2025-11-05T17:35:28+00:00 2024-12-31 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-01-01 540555201 SOUTHSIDE COMMUNITY HOSPITAL INC SOUT 4343152776 800 OAK STREET FARMVILLE VA 23901 ROBERT TONKINSON SVP CFO 4343152776 2025-11-05 true SANDRA L FEINSMITH P01064157 9197549370 2025-11-04 2024 2025-03-06 01:10:19Z ROBERT TONKINSON 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 116159427 false X HTTP://SCH.CENTRAHEALTH.COM X 1926 VA WE EXIST TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE. X 15 11 601 12 0 164233 29004 117356117 115577170 0 -9002 1461933 553253 118982283 116150425 42618 0 0 0 37260345 41765942 0 0 0 68359961 67914924 105662924 109680866 13319359 6469559 90579716 62059061 5130787 10140573 85448929 51918488 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 85238679 0 116130423 Southside Community Hospital is committed to providing access to quality health care to the residents of Farmville and the surrounding areas. During 2024 Hospital's employees, medical staff and volunteers provided the region with over 2,500 inpatient admissions and over 9,600 days of care. The hospital has performed more than 1,500 surgeries and had over 29,300 emergency room visits. Southside Community Hospital is actively engaged in the community through business, civic and service organizations, and through its financial support of other not-for-profit organizations. Please see schedule H and visit our website for additional information about our services, recognitions and awards: WWW.Centrahealth.com /locations/centra-southside-community-hospital 85238679 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 true false false false false true X 26 0 true 601 true false false false false false false false false false false false false X 15 11 true false false false true true true true true false false false true true true true true true false false false false VA X TIM FRITZ CORPORATE CONTROLLER 4342002578 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 RICHARD TUGMAN PRESIDENT/CEO (as of 4/18/2024) 2.0 54.0 X X 0 782536 54586 AMY CARRIER PRESIDENT/CEO (thru 4/18/2024) 2.0 54.0 X 0 2851509 27147 BIKRAM S BAL MD DIRECTOR MEDICAL 2.0 50.0 X 0 966788 31015 C SCOTT DAVIS LPD DIRECTOR 2.0 0 X 0 0 0 CAMERON PATTERSON DIRECTOR 2.0 0 X 0 0 0 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER (thru 8/14/2024) 2.0 52.0 X 0 1801574 27500 HAROLD M HARRIS JR DIRECTOR 2.0 0 X 0 0 0 KEMPER M BEASLEY III VICE CHAIRMAN 2.0 2.0 X 0 0 0 KIM LITTLE NURSE PRACTITIONER NE 2.0 0 X 2855 0 0 LEE PFEIFFER JR SECRETARY/TREASURER 2.0 0 X 0 0 0 REV DR CALVIN GRAY DIRECTOR 2.0 0 X 0 0 0 RHONDA B ALGEIER DIRECTOR 2.0 0 X 0 0 0 ROB TONKINSON SVP CHIEF FINANCIAL OFFICER (as of 8/14/2024) 2.0 52.0 X 0 294231 0 RODNEY NEWTON DIRECTOR 2.0 0 X 0 0 0 SHARON L HARRUP CHAIRMAN 2.0 2.0 X 0 0 0 SUNIL RAJAN MD Director 2.0 50.0 X 0 757197 52949 TIM THARPE DIRECTOR 2.0 0 X 0 0 0 WILLIAM MCGUIRE DIRECTOR 2.0 0 X 0 0 0 CLAUDIA MEINHARD VP CHIEF NURSING OFFICER C SCH 50.0 0 X 265967 0 25248 THOMAS ANGELO VP & CEO HOSPITAL 50.0 2.0 X 415864 0 83432 BRENDA RICHARDS ADMINISTRATIVE SENIOR ASSISTANT 50.0 0 X 51224 0 14310 LAURA BAKER PHARMACIST 50.0 0 X 156548 0 37158 LEE WILLIAMS PHARMACIST 50.0 0 X 151479 0 50267 REBECCA GIBSON PHARMACIST/CLIN SPECIALIST 50.0 0 X 147488 0 38061 ROBERT JEFFERSON PHARMACIST 50.0 0 X 154311 0 48571 TIFFANY ROSS PHARMACIST 50.0 0 X 158186 0 20980 1503922 7453835 511224 48 false true false PATHOLOGY CONSULTANTS 1914 THOMSON DRIVE LYNCHBURG VA 24501 CONSULTING 316244 JACKSON & COKER 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 CONTRACT LABOR 172486 PRICE SIMPSON HARVEY 1700 WILLOW LAWN DRIVE SUITE 200 RICHMOND VA 23230 ARCHITECTURE CONSULTING 112173 COMMONWEALTH AUTOMATION AND CONTROLS 12674 PATRICK HENRY DRIVE 1A NEWPORT NEWS VA 23602 CONSTRUCTION 110762 RELIABLE MOVING LLC 4644 FARMVILLE ROAD A FARMVILLE VA 23901 TRANSPORTATION 102076 5 26418 2586 29004 NET PATIENT REVENUE 621400 112775397 112775397 ANCILLARY SERVICES 900099 2404051 2404051 MISCELLANEOUS REVENUE 900099 397722 397722 0 0 0 0 115577170 0 0 9002 0 -9002 -9002 -9002 0 CAFETERIA 621400 431534 431534 MISCELLANEOUS REVENUE 900099 121719 121719 0 0 0 0 553253 116150425 116130423 0 -9002 X 0 0 0 0 0 0 0 0 2662743 0 2662743 0 0 32165993 30326914 1839079 1106194 1026520 79674 3312736 2999458 313278 2518276 2224084 294192 245459 43345 202114 27615 3250 24365 0 0 0 0 0 0 20684990 20035413 649577 0 183914 4423 179491 2365698 1891613 474085 42744 8693 34051 0 0 3658542 2584511 1074031 626190 573366 52824 0 0 35721 22506 13215 0 0 0 0 3145323 2755339 389984 614271 614271 OVERHEAD 16094402 0 16094402 DRUGS 13457040 13437045 19995 MED/SURG ROUTINE 6651773 6613416 38357 COLLECTIONS EXPENSES 81242 74512 6730 0 0 0 0 109680866 85238679 24442187 0 1128905 5748549 0 0 0 0 18214182 14520283 0 0 0 0 0 0 3645279 3687869 0 143647 95006965 63520040 27066686 31486925 157573 171221 0 0 0 0 40367091 6300567 90579716 62059061 3487654 4419567 0 0 10545 0 176388 183940 0 0 0 0 0 0 0 0 1456200 5537066 5130787 10140573 X 85448929 51918488 85448929 51918488 90579716 62059061 X 6469559 -40000000 X X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 163194 163194 53004772 34759287 18245485 209622 209622 0 37376471 25986503 11389968 4252906 2564628 1688278 31486925 RECEIVABLES FROM 3RD PARTY 3783342 DUE FROM RELATED PARTIES 2142821 OTHER ASSETS 374404 6300567 Federal Income Taxes DUE TO RELATED PARTIES 3943911 OTHER LT LIABILITIES 1254333 LEASE AGREEMENTS 182570 OTHER CURRENT PAYABLES 148721 EST PAYABLES TO 3RD PARTY 7531 5537066 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote SOUTHSIDE COMMUNITY HOSPITAL, INC. IS INCLUDED IN CENTRA HEALTH, INC'S CONSOLIDATED AUDIT REPORT FOR YEAR ENDING DECEMBER 31, 2024. 