SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2020
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
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
 
c
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? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . . 		    11,807,564   11,807,564 1.160 %
b Medicaid (from Worksheet 3, column a) . . . . .     164,818,880 159,485,728 5,333,152 0.530 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     176,626,444 159,485,728 17,140,716 1.690 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     61,722   61,722 0.010 %
f Health professions education (from Worksheet 5) . . .     14,172,207 7,845,784 6,326,423 0.620 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     708,683   708,683 0.070 %
j Total. Other Benefits . .     14,942,612 7,845,784 7,096,828 0.700 %
k Total. Add lines 7d and 7j .     191,569,056 167,331,512 24,237,544 2.390 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
41,449,093
3
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. ......
3
0
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
301,058,764
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
341,368,402
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-40,309,638
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1CENTRAL VIRGINIA IMA
  		IMAGING SERVICES 50 % 0 % 50 %
2THE SURGERY CENTER O
  		OUTPATIENT SURGERY SVCS 50 % 1 % 49 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
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) 2020
Page 4
Schedule H (Form 990) 2020
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): 		1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.CENTRAHEALTH.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2020
Page 5
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
LYNCHBURG GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Page 6
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
LYNCHBURG GENERAL HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Page 7
Schedule H (Form 990) 2020
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 No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Page 4
Schedule H (Form 990) 2020
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): 		2
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.CENTRAHEALTH.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2020
Page 5
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
VIRGINIA BAPTIST HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Page 6
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
VIRGINIA BAPTIST HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Page 7
Schedule H (Form 990) 2020
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 No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Page 4
Schedule H (Form 990) 2020
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): 		3
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.CENTRAHEALTH.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2020
Page 5
Schedule H (Form 990) 2020
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CENTRA SPECIALTY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2020
Page 6
Schedule H (Form 990) 2020
Page 6
Part VFacility Information (continued)

Billing and Collections
CENTRA SPECIALTY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2020
Page 7
Schedule H (Form 990) 2020
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 No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2020
Page 8
Schedule H (Form 990) 2020
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: CENTRA ORGANIZED THREE COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY (CHNA) ADVISORY BOARDS - ONE FOR THE CENTRA HEALTH, LYNCHBURG REGION, ONE FOR THE BEDFORD MEMORIAL HOSPITAL, BEDFORD REGION, AND ONE FOR THE SOUTHSIDE COMMUNITY HOSPITAL, FARMVILLE REGION. THESE CHNA COMMUNITY ADVISORY BOARDS WERE COMPRISED OF COMMUNITY LEADERS REPRESENTING EDUCATION, BUSINESS, SOCIAL SERVICE AGENCIES, GOVERNMENT, PUBLIC HEALTH AUTHORITIES, COLLEGES (INCLUDING OUR LOCAL SCHOOL OF PUBLIC HEALTH), OTHER HEALTHCARE PROVIDERS, AND NEIGHBORHOOD CITIZEN ORGANIZATIONS IN AN EFFORT TO OBTAIN AS BROAD-BASED COMMUNITY INPUT AS POSSIBLE. PARTICIPANTS INCLUDED ORGANIZATIONS THAT REPRESENT THE NEEDS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. THE PARTICIPANTS OF THIS CHNA ASSESSMENT & IMPLEMENTATION PLAN WERE: 2018 LYNCHBURG AREA CORE TEAM - GREATER LYNCHBURG COMMUNITY FOUNDATION CENTRA- PITTSYLVANIA CENTRAL VIRGINIA HEALTH DISTRICT COMMUNITY ACCESS NETWORK CENTRA FOUNDATION BEDFORD COMMUNITY HEALTH FOUNDATION CENTRA- BEDFORD CENTRA- LYNCHBURG CENTRA- FARMVILLE PIEDMONT HEALTH DISTRICT CHRISTOPHER NYE CONSULTING PITTSYLVANIA/DANVILLE HEALTH DISTRICT UNITED WAY OF CENTRAL VIRGINIA COMMUNITYWORKS DATA ENTRY & ANALYSIS TEAM - LIBERTY UNIVERSITY CENTRA COLLEGE OF NURSING COMMUNITYWORKS VIRGINIA COMMONWEALTH UNIVERSITY 2018 LYNCHBURG AREA COMMUNITY HEALTH ASSESSMENT TEAM - YMCA RECREATION LYNCHBURG REDEVELOPMENT & HOUSING AUTHORITY HUMANKIND HUMAN GREATER LYNCHBURG COMMUNITY FOUNDATION LYNCHBURG CITY SCHOOLS PUBLIC SCHOOLS GREATER LYNCHBURG TRANSIT TRANSPORTATION CENTRA- ALAN B. PEARSON CANCER CENTER CENTRA HOSPITAL APPOMATTOX COUNTY DSS FAMILY SERVICES HORIZON BEHAVIORAL HEALTH PUBLIC BEHAVIORAL JOHNSON HEALTH CENTER HEALTH CENTRAL VIRGINIA COMMUNITY COLLEGE CENTRAL VA HEALTH DISTRICT PUBLIC HEALTH YWCA DOMESTIC-VIOLENCE SHELTERS LYNCHBURG COMMUNITY ACTION GROUP (LYN CAG) CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING (CVACL) HORIZON BEHAVIORAL HEALTH PUBLIC BEHAVIORAL HEALTH SYSTEM COMMUNITY ACCESS NETWORK HEALTH CENTER LYNCHBURG POLICE PUBLIC SAFETY CENTRA FOUNDATION LYNCHBURG MAYOR VDH PUBLIC HEALTH REGION 2000 LOCAL GOVERNMENT COUNCIL BEDFORD COMMUNITY HEALTH FOUNDATION CITY OF LYNCHBURG CITY GOVERNMENT HEALTH COLLABORATIVE- DANVILLE COMMUNITY COALITION LYNCHBURG PARKS AND RECREATION LIBERTY UNIVERSITY EDUCATION LACIL DISABILITY SERVICES AMHERST COUNTY DSS FAMILY SERVICES STEPHANIE MCBRIDE CENTRA HOSPITAL LYNCHBURG POLICE DEPARTMENT PUBLIC SAFETY LIBERTY UNIVERSITY INTERN STUDENT CHRISTOPHER NYE CONSULTING LYNCHBURG DEPARTMENT SOCIAL SERVICES ARCHETYPE HEALTH CVACL/DESIGNATED AREA AGENCY ON AGING JOHNSON HEALTH CENTER COMMUNITY HEALTH CENTER VA DEPARTMENT OF HEALTH PUBLIC HEALTH VIRGINIA COOPERATIVE EXTENSION STATE EXTENSION UNITED WAY OF CENTRAL VA BLUE RIDGE AREA FOOD BANK CENTRA PASTORAL CARE FAITH-BASED COMMUNITYWORKS
PART V, SECTION B, LINE 6a: THE ORGANIZATIONS CHNA WAS CONDUCTED WITH THE FOLLOWING FACILITIES: LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL AND CENTRA SPECIALTY HOSPITAL
PART V, SECTION B, LINE 7d: HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS.
PART V, SECTION B, LINE 11: In 2018, Centra completed the triennial Community Health Needs Assessments (CHNA) for Centra Bedford Memorial Hospital headquartered in Bedford, Virginia; Centra Southside Community Hospital headquartered in Farmville, Virginia; and Centra Hospital (Centra Lynchburg General Hospital, Virginia Baptist Hospital, Specialty Hospital) headquartered in Lynchburg, Virginia. Once on staggered calendars, Centra moved to have all three regional CHNA's completed in the same calendar year in 2018. Additionally, the Partnership for Healthy Communities was formed which is a planning initiative led by Centra, Centra Foundation, the Community Access Network, and the Central Virginia, Piedmont, and Pittsylvania/Danville Health Districts in collaboration with the Bedford Community Health Foundation, Greater Lynchburg Community Foundation, and United Way of Central Virginia. These partners were committed to regional alignment of a collaborative and rigorous needs assessment process that resulted in action-oriented solutions to improve the health of the communities they serve. A Prioritization of Needs process identified ten priority areas which were similar for each region. In March 2019, a Centra leadership team met to develop system-wide implementation plans for 2019-2022 to address the following: (1) Access to affordable healthcare; (2) Access to mental health services and mental health problems; (3) Substance use and alcohol & illegal drug use; and (4) Access to healthy foods and alignment with overweight, obesity; poor eating habits; diabetes; hypertension; and active living. In addition, an administrative priority area addressing the CHNA's and Implementation Planning process was developed. The target population for the implementation plans include (1) medically underserved, low-income or minority populations & those suffering from chronic disease; (2) those living in the geographic area served by the hospital; and (3) targeted populations (i.e. children, women, seniors, cancer patients). A strong focus will be placed on those living in poverty in the service area. The COVID-19 pandemic brought a halt to some of the goals and strategies developed for these priority areas in 2020. Our progress for the implementation plans in 2020 are as follows: Priority Area: Access to affordable healthcare Goal: Provide increased and varied access to healthcare opportunities which are tailored to the needs of the community served by Centra Strategy 1: Commission a study to further define "affordable", "accessible" care based on the findings of the 2018 Centra Community Health Needs Assessment. Action Step: This action item was met. A cross-tab analysis of the 2018 Centra Community Health Survey data was completed in 2019. In 2020, follow-up with members of the Partnership for Healthy Communities occurred to further identify the needs/target population for healthcare services. Strategy 2: Increase the availability of appointments with Centra primary care providers (PCP). Action Step: Determine the provider & support staff needed to expand services at PCP practices. This action item was met. The benchmark is MGMA staff to provider ratio; service line strategy to increase access and decrease cost; 18 patient per day standard set (21-24 RVUs); no standard was previously followed. Action Step: Create capacity to allow open-access primary care appointments within 3 to 4 days of appointment request. Work addressing this action step is underway but has yet to be met. Action Step: Provide PCP appointments 7 days/week at selected sites. This action item was 80% complete in 2020. Centra now has Urgent Care facilities in Danville and Forest and some Centra Medical Group practices (Gretna, Amherst, Brookneal, Village) have opened on Saturdays. Currently Centra is considering having an Urgent Care 7 days/week in each region. Strategy 3: Improve coordination of care and communication of resources. Action Step: Conduct an inventory of available hospital and community resources in Centra service areas related to CHNA top 10 priority areas. This action item is 75% complete. A list of resources is included in the 2018 CHNA however this has yet to be organized by priority area. Action Step: Identify gaps in resources & develop action plan to address these gaps. Although no specific action was taken on this item, capacity issues especially during the pandemic were apparent. Centra is considering a potential closed-loop referral system for social determinants of health to engage community resources and providers. Action Step: Continue to develop Patient Navigators in Centra service areas. This action item is 50% complete. Patient navigators in 2020 for