2019-05-15T13:03:54-05:00 2018-06-30 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY NY 10036 990 2017-07-01 540506309 CRIPPLED CHILDREN'S HOSPITAL % Timothy O'Neill CRIP 8042285874 2924 Brook Road Richmond VA 232201298 Timothy O'Neill Finance Director 2019-05-14 true LAURA KIELCZEWSKI P00740769 2127733000 164.57.159.253 35057220191355000009 2019-05-15 P 792E0AAC5A27EF8E692221D1D01611EA294E7B56 2979594631CB5427DBABEAFA59DA989879D1FE14 2017 2019-02-21 02:37:17Z Children's Hospital of Richmond Elias Neujahr 2924 BROOK ROAD RICHMOND VA 232201298 31510972 false X www.chrichmond.org X 1920 VA CRIPPLED 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. 7 3 452 74 0 0 623931 520330 30113472 30940550 14805 14042 73417 19526 30825625 31494448 0 0 0 0 25335378 25406005 0 0 0 7197103 7865473 32532481 33271478 -1706856 -1777030 27944246 21099999 22078603 17160596 5865643 3939403 X CRIPPLED 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. false false 8313095 12228855 THE 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. 9997976 12961171 THE 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. 2024851 2526530 DENTAL 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. 1792822 3226242 22128744 true true false false false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 29 0 true 452 true false false false false false false false false false false X 7 3 false false false false true true true true true false false false true true true true true false false false VA X Timothy O'Neill 8042285874 2924 Brook Road Richmond VA 23220 Deborah Davis DIRECTOR 1.0 40.0 X 0 1044713 62805 John D Ward MD DIRECTOR-EX-OFFICIO term 2/18 1.0 0.0 X 0 736596 70721 Bruce K Rubin MD DIRECTOR-EX-OFFICIO 1.0 0.0 X 0 456650 34062 Thomas S Cain CHAIRMAN 1.0 0.0 X X 0 0 0 Linda Pearson VICE CHAIR AND TREASURER 1.0 0.0 X X 0 0 0 Jeffrey Mapp MD DIRECTOR 1.0 0.0 X 0 0 0 Frances LW Kay DIRECTOR 1.0 0.0 X 0 0 0 Marsha D Rappley MD DIRECTOR 1.0 40.0 X 0 1034203 77243 PonJola ConeyMD SECRETARY TIL 09/2017 1.0 0.0 X X 0 11365 1227 Elias Neujahr CEO Childre's Hospital of Rich 40.0 0.0 X 0 57433 778 Paul Neimeyer SECRETARY/Chief Gen. Counsel 40.0 0.0 X 0 531177 33376 Sharon Darby associate vp of operations 40.0 0.0 X 233229 0 35837 SALLIE C TIDMAN DIRECTOR OF THERAPY SERVICES 40.0 0.0 X 126890 0 35521 MARY S TOGNARELLI DIRECTOR OF OUTPATIENT SERVICE 40.0 0.0 X 124035 0 23068 Mark Nicol Dir. Facilities MGMT 40.0 0.0 X 118656 0 34472 TIMOTHY M GIBBS DIR. of IT THRU 4/18 40.0 0.0 X 134077 0 12545 Robin Crotts Dir. Performance Improv. 40.0 0.0 X 119026 0 22794 LESLIE WYATT EXECUTIVE DIRECTOR 0.0 0.0 X 0 100262 6510 DR JEROME STRAUSS Former Director 0.0 0.0 X 0 33662 805 855913 4006061 451764 15 true true false MCV ASSOCIATED PHYSICIANS DBA MCV PO BOX 79203 BALTIMORE MD 212790203 CONTRACTED PHYSICIAN 722295 VCU DENISTRY 521 NORTH 11TH STREET RICHMOND VA 23298 CONTRACT DENTIST 552805 COMPASS GROUP USA INC PO BOX 1306800735 BOSTON MA 022417632 CONTRACT FOOD SVCS 390099 NEIGHBORCARE PHARMACY OF VA LLC PO BOX 781668 DETROIT MI 482781668 DRUG & PHARMACY Mgmt 123219 INLAND NORTHWEST HEALTH SERVICES PO BOX 2185 SPOKANE WA 99210 NETWORK HOST/MONITOR 169304 5 0 520330 0 520330 Patient service revenue 623000 30924827 30924827 0 0 Physical therapy