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VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD (EIN 54-0506309)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-15
IRS object ID
202021369349304317
Schema version
2018v3.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-05-15T16:03:43-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15 TIMES SQUAREAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540506309EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRIPPLED CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Timothy O'NeillInCareOfNm
Business Name ControlCRIPBusinessNameControlTxt
Phone8042285874PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12924 Brook RoadAddressLine1Txt
CityRichmondCityNm
State AbbreviationVAStateAbbreviationCd
ZIP232201298ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY O'NEILLPersonNm
Person TitleFinance DirectorPersonTitleTxt
Signature2020-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA KIELCZEWSKIPreparerPersonNm
PTINP00740769PTIN
Phone2227733000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.29.142.225IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id35057220201365000013FederalOriginalSubmissionId
Federal Original Submission Id2020-05-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id047C777BBD395ADD529156C75D94AFF56594489CAtSubmissionCreationDeviceId
At Submission Filing Device Id2979594631CB5427DBABEAFA59DA989879D1FE14AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Children's Hospital of RichmondBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerElias NeujahrPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12924 BROOK ROADAddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP232201298ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,589,595GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.chrichmond.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1920FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionCRIPPLED CHILDREN'S HOSPITAL IS A RESOURCE AND PROVIDER OF SPECIALIZED MEDICAL AND THERAPEUTIC SERVICES CUSTOMIZED TO MEET THE SPECIFIC NEEDS OF CHILDREN AND THEIR FAMILIES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee474TotalEmployeeCnt
Total Volunteers82TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$520,330PYContributionsGrantsAmt
CY Contributions Grants$562,650CYContributionsGrantsAmt
PY Program Service Revenue$30,940,550PYProgramServiceRevenueAmt
CY Program Service Revenue$30,941,145CYProgramServiceRevenueAmt
PY Investment Income$14,042PYInvestmentIncomeAmt
CY Investment Income$27,497CYInvestmentIncomeAmt
PY Other Revenue$19,526PYOtherRevenueAmt
CY Other Revenue$38,240CYOtherRevenueAmt
PY Total Revenue$31,494,448PYTotalRevenueAmt
CY Total Revenue$31,569,532CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,406,005PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,569,718CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,865,473PYOtherExpensesAmt
CY Other Expenses$7,386,071CYOtherExpensesAmt
PY Total Expenses$33,271,478PYTotalExpensesAmt
CY Total Expenses$32,955,789CYTotalExpensesAmt
PY Revenues Less Expenses-$1,777,030PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,386,257CYRevenuesLessExpensesAmt
Total Assets BOY$21,099,999TotalAssetsBOYAmt
Total Assets EOY$17,177,752TotalAssetsEOYAmt
Total Liabilities BOY$17,160,596TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,591,673TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,939,403NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,586,079NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCRIPPLED CHILDREN'S HOSPITAL IS A RESOURCE AND PROVIDER OF SPECIALIZED MEDICAL AND THERAPEUTIC SERVICES CUSTOMIZED TO MEET THE SPECIFIC NEEDS OF CHILDREN AND THEIR FAMILIES. OVER 9,326 CHILDREN WERE SERVED THIS PAST YEAR. WE CONTINUE TO FOCUS ON EXPANDING OUR CAPACITY TO SERVE MORE CHILDREN.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$7,653,110ExpenseAmt
Revenue$11,841,856RevenueAmt
DescTHE TRANSITIONAL CARE UNIT IS THE HOSPITAL'S ONLY INPATIENT UNIT. IT HAS 47 BEDS AND PROVIDES LONG TERM CARE FOR CHILDREN UP TO THE AGE OF 21 WHO REQUIRE SPECIALIZED, AROUND THE CLOCK, NURSING CARE. THE UNIT HAD AN AVERAGE DAILY CENSUS OF 31.7 IN FISCAL YEAR 2019, A DECREASE FROM 36 IN FISCAL YEAR 2018. THE UNIT IS CERTIFIED BY THE VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES AND 100% OF THE REVENUE IN THIS PROGRAM COMES FROM VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,511,039ExpenseAmt
Revenue$13,372,575RevenueAmt
DescTHE HOSPITAL IS THE PREMIER PROVIDER OF OUTPATIENT PEDIATRIC PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES IN CENTRAL VIRGINIA. OUTPATIENT THERAPY VISITS TOTALED 94,247 IN FISCAL YEAR 2019. THERAPY SERVICES ARE PROVIDED AT THE MAIN HOSPITAL IN THE CITY OF RICHMOND AND AT FIVE COMMUNITY THERAPY CENTERS LOCATED IN GLEN ALLEN, BON AIR, FREDERICKSBURG, PETERSBURG, AND STAFFORD. APPROXIMATELY 50% OF THE THERAPY VISITS ARE FUNDED BY VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,916,477ExpenseAmt
Revenue$2,872,407RevenueAmt
DescDENTAL PROGRAM SERVICES ARE PROVIDED FOR THE TYPICAL WELL-CHILD AND FOR CHILDREN WITH SPECIAL NEEDS. IN FISCAL YEAR 2019, THE DENTAL PROGRAM COMPLETED 590 SURGERIES AND 6,070 CLINIC VISITS. THE MAJORITY OF THE DENTAL PROGRAM PATIENTS ARE FUNDED BY VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$2,568,532TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,760,131TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$22,649,158TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee474EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTimothy O'NeillPersonNm
Phone8042285874PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12924 Brook RoadAddressLine1Txt
CityRichmondCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23220ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Thomas S Cain
CHAIRMAN1.00.0Yes (X)Yes (X)$0$0$0
Linda Pearson
VICE CHAIR AND TREASURER1.00.0Yes (X)Yes (X)$0$0$0
Jeffrey Mapp MD
DIRECTOR1.00.0Yes (X)$0$0$0
LESLIE WYATT
DIRECTOR1.00.0Yes (X)$0$0$0
Frances LW Kay
DIRECTOR1.00.0Yes (X)$0$0$0
Marsha D Rappley MD
DIRECTOR1.040.0Yes (X)$0$980,704$62,307
Thomas Yackel
Director, Pres. of MCV1.040.0Yes (X)$0$369,779$32,175
Deborah Davis
DIRECTOR1.039.0Yes (X)$0$812,780$43,847
Bruce K Rubin MD
DIRECTOR-EX-OFFICIO1.039.0Yes (X)$0$489,860$32,714
Elias Neujahr
CEO CHILDRE'S HOSPITAL OF RICH5.035.0Yes (X)$0$484,987$25,237
Paul Neimeyer
SECRETARY/CHIEF GEN. COUNSEL1.039.0Yes (X)$0$502,717$26,478
