2015-02-16T15:20:49-06:00 2014-03-31 540737372 PBMARES LLP 701 TOWN CENTER DRIVE SUITE 900 NEWPORT NEWS VA 23606 990 2013-04-01 237424835 CHESAPEAKE HOSPITAL CORPORATION CHES 8044358582 101 HARRIS DRIVE KILMARNOCK VA 22482 JAMES M HOLMES JR CEO 8044358582 2015-02-16 1 THOMAS R BROOKS P00168242 7578731587 2015-02-16 X 2013 2016-03-07 17:11:31Z X RAPPAHANOCK GENERAL HOSPITAL JAMES M HOLMES JR 101 HARRIS DRIVE KILMARNOCK VA 22482 32573991 0 X WWW.RAPPAHANNOCKHEALTH.COM X 1977 VA THE ORGANIZATION OPERATES AN ACUTE CARE GENERAL HOSPITAL. 12 10 459 121 8948 0 393845 677191 35579851 31730116 7126 5027 -41487 9164 35939335 32421498 2372 0 0 0 20293504 19481381 0 0 3459 15942051 17595101 36237927 37076482 -298592 -4654984 28439703 25590188 9231430 9036899 19208273 16553289 X THE ORGANIZATION OPERATES AN ACUTE CARE GENERAL HOSPITAL. THE HOSPITAL HAS A COMMUNITY BASED BOARD OF DIRECTORS, HAS A OPEN MEDICAL STAFF, OPERATES AN EMERGENCY ROOM PROVIDING CARE TO ALL REGARDLESS OF ABILITY TO PAY, AND PROVIDES NON-EMERGENCY SERVICES TO ANY WITH THE ABILITY TO PAY INCLUDING MEDICARE AND MEDICAID COVERED INDIVIDUALS. THE ORGANIZATION IS DEDICATED TO THE PROVISION OF QUALITY, COMPASSIONATE CARE TO ALL PATIENTS IN THE MOST COST EFFECTIVE MANNER. THIS WILL BE ACCOMPLISHED THROUGH THE MOST EFFECTIVE USE OF AVAILABLE RESOURCES AND WILL REFLECT ETHICAL DECISIONS, INCLUDING THE EFFECTIVE MANAGEMENT OF PAIN, MADE JOINTLY BY THE PATIENTS, THE FAMILY, AND HEALTH CARE PROFESSIONALS INVOLVED IN HIS CARE. 0 0 32007121 31730332 RAPPAHANOCK GENERAL HOSPITAL IS THE ONLY PROVIDER OF INPATIENT AND OUTPATIENT ACUTE CARE SERVICES WITHIN A FIVE COUNTY AREA. THE HOSPITAL IS LICENSED TO OPERATE 76 BEDS, INCLUDING 47 MEDICAL/SURGICAL BEDS, 7 INTENSIVE/CRITICAL CARE BEDS, 12 TELEMETRY CARE BEDS AND 10 PSYCH BEDS. THE HOSPITAL ALSO OFFERS OUR COMMUNITY MAJOR DIAGNOSTIC AND TREATMENT CAPABILITIES; CLINICAL AND BLOOD BANK LABORATORY SERVICES; RADIOLOGY SERVICES INCLUDING DIAGNOSTIC X-RAY, DIGITAL MAMMOGRAPHY, DIGITAL FLOUROSCOPY, BONE DENSITOMETRY, ARTERIOGRAPHY, ANGIOGRAPHY WITH DIGITAL SUBTRACTION, NONINVASIVE VASCULAR LABORATORY, ULTRASONOGRAPHY, NUCLEAR MEDICINE, MRI, CT SCANNING, INPATIENT AND SAME DAY SURGERY; RESPIRATORY THERAPY; PHYSICAL THERAPY; HOME HEALTH, LITHOTRIPSY; AND RADIATION THERAPY. 437348 CHESAPEAKE HOSPITAL CORPORATION PROVIDED NUMEROUS SERVICES FOR THE COMMUNITY WHICH INCLUDED, HEALTH FAIRS FOR DIFFERENT CIVIC GROUPS IN THE FIVE COUNTY AREAS. THE SERVICES OFFERED BY THE HOSPITAL RANGE FROM CHOLESTEROL, BLOOD PRESSURE, GLUCOSE, LITERATURE AND CANCER INFORMATION AND/OR SCREENINGS. COMMUNITY BENEFITS ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED ON ACTIVITIES AND SERVICES WHICH THE HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THIS INCLUDES THE CANCER TREATMENT AND EDUCATION CENTER SUPPORT GROUPS AND EDUCATION FOR PATIENTS AND THEIR FAMILIES. THE EMERGENCY DEPARTMENT OFFERS CPR, HEART SAVER COURSES, AND PEDIATRIC BASIS LIFE SUPPORT. WE ALSO SPONSOR A DIABETIC EDUCATION COURSE FOR PEOPLE WITH DIABETES AND THEIR FAMILIES. THE ORGANIZATION ALSO VOLUNTEERS STAFF AND FACILITIES FOR AN ANNUAL SENIOR CONFERENCE TO ADDRESS VARIOUS ISSUES RELEVANT TO THE SENIOR POPULATIONS, SUCH AS ALZHEIMERS, STROKES, HOME CARE, ETC. THE ORGANIZATION WAS INVOLVED IN 281 PROGRAMS AND SERVED 1,151 INDIVIDUALS. 32444469 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 0 1 X 15 0 459 1 1 1 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X JOHN HEADLEY 8044358000 101 HARRIS ROAD KILMARNOCK VA 22482 DAVID H CHARLTON VOTING BOARD MEMBER 1.00 0.00 X 0 0 0 EDWARD P HARROW JR VOTING BOARD MEMBER 1.00 0.00 X 0 0 0 ELIZABETH CROWTHER VOTING BOARD MEMBER 1.00 0.00 X 0 0 0 FREDRICK COLE VOTING BOARD MEMBER 1.00 0.00 X 0 0 0 GARFIELD PARKER VOTING BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES CARTER JR VOTING BOARD MEMBER 10.00 30.00 X 0 0 0 JEFF CHASE JR VOTING BOARD MEMBER 1.00 0.00 X 0 0 0 JUNE DAFFEH MD PRESIDENT OF MEDICAL STAFF 40.00 0.00 X 217409 0 12282 STEPHEN WHITEWAY VOTING BOARD MEMBER 1.00 0.00 X 0 0 0 WAYNE PENICK VOTING BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES M HOLMES JR PRESIDENT 23.00 17.00 X X 0 366385 29009 B H HUBBARD III CHAIRMAN OF THE BOARD 2.00 1.00 X X 0 0 0 ANN GUMINA VP OF NURSING 35.00 5.00 X 0 132706 5242 BERNARD P LOCKSTAMPFOR JR TREASURER/VP-PAT. FIN. SER 30.00 10.00 X 0 166462 20302 WILLIAM R STALLINGS MD VICE PRESIDENT OF MEDICAL STAFF 40.00 0.00 X 212002 0 12864 J RANDY HESTER SR SR VP-OPERATIONS/SECRETARY 35.00 5.00 X 0 211440 17328 JOHN HEADLEY CFO 30.00 10.00 X 0 133282 17901 MARVENE RUIT CHIEF OPERATING OFFICER CMG 1.00 39.00 X 0 115568 18030 BARBARA PERONA ANESTHESIOLOGIST 40.00 0.00 X 330849 0 18522 PAUL SUTHERLAND ER PHYSICIAN 40.00 0.00 X 307767 0 16552 VIRGINIA GALE ER PHYSICIAN 40.00 0.00 X 250155 0 18485 STEPHEN PERKINS ER PHYSICIAN 40.00 0.00 X 242124 0 17949 SAHEED OJO-ONIYUN INHOUSE PHYSICIAN 40.00 0.00 X 198288 0 17844 1758594 1125843 222310 7 0 1 0 CHESAPEAKE HEALTH SERVICES PO BOX 1328 KILMARNOCK VA 22482 MANAGEMENT SERVICES 1330443 DIAMOND HEALTHCARE CORP PO BOX 85050 RICHMOND VA 23285 PROGRAM MANAGEMENT SERVICE 636422 CARTER FINANCIAL CORP PO BOX 137500 IRVINGTON VA 22480 CONSULTING 150000 NAZIR A CHAUDHARY MD PO BOX 13135 RICHMOND VA 23225 PHYSICIAN SERVICES 137650 DR RICHARD CARPENTER PO BOX 3391 MARTINSVILLE VA 241153391 PROFESSIONAL SERVICES 134000 6 677191 677191 NET PATIENT REVENUE 623000 28594871 28594871 PHYSICIAN PRACTICE SERVICE 623000 2145479 2145479 OTHER REVENUE 623000 482416 482416 RADIOLOGY REVENUE 623000 271930 271930 CAFETERIA 900099 226472 226472 8948 8948 31730116 6849 6849 104203 95039 9164 9164 9164 55632 57454 -1822 -1822 -1822 32421498 31730332 8948 5027 454557 409101 45456 15595550 14035982 1559568 254886 229398 25488 1980146 1782131 198015 1196242 1076618 119624 910468 910468 100743 100743 83897 83897 2347135 1786215 560920 18617 18617 96378 25289 71089 83807 83807 571266 571266 117791 110409 7382 144300 144300 881833 881833 266401 266401 MEDICAL SUPPLIES 5036386 5036386 BAD DEBT EXPENSE 4956746 4956746 REPAIRS AND RENTALS 1703392 978587 724805 DUES AND SUBSCRIPTIONS 162643 55296 107347 113298 98511 11328 3459 37076482 32444469 4628554 3459 1330 1330 98246 49797 12520738 11366945 54109 957125 818842 1500212 717195 31440005 24693942 7355544 6746063 49669 49669 55845 46567 5900994 5739671 28439703 25590188 4209202 4074695 975215 835497 4047013 4126707 9231430 9036899 X 19061959 16422611 146314 130678 19208273 16553289 28439703 25590188 X -4654984 2000000 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1045796 1045796 10900456 7743602 3156854 115110 99935 15175 18296310 16178496 2117814 1082333 671909 410424 6746063 EXTERNALLY RESTRICTED ASSETS 155132 DUE FROM CMG 5357965 DUE FROM RGHF AND AUXILLARY -57 OTHER RECEIVABLES 226631 5739671 NOTE PAYABLE - SIEMENS 699577 DUE TO CHS 3427130 4126707 1 1 1 X 0 1 1 1 0 1 1 713208 713208 0.02220 511855 511855 0.01590 1225063 1225063 0.03810 281 1118 142217 142217 0.00440 7 43584 428449 428449 0.01330 9 175610 175610 0.00550 297 44702 746276 746276 0.02320 297 44702 1971339 1971339 0.06130 281 1118 142217 142217 0.00440 281 1118 142217 142217 0.00440 1 1636509 17644160 20520740 -2876580 X 1 CHESAPEAKE HEALTH SERVICES MANAGEMENT SERVICES 1.00000 0.00000 0.00000 1 1 RAPPAHANOCK GENERAL HOSPITAL 101 HARRIS ROAD KILMARNOCK VA 22482 WWW.RAPPAHANNOCKHEALTH.COM X RAPPAHANNOCK GENERAL HOSPITAL 1 1 X X X X X X X X 12 1 0 1 X X X X X X X 0 0 1 1 200.000000000000 0 1 X X X 1 1 X X X 1 X X 0 X X 1 X 0 0 RAPPAHANNOCK GENERAL HOSPITAL PART V, SECTION B, LINE 3: ASSESSMENT PROCESS AND COMMUNITY INPUTTHE ASSESSMENT PROCESS CONSISTED MAINLY OF GATHERING DATA AT THE COUNTY LEVEL FROM PRIMARY SOURCES WITHIN THE COMMUNITY AND SECONDARY ONLINE RESOURCES. EACH COUNTY UTILIZED A SURVEY TO OBTAIN DIRECT INPUT FROM THEIR