BEDFORD MEMORIAL HOSPITAL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: BEDFORD MEMORIAL HOSPITAL (EIN 54-0566100)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-06
IRS object ID: 201843109349300009
Schema version: 2017v2.3
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-06T07:38:14-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1676 INTERNATIONAL DRIVE	AddressLine1Txt
City	McLean	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	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	% PATTI JURKUS BMH CEO	InCareOfNm
Business Name Control	BEDF	BusinessNameControlTxt
Phone	5404257601	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	PATTI JURKUS	PersonNm
Person Title	VP/CEO	PersonTitleTxt
Phone	4342004708	PhoneNum
Signature	2018-10-31	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JG White	PreparerPersonNm
PTIN	P01498698	PTIN
Phone	7032868000	PhoneNum
Preparation	2018-10-30	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	54028020183105000000	FederalOriginalSubmissionId
Federal Original Submission Id	2018-11-06	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	A7C75FBC3F6CCE8A55EA303241FEFA047BC58AA1	AtSubmissionCreationDeviceId
At Submission Filing Device Id	41105AB8FBF14702B75F527EDC7EBE4A10554F37	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PATTI JURKUS CEO	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	$37,183,868	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	11	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	491	TotalEmployeeCnt
Total Volunteers	67	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$99,130	PYContributionsGrantsAmt
CY Contributions Grants	$46,944	CYContributionsGrantsAmt
PY Program Service Revenue	$37,728,072	PYProgramServiceRevenueAmt
CY Program Service Revenue	$36,716,330	CYProgramServiceRevenueAmt
PY Investment Income	$12,751	PYInvestmentIncomeAmt
CY Investment Income	$4,633	CYInvestmentIncomeAmt
PY Other Revenue	$408,341	PYOtherRevenueAmt
CY Other Revenue	$415,961	CYOtherRevenueAmt
PY Total Revenue	$38,248,294	PYTotalRevenueAmt
CY Total Revenue	$37,183,868	CYTotalRevenueAmt
PY Grants And Similar Paid	$24,474	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$29,494	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$24,772,371	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$21,127,177	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$16,637,256	PYOtherExpensesAmt
CY Other Expenses	$19,393,480	CYOtherExpensesAmt
PY Total Expenses	$41,434,101	PYTotalExpensesAmt
CY Total Expenses	$40,550,151	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,185,807	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$3,366,283	CYRevenuesLessExpensesAmt
Total Assets BOY	$40,694,090	TotalAssetsBOYAmt
Total Assets EOY	$39,993,969	TotalAssetsEOYAmt
Total Liabilities BOY	$22,894,820	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$25,756,706	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$17,799,270	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$14,237,263	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, ATTACHMENT 1)	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$35,742,089	ExpenseAmt
Grant	$29,494	GrantAmt
Revenue	$36,716,330	RevenueAmt
Desc	BEDFORD MEMORIAL HOSPITAL EXISTS TO SERVE THE HEALTHCARE NEEDS OF ITS COMMUNITY, REGARDLESS OF PATIENT ABILITY TO PAY. BEDFORDS ACUTE HOSPITAL ADMITTED 3,322 PATIENTS DURING 2017 AND PROVIDED 5,233 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 MEMORIAL HOSPITAL IS ALSO HOME TO OAKWOOD MANOR, A LONG-TERM CARE FACILITY WHICH PROVIDED 33,632 DAYS OF SKILLED AND INTERMEDIATE CARE IN 2017. 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 16,667 VISITS DURING 2017, BEDFORDS 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. COMMUNITY BENEFIT HIGHLIGHTS * IN FURTHERANCE OF ITS MISSION, BEDFORD PROVIDED EXTENSIVE UNCOMPENSATED CARE DURING 2017, $5,082,015 IN CHARGES AT AN ESTIMATED COST OF $2,017,560 WAS 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 $3,122,553, AT AN ESTIMATED COST OF $1,239,654 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 S3,434,431. * LOSS FROM MEDICAID BASED ON COST TO CHARGE RATIO TOTALED $658,836. * DURING 2017, BEDFORD MEMORIAL HOSPITAL PROCESSED A COMBINED TOTAL OF 389 LABORATORY TESTS FOR BEDFORD CHRISTIAN FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT EXCEEDING $30,927. * BEDFORD MEMORIAL HOSPITAL SUPPORTS COMMUNITY SCREENINGS AND EDUCATION ON CHRONIC DISEASE PREVENTION AND MANAGEMENT. BEDFORD MEMORIAL HOSPITAL EMPLOYEES CONTINUALLY OFFER SUPPORT TO THE COMMUNITY VIA PROFESSIONAL HEALTH EDUCATION ON CHRONIC DISEASE PREVENTION AND MANAGEMENT, HEALTH SCREENINGS, AND SUPPORT GROUPS. SOME EXAMPLES ARE LISTED BELOW. COMMUNITY EDUCATION AND HEALTH SCREENINGS: EDUCATION/CLASSES * CANCER EDUCATION * DIABETES EDUCATION * DRUG ADDICTION * HEART DISEASE/HEALTHY HEART EDUCATION * NUTRITION/WEIGHT MANAGEMENT EDUCATION * WOMENS HEALTH * ORTHOPEDIC EDUCATION * SENIORS EDUCATION AND OUTREACH * CPR CERTIFICATION AND BABYSITTING CLASSES HEALTH SCREENINGS * HEALTH FAIRS * BLOOD PRESSURE SCREENINGS * SKIN CANCER SCREENINGS * FLU CLINICS SUPPORT GROUPS NEW BEGINNINGS SUPPORT GROUP IN BEDFORD-A SUPPORT GROUP WHOSE SPEAKERS DISCUSS A VARIETY OF TOPICS WITH A FOCUS ON LIVING YOUR LIFE AFTER A LOSS, GATHERING NEW INFORMATION AND FELLOWSHIP. * LIFE FOR ONE SUPPORT GROUP/SML AREA-A SUPPORT GROUP WHOSE SPEAKERS DISCUSS A VARIETY OF TOPICS WITH A FOCUS ON LIVING YOUR LIFE AFTER A LOSS, GATHERING NEW INFORMATION AND FELLOWSHIP. * ALZHEIMER'S AND DEMENTIA CARE SUPPORT GROUP- WHEN SOMEONE IS DIAGNOSED WITH ALZHEIMERS FRIENDS AND FAMILY HAVE MANY QUESTIONS. THIS GROUP PROVIDES SUPPORT FOR THOSE WHO HAVE A LOVED ONE MANAGING DEMENTIA AND ALZHEIMERS IN THE BEDFORD AREA.	Desc
Total Program Service Expenses	$35,742,089	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	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
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
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	Yes (true)	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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	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	94	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	491	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	11	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	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
Other	Yes (X)	OtherInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	PATTI JURKUS BMH CEO	PersonNm
Phone	5404257601	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 (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES KOLAKOWSKI
CHAIRMAN (THRU 7/17)	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
AMANDA STANLEY
CHAIRMAN (AS OF 8/17)	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JANICE LUTH
VICE CHAIRMAN (AS OF 8/17)	2.0	50.0	Yes (X)	Yes (X)	$0	$146,832	$21,286
MICHAEL ELLIOTT
SECRETARY/CENTRA SVP/COO	2.0	50.0	Yes (X)	Yes (X)	$0	$448,314	$88,599
EW TIBBS
CENTRA PRESIDENT/CEO	2.0	50.0	Yes (X)	Yes (X)	$0	$1,311,910	$255,765
MARY JO BOONE
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
CYNTHIA GUNNOE
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
TIMOTHY HAYDEN
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
JEFFREY HUBBARD
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
MICHAEL LEMASTER
DIRECTOR	2.0	0.0	Yes (X)		$0	$0	$0
REID WODICKA
DIRECTOR (AS OF 8/17)	2.0	0.0	Yes (X)		$0	$0	$0
W COURTNEY HOLDREN
DIRECTOR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
PATTI JURKUS
BMH CEO	50.0	0.0		Yes (X)	$215,429	$0	$19,003
GEORGIANN WATTS
BMH CNO	50.0	0.0		Yes (X)	$160,637	$0	$20,638
DAVID GOUGH
TREASURER/CENTRA SVP/CFO	2.0	50.0		Yes (X)	$0	$268,794	$42,858
ROBERT TONKINSON
INTRM CRP COMPL OFF(THRU 7/17)	2.0	50.0		Yes (X)	$0	$730,882	$82,564
JEFFERY WIGGINS
CORP COMPL OFFCR (AS OF 8/17)	2.0	50.0		Yes (X)	$0	$123,651	$8,031
HILARY BASHAM MD
MEDICAL DOCTOR	50.0	0.0			$417,683	$0	$26,352	Yes (X)
EUGENE LOWE MD
MEDICAL DOCTOR	50.0	0.0			$330,195	$0	$34,739	Yes (X)
KERRY HAMMOND MD
MEDICAL DOCTOR	50.0	0.0			$318,062	$0	$20,954	Yes (X)
EDUARDO MARQUES ZILLI MD
MEDICAL DOCTOR	50.0	0.0			$288,825	$0	$24,615	Yes (X)
GITA VERMA MD
MEDICAL DOCTOR	50.0	0.0			$258,220	$0	$13,644	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,989,051	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,030,383	TotReportableCompRltdOrgAmt
Total Other Compensation	$659,048	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HERITAGE HEALTHCARE INC
PO BOX 823424	PHILADELPHIA	PA	19182	THERAPY MGMT SVCS	$900,628
MOORES ELECTRICAL
PO BOX 119	ALTAVISTA	VA	24517	ELECTRICAL CONTRACT	$500,792
ALLIANCE HEALTHCARE SERVICES
PO BOX 96485	CHICAGO	IL	60693	MRI SERVICES	$387,231
VA HOSPITAL LAUNDRY INC
1601 OLIVER HILL WAY	RICHMOND	VA	23219	LAUNDRY, LINEN SVCS	$267,730
PATHOLOGY CONSULTANTS
1914 THOMSON DRIVE	LYNCHBURG	VA	24501	PATHOLOGY SERVICES	$128,565

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Related Organizations	$40,444	RelatedOrganizationsAmt
All Other Contributions	$6,500	AllOtherContributionsAmt
Total Contributions	$46,944	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES REVENUE	621400	$36,624,623	$36,624,623
HOSPICE HOUSE	900099	$55,520	$55,520
ANCILLARY SERVICES	900099	$36,187	$36,187

Field	Value	IRS element (for citing)
Total Program Service Revenue	$36,716,330	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,658	TotalRevenueColumnAmt
Exclusion	$3,658	ExclusionAmt

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	$253,624	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$253,624	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$253,624	TotalRevenueColumnAmt
Exclusion	$253,624	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$975	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$975	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$975	TotalRevenueColumnAmt
Exclusion	$975	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

Field	Value	IRS element (for citing)
Desc	CAFETERIA	Desc
Business	900099	BusinessCd
Total Revenue Column	$162,337	TotalRevenueColumnAmt
Exclusion	$162,337	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$162,337	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,183,868	TotalRevenueColumnAmt
Related Or Exempt Func Income	$36,716,330	RelatedOrExemptFuncIncomeAmt
Exclusion	$420,594	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	$29,494	TotalAmt
Program Services	$29,494	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	$415,707	TotalAmt
Management And General	$415,707	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	$16,523,917	TotalAmt
Program Services	$16,141,596	ProgramServicesAmt
Management And General	$382,321	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

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

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,187,553	TotalAmt
Program Services	$4,039,296	ProgramServicesAmt
Management And General	$148,257	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

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

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,025,465	TotalAmt
Management And General	$2,025,465	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$48,329	TotalAmt
Management And General	$48,329	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$57,691	TotalAmt
Management And General	$57,691	ManagementAndGeneralAmt

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	$7,464,525	TotalAmt
Program Services	$7,024,572	ProgramServicesAmt
Management And General	$439,953	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$71,382	TotalAmt
Program Services	$71,307	ProgramServicesAmt
Management And General	$75	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,843,334	TotalAmt
Program Services	$1,360,204	ProgramServicesAmt
Management And General	$483,130	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$889,811	TotalAmt
Program Services	$186,635	ProgramServicesAmt
Management And General	$703,176	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$125,992	TotalAmt
Program Services	$125,659	ProgramServicesAmt
Management And General	$333	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	$61,016	TotalAmt
Program Services	$54,378	ProgramServicesAmt
Management And General	$6,638	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$140,134	TotalAmt
Program Services	$140,134	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,168,540	TotalAmt
Program Services	$3,168,540	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$282,428	TotalAmt
Program Services	$282,428	ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$1,557,493	$1,557,493
DRUGS	$1,560,353	$1,560,353
COLLECTIONS SERVICES	$96,987		$96,987

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$40,550,151	TotalAmt
Program Services	$35,742,089	ProgramServicesAmt
Management And General	$4,808,062	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,832,348	BOYAmt
EOY	$2,165,792	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	$7,248,009	BOYAmt
EOY	$7,711,531	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	$996,724	BOYAmt
EOY	$1,006,548	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$24,349	BOYAmt
EOY	$28,501	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$35,093,536	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$9,156,579	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$26,362,703	BOYAmt
EOY	$25,936,957	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	$3,137,519	BOYAmt
EOY	$3,137,519	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$92,438	BOYAmt
EOY	$7,121	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$40,694,090	BOYAmt
EOY	$39,993,969	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,430,173	BOYAmt
EOY	$2,179,906	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	$5,674,774	BOYAmt
EOY	$5,049,298	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	$14,789,873	BOYAmt
EOY	$18,527,502	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$22,894,820	BOYAmt
EOY	$25,756,706	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,799,270	BOYAmt
EOY	$14,237,263	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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	$17,799,270	BOYAmt
EOY	$14,237,263	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$40,694,090	BOYAmt
EOY	$39,993,969	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$3,366,283	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$195,724	PriorPeriodAdjustmentsAmt
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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,003	OtherActivitiesAmt
Total Lobbying Expenditures	$3,003	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1(I)	FormAndLineReferenceDesc
Explanation	OTHER LOBBYING ACTIVITIES: A PORTION OF THE ORGANIZATION'S HOSPITAL ASSOCIATION DUES FOR THE YEAR 2017 WERE ATTRIBUTABLE TO LOBBYING EXPENSES IN THE AMOUNT OF $3,003.	ExplanationTxt

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	$17,819,609	OtherCostOrOtherBasisAmt
Depreciation	$2,196,282	DepreciationAmt
Book Value	$15,623,327	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,062,350	OtherCostOrOtherBasisAmt
Depreciation	$323,634	DepreciationAmt
Book Value	$738,716	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,897,072	OtherCostOrOtherBasisAmt
Depreciation	$6,636,663	DepreciationAmt
Book Value	$7,260,409	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$164,210	OtherCostOrOtherBasisAmt
Book Value	$164,210	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$25,936,957	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ESTIMATED PAYABLES TO 3RD PART	$519,634
DUE TO RELATED PARTIES	$17,699,868
OTHER LT LIABILITIES	$308,000

Field	Value	IRS element (for citing)
Total Liability	$18,527,502	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Description of Uncertain Tax Positions Under FIN 48	FormAndLineReferenceDesc
Explanation	PART X, LINE 2: BEDFORD MEMORIAL HOSPITAL IS INCLUDED IN CENTRA HEALTH, INCS CONSOLIDATED AUDIT REPORT FOR YEAR ENDED DECEMBER 31, 2017. THE FOLLOWING FOOTNOTE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN48) IS FOUND IN THIS CONSOLIDATED REPORT.CENTRA HEALTH, INC., CCRC, INC., CENTRA HEALTH FOUNDATION, SOUTHSIDE COMMUNITY HOSPITAL, INC., AND BEDFORD MEMORIAL HOSPITAL ARE EXEMPT FROM INCOME TAX UNDER SECTION 501 (A) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS EXCEPT FOR TAXES RELATED TO CERTAIN UNRELATED BUSINESS INCOME ENGAGED IN BY CENTRA HEALTH. CENTRA MEDICAL GROUP, LLC, CHIC, CENTRA SPECIALTY HOSPITAL, CENTRA PANORAMIC, LLC, CENTRAL VA. QUALITY CARE NETWORK, LLC, CENTRA OUTPATIENT REHABILITATION SERVICES, LLC, AND HEALTHWORKS CLINIC, LLC ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER CENTRAS TAX RETURN. CENTRA MEDICAL GROUP SOUTHSIDE, LLC AND CENTRA MEDICAL GROUP BEDFORD, LLC ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER SOUTHSIDES AND BEDFORDS TAX RETURN, RESPECTIVELY. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARIES, GENERAL BUSINESS CONCERNS, INC, PCHP HOLDING INC. AND PIEDMONT COMMUNITY HEALTH PLAN, INC. 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 SUBSIDIARYS ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. CHIC IS WHOLLY OWNED BY CENTRA HEALTH, INC. ANY LIABILITY FOR TAXES IS PASSED THROUGH TO CENTRA HEALTH, INC. A PROVISION WILL BE MADE WHEN OPERATIONS OF THIS SUBSIDIARY INDICATES A LIABILITY FOR TAXES. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2017. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2014.	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	$2,017,560	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,017,560	NetCommunityBenefitExpnsAmt
Total Expense	0.04970	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,685,111	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,026,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$658,836	NetCommunityBenefitExpnsAmt
Total Expense	0.01620	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,702,671	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,026,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,676,396	NetCommunityBenefitExpnsAmt
Total Expense	0.06590	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,153	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$78,153	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,494	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,494	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,647	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107,647	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,810,318	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,026,275	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,784,043	NetCommunityBenefitExpnsAmt
Total Expense	0.06850	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$626	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$626	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,389	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,389	NetCommunityBenefitExpnsAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,927	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,927	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$802	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$802	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,746	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,746	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,490	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,490	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,122,553	BadDebtExpenseAmt
Reimbursed By Medicare	$12,972,683	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$16,407,114	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,434,431	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
State License	H1828	StateLicenseNum
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	15	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
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.CENTRAHEALTH.COM	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, SECTION B, LINE 5:

BEDFORD MEMORIAL HOSPITALS COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY BOARD (CHNA ADVISORY BOARD) IS COMPRISED OF BOTH INTERNAL HOSPITAL AND CORPORATE MANAGEMENT AND A VARIETY OF EXTERNAL, COMMUNITY-BASED STAKEHOLDERS REPRESENTATIVE OF LOCAL BUSINESSES (MANY OF THE CONSTITUENTS BEING MEMBERS OF THE EXISTING BEDFORD AREA RESOURCE COUNCIL WHOSE MISSION IS TO IMPROVE THE QUALITY OF LIFE FOR BEDFORD COUNTY RESIDENTS), SCHOOLS, GOVERNMENT, RELIGIOUS INSTITUTIONS, SOCIAL SERVICE AGENCIES, THE LOCAL PUBLIC HEALTH AUTHORITY, SCHOOLS OF PUBLIC HEALTH, AND OTHER HEALTHCARE PROVIDERS. THE CHNA ADVISORY BOARD FOCUSED ON HIGH LEVELS OF COMMUNITY ENGAGEMENT, SOLICITING INPUT FROM STAKEHOLDERS, PROVIDERS, THE TARGET POPULATION, AND THE COMMUNITY AS A WHOLE. THE PARTICIPANTS OF THIS CHNA ASSESSMENT & IMPLEMENTATION PLAN WERE: ORGANIZATIONS: BEDFORD CHRISTIAN FREE CLINIC BEDFORD CHRISTIAN MINISTRIES BEDFORD COMMUNITY HEALTH FOUNDATION BEDFORD COUNTY SCHOOLS BEDFORD DOMESTIC VIOLENCE BEDFORD POLICE DEPARTMENT BEDFORD RIDE BEDFORD COUNTY SOCIAL SERVICES BEDFORD COUNTY VICTIM/WITNESS ASSISTANCE PROGRAM CENTRAL VIRGINIA HEALTH DEPARTMENT LIBERTY UNIVERSITY SCHOOL OF PUBLIC HEALTH HORIZON BEHAVIORAL HEALTH CENTRAL VIRGINIA COMMUNITY COLLEGE BEDFORD CAMPUS JOHNSON HEALTH CENTER BEDFORD COMMUNITY HEALTH CENTER LAKE CHRISTIAN MINISTRY TOWN OF BEDFORD HUMANKIND LYNCHBURG AREA CENTER FOR INDEPENDENT LIVING PRAYER OUTREACH MINISTRIES UNITED WAY OF CENTRAL VIRGINIA REGION 2000/CHAMBER OF COMMERCE

PART V, SECTION B, LINE 11:

THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PLAN IDENTIFIED THREE ACTION PLAN PRIORITIES AIMED AT IMPROVING THE HEALTH OF THE VARIOUS COMMUNITIES SERVED. THESE PRIORITIES INCLUDED ACCESS TO CARE; IMPROVED COORDINATION OF CARE ACROSS THE HEALTH AND HUMAN SERVICES SECTOR; AND GENERAL WELLNESS. REGARDING ACCESS TO CARE, TELEPSYCHIATRY SERVICES ARE NOW BEING OFFERED AT Centra Bedford Memorial Hospital (CBMH). CENTRA FOUNDATION GRANTS ARE SUPPORTING THE RX PARTNERSHIP FOR THE BEDFORD FREE CLINIC, BEDFORD RIDE NON-EMERGENCY MEDICAL TRANSPORTATION AND THE BEDFORD ADULT DAY CARES PURCHASE OF A WHEELCHAIR ACCESSIBLE VAN TO TRANSPORT INDIVIDUALS TO THE CENTER. CENTRA MEDICAL GROUPS PRIMARY CARE PRACTICE HAS INCREASED ACCESS TO CARE IN BEDFORD COUNTY THROUGH THE RECRUITMENT OF NEW PRIMARY CARE PROVIDERS. TO ADDRESS THE COORDINATION OF CARE IN THE HEALTH AND HUMAN SERVICES SECTOR A COMMUNITY COALITION IDENTIFIED AS THE BEDFORD AREA RESOURCE COUNCIL (BARC) HAS BEEN FORMED. BARC IS MADE UP OF 57 AGENCIES REPRESENTED BY 106 INDIVIDUALS. BARC IS MEETING MONTHLY AND HAS IDENTIFIED BRIDGES OUT OF POVERTY AS A FOCUS FOR COMMUNITY INTERVENTION. MEMBERS REPORTED ON THE INSIGHTS THEY GAINED FROM THAT COMMUNITY, ESPECIALLY IN THE SECTORS OF HEALTH CARE AND BUSINESS/WORKFORCE DEVELOPMENT. BEDFORD MEMORIAL HOSPITAL FACILIATED TRAINING SESSIONS ACROSS SECTORS OF THE COMMUNITY TO IMPLEMENT THE BRIDGES OUT OF POVERTY PROGRAM. FOR THE ACTION PLAN REGARDING GENERAL WELLNESS, CBMH OFFERS FREE MONTHLY BLOOD PRESSURE AND BLOOD SUGAR SCREENINGS IN PARTNERSHIP WITH THE BEDFORD PUBLIC LIBRARY SYSTEM; OFFERS A HEALTH FAIR FOR BEDFORD COUNTY EMPLOYEES AND HAS STARTED AN ALZHEIMERS SUPPORT GROUP. THE COMMUNITY VOICE PROGRAM, A LAY HEALTH EDUCATOR PROGRAM AIMED AT REDUCING INFANT MORTALITY, INCREASING PRENATAL CARE AND IMPROVING HEALTH LITERACY HAS EXPANDED INTO BEDFORD COUNTY. A DIABETES MANAGEMENT GROUP NOW MEETS FOR PEOPLE WITH DIABETES AND PRE-DIABETES. ADDITIONALLY, CBMH IS PARTNERING WITH COMMUNITY ORGANIZATIONS TO PROVIDE HEALTH SCREENINGS AT AREA COMMUNITY FAIRS AND FESTIVALS. CBMH HAS ALSO DEVELOPED WORKSITE WELLNESS PROGRAMS. MULTIPLE OTHER NEEDS WERE IDENTIFIED DURING THE CHNA PROCESS INCLUDING HIGH COST OF LIVING, ACCESS TO ADULT DENTAL CARE AND THE NEED FOR URGENT CARE SERVICES. CBMH DID NOT FOCUS ON THOSE INITIATIVES BECAUSE THE COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) DID NOT IDENTIFY THOSE ISSUES AS BEING THE MOST PERTINENT COMMUNITY NEED. IT WAS FELT NOT TO BE PRUDENT TO SPREAD LIMITED HOSPITAL AND COMMUNITY RESOURCES ACROSS TOO MANY INITIATIVES.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
OAKWOOD MANOR NURSING HOME
1613 OAKWOOD STREET	BEDFORD	VA	24523	NURSING HOME
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 (14 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	COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE.
PART II	COMMUNITY BUILDING ACTIVITIES BEDFORD MEMORIAL HOSPITAL CONTINUOUSLY WORKS ON IMPROVING ITS RELATIONSHIP WITH THE COMMUNITY IT SERVES BY OFFERING MANY SERVICES, SUCH AS, ECONOMIC DEVELOPMENT, COMMUNITY SUPPORT, COMMUNITY HEALTH IMPROVEMENT, WORKFORCE DEVELOPMENT, ETC. WE ALSO HOST AND/OR PARTICIPATE IN VARIOUS CAREER FAIRS IN ORDER TO REACH OUT TO YOUNG ADULTS WHO MAY BE INTERESTED IN THE HEALTHCARE PROFESSION. ECONOMIC DEVELOPMENT: BEDFORD MEMORIAL HOPSITAL IS A MEMBER OF THE BEDFORD AREA COMMUNITY CHAMBER OF COMMERCE AND FEELS THIS ONLY ENHANCES OUR ABILITY TO REACH MORE AREA COMMUNITY MEMBERS IN ORDER TO KEEP THEM INFORMED OF COMING HEALTHCARE EVENTS AND PROGRAMS WHICH ARE AVAILABLE TO THEM. COMMUNITY SUPPORT: BEDFORD MEMORIAL HOSPITAL CONTINUOUSLY WORKS ON IMPROVING ITS RELATIONSHIP WITH THE COMMUNITY IT SERVES BY PARTICIPATING IN NUMEROUS HEALTH FAIRS, CONDUCTING HEALTH EDUCATION SEMINARS, PROVIDING SCHOOL-BASED HEALTH PROGRAMS, ETC. 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 THE COMMUNITY. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS: BEDFORD MEMORIAL HOSPITAL STRIVES TO PARTNER WITH ITS COMMUNITY HEALTHCARE SERVICE PROVIDERS IN ORDER TO ENSURE WE ARE WORKING SMOOTHLY TOGETHER FOR THE COMMON GOOD OF ALL OUR COMMUNITY MEMBERS. IN 2017, WE BROUGHT TOGETHER VOLUNTEER EMS CREWS IN BEDFORD COUNTY AND PROVIDED THEM WITH EDUCATION OF OUR ER PROCEDURES, CHANGES TO OUR ER DEPARTMENT, AND ASKED THEM FOR INPUT ON UPCOMING RENOVATIONS TO OUR EMERGENCY DEPARTMENT IN ORDER TO MAKE SURE WE ARE AS EFFICIENT AS POSSIBLE FOR THE SAKE OF ALL OUR PATIENTS. COALITION BUILDING: BEDFORD MEMORIAL HOSPITAL IS COMMITTED TO REACHING OUT TO THE COMMUNITY IN ORDER TO INFORM THE PUBLIC ABOUT THE NUMEROUS HEALTH FAIRS, HEALTH SEMINARS, AND GENERAL INFORMATIONAL SESSIONS OFFERED BY THE ORGANIZATION THROUGHOUT THE YEAR. WE PARTICIPATE IN LOCAL EVENTS IN ORDER TO PROMOTE HEALTH AND WELL-BEING TO AS MANY INDIVIDUALS AS POSSIBLE. BEING A MEMBER OF THE BEDFORD AREA RESOURCE COUNCIL HELPS US BE MORE CONNECTED TO THE COMMUNITY WE SERVE. WORKFORCE DEVELOPMENT: BEDFORD MEMORIAL HOSPITAL 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. WE PARTICIPATED IN A CAREER AND TECHNICAL EXPO IN OCTOBER 2017 AND SHARED INFORMATION AND MATERIALS ABOUT HEATH CAREER CHOICES AND THE ACADEMIC PATHWAY TO THOSE CAREERS. 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	(HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STMT NO. 15): ON JANUARY 1, 2012, CENTRA HEALTH, INC. AND SUBSIDIARIES 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 HEALTH AND ITS SUBSIDIARIES, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL AND BEDFORD MEMORIAL HOSPITAL REPORT BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15.
PART III, SECTION A, LINE 2	SEE DESCRIPTION FOR PART III, SECTION A, LINE 4
PART III, SECTION A, LINE 4	THE ORGANIZATION BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR BAD DEBTS. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, CENTRA ANALYZES HISTORICAL COLLECTIONS AND WRITE-OFFS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR BAD DEBTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CENTRA ANALYZES CONTRACTUALLY AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR BAD DEBTS, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS, AND PROVISION FOR CONTRACTUAL ADJUSTMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS OR WITH BALANCES REMAINING AFTER THE THIRD-PARTY COVERAGE HAS ALREADY PAID, CENTRA RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS HISTORICAL COLLECTIONS, WHICH INDICATES THAT SOME PATIENTS ARE UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE DISCOUNTED RATES AND THE AMOUNTS COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR BAD DEBTS."(CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2017 AUDIT REPORT, PAGE 15)
PART III, SECTION B, LINE 8	THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATIONS REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS 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 HOSPITALS 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 FY2017 WAS $3,434,431.
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: IN JULY 2015, BEDFORD MEMORIAL HOSPITAL CREATED AN ORGANIZATIONAL STRUCTURE AND PROCESS TO ALLOW US TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT AND TO ADOPT AN IMPLEMENTATION STRATEGY. THE ORGANIZATIONAL STRUCTURE INCLUDED THE CREATION OF THE BEDFORD MEMORIAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY ADVISORY BOARD (CHNA ADVISORY BOARD) COMPRISED OF BOTH INTERNAL HOSPITAL AND CORPORATE MANAGEMENT AND A VARIETY OF EXTERNAL, COMMUNITY-BASED STAKEHOLDERS REPRESENTATIVE OF LOCAL BUSINESSES (MANY OF THE CONSTITUENTS BEING MEMBERS OF THE EXISTING BEDFORD AREA RESOURCE COUNCIL WHOSE MISSION IS TO IMPROVE THE QUALITY OF LIFE FOR BEDFORD COUNTY RESIDENTS), SCHOOLS, GOVERNMENT, RELIGIOUS INSTITUTIONS, SOCIAL SERVICE AGENCIES, THE LOCAL PUBLIC HEALTH AUTHORITY, SCHOOLS OF PUBLIC HEALTH, AND OTHER HEALTHCARE PROVIDERS. THE BEDFORD MEMORIAL HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT COMMUNITY ADVISORY BOARD (CHNA ADVISORY BOARD) CONSISTS OF APPROXIMATELY 25 MEMBERS FROM DIVERSE DEMOGRAPHIC BACKGROUNDS. THE BOARD WAS DEVELOPED FOR THE PURPOSE OF HAVING REGULAR OPEN DIALOGUE AND BRAINSTORMING SESSIONS CONCERNING COMMUNITY HEALTH NEEDS WITHIN OUR COMMUNITY IN BOTH OUR PRIMARY AND SECONDARY SERVICE AREAS. OUR GOAL IS TO COLLABORATE WITH THESE LEADERS AND PUT PROGRAMS IN PLACE TO ADDRESS THESE NEEDS. WWW.CENTRAHEALTH.COM/BMH AND THE LOCAL MEDIA PROVIDE INFORMATION ON UPCOMING COMMUNITY EVENTS. ALSO, EVALUATIONS ARE GIVEN AT COMMUNITY EVENTS. THIS PROVIDES NECESSARY AND VALUABLE FEEDBACK FOR FUTURE EDUCATIONAL EVENTS AND WORKSHOPS.
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 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, AN INSERT ABOUT FINANCIAL ASSISTANCE IS MAILED IN EVERY UNINSURED BILL, REFERENCING AVAILABILITY OF FINANCIAL ASSISTANCE WITH CONTACT INFORMATION ON WHERE TO OBTAIN MORE INFORMATION.
PART VI, LINE 4	COMMUNITY INFORMATION: BEDFORD MEMORIAL HOSPITAL PRIMARILY SERVES APPROXIMATELY 84,500 RESIDENTS OF THE TOWN OF BEDFORD AND BEDFORD COUNTY. BEDFORD ENCOMPASSES APPROXIMATELY 760 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 THAT ALSO HAS 110 LONG-TERM CARE AND SKILLED CARE BEDS IN ITS OAKWOOD HEALTH AND REHABILITATION CENTER. BEDFORD COUNTY IS GROWING AT A FASTER RATE THAN THE VIRGINIA AVERAGE AND HAS A LARGER PERCENT OF OLDER ADULTS. ADDITIONALLY, IN 2017, 23.7% OF THE TOWN OF BEDFORD RESIDENTS HAD A BACHELORS DEGREE OR HIGHER AND 27.8% OF THE BEDFORD COUNTY RESIDENTS HAD A BACHELORS DEGREE, MUCH LESS THAN THE STATE AVERAGE OF 36.9%. IN 2016 DOLLARS, THE TOWN OF BEDFORD HAD A MEDIAN HOUSEHOLD INCOME OF $39,701 AND BEDFORD COUNTY HAD A MEDIAN HOUSEHOLD INCOME OF $56,725, AS COMPARED TO THE STATE MEDIAN OF $66,149. AS OF 2016, 21.5% OF THE TOWN OF BEDFORD POPULATION WAS LIVING IN POVERTY AND 9.6% OF THE BEDFORD COUNTY POPULATION WAS LIVING IN POVERTY COMPARED TO THE STATE AVERAGE OF 11.0%.
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, BLADDER, AND CANCER SCREENINGS, ETC. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN THE "BEDFORD CHRISTIAN FREE CLINIC", BY PROVIDING LAB TESTS FREE OF CHARGE. IN 2017, 389 LAB TESTS WERE PROVIDED TO CLINIC PATIENTS, AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT EXCEEDING $30,927.
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 HOSPITALS 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 CENTRAS NETWORK OF PRACTICES AND EXPERTS IN LONG-TERM CARE AND REHABILITATION.
PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BEDFORD AREA FAMILY YMCA	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1026	AddressLine1Txt
City	BEDFORD	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	24523	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	541140513	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$7,250	CashGrantAmt
Purpose Of Grant	CHARITABLE CONTRIBUTION	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL.	ExplanationTxt

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 (12 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	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	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Other Compensation Filing OrgOtherCompensationFilingOrgAmt
JANICE LUTH
VICE CHAIRMAN (AS OF 8/17)	$124,836	$9,244	$12,752	$0	$4,233	$0	$17,053	$0	$168,118	$0	$0
MICHAEL ELLIOTT
SECRETARY/CENTRA SVP/COO	$330,931	$71,887	$45,496	$0	$63,534	$0	$25,065	$0	$536,913	$0	$19,693
EW TIBBS
CENTRA PRESIDENT/CEO	$798,498	$232,502	$280,910	$0	$212,948	$0	$42,817	$0	$1,567,675	$0	$153,115
PATTI JURKUS
BMH CEO				$5,858	$0	$13,145	$0	$234,432	$0	$0	$0	$191,990	$22,357	$1,082
GEORGIANN WATTS
BMH CNO				$4,867	$0	$15,771	$0	$181,275	$0	$0	$0	$158,314	$1,500	$823
DAVID GOUGH
TREASURER/CENTRA SVP/CFO	$238,131	$25,165	$5,498	$0	$18,586	$0	$24,272	$0	$311,652	$0	$0
ROBERT TONKINSON
INTRM CRP COMPL OFF(THRU 7/17)	$332,445	$86,626	$311,811	$0	$65,237	$0	$17,327	$0	$813,446	$0	$160,063
HILARY BASHAM MD
MEDICAL DOCTOR				$7,950	$0	$18,402	$0	$444,035	$0	$0	$0	$346,135	$51,170	$20,378
EUGENE LOWE MD
MEDICAL DOCTOR				$7,950	$0	$26,789	$0	$364,934	$0	$0	$0	$272,715	$37,500	$19,980
KERRY HAMMOND MD
MEDICAL DOCTOR				$7,950	$0	$13,004	$0	$339,016	$0	$0	$0	$282,579	$17,183	$18,300
EDUARDO MARQUES ZILLI MD
MEDICAL DOCTOR				$5,600	$0	$19,015	$0	$313,440	$0	$0	$0	$288,593	$0	$232
GITA VERMA MD
MEDICAL DOCTOR				$6,594	$0	$7,050	$0	$271,864	$0	$0	$0	$218,038	$40,000	$182

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 4A

ROBERT TONKINSON, FORMER CENTRA HEALTH, INC., SR VP & CFO (A RELATED PARTY), RECEIVED SEVERANCE PAYMENT DURING 2017 IN THE AMOUNT OF $116,614, INCLUDED IN HIS TAXABLE INCOME.

Part I, Line 4b

THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2017. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT of PAYOUT E.W. TIBBS CENTRA HEALTH PRESIDENT & $153,115 CEO (A RELATED PARTY) MICHAEL ELLIOTT CENTRA HEALTH SR VP & COO $19,693 (A RELATED PARTY) DAVID GOUGH CENTRA HEALTH SR VP & CFO (as $0 of Aug 2017), (A RELATED PARTY) ROBERT TONKINSON CENTRA HEALTH SR VP & CFO $160,063 (THRU JULY 2017) (A RELATED PARTY) ------------- $ 332,871 ============= THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN IN FY 2017. NAME TITLE AMOUNT DEFERRED E.W. TIBBS CENTRA HEALTH PRESIDENT & $204,998 CEO (A RELATED PARTY) MICHAEL ELLIOTT CENTRA HEALTH SR VP & COO $55,768 (A RELATED PARTY) DAVID GOUGH CENTRA HEALTH SR VP & CFO $11,261 (as of Aug 2017), (A RELATED PARTY) ROBERT TONKINSON CENTRA HEALTH SR VP & CFO $57,287 (thru July 2017),(A RELATED PARTY) ------------- $329,313 =============

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 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 - DESCRIPTION OF ORGANIZATION MISSION: 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 2	OFFICERS MICHAEL ELLIOTT AND DAVID GOUGH ARE BOARD MEMBERS OF CENTRAL VIRGINIA IMAGING, LLC., A 50% JOINT VENTURE OF CENTRA HEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 4	BEDFORD MEMORIAL HOSPITAL HAD THE BELOW LISTED CHANGES TO BEDFORD MEMORIAL HOSPITALS AMENDED AND RESTATED BYLAWS DURING 2017. SECTION 3.5 (B): ADDED: NO PERSON, THE AGE OF WHOM WOULD BE SEVENTY-FIVE (75) YEARS OR GREATER AT THE TIME OF COMMENCEMENT OF HIS OR HER TERM ON THE BOARD, SHALL BE ELIGIBLE FOR APPOINTMENT OR REAPPOINTMENT. SECTION 4.4 (A): ADDED: TO EXPEDITE INITIAL APPOINTMENTS OF MEDICAL STAFF MEMBERSHIPS, THE GRANTING OF MEDICAL STAFF PRIVILEGES, REAPPOINTMENTS OF MEDICAL STAFF MEMBERSHIPS AND RENEWALS OR MODIFICATIONS OF MEDICAL STAFF PRIVILEGES, THE PROFESSIONAL AND PATIENT CARE COMMITTEE IS SPECIFICALLY DELEGATED THE AUTHORITY TO RENDER DECISIONS AND GRANT MEDICAL STAFF MEMBERSHIPS AND PRIVILEGES, WITH A REPORT OF ALL MEDICAL STAFF APPOINTMENTS AND PRIVILEGES GRANTED, BEING PROVIDED TO THE BOARD FOR INFORMATIONAL PURPOSES. SECTION 6.1: ADDED: ...OR A DESIGNATED BOARD COMMITTEE,
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 BEDFORDS GOVERNING BODY AND APPROVE DECISIONS MADE BY BEDFORDS 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 THE FORM 990 WERE PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS AND ANY QUESTIONS RAISED BY THE BOARD OF DIRECTORS HAVE BEEN ADDRESSED.
FORM 990, PART VI, SECTION B, LINE 12C	ALL 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 HOSPITALS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	FORM 990, PART VI, LINES 15A & 15B WERE ANSWERED AS "NO", HOWEVER, UNDER A MANAGEMENT AGREEMENT WITH THE ORGANIZATIONS SOLE MEMBER AND RELATED PARTY, CENTRA HEALTH, INC, THE ORGANIZATIONS CHIEF EXECUTIVE OFFICERS COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTHS 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 8: CENTRA MEDICAL GROUP BEDFORD, LLCS OPERATIONS WERE MOVED TO CENTRA MEDICAL GROUP LYNCHBURG (A DISREGARDED ENTITY OF CENTRA HEALTH, INC.) IN JANUARY 2017. MOVING ALL ASSETS AND LIABILITIES TO CMG LYNCHBURG CAUSED A CHANGE BETWEEN 2016 ENDING BALANCE AND 2017 BEGINNING BALANCE OF BEDFORD MEMORIAL HOSPITALS NET ASSETS. CENTRA MEDICAL GROUP BEDFORD, LLC HAS NOT BE DISSOLVED THEREFORE IT IS STILL LISTED AS A DISREGARDED ENTITY OF BEDFORD MEMORIAL HOSPITAL ON SCHEDULE R.
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:PROFESSIONAL FEES TOTAL FEES:577401
FORM 990 PART IX LINE 11G	DESCRIPTION:PURCHASED SERVICES TOTAL FEES:3026423
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN PRACTICE SUBSIDY TOTAL FEES:3786493
FORM 990 PART IX LINE 11G	DESCRIPTION:BILLING/CONTRACT FEES TOTAL FEES:74208

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CENTRA MEDICAL GROUP BEDFORD LLC	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)
EIN	465341463	EIN
Primary Activities	PHYS SVCS	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 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
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541604094	SUPPORT ORG	VA	501(C)(3)	12A	NA	false
CCRC INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541929580	CONTINUE CARE	VA	501(C)(3)	12A	NA	false
SOUTHSIDE COMMUNITY HOSPITAL
800 OAK STREET	FARMVILLE	VA	23901	540555201	HEALTHCARE	VA	501(C)(3)	3	NA	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	Controlled OrganizationControlledOrganizationInd
GENERAL BUSINESS CONCERNS INC
1920 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541299682	R/E PHYSICIAN SVC	VA	NA	C Corp	false
PCHP HOLDING INC
2316 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541749492	HOLDING COMPANY	VA	NA	C Corp	false
PIEDMONT COMMUNITY HEALTH PLAN INC
2316 ATHERHOLT ROAD	LYNCHBURG	VA	24501	541755768	HEALTH INSURANCE	VA	NA	C Corp	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