TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Kirsten Huber MD........................................................................ Director	0.0 .......................50.0	X		0	255,287	14,212
(2) Kenneth S White........................................................................ Chairman of the Board	2.0 .......................0.0	X	X	0	0	0
(3) Thomas W Nygaard MD........................................................................ Vice Chairman of the Board	50.0 .......................0.0	X	X	403,802	0	25,065
(4) Albert M Baker MD........................................................................ Director	2.0 .......................0.0	X		0	0	0
(5) Michael V Bradford........................................................................ Director	2.0 .......................0.0	X		0	0	0
(6) Rev William Coleman........................................................................ Director	2.0 .......................0.0	X		0	0	0
(7) Robert D Cook MD........................................................................ Director	50.0 .......................0.0	X		367,030	0	21,533
(8) Michael Diminick MD........................................................................ Director	2.0 .......................0.0	X		0	0	0
(9) Julie P Doyle........................................................................ Director	2.0 .......................0.0	X		0	0	0
(10) Rodger W Fauber........................................................................ Director	2.0 .......................0.0	X		0	0	0
(11) Stuart C Fauber........................................................................ Director	2.0 .......................0.0	X		0	0	0
(12) John A Fees........................................................................ Director THROUGH 5/12	2.0 .......................0.0	X		0	0	0
(13) Laura L Hamilton........................................................................ Director	2.0 .......................0.0	X		0	0	0
(14) Sharon L Harrup........................................................................ Director	2.0 .......................0.0	X		0	0	0
(15) Terry H Jamerson........................................................................ Director	2.0 .......................0.0	X		0	0	0
(16) Stephen C Keith EdD........................................................................ Director	2.0 .......................0.0	X		0	0	0
(17) Augustus A Petticolas Jr DDS........................................................................ Director	2.0 .......................0.0	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Charles W Pryor Jr PhD........................................................................ Director	2.0 .......................0.0	X					0	0
(19) Amy G Ray........................................................................ Director	2.0 .......................0.0	X					0	0
(20) Marc A Schewel........................................................................ Director	2.0 .......................0.0	X					0	0
(21) Kirkham W Sydnor III MD........................................................................ Director	2.0 .......................0.0	X					0	0
(22) Walker P Sydnor........................................................................ Director	2.0 .......................0.0	X					0	0
(23) Chris Thomson MD........................................................................ Director	50.0 .......................0.0	X					389,343	39,674
(24) J Scott Wade MD........................................................................ Director	2.0 .......................0.0	X					0	0
(25) R Sackett Wood........................................................................ Director	2.0 .......................0.0	X					0	0
(26) Consuella K Woods........................................................................ Director	2.0 .......................0.0	X					0	0
(27) W Michael Bryant........................................................................ President/CEO	50.0 .......................0.0	X	X				696,459	138,509
(28) Lewis C Addison........................................................................ Treasurer & Senior VP/CFO	50.0 .......................0.0		X				545,928	80,642
(29) Thomas C Jividen........................................................................ Secretary/Executive VP	50.0 .......................0.0		X				867,384	28,517
(30) David D Adams........................................................................ Sr VP-Post Acute Care & CSO	50.0 .......................0.0			X			400,683	65,451
(31) Patti S McCue ScEd........................................................................ Sr VP-Patient Care Svcs	50.0 .......................0.0			X			399,169	47,460
(32) E W Tibbs........................................................................ Sr VP of Operations	50.0 .......................0.0			X			459,940	92,603
(33) David W Frantz MD........................................................................ MD: Cardiovascular	50.0 .......................0.0			X			597,395	33,347
(34) Christopher W Lewis MD........................................................................ MD: Cardiovascular	50.0 .......................0.0			X			664,503	30,168
(35) Harry E Meador........................................................................ VP-Cardiovascular Services	50.0 .......................0.0			X			240,305	48,718
(36) David B Truitte MD........................................................................ MD: Cardiovascular	50.0 .......................0.0			X			573,235	55,753
(37) Carl M Valentine MD........................................................................ MD: Cardiovascular	50.0 .......................0.0				X		653,261	50,200
(38) Daniel Carey MD........................................................................ MD: Cardiovascular	50.0 .......................0.0				X		668,458	48,529
(39) Matthew C Sackett MD........................................................................ MD: Cardiovascular	50.0 .......................0.0				X		682,197	39,930
(40) Katrina Murphy MD........................................................................ MD: Neurosurgery	50.0 .......................0.0				X		724,972	30,708
(41) Dilantha Ellegala MD........................................................................ MD: Neurosurgery	50.0 .......................0.0				X		874,630	35,691
(42) George W Dawson........................................................................ Former Centra CEO & Officer	0.0 .......................0.0					X	1,873,346	2,669

(A) Name and business address	(B) Description of services	(C) Compensation
Medical Associates of Central Virgi, 2215 Landover PlaceLynchburgVA24501	Physician Services	9,002,954
Heritage Healthcare, 536 Old Howell RoadGreenvilleSC29615	Therapy Mgmt Svcs.	4,473,329
Virginia Hospital Laundry, 1601 Oliver Hill WayRichmondVA23219	Laundry/Linen Svcs	2,322,334
McDermott Will Emery, 227 West Monroe St Suite 4400ChicagoIL60606	Attorneys	1,979,395
Lynchburg Pulmonary Associates, 2011 Tates Springs RoadLynchburgVA24501	Physician Services	1,585,125
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 25

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	572,960	572,960
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	6,945,207	1,246,446	5,698,761	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	250,336,634	241,110,884	9,225,750
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,983,257	8,320,086	663,171
9	Other employee benefits .......	41,684,627	38,511,277	3,173,350
10	Payroll taxes ...........	22,724,786	21,047,174	1,677,612
11	Fees for services (non-employees):
a	Management ......	1,784,292	1,577,007	207,285
b	Legal .........	5,114,782	2,121,971	2,992,811
c	Accounting ...........	166,612	27,019	139,593
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	1,153,948		1,153,948
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	59,454,607	47,806,410	11,648,197
12	Advertising and promotion ....	2,633,015	2,458,407	174,608
13	Office expenses .......	28,988,660	27,805,217	1,183,443
14	Information technology ......	14,745,066		14,745,066
15	Royalties ..	0
16	Occupancy ...........	8,288,360	7,850,870	437,490
17	Travel ............	1,475,843	1,414,393	61,450
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	2,004,253	1,680,994	323,259
20	Interest ...........	5,482,503	5,482,503
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	35,005,721	21,972,195	13,033,526
23	Insurance ..............	3,758,745	3,714,362	44,383
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Medical Supplies	54,550,311	54,537,836	12,475
b	DRUGS	18,099,925	18,099,925
c	BOND COST AMORTIZATION	1,611,818	1,611,818
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	575,565,932	508,969,754	66,596,178	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	39,049,580	1	36,625,883
2	Savings and temporary cash investments .........	0	2	0
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	55,972,775	4	55,697,323
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	711
7	Notes and loans receivable, net .............	144,188	7	144,188
8	Inventories for sale or use ..............	12,845,821	8	13,039,209
9	Prepaid expenses and deferred charges ..........	2,282,407	9	3,951,635
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	688,978,768
b	Less: accumulated depreciation .....	10b	441,642,842	243,080,047	10c	247,335,926
11	Investments—publicly traded securities ..........	274,845,806	11	307,966,129
12	Investments—other securities. See Part IV, line 11 .....	99,082,682	12	117,608,871
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	12,098,305	15	19,197,371
16	Total assets. Add lines 1 through 15 (must equal line 34)......	739,401,611	16	801,567,246
	17	Accounts payable and accrued expenses .........	59,515,625	17	60,433,237
18	Grants payable .................	0	18	0
19	Deferred revenue ................	802,131	19	957,905
20	Tax-exempt bond liabilities .............	219,322,395	20	211,963,596
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	111,384,033	25	117,432,854
26	Total liabilities. Add lines 17 through 25.........	391,024,184	26	390,787,592
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	300,220,897	27	359,013,094
28	Temporarily restricted net assets ...........	18,358,152	28	21,968,182
29	Permanently restricted net assets ...........	29,798,378	29	29,798,378
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	348,377,427	33	410,779,654
34	Total liabilities and net assets/fund balances ........	739,401,611	34	801,567,246

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

Centra Health Inc

Employer identification number

54-0715569

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

Centra Health Inc

Employer identification number

54-0715569

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization Centra Health Inc

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization Centra Health Inc

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
Centra Health Inc

Employer identification number

54-0715569

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Centra Health Inc

Employer identification number

54-0715569

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

40,295

Total. Add lines 1c through 1i ...............................

40,295

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
OTHER LOBBYING ACTIVITIES:	PART II-B, LINE 1(I)	ATTENDANCE AT VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION 2012 LEGISLATIVE ISSUES CONFERENCES (REGISTRATION EXPENSES, HOTEL, TRAVEL, & MEALS): $ 1,217. A PORTION OF THE ORGANIZATION'S HOSPITAL ASSOCIATION DUES FOR 2012 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $ 39,078.

