COMMUNITY MEMORIAL HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY MEMORIAL HOSPITAL (EIN 54-0551711)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202221369349310632
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T14:41:50-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 NEW YORK AVE NW | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540551711 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 4344473151 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1755 N MECKLENBURG AVE PO BOX 90 | AddressLine1Txt |
| City | SOUTH HILL | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23970 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | W SCOTT BURNETTE | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4344473151 | PhoneNum |
| Signature | 2022-05-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | W | PersonFirstNm |
| Person Last | SCOTT BURNETTE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUSTIN LOWE | PreparerPersonNm |
| PTIN | P01866796 | PTIN |
| Phone | 2023276000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | W SCOTT BURNETTE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1755 N MECKLENBURG AVE PO BOX 90 | AddressLine1Txt |
| City | SOUTH HILL | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23970 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $151,733,138 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VCU-CMH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1954 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EXCELLENCE IN THE DELIVERY OF HEALTHCARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1033 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $23,616,463 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,843,669 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $142,579,425 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $140,028,755 | CYProgramServiceRevenueAmt |
| PY Investment Income | $431,403 | PYInvestmentIncomeAmt |
| CY Investment Income | $633,057 | CYInvestmentIncomeAmt |
| PY Other Revenue | $411,879 | PYOtherRevenueAmt |
| CY Other Revenue | $227,657 | CYOtherRevenueAmt |
| PY Total Revenue | $167,039,170 | PYTotalRevenueAmt |
| CY Total Revenue | $151,733,138 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $63,216,186 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $70,608,577 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $89,379,416 | PYOtherExpensesAmt |
| CY Other Expenses | $97,285,897 | CYOtherExpensesAmt |
| PY Total Expenses | $152,595,602 | PYTotalExpensesAmt |
| CY Total Expenses | $167,894,474 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,443,568 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$16,161,336 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $244,960,734 | TotalAssetsBOYAmt |
| Total Assets EOY | $262,351,261 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $126,525,026 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $156,216,436 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $118,435,708 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $106,134,825 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE EXCELLENCE IN THE DELIVERY OF HEALTHCARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $79,913,195 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $340,045,844 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,522,388 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,356,224 | RevenueAmt |
| Desc | THE HUNDLEY CENTER IS A 140 BED EXTENDED CARE FACILITY THAT PROVIDES INTERMEDIATE AND SKILLED NURSING CARE. OUR NURSING HOME IS PROUDLY ACCREDITED BY THE JOINT COMMISSION AND IS A MEDICARE AND MEDICAID CERTIFIED PROVIDER. TWENTY-FOUR HOUR NURSING CARE IS PROVIDED UNDER THE SUPERVISION OF PROFESSIONAL NURSES, AS WELL AS PHYSICIANS ON CALL AT ALL TIMES. FACILITY SERVICES INCLUDE NURSING CARE, PERSONAL CARE, SOCIAL WORK SERVICES, PLANNED ACTIVITY PROGRAMS, MAINTENANCE AND HOUSEKEEPING, PHYSICAL THERAPY, SPEECH THERAPY, OCCUPATIONAL THERAPY, DIETARY AND PHARMACY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $62,318,197 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | -$213,203,775 | RevenueAmt |
| Desc | CMH PHYSICIANS LLC: LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA, WE OPERATE THREE PRIMARY HEALTH PRACTICES THAT BRING NEEDED PRIMARY CARE SERVICES TO THE COMMUNITY. WE HAVE ALSO MADE THE DECISION TO OPERATE PRACTICES IN THE SPECIALTY AREAS OF CARDIOLOGY/PULMONARY SERVICES, EAR, NOSE & THROAT SERVICES, ORTHOPEDICS, PAIN MANAGEMENT, SURGICAL SERVICES, WOMEN'S HEALTH SERVICES, AND UROLOGY SERVICES AS THESE ARE SPECIALTY SERVICES OTHERWISE MIGHT NOT BE AVAILABLE FOR OUR COMMUNITY WITHOUT SIGNIFICANT TRAVEL. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS BUT RECRUITING TO A RURAL AREA COMES WITH MANY CHALLENGES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $151,753,780 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 86 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1033 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIN CUMMINGS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8048270545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 980152 | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23298 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| CATHERINE PALMER MD START 721 | |||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $231,134 | $26,176 | |||
| CECIL SHELL | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CINDY H PECHT | |||||||||
| BOARD MEMBER/CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CLINT CLARY | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID CHELMOW MD | |||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $615,840 | $35,144 | |||
| DON BRIGHT | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAY STAFFORD START 721 | |||||||||
| BOARD MEMBER/TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KENDELE UNDERWOOD | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MELINDA HANCOCK | |||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $846,957 | $47,084 | |||
| RALPH CLARK MD END 621 | |||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $715,904 | $32,576 | |||
| THOMAS YACKEL MD | |||||||||
| BOARD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $607,459 | $63,959 | |||
| WILLIAM E WELLS JR | |||||||||
| BOARD MEMBER/VICE CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| WILLIAM WILKINSON | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MIKE ROWE | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL NEIMEYER | |||||||||
| SECRETARY | 1.00 | 40.00 | $0 | $654,004 | $39,370 | Yes (X) | |||