Sharon Darby
ASSOCIATE VP OF OPERATIONS40.00.0$236,893$0$29,525Yes (X)
SALLIE C TIDMAN
DIRECTOR OF THERAPY SERVICES40.00.0$138,707$0$23,496Yes (X)
MARY S TOGNARELLI
DIRECTOR OF INPATIENT SERVICES40.00.0$138,506$0$19,572Yes (X)
Mark Nicol
Dir. Facilities MGMT40.00.0$125,724$0$25,076Yes (X)
Robin Crotts
Dir. Performance Improv.40.00.0$125,302$0$18,485Yes (X)
Timothy O'Neill
Director of Finance40.00.0$135,558$0$25,992Yes (X)
John D Ward MD
DIRECTOR-EX-OFFICIO0.00.0$0$623,955$77,106Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$900,690TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,264,782TotReportableCompRltdOrgAmt
Total Other Compensation$442,010TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCV ASSOCIATED PHYSICIANS DBA MCV
PO BOX 79203BaltimoreMD212790203CONTRACTED PHYSICIAN$890,040
VCU DENTISTRY
521 NORTH 11TH STREETRICHMONDVA23298CONTRACT DENTIST$574,506
COMPASS GROUP USA INC
PO BOX 1306800735BOSTONMA022417632CONTRACT FOOD SVCS$353,423
NEIGHBORCARE PHARMACY OF VA LLC
PO BOX 781668DETROITMI482781668DRUG & PHARMACY MGMT$173,940
INLAND NORTHWEST HEALTH SERVICES
PO BOX 2185SPOKANEWA99210NETWORK HOST/MONITOR$160,545
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
All Other Contributions$562,650AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$562,650TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT SERVICE REVENUE623000$30,912,307$30,912,307$0$0
PHYSICAL THERAPY CONTRACT623000$28,838$28,838$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$30,941,145TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,547TotalRevenueColumnAmt
Exclusion$26,547ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$950OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$950OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$950TotalRevenueColumnAmt
Related Or Exempt Func Income$950RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$24,003GrossSalesOfInventoryAmt
Cost Of Goods Sold$20,063CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,940TotalRevenueColumnAmt
Related Or Exempt Func Income$3,940RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MEDICAL RECORDS622110$10,113$0$0$10,113
All other revenue900099$24,187$0$0$24,187
FieldValueIRS element (for citing)
Other Revenue Total$34,300OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,569,532TotalRevenueColumnAmt
Related Or Exempt Func Income$30,946,035RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$60,847ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$934,754TotalAmt
Management And General$934,754ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,675,071TotalAmt
Program Services$14,741,028ProgramServicesAmt
Management And General$3,934,043ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,232,457TotalAmt
Program Services$876,571ProgramServicesAmt
Management And General$355,886ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,334,258TotalAmt
Program Services$2,720,159ProgramServicesAmt
Management And General$614,099ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,393,178TotalAmt
Program Services$1,053,892ProgramServicesAmt
Management And General$339,286ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$399,213TotalAmt
Program Services$0ProgramServicesAmt
Management And General$399,213ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$600TotalAmt
Program Services$0ProgramServicesAmt
Management And General$600ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,507,759TotalAmt
Program Services$1,321,329ProgramServicesAmt
Management And General$186,430ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$658,578TotalAmt
Program Services$207,134ProgramServicesAmt
Management And General$451,444ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$208,529TotalAmt
Program Services$97,236ProgramServicesAmt
Management And General$111,293ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,043,072TotalAmt
Program Services$683,952ProgramServicesAmt
Management And General$1,359,120ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$55,118TotalAmt
Program Services$40,032ProgramServicesAmt
Management And General$15,086ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$821,430TotalAmt
Program Services$0ProgramServicesAmt
Management And General$821,430ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$145,837TotalAmt
Program Services$0ProgramServicesAmt
Management And General$145,837ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$1,192,333$696,564$495,769$0
TRAINING AND EDUCATION$62,567$33,735$28,832$0
BANK AND SERVICE FEES$52,383$0$52,383$0
PHARMACY$129,246$129,246

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$109,406TotalAmt
Program Services$48,280ProgramServicesAmt
Management And General$61,126ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$32,955,789TotalAmt
Program Services$22,649,158ProgramServicesAmt
Management And General$10,306,631ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$976,613BOYAmt
EOY$1,247,661EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,534,967BOYAmt
EOY$3,451,594EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$163,691BOYAmt
EOY$171,417EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$93,372BOYAmt
EOY$23,135EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$41,060,944LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,417,252LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,234,417BOYAmt
EOY$6,643,692EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,096,939BOYAmt
EOY$5,640,253EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,099,999BOYAmt
EOY$17,177,752EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,738,557BOYAmt
EOY$4,669,312EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,422,039BOYAmt
EOY$9,922,361EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,160,596BOYAmt
EOY$14,591,673EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$7,796,832BOYAmt
EOY-$1,714,257EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,604,831BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,131,404BOYAmt
EOY$4,300,336EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,939,403BOYAmt
EOY$2,586,079EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,099,999BOYAmt
EOY$17,177,752EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,386,257ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$32,933OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,131,404BeginningYearBalanceAmt
Contributions$331,900ContributionsAmt
Investment Earnings Or Losses$410,713InvestmentEarningsOrLossesAmt
