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BEDFORD MEMORIAL HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
BEDFORD MEMORIAL HOSPITAL (EIN 54-0566100)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-13
IRS object ID
201703179349304185
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-13T12:24:42-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11676 INTERNATIONAL DRIVEAddressLine1Txt
CityMcLeanCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540566100EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BEDFORD MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% PATTI JURKUS BMH CEOInCareOfNm
Business Name ControlBEDFBusinessNameControlTxt
Phone5404257601PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11613 OAKWOOD STREETAddressLine1Txt
CityBEDFORDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24523ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID GOUGHPersonNm
Person TitleVP FINANCEPersonTitleTxt
Phone4342004708PhoneNum
Signature2017-11-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJG WhitePreparerPersonNm
PTINP01498698PTIN
Phone7032868000PhoneNum
Preparation2017-11-07PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.102.5IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id54028020173125000002FederalOriginalSubmissionId
Federal Original Submission Id2017-11-08FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6D46BA34C949FAA56B9EE98EB9A4B3386700C41CAtSubmissionCreationDeviceId
At Submission Filing Device Id338DF67F7D76F452896565F2BC00488146B8E0D7AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPATTI JURKUS CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11613 OAKWOOD STREETAddressLine1Txt
CityBEDFORDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24523ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$38,248,294GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BEDFORDMEMORIAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1957FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SURGERY, EMERGENCY, GERIATRIC AND REHABILITATIVE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee455TotalEmployeeCnt
Total Volunteers56TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$927,037PYContributionsGrantsAmt
CY Contributions Grants$99,130CYContributionsGrantsAmt
PY Program Service Revenue$33,751,837PYProgramServiceRevenueAmt
CY Program Service Revenue$37,728,072CYProgramServiceRevenueAmt
PY Investment Income$5,945PYInvestmentIncomeAmt
CY Investment Income$12,751CYInvestmentIncomeAmt
PY Other Revenue$285,366PYOtherRevenueAmt
CY Other Revenue$408,341CYOtherRevenueAmt
PY Total Revenue$34,970,185PYTotalRevenueAmt
CY Total Revenue$38,248,294CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$24,474CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$23,337,728PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,772,371CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,710,821PYOtherExpensesAmt
CY Other Expenses$16,637,256CYOtherExpensesAmt
PY Total Expenses$38,048,549PYTotalExpensesAmt
CY Total Expenses$41,434,101CYTotalExpensesAmt
PY Revenues Less Expenses-$3,078,364PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,185,807CYRevenuesLessExpensesAmt
Total Assets BOY$37,961,814TotalAssetsBOYAmt
Total Assets EOY$40,694,090TotalAssetsEOYAmt
Total Liabilities BOY$16,976,737TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,894,820TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,985,077NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,799,270NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF BEDFORD MEMORIAL HOSPITAL, A 501(C)(3) HOSPITAL, IS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. (CONTINUED ON SCHEDULE O)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$37,030,843ExpenseAmt
Grant$24,474GrantAmt
Revenue$37,728,072RevenueAmt
DescBEDFORD 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.Desc
Total Program Service Expenses$37,030,843TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document80IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee455EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPATTI JURKUS BMH CEOPersonNm
Phone5404257601PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11613 OAKWOOD STREETAddressLine1Txt
CityBEDFORDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24523ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHARLES KOLAKOWSKI
CHAIRMAN2.00.0Yes (X)Yes (X)$0$0$0
JOHN MACK
VICE CHAIRMAN2.00.0Yes (X)Yes (X)$0$0$0
MICHAEL ELLIOTT
SECRETARY2.050.0Yes (X)Yes (X)$0$303,017$76,533
EW TIBBS
CENTRA PRESIDENT & CEO2.050.0Yes (X)Yes (X)$0$933,309$238,624
MICHAEL LEMASTER
DIRECTOR2.00.0Yes (X)$0$0$0
TIMOTHY HAYDEN
DIRECTOR2.00.0Yes (X)$0$0$0
CYNTHIA GUNNOE
DIRECTOR2.00.0Yes (X)$0$0$0
JEFFREY HUBBARD
DIRECTOR2.00.0Yes (X)$0$0$0
AMANDA STANLEY
DIRECTOR2.00.0Yes (X)$0$0$0
JANICE LUTH MD
DIRECTOR2.050.0Yes (X)$0$146,506$22,184
MARY JO BOONE
DIRECTOR2.00.0Yes (X)$0$0$0
PATTI JURKUS
BMH CEO50.00.0Yes (X)$184,205$0$19,444
GEORGIANN WATTS
BMH CNO50.00.0Yes (X)$150,025$0$21,500
DAVID GOUGH
TREASURER/CENTRA VP-FIN2.050.0Yes (X)$0$225,545$29,752
RICHARD TUGMAN
CENTRA VP & CCO2.050.0Yes (X)$0$363,338$70,133
ERIN H DOVE MD
MEDICAL DOCTOR50.00.0$408,435$0$41,400Yes (X)
GITA VERMA MD
MEDICAL DOCTOR50.00.0$269,993$0$14,755Yes (X)