Cardiology, COPD, insurance, oncology, and primary care. A Primary Care strategy is being developed for the LGH Emergency Department to refer to the Community Access Network. Efforts in 2020 were to make sure they are documenting in HealtheCare (part of HealtheIntent). Performance Improvement is helping with this process and tracking utilization. Strategy 4: Study an expansion of the Centra Paramedicine program to the entire Centra service region. Action Step: Commission a study of regional expansion of program. This action item is complete. There was a 53.5% reduction in readmissions in 2019 related to the program. The program began by targeting Piedmont Community Health Plan beneficiaries (PCHP) and a 10 mile radius. In 2020, the program had expanded to now include PCHP, COPD, Pulmonary, Cardiovascular, Mother baby, ICU syndrome, CMG-Village with 4 FTEs. They are covering our entire service area. Strategy 5: Explore strategies to remove transportation barriers to care. Action Step: Inventory existing transportation programs for publicly insured patients. This action item is complete. Medicaid providers include Logisticare, VA Premier, Deyo (Magellan), Southeast Transit (Optima and Anthem), National Med Trans, Uber Medical, Lyft. Action Step: Partner with community-based programs addressing transportation barriers. This work continued in 2020 and is still an opportunity for our communities. Leadership and coordination is needed. The Paramedicine program was a part of the COVID-19 homeless transportation and follow-up program. Strategy 6: Evaluate provider-based billing and its impact on access to healthcare services. Action Step: Conduct a financial analysis of loss of volume secondary to cost/care avoidance vs. revenue gain secondary to PBB revenue created. This action item is complete. Analysis of Cardiology and Hematology shows $32m margin impact. Urology is PBB as well. Telehealth does not have a facility component and therefore is a cost-efficient manner for patients to receive care. Telehealth visits picked up system wide including PBB clinics due to COVID-19. Priority Area: Access to mental health services and mental health problems Goal: Provide Increased access to, and integration of, mental health services which are tailored to the needs of the community served by Centra. Strategy 1: Integrate mental health services in primary care and specialty offices. Action Step: Continue to integrate mental health services into Centra Medical Group (CMG) practices. Large number of Centra patients have MH/SU disorders. The following service lines have Licensed Clinical Social Workers- all 3 PACE sites and Centra Medical Group practices (Cardiology, Nationwide, Farmville Medical Ctr, Danville, Bariatrics, W&C Forest Women's Ctr and substance abuse clinic). Next to integrate are SNFs, neurosciences, Village and Pain Mgmt. Hospice and Cancer Ctr have integration as well (non-CMG). Action Step: Expand integrated services to long-term care facilities and CMG practices in Amherst and Farmville. This work continues. Telehealth option was available in 2020 at Fairmont Crossing. Action Step: Expand hours for mental health services at integrated practices. This work continues. Centra's focus has been on expanding sites prior to the COVID-19 pandemic. The Addiction treatment Center expanded to evening groups and services. Strategy 2: Decrease utilization of the Emergency Department (ED) for mental health & substance use services. Action Step: Integrate mental health providers / LCSW or advanced practice clinician(s) to provide services in the ED. This action item is 75% complete. Two psychiatric NP's were hired (LGH and SCH). A consultation pathway is in place and a position posted for onsite leadership. Future ideas include: Expand Centra 24/7 and telehealth to prevent patients from going to the ED. Divert behavioral health patients from ED at triage. Action Step: Explore options for patient transportation that have a history of hospitalization due to mental illness. This action item is 50% complete. Transportation barriers can serve as a surrogate for mental health issues. Addiction Treatment Ctr provides transportation with SAMHSA grant. Cab and bus passes available. Action Step: Conduct an analysis of treatment of dental pain by prescribin
PART V, SECTION B, LINE 16A, B, C: (LYNCHBURG GENERAL HOSPITAL, VIRGINIA BAPTIST HOSPITAL, AND CENTRA SPECIALTY HOSPITAL) THE ENTIRE FNANCIAL ASSISTANCE POLICY (FAP), INCLUDING FAP APPLICATION AND PLAIN LANGUAGE SUMMARY IS LOCATED AT THE FOLLOWING URL: HTTP://CENTRAHEALTHONLINEBILLPAY.PATIENTCOMPASS.COM