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Centra Health Inc

Employer identification number

54-0715569

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	29,734,229	29,734,229	29,734,229	29,734,229	43,467,313
b	Contributions ........					420,000
c	Net investment earnings, gains, and losses	293,321	374,984	336,616	324,058	-13,772,985
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	293,321	374,984	336,616	324,058	380,099
f	Administrative expenses ....
g	End of year balance ......	29,734,229	29,734,229	29,734,229	29,734,229	29,734,229

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

3.090 %

Permanent endowment SchDMd Bullet

96.910 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	11,902,554		11,902,554
b	Buildings ................	336,685,679	192,653,267	144,032,412
c	Leasehold improvements ............	16,770,845	9,982,202	6,788,643
d	Equipment ................	307,047,001	239,007,373	68,039,628
e	Other .................	16,572,689		16,572,689
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				247,335,926

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) LEVEL 3 INVEST IN REAL ESTATE	19,287,234	F
(B) EQUITY IN AFFLIATES	14,729,184	F
(C) INVESTED CAPITAL-CONTROLLED	83,592,453	F






Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	117,608,871

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
Estimated payables to 3rd party payors		13,373,570
PHYSICIAN RECRUITMENT LIABILITY		306,989
Current installments due to SCH		842,622
Accrued interest payable		216,613
Interest rate swap agreement		26,761,913
Pension Liability		64,531,024
Estimated liability for unpaid claims		11,400,123


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		117,432,854
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
ENDOWMENT	PART V, LINE 4	THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP), NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSTED RESTRICTIONS. THE FOUNDATION HAS A POLICY OF REQUESTING FOR DISTRIBUTION EACH YEAR EITHER NET INCOME OF THE ASSET OR A PERCENTAGE OF THE ASSETS AVERAGE FAIR VALUE WHICH RESULTS IN AN AVERAGE NET CASH DISTRIBUTION OF 2.4% OF TOTAL ASSETS. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF 4.3% ANNUALLY. THIS IS CONSISTENT WITH THE FOUNDATION'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.
PART X, LINE 2:		CENTRA HEALTH, INC., CENTRA HEALTH FOUNDATION, CCRC, INC., AND SOUTHSIDE COMMUNITY HOSPITAL INC., ARE EXEMPT FROM INCOME TAX UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS EXCEPT FOR TAXES RELATED TO CERTAIN UNRELATED BUSINESS INCOME ENGAGED IN BY CENTRA. CENTRA MEDICAL GROUP LLC, CENTRA HEALTH CARDIOVASCULAR SERVICES LLC, CENTRA HEALTH EMERGENCY SERVICES LLC AND CENTRAL VIRGINIA HOSPITAL FOR RESTORATIVE AND REHABILITATIVE CARE, LLC ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND THEREFORE ARE INCLUDED UNDER CENTRA'S TAX RETURN. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARY, GENERAL BUSINESS CONCERNS, INC. UNDER THE ASSET AND LIABILITY METHOD FOR THESE STANDARDS, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASIS OF THE SUBSIDIARY'S ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. CENTRA HEALTH INDEMNITY COMPANY LLC IS WHOLLY OWNED BY CENTRA HEALTH, INC. ANY LIABILITY FOR TAXES ARE PASSED THROUGH TO CENTRA HEALTH, INC. A PROVISION WILL BE MADE WHEN OPERATIONS OF THIS SUBSIDIARY INDICATES A LIABILITY FOR TAXES. EFFECTIVE JANUARY 1, 2009, CENTRA ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ("FASB") AUTHORITATIVE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR THE RECOGNITION AND MEASUREMENT OF THE BENEFITS OF INDIVIDUAL TAX POSITIONS IN THE FINANCIAL STATEMENTS. TAX POSITIONS MUST MEET A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE ACCOMPANYING FINANCIAL STATEMENTS. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2012. THE ADOPTION OF THE GUIDANCE DID NOT HAVE A MATERIAL EFFECT ON CENTRA'S FINANCIAL POSITION OR RESULTS OF OPERATIONS.

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Centra Health Inc

Employer identification number

54-0715569

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	22,518,165		22,518,165	3.910 %
b	Medicaid (from Worksheet 3, column a) ....	86,077,786	63,729,709	22,348,077	3.880 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	108,595,951	63,729,709	44,866,242	7.790 %
Other Benefits		410,431		410,431	0.070 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	410,431		410,431	0.070 %
f	Health professions education (from Worksheet 5) ..	8,334,261	8,077,473	256,788	0.040 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	1,058,026		1,058,026	0.180 %
j	Total. Other Benefits ..	9,802,718	8,077,473	1,725,245	0.290 %
k	Total. Add lines 7d and 7j .	118,398,669	71,807,182	46,591,487	8.080 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements	3,865	3,865
5	Leadership development and training for community members	211	211
6	Coalition building	3,451	3,451
7	Community health improvement advocacy	421	421
8	Workforce development
9	Other
10	Total	7,948	7,948

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

29,303,233

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

14,757,563

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

255,002,871

Enter Medicare allowable costs of care relating to payments on line 5.....

283,771,238

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-28,768,367

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1Piedmont Community H	Health Insurance	50.000 %		50.000 %
2Central Virginia Ima	Imaging Services	50.000 %		50.000 %
3The Surgery Center o	Outpatient Surgery	50.000 %	1.000 %	49.000 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?3 Name, address, and primary website address					Other (Describe)
1	Lynchburg General Hospital 1901 Tate Springs Road Lynchburg,VA24501	X	X	X
2	Virginia Baptist Hospital 3300 Rivermont Avenue Lynchburg,VA24503	X	X
3	Centra Specialty Hospital 3300 Rivermont Avenue Lynchburg,VA24503	X			Long Term Acute Care

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Lynchburg General HOSPITAL
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Virginia Baptist Hospital
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Centra Specialty Hospital
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 400.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?47
Name and address		Type of Facility (describe)
1	Mammography Center-Timberlake Timberlake Road Lynchburg,VA24502	Mammography Center
2	Mammography Center-Tate Springs 1900 Tate Springs Road Suite 1 Lynchburg,VA24501	Mammography Center
3	Centra Alan B Pearson Cancer Center 1701 Thompson Drive Lynchburg,VA24501	Cancer Center
4	Centra Lab Phlebotomy Center 1900 Tate Springs Road Suite 9 Lynchburg,VA24501	Lab Services
5	Guggenheimer Health & Rehabilitation Ctr 1902 Grace Street Lynchburg,VA24504	Nursing Home
6	Fairmont Corssing Health & Rehab Center 173 Brockman Park Drive Amherst,VA24521	Nursing Home
7	Summit Health & Rehabilitation Center 1300 Enterprise Drive Lynchburg,VA24502	Nursing Home
8	Summit Assisted Living 1320 Enterprise Drive Lynchburg,VA24502	Assisted Living
9	Centra Hospice-Lynchburg 2097 Langhorne Road Lynchburg,VA24501	Hospice Care
10	Centra Hospice-Farmville 713 Oak Street Farmville,VA23901	Hospice Care
11	Centra PACE 407 Federal Street Lynchburg,VA24504	Care for Elderly
12	Piedmont Psychiatric Center 3300 Rivermont Avenue Lynchburg,VA24503	Mental Health
13	Bridges Treatment Center 693 Leesville Road Lynchburg,VA24502	Mental Health
14	Bridges at Brightwell 1410 Kentmore Farm Rd Madison Heights,VA24572	Mental Health
15	Altavista Medical Center 1280A Main Street Altavista,VA24517	Family Practice
16	Brookneal Medical Center 104 Caroline Ave PO Box 120 Brookneal,VA24528	Family Practice
17	Centra Medical Group - Danville 404 Airport Road Suite C Danville,VA24540	Cardiology, Neurology, Urology Orthopedics, Physical Therapy, Occupational Rehab
18	Gretna Medical Center 1220 West Gretna Road Gretna,VA24557	Internal Medicine, Cardiology
19	Lynchburg Internal Medicine 1901 Thomson Drive Lynchburg,VA24501	Internal Medicine
20	Village Practice - Moneta 4830 Rucker Road Moneta,VA24121	Family Practice
21	Center for Pain Management 3300 Rivermont Avenue Lynchburg,VA24503	Pain Management
22	Wound Care Center 3300 Rivermont Avenue Lynchburg,VA24503	Wound Care
23	Seven Hills Urology 2542 Langhorne Road Lynchburg,VA24501	Urology
24	Seven Hills Urology-Oak Vassar Office 1330 Oak Lane Suite 203 Lynchburg,VA24503	Urology
25	Seven HIlls Urology-Danville Office 173 Executive Drive Danville,VA24540	Urology
26	Seven Hills Urology-Moneta Office 1039 Mayberry Crossing Drive Moneta,VA24121	Urology
27	Danville Specialty Clinic 173 Executive Drive Danville,VA24540	Specialty Services (Urology, Neurosurgery, Plastics, Cardiology, etc.)
28	Dominion Primary Care 110 Exchange St Suite F Danville,VA24540	Family Practice
29	Forest Womens Center 2007 Graves Mill Road Forest,VA24551	Women's Health Services
30	Liberty University Health Services 1971 University Blvd Lynchburg,VA24502	Family Practice
31	Jamerson YMCA Rehab Center 801 Wyndhurst Drive Lynchburg,VA24502	Rehab Center
32	Cardiothoracic Surgery Inc 2015 Tate Springs Road Lynchburg,VA24501	Cardiothoracic Surgery
33	The Cardiovascular Group - Main Office 2410 Atherholt Road Lynchburg,VA24501	Cardiology Center
34	The Cardiovascular Group-Bedford Campus 1613 Oakwood Avenue Bedford,VA24523	Cardiology Center
35	The Cardiovascular Group-Farmville Campu 900 West Third Street Farmville,VA23901	Cardiology Center
36	The Cardiovascular Group-Moneta Campus 1039 Mayberry Crossing Drive Suite Moneta,VA24121	Cardiology Center
37	The Cardiovascular Group-Gretna Campus 1220 West Gretna Road Gretna,VA24557	Cardiology Center
38	The Cardiovascular Group-Danville Campus 173 Executive Drive Danville,VA24540	Cardiology Center
39	Vascular Surgery 2410 Atherholt Road Lynchburg,VA24501	Vascular Surgery
40	Centra Health Emergency Physicians 1901 Tate Springs Road Lynchburg,VA24501	Emergency Physicians
41	Central Virginia Imaging LLC 113 Nationwide Drive Lynchburg,VA24502	50% Joint Venture w/ Radiology Consultants of Lynch
42	Surgery Center of Lynchburg LLC 2401 Atherholt Road Lynchburg,VA24501	50% Joint Venture w/ Individual Physicians
43	Rehab & Geriatric Services 3300 Rivermont Avenue Lynchburg,VA24503	Drs. provide services to nursi skilled care facialities, hosp and Rehab
44	Mammography 3300 Rivermont Avenue Lynchburg,VA24503	Mammographers read screenings diagnostic breast imaging cent Timberlake, Tate Springs, & Mo
45	Piedmont PrimeCare-Main 130 Enterprise Drive Danville,VA24540	Family Practice
46	Piedmont PrimeCare-East 404 Airport Drive Suite A Danville,VA24540	Family Practice
47	Village Practice - North 1618 Oakwood Ave Suite 202 Bedford,VA24523	Family Practice

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
Part II		Centra Health, Inc. knows the importance of maintaining a strong relationship with the community it serves. Centra continuously works to seek out ways in which we can support the community. Here are a few EXAMPLES... CENTRA HEALTH PARTICIPATED IN A BREAST CANCER CLASSIC basketball game to create awareness about breast cancer and to honor its survivors. Centra provided staff/volunteers and various supplies (ie: catering, bulbs & gardening supplies, etc) for the 24th Annual Walk to Remember (a national pregnancy & infant loss awareness event). A community memorial service, walk, and memorial garden planting were preformed for all community members that wished to attend. Centra held a "Clergy & Faith Health Summit" in 2012. Area clergy attended this event to learn what resources are available within the Centra organization which may be beneficial to their parishioners. Centra participants answered any questions they may have had regarding the availability of these services and what was provided by the services. Also, Centra participated in several HiPE (Healthy people through Prevension and Education) coalition meetings throughout the year. These meetings focus on tobacco and substance abuse, childhood obesity, and supporting healthy activities for youth and collaborate with Horizon Behavioral Health, Lynchburg Health Department, area social services, parks & recreations, city schools, family medicine, etc. Centra also connected with faith based communities through its Congregational Health programs. Centra held several "Congregational Health Promoter" courses throughout 2012. These courses were geared toward all faith based community members in order to provide them with information regarding community resources, chronic illness, and specific strategies to impact the overall health of the community.
Part III, Line 4:		The organization believes that its procedures concerning the application of its financial assistance policy are sufficiently thorough to exclude all patients who are eligible for charity care from bad debt. The organization's financial statements include the following footnote about bad debt: "PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR BAD DEBTS/CHARITY. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR BAD DEBTS/CHARITY."
Part III, Line 8:		The total amount of Medicare shortfall should be considered a community benefit because Centra Health's mission is to promote health in the community and we do not limit the care available to any of its patients, including those covered by Medicare. We are relieving a government burden by providing care to Medicare patients even though reimbursements were less than the cost to provide service. Total Medicare shortfall for 2012 was $25,645,144.
Part III, Line 9B:		Centra recognizes that medical expenses are often unexpected and cause financial hardship. All accounts with self pay balances will follow the same collection protocols. These protocols are electronically administered through Centra's hospital information system. When an account reaches the end of the system generated collection cycle and meets said criteria, the account balance will be processed as bad debt and reported to a collection agency. Criteria for bad debt will be applied consistently regardless of age, race, or religion.
Part V, Section B, Line 18C:	Centra Speciality Hospital	Centra Speciality Hospital does not have an Emergency Department due to the nature of the hospital's services.
Part VI, Line 2:		As a nonprofit health care system, Centra is led by a board of directors of regional community leaders knowledgeable about the health care needs of the population. Centra encourages its executive team and employees to be an integral part of community organizations, not only to offer advice and service, but also to better understand and recognize the needs of the regional community. Centra is working on a formal, in depth Community Health Needs Assessment (CHNA) to better understand how to improve the health of the people it serves. With the assessment, Lynchburg General, Virginia Baptist and Centra Specialty hospitals are in one community and Centra Southside Community Hospital is in the other. Centra is seeking input from the communities and identifying health needs priorities to develop a comprehensive three-year plan to address those needs. Experts say clinical care influences only about 20% of the health of a community. Other influences include social and environmental factors such as education, employment and income levels (40%) ; health status and behaviors such as diet, smoking and exercise (30%); and physical environment factors such as air/water quality, housing and access to transportation (10%). Through the CHNA, Centra will examine these areas and identify opportunities to make clinical services more responsive to community need and to collaborate with other like minded organizations to improve the other factors that affect the health of the community. The information gleaned can support the strategic plan, ensure Centra's long-range plans are responsive and help guide the awarding of community grants. Centra also has a Community Advisory Board from diverse demographic backgrounds comprised of representatives and leaders from the business, education, government, social services, religious and other communities. Health care needs and requests also are assessed through focus groups, and surveys of community residents and civic leaders as well as hospital and health care system patients. Centra also teams up with agencies and organizations to study community needs and propose the best solutions. Centra's Community Education Committee consists of over 30 community educators who are making continuous contacts in the region and reporting back to the monthly committee meeting. The Physician Advisory Board consists of over 10 community physicians who meet quarterly to discuss community needs and plan to fulfill the need. In addition, a Call Center receives calls and reports to the marketing department for additional requests from the community. CentraHealth.com provides constant feedback from the community, which is addressed immediately. Surveys are conducted at every community event on which the community is able to offer feedback.
Part VI, Line 3:		Centra takes a multidisciplinary approach to informing our patients and community about financial assistance. Information about financial assistance and charity can be found on Centra's internet page providing full disclosure about qualifications and the application process. Individuals may obtain information and an application from any registration point or customer service unit in person or by phone. Signs are posted in conspicuous locations alerting individuals that financial assistance is available and where to obtain additional information. Brochures about financial assistance are made available in registration and customer service. While patients are hospitalized, a financial counselor provides financial assistance information, screens patients for federal and state programs and gives an opportunity to ask questions. Additionally, an insert about financial assistance is mailed in every uninsured bill and every patient bill, whether uninsured or insured, references availability of financial assistance with contact information on where to obtain more information.
Part VI, Line 4:		Centra is a comprehensive health care system covering a service area of 431,373 people. Centra's primary service area (PSA) includes the cities of Lynchburg and Bedford, and the counties of Amherst, Appomattox, Bedford, Campbell, and Pittsylvania. Centra's secondary service area (SSA) includes the counties of Buckingham, Charlotte, Halifax, Nelson, and Prince Edward. The population for the total service area is 431,373, with an ethnic mix of 17.9% black and 77.8% white. The percent of the total PSA/SSA population that is 65 years of age and older is 16.2%. It is projected that by 2017, this same age range of 65 plus will account for 18% of the total PSA/SSA population. The average household income in the PSA/SSA is $43,831. The current unemployment rate is approximately 6.7% for this service area. Centra promotes the necessity of having a culturally sensitive workforce and provides an overview of the population mix for orientation of new employees. Centra hosts workshops on cultural competence, provides reference books for each patient care area and provides a lesson on cultural diversity as part of yearly mandatory education. There are also chaplains available with experience and training to support clinical staff who might have needs with culturally sensitive issues.
Part VI, Line 5:		In addition to health education programs and resources, Centra uses its hospital-based departments to implement new ways to improve health care for the region. Here are three examples: (1) Centra started the first nationally certified program to help people receiving treatment and cancer survivors as they heal and recover. With this program, called STAR, cancer patients and survivors can lessen pain, weakness, fatigue, depression and memory loss that can occur with cancer. (2) Centra established its PACE (Program of All-Inclusive Care for the Elderly) in the Lynchburg and Farmville areas to offer adults 55 years of age and older medical care and education that allows them to stay in their own homes. With long-term care expertise gained through hospital-based centers, Centra professionals focus on disease prevention, intervention and wellness. The program is based on the knowledge of professionals who advocate that it is better for seniors with chronic care needs and their families to be served in the community for as long as it is medically safe. Comprehensive services are delivered by an interdisciplinary team of professionals, including a primary care physician, registered nurses, rehabilitation therapists, dietitians and recreation/activity staff. (3) Centra has leveraged its high-bandwidth connectivity across facilities and physician practices to improve the health of the population through the sharing of medical records. With this connectivity, Centra also is able to establish a clinical repository that can be mined to perform true population-based analytics. Also, Centra participates in numerous health fairs throughout the community at local employers, colleges, churches, etc., in order to provide screenings and information on many health issues. For example, blood pressure/diabetes/PSA/bladder screenings, etc. are provided to those who wish to attend. Centra's Mental Health division participates in numerous conferences and meetings throughout the community to lend guidance and support. Some examples of these conferences/meetings are: VSHMPR (Virginia Society for Healthcare Marketing & Public Relations), VADAP (Virginia Drug and Alcohol Programs), Lynchburg Junior League, Ethics Conferences, Psychiatric Society of Virginia Distinguished Fellowship Committee, and Gerontology Conferences, etc. These events usually deal with mental health/substance abuse care. An important part of what Centra's Mental Health division does is to serve on boards and committees, and support other organizations who also strive for community health and well-being. Centra's Pathways Treatment Center holds relationship building events between the alums and the program which is used to encourage the alums to continue in their sobriety and lets them know that even though they are alums, we are still connected and invested in them.
Part VI, Line 6:		Whether bringing babies into the world, treating the ill and injured, saving lives, enhancing health or providing needed regional programs and support, Centra serves as a key partner in managing and promoting health care throughout its system to ensure care to the regional communities it serves. Disease prevention, treatment and health education are integral parts of what Centra provides to the region. From outstanding medical services to free screenings and programs, Centra expands its hospital walls to offer national award winning health care for its patients while seeking to enhance the health and wellness of residents in its service area. As the regional health care leader, Centra brings a continuous flow of health care services designed to ensure that patients receive care that meets their identified need. Patient care encompasses wellness and prevention, recognition of disease and health problems, patient teaching, patient advocacy, spirituality and research throughout the continuum. This care is delivered through organized and systematic processes designed to ensure safe, effective and timely care and treatment. Due to the way the health care system manages care, Centra continues to move to a higher level by evaluating specific patient outcomes and participating in voluntary national certification programs that examine processes and proficiency. Centra is a major partner in the health of its regional population and takes great pride in providing the facilities, resources, expertise and people to improve the health and wellness of the people of central Virginia. For example, Centra has been instrumental in establishing and supporting medical clinics for the underserved population. These include services for pregnant women and children who otherwise may not receive critical preventive care. Centra also donates laboratory testing, radiology services and equipment. Multidisciplinary teams, including physicians from Centra practices and experts in long-term care and rehabilitation, offer professional health education classes, lectures, seminars, health fairs and health screenings. The health care system also partners with community organizations to co-sponsor dozens of regional events. In addition, dietitians, diabetic instructors and other Centra professionals provide one-on-one health counseling and education for hospital and system patients. The health care system offers a Health Care Careers Camp for teenagers. Students gain hands-on experience with tools in the operating room, enjoy a tour of the hospital's helicopter and hangar and are exposed to many career opportunities. Centra distributes a wealth of printed and online health information through its publications, media stories and interactive website. This information is produced specifically for the regional population and to meet identified needs. As the sole health care system in its service area, Centra uses its hospital-based resources as a valuable vehicle for managing and promoting health care as part of its nonprofit mission.
Rosemary and George Dawson Inn		In December 2012, Centra Health opened their new 20-room Rosemary and George Dawson Inn, located in close proximity to Lynchburg General and Virginia Baptist hospitals and the Alan B. Pearson Regional Cancer Center. The Inn was designed to provide home-like lodging to patients and their family members who are receiving medical treatment in the Lynchburg area. The operation of the Inn enables family members to be close to their loved ones during their stay at the hospital, likely helping in treatment and recovery from sickness and injury. Demand for more complex surgeries and treatments can require longer hospital stays and a need to find hotel lodging near Lynchburg. Early surgical cases mean an early wake up for patients and families. Some patients wake up before 4 a.m. for a 6 a.m. surgery. Lodging on Centra property for the night before or after can lessen patient anxiety and exhaustion. The Dawson Inn offers families a refuge away from the critical care feel of the hospital while still allowing close proximity.
STATE FILING OF COMMUNITY BENEFIT REPORT	990 SCHEDULE H, PART VI	VA,

Schedule H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
Centra Health Inc

Employer identification number
54-0715569

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) Amazement Square 27 9th Street Lynchburg,VA24504	54-1713204	501(c)(3)	10,600	0	N/A	N/A	Charitable contribution
(2) American Cancer Society 2316 Atherholt Road Lynchburg,VA24501	58-0659875	501(c)(3)	20,000	0	N/A	N/A	Charitable contribution
(3) Big BrothersBig Sisters of Central Virginia 2901 Langhorne Rd Lynchburg,VA24501	54-0908680	501(c)(3)	12,400	0	N/A	N/A	Charitable contribution
(4) Region 2000 Technology Council 828 Main Street 12th Floor Lynchburg,VA24504	42-1541117	501(c)(6)	10,000	0	N/A	N/A	COMMUNITY contribution
(5) United Way of Central Virginia 1010 Miller Park Square Lynchburg,VA24501	54-0505923	501(c)(3)	50,000	0	N/A	N/A	Charitable contribution
(6) Virginia's Region 2000 828 Main Street 12th Floor Lynchburg,VA24504	54-1859984	501(c)(3)	30,000	0	N/A	N/A	Charitable contribution
(7) Centra Health Foundation 1920 Atherholt Road Lynchburg,VA24501	54-1604094	501(c)(3)	255,443	0	N/A	N/A	Charitable contribution
(8) Johnson Health Center 320 Federal Street Lynchburg,VA24504	54-1287905	501(c)(3)	160,000	0	N/A	N/A	Rental contribution

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2012

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance
(1) N/A

Part IV

Supplemental Information.

Complete this part to provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Identifier	Return Reference	Explanation
Sch I, Part I, Line 2		Throughout the year, grant requests are submitted to the Executive COMMITTEE FOR THEIR REVIEW AND APPROVAL.

Schedule I (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Centra Health Inc

Employer identification number

54-0715569

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)George W DawsonFormer Centra CEO & Officer	(i) (ii)	194,077 0	0 0	1,679,269 0	1,500 0	1,169 0	1,876,015 0	937,248 0
(2)Kirsten Huber MDDirector	(i) (ii)	0 237,521	0 1,500	0 16,266	0 6,187	0 8,025	0 269,499	0 0
(3)Thomas W Nygaard MDVice Chairman of the Board	(i) (ii)	378,093 0	6,979 0	18,730 0	7,500 0	17,565 0	428,867 0	0 0
(4)Robert D Cook MDDirector	(i) (ii)	279,096 0	44,000 0	43,934 0	6,465 0	15,068 0	388,563 0	0 0
(5)Chris Thomson MDDirector	(i) (ii)	370,926 0	0 0	18,417 0	7,500 0	32,174 0	429,017 0	0 0
(6)W Michael BryantPresident/CEO	(i) (ii)	671,223 0	0 0	25,236 0	108,150 0	30,359 0	834,968 0	0 0
(7)Lewis C AddisonTreasurer & Senior VP/CFO	(i) (ii)	378,664 0	75,600 0	91,664 0	60,722 0	19,920 0	626,570 0	60,922 0
(8)Thomas C JividenSecretary/Executive VP	(i) (ii)	488,635 0	263,880 0	114,869 0	7,500 0	21,017 0	895,901 0	105,622 0
(9)Carl M Valentine MDMD: Cardiovascular	(i) (ii)	622,340 0	10,843 0	20,078 0	7,411 0	42,789 0	703,461 0	0 0
(10)Daniel Carey MDMD: Cardiovascular	(i) (ii)	637,537 0	10,843 0	20,078 0	7,500 0	41,029 0	716,987 0	0 0
(11)Matthew C Sackett MDMD: Cardiovascular	(i) (ii)	650,560 0	10,843 0	20,794 0	7,500 0	32,430 0	722,127 0	0 0
(12)Katrina Murphy MDMD: Neurosurgery	(i) (ii)	668,967 0	37,409 0	18,596 0	7,500 0	23,208 0	755,680 0	0 0
(13)Dilantha Ellegala MDMD: Neurosurgery	(i) (ii)	826,196 0	30,000 0	18,434 0	7,500 0	28,191 0	910,321 0	0 0
(14)David D AdamsSr VP-Post Acute Care & CSO	(i) (ii)	313,913 0	56,780 0	29,990 0	44,400 0	21,051 0	466,134 0	22,482 0
(15)Patti S McCue ScEdSr VP-Patient Care Svcs	(i) (ii)	285,165 0	59,000 0	55,004 0	41,646 0	5,814 0	446,629 0	30,091 0
(16)E W TibbsSr VP of Operations	(i) (ii)	330,022 0	69,280 0	60,638 0	50,656 0	41,947 0	552,543 0	35,554 0
(17)David W Frantz MDMD: Cardiovascular	(i) (ii)	533,835 0	43,750 0	19,810 0	7,500 0	25,847 0	630,742 0	0 0
(18)Christopher W Lewis MDMD: Cardiovascular	(i) (ii)	635,064 0	10,843 0	18,596 0	6,019 0	24,149 0	694,671 0	0 0
(19)Harry E MeadorVP-Cardiovascular Services	(i) (ii)	189,484 0	18,850 0	31,971 0	25,233 0	23,485 0	289,023 0	22,927 0
(20)David B Truitte MDMD: Cardiovascular	(i) (ii)	540,449 0	10,843 0	21,943 0	9,375 0	46,378 0	628,988 0	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation
Sch J Supp Info	Part 1 Line 4b	The following individuals received a payout from a Nonqualified Retirement Plan during FY 2012. The amount was included in their W-2 wages. NAME TITLE AMOUNT OF PAYOUT DAVID ADAMS CHIEF STRATEGY OFFICER $ 22,482 LEWIS ADDISON CENTRA SR VP & CFO $ 60,922 WILLIAM L. BASS, JR. CENTRA SOUTHSIDE COMMUNITY HOSPITAL COO & VP (RELATED ORGANIZATION) $ 17,149 W. MICHAEL BRYANT CENTRA PRESIDENT & CEO NONE GEORGE DAWSON FORMER CENTRA PRESIDENT & CEO $937,248 THOMAS C. JIVIDEN CENTRA EXCUTIVE VP $ 54,534 PATTI S.MCCUE CENTRA SR VP, PATIENT CARE SERVICES $ 30,091 HARRY E. MEADOR CENTRA VP, BUSINESS DEVELOPMENT $ 22,927 KATHRYN M. PUMPHREY CENTRA FOUNDTION EXEC. VP (RELATED ORG.) AND CENTRA VP OF DEVELOPMENT $ 11,908 E.W. TIBBS CENTRA SR VP, ACUTE CARE & COO/CENTRA SOUTHSIDE COMMUNITY HOSPITAL PRESIDENT $ 35,554 The following individuals had amounts deferred into a Nonqualified Retirement Plan in FY 2012: NAME TITLE AMOUNT DEFERRED DAVID ADAMS CHIEF STRATEGY OFFICER $ 36,900 LEWIS ADDISON CENTRA SR VP & CFO $ 53,690 WILLIAM L. BASS, JR. CENTRA SOUTH SIDE COMMUNITY HOSPITAL COO & VP (RELATED ORGANIZATION) $ 18,420 W. MICHAEL BRYANT CENTRA PRESIDENT & CEO $100,650 GEORGE DAWSON FORMER CENTRA PRESIDENT & CEO NONE THOMAS C. JIVIDEN CENTRA EXECUTIVE VP NONE PATTI S. MCCUE CENTRA SR VP, PATIENT CARE SERVICES $ 34,146 HARRY E. MEADOR CENTRA VP, BUSINESS DEVELOPMENT $ 19,420 KATHRYN M. PUMPHREY CENTRA FOUNDATION EXEC. VP (RELATED ORG.) AND CENTRA VP OF DEVELOPMENT $ 20,000 E.W. TIBBS CENTRA SR VP, ACUTE CARE & OO/ CENTRA SOUTHSIDE COMMUNITY HOSPITAL PRESIDENT $ 43,156
PART II, COLUMN B(III)		CENTRA HEALTH'S PRESIDENT AND CEO, GEORGE DAWSON, RETIRED IN 2011 AFTER THREE DECADES OF LEADERSHIP. THE AMOUNT REPORTED IN SCHEDULE J, COLUMN B(III) REPRESENTS A PAYOUT OF DEFERRED COMPENSATION EARNED OVER THREE DECADES OF SERVICE TO CENTRA HEALTH AND SUBSIDIARIES.

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
Centra Health Inc

Employer identification number
54-0715569

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Economic Devel Auth OF THE CITY OF LYNCHBURG VA	54-1225193	999999999	12-17-2010	30,000,000	New Construction & EQUIPMENT: 2010		X		X		X
B	INDUSTRIAL DEVEL AUTH OF COUNTY OF CAMPBELL VA	52-1309406	999999999	04-27-2007	7,500,000	NEW CONSTRUCTION (COUNTY OF CAMPBE		X		X		X
C	INDUSTRIAL DEVEL AUTHO OF THE TOWN OF AMHERST	52-1309406	999999999	06-29-2007	8,000,000	NEW CONSTRUCTION (TOWN OF AMHERST)		X		X		X
D	INDUSTRIAL DEVEL AUTH OF COUNTY OF APPOMATTOX	54-1864523	999999999	11-29-2007	7,500,000	NEW CONSTRUCTION (COUNTY OF APPOMA		X		X		X
	Industrial Devel Auth of City of Lynchburg VA	54-1225193	551245GN7	12-08-2004	126,425,000	2004 B,C,F bonds:New CONST./ CURRE		X		X		X
	Economic Devel Auth of City of Lynchburg VA	54-1225193	551245HA4	09-29-2009	78,950,000	2004 A,D,E bonds CURRENT REFUNDING		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	3,534,701		1,465,740		1,564,664		1,320,530
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	30,223,487		7,500,000		8,000,000		7,500,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	185,914		50,000		60,000		60,000
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	23,486,196		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		7,450,000		7,940,000		7,440,000
11 Other spent proceeds . . . . . . . . . . . . . .	0		0		0		0
12 Other unspent proceeds . . . . . . . . . . . . . .	6,551,377		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2013		2008		2008		2007
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .		X	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.00000%		0.00000%		0.00000%		0.00000%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0.00000%		0.00000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0.00000%		0.00000%		0.00000%		0.00000%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.00000%		0.00000%		0.00000%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X			X		X		X
b Exception to rebate? . . . . . . . .		X	X		X		X
c No rebate due? . . . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider . . . . . . . . .	BRANCH BANKING & TRU		0		0
c Term of hedge . . . . . . . . . .	7.
d Was the hedge superintegrated? . . . . . .		X
e Was a hedge terminated? . . . . . . .		X

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .	2.5
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .	X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K, PART IV, LINE 2C	0	A REBATE COMPUTATION WAS PERFORMED ON APRIL 8, 2009 FOR THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL AUCTION RATE SECURITIES REFUNDING REVENUE BONDS (CENTRA HEALTH), SERIES 2004A AND SERIES 2004B-F.

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
Centra Health Inc

Employer identification number
54-0715569

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Economic Devel Auth OF THE CITY OF LYNCHBURG VA	54-1225193	999999999	12-17-2010	30,000,000	New Construction & EQUIPMENT: 2010		X		X		X
B	INDUSTRIAL DEVEL AUTH OF COUNTY OF CAMPBELL VA	52-1309406	999999999	04-27-2007	7,500,000	NEW CONSTRUCTION (COUNTY OF CAMPBE		X		X		X
C	INDUSTRIAL DEVEL AUTHO OF THE TOWN OF AMHERST	52-1309406	999999999	06-29-2007	8,000,000	NEW CONSTRUCTION (TOWN OF AMHERST)		X		X		X
D	INDUSTRIAL DEVEL AUTH OF COUNTY OF APPOMATTOX	54-1864523	999999999	11-29-2007	7,500,000	NEW CONSTRUCTION (COUNTY OF APPOMA		X		X		X
	Industrial Devel Auth of City of Lynchburg VA	54-1225193	551245GN7	12-08-2004	126,425,000	2004 B,C,F bonds:New CONST./ CURRE		X		X		X
	Economic Devel Auth of City of Lynchburg VA	54-1225193	551245HA4	09-29-2009	78,950,000	2004 A,D,E bonds CURRENT REFUNDING		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	3,534,701		1,465,740		1,564,664		1,320,530
2 Amount of bonds legally defeased . . . . . . . . . . .	0		0		0		0
3 Total proceeds of issue . . . . . . . . . . . . . .	30,223,487		7,500,000		8,000,000		7,500,000
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0		0		0		0
5 Capitalized interest from proceeds . . . . . . . . . . .	0		0		0		0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0		0		0		0
7 Issuance costs from proceeds . . . . . . . . . . . .	185,914		50,000		60,000		60,000
8 Credit enhancement from proceeds . . . . . . . . . . .	0		0		0		0
9 Working capital expenditures from proceeds . . . . . . . . .	23,486,196		0		0		0
10 Capital expenditures from proceeds . . . . . . . . . . .	0		7,450,000		7,940,000		7,440,000
11 Other spent proceeds . . . . . . . . . . . . . .	0		0		0		0
12 Other unspent proceeds . . . . . . . . . . . . . .	6,551,377		0		0		0
13 Year of substantial completion . . . . . . . . . . . .	2013		2008		2008		2007
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .		X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X		X
16 Has the final allocation of proceeds been made? . . . . . . . .		X	X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0.00000%		0.00000%		0.00000%		0.00000%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0.00000%		0.00000%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0.00000%		0.00000%		0.00000%		0.00000%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	0.00000%		0.00000%		0.00000%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X			X		X		X
b Exception to rebate? . . . . . . . .		X	X		X		X
c No rebate due? . . . . . . . . . .		X		X		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider . . . . . . . . .	BRANCH BANKING & TRU		0		0
c Term of hedge . . . . . . . . . .	7.
d Was the hedge superintegrated? . . . . . .		X
e Was a hedge terminated? . . . . . . .		X

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X		X		X
b Name of provider . . . . . . . . .	0		0		0		0
c Term of GIC . . . . . . . . . .	2.5
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .	X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
SCHEDULE K, PART IV, LINE 2C	0	A REBATE COMPUTATION WAS PERFORMED ON APRIL 8, 2009 FOR THE INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL AUCTION RATE SECURITIES REFUNDING REVENUE BONDS (CENTRA HEALTH), SERIES 2004A AND SERIES 2004B-F.

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Centra Health Inc

Employer identification number

54-0715569

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) Mark Addison	FAMILY MEMBER OF	to purchase computer		X	840	711		No		No	Yes





Total ...... $						711

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Lynchburg Pulmonary Associates	SEE PART V	1,585,125	SEE PART V		No
(2) ORTHOPAEDIC CTR OF CENTRAL VIRGINIA	SEE PART V	626,254	SEE PART V		No
(3) MEDICAL ASSOCIATES OF CENTRAL VA	SEE PART V	9,002,954	SEE PART V		No
(4) SCOTT INSURANCE	SEE PART V	648,598	SEE PART V		No
(5) MARK C ADDISON	SEE PART V	29,986	SEE PART V		No
(6) Mark A McKinney	SEE PART V	101,378	SEE PART V		No
(7) Elizabeth Wade	SEE PART V	18,012	SEE PART V		No

Part V

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation
Schedule L, Part IV, Business Transactions Involving Interested Persons:		(A) Name of Person: Lynchburg Pulmonary Associates (B) Relationship Between Interested Person and Organization: Board member Albert Baker, MD is partial owner of Lynchburg Pulmonary Associates (C) Amount of Transaction: $1,585,125 (D) Description of Transaction: Payments for coverage of patients in critical care units rendered to Centra Health, Inc. in Lynchburg, VA (E) Sharing of Organization Revenues?: No (A) Name of Person: Orthopaedic Center of Central Virginia (B) Relationship Between Interested Person and Organization: Board member Michael Diminick, MD is shareholder of Orthopaedic Center of Central Virginia (C) Amount of Transaction: $626,254 (D) Description of Transaction: Payment for medical services rendered to Centra Health, Inc (E) Sharing of Organization Revenues?: No (A) Name of Person: Medical Associates of Central Virginia (B) Relationship Between Interested Person and Organization: Board member Scott Wade, MD and Kirkham Sydnor are partial owners of Medical Associates of Central Virginia (C) Amount of Transaction: $9,002,954 (D) Description of Transaction: Payment for medical services rendered to Centra Health, Inc. (E) Sharing of Organization Revenues? No (A) Name of Person: Scott Insurance (B) Relationship Between Interested Person and Organization: Board member Walker Sydnor serves as President & Chairman of the Board of Scott Insurance. (C) Amount of Transaction: $648,598 (D) Description of Transaction: Payment of insurance premiums provided to Centra Health, Inc. (E) Sharing of Organization Revenues?: No (A) Name of Person: Mark C. Addison (B) Relationship Between Interested Person and Organization: Family member of Lewis Addison, Officer of Centra Health, Inc. (C) Amount of Transaction: $29,986 (D) Description of Transaction: Compensation as employee of Centra Health, Inc. (E) Sharing of Organization Revenues?: No (A) Name of Person: Mark A. McKinney (B) Relationship Between Interested Person and Organization: Family member of E.W. Tibbs, Key Employee of Centra Health, Inc. (C) Amount of Transaction: $101,378 (D) Description of Transaction: Compensation as employee of Centra Health, Inc. (E) Sharing of Organization Revenues?: No (A) Name of Person: Elizabeth Wade (B) Relationship Between Interested Person and Organization: Family member of Scott Wade, MD, Board member of Centra Health, Inc. (C) Amount of Transaction: $18,012 (D) Description of Transaction: Compensation as employee of Centra Health, Inc. (E) Sharing of Organization Revenues?: No

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

Centra Health Inc

Employer identification number

54-0715569

Identifier	Return Reference	Explanation
Form 990, Part III, Line 4a		As the regional health care leader, Centra Health, Inc.'s commitment to the central Virginia region extends far beyond the walls of its health system facilities. Centra Health, Inc. (Centra) has been bringing babies into the world, treating the ill and injured, saving lives and enhancing health for 25 years, and has earned many national awards and accolades for its quality of care. However, just as important is Centra's commitment and dedication to serving as a partner in the regional communities. Disease prevention and health education are integral parts of what Centra provides throughout the region. From outstanding medical services to free screenings and educational programs, Centra is committed to providing the best health care for its patients and improving the health and wellness of all the residents of central Virginia. Centra's community events, offered in collaboration with the Centra Health Foundation and the Centra medical staff, is just one example of Centra's many services to the community. In addition, Centra employees dedicate themselves to improving the health and well being of the community by taking an active role in the region, from volunteering for local boards and civic and community organizations to participating in community events and staffing health and wellness fairs. Centra is a major partner in the health of the region and takes great pride in providing facilities, resources and expertise to improve the health and wellness of people throughout central Virginia. During 2012, Centra received the following national awards and accolades: -Centra's Breast Imaging Center has been designated a Breast Imaging Center of Excellence by the American College of Radiology (ARC) for its dedication to improving women's health and for being fully accredited by the ARC in mammography, biopsy and ultrasound. -Lynchburg General and Virginia Baptist hospitals were designated as Magnet facilities by the American Nurses Credentialing Center which recognizes excellence in nursing. -Centra was awarded a high rating by The Society of Thoracic Surgeons' for quality in cardiac surgery. Centra is the only healthcare system in Virginia to have received this award every year since its inception. -Centra Lynchburg General and Virginia Baptist hospitals received recognition as one of the Top 100 Most Wired and Top 25 Most Wireless Hospitals in the country by Hospitals & Health Networks magazine. -Centra Lynchburg General Hospital's Chest Pain Center has earned Cycle IV Accreditation of the Chest Pain Center, an international accreditation from the Society of Chest Pain Centers for achieving a high level of expertise in caring for patients who arrive with symptoms of a heart attack. -Centra Lynchburg General Hospital has earned The Joint Commission's National Certificate of Distinction for Primary Stroke Centers. -Centra received re-certification for treatment of acute myocardial infarction (AMI) patients from The Joint Commission. -Centra Lynchburg General Hospital is a Level II Trauma Center, offering 24-hour, comprehensive emergency care and transportation services, including air medical transport by the state-of-the-art helicopter, Centra ONE. -The Lynchburg General Hospital School of Nursing Diploma Program has received Full Accreditation of Diploma Program from the National League of Nursing Accreditation Council. -The Centra Joint Replacement Center received Certification of the Total Knee and Total Hip Replacement Program by The Joint Commission. 2012 Community Benefit Highlights -Centra contributed more than $70 million toward community benefits, including: -Traditional Charity Care, which includes health care services to patients who do not have the ability to pay. During 2012, $45,629,442 of charges at an estimated cost of $22,518,165 was provided to patients of Centra. The criteria for determining eligibility for charity assistance focuses on income levels set by the state of Virginia. These policies call for providing care free of charge to patients who demonstrate a family income below or equal to 200 percent of the state approved poverty guideline. Patients who have a family income of greater than 200 percent to 400 percent of the poverty level are eligible for partial assistance based on a discount schedule that considers both family gross income and account balance. Assistance is provided by Centra and from indigent funds made available by Centra Health Foundation. -Unpaid Costs of Medicare, which reflects the cost not reimbursed by Medicare for care rendered to Medicare patients, and totaled $25,645,144. -Unpaid Costs of Medicaid, which reflects the cost not reimbursed by Medicaid for care rendered to Medicaid patients, and totaled $22,037,432 -Cash/In-Kind Donations, which include contributions made on behalf of Centra to the community and in-kind donations, and totaled $1,086,526, FY 2012.
Community Education & Health Screenings		Central Virginians benefit from quality health education opportunities and screenings, thanks to the partnership between Centra and the Centra Health Foundation. Included below is a list of selected accomplishments and community support Centra provided in 2012 as a community partner. Centra employees continually offer professional health education programs, classes, lectures, seminars, health fairs and health screenings throughout the region. In addition, dietitians, diabetic instructors and many other professionals at Centra provide "one-on-one" personalized education. In 2012, health education programs and health fairs reached more than 12,000 people. Compassion Fatigue This class presents research, insight and tools on how you can take a load off, and avoid compassion fatigue while caring for others. The program's objective is to recognize the challenges that caregivers face, including emotional, physical and mental pain and fatigue, and most importantly give tools how to focus on healthy self-care and attention to their own needs. Knitting and Crocheting Class/Group This program offers cancer patients, caregivers, and others affected by cancer the opportunity to learn the art of knitting and crocheting. The objective of the class is to provide ways to pass time during treatments, to create donations for patients, and a place to build a support group that meets regularly so that participants have an easy way to connect and build relationships. Pressure Points Class This class was offered as a means of integrative medicine and alternative ways to deal with difficult side effects for cancer patients. The objective of the class was to show the class how to use reflexology points and acupuncture points to ease certain issues such as nausea, anxiety, and constipation, and how you can help yourself by stimulating these points, and was taught by our massage therapist, Jane Simms, M.A., C.M.T. Scrapbooking Class This class provided cancer patients and family members an opportunity to preserve their memories. The objective was to offer ways to keep the snapshots, handmade cards, concert tickets, old family photos, and other sentimental items so that those memories can be passed down for generations. Writing Workshops This series of workshops was a place for those affected by cancer to process their journey on paper. The objective was to provide a safe, open and healing environment to explore yourself on paper, whether it be childhood stories, the start to a memoir, personal reflections, or your cancer journey. They were led by Jeri Watts, Ph.D., Lynchburg College professor of human development and learning. Studies have shown that writing can decrease stress, anxiety, pain and other physical symptoms of illness, as well as improve personal well-being. Cardiac Education and Screenings Various programs within the Stroobants Heart Center offer members of the community free education, screenings and lectures. Through HeartAware, members of the community are able to take the free assessment to determine their individual risk of developing heart disease. Their risks are evaluated by cardiac nurses that determine a plan of action to lower or eliminate these risks. Along with HeartAware, community events, health fairs, lectures, blood pressure and cholesterol screenings are an effective approach to raising awareness and combating heart disease. Health Screenings and Community Health Education Centra provides sponsorship and support of community health education and health screening programs. Health and wellness topics span the health and wellness continuum, addressing both wellness and disease-related issues. Health screenings provided throughout the region include blood sugar, cholesterol, body fat percentage, pulmonary function, PSA for prostate cancer, skin and colorectal cancer, blood pressure screenings and osteoporosis screenings. Mammography screenings are also provided at no charge to women who are underinsured or uninsured. Sleep Disorders Center Outreach The Sleep Disorders Center at Virginia Baptist Hospital participated in numerous health fairs at local businesses and churches in the community. Staff members gave lectures and presentations on sleep disorders. Presentations included information related to healthy sleep habits, the importance of sleep, health risks due to sleep disorders and treatment options. In 2012, approximately 1,500 people were served. The Witness Project The Witness Project is a very important part of the Oncology Breast Navigation Program at Centra. The program targets the underserved in Lynchburg and the surrounding counties. As part of the program, lay health educators and breast cancer survivors train with registered nurses (Breast Navigators), to bring culturally competent programs to women in community settings. The project, part of a national program and the first in Virginia, receives support from Centra, Centra Health Foundation and Susan G. Komen For the Cure. Vouchers for screening and diagnostic mammograms are also available to uninsured women with financial needs. The Oncology Breast Navigation program through the help of The Witness Project volunteers served 1,196 people in 2012 through 14 events throughout the year. Community Classes In addition to free screenings, support groups and community outreach, Centra also provided educational classes to the community on a broad range of health and wellness topics. Classes included Family Emergency Care (CPR), Baby Care, Infant Massage, Breast-Feeding, Lamaze, Puberty, Safe Sitter, New Sibling classes, weight management and Smoking Cessation. Support Groups Support groups-offered to the community without charge-provide a forum for education and the exchange of ideas. These groups address an array of issues including bereavement, breast cancer, prostate cancer, sleep disorders and cardiac rehabilitation. Bereavement Support Group Resolve Through Sharing Bereavement Support Group is for parents who have experienced the loss of a baby in pregnancy or infancy, including ectopic pregnancy, miscarriage, stillbirth, medical interruption, neonatal death or SIDS. Parents share their experiences and coping strategies and a lending library is available at each meeting. Other bereavement support groups meet weekly and offer psycho educational support for adults who have experienced the death of a loved one. There is a speaker each week that focuses on a particular aspect of grief (e.g. physical, emotional, social, spiritual, and approaching holidays and special days). Each group provides a supportive sharing component for the participants who wish to share their experience of grief and is facilitated by a clinical social worker who is experienced in grief counseling.
Breast Cancer Support Group		A breast cancer support group is offered to women diagnosed with breast cancer at any stage of the disease. The support group addresses breast health and related issues of importance to women with breast cancer. This group meets once a month and reached 127 women in 2012. Central Virginia AWAKE (Alert, Well and Keeping Energetic) Support Group This group offers support and shares information about sleep disorders, treatments, equipment and supplies to improve the quality of sleep. Man To Man Man To Man is an American Cancer Society educational support group designed to meet the needs of men diagnosed with prostate cancer and spouses or caregivers. This support group meets at the Alan B. Pearson Regional Cancer Center and is supported through our Prostate Cancer Navigation program. Mended Hearts/Cardiac Rehab Support Groups These cardiac-related support groups offer education and emotional support to cardiac patients and their families. In-kind & Donations -During 2012, Centra donated over $396,927 in medical supplies to Gleaning for the World and other various organizations and agencies in the region. -Centra donated school supplies to area schools for underprivileged children, food to the community food drive, and a variety of furniture to the Grace Lodge, Central Virginia Area of Aging, Disabled American Veterans, Habitat for Humanity and many other community service organizations during the year. Centra also allowed community agencies and organizations the use of many of the meeting rooms throughout its facilities. -During 2012, Centra Lab processed 2,873 laboratory tests for Central Virginia Free Clinic clients at no charge. This donated service resulted in a community benefit exceeding $222,281. -A total of 2,643 meals were provided to the Lynchburg Meals on Wheels Program at a cost of approximately $7,400.40. Special Needs Projects & Mentoring Centra provides and promotes many special need projects and mentoring opportunities. Educational opportunities are offered to students in a broad range of professional and technical programs. At Centra, students gain experience in nursing, technical and clinical professions. Several high schools and universities in Virginia rotate students through Centra's facilities with Centra staff members, giving these students the opportunity to train and gain experience in their chosen career fields. Here is a list of special projects Centra supports: Beds & Britches, Etc. (B.A.B.E.) B.A.B.E. is a prenatal care incentive program designed in response to Fetal & Infant Mortality Review (FIMR) findings that showed lack of prenatal care was a common risk factor among infant death cases. To increase the number of women who receive early and consistent prenatal care, women who participate in the program receive incentives for compliance with prenatal care. Women with household incomes of $30,000 or less annually, Medicaid recipients and pregnant teens are eligible. The B.A.B.E. program is managed by the Childbirth and Family Education Department at Centra, and receives support from the Children's Miracle Network, and community fund-raising events. A total of 177 new clients participated in the B.A.B.E. program in 2012, with a total of 248 visits for new and returning participants. Community Voice - Decreasing African American Infant Mortality Created as an intervention based on Fetal & Infant Mortality Review (FIMR) findings and a need to address racial disparity in infant mortality rates, Community Voice is a grassroots community-based, community-partnered outreach intervention program designed to help reduce disparities in infant death through implementation of the Taking It to the People curriculum. The curriculum consists of five two-hour sessions and covers basic perinatal health topics and psychosocial issues that impact infant death. Once trained program participants become lay health advisers and share the information learned with family, friends and people in their individual neighborhoods. During 2012, approximately 3,000 people received perinatal health information through a combination of the following Community Voice activities: -Taught 1 Train the Trainer Session: Miami, Florida and processed 13 Community Voice orders resulting in the program bringing in $31,135.60. -Completed Breastfeeding Certification -Assisted with VBH Bestfed Initiative-Storyboard -Developed Brochure for Childbirth and Family Ed -Developed African American Breastfeeding Brochure -Developed Car Seat Flyer -Assisted with "Life Begins at Centra" Book -Updated Community Voice Materials -Taught 55 Community Voice sessions (11 five-session classes) -Trained 102 Lay Health Advisors -1067 LHA Contacts -Taught 3 Community Safe Sitter classes -Taught 3 Community Breastfeeding Classes -Co-Facilitated 6 Family Emergency Care Classes -Taught 1 Family Emergency Care Class -1 Community Presentation: PMI Women's Conference, Topic: Infant Mortality -1 Speaking Engagement: Prematurity Awareness Day at Crossroads Baptist Church -Meetings: 4 Health Commissioner's Infant Mortality Workgroup, 1 Centra Diversity Sub-Committee, 2 Community Action Team, 3 Smart Beginnings, 10 College Hill Community Board, 2 Case Review Team, 3 Breastfeeding Coalition. -Attended 3 Community Events: National Night Out, I am Woman Race, Juneteenth -Attended 3 Healthfairs: YMCA Healthfair, Diamond Hill Community Center Healthfair, Genworth Healthfair, -Developed 8 Bulletin Board. -Manned BABe Store -Researched Grants -Managed CV Website and Facebook page -Developed consumer education flyers for bestfed initiative -Weekly recruitment and outreach activities
Forensic Nurse Program		The Forensic Nurse Program began in 1997. It consists of registered nurses trained in the collection of forensic evidence. The forensic nurses work with law enforcement, social services and the court system. We respond to victims of physical assault, sexual assault and abuse and neglect in both the adult and pediatric population. We provide educational/training lectures to rescue agencies, police departments, Police Academy, attorneys and various colleges including the criminal justice and nursing programs. This program serves clients from Central Virginia and the surrounding area. In 2012, the program handled 636 cases. Hospitality Suites Centra provides hospitality suites, which include overnight accommodations for patient families who need to stay close to their hospitalized family member. There is no charge for the suites. Suites are located at Virginia Baptist Hospital and Lynchburg General Hospital. The Infectious Diseases Center of Central Virginia The Infectious Diseases Center of Central Virginia is a partnership between independent service providers, Medical Associates of Central Virginia and Centra to provide medical care, pharmaceutical access and support services to people with HIV/AIDS. The centers in Lynchburg and Danville served 426 clients in 2012. Rivermont Schools Centra's Rivermont Schools provide specialized education for students with behavioral or emotional concerns as well as students on the autism spectrum. Seven schools throughout Virginia address the needs of more than 410 students and operate on a 180-day school year calendar. Rivermont Schools are located in Lynchburg, Roanoke, Chase City, Dan River, Hampton Roads, Tidewater, Alleghany and Rockbridge. The Rivermont Schools provide a unique, supportive environment serving children and adolescents with emotional problems, behavior disorders and learning disabilities. Academic subjects are taught in an environment that promotes behavioral management, interpersonal skills, family involvement and social awareness. Volunteer Services Centra has many dedicated volunteers from throughout central Virginia who choose to give back to their community by donating their time and talents. Guggenheimer Volunteer Services Over 60 volunteers donated time at Guggenheimer Health and Rehabilitation Center to provide residents with enrichment and interaction through the "Enhancing Lives Every Day" program. They support many areas of the program by providing musical entertainment, exercise classes and craft classes as well as assistance in transporting residents and answering the phone.
Hospice Volunteers		In 2012, 150 volunteers donated 7,758 hours of service to the Hospice program. A large portion of their time and talent was committed to the Hospice House. Volunteers support the Hospice House by grocery shopping, meal preparation, cleaning and decorating, interacting with patients and families and offering support to families who have lost a loved one. The volunteers have reported driving more than 62,710 miles in 2012. Stories of Assistance thru Donations to Centra Health Foundation Centra Health, Inc. donates funds to the Centra Health Foundation on an annual basis. A portion of the gifts to the Foundation provide financial assistance to patients who are in need. Below are just a few examples of this assistance. A 46 year old farmer without health insurance was diagnosed with cancer. With chemotherapy treatment fees of over $52,000, the man was facing bankruptcy and was unsure if he would survive his treatment. The Centra Foundation provided him with assistance in paying his bills. He went through all 16 of his treatments, is no longer facing bankruptcy, and his hair is beginning to grow back thanks to the help of the Centra Foundation. The mother of a family with a combined income of $30,000 per year with three children worked part time and had no health insurance. Faced with a $17,000 hospital bill, the woman and her family fell outside of the Medicaid guidelines for assistance. This amount was not within their means to pay, and so the Centra Foundation provided the family with the financial relief they needed. Because of Centra Health Inc.'s annual donation to Centra Health Foundation, the Foundation is able to provide assistance through numerous funds. One of those funds is the Patient Support Fund. Here are a few examples of how patients are assisted thru this particular fund. Early in the year, a young gentleman needed treatment for lymphoma. He was working, but lost his job just prior to being diagnosed. Due to his loss of income, the patient and his family were struggling financially. They could not afford gas for him to be able to travel 45 minutes from his home to the cancer center to get the treatment he needed. Through the Patient Support Fund, we were able to give this man gas cards so that he could get to his chemotherapy visits. He now has completed treatment and is doing well. Some patients have difficulty when treatment ends. One lady requested help from the Patient Support Fund because she could not afford orthotics for her shoes. After being treated for lung cancer, this lady developed neuropathy in her feet which made walking difficult for her. When her physician and physical therapist recommended orthotics to help with her mobility, the patient's Medicaid would not pay for them. Because she had limited income, this patient could not afford to pay $300.00 for orthotics. Through the Patient Support Fund, we were able to purchase the orthotics so that she could have more mobility and a better quality of life. Other quality of life issues for patients who are going through cancer treatment involve being able to have enough caloric intake to maintain their body weight. Recently, we were treating a gentleman who had head and neck cancer. One of the side effects of this type of treatment is temporary difficulty with swallowing. While patients are encouraged to eat to maintain their swallowing muscles, many are unable to eat food that is not in a puree or liquid form. In those circumstances, patients often rely on nutritional supplements to get the calories they need. This gentleman had Medicaid which would not pay for supplements because he was able to swallow some food. Because this gentleman was unable to pay for supplements, we were able to buy a one month supply of Ensure for him so that he could have the nutritional support he needed to get through treatment thanks to the Patient Support Fund. Basic necessities may also include deodorant. Some patients who are going through radiation treatment cannot use regular deodorant and have to rely on a specialty deodorant which is more costly or not use it at all. One patient who was being treated for breast cancer wanted to be able to use deodorant, but did not have the money to buy it. Staff from Image Recovery called to let us know of this lady's dilemma and her frustration with not being able to have the hygiene routine she had before cancer. Because of the Patient Support Fund, we were able to give this lady a basic necessity that we all take for granted and help her self esteem. While there are many things we do not even realize others cannot afford, many people have changes in their lives which are instant and which drastically alter their normal state of being. Cancer is one such change that can alter a person's life both physically and financially. Contributions to the Patient Support Fund have been very valuable to our patients who are in need.
FORM 990, PART VI, SECTION A, LINE 2:		BOARD MEMBERS RODGER FAUBER AND STUART FAUBER HAVE A FAMILY RELATIONSHIP. OFFICERS LEWIS ADDISION, W. MICHAEL BRYANT, AND KEY EMPLOYEE E.W. TIBBS ARE EACH BOARD MEMBERS OF CENTRAL VIRGINIA IMAGING. BOARD MEMBERS AUGUSTUS PETTICOLAS, JR, AND JULIE DOYLE, AND OFFICER LEWIS ADDISON ARE EACH BOARD MEMBERS OF THE BANK OF THE JAMES, LYNCHBURG, VA. OFFICERS W. MICHAEL BRYANT, LEWIS ADDISON, AND THOMAS JIVIDEN, KEY EMPLOYEES DAVID ADAMS, AND E.W. TIBBS, AND BOARD MEMBER CONSUELLA WOODS ARE EACH BOARD MEMBERS OF THE BEDFORD MEMORIAL HOSPITAL, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. KEY EMPLOYEES DAVID ADAMS AND E.W. TIBBS ARE DIRECTORS OF HEALTHWORKS, WHICH IS OWNED 50% BY SCOTT INSURANCE, OF WHICH BOARD MEMBER WALKER SYDNOR IS AN OFFICER OF THE BOARD. KEY OFFICER DAVID ADAMS AND OFFICER W. MICHAEL BRYANT ARE BOTH OFFICERS OF THE BOARD OF PIEDMONT COMMUNITY HEALTH PLAN, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. BOARD MEMBERS LEWIS ADDISON, MICHAEL BRADFORD, RODGER FAUBER, AND MARC SCHEWEL ARE EACH BOARD MEMBERS OF PIEDMONT COMMUNITY HEALTH PLAN. KEY EMPLOYEE E.W. TIBBS IS A BOARD MEMBER OF THE SURGERY CENTER OF LYNCHBURG, LLC, A 50% JOINT VENTURE OF CENTRA HEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 8 A &B:		MINUTES ARE TAKEN AT EACH MEETING.
FORM 990, PART VI, SECTION B, LINE 11B		CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, CENTRA REVIEWED THE FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12 C:		ALL CENTRA OFFICERS AND DIRECTORS MUST COMPLETE A "POSSIBLE CONFLICT OF INTEREST" QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15:		CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS THREE ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FOUR MEMBERS MEET THE IRS FORM 990 INDEPENDENCE DEFINITION. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. THE COMPENSATION COMMITTEE IS ALSO RESPONSIBLE FOR THE REVIEW AND APPROVAL OF SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF CENTRA, BASED ON THE RECOMMENDATIONS MADE BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES.
FORM 990, PART VI, SECTION C, LINE 18:		PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19: PHOTOCOPIES OF THE GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION.
FORM 990, PART VI, LN 16B:		JOINT VENTURE POLICY - CENTRA HEALTH, INC. DID NOT HAVE A FORMAL WRITTEN JOINT VENTURE POLICY RELATING TO MONITORING JOINT VENTURES AT THE CLOSE OF THE 2012 TAX YEAR. THE ORGANIZATION IS DEVELOPING A FORMAL POLICY TO BECOME EFFECTIVE IN THE 2013 YEAR FORWARD.
FORM 990, PART IX, LINE 11G: OTHER FEES FOR SERVICES		OTHER 72,037 PURCHASED & CONTRACTED SVCS 40,205,235 PROFESSIONAL FEES 19,177,335 -------------- TOTAL 59,454,607
FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS		CHANGE IN PENSION REPORTING 207,444 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 447,939 NET ASSETS RELEASED FROM RESTICTIONS TO AFFILIATED ENTITIES (123,847) MINORITY INTEREST (51,690) TOTAL TO FORM 990, PART XI, LINE 9 479,846

