| Form 990 Part III, Line 4a: |
AS THE REGIONAL HEALTH CARE LEADER, CENTRAS COMMITMENT TO THE CENTRAL VIRGINIA REGION EXTENDS FAR BEYOND THE WALLS OF ITS HEALTH SYSTEM FACILITIES. CENTRA HAS BEEN BRINGING BABIES INTO THE WORLD, TREATING THE SICK AND INJURED, SAVING LIVES AND ENHANCING HEALTH FOR DECADES, AND HAS EARNED MANY NATIONAL AWARDS AND ACCOLADES FOR ITS QUALITY OF CARE. HOWEVER, JUST AS IMPORTANT IS CENTRAS COMMITMENT AND DEDICATION TO SERVING AS A PARTNER IN THE REGIONAL COMMUNITIES. DISEASE PREVENTION AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES THROUGHOUT THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND EDUCATIONAL PROGRAMS, CENTRA IS COMMITTED TO PROVIDING THE BEST HEALTH CARE FOR ITS PATIENTS AND IMPROVING THE HEALTH AND WELLNESS OF ALL THE RESIDENTS OF CENTRAL VIRGINIA. 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 PEOPLE THROUGHOUT CENTRAL VIRGINIA. IN 2019, CENTRA HELD MANY NATIONAL AWARDS AND ACCOLADES, SUCH AS; * 5-STAR CMS RATING CENTERS FOR MEDICARE AND MEDICAID- ONLY 337 HOSPITALS OUT OF 4,000 ACROSS THE COUNTRY WERE AWARDED THIS HIGHEST RANKING. IN VIRGINIA, CENTRA IS ONLY ONE OF 8 IN THE STATE TO BE RECOGNIZED WITH 5-STARS. THESE RANKINGS CAN BE FOUND ON THE CMS HOSPITAL COMPARE WEBSITE, THAT IS PROVIDED TO THE PUBLIC TO HELP PATIENTS MAKE EDUCATED DECISIONS. DATA IS ANALYZED IN CATEGORIES SUCH AS COMMUNICATION WITH NURSES, RESPONSIVENESS OF PHYSICIANS AND STAFF, READMISSIONS AND MORTALITY RATES, TIMELY AND EFFECTIVE CARE AND PAYMENT AND VALUE OF SERVICES. CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS BOTH RECEIVED THE PRESTIGIOUS 5-STAR RANKING. SCH RECEIVED 4-STARS AND BMH, RECEIVED 3-STARS. * 50 TOP CARDIOVASCULAR HOSPITAL IBM WATSON- CENTRA LYNCHBURG GENERAL HOSPITAL HAS BEEN SELECTED AS A 50 TOP CARDIOVASCULAR HOSPITAL IN AMERICA FOR THE EIGHTH TIME. CENTRA IS ONE OF TWO HOSPITALS IN THE STATE OF VIRGINIA TO RECEIVE THIS AWARD, AND THE ONLY HOSPITAL TO RECEIVE THIS AWARD 8 TIMES IN THE STATE OF VIRGINIA. THIS IS A NATIONAL HONOR FOR OUTSTANDING CARDIOVASCULAR PERFORMANCE. * MAGNET STATUS AMERICAN NURSES CREDENTIALING CENTER- THE AMERICAN NURSES CREDENTIALING CENTER HAS RE-DESIGNATED CENTRA LYNCHBURG GENERAL AND VIRGINIA BAPTIST HOSPITALS AS MAGNET FACILITIES WHICH RECOGNIZE EXCELLENCE IN NURSING. CENTRA MEDICAL GROUP WAS ALSO AWARDED MAGNET STATUS. CENTRA WAS THE FIRST HEALTHCARE SYSTEM IN CENTRAL VIRGINIA TO ACHIEVE MAGNET STATUS IN 2006. * JOINT COMMISSION ADVANCED CERTIFICATION FOR PALLIATIVE CARE ADVANCED CERTIFICATION FOR PALLIATIVE CARE. PALLIATIVE CARE IS SPECIALIZED MEDICAL CARE FOCUSED ON PROVIDING PATIENTS WITH RELIEF FROM THE SYMPTOMS, PAIN, AND STRESS OF A SERIOUS ILLNESS - WHATEVER THE DIAGNOSIS. THE GOAL IS TO IMPROVE QUALITY OF LIFE FOR BOTH THE PATIENT AND THE FAMILY. * GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD AND TARGET STROKE ELITE PLUS HONOR ROLL AMERICAN HEART ASSOCIATION & AMERICAN STROKE ASSOCIATION CENTRA LYNCHBURG GENERAL HOSPITAL HAS RECEIVED THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES STROKE GOLD PLUS ACHIEVEMENT AWARD WHICH RECOGNIZES THE COMMITMENT AND SUCCESS IN IMPLEMENTING EXCELLENT CARE BY ENSURING THAT STROKE PATIENTS RECEIVE TREATMENT ACCORDING TO NATIONALLY ACCEPTED STANDARDS AND RECOMMENDATIONS. * AMERICAN HEART ASSOCIATIONS MISSION LIFELINE HEART ATTACK RECEIVING CENTER RE-ACCREDITATION THE AMERICAN HEART ASSOCIATION HAS RECOGNIZED CENTRA LYNCHBURG GENERAL HOSPITAL. THE ACCREDITATION PROGRAM PROVIDED BY THE AMERICAN HEART ASSOCIATION RECOGNIZES CENTERS THAT MEET OR EXCEED QUALITY OF CARE MEASURES FOR PEOPLE EXPERIENCING THE MOST SEVERE TYPE OF HEART ATTACK, ST-ELEVATION MYOCARDIAL INFARCTION (STEMI). THE ACCREDITATION IDENTIFIES HEALTHCARE FACILITIES THAT MEET SPECIFIC CRITERIA FOR LIFESAVING HEART ATTACK TREATMENTS THAT RESTORE BLOOD FLOW. KEY AREAS IN WHICH EXCEPTIONAL QUALITY OF CARE TO RECEIVE