TY 2018 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) AMY G RAY...................................................................... CHAIRMAN	2.0 ................. 0.0	X	X	0	0
(2) GEORGE R ZIPPEL...................................................................... VICE-CHAIRMAN	2.0 ................. 0.0	X	X	0	0
(3) EW TIBBS...................................................................... PRESIDENT/CEO (THRU 9/18)	50.0 ................. 0.0	X	X	2,017,436	221,900
(4) MICHAEL BRADFORD...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(5) JULIE P DOYLE...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(6) THOMAS NYGAARD MD...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(7) FRANCIS E WOOD JR...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(8) SHARON L HARRUP...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(9) HYLAN HUBBARD...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(10) TODD IRBY...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(11) VERNA R SELLERS MD...................................................................... DIRECTOR	50.0 ................. 0.0	X		258,314	11,937
(12) R SACKETT WOOD...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(13) PETER CAPRISE MD...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(14) ALBERT M BAKER MD...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(15) AMANDA STANLEY...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0
(16) DAVID G GOUGH...................................................................... TREASURER & SVP/CFO	50.0 ................. 0.0		X	481,004	101,156
(17) DAVID D ADAMS...................................................................... SECRETARY & EVP/CSO	50.0 ................. 0.0		X	661,652	44,007

(A) Name and business address	(B) Description of services	(C) Compensation
HOSPITALIST ASSOCIATES OF VIRGINIA, 2215 LANDOVER PLACE LYNCHBURG,VA24501	PHYSICIAN SERVICES	21,843,630
VIZIENT INC, 5543 LEGACY DRIVE PLANO,TX75024	CONTRACT LABOR SVCS	20,881,947
ATOS DIGITAL HEALTH SOLUTIONS INC, DEPT 772066 PO BOX 78000 DETROIT,MI482781177	SOFTWARE SVCS	8,854,569
COMPHEALTH, PO BOX 972651 DALLAS,TX75397	PHYSICIAN SERVICES	6,725,088
ROI HEALTHCARE SOLUTIONS, 5555 GLENRIDGE CONNECTOR SUITE 200 ATLANTA,GA30342	IT CONSULTING SVCS	4,944,780
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 152

- 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.
right arrow

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 12, 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 (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. 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—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) 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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization CENTRA HEALTH INC		Employer identification number 54-0715569

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization CENTRA HEALTH INC			Employer identification number 54-0715569
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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 (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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 on 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)? ........

Yes

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? .......................

Yes

30,137

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

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

Yes

45,642

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

75,779

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

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1(G):	DIRECT CONTACT WITH LEGISLATORS, ETC: PAID STAFFS LOBBYING ACTIVITIES INCLUDES REGISTRATION FEES, TRAVEL TO WASHINGTON, DC AND RICHMOND, VA DURING 2018 ATTRIBUTABLE TO LOBBYING EXPENSES, HOTELS, PARKING, MEALS, ETC. WAS $9,493. 15% OF ONE EMPLOYEES 2018 SALARY WAS ATTRIBUTABLE TO DIRECT LOBBYING: $20,644.
SCHEDULE C, PART II-B, LINE 1(I):	OTHER LOBBYING ACTIVITIES: A PORTION OF THE ORGANIZATION'S VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION (VHHA) DUES FOR 2018 WERE ATTRIBUTABLE TO LOBBYING EXPENSES. THIS AMOUNT WAS $45,642.

Schedule C (Form 990 or 990EZ) 2018

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," on 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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2018

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	44,759,553	40,943,860	40,330,243	42,943,742	42,984,832
b	Contributions ...
c	Net investment earnings, gains, and losses	-3,688,592	4,470,117	1,235,527	-2,040,466	501,833
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	496,849	654,424	621,910	573,033	542,923
f	Administrative expenses ....
g	End of year balance ......	40,574,112	44,759,553	40,943,860	40,330,243	42,943,742

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

Board designated or quasi-endowment SchDMd Bullet

2.270 %

Permanent endowment SchDMd Bullet

71.170 %

Temporarily restricted endowment SchDMd Bullet

26.560 %

The percentages on 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" on 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.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	28,293,520		28,293,520
b	Buildings ....	486,117,683	274,078,667	212,039,016
c	Leasehold improvements	25,484,005	16,064,739	9,419,266
d	Equipment ....	511,039,601	380,644,621	130,394,980
e	Other .....	31,904,321		31,904,321
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				412,051,103

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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) INVEST CAPITAL-CONTROLLED ENT	182,097,162	F
(B) LEVEL 3 INVEST. IN REAL ESTATE	23,917,978	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	206,015,140

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
PENSION LIABILITY	30,562,717
OTHER ACCRUED LIABILITIES	20,004,455
INTEREST RATE SWAP	12,767,741
OTHER LIABILITIES	10,659,198
EST PAYABLE TO 3RD PARTY	12,094,508
ACCRUED INTEREST PAYABLE	4,948,345
DUE TO RELATED PARTIES	226
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	91,037,190
2. Liability for uncertain tax positions. 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) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) 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. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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

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.

Return Reference

Explanation

SCHEDULE D, PART V, LINE 4:

THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE FOUNTATIONS BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. AS REQUIRED BY U.S. GAAP, NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE FOUNDATIONS BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSTED RESTRICTIONS. THE FOUNDATION HAS A POLICY OF REQUESTING FOR DISTRIBUTION EACH YEAR EITHER NET INCOME OF THE ASSET OR A PERCENTAGE OF THE ASSETS AVERAGE FAIR VALUE, WHICH RESULTS IN AN AVERAGE NET CASH DISTRIBUTION OF 2.4% OF TOTAL ASSETS. ACCORDINGLY, OVER THE LONG TERM, THE FOUNDATION EXPECTS THE CURRENT SPENDING POLICY TO ALLOW ITS ENDOWMENT TO GROW AT AN AVERAGE OF 4.3% ANNUALLY. THIS IS CONSISTENT WITH THE FOUNDATION'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY AS WELL AS TO PROVIDE ADDITIONAL REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.

SCHEDULE D, PART X, LINE 2:

Centra Health, Inc., CCRC, Inc., Foundation, Southside, and Bedford are exempt from income tax under Section 501 (a) of the Internal Revenue Code. Accordingly, no income taxes have been provided for these entities in the accompanying consolidated financial statements except for taxes related to certain unrelated business income engaged in by Centra. Centra Medical Group, LLC, CHIC, Centra Specialty Hospital, Healthworks, CVQCN, and Outpatient Rehab are disregarded for federal income tax purposes and, therefore, are included under Centras tax return. Centra Medical Group Southside, LLC and Centra Medical Group, LLC are disregarded for federal income tax purposes and, therefore, are included under Southside's and Bedford's tax return, respectively. Centra has adopted relevant accounting standards related to taxes for its subsidiaries, GBC, PCHP Holding, Inc. and PCHP. Under the asset-and-liability method for these standards, deferred tax assets and liabilities are recognized for the temporary differences between the financial statement carrying amounts and the tax basis of the subsidiarys assets and liabilities at income tax rates expected to be in effect when such amounts are realized or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in earnings in the period that includes the enactment date. CHIC is wholly owned by Centra Health, Inc. Any liability for taxes is passed through to Centra Health, Inc. A provision will be made when operations of this subsidiary indicates a liability for taxes. Centra has determined that it does not have any material unrecognized tax benefits or obligations as of December 31, 2018. Centra believes they are no longer subject to income tax examinations for years prior to December 31, 2015.

Schedule D (Form 990) 2018

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

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 criteria used 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? . . . . . . . . . . . . . . . . . . . . . . .

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) . . .	40,790,467		40,790,467	4.110 %
b	Medicaid (from Worksheet 3, column a) . . . . .	106,770,072	63,146,135	43,623,937	4.400 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	147,560,539	63,146,135	84,414,404	8.510 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,300,444		1,300,444	0.130 %
f	Health professions education (from Worksheet 5) . . .	14,401,457	9,721,224	4,680,233	0.470 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .	1,965,820		1,965,820	0.200 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	17,667,721	9,721,224	7,946,497	0.800 %
k	Total. Add lines 7d and 7j .	165,228,260	72,867,359	92,360,901	9.310 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

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	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	5,807	5,807	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	32,836	32,836	0 %
7	Community health improvement advocacy	699	699	0 %
8	Workforce development	425	425	0 %
9	Other
10	Total	39,767	39,767	0 %

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? ..........................

Yes

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

51,723,829

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. ......

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).....

291,570,427

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

355,669,270

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

-64,098,843

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 %
1CENTRAL VIRGINIA IMA	IMAGING SERVICES	50 %	0 %	50 %
2THE SURGERY CENTER O	OUTPATIENT SURGERY SVCS	50 %	1 %	49 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

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?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (describe)
1	LYNCHBURG GENERAL HOSPITAL 1901 TATE SPRINGS ROAD LYNCHBURG,VA24501 WWW.CENTRAHEALTH.COM	X	X	X
2	VIRGINIA BAPTIST HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG,VA24503 WWW.CENTRAHEALTH.COM	X	X
3	CENTRA SPECIALTY HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG,VA24503 WWW.CENTRAHEALTH.COM	X			LONG TERM ACUTE CARE

Schedule H (Form 990) 2018

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

Yes

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

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

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

Yes

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

Hospital facility’s website (list url): WWW.CENTRAHEALTH.COM

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CENTRAHEALTH.COM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	LYNCHBURG GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	LYNCHBURG GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	LYNCHBURG GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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 Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

Yes

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

Yes

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

Hospital facility’s website (list url): WWW.CENTRAHEALTH.COM

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CENTRAHEALTH.COM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	VIRGINIA BAPTIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	VIRGINIA BAPTIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	VIRGINIA BAPTIST HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

Yes

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

Yes

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

Hospital facility’s website (list url): WWW.CENTRAHEALTH.COM

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.CENTRAHEALTH.COM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	CENTRA SPECIALTY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 400.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	CENTRA SPECIALTY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	CENTRA SPECIALTY HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, LINE 5:	CENTRA ORGANIZED THREE COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY (CHNA) ADVISORY BOARDS ONE FOR THE CENTRA HEALTH, LYNCHBURG REGION, ONE FOR THE BEDFORD MEMORIAL HOSPITAL, BEDFORD REGION, AND ONE FOR THE SOUTHSIDE COMMUNITY HOSPITAL, FARMVILLE REGION. THESE CHNA COMMUNITY ADVISORY BOARDS WERE COMPRISED OF COMMUNITY LEADERS REPRESENTING EDUCATION, BUSINESS, SOCIAL SERVICE AGENCIES, GOVERNMENT, PUBLIC HEALTH AUTHORITIES, COLLEGES (INCLUDING OUR LOCAL SCHOOL OF PUBLIC HEALTH), OTHER HEALTHCARE PROVIDERS, AND NEIGHBORHOOD CITIZEN ORGANIZATIONS IN AN EFFORT TO OBTAIN AS BROAD-BASED COMMUNITY INPUT AS POSSIBLE. PARTICIPANTS INCLUDED ORGANIZATIONS THAT REPRESENT THE NEEDS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. THE PARTICIPANTS OF THIS CHNA ASSESSMENT & IMPLEMENTATION PLAN WERE: 2018 LYNCHBURG AREA CORE TEAM - GREATER LYNCHBURG COMMUNITY FOUNDATION CENTRA- PITTSYLVANIA CENTRAL VIRGINIA HEALTH DISTRICT COMMUNITY ACCESS NETWORK CENTRA FOUNDATION BEDFORD COMMUNITY HEALTH FOUNDATION CENTRA- BEDFORD CENTRA- LYNCHBURG CENTRA- FARMVILLE PIEDMONT HEALTH DISTRICT CHRISTOPHER NYE CONSULTING PITTSYLVANIA/DANVILLE HEALTH DISTRICT UNITED WAY OF CENTRAL VIRGINIA COMMUNITYWORKS DATA ENTRY & ANALYSIS TEAM - LIBERTY UNIVERSITY CENTRA COLLEGE OF NURSING COMMUNITYWORKS VIRGINIA COMMONWEALTH UNIVERSITY 2018 LYNCHBURG AREA COMMUNITY HEALTH ASSESSMENT TEAM - YMCA RECREATION LYNCHBURG REDEVELOPMENT & HOUSING AUTHORITY HUMANKIND HUMAN GREATER LYNCHBURG COMMUNITY FOUNDATION LYNCHBURG CITY SCHOOLS PUBLIC SCHOOLS GREATER LYNCHBURG TRANSIT TRANSPORTATION CENTRA- ALAN B. PEARSON CANCER CENTER CENTRA HOSPITAL APPOMATTOX COUNTY DSS FAMILY SERVICES HORIZON BEHAVIORAL HEALTH PUBLIC BEHAVIORAL JOHNSON HEALTH CENTER HEALTH CENTRAL VIRGINIA COMMUNITY COLLEGE CENTRAL VA HEALTH DISTRICT PUBLIC HEALTH YWCA DOMESTIC-VIOLENCE SHELTERS LYNCHBURG COMMUNITY ACTION GROUP (LYN CAG) CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING (CVACL) HORIZON BEHAVIORAL HEALTH PUBLIC BEHAVIORAL HEALTH SYSTEM COMMUNITY ACCESS NETWORK HEALTH CENTER LYNCHBURG POLICE PUBLIC SAFETY CENTRA FOUNDATION LYNCHBURG MAYOR VDH PUBLIC HEALTH REGION 2000 LOCAL GOVERNMENT COUNCIL BEDFORD COMMUNITY HEALTH FOUNDATION CITY OF LYNCHBURG CITY GOVERNMENT HEALTH COLLABORATIVE- DANVILLE COMMUNITY COALITION LYNCHBURG PARKS AND RECREATION LIBERTY UNIVERSITY EDUCATION LACIL DISABILITY SERVICES AMHERST COUNTY DSS FAMILY SERVICES STEPHANIE MCBRIDE CENTRA HOSPITAL LYNCHBURG POLICE DEPARTMENT PUBLIC SAFETY LIBERTY UNIVERSITY INTERN STUDENT CHRISTOPHER NYE CONSULTING LYNCHBURG DEPARTMENT SOCIAL SERVICES ARCHETYPE HEALTH CVACL/DESIGNATED AREA AGENCY ON AGING JOHNSON HEALTH CENTER COMMUNITY HEALTH CENTER VA DEPARTMENT OF HEALTH PUBLIC HEALTH VIRGINIA COOPERATIVE EXTENSION STATE EXTENSION UNITED WAY OF CENTRAL VA BLUE RIDGE AREA FOOD BANK CENTRA PASTORAL CARE FAITH-BASED COMMUNITYWORKS
PART V, SECTION B, LINE 6a:	THE ORGANIZATIONS CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL AND CENTRA SPECIALTY HOSPITAL
PART V, SECTION B, LINE 7d:	HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS.
PART V, SECTION B, LINE 11:	COMMUNITY HEALTH NEEDS ASSESSMENT & IMPLEMENTATION PLAN IDENTIFIED THREE OVERARCHING ACTION PLAN PRIORITIES AIMED AT IMPROVING THE HEALTH OF THE VARIOUS COMMUNITIES SERVED BY LYNCHBURG GENERAL, VIRGINIA BAPTIST AND CENTRA SPECIALTY HOSPITALS: COMMUNITY SUPPORT FOR SELF-ADVOCACY; MENTAL HEALTH EDUCATION, AWARENESS AND ACCESS; AND ADDICTION EDUCATION, PREVENTION AND ACCESS. THE ACTION PLAN PRIORITY REGARDING COMMUNITY SUPPORT FOR SELF-ADVOCACY: CENTRA SUPPORTED THIS INITIATIVE IN MANY WAYS IN 2018. THE FOLLOWING ARE A FEW OF THESE INITIATIVES. CENTRA COLLABORATED WITH NEIGHBORS HELPING NEIGHBORS OF AMHERST COUNTY BY ASSISTING IN THE FUNDING OF A VAN TO BE USED FOR FOOD DISTRIBUTION AND ALSO SUPPORTED PURCHASING A VEHICLE FOR FOOD DISTRIBUTION IN LYNCHBURG ON BEHALF OF WHEELS FOR BREAD. CENTRAS SUPPORT OF THE FRESHRX LYNCHBURG GROWS PROGRAM PROVIDES FAMILIES WITH EDUCATION, COOKING CLASSES, AND A HEALTHY DIET. CENTRA WAS A LEAD SPONSOR IN THE HEART WALK AND EDUCATION FOR A HEALTHY LIFESTYLE. CENTRA SUPPORTED HEALTHY BEHAVIOR AND HEALTHY LIFE CHOICE PROGRAMS TO INCLUDE ITS CONTINUED SUPPORT OF THE FREE CLINIC IN A MEDICAL AND DENTAL INTEGRATION PROJECT. SUPPORT OF BOTH A PARTNERSHIP CORE PHARMACEUTICALS SERVICES PROGRAM AND ACCESS TO MEDICATION PROGRAM, A REDUCING FALLS AND PREMATURE HOME DISPLACEMENT PROGRAM, A SAFE AT HOME PROGRAM AND WORKING TO UNRAVEL THE EFFECTS OF CANCER IN A CANCER SUPPORT PROGRAM. THESE PROGRAMS AND CONTINUED PARTNERSHIP WITH OTHER COMMUNITY AGENCIES AND THE OPENING OF THE COMMUNITY ACCESS NETWORK ARE PART OF CENTRAS ACTIONS IN SUPPORT FOR SELF-ADVOCACY. THE ACTION PLAN PRIORITY REGARDING MENTAL HEALTH EDUCATION, AWARENESS AND ACCESS: IN THE AREA OF CHILD PSYCHOLOGY, CENTRA SPONSORED THE 2018 "OUT OF THE DARKNESS" SUICIDE AWARENESS WALK AS WELL AS A KIDS HAVEN TRAINING EVENT (TRAIN COUNSELORS AND TEACHERS TO ASSIST GRIEVING CHILDREN). WE INCREASED OUR PARTIAL HOSPITALIZATION PROGRAM VOLUMES FOR CHILD AND ADOLESCENT PSYCHIATRY TO MEET THE NEEDS OF THE COMMUNITY. BEING ONE OF 2 HOSPITALS IN THE STATE THAT TREAT CHILDREN UNDER 10, WE DEVELOPED A SEPARATE TREATMENT AND PROGRAMMING TRACK, INCLUDING CAPITAL INVESTMENTS IN A SENSORY ROOM AND REDESIGNED ACTIVITY SPACES AS WELL AS UPDATED TREATMENT MATERIALS. IN THE AREA OF AUTISM, CENTRA OPENED A FREESTANDING RIVERMONT SCHOOL IN LYNCHBURG FOR CHILDREN WITH AUTISM. DUE TO THE INCREASED PREVALENCE OF AUTISM, CENTRA RECEIVED FOUNDATION FUNDS TO EXPAND ITS MULTIDISCIPLINARY AUTISM CLINIC FROM ONE BUILDING TO TWO. WE ARE THE STATES ONLY MULTIDISCIPLINARY AUTISM CLINIC THAT PROVIDES PSYCHIATRY, DEVELOPMENTAL PEDIATRICS, SPEECH AND OCCUPATIONAL THERAPY, INDIVIDUAL AND FAMILY THERAPY, PARENT TRAINING AND APPLIED BEHAVIOR ANALYSIS (ABA) UNDER 1 ROOF. OUR AUTISM IN HOME PROGRAM GREW FROM 6 TO 8 PROGRAMS AROUND THE STATE TO (EXPANDED ROANOKE, TIDEWATER AND ROCKBRIDGE). OUR AUTISM SERVICE LINE ALSO COORDINATES AND HOSTS THE ANNUAL CENTRAL VIRGINIA AUTISM RESOURCE FAIR IN LYNCHBURG, VA. THIS FREE COMMUNITY EVENT BRINGS TOGETHER LOCAL SERVICE PROVIDERS, NON-PROFITS, AND RESPITE CARE SERVICES TO PROVIDE CAREGIVERS AN OPPORTUNITY TO ACCESS RESOURCES IN A SUPPORTIVE, UNDERSTANDING ENVIRONMENT. IN THE AREA OF MENTAL HEALTH INTEGRATION, TO DATE, OUR MENTAL HEALTH INTEGRATION INITIATIVE HAS SUCCESSFULLY INTEGRATED LICENSED MENTAL HEALTH PROFESSIONALS IN THE FOLLOWING AREAS: STROOBANTS CARDIOLOGY, BARIATRICS, FOREST WOMENS CENTER, NATIONWIDE, SOUTHSIDE MEDICAL CENTER FARMVILLE, DANVILLE MEDICAL CENTER, PACE (PROGRAM FOR ALL-INCLUSIVE CARE OF THE ELDERLY), AS WELL AS OUR RECENTLY EXPANDED PIEDMONT PSYCHIATRIC CENTER MEDICATION ASSISTED TREATMENT CLINIC FOR PATIENTS WITH SUBSTANCE USE DISORDER. THE ACTION PLAN PRIORITY OF ADDICTION EDUCATION, PREVENTION AND ACCESS: CENTRA IS PRESIDENT OF THE CENTRAL VIRGINIA OPIOID PREVENTION COALITION (CVOPC). CVOPC STARTED THE HOPE INITIATIVE WHICH IS A MONTHLY DROP IN SESSION STAFFED BY CVOPC VOLUNTEERS TO PROVIDE A GATEWAY TO PROFESSIONAL RESOURCES IN THE COMMUNITY FOR PEOPLE SUFFERING FROM SUBSTANCE ABUSE DISORDERS. THE COALITION HOSTED A SECOND ANNUAL RECOVERY FEST IN 2018. WE HAVE OPENED A 7 BED UNIT AT VIRGINIA BAPTIST HOSPITAL FOR PATIENTS WITH SUBSTANCE ABUSE DIAGNOSES AND OPIOID ADDICTION TO BEGIN A HOSPITAL INITIATED MEDICATION ASSISTED WITHDRAWAL. WE RECEIVED A GRANT TO SEND PATIENTS HOME WITH RESCUE MEDICATION (NALOXONE) AS PART OF THEIR DISCHARGE PLAN. WE HAVE EXPANDED OUR CLINIC FOR PRE/POST-PARTUM WOMEN WITH SUBSTANCE USE DISORDER TO INCLUDE THE GENERAL POPULATION WITH THE NOVEMBER 2018 LAUNCH OF A PIEDMONT PSYCHIATRIC CENTER MEDICATION ASSISTED TREATMENT (MAT) CLINIC. THE CLINIC MODEL INVOLVES COMPREHENSIVE CARE FOR INDIVIDUALS WITH OPIOID USE DISORDER INCLUDING ASSESSMENT OF MEDICAL AND PSYCHIATRIC NEEDS, CARE COORDINATION, INDIVIDUAL AND GROUP THERAPY, AND MEDICATION ASSISTED TREATMENT. SINCE THAT TIME, WE HAVE BEEN AWARDED A 3 YEAR $1.5 MILLION SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) GRANT TO EXPAND EXISTING SERVICES FOR INDIVIDUALS WITH OPIOID ADDICTION. RATIONALE FOR NOT INCLUDING THE REMAINING INDICATORS AS PRIORITIZED BY OUR CHNA COMMUNITY ADVISORY BOARD INCLUDED A SENSE THAT THESE CRITICAL NEEDS WERE HIGHLY COMPLEX IN NATURE AND AFFECTED A WIDE VARIETY OF INFLUENCING FACTORS - MANY WELL BEYOND THE CAPABILITY AND RESOURCES AND AVAILABLE THROUGH CENTRA AND/OR ITS COLLABORATING PARTNERS. FURTHERMORE, OTHER COMMUNITY-BASED INITIATIVES WERE ALREADY TARGETING THESE ISSUES.
PART V, SECTION B, LINE 16A, B, C:	(LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL) THE ENTIRE FNANCIAL ASSISTANCE POLICY (FAP), INCLUDING FAP APPLICATION AND PLAIN LANGUAGE SUMMARY IS LOCATED AT THE FOLLOWING URL: HTTP://CENTRAHEALTHONLINEBILLPAY.PATIENTCOMPASS.COM
PART V, SECTION B, LINE 21:	(POLICY RELATING TO EMERGENCY MEDICAL CARE) FACILITY: CENTRA SPECIALITY HOSPITAL CENTRA SPECIALITY HOSPITAL DOES NOT HAVE AN EMERGENCY DEPARTMENT DUE TO THE NATURE OF THE HOSPITAL'S SERVICES.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. 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?97
Name and address		Type of Facility (describe)
1	CENTRA ALAN B PEARSON CANCER CENTER 1701 THOMSON DRIVE LYNCHBURG,VA24501	CANCER CENTER & PALLIATIVE CARE
2	GRETNA MEDICAL CENTER 291 McBride Lane Gretna,VA24557	Emergency, Imaging, Internal Medicine, Cardiology, Rehab, Lab
3	CENTRA LAB PHLEBOTOMY CENTER 1900 TATE SPRINGS ROAD SUITE 9 LYNCHBURG,VA24501	LAB SERVICES
4	GUGGENHEIMER HEALTH & REHABILITATION CTR 1902 GRACE STREET LYNCHBURG,VA24504	NURSING HOME
5	FAIRMONT CROSSING HEALTH & REHAB CENTER 173 BROCKMAN PARK DRIVE AMHERST,VA24521	NURSING HOME
6	SUMMIT HEALTH & REHABILITATION CENTER 1300 ENTERPRISE DRIVE LYNCHBURG,VA24502	NURSING HOME
7	SUMMIT ASSISTED LIVING 1320 ENTERPRISE DRIVE LYNCHBURG,VA24502	ASSISTED LIVING
8	CENTRA HOSPICE-LYNCHBURG 2097 LANGHORNE ROAD LYNCHBURG,VA24501	HOSPICE CARE
9	CENTRA HOSPICE HOUSE 4413 BOONESBORO ROAD LYNCHBURG,VA24503	HOSPICE HOUSE
10	CENTRA HOME HEALTH 1204 FENWICK DRIVE LYNCHBURG,VA24502	HOME HEALTH SERVICES
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,VA245022828	MENTAL HEALTH
14	ALTAVISTA MEDICAL CENTER 1280 A MAIN STREET ALTAVISTA,VA24517	FAMILY PRACTICE
15	BROOKNEAL MEDICAL CENTER 104 CAROLINA AVENUE BROOKNEAL,VA24528	FAMILY PRACTICE
16	CMG - DANVILLE ORTHOPEDIC & REHAB SPECIA 404 AIRPORT ROAD SUITE C DANVILLE,VA24540	ORTHOPEDICS & PHYSICAL THERAPY
17	CMG - NATIONWIDE 125 Nationwide Drive LYNCHBURG,VA24502	INTERNAL MEDICINE, REHAB, URGENT CARE
18	VILLAGE PRACTICE - MONETA 4830 RUCKER RD MONETA,VA24121	FAMILY PRACTICE
19	CENTER FOR PAIN MANAGEMENT 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	PAIN MANAGEMENT
20	CENTER FOR WOUND CARE AND HYPERBARIC MED 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	WOUND CARE
21	CMG UROLOGY CENTER 2542 LANGHORNE ROAD LYNCHBURG,VA24501	UROLOGY
22	CMG UROLOGY CENTER-Oak Vassar Office 1330 Oak Lane Suite 203 LYNCHBURG,VA24503	UROLOGY
23	CMG UROLOGY CENTER-Bedford 1613 Oakwood St Ste 202 Bedford,VA24523	UROLOGY
24	MEDICAL & SURGICAL SPECIALISTS 173 EXECUTIVE DRIVE DANVILLE,VA24540	UROLOGY, NEUROSURGERY, PLASTICS, CARDIOLOGY SVCS
25	DOMINION PRIMARY CARE 110 EXCHANGE STREET SUITE F DANVILLE,VA24540	Family Care, Urgent Care Urology, Neurology and Cardiology
26	CMG WOMEN'S CENTER 2007 GRAVES MILL ROAD FOREST,VA24551	WOMEN'S HEALTH SVCS
27	LIBERTY UNIVERSITY HEALTH SERVICES 1971 UNIVERSITY BLVD LYNCHBURG,VA24502	FAMILY PRACTICE
28	JAMERSON YMCA REHAB CENTER 801 WYNDHURST DRIVE LYNCHBURG,VA24502	REHAB CENTER
29	STROOBANTS CARDIOVASCULAR CENTER- MAIN O 2410 ATHERHOLT ROAD LYNCHBURG,VA24501	CARDIOLOGY CENTER & CARDIOVASCULAR SURGERY
30	STROOBANTS CARDIOVASCULAR CENTER-BEDFORD 1613 OAKWOOD AVENUE BEDFORD,VA24523	CARDIOLOGY CENTER
31	STROOBANTS CARDIOVASCULAR CENTER- FARMVI 900 WEST THIRD STREET FARMVILLE,VA23901	CARDIOLOGY CENTER
32	STROOBANTS CARDIOVASCULAR CENTER- MONETA 1039 MAYBERRY CROSSING DRIVE SUITE MONETA,VA24121	CARDIOLOGY CENTER
33	STROOBANTS CARDIOVASCULAR CENTER- GRETNA 1220 WEST GRETNA ROAD GRETNA,VA24557	CARDIOLOGY CENTER
34	REHAB & GERIATRIC SERVICES 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	DRS. PROVIDE SERVICES TO NURSING HOMES, SKILLED CARE HOSPICE, PACE & REHAB
35	BREAST IMAGING CENTER 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	MAMMOGRAPHERS READ SCREENINGS FOR DIAGNOSTIC BREAST IMAGING
36	MAMMOGRAPHY CENTER-TIMBERLAKE 20293 TIMBERLAKE ROAD LYNCHBURG,VA24502	MAMMOGRAPHY CENTER
37	MAMMOGRAPHY CENTER-TATE SPRINGS 1900 TATE SPRINGS ROAD SUITE 1 LYNCHBURG,VA24501	MAMMOGRAPHY CENTER
38	Pathways Recovery Lodge 1770 Earley Farm Road Amherst,VA24521	DRUG & ALCOHOL TREATMENT CENTER
39	Rivermont School-Chase City 633 N Main Street Chase City,VA23924	MENTAL HEALTH
40	Rivermont School- Dan River 4058 Franklin Turnpike Danville,VA24540	MENTAL HEALTH
41	Rivermont School- Roanoke 1354 8th Street Roanoke,VA24015	MENTAL HEALTH
42	Rivermont School-Hampton 303 Butler Farm Road Suite 100 Hampton,VA23666	MENTAL HEALTH
43	Rivermont School-Tidewater 5163 Cleveland Street Virginia Beach,VA23462	MENTAL HEALTH
44	Rivermont School-Alleghany Highlands 331 West Main Street Covington,VA24426	MENTAL HEALTH
45	Rivermont School-Rockbridge 35 Magnolia Square Suite 7 Lexington,VA24450	MENTAL HEALTH
46	Rivermont School - Lynchburg 3024 Forest Hills Circle Lynchburg,VA24501	MENTAL HEALTH
47	Rivermont School - Fredricksburg 30 Pulte Dr Fredricksburg,VA22406	MENTAL HEALTH
48	Rivermont School - Greater Petersburg 12318 Boydton Plank Road Dinwiddie,VA23841	MENTAL HEALTH
49	RIVERMONT SCHOOL - FAIRFAX 6700 SPRINGFIELD CENTER DRIVE SUIT SPRINGFIELD,VA22150	MENTAL HEALTH
50	Rivermont School - Bridges Residential 693 Leesville Road Lynchburg,VA245022828	MENTAL HEALTH
51	Centra Neuroscience Center-Farmville 800 Oak Street Farmville,VA23901	NEUROSCIENCE
52	Lynchburg Family Medicine Center 2323 Memorial Avenue Suite 10 Lynchburg,VA24501	FAMILY PRACTICE RESIDENCY PROGRAM
53	CMG - Big Island Medical Center Highway 501 North Big Island,VA24526	FAMILY PRACTICE
54	CMG - PrimeCare Main 130 Enterprise Drive Danville,VA24540	FAMILY PRACTICE, URGENT CARE
55	CMG - PrimeCare East 404 Airport Drive Suite A Danville,VA24540	FAMILY PRACTICE
56	CMG-BEDFORD MEDICAL CENTER 1613 Oakwood Street Suite 201 Bedford,VA24523	FAMILY PRACTICE
57	LYNCHBURG EMPLOYEE CLINIC 901 CHURCH STREET Lynchburg,VA24504	EMPLOYEE WELLNESS CLINIC
58	CMG PLASTIC SURGERY CENTER 1330 Oak Lane Suite 100 Lynchburg,VA24503	PLASTIC SURGERY
59	CMG NEUROSCIENCE CENTER 2025 Tate Springs Road Lynchburg,VA24501	NEUROSCIENCE
60	CMG Surgical Specialists - Seven Hills 1911 Thomson Drive Lynchburg,VA24501	SURGERY SPECIALISTS
61	CMG Surgical Specialists - Central Va 1906 Thomson Drive Lynchburg,VA24501	SURGERY SPECIALISTS
62	CENTRA COLLEGE OF NURSING 905 Lakeside Dr Suite A Lynchburg,VA24501	COLLEGE OF NURSING
63	HEALTHWORKS CLINIC 1905 Atherholt Road Lynchburg,VA24501	REHAB
64	ROSEMARY & GEORGE DAWSON INN 2012 Tate Springs Road Lynchburg,VA24501	PATIENT/FAMILY INN
65	Centra - Bedford Rehab 1710 Whitfield Drive Bedford,VA24501	OP REHAB SVCS
66	CENTRA HEALTH EMERGENCY SERVICES 1901 TATE SPRINGS ROAD LYNCHBURG,VA24501	EMERGENCY SVCS
67	CMG - DANVILLE OCCUPATIONAL HEALTH SVCS 404 Airport Drive Suite B Danville,VA24540	OCCUPATIONAL REHAB SERVICES
68	CMG - NEUROSCIENCE CENTER BEDFORD 1615 OAKWOOD STREET SUITE D BEDFORD,VA24523	NEUROSURGERY
69	CMG - AMHERST MEDICAL CENTER 124 AMBRIAR COURT AMHERST,VA24521	FAMILY PRACTICE
70	CMG INFECTIOUS DISEASE CENTER 2216 LANDOVER PLACE LYNCHBURG,VA24501	INFECTIOUS DISEASE CTR
71	CENTRA PANORAMIC WELLNESS 1603 ENTERPRISE DRIVE SUITE A LYNCHBURG,VA24502	WELLNESS CENTER
72	CMG HEALTHY SKIN CENTER 1330 OAK LANE SUITE 103 LYNCHBURG,VA24503	SKIN CLINIC
73	CMG - MOBILE MEDICAL SERVICES 2010 ATHERHOLT ROAD LYNCHBURG,VA24501	MOBILE MEDICAL SVCS
74	PACE Gretna 1220 W Gretna Road Gretna,VA24557	CARE FOR ELDERLY
75	CMG Rehabilitation Danville 414 Park Avenue Danville,VA24541	REHAB SVCS
76	CMG - SLEEP DISORDERS CENTER-FOREST 1084 Thomas Jefferson Road FOREST,VA24551	SLEEP DISORDER SVCS
77	CMG Southside - Keysville 312 Kings Street Keysville,VA23947	FAMILY PRACTICE
78	CMG Southside - Farmville 935 South Main Street Farmville,VA23901	FAMILY PRACTICE
79	CMG Southside - Victoria 1418 6th Street Victoria,VA23974	FAMILY PRACTICE
80	CMG Southside - Burkeville 412 Namozine Street Burkeville,VA23922	FAMILY PRACTICE
81	CMG Southside - Cumberland 1758 Anderson Highway Cumberland,VA23942	FAMILY PRACTICE
82	Southside Ctr for Gastro Liver Disease 800 Oak Street Farmville,VA23901	GASTROLOGY
83	CMG Southside Orthopedic & Rehabilitatio 935 South Main Street Farmville,VA23901	ORTHOPEDIC & REHAB SVCS
84	CMG Southside - Surgery Center 800 Oak Street Farmville,VA23901	GENERAL SURGERY
85	CMG Southside - Women's Center 800 Oak Street Farmville,VA23901	WOMEN'S HEALTH SVCS
86	CMG Southside - Emergency Services 800 Oak Street Farmville,VA23901	EMERGENCY SVCS
87	CMG Southside - Nephrology Center 935 South Main Street Farmville,VA23901	NEPHROLOGY
88	CMG Southside - Neurology Center 800 OAK STREET Farmville,VA23901	Neurology
89	CMG Southside - Urology 800 Oak Street Farmville,VA23901	UROLOGY
90	CMG Southside - CRNA 800 Oak Street Farmville,VA23901	CRNA SVCS
91	CMG Southside - Hospitalists 800 Oak Street Farmville,VA23901	HOSPITALIST SVCS
92	CMG Bedford - General Surgery Center 1615 Oakwood Street Suite B Bedford,VA24523	GENERAL SURGERY
93	CMG Bedford - Pulmonology Center 1613 Oakwood Street Suite 202 Bedford,VA24523	PULMONARY SVCS
94	CMG Bedford - Women's Center 1615 Oakwood Street Suite D Bedford,VA24523	WOMEN'S HEALTH SVCS
95	CMG Bedford - Emergency Services 1613 Oakwood Street Bedford,VA24523	EMERGENCY SVCS
96	CMG Bedford - Hospitalists 1613 Oakwood Street Bedford,VA24523	HOSPITALIST SVCS
97	CMG Bedford - CRNA 1613 Oakwood Street Bedford,VA24523	CRNA SVCS