Other Expenditures$573,681OtherExpendituresAmt
End Year Balance$4,300,336EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,921,929BeginningYearBalanceAmt
Contributions$303,029ContributionsAmt
Investment Earnings Or Losses$315,250InvestmentEarningsOrLossesAmt
Other Expenditures$408,804OtherExpendituresAmt
End Year Balance$4,131,404EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,572,986BeginningYearBalanceAmt
Contributions$371,488ContributionsAmt
Investment Earnings Or Losses$443,961InvestmentEarningsOrLossesAmt
Other Expenditures$466,506OtherExpendituresAmt
End Year Balance$3,921,929EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,687,908BeginningYearBalanceAmt
Contributions$3,058ContributionsAmt
Investment Earnings Or Losses-$30,019InvestmentEarningsOrLossesAmt
Other Expenditures$87,961OtherExpendituresAmt
End Year Balance$3,572,986EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,602,326BeginningYearBalanceAmt
Contributions$120,007ContributionsAmt
Investment Earnings Or Losses$99,688InvestmentEarningsOrLossesAmt
Other Expenditures$134,113OtherExpendituresAmt
End Year Balance$3,687,908EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.59450PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.40550TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,914OtherCostOrOtherBasisAmt
Book Value$54,914BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,278,829OtherCostOrOtherBasisAmt
Depreciation$13,559,771DepreciationAmt
Book Value$4,719,058BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$594,276OtherCostOrOtherBasisAmt
Depreciation$548,860DepreciationAmt
Book Value$45,416BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,122,152OtherCostOrOtherBasisAmt
Depreciation$18,369,405DepreciationAmt
Book Value$1,752,747BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,010,773OtherCostOrOtherBasisAmt
Depreciation$1,939,216DepreciationAmt
Book Value$71,557BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,643,692TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
EQUITY INTEREST IN FOUNDATION$4,300,336
SETTLEMENT DUE FROM 3RD PARTY$1,275,128
DEPOSITS$24,836
OTHER ASSETS$39,953
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,640,253TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
NET PENSION LIABILITY$846,706
DUE TO AFFILIATES$9,019,172
PREPAID EXPENSES$56,483
FieldValueIRS element (for citing)
Total Liability$9,922,361TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE HOSPITAL HAS RECORDED ITS BENEFICIAL INTEREST IN CERTAIN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF THE FOUNDATION THAT BENEFIT THE HOSPITAL. TEMPORARILY RESTRICTED NET ASSETS IN THE FOUNDATION OF $1,744,790 AND $1,588,800 AT JUNE 30, 2019 AND 2018, RESPECTIVELY, ARE AVAILABLE FOR THE PURCHASE OF CAPITAL ASSETS AND TO SUPPORT THE OPERATIONS OF THE HOSPITAL. PERMANENTLY RESTRICTED NET ASSETS IN THE FOUNDATION OF $2,558,115 AND $2,558,022 AT JUNE 30, 2019 AND 2018, RESPECTIVELY, ARE INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT PROGRAMS AT THE HOSPITAL.
SCHEDULE D, PART X, LINE 2FIN 48 (ASC 740) FOOTNOTE COMMUNITY MEMORIAL HOSPITAL FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. AS A RESULT OF THE RECENT FEDERAL INCOME TAX REFORM ENACTED INTO LAW UNDER THE TAX CUTS AND JOBS ACT OF 2017, CERTAIN PROVISIONS IMPACT TAX-EXEMPT ORGANIZATIONS EFFECTIVE JANUARY 2018. INCLUDING REVISIONS TO TAXES ON UNRELATED BUSINESS ACTIVITIES, EXCISE TAXES ON COMPENSATION OF CERTAIN EMPLOYEES, AND VARIOUS OTHER PROVISIONS. THE AUTHORITY AND ITS AFFILIATES HAVE ESTIMATED NO MATERIAL IMPACTS RELATED TO THE FEDERAL INCOME TAX REFORM.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,409TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$91,409NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,087,318TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,626,933DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,460,385NetCommunityBenefitExpnsAmt
Total Expense0.10500TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,178,727TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,626,933DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,551,794NetCommunityBenefitExpnsAmt
Total Expense0.10780TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$175,674TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$175,674NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$175,674TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$175,674NetCommunityBenefitExpnsAmt
Total Expense0.00530TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$23,354,401TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,626,933DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,727,468NetCommunityBenefitExpnsAmt
Total Expense0.11310TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$261,392BadDebtExpenseAmt
Reimbursed By Medicare$14,932ReimbursedByMedicareAmt
Medicare Surplus Or Shortfall$14,932MedicareSurplusOrShortfallAmt
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnfalseFinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRIPPLED CHILDREN'S HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12924 BROOK ROADAddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23220ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.CHRICHMOND.ORGWebsiteAddressTxt
State LicenseH1842StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Childrens HospitalYes (X)ChildrensHospitalInd
Teaching HospitalYes (X)TeachingHospitalInd
OtherPEDIATRIC LONG TERM CAREOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CRIPPLED CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION C NARRATIVEOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION C NARRATIVEStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 3eThe significant health needs in the CHNA are the needs of the community and identified in the CHNA. Due to the rehabilitative specialty focus of the Hospital it cannot directly address cetain community health needs identified in the CHNA. However, it can and does support other agencies to help these needs. See the Schedule H, Part V, Line 11 disclosure for more details on the prioritized needs. PART V, SECTION B, LINE 5 THE HOSPITAL USED A WRITTEN SURVEY TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS CONDUCTED IN THE SPRING OF 2019. THE SURVEY RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, CARE CONNECTION FOR CHILDREN, DISABILITY LAW CENTER OF VIRGINIA, FREDERICKSBURG CITY SCHOOLS, VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES AND GREATER RICHMOND FIT4KIDS.
PART V, SECTION B, LINE 7https://www.chrichmond.org/media/file/Children'sRehabSvcs2019CHNA.pdf
PART V, SECTION B, LINE 10https://www.chrichmond.org/media/file/CHNA%20Implementation%20Plan%20FY20- 22%20.pdf
PART V, SECTION B, LINE 11THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY TAKING THE FOLLOWING ACTIONS: 1. ADOPTION OF AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE MAJORITY OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA 2. EXECUTION OF THE IMPLEMENTATION STRATEGY 3. INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS 4. ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA 5. PRIORITIZATION OF SERVICES THAT THE HOSPITAL WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY THE TOP HEALTH NEEDS OF THE CHILDREN'S HOSPITAL COMMUNITY INCLUDE THOSE THAT ARE SUPPORTED BY THE DATA AND FEEDBACK PROVIDED IN THE ASSESSMENT: A. Children's Health Support Strategy: Leverage the programs and resources available within and associated with VCUHS to provide education and support to families. Action Plan: - Support advocacy efforts through the Office of Government Relations at Virginia Commonwealth University - Access Care Connection for Children for patients and families - Refer eligible patients and families to Medical Legal Partnership-Richmond - UTILIZE PARENT ADVISORY GROUP TO IDENTIFY NEEDS AND POTENTIAL SOLUTIONS - Utilize resources and funding from Children' Hospital Foundation to provide support and education to Families Strategy: Improve access to care for services. Action Plan: - Ongoing support for growth of therapy centers thru relocation and expansion of existing programs - Increase number of beds for ventilator dependent children requiring long term care services - Implement improvements to scheduling appointments for therapy services - Explore opportunities to add services - Coordinate Hospital services with services with VCUHS - Refer patients and families to services within the community as needed B. Children's Health Conditions Strategy: Leverage the programs and resources available within the Hospital and CHoR to address leading health risks in the community including injuries, avoidable hospitalizations, behavioral health disorders, lifestyle, and disabilities. Action Plan: - Ongoing support for growth of therapy centers to provide services for: *Injury prevention and recovery; *Short and long term rehabilitation; *Assistive technology; *Activities of daily living; - Collaboration with concussion/traumatic brain injury multi-disciplinary clinic for services and education - Collaboration with Safe Kids VA for creating safe environments for children in the community - Support of psychology services related medical, emotional and behavioral issues, and neuropsychological evaluations following a neurological injury or illness - Referrals to VCU's Virginia Treatment Center for Children for outpatient and inpatient mental health care - Expansion of long-term care services for children who are ventilator dependent and/or require total parenteral nutrition - Growth of pediatric dental services for care of children with disabilities Implementation Strategies Key Objective: Provide care to children requiring post-acute rehabilitative and restorative care; provide training for disciplines focused on the care of children with disabilities; and advocate for those with disabilities. Due to the rehabilitative specialty focus of the Hospital it cannot directly address certain community health needs identified in the assessment. However, it can and does support other agencies to help with these needs. Other Needs Identified in the Community Health Needs Assessment: Each of the health needs identified in the attached Community Health Needs Assessment is important and many are being addressed by numerous program and initiatives throughout VCUHS. The Hospital cannot directly address certain community health needs that do not relate to its mission. These may be community health needs that governmental or other non-profit agencies have the more appropriate expertise and resources necessary to address. Although the Hospital cannot address these needs directly, it can and does support the efforts of governmental and other agencies to help with these needs.
PART V, SECTION B, LINE 16Ahttps://www.chrichmond.org/media/file/PATIENT-FINANCIAL-ASSISTANCE-POLICY- 518.pdf
PART V, SECTION B, LINE 16Bhttps://www.vcuhealth.org/media/file/VCUHealth-FinancialCounseling-0118.pd f
PART V, SECTION B, LINE 16Chttps://www.chrichmond.org/media/file/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM -OVERVIEW.pdf
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
FREDERICKSBURG THERAPY CENTER
10530 SPOTSYLVANIA AVNUE SUITE 102FREDERICKSBURGVA22408OUTPATIENT THERAPY CENTER
PETERSBURG THERAPY CENTER
321 B POPLAR DRIVE SUITE 4PETERSBURGVA23805OUTPATIENT THERAPY CENTER
GLEN ALLEN THERAPY CENTER
10124 WEST BROAD STREET SUITE PGLEN ALLENVA23060OUTPATIENT THERAPY CENTER
BON AIR THERAPY CENTER
206 TWINRIDGE LANE SUITE ARICHMONDVA23235OUTPATIENT THERAPY CENTER
STAFFORD THERAPY CENTER
2781 JEFFERSON DAVIS HIGHWAY SUITESTAFFORDVA22554OUTPATIENT THERAPY CENTER

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7COMMUNITY BENEFIT COST FOR EACH CATEGORY IS DETERMINED BY USING EITHER A COST TO CHARGE RATIO OR A COST ACCOUNTING METHODOLOGY. THE SCHEDULE H WORKSHEETS ARE USED TO COMPUTE THE CORRESPONDING LINE.
SCHEDULE H, PART III, LINE 2CHARGED AMOUNTS NOT EXPECTED TO BE PAID ARE RESERVED AND EXPENSED TO BAD DEBT. A COST TO CHARGE RATIO IS APPLIED TO DETERMINE THE COST OF THE BAD DEBT.
SCHEDULE H, PART III, LINE 3NO ATTEMPT HAS BEEN MADE TO DETERMINE THE AMOUNT IN BAD DEBT THAT COULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART III, LINE 4THE HOSPItAL RECOGNIZES REVENUE NET OF CONTRACTUAL ALLOWANCE PER THE STANDARD CONTRACTED RATE. HISTORICAL EXPERIENCE HAS DEMONSTRATED A PORTION OF REVENUE IS UNCOLLECTABLE. THE HISTORICAL UNCOLLECTABLE RATE IS APPLIED TO OUTSTANDING NET accounts receivable AND A PROVISION IS RECORDED PERIODICALLY. The Hospital provides healthcare services to infants, children, and adolescents up to the age of 21 years. Hospital will provide financial assistance as established under the guidelines. Services are provided regardless of race, creed, religion, national origin, sex, disability, socioeconomic status, payor source, or any other manner prohibited by law. As a tax-exempt entity and as part of its commitment to serve the community, Hospital provides financial assistance in the form of charity care ("Financial Assistance") to patients families who qualify by meeting the requirements. Patient families are eligible if their yearly household income, as documented on the Financial Assistance Application is less than or equal to 200% of the poverty guidelines updated annually in the Federal register by the U.S. Department of Health and Human Services ("Federal Poverty Guidelines"). FOOTNOTE 2(E) of THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS STATES: THE AUTHORITY RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS DURING THE PERIOD IN WHICH COLLECTION IS CONSIDERED DOUBTFUL. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS APPROXIMATELY $117,780,000 AT JUNE 30, 2019. ACCOUNTS WAS APPROXIMATELY $117,780,000 AT JUNE 30, 2019.
SCHEDULE H, PART III, LINE 8MEDICARE ALLOWABLE COST WAS CALCULATED USING A COMBINATION OF COST From the FILED FY 2019 MEDICARE COST REPORT; COST TO CHARGE RATIOS FROM FILED the FY 2019 MEDICARE COST REPORT; AND A CALCULATION OF DIRECT COSTS PLUS ALLOCATED OVERHEAD. Services provided under Medicare are for Patients in Assistive Technology. This service is a special program offered to patients regardless of age since these services are not widely available in the community.
SCHEDULE H, PART III, LINE 9BA FINANCIAL COUNSELOR ASSISTS PATIENTS IN UNDERSTANDING THE AVAILABILITY OF COMMUNITY OR GOVERNMENTAL ASSISTANCE PROGRAMS, AS WELL AS, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. NEW PATIENTS RECEIVE NOTIFICATION THROUGH THE PATIENT BOOKLET. THE HOSPITAL PROVIDES A BILLING STATEMENT TO THE FAP INDIVIDUAL THAT SHOWS THE AMOUNTS GENERALLY BILLED FOR THE CARE AND HOW THE HOSPITAL DETERMINED THE AMOUNT THE INDIVIDUAL OWES. THE HOSPITAL WILL ALSO REFUND ANY EXCESS PAYMENTS MADE AND TAKE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION TAKEN.
SCHEDULE H, PART VI, LINE 2THE HOSPITAL USED A WRITTEN SURVEY TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL, RICHMOND CITY HEALTH DISTRICT, CARE CONNECTION FOR CHILDREN, AND GREATER RICHMOND FIT4KIDS.
SCHEDULE H, PART VI, LINE 3THE HOSPITAL PROVIDES CHARITY CARE IN THE FORM OF FINANCIAL ASSISTANCE TO THOSE PATIENTS AND THEIR FAMILIES WHICH QUALIFY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE POLICY ALONG WITH A PLAIN LANGUAGE SUMMARY THAT INCLUDES A BRIEF OVERVIEW OF OUR DISCOUNT PROGRAM IS AVAILIBLE ON OUR WEB SITE. INFORMATION CONCERNING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED IN THE PATIENT HANDBOOK AND THETRANSITIONAL CARE UNIT (TCU) ADMISSION PACKAGE THAT IS GIVEN TO ALL NEW PATIENTS. COPIES OF BOTH THE FINANCIAL ASSISTANCE POLICY AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT EVERY LOCATION FROM THE PATIENT ACCESS REPRESENTATIVES.
SCHEDULE H, PART VI, LINE 4THE HOSPITAL SERVICES AREA INCLUDES 51 ZIP CODES ADJACENT TO ITS SIX LOCATIONS. MOST OF THESE ZIP CODES FALL WITHIN THE COUNTIES OF CHESTERFIELD, HENRICO, KING GEORGE, POWHATAN, SPOTSYLVANIA AND STAFFORD AND THE CITIES OF COLONIAL HEIGHTS, FREDERICKSBURG, HOPEWELL, PETERSBURG, AND RICHMOND. AS A CHILDREN'S HOSPITAL, THE SERVICE POPULATION IS AGED 0-21 YEARS AND AS OF 2019, THE SERVICE AREA INCLUDED MORE THAN 413,331 PERSONS AGED 0-21. AT ANY GIVEN TIME IN 2017, 16,636 CHILDREN AGE 0-18 ARE UNINSURED. REGION DEATH RATES WERE HIGHER THAN THE STATEWIDE RATE OVERALL AND WERE RELATED TO PREMATURITY AND LOW BIRTH WEIGHTS, HOMICIDE AND MOTOR VEHICLE TRAFFIC ACCIDENTS. NINE OF THE 12 LOCALITIES OF OUR SERVICE AREA HAVE BEEN FULLY OR PARTIALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS (MUAS/MUPS).
SCHEDULE H, PART VI, LINE 5THE HOSPITALS ADVOCACY EFFORTS ARE SUPPORTED BY THE OFFICE OF GOVERNMENT RELATIONS AT VIRGINIA COMMONWEALTH UNIVERSITY. THE OFFICE SERVES AS A LIAISON AMONG THE GOVERNOR'S OFFICE, THE GENERAL ASSEMBLY, AGENCIES OF THE COMMONWEALTH, RICHMOND CITY COUNCIL LOCAL BOARDS OF SUPERVISORS AND VIRGINIA'S CONGRESSIONAL DELEGATION. GOVERNMENT RELATIONS CULTIVATES RELATIONSHIPS WITH ELECTED AND APPOINTED GOVERNMENT OFFICIALS IN AN EFFORT TO SECURE FINANCIAL AND LEGISLATIVE SUPPORT. IN COLLABORATION WITH THE CHILDREN'S HOSPITAL FOUNDATION THE HOSPITAL SUPPORTS A VARIETY OF PEDIATRIC INITIATIVES AND OUTREACH PROGRAMS FOR THE GENERAL COMMUNITY, SUCH AS HEALTH AND SAFETY DAYS IN RICHMOND AND PETERSBURG, FIRE PREVENTION DAY IN RICHMOND AND THE DENTAL OUTREACH PROGRAM. EVERY YEAR, THESE PROGRAMS EDUCATE THOUSANDS OF YOUNG CHILDREN AND GIVE THEM THE TOOLS AND KNOWLEDGE TO LEAD SAFE AND HEALTHY LIVES. THE CHOR COMMUNITY HEALTH EDUCATION CENTER PROVIDES PATIENTS, FAMILIES AND THE PUBLIC UP-TO-DATE INFORMATION FROM RELIABLE SOURCES ABOUT HEALTH AND MEDICINE. RESOURCES INCLUDE BOOKS, JOURNALS, VIDEOS AND COMPUTERS WITH INTERNET CONNECTIONS. THE CENTER IS STAFFED BY A FULL-TIME HEALTH SCIENCES LIBRARIAN, A PART-TIME LIBRARY ASSISTANT, AND TRAINED VOLUNTEERS.
SCHEDULE H, PART VI, LINE 6THE HOSPITAL IS AFFILIATED WITH THE VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM (VCUHS) AND IS COMPONENT OF THE CHILDREN'S HOSPITAL OF RICHMOND AT VCU (CHOR) THAT IS CENTRAL VIRGINIA'S ONLY COMPREHENSIVE, FULL-SERVICE CHILDREN'S HOSPITAL. AS VIRGINIA'S ONLY LEVEL 1 PEDIATRIC TRAUMA CENTER, CHOR OFFERS A WIDE RANGE OF CHILDREN'S HEALTH SERVICES, INCLUDING PEDIATRIC EMERGENCY SERVICES, PRIMARY CARE, SPECIALTY AND SUBSPECIALTY CARE, BURN, TRAUMA, TRANSPLANT AND LONG-TERM CARE. WITH MORE THAN 15 LOCATIONS ACROSS CENTRAL VIRGINIA, CHOR PROVIDES PEDIATRIC INPATIENT AND OUTPATIENT SERVICES THAT COVER NEARLY ALL CHILDREN'S HEALTH-RELATED NEEDS. CHOR IS COMMITTED TO 5 ENSURING ACCESS TO CARE FOR ALL CHILDREN, TRAINING FUTURE PEDIATRIC CAREGIVERS AND MAKING NEW DISCOVERIES THAT IMPROVE UNDERSTANDING AND TREATMENT OF CHILDHOOD DISEASES.
