BEDFORD MEMORIAL HOSPITAL: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- BEDFORD MEMORIAL HOSPITAL (EIN 54-0566100)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-18
- IRS object ID
- 201532309349301063
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-18T14:22:13-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1676 International Drive | AddressLine1 |
| City | McLean | City |
| State | VA | State |
| ZIP Code | 22102 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540566100 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bedford Memorial Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % LEWIS C ADDISON | InCareOfNm |
| Business Name Control | BEDF | BusinessNameControlTxt |
| Phone | 5405873385 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1613 OAKWOOD STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | BEDFORD | City |
| State | VA | State |
| ZIP Code | 24523 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Patti Jurkus | PersonNm |
| Person Title | VP & CEO | PersonTitleTxt |
| Phone | 5405873385 | PhoneNum |
| Signature | 2015-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARGARET A BRADSHAW | PreparerPersonNm |
| PTIN | P00501222 | PTIN |
| Phone | 5405873385 | PhoneNum |
| Preparation | 2015-08-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | PATTI JURKUS CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1613 OAKWOOD STREET | AddressLine1 |
| City | BEDFORD | City |
| State | VA | State |
| ZIP Code | 24523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $43,521,173 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BEDFORDMEMORIAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1957 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SURGERY, EMERGENCY, GERIATRIC AND REHABILITATIVE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 451 | TotalEmployeeCnt |
| Total Volunteers | 135 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $31,917 | PYContributionsGrantsAmt |
| CY Contributions Grants | $87,895 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $34,285,410 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,566,957 | CYProgramServiceRevenueAmt |
| PY Investment Income | $839,099 | PYInvestmentIncomeAmt |
| CY Investment Income | $809,796 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,598,454 | PYOtherRevenueAmt |
| CY Other Revenue | $737,573 | CYOtherRevenueAmt |
| PY Total Revenue | $36,754,880 | PYTotalRevenueAmt |
| CY Total Revenue | $30,202,221 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $14,120 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $13,400 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,815,856 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,918,882 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,978,993 | PYOtherExpensesAmt |
| CY Other Expenses | $14,810,755 | CYOtherExpensesAmt |
| PY Total Expenses | $35,808,969 | PYTotalExpensesAmt |
| CY Total Expenses | $32,743,037 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $945,911 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,540,816 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $31,513,270 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,304,465 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $15,772,325 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,636,169 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $15,740,945 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $24,668,296 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $27,607,814 | ExpenseAmt |
| Grant | $13,400 | GrantAmt |
| Revenue | $28,864,886 | RevenueAmt |
| Desc | BEDFORD MEMORIAL HOSPITAL EXISTS TO SERVE THE HEALTHCARE NEEDS OF ITS COMMUNITY, REGARDLESS OF PATIENT ABILITY TO PAY. BEDFORD'S ACUTE HOSPITAL ADMITTED 1,084 PATIENTS AND PROVIDED 3,560 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 IS ALSO HOME TO OAKWOOD MANOR, A LONG-TERM CARE FACILITY PROVIDING 36,747 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 13,901 VISITS, BEDFORD'S 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 PROVIDES EXTENSIVE UNCOMPENSATED CARE. DURING FYE 9/30/14, $3,494,481 IN CHARGES AT AN ESTIMATED COST OF $1,391,577 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 $3,634,846 AT AN ESTIMATED COST OF $1,447,485 WERE CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. LOSS FROM MEDICARE BASED ON COST TO CHARGE RATIO TOTALED $565,995. LOSS FROM MEDICAID BASED ON COST TO CHARGE RATIO TOTALED $1,100,987. BEDFORD 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, COUNSELING, 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 " 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 " OBESITY SCREENINGS " MAMMOGRAMS " CHOLESTEROL TESTING | Desc |
| Total Program Service Expenses | $27,607,814 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 451 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LEWIS C ADDISON | PersonNm |
| Phone | 4342004708 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1920 ATHERHOLT ROAD | AddressLine1 |
| City | LYNCHBURG | City |
| State | VA | State |
| ZIP Code | 24501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| David Adams | |||||||||
| Director/Centra SVP & CSO | 2.0 | 50.0 | Yes (X) | Yes (X) | $0 | $405,836 | $88,784 | ||
| Johnson Kerr Jr MD | |||||||||
| Director/Chief of Staff | 2.0 | 48.0 | Yes (X) | Yes (X) | $0 | $324,272 | $28,374 | ||
| Lewis Addison | |||||||||
| Director/Centra SVP & CFO | 2.0 | 50.0 | Yes (X) | Yes (X) | $0 | $685,482 | $76,136 | ||
| Michael LeMaster | |||||||||
| Director/Vice Chair | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Patsy Dooley | |||||||||
| Director/Chair | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Amanda Stanley | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Brian Buchanan MD | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Carolyn Jacques | |||||||||
| Director/Centra VP | 2.0 | 50.0 | Yes (X) | $0 | $218,204 | $41,256 | |||
| Charles Kolakowski | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Consuella Woods | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Cynthia Smith | |||||||||
| Director/Sr. Director | 2.0 | 48.0 | Yes (X) | $0 | $138,637 | -$16,021 | |||
| Deborah Shipman | |||||||||
| Director/Centra VP | 2.0 | 50.0 | Yes (X) | $0 | $174,484 | $18,837 | |||
| G Robert Vaughan | |||||||||
| Director/VP | 2.0 | 48.0 | Yes (X) | $0 | $255,568 | -$13,062 | |||
| John Bond | |||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $13,200 | $0 | |||
| John Mack | |||||||||
| Director | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Melina Perdue | |||||||||
| Director/EVP | 2.0 | 48.0 | Yes (X) | $0 | $438,512 | $109,899 | |||
| Paul Davenport | |||||||||
| Director/VP | 2.0 | 48.0 | Yes (X) | $220,798 | $2,770 | ||||
| R Wayne Gandee MD | |||||||||
| Director/EVP | 2.0 | 48.0 | Yes (X) | $0 | $733,197 | $29,321 | |||
| Theodore Stryker | |||||||||
| Director/Centra VP | 2.0 | 50.0 | Yes (X) | $0 | $205,395 | $48,843 | |||
| Patti Jurkus | |||||||||
| CEO/Secretary/Treasurer | 50.0 | 0.0 | Yes (X) | $186,358 | $0 | $70,815 | |||
| Rachel Mabe | |||||||||
| Asst. Secretary | 2.0 | 48.0 | Yes (X) | $0 | $69,609 | $89 | |||
| Donald Halliwill | |||||||||
| Asst. Treasurer/EVP | 2.0 | 48.0 | Yes (X) | $0 | $343,160 | -$13,889 | |||
| Dana Thompson | |||||||||
| Manager | 50.0 | 0.0 | $121,839 | $0 | $2,999 | Yes (X) | |||
| Georgiann Watts | |||||||||
| Sr. Director-Nursing | 50.0 | 0.0 | $123,985 | $0 | -$16,438 | Yes (X) | |||
| Jessica Saville | |||||||||
| Pharmacy Manager | 50.0 | 0.0 | $123,856 | $0 | $6,568 | Yes (X) | |||
| Lisa Girani | |||||||||
| Nurse | 40.0 | 0.0 | $102,314 | $0 | $10,845 | Yes (X) | |||
| Phillip Gruber | |||||||||
| Pharmacist | 50.0 | 0.0 | $121,268 | $0 | $11,761 | Yes (X) | |||
| Donald Lorton | |||||||||
| Former Asst. Treas./EVP | 0.0 | 50.0 | $0 | $3,772,316 | -$29,521 | Yes (X) | |||
| Eugene Lowe MD | |||||||||
| Former Officer/Physician | 0.0 | 50.0 | $0 | $205,593 | $28,390 | Yes (X) | |||
| Linda Beahm MD | |||||||||
| Former Vice Pres./Physician | 0.0 | 50.0 | $0 | $183,268 | $17,084 | Yes (X) | |||
| William Flattery | |||||||||
| Former Administrator/Secre | 0.0 | 50.0 | $0 | $249,555 | $21,386 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $779,620 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,637,086 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $525,226 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Heritage Healthcare | |||||
| 536 Old Howell Road | Greenville | SC | 29615 | Professional Fees | $716,746 |
| Soltas Lab Partners Group LLC | |||||
| PO Box 751337 | Charlotte | NC | 28275 | Laboratory Services | $660,178 |
| Foodservice Partners of Virginia | |||||
| 2823 Franklin Road Bldg B | Roanoke | VA | 24014 | Food Service | $150,917 |
| Comprehensive Breast Imaging | |||||
| 2605 Coffee Road | Lynchburg | VA | 24503 | Physician Services | $127,723 |
| GE Medical Systems | |||||
| PO Box 640944 | Pittsburgh | PA | 152640944 | Equip. Maintenance | $109,916 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $10,620 | RelatedOrganizationsAmt |
| Government Grants | $52,707 | GovernmentGrantsAmt |
| All Other Contributions | $24,568 | AllOtherContributionsAmt |
| Total Contributions | $87,895 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $28,566,957 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,566,957 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,566,957 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $284,187 | TotalRevenueColumnAmt |
| Exclusion | $284,187 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $402,281 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $402,281 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $402,281 | TotalRevenueColumnAmt |
| Exclusion | $402,281 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,844,497 | SecuritiesAmt |
| Other | $64 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,318,952 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $525,545 | SecuritiesAmt |
| Other | $64 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $525,609 | TotalRevenueColumnAmt |
| Exclusion | $525,609 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Misc Revenue | 900099 | $286,684 | $286,684 | |
| CAFETERIA | 900099 | $37,363 | $37,363 | |
| Court Cost Recovery | 900099 | $11,245 | $11,245 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $335,292 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,202,221 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,864,886 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,249,440 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,400 | TotalAmt |
| Program Services | $13,400 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,505 | TotalAmt |
| Management And General | $195,505 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,982,486 | TotalAmt |
| Program Services | $13,395,006 | ProgramServicesAmt |
| Management And General | $587,480 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $981,853 | TotalAmt |
| Program Services | $981,853 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,056,704 | TotalAmt |
| Program Services | $1,857,385 | ProgramServicesAmt |
| Management And General | $199,319 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,334 | TotalAmt |
| Program Services | $702,334 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $779,967 | TotalAmt |
| Management And General | $779,967 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,587 | TotalAmt |
| Management And General | $21,587 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,950 | TotalAmt |
| Management And General | $32,950 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,962 | TotalAmt |
| Program Services | $2,962 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,757 | TotalAmt |
| Management And General | $7,757 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,866,528 | TotalAmt |
| Program Services | $4,289,104 | ProgramServicesAmt |
| Management And General | $577,424 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,335 | TotalAmt |
| Program Services | $56,335 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,177,772 | TotalAmt |
| Program Services | $1,092,873 | ProgramServicesAmt |
| Management And General | $84,899 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,366 | TotalAmt |
| Program Services | $119,366 | ProgramServicesAmt |
| Management And General | $1,000 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $936,880 | TotalAmt |
| Program Services | $675,294 | ProgramServicesAmt |
| Management And General | $261,586 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,316 | TotalAmt |
| Program Services | $57,108 | ProgramServicesAmt |
| Management And General | $11,208 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,697 | TotalAmt |
| Program Services | $113,244 | ProgramServicesAmt |
| Management And General | $10,453 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,731 | TotalAmt |
| Program Services | $322,731 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,119,285 | TotalAmt |
| Program Services | $1,119,285 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $705,445 | TotalAmt |
| Program Services | $542,273 | ProgramServicesAmt |
| Management And General | $163,172 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $2,232,469 | $2,232,469 | ||
| I/C PRACTICE SUBSIDY | $2,171,941 | $2,171,941 | ||
| DUES AND SUBSCRIPTIONS | $25,512 | $7,596 | $17,916 | |
| OTHER EXPENSES | $38,255 | $27,196 | $11,059 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,743,037 | TotalAmt |
| Program Services | $27,607,814 | ProgramServicesAmt |
| Management And General | $5,135,223 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,996 | BOYAmt |
| EOY | $11,510,172 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,891 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,017,936 | BOYAmt |
| EOY | $4,437,782 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,436 | BOYAmt |
| EOY | $714,835 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,034 | BOYAmt |
| EOY | $103,062 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,520,349 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $350,476 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,360,631 | BOYAmt |
| EOY | $19,169,873 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,175,384 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $665,523 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $3,137,519 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $132,439 | BOYAmt |
| EOY | $1,231,222 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,513,270 | BOYAmt |
| EOY | $40,304,465 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,227,665 | BOYAmt |
| EOY | $2,699,297 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,120 | BOYAmt |
| EOY | $1,780 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,295,646 | BOYAmt |
| EOY | $6,856,127 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,223,894 | BOYAmt |
| EOY | $6,078,965 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,772,325 | BOYAmt |
| EOY | $15,636,169 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,735,374 | BOYAmt |
| EOY | $24,668,296 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,571 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,740,945 | BOYAmt |
| EOY | $24,668,296 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,513,270 | BOYAmt |
| EOY | $40,304,465 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,540,816 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $749,386 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $10,718,781 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,962 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,962 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
| Supplemental Information Detail | SupplementalInformationDetail |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Explanation of Lobbying Activities | PART II-B, LINE 1 PORTION OF DUES PAID TO AMERICAN HOSPITAL ASSOCIATION AND VIRGINIA HOSPITAL HEALTHCARE ASSOCIATION SPENT ON LOBBYING. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,057,432 | OtherCostOrOtherBasisAmt |
| Book Value | $2,057,432 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,154,499 | OtherCostOrOtherBasisAmt |
| Depreciation | $124,387 | DepreciationAmt |
| Book Value | $12,030,112 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $415,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,375 | DepreciationAmt |
| Book Value | $404,625 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,466,671 | OtherCostOrOtherBasisAmt |
| Depreciation | $215,714 | DepreciationAmt |
| Book Value | $4,250,957 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $426,747 | OtherCostOrOtherBasisAmt |
| Book Value | $426,747 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $19,169,873 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| EST. PAYABLES TO THIRD PARTIES | $927,826 |
| DUE TO RELATED PARTIES | $5,151,139 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,078,965 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $30,943,850 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $749,386 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $749,386 | RevenueNotReportedAmt |
| Revenue Subtotal | $30,194,464 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $7,757 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $7,757 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $30,202,221 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,735,280 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $32,735,280 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $7,757 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $7,757 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $32,743,037 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Description of Uncertain Tax Positions Under FIN 48 | FormAndLineReferenceDesc |
| Explanation | PART X, LINE 2 THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30,2014. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 133. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,391,577 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,391,577 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04250 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,964,647 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,863,660 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,100,987 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03360 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,356,224 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,863,660 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,492,564 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07610 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $74,501 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $74,501 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,563 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $20,563 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $95,064 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $95,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00280 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,451,288 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,863,660 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,587,628 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07890 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,405 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,365 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,365 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $404 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $404 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,533 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,533 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,707 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,707 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,447,485 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $9,222,490 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,788,485 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$565,995 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEDFORD MEMORIAL HOSPITAL | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1613 OAKWOOD STREET | AddressLine1 |
| City | BEDFORD | City |
| State | VA | State |
| ZIP Code | 24523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.BEDFORDMEMORIAL.ORG | WebsiteAddressTxt |
| State License | H 1828 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BEDFORD MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.BEDFORDMEMORIAL.ORG | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | www.carilionclinic.org/about/CHNA | OtherWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Other Needs Addressed | Yes (X) | OtherNeedsAddressedInd |
| All Needs Addressed | false | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 133. | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Insurance Status | Yes (X) | InsuranceStatusInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| Other Factors | Yes (X) | OtherFactorsInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 3: | THE BEDFORD COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOCUSED ON HIGH LEVELS OF COMMUNITY ENGAGEMENT, SOLICITING INPUT FROM STAKEHOLDERS, PROVIDERS, THE TARGET POPULATION, AND THE COMMUNITY AS A WHOLE. MEMBERS FROM THE ENERGIZE BEDFORD COMMUNITY ACTION COALITION SERVED AS THE COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) THAT LED THE ASSESSMENT. ENERGIZE BEDFORD IS A GRASSROOTS INITIATIVE LED BY THE BEDFORD COMMUNITY HEALTH FOUNDATION MADE UP OF INTERESTED AND ENGAGED INDIVIDUALS WHO ARE COMMITTED TO HELPING IMPROVE THE HEALTH AND WELL-BEING OF BEDFORD FAMILIES. THE MAJORITY OF CHAT MEMBERS SERVE THE LOW-INCOME, UNINSURED, UNDERSERVED, AND CHRONICALLY ILL AND OTHER VULNERABLE POPULATIONS IN BEDFORD COUNTY. THE BEDFORD CHAT MET THREE TIMES BETWEEN JANUARY AND AUGUST OF 2013. CHAT MEMBERS REPRESENTED THE FOLLOWING ORGANIZATIONS: BEDFORD ADULT DAY CENTER, BEDFORD AREA CHAMBER, BEDFORD CHRISTIAN MINISTERIES, BEDFORD CITY PARKS & REC, BEDFORD COMMUNITY HEALTH FOUNDATION, BEDFORD COUNTY HEALTH FOUNDATION, BEDFORD COUNTY PARKS & REC DEPT., BEDFORD COUNTY SCHOOLS, BEDFORD COUNTY YOUTH SERVICES, BEDFORD MEMORIAL HOSPITAL, BEDFORD POLICE, BEDFORD PUBLIC LIBRARY SYSTEM, BEDFORD YMCA, BEDFORD YOUTH AND FAMILY, CARILION CLINIC STRATEGIC DEVELOPMENT, CENTRAL VIRGINIA COMMUNITY SERVICES BOARD, CENTRAL VIRGINIA HEALTH DISTRICT, COMPLETE COUNSELING SERVICES, COVENANT DOVE, FOREST MIDDLE SCHOOL, MONETA YMCA, NUTRITION DIMENSIONS, STAUNTON RIVER HIGH SCHOOL, VIRGINIA HOUSE OF DELEGATES, VIRGINIA COOPERATIVE EXTENSION, AND VIRGINIA DEPARTMENT OF HEALTH. |
| PART V, SECTION B, LINE 6i: | BEDFORD MEMORIAL HOSPITAL IS WORKING WITH ENERGIZE BEDFORD TO FOSTER A COMMUNITY COLLABORATION TO ADDRESS ISSUES IDENTIFIED IN THE CHNA. |
| PART V, SECTION B, LINE 7: | MULTIPLE OTHER NEEDS WERE IDENTIFIED DURING THE CHNA PROCESS, INCLUDING HIGH COST OF LIVING AND PREFERENCES FOR NECESSITIES, ACCESS TO ADULT DENTAL CARE, AND THE NEED FOR URGENT CARE SERVICES. BEDFORD MEMORIAL HOSPITAL WILL NOT FOCUS ON THOSE INITIATIVES IN THE SCOPE OF THIS PROJECT DUE TO THE FACT THAT THE CHAT DID NOT IDENTIFY THOSE ISSUES AS BEING THE MOST PERTINENT COMMUNITY NEEDS. IT WOULD NOT BE PRUDENT TO SPREAD LIMITED HOSPITAL AND COMMUNITY RESOURCES ACROSS TOO MANY INITIATIVES. |
| PART V, SECTION B, LINE 12i: | OTHER (LIQUID ASSETS AND EQUITY IN REAL PROPERTY) |
| PART V, SECTION B, LINE 20d: | PRIOR TO JULY 1, 2014, FAP ELIGIBLE UNINSURED PATIENTS WERE CHARGED GROSS CHARGES LESS A DISCOUNT. FAP ELIGIBLE INSURED PATIENTS WERE CHARGED UNDER TERMS OF THEIR INSURANCE CONTRACT AND WERE ELIGIBLE FOR ADDITIONAL DISCOUNTS. THE DISCOUNT RATE WAS BASED ON THE SYSTEM'S DOMINANT LOWEST NEGOTIATED COMMERCIAL INSURANCE RATE. AS OF JULY 1, 2014, THE HOSPITAL USED THE AVERAGE OF ITS THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE RATES WHEN CALCULATING THE MAXIMUM AMOUNTS THAT CAN BE CHARGED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 6 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| OAKWOOD MANOR | ||||
| 1613 OAKWOOD STREET | BEDFORD | VA | 24523 | NURSING HOME |
| BEDFORD ADULT DAY CENTER | ||||
| 1617 OAKWOOD STREET | BEDFORD | VA | 24523 | ADULT DAY CARE |
| BLUE RIDGE CARDIOVASCULAR | ||||
| 37 LAYMANTOWN ROAD | TROUTVILLE | VA | 24175 | CARDIOVASCULAR TESTING |
| CMG BEDFORD GENERAL SURGERY CENTER | ||||
| 1615 OAKWOOD STREET SUITE B | BEDFORD | VA | 24523 | GENERAL SURGERY |
| CMG BEDFORD PULMONOLOGY CENTER | ||||
| 1613 OAKWOOD STREET SUITE 202 | BEDFORD | VA | 24523 | PULMONARY SVCS |
| CMG BEDFORD WOMEN'S CENTER | ||||
| 1615 OAKWOOD STREET SUITE D | BEDFORD | VA | 24523 | WOMEN'S HEALTH SVCS |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c | PRIOR TO JULY 1, 2014, THE HOSPITAL USED ASSET TEST TO DETERMINE FREE AND/OR DISCOUNTED CARE. ALSO, EQUITY VALUE IN REAL PROPERTY WAS USED. AS OF JULY 1, 2014, THE HOSPITAL USED FPG FACTORS IN DETERMINING ELIGIBILITY FOR FREE OR DISCOUNTED CARE. |
| Part I, Line 6a | PRIOR TO JULY 1, 2014, INFORMATION ON COMMUNITY BENEFIT WAS REPORTED ANNUALLY THROUGH A CONSOLIDATED REPORT PREPARED BY CARILION CLINIC, CO-OWNER OF BEDFORD MEMORIAL HOSPITAL. PRINTED COPIES OF THIS REPORT WERE DISTRIBUTED THROUGHOUT THE COMMUNITIES SERVED BY HOSPITALS AFFILIATED WITH CARILION CLINIC. ADDITIONALLY, THE COMMUNITY BENEFIT REPORT WAS AVAILABLE ON CARILION CLINIC'S WEBSITE. AS OF JULY 1, 2014, 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, Lines 1-9 | LINE 2 ECONOMIC DEVELOPMENT: BEDFORD MEMORIAL HOSPITAL PROVIDED RESOURCES FOR THE BEDFORD AREA CHAMBER OF COMMERCE BOARD, AN ORGANIZATION PROVIDING LEADERSHIP PROGRAMS AND OPPORTUNITIES AS WELL AS VOLUNTEER PROGRAMS, NETWORKING OPPORTUNITIES AND OTHER BUSINESS-BUILDING INITIATIVES THAT FOCUS ON THE CRITICAL PRIORITIES OF THE COMMUNITY TO IMPROVE ECONOMIC VITALITY AND QUALITY OF LIFE. LINE 3 COMMUNITY SUPPORT: BEDFORD MEMORIAL HOSPITAL PROVIDED FINANCIAL SUPPORT TO THE BEDFORD AREA YMCA, COMMITTED TO NURTURING THE POTENTIAL OF KIDS, PROMOTING HEALTHY LIVING, AND FOSTERING A SENSE OF SOCIAL RESPONSIBILITY; BEDFORD PREGNANCY CENTER; AND THE BEDFORD VOLUNTEER FIRE DEPARTMENT. LINE 7 COMMUNITY HEALTH IMPROVEMENT ADVOCACY: BEDFORD MEMORIAL HOSPITAL PROVIDED IN-KIND SUPPORT TO ENERGIZE BEDFORD COMMUNITY ACTION COALITION, A GRASSROOTS INITIATIVE MADE UP OF INTERESTED AND ENGAGED INDIVIDUALS, REPRESENTING VARIOUS ORGANIZATIONS WITHIN BEDFORD CITY/COUNTY AND FROM THE COMMUNITY AT LARGE, WHO ARE COMMITTED TO HELPING IMPROVE THE HEALTH AND WELL-BEING OF BEDFORD FAMILIES. LINE 8 WORKFORCE DEVELOPMENT: BEDFORD MEMORIAL HOSPITAL SERVES AS A GOODWILL SENIOR COMMUNITY SERVICE EMPLOYMENT PROGRAM PARTNER, OFFERING ON-THE-JOB TRAINING AND EMPLOYMENT TO HELP THOSE AGED 55 AND OLDER UPDATE THEIR JOB SKILLS, BUILD WORK EXPERIENCE AND CONFIDENCE, AND CONTINUE TO HAVE ECONOMIC SECURITY AND WELL-BEING. |
| Part III, Line 1 | ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, CHANGED CENTRA HEALTH, INC. AND SUBSIDIARIES PRESENTATION OF PROVISION FOR DOUBTFUL ACCOUNTS TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. THEREFORE, CENTRA HEALTH AND ITS SUBSIDIARIES, INCLUDING BEDFORD MEMORIAL HOSPITAL (AS OF JULY 1, 2014), REPORT BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. |
| Part III, Line 2 | THE ORGANIZATION ESTIMATES BAD DEBT EXPENSE BY RESERVING A PERCENTAGE OF ALL SELF-PAY ACCOUNTS RECEIVABLE BY AGING CATEGORY, BASED ON COLLECTION HISTORY, ADJUSTED FOR EXPECTED RECOVERIES, AND, IF PRESENT, ANTICIPATED CHANGES IN TRENDS. THE PERCENTAGE USED TO RESERVE FOR ALL SELF-PAY ACCOUNTS WAS BASED ON THE ORGANIZATION'S COLLECTION HISTORY. |
| Part III, Line 4 | PRIOR TO JULY 1, 2014, AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WAS RECORDED BASED ON HISTORICAL BAD DEBT EXPERIENCE AND MANAGEMENT'S EVALUATION OF THE ACCOUNTS RECEIVABLE. BALANCES WERE WRITTEN OFF AFTER ALL REASONABLE COLLECTION EFFORTS HAD BEEN MADE. ACCOUNTS RECEIVABLE WERE REDUCED BY AN ALLOWANCE FOR AMOUNTS THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE. THE HOSPITAL ESTIMATED THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY RESERVING A PERCENTAGE OF ALL SELF-PAY ACCOUNTS RECEIVABLE BY AGING CATEGORY. BASED ON COLLECTION HISTORY, ADJUSTED FOR EXPECTED RECOVERIES, AND, IF PRESENT, ANTICIPATED CHANGES IN TRENDS. THE PERCENTAGE USED TO RESERVE FOR ALL SELF-PAY ACCOUNTS WAS BASED ON THE HOSPITAL'S COLLECTION HISTORY. THE HOSPITAL COLLECTED SUBSTANTIALLY ALL OF ITS THIRD-PARTY INSURED RECEIVABLES, WHICH INCLUDED RECEIVABLES FROM GOVERNMENT AGENCIES AND COMMERCIAL INSURERS. AS OF JULY 1, 2014, BEDFORD MEMORIAL HOSPITAL ADOPTED THE PROCEDURES OF CENTRA HEALTH, INC., ITS SOLE MEMBER, WHICH INCLUDES ITS METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE. "PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR BAD DEBTS/CHARITY. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, BEDFORD 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/CHARITY AND PROVISION FOR BAD DEBTS/CHARITY. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR BAD DEBTS/CHARITY. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, BEDFORD ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR BAD DEBTS/CHARITY, ALLOWANCE FOR CONTRACTUAL ADJUSTMENTS, PROVISION FOR BAD DEBTS/CHARITY, 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, BEDFORD RECORDS A PROVISION FOR BAD DEBTS/CHARITY 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/CHARITY." |
| Part III, Line 8 | 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 HOSPITAL'S 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 FYE 9/30/14 WAS $565,995. |
| Part III, Line 9b | 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 BEDFORD 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 BEDFORD PATIENTS WHO QUALIFY BASED ON ESTABLISHED INCOME AND ASSET CRITERIA. |
| PART V, LN 10 | PRIOR TO JULY 1, 2014, BEDFORD USED 133% AS THE FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR PROVIDING FREE CARE. AS OF JULY 1, 2014, BEDFORD USES 200% AS THE FPG FAMILY INCOME LIMIT FOR ELIGIBILITY FOR PRIVIDING FREE CARE. |
| PART VI, LINE 2 | NEEDS ASSESSMENT DURING 2013 CARILION CLINIC COMPLETED BEDFORD MEMORIAL HOSPITAL'S FY2012-2015 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN TO MEASURE THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THE ASSESSMENT INCLUDED THE SERVICE AREA OF BEDFORD MEMORIAL HOSPITAL, BEDFORD, VIRGINIA, LOCATED IN THE PIEDMONT REGION OF VIRGINIA. THROUGH THE CHNA, THE BEDFORD COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) FOCUSED ON HIGH LEVELS OF COMMUNITY ENGAGEMENT INVOLVING HEALTH AND HUMAN SERVICE LEADERS, STAKEHOLDERS, AND PROVIDERS; THE TARGET POPULATION, AND THE COMMUNITY AS A WHOLE. THE TARGET POPULATION WAS THOSE LIVING IN THE TOWN OF BEDFORD AND BEDFORD COUNTY. IN GATHERING DATA, AN EMPHASIS WAS PLACED ON VULNERABLE POPULATIONS, SUCH AS LOW-INCOME, UNINSURED/UNDERINSURED, OLDER ADULTS, AND THOSE WITH CHRONIC DISEASES. HEALTH CARE NEEDS AND REQUESTS WERE ASSESSED THROUGH FOCUS GROUPS, AND SURVEYS OF COMMUNITY RESIDENTS AND CIVIC LEADERS AS WELL AS HOSPITAL AND HEALTH CARE SYSTEM PATIENTS. COMMUNITY MEMBERS WERE ENCOURAGED TO TAKE THE COMMUNITY HEALTH SURVEY. A NEWS RELEASE WAS POSTED ON BEDFORD MEMORIAL HOSPITAL'S WEBSITE. POSTERS AND FLYERS WERE PLACED IN THE COMMUNITY LETTING COMMUNITY MEMBERS KNOW HOW TO TAKE THE SURVEY. THE SURVEY WAS AVAILABLE IN PRINT, ONLINE, AND OVER THE PHONE FROM FEBRUARY THROUGH MID-MAY 2013. THERE WERE 614 SURVEYS RETURNED FROM BEDFORD COUNTY. SURVEYS WERE ANALYZED AND REPORTED USING SURVEY MONKEY AND MICROSOFT EXCEL. ALL RESPONSES WERE ENTERED INTO SURVEY MONKEY EITHER DIRECTLY BY THE RESPONDENTS OR BY VOLUNTEERS WHO ENTERED RESPONSES FROM PAPER OR PHONE SURVEYS. TO ADDRESS THE NEEDS OF THE COMMUNITY, BEDFORD MEMORIAL HOSPITAL DEVELOPED A MULTI-DISCIPLINARY TEAM TO ENSURE THAT RESOURCES ARE ALIGNED WITH THE NEEDS IDENTIFIED DURING THE CHNA. THE TEAM INITIALLY CONSISTED OF BMH EMPLOYEES AND AREA PROVIDERS, AND EXPANDED TO INCLUDE MEMBERSHIP FROM COMMUNITY AGENCIES AS NEEDED TO ENSURE IMPROVEMENTS ARE ACHIEVED IN THE IDENTIFIED AREAS OF FOCUS. |
| Part vi, line 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PRIOR TO JULY 1, 2014, THE ORGANIZATION INFORMED AND EDUCATED PATIENTS BY REVIEWING HIGH DOLLAR OUTPATIENT AND ALL INPATIENT "SELF-PAY" ACCOUNTS IN ORDER TO SEEK ELIGIBILITY FOR FEDERAL/STATE PROGRAMS FOREMOST, AND THEN TOWARD THE CARILION FINANCIAL ASSISTANCE PROGRAM. THIS INVOLVED CONTACT DIRECTLY WITH THE PATIENT AND/OR THE PATIENT'S REPRESENTATIVE (FAMILY, ETC.). THIS PROGRAM WAS AVAILABLE UPON REQUEST FOR ANY AND ALL SERVICES, AND WAS AVAILABLE THROUGH THE CARILION INTERNET SITE, AND WAS ALSO AVAILABLE THROUGH THE PATIENT INFORMATION PAMPHLET AVAILABLE IN THE PATIENT ACCESS POINTS. AS OF JULY 1, 2014, INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CAN BE FOUND ON CENTRA BEDFORD MEMORIAL HOSPITAL'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 AND EVERY PATIENT BILL, WHETHER UNINSURED OR INSURED, REFERENCING AVAILABILITY OF FINANCIAL ASSISTANCE WITH CONTACT INFORMATION ON WHERE TO OBTAIN MORE INFORMATION. |
| PART VI, LINE 4 | COMMUNITY INFORMATION ON JULY 1, 2013, THE CITY OF BEDFORD, LOCATED IN BEDFORD COUNTY, WAS CONVERTED INTO A TOWN. BEDFORD MEMORIAL HOSPITAL PRIMARILY SERVES APPROXIMATELY 75,000 RESIDENTS OF THE TOWN OF BEDFORD AND BEDFORD COUNTY. BEDFORD EMCOMPASSES 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, 24.4% OF THE TOWN OF BEDFORD/BEDFORD COUNTY RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER, MUCH LESS THAN THE STATE AVERAGE OF 34.4%. THE TOWN OF BEDFORD HAS A MEDIAN HOUSEHOLD INCOME OF $34,647 AS COMPARED TO THE STATE AVERAGE OF $63,302. IN 2011, 10% OF THE TOWN OF BEDFORD/BEDFORD COUNTY POPULATIONS WERE LIVING IN POVERTY AND 14.9% OF CHILDREN WERE LIVING IN POVERTY. |
| 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. |
| PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM PRIOR TO JULY 1, 2014, BEDFORD MEMORIAL HOSPITAL WAS JOINTLY OWNED BY CARILION CLINIC AND CENTRA HEALTH. MANAGEMENT WAS PROVIDED BY CARILION CLINIC, A NOT-FOR-PROFIT HEALTHCARE ORGANIZATION SERVING APPROXIMATELY ONE MILION INDIVIDUALS IN VIRGINIA THROUGH A COMPREHENSIVE NETWORK OF HOSPITALS, PRIMARY AND SPECIALTY PHYSICIAN PRACTICES, AND OTHER COMPLIMENTARY SERVICES. CARILION CLINIC IS BASED IN ROANOKE, VIRGINIA AND SERVES THE RESIDENTS OF 18 COUNTIES AND SIX SITIES IN WESTERN VIRGINIA AND SOUTHERN WEST VIRGINIA. OVER THE PAST SIX YEARS CARILION CLINIC HAS GONE THROUGH A DRAMATIC AND TRANSFORMATIVE CHANGE AS THEY TRANSITIONED FROM A HOSPITAL SYSTEM TO AN INTEGRATED CLINIC WITH PHYSICIAN LEADERSHIP. 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 HOSPITAL'S SOLE AFFILIATION WITH CENTRA HEALTH WILL STRENGTHEN THE ORGANIZATION THROUGH AN EXCHANGE OF BEST PRACTICES AND ACCESS TO MULTI-DISCIPLINARY TEAMS, INCLUDING, BUT NOT LIMITED TO, PHYSICIANS FROM CENTRA'S NETWORK OF PRACTICES AND EXPERTS IN LONG-TERM CARE AND REHABILITATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| David Adams | ||||||||||||||
| Director/Centra SVP & CSO | $0 | $362,391 | $0 | $35,200 | $0 | $8,245 | $0 | $66,800 | $0 | $21,984 | $0 | $494,620 | $0 | $0 |
| Johnson Kerr Jr MD | ||||||||||||||
| Director/Chief of Staff | $0 | $265,691 | $0 | $55,398 | $0 | $3,183 | $0 | $8,224 | $0 | $20,150 | $0 | $352,646 | $0 | $0 |
| Lewis Addison | ||||||||||||||
| Director/Centra SVP & CFO | $0 | $391,103 | $0 | $44,110 | $0 | $250,269 | $0 | $54,592 | $0 | $21,544 | $0 | $761,618 | $0 | $218,425 |
| Carolyn Jacques | ||||||||||||||
| Director/Centra VP | $0 | $142,289 | $0 | $12,920 | $0 | $62,995 | $0 | $15,922 | $0 | $25,334 | $0 | $259,460 | $0 | $54,007 |
| Deborah Shipman | ||||||||||||||
| Director/Centra VP | $0 | $167,967 | $0 | $5,000 | $0 | $1,517 | $0 | $2,969 | $0 | $15,868 | $0 | $193,321 | $0 | $0 |
| G Robert Vaughan | ||||||||||||||
| Director/VP | $0 | $211,713 | $0 | $38,988 | $0 | $4,867 | $0 | -$27,255 | $0 | $14,193 | $0 | $242,506 | $0 | $0 |
| Melina Perdue | ||||||||||||||
| Director/EVP | $0 | $369,856 | $0 | $65,726 | $0 | $2,930 | $0 | $99,688 | $0 | $10,211 | $0 | $548,411 | $0 | $0 |
| Paul Davenport | ||||||||||||||
| Director/VP | $178,928 | $31,265 | $10,605 | $1,187 | $1,583 | $223,568 | ||||||||
| R Wayne Gandee MD | ||||||||||||||
| Director/EVP | $0 | $542,850 | $0 | $181,896 | $0 | $8,451 | $0 | $18,675 | $0 | $10,646 | $0 | $762,518 | $0 | |
| Theodore Stryker | ||||||||||||||
| Director/Centra VP | $0 | $178,036 | $0 | $25,718 | $0 | $1,641 | $0 | $21,268 | $0 | $27,575 | $0 | $254,238 | $0 | $0 |
| Patti Jurkus | ||||||||||||||
| CEO/Secretary/Treasurer | $156,660 | $0 | $28,498 | $0 | $1,200 | $0 | $60,728 | $0 | $10,087 | $0 | $257,173 | $0 | $0 | $0 |
| Donald Lorton | ||||||||||||||
| Former Asst. Treas./EVP | $0 | $314,369 | $0 | $67,943 | $0 | $3,390,004 | $0 | -$34,833 | $0 | $5,312 | $0 | $3,742,795 | $0 | $3,389,344 |
| Eugene Lowe MD | ||||||||||||||
| Former Officer/Physician | $0 | $186,931 | $0 | $15,875 | $0 | $2,787 | $0 | $15,425 | $0 | $12,965 | $0 | $233,983 | $0 | $0 |
| Linda Beahm MD | ||||||||||||||
| Former Vice Pres./Physician | $0 | $153,526 | $0 | $27,535 | $0 | $2,207 | $0 | $4,040 | $0 | $13,044 | $0 | $200,352 | $0 | $0 |
| William Flattery | ||||||||||||||
| Former Administrator/Secre | $0 | $201,544 | $0 | $39,200 | $0 | $8,811 | $0 | $3,718 | $0 | $17,668 | $0 | $270,941 | $0 | $0 |
| Donald Halliwill | ||||||||||||||
| Asst. Treasurer/EVP | $0 | $284,640 | $0 | $52,500 | $0 | $6,020 | $0 | -$27,463 | $0 | $13,574 | $0 | $329,271 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | "PRIOR TO JULY 1, 2014, EXECUTIVE COMPENSATION WAS REVIEWeD ANNUALLY BY THE CARILION CLINIC COMPENSATION COMMITTEE. THIS COMMITTEE WAS MADE UP OF BOARD MEMBERS OF CARILION CLINIC WHO DID NOT HAVE A CONFLICT OF INTEREST WITH ANY OF THE EXECUTIVES BEING REVIEWED. WITH RESPECT TO CARILION CLINIC, THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION OF THE BOARD OF GOVERNORS WHICH INCLUDED THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, AND CHAIRS OF THE CLINICAL DEPARTMENTS. FOR THE FIRST NINE MONTHS OF THE FISCAL YEAR COVERED BY THIS RETURN, THE COMPENSATION COMMITTEE ALSO USED THE SAME PROCESS TO REVIEW THE COMPENSATION OF OTHER DISQUALIFIED INDIVIDUALS, INCLUDING THE HOSPITAL VICE PRESIDENTS. THIS REVIEW INCLUDED A COMPREHENSIVE REPORT FROM AN OUTSIDE COMPENSATION CONSULTANT SPECIALIZING IN HEALTHCARE ORGANIZATIONS. THE REPORT INCLUDED A DETAILED COMPARISON OF TOTAL COMPENSATION AND EACH ELEMENT THEREOF, INCLUDING BASE SALARY, BONUSES AND OTHER CASH COMPENSATION, AND BENEFITS, INCLUDING DEFERRED AND RETIREMENT BENEFITS. COMPENSATION WAS COMPARED TO A PEER GROUP OF ORGANIZATIONS SIMILAR IN SIZE AND STRUCTURE TO THE ORGANIZATION, WHICH LIST WAS REVIEWED BY THE COMPENSATION COMMITTEE. DETAILED MINUTES OF THE MEETING OF THE COMPENSATION COMMITTEE ARE KEPT AND APPROVED AT THE NEXT MEETING OF THE COMMITTEE, SETTING FORTH THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION OF THESE EXECUTIVES. IN ADDITION, THE COMPENSATION COMMITTEE ANNUALLY REVIEWED THE COMPENSATION PLAN AND PHILOSOPHY FOR ALL VICE PRESIDENTS AND SENIOR VICE PRESIDENTS, AS WELL AS ALL EMPLOYED PHYSICIANS AND PHYSICIANS IN LEADERSHIP ROLES. AS OF JULY 1, 2014, THE ORGANIZATION'S SOLE MEMBER AND RELATED PARTY, CENTRA HEALTH, INC, ESTABLISHED A MANAGEMENT AGREEMENT WITH BEDFORD, WHEREAS IT WAS DETERMINED THAT THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER'S COMPENSATION WILL BE ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE "THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S) AND COMPENSATION STUDY OR SURVEY." |
| Part I, Line 4b | THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY2013. THE AMOUNT WAS INCLUDED IN THEIR 2013 W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT DONALD LORTON FORMER ASST. TREASURER/EVP $3,321,613 LEWIS ADDISON DIRECTOR/CENTRA SVP & CFO $ 218,425 CAROLYN JACQUES DIRECTOR/CENTRA VP $ 54,007 THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY2013. NAME TITLE AMOUNT DEFERRED MELINA PERDUE DIRECTOR/EVP $94,592 DAVID ADAMS DIRECTOR/CENTRA SVP & CSO $59,150 LEWIS ADDISON DIRECTOR/CENTRA SVP & CFO $46,942 CAROLYN JACQUES DIRECTOR/CENTRA VP $11,400 THEODORE STRYKER DIRECTOR/CENTRA VP $18,420 |
| Part I, Line 7 | PRIOR TO JULY 1, 2014, THE ORGANIZATION PAID ANNUAL BONUS COMPENSATION TO MANAGEMENT BASED ON SCORECARD PERFORMANCE. WHILE THE SCORECARD CONTAINED A FORMULA AS A BASIS FOR DETERMINING OVERALL PERFORMANCE, SENIOR MANAGERS HAD DISCRETION TO INCLUDE ADDITIONAL ELEMENTS IN THEIR ASSESSMENT OF MANAGERS REPORTING TO THEM. IN ADDITION, FOR TOP MANAGEMENT, THE ACTUAL BONUS AWARD WAS IN THE DISCRETION OF THE CARILION CLINIC COMPENSATION COMMITTEE, ALTHOUGH IT WAS BASED ON THE SCORECARD MEASURES. AS OF JULY 1, 2014, THE ANSWER TO THIS QUESTION IS "NO". |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDUSTRIAL DEV AUTH OF THE CITY OF ROANOKE VA | ||||||||
| A | 541106038 | 770084ES6 | 2005-12-14 | $5,790,000 | CURRENT REFUNDING OF SERIES 2002 B | false | false | false |
| INDUSTRIAL DEV AUTH OF THE CITY OF ROANOKE VA | ||||||||
| B | 541106038 | 770082AE5 | 2012-02-09 | $3,451,000 | Redemption Series 2002A,Iss Costs | false | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,300,000 | $0 | $5,790,000 | $0 | $0 | $0 | $35,696 | $83,437 | $0 | $0 | $5,670,867 | $0 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $708,000 | $0 | $3,910,331 | $0 | $0 | $0 | $43,496 | $0 | $0 | $0 | $3,866,835 | $0 | false | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0 | false | false | false | Yes (true) |
| B | false | false | false | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1 | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UBS & CITIGROUP | ||||||||||||
| A | Yes (true) | Yes (true) | Yes (true) | 27. | false | false | Yes (true) | AIG | 0.3 | Yes (true) | false | Yes (true) |
| 0 | ||||||||||||
| B | Yes (true) | false | false | false | 0 | false | Yes (true) | |||||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE K PART II | FormAndLineReferenceDesc |
| Explanation | BOND PROCEEDS ALL BOND ISSUES MULTIPLE ENTITIES ACROSS MULTIPLE JURSIDICTIONS, THEREFORE PROCEEDS ALLOCATED TO MULTIPLE HOSPITALS. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SOLSTA LAB PARTNERS LLC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $660,178 | TransactionAmt |
| Transaction | LAB SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form Sch L Part IV | FormAndLineReferenceDesc |
| Explanation | Part IV, Line 1, Column (b) Donald Lorton, a former officer of Bedford Memorial Hospital, served on the Board of Solstas Lab Partners, LLC. G. Robert Vaughan, Director, serves on the Board of Solstas Lab Partners, LLC, of which Carilion has a minority financial interest and from whom the organization purchases lab services. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 6: | WITHIN THE HOSPITAL, VOLUNTEERS STAFF THE GIFT SHOP, GREET PATIENTS AT THE INFORMATION DESK, VISITORS LOUNGE, AND EMERGENCY DEPARTMENT; WORK WITH STUDENTS PROVIDING ACTIVITIES IN THE NURSING HOME AND FOOD AND NUTRITION STAFF; ENTER DATA FOR NUTRITIONAL SERVICES AND ASSIST STAFF IN THE FOLLOWING DEPARTMENTS: CHAPLAINS SERVICES, PHYSICAL AND OCCUPATIONAL THERAPY, SECURITY, TRANSPORT, BUSINESS OFFICE AND GIFT SHOP. FOR HOSPICE, VOLUNTEERS SIT WITH THE PATIENT SO FAMILY MEMBERS CAN RUN ERRANDS AND KEEP APPOINTMENTS. THEY ALSO PROVIDE CLERICAL SUPPORT, SOCIALIATION FOR PATIENTS IN FACILITIES, ASSIST WITH YARD WORK, AND CALL PATIENTS BEFORE THE WEEKEND TO ENSURE THEY HAVE EVERYTHING NEEDED. THEY ALSO ASSIST WITH HEALING ARTS PROGRAMS, FUNDRAISING ACTIVITIES AND COMMUNITY EVENTS. VOLUNTEER CHAPLAINS PROVIDE SERVICES AS NEEDED/ASSIGNED. |
| FORM 990, PART VI, SECTION A, LINE 2: | 1. DAVID ADAMS, LEWIS C. ADDISON, CAROLYN JACQUES, DEBORAH SHIPMAN, THEODORE STRYKER AND CONSUELLA WOODS - BUSINESS RELATIONSHIP. 2. JOHN BOND, PAUL DAVENPORT, R. WAYNE GANDEE, M.D., DONALD B. HALLIWILL, MELINA PERDUE, CYNTHIA P. SMITH, AND G. ROBERT VAUGHN, JR - BUSINESS RELATIONSHIP |
| FORM 990, PART VI, SECTION A, LINE 3: | PRIOR TO JULY 1, 2014, CERTAIN MANAGEMENT AND RELATED SERVICES FOR THE ORGANIZATION WERE PROVIDED BY MANGEMENT AND EMPLOYEES OF CARILION SERVICES, INC., A PARTIAL-YEAR RELATED AND SUPPORTING ORGANIZATION. AS OF JULY 1, 2014, MANAGEMENT AND RELATED SERVICES FOR THE ORGANIZATION WERE PROVIDED BY MANAGEMENT OF CENTRA HEALTH, INC., SOLE MEMBER OF ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 4: | THE ARTICLES AND BYLAWS WERE AMENDED. PRIOR TO JULY 1, 2014, THE ORGANIZATION HAD TWO MEMBERS. EACH MEMBER OF THE ORGANIZATION ELECTED ONE CLASS OF DIRECTORS REPRESENTING ONE-THIRD OF THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION PERIODICALLY AS TERMS EXPIRE. THE MEMBERS ALSO HAD THE RIGHT TO REMOVE DIRECTORS THEY HAVE ELECTED AND FILL ANY VACANCIES ON THE BOARD THAT MAY OCCUR AMONG THEIR ELECTED DIRECTORS FOR ANY REASON. THE REMAINING CLASS OF DIRECTORS CAME FROM THE LOCAL COMMUNITY AND THESE DIRECTORS ELECT THEIR OWN SUCCESSORS. AS OF JULY 1, 2014, CENTRA HEALTH, INC. BECAME THE SOLE MEMBER OF THE ORGANIZATION AND THEREFORE HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF BEDFORD'S GOVERNING BODY AND APPROVE DECISIONS MADE BY BEDFORD'S BOARD. |
| FORM 990, PART VI, SECTION A, LINE 6: | PRIOR TO JULY 1, 2014, THE ORGANIZATION HAD TWO MEMBERS; CENTRA HEALTH, INC, A CHARITABLE TAX-EXEMPT HEALTHCARE ORGANIZATION, AND CARILION CLINIC, A CHARITABLE TAX-EXEMPT HEALTHCARE ORGANIZATION. AS OF JULY 1, 2014, CENTRA HEALTH, INC. BECAME THE SOLE MEMBER OF THE ORGANIZATION. |
| Form 990, Part VI, Section A, LINE 7A AND B | PRIOR TO JULY 1, 2014, THE ORGANIZATION HAD TWO MEMBERS. EACH MEMBER OF THE ORGANIZATION ELECTED ONE CLASS OF DIRECTORS REPRESENTING ONE-THIRD OF THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION PERIODICALLY AS TERMS EXPIRE. THE MEMBERS ALSO HAD THE RIGHT TO REMOVE DIRECTORS THEY HAVE ELECTED AND FILL ANY VACANCIES ON THE BOARD THAT MAY OCCUR AMONG THEIR ELECTED DIRECTORS FOR ANY REASON. THE REMAINING CLASS OF DIRECTORS CAME FROM THE LOCAL COMMUNITY AND THESE DIRECTORS ELECT THEIR OWN SUCCESSORS. AS OF JULY 1, 2014, CENTRA HEALTH, INC. BECAME THE SOLE MEMBER OF THE ORGANIZATION AND THEREFORE HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF BEDFORD'S GOVERNING BODY AND APPROVE DECISIONS MADE BY BEDFORD'S BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B: | THE FINAL FORM 990 WAS EMAILED OR DELIVERED IN HARD COPY TO EACH MEMBER OF THE BOARD OF DIRECTORS SEVERAL DAYS PRIOR TO FILING AND BOARD MEMBERS WERE ENCOURAGED TO CALL WITH ANY QUESTIONS THEY MIGHT HAVE. |
| FORM 990, PART VI, SECTION B, LINE 12C: | ALL BEDFORD MEMORIAL HOSPITAL OFFICERS, DIRECTORS, AND KEY EMPLOYEES, MUST COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF BEDFORD MEMORIAL HOSPITAL'S BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15: | PRIOR TO JULY 1, 2014, EXECUTIVE COMPENSATION WAS REVIEWD ANNUALLY BY THE CARILION CLINIC COMPENSATION COMMITTEE. THIS COMMITTEE WAS MADE UP OF BOARD MEMBERS OF CARILION CLINIC WHO DID NOT HAVE A CONFLICT OF INTEREST WITH ANY OF THE EXECUTIVES BEING REVIEWED. WITH RESPECT TO CARILION CLINIC, THE COMPENSATION COMMITTEE REVIEWED THE COMPENSATION OF THE BOARD OF GOVERNORS WHICH INCLUDED THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENTS, CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER, AND CHAIRS OF THE CLINICAL DEPARTMENTS. FOR THE FIRST NINE MONTHS OF THE FISCAL YEAR COVERED BY THIS RETURN, THE COMPENSATION COMMITTEE ALSO USED THE SAME PROCESS TO REVIEW THE COMPENSATION OF OTHER DISQUALIFIED INDIVIDUALS, INCLUDING THE HOSPITAL VICE PRESIDENTS. THIS REVIEW INCLUDED A COMPREHENSIVE REPORT FROM AN OUTSIDE COMPENSATION CONSULTANT SPECIALIZING IN HEALTHCARE ORGANIZATIONS. THE REPORT INCLUDED A DETAILED COMPARISON OF TOTAL COMPENSATION AND EACH ELEMENT THEREOF, INCLUDING BASE SALARY, BONUSES AND OTHER CASH COMPENSATION, AND BENEFITS, INCLUDING DEFERRED AND RETIREMENT BENEFITS. COMPENSATION WAS COMPARED TO A PEER GROUP OF ORGANIZATIONS SIMILAR IN SIZE AND STRUCTURE TO THE ORGANIZATION, WHICH LIST WAS REVIEWED BY THE COMPENSATION COMMITTEE. DETAILED MINUTES OF THE MEETING OF THE COMPENSATION COMMITTEE ARE KEPT AND APPROVED AT THE NEXT MEETING OF THE COMMITTEE, SETTING FORTH THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION OF THESE EXECUTIVES. IN ADDITION, THE COMPENSATION COMMITTEE ANNUALLY REVIEWED THE COMPENSATION PLAN AND PHILOSOPHY FOR ALL VICE PRESIDENTS AND SENIOR VICE PRESIDENTS, AS WELL AS ALL EMPLOYED PHYSICIANS AND PHYSICIANS IN LEADERSHIP ROLES. AS OF JULY 1, 2014, THE ORGANIZATION'S SOLE MEMBER AND RELATED PARTY, CENTRA HEALTH, INC, ESTABLISHED A MANAGEMENT AGREEMENT WITH BEDFORD, WHEREAS IT WAS DETERMINED THAT THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER'S COMPENSATION WILL BE ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S) AND COMPENSATION STUDY OR SURVEY. THEREFORE, FORM 990, PART VI, LINES 15A & 15B WERE ANSWERED AS "NO". |
| FORM 990, PART VI, SECTION C, LINE 18: | AS OF JULY 1, 2014, 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: | PRIOR TO JULY 1, 2014, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENT AND FINANCIAL STATEMENTS WERE NOT GENERALLY AVAILABLE TO THE PUBLIC, BUT WERE RELEASED FROM TIME TO TIME UPON REQUEST. THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE VIRGINIA STATE CORPORATION COMMISSION. AS OF JULY 1, 2014, PHOTOCOPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENT AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART XI, LINE 9, OTHER CHANGES IN NET ASSETS: | CHANGE IN NET ASSETS IS DUE TO: RE-EVALUATION OF ASSETS BY THIRD PARTY 7,581,262 GOODWILL 3,137,519 ---------- 10,718,781 |
| FORM 990, PART XII, LINE 2C: | THE AUDIT PROCESS OF THE ORGANIZATION INCLUDING THE OVERSIGHT OF THE FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR IS OVERSEEN BY THE AUDIT & COMPLIANCE COMMITTEE OF CENTRA HEALTH, INC., SOLE MEMBER AND RELATED ORGANIZATION. |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1520978 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT FEES TOTAL FEES:1340462 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REFERENCE LABS TOTAL FEES:813421 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MISCELLANEOUS TOTAL FEES:481048 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MAINTENANCE CONTRACTS TOTAL FEES:296462 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:PURCHASED SERVICES TOTAL FEES:224508 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:189649 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRA MEDICAL GROUP BEDFORD LLC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1613 OAKWOOD STREET | AddressLine1 |
| City | BEDFORD | City |
| State | VA | State |
| ZIP Code | 24523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 465341463 | EIN |
| Primary Activities | PHYS SVCS | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Total Income | $601,654 | TotalIncomeAmt |
| End Of Year Assets | $859,460 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BMH | BusinessNameLine1 |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Carilion Clinic Foundation | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541190773 | Support org | VA | 501(c)(3) | 11a | NA | false |
| Carilion Services Inc | ||||||||||
| PO Box 12385 | Roanoke | VA | 24025 | 541190879 | Support org | VA | 501(c)(3) | 11a | NA | false |
| 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) | 11a | NA | false |
| CCRC INC | ||||||||||
| 1920 ATHERHOLT ROAD | LYNCHBURG | VA | 24501 | 541929580 | CONTINUE CARE | VA | 501(c)(3) | 11a | NA | false |
| SOUTHSIDE COMMUNITY HOSPITAL | ||||||||||
| 800 OAK STREET | FARMVILLE | VA | 23901 | 540555201 | HEALTHCARE | VA | 501(c)(3) | 3 | NA | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | General Business Concerns Inc | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1920 Atherholt Rd | AddressLine1 |
| City | Lynchburg | City |
| State | VA | State |
| ZIP Code | 24501 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541299682 | EIN |
| Primary Activities | R/E Physicians SV | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |