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Chesapeake Hospital Corporation: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Chesapeake Hospital Corporation (EIN 23-7424835)
Tax period
2012-04-01 to 2013-03-31
Filed
2014-02-15
IRS object ID
201400489349301555
Schema version
2012v2.1
Note
A later return for the same period supersedes this one.
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)
Timestamp2014-02-15T16:10:21-06:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN540737372EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PBMARES LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1701 TOWN CENTER DRIVE SUITE 900AddressLine1
CityNEWPORT NEWSCity
StateVAState
ZIP Code23606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237424835EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHESAPEAKE HOSPITAL CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHESNameControl
Phone8044358582Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1449AddressLine1
CityKILMARNOCKCity
StateVAState
ZIP Code22482ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES M HOLMESName
TitlePRESIDENTTitle
Phone8044358582Phone
Date Signed2014-02-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS R BROOKSName
PTINP00168242PTIN
Phone7578731587Phone
Date Prepared2014-02-14DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1RAPPAHANOCK GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES M HOLMES JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 1449AddressLine1
CityKILMARNOCKCity
StateVAState
ZIP Code22482ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36063388GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.RGH-HOSPITAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION OPERATES AN ACUTE CARE GENERAL HOSPITAL.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees459TotalNbrEmployees
Total Nbr Volunteers127TotalNbrVolunteers
Total Gross UBI4270TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year413387ContributionsGrantsPriorYear
Contributions Grants Current Year393845ContributionsGrantsCurrentYear
Program Service Revenue Prior Year35943116ProgramServiceRevenuePriorYear
Program Service Revenue CY35579851ProgramServiceRevenueCY
Investment Income Prior Year12988InvestmentIncomePriorYear
Investment Income Current Year7126InvestmentIncomeCurrentYear
Other Revenue Prior Year469202OtherRevenuePriorYear
Other Revenue Current Year-41487OtherRevenueCurrentYear
Total Revenue Prior Year36838693TotalRevenuePriorYear
Total Revenue Current Year35939335TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6954GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2372GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18692006SalariesEtcPriorYear
Salaries Etc Current Year20293504SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year63449TotalFundrsngExpCurrentYear
Other Expense Prior Year17286475OtherExpensePriorYear
Other Expenses Current Year15942051OtherExpensesCurrentYear
Total Expenses Prior Year35985435TotalExpensesPriorYear
Total Expenses Current Year36237927TotalExpensesCurrentYear
Revenues Less Expenses Prior Year853258RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-298592RevenuesLessExpensesCY
Total Assets BOY27498283TotalAssetsBOY
Total Assets EOY28439703TotalAssetsEOY
Total Liabilities BOY10297234TotalLiabilitiesBOY
Total Liabilities EOY9231430TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17201049NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19208273NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense31308795Expense
Grants2372Grants
Revenue35939335Revenue
DescriptionRAPPAHANOCK 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense437348Expense
DescriptionCHESAPEAKE 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 81 PROGRAMS AND SERVED 1,412 INDIVIDUALS.Description
FieldValueIRS element (for citing)
Total Program Service Expense31746143TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With109626NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees459NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledVAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN HEADLEYNamePerson
Telephone Number8044358000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101 HARRIS ROADAddressLine1
CityKILMARNOCKCity
StateVAState
ZIP Code22482ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
ANN GUMINA
VP OF NURSING35.005.00X11501291224668
EMERSON GRAVATT
VP OF HR40.000.00X80013435722752
BERNARD P LOCKSTAMPFOR JR
TREASURER/VP-PAT. FIN. SERVICES30.0010.00X105016502319593X
DAVID H CHARLTON
VOTING BOARD MEMBER1.000.00X07000
EDWARD P HARROW JR
VOTING BOARD MEMBER1.000.00X09000
ELIZABETH CROWTHER
VOTING BOARD MEMBER1.000.00X90000
FREDRICK COLE
VOTING BOARD MEMBER1.000.00X80000
GARFIELD PARKER
VOTING BOARD MEMBER1.000.00X100000
JAMES CARTER JR
VOTING BOARD MEMBER10.0030.00X011500
JEFF CHASE JR
VOTING BOARD MEMBER1.000.00X105000
JUNE DAFFEH MD
VOTING BOARD MEMBER40.000.00X212545011061
KEVIN MCGRATH MD
VOTING BOARD MEMBER1.000.00X105000
STEPHEN WHITEWAY
VOTING BOARD MEMBER1.000.00X2003000
WAYNE PENICK
VOTING BOARD MEMBER1.000.00X010500
J RANDY HESTER SR
SR VP-OPERATIONS/SECRETARY35.005.00X20021030215324X
JAMES M HOLMES JR
PRESIDENT17.0023.00X20031873226582X
B H HUBBARD III
CHAIRMAN OF THE BOARD2.001.00X012500X
JOHN HEADLEY
CFO30.0010.00X105013098317840
PAUL SUTHERLAND MD
PHYSICIAN40.000.00273741022260X
VIRGINIA GALE
PHYSICIAN40.000.00233922022495X
BARBARA PERONA
ANESTHESIOLOGIST40.000.00343662016124X
STEPHEN PERKINS MD
PHYSICIAN40.000.00233264022257X
BENJAMIN CONTRERAS
ANESTHESIOLOGIST40.000.00386507015751X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1693091TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1093869TotalReportableCompFrmRltdOrgs
Total Other Compensation216707TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DIAMOND HEALTHCARE CORP
PO BOX 85050RICHMONDVA23285PROGRAM MANAGEMENT SERVICE1647412
CHESAPEAKE HEALTH SERVICES
PO BOX 1328KILMARNOCKVA22482MANAGEMENT SERVICES1049946
CHAS LUNSFORD
PO BOX 2571ROANOKEVA24010GENERAL INSURANCE229396
DR RICHARD CARPENTER
PO BOX 3391MARTINSVILLEVA241153391PROFESSIONAL SERVICES120000
CARTER FINANCIAL CORP
PO BOX 300IRVINGTONVA22480PROFESSIONAL SERVICES75000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
All Other Contributions393845AllOtherContributions
Total Contributions393845TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE6230003183997331839973
PHYSICIAN PRACTICE SERVICE62300030262753026275
RADIOLOGY REVENUE623000286452286452
CAFETERIA900099242256242256
OTHER REVENUE623000180625180625

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column4270TotalRevenueColumn
Unrelated Business Revenue4270UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue35579851TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3692TotalRevenueColumn
Exclusion$3,692ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real82566Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real124053Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-41487Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-41487TotalRevenueColumn
Related Or Exempt Function Income-41487RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3434Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other3434Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3434TotalRevenueColumn
Exclusion$3,434ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35939335TotalRevenueColumn
Related Or Exempt Function Income35534094RelatedOrExemptFunctionIncome
Unrelated Business Revenue4270UnrelatedBusinessRevenue
Exclusion$7,126ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total2372Total
Program Services2372ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total223162Total
Program Services110855ProgramServices
Management And General112307ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16930773Total
Program Services15452821ProgramServices
Management And General1477952ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total275538Total
Program Services249335ProgramServices
Management And General26203ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1655335Total
Program Services1492326ProgramServices
Management And General163009ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1208696Total
Program Services1208696ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1049946Total
Management And General1049946ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total44856Total
Management And General44856ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total117562Total
Management And General117562ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1830230Total
Program Services1397701ProgramServices
Management And General432529ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total38767Total
Management And General38767ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total104092Total
Program Services28091ProgramServices
Management And General76001ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total78672Total
Management And General78672ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total624215Total
Program Services624215ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total121462Total
Program Services110683ProgramServices
Management And General10779ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total203995Total
Program Services203995ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total853859Total
Program Services853859ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total239121Total
Program Services239121ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES63113076311307
BAD DEBT EXPENSE23494162349416
REPAIRS AND RENTALS1626344948683677661
DUES AND SUBSCRIPTIONS16773560988106747

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total180472Total
Program Services101679ProgramServices
Management And General15344ManagementAndGeneral
Fundraising63449Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36237927Total
Program Services31746143ProgramServices
Management And General4428335ManagementAndGeneral
Fundraising63449Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1330BOY
EOY1330EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY113144BOY
EOY98246EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12184736BOY
EOY12520738EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY980181BOY
EOY957125EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY513318BOY
EOY1500212EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31455099LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24099555LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7595562BOY
EOY7355544EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY49669BOY
EOY49669EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY65756BOY
EOY55845EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5994587BOY
EOY5900994EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27498283BOY
EOY28439703EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4220552BOY
EOY4209202EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1115998BOY
EOY975215EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4960684BOY
EOY4047013EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10297234BOY
EOY9231430EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17083950BOY
EOY19061959EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY117099BOY
EOY146314EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17201049BOY
EOY19208273EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27498283BOY
EOY28439703EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-298592ReconcilationRevenueExpenses
Reconcilation Other Changes2305816ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$7,887GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB7887TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
Explanation24% OF VHHA AND AHA DUES PAID BY THE HOSPITAL ARE ATTRIBUTABLE TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1045796OtherCostOrOtherBasis
Book Value1045796BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10744815OtherCostOrOtherBasis
Depreciation7409745Depreciation
Book Value3335070BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis115110OtherCostOrOtherBasis
Depreciation99936Depreciation
Book Value15174BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis18533302OtherCostOrOtherBasis
Depreciation15949040Depreciation
Book Value2584262BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1016076OtherCostOrOtherBasis
Depreciation640834Depreciation
Book Value375242BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7355544TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
EXTERNALLY RESTRICTED ASSETS146083
DUE FROM CMG4173867
DUE FROM RGHF AND AUXILLARY680587
DUE FROM CHS743713
OTHER RECEIVABLES156744
FieldValueIRS element (for citing)
Total Book Value Other Assets5900994TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
NOTE PAYABLE - SIEMENS$807,026
DUE TO CHS$3,239,987
FieldValueIRS element (for citing)
Total Of Amounts4047013TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt33629977TotRevenueEtcAuditedFinclStmt
Other Revenues128606OtherRevenues
Revenue Not Rptd F990128606RevenueNotRptdF990
Revenue Subtotal33501371RevenueSubtotal
Other Revenues Not Included2437964OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2437964RevenueNotRptdOnFinStmt
Total Revenue Per Form99035939335TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33939745TotExpensesEtcAuditedFinclStmt
Other Expenses Included128606OtherExpensesIncluded
Expenses Not Rptd F990128606ExpensesNotRptdF990
Expenses Subtotal33811139ExpensesSubtotal
Other Expenses Not Included2426788OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2426788ExpensesNotRptdOnFinStmt
Total Expenses Per Form99036237927TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:SCHEDULE D: RHS, THE HOSPITAL, CMG AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. EFFECTIVE 2009, FASB ACCOUNTING STANDARDS CODIFICATION 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. RHS'S MANAGEMENT HAS EVALUATED THE IMPACT OF THE STANDARD TO ITS FINANCIAL STATEMENTS, BUT DOES NOT ANTICIPATE A MATERIAL EFFECT. RHS IS NOT AWARE OF ANY MATERIAL UNCERTAIN TAX POSITIONS AND HAS NOT ACCRUED THE EFFECT OF ANY UNCERTAIN TAX POSITIONS AS OF MARCH 31, 2013 AND 2012. WITH FEW EXCEPTIONS, RHS IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY FEDERAL, STATE OR LOCAL AUTHORITIES FOR YEARS BEFORE 2009.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 124,053. ASSETS RELEASED FROM RESTRICTIONS 4,553.
PART XI, LINE 4B - OTHER ADJUSTMENTS:DIRECT PAYMENTS TEMPORARILY RESTRICTED NET ASSETS 2,372. PROVISION FOR BAD DEBT 2,349,416. PROFESSIONAL FEES 75,000. ASSETS REPORTED THROUGH EQUITY 11,176.
PART XII, LINE 2D - OTHER ADJUSTMENTS:RENTAL EXPENSES 124,053. ASSETS RELEASED FROM RESTRICTIONS 4,553.
PART XII, LINE 4B - OTHER ADJUSTMENTS:PROVISION FOR BAD DEBT 2,349,416. DIRECT PAYMENTS TEMPORARILY RESTRICTED NET ASSETS 2,372. PROFESSIONAL FEES 75,000.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense869674TotalCommunityBenefitExpense
Net Community Benefit Expense869674NetCommunityBenefitExpense
Percent Of Total Expense0.02560PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense489347TotalCommunityBenefitExpense
Net Community Benefit Expense489347NetCommunityBenefitExpense
Percent Of Total Expense0.01440PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense1359021TotalCommunityBenefitExpense
Net Community Benefit Expense1359021NetCommunityBenefitExpense
Percent Of Total Expense0.04000PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs81NumberOfActivitiesOrPrograms
Persons Served1412PersonsServed
Total Community Benefit Expense437348TotalCommunityBenefitExpense
Net Community Benefit Expense437348NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs81NumberOfActivitiesOrPrograms
Persons Served1412PersonsServed
Total Community Benefit Expense437348TotalCommunityBenefitExpense
Net Community Benefit Expense437348NetCommunityBenefitExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs81NumberOfActivitiesOrPrograms
Persons Served1412PersonsServed
Total Community Benefit Expense1796369TotalCommunityBenefitExpense
Net Community Benefit Expense1796369NetCommunityBenefitExpense
Percent Of Total Expense0.05290PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs81NumberOfActivitiesOrPrograms
Persons Served1412PersonsServed
Total Community Building Expense437348TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense437348NetCommunityBuildingExpense
Percent Of Total Expense0.01290PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs81NumberOfActivitiesOrPrograms
Persons Served1412PersonsServed
Total Community Building Expense437348TotalCommunityBuildingExpense
Net Community Building Expense437348NetCommunityBuildingExpense
Percent Of Total Expense0.01290PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,036,252BadDebtExpenseAmount
Amount Reimbursed By Medicare17734331AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare20550290CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-2815959MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 CHESAPEAKE HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivityMANAGEMENT SERVICESDescriptionEntPrimaryActivity
Organization Profit Or Ownership1.00000OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership0.00000OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership0.00000PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1RAPPAHANOCK GENERAL HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1101 HARRIS ROADAddressLine1
CityKILMARNOCKCity
StateVAState
ZIP Code22482ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.RGH-HOSPITAL.COMWebsiteAddress
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1RAPPAHANNOCK GENERAL HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities0OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Uninsured DiscountXUninsuredDiscount
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Provided On AdmissionXProvidedOnAdmission
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit Lien On ResidenceXPermitLienOnResidence
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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, L7 COL(F): COSTING METHOD IS OVERALL COST TO CHARGE RATIO FROM MEDICARE COST REPORT. BAD DEBT IS EXCLUDED IN THE CALCULATION.
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 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 COMMUNITYS 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 COUNTYS 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 COUNTYS 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 HOSPITALS 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 HOSPITALS 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 THERES 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.RAPPAHANNOCK GENERAL HOSPITAL
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 COMMUNITYS 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. RGHS SERVICE AREA IS MOSTLY A RURAL COASTAL COMMUNITY AND INCLUDES LANCASTER, NORTHUMBERLAND, AND MIDDLESEX COUNTIES. THE HOSPITALS COMMUNITY IS BASED ON THE POPULATION FROM THESE THREE COUNTIES. APPROXIMATELY 88% OF RGHS 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 RGHS 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 COMMUNITYS 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 VIRGINIAS 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 HOSPITALS 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.
VAREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
EMERSON GRAVATT
VP OF HR01343570080000324101951180015710900
BERNARD P LOCKSTAMPFOR JR
TREASURER/VP-PAT. FIN. SERVICES0165023001050004172015421105018461600
JUNE DAFFEH MD
VOTING BOARD MEMBER21174500080003375076860223606000
J RANDY HESTER SR
SR VP-OPERATIONS/SECRETARY0209452002008500276701255720022562600
JAMES M HOLMES JR
PRESIDENT029800300200207290700301957920034531400
PAUL SUTHERLAND MD
PHYSICIAN2737410000065290157310296001000
VIRGINIA GALE
PHYSICIAN2339220000065700159250256417000
BARBARA PERONA
ANESTHESIOLOGIST3436620000052500108740359786000
STEPHEN PERKINS MD
PHYSICIAN2332640000063030159540255521000
BENJAMIN CONTRERAS
ANESTHESIOLOGIST3865070000000157510402258000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 7ReturnReference
ExplanationPORTION OF PHYSICIAN CONTRACTS PAYMENTS ARE VARIABLE BASED ON CASH COLLECTEDExplanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHESAPEAKE BANKBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipJAMES M. HOLMES, JR. IS A DIRECTOR OF CHESAPEAKE BANKRelationship
Amount Of Transaction50352AmountOfTransaction
Description Of TransactionPAYMENTS ON LOAN TO CHESAPEAKE BANKDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART V, LINE 7GQUESTIONS 7G DOES NOT APPLY TO THE ORGANIZATION BECAUSE THE ORGANIZATION DID NOT HAVE CONTRIBUTIONS OF QUALIFIED INTELLECTUAL PROPERTY.
FORM 990, PART V, LINE 7HQUESTIONS 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 11WHEN THE COMPLETED FORM 990 COMES BACK FROM THE OUTSIDE TAX PREPARERS, IT IS REVIEWED BY THE VICE PRESIDENT-PATIENT FINANCIAL SERVICES OR CHIEF FINACIAL OFFICER 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-CHS BOARD, CHAIRMAN OF THE CHESAPEAKE HOSPITAL CORPORATION BOARD, FINANCE COMMITTEE CHAIRMAN AND MEMBER OF THE CHS BOARD. THE EXECUTIVE COMMITTEE REVIEWS THE RETURN IN DETAIL AND RECOMMENDS THAT THE BOARD OF DIRECTORS ACCEPT IT. AT THE NEXT SCHEDULED BOARD MEETING (OR A CALLED MEETING IF NECESSARY TO MAIL THE RETURN ON TIME), THE FORM 990 IS DISCUSSED WITH COPIES BEING AVAILABLE FOR ANY OTHER BOARD MEMBER TO REVIEW. ONCE THIS MEETING AND APPROVAL OF THE FORM 990 HAVE TAKEN PLACE, THE RETURN IS SIGNED AND EFILED.
FORM 990, PART VI, SECTION B, LINE 12CALL 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 15THE 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 19ALL 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 INTEREST 2,816,191. PRIOR PERIOD ADJUSTMENT -510,375.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE AUDIT COMMITTEE OF THE CHESAPEAKE HEALTH SERVICES IS RESPONSIBLE UNDER ITS CORPORATE DOCUMENTS FOR THE SELECTION OF THE INDEPENDENT AUDITORS AND FOR THE OVERSIGHT OF THE ANNUAL AUDIT PROCESS THAT WILL COVER ALL OF THE ENTITIES, ACCOUNTS AND ACTIVITIES PRESENTED IN THE CONSOLIDATED ANNUAL FINANCIAL STATEMENTS, INCLUDING AMOUNTS REPORTED HEREIN. THERE HAS BEEN NO CHANGE IN THE PROCEDURE FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
CHESAPEAKE HEALTH SERVICES
101 HARRIS ROADKILMARNOCKVA22482541513371PARENTVA501(C)(3)11N/A0
RAPPAHANOCK GENERAL HOSP FND
101 HARRIS ROADKILMARNOCKVA22482541210450SUPPORTING ORGANIZATIONVA501(C)(3)11N/A0
CHESAPEAKE MEDICAL GROUP
101 HARRIS ROADKILMARNOCKVA22482541857174HEALTHCARE SERVICESVA501(C)(3)11N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHESAPEAKE HEALTH SERVICES
M1049946CASH
RAPPAHANNOCK GENERAL HOSPITAL FOUNDATION
C357207CASH
CHESAPEAKE MEDICAL GROUP
D4173867CASH
RAPPAHANNOCK GENERAL HOSPITAL FOUNDATION
D632387CASH
CHESAPEAKE HEALTH SERVICES
D743713CASH
CHESAPEAKE MEDICAL GROUP
M141069CASH
CHESAPEAKE HEALTH SERVICES
E3239987CASH