VCU Health Community Memorial Hospital

What it reported doing in 2022

Community memorial hospital (cmh) is a vital component of the southside Virginia area, providing quality care to our patients, servicing as a vital part of the safety net and enhancing community health. Our mission is to provide excellence in the delivery of healthcare. We are led by a volunteer 14 member board of directors. Cmh is designated as a sole community hospital by medicare which means that we are located in a rural area and 35 miles from other hospitals. We are also designated a disproportionate share hospital by medicare which means that we provide care to a higher level of low-income individuals. Our primary service area of mecklenburg county ranks below the state average in per capita income and above the state average in estimated total population in poverty percentage. We offer a full spectrum of services to the community including in-patient acute care, post-acute, and long-term care, out-patient services, home health and hospice. Our emergency department sees patients regardless of their ability to pay. We offer financial assistance to our uninsured patients. Uninsured patients qualifying with income below the federal poverty level are offered free care. Uninsured patients with family income up to 300% of the federal poverty level are offered sliding scale discounts. Information about our financial assistance program is posted on our website, posted in all registration waiting areas, provided to uninsured patients at registration and included as a note on all statements sent to uninsured patients. We employ a financial specialist whose responsibility is to assist uninsured patients with our financial assistance programs as well as to assist the patients with applying and qualifying for other coverage such as disability or medicaid. With the help of several grants, cmh has been able to offer free mammograms and breast exams to underserved women in the area. As the grants do not cover total program expenses, cmh must supplement the costs to provide these services to the community. As a not for profit organization, any surplus funds go back into the operation of the hospital to maintain the facility and update equipment and technology. Cmh also belongs to and supports 8 chambers of commerce and participates in their community events. Our involvement helps support community growth and we share many health related event notices at these meetings. We also support many of their special events and locate wellness and screening booths there hospitals play a critical role in their community. As major employers and purchasers, hospitals are engines of economic growth and stability. A strong community hospital helps to recruit business and industry to the area and helps attract and retain college graduates and skilled craftsmen. Cmh is the largest single employer in the area providing jobs at a wide range of skill levels from over 12 Virginia and North Carolina localities. Cmh and our employees purchase goods and services locally, creating income and jobs for other businesses in the community.by participating on the town revitalization committee, cmh has been able to provide support to efforts to modernize the town in order to make it more attractive to new businesses. By providing jobs in the region, residents have a better opportunity to receive preventative care through their health insurance programs. The community is also invested in community memorial hospital. Volunteers are a vital part of our health care team, governance and fundraising. The men and women of our auxiliary volunteer thousands of hours each year and provide a wide range of services to strengthen our hospital and enhance the quality of care for patients and families. The community also supports the operation of cmh by support of the cmh foundation. The cmh foundation is also led by a volunteer board of directors and aims to raise funds to allow our hospital to offer the best possible care and maintain state-of-the-art facilities and technologies to

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 87.2%; rating input score 87
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 91.7%; rating input score 92; 8th percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: No; rating input score 0

Accountability

• Independent voting board: 68.8%; rating input score 69; 21st percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -26.9%; rating input score 3; 3rd percentile among comparable filings
• Total-asset coverage ratio: 3.08; rating input score 80; 80th percentile among comparable filings
• Liabilities to assets ratio: 0.97; rating input score 8; 8th percentile among comparable filings
• Officer compensation ratio: 2%; rating input score 53; 53rd percentile among comparable filings

Growth

• Program expense growth: 7.9% per year; rating input score 100; 66th percentile among comparable filings
• Revenue growth: 4.9% per year; rating input score 100; 46th percentile among comparable filings
• Asset growth: 17.7% per year; rating input score 100; 89th percentile among comparable filings