contract 623000 15723 15723 0 0 30940550 15802 15802 0 0 0 0 0 -1760 0 -1760 -1760 -1760 0 0 0 0 0 0 20532 16524 4008 4008 Medical Records 622110 8956 0 0 8956 All other revenue 900099 6562 0 0 6562 15518 31494448 30942798 0 31320 0 0 0 0 0 0 0 0 643142 0 643142 0 0 0 0 0 18383867 14321464 4062403 0 1194542 842340 352202 0 3794621 2598846 1195775 0 1389833 1049615 340218 0 391278 0 391278 0 0 0 0 0 32038 0 32038 0 0 0 0 0 0 0 0 0 0 0 1922292 1601641 320651 0 0 0 0 0 429152 156423 272729 0 565269 0 565269 0 0 0 0 0 1614268 627588 986680 0 46413 32706 13707 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 877417 0 877417 0 151775 0 151775 0 MEDICAL SUPPLIES 1410545 719981 690564 0 DUES AND SUBSCRIPTIONS 17407 3707 13700 0 ALL OTHER EXPENSES 407619 174433 233186 0 33271478 22128744 11142734 0 0 935836 976613 0 0 0 0 3123567 3534967 0 0 0 0 0 0 164919 163691 99562 93372 40823625 33589208 7674419 7234417 0 0 0 0 0 0 0 0 15945943 9096939 27944246 21099999 2930671 3738557 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19147932 13422039 22078603 17160596 X 1943714 -7796832 1290823 7604831 2631106 4131404 5865643 3939403 27944246 21099999 X -1777030 0 0 0 0 -149210 X false true X true false X 3921929 303029 315250 408804 4131404 3572986 371488 443961 466506 3921929 3687908 3058 -30019 87961 3572986 3602326 120007 99688 134113 3687908 3339987 47440 475729 260830 3602326 0.00000 0.61550 0.38450 true false 54914 54914 18240456 13141822 5098634 583826 500071 83755 19912006 18017049 1894957 2032423 1930266 102157 7234417 PENSION ASSETS 24836 EQUITY INTEREST IN FOUNDATION 4131404 SETTLEMENT DUE FROM 3RD PARTY 4893412 DEPOSITS 24836 OTHER CURRENT ASSETS 22451 9096939 0 NET PENSION LIABILITY 1315184 DUE TO AFFILIATES 8684423 PATIENT CREDIT BALANCES 327313 UNCLAIMED CHECKS 2764 DUE TO MEDICAID 3092355 13422039 SCHEDULE D, PART V, LINE 4 THE 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 2 FIN 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. true true true X true X true true false true true 31623 0 31623 0.00100 20201192 17760867 2440325 0.07330 0 0 0.00000 20232815 17760867 2471948 0.07430 72089 0 72089 0.00220 0 0 0.00000 72089 0 72089 0.00220 20304904 17760867 2544037 0.07650 true 474544 8845 8845 true false 1 1 CRIPPLED CHILDREN'S HOSPITAL 2924 BROOK ROAD RICHMOND VA 23220 WWW.CHRICHMOND.ORG H1842 X X X PEDIATRIC LONG TERM CARE CRIPPLED CHILDREN'S HOSPITAL 1 false false true X X X X X X X X X 16 true false false true X SEE PART V, SECTION C NARRATIVE X true 16 true SEE PART V, SECTION C NARRATIVE false false true X 100 250. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false 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 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 11 THE 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 16a https://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 5 FREDERICKSBURG THERAPY CENTER 10530 SPOTSYLVANIA AVNUE SUITE 102 FREDERICKSBURG VA 22408 OUTPATIENT THERAPY CENTER PETERSBURG THERAPY CENTER 321 B POPLAR DRIVE SUITE 4 PETERSBURG VA 23805 OUTPATIENT THERAPY CENTER GLEN ALLEN THERAPY CENTER 10124 West Broad Street Suite P Glen Allen VA 23060 OUTPATIENT THERAPY CENTER BON AIR THERAPY CENTER 206 TWINRIDGE LANE SUITE A RICHMOND VA 23235 OUTPATIENT THERAPY CENTER STAFFORD THERAPY CENTER 2781 JEFFERSON DAVIS HIGHWAY SUITE STAFFORD VA 22554 OUTPATIENT THERAPY CENTER SCHEDULE H, PART I, LINE 6A THE 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 9B A 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 2 THE 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 3 THE 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 4 THE 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 5 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. SCHEDULE H, PART VI, LINE 6 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 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 7 VIRGINIA IS THE ONLY STATE where the organization files A COMMUNITY BENEFIT REPORT. false false false false false false false false false Deborah Davis DIRECTOR 0 676991 0 296957 0 70765 0 37062 0 25743 0 1107518 0 0 John D Ward MD DIRECTOR-EX-OFFICIO term 2/18 0 627252 0 92977 0 16367 0 50719 0 20002 0 807317 0 0 Bruce K Rubin MD DIRECTOR-EX-OFFICIO 0 345094 0 104756 0 6800 0 31574 0 2488 0 490712 0 0 Sharon Darby associate vp of operations 216144 0 9100 0 7985 0 26249 0 9588 0 269066 0 0 0 SALLIE C TIDMAN DIRECTOR OF THERAPY SERVICES 120377 0 5071 0 1442 0 12780 0 22741 0 162411 0 0 0 Mark Nicol Dir. Facilities MGMT 112136 0 4725 0 1795 0 11909 0 22563 0 153128 0 0 0 LESLIE WYATT EXECUTIVE DIRECTOR 0 100262 0 0 0 0 0 6260 0 250 0 106772 0 0 Paul Neimeyer SECRETARY/Chief Gen. Counsel 0 437496 0 85500 0 8181 0 22613 0 10763 0 564553 0 0 Marsha D Rappley MD DIRECTOR 0 862942 0 162400 0 8861 0 56650 0 20593 0 1111446 0 0 DR JEROME STRAUSS Former Director 0 33662 0 0 0 0 0 696 0 109 0 34467 0 0 PART I, LINE 3 FOR 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. PART III, LINE 4D OTHER 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 11A A 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 15 AN 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 19 Documents are available for inspection at the main hospital location upon request. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS SPLIT-INTEREST AGREEMENTS $ 209,475 PLAN ASSETS AND BENEFIT OBLIGATION OF PENSION PLAN ($ 358,685) ---------------- TOTAL ($ 149,210) VCU HEALTH SYSTEM AUTHORITY PO BOX 980510 RICHMOND VA 23298 541848065 HEALTHCARE VA NA false MCV ASSOCIATED PHYSICIANS PO BOX 980620 RICHMOND VA 23298 541581185 MED TEACHING VA 501(C)(3) 12A, I VCUHS true UNIVERSITY HEALTH SERVICES INC 1010 E MARSHALL STREET RICHMOND VA 23219 541790550 SUPPORT VA 501(C)(3) 12A, I VCUHS true COMMUNITY MEMORIAL HOSPITAL 1755 N MECKLENBURG AVE PO BOX 90 SOUTH HILL VA 23970 540221711 HOSPITAL VA 501(C)(3) 3 VCUHS true COMMUNITY MEMORIAL HOSPITAL FOUNDATION 1755 N MECKLENBURG AVE PO BOX 90 SOUTH HILL VA 23970 541831331 ADMIN FOR CMH VA 501(C)(3) 12A-1 CMH true VIRGINIA PREMIER HEALTH PLAN INC 600 EAST BROAD STREET RICHMOND VA 23219 541760974 HEALTH PLAN VA 501(C)(3) 10 VCUHSA true UHS PROFESSIONAL EDUCATION PROGRAMS INC PO BOX 980048 RICHMOND VA 23298 541790553 EDUCATION VA 501(C)(3) 12A-1 VCUHS true CHILDREN'S PAVILION OF RICHMOND CONDO 1010 EAST MARSHALL ST PO BOX 980 RICHMOND VA 23298 CONDONIMNIUMS VA NA C CORP true false false false false false false false false false true false false true false true true true false false