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Centra Health Inc

Employer identification number

54-0715569

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Centra Health Professional Services LLC 1920 Atherholt Road Lynchburg,VA24501 20-3639329	Physician Svc	VA	41,340,394	13,186,049	Centra Healt
(2) Centra Health Emergency Physician Servic 1920 Atherholt Road Lynchburg,VA24501 20-5965653	Emergency Phy	VA	8,870,328	1,798,294	Centra Healt
(3) Centra Health Cardiovascular Services L 1920 Atherholt Road Lynchburg,VA24501 20-5118331	Cardiovascula	VA	6,811,836	0	Centra Healt
(4) Central Virginia Hospital for Restorativ 1920 Atherholt Road Lynchburg,VA24501 20-4712023	Healthcare	VA	10,698,333	3,279,498	Centra Healt
(5) Centra Health Indemnity Company Inc 1920 Atherholt Road Lynchburg,VA24501 27-0927253	Captive Insur	VT	4,084,036	15,522,974	Centra Healt

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Centra Health Foundation Inc 1920 Atherholt Road Lynchburg,VA24501 54-1604094	Supporting Or	VA	501(c)(3)	Line 11a, I	NA	Yes
(2) Southside Community Hospital 800 Oak Street Farmville,VA23901 54-0555201	Healthcare	VA	501(c)(3)	Line 3	NA	Yes
(3) CCRC Inc 1920 Atherholt Road Lynchburg,VA24501 54-1929580	Healthcare	VA	501(c)(3)	Line 11a, I	NA	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) General Business Concerns Inc 1920 Atherholt Road Lynchburg,VA24501 54-1299682	Real Estate-Physi	VA	NA	C Corp	538,139	2,481,095	100.000 %	Yes

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Centra Health Foundation Inc	b	255,443	BOOK VALUE
(2) Centra Health Foundation Inc	c	2,886,881	BOOK VALUE
(3) Centra Health Foundation Inc	p	977,121	BOOK VALUE
(4) Southside Community Hospital Inc	b	4,789,567	BOOK VALUE
(5) Southside Community Hospital Inc	d	13,981,660	BOOK VALUE
(6) Southside Community Hospital Inc	q	1,038,000	BOOK VALUE
(7) CCRC Inc	q	100,000	BOOK VALUE
(8) General Business Concerns Inc	k	182,364	BOOK VALUE

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Excellent Care - Every Time.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	27
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	6,330
6	Total number of volunteers (estimate if necessary) .............	6	1,018
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	9,490,632
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	178,621

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,204,465	3,801,580
9	Program service revenue (Part VIII, line 2g) .........	603,065,082	593,965,951
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	11,866,039	28,007,817
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,797,120	3,170,581
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	620,932,706	628,945,929
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	554,372	572,960
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	309,611,313	330,674,511
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	265,771,502	244,318,461
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	575,937,187	575,565,932
19	Revenue less expenses. Subtract line 18 from line 12.......	44,995,519	53,379,997
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	739,401,611	801,567,246
21	Total liabilities (Part X, line 26).............	391,024,184	390,787,592
22	Net assets or fund balances. Subtract line 21 from line 20.....	348,377,427	410,779,654

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 508,969,754 including grants of $ 572,960 ) (Revenue $ 584,479,319 )
	AS THE REGIONAL HEALTH CARE LEADER, CENTRA HEALTH, INC.'S COMMITMENT TO THE CENTRAL VIRGINIA REGION EXTENDS FAR BEYOND THE WALLS OF ITS HEALTH SYSTEM FACILITIES. CENTRA HEALTH, INC. (CENTRA) HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR 25 YEARS, AND HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. PLEASE SEE THE CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses508,969,754

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	12,082,040	255,287	929,379

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		2,886,881
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		914,699

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			3,801,580
			Business Code
2a	Net Patient Service Revenue		621400	566,411,723	556,921,091	9,490,632
b	Ancillary Services		900099	16,584,979	16,584,979
c	Tuition & Education		611600	13,491,442	13,491,442
d	Controlled Entities		900099	-2,522,193	-2,522,193
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			593,965,951
3	Investment income (including dividends, interest, and other similar amounts).......			6,491,084			6,491,084
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	1,405,608
b	Less: rental expenses	1,144,502
c	Rental income or (loss)	261,106	0
d	Net rental income or (loss).......			261,106			261,106
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	21,503,593	13,140
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	21,503,593	13,140
d	Net gain or (loss)..........			21,516,733			21,516,733
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	Cafeteria/Vending/Dietary		722210	2,503,847			2,503,847
b	SUBSIDIARY MGMT FEE		541610	405,628			405,628
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,909,475
12	Total revenue. See Instructions......			628,945,929	584,475,319	9,490,632	31,178,398


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			39,049,580	1	36,625,883
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			55,972,775	4	55,697,323
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	711
7	Notes and loans receivable, net .............			144,188	7	144,188
8	Inventories for sale or use ..............			12,845,821	8	13,039,209
9	Prepaid expenses and deferred charges ..........			2,282,407	9	3,951,635
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	688,978,768
b	Less: accumulated depreciation .....	10b	441,642,842	243,080,047	10c	247,335,926
11	Investments—publicly traded securities ..........			274,845,806	11	307,966,129
12	Investments—other securities. See Part IV, line 11 .....			99,082,682	12	117,608,871
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			12,098,305	15	19,197,371
16	Total assets. Add lines 1 through 15 (must equal line 34)......			739,401,611	16	801,567,246
17	Accounts payable and accrued expenses .........			59,515,625	17	60,433,237
18	Grants payable .................			0	18	0
19	Deferred revenue ................			802,131	19	957,905
20	Tax-exempt bond liabilities .............			219,322,395	20	211,963,596
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			111,384,033	25	117,432,854
26	Total liabilities. Add lines 17 through 25.........			391,024,184	26	390,787,592
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			300,220,897	27	359,013,094
28	Temporarily restricted net assets ...........			18,358,152	28	21,968,182
29	Permanently restricted net assets ...........			29,798,378	29	29,798,378
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			348,377,427	33	410,779,654
34	Total liabilities and net assets/fund balances ........			739,401,611	34	801,567,246