2023-11-15T11:27:05-06:00 2022-12-31 BDO USA 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2022-01-01 540566100 BEDFORD MEMORIAL HOSPITAL % WILLIAM BASS JR BMH CEO BEDF 5404257603 1613 OAKWOOD STREET BEDFORD VA 24523 Douglas Davenport SVP CFO 4342004708 2023-11-14 true Douglas Davenport 999009999 Marc Berger P01871563 7038930600 2023-11-13 2 2022 2023-04-26 12:10:37Z Douglas Davenport 1613 OAKWOOD STREET BEDFORD VA 24523 49945143 false X www.centrahealth.com/bmh X 1957 VA TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SURGERY, EMERGENCY, GERIATRIC AND REHABILITATIVE SERVICES. 13 9 400 40 0 0 2760065 564781 48220898 47845435 7392587 -4280 564943 1534927 58938493 49940863 112500 654 0 0 21527248 20661336 0 0 0 21693300 24180219 43333048 44842209 15605445 5098654 39050429 41836048 8063380 4350345 30987049 37485703 X THE MISSION OF BEDFORD MEMORIAL HOSPITAL, A 501(C)(3) HOSPITAL, IS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. (CONTINUED ON SCHEDULE O) false false 32759948 654 49132315 BEDFORD MEMORIAL HOSPITAL EXISTS TO SERVE THE HEALTHCARE NEEDS OF ITS COMMUNITY, REGARDLESS OF PATIENT ABILITY TO PAY. BEDFORD'S ACUTE HOSPITAL ADMITTED 1,651 PATIENTS DURING 2022 AND PROVIDED 6,349 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 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 22,539 VISITS DURING 2022, 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. 2022 COMMUNITY BENEFIT HIGHLIGHTS * IN FURTHERANCE OF ITS MISSION, BEDFORD PROVIDED EXTENSIVE UNCOMPENSATED CARE DURING 2022, $1,933,735 IN CHARGES AT AN ESTIMATED COST OF $482,570 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 $5,860,089, AT AN ESTIMATED COST OF $1,462,405 WAS CONTRIBUTED AS BAD DEBT TO PATIENTS WHO DID NOT HAVE THE ABILITY TO PAY. * LOSS FROM MEDICARE BASED ON COST TO CHARGE RATIO TOTALED $1,641,830. * LOSS FROM MEDICAID BASED ON COST TO CHARGE RATIO TOTALED $4,710. THE PRESENCE AT COMMUNITY EVENTS INCREASED FROM THE PREVIOUS YEAR. BEDFORD MEMORIAL HOSPITAL ATTENDED SEVERAL KEY EVENTS SUCH AS THE NATIONAL NIGHT OUT (SUPPORTS LAW ENFORCEMENT), THE YMCA HEALTH FAIR, WHERE BONE DENSITY SCREENINGS WERE GIVEN, AND BEDFORD CENTERFEST, WHERE EDUCATION WAS OFFERED ABOUT MAMMOGRAMS. ANOTHER SPECIAL CAMPAIGN RESUMED IN 2022 CALLED 'TOYS FOR KIDS'. CBMH COLLECTS TOY DONATIONS WITHIN THE HOSPITAL AND THROUGHOUT THE COMMUNITY FOR LOW-INCOME FAMILIES WITH CHILDREN. LEADERS VOLUNTEERED CONSIDERABLE HOURS TO BAGGING, SORTING, AND LABELING THE TOYS ACCORDING TO WISH LISTS PROVIDED BY THE CHILDREN. IN 2022, SOME 60+ CHILDREN RECEIVED 4-6 LARGE GIFTS EACH, THANKS TO DONATIONS. ON-SITE COMMUNITY SERVICES INCLUDED A FLU-SHOT CLINIC, A BABYSITTING CLASS CALLED SAFE SITTER, AND A FREE CPR CLASS FOR NEW BABYSITTERS. ADDITIONAL COMMUNITY SUPPORT WAS GIVEN THROUGH SPONSORSHIPS AND GRANTS TO ORGANIZATIONS ADDRESSING HEALTH RELATED NEEDS. VOLUNTEERS BEDFORD MEMORIAL HOSPITAL IS HONORED TO HAVE MANY VOLUNTEERS FROM THROUGHOUT OUR SERVICE AREA MAKING A DIFFERENCE TO OUR PATIENTS, VISITORS, AND STAFF. OUR VOLUNTEERS ARE AN INVALUABLE PART OF OUR OPERATIONS, AS THEY SERVE VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL SUCH AS FRONT DESK, REGISTRATION, EMERGENCY DEPARTMENTS, TRANSPORT, ETC. IN 2022, 38 VOLUNTEERS DONATED 5,000 HOURS TO OUR VOLUNTEER PROGRAM. IN 2022, 40 VOLUNTEERS DONATED 5,000 HOURS OF SERVICES TO OUR VOLUNTEER PROGRAM. IN 2022, BEDFORD HOSPICE VOLUNTEERS DONATED 2,521.95 HOURS OF SERVICE TO THE HOSPICE PROGRAM. VOLUNTEER SERVICE VISITS WERE MADE BY PORCH VISITS TO HOMES AND FACILITIES. VOLUNTEER VISITS ARE STILL RESTRICTED BY HOSPICE ADMINATION DUE TO THE COVID19 RESTRICTIONS FOR VOLUNTEERS. A LARGE PORTION OF THEIR TIME AND TALENT WAS COMMITTED TO THE HOSPICE HOUSE. VOLUNTEERS SUPPORT THE HOSPICE HOUSE BY GROCERY SHOPPING, MEAL, AND MEDICATION DELIVERY. VOLUNTEERS DEVELOPED A NEW PROGRAM OF SENDING CARDS, PHONE CALLS, AND SMALL GIFTS TO PATIENTS AND FAMILIES. HOSPICE MEMORIAL SERVICES MOVED TO ON VIRTUAL FORMAT ON FACEBOOK LIVE. Developed A NEW VIRTUAL SERVICE WHICH WAS PROVIDE EACH QUARTER OUR VOLUNTEERS USE THEIR OWN CARS AND HAVE REPORTED DRIVING 2,152 MILES IN 2022. THE FOLLOWING IS A LIST OF COMMUNITY BENEFIT PROGRAMS/EVENTS AND NUMBER OF PARTICIPANTS. *BABY SITTING CLASSES, 1 SESSION, 17 PARTICIPANTS *HEALTH FAIRS, 2 SESSIONS, 50 PARTICIPANTS *MENTAL HEALTH/DEPRESSION EDUCATION, 1 EVENT *WALK/RUN EVENT, 1 SESSION, 100 PARTICIPANTS In 2022, the total community benefit realized for Bedford Memorial Hospital was $11,742.82. 32759948 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 4 0 true 400 true false false false false false false false false false false false false X 13 9 false false false false true true true true true false false true true true true true true false false false VA X WILLIAM BASS JR BMH CEO 5404257603 1613 OAKWOOD STREET BEDFORD VA 24523 X AMY CARRIER DIRECTOR 2.0 54.0 X 0 1095007 261239 Douglas Davenport CHIEF FINANCIAL OFFICER 2.0 54.0 X 0 926896 142046 GEORGIA HARRINGTON SECRETARY 2.0 50.0 X X 0 695359 111432 HOLLY TRENT DIR./SECRE. TREAS. as of 8/22 2.0 50.0 X X 0 570759 75811 DARLENE NIGRO MED STAFF PRESIDENT 50.0 0.0 X 363761 0 51891 WILLIAM BASS JR VP & BMH CEO 50.0 0.0 X 307750 0 20472 JEFERY WIGGINS CHIEF COMPLIANCE OFFICER 2.0 50.0 X 0 237571 47759 CERES HIRST RN ACUTE CARE 50.0 0.0 X 180639 0 4946 MEGAN HORTON MANAGER PHARMACY OPERATIONS 50.0 0.0 X 162873 0 11149 SANDRA MARTIN RN ACUTE CARE WEO A 50.0 0.0 X 148357 0 21409 JAMES ROSE DIRECTOR PLANT ENGINEERING BMH 50.0 0.0 X 144414 0 23002 GINGER MCCALL SUPERVISOR ADMINISTRATIVE 50.0 0.0 X 159664 0 4656 STACEY VAUGHT CHIEF NURSING OFFICER 50.0 0.0 X 152228 0 6615 TERESA GILLS TREASURER 2.0 50.0 X X 0 153034 5070 CYNTHIA GUNNOE CHAIR 2.0 2.0 X X 0 0 0 MARY ZIRKLE VICE CHAIR 2.0 0.0 X X 0 0 0 DAVID SENSENIG DIRECTOR 2.0 0.0 X 0 0 0 RHETTA WATKINS DIRECTOR 2.0 0.0 X 0 0 0 JANICE LUTH DIRECTOR 2.0 0.0 X 0 0 0 TIMOTHY HAYDEN DIRECTOR 2.0 0.0 X 0 0 0 CHRYSTAL AKERSHOEK DIRECTOR 2.0 0.0 X 0 0 0 LEE ANN CALVERT DIRECTOR 2.0 0.0 X 0 0 0 DENNY HUFF DIRECTOR 2.0 0.0 X 0 0 0 1619686 3678626 787497 20 false true false WEBBS OIL COMPANY INC 8223 RESERVOIR RD ROANOKE VA 24019 OIL SVCS 434920 PATHOLOGY CONSULTANTS 1914 THOMSON DRIVE LYNCHBURG VA 24501 PATHOLOGY SVCS 176896 STATE SERV 1201 S ALMA SCHOOL RD MESA AZ 85210 EQUIPMENT RENTAL 111868 3 58333 506448 0 564781 NET PATIENT SERVICES REVENUE 621400 47830008 47830008 ANCILLARY SERVICES 900099 15427 15427 47845435 0 0 0 248047 248047 0 248047 248047 0 4280 -4280 -4280 -4280 0 0 0 0 0 0 0 0 0 MISC INCOME 900099 1152056 1152056 CAFETERIA 900099 134824 134824 1286880 49940863 49132315 243767 654 654 0 0 0 902717 0 902717 0 0 15958900 14722059 1236841 0 405792 350022 55770 0 3393927 2825534 568393 0 0 72524 5141 67383 0 31849 0 31849 0 0 0 0 0 6814899 6771875 43024 0 23608 14235 9373 0 1299830 1171643 128187 0 25681 668 25013 0 0 1488703 1177671 311032 0 43697 42365 1332 0 0 25678 9656 16022 0 15710 0 15710 0 0 2079710 1923146 156564 0 425374 0 425374 0 OVERHEAD ALLOCATION 8043583 0 8043583 0 MEDICAL SUPPLIES 2140543 2123083 17460 0 DRUGS 1594458 1594458 0 0 COLLECTION SERVICES 54372 27738 26634 0 44842209 32759948 12082261 0 5915218 4494907 0 0 0 0 7344856 7740464 0 0 0 0 0 0 933313 920872 0 22519 41478061 21127352 21342485 20350709 0 0 0 0 0 0 2577789 2577789 936768 5728788 39050429 41836048 2912487 2343816 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5150893 2006529 8063380 4350345 X 30987049 37485703 0 0 30987049 37485703 39050429 41836048 X 5098654 1400000 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2150295 2150295 21745192 6917839 14827353 1078048 831879 246169 16012366 13377634 2634732 492160 492160 20350709 DUE FROM RELATED PARTIES 3873357 ESTIMATED REC FROM 3RD PARTY 1276306 OTHER RECEIVABLES 579125 5728788 0 EST PAYABLES TO 3RD PARTY 110777 DUE TO RELATED PARTIES 162518 OTHER LIABILITIES 1733234 2006529 X PART X, LINE 2: BEDFORD MEMORIAL HOSPITAL IS INCLUDED IN CENTRA HEALTH, INC.'S CONSOLIDATED AUDIT REPORT FOR YEAR ENDED DECEMBER 31, 2022. THE FOLLOWING FOOTNOTE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN48) IS FOUND IN THIS CONSOLIDATED REPORT. CENTRA HEALTH, INC., CCRC, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD ARE EXEMPT FROM INCOME TAX UNDER SECTION 501 (A) OF THE INTERNAL REVENUE CODE (IRC). CCRC, INC. WAS ALSO EXEMPT FROM INCOME TAX UNDER SECTION 501 (A) OF THE IRC PRIOR TO ITS SALE IN 2021. ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS EXCEPT FOR TAXES RELATED TO CERTAIN UNRELATED BUSINESS INCOME ENGAGED IN BY CENTRA. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2022. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2019. true true X true X true X true false true true 482563 482563 0.01080 482563 482563 0.01080 6848 6848 0.00020 11530 11530 0.00030 654 654 19032 19032 0.00050 501595 501595 0.01130 5 80 239 0 239 20 436 3204 0 3204 72 1324 8300 0 8300 97 1840 11743 0 11743 true 5860089 11531915 13173745 -1641830 X true true 1 1 BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD VA 24523 www.centrahealth.com/bmh X X X BEDFORD MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 21 true false false true X www.centrahealth.com/bmh X X true 21 true www.centrahealth.com/bmh false true X 200. 400. X X X X true true X X X X true X www.centrahealth.com/bmh X www.centrahealth.com/bmh X www.centrahealth.com/bmh X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5: THE COMPLETION OF BOTH THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND SUCCESSFUL EXECUTION OF THE ASSOCIATED IMPLEMENTATION PLAN ENSURES COMPLIANCE WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT OF 2010 WHICH IS PROMULGATED IN REGULATION BY THE INTERNAL REVENUE AS DOCUMENTED ANNUALLY IN CENTRA'S FORM 990- SCHEDULE H. IN 2022, THE 2022-2025 CENTRA BEDFORD MEMORIAL HOSPITAL IMPLEMENTATION PLAN WAS PREPARED TO COMPLY WITH FEDERAL TAX LAW REQUIREMENTS SET FORTH BY THE DEPARTMENT OF THE TREASURY, INTERNAL REVENUE SERVICE, 26 CFR PARTS 1 AND 53 AND REFLECTS THE FINAL RULES ISSUED ON DECEMBER 31, 2014. THIS IMPLEMENTATION PLAN DESCRIBES CENTRA BEDFORD MEMORIAL HOSPITAL'S PLANNED RESPONSE TO THE NEEDS IDENTIFIED IN THE 2021 BEDFORD AREA CHNA. CENTRA DEFINES ITS TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLAN AS A CONTINUOUS PROCESS FOR EVALUATING THE HEALTH NEEDS OF THE COMMUNITIES SERVED. IT IS USED TO SUPPORT THE SYSTEM'S MISSION WHICH IS "TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE". IN 2022, CENTRA COMPLETED A STRATEGIC PLANNING PROCESS AND BOTH THE CHNA AND IMPLEMENTATION PLAN WERE USED TO HELP INFORM THE DESIGN AND EXECUTION OF NEW SERVICES, PROGRAMS, AND PARTNERSHIPS IN RESPONSE TO IDENTIFIED UNMET COMMUNITY HEALTH NEEDS. LASTLY, THE CHNA AND IMPLEMENTATION PLAN ARE USED TO GUIDE THE ACTIONS OF CENTRA'S BOARD OF DIRECTORS' COMMUNITY BENEFIT COMMITTEE, WHICH IS RESPONSIBLE FOR ENSURING CENTRA MEETS THE REQUIREMENTS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, THUS MAINTAINING ITS NON-PROFIT STATUS. SCHEDULE H, PART V, SECTION B, LINE 7D: HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. PART V, SECTION B, LINE 11: DURING THE THREE-MONTH PERIOD, CENTRA BEDFORD MEMORIAL HOSPITAL'S VP & CEO AND CHIEF NURSING OFFICER MET WITH THEIR LEADERSHIP TEAMS TO IDENTIFY GOALS AND STRATEGIES FOR THE 2022-2025 IMPLEMENTATION PLAN. IN ADDITION, THEY ENGAGED WITH KEY COMMUNITY STAKEHOLDERS AND LEADERS SERVING THE BEDFORD AREA TO DETERMINE COLLABORATIVE OPPORTUNITIES AND AVAILABLE RESOURCES THAT WILL SUPPORT THE GOALS AND STRATEGIES OF THE PLAN. THE PRIORITY NEEDS TO BE ADDRESSED BY CENTRA BEDFORD MEMORIAL HOSPITAL AND THE 2022-2025 IMPLEMENTATION PLAN TO MEET THOSE NEEDS FOLLOWS. PRIORITY AREAS OF NEED: - ACCESS TO HEALTHCARE SERVICES* - MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES* - ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE; CHILD ABUSE/NEGLECT ACCESS TO HEALTHCARE AND MENTAL HEALTH/SUBSTANCE USE SERVICES CONTINUE TO BE TWO OF THE TOP PRIORITY AREAS THROUGHOUT THE ENTIRE CENTRA FOOTPRINT. AS THE LARGEST HEALTH SYSTEM IN THE REGION, CENTRA WILL CONTINUE TO LEAD EFFORTS TO IMPROVE ACCESS TO CARE WHILE WORKING TO DETERMINE WHAT "ACCESS" MEANS IN OUR COMMUNITIES (I.E., COST, AFTER-HOURS CLINICS, GEOGRAPHIC DISTANCE TO SERVICES, TYPE OF SERVICE, LANGUAGE SERVICES, ETC.). THE GLOBAL PANDEMIC HAS RESULTED IN INCREASED BARRIERS TO ACCESSING CHILDCARE SERVICES INCLUDING A LACK OF PROVIDERS IN THE BEDFORD AREA. IN THE 2021 BEDFORD AREA COMMUNITY HEALTH SURVEY, 32% OF RESPONDENTS RANKED CHILDCARE AS THE MOST DIFFICULT SOCIAL/SUPPORT RESOURCE TO GET AND 30% RANKED CHILD ABUSE/NEGLECT AS THE MOST IMPORTANT HEALTH FACTOR ISSUE THAT IMPACTS THE HEALTH OF OUR COMMUNITY. *PRIORITY AREAS OF NEED THAT WILL BE ADDRESSED ACROSS THE ENTIRE CENTRA SERVICE REGION PRIORITY NEEDS NOT ADDRESSED SPECIFICALLY IN THE IMPLEMENTATION PLAN: ALTHOUGH CENTRA BEDFORD MEMORIAL HOSPITAL (CBMH) DID NOT INCLUDE ALL THE TOP 10 AREAS OF NEED FOR THE BEDFORD REGION, MANY OF OUR PARTNERS IN THE COMMUNITY ARE ADDRESSING THEM. CBMH WILL HAVE REPRESENTATION IN THESE EFFORTS INCLUDING THE BEDFORD AREA RESOURCE COUNCIL (BARC) WORK GROUPS AND WILL COLLABORATE WITH THESE PARTNERS TO ENSURE THERE IS ONGOING COMMUNICATION AND TRACKING OF THESE EFFORTS. OF THE TOP TEN PRIORITY NEEDS IDENTIFIED IN THE 2021 BEDFORD AREA COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIFIC GOALS AND STRATEGIES IN THE IMPLEMENTATION PLAN WERE NOT DEVELOPED FOR THE FOLLOWING: - TRANSPORTATION: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE BEDFORD RIDE; OTTER BUS; FAITH-BASED ORGANIZATIONS; BARC; AND THE BEDFORD COMMUNITY HEALTH FOUNDATION. - AGING AND ELDERCARE: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE THE CENTRAL VIRGINIA AREA ON AGING; CENTRAL VIRGINIA ALLIANCE FOR COMMUNITY LIVING; MEALS ON WHEELS; AND BARC. - CHRONIC DISEASE: BY THE NATURE OF OUR WORK, CBMH ADDRESSES THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASE WITH OUR PATIENTS. COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE VIRGINIA COOPERATIVE EXTENSION; CENTRAL VIRGINIA HEALTH DISTRICT; FREE CLINIC OF CENTRAL VIRGINIA; JOHNSON HEALTH CENTER; AND THE COMMUNITY ACCESS NETWORK. - EMPLOYMENT/JOB ASSISTANCE: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE VIRGINIA CAREER WORKS; GOODWILL OF THE VALLEYS; AND BARC. - FINANCIAL STABILITY: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE BANK OF THE JAMES. - HOUSING: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE BEDFORD AREA HOUSING COALITION- BARC. - DENTAL CARE & DENTAL PROBLEMS: COMMUNITY PARTNERS IN THESE EFFORTS INCLUDE FREE CLINIC OF CENTRAL VIRGINIA AND JOHNSON HEALTH CENTER. 2 BEDFORD ADULT DAY CARE CENTER 1617 OAKWOOD STREET BEDFORD VA 24523 ADULT DAY CARE BEDFORD HOSPICE 1621 WHITFIELD DRIVE BEDFORD VA 24523 HOSPICE SERVICES PART I, LINE 6A: INFORMATION ON COMMUNITY BENEFITS IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC., SOLE MEMBER OF BEDFORD MEMORIAL HOSPITAL. PART I, LINE 7: THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSE. PART II: IN 2022, BEDFORD MEMORIAL HOSPITAL FOCUSED ON DEVELOPING AND DEEPENING CONNECTIONS BETWEEN OUR CAREGIVERS AND THE COMMUNITY. USING THE IMPLEMENTATION PLAN FROM THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, CAREGIVERS BECAME MORE INVOLVED IN CONVERSATIONS REGARDING BEDFORD'S TOP HEALTH NEEDS THAN EVER BEFORE. THROUGH PARTNERSHIP WITH THE BEDFORD AREA RESOURCE COUNCIL, CBMH LEADERS JOINED SEVERAL COMMUNITY ACTION GROUPS, EACH DEDICATED TO A SPECIFIC COMMUNITY NEED. LEADERS BECAME AND ARE STILL ACTIVE MEMBERS OF THE CHILDCARE, MENTAL HEALTH & SUBSTANCE ABUSE, ELDERCARE, HEALTHY FOODS, DOMESTIC VIOLENCE, TRANSPORTATION, AND HOUSING ACTION GROUPS, ATTENDING MONTHLY MEETINGS AND COLLABORATING WHERE POSSIBLE. OUR COMMUNITY ENGAGEMENT COORDINATOR REPRESENTS CENTRA BEDFORD MEMORIAL HOSPITAL IN MANY STAKEHOLDER GROUPS. THIS INCLUDES THE BEDFORD AREA RESOURCE COUNCIL (BARC), PARTNERSHIPS FOR HEALTHY COMMUNITIES, THE BEDFORD AREA CHAMBER OF COMMERCE, AND THE BEDFORD DOMESTIC VIOLENCE COALITION. THROUGH THESE COMMITTEES AND ACTION GROUPS, CBMH IS ABLE TO WORK WITH ORGANIZATIONS AT THE GROUND LEVEL OF COLLABORATIONS THAT TOGETHER MAKE A COLLECTIVE IMPACT. THE PRESENCE AT COMMUNITY EVENTS INCREASED FROM THE PREVIOUS YEAR. CBMH ATTENDED SEVERAL KEY EVENTS SUCH AS THE NATIONAL NIGHT OUT (SUPPORTS LAW ENFORCEMENT), THE YMCA HEALTH FAIR, WHERE BONE DENSITY SCREENINGS WERE GIVEN, AND BEDFORD CENTERFEST, WHERE EDUCATION WAS OFFERED ABOUT MAMMOGRAMS. ANOTHER SPECIAL CAMPAIGN RESUMED IN 2022 CALLED 'TOYS FOR KIDS'. CBMH COLLECTS TOY DONATIONS WITHIN THE HOSPITAL AND THROUGHOUT THE COMMUNITY FOR LOW-INCOME FAMILIES WITH CHILDREN. LEADERS VOLUNTEERED CONSIDERABLE HOURS TO BAGGING, SORTING, AND LABELING THE TOYS ACCORDING TO WISH LISTS PROVIDED BY THE CHILDREN. IN 2022, SOME 60+ CHILDREN RECEIVED 4-6 LARGE GIFTS EACH, THANKS TO DONATIONS. ON-SITE COMMUNITY SERVICES INCLUDED A FLU-SHOT CLINIC, A BABYSITTING CLASS CALLED SAFE SITTER, AND A FREE CPR CLASS FOR NEW BABYSITTERS. ADDITIONAL COMMUNITY SUPPORT WAS GIVEN THROUGH SPONSORSHIPS AND GRANTS TO ORGANIZATIONS ADDRESSING HEALTH RELATED NEEDS. PART III, SECTION A, LINE 1: (HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STMT NO. 15): ON JANUARY 1, 2012, CENTRA HEALTH, INC. AND SUBSIDIARIES ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2011-07, WHICH CHANGED CENTRA'S PRESENTATION OF PROVISION FOR DOUBTFUL ACCOUNTS TO A DEDUCTION FROM NET PATIENT SERVICE REVENUE. THIS HAS BEEN DISCLOSED IN THE FOOTNOTES OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THEREFORE, CENTRA HEALTH AND ITS SUBSIDIARIES, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL AND BEDFORD MEMORIAL HOSPITAL REPORT BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15. PART III, SECTION A, LINE 2: SEE DESCRIPTION FOR PART III, SECTION A, LINE 4 PART III, SECTION A, LINE 4: THE ORGANIZATION BELIEVES THAT ITS PROCEDURES CONCERNING THE APPLICATION OF ITS FINANCIAL ASSISTANCE POLICY ARE SUFFICIENTLY THOROUGH TO EXCLUDE ALL PATIENTS WHO ARE ELIGIBLE FOR CHARITY CARE FROM BAD DEBT. THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS INCLUDE THE FOLLOWING FOOTNOTE ABOUT BAD DEBT: "GENERALLY, PATIENTS WHO ARE COVERED BY THIRD-PARTY PAYORS ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. CENTRA ALSO PROVIDES SERVICES TO UNINSURED PATIENTS AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT FROM STANDARD CHARGES. CENTRA ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY CONTRACTUAL ADJUSTMENTS, DISCOUNTS, AND IMPLICIT PRICE CONCESSIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO AMOUNTS DUE DIRECTLY FROM PATIENTS. ESTIMATED PRICE CONCESSIONS ARE RECORDED FOR ALL UNINSURED ACCOUNTS, REGARDLESS OF THE AGE OF THOSE ACCOUNTS. ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN MADE. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY CENTRA TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. SIGNIFICANT CHANGES IN PAYOR MIX, ECONOMIC CONDITIONS OR TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE COULD AFFECT THE NATURE, AMOUNT, TIMING AND UNCERTAINTY OF THESE REVENUES AND CASH FLOWS. ADJUSTMENTS TO PREVIOUS REIMBURSEMENT ESTIMATES ARE REPORTED IN NET PATIENT SERVICE REVENUES IN THE PERIODS THAT SUCH ADJUSTMENTS BECOME KNOWN. FOR THE YEARS ENDED DECEMBER 31, 2022, AND 2021, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTION PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2022 AUDIT REPORT, PAGE 13) "CENTRA DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR SERVICES PROVIDED, REDUCED BY CONTRACTUAL ADJUSTMENTS PROVIDED TO THIRD-PARTY PAYORS, DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH CENTRA'S POLICY, AND IMPLICIT PRICE CONCESSIONS PROVIDED TO UNINSURED PATIENTS. CENTRA DETERMINES ITS ESTIMATES OF CONTRACTUAL ADJUSTMENTS AND DISCOUNTS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE. CENTRA DETERMINES ITS ESTIMATE OF IMPLICIT PRICE CONCESSIONS BASED ON ITS HISTORICAL COLLECTION EXPERIENCE WITH CLASSES OF PATIENTS USING A PORTFOLIO APPROACH AS A PRACTICAL EXPEDIENT TO ACCOUNT FOR PATIENT CONTRACTS AS A GROUP RATHER THAN INDIVIDUALLY. THE FINANCIAL STATEMENT EFFECTS OF USING THIS PRACTICAL EXPEDIENT ARE NOT MATERIALLY DIFFERENT FROM AN INDIVIDUAL CONTRACT APPROACH. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY ARE RECORDED AS PROVISION FOR DOUBTFUL ACCOUNTS IN OTHER OPERATING EXPENSES IN THE ACCOMPANYING CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE PROVISION FOR DOUBTFUL ACCOUNTS WAS NOT MATERIAL FOR THE YEARS ENDED DECEMBER 31, 2022, AND 2021." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2022 AUDIT REPORT, PAGE 13) "CONSISTENT WITH CENTRA'S MISSION, SERVICES ARE PROVIDED TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THEREFORE, CENTRA HAS DETERMINED IT HAS PROVIDED IMPLICIT PRICE CONCESSIONS TO UNINSURED PATIENTS AND PATIENTS WITH OTHER UNINSURED BALANCES (FOR EXAMPLE, COPAYS AND DEDUCTIBLES). THE IMPLICIT PRICE CONCESSIONS INCLUDED IN ESTIMATING THE TRANSACTION PRICE REPRESENT THE DIFFERENCE BETWEEN AMOUNTS BILLED TO PATIENTS AND THE AMOUNTS CENTRA EXPECTS TO COLLECT BASED ON ITS COLLECTION HISTORY WITH THOSE PATIENTS." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2022 AUDIT REPORT, PAGE 14-15) "PATIENTS WHO MEET CENTRA'S CRITERIA FOR CHARITY CARE ARE PROVIDED CARE WITHOUT CHARGE OR AT AMOUNTS SUBSTANTIALLY LESS THAN ESTABLISHED RATES IN ACCORDANCE WITH CENTRA'S FINANCIAL ASSISTANCE POLICY. SINCE CENTRA DOES NOT PURSUE COLLECTION OF THESE AMOUNTS, THEY ARE DETERMINED TO QUALIFY AS CHARITY CARE ARE NOT REPORTED AS REVENUE. WHILE CHARITY CARE IS EXCLUDED FROM NET PATIENT SERVICE REVENUE, CENTRA MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THIS INCLUDES THE AMOUNT OF CHARGES FOREGONE AND THE ESTIMATED COSTS INCURRED FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS CHARITY CARE POLICY. COSTS INCURRED ARE ESTIMATED BASED ON THE RATIO OF TOTAL OPERATING EXPENSE TO GROSS CHARGES. THE ESTIMATED COST TO PROVIDE CHARITY CARE WAS APPROXIMATELY $13,762 AND $14,203 FOR 2022 AND 2021, RESPECTIVELY." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2022 AUDIT REPORT, PAGE 14-15) PART III, SECTION B, LINE 8: THE CALCULATION OF MEDICARE SHORTFALL DOES NOT REFLECT ALL OF THE ORGANIZATION'S REVENUES AND COSTS ASSOCIATED WITH ITS PARTICIPATION IN THE MEDICARE PROGRAM, PER IRS REGULATIONS. MEDICARE ALLOWABLE COSTS ARE DETERMINED FROM THE MEDICARE COST REPORT USING THE COST TO CHARGE RATIO. THE TOTAL AMOUNT OF MEDICARE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE BEDFORD MEMORIAL 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 FY 2022 WAS $1,641,830. PART III, SECTION C, LINE 9B: BEDFORD MEMORIAL HOSPITAL RECOGNIZES THAT MEDICAL EXPENSES ARE OFTEN UNEXPECTED AND CAUSE FINANCIAL HARDSHIP. ALL ACCOUNTS WITH SELF-PAY BALANCES WILL FOLLOW UNIFORM COLLECTION PROTOCOLS. THESE PROTOCOLS ARE ELECTRONICALLY ADMINISTERED THROUGH CENTRA'S HOSPITAL INFORMATION SYSTEM. WHEN AN ACCOUNT REACHES THE END OF THE SYSTEM GENERATED COLLECTION CYCLE AND MEETS SAID CRITERIA, THE ACCOUNT BALANCE WILL BE PROCESSED AS BAD DEBT AND REPORTED TO A COLLECTION AGENCY. CRITERIA FOR BAD DEBT WILL BE APPLIED CONSISTENTLY REGARDLESS OF AGE, RACE, RELIGION OR OTHER PROTECTIVE CLASS. PRIOR TO BAD DEBT PROCESSING, ACCOUNTS ARE ELECTRONICALLY SCREENED FOR PRESUMPTIVE FINANCIAL ASSISTANCE AND WRITTEN DOWN TO ZERO WHEN SCORES ARE WITHIN PRE-ESTABLISHED RANGES. BEDFORD MEMORIAL HOSPITAL APPLIES UNIFORM COLLECTION PROTOCOLS TO ALL UNPAID ELIGIBLE CHARGES REGARDLESS OF RACE, SEX, AGE, DISABILITY, NATIONAL ORIGIN OR RELIGION. PATIENTS KNOWN BY CENTRA TO QUALIFY FOR FINANCIAL ASSISTANCE ARE NOT SUBJECT TO COLLECTION PROTOCOLS. IF DURING COLLECTION PROTOCOLS, OR AFTER REFERRAL TO AN OUTSIDE COLLECTION AGENCY, IT IS DISCOVERED PATIENTS QUALIFY FOR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY, INCLUDING ANY AND ALL EXTRAORDINARY COLLECTION EFFORT, IS IMMEDIATELY STOPPED. FINANCIAL ASSISTANCE FOR ELIGIBLE CHARGES IS AVAILABLE TO ALL CENTRA PATIENTS WHO QUALIFY BASED ON ESTABLISHED AND WIDELY PUBLISHED INCOME AND ASSET CRITERIA. PART VI, LINE 2: NEEDS ASSESSMENT: THE DEVELOPMENT OF THE 2022-2025 CENTRA BEDFORD MEMORIAL HOSPITAL IMPLEMENTATION PLAN OCCURRED FROM JANUARY THROUGH APRIL 2022. THESE EFFORTS WERE LED BY A LEADERSHIP TEAM COMPOSED OF KEY CENTRA EXECUTIVE LEADERS, INCLUDING THE VICE PRESIDENTS (VP)/CHIEF EXECUTIVE OFFICERS (CEO) AND CHIEF NURSING OFFICERS FOR EACH OF CENTRA'S HOSPITALS, WHO WERE INSTRUMENTAL IN THE DEVELOPMENT OF THE PLAN. THE SERVICE AREA FOR THE 2022-2025 BEDFORD AREA IMPLEMENTATION PLAN IS REFERRED TO AS THE BEDFORD AREA AND INCLUDES THE TOWN OF BEDFORD AND THE COUNTY OF BEDFORD. THE TARGET POPULATION IS DEFINED AS (1) MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS AND THOSE SUFFERING FROM CHRONIC DISEASE; (2) GEOGRAPHIC AREA SERVED BY THE HOSPITAL; AND (3) TARGETED POPULATIONS SERVED BY THE HOSPITAL (I.E., CHILDREN, WOMEN, SENIORS, CANCER PATIENTS). A SERIES OF THREE MEETINGS WERE HELD WITH THE LEADERSHIP TEAM AND INCLUDED THE FOLLOWING ACTIVITIES: - RANKED THE TOP THREE TO FIVE PRIORITY AREAS OF NEEDS FOR THE SERVICE AREA THAT WILL BE ADDRESSED BY CENTRA 1) IDENTIFIED POLICIES, PROGRAMS, AND RESOURCES ALREADY AVAILABLE TO ADDRESS THE NEEDS 2) IDENTIFIED ADDITIONAL RESOURCES AND PARTNERSHIPS NEEDED TO ADDRESS GAPS AND BARRIERS 3) DEVELOPED 3-YEAR GOALS TO ADDRESS THE PRIORITY NEEDS 4) DEVELOPED STRATEGIES TO SUPPORT THE GOALS AND CONSIDERED WHETHER THESE STRATEGIES WERE MEASURABLE, REALISTIC, AS WELL AS CONSIDERING ORGANIZATIONAL CAPACITY AND RESOURCES, AND OPPORTUNITIES FOR COMMUNITY COLLABORATION 5) DEVELOPED EVALUATIVE MEASURES FOR THE GOALS AND/OR STRATEGIES - IDENTIFIED WHICH PRIORITY NEEDS WILL NOT BE ADDRESSED BY CENTRA AND WHY THE PLAN WAS APPROVED BY THE CENTRA BEDFORD MEMORIAL HOSPITAL (CBMH) BOARD OF DIRECTORS AND THE CENTRA BOARD OF DIRECTORS AND WENT INTO EFFECT ON MAY 15, 2022. BY DECEMBER 2022, CBMH HAD A 93% COMPLETION RATE FOR ITS YEAR 1 ACTIVITIES. A SYSTEM-WIDE CENTRA LEADERSHIP TEAM MET MONTHLY FROM JUNE TO DECEMBER 2022 TO PROVIDE UPDATES ON PLAN ACTIVITIES AND SHARE BEST PRACTICES AND RESOURCES. THE BOARD OF DIRECTORS AND THE CENTRA COMMUNITY BENEFIT COMMITTEE WERE INFORMED ON A REGULAR BASIS (AT LEAST QUARTERLY) OF THE IMPLEMENTATION PLAN PROGRESS AS WELL. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: BEDFORD MEMORIAL HOSPITAL TAKES A MULTIDISCIPLINARY APPROACH TO INFORMING OUR PATIENTS AND COMMUNITY ABOUT FINANCIAL ASSISTANCE. INFORMATION ABOUT FINANCIAL ASSISTANCE AND CHARITY CAN BE FOUND ON CENTRA'S INTERNET PAGE PROVIDING FULL DISCLOSURE ABOUT QUALIFICATIONS AND THE APPLICATION PROCESS. INDIVIDUALS MAY OBTAIN INFORMATION AN APPLICATION FROM ANY REGISTRATION POINT OR CUSTOMER SERVICE UNIT, IN PERSON OR BY PHONE. SIGNS ARE POSTED IN CONSPICUOUS LOCATIONS ALERTING INDIVIDUALS THAT FINANCIAL ASSISTANCE IS AVAILABLE AND WHERE TO OBTAIN ADDITIONAL INFORMATION. BROCHURES ABOUT FINANCIAL ASSISTANCE ARE MADE AVAILABLE IN REGISTRATION AND CUSTOMER SERVICE. WHILE PATIENTS ARE HOSPITALIZED, A FINANCIAL COUNSELOR PROVIDES FINANCIAL ASSISTANCE INFORMATION, SCREENS PATIENTS FOR FEDERAL AND STATE PROGRAMS AND GIVES AN OPPORTUNITY TO ASK QUESTIONS. ADDITIONALLY, ON THE BOTTOM OF THE CURRENT STATEMENTS IS THE FOLLOWING VERBIAGE: "CAN'T PAY YOUR BILL? FINANCIAL ASSISTANCE AND FLEXIBLE PAYMENT OPTIONS ARE AVAILABLE BY CONTACTING CENTRA CUSTOMER SERVICE AT (434) 200-3777." PART VI, LINE 4: COMMUNITY INFORMATION: BEDFORD MEMORIAL HOSPITAL PRIMARILY SERVES APPROXIMATELY 80,848 RESIDENTS OF THE TOWN OF BEDFORD AND BEDFORD COUNTY. BEDFORD ENCOMPASSES APPROXIMATELY 769 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. ADDITIONALLY, IN 2022, 18.1% OF THE TOWN OF BEDFORD RESIDENTS HAD A BACHELOR'S DEGREE OR HIGHER AND 31.0% OF THE BEDFORD COUNTY RESIDENTS HAD A BACHELOR'S DEGREE, MUCH LESS THAN THE STATE AVERAGE OF 40.3%. IN 2022, THE TOWN OF BEDFORD HAD A MEDIAN HOUSEHOLD INCOME OF $36,971 AND BEDFORD COUNTY HAD A MEDIAN HOUSEHOLD INCOME OF $70,870, AS COMPARED TO THE STATE MEDIAN OF $80,615. AS OF 2022, 29.0% OF THE TOWN OF BEDFORD POPULATION WAS LIVING IN POVERTY AND 8.8% OF THE BEDFORD COUNTY POPULATION WAS LIVING IN POVERTY COMPARED TO THE STATE AVERAGE OF 10.2%. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: BEDFORD MEMORIAL HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED PROVIDERS AND, IN ADDITION TO CLINICAL CARE, THE HOSPITAL WORKS TO ACHIEVE ITS MISSION THROUGH THE EDUCATION OF HEALTH PROFESSIONALS AND THE COMMUNITY. THE HOSPITAL ALSO PARTICIPATES IN NUMEROUS HEALTH FAIRS AND SCREENINGS THROUGHOUT THE COMMUNITY AT LOCAL EMPLOYERS, COLLEGES, CHURCHES, ETC., IN ORDER TO PROVIDE HEALTH SCREENINGS AND INFORMATION ON MANY HEALTH ISSUES. FOR EXAMPLE, BLOOD PRESSURE, DIABETES, PSA, CANCER SCREENINGS, ETC. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM: AS OF JULY 1, 2014, CENTRA HEALTH BECAME SOLE MEMBER OF BEDFORD MEMORIAL HOSPITAL. CENTRA HEALTH SERVES AS A KEY PARTNER IN MANAGING AND PROMOTING HEALTHCARE THROUGHOUT ITS SYSTEM TO ENSURE EXCELLENT CARE TO THE REGIONAL COMMUNITIES IT SERVES. BEDFORD MEMORIAL HOSPITAL'S SOLE AFFILIATION WITH CENTRA HEALTH WILL STRENGTHEN THE ORGANIZATION THROUGH AN EXCHANGE OF BEST PRACTICES AND ACCESS TO MULTIDISCIPLINARY TEAMS, INCLUDING, BUT NOT LIMITED TO, PHYSICIANS FROM CENTRA'S NETWORK OF PRACTICES AND EXPERTS IN LONG-TERM CARE AND REHABILITATION. PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT: VIRGINIA false true false false false false false false false AMY CARRIER DIRECTOR 0 760606 0 167055 0 167346 0 230800 0 30439 0 1356246 0 0 Douglas Davenport CHIEF FINANCIAL OFFICER 0 540095 0 306377 0 80424 0 119360 0 22686 0 1068942 0 0 GEORGIA HARRINGTON SECRETARY 0 168982 0 200486 0 325891 0 93212 0 18220 0 806791 0 0 HOLLY TRENT DIR./SECRE. TREAS. as of 8/22 0 380417 0 154383 0 35959 0 75811 0 0 0 646570 0 48120 DARLENE NIGRO MED STAFF PRESIDENT 330684 0 31534 0 1543 0 11525 0 40366 0 415652 0 0 0 WILLIAM BASS JR VP & BMH CEO 248227 0 36575 0 22948 0 12246 0 8226 0 328222 0 0 0 JEFERY WIGGINS CHIEF COMPLIANCE OFFICER 0 210607 0 0 0 26964 0 7393 0 40366 0 285330 0 0 CERES HIRST RN ACUTE CARE 143337 0 21495 0 15807 0 4946 0 0 0 185585 0 0 0 MEGAN HORTON MANAGER PHARMACY OPERATIONS 149493 0 375 0 13005 0 4796 0 6353 0 174022 0 0 0 SANDRA MARTIN RN ACUTE CARE WEO A 121575 0 25339 0 1443 0 4461 0 16948 0 169766 0 0 0 JAMES ROSE DIRECTOR PLANT ENGINEERING BMH 104939 0 7876 0 31599 0 7339 0 15663 0 167416 0 0 0 GINGER MCCALL SUPERVISOR ADMINISTRATIVE 127904 0 24405 0 7355 0 4656 0 0 0 164320 0 0 0 STACEY VAUGHT CHIEF NURSING OFFICER 130332 0 6140 0 15756 0 4396 0 2219 0 158843 0 0 0 TERESA GILLS TREASURER 0 116258 0 7892 0 28884 0 4763 0 307 0 158104 0 0 Part I, Line 4b: THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2022. NAME TITLE AMOUNT of DEFERRAL AMY CARRIER PRESIDENT/CEO 221,650 DOUGLAS DAVENPORT SVP CHIEF FINANCIAL OFFICER 110,210 GEORGIA HARRINGTON SVP Chief Opp. Officer 87,484 HOLLY TRENT SVP CHIEF LEGAL OFFICER 66,661 TOTAL 486,005 THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2022. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT HOLLY TRENT SVP CHIEF LEGAL OFFICER 48,120 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. ASSIST WITH HEALING ARTS PROGRAM, ASSIST WITH FUNDRAISING ACTIVITIES AND COMMUNITY EVENTS. VOLUNTEER CHAPLAINS PROVIDE SERVICES AS NEEDED/ASSIGNED. FORM 990, PART III, LINE 1: THE HOSPITAL IS COMMITTED TO A COMMON PURPOSE OF BETTER PATIENT CARE, BETTER COMMUNITY HEALTH AND LOWER COSTS. THE 50-BED HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SURGERY, EMERGENCY, GERIATRIC AND REHABILITATIVE SERVICES, AND IS DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITY IT SERVES BY PROVIDING HIGH QUALITY HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 6: CENTRA HEALTH, INC., A CHARITABLE TAX-EXEMPT HEALTHCARE ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A & 7B: CENTRA HEALTH, INC. IS THE SOLE MEMBER OF THE ORGANIZATION AND THEREFORE HAS THE POWER TO ELECT/APPROVE THE BOARD OF DIRECTORS OF BEDFORD'S GOVERNING BODY AND APPROVE DECISIONS MADE BY BEDFORD'S BOARD. FORM 990, PART VI, SECTION B, LINE 11B: THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. COPIES OF FORM 990 WERE PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS AND ANY QUESTIONS RAISED BY THE BOARD OF DIRECTORS HAVE BEEN ADDRESSED. FORM 990, PART VI, SECTION B, LINE 12C: ALL BEDFORD MEMORIAL HOSPITAL OFFICERS, DIRECTORS, AND KEY EMPLOYEES MUST COMPLETE A CONFLICT-OF-INTEREST QUESTIONNAIRE ON AN ANNUAL BASIS, CERTIFYING THAT NEITHER THEY NOR ANY OF THEIR IMMEDIATE FAMILY MEMBERS HAVE ENGAGED IN ANY ACTIVITIES THAT COULD LEAD TO A POTENTIAL CONFLICT OF INTEREST. ADDITIONALLY, ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES MUST AGREE TO PROMPTLY REPORT ANY POTENTIAL CONFLICTS OF INTEREST THAT ARISE DURING THE YEAR TO THE PRESIDENT OR CHAIRMAN OF BEDFORD MEMORIAL HOSPITAL'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15: FORM 990, PART VI, LINES 15A & 15B WERE ANSWERED AS "NO", HOWEVER, UNDER A MANAGEMENT AGREEMENT WITH THE ORGANIZATION'S SOLE MEMBER AND RELATED PARTY, CENTRA HEALTH, INC., THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER'S COMPENSATION IS ESTABLISHED IN ACCORDANCE WITH CENTRA HEALTH'S EXECUTIVE COMPENSATION PRACTICES WHICH INCLUDE THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT(S) AND COMPENSATION STUDY OR SURVEY. FORM 990, PART VI, SECTION C, LINE 18: PHOTOCOPIES OF THE ORGANIZATION'S FORM 1023 AND RECENT FILINGS OF THE FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. ADDITIONALLY, FILINGS OF THE FORM 990 ARE AVAILABLE ONLINE AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY UPON REQUEST AT ITS ADMINISTRATIVE OFFICE. FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CONTRIBUTED CAPITAL FROM CENTRA HEALTH $1,400,000 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:CLEANING SERVICES TOTAL FEES:95294 FORM 990 PART IX LINE 11G DESCRIPTION:COMMUNITY AWARENESS TOTAL FEES:838 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:1490501 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL PURCHASED SERVICES TOTAL FEES:4007777 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN ENUMERATION TOTAL FEES:495846 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:724643 CENTRA HEALTH INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 540715569 HEALTHCARE VA 501(C)(3) 3 NA false CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541604094 SUPPORT ORG VA 501(C)(3) 12A SEE PART VII false CCRC INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541929580 CONTINUE CARE VA 501(C)(3) 12A SEE PART VII false SOUTHSIDE COMMUNITY HOSPITAL 800 OAK STREET FARMVILLE VA 23901 540555201 HEALTHCARE VA 501(C)(3) 3 SEE PART VII false GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541299682 R/E PHYSICIAN VA CENTRA HEALTH C Corp 0 0 0.00000 false PCHP HOLDING INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541749492 HOLDING COMPA VA CENTRA HEALTH C Corp 0 0 0.00000 false PIEDMONT COMMUNITY HEALTH PLAN INC 2316 ATHERHOLT ROAD LYNCHBURG VA 24501 541755768 HEALTH INSURA VA CENTRA HEALTH C Corp 0 0 0.00000 false false false true false false false false false false false false false false false false true false false false SCHEDULE R, PART II: Col (f) Direct controlling entity: centra health, inc.