STRATEGY STUDIO / PUBLIC DATA EXPLORER

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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-18T14:22:13-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11676 International DriveAddressLine1
CityMcLeanCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540566100EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bedford Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% LEWIS C ADDISONInCareOfNm
Business Name ControlBEDFBusinessNameControlTxt
Phone5405873385PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11613 OAKWOOD STREETAddressLine1
Address Line2SuiteAddressLine2
CityBEDFORDCity
StateVAState
ZIP Code24523ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPatti JurkusPersonNm
Person TitleVP & CEOPersonTitleTxt
Phone5405873385PhoneNum
Signature2015-08-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARGARET A BRADSHAWPreparerPersonNm
PTINP00501222PTIN
Phone5405873385PhoneNum
Preparation2015-08-12PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerPATTI JURKUS CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11613 OAKWOOD STREETAddressLine1
CityBEDFORDCity
StateVAState
ZIP Code24523ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$43,521,173GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BEDFORDMEMORIAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1957FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SURGERY, EMERGENCY, GERIATRIC AND REHABILITATIVE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee451TotalEmployeeCnt
Total Volunteers135TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$31,917PYContributionsGrantsAmt
CY Contributions Grants$87,895CYContributionsGrantsAmt
PY Program Service Revenue$34,285,410PYProgramServiceRevenueAmt
CY Program Service Revenue$28,566,957CYProgramServiceRevenueAmt
PY Investment Income$839,099PYInvestmentIncomeAmt
CY Investment Income$809,796CYInvestmentIncomeAmt
PY Other Revenue$1,598,454PYOtherRevenueAmt
CY Other Revenue$737,573CYOtherRevenueAmt
PY Total Revenue$36,754,880PYTotalRevenueAmt
CY Total Revenue$30,202,221CYTotalRevenueAmt
PY Grants And Similar Paid$14,120PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$13,400CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,815,856PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,918,882CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,978,993PYOtherExpensesAmt
CY Other Expenses$14,810,755CYOtherExpensesAmt
PY Total Expenses$35,808,969PYTotalExpensesAmt
CY Total Expenses$32,743,037CYTotalExpensesAmt
PY Revenues Less Expenses$945,911PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,540,816CYRevenuesLessExpensesAmt
Total Assets BOY$31,513,270TotalAssetsBOYAmt
Total Assets EOY$40,304,465TotalAssetsEOYAmt
Total Liabilities BOY$15,772,325TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,636,169TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,740,945NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$24,668,296NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF BEDFORD MEMORIAL HOSPITAL, A 501(C)(3) HOSPITAL, IS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$27,607,814ExpenseAmt
Grant$13,400GrantAmt
Revenue$28,864,886RevenueAmt
DescBEDFORD 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 TESTINGDesc
Total Program Service Expenses$27,607,814TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee451EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLEWIS C ADDISONPersonNm
Phone4342004708PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11920 ATHERHOLT ROADAddressLine1
CityLYNCHBURGCity
StateVAState
ZIP Code24501ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David Adams
Director/Centra SVP & CSO2.050.0Yes (X)Yes (X)$0$405,836$88,784
Johnson Kerr Jr MD
Director/Chief of Staff2.048.0Yes (X)Yes (X)$0$324,272$28,374
Lewis Addison
Director/Centra SVP & CFO2.050.0Yes (X)Yes (X)$0$685,482$76,136
Michael LeMaster
Director/Vice Chair2.00.0Yes (X)Yes (X)$0$0$0
Patsy Dooley
Director/Chair2.00.0Yes (X)Yes (X)$0$0$0
Amanda Stanley
Director2.00.0Yes (X)$0$0$0
Brian Buchanan MD
Director2.00.0Yes (X)$0$0$0
Carolyn Jacques
Director/Centra VP2.050.0Yes (X)$0$218,204$41,256
Charles Kolakowski
Director2.00.0Yes (X)$0$0$0
Consuella Woods
Director2.00.0Yes (X)$0$0$0
Cynthia Smith
Director/Sr. Director2.048.0Yes (X)$0$138,637-$16,021
Deborah Shipman
Director/Centra VP2.050.0Yes (X)$0$174,484$18,837
G Robert Vaughan
Director/VP2.048.0Yes (X)$0$255,568-$13,062
John Bond
Director2.02.0Yes (X)$0$13,200$0
John Mack
Director2.00.0Yes (X)$0$0$0
Melina Perdue
Director/EVP2.048.0Yes (X)$0$438,512$109,899
Paul Davenport
Director/VP2.048.0Yes (X)$220,798$2,770
R Wayne Gandee MD
Director/EVP2.048.0Yes (X)$0$733,197$29,321
Theodore Stryker
Director/Centra VP2.050.0Yes (X)$0$205,395$48,843
Patti Jurkus
CEO/Secretary/Treasurer50.00.0Yes (X)$186,358$0$70,815
Rachel Mabe
Asst. Secretary2.048.0Yes (X)$0$69,609$89
Donald Halliwill
Asst. Treasurer/EVP2.048.0Yes (X)$0$343,160-$13,889
Dana Thompson
Manager50.00.0$121,839$0$2,999Yes (X)
Georgiann Watts
Sr. Director-Nursing50.00.0$123,985$0-$16,438Yes (X)
Jessica Saville
Pharmacy Manager50.00.0$123,856$0$6,568Yes (X)
Lisa Girani
Nurse40.00.0$102,314$0$10,845Yes (X)
Phillip Gruber
Pharmacist50.00.0$121,268$0$11,761Yes (X)
Donald Lorton
Former Asst. Treas./EVP0.050.0$0$3,772,316-$29,521Yes (X)
Eugene Lowe MD
Former Officer/Physician0.050.0$0$205,593$28,390Yes (X)
Linda Beahm MD
Former Vice Pres./Physician0.050.0$0$183,268$17,084Yes (X)
William Flattery
Former Administrator/Secre0.050.0$0$249,555$21,386Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$779,620TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,637,086TotReportableCompRltdOrgAmt
Total Other Compensation$525,226TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Heritage Healthcare
536 Old Howell RoadGreenvilleSC29615Professional Fees$716,746
Soltas Lab Partners Group LLC
PO Box 751337CharlotteNC28275Laboratory Services$660,178
Foodservice Partners of Virginia
2823 Franklin Road Bldg BRoanokeVA24014Food Service$150,917
Comprehensive Breast Imaging
2605 Coffee RoadLynchburgVA24503Physician Services$127,723
GE Medical Systems
PO Box 640944PittsburghPA152640944Equip. Maintenance$109,916
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$10,620RelatedOrganizationsAmt
Government Grants$52,707GovernmentGrantsAmt
All Other Contributions$24,568AllOtherContributionsAmt
Total Contributions$87,895TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business900099BusinessCd
Total Revenue Column$28,566,957TotalRevenueColumnAmt
Related Or Exempt Func Income$28,566,957RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$28,566,957TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$284,187TotalRevenueColumnAmt
Exclusion$284,187ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$402,281RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$402,281RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$402,281TotalRevenueColumnAmt
Exclusion$402,281ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,844,497SecuritiesAmt
Other$64OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$13,318,952SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$525,545SecuritiesAmt
Other$64OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$525,609TotalRevenueColumnAmt
Exclusion$525,609ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Misc Revenue900099$286,684$286,684
CAFETERIA900099$37,363$37,363
Court Cost Recovery900099$11,245$11,245
FieldValueIRS element (for citing)
Other Revenue Total$335,292OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,202,221TotalRevenueColumnAmt
Related Or Exempt Func Income$28,864,886RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,249,440ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$13,400TotalAmt
Program Services$13,400ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$195,505TotalAmt
Management And General$195,505ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,982,486TotalAmt
Program Services$13,395,006ProgramServicesAmt
Management And General$587,480ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$981,853TotalAmt
Program Services$981,853ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,056,704TotalAmt
Program Services$1,857,385ProgramServicesAmt
Management And General$199,319ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$702,334TotalAmt
Program Services$702,334ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$779,967TotalAmt
Management And General$779,967ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$21,587TotalAmt
Management And General$21,587ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,950TotalAmt
Management And General$32,950ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,962TotalAmt
Program Services$2,962ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$7,757TotalAmt
Management And General$7,757ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,866,528TotalAmt
Program Services$4,289,104ProgramServicesAmt
Management And General$577,424ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$56,335TotalAmt
Program Services$56,335ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,177,772TotalAmt
Program Services$1,092,873ProgramServicesAmt
Management And General$84,899ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$120,366TotalAmt
Program Services$119,366ProgramServicesAmt
Management And General$1,000ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$936,880TotalAmt
Program Services$675,294ProgramServicesAmt
Management And General$261,586ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$68,316TotalAmt
Program Services$57,108ProgramServicesAmt
Management And General$11,208ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$123,697TotalAmt
Program Services$113,244ProgramServicesAmt
Management And General$10,453ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$322,731TotalAmt
Program Services$322,731ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,119,285TotalAmt
Program Services$1,119,285ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$705,445TotalAmt
Program Services$542,273ProgramServicesAmt
Management And General$163,172ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
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

FieldValueIRS element (for citing)
Total$32,743,037TotalAmt
Program Services$27,607,814ProgramServicesAmt
Management And General$5,135,223ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,996BOYAmt
EOY$11,510,172EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,891BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,017,936BOYAmt
EOY$4,437,782EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$13,436BOYAmt
EOY$714,835EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$144,034BOYAmt
EOY$103,062EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,520,349LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$350,476LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,360,631BOYAmt
EOY$19,169,873EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$16,175,384BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$665,523BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,137,519EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$132,439BOYAmt
EOY$1,231,222EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,513,270BOYAmt
EOY$40,304,465EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,227,665BOYAmt
EOY$2,699,297EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$25,120BOYAmt
EOY$1,780EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,295,646BOYAmt
EOY$6,856,127EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,223,894BOYAmt
EOY$6,078,965EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,772,325BOYAmt
EOY$15,636,169EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,735,374BOYAmt
EOY$24,668,296EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,571BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,740,945BOYAmt
EOY$24,668,296EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,513,270BOYAmt
EOY$40,304,465EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,540,816ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$749,386NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$10,718,781OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,962OtherActivitiesAmt
Total Lobbying Expenditures$2,962TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd
Supplemental Information DetailSupplementalInformationDetail

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Explanation of Lobbying ActivitiesPART II-B, LINE 1 PORTION OF DUES PAID TO AMERICAN HOSPITAL ASSOCIATION AND VIRGINIA HOSPITAL HEALTHCARE ASSOCIATION SPENT ON LOBBYING.

Schedule D IRS990ScheduleD

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,057,432OtherCostOrOtherBasisAmt
Book Value$2,057,432BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,154,499OtherCostOrOtherBasisAmt
Depreciation$124,387DepreciationAmt
Book Value$12,030,112BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$415,000OtherCostOrOtherBasisAmt
Depreciation$10,375DepreciationAmt
Book Value$404,625BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,466,671OtherCostOrOtherBasisAmt
Depreciation$215,714DepreciationAmt
Book Value$4,250,957BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$426,747OtherCostOrOtherBasisAmt
Book Value$426,747BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$19,169,873TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
EST. PAYABLES TO THIRD PARTIES$927,826
DUE TO RELATED PARTIES$5,151,139
FieldValueIRS element (for citing)
Total Liability$6,078,965TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$30,943,850TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$749,386NetUnrealizedGainsInvstAmt
Revenue Not Reported$749,386RevenueNotReportedAmt
Revenue Subtotal$30,194,464RevenueSubtotalAmt
Investment Expenses Not Incld$7,757InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$7,757RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$30,202,221TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$32,735,280TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$32,735,280ExpensesSubtotalAmt
Investment Expenses Not Incld2$7,757InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$7,757ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$32,743,037TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other133.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,391,577TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,391,577NetCommunityBenefitExpnsAmt
Total Expense0.04250TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,964,647TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,863,660DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,100,987NetCommunityBenefitExpnsAmt
Total Expense0.03360TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,356,224TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,863,660DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,492,564NetCommunityBenefitExpnsAmt
Total Expense0.07610TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,501TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$74,501NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,563TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,563NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,064TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$95,064NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,451,288TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,863,660DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,587,628NetCommunityBenefitExpnsAmt
Total Expense0.07890TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,405TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,405NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,365TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,365NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$404TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$404NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,533TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,533NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,707TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,707NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,447,485BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$9,222,490ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,788,485CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$565,995MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BEDFORD MEMORIAL HOSPITALBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11613 OAKWOOD STREETAddressLine1
CityBEDFORDCity
StateVAState
ZIP Code24523ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.BEDFORDMEMORIAL.ORGWebsiteAddressTxt
State LicenseH 1828StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BEDFORD MEMORIAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.BEDFORDMEMORIAL.ORGOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLwww.carilionclinic.org/about/CHNAOtherWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Other Needs AddressedYes (X)OtherNeedsAddressedInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care133.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
Other FactorsYes (X)OtherFactorsInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted On WebsiteYes (X)PostedOnWebsiteInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
OAKWOOD MANOR
1613 OAKWOOD STREETBEDFORDVA24523NURSING HOME
BEDFORD ADULT DAY CENTER
1617 OAKWOOD STREETBEDFORDVA24523ADULT DAY CARE
BLUE RIDGE CARDIOVASCULAR
37 LAYMANTOWN ROADTROUTVILLEVA24175CARDIOVASCULAR TESTING
CMG BEDFORD GENERAL SURGERY CENTER
1615 OAKWOOD STREET SUITE BBEDFORDVA24523GENERAL SURGERY
CMG BEDFORD PULMONOLOGY CENTER
1613 OAKWOOD STREET SUITE 202BEDFORDVA24523PULMONARY SVCS
CMG BEDFORD WOMEN'S CENTER
1615 OAKWOOD STREET SUITE DBEDFORDVA24523WOMEN'S HEALTH SVCS

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3cPRIOR 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 6aPRIOR 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 7COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE.
Part II, Lines 1-9LINE 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 1ACCOUNTING 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 2THE 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 4PRIOR 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 8MEDICARE 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 9bBEDFORD 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 10PRIOR 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 2NEEDS 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 3PATIENT 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 4COMMUNITY 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 5PROMOTION OF COMMUNITY HEALTH BEDFORD MEMORIAL HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED PROVIDERS AND, IN ADDITION TO CLINICAL CARE, THE HOSPITAL WORKS TO ACHIEVE ITS MISSION THROUGH THE EDUCATION OF HEALTH PROFESSIONALS AND THE COMMUNITY. THE HOSPITAL ALSO PARTICIPATES IN NUMEROUS HEALTH FAIRS AND SCREENINGS THROUGHOUT THE COMMUNITY AT LOCAL EMPLOYERS, COLLEGES, CHURCHES, ETC., IN ORDER TO PROVIDE HEALTH SCREENINGS AND INFORMATION ON MANY HEALTH ISSUES... FOR EXAMPLE, BLOOD PRESSURE, DIABETES, PSA, BLADDER AND CANCER SCREENINGS, ETC.
PART VI, LINE 6AFFILIATED 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

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 4bTHE 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 7PRIOR 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDUSTRIAL DEV AUTH OF THE CITY OF ROANOKE VA
A541106038770084ES62005-12-14$5,790,000CURRENT REFUNDING OF SERIES 2002 Bfalsefalsefalse
INDUSTRIAL DEV AUTH OF THE CITY OF ROANOKE VA
B541106038770082AE52012-02-09$3,451,000Redemption Series 2002A,Iss Costsfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,300,000$0$5,790,000$0$0$0$35,696$83,437$0$0$5,670,867$0Yes (true)falseYes (true)Yes (true)
B$708,000$0$3,910,331$0$0$0$43,496$0$0$0$3,866,835$0falseYes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
Afalsefalsefalsefalse0falsefalsefalseYes (true)
Bfalsefalsefalsefalse0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1Term Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
UBS & CITIGROUP
AYes (true)Yes (true)Yes (true)27.falsefalseYes (true)AIG0.3Yes (true)falseYes (true)
0
BYes (true)falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K PART IIFormAndLineReferenceDesc
ExplanationBOND 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

FieldValueIRS element (for citing)
PersonSOLSTA LAB PARTNERS LLCPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$660,178TransactionAmt
TransactionLAB SERVICESTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm Sch L Part IVFormAndLineReferenceDesc
ExplanationPart 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 BPRIOR 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 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:1520978
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT FEES TOTAL FEES:1340462
FORM 990 PART IX LINE 11GDESCRIPTION:REFERENCE LABS TOTAL FEES:813421
FORM 990 PART IX LINE 11GDESCRIPTION:MISCELLANEOUS TOTAL FEES:481048
FORM 990 PART IX LINE 11GDESCRIPTION:MAINTENANCE CONTRACTS TOTAL FEES:296462
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:224508
FORM 990 PART IX LINE 11GDESCRIPTION:LAUNDRY SERVICES TOTAL FEES:189649

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CENTRA MEDICAL GROUP BEDFORD LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11613 OAKWOOD STREETAddressLine1
CityBEDFORDCity
StateVAState
ZIP Code24523ZIPCode
FieldValueIRS element (for citing)
EIN465341463EIN
Primary ActivitiesPHYS SVCSPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Total Income$601,654TotalIncomeAmt
End Of Year Assets$859,460EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BMHBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
Carilion Clinic Foundation
PO Box 12385RoanokeVA24025541190773Support orgVA501(c)(3)11aNAfalse
Carilion Services Inc
PO Box 12385RoanokeVA24025541190879Support orgVA501(c)(3)11aNAfalse
CENTRA HEALTH INC
1920 ATHERHOLT ROADLYNCHBURGVA24501540715569HEALTHCAREVA501(c)(3)3NAfalse
CENTRA HEALTH FOUNDATION
1920 ATHERHOLT ROADLYNCHBURGVA24501541604094SUPPORT ORGVA501(c)(3)11aNAfalse
CCRC INC
1920 ATHERHOLT ROADLYNCHBURGVA24501541929580CONTINUE CAREVA501(c)(3)11aNAfalse
SOUTHSIDE COMMUNITY HOSPITAL
800 OAK STREETFARMVILLEVA23901540555201HEALTHCAREVA501(c)(3)3NAfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1General Business Concerns IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11920 Atherholt RdAddressLine1
CityLynchburgCity
StateVAState
ZIP Code24501ZIPCode
FieldValueIRS element (for citing)
EIN541299682EIN
Primary ActivitiesR/E Physicians SVPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd