATINUM PERFORMANCE AWARD . CHEST PAIN AND ELECTROPHYSIOLOGY ACCREDITATIONS FROM AMERICAN COLLEGE OF CARDIOLOGY . ACCREDITED FOR CARDIAC ADULT ECHO, VASCULAR, PEDIATRICS AND CARDIAC NUCLEAR IMAGING FROM INTERSOCIETAL ACCREDITATION COMMISSION . CMS CAROTID STENT CERTIFIED. CENTRA MEDICAL GROUP . CMG BROOKNEAL PROVIDES A COMMUNITY HEALTH WORKER TO SERVE THE NEEDS OF THE VULNERABLE POPULATION IN THAT COMMUNITY. THIS PROGRAM IDENTIFIES PATIENT WITH NEEDS RELATED TO HOUSING, TRANSPORTATION, FOOD INSECURITY AND OTHER POTENTIAL SOCIAL DETERMINANTS OF HEALTH AND HELPS PATIENTS FIND RESOURCES TO BETTER MEET THEIR NEEDS. . CENTRA HOME HEALTH LYNCHBURG AND CENTRA HOME HEALTH FARMVILLE BOTH ACHIEVED CMS STAR RATINGS OF 4 STARS FOR QUALITY AND 5 STARS FOR PATIENT EXPERIENCE THROUGH SEPTEMBER 2024. . HOME HEALTH LYNCHBURG AND HOME HEALTH FARMVILLE RECOGNIZED BY SHP AS "SUPERIOR PERFORMERS," REPRESENTING THE TOP 20% OF HOME CARE AGENCIES IN SHP'S NATIONAL DATABASE. . THE AMBULATORY CARE SERVICE LINE PARTICIPATED IN THE DANVILLE-PITTSYLVANIA HEART WALK ON 9/21/2024 BY ASSISTING WITH EVENT SET UP, FIELDING A TEAM, AND FUNDRAISING FOR THE AMERICAN HEART ASSOCIATION. . CENTRA HOME HEALTH LYNCHBURG AND CENTRA HOME HEALTH FARMVILLE MAINTAIN ACCREDITATION FROM THE JOINT COMMISSION ACCREDITATION AS HOME HEALTH AGENCIES. . CENTRA HOSPICE LYNCHBURG, SOUTHSIDE, AND BEDFORD EACH MAINTAIN ACCREDITATION FROM THE JOINT COMMISSION AS HOSPICE AGENCIES. . AS OF SEPTEMBER 2024, CENTRA BEDFORD, FARMVILLE, HOSPICE OF THE HILLS (LYNCHBURG), ACHIEVED CMS STAR RATINGS OF 4 STARS, 4 STARS, AND 3 STARS, RESPECTIVELY. AMERICAN SOCIETY FOR RADIATION ONCOLOGY (ASTRO) ACCREDITATION PROGRAM FOR EXCELLENCE (APEX) . ASTRO'S APEX - ACCREDITATION PROGRAM FOR EXCELLENCE WAS DEVELOPED BY RADIATION ONCOLOGY PROFESSIONALS TO RECOGNIZE FACILITIES THAT DELIVER SAFE, HIGH-QUALITY CARE TO THEIR PATIENTS. THE APEX PROGRAM UTILIZES STANDARDS OF PERFORMANCE AND EVIDENCE INDICATORS FOR RADIATION ONCOLOGY. APEX STANDARDS IDENTIFY SYSTEMATIC QUALITY AND SAFETY APPROACHES THAT BUILD ON A REGULATORY FRAMEWORK, INCLUDING THOSE FROM THE NUCLEAR REGULATORY COMMISSION. . 2022 - 2025 COC - COMMISSION ON CANCER FROM THE AMERICAN COLLEGE OF SURGEONS - ACCREDITATION THAT DEMONSTRATES TO THE COMMUNITY, PROVIDERS AND PAYERS THAT THE ORGANIZATION IS VESTED IN SYSTEMS THAT HELP CANCER PATIENTS RECEIVE HIGH-QUALITY, COORDINATED CARE. . 2022 - 2025 NAPBC - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS FROM THE AMERICAN COLLEGE OF SURGEONS. DEMONSTRATES A MULTIDISCIPLINARY TEAM APPROACH TO COORDINATED BEST CARE AND TREATMENT FOR BREAST CANCER PATIENTS. COMMUNITY HAS ACCESS TO BREAST CANCER RELATED INFORMATION, EDUCATION AND SUPPORT. CENTER HAS ONGOING MONITORING AND QUALITY INITIATIVES TO ASSIST IN IMPROVEMENT OF CARE. THE ORGANIZATION SUPPORTS ACCESS TO CLINICAL TRIALS AND NEW TREATMENT OPTIONS. . 2022 - 2025 - QOPI - QUALITY ONCOLOGY PRACTICE INITIATIVE FROM THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY - RECOGNIZES HIGH-QUALITY CARE FOR OUTPATIENT HEMATOLOGY/ONCOLOGY PRACTICES. STANDARDS SERVE AS A FRAMEWORK FOR BEST PRACTICES IN ONCOLOGY CARE. 2023 Community Benefit Highlights: 2023 COMMUNITY BENEFIT HIGHLIGHTS CENTRA CONTINUES TO CONTRIBUTE MILLIONS OF DOLLARS TOWARD UNPAID COST OF PATIENT CARE, INCLUDING, BUT NOT LIMITED TO: . TRADITIONAL CHARITY CARE INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2023, $33,472,114 CHARGES AT AN ESTIMATED COST OF $9,697,066. 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. . CHARGES OF $44,034,589 AT AN ESTIMATED COST OF $12,757,076. WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY DURING 2023. . THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THEREFORE, THE UNREIMBURSED CALCULATED COSTS OF CARE RENDERED TO MEDICARE PATIENTS TOTALED $21,394,594 IN 2023. COMMUNITY EDUCATION & HEALTH SCREENINGS TOTAL COMMUNITY BENEFIT REALIZED FOR LYNCHBURG GENERAL HOSPITAL & VIRGINIA BAPTIST HOSPITAL IN 2023 IS $158,126.29. COMMUNITY HEALTH EDUCATION: GENERAL Program Event Persons Cancer Education (All) 26 990 Childbirth/Baby Care/Infant Safety 1 5 Domestic Violence 1 8 Health Fairs (All) 5 700 Mental Health/Depression Education 2 15 Nutrition/Weight Management 1 0 Seniors Education and Outreach 5 46 Speakers Bureau (Health Topics) 6 156 -------------------------------------------------------------------------- - TOTAL 47 1,920 COMMUNITY HEALTH EDUCATION: SUPPORT GROUPS Program Event Persons Bereavement/Grief 2 14 Cancer (All) 79 422 Mental Health/Depression 1 0 ------------------------------------------------------------------------- TOTAL 82 436 IN-KIND & CASH CONTRIBUTIONS DURING 2023, CENTRA HEALTH DONATED $238,378 IN MEDICAL SUPPLIES TO THE GLEANING OF THE WORLD ORGANIZATION, $5,194 IN EXAM GLOVES TO THE FREE CLINIC OF CENTRAL VA, AND $1,942,827 IN MEDICAL SUPPLIES TO THE REVIVAL FOUNDATION OF WASHINGTON, DC. DURING 2023, APPROXIMATELY 144,451 MEALS WER PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF APPROXIMATELY $447,798.10. 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. NURSES RESPOND TO VICTIMS OF PHYSICAL ASSAULT, SEXUAL ASSAULT AND ABUSE AND NEGLECT IN BOTH THE ADULT AND PEDIATRIC POPULATION. THEY ALSO 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 2023, THE PROGRAM SAW 994 PATIENTS AND HAD AN ADDITIONAL 573 CONSULTS. LGH Gretna CAC CSCH Total Consults 428 109 5 31 573 Patients 611 157 202 24 994 VOLUNTEER SERVICES IN 2023, CENTRA LYNCHBURG HOSPICE EXPERIENCED A SIGNIFICANT OUTPOURING OF COMMUNITY SUPPORT THROUGH THE LYNCHBURG 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, LYNCHBURG HOSPICE VOLUNTEERS GENEROUSLY DONATED 5,136.90 HOURS OF THEIR TIME TO SUPPORT THE PROGRAM, EXTENDING THEIR COMMITMENT TO VARIOUS ESSENTIAL TASKS, INCLUDING MEAL AND 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 22,202.62 MILES BY DRIVING THEIR OWN CARS TO PROVIDE HOSPICE SERVICES. THE COLLECTIVE EFFORTS OF LYNCHBURG HOSPICE VOLUNTEERS IN 2023 RESULTED IN SUBSTANTIAL COST SAVINGS FOR CENTRA LYNCHBURG HOSPICE. BY VOLUNTEERING THEIR TIME AND RESOURCES, THESE INDIVIDUALS CONTRIBUTED TO A TOTAL SAVINGS OF $135,197.44 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. FORM 990, PART VI, SECTION A, LINE 2: BOARD MEMBER PETER CARPISE, MD, IS A BOARD MEMBER OF THE SURGERY CENTER OF LYNCHBURG, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. FORM 990, PART VI, SECTION A, LINES 8A & B: MINUTES ARE TAKEN AT EACH MEETING. FORM 990, PART VI, SECTION B, LINE 11B: CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, CENTRA REVIEWED FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C: ALL CENTRA OFFICERS AND DIRECTORS MUST COMPLETE A "POSSIBLE CONFLICT OF INTEREST" QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINES 15A & 15B: CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS FOUR ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FIVE 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 B, LINE 16B: JOINT VENTURE POLICY - CENTRA HEALTH, INC. ADOPTED A JOINT VENTURE POLICY, IN 2014, WHICH REQUIRES THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW AND TAKE STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS. FORM 990, PART VI, SECTION C, LINE 18: PHOTOCOPIES OF FORM 1023 AND RECENT FILINGS OF FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. ADDITIONALLY, FILINGS OF FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AT ITS ADMINISTRATIVE OFFICE UPON REQUEST. FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS CHANGE IN PENSION REPORTING (1,185,874) EQUITY CONTRIBUTIONS 72,200,000 NET PERIODIC PENSION COST (2,969,354) BOOK TAX/SWAP 438,978 CHANGE IN EQUITY METHOD (5,609,190) ------------------------------------------------ TOTAL 62,874,560 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PHYS RENUMERATION TOTAL FEES:57879020 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACT LBR TOTAL FEES:56572642 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCH SVCS TOTAL FEES:24810369 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER MED PURCH SVC TOTAL FEES:13856264 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CAP MED CLAIMS TOTAL FEES:11173366 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CHIC TOTAL FEES:4402158 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CLEANING SERVICES TOTAL FEES:1780851 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER COMMUNITY AWARENESS TOTAL FEES:478561 CENTRA HEALTH INDEMNITY COMPANY LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 270927253 CAPTIVE INSUR VT 1567684 37906067 CENTRA HEALT CENTRAL VA HOSPITAL FOR RESTORATIVE CARE 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 204712023 HEALTHCARE VA 2321753 4954357 CENTRA HEALT CENTRA MEDICAL GROUP LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 203639329 PHYSICIAN SVC VA 55825074 88426428 CENTRA HEALT CENTRAL VA QUALITY CARE NETWORK LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 474453641 INT. NETWORK VA 0 19522 CENTRA HEALT CENTRA OP REHABILITATION SERVICES LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 471052716 OP REHAB VA 1447573 1391740 CENTRA HEALT CENTRAL VIRGINIA IMAGING 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541938123 PHYSICIAN SVC VA 1740848 5308706 CENTRA HEALT HEALTHWORKS LLC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 263026223 OT PROVIDER VA 5110971 2985206 CENTRA HEALT SOUTHSIDE COMMUNITY HOSPITAL 800 OAK STREET FARMVILLE VA 23901 540555201 HEALTHCARE VA 501(C)(3) LINE 3 SEE PART VII true CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 SUPPORT ORG VA 501(C)(3) LINE 12A, I SEE PART VII true BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 540566100 HEALTHCARE VA 501(C)(3) LINE 3 SEE PART VII true GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541299682 REAL ESTATE-P VA CENTRA HEALTH C Corp 0 2185218 1.00000 true PCHP HOLDING INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541749492 HOLDING CO. VA CENTRA HEALTH C Corp 0 70970 1.00000 true PIEDMONT COMMUNITY HEALTH PLAN INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541755768 HEALTH INS VA CENTRA HEALTH C Corp 0 51307085 1.00000 true false true true false false false false false true true false false false false false true false true BEDFORD MEMORIAL HOSPITAL K 213300 BOOK VALUE BEDFORD MEMORIAL HOSPITAL Q 138291 BOOK VALUE BEDFORD MEMORIAL HOSPITAL J 3496292 BOOK VALUE CCRC INC K 395750 BOOK VALUE CENTRA HEALTH FOUNDATION INC B 312275 BOOK VALUE CENTRA HEALTH FOUNDATION INC K 301152 BOOK VALUE CENTRA HEALTH FOUNDATION INC Q 208428 BOOK VALUE SCHEDULE R, PART II: Column (F) Direct Controlling Entity: Centra Health, Inc.