SCHEDULE H, PART VI, LINE 7VIRGINIA IS THE ONLY STATE WHERE THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Sharon Darby
ASSOCIATE VP OF OPERATIONS$204,937$0$15,262$0$16,694$0$25,269$0$4,256$0$266,418$0$0$0
SALLIE C TIDMAN
DIRECTOR OF THERAPY SERVICES$123,071$0$9,140$0$6,496$0$13,134$0$10,362$0$162,203$0$0$0
MARY S TOGNARELLI
DIRECTOR OF INPATIENT SERVICES$128,807$0$8,976$0$723$0$15,476$0$4,096$0$158,078$0$0$0
Mark Nicol
Dir. Facilities MGMT$116,372$0$8,518$0$834$0$14,714$0$10,362$0$150,800$0$0$0
Elias Neujahr
CEO CHILDRE'S HOSPITAL OF RICH$0$410,470$0$23,190$0$51,327$0$14,408$0$10,829$0$510,224$0$0
Paul Neimeyer
SECRETARY/CHIEF GEN. COUNSEL$0$447,237$0$44,923$0$10,557$0$22,000$0$4,478$0$529,195$0$0
Marsha D Rappley MD
DIRECTOR$0$915,652$0$60,093$0$4,959$0$56,375$0$5,932$0$1,043,011$0$0
Timothy O'Neill
Director of Finance$123,118$0$8,991$0$3,449$0$15,561$0$10,431$0$161,550$0$0$0
Thomas Yackel
Director, Pres. of MCV$0$329,686$0$35,000$0$5,093$0$31,731$0$444$0$401,954$0$0
Deborah Davis
DIRECTOR$0$681,433$0$57,176$0$74,171$0$33,011$0$10,836$0$856,627$0$0
John D Ward MD
DIRECTOR-EX-OFFICIO$0$580,605$0$35,910$0$7,440$0$57,970$0$19,136$0$701,061$0$0
Bruce K Rubin MD
DIRECTOR-EX-OFFICIO$0$375,237$0$85,790$0$28,833$0$31,731$0$983$0$522,574$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationFOR FISCAL YEAR ENDING JUNE 30, 2019 THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE EXECUTIVE DIRECTOR, IS DETERMINED BY THE CEO OF THE HEALTH SYSTEM. THIS IS CONSISTENT WITH THE REQUIREMENTS ESTABLISHED IN THE BYLAWS OF VCUHS. THE CEO USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE CEO MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF INDIVIDUAL PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE CEO THEN MEETS WITH THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS TO DISCUSS THE MATTER AND PRESENT RECOMMENDATIONS AND RECEIVE FINAL APPROVAL. THE COMPENSATION COMMITTEE MAY DISCUSS THESE RECOMMENDATIONS IN EXECUTIVE SESSION OF THE VCUHS BOARD OF DIRECTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4DOTHER PROGRAM SERVICES CHILDREN'S FEEDING PROGRAM - THE CHILDREN'S FEEDING PROGRAM IS DESIGNED TO HELP CHILDREN WHO HAVE A MEDICAL CONDITION THAT HAS AFFECTED THEIR FEEDING AND GROWTH. THE CHILD IS INITIALLY SEEN IN THE FEEDING CLINIC BY A TEAM OF SPECIALISTS WHO EVALUATE THE CHILD'S NEEDS AND MAKE RECOMMENDATIONS FOR TREATMENT AND/OR PROVIDES TIPS FOR THE FAMILY. TREATMENT PROGRAMS, EITHER OUTPATIENT OR DAY PATIENT, FOCUS ON ESTABLISHING APPROPRIATE FEEDING AND NUTRITIONAL HABITS. Part V, LINE 2A 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 UNER ITS OWN EIN.
FORM 990, PART VI, SECTION A, LINE 6, 7A AND 7BTHE SOLE MEMBER OF THE CORPORATION IS VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (VCUHS), A STATUTORY AUTHORITY CREATED UNDER THE CODE OF VIRGINIA. VCUHS HAS THE EXCLUSIVE RIGHT AND POWER TO ELECT, APPOINT, OR REMOVE THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS AS PROVIDED IN THE BYLAWS. THE BOARD OF DIRECTORS OF VCUHS SHALL ACT ON VCUHS'S BEHALF IN EXERCISING VCUHS'S RESERVED POWERS OVER THE CORPORATION. CERTAIN COMMITTEES OF THE BOARD OF DIRECTORS OF VCUHS SHALL OVERSEE THE ACTIVITIES OF THE CORPORATION. LISTED BELOW ARE VCUHS'S RESERVED POWERS: (A) APPROVAL OF AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; (B) APPROVAL OF THE CORPORATION'S CAPITAL AND OPERATING BUDGETS; (C) ELECTION AND REMOVAL OF AN ELECTED DIRECTOR (AS HEREINAFTER DEFINED); (D) APPROVAL OF THE INCURRENCE OF DEBT OR THE ISSUANCE OF GUARANTEES BY THE CORPORATION IN EXCESS OF $500,000 FOR A SINGLE EXPENDITURE; (E) APPROVAL OF ANY NON-BUDGETED CAPITAL EXPENDITURE IN EXCESS OF $500,000 FOR A SINGLE CAPITAL EXPENDITURE OR $1 MILLION FOR ALL SUCH CAPITAL EXPENDITURES ON AN AGGREGATE BASIS IN ANY TWELVE (12) MONTH PERIOD; (F) ANY PROPOSED EXPENDITURE IN EXCESS OF $500,000 FROM FUNDED DEPRECIATION MAINTAINED BY OR ON BEHALF OF THE CORPORATION FOR THE RENOVATION AND REPLACEMENT OF THE CORPORATION'S CAPITAL ASSETS; (G) AUTHORIZATION OF ANY ACTION THAT COULD CAUSE THE CORPORATION TO OPERATE IN A MANNER INCONSISTENT WITH THE COMMUNITY BENEFIT STANDARD ARTICULATED BY THE INTERNAL REVENUE SERVICE, OR OTHERWISE CAUSE THE CORPORATION TO ACT IN POTENTIAL DEROGATION OF ITS FEDERAL, STATE, OR LOCAL TAX-EXEMPTION AND/OR CHARITABLE PURPOSE; (H) SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (I) MERGER, CONSOLIDATION, DISSOLUTION, OR DIVISION OF THE CORPORATION; (J) ASSIGNMENT OF PROPERTY OR OTHER ASSETS OF THE CORPORATION IN TRUST FOR CREDITORS OR ON THE ASSIGNEE'S PROMISE TO PAY THE DEBTS OF THE CORPORATION; (K) DECLARATION OF BANKRUPTCY BY THE CORPORATION; (L) AUTHORIZATION OF ANY ACTION THAT COULD HAVE A MATERIAL ADVERSE IMPACT ON ANY LICENSURE, ACCREDITATION, OR CERTIFICATION HELD OR DESIRED TO BE HELD BY THE CORPORATION, INCLUDING, WITHOUT LIMITATION, STATE LICENSURE, MEDICARE OR MEDICAID CERTIFICATION, THE JOINT COMMISSION OR OTHER FACILITY ACCREDITATION, MEDICAL RESIDENCY PROGRAM ACCREDITATION, OR CLINICAL DESIGNATION OR CERTIFICATION; (M) ANY SIGNIFICANT PROPOSED AFFILIATIONS WITH OTHER HEALTH CARE PROVIDERS OR ACADEMIC INSTITUTIONS, INCLUDING, WITHOUT LIMITATION, ACQUISITION, MERGER, JOINT OPERATION, MANAGEMENT, STAFFING, CLINICAL COORDINATION, OR 'CO-BRANDING (N) ANY ACTION INVOLVING USE OF THE CORPORATION'S LOGO, SERVICE MARK, TRADE OR OTHER DRESS, OTHER THAN FOR THE DIRECT BENEFIT OF THE CORPORATION OR THE DEPARTMENT OF PEDIATRICS OF THE MEMBER; AND (O) HIRING OR TERMINATION OF THE CORPORATION'S CHIEF EXECUTIVE OFFICER (IRRESPECTIVE OF TITLE).
FORM 990, PART VI, LINE 11AA PDF COPY OF THE 990 IS SENT TO ALL THE BOARD MEMBERS FOR REVIEW. COMPENSATION INFORMATION IS REDACTED FROM THE COPY OF THE 990 PROVIDED. THIS BOARD REVIEW PROCESS TAKES PLACE PRIOR TO FILING AND A PERIOD OF TIME IS ALLOTTED FOR REVIEW COMMENTS BY THE BOARD MEMBERS.
FORM 990, PART VI, LINE 12CALL OFFICERS, TRUSTEES AND KEY EMPLOYEES SHALL DISCLOSE A POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD OR COMPLIANCE OFFICER FOR INVESTIGATION AND RESOLUTION. UPON APPOINTMENT TO THE BOARD OR EMPLOYMENT AND ANNUALLY THEREAFTER, OFFICERS, TRUSTEES AND KEY EMPLOYEES SHALL COMPLETE AN AFFIRMATION STATEMENT AND DISCLOSURE FORM FOR REVIEW BY THE BOARD. THE PERSON WITH THE CONFLICT WILL BE PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DECISIONS IN THE AREA OF CONFLICT.
FORM 990, PART VI, LINE 15AN OUTSIDE CONSULTANT IS USED TO COMPLETE A REVIEW AND ESTABLISH RANGES TO BE USED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE RANGES MEET THE 4958 SAFE HARBOR REQUIREMENTS.
FORM 990, PART VI, SECTION B, LINE 19DOCUMENTS ARE AVAILABLE FOR INSPECTION AT THE MAIN HOSPITAL LOCATION UPON REQUEST.
FORM 990, PART XI, LINE 9OTHER CHANGES TO NET ASSETS PLAN ASSETS AND BENEFIT OBLIGATION OF PENSION PLAN ($131,523) CHANGE IN BENEFICIAL INTEREST IN TRUSTS $168,932 Unrealized loss on disposal of fixed assets ($4,476) ----------- TOTAL $ 32,933

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
VCU HEALTH SYSTEM AUTHORITY
PO BOX 980510RICHMONDVA23298541848065HEALTHCAREVA170(C)(1)NAfalse
MCV ASSOCIATED PHYSICIANS
PO BOX 980620RICHMONDVA23298541581185MED TEACHINGVA501(c)(3)VCUHSYes (true)12A, I
UNIVERSITY HEALTH SERVICES INC
1010 E MARSHALL STREETRICHMONDVA23219541790550EDUCATIONVA501(c)(3)VCUHSYes (true)12A, I
COMMUNITY MEMORIAL HOSPITAL
1755 N MECKLENBURG AVESOUTH HILLVA23970540221711HOSPITALVA501(c)(3)VCUHSYes (true)3
COMMUNITY MEMORIAL HOSPITAL FOUNDATION
1755 N MECKLENBURG AVESOUTH HILLVA23970541831331ADMIN FOR CMHVA501(c)(3)CMHYes (true)12A-1
VIRGINIA PREMIER HEALTH PLAN INC
600 EAST BROAD STREETRICHMONDVA23219541760974HEALTH PLANVA501(c)(3)VCUHSAYes (true)10
UHS PROFESSIONAL EDUCATION PROGRAMS
PO BOX 980048RICHMONDVA23298541790553EDUCATIONVA501(c)(3)VCUHSYes (true)12A-1
Virginia Commonwealth University
box 842512richmondVA23284546001758edu instituteVAnafalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S PAVILION OF RICHMOND CONDOBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11010 EAST MARSHALL ST PO BOX 980AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23298ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesCONDONIMNIUMSPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd