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) MARK TOWNSEND MD...................................................................... CHAIRMAN	2.0 ................. 50.0	X	X	0	424,724	49,426
(2) GEORGE A HURT MD...................................................................... VICE CHAIRMAN	2.0 ................. 0.0	X	X	0	0	0
(3) KATHRYN PUMPHREY EDD...................................................................... EXEC VP (THRU JAN. 2018)	50.0 ................. 0.0	X	X	65,584	0	1,936
(4) ELIZABETH DOYLE...................................................................... EXEC. VP (AS OF JULY 2018)	50.0 ................. 0.0	X	X	120,589	0	14,944
(5) EW TIBBS...................................................................... PRESIDENT (THRU SEPT. 2018)	2.0 ................. 50.0	X	X	0	2,017,436	221,900
(6) MICHAEL ELLIOTT...................................................................... INTERIM PRES (AS OF OCT. 2018)	2.0 ................. 50.0	X	X	0	592,581	116,584
(7) DAVID GOUGH...................................................................... TREASURER	2.0 ................. 50.0	X	X	0	481,004	101,156
(8) ROBERT R CHAPMAN III...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0	0
(9) MELANIE CHRISTIAN...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0	0
(10) THEODORE J CRADDOCK...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0	0
(11) MICHAEL J DIMINICK MD...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0	0
(12) THOMAS DELANEY MD...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0	0
(13) PATSY A DOOLEY...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0	0
(14) MARY JANE DOLAN...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0	0
(15) PAUL F FITZGERALD MD...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0	0
(16) ROBERT GILLIAM...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0	0
(17) JOHN J HALPIN MD...................................................................... DIRECTOR	2.0 ................. 0.0	X		0	0	0

- 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.
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Attach to Form 990 or Form 990-EZ.
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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 Foundation

Employer identification number

54-1604094

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 ...............................26

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

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(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)
(A) CENTRA HEALTH INC	540715569	3	Yes		5,269,388	0
(B) COMMUNITY ACCESS NETWORK	475194456	7		No	1,075,000	0
(C) FREE CLINIC OF CENTRAL VA	541420756	7		No	80,000	0
(D) CENTRAL VA ALLIANCE FOR COMMUNITY LIVING INC (CVACL)	510189604	7		No	69,500	0
(E) BEDFORD MEMORIAL HOSPITAL	540566100	3		No	57,385	0
(F) SOUTHSIDE VA FAMILY YMCA	621487256	7		No	29,000	0
(G) CENTRA MEDICAL GROUP	540715569	3		No	28,000	0
(H) CENTRAL VA COMMUNITY COLLEGE	541167908	7		No	27,000	0
(I) BEDFORD RIDE PROJECT (CENTRAL VA ALLIANCE)	510189604	7		No	25,000	0
(J) PIEDMONT SENIOR RESOURCES	541025127	7		No	25,000	0
(K) UP FOUNDATION	471960657	7		No	24,000	0
(L) FREE FOUNDATION	541934695	7		No	23,900	0
(M) LYNCHBURG GROWS	200934133	9		No	20,000	0
(N) INTERFAITH OUTREACH ASSOCIATION	541214253	7		No	15,000	0
(O) DANVILLE PITTSYLVANIA CANCER ASSOCIATION	540634200	7		No	15,000	0
(P) COALITION FOR HIV AWARENESS	311736924	7		No	14,500	0
(Q) JUBILEE FAMILY DEVELOPMENT CENTER	541881948	7		No	14,000	0
(R) HEART OF VA FREE CLINIC	272785970	7		No	14,000	0
(S) SOUTHSIDE COMMUNITY HOSPITAL	540555201	3		No	13,522	0
(T) RX PARTNERSHIP	571186937	7		No	12,000	0
(U) LYNCHBURG DAILY BREAD	541268749	7		No	10,000	0
(V) BOYS & GIRLS CLUB	200199894	7		No	10,000	0
(W) NEIGHBORS HELPING NEIGHBORS OF AMHERST CO INC	811190315	7		No	9,000	0
(X) DIAMOND HILL HEALTH & WELLNESS	813640570	1		No	7,500	0
(Y) BROOKHILL RETIREMENT CENTER FOR HORSES INC	542058686	7		No	7,500	0
(Z) SECOND STAGE AMHERST	822516685	7		No	5,000	0
(AA) BRAIN INJURY SERVICES OF SWVA	542011536	7		No	3,375	0
Total 27					6,903,570	0

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).

Yes

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.

Yes

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.

Yes

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, PART I, LINE 12G	ALL SUPPORT PROVIDED BY CENTRA HEALTH FOUNDATION AND REPORTED IN COLUMN (V) IS FOR THE BENEFIT OF CENTRA HEALTH, INC., ITS SUPPORTED ORGANIZATION. THE SUPPORT PROVIDED TO THE COMMUNITY ORGANIZATIONS LISTED FURTHERS THE TAX-EXEMPT MISSION OF CENTRA HEALTH, INC.
SCHEDULE A, PART IV, LINE 1	CENTRA HEALTH, INC IS THE SUPPORTED ORGANIZATION LISTED BY NAME IN THE GOVERNING DOCUMENTS OF CENTRA HEALTH FOUNDATION. ALL OTHER SUPPORTED ORGANIZATIONS ARE DESIGNATED BY THE PURPOSE FOR WHICH THEY APPLY FOR SUPPORT FROM CENTRA HEALTH FOUNDATION. ALL SUPPORT IS GIVEN FOR THE PURPOSE OF PROVIDING HEALTHCARE AND COMMUNITY SUPPORT TO THE CENTRAL VIRGINIA REGION.
SCHEDULE A, PART IV, LINE 2	SUPPORTED ORGANIZATIONS WHO HAVE NOT RECEIVED AN IRS DETERMINATION LETTER ARE STATE GOVERNMENTAL UNITS DESCRIBED IN SECTION 170(B) (1) (A) (V) AND TAX EXEMPT UNDER IRC 115.
SCHEDULE A, PART IV, SECTION B, LINE 2	ALL SUPPORT PROVIDED BY CENTRA HEALTH FOUNDATION AND REPORTED IN COLUMN (V) IS FOR THE BENEFIT OF CENTRA HEALTH, INC., ITS SUPPORTED ORGANIZATION. THE SUPPORT PROVIDED TO THE COMMUNITY ORGANIZATIONS LISTED FURTHERS THE TAX-EXEMPT MISSION OF CENTRA HEALTH, INC.

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 Foundation

Employer identification number

54-1604094

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 Foundation

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 Foundation		Employer identification number 54-1604094

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 Foundation			Employer identification number 54-1604094
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 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 Foundation

Employer identification number

54-1604094

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 ...	250,000
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 ...	682,700	654,424	621,910	573,033	542,923
f	Administrative expenses ....
g	End of year balance ......	40,638,261	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

2.260 %

Permanent endowment SchDMd Bullet

71.520 %

Temporarily restricted endowment SchDMd Bullet

26.220 %

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)

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

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 .....	903,038			903,038
b	Buildings ....
c	Leasehold improvements
d	Equipment ....		7,178	7,086	92
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					903,130

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) PERPETUAL TRUSTS	21,306,105	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	21,306,105

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
DUE TO AFFILIATED ENTITY	196,030
DEFERRED ANNUITY PAYMENTS	51,310
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	247,340
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 FOUNDATION'S ENDOWMENT CONSISTS OF APPROXIMATELY 45 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ENDOWMENT INCLUDES BOTH DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE FOUNDATIONS 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-IMPOSED RESTRICTIONS. THE FOUNDATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. ENDOWMENT ASSETS INCLUDE THOSE ASSETS OF DONOR-RESTRICTED FUNDS THAT THE FOUNDATION MUST HOLD IN PERPETUITY AS WELL AS BOARD-DESIGNATED FUNDS. UNDER THIS POLICY, AS APPROVED BY THE FOUNDATIONS BOARD OF DIRECTORS, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PRODUCE RESULTS THAT EXCEED THE PRICE AND YIELD RESULTS OF THE S&P 500 INDEX WHILE ASSUMING A MODERATE LEVEL OF INVESTMENT RISK. THE FOUNDATION EXPECTS ITS ENDOWMENT FUNDS, OVERTIME, TO PROVIDE AN AVERAGE RATE OF RETURN ON EQUITY INVESTMENTS OF 6% AND A FIXED INCOME YIELD OF 2% ANNUALLY. ACTUAL RETURNS IN ANY GIVEN YEAR MAY VARY FROM THIS AMOUNT.

SCHEDULE D, PART X, LINE 2

ACCORDING TO CENTRA HEALTH, INC.'S CONSOLIDATED 2018 AUDIT REPORT..."CENTRA HEALTH, INC., CCRC, INC., CENTRA HEALTH FOUNDATION, SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL ARE TAX-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 HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2018. CENTRA BELIEVED THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINIATIONS FOR YEARS PRIOR TO DECEMBER 31, 2015."

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

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

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 Foundation

Employer identification number

54-1604094

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(iii) Did fundraiser have custody or control of contributions?
		Yes	No
	NA		No









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

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2018

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 Sackett Heart (event type)	(b) Event #2 Miracle Makers (event type)	(c) Other events 11 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	77,735	65,715	173,120	316,570
2	Less: Contributions . . . .	53,425	28,700	28,810	110,935
3	Gross income (line 1 minus line 2) . . . . . .	24,310	37,015	144,310	205,635

4	Cash prizes . . . . .			1,320	1,320
5	Noncash prizes . . . .
6	Rent/facility costs . . . .	750	2,250	3,942	6,942
7	Food and beverages . . .	19,263	11,105	9,329	39,697
8	Entertainment . . . .	800			800
9	Other direct expenses . . .	4,199	7,409	13,627	25,235
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				73,994
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				131,641

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2018

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Foundation

Employer identification number
54-1604094

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	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) CENTRA HEALTH INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501	54-0715569	501(C)(3)	5,269,388	n/a	n/a	COMMUNITY HEALTH ASSESSMENT COMMUNITY HEALTH ASSESSMENT CONNECT CENTRAL VIRGINIA PROGRAMS AMAZING KIDS SUMMER CAMP CPR ANYTIME PROGRAM NON-EMERGENCY MEDICAL TRANSPORT PROJECT ROOM TO MOVE PROGRAM ENVIRONMENTAL EDUCATION PROJECT EMS TRAINING HIV TESTING & COUNSELING PROJECT DENTAL SERVICES EXPANSION PROJECT ACUTE CARE & WELLNESS EXAMS SELF CARE & WELLNESS INITIATIVE PROJECT INTERFAITH REBUILDS PROGRAM SUMMER CAMP & 3 POINT PLAY PROGRAM OUTPATIENT BREASTFEEDING COUNSELING PROG OUTREACH OF THE UNDERSERVED PROGRAM FEED THE HUNGRY PROGRAM NO WRONG DOOR/CRIA COMPUTER CLIENT REFER PEER SUPPORT FOR ADDICTION RECOVERY RX PARTNERSHIP PROGRAM LIVE HEALTHY LYNCHBURG PROGRAM COMMUNITY INITIATIVES
(2) COMMUNITY ACCESS NETWORK 700 12TH STREET SUITE 706 LYNCHBURG,VA24504	47-5194456	501(C)(3)	1,075,000	n/a	n/a	OPERATIONAL SUPPORT
(3) FREE CLINIC OF CENTRAL VA 1016 MAIN STREET LYNCHBURG,VA24504	54-1420756	501(C)(3)	80,000	n/a	n/a	MEDICAL/DENTRAL SERVICES INTEGRATION PROJECT
(4) CENTRAL VA ALLIANCE FOR COMMUNITY INC 501 12TH STREET LYNCHBURG,VA24504	51-0189604	501(C)(3)	69,500	n/a	n/a	OPERATIONAL SUPPORT
(5) BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD,VA24523	54-0566100	501(C)(3)	57,385	n/a	n/a	COMMUNITY HEALTH ASSESSMENT
(6) SOUTHSIDE VA FAMILY YMCA 580 COMMERCE ROAD FARMVILLE,VA23901	62-1487256	501(c)(3)	29,000	n/a	n/a	FREE SWIM LESSONS, SUPPLIES, AND SCHOLARSHIP FOR MEMBERS
(7) CENTRA MEDICAL GROUP 1920 ATHERHOLDT ROAD LYNCHBURG,VA24501	54-0715569	501(c)(3)	28,000	n/a	n/a	NALOXONE DRUG TO PREVENT OPIOID OVERDOSES
(8) CENTRAL VA COMMUNITY COLLEGE 3506 WARDS ROAD LYNCHBURG,VA24502	54-1167908	Gov't	27,000	n/a	n/a	EMS TRAINING
(9) BEDFORD RIDE PROJECT (CENTRAL VA ALLIANCE) 1613 OAKWOOD STREET BEDFORD,VA24523	51-0189604	501(c)(3)	25,000	n/a	n/a	NON-EMERGENCY MEDICAL TRANSPORTATION
(10) PIEDMONT SENIOR RESOURCES 1413 SOUTH MAIN STREET FARMVILLE,VA23901	54-1025127	501(c)(3)	25,000	n/a	n/a	OPERATIONAL SUPPORT
(11) UP FOUNDATION 2420 MEMORIAL AVENUE LYNCHBURG,VA24501	47-1960657	501(c)(3)	24,000	n/a	n/a	YOUTH DRUG & ALCOHOL RECOVERY SERVICES
(12) FREE FOUNDATION PO BOX 8873 ROANOKE,VA24014	54-1934695	501(c)(3)	23,900	n/a	n/a	SPECIALIZED EQUIPMENT
(13) LYNCHBURG GROWS 1339 ENGLEWOOD STREET LYNCHBURG,VA24501	20-0934133	501(c)(3)	20,000	n/a	n/a	FAMILY HEALTHY DIET SESSIONS FOR COMMUNITY
(14) INTERFAITH OUTREACH ASSOCIATION 701 CLAY STREET LYNCHBURG,VA24501	54-1214253	501(c)(3)	15,000	n/a	n/a	SAFE AT HOME PROJECT
(15) DANVILLE PITTSYLVANIA CANCER ASSOCIATION 223 RIVERVIEW DRIVE SUITE J DANVILLE,VA24541	54-0634200	501(c)(3)	15,000	n/a	n/a	PATIENT TRAVEL, EQUIPMENT & EDUCATION ASSISTANCE
(16) COALITION FOR HIV AWARENESS PO BOX 1015 LYNCHBURG,VA24505	31-1736924	501(c)(3)	14,500	n/a	n/a	HIV TESTING & COUNSELING
(17) JUBILEE FAMILY DEVELOPMENT CENTER 1512 FLORIDA AVENUE LYNCHBURG,VA24501	54-1881948	501(c)(3)	14,000	n/a	n/a	SUMMER CAMP & 3-POINT PLAY PROGRAM
(18) HEART OF VA FREE CLINIC 1702 SOUTH MAIN STREET FARMVILLE,VA23901	27-2785970	501(c)(3)	14,000	n/a	n/a	MEDICATION ACCESS PROGRAM
(19) SOUTHSIDE COMMUNITY HOSPITAL 801 OAK STREET FARMVILLE,VA23901	54-0555201	501(c)(3)	13,522	N/A	n/a	COMMUNITY HEALTH ASSESSMENT
(20) RX PARTNERSHIP 2924 EMERYWOOD PARKWAY SUITE 300 RICHMOND,VA23294	57-1186937	501(c)(3)	12,000	N/A	n/a	BROKER FREE PRESCIRPTIONS FORLYBG FREE CLINIC
(21) LYNCHBURG DAILY BREAD 721 CLAY STREET LYNCHBURG,VA24504	54-1268749	501(c)(3)	10,000	N/A	n/a	TO PURCHASE NEW VAN FOR FOOD DISTRIBUTION
(22) BOYS & GIRLS CLUB 1101 MADISON STREET LYNCHBURG,VA24504	20-0199894	501(c)(3)	10,000	N/A	n/a	TO SUPPORT TRAINING FOR MENTORS
(23) NEIGHBORS HELPING NEIGHBORS OF AMHERST CO PO BOX 1015 MADISON HEIGHTS,VA24572	81-1190315	501(c)(3)	9,000	N/A	n/a	TO PURCHASE NEW VAN FOR FOOD DISTRIBUTION
(24) DIAMOND HILL HEALTH & WELLNESS PO BOX 195 LYNCHBURG,VA24505	81-3640570	501(c)(3)	7,500	n/a	n/a	HEALTHY BEHAVIORS
(25) BROOKHILL RETIREMENT CENTER FOR HORSES INC 7291 BELLEVUE ROAD FOREST,VA24551	54-2058686	501(c)(3)	7,500			NON-TRADITIONAL THERAPY FOR CHILDREN WITH DISABILITIES

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) BROOKHILL RETIREMENT CENTER FOR HORSES, INC.	11	7,500
(2) Nursing Awards	11	2,750
(3) CENTRA COLLEGE OF NURSING	305	264,700
(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

SCHEDULE I, PART I, LINE 2

GRANT APPLICATION GUIDELINES I. CENTRA COMMUNITY HEALTH INITIATIVE FUND: THE CENTRA COMMUNITY HEALTH INITIATIVE FUND IS A SPECIFIC PURPOSE FUND ESTABLISHED AND FUNDED BY CENTRA HEALTH, INC. AND ADMINISTERED BY THE CENTRA HEALTH FOUNDATION. THIS FUND SUPPORTS COMMUNITY HEALTH-RELATED PROJECTS AND PROGRAMS ON A PRO-ACTIVE BASIS. II. DEFINITION OF HEALTH RELATED: HEALTH IS THE STATE OR CONDITION OF THE HUMAN BODY AND MIND. HEALTH RELATED PROGRAMS, PROJECTS, AND ACTIVITIES ARE THOSE THAT SEEK TO ENCOURAGE OR PROMOTE GOOD HEALTH THROUGH ACCESS, EDUCATION, PREVENTION, AND TREATMENT. III. GRANT PROCEDURES: ALL REQUESTS TO GRANT FUNDS FOR A SPECIFIC PROJECT OR PROGRAM FROM THE CENTRA COMMUNITY HEALTH INITIATIVE FUND SHOULD BE SENT TO THE EXECUTIVE VICE PRESIDENT OF THE CENTRA HEALTH FOUNDATION, 1920 ATHERHOLT ROAD, LYNCHBURG, VIRGINIA, 24501. IV. REVIEW OF GRANT PROPOSALS: ALL GRANT PROPOSALS SUBMITTED FOR FUNDING FROM THE CENTRA HEALTH COMMUNITY INITIATIVE FUND WILL BE RECEIVED BY THE CENTRA HEALTH FOUNDATION TO BE REVIEWED BY ITS GRANTS COMMITTEE ONCE A YEAR. IN ORDER TO RECEIVE CONSIDERATION, PROPOSALS SHOULD BE SUBMITTED BY THE FOLLOWING DEADLINE: MARCH 1 V. COMMUNITY HEALTH NEEDS ASSESSMENT: AS PART OF A PROCESS TO EVALUATE THE HEALTH CARE NEEDS IN OUR COMMUNITY, THE CENTRA HEALTH FOUNDATION SUPPORTS A COMMUNITY HEALTH NEEDS ASSESSMENT, PERFORMED BY CENTRA HEALTH, INC., EVERY THREE YEARS. PRIORITY WILL BE GIVEN TO HOW THE PROJECT'S ESTABLISHED GOALS AND OBJECTIVES RELATE TO COMMUNITY HEALTH PROBLEMS AND ISSUES OUTLINED BY CENTRA HEALTH, INC.'S COMMUNITY HEALTH ASSESSMENT. INFORMATION ON THE MOST RECENT HEALTH ASSESSMENT CAN BE OBTAINED BY CONTACTING THE EXECUTIVE VICE PRESIDENT OF THE CENTRA HEALTH FOUNDATION AT 434-200-4790. VI. RESTRICTIONS: THE FOLLOWING ARE GRANT TYPE REQUESTS WHICH DO NOT MEET THE FUND'S ESTABLISHED CRITERIA. AS A RULE, THE CENTRA HEALTH COMMUNITY INITIATIVE FUND WILL NOT PROVIDE FUNDS: 1. TO INDIVIDUALS 2. TO INSTITUTIONS OR ORGANIZATIONS WHICH DO NOT QUALIFY AS TAX EXEMPT BY THE INTERNAL REVENUE SERVICE. 3. TO ENDOWMENT CAMPAIGNS 4. TO ATTEND CONFERENCES OR SYMPOSIUMS 5. FOR TRAVEL 6. TO ATHLETIC ORGANIZATIONS VII. APPLICATION GUIDELINES: PROPOSALS SHOULD BE SUBMITTED IN LETTER FORM IN QUADRUPLICATE AND SHOULD INCLUDE THE FOLLOWING: 1. A BRIEF DESCRIPTION OF THE ORGANIZATION, ITS HISTORY, AND PURPOSE. 2. TITLE OF GRANT 3. A CONCISE DESCRIPTION OF THE PROJECT OR ACTIVITY PROPOSED, INCLUDING THE SPECIFIC PURPOSE FOR WHICH THE GRANT IS REQUESTED, THE HEALTH RELATED BENEFITS TO BE PROVIDED, AND THE NEEDS TO BE MET. PLEASE DESCRIBE HOW YOUR PROJECT SPECIFICALLY RELATES TO COMMUNITY HEALTH PROBLEMS AND ISSUES OUTLINED BY CENTRA HEALTH'S COMMUNITY HEALTH ASSESSMENT. 4. NAMES AND ADDRESSES OF THE ORGANIZATION'S TRUSTEES, DIRECTORS, ADVISORS, AND PRINCIPAL STAFF. 5. NAME AND ADDRESS OF KEY INDIVIDUAL RESPONSIBLE FOR THE GRANT REQUEST. 6. A COPY OF THE DETERMINATION LETTER FROM THE IRS THAT THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501 (C)(3) AND IS NOT CLASSIFIED AS A PRIVATE FOUNDATION OR PRIVATE OPERATING FOUNDATION AS DEFINED IN SECTION 509 (A) OF THE INTERNAL REVENUE CODE. 7. CURRENT AUDITED FINANCIAL STATEMENT SHOWING THE MAJOR SOURCE OF ORGANIZATIONAL SUPPORT AND ENDOWMENT, IF ANY. 8. A BUDGET FOR THE PROJECT THAT INCLUDES THE TOTAL COST OF THE PROJECT AND THE SPECIFIC AMOUNT REQUIRED. SPECIFICALLY STATE ALL EXPECTED ITEMIZED EXPENSES. IF APPLICABLE, PLEASE LIST OTHER SOURCES OF FUNDING AVAILABLE TO YOU FOR THE PROJECT AND YOUR PLANS FOR FINANCIALLY SUSTAINING THE PROJECT AFTER GRANT FUNDS EXPIRE. 9. PLANS FOR EVALUATION OF PROJECT'S RESULTS. PLEASE INCLUDE ANY SPECIFIC MEASURES THAT WILL BE USED TO EVALUATE HOW THIS PROJECT IMPROVED COMMUNITY HEALTH. 10. A COVER LETTER FROM AN OFFICIAL OF THE ORGANIZATION STATING THAT THE BOARD OF DIRECTORS OF THAT ORGANIZATION HAS FORMALLY APPROVED THE PROPOSED PROGRAM. 11. IF ADDITIONAL INFORMATION ABOUT THE PROPOSAL IS NEEDED, THE APPLICANT WILL BE CONTACTED BY THE EXECUTIVE VICE PRESIDENT OF THE CENTRA HEALTH FOUNDATION.

Schedule I (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

Complete if the organization answered "Yes" 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 Foundation

Employer identification number

54-1604094

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

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)
1MARK TOWNSEND MD CHAIRMAN	(i) (ii)	0 ------------- 392,131	0 ------------- 31,829	0 ------------- 764	0 ------------- 7,651	0 ------------- 41,775	0 ------------- 474,150	0 ------------- 0
2EW TIBBS PRESIDENT (THRU SEPT. 2018)	(i) (ii)	0 ------------- 649,545	0 ------------- 181,441	0 ------------- 1,186,450	0 ------------- 171,812	0 ------------- 50,088	0 ------------- 2,239,336	0 ------------- 887,284
3MICHAEL ELLIOTT INTERIM PRES (AS OF OCT. 2018)	(i) (ii)	0 ------------- 448,298	0 ------------- 74,851	0 ------------- 69,432	0 ------------- 86,055	0 ------------- 30,529	0 ------------- 709,165	0 ------------- 47,047
4DAVID GOUGH TREASURER	(i) (ii)	0 ------------- 368,227	0 ------------- 42,698	0 ------------- 70,079	0 ------------- 72,129	0 ------------- 29,027	0 ------------- 582,160	0 ------------- 60,918

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 3

UNDER A MANAGEMENT AGREEMENT WITH CENTRA HEALTH, INC. THE ORGANIZATION'S EXECUTIVE DIRECTOR'S COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S), AND COMPENSATION STUDY OR SURVEY.

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 KATHRYN PUMPHREY: VP DEVELOPMENT/EXEC VP FOUNDATION (THRU JAN. 2018) $5,738 EW TIBBS: CENTRA HEALTH PRESIDENT & CEO (A RELATED PARTY) (THRU 9/30/18) $887,284 MICHAEL ELLIOTT: CENTRA HEALTH INTERIM PRESIDENT (A RELATED PARTY) AS OF OCT. 2018 $47,047 DAVID GOUGH: CENTRA HEALTH SR VP & CFO (A RELATED PARTY) $60,918 TOTAL: $ 1,000,986 THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2018. NAME TITLE AMOUNT OF DEFERRED EW TIBBS: CENTRA HEALTH PRESIDENT & CEO (A RELATED PARTY) (THRU 9/30/18) $ 163,562 MICHAEL ELLIOTT: CENTRA HEALTH INTERIM PRESIDENT (A RELATED PARTY) AS OF OCT. 2018 $ 77,805 DAVID GOUGH: CENTRA HEALTH SR VP & CFO (A RELATED PARTY) $ 63,879 ELIZABETH (BETH) DOYLE: VP DEVELOPMENT/EXEC VP FOUNDATION (AS OF JULY 2018) $ 4,625 TOTAL $ 309,870

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 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 Foundation

Employer identification number

54-1604094

Return Reference	Explanation
FORM 990, PART III, LINE 1	THE MISSION OF CENTRA HEALTH FOUNDATION IS TO DEVELOP RESOURCES TO ENHANCE AND ENRICH THE SERVICES, PROGRAMS, AND FACILITIES OF CENTRA LYNCHBURG GENERAL AND CENTRA VIRGINIA BAPTIST HOSPITALS IN ORDER TO ASSIST THE CENTRA HEALTH SYSTEM IN MEETING AND SOLVING COMMUNITY HEALTH PROBLEMS. THE MAJOR OBJECTIVES OF THE FOUNDATION ARE TO: 1. SPONSOR CENTRA HEALTH, INC. PROJECTS, PROGRAMS AND ACTIVITIES WHICH ADDRESS COMMUNITY HEALTH PROBLEMS AND ISSUES. 2. DEVELOP RESOURCES TO FUND INDIGENT PATIENT CARE AT CENTRA HEALTH FACILITIES. 3. ASSIST CENTRA HEALTH, INC. IN PROVIDING THE EQUIPMENT AND FACILITIES NECESSARY TO ASSURE EXCELLENT HEALTHCARE TO ITS PATIENTS. 4. PROVIDE STIPENDS AND SCHOLARSHIPS FOR NEEDY AND DESERVING STUDENTS WHO WISH TO PURSUE HEALTH CAREERS IN CENTRAL VIRGINIA. CENTRA HEALTH FOUNDATION IS COMMITTED TO SERVE AS A GOOD STEWARD OF THE COMMUNITY'S RESOURCES ENTRUSTED TO IT BY UTILIZING, SAFEGUARDING, AND ENHANCING THEM THROUGH SOUND FINANCIAL PRACTICES.
FORM 990, PART III, LINE 4A	THE CENTRA FOUNDATION HAS MADE A WIDE RANGE OF CONTRIBUTIONS TOWARD THE HEALTH CARE NEEDS OF OUR REGION. THROUGH YOUR HELP, THE FOUNDATION HAS SPONSORED MEDICAL SCREENINGS, OFFERED HEALTH EDUCATION PROGRAMS ON A VARIETY OF TOPICS, FUNDED INDIGENT CARE AND HELPED NEEDY STUDENTS PURSUE NURSING CAREERS. DONATIONS TO THE ANNUAL FUND ENHANCE AND ENRICH THE SERVICES, PROGRAMS, AND FACILITIES OF LYNCHBURG GENERAL HOSPITAL AND VIRGINIA BAPTIST HOSPITAL IN ORDER TO ASSIST CENTRA HEALTH, INC. IN MEETING AND SOLVING COMMUNITY HEALTH PROBLEMS. WE COLLABORATE WITH PHYSICIANS IN OUR COMMUNITY TO OFFER FRANK AND INFORMATIVE PRESENTATIONS ON VARIOUS HEALTH ISSUES INCLUDING BREAST AND PROSTATE CANCER, HEART ATTACK AND STROKE, WOMEN'S HEALTH, ORTHOPEDICS, AND MENTAL HEALTH. WE ALSO HELP SPONSOR PROGRAMS FOR CHILDHOOD IMMUNIZATIONS, TEENAGE PARENTS, AND CHILDREN'S BICYCLE HELMET SAFETY. FUNDS RAISED IN 2018 TO SUPPORT CENTRA HEALTH, INC IN CONTINUING TO PROVIDE QUALITY HEALTHCARE TO THE RESIDENTS OF LYNCHBURG, VA AND THE SURROUNDING COMMUNITIES WERE: A SUPPORT CENTRA HEALTH, INC IN CONTINUING TO PROVIDE QUALITY HEALTHCARE TO THE RESIDENTS OF LYNCHBURG, VA AND THE SURROUNDING COMMUNITIES. FOR THE YEAR ENDING 12/31/18 THE FOUNDATION PROVIDED $5,645,326 IN SUPPORT TO CENTRA HEALTH, INC. B DEVELOP RESOURCES OF $894,763 TO FUND INDIGENT PATIENT CARE AT CENTRA HEALTH FACILITIES IN 2018. C ASSIST CENTRA HEALTH, INC. BY PROVIDING EQUIPMENT AND FACILITIES FUNDING OF $142,656 IN 2018. D SUPPORT COMMUNITY HEALTH-RELATED PROJECTS THROUGH THE SUPPORT OF ORGANIZATIONS CENTERED IN THE WELLNESS OF THE RESIDENTS OF LYNCHBURG, VA AND THE SURROUNDING REGIONS. COMMUNITY SUPPORT FOR 2018 TOTALED $488,275.
Form 990 Part VI, Section A, Line 2	BOARD MEMBERS AUGUSTUS PETTICOLAS, DDS AND ROBERT CHAPMAN, III ARE OFFICERS OF BANK OF THE JAMES.
Form 990 Part VI, Section A, Line 6	CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF CENTRA HEALTH FOUNDATION.
Form 990 Part VI, Section A, Line 7a	CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF CENTRA HEALTH FOUNDATION AND HAS THE POWER TO ELECT THE BOARD OF DIRECTORS OF CENTRA HEALTH FOUNDATION'S GOVERNING BODY.
Form 990 Part VI, Section A, Line 7b	CENTRA HEALTH, INC. IS THE SOLE MEMBER CORPORATION OF CENTRA HEALTH FOUNDATION AND HAS THE POWER TO APPROVE DECISIONS MADE BY CENTRA HEALTH FOUNDATION'S GOVERNING BODY.
Form 990 Part VI, Section B, Line 11b	THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. COPIES OF THE FORM 990 WERE PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS AND ANY QUESTIONS RAISED BY THE BOARD OF DIRECTORS HAVE BEEN ADDRESSED.
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 HEALTH, INC.'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	FORM 990, PART VI, LINES 15A & 15B WERE ANSWERED AS "NO". HOWEVER, UNDER A MANAGEMENT AGREEMENT WITH CENTRA HEALTH, INC., A RELATED PARTY, THE ORGANIZATION'S EXECUTIVE VICE PRESIDENT'S COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S), AND COMPENSATION STUDY OR SURVEY.
FORM 990 PART VI, SECTION C, LINE 18	PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. 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.

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:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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 Foundation

Employer identification number

54-1604094

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CENTRA HEALTH INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-0715569	HEALTHCARE	VA	501(C)(3)	3	NA		No
(2)SOUTHSIDE COMMUNITY HOSPITAL INC 800 OAK STREET FARMVILLE,VA23901 54-0555201	HEALTHCARE	VA	501(C)(3)	3	NA		No
(3)CCRC INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1929580	CONTINUING CA	VA	501(C)(3)	12A	NA		No
(4)BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD,VA24523 54-0566100	HEALTHCARE	VA	501(C)(3)	3	NA		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code 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
(1) NONE

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1299682	REAL ESTATE-P	VA	NA	C CORP
(2) PCHP HOLDING INC 2316 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1749492	HOLDING COMPA	VA	NA	C Corp
(3) PIEDMONT COMMUNITY HEALTH PLAN INC 2316 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1755768	HEALTH INSURA	VA	NA	C Corp

Schedule R (Form 990) 2018

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

Yes

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

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

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

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

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

Yes

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

Yes

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

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

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2018

Page 4

Part VI

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

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

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code 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

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	3,122,417	4,318,913
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,872,715	2,182,951
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	227,131	131,641
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	9,222,263	6,633,505
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,952,216	7,171,020
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)	662,057	566,751
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 262,947
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	805,530	872,561
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	7,419,803	8,610,332
19	Revenue less expenses. Subtract line 18 from line 12.......	1,802,460	-1,976,827
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	73,202,780	65,698,480
21	Total liabilities (Part X, line 26).............	335,044	297,830
22	Net assets or fund balances. Subtract line 21 from line 20.....	72,867,736	65,400,650

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 7,171,020 including grants of $ 7,171,020 ) (Revenue $ )
	SEE 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 expenses7,171,020

(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)	(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) JANET HICKMAN MD........................................................................ DIRECTOR	2.0 .......................0.0	X	0	0	0
(19) YUILLE HOLT III........................................................................ DIRECTOR	2.0 .......................0.0	X	0	0	0
(20) AUGUSTUS A PETTICOLAS DDS........................................................................ DIRECTOR	2.0 .......................0.0	X	0	0	0
(21) ELLIOT S SCHEWEL........................................................................ DIRECTOR	2.0 .......................0.0	X	0	0	0
(22) JOHN H SORRELLS III........................................................................ DIRECTOR	2.0 .......................0.0	X	0	0	0
(23) TIMOTHY THARPE........................................................................ DIRECTOR	2.0 .......................0.0	X	0	0	0
(24) AMY G RAY........................................................................ DIRECTOR	2.0 .......................0.0	X	0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	186,173	3,515,745	505,946

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE SUPPORT TO THE CENTRA HEALTHCARE SYSTEM.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	9
6	Total number of volunteers (estimate if necessary) .............	6	18
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	110,935
d	Related organizations		1d	500,000
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	3,707,978

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		4,318,913

		Business Code
2a
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		0

3 Investment income (including dividends, interest, and othersimilar amounts) ......			2,260,182		2,260,182
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		29,826,915
b	Less: cost or other basis and sales expenses		29,904,146
c	Gain or (loss)		-77,231
d	Net gain or (loss).....			-77,231		-77,231
8a	Gross income from fundraising events (not including $ 110,935of contributions reported on line 1c). See Part IV, line 18 ....
	a		205,635
b	Less: direct expenses ...b		73,994
c	Net income or (loss) from fundraising events..			131,641		131,641
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
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			6,633,505		2,314,592

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	6,903,570	6,903,570
2	Grants and other assistance to domestic individuals. See Part IV, line 22	267,450	267,450
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 ....	203,053		203,053
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	242,029		130,696	111,333
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	121,669		65,701	55,968
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	32,500		24,375	8,125
b	Legal .........	0
c	Accounting ...........	16,829		12,622	4,207
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	489,980		489,980
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	194,898		146,173	48,725
12	Advertising and promotion ....	6,015		4,511	1,504
13	Office expenses .......	119,141		89,356	29,785
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	3,899		2,924	975
17	Travel ............	3,259		2,444	815
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	5,856		4,392	1,464
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	184		138	46
23	Insurance ...	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
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	8,610,332	7,171,020	1,176,365	262,947
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 ........			1,821,201	1	2,141,197
2	Savings and temporary cash investments .........			2,230,331	2	974,473
3	Pledges and grants receivable, net ......			662,140	3	789,313
4	Accounts receivable, net .............			0	4	0
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 ........			0	8	0
9	Prepaid expenses and deferred charges ......			0	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	910,216
b	Less: accumulated depreciation	10b	7,086	903,314	10c	903,130
11	Investments—publicly traded securities .			43,603,018	11	39,584,262
12	Investments—other securities. See Part IV, line 11 .....			23,982,776	12	21,306,105
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 ...........			0	15	0
16	Total assets. Add lines 1 through 15 (must equal line 34)...			73,202,780	16	65,698,480

17	Accounts payable and accrued expenses .....	131,503	17	50,490
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	203,541	25	247,340
26	Total liabilities. Add lines 17 through 25..	335,044	26	297,830

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	6,833,385	27	2,832,896
28	Temporarily restricted net assets ...........	37,220,122	28	33,503,525
29	Permanently restricted net assets	28,814,229	29	29,064,229
	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 ...........	72,867,736	33	65,400,650
34	Total liabilities and net assets/fund balances ........	73,202,780	34	65,698,480