ACCREDITATION INCLUDE: o EXPERTISE, FACILITIES AND EQUIPMENT TO PERFORM PERCUTANEOUS CORONARY INTERVENTION (PCI), WHERE A SMALL BALLOON IS INSERTED THROUGH A CATHETER TO OPEN NARROWED OR BLOCKED BLOOD VESSELS IN THE HEART (CORONARY ARTERIES) o PCI READINESS ON A 24/7 BASIS o COORDINATION WITH EMERGENCY MEDICAL SERVICES (EMS) AND REFERRING CENTERS (NON-PCI) TO PREPARE FOR IMMEDIATE TREATMENT WHEN STEMI PATIENTS ARRIVE o FACILITATION OF STEMI PATIENT TRANSPORT PARTICIPATION IN A MULTIDISCIPLINARY TEAM WITH REPRESENTATIVES FROM EMS, CARDIAC CATHETERIZATION LAB, QUALITY IMPROVEMENT, CORONARY CARE UNIT, PHYSICIAN AND NURSING STAFF, MEET REGULARLY TO IDENTIFY CHALLENGES AND MAKE CONTINUOUS CARE IMPROVEMENTS * HEALTHGRADES AMERICA'S BEST 250 HOSPITALS AWARD TOP 5% IN THE NATION FOR CONSISTENTLY DELIVERING QUALITY CARE AND THE PATIENT SAFETY EXCELLENCE AWARD (TOP IN THE NATION FOR PROVIDING EXCELLENCE IN PATIENT SAFETY BY PREVENTING INFECTIONS, MEDICAL ERRORS, AND OTHER PREVENTABLE COMPLICATIONS) * BEST REGIONAL HOSPITALS - #8 IN VIRGINIA- US NEWS & WORLD REPORT CENTRA LYNCHBURG GENERAL HOSPITAL IS RANKED #8 IN VIRGINIA OUT OF 87 HOSPITALS IN VIRGINIA. |
| 2019 COMMUNITY BENEFIT HIGHLIGHTS |
* CENTRA CONTINUES TO CONTRIBUTE MILLIONS OF DOLLARS TOWARD UNPAID COST OF PATIENT CARE, INCLUDING, BUT NOT LIMITED TO: o TRADITIONAL CHARITY CARE INCLUDES HEALTH CARE SERVICES TO PATIENTS WHO DO NOT HAVE THE ABILITY TO PAY. DURING 2019, $58,222,178 OF CHARGES AT AN ESTIMATED COST OF $20,266,260 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 $54,147,324 AT AN ESTIMATED COST OF $25,800,895 WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY DURING 2019. o THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATIONS REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS INSTRUCTIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THEREFORE, THE UNREIMBURSED CALCULATED COSTS OF CARE RENDERED TO MEDICARE PATIENTS TOTALED $92,527,771 IN 2019. o UNPAID COSTS OF MEDICAID, WHICH REFLECTS THE COST NOT REIMBURSED BY MEDICAID FOR CARE RENDERED TO MEDICAID PATIENTS TOTALED $35,383,610 IN 2019. COMMUNITY EDUCATION & HEALTH SCREENINGS CENTRAL VIRGINIANS BENEFIT FROM QUALITY HEALTH EDUCATION OPPORTUNITIES AND SCREENINGS, THANKS TO THE PARTNERSHIP BETWEEN CENTRA AND THE CENTRA HEALTH FOUNDATION. INCLUDED BELOW IS A LIST OF SELECTED ACCOMPLISHMENTS AND COMMUNITY SUPPORT CENTRA PROVIDED IN 2019 AS A COMMUNITY PARTNER. CENTRA EMPLOYEES CONTINUALLY OFFER PROFESSIONAL HEALTH EDUCATION PROGRAMS, CLASSES, LECTURES, SEMINARS, HEALTH FAIRS AND HEALTH SCREENINGS THROUGHOUT THE REGION. IN ADDITION, DIETITIANS, DIABETIC INSTRUCTORS AND MANY OTHER PROFESSIONALS AT CENTRA PROVIDE ONE-ON-ONE PERSONALIZED EDUCATION. IN 2019, OVER 314 HEALTH EDUCATION PROGRAMS AND HEALTH FAIRS REACHED MORE THAN 16,200 INDIVIDUALS WITHIN THE COMMUNITY. KNITTING CLASSES THIS PROGRAM OFFERS CANCER PATIENTS, CAREGIVERS, AND OTHERS AFFECTED BY CANCER THE OPPORTUNITY TO LEARN THE ART OF KNITTING AND CROCHETING. THE OBJECTIVE OF THE CLASS IS TO PROVIDE WAYS TO PASS TIME DURING TREATMENTS, TO CREATE DONATIONS FOR PATIENTS, AND A PLACE TO BUILD A SUPPORT GROUP THAT MEETS REGULARLY SO THAT PARTICIPANTS HAVE AN EASY WAY TO CONNECT AND BUILD RELATIONSHIPS. FREE FARMERS MARKET THIS PROGRAM OFFERS A UNIQUE OPPORTUNITY TO ACQUIRE KNOWLEDGE ABOUT THE LINK BETWEEN DIET AND CANCER, EXPERIENCE THE BENEFITS OF PLANT-BASED NUTRITION, AND LEARN THE PRACTICAL COOKING SKILLS NEEDED TO HELP YOU ON YOUR JOURNEY TO BETTER HEALTH. IN THE CLASSES, ATTENDEES DO ALL OF THIS WHILE ENJOYING A COOKING DEMONSTRATION AND TASTING DELICIOUS, HEALTHFUL DISHES. CANCER PATIENTS AND THEIR CAREGIVERS ARE INVITED TO JOIN US AT A FARMERS MARKET WHERE THEY CAN NOT ONLY STOCK UP ON FRESH VEGETABLES, BUT THEY CAN SEE HOW TO TURN THEM INTO DELICIOUS MEALS DURING A FREE COOKING DEMONSTRATION. YOGA AND TAI CHI EXERCISE CLASSES YOGA AND TAI CHI ARE