2019-11-07T06:33:26-06:00 2018-12-31 BDO USA LLP 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2018-01-01 540566100 BEDFORD MEMORIAL HOSPITAL % WILLIAM BASS BMH CEO BEDF 5404257603 1613 OAKWOOD STREET BEDFORD VA 24523 WILLIAM BASS CEO 4342004708 2019-11-06 true Marc Berger P01871563 7038930600 4.15.233.162 54621820193115000000 2019-11-07 P C44969C09172B32DC5279494C6AE8494327A5917 651D255A1A915A1FDEE8CC96D476D00223E3EE33 2018 2020-03-31 21:24:44Z WILLIAM BASS 1613 OAKWOOD STREET BEDFORD VA 24523 40568084 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. 10 8 511 63 0 7221 46944 57385 36716330 40023874 4633 15611 415961 471214 37183868 40568084 29494 46108 0 0 21127177 23645745 0 0 0 19393480 20419345 40550151 44111198 -3366283 -3543114 39993969 45307614 25756706 34613463 14237263 10694151 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 35843220 46108 40023874 BEDFORD MEMORIAL HOSPITAL EXISTS TO SERVE THE HEALTHCARE NEEDS OF ITS COMMUNITY, REGARDLESS OF PATIENT ABILITY TO PAY. BEDFORDS ACUTE HOSPITAL ADMITTED 2,915 PATIENTS DURING 2018 AND PROVIDED 5,115 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 35,649 DAYS OF SKILLED AND INTERMEDIATE CARE IN 2018. 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 17,155 VISITS DURING 2018, 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. 2018 COMMUNITY BENEFIT HIGHLIGHTS * IN FURTHERANCE OF ITS MISSION, BEFORD PROVIDED EXTENSIVE UNCOMPENSATED CARE DURING 2018, $6,452,245 IN CHARGES AT AN ESTIMATED COST OF $2,398,332 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 $4,852,894, AT AN ESTIMATED COST OF $1,803,845 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 S3,302,880. * LOSS FROM MEDICAID BASED ON COST TO CHARGE RATIO TOTALED $593,674. * DURING 2018, BEDFORD MEMORIAL HOSPITAL PROCESSED A COMBINED TOTAL OF 441 LABORATORY TESTS FOR BEDFORD CHRISTIAN FREE CLINIC CLIENTS AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT EXCEEDING $38,985. * 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 * NUTRITION/WEIGHT MANAGEMENT EDUCATION * WOMENS HEALTH * ORTHOPEDIC EDUCATION * SENIORS EDUCATION AND OUTREACH * BABYSITTING CLASSES HEALTH SCREENINGS * HEALTH FAIRS * BLOOD PRESSURE SCREENINGS * SKIN CANCER SCREENINGS SUPPORT GROUPS * 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. 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 2018, 53 VOLUNTEERS DONATED 9,785 HOURS OF SERVICE TO OUR VOLUNTEER PROGRAM. 35843220 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 53 0 true 511 true true true false false false false false false false false false false false X 10 8 true false false false true true true true true false false true true true true true true false false false VA X X WILLIAM BASS BMH CEO 5404257603 1613 OAKWOOD STREET BEDFORD VA 24523 X AMANDA STANLEY CHAIRMAN 2.0 0.0 X X 0 0 0 JANICE LUTH MD VICE CHAIRMAN 2.0 50.0 X X 0 168824 21733 MICHAEL ELLIOTT SCTY/CENTRA INTERIM PRES & CEO 2.0 50.0 X X 0 592581 116584 EW TIBBS CENTRA PRES/CEO (THRU 9/18) 2.0 50.0 X X 0 2017436 221900 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 (THRU 8/18) 2.0 0.0 X 0 0 0 W COURTNEY HOLDREN DIRECTOR 2.0 0.0 X 0 0 0 MARY ZIRKLE DIRECTOR (AS OF 9/18) 2.0 0.0 X 0 0 0 PATTI JURKUS BMH CEO 50.0 0.0 X 217888 0 22423 GEORGIANN WATTS CNO 50.0 0.0 X 188698 0 17199 DAVID GOUGH TREASURER/CENTRA SVP FIN/CFO 2.0 50.0 X 0 481004 101156 JEFFERY WIGGINS CENTRA CORP COMPL OFFCR 2.0 50.0 X 0 228241 29893 ERIN DOVE MD MEDICAL DOCTOR 50.0 0.0 X 305444 0 31933 HEIDI SHIELDS CERTIFIED NURSE ANESTHETIST 50.0 0.0 X 223380 0 44840 DANIEL FREED MD MEDICAL DOCTOR 50.0 0.0 X 211830 0 22822 KENNETH GERGELY CERTIFIED NURSE ANESTHETIST 50.0 0.0 X 210997 0 31040 TERRY YEAGER CERTIFIED NURSE ANESTHETIST 50.0 0.0 X 206806 0 37349 1565043 3488086 698872 17 false true false HERITAGE HEALTHCARE INC PO BOX 823424 PHILADELPHIA PA 19182 THERAPY MGMT SVCS 748313 ALLIANCE HEALTHCARE SERVICES PO BOX 96485 CHICAGO IL 60693 MRI SERVICES 287385 VA HOSPITAL LAUNDRY INC 1601 OLIVER HILL WAY RICHMOND VA 23219 LAUNDRY, LINEN SVCS 282348 MOORES ELECTRICAL PO BOX 119 ALTAVISTA VA 24517 ELECTRICAL CONTRACT 236316 VIZIENT INC 5543 LEGACY DRIVE PLANO TX 75024 CONTRACT LABOR SVCS 159016 7 57385 57385 NET PATIENT SERVICES REVENUE 621400 40006196 40006196 ANCILLARY SERVICES 900099 17678 17678 40023874 15335 15335 0 0 291928 291928 0 291928 291928 276 276 276 276 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 179286 179286 179286 40568084 40023874 486825 X 46108 46108 0 0 0 446208 0 446208 0 0 18376830 17051070 1325760 0 0 4822707 4335968 486739 0 0 2262541 0 2262541 0 61288 0 61288 0 35720 0 35720 0 0 0 0 7817455 4906836 2910619 93776 19964 73812 0 1943612 1508802 434810 0 0 0 1085251 992099 93152 0 124653 120675 3978 0 0 62017 44870 17147 0 125304 125304 0 0 0 3198795 3198795 0 0 444083 444083 0 0 MEDICAL SUPPLIES 1580391 1580391 DRUGS 1468255 1468255 COLLECTIONS SERVICES 116204 116204 44111198 35843220 8267978 0 2165792 1715000 0 0 0 0 7711531 11590073 0 0 0 0 0 0 1006548 1027204 28501 69807 39870183 12355201 25936957 27514982 0 0 0 0 0 0 3137519 3137519 7121 253029 39993969 45307614 2179906 2290912 0 0 0 0 0 0 0 0 0 0 5049298 4419492 0 0 18527502 27903059 25756706 34613463 X 14237263 10694151 0 0 0 0 14237263 10694151 39993969 45307614 -3543114 2 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2150295 2150295 21925895 3138647 18787248 1062350 439563 622787 14674996 8776991 5898005 56647 56647 27514982 0 ESTIMATED PAYABLES TO 3RD PARTY 584687 DUE TO RELATED PARTIES 26859032 OTHER LIABILITIES 459340 27903059 X PART X, LINE 2: BEDFORD MEMORIAL HOSPITAL IS INCLUDED IN CENTRA HEALTH, INCS CONSOLIDATED AUDIT REPORT FOR YEAR ENDED DECEMBER 31, 2018. 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 Medical Group Southside, LLC and Centra Medical Group, LLC are disregarded for federal income tax purposes and, therefore, are included under Southside's and Bedford's 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, 2018. Centra believes they are no longer subject to income tax examinations for years prior to December 31, 2015. true true X true X true X true false true true 2398332 2398332 0.05440 6001004 5407330 593674 0.01350 8399336 5407330 2992006 0.06790 95235 95235 0.00220 34500 34500 0.00080 129735 129735 0.00300 8529071 5407330 3121741 0.07090 2994 2994 0.00010 3417 3417 0.00010 1795 1795 0.00000 8206 8206 0.00020 true 4852894 12823129 16126009 -3302880 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 WWW.CENTRAHEALTH.COM 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 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 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. 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: 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. 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 2018 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 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. 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. 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 2018 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 FY2018 WAS $593,674. 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, 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 2018, 21.4% OF THE TOWN OF BEDFORD RESIDENTS HAD A BACHELORS DEGREE OR HIGHER AND 28.3% OF THE BEDFORD COUNTY RESIDENTS HAD A BACHELORS DEGREE, MUCH LESS THAN THE STATE AVERAGE OF 37.6%. IN 2017 DOLLARS, THE TOWN OF BEDFORD HAD A MEDIAN HOUSEHOLD INCOME OF $41,058 AND BEDFORD COUNTY HAD A MEDIAN HOUSEHOLD INCOME OF $59,405, AS COMPARED TO THE STATE MEDIAN OF $68,766. AS OF 2018, 26.2% OF THE TOWN OF BEDFORD POPULATION WAS LIVING IN POVERTY AND 9.0% OF THE BEDFORD COUNTY POPULATION WAS LIVING IN POVERTY COMPARED TO THE STATE AVERAGE OF 10.6%. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: BEDFORD MEMORIAL HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED PROVIDERS AND, IN ADDITION TO CLINICAL CARE, THE HOSPITAL WORKS TO ACHIEVE ITS MISSION THROUGH THE EDUCATION OF HEALTH PROFESSIONALS AND THE COMMUNITY. THE HOSPITAL ALSO PARTICIPATES IN NUMEROUS HEALTH FAIRS AND SCREENINGS THROUGHOUT THE COMMUNITY AT LOCAL EMPLOYERS, COLLEGES, CHURCHES, ETC., IN ORDER TO PROVIDE HEALTH SCREENINGS AND INFORMATION ON MANY HEALTH ISSUES, FOR EXAMPLE, BLOOD PRESSURE, DIABETES, PSA, BLADDER AND CANCER SCREENINGS, ETC. ADDITIONALLY, THE HOSPITAL PARTICIPATES IN THE "BEDFORD CHRISTIAN FREE CLINIC", BY PROVIDING LAB TESTS FREE OF CHARGE. IN 2018, 441 LAB TESTS WERE PROVIDED TO CLINIC PATIENTS, AT NO CHARGE. THIS DONATED SERVICE RESULTED IN A COMMUNITY BENEFIT EXCEEDING $38,985. 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 TOWN OF BEDFORD 215 E MAIN STREET BEDFORD VA 24523 546001138 GOVT AGENCY 20000 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 MD VICE CHAIRMAN 0 126493 0 29500 0 12831 0 4254 0 17479 0 190557 0 0 MICHAEL ELLIOTT SCTY/CENTRA INTERIM PRES & CEO 0 448298 0 74851 0 69432 0 86055 0 30529 0 709165 0 47047 EW TIBBS CENTRA PRES/CEO (THRU 9/18) 0 649545 0 181441 0 1186450 0 171812 0 50088 0 2239336 0 887284 PATTI JURKUS BMH CEO 199616 0 17117 0 1155 0 6094 0 16329 0 240311 0 0 0 GEORGIANN WATTS CNO 172840 0 14903 0 955 0 5263 0 11936 0 205897 0 0 0 DAVID GOUGH TREASURER/CENTRA SVP FIN/CFO 0 368227 0 42698 0 70079 0 72129 0 29027 0 582160 0 60918 JEFFERY WIGGINS CENTRA CORP COMPL OFFCR 0 209844 0 18113 0 284 0 6210 0 23683 0 258134 0 0 ERIN DOVE MD MEDICAL DOCTOR 285471 0 19307 0 666 0 8250 0 23683 0 337377 0 0 0 HEIDI SHIELDS CERTIFIED NURSE ANESTHETIST 198604 0 16458 0 8318 0 6451 0 38389 0 268220 0 0 0 DANIEL FREED MD MEDICAL DOCTOR 209205 2625 0 6383 16439 234652 0 KENNETH GERGELY CERTIFIED NURSE ANESTHETIST 180585 0 11325 0 19087 0 5872 0 25168 0 242037 0 0 0 TERRY YEAGER CERTIFIED NURSE ANESTHETIST 185776 0 11325 0 9705 0 5364 0 31985 0 244155 0 0 0 Part I, Line 4A: E.W. TIBBS, FORMER CENTRA HEALTH, INC., PRESIDENT & CEO (A RELATED PARTY), RECEIVED SEVERANCE PAYMENT DURING 2018 IN THE AMOUNT OF $237,750, INCLUDED IN HIS 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 2018. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT of PAYOUT E.W. TIBBS CENTRA HEALTH PRESIDENT & $887,284 (THRU 9/30/18) CEO (A RELATED PARTY) MICHAEL ELLIOTT CENTRA HEALTH INTERIM CEO $47,047 (AS OF OCT 2018) (A RELATED PARTY) DAVID GOUGH CENTRA HEALTH SR VP & CFO $60,918 (A RELATED PARTY) ------------ $ 995,249 ============= THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN IN FY 2018. NAME TITLE AMOUNT DEFERRED E.W. TIBBS CENTRA HEALTH PRESIDENT & $163,562 (THRU 9/30/18) CEO (A RELATED PARTY) MICHAEL ELLIOTT CENTRA HEALTH INTERIM CEO $77,805 (AS OF OCT 2O18) (A RELATED PARTY) DAVID GOUGH CENTRA HEALTH SR VP & CFO $63,879 (A RELATED PARTY) ------------- $305,245 ============= 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 2: BOARD MEMBER MICHAEL ELLIOTT AND OFFICER 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 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:PHYSICIAN REMUNERATION TOTAL FEES:563911 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:1980340 FORM 990 PART IX LINE 11G DESCRIPTION:INTERHOSPITAL CHARGES TOTAL FEES:3690163 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:1294201 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:218576 FORM 990 PART IX LINE 11G DESCRIPTION:RECRUITMENT TOTAL FEES:42027 FORM 990 PART IX LINE 11G DESCRIPTION:INTERPRETER SERVICES TOTAL FEES:150 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:23257 FORM 990 PART IX LINE 11G DESCRIPTION:EMPLOYEE RECOGNITION TOTAL FEES:4730 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:100 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 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