BEDFORD MEMORIAL HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: BEDFORD MEMORIAL HOSPITAL (EIN 54-0566100)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202433209349326778
Schema version: 2023v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T18:20:14-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BDO USA	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8401 GREENSBORO DRIVE 800	AddressLine1Txt
City	MCLEAN	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540566100	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BEDFORD MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% STACEY VAUGHT	InCareOfNm
Business Name Control	BEDF	BusinessNameControlTxt
Phone	5404257603	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1613 OAKWOOD STREET	AddressLine1Txt
City	BEDFORD	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24523	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ROBERT TONKINSON	PersonNm
Person Title	SVP CFO	PersonTitleTxt
Phone	4342004708	PhoneNum
Signature	2024-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Marc Berger	PreparerPersonNm
PTIN	P01871563	PTIN
Phone	7038930600	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STACY VAUGHT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1613 OAKWOOD STREET	AddressLine1Txt
City	BEDFORD	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24523	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$53,291,187	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.centrahealth.com/bmh	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1957	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SURGERY, EMERGENCY, GERIATRIC AND REHABILITATIVE SERVICES.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	418	TotalEmployeeCnt
Total Volunteers	59	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$564,781	PYContributionsGrantsAmt
CY Contributions Grants	$103,496	CYContributionsGrantsAmt
PY Program Service Revenue	$47,845,435	PYProgramServiceRevenueAmt
CY Program Service Revenue	$51,613,050	CYProgramServiceRevenueAmt
PY Investment Income	-$4,280	PYInvestmentIncomeAmt
CY Investment Income	$1,200	CYInvestmentIncomeAmt
PY Other Revenue	$1,534,927	PYOtherRevenueAmt
CY Other Revenue	$1,574,641	CYOtherRevenueAmt
PY Total Revenue	$49,940,863	PYTotalRevenueAmt
CY Total Revenue	$53,292,387	CYTotalRevenueAmt
PY Grants And Similar Paid	$654	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,260	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$20,661,336	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$21,450,909	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$24,180,219	PYOtherExpensesAmt
CY Other Expenses	$23,434,591	CYOtherExpensesAmt
PY Total Expenses	$44,842,209	PYTotalExpensesAmt
CY Total Expenses	$44,886,760	CYTotalExpensesAmt
PY Revenues Less Expenses	$5,098,654	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,405,627	CYRevenuesLessExpensesAmt
Total Assets BOY	$41,836,048	TotalAssetsBOYAmt
Total Assets EOY	$36,484,228	TotalAssetsEOYAmt
Total Liabilities BOY	$4,350,345	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,792,898	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$37,485,703	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$33,691,330	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF BEDFORD MEMORIAL HOSPITAL, A 501(C)(3) HOSPITAL, IS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. (CONTINUED ON SCHEDULE O)	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$33,214,832	ExpenseAmt
Grant	$1,260	GrantAmt
Revenue	$52,958,481	RevenueAmt
Desc	BEDFORD MEMORIAL HOSPITAL EXISTS TO SERVE THE HEALTHCARE NEEDS OF ITS COMMUNITY, REGARDLESS OF PATIENT ABILITY TO PAY. BEDFORD'S ACUTE HOSPITAL ADMITTED 1,182 PATIENTS DURING 2023 AND PROVIDED 5,026 DAYS OF CARE DURING THE YEAR. HOSPITAL PROGRAMS INCLUDE PROVISION OF NURSING CARE; EXTENSIVE INPATIENT AND OUTPATIENT SURGICAL AND ENDOSCOPIC SERVICES; AND DIAGNOSTIC IMAGING SERVICES INCLUDING CT, MRI, AND MAMMOGRAPHY. BEDFORD PROVIDES A NUMBER OF SERVICES TARGETING THE SPECIFIC HEALTH NEEDS OF ITS POPULATION, INCLUDING DIABETES MANAGEMENT; HOME HEALTH AND HOSPICE CARE; PHYSICAL, SPEECH, AND OCCUPATIONAL THERAPY PROGRAMS; AN ADULT DAY CARE CENTER; AND CARDIAC AND RESPIRATORY REHAB. BEDFORD ALSO PROVIDES AN EMERGENCY DEPARTMENT WITH 24-HOUR CARE, EMERGENCY TRANSPORTATION, AND A CHEST PAIN AND STROKE PROGRAM. WITH 23,280 VISITS DURING 2023, BEDFORD'S EMERGENCY DEPARTMENT SERVICES ARE A CRITICAL COMPONENT OF THE HEALTH SAFETY NET IN ITS SERVICE AREA, ACTING AS A KEY HEALTH PROVIDER FOR A SIGNIFICANT NUMBER OF UNINSURED PATIENTS. 2023 COMMUNITY BENEFIT HIGHLIGHTS . IN FURTHERANCE OF ITS MISSION, BEDFORD PROVIDED EXTENSIVE UNCOMPENSATED CARE DURING 2023, $1,864,763 IN CHARGES AT AN ESTIMATED COST OF $409,659WAS CONTRIBUTED AS TRADITIONAL CHARITY CARE TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. ELIGIBILITY FOR CHARITY CARE IS BASED ON POVERTY INCOME LEVELS SET BY THE STATE. . CHARGES OF $6,107,887, AT AN ESTIMATED COST OF $1,344,767 WAS CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. . LOSS FROM MEDICARE BASED ON COST TO CHARGE RATIO TOTALED $1,216,168. IN 2023, CENTRA BEDFORD MEMORIAL HOSPITAL CONTINUED ITS COMMITMENT TO STRONG PARTNERSHIPS AND ENGAGEMENT WITHIN THE BEDFORD AREA. CBMH AWARDED $131,000 IN GRANTS AND SPONSORSHIPS TO COMMUNITY ORGANIZATIONS. AS IN PREVIOUS YEARS, CENTRA'S COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDED INSIGHT AND DIRECTION ON WHERE TO FOCUS OUR EFFORTS AS COMMUNITY PARTNERS AND ADVOCATES. ACCESS TO HEALTHCARE SERVICES, MENTAL HEALTH & SUBSTANCE USE, AND ISSUES AFFECTING CHILDREN WERE PRIORITIES IN PLANNING COMMUNITY ENGAGEMENT ACTIVITIES. VOLUNTEERS IN 2023, 59 VOLUNTEERS DONATED 5,110 HOURS OF SERVICE TO OUR VOLUNTEER PROGRAM IN 2023, CENTRA BEDFORD HOSPICE EXPERIENCED A SIGNIFICANT OUTPOURING OF COMMUNITY SUPPORT THROUGH THE BEDFORD HOSPICE VOLUNTEER PROGRAM. THIS REPORT HIGHLIGHTS THE INVALUABLE CONTRIBUTION MADE BY VOLUNTEERS, HIGHLIGHTING THEIR DEDICATION, COMPASSION, AND SELFLESSNESS IN SERVING PATIENTS AND FAMILIES WITHIN THE HOSPICE PROGRAM. THROUGH OUT THE YEAR, BEDFORD HOSPICE VOLUNTEERS GENEROUSLY DONATED 3,245.03 HOURS OF THEIR TIME TO SUPPORT THE PROGRAM, EXTENDING THEIR COMMITMENT TO VARIOUS ESSENTIAL TASKS, INCLUDING MEAL AND MEDICATION DELIVERY, PATIENT INTERACTION, AND EMOTIONAL SUPPORT THROUGH PHONE CALLS, HOME VISITS, CARD SENDING, AND CRAFTING BLANKETS AND NECK PILLOWS. THE PROGRAM ALSO HONORS HOSPICE VETERANS WITH A SPECIAL PINNING CEREMONY, AND VOLUNTEERS PROVIDE OFFICE SUPPORT TO HOSPICE STAFF. ADDITIONALLY, VOLUNTEERS COLLECTIVELY DONATED 26,985 MILES BY DRIVING THEIR OWN CARS TO PROVIDE HOSPICE SERVICES. THE COLLECTIVE EFFORTS OF BEDFORD HOSPICE VOLUNTEERS IN 2023 RESULTED IN SUBSTANTIAL COST SAVINGS FOR CENTRA BEDFORD HOSPICE. BY VOLUNTEERING THEIR TIME AND RESOURCES, THESE INDIVIDUALS CONTRIBUTED TO A TOTAL SAVINGS OF $73,547.81 FOR CENTRA HOSPICE. THIS SIGNIFICANT FINANCIAL BENEFIT UNDERSCORES THE INDISPENSABLE ROLE PLAYED BY VOLUNTEERS IN SUPPLEMENTING THE HOSPITAL'S OPERATIONS AND DELIVERING ESSENTIAL SERVICES TO THE COMMUNITY. THE FOLLOWING IS A LIST OF COMMUNITY BENEFIT PROGRAMS/EVENTS AND NUMBER OF PARTICIPANTS. . BABY SITTING CLASSES-1 EVENT, 10 PARTICIPANTS . CANCER EDUCATION (ALL) - 3 EVENTS, 10 PARTICIPANTS . CPR/FIRST AID CLASSES-1 EVENT . MENTAL HEALTH/DEPRESSION EDUCATION -1 EVENT, 20 PARTICIPANTS . SENIORS EDUCATION AND OUTREACH - 7 EVENTS, 370 PARTICIPANTS . SPEAKERS BUREAU (HEALTH TOPICS)-1 EVENT, 32 PARTICIPANTS IN 2023, THE TOTAL COMMUNITY BENEFIT REALIZED FOR BEDFORD MEMORIAL HOSPITAL WAS $35,775.	Desc
Total Program Service Expenses	$33,214,832	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	6	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	418	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	STACEY VAUGHT	PersonNm
Phone	5404257603	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1613 OAKWOOD STREET	AddressLine1Txt
City	BEDFORD	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24523	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
AMY CARRIER
CENTRA PRESIDENT/CEO	2.0	50.0	Yes (X)	$0	$1,283,620	$275,838
HOLLY TRENT
DIRECTOR/SECRETARY & TREASURER	2.0	50.0	Yes (X)	$0	$742,221	$74,595	Yes (X)
DARLENE NIGRO
DIRECTOR	2.0	50.0	Yes (X)	$0	$365,187	$53,370
WILLIAM BASS JR
VP & BMH CEO	50.0	0.0		$281,386	$0	$15,115	Yes (X)
TARA ANGE
RN ACUTE CARE WEO A	50.0	0.0		$131,429	$0	$48,954		Yes (X)
MEGAN HORTON
MANAGER PHARMACY OPERATIONS	50.0	0.0		$166,847	$0	$11,557		Yes (X)
STACEY VAUGHT
CNO & INTERIM HOSP. PRESIDENT	50.0	0.0	Yes (X)	$169,250	$0	$5,008	Yes (X)
KATHRYN RIDILLA
PHARMACIST	50.0	0.0		$150,173	$0	$9,438		Yes (X)
SARAH KURTZ
DIRECTOR SURGICAL SERVICES	50.0	0.0		$143,376	$0	$10,864		Yes (X)
GINGER MCCALL
SUPERVISOR ADMINISTRATIVE	50.0	0.0		$130,580	$0	$286		Yes (X)
CYNTHIA GUNNOE
CHAIR	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
MARY ZIRKLE
VICE CHAIR	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
DAVID SENSENIG
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
RHETTA WATKINS
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
JANICE LUTH
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
TIMOTHY HAYDEN
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
LEE ANN CALVERT
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
ROBERT FEUERSTEIN DO
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0
EDWARD D HUFF JR
DIRECTOR	2.0	0.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,173,041	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,391,028	TotReportableCompRltdOrgAmt
Total Other Compensation	$505,025	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	20	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
WEBBS OIL COMPANY INC
8223 RESERVOIR ROAD	ROANOKE	VA	24019	OIL SERVICES	$285,642
PATHOLOGY CONSULTANTS
1914 THOMSON DRIVE	LYNCHBURG	VA	24501	PATHOLOGY SVCS	$181,145

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
Related Organizations	$61,202	RelatedOrganizationsAmt
Government Grants	$42,294	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Total Contributions	$103,496	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES REVENUE	621400	$51,470,471	$51,470,471
ANCILLARY SERVICES	900099	$142,579	$142,579

Field	Value	IRS element (for citing)
Total Program Service Revenue	$51,613,050	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$229,210	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$229,210	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$229,210	TotalRevenueColumnAmt
Exclusion	$229,210	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	-$1,200	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$1,200	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,200	TotalRevenueColumnAmt
Exclusion	$1,200	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISC INCOME	900099	$1,158,498	$1,158,498
CAFETERIA	900099	$186,933	$186,933

Field	Value	IRS element (for citing)
Other Revenue Total	$1,345,431	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$53,292,387	TotalRevenueColumnAmt
Related Or Exempt Func Income	$52,958,481	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$230,410	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,260	TotalAmt
Program Services	$1,260	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,404,435	TotalAmt
Program Services	$803,616	ProgramServicesAmt
Management And General	$600,819	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$16,502,625	TotalAmt
Program Services	$14,829,463	ProgramServicesAmt
Management And General	$1,673,162	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$439,787	TotalAmt
Program Services	$384,521	ProgramServicesAmt
Management And General	$55,266	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,790,121	TotalAmt
Program Services	$1,533,508	ProgramServicesAmt
Management And General	$256,613	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,313,941	TotalAmt
Program Services	$1,125,588	ProgramServicesAmt
Management And General	$188,353	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$152,023	TotalAmt
Program Services	$55,892	ProgramServicesAmt
Management And General	$96,131	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,788	TotalAmt
Management And General	$2,788	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,218,980	TotalAmt
Program Services	$6,146,466	ProgramServicesAmt
Management And General	$72,514	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$18,548	TotalAmt
Program Services	$11,032	ProgramServicesAmt
Management And General	$7,516	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,375,394	TotalAmt
Program Services	$1,173,159	ProgramServicesAmt
Management And General	$202,235	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$27,243	TotalAmt
Program Services	$6,020	ProgramServicesAmt
Management And General	$21,223	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,490,095	TotalAmt
Program Services	$1,087,425	ProgramServicesAmt
Management And General	$402,670	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$68,086	TotalAmt
Program Services	$65,283	ProgramServicesAmt
Management And General	$2,803	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$26,626	TotalAmt
Program Services	$7,855	ProgramServicesAmt
Management And General	$18,771	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,320,781	TotalAmt
Program Services	$1,239,290	ProgramServicesAmt
Management And General	$81,491	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$479,917	TotalAmt
Program Services	$1,175	ProgramServicesAmt
Management And General	$478,742	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
OVERHEAD ALLOCATION	$7,489,207	$7,489,207
MED/SURG ROUTINE	$2,791,806	$4,842	$2,786,964
DRUGS	$1,791,248	$126	$1,791,122
BAD DEBT EXPENSE	$128,774		$128,774

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$53,075	TotalAmt
Program Services	$36,419	ProgramServicesAmt
Management And General	$16,656	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$44,886,760	TotalAmt
Program Services	$33,214,832	ProgramServicesAmt
Management And General	$11,671,928	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,494,907	BOYAmt
EOY	$420,288	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,740,464	BOYAmt
EOY	$10,990,669	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$920,872	BOYAmt
EOY	$796,301	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$22,519	BOYAmt
EOY	$56,576	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$39,623,141	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$19,387,203	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$20,350,709	BOYAmt
EOY	$20,235,938	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,577,789	BOYAmt
EOY	$2,577,789	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,728,788	BOYAmt
EOY	$1,406,667	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,836,048	BOYAmt
EOY	$36,484,228	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,343,816	BOYAmt
EOY	$2,312,044	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,006,529	BOYAmt
EOY	$480,854	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,350,345	BOYAmt
EOY	$2,792,898	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$37,485,703	BOYAmt
EOY	$33,691,330	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$37,485,703	BOYAmt
EOY	$33,691,330	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$41,836,048	BOYAmt
EOY	$36,484,228	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,405,627	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$12,200,000	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,150,295	OtherCostOrOtherBasisAmt
Book Value	$2,150,295	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,302,842	OtherCostOrOtherBasisAmt
Depreciation	$7,550,861	DepreciationAmt
Book Value	$14,751,981	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,098,631	OtherCostOrOtherBasisAmt
Depreciation	$925,869	DepreciationAmt
Book Value	$172,762	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,148,049	OtherCostOrOtherBasisAmt
Depreciation	$10,910,473	DepreciationAmt
Book Value	$2,237,576	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$923,324	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$923,324	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$20,235,938	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OTHER LIABILITIES	Desc
Amt	$480,854	Amt

Field	Value	IRS element (for citing)
Total Liability	$480,854	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	BEDFORD MEMORIAL HOSPITAL IS INCLUDED IN CENTRA HEALTH, INC'S CONSOLIDATED AUDIT REPORT FOR YEAR ENDED DECEMBER 31, 2023. THE FOLLOWING FOOTNOTE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN 48) IS FOUND IN THIS CONSOLIDATED REPORT. CENTRA HEALTH, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD ARE EXEMPT FROM INCOME TAX UNDER SECTION 501 (A) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS EXCEPT FOR TAXES RELATED TO CERTAIN UNRELATED BUSINESS INCOME ENGAGED IN BY CENTRA. CENTRA MEDICAL GROUP, LLC, CHIC, CENTRA SPECIALTY HOSPITAL, CVQCN, OUTPATIENT REHAD, AND CVI ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER CENTRA'S TAX RETURN. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARIES, GBC, PCHP HOLDING, INC. AND PCHP. UNDER THE ASSET-AND-LIABILITY METHOD FOR THESE STANDARDS, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASIS OF THE SUBSIDIARY'S ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATONS AS OF DECEMBER 31, 2023. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2020.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	false	FinancialAssistanceBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$409,658	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$409,658	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,667,540	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,877,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,077,198	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,877,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$409,658	NetCommunityBenefitExpnsAmt
Total Expense	0.00910	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,111	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$32,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,921	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,091	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,091	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,123	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$63,123	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,140,321	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,877,722	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$472,781	NetCommunityBenefitExpnsAmt
Total Expense	0.01050	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	15	PersonsServedCnt
Total Community Benefit Expns	$710	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$710	NetCommunityBenefitExpnsAmt
Total Expense	0.02000	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	105	PersonsServedCnt
Total Community Benefit Expns	$780	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$780	NetCommunityBenefitExpnsAmt
Total Expense	0.02000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	117	ActivitiesOrProgramsCnt
Persons Served	2716	PersonsServedCnt
Total Community Benefit Expns	$24,793	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,793	NetCommunityBenefitExpnsAmt
Total Expense	0.69000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	48	ActivitiesOrProgramsCnt
Persons Served	640	PersonsServedCnt
Total Community Benefit Expns	$5,324	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,324	NetCommunityBenefitExpnsAmt
Total Expense	0.15000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	309	PersonsServedCnt
Total Community Benefit Expns	$4,167	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,167	NetCommunityBenefitExpnsAmt
Total Expense	0.12000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	187	ActivitiesOrProgramsCnt
Persons Served	3785	PersonsServedCnt
Total Community Benefit Expns	$35,774	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$35,774	NetCommunityBenefitExpnsAmt
Total Expense	1.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,107,887	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,341,804	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$9,913,632	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,129,800	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,216,168	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BEDFORD MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1613 OAKWOOD STREET	AddressLine1Txt
City	BEDFORD	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24523	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.centrahealth.com/bmh	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BEDFORD MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.centrahealth.com/bmh	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.centrahealth.com/bmh	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.centrahealth.com/bmh	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.centrahealth.com/bmh	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.centrahealth.com/bmh	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5:	THE COMPLETION OF BOTH THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND SUCCESSFUL EXECUTION OF THE ASSOCIATED IMPLEMENTATION PLAN ENSURES COMPLIANCE WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 WHICH IS PROMULGATED IN REGULATION BY THE INTERNAL REVENUE AS DOCUMENTED ANNUALLY IN CENTRA'S FORM 990-SCHEDULE H. IN 2022, THE 2022-2025 CENTRA BEDFORD MEMORIAL HOSPITAL IMPLEMENTATION PLAN WAS PREPARED TO COMPLY WITH FEDERAL TAX LAW REQUIREMENTS SET FORTH BY THE DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE, 26 CFR PARTS 1 AND 53 AND REFLECTS THE FINAL RULES ISSUED ON DECEMBER 31, 2014. THIS IMPLEMENTATION PLAN DESCRIBES CENTRA BEDFORD MEMORIAL HOSPITAL'S PLANNED RESPONSE TO THE NEEDS IDENTIFIED IN THE 2021 BEDFORD AREA CHNA. FOR INFORMATION ABOUT THE 2021 CHNA PROCESS AND THE 2022-2025 IMPLEMENTATION PLAN AND FOR A COPY OF THE REPORT PLEASE VISIT HTTPS://WWW.CENTRAHEALTH.COM/COMMUNITY-RESOURCES/COMMUNITY-HEALTH#CHNA. CENTRA DEFINES ITS TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN AS A CONTINUOUS PROCESS FOR EVALUATING THE HEALTH NEEDS OF THE COMMUNITIES SERVED. IT IS USED TO SUPPORT THE SYSTEM'S MISSION WHICH IS "TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE". IN 2022, CENTRA COMPLETED A STRATEGIC PLANNING PROCESS AND BOTH THE CHNA AND IMPLEMENTATION PLAN WERE USED TO HELP INFORM THE DESIGN AND EXECUTION OF NEW SERVICES, PROGRAMS, AND PARTNERSHIPS IN RESPONSE TO IDENTIFIED UNMET COMMUNITY HEALTH NEEDS. LASTLY, THE CH NA AND IMPLEMENTATION PLAN ARE USED TO GUIDE THE ACTIONS OF CENTRA'S BOARD OF DIRECTORS' COMMUNITY BENEFIT COMMITTEE, WHICH IS RESPONSIBLE FOR ENSURING CENTRA MEETS THE REQUIREMENTS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE THUS MAINTAINING ITS NON-PROFIT STATUS.
