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VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD (EIN 54-0506309)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201911359349307656
Schema version
2017v2.3
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)
Return2019-05-15T13:03:54-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

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 SQUARE NEW YORKAddressLine1Txt
CityNYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10036ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

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
Signature2019-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA KIELCZEWSKIPreparerPersonNm
PTINP00740769PTIN
Phone2127733000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address164.57.159.253IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id35057220191355000009FederalOriginalSubmissionId
Federal Original Submission Id2019-05-15FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id792E0AAC5A27EF8E692221D1D01611EA294E7B56AtSubmissionCreationDeviceId
At Submission Filing Device Id2979594631CB5427DBABEAFA59DA989879D1FE14AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$31,510,972GrossReceiptsAmt
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 Body7VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee452TotalEmployeeCnt
Total Volunteers74TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$623,931PYContributionsGrantsAmt
CY Contributions Grants$520,330CYContributionsGrantsAmt
PY Program Service Revenue$30,113,472PYProgramServiceRevenueAmt
CY Program Service Revenue$30,940,550CYProgramServiceRevenueAmt
PY Investment Income$14,805PYInvestmentIncomeAmt
CY Investment Income$14,042CYInvestmentIncomeAmt
PY Other Revenue$73,417PYOtherRevenueAmt
CY Other Revenue$19,526CYOtherRevenueAmt
PY Total Revenue$30,825,625PYTotalRevenueAmt
CY Total Revenue$31,494,448CYTotalRevenueAmt
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$25,335,378PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,406,005CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,197,103PYOtherExpensesAmt
CY Other Expenses$7,865,473CYOtherExpensesAmt
PY Total Expenses$32,532,481PYTotalExpensesAmt
CY Total Expenses$33,271,478CYTotalExpensesAmt
PY Revenues Less Expenses-$1,706,856PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,777,030CYRevenuesLessExpensesAmt
Total Assets BOY$27,944,246TotalAssetsBOYAmt
Total Assets EOY$21,099,999TotalAssetsEOYAmt
Total Liabilities BOY$22,078,603TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,160,596TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,865,643NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,939,403NetAssetsOrFundBalancesEOYAmt
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 8,702 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$8,313,095ExpenseAmt
Revenue$12,228,855RevenueAmt
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 36.0 IN FISCAL YEAR 2018, A DECREASE FROM 39 IN FISCAL YEAR 2017. 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,997,976ExpenseAmt
Revenue$12,961,171RevenueAmt
DescTHE HOSPITAL IS THE PREMIER PROVIDER OF OUTPATIENT PEDIATRIC PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES IN CENTRAL VIRGINIA. OUTPATIENT THERAPY VISITS TOTALED 88,118 IN FISCAL YEAR 2018. 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$2,024,851ExpenseAmt
Revenue$2,526,530RevenueAmt
DescDENTAL PROGRAM SERVICES ARE PROVIDED FOR THE TYPICAL WELL-CHILD AND FOR CHILDREN WITH SPECIAL NEEDS. IN FISCAL YEAR 2018, THE DENTAL PROGRAM COMPLETED 574 SURGERIES AND 5,905 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$1,792,822TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$3,226,242TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$22,128,744TotalProgramServiceExpensesAmt
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 Document29IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee452EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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 (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Deborah Davis
DIRECTOR1.040.0Yes (X)$0$1,044,713$62,805
John D Ward MD
DIRECTOR-EX-OFFICIO term 2/181.00.0Yes (X)$0$736,596$70,721
Bruce K Rubin MD
DIRECTOR-EX-OFFICIO1.00.0Yes (X)$0$456,650$34,062
Thomas S Cain
CHAIRMAN1.00.0Yes (X)$0$0$0Yes (X)
Linda Pearson
VICE CHAIR AND TREASURER1.00.0Yes (X)$0$0$0Yes (X)
Jeffrey Mapp MD
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$1,034,203$77,243
PonJola ConeyMD
SECRETARY TIL 09/20171.00.0Yes (X)$0$11,365$1,227Yes (X)
Elias Neujahr
CEO Childre's Hospital of Rich40.00.0$0$57,433$778Yes (X)
Paul Neimeyer
SECRETARY/Chief Gen. Counsel40.00.0$0$531,177$33,376Yes (X)
Sharon Darby
associate vp of operations40.00.0$233,229$0$35,837Yes (X)
SALLIE C TIDMAN
DIRECTOR OF THERAPY SERVICES40.00.0$126,890$0$35,521Yes (X)
MARY S TOGNARELLI
DIRECTOR OF OUTPATIENT SERVICE40.00.0$124,035$0$23,068Yes (X)
Mark Nicol
Dir. Facilities MGMT40.00.0$118,656$0$34,472Yes (X)
TIMOTHY M GIBBS
DIR. of IT THRU 4/1840.00.0$134,077$0$12,545Yes (X)
Robin Crotts
Dir. Performance Improv.40.00.0$119,026$0$22,794Yes (X)
LESLIE WYATT
EXECUTIVE DIRECTOR0.00.0$0$100,262$6,510Yes (X)
DR JEROME STRAUSS
Former Director0.00.0$0$33,662$805Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$855,913TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,006,061TotReportableCompRltdOrgAmt
Total Other Compensation$451,764TotalOtherCompensationAmt
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$722,295
VCU DENISTRY
521 NORTH 11TH STREETRICHMONDVA23298CONTRACT DENTIST$552,805
COMPASS GROUP USA INC
PO BOX 1306800735BOSTONMA022417632CONTRACT FOOD SVCS$390,099
NEIGHBORCARE PHARMACY OF VA LLC
PO BOX 781668DETROITMI482781668DRUG & PHARMACY Mgmt$123,219
INLAND NORTHWEST HEALTH SERVICES
PO BOX 2185SPOKANEWA99210NETWORK HOST/MONITOR$169,304
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Fundraising$0FundraisingAmt
All Other Contributions$520,330AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$520,330TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient service revenue623000$30,924,827$30,924,827$0$0
Physical therapy contract623000$15,723$15,723$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$30,940,550TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,802TotalRevenueColumnAmt
Exclusion$15,802ExclusionAmt

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-$1,760OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,760OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,760TotalRevenueColumnAmt
Related Or Exempt Func Income-$1,760RelatedOrExemptFuncIncomeAmt
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$20,532GrossSalesOfInventoryAmt
Cost Of Goods Sold$16,524CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,008TotalRevenueColumnAmt
Related Or Exempt Func Income$4,008RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Medical Records622110$8,956$0$0$8,956
All other revenue900099$6,562$0$0$6,562
FieldValueIRS element (for citing)
Other Revenue Total$15,518OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,494,448TotalRevenueColumnAmt
Related Or Exempt Func Income$30,942,798RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$31,320ExclusionAmt

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$643,142TotalAmt
Program Services$0ProgramServicesAmt
Management And General$643,142ManagementAndGeneralAmt
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$18,383,867TotalAmt
Program Services$14,321,464ProgramServicesAmt
Management And General$4,062,403ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,194,542TotalAmt
Program Services$842,340ProgramServicesAmt
Management And General$352,202ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,794,621TotalAmt
Program Services$2,598,846ProgramServicesAmt
Management And General$1,195,775ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,389,833TotalAmt
Program Services$1,049,615ProgramServicesAmt
Management And General$340,218ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$391,278TotalAmt
Program Services$0ProgramServicesAmt
Management And General$391,278ManagementAndGeneralAmt
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$32,038TotalAmt
Program Services$0ProgramServicesAmt
Management And General$32,038ManagementAndGeneralAmt
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$1,922,292TotalAmt
Program Services$1,601,641ProgramServicesAmt
Management And General$320,651ManagementAndGeneralAmt
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$429,152TotalAmt
Program Services$156,423ProgramServicesAmt
Management And General$272,729ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$565,269TotalAmt
Program Services$0ProgramServicesAmt
Management And General$565,269ManagementAndGeneralAmt
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$1,614,268TotalAmt
Program Services$627,588ProgramServicesAmt
Management And General$986,680ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,413TotalAmt
Program Services$32,706ProgramServicesAmt
Management And General$13,707ManagementAndGeneralAmt
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$877,417TotalAmt
Program Services$0ProgramServicesAmt
Management And General$877,417ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$151,775TotalAmt
Program Services$0ProgramServicesAmt
Management And General$151,775ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$1,410,545$719,981$690,564$0
DUES AND SUBSCRIPTIONS$17,407$3,707$13,700$0
ALL OTHER EXPENSES$407,619$174,433$233,186$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,271,478TotalAmt
Program Services$22,128,744ProgramServicesAmt
Management And General$11,142,734ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$935,836BOYAmt
EOY$976,613EOYAmt

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$3,123,567BOYAmt
EOY$3,534,967EOYAmt

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$164,919BOYAmt
EOY$163,691EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$99,562BOYAmt
EOY$93,372EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$40,823,625LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$33,589,208LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,674,419BOYAmt
EOY$7,234,417EOYAmt

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$15,945,943BOYAmt
EOY$9,096,939EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,944,246BOYAmt
EOY$21,099,999EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,930,671BOYAmt
EOY$3,738,557EOYAmt

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$19,147,932BOYAmt
EOY$13,422,039EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,078,603BOYAmt
EOY$17,160,596EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,943,714BOYAmt
EOY-$7,796,832EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,290,823BOYAmt
EOY$7,604,831EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,631,106BOYAmt
EOY$4,131,404EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,865,643BOYAmt
EOY$3,939,403EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,944,246BOYAmt
EOY$21,099,999EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,777,030ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$149,210OtherChangesInNetAssetsAmt
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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,339,987BeginningYearBalanceAmt
Contributions$47,440ContributionsAmt
Investment Earnings Or Losses$475,729InvestmentEarningsOrLossesAmt
Other Expenditures$260,830OtherExpendituresAmt
End Year Balance$3,602,326EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.61550PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.38450TermEndowmentBalanceEOYPct
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$18,240,456OtherCostOrOtherBasisAmt
Depreciation$13,141,822DepreciationAmt
Book Value$5,098,634BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$583,826OtherCostOrOtherBasisAmt
Depreciation$500,071DepreciationAmt
Book Value$83,755BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,912,006OtherCostOrOtherBasisAmt
Depreciation$18,017,049DepreciationAmt
Book Value$1,894,957BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,032,423OtherCostOrOtherBasisAmt
Depreciation$1,930,266DepreciationAmt
Book Value$102,157BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,234,417TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
PENSION ASSETS$24,836
EQUITY INTEREST IN FOUNDATION$4,131,404
SETTLEMENT DUE FROM 3RD PARTY$4,893,412
DEPOSITS$24,836
OTHER CURRENT ASSETS$22,451
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,096,939TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
NET PENSION LIABILITY$1,315,184
DUE TO AFFILIATES$8,684,423
PATIENT CREDIT BALANCES$327,313
UNCLAIMED CHECKS$2,764
DUE TO MEDICAID$3,092,355
FieldValueIRS element (for citing)
Total Liability$13,422,039TotalLiabilityAmt