PART V, SECTION B, LINE 21: (POLICY RELATING TO EMERGENCY MEDICAL CARE) FACILITY: CENTRA SPECIALITY HOSPITAL CENTRA SPECIALITY HOSPITAL DOES NOT HAVE AN EMERGENCY DEPARTMENT DUE TO THE NATURE OF THE HOSPITAL'S SERVICES.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Page 9
Schedule H (Form 990) 2020
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?96
Name and address Type of Facility (describe)
1 CENTRA ALAN B PEARSON CANCER CENTER
1701 THOMSON DRIVE
LYNCHBURG,VA24501 		CANCER CENTER & PALLIATIVE CARE
2 GRETNA MEDICAL CENTER
291 McBride Lane
Gretna,VA24557 		Emergency, Imaging, Internal Medicine, Cardiology, Rehab, Lab
3 CENTRA LAB PHLEBOTOMY CENTER
1900 TATE SPRINGS ROAD SUITE 9
LYNCHBURG,VA24501 		LAB SERVICES
4 GUGGENHEIMER HEALTH & REHABILITATION CTR
1902 GRACE STREET
LYNCHBURG,VA24504 		NURSING HOME
5 FAIRMONT CROSSING HEALTH & REHAB CENTER
173 BROCKMAN PARK DRIVE
AMHERST,VA24521 		NURSING HOME
6 SUMMIT HEALTH & REHABILITATION CENTER
1300 ENTERPRISE DRIVE
LYNCHBURG,VA24502 		NURSING HOME
7 SUMMIT ASSISTED LIVING
1320 ENTERPRISE DRIVE
LYNCHBURG,VA24502 		ASSISTED LIVING
8 CENTRA HOSPICE-LYNCHBURG
2097 LANGHORNE ROAD
LYNCHBURG,VA24501 		HOSPICE CARE
9 CENTRA HOSPICE HOUSE
4413 BOONESBORO ROAD
LYNCHBURG,VA24503 		HOSPICE HOUSE
10 CENTRA HOME HEALTH
1204 FENWICK DRIVE
LYNCHBURG,VA24502 		HOME HEALTH SERVICES
11 CENTRA PACE
407 FEDERAL STREET
LYNCHBURG,VA24504 		CARE FOR ELDERLY
12 PIEDMONT PSYCHIATRIC CENTER
3300 RIVERMONT AVENUE
LYNCHBURG,VA24503 		MENTAL HEALTH
13 BRIDGES TREATMENT CENTER
693 LEESVILLE ROAD
LYNCHBURG,VA245022828 		MENTAL HEALTH
14 ALTAVISTA MEDICAL CENTER
1280 A MAIN STREET
ALTAVISTA,VA24517 		FAMILY PRACTICE
15 BROOKNEAL MEDICAL CENTER
104 CAROLINA AVENUE
BROOKNEAL,VA24528 		FAMILY PRACTICE
16 CMG - DANVILLE ORTHOPEDIC & REHAB SPECIA
404 AIRPORT ROAD SUITE C
DANVILLE,VA24540 		ORTHOPEDICS & PHYSICAL THERAPY
17 CMG - NATIONWIDE
125 Nationwide Drive
LYNCHBURG,VA24502 		INTERNAL MEDICINE, REHAB, URGENT CARE
18 VILLAGE PRACTICE - MONETA
4830 RUCKER RD
MONETA,VA24121 		FAMILY PRACTICE
19 CENTER FOR PAIN MANAGEMENT
3300 RIVERMONT AVENUE
LYNCHBURG,VA24503 		PAIN MANAGEMENT
20 CENTER FOR WOUND CARE AND HYPERBARIC MED
3300 RIVERMONT AVENUE
LYNCHBURG,VA24503 		WOUND CARE
21 CMG UROLOGY CENTER
2542 LANGHORNE ROAD
LYNCHBURG,VA24501 		UROLOGY
22 CMG UROLOGY CENTER-Oak Vassar Office
1330 Oak Lane Suite 203
LYNCHBURG,VA24503 		UROLOGY
23 CMG UROLOGY CENTER-Bedford
1613 Oakwood St Ste 202
Bedford,VA24523 		UROLOGY
24 MEDICAL & SURGICAL SPECIALISTS
173 EXECUTIVE DRIVE
DANVILLE,VA24540 		UROLOGY, NEUROSURGERY, PLASTICS, CARDIOLOGY SVCS
25 DOMINION PRIMARY CARE
110 EXCHANGE STREET SUITE F
DANVILLE,VA24540 		Family Care, Urgent Care Urology, Neurology and Cardiology
26 CMG WOMEN'S CENTER
2007 GRAVES MILL ROAD
FOREST,VA24551 		WOMEN'S HEALTH SVCS
27 LIBERTY UNIVERSITY HEALTH SERVICES
1971 UNIVERSITY BLVD
LYNCHBURG,VA24502 		FAMILY PRACTICE
28 JAMERSON YMCA REHAB CENTER
801 WYNDHURST DRIVE
LYNCHBURG,VA24502 		REHAB CENTER
29 STROOBANTS CARDIOVASCULAR CENTER- MAIN O
2410 ATHERHOLT ROAD
LYNCHBURG,VA24501 		CARDIOLOGY CENTER & CARDIOVASCULAR SURGERY
30 STROOBANTS CARDIOVASCULAR CENTER-BEDFORD
1613 OAKWOOD AVENUE
BEDFORD,VA24523 		CARDIOLOGY CENTER
31 STROOBANTS CARDIOVASCULAR CENTER- FARMVI
900 WEST THIRD STREET
FARMVILLE,VA23901 		CARDIOLOGY CENTER
32 STROOBANTS CARDIOVASCULAR CENTER- MONETA
1039 MAYBERRY CROSSING DRIVE SUITE
MONETA,VA24121 		CARDIOLOGY CENTER
33 STROOBANTS CARDIOVASCULAR CENTER- GRETNA
1220 WEST GRETNA ROAD
GRETNA,VA24557 		CARDIOLOGY CENTER
34 REHAB & GERIATRIC SERVICES
3300 RIVERMONT AVENUE
LYNCHBURG,VA24503 		DRS. PROVIDE SERVICES TO NURSING HOMES, SKILLED CARE HOSPICE, PACE & REHAB
35 BREAST IMAGING CENTER
3300 RIVERMONT AVENUE
LYNCHBURG,VA24503 		MAMMOGRAPHERS READ SCREENINGS FOR DIAGNOSTIC BREAST IMAGING
36 MAMMOGRAPHY CENTER-TIMBERLAKE
20293 TIMBERLAKE ROAD
LYNCHBURG,VA24502 		MAMMOGRAPHY CENTER
37 MAMMOGRAPHY CENTER-TATE SPRINGS
1900 TATE SPRINGS ROAD SUITE 1
LYNCHBURG,VA24501 		MAMMOGRAPHY CENTER
38 Pathways Recovery Lodge
1770 Earley Farm Road
Amherst,VA24521 		DRUG & ALCOHOL TREATMENT CENTER
39 Rivermont School-Chase City
633 N Main Street
Chase City,VA23924 		MENTAL HEALTH
40 Rivermont School- Dan River
4058 Franklin Turnpike
Danville,VA24540 		MENTAL HEALTH
41 Rivermont School- Roanoke
1354 8th Street
Roanoke,VA24015 		MENTAL HEALTH
42 Rivermont School-Hampton
303 Butler Farm Road Suite 100
Hampton,VA23666 		MENTAL HEALTH
43 Rivermont School-Tidewater
5163 Cleveland Street
Virginia Beach,VA23462 		MENTAL HEALTH
44 Rivermont School-Alleghany Highlands
331 West Main Street
Covington,VA24426 		MENTAL HEALTH
45 Rivermont School-Rockbridge
35 Magnolia Square Suite 7
Lexington,VA24450 		MENTAL HEALTH
46 Rivermont School - Lynchburg
3024 Forest Hills Circle
Lynchburg,VA24501 		MENTAL HEALTH
47 Rivermont School - Fredricksburg
30 Pulte Dr
Fredricksburg,VA22406 		MENTAL HEALTH
48 Rivermont School - Greater Petersburg
12318 Boydton Plank Road
Dinwiddie,VA23841 		MENTAL HEALTH
49 RIVERMONT SCHOOL - FAIRFAX
6700 SPRINGFIELD CENTER DRIVE SUIT
SPRINGFIELD,VA22150 		MENTAL HEALTH
50 Rivermont School - Bridges Residential
693 Leesville Road
Lynchburg,VA245022828 		MENTAL HEALTH
51 Centra Neuroscience Center-Farmville
800 Oak Street
Farmville,VA23901 		NEUROSCIENCE
52 Lynchburg Family Medicine Center
2323 Memorial Avenue Suite 10
Lynchburg,VA24501 		FAMILY PRACTICE RESIDENCY PROGRAM
53 CMG - Big Island Medical Center
Highway 501 North
Big Island,VA24526 		FAMILY PRACTICE
54 CMG - PrimeCare Main
130 Enterprise Drive
Danville,VA24540 		FAMILY PRACTICE, URGENT CARE
55 CMG - PrimeCare East
404 Airport Drive Suite A
Danville,VA24540 		FAMILY PRACTICE
56 CMG-BEDFORD MEDICAL CENTER
1613 Oakwood Street Suite 201
Bedford,VA24523 		FAMILY PRACTICE
57 LYNCHBURG EMPLOYEE CLINIC
901 CHURCH STREET
Lynchburg,VA24504 		EMPLOYEE WELLNESS CLINIC
58 CMG PLASTIC SURGERY CENTER
1330 Oak Lane Suite 100
Lynchburg,VA24503 		PLASTIC SURGERY
59 CMG NEUROSCIENCE CENTER
2025 Tate Springs Road
Lynchburg,VA24501 		NEUROSCIENCE
60 CMG Surgical Specialists - Seven Hills
1911 Thomson Drive
Lynchburg,VA24501 		SURGERY SPECIALISTS
61 CMG Surgical Specialists - Central Va
1906 Thomson Drive
Lynchburg,VA24501 		SURGERY SPECIALISTS
62 CENTRA COLLEGE OF NURSING
905 Lakeside Dr Suite A
Lynchburg,VA24501 		COLLEGE OF NURSING
63 HEALTHWORKS CLINIC
1905 Atherholt Road
Lynchburg,VA24501 		REHAB
64 ROSEMARY & GEORGE DAWSON INN
2012 Tate Springs Road
Lynchburg,VA24501 		PATIENT/FAMILY INN
65 Centra - Bedford Rehab
1710 Whitfield Drive
Bedford,VA24523 		OP REHAB SVCS
66 CENTRA HEALTH EMERGENCY SERVICES
1901 TATE SPRINGS ROAD
LYNCHBURG,VA24501 		EMERGENCY SVCS
67 CMG - DANVILLE OCCUPATIONAL HEALTH SVCS
404 Airport Drive Suite B
Danville,VA24540 		OCCUPATIONAL REHAB SERVICES
68 CMG - NEUROSCIENCE CENTER BEDFORD
1615 OAKWOOD STREET SUITE D
BEDFORD,VA24523 		NEUROSURGERY
69 CMG - AMHERST MEDICAL CENTER
124 AMBRIAR COURT
AMHERST,VA24521 		FAMILY PRACTICE
70 CMG INFECTIOUS DISEASE CENTER
2216 LANDOVER PLACE
LYNCHBURG,VA24501 		INFECTIOUS DISEASE CTR
71 CMG HEALTHY SKIN CENTER
1330 OAK LANE SUITE 103
LYNCHBURG,VA24503 		SKIN CLINIC
72 CMG - MOBILE MEDICAL SERVICES
2010 ATHERHOLT ROAD
LYNCHBURG,VA24501 		MOBILE MEDICAL SVCS
73 PACE Gretna
1220 W Gretna Road
Gretna,VA24557 		CARE FOR ELDERLY
74 CMG Rehabilitation Danville
414 Park Avenue
Danville,VA24541 		REHAB SVCS
75 CMG - SLEEP DISORDERS CENTER-FOREST
1084 Thomas Jefferson Road
FOREST,VA24551 		SLEEP DISORDER SVCS
76 CMG Southside - Keysville
312 Kings Street
Keysville,VA23947 		FAMILY PRACTICE
77 CMG Southside - Farmville
935 South Main Street
Farmville,VA23901 		FAMILY PRACTICE
78 CMG Southside - Victoria
1418 6th Street
Victoria,VA23974 		FAMILY PRACTICE
79 CMG Southside - Burkeville
412 Namozine Street
Burkeville,VA23922 		FAMILY PRACTICE
80 CMG Southside - Cumberland
1758 Anderson Highway
Cumberland,VA23942 		FAMILY PRACTICE
81 Southside Ctr for Gastro Liver Disease
800 Oak Street
Farmville,VA23901 		GASTROLOGY
82 CMG Southside Orthopedic & Rehabilitatio
935 South Main Street
Farmville,VA23901 		ORTHOPEDIC & REHAB SVCS
83 CMG Southside - Surgery Center
800 Oak Street
Farmville,VA23901 		GENERAL SURGERY
84 CMG Southside - Women's Center
800 Oak Street
Farmville,VA23901 		WOMEN'S HEALTH SVCS
85 CMG Southside - Emergency Services
800 Oak Street
Farmville,VA23901 		EMERGENCY SVCS
86 CMG Southside - Nephrology Center
935 South Main Street
Farmville,VA23901 		NEPHROLOGY
87 CMG Southside - Neurology Center
800 OAK STREET
Farmville,VA23901 		Neurology
88 CMG Southside - Urology
800 Oak Street
Farmville,VA23901 		UROLOGY
89 CMG Southside - CRNA
800 Oak Street
Farmville,VA23901 		CRNA SVCS
90 CMG Southside - Hospitalists
800 Oak Street
Farmville,VA23901 		HOSPITALIST SVCS
91 CMG Bedford - General Surgery Center
1615 Oakwood Street Suite B
Bedford,VA24523 		GENERAL SURGERY
92 CMG Bedford - Pulmonology Center
1613 Oakwood Street Suite 202
Bedford,VA24523 		PULMONARY SVCS
93 CMG Bedford - Women's Center
1615 Oakwood Street Suite D
Bedford,VA24523 		WOMEN'S HEALTH SVCS
94 CMG Bedford - Emergency Services
1613 Oakwood Street
Bedford,VA24523 		EMERGENCY SVCS
95 CMG Bedford - Hospitalists
1613 Oakwood Street
Bedford,VA24523 		HOSPITALIST SVCS
96 CMG Bedford - CRNA
1613 Oakwood Street
Bedford,VA24523 		CRNA SVCS
Schedule H (Form 990) 2020
Page 10
Schedule H (Form 990) 2020
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 6A: INFORMATION ON COMMUNITY BENEFIT IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC.
PART I, LINE 7: COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE.