ALAN DENEKAS MD
MEDICAL DOCTOR50.00.0$263,951$0$27,816Yes (X)
EUGENE LOWE MD
MEDICAL DOCTOR50.00.0$248,287$0$17,185Yes (X)
TERRY YEAGER CRNA
MEDICAL DOCTOR50.00.0$223,012$0$32,774Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,747,908TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,971,715TotReportableCompRltdOrgAmt
Total Other Compensation$612,100TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HERITAGE HEALTHCARE INC
PO BOX 823424PHILADELPHIAPA19182THERAPY MGMT SVCS$803,543
HOSPITALIST ASSOCIATES OF VIRGINIA
2215 LANDOVER PLACELYNCHBURGVA24501PHYSICIAN SERVICES$599,904
MEDICAL ASSOCIATES OF CENTRAL VA I
2215 LANDOVER PLACELYNCHBURGVA24501PHYSICIAN SERVICES$329,194
COMPHEALTH
PO BOX 972651DALLASTX75397LOCUM TENENS SVCS$304,873
ALLIANCE HEALTHCARE SERVICES
PO BOX 96485CHICAGOIL60693MRI SERVICES$295,473
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Related Organizations$99,130RelatedOrganizationsAmt
Total Contributions$99,130TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES REVENUE621400$37,687,778$37,687,778
ANCILLARY SERVICES900099$30,494$30,494
MEANINGFUL USE900099$9,800$9,800
FieldValueIRS element (for citing)
Total Program Service Revenue$37,728,072TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,751TotalRevenueColumnAmt
Exclusion$12,751ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$257,487RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$257,487RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$257,487TotalRevenueColumnAmt
Exclusion$257,487ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIADesc
Business900099BusinessCd
Total Revenue Column$150,854TotalRevenueColumnAmt
Exclusion$150,854ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$150,854OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,248,294TotalRevenueColumnAmt
Related Or Exempt Func Income$37,728,072RelatedOrExemptFuncIncomeAmt
Exclusion$421,092ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$24,474TotalAmt
Program Services$24,474ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$375,174TotalAmt
Management And General$375,174ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,694,588TotalAmt
Program Services$19,334,988ProgramServicesAmt
Management And General$359,600ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,702,609TotalAmt
Program Services$4,519,320ProgramServicesAmt
Management And General$183,289ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,782,555TotalAmt
Program Services$32,556ProgramServicesAmt
Management And General$1,749,999ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$49,638TotalAmt
Management And General$49,638ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$44,898TotalAmt
Management And General$44,898ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,199,966TotalAmt
Program Services$4,963,817ProgramServicesAmt
Management And General$236,149ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$137,788TotalAmt
Program Services$137,380ProgramServicesAmt
Management And General$408ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,931,209TotalAmt
Program Services$1,302,025ProgramServicesAmt
Management And General$629,184ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,727TotalAmt
Management And General$12,727ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$844,283TotalAmt
Program Services$158,755ProgramServicesAmt
Management And General$685,528ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$113,479TotalAmt
Program Services$111,750ProgramServicesAmt
Management And General$1,729ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$68,630TotalAmt
Program Services$61,261ProgramServicesAmt
Management And General$7,369ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$153,143TotalAmt
Program Services$153,143ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,827,910TotalAmt
Program Services$2,827,910ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$558,037TotalAmt
Program Services$558,037ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$1,456,583$1,456,583
DRUGS$1,374,836$1,374,836
COLLECTIONS SERVICES$80,880$13,314$67,566
MISCELLANEOUS$694$694

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$41,434,101TotalAmt
Program Services$37,030,843ProgramServicesAmt
Management And General$4,403,258ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,373,225BOYAmt
EOY$2,832,348EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,480,771BOYAmt
EOY$7,248,009EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$971,904BOYAmt
EOY$996,724EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$121,952BOYAmt
EOY$24,349EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$32,367,940LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,005,237LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,867,254BOYAmt
EOY$26,362,703EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,137,519BOYAmt
EOY$3,137,519EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,189BOYAmt
EOY$92,438EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$37,961,814BOYAmt
EOY$40,694,090EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,821,320BOYAmt
EOY$2,430,173EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,205,711BOYAmt
EOY$5,674,774EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,949,706BOYAmt
EOY$14,789,873EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,976,737BOYAmt
EOY$22,894,820EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$20,985,077BOYAmt
EOY$17,799,270EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,985,077BOYAmt
EOY$17,799,270EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,961,814BOYAmt
EOY$40,694,090EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,185,807ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,150,295OtherCostOrOtherBasisAmt
Book Value$2,150,295BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,412,093OtherCostOrOtherBasisAmt
Depreciation$1,439,649DepreciationAmt
Book Value$14,972,444BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,062,350OtherCostOrOtherBasisAmt
Depreciation$183,517DepreciationAmt
Book Value$878,833BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,500,980OtherCostOrOtherBasisAmt
Depreciation$4,382,071DepreciationAmt
Book Value$8,118,909BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$242,222OtherCostOrOtherBasisAmt
Book Value$242,222BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,362,703TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ESTIMATED PAYABLES TO 3RD PART$537,944
DUE TO RELATED PARTIES$14,251,929
FieldValueIRS element (for citing)
Total Liability$14,789,873TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDescription of Uncertain Tax Positions Under FIN 48FormAndLineReferenceDesc
ExplanationPART 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetfalseFinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,311,489TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,311,489NetCommunityBenefitExpnsAmt
Total Expense0.03160TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,379,792TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,868,510DirectOffsettingRevenueAmt
Net Community Benefit Expns$511,282NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,691,281TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,868,510DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,822,771NetCommunityBenefitExpnsAmt
Total Expense0.04390TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,936TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$86,936NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,675TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$22,675NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$109,611TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$109,611NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,800,892TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,868,510DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,932,382NetCommunityBenefitExpnsAmt
Total Expense0.04640TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,645TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,645NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$506TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$506NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,599TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,599NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,750TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,750NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$3,609,710BadDebtExpenseAmt
Reimbursed By Medicare$13,480,083ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,676,718CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,196,635MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BEDFORD MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11613 OAKWOOD STREETAddressLine1Txt
CityBEDFORDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24523ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BEDFORDMEMORIAL.ORGWebsiteAddressTxt
State LicenseH1828StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BEDFORD MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.BEDFORDMEMORIAL.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.CENTRAHEALTH.COMOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.BEDFORDMEMORIAL.ORGStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.BEDFORDMEMORIAL.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.BEDFORDMEMORIAL.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.BEDFORDMEMORIAL.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
OAKWOOD MANOR NURSING HOME
1613 OAKWOOD STREETBEDFORDVA24523NURSING HOME
BEDFORD ADULT DAY CARE CENTER
1617 OAKWOOD STREETBEDFORDVA24523ADULT DAY CARE
CMG BEDFORD-GENERAL SURGERY CENTER
1615 OAKWOOD STREET SUITE BBEDFORDVA24523GENERAL SURGERY
CMG BEDFORD-PULMONOLOGY CENTER
1613 OAKWOOD STREET SUITE 202BEDFORDVA24523PULMONARY SERVICES
CMG BEDFORD-WOMEN'S CENTER
1615 OAKWOOD STREET SUITE DBEDFORDVA24523WOMEN'S HEALTH SERVICES
CMG BEDFORD-EMERGENCY SERVICES
1613 OAKWOOD STREETBEDFORDVA24523EMERGENCY SERVICES
CMG BEDFORD-HOSPITALISTS
1613 OAKWOOD STREETBEDFORDVA24523HOSPITALIST SERVICES
CMG BEDFORD-CRNA
1613 OAKWOOD STREETBEDFORDVA24523CRNA SERVICES
BEDFORD HOSPICE
1621 WHITFIELD DRIVEBEDFORDVA24523HOSPICE SERVICES
BEDFORD HOSPICE HOUSE
1025 TURNING POINT ROADBEDFORDVA24523HOSPICE HOUSE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6AINFORMATION ON COMMUNITY BENEFITS IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC., SOLE MEMBER OF BEDFORD MEMORIAL HOSPITAL.
PART I, LINE 7COST-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 2SEE DESCRIPTION FOR PART III, SECTION A, LINE 4
PART III, SECTION A, LINE 4THE 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 8THE 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 9BBEDFORD 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 2NEEDS 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 3PATIENT 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 4COMMUNITY 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 5PROMOTION 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 6AFFILIATED 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 7STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1BEDFORD AREA FAMILY YMCABusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1026AddressLine1Txt
CityBEDFORDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24523ZIPCd
FieldValueIRS element (for citing)
Recipient EIN541140513RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$7,000CashGrantAmt
Purpose Of GrantCHARITABLE CONTRIBUTIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHROUGHOUT THE YEAR, GRANT REQUESTS ARE SUBMITTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmount
MICHAEL ELLIOTT
SECRETARY$276,885$12,500$13,632$49,688$26,845$379,550
EW TIBBS
CENTRA PRESIDENT & CEO$746,926$186,383$192,840$45,784$1,171,933$116,363
JANICE LUTH MD
DIRECTOR$127,543$6,250$12,713$4,304$17,880$168,690
PATTI JURKUS
BMH CEO$183,255$950$5,589$13,855$203,649
GEORGIANN WATTS
BMH CNO$147,749$776$4,545$16,955$171,525$1,500
DAVID GOUGH
TREASURER/CENTRA VP-FIN$204,532$21,013$6,256$23,496$255,297
RICHARD TUGMAN
CENTRA VP & CCO$306,251$38,811$18,276$38,819$31,314$433,471
ERIN H DOVE MD
MEDICAL DOCTOR$391,012$612$7,950$33,450$449,835$16,811
GITA VERMA MD
MEDICAL DOCTOR$234,839$154$7,096$7,659$284,748$35,000
ALAN DENEKAS MD
MEDICAL DOCTOR$244,297$3,200$7,463$20,353$291,767$16,454
EUGENE LOWE MD
MEDICAL DOCTOR$209,679$18,608$2,217$14,968$265,472$20,000
TERRY YEAGER CRNA
MEDICAL DOCTOR$209,778$13,234$6,574$26,200$255,786

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 4bFormAndLineReferenceDesc
ExplanationTHE 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 =============ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 6WITHIN 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 2OFFICERS 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 4BEDFORD 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 6CENTRA HEALTH, INC, A CHARITABLE TAX-EXEMPT HEALTHCARE ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A & 7BCENTRA 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 11BTHE 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 12CALL 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 15FORM 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 18PHOTOCOPIES 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 19THE 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 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:2125061
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:1898810
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT FEES TOTAL FEES:1176095

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CENTRA MEDICAL GROUP BEDFORD LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11613 OAKWOOD STREETAddressLine1Txt
CityBEDFORDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24523ZIPCd
FieldValueIRS element (for citing)
EIN465341463EIN
Primary ActivitiesPHYS SVCSPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Total Income$3,620,942TotalIncomeAmt
End Of Year Assets$1,133,961EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BMHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CENTRA HEALTH INC
1920 ATHERHOLT ROADLYNCHBURGVA24501540715569HEALTHCAREVA501(C)(3)3NAfalse
CENTRA HEALTH FOUNDATION
1920 ATHERHOLT ROADLYNCHBURGVA24501541604094SUPPORT ORGVA501(C)(3)12ANAfalse
CCRC INC
1920 ATHERHOLT ROADLYNCHBURGVA24501541929580CONTINUE CAREVA501(C)(3)12ANAfalse
SOUTHSIDE COMMUNITY HOSPITAL
800 OAK STREETFARMVILLEVA23901540555201HEALTHCAREVA501(C)(3)3NAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
GENERAL BUSINESS CONCERNS INC
1920 ATHERHOLT ROADLYNCHBURGVA24501541299682R/E PHYSICIAN SVCVANAC Corpfalse
PCHP HOLDING INC
2316 ATHERHOLT ROADLYNCHBURGVA24501541749492HOLDING COMPANYVANAC Corpfalse
PIEDMONT COMMUNITY HEALTH PLAN INC
2316 ATHERHOLT ROADLYNCHBURGVA24501541755768HEALTH INSURANCEVANAC Corpfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd