VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD (EIN 54-0506309)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202411359349309291
Schema version
2022v5.0
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)
Return2024-05-14T14:36:38+00:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11101 NEW YORK AVENUE NWAddressLine1Txt
CityWashingtonCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540506309EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VCU Health Childrens Services at Brook RoadBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVCUHBusinessNameControlTxt
Phone8042285874PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12924 BROOK ROADAddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP232201298ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELIAS NEUJAHRPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2023276000PhoneNum
Signature2024-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstELIASPersonFirstNm
Person LastNEUJAHRPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmber N DoanePreparerPersonNm
PTINP01391011PTIN
Phone2023276000PhoneNum
Preparation2024-05-06PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S SERVICES AT BROOK ROADBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1ELIAS NEUJAHRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12924 BROOK ROADAddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP232201298ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,095,240GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHRICHMOND.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1920FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionVCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD (CSBR), FKA CRIPPLED CHILDREN'S HOSPITAL, IS A RESOURCE AND PROVIDER OF SPECIALIZED MEDICAL SERVICES FOR CHILDREN.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee233TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$811,655PYContributionsGrantsAmt
CY Contributions Grants$212,452CYContributionsGrantsAmt
PY Program Service Revenue$14,572,708PYProgramServiceRevenueAmt
CY Program Service Revenue$19,992,703CYProgramServiceRevenueAmt
PY Investment Income$4,650PYInvestmentIncomeAmt
CY Investment Income$34CYInvestmentIncomeAmt
PY Other Revenue$889,956PYOtherRevenueAmt
CY Other Revenue$890,051CYOtherRevenueAmt
PY Total Revenue$16,278,969PYTotalRevenueAmt
CY Total Revenue$21,095,240CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,859,852PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,145,816CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,482,791PYOtherExpensesAmt
CY Other Expenses$9,878,338CYOtherExpensesAmt
PY Total Expenses$21,342,643PYTotalExpensesAmt
CY Total Expenses$21,024,154CYTotalExpensesAmt
PY Revenues Less Expenses-$5,063,674PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$71,086CYRevenuesLessExpensesAmt
Total Assets BOY$61,207,264TotalAssetsBOYAmt
Total Assets EOY$81,513,586TotalAssetsEOYAmt
Total Liabilities BOY$66,470,099TotalLiabilitiesBOYAmt
Total Liabilities EOY$88,488,053TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$5,262,835NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$6,974,467NetAssetsOrFundBalancesEOYAmt
MissionVCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD (CSBR), FKA CRIPPLED CHILDREN'S HOSPITAL, IS A RESOURCE AND PROVIDER OF SPECIALIZED MEDICAL SERVICES CUSTOMIZED TO MEET THE SPECIFIC NEEDS OF CHILDREN AND THEIR FAMILIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$16,709,699ExpenseAmt
Grant$0GrantAmt
Revenue$19,305,718RevenueAmt
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 IS CERTIFIED BY THE VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES AND 100% OF THE REVENUE IN THIS PROGRAM COMES FROM VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,175,762ExpenseAmt
Grant$0GrantAmt
Revenue$686,985RevenueAmt
DescDENTAL PROGRAM SERVICES ARE PROVIDED FOR THE TYPICAL WELL-CHILD AND FOR CHILDREN WITH SPECIAL NEEDS. THE MAJORITY OF THE DENTAL PROGRAM PATIENTS ARE FUNDED BY VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$17,885,461TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
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 HospitalfalseOperateHospitalInd
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 With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee233EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIN CUMMINGSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8048270545PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 980152AddressLine1Txt
CityRICHMONDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23298ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LINDA PEARSON
VICE CHAIR/TREAS1.00Yes (X)Yes (X)$0$0$0
THOMAS CAIN
DIRECTOR/CHAIR1.00Yes (X)Yes (X)$0$0$0
ARTHUR KELLERMAN MD
DIRECTOR1.041.0Yes (X)$0$811,296$121,738
DAVID CHELMOW MD
DIRECTOR1.066.0Yes (X)$0$749,142$75,126
FRANCES KAY
DIRECTOR1.00Yes (X)$0$0$0
JEFFREY MAPP MD
DIRECTOR1.00Yes (X)$0$0$0
KAREN HENRICKS-MUNOZ MD
DIR EX-OFFICIO (JULY-AUG)1.050.0Yes (X)$0$456,004$59,113
LESLIE WYATT
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL ROUSSOS
DIRECTOR1.063.0Yes (X)$0$779,088$36,976
RALPH CLARK MD
DIR (JUL-DEC)1.066.0Yes (X)$0$660,373$65,522
SHARI BARKIN MD
DIRECTOR (SEPT-JUNE)1.066.0Yes (X)$0$281,760$39,106
ELIAS NEUJAHR
PRESIDENT5.045.0Yes (X)$0$505,199$28,078
SHARON DARBY
AVP40.00$250,077$0$28,398Yes (X)
DANIELA GUTFLEISCH MD
Respiratory Therapist40.00$165,876$0$12,237Yes (X)
Mark Nicol
Director Facility Services40.00$134,041$0$20,747Yes (X)
ROBIN CROTTS
Director of Performance Improvement40.00$133,647$0$22,410Yes (X)
STACY COLEMAN RN
Director Pediatric Nursing Home Admin40.00$146,493$0$16,066Yes (X)
Zadtu Whitley-Dawson RN
Nurse40.00$111,189$0$14,501Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$941,323TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,242,862TotReportableCompRltdOrgAmt
Total Other Compensation$540,018TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
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
VIRGINIA COMMONWEALTH UNIVERSITY
521 NORTH 11TH STREETRICHMONDVA23298CONTRACTED DENTISTS & TELECOMMUNICATION SERVICES$553,670
EUREST DINING SERVICES
2400 YORKMONT ROADCHARLOTTENC28217DINING SERVICES$331,185
Roof Systems of VA Inc
501 JEFFERSON DAVIS HWYRichmondVA23224Roofing$278,892
MCV Associated Physicians
PO BOX 980620RichmondVA23298Medical Services$202,745
Tegria
PO BOX 735734DallasTX753735734Consulting$157,255
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$212,452AllOtherContributionsAmt
Total Contributions$212,452TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business623000BusinessCd
Total Revenue Column$19,992,703TotalRevenueColumnAmt
Related Or Exempt Func Income$19,992,703RelatedOrExemptFuncIncomeAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$19,992,703TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$34TotalRevenueColumnAmt
Exclusion$34ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$888,037RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$888,037RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$888,037TotalRevenueColumnAmt
Exclusion$888,037ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Purchase Discounts900099$965$965
Other Misc Revenue900099$1,049$1,049

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,014OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,095,240TotalRevenueColumnAmt
Related Or Exempt Func Income$19,992,703RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$890,085ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$278,475TotalAmt
Program Services$233,919ProgramServicesAmt
Management And General$44,556ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,048,261TotalAmt
Program Services$6,760,539ProgramServicesAmt
Management And General$1,287,722ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$471,651TotalAmt
Program Services$396,187ProgramServicesAmt
Management And General$75,464ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,746,813TotalAmt
Program Services$1,467,323ProgramServicesAmt
Management And General$279,490ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$600,616TotalAmt
Program Services$504,517ProgramServicesAmt
Management And General$96,099ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$190,152TotalAmt
Program Services$190,152ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$195,208TotalAmt
Program Services$163,975ProgramServicesAmt
Management And General$31,233ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$599,495TotalAmt
Program Services$503,576ProgramServicesAmt
Management And General$95,919ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,544TotalAmt
Program Services$1,297ProgramServicesAmt
Management And General$247ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$559,827TotalAmt
Program Services$470,255ProgramServicesAmt
Management And General$89,572ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$389,437TotalAmt
Program Services$327,127ProgramServicesAmt
Management And General$62,310ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Shared Services allocation$3,898,061$3,274,371$623,690
PURCHASED SERVICES$1,962,395$1,648,412$313,983
MEDICAL SUPPLIES$1,191,586$1,191,586
REPAIRS & MAINTENAnCE$845,024$709,820$135,204

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$45,609TotalAmt
Program Services$42,405ProgramServicesAmt
Management And General$3,204ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,024,154TotalAmt
Program Services$17,885,461ProgramServicesAmt
Management And General$3,138,693ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,817BOYAmt
EOY$1,817EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$125,837BOYAmt
EOY$178,219EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,425,885BOYAmt
EOY$4,670,298EOYAmt

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$61,326BOYAmt
EOY$69,531EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,765BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$29,597,285LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,110,082LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,072,048BOYAmt
EOY$6,487,203EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$5,843,971BOYAmt
EOY$5,059,390EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$46,672,615BOYAmt
EOY$65,047,128EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,207,264BOYAmt
EOY$81,513,586EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,546,639BOYAmt
EOY$427,416EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,923,460BOYAmt
EOY$88,060,637EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$66,470,099BOYAmt
EOY$88,488,053EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$9,738,676BOYAmt
EOY-$11,450,308EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,475,841BOYAmt
EOY$4,475,841EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$5,262,835BOYAmt
EOY-$6,974,467EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,207,264BOYAmt
EOY$81,513,586EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$71,086ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,782,718OtherChangesInNetAssetsAmt
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 RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$562,650CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,233,009CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,526,525CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$811,655CurrentTaxYearMinus1YearAmt
Current Tax Year$212,452CurrentTaxYearAmt
Total$7,346,291TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,941,145CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,019,177CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,293,608CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,572,708CurrentTaxYearMinus1YearAmt
Current Tax Year$19,992,703CurrentTaxYearAmt
Total$119,819,341TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,503,795CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,252,186CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,820,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,384,363CurrentTaxYearMinus1YearAmt
Current Tax Year$20,205,155CurrentTaxYearAmt
