TY 2024 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) CYNTHIA GUNNOE...................................................................... BOARD CHAIR	2.0 ................. 2.0	X	X		0	0	0
(2) MARY ZIRKLE...................................................................... BOARD VICE-CHAIR	2.0 ................. 0	X	X		0	0	0
(3) RICHARD TUGMAN...................................................................... CENTRA PRESIDENT/CEO (AS OF 4/18/2024)	2.0 ................. 54.0	X	X		0	782,536	54,586
(4) STACEY VAUGHT...................................................................... HOSPITAL PRESIDENT BMH	50.0 ................. 0	X	X		229,118	0	31,969
(5) THOMAS ANGELO...................................................................... VP & CEO HOSPITAL	2.0 ................. 50.0	X	X		0	415,864	83,432
(6) AMY CARRIER...................................................................... PRESIDENT/CEO (thru 4/18/2024)	2.0 ................. 54.0	X			0	2,851,509	27,147
(7) DAVID SENSENIG...................................................................... DIRECTOR	2.0 ................. 0	X			0	0	0
(8) DENNY HUFF...................................................................... DIRECTOR	2.0 ................. 0	X			0	0	0
(9) HILARY BASHAM DO...................................................................... DOCTOR OSTEOPATHY	50.0 ................. 0	X			392,849	0	57,730
(10) JANICE LUTH MD...................................................................... DIRECTOR	2.0 ................. 0	X			0	0	0
(11) LEE ANN CALVERT MD...................................................................... DIRECTOR	2.0 ................. 0	X			0	0	0
(12) RHETTA WATKINS...................................................................... DIRECTOR	2.0 ................. 0	X			0	0	0
(13) ROB FEUERSTEIN DO...................................................................... DIRECTOR	2.0 ................. 0	X			0	0	0
(14) TIMOTHY HAYDEN...................................................................... DIRECTOR	2.0 ................. 0	X			0	0	0
(15) CARRIE WHITE...................................................................... VP CHIEF NURSING OFFICER BMH	50.0 ................. 0			X	150,564	0	16,545
(16) CHRIS THOMSON...................................................................... SVP CHIEF PHYSICIAN EXECUTIVE	2.0 ................. 50.0			X	0	430,770	29,427
(17) MEGAN HORTON...................................................................... MANAGER PHARMACY OPERATIONS	50.0 ................. 0			X	177,013	0	21,839

(A) Name and business address	(B) Description of services	(C) Compensation
WEBBS OIL COMPANY INC 8223 RESERVOIR ROAD ROANOKE,VA24019	ENERGY PROVIDER	266,565
PATHOLOGY CONSULTANTS 1914 THOMSON DRIVE LYNCHBURG,VA24501	PATHOLOGY SERVICES	177,537
KAHLER SLATER INC 790 N WATER ST SUITE 1700 MILWAUKEE,WI53202	ARCHITECTURE CONSULTING	101,011


2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 3

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

Name of the organization

BEDFORD MEMORIAL HOSPITAL

Employer identification number

54-0566100

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2024

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

Name of the organization

BEDFORD MEMORIAL HOSPITAL

Employer identification number

54-0566100

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) Page 2

Name of organization BEDFORD MEMORIAL HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization BEDFORD MEMORIAL HOSPITAL		Employer identification number 54-0566100

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization BEDFORD MEMORIAL HOSPITAL			Employer identification number 54-0566100
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

BEDFORD MEMORIAL HOSPITAL

Employer identification number

54-0566100

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	2,150,295		2,150,295
b	Buildings ....	23,827,556	9,193,834	14,633,722
c	Leasehold improvements
d	Equipment ....	15,041,486	11,475,312	3,566,174
e	Other .....	507,317		507,317
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				20,857,508

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)ESTIMATED REC FROM 3RD PARTY				2,765,916
(2)OTHER RECEIVABLES				109,513
(3)DUE FROM RELATED PARTIES				63,418
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				2,938,847

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Federal Income Taxes
DUE TO RELATED PARTIES	1,305,630
OTHER LIABILITIES	717,938






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,023,568
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

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.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public Inspection