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 ARE TO BENEFIT THE HOSPITAL. TEMPORARILY RESTRICTED NET ASSETS IN THE FOUNDATION OF $1,588,800 AND $1,409,325 AT JUNE 30, 2018 AND 2017, 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 $2,542,604 AND $2,512,604 AT JUNE 30, 2018 AND 2017,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 INCOME TAXES: THE ORGANIZATION IS TAX-EXEMPT ON RELATED ACTIVITIES AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. 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 1, 2018, INCLUDING REVISIONS TO TAXES ON UNRELATED BUSINESS ACTIVITIES, EXCISE TAXES ON COMPENSATION OF CERTAIN EMPLOYEES, AND VARIOUS OTHER PROVISIONS. THE REGULATIONS NECESSARY TO IMPLEMENT THE LAW ARE EXPECTED TO BE PROMULGATED THROUGHOUT 2018 AND THE ULTIMATE OUTCOME OF THESE REGULATIONS AND THE IMPACT TO THE FINANCIAL STATEMENTS CANNOT BE PRESENTLY DETERMINED. THROUGHOUT 2018 AND THE ULTIMATE OUTCOME OF THESE REGULATIONS AND THE IMPACT TO THE FINANCIAL STATEMENTS CANNOT BE PRESENTLY DETERMINED.

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$31,623TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$31,623NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,201,192TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,760,867DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,440,325NetCommunityBenefitExpnsAmt
Total Expense0.07330TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,232,815TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,760,867DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,471,948NetCommunityBenefitExpnsAmt
Total Expense0.07430TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,089TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$72,089NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,089TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$72,089NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,304,904TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,760,867DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,544,037NetCommunityBenefitExpnsAmt
Total Expense0.07650TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$474,544BadDebtExpenseAmt
Reimbursed By Medicare$8,845ReimbursedByMedicareAmt
Medicare Surplus Or Shortfall$8,845MedicareSurplusOrShortfallAmt
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 Conducted16CHNAConductedYr
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 Adpt16ImplementationStrategyAdptYr
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 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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5THE HOSPITAL USED A WRITTEN SURVEY TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS CONDUCTED FROM OCTOBER 2015 TO March of 2016. THE SURVEY RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, VIRGINIA DEPARTMENT OF EDUCATION, RICHMOND CITY HEALTH DISTRICT, CARE CONNECTION FOR CHILDREN, MARCH OF DIMES FOUNDATION, AND GREATER RICHMOND FIT4KIDS. CITY HEALTH DISTRICT, CARE CONNECTION FOR CHILDREN, MARCH OF DIMES FOUNDATION, AND GREATER RICHMOND FIT4KIDS. PART V, SECTION B, LINE 7 https://chrichmond.org/Childrens-Hospital-CHNAL-July2016.pdf PART V, SECTION B, LINE 10 https://www.chrichmond.org/CHNA-Implementation-Plan-FY17-19.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 COMMUNITYThe top health needs of the Childrens Hospital community include those that are supported by the data and feedback provided in the assessment: A. Childrens Health Support - Learning more about the childs health and developmental needs B. Childrens Health Conditions - Childhood Asthma - Low Birth Weight - Behavioral Health - Childhood Obesity - Disabilities (intellectual and developmental)Implementation Strategies Key Objectives: 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.The 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 ensuring access to care for all children, training future pediatric caregivers and making new discoveries that improve understanding and treatment of childhood diseases.Childrens Health Support The 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.A. Childrens Health Conditions Childhood Asthma CHoR has the region's only pediatric severe asthma clinic, staffed by both allergists and pulmonologists. This comprehensive, blended approach to evaluation and management enhances the care for children with chronic asthma, while decreasing the time commitment for both children and their families. Parents and children also receive education and training in a number of areas including asthma education; use and cleaning of inhaled medication and delivery devices; airway clearance methods and equipment; and administration of inhaled medications.Low Birth Weight Within VCUHS, the Obstetrics and Gynecology services are dedicated to providing comprehensive reproductive and gynecologic care to women of all ages. Care is provided for pregnancies affected by illnesses that