STRATEGY STUDIO / PUBLIC DATA EXPLORER

COMMUNITY MEMORIAL HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY MEMORIAL HOSPITAL (EIN 54-0551711)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202301359349303340
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-15T14:52:49+00:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11101 NEW YORK AVENUE NWAddressLine1Txt
CityWashingtonCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540551711EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Community Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone4344473151PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11755 N MECKLENBURG AVE PO BOX 90AddressLine1Txt
CitySOUTH HILLCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23970ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHELDON BARRPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2023276000PhoneNum
Signature2023-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSHELDONPersonFirstNm
Person LastBARRPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmber GazicaPreparerPersonNm
PTINP01391011PTIN
Phone2023276000PhoneNum
Preparation2023-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1SHELDON BARRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11755 N MECKLENBURG AVE PO BOX 90AddressLine1Txt
CitySOUTH HILLCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23970ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$128,623,380GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VCU-CMH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO PROVIDE EXCELLENCE IN THE DELIVERY OF HEALTHCARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee1079TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,843,669PYContributionsGrantsAmt
CY Contributions Grants$5,126,419CYContributionsGrantsAmt
PY Program Service Revenue$140,028,755PYProgramServiceRevenueAmt
CY Program Service Revenue$122,569,010CYProgramServiceRevenueAmt
PY Investment Income$633,057PYInvestmentIncomeAmt
CY Investment Income$754,438CYInvestmentIncomeAmt
PY Other Revenue$227,657PYOtherRevenueAmt
CY Other Revenue$173,513CYOtherRevenueAmt
PY Total Revenue$151,733,138PYTotalRevenueAmt
CY Total Revenue$128,623,380CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$70,608,577PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$74,339,620CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$97,285,897PYOtherExpensesAmt
CY Other Expenses$99,298,339CYOtherExpensesAmt
PY Total Expenses$167,894,474PYTotalExpensesAmt
CY Total Expenses$173,637,959CYTotalExpensesAmt
PY Revenues Less Expenses-$16,161,336PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$45,014,579CYRevenuesLessExpensesAmt
Total Assets BOY$262,351,261TotalAssetsBOYAmt
Total Assets EOY$428,867,466TotalAssetsEOYAmt
Total Liabilities BOY$156,216,436TotalLiabilitiesBOYAmt
Total Liabilities EOY$370,420,043TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$106,134,825NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$58,447,423NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE EXCELLENCE IN THE DELIVERY OF HEALTHCARE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$107,962,893ExpenseAmt
Revenue$95,032,093RevenueAmt
DescCOMMUNITY 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$31,493,134ExpenseAmt
Grant$0GrantAmt
Revenue$17,685,723RevenueAmt
DescCMH 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

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$8,116,449ExpenseAmt
Revenue$9,866,579RevenueAmt
DescTHE 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
FieldValueIRS element (for citing)
Total Program Service Expenses$147,572,476TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1079EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIN CUMMINGSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8048270545PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 980152AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23298ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CINDY PECHT
CHAIR1.00Yes (X)Yes (X)$0$0$0
CLINT CLARY
SECRETARY1.00Yes (X)Yes (X)$0$0$0
DON BRIGHT
TREASURER1.00Yes (X)Yes (X)$0$0$0
JAY STAFFORD
CHAIR1.00Yes (X)Yes (X)$0$0$0
WILLIAM WELLS JR
DIRECTOR / VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
CATHERINE PALMER MD
DIRECTOR1.046.0Yes (X)$0$237,701$237,701
CECIL SHELL
DIRECTOR1.00Yes (X)$0$0$0
DAVID CHELMOW MD
DIRECTOR (JUL-MAR)1.065.0Yes (X)$0$601,965$33,300
HARINDER DHINDSA MD
DIRECTOR1.050.0Yes (X)$0$506,206$30,381
KENDELE UNDERWOOD
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL ELLIOTT
DIRECTOR (JUNE 2022)1.040.0Yes (X)$0$0$0
MIKE ROWE
DIRECTOR1.00Yes (X)$0$0$0
NINA HOBCROFT
DIR (MAR-MAY)1.040.0Yes (X)$0$485,339$33,007
RALPH CLARK MD
DIRECTOR1.064.0Yes (X)$0$272,517$22,620
THOMAS YACKEL MD
DIRECTOR1.064.0Yes (X)$0$613,690$64,468
WILLIAM WILKINSON
DIRECTOR1.00Yes (X)$0$0$0
W SCOTT BURNETTE
PRESIDENT40.00Yes (X)$474,820$0$43,224
BRYAN MOSORA DO
PHYSICIAN40.00$694,947$0$35,944Yes (X)
INDU SHIVARAM MD
PULMONOLOGIST40.00$606,146$0$38,852Yes (X)
JOHN PEARSON MD
UROLOGIST40.00$691,094$0$37,652Yes (X)
NIMESH PATEL MD
CARDIOLOGIST40.00$555,321$0$39,777Yes (X)
RAVI EDARA MD
PHYSICIAN40.00$608,272$0$38,092Yes (X)
PAUL NEIMEYER
FORMER SECRETARY0.0$0$811,125$28,168Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,630,601TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,528,544TotReportableCompRltdOrgAmt
Total Other Compensation$683,187TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K98IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VCU HEALTH SYSTEM
D/B/A MCV BOX 980620RICHMONDVA23298MEDICAL SERVICE$914,478
PHARMACY ASSOCIATES
531 PALMER POINT RDBOYDTONVA23917MEDICAL PROFESSIONALS$699,283
FUNCTIONAL PATHWAYS
120 DOGWOOD LNORANGEVA22960PHYSICAL THERAPY$255,528
VIRGINIA HOSPITAL LAUNDRY INC
1601 OLIVER HILL WAYRICHMONDVA23219LAUNDRY SERVICES$201,742
LIBERTY DIALYSIS SOUTH HILL
300 E FERREL STSOUTH HILLVA23970MEDICAL SERVICE$193,236
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Related Organizations$3,436,419RelatedOrganizationsAmt
Government Grants$1,690,000GovernmentGrantsAmt
Total Contributions$5,126,419TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SRVC REVDesc
Business622110BusinessCd
Total Revenue Column$122,569,010TotalRevenueColumnAmt
Related Or Exempt Func Income$122,569,010RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$122,569,010TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$424,365TotalRevenueColumnAmt
Exclusion$424,365ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,240RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,240RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,240TotalRevenueColumnAmt
Exclusion$3,240ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$330,073SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$330,073SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$330,073TotalRevenueColumnAmt
Exclusion$330,073ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GIFT SHOP453220$74,377$74,377
REFERENCE LAB541380$4,324$4,324
PHARMACY446110$11,061$11,061

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,511TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$80,511ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$170,273OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,623,380TotalRevenueColumnAmt
Related Or Exempt Func Income$122,584,395RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$912,566ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$518,044TotalAmt
Program Services$435,157ProgramServicesAmt
Management And General$82,887ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$56,694,896TotalAmt
Program Services$47,623,713ProgramServicesAmt
Management And General$9,071,183ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,816,051TotalAmt
Program Services$3,205,483ProgramServicesAmt
Management And General$610,568ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,598,493TotalAmt
Program Services$8,062,734ProgramServicesAmt
Management And General$1,535,759ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,712,136TotalAmt
Program Services$3,118,194ProgramServicesAmt
Management And General$593,942ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,503,857TotalAmt
Management And General$3,503,857ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,364TotalAmt
Management And General$4,364ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$332TotalAmt
Management And General$332ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$136,117TotalAmt
Management And General$136,117ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,162,031TotalAmt
Program Services$4,162,031ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,861TotalAmt
Program Services$9,123ProgramServicesAmt
Management And General$1,738ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$586,374TotalAmt
Program Services$492,554ProgramServicesAmt
Management And General$93,820ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,106,480TotalAmt
Program Services$1,769,443ProgramServicesAmt
Management And General$337,037ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$100,906TotalAmt
Program Services$84,761ProgramServicesAmt
Management And General$16,145ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,358TotalAmt
Program Services$18,781ProgramServicesAmt
Management And General$3,577ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,294,737TotalAmt
Program Services$1,927,579ProgramServicesAmt
Management And General$367,158ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,337,187TotalAmt
Program Services$7,003,237ProgramServicesAmt
Management And General$1,333,950ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,033,345TotalAmt
Program Services$868,010ProgramServicesAmt
Management And General$165,335ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PURCHASED SERVICES$23,880,071$20,059,260$3,820,811
SHARED SERVICES ALLOCATION$22,486,360$18,888,542$3,597,818
MEDICAL SUPPLIES$19,341,089$19,341,089
BAD DEBT EXPENSE$6,360,084$6,360,084

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,931,786TotalAmt
Program Services$4,142,701ProgramServicesAmt
Management And General$789,085ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$173,637,959TotalAmt
Program Services$147,572,476ProgramServicesAmt
Management And General$26,065,483ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,405BOYAmt
EOY$3,005EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,597,566BOYAmt
EOY$8,382,299EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,092,882BOYAmt
EOY$17,543,701EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,412,920BOYAmt
EOY$2,651,158EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$416,198BOYAmt
EOY$170,470EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$183,869,405LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$90,452,598LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$101,821,806BOYAmt
