2024-05-14T15:52:11+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 1101 NEW YORK AVENUE NW Washington DC 20005 990 2022-07-01 541489410 VCU Health Tappahannock Hospital VCUH 8044433311 618 HOSPITAL RD TAPPAHANNOCK VA 22560 ELIZABETH MARTIN PRESIDENT 8044433311 2024-05-14 true DAVE EMBRY 999009999 Amber N Doane P01391011 2023276000 2024-05-09 2022 2023-04-26 12:10:37Z ELIZABETH MARTIN 618 HOSPITAL RD TAPPAHANNOCK VA 22560 66173711 false X "SEE SCHEDULE O" X 1989 VA TO PROVIDE EXCELLENCE IN THE DELIVERY OF HEALTHCARE. 13 10 317 10 0 0 2036840 55089172 63486236 8250 2778 604189 647857 55701611 66173711 2250 0 0 18111488 23022145 0 0 40287304 44282771 58401042 67304916 -2699431 -1131205 97989552 166649740 87003175 156787121 10986377 9862619 TO DELIVER IMPORTANT HEALTHCARE SERVICES WITH EXCEPTIONAL QUALITY AND PATIENT-CENTERED CARE. false false 59854372 0 63486236 VCU HEALTH TAPPAHANNOCK HOSPITAL (TAPP) WAS ORGANIZED TO OPERATE AS A CHARITABLE COMMUNITY HOSPITAL, LOCATED IN TAPPAHANNOCK, VIRGINIA. THE HOSPITAL CONSISTS OF INPATIENT BEDS AND PROVIDES INPATIENT AND OUTPATIENT SERVICES . MAJOR SERVICES PROVIDED BY THE ORGANIZATION INCLUDE BUT ARE NOT LIMITED TO: - 24 HOUR EMERGENCY SERVICES - GASTROENTEROLOGY - ORTHOPAEDIC SERVICES - PAIN MANAGEMENT - PHYSICAL THERAPY - SURGERY - OUTPATIENT INFUSION THE SERVICES PERFORMED AT THIS FACILITY ARE CONDUCTED BY HOSPITALISTS, SPECIALISITS, NURSES AND OTHER PROFESSIONALS THAT PROVIDE PATIENT AND ADMINISTRATIVE SERVICES NEEDED TO MANAGE A HOSPITAL. SERVICES ARE CONDUCTED AT THE HOSPITAL AND SURROUNDING FACILITIES. THE PROVISION OF MEDICAL CARE TO THE COMMUNITY, REGARDLESS OF THE ABILITY TO PAY, IS DIRECTLY RELATED TO THE FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSES. SPECIFIC SERVICES TO THE COMMUNITY MAY CHANGE YEAR TO YEAR BASED ON SPECIFIC NEEDS, BUT THE ORGANIZATION WILL CONTINUE TO PROVIDE MEDICAL SERVICES TO THE RESIDENTS OF TAPPAHANNOCK AND SURROUNDING COUNTIES REGARDLESS OF THE ABILITY TO PAY. 59854372 true false false true false false false true false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true X 0 0 317 true false false false false false false false false false false false false X 13 10 false false false false true true true true true false false true true true true true true true true false X MIN CUMMINGS 8048270545 PO BOX 980152 RICHMOND VA 23298 IRIS LANE DIR / VICE CHAIR 1.0 0 X X 0 0 0 NANCY WEAKLEY DIR / SECRETARY 1.0 0 X X 0 0 0 RICHARD FARMAR CHAIR 1.0 0 X X 0 0 0 A FLEET DILLARD DIRECTOR 1.0 0 X 0 0 0 ALICE BURGESS DIRECTOR 1.0 0 X 0 0 0 DARRYL FISHER DIRECTOR 1.0 0 X 0 0 0 FRANCES ELLIS DIRECTOR 1.0 0 X 0 0 0 GARFIELD PARKER DIRECTOR 1.0 0 X 0 0 0 GEORGE LONGEST DIRECTOR 1.0 0 X 0 0 0 LISA DODD MD DIRECTOR 1.0 38.0 X 0 446837 41459 MARK RYAN MD DIRECTOR 1.0 50.0 X 0 252589 43974 PATRICIA GALLAGHER DIRECTOR 1.0 0 X 0 0 0 W GREG HUNDLEY MD DIRECTOR 1.0 72.0 X 0 649709 104906 DAVE EMBRY TREASURER 10.0 30.0 X 0 145206 17423 ELIZABETH MARTIN PRESIDENT 40.0 0 X 308825 0 38100 Brent Metts RT MRI Technologist 40.0 0 X 148965 0 17124 Laura Hughes Respiratory Therapist 40.0 0 X 170284 0 8285 Michelle Seal Pharmacist 40.0 0 X 147340 0 24034 SANDRA HARRIS Pharmacy Director 40.0 0 X 166440 0 15492 Tara Talbott MSN Chief Nursing Officer 40.0 0 X 149829 0 14629 1091683 1494341 325426 33 false true false CAREFUSION 25082 NETWORK PL Chicago IL 60673 Service Agreement 361212 Allied Universal Security PO BOX 277469 Atlanta GA 303847469 Security 326806 All Star Recruiting PO BOX 936725 Atlanta GA 311936725 Recruiting Services 244338 Southern Air Inc 2665 LAKESIDE DR Lynchburg VA 24501 HVAC Services 134811 4 2036840 2036840 NET PATIENT SRVC REV 622110 63486236 63486236 0 0 0 0 63486236 2778 2778 474482 474482 0 474482 474482 0 0 Cafeteria & Other 722514 99339 99339 Gift Shop 453220 70329 70329 MISC REVENUE 900099 3707 3707 0 0 0 0 173375 66173711 63486236 0 650635 346925 291417 55508 17053746 14325147 2728599 1005320 844469 160851 3306235 2777237 528998 1309919 1100332 209587 7447 7447 0 0 0 0 72087 72087 923549 775781 147768 608940 511510 97430 3869 3250 619 45712 38398 7314 1682037 1412911 269126 67069 56338 10731 MEDICAL Supplies 15035088 15035088 PURCHASED SERVICES 10177808 8549359 1628449 Shared Services Allocation 8031987 6746869 1285118 BAD DEBT EXPENSE 6121481 6121481 1505697 1264785 240912 0 67304916 59854372 7450544 0 452 1125 13865974 7510529 0 0 0 0 2187567 1570492 214069 228792 60306071 41986327 15680648 18319744 0 0 66040842 139019058 97989552 166649740 3059724 2501694 0 0 83943451 154285427 87003175 156787121 X 10986377 9862619 10986377 9862619 97989552 166649740 -1131205 0 X false true X true true true X false false false false false false false false true 7447 7447 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING ACTIVITIES THE ORGANIZATION WAS PART OF SEVERAL ASSOCIATIONS THAT ENGAGED IN LOBBYING ON BEHALF OF ITS MEMBERS. THE FOLLOWING IS A LIST OF THE ORGANIZATIONS AND MEMBER DUES USED FOR LOBBYING. AMERICAN HEALTHCARE ASSOCIATION $6,912 VIRGINIA HEALTHCARE ASSOCIATION $535 false false 3047000 3047000 34556337 23152981 11403356 1588673 1488860 99813 20467801 17344486 3123315 646260 646260 18319744 Right of Use Lease Asset 1614937 Other misc Deposits 110739 DUE FROM AFFILIATES 137293382 139019058 DUE TO AFFILIATES 152660527 Lease Liabilities 1483946 Third Party Payable 140954 154285427 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE FILING ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. true true X true X true X true true true false true true 1024548 1024548 0.0167 10567826 10808485 0 0.0 0 0.0 0 0 11592374 10808485 1024548 0.0167 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 0 0 11592374 10808485 1024548 0.0167 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 6121481 0 27097551 27238499 -140948 X true true 1 1 TAPPAHANNOCK HOSPITAL 618 HOSPITAL ROAD TAPPAHANNOCK VA 22560 HTTPS://WWW.VCUHEALTH.ORG/TAPPAHANNOCK H1889 X X X TAPPAHANNOCK HOSPITAL 1 false true true X X X X X X X X X 21 true false false true X https://www.vcuhealth.org/-/media/media/file/vcuhs-tappahannock-hospital--chna-report-june-18-2021-f X X X true 21 true https://www.vcuhealth.org/-/media/media/file/vcuhs-tappahannock-hospital--chna-report-june-18-2021-f false true X 200.0 400.0 X X X true true X X X true X https://www.vcuhealth.org/locations/vcu-medical-center/billing-and-insurance/financial-assistance X https://www.vcuhealth.org/locations/vcu-medical-center/billing-and-insurance/financial-assistance X https://www.vcuhealth.org/locations/vcu-medical-center/billing-and-insurance/financial-assistance X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - TAPPAHANNOCK HOSPITAL. A COMMUNITY INSIGHT SURVEY WAS CONDUCTED WITH COMMUNITY RESIDENTS DURING THE SPRING OF 2021. INSIGHTS WERE COLLECTED VIA SURVEYS ADMINISTERED ONLINE. THE PROFILE OF THE RESPONDENTS WAS 87% WHITE, 13% MINORITY AND MOSTLY FEMALE, UPPER MIDDLE AGED (55-74), AND 31% REPORTED HOUSEHOLD INCOME UNDER $50,000. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - TAPPAHANNNOCK HOSPITAL. IN ADDITION TO THE WEBSITE AND THE HARD COPY AVAILABLE AT THE FACILITY THE REPORT WAS ALSO MAILED TO SEVERAL COMMUNITY LEADERS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - TAPPAHANNOCK HOSPITAL. AS EXPLAINED IN THE CHNA, THE SIGNIFICANT NEEDS TO BE ADDRESSED INCLUDE: LUNG CANCER: TAPPAHANNOCK HOSPITAL IS OFFERING LOW-DOSE CT SCREENING TO A BROADER GROUP THROUGH PARTICIPATING IN THE PENLUNG REGISTRY. DIABETES / OBESITY / NUTRITION: TAPPAHANNOCK HOSPITAL WILL CONTINUE THE HEALTHY LIVING / HEALTH EATING PROGRAM AND THE LEDWITH LEWIS FREE CLINIC AND WILL EXPAND THE PROGRAM FOR HIGH RISK DIABETICS. AGING SERVICES: TAPPAHANNOCK HOSPITAL WILL CONTINUE TO SUPPORT THE FAMILIES PROGRAM SUPPORTING CAREGIVERS OF INDIVIDUALS LIVING WITH DEMENTIA. WILL ALSO CREATE AWARENESS OF THE BAY AGING DAY CARE CENTER. THIS WAS AN INCREDIBLY CHALLENGING AREA FOR 2020, AS CAREGIVERS FOR LOVED ONES WITH DEMENTIA WERE INCREDIBLY ISOLATED DURING THE PANDEMIC. ONLINE SUPPORT GROUPS AND PRIVATE SOCIAL MEDIA GROUPS WERE CREATED TO HELP SUPPORT THESE IMPORTANT INDIVIDUALS. ADDITIONALLY, ONLINE COURSE MATERIAL WAS DEVELOPED TO HELP FAMILIES COPE DURING SUCH A DIFFICULT TIME. ADDITIONALLY, THE LARGE NUMBER OF INDIVIDUALS IN TAPPAHANNOCK HOSPTIAL MEMORY CARE FACILITIES WERE SUPPORTED BY STAFF DURING THE LONG MONTHS THAT FAMILY AND LOVED ONES WERE UNABLE TO VISIT. STAFF FACILITATED VIRTUAL VISITS, BUT THOSE TYPES OF INTERACTIONS WERE OFTEN VERY CHALLENGING FOR DEMENTIA PATIENTS. HOPEFULLY, AS THE COMMUNITY OPENS UP ONCE AGAIN IN 2021 THERE WILL BE AN INCREASED ABILITY TO PROVIDE SUPPORT FOR THIS SPECIAL POPULATION OF PATIENTS AND CAREGIVERS. HEART DISEASE / CARDIOVASCULAR HEALTH / COPD: TAPPAHANNOCK HOSPITAL WILL IMPLEMENT THE AMBULATORY CARE MANAGEMENT PROGRAM FOR CHF AND COPD USING RESPIRATORY CARE AND REGISTERED NURSE STAFF AT A PRIMARY CARE PRACTICE. TAPPAHANNOCK HOSPITAL WILL ALSO PARTICIPATE IN THE BAY RIVERS TELEHEALTH ALLIANCE BRIDGES TO CARDIOVASCULAR HEALTH PROGRAM. 'DON'T DELAY CARE' MESSAGING WAS A KEY FOCUS ON 2020 AS TAPPAHANNOCK HOSPITAL WORKED TO EDUCATE THE COMMUNITY ABOUT HOW TO SAFELY SEEK CARE IN EMERGENCIES DURING THE PANDEMIC. OPIOID ABUSE: TAPPAHANNOCK HOSPITAL WILL PARTICIPATE IN THE BAY RIVERS TELEHEALTH ALLIANCE OPIOID ABUSE PREVENTION AND TREATMENT PROGRAM. TELEHEALTH / TELEMEDICINE: TAPPAHANNOCK HOSPITAL WILL CONTINUE PARTICIPATING IN THE BAY RIVERS TELEHEALTH ALLIANCE SCHOOL-BASED TELEHEALTH PROGRAM FOCUSED ON THE DELIVERY OF PRIMARY CARE AND BEHAVIORAL HEALTHCARE TO STUDENTS IN FOUR AREA SCHOOL SYSTEMS. IN 2020 RTH'S LONG STANDING INVESTMENT AND EXPERTISE IN TELEHEALTH PROVED INVALUABLE DURING THE PANDEMIC. THE TAPPAHANNOCK HOSPITAL HEALTHCARE ASSOCIATION, INC. GROUP 90-1000718 INFRASTRUCTURE ALREADY IN PLACE WAS ABLE TO BE QUICKLY PUT INTO NEW SERVICE TO MAINTAIN ACCESS TO CRITICAL SERVICES. WITH THE LIMITS OF THE COVID-19 PANDEMIC, TAPPAHANNOCK HOSPITAL HAD TO PIVOT SOME OF THE INITIAL PLANS. THE ITEMS DETERMINED TO NOT BE THE HIGHEST PRIORITIES INCLUDED FOR THE CHNA ARE NOTED BELOW, DUE TO THE LIMITATION OF RESOURCES, THE SIZE OF THE ISSUE AND THE CAPACITY OF EXISTING ORGANIZATIONS TO IMPACT THE PROBLEM (WHICH IS CURRENTLY NOTED). ITEMS ON THE LIST MAY BE ALREADY BEING ADDRESSED THROUGH OTHER TAPPAHANNOCK HOSPITAL PROGRAMS, SUCH AS HEART DISEASE, SMOKING CESSATION PROGRAMS, CHRONIC PAIN, SMOKING, RESPIRATORY CARE, DOMESTIC VIOLENCE AND REPRODUCTIVE HEALTH. SOME ISSUES WERE OUTSIDE OF THE AREA OF EXPERTISE OF THE HEALTH SYSTEM, SUCH AS THE FOSTER CARE SYSTEM. ITEMS SUCH AS INFANT MORTALITY ARE IMPORTANT, BUT NOT NECESSARILY AN ITEM THAT COULD BE IMPACTED SIGNIFICANTLY BY THE HEALTH SYSTEM IN A THREE- YEAR PERIOD AND INSTEAD WILL BE ADDRESSED THROUGH OUR CONTINUED PRE AND POST-NATAL CARE PROGRAMS. OTHER ITEMS NOT RANKED AS TOP HEALTH PROBLEMS THROUGH EITHER THE QUALITATIVE OR QUANTITATIVE DATA ASSESSMENTS INCLUDED: ENVIRONMENTAL HEALTH, DROWNING/WATER SAFETY, AUTISM, HIV/AIDS, DENTAL/ORAL CARE, NEUROLOGICAL PROBLEMS, ARTHRITIS, RENAL DISEASE, ORTHOPEDIC PROBLEMS, SEXUALLY TRANSMITTED INFECTIONS, PHYSICAL DISABILITIES AND BULLYING. 1 TAPPAHANNOCK THERAPY SERVICES 300 MOUNT CLEMENT PARK SUITE D TAPPAHANNOCK VA 22560 PHYSICAL THERAPY Schedule H, Part V, Section C TAPPAHANNNOCK HOSPITAL WHILE THE HOSPITAL FACILITY MADE REASONABLE EFFORTS TO ORALLY NOTIFY ALL INDIVIDUALS ABOUT THE FAP AND FAP APPLICATION PROCESS, THIS MAY NOT HAVE BEEN UNIFORMLY PERFORMED FOR 100% OF THE PATIENTS RECEIVING TREATMENT DESPITE THE HOSPITAL'S BEST EFFORTS. Schedule H, Part II, Line 4 FOOTNOTE 2(F) OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS STATES: THE AUTHORITY RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS DURING THE PERIOD IN WHICH COLLECTION IS CONSIDERED DOUBTFUL. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS APPROXIMATELY $137,960 AND $184,238 AT JUNE 30, 2023 AND 22, RESPECTIVELY. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 6121481 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 7a - Uncompensated Care line 23 Medicare Cost Report - Cost of Charity Care. 7b - Provided by Reimbursement - Tapp Community services FY2023 Final spreadsheet. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt is obtained from annual financials and consists of actual writeoffs during the fiscal year and the net change in expected writeoffs of outstanding AR to bad debt using historical trend percentages. Schedule H, Part III, Line 3 Bad Debt Expense Methodology FOR UNINSURED AND UNDERINSURED PATIENTS THAT DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, THE HOSPITAL RECOGNIZES REVENUE ON THE BASIS OF ITS STANDARD RATES, DISCOUNTED ACCORDING TO POLICY, FOR SERVICES RENDERED. HISTORICAL EXPERIENCE HAS SHOWN A SIGNIFICANT PROPORTION OF THE HOSPITAL'S UNINSURED PATIENTS, IN ADDITION TO A GROWING PROPORTION OF THE HOSPITAL'S INSURED PATIENTS, WILL BE UNABLE OR UNWILLING TO PAY FOR THEIR RESPONSIBLE AMOUNTS FOR THE SERVICES PROVIDED. IN ORDER TO ESTIMATE THE NET REALIZABLE VALUE OF THE REVENUES AND ACCOUNTS RECEIVABLES ASSOCIATED WITH THIRD-PARTY PAYORS AND UNINSURED PATIENTS, MANAGEMENT REGULARLY ANALYZES COLLECTION HISTORY. BASED ON THESE HISTORICAL ANALYSES, THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS AND AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS FOR THIRD PARTY AND UNINSURED PATIENT ACCOUNTS RECEIVABLE BALANCES FOR WHICH THE PATIENT IS RESPONSIBLE. THE "EMPLOYER" IS ON ALL PATIENT ACCOUNTS THAT WERE WRITTEN OFF TO BAD DEBT EXPENSE. THOSEACCOUNTS THAT LISTED NO EMPLOYER WERE ASSUMED TO HAVE QUALIFIED UNDER THE CHARITY CARE POLICY BECAUSE OF THE LACK OF INCOME FROM BEING UNEMPLOYED. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote FOOTNOTE 2(E) OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS STATES: THE AUTHORITY RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS DURING THE PERIOD IN WHICH COLLECTION IS CONSIDERED DOUBTFUL. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS APPROXIMATELY $1,211,000 AT JUNE 30, 2022. ACCOUNTS WAS APPROXIMATELY $2,466,000 AT JUNE 30, 2021. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Medicare allowable cost was calculated using a combination of cost from filed FY23 Medicare Cost Report, Cost to charge rations from filed FY23 Medicare Cost report and a calculation of direct cotss plus allocated overhead. The shortfall is related to providing services to our rural community that our board of directors has determined to be necessary for the benefit of the community. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance REASONABLE EFFORTS WILL BE MADE TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE PRIOR TO SENDING AN ACCOUNT TO COLLECTIONS. IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE THE ACCOUNT IS ADJUDICATED BASED ON THEIR FAP ELIGIBILITY. PATIENTS MAY NEED TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION TO DETERMINE ELIGIBILITY OR MAY REQUEST RECONSIDERATION UNDER THIS FINANCIAL ASSISTANCE POLICY BY SUBMITTING A FINANCIAL ASSISTANCE APPLICATION. UPON RECEIPT OF AN APPLICATION FOR FINANCIAL ASSISTANCE, COLLECTION ACTIONS ARE SUSPENDED UNTIL A FINAL ELIGIBILITY DETERMINATION IS MADE. IF THE PATIENT IS DEEMED ELIGIBLE FOR FINANCIAL ASSISTANCE, THE ACCOUNT WILL BE RETURNED FROM COLLECTIONS AND ALL COLLECTION EFFORTS WILL BE REVERSED. Schedule H, Part V, Section B, Line 16a FAP website - TAPPAHANNOCK HOSPITAL: Line 16a URL: https://www.vcuhealth.org/locations/vcu-medical-center/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - TAPPAHANNOCK HOSPITAL: Line 16b URL: https://www.vcuhealth.org/locations/vcu-medical-center/billing-and-insurance/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - TAPPAHANNOCK HOSPITAL: Line 16c URL: https://www.vcuhealth.org/locations/vcu-medical-center/billing-and-insurance/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IS THE BEST WAY TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES WE SERVE. TO SUPPLEMENT THIS DATA, WE ALSO UTILIZED RESOURCES SUCH AS THE VIRGINIA ATLAS OF COMMUNITY HEALTH, DEMOGRAPHIC DATA, AS WELL AS OBSERVING UTILIZATION AND DIAGNOSES TRENDS ACROSS THE SERVICE AREAS AND NATIONALLY. FINALLY, THE ORGANIZATION WORKS CLOSELY WITH OTHER COMMUNITY LEADERS TO IDENTIFY AND RESPOND TO LOCAL NEEDS. HAVING COMMUNITY-BASED BOARDS ALSO ALLOWS FOR CONTINUOUS FEEDBACK FROM INDIVIDUALS LIVING AND WORKING IN THE SERVICE AREA. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance NOTIFICATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM INCLUDE, BUT ARE NOT LIMITED TO, THE PUBLICATION OF NOTICES IN PATIENT BILLS, PROVIDING THE PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IN EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES, PATIENT FINANCIAL SERVICES OFFICES, THE FACILITY WEBSITE, AND OTHER PLACES ACCESSIBLE TO THE PUBLIC. Schedule H, Part VI, Line 4 Community information TAPPAHANNOCK HOSPITAL SERVES THE RESIDENTS OF SEVEN COUNTIES (ESSEX COUNTY, WESTMORELAND COUNTY, NORTHUMBERLAND COUNTY, RICHMOND COUNTY, LANCASTER COUNTY, KING & QUEEN COUNTY AND KING WILLIAM COUNTY) WHOSE POPULATIONS ARE SCATTERED THROUGHOUT VIRGINIA'S MIDDLE PENINSULA AND NORTHERN NECK. THE NORTHERN NECK IS THE NORTHERNMOST OF THREE PENINSULAS THAT EXTEND INTO THE CHESAPEAKE BAY OF VIRGINIA AND IS BORDERED ON THE NORTH BY THE POTOMAC RIVER/MARYLAND BORDER AND ON THE SOUTH BY THE RAPPAHANNOCK RIVER. THE REGION IS LIMITED BY WATER CROSSINGS. IN THE FAR WESTERN PORTION OF THE MARKET THERE IS ONE BRIDGE ACROSS THE POTOMAC INTO MARYLAND, AND THERE ARE TWO CROSSINGS OF THE RAPPAHANNOCK WITH ONE AT EACH END OF THE SERVICE AREA IN TAPPAHANNOCK AND IN LANCASTER COUNTY. THE FERRY TO REACH TANGIER ISLAND (HOME TO 700 IN THE MIDDLE OF THE BAY) DEPARTS OUT OF THIS REGION AS WELL BUT IS RESTRICTED BY SEASONAL DEMAND AND WEATHER. THE AREA IS PARTIALLY A COMMUTER COMMUNITY INTO RICHMOND AND FREDERICKSBURG OR TELECOMMUTING TO DC AND LOCALS WHO WORK IN LOCAL RETAIL, AGRICULTURE AND AS WATERMEN ON THE BAY. THERE IS ALSO A SMALL TOURISM INDUSTRY WHICH CONSISTS OF SERVICES TO WEEKEND AND SUMMER HOMES ON THE WATER. THE HISTORICAL AREAS, SUCH AS GEORGE WASHINGTON'S BIRTHPLACE, DO NOT GARNER AS MUCH TOURISM AS THE RECREATIONAL AREAS TO THE EAST. ONLY TWO TOWNS HAVE A CONCENTRATED POPULATION OF MORE THAN 1,000 PEOPLE. Schedule H, Part VI, Line 5 Promotion of community health THE ORGANZATION PROMOTES COMMUNITY HEALTH AND ITS EXEMPT PURPOSE THROUGH THE MEDICAL SERVICES PROVIDED TO THE RESIDENTS OF THE 7 COUNTIES SERVED, AS WELL AS THROUGH THE IMPLEMENTATON PLAN, WHICH IS BASED ON THE SIGNIFICANT NEEDS REPORTED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. IT ALSO SUPPORTS THE HEALTH OF THE COMMUNITY BY HAVING A COMMUNITY BOARD THAT UNDERSTANDS THE AREA, THE RESIDENTS AND THE PATIENTS OF THE COMMUNITIES SERVED. Schedule H, Part VI, Line 6 Affiliated health care system VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (THE AUTHORITY) IS A PUBLIC CORPORATE BODY AND POLITICAL SUBDIVISION OF THE COMMONWEALTH OF VIRGINIA CREATED AND ESTABLISHED BY AN ACT OF THE GENERAL ASSEMBLY OF THE COMMONWEALTH OF VIRGINIA DURING 1996. THE AUTHORITY IS TAX EXEMPT AS AN INTEGRAL PART OF THE COMMONWEALTH OF VIRGINIA. THE AUTHORITY'S PRINCIPAL ACTIVITY IS OPERATION OF THE MEDICAL COLLEGE OF VIRGINIA HOSPITALS (VCUMC), MCV ASSOCIATED PHYSICIANS (MCVAP), COMMUNITY MEMORIAL HOSPITAL (CMH), TAPPAHANNOCK HOSPITAL (TAPP), CHILDREN'S HOSPITAL (CHILDREN'S), VIRGINIA CHILDREN'S CARE NETWORK (VCCN), UNIVERSITY HEALTH SERVICES, INC. (UHS) AND ARIES INSURANCE SERVICES, LTD (ARIES). ON JANUARY 1, 2021, THE AUTHORITY PURCHASED TAPPAHANNOCK HOSPITAL FROM RIVERSIDE HEALTH SYSTEM, BRINGING THE ORGANIZATION INTO THE AFFILIATED HEALTH CARE SYSTEM KNOWN AS VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM (VCUHS). Schedule H, Part VI, Line 7 State filing of community benefit report VA false false false false false false false false false LISA DODD MD DIRECTOR 0 373003 0 73834 0 0 0 37646 0 3813 0 488296 0 0 W GREG HUNDLEY MD DIRECTOR 0 648709 0 1000 0 0 0 70603 0 34303 0 754615 0 0 MARK RYAN MD DIRECTOR 0 238842 0 13747 0 0 0 26982 0 16992 0 296563 0 0 DAVE EMBRY TREASURER 0 135206 0 10000 0 0 0 13077 0 4346 0 162629 0 0 ELIZABETH MARTIN PRESIDENT 308825 0 0 0 0 0 34781 0 3319 0 346925 0 0 0 SANDRA HARRIS Pharmacy Director 166440 0 0 0 0 0 15492 0 0 0 181932 0 0 0 Laura Hughes Respiratory Therapist 117199 0 53085 0 0 0 7306 0 979 0 178569 0 0 0 Brent Metts RT MRI Technologist 148365 0 600 0 0 0 13867 0 3257 0 166089 0 0 0 Michelle Seal Pharmacist 143941 0 3399 0 0 0 17238 0 6796 0 171374 0 0 0 Tara Talbott MSN Chief Nursing Officer 139829 0 10000 0 0 0 8255 0 6374 0 164458 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation FOR FISCAL YEAR ENDING JUNE 30, 2023, COMPENSATION (SALARIES AND INCENTIVES) FOR THE CEO, EXECUTIVE DIRECTOR OR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION, IS APPROVED BY THE CEO OF THE HEALTH SYSTEM. THE ORGANIZATION USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE ORGANIZATION MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF THE INDIVIDUAL'S PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS DISCUSSES THE MATTER AND PRESENTS RECOMMENDATIONS TO THE CEO OF THE HEALTH SYSTEM. Form 990, Part V, Line 2a EMPLOYEES ARE PAID THROUGH A COMMON PAYMASTER. THE COMMON PAYMASTER IS VCU HEALTH SYSTEM AUTHORITY. THE ORGANIZATION FALLS UNDER A MASTER PAY AGENT AND DOES NOT FILE ANY PAYROLL RETURNS UNDER ITS OWN EIN. Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF THE FILING ORGANIZATION IS THE VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, A PUBLIC BODY CORPORATE AND POLITICAL SUBDIVISION OF THE COMMONWEALTH OF VIRGINIA. THE MEMBER SHALL HAVE THE RIGHTS RESERVED TO IT AS SET FORTH IN THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE HOSPITAL. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER OF THE FILING ORGANIZATION IS THE VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY, A PUBLIC BODY CORPORATE AND POLITICAL SUBDIVISION OF THE COMMONWEALTH OF VIRGINIA. THE MEMBER SHALL HAVE THE RIGHTS RESERVED TO IT AS SET FORTH IN THE ARTICLES OF INCORPORATION AND THE BYLAWS OF THE HOSPITAL. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders GOVERNANCE DECISIONS RESERVED TO MEMBERS THE RESERVED POWERS OF THE SOLE MEMBER, VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY ("VCUHSA"), INCLUDE THE APPROVAL OF THE FOLLOWING MATTERS: (1) ANY AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION, BYLAWS OR OTHER GOVERNING DOCUMENTS OF THE HOSPITAL OR ITS AFFILIATES, INCLUDING ANY CHANGE TO THE NAME OF THE HOSPITAL, ITS AFFILIATES OR ANY FACILITIES OPERATED BY THE HOSPITAL OR ITS AFFILIATES; (2) APPOINTMENT OF ANY DIRECTORS, MANAGERS OR OTHER GOVERNING PERSONS OF THE HOSPITAL OR ITS AFFILIATES; (3) THE ANNUAL OPERATING AND CAPITAL BUDGETS THE HOSPITAL OR ITS AFFILIATES (TO THE EXTENT SEPARATELY APPROVED FROM THE HOSPITAL'S BUDGETS); (4) ANY TRANSACTION, OR SERIES OF TRANSACTIONS IN ANY FISCAL YEAR, INVOLVING CAPITAL EXPENDITURES OR CONTRACTUAL COMMITMENTS BY THE HOSPITAL OR ITS AFFILIATES NOT PREVIOUSLY SPECIFIED IN A BUDGET APPROVED BY THE MEMBER IN AN AMOUNT EXCEEDING $500,000; (5) ANY TRANSACTION, OR ANY SERIES OF TRANSACTIONS IN ANY FISCAL YEAR, INVOLVING THE INCURRENCE OF DEBT OR THE CREATION OF LIENS OR OTHER ENCUMBRANCES ON ASSETS BY THE HOSPITAL OR ITS AFFILIATES, INCLUDING ANY MORTGAGES, CAPITAL LEASES, SECURITY INTERESTS OR GUARANTEES, NOT PREVIOUSLY SPECIFIED IN A BUDGET APPROVED BY THE MEMBER IN AN AMOUNT EXCEEDING $500,000; (6) ANY SALE, DISTRIBUTION OR OTHER DISPOSITION OF CASH, INVESTMENTS OR OTHER ASSETS BY THE HOSPITAL OR ITS AFFILIATES TO ANY THIRD PARTIES, WITH OR WITHOUT CONSIDERATION, IN AN AMOUNT EXCEEDING $500,000; (7) ANY MERGER, CONSOLIDATION, DISSOLUTION OR SALE OR OTHER DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF THE HOSPITAL OR ANY OF ITS AFFILIATES; (8) CREATION OF ANY SUBSIDIARY OR AFFILIATED ENTITY, OR PARTICIPATION IN ANY JOINT VENTURE, PARTNERSHIP LIMITED LIABILITY COMPANY OR SIMILAR ARRANGEMENT, BY THE HOSPITAL OR ITS AFFILIATES; (9)ANY CLOSURE OR OTHER SIGNIFICANT CHANGE TO CLINICAL SERVICE LINES PROVIDED BY THE FACILITIES OPERATED BY THE HOSPITAL OR ITS AFFILIATES; (10) APPOINTMENT OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER OR CHIEF NURSING OFFICER OF THE HOSPITAL; AND (11) ANY MANAGED CARE PAYOR CONTRACTING ON BEHALF OF THE HOSPITAL. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT OF VCUHSA AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE FIRM PREPARES THE FORM 990 FOR REVIEW. THE FORM 990 IS REVIEWED WITH THE APPROPRIATE EXECUTIVE DIRECTOR AND/OR FINANCE LEADER OF THE ORGANIZATION. UPON FINAL REVIEW WITH LEADERSHIP, THE GOVERNING BODY OF THE ORGANIZATION IS PROVIDED WITH A COPY OF THE RETURN PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy VCU HEALTH SYSTEM (VCUHS) HAS A CONFLICT OF INTEREST POLICY THAT REQUIRES ANNUAL DISLCOSURE OF ACTUAL OR POTENTIAL CONFLICTS. THIS POLICY APPLIES TO BOARD MEMBERS/MANAGERS, DECISION-MAKING BOARD COMMITTEES AND OFFICERS ACROSS ALL RELATED ENTITIES. THE ANNUAL DISCLOSURE IS COMPLETED BY A LARGER GROUP OF INTERESTED PERSONS, INCLUDING BUT NOT LIMITED TO THOSE REPORTED ON INTERNAL REVENUE SERVICE (IRS) FORM 990. VCUHS IS REQUIRED TO PARTICIPATE IN THE COMMONWEALTH'S STATEMENT OF ECONOMIC INTEREST PROCESS (SOEI). VCUHS' PARTICIPATION IN THIS PROCESS IS MANDATED BY THE ENABLING LEGISLATION FOR VCUHS. PARTICIPATION IS REQUIRED FOR DIRECTORS AND ABOVE. ADDITIONALLY, EMPLOYEES ARE ENCOURAGED TO CONTACT THE COMPLIANCE HELPLINE IF THEY ARE AWARE OF ANY VIOLATIONS OF HEALTH SYSTEM POLICY OR HAVE ANY COMPLIANCE CONCERNS. ALL CONCERNS REPORTED VIA THIS VENUE ARE INVESTIGATED AND APPROPRIATE REMEDIATION IS IMPLEMENTED. WHEN A VOTING BOARD MEMBER HAS A CONFLICT, THE INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS RELATED TO THE CONFLICTING TRANSACTION. Form 990, Part VI, Line 15a Process to establish compensation of top management official FOR FISCAL YEAR ENDING JUNE 30, 2023, COMPENSATION (SALARIES AND INCENTIVES) FOR THE CEO, EXECUTIVE DIRECTOR OR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION, IS APPROVED BY THE CEO OF THE HEALTH SYSTEM. THE ORGANIZATION USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE ORGANIZATION MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF THE INDIVIDUAL'S PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS DISCUSSES THE MATTER AND PRESENTS RECOMMENDATIONS TO THE CEO OF THE HEALTH SYSTEM. Form 990, Part VI, Line 15b Process to establish compensation of other employees FOR FISCAL YEAR ENDING JUNE 30, 2023, COMPENSATION (SALARIES AND INCENTIVES) FOR THE CEO, EXECUTIVE DIRECTOR OR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION, IS APPROVED BY THE CEO OF THE HEALTH SYSTEM. THE ORGANIZATION USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE ORGANIZATION MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF THE INDIVIDUAL'S PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS DISCUSSES THE MATTER AND PRESENTS RECOMMENDATIONS TO THE CEO OF THE HEALTH SYSTEM. Form 990, Part VI, Line 19 Required documents available to the public DOCUMENTS ARE AVAILABLE FOR UPON REQUEST. Website: WWW.VCUHEALTH.ORG/TAPPAHANNOCK/LOCATIONS/TAPPAHANOCK FORM 990 In the year ending June 30, 2024, the organization filed Form 8940 - Request for Miscellaneous Determination, requesting an exemption from filing the Form 990. Through it's relationship with VCU Health System Authority, a political subdivision of the State of Virginia, the application was approved. This return for year ending June 30, 2023 will be the final Form 990 filed and open for public disclosure. COMMUNITY MEMORIAL HOSPITAL FOUNDATION 1755 N MECKLENBERG AVE RICHMOND VA 23970 541831331 FUNDRAISING ORG VA 501(c)(3) Type I CMH false VCU HEALTH SYSTEM AUTHORITY PO BOX 980648 RICHMOND VA 23298 541848065 HOSPITAL VA 501(c)(1) NA false VCU AMBULATORY SURGERY CENTER LLC 11958 WEST BROAD ST 5TH FLOOR HENRICO VA 23294 863310585 AMBULATORY SERVICES VA 501(c)(3) 3 VCUHSA false VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD 2924 BROOK ROAD RICHMOND VA 23220 540506309 PEDIATRIC SERVICES VA 501(c)(3) 10 VCUHSA false COMMUNITY MEMORIAL HOSPITAL 1755 N MECKLENBERG AVE RICHMOND VA 23970 540551711 HOSPITAL VA 501(c)(3) 3 VCUHSA false VIRGINIA COMMONWEALTH UNIVERSITY PO BOX 842512 RICHMOND VA 23284 546001758 EDU INSTITUTE VA 501(c)(1) NA false UHS PROFESSIONAL EDUCATION PROGRAM P O BOX 980048 RICHMOND VA 23298 541790553 EDU SEMINARS VA 501(c)(3) Type I UHS false UNIVERSITY HEALTH SERVICES INC PO BOX 980152 RICHMOND VA 23298 541790550 PROPERTY VA 501(c)(3) Type I VCUHSA false MCV ASSOCIATED PHYSICIANS PO BOX 980620 RICHMOND VA 23298 541581185 HEALTHCARE VA 501(c)(3) 10 VCUHSA false 7TH AND MARSHALL CORPORATION PO BOX 980152 RICHMOND VA 23298 311568886 SUPPORT ACTIVITY VA 501(c)(3) Type I UHS false VIRGINIA CHILDREN'S CARE NETWORK LLC PO BOX 980152 RICHMOND VA 23298 851396091 HEALTHCARE VA 501(c)(3) Type I VCUHSA false false false false true true false false false false false false true true false true true false false