2024-11-15T18:20:14-06:00 2023-12-31 BDO USA 8401 GREENSBORO DRIVE 800 MCLEAN VA 22102 990 2023-01-01 540566100 BEDFORD MEMORIAL HOSPITAL % STACEY VAUGHT BEDF 5404257603 1613 OAKWOOD STREET BEDFORD VA 24523 ROBERT TONKINSON SVP CFO 4342004708 2024-11-15 true true Marc Berger P01871563 7038930600 2023 2024-10-15 13:58:12Z STACY VAUGHT 1613 OAKWOOD STREET BEDFORD VA 24523 53291187 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 9 418 59 0 0 564781 103496 47845435 51613050 -4280 1200 1534927 1574641 49940863 53292387 654 1260 0 0 20661336 21450909 0 0 0 24180219 23434591 44842209 44886760 5098654 8405627 41836048 36484228 4350345 2792898 37485703 33691330 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 33214832 1260 52958481 BEDFORD MEMORIAL HOSPITAL EXISTS TO SERVE THE HEALTHCARE NEEDS OF ITS COMMUNITY, REGARDLESS OF PATIENT ABILITY TO PAY. BEDFORD'S ACUTE HOSPITAL ADMITTED 1,182 PATIENTS DURING 2023 AND PROVIDED 5,026 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 23,280 VISITS DURING 2023, 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. 2023 COMMUNITY BENEFIT HIGHLIGHTS . IN FURTHERANCE OF ITS MISSION, BEDFORD PROVIDED EXTENSIVE UNCOMPENSATED CARE DURING 2023, $1,864,763 IN CHARGES AT AN ESTIMATED COST OF $409,659WAS 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 $6,107,887, AT AN ESTIMATED COST OF $1,344,767 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 $1,216,168. IN 2023, CENTRA BEDFORD MEMORIAL HOSPITAL CONTINUED ITS COMMITMENT TO STRONG PARTNERSHIPS AND ENGAGEMENT WITHIN THE BEDFORD AREA. CBMH AWARDED $131,000 IN GRANTS AND SPONSORSHIPS TO COMMUNITY ORGANIZATIONS. AS IN PREVIOUS YEARS, CENTRA'S COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDED INSIGHT AND DIRECTION ON WHERE TO FOCUS OUR EFFORTS AS COMMUNITY PARTNERS AND ADVOCATES. ACCESS TO HEALTHCARE SERVICES, MENTAL HEALTH & SUBSTANCE USE, AND ISSUES AFFECTING CHILDREN WERE PRIORITIES IN PLANNING COMMUNITY ENGAGEMENT ACTIVITIES. VOLUNTEERS IN 2023, 59 VOLUNTEERS DONATED 5,110 HOURS OF SERVICE TO OUR VOLUNTEER PROGRAM IN 2023, CENTRA BEDFORD HOSPICE EXPERIENCED A SIGNIFICANT OUTPOURING OF COMMUNITY SUPPORT THROUGH THE BEDFORD HOSPICE VOLUNTEER PROGRAM. THIS REPORT HIGHLIGHTS THE INVALUABLE CONTRIBUTION MADE BY VOLUNTEERS, HIGHLIGHTING THEIR DEDICATION, COMPASSION, AND SELFLESSNESS IN SERVING PATIENTS AND FAMILIES WITHIN THE HOSPICE PROGRAM. THROUGH OUT THE YEAR, BEDFORD HOSPICE VOLUNTEERS GENEROUSLY DONATED 3,245.03 HOURS OF THEIR TIME TO SUPPORT THE PROGRAM, EXTENDING THEIR COMMITMENT TO VARIOUS ESSENTIAL TASKS, INCLUDING MEAL AND MEDICATION DELIVERY, PATIENT INTERACTION, AND EMOTIONAL SUPPORT THROUGH PHONE CALLS, HOME VISITS, CARD SENDING, AND CRAFTING BLANKETS AND NECK PILLOWS. THE PROGRAM ALSO HONORS HOSPICE VETERANS WITH A SPECIAL PINNING CEREMONY, AND VOLUNTEERS PROVIDE OFFICE SUPPORT TO HOSPICE STAFF. ADDITIONALLY, VOLUNTEERS COLLECTIVELY DONATED 26,985 MILES BY DRIVING THEIR OWN CARS TO PROVIDE HOSPICE SERVICES. THE COLLECTIVE EFFORTS OF BEDFORD HOSPICE VOLUNTEERS IN 2023 RESULTED IN SUBSTANTIAL COST SAVINGS FOR CENTRA BEDFORD HOSPICE. BY VOLUNTEERING THEIR TIME AND RESOURCES, THESE INDIVIDUALS CONTRIBUTED TO A TOTAL SAVINGS OF $73,547.81 FOR CENTRA HOSPICE. THIS SIGNIFICANT FINANCIAL BENEFIT UNDERSCORES THE INDISPENSABLE ROLE PLAYED BY VOLUNTEERS IN SUPPLEMENTING THE HOSPITAL'S OPERATIONS AND DELIVERING ESSENTIAL SERVICES TO THE COMMUNITY. THE FOLLOWING IS A LIST OF COMMUNITY BENEFIT PROGRAMS/EVENTS AND NUMBER OF PARTICIPANTS. . BABY SITTING CLASSES-1 EVENT, 10 PARTICIPANTS . CANCER EDUCATION (ALL) - 3 EVENTS, 10 PARTICIPANTS . CPR/FIRST AID CLASSES-1 EVENT . MENTAL HEALTH/DEPRESSION EDUCATION -1 EVENT, 20 PARTICIPANTS . SENIORS EDUCATION AND OUTREACH - 7 EVENTS, 370 PARTICIPANTS . SPEAKERS BUREAU (HEALTH TOPICS)-1 EVENT, 32 PARTICIPANTS IN 2023, THE TOTAL COMMUNITY BENEFIT REALIZED FOR BEDFORD MEMORIAL HOSPITAL WAS $35,775. 33214832 true true false false false false false false false false true false false false true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 6 0 true 418 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 STACEY VAUGHT 5404257603 1613 OAKWOOD STREET BEDFORD VA 24523 X AMY CARRIER CENTRA PRESIDENT/CEO 2.0 50.0 X 0 1283620 275838 HOLLY TRENT DIRECTOR/SECRETARY & TREASURER 2.0 50.0 X X 0 742221 74595 DARLENE NIGRO DIRECTOR 2.0 50.0 X 0 365187 53370 WILLIAM BASS JR VP & BMH CEO 50.0 0.0 X 281386 0 15115 TARA ANGE RN ACUTE CARE WEO A 50.0 0.0 X 131429 0 48954 MEGAN HORTON MANAGER PHARMACY OPERATIONS 50.0 0.0 X 166847 0 11557 STACEY VAUGHT CNO & INTERIM HOSP. PRESIDENT 50.0 0.0 X X 169250 0 5008 KATHRYN RIDILLA PHARMACIST 50.0 0.0 X 150173 0 9438 SARAH KURTZ DIRECTOR SURGICAL SERVICES 50.0 0.0 X 143376 0 10864 GINGER MCCALL SUPERVISOR ADMINISTRATIVE 50.0 0.0 X 130580 0 286 CYNTHIA GUNNOE CHAIR 2.0 0.0 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 LEE ANN CALVERT DIRECTOR 2.0 0.0 X 0 0 0 ROBERT FEUERSTEIN DO DIRECTOR 2.0 0.0 X 0 0 0 EDWARD D HUFF JR DIRECTOR 2.0 0.0 X 0 0 0 1173041 2391028 505025 20 false true false WEBBS OIL COMPANY INC 8223 RESERVOIR ROAD ROANOKE VA 24019 OIL SERVICES 285642 PATHOLOGY CONSULTANTS 1914 THOMSON DRIVE LYNCHBURG VA 24501 PATHOLOGY SVCS 181145 2 61202 42294 0 103496 NET PATIENT SERVICES REVENUE 621400 51470471 51470471 ANCILLARY SERVICES 900099 142579 142579 51613050 0 0 0 229210 229210 0 229210 229210 -1200 1200 1200 1200 0 0 0 0 0 0 0 0 0 MISC INCOME 900099 1158498 1158498 CAFETERIA 900099 186933 186933 1345431 53292387 52958481 0 230410 X 1260 1260 0 0 0 1404435 803616 600819 0 16502625 14829463 1673162 439787 384521 55266 1790121 1533508 256613 1313941 1125588 188353 152023 55892 96131 2788 2788 0 0 0 0 6218980 6146466 72514 18548 11032 7516 1375394 1173159 202235 27243 6020 21223 0 1490095 1087425 402670 68086 65283 2803 0 26626 7855 18771 0 0 1320781 1239290 81491 479917 1175 478742 OVERHEAD ALLOCATION 7489207 7489207 MED/SURG ROUTINE 2791806 2786964 4842 DRUGS 1791248 1791122 126 BAD DEBT EXPENSE 128774 128774 53075 36419 16656 44886760 33214832 11671928 0 4494907 420288 0 0 0 0 7740464 10990669 0 0 0 0 0 0 920872 796301 22519 56576 39623141 19387203 20350709 20235938 0 0 0 0 0 0 2577789 2577789 5728788 1406667 41836048 36484228 2343816 2312044 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2006529 480854 4350345 2792898 X 37485703 33691330 0 0 37485703 33691330 41836048 36484228 X 8405627 -12200000 X X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2150295 2150295 22302842 7550861 14751981 1098631 925869 172762 13148049 10910473 2237576 923324 0 923324 20235938 0 OTHER LIABILITIES 480854 480854 X PART X, LINE 2: BEDFORD MEMORIAL HOSPITAL IS INCLUDED IN CENTRA HEALTH, INC'S CONSOLIDATED AUDIT REPORT FOR YEAR ENDED DECEMBER 31, 2023. THE FOLLOWING FOOTNOTE REGARDING LIABILITY FOR UNCERTAIN TAX POSITIONS (FIN 48) IS FOUND IN THIS CONSOLIDATED REPORT. CENTRA HEALTH, INC., FOUNDATION, SOUTHSIDE, AND BEDFORD ARE EXEMPT FROM INCOME TAX UNDER SECTION 501 (A) OF THE INTERNAL REVENUE CODE (IRC). ACCORDINGLY, NO INCOME TAXES HAVE BEEN PROVIDED FOR THESE ENTITIES IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS EXCEPT FOR TAXES RELATED TO CERTAIN UNRELATED BUSINESS INCOME ENGAGED IN BY CENTRA. CENTRA MEDICAL GROUP, LLC, CHIC, CENTRA SPECIALTY HOSPITAL, CVQCN, OUTPATIENT REHAD, AND CVI ARE DISREGARDED FOR FEDERAL INCOME TAX PURPOSES AND, THEREFORE, ARE INCLUDED UNDER CENTRA'S TAX RETURN. CENTRA HAS ADOPTED RELEVANT ACCOUNTING STANDARDS RELATED TO TAXES FOR ITS SUBSIDIARIES, GBC, PCHP HOLDING, INC. AND PCHP. UNDER THE ASSET-AND-LIABILITY METHOD FOR THESE STANDARDS, DEFERRED TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE TEMPORARY DIFFERENCES BETWEEN THE FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASIS OF THE SUBSIDIARY'S ASSETS AND LIABILITIES AT INCOME TAX RATES EXPECTED TO BE IN EFFECT WHEN SUCH AMOUNTS ARE REALIZED OR SETTLED. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN EARNINGS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. CENTRA HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATONS AS OF DECEMBER 31, 2023. CENTRA BELIEVES THEY ARE NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2020. true true X true X true X true false true true 409658 0 409658 0.00910 3667540 4877722 0 4077198 4877722 409658 0.00910 17111 0 17111 0.00040 32921 0 32921 0.00070 13091 0 13091 0.00030 63123 0 63123 0.00140 4140321 4877722 472781 0.01050 3 15 710 710 0.02000 6 105 780 780 0.02000 117 2716 24793 24793 0.69000 48 640 5324 5324 0.15000 13 309 4167 4167 0.12000 187 3785 35774 35774 1.00000 true 6107887 1341804 9913632 11129800 -1216168 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. FOR INFORMATION ABOUT THE 2021 CHNA PROCESS AND THE 2022-2025 IMPLEMENTATION PLAN AND FOR A COPY OF THE REPORT PLEASE VISIT HTTPS://WWW.CENTRAHEALTH.COM/COMMUNITY-RESOURCES/COMMUNITY-HEALTH#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 CH NA 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 SPECIACALLY 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 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 CABE & DENTALEBQBLEMS: 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 2023, CENTRA BEDFORD MEMORIAL HOSPITAL CONTINUED ITS COMMITMENT TO STRONG PARTNERSHIPS AND ENGAGEMENT WITHIN THE BEDFORD AREA. CBMH AWARDED $131,000 IN GRANTS AND SPONSORSHIPS TO COMMUNITY ORGANIZATIONS. AS IN PREVIOUS YEARS, CENTRA'S COMMUNITY HEALTH NEEDS ASSESSMENT PROVIDED INSIGHT AND DIRECTION ON WHERE TO FOCUS OUR EFFORTS AS COMMUNITY PARTNERS AND ADVOCATES. ACCESS TO HEALTHCARE SERVICES, MENTAL HEALTH & SUBSTANCE USE, AND ISSUES AFFECTING CHILDREN WERE PRIORITIES IN PLANNING COMMUNITY ENGAGEMENT ACTIVITIES. IN THE AREA OF ACCESS TO HEALTHCARE: WE PARTNERED WITH THE TOWN OF BEDFORD ECONOMIC DEVELOPMENT TO OFFER SEVERAL COMMUNITY EDUCATION DAYS THROUGHOUT THE YEAR, INCLUDING BLOOD PRESSURE AWARENESS, BREAST CANCER AWARENESS, INFECTION PREVENTION, AND ELDERCARE SERVICES. CBMH ALSO HOSTED A FREE SKIN CANCER SCREENING IN PARTNERSHIP WITH CMG AND LOCAL DERMATOLOGISTS, AS WELL AS SEVERAL BLOOD DRIVES FOR THE AMERICAN RED CROSS. IN THE AREA OF MENTAL HEALTH & SUBSTANCE USE: OUR CURRENT HOSPITAL PRESIDENT FORMED AN INTERDISCIPLINARY COMMITTEE THAT SERVES AS BEDFORD'S MENTAL HEALTH COLLABORATIVE. THE GROUP INCLUDES CBMH LEADERS, LOCAL LAW ENFORCEMENT, FIRE & RESCUE, SAFETY NET PRIMARY CARE, SOCIAL SERVICES, AND MENTAL HEALTH PROVIDERS. THIS TEAM MEETS MONTHLY TO EVALUATE FIRST RESPONSE CARE AND PROCESSES OF THOSE EXPERIENCING A MENTAL HEALTH CRISIS. THE COMMITTEE THEN DISCUSSES BEST PRACTICES WHEN RESPONDING TO MENTAL HEALTH EMERGENCIES. CBMH PARTNERED WITH THE LOCAL COOPERATIVE EXTENSION OFFICE TO OFFER TWO MENTAL HEALTH FIRST AID TRAININGS TO THE COMMUNITY (AND STAFF). CBMH PARTNERED WITH HORIZON BEHAVIORAL HEALTH TO OFFER A RAPID REVIVE NARCAN TRAINING ON SITE FOR ALL CENTRA STAFF. OVER 50 CENTRA CAREGIVERS WERE TRAINED AND PROVIDED WITH NARCAN NASAL SPRAY THAT CAN REVERSE OPIOID OVERDOSE. DURING 2023, CBMH CHAPLAIN BEGAN OFFERING STAFF SUPPORT GROUPS AS A WAY TO ENCOURAGE CONNECTION AND COPING WITH STRESS, BOTH PERSONAL AND WORK RELATED. CBMH EXECUTIVE LEADERSHIP JOINED "ALL IN: CARING FOR VIRGINIA'S CAREGIVERS", AN ORGANIZATION DEDICATED TO IMPROVING MENTAL HEALTH SERVICES TO CAREGIVERS. IN THE AREA OF ISSUES EFFECTING CHILDREN: CBMH BECAME A RESPONDER FOR A NEW PROGRAM CALLED CARE PORTAL. PROVIDED BY PATRICK HENRY FAMILY SERVICES, CARE PORTAL IS A VIRTUAL NETWORK OF ORGANIZATIONS DEDICATED TO RESPONDING TO THE IMMEDIATE NEEDS OF FAMILIES IN CRISIS WHILE ALSO COLLABORATING WITH LOCAL FAITH COMMUNITIES TO OFFER LONG TERM SUPPORT THROUGH RELATIONSHIP. THE RESULT IS SYSTEMIC CHANGE THAT HELPS FAMILIES ESCAPE THE CYCLE OF POVERTY. WE ALSO PROVIDED FUNDING FOR PHFS KINSHIP NAVIGATOR, WHICH PROVIDES TRAINING FOR NEW FOSTER PARENTS. THE SOUTHERN VIRGINIA INTERNET CRIMES AGAINST CHILDREN UNIT CAME TO CBMH AND GAVE A ONE-HOUR PRESENTATION/TRAINING FOR STAFF AND COMMUNITY. THE COMMANDER OF ICAC UNIT PRESENTED IN-DEPTH INFORMATION AND STATISTICS ABOUT THE DANGERS OF UNSUPERVISED INTERNET ACCESS TO CHILDREN, INCLUDING INFORMATION ABOUT CHILD SEX TRAFFICKING, INTERNET CHILD PREDATORS, AND THE EFFECTS OF THIS UPON CHILDREN IN THEIR MENTAL AND EMOTIONAL DEVELOPMENT. CBMH HELD A SAFE SITTER BABYSITTING TRAINING FOR 15 MIDDLE SCHOOL CHILDREN. THE 6- HOUR CLASS PROVIDES HANDS-ON INSTRUCTION IN CHILD SAFETY, FIRST AID & RESCUE, CHILDCARE ROUTINES, AND BEHAVIOR MANAGEMENT. CBMH HOSTS A YEAR-ROUND COLLECTION OF FOOD DONATIONS FOR LOCAL FOOD PANTRIES AND OUR EMERGENCY DEPARTMENT PARTNERED WITH THE LYNCHBURG DAILY BREAD TO OFFER FAMILY-SIZED MEAL KITS TO PATIENT FAMILIES IN NEED. CBMH CONTINUED PARTICIPATING IN THE BEDFORD AREA RESOURCE COUNCIL, ATTENDING MEETINGS, REPORTING ON CURRENT CHNA UPDATES, AND SERVING ON THE BARC STEERING COMMITTEE. THE BARC IS A COMMUNITY-BASED COUNCIL WITH OVER 400 INDIVIDUALS REPRESENTING LOCAL NONPROFIT ORGANIZATIONS. BARC'S MISSION IS ALSO DEVELOPED AROUND THE NEEDS OF THE COMMUNITY AS EVIDENCED BY CENTRA'S COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION TO OUR EFFORTS TO ADDRESS TOP HEALTH NEEDS, CBMH WAS ACTIVE IN LOCAL EVENTS AND ORGANIZATIONS. CBMH PARTICIPATED IN THE BEDFORD CHRISTMAS PARADE, NATIONAL NIGHT OUT, OUTDOOR ACTIVITY EVENTS SUCH AS MOUNTAIN BIKE RACES, COMMUNITY FESTIVALS, AND FUNDRAISING EVENTS SUCH AS THE PEAKS OF OTTER CHRISTMAS CLASSIC 5K, WHICH RAISES FUNDS FOR A LOCAL CANCER TREATMENT PROGRAM. CBMH ALSO SERVED ON THE BEDFORD AREA CHAMBER OF COMMERCE, THE SMITH MTN LAKE ROTARY CLUB, AND THE BEDFORD DOMESTIC VIOLENCE COALITION CBMH 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 2023, 59 VOLUNTEERS DONATED 5,220 HOURS TO OUR VOLUNTEER PROGRAM. THESE NUMBERS INCLUDE HOURS SERVED BY HIGH SCHOOL INTERNS. 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, 2023, AND 2022, THE IMPACT OF CHANGES TO PREVIOUS TRANSACTION PRICE ESTIMATES WAS CONSIDERED IMMATERIAL TO THE CURRENT PERIOD." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 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, 2023, AND 2022." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 13-14) "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 2023 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 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 $12,257 AND $13,762 FOR 2023 AND 2022, RESPECTIVELY."(CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2023 AUDIT REPORT, PAGE 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 2023 WAS $1,216,168. 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 A SYSTEM-WIDE CENTRA LEADERSHIP TEAM MET MONTHLY FROM JANUARY TO DECEMBER 2023 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. 2023 IMPLEMENTATION PLAN UPDATES ACCESS TO HEALTHCARE: CENTRA BEDFORD MEMORIAL HOSPITAL (CBMH) ENHANCES ACCESS TO HEALTHCARE THROUGH ACTIVE PARTICIPATION IN THE BEDFORD AREA RESOURCE COUNCIL (BARC) AND ITS COMMITTEES TO PROVIDE EDUCATION, PROGRAMS AND SCREENINGS FOR THE RESIDENTS IN ITS SERVICE AREA. CBMH ALSO PARTICIPATES IN BEDFORD TOWN HEALTH SESSIONS. MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES: CBMH ADDRESSES MENTAL HEALTH & SUBSTANCE USE DISORDERS BY OFFERING MENTAL HEALTH FIRST AID TRAINING FOR THE COMMUNITY THROUGH A PARTNERSHIP WITH THE VIRGINIA COOPERATIVE EXTENSION. CBMH ALSO HOSTED HORIZON BEHAVIORAL HEALTH'S RAPID REVIVE NARCAN TRAINING. AN INTERDISCIPLINARY MENTAL HEALTH COLLABORATIVE FORMED TO INCLUDE CENTRA, LAW ENFORCEMENT, FIRE & RESCUE, AND MENTAL HEALTH PROVIDERS. ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE; CHILD ABUSE/NEGLECT: IN RECENT YEARS CBMH FUNDED THE PATRICK HENRY FAMILY SERVICES KINSHIP NAVIGATOR PROGRAM TO PROVIDE TRAINING FOR FOSTER PARENTS AND THE BEDFORD YMCA'S CHILDCARE CENTER. 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 2023, 19.5% OF THE TOWN OF BEDFORD RESIDENTS HAD A BACHELOR'S DEGREE OR HIGHER AND 32.6% OF THE BEDFORD COUNTY RESIDENTS HAD A BACHELOR'S DEGREE, MUCH LESS THAN THE STATE AVERAGE OF 41.0%. IN 2023, THE TOWN OF BEDFORD HAD A MEDIAN HOUSEHOLD INCOME OF $41,154 AND BEDFORD COUNTY HAD A MEDIAN HOUSEHOLD INCOME OF $74,773, AS COMPARED TO THE STATE MEDIAN OF $87,249.AS OF2023, 26.7% OF THE TOWN OF BEDFORD POPULATION WAS LIVING IN POVERTY AND 8.4% OF THE BEDFORD COUNTY POPULATION WAS LIVING IN POVERTY COMPARED TO THE STATE AVERAGE OF 10.6%. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTH: BEDFORD MEMORIAL HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO QUALIFIED PROVIDERS AND, IN ADDITION TO CLINICAL CARE, THE HOSPITAL WORKS TO ACHIEVE ITS MISSION THROUGH THE EDUCATION OF HEALTH PROFESSIONALS AND THE COMMUNITY. THE HOSPITAL ALSO PARTICIPATES IN NUMEROUS HEALTH FAIRS AND SCREENINGS THROUGHOUT THE COMMUNITY AT LOCAL EMPLOYERS, COLLEGES, CHURCHES, ETC., IN ORDER TO PROVIDE HEALTH SCREENINGS AND INFORMATION ON MANY HEALTH ISSUES. FOR EXAMPLE, BLOOD PRESSURE, DIABETES, PSA, 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 true true false false false false false false false AMY CARRIER CENTRA PRESIDENT/CEO 0 958579 0 300000 0 25041 0 243300 0 32538 0 1559458 0 0 HOLLY TRENT DIRECTOR/SECRETARY & TREASURER 0 158204 0 91436 0 492581 0 74595 0 0 0 816816 0 38472 DARLENE NIGRO DIRECTOR 0 343454 0 20190 0 1543 0 9900 0 43470 0 418557 0 0 WILLIAM BASS JR VP & BMH CEO 243427 0 36302 0 1657 0 7357 0 7758 0 296501 0 0 0 STACEY VAUGHT CNO & INTERIM HOSP. PRESIDENT 159231 0 9750 0 269 0 5008 0 0 0 174258 0 0 0 MEGAN HORTON MANAGER PHARMACY OPERATIONS 162000 0 195 0 4652 0 4906 0 6651 0 178404 0 0 0 KATHRYN RIDILLA PHARMACIST 149901 0 195 0 77 0 4134 0 5304 0 159611 0 0 0 SARAH KURTZ DIRECTOR SURGICAL SERVICES 138875 0 4420 0 81 0 4213 0 6651 0 154240 0 0 0 TARA ANGE RN ACUTE CARE WEO A 131124 0 195 0 110 0 4246 0 44708 0 180383 0 0 0 Part I, Line 4a: THE FOLLOWING INDIVIDUALS HAD SEVERANCE DURING FY 2023. NAME TITLE AMOUNT of DEFERRAL HOLLY TRENT SVP CHIEF LEGAL OFFICER 424,053 Part I, Line 4b: THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2023. NAME TITLE AMOUNT of DEFERRAL AMY CARRIER PRESIDENT/CEO 233,400 HOLLY TRENT SVP CHIEF LEGAL OFFICER 70,192 TOTAL 303,592 THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2023. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME TITLE AMOUNT OF PAYOUT HOLLY TRENT SVP CHIEF LEGAL OFFICER 68,270 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 MISSION OF BEDFORD MEMORIAL HOSPITAL, A 501 (C)(3) HOSPITAL, IS TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL IS COMMITTED TO A COMMON PURPOSE OF BETTER PATIENT CARE, BETTER COMMUNITY HEALTH AND LOWER COSTS. THE 50-BED HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SURGERY, EMERGENCY, GERIATRIC AND REHABILITATIVE SERVICES, AND IS DEDICATED TO IMPROVING THE QUALITY OF LIFE IN THE COMMUNITY IT SERVES BY PROVIDING HIGH QUALITY HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 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& 158 WERE ANSWERED AS "NO", HOWEVER, 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 $(12,200,000) 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:MEDICAL PURCHASED SERVICE TOTAL FEES:4694975 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:755717 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN RENUMERATION TOTAL FEES:506111 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:116065 FORM 990 PART IX LINE 11G DESCRIPTION:CAPITATED MED CLAIMS TOTAL FEES:97644 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING SERVICES TOTAL FEES:46764 FORM 990 PART IX LINE 11G DESCRIPTION:COMMUNITY AWARENESS TOTAL FEES:1704 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 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 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541749492 HOLDING COMPA VA CENTRA HEALTH C Corp 0 0 0.00000 false PIEDMONT COMMUNITY HEALTH PLAN INC 1920 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.