Vcu Health Tappahannock Hospital

“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.”

“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.”

“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.”

“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.”

“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.”

“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.”

“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.”

“Documents are available for upon request.”

“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.”

“Www.vcuhealth.org/tappahannock/locations/tappahanock”

“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.”