| W SCOTT BURNETTE | |||||||||
| PRESIDENT | 40.00 | 1.00 | $472,504 | $0 | $58,280 | Yes (X) | |||
| MOHAMMAD MOJADIDI MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $514,784 | $0 | $56,620 | Yes (X) | |||
| NIMESH PATEL MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $538,538 | $0 | $57,506 | Yes (X) | |||
| RAMESH SEERAS MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $512,507 | $0 | $48,538 | Yes (X) | |||
| RAVI EDARA MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $528,352 | $0 | $52,144 | Yes (X) | |||
| SALEEM NAVIWALA MD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $514,454 | $0 | $43,994 | Yes (X) | |||
| DEBORAH DAVIS | |||||||||
| FORMER BOARD MEMBER | 0.00 | 40.00 | $0 | $776,393 | $49,724 | Yes (X) | |||
| JOHN WARD MD | |||||||||
| FORMER BOARD MEMBER | 0.00 | 40.00 | $0 | $541,324 | $56,854 | Yes (X) | |||
| KENNETH LIBBY JR | |||||||||
| FORMER OFFICER | 40.00 | 0.00 | $0 | $244,084 | $20,790 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,081,139 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,233,099 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $688,759 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 79 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SUPPLEMENTAL HEALTH CARE | |||||
| 1640 W REDSTONE CENTER DRIVE | PARK CITY | UT | 84098 | RN SERVICES | $5,910,068 |
| MCV PHYSICIANS PB79203 | |||||
| BOX 980510 | RICHMOND | VA | 23298 | PHYSICIAN SERVICES | $4,181,271 |
| MEDICUS HOSPITALISTS LLC | |||||
| 22 ROULSTON RD | WINHAM | NH | 03087 | HOSPITALISTS | $3,333,656 |
| AVANT HEALTHCARE PROFESSION | |||||
| 1211 STATE ROAD 436 SUITE 227 | CASSELBERRY | FL | 32707 | MEDICAL PROFESSIONALS | $3,010,337 |
| VCU HEALTH SYSTEM DBA MCV | |||||
| BOX 980620 | RICHMOND | VA | 23298 | MEDICAL SERVICES | $2,131,585 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $3,311,147 | RelatedOrganizationsAmt |
| Government Grants | $7,532,522 | GovernmentGrantsAmt |
| Total Contributions | $10,843,669 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SRVC REV | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $140,028,755 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $140,028,755 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $140,028,755 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $294,241 | TotalRevenueColumnAmt |
| Exclusion | $294,241 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,575 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,575 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,575 | TotalRevenueColumnAmt |
| Exclusion | $14,575 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $193,238 | SecuritiesAmt |
| Other | $145,578 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $193,238 | SecuritiesAmt |
| Other | $145,578 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $338,816 | TotalRevenueColumnAmt |
| Exclusion | $338,816 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| GIFT SHOP | 900099 | $32,192 | $32,192 | |
| REFERENCE LAB | 541380 | $20,191 | $20,191 | |
| PHARMACY | 900099 | $16,920 | $16,920 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $143,779 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $132,427 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $11,352 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $213,082 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $151,733,138 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $140,198,293 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $691,176 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $530,783 | TotalAmt |
| Program Services | $458,491 | ProgramServicesAmt |
| Management And General | $72,292 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,648,749 | TotalAmt |
| Program Services | $47,327,237 | ProgramServicesAmt |
| Management And General | $7,321,512 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,028,490 | TotalAmt |
| Program Services | $2,600,624 | ProgramServicesAmt |
| Management And General | $427,866 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,777,061 | TotalAmt |
| Program Services | $7,261,726 | ProgramServicesAmt |
| Management And General | $1,515,335 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,623,494 | TotalAmt |
| Program Services | $3,131,670 | ProgramServicesAmt |
| Management And General | $491,824 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,151,079 | TotalAmt |
| Program Services | $2,972,554 | ProgramServicesAmt |
| Management And General | $178,525 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $956 | TotalAmt |
| Program Services | $500 | ProgramServicesAmt |
| Management And General | $456 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,945 | TotalAmt |
| Management And General | $1,945 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,716 | TotalAmt |
| Management And General | $67,716 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,157,734 | TotalAmt |
| Program Services | $20,988,269 | ProgramServicesAmt |
| Management And General | $169,465 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,429 | TotalAmt |
| Program Services | $185 | ProgramServicesAmt |
| Management And General | $83,244 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,693,671 | TotalAmt |
| Program Services | $2,378,618 | ProgramServicesAmt |
| Management And General | $1,315,053 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,915 | TotalAmt |
| Management And General | $1,915 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,944 | TotalAmt |
| Program Services | $4,944 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,360,774 | TotalAmt |
| Program Services | $1,360,774 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,985 | TotalAmt |
| Program Services | $76,144 | ProgramServicesAmt |
| Management And General | $2,841 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,393 | TotalAmt |
| Program Services | $58,454 | ProgramServicesAmt |
| Management And General | $6,939 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,374,384 | TotalAmt |
| Program Services | $2,374,384 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,495,607 | TotalAmt |
| Program Services | $8,101,134 | ProgramServicesAmt |
| Management And General | $394,473 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,303,956 | TotalAmt |
| Program Services | $48,917 | ProgramServicesAmt |
| Management And General | $1,255,039 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $20,481,329 | $20,417,191 | $64,138 |
| SHARED SERVICES ALLOCAT | $14,848,502 | $12,637,908 | $2,210,594 |
| BAD DEBT EXPENSE | $11,029,282 | $11,020,898 | $8,384 |
| REPAIRS & MAINTENANCE | $3,826,535 | $3,754,167 | $72,368 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,257,761 | TotalAmt |
| Program Services | $4,778,991 | ProgramServicesAmt |
| Management And General | $478,770 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,894,474 | TotalAmt |
| Program Services | $151,753,780 | ProgramServicesAmt |
| Management And General | $16,140,694 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,115 | BOYAmt |
| EOY | $3,405 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,683,403 | BOYAmt |
| EOY | $12,597,566 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,683,834 | BOYAmt |
| EOY | $16,092,882 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,040,702 | BOYAmt |
| EOY | $2,412,920 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $504,318 | BOYAmt |
| EOY | $416,198 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $183,982,294 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $82,160,488 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,148,054 | BOYAmt |
| EOY | $101,821,806 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,817,463 | BOYAmt |
| EOY | $18,340,824 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,411,024 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,666,821 | BOYAmt |
| EOY | $110,665,660 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,960,734 | BOYAmt |
| EOY | $262,351,261 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,373,620 | BOYAmt |
| EOY | $30,506,073 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,027,263 | BOYAmt |
| EOY | $61,850,670 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,124,143 | BOYAmt |
| EOY | $63,859,693 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,525,026 | BOYAmt |
| EOY | $156,216,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,435,708 | BOYAmt |
| EOY | $106,134,825 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,435,708 | BOYAmt |
| EOY | $106,134,825 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,960,734 | BOYAmt |
| EOY | $262,351,261 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$16,161,336 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,860,453 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,945 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,945 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES THE ORGANIZATION WAS PART OF SEVERAL ASSOCIATIONS THAT ENGAGED IN LOBBYING ON BEHALF OF ITS MEMBERS. THE FOLLOWING IS A LIST OF THE ORGANIZATIONS AND MEMBER DUES USED FOR LOBBYING. AMERICAN HEALTHCARE ASSOCIATION $567 VIRGINIA HEALTHCARE ASSOCIATION $1,378 -------- TOTAL $1,945 | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,613,516 | OtherCostOrOtherBasisAmt |
| Book Value | $1,613,516 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $125,342,192 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,924,810 | DepreciationAmt |
| Book Value | $79,417,382 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,377,860 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,654,287 | DepreciationAmt |
| Book Value | $19,723,573 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,648,726 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,581,391 | DepreciationAmt |
| Book Value | $1,067,335 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $101,821,806 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM VCUHS | $93,824,023 |
| AWUIL INTERIM LIFE SAFETY FUND | $1,982,819 |
| CMH LOAN ISSUE COSTS | $160,929 |
| DEPOSITS | $34,687 |
| MEDICAID RECEIVABLE | $14,663,202 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $110,665,660 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATES | Desc |
| Amt | $63,859,693 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $63,859,693 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE AUTHORITY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES BECAUSE IT IS A POLITICAL SUBDIVISION OF THE COMMONWEALTH OF VIRGINIA. MCVAP, CMH, CHILDREN'S, VCCN, TAPP, AND UHS ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 133.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $685,074 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $685,074 | DirectOffsettingRevenueAmt |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,022,482 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,024,511 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,707,556 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,709,585 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $109,909 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $109,909 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $116,159 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $116,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,823,715 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,709,585 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $116,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $11,029,282 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $4,504,869 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $43,402,178 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $65,864,496 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$22,462,318 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1755 N MECKLENBURG AVE | AddressLine1Txt |
| City | SOUTH HILL | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23970 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.VCU-CMH.ORG | WebsiteAddressTxt |
| State License | H 1847 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Other | SKILLED NURSING/LONG TERM CARE FACILITY | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Other | Yes (X) | OtherInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C NARRATIVE | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 133.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COMMUNITY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 3J: COMMUNITY HEALTH NEEDS ASSESSMENT ADDITIONAL FINDINGS THE NEEDS ASSESSMENT ALSO DESCRIBED INSIGHT FROM COMMUNITY STAKEHOLDERS REGARDING IMPORTANT HEALTH CONCERNS, SIGNIFCANT SERVICE GAPS, SPECIALTY SERVICE GAPS, AND IDEAS FOR ADDRESSING THESE CONCERNS AND GAPS. |
| COMMUNITY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: CHNA, INPUT FROM COMMUNITYIN AN EFFORT TO GENERATE COMMUNITY INPUT, A COMMUNITY INSIGHT SURVEY WAS CONDUCTED WITH COMMUNITY RESIDENTS DURING THE SPRING OF 2021. INSIGHTS WERE COLLECTED VIA SURVEYS ADMINISTERED ONLINE. THE PROFILE OF THE RESPONDENTS WAS 86% WHITE, 14% MINORITY AND MOSTY FEMALE, UPPER MIDDLE AGED (55-74), AND AT THE HIGHER INCOME LEVELS. |
| COMMUNITY MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: CONSIDERATION OF NEEDS FROM CHNA REPORT TO ADDRESS THE SIGNIFICANT NEEDS OF OUR COMMUNITY, CMH TOOK SEVERAL ACTIONS THROUGHOUT THE YEAR. THE TOP MEDICAL CONCERNS IDENTIFIED ANDACTION PLAN TO ADDRESS THE CONCERNS WERE:HEART DISEASE 20% - CMH CARDIOLOGY IS RECRUITING ADDITIONAL CARDIOLOGISTS TO PROVIDE BETTER ACCESS TO SPECIALIZED MEDICAL CARE- ADDED 2X/MONTH CARDIOVASCULAR PHYSICIAN TO OFFERINGS IN CMHC- ADDED ELECTROPHYSIOLOGY SERVICES E/O WEEK TO CMHC- CONTINUE TO OFFER PHASE 2 CARDIAC REHAB- CONTINUE TO OFFER PHASE 3 CARDIAC REHAB- DEVELOPING PLANS TO START PHASE 1 CARDIAC & PULMONARY REHAB IN FY 23.MALIGNANT NEOPLASMS 20% - CONTINUE TO OFFER BOTH RADIATION AND MEDICAL ONCOLOGY SERVICES TO REGION- OFFER ONCOLOGY REHAB SERVICES IN CMH REHAB DEPT.- PROVIDE COMMUNITY EDUCATION THROUGH C.O.R.E. PROGRAMSCEREBROVASCULAR DISEASE 6% - OPENED CMH NEUROLOGY CLINIC BEGINNING OF FY 22- PROVIDE COMMUNITY EDUCATION THROUGH LITERATURE AND C.O.R.E. PROGRAMS- ESTABLISHED TELE-STROKE, TELE-NEUROLOGY SERVICES WITH VCUMC IN FY 21.CHRONIC LOWER RESPIRATORY 5% - HAVE HIRED 2ND PULMONOLOGIST TO CLINIC- HAVE ESTABLISHED TELE-CRITICAL CARE CONSULTS WITH VCUMC AS NEEDED- ESTABLISHED PULMONARY REHAB PROGRAM IN FY21OTHER IDENTIFIED HEALTH ISSUES5 YR. INFANT MORTALITY RATE 193% OF STATE RATE - EXPANDED CMH WOMEN'S HEALTH TO PROVIDERS IN FY 21- INCLUDE COMMUNITY OUTREACH PROGRAMS THAT ADDRESS PRENATAL CARE THROUGH COMMUNITY HEALTH & WELLNESS DEPARTMENT.RATE OF MENTAL HEALTH DISCHARGES FROM LOCAL HOSPITALS IS 39% LOWER THAN STATE RATE; HOWEVER, THE STUDY DOESNOT TAKE INTO ACCOUNT DISCHARGES FROM STATE MENTAL HEALTH FACILITIES OR OUTPATIENT TREATMENT OPTIONS- ESTABLISHED CMH BEHAVIORAL HEALTH PRACTICE. CURRENTLY STAFFED FOR ADULT PSYCHIATRY.- WILL ASSESS OPPORTUNITIES FOR OUTPATIENT PEDIATRIC TELE-PSYCH SERVICESINJURY & VIOLENCE RELATED DISCHARGES 53% HIGHER THAN STATE AVERAGE- ASSESS EXPANDING VIOLENCE PREVENTION PROGRAMS OFFERED IN RICHMOND TO CMH REGION THROUGH HEALTH & WELLNESS DEPT. |
| PART V, SECTION B, LINE 7A | HOSPITAL FACILITY'S WEBSITEHTTPS://WWW.VCUHEALTH.ORG/COMMUNITY-MEMORIAL-HOSPITAL/COMMUNITY-RESOURCES/COMMUNITY-RESOURCESPART V, SECTION B, LINE 10AHTTPS://WWW.VCUHEALTH.ORG/COMMUNITY-MEMORIAL-HOSPITAL/COMMUNITY-RESOURCES/COMMUNITY-RESOURCESPART V, SECTION B, LINE 16AHTTPS://WWW.VCUHEALTH.ORG/COMMUNITY-MEMORIAL-HOSPITAL/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEPART V, SECTION B, LINE 16BHTTPS://WWW.VCUHEALTH.ORG/COMMUNITY-MEMORIAL-HOSPITAL/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCEPART V, SECTION B, LINE 16CHTTPS://WWW.VCUHEALTH.ORG/COMMUNITY-MEMORIAL-HOSPITAL/PATIENTS-AND-VISITORS/PATIENT-RESOURCES/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CMH ORTHOPEDIC SERVICES LLC | ||||
| 1755 N MECKLENBURG AVE | LACROSSE | VA | 23950 | HEALTHCARE PRACTICE |
| 2 - CMH SURGICAL SERVICES LLC | ||||
| 1755 N MECKLENBURG AVE | LACROSSE | VA | 23950 | HEALTHCARE PRACTICE |
| 3 - CMH CARDIOLOGY LLC | ||||
| 1755 N MECKLENBURG AVE | LACROSSE | VA | 23950 | HEALTHCARE PRACTICE |
| 4 - CMH PHYSICIAN SERVICES - FAMILY CARE | ||||
| 1755 N MECKLENBURG AVE | LACROSSE | VA | 23930 | HEALTHCARE PRACTICE |
| 5 - CMH WOMEN'S HEALTH SERVICES LLC | ||||
| 1755 N MECKLENBURG AVE | LACROSSE | VA | 23930 | HEALTHCARE PRACTICE |
| 6 - CMH DERMATOLOGY LLC | ||||
| 1755 N MECKLENBURG AVE | LACROSSE | VA | 23950 | HEALTHCARE PRACTICE |
| 7 - CMH PAIN MANAGEMENT SERVICES LLC | ||||
| 1755 N MECKLENBURG AVE | LACROSSE | VA | 23950 | HEALTHCARE PRACTICE |
| 8 - CMH PULMOLOGY LLC | ||||
| 1755 N MECKLENBURG AVE | LACROSSE | VA | 23950 | HEALTHCARE PRACTICE |
| 9 - CMH UROLOGICAL SERVICES LLC | ||||
| 1755 N MECKLENBURG AVE | LACROSSE | VA | 23950 | HEALTHCARE PRACTICE |
| 10 - CMH DENTAL CLINIC LLC | ||||
| 1755 N MECKLENBURG AVE | SOUTH HILL | VA | 23970 | HEALTHCARE PRACTICE |
| 11 - CMH EAR NOSE THROAT & ALLERGY LLC | ||||
| 1755 N MECKLENBURG AVE | LACROSSE | VA | 23950 | HEALTHCARE PRACTICE |
| 12 - CLARKSVILLE PRIMARY CARE CENTER | ||||
| 61 BURLINGTON DRIVE | CLARKSVILLE | VA | 23927 | HEALTHCARE PRACTICE |
| 13 - CMH NEUROLOGICAL SERVICES | ||||
| 1755 N MECKLENBURG AVE | SOUTH HILL | VA | 23970 | HEALTHCARE PRACTICE |
| 14 - CMH VASCULAR LLC | ||||
| 1755 N MECKLENBURG AVE | SOUTH HILL | VA | 23970 | HEALTHCARE PRACTICE |
| 15 - CHASE CITY PRIMARY CARE CENTER LLC | ||||
| 200 E 5TH STREET | CHASE CITY | VA | 23924 | RHC |
| 16 - CMH BEHAVIORAL HEALTH SERVICES | ||||
| 140 EAST FERRELL STREET | SOUTH HILL | VA | 23970 | HEALTHCARE PRACTICE |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 2: | BAD DEBT FOR PURPOSES OF LINE 2 IS PRESENTED AT ESTIMATED COST. THE COST OF THE BAD DEBT CHARGES WAS CALCULATED USING RATIO OF PATIENT CARE COST TO CHARGES. RATIONALE FOR INCLUDING A PORTION OF BAD DEBT AS COMMUNICATED BENEFIT IS AS FOLLOWS: THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS OTHERWISE ELIGIBLE UNDER THE CHARITY CARE POLICY WAS DETERMINED BY REVIEWING UNCOLLECTIBLE ACCOUNTS FOR THIRD PARTY AND UNINSURED PATIENT ACCOUNTS RECEIVABLE BALANCES FOR WHICH THE PATIENT IS RESPONSIBLE. |
| PART III, LINE 3: | DESCRIPTION OF BAD EXPENSEFOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE HOSPITAL RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES, DISCOUNTED ACCORDING TO POLICY, FOR SERVICES RENDERED. HISTORICAL EXPERIENCE HAS SHOWN A SIGNIFICANT PROPORTION OF THE HOSPITAL'S UNINSURED PATIENTS, IN ADDITION TO A GROWING PROPORTION OF THE HOSPITAL'S INSURED PATIENTS, WILL BE UNABLE OR UNWILLING TO PAY FOR THEIR RESPONSIBLE AMOUNTS FOR THE SERVICES PROVIDED. IN ORDER TO ESTIMATE THE NET REALIZABLE VALUE OF THE REVENUES AND ACCOUNTS RECEIVABLES ASSOCIATED WITH THIRD-PARTY PAYORS AND UNINSURED PATIENTS, MANAGEMENT REGULARLY ANALYZES COLLECTION HISTORY. BASED ON THESE HISTORICAL ANALYSES, THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS AND AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR THIRD PARTY AND UNINSURED PATIENT ACCOUNTS RECEIVABLE BALANCES FOR WHICH THE PATIENT IS RESPONSIBLE.THE "EMPLOYER" IS ON ALL PATIENT ACCOUNTS THAT WERE WRITTEN OFF TO BAD DEBT EXPENSE. THOSE ACCOUNTS THAT LISTED NO EMPLOYER WERE ASSUMED TO HAVE QUALIFIED UNDER THE CHARITY CARE POLICY BECAUSE OF THE LACK OF INCOME FROM BEING UNEMPLOYED.PART III, LINE 4:THE HOSPITAL RECOGNIZES REVENUE NET OF CONTRACTUAL ALLOWANCE PER THE STANDARD CONTRACTED RATE. HISTORICAL EXPERIENCE HAS DEMONSTRATED A PORTION OF REVENUE IS UNCOLLECTABLE. THE HISTORICAL UNCOLLECTABLE RATE IS APPLIED TO OUTSTANDING NET ACCOUNTS RECEIVABLE AND A PROVISION IS RECORDED PERIODICALLY.THE HOSPITAL PROVIDES HEALTHCARE SERVICES TO INFANTS, CHILDREN, AND ADOLESCENTS UP TO THE AGE OF 21 YEARS. HOSPITAL WILL PROVIDE FINANCIAL ASSISTANCE AS ESTABLISHED UNDER THE GUIDELINES. SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, RELIGION, NATIONAL ORIGIN, SEX, DISABILITY, SOCIOECONOMIC STATUS, PAYOR SOURCE, OR ANY OTHER MANNER PROHIBITED BY LAW.AS A TAX-EXEMPT ENTITY AND AS PART OF ITS COMMITMENT TO SERVE THE COMMUNITY, HOSPITAL PROVIDES FINANCIAL ASSISTANCE IN THE FORM OF CHARITY CARE ("FINANCIAL ASSISTANCE") TO PATIENTS' FAMILIES WHO QUALIFY BY MEETING THE REQUIREMENTS.PATIENT FAMILIES ARE ELIGIBLE IF THEIR YEARLY HOUSEHOLD INCOME, AS DOCUMENTED ON THE FINANCIAL ASSISTANCE APPLICATION IS LESS THAN OR EQUAL TO 200% OF THE POVERTY GUIDELINES UPDATED ANNUALLY IN THE FEDERAL REGISTER BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ("FEDERAL POVERTY GUIDELINES").FOOTNOTE 2(E) OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS STATES: THE AUTHORITY RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS DURING THE PERIOD IN WHICH COLLECTION IS CONSIDERED DOUBTFUL. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS APPROXIMATELY $126,670,000 AT JUNE 30, 2021. ACCOUNTS WAS APPROXIMATELY $69,943,000 AT JUNE 30, 2020. |
| PART III, LINE 8: | MEDICARE COSTING METHODOLOGYMEDICARE ALLOWABLE COST WAS CALCULATED USING A COMBINATION OF COST FROM FILED FY 2021 MEDICARE COST REPORT; COST TO CHARGE RATIOS FROM FILED FY 2021 MEDICARE COST REPORT; AND A CALCULATION OF DIRECT COSTS PLUS ALLOCATED OVERHEAD.THE SHORTFALL IS RELATED TO PROVIDING SERVICES TO OUR RURAL COMMUNITY THAT OUR BOARD OF DIRECTORS HAS DETERMINED TO BE NECESSARY FOR THE BENEFIT OF THE COMMUNITY. THESE SERVICES INCLUDE OPERATING PHYSICIAN PRACTICES BECAUSE THE SERVICES WOULD NOT BE AVAILABLE LOCALLY IF NOT PROVIDED BY THE ORGANIZATION. COMMUNITY MEMORIAL HOSPITAL COULD CEASE TO PROVIDE THE SERVICES BUT OUR COMMUNITY WOULD THEN BE REQUIRED TO TRAVEL UP TO AN HOUR TO RECEIVE THE SERVICES IN ANOTHER COMMUNITY. |
| PART III, LINE 9B: | APPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCECOMMUNITY MEMORIAL HOSPITAL'S COLLECTION POLICY STATES THAT ALL UNINSURED PATIENTS WILL BE REFERRED TO OUR FINANCIAL SPECIALIST TO BE SCREENED FOR FINANCIAL ASSISTANCE CONSISTENT WITH OUR INDIGENT AND CHARITY CARE PROGRAMS. INFORMATION IS PROVIDED UPON REGISTRATION TO ALL UNINSURED PATIENTS INFORMING THEM OF OUR FINANCIAL ASSISTANCE PROGRAMS. A NOTE IS ALSO INCLUDED ON STATEMENTS SENT TO UNINSURED PATIENTS REGARDING HOW TO REQUEST INFORMATION ABOUT FINANCIAL ASSISTANCE. THE POLICY FURTHER STATES THAT WE WILL UNDERTAKE REASONABLE EFFORTS TO ENSURE THAT FINANCIAL ASSISTANCE WAS OFFERED BEFORE ANY COLLECTION AGENCY ASSIGNMENT. |
| PART VI, LINE 1 | SEE DETAILS IN SCH H, PART V, SECTION B, LINE 13. |
| PART VI, LINE 2: | NEEDS ASSESSMENTA COMMUNITY NEEDS ASSESSMENT IS CONDUCTED ONCE EVERY THREE YEARS. WE COORDINATED WITH LOCAL PARTNERS AND AGENCIES TO GATHER DATA TO COMPLETE AN ECONOMIC AND WORKFLOW PROFILE OF THE SERVICE AREA. FEEDBACK FROM THE COMMUNITY SOUGHT BY UTILIZING FOCUS GROUPS, COMMUNITY FORUMS AND BY MEETINGS OTHER HEALTH CARE PROVIDERS. INFORMATION IS ALSO SOUGHT FROM THE MEMBERS OF THE BOARD OF DIRECTORS WHO REPRESENT THE COMMUNITIES WE SERVE. |
| PART VI, LINE 3: | PATIENT EDUCATIONCOMMUNITY MEMORIAL HOSPITAL TAKES MANY STEPS TO ENSURE THAT ITS COMMUNITY IS MADE AWARE OF THE FINANCIAL ASSISTANCE PROGRAMS AVAILABLE TO IT. OUR POLICY FOR FINANCIAL ASSISTANCE, INCLUDING THE APPLICATION, IS AVAILABLE ON OUR WEBSITE. A NOTICE THAT FINANCIAL ASSISTANCE IS AVAILABLE IS POSTED AT EACH REGISTRATION AREA. OUR PATIENT FINANCIAL BROCHURE, WHICH DESCRIBES OUR REGISTRATION REQUIREMENTS, BILLING PROCESS AND FINANCIAL ASSISTANCE PROGRAMS, IS PROVIDED TO EACH UNINSURED PATIENT AT REGISTRATION AND IS ALSO AVAILABLE IN ALL REGISTRATION AREAS AND WAITING ROOMS.THE HOSPITAL EMPLOYS A FINANCIAL SPECIALIST WHOSE RESPONSIBILITY IS TO ASSIST OUR PATIENTS WITH OUR FINANCIAL ASSISTANCE PROGRAMS AND WITH OTHER TYPES OF HEALTHCARE COVERAGE INCLUDING MEDICAID AND DISABILITY APPLICATIONS. THE BUSINESS CARD FOR THE FINANCIAL SPECIALIST IS PROVIDED TO EACH UNINSURED PATIENT AT REGISTRATION. THE FINANCIAL SPECIALIST ATTEMPTS TO VISIT EACH UNINSURED PATIENT WHO HAS BEEN ADMITTED AS AN INPATIENT TO THE HOSPITAL WHILE THEY ARE STILL A PATIENT TO DISCUSS FINANCIAL ASSISTANCE PROGRAMS. A NOTE IS INCLUDED ON EACH STATEMENT THAT IS SENT TO AN UNINSURED PATIENT NOTIFYING THEM OF THE FINANCIAL PROGRAM AND WHO THEY CAN CONTACT FOR ASSISTANCE. |
| PART VI, LINE 4: | COMMUNITY INFORMATIONCOMMUNITY MEMORIAL HOSPITAL IS A RURAL, NON-PROFIT HEALTH SYSTEM LOCATED IN SOUTH CENTRAL VIRGINIA. WE SERVE THE RURAL COUNTIES OF MECKLENBURG, BRUNWICK AND LUNENBURG IN VIRGINIA AS WELL AS WARREN COUNTY, NORTH CAROLINA. OUR PRIMARY MARKET AREA IS MECKLENBURG COUNTY. MECKLENBURG COUNTY HAS A POPULATION OF 30,248 THE PER CAPITA INCOME OF $28,048 IS ABOUT TWO-THIRDS OF THE STATE AVERAGE. THE ESTIMATED TOTAL POPULATION IN POVERTY PERCENTAGE IS 15.4% - ABOVE THE STATE AVERAGE OF 9.2%. COMMUNITY MEMORIAL HOSPITAL QUALIFIES AS A SOLE COMMUNITY HOSPITAL FOR MEDICARE REGULATIONS AS THE CLOSEST HOSPITAL IS 35 MILES AWAY. |
| PART VI, LINE 5: | COMMUNITY MEMORIAL HOSPITAL (CMH) IS A VITAL COMPONENT OF THE SOUTHSIDE VIRGINIA AREA, PROVIDING QUALITY CARE TO OUR PATIENTS, SERVING AS A VITAL PART OF THE SAFETY NET AND ENHANCING COMMUNITY HEALTH. OUR MISSION IS TO PROVIDE EXCELLENCE IN THE DELIVERY OF HEALTHCARE. WE ARE LED BY A VOLUNTEER 14 MEMBER BOARD OF DIRECTORS WHO REPRESENT ALL OF THE AREAS WE SERVE AS WELL AS VCU HEALTH SYSTEM REPRESENTATIVES. CMH IS DESIGNATED AS VOLUNTEER 14 MEMBER BOARD OF DIRECTORS WHO REPRESENT ALL OF THE AREAS WE SERVE AS WELL AS VCU HEALTH SYSTEM REPRESENTATIVES. CMH IS DESIGNATED AS A SOLE COMMUNITY HOSPITAL BY MEDICARE WHICH MEANS THAT WE ARE LOCATED IN A RURAL AREA AND 35 MILES FROM OTHER HOSPITALS. WE ARE ALSO DESIGNATED A DISPROPORTIONATE SHARE HOSPITAL BY MEDICARE WHICH MEANS THAT WE PROVIDE CARE TO A HIGHER LEVEL OF LOW-INCOME INDIVIDUALS. OUR PRIMARY SERVICE AREA OF MECKLENBURG COUNTY RANKS BELOW THE STATE AVERAGE IN PER CAPITA INCOME AND ABOVE THE STATE AVERAGE IN ESTIMATED TOTAL POPULATION IN POVERTY PERCENT. WE OFFER A FULL SPECTRUM OF SERVICES TO THE COMMUNITY INCLUDING IN-PATIENT ACUTE CARE, POST ACUTE, AND LONG TERM CARE, OUT-PATIENT SERVICES, HOME HEALTH AND HOSPICE. LOCATED IN A HEALTH PROFESSIONAL SHORTAGE AREA, WE OPERATE PRIMARY HEALTH PRACTICES THAT BRING NEEDED PRIMARY CARE SERVICES TO THE COMMUNITY. WE HAVE ALSO MADE THE DECISION TO OPERATE PRACTICES IN THE SPECIALTY AREAS OF DENTAL, DERMATOLOGY, VASCULAR, CARDIOLOGY/PULMONARY SERVICES, EAR, NOSE & THROAT SERVICES, ORTHOPEDICS, PAIN MANAGEMENT, SURGICAL SERVICES, WOMEN'S HEALTH SERVICES, AND UROLOGY SERVICES AS THESE SPECIALTY SERVICES OTHERWISE MIGHT NOT BE AVAILABLE FOR OUR COMMUNITY WITHOUT SIGNIFICANT TRAVEL. MEDICAL STAFF PRIVILEGES ARE EXTENDED TO ALL QUALIFIED PHYSICIANS BUT RECRUITING TO A RURAL AREA COMES WITH MANY CHALLENGES. OUR EMERGENCY DEPARTMENT HAD ALMOST 22,000 PATIENT VISITS LAST YEAR AND SEES PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. WE OFFER FINANCIAL ASSISTANCE TO OUR UNINSURED PATIENTS. UNINSURED PATIENTS QUALIFYING WITH INCOME BELOW THE FEDERAL POVERTY LEVEL ARE OFFERED FREE CARE. UNINSURED PATIENTS WITH FAMILY INCOME UP TO 300% OF THE FEDERAL POVERTY LEVEL ARE OFFERED SLIDING SCALE DISCOUNTS. INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS POSTED ON OUR WEBSITE, POSTED IN ALL REGISTRATION WAITING AREAS, PROVIDED TO UNINSURED PATIENTS AT REGISTRATION AND INCLUDED AS A NOTE ON ALL PROMOTION OF COMMUNITY SENT TO UNINSURED PATIENTS. WE EMPLOY A FINANCIAL SPECIALIST WHOSE RESPONSIBILITY IS TO ASSIST UNINSURED PATIENTS WITH OUR FINANCIAL ASSISTANCE PROGRAMS AS WELL AS TO ASSIST THE PATIENTS WITH APPLYING AND QUALIFYING FOR OTHER COVERAGE SUCH AS DISABILITY OR MEDICAID. WITH THE HELP OF SEVERAL GRANTS, CMH HAS BEEN ABLE TO OFFER FREE MAMMOGRAMS AND BREAST EXAMS TO UNDERSERVED WOMEN IN THE AREA. AS THE GRANTS DO NOT COVER TOTAL PROGRAM EXPENSES, CMH MUST SUPPLEMENT THE COSTS TO PROVIDE THESE SERVICES TO THE COMMUNITY. LAST YEAR, OUR MEDICATION ASSISTANCE PROGRAM, THE PHARMACY CONNECTION, HELPS PATIENTS OBTAIN MEDICATIONS. ANY SURPLUS FUNDS GO BACK INTO THE OPERATION OF THE HOSPITAL TO MAINTAIN THE FACILITY AND UPDATE EQUIPMENT AND TECHNOLOGY. CMH ALSO BELONGS TO AND SUPPORTS 8 CHAMBERS OF COMMERCE AND PARTICIPATES IN THEIR COMMUNITY EVENTS. OUR INVOLVEMENT HELPS SUPPORT COMMUNITY GROWTH AND WE SHARE MANY HEALTH RELATED EVENT NOTICES AT THESE MEETINGS. WE ALSO SUPPORT MANY OF THEIR SPECIAL EVENTS AND LOCATE WELLNESS AND SCREENING BOOTHS THERE. HOSPITALS PLAY A CRITICAL ROLE IN THEIR COMMUNITY. AS MAJOR EMPLOYERS AND PURCHASERS, HOSPITALS ARE ENGINES OF ECONOMIC GROWTH AND STABILITY. A STRONG COMMUNITY HOSPITAL HELPS TO RECRUIT BUSINESS AND INDUSTRY TO THE AREA AND HELPS ATTRACT AND RETAIN COLLEGE GRADUATES AND SKILLED CRAFTSMEN. CMH IS THE LARGEST SINGLE EMPLOYER IN THE AREA PROVIDING JOBS AT A WIDE RANGE OF SKILL LEVELS FOR PEOPLE FROM VIRGINIA AND NORTH CAROLINA LOCALITIES WE CONTRIBUTE TO THE TAX BASE THROUGH WAGES, SALARIES AND BENEFITS. CMH AND OUR EMPLOYEES PURCHASE GOODS AND SERVICES LOCALLY, CREATING INCOME AND JOBS FOR OTHER BUSINESSES IN THE COMMUNITY. BY PARTICIPATING ON THE TOWN REVITALIZATION COMMITTEE, CMH HAS BEEN ABLE TO PROVIDE SUPPORT TO EFFORTS TO MODERNIZE THE TOWN IN ORDER TO MAKE IT MORE ATTRACTIVE TO NEW BUSINESSES. BY PROVIDING JOBS IN THE REGION, RESIDENTS HAVE A BETTER OPPORTUNITY TO RECEIVE PREVENTATIVE CARE THROUGH THEIR HEALTH INSURANCE PROGRAMS. THE COMMUNITY IS ALSO INVESTED IN CMH. VOLUNTEERS ARE A VITAL PART OF OUR HEALTH CARE TEAM, GOVERNANCE AND FUNDRAISING. ACTIVE VOLUNTEERS SERVE IN DIFFERENT CAPACITIES. THE MEN AND WOMEN OF OUR AUXILIARY VOLUNTEER THOUSANDS OF HOURS EACH YEAR AND PROVIDE A WIDE RANGE OF SERVICES TO STRENGTHEN OUR HOSPITAL AND ENHANCE THE QUALITY OF CARE FOR PATIENTS AND FAMILIES. THE COMMUNITY ALSO SUPPORTS THE OPERATION OF CMH BY SUPPORT OF THE CMH FOUNDATION. THE CMH FOUNDATION IS ALSO LED BY A VOLUNTEER BOARD OF DIRECTORS AND AIMS TO RAISE FUNDS TO ALLOW OUR HOSPITAL TO OFFER THE BEST POSSIBLE CARE AND MAINTAIN STATE-OF-THE-ART FACILITIES AND TECHNOLOGIES TO BETTER SERVE OUR COMMUNITY. |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEMEFFECTIVE JULY 1, 2014 CMH ENTERED INTO AN AFFILIATION AGREEMENT WITH VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (VCUHS). IN CONNECTION WITH THE AFFILIATION TRANSACTION WE HAVE DEVELOPED A COMPREHENSIVE STRATEGIC PLAN FOR CMH THAT IDENTIFIES STRATEGIC CAPITAL PROJECTS, INCLUDING THE DEVELOPMENT AND CONSTRUCTION OF A REPLACEMENT ACUTE CARE FACILITY AND RELATED EQUIPMENT WITH SUFFICIENT INFRASTRUCTURE AND LICENSED BED CAPACITY NECESSARY TO SUPPORT CMH'S EXISTING SERVICE LINES AND CLINICAL PROGRAMS INITIATIVES BASED ON A DETAILED ANALYSIS OF FACILITY NEEDS AND CLINICAL PROGRAM EXPANSIONS NEEDED TO BEST SERVE THE COMMUNITY AND ENSURE LONG-TERM SUCCESS OF CMH. CMH IMPLEMENTED THE SAME ELECTRONIC MEDICAL RECORD SYSTEM AS VCUHS SO PATIENT CARE INFORMATION WILL BE AVAILABLE TO PHYSICIANS IN BOTH MARKETS.PART VI, LINE 7:THE COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF VA. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MELINDA HANCOCK | ||||||||||||||
| BOARD MEMBER | $0 | $687,066 | $0 | $156,162 | $0 | $3,729 | $0 | $22,800 | $0 | $24,284 | $0 | $894,041 | $0 | $0 |
| DEBORAH DAVIS | ||||||||||||||
| FORMER BOARD MEMBER | $0 | $765,987 | $0 | $0 | $0 | $10,406 | $0 | $34,200 | $0 | $15,524 | $0 | $826,117 | $0 | $0 |
| RALPH CLARK MD END 621 | ||||||||||||||
| BOARD MEMBER | $0 | $628,774 | $0 | $66,627 | $0 | $20,503 | $0 | $29,409 | $0 | $3,167 | $0 | $748,480 | $0 | $0 |
| PAUL NEIMEYER | ||||||||||||||
| SECRETARY | $0 | $483,539 | $0 | $109,204 | $0 | $61,261 | $0 | $28,500 | $0 | $10,870 | $0 | $693,374 | $0 | $0 |
| THOMAS YACKEL MD | ||||||||||||||
| BOARD MEMBER | $0 | $502,819 | $0 | $101,340 | $0 | $3,300 | $0 | $40,371 | $0 | $23,588 | $0 | $671,418 | $0 | $0 |
| DAVID CHELMOW MD | ||||||||||||||
| BOARD MEMBER | $0 | $478,767 | $0 | $74,162 | $0 | $62,911 | $0 | $32,621 | $0 | $2,523 | $0 | $650,984 | $0 | $0 |
| JOHN WARD MD | ||||||||||||||
| FORMER BOARD MEMBER | $0 | $528,094 | $0 | $725 | $0 | $12,505 | $0 | $38,036 | $0 | $18,818 | $0 | $598,178 | $0 | $0 |
| NIMESH PATEL MD | ||||||||||||||
| PHYSICIAN | $473,168 | $0 | $10,725 | $0 | $54,645 | $0 | $32,621 | $0 | $24,885 | $0 | $596,044 | $0 | $0 | $0 |
| RAVI EDARA MD | ||||||||||||||
| PHYSICIAN | $261,585 | $0 | $247,696 | $0 | $19,071 | $0 | $41,192 | $0 | $10,952 | $0 | $580,496 | $0 | $0 | $0 |
| MOHAMMAD MOJADIDI MD | ||||||||||||||
| PHYSICIAN | $400,406 | $0 | $10,725 | $0 | $103,653 | $0 | $32,621 | $0 | $23,999 | $0 | $571,404 | $0 | $0 | $0 |
| RAMESH SEERAS MD | ||||||||||||||
| PHYSICIAN | $361,991 | $0 | $4,295 | $0 | $146,221 | $0 | $32,730 | $0 | $15,808 | $0 | $561,045 | $0 | $0 | $0 |
| SALEEM NAVIWALA MD | ||||||||||||||
| PHYSICIAN | $441,327 | $0 | $9,060 | $0 | $64,067 | $0 | $32,621 | $0 | $11,373 | $0 | $558,448 | $0 | $0 | $0 |
| W SCOTT BURNETTE | ||||||||||||||
| PRESIDENT | $376,197 | $0 | $58,021 | $0 | $38,286 | $0 | $34,200 | $0 | $24,080 | $0 | $530,784 | $0 | $0 | $0 |
| KENNETH LIBBY JR | ||||||||||||||
| FORMER OFFICER | $0 | $193,274 | $0 | $25,704 | $0 | $25,106 | $0 | $5,932 | $0 | $14,858 | $0 | $264,874 | $0 | $0 |
| CATHERINE PALMER MD START 721 | ||||||||||||||
| BOARD MEMBER | $0 | $206,964 | $0 | $22,427 | $0 | $1,743 | $0 | $24,622 | $0 | $1,554 | $0 | $257,310 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 1A | FormAndLineReferenceDesc |
| Explanation | SCHEDULE J, PART I, LINE 3 FOR FISCAL YEAR ENDING JUNE 30, 2021 THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE CEO OF COMMUNITY MEMORIAL HOSPITAL IS DETERMINED BY THE CEO OF VCU HEALTH SYSTEM (VCUHS). THIS IS CONSISTENT WITH THE REQUIREMENTS ESTABLISHED IN THE BYLAWS OF VCUHS. THE CEO OF VCUHS USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE CEO OF VCUHS MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A VIEW OF INDIVIDUAL PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE CEO OF VCUHS THEN MEETS WITH THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS TO DISCUSS THE MATTER AND PRESENT RECOMMENDATIONS AND RECEIVE FINAL APPROVAL. THE COMPENSATION COMMITTEE MAY DISCUSS THESE RECOMMENDATIONS IN EXECUTIVE SESSION OF THE VCUHS BOARD OF DIRECTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4A | COMMUNITY MEMORIAL HOSPITAL (CMH) IS A VITAL COMPONENT OF THE SOUTHSIDE VIRGINIA AREA, PROVIDING QUALITY CARE TO OUR PATIENTS, SERVICING AS A VITAL PART OF THE SAFETY NET AND ENHANCING COMMUNITY HEALTH. OUR MISSION IS TO PROVIDE EXCELLENCE IN THE DELIVERY OF HEALTHCARE. WE ARE LED BY A VOLUNTEER 14 MEMBER BOARD OF DIRECTORS. CMH IS DESIGNATED AS A SOLE COMMUNITY HOSPITAL BY MEDICARE WHICH MEANS THAT WE ARE LOCATED IN A RURAL AREA AND 35 MILES FROM OTHER HOSPITALS. WE ARE ALSO DESIGNATED A DISPROPORTIONATE SHARE HOSPITAL BY MEDICARE WHICH MEANS THAT WE PROVIDE CARE TO A HIGHER LEVEL OF LOW-INCOME INDIVIDUALS. OUR PRIMARY SERVICE AREA OF MECKLENBURG COUNTY RANKS BELOW THE STATE AVERAGE IN PER CAPITA INCOME AND ABOVE THE STATE AVERAGE IN ESTIMATED TOTAL POPULATION IN POVERTY PERCENTAGE. WE OFFER A FULL SPECTRUM OF SERVICES TO THE COMMUNITY INCLUDING IN-PATIENT ACUTE CARE, POST-ACUTE, AND LONG-TERM CARE, OUT-PATIENT SERVICES, HOME HEALTH AND HOSPICE. OUR EMERGENCY DEPARTMENT SEES PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. WE OFFER FINANCIAL ASSISTANCE TO OUR UNINSURED PATIENTS. UNINSURED PATIENTS QUALIFYING WITH INCOME BELOW THE FEDERAL POVERTY LEVEL ARE OFFERED FREE CARE. UNINSURED PATIENTS WITH FAMILY INCOME UP TO 300% OF THE FEDERAL POVERTY LEVEL ARE OFFERED SLIDING SCALE DISCOUNTS. INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM IS POSTED ON OUR WEBSITE, POSTED IN ALL REGISTRATION WAITING AREAS, PROVIDED TO UNINSURED PATIENTS AT REGISTRATION AND INCLUDED AS A NOTE ON ALL STATEMENTS SENT TO UNINSURED PATIENTS. WE EMPLOY A FINANCIAL SPECIALIST WHOSE RESPONSIBILITY IS TO ASSIST UNINSURED PATIENTS WITH OUR FINANCIAL ASSISTANCE PROGRAMS AS WELL AS TO ASSIST THE PATIENTS WITH APPLYING AND QUALIFYING FOR OTHER COVERAGE SUCH AS DISABILITY OR MEDICAID. WITH THE HELP OF SEVERAL GRANTS, CMH HAS BEEN ABLE TO OFFER FREE MAMMOGRAMS AND BREAST EXAMS TO UNDERSERVED WOMEN IN THE AREA. AS THE GRANTS DO NOT COVER TOTAL PROGRAM EXPENSES, CMH MUST SUPPLEMENT THE COSTS TO PROVIDE THESE SERVICES TO THE COMMUNITY. AS A NOT FOR PROFIT ORGANIZATION, ANY SURPLUS FUNDS GO BACK INTO THE OPERATION OF THE HOSPITAL TO MAINTAIN THE FACILITY AND UPDATE EQUIPMENT AND TECHNOLOGY. CMH ALSO BELONGS TO AND SUPPORTS 8 CHAMBERS OF COMMERCE AND PARTICIPATES IN THEIR COMMUNITY EVENTS. OUR INVOLVEMENT HELPS SUPPORT COMMUNITY GROWTH AND WE SHARE MANY HEALTH RELATED EVENT NOTICES AT THESE MEETINGS. WE ALSO SUPPORT MANY OF THEIR SPECIAL EVENTS AND LOCATE WELLNESS AND SCREENING BOOTHS THERE. HOSPITALS PLAY A CRITICAL ROLE IN THEIR COMMUNITY. AS MAJOR EMPLOYERS AND PURCHASERS, HOSPITALS ARE ENGINES OF ECONOMIC GROWTH AND STABILITY. A STRONG COMMUNITY HOSPITAL HELPS TO RECRUIT BUSINESS AND INDUSTRY TO THE AREA AND HELPS ATTRACT AND RETAIN COLLEGE GRADUATES AND SKILLED CRAFTSMEN. CMH IS THE LARGEST SINGLE EMPLOYER IN THE AREA PROVIDING JOBS AT A WIDE RANGE OF SKILL LEVELS FROM OVER 12 VIRGINIA AND NORTH CAROLINA LOCALITIES. CMH AND OUR EMPLOYEES PURCHASE GOODS AND SERVICES LOCALLY, CREATING INCOME AND JOBS FOR OTHER BUSINESSES IN THE COMMUNITY. BY PARTICIPATING ON THE TOWN REVITALIZATION COMMITTEE, CMH HAS BEEN ABLE TO PROVIDE SUPPORT TO EFFORTS TO MODERNIZE THE TOWN IN ORDER TO MAKE IT MORE ATTRACTIVE TO NEW BUSINESSES. BY PROVIDING JOBS IN THE REGION, RESIDENTS HAVE A BETTER OPPORTUNITY TO RECEIVE PREVENTATIVE CARE THROUGH THEIR HEALTH INSURANCE PROGRAMS. THE COMMUNITY IS ALSO INVESTED IN COMMUNITY MEMORIAL HOSPITAL. VOLUNTEERS ARE A VITAL PART OF OUR HEALTH CARE TEAM, GOVERNANCE AND FUNDRAISING. THE MEN AND WOMEN OF OUR AUXILIARY VOLUNTEER THOUSANDS OF HOURS EACH YEAR AND PROVIDE A WIDE RANGE OF SERVICES TO STRENGTHEN OUR HOSPITAL AND ENHANCE THE QUALITY OF CARE FOR PATIENTS AND FAMILIES. THE COMMUNITY ALSO SUPPORTS THE OPERATION OF CMH BY SUPPORT OF THE CMH FOUNDATION. THE CMH FOUNDATION IS ALSO LED BY A VOLUNTEER BOARD OF DIRECTORS AND AIMS TO RAISE FUNDS TO ALLOW OUR HOSPITAL TO OFFER THE BEST POSSIBLE CARE AND MAINTAIN STATE-OF-THE-ART FACILITIES AND TECHNOLOGIES TO BETTER SERVE OUR COMMUNITY. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF COMMUNITY MEMORIAL HOSPITAL ("HOSPITAL") SHALL BE THE VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, A PUBLIC BODY CORPORATE AND POLITICAL SUBDIVISION OF THE COMMONWEALTH OF VIRGINIA. THE MEMBER SHALL HAVE THE RIGHTS RESERVED TO IT AS SET FORTH IN THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER OF COMMUNITY MEMORIAL HOSPITAL ("HOSPITAL") SHALL BE THE VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, A PUBLIC BODY CORPORATE AND POLITICAL SUBDIVISION OF THE COMMONWEALTH OF VIRGINIA. THE MEMBER SHALL HAVE THE RIGHTS RESERVED TO IT AS SET FORTH IN THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | GOVERNANCE DECISIONS RESERVED TO MEMBERS THE RESERVED POWERS OF THE SOLE MEMBER, VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY ("VCUHSA"), INCLUDE THE APPROVAL OF THE FOLLOWING MATTERS: (1) ANY AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION, BYLAWS OR OTHER GOVERNING DOCUMENTS OF THE HOSPITAL OR ITS AFFILIATES, INCLUDING ANY CHANGE TO THE NAME OF THE HOSPITAL, ITS AFFILIATES OR ANY FACILITIES OPERATED BY THE HOSPITAL OR ITS AFFILIATES;(2) APPOINTMENT OF ANY DIRECTORS, MANAGERS OR OTHER GOVERNING PERSONS OF THE HOSPITAL OR ITS AFFILIATES; (3) THE ANNUAL OPERATING AND CAPITAL BUDGETS THE HOSPITAL OR ITS AFFILIATES (TO THE EXTENT SEPARATELY APPROVED FROM THE HOSPITAL'S BUDGETS); (4) ANY TRANSACTION, OR SERIES OF TRANSACTIONS IN ANY FISCAL YEAR, INVOLVING CAPITAL EXPENDITURES OR CONTRACTUAL COMMITMENTS BY THE HOSPITAL OR ITS AFFILIATES NOT PREVIOUSLY SPECIFIED IN A BUDGET APPROVED BY THE MEMBER IN AN AMOUNT EXCEEDING $500,000; (5) ANY TRANSACTION, OR ANY SERIES OF TRANSACTIONS IN ANY FISCAL YEAR, INVOLVING THE INCURRENCE OF DEBT OR THE CREATION OF LIENS OR OTHER ENCUMBRANCES ON ASSETS BY THE HOSPITAL OR ITS AFFILIATES, INCLUDING ANY MORTGAGES, CAPITAL LEASES, SECURITY INTERESTS OR GUARANTEES, NOT PREVIOUSLY SPECIFIED IN A BUDGET APPROVED BY THE MEMBER IN AN AMOUNT EXCEEDING $500,000; (6) ANY SALE, DISTRIBUTION OR OTHER DISPOSITION OF CASH, INVESTMENTS OR OTHER ASSETS BY THE HOSPITAL OR ITS AFFILIATES TO ANY THIRD PARTIES, WITH OR WITHOUT CONSIDERATION, IN AN AMOUNT EXCEEDING $500,000; (7) ANY MERGER, CONSOLIDATION, DISSOLUTION OR SALE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL OR ANY OF ITS AFFILIATES; (8) CREATION OF ANY SUBSIDIARY OR AFFILIATED ENTITY, OR PARTICIPATION IN ANY JOINT VENTURE, PARTNERSHIP, LIMITED LIABILITY COMPANY OR SIMILAR ARRANGEMENT, BY THE HOSPITAL OR ITS AFFILIATES; (9)ANY CLOSURE OR OTHER SIGNIFICANT CHANGE TO CLINICAL SERVICE LINES PROVIDED BY THE FACILITIES OPERATED BY THE HOSPITAL OR ITS AFFILIATES;(10) APPOINTMENT OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER OR CHIEF NURSING OFFICER OF THE HOSPITAL; AND (11) ANY MANAGED CARE PAYOR CONTRACTING ON BEHALF OF THE HOSPITAL. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS USED TO REVIEW 990 THE FINANCIAL INFORMATION IS PROVIDED BY VCUHS' FINANCE DEPARTMENT TO AN INDEPENDENT ACCOUTNING FIRM . THE FIRM PREPARES THE FORM 990 FOR REVIEW. THE FINANCE DEPARTMENT REVIEWS THE FORM 990 WITH THE APPROPRIATE EXECUTIVE DIRECTOR AND FINANCE LEADER OF THE ORGANIZATION. UPON FINAL REVIEW WITH LEADERSHIP, THE GOVERNING BODY OF THE ORGANIZATION IS PROVIDED WITH A COPY OF THE RETURN PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS TO MONITOR TRANSACTIONS FOR COI THE ORGANIZATION REQUIRES ITS BOARD OF DIRECTORS AND OFFICERS TO SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. BOARD MEMBERS ARE RESPONSIBLE FOR DISCLOSING POTENTIAL CONFLICTS AS THEY ARISE. IF A CONFLICT OF INTEREST ARISES, THE BOARD MEMBER IN CONFLICT ABSTAINS FROM VOTING ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION DETERMINATION THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE OFFICERS OF COMMUNITY MEMORIAL HOSPITAL IS DETERMINED BY THE CEO OF THE VCU HEALTH SYSTEM (VCUHS). THIS IS CONSISTENT WITH THE REQUIREMENTS ESTABLISHED IN THE BYLAWS OF VCUHS. THE CEO OF VCUHS USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE CEO OF VCUHS MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF INDIVIDUAL PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE CEO OF VCUHS THEN MEETS WITH THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS TO DISCUSS THE MATTER AND PRESENT RECOMMENDATIONS AND RECEIVE FINAL APPROVAL. THE COMPENSATION COMMITTEE MAY DISCUSS THESE RECOMMENDATIONS IN EXECUTIVE SESSION OF THE VCUHS BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF GOVERNING DOCUMENTS & POLICIES COMMUNITY MEMORIAL HOSPITAL'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CLINICAL SERVICES: PROGRAM SERVICE EXPENSES 1,670,802. MANAGEMENT AND GENERAL EXPENSES 158,055. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,828,857. ARCHITECTURAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,190. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,190. CONTRACT CLINICAL SERVICES: PROGRAM SERVICE EXPENSES 14,132,768. MANAGEMENT AND GENERAL EXPENSES 2,970. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,135,738. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 4,523,063. MANAGEMENT AND GENERAL EXPENSES 3,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,526,313. OTHER NONPHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 661,636. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 661,636. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMH PHYSICIAN SERVICES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1747 N MECKLENBURG AVE PO BOX 90 | AddressLine1Txt |
| City | SOUTH HILL | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23970 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200999466 | EIN |
| Primary Activities | HEALTH PRACTICE | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Total Income | -$201,622,635 | TotalIncomeAmt |
| End Of Year Assets | $2,913,335 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CMH INC | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 1755 N MECKLENBERG AVE | RICHMOND | VA | 23970 | 541831331 | FUNDRAISING ORG | VA | 501(C)(3) | LINE 12A, I | CMH | Yes (1) | |
| VCU HEALTH SYSTEM AUTHORITY | |||||||||||
| PO BOX 980648 | RICHMOND | VA | 23298 | 541848065 | HOSPITAL | VA | 170(C)(1) | 0 | N/A | ||
| VCU AMBULATORY SURGERY CENTER LLC | |||||||||||
| 11958 WEST BROAD ST 5TH FLOOR | HENRICO | VA | 23294 | 863310585 | AMBULATORY SERVICES | VA | 501(C)(3) | LINE 3 | VCUHSA | 0 | |
| VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD | |||||||||||
| 2924 BROOK ROAD | RICHMOND | VA | 23220 | 540506309 | PEDIATRIC SERVICES | VA | 501(C)(3) | LINE 3 | VCUHSA | 0 | |
| VIRGINIA COMMONWEALTH UNIVERSITY | |||||||||||
| PO BOX 842512 | RICHMOND | VA | 23284 | 546001758 | EDU INSTITUTE | VA | 170(C)(1) | 0 | N/A | ||
| UHS PROFESSIONAL EDUCATION PROGRAM | |||||||||||
| P O BOX 980048 | RICHMOND | VA | 23298 | 541790553 | EDU SEMINARS | VA | 501(C)(3) | LINE 12A, I | UHS | 0 | |
| MCV ASSOCIATED PHYSICIANS | |||||||||||
| PO BOX 980620 | RICHMOND | VA | 23298 | 541581185 | HEALTHCARE | VA | 501(C)(3) | LINE 12A, I | VCUHSA | 0 | |
| 7TH AND MARSHALL CORPORATION | |||||||||||
| PO BOX 980152 | RICHMOND | VA | 23298 | 311568886 | SUPPORT ACTIVITY | VA | 501(C)(3) | LINE 12A, I | UHS | 0 | |
| UNIVERSITY HEALTH SERVICES INC | |||||||||||
| PO BOX 980152 | RICHMOND | VA | 23298 | 541790550 | PROPERTY | VA | 501(C)(3) | LINE 12A, I | VCUHSA | 0 | |
| VCU HEALTH TAPPAHANNOCK HOSPITAL | |||||||||||
| 618 HOSPITAL ROAD | TAPPAHANNOCK | VA | 22560 | 541489410 | HOSPITAL | VA | 501(C)(3) | LINE 3 | VCUHSA | 0 | |
| VIRGINIA CHILDREN'S CARE NETWORK LLC | |||||||||||
| PO BOX 980152 | RICHMOND | VA | 23298 | 851396091 | CLINICAL CARE | VA | 501(C)(3) | LINE 12A, I | VCUHSA | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY MEMORIAL HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $931,175 | InvolvedAmt |
| Method Of Amount Determination | FMV | MethodOfAmountDeterminationTxt |
Comments