can lead to a complicated pregnancy or impact the baby. Also, the most medically complex newborns in Central Virginia get the dedicated, specialized care they require in the region's most up-to-date neonatal intensive care unit. There is a large team of dedicated and experienced health care professionals that enables VCUHS to offer complete Level 3+ neonatal services the highest level available.Behavioral Health Conditions The VCUHS Virginia Treatment Center for Children (VTCC) provides services for children and adolescents with mental health issues ranging from depression and ADD/ADHD to anxiety, autism spectrum disorder and behavioral problems at home and school. VTCC offers both inpatient programs including acute care crisis stabilization and evaluations and outpatient programs including evaluations, family and individual therapy and specialty clinics.The Hospitals Psychology Department specializes in working with children from birth to age 17 who have psychological needs related to medical, emotional and behavioral issues, and neuropsychological evaluations following a neurological injury or illness. Psychologists provide individual and family therapy, behavioral consultation and a variety of evaluations, for hospitalized patients and through outpatient referrals. Childhood Obesity The Hospital provides registered dietitians services for children and adolescents with complex medical issues or specific concerns. Services include medical nutrition therapy; nutrition screenings and counseling.The CHoR Healthy Lifestyles Center aims to stem the rising tide of childhood obesity by promoting healthy weight management, eating, exercise and lifestyle habits that can last a lifetime. The Healthy Lifestyles Clinic team works with children and their families to identify and modify behavioral (e.g., exercise) and psychological (e.g., stress) factors that contribute to obesity, and to promote healthy eating and exercise habits for a lifetime.Disabilities The CHoR Child Development Clinic is committed to providing comprehensive developmental assessments for children and youth who are suspected of having developmental delays and/or disabilities. The staff offers medical, psychological, social work, evaluations and testing to assist in making a diagnosis. Recommendations are generated from the evaluations for parents and other professionals to assist with care planning, referrals, follow-up care coordination, and intervention services.The Hospital provides Occupational Therapy, Physical Therapy and Speech and Language Pathology services that are based on a plan of care that is individualized for each patient based on his/her therapeutic needs. Rehabilitation patients may be given responsibility for performing minor tasks as part of their therapeutic plan. Such assignments are made through a collaborative team approach, which includes the patient and family. The plan is adjusted based on ongoing assessments, reassessment and any associated diagnostic testing. The patients assessed learning needs and abilities are used to provide education and training through an interdisciplinary and collaborative approach. Other Needs Identified in the Community Health Needs Assessment Each of the health needs identified in the Community Health Needs Assessment is important and many are being addressed by numerous programs and initiatives throughout VCUHS. The Hospital cannot directly address certain community health needs that do not relate to its mission. These may be 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/Images/SitePage/Patient%20resources/PATIENT-FIN ANCIAL-ASSISTANCE-POLICY-518.pdf PART V, SECTION B, LINE 16b https://chrichmond.org/Images/SitePage/Financial%20Assistance%20applicatio n.pdf PART V, SECTION B, LINE 16c https://www.chrichmond.org/Images/SitePage/Patient%20resources/PATIENT-FIN ANCIAL-ASSISTANCE-POLICY-518.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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6ATHE HOSPITAL REPORTS COMMUNITY BENEFIT DATA TO THE VA HOSPITAL AND HEALTHCARE ASSOCIATION (VHHA). SCHEDULE H, PART I, LINE 7 COMMUNITY 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 2 CHARGED 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 3 NO ATTEMPT HAS BEEN MADE TO DETERMINE THE AMOUNT IN BAD DEBT THAT COULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART III, LINE 4 FOOTNOTE 2(E) 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 $223,476,000 at June 30, 2018. SCHEDULE H, PART III, LINE 8 MEDICARE ALLOWABLE COST IS FROM THE LOW UTILIZATION MEDICARE COST REPORT.
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 EDUCATION, RICHMOND CITY HEALTH DISTRICT, CARE CONNECTION FOR CHILDREN, MARCH OF DIMES FOUNDATION, 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 AVAILIBLE 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 2014, THE SERVICE AREA INCLUDED MORE THAN 412,473 PERSONS AGED 0-21. AT ANY GIVEN TIME IN 2014, 24,002 CHILDREN AGE 0-18 ARE UNINSURED WITH 50% OF THE UNINSURED CHILDREN HAD INCOME BELOW THE 200% OF THE FEDERAL POVERTY LEVEL. 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 MORETHAN 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 (10 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
Deborah Davis
DIRECTOR$0$676,991$0$296,957$0$70,765$0$37,062$0$25,743$0$1,107,518$0$0
John D Ward MD
DIRECTOR-EX-OFFICIO term 2/18$0$627,252$0$92,977$0$16,367$0$50,719$0$20,002$0$807,317$0$0
Bruce K Rubin MD
DIRECTOR-EX-OFFICIO$0$345,094$0$104,756$0$6,800$0$31,574$0$2,488$0$490,712$0$0
Sharon Darby
associate vp of operations$216,144$0$9,100$0$7,985$0$26,249$0$9,588$0$269,066$0$0$0
SALLIE C TIDMAN
DIRECTOR OF THERAPY SERVICES$120,377$0$5,071$0$1,442$0$12,780$0$22,741$0$162,411$0$0$0
Mark Nicol
Dir. Facilities MGMT$112,136$0$4,725$0$1,795$0$11,909$0$22,563$0$153,128$0$0$0
LESLIE WYATT
EXECUTIVE DIRECTOR$0$100,262$0$0$0$0$0$6,260$0$250$0$106,772$0$0
Paul Neimeyer
SECRETARY/Chief Gen. Counsel$0$437,496$0$85,500$0$8,181$0$22,613$0$10,763$0$564,553$0$0
Marsha D Rappley MD
DIRECTOR$0$862,942$0$162,400$0$8,861$0$56,650$0$20,593$0$1,111,446$0$0
DR JEROME STRAUSS
Former Director$0$33,662$0$0$0$0$0$696$0$109$0$34,467$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationFOR FISCAL YEAR ENDING JUNE 30, 2018 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 (5 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. FORM 990, PART VI, SECTION A, LINE 6, 7A AND 7B THE 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 12C ALL 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 IN NET ASSETS SPLIT-INTEREST AGREEMENTS $ 209,475 PLAN ASSETS AND BENEFIT OBLIGATION OF PENSION PLAN ($ 358,685) ---------------- TOTAL ($ 149,210)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxt
VCU HEALTH SYSTEM AUTHORITY
PO BOX 980510RICHMONDVA23298541848065HEALTHCAREVANAfalse
MCV ASSOCIATED PHYSICIANS
PO BOX 980620RICHMONDVA23298541581185MED TEACHINGVAVCUHSYes (true)501(C)(3)12A, I
UNIVERSITY HEALTH SERVICES INC
1010 E MARSHALL STREETRICHMONDVA23219541790550SUPPORTVAVCUHSYes (true)501(C)(3)12A, I
COMMUNITY MEMORIAL HOSPITAL
1755 N MECKLENBURG AVE PO BOX 90SOUTH HILLVA23970540221711HOSPITALVAVCUHSYes (true)501(C)(3)3
COMMUNITY MEMORIAL HOSPITAL FOUNDATION
1755 N MECKLENBURG AVE PO BOX 90SOUTH HILLVA23970541831331ADMIN FOR CMHVACMHYes (true)501(C)(3)12A-1
VIRGINIA PREMIER HEALTH PLAN INC
600 EAST BROAD STREETRICHMONDVA23219541760974HEALTH PLANVAVCUHSAYes (true)501(C)(3)10
UHS PROFESSIONAL EDUCATION PROGRAMS INC
PO BOX 980048RICHMONDVA23298541790553EDUCATIONVAVCUHSYes (true)501(C)(3)12A-1

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
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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 OrgYes (true)PerformOfServicesByOtherOrgInd
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