The Community Nursing Home (CNH) database contains a list of all Community Nursing Home facilities under local contract to Veterans Health Administration (VHA). CNH facilities are not managed by VA. Instead, CNH facilities are private or public facilities licensed by the state where they provide the patient services. Each day all Veterans Affairs Medical Center (VAMC) that have a contract with a CNH enter information about the CNH into the Fee Basis module of Veterans Health Information Systems and Technology Architecture. This information is sent via MailMan to the VA Austin Information Technology Center where it is collected in a queue. A quarterly batch process is run on the queue. VAMCs that have sent invalid data or VAMCs that have contracts and did not send data are notified. Valid data is processed and used to update the database. Quarterly reports are sent to the CNHs, VAMCs, Veterans Integrated Service Networks (VISNs), Geriatrics & Extended Care Strategic Health Care Group, and VA Central Office (VACO).