EOY$93,416,807EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,340,824BOYAmt
EOY$18,215,509EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$110,665,660BOYAmt
EOY$288,484,517EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$262,351,261BOYAmt
EOY$428,867,466EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$30,506,073BOYAmt
EOY$11,231,795EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$61,850,670BOYAmt
EOY$64,323,757EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,859,693BOYAmt
EOY$294,864,491EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$156,216,436BOYAmt
EOY$370,420,043EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$106,134,825BOYAmt
EOY$58,447,423EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$106,134,825BOYAmt
EOY$58,447,423EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$262,351,261BOYAmt
EOY$428,867,466EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$45,014,579ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,718,962NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$46,139PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$6,766OtherActivitiesAmt
Total Lobbying Expenditures$6,766TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLOBBYING 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 $6,329 VIRGINIA HEALTHCARE ASSOCIATION $437ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,613,516OtherCostOrOtherBasisAmt
Book Value$1,613,516BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$125,710,610OtherCostOrOtherBasisAmt
Depreciation$49,859,451DepreciationAmt
Book Value$75,851,159BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,038,637OtherCostOrOtherBasisAmt
Depreciation$38,927,984DepreciationAmt
Book Value$15,110,653BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,506,642OtherCostOrOtherBasisAmt
Depreciation$1,665,163DepreciationAmt
Book Value$841,479BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$93,416,807TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
DUE FROM VCUHS$287,309,450
MEDICAID RECEIVABLE$847,706
OTHER ASSETS$160,929
Other Accounts Receivable$131,745
AWUIL INTERIM LIFE SAFETY FUND
CMH LOAN ISSUE COSTS
DEPOSITS$34,687
FieldValueIRS element (for citing)
Total Book Value Other Assets$288,484,517TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES
MEDICARE PAYABLE$294,864,491
FieldValueIRS element (for citing)
Total Liability$294,864,491TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other133FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentfalseFreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$256,018TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$256,018NetCommunityBenefitExpnsAmt
Total Expense0.0015TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,406,905TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,793,859DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,613,046NetCommunityBenefitExpnsAmt
Total Expense0.0515TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$41,662,923TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,793,859DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,869,064NetCommunityBenefitExpnsAmt
Total Expense0.0530TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$95,221TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$95,221NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,950TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,950NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$100,171TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$100,171NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$41,763,094TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,793,859DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,969,235NetCommunityBenefitExpnsAmt
Total Expense0.0536TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$6,313,945BadDebtExpenseAmt
Bad Debt Expense Attributable$1,078,102BadDebtExpenseAttributableAmt
Reimbursed By Medicare$44,813,755ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$82,048,693CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$37,234,938MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11755 N MECKLENBURG AVEAddressLine1Txt
CitySOUTH HILLCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23970ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.VCU-CMH.ORGWebsiteAddressTxt
State LicenseH 1847StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Research FacilityYes (X)ResearchFacilityInd
OtherSKILLED NURSING/LONG TERM CARE FACILITYOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
OtherYes (X)OtherInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.vcuhealth.org/-/media/media/file/cmh_chna-study-report---may-2021.ashxOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.vcuhealth.org/-/media/media/file/cmh_chna-response-plan-2021.ashxStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care133.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.vcuhealth.org/-/media/media/file/2023financialassistancepolicy_vcuhealth_final.ashxFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.vcuhealth.org/-/media/media/file/221121_financial_application_rev_1_.ashxFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.vcuhealth.org/-/media/media/file/221121_financial_application_rev_1_.ashxFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3 Facility , 1Facility , 1 - COMMUNITY MEMORIAL HOSPITAL. 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.