RESIDENTS. INTERVIEWS WERE CONDUCTED WITH MEDICAL PROFESSIONALS FROM THE COMMUNITY. DISCUSSIONS WERE HELD WITH PUBLIC HEALTH REPRESENTATIVES INCLUDING LEADERS FROM THE COUNTY HEALTH DEPARTMENT AND THE FREE HEALTH CLINIC. THE SECONDARY ONLINE DATA INCLUDED STATISTICS FOR THE COUNTY, COMMUNITY, STATE, AND NATIONAL LEVEL. ALL DATA WAS COMPILED AND ASSESSED AT AN INDIVIDUAL COUNTY LEVEL AND ALSO AT A COMMUNITY LEVEL, POINTING TO THE OVERALL HEALTH NEEDS FOR ALL THREE OF THE COUNTIES. A DETAILED DESCRIPTION OF THE ASSESSMENT PROCESS IS PROVIDED TO INDICATE THE APPROACH TAKEN TO ASSESS THE COMMUNITY'S HEALTH.PRIMARY DATASURVEYS CONDUCTED OF COMMUNITY MEMBERSTHE MARKETING AND PUBLIC RELATIONS COORDINATOR FOR RGH, AND A TEAM OF REGISTERED NURSES WENT TO VARIOUS LOCATIONS IN THE COMMUNITY IN JANUARY AND FEBRUARY OF 2013, TO GIVE OUT SURVEYS FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. SURVEYS WERE ALSO GIVEN OUT BY NURSES AT FAMILY PRACTICE OFFICES IN THE THREE COUNTIES. IN ADDITION, THE SAME SURVEY RGH CONDUCTED THROUGHOUT THE COUNTIES WAS GIVEN TO THEIR STAFF AND PRACTICE GROUPS, RESULTING IN 86 RESPONSES FROM EMPLOYEES THAT LIVE THROUGHOUT THE THREE COUNTIES. LANCASTER COUNTY'S SURVEY WAS ADMINISTERED AT THE FRONT DESK OF RAPPAHANNOCK GENERAL HOSPITAL, THE CHESAPEAKE MEDICAL GROUP (CMG) OBSTETRICS/GYNECOLOGY OFFICE, THE NORTHERN NECK FAMILY YMCA, THE LANCASTER CHAMBER OF COMMERCE, AND THE WAL-MART IN KILMARNOCK, VIRGINIA IN LANCASTER COUNTY. THE SURVEY WAS COMPLETED BY 84 RESIDENTS OF LANCASTER COUNTY. NORTHUMBERLAND COUNTY'S SURVEY WAS ADMINISTERED AT CMG HEATHSVILLE FAMILY PRACTICE AND CMG REEDVILLE FAMILY PRACTICE, AND WAS COMPLETED BY 32 RESIDENTS OF NORTHUMBERLAND COUNTY. MIDDLESEX COUNTYS SURVEY WAS ADMINISTERED AT CMG HARTFIELD FAMILY PRACTICE AND WAS COMPLETED BY 22 RESIDENTS OF MIDDLESEX COUNTY. THE SURVEY WAS ADMINISTERED WITH THE METHOD OF CONVENIENCE SAMPLING WHERE SURVEY RESPONDENTS ARE BASED ON THE CONVENIENCE OF GETTING THE SURVEYS COMPLETED. THE SAMPLING POPULATION WAS PEOPLE AGES 18 AND OLDER AND REPRESENTS THE DEMOGRAPHIC PROFILE OF THE THREE COUNTIES. THE SURVEY WAS DIVIDED INTO FOUR GENERAL SECTIONS DESIGNED TO GATHER A COMPREHENSIVE PICTURE OF COMMUNITY HEALTH. THE FIRST SECTION FOCUSED ON FACTORS THAT IMPROVE THE QUALITY OF LIFE IN THE COMMUNITY AND INCLUDED A RANKING OF THE THREE MOST IMPORTANT FACTORS FOR A HEALTHY COMMUNITY. THE SECOND SECTION FOCUSED ON THE PROBLEMS WHICH HAVE THE GREATEST IMPACT ON OVERALL COMMUNITY HEALTH AND INCLUDED A RANKING OF THE THREE MOST IMPORTANT HEALTH PROBLEMS. THE THIRD SECTION FOCUSED ON THE BEHAVIORS THAT HAVE THE GREATEST IMPACT ON OVERALL COMMUNITY HEALTH AND INCLUDED A RANKING OF THE THREE MOST IMPORTANT RISKY BEHAVIORS. THE FOURTH SECTION GATHERED GENERAL DEMOGRAPHIC DATA ON THE SURVEY RESPONDENTS.INTERVIEWS CONDUCTED WITH HEALTHCARE PROFESSIONALSLAUREN HOGGE, THE HOSPITAL'S EMS LIAISON, CONDUCTED INTERVIEWS DURING FEBRUARY 2013 WITH FIVE HEALTHCARE PROFESSIONALS. INTERVIEWS WERE CONDUCTED OF PERSONS WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH, WHO PROVIDED VALUABLE INPUT ABOUT THE HEALTH NEEDS IN THE COMMUNITY. THE INTERVIEW QUESTIONS ASKED FOR A DESCRIPTION OF WHAT THEY SAW AS THE THREE MAJOR HEALTH ISSUES IN THEIR COMMUNITY. FOLLOW UP QUESTIONS WERE THEN ASKED ABOUT COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE IDENTIFIED HEALTH ISSUE, REASONABLENESS OF ACCESS TO THE RESOURCES, PROGRAMS THAT COULD HELP ADDRESS THE NEED, AND HOW THE HEALTHCARE COMMUNITY CAN MAKE AN IMPACT ON THE ISSUE.THE FIVE HEALTHCARE PROFESSIONAL INTERVIEWEES WERE: LAVENIA ALEXANDER RN, EMERGENCY DEPARTMENT RN AND BOARD OF DIRECTORS MEMBER FOR PENINSULAS EMERGENCY MEDICAL SERVICES REGION; PATRICIA NEWSOME, TRI-COUNTY EMERGENCY SERVICES PROVIDER, PARAMEDIC AND EMERGENCY DEPARTMENT PATIENT CARE TECHNICIAN; DR. PAUL SUTHERLAND, RGH EMERGENCY DEPARTMENT MEDICAL DIRECTOR AND LANCASTER COUNTY EMS; DR. JUNE DAFFEH, INTERNAL HOSPITALIST AT RGH AND SPINNING INSTRUCTOR AT YMCA. ALL INTERVIEWS WERE CONDUCTED ONE-ON-ONE BY THE SAME INDIVIDUAL TO PREVENT BIAS.DISCUSSIONS WITH OTHER PUBLIC HEALTH REPRESENTATIVESRGH HELD MEETINGS VIA TELEPHONE CALL TO OBTAIN INPUT FOR THE CHNA FROM COUNTY HEALTH OFFICIALS AND OTHER REPRESENTATIVES AT THE COUNTY HEALTH DEPARTMENT, THE FREE HEALTH CLINIC, AND A COMMUNITY SERVICES BOARD. THE FOLLOWING ARE A LIST OF INDIVIDUALS WHO PROVIDED INPUT.- LINDA LEE, NURSE MANAGER FOR THREE RIVERS HEALTH DISTRICT, THE COUNTY HEALTH DEPARTMENT FOR THE NORTHERN NECK & MIDDLE PENINSULA AREA. LINDA LEE PROVIDED VALUABLE INPUT AS A REPRESENTATIVE OF THE LOCAL HEALTH DEPARTMENT. (LINDA HAS BEEN WITH TRHD FOR 1 YEAR)- JEANNE NELSON, DIRECTOR - NORTHERN NECK FREE HEALTH CLINIC. (JEANNE HAS BEEN WITH NNFHC 20 YEARS) JESSICA CUTLER, MEDICAL ASSISTANT - NORTHERN NECK FREE HEALTH CLINIC. JESSICA CUTLER PROVIDED VALUABLE INPUT AS A REPRESENTATIVE OF THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS OF THE RGH COMMUNITY. (JESSICA HAS BEEN WITH NNFHC FOR 1 YEAR)- CHARLES WALSH JR., EXECUTIVE DIRECTOR - MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARD (CHARLES HAS BEEN WITH MPNNCSB FOR 30 YEARS)- JOANNE BROWN, DIRECTOR OF CLINICAL SERVICES AND QUALITY ASSURANCE DIRECTOR - MIDDLE PENINSULA NORTHERN NECK COMMUNITY SERVICES BOARD (JOANNE HAS BEEN WITH MPNNCSB FOR 15 YEARS) SECONDARY DATA:INFORMATION FROM THE SURVEYS AND INTERVIEWS WERE ANALYZED IN CONJUNCTION WITH SECONDARY HEALTH DATA FOR EACH OF THE THREE COUNTIES AND THE COMMUNITY AS A WHOLE. THE SECONDARY STATISTICAL DATA WAS GATHERED AT THE COUNTY, COMMUNITY, STATE, AND NATIONAL LEVEL FROM THE FOLLOWING ONLINE RESOURCES: THE VIRGINIA DEPARTMENT OF HEALTH, DIVISION OF HEALTH STATISTICS, COUNTY HEALTH RANKINGS, HEALTH INDICATORS WAREHOUSE, STATE CANCER PROFILES, AND BENCHMARKS AND TARGETS FROM HEALTHY PEOPLE 2020. EACH SET OF DATA WAS UTILIZED TO IDENTIFY THE COMMUNITY NEEDS AND PRIORITIZE THE HEALTH ISSUES FOR THE RGH COMMUNITY. RAPPAHANNOCK GENERAL HOSPITAL PART V, SECTION B, LINE 7: RGH WILL NOT BE ADDRESSING THE FOLLOWING COMMUNITY HEALTH CONCERNS: TEEN PREGNANCY, STD, ALCOHOL ABUSE, TOBACCO USE, AND DRUG USEDR. MATTHEW VOGEL, CHESAPEAKE MEDICAL GROUP EMPLOYED OB/GYN, DISCUSSES STDS AND PREGNANCY PREVENTION WITH ALL AT RISK PATIENTS, PARTICULARLY THE GARDASIL VACCINE TO PREVENT HPV. HE HAS PAMPHLETS AND INFORMATION LITERATURE TO DISTRIBUTE AS NEEDED.SCHOOL SOURCES: ALL THREE SCHOOLS WORK CLOSELY WITH THREE RIVERS HEALTH DISTRICT (THE HEALTH DEPARTMENT) TO ADDRESS ALL FIVE ISSUES ON A GROUP, AS WELL AS INDIVIDUAL BASIS. NORTHUMBERLAND SCHOOL NURSE CITED SEVERAL INSTANCES IN WHICH STUDENTS THOUGHT THEY WERE PREGNANT OR REALIZED THEY WERE AND CAME TO HER, AT WHICH POINT SHE CONTACTED THE HEALTH DEPARTMENT AND EITHER ARRANGED FOR STUDENT TO GO THERE OR HAVE SOMEONE FROM HEALTH DEPARTMENT COME TO STUDENT. AT MIDDLESEX HIGH SCHOOL, THE PUBLIC HEALTH NURSE FROM THREE RIVERS REGULARLY PROVIDES EDUCATIONAL RESOURCES AND PRESENTATIONS FOR THE STUDENTS. THIS COULD BE BECAUSE OF THE CLOSER PROXIMITY MHS HAS TO THE HEALTH DEPARTMENT OFFICE, AS COMPARED TO THE OTHER SCHOOLS.THREE RIVERS HEALTH DISTRICT (TRHD) TRHD SERVES THOSE MINOR CLIENTS WITH TEEN PREGNANCY WITH CONFIDENTIALITY IN ACCORDANCE WITH THE MANDATED REPORTING LAWS IN THE STATE OF VIRGINIA. THEY ASSESS, EDUCATE AND PROVIDE INFORMATION FOR THE APPROPRIATE REFERRALS FOR OB CARE AND INITIATE FP FOR THIS POPULATION. COMPASSIONATELY THEY ASSIST THROUGH THE COORDINATION OF NEEDED REFERRALS AND QUALITY OF LIFE CONCERNS. THEY WORK WITH THE CLIENT, FAMILIES, AND OTHER COMMUNITY PARTNERS DEPENDING ON THE NEEDS OF THE CLIENT. NORTHERN NECK FREE HEALTH CLINIC (NNFHC) NNFHC DISCUSSES STDS AND PREGNANCY PREVENTION WITH THEIR PATIENTS, AND PROVIDES EXAMINATIONS AND TREATMENTS AS NEEDED. PAMPHLETS AND INFORMATIVE LITERATURE ARE AVAILABLE FOR