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
PART I, LINE 6A:	INFORMATION ON COMMUNITY BENEFIT IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC.
PART I, LINE 7:	COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE.
PART II:	COMMUNITY BUILDING ACTIVITIES COMMUNITY SUPPORT: CENTRA HEALTH, INC. RECOGNIZES THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES. WE CONTINUOUSLY WORK TO SEEK OUT WAYS IN WHICH WE CAN SUPPORT THE COMMUNITY. HELPING THOSE IN NEED IS A MAIN FOCUS OF CENTRA, NOT ONLY WITH THEIR HEALTH NEEDS BUT WITH THE FUNDAMENTAL NEEDS OF INDIVIDUALS WITHIN OUR COMMUNITY, AS WELL. WE FEEL AN ESSENTIAL PART OF BEING A GOOD NEIGHBOR WITHIN THE COMMUNITY IS TO PROMOTE HEALTH, SAFETY, AND WELL-BEING ACTIVITIES IN ORDER TO BENEFIT THOSE AROUND US. COALITION BUILDING: CENTRA CONTINUES TO REACH OUT TO THE COMMUNITY IN ORDER TO INFORM THE PUBLIC ABOUT THE NUMEROUS HEALTH FAIRS, HEALTH SEMINARS, AND GENERAL INFORMATIONAL SESSIONS OFFERED BY CENTRA, THROUGHOUT THE YEAR. CENTRA PARTICIPATES IN THE HEALTHY PEOPLE THROUGH PREVENTION & EDUCATION COALITION (HIPE) WHICH FOCUSES ON TOBACCO AND SUBSTANCE ABUSE, CHILDHOOD OBESITY, SUPPORTING HEALTH ACTIVITIES FOR YOUTH. HIPE IS MADE UP OF COMMUNITY MEMBERS FROM ORGANIZATIONS SUCH AS, HORIZON BEHAVIORAL HEALTH, LYNCHBURG HEALTH DEPT., AREA SOCIAL SERVICES, PARKS AND RECS, CITY SCHOOLS, ETC., AND IS FOCUSED ON LOOKING AT BROADER HEALTH NEEDS IN THE COMMUNITY. CENTRA HOLDS HEALTH CAREER CAMPS IN ORDER TO PROMOTE THE IMPORTANCE OF HEALTHCARE PROFESSIONALS TO YOUNG ADULTS SO THEY MAY, POSSIBLY, BECOME MEMBERS OF THE HEALTHCARE COMMUNITY IN THE FUTURE. THROUGH OUT THE YEAR, WE ALSO VISIT LOCAL ELEMENTARY AND MIDDLE SCHOOLS WITHIN THE COMMUNITY TO INTRODUCE THE YOUTH TO HEALTHCARE CAREERS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF CENTRA. WE FEEL PASSIONATE ABOUT IMPROVING ACCESS TO CARE, PUBLIC HEALTH, ETC. WE ARE EXCITED TO PARTICIPATE IN NUMEROUS EVENTS THROUGHOUT THE YEAR IN ORDER TO STAY CONNECTED TO THE COMMUNITY WE SERVE. BY STAYING CONNECTED WE ARE ABLE TO RECOGNIZE AND ADDRESS NEEDS THROUGHOUT OUR REGION. LIVE HEALTHY LYNCHBURG IS THE UMBRELLA GROUP OF COMMUNITY COLLABORATORS WORKING ON COMMUNITY HEALTH INITIATIVES WHICH CENTRA IS A PARTNER. OTHER COMMUNITY PARTNERS WITHIN THIS GROUP ARE THE LYNCHBURG HEALTH DEPARTMENT, CHAMBER OF COMMERCE, CITY OF LYNCHBURG, LYNCHBURG CITY SCHOOLS, JOHNSON HEALTH CENTER, PRESBYTERIAN HOMES, ETC. WORKFORCE DEVELOPMENT: CENTRA HEALTH, INC. BELIEVES THAT IT IS CRUCIAL TO HAVE EDUCATED, EXPERIENCED HEALTHCARE PROFESSIONALS WORKING WITHIN OUR COMMUNITIES. BY DISCUSSING HEALTHCARE WITH CHILDREN BEGINNING AT AN EARLY AGE, WE FEEL IT WILL SPARK INTEREST AND HAVE OUR YOUTH THINKING ABOUT POSSIBLY SEEKING A CAREER IN HEALTHCARE AS THEY GET OLDER. CENTRA CONDUCTS PROGRAMS WHICH SEND OUR STAFF TO AREA SCHOOLS, BEGINNING AT THE ELEMENTARY LEVEL, AND SHARING AGE APPROPRIATE INFORMATION AND MATERIALS ABOUT HEATH CAREER CHOICES AND THE ACADEMIC PATHWAY TO THOSE CAREERS. CENTRAS HEALTH CAREER CAMPS ALLOW CAMPERS TO PARTICIPATE IN TEAM BUILDING ACTIVITIES, LEARN ABOUT INFECTION PREVENTION, ORGAN DONATION, LISTEN TO PRESENTATIONS ON EMERGENCY MEDICINE, TOUR EMERGENCY VEHICLES, AND MANY MORE HEALTH RELATED ACTIVITIES. OUR MEDICAL CAREER CAMP ALLOW CAMPERS TO PARTICIPATE IN ACTIVITIES RELATED TO TOPICS SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THEY ARE ALSO ENGAGED IN HANDS-ON ACTIVITIES SUCH AS DISSECTING A PIGS HEART AND LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHATS INVOLVED IN SUTURING, TAKING CARE OF WOUNDS, IV SIMULATIONS, ETC. WE GIVE CAMPERS A GENERAL EXPOSURE TO VARIOUS CAREERS WITHIN THE HEALTHCARE SYSTEM WHICH ALLOWS THEM TO DETERMINE IF ONE OF THESE FIELDS ARE RIGHT FOR THEM.
PART III, SECTION A, LINE 1:	ON JANUARY 1, 2012, CENTRA ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, WHICH CHANGED CENTRAS PRESENTATION OF PROVISION FOR DOUBTFUL ACCOUNTS TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. THIS HAS BEEN DISCLOSED IN THE FOOTNOTES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THEREFORE, CENTRA, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT CONSISTENT WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15.
PART III, SECTION A, LINE 2 & 3:	SEE DESCRIPTION FOR PART III, SECTION A, LINE 4
PART III, SECTION A, LINE 4:	CENTRA BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2018 AUDIT REPORT, PAGE 15)
PART III, SECTION B, LINE 8:	THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATIONS REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THE TOTAL AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE CENTRA HEALTHS MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE TO ANY OF OUR PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH REIMBURSEMENTS WERE LESS THAT THE COST TO PROVIDE SERVICE. TOTAL MEDICARE SHORTFALL FOR 2018 WAS $64,098,843.
PART III, SECTION C, LINE 9B:	CENTRA RECOGNIZES THAT MEDICAL EXPENSES ARE OFTEN UNEXPECTED AND CAUSE FINANCIAL HARDSHIP. ALL ACCOUNTS WITH SELF PAY BALANCES WILL FOLLOW UNIFORM COLLECTION PROTOCOLS. THESE PROTOCOLS ARE ELECTRONICALLY ADMINISTERED THROUGH CENTRA'S HOSPITAL INFORMATION SYSTEM. WHEN AN ACCOUNT REACHES THE END OF THE SYSTEM GENERATED COLLECTION CYCLE AND MEETS SAID CRITERIA, THE ACCOUNT BALANCE WILL BE PROCESSED AS BAD DEBT AND REPORTED TO A COLLECTION AGENCY. CRITERIA FOR BAD DEBT WILL BE APPLIED CONSISTENTLY REGARDLESS OF AGE, RACE, RELIGION OR OTHER PROTECTIVE CLASS. PRIOR TO BAD DEBT PROCESSING, ACCOUNTS ARE ELECTRONICALLY SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND WRITTEN DOWN TO ZERO WHEN SCORES ARE WITHIN PRE-ESTABLISHED RANGES. CENTRA APPLIES UNIFORM COLLECTION PROTOCOLS TO ALL UNPAID ELIGIBLE CHARGES REGARDLESS OF RACE, SEX, AGE, DISABILITY, NATIONAL ORIGIN OR RELIGION. PATIENTS KNOWN BY CENTRA TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PROTOCOLS. IF DURING COLLECTION PROTOCOLS, OR AFTER REFERRAL TO AN OUTSIDE COLLECTION AGENCY, IT IS DISCOVERED PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY, INCLUDING ANY AND ALL EXTRAORDINARY COLLECTION EFFORT, IS IMMEDIATELY STOPPED. FINANCIAL ASSISTANCE FOR ELIGIBLE CHARGES IS AVAILABLE TO ALL CENTRA PATIENTS WHO QUALIFY BASED ON ESTABLISHED AND WIDELY PUBLISHED INCOME AND ASSET CRITERIA.
PART VI, LINE 2:	NEEDS ASSESSMENT: 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. IN 2018, CENTRA COMPLETED THE 2018 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN TO MEASURE THE HEALTH NEEDS OF CENTRAL VIRGINIA RESIDENTS SERVED AT CENTRA LYNCHBURG GENERAL HOSPITAL, CENTRA VIRGINIA BAPTIST HOSPITAL AND CENTRA SPECIALTY HOSPITAL. THE CENTRA FOUNDATION PROVIDED FUNDING FOR THE DETAILED REPORT, WHICH IDENTIFIES THE HEALTH NEEDS AND PRIORITIES FOR THE COMMUNITIES SERVED BY CENTRA. THE ASSESSMENT INCLUDES INDIVIDUALS LIVING IN THE GREATER LYNCHBURG COMMUNITY, INCLUDING THE CITY OF LYNCHBURG AND BEDFORD, CAMPBELL, AMHERST, APPOMATTOX, AND NELSON COUNTIES. THE CUMULATIVE REPORT OFFERS A STATISTICALLY RELIABLE SNAPSHOT OF THE COMMUNITYS HEALTH AND PROVIDES A WEALTH OF INFORMATION TO GUIDE THE CENTRA FOUNDATION IN ITS GRANT FUNDING EFFORTS. EXPERTS SAY CLINICAL CARE; SOCIAL AND ENVIRONMENTAL FACTORS SUCH AS EDUCATION, EMPLOYMENT, HEALTH STATUS AND BEHAVIORS SUCH AS DIET, SMOKING AND EXERCISE; AND PHYSICAL ENVIRONMENT FACTORS SUCH AS AIR/WATER QUALITY, HOUSING AND ACCESS TO TRANSPORTATION INFLUENCES THE HEALTH OF A COMMUNITY. THROUGH THE CHNA, CENTRA EXAMINED THESE AREAS AND IDENTIFIED 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 CENTRAS LONG-RANGE PLANS ARE RESPONSIVE AND HELP GUIDE THE AWARDING OF COMMUNITY GRANTS. HEALTH CARE NEEDS AND REQUESTS ARE ALSO ASSESSED THROUGH FOCUS GROUPS, AND SURVEYS OF COMMUNITY RESIDENTS AND CIVIC LEADERS AS WELL AS HOSPITAL AND HEALTH CARE SYSTEM PATIENTS. CENTRA ALSO PARTNERS WITH AGENCIES AND ORGANIZATIONS TO STUDY COMMUNITY NEEDS AND PROPOSE THE BEST SOLUTIONS. 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:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRA TAKES A MULTIDISCIPLINARY APPROACH TO INFORMING OUR PATIENTS AND COMMUNITY ABOUT FINANCIAL ASSISTANCE. INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CAN BE FOUND ON CENTRA'S INTERNET PAGE PROVIDING FULL DISCLOSURE ABOUT QUALIFICATIONS AND THE APPLICATION PROCESS. INDIVIDUALS MAY OBTAIN INFORMATION AND AN APPLICATION FROM ANY REGISTRATION POINT OR CUSTOMER SERVICE UNIT, IN PERSON OR BY PHONE. SIGNS ARE POSTED IN CONSPICUOUS LOCATIONS ALERTING INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHERE TO OBTAIN ADDITIONAL INFORMATION. BROCHURES ABOUT FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN REGISTRATION AND CUSTOMER SERVICE. WHILE PATIENTS ARE HOSPITALIZED, A FINANCIAL COUNSELOR PROVIDES FINANCIAL ASSISTANCE INFORMATION, SCREENS PATIENTS FOR FEDERAL AND STATE PROGRAMS AND GIVES AN OPPORTUNITY TO ASK QUESTIONS. ADDITIONALLY, AN INSERT ABOUT FINANCIAL ASSISTANCE IS MAILED IN EVERY UNINSURED BILL, REFERENCING AVAILABILITY OF FINANCIAL ASSISTANCE WITH CONTACT INFORMATION ON WHERE TO OBTAIN MORE INFORMATION.
PART VI, LINE 4:	COMMUNITY INFORMATION: CENTRA IS A COMPREHENSIVE HEALTH CARE SYSTEM COVERING A PRIMARY SERVICE AREA (PSA) OF THE CITIES OF LYNCHBURG AND BEDFORD, AND THE COUNTIES OF AMHERST, APPOMATTOX, BEDFORD, CAMPBELL, AND PITTSYLVANIA. CENTRAS SECONDARY SERVICE AREA (SSA) INCLUDES THE COUNTIES OF BUCKINGHAM, CHARLOTTE, HALIFAX, NELSON, AND PRINCE EDWARD. THE POPULATION FOR THE TOTAL SERVICE AREA (PSA/SSA) IS 430,441, WITH AN ETHNIC MIX OF 23.0% BLACK AND 73.8% WHITE. THE PERCENT OF THE TOTAL PSA/SSA POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS 20.40%. THE AVERAGE HOUSEHOLD INCOME IN THE TOTAL SERVICE AREA IS $46,862. THE CURRENT RATE OF PERSONS IN POVERTY IS APPROXIMATELY 16.28% FOR THIS TOTAL 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. Source: www.census.gov/quickfacts (2017 stats)
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH: IN ADDITION TO HEALTH EDUCATION PROGRAMS AND RESOURCES, CENTRA USES ITS HOSPITAL-BASED DEPARTMENTS TO IMPLEMENT NEW WAYS TO IMPROVE HEALTH CARE FOR THE REGION. HERE ARE THREE EXAMPLES: (1) CENTRA STARTED THE FIRST NATIONALLY CERTIFIED PROGRAM TO HELP PEOPLE RECEIVING TREATMENT AND CANCER SURVIVORS AS THEY HEAL AND RECOVER. WITH THIS PROGRAM, CALLED STAR, CANCER PATIENTS AND SURVIVORS CAN LESSEN PAIN, WEAKNESS, FATIGUE, DEPRESSION AND MEMORY LOSS THAT CAN OCCUR WITH CANCER. (2) CENTRA ESTABLISHED ITS PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) IN THE LYNCHBURG AND FARMVILLE AREAS TO OFFER ADULTS 55 YEARS OF AGE AND OLDER MEDICAL CARE AND EDUCATION THAT ALLOWS THEM TO STAY IN THEIR OWN HOMES. WITH LONG-TERM CARE EXPERTISE GAINED THROUGH HOSPITAL-BASED CENTERS, CENTRA PROFESSIONALS FOCUS ON DISEASE PREVENTION, INTERVENTION AND WELLNESS. THE PROGRAM IS BASED ON THE KNOWLEDGE OF PROFESSIONALS WHO ADVOCATE THAT IT IS BETTER FOR SENIORS WITH CHRONIC CARE NEEDS AND THEIR FAMILIES TO BE SERVED IN THE COMMUNITY FOR AS LONG AS IT IS MEDICALLY SAFE. COMPREHENSIVE SERVICES ARE DELIVERED BY AN INTERDISCIPLINARY TEAM OF PROFESSIONALS, INCLUDING A PRIMARY CARE PHYSICIAN, REGISTERED NURSES, REHABILITATION THERAPISTS, DIETITIANS AND RECREATION/ACTIVITY STAFF. (3) CENTRA HAS LEVERAGED ITS HIGH-BANDWIDTH CONNECTIVITY ACROSS FACILITIES AND PHYSICIAN PRACTICES TO IMPROVE THE HEALTH OF THE POPULATION THROUGH THE SHARING OF MEDICAL RECORDS. WITH THIS CONNECTIVITY, CENTRA ALSO IS ABLE TO ESTABLISH A CLINICAL REPOSITORY THAT CAN BE MINED TO PERFORM TRUE POPULATION-BASED ANALYTICS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM: WHETHER BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES, ENHANCING HEALTH OR PROVIDING NEEDED REGIONAL PROGRAMS AND SUPPORT, CENTRA SERVES AS A KEY PARTNER IN MANAGING AND PROMOTING HEALTH CARE THROUGHOUT ITS SYSTEM TO ENSURE CARE TO THE REGIONAL COMMUNITIES IT SERVES. DISEASE PREVENTION, TREATMENT AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES TO THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND PROGRAMS, CENTRA EXPANDS ITS HOSPITAL WALLS TO OFFER NATIONAL AWARD-WINNING HEALTH CARE FOR ITS PATIENTS WHILE SEEKING TO ENHANCE THE HEALTH AND WELLNESS OF RESIDENTS IN ITS SERVICE AREA. AS THE REGIONAL HEALTH CARE LEADER, CENTRA BRINGS A CONTINUOUS FLOW OF HEALTH CARE SERVICES DESIGNED TO ENSURE THAT PATIENTS RECEIVE CARE THAT MEETS THEIR IDENTIFIED NEEDS. PATIENT CARE ENCOMPASSES WELLNESS AND PREVENTION, RECOGNITION OF DISEASE AND HEALTH PROBLEMS, PATIENT TEACHING, PATIENT ADVOCACY, SPIRITUALITY, AND RESEARCH THROUGHOUT THE CONTINUUM. THIS CARE IS DELIVERED THROUGH ORGANIZED AND SYSTEMATIC PROCESSES DESIGNED TO ENSURE SAFE, EFFECTIVE AND TIMELY CARE AND TREATMENT. DUE TO THE WAY THE HEALTH CARE SYSTEM MANAGES CARE, CENTRA CONTINUES TO MOVE TO A HIGHER LEVEL BY EVALUATING SPECIFIC PATIENT OUTCOMES AND PARTICIPATING IN VOLUNTARY NATIONAL CERTIFICATION PROGRAMS THAT EXAMINE PROCESSES AND PROFICIENCY. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF ITS REGIONAL POPULATION AND TAKES GREAT PRIDE IN PROVIDING THE FACILITIES, RESOURCES, EXPERTISE, AND PEOPLE TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE OF CENTRAL VIRGINIA. FOR EXAMPLE, CENTRA HAS BEEN INSTRUMENTAL IN ESTABLISHING AND SUPPORTING MEDICAL CLINICS FOR THE UNDERSERVED POPULATION. THESE INCLUDE SERVICES FOR PREGNANT WOMEN AND CHILDREN WHO OTHERWISE MAY NOT RECEIVE CRITICAL PREVENTIVE CARE. CENTRA ALSO DONATES LABORATORY TESTING, RADIOLOGY SERVICES AND EQUIPMENT. MULTIDISCIPLINARY TEAMS, INCLUDING PHYSICIANS FROM CENTRA PRACTICES AND EXPERTS IN LONG-TERM CARE AND REHABILITATION, OFFER PROFESSIONAL HEALTH EDUCATION CLASSES, LECTURES, SEMINARS, HEALTH FAIRS AND HEALTH SCREENINGS. THE HEALTH CARE SYSTEM ALSO PARTNERS WITH COMMUNITY ORGANIZATIONS TO CO-SPONSOR DOZENS OF REGIONAL EVENTS. IN ADDITION, DIETITIANS, DIABETIC INSTRUCTORS AND OTHER CENTRA PROFESSIONALS PROVIDE ONE-ON-ONE HEALTH COUNSELING AND EDUCATION FOR HOSPITAL AND SYSTEM PATIENTS. THE HEALTH CARE SYSTEM OFFERS A HEALTH CARE CAREERS CAMP FOR TEENAGERS. STUDENTS GAIN HANDS-ON EXPERIENCE, ENJOY A TOUR OF THE HOSPITALS HELICOPTER AND HANGAR AND ARE EXPOSED TO MANY CAREER OPPORTUNITIES. CENTRA DISTRIBUTES A WEALTH OF PRINTED AND ONLINE HEALTH INFORMATION THROUGH ITS PUBLICATIONS, MEDIA STORIES AND INTERACTIVE WEBSITE. THIS INFORMATION IS PRODUCED SPECIFICALLY FOR THE REGIONAL POPULATION AND TO MEET IDENTIFIED NEEDS. AS THE SOLE HEALTH CARE SYSTEM IN ITS SERVICE AREA, CENTRA USES ITS HOSPITAL-BASED RESOURCES AS A VALUABLE VEHICLE FOR MANAGING AND PROMOTING HEALTH CARE AS PART OF ITS NONPROFIT MISSION.
PART VI, LINE 7:	STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA

Schedule H (Form 990) 2018

Additional Data

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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," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on 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 section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) CENTRA HEALTH FOUNDATION 1920 ATHERHOLT ROAD LYNCHBURG,VA24501	54-1604094	501(c)(3)	575,960	COMMUNITY WELLNESS CONTRIBUTION
(2) JOHNSON HEALTH CENTER 320 FEDERAL STREET LYNCHBURG,VA24504	54-1287905	501(c)(3)	160,000	RENTAL CONTRIBUTION
(3) ACADEMY OF FINE ARTS 600 MAIN STREET LYNCHBURG,VA24504	23-7061145	501(c)(3)	26,100	SUPPORT PARTNERSHIP IN ARTS
(4) ALTAVISTACAMPBELL CTY HABITAT FOR HUMANITY 2187 LYNCH MILL RD ALTAVISTA,VA24517	54-1793590	501(c)(3)	20,000	HOUSING GRANT PROJECT CONTRIBUTION FUNDRAISING COMPAIGNFUNDRAISING COMPAIGN FUNDRAISING COMPAIGN GRETNA MIDDLE SCHOOL PROJECTBCS-EXCELL PROJECT FUNDRAISING COMPAIGNFUNDRAISING COMPAIGN FREEDOM SCHOOL CONTRIBUTIONFUNDRAISING COMPAIGN ACHIEVEMENT GAP PROGRAMROOF REPLACEMENT PROGRAM
(5) AMAZEMENT SQUARE 27 9TH STREET LYNCHBURG,VA24504	54-1713204	501(c)(3)	160,500	CORPORATE PARTNERSHIP PROGRAM COMPAIGNFUNDRAISING COMPAIGN FUNDRAISING COMPAIGN GRETNA MIDDLE SCHOOL PROJECTBCS-EXCELL PROJECT FUNDRAISING COMPAIGNFUNDRAISING COMPAIGN FREEDOM SCHOOL CONTRIBUTIONFUNDRAISING COMPAIGN ACHIEVEMENT GAP PROGRAMROOF REPLACEMENT PROGRAM
(6) AMERICAN HEART ASSOCIATION 4217 PARK PLACE CT GLEN ALLEN,VA23060	13-5613797	501(c)(3)	25,000	FUNDRAISING CAMPAIGN
(7) ELIZABETH'S EARLY LEARNING CENTER 2320 BEDFORD AVENUE LYNCHBURG,VA24503	54-1808771	501(c)(3)	50,000	SAFE & EDUCATIONAL CHILD CARE PROJECT
(8) FREE CLINIC OF CENTRAL VIRGINIA 1016 MAIN STREET LYNCHBURG,VA24504	54-1420756	501(C)(3)	250,000	FUNDRAISING CAMPAIGN
(9) LIBERTY UNI COLLEGE OF OSTEOPATHIC MEDICINE 1971 UNIVERSITY BLVD LYNCHBURG,VA24515	54-0946734	501(c)(3)	14,000	COMMUNITY CARE COLLABORATIVE PROGRAM
(10) LYNCHBURG BEACON OF HOPE PO BOX 1261 LYNCHBURG,VA24504	45-3798731	501(c)(3)	100,000	CAPITAL CAMPAIGN CONTRIBUTION
(11) LYNCHBURG REGIONAL BUSINESS ALLIANCE 2015 MEMORIAL AVE LYNCHBURG,VA24501	54-0165020	501(c)(6)	41,667	FUNDRAISING CAMPAIGN CONTRIBUTION
(12) MEDICAL SOCIETY OF VIRGINIA FOUNDATION 2924 EMERYWOOD PARKWAY SUITE 300 RICHMOND,VA23294	52-1394768	501(C)(3)	10,000	FUNDRAISING CAMPAIGN
(13) MONETA VOLUNTEER FIRE DEPT INC 12737 N OLD MONETA RD MONETA,VA24121	54-1713196	501(c)(3)	8,500	FUNDRAISING CAMPAIGN
(14) Pittsylvania County Parks & Recreation 18 Depot Street CHATHAM,VA24531	54-6001508	501(c)(3)	53,408	GRETNA MIDDLE SCHOOL PROJECT
(15) SMART BEGINNINGS-UNITED WAY OF CENTRAL VA INC PO BOX 10008 LYNCHBURG,VA24506	54-0505923	501(c)(3)	40,320	BCS-EXCELL PROJECT
(16) SOUTHSIDE VA FAMILY YMCA 580 COMMERCE ROAD FARMVILLE,VA23901	62-1487256	501(c)(3)	100,000	FUNDRAISING CAMPAIGN
(17) STEPS INC 225 INDUSTRIAL PARK RD FARMVILLE,VA23901	54-1209110	501(c)(3)	39,319	FUNDRAISING CAMPAIGN
(18) THE LISTENING INC PO BOX 515 LYNCHBURG,VA24504	81-2429529	501(C)(3)	22,000	FREEDOM SCHOOL CONTRIBUTION
(19) UNITED WAY OF CENTRAL VIRGINIA 1010 MILLER PARK SQUARE LYNCHBURG,VA24501	54-0505923	501(C)(3)	25,000	FUNDRAISING CAMPAIGN
(20) YMCA DOWNTOWN 1315 CHURCH STREET LYNCHBURG,VA24504	54-0505924	501(c)(3)	120,560	ACHIEVEMENT GAP PROGRAM
(21) YWCA OF CENTRAL VIRGINIA 626 CHURCH STREET LYNCHBURG,VA24504	54-0506490	501(c)(3)	10,000	ROOF REPLACEMENT PROGRAM

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) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) N/A
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
SCH I, PART I, LINE 2:	THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE COMMUNITY BENEFITS COMMITTEE FOR THEIR REVIEW AND APPROVAL.