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - COMMUNITY MEMORIAL HOSPITAL. CHNA, INPUT FROM COMMUNITY IN 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 MOSTLY FEMALE, UPPER MIDDLE AGED (55-74), AND AT THE HIGHER INCOME LEVELS.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - COMMUNITY MEMORIAL HOSPITAL. HEALTHCARE DISPARITY AND HEALTH INEQUITIES * SCREENING, DATA ANALYTICS AND ACTION PLANNING IN PLACE TO IDENTIFY AND ADDRESS HEALTH EQUITY * PARTNERED WITH FEEDMORE FOR THOSE WITH IDENTIFIED FOOD HUNGER NEEDS LAUNCHED FOR INPATIENTS AND EXPANDED TO ALL OUTPATIENT SITES OF CARE AND CLINICS * GRANT FUNDED MOBILE VAN FOR HEALTH SCREENINGS LAUNCHED IN CONJUNCTION WITH VCU SON, SVCC SON AND VCU HEALTH SCIENCES FOR MOBILE HEALTH ON TUESDAY'S IN ALBERTA VA * LAUNCHED FRONT END PROCESS CHANGE TO DECREASE LEFT WITHOUT BEING SEEN IN THE ED TO ENSURE ACCESS TO CARE NEW SERVICE OFFERINGS: * EMPLOYED GI PHYSICIAN WITH CLINIC, OUTPATIENT INFUSION, INPATIENT AND PROCEDURAL OFFERINGS * RHEUMATOLOGY PHYSICIAN WITH CLINIC AND OUTPATIENT INFUSION THERAPY OFFERINGS PARTICIPATION IN CLINICAL TRIALS AND PHYSICIAN RESEARCH PUBLICATIONS ACROSS ORTHOPEDICS, ONCOLOGY, ICU RED HEART, HEART FAILURE AND COVID WORKFORCE DEVELOPMENT * PARTICIPATION IN MEDICAL AND CLINICAL EDUCATION AND TRAINING THROUGH HOSTING 3RD YEAR VCU MEDICAL STUDENTS, HOSTING VCU NURSING STUDENTS FOR SATURDAY CLINICALS, CLINICAL SITE FOR SVCC NURSING STUDENTS (LPN & AND), CLINICAL SITE FOR RAD ONC, IMAGING, PHYSICAL/OCCUPATIONAL/SPEECH THERAPY * TIMELINE AND PLANNING IN PROCESS TO LAUNCH GRADUATE MEDICAL EDUCATION FAMILY MEDICINE RESIDENCY PROGRAM WITH 3 FAMILY PRACTICE RESIDENTS TO EXPAND ACCESS TO CARE AND RETAIN PHYSICIANS IN RURAL SETTING * SUMMER NURSE EXTERN PROGRAM CONTINUES TO BUILD PIPELINE TO ADDRESS NURSING VACANCIES AND BUILD WORKFORCE HEART DISEASE - 20% CMH MOVED EKG INTERPRETATION TO CARDIOLOGISTS/PEDIATRIC CARDIOLOGISTS AND THEY DO FINAL READS FOR ALL CMH SITES. IMPLEMENTATION OF EPIC ELECTRONIC MEDICAL RECORD ACROSS VCU HEALTH SITES TO STANDARDIZE CARE PLATFORMS. ADDED CARDIOLOGY NP IN JANUARY OF 2023. CURRENTLY RECRUITING 2 FULL TIME CARDIOLOGISTS AND 2ND CARDIOLOGY APP TO MEET COMMUNITY NEEDS. MALIGNANT NEOPLASMS - 20% * INCREASED LOW DOSE LUNG CANCER SCREENINGS BY 10% (OVER 460 COMPLETED IN FY2022). * CMH ENROLLED 19 PARTICIPANTS IN CLINICAL TRIALS, REFLECTING A 6% ENROLLMENT PERCENTAGE. * CMH ADVISED 46% OF ACTIVE SMOKERS IN ONCOLOGY CARE ABOUT TOBACCO CESSATION RESOURCES AND 60% OF THEM ACCEPTED HELP AND ARE ACTIVELY TRYING TO QUIT. * PHYSICAL THERAPY EDUCATED NURSES ON PROSTATE, LACK OF AND PELVIC FLOOR MUSCULATURE CHANGES. * IMPLEMENTED COMMUNITY SCREENINGS FOR PROSTATE CANCER DURING NOVEMBER- PROSTATE AWARENESS MONTH. SINCE BEGINNING SCREENING, PROSTATE CANCER IDENTIFICATIONS THROUGH ONCOLOGY PROGRAM HAS GONE FROM 18 PER YEAR TO 48 IN THE LAST YEAR. WILL MAKE THIS AN ANNUAL OFFERING * THROUGH HEALTH & WELLNESS AND A GRANT THROUGH THE SUSAN KOMEN FOUNDATION, WE CONTINUE TO OFFER FREE MAMMOGRAMS TO WOMEN IN NEED GOAL FOR IS TO DECREASE "NO SHOW" APPOINTMENTS FOR PATIENT IN ACTIVE RADIATION TREATMENT BY IDENTIFYING AND UNDERSTANDING BARRIERS IN OUR COMMUNITY AND IMPLEMENTING