OFFERED TO CAN HELP PATIENTS CENTER THEIR THOUGHTS AND MAINTAIN FLEXIBILITY, BUT BOTH HAVE BENEFITS SPECIFICALLY FOR PEOPLE LIVING WITH CANCER. SYMPTOMS OF FATIGUE, INSOMNIA, AND PAIN CAN ALL LOWER YOUR QUALITY OF LIFE WITH CANCER. IN RECENT YEARS, THE USE OF YOGA AND TAI CHI HAVE BEEN EVALUATED IN MANY STUDIES LOOKING AT CANCER SYMPTOMS. FIGHTING CANCER ISNT EASY BUT GIVING UP ISNT AN OPTION. YOGA AND TAI CHI HELP ENHANCE PHYSICAL AND EMOTIONAL WELLNESS AND HELPS BRING PEACE TO PATIENTS. MINDFUL MEDITATION CLASSES MINDFUL MEDITATION CLASSES CONSIST SIMPLY OF BEING AWARE OF THE PRESENT MOMENT. NEGATIVE REACTIONS TO PAIN, SUCH AS FEAR OR ANGER, ACTUALLY CAN MAKE PAIN WORSE. MINDFULNESS TEACHES ONE TO OBSERVE THOUGHTS AND FEELINGS INSTEAD OF REACTING TO THEM, SO ONE CAN LEARN TO EXPERIENCE PAIN/STRESS AS A MOMENT-TO-MOMENT SENSATION, WHICH THEN LESSENS THE INTENSITY. RESEARCH SHOWS MINDFULNESS-BASED STRESS REDUCTION TECHNIQUES CAN REDUCE CHRONIC PAIN AND ANXIETY AND INCREASE VITALITY. MUSIC THERAPY MANY PEOPLE FIND LISTENING TO MUSIC RELAXING, SOOTHING, AND ENJOYABLE. FOR CANCER PATIENTS, IT ALSO CAN BE A WAY TO COPE WITH SOME OF THE SYMPTOMS OF THEIR DISEASE AND SIDE EFFECTS OF THEIR TREATMENT. NEW RESEARCH SUPPORTS LISTENING TO RECORDED MUSIC, AS WELL AS MUSIC THERAPY, TO IMPROVE ANXIETY, PAIN, MOOD, QUALITY OF LIFE, HEART RATE, RESPIRATORY RATE, AND BLOOD PRESSURE IN CANCER PATIENTS. DURING THE MONTH OF MARCH, WE HAVE A FEW PERFORMERS COME THROUGHOUT THE WEEKS AND PLAY ON A REGULAR BASIS FOR OUR CANCER PATIENTS. CARDIAC EDUCATION AND SCREENINGS VARIOUS PROGRAMS WITHIN THE STROOBANTS HEART CENTER OFFER MEMBERS OF THE COMMUNITY FREE EDUCATION, SCREENINGS AND LECTURES. HEARTAWARE AN ONLINE RISK ASSESSMENT WAS LAUNCHED ON THE CENTRA WEBSITE IN 2010. THROUGH HEARTAWARE, MEMBERS OF THE COMMUNITY ARE ABLE TO TAKE THE FREE ASSESSMENT TO DETERMINE THEIR INDIVIDUAL RISK OF DEVELOPING HEART DISEASE. THEIR RISKS ARE EVALUATED BY CARDIAC NURSES THAT DETERMINE A PLAN OF ACTION TO LOWER OR ELIMINATE THESE RISKS. ALONG WITH HEARTAWARE, COMMUNITY EVENTS, HEALTH FAIRS, LECTURES, BLOOD PRESSURE AND CHOLESTEROL SCREENINGS ARE AN EFFECTIVE APPROACH TO RAISING AWARENESS AND COMBATING HEART DISEASE. OTHER ONLINE WELLNESS ASSESSMENTS IN ADDITION TO THE HEARTAWARE ONLINE RISK ASSESSMENT, CENTRA ALSO HAS FIVE OTHER FREE ONLINE RISK ASSESSMENTS WHICH IS LOCATED ON CENTRA HEALTHS WEBSITE. THE COMMUNITY CAN LOCATE THESE ASSESSMENTS BY GOING TO WWW.CENTRAHEALTH.COM AND SELECTING COMMUNITY HEALTH ON THE TOP TAB, THEN SELECT WELLNESS ASSESSMENTS. THESE ASSESSEMENTS ARE: o LUNGAWARE TO ASSESS THE RISK OF LUNG DISEASE o PAD AWARE TO ASSESS THE RISK OF PERIPHERAL ARTERY DISEASE o DIABETESAWARE TO ASSESS THE RISK OF DIABETES o SLEEPAWARE TO ASSESS THE RISK OF OBSTRUCTIVE SLEEP DISORDER o SPINEAWARE TO ASSESS THE RISK OF BACK AND SPINAL DISORDERS BE TOBACCO FREE CLINIC CENTRA HEALTHS PULMONARY REHABILITATION PROGRAM OFFERS FREE ONE HOUR BE TOBACCO FREE PROGRAMS MONTHLY FOR PEOPLE CONSIDERING A TOBACCO-FREE LIFE, WHETHER ITS SMOKING, VAPING OR CHEWING TOBACCO. DURING 2019, 60 INDIVIDUALS PARTICIPATED. WE COORDINATED THE GREAT AMERICAN SMOKE OUT AT THE PEARSON CANCER CENTER AND STROOBANTS CARDIOVASCULAR CENTER IN ORDER TO HELP THE PUBLIC, PATIENTS, AND EMPLOYEES QUIT USING TOBACCO. WE WERE ABLE TO REACH 124 INDIVIDUALS DURING THIS PROGRAM. HEALTH SCREENINGS AND COMMUNITY HEALTH EDUCATION CENTRA PROVIDES SPONSORSHIP AND SUPPORT OF COMMUNITY HEALTH EDUCATION AND HEALTH SCREENING PROGRAMS. HEALTH AND WELLNESS TOPICS SPAN THE HEALTH AND WELLNESS CONTINUUM, ADDRESSING BOTH WELLNESS AND DISEASE-RELATED ISSUES. HEALTH SCREENINGS PROVIDED THROUGHOUT THE REGION INCLUDE BLOOD SUGAR, CHOLESTEROL, BODY FAT PERCENTAGE, PULMONARY FUNCTION, PSA FOR PROSTATE CANCER, SKIN AND COLORECTAL CANCER, BLOOD PRESSURE SCREENINGS AND OSTEOPOROSIS SCREENINGS. SLEEP DISORDERS CENTER OUTREACH THE SLEEP DISORDERS CENTER AT VIRGINIA BAPTIST HOSPITAL AND THE FOREST SLEEP CENTER PARTICIPATED IN ONE HEALTH FAIR AT A LOCAL BUSINESS IN 2019. STAFF MEMBERS GAVE LECTURES AND PRESENTATIONS ON SLEEP DISORDERS. PRESENTATIONS INCLUDED INFORMATION RELATED TO HEALTHY SLEEP HABITS, THE IMPORTANCE OF SLEEP, HEALTH RISKS DUE TO SLEEP DISORDERS AND TREATMENT OPTIONS. MAAM (MAMMOGRAMS ANNUALLY A MUST) DURING 2019, CENTRA HEALTH PROVIDED 222 SCREENING MAMMOGRAMS TO UNINSURED AND UNDERINSURED WOMEN IN THE COMMUNITY WITH THE SUPPORT OF THE CENTRA FOUNDATION MAAM PROGRAM. FREE SCREENING MAMMOGRAPHY DAYS WERE HELD THROUGHOUT THE YEAR AT ALL CENTRA HEALTH MAMMOGRAPHY FACILITIES. |
| COMMUNITY CLASSES |
IN ADDITION TO FREE SCREENINGS, SUPPORT GROUPS AND COMMUNITY OUTREACH, CENTRA ALSO PROVIDED EDUCATIONAL CLASSES TO THE COMMUNITY ON A BROAD RANGE OF HEALTH AND WELLNESS TOPICS. CLASSES INCLUDE, BUT NOT LIMITED TO, CHILDBIRTH AND FAMILY EDUCATION, BABY CARE, BREAST-FEEDING, BOOTCAMP FOR DAD, DIABETES, DEPRESSION, AND HEART DISEASE. SUPPORT GROUPS SUPPORT GROUPS, OFFERED TO THE COMMUNITY WITHOUT CHARGE, PROVIDE A FORUM FOR EDUCATION AND THE EXCHANGE OF IDEAS. THESE GROUPS ADDRESS AN ARRAY OF ISSUES INCLUDING BEREAVEMENT, BREAST CANCER, PROSTATE CANCER, ETC. BEREAVEMENT SUPPORT GROUPS IN 2019, THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED GRIEF SUPPORT GROUPS IN ALL 3 BUSINESS UNITS. THE GROUPS CONTINUE TO BE ENTITLED, A JOURNEY TOWARD HOPE AND HEALING. THERE WAS A TOTAL OF 4 GROUP SERIES HELD IN LYNCHBURG, 1 GROUP SERIES HELD IN FARMVILLE, AND 2 GROUP SERIES OFFERED IN BEDFORD BUT CANCELLED DUE TO LACK OF PARTICIPATION. THE SIX, SIX-WEEK SERIES PROVIDED AN INTERDISCIPLINARY AND HOLISTIC EDUCATIONAL AND SUPPORTIVE GROUP FORMAT, WITH THE HOSPICE MEDICAL DIRECTOR, HOSPICE CLINICAL SOCIAL WORKERS, HOSPICE BEREAVEMENT STAFF, AND HOSPICE CHAPLAINS SERVING AS FEATURED SPEAKERS. THE MULTI-SESSION GROUPS WERE HELD FOR AN HOUR-AND-A-HALF. THE SERIES WERE OFFERED EITHER IN THE EVENING OR IN THE DAYTIME TO ACCOMMODATE PARTICIPANTS LIFE SCHEDULES. APPROXIMATELY EIGHTEEN (18) PERSONS ATTENDED A GRIEF SUPPORT GROUP SERIES IN 2019; (LYNCHBURG 16 ATTENDEES; FARMVILLE 2 ATTENDEES; BEDFORD 0 ATTENDEES). THE GRIEF SUPPORT GROUP SERIES ARE FREE AND OPEN TO THE COMMUNITY-AT-LARGE, AS WELL AS TO FAMILY MEMBERS OF PERSONS SERVED BY HOSPICE. COMMUNITY SUPPORT ON MAY 11TH THE ANNUAL IN-SERVICE SPONSORED BY WHITTENS WAS HELD AT THE CENTRA HOSPICE OFFICE IN LYNCHBURG. THE TOPIC OF THE IN-SERVICE WAS AGING AMERICA: COPING WITH LOSS & DEATH IN LATER LIFE. BEREAVEMENT MANAGER PRESENTED ON BEREAVEMENT SERVICES AND WE HONOR VETERANS TO NEW HIRES DURING THE NEW HIRE ORIENTATION TRAINING ON MARCH 11, 2019. BEREAVEMENT MANAGER PARTICIPATED WITH THE VIRGINIA HOSPICE VETERANS PARTNERSHIP (VHVP) CONFERENCE CALL ON MARCH 27, 2019. BEREAVEMENT MANAGER ALONG WITH THREE OTHER MEMBERS OF THE BEREAVEMENT TEAM ATTENDED THE 2019 CHILDRENS GRIEF SYMPOSIUM SPONSORED BY KIDS HAVEN ON MARCH 29, 2019. BEREAVEMENT MANAGER WAS ASKED TO SPEAK DURING HERITAGE FUNERAL HOMES HOLIDAY MEMORIAL SERVICE ON DECEMBER 14, 2019. THERE WERE 72 PARTICIPANTS AT THIS EVENT. DURING 2019, A MASS MAILING OCCURRED TO AREA NURSING HOMES AND ASSISTED LIVING FACILITIES RELATED TO AVAILABLE GRIEF SUPPORT GROUPS THROUGH CENTRA HOSPICE BEREAVEMENT SERVICES. FACILITY SUPPORT BEREAVEMENT MANAGER ATTENDED THE LYNCHBURG HOSPICE HOUSE STAFF MEETING ON FEBRUARY 21, 2019 IN ORDER TO PRESENT STAFF THE MEMORY WREATH FOR THE HOSPICE HOUSE. BEREAVEMENT MANAGER WENT TO THE LYNCHBURG HOSPICE HOUSE STAFF MEETING ON APRIL 18, 2019. STAFF WERE SHOWN THE DVD FROM THE MARCH 19TH LYNCHBURG MEMORIAL SERVICE. A REMEMBRANCE CEREMONY WAS HELD AT GUGGENHEIMER ON FEBRUARY 7TH AT 2PM. A BEREAVEMENT COUNSELOR AND A CHAPLAIN FACILITATED THE REMEMBRANCE CEREMONY. PATIENTS WHO PASSED DURING THE MONTHS OF JUNE - DECEMBER 2018 WERE REMEMBERED. BEREAVEMENT