Community Benefit Insight - Tax-exempt hospital

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Hugh Chatham Memorial Hospital Inc

Hugh Chatham Memorial Hospital

100 Parkwood Drive
Elkin, NC 28621

Bed count	81	Medicare provider number	340097	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 560642846

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

1.94%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 1,260,219 0.86 %
Medicaid as % of operating expenses	$ 1,366,464 0.94 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 46,520 0.03 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 6,673 0.00 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 154,631 0.11 %
Community building* as % of operating expenses	$ 88,197 0.06 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 88,197 0.06 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 0 0 %
Community health improvement advocacy as % of community building expenses	$ 88,197 100 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 0 0 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 17,484,373 11.99 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 1,910,324 10.93 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 132057495 including grants of $ 87359) (Revenue $ 135635601)
"WHILE 2021 WAS A YEAR TO NEVER FORGET, HUGH CHATHAM MEMORIAL HOSPITAL CONTINUED THEIR LEGACY OF PROVIDING HEALTHCARE TO ALL WITHIN THE COMMUNITY DURING THE GLOBAL PANDEMIC, COVID-19. THE ORGANIZATION'S VISION, ""TO BE THE BEST COMMUNITY HEALTH SYSTEM IN THE NATION WITH SERVICE AS OUR GUIDING PRINCIPLE,"" DECLARES THAT EVERY MEMBER OF THE STAFF PROVIDES THE HIGHEST LEVEL OF CARE FOR EVERY PATIENT, AT EVERY LOCATION. HUGH CHATHAM MAKES A DIFFERENCE EVERY DAY FOR LOCAL CITIZENS AND EMPLOYERS. THE NONPROFIT HEALTH CARE SYSTEM HAS RECENTLY RECEIVED MANY PRESTIGIOUS AWARDS THAT ACCENTUATE ITS COMMITMENT TO EXCELLENCE.- WOMEN'S CHOICE AWARD FOR BEST IN PATIENT SAFETY AND STROKE CARE FOR 2022- AMERICAN HEART ASSOCIATION 2021 GET WITH THE GUIDELINES: STROKE SILVER PLUS WITH HONOR ROLL ELITE AND TARGET: TYPE 2 DIABETES- JOINT COMMISSION'S GOLD SEAL OF APPROVAL FOR THE ADVANCED CERTIFICATION FOR TOTAL HIP AND KNEE REPLACEMENT- NATIONALLY RECOGNIZED AS AN ""A"" GRADE FOR PATIENT SAFETY BY THE LEAPFROG GROUP SPRING 2021- YADKIN VALLEY HOME HEALTH RANKS IN THE TOP 20% IN PATIENT SATISFACTION AMONG 4,000+ AGENCIES NATIONWIDE.- HUGH CHATHAM MEMORIAL HOSPITAL RANKED IN THE TOP 10% AMONG NORTH CAROLINA HOSPITALS FOR PATIENT SATISFACTION.HUGH CHATHAM ACKNOWLEDGED THAT HELPING OUR COMMUNITY WAS ESSENTIAL IN COMBATTING COVID-19 AND TO PROTECT THE PEOPLE WHO MAKE HUGH CHATHAM'S HEALTH SYSTEM SO IMPACTFUL. THE ORGANIZATION PROVIDED COVID-19 VACCINE CLINICS FOR EMPLOYEES AND THE COMMUNITY. IN ADDITION, HUGH CHATHAM PROVIDED EDUCATION TO DECREASE THE SPREAD OF THE VIRUS TO COMMUNITY MEMBERS. HUGH CHATHAM MEDICAL GROUP ALSO OPENED THREE NEW PHYSICIAN PRACTICES AND EXPANDED EXPRESS CARE SERVICES, PROVIDING GREATER ACCESS TO HEALTHCARE THROUGHOUT THE AREA. OUR COMMUNITY RALLIED TO ENSURE SAFETY FOR ALL. HUGH CHATHAM CREATED PARTNERSHIPS WITH LOCAL ORGANIZATIONS TO PROVIDE PERSONAL PROTECTION EQUIPMENT (PPE) TO PROTECT OUR STAFF WHILE THEY PROVIDED EXCEPTIONAL CARE TO PATIENTS. IN HUGH CHATHAM'S RAPID RESPONSE TO COVID-19, THE HEALTH SYSTEM CREATED A VIRTUAL CARE PLATFORM TO PROVIDE CARE TO PATIENTS WHO WERE IN QUARANTINE, DID NOT WANT TO BE AT RISK FOR COVID-19, OR OTHERWISE HOME-BOUND. HUGH CHATHAM VIRTUAL CARE ALLOWS ACCESS TO PROVIDERS VIA WEBSITE OR APPLICATION.A COMPLETE LISTING OF SERVICES IS AVAILABLE ON THE HEALTH SYSTEM'S WEBSITE AT WWW.HUGHCHATHAM.ORG. FOR REAL-TIME UPDATES AND STORIES ABOUT THE PEOPLE WHO MAKE THIS HEALTH SYSTEM SUCCESSFUL, VISIT HUGH CHATHAM MEMORIAL HOSPITAL ON FACEBOOK, INSTAGRAM, TWITTER AND LINKEDIN."

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

HUGH CHATHAM MEMORIAL HOSPITAL
PART V, SECTION B, LINE 5: EXPERTS IN THE FIELD OF PUBLIC HEALTH, HOSPICE CARE, NURSES, PHYSICIANS, CASE MANAGEMENT, EDUCATION, AND PHILANTHROPY WERE CHOSEN FOR THE FOCUS GROUP. THE FOCUS GROUPS WERE DESIGNED AROUND THE KEY ISSUES THAT EMERGED FROM THE MEETINGS.

HUGH CHATHAM MEMORIAL HOSPITAL
PART V, SECTION B, LINE 11: HUGH CHATHAM MEMORIAL HOSPITAL WILL CONTINUE TO PLAY A LEADING ROLE IN ADDRESSING THE HEALTH NEEDS OF THOSE WITHIN OUR COMMUNITY, WITH A SPECIAL FOCUS ON THE UNDERSERVED. AS SUCH, COMMUNITY BENEFIT PLANNING IS INTEGRATED INTO OUR HOPSITAL'S ANNUAL PLANNING AND BUDGETING PROCESSES TO ENSURE WE CONTINUE TO EFFECTIVELY SUPPORT COMMUNITY BENEFITS.

PART V, SECTION B, LINE 7A AND 10A:
WEBSITE ADDRESSES FOR CHNA AND IMPLEMENTATION STRATEGYHTTPS://WWW.HTTPS://HUGHCHATHAM.ORG/WP-CONTENT/UPLOADS/2023/01/2022_COMMUNITYHEALTHNEEDS-PLAN_1.PDFHTTPS://WWWHTTPS://HUGHCHATHAM.ORG/WP-CONTENT/UPLOADS/2023/01/2022-COMMUNITY-HEALTH-NEEDS-ASSESSMENT-IMPLEMENTATION-PLAN.PDF

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 7:
THE ORGANIZATION'S INTERNAL COST ACCOUNTING SYSTEM WAS USED TO COMPUTE A COST-TO-CHARGES RATIO THAT WAS USED TO CALCULATE COSTS USED IN PART I, LINE 7.

PART I, LN 7 COL(F):
THE TOTAL EXPENSE AMOUNT LISTED ON FORM 990, PART IX, LINE 26 CONTAINS BAD DEBT EXPENSE OF $17,484,373 THAT WAS REMOVED FOR THE PURPOSE OF CALCULATING TOTAL CHARITY CARE PERCENTAGE ON LINE 7, COLUMN (F).

PART II, COMMUNITY BUILDING ACTIVITIES:
HUGH CHATHAM ACKNOWLEDGED THAT HELPING OUR COMMUNITY WAS ESSENTIAL IN COMBATTING COVID 19 AND TO PROTECT THE PEOPLE WHO MAKE HUGH CHATHAM'S HEALTH SYSTEM SO IMPACTFUL. THE ORGANIZAITON PROVIDED COVID-10 VACCINE CLINICS FOR EMPLOYEES AND THE COMMUNITY. IN ADDTION HCMH PROVIDED EDUCATION TO DECREASE THE SPREAD OF THE VIRUS TO COMMUNITY MEMBERS. HCMH ALSO OPENED THREE NEW PHYSICIAN PRACTICES AND EXPANDED EXPRESS CARE SERVICES. WE RALLIED TO ENSURE SAFETY FOR ALL. WE CREATED PARTNERSHIPS WITH LOCAL ORGANIZATIONS TO PROVIDE PERSONAL PROTECTION EQUIPMENT.

PART III, LINE 2:
THE OUTSTANDING ACCTS RECEIVABLE IS SEGREGATED BY AGE. A PERCENTAGE, DETERMINED BY HISTORICAL DATA, OF EACH AGING GROUP IS RESERVED FOR BAD DEBT AND EXPENSED MONTHLY. WHAT WE CALL TRADITIONAL MEDICARE AND CROSSOVER BAD DEBT ARE EXPENSED AT 100%.

PART III, LINE 3:
$5,458,069 WHICH IS THE BAD DEBT AMOUNT STATED ABOVE TIMES THE COST TO CHARGE RATIO. 35% WOULD QUALIFY FOR FINANCIAL ASSISTANCE.

PART III, LINE 4:
THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE ON BAD DEBT EXPENSE. THE BAD DEBT EXPENSE AT COST ON PART III, LINE 2 WAS COMPUTED BY USING THE GROSS BAD DEBT EXPENSE PER AUDITED FINANCIAL STATEMENTS REDUCED TO COST USING AN INTERNALLY COMPUTED COST-TO-CHARGES RATIO FROM THE ORGANIZATION'S COST ACCOUNTING SYSTEMS.DUE TO THE FACT THAT APPROXIMATELY 30% OF THE SURROUNDING COMMUNITY'S RESIDENTS ARE CONSIDERED TO BE LIVING BELOW THE POVERTY LINE, IN COMBINATION WITH THE FACT THAT THE UNEMPLOYMENT PERCENTAGE FOR THE AREA IS APPROXIMATELY 12.7%, THE ORGANIZATION FEELS THAT APPROXIMATELY 35% OF BAD DEBT IS AN APPROPRIATE ESTIMATION OF THE AMOUNT OF BAD DEBT THAT MAY CONSTITUTE A COMMUNITY BENEFIT.

PART III, LINE 8:
AN INTERNAL COST-TO-CHARGE RATIO WAS USED TO COMPUTE MEDICARE ALLOWABLE COSTS OF CARE ON PART III, LINE 6.

PART III, LINE 9B:
HCMH MAKES EVERY EFFORT TO EVALUATE PATIENTS PRIOR TO PLACEMENT WITH A COLLECTIONS AGENCY TO SEE IF THEY ARE QUALIFIED FOR MEDICAID OR HOSPITAL CHARITY CARE. WE HAVE AN IN-HOUSE EMPLOYEE DESIGNATED TO ASSISTING PATIENTS ELIGIBLE FOR MEDICAID AND/OR FINANCIAL ASSISTANCE. AT THE POINT OF THE PATIENT NOT BEING ELIGIBLE AND FAILURE TO RESPOND FOR OUR PAYMENT PLAN OPTIONS, THE ACCOUNT IS PLACED WITH A COLLECTION AGENCY AND THE AGENCY MAKES AN EFFORT FOR 30 DAYS PRIOR TO PLACING ON THE CREDIT SCORE, TO OBTAIN PAYMENT.

PART VI, LINE 2:
"THE ORGANIZATION TRACKS THE RESULTS OF HEALTH SCREENINGS PROVIDED THROUGH ITS HEALTH FAIRS AND LOOKS FOR TRENDS. THESE SCREENINGS PROVIDE INSIGHT INTO FURTHER MEDICAL NEEDS OF THE COMMUNITY MEMBERS. THE FAIRS ARE HELD PERIODICALLY THROUGH THE YEAR AND ARE ATTENDED BY HUNDREDS OF PEOPLE WHO ARE OFFERED VARIOUS HEALTH SCREENINGS. THIS YEAR OUR SCREENINGS WERE COVID RELATED. THE ORGANIZATION ALSO SUBSCRIBES TO NATIONAL AFFILIATED ORGANIZATIONS THAT PROVIDE DATA ON REGIONAL HEALTH NEEDS. THE LAST COUPLE OF YEARS OUR FOCUS HAS BEEN ON STROKE EDUCATION, WITH STROKE CERTIFICATION FOR OUR FACILITY. WE RECEIVED THE STROKE SILVER WITH HONOR ROLL ELITE AND TARGET. WE ALSO RECEIVED JOINT COMMSIONS'S GOLD SEAL OF APRROVAL FOR THE ADVANCED CERTIFICATION FOR TOTAL HIP AND KNEE REPLACEMENT. REACHING INTO THE BUSINESS COMMUNITY WITH EDUCATIONAL MATERIALS AND SCREENINGS BEING PROVIDED. THE HUGH CHATHAM VIRTUAL CARE PROGRAM ALLOWS ACCESS TO PROVIDERS VIA WEBSITE OR APPLICATION IN ORDER TO PROVIDE CARE TO PATIENTS THAT DO NOT WANT TO BE AT RISK FOR COVID-19 OR OTHERWISE HOMEBOUND.THE 2022 CHNA PRIMARILY FOCUSED ON SURRY, WILKES, YADKIN, AND ALLEGHANY COUNTIES. THESE COUNTIES ARE CONSIDERED OUR ""COMMUNITY"" AS GREATER THAN EIGHTY-EIGHT (88) PERCENT OF THE HCMH INPATIENT POPULATION RESIDES WITHIN THESE FOUR COUNTIES. PRIMARY DATA FOR THE ASSESSMENT WAS GATHERED THROUGH A SURVEY TOOL WITH MORE THAN TWO HUNDRED AND EIGHTY-FIVE (285) SUBMISSIONS. PARTICIPANTS REPRESENTED MULTIPLE ORGANIZATIONS AND INCLUDED INDIVIDUALS WHO HAVE A BROAD KNOWLEDGE OF THE COMMUNITY AND/OR HAD SPECIFIC EXPERTISE OR KNOWLEDGE. SECONDARY DATA WAS OBTAINED FROM LOCAL AND NATIONAL DATA PUBLISHED IN GOVERNMENT AND PRIVATE SOURCES. A COMPREHENSIVE LIST OF IDENTIFIED HEALTH ISSUES WAS COMPILED AND RECOMMENDATIONS WERE MADE TO HCMH'S EXECUTIVE LEADERSHIP FOR FURTHER REVIEW AND PRIORITIZATION. PRIORITIES WERE ASSESSED AND RANKED BASED ON ISSUE PREVALENCE, ISSUE SEVERITY, AND ABILITY TO IMPACT. FINAL PRIORITIZATION AS DETERMINED BY THE EXECUTIVE LEADERSHIP WAS APPROVED BY THE HCMH BOARD OF TRUSTEES.THE UNPRECEDENTED PANDEMIC OF COVID-19, SHOCKED OUR NATION AND HAD AN UNFATHOMABLE IMPACT ON HEALTHCARE SYSTEMS. HCMH UTILIZED THEIR STRENGTHS AS A COMMUNITY HEALTHCARE SYSTEM TO QUICKLY PIVOT TO PRIORITIZE CARE THAT EMBRACED NEW STRATEGIES TO DIAGNOSE AND TREAT THIS EMERGING INFECTIOUS DISEASE. WHILE MANY ELECTIVE SERVICES WERE LIMITED IN ORDER TO PROVIDE ADEQUATE RESOURCES OF SUPPLIES AND PERSONNEL WHERE THEY WERE MOST NEEDED, HCMH WAS CONSIDERED A LEADER IN THEIR RESPONSE TO PATIENT AND COMMUNITY NEEDS."

PART VI, LINE 3:
FINANCIAL ASSISTANCE EDUCATION IS MADE AVAILABLE AT ADMISSION AND ON THE WEBSITE. AT REGISTRATION THERE ARE BROCHURES WITH FINANCIAL ASSISTANCE INFORMATION MADE AVAILABLE. SIGNAGE IS LOCATED THROUGHOUT THE FACILITY TO INFORM AND EDUCATE THE PUBLIC OF THEIR FINANCIAL RIGHTS. HUGH CHATHAM MEMORIAL HOSPITAL OFFERS A LANGUAGE LINE FOR THE NON-ENGLISH SPEAKING COMMUNITY AND PHONETREE ASSISTANCE WHERE NEEDED.

PART VI, LINE 4:
THE PRIMARY SERVICE AREA OF THE HOSPITAL INCLUDES NINE ZIP CODES. ROUGHLY A FIFTEEN MILE DIAMETER AROUND ELKIN, NC. THE SECONDARY SERVICE AREA INCLUDES AN ADDITIONAL FIVE ZIP CODES WIDENING THE DIAMTER TO THIRTY MILES AROUND ELKIN. BOTH OF THESES MARKETS INCLUDE PART, BUT NOT ALL, OF THE NORTH CAROLINA COUNTIES OF WILKES, ALLEGHANY, YADKIN AND SURRY. SOUTHERN VIRGINIA COUNTIES OF GRAYSON, PATRICK, AND CARROLL ARE ALSO INCLUDED.

PART VI, LINE 5:
HCMH SPENT OVER 2.1 MILLION IN UPDATES TO CAPITAL PROJECTS RELATED TO PATIENT CARE.NEW RADIOLOGY EQUIPMENT ADDED INTO OPERATION TO FURTHER ENHANCE OUR IMAGING DEPARTMENTS, LAB SERVICES AND EQUIPMENT TO ENHANCE OUR PATIENT TESTING AND MONITORING SYSTEMS IN PATIENT CARE AREAS THAT WILL ENABLE OUR STAFF TO MONITOR AND IMPROVE PATIENT OUTCOMES.

PART VI, LINE 6:
THE HOSPITAL IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.

PART VI, LINE 7, REPORTS FILED WITH STATES
NC

Operating expenses	$ 145,782,846
Total amount spent on community benefits as % of operating expenses	$ 2,834,507 1.94 %