INTERVENTIONS. CEREBROVASCULAR DISEASE - 6% * TJC PRIMARY STROKE CENTER ACCREDITED * 1 COMMUNITY NEUROLOGIST CHRONIC LOWER RESPIRATORY - 5% * 2 COMMUNITY PULMONOLOGISTS AND 1 PART TIME APP 5 YR. INFANT MORTALITY RATE 193% OF STATE RATE * ALIGNMENT WITH VCU MEDICAL CENTER HIGH RISK OB FOR CARE AND TREATMENT PROTOCOLS * ALIGNMENT WITH VCU MEDICAL CENTER NICU FOR CARE AND TREATMENT PROTOCOLS * OB/GYN RECRUITMENT COMPLETE WITH 1 ADDITIONAL OB JOINING IN AUGUST OF 2023 RATE OF MENTAL HEALTH DISCHARGES FROM LOCAL HOSPITALS IS 39% LOWER THAN STATE RATE; HOWEVER, THE STUDY DOES NOT TAKE INTO ACCOUNT DISCHARGES FROM STATE MENTAL HEALTH FACILITIES OR OUTPATIENT TREATMENT OPTIONS * OPENED OUTPATIENT MENTAL HEALTH CLINIC WITH 1 PSYCHIATRIST AND HAVE ADDED 1 LICENSED SOCIAL WORKER * WORKING IN CONJUNCTION WITH LOCAL COMMUNITY SERVICE BOARD SURROUNDING CRISIS RECEIVING CENTER THAT WILL OPEN IN OCTOBER OF 2023 INJURY & VIOLENCE RELATED DISCHARGES 53% HIGHER THAN STATE AVERAGE * ONGOING COLLABORATION WITH VCUHS AND CMH WORKPLACE VIOLENCE, TO ASSESS AND PLAN FOR WAYS TO REDUCE WORKPLACE VIOLENCE. * VCU POLICE ONSITE SECURITY SCREENING COMPLETED WITH ACTION PLAN DEVELOPMENT IN PROCESS
FieldValueIRS element (for citing)
Facility16FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CMH PHYSICIAN SERVICES - FAMILY CARE
1755 N Mecklenburg AveSouth HillVA23970HEALTHCARE PRACTICE
CMH CARDIOLOGY LLC
1755 N MECKLENBURG AVELACROSSEVA23950HEALTHCARE PRACTICE
CMH ORTHOPEDIC SERVICES LLC
1755 N MECKLENBURG AVELACROSSEVA23950HEALTHCARE PRACTICE
CMH SURGICAL SERVICES LLC
1755 N MECKLENBURG AVELACROSSEVA23950HEALTHCARE PRACTICE
CMH WOMEN'S HEALTH SERVICES LLC
1755 N MECKLENBURG AVELACROSSEVA23930HEALTHCARE PRACTICE
CMH UROLOGICAL SERVICES LLC
1755 N MECKLENBURG AVELACROSSEVA23950HEALTHCARE PRACTICE
CMH PULMOLOGY LLC
1755 N MECKLENBURG AVELACROSSEVA23950HEALTHCARE PRACTICE
CMH PAIN MANAGEMENT SERVICES LLC
1755 N MECKLENBURG AVELACROSSEVA23950HEALTHCARE PRACTICE
CMH DERMATOLOGY LLC
1755 N MECKLENBURG AVELACROSSEVA23950HEALTHCARE PRACTICE
CMH EAR NOSE THROAT & ALLERGY LLC
CMH EAR NOSE THROAT ALLERGY LLCLACROSSEVA23950HEALTHCARE PRACTICE
CMH DENTAL CLINIC LLC
1755 N MECKLENBURG AVESOUTH HILLVA23970HEALTHCARE PRACTICE
CMH BEHAVIORAL HEALTH SERVICES
140 EAST FERRELL STREETSOUTH HILLVA23970HEALTHCARE PRACTICE
CMH NEUROLOGICAL SERVICES
1755 N MECKLENBURG AVESOUTH HILLVA23970HEALTHCARE PRACTICE
CHASE CITY PRIMARY CARE CENTER LLC
200 E 5TH STREETCHASE CITYVA23924RHC
RHEUMATOLOGY CMHP
755 N Mecklenburg AveSouth HillVA23970HEALTHCARE PRACTICE
CMH VASCULAR LLC
1755 N MECKLENBURG AVESOUTH HILLVA23970HEALTHCARE PRACTICE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation6360084
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountBAD 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.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyDESCRIPTION OF BAD EXPENSE FOR 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.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteTHE 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 $12,284,000 AT JUNE 30, 2022. ACCOUNTS WAS APPROXIMATELY $11,995,000 AT JUNE 30, 2021.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsMEDICARE COSTING METHODOLOGY MEDICARE ALLOWABLE COST WAS CALCULATED USING A COMBINATION OF COST FROM FILED FY 2022 MEDICARE COST REPORT; COST TO CHARGE RATIOS FROM FILED FY 2022 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.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceAPPLICATION OF COLLECTION PRACTICES TO THOSE QUALIFYING FOR FINANCIAL ASSISTANCE COMMUNITY 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.
Schedule H, Part V, Section B, Line 16a FAP website- COMMUNITY MEMORIAL HOSPITAL: Line 16a URL: https://www.vcuhealth.org/-/media/media/file/2023financialassistancepolicy_vcuhealth_final.ashx;
Schedule H, Part V, Section B, Line 16b FAP Application website- COMMUNITY MEMORIAL HOSPITAL: Line 16b URL: https://www.vcuhealth.org/-/media/media/file/221121_financial_application_rev_1_.ashx;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- COMMUNITY MEMORIAL HOSPITAL: Line 16c URL: https://www.vcuhealth.org/-/media/media/file/221121_financial_application_rev_1_.ashx;
Schedule H, 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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceCOMMUNITY 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.
Schedule H, 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 $28,959 IS ABOUT TWO-THIRDS OF THE STATE AVERAGE. THE ESTIMATED TOTAL POPULATION IN POVERTY PERCENTAGE IS 15.7% - ABOVE THE STATE AVERAGE OF 10.2%. COMMUNITY MEMORIAL HOSPITAL QUALIFIES AS A SOLE COMMUNITY HOSPITAL FOR MEDICARE REGULATIONS AS THE CLOSEST HOSPITAL IS 35 MILES AWAY.
Schedule H, Part VI, Line 5 Promotion of community healthCOMMUNITY 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.
Schedule H, 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.
Schedule H, Part VI, Line 7 State filing of community benefit reportVA

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RALPH CLARK MD
DIRECTOR$0$228,583$0$43,935$0$0$0$22,620$0$0$0$295,138$0$0
DAVID CHELMOW MD
DIRECTOR (JUL-MAR)$0$484,077$0$117,888$0$0$0$33,040$0$260$0$635,265$0$0
NINA HOBCROFT
DIR (MAR-MAY)$0$417,809$0$36,558$0$30,972$0$32,072$0$935$0$518,346$0$0
CATHERINE PALMER MD
DIRECTOR$0-$243,258$0$475,403$0$5,556$0$237,701$0$0$0$475,403$0$0
THOMAS YACKEL MD
DIRECTOR$0$541,139$0$72,512$0$40$0$41,074$0$23,394$0$678,159$0$0
HARINDER DHINDSA MD
DIRECTOR$0$434,601$0$71,605$0$0$0$27,631$0$2,750$0$536,587$0$0
PAUL NEIMEYER
FORMER SECRETARY$0$316,423$0$0$0$494,702$0$27,628$0$540$0$839,293$0$0
W SCOTT BURNETTE
PRESIDENT$404,626$0$38,682$0$31,513$0$34,800$0$8,424$0$518,044$0$0$0
RAVI EDARA MD
PHYSICIAN$284,291$0$313,596$0$10,385$0$33,040$0$5,051$0$646,364$0$0$0
BRYAN MOSORA DO
PHYSICIAN$430,132$0$243,142$0$21,673$0$32,188$0$3,756$0$730,891$0$0$0
NIMESH PATEL MD
CARDIOLOGIST$498,286$0$41,675$0$15,360$0$33,040$0$6,736$0$595,098$0$0$0
JOHN PEARSON MD
UROLOGIST$476,842$0$214,251$0$0$0$33,040$0$4,612$0$728,746$0$0$0
INDU SHIVARAM MD
PULMONOLOGIST$421,513$0$172,325$0$12,308$0$33,040$0$5,812$0$644,998$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationFormAndLineReferenceDesc
ExplanationFOR FISCAL YEAR ENDING JUNE 30, 2022, COMPENSATION (SALARIES AND INCENTIVES) FOR THE CEO, EXECUTIVE DIRECTOR OR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION, IS APPROVED BY THE CEO OF THE HEALTH SYSTEM. THE ORGANIZATION USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE ORGANIZATION MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF THE INDIVIDUAL'S PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS DISCUSSES THE MATTER AND PRESENTS RECOMMENDATIONS TO THE CEO OF THE HEALTH SYSTEM.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE SOLE MEMBER OF COMMUNITY MEMORIAL HOSPITAL ("HOSPITAL") IS 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, Line 7a Members or stockholders electing members of governing bodyTHE SOLE MEMBER OF COMMUNITY MEMORIAL HOSPITAL ("HOSPITAL") IS 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, Line 7b Decisions requiring approval by members or stockholdersGOVERNANCE 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, Line 11b Review of form 990 by governing bodyPROCESS 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, Line 12c Conflict of interest policyPROCESS 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, Line 19 Required documents available to the publicAVAILABILITY 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 VIII, Line 11d Other Miscellaneous RevenueOther Misc Rev - Total Revenue: 80511, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 80511;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CMH PHYSICIAN SERVICES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11747 N MECKLENBURG AVE PO BOX 90AddressLine1Txt
CitySOUTH HILLCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23970ZIPCd
FieldValueIRS element (for citing)
EIN200999466EIN
Primary ActivitiesHEALTH PRACTICEPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Total Income$17,685,723TotalIncomeAmt
End Of Year Assets$42,767,553EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CMH INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COMMUNITY MEMORIAL HOSPITAL FOUNDATION -
1755 N MECKLENBERG AVERICHMONDVA23970541831331FUNDRAISING ORGVA501(c)(3)Type ICMHYes (true)
VCU HEALTH SYSTEM AUTHORITY
PO BOX 980648RICHMONDVA23298541848065HOSPITALVANAfalse
VCU AMBULATORY SURGERY CENTER LLC
11958 WEST BROAD ST 5TH FLOORHENRICOVA23294863310585AMBULATORY SERVICESVA501(c)(3)3VCUHSAfalse
VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD
2924 BROOK ROADRICHMONDVA23220540506309PEDIATRIC SERVICESVA501(c)(3)3VCUHSAfalse
VIRGINIA COMMONWEALTH UNIVERSITY
PO BOX 842512RICHMONDVA23284546001758EDU INSTITUTEVANAfalse
UHS PROFESSIONAL EDUCATION PROGRAM -
P O BOX 980048RICHMONDVA23298541790553EDU SEMINARSVA501(c)(3)Type IUHSfalse
MCV ASSOCIATED PHYSICIANS
PO BOX 98062RICHMONDVA23298541581185HEALTHCAREVA501(c)(3)Type IVCUHSAfalse
7TH AND MARSHALL CORPORATION
PO BOX 980152RICHMONDVA23298311568886SUPPORT ACTIVITYVA501(c)(3)Type IUHSfalse
UNIVERSITY HEALTH SERVICES INC
PO BOX 980152RICHMONDVA23298541790550PROPERTYVA501(c)(3)Type IVCUHSAfalse
VCU HEALTH TAPPAHANNOCK HOSPITAL
618 HOSPITAL ROADTAPPAHANNOCKVA22560541489410HOSPITALVA501(c)(3)3VCUHSAfalse
VIRGINIA CHILDREN'S CARE NETWORK LLC
PO BOX 980152RICHMONDVA23298851396091CLINICAL CAREVA501(c)(3)Type IVCUHSAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MEMORIAL HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$1,146,665InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt