2020-11-03T07:43:10-06:00 2019-12-31 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2019-01-01 540566100 BEDFORD MEMORIAL HOSPITAL % WILLIAM BASS JR BMH CEO BEDF 5404257603 1613 OAKWOOD STREET BEDFORD VA 24523 WILLIAM BASS JR CEO 4342004708 2020-11-02 true Marc Berger P01871563 7038930600 108.18.98.230 54621820203085000002 2020-11-03 P 1559189AB611C6D07109AB02E40BE1709676A263 651D255A1A915A1FDEE8CC96D476D00223E3EE33 2019 2021-01-29 14:40:06Z WILLIAM BASS JR 1613 OAKWOOD STREET BEDFORD VA 24523 45271644 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. 12 8 496 63 0 57385 15831 40023874 44771531 15611 26584 471214 457698 40568084 45271644 46108 6635 0 0 23645745 23061123 0 0 0 20419345 20363444 44111198 43431202 -3543114 1840442 45307614 46208603 34613463 33674010 10694151 12534593 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 36558090 6635 44771531 BEDFORD MEMORIAL HOSPITAL EXISTS TO SERVE THE HEALTHCARE NEEDS OF ITS COMMUNITY, REGARDLESS OF PATIENT ABILITY TO PAY. BEDFORDS ACUTE HOSPITAL ADMITTED 2,040 PATIENTS DURING 2019 AND PROVIDED 5,761 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 34,904 DAYS OF SKILLED AND INTERMEDIATE CARE IN 2019. 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 18,589 VISITS DURING 2019, 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. 2019 COMMUNITY BENEFIT HIGHLIGHTS * IN FURTHERANCE OF ITS MISSION, BEDFORD PROVIDED EXTENSIVE UNCOMPENSATED CARE DURING 2019, $3,719,454 IN CHARGES AT AN ESTIMATED COST OF $1,142,088 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 $4,557,554, AT AN ESTIMATED COST OF $1,399,433 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 $293,619. * LOSS FROM MEDICAID BASED ON COST TO CHARGE RATIO TOTALED $627,177. * DURING 2019, BEDFORD MEMORIAL HOSPITAL PROCESSED A COMBINED TOTAL OF 126 LABORATORY TESTS FOR BEDFORD CHRISTIAN FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT EXCEEDING $17,477. 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, AND HEALTH SCREENINGS. SOME EXAMPLES ARE LISTED BELOW. COMMUNITY EDUCATION AND HEALTH SCREENINGS: EDUCATION/CLASSES * CANCER EDUCATION * HEART DISEASE/HEALTHY HEART EDUCATION * HEARTAWARE SCREENING * COPD EDUCATION * WOMENS HEALTH * SENIORS EDUCATION AND OUTREACH * BABYSITTING CLASSES HEALTH SCREENINGS * HEALTH FAIRS * BLOOD PRESSURE SCREENINGS VOLUNTEERS- BEDFORD COMMUNITY HOSPITAL IS HONORED TO HAVE MANY VOLUNTEERS FROM THROUGHOUT OUR SERVICE AREA MAKING A DIFFERENCE TO OUR PATIENTS, VISITORS, AND STAFF. OUR VOLUNTEERS ARE AN INVALUABLE PART OF OUR OPERATIONS, AS THEY SERVE VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS, FRONT DESK, REGISTRATION, EMERGENCY DEPARTMENTS, TRANSPORT, ETC. IN 2019, 55 VOLUNTEERS DONATED 9,406 HOURS OF SERVICE TO OUR VOLUNTEER PROGRAM. IN 2019, BEDFORD HOSPICE VOLUNTEERS DONATED 2,131 HOURS OF SERVICE TO THE HOSPICE PROGRAM. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO THE HOSPICE HOUSE. VOLUNTEERS SUPPORT THE HOSPICE HOUSE BY GROCERY SHOPPING, MEAL AND MEDICATION DELIVERY, CLEANING, INTERACTING WITH PATIENTS AND FAMILIES. THEY ALSO OFFER SUPPORT TO FAMILIES WHO HAVE LOST A LOVED ONE THROUGH PARTICIPATING IN THE HOSPICE MEMORIAL SERVICES 6 TIMES DURING THE YEAR. OUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 1,102.32 MILES IN 2019. 