SCHEDULE H, PART V, SECTION B, LINE 7D:	HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS.
PART V, SECTION B, LINE 11:	DURING THE THREE-MONTH PERIOD, CENTRA BEDFORD MEMORIAL HOSPITAL'S VP & CEO AND CHIEF NURSING OFFICER MET WITH THEIR LEADERSHIP TEAMS TO IDENTIFY GOALS AND STRATEGIES FOR THE 2022-2025 IMPLEMENTATION PLAN. IN ADDITION, THEY ENGAGED WITH KEY COMMUNITY STAKEHOLDERS AND LEADERS SERVING THE BEDFORD AREA TO DETERMINE COLLABORATIVE OPPORTUNITIES AND AVAILABLE RESOURCES THAT WILL SUPPORT THE GOALS AND STRATEGIES OF THE PLAN. THE PRIORITY NEEDS TO BE ADDRESSED BY CENTRA BEDFORD MEMORIAL HOSPITAL AND THE 2022-2025 IMPLEMENTATION PLAN TO MEET THOSE NEEDS FOLLOWS. PRIORITY AREAS OF NEED: . ACCESS TO HEALTHCARE SERVICES* . MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES* . ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE; CHILD ABUSE/NEGLECT ACCESS TO HEALTHCARE AND MENTAL HEALTH/SUBSTANCE USE SERVICES CONTINUE TO BE TWO OF THE TOP PRIORITY AREAS THROUGHOUT THE ENTIRE CENTRA FOOTPRINT. AS THE LARGEST HEALTH SYSTEM IN THE REGION, CENTRA WILL CONTINUE TO LEAD EFFORTS TO IMPROVE ACCESS TO CARE WHILE WORKING TO DETERMINE WHAT "ACCESS" MEANS IN OUR COMMUNITIES (I.E., COST, AFTER-HOURS CLINICS, GEOGRAPHIC DISTANCE TO SERVICES, TYPE OF SERVICE, LANGUAGE SERVICES, ETC.). THE GLOBAL PANDEMIC HAS RESULTED IN INCREASED BARRIERS TO ACCESSING CHILDCARE SERVICES INCLUDING A LACK OF PROVIDERS IN THE BEDFORD AREA. IN THE 2021 BEDFORD AREA COMMUNITY HEALTH SURVEY, 32% OF RESPONDENTS RANKED CHILDCARE AS THE MOST DIFFICULT SOCIAL/SUPPORT RESOURCE TO GET AND 30% RANKED CHILD ABUSE/NEGLECT AS THE MOST IMPORTANT HEALTH FACTOR ISSUE THAT IMPACTS THE HEALTH OF OUR COMMUNITY. *PRIORITY AREAS OF NEED THAT WILL BE ADDRESSED ACROSS THE ENTIRE CENTRA SERVICE REGION PRIORITY NEEDS NOT ADDRESSED SPECIACALLY IN THE IMPLEMENTATION PLAN ALTHOUGH CENTRA BEDFORD MEMORIAL HOSPITAL (CBMH) DID NOT INCLUDE ALL THE TOP 10 AREAS OF NEED FOR THE BEDFORD REGION, MANY OF OUR PARTNERS IN THE COMMUNITY ARE ADDRESSING THEM. CBMH WILL HAVE REPRESENTATION IN THESE EFFORTS INCLUDING THE BEDFORD AREA RESOURCE COUNCIL (BARC) WORK GROUPS AND WILL COLLABORATE WITH THESE PARTNERS TO ENSURE THERE IS ONGOING COMMUNICATION AND TRACKING OF THESE EFFORTS. OF THE TOP TEN PRIORITY NEEDS IDENTIFIED IN THE 2021 BEDFORD AREA COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIFIC GOALS AND STRATEGIES IN THE IMPLEMENTATION PLAN WERE NOT DEVELOPED FOR THE FOLLOWING: - TRANSPORTATION: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE BEDFORD RIDE; OTTER BUS; FAITH-BASED ORGANIZATIONS; BARC; AND THE BEDFORD COMMUNITY HEALTH FOUNDATION. - AGING AND ELDERCARE: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE CENTRAL VIRGINIA AREA ON AGING; CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING; MEALS ON WHEELS; AND BARC. - CHRONIC_DISEASE: BY THE NATURE OF OUR WORK, CBMH ADDRESSES THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE WITH OUR PATIENTS. COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE VIRGINIA COOPERATIVE EXTENSION; CENTRAL VIRGINIA HEALTH DISTRICT; FREE CLINIC OF CENTRAL VIRGINIA; JOHNSON HEALTH CENTER; AND THE COMMUNITY ACCESS NETWORK. - EMPLOYMENT/JOB ASSISTANCE: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE VIRGINIA CAREER WORKS; GOODWILL OF THE VALLEYS; AND BARC. - FINANCIAL STABILITY: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE BANK OF THE JAMES. - HOUSING: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE BEDFORD AREA HOUSING COALITION- BARC. - DENTAL CABE & DENTALEBQBLEMS: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE FREE CLINIC OF CENTRAL VIRGINIA AND JOHNSON HEALTH CENTER.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
BEDFORD ADULT DAY CARE CENTER
1617 OAKWOOD STREET	BEDFORD	VA	24523	ADULT DAY CARE
BEDFORD HOSPICE
1621 WHITFIELD DRIVE	BEDFORD	VA	24523	HOSPICE SERVICES

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	INFORMATION ON COMMUNITY BENEFITS IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC., SOLE MEMBER OF BEDFORD MEMORIAL HOSPITAL.
PART I, LINE 7:	THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE.
PART II:	IN 2023, CENTRA BEDFORD MEMORIAL HOSPITAL CONTINUED ITS COMMITMENT TO STRONG PARTNERSHIPS AND ENGAGEMENT WITHIN THE BEDFORD AREA. CBMH AWARDED $131,000 IN GRANTS AND SPONSORSHIPS TO COMMUNITY ORGANIZATIONS. AS IN PREVIOUS YEARS, CENTRA'S COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDED INSIGHT AND DIRECTION ON WHERE TO FOCUS OUR EFFORTS AS COMMUNITY PARTNERS AND ADVOCATES. ACCESS TO HEALTHCARE SERVICES, MENTAL HEALTH & SUBSTANCE USE, AND ISSUES AFFECTING CHILDREN WERE PRIORITIES IN PLANNING COMMUNITY ENGAGEMENT ACTIVITIES. IN THE AREA OF ACCESS TO HEALTHCARE: WE PARTNERED WITH THE TOWN OF BEDFORD ECONOMIC DEVELOPMENT TO OFFER SEVERAL COMMUNITY EDUCATION DAYS THROUGHOUT THE YEAR, INCLUDING BLOOD PRESSURE AWARENESS, BREAST CANCER AWARENESS, INFECTION PREVENTION, AND ELDERCARE SERVICES. CBMH ALSO HOSTED A FREE SKIN CANCER SCREENING IN PARTNERSHIP WITH CMG AND LOCAL DERMATOLOGISTS, AS WELL AS SEVERAL BLOOD DRIVES FOR THE AMERICAN RED CROSS. IN THE AREA OF MENTAL HEALTH & SUBSTANCE USE: OUR CURRENT HOSPITAL PRESIDENT FORMED AN INTERDISCIPLINARY COMMITTEE THAT SERVES AS BEDFORD'S MENTAL HEALTH COLLABORATIVE. THE GROUP INCLUDES CBMH LEADERS, LOCAL LAW ENFORCEMENT, FIRE & RESCUE, SAFETY NET PRIMARY CARE, SOCIAL SERVICES, AND MENTAL HEALTH PROVIDERS. THIS TEAM MEETS MONTHLY TO EVALUATE FIRST RESPONSE CARE AND PROCESSES OF THOSE EXPERIENCING A MENTAL HEALTH CRISIS. THE COMMITTEE THEN DISCUSSES BEST PRACTICES WHEN RESPONDING TO MENTAL HEALTH EMERGENCIES. CBMH PARTNERED WITH THE LOCAL COOPERATIVE EXTENSION OFFICE TO OFFER TWO MENTAL HEALTH FIRST AID TRAININGS TO THE COMMUNITY (AND STAFF). CBMH PARTNERED WITH HORIZON BEHAVIORAL HEALTH TO OFFER A RAPID REVIVE NARCAN TRAINING ON SITE FOR ALL CENTRA STAFF. OVER 50 CENTRA CAREGIVERS WERE TRAINED AND PROVIDED WITH NARCAN NASAL SPRAY THAT CAN REVERSE OPIOID OVERDOSE. DURING 2023, CBMH CHAPLAIN BEGAN OFFERING STAFF SUPPORT GROUPS AS A WAY TO ENCOURAGE CONNECTION AND COPING WITH STRESS, BOTH PERSONAL AND WORK RELATED. CBMH EXECUTIVE LEADERSHIP JOINED "ALL IN: CARING FOR VIRGINIA'S CAREGIVERS", AN ORGANIZATION DEDICATED TO IMPROVING MENTAL HEALTH SERVICES TO CAREGIVERS. IN THE AREA OF ISSUES EFFECTING CHILDREN: CBMH BECAME A RESPONDER FOR A NEW PROGRAM CALLED CARE PORTAL. PROVIDED BY PATRICK HENRY FAMILY SERVICES, CARE PORTAL IS A VIRTUAL NETWORK OF ORGANIZATIONS DEDICATED TO RESPONDING TO THE IMMEDIATE NEEDS OF FAMILIES IN CRISIS WHILE ALSO COLLABORATING WITH LOCAL FAITH COMMUNITIES TO OFFER LONG TERM SUPPORT THROUGH RELATIONSHIP. THE RESULT IS SYSTEMIC CHANGE THAT HELPS FAMILIES ESCAPE THE CYCLE OF POVERTY. WE ALSO PROVIDED FUNDING FOR PHFS KINSHIP NAVIGATOR, WHICH PROVIDES TRAINING FOR NEW FOSTER PARENTS. THE SOUTHERN VIRGINIA INTERNET CRIMES AGAINST CHILDREN UNIT CAME TO CBMH AND GAVE A ONE-HOUR PRESENTATION/TRAINING FOR STAFF AND COMMUNITY. THE COMMANDER OF ICAC UNIT PRESENTED IN-DEPTH INFORMATION AND STATISTICS ABOUT THE DANGERS OF UNSUPERVISED INTERNET ACCESS TO CHILDREN, INCLUDING INFORMATION ABOUT CHILD SEX TRAFFICKING, INTERNET CHILD PREDATORS, AND THE EFFECTS OF THIS UPON CHILDREN IN THEIR MENTAL AND EMOTIONAL DEVELOPMENT. CBMH HELD A SAFE SITTER BABYSITTING TRAINING FOR 15 MIDDLE SCHOOL CHILDREN. THE 6- HOUR CLASS PROVIDES HANDS-ON INSTRUCTION IN CHILD SAFETY, FIRST AID & RESCUE, CHILDCARE ROUTINES, AND BEHAVIOR MANAGEMENT. CBMH HOSTS A YEAR-ROUND COLLECTION OF FOOD DONATIONS FOR LOCAL FOOD PANTRIES AND OUR EMERGENCY DEPARTMENT PARTNERED WITH THE LYNCHBURG DAILY BREAD TO OFFER FAMILY-SIZED MEAL KITS TO PATIENT FAMILIES IN NEED. CBMH CONTINUED PARTICIPATING IN THE BEDFORD AREA RESOURCE COUNCIL, ATTENDING MEETINGS, REPORTING ON CURRENT CHNA UPDATES, AND SERVING ON THE BARC STEERING COMMITTEE. THE BARC IS A COMMUNITY-BASED COUNCIL WITH OVER 400 INDIVIDUALS REPRESENTING LOCAL NONPROFIT ORGANIZATIONS. BARC'S MISSION IS ALSO DEVELOPED AROUND THE NEEDS OF THE COMMUNITY AS EVIDENCED BY CENTRA'S COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION TO OUR EFFORTS TO ADDRESS TOP HEALTH NEEDS, CBMH WAS ACTIVE IN LOCAL EVENTS AND ORGANIZATIONS. CBMH PARTICIPATED IN THE BEDFORD CHRISTMAS PARADE, NATIONAL NIGHT OUT, OUTDOOR ACTIVITY EVENTS SUCH AS MOUNTAIN BIKE RACES, COMMUNITY FESTIVALS, AND FUNDRAISING EVENTS SUCH AS THE PEAKS OF OTTER CHRISTMAS CLASSIC 5K, WHICH RAISES FUNDS FOR A LOCAL CANCER TREATMENT PROGRAM. CBMH ALSO SERVED ON THE BEDFORD AREA CHAMBER OF COMMERCE, THE SMITH MTN LAKE ROTARY CLUB, AND THE BEDFORD DOMESTIC VIOLENCE COALITION CBMH IS HONORED TO HAVE MANY VOLUNTEERS FROM THROUGHOUT OUR SERVICE AREA MAKING A DIFFERENCE TO OUR PATIENTS, VISITORS, AND STAFF. OUR VOLUNTEERS ARE AN INVALUABLE PART OF OUR OPERATIONS, AS THEY SERVE VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS, FRONT DESK, REGISTRATION, EMERGENCY DEPARTMENTS, TRANSPORT, ETC. IN 2023, 59 VOLUNTEERS DONATED 5,220 HOURS TO OUR VOLUNTEER PROGRAM. THESE NUMBERS INCLUDE HOURS SERVED BY HIGH SCHOOL INTERNS.
PART III, SECTION A, LINE 4:	THE ORGANIZATION BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NATURE, AMOUNT, TIMING AND UNCERTAINTY OF THESE REVENUES AND CASH FLOWS. ADJUSTMENTS TO PREVIOUS REIMBURSEMENT ESTIMATES ARE REPORTED IN NET PATIENT SERVICE REVENUES IN THE PERIODS THAT SUCH ADJUSTMENTS BECOME KNOWN. FOR THE YEARS ENDED DECEMBER 31, 2023, AND 2022, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTION PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 13) "CENTRA DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH CENTRA'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. CENTRA DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. CENTRA DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS A GROUP RATHER THAN INDIVIDUALLY. THE FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS PROVISION FOR DOUBTFUL ACCOUNTS IN OTHER OPERATING EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE PROVISION FOR DOUBTFUL ACCOUNTS WAS NOT MATERIAL FOR THE YEARS ENDED DECEMBER 31, 2023, AND 2022." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 13-14) "CONSISTENT WITH CENTRA'S MISSION, SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CENTRA HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CENTRA EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 14-15) "PATIENTS WHO MEET CENTRA'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS SUBSTANTIALLY LESS THAN ESTABLISHED RATES IN ACCORDANCE WITH CENTRA'S FINANCIAL ASSISTANCE POLICY. SINCE CENTRA DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. WHILE CHARITY CARE IS EXCLUDED FROM NET PATIENT SERVICE REVENUE, CENTRA MAINTAINS RECORDS TO IDENTIFY THE LEVEL OF CHARITY CARE IT PROVIDES. THIS INCLUDES THE AMOUNT OF CHARGES FOREGONE AND THE ESTIMATED COSTS INCURRED FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. COSTS INCURRED ARE ESTIMATED BASED ON THE RATIO OF TOTAL OPERATING EXPENSE TO GROSS CHARGES. THE ESTIMATED COST TO PROVIDE CHARITY CARE WAS APPROXIMATELY $12,257 AND $13,762 FOR 2023 AND 2022, RESPECTIVELY."(CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 15)
PART III, SECTION B, LINE 8:	THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS REGULATIONS. 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 BEDFORD MEMORIAL HOSPITAL'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 FY 2023 WAS $1,216,168.
PART III, SECTION C, LINE 9B:	BEDFORD MEMORIAL HOSPITAL 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. BEDFORD MEMORIAL HOSPITAL APPLIES UNIFORM COLLECTION PROTOCOLS TO ALL UNPAID ELIGIBLE CHARGES REGARDLESS OF RACE, SEX, AGE, DISABILITY, NATIONAL ORIGIN OR RELIGION. PATIENTS KNOWN BY CENTRA TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PROTOCOLS. IF DURING COLLECTION PROTOCOLS, OR AFTER REFERRAL TO AN OUTSIDE COLLECTION AGENCY, IT IS DISCOVERED PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY, INCLUDING ANY AND ALL EXTRAORDINARY COLLECTION EFFORT, IS IMMEDIATELY STOPPED. FINANCIAL ASSISTANCE FOR ELIGIBLE CHARGES IS AVAILABLE TO ALL CENTRA PATIENTS WHO QUALIFY BASED ON ESTABLISHED AND WIDELY PUBLISHED INCOME AND ASSET CRITERIA.
PART VI, LINE 2:	NEEDS ASSESSMENT: THE DEVELOPMENT OF THE 2022-2025 CENTRA BEDFORD MEMORIAL HOSPITAL IMPLEMENTATION PLAN OCCURRED FROM JANUARY THROUGH APRIL 2022. THESE EFFORTS WERE LED BY A LEADERSHIP TEAM COMPOSED OF KEY CENTRA EXECUTIVE LEADERS, INCLUDING THE VICE PRESIDENTS (VP)/CHIEF EXECUTIVE OFFICERS (CEO) AND CHIEF NURSING OFFICERS FOR EACH OF CENTRA'S HOSPITALS, WHO WERE INSTRUMENTAL IN THE DEVELOPMENT OF THE PLAN. THE SERVICE AREA FOR THE 2022-2025 BEDFORD AREA IMPLEMENTATION PLAN IS REFERRED TO AS THE BEDFORD AREA AND INCLUDES THE TOWN OF BEDFORD AND THE COUNTY OF BEDFORD. THE TARGET POPULATION IS DEFINED AS (1) MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE; (2) GEOGRAPHIC AREA SERVED BY THE HOSPITAL; AND (3) TARGETED POPULATIONS SERVED BY THE HOSPITAL (I.E., CHILDREN, WOMEN, SENIORS, CANCER PATIENTS). A SERIES OF THREE MEETINGS WERE HELD WITH THE LEADERSHIP TEAM AND INCLUDED THE FOLLOWING ACTIVITIES: - RANKED THE TOP THREE TO FIVE PRIORITY AREAS OF NEEDS FOR THE SERVICE AREA THAT WILL BE ADDRESSED BY CENTRA 1) IDENTIFIED POLICIES, PROGRAMS, AND RESOURCES ALREADY AVAILABLE TO ADDRESS THE NEEDS 2) IDENTIFIED ADDITIONAL RESOURCES AND PARTNERSHIPS NEEDED TO ADDRESS GAPS AND BARRIERS 3) DEVELOPED 3-YEAR GOALS TO ADDRESS THE PRIORITY NEEDS 4) DEVELOPED STRATEGIES TO SUPPORT THE GOALS AND CONSIDERED WHETHER THESE STRATEGIES WERE MEASURABLE, REALISTIC, AS WELL AS CONSIDERING ORGANIZATIONAL CAPACITY AND RESOURCES, AND OPPORTUNITIES FOR COMMUNITY COLLABORATION 5) DEVELOPED EVALUATIVE MEASURES FOR THE GOALS AND/OR STRATEGIES - IDENTIFIED WHICH PRIORITY NEEDS WILL NOT BE ADDRESSED BY CENTRA AND WHY THE PLAN WAS APPROVED BY THE CENTRA BEDFORD MEMORIAL HOSPITAL (CBMH) BOARD OF DIRECTORS AND THE CENTRA BOARD OF DIRECTORS AND WENT INTO EFFECT ON MAY 15, 2022 A SYSTEM-WIDE CENTRA LEADERSHIP TEAM MET MONTHLY FROM JANUARY TO DECEMBER 2023 TO PROVIDE UPDATES ON PLAN ACTIVITIES AND SHARE BEST PRACTICES AND RESOURCES. THE BOARD OF DIRECTORS AND THE CENTRA COMMUNITY BENEFIT COMMITTEE WERE INFORMED ON A REGULAR BASIS (AT LEAST QUARTERLY) OF THE IMPLEMENTATION PLAN PROGRESS AS WELL. 2023 IMPLEMENTATION PLAN UPDATES ACCESS TO HEALTHCARE: CENTRA BEDFORD MEMORIAL HOSPITAL (CBMH) ENHANCES ACCESS TO HEALTHCARE THROUGH ACTIVE PARTICIPATION IN THE BEDFORD AREA RESOURCE COUNCIL (BARC) AND ITS COMMITTEES TO PROVIDE EDUCATION, PROGRAMS AND SCREENINGS FOR THE RESIDENTS IN ITS SERVICE AREA. CBMH ALSO PARTICIPATES IN BEDFORD TOWN HEALTH SESSIONS. MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES: CBMH ADDRESSES MENTAL HEALTH & SUBSTANCE USE DISORDERS BY OFFERING MENTAL HEALTH FIRST AID TRAINING FOR THE COMMUNITY THROUGH A PARTNERSHIP WITH THE VIRGINIA COOPERATIVE EXTENSION. CBMH ALSO HOSTED HORIZON BEHAVIORAL HEALTH'S RAPID REVIVE NARCAN TRAINING. AN INTERDISCIPLINARY MENTAL HEALTH COLLABORATIVE FORMED TO INCLUDE CENTRA, LAW ENFORCEMENT, FIRE & RESCUE, AND MENTAL HEALTH PROVIDERS. ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE; CHILD ABUSE/NEGLECT: IN RECENT YEARS CBMH FUNDED THE PATRICK HENRY FAMILY SERVICES KINSHIP NAVIGATOR PROGRAM TO PROVIDE TRAINING FOR FOSTER PARENTS AND THE BEDFORD YMCA'S CHILDCARE CENTER.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: BEDFORD MEMORIAL HOSPITAL 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 AN APPLICATION FROM ANY REGISTRATION POINT OR CUSTOMER SERVICE UNIT, IN PERSON OR BY PHONE. SIGNS ARE POSTED IN CONSPICUOUS LOCATIONS ALERTING INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHERE TO OBTAIN ADDITIONAL INFORMATION. BROCHURES ABOUT FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN REGISTRATION AND CUSTOMER SERVICE. WHILE PATIENTS ARE HOSPITALIZED, A FINANCIAL COUNSELOR PROVIDES FINANCIAL ASSISTANCE INFORMATION, SCREENS PATIENTS FOR FEDERAL AND STATE PROGRAMS AND GIVES AN OPPORTUNITY TO ASK QUESTIONS. ADDITIONALLY, ON THE BOTTOM OF THE CURRENT STATEMENTS IS THE FOLLOWING VERBIAGE: "CAN'T PAY YOUR BILL? FINANCIAL ASSISTANCE AND FLEXIBLE PAYMENT OPTIONS ARE AVAILABLE BY CONTACTING CENTRA CUSTOMER SERVICE AT (434) 200-3777."
PART VI, LINE 4:	COMMUNITY INFORMATION: BEDFORD MEMORIAL HOSPITAL PRIMARILY SERVES APPROXIMATELY 80,848 RESIDENTS OF THE TOWN OF BEDFORD AND BEDFORD COUNTY. BEDFORD ENCOMPASSES APPROXIMATELY 769 SQUARE MILES OF PIEDMONT PLATEAU IN THE WESTERN CENTRAL PORTION OF VIRGINIA AND IS BORDERED BY THE BLUE RIDGE MOUNTAINS TO THE WEST, THE JAMES RIVER ON ITS NORTHEAST AND SMITH MOUNTAIN LAKE TO THE SOUTH. THE TERRAINE IS ROLLING AND HILLY WITH ELEVATIONS RANGING FROM 800 TO 4,200 FEET ABOVE SEA LEVEL. BEDFORD MEMORIAL HOSPITAL IS A 50-BED HOSPITAL FACILITY. ADDITIONALLY, IN 2023, 19.5% OF THE TOWN OF BEDFORD RESIDENTS HAD A BACHELOR'S DEGREE OR HIGHER AND 32.6% OF THE BEDFORD COUNTY RESIDENTS HAD A BACHELOR'S DEGREE, MUCH LESS THAN THE STATE AVERAGE OF 41.0%. IN 2023, THE TOWN OF BEDFORD HAD A MEDIAN HOUSEHOLD INCOME OF $41,154 AND BEDFORD COUNTY HAD A MEDIAN HOUSEHOLD INCOME OF $74,773, AS COMPARED TO THE STATE MEDIAN OF $87,249.AS OF2023, 26.7% OF THE TOWN OF BEDFORD POPULATION WAS LIVING IN POVERTY AND 8.4% OF THE BEDFORD COUNTY POPULATION WAS LIVING IN POVERTY COMPARED TO THE STATE AVERAGE OF 10.6%.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTH: BEDFORD MEMORIAL HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED PROVIDERS AND, IN ADDITION TO CLINICAL CARE, THE HOSPITAL WORKS TO ACHIEVE ITS MISSION THROUGH THE EDUCATION OF HEALTH PROFESSIONALS AND THE COMMUNITY. THE HOSPITAL ALSO PARTICIPATES IN NUMEROUS HEALTH FAIRS AND SCREENINGS THROUGHOUT THE COMMUNITY AT LOCAL EMPLOYERS, COLLEGES, CHURCHES, ETC., IN ORDER TO PROVIDE HEALTH SCREENINGS AND INFORMATION ON MANY HEALTH ISSUES. FOR EXAMPLE, BLOOD PRESSURE, DIABETES, PSA, CANCER SCREENINGS, ETC.
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEM: AS OF JULY 1, 2014, CENTRA HEALTH BECAME SOLE MEMBER OF BEDFORD MEMORIAL HOSPITAL. CENTRA HEALTH SERVES AS A KEY PARTNER IN MANAGING AND PROMOTING HEALTHCARE THROUGHOUT ITS SYSTEM TO ENSURE EXCELLENT CARE TO THE REGIONAL COMMUNITIES IT SERVES. BEDFORD MEMORIAL HOSPITAL'S SOLE AFFILIATION WITH CENTRA HEALTH WILL STRENGTHEN THE ORGANIZATION THROUGH AN EXCHANGE OF BEST PRACTICES AND ACCESS TO MULTIDISCIPLINARY TEAMS, INCLUDING, BUT NOT LIMITED TO, PHYSICIANS FROM CENTRA'S NETWORK OF PRACTICES AND EXPERTS IN LONG-TERM CARE AND REHABILITATION.
PART VI, LINE 7:	STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
AMY CARRIER
CENTRA PRESIDENT/CEO	$0	$958,579	$0	$300,000	$0	$25,041	$0	$243,300	$0	$32,538	$0	$1,559,458	$0	$0
HOLLY TRENT
DIRECTOR/SECRETARY & TREASURER	$0	$158,204	$0	$91,436	$0	$492,581	$0	$74,595	$0	$0	$0	$816,816	$0	$38,472
DARLENE NIGRO
DIRECTOR	$0	$343,454	$0	$20,190	$0	$1,543	$0	$9,900	$0	$43,470	$0	$418,557	$0	$0
WILLIAM BASS JR
VP & BMH CEO	$243,427	$0	$36,302	$0	$1,657	$0	$7,357	$0	$7,758	$0	$296,501	$0	$0	$0
STACEY VAUGHT
CNO & INTERIM HOSP. PRESIDENT	$159,231	$0	$9,750	$0	$269	$0	$5,008	$0	$0	$0	$174,258	$0	$0	$0
MEGAN HORTON
MANAGER PHARMACY OPERATIONS	$162,000	$0	$195	$0	$4,652	$0	$4,906	$0	$6,651	$0	$178,404	$0	$0	$0
KATHRYN RIDILLA
PHARMACIST	$149,901	$0	$195	$0	$77	$0	$4,134	$0	$5,304	$0	$159,611	$0	$0	$0
SARAH KURTZ
DIRECTOR SURGICAL SERVICES	$138,875	$0	$4,420	$0	$81	$0	$4,213	$0	$6,651	$0	$154,240	$0	$0	$0
TARA ANGE
RN ACUTE CARE WEO A	$131,124	$0	$195	$0	$110	$0	$4,246	$0	$44,708	$0	$180,383	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 4a:

THE FOLLOWING INDIVIDUALS HAD SEVERANCE DURING FY 2023. NAME TITLE AMOUNT of DEFERRAL HOLLY TRENT SVP CHIEF LEGAL OFFICER 424,053

Part I, Line 4b:

THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2023. NAME TITLE AMOUNT of DEFERRAL AMY CARRIER PRESIDENT/CEO 233,400 HOLLY TRENT SVP CHIEF LEGAL OFFICER 70,192 TOTAL 303,592 THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2023. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT HOLLY TRENT SVP CHIEF LEGAL OFFICER 68,270

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 6:	WITHIN THE HOSPITAL, VOLUNTEERS STAFF THE GIFT SHOP, GREET PATIENTS AT THE INFORMATION DESK, VISITORS LOUNGE, AND EMERGENCY DEPARTMENT; WORK WITH STUDENTS PROVIDING ACTIVITIES IN THE NURSING HOME AND FOOD AND NUTRITION STAFF; ENTER DATA FOR NUTRITIONAL SERVICES AND ASSIST STAFF IN THE FOLLOWING DEPARTMENTS: CHAPLAINS SERVICES, PHYSICAL AND OCCUPATIONAL THERAPY, SECURITY, TRANSPORT, BUSINESS OFFICE AND GIFT SHOP. FOR HOSPICE, VOLUNTEERS SIT WITH THE PATIENT SO FAMILY MEMBERS CAN RUN ERRANDS AND KEEP APPOINTMENTS. THEY ALSO PROVIDE CLERICAL SUPPORT, SOCIALIATION FOR PATIENTS IN FACILITIES, ASSIST WITH YARD WORK, AND CALL PATIENTS BEFORE THE WEEKEND TO ENSURE THEY HAVE EVERYTHING NEEDED. ASSIST WITH HEALING ARTS PROGRAM, ASSIST WITH FUNDRAISING ACTIVITIES AND COMMUNITY EVENTS. VOLUNTEER CHAPLAINS PROVIDE SERVICES AS NEEDED/ASSIGNED.
FORM 990, PART III, LINE 1:	THE MISSION OF BEDFORD MEMORIAL HOSPITAL, A 501 (C)(3) HOSPITAL, IS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL IS COMMITTED TO A COMMON PURPOSE OF BETTER PATIENT CARE, BETTER COMMUNITY HEALTH AND LOWER COSTS. THE 50-BED HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SURGERY, EMERGENCY, GERIATRIC AND REHABILITATIVE SERVICES, AND IS DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITY IT SERVES BY PROVIDING HIGH QUALITY HEALTHCARE.
FORM 990, PART VI, SECTION A, LINE 6:	CENTRA HEALTH, INC, A CHARITABLE TAX-EXEMPT HEALTHCARE ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A & 7B:	CENTRA HEALTH, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND THEREFORE HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF BEDFORD'S GOVERNING BODY AND APPROVE DECISIONS MADE BY BEDFORD'S BOARD.
FORM 990, PART VI, SECTION B, LINE 11B:	THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. COPIES OF FORM 990 WERE PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS AND ANY QUESTIONS RAISED BY THE BOARD OF DIRECTORS HAVE BEEN ADDRESSED.
FORM 990, PART VI, SECTION B, LINE 12C:	ALL BEDFORD MEMORIAL HOSPITAL OFFICERS, DIRECTORS, AND KEY EMPLOYEES, MUST COMPLETE A 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, DIRECTORS, AND KEY EMPLOYEES MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF BEDFORD MEMORIAL HOSPITAL'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15:	FORM 990, PART VI, LINES 15A& 158 WERE ANSWERED AS "NO", HOWEVER, THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER'S COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S) AND COMPENSATION STUDY OR SURVEY.
FORM 990, PART VI, SECTION C, LINE 18:	PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19:	THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY UPON REQUEST AT ITS ADMINISTRATIVE OFFICE.
FORM 990, PART XI, LINE 9:	OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CONTRIBUTED CAPITAL FROM CENTRA HEALTH $(12,200,000)
FORM 990, PART XII, LINE 2C:	THE AUDIT PROCESS OF THE ORGANIZATION INCLUDING THE OVERSIGHT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR IS OVERSEEN BY THE AUDIT & COMPLIANCE COMMITTEE OF CENTRA HEALTH, INC., SOLE MEMBER AND RELATED ORGANIZATION.
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL PURCHASED SERVICE TOTAL FEES:4694975
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:755717
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN RENUMERATION TOTAL FEES:506111
FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:116065
FORM 990 PART IX LINE 11G	DESCRIPTION:CAPITATED MED CLAIMS TOTAL FEES:97644
FORM 990 PART IX LINE 11G	DESCRIPTION:CLEANING SERVICES TOTAL FEES:46764
FORM 990 PART IX LINE 11G	DESCRIPTION:COMMUNITY AWARENESS TOTAL FEES:1704

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CENTRA HEALTH INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	540715569	HEALTHCARE	VA	501(C)(3)	3	NA	false
CENTRA HEALTH FOUNDATION INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541604094	SUPPORT ORG	VA	501(C)(3)	12A	SEE PART VII	false
SOUTHSIDE COMMUNITY HOSPITAL
800 OAK STREET	FARMVILLE	VA	23901	540555201	HEALTHCARE	VA	501(C)(3)	3	SEE PART VII	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
GENERAL BUSINESS CONCERNS INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541299682	R/E PHYSICIAN	VA	CENTRA HEALTH	C Corp	$0	$0	0.00000	false
PCHP HOLDING INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541749492	HOLDING COMPA	VA	CENTRA HEALTH	C Corp	$0	$0	0.00000	false
PIEDMONT COMMUNITY HEALTH PLAN INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541755768	HEALTH INSURA	VA	CENTRA HEALTH	C Corp	$0	$0	0.00000	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART II:	FormAndLineReferenceDesc
Explanation	Col (f) Direct controlling entity: centra health, inc.	ExplanationTxt