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. During 2024 Healthworks merged into Centra Medical Group, LLC and is no longer a separate entity. Also, the tax status of PCHP Holding, Inc. was changed to a disregarded entity of Centra Health, Inc. Under the asset-and-liability method for these standards, deferred tax assets and liabilities are recognized for the temporary differences between the financial statement carrying amounts and the tax basis of the subsidiary's assets and liabilities at income tax rates expected to be in effect when such amounts are realized or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in earnings in the period that includes the enactment date. Centra has determined that it does not have any material unrecognized tax benefits or obligations as of December 31, 2024 and 2023. Centra believes income taxes for reporting periods through December 31, 2021 are no longer subject to income tax examinations. true true X true X true X 1691873 0 1691873 0.01543 24257125 32166835 0 0.0 0 0 0 0.0 0 0 25948998 32166835 1691873 0.01543 118699 0 118699 0.00108 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 16858 0 16858 0.00015 0 0 135557 0 135557 0.00124 0 0 26084555 32166835 1827430 0.01666 0 0 0 0.0 36 450 3779 0 3779 0.00003 114 1802 22898 0 22898 0.00021 0 0 0 0.0 0 0 0 0.0 50 606 11310 0 11310 0.00010 18 240 1942 0 1942 0.00002 9 18 816 0 816 0.00001 0 0 0 0.0 227 3116 40745 0 40745 0.00037 true 2098300 525878 21148420 21324864 -176444 X true true 1 1 SOUTHSIDE COMMUNITY HOSPITAL INC 800 OAK STREET FARMVILLE VA 23901 WWW.CENTRAHEALTH.COM/SCH X X X SOUTHSIDE COMMUNITY HOSPITAL INC 1 false false true X X X X X X X X X 24 true false false true X https://www.centrahealth.com/community-resources/community-health#chna X X true 24 true https://www.centrahealth.com/community-resources/community-health#CHNA false true X 200.0 400.0 X X X X true true X X X X true X https://www.centrahealth.com/financial-policy/financial-assistance-discount-programs X https://www.centrahealth.com/financial-policy/financial-assistance-discount-programs X https://www.centrahealth.com/financial-policy/financial-assistance-discount-programs 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 Facility , 1 Facility , 1 - SOUTHSIDE COMMUNITY HOSPITAL, INC.. In 2024, a Community Health Assessment Team (CHAT) composed of over 76 individuals with a broad representation of community leaders and cross-sector stakeholders acted to oversee, advise, and support the CHNA activities. On average, 40 individuals attended each of the four meetings conducted throughout the assessment. This team was committed to regional alignment of a collaborative and rigorous needs assessment process that result in action-oriented solutions to improve the health of the communities they serve. The Piedmont Health District served as a pivotal partner in 2024, participating in the planning of the CHNA as well as leading efforts in the collection of our primary data. In addition, the University of Lynchburg's Research Center team was engaged in the revisions and analysis of the primary data. The 2024 Farmville Area Community Health Needs Assessment focused on lifting the voice of the community through the collection of 951 Community Health Surveys as well as conducting a stakeholder focus group and 3 target population focus groups. In addition, over 75 sources of publicly available secondary data were collected. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - SOUTHSIDE COMMUNITY HOSPITAL, INC.. HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - SOUTHSIDE COMMUNITY HOSPITAL, INC.. The 2025-2028 Southside Community Hospital's implementation planning process was led by Centra's Community Health Services team. The Centra Implementation Plan Leadership Team, composed of key Centra executive leaders, including the Vice Presidents (VP)/Chief Executive Officers (CEO) and Chief Nursing Officers for Centra hospitals, were instrumental in the development of the plan. Team members participated in the following activities: Ranked the top three to five Priority Areas of Needs for the service area that will be addressed by Southside Community Hospital - Identified policies, programs, and resources already available to address the needs - Identified additional resources and partnerships needed to address gaps and barriers - Developed 3-year goals to