DISTRIBUTION.ALCOHOLICS ANONYMOUS (AA), A GROUP WHOSE MEMBERS' PRIMARY PURPOSE IS TO STAY SOBER AND HELP OTHER ALCOHOLICS ACHIEVE SOBRIETY, ONE LOCAL MEETING IS HELD ON THE HOSPITAL'S CAMPUS AND LED BY A HOSPITAL EMPLOYEE. THERE ARE 10 AA MEETINGS WEEKLY IN THE AREAS WE SERVE, AS WELL AS 3 NARCOTICS ANONYMOUS (NA) MEETINGS LOCALLY, WHICH IS A FELLOWSHIP OR SOCIETY OF MEN AND WOMEN FOR WHOM DRUGS HAD BECOME A MAJOR PROBLEM.MIDDLE PENINSULA-NORTHERN NECK COMMUNITY SERVICES BOARD PROVIDES ALCOHOLICS ANONYMOUS MEETINGS AT THEIR WARSAW AND GLOUCESTER COUNSELING CENTER AND CAN LINK INDIVIDUALS TO OTHER MEETINGS THROUGHOUT THE AREA. THE CSB PROVIDES ASSESSMENT AND EVALUATION; INFORMATION AND REFERRAL; MOTIVATIONAL ENHANCEMENT THERAPY; FAMILY AND GROUP THERAPY; INTENSIVE GROUP THERAPY TO THOSE INDIVIDUALS AND FAMILIES DEALING WITH DRUG AND/OR ALCOHOL ISSUES. THE CSB PREVENTION DIVISION PROVIDES LIFE SKILLS TRAINING TO MANY MIDDLE SCHOOL STUDENTS IN THE AREA FOCUSING ON AMONG OTHER ISSUES DRUG AND ALCOHOL USE. RGH BRIDGES OFTEN REFERS PATIENTS WHO HAVE BEEN DISCHARGED TO THIS PROGRAM FOR FOLLOW UP CARE REGARDING SUBSTANCE ABUSE.RGH BECAME A SMOKE FREE CAMPUS AS OF APRIL 2011. RGH STILL OFFERS SMOKING CESSATION RESOURCES TO OUR EMPLOYEES THROUGH OUR HUMAN RESOURCES DEPARTMENT. NARCOTICS ANONYMOUS (NA), WHICH IS A FELLOWSHIP OR SOCIETY OF MEN AND WOMEN FOR WHOM DRUGS HAD BECOME A MAJOR PROBLEM, HAS AT LEAST 3 MEETINGS WEEKLY IN THE AREAS WE SERVE. ADDITIONALLY, THERE ARE 10 ALCOHOLICS ANONYMOUS MEETINGS WEEKLY AND THE GROUPS AND OFTEN USED INTERCHANGEABLY.RGH BRIDGES BEHAVIORAL HEALTH, AS WELL AS OTHER DEPARTMENTS OF THE HOSPITAL, UTILIZE MANY COMMUNITY RESOURCES TO SEEK ASSISTANCE FOR PATIENTS STRUGGLING WITH SUBSTANCE ABUSE, SUCH AS THE LOCAL AA/NA MEETINGS, LOCAL THERAPISTS WHO PROVIDE PRIVATE SUBSTANCE ABUSE COUNSELING, THE WILLIAMSBURG PAVILION CAN ADMIT PATIENTS NEEDING INPATIENT DETOX PROGRAMS, AND THERE'S A LOCAL VOLUNTEER PROGRAM WHO WILL SET UP A BUDDY SYSTEM TYPE RELATIONSHIP FOR SOMEONE NEEDING HELP WITH A RECOVERED SUBSTANCE ABUSER WHO HAS GOTTEN CLEAN AND CAN RELATE. RAPPAHANNOCK GENERAL HOSPITAL PART V, SECTION B, LINE 10: ANY PATIENT THAT ARRIVES WITH NO INSURANCE IS REFERRED TO AN ONSITE THIRD PARTY THAT ATTEMPTS TO QUALIFY THEM FOR CHARITY, MEDICAID AND ANY OTHER ASSISTANCE AVAILABLE. THEY ARE ALSO REFERRED TO THE INTERNET HEALTHCARE EXCHANGE WEBSITE. PATIENTS ARE OFFERED DISCOUNTED CARE ON AN INDIVIDUAL BASIS.WE WORK CLOSELY WITH THE NORTHERN NECK FREE CLINIC (NNFC) BY PROVIDING THEM MAINLY WITH LAB AND RADIOLOGY SERVICES INCLUDING MRI'S AND CT'S.THE HOSPITAL HAS A CHARITY POLICY TO PROVIDE CARE FOR PATIENTS WITH NO INSURANCE AND INCOME UNDER 200% OF THE FEDERAL POVERTY GUIDELINES. THE PATIENT'S ASSETS CANNOT EXCEED $50.000. PART I, LINE 3C: DETERMINATION OF CHARITY WILL BE MADE THROUGH KNOWLEDGE OF THE MEDICAL AND SOCIAL-ECONOMIC SITUATION AND ITS VARIOUS FINANCIAL IMPLICATIONS; AN INTERVIEW WITH PATIENT (RESPONSIBLE PARTY) AND INVESTIGATION OF FINANCIAL RESOURCES. THE DECISION WILL BE BASED ON COOPERATIVE MEDICAL, SOCIAL SERVICE, AND ADMINISTRATIVE JUDGMENT. PART I, LN 7 COL(F): COSTING METHOD IS OVERALL COST TO CHARGE RATIO FROM MEDICARE COST REPORT. BAD DEBT IS EXCLUDED IN THE CALCULATION. PART III, LINE 2: COSTING METHOD IS OVERALL COST TO CHARGE RATIO FROM MEDICARE COST REPORT. BAD DEBT IS EXCLUDED IN THE CALCULATION. PART III, LINE 3: PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT ESTABLISHED BILLING RATES WHEN PATIENT SERVICES ARE RENDERED. PROVISIONS FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS ARE RECORDED AS DEDUCTIONS FROM PATIENT ACCOUNTS RECEIVABLE TO REDUCE RECORDED AMOUNTS TO NET REALIZABLE VALUE. CONTRACTUAL ADJUSTMENTS REPRESENT THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND AMOUNTS REIMBURSED (PRINCIPALLY FROM FEDERAL AND STATE GOVERNMENTS UNDER MEDICARE AND MEDICAID AND OTHER COMMERCIAL INSURERS INCLUDING ANTHEM). PART III, LINE 4: PATIENT ACCOUNTS RECEIVABLE ARE RECORDED AT ESTABLISHED BILLING RATES WHEN PATIENT SERVICES ARE RENDERED. PROVISIONS FOR UNCOLLECTIBLE ACCOUNTS AND CONTRACTUAL ADJUSTMENTS ARE RECORDED AS DEDUCTIONS FROM PATIENT ACCOUNTS RECEIVABLE TO REDUCE RECORDED AMOUNTS TO NET REALIZABLE VALUE. CONTRACTUAL ADJUSTMENTS REPRESENT THE DIFFERENCE BETWEEN ESTABLISHED BILLING RATES AND AMOUNTS REIMBURSED (PRINCIPALLY FROM FEDERAL AND STATE GOVERNMENTS UNDER MEDICARE AND MEDICAID AND OTHER COMMERCIAL INSURERS INCLUDING ANTHEM). PART III, LINE 8: COSTING METHOD IS COST TO CHARGE RATIO FROM MEDICARE REPORT. SHORTFALL OF MEDICARE PAYMENTS RECEIVED DIRECTLY BENEFIT THE COMMUNITY CITIZENS. PART III, LINE 9B: PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE ARE ASKED TO MEET WITH A FINANCIAL COUNSELOR TO DETERMINE FINANCIAL NEED. IF CHARITY GUIDELINES ARE MET, THEN PATIENT ACCOUNTS ARE ADJUSTED ACCORDINGLY. PART VI, LINE 2: THE ASSESSMENT PROCESS CONSISTED MAINLY OF GATHERING DATA AT THE COUNTY LEVEL FROM PRIMARY SOURCES WITHIN THE COMMUNITY AND SECONDARY ONLINE RESOURCES. EACH COUNTY UTILIZED A SURVEY TO OBTAIN DIRECT INPUT FROM THEIR RESIDENTS. INTERVIEWS WERE CONDUCTED WITH MEDICAL PROFESSIONALS FROM THE COMMUNITY. DISCUSSIONS WERE HELD WITH PUBLIC HEALTH REPRESENTATIVES INCLUDING LEADERS FROM THE COUNTY HEALTH DEPARTMENT AND THE FREE HEALTH CLINIC. THE SECONDARY ONLINE DATA INCLUDED STATISTICS FOR THE COUNTY, COMMUNITY, STATE, AND NATIONAL LEVEL. ALL DATA WAS COMPILED AND ASSESSED AT AN INDIVIDUAL COUNTY LEVEL AND ALSO AT A COMMUNITY LEVEL, POINTING TO THE OVERALL HEALTH NEEDS FOR ALL THREE OF THE COUNTIES. A DETAILED DESCRIPTION OF THE ASSESSMENT PROCESS IS PROVIDED TO INDICATE THE APPROACH TAKEN TO ASSESS THE COMMUNITY'S HEALTH. PART VI, LINE 3: THE HOPITAL HAS A CHARITY POLICY, FINANCIAL COUNSELING PROGRAM AND BROCHURES PROVIDED TO PATIENTS TO INFORM AND EDUCATE PATIENTS AND THEIR FAMILIES ABOUT ELIGIBILITY FOR ASSISTANCE. PART VI, LINE 4: RAPPAHANNOCK GENERAL HOSPITAL IS AN INDEPENDENT COMMUNITY BASED HOSPITAL THAT SERVES A POPULATION OF APPROXIMATELY 35,000 (BASED ON 3 COUNTIES OF FOCUS- ACTUAL COMMUNITY SERVED IS OVER 40,000) PEOPLE IN EASTERN VIRGINIA IN THE NORTHERN NECK AND MIDDLE PENINSULA AREA CONTIGUOUS TO THE CHESAPEAKE BAY. RGH'S SERVICE AREA IS MOSTLY A RURAL COASTAL COMMUNITY AND INCLUDES LANCASTER, NORTHUMBERLAND, AND MIDDLESEX COUNTIES. THE HOSPITAL'S COMMUNITY IS BASED ON THE POPULATION FROM THESE THREE COUNTIES. APPROXIMATELY 88% OF RGH'S PATIENT POPULATION IS RESIDENTS OF LANCASTER, NORTHUMBERLAND, AND MIDDLESEX COUNTIES. FOR PURPOSES OF THE CHNA PROCESS, RGH DEFINED THESE THREE COUNTIES AS THE COMMUNITY. A MAJORITY OF RGH'S PATIENT ORIGIN IS ENCOMPASSED WITHIN THIS GEOGRAPHICAL AREA. USING COUNTY DEFINITION AS THE SERVICE AREA IS CRUCIAL FOR OUR ANALYSIS AS MANY OF OUR SECONDARY DATA SOURCES ARE COUNTY SPECIFIC AND SERVE AS A COMPARISON TOOL TO THE STATE OF VIRGINIA, AND THE UNITED STATES. THE POPULATION SERVED IS DISTRIBUTED EVENLY BETWEEN THE THREE COUNTIES.THE COMMUNITY'S POPULATION IS APPROXIMATELY 73% WHITE, 24% AFRICAN AMERICAN, 2% HISPANIC, .5% ASIAN, AND .5% AMERICAN INDIAN AND ALASKAN NATIVES. THE AGE DISTRIBUTION CONSISTS OF 16% OF THE POPULATION UNDER THE AGE OF 18, 54% BETWEEN THE AGES OF 18-65, AND 30% ABOVE THE AGE OF 65. BOTH ETHNICITY AND AGE STATISTICS ARE SIMILAR WHEN COMPARED TO VIRGINIA'S STATEWIDE PERCENTAGES. THE MOST NOTABLE DIFFERENCE IS THAT THE AGE GROUP ABOVE THE AGE OF 65 IS 17% HIGHER THAN THE STATE AVERAGE AND 16% ABOVE THE NATIONAL AVERAGE. RAPPAHANNOCK GENERAL HOSPITAL'S SERVICE AREA MEAN HOUSEHOLD INCOME IS $50,499 WHICH IS $12,803 LOWER THAN THE STATE AVERAGE AND $2,263 BELOW THE NATIONAL AVERAGE. RGH AND THE SURROUNDING COMMUNITY HAVE BEEN PARTNERS IN HEALTH CARE SINCE THE HOSPITAL OPENED ITS DOORS IN 1977. THERE ARE GEOGRAPHIC REASONS FOR COMBINING THE THREE COUNTIES INTO A SINGLE COMMUNITY. LANCASTER COUNTY IS CENTRALLY LOCATED BETWEEN NORTHUMBERLAND AND MIDDLESEX COUNTY. THE HOSPITAL IS LOCATED IN THE EASTERN CENTRAL SECTION OF LANCASTER COUNTY WHICH DECREASES THE TRAVELING DISTANCE FOR PATIENTS IN NEIGHBORING COUNTIES AND ALLOWS ALL THREE COUNTIES TO BENEFIT FROM RGHS CENTRAL LOCATION. PART VI, LINE 5: CHESAPEAKE HOSPITAL CORPORATION PROVIDED NUMEROUS SERVICES FOR THE COMMUNITY WHICH INCLUDED HEALTH FAIRS FOR DIFFERENT CIVIC GROUPS IN THE SIX COUNTY AREAS. THE SERVICES OFFERED BY THE HOSPITAL RANGE FROM CHOLESTEROL, BLOOD PRESSURE, GLUCOSE LITERATURE AND CANCER INFORMATION AND/OR SCREENINGS. COMMUNITY BENEFITS ARE PROVIDED THROUGH MANY REDUCED PRICE SERVICES WHICH THE HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THIS INCLUDES THE CANCER TREATMENT AND EDUCATION CENTER SUPPORT GROUPS AND EDUCATION FOR PATIENTS AND THEIR FAMILIES. THE EMERGENCY DEPARTMENT OFFERS CPR, HEART SAVER COURSES, AND PEDIATRIC BASIS LIFE SUPPORT. WE ALSO SPONSOR A DIABETIC EDUCATION COURSE FOR PEOPLE WITH DIABETES AND THEIR FAMILIES. THE ORGANIZATION ALSO VOLUNTEERS STAFF AND FACILITIES FOR FREE SPORTS PHYSICALS FOR SECONDARY STUDENTS IN THE AREA. THE ORGANIZATION SUPPORTS THE LOSS INCURRED BY ITS SISTER COMPANY CHESAPEAKE MEDICAL GROUP (CMG). CMG REPRESSENTS SEVERAL GROUPS OF PHYSICIANS INCLUDING FAMILY PRACTICE, PEDIATRICS, GYN, SURGERY AND OTHERS, THAT WERE NOT ABLE TO SURVIVE WITHOUT THE ASSISTANCE FROM RGH. CMG HAS THE ONLY PEDIATRIC SERVICES IN THE AREA. CMG PROVIDES PHYSICIAN CARE REGARDLESS OF THE INSURANCE WHILE OTHER PHYSICIANS IN THE AREA NO LONGER ACCEPT NEW MEDICAID PATIENTS. CMG ALSO PROVIDES COVERAGE FOR THOSE PATIENTS WITH NO INSURANCE. PART VI, LINE 6: AS A NOT-FOR PROFIT HEALTHCARE ORGANIZATION, IT IS THE PURPOSE AND RESPONSIBILITY TO PROVIDE OUTSTANDING CARE TO EVERYONE WHO NEEDS IT, REGARDLESS OF THEIR ABILITY TO PAY. RGH'S OPERATIONS ARE SIGNIFICANTLY IMPACTED BY CHARITY CARE AND THE MEDICARE/MEDICAID SHORTFALLS. IN ADDITION TO THE ESSENTIAL HEALTH CARE SERVICES PROVIDED THAT RAPPAHANNOCK HEALTH SYSTEM (RHS) PROVIDES TO OUR COMMUNITY, THE HEALTH SYSTEM HAS A SIGNIFICANT ECONOMIC IMPACT ON OUR COMMUNITY. RHS IS THE LARGEST EMPLOYER IN LANCASTER COUNTY PROVIDING JOBS FOR MORE THAN 500 PEOPLE WHO LIVE IN KILMARNOCK AND THE SURROUNDING AREAS. RHS HAS SEVERAL AFFILIATES. ONE IS THE CHESAPEAKE MEDICAL GROUP WHICH PROVIDES QUALITY, COMPASSIONATE, COST EFFECTIVE PRIMARY MEDICAL CARE SERVICES TO THE KILMARNOCK AREA. CHESAPEAKE HEALTH SERVICES MANAGES THE VARIOUS ENTITIES. CHESAPEAKE PHARMACY SERVICES, INC. PROVIDES PHARMACY SERVICES FOR THE AREA WHILE RAPPAHANOCK GENERAL HOSPITAL FOUNDATION ASSISTS IN PROVIDING FUNDRAISING ABILITIES. PART VI, LINE 7, REPORTS FILED WITH STATES VA X X X X 0 0 0 0 0 0 0 1 0 JUNE DAFFEH MD PRESIDENT OF MEDICAL STAFF 217409 0 0 0 0 0 5850 0 6432 0 229691 0 0 0 JAMES M HOLMES JR PRESIDENT 0 232204 0 0 0 134181 0 7939 0 21070 0 395394 0 0 BERNARD P LOCKSTAMPFOR JR TREASURER/VP-PAT. FIN. SER 0 166462 0 0 0 0 0 4207 0 16095 0 186764 0 0 WILLIAM R STALLINGS MD VICE PRESIDENT OF MEDICAL STAFF 212002 0 0 0 0 0 5850 0 7014 0 224866 0 0 0 J RANDY HESTER SR SR VP-OPERATIONS/SECRETARY 0 211440 0 0 0 0 0 3755 0 13573 0 228768 0 0 JOHN HEADLEY CFO 0 133282 0 0 0 0 0 3750 0 14151 0 151183 0 0 BARBARA PERONA ANESTHESIOLOGIST 330849 0 0 0 0 0 7650 0 10872 0 349371 0 0 0 PAUL SUTHERLAND ER PHYSICIAN 307767 0 0 0 0 0 6825 0 9727 0 324319 0 0 0 VIRGINIA GALE ER PHYSICIAN 250155 0 0 0 0 0 6772 0 11713 0 268640 0 0 0 STEPHEN PERKINS ER PHYSICIAN 242124 0 0 0 0 0 6236 0 11713 0 260073 0 0 0 SAHEED OJO-ONIYUN INHOUSE PHYSICIAN 198288 0 0 0 0 0 6772 0 11072 0 216132 0 0 0 PART I, LINE 7 PORTION OF PHYSICIAN CONTRACTS PAYMENTS ARE VARIABLE BASED ON CASH COLLECTED SCHEDULE J PART II THE OTHER COMPENSATION LISTED FOR JAMES M. HOLMES, JR. IS FROM A RHS THIRD PARTY STOCK OPTION PLAN FOR EMPLOYEES. THE PLAN BEGAN IN 1998 AND WAS SET UP TO PROVIDE ADDITIONAL RETIREMENT BENEFITS AND WAS ONLY FUNDED FOR A FEW YEARS. A INDUSTRIAL DEVELOPMENT AUTHORITY LANCASTER COUNTY VA 546001382 2007-08-09 1332800 FINANCE ENERGY SAVING EQUIPMENT 0 0 0 A 636721 1354820 26000 1276948 51872 2008 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 1 1 0 0 0 0 0 A 0 SCHEDULE K, PART I AND II DIFFERENCE BETWEEN THE ISSUE PRICE (PART I, COLUMN E) AND TOTAL PROCEEDS (PART II, LINE 3) IS DUE TO INVESTMENT EARNINGS OF $22,020. SCHEDULE K, PART IV, LINE 2B MORE THAN 75% OF THE AVAILABLE CONSTRUCTION PROCEEDS WERE SPENT WITHIN 2-YEARS ON QUALIFIED 501(C)(3) BONDS TO FINANCE CONSTRUCTION EXPENDITURES THAT RESULTS IN PROPERTY THAT IS OWNED BY THE 501(C)(3) ORGANIZATION. CHESAPEAKE BANK JAMES M. HOLMES, JR. IS A DIRECTOR OF CHESAPEAKE BANK 224332 PRINCIPAL AND INTEREST PAYMENTS ON LOAN TO CHESAPEAKE BANK 0 CARTER FINANCIAL CORP OFFICER OF ORGANIZATION AND OFFICER OF MANAGEMENT CO ORGANIZATION 75000 CONTRACT/DEVELOPMENT 0 FORM 990, PART V, LINE 7G QUESTIONS 7G DOES NOT APPLY TO THE ORGANIZATION BECAUSE THE ORGANIZATION DID NOT HAVE CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY. FORM 990, PART V, LINE 7H QUESTIONS 7H DOES NOT APPLY TO THE ORGANIZATION BECAUSE THE ORGANIZATION DID NOT HAVE CONTRIBUTIONS OF CARS, BOATS, AIRPLANES OR OTHER VEHICLES DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 11 WHEN THE COMPLETED FORM 990 COMES BACK FROM THE OUTSIDE TAX PREPARERS, IT IS REVIEWED BY THE CHESAPEAKE HEALTH SERVICES (CHS) CFO FOR ACCURACY. ONCE IT IS DETERMINED TO BE THE FINAL DRAFT, THE PACKAGE IS GIVEN TO THE PRESIDENT. THE PRESIDENT WILL SCHEDULE A MEETING OF THE CHS BOARD'S EXECUTIVE COMMITTEE WHICH CONSISTS OF THE CHAIRMAN-CHESAPEAKE HEALTH SERVICES BOARD, CHAIRMAN-CHESAPEAKE HOSPITAL CORPORATION BOARD, FINANCE COMMITTEE CHAIRMAN, AND A MEMBER OF THE CHS BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE RETURN AND RECOMMENDS THAT THE BOARD OF DIRECTORS ACCEPT IT. ONCE THIS MEETING AND APPROVAL OF THE FORM 990 HAVE TAKEN PLACE, THE RETURN IS SIGNED AND E-FILED. FORM 990, PART VI, SECTION B, LINE 12C ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC FOR REVIEW IN ADMINISTRATION DURING REGULAR BUSINESS HOURS, MONDAY THROUGH FRIDAY. ALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ONCE A YEAR STATING THEY WILL MAKE THE BOARD AWARE IF THERE IS A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE CHS PRESIDENT WILL SCHEDULE A MEETING OF THE BOARD'S EXECUTIVE SALARY COMMITTEE WHICH CONSISTS OF THE CHAIRMAN-CHESAPEAKE HEALTH SERVICES BOARD, CHAIRMAN-CHESAPEAKE HOSPITAL CORPORATION BOARD, FINANCE COMMITTEE CHAIRMAN, AND A MEMBER OF THE CHS BOARD. THE CHS EXECUTIVE COMMITTEE REVIEWS THE CURRENT SALARY AND BENEFITS OF EACH OFFICER AND KEY EMPLOYEE AND RECOMMENDS ADJUSTMENTS AS NECESSARY. THEIR REVIEW CONSISTS OF COMPARING THE SALARY AND BENEFITS TO A PERIODIC SURVEY DONE BY AN OUTSIDE THIRD PARTY OR HOSPITAL RELATED CIRCULATIONS. IF IT HAS BEEN DETERMINED THAT NO INCREASES WILL BE GIVEN IN THE FISCAL YEAR, NO MEETING WILL TAKE PLACE. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST IN THE ADMINISTRATION OFFICE. FORM 990, PART XI, LINE 9: CLASS B MEMBERSHIP 2,000,000. CHESAPEAKE HEALTH SERVICES 101 HARRIS ROAD KILMARNOCK VA 22482 541513371 PARENT VA 501(C)(3) 11 N/A 0 RAPPAHANOCK GENERAL HOSP FND 101 HARRIS ROAD KILMARNOCK VA 22482 541210450 SUPPORTING ORGANIZATION VA 501(C)(3) 11 N/A 0 CHESAPEAKE MEDICAL GROUP 101 HARRIS ROAD KILMARNOCK VA 22482 541857174 HEALTHCARE SERVICES VA 501(C)(3) 11 N/A 0 0 0 1 1 1 0 0 0 0 1 0 1 1 0 1 1 1 1 1 CHESAPEAKE HEALTH SERVICES M 910468 CASH RAPPAHANNOCK GENERAL HOSPITAL FOUNDATION C 660515 CASH CHESAPEAKE MEDICAL GROUP D 1184098 CASH CHESAPEAKE HEALTH SERVICES E 3427131 CASH CHESAPEAKE MEDICAL GROUP M 107428 CASH CHESAPEAKE MEDICAL GROUP P 64862 CASH CHESAPEAKE MEDICAL GROUP R 509505 CASH RAPPAHANNOCK GENERAL HOSPITAL FOUNDATION Q 137005 CASH