2018-11-06T07:38:14-06:00 2017-12-31 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2017-01-01 540566100 BEDFORD MEMORIAL HOSPITAL % PATTI JURKUS BMH CEO BEDF 5404257601 1613 OAKWOOD STREET BEDFORD VA 24523 PATTI JURKUS VP/CEO 4342004708 2018-10-31 true JG White P01498698 7032868000 2018-10-30 167.68.102.5 54028020183105000000 2018-11-06 P A7C75FBC3F6CCE8A55EA303241FEFA047BC58AA1 41105AB8FBF14702B75F527EDC7EBE4A10554F37 2017 2019-02-21 02:37:17Z PATTI JURKUS CEO 1613 OAKWOOD STREET BEDFORD VA 24523 37183868 false X www.centrahealth.com/bmh X 1957 VA TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SURGERY, EMERGENCY, GERIATRIC AND REHABILITATIVE SERVICES. 11 8 491 67 0 0 99130 46944 37728072 36716330 12751 4633 408341 415961 38248294 37183868 24474 29494 0 0 24772371 21127177 0 0 0 16637256 19393480 41434101 40550151 -3185807 -3366283 40694090 39993969 22894820 25756706 17799270 14237263 X 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) false false 35742089 29494 36716330 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. 35742089 true true false true false false false false false false true false false false true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true false false false true 94 0 true 491 true false false false false false false false false false false X 11 8 true false true false true true true true true false false true true true true true true false false false VA X X PATTI JURKUS BMH CEO 5404257601 1613 OAKWOOD STREET BEDFORD VA 24523 X CHARLES KOLAKOWSKI CHAIRMAN (THRU 7/17) 2.0 0.0 X X 0 0 0 AMANDA STANLEY CHAIRMAN (AS OF 8/17) 2.0 0.0 X X 0 0 0 JANICE LUTH VICE CHAIRMAN (AS OF 8/17) 2.0 50.0 X X 0 146832 21286 MICHAEL ELLIOTT SECRETARY/CENTRA SVP/COO 2.0 50.0 X X 0 448314 88599 EW TIBBS CENTRA PRESIDENT/CEO 2.0 50.0 X X 0 1311910 255765 MARY JO BOONE DIRECTOR 2.0 0.0 X 0 0 0 CYNTHIA GUNNOE DIRECTOR 2.0 0.0 X 0 0 0 TIMOTHY HAYDEN DIRECTOR 2.0 0.0 X 0 0 0 JEFFREY HUBBARD DIRECTOR 2.0 0.0 X 0 0 0 MICHAEL LEMASTER DIRECTOR 2.0 0.0 X 0 0 0 REID WODICKA DIRECTOR (AS OF 8/17) 2.0 0.0 X 0 0 0 W COURTNEY HOLDREN DIRECTOR 2.0 0.0 X X 0 0 0 PATTI JURKUS BMH CEO 50.0 0.0 X 215429 0 19003 GEORGIANN WATTS BMH CNO 50.0 0.0 X 160637 0 20638 DAVID GOUGH TREASURER/CENTRA SVP/CFO 2.0 50.0 X 0 268794 42858 ROBERT TONKINSON INTRM CRP COMPL OFF(THRU 7/17) 2.0 50.0 X 0 730882 82564 JEFFERY WIGGINS CORP COMPL OFFCR (AS OF 8/17) 2.0 50.0 X 0 123651 8031 HILARY BASHAM MD MEDICAL DOCTOR 50.0 0.0 X 417683 0 26352 EUGENE LOWE MD MEDICAL DOCTOR 50.0 0.0 X 330195 0 34739 KERRY HAMMOND MD MEDICAL DOCTOR 50.0 0.0 X 318062 0 20954 EDUARDO MARQUES ZILLI MD MEDICAL DOCTOR 50.0 0.0 X 288825 0 24615 GITA VERMA MD MEDICAL DOCTOR 50.0 0.0 X 258220 0 13644 1989051 3030383 659048 18 false true false HERITAGE HEALTHCARE INC PO BOX 823424 PHILADELPHIA PA 19182 THERAPY MGMT SVCS 900628 MOORES ELECTRICAL PO BOX 119 ALTAVISTA VA 24517 ELECTRICAL CONTRACT 500792 ALLIANCE HEALTHCARE SERVICES PO BOX 96485 CHICAGO IL 60693 MRI SERVICES 387231 VA HOSPITAL LAUNDRY INC 1601 OLIVER HILL WAY RICHMOND VA 23219 LAUNDRY, LINEN SVCS 267730 PATHOLOGY CONSULTANTS 1914 THOMSON DRIVE LYNCHBURG VA 24501 PATHOLOGY SERVICES 128565 6 40444 6500 46944 NET PATIENT SERVICES REVENUE 621400 36624623 36624623 HOSPICE HOUSE 900099 55520 55520 ANCILLARY SERVICES 900099 36187 36187 36716330 3658 3658 0 0 253624 253624 0 253624 253624 975 975 975 975 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 162337 162337 162337 37183868 36716330 420594 X 29494 29494 0 0 0 415707 415707 0 16523917 16141596 382321 0 4187553 4039296 148257 0 2025465 2025465 48329 48329 57691 57691 0 0 0 7464525 7024572 439953 71382 71307 75 1843334 1360204 483130 0 0 889811 186635 703176 125992 125659 333 0 61016 54378 6638 140134 140134 0 3168540 3168540 282428 282428 MEDICAL SUPPLIES 1557493 1557493 DRUGS 1560353 1560353 COLLECTIONS SERVICES 96987 96987 40550151 35742089 4808062 0 2832348 2165792 0 0 0 0 7248009 7711531 0 0 0 0 0 0 996724 1006548 24349 28501 35093536 9156579 26362703 25936957 0 0 0 0 0 0 3137519 3137519 92438 7121 40694090 39993969 2430173 2179906 0 0 0 0 0 0 0 0 0 0 5674774 5049298 0 0 14789873 18527502 22894820 25756706 X 17799270 14237263 0 0 0 0 17799270 14237263 40694090 39993969 -3366283 -195724 X false true X true false X false false false false false false false false true 3003 3003 false SCHEDULE C, PART II-B, LINE 1(I) 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. 2150295 2150295 17819609 2196282 15623327 1062350 323634 738716 13897072 6636663 7260409 164210 164210 25936957 0 ESTIMATED PAYABLES TO 3RD PART 519634 DUE TO RELATED PARTIES 17699868 OTHER LT LIABILITIES 308000 18527502 X Description of Uncertain Tax Positions Under FIN 48 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. true true X true X true X true false true true 2017560 2017560 0.04970 5685111 5026275 658836 0.01620 7702671 5026275 2676396 0.06590 78153 78153 0.00190 29494 29494 0.00070 107647 107647 0.00260 7810318 5026275 2784043 0.06850 626 626 1389 1389 1927 1927 802 802 6746 6746 0.00010 11490 11490 0.00010 true 3122553 12972683 16407114 -3434431 X true true 1 1 BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 www.centrahealth.com/bmh H1828 X X X BEDFORD MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 15 true false false true X www.centrahealth.com/bmh X WWW.CENTRAHEALTH.COM X true 15 true www.centrahealth.com/bmh false true X 200. 400. X X X X true true X X X X true X www.centrahealth.com/bmh X www.centrahealth.com/bmh X www.centrahealth.com/bmh X X X X X X true X false X X X X true X false false 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. 3 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 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 true BEDFORD AREA FAMILY YMCA PO BOX 1026 BEDFORD VA 24523 541140513 501(C)(3) 7250 CHARITABLE CONTRIBUTION 1 PART I, LINE 2: THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. true true false false false false false false false JANICE LUTH VICE CHAIRMAN (AS OF 8/17) 124836 9244 12752 0 4233 0 17053 0 168118 0 0 MICHAEL ELLIOTT SECRETARY/CENTRA SVP/COO 330931 71887 45496 0 63534 0 25065 0 536913 0 19693 EW TIBBS CENTRA PRESIDENT/CEO 798498 232502 280910 0 212948 0 42817 0 1567675 0 153115 PATTI JURKUS BMH CEO 191990 22357 1082 5858 0 13145 0 234432 0 0 0 GEORGIANN WATTS BMH CNO 158314 1500 823 4867 0 15771 0 181275 0 0 0 DAVID GOUGH TREASURER/CENTRA SVP/CFO 238131 25165 5498 0 18586 0 24272 0 311652 0 0 ROBERT TONKINSON INTRM CRP COMPL OFF(THRU 7/17) 332445 86626 311811 0 65237 0 17327 0 813446 0 160063 HILARY BASHAM MD MEDICAL DOCTOR 346135 51170 20378 7950 0 18402 0 444035 0 0 0 EUGENE LOWE MD MEDICAL DOCTOR 272715 37500 19980 7950 0 26789 0 364934 0 0 0 KERRY HAMMOND MD MEDICAL DOCTOR 282579 17183 18300 7950 0 13004 0 339016 0 0 0 EDUARDO MARQUES ZILLI MD MEDICAL DOCTOR 288593 0 232 5600 0 19015 0 313440 0 0 0 GITA VERMA MD MEDICAL DOCTOR 218038 40000 182 6594 0 7050 0 271864 0 0 0 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 ============= 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 CENTRA MEDICAL GROUP BEDFORD LLC 1613 OAKWOOD STREET BEDFORD VA 24523 465341463 PHYS SVCS VA 0 0 BMH 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 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 false false true false false false false false false false false false false false false true false false false