Total$127,165,632TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$127,165,632PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,929CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$445,775CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$873,050CurrentTaxYearMinus1YearAmt
Current Tax Year$34CurrentTaxYearAmt
Total$1,375,335TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,929CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$445,775CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$873,050CurrentTaxYearMinus1YearAmt
Current Tax Year$34CurrentTaxYearAmt
Total$1,375,335TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$82,900CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,162CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,556CurrentTaxYearMinus1YearAmt
Current Tax Year$2,014CurrentTaxYearAmt
Total$160,872TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31,568,582CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,365,015CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$27,282,070CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,278,969CurrentTaxYearMinus1YearAmt
Current Tax Year$20,207,203CurrentTaxYearAmt
Total$128,701,839TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9881PublicSupportCY509Pct
Public Support PY5090.9888PublicSupportPY509Pct
Investment Income CY0.01InvestmentIncomeCYPct
Investment Income PY0.01InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - OTHER MISC INCOME, COLUMN A - 24187.0, COLUMN B - 23460.0, COLUMN C - 6053.0, COLUMN D - 10816.0, COLUMN E - 1049.0, COLUMN F - 65565.0; DESCRIPTION - GIFT SHOP REVENUE, COLUMN A - 3940.0, COLUMN B - 4728.0, COLUMN C - 3569.0, COLUMN D - 6985.0, COLUMN E - , COLUMN F - 19222.0; DESCRIPTION - MEDICAL RECORDS, COLUMN A - 10113.0, COLUMN B - 9775.0, COLUMN C - 6439.0, COLUMN D - 3755.0, COLUMN E - , COLUMN F - 30082.0; DESCRIPTION - BUNDLED PAYMENTS, COLUMN A - , COLUMN B - 44937.0, COLUMN C - 0.0, COLUMN D - , COLUMN E - , COLUMN F - 44937.0; DESCRIPTION - REBATES & DISCOUNTS, COLUMN A - , COLUMN B - , COLUMN C - 101.0, COLUMN D - , COLUMN E - 965.0, COLUMN F - 1066.0;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,059,390BeginningYearBalanceAmt
Contributions$14,500ContributionsAmt
Investment Earnings Or Losses$696,848InvestmentEarningsOrLossesAmt
Grants Or Scholarships$244,416GrantsOrScholarshipsAmt
End Year Balance$5,526,322EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,843,971BeginningYearBalanceAmt
Contributions$1,100ContributionsAmt
Investment Earnings Or Losses-$753,837InvestmentEarningsOrLossesAmt
Grants Or Scholarships$31,844GrantsOrScholarshipsAmt
End Year Balance$5,059,390EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,456,341BeginningYearBalanceAmt
Contributions$19,500ContributionsAmt
Investment Earnings Or Losses$1,514,399InvestmentEarningsOrLossesAmt
Grants Or Scholarships$146,269GrantsOrScholarshipsAmt
End Year Balance$5,843,971EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,300,336BeginningYearBalanceAmt
Contributions$98,615ContributionsAmt
Investment Earnings Or Losses$161,599InvestmentEarningsOrLossesAmt
Grants Or Scholarships$104,209GrantsOrScholarshipsAmt
End Year Balance$4,456,341EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,131,404BeginningYearBalanceAmt
Contributions$331,900ContributionsAmt
Investment Earnings Or Losses$410,713InvestmentEarningsOrLossesAmt
Other Expenditures$573,681OtherExpendituresAmt
End Year Balance$4,300,336EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0059BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.4871PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.507TermEndowmentBalanceEOYPct
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$19,091,560OtherCostOrOtherBasisAmt
Depreciation$14,661,461DepreciationAmt
Book Value$4,430,099BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$933,678OtherCostOrOtherBasisAmt
Depreciation$170,200DepreciationAmt
Book Value$763,478BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,517,133OtherCostOrOtherBasisAmt
Depreciation$8,278,421DepreciationAmt
Book Value$1,238,712BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,487,203TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescEQUITY INVESTMENT IN CHILDREN'S FOUNDATIONDesc
Book Value$5,059,390BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$5,059,390TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DEPOSITS$23,034
DUE FROM AFFILIATES$64,991,524
Other receivables$32,570
FieldValueIRS element (for citing)
Total Book Value Other Assets$65,047,128TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO AFFILIATES$87,602,910
OTHER MISC LIABILITIES$457,727
FieldValueIRS element (for citing)
Total Liability$88,060,637TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsTHE ORGANIZATION HAS RECORDED ITS BENEFICIAL INTEREST IN CERTAIN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF THE CHILDREN'S HOSPITAL FOUNDATION THAT BENEFIT THE ORGANIZATION. TEMPORARILY RESTRICTED NET ASSETS IN THE FOUNDATION ARE AVAILABLE FOR THE PURCHASE OF CAPITAL ASSETS AND TO SUPPORT THE OPERATIONS OF THE ORGANIZATION. PERMANENTLY RESTRICTED NET ASSETS IN THE CHILDREN'S FOUNDATION ARE INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT PROGRAMS AT THE ORGANIZATION.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteTHE FILING ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SHARI BARKIN MD
DIRECTOR (SEPT-JUNE)$0$251,760$0$30,000$0$0$0$28,014$0$11,092$0$320,866$0$0
DAVID CHELMOW MD
DIRECTOR$0$666,223$0$82,919$0$0$0$51,516$0$23,610$0$824,268$0$0
RALPH CLARK MD
DIR (JUL-DEC)$0$659,373$0$1,000$0$0$0$48,895$0$16,627$0$725,895$0$0
KAREN HENRICKS-MUNOZ MD
DIR EX-OFFICIO (JULY-AUG)$0$450,324$0$5,680$0$0$0$34,882$0$24,231$0$515,117$0$0
ARTHUR KELLERMAN MD
DIRECTOR$0$811,296$0$0$0$0$0$62,525$0$59,213$0$933,034$0$0
MICHAEL ROUSSOS
DIRECTOR$0$741,488$0$37,600$0$0$0$36,031$0$945$0$816,064$0$0
ELIAS NEUJAHR
PRESIDENT$0$505,199$0$0$0$0$0$21,704$0$6,374$0$533,277$0$0
SHARON DARBY
AVP$250,077$0$0$0$0$0$27,159$0$1,239$0$278,475$0$0$0
STACY COLEMAN RN
Director Pediatric Nursing Home Admin$146,193$0$300$0$0$0$11,546$0$4,520$0$162,559$0$0$0
ROBIN CROTTS
Director of Performance Improvement$133,647$0$0$0$0$0$16,484$0$5,926$0$156,057$0$0$0
DANIELA GUTFLEISCH MD
Respiratory Therapist$104,628$0$61,248$0$0$0$7,541$0$4,696$0$178,113$0$0$0
Mark Nicol
Director Facility Services$134,041$0$0$0$0$0$16,411$0$4,336$0$154,788$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationFormAndLineReferenceDesc
ExplanationFOR FISCAL YEAR ENDING JUNE 30, 2023, COMPENSATION (SALARIES AND INCENTIVES) FOR THE CEO, EXECUTIVE DIRECTOR OR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION, IS APPROVED BY THE CEO OF THE HEALTH SYSTEM. THE ORGANIZATION USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE ORGANIZATION MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF THE INDIVIDUAL'S PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS DISCUSSES THE MATTER AND PRESENTS RECOMMENDATIONS TO THE CEO OF THE HEALTH SYSTEM.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 2aEMPLOYEES ARE PAID THROUGH A COMMON PAYMASTER. THE COMMON PAYMASTER IS VCU HEALTH SYSTEM AUTHORITY. THE ORGANIZATION FALLS UNDER A MASTER PAY AGENT AND DOES NOT FILE ANY PAYROLL RETURNS UNDER ITS OWN EIN.
Form 990, Part VI, Line 6 Classes of members or stockholdersTHE SOLE MEMBER OF THE CORPORATION IS VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (VCUHS), A STATUTORY AUTHORITY CREATED UNDER THE CODE OF VIRGINIA.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyVCUHS 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.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersLISTED 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 11b Review of form 990 by governing bodyTHE FORM 990 IS PREPARED BY THE FINANCE DEPARTMENT OF VCUHSA AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. THE FIRM PREPARES THE FORM 990 FOR REVIEW. THE FORM 990 IS REVIEWED WITH THE APPROPRIATE EXECUTIVE DIRECTOR AND/OR FINANCE LEADER OF THE ORGANIZATION. UPON FINAL REVIEW WITH LEADERSHIP, THE GOVERNING BODY OF THE ORGANIZATION IS PROVIDED WITH A COPY OF THE RETURN PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policyVCU HEALTH SYSTEM (VCUHS) HAS A CONFLICT OF INTEREST POLICY THAT REQUIRES ANNUAL DISLCOSURE OF ACTUAL OR POTENTIAL CONFLICTS. THIS POLICY APPLIES TO BOARD MEMBERS/MANAGERS, DECISION-MAKING BOARD COMMITTEES AND OFFICERS ACROSS ALL RELATED ENTITIES. THE ANNUAL DISCLOSURE IS COMPLETED BY A LARGER GROUP OF INTERESTED PERSONS, INCLUDING BUT NOT LIMITED TO THOSE REPORTED ON INTERNAL REVENUE SERVICE (IRS) FORM 990. VCUHS IS REQUIRED TO PARTICIPATE IN THE COMMONWEALTH'S STATEMENT OF ECONOMIC INTEREST PROCESS (SOEI). VCUHS' PARTICIPATION IN THIS PROCESS IS MANDATED BY THE ENABLING LEGISLATION FOR VCUHS. PARTICIPATION IS REQUIRED FOR DIRECTORS AND ABOVE. ADDITIONALLY, EMPLOYEES ARE ENCOURAGED TO CONTACT THE COMPLIANCE HELPLINE IF THEY ARE AWARE OF ANY VIOLATIONS OF HEALTH SYSTEM POLICY OR HAVE ANY COMPLIANCE CONCERNS. ALL CONCERNS REPORTED VIA THIS VENUE ARE INVESTIGATED AND APPROPRIATE REMEDIATION IS IMPLEMENTED. WHEN A VOTING BOARD MEMBER HAS A CONFLICT, THE INDIVIDUAL IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS RELATED TO THE CONFLICTING TRANSACTION.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialFOR FISCAL YEAR ENDING JUNE 30, 2023, COMPENSATION (SALARIES AND INCENTIVES) FOR THE CEO, EXECUTIVE DIRECTOR OR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION, IS APPROVED BY THE CEO OF THE HEALTH SYSTEM. THE ORGANIZATION USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE ORGANIZATION MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF THE INDIVIDUAL'S PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS DISCUSSES THE MATTER AND PRESENTS RECOMMENDATIONS TO THE CEO OF THE HEALTH SYSTEM.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesFOR FISCAL YEAR ENDING JUNE 30, 2023, COMPENSATION FOR OTHER OFFICERS OR KEY EMPLOYEES (ASSOCIATE VICE PRESIDENTS AND ABOVE) ARE APPROVED BY THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANZIATION. RECOMMENDATIONS ARE PRESENTED TO THE TOP MANAGEMENT OFFICIAL BASED ON A REVIEW BY A THIRD PARTY COMPENSATION CONSULTING FIRM.
Form 990, Part VI, Line 19 Required documents available to the publicDOCUMENTS ARE AVAILABLE FOR UPON REQUEST.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesPENSION PLAN ADJUSTMENT - -1782718;
FORM 990In the year ending June 30, 2024, the organization filed Form 8940 - Request for Miscellaneous Determination, requesting an exemption from filing the Form 990. Through it's relationship with VCU Health System Authority, a political subdivision of the State of Virginia, the application was approved. This return for year ending June 30, 2023 will be the final Form 990 filed and open for public disclosure.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
7TH AND MARSHALL CORPORATION
PO BOX 980152RICHMONDVA23298311568886SUPPORT ACTIVITYVA501(c)(3)Type IUHSfalse
COMMUNITY MEMORIAL HOSPITAL
1755 N MECKLENBERG AVERICHMONDVA23970540551711HOSPITALVA501(c)(3)3VCUHSAfalse
COMMUNITY MEMORIAL HOSPITAL FOUNDATION
1755 N MECKLENBERG AVERICHMONDVA23970541831331FUNDRAISING ORGVA501(c)(3)Type ICMHfalse
MCV ASSOCIATED PHYSICIANS
PO BOX 980620RICHMONDVA23298541581185HEALTHCAREVA501(c)(3)Type IVCUHSAfalse
UHS PROFESSIONAL EDUCATION PROGRAM -
PO BOX 980048RICHMONDVA23298541790553EDU SEMINARSVA501(c)(3)Type IUHSfalse
UNIVERSITY HEALTH SERVICES INC
PO BOX 980152RICHMONDVA23298541790550PROPERTYVA501(c)(3)Type IVCUHSAfalse
VCU AMBULATORY SURGERY CENTER LLC -
11958 WEST BROAD ST 5TH FLOORHENRICOVA23294863310585AMBULATORY SERVICESVA501(c)(3)3VCUHSAfalse
VCU HEALTH SYSTEM AUTHORITY
PO BOX 980510RICHMONDVA23294541848065HOSPITALVANAfalse
VCU HEALTH TAPPAHANNOCK HOSPITAL
618 HOSPITAL ROADTAPPAHANNOCKVA22560541489410HOSPITALVA501(c)(3)3VCUHSAfalse
VIRGINIA COMMONWEALTH UNIVERSITY -
PO BOX 842512RICHMONDVA23284546001758EDU INSTITUTEVANAfalse
VIRGINIA CHILDRENS CARE NETWORK LLC
BOX 980152RICHMONDVA23298851396091HEALTHCAREVA501(c)(3)Type IVCUHSAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
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

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