2025-11-05T17:01:05+00:00 2024-12-31 135381590 BDO USA 421 FAYETTEVILLE ST STE 300 RALEIGH NC 276011776 990 2024-01-01 540566100 BEDFORD MEMORIAL HOSPITAL BEDF 5404257603 1613 OAKWOOD STREET BEDFORD VA 24523 ROBERT TONKINSON SVP CFO 2025-11-05 true SANDRA L FEINSMITH P01064157 9197549370 2025-11-04 2024 2025-03-06 01:10:19Z ROBERT TONKINSON 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 54933484 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. 14 10 394 53 0 103496 67447 51613050 53356401 1200 -13360 1574641 1509636 53292387 54920124 1260 414 0 0 21450909 23214012 0 0 0 23434591 24882077 44886760 48096503 8405627 6823621 36484228 39777287 2792898 3762336 33691330 36014951 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. false false 34923699 414 54818362 Bedford Memorial Hospital is committed to providing access to quality health care to the residents of Bedford and the surrounding areas. During 2024 Hospital's employees, medical staff and volunteers provided the region with over 1,300 inpatient admissions, over 4,600 days of care and more than 1,500 surgeries and had over 20,600 emergency room visits. Bedford Memorial Hospital is actively engaged in the community through business, civic and service organizations, and through its financial support of other not-for-profit organizations. Please see schedule H and visit our website for additional information about our services, recognitions and awards: WWW.Centrahealth.com/locations/centra-bedford-memorial-hospital 34923699 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 false false true false false false false true X 19 0 true 394 true false false false false false false false false false false false false X 14 10 false false false false true true true true true false false false true true true true true true false false false false VA X TIM FRITZ CORPORATE CONTROLLER 4342002578 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 CYNTHIA GUNNOE BOARD CHAIR 2.0 2.0 X X 0 0 0 MARY ZIRKLE BOARD VICE-CHAIR 2.0 0 X X 0 0 0 RICHARD TUGMAN CENTRA PRESIDENT/CEO (AS OF 4/18/2024) 2.0 54.0 X X 0 782536 54586 STACEY VAUGHT HOSPITAL PRESIDENT BMH 50.0 0 X X 229118 0 31969 THOMAS ANGELO VP & CEO HOSPITAL 2.0 50.0 X X 0 415864 83432 AMY CARRIER PRESIDENT/CEO (thru 4/18/2024) 2.0 54.0 X 0 2851509 27147 DAVID SENSENIG DIRECTOR 2.0 0 X 0 0 0 DENNY HUFF DIRECTOR 2.0 0 X 0 0 0 HILARY BASHAM DO DOCTOR OSTEOPATHY 50.0 0 X 392849 0 57730 JANICE LUTH MD DIRECTOR 2.0 0 X 0 0 0 LEE ANN CALVERT MD DIRECTOR 2.0 0 X 0 0 0 RHETTA WATKINS DIRECTOR 2.0 0 X 0 0 0 ROB FEUERSTEIN DO DIRECTOR 2.0 0 X 0 0 0 TIMOTHY HAYDEN DIRECTOR 2.0 0 X 0 0 0 CARRIE WHITE VP CHIEF NURSING OFFICER BMH 50.0 0 X 150564 0 16545 CHRIS THOMSON SVP CHIEF PHYSICIAN EXECUTIVE 2.0 50.0 X 0 430770 29427 MEGAN HORTON MANAGER PHARMACY OPERATIONS 50.0 0 X 177013 0 21839 SARAH KURTZ DIRECTOR SURGICAL SERVICES 50.0 0 X 159314 0 20613 Alicia Kellett SUPERVISOR ADMINISTATIVE 50.0 0 X 144108 0 6645 Ginger McCall SUPERVISOR ADMINISTATIVE 50.0 0 X 145148 0 7634 KATHRYN RIDILLA PHARMACIST 50.0 0 X 154459 0 18591 KATIE BRYANT CLINICAL RN 50.0 0 X 151363 0 16084 WILLIAM BRYANT CLINICAL RN 50.0 0 X 125746 0 15330 1829682 4480679 407572 25 false true false WEBBS OIL COMPANY INC 8223 RESERVOIR ROAD ROANOKE VA 24019 ENERGY PROVIDER 266565 PATHOLOGY CONSULTANTS 1914 THOMSON DRIVE LYNCHBURG VA 24501 PATHOLOGY SERVICES 177537 KAHLER SLATER INC 790 N WATER ST SUITE 1700 MILWAUKEE WI 53202 ARCHITECTURE CONSULTING 101011 3 67447 67447 NET PATIENT SERVICES REVENUE 621400 52093493 52093493 ANCILLARY SERVICES 900099 1043200 1043200 MISCELLANEOUS REVENUE 900099 219708 219708 0 0 0 0 53356401 47675 47675 0 47675 47675 13360 0 -13360 -13360 -13360 0 MISC INCOME 900099 1275435 1275435 CAFETERIA 900099 186526 186526 0 0 0 0 1461961 54920124 54818362 0 34315 X 414 414 0 0 1257554 1257554 18091772 16498336 1593436 582531 549863 32668 1879009 1643861 235148 1403146 1206723 196423 248253 110486 137767 18920 6360 12560 2000 2000 6043135 6024656 18479 0 22743 12509 10234 1333100 1150338 182762 39662 9446 30216 1645340 1102837 542503 99529 94251 5278 18197 13427 4770 1490771 1289025 201746 489293 489293 OVERHEAD ALLOCATION 8695728 8695728 MED/SURG ROUTINE 2817819 2805326 12493 DRUGS 1874334 1874334 COLLECTION SERVICES 39332 38293 1039 3921 3921 0 0 48096503 34923699 13172804 0 420288 4204707 0 0 0 0 10990669 8304996 0 0 0 0 0 0 796301 811120 56576 82320 41526654 20669146 20235938 20857508 0 0 0 0 2577789 2577789 1406667 2938847 36484228 39777287 2312044 1738768 0 0 0 0 0 0 0 0 0 0 0 0 0 0 480854 2023568 2792898 3762336 X 33691330 36014951 33691330 36014951 36484228 39777287 X 6823621 -4500000 X X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2150295 2150295 23827556 9193834 14633722 15041486 11475312 3566174 507317 507317 20857508 ESTIMATED REC FROM 3RD PARTY 2765916 OTHER RECEIVABLES 109513 DUE FROM RELATED PARTIES 63418 2938847 Federal Income Taxes DUE TO RELATED PARTIES 1305630 OTHER LIABILITIES 717938 2023568 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote BEDFORD MEMORIAL HOSPITAL IS INCLUDED IN CENTRA HEALTH, INC'S CONSOLIDATED AUDIT REPORT FOR THE YEAR ENDED DECEMBER 31, 2024. 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 Rehab, 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., Healthworks and PCHP. During 2024 Healthworks merged into Centra Medical Group, LLC and is no longer a separate entity. Also, the tax status of PCHP Holding, Inc. was changed to a disregarded entity of Centra Health, Inc. 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 liabilities 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 obligations as of December 31, 2024 and 2023. Centra believes income taxes for reporting periods through December 31, 2021 are no longer subject to income tax examinations. true true X true X true X 1003040 0 1003040 0.02085 8408085 9971970 0 0.0 0 0.0 0 0 9411125 9971970 1003040 0.02085 87055 87055 0.00181 0 0.0 0 0.0 0 0.0 11067 11067 0.00023 0 0 98122 0 98122 0.00204 0 0 9509247 9971970 1101162 0.02289 0 0.0 32 382 4263 4263 0.00009 96 1489 23832 23832 0.00050 0 0.0 0 0.0 52 861 13661 13661 0.00028 5 62 1475 1475 0.00003 22 43 2271 2271 0.00005 0 0.0 207 2837 45502 0 45502 0.00095 true 1314410 241095 10060184 9877864 182320 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 24 true false false true X https://www.centrahealth.com/community-resources/community-health#chna X X true 24 true https://www.centrahealth.com/community-resources/community-health#chna false true X 200.0 400.0 X X X X true true X X X X true X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X www.centrahealth.com/financial-policy/financial-assistance-discount-programs X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - BEDFORD MEMORIAL HOSPITAL. In 2024, a Community Health Assessment Team (CHAT) composed of over 81 individuals with a broad representation of community leaders and cross-sector stakeholders acted to oversee, advise, and support the CHNA activities. On average, 39 individuals attended each of the four meetings conducted throughout the assessment. This team was committed to regional alignment of a collaborative and rigorous needs assessment process that result in action-oriented solutions to improve the health of the communities they serve. The Bedford Area Resource Council (BARC) is a network of non-profit, for profit, state and local government agencies, and citizens who serve the Town and County of Bedford and work to respond to needs identified in the triennial Centra Community Health Needs Assessments. Many of the BARC members also serve on the CHAT. The Central Virginia Health District served as a pivotal partner in 2024, participating in the planning of the CHNA as well as leading efforts in the collection of our primary data. In addition, the University of Lynchburg's Research Center team was engaged in the revisions and analysis of the primary data. The 2024 Bedford Area Community Health Needs Assessment focused on lifting the voice of the community through the collection of 764 Community Health Surveys as well as conducting a stakeholder focus group and 4 target population focus groups. In addition, over 75 sources of publicly available secondary data were collected. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - BEDFORD MEMORIAL HOSPITAL. HARD COPIES OF THE CHNA & IMPLEMENTATION PLAN WERE SENT TO ALL CHNA COMMUNITY ADVISORY BOARD MEMBERS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - BEDFORD MEMORIAL HOSPITAL. The 2025-2028 Centra Bedford Memorial Hospital's implementation planning process was led by Centra's Community Health Services team. The Centra Implementation Plan Leadership Team, composed of key Centra executive leaders, including the Vice Presidents (VP)/Chief Executive Officers (CEO) and Chief Nursing Officers for Centra hospitals, were instrumental in the development of the plan. Team members participated in the following activities: Ranked the top three to five Priority Areas of Needs for the service area that will be addressed by Bedford Memorial Hospital - Identified policies, programs, and resources already available to address the needs - Identified additional resources and partnerships needed to address gaps and barriers - Developed 3-year goals to address the priority needs - 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 - Developed evaluative measures for the goals and/or strategies Identified which priority needs will not be addressed by Bedford Memorial Hospital and why The Priority Areas of Needs to be addressed by Bedford Memorial Hospital and the 2025-2028 Implementation Plans includes the following: - Access to Healthcare Services* - Mental Health and Substance Use Disorders & Access to Services* - Food Insecurity & Nutrition* *Priority Areas of Need that will be addressed across the entire Centra service region. In 2025, all Centra hospitals located in Bedford, Farmville, and Lynchburg Virginia are aligning their strategies and goals by prioritizing Access to Healthcare Services; Mental Health and Substance Use Disorder; and Food Insecurity & Nutrition. These shared focus areas reflect ongoing challenges voiced by community members across the Centra footprint. Bedford County is designated as a federal Medically Underserved Area and as a Health Professional Shortage Area for Primary Care, Mental Health, and Dental. In addition, the 2024 Bedford Community Health Survey highlighted persistent gaps in care and support services, with 34% of respondents ranking access to healthy food as the most difficult social/support resource to get, and 51% identifying alcohol and illegal drug use as an important health factor affecting the community. Addressing these priorities requires continued collaboration with local partners, organizations, and community members. As the largest health system in the region, Centra will continue to lead efforts to improve access and reduce barriers to care. While Centra Bedford Memorial Hospital's (CBMH) Implementation Plan does not include goals and strategies for all ten Priority Areas identified in the 2024 Bedford Area Community Health Needs Assessment, we recognize and value the work of community partners addressing these needs. CBMH will continue to align and collaborate with these partners, including the Bedford Area Resource Council (BARC) Action Groups, the Central Virginia Health District (CVHD), and others, to maintain open communication, track progress, and monitor community impact. The following outlines the Priority Areas not addressed in this plan and organizations actively working to meet those needs (not necessarily all inclusive). - Issues Impacting Children & their Families - Child Abuse & Neglect; Bedford County Department of Social Services; Bedford Area Family YMCA; HumanKind; CASA of Central Virginia; FIVE18 Family Services; and Lynchburg Community Action Group. - Homelessness and Housing: Miriam's House; Greater Lynchburg Habitat for Humanity; BARC - Bedford Area Housing Coalition; and Central Virginia Continuum of Care. - Transportation: Central Virginia Alliance for Community Living (Bedford Ride); Otter Bus; Faithbased organizations; BARC; and the Bedford Community Health Foundation. - Aging and Eldercare: Central Virginia Alliance for Community Living and BARC. - Dental Care & Dental Problems: Free Clinic of Central Virginia and Johnson Health Center. - Coordination of Resources & Community Outreach: BARC; Central Virginia Continuum of Care; Bedford Get Together; Bedford Community Health Foundation; and Lynchburg Community Action Group. - 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. 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 Schedule H, Part III, Line 1 reporting of bad debt expense 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, INC. AND ITS SUBSIDIARIES, INCLUDING SOUTHSIDE COMMUNITY HOSPITAL, INC. AND BEDFORD MEMORIAL HOSPITAL, REPORT BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO.15. Schedule H, Part I, Line 6a Community benefit report prepared by related organization INFORMATION ON COMMUNITY BENEFITS IS REPORTED ANNUALLY THROUGH A REPORT PREPARED BY CENTRA HEALTH, INC., SOLE MEMBER OF BEDFORD MEMORIAL HOSPITAL. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance THE COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE EXPENSES. Schedule H, Part II Community Building Activities COMMUNITY SUPPORT: COMMUNITY SUPPORT: CENTRA BEDFORD MEMORIAL HOSPITAL (CBMH). RECOGNIZES THE IMPORTANCE OF MAINTAINING A STRONG RELATIONSHIP WITH THE COMMUNITY IT SERVES. WE CONTINUOUSLY WORK TO SEEK OUT WAYS IN WHICH WE CAN SUPPORT THE COMMUNITY. HELPING THOSE IN NEED IS A MAIN FOCUS OF CENTRA, NOT ONLY WITH THEIR HEALTH NEEDS BUT WITH THE FUNDAMENTAL NEEDS OF INDIVIDUALS WITHIN OUR COMMUNITY, AS WELL. CBMH BELIEVES AN ESSENTIAL PART OF BEING A GOOD NEIGHBOR WITHIN THE COMMUNITY IS TO PROMOTE HEALTH, SAFETY, AND WELL-BEING ACTIVITIES IN ORDER TO BENEFIT THOSE AROUND US. FOR EXAMPLE, BEDFORD AREA RESOURCE COUNCIL (BARC), BEDFORD MENTAL HEALTH COLLOABORATIVE, VIRGINIA ORGANIZATON OF NURSE LEADERS, VIRGINIIA DEPARTMENT OF HEALTH STROKE SMART, DOMESTIC VIOLENCE COALITION, AND AREA ROTARIES, AMONG OTHERS. CBMH PROVIDES COMMUNITY EDUCATON AND OUTREACH THROUGH BABYSITTER CLASSES, PACE SENIOR OUTREACH, AND HEALTH FAIR PARTICIPATION. IN ADDITION, SBMH PROVIDE FREE OFFICE SPACE FOR THE BEDFORD RIDE TRANSPORTATION PROGRAM. FREE SKIN CANCER SCREENINGS WERE HELD IN PARTNERSHIP SITH CMGS AND LOCALDERMATOLOGISTS, AS WELL AS SEVERAL BLOOD DRIVES FOR THE AMERICAN RED CROSS. CBMH HOSTS A YEAR-ROUND COLLECTION OF FOOD DONATIONS FOR LOCAL FOOD PANTRIES AND THE CBMH EMERGENCY DEPARTMENT PARTNERED WITH THE LYNCHBURG DAILY BREAD TO OFFER FAMILY-SIZED MEAL KITS TO PATIENT FAMILIES IN NEED. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: HELPING THE COMMUNITY IMPROVE THEIR HEALTH IS AN IMPORTANT MISSION OF CBMH. IMPROVING ACCESS TO CARE, MENTAL HEALTH & SUBSTANCE USE DISORDERS, AND COORINATION OF RESOURCES & COMMUNITY OUTREACH ARE KEY PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESMENT. CBMH PARTICIPATES IN NUMEROUS EVENTS THROUGHOUT THE YEAR IN ORDER TO STAY CONNECTED TO THE COMMUNITY WE SERVE. BY STAYING CONNECTED WE ARE ABLE TO RECOGNIZE AND ADDRESS THESE NEEDS THROUGHOUT OUR REGION. CBMH ALSO PARTICIPATES IN HEALTH ADVOCACY DAYS AT THE VIRGINIA GENERAL ASSEMBLY AND THE ODEMSA SUBCOUNCIL, VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION'S RURAL HEALTH TASK FORCE. WORKFORCE DEVELOPMENT: CBMH IS COMMITTED TO HAVING EDUCATED, EXPERIENCED HEALTHCARE PROFESSIONALS WITHIN OUR COMMUNITIES. CBMH PARTNERS WITH CENTRAL VIRGINIA WORKFORCE DEVELOPMENT AND SOVA PARTNERSHIP FOR HEALTH SCIENCE CAREERS. CBMH PARTICIPATES IN CENTRA HEALTH CAREER CAMPS IN ORDER TO PROMOTE THE IMPORTANCE OF HEALTHCARE PROFESSIONALS TO YOUNG ADULTS SO THEY MAY, POSSIBLY, BECOME MEMBERS OF THE HEALTHCARE COMMUNITY IN THE FUTURE. THROUGH OUT THE YEAR, CENTRA'S HEALTH CAREER CAMPS FOR MIDDLE AND HIGH SCHOOL STUDENTS ALLOW CAMPERS TO PARTICIPATE IN TEAM BUILDING ACTIVITIES, LEARN ABOUT INFECTION PREVENTION, ORGAN DONATION, LISTEN TO PRESENTATIONS ON EMERGENCY MEDICINE, TOUR EMERGENCY VEHICLES, AND MANY MORE HEALTH RELATED ACTIVITIES. BY DISCUSSING HEALTHCARE WITH CHILDREN BEGINNING AT AN EARLY AGE, IT IS HOPED THAT IT WILL SPARK INTEREST AND HAVE OUR YOUTH THINKING ABOUT POSSIBLY SEEKING A CAREER IN HEALTHCARE AS THEY GET OLDER. CENTRA'S MEDICAL CAREER CAMP ALLOW CAMPERS TO PARTICIPATE IN ACTIVITIES RELATED TO TOPICS SUCH AS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES LEARNING HOW TO SOLVE CRIMES THROUGH FORENSIC SCIENCE. ROTATING THROUGH VARIOUS STATIONS SET UP AT CAMP ALLOWS CAMPERS TO LEARN WHAT'S INVOLVED IN VARIOUS CAREERS WITHIN THE HEALTHCARE SYSTEM WHICH ALLOWS THEM TO DETERMINE IF ONE OF THESE FIELDS ARE RIGHT FOR THEM. 2024 IMPLEMENTATION PLAN UPDATES THE COMMUNITY HEALTH NEEDS ASSESSMENT 2022-2025 IMPLEMENTATION PLAN IS WELL UNDERWAY. UPON COMPLETION OF THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT, CBMH LEADERSHIP MET TO RANK THE TOP THREE TO FIVE PRIORITY AREAS FOR THE SERVICE AREA. A 2022-2025 IMPLEMENTATION PLAN WAS DEVELOPED TO ADDRESS THE FOLLOWING PRIORITY NEEDS: ACCESS TO HEALTHCARE: CBMH IS WORKING CLOSELY WITH PATHOLOGISTS AND THE BLOOD BANK TO INCREASE AVAILABLE TRANSFUSION SERVICES AT THEIR HOSPITAL. A SYSTEM-WIDE CLOSED LOOP REFERRAL PLATFORM, UNITE VA- A TOOL THAT ASSISTS IN ADDRESSING SOCIAL DETERMINANTS OF HEALTH (SDOH) THROUGH THE USE OF THE PRAPARE SCREENING TOOL TO IMPROVE ACCESS TO HEALTHCARE SERVICES & COMMUNITY RESOURCES AND REFERRALS ARE SENT TO COMMUNITY PARTNERS VIA THE UNITE VA PLATFORM OR OTHER REFERRAL METHODS. REMOTE HOME MONITORING PROGRAM ENHANCES PATIENT CARE AND ACCESS TO HEALTHCARE SERVICES THROUGH THE USE OF TECHNOLOGY. CBMH IS ENHANCING ACCESS TO HEALTHCARE SERVICES WITH EDUCATIONAL PROGRAMS SUCH AS A "WALK WITH A DOC" EVENT, SKIN CANCER SCREENING EVENTS, THE BREAST IMAGING TEAM'S BREAST CANCER PREVENTION EVENT, MAAM EVENTS WITH FREE MAMMOGRAMS PROVIDED VIA THE CENTRA MAAM VAN. MENTAL HEALTH AND SUBSTANCE USE DISORDERS & ACCESS TO SERVICES: CBMH LEADERSHIP STARTED THE BEDFORD MENTAL HEALTH COLLABORATIVE AN INTERDISCIPLINARY COMMUNITY ACTION GROUP AIMED AT BRINGING TOGETHER A COLLABORATIVE TEAM OF INDIVIDUALS AND COMMUNITYBASED ORGANIZATIONS TO PROVIDE A SAFE AND HEALTHY COMMUNITY FOR RESIDENTS EXPERIENCING MENTAL HEALTH AND SUBSTANCE USE DISORDERS. CBMH PARTNERED WITH THE LOCAL COOPERATIVE EXTENSION OFFICE TO OFFER TWO MENTAL HEALTH FIRST AID TRAININGS TO THE COMMUNITY (AND STAFF). ISSUES IMPACTING CHILDREN AND THEIR FAMILIES: CHILDCARE; CHILD ABUSE/NEGLECT: CBMH PARTICIPATED IN THE BEDFORD NATIONAL NIGHT OUT EVENT HELD TO BUILD DEEPER RELATIONSHIPS AND CONNECTIONS AMONG LAW ENFORCEMENT, HEALTHCARE WORKERS, SOCIAL SERVICES AND THE COMMUNITY MEMBERS THEY SERVE. CENTRA HEALTH SUPPORTS AND/OR PROVIDES FUNDING FOR CHILDCARE EFFORTS SUCH AS: TEACHABLE MOMENTS FACILITY (3-YEAR FUNDING), ELIZABETHS EARLY LEARNING CENTER, BEDFORD YMCA, ALTAVISTA YMCA, UNITED WAY OF CENTRAL VA, VA BUSINESS ROUNDTABLE FOR EARLY EDUCATION AND OTHER LOCAL COMMUNITY NONPROFIT PROGRAMS/EFFORTS. CENTRA HEALTH'S WOMEN AND CHILDREN SERVICE LINE INCORPORATED THE FOLLOWING: A STANDARD OF PRACTICE THAT INCLUDES IMPLEMENTED SERVICES/EDUCATION ON: PERIOD OF PURPLE CRYING, SAFE SLEEP, LIFE BEYOND CENTRA, AND INFANT FALLS; BEREAVEMENT COORDINATOR IN PLACE TO ADDRESS INFANT/MATERNAL MORTALITY NEEDS; DEPLOYED HUMAN TRAFFICKING INFOGRAPHICS FOR AWARENESS AND EDUCATION; UNIVERSAL CORD BLOOD SCREENING ON ALL NEWBORNS; QUARTERLY COMMUNITY COLLABORATIVE MEETINGS THAT FOCUS ON DIFFERENT TOPICS RELATED TO MATERNAL HEALTH (CURRENT FOCUS MATERNAL MENTAL HEALTH AND HYPERTENSION); SAFE HAVEN BOXES HAVING VENDORS COME IN TO REVIEW WHERE THEY WILL OR CAN BE PLACED. 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. IN 2024, CENTRA CONDUCTED A 2024-2027 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE CHNA PROVIDES AN OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZATION OF NEEDS WAS APPROVED BY THE CENTRA COMMUNITY BENEFIT COMMITTEE ON NOVEMBER 22, 2024, THE CENTRA BEDFORD MEMORIAL HOSPITAL BOARD OF DIRECTORS ON DECEMBER 3, 2024, AND THE CENTRA BOARD OF DIRECTORS ON DECEMBER 9, 2024. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount SEE DESCRIPTION FOR PART III, SECTION A, LINE 4. Schedule H, Part III, Line 3 Bad Debt Expense Methodology SEE DESCRIPTION FOR PART III, SECTION A, LINE 4. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote 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, 2024 and 2023, the impact of changes to previous transaction price estimates was considered immaterial to the current period." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 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 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, 2024 and 2023." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 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 2024 AUDIT REPORT, PAGE 14) "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 and 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." (CENTRA HEALTH, INC. AND SUBSIDIARIES, FY 2024 AUDIT REPORT, PAGE 14-15) Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website - BEDFORD MEMORIAL HOSPITAL: Line 16a URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; Schedule H, Part V, Section B, Line 16b FAP Application website - BEDFORD MEMORIAL HOSPITAL: Line 16b URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - BEDFORD MEMORIAL HOSPITAL: Line 16c URL: www.centrahealth.com/financial-policy/financial-assistance-discount-programs; Schedule H, Part VI, Line 2 Needs assessment IN 2024, CENTRA HEALTH CONDUCTED ITS TRIENNIAL 2024 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR CENTRA BEDFORD MEMORIAL HOSPITAL LOCATED IN BEDFORD, VIRGINIA. FOR THE PURPOSES OF THIS REPORT, THE SERVICE AREA IS REFERRED TO AS THE BEDFORD AREA AND INCLUDES THE TOWN OF BEDFORD AND THE COUNTY OF BEDFORD. THE CHNA PROVIDES AN OVERVIEW OF THE HEALTH STATUS OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. IT IS DISTRIBUTED TO THE PUBLIC TO PROVIDE A DEEPER UNDERSTANDING OF THE NEEDS OF THE BEDFORD AREA AS WELL AS TO GUIDE CENTRA HEALTH, AND ITS COMMUNITY PARTNERS AND STAKEHOLDERS, IN DEVELOPING IMPLEMENTATION PLANS TO ADDRESS THE PRIORITIZED NEEDS IDENTIFIED AS PART OF THE ASSESSMENT PROCESS. THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PRIORITIZATION OF NEEDS WAS APPROVED BY THE CENTRA COMMUNITY BENEFIT COMMITTEE ON NOVEMBER 22, 2024, THE CENTRA BEDFORD MEMORIAL HOSPITAL BOARD OF DIRECTORS ON DECEMBER 3, 2024, AND THE CENTRA BOARD OF DIRECTORS ON DECEMBER 9, 2024. THE IMPACT OF THE COVID-19 PANDEMIC WAS A KEY COMPONENT OF THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENTS. WHILE THE IMMEDIATE CRISIS PHASE HAS PASSED, COVID-19'S RIPPLE EFFECTS CONTINUE TO SHAPE VIRGINIA'S PUBLIC HEALTH LANDSCAPE AND POLICY PRIORITIES. SINCE 2022, THE IMPACT OF COVID-19 ON THE HEALTH OF VIRGINIANS HAS EVOLVED SIGNIFICANTLY. WHILE THE SEVERITY OF THE ILLNESS HAS GENERALLY DECLINED DUE TO INCREASED VACCINATION AND THE AVAILABILITY OF EFFECTIVE TREATMENTS, COVID-19 CONTINUES TO AFFECT PUBLIC HEALTH AND SOCIAL SYSTEMS. VIRGINIA EXPERIENCED A REDUCTION IN SEVERE CASES AND DEATHS COMPARED TO EARLIER YEARS, LARGELY ATTRIBUTED TO WIDESPREAD IMMUNITY FROM VACCINATION AND PREVIOUS INFECTIONS. HOWEVER, THE VIRUS STILL POSES CHALLENGES, PARTICULARLY FOR VULNERABLE POPULATIONS SUCH AS THE ELDERLY AND THOSE WITH PREEXISTING CONDITIONS. THE STATE'S PUBLIC HEALTH POLICY HAS TRANSITIONED FROM EMERGENCY MEASURES TO INTEGRATED MANAGEMENT OF COVID-19 ALONGSIDE OTHER RESPIRATORY ILLNESSES LIKE INFLUENZA. THIS INCLUDES CONTINUED VACCINE AVAILABILITY, UPDATED BOOSTER RECOMMENDATIONS, AND INCREASED ACCESS TO TESTING AND TREATMENT OPTIONS. THE VIRGINIA DEPARTMENT OF HEALTH HAS ALSO SHIFTED TOWARDS TRACKING COVID-19 DATA THROUGH BROADER RESPIRATORY ILLNESS DASHBOARDS AND WASTEWATER SURVEILLANCE TO MONITOR TRENDS. THE PANDEMIC HAS ALSO HIGHLIGHTED SOCIAL DETERMINANTS OF HEALTH, WITH LASTING IMPACTS ON MENTAL HEALTH, EDUCATIONAL ATTAINMENT, AND HEALTHCARE ACCESS. VIRGINIA'S RESPONSE INCLUDED INCREASED SUPPORT FOR MENTAL HEALTH SERVICES, EFFORTS TO MITIGATE EDUCATIONAL DISRUPTIONS, AND POLICIES AIMED AT ADDRESSING DISPARITIES EXPOSED BY THE PANDEMIC. THE STATE HAS ADAPTED SOCIAL POLICIES, PROMOTING TELEHEALTH AND FLEXIBLE WORK ARRANGEMENTS, WHICH HAVE HAD POSITIVE LONG-TERM EFFECTS ON HEALTH EQUITY AND ACCESS. IN 2024, A COMMUNITY HEALTH ASSESSMENT TEAM (CHAT) COMPOSED OF OVER 81 INDIVIDUALS WITH A BROAD REPRESENTATION OF COMMUNITY LEADERS AND CROSS-SECTOR STAKEHOLDERS ACTED TO OVERSEE, ADVISE, AND SUPPORT THE CHNA ACTIVITIES. ON AVERAGE, 39 INDIVIDUALS ATTENDED EACH OF THE FOUR MEETINGS CONDUCTED THROUGHOUT THE ASSESSMENT. THIS TEAM WAS COMMITTED TO REGIONAL ALIGNMENT OF A COLLABORATIVE AND RIGOROUS NEEDS ASSESSMENT PROCESS THAT RESULT IN ACTION-ORIENTED SOLUTIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES THEY SERVE. THE BEDFORD AREA RESOURCE COUNCIL (BARC) IS A NETWORK OF NON-PROFIT, FOR PROFIT, STATE AND LOCAL GOVERNMENT AGENCIES, AND CITIZENS WHO SERVE THE TOWN AND COUNTY OF BEDFORD AND WORK TO RESPOND TO NEEDS IDENTIFIED IN THE TRIENNIAL CENTRA COMMUNITY HEALTH NEEDS ASSESSMENTS. MANY OF THE BARC MEMBERS ALSO SERVE ON THE CHAT. THE CENTRAL VIRGINIA HEALTH DISTRICT SERVED AS A PIVOTAL PARTNER IN 2024, PARTICIPATING IN THE PLANNING OF THE CHNA AS WELL AS LEADING EFFORTS IN THE COLLECTION OF OUR PRIMARY DATA. IN ADDITION, THE UNIVERSITY OF LYNCHBURG'S RESEARCH CENTER TEAM WAS ENGAGED IN THE REVISIONS AND ANALYSIS OF THE PRIMARY DATA. THE 2024 BEDFORD AREA COMMUNITY HEALTH NEEDS ASSESSMENT FOCUSED ON LIFTING THE VOICE OF THE COMMUNITY THROUGH THE COLLECTION OF 764 COMMUNITY HEALTH SURVEYS AS WELL AS CONDUCTING A STAKEHOLDER FOCUS GROUP AND 4 TARGET POPULATION FOCUS GROUPS. IN ADDITION, OVER 75 SOURCES OF PUBLICLY AVAILABLE SECONDARY DATA WERE COLLECTED. COMMUNITY NEED: ON OCTOBER 4, 2024, AN IN-PERSON CHAT MEETING WAS HELD TO PRIORITIZE THE TOP 10 PRIORITY AREAS OF NEED FOR THE 2024 BEDFORD AREA COMMUNITY HEALTH NEEDS ASSESSMENT. THERE WERE 33 IN ATTENDANCE AND MEMBERS WERE ASKED TO RANK THE 18 AREAS OF NEED FROM 1 TO 10. THE ANSWER CHOICE WITH THE MOST RESPONSES HAD THE LARGEST WEIGHT AND WAS RANKED AS #1 AND THE ANSWER CHOICE WITH THE LEAST RESPONSES HAD THE SMALLEST WEIGHT AND WAS RANKED AS #18. THE TOP 10 PRIORITY AREAS ARE REFLECTIVE OF THE COUNTY HEALTH RANKINGS' FOUR CATEGORIES FOR HEALTH FACTORS INCLUDING SOCIAL AND ECONOMIC FACTORS, HEALTH BEHAVIORS, CLINICAL CARE, AND PHYSICAL ENVIRONMENT. AT CENTRA, WE VIEW ALL THESE HEALTH FACTORS THROUGH THE LENS OF EQUITY, INCLUSION, AND DIVERSITY. THE FOLLOWING TABLE PRESENTS THE FINAL TOP 10 PRIORITY AREAS OF NEED FOR 2024 AS COMPARED TO THE PRIORITIES IN 2021. NEW PRIORITY AREAS FOR 2024 INCLUDE: * FOOD INSECURITY & NUTRITION * COORDINATION OF RESOURCES & OUTREACH Bedford Area - Top 10 Priority Areas of Need - 2021 and 2024 Compared Ranking #1 - 2021 Mental Health and Substance Use Disorders & Access to Services / 2024 Mental Health and Substance Use Disorders & Access to Services Ranking #2 - 2021 Access to healthcare services / 2024 Access to healthcare services Ranking #3 - 2021 Issues Impacting children & their Families: Childcare Child Abuse-Neglect / 2024 Food Insecurity & Nutrition Ranking #4 - 2021 Transportation / 2024 Issues Impacting children & their Families: Childcare Child Abuse-Neglect Ranking #5 - 2021 Aging and Eldercare / 2024 Homelessness & Housing Ranking #6 - 2021 Chronic Disease / 2024 Transportation Ranking #7 - 2021 Employment / Job assistance / 2024 Aging and Eldercare Ranking #8 - 2021 Financial Stability / 2024 Dental Care & Dental Problems Ranking #9 - 2021 Housing / 2024 Coordination of Resources & Community Outreach Ranking #10 - 2021 Dental Care & Dental Problems / 2024 Chronic Disease The final assessment is posted at https://www.centrahealth.com/community-resources/community-health#chna. Schedule H, 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." Schedule H, Part VI, Line 4 Community information ACCORDING TO THE U.S. CENSUS, THE TOTAL POPULATION FOR BEDFORD COUNTY IS 80,848 WHERE 49.6% OF THE POPULATION IS MALE AND 50.54% IS FEMALE. THE TOTAL POPULATION IN THE TOWN OF BEDFORD IS 6,777 WHERE 44.6% OF THE POPULATION IS MALE AND 55.4% IS FEMALE. THE MEDIAN AGE FOR BEDFORD COUNTY IS 47.6 COMPARED TO 38.7 IN VIRGINIA. APPROXIMATELY 23% OF THE POPULATION IN BEDFORD COUNTY AND 19.2% IN THE TOWN OF BEDFORD IS 65 YEARS OF AGE OR OLDER WHICH IS HIGHER THAN THOSE 65 YEARS OF AGE OR OLDER LIVING IN VIRGINIA (16%) AND A SLIGHT INCREASE SINCE 2021. APPROXIMATELY 83.6% OF THOSE LIVING IN BEDFORD COUNTY ARE WHITE, 6.0% ARE BLACK, AND 2.8% ARE HISPANIC OR LATINO. IN THE TOWN OF BEDFORD, 71.8% ARE WHITE, 17.6% ARE BLACK, AND 2.5% ARE HISPANIC OR LATINO. THE MEDIAN HOUSEHOLD INCOME IN BEDFORD COUNTY IS $ 71,751 AS COMPARED TO $85,873 IN VIRGINIA WITH WHITE AND BLACK POPULATIONS HAVING HIGHER MEDIAN HOUSEHOLD INCOMES THAN HISPANIC OR LATINO. IN THE TOWN OF BEDFORD, THE MEDIAN HOUSEHOLD INCOME IS $41,154. APPROXIMATELY 24.8% OF THE POPULATION IN BEDFORD COUNTY AND 44.2% OF THE POPULATION IN THE TOWN OF BEDFORD LIVES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL AS COMPARED TO 36.6% IN VIRGINIA. ADDITIONALLY, APPROXIMATELY 28% OF THE 32,510 HOUSEHOLDS IN BEDFORD COUNTY ARE CLASSIFIED AS ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) AS COMPARED TO 29% OF HOUSEHOLDS IN VIRGINIA. ALICE IS A WAY OF DEFINING AND UNDERSTANDING THE STRUGGLES OF HOUSEHOLDS THAT EARN ABOVE THE FEDERAL POVERTY LEVEL, BUT NOT ENOUGH TO AFFORD BASIC HOUSEHOLD NEEDS (I.E., COST OF LIVING OUTPACES WHAT THEY EARN). OF THE PUBLIC SCHOOL-AGED CHILDREN, 56.86% (5,157) IN THE SERVICE AREA ARE ELIGIBLE FOR FREE AND REDUCED LUNCHES AS COMPARED TO 58.1% OF CHILDREN IN THE COMMONWEALTH. IT IS IMPORTANT TO NOTE THAT OF THE 19 SCHOOLS IN THE DISTRICT, 11 SCHOOLS LOCATED IN THE TOWN OF BEDFORD AND IN THE WESTERN PART OF THE COUNTY HAVE A SIGNIFICANTLY HIGHER NUMBER OF STUDENTS ELIGIBLE FOR FREE AND REDUCED LUNCH RATES RANGING FROM 74% TO 100%. ONE HUNDRED PERCENT (100%) OF STUDENTS WHO ATTEND BEDFORD PRIMARY SCHOOL, LOCATED IN THE TOWN OF BEDFORD, ARE ELIGIBLE FOR FREE AND REDUCED LUNCHES DUE TO THE COMMUNITY ELIGIBILITY PROVISION (CEP). THE CEP IN VIRGINIA ALLOWS HIGH-POVERTY SCHOOLS TO PROVIDE FREE BREAKFAST AND LUNCH TO ALL STUDENTS WITHOUT COLLECTING INDIVIDUAL APPLICATIONS. APPROXIMATELY 12.5% OF CHILDREN UNDER 18 YEARS OF AGE LIVE BELOW THE FEDERAL POVERTY LEVEL IN BEDFORD COUNTY AS COMPARED TO 12.8% IN VIRGINIA. ALTHOUGH UNEMPLOYMENT RATES WERE DECREASING IN 2018 AND 2019 ACROSS THE COMMONWEALTH, THERE WAS AN ALMOST DOUBLING OF THESE RATES IN 2020 BECAUSE OF THE COVID-19 PANDEMIC AT 6.4% IN THE SERVICE AREA. HOWEVER, THESE RATES HAVE SLOWLY IMPROVED SINCE THE END OF THE PANDEMIC WITH THE RATE IN BEDFORD COUNTY AT 2.9% IN 2023 AS COMPARED TO 2.9% IN VIRGINIA. IN BEDFORD COUNTY, OF THE POPULATION AGE 25 AND OVER, EDUCATIONAL ATTAINMENT IS 7.5% FOR LESS THAN HIGH SCHOOL GRADUATE; 29.4% FOR HIGH SCHOOL GRADUATE OR EQUIVALENT; 30.5% FOR SOME COLLEGE OR ASSOCIATE'S DEGREE; AND 32.6% FOR BACHELOR'S DEGREE OR HIGHER. Schedule H, Part VI, Line 5 Promotion of community health CENTRA BEDFORD MEMORIAL HOSPITAL AS A RESULT OF THE 2022-2025 CENTRA BEDFORD MEMORIAL HOSPITAL IMPLEMENTATION PLAN, THE FOLLOWING INITIATIVES WERE FULLY UNDERWAY IN 2024 ADDRESSING PRIORITY AREAS OF NEED. 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. 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. REGARDING ISSUES IMPACTING CHILDREN & THEIR FAMILIES, 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. REMOTE HOME MONITORING: CENTRA'S REMOTE HOME MONITORING PROGRAM SEEKS TO EXTEND CARE DIRECTLY TO PATIENTS' HOMES. THE EFFORT HOPES TO REDUCE READMISSIONS AND REPEATED EMERGENCY ROOM VISITS AS IT HELPS PATIENTS MANAGE CONDITIONS SUCH AS DIABETES, CONGESTIVE HEART FAILURE, PNEUMONIA, COPD, AND HYPERTENSION. THE INITIATIVE IS EXPANDING TO PRIMARY CARE OFFICES, BEHAVIORAL HEALTH SERVICES, AND URGENT CARE. THE PROGRAM EMPHASIZES PROACTIVE CARE AND CONTINUOUS SUPPORT WHICH HELPS PATIENTS ESTABLISH BETTER HEALTH HABITS. BEHAVIORAL HEALTH: CENTRA FOCUSES ON THE WELL-BEING OF OUR COMMUNITIES THROUGH AN INTEGRATED SYSTEM OF INPATIENT, OUTPATIENT, SCHOOL-BASED, CRISIS, AND RESIDENTIAL TREATMENT PROGRAMS. PSYCHIATRIC, THERAPEUTIC, AND CLINICAL SERVICES ARE AVAILABLE FOR PATIENTS OF ALL AGES. COMPREHENSIVE SUPPORT FOR INDIVIDUALS WHO WANT TO REDUCE CHEMICAL DEPENDENCY, PHYSICAL MEDICINE/PAIN MANAGEMENT PROGRAMS, AUTISM AND OTHER DEVELOPMENTAL SERVICES ARE AVAILABLE AT CENTRA. LOCATED AT OUR LYNCHBURG GENERAL HOSPITAL CAMPUS, THE INNOVATIVE EMERGENCY PSYCHIATRIC ASSESSMENT, TREATMENT AND HEALING (EMPATH) UNIT ALLOWS PATIENTS AND THEIR FAMILIES TO MOVE AROUND, INTERACT AND GET HELP IN A SAFE AND SOOTHING ENVIRONMENT. THE PRIMARY FOCUS OF THE EMPATH UNIT IS TO RETURN PATIENTS SAFELY TO THEIR HOMES WITH THE SUPPORT OF OUTPATIENT SERVICES, THEIR FAMILIES AND COMMUNITY RESOURCES. UNITE VA: UNITE VA IS A STATEWIDE SOCIAL CARE REFERRAL NETWORK IN PARTNERSHIP WITH THE OFFICE OF THE VIRGINIA SECRETARY OF HEALTH AND HUMAN RESOURCES, THE VIRGINIA DEPARTMENT OF HEALTH, CENTRA AND OTHER COMMUNITY ORGANIZATIONS TO DELIVER INTEGRATED WHOLE PERSON CARE THROUGH A SHARED TECHNOLOGY PLATFORM. THE PLATFORM ALLOWS USERS TO MAKE ELECTRONIC REFERRALS FOR SERVICE, SECURELY SHARE PATIENT INFORMATION, AND TRACK OUTCOMES TOGETHER IN AN EFFORT TO PROVIDE COMPREHENSIVE CARE TO PATIENTS. 2024 CENTRA COMMUNITY GRANTS: CENTRA'S COMMUNITY HEALTH SERVICES, FORMED IN 2020, EXISTS "TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR THE COMMUNITIES WE SERVE". THIS INCLUDES SYSTEM-WIDE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND IMPLEMENTATION PLANS, COMMUNITY-BASED GRANTS, AND COMMUNITY BENEFIT REPORTING. IN 2024, CENTRA AWARDED $95,000 IN COMMUNITY GRANTS TO OUR NON-PROFIT PARTNERS IN THE BEDFORD AREA, ADDRESSING THE CHNA PRIORITY NEEDS IN THE COMMUNITY AND PROJECTS OF REGIONAL IMPORTANCE. Schedule H, Part VI, Line 6 Affiliated health care system 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. Schedule H, Part VI, Line 7 State filing of community benefit report VA true true false false false false false false false THOMAS ANGELO VP & CEO HOSPITAL 0 353957 0 59728 0 2179 0 49020 0 34412 0 499296 0 0 RICHARD TUGMAN CENTRA PRESIDENT/CEO (AS OF 4/18/2024) 0 724359 0 41139 0 17038 0 17250 0 37336 0 837122 0 0 STACEY VAUGHT HOSPITAL PRESIDENT BMH 200000 0 28000 0 1118 0 30000 0 1969 0 261087 0 0 0 HILARY BASHAM DO DOCTOR OSTEOPATHY 244546 0 58617 0 89686 0 17084 0 40646 0 450579 0 0 0 AMY CARRIER PRESIDENT/CEO (thru 4/18/2024) 0 448984 0 1061495 0 1341030 0 15022 0 12125 0 2878656 0 503176 MEGAN HORTON MANAGER PHARMACY OPERATIONS 176613 0 250 0 150 0 8599 0 13240 0 198852 0 0 0 SARAH KURTZ DIRECTOR SURGICAL SERVICES 150647 0 8568 0 99 0 7638 0 12975 0 179927 0 0 0 CHRIS THOMSON SVP CHIEF PHYSICIAN EXECUTIVE 0 352316 0 75000 0 3454 0 8585 0 20842 0 460197 0 0 CARRIE WHITE VP CHIEF NURSING OFFICER BMH 150201 0 250 0 113 0 0 0 16545 0 167109 0 0 0 KATIE BRYANT CLINICAL RN 148259 0 250 0 2854 0 4457 0 11627 0 167447 0 0 0 KATHRYN RIDILLA PHARMACIST 154122 0 250 0 87 0 7082 0 11509 0 173050 0 0 0 Ginger McCall SUPERVISOR ADMINISTATIVE 144801 0 250 0 97 0 6984 0 650 0 152782 0 0 0 Alicia Kellett SUPERVISOR ADMINISTATIVE 143666 0 250 0 192 0 5783 0 862 0 150753 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS FOUR ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FIVE MEMBERS MEET THE IRS FORM 990 INDEPENDENCE DEFINITION. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES. Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS HAD SEVERANCE DURING FY 2024. NAME: AMY CARRIER TITLE: PRESIDENT/CEO (THRU 4/18/2024) AMOUNT OF SEVERANCE PAYMENT: $818,727 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN DURING FY 2024. NAME: STACY VAUGHT TITLE: HOSPITAL PRESIDENT BMH AMOUNT OF DEFERRAL: $20,000 NAME: JEFFERY WIGGINS TITLE: VP CHIEF COMPLIANCE OFFICER AMOUNT OF DEFERRAL: $26,268 TOTAL: $46,268 THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN DURING FY 2024. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. NAME: AMY CARRIER TITLE: PRESIDENT/CEO (THRU 4/18/2024) AMOUNT OF PAYOUT: $706,576 NAME: RICHARD TUGMAN TITLE: PRESIDENT/CEO (AS OF 4/18/2024) AMOUNT OF PAYOUT: $41,139 TOTAL: $747,715 Form 990, Part I, Line 6 Volunteers 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 V, Line 1a FORM 1096 CENTRA HEALTH, INC (EIN: 54-0715569) FILES FORM 1096. Form 990, Part V, Line 2a FORM W-3 EMPLOYEES OF BEDFORD MEMORIAL HOSPITAL ARE INCLUDED ON FORM W-3 FILED BY RELATED ORGANIZATION CENTRA HEALTH, INC (EIN: 54-0715569). THERE WERE 394 EMPLOYEES OF BEDFORD MEMORIAL HOSPITAL PAID BY THE RELATED ORGANIZATION IN 2024. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL CENTRA HAS ESTABLISHED A COMPENSATION COMMITTEE, WHICH CONSISTS OF THE CHAIRMAN OF CENTRA'S BOARD OF DIRECTORS PLUS FOUR ADDITIONAL MEMBERS OF CENTRA'S BOARD OF DIRECTORS. ALL FIVE MEMBERS MEET THE IRS FORM 990 INDEPENDENCE DEFINITION. MEMBERS OF THIS COMMITTEE REVIEW RELEVANT SALARY AND BENEFIT DATA FROM VARIOUS SOURCES AND MAKE RECOMMENDATIONS TO THE EXECUTIVE COMMITTEE OF CENTRA'S BOARD OF DIRECTORS WITH RESPECT TO THE SALARY RANGE AND BENEFITS FOR THE CEO. THE EXECUTIVE COMMITTEE REVIEWS AND HAS FINAL APPROVAL OF THE CEO'S COMPENSATION. METHODS USED TO DETERMINE SALARY RANGES AND ADJUSTMENTS INCLUDE, BUT ARE NOT LIMITED TO, INDEPENDENT COMPENSATION CONSULTANT(S) AS WELL AS THIRD PARTY COMPENSATION SURVEYS AND/OR STUDIES. Form 990, Part VI, Line 18 HOW FORMS ARE MADE AVAILABLE TO THE PUBLIC 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, Line 6 Classes of members or stockholders CENTRA HEALTH, INC, A CHARITABLE TAX-EXEMPT HEALTHCARE ORGANIZATION, IS THE SOLE MEMBER OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy 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, Line 19 Required documents available to the public THE ORGANIZATION PROVIDES PHOTOCOPIES OF ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY UPON REQUEST AT ITS ADMINISTRATIVE OFFICE. Form 990, Part IX, Line 11g Other Fees MEDICAL PURCHASED SERVICES - Total Expense: 3661161, Program Service Expense: 3661161, Management and General Expenses: 0, Fundraising Expenses: 0; CAPITATED MED CLAIMS - Total Expense: 944026, Program Service Expense: 944026, Management and General Expenses: 0, Fundraising Expenses: 0; OTHER PURCHASED SERVICES - Total Expense: 838112, Program Service Expense: 820333, Management and General Expenses: 17779, Fundraising Expenses: 0; PHYSICIAN RENUMERATION - Total Expense: 539397, Program Service Expense: 539397, Management and General Expenses: 0, Fundraising Expenses: 0; CLEANING SERVICES - Total Expense: 55869, Program Service Expense: 55869, Management and General Expenses: 0, Fundraising Expenses: 0; CONTRACT LABOR - Total Expense: 3691, Program Service Expense: 3691, Management and General Expenses: 0, Fundraising Expenses: 0; COMMUNITY AWARENESS - Total Expense: 879, Program Service Expense: 179, Management and General Expenses: 700, Fundraising Expenses: 0; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CONTRIBUTED CAPITAL TO CENTRA HEALTH - -4500000; Total - -4500000; Form 990, Part XII, Line 2c Change of oversight process or selection process 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. 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 ORGANIZATION VA 501(c)(3) Type I CENTRA HEALTH INC false SOUTHSIDE COMMUNITY HOSPITAL Inc 800 OAK STREET FARMVILLE VA 23901 540555201 HEALTHCARE VA 501(c)(3) 3 CENTRA HEALTH INC false GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541299682 REAL ESTATE HOLDING COMPANY VA CENTRA HEALTH INC C Corporation 0 0 0 false PIEDMONT COMMUNITY HEALTH PLAN INC 1920 ATHERHOLT ROAD LYNCHBURG VA 24501 541755768 HEALTH INSURANCE COMPANY VA CENTRA HEALTH INC C Corporation 0 0 0 false false false true false false false false false false true false false false false false true true true false