address the priority needs - 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 - Developed evaluative measures for the goals and/or strategies Identified which priority needs will not be addressed by Southside Community Hospital and why The Priority Areas of Needs to be addressed by Southside Community Hospital and the 2025-2028 Implementation Plans includes the following: - Access to Healthcare Services* - Mental Health and Substance Use Disorders & Access to Services* - Food Insecurity & Nutrition* *Priority Areas of Need that will be addressed across the entire Centra service region. In 2025, all Centra hospitals located in Bedford, Farmville, and Lynchburg, Virginia are aligning their strategies and goals by prioritizing Access to Healthcare Services; Mental Health and Substance Use Disorder; and Food Insecurity & Nutrition. These shared focus areas reflect ongoing challenges voiced by community members across the Centra footprint. All counties in the Farmville Service Area are designated as federal Medically Underserved Areas and as Health Professional Shortage Areas for Primary Care, Mental Health, and Dental. In addition, the 2024 Farmville Community Health Survey highlighted persistent gaps in care and support services, with 57% of respondents identifying mental health problems as a major health condition affecting the community, and 59% ranking access to healthy foods as a critical health factor Addressing these priorities requires continued collaboration with local partners, organizations, and community members. As the largest health system in the region, Centra will continue to lead efforts to improve access and reduce barriers to care. While Centra Southside Community Hospital's (CSCH) Implementation Plan does not include goals and strategies for all ten Priority Areas identified in the 2024 Farmville Area Community Health Needs Assessment, we recognize and value the work of community partners addressing these needs. CSCH will continue to align and collaborate with these partners, including the South-Central Virginia Nonprofit Network (SCVNN), the Piedmont Health District (PHD), and others, to maintain open communication, track progress, and monitor community impact. In addition, the Centra Southside Community Hospital leadership team convenes community partners and stakeholders on a quarterly basis to share updates on their Community Health Needs Assessment Implementation Plans. Other organizations addressing the Priority Areas of Need are also invited to present on their initiatives. Many of those who attend these meetings participated in the Farmville Area Community Health Assessment Team meetings in 2024. The following outlines the Priority Areas not addressed in this plan and organizations actively working to meet those needs (not necessarily all inclusive). - Homelessness and Housing: STEPS, Inc.; Madeline's House; Piedmont Habitat for Humanity; and SouthCentral Virginia Nonprofit Network. - Transportation: Piedmont Senior Resources; Piedmont Health District; and the Farmville Area Bus. - Aging and Eldercare: Piedmont Senior Resources; Meals on Wheels; Centra PACE; and The Woodland - Issues Impacting Children & their Families - Child Abuse & Neglect; Childcare: STEPS, Inc. (Head Start and Madeline's House); Department of Social Services; TriCounty Community Action Agency; and public-school systems. - Employment / Job Assistance: Virginia Career Works; South Central Workforce Development Board; Goodwill of the Valleys; and STEPS, Inc. - Financial Stability & Assistance: Tri-County Community Action Agency; STEPS, Inc.; and Department of Social Services. - 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. 3 SOUTHSIDE COMM HOSP HOMECARE SERVICES 711 OAK STREET FARMVILLE VA 23901 HOME HEALTH SERVICES SOUTHSIDE HOSPICE 711 OAK STREET FARMVILLE VA 23901 HOSPICE CARE SOUTHSIDE PACE 1530 SOUTH MAIN STREET FARMVILLE VA 23901 CARE FOR THE ELDERLY Schedule H, Part III, Line 1 reporting of bad debt expense 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. Schedule H, Part I, Line 6a Community benefit report prepared by related organization INFORMATION ON COMMUNITY BENEFITS IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC., SOLE MEMBER OF SOUTHSIDE COMMUNITY HOSPITAL. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSES. Schedule H, Part II Community Building Activities COMMUNITY SUPPORT: CENTRA SOUTHSIDE COMMUNITY HOSPITAL (CSCH) RECOGNIZES THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES AND CONTINUOUSLY WORKS TO SEEK OUT WAYS IN WHICH TO SUPPORT THE COMMUNITY. HELPING THOSE IN NEED IS A MAIN FOCUS OF CSCH, NOT ONLY WITH THEIR HEALTH NEEDS BUT WITH THE FUNDAMENTAL NEEDS OF INDIVIDUALS WITHIN OUR COMMUNITY, AS WELL. CSCH BELIEVES 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. COALITION BUILDING: CENTRA LEADERSHIP SERVES ON VARIOUS COMMUNITY BOARDS, TASK FORCES, AND COMMITTEES TO FURTHER THE WORK BEING DONE IN THE LYNCHBURG SERVICE AREA INCLUDING THE ALZHEIMER'S ASSOCIATION, FARMVILLE DOWNTOWN PARTNERSHIP, FARMVILLE LIONS CLUB AND ROTARY, FVA PRIDE, MOTON MUSEUM, VCHC COALITION FOR EMERGENCY PREPAREDNESS, PRINCE EDWARD CHRISTMAS MOTHER, MADELINE'S EMERGENCY SHELTER, MEALS ON WHEELS, FARMVILLE AREA EMERGENCY SERVICES (FACES), HABITAT FOR HUMANITY, RURAL TRAUMA OUTREACH, AREA FOOD BANKS, AMONG OTHERS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF CSCH. IMPROVING ACCESS TO CARE, MENTAL HEALTH & SUBSTANCE USE DISORDERS, AND COORINATION OF RESOURCES & COMMUNITY OUTREACH ARE KEY PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESMENT. CSCH PARTICIPATES 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 THESE NEEDS THROUGHOUT OUR REGION. CSCH ALSO PARTICIPATES IN HEALTH ADVOCACY DAYS AT THE VIRGINIA GENERAL ASSEMBLY AND THE ODEMSA SUBCOUNCIL, OTHERS. WORKFORCE DEVELOPMENT: CSCH IS COMMITTED TO HAVING EDUCATED, EXPERIENCED HEALTHCARE PROFESSIONALS WORKING WITHIN OUR COMMUNITIES. BY DISCUSSING HEALTHCARE WITH CHILDREN BEGINNING AT AN EARLY AGE, IT IS HOPED THAT IT WILL SPARK INTEREST AND HAVE OUR YOUTH THINKING ABOUT POSSIBLY SEEKING A CAREER IN HEALTHCARE AS THEY GET OLDER. CSCH PARTICIPATES IN CENTRAHEALTH 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, CENTRA'S HEALTH CAREER CAMPS FOR MIDDLE AND HIGH SCHOOL STUDENTS 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. CENTRA'S MEDICAL CAREER CAMP ALLOW CAMPERS TO PARTICIPATE IN ACTIVITIES RELATED TO TOPICS SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHAT'S INVOLVED IN VARIOUS CAREERS WITHIN THE HEALTHCARE SYSTEM WHICH ALLOWS THEM TO DETERMINE IF ONE OF THESE FIELDS ARE RIGHT FOR THEM. AGING AND ELDERCARE: CENTRA'S PACE PROGRAM HAS A STONG COMMUNITY OUTREACH PROGRAM IN THE CSCH SERVICE AREA HOSTING LUNCH & LEARN EDUCATIONAL SESSIONS, SOCIALIZATION ACTIVITIES FOR THE AGINIG POPULATION. 2024 IMPLEMENTATION PLAN UPDATES THE COMMUNITY HEALTH NEEDS ASSESSMENT 2022-2025 IMPLEMENTATION PLAN IS WELL UNDERWAY. THE HOSPITAL LEADERSHIP CONTINUES TO HOST QUARTERLYMEETINGS WITH LOCAL COMMUNITY LEADERS AND COMMUNITY REPRESENTATIVES TO BETTER UNDERSTAND THE MEDICAL NEEDS OF OUR COMMUNITY. CSCH WANTS TO ENSURE MEMBERS OF THE COMMUNITIES SERVED 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. UPON COMPLETION OF THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, CSCH LEADERSHIP MET TO RANK THE TOP THREE TO FIVE PRIORITY AREAS FOR THE SERVICE AREA. A 2022-2025 IMPLEMENTATION PLAN WAS DEVELOPED TO ADDRESS THE FOLLOWING PRIORITY NEEDS: ACCESS TO HEALTH SERVICES: OPENING OF CENTRA MEDICAL GROUP (CMG) BUCKINGHAM (PRIMARY CARE PRACTICE) AND CENTRA MEDICAL GROUP (CMG) KEYSVILLE & BURKEVILLE CLINIC (PRIMARY CARE PRACTICES). A SYSTEM-WIDE CLOSED LOOP REFERRAL PLATFORM, UNITE VA- A TOOL THAT ASSISTS IN ADDRESSING SOCIAL DETERMINANTS OF HEALTH (SDOH) THROUGH THE USE OF THE PRAPARE SCREENING TOOL TO IMPROVE ACCESS TO HEALTHCARE SERVICES & COMMUNITY RESOURCES- WAS LAUNCHED. CSCH HOSTS/PARTICIPATES IN MANY COMMUNITY EVENTS AIMED AT ADDRESSING ACCESS TO HEALTHCARE SERVICES SUCH AS A "WALK WITH A DOC" EVENTS, STROKE PREVENTION EVENTS, SKIN CANCER SCREENING EVENTS, AND OTHER HEALTH FAIRS AND EVENTS. MENTAL HEALTH AND SUBSTANCE USE & ACCESS TO SERVICES: CENTRA MEDICAL GROUP OPENED A FARMVILLE BRIDGE CLINIC AS AN EXTENSION OF THE CENTRA MEDICAL GROUP ADDICTION TREATMENT CENTER IN LYNCHBURG TO SERVE AS A CRUCIAL LINK BETWEEN THE EMERGENCY DEPARTMENT AND PATIENTS SEEKING TREATMENT FOR SUBSTANCE MISUSE. CSCH CAREGIVERS RECEIVED MENTAL HEALTH FIRST AID TRAINING. COORDINATION OF RESOURCES AND COMMUNITY OUTREACH: ADDITIONAL ADVANCED PRACTICE PROVIDERS ARE BEING HIRED ON AT CENTRA IN VARIOUS FARMVILLE LOCATIONS- (CMG PULMONOLOGY, GASTROENTEROLOGY, NEUROLOGY, ETC.). CSCH LEADERSHIP CONVENED QUARTERLY MEETINGS WITH COMMUNITY STAKEHOLDERS FOCUSED ON UPDATES REGARDING 2021 COMMUNITY NEEDS AND COORDINATION OF RESOURCES AND PROGRAMS. IN 2024, CENTRA CONDUCTED A 2024-2027 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA PROVIDES AN OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZATION OF NEEDS WAS APPROVED BY THE CENTRA COMMUNITY BENEFIT COMMITTEE ON NOVEMBER 22, 2024, THE CENTRA SOUTHSIDE COMMUNITY HOSPITAL BOARD OF DIRECTORS ON DECEMBER 4, 2024, AND THE CENTRA BOARD OF DIRECTORS ON DECEMBER 9, 2024. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount SEE DESCRIPTION FOR PART III, SECTION A, LINE 4. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SEE DESCRIPTION FOR PART III, SECTION A, LINE 4. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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, 2024 and 2023, the impact of changes to previous transaction price estimates was considered immaterial to the current period." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 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 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, 2024 and 2023." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 AUDIT REPORT, PAGE 13) "Consistent with Centra's mission, services are provided to patients regardless of their ability to pay. Therefore, Centra has determined it has provided implicit price concessions to uninsured patients and patients with other uninsured balances (for example, copays and deductibles). The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts Centra expects to collect based on its collection history with those patients." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 AUDIT REPORT, PAGE 14) "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 and are not reported as revenue. While charity care is excluded from net patient service revenue, Centra maintains records to identify and monitor the level of charity care it provides. This includes the amount of charges foregone and the estimated costs incurred for services and supplies furnished under its charity care policy. Costs incurred are estimated based on the ratio of total operating expense to gross charges." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 AUDIT REPORT, PAGE 14-15) Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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 REGULATIONS. 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 SOUTHSIDE COMMUNITY HOSPITAL'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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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 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. Schedule H, Part V, Section B, Line 16a FAP website - SOUTHSIDE COMMUNITY HOSPITAL, INC.: Line 16a URL: https://www.centrahealth.com/financial-policy/financial-assistance-discount-programs; Schedule H, Part V, Section B, Line 16b FAP Application website - SOUTHSIDE COMMUNITY HOSPITAL, INC.: Line 16b URL: https://www.centrahealth.com/financial-policy/financial-assistance-discount-programs; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - SOUTHSIDE COMMUNITY HOSPITAL, INC.: Line 16c URL: https://www.centrahealth.com/financial-policy/financial-assistance-discount-programs; Schedule H, Part VI, Line 2 Needs assessment NEED ASSESSMENT: IN 2025, CENTRA HEALTH CONDUCTED ITS TRIENNIAL 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CENTRA SOUTHSIDE COMMUNITY HOSPITAL LOCATED IN FARMVILLE, VIRGINIA. FOR THE PURPOSES OF THIS REPORT, THE SERVICE AREA IS REFERRED TO AS THE FARMVILLE AREA AND INCLUDES THE TOWN OF FARMVILLE AND THE COUNTIES OF AMELIA, BUCKINGHAM, CHARLOTTE, CUMBERLAND, LUNENBURG, NOTTOWAY AND PRINCE EDWARD. THE CHNA PROVIDES AN OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. THE CHNA PROVIDES AN OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. IT IS DISTRIBUTED TO THE PUBLIC TO PROVIDE A DEEPER UNDERSTANDING OF THE NEEDS OF THE FARMVILLE AREA AS WELL AS TO GUIDE CENTRA HEALTH, AND ITS COMMUNITY PARTNERS AND STAKEHOLDERS, IN DEVELOPING IMPLEMENTATION PLANS TO ADDRESS THE PRIORITIZED NEEDS IDENTIFIED AS PART OF THE ASSESSMENT PROCESS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZATION OF NEEDS WAS APPROVED BY THE CENTRA COMMUNITY BENEFIT COMMITTEE ON NOVEMBER 22, 2024, THE CENTRA SOUTHSIDE COMMUNITY HOSPITAL BOARD OF DIRECTORS ON DECEMBER 4, 2024, AND THE CENTRA BOARD OF DIRECTORS ON DECEMBER 9, 2024. THE IMPACT OF THE COVID-19 PANDEMIC WAS A KEY COMPONENT OF THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENTS. WHILE THE IMMEDIATE CRISIS PHASE HAS PASSED, COVID-19'S RIPPLE EFFECTS CONTINUE TO SHAPE VIRGINIA'S PUBLIC HEALTH LANDSCAPE AND POLICY PRIORITIES. SINCE 2022, THE IMPACT OF COVID-19 ON THE HEALTH OF VIRGINIANS HAS EVOLVED SIGNIFICANTLY. WHILE THE SEVERITY OF THE ILLNESS HAS GENERALLY DECLINED DUE TO INCREASED VACCINATION AND THE AVAILABILITY OF EFFECTIVE TREATMENTS, COVID-19 CONTINUES TO AFFECT PUBLIC HEALTH AND SOCIAL SYSTEMS. VIRGINIA EXPERIENCED A REDUCTION IN SEVERE CASES AND DEATHS COMPARED TO EARLIER YEARS, LARGELY ATTRIBUTED TO WIDESPREAD IMMUNITY FROM VACCINATION AND PREVIOUS INFECTIONS. HOWEVER, THE VIRUS STILL POSES CHALLENGES, PARTICULARLY FOR VULNERABLE POPULATIONS SUCH AS THE ELDERLY AND THOSE WITH PREEXISTING CONDITIONS. THE STATE'S PUBLIC HEALTH POLICY HAS TRANSITIONED FROM EMERGENCY MEASURES TO INTEGRATED MANAGEMENT OF COVID-19 ALONGSIDE OTHER RESPIRATORY ILLNESSES LIKE INFLUENZA. THIS INCLUDES CONTINUED VACCINE AVAILABILITY, UPDATED BOOSTER RECOMMENDATIONS, AND INCREASED ACCESS TO TESTING AND TREATMENT OPTIONS. THE VIRGINIA DEPARTMENT OF HEALTH HAS ALSO SHIFTED TOWARDS TRACKING COVID-19 DATA THROUGH BROADER RESPIRATORY ILLNESS DASHBOARDS AND WASTEWATER SURVEILLANCE TO MONITOR TRENDS. THE PANDEMIC HAS ALSO HIGHLIGHTED SOCIAL DETERMINANTS OF HEALTH, WITH LASTING IMPACTS ON MENTAL HEALTH, EDUCATIONAL ATTAINMENT, AND HEALTHCARE ACCESS. VIRGINIA'S RESPONSE INCLUDED INCREASED SUPPORT FOR MENTAL HEALTH SERVICES, EFFORTS TO MITIGATE EDUCATIONAL DISRUPTIONS, AND POLICIES AIMED AT ADDRESSING DISPARITIES EXPOSED BY THE PANDEMIC. THE STATE HAS ADAPTED SOCIAL POLICIES, PROMOTING TELEHEALTH AND FLEXIBLE WORK ARRANGEMENTS, WHICH HAVE HAD POSITIVE LONG-TERM EFFECTS ON HEALTH EQUITY AND ACCESS. IN 2024, A COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) COMPOSED OF OVER 76 INDIVIDUALS WITH A BROAD REPRESENTATION OF COMMUNITY LEADERS AND CROSS-SECTOR STAKEHOLDERS ACTED TO OVERSEE, ADVISE, AND SUPPORT THE CHNA ACTIVITIES. ON AVERAGE, 40 INDIVIDUALS ATTENDED EACH OF THE FOUR MEETINGS CONDUCTED THROUGHOUT THE ASSESSMENT. THIS TEAM WAS COMMITTED TO REGIONAL ALIGNMENT OF A COLLABORATIVE AND RIGOROUS NEEDS ASSESSMENT PROCESS THAT RESULT IN ACTION-ORIENTED SOLUTIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THE PIEDMONT HEALTH DISTRICT SERVED AS A PIVOTAL PARTNER IN 2024, PARTICIPATING IN THE PLANNING OF THE CHNA AS WELL AS LEADING EFFORTS IN THE COLLECTION OF OUR PRIMARY DATA. IN ADDITION, THE UNIVERSITY OF LYNCHBURG'S RESEARCH CENTER TEAM WAS ENGAGED IN THE REVISIONS AND ANALYSIS OF THE PRIMARY DATA. THE 2024 FARMVILLE AREA COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSED ON LIFTING THE VOICE OF THE COMMUNITY THROUGH THE COLLECTION OF 951 COMMUNITY HEALTH SURVEYS AS WELL AS CONDUCTING A STAKEHOLDER FOCUS GROUP AND 3 TARGET POPULATION FOCUS GROUPS. IN ADDITION, OVER 75 SOURCES OF PUBLICLY AVAILABLE SECONDARY DATA WERE COLLECTED. COMMUNITY NEED ON SEPTEMBER 25, 2024, AN IN-PERSON CHAT MEETING WAS HELD TO PRIORITIZE THE TOP 10 PRIORITY AREAS OF NEED FOR THE 2024 FARMVILLE AREA COMMUNITY HEALTH NEEDS ASSESSMENT. THERE WERE 41 IN ATTENDANCE AND MEMBERS WERE ASKED TO RANK THE 19 AREAS OF NEED FROM 1 TO 10. THE ANSWER CHOICE WITH THE MOST RESPONSES HAD THE LARGEST WEIGHT AND WAS RANKED AS #1 AND THE ANSWER CHOICE WITH THE LEAST RESPONSES HAD THE SMALLEST WEIGHT AND WAS RANKED AS #19. THE TOP 10 PRIORITY AREAS ARE REFLECTIVE OF THE COUNTY HEALTH RANKINGS' FOUR CATEGORIES FOR HEALTH FACTORS INCLUDING SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, CLINICAL CARE, AND PHYSICAL ENVIRONMENT. AT CENTRA, WE VIEW ALL THESE HEALTH FACTORS THROUGH THE LENS OF EQUITY, INCLUSION, AND DIVERSITY. Bedford Area - Top 10 Priority Areas of Need - 2021 and 2024 Compared Ranking #1 - 2021 Access to healthcare services / 2024 Access to healthcare services Ranking #2 - 2021 Broadband/Internet Access / 2024 Mental Health and Substance Use Disorders & Access to Services Ranking #3 - 2021 Issues Impacting children & their Families: Childcare Child Abuse-Neglect / 2024 Food Insecurity & Nutrition Ranking #4 - 2021 Mental Health and Substance Use Disorders & Access to Services / 2024 Homelessness & Housing Ranking #5 - 2021 Aging and Eldercare / 2024 Transportation Ranking #6 - 2021 Chronic Disease / 2024 Aging and Eldercare Ranking #7 - 2021 Coordination of Resources & Community Outreach / 2024 Issues Impacting Children & their Families: Child Abuse & Neglect Childcare Ranking #8 - 2021 Education and Literacy (Pre-K & Public Schools) / 2024 Employment - Job assistance Ranking #9 - 2021 Housing & Homelessness / 2024 Financial Stability & Assistance Ranking #10 - 2021 Employment/Job Assistance / 2024 Chronic Disease Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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." Schedule H, Part VI, Line 4 Community information ACCORDING TO THE U.S. CENSUS, THE TOTAL POPULATION FOR THE SERVICE AREA IS 108,313 WHERE 52.2% OF THE POPULATION IS MALE AND 47.8% IS FEMALE. THE MEDIAN AGE FOR THE SERVICE AREA IS 40.2 YEARS AND RANGES FROM 24.4 YEARS IN THE TOWN OF FARMVILLE TO 46.3 YEARS IN CUMBERLAND COUNTY. THE MEDIAN AGE IN VIRGINIA IS 38.7. APPROXIMATELY 19.3% OF THE POPULATION IS 65 YEARS OF AGE OR OLDER WHICH IS A SLIGHT INCREASE SINCE THE 2021 NEEDS ASSESSMENT (18.8%) AND HIGHER THAN THOSE 65 YEARS OF AGE OR OLDER LIVING IN VIRGINIA (16%). APPROXIMATELY 64.3% OF THOSE LIVING IN THE SERVICE AREA ARE WHITE, 30.2% ARE BLACK, AND 3.5% ARE HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME IN THE SERVICE AREA IS $57,926 AS COMPARED TO $85,873 IN VIRGINIA WITH WHITES AND HISPANIC POPULATIONS HAVING HIGHER MEDIAN HOUSEHOLD INCOMES THAN BLACKS. APPROXIMATELY 39.8% OF THE POPULATION LIVES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL AS COMPARED TO 36.6% IN VIRGINIA. ALMOST HALF OF RESIDENTS LIVING IN CHARLOTTE (49%), NOTTOWAY (40.8%), AND PRINCE EDWARD (47.2%) AND THE TOWN OF FARMVILLE (46%) LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. ADDITIONALLY, APPROXIMATELY 35% OF THE 37,148 HOUSEHOLDS IN THE SERVICE AREA ARE CLASSIFIED AS ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) AS COMPARED TO 29% OF HOUSEHOLDS IN VIRGINIA. ALICE IS A WAY OF DEFINING AND UNDERSTANDING THE STRUGGLES OF HOUSEHOLDS THAT EARN ABOVE THE FEDERAL POVERTY LEVEL, BUT NOT ENOUGH TO AFFORD BASIC HOUSEHOLD NEEDS (I.E., COST OF LIVING OUTPACES WHAT THEY EARN). OF THE PUBLIC SCHOOL-AGED CHILDREN IN THE SERVICE AREA, 94.8% (11,159) ARE ELIGIBLE FOR FREE AND REDUCED LUNCHES AS COMPARED TO 58.1 % OF CHILDREN IN THE COMMONWEALTH. THIS IS EVEN MORE PRONOUNCED FOR CHILDREN ATTENDING NOTTOWAY COUNTY PUBLIC SCHOOLS WHERE 100% ARE ELIGIBLE FOR FREE AND REDUCED LUNCHES DUE TO THE COMMUNITY ELIGIBILITY PROVISION (CEP). THE CEP IN VIRGINIA ALLOWS HIGH-POVERTY SCHOOLS TO PROVIDE FREE BREAKFAST AND LUNCH TO ALL STUDENTS WITHOUT COLLECTING INDIVIDUAL APPLICATIONS. ALMOST 17% OF CHILDREN UNDER 18 YEARS OF AGE LIVE BELOW THE FEDERAL POVERTY LEVEL IN THE FARMVILLE