TY 2023 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) AMY F CARRIER...................................................................... CENTRA PRESIDENT/CEO	5.0 ................. 0.0	X	X			1,283,620	275,838
(2) MATTHEW SACKETT...................................................................... DOCTOR MEDICAL	50.0 ................. 0.0				X	1,222,412	64,269
(3) MATTHEW FOSTER...................................................................... SVP CHIEF PHYSICIAN EXECUTIVE	50.0 ................. 0.0			X		1,193,656	65,010
(4) DOUGLAS DAVENPORT...................................................................... SVP CHIEF FINANCIAL OFFICER	50.0 ................. 0.0			X		1,215,395	30,806
(5) RICHARD KUK...................................................................... DOCTOR MEDICAL	50.0 ................. 0.0				X	1,148,133	72,650
(6) KENNETH SAUM...................................................................... DOCTOR MEDICAL	50.0 ................. 0.0				X	1,155,528	53,829
(7) JOSE SILVA...................................................................... DOCTOR MEDICAL	50.0 ................. 0.0				X	1,104,776	69,607
(8) BIKRAM BAL...................................................................... DOCTOR MEDICAL CSCH	50.0 ................. 0.0				X	984,425	20,230
(9) HOLLY TRENT...................................................................... SVP CHIEF LEGAL OFFICER	50.0 ................. 0.0			X		742,221	74,595
(10) RICHARD TUGMAN...................................................................... VP & CEO PCHP	50.0 ................. 0.0			X		701,694	77,124
(11) CHRISTOPHER LEWIS...................................................................... SVP CHIEF CLINICAL OFFICER	50.0 ................. 0.0			X		630,456	145,619
(12) CAESAR GONZALES...................................................................... VP CHIEF MEDICAL OFFICER	50.0 ................. 0.0			X		495,394	115,636
(13) CLINTON BEVERLY MD...................................................................... DIRECTOR	50.0 ................. 0.0	X				573,377	18,710
(14) JOAN DEAL...................................................................... SVP CHIEF NURSING OFFICER	50.0 ................. 0.0			X		409,830	18,475
(15) JEFFERY WIGGINS...................................................................... VP CHIEF COMPLIANCE OFFICER	50.0 ................. 0.0			X		247,823	51,193
(16) GEETA RAKHERAM MD...................................................................... DIRECTOR	50.0 ................. 0.0	X				160,996	58,092
(17) ROBIN HILDWEIN...................................................................... SVP AND CHIEF INFO. OFFICER	50.0 ................. 0.0			X		199,673	5,458

(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/1099-NEC)
(18) GEORGE R ZIPPEL........................................................................ BOARD CHAIR	2.0 .......................0.0	X	X
(19) THOMAS NYGAARD MD........................................................................ BOARD VICE CHAIR	2.0 .......................0.0	X	X
(20) MICHAEL V BRADFORD........................................................................ DIRECTOR	2.0 .......................0.0	X
(21) PETER CAPRISE MD........................................................................ DIRECTOR	2.0 .......................0.0	X
(22) SHARON L HARRUP........................................................................ DIRECTOR	2.0 .......................0.0	X
(23) D TODD IRBY........................................................................ DIRECTOR	2.0 .......................0.0	X
(24) KEMPER BEASLEY III........................................................................ DIRECTOR	2.0 .......................0.0	X
(25) CYNTHIA GUNNOE........................................................................ DIRECTOR	2.0 .......................0.0	X
(26) GARY MIGNOGNA........................................................................ DIRECTOR	2.0 .......................0.0	X
(27) JOHN A FEES........................................................................ DIRECTOR	2.0 .......................0.0	X
(28) ALISON MORRISON-SHETLAR........................................................................ DIRECTOR	2.0 .......................0.0	X
(29) BERNADETTE SVRCEK........................................................................ DIRECTOR	2.0 .......................0.0	X
(30) GLORIA T WITT........................................................................ DIRECTOR	2.0 .......................0.0	X
(31) ELIZABETH COOK MD........................................................................ EX-OFFICIO	2.0 .......................0.0	X
(32) CAROLYN W JACQUES........................................................................ EX-OFFICIO	2.0 .......................0.0	X

(A) Name and business address	(B) Description of services	(C) Compensation
RALEIGH RADIOLOGY ASSOCIATES INC, 5220 GREENS DAIRY ROAD RALEIGH,NC27616	DIAG. IMAGING SVCS	6,058,699
IMAGES OF AMERICA INC, 829 BLAIR STREET THOMASVILLE,NC27360	HEALTHCARE FURN. MAN	2,924,261
PHI AIR MEDICAL, 2001 SE EVANGELINE THRUWAY LAFAYETTE,LA70508	AVIATION TRANS. SVCS	2,786,213
CHANGE HEALTHCARE, 22423 NETWORK PLACE CHICAGO,IL60673	SOFTWARE SERVICES	2,758,179
PATHOLOGY CONSULTANTS INC, 1914 THOMSON DR LYNCHBURG,VA24501	PATHOLOGY SERVICES	2,175,381
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 93

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

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

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CENTRA HEALTH INC

Employer identification number

54-0715569

Part I

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

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

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 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 5 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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 on 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 5 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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

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

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

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2023

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

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

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

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

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

By reason of the relationship described in line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2023

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 0.015 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 0.035	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) 2023

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2023

Name of the organization

CENTRA HEALTH INC

Employer identification number

54-0715569

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

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

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

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization CENTRA HEALTH INC

Part I Contributors	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) (2023)

Schedule B (Form 990) (2023)

Page 3

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

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization CENTRA HEALTH INC			Employer identification number 54-0715569
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2023)

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

CENTRA HEALTH INC

Employer identification number

54-0715569

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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 FASB 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 FASB 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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	26,846,688		26,846,688
b	Buildings ....	487,470,201	315,066,163	172,404,038
c	Leasehold improvements	29,375,859	17,261,702	12,114,157
d	Equipment ....	380,067,337	264,681,729	115,385,608
e	Other .....	46,044,895		46,044,895
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				372,795,386

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other 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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program 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 RELATED PARTIES	35,661,714
OTHER LIABILITIES	33,551,946
EST PAYABLE TO 3RD PARTY	6,542,021
INTEREST RATE SWAP	3,961,543
FUTURE LEASE OBLIGATIONS	6,081,514




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	85,798,738
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) 2022

Page 4

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

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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

Return Reference

Explanation

SCHEDULE D, PART V, LINE 4:

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

SCHEDULE D, PART X, LINE 2:

CENTRA HEALTH, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD ARE EXEMPT FROM INCOME TAX UNDER SECTION 501 (A) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS EXCEPT FOR TAXES RELATED TO CERTAIN UNRELATED BUSINESS INCOME ENGAGED IN BY CENTRA. CENTRA MEDICAL GROUP, LLC, CHIC, CENTRA SPECIALTY HOSPITAL, HEALTHWORKS, CVQCN, AND OUTPATIENT REHAB ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER CENTRA'S TAX RETURN. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARIES, GBC, PCHP HOLDING, INC. AND PCHP. UNDER THE ASSET-AND-LIABILITY METHOD FOR THESE STANDARDS, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASIS OF THE SUBSIDIARY'S ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. CHIC IS WHOLLY OWNED BY CENTRA HEALTH, INC. ANY LIABILITY FOR TAXES IS PASSED THROUGH TO CENTRA HEALTH, INC. A PROVISION WILL BE MADE WHEN OPERATIONS OF THIS SUBSIDIARY INDICATES A LIABILITY FOR TAXES. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2023. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2017.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CENTRA HEALTH INC

Employer identification number

54-0715569

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

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

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

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

Yes

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

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

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	9,662,905		9,662,905	0.870 %
b	Medicaid (from Worksheet 3, column a) . . . . .	79,556,248	90,726,442	0
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	89,219,153	90,726,442	9,662,905	0.870 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,652,959		1,652,959	0.150 %
f	Health professions education (from Worksheet 5) . . .	12,068,941	4,126,207	7,942,734	0.710 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	2,377,134		2,377,134	0.210 %
j	Total. Other Benefits . .	16,099,034	4,126,207	11,972,827	1.070 %
k	Total. Add lines 7d and 7j .	105,318,187	94,852,649	21,635,732	1.940 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

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

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	19	471	5,346	0	5,346	2.000 %
3	Community support	178	2,368	193,060	0	193,060	80.000 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	47	1,588	19,581	0	19,581	8.000 %
7	Community health improvement advocacy	17	493	6,276	0	6,276	3.000 %
8	Workforce development	28	1,965	15,858	0	15,858	7.000 %
9	Other
10	Total	289	6,885	240,121	0	240,121	100.000 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

44,034,589

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

12,695,147

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

Section B. Medicare

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

190,372,932

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

211,767,526

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

-21,394,594

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1THE SURGERY CENTER	OUTPATIENT SURGERY SERVICES	50 %	1 %	49 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Other (describe)
1	LYNCHBURG GENERAL HOSPITAL 1901 TATE SPRINGS ROAD LYNCHBURG,VA24501 WWW.CENTRAHEALTH.COM	X	X	X
2	VIRGINIA BAPTIST HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG,VA24503 WWW.CENTRAHEALTH.COM	X	X
3	CENTRA SPECIALTY HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG,VA24503 WWW.CENTRAHEALTH.COM	X			LONG TERM CARE

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

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

Yes

Community Health Needs Assessment

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

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

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

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

Yes

6 a

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

Yes

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

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

Yes

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

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

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

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

Yes

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

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

10b

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

12a

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

12a

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

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

SEE PART V, SECTION C

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

SEE PART V, SECTION C

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

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

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

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

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

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

Yes

Community Health Needs Assessment

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

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

Yes

6 a

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

Yes

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

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

Yes

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

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

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

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

Yes

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

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

10b

12a

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

12a

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

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

SEE PART V, SECTION C

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

SEE PART V, SECTION C

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

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

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

Yes

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

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

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

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

Yes

Community Health Needs Assessment

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

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

Yes

6 a

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

Yes

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

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

Yes

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

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

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 21

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

Yes

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

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

10b

12a

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

12a

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

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

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

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

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

SEE PART V, SECTION C

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

SEE PART V, SECTION C

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

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

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

Yes

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

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

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, LINE 5:	THE COMPLETION OF BOTH THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND SUCCESSFUL EXECUTION OF THE ASSOCIATED IMPLEMENTATION PLAN ENSURES COMPLIANCE WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 WHICH IS PROMULGATED IN REGULATION BY THE INTERNAL REVENUE AS DOCUMENTED ANNUALLY IN CENTRA'S FORM 990- SCHEDULE H. IN 2022, THE 2022-2025 CENTRA HOSPITALS IMPLEMENTATION PLAN WAS PREPARED TO COMPLY WITH FEDERAL TAX LAW REQUIREMENTS SET FORTH BY THE DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE, 26 CFR PARTS 1 AND 53 AND REFLECTS THE FINAL RULES ISSUED ON DECEMBER 31, 2014. THIS IMPLEMENTATION PLAN DESCRIBES CENTRA HOSPITALS' (CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS) PLANNED RESPONSE TO THE NEEDS IDENTIFIED IN THE 2021 LYNCHBURG AREA CHNA. FOR INFORMATION ABOUT THE 2021 CHNA PROCESS AND THE 2022-2025 IMPLEMENTATION PLAN AND FOR A COPY OF THE REPORT PLEASE VISIT HTTPS://WWW.CENTRAHEALTH.COM/COMMUNITY-RESOURCES/COMMUNITY-HEALTH#CHNA. CENTRA DEFINES ITS TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN AS A CONTINUOUS PROCESS FOR EVALUATING THE HEALTH NEEDS OF THE COMMUNITIES SERVED. IT IS USED TO SUPPORT THE SYSTEM'S MISSION WHICH IS "TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE". IN 2022, CENTRA COMPLETED A STRATEGIC PLANNING PROCESS AND BOTH THE CHNA AND IMPLEMENTATION PLAN WERE USED TO HELP INFORM THE DESIGN AND EXECUTION OF NEW SERVICES, PROGRAMS, AND PARTNERSHIPS IN RESPONSE TO IDENTIFIED UNMET COMMUNITY HEALTH NEEDS. LASTLY, THE CHNA AND IMPLEMENTATION PLAN ARE USED TO GUIDE THE ACTIONS OF CENTRA'S BOARD OF DIRECTORS' COMMUNITY BENEFIT COMMITTEE, WHICH IS RESPONSIBLE FOR ENSURING CENTRA MEETS THE REQUIREMENTS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE THUS MAINTAINING ITS NON-PROFIT STATUS.
PART V, SECTION B, LINE 6a:	THE ORGANIZATION'S CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL.
PART V, SECTION B, LINE 7d:	HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS.
PART V, SECTION B, LINE 11:	DURING THE THREE-MONTH PERIOD, CENTRA HOSPITALS' VP & CEO AND CHIEF NURSING OFFICER MET WITH THEIR LEADERSHIP TEAMS TO IDENTIFY GOALS AND STRATEGIES FOR THE 2022-2025 IMPLEMENTATION PLAN. IN ADDITION, THEY ENGAGED WITH KEY COMMUNITY STAKEHOLDERS AND LEADERS SERVING THE LYNCHBURG AREA TO DETERMINE COLLABORATIVE OPPORTUNITIES AND AVAILABLE RESOURCES THAT WILL SUPPORT THE GOALS AND STRATEGIES OF THE PLAN. THE PRIORITY NEEDS TO BE ADDRESSED BY CENTRA HOSPITALS IN THEIR 2022- 2025 IMPLEMENTATION PLAN INCLUDE THE FOLLOWING: PRIORITY AREAS OF NEED: . ACCESS TO HEALTHCARE SERVICES* . MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES* . ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE; CHILD ABUSE/NEGLECT . CHRONIC DISEASE ACCESS TO HEALTHCARE AND MENTAL HEALTH/SUBSTANCE USE SERVICES CONTINUES TO BE TWO OF THE TOP PRIORITY AREAS THROUGHOUT THE ENTIRE CENTRA FOOTPRINT. AS THE LARGEST HEALTH SYSTEM IN THE REGION, CENTRA WILL CONTINUE TO LEAD EFFORTS TO IMPROVE ACCESS TO CARE WHILE WORKING TO DETERMINE WHAT "ACCESS" MEANS IN OUR COMMUNITIES (I.E., COST, AFTER-HOURS CLINICS, GEOGRAPHIC DISTANCE TO SERVICES, TYPE OF SERVICE, LANGUAGE SERVICES, ETC.). THE GLOBAL PANDEMIC HAS RESULTED IN INCREASED BARRIERS TO ACCESSING CHILDCARE SERVICES INCLUDING A LACK OF PROVIDERS IN THE LYNCHBURG AREA. IN THE 2021 LYNCHBURG AREA COMMUNITY HEALTH SURVEY, 29% OF RESPONDENTS RANKED CHILDCARE AS THE MOST DIFFICULT SOCIAL/SUPPORT RESOURCE TO GET AND 26% RANKED CHILD ABUSE/NEGLECT AS THE MOST IMPORTANT HEALTH FACTOR ISSUE THAT IMPACTS THE HEALTH OF OUR COMMUNITY. WHEN COMMUNITY HEALTH SURVEY RESPONDENTS WERE ASKED "WHAT ARE THE MOST IMPORTANT HEALTH CONDITIONS THAT AFFECT THE HEALTH OF OUR COMMUNITY?", MORE THAN 30% REPORTED CHRONIC DISEASES INCLUDING COVID-19; DIABETES; OVERWEIGHT/OBESITY; HIGH BLOOD PRESSURE; HEART DISEASE AND STROKE; CANCERS; AND MENTAL HEALTH PROBLEMS. *PRIORITY AREAS OF NEED THAT WILL BE ADDRESSED ACROSS THE ENTIRE CENTRA SERVICE REGION CENTRA PRIORITY NEEDS NOT ADDRESSED SPECIFICALLY IN THE IMPLEMENTATION PLAN ALTHOUGH CENTRA HOSPITALS [LYNCHBURG GENERAL HOSPITAL (LGH) AND VIRGINIA BAPTIST HOSPITAL (VBH)] DID NOT INCLUDE ALL THE TOP 10 AREAS OF NEED FOR THE LYNCHBURG REGION, MANY OF OUR PARTNERS IN THE COMMUNITY ARE ADDRESSING THEM. CENTRA WILL HAVE REPRESENTATION IN THESE EFFORTS AND WILL COLLABORATE WITH THESE PARTNERS TO ENSURE THERE IS ONGOING COMMUNICATION AND TRACKING OF THESE EFFORTS. OF THE TOP TEN PRIORITY NEEDS IDENTIFIED IN THE 2021 LYNCHBURG AREA COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIFIC GOALS AND STRATEGIES IN THE IMPLEMENTATION PLAN WERE NOT DEVELOPED FOR THE FOLLOWING: . POVERTY AND EQUITY, INCLUSION & DIVERSITY: OUR TARGET POPULATION INCLUDES A FOCUS ON LOW-INCOME POPULATIONS AND WILL BE AN OVERARCHING THEME FOR THIS PLAN. IN ADDITION, WE WILL ENSURE THAT PROGRAMS AND INITIATIVES THAT ARE DEVELOPED AS A RESULT OF THIS PLAN ARE INCLUSIVE, EQUITABLE, AND JUST TO THE DIVERSE COMMUNITIES WE SERVE. IN 2022, THE HEALTH SYSTEM WILL UTILIZE DR. RUBY PAYNE'S "BRIDGES OUT OF POVERTY" MODEL TO EDUCATE CENTRA CAREGIVERS ABOUT THE IMPACT OF POVERTY. COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE BRIDGES TO PROGRESS; UNITED WAY OF CENTRAL VIRGINIA; PARTNERSHIP FOR HEALTHY COMMUNITIES; AND GOODWILL OF THE VALLEYS. . AGING AND ELDERCARE: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE CENTRAL VIRGINIA AREA ON AGING; CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING; MEALS ON WHEELS; AND PARTNERSHIP FOR HEALTHY COMMUNITIES. . HOUSING: CENTRAL VIRGINIA CONTINUUM OF CARE; LYNCHBURG AREA HOUSING COALITION; THE LIGHTHOUSE; PARTNERSHIP FOR HEALTHY COMMUNITIES; LYNCHBURG REGIONAL HOUSING AUTHORITY. . FINANCIAL STABILITY: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE BANK OF THE JAMES; FREEDOM FIRST CREDIT UNION; UNIVERSITY OF LYNCHBURG; LENDING KIND (AFFILIATE OF HUMANKIND) . FOOD INSECURITY AND NUTRITION: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE HUNGER ACTION COALITION; LYNCHBURG TOMORROW; THE HEALTH COLLABORATIVE; AND PARTNERSHIP FOR HEALTHY COMMUNITIES.
PART V, SECTION B, LINE 16A, B, C:	THE ENTIRE FNANCIAL ASSISTANCE POLICY (FAP), INCLUDING FAP APPLICATION AND PLAIN LANGUAGE SUMMARY IS LOCATED AT THE FOLLOWING URL. HTTPS://WWW.CENTRAHEALTH.COM/FINANCIAL-POLICY/FINANCIAL-ASSISTANCE-DISCOUN T-PROGRAMS
PART V, SECTION B, LINE 21:	(POLICY RELATING TO EMERGENCY MEDICAL CARE) FACILITY: CENTRA SPECIALITY HOSPITAL CENTRA SPECIALITY HOSPITAL DOES NOT HAVE AN EMERGENCY DEPARTMENT DUE TO THE NATURE OF THE HOSPITAL'S SERVICES.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?87
Name and address		Type of Facility (describe)
1	CENTRA ALAN B PEARSON CANCER CENTER 1701 THOMSON DRIVE LYNCHBURG,VA24501	CANCER CENTER & PALLIATIVE CARE
2	CENTRA GRETNA MEDICAL CENTER 291 McBride Lane Gretna,VA24557	Emergency, Imaging, Internal Medicine, Cardiology, Rehab, Lab
3	CENTRA HOSPICE-LYNCHBURG 2097 LANGHORNE ROAD LYNCHBURG,VA24501	HOSPICE CARE
4	CENTRA HOME HEALTH - LYNCHBURG 1204 FENWICK DRIVE LYNCHBURG,VA24502	HOME HEALTH SERVICES
5	CENTRA PACE - LYNCHBURG 407 FEDERAL STREET LYNCHBURG,VA24504	CARE FOR ELDERLY
6	CMG PIEDMONT PSYCHIATRIC CTR - LYNCHBURG 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	MENTAL HEALTH
7	BRIDGES TREATMENT CENTER 693 LEESVILLE ROAD LYNCHBURG,VA245022828	MENTAL HEALTH
8	CMG - ATLAVISTA 1280 A MAIN STREET ALTAVISTA,VA24517	PRIMARY CARE
9	CMG - BROOKNEAL 104 CAROLINA AVENUE BROOKNEAL,VA24528	PRIMARY CARE
10	CMG - DANVILLE 414 PARK AVENUE DANVILLE,VA24541	PRIMARY CARE
11	CENTRA LYNCHBURG MEDICAL CTR -NATIONWIDE 125 Nationwide Drive LYNCHBURG,VA24502	INTERNAL MEDICINE, REHAB & THERAPY SERVICES, PRIMARY CARE, LAB SERVICES
12	CMG - VILLAGE 4830 RUCKER RD MONETA,VA24121	PRIMARY CARE, lab services
13	CMG UROLOGY CENTER - LANGHORNE ROAD 2542 LANGHORNE ROAD LYNCHBURG,VA24501	SURGICAL SERVICES
14	CMG FOREST WOMEN'S CENTER 2007 GRAVES MILL ROAD FOREST,VA24551	WOMEN & CHILDREN'S HEALTH, MATERNITY SERVICES, MIDWIFERY, GYNECOLOGIC SERVICES
15	CARDIAC REHABILITATION - JAMERSON YMCA 801 WYNDHURST DRIVE LYNCHBURG,VA24502	REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, HEADACHE CENTER, OUTPATIENT
16	GERIATRIC PSYCHIATRIC UNIT 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	PSYCHIATRIC INPATIENT GERIATRIC & ADULT, ACUTE PSYCHIATRIC INPATIENT
17	MAMMOGRAPHY CENTER - TIMBERLAKE 20293 TIMBERLAKE ROAD LYNCHBURG,VA24502	MAMMOGRAPHY & BREAST IMAGING
18	CMG SOUTHSIDE NEUROLOGY CENTER 800 Oak Street Farmville,VA23901	BRAIN & SPINE CARE
19	CMG - Lynchburg Family Medicine 2323 Memorial Avenue Suite 10 Lynchburg,VA24501	PRIMARY CARE, MATERNITY SERVICES, LABORATORY SERVICES, PEDIATRIC SERVICES
20	CMG - BEDFORD 1613 Oakwood Street Suite 201 Bedford,VA24523	PRIMARY CARE, REHAB & THERAPY SERVICES
21	CMG PLASTIC SURGERY CENTER 1330 Oak Lane Suite 100 Lynchburg,VA24503	SURGICAL SERVICES, PLASTIC SURGERY
22	CMG NEUROLOGY ctr lynchburg-TATE SPRINGS 2025 Tate Springs Road Lynchburg,VA24501	BRAIN & SPINE CARE, HEADACHE CENTER
23	CMG SURGICAL SPECIALISTS - 1911 THOMSON 1911 Thomson Drive Lynchburg,VA24501	GENERAL SURGERY
24	CMG SURGICAL SPECIALISTS - 1906 THOMSON 1906 Thomson Drive Lynchburg,VA24501	GENERAL SURGERY
25	CENTRA COLLEGE OF NURSING - MAIN CAMPUS 905 Lakeside Dr Suite A Lynchburg,VA24501	COLLEGE OF NURSING
26	ROSEMARY & GEORGE DAWSON INN 2012 Tate Springs Road Lynchburg,VA24501	PATIENT/FAMILY INN
27	CARDIAC REHABILITATION - BEDFORD 1710 Whitfield Drive Bedford,VA24523	HEMATOLOGY & ONCOLOGY, REHAB & THERAPY SERVICES
28	CMG NEUROLOGY CENTER - BEDFORD 1615 OAKWOOD STREET SUITE A BEDFORD,VA24523	BRAIN & SPINE CARE
29	CMG HEALTHY SKIN CENTER 1330 OAK LANE SUITE 103 LYNCHBURG,VA24503	SKIN CLINIC
30	CENTRA PACE - GRETNA 1220 W Gretna Road Gretna,VA24557	CARE FOR ELDERLY
31	CMG - KEYSVILLE 312 Kings Street Keysville,VA23947	PRIMARY CARE & LABORATORY SERVICES
32	CMG - FARMVILLE 935 South Main Street Farmville,VA23901	PRIMARY CARE & LABORATORY SERVICES
33	CMG - BURKEVILLE 412 Namozine Street Burkeville,VA23922	PRIMARY CARE & LABORATORY SERVICES
34	CMG - CUMBERLAND 1758 Anderson Highway Cumberland,VA23942	PRIMARY CARE
35	CMG SOUTHSIDE GASTROINTESTINAL CENTER 800 Oak Street Farmville,VA23901	GASTROLOGY
36	CMG Southside Orthopedic & Rehab Center 935 South Main Street Farmville,VA23901	ORTHOPEDIC CARE
37	CMG Southside Surgery Center 800 Oak Street Farmville,VA23901	GENERAL SURGERY, AMBULATORY CARE
38	CMG Southside Women's Center 800 Oak Street Farmville,VA23901	WOMEN & CHILDREN'S HEALTH, MATERNITY SERVICES,GYNECOLOGIC SERVICES, LABORATORY SERVICES
39	CMG Southside Urology Center 800 Oak Street Farmville,VA23901	UROLOGY, surgical services
40	CMG Bedford General Surgery Center 1615 Oakwood Street Suite D Bedford,VA24523	GENERAL SURGERY & ambulatory care
41	CMG Bedford Pulmonology Center 1615 Oakwood Street Ste b Bedford,VA24523	PULMONARY SVCS
42	Autism and Developmental Services Center 693 Leesville Road Lynchburg,VA245022828	Mental Health
43	Centra Acute Adult Psychiatric Unit 3300 Leesville Road Lynchburg,VA245022828	Mental Health
44	Centra Amherst Medical Center 115 Ambriar Court Amherst,VA24521	Family Practice
45	Centra College - Branch Campus 1613 Oakwood Street Bedford,VA24523	College of Nursing
46	Centra Danville Medical Center 414 Park Avenue Danville,VA24541	Family Practice
47	Centra Heart & Vascular Institute - Bedf 1613 Oakwood Drive Bedford,VA24523	Wound Care
48	CENTRA HEART & VASCULAR - DANVILLE 414 PARK AVENUE DANVILLE,VA24541	VEIN CARE
49	CENTRA HEART & VASCULAR - FARMVILLE 900 WEST THIRD STREET FARMVILLE,VA23901	VEIN CARE, CARDIAC & PULMINARY REHAB, ELECTROPHYSIOLOGY
50	CENTRA HEART & VASCULAR - FARMVILLE 800 OAK ST FARMVILLE,VA23901	WEIGHT LOSS & BARIATRIC SURGERY
51	CENTRA HEART & VASCULAR - GRETNA 291 MCBRIDE LANE GRETNA,VA24557	VEIN CARE, WOUND CARE, WEIGHT LOSS & BARIATRIC SURGERY
52	CENTRA HEART & VASCULAR - LYNCHBURG 2410 ATHERHOLT RD LYNCHBURG,VA24501	CARDIOLOGY CENTER & CARDIOVASCULAR SURGERY
53	CENTRA HEART & VASCULAR - MONETA 1039 MAYBERRY CROSSING DR SUITE C MONETA,VA24121	CARDIOLOGY CENTER
54	CARDIAC REHABILITATION - ATHERHOLT RD 1905 ATHERHOLT RD LYNCHBURG,VA24501	REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, BRAIN & SPINE CARE, HEADACHE CENTER
55	CARDIAC REHABILITATION - FARMVILLE 935 S MAIN STREET FARMVILLE,VA23901	REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, OUTPATIENT REHAB
56	CARDIAC REHABILITATION - GRETNA 291 MCBRIDE LANE GRETNA,VA24557	REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, OUTPATIENT REHAB
57	CARDIAC REHABILITATION - NATIONWIDE DR 123 NATIONWIDE DRIVE LYNCHBURG,VA24502	REHAB & THERAPY SERVICES, HEMATOLOGY & ONCOLOGY, HEADACHE CENTER
58	CARDIAC REHAB - VA BAPTIST HOSPITAL 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	HEMATOLOGY & ONCOLOGY, REHAB & THERAPY SERVICES, BRAIN & SPINE CARE
59	CARDIAC REHAB CENTER FOR PELVIC HEALTH 1905 ATHERHOLT ROAD LYNCHBURG,VA24501	HEMATOLOGY & ONCOLOGY, REHAB & THERAPY SERVICES
60	CENTRA SLEEP DISORDERS CTR - FARMVILLE 800 OAK STREET FARMVILLE,VA23901	SLEEP SERVICES
61	CENTRA SLEEP DISORDERS CTR - LYNCHBURG 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	SLEEP SERVICES
62	CENTRA SOUTHSIDE HEMATOLOGY ONCOLOGY 800 OAK STREET FARMVILLE,VA23901	HEMATOLOGY & ONCOLOGY
63	CENTRA SOUTHSIDE MEDICAL CENTER 935 S MAIN STREET FARMVILLE,VA23901	PRIMARY CARE, REHABILITATION & THERAPY SERVICES, URGENT CARE, ACUTE CARE
64	CENTRA URGENT CARE - FOREST 16890 FOREST ROAD FOREST,VA24551	URGENT CARE & LABORATORY SERVICES
65	CENTRAL VA CTR FOR SIMULATION & VIRTUAL 905 LAKESIDE DRIVE STE B LYNCHBURG,VA24501	SIMULATION & VIRTUAL LEARNING
66	CMG - CARDIOPULMONARY REHABILITATION 2410 ATHERHOLT ROAD LYNCHBURG,VA24501	CARDIOPULMONARY REHABILITATION
67	CMG - GRETNA 291 MCBRIDE LANE GRETNA,VA24557	PRIMARY CARE
68	CMG - NEUROLOGY - PHYSICAL THERAPY 2025 TATE SPRINGS ROAD LYNCHBURG,VA24501	NEUROLOGY & PHYSICAL THERAPY
69	CMG - SOUTHSIDE PEDIATRICS & PEDIATRIC 935 S MAIN STREET FARMVILLE,VA23901	PEDIATRIC SERVICES & ENDOCRINOLOGY
70	CMG ADDICTION TREATMENT CENTER 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	ADDICTION & RECOVERY, CMG ADDICTION TREATMENT SERVICES
71	CMG ENDOCRINOLOGY CENTER 125 NATIONWIDE DRIVE 2ND FLOOR LYNCHBURG,VA24502	ENDOCRINOLOGY CENTER
72	CMG NEUROLOGY CENTER - GRETNA 291 MCBRIDE LANE GRETNA,VA24557	BRAIN & SPINE CARE
73	CMG NEUROLOGY CTR LYNCHBURG (LINKHORNE) 2811 LINKHORNE DRIVE SUITE A LYNCHBURG,VA24503	BRAIN & SPINE CARE, headache center
74	CMG NEUROSURGERY CENTER 2138 LANGHORNE ROAD LYNCHBURG,VA24501	NEUROSURGERY, REHAB & THERAPY SERVICES
75	CMG PHYSICAL MEDICINE & PAIN MANAGEMENT 1330 OAK LANE STE 202 LYNCHBURG,VA24503	AMBULATORY CARE
76	CMG PHYSICAL MEDICINE & PAIN MANAGEMENT 935 S MAIN STREET FARMVILLE,VA23901	AMBULATORY CARE
77	CMG PIEDMONT PSYCHIATRIC CTE - FARMVILLE 935 S MAIN STREET FARMVILLE,VA23901	MENTAL HEALTH
78	CMG SOUTHSIDE PULMONOLOGY CENTER 800 OAK STREET FARMVILLE,VA23901	PULMONOLOGY CENTER
79	CMG WOUND CARE & HYPERBARIC MEDICINE CTR 2410 ATHERHOLT ROAD LYNCHBURG,VA24501	WOUND CARE
80	HEALTHWORKS NATIONWIDE 125 NATIONWIDE DR LYNCHBURG,VA24502	OCCUPATIONAL MEDICINE & WELLNESS SERVICES
81	MATERNAL FETAL MEDICINE SPECIALTY CLINIC 3300 RIVERMONT AVE LYNCHBURG,VA24503	MATERNITY
82	PATHWAYS RESIDENTIAL TREATMENT CENTER 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	MENTAL HEALTH
83	PEDIATRIC SPECIALTY CENTER 3300 RIVERMONT AVENUE LYNCHBURG,VA24502	PULMONOLOGY
84	PIEDMONT COMMUNITY HEALTH PLAN 2316 ATHERHOLT ROAD LYNCHBURG,VA24501	COMMUNITY HEALTH PLAN
85	PRESURGERY CENTER 1330 OAK LANE SUITE 203 LYNCHBURG,VA24503	AMBULATORY CARE, SURGICAL SERVICES, GENERAL SURGERY
86	PSYCHIATRIC INPATIENT CHILD & ADOLESCENT 3300 RIVERMONT AVENUE LYNCHBURG,VA24503	MENTAL HEALTH
87	CENTRAL VIRGINIA IMAGING 113 NATIONWIDE DRIVE LYNCHBURG,VA24502	OUTPATIENT IMAGING CENTER

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
PART I, LINE 6A:	INFORMATION ON COMMUNITY BENEFITS IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC.
PART I, LINE 7:	THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE.
PART II:	COMMUNITY SUPPORT: CENTRA HEALTH, INC. RECOGNIZES THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES. WE CONTINUOUSLY WORK TO SEEK OUT WAYS IN WHICH WE CAN SUPPORT THE COMMUNITY. HELPING THOSE IN NEED IS A MAIN FOCUS OF CENTRA, NOT ONLY WITH THEIR HEALTH NEEDS BUT WITH THE FUNDAMENTAL NEEDS OF INDIVIDUALS WITHIN OUR COMMUNITY, AS WELL. WE FEEL AN ESSENTIAL PART OF BEING A GOOD NEIGHBOR WITHIN THE COMMUNITY IS TO PROMOTE HEALTH, SAFETY, AND WELL-BEING ACTIVITIES IN ORDER TO BENEFIT THOSE AROUND US. CENTRA OPENS ITS CANCER CENTER FACILITY TO VARIOUS GROUPS IN ORDER FOR THEM TO MEET, SOCIALIZE, EXERCISE, DISCUSS THEIR LIFE STRUGGLES AND TO JUST ENJOY EACH OTHER'S COMPANY. THE OFF THE NEEDLE KNITTING GROUP IS ONE OF THOSE GROUPS. WE ALSO HOST EXERCISE GROUPS SUCH AS MEDITATION GROUPS, TAI CHI CLASSES, AND YOGA CLASSES. COALITION BUILDING: CENTRA CONTINUES TO REACH OUT TO THE COMMUNITY IN ORDER TO INFORM THE PUBLIC ABOUT THE NUMEROUS HEALTH FAIRS, HEALTH SEMINARS, AND GENERAL INFORMATIONAL SESSIONS OFFERED BY CENTRA, THROUGHOUT THE YEAR. CENTRA HOLDS HEALTH CAREER CAMPS IN ORDER TO PROMOTE THE IMPORTANCE OF HEALTHCARE PROFESSIONALS TO YOUNG ADULTS SO THEY MAY, POSSIBLY, BECOME MEMBERS OF THE HEALTHCARE COMMUNITY IN THE FUTURE. THROUGH OUT THE YEAR, WE ALSO VISIT LOCAL ELEMENTARY AND MIDDLE SCHOOLS WITHIN THE COMMUNITY TO INTRODUCE YOUTH TO HEALTHCARE CAREERS. CENTRA IS A MEMBER OF THE CAMPBELL COUNTY ADVISORY BOARD WHICH ENABLES US TO REPRESENT CENTRA IN THE COMMUNITY TO HELP MEET THE NEEDS OF THOSE IN THE SCHOOL SYSTEM. OUR "COMMUNITY VOICE" PROGRAM IS AN EVIDENCED BASED CONSUMER EDUCATION PROGRAM WHOSE GOALS ARE TO RAISE AWARENESS OF THE HEALTH DISPARITY THAT EXISTS IN INFANT MORTALITY, TO PROVIDE CULTURALLY RELEVANT PERINATAL HEALTH INFORMATION, AND TO INFLUENCE BEHAVIORS BY TAKING INFORMATION DIRECTLY TO THE PEOPLE WHOM WOMEN OF CHILD BEARING AGE ARE MOST LIKELY TO TRUST AND TRAIN THEM TO BE LAY HEALTH ADVISORS. ONCE TRAINED, LAY HEALTH ADVISORS HAVE THE KNOWLEDGE AND POWER TO TEACH, MOTIVATE, AND INFLUENCE THEIR FAMILY, FRIENDS, AND NEIGHBORS. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF CENTRA. WE FEEL PASSIONATE ABOUT IMPROVING ACCESS TO CARE, PUBLIC HEALTH, ETC. WE ARE EXCITED TO PARTICIPATE IN NUMEROUS EVENTS THROUGHOUT THE YEAR IN ORDER TO STAY CONNECTED TO THE COMMUNITY WE SERVE. BY STAYING CONNECTED WE ARE ABLE TO RECOGNIZE AND ADDRESS NEEDS THROUGHOUT OUR REGION. WORKFORCE DEVELOPMENT: CENTRA HEALTH, INC. BELIEVES THAT IT IS CRUCIAL TO HAVE EDUCATED, EXPERIENCED HEALTHCARE PROFESSIONALS WORKING WITHIN OUR COMMUNITIES. BY DISCUSSING HEALTHCARE WITH CHILDREN BEGINNING AT AN EARLY AGE, WE FEEL IT WILL SPARK INTEREST AND HAVE OUR YOUTH THINKING ABOUT POSSIBLY SEEKING A CAREER IN HEALTHCARE AS THEY GET OLDER. CENTRA CONDUCTS PROGRAMS WHICH SEND OUR STAFF TO AREA SCHOOLS, BEGINNING AT THE ELEMENTARY LEVEL, AND SHARING AGE-APPROPRIATE INFORMATION AND MATERIALS ABOUT HEATH CAREER CHOICES AND THE ACADEMIC PATHWAY TO THOSE CAREERS. CENTRA'S HEALTH CAREER CAMPS ALLOW CAMPERS TO PARTICIPATE IN TEAM BUILDING ACTIVITIES, LEARN ABOUT INFECTION PREVENTION, ORGAN DONATION, LISTEN TO PRESENTATIONS ON EMERGENCY MEDICINE, TOUR EMERGENCY VEHICLES, AND MANY MORE HEALTH RELATED ACTIVITIES. OUR MEDICAL CAREER CAMP ALLOW CAMPERS TO PARTICIPATE IN ACTIVITIES RELATED TO TOPICS SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THEY ARE ALSO ENGAGED IN HANDS-ON ACTIVITIES SUCH AS DISSECTING A PIG'S HEART AND LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHAT'S INVOLVED IN SUTURING, TAKING CARE OF WOUNDS, IV SIMULATIONS, ETC. WE GIVE CAMPERS A GENERAL EXPOSURE TO VARIOUS CAREERS WITHIN THE HEALTHCARE SYSTEM WHICH ALLOWS THEM TO DETERMINE IF ONE OF THESE FIELDS ARE RIGHT FOR THEM. 2023 IMPLEMENTATION PLAN UPDATES ACCESS TO HEALTHCARE: CENTRA LYNCHBURG GENERAL HOSPITAL/CENTRA VIRGINIA BAPTIST HOSPITAL (LGH/VBH) IMPLEMENTED REMOTE PATIENT MONITORING TO PROVIDE INCREASED ACCESS TO HEALTHCARE. THE HOSPITALS ARE ADDRESSING CHRONIC DISEASE THROUGH COMMUNITY OUTREACH, EDUCATION AND SCREENINGS. MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES: LGH/VBH PARTNERS WITH COMMUNITY ORGANIZATIONS TO PROVIDE A VARIETY OF MENTAL HEALTH & SUBSTANCE USE DISORDERS SERVICES THAT MEET THE NEEDS OF PATIENTS AND THE COMMUNITY. THE REGION'S FIRST EMERGENCY PSYCHIATRIC ASSESSMENT, TREATMENT AND HEALING (EMPATH) UNIT OPENED AT CENTRA LYNCHBURG GENERAL HOSPITAL. ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE; CHILD ABUSE/NEGLECT WORKING WITH THE UNIVERSITY OF LYNCHBURG, LYNCHBURG CHILD PROTECTIVE SERVICES AND LOCAL CHURCH ORGANIZATIONS, LGH/VBH ADDRESSES IMPACTING CHILDREN & THEIR FAMILIES THROUGH EDUCATION IN AN EFFORT TO REDUCE SHAKEN BABY SYNDROME, ENCOURAGE SAFE SLEEP AND SUPPORT THE TRANSITION TO HOME WITH A NEWBORN. CENTRA FUNDING ALSO SUPPORTS CHILDCARE INITIATIVES IN THE GREATER LYNCHBURG REGION.
PART III, SECTION A, LINE 1:	ON JANUARY 1, 2012, CENTRA ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, WHICH CHANGED CENTRA'S PRESENTATION OF PROVISION FOR DOUBTFUL ACCOUNTS TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. THIS HAS BEEN DISCLOSED IN THE FOOTNOTES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THEREFORE, CENTRA, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT CONSISTENT WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15.
PART III, SECTION A, LINE 2 & 3:	SEE DESCRIPTION FOR PART III, SECTION A, LINE 4.
PART III, SECTION A, LINE 4:	THE ORGANIZATION BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NATURE, AMOUNT, TIMING AND UNCERTAINTY OF THESE REVENUES AND CASH FLOWS. ADJUSTMENTS TO PREVIOUS REIMBURSEMENT ESTIMATES ARE REPORTED IN NET PATIENT SERVICE REVENUES IN THE PERIODS THAT SUCH ADJUSTMENTS BECOME KNOWN. FOR THE YEARS ENDED DECEMBER 31, 2023, AND 2022, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTION PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 13) "CENTRA DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH CENTRA'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. CENTRA DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. CENTRA DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS A GROUP RATHER THAN INDIVIDUALLY. THE FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS PROVISION FOR DOUBTFUL ACCOUNTS IN OTHER OPERATING EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE PROVISION FOR DOUBTFUL ACCOUNTS WAS NOT MATERIAL FOR THE YEARS ENDED DECEMBER 31, 2023, AND 2022." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 13-14) "CONSISTENT WITH CENTRA'S MISSION, SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CENTRA HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CENTRA EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 14-15) "PATIENTS WHO MEET CENTRA'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS SUBSTANTIALLY LESS THAN ESTABLISHED RATES IN ACCORDANCE WITH CENTRA'S FINANCIAL ASSISTANCE POLICY. SINCE CENTRA DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. WHILE CHARITY CARE IS EXCLUDED FROM NET PATIENT SERVICE REVENUE, CENTRA MAINTAINS RECORDS TO IDENTIFY THE LEVEL OF CHARITY CARE IT PROVIDES. THIS INCLUDES THE AMOUNT OF CHARGES FOREGONE AND THE ESTIMATED COSTS INCURRED FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. COSTS INCURRED ARE ESTIMATED BASED ON THE RATIO OF TOTAL OPERATING EXPENSE TO GROSS CHARGES. THE ESTIMATED COST TO PROVIDE CHARITY CARE WAS APPROXIMATELY $12,257 AND $13,762 FOR 2023 AND 2022, RESPECTIVELY." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 15)
PART III, SECTION B, LINE 8:	THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THE TOTAL AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE CENTRA HEALTH'S MISSION IS TO PROMOTE HEALTH IN THE COMMUNITY AND WE DO NOT LIMIT THE CARE AVAILABLE TO ANY OF OUR PATIENTS, INCLUDING THOSE COVERED BY MEDICARE. WE ARE RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE TO MEDICARE PATIENTS EVEN THOUGH REIMBURSEMENTS WERE LESS THAN THE COST TO PROVIDE SERVICE. TOTAL MEDICARE SHORTFALL FOR 2023 WAS $21,394,594.
PART III, SECTION C, LINE 9B:	CENTRA RECOGNIZES THAT MEDICAL EXPENSES ARE OFTEN UNEXPECTED AND CAUSE FINANCIAL HARDSHIP. ALL ACCOUNTS WITH SELF-PAY BALANCES WILL FOLLOW UNIFORM COLLECTION PROTOCOLS. THESE PROTOCOLS ARE ELECTRONICALLY ADMINISTERED THROUGH CENTRA'S HOSPITAL INFORMATION SYSTEM. WHEN AN ACCOUNT REACHES THE END OF THE SYSTEM GENERATED COLLECTION CYCLE AND MEETS SAID CRITERIA, THE ACCOUNT BALANCE WILL BE PROCESSED AS BAD DEBT AND REPORTED TO A COLLECTION AGENCY. CRITERIA FOR BAD DEBT WILL BE APPLIED CONSISTENTLY REGARDLESS OF AGE, RACE, RELIGION OR OTHER PROTECTIVE CLASS. PRIOR TO BAD DEBT PROCESSING, ACCOUNTS ARE ELECTRONICALLY SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND WRITTEN DOWN TO ZERO WHEN SCORES ARE WITHIN PRE-ESTABLISHED RANGES. CENTRA APPLIES UNIFORM COLLECTION PROTOCOLS TO ALL UNPAID ELIGIBLE CHARGES REGARDLESS OF RACE, SEX, AGE, DISABILITY, NATIONAL ORIGIN OR RELIGION. PATIENTS KNOWN BY CENTRA TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PROTOCOLS. IF DURING COLLECTION PROTOCOLS, OR AFTER REFERRAL TO AN OUTSIDE COLLECTION AGENCY, IT IS DISCOVERED PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY, INCLUDING ANY AND ALL EXTRAORDINARY COLLECTION EFFORT, IS IMMEDIATELY STOPPED. FINANCIAL ASSISTANCE FOR ELIGIBLE CHARGES IS AVAILABLE TO ALL CENTRA PATIENTS WHO QUALIFY BASED ON ESTABLISHED AND WIDELY PUBLISHED INCOME AND ASSET CRITERIA.
PART VI, LINE 2:	NEEDS ASSESSMENT: THE DEVELOPMENT OF THE 2022-2025 CENTRA HOSPITALS IMPLEMENTATION PLAN OCCURRED FROM JANUARY THROUGH APRIL 2022. THESE EFFORTS WERE LED BY A LEADERSHIP TEAM COMPOSED OF KEY CENTRA EXECUTIVE LEADERS, INCLUDING THE VICE PRESIDENTS (VP)/CHIEF EXECUTIVE OFFICERS (CEO) AND CHIEF NURSING OFFICERS FOR EACH OF CENTRA'S HOSPITALS, WHO WERE INSTRUMENTAL IN THE DEVELOPMENT OF THE PLAN. THE SERVICE AREA FOR THE 2022-2025 HOSPITALS IMPLEMENTATION PLAN IS REFERRED TO AS THE LYNCHBURG AREA AND INCLUDES THE CITY OF LYNCHBURG AND THE COUNTIES OF AMHERST, APPOMATTOX, CAMPBELL, AND PITTSYLVANIA. THE TARGET POPULATION IS DEFINED AS (1) MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE; (2) GEOGRAPHIC AREA SERVED BY THE HOSPITAL; AND (3) TARGETED POPULATIONS SERVED BY THE HOSPITAL (I.E., CHILDREN, WOMEN, SENIORS, CANCER PATIENTS). A SERIES OF THREE MEETINGS WAS HELD WITH THE LEADERSHIP TEAM AND INCLUDED THE FOLLOWING ACTIVITIES: . RANKED THE TOP THREE TO FIVE PRIORITY AREAS OF NEEDS FOR THE SERVICE AREA THAT WILL BE ADDRESSED BY CENTRA 1) IDENTIFIED POLICIES, PROGRAMS, AND RESOURCES ALREADY AVAILABLE TO ADDRESS THE NEEDS 2) IDENTIFIED ADDITIONAL RESOURCES AND PARTNERSHIPS NEEDED TO ADDRESS GAPS AND BARRIERS 3) DEVELOPED 3-YEAR GOALS TO ADDRESS THE PRIORITY NEEDS 4) DEVELOPED STRATEGIES TO SUPPORT THE GOALS AND CONSIDERED WHETHER THESE STRATEGIES WERE MEASURABLE, REALISTIC, AS WELL AS CONSIDERING ORGANIZATIONAL CAPACITY AND RESOURCES, AND OPPORTUNITIES FOR COMMUNITY COLLABORATION 5) DEVELOPED EVALUATIVE MEASURES FOR THE GOALS AND/OR STRATEGIES . IDENTIFIED WHICH PRIORITY NEEDS WILL NOT BE ADDRESSED BY CENTRA AND WHY THE PLAN WAS APPROVED BY THE CENTRA BOARD OF DIRECTORS AND WENT INTO EFFECT ON MAY 15, 2022. A SYSTEM-WIDE CENTRA LEADERSHIP TEAM MET MONTHLY FROM JANUARY TO DECEMBER 2023 TO PROVIDE UPDATES ON PLAN ACTIVITIES AND SHARE BEST PRACTICES AND RESOURCES. THE BOARD OF DIRECTORS AND THE CENTRA COMMUNITY BENEFIT COMMITTEE WERE INFORMED ON A REGULAR BASIS (AT LEAST QUARTERLY) OF THE IMPLEMENTATION PLAN PROGRESS AS WELL.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRA TAKES A MULTIDISCIPLINARY APPROACH TO INFORMING OUR PATIENTS AND COMMUNITY ABOUT FINANCIAL ASSISTANCE. INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CAN BE FOUND ON CENTRA'S INTERNET PAGE PROVIDING FULL DISCLOSURE ABOUT QUALIFICATIONS AND THE APPLICATION PROCESS. INDIVIDUALS MAY OBTAIN INFORMATION AND AN APPLICATION FROM ANY REGISTRATION POINT OR CUSTOMER SERVICE UNIT, IN PERSON OR BY PHONE. SIGNS ARE POSTED IN CONSPICUOUS LOCATIONS ALERTING INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHERE TO OBTAIN ADDITIONAL INFORMATION. BROCHURES ABOUT FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN REGISTRATION AND CUSTOMER SERVICE. WHILE PATIENTS ARE HOSPITALIZED, A FINANCIAL COUNSELOR PROVIDES FINANCIAL ASSISTANCE INFORMATION, SCREENS PATIENTS FOR FEDERAL AND STATE PROGRAMS AND GIVES AN OPPORTUNITY TO ASK QUESTIONS. ADDITIONALLY, ON THE BOTTOM OF THE CURRENT STATEMENTS IS THE FOLLOWING VERBIAGE: "CAN'T PAY YOUR BILL? FINANCIAL ASSISTANCE AND FLEXIBLE PAYMENT OPTIONS ARE AVAILABLE BY CONTACTING CENTRA CUSTOMER SERVICE AT (434) 200-3777."
PART VI, LINE 4:	COMMUNITY INFORMATION: CENTRA IS A COMPREHENSIVE HEALTH CARE SYSTEM COVERING A PRIMARY SERVICE AREA (PSA) OF THE CITIES OF LYNCHBURG AND BEDFORD, AND THE COUNTIES OF AMHERST, APPOMATTOX, BEDFORD, CAMPBELL, AND PITTSYLVANIA. CENTRA'S SECONDARY SERVICE AREA (SSA) INCLUDES THE COUNTIES OF BUCKINGHAM, CHARLOTTE, HALIFAX, NELSON, AND PRINCE EDWARD. THE POPULATION FOR THE TOTAL SERVICE AREA (PSA & SSA) IS 343,126, WITH AN AVERAGE ETHNIC MIX OF 21.7% BLACK AND 74.8% WHITE. THIS IS COMPARED TO VIRGINIA'S AVERAGE OF 20.0% BLACK AND 68.3% WHITE. THE AVERAGE PERCENT OF THE TOTAL SERVICE AREA POPULATION IS 65 YEARS OF AGE AND OLDER IS 23.3% COMPARED TO VIRGINIA'S AVERAGE OF 17.2%. THE AVERAGE HOUSEHOLD INCOME IN THE TOTAL SERVICE AREA IS $59,283 COMPARED TO VIRGINIA'S AVERAGE OF $87,249. THE AVERAGE CURRENT RATE OF PERSONS IN POVERTY FOR THE TOTAL SERVICE ARE IS 14.8% COMPARED TO VIRGINIA'S RATE OF 10.2% CENTRA PROMOTES THE NECESSITY OF HAVING A CULTURALLY SENSITIVE WORKFORCE AND PROVIDES AN OVERVIEW OF THE POPULATION MIX FOR ORIENTATION OF NEW EMPLOYEES. CENTRA HOSTS WORKSHOPS ON CULTURAL COMPETENCE, PROVIDES REFERENCE BOOKS FOR EACH PATIENT CARE AREA AND PROVIDES A LESSON ON CULTURAL DIVERSITY AS PART OF YEARLY MANDATORY EDUCATION. THERE ARE ALSO CHAPLAINS AVAILABLE WITH EXPERIENCE AND TRAINING TO SUPPORT CLINICAL STAFF WHO MIGHT HAVE NEEDS WITH CULTURALLY SENSITIVE ISSUES. Source: (U.S. Census Bureau QuickFacts: Virginia) 2023 stats
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH: IN ADDITION TO HEALTH EDUCATION PROGRAMS AND RESOURCES, CENTRA USES ITS HOSPITAL-BASED DEPARTMENTS TO IMPLEMENT NEW WAYS TO IMPROVE HEALTH CARE FOR THE REGION. HERE ARE THREE EXAMPLES: (1) CENTRA STARTED THE FIRST NATIONALLY CERTIFIED PROGRAM TO HELP PEOPLE RECEIVING TREATMENT AND CANCER SURVIVORS AS THEY HEAL AND RECOVER. WITH THIS PROGRAM, CALLED STAR, CANCER PATIENTS AND SURVIVORS CAN LESSEN PAIN, WEAKNESS, FATIGUE, DEPRESSION AND MEMORY LOSS THAT CAN OCCUR WITH CANCER. (2) CENTRA ESTABLISHED ITS PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) IN THE LYNCHBURG AND FARMVILLE AREAS TO OFFER ADULTS 55 YEARS OF AGE AND OLDER MEDICAL CARE AND EDUCATION THAT ALLOWS THEM TO STAY IN THEIR OWN HOMES. WITH LONG-TERM CARE EXPERTISE GAINED THROUGH HOSPITAL-BASED CENTERS, CENTRA PROFESSIONALS FOCUS ON DISEASE PREVENTION, INTERVENTION AND WELLNESS. THE PROGRAM IS BASED ON THE KNOWLEDGE OF PROFESSIONALS WHO ADVOCATE THAT IT IS BETTER FOR SENIORS WITH CHRONIC CARE NEEDS AND THEIR FAMILIES TO BE SERVED IN THE COMMUNITY FOR AS LONG AS IT IS MEDICALLY SAFE. COMPREHENSIVE SERVICES ARE DELIVERED BY AN INTERDISCIPLINARY TEAM OF PROFESSIONALS, INCLUDING A PRIMARY CARE PHYSICIAN, REGISTERED NURSES, REHABILITATION THERAPISTS, DIETITIANS AND RECREATION/ACTIVITY STAFF. (3) CENTRA HAS LEVERAGED ITS HIGH-BANDWIDTH CONNECTIVITY ACROSS FACILITIES AND PHYSICIAN PRACTICES TO IMPROVE THE HEALTH OF THE POPULATION THROUGH THE SHARING OF MEDICAL RECORDS. WITH THIS CONNECTIVITY, CENTRA IS ALSO ABLE TO ESTABLISH A CLINICAL REPOSITORY THAT CAN BE MINED TO PERFORM TRUE POPULATION-BASED ANALYTICS.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM: WHETHER BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES, ENHANCING HEALTH, OR PROVIDING NEEDED REGIONAL PROGRAMS AND SUPPORT, CENTRA SERVES AS A KEY PARTNER IN MANAGING AND PROMOTING HEALTH CARE THROUGHOUT ITS SYSTEM TO ENSURE CARE TO THE REGIONAL COMMUNITIES IT SERVES. DISEASE PREVENTION, TREATMENT AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES TO THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND PROGRAMS, CENTRA EXPANDS ITS HOSPITAL WALLS TO OFFER NATIONAL AWARD-WINNING HEALTH CARE FOR ITS PATIENTS WHILE SEEKING TO ENHANCE THE HEALTH AND WELLNESS OF RESIDENTS IN ITS SERVICE AREA. AS THE REGIONAL HEALTH CARE LEADER, CENTRA BRINGS A CONTINUOUS FLOW OF HEALTH CARE SERVICES DESIGNED TO ENSURE THAT PATIENTS RECEIVE CARE THAT MEETS THEIR IDENTIFIED NEEDS. PATIENT CARE ENCOMPASSES WELLNESS AND PREVENTION, RECOGNITION OF DISEASE AND HEALTH PROBLEMS, PATIENT TEACHING, PATIENT ADVOCACY, SPIRITUALITY, AND RESEARCH THROUGHOUT THE CONTINUUM. THIS CARE IS DELIVERED THROUGH ORGANIZED AND SYSTEMATIC PROCESSES DESIGNED TO ENSURE SAFE, EFFECTIVE AND TIMELY CARE AND TREATMENT. DUE TO THE WAY THE HEALTH CARE SYSTEM MANAGES CARE, CENTRA CONTINUES TO MOVE TO A HIGHER LEVEL BY EVALUATING SPECIFIC PATIENT OUTCOMES AND PARTICIPATING IN VOLUNTARY NATIONAL CERTIFICATION PROGRAMS THAT EXAMINE PROCESSES AND PROFICIENCY. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF ITS REGIONAL POPULATION AND TAKES GREAT PRIDE IN PROVIDING THE FACILITIES, RESOURCES, EXPERTISE, AND PEOPLE TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE OF CENTRAL VIRGINIA. FOR EXAMPLE, CENTRA HAS BEEN INSTRUMENTAL IN ESTABLISHING AND SUPPORTING MEDICAL CLINICS FOR THE UNDERSERVED POPULATION. THESE INCLUDE SERVICES FOR PREGNANT WOMEN AND CHILDREN WHO OTHERWISE MAY NOT RECEIVE CRITICAL PREVENTIVE CARE. CENTRA ALSO DONATES LABORATORY TESTING, RADIOLOGY SERVICES AND EQUIPMENT. MULTIDISCIPLINARY TEAMS, INCLUDING PHYSICIANS FROM CENTRA PRACTICES AND EXPERTS IN LONG-TERM CARE AND REHABILITATION, OFFER PROFESSIONAL HEALTH EDUCATION CLASSES, LECTURES, SEMINARS, HEALTH FAIRS AND HEALTH SCREENINGS. THE HEALTH CARE SYSTEM ALSO PARTNERS WITH COMMUNITY ORGANIZATIONS TO CO-SPONSOR DOZENS OF REGIONAL EVENTS. IN ADDITION, DIETITIANS, DIABETIC INSTRUCTORS AND OTHER CENTRA PROFESSIONALS PROVIDE ONE-ON-ONE HEALTH COUNSELING AND EDUCATION FOR HOSPITAL AND SYSTEM PATIENTS. THE HEALTH CARE SYSTEM OFFERS A HEALTH CARE CAREERS CAMP FOR TEENAGERS. STUDENTS GAIN HANDS-ON EXPERIENCE, ENJOY A TOUR OF THE HOSPITAL'S HELICOPTER AND HANGAR AND ARE EXPOSED TO MANY CAREER OPPORTUNITIES. CENTRA DISTRIBUTES A WEALTH OF PRINTED AND ONLINE HEALTH INFORMATION THROUGH ITS PUBLICATIONS, MEDIA STORIES AND INTERACTIVE WEBSITE. THIS INFORMATION IS PRODUCED SPECIFICALLY FOR THE REGIONAL POPULATION AND TO MEET IDENTIFIED NEEDS. AS THE SOLE HEALTH CARE SYSTEM IN ITS SERVICE AREA, CENTRA USES ITS HOSPITAL-BASED RESOURCES AS A VALUABLE VEHICLE FOR MANAGING AND PROMOTING HEALTH CARE AS PART OF ITS NONPROFIT MISSION.
PART VI, LINE 7:	STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA

Schedule H (Form 990) 2023

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
CENTRA HEALTH INC

Employer identification number
54-0715569

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) STEPS Inc 225 Industrial Pk Road Farmville,VA23901	54-1209110	501c3	229,170				Farmville Area: Housing and Homelessness Bedford Area: Issues Impacting Children and their Access to Healthcare Services Housing Aging and Eldercare Food Insecurity and Nutrition Equity, Inclusion and Diversity Aging and Eldercare Poverty Bedford Area: Transportation Farmville Area: Access to Healthcare Services Farmville Area: Access to Healthcare Services Housing Housing Issues Impacting Children and their Families: Chil Farmville Area: Chronic Disease Mental Health and Substance Use Disorders & Access Poverty Issues Impacting Children and their Families: Chil Farmville Area: Housing and Homelessness Food Insecurity and Nutrition Housing Bedford Area: Issues Impacting Children and their Issues Impacting Children and their Families: Chil Mental Health and Substance Use Disorders & Access Mental Health and Substance use Disorders & Access Equity, Inclusion and Diversity Access to Healthcare Services Access to Healthcare Services Equity, Inclusion and Diversity Equity, Inclusion and Div
(2) Bedford Area Family Young Men's Christian Associat PO Box 1026 Bedford,VA24523	54-1140513	501c3	100,000
(3) Johnson Health Center 134 Elon Rd Madison Heights,VA24572	54-1287905	501c3	100,000
(4) Roads To Recovery Inc 3000 LANGHORNE RD Lynchburg,VA24501	46-2885411	501c3	75,000
(5) Central Virginia Alliance for Community Living In 501 12th Street Lynchburg,VA24504	51-0189604	501c3	60,000
(6) Lynchburg Grows 1339 Englewood St Lynchburg,VA24501	20-0934133	501c3	53,200
(7) Friends of the Lynchburg Public Library 2315 MEMORIAL AVE Lynchburg,VA24501	54-6059813	501c3	50,000
(8) Meals on Wheels Inc P O Box 1388 Lynchburg,VA24505	23-7399875	501c3	50,000
(9) Lynchburg Beacon of Hope 2600 Memorial Ave Lynchburg,VA24501	45-3797831	501c3	47,500
(10) Central Virginia Alliance for Community Living In 501 12th Street Lynchburg,VA24504	51-0189604	501c3	35,000
(11) Amelia Emergency Squad Inc 11600 CLEMENTOWN RD AMELIA,VA23002	23-7429813	501c3	33,190
(12) Cumberland County Virginia PO Box 110 Cumberland,VA23040	23-6003119	N/A	30,000
(13) Interfaith Outreach Association 701 Clay St Lynchburg,VA24504	54-1214253	509c1	30,000
(14) Miriam's House 409 Magnolia St Lynchburg,VA24503	54-1606543	501c3	30,000
(15) CASA of Central Virginia PO BOX 11373 Lynchburg,VA24506	54-1695593	501c3	25,000
(16) Farmville Area Community Emergency Services PO BOX 644 Farmville,VA23901	54-1401031	501c3	25,000
(17) Harvest Outreach Center Inc 2193 SUNNYMEADE RD RUSTBURG,VA24588	20-1927928	501c3	25,000
(18) Lynchburg Daily Bread 721 CLAY ST LYNCHBURG,VA24504	52-1268749	501c3	24,000
(19) Elizabeth's Early Learning Center 2320 Bedford Ave Lynchburg,VA24503	54-1808771	501c3	22,000
(20) Piedmont Habitat for Humanity PO Box 816 Farmville,VA23901	54-1599433	501c3	21,100
(21) Gleaning For The World 7539 Stage Rd Concord,VA24538	54-1930105	501c3	20,000
(22) Greater Lynchburg Habitat for Humanity Inc 1100 Commerce St Lynchburg,VA24504	54-1464802	501c3	20,000
(23) United Way of Central Virginia Inc 1010 Miller Pk Square Lynchburg,VA24501	54-0505923	501c3	20,000
(24) Jubilee Family Development Center Inc 1512 Florida Ave Lynchburg,VA24501	54-1881948	501c3	20,000
(25) Patrick Henry Family Services 1621 Enterprise Dr Lynchburg,VA24502	54-0660819	501c3	20,000
(26) Camp Kum-Ba-Yah Inc 4415 Boonsboro Rd Lynchburg,VA24503	54-1218073	501c3	19,000
(27) Amazement Square 27 9th St Lynchburg,VA24504	54-1713204	501c3	18,000
(28) Coalition for HIV Awareness & Prevention of Centra PO Box 161 Lynchburg,VA24504	31-1736924	501c3	15,000
(29) FREE Foundation for Rehabilitation Equipment and E 1900 Tate Springs Rd Lynchburg,VA24501	54-1934695	501c3	15,000
(30) IRON Lives Inc 722B COMMERCE ST Lynchburg,VA14504	46-3986194	501c3	15,000
(31) Lynchburg City Schools Education Foundation PO BOX 2497 Lynchburg,VA245052497	54-1385200	501c3	15,000
(32) Lynchburg Covenant Fellowship Inc 412 MADISON ST Lynchburg,VA24504	54-6026892	501c3	15,000
(33) One Community One Voice Lynchburg 825 Taylor St Lynchburg,VA24504	84-2754128	501c3	15,000
(34) The Listening Inc PO BOX 515 Lynchburg,VA24504	81-2429529	501c3	30,000
(35) Virginia Center for Inclusive Communities 5511 STAPLES MILL RD 202 RICHMOND,VA23228	20-3188273	501c3	15,000
(36) Brook Hill Retirement Center for Horses Inc 7289 Bellevue Rd Forest,VA245513541	54-2058686	501c3	12,500
(37) Central Virginia Community College Educational Fou 3506 Wards Rd Lynchburg,VA24502	54-1167908	501c3	10,000
(38) Child Health Investment Partnership 1201 Third Street SW Roanoke,VA24016	54-1566451	501c3	10,000
(39) Cross Road Community Wellness Ministry 191 CROSSROAD Ln EVINGTON,VA24550	82-4419805	501c3	10,000
(40) Danville Community College Educational Foundation 1008 South Main St Danville,VA24541	54-1213521	501c3	10,000
(41) DePaul Community Resources 5650 HOLLINS RD ROANOKE,VA24019	54-1108079	501c3	10,000
(42) Piedmont Senior Resources Area Agency on Aging In 1413 S MAIN ST Farmville,VA23901	54-1025127	501c3	10,000
(43) Senior Citizens of Prince Edward CountyMeals on W PO BOX 758 Farmville,VA23901	54-1245697	501c3	10,000
(44) The Society of Saint Andrew Inc 3383 Sweet Hollow Rd Big Island,VA24526	54-1285793	501c3	10,000
(45) United Way of Central Virginia Inc 1010 Miller Park Square Lynchburg,VA24501	54-0505923	501c3	10,000
(46) Virginia Legal Aid Society 513 Church St Lynchburg,VA24504	51-0226448	501c3	10,000
(47) Campbell County Educational Foundation 684 VILLAGE HIGHWAY RUSTBURG,VA24588	82-0988857	501c3	7,500
(48) Revival Foundation 2700 Woodley Road Washington,DC20008	88-1794804	501(c)(3)		1,942,827	FMV	Supplies	Contribution
(49) Horizon Opportunities Inc PO Box 6320 Lynchburg,VA24505	46-1511243			1,500,000	Appraisal	Real Property	Contribution

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2023

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)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference

Explanation

SCH I, PART I, LINE 2:

IN 2023, UNDER THE LEADERSHIP OF THE CENTRA COMMUNITY BENEFIT COMMITTEE, CENTRA'S DEPARTMENT OF COMMUNITY HEALTH SERVICES GRANTED $1,479,000 TO COMMUNITY-BASED ORGANIZATIONS ACROSS CENTRA'S ENTIRE CATCHMENT AREA THAT ADDRESSED THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT TOP 10 PRIORITY AREAS OF NEED AND PROJECTS OF REGIONAL IMPORTANCE. FOR THE BEDFORD AREA, A TOTAL OF $945,700 IN GRANTS WERE AWARDED IN 2023.

Schedule I (Form 990) 2023

Additional Data

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CENTRA HEALTH INC

Employer identification number

54-0715569

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes on 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 on 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) 2023

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1AMY F CARRIER CENTRA PRESIDENT/CEO	(i) (ii)	958,579 ------------- 0	300,000 ------------- 0	25,041 ------------- 0	243,300 ------------- 0	32,538 ------------- 0	1,559,458 ------------- 0	0 ------------- 0
2MATTHEW SACKETT DOCTOR MEDICAL	(i) (ii)	1,067,158 ------------- 0	131,000 ------------- 0	24,254 ------------- 0	7,355 ------------- 0	56,914 ------------- 0	1,286,681 ------------- 0	0 ------------- 0
3JOSE SILVA DOCTOR MEDICAL	(i) (ii)	973,470 ------------- 0	131,000 ------------- 0	306 ------------- 0	9,900 ------------- 0	59,707 ------------- 0	1,174,383 ------------- 0	0 ------------- 0
4KENNETH SAUM DOCTOR MEDICAL	(i) (ii)	929,068 ------------- 0	200,000 ------------- 0	26,460 ------------- 0	7,635 ------------- 0	46,194 ------------- 0	1,209,357 ------------- 0	0 ------------- 0
5RICHARD KUK DOCTOR MEDICAL	(i) (ii)	997,084 ------------- 0	131,000 ------------- 0	20,049 ------------- 0	6,500 ------------- 0	66,150 ------------- 0	1,220,783 ------------- 0	0 ------------- 0
6DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER	(i) (ii)	647,298 ------------- 0	104,986 ------------- 0	463,111 ------------- 0	9,900 ------------- 0	20,906 ------------- 0	1,246,201 ------------- 0	322,960 ------------- 0
7CHRISTOPHER LEWIS SVP CHIEF CLINICAL OFFICER	(i) (ii)	468,701 ------------- 0	96,233 ------------- 0	65,522 ------------- 0	94,336 ------------- 0	51,283 ------------- 0	776,075 ------------- 0	47,869 ------------- 0
8MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE	(i) (ii)	424,142 ------------- 0	59,573 ------------- 0	709,941 ------------- 0	9,900 ------------- 0	55,110 ------------- 0	1,258,666 ------------- 0	82,050 ------------- 0
9RICHARD TUGMAN VP & CEO PCHP	(i) (ii)	376,011 ------------- 0	116,191 ------------- 0	209,492 ------------- 0	9,900 ------------- 0	67,224 ------------- 0	778,818 ------------- 0	143,715 ------------- 0
10HOLLY TRENT SVP CHIEF LEGAL OFFICER	(i) (ii)	158,204 ------------- 0	91,436 ------------- 0	492,581 ------------- 0	74,595 ------------- 0	0 ------------- 0	816,816 ------------- 0	38,472 ------------- 0
11CLINTON BEVERLY MD DIRECTOR	(i) (ii)	470,752 ------------- 0	77,772 ------------- 0	24,853 ------------- 0	9,900 ------------- 0	8,810 ------------- 0	592,087 ------------- 0	0 ------------- 0
12JOAN DEAL SVP CHIEF NURSING OFFICER	(i) (ii)	117,074 ------------- 0	27,844 ------------- 0	264,912 ------------- 0	3,427 ------------- 0	15,048 ------------- 0	428,305 ------------- 0	0 ------------- 0
13GEETA RAKHERAM MD DIRECTOR	(i) (ii)	128,596 ------------- 0	9,900 ------------- 0	22,500 ------------- 0	5,636 ------------- 0	52,456 ------------- 0	219,088 ------------- 0	0 ------------- 0
14JEFFERY WIGGINS VP CHIEF COMPLIANCE OFFICER	(i) (ii)	234,977 ------------- 0	0 ------------- 0	12,846 ------------- 0	7,722 ------------- 0	43,471 ------------- 0	299,016 ------------- 0	0 ------------- 0
15ROBIN HILDWEIN SVP AND CHIEF INFO. OFFICER	(i) (ii)	198,462 ------------- 0	0 ------------- 0	1,211 ------------- 0	5,458 ------------- 0	0 ------------- 0	205,131 ------------- 0	0 ------------- 0
16CAESAR GONZALES VP CHIEF MEDICAL OFFICER	(i) (ii)	402,377 ------------- 0	69,875 ------------- 0	23,142 ------------- 0	55,929 ------------- 0	59,707 ------------- 0	611,030 ------------- 0	0 ------------- 0
17BIKRAM BAL DOCTOR MEDICAL CSCH	(i) (ii)	888,292 ------------- 0	95,000 ------------- 0	1,133 ------------- 0	9,900 ------------- 0	10,330 ------------- 0	1,004,655 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

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

Return Reference

Explanation

SCHEDULE J, PART I, LINE 4A:

THE FOLLOWING INDIVIDUALS HAD SEVERANCE DURING FY 2023. NAME TITLE AMOUNT OF SEVERANCE MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE 513,240.00 HOLLY TRENT SVP CHIEF LEGAL OFFICER 424,053.00 JOAN DEAL SVP CHIEF NURSING OFFICER 211,326.87 -------------------------------------------------------------------------- TOTAL $1,148,619.87

SCHEDULE J, PART I, LINE 4B:

THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2023. NAME TITLE AMOUNT OF DEFERRAL AMY CARRIER CENTRA PRESIDENT/CEO 233,400.00 MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE 84,436.00 CHRISTOPHER LEWIS SVP CHIEF LEGAL OFFICER 84,436.00 HOLLY TRENT SVP CHIEF LEGAL OFFICER 70,191.66 JOAN DEAL SVP CHIEF NURSING OFFICER 49,500.00 CAESAR GONZALES VP CHIEF MEDICAL OFFICER 46,028.80 -------------------------------------------------------------------------- TOTAL $ 400,705.24 THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2023. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT CHRISTOPHER LEWIS SVP CHIEF CLINICAL OFFICER 42,052.77 JOAN DEAL SVP CHIEF NURSING OFFICER 52,738.67 MATTHEW FOSTER SVP CHIEF PHYSICIAN EXECUTIVE 173,085.13 HOLLY TRENT SVP CHIEF LEGAL OFFICER 68,269.78 RICHARD TUGMAN VP & PCHP CEO 187,858.00 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER 458,496.16 -------------------------------------------------------------------------- TOTAL $ 1,033,256.47

Schedule J (Form 990) 2023

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
CENTRA HEALTH INC

Employer identification number
54-0715569

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	ECON DEVEL AUTH OF LYNCHBURG-2017 ABCD	54-1225193		07-25-2017	237,637,669	REFUNDING/NEW CONSTRUCTION		X		X		X
B	ECON DEVEL AUTH OF LYNCHBURG-2021	54-1225193		11-17-2021	215,430,000	REFUNDING/NEW CONSTRUCTION		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	25,832,669		0
2 Amount of bonds legally defeased ..............	0		0
3 Total proceeds of issue ..................	237,637,669		246,263,579
4 Gross proceeds in reserve funds .............	0		0
5 Capitalized interest from proceeds .............	0		0
6 Proceeds in refunding escrows ...............	0		0
7 Issuance costs from proceeds ...............	2,106,046		2,505,652
8 Credit enhancement from proceeds .............	0		0
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	50,000,000		8,637,796
11 Other spent proceeds .............	185,531,623		212,848,668
12 Other unspent proceeds .............	0		22,271,463
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X		X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X
16 Has the final allocation of proceeds been made? ..........	X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2023

Page 2

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X	X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............
7 Does the bond issue meet the private security or payment test? ...
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......
b Exception to rebate? ........
c No rebate due? .........	X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X

Schedule K (Form 990) 2023

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........	0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........	0		0
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation
PART I, LINE A, COL (A)	ECONCOMIC DEVELOPMENT OF THE CITY OF LYNCHBURG, VA 2017 A, B, C, D BONDS
PART I, LINE B, COL (A)	ECONCOMIC DEVELOPMENT OF THE CITY OF LYNCHBURG, VA 2021 BONDS
PART I, LINE A, COL (C)	CUSIP #55123TAX0, #55123TAY8
PART I, LINE B, COL (C)	PART I, LINE B, COL (C) - CUSIP #55123TAZ5, #55123TBA9, #55123TBB7, #55123TBC5, #55123TBD3, #55123TBE1, #55123TBF8, #55123TBG6, #55123TBH4, #55123TBJ0, #55123TBK7, #55123TBL5, #55123TBM3, #55123TBN1, #55123TBP6, #55123TBQ4, #55123TBR2, #55123TBS0
PART I, LINE B, COL (F)	THE PURPOSE OF THE ISSUE WAS NEW CONTRUCTION AND REFUND OF EDA CITY OF LYNCHBURG SERIES 2017A, 2017B, 2017C, AND 2017D
PART IV, LN 2C (A)	CENTRA HEALTH SERIES 2017 A, B, C, D BONDS: A REBATE CALCULATION WAS PERFORMED ON SEPTEMBER 13, 2019 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL REVENUE AND REFUNDING BONDS, SERIES 2017 A, B, C, D. THE SERIES 2017 A, B, C, D WAS REFUNDED BY THE ISSUANCE OF THE SERIES 2020 A, B BONDS
PART IV, LN 2C (B)	CENTRA HEALTH SERIES 2021 BONDS: A REBATE CALCULATION WAS PERFORMED ON NOVEMBER 1, 2021 FOR THE ECONOMIC DEVELOPMENT AUTHORITY OF THE CITY OF LYNCHBURG, VA HOSPITAL REVENUE AND REFUNDING BONDS, SERIES 2021. THE NEXT ARBITRAGE REBATE CALCULATION WILL BE IN 2026.

Schedule K (Form 990) 2023

Additional Data

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Software Version:

- TIN:

SCHEDULE O
(Form 990)

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CENTRA HEALTH INC

Employer identification number

54-0715569

Return Reference	Explanation
Form 990 Part III, Line 4A:	HOWEVER, JUST AS IMPORTANT IS CENTRA'S COMMITMENT AND DEDICATION TO SERVING AS A PARTNER IN THE REGIONAL COMMUNITIES. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND EDUCATIONAL PROGRAMS, CENTRA IS COMMITTED TO PROVIDING THE BEST HEALTH CARE FOR ITS PATIENTS. CENTRA EMPLOYEES DEDICATE THEMSELVES TO IMPROVING THE HEALTH AND WELLBEING OF THE COMMUNITY BY TAKING AN ACTIVE ROLE IN THE REGION, FROM VOLUNTEERING FOR LOCAL BOARDS AND CIVIC AND COMMUNITY ORGANIZATIONS TO PARTICIPATING IN COMMUNITY EVENTS. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF THE REGION AND TAKES GREAT PRIDE IN PROVIDING FACILITIES, RESOURCES AND EXPERTISE TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. IN 2023, CENTRA HELD MANY NATIONAL CERTIFICATIONS, AWARDS AND ACCOLADES, SUCH AS: 5-STAR CMS RATING FOR LYNCHBURG GENERAL; 4-STAR CMS RATING FOR BEDFORD MEMORIAL AND SOUTHSIDE COMMUNITY HOSPITAL . THESE RANKINGS CAN BE FOUND ON THE CMS HOSPITAL COMPARE WEBSITE, WHICH IS PROVIDED TO THE PUBLIC TO HELP PATIENTS MAKE EDUCATED DECISIONS. DATA IS ANALYZED IN CATEGORIES SUCH AS COMMUNICATION WITH NURSES, RESPONSIVENESS OF PHYSICIANS AND STAFF, READMISSIONS AND MORTALITY RATES, TIMELY AND EFFECTIVE CARE AND PAYMENT AND VALUE OF SERVICES. MAGNET STATUS . THE AMERICAN NURSES CREDENTIALING CENTER HAS RE-DESIGNATED CENTRA LYNCHBURG GENERAL, VIRGINIA BAPTIST AND SOUTHSIDE COMMUNITY HOSPITALS AS MAGNET FACILITIES WHICH RECOGNIZE EXCELLENCE IN NURSING. CENTRA MEDICAL GROUP WAS ALSO AWARDED MAGNET STATUS. CENTRA WAS THE FIRST HEALTHCARE SYSTEM IN CENTRAL VIRGINIA TO ACHIEVE MAGNET STATUS IN 2006. PATHWAY TO EXCELLENCE . THE AMERICAN NURSES CREDENTIALING CENTER REDESIGNATED BEDFORD MEMORIAL HOSPITAL AS A PATHWAY TO EXCELLENCE FACILITY. ORGANIZATIONS MUST MEET THE SIX PATHWAY STANDARDS ESSENTIAL TO AN IDEAL NURSING PRACTICE ENVIRONMENT. BEST REGIONAL HOSPITALS - #12 IN VIRGINIA- US NEWS & WORLD REPORT . CENTRA LYNCHBURG GENERAL HOSPITAL IS RANKED #12 OUT OF 87 HOSPITALS IN VIRGINIA ACCORDING TO THE US NEW AND WORLD REPORT. THE JOINT COMMISSION THE JOINT COMMISSION DISEASE SPECIFIC CERTIFICATIONS (LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS) - THESE CERTIFICATIONS ARE A REINFORCEMENT OF THE HIGH LEVEL OF QUALITY OUR CAREGIVERS PROVIDE AND DEMONSTRATES THE ABILITY OF BOTH OUR INTERNAL AND EXTERNAL STAKEHOLDERS TO COLLABORATE EFFECTIVELY TO IMPROVE THE HEALTH OF OUR COMMUNITIES. . ADVANCED THROMBECTOMY CAPABLE STROKE CENTER . JOINT REPLACEMENT - KNEE AND HIP . ADVANCED PALLIATIVE CARE . STROKE REHABILITATION HEART AND VASCULAR . PARTICIPATION IN VIRGINIA HEART ATTACK COALITION (VHAC) AND VIRGINIA CARDIAC STATEWIDE QUALITY INITIATIVE (VCSQI). . 2023 GET WITH THE GUIDELINES - HEART FAILURE GOLD PLUS AWARD . 2023 CHEST PAIN - MI REGISTRY PLATINUM PERFORMANCE AWARD . CHEST PAIN AND ELECTROPHYSIOLOGY ACCREDITATIONS FROM AMERICAN COLLEGE OF CARDIOLOGY . ACCREDITED FOR CARDIAC ADULT ECHO, VASCULAR, PEDIATRICS AND CARDIAC NUCLEAR IMAGING FROM INTERSOCIETAL ACCREDITATION COMMISSION . CMS CAROTID STENT CERTIFIED. CENTRA MEDICAL GROUP . CMG BROOKNEAL PROVIDES A COMMUNITY HEALTH WORKER TO SERVE THE NEEDS OF THE VULNERABLE POPULATION IN THAT COMMUNITY. THIS PROGRAM IDENTIFIES PATIENT WITH NEEDS RELATED TO HOUSING, TRANSPORTATION, FOOD INSECURITY AND OTHER POTENTIAL SOCIAL DETERMINANTS OF HEALTH AND HELPS PATIENTS FIND RESOURCES TO BETTER MEET THEIR NEEDS. . CENTRA HOME HEALTH LYNCHBURG AND CENTRA HOME HEALTH FARMVILLE BOTH ACHIEVED CMS STAR RATINGS OF 4 STARS FOR QUALITY AND 5 STARS FOR PATIENT EXPERIENCE THROUGH SEPTEMBER 2024. . HOME HEALTH LYNCHBURG AND HOME HEALTH FARMVILLE RECOGNIZED BY SHP AS "SUPERIOR PERFORMERS," REPRESENTING THE TOP 20% OF HOME CARE AGENCIES IN SHP'S NATIONAL DATABASE. . THE AMBULATORY CARE SERVICE LINE PARTICIPATED IN THE DANVILLE-PITTSYLVANIA HEART WALK ON 9/21/2024 BY ASSISTING WITH EVENT SET UP, FIELDING A TEAM, AND FUNDRAISING FOR THE AMERICAN HEART ASSOCIATION. . CENTRA HOME HEALTH LYNCHBURG AND CENTRA HOME HEALTH FARMVILLE MAINTAIN ACCREDITATION FROM THE JOINT COMMISSION ACCREDITATION AS HOME HEALTH AGENCIES. . CENTRA HOSPICE LYNCHBURG, SOUTHSIDE, AND BEDFORD EACH MAINTAIN ACCREDITATION FROM THE JOINT COMMISSION AS HOSPICE AGENCIES. . AS OF SEPTEMBER 2024, CENTRA BEDFORD, FARMVILLE, HOSPICE OF THE HILLS (LYNCHBURG), ACHIEVED CMS STAR RATINGS OF 4 STARS, 4 STARS, AND 3 STARS, RESPECTIVELY. AMERICAN SOCIETY FOR RADIATION ONCOLOGY (ASTRO) ACCREDITATION PROGRAM FOR EXCELLENCE (APEX) . ASTRO'S APEX - ACCREDITATION PROGRAM FOR EXCELLENCE WAS DEVELOPED BY RADIATION ONCOLOGY PROFESSIONALS TO RECOGNIZE FACILITIES THAT DELIVER SAFE, HIGH-QUALITY CARE TO THEIR PATIENTS. THE APEX PROGRAM UTILIZES STANDARDS OF PERFORMANCE AND EVIDENCE INDICATORS FOR RADIATION ONCOLOGY. APEX STANDARDS IDENTIFY SYSTEMATIC QUALITY AND SAFETY APPROACHES THAT BUILD ON A REGULATORY FRAMEWORK, INCLUDING THOSE FROM THE NUCLEAR REGULATORY COMMISSION. . 2022 - 2025 COC - COMMISSION ON CANCER FROM THE AMERICAN COLLEGE OF SURGEONS - ACCREDITATION THAT DEMONSTRATES TO THE COMMUNITY, PROVIDERS AND PAYERS THAT THE ORGANIZATION IS VESTED IN SYSTEMS THAT HELP CANCER PATIENTS RECEIVE HIGH-QUALITY, COORDINATED CARE. . 2022 - 2025 NAPBC - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS FROM THE AMERICAN COLLEGE OF SURGEONS. DEMONSTRATES A MULTIDISCIPLINARY TEAM APPROACH TO COORDINATED BEST CARE AND TREATMENT FOR BREAST CANCER PATIENTS. COMMUNITY HAS ACCESS TO BREAST CANCER RELATED INFORMATION, EDUCATION AND SUPPORT. CENTER HAS ONGOING MONITORING AND QUALITY INITIATIVES TO ASSIST IN IMPROVEMENT OF CARE. THE ORGANIZATION SUPPORTS ACCESS TO CLINICAL TRIALS AND NEW TREATMENT OPTIONS. . 2022 - 2025 - QOPI - QUALITY ONCOLOGY PRACTICE INITIATIVE FROM THE AMERICAN SOCIETY OF CLINICAL ONCOLOGY - RECOGNIZES HIGH-QUALITY CARE FOR OUTPATIENT HEMATOLOGY/ONCOLOGY PRACTICES. STANDARDS SERVE AS A FRAMEWORK FOR BEST PRACTICES IN ONCOLOGY CARE.
2023 Community Benefit Highlights:	2023 COMMUNITY BENEFIT HIGHLIGHTS CENTRA CONTINUES TO CONTRIBUTE MILLIONS OF DOLLARS TOWARD UNPAID COST OF PATIENT CARE, INCLUDING, BUT NOT LIMITED TO: . TRADITIONAL CHARITY CARE INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2023, $33,472,114 CHARGES AT AN ESTIMATED COST OF $9,697,066. WAS PROVIDED TO PATIENTS OF CENTRA. THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY ASSISTANCE FOCUSES ON INCOME LEVELS SET BY THE STATE OF VIRGINIA. THESE POLICIES CALL FOR PROVIDING CARE, FREE OF CHARGE, TO PATIENTS WHO DEMONSTRATE A FAMILY INCOME BELOW OR EQUAL TO 200 PERCENT OF THE STATE APPROVED POVERTY GUIDELINE. PATIENTS WHO HAVE A FAMILY INCOME OF GREATER THAN 200 PERCENT TO 400 PERCENT OF THE POVERTY LEVEL ARE ELIGIBLE FOR PARTIAL ASSISTANCE BASED ON A DISCOUNT SCHEDULE THAT CONSIDERS BOTH FAMILY GROSS INCOME AND ACCOUNT BALANCE. ASSISTANCE IS PROVIDED BY CENTRA AND FROM INDIGENT FUNDS MADE AVAILABLE BY CENTRA HEALTH FOUNDATION. . CHARGES OF $44,034,589 AT AN ESTIMATED COST OF $12,757,076. WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY DURING 2023. . THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THEREFORE, THE UNREIMBURSED CALCULATED COSTS OF CARE RENDERED TO MEDICARE PATIENTS TOTALED $21,394,594 IN 2023. COMMUNITY EDUCATION & HEALTH SCREENINGS TOTAL COMMUNITY BENEFIT REALIZED FOR LYNCHBURG GENERAL HOSPITAL & VIRGINIA BAPTIST HOSPITAL IN 2023 IS $158,126.29. COMMUNITY HEALTH EDUCATION: GENERAL Program Event Persons Cancer Education (All) 26 990 Childbirth/Baby Care/Infant Safety 1 5 Domestic Violence 1 8 Health Fairs (All) 5 700 Mental Health/Depression Education 2 15 Nutrition/Weight Management 1 0 Seniors Education and Outreach 5 46 Speakers Bureau (Health Topics) 6 156 -------------------------------------------------------------------------- - TOTAL 47 1,920 COMMUNITY HEALTH EDUCATION: SUPPORT GROUPS Program Event Persons Bereavement/Grief 2 14 Cancer (All) 79 422 Mental Health/Depression 1 0 ------------------------------------------------------------------------- TOTAL 82 436 IN-KIND & CASH CONTRIBUTIONS DURING 2023, CENTRA HEALTH DONATED $238,378 IN MEDICAL SUPPLIES TO THE GLEANING OF THE WORLD ORGANIZATION, $5,194 IN EXAM GLOVES TO THE FREE CLINIC OF CENTRAL VA, AND $1,942,827 IN MEDICAL SUPPLIES TO THE REVIVAL FOUNDATION OF WASHINGTON, DC. DURING 2023, APPROXIMATELY 144,451 MEALS WER PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF APPROXIMATELY $447,798.10. FORENSIC NURSE PROGRAM THE FORENSIC NURSE PROGRAM BEGAN IN 1997. IT CONSISTS OF REGISTERED NURSES TRAINED IN THE COLLECTION OF FORENSIC EVIDENCE. THE FORENSIC NURSES WORK WITH LAW ENFORCEMENT, SOCIAL SERVICES AND THE COURT SYSTEM. NURSES RESPOND TO VICTIMS OF PHYSICAL ASSAULT, SEXUAL ASSAULT AND ABUSE AND NEGLECT IN BOTH THE ADULT AND PEDIATRIC POPULATION. THEY ALSO PROVIDE EDUCATIONAL/TRAINING LECTURES TO RESCUE AGENCIES, POLICE DEPARTMENTS, POLICE ACADEMY, ATTORNEYS AND VARIOUS COLLEGES INCLUDING THE CRIMINAL JUSTICE AND NURSING PROGRAMS. THIS PROGRAM SERVES CLIENTS FROM CENTRAL VIRGINIA AND THE SURROUNDING AREA. IN 2023, THE PROGRAM SAW 994 PATIENTS AND HAD AN ADDITIONAL 573 CONSULTS. LGH Gretna CAC CSCH Total Consults 428 109 5 31 573 Patients 611 157 202 24 994 VOLUNTEER SERVICES IN 2023, CENTRA LYNCHBURG HOSPICE EXPERIENCED A SIGNIFICANT OUTPOURING OF COMMUNITY SUPPORT THROUGH THE LYNCHBURG HOSPICE VOLUNTEER PROGRAM. THIS REPORT HIGHLIGHTS THE INVALUABLE CONTRIBUTION MADE BY VOLUNTEERS, HIGHLIGHTING THEIR DEDICATION, COMPASSION, AND SELFLESSNESS IN SERVING PATIENTS AND FAMILIES WITHIN THE HOSPICE PROGRAM. THROUGHOUT THE YEAR, LYNCHBURG HOSPICE VOLUNTEERS GENEROUSLY DONATED 5,136.90 HOURS OF THEIR TIME TO SUPPORT THE PROGRAM, EXTENDING THEIR COMMITMENT TO VARIOUS ESSENTIAL TASKS, INCLUDING MEAL AND MEDICATION DELIVERY, PATIENT INTERACTION, AND EMOTIONAL SUPPORT THROUGH PHONE CALLS, HOME VISITS, CARD SENDING, AND CRAFTING BLANKETS AND NECK PILLOWS. THE PROGRAM ALSO HONORS HOSPICE VETERANS WITH A SPECIAL PINNING CEREMONY, AND VOLUNTEERS PROVIDE OFFICE SUPPORT TO HOSPICE STAFF. ADDITIONALLY, VOLUNTEERS COLLECTIVELY DONATED 22,202.62 MILES BY DRIVING THEIR OWN CARS TO PROVIDE HOSPICE SERVICES. THE COLLECTIVE EFFORTS OF LYNCHBURG HOSPICE VOLUNTEERS IN 2023 RESULTED IN SUBSTANTIAL COST SAVINGS FOR CENTRA LYNCHBURG HOSPICE. BY VOLUNTEERING THEIR TIME AND RESOURCES, THESE INDIVIDUALS CONTRIBUTED TO A TOTAL SAVINGS OF $135,197.44 FOR CENTRA HOSPICE. THIS SIGNIFICANT FINANCIAL BENEFIT UNDERSCORES THE INDISPENSABLE ROLE PLAYED BY VOLUNTEERS IN SUPPLEMENTING THE HOSPITAL'S OPERATIONS AND DELIVERING ESSENTIAL SERVICES TO THE COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 2:	BOARD MEMBER PETER CARPISE, MD, IS A BOARD MEMBER OF THE SURGERY CENTER OF LYNCHBURG, A 50% JOINT VENTURE OF CENTRA HEALTH, INC.
FORM 990, PART VI, SECTION A, LINES 8A & B:	MINUTES ARE TAKEN AT EACH MEETING.
FORM 990, PART VI, SECTION B, LINE 11B:	CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, CENTRA REVIEWED FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C:	ALL CENTRA OFFICERS AND DIRECTORS MUST COMPLETE A "POSSIBLE CONFLICT OF INTEREST" QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINES 15A & 15B:	CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS FOUR ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FIVE MEMBERS MEET THE IRS FORM 990 INDEPENDENCE DEFINITION. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. THE COMPENSATION COMMITTEE IS ALSO RESPONSIBLE FOR THE REVIEW AND APPROVAL OF SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF CENTRA, BASED ON THE RECOMMENDATIONS MADE BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES.
FORM 990, PART VI, SECTION B, LINE 16B:	JOINT VENTURE POLICY - CENTRA HEALTH, INC. ADOPTED A JOINT VENTURE POLICY, IN 2014, WHICH REQUIRES THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW AND TAKE STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS.
FORM 990, PART VI, SECTION C, LINE 18:	PHOTOCOPIES OF FORM 1023 AND RECENT FILINGS OF FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. ADDITIONALLY, FILINGS OF FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19:	THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AT ITS ADMINISTRATIVE OFFICE UPON REQUEST.
FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS	CHANGE IN PENSION REPORTING (1,185,874) EQUITY CONTRIBUTIONS 72,200,000 NET PERIODIC PENSION COST (2,969,354) BOOK TAX/SWAP 438,978 CHANGE IN EQUITY METHOD (5,609,190) ------------------------------------------------ TOTAL 62,874,560
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PHYS RENUMERATION TOTAL FEES:57879020
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CONTRACT LBR TOTAL FEES:56572642
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCH SVCS TOTAL FEES:24810369
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER MED PURCH SVC TOTAL FEES:13856264
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CAP MED CLAIMS TOTAL FEES:11173366
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CHIC TOTAL FEES:4402158
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER CLEANING SERVICES TOTAL FEES:1780851
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER COMMUNITY AWARENESS TOTAL FEES:478561

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

Cat. No. 51056K

Schedule O (Form 990) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CENTRA HEALTH INC

Employer identification number

54-0715569

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" 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
(1) CENTRA HEALTH INDEMNITY COMPANY LLC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 27-0927253	CAPTIVE INSUR	VT	1,567,684	37,906,067	CENTRA HEALT
(2) CENTRAL VA HOSPITAL FOR RESTORATIVE CARE 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 20-4712023	HEALTHCARE	VA	2,321,753	4,954,357	CENTRA HEALT
(3) CENTRA MEDICAL GROUP LLC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 20-3639329	PHYSICIAN SVC	VA	55,825,074	88,426,428	CENTRA HEALT
(4) CENTRAL VA QUALITY CARE NETWORK LLC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 47-4453641	INT. NETWORK	VA	0	19,522	CENTRA HEALT
(5) CENTRA OP REHABILITATION SERVICES LLC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 47-1052716	OP REHAB	VA	1,447,573	1,391,740	CENTRA HEALT
(6) CENTRAL VIRGINIA IMAGING 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1938123	PHYSICIAN SVC	VA	1,740,848	5,308,706	CENTRA HEALT
(7) HEALTHWORKS LLC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 26-3026223	OT PROVIDER	VA	5,110,971	2,985,206	CENTRA HEALT

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)SOUTHSIDE COMMUNITY HOSPITAL 800 OAK STREET FARMVILLE,VA23901 54-0555201	HEALTHCARE	VA	501(C)(3)	LINE 3	SEE PART VII	Yes
(2)CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1604094	SUPPORT ORG	VA	501(C)(3)	LINE 12A, I	SEE PART VII	Yes
(3)BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD,VA24523 54-0566100	HEALTHCARE	VA	501(C)(3)	LINE 3	SEE PART VII	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2023

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?		(k) Percentage ownership
(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	(k) Percentage ownership

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	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1299682	REAL ESTATE-P	VA	CENTRA HEALTH	C Corp	0	2,185,218	100.000 %	Yes
(2) PCHP HOLDING INC 2316 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1749492	HOLDING CO.	VA	CENTRA HEALTH	C Corp	0	70,970	100.000 %	Yes
(3) PIEDMONT COMMUNITY HEALTH PLAN INC 2316 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1755768	HEALTH INS	VA	CENTRA HEALTH	C Corp	0	51,307,085	100.000 %	Yes

Schedule R (Form 990) 2023

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) .......................

Yes

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

Yes

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

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

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

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

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

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) ............................

Yes

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
(1) BEDFORD MEMORIAL HOSPITAL	K	213,300	BOOK VALUE
(2) BEDFORD MEMORIAL HOSPITAL	Q	138,291	BOOK VALUE
(3) BEDFORD MEMORIAL HOSPITAL	J	3,496,292	BOOK VALUE
(4) CCRC INC	K	395,750	BOOK VALUE
(5) CENTRA HEALTH FOUNDATION INC	B	312,275	BOOK VALUE
(6) CENTRA HEALTH FOUNDATION INC	K	301,152	BOOK VALUE
(7) CENTRA HEALTH FOUNDATION INC	Q	208,428	BOOK VALUE

Schedule R (Form 990) 2023

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
SCHEDULE R, PART II:	Column (F) Direct Controlling Entity: Centra Health, Inc.

Schedule R (Form 990) 2023

Additional Data

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Software Version:

1	Briefly describe the organization’s mission or most significant activities: We exist to improve the health and quality of life for the communities we serve.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	7,781
6	Total number of volunteers (estimate if necessary) .............	6	297
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	14,106,180	6,592,685
9	Program service revenue (Part VIII, line 2g) .........	1,063,652,879	1,108,494,725
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,376,625	-9,078,255
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	13,780,399	25,021,898
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,096,916,083	1,131,031,053
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,190,050	4,011,101
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)	552,890,310	576,357,306
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	542,327,140	533,081,569
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,097,407,500	1,113,449,976
19	Revenue less expenses. Subtract line 18 from line 12.......	-491,417	17,581,077
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,489,176,130	1,504,732,242
21	Total liabilities (Part X, line 26).............	863,352,884	744,702,026
22	Net assets or fund balances. Subtract line 21 from line 20.....	625,823,246	760,030,216

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 889,114,695 including grants of $ 4,011,101 ) (Revenue $ 1,129,605,535 )
	AS A REGIONAL HEALTH CARE LEADER, CENTRA IS COMMITED TO IMPROVING THE HEALTH AND QUALITY OF LIFE OF THOSE WHO LIVE, WORK, AND PLAY IN THE CENTRAL VIRGINIA REGION. CENTRA HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. PLEASE SEE THE CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O.

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 expenses889,114,695

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	13,469,409	0	1,217,141

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	5,263,476
e	Government grants (contributions)		1e	304,351

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,024,858

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		6,592,685

		Business Code
2a	NET PATIENT SERVICES REVENUE	624100	1,077,126,806	1,077,126,806
b	ANCILLARY SERVICES	900099	28,838,113	28,838,113
c	TUITION & EDUCATION	611600	2,529,806	2,529,806
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,108,494,725

3 Investment income (including dividends, interest, and othersimilar amounts) ......			20,267,553			20,267,553
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
			(i) Real	(ii) Personal
6a	Gross rents	6a	1,490,072
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	1,490,072	0
d	Net rental income or (loss).......			1,490,072			1,490,072
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		18,096,950
b	Less: cost or other basis and sales expenses	7b		47,442,758
c	Gain or (loss)	7c		-29,345,808
d	Net gain or (loss).........			-29,345,808	-2,421,016		-26,924,792
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a	0
b	Less: direct expenses ...		9b	0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
			10a	0
b	Less: cost of goods sold ..		10b	0
c	Net income or (loss) from sales of inventory..			0

Business Code
11a	MISCELLANEOUS REVENUE		900099	20,182,291	20,182,291
b	CAFETERIA/VENDING/DIETARY		722210	3,353,460	3,353,460
c	PREMIUM REVENUE		900099	-3,925	-3,925
d	All other revenue ....
e	Total. Add lines 11a–11d ......			23,531,826
12	Total revenue. See instructions.....			1,131,031,053	1,129,605,535		-5,167,167

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	4,011,101	4,011,101
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0
4	Benefits paid to or for members .......	0
5	Compensation of current officers, directors, trustees, and key employees ...........	15,314,254	6,710,415	8,603,839
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........	471,406,972	381,618,168	89,788,804
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	18,296,180	9,273,166	9,023,014
9	Other employee benefits .......	40,731,294	31,260,584	9,470,710
10	Payroll taxes ...........	30,608,606	23,491,591	7,117,015
11	Fees for services (non-employees):
a	Management ......	16,399,190	7,493,792	8,905,398
b	Legal .........	4,685,536	108,454	4,577,082
c	Accounting ...........	682,289	58,491	623,798
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	2,497,966		2,497,966
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	170,953,231	147,718,180	23,235,051
12	Advertising and promotion ....	2,849,991	264,163	2,585,828
13	Office expenses .......	30,504,499	21,984,786	8,519,713
14	Information technology ......	32,115,738	488,704	31,627,034
15	Royalties ..	0
16	Occupancy ...........	28,143,200	28,143,200
17	Travel ............	1,716,146	1,454,669	261,477
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	4,244,037	3,313,768	930,269
20	Interest ...........	21,250,236		21,250,236
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	31,296,557	17,317,602	13,978,955
23	Insurance ...	2,111,794	2,111,794
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	104,483,153	104,483,153
b	DRUGS	90,139,147	90,138,986	161
c	COLLECTIONS EXPENSES	10,423,047	7,669,928	2,753,119
d	BAD DEBT	28,220		28,220
e	All other expenses	-21,442,408		-21,442,408
25	Total functional expenses. Add lines 1 through 24e	1,113,449,976	889,114,695	224,335,281	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			48,634,328	1	9,390,465
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			184,172,903	4	199,138,677
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			31,229,729	8	31,813,972
9	Prepaid expenses and deferred charges ......			4,967,544	9	11,189,038
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	969,804,980
b	Less: accumulated depreciation	10b	597,009,594	350,107,561	10c	372,795,386
11	Investments—publicly traded securities .			796,348,709	11	808,745,673
12	Investments—other securities. See Part IV, line 11 .....			6,381,761	12	3,148,668
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............			0	14	1,344,146
15	Other assets. See Part IV, line 11 ...........			67,333,595	15	67,166,217
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,489,176,130	16	1,504,732,242

17	Accounts payable and accrued expenses .....	118,243,562	17	133,230,369
18	Grants payable ...	0	18	0
19	Deferred revenue .........	223,362	19	184,958
20	Tax-exempt bond liabilities .........	540,832,584	20	525,487,961
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		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	204,053,376	25	85,798,738
26	Total liabilities. Add lines 17 through 25..	863,352,884	26	744,702,026

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	625,823,246	27	760,030,216
28	Net assets with donor restrictions ...........	0	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	625,823,246	32	760,030,216
33	Total liabilities and net assets/fund balances ........	1,489,176,130	33	1,504,732,242