2017-11-13T12:24:42-06:00 2016-12-31 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2016-01-01 540566100 BEDFORD MEMORIAL HOSPITAL % PATTI JURKUS BMH CEO BEDF 5404257601 1613 OAKWOOD STREET BEDFORD VA 24523 DAVID GOUGH VP FINANCE 4342004708 2017-11-07 true JG White P01498698 7032868000 2017-11-07 167.68.102.5 54028020173125000002 2017-11-08 P 6D46BA34C949FAA56B9EE98EB9A4B3386700C41C 338DF67F7D76F452896565F2BC00488146B8E0D7 2016 2017-02-10 21:41:12Z PATTI JURKUS CEO 1613 OAKWOOD STREET BEDFORD VA 24523 38248294 false X WWW.BEDFORDMEMORIAL.ORG 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 8 455 56 0 927037 99130 33751837 37728072 5945 12751 285366 408341 34970185 38248294 0 24474 0 0 23337728 24772371 0 0 0 14710821 16637256 38048549 41434101 -3078364 -3185807 37961814 40694090 16976737 22894820 20985077 17799270 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) false false 37030843 24474 37728072 BEDFORD MEMORIAL HOSPITAL EXISTS TO SERVE THE HEALTHCARE NEEDS OF ITS COMMUNITY, REGARDLESS OF PATIENT ABILITY TO PAY. BEDFORDS ACUTE HOSPITAL ADMITTED 2,971 PATIENTS DURING 2016, AND PROVIDED 4,740 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 PROVIDING 35,888 DAYS OF SKILLED AND INTERMEDIATE CARE. 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 16,451 VISITS DURING 2016, 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 2016, $2,952,755 IN CHARGES AT AN ESTIMATED COST OF $1,311,489 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 $3,609,710, AT AN ESTIMATED COST OF $1,603,281 WAS CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. * CHARGES OF $3,881,587 AT AN ESTIMATED COST OF $1,724,037 WAS CONTRIBUTED AS ADDITIONAL BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATIONS FINANCIAL ASSISTANCE POLICY. * LOSS FROM MEDICARE BASED ON COST TO CHARGE RATIO TOTALED S4,196,635. * LOSS FROM MEDICAID BASED ON COST TO CHARGE RATIO TOTALED $511,282. * DURING 2016, BEDFORD MEMORIAL HOSPITAL PROCESSED A COMBINED TOTAL OF 428 LABORATORY TESTS FOR BEDFORD CHRISTIAN FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT EXCEEDING $29,842. 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 * HEART DISEASE/HEALTHY HEART EDUCATION * NUTRITION/WEIGHT MANAGEMENT EDUCATION * WOMENS HEALTH * ORTHOPEDIC EDUCATION * SPORTS INJURY PREVENTION * SENIORS EDUCATION AND OUTREACH * CPR CERTIFICATION AND BABY SITTING CLASSES HEALTH SCREENINGS * HEALTH FAIRS * BLOOD PRESSURE SCREENINGS * BONE DENSITY SCREENINGS * SKIN CANCER SCREENINGS * MAMMOGRAMS * CHOLESTEROL TESTING * 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. 