36558090 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 false false true false false false false false false false false false false false false true true false false false true 43 0 true 496 true false false false false false false false false false false false false X 12 8 false false false false true true true true true false false true true true true true true false false false VA X X WILLIAM BASS JR BMH CEO 5404257603 1613 OAKWOOD STREET BEDFORD VA 24523 X Andrew Mueller MD DIRECTOR (AS OF 5/19) 2.0 50.0 X 0 587325 168551 MICHAEL ELLIOTT SECRETARY (THRU 4/19) 2.0 50.0 X X 0 558283 153331 Hilary Basham DO MEDICAL DOCTOR 50.0 0.0 X 418658 0 33980 WILLIAM BASS JR VP & BMH CEO (AS OF 7/19) 50.0 2.0 X 356171 0 20786 Eugene Lowe MD MEDICAL DOCTOR 50.0 0.0 X 330457 0 32600 Linda Beahm MD MEDICAL DOCTOR 50.0 0.0 X 225580 0 33773 DAVID GOUGH TREAS/Centra SVP (THRU 4/19) 2.0 50.0 X 0 241046 17947 Susan Waters Manager of Pharmacy Ops 50.0 0.0 X 178082 0 66739 JEFFERY WIGGINS Centra Corp Compliance Officer 2.0 50.0 X 0 210134 30825 PATTI JURKUS BMH CEO (THRU 6/19) 50.0 0.0 X 221341 0 13001 Daniel Freed MD MEDICAL DOCTOR 50.0 0.0 X 194792 0 22978 GEORGIANN WATTS BMH CNO 50.0 0.0 X 169705 0 17210 JANICE LUTH MD VICE CHAIRMAN 2.0 50.0 X X 0 159981 21462 PHILLIP GRUBER PHARMACIST 50.0 0.0 X 164820 0 7817 TERESA GILLS Treasurer (AS OF 5/19) 2.0 50.0 X 0 126435 4578 Amanda Stanley CHAIRMAN 2.0 0.0 X X 0 0 0 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 W COURTNEY HOLDREN DIRECTOR 2.0 0.0 X 0 0 0 MARY ZIRKLE DIRECTOR 2.0 0.0 X 0 0 0 2259606 1883204 645578 14 false true false HERITAGE HEALTHCARE INC PO BOX 823424 PHILADELPHIA PA 19182 THERAPY MGMT SVCS 411670 HEALTHPRO MANAGEMENT 535 Old Howell Rd GREENVILLE SC 29615 THERAPY MGMT SVCS 279006 ALLIANCE HEALTHCARE SERVICES PO BOX 96485 CHICAGO IL 60693 MRI SERVICES 267505 VA HOSPITAL LAUNDRY INC 1601 OLIVER HILL WAY RICHMOND VA 23219 LAUNDRY, LINEN SVCS 257134 MOORES ELECTRICAL PO BOX 119 ALTAVISTA VA 24517 ELECTRICAL SERVICES 232566 9 15831 15831 NET PATIENT SERVICES REVENUE 621400 44594176 44594176 0 0 ANCILLARY SERVICES 900099 177355 177355 0 0 44771531 26584 26584 0 0 294760 294760 0 294760 294760 0 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 162938 162938 0 0 162938 45271644 44934469 0 321344 X 6635 6635 0 0 0 798214 0 798214 0 0 17520453 16836731 683722 0 0 4742456 4362367 380089 0 0 2511529 0 2511529 0 18818 0 18818 0 38428 0 38428 0 0 0 0 5797466 3709894 2087572 0 59777 0 59777 0 3823179 3606451 216728 0 2286 0 2286 0 0 1051043 1014751 36292 0 124245 122380 1865 0 0 22383 20513 1870 0 110896 110896 0 0 0 2745732 2745732 0 0 376333 376333 0 0 MEDICAL SUPPLIES 1976056 1976056 0 0 DRUGS 1669351 1669351 0 0 COLLECTIONS SERVICES 35698 0 35698 0 MISCELLANEOUS EXPENSES 224 0 224 0 43431202 36558090 6873112 0 1715000 3054605 0 0 0 0 11590073 12261252 0 0 0 0 0 0 1027204 972266 69807 35848 41292618 15100934 27514982 26191684 0 0 0 0 0 0 3137519 3157303 253029 535645 45307614 46208603 2290912 2162526 0 0 0 0 0 0 0 0 0 0 4419492 3858260 0 0 27903059 27653224 34613463 33674010 X 10694151 12534593 0 0 10694151 12534593 45307614 46208603 1840442 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2150295 2150295 22214005 4128168 18085837 1062350 552458 509892 15338802 10420308 4918494 527166 0 527166 26191684 0 ESTIMATED PAYABLES TO 3RD PARTY 648472 DUE TO RELATED PARTIES 26528424 OTHER LIABILITIES 476328 27653224 X PART X, LINE 2: BEDFORD MEMORIAL HOSPITAL IS INCLUDED IN CENTRA HEALTH, INCS CONSOLIDATED AUDIT REPORT FOR YEAR ENDED DECEMBER 31, 2019. 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, HEALTHWORKS, CVQCN, AND OUTPATIENT REHAB ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER CENTRAS TAX RETURN. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARIES, GBC, PCHP HOLDING, INC. AND PCHP. UNDER THE ASSET-AND-LIABILITY METHOD FOR THESE STANDARDS, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASIS OF THE 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, 2019. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2016. true true X true X true X true false true true 1142088 0 1142088 0.02630 8698734 8071557 627177 0.01440 9840822 8071557 1769265 0.04070 34753 0 34753 0.00080 6635 0 6635 0.00020 41388 0 41388 0.00100 9882210 8071557 1810653 0.04170 276 0 276 0.00000 276 0 276 0.00000 true 4557554 11530275 11823894 -293619 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 18 true false false true X www.centrahealth.com/bmh X X true 18 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: THE 2018 BEDFORD AREA COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCORPORATED AN EXPANDED COMMUNITY VOICE (PRIMARY DATA) AS WELL AS THE COLLECTION OF OVER 65 SOURCES OF PUBLICLY AVAILABLE SECONDARY DATA. IN ADDITION, INFORMATION REGARDING AVAILABLE COMMUNITY RESOURCES WAS GATHERED. PRIMARY DATA INCLUDED FINDINGS FROM A COMMUNITY HEALTH SURVEY; STAKEHOLDERS FOCUS GROUP AND SURVEY; AND TARGET POPULATION FOCUS GROUPS. 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 2018 BEDFORD AREA COMMUNITY HEALTH ASSESSMENT TEAM CONSISTED OF THE FOLLOWING ORGANIZATIONS: AGAPE BEDFORD CHRISTIAN FREE CLINIC BEDFORD CHRISTIAN MINISTRIES BEDFORD COMMUNITY HEALTH FOUNDATION BEDFORD COUNTY ADMINISTRATION GOVERNMENT BEDFORD COUNTY FIRE & RESCUE BEDFORD COUNTY J&D COURT SYSTEM BEDFORD COUNTY PARKS & RECREATION BEDFORD COUNTY SCHOOLS PUBLIC SCHOOLS BEDFORD COUNTY SHERIFFS OFFICE BEDFORD DEPARTMENT OF SOCIAL SERVICES BEDFORD POLICE DEPARTMENT BEDFORD RIDE TRANSPORTATION BEDFORD SOCIAL SERVICES SOCIAL SERVICES BEDFORD YMCA RECREATION CARILION CLINIC HOSPITAL CENTRA- BEDFORD CENTRA BEDFORD MEMORIAL HOSPITAL CENTRA COLLEGE OF NURSING CENTRA- FARMVILLE CENTRA FOUNDATION CENTRA- LYNCHBURG CENTRA- PITTSYLVANIA CENTRAL VIRGINIA COMMUNITY COLLEGE BEDFORD CENTRAL VIRGINIA HEALTH DISTRICT CHRISTOPHER NYE CONSULTING COMMUNITY ACCESS NETWORK COMMUNITY FOUNDATION COMMUNITYWORKS GREATER LYNCHBURG COMMUNITY FOUNDATION HEALTH FOUNDATION HORIZON BEHAVIORAL HEALTH JOHNSON HEALTH CENTER (BEDFORD COMMUNITY HEALTH CENTER) LIBERTY UNIVERSITY LYNCHBURG AREA CENTER FOR INDEPENDENT LIVING (LACIL) MARY BUCHANAN BEDFORD COMMUNITY PIEDMONT HEALTH DISTRICT PITTSYLVANIA/DANVILLE HEALTH DISTRICT PRAYER OUTREACH MINISTRIES ST JOHNS EPISCOPAL CHURCH UNITED WAY OF CENTRAL VIRGINIA VIRGINIA COMMONWEALTH UNIVERSITY VIRGINIA COOPERATIVE EXTENSION SCHEDULE H, PART V, SECTION B, LINE 7D: HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. PART V, SECTION B, LINE 11: 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. CENTRA BMH 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: 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. 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 2019 AND SHARED INFORMATION AND MATERIALS ABOUT HEATH CAREER CHOICES AND THE ACADEMIC PATHWAY TO THOSE CAREERS. 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: GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NATURE, AMOUNT, TIMING, AND UNCERTAINTY OF THESE REVENUES AND CASH FLOWS. ADJUSTMENTS TO PREVIOUS REIMBURSEMENT ESTIMATES ARE REPORTED IN NET PATIENT SERVICE REVENUES IN THE PERIODS THAT SUCH ADJUSTMENTS BECOME KNOWN. FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTIONS PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD. (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2019 AUDIT REPORT, PAGE 13) CONSISTENT WITH CENTRAS MISSION, SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CENTRA HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURANCE BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CENTRA EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS. (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2019 AUDIT REPORT, PAGE 15) PATIENTS WHO MEET CENTRAS CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS SUBSTANTIALLY LESS THAN ESTABLISHED RATES IN ACCORDANCE WITH CENTRAS FINANCIAL ASSISTANCE POLICY. SINCE CENTRA DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE DETERMINED TO QUALIFY AS CHARITY CARE AND ARE NOT REPORTED AS REVENUE. WHILE CHARITY CARE IS EXCLUDED FROM NET PATIENT SERVICE REVENUE, CENTRA MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THIS INCLUDES THE AMOUNT OF CHARGES FOREGONE AND THE ESTIMATED COSTS INCURRED FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. COSTS INCURRED ARE ESTIMATED BASED ON THE RATIO OF TOTAL OPERATING EXPENSE TO GROSS CHARGES. (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2019 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 FY2019 WAS $293,619. 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 45 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, ON THE BOTTOM OF THE CURRENT STATEMENTS IS THE FOLLOWING VERBIAGE: CANT PAY YOUR BILL? FINANCIAL ASSISTANCE AND FLEXIBLE PAYMENT OPTIONS ARE AVAILABLE BY CONTACTING CENTRA CUSTOMER SERVICE AT (434) 200-3777. PART VI, LINE 4: COMMUNITY INFORMATION: BEDFORD MEMORIAL HOSPITAL PRIMARILY SERVES APPROXIMATELY 85,582 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 2019, 16.60% OF THE TOWN OF BEDFORD RESIDENTS HAD A BACHELORS DEGREE OR HIGHER AND 28.9% OF THE BEDFORD COUNTY RESIDENTS HAD A BACHELORS DEGREE, MUCH LESS THAN THE STATE AVERAGE OF 38.2%. IN 2018 DOLLARS, THE TOWN OF BEDFORD HAD A MEDIAN HOUSEHOLD INCOME OF $40,958 AND BEDFORD COUNTY HAD A MEDIAN HOUSEHOLD INCOME OF $61,541, AS COMPARED TO THE STATE MEDIAN OF $71,564. AS OF 2019, 24.7% OF THE TOWN OF BEDFORD POPULATION WAS LIVING IN POVERTY AND 10.4% OF THE BEDFORD COUNTY POPULATION WAS LIVING IN POVERTY COMPARED TO THE STATE AVERAGE OF 10.7%. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: BEDFORD MEMORIAL HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED PROVIDERS AND, IN ADDITION TO CLINICAL CARE, THE HOSPITAL WORKS TO ACHIEVE ITS MISSION THROUGH THE EDUCATION OF HEALTH PROFESSIONALS AND THE COMMUNITY. THE HOSPITAL ALSO PARTICIPATES IN NUMEROUS HEALTH FAIRS AND SCREENINGS THROUGHOUT THE COMMUNITY AT LOCAL EMPLOYERS, COLLEGES, CHURCHES, ETC., IN ORDER TO PROVIDE HEALTH SCREENINGS AND INFORMATION ON MANY HEALTH ISSUES FOR EXAMPLE, BLOOD PRESSURE, DIABETES, PSA, CANCER SCREENINGS, ETC. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN THE BEDFORD CHRISTIAN FREE CLINIC, BY PROVIDING LAB TESTS FREE OF CHARGE. IN 2019, 126 LAB TESTS WERE PROVIDED TO CLINIC PATIENTS, AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT EXCEEDING $17,477. 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 true false false false false false false false JANICE LUTH MD VICE CHAIRMAN 0 120524 0 25506 0 13951 0 4395 0 17067 0 181443 0 0 MICHAEL ELLIOTT SECRETARY (THRU 4/19) 0 462088 0 12500 0 83695 0 122608 0 30723 0 711614 0 55471 Andrew Mueller MD DIRECTOR (AS OF 5/19) 0 540924 0 25000 0 21401 0 142740 0 25811 0 755876 0 0 PATTI JURKUS BMH CEO (THRU 6/19) 107448 0 0 0 113893 0 3286 0 9715 0 234342 0 0 0 WILLIAM BASS JR VP & BMH CEO (AS OF 7/19) 303651 0 0 0 52520 0 7586 0 13200 0 376957 0 50189 0 GEORGIANN WATTS BMH CNO 167493 0 0 0 2212 0 5109 0 12101 0 186915 0 0 0 DAVID GOUGH TREAS/Centra SVP (THRU 4/19) 0 171433 0 0 0 69613 0 5232 0 12715 0 258993 0 31764 JEFFERY WIGGINS Centra Corp Compliance Officer 0 209607 0 0 0 527 0 6458 0 24367 0 240959 0 0 Hilary Basham DO MEDICAL DOCTOR 357105 0 61051 0 502 0 8400 0 25580 0 452638 0 0 0 Eugene Lowe MD MEDICAL DOCTOR 294343 0 15833 0 20281 0 8400 0 24200 0 363057 0 0 0 Linda Beahm MD MEDICAL DOCTOR 223925 0 0 0 1655 0 6750 0 27023 0 259353 0 0 0 Daniel Freed MD MEDICAL DOCTOR 194792 0 0 0 0 0 5888 0 17090 0 217770 0 0 0 Susan Waters Manager of Pharmacy Ops 168587 0 0 0 9495 0 3665 0 63074 0 244821 0 0 0 PHILLIP GRUBER PHARMACIST 163624 0 0 0 1196 0 1968 0 5849 0 172637 0 0 0 Part I, Line 4A: PATTI JURKUS, FORMER BEDFORD MEMORIAL HOSPITAL CEO, RECEIVED A SEVERANCE PAYMENT DURING 2019 IN THE AMOUNT OF $93,898, INCLUDED IN HER TAXABLE INCOME. THE TERMS OF THE SEVERANCE AGREEMENT WERE CONSISTENT WITH INDUSTRY STANDARDS. Part I, Line 4b: THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2019. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT of PAYOUT DAVID GOUGH CENTRA HEALTH SR VP & CFO $31,764 (A RELATED PARTY) MICHAEL ELLIOTT CENTRA HEALTH SVP-CTO $55,471 (A RELATED PARTY) WILLIAM BASS, JR VP & BMH CEO $50,189 ------------ $ 137,424 ============= THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2019. NAME TITLE AMOUNT DEFERRED MICHAEL ELLIOTT CENTRA HEALTH SVP-CTO $114,208 (A RELATED PARTY) 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, SOCIALIZATION 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 6: CENTRA HEALTH, INC, A CHARITABLE TAX-EXEMPT HEALTHCARE ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A & 7B: CENTRA HEALTH, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND THEREFORE HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF BEDFORD'S GOVERNING BODY AND APPROVE DECISIONS MADE BY BEDFORD'S BOARD. FORM 990, PART VI, SECTION B, LINE 11B: THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. COPIES OF 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 HOSPITAL'S 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 ORGANIZATION'S SOLE MEMBER AND RELATED PARTY, CENTRA HEALTH, INC, THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER'S COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S) AND COMPENSATION STUDY OR SURVEY. FORM 990, PART VI, SECTION C, LINE 18: PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY UPON REQUEST AT ITS ADMINISTRATIVE OFFICE. FORM 990, PART 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:INTERHOSPITAL CHARGES TOTAL FEES:4040094 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1009852 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN REMUNERATION TOTAL FEES:592470 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:133048 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:21932 FORM 990 PART IX LINE 11G DESCRIPTION:EMPLOYEE RECONGNITION TOTAL FEES:70 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 VA NA C Corp PCHP HOLDING INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541749492 HOLDING COMPANY VA NA C Corp PIEDMONT COMMUNITY HEALTH PLAN INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541755768 HEALTH INSURANCE VA NA C Corp false false true false false false false false false false false false false false false true false false false