Schedule I (Form 990) 2018

Additional Data

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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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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 on 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
directors, trustees, officers, including 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 on 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? .............

Yes

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Were any amounts reported on 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" on 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) 2018

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 on 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 in column (B) reported as deferred on 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)
1EW TIBBS PRESIDENT/CEO (THRU 9/18)	(i) (ii)	649,545 ------------- 0	181,441 ------------- 0	1,186,450 ------------- 0	171,812 ------------- 0	50,088 ------------- 0	2,239,336 ------------- 0	887,284 ------------- 0
2DAVID G GOUGH TREASURER & SVP/CFO	(i) (ii)	368,227 ------------- 0	42,698 ------------- 0	70,079 ------------- 0	72,129 ------------- 0	29,027 ------------- 0	582,160 ------------- 0	60,918 ------------- 0
3DAVID D ADAMS SECRETARY & EVP/CSO	(i) (ii)	497,983 ------------- 0	70,237 ------------- 0	93,432 ------------- 0	8,250 ------------- 0	35,757 ------------- 0	705,659 ------------- 0	92,250 ------------- 0
4MICHAEL I ELLIOTT INTERIM CEO (AS OF 10/18)	(i) (ii)	448,298 ------------- 0	74,851 ------------- 0	69,432 ------------- 0	86,055 ------------- 0	30,529 ------------- 0	709,165 ------------- 0	47,047 ------------- 0
5VERNA R SELLERS MD DIRECTOR	(i) (ii)	238,991 ------------- 0	17,620 ------------- 0	1,703 ------------- 0	6,731 ------------- 0	5,206 ------------- 0	270,251 ------------- 0	0 ------------- 0
6CURTIS BAKER SVP/CHIEF NURSING OFFICER	(i) (ii)	301,734 ------------- 0	46,416 ------------- 0	73,712 ------------- 0	8,250 ------------- 0	36,547 ------------- 0	466,659 ------------- 0	53,849 ------------- 0
7JANICE H WALKER SVP/CHIEF HR OFFICER	(i) (ii)	331,578 ------------- 0	49,001 ------------- 0	79,280 ------------- 0	8,250 ------------- 0	12,644 ------------- 0	480,753 ------------- 0	58,538 ------------- 0
8WILLIAM BASS SVP/COMMUNITY HOSPITALS & RMC	(i) (ii)	325,829 ------------- 0	44,425 ------------- 0	55,268 ------------- 0	7,576 ------------- 0	12,774 ------------- 0	445,872 ------------- 0	53,268 ------------- 0
9KENNETH SAUM MD PHYSICIAN	(i) (ii)	1,056,554 ------------- 0	75,000 ------------- 0	22,757 ------------- 0	8,250 ------------- 0	14,175 ------------- 0	1,176,736 ------------- 0	0 ------------- 0
10HOUMAN TAVAF-MOTAMEN MD PHYSICIAN	(i) (ii)	1,008,479 ------------- 0	75,000 ------------- 0	28,810 ------------- 0	8,250 ------------- 0	20,814 ------------- 0	1,141,353 ------------- 0	0 ------------- 0
11MATTHEW SACKETT MD PHYSICIAN	(i) (ii)	693,752 ------------- 0	99,978 ------------- 0	19,974 ------------- 0	8,250 ------------- 0	35,714 ------------- 0	857,668 ------------- 0	0 ------------- 0
12BIKRAM BAL MD PHYSICIAN	(i) (ii)	833,772 ------------- 0	40,742 ------------- 0	788 ------------- 0	8,250 ------------- 0	7,520 ------------- 0	891,072 ------------- 0	0 ------------- 0
13CHAD HOYT MD PHYSICIAN	(i) (ii)	712,515 ------------- 0	99,978 ------------- 0	19,904 ------------- 0	8,250 ------------- 0	53,886 ------------- 0	894,533 ------------- 0	0 ------------- 0
14CHRIS THOMSON MD SVP CHIEF MEDICAL OFFICER	(i) (ii)	423,722 ------------- 0	49,689 ------------- 0	72,224 ------------- 0	89,301 ------------- 0	52,779 ------------- 0	687,715 ------------- 0	52,779 ------------- 0
15LES REED SVP-CPE/CMG PRESIDENT	(i) (ii)	494,205 ------------- 0	70,744 ------------- 0	129,476 ------------- 0	8,250 ------------- 0	27,290 ------------- 0	729,965 ------------- 0	120,657 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

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.

Return Reference

Explanation

SCHEDULE J, PART I, LINE 4A:

EW TIBBS, FORMER CENTRA HEALTH, INC., CEO, RECEIVED SEVERANCE PAYMENT DURING 2018 IN THE AMOUNT OF $237,750, INCLUDED IN HIS TAXABLE INCOME. THE TERMS OF THE SEVERANCE AGREEMENT WERE CONSISTENT WITH INDUSTRY STANDARDS.

SCHEDULE J, PART I, LINE 4B:

THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2018. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT DAVID ADAMS EXECUTIVE VP & CSO 92,250 EW TIBBS (THRU 9/30/18) PRESIDENT & CEO 887,284 JANICE WALKER SR VP & CHIEF ADMIN OFFICER 58,538 MICHAEL ELLIOTT INTERIM CEO (AS OF OCT 2018) 47,047 WILLIAM BASS SVP COMMUNITY HOSP & RMC 53,268 DAVID GOUGH SR VP & CFO 60,918 CURTIS BAKER SR VP/CNO 53,849 CHRIS THOMSON SVP/CHEIF MEDICAL OFFICER 52,779 HARRELL "LES" REED SVP - CPE/CMG PRESIDENT 120,657 -------------- 1,426,590 ============== THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2018. NAME TITLE AMOUNT OF DEFERRAL DAVID ADAMS EXECUTIVE VP & CSO - EW TIBBS (THRU 9/30/18) PRESIDENT & CEO 163,562 JANICE WALKER SR VP & CHIEF ADMIN OFFICER - MICHAEL ELLIOTT INTERIM CEO (AS OF OCT 2018) 77,805 WILLIAM BASS SVP COMMUNITY HOSP & RMC - DAVID GOUGH SR VP & CFO 63,879 CURTIS BAKER SR VP/CNO - CHRIS THOMSON SVP/CHIEF MEDICAL OFFICER 81,051 HARRELL "LES" REED SVP - CPE/CMG PRESIDENT - ----------- 386,296 ===========

Schedule J (Form 990) 2018

Additional Data

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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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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	ECON DEVEL AUTH OF LYNCHBURG-2017 ABCD	54-1225193		07-25-2017	237,637,669	REFUNDING/NEW CONSTRUCTION		X		X		X
B	ECON DEVEL AUTH OF LYNCHBURG-2014 AB	54-1225193		09-10-2014	79,895,000	NEW CONSTRUCTION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	14,737,669		14,162,966
2 Amount of bonds legally defeased ..............	0		0
3 Total proceeds of issue ..................	237,637,669		79,895,000
4 Gross proceeds in reserve funds .............	0		0
5 Capitalized interest from proceeds .............	0		0
6 Proceeds in refunding escrows ...............	0		0
7 Issuance costs from proceeds ...............	2,106,046		443,536
8 Credit enhancement from proceeds .............	0		0
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	35,589,073		65,485,248
11 Other spent proceeds .............	185,531,623		0
12 Other unspent proceeds .............	14,410,927		1,396,216
13 Year of substantial completion .............			2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X
16 Has the final allocation of proceeds been made? ..........		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	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
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

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
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?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		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 %		0 %
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 .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...		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
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		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

Part Ⅳ

Arbitrage

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

Schedule K (Form 990) 2018

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
b Name of provider ..........	0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

PART I, LINE A, COL. (A)

ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA 2017 A, B, C, D, BONDS PART I, LINE B, COL. (A) ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA 2014 A, B BONDS PART I, LINE A, COL. (C) CUSIP #55123TAU6, #55123TAW2, #55123TAT9, #55123TAS1 PART I, LINE A, COL. (F) THE PURPOSE OF THE ISSUE WAS NEW CONSTRUCTION; REFUND OF EDA OF CITY OF LYNCHBURG SERIES 2004A, 2004B, 2004C, 2004D, 2004E, 2004F, AND 2010; REFUND IDA OF TOWN OF AMHERST, SERIES 2007; REFUND IDA OF CAMPBELL COUNTY, SERIES 2007; REFUND OF EDA OF APPOMATTOX, SERIES 2007.

PART II, LINE 12, COL. (B) -

REGARDING THE 2014 A, B BOND... THIS BOND WAS ISSUED IN A DRAWDOWN STRUCTURE AND THE ENTIRE AMOUNT WAS NOT DRAWN AND IS NOT EXPECTED TO BE COMPLETELY DRAWN.

Schedule K (Form 990) 2018

Additional Data

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

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), section 501(c)(4), and 501(c)(29) 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






Total ............... $

Part III

Grants or Assistance Benefiting 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) 2018

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) SAMUEL GERSTEMEIER	SEE PART V	137,628	SEE PART V		No
(2) JACK E WALKER	SEE PART V	91,562	SEE PART V		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

SCHEDULE L, PART IV:

(A) NAME OF PERSON: SAMUEL GERSTEMEIER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF E.W. TIBBS, OFFICER OF CENTRA HEALTH, INC. (C) AMOUNT OF TRANSACTION: $137,628 (D) DESCRIPTION OF TRANSACTION: COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. (E) SHARING OF ORGANIZATION REVENUES?: NO (A) NAME OF PERSON: JACK E. WALKER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: FAMILY MEMBER OF JANICE H. WALKER, KEY EMPLOYEE OF CENTRA HEALTH, INC. (C) AMOUNT OF TRANSACTION: $91,562 (D) DESCRIPTION OF TRANSACTION: COMPENSATION AS EMPLOYEE OF CENTRA HEALTH, INC. (E) SHARING OF ORGANIZATION REVENUES?: NO

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

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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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

CENTRA HEALTH INC

Employer identification number

54-0715569

Return Reference	Explanation
Form 990 Part III, Line 4a:	AS THE REGIONAL HEALTH CARE LEADER, CENTRAS COMMITMENT TO THE CENTRAL VIRGINIA REGION EXTENDS FAR BEYOND THE WALLS OF ITS HEALTH SYSTEM FACILITIES. CENTRA HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE SICK AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR DECADES, AND HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. HOWEVER, JUST AS IMPORTANT IS CENTRAS 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. CENTRAS COMMUNITY EVENTS, OFFERED IN COLLABORATION WITH THE CENTRA HEALTH FOUNDATION IS JUST ONE EXAMPLE OF CENTRAS MANY SERVICES TO THE COMMUNITY. IN ADDITION, CENTRA EMPLOYEES DEDICATE THEMSELVES TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY BY TAKING AN ACTIVE ROLE IN THE REGION, FROM VOLUNTEERING FOR LOCAL BOARDS AND CIVIC AND COMMUNITY ORGANIZATIONS TO PARTICIPATING IN COMMUNITY EVENTS 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. IN 2018, CENTRA HELD MANY NATIONAL AWARDS AND ACCOLADES, SUCH AS: * NATIONAL ACCREDITATION AS A COMPREHENSIVE CENTER FOR BARIATRIC SURGERY METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM- CENTRA WEIGHT LOSS SERVICES HAS RECEIVED NATIONAL ACCREDITATION FROM THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), A JOINT PROGRAM OF THE AMERICAN COLLEGE OF SURGEONS (ACS) AND THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). THE MBSAQIP STANDARDS ENSURE THAT BARIATRIC SURGICAL PATIENTS RECEIVE A MULTIDISCIPLINARY PROGRAM, NOT JUST A SURGICAL PROCEDURE, WHICH IMPROVES PATIENT OUTCOMES AND LONG-TERM SUCCESS. * 5-STAR RATING CENTERS FOR MEDICARE AND MEDICAID- ONLY 337 HOSPITALS OUT OF 4,000 ACROSS THE COUNTRY WERE AWARDED THIS HIGHEST RANKING. IN VIRGINIA, CENTRA IS ONLY ONE OF 8 IN THE STATE TO BE RECOGNIZED WITH 5-STARS. THESE RANKINGS CAN BE FOUND ON THE CMS HOSPITAL COMPARE WEBSITE, THAT IS PROVIDED TO THE PUBLIC TO HELP PATIENTS MAKE EDUCATED DECISIONS. DATA IS ANALYZED IN CATEGORIES SUCH AS COMMUNICATION WITH NURSES, RESPONSIVENESS OF PHYSICIANS AND STAFF, READMISSIONS AND MORTALITY RATES, TIMELY AND EFFECTIVE CARE AND PAYMENT AND VALUE OF SERVICES. CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS RECEIVED THE PRESTIGIOUS 5-STAR RANKING. * 4-STAR RATING CENTERS FOR MEDICARE AND MEDICAID- ONLY 337 HOSPITALS OUT OF 4,000 ACROSS THE COUNTRY WERE AWARDED THIS HIGHEST RANKING. THESE RANKINGS CAN BE FOUND ON THE CMS HOSPITAL COMPARE WEBSITE, THAT IS PROVIDED TO THE PUBLIC TO HELP PATIENTS MAKE EDUCATED DECISIONS. DATA IS ANALYZED IN CATEGORIES SUCH AS COMMUNICATION WITH NURSES, RESPONSIVENESS OF PHYSICIANS AND STAFF, READMISSIONS AND MORTALITY RATES, TIMELY AND EFFECTIVE CARE AND PAYMENT AND VALUE OF SERVICES. CENTRA BEDFORD MEMORIAL HOSPITAL AND SOUTHSIDE COMMUNITY HOSPITAL RECEIVED THE 4-STAR RANKING. * 50 TOP CARDIOVASCULAR HOSPITAL IBM WATSON- CENTRA LYNCHBURG GENERAL HOSPITAL HAS BEEN SELECTED AS A 50 TOP CARDIOVASCULAR HOSPITAL IN AMERICA FOR THE SEVENTH TIME AND IS ONE OF ONLY THREE HOSPITALS IN VIRGINIA TO RECEIVE THIS NATIONAL HONOR FOR OUTSTANDING CARDIOVASCULAR PERFORMANCE. * GET WITH THE GUIDELINES-STROKE GOLD PLUS ACHIEVEMENT AWARD AND TARGET STROKE ELITE PLUS HONOR ROLL AMERICAN HEART ASSOCIATION & AMERICAN STROKE ASSOCIATION- CENTRA LYNCHBURG GENERAL HOSPITAL HAS RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS ACHIEVEMENT AWARD WHICH RECOGNIZES THE COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE BY ENSURING THAT STROKE PATIENTS RECEIVE TREATMENT ACCORDING TO NATIONALLY ACCEPTED STANDARDS AND RECOMMENDATIONS. * ACCREDITATION PROGRAM FOR EXCELLENCE (APEX) AMERICAN SOCIETY OF RADIATION ONCOLOGY- CENTRA IS ONE OF TWO HEALTHCARE SYSTEMS IN THE STATE OF VIRGINIA TO ACHIEVE THE ACCREDITATION PROGRAM FOR EXCELLENCE (APEX) FROM THE AMERICAN SOCIETY OF RADIATION ONCOLOGY. APEX IS A PROGRAM BASED ON A COMPREHENSIVE SET OF SIXTEEN EVIDENCE-BASED STANDARDS OF RADIATION ONCOLOGY PRACTICE. THESE STANDARDS ARE FOCUSED ON FIVE PILLARS OF PATIENT CARE: THE PROCESS OF CARE; THE RADIATION ONCOLOGY TEAM; SAFETY; QUALITY MANAGEMENT; AND PATIENT-CENTERED CARE. * MAGNET STATUS AMERICAN NURSES CREDENTIALING CENTER- THE AMERICAN NURSES CREDENTIALING CENTER HAS RE-DESIGNATED CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS AS MAGNET FACILITIES WHICH RECOGNIZE EXCELLENCE IN NURSING. CENTRA MEDICAL GROUP WAS ALSO AWARDED MAGNET STATUS. CENTRA WAS THE FIRST HEALTHCARE SYSTEM IN CENTRAL VIRGINIA TO ACHIEVE MAGNET STATUS IN 2006. * TOP 100 MOST WIRED CENTRA LYNCHBURG GENERAL, SOUTHSIDE COMMUNITY AND VIRGINIA BAPTIST HOSPITALS ARE THREE OF THE TOP 100 MOST WIRED HOSPITALS IN THE COUNTRY ACCORDING TO HOSPITALS & HEALTH NETWORKS MAGAZINE. CENTRA HAS ALSO RECEIVED A NATIONAL VIP AWARD FROM MCKESSON TECHNOLOGY SOLUTIONS FOR ITS USE OF INFORMATION TECHNOLOGY TO ACHIEVE OUTSTANDING RESULTS IN HEALTH CARE DELIVERY. * PATHWAY TO EXCELLENCE DESIGNATION- BEDFORD MEMORIAL THE PATHWAY TO EXCELLENCE DESIGNATION IDENTIFIES THE ELEMENTS OF PROFESSIONAL WORK ENVIRONMENTS WHERE NURSES CAN FLOURISH AND FEEL EMPOWERED. THE DESIGNATION SUBSTANTIATES NURSING JOB SATISFACTION AND IDENTIFIES BEDFORD MEMORIAL HOSPITAL AS ONE OF THE BEST PLACES TO WORK. THE PATHWAY TO EXCELLENCE DESIGNATION IS GRANTED BASED ON THE CONFIRMED PRESENCE OF SIXTY-FOUR ELEMENTS OF PERFORMANCE, CATEGORIZED INTO SIX STANDARDS: SHARED DECISION-MAKING, LEADERSHIP, SAFETY, QUALITY, WELL-BEING AND PROFESSIONAL DEVELOPMENT.
2018 COMMUNITY BENEFIT HIGHLIGHTS	* CENTRA CONTINUES TO CONTRIBUTE MILLIONS OF DOLLARS TOWARD UNPAID COST OF PATIENT CARE, INCLUDING, BUT NOT LIMITED TO: o TRADITIONAL CHARITY CARE INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2018, $110,846,305 OF CHARGES AT AN ESTIMATED COST OF $40,790,467 WAS PROVIDED TO PATIENTS OF CENTRA. THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY ASSISTANCE FOCUSES ON INCOME LEVELS SET BY THE STATE OF VIRGINIA. THESE POLICIES CALL FOR PROVIDING CARE FREE OF CHARGE TO PATIENTS WHO DEMONSTRATE A FAMILY INCOME BELOW OR EQUAL TO 200 PERCENT OF THE STATE APPROVED POVERTY GUIDELINE. PATIENTS WHO HAVE A FAMILY INCOME OF GREATER THAN 200 PERCENT TO 400 PERCENT OF THE POVERTY LEVEL ARE ELIGIBLE FOR PARTIAL ASSISTANCE BASED ON A DISCOUNT SCHEDULE THAT CONSIDERS BOTH FAMILY GROSS INCOME AND ACCOUNT BALANCE. ASSISTANCE IS PROVIDED BY CENTRA AND FROM INDIGENT FUNDS MADE AVAILABLE BY CENTRA HEALTH FOUNDATION. * CHARGES OF $51,723,829 AT AN ESTIMATED COST OF $25,220,215 WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY DURING 2018. o THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATIONS REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THEREFORE, THE UNREIMBURSED CALCULATED COSTS OF CARE RENDERED TO MEDICARE PATIENTS TOTALED $64,098,843 IN 2018. o UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS TOTALED $43,623,937 IN 2018. 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 2018 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 2018, OVER 325 HEALTH EDUCATION PROGRAMS AND HEALTH FAIRS REACHED MORE THAN 22,000 INDIVIDUALS WITHIN THE COMMUNITY. KNITTING CLASSES 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. NUTRITION CLASSES, COOKING DEMONSTRATIONS, FREE FARMERS MARKET THESE PROGRAMS OFFER A UNIQUE OPPORTUNITY TO ACQUIRE KNOWLEDGE ABOUT THE LINK BETWEEN DIET AND CANCER, EXPERIENCE THE BENEFITS OF PLANT-BASED NUTRITION, AND LEARN THE PRACTICAL COOKING SKILLS NEEDED TO HELP YOU ON YOUR JOURNEY TO BETTER HEALTH. IN THE CLASSES, ATTENDEES DO ALL OF THIS WHILE ENJOYING A COOKING DEMONSTRATION AND TASTING DELICIOUS, HEALTHFUL DISHES. ART CLASSES ART CLASSES ARE BEING OFFERED TO CANCER PATIENTS AS A FORM OF THERAPY. ART IS USED TO ASSIST CANCER PATIENTS TO USE THE CREATIVE SIDE OF THE BRAIN. IT IS BELIEVED IN THE MEDICAL WORLD THAT A CREATIVE ACTIVITY PROMOTES HEALING. YOGA AND TAI CHI EXERCISE CLASSES YOGA AND TAI CHI ARE OFFERED TO CAN HELP PATIENTS CENTER THEIR THOUGHTS AND MAINTAIN FLEXIBILITY, BUT BOTH HAVE BENEFITS SPECIFICALLY FOR PEOPLE LIVING WITH CANCER. SYMPTOMS OF FATIGUE, INSOMNIA, AND PAIN CAN ALL LOWER YOUR QUALITY OF LIFE WITH CANCER. IN RECENT YEARS, THE USE OF YOGA AND TAI CHI HAVE BEEN EVALUATED IN MANY STUDIES LOOKING AT CANCER SYMPTOMS. FIGHTING CANCER ISNT EASY BUT GIVING UP ISNT AN OPTION. YOGA AND TAI CHI HELP ENHANCE PHYSICAL AND EMOTIONAL WELLNESS AND HELPS BRING PEACE TO PATIENTS. MINDFUL MEDITATION CLASSES MINDFUL MEDITATION CLASSES CONSIST SIMPLY OF BEING AWARE OF THE PRESENT MOMENT. NEGATIVE REACTIONS TO PAIN, SUCH AS FEAR OR ANGER, ACTUALLY CAN MAKE PAIN WORSE. MINDFULNESS TEACHES ONE TO OBSERVE THOUGHTS AND FEELINGS INSTEAD OF REACTING TO THEM, SO ONE CAN LEARN TO EXPERIENCE PAIN/STRESS AS A MOMENT-TO-MOMENT SENSATION, WHICH THEN LESSENS THE INTENSITY. RESEARCH SHOWS MINDFULNESS-BASED STRESS REDUCTION TECHNIQUES CAN REDUCE CHRONIC PAIN AND ANXIETY AND INCREASE VITALITY. MUSIC THERAPY MANY PEOPLE FIND LISTENING TO MUSIC RELAXING, SOOTHING, AND ENJOYABLE. FOR CANCER PATIENTS, IT ALSO CAN BE A WAY TO COPE WITH SOME OF THE SYMPTOMS OF THEIR DISEASE AND SIDE EFFECTS OF THEIR TREATMENT. NEW RESEARCH SUPPORTS LISTENING TO RECORDED MUSIC, AS WELL AS MUSIC THERAPY, TO IMPROVE ANXIETY, PAIN, MOOD, QUALITY OF LIFE, HEART RATE, RESPIRATORY RATE, AND BLOOD PRESSURE IN CANCER PATIENTS. CARDIAC EDUCATION AND SCREENINGS VARIOUS PROGRAMS WITHIN THE STROOBANTS HEART CENTER OFFER MEMBERS OF THE COMMUNITY FREE EDUCATION, SCREENINGS AND LECTURES. HEARTAWARE AN ONLINE RISK ASSESSMENT WAS LAUNCHED ON THE CENTRA WEBSITE IN 2010. 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. OTHER ONLINE WELLNESS ASSESSMENTS IN ADDITION TO THE HEARTAWARE ONLINE RISK ASSESSMENT, CENTRA ALSO HAS FIVE OTHER FREE ONLINE RISK ASSESSMENTS WHICH IS LOCATED ON CENTRA HEALTHS WEBSITE. THE COMMUNITY CAN LOCATE THESE ASSESSMENTS BY GOING TO WWW.CENTRAHEALTH.COM AND SELECTING "COMMUNITY HEALTH" ON THE TOP TAB, THEN SELECT "WELLNESS ASSESSMENTS". THESE ASSESSEMENTS ARE: o LUNGAWARE TO ASSESS THE RISK OF LUNG DISEASE o PAD AWARE TO ASSESS THE RISK OF PERIPHERAL ARTERY DISEASE o DIABETESAWARE TO ASSESS THE RISK OF DIABETES o SLEEPAWARE TO ASSESS THE RISK OF OBSTRUCTIVE SLEEP DISORDER o SPINEAWARE TO ASSESS THE RISK OF BACK AND SPINAL DISORDERS BE TOBACCO FREE CLINIC CENTRA HEALTHS PULMONARY REHABILITATION PROGRAM OFFERS FREE ONE HOUR BE TOBACCO FREE PROGRAMS MONTHLY FOR PEOPLE CONSIDERING A TOBACCO-FREE LIFE, WHETHER ITS SMOKING, VAPING OR CHEWING TOBACCO. DURING 2018, 58 INDIVIDUALS PARTICIPATED. WE COORDINATED THE GREAT AMERICAN SMOKE OUT AT THE PEARSON CANCER CENTER AND STROOBANTS CARDIOVASCULAR CENTER IN ORDER TO HELP THE PUBLIC, PATIENTS, AND EMPLOYEES QUIT USING TOBACCO. WE WERE ABLE TO REACH 123 INDIVIDUALS DURING THIS PROGRAM. 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. SLEEP DISORDERS CENTER OUTREACH THE SLEEP DISORDERS CENTER AT VIRGINIA BAPTIST HOSPITAL AND THE FOREST SLEEP CENTER 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. MAAM (MAMMOGRAMS ANNUALLY A MUST) DURING 2018, CENTRA HEALTH PROVIDED 350 SCREENING MAMMOGRAMS TO UNINSURED AND UNDERINSURED WOMEN IN THE COMMUNITY WITH THE SUPPORT OF THE CENTRA FOUNDATION MAAM PROGRAM. FREE SCREENING MAMMOGRAPHY DAYS WERE HELD THROUGHOUT THE YEAR AT ALL CENTRA HEALTH MAMMOGRAPHY FACILITIES.
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 INCLUDE, BUT NOT LIMITED TO, FAMILY EMERGENCY CARE (CPR), CHILDBIRTH, BABY CARE, INFANT MASSAGE, BREAST-FEEDING, PUBERTY, SAFE SITTER, NEW SIBLING CLASSES, DIABETES, WEIGHT MANAGEMENT, SMOKING CESSATION, DEPRESSION, HEART DISEASE, SURVIVORSHIP. 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, COPD, PROSTATE CANCER, SLEEP DISORDERS AND CARDIAC REHABILITATION. BEREAVEMENT SUPPORT GROUPS IN 2018, THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED GRIEF SUPPORT GROUPS IN ALL 3 BUSINESS UNITS. THE GROUPS CONTINUE TO BE ENTITLED, "A JOURNEY TOWARD HOPE AND HEALING." THERE WAS A TOTAL OF 4 GROUP SERIES HELD IN LYNCHBURG, 2 GROUP SERIES HELD IN FARMVILLE, AND 2 GROUP SERIES HELD IN BEDFORD. THE SIX, SIX-WEEK SERIES PROVIDED AN INTERDISCIPLINARY AND HOLISTIC EDUCATIONAL AND SUPPORTIVE GROUP FORMAT, WITH THE HOSPICE MEDICAL DIRECTOR, HOSPICE CLINICAL SOCIAL WORKERS, HOSPICE BEREAVEMENT STAFF, AND HOSPICE CHAPLAINS SERVING AS FEATURED SPEAKERS. THE MULTI-SESSION GROUPS WERE HELD FOR AN HOUR-AND-A-HALF. THE SERIES WERE OFFERED EITHER IN THE EVENING OR IN THE DAYTIME TO ACCOMMODATE PARTICIPANTS LIFE SCHEDULES. APPROXIMATELY THIRTY-NINE (39) PERSONS ATTENDED A GRIEF SUPPORT GROUP SERIES IN 2018 (LYNCHBURG 27 ATTENDEES; FARMVILLE 8 ATTENDEES; BEDFORD 4 ATTENDEES). THE GRIEF SUPPORT GROUP SERIES ARE FREE AND OPEN TO THE COMMUNITY-AT-LARGE, AS WELL AS TO FAMILY MEMBERS OF PERSONS SERVED BY HOSPICE. THE CENTRA HOSPICE BEREAVEMENT PROGRAM ALSO OFFERED A "HOLIDAY HOPE" PROGRAM (FORMERLY KNOWN AS "GRIEF AND THE HOLIDAYS") AT SIX DIFFERENT VENUES/LOCATIONS ON THE DATES LISTED BELOW: - OCTOBER 29, 2018 (FAIRMONT CROSSING) - OCTOBER 30, 2018 (FARMVILLE HOSPICE OFFICE) - NOVEMBER 1, 2018 (SUMMIT) - NOVEMBER 13, 2018 (BEDFORD BOWER CENTER FOR THE ARTS) - NOVEMBER 14, 2018 (APPOMATTOX J. ROBERT JAMERSON MEMORIAL LIBRARY) - NOVEMBER 15, 2018 (GRETNA FIRST BAPTIST CHURCH OF GRETNA) FOURTEEN (14) PERSONS ATTENDED THE PROGRAMS WHICH WERE FACILITATED BY MARTHA GUNTER, CENTRA HOSPICE BEREAVEMENT MANAGER (WHO IS A LICENSED PROFESSIONAL COUNSELOR) AND THE FOLLOWING CENTRA HOSPICE CHAPLAINS: JUSTIN BROWN, SETH COTTON, ELAINE TOLA, SHERI WINESETT, AND DEBRAH ZUERCHER. THE "HOLIDAY HOPE" PROGRAMS WERE FREE AND OPEN TO THE COMMUNITY-AT-LARGE, AS WELL AS FAMILY MEMBERS OF PERSONS SERVED BY HOSPICE. THEY WERE ADVERTISED THROUGH PRINT, MASS MAILING, LOCAL NEWSPAPERS, AND ELECTRONIC MEDIA. THE CENTRA HOSPICE BEREAVEMENT PROGRAM CONTINUES TO PROVIDE SUPPORT TO THE COMMUNITY AS WELL. MARTHA GUNTER, CENTRA HOSPICE BEREAVEMENT MANAGER, WAS INVITED TO SPEAK AT TWO EVENTS HOSTED BY DIUGUID FUNERAL HOME ON WIGGINGTON ROAD; AND HERITAGE FUNERAL HOMES FIRST HOLIDAY MEMORIAL SERVICE. MS. GUNTER ALSO SPOKE WITH ATTENDEES AT THE NEWLY FORMED HEALTH & WELLNESS SENIOR PROGRAM AT CROSSROAD BAPTIST CHURCH ON GRIEF & LOSS. A MASS MAILING HAS OCCURRED TO AREA FUNERAL HOMES TO INFORM THEM OF THE AVAILABLE GRIEF SUPPORT GROUPS THROUGH CENTRA HOSPICE BEREAVEMENT SERVICES; AS WELL AS THE SCHEDULED "HOLIDAY HOPE" PROGRAMS. THE CENTRA HOSPICE BEREAVEMENT PROGRAM CONTINUES TO PROVIDE SUPPORT TO FACILITIES WHERE PATIENTS WERE SERVED IN COLLABORATION WITH CENTRA HOSPICE. LITERATURE HAS BEEN DISTRIBUTED TO AREA FACILITIES RELATED TO SUPPORT AVAILABLE TO FACILITY STAFF THROUGH CENTRA HOSPICE BEREAVEMENT SERVICES. AN IN-SERVICE ON "SELF-CARE FOR HEALTHCARE PROFESSIONALS" WAS FACILITATED BY MARTHA GUNTER, CENTRA HOSPICE BEREAVEMENT MANAGER, TO STAFF AT FAIRMONT CROSSING AND TO CENTRA BEDFORD HOSPICE HOUSE STAFF. MS. GUNTER PROVIDED STAFF AT THE LYNCHBURG HOSPICE HOUSE AND THE BEDFORD HOSPICE HOUSE WITH REMEMBRANCE ITEMS TO HAVE ON SITE AS A WAY TO REFLECT ON THE PATIENTS WHOM STAFF CARED FOR AT BOTH OF HOSPICE HOUSES UP TO THE PATIENTS PASSING. DURING 2018, MARTHA GUNTER, CENTRA HOSPICE BEREAVEMENT MANAGER, COLLABORATED WITH SETH COTTON, TO PLAN A REMEMBRANCE CEREMONIES AT GUGGENHEIMER HEALTH & REHAB AS A MEANS OF PROVIDING FACILITY SUPPORT. ANOTHER FUTURE REMEMBRANCE CEREMONY IS BEING PLANNED FOR EARLY 2019 AT GUGGENHEIMER HEALTH & REHAB. THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED HOSPICE-SPONSORED MEMORIAL SERVICES IN ALL THREE BUSINESS UNITS THIS YEAR. SIX SERVICES WERE HELD IN LYNCHBURG AT TIMBERLAKE UNITED METHODIST CHURCH; THREE SERVICES WERE HELD IN FARMVILLE AT ST. JOHNS LUTHERAN CHURCH; AND TWO SERVICES WERE HELD IN BEDFORD AT BEDFORD CHRISTIAN CHURCH. OVERALL, THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED BEREAVEMENT SUPPORT TO 992 +/- FAMILY MEMBERS OF PERSONS SERVED BY CENTRA HOSPICE (704 IN THE LYNCHBURG BUSINESS UNIT; 162 +/- IN THE FARMVILLE BUSINESS UNIT; AND 126 +/- IN THE BEDFORD BUSINESS UNIT). IN ADDITION TO OUR GRIEF SUPPORT GROUP SESSIONS, 220 SUPPORTIVE BEREAVEMENT VISITS AND/OR SUPPORTIVE BEREAVEMENT COUNSELING SESSIONS WERE PROVIDED BY BEREAVEMENT STAFF EITHER IN THE PERSONS HOME OR AT THE HOSPICE OFFICE (146 IN THE LYNCHBURG BUSINESS UNIT; 58 IN THE FARMVILLE BUSINESS UNIT; AND 16 IN THE BEDFORD BUSINESS UNIT). 2,700 PHONE CALLS WERE PROVIDED BY BEREAVEMENT STAFF TO OFFER AND/OR PROVIDE BEREAVEMENT SUPPORT (1,945 IN THE LYNCHBURG BUSINESS UNIT; 424 IN THE FARMVILLE BUSINESS UNIT; AND 331 IN THE BEDFORD BUSINESS UNIT). PEARSON CANCER CENTER BREAST CANCER SUPPORT GROUP THIS 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 30 WOMEN IN 2018. ASTHMA/COPD/BREATHING SUPPORT GROUP THIS GROUP IS OFFERED TO INDIVIDUALS TO CREATE AWARENESS OF CHRONIC LUNG DISEASES AND TO PROVIDE SUPPORT AND ENCOURAGEMENT TO INDIVIDUALS AND FAMILY MEMBERS OF THOSE WITH CHRONIC LUNG DISEASE. PROSTATE SUPPORT GROUP THIS GROUP IS AN EDUCATIONAL SUPPORT GROUP SUPPORTED BY CENTRAS NURSE NAVIGATORS, 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 & CASH DONATIONS * DURING 2018, CENTRA HEALTH DONATED OVER $128,936 IN MEDICAL SUPPLIES TO THE GLEANING FOR THE WORLD ORGANIZATION. * DURING 2018, CENTRA LAB PROCESSED A COMBINED TOTAL OF 4,835 LABORATORY TESTS FOR CENTRAL VIRGINIA FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT OF APPROXIMATELY $583,322. * DURING 2018, APPROXIMATELY 17,050 MEALS WERE PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF APPROXIMATELY $52,855. * DURING 2018, CASH DONATIONS MADE BY CENTRA HEALTH TO THE COMMUNITY TOTALED $1,336,884. 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 CENTRAS 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: BEFORE BABY MOMS CLUB (BBMC) BEFORE BABY MOMS CLUB (BBMC) IS A FREE EVIDENCE BASED PROGRAM THAT IMPROVES BIRTH OUTCOMES BY PROVIDING PRENATAL EDUCATION AND EMOTIONAL SUPPORT FOR MOMS-TO-BE IN A FUN GROUP SETTING. IT OFFERS AN OPPORTUNITY FOR PREGNANT WOMEN IN VARIOUS STAGES OF THEIR PREGNANCIES TO EXPLORE ISSUES, RECEIVE INFORMATION, LEARN PRACTICAL SKILLS AND HAVE THEIR QUESTIONS ANSWERED AS A GROUP. BEFORE BABY MOMS CLUBS ARE FACILITATED BY A TRAINED EDUCATOR IN AN INFORMAL AND NON-INTIMIDATING SETTING, USING A COLORFUL, COMPREHENSIVE AND EASY TO UNDERSTAND PRENATAL GUIDE. PARTICIPANTS MEET IN LYNCHBURG THE FIRST FOUR THURSDAYS OF EVERY MONTH FROM 5:30PM-7PM AT THE CENTER FOR CHILDBIRTH AND FAMILY EDUCATION AT CENTRA VIRGINIA BAPTIST HOSPITAL AND THE FIRST FOUR WEDNESDAYS OF THE MONTH FROM 12:00PM-1:30PM AT CENTRA SOUTHSIDE COMMUNITY HOSPITAL THROUGH JULY 2018. PARTICIPANTS RECEIVE INFORMATION AT EVERY MEETING ON AT LEAST ONE OF THE FOLLOWING CORE TOPICS; PRETERM LABOR, NUTRITION, SAFE SLEEP, BREASTFEEDING, SUBSTANCE USE AND ABUSE/DEPRESSION.
2018 ACTIVITIES AND OUTREACH	* HOSTED 86 BBMC MEETINGS, 40 IN LYNCHBURG AND 26 IN FARMVILLE. * SERVED 707 PREGNANT WOMEN AND THEIR SUPPORT PERSONS, 650 IN LYNCHBURG AND 57 IN FARMVILLE. * CONTINUED PARTNERSHIPS WITH KROGER, AND CENTRA CATERING TO PROVIDE SERVICES AND/OR FOOD. * RECRUITMENT BY PHONE AND THROUGH DISTRIBUTION OF FLYERS TO PRACTITIONERS. * HOSTED 2 SPA DAYS, 2 GROCERY STORE TOURS AND BBMC REUNION. * REACHED OUT TO POTENTIAL SPEAKERS, LACTATION CONSULTANTS, MIDWIVES, YWCA, FIRE DEPARTMENT. * REACHED OUT TO CURRENT AND POTENTIALLY NEW MOMS CLUB PARTNERS FOR MOMS GROUP ACTIVITIES. COMMUNITY VOICE COMMUNITY VOICE IS AN EVIDENCED BASED, CONSUMER EDUCATION PROGRAM WHOSE GOALS ARE TO RAISE AWARENESS OF THE HEALTH DISPARITY THAT EXISTS IN INFANT MORTALITY, TO PROVIDE CULTURALLY RELEVANT PERINATAL HEALTH INFORMATION AND TO INFLUENCE BEHAVIORS BY TAKING INFORMATION DIRECTLY TO THE PEOPLE WHOM BLACK WOMEN OF CHILDBEARING AGE ARE MOST LIKELY TO TRUST AND TRAIN THEM TO BE LAY HEALTH ADVISORS. ONCE TRAINED, LAY HEALTH ADVISORS HAVE THE KNOWLEDGE AND POWER TO TEACH, MOTIVATE, AND INFLUENCE THEIR FAMILY, FRIENDS AND NEIGHBORS. IN 2018 OVER 740 COMMUNITY RESIDENTS RECEIVED INFORMATION ON SAFE SLEEP, BREASTFEEDING, PRETERM BIRTH, SUBSTANCE USE AND ABUSE, NUTRITION, FOLIC ACID, PRENATAL CARE AND OTHER PERINATAL HEALTH TOPICS THROUGH A COMBINATION OF CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES. * TAUGHT 50 CLASSES IN LYNCHBURG * 286 COMMUNITY RESIDENTS ATTEND AT LEAST 1 CLASS * ATTENDED 8 COMMUNITY HEALTH FAIRS OR EVENTS * ASSISTED WITH I AM WOMAN RACE * DEVELOPED ONGOING PARTNERSHIPS WITH AGENCIES AND CHURCHES IN LYNCHBURG, FARMVILLE AND BEDFORD * ONGOING CV RECRUITMENT IN LYNCHBURG 2018 COMMUNITY VOICE OUTREACH LOCATIONS: * DANIELS HILL * TINBRIDGE HIL * DIAMOND HILL * COLLEGE HILL * JUBILEE FAMILY DEVELOPMENT CENTER * HUNTON RANDOLPH CENTER * GOODWILL INDUSTRIES, MADISON HTS, VIRGINIA * JAMERSON YMCA * DOWNTOWN YMCA * JOHNSON HEALTH CENTER * MIRIAMS HOUSE * DOMESTIC VIOLENCE SHELTER * LIBERTY GODPARENT HOME * BLUE RIDGE PREGNANCY CENTER * JAMES CROSSING APARTMENTS * PARKVIEW MISSIONS * PRAYER FAITH OUTREACH MINISTRIES * BEDFORD COMMUNITY COALITION * SOCIAL MEDIA UPDATES AND POSTINGS * LIBERTY UNIVERSITY * VIRGINIA UNIVERSITY OF LYNCHBURG * LYNCHBURG COLLEGE 2018 COMMUNITY VOICE CLASS LOCATIONS: * PARKVIEW MISSIONS * LYNCHBURG PARKS AND RECREATION MILLER CENTER (EVERY WEEK) * COMMUNITY ACCESS NETWORK FORENSIC NURSE PROGRAM THE FORENSIC NURSE PROGRAM BEGAN IN 1997. IT CONSISTS OF REGISTERED NURSES TRAINED IN THE COLLECTION OF FORENSIC EVIDENCE. THE FORENSIC NURSES WORK WITH LAW ENFORCEMENT, SOCIAL SERVICES AND THE COURT SYSTEM. NURSES RESPOND TO VICTIMS OF PHYSICAL ASSAULT, SEXUAL ASSAULT AND ABUSE AND NEGLECT IN BOTH THE ADULT AND PEDIATRIC POPULATION. THEY ALSO PROVIDE EDUCATIONAL/TRAINING LECTURES TO RESCUE AGENCIES, POLICE DEPARTMENTS, POLICE ACADEMY, ATTORNEYS AND VARIOUS COLLEGES INCLUDING THE CRIMINAL JUSTICE AND NURSING PROGRAMS. THIS PROGRAM SERVES CLIENTS FROM CENTRAL VIRGINIA AND THE SURROUNDING AREA. IN 2018, THE PROGRAM SAW 748 PATIENTS AND HAD AN ADDITIONAL 525 CONSULTS. RIVERMONT SCHOOLS CENTRAS RIVERMONT SCHOOLS PROVIDE SPECIALIZED EDUCATION FOR STUDENTS WITH BEHAVIORAL OR EMOTIONAL CONCERNS AS WELL AS STUDENTS ON THE AUTISM SPECTRUM. THIRTEEN SCHOOLS THROUGHOUT VIRGINIA ADDRESS THE NEEDS OF MORE THAN 800 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 HIGHLANDS, FREDERICKSBURG, GREATER PETERSBURG, FAIRFAX, AND ROCKBRIDGE. RIVERMONT SCHOOLS PROVIDE A UNIQUE AND SUPPORTIVE ENVIRONMENT SERVING SCHOOL-AGE CHILDREN EXPERIENCING EMOTIONAL DIFFICULTIES AND AUTISM. EACH RIVERMONT STUDENT RECEIVES LEARNING OPPORTUNITIES THAT PROMOTE SELF-ACTUALIZATION, THE VALUE OF LEARNING, SELF-DISCIPLINE, COOPERATION, RESILIENCY AND SELF-ADVOCACY THROUGH TEACHING EXCELLENCE, THERAPEUTIC SUPPORT, FAMILY PARTICIPATION, AND COMMUNITY INVOLVEMENT. 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 VOLUNTEERS DONATE 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 2018, HOSPICE VOLUNTEERS DONATED 6,181 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 AND MEDICATION DELIVERY, CLEANING, INTERACTING WITH PATIENTS AND FAMILIES. THEY ALSO OFFER SUPPORT TO FAMILIES WHO HAVE LOST A LOVED ONE THROUGH PARTICIPATING IN THE HOSPICE MEMORIAL SERVICES 6 TIMES DURING THE YEAR. OUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 50,136 MILES IN 2018.
ASSISTANCE THRU DONATIONS	CENTRA HEALTH, INC. DONATED $500,000 TO CENTRA HEALTH FOUNDATIONS COMMUNITY INITIATIVE FUND DURING 2018. NUMEROUS ORGANIZATIONS AND INDIVIDUALS BENEFIT FROM THE VARIOUS PROGRAMS AND ASSISTANCE PROVIDED WITH THE HELP OF THESE DONATIONS. BELOW IS THE LIST OF LOCAL ORGANIZATIONS WHICH CENTRA FUNDS SUPPORTED IN 2018: 1. Bedford Ride Non-Emergency Medical Transportation Bedford Ride/Central VA Alliance for Community Living, Inc. Notes: Operational supplies, fuel, vehicle maintenance & repair. $25,000 2. A Cargo Van for Food Transportation (Amherst County) Neighbors Helping Neighbors of Amherst County Notes: Funds to help purchase a used van to be used for food distribution. $9,000 3. Central Virginia HIV Testing and Counseling Project Coalition for HIV Awareness & Prevention of Central VA (CHAP) Notes: Funds to purchase HIV rapid tests, home tests, HIV testing equipment & provide counseling & follow-up. $14,500 4. CLiC Care in Lynchburg and Danville Brain Injury Services of Southwest VA (SWVA) Notes: Support caregivers of brain injury patients through online classes. $3,375 5. EMS Training Grant for Year 2018 2019 Central Virginia Community College Educational Foundation (CVCC) Notes: Provide tuition and fees for eligible students, plus a small number of text books. Online training for ACLS, PALS, ACLS-EP. $27,000 6. Fresh RX Lynchburg Grows Notes: Family healthy diet sessions for 4 nine-week sessions serving a total of 60 families. $20,000 7. Fund for Colorectal Cancer Screenings (Farmville & Prince George) Central Virginia Health Services, Inc. Notes: Funding for colorectal screening tests. $10,000 8. Healthy Behaviors Diamond Hill Health & Wellness Community Services (DHHW) Notes: Expand exercise classes, summer day camp, & educational health workshops. $7,500 9. Healthy Life Choices Programming Boys & Girls Club of Greater Lynchburg Notes: To support supplies, training, staff & mentors for healthy lifestyle training. $10,000 10. Increasing Naloxone Access to Prevent Opioid Overdose for Community Safety E2 Dual Diagnosis Unit a part of VBH Adult Psychiatry Unit Notes: To fund Naloxone to uninsured patients identified with Opioid Abuse Disorder. (1 year start-up) $28,000 11. Kids Haven Grief Group Facilitation & Grief Support Skills Training Program Kids Haven A Center for Grieving Children Recommendation: Partial funding recommended Notes: Partial consulting fee to create gold-standard training in the area of childrens grief facilitation & provide childrens grief support skills. $8,000 12. Medical/Dental Services Integration Project Free Clinic of Central Virginia, Inc. Notes: For salaries and dental supplies. $80,000 13. Medical Necessity Transportation Program (Farmville) Piedmont Senior Resource Area Agency on Aging Notes: Start-up costs for driver & call coordinator. $25,000 14. Medication Access Program (MAP) Heart of Virginia Free Clinic (Farmville) Notes: To help purchase bulk generic drugs for uninsured patients. $14,000 15. Movies on the Menu (Amherst) Second Stage/Amherst, Inc. Notes: To support meals, snacks, & staff costs for healthy diet education. $5,000 16. Prevention and Alternative Peer Group Recovery Support Services (Drug & Alcohol) The Unlimited Potential UP Foundation Notes: Provide scholarships for 6 months of recovery services for youth. $24,000 17. Reducing Falls & Premature Home Displacement Foundation for Rehabilitation Equipment and Endowment (aka) FREE Notes: Funds for staff, equipment, repair & rehab & purchase of some specialized equipment. $23,900 18. RX Partnership Core Pharmaceuticals Services Program and Access to Medication Program RX Partnership (RxP) Notes: To help broker free prescriptions for the Lynchburg Free Clinic. $12,000 19. "Safe at Home" Interfaith Outreach Association Notes: For home safety modifications for elderly & handicapped. $15,000 20. Summer Camp Scholarship & 3 Point Play Program Jubilee Family Development Center Notes: To fund 28 partial scholarships for Three-Point Play Summer Program. $14,000 21. TAKE CHARGE: Priority Transitions Program Central Virginia Alliance for Community Living, Inc (designated Area Agency on Aging, Inc.) Notes: To fund staff salaries program reduces readmissions into Centra hospitals, very high success rate. $69,500 22. United Neigh Scholarship Fund Brook Hill Retirement Center for Horses, Inc. Notes: Non-traditional therapy for children with emotional & physical disabilities. $7,500 23. Wheels for Bread Lynchburg Daily Bread, Inc. Notes: To purchase a new van to be used for food distribution. $10,000 24. Why the Y (Farmville) Southside Virginia Family YMCA Notes: Supplies, free swim lessons, scholarships to residents who cannot afford memberships. $29,000 25. Working to Unravel the Effects of Cancer (Danville) Danville Pittsylvania Cancer Association, Inc. (Cancer Patient Support) Notes: Provide assistance with patient travel, medical, equipment, nutritional supplemental & education. $15,000
FORM 990, PART VI, SECTION A, LINE 2:	OFFICERS DAVID GOUGH AND MICHAEL ELLIOTT ARE BOARD MEMBERS OF CENTRAL VIRGINIA IMAGING, LLC, A 50% JOINT VENTURE OF CENTRA HEALTH, INC. FORM 990, PART VI, SECTION A, LINES 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 12C: ALL CENTRA OFFICERS AND DIRECTORS MUST COMPLETE A "POSSIBLE CONFLICT OF INTEREST" QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINES 15A & 15B: CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS FOUR ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FIVE MEMBERS MEET THE IRS FORM 990 INDEPENDENCE DEFINITION. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. THE COMPENSATION COMMITTEE IS ALSO RESPONSIBLE FOR THE REVIEW AND APPROVAL OF SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF CENTRA, BASED ON THE RECOMMENDATIONS MADE BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES. FORM 990, PART VI, SECTION C, LINE 16B: JOINT VENTURE POLICY - CENTRA HEALTH, INC. ADOPTED A JOINT VENTURE POLICY, IN 2014, WHICH REQUIRES THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW AND TAKE STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 18:	PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. ADDITIONALLY, FILINGS OF THE FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19:	THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AT ITS ADMINISTRATIVE OFFICE UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN PENSION REPORTING 1,434,097 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 3,112,149 NET ASSETS RELEASED FROM RESTICTIONS TO AFFILIATED ENTITIES (553,565) MINORITY INTEREST 40,664 NET PERIODIC PENSION COST (5,204,777) ROUNDING 43 ------------ TOTAL TO FORM 990, PART XI, LINE 9 ($1,171,389) ===========
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED & CONTRACTED SVCS TOTAL FEES:75472414
FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:55814353
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER TOTAL FEES:727651

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: EXCELLENT CARE FOR LIFE
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	8,701
6	Total number of volunteers (estimate if necessary) .............	6	866
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	2,326,423
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	1,209,024

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,131,252	5,840,717
9	Program service revenue (Part VIII, line 2g) .........	900,321,376	963,722,544
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	49,372,387	2,456,510
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,635,999	4,274,518
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	958,461,014	976,294,289
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,224,068	1,885,694
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)	480,075,281	537,725,228
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)....	406,307,444	452,655,362
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	887,606,793	992,266,284
19	Revenue less expenses. Subtract line 18 from line 12.......	70,854,221	-15,971,995
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,183,004,773	1,265,868,801
21	Total liabilities (Part X, line 26).............	487,085,111	606,364,563
22	Net assets or fund balances. Subtract line 21 from line 20.....	695,919,662	659,504,238

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 897,083,471 including grants of $ 1,885,694 ) (Revenue $ 965,556,917 )
	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 HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR DECADES, 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 expenses897,083,471

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) MICHAEL I ELLIOTT........................................................................ INTERIM CEO (AS OF 10/18)	50.0 .......................0.0	X			592,581	0	116,584
(19) CURTIS BAKER........................................................................ SVP/CHIEF NURSING OFFICER	50.0 .......................0.0		X		421,862	0	44,797
(20) JANICE H WALKER........................................................................ SVP/CHIEF HR OFFICER	50.0 .......................0.0		X		459,859	0	20,894
(21) WILLIAM BASS........................................................................ SVP/COMMUNITY HOSPITALS & RMC	50.0 .......................0.0		X		425,522	0	20,350
(22) CHRIS THOMSON MD........................................................................ SVP CHIEF MEDICAL OFFICER	50.0 .......................0.0		X		545,635	0	142,080
(23) LES REED........................................................................ SVP-CPE/CMG PRESIDENT	50.0 .......................0.0		X		694,425	0	35,540
(24) KENNETH SAUM MD........................................................................ PHYSICIAN	50.0 .......................0.0			X	1,154,311	0	22,425
(25) HOUMAN TAVAF-MOTAMEN MD........................................................................ PHYSICIAN	50.0 .......................0.0			X	1,112,289	0	29,064
(26) MATTHEW SACKETT MD........................................................................ PHYSICIAN	50.0 .......................0.0			X	813,704	0	43,964
(27) BIKRAM BAL MD........................................................................ PHYSICIAN	50.0 .......................0.0			X	875,302	0	15,770
(28) CHAD HOYT MD........................................................................ PHYSICIAN	50.0 .......................0.0			X	832,397	0	62,136

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	11,346,293	0	932,604

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	5,233,984
e	Government grants (contributions)		1e	129,133

f	All other contributions, gifts, grants, and similar amounts not included above		1f	477,600

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		5,840,717

		Business Code
2a	NET PATIENT SERVICES REVENUE	624100	886,425,468	884,105,953	2,319,515
b	TUITION & EDUCATION	611600	33,945,300	33,945,300
c	ANCILLARY SERVICES	900099	34,637,044	34,637,044
d	CONTROLLED ENTITIES	900099	8,782,548	8,782,548
e	MEANINGFUL USE	900099	-67,816	-67,816
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		963,722,544

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,360,472		6,908	2,353,564
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		4,163,410
b	Less: rental expenses		4,042,780
c	Rental income or (loss)	0	120,630
d	Net rental income or (loss)......			120,630			120,630
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	48,095	180,998,902
b	Less: cost or other basis and sales expenses		180,950,959
c	Gain or (loss)	48,095	47,943
d	Net gain or (loss).....			96,038			96,038
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a	CAFETERIA/VENDING/DIETARY		722210	3,327,876	3,327,876
b	SUBSIDIARY MANAGEMENT FEE		541610	826,012	826,012
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,153,888
12	Total revenue. See Instructions......			976,294,289	965,556,917	2,326,423	2,570,232

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	1,885,694	1,885,694
2	Grants and other assistance to domestic individuals. See Part IV, line 22	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	7,317,535	270,251	7,047,284	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) ....	255,891	26,701	229,190	0
7	Other salaries and wages	431,046,945	424,228,851	6,818,094	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	20,562	19,030	1,532	0
9	Other employee benefits .......	50,817,427	45,676,116	5,141,311	0
10	Payroll taxes ...........	48,266,868	44,670,617	3,596,251	0
11	Fees for services (non-employees):
a	Management ......	1,660,096	1,047,592	612,504	0
b	Legal .........	5,760,683	4,406,235	1,354,448	0
c	Accounting ...........	258,797	57,149	201,648	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	1,810,247	0	1,810,247	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	132,014,418	103,625,679	28,388,739
12	Advertising and promotion ....	2,802,881	1,728,095	1,074,786	0
13	Office expenses .......	42,719,312	22,509,051	20,210,261	0
14	Information technology ......	27,688,132	26,098,541	1,589,591	0
15	Royalties ..	0
16	Occupancy ...........	13,180,154	12,693,122	487,032	0
17	Travel ............	2,264,499	2,102,081	162,418	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	3,284,799	2,869,853	414,946	0
20	Interest ...........	13,375,887	13,375,887	0	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	41,590,771	25,616,122	15,974,649	0
23	Insurance ...	6,870,427	6,802,545	67,882	0
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	85,058,843	85,058,843
b	DRUGS	71,760,524	71,760,524
c	BOND COST AMORTIZATION	554,892	554,892
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	992,266,284	897,083,471	95,182,813	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).

1	Cash–non-interest-bearing ........			10,970,772	1	31,131,986
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			128,344,039	4	200,581,590
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	0
7	Notes and loans receivable, net ....			0	7	0
8	Inventories for sale or use ........			20,601,987	8	20,512,362
9	Prepaid expenses and deferred charges ......			6,239,346	9	9,146,708
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,082,839,130
b	Less: accumulated depreciation	10b	670,788,027	379,175,789	10c	412,051,103
11	Investments—publicly traded securities .			420,319,066	11	340,973,679
12	Investments—other securities. See Part IV, line 11 .....			179,144,950	12	206,015,140
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 ...........			38,208,824	15	45,456,233
16	Total assets. Add lines 1 through 15 (must equal line 34)...			1,183,004,773	16	1,265,868,801

17	Accounts payable and accrued expenses .....	74,502,938	17	81,854,760
18	Grants payable ...	0	18	0
19	Deferred revenue .........	2,221,480	19	1,001,928
20	Tax-exempt bond liabilities .........	314,559,431	20	407,470,685
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	25,000,000
24	Unsecured notes and loans payable to unrelated third parties ..	10,000,000	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	85,801,262	25	91,037,190
26	Total liabilities. Add lines 17 through 25..	487,085,111	26	606,364,563

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	629,767,794	27	597,122,336
28	Temporarily restricted net assets ...........	37,273,490	28	33,503,524
29	Permanently restricted net assets	28,878,378	29	28,878,378
	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 ...........	695,919,662	33	659,504,238
34	Total liabilities and net assets/fund balances ........	1,183,004,773	34	1,265,868,801

(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 INDEMNITY COMPANY LLC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 27-0927253	CAPTIVE INSUR	VT	4,201,008	23,333,724	CENTRA HEALT
(2) CENTRAL VA HOSPITAL FOR RESTORATIVE CARE 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 20-4712023	HEALTHCARE	VA	8,305,699	2,967,402	CENTRA HEALT
(3) CENTRA MEDICAL GROUP LLC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 20-3639329	PHYSICIAN SVC	VA	163,621,593	64,137,965	CENTRA HEALT
(4) CENTRAL VA QUALITY CARE NETWORK LLC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 47-4453641	INT. NETWORK	VA	464,501	357,622	CENTRA HEALT
(5) CENTRA OP REHABILITATION SERVICES LLC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 47-1052716	OP REHAB	VA	2,380,882	877,960	CENTRA HEALT
(6) HEALTHWORKS LLC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 26-3026223	OT PROVIDER	VA	3,145,108	3,903,611	CENTRA HEALT

(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)SOUTHSIDE COMMUNITY HOSPITAL 800 OAK STREET FARMVILLE,VA23901 54-0555201	HEALTHCARE	VA	501(C)(3)	LINE 3	NA	Yes
(2)CCRC INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1929580	HEALTHCARE	VA	501(C)(3)	LINE 12A, I	NA	Yes
(3)CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1604094	SUPPORTING OR	VA	501(C)(3)	LINE 12A, I	NA	Yes
(4)BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD,VA24523 54-0566100	HEALTHCARE	VA	501(C)(3)	LINE 3	NA	Yes

(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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CENTRA HEALTH FOUNDATION	b	500,000	BOOK VALUE
(2) CENTRA HEALTH FOUNDATION	c	5,269,388	BOOK VALUE
(3) CENTRA HEALTH FOUNDATION	p	178,827	BOOK VALUE
(4) SOUTHSIDE COMMUNITY HOSPITAL	D	12,811,298	BOOK VALUE
(5) SOUTHSIDE COMMUNITY HOSPITAL	Q	3,960,021	BOOK VALUE
(6) SOUTHSIDE COMMUNITY HOSPITAL	K	289,887	BOOK VALUE
(7) CCRC INC	Q	104,040	BOOK VALUE
(8) GENERAL BUSINESS CONCERNS INC	K	326,013	BOOK VALUE
(9) BEDFORD MEMORIAL HOSPITAL	Q	2,136,896	BOOK VALUE
(10) BEDFORD MEMORIAL HOSPITAL	K	241,153	BOOK VALUE
(11) PCHP	Q	621,833	BOOK VALUE
(12) PCHP	K	107,943	BOOK VALUE

(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 V-UBI 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No