SERVICE AREA AS COMPARED TO 12.8% IN VIRGINIA. THIS IS EVEN MORE PRONOUNCED IN CHARLOTTE (28.4%), PRINCE EDWARD (21.3%), AND BUCKINGHAM (18.5%) COUNTIES. ALTHOUGH UNEMPLOYMENT RATES WERE DECREASING IN 2018 AND 2019 ACROSS THE COMMONWEALTH, THERE WAS AN ALMOST DOUBLING OF THESE RATES IN 2020 BECAUSE OF THE COVID-19 PANDEMIC AT 5.9% IN THE SERVICE AREA. HOWEVER, THESE RATES HAVE SLOWLY IMPROVED SINCE THE END OF THE PANDEMIC WITH THE SERVICE AREA RATE AT 3.5% IN 2023 AS COMPARED TO 2.9% IN VIRGINIA. PRINCE EDWARD COUNTY HAD THE HIGHEST UNEMPLOYMENT RATE AT 4.1% IN 2023. IN THE SERVICE AREA, OF THE POPULATION AGE 25 AND OVER, EDUCATIONAL ATTAINMENT IS 16.4% FOR LESS THAN HIGH SCHOOL GRADUATE; 37.1% FOR HIGH SCHOOL GRADUATE OR EQUIVALENT; 28.6% FOR SOME COLLEGE OR ASSOCIATE'S DEGREE; AND 18.1% FOR BACHELOR'S DEGREE OR HIGHER. THESE STATISTICS HAVE IMPROVED SLIGHTLY SINCE THEY WERE LAST REPORTED IN THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT. Schedule H, Part VI, Line 5 Promotion of community health CENTRA SOUTHSIDE COMMUNITY HOSPITAL AS A RESULT OF THE 2022-2025 CENTRA SOUTHSIDE COMMUNITY HOSPITAL IMPLEMENTATION PLAN, THE FOLLOWING INITIATIVES WERE FULLY UNDERWAY IN 2024 ADDRESSING PRIORITY AREAS OF NEED. CENTRA SOUTHSIDE MEDICAL CENTER IS CONDUCTING TELEHEALTH URGENT CARE VISITS IN AN EFFORT TO PROVIDE INCREASED ACCESS TO HEALTHCARE. IN ADDITION, THE BUCKINGHAM PRIMARY CARE PRACTICE OPENED IN 2023. A MENTAL HEALTH PROFESSIONAL WAS HIRED FOR CENTRA SOUTHSIDE COMMUNITY HOSPITAL (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 ARE HOSTED ON THE CSCH CAMPUS. SINCE 2022, CSCH IS ADDRESSING COORDINATION OF RESOURCES & COMMUNITY OUTREACH BY HOSTING QUARTERLY MEETINGS WITH COMMUNITY PARTNERS TO COMMUNICATE AND SHARE RESOURCES THAT IMPACT THE PRIORITY AREAS OF NEED. CSCH ALSO HOSTS HEALTH EDUCATION LECTURES BY MEDICAL PROFESSIONALS IN PARTNERSHIP WITH THE FARMVILLE CHAMBER OF COMMERCE. Remote Home Monitoring Centra's Remote Home Monitoring program seeks to extend care directly to patients' homes. The effort hopes to reduce readmissions and repeated emergency room visits as it helps patients manage conditions such as diabetes, congestive heart failure, pneumonia, COPD, and hypertension. The initiative is expanding to primary care offices, behavioral health services, and urgent care. The program emphasizes proactive care and continuous support which helps patients establish better health habits. Behavioral Health Centra focuses on the well-being of our communities through an integrated system of inpatient, outpatient, school-based, crisis, and residential treatment programs. Psychiatric, therapeutic, and clinical services are available for patients of all ages. Comprehensive support for individuals who want to reduce chemical dependency, physical medicine/pain management programs, autism and other developmental services are available at Centra. Located at our Lynchburg General Hospital campus, the innovative Emergency Psychiatric Assessment, Treatment and Healing (EmPATH) unit allows patients and their families to move around, interact and get help in a safe and soothing environment. The primary focus of the EmPATH unit is to return patients safely to their homes with the support of outpatient services, their families and community resources. Unite VA Unite VA is a statewide social care referral network in partnership with the Office of the Virginia Secretary of Health and Human Resources, the Virginia Department of Health, Centra and other community organizations to deliver integrated whole person care through a shared technology platform. The platform allows users to make electronic referrals for service, securely share patient information, and track outcomes together in an effort to provide comprehensive care to patients. 2024 Centra Community Grants Centra's Community Health Services, formed in 2020, exists "to improve the health and quality of life for the communities we serve". This includes system-wide triennial Community Health Needs Assessments (CHNA) and Implementation Plans, community-based grants, and Community Benefit Reporting. In 2024, Centra awarded $309,125 in community grants to our non-profit partners in the Farmville Area, addressing the CHNA priority needs in the community and projects of regional importance. Schedule H, Part VI, Line 6 Affiliated health care system 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. Schedule H, Part VI, Line 7 State filing of community benefit report VA true true false false false false false false false RICHARD TUGMAN PRESIDENT/CEO (as of 4/18/2024) 0 724359 0 41139 0 17038 0 17250 0 37336 0 837122 0 0 BIKRAM S BAL MD DIRECTOR MEDICAL 0 354774 0 107126 0 504888 0 17250 0 13765 0 997803 0 0 AMY CARRIER PRESIDENT/CEO (thru 4/18/2024) 0 448984 0 1061495 0 1341030 0 15022 0 12125 0 2878656 0 503176 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER (thru 8/14/2024) 0 464372 0 246262 0 1090940 0 17250 0 10250 0 1829074 0 0 SUNIL RAJAN MD Director 0 647088 0 85000 0 25109 0 17250 0 35699 0 810146 0 0 ROB TONKINSON SVP CHIEF FINANCIAL OFFICER (as of 8/14/2024) 0 294231 0 0 0 0 0 0 0 0 0 294231 0 0 THOMAS ANGELO VP & CEO HOSPITAL 353957 0 59728 0 2179 0 49020 0 34412 0 499296 0 0 0 CLAUDIA MEINHARD VP CHIEF NURSING OFFICER C SCH 217414 0 44903 0 3650 0 10987 0 14261 0 291215 0 0 0 LAURA BAKER PHARMACIST 156192 0 250 0 106 0 7904 0 29254 0 193706 0 0 0 REBECCA GIBSON PHARMACIST/CLIN SPECIALIST 147122 0 250 0 116 0 7345 0 30716 0 185549 0 0 0 ROBERT JEFFERSON PHARMACIST 149280 0 250 0 4781 0 7939 0 40632 0 202882 0 0 0 TIFFANY ROSS PHARMACIST 157832 0 250 0 104 0 7904 0 13076 0 179166 0 0 0 LEE WILLIAMS PHARMACIST 150714 0 250 0 515 0 8293 0 41974 0 201746 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation 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. 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. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS HAD SEVERANCE DURING FY 2024. NAME: AMY CARRIER TITLE: PRESIDENT/CEO (THRU 4/18/2024) AMOUNT OF SEVERANCE PAYMENT: $818,727 NAME: DOUGLAS DAVENPORT TITLE: SVP CHIEF FINANCIAL OFFICER (THRU 8/14/2024) AMOUNT OF SEVERANCE PAYMENT: $1,085,276 TOTAL: $1,904,003 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2024. NAME: THOMAS ANGELO TITLE: VP & CEO HOSPITAL AMOUNT OF DEFERRAL: $31,770 NAME: CLAUDIA MEINHARD TITLE: VP CHIEF NURSING OFFICER C SCH AMOUNT OF DEFERRAL: $21,382 TOTAL: $53,152 THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2024. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME: AMY CARRIER TITLE: PRESIDENT/CEO (THRU 4/18/2024) AMOUNT OF PAYOUT: $706,576 NAME: DOUGLAS DAVENPORT TITLE: SVP CHIEF FINANCIAL OFFICER (THRU 8/14/2024) AMOUNT OF PAYOUT: $99,836 NAME: RICHARD TUGMAN TITLE: PRESIDENT/CEO (AS OF 4/18/2024) AMOUNT OF PAYOUT: $41,139 TOTAL: $847,551 Equity Transfer to Parent 2024-12-30 40000000 BOOK VALUE 540715569 Centra Health Inc 1920 Atherholt Rd Lynchburg VA 24501 501(c)(3) Form 990, Part V, Line 1a FORM 1096 CENTRA HEALTH, INC (EIN: 54-0715569) FILES FORM 1096. Form 990, Part V, Line 2a FORM W-3 EMPLOYEES OF SOUTHSIDE COMMUNITY HOSPITAL ARE INCLUDED ON FORM W-3 FILED BY RELATED ORGANIZATION CENTRA HEALTH, INC (EIN: 54-0715569). THERE WERE 601 EMPLOYEES OF SOUTHSIDE COMMUNITY HOSPITAL PAID BY THE RELATED ORGANIZATION IN 2024. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL 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. 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, Line 18 HOW FORMS ARE MADE AVAILABLE TO THE PUBLIC 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 AT WWW.GUIDESTAR.ORG. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons BOARD MEMBER WILLIAM MCGUIRE AND OFFICER LEROY PFEIFFER, JR. - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THROUGH AN AFFILIATION AGREEMENT, SOUTHSIDE COMMUNITY HOSPITAL, INC.'S SOLE CORPORATE MEMBER IS CENTRA HEALTH, INC. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF SOUTHSIDE COMMUNITY HOSPITAL AND HAS THE POWER TO APPROVE DECISIONS MADE BY SOUTHSIDE COMMUNITY HOSPITAL'S GOVERNING BODY. Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY UPON REQUEST AT ITS ADMINISTRATIVE OFFICE. Form 990, Part IX, Line 11g Other Fees MEDICAL PURCHASED SERVICES - Total Expense: 8256117, Program Service Expense: 8256117, Management and General Expenses: 0, Fundraising Expenses: 0; CONTRACT LABOR - Total Expense: 3715838, Program Service Expense: 3715838, Management and General Expenses: 0, Fundraising Expenses: 0; CAPITATED MEDICAL CLAIMS - Total Expense: 5664873, Program Service Expense: 5663889, Management and General Expenses: 984, Fundraising Expenses: 0; OTHER PURCHASED SERVICES - Total Expense: 1595703, Program Service Expense: 1010318, Management and General Expenses: 585385, Fundraising Expenses: 0; PHYSICIAN RENUMERATION - Total Expense: 1354522, Program Service Expense: 1354522, Management and General Expenses: 0, Fundraising Expenses: 0; CLEANING SERVICES - Total Expense: 79429, Program Service Expense: 34286, Management and General Expenses: 45143, Fundraising Expenses: 0; COMMUNITY AWARENESS - Total Expense: 18508, Program Service Expense: 443, Management and General Expenses: 18065, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CONTRIBUTED CAPITAL TO CENTRA HEALTH - -40000000; Total - -40000000; Form 990, Part XII, Line 2c Change of oversight process or selection process 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 VI, Line 8a & 8b documentation of meetings MINUTES ARE TAKEN AT EACH MEETING. 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 ORGANIZATION VA 501(c)(3) Type I CENTRA HEALTH INC false BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 540566100 HEALTHCARE VA 501(c)(3) 3 CENTRA HEALTH INC false GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541299682 REAL ESTATE HOLDING COMPANY VA CENTRA HEALTH INC C Corporation 0 0 0 false PIEDMONT COMMUNITY HEALTH PLAN INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541755768 HEALTH INSURANCE COMPANY VA CENTRA HEALTH INC C Corporation 0 0 0 false false false true false false false false false false true false false false false false true true true false