37030843 true true false false 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 80 0 true 455 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 2.0 0.0 X X 0 0 0 JOHN MACK VICE CHAIRMAN 2.0 0.0 X X 0 0 0 MICHAEL ELLIOTT SECRETARY 2.0 50.0 X X 0 303017 76533 EW TIBBS CENTRA PRESIDENT & CEO 2.0 50.0 X X 0 933309 238624 MICHAEL LEMASTER DIRECTOR 2.0 0.0 X 0 0 0 TIMOTHY HAYDEN DIRECTOR 2.0 0.0 X 0 0 0 CYNTHIA GUNNOE DIRECTOR 2.0 0.0 X 0 0 0 JEFFREY HUBBARD DIRECTOR 2.0 0.0 X 0 0 0 AMANDA STANLEY DIRECTOR 2.0 0.0 X 0 0 0 JANICE LUTH MD DIRECTOR 2.0 50.0 X 0 146506 22184 MARY JO BOONE DIRECTOR 2.0 0.0 X 0 0 0 PATTI JURKUS BMH CEO 50.0 0.0 X 184205 0 19444 GEORGIANN WATTS BMH CNO 50.0 0.0 X 150025 0 21500 DAVID GOUGH TREASURER/CENTRA VP-FIN 2.0 50.0 X 0 225545 29752 RICHARD TUGMAN CENTRA VP & CCO 2.0 50.0 X 0 363338 70133 ERIN H DOVE MD MEDICAL DOCTOR 50.0 0.0 X 408435 0 41400 GITA VERMA MD MEDICAL DOCTOR 50.0 0.0 X 269993 0 14755 ALAN DENEKAS MD MEDICAL DOCTOR 50.0 0.0 X 263951 0 27816 EUGENE LOWE MD MEDICAL DOCTOR 50.0 0.0 X 248287 0 17185 TERRY YEAGER CRNA MEDICAL DOCTOR 50.0 0.0 X 223012 0 32774 1747908 1971715 612100 18 false true false HERITAGE HEALTHCARE INC PO BOX 823424 PHILADELPHIA PA 19182 THERAPY MGMT SVCS 803543 HOSPITALIST ASSOCIATES OF VIRGINIA 2215 LANDOVER PLACE LYNCHBURG VA 24501 PHYSICIAN SERVICES 599904 MEDICAL ASSOCIATES OF CENTRAL VA I 2215 LANDOVER PLACE LYNCHBURG VA 24501 PHYSICIAN SERVICES 329194 COMPHEALTH PO BOX 972651 DALLAS TX 75397 LOCUM TENENS SVCS 304873 ALLIANCE HEALTHCARE SERVICES PO BOX 96485 CHICAGO IL 60693 MRI SERVICES 295473 11 99130 99130 NET PATIENT SERVICES REVENUE 621400 37687778 37687778 ANCILLARY SERVICES 900099 30494 30494 MEANINGFUL USE 900099 9800 9800 37728072 12751 12751 0 0 257487 257487 0 257487 257487 0 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 150854 150854 150854 38248294 37728072 421092 X 24474 24474 0 0 0 375174 375174 0 19694588 19334988 359600 0 4702609 4519320 183289 0 1782555 32556 1749999 49638 49638 44898 44898 0 0 0 5199966 4963817 236149 137788 137380 408 1931209 1302025 629184 12727 12727 0 844283 158755 685528 113479 111750 1729 0 68630 61261 7369 153143 153143 0 2827910 2827910 558037 558037 MEDICAL SUPPLIES 1456583 1456583 DRUGS 1374836 1374836 COLLECTIONS SERVICES 80880 13314 67566 MISCELLANEOUS 694 694 41434101 37030843 4403258 0 2373225 2832348 0 0 0 0 7480771 7248009 0 0 0 0 0 0 971904 996724 121952 24349 32367940 6005237 23867254 26362703 0 0 0 0 0 0 3137519 3137519 9189 92438 37961814 40694090 1821320 2430173 0 0 0 0 0 0 0 0 0 0 6205711 5674774 0 0 8949706 14789873 16976737 22894820 X 20985077 17799270 0 0 0 0 20985077 17799270 37961814 40694090 -3185807 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2150295 2150295 16412093 1439649 14972444 1062350 183517 878833 12500980 4382071 8118909 242222 242222 26362703 0 ESTIMATED PAYABLES TO 3RD PART 537944 DUE TO RELATED PARTIES 14251929 14789873 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, 2016. THE FOLLOWING FOOTNOTE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN48) IS FOUND IN THIS CONSOLIDATED REPORT. CENTRA HEALTH, INC., CCRC, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD 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. CENTRA MEDICAL GROUP, LLC, CHIC, CENTRA SPECIALTY HOSPITAL, PANORAMIC, CVQCN, AND OUTPATIENT REHAB 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, GBC, PCHP HOLDING INC. AND PCHP. UNDER THE ASSET-AND-LIABILITY METHOD FOR THESE STANDARDS, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASIS OF THE 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, 2016. CENTRA BELIEVES THEY ARE NO LONGER SUBECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2013. true true X true X true X true false true true 1311489 1311489 0.03160 6379792 5868510 511282 0.01230 7691281 5868510 1822771 0.04390 86936 86936 0.00200 22675 22675 0.00050 109611 109611 0.00250 7800892 5868510 1932382 0.04640 3645 3645 506 506 5599 5599 0.00010 9750 9750 0.00010 true 3609710 13480083 17676718 -4196635 X true true 1 1 BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 WWW.BEDFORDMEMORIAL.ORG 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.BEDFORDMEMORIAL.ORG X WWW.CENTRAHEALTH.COM X true 15 true WWW.BEDFORDMEMORIAL.ORG false true X 200. 400. X X X X true true X X X true X WWW.BEDFORDMEMORIAL.ORG X WWW.BEDFORDMEMORIAL.ORG X WWW.BEDFORDMEMORIAL.ORG 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. CHNA ADVISORY BOARD MEMBERS REPRESENTED THE FOLLOWING 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, HORIZON BEHAVIORAL HEALTH, CENTRAL VIRGINIA COMMUNITY COLLEGE-BEDFORD CAMPUS, BEDFORD COMMUNITY HEALTH CENTER, LAKE CHRISTIAN MINISTRY, TOWN OF BEDFORD, LYNCHBURG AREA CENTER FOR INDEPENDENT LIVING, PRAYER OUTREACH MINISTRIES, UNITED WAY OF CENTRAL VIRGINIA, AND REGION 2000/CHAMBER OF COMMERCE. A LIST OF INDIVIDUAL PARTICIPANTS IS LISTED ON THE LAST PAGE OF THE CHNA ASSESSMENT & IMPLEMENTATION PLAN REPORTS. 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 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. 10 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 CMG BEDFORD-GENERAL SURGERY CENTER 1615 OAKWOOD STREET SUITE B BEDFORD VA 24523 GENERAL SURGERY CMG BEDFORD-PULMONOLOGY CENTER 1613 OAKWOOD STREET SUITE 202 BEDFORD VA 24523 PULMONARY SERVICES CMG BEDFORD-WOMEN'S CENTER 1615 OAKWOOD STREET SUITE D BEDFORD VA 24523 WOMEN'S HEALTH SERVICES CMG BEDFORD-EMERGENCY SERVICES 1613 OAKWOOD STREET BEDFORD VA 24523 EMERGENCY SERVICES CMG BEDFORD-HOSPITALISTS 1613 OAKWOOD STREET BEDFORD VA 24523 HOSPITALIST SERVICES CMG BEDFORD-CRNA 1613 OAKWOOD STREET BEDFORD VA 24523 CRNA SERVICES BEDFORD HOSPICE 1621 WHITFIELD DRIVE BEDFORD VA 24523 HOSPICE SERVICES BEDFORD HOSPICE HOUSE 1025 TURNING POINT ROAD BEDFORD VA 24523 HOSPICE HOUSE 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 I, LINE 7A THE DECREASE IN COSTS ASSOCIATED WITH PROVIDING CHARITY SERVICES ARE A RESULT OF THE 25% INCREASE IN THE UNINSURED DISCOUNT FROM 2015 TO 2016. THIS INCREASE CAUSES A DECREASE IN UNINSURED PATIENTS FINANCIAL RESPONSIBILITY. UNCOMPENSATED COSTS ASSOCIATED WITH THESE PATIENT DISCOUNTS WAS APPROXIMATELY $1,724,037 IN 2016. 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 CONSOLIDATED FINANCIAL STATEMENTS OF THE ORGANIZATION'S SOLE MEMBER, CENTRA HEALTH, INC., 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 2016 AUDIT REPORT, PAGE 14) 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 FY2016 WAS $4,196,635. 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.BEDFORDMEMORIAL.ORG 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 77,900 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 VIRGINIA AND HAS A LARGER PERCENT OF OLDER ADULTS. ADDITIONALLY, IN 2016, 26.7% OF THE TOWN OF BEDFORD/BEDFORD COUNTY RESIDENTS HAD A BACHELORS DEGREE OR HIGHER, MUCH LESS THAN THE STATE AVERAGE OF 36.3%. AS OF 2015, THE TOWN OF BEDFORD/BEDFORD COUNTY HAD A MEDIAN HOUSEHOLD INCOME OF $56,316 AS COMPARED TO THE STATE MEDIAN OF $65,015. AS OF 2015, 9.1% OF THE TOWN OF BEDFORD/BEDFORD COUNTY POPULATIONS WERE LIVING IN POVERTY COMPARED TO THE STATE AVERAGE OF 11.2%. 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 2016, 428 LAB TESTS WERE PROVIDED TO CLINIC PATIENTS, AT NO CHARGE. 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) 7000 CHARITABLE CONTRIBUTION 1 PART I, LINE 2: THROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL. false true false false false false false false false MICHAEL ELLIOTT SECRETARY 276885 12500 13632 49688 26845 379550 EW TIBBS CENTRA PRESIDENT & CEO 746926 186383 192840 45784 1171933 116363 JANICE LUTH MD DIRECTOR 127543 6250 12713 4304 17880 168690 PATTI JURKUS BMH CEO 183255 950 5589 13855 203649 GEORGIANN WATTS BMH CNO 147749 1500 776 4545 16955 171525 DAVID GOUGH TREASURER/CENTRA VP-FIN 204532 21013 6256 23496 255297 RICHARD TUGMAN CENTRA VP & CCO 306251 38811 18276 38819 31314 433471 ERIN H DOVE MD MEDICAL DOCTOR 391012 16811 612 7950 33450 449835 GITA VERMA MD MEDICAL DOCTOR 234839 35000 154 7096 7659 284748 ALAN DENEKAS MD MEDICAL DOCTOR 244297 16454 3200 7463 20353 291767 EUGENE LOWE MD MEDICAL DOCTOR 209679 20000 18608 2217 14968 265472 TERRY YEAGER CRNA MEDICAL DOCTOR 209778 13234 6574 26200 255786 Part I, Line 4b THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2016. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT DEFERRED E.W. TIBBS CENTRA PRESIDENT & CEO $116,363 MICHAEL ELLIOTT CENTRA SR VP & COO $ 0 RICHARD TUGMAN PCHP CEO $ 0 ------------- $ 116,363 ============= THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN IN FY 2016. NAME TITLE AMOUNT DEFERRED E.W. TIBBS CENTRA PRESIDENT & CEO $184,890 MICHAEL ELLIOTT CENTRA SR VP & COO $41,738 RICHARD TUGMAN PCHP CEO $32,450 ------------- $259,078 ============= 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 E.W. TIBBS AND DAVID GOUGH ARE BOARD MEMBERS OF CENTRAL VIRGINIA IMAGING, LLC. OFFICER MICHAEL ELLIOTT IS AN OFFICER 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 CHANGE IN THE NAME OF A BOARD COMMITTEE IN 2016. THIS CHANGE WAS APPROVED AT THE BMH BOARD MEETING ON SEPTEMBER 27, 2016 "THE NAME OF THE QUALITY AND PATIENT CARE COMMITTEE WILL BE CHANGED TO THE PROFESSIONAL AND PATIENT CARE COMMITTEE (PPCC)." BEDFORD MEMORIAL HOSPITAL HAD THE BELOW LISTED CHANGES TO SECTIONS 4.4 AND 6.1 OF BEDFORD MEMORIAL HOSPITALS AMENDED AND RESTATED BYLAWS; THIS CHANGE WAS APPROVED AT THE BMH BOARD MEETING ON SEPTEMBER 27, 2016. "SECTION 4.4 SHALL BE AMENDED AS FOLLOWS: 4.4 PROFESSIONAL AND PATIENT CARE COMMITTEE. THE PROFESSIONAL AND PATIENT CARE COMMITTEE SHALL BE A STANDING COMMITTEE AND SHALL CONSIST OF NO LESS THAN FIVE PERSONS, INCLUDING NOT LESS THAN THREE DIRECTORS AND NOT LESS THAN TWO PHYSICIANS, WHO MAY OR MAY NOT BE DIRECTORS. THE CHAIRMAN OF THE BOARD AND THE HOSPITAL CEO WILL ALSO SERVE AS EX-OFFICIO MEMBERS OF THE COMMITTEE, WITH VOTE, AND THE PRESIDENT OF THE MEDICAL STAFF SHALL SERVE AS AN EX-OFFICIO MEMBER WITHOUT VOTE. THE HOSPITALS CHIEF NURSING OFFICER AND OTHER REPRESENTATIVES FROM THE MEDICAL STAFF, NURSING STAFF AND CLINICAL DEPARTMENTS MAY ALSO BE ASKED TO SERVE AS CONSULTANTS TO THE COMMITTEE. THE COMMITTEE SHALL MEET AT LEAST TEN TIMES PER YEAR PRIOR TO EACH SCHEDULED MONTHLY BOARD MEETING, AND MORE OFTEN IF REQUIRED AT THE CALL OF THE CHAIRMAN OF THE BOARD OR THE CHAIRMAN OF THE COMMITTEE. (A) 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. (B) ADDITIONAL FUNCTIONS OF THE PROFESSIONAL AND PATIENT CARE COMMITTEE ARE TO REPORT ON, REVIEW, EVALUATE AND/OR MAKE RECOMMENDATIONS ON: (I) THE PROFESSIONAL MEDICAL, DENTAL, PSYCHOLOGICAL AND PODIATRIC SERVICES FURNISHED INCLUDING THE NECESSITY OF SUCH SERVICES; (II) THE QUALITY OF CARE DELIVERED AT THE HOSPITAL AND THE EFFICIENCY WITH WHICH SUCH CARE IS DELIVERED; (III) THE COMPETENCY AND QUALIFICATIONS OF THE PROFESSIONAL STAFF, INCLUDING: * APPROVAL OF MEDICAL STAFF APPOINTMENTS AND REAPPOINTMENTS; * REVIEW FOCUSED AND ONGOING PROFESSIONAL PRACTICE EVALUATIONS OF THE MEDICAL STAFF. (C) ADDITIONAL DUTIES OF THE PROFESSIONAL AND PATIENT CARE COMMITTEE INCLUDE: (I) OVERSIGHT OF CLINICAL PROGRAMS AT THE HOSPITAL * REVIEW PERFORMANCE OF THE PHYSICIANS EMPLOYED BY THE HOSPITAL OR ANY AFFILIATED ENTITY; * REVIEW PERFORMANCE OF CONTRACTED CLINICAL SERVICES; * OVERSEE RECRUITMENT ASSISTANCE FOR THE MEDICAL STAFF; (II) OVERSIGHT OF THE DEVELOPMENT OF CLINICIANS WHO CAN PROVIDE EXCELLENT CARE EVERY TIME * OVERSIGHT OF RECRUITMENT, RETENTION AND SATISFACTION OF EMPLOYEES; * RECOGNIZE EMPLOYEES WHO HAVE SHOWN EXTRAORDINARY COMMITMENT TO THEIR PROFESSIONS; (III) OVERSIGHT OF CLINICAL QUALITY AND SAFETY FOR THE HOSPITAL, INCLUDING: * DEVELOP AND MONITOR QUALITY MEASURES INCLUDING THOSE ON THE CORPORATE SCORECARD; * OVERSEE PROGRAMS THAT STANDARDIZE THE DELIVERY OF CARE; * OVERSEE THE QUALITY ASSURANCE PROGRAMS OF THE MEDICAL STAFF; * OVERSEE THE PATIENT SAFETY PROGRAM; * REVIEW SENTINEL EVENTS AND SERIOUS SAFETY EVENTS AND ENSURE THAT THE ORGANIZATION LEARNS FROM SUCH EVENTS; (IV) OVERSIGHT OF THE EFFICIENCY WITH WHICH CLINICAL CARE IS DELIVERED AT THE HOSPITAL INCLUDING: * PARTICIPATE IN THE DEVELOPMENT AND MONITORING OF MEASURES OF EFFICIENT RESOURCE USE THAT ARE INCLUDED ON THE CORPORATE SCORECARD; * ENSURE THAT CARE AT THE HOSPITAL IS DELIVERED THROUGH INTERDISCIPLINARY COLLABORATION; * FOSTER LEADERSHIP DEVELOPMENT AMONG EMPLOYEES AND CLINICAL STAFF TO SUPPORT THE DELIVERY OF CARE THAT IS EXCELLENT, RELIABLE AND EFFICIENT; (v) MONITOR PATIENT SATISFACTION AND MAKE RECOMMENDATIONS TO OPTIMIZE IT, ENSURING SUFFICIENT INPUT FROM ALL NECESSARY CONSTITUENTS. (D) THE PROFESSIONAL AND PATIENT CARE COMMITTEE SHALL ALSO UNDERTAKE SUCH OTHER DUTIES AS MAY FROM TIME TO TIME BE DESIGNATED BY THE BOARD." "SECTION 6.1 SHALL BE AMENDED AS FOLLOWS: 6.1 MEMBERSHIP. THE BOARD OF DIRECTORS, OR A DESIGNATED BOARD COMMITTEE, SHALL HAVE THE AUTHORITY AND RESPONSIBILITY TO APPOINT MEMBERS TO THE MEDICAL STAFF OF THE HOSPITAL. THE BOARD, OR A DESIGNATED BOARD COMMITTEE, SHALL HAVE COMPLETE AUTHORITY TO GRANT OR DENY ANY APPLICATION FOR APPOINTMENT TO THE MEDICAL STAFF, TO GRANT OR DENY REAPPOINTMENT TO THE MEDICAL STAFF, TO SUSPEND OR REVOKE MEDICAL STAFF MEMBERSHIP, AND TO REDUCE, INCREASE, SUSPEND, REVOKE, REINSTATE OR OTHERWISE ADJUST THE CLINICAL PRIVILEGES OF ANY PRACTITIONER AT THE HOSPITAL. THE BOARD, OR A DESIGNATED BOARD COMMITTEE, MAY EXERCISE SUCH AUTHORITY (A) AFTER RECEIVING A RECOMMENDATION FROM THE EXECUTIVE COMMITTEE OF THE MEDICAL STAFF; OR (B) ON ITS OWN INITIATIVE, IN THE ABSENCE OF A TIMELY RECOMMENDATION FROM THE EXECUTIVE COMMITTEE OF THE MEDICAL STAFF, AFTER REVIEW OF THE MATTER BY AN AD HOC COMMITTEE OF DIRECTORS APPOINTED BY THE CHAIRMAN; OR (C) ON ITS OWN INITIATIVE WITHOUT PRIOR REVIEW WHEN IT DETERMINES THAT IMMEDIATE ACTION IS NECESSARY TO PROTECT THE HEALTH OR SAFETY OF PATIENTS." 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 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:2125061 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:1898810 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT FEES TOTAL FEES:1176095 CENTRA MEDICAL GROUP BEDFORD LLC 1613 OAKWOOD STREET BEDFORD VA 24523 465341463 PHYS SVCS VA 3620942 1133961 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 false false false false false false false false false false false false false true false false false