SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/form990 for instructions and the latest informtion.
OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
RICHMOND EYE AND EAR HEALTHCARE ALLIANCE
 
Employer identification number

54-1904435
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

 

No
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    115,877   115,877 0.940 %
b Medicaid (from Worksheet 3, column a) . . . . .     593,942 345,069 248,873 2.030 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     709,819 345,069 364,750 2.970 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     309,628   309,628 2.520 %
f Health professions education (from Worksheet 5) . . .            
g Subsidized health services (from Worksheet 6) . . . .     90,380 79,328 11,052 0.090 %
h Research (from Worksheet 7) .     171,777   171,777 1.400 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     10,350   10,350 0.080 %
j Total. Other Benefits . .     582,135 79,328 502,807 4.090 %
k Total. Add lines 7d and 7j .     1,291,954 424,397 867,557 7.060 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
 
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
4,551,365
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
8,304,664
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-3,753,299
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 STONY POINT SURGERY CENTER
 
OUTPATIENT SURGICAL HOSPITAL, MULTI-SPECIALTY 50.320 % 9.030 % 40.650 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2017
Schedule H (Form 990) 2017
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 STONY POINT SURGERY CENTER
8700 STONY POINT PKWY 100
RICHMOND,VA23235
                OUTPATIENT SURGICAL HOSPITAL  
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
RICHMOND EYE & EAR HEALTHCARE ALLIANCE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.MEDARVA.COM
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
RICHMOND EYE & EAR HEALTHCARE ALLIANCE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.MEDARVA.COM
b
WWW.MEDARVA.COM
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Billing and Collections
RICHMOND EYE & EAR HEALTHCARE ALLIANCE
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
RICHMOND EYE & EAR HEALTHCARE ALLIANCE
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
RICHMOND EYE & EAR HEALTHCARE ALLIANCE PART V, SECTION B, LINE 5: THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND COMMUNITY LEADERS OF MINORITY AND UNDERSERVED GROUPS. IN PARTICULAR, THOSE CONSULTED WERE ACCESS NOW, CROSSOVER HEALTHCARE MINISTRY, FAMILY LIFELINES, THE FAN FREE CLINIC, THE GOOCHLAND FREE CLINIC & FAMILY SERVICES, & THE PARTNERSHIP FOR FAMILIES NORTHSIDE.
RICHMOND EYE & EAR HEALTHCARE ALLIANCE PART V, SECTION B, LINE 11: REEHA PROVIDES FREE VISION AND HEARING SCREENINGS FOR PRE KINDERGARTEN CHILDREN TO INCREASE ACCESS TO CARE FOR CHILDREN AND TO HELP THEM SEE AND HEAR AS WELL AS THEIR CLASSMATES. THE PROGRAM PROVIDES FREE MOBILE SCREENINGS, IN ADDITION TO EDUCATIONAL INFORMATION REGARDING THE IMPORTANCE OF VISUAL AND AUDITORY HEALTH, AND SEEKS TO BREAK DOWN BARRIERS TO CARE SUCH AS LANGUAGE, TRANSPORTATION, LOW INCOME OR THE LACK OF INSURANCE. REEHA SCREENING ASSISTANTS DETECT POTENTIAL VISUAL AND AUDITORY PROBLEMS AND REPORT ANY NECESSARY REFERRALS. DETECTING THESE ISSUES AT AN EARLY AGE IS CRITICAL FOR ACEDEMIC SUCCESS. MORE THAN 9,500 CHILDREN HAVE BEEN SCREENED SINCE THE PROGRAM'S INCEPTION IN FALL 2015. 20% OF THE CHILDREN SCREENED WERE REFERRED TO A PHYSICIAN FOR VISION, HEARING OR BOTH. 80% OF CHILDREN REFERRED RECEIVED FOLLOW-UP CARE.LOW VISION HAS ALSO BEEN A FOCUS AS MEDARVA OPERATES VIRGINIA'S ONLY FULL-TIME, PRIVATE LOW VISION CENTER. THE CENTER PROVIDES COMPREHENSIVE LOW VISION EXAMS TO NOT ONLY THOSE WITH INSURANCE, BUT INDIVIDUALS WHO ARE REFERRED TO THE PROGRAM AND NEED ASSISTANCE. ALONG WITH SCREENINGS, THE CENTER PROVIDES OCCUPATIONAL THERAPY SERVICES TO PATIENTS WHO NEED TO LEARN HOW TO USE SPECIAL LOW VISION EQUIPMENT.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2017
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Schedule H (Form 990) 2017
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 7: THE ORGANIZATION USED WORKSHEET 2 OF THE 2017 SCHEDULE H INSTRUCTIONS TO CALCULATE A COST-TO-CHARGES RATIO USED TO COMPUTE CHARITY CARE AND UNREIMBURSED MEDICAID AT COST. AMOUNTS ON LINE 7E - 7I ARE TRACKED AT COST.
PART I, LN 7 COL(F): TOTAL EXPENSE FOR PURPOSES OF LINE 7, COLUMN (F) HAS BEEN INCREASED TO INCLUDE THE ORGANIZATION'S ALLOCATED EXPENSES FROM A JOINT VENTURE OPERATING A HOSPITAL FACILITY. RICHMOND EYE AND EAR HEALTHCARE ALLIANCE IS A PARTNER IN STONY POINT SURGERY CENTER.
PART III, LINE 4: THE ORGANIZATION USED A COST-TO-CHARGES RATIO TO DETERMINE BAD DEBT AT COST. BAD DEBT IS COMPRISED OF A RATABLE PORTION ALLOCATED FROM A JOINT VENTURE, CONVERTED TO COST USING A COST-TO-CHARGE RATIO. ALLOCATED BAD DEBT $ 49,168 COST-TO-CHARGES RATIO: 49.20% AJUSTED BAD DEBT FROM JOINT VENTURE $ 24,189SCHEDULE H, PART III, LINE 3: THE SURGERY CENTER ESTIMATES THAT NONE OF THE BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS THAT WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE BECAUSE THESE BAD DEBTS RELATE SOLELY TO COMMERCIALLY INSURED INDIVIDUALS.
PART III, LINE 8: THE HOSPITAL FACILITY DOES NOT PREPARE A MEDICARE COST REPORT. AS A RESULT, MEDICARE REVENUE IS DETERMINED BY MULTIPLYING THE HOSPITAL FACILITY'S GROSS MEDICARE CHARGES BY REEHA'S OWNERSHIP PERCENTAGE IN THE HOSPITAL FACILITY AND MULTIPLYING THAT AMOUNT BY THE PERCENTAGE OF MEDICARE GROSS CHARGES ACTUALLY COLLECTED BY THE HOSPITAL FACILITY. MEDICARE ALLOWABLE COSTS IS DETERMINED BY MULTIPLYING THE HOSPITAL FACILITY'S OPERATING EXPENSES BY REEHA'S OWNERSHIP PERCENTAGE IN THE HOSPITAL FACILITY AND THEN MULTIPLYING THAT AMOUNT BY THE PERCENTAGE OF THE HOSPITAL FACILITY'S TOTAL GROSS PATIENT CHARGES COMPRISED OF MEDICARE GROSS CHARGES.
PART III, LINE 9B: PERSONS WHO QUALIFY FOR THE CHARITY CARE OR FINANCIAL ASSISTANCE ARE REMOVED FROM THE COLLECTION PROCESS AT THE FIRST AVAILABILITY OF INFORMATION. ALL BILLING AND COLLECTION EFFORTS WILL CEASE IMMEDIATELY AND COLLECTION EFFORTS WILL NOT TO BE PURSUED. THE ACCOUNT IS IMMEDIATELY WRITTEN OFF AND RECOGNIZED AS CHARITY. ALL PREVIOUS PATIENT PAYMENTS ARE RETURNED TO THE PATIENT.
PART VI, LINE 2: MEDARVA HEALTHCARE, PRIDES ITSELF ON PRACTICING AND PERFECTING THE ART OF MEDICINE, AND PARTNERING WITH COMMUNITY ORGANIZATIONS TO HELP BRING MEDICAL ASSISTANCE AND AWARENESS TO THOSE IN NEED. THE CONCLUSIONS RESULTED FROM QUALITATIVE AND QUANTITATIVE FINDING FROM COMMUNITY RESOURCES, THE "COMMUNITY INSIGHTS PROFILE" BASED ON FEEDBACK FROM COMMUNITY HEALTH PROFESSIONALS AND THE "COMMUNITY INDICATOR PROFILE" BASED ON DEMOGRAPHIC RESEARCH. AFTER COMPILING INFORMATION REGARDING THE HEALTH CARE NEEDS OF THE COMMUNITIES SERVED BY MEDARVA, A SET OF COMMUNITY HEALTH INDICATORS WERE IDENTIFIED. THE INDICATORS FOCUS ON DETERMINANTS OF HEALTH (ECONOMIC CONDITIONS, HEALTH CARE ACCESS, HEALTH CARE AFFORDABILITY), PREVALENCE OF CHRONIC CONDITIONS, AND HEALTH OUTCOMES (MORBIDITY AS MEASURED BY HOSPITAL USE AND MORTALITY). USING THESE DETERMINANTS, THE TASK FORCE DISCUSSED KEY HEALTH AND HEALTH CARE ISSUES FROM THE PERSPECTIVES OF CHALLENGES, ACHIEVEMENTS, OPPORTUNITIES FOR ACTION, RESOURCES AND PRIORITIES FOR ACTION. THIS PROCESS WAS USED TO DELINEATE, IN ORDER OF PRIORITY, THE FOLLOWING LIST OF COMMUNITY HEALTH NEEDS:- AFFORDABLE HEALTH CARE- ACCESS TO SPECIALIST HEALTH CARE- PERVASIVE HEALTH PROBLEMS- NEED FOR NON-PROFIT HEALTH CARE FACILITIES- CONTINUED FUNDING OF MEDICAID PROCEDURES AND CHARITY CARE
PART VI, LINE 3: MEDARVA'S MISSION IS TO PROVIDE THE BEST CARE TO EVERY PATIENT EVERY DAY. AS PART OF THAT COMMITMENT, THE ORGANIZATION APPROPRIATELY SERVES PATIENTS IN DIFFICULT FINANCIAL CIRCUMSTANCES AND OFFERS FINANCIAL ASSISTANCE TO THOSE WHO HAVE AN ESTABLISHED NEED TO RECEIVE EMERGENCY OR MEDICALLY NECESSARY MEDICAL SERVICES. SPSC'S POLICY IS TO PROVIDE EMERGENCY CARE TO STABILIZE PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. SPSC'S POLICY SERVES TO ESTABLISH AND ENSURE A FAIR AND CONSISTENT METHOD FOR THE REVIEW AND COMPLETION OF REQUESTS FOR CHARITABLE MEDICAL CARE TO PATIENTS IN NEED. PATIENTS WHO WANT TO APPLY FOR FINANCIAL ASSISTANCE OR WHO HAVE BEEN IDENTIFIED AS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE ARE INFORMED OF THE APPLICATION PROCESS EITHER BEFORE RECEIVING SERVICES IF THE FACTS SUGGEST POTENTIAL ELIGIBILITY OR AFTER THE BILLING AND COLLECTION PROCESS HAS BEGUN.
PART VI, LINE 4: MEDARVA STONY POINT SURGERY CENTER (SPSC) IS A LICENSED OUTPATIENT SURGERY HOSPITAL AND MEDICARE/MEDICAID CERTIFIED AMBULATORY SURGERY CENTER. MEDARVA'S HIGHLY TRAINED PROFESSIONAL STAFF AND PHYSICIANS UTILIZE ADVANCED TECHNOLOGY TO PERFORM SURGERY IN THE 30,000 SQUARE FOOT MODERN AMBULATORY SURGERY CENTER. THE CENTER HAS EIGHT OPERATING ROOMS AND FIVE SPECIAL PROCEDURE ROOMS. AN ANALYSIS OF MEDARVA PATIENT DATA FROM THE PAST THREE YEARS INDICATES THAT MEDARVA PRIMARILY PROVIDES OUTPATIENT SURGICAL SERVICES TO PATIENTS IN THE GREATER RICHMOND METROPOLITAN AREA, WHICH INCLUDES THE FOLLOWING LOCALES: AMELIA COUNTY, CAROLINE COUNTY, CHARLES CITY COUNTY, CHESTERFIELD COUNTY, CITY OF RICHMOND, CITY OF PETERSBURG, CITY OF HOPEWELL, CITY OF COLONIAL HEIGHTS, CUMBERLAND COUNTY, DINWIDDIE COUNTY, GOOCHLAND COUNTY, HANOVER COUNTY, HENRICO COUNTY, KING AND QUEEN COUNTY, KING WILLIAM COUNTY, LOUISA COUNTY, NEW KENT COUNTY, POWHATAN COUNTY, PRINCE GEORGE COUNTY, AND SUSSEX COUNTY. MEDARVA'S SERVICES ALSO INCLUDE THE CITIES OF FREDERICKSBURG, WILLIAMSBURG, AND EMPORIA. - HEALTH DEMOGRAPHIC PROFILE THE STUDY REGION INCLUDED MAJOR COUNTIES SURROUNDING THE CITY OF RICHMOND, INCLUDING HENRICO COUNTY AND CHESTERFIELD COUNTY. WHILE OTHER SURROUNDING COUNTIES ARE SIGNIFICANT, HENRICO AND CHESTERFIELD ARE SIGNIFICANTLY LARGER AND CLOSER GEOGRAPHICALLY TO THE CITY OF RICHMOND. THESE COUNTIES SHARE HEALTH CARE FACILITIES AND SERVICES. MANY OTHER SURROUNDING COUNTIES ARE SERVED BY SMALLER ENTITIES AND HAVE SPARSE POPULATIONS THAT CAN SKEW DATA. - MORTALITY PROFILE DATA SHOWN IN THE MORTALITY PROFILE IS FROM CENSUS DATA. MEDICAL DATA (DEATH BY CAUSE). ALL DATA IS FROM THE VIRGINIA DEPARTMENT OF HEALTH & VITAL STATISTICS AND FROM THE U.S. CENSUS.- MATERNAL AND INFANT HEALTH PROFILE NATALITY PROFILE DATA COMES FROM THE VIRGINIA DEPARTMENT OF HEALTH AND VITAL STATISTICS AND THE AMERICAN COMMUNITY SURVEY (U.S. CENSUS DATA). THIS COMPREHENSIVE INFORMATION PROVIDES INSIGHT ON GEOGRAPHICAL REGIONS WITHIN THE COMMONWEALTH.- PREVENTABLE HOSPITALIZATION PROFILE EXPERTS HAVE IDENTIFIED A DEFINED SET OF CONDITIONS THAT ARE AMBULATORY CARE SENSITIVE (ACS). AMBULATORY CARE IS OFTEN CONSIDERED PREVENTABLE IF AND WHEN ADEQUATE PRIMARY CARE IS AVAILABLE TO AND ACCESSED BY THOSE IN NEED. THESE FACTORS ARE OFTEN AFFECTED BY SIGNIFICANT LEVELS OF POVERTY IN URBAN AREAS, WHICH ARE INVERSELY PROPORTIONAL TO THE SAME FACTORS IN MORE AFFLUENT AREAS. - HEALTH PROFESSIONAL SHORTAGE PROFILE DEFINED AS HAVING A SHORTAGE OF PRIMARY MEDICAL CARE, DENTAL OR MENTAL HEALTH PROFESSIONALS. THERE ARE 143,925 (12.23%) PEOPLE LIVING IN AN AREA IDENTIFIED AS HAVING LIMITED ACCESS TO HEALTH CARE. - DIABETES MANAGEMENT PROFILE IN THE REPORT AREA, 11,644 MEDICARE ENROLLEES WITH DIABETES HAVE HAD AN ANNUAL EXAM OUT OF 13,616 MEDICARE ENROLLEES IN THE REPORT AREA WITH DIABETES, OR 85.52%. THIS IS A COMPARABLE RATE TO THE COMMONWEALTH OF VIRGINIA. DATA IS ALSO FROM THE AMERICAN COMMUNITY SURVEY AND THE VIRGINIA DEPARTMENT OF HEALTH AND VITAL STATISTICS. THE VDOH PROVIDES MORE ROBUST DATA ON LOCALITIES THAN THE ACS SHOWS, WHICH IS MORE FOCUSED ON NATIONAL STATISTICS.- UNINSURED PROFILE IN THE REPORT AREA, ADULTS AGE 18 TO 64 WITHOUT HEALTH INSURANCE COVERAGE IS 17.78%. THIS IS AVERAGE COMPARED TO STATEWIDE COVERAGE. THIS DATA, ALSO FROM THE AMERICAN COMMUNITY SURVEY, HIGHLIGHTS SOME STRIKING DIFFERENCES BETWEEN COVERAGE IN CERTAIN GEOGRAPHIC AREAS, LEVELS OF WEALTH AND DEMOGRAPHICS. IT IS WORTH NOTING THAT THESE LEVELS WILL CONTINUE TO FLUCTUATE AS THE AFFORDABLE CARE ACT CONTINUES TO AFFECT INSURANCE COVERAGE THROUGHOUT THE NATION AND PARTICULARLY STATEWIDE.
PART VI, LINE 5: RICHMOND EYE & EAR HEALTHCARE ALLIANCE PROVIDES DIRECT PATIENT SURGICAL CHARITY CARE THROUGH ITS 51.27% OWNERSHIP OF STONY POINT SURGERY CENTER. IT ALSO PROVIDES OVER $380,000 ANNUALLY TO COMMUNITY HEALTHCARE EDUCATION AND OUTREACH GRANTS AND RESEARCH FUNDING, DISTRIBUTED THROUGH RICHMOND EYE & EAR FOUNDATION. (LISTED ON STONYPOINTSC.COM WEBSITE)A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND WHO ARE NEITHER EMPLOYEES OF NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION. STONY POINT SURGERY CENTER EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN REEHA'S COMMUNITY. REEHA UTILIZES ANY SURPLUS FUNDS FROM OPERATIONS TO FURTHER PROMOTE THE CHARITABLE PURPOSES OF THE ORGANIZATION.PARTNER WITH VIRGINIA'S LARGEST FREE HEALTHCARE CLINIC (CROSSOVER MINISTRY) GIVEN $1.4 MILLION IN RESEARCH GRANTS OVER THE PAST 10 YEARS. WE DONATE TO VARIOUS COMMUNITY ORGANIZATIONS (SPECIAL OLYMPICS, VIRGINIA VOICE, CHALLENGE DISCOVERY, SCOTTISH RITE CHILDHOOD LANGUAGE CENTER). DONATED TO AND HIRED EMPLOYEES FROM THE VIRGINIA HOME (PEOPLE WITH IRREVERSIBLE PHYSICAL DISABILITIES). WE PROVIDED FREE HEARING AND VISION SCREENINGS TO OVER 4,300 PRESCHOOL CHILDREN IN 2017.
PART VI, LINE 6: RICHMOND EYE & EAR HEALTHCARE ALLIANCE IS 50.32% OWNER OF STONY POINT SURGERY CENTER AS OF THE END OF THE TAX PERIOD. THE ORGANIZATION IS NOT OTHERWISE PART OF AN AFFILIATED HEALTH CARE SYSTEM.
PART VI, LINE 7, REPORTS FILED WITH STATES VA
Schedule H (Form 990) 2017
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