PART II: COMMUNITY BUILDING ACTIVITIES COMMUNITY SUPPORT: CENTRA HEALTH, INC. RECOGNIZES THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES. WE CONTINUOUSLY WORK TO SEEK OUT WAYS IN WHICH WE CAN SUPPORT THE COMMUNITY. HELPING THOSE IN NEED IS A MAIN FOCUS OF CENTRA, NOT ONLY WITH THEIR HEALTH NEEDS BUT WITH THE FUNDAMENTAL NEEDS OF INDIVIDUALS WITHIN OUR COMMUNITY, AS WELL. WE FEEL AN ESSENTIAL PART OF BEING A GOOD NEIGHBOR WITHIN THE COMMUNITY IS TO PROMOTE HEALTH, SAFETY, AND WELL-BEING ACTIVITIES IN ORDER TO BENEFIT THOSE AROUND US. 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 OTHERS 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 THE 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. CENTRAS HEALTH CAREER CAMPS ALLOW CAMPERS TO PARTICIPATE IN TEAM BUILDING ACTIVITIES, LEARN ABOUT INFECTION PREVENTION, ORGAN DONATION, LISTEN TO PRESENTATIONS ON EMERGENCY MEDICINE, TOUR EMERGENCY VEHICLES, AND MANY MORE HEALTH RELATED ACTIVITIES. OUR MEDICAL CAREER CAMP ALLOW CAMPERS TO PARTICIPATE IN ACTIVITIES RELATED TO TOPICS SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THEY ARE ALSO ENGAGED IN HANDS-ON ACTIVITIES SUCH AS DISSECTING A PIGS HEART AND LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHATS INVOLVED IN SUTURING, TAKING CARE OF WOUNDS, IV SIMULATIONS, ETC. WE GIVE CAMPERS A GENERAL EXPOSURE TO VARIOUS CAREERS WITHIN THE HEALTHCARE SYSTEM WHICH ALLOWS THEM TO DETERMINE IF ONE OF THESE FIELDS ARE RIGHT FOR THEM.
PART III, SECTION A, LINE 1: ON JANUARY 1, 2012, CENTRA ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, WHICH CHANGED CENTRAS PRESENTATION OF PROVISION FOR DOUBTFUL ACCOUNTS TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. THIS HAS BEEN DISCLOSED IN THE FOOTNOTES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THEREFORE, CENTRA, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT CONSISTENT WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15.
PART III, SECTION A, LINE 2 & 3: SEE DESCRIPTION FOR PART III, SECTION A, LINE 4
PART III, SECTION A, LINE 4: CENTRA BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.(CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2019 AUDIT REPORT, PAGE 13-14)
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 2020 WAS $40,309,638.
PART III, SECTION C, LINE 9B: CENTRA RECOGNIZES THAT MEDICAL EXPENSES ARE OFTEN UNEXPECTED AND CAUSE FINANCIAL HARDSHIP. ALL ACCOUNTS WITH SELF PAY BALANCES WILL FOLLOW UNIFORM COLLECTION PROTOCOLS. THESE PROTOCOLS ARE ELECTRONICALLY ADMINISTERED THROUGH CENTRA'S HOSPITAL INFORMATION SYSTEM. WHEN AN ACCOUNT REACHES THE END OF THE SYSTEM GENERATED COLLECTION CYCLE AND MEETS SAID CRITERIA, THE ACCOUNT BALANCE WILL BE PROCESSED AS BAD DEBT AND REPORTED TO A COLLECTION AGENCY. CRITERIA FOR BAD DEBT WILL BE APPLIED CONSISTENTLY REGARDLESS OF AGE, RACE, RELIGION OR OTHER PROTECTIVE CLASS. PRIOR TO BAD DEBT PROCESSING, ACCOUNTS ARE ELECTRONICALLY SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND WRITTEN DOWN TO ZERO WHEN SCORES ARE WITHIN PRE-ESTABLISHED RANGES. CENTRA APPLIES UNIFORM COLLECTION PROTOCOLS TO ALL UNPAID ELIGIBLE CHARGES REGARDLESS OF RACE, SEX, AGE, DISABILITY, NATIONAL ORIGIN OR RELIGION. PATIENTS KNOWN BY CENTRA TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PROTOCOLS. IF DURING COLLECTION PROTOCOLS, OR AFTER REFERRAL TO AN OUTSIDE COLLECTION AGENCY, IT IS DISCOVERED PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY, INCLUDING ANY AND ALL EXTRAORDINARY COLLECTION EFFORT, IS IMMEDIATELY STOPPED. FINANCIAL ASSISTANCE FOR ELIGIBLE CHARGES IS AVAILABLE TO ALL CENTRA PATIENTS WHO QUALIFY BASED ON ESTABLISHED AND WIDELY PUBLISHED INCOME AND ASSET CRITERIA.
PART VI, LINE 2: NEEDS ASSESSMENT: AS A NONPROFIT HEALTH CARE SYSTEM, CENTRA IS LED BY A BOARD OF DIRECTORS OF REGIONAL COMMUNITY LEADERS KNOWLEDGEABLE ABOUT THE HEALTH CARE NEEDS OF THE POPULATION. CENTRA ENCOURAGES ITS EXECUTIVE TEAM AND EMPLOYEES TO BE AN INTEGRAL PART OF COMMUNITY ORGANIZATIONS, NOT ONLY TO OFFER ADVICE AND SERVICE, BUT ALSO TO BETTER UNDERSTAND AND RECOGNIZE THE NEEDS OF THE REGIONAL COMMUNITY. IN 2018, CENTRA COMPLETED THE 2018 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN TO MEASURE THE HEALTH NEEDS OF CENTRAL VIRGINIA RESIDENTS SERVED AT CENTRA LYNCHBURG GENERAL HOSPITAL, CENTRA VIRGINIA BAPTIST HOSPITAL AND CENTRA SPECIALTY HOSPITAL. THE CENTRA FOUNDATION PROVIDED FUNDING FOR THE DETAILED REPORT, WHICH IDENTIFIES THE HEALTH NEEDS AND PRIORITIES FOR THE COMMUNITIES SERVED BY CENTRA. THE ASSESSMENT INCLUDES INDIVIDUALS LIVING IN THE GREATER LYNCHBURG COMMUNITY, INCLUDING THE CITY OF LYNCHBURG AND BEDFORD, CAMPBELL, AMHERST, APPOMATTOX, AND NELSON COUNTIES. THE CUMULATIVE REPORT OFFERS A STATISTICALLY RELIABLE SNAPSHOT OF THE COMMUNITYS HEALTH AND PROVIDES A WEALTH OF INFORMATION TO GUIDE THE CENTRA FOUNDATION IN ITS GRANT FUNDING EFFORTS. EXPERTS SAY CLINICAL CARE; SOCIAL AND ENVIRONMENTAL FACTORS SUCH AS EDUCATION, EMPLOYMENT, HEALTH STATUS AND BEHAVIORS SUCH AS DIET, SMOKING AND EXERCISE; AND PHYSICAL ENVIRONMENT FACTORS SUCH AS AIR/WATER QUALITY, HOUSING AND ACCESS TO TRANSPORTATION INFLUENCES THE HEALTH OF A COMMUNITY. THROUGH THE CHNA, CENTRA EXAMINED THESE AREAS AND IDENTIFIED OPPORTUNITIES TO MAKE CLINICAL SERVICES MORE RESPONSIVE TO COMMUNITY NEED AND TO COLLABORATE WITH OTHER LIKE-MINDED ORGANIZATIONS TO IMPROVE THE OTHER FACTORS THAT AFFECT THE HEALTH OF THE COMMUNITY. THE INFORMATION GLEANED CAN SUPPORT THE STRATEGIC PLAN, ENSURE CENTRAS LONG-RANGE PLANS ARE RESPONSIVE AND HELP GUIDE THE AWARDING OF COMMUNITY GRANTS. HEALTH CARE NEEDS AND REQUESTS ARE ALSO ASSESSED THROUGH FOCUS GROUPS, AND SURVEYS OF COMMUNITY RESIDENTS AND CIVIC LEADERS AS WELL AS HOSPITAL AND HEALTH CARE SYSTEM PATIENTS. CENTRA ALSO PARTNERS WITH AGENCIES AND ORGANIZATIONS TO STUDY COMMUNITY NEEDS AND PROPOSE THE BEST SOLUTIONS. IN ADDITION, A CALL CENTER RECEIVES CALLS AND REPORTS TO THE MARKETING DEPARTMENT FOR ADDITIONAL REQUESTS FROM THE COMMUNITY. CENTRAHEALTH.COM PROVIDES CONSTANT FEEDBACK FROM THE COMMUNITY, WHICH IS ADDRESSED IMMEDIATELY. SURVEYS ARE CONDUCTED AT EVERY COMMUNITY EVENT ON WHICH THE COMMUNITY IS ABLE TO OFFER FEEDBACK.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: CENTRA TAKES A MULTIDISCIPLINARY APPROACH TO INFORMING OUR PATIENTS AND COMMUNITY ABOUT FINANCIAL ASSISTANCE. INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CAN BE FOUND ON CENTRA'S INTERNET PAGE PROVIDING FULL DISCLOSURE ABOUT QUALIFICATIONS AND THE APPLICATION PROCESS. INDIVIDUALS MAY OBTAIN INFORMATION AND AN APPLICATION FROM ANY REGISTRATION POINT OR CUSTOMER SERVICE UNIT, IN PERSON OR BY PHONE. SIGNS ARE POSTED IN CONSPICUOUS LOCATIONS ALERTING INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHERE TO OBTAIN ADDITIONAL INFORMATION. BROCHURES ABOUT FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN REGISTRATION AND CUSTOMER SERVICE. WHILE PATIENTS ARE HOSPITALIZED, A FINANCIAL COUNSELOR PROVIDES FINANCIAL ASSISTANCE INFORMATION, SCREENS PATIENTS FOR FEDERAL AND STATE PROGRAMS AND GIVES AN OPPORTUNITY TO ASK QUESTIONS. ADDITIONALLY, ON THE BOTTOM OF THE CURRENT STATEMENTS IS THE FOLLOWING VERBIAGE: CANT 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. CENTRAS SECONDARY SERVICE AREA (SSA) INCLUDES THE COUNTIES OF BUCKINGHAM, CHARLOTTE, HALIFAX, NELSON, AND PRINCE EDWARD. THE POPULATION FOR THE TOTAL SERVICE AREA (PSA/SSA) IS 431,720, WITH AN ETHNIC MIX OF 22.92% BLACK AND 73.67% WHITE. THE PERCENT OF THE TOTAL PSA/SSA POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS 20.74%. THE AVERAGE HOUSEHOLD INCOME IN THE TOTAL SERVICE AREA IS $48,605. THE CURRENT RATE OF PERSONS IN POVERTY IS APPROXIMATELY 16.45% FOR THIS TOTAL SERVICE AREA. CENTRA PROMOTES THE NECESSITY OF HAVING A CULTURALLY SENSITIVE WORKFORCE AND PROVIDES AN OVERVIEW OF THE POPULATION MIX FOR ORIENTATION OF NEW EMPLOYEES. CENTRA HOSTS WORKSHOPS ON CULTURAL COMPETENCE, PROVIDES REFERENCE BOOKS FOR EACH PATIENT CARE AREA AND PROVIDES A LESSON ON CULTURAL DIVERSITY AS PART OF YEARLY MANDATORY EDUCATION. THERE ARE ALSO CHAPLAINS AVAILABLE WITH EXPERIENCE AND TRAINING TO SUPPORT CLINICAL STAFF WHO MIGHT HAVE NEEDS WITH CULTURALLY SENSITIVE ISSUES. Source: www.census.gov/quickfacts (2018 stats)
PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: IN ADDITION TO HEALTH EDUCATION PROGRAMS AND RESOURCES, CENTRA USES ITS HOSPITAL-BASED DEPARTMENTS TO IMPLEMENT NEW WAYS TO IMPROVE HEALTH CARE FOR THE REGION. HERE ARE THREE EXAMPLES: (1) CENTRA STARTED THE FIRST NATIONALLY CERTIFIED PROGRAM TO HELP PEOPLE RECEIVING TREATMENT AND CANCER SURVIVORS AS THEY HEAL AND RECOVER. WITH THIS PROGRAM, CALLED STAR, CANCER PATIENTS AND SURVIVORS CAN LESSEN PAIN, WEAKNESS, FATIGUE, DEPRESSION AND MEMORY LOSS THAT CAN OCCUR WITH CANCER. (2) CENTRA ESTABLISHED ITS PACE (PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY) IN THE LYNCHBURG AND FARMVILLE AREAS TO OFFER ADULTS 55 YEARS OF AGE AND OLDER MEDICAL CARE AND EDUCATION THAT ALLOWS THEM TO STAY IN THEIR OWN HOMES. WITH LONG-TERM CARE EXPERTISE GAINED THROUGH HOSPITAL-BASED CENTERS, CENTRA PROFESSIONALS FOCUS ON DISEASE PREVENTION, INTERVENTION AND WELLNESS. THE PROGRAM IS BASED ON THE KNOWLEDGE OF PROFESSIONALS WHO ADVOCATE THAT IT IS BETTER FOR SENIORS WITH CHRONIC CARE NEEDS AND THEIR FAMILIES TO BE SERVED IN THE COMMUNITY FOR AS LONG AS IT IS MEDICALLY SAFE. COMPREHENSIVE SERVICES ARE DELIVERED BY AN INTERDISCIPLINARY TEAM OF PROFESSIONALS, INCLUDING A PRIMARY CARE PHYSICIAN, REGISTERED NURSES, REHABILITATION THERAPISTS, DIETITIANS AND RECREATION/ACTIVITY STAFF. (3) CENTRA HAS LEVERAGED ITS HIGH-BANDWIDTH CONNECTIVITY ACROSS FACILITIES AND PHYSICIAN PRACTICES TO IMPROVE THE HEALTH OF THE POPULATION THROUGH THE SHARING OF MEDICAL RECORDS. WITH THIS CONNECTIVITY, CENTRA ALSO IS ABLE TO ESTABLISH A CLINICAL REPOSITORY THAT CAN BE MINED TO PERFORM TRUE POPULATION-BASED ANALYTICS.
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: WHETHER BRINGING BABIES INTO THE WORLD, TREATING THE ILL AND INJURED, SAVING LIVES, ENHANCING HEALTH OR PROVIDING NEEDED REGIONAL PROGRAMS AND SUPPORT, CENTRA SERVES AS A KEY PARTNER IN MANAGING AND PROMOTING HEALTH CARE THROUGHOUT ITS SYSTEM TO ENSURE CARE TO THE REGIONAL COMMUNITIES IT SERVES. DISEASE PREVENTION, TREATMENT AND HEALTH EDUCATION ARE INTEGRAL PARTS OF WHAT CENTRA PROVIDES TO THE REGION. FROM OUTSTANDING MEDICAL SERVICES TO FREE SCREENINGS AND PROGRAMS, CENTRA EXPANDS ITS HOSPITAL WALLS TO OFFER NATIONAL AWARD-WINNING HEALTH CARE FOR ITS PATIENTS WHILE SEEKING TO ENHANCE THE HEALTH AND WELLNESS OF RESIDENTS IN ITS SERVICE AREA. AS THE REGIONAL HEALTH CARE LEADER, CENTRA BRINGS A CONTINUOUS FLOW OF HEALTH CARE SERVICES DESIGNED TO ENSURE THAT PATIENTS RECEIVE CARE THAT MEETS THEIR IDENTIFIED NEEDS. PATIENT CARE ENCOMPASSES WELLNESS AND PREVENTION, RECOGNITION OF DISEASE AND HEALTH PROBLEMS, PATIENT TEACHING, PATIENT ADVOCACY, SPIRITUALITY, AND RESEARCH THROUGHOUT THE CONTINUUM. THIS CARE IS DELIVERED THROUGH ORGANIZED AND SYSTEMATIC PROCESSES DESIGNED TO ENSURE SAFE, EFFECTIVE AND TIMELY CARE AND TREATMENT. DUE TO THE WAY THE HEALTH CARE SYSTEM MANAGES CARE, CENTRA CONTINUES TO MOVE TO A HIGHER LEVEL BY EVALUATING SPECIFIC PATIENT OUTCOMES AND PARTICIPATING IN VOLUNTARY NATIONAL CERTIFICATION PROGRAMS THAT EXAMINE PROCESSES AND PROFICIENCY. CENTRA IS A MAJOR PARTNER IN THE HEALTH OF ITS REGIONAL POPULATION AND TAKES GREAT PRIDE IN PROVIDING THE FACILITIES, RESOURCES, EXPERTISE, AND PEOPLE TO IMPROVE THE HEALTH AND WELLNESS OF THE PEOPLE OF CENTRAL VIRGINIA. FOR EXAMPLE, CENTRA HAS BEEN INSTRUMENTAL IN ESTABLISHING AND SUPPORTING MEDICAL CLINICS FOR THE UNDERSERVED POPULATION. THESE INCLUDE SERVICES FOR PREGNANT WOMEN AND CHILDREN WHO OTHERWISE MAY NOT RECEIVE CRITICAL PREVENTIVE CARE. CENTRA ALSO DONATES LABORATORY TESTING, RADIOLOGY SERVICES AND EQUIPMENT. MULTIDISCIPLINARY TEAMS, INCLUDING PHYSICIANS FROM CENTRA PRACTICES AND EXPERTS IN LONG-TERM CARE AND REHABILITATION, OFFER PROFESSIONAL HEALTH EDUCATION CLASSES, LECTURES, SEMINARS, HEALTH FAIRS AND HEALTH SCREENINGS. THE HEALTH CARE SYSTEM ALSO PARTNERS WITH COMMUNITY ORGANIZATIONS TO CO-SPONSOR DOZENS OF REGIONAL EVENTS. IN ADDITION, DIETITIANS, DIABETIC INSTRUCTORS AND OTHER CENTRA PROFESSIONALS PROVIDE ONE-ON-ONE HEALTH COUNSELING AND EDUCATION FOR HOSPITAL AND SYSTEM PATIENTS. THE HEALTH CARE SYSTEM OFFERS A HEALTH CARE CAREERS CAMP FOR TEENAGERS. STUDENTS GAIN HANDS-ON EXPERIENCE, ENJOY A TOUR OF THE HOSPITALS HELICOPTER AND HANGAR AND ARE EXPOSED TO MANY CAREER OPPORTUNITIES. CENTRA DISTRIBUTES A WEALTH OF PRINTED AND ONLINE HEALTH INFORMATION THROUGH ITS PUBLICATIONS, MEDIA STORIES AND INTERACTIVE WEBSITE. THIS INFORMATION IS PRODUCED SPECIFICALLY FOR THE REGIONAL POPULATION AND TO MEET IDENTIFIED NEEDS. AS THE SOLE HEALTH CARE SYSTEM IN ITS SERVICE AREA, CENTRA USES ITS HOSPITAL-BASED RESOURCES AS A VALUABLE VEHICLE FOR MANAGING AND PROMOTING HEALTH CARE AS PART OF ITS NONPROFIT MISSION.
PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA
Schedule H (Form 990) 2020
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