MANAGER PRESENTED THE REMEMBRANCE NOTEBOOK TO BEDFORD HOSPICE HOUSE STAFF DURING THEIR STAFF MEETING ON OCTOBER 29, 2019. THE MAY 5TH BEDFORD MEMORIAL SERVICE DVD WAS ALSO SHOWN TO STAFF ON THIS DATE. MEMORIAL SERVICES THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED HOSPICE-SPONSORED MEMORIAL SERVICES IN ALL THREE BUSINESS UNITS THIS YEAR. SIX SERVICES WERE HELD IN LYNCHBURG AT TIMBERLAKE UNITED METHODIST CHURCH; THREE SERVICES WERE HELD IN FARMVILLE AT ST. JOHNS LUTHERAN CHURCH; AND TWO SERVICES WERE HELD IN BEDFORD AT BEDFORD CHRISTIAN CHURCH. OVERALL, THERE WERE 629 DEATHS IN LYNCHBURG, 83 IN BEDFORD, 113 IN FARMVILLE. OVERALL, THE CENTRA HOSPICE BEREAVEMENT PROGRAM OFFERED BEREAVEMENT SUPPORT TO 1,350 +/- FAMILY MEMBERS OF PERSONS SERVED BY CENTRA HOSPICE. IN ADDITION TO OUR GRIEF SUPPORT GROUP SESSIONS, 298 SUPPORTIVE BEREAVEMENT VISITS AND/OR SUPPORTIVE BEREAVEMENT COUNSELING SESSIONS WERE PROVIDED BY BEREAVEMENT STAFF EITHER IN THE PERSONS HOME OR AT THE HOSPICE OFFICE (230 IN THE LYNCHBURG BUSINESS UNIT; 40 IN THE FARMVILLE BUSINESS UNIT; AND 28 IN THE BEDFORD BUSINESS UNIT). ADDITIONAL BEREAVEMENT UPDATES BEREAVEMENT MANAGER, HOSPICE MANAGER OF BUSINESS DEVELOPMENT, AND CENTRA HEALTH MARKETING MANAGER BEGAN DISCUSSIONS AND WORKING THROUGH THE DETAILS OF THE GRIEF AWARENESS COMMUNITY ENGAGEMENT CAMPAIGN. THE SIT AND SHARE BENCHES WERE CREATED AND PLACED WITHIN THE COMMUNITY DURING 2019. PEARSON CANCER CENTER BREAST CANCER SUPPORT GROUP THIS GROUP IS OFFERED TO WOMEN DIAGNOSED WITH EARLY BREAST CANCER. THE SUPPORT GROUP ADDRESSES BREAST HEALTH AND RELATED ISSUES OF IMPORTANCE TO WOMEN WITH BREAST CANCER. THIS GROUP MEETS ONCE A MONTH AND REACHED 28 WOMEN IN 2019. LUNG DISEASES AND TO PROVIDE SUPPORT AND ENCOURAGEMENT TO INDIVIDUALS AND FAMILY MEMBERS OF THOSE WITH CHRONIC LUNG DISEASE. PROSTATE SUPPORT GROUP THIS GROUP IS AN EDUCATIONAL SUPPORT GROUP SUPPORTED BY CENTRAS NURSE NAVIGATORS, DESIGNED TO MEET THE NEEDS OF MEN DIAGNOSED WITH PROSTATE CANCER AND SPOUSES OR CAREGIVERS. THIS SUPPORT GROUP MEETS AT THE ALAN B. PEARSON REGIONAL CANCER CENTER AND IS SUPPORTED THROUGH OUR PROSTATE CANCER NAVIGATION PROGRAM. IN-KIND & CASH DONATIONS * DURING 2019, CENTRA HEALTH DONATED OVER $64,147 IN MEDICAL SUPPLIES TO THE GLEANING FOR THE WORLD ORGANIZATION. * DURING 2019, CENTRA LAB PROCESSED A COMBINED TOTAL OF 2,148 LABORATORY TESTS FOR CENTRAL VIRGINIA FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT OF APPROXIMATELY $434,137. * DURING 2019, APPROXIMATELY 18,979 MEALS WERE PROVIDED TO THE LYNCHBURG MEALS ON WHEELS PROGRAM AT A COST OF APPROXIMATELY $58,835. * DURING 2019, CASH DONATIONS MADE BY CENTRA HEALTH TO THE COMMUNITY TOTALED $1,040,396. SPECIAL NEEDS PROJECTS & MENTORING CENTRA PROVIDES AND PROMOTES MANY SPECIAL NEED PROJECTS AND MENTORING OPPORTUNITIES. EDUCATIONAL OPPORTUNITIES ARE OFFERED TO STUDENTS IN A BROAD RANGE OF PROFESSIONAL AND TECHNICAL PROGRAMS. AT CENTRA, STUDENTS GAIN EXPERIENCE IN NURSING, TECHNICAL AND CLINICAL PROFESSIONS. SEVERAL HIGH SCHOOLS AND UNIVERSITIES IN VIRGINIA ROTATE STUDENTS THROUGH CENTRAS FACILITIES WITH CENTRA STAFF MEMBERS, GIVING THESE STUDENTS THE OPPORTUNITY TO TRAIN AND GAIN EXPERIENCE IN THEIR CHOSEN CAREER FIELDS. HERE IS A LIST OF SPECIAL PROJECTS CENTRA SUPPORTS: BABY BASICS BABY BASICS IS A FREE PROGRAM THAT IMPROVES BIRTH OUTCOMES BY PROVIDING PRENATAL EDUCATION AND EMOTIONAL SUPPORT FOR MOMS-TO-BE IN A FUN GROUP SETTING. IT OFFERS AN OPPORTUNITY FOR PREGNANT WOMEN IN VARIOUS STAGES OF THEIR PREGNANCIES TO EXPLORE ISSUES, RECEIVE INFORMATION, LEARN PRACTICAL SKILLS AND HAVE THEIR QUESTIONS ANSWERED AS A GROUP. BABY BASICS IS FACILITATED BY A TRAINED EDUCATOR IN AN INFORMAL AND NON-INTIMIDATING SETTING, USING A COLORFUL, COMPREHENSIVE AND EASY TO UNDERSTAND PRENATAL GUIDE. PARTICIPANTS MET IN LYNCHBURG 2 THURSDAYS A MONTH JANUARY THROUGH MAY AND THE FIRST FOUR THURSDAYS OF THE MONTH JUNE THROUGH OCTOBER, FROM 5:30PM-7PM AT THE CENTER FOR CHILDBIRTH AND FAMILY EDUCATION AT CENTRA VIRGINIA BAPTIST HOSPITAL. PARTICIPANTS RECEIVED INFORMATION AT EVERY MEETING ON AT LEAST ONE OF THE FOLLOWING CORE TOPICS: PRETERM LABOR, NUTRITION, SAFE SLEEP, BREASTFEEDING, SUBSTANCE USE AND ABUSE/DEPRESSION. |
| 2019 ACTIVITIES AND OUTREACH |
* HOSTED 28 BABY BASICS MEETINGS * SERVED 346 PREGNANT WOMEN AND THEIR SUPPORT PERSONS * CONTINUED PARTNERSHIPS WITH KROGER AND CENTRA CATERING TO PROVIDE SERVICES AND/OR FOOD. * RECRUITMENT BY PHONE AND THROUGH DISTRIBUTION OF FLYERS TO PRACTITIONERS. * REACHED OUT TO POTENTIAL SPEAKERS, LACTATION CONSULTANTS, MIDWIVES, YWCA, FIRE DEPARTMENT. COMMUNITY VOICE COMMUNITY VOICE IS AN EVIDENCED BASED, CONSUMER EDUCATION PROGRAM WHOSE GOALS WERE TO RAISE AWARENESS OF THE HEALTH DISPARITY THAT EXISTS IN INFANT MORTALITY, TO PROVIDE CULTURALLY RELEVANT PERINATAL HEALTH INFORMATION AND TO INFLUENCE BEHAVIORS BY TAKING INFORMATION DIRECTLY TO THE PEOPLE WHOM BLACK WOMEN OF CHILDBEARING AGE ARE MOST LIKELY TO TRUST AND TRAIN THEM TO BE LAY HEALTH ADVISORS. ONCE TRAINED, LAY HEALTH ADVISORS HAVE THE KNOWLEDGE AND POWER TO TEACH, MOTIVATE, AND INFLUENCE THEIR FAMILY, FRIENDS AND NEIGHBORS. IN 2019 OVER 67 COMMUNITY RESIDENTS RECEIVED INFORMATION ON SAFE SLEEP, BREASTFEEDING, PRETERM BIRTH, SUBSTANCE USE AND ABUSE, NUTRITION, FOLIC ACID, PRENATAL CARE AND OTHER PERINATAL HEALTH TOPICS THROUGH A COMBINATION OF CLASSES, HEALTH FAIRS AND OTHER ACTIVITIES FROM JANUARY THROUGH MAY. *TAUGHT 13 CLASSES IN LYNCHBURG *ATTENDED 3 COMMUNITY HEALTH FAIRS OR EVENTS *DEVELOPED ONGOING PARTNERSHIPS WITH AGENCIES AND CHURCHES IN LYNCHBURG *ONGOING CV RECRUITMENT IN LYNCHBURG 2019 COMMUNITY VOICE OUTREACH LOCATIONS: *DANIELS HILL *TINBRIDGE HIL *DIAMOND HILL *COLLEGE HILL *JUBILEE FAMILY DEVELOPMENT CENTER *JOHNSON HEALTH CENTER *MIRIAMS HOUSE *DOMESTIC VIOLENCE SHELTER *LIBERTY GODPARENT HOME *BLUE RIDGE PREGNANCY CENTER *JAMES CROSSING APARTMENTS *PARKVIEW MISSIONS *PRAYER FAITH OUTREACH MINISTRIES *BEDFORD COMMUNITY COALITION *LIBERTY UNIVERSITY *VIRGINIA UNIVERSITY OF LYNCHBURG *LYNCHBURG COLLEGE 2019 COMMUNITY VOICE CLASS LOCATIONS: *PARKVIEW MISSIONS *LYNCHBURG PARKS AND RECREATION MILLER CENTER *COMMUNITY ACCESS NETWORK FORENSIC NURSE PROGRAM THE FORENSIC NURSE PROGRAM BEGAN IN 1997. IT CONSISTS OF REGISTERED NURSES TRAINED IN THE COLLECTION OF FORENSIC EVIDENCE. THE FORENSIC NURSES WORK WITH LAW ENFORCEMENT, SOCIAL SERVICES AND THE COURT SYSTEM. NURSES RESPOND TO VICTIMS OF PHYSICAL ASSAULT, SEXUAL ASSAULT AND ABUSE AND NEGLECT IN BOTH THE ADULT AND PEDIATRIC POPULATION. THEY ALSO PROVIDE EDUCATIONAL/TRAINING LECTURES TO RESCUE AGENCIES, POLICE DEPARTMENTS, POLICE ACADEMY, ATTORNEYS AND VARIOUS COLLEGES INCLUDING THE CRIMINAL JUSTICE AND NURSING PROGRAMS. THIS PROGRAM SERVES CLIENTS FROM CENTRAL VIRGINIA AND THE SURROUNDING AREA. IN 2019, THE PROGRAM SAW 855 PATIENTS AND HAD AN ADDITIONAL 503 CONSULTS. RIVERMONT SCHOOLS CENTRAS RIVERMONT SCHOOLS PROVIDE SPECIALIZED EDUCATION FOR STUDENTS WITH BEHAVIORAL OR EMOTIONAL CONCERNS AS WELL AS STUDENTS ON THE AUTISM SPECTRUM. FOURTEEN SCHOOLS THROUGHOUT VIRGINIA ADDRESS THE NEEDS OF MORE THAN 800 STUDENTS AND OPERATE ON A 180-220 DAY SCHOOL YEAR CALENDAR. RIVERMONT SCHOOLS ARE LOCATED IN LYNCHBURG, ROANOKE, CHASE CITY, DAN RIVER, HAMPTON ROADS, TIDEWATER, ALLEGHANY HIGHLANDS, FREDERICKSBURG, PETERSBURG, FAIRFAX, AND ROCKBRIDGE. RIVERMONT SCHOOLS PROVIDE A UNIQUE AND SUPPORTIVE ENVIRONMENT SERVING SCHOOL-AGE CHILDREN EXPERIENCING EMOTIONAL DIFFICULTIES AND AUTISM. EACH RIVERMONT STUDENT RECEIVES LEARNING OPPORTUNITIES THAT PROMOTE SELF-ACTUALIZATION, THE VALUE OF LEARNING, SELF-DISCIPLINE, COOPERATION, RESILIENCY AND SELF-ADVOCACY THROUGH TEACHING EXCELLENCE, THERAPEUTIC SUPPORT, FAMILY PARTICIPATION, AND COMMUNITY INVOLVEMENT. VOLUNTEER SERVICES CENTRA HAS MANY DEDICATED VOLUNTEERS FROM THROUGHOUT CENTRAL VIRGINIA WHO CHOOSE TO GIVE BACK TO THEIR COMMUNITY BY DONATING THEIR TIME AND TALENTS. GUGGENHEIMER VOLUNTEER SERVICES VOLUNTEERS DONATE TIME AT GUGGENHEIMER HEALTH AND REHABILITATION CENTER TO PROVIDE RESIDENTS WITH ENRICHMENT AND INTERACTION THROUGH THE ENHANCING LIVES EVERY DAY PROGRAM. THEY SUPPORT MANY AREAS OF THE PROGRAM BY PROVIDING MUSICAL ENTERTAINMENT, EXERCISE CLASSES AND CRAFT CLASSES AS WELL AS ASSISTANCE IN TRANSPORTING RESIDENTS AND ANSWERING THE PHONE. HOSPICE VOLUNTEERS IN 2019, LYNCHBURG HOSPICE VOLUNTEERS DONATED 6,049 HOURS OF SERVICE TO THE HOSPICE PROGRAM. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO THE HOSPICE HOUSE. VOLUNTEERS SUPPORT THE HOSPICE HOUSE BY GROCERY SHOPPING, MEAL AND MEDICATION DELIVERY, CLEANING, INTERACTING WITH PATIENTS AND FAMILIES. THEY ALSO OFFER SUPPORT TO FAMILIES WHO HAVE LOST A LOVED ONE THROUGH PARTICIPATING IN THE HOSPICE MEMORIAL SERVICES 6 TIMES DURING THE YEAR. OUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 1,457 MILES IN 2019. |
| ASSISTANCE THRU DONATIONS |
CENTRA HEALTH, INC. DONATED $500,000 TO CENTRA HEALTH FOUNDATIONS COMMUNITY INITIATIVE FUND DURING 2019. NUMEROUS ORGANIZATIONS AND INDIVIDUALS BENEFIT FROM THE VARIOUS PROGRAMS AND ASSISTANCE PROVIDED WITH THE HELP OF THESE DONATIONS. BELOW IS THE LIST OF LOCAL ORGANIZATIONS WHICH CENTRA FUNDS SUPPORTED IN 2019: 1. Altavista Area/Campbell County Habitat for Humanity To support Altavista area/Campbell County partnership housing grant $10,000 2. Amelia Emergency Squad, Inc. To provide the Zoll X-Series Monitor/Defibrillator $31,370 3. Amherst Glebe Arts Response, Inc. (AGAR) To support Acrylic Painting arts class series for individuals attending CVAL (Centra/Fairmont Crossing) $3,771 4. Aspire Foundation, Inc. To support the Dolly Parton Imagination Library, Lynchburg $6,000 5. Boys & Girls Club of Greater Lynchburg To support healthy life choices programming $10,000 6. BrookHill Retirement Center for Horses To provide scholarships for low income youth with mental health disabilities; and support non-traditional therapy for children with emotional & physical disabilities $10,000 7. Camp Kum-Ba-Yah To support expansion of environmental education program to improve community $9,000 8. Central Virginia Alliance for Community Living, Inc. To support Bedford Ride volunteer non-emergency medical transportation $30,000 9. Central Virginia Alliance for Community Living, Inc. TAKE CHARGE: Priority Care Transitions Program a program that partners with Centra Health and other providers to address care transitions of high-risk patients from hospital/facility with a goal to reduce readmissions $69,000 10. Central Virginia Health Services To help provide access to early pregnancy care for uninsured & low- income women $6,400 11. Coalition of HIV Prevention (CHAP) of Central VA To support the purchase of HIV rapid tests, home tests, HIV testing equipment & provide counseling & follow-up $10,000 12. Danville Pittsylvania Cancer Association, Inc. To support the working to unravel the effects of cancer project $15,000 13. Farmville Area Habitat for Humanity To support improving access to affordable housing $10,000 14. Fear to Freedom To support the Aftercare Kits program $6,000 15. Foundation for Rehabilitation Equipment and Endowment a.k.a. F.R.E.E. To support keeping adults home safely $15,000 16. Friends of Lynchburg Parks & Recreation To support the Fit and Strong project $11,462 17. Girls on the Run To support and sustain Girls on the Run Teams in all areas of the Greater Lynchburg Region. $10,000 18. Heart of Virginia Free Clinic (Farmville) To support medication access program (MAP) $23,000 19. Interfaith Outreach Association To support the Safe at Home project $15,000 20. Johnson Health Center To support improving access to healthcare through transportation $35,000 21. Jubilee Family Development Center To support summer camp scholarships for Three-Point Play program for students $15,000 22. Literacy Volunteers of Campbell County Public Library To support health stories project for the purchase of books $700 23. Lynchburg City School Education Foundation, Inc. To support Classroom Innovation Grants project $5,000 24. Lynchburg Community Action Group, Inc. To support the Gateway program $25,000 25. Lynchburg Daily Bread To support the healthy choices for the underserves project $8,500 26. Lynchburg Grows To support the FreshRX III project $20,000 27. Meals on Wheels of Greater Lynchburg To support feeding the homebound project $10,000 28. Miriam's House To support the community first expansion project. $20,000 29. Park View Mission, Inc. To support the food for families and food for thought projects $28,000 30. Postpartum Support Virginia, Inc. (PSVA) To support Lynchburg maternal mental health coalition $8,000 31. Roads to Recovery To support the Roads to Recovery smiles initiative project $30,000 32. Rush Homes To support the James River Housing project $20,000 33. Second Stage/Amherst To support the Cultivate Amherst 2020 project $10,000 34. Virginia Legal Aid To support home improvement and protection (HIP) program $10,000 |
| FORM 990, PART VI, SECTION A, LINE 2: |
Board member Peter Caprise, MD and Key Employee Chris Thomson are both board members of The Surgery Center of Lynchburg, a 50% joint venture of Centra Health, Inc. FORM 990, PART VI, SECTION A, LINES 8 A & B: MINUTES ARE TAKEN AT EACH MEETING. FORM 990, PART VI, SECTION B, LINE 11B: CENTRA PROVIDED ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS WITH A COPY OF THE FORM 990 PRIOR TO ITS FILING. ADDITIONALLY, CENTRA REVIEWED THE FORM 990 WITH THE AUDIT AND COMPLIANCE COMMITTEE AND THEN PRESENTED IT TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C: ALL CENTRA OFFICERS AND DIRECTORS MUST COMPLETE A POSSIBLE CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS AND DIRECTORS MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINES 15A & 15B: CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS FOUR ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FIVE MEMBERS MEET THE IRS FORM 990 INDEPENDENCE DEFINITION. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. THE COMPENSATION COMMITTEE IS ALSO RESPONSIBLE FOR THE REVIEW AND APPROVAL OF SALARY RANGES AND ADJUSTMENTS FOR OTHER OFFICERS AND KEY EMPLOYEES OF CENTRA, BASED ON THE RECOMMENDATIONS MADE BY THE CEO. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES. FORM 990, PART VI, SECTION C, LINE 16B: JOINT VENTURE POLICY - CENTRA HEALTH, INC. ADOPTED A JOINT VENTURE POLICY, IN 2014, WHICH REQUIRES THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW AND TAKE STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS. |
| FORM 990, PART VI, SECTION C, LINE 18: |
PHOTOCOPIES OF THE FORM 1023 AND RECENT FILINGS OF THE FORM 990 AND 990-T ARE AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICE OF THE ORGANIZATION. ADDITIONALLY, FILINGS OF THE FORM 990 CAN ALSO BE FOUND ONLINE AT WWW.GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19: |
THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AT ITS ADMINISTRATIVE OFFICE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: |
CHANGE IN PENSION REPORTING 5,753,067 CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT (3,038,971) NET ASSETS RELEASED FROM RESTICTIONS TO AFFILIATED ENTITIES (597,283) MINORITY INTEREST (259,436) NET PERIODIC PENSION COST (5,876,899) ROUNDING (4) ------------ TOTAL TO FORM 990, PART XI, LINE 9 ($4,019,526) =========== |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PURCHASED/CONTRACTED SERVICES TOTAL FEES:82270980 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:65883982 |
| FORM 990 PART IX LINE 11G |
DESCRIPTION:OTHER TOTAL FEES:13185023 |
Attach to Form 990 or 990-EZ.