Name of the organization

BEDFORD MEMORIAL HOSPITAL

Employer identification number

54-0566100

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			1,003,040	0	1,003,040	2.085 %
b	Medicaid (from Worksheet 3, column a) . . . . .			8,408,085	9,971,970	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .					0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	9,411,125	9,971,970	1,003,040	2.085 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			87,055		87,055	0.181 %
f	Health professions education (from Worksheet 5) . . .					0	0 %
g	Subsidized health services (from Worksheet 6) . . . .					0	0 %
h	Research (from Worksheet 7) .					0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			11,067		11,067	0.023 %
j	Total. Other Benefits . .	0	0	98,122	0	98,122	0.204 %
k	Total. Add lines 7d and 7j .	0	0	9,509,247	9,971,970	1,101,162	2.289 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing					0	0 %
2	Economic development	32	382	4,263		4,263	0.009 %
3	Community support	96	1,489	23,832		23,832	0.050 %
4	Environmental improvements					0	0 %
5	Leadership development and training for community members					0	0 %
6	Coalition building	52	861	13,661		13,661	0.028 %
7	Community health improvement advocacy	5	62	1,475		1,475	0.003 %
8	Workforce development	22	43	2,271		2,271	0.005 %
9	Other					0	0 %
10	Total	207	2,837	45,502	0	45,502	0.095 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,314,410

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

241,095

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

10,060,184

Enter Medicare allowable costs of care relating to payments on line 5.....

9,877,864

Subtract line 6 from line 5. This is the surplus (or shortfall)........

182,320

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	BEDFORD MEMORIAL HOSPITAL 1613 OAKWOOD STREET BEDFORD,VA24523 www.centrahealth.com/bmh	X	X	X

Schedule H (Form 990) 2024

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	BEDFORD MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 24

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): https://www.centrahealth.com/community-resources/community-health#chna

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): https://www.centrahealth.com/community-resources/community-health#chna

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	BEDFORD MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 400.0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.centrahealth.com/financial-policy/financial-assistance-discount-programs

The FAP application form was widely available on a website (list url):

www.centrahealth.com/financial-policy/financial-assistance-discount-programs

A plain language summary of the FAP was widely available on a website (list url):
www.centrahealth.com/financial-policy/financial-assistance-discount-programs

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	BEDFORD MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	BEDFORD MEMORIAL HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address		Type of Facility (describe)
1	BEDFORD ADULT DAY CARE CENTER 1617 OAKWOOD STREET BEDFORD,VA24523	ADULT DAY CARE
2	BEDFORD HOSPICE 1621 WHITFIELD DRIVE BEDFORD,VA24523	HOSPICE SERVICES
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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

Schedule H (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
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Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

BEDFORD MEMORIAL HOSPITAL

Employer identification number

54-0566100

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1THOMAS ANGELO VP & CEO HOSPITAL	(i) (ii)	0 ------------- 353,957	0 ------------- 59,728	0 ------------- 2,179	0 ------------- 49,020	0 ------------- 34,412	0 ------------- 499,296	0 ------------- 0
2RICHARD TUGMAN CENTRA PRESIDENT/CEO (AS OF 4/18/2024)	(i) (ii)	0 ------------- 724,359	0 ------------- 41,139	0 ------------- 17,038	0 ------------- 17,250	0 ------------- 37,336	0 ------------- 837,122	0 ------------- 0
3STACEY VAUGHT HOSPITAL PRESIDENT BMH	(i) (ii)	200,000 ------------- 0	28,000 ------------- 0	1,118 ------------- 0	30,000 ------------- 0	1,969 ------------- 0	261,087 ------------- 0	0 ------------- 0
4HILARY BASHAM DO DOCTOR OSTEOPATHY	(i) (ii)	244,546 ------------- 0	58,617 ------------- 0	89,686 ------------- 0	17,084 ------------- 0	40,646 ------------- 0	450,579 ------------- 0	0 ------------- 0
5AMY CARRIER PRESIDENT/CEO (thru 4/18/2024)	(i) (ii)	0 ------------- 448,984	0 ------------- 1,061,495	0 ------------- 1,341,030	0 ------------- 15,022	0 ------------- 12,125	0 ------------- 2,878,656	0 ------------- 503,176
6MEGAN HORTON MANAGER PHARMACY OPERATIONS	(i) (ii)	176,613 ------------- 0	250 ------------- 0	150 ------------- 0	8,599 ------------- 0	13,240 ------------- 0	198,852 ------------- 0	0 ------------- 0
7SARAH KURTZ DIRECTOR SURGICAL SERVICES	(i) (ii)	150,647 ------------- 0	8,568 ------------- 0	99 ------------- 0	7,638 ------------- 0	12,975 ------------- 0	179,927 ------------- 0	0 ------------- 0
8CHRIS THOMSON SVP CHIEF PHYSICIAN EXECUTIVE	(i) (ii)	0 ------------- 352,316	0 ------------- 75,000	0 ------------- 3,454	0 ------------- 8,585	0 ------------- 20,842	0 ------------- 460,197	0 ------------- 0
9CARRIE WHITE VP CHIEF NURSING OFFICER BMH	(i) (ii)	150,201 ------------- 0	250 ------------- 0	113 ------------- 0	0 ------------- 0	16,545 ------------- 0	167,109 ------------- 0	0 ------------- 0
10KATIE BRYANT CLINICAL RN	(i) (ii)	148,259 ------------- 0	250 ------------- 0	2,854 ------------- 0	4,457 ------------- 0	11,627 ------------- 0	167,447 ------------- 0	0 ------------- 0
11KATHRYN RIDILLA PHARMACIST	(i) (ii)	154,122 ------------- 0	250 ------------- 0	87 ------------- 0	7,082 ------------- 0	11,509 ------------- 0	173,050 ------------- 0	0 ------------- 0
12Ginger McCall SUPERVISOR ADMINISTATIVE	(i) (ii)	144,801 ------------- 0	250 ------------- 0	97 ------------- 0	6,984 ------------- 0	650 ------------- 0	152,782 ------------- 0	0 ------------- 0
13Alicia Kellett SUPERVISOR ADMINISTATIVE	(i) (ii)	143,666 ------------- 0	250 ------------- 0	192 ------------- 0	5,783 ------------- 0	862 ------------- 0	150,753 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

BEDFORD MEMORIAL HOSPITAL

Employer identification number

54-0566100

Return Reference	Explanation
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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

BEDFORD MEMORIAL HOSPITAL

Employer identification number

54-0566100

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)CENTRA HEALTH INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-0715569	HEALTHCARE	VA	501(c)(3)	3	NA		No
(2)CENTRA HEALTH FOUNDATION INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1604094	SUPPORT ORGANIZATION	VA	501(c)(3)	Type I	CENTRA HEALTH INC		No
(3)SOUTHSIDE COMMUNITY HOSPITAL Inc 800 OAK STREET FARMVILLE,VA23901 54-0555201	HEALTHCARE	VA	501(c)(3)	3	CENTRA HEALTH INC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) GENERAL BUSINESS CONCERNS INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1299682	REAL ESTATE HOLDING COMPANY	VA	CENTRA HEALTH INC	C Corporation	0	0	0 %		No
(2) PIEDMONT COMMUNITY HEALTH PLAN INC 1920 ATHERHOLT ROAD LYNCHBURG,VA24501 54-1755768	HEALTH INSURANCE COMPANY	VA	CENTRA HEALTH INC	C Corporation	0	0	0 %		No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	103,496	67,447
9	Program service revenue (Part VIII, line 2g) .........	51,613,050	53,356,401
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,200	-13,360
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,574,641	1,509,636
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	53,292,387	54,920,124
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	1,260	414
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	21,450,909	23,214,012
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	23,434,591	24,882,077
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	44,886,760	48,096,503
19	Revenue less expenses. Subtract line 18 from line 12.......	8,405,627	6,823,621
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	36,484,228	39,777,287
21	Total liabilities (Part X, line 26).............	2,792,898	3,762,336
22	Net assets or fund balances. Subtract line 21 from line 20.....	33,691,330	36,014,951

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 34,923,699 including grants of $ 414 ) (Revenue $ 54,818,362 )
	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

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses34,923,699

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) SARAH KURTZ........................................................................ DIRECTOR SURGICAL SERVICES	50.0 .......................0	X		159,314	0	20,613
(19) Alicia Kellett........................................................................ SUPERVISOR ADMINISTATIVE	50.0 .......................0		X	144,108	0	6,645
(20) Ginger McCall........................................................................ SUPERVISOR ADMINISTATIVE	50.0 .......................0		X	145,148	0	7,634
(21) KATHRYN RIDILLA........................................................................ PHARMACIST	50.0 .......................0		X	154,459	0	18,591
(22) KATIE BRYANT........................................................................ CLINICAL RN	50.0 .......................0		X	151,363	0	16,084
(23) WILLIAM BRYANT........................................................................ CLINICAL RN	50.0 .......................0		X	125,746	0	15,330

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,829,682	4,480,679	407,572

1	Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE HEALTH OF THE COMMUNITY IT SERVES. THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SURGERY, EMERGENCY, GERIATRIC AND REHABILITATIVE SERVICES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	394
6	Total number of volunteers (estimate if necessary) .............	6	53
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	67,447
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		67,447

		Business Code
2a	NET PATIENT SERVICES REVENUE	621400	52,093,493	52,093,493
b	ANCILLARY SERVICES	900099	1,043,200	1,043,200
c	MISCELLANEOUS REVENUE	900099	219,708	219,708
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		53,356,401

3 Investment income (including dividends, interest, and othersimilar amounts) ......
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	47,675
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	47,675	0
d	Net rental income or (loss).......			47,675			47,675
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a
b	Less: cost or other basis and sales expenses	7b		13,360
c	Gain or (loss)	7c	0	-13,360
d	Net gain or (loss).........			-13,360			-13,360
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	MISC INCOME		900099	1,275,435	1,275,435
b	CAFETERIA		900099	186,526	186,526
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			1,461,961
12	Total revenue. See instructions.....			54,920,124	54,818,362	0	34,315

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	414	414
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	1,257,554		1,257,554
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	18,091,772	16,498,336	1,593,436
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	582,531	549,863	32,668
9	Other employee benefits .......	1,879,009	1,643,861	235,148
10	Payroll taxes ...........	1,403,146	1,206,723	196,423
11	Fees for services (non-employees):
a	Management ......	248,253	110,486	137,767
b	Legal .........	18,920	6,360	12,560
c	Accounting ...........	2,000		2,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	6,043,135	6,024,656	18,479	0
12	Advertising and promotion ....	22,743	12,509	10,234
13	Office expenses .......	1,333,100	1,150,338	182,762
14	Information technology ......	39,662	9,446	30,216
15	Royalties ..
16	Occupancy ...........	1,645,340	1,102,837	542,503
17	Travel ............	99,529	94,251	5,278
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	18,197	13,427	4,770
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,490,771	1,289,025	201,746
23	Insurance ...	489,293	489,293
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	OVERHEAD ALLOCATION	8,695,728		8,695,728
b	MED/SURG ROUTINE	2,817,819	2,805,326	12,493
c	DRUGS	1,874,334	1,874,334
d	COLLECTION SERVICES	39,332	38,293	1,039
e	All other expenses	3,921	3,921	0	0
25	Total functional expenses. Add lines 1 through 24e	48,096,503	34,923,699	13,172,804	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			420,288	1	4,204,707
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			10,990,669	4	8,304,996
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			796,301	8	811,120
9	Prepaid expenses and deferred charges ......			56,576	9	82,320
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	41,526,654
b	Less: accumulated depreciation	10b	20,669,146	20,235,938	10c	20,857,508
11	Investments—publicly traded securities .			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			2,577,789	14	2,577,789
15	Other assets. See Part IV, line 11 ...........			1,406,667	15	2,938,847
16	Total assets. Add lines 1 through 15 (must equal line 33)...			36,484,228	16	39,777,287

17	Accounts payable and accrued expenses .....	2,312,044	17	1,738,768
18	Grants payable ...	0	18	0
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........	0	20	0
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21	0
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ..	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	480,854	25	2,023,568
26	Total liabilities. Add lines 17 through 25..	2,792,898	26	3,762,336

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	33,691,330	27	36,014,951
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	33,691,330	32	36,014,951
33	Total liabilities and net assets/fund balances ........	36,484,228	33	39,777,287