EXECUTIVE DIRECTOR

2013-10-08T10:17:33-05:00 2013-05-31 ROBINSON FARMER COX ASSOCIATES 530 WESTFIELD RD CHARLOTTESVILLE VA 229011726 990 2012-06-01 510196935 EASTERN SHORE RURAL HEALTH SYSTEM INC EAST 7574140400 9434 HOSPITAL AVE NASSAWADOX VA 23413 NANCY STERN EXECUTIVE DIRECTOR 7574140400 2013-10-07 true DAVID E FOLEY 4349738314 2013-10-08 2012 2016-02-24 21:20:13Z NANCY STERN 9434 HOSPITAL AVE NASSAWADOX VA 23413 20166933 false X WWW.ESRH.ORG X 1976 VA OPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS. 16 16 231 19 0 4304592 7610551 11114742 12532412 7317 5896 54256 18074 15480907 20166933 0 0 10426822 11100761 0 274777 3656394 4382763 14083216 15483524 1397691 4683409 12538140 17332945 3612264 3723660 8925876 13609285 OPERATION OF FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS. false false 13471339 12532412 ORGANIZATION OPERATES FIVE FEDERALLY SUPPORTED COMMUNITY HEALTH CENTERS ON THE EASTERN SHORE OF VIRGINIA. THE SERVICE IS PROVIDED TO APPROXIMATELY 45,000 RESIDENTS IN TWO OF VIRGINIA'S MOST ECONOMICALLY DISADVANTAGED COUNTIES. 13471339 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 21 0 true 231 true false false false false false false false false false false X 16 16 false false false false false false false true true false false true true true true true true true true false X NANCY STERN 7574140400 9434 HOSPITAL AVE NASSAWADOX VA 23413 SAM BELOTE BOARD MEMBER 2.00 X 0 0 0 MARTHA WHITE BOARD MEMBER 2.00 X 0 0 0 HARRY DEITCH BOARD MEMBER 2.00 X 0 0 0 SORAYA GOMEZ-BUCKNER BOARD MEMBER 2.00 X 0 0 0 CALEB FOWLER BOARD MEMBER 2.00 X 0 0 0 DENISE BLAND BOARD MEMBER 2.00 X 0 0 0 CALVIN BRICKHOUSE BOARD MEMBER 2.00 X 0 0 0 PETE DUER BOARD MEMBER 2.00 X 0 0 0 CARAMINE KELLAM BOARD MEMBER 2.00 X 0 0 0 BOB MAYES BOARD MEMBER 2.00 X 0 0 0 JOHN SCHULZ BOARD MEMBER 2.00 X 0 0 0 ALFONSO MONTALVO BOARD MEMBER 2.00 X 0 0 0 DIANNE REIMANN BOARD MEMBER 2.00 X 0 0 0 WILLIAM STURGIS BOARD MEMBER 2.00 X 0 0 0 DELORES THOMPSON BOARD MEMBER 2.00 X 0 0 0 FLORENCE WRIGHT BOARD MEMBER 2.00 X 0 0 0 BLAIR CHICK MEDICAL DIRE 40.00 X 205568 0 22500 NANCY STERN CHIEF EXECUT 40.00 X 152796 0 12192 KANDICE BRUNO CHIEF FINANC 40.00 X 101276 0 15124 ANNE CRABBE CHIEF OPERAT 40.00 X 87671 0 8742 JEANNETTE EDWARDS DIRECTOR OF 40.00 X 85047 0 8480 KIMBERLY SAVAGE CHIEF COMPLI 40.00 X 83133 0 5200 MIKE ZODUN CHIEF INFORM 40.00 X 73755 0 6663 JEANNE ROLL DOCTOR 40.00 X 172972 0 12000 THOMAS HOLLANDSWORTH DOCTOR 40.00 X 172283 0 17000 DAVID HOSHINO DOCTOR 40.00 X 171945 0 17131 DAVID RIOPEL DOCTOR 40.00 X 155459 0 15496 EDWARD GRIGGS DENTIST 40.00 X 150193 0 22500 1612098 163028 18 false true false GEORGE MILES AND BUHR 206 WEST MAIN STREET SALISBURY MD 21801 ARCHITECTUAL 269789 1 7435719 174832 16483 7610551 PATIENT SERVICE 9530655 9530655 340B 2279257 2279257 MEANINGFUL USE 722500 722500 12532412 5896 5896 11160 11160 11160 11160 6914 6914 6914 20166933 12550486 5896 990366 263070 525656 201640 8552445 7845954 698717 7774 175895 159972 15325 598 773958 710154 61412 2392 608097 553048 52981 2068 40474 40474 22500 22500 267656 224902 42754 109242 74417 34825 411167 327220 75791 8156 52942 52942 88217 14647 68309 5261 99446 95962 3484 376552 359614 16026 912 40097 40097 PHARMACY PROGRAMS 1434247 1434247 MEDICAL SUPPLIES 969870 969870 TELEPHONE & UTILITIES 278785 240240 36062 2483 REPAIRS & MAINTENANCE 148638 137162 10737 739 42930 7918 35012 15483524 13471339 1737408 274777 1977761 1998666 2036264 1952573 14259 15650 16730152 3371096 8502856 13359056 7000 7000 12538140 17332945 1175024 1316104 2433482 2403367 3758 4189 3612264 3723660 X 8912577 13609285 13299 8925876 13609285 12538140 17332945 4683409 X false true X true true true X 3800876 5330230 4842593 4304592 7610551 25888842 7621659 8152733 8685373 11114742 12532412 48106919 11422535 13482963 13527966 15419334 20142963 73995761 73995761 12794 17711 22305 18177 17056 88043 12794 17711 22305 18177 17056 88043 66642 82653 58989 43396 6914 258594 11501971 13583327 13609260 15480907 20166933 74342398 0.99530 0.99310 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 762393 762393 8684355 2521761 6162594 1135819 849335 286484 6147585 6147585 13359056 OTHER LIABILITIES 4189 4189 20166933 20166933 20166933 15483524 15483524 15483524 X X X false false false false false false false false false BLAIR CHICK MEDICAL DIRECTOR 205568 22500 228068 NANCY STERN CHIEF EXECUTIVE OFF 152796 12192 164988 JEANNE ROLL DOCTOR 172972 12000 184972 THOMAS HOLLANDSWORTH DOCTOR 172283 17000 189283 DAVID HOSHINO DOCTOR 171945 17131 189076 DAVID RIOPEL DOCTOR 155459 15496 170955 EDWARD GRIGGS DENTIST 150193 22500 172693 ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED BY THE CEO, CFO, AND THE BOARD OF DIRECTORS PRIOR TO FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C OVER THE PAST YEAR EASTERN SHORE RURAL HEALTH SYSTEM, INC. IMPLEMENTED A MORE ROBUST CONFLICT OF INTEREST POLICY THAT NOW REQUIRES BOARD MEMBERS TO ANNUALLY SIGN THE CONFLICT OF INTEREST POLICY. DURING THE MEETING HELD ON AUGUST 29, 2013 ALL BOARD MEMBERS SIGNED THE POLICY. HEREAFTER, THE POLICY WILL BE RESIGNED ANNUALLY AT THE JUNE BOARD MEETING. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION INCLUDES AN AVERAGE SALARY INCREASE FOR ALL STAFF IN THE BUDGET SUBMITTED TO THE BOARD OF DIRECTORS FOR APPROVAL ON AN ANNUAL BASIS. THIS BUDGET IS PART OF THE 330 GRANT APPLICATION SUBMITTED TO THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, HEALTH RESOURCES AND SERVICES ADMINISTRATION FOR GRANT FUNDING THAT REPRESENTS 30% OF THE TOTAL BUDGET. GENERALLY, THE GRANT APPLICATION IS SUBMITTED TO THE BOARD IN JANUARY AT A SPECIAL CALLED MEETING AND IS VOTED ON FOR APPROVAL OR AMENDMENTS A WEEK LATER AT THE REGULARLY SCHEDULED MONTHLY BOARD MEETING. THE BUDGET CONTAINS AN AVERAGE INCREASE THAT WILL BE AVAILABLE FOR ALL STAFF, CONTRACTUAL EMPLOYEES, OFFICERS, AND THE CEO. NEXT, IN JUNE OF EACH YEAR, ALL EMPLOYEES, INCLUDING THE CEO, ARE EVALUATED THROUGH A WRITTEN APPRAISAL PROCESS. THE CEO IS EVALUATED BY THE BOARD CHAIR. ALL EVALUATIONS REQUIRE A MINIMUM OF TWO INDEPENDENT EVALUATIONS IN ADDITION TO THE SUPERVISOR AND EACH EMPLOYEE SUBMITS A WRITTEN SELF-APPRAISAL. THE EVALUATIONS ARE WRITTEN AND BASED ON THE ESSENTIAL JOB FUNCTIONS. PERFORMANCE OF EACH FUNCTION IS ASSIGNED A NUMERICAL VALUE. THE EVALUATIONS ALSO SET GOALS FOR THE UPCOMING YEAR AND EVALUATE THE LEVEL OF ACHIEVEMENT OF GOALS ESTABLISHED DURING THE PRIOR EVALUATION PERIOD. UPON COMPLETION OF ALL EVALUATIONS, THE BOARD DETERMINES THE PERCENTAGE INCREASE FOR THE CEO BASED ON THE NUMERIC SCORE ACHIEVED, THE ACCOMPLISHMENT OF GOALS ESTABLISHED IN THE PRIOR YEAR, THE FINANCIAL POSITION OF THE ORGANIZATION, THE RANGE APPROVED IN THE BUDGET CYCLE, AND COMPENSATION OF CEOS FROM THE COMMUNITY HEALTH CENTERS LOCATED IN VIRGINIA. THIS INFORMATION IS GATHERED FROM AN ANNUAL COMPENSATION SURVEY GATHERED FROM ALL COMMUNITY HEALTH CENTERS IN THE STATE AND CONDUCTED BY THE VIRGINIA COMMUNITY HEALTHCARE ASSOCIATION. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B FOLLOWING THE BUDGET AND EVALUATION PROCESS (DESCRIBED FOR CEO), THE CEO DETERMINES THE PERCENT INCREASES FOR THE OTHER OFFICERS BASED ON THE NUMERIC SCORES OF EVALUATIONS, THE RANGE SET BY THE BOARD DURING THE BUDGET CYCLE, FINANCIAL POSITION OF THE ORGANIZATION, AND PREVAILING COMPENSATION FROM THE SALARY SURVEY. THE CHIEF HUMAN RESOURCE OFFICER AND THE CHIEF FINANCIAL OFFICER USE THE NUMERIC VALUE OF EACH EMPLOYEE'S EVALUATION TO DETERMINE THE PERCENT INCREASE FROM THE POOL APPROVED BY THE BOARD IN THE BUDGET. THESE PROPOSED RAISES ARE THEN SUBMITTED TO THE CEO FOR FINAL APPROVAL. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, POLICIES, AND TAX RETURNS TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE ON THE ORGANIZATION'S WEBSITE.