VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD (EIN 54-0506309)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202121379349303832
- Schema version
- 2019v5.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T11:50:09-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 NEW YORK AVE NW | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540506309 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRIPPLED CHILDREN'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CRIP | BusinessNameControlTxt |
| Phone | 8042285874 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2924 BROOK ROAD | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 232201298 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELIAS NEUJAHR | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8042285874 | PhoneNum |
| Signature | 2021-05-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUSTIN LOWE | PreparerPersonNm |
| PTIN | P01866796 | PTIN |
| Phone | 2023276000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL OF RICHMOND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ELIAS NEUJAHR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2924 BROOK ROAD | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 232201298 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $33,396,487 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHRICHMOND.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1920 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 445 | TotalEmployeeCnt |
| Total Volunteers | 70 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $562,650 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,233,009 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,941,145 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $30,019,177 | CYProgramServiceRevenueAmt |
| PY Investment Income | $27,497 | PYInvestmentIncomeAmt |
| CY Investment Income | $28,011 | CYInvestmentIncomeAmt |
| PY Other Revenue | $38,240 | PYOtherRevenueAmt |
| CY Other Revenue | $100,234 | CYOtherRevenueAmt |
| PY Total Revenue | $31,569,532 | PYTotalRevenueAmt |
| CY Total Revenue | $33,380,431 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $25,569,718 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,637,694 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,386,071 | PYOtherExpensesAmt |
| CY Other Expenses | $8,171,990 | CYOtherExpensesAmt |
| PY Total Expenses | $32,955,789 | PYTotalExpensesAmt |
| CY Total Expenses | $35,809,684 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,386,257 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,429,253 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,177,752 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,836,487 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,591,673 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,523,656 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,586,079 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $312,831 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,445,400 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,631,050 | RevenueAmt |
| Desc | 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,350,015 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $22,721,300 | RevenueAmt |
| Desc | THE HOSPITAL IS THE PREMIER PROVIDER OF OUTPATIENT PEDIATRIC PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES IN CENTRAL VIRGINIA. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,195,395 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $661,379 | RevenueAmt |
| Desc | DENTAL 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 ORGANIZATIONS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,355,633 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,050,385 | RevenueAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,355,633 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $1,050,385 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $26,346,443 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 445 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIMOTHY O'NEILL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8042285874 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2924 BROOK ROAD | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23220 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MARSHA D RAPPLEY MD | ||||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $1,204,398 | $130,572 | ||||
| PETER BUCKLEY MD | ||||||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $851,790 | $100,900 | Yes (X) | ||||
| DEBORAH DAVIS | ||||||||||
| DIRECTOR | 1.00 | 40.00 | Yes (X) | $0 | $868,646 | $78,612 | ||||
| RALPH CLARK MD | ||||||||||
| DIRECTOR | 1.00 | 40.00 | $0 | $610,947 | $39,415 | Yes (X) | ||||
| JOHN WARD MD | ||||||||||
| DIRECTOR - EX - OFFICIO | 0.00 | 0.00 | Yes (X) | $591,405 | $0 | $56,996 | ||||
| THOMAS YACKEL MD | ||||||||||
| DIRECTOR, PRES. OF MCV | 1.00 | 40.00 | $0 | $545,756 | $87,132 | Yes (X) | ||||
| PAUL NEIMEYER | ||||||||||
| SECRETARY/CHIEF GEN. COUNSEL | 1.00 | 40.00 | $0 | $553,864 | $61,940 | Yes (X) | ||||
| ELIAS NEUJAHR | ||||||||||
| CEO CHILDREN'S HOSPITAL OF RICH | 5.00 | 35.00 | $0 | $481,343 | $60,853 | Yes (X) | ||||
| BRUCE K RUBIN MD | ||||||||||
| DIRECTOR-EX-OFFICO | 1.00 | 40.00 | $0 | $452,658 | $64,931 | Yes (X) | ||||
| SHARON DARBY | ||||||||||
| ASSOCIATE VP OF OPERATIONS | 40.00 | 0.00 | $237,196 | $0 | $60,876 | Yes (X) | ||||
| TIMOTHY O'NEILL | ||||||||||
| DIRECTOR OF FINANCE | 40.00 | 0.00 | $139,898 | $0 | $50,528 | Yes (X) | ||||
| MARK NICOL | ||||||||||
| DIR. OF FACILITIES MGMT | 40.00 | 0.00 | $132,154 | $0 | $55,544 | Yes (X) | ||||
| MARY S TOGNARELLI | ||||||||||
| DIRECTOR OF INPATIENT SERVICES | 40.00 | 0.00 | $144,685 | $0 | $38,400 | Yes (X) | ||||
| SALLIE C TIDMAN | ||||||||||
| DIRECTOR OF THERAPY SERVICES | 40.00 | 0.00 | $145,968 | $0 | $34,797 | Yes (X) | ||||
| ROBIN CROTTS | ||||||||||
| DIR. PERFORMANCE IMPROV. | 40.00 | 0.00 | $130,926 | $0 | $40,695 | Yes (X) | ||||
| FRANCES LW KAY | ||||||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| JEFFREY MAPP MD | ||||||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| LESLIE WYATT | ||||||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||||
| LINDA PEARSON | ||||||||||
| VICE CHAIR AND TREASURER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| THOMS S CAIN | ||||||||||
| CHAIRMAN | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,522,232 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,569,402 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $962,191 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 17 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCV PHYSICIANS LLC | |||||
| PO BOX 980620 | RICHMOND | VA | 23298 | CONTRACTED PHYSICIANS | $173,477 |
| VCU SCHOOL OF DENTISTRY | |||||
| 521 NORTH 11TH STREET | RICHMOND | VA | 23298 | CONTRACTED DENTISTS | $157,989 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,117,034 | RelatedOrganizationsAmt |
| Government Grants | $888,736 | GovernmentGrantsAmt |
| All Other Contributions | $227,239 | AllOtherContributionsAmt |
| Noncash Contributions | $2,117,034 | NoncashContributionsAmt |
| Total Contributions | $3,233,009 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 623000 | $29,997,022 | $29,997,022 |
| PHYSICAL THERAPY CONTRACT | 623000 | $22,155 | $22,155 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $30,019,177 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,929 | TotalRevenueColumnAmt |
| Exclusion | $29,929 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,599 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $4,517 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$1,918 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,918 | TotalRevenueColumnAmt |
| Exclusion | -$1,918 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $16,267 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $11,539 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,728 | TotalRevenueColumnAmt |
| Exclusion | $4,728 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| BUNDLED & QUALITY PAYMENTS | 900099 | $44,937 | $44,937 | |
| OTHER MISC SERVICES | 900099 | $23,460 | $23,460 | |
| MEDICAL RECORDS | 622110 | $9,775 | $9,775 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,334 | TotalRevenueColumnAmt |
| Exclusion | $17,334 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $95,506 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33,380,431 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,064,114 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $83,308 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,072 | TotalAmt |
| Program Services | $224,080 | ProgramServicesAmt |
| Management And General | $48,992 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,369,640 | TotalAmt |
| Program Services | $16,854,471 | ProgramServicesAmt |
| Management And General | $3,515,169 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,258,282 | TotalAmt |
| Program Services | $979,849 | ProgramServicesAmt |
| Management And General | $278,433 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,279,844 | TotalAmt |
| Program Services | $3,278,156 | ProgramServicesAmt |
| Management And General | $1,001,688 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,456,856 | TotalAmt |
| Program Services | $1,216,357 | ProgramServicesAmt |
| Management And General | $240,499 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,253 | TotalAmt |
| Management And General | $316,253 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,447 | TotalAmt |
| Management And General | $3,447 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,194,325 | TotalAmt |
| Program Services | $949,989 | ProgramServicesAmt |
| Management And General | $244,336 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $540,173 | TotalAmt |
| Program Services | $305,019 | ProgramServicesAmt |
| Management And General | $235,154 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,400 | TotalAmt |
| Management And General | $2,400 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,135,414 | TotalAmt |
| Program Services | $569,761 | ProgramServicesAmt |
| Management And General | $565,653 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,994 | TotalAmt |
| Program Services | $40,018 | ProgramServicesAmt |
| Management And General | $6,976 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,244 | TotalAmt |
| Program Services | $16,492 | ProgramServicesAmt |
| Management And General | $21,752 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,364,001 | TotalAmt |
| Management And General | $1,364,001 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,739 | TotalAmt |
| Program Services | $163,739 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,695,075 | $1,287,234 | $407,841 |
| REPAIRS & MAINTENANCE | $998,255 | $280,464 | $717,791 |
| PURCHASED SERVICES | $129,266 | $129,266 | |
| BAD DEBT EXPENSE | $49,712 | $49,712 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $494,692 | TotalAmt |
| Program Services | $1,836 | ProgramServicesAmt |
| Management And General | $492,856 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,809,684 | TotalAmt |
| Program Services | $26,346,443 | ProgramServicesAmt |
| Management And General | $9,463,241 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,247,661 | BOYAmt |
| EOY | $1,795 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $964,783 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,451,594 | BOYAmt |
| EOY | $2,934,455 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,417 | BOYAmt |
| EOY | $45,750 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,135 | BOYAmt |
| EOY | $1,682 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $30,101,845 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,695,247 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,643,692 | BOYAmt |
| EOY | $7,406,598 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,640,253 | BOYAmt |
| EOY | $4,481,424 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,177,752 | BOYAmt |
| EOY | $15,836,487 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,669,312 | BOYAmt |
| EOY | $5,763,957 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,922,361 | BOYAmt |
| EOY | $9,759,699 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,591,673 | BOYAmt |
| EOY | $15,523,656 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,714,257 | BOYAmt |
| EOY | -$4,143,511 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,300,336 | BOYAmt |
| EOY | $4,456,342 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,586,079 | BOYAmt |
| EOY | $312,831 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,177,752 | BOYAmt |
| EOY | $15,836,487 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,429,253 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $156,005 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,300,336 | BeginningYearBalanceAmt |
| Contributions | $98,615 | ContributionsAmt |
| Investment Earnings Or Losses | $161,599 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $104,209 | GrantsOrScholarshipsAmt |
| End Year Balance | $4,456,341 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,131,404 | BeginningYearBalanceAmt |
| Contributions | $331,900 | ContributionsAmt |
| Investment Earnings Or Losses | $410,713 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $573,681 | OtherExpendituresAmt |
| End Year Balance | $4,300,336 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,921,929 | BeginningYearBalanceAmt |
| Contributions | $303,029 | ContributionsAmt |
| Investment Earnings Or Losses | $315,250 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $408,804 | OtherExpendituresAmt |
| End Year Balance | $4,131,404 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,572,986 | BeginningYearBalanceAmt |
| Contributions | $371,488 | ContributionsAmt |
| Investment Earnings Or Losses | $443,961 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $466,506 | OtherExpendituresAmt |
| End Year Balance | $3,921,929 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,687,908 | BeginningYearBalanceAmt |
| Contributions | $3,058 | ContributionsAmt |
| Investment Earnings Or Losses | -$30,019 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $87,961 | OtherExpendituresAmt |
| End Year Balance | $3,572,986 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.59620 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.40380 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,914 | OtherCostOrOtherBasisAmt |
| Book Value | $54,914 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,336,054 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,862,830 | DepreciationAmt |
| Book Value | $4,473,224 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,772,713 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,832,417 | DepreciationAmt |
| Book Value | $1,940,296 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $938,164 | OtherCostOrOtherBasisAmt |
| Book Value | $938,164 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,406,598 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ASSETS HELD IN TRUST | $1,685 |
| DUE FROM CHILDREN'S FOUNDATION | $364 |
| DEPOSITS | $23,034 |
| EQUITY INTEREST IN CHILDREN'S FOUNDATION | $4,456,341 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $4,481,424 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| NET PENSION LIABILITY | $696,344 |
| DUE TO AFFILIATES | $8,913,139 |
| OTHER MISC LIABILITIES | $150,216 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,759,699 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE HOSPITAL HAS RECORDED ITS BENEFICIAL INTEREST IN CERTAIN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF THE FOUNDATION THAT BENEFIT THE HOSPITAL. TEMPORARILY RESTRICTED NET ASSETS IN THE FOUNDATION ARE AVAILABLE FOR THE PURCHASE OF CAPITAL ASSETS AND TO SUPPORT THE OPERATIONS OF THE HOSPITAL. PERMANENTLY RESTRICTED NET ASSETS IN THE FOUNDATION ARE INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT PROGRAMS AT THE HOSPITAL. |
| PART X, LINE 2: | FIN 48 (ASC 740) FOOTNOTE COMMUNITY MEMORIAL HOSPITAL FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,567 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $90,567 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,172,425 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,626,933 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,545,492 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09910 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,262,992 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,626,933 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,636,059 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10160 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $387,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $387,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $387,065 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $387,065 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01080 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,650,057 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,626,933 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,023,124 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11240 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $49,712 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $14,841 | ReimbursedByMedicareAmt |
| Medicare Surplus Or Shortfall | $14,841 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | 0 | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRIPPLED CHILDREN'S HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2924 BROOK ROAD | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23220 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.CHRICHMOND.ORG | WebsiteAddressTxt |
| State License | H1842 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Other | PEDIATRIC LONG TERM CARE | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRIPPLED CHILDREN'S HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C NARRATIVE | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C NARRATIVE | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| CRIPPLED CHILDREN'S HOSPITAL | PART V, SECTION B, LINE 3J: THE SIGNIFICANT HEALTH NEEDS IN THE CHNA ARE THE NEEDS OF THE COMMUNITY AND IDENTIFIED IN THE CHNA. DUE TO THE REHABILITATIVE SPECIALTY FOCUS OF THE HOSPITAL IT CANNOT DIRECTLY ADDRESS CETAIN COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. HOWEVER, IT CAN AND DOES SUPPORT OTHER AGENCIES TO HELP THESE NEEDS. SEE THE SCHEDULE H, PART V, LINE 11 DISCLOSURE FOR MORE DETAILS ON THE PRIORITIZED NEEDS. |
| CRIPPLED CHILDREN'S HOSPITAL | PART V, SECTION B, LINE 5: THE HOSPITAL USED A WRITTEN SURVEY TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS CONDUCTED IN THE SPRING OF 2019. THE SURVEY RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, CARE CONNECTION FOR CHILDREN, DISABILITY LAW CENTER OF VIRGINIA, FREDERICKSBURG CITY SCHOOLS, VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES AND GREATER RICHMOND FIT4KIDS. |
| CRIPPLED CHILDREN'S HOSPITAL | PART V, SECTION B, LINE 7D: HTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/CHILDREN'SREHABSVCS2019CHNA.PDFPART V, SECTION B, LINE 10HTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/CHNA%20IMPLEMENTATION%20PLAN%20FY20-22%20.PDF |
| CRIPPLED CHILDREN'S HOSPITAL | 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 COMMUNITY THE TOP HEALTH NEEDS OF THE CHILDREN'S HOSPITAL COMMUNITY INCLUDE THOSE THAT ARE SUPPORTED BY THE DATA AND FEEDBACK PROVIDED IN THE ASSESSMENT: A. CHILDREN'S HEALTH SUPPORTSTRATEGY: LEVERAGE THE PROGRAMS AND RESOURCES AVAILABLE WITHIN AND ASSOCIATED WITH VCUHS TO PROVIDE EDUCATION AND SUPPORT TO FAMILIES.ACTION PLAN: - SUPPORT ADVOCACY EFFORTS THROUGH THE OFFICE OF GOVERNMENT RELATIONS AT VIRGINIA COMMONWEALTH UNIVERSITY- ACCESS CARE CONNECTION FOR CHILDREN FOR PATIENTS AND FAMILIES- REFER ELIGIBLE PATIENTS AND FAMILIES TO MEDICAL LEGAL PARTNERSHIP-RICHMOND- UTILIZE PARENT ADVISORY GROUP TO IDENTIFY NEEDS AND POTENTIAL SOLUTIONS- UTILIZE RESOURCES AND FUNDING FROM CHILDREN' HOSPITAL FOUNDATION TO PROVIDE SUPPORT AND EDUCATION TO FAMILIESSTRATEGY: IMPROVE ACCESS TO CARE FOR SERVICES. ACTION PLAN:- ONGOING SUPPORT FOR GROWTH OF THERAPY CENTERS THRU RELOCATION AND EXPANSION OF EXISTING PROGRAMS- INCREASE NUMBER OF BEDS FOR VENTILATOR DEPENDENT CHILDREN REQUIRING LONG TERM CARE SERVICES- IMPLEMENT IMPROVEMENTS TO SCHEDULING APPOINTMENTS FOR THERAPY SERVICES- EXPLORE OPPORTUNITIES TO ADD SERVICES- COORDINATE HOSPITAL SERVICES WITH SERVICES WITH VCUHS- REFER PATIENTS AND FAMILIES TO SERVICES WITHIN THE COMMUNITY AS NEEDEDB. CHILDREN'S HEALTH CONDITIONSSTRATEGY: LEVERAGE THE PROGRAMS AND RESOURCES AVAILABLE WITHIN THE HOSPITAL AND CHOR TO ADDRESS LEADING HEALTH RISKS IN THE COMMUNITY INCLUDING INJURIES, AVOIDABLE HOSPITALIZATIONS, BEHAVIORAL HEALTH DISORDERS, LIFESTYLE, AND DISABILITIES.ACTION PLAN:- ONGOING SUPPORT FOR GROWTH OF THERAPY CENTERS TO PROVIDE SERVICES FOR: *INJURY PREVENTION AND RECOVERY; *SHORT AND LONG TERM REHABILITATION; *ASSISTIVE TECHNOLOGY; *ACTIVITIES OF DAILY LIVING;- COLLABORATION WITH CONCUSSION/TRAUMATIC BRAIN INJURY MULTI-DISCIPLINARY CLINIC FOR SERVICES AND EDUCATION- COLLABORATION WITH SAFE KIDS VA FOR CREATING SAFE ENVIRONMENTS FOR CHILDREN IN THE COMMUNITY- SUPPORT OF PSYCHOLOGY SERVICES RELATED MEDICAL, EMOTIONAL AND BEHAVIORAL ISSUES, AND NEUROPSYCHOLOGICAL EVALUATIONS FOLLOWING A NEUROLOGICAL INJURY OR ILLNESS- REFERRALS TO VCU'S VIRGINIA TREATMENT CENTER FOR CHILDREN FOR OUTPATIENT AND INPATIENT MENTAL HEALTH CARE- EXPANSION OF LONG-TERM CARE SERVICES FOR CHILDREN WHO ARE VENTILATOR DEPENDENT AND/OR REQUIRE TOTAL PARENTERAL NUTRITION- GROWTH OF PEDIATRIC DENTAL SERVICES FOR CARE OF CHILDREN WITH DISABILITIESIMPLEMENTATION STRATEGIESKEY OBJECTIVE:PROVIDE CARE TO CHILDREN REQUIRING POST-ACUTE REHABILITATIVE AND RESTORATIVE CARE; PROVIDE TRAINING FOR DISCIPLINES FOCUSED ON THE CARE OF CHILDREN WITH DISABILITIES; AND ADVOCATE FOR THOSE WITH DISABILITIES. DUE TO THE REHABILITATIVE SPECIALTY FOCUS OF THE HOSPITAL IT CANNOT DIRECTLY ADDRESS CERTAIN COMMUNITY HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT. HOWEVER, IT CAN AND DOES SUPPORT OTHER AGENCIES TO HELP WITH THESE NEEDS.OTHER NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT:EACH OF THE HEALTH NEEDS IDENTIFIED IN THE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT IS IMPORTANT AND MANY ARE BEING ADDRESSED BY NUMEROUS PROGRAM AND INITIATIVES THROUGHOUT VCUHS. THE HOSPITAL CANNOT DIRECTLY ADDRESS CERTAIN COMMUNITY HEALTH NEEDS THAT DO NOT RELATE TO ITS MISSION. THESE MAY BE COMMUNITY HEALTH NEEDS THAT GOVERNMENTAL OR OTHER NON-PROFIT AGENCIES HAVE THE MORE APPROPRIATE EXPERTISE AND RESOURCES NECESSARY TO ADDRESS. ALTHOUGH THE HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT CAN AND DOES SUPPORT THE EFFORTS OF GOVERNMENTAL AND OTHER AGENCIES TO HELP WITH THESE NEEDS. |
| CRIPPLED CHILDREN'S HOSPITAL | PART V, SECTION B, LINE 16J: HTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/PATIENT-FINANCIAL-ASSISTANCE-POLICY-518.PDFPART V, SECTION B, LINE 16BHTTPS://WWW.VCUHEALTH.ORG/MEDIA/FILE/VCUHEALTH-FINANCIALCOUNSELING-0118.PDFPART V, SECTION B, LINE 16CHTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM-OVERVIEW.PDF |
| PART V, SECTION B, LINE 3E | THE SIGNIFICANT HEALTH NEEDS IN THE CHNA ARE THE NEEDS OF THE COMMUNITY AND IDENTIFIED IN THE CHNA. DUE TO THE REHABILITATIVE SPECIALTY FOCUS OFTHE HOSPITAL IT CANNOT DIRECTLY ADDRESS CETAIN COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. HOWEVER, IT CAN AND DOES SUPPORT OTHER AGENCIES TO HELP THESE NEEDS. SEE THE SCHEDULE H, PART V, LINE 11 DISCLOSURE FOR MORE DETAILS ON THE PRIORITIZED NEEDS. |
| PART V, SECTION B, LINE 5 | THE HOSPITAL USED A WRITTEN SURVEY TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS CONDUCTED IN THE SPRING OF 2019. THE SURVEY RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, CARE CONNECTION FOR CHILDREN, DISABILITY LAW CENTER OF VIRGINIA, FREDERICKSBURG CITY SCHOOLS, VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES AND GREATER RICHMOND FIT4KIDS. |
| PART V, SECTION B, LINE 7 | HTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/CHILDREN'SREHABSVCS2019CHNA.PDF |
| PART V, SECTION B, LINE 10 | HTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/CHNA%20IMPLEMENTATION%20PLAN%20FY20-22%20.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 COMMUNITYHEALTH NEEDS IDENTIFIED THROUGH THE CHNA 2. EXECUTION OF THE IMPLEMENTATION STRATEGY 3. INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS 4. ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA 5. PRIORITIZATION OF SERVICES THAT THE HOSPITAL WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY THE TOP HEALTH NEEDS OF THE CHILDREN'S HOSPITAL COMMUNITY INCLUDE THOSE THAT ARE SUPPORTED BY THE DATA AND FEEDBACK PROVIDED IN THE ASSESSMENT: A. CHILDREN'S HEALTH SUPPORTSTRATEGY: LEVERAGE THE PROGRAMS AND RESOURCES AVAILABLE WITHIN AND ASSOCIATED WITH VCUHS TO PROVIDE EDUCATION AND SUPPORT TO FAMILIES.ACTION PLAN: - SUPPORT ADVOCACY EFFORTS THROUGH THE OFFICE OF GOVERNMENT RELATIONS AT VIRGINIA COMMONWEALTH UNIVERSITY- ACCESS CARE CONNECTION FOR CHILDREN FOR PATIENTS AND FAMILIES- REFER ELIGIBLE PATIENTS AND FAMILIES TO MEDICAL LEGAL PARTNERSHIP-RICHMOND- UTILIZE PARENT ADVISORY GROUP TO IDENTIFY NEEDS AND POTENTIAL SOLUTIONS- UTILIZE RESOURCES AND FUNDING FROM CHILDREN' HOSPITAL FOUNDATION TO PROVIDE SUPPORT AND EDUCATION TO FAMILIESSTRATEGY: IMPROVE ACCESS TO CARE FOR SERVICES.ACTION PLAN:- ONGOING SUPPORT FOR GROWTH OF THERAPY CENTERS THRU RELOCATION AND EXPANSION OF EXISTING PROGRAMS- INCREASE NUMBER OF BEDS FOR VENTILATOR DEPENDENT CHILDREN REQUIRING LONG TERM CARE SERVICES- IMPLEMENT IMPROVEMENTS TO SCHEDULING APPOINTMENTS FOR THERAPY SERVICES- EXPLORE OPPORTUNITIES TO ADD SERVICES- COORDINATE HOSPITAL SERVICES WITH SERVICES WITH VCUHS- REFER PATIENTS AND FAMILIES TO SERVICES WITHIN THE COMMUNITY AS NEEDEDB. CHILDREN'S HEALTH CONDITIONSSTRATEGY: LEVERAGE THE PROGRAMS AND RESOURCES AVAILABLE WITHIN THE HOSPITAL AND CHOR TO ADDRESS LEADING HEALTH RISKS IN THE COMMUNITY INCLUDING INJURIES, AVOIDABLE HOSPITALIZATIONS, BEHAVIORAL HEALTH DISORDERS, LIFESTYLE, AND DISABILITIES.ACTION PLAN:- ONGOING SUPPORT FOR GROWTH OF THERAPY CENTERS TO PROVIDE SERVICES FOR: *INJURY PREVENTION AND RECOVERY; *SHORT AND LONG TERM REHABILITATION; *ASSISTIVE TECHNOLOGY; *ACTIVITIES OF DAILY LIVING;- COLLABORATION WITH CONCUSSION/TRAUMATIC BRAIN INJURY MULTI-DISCIPLINARY CLINIC FOR SERVICES AND EDUCATION- COLLABORATION WITH SAFE KIDS VA FOR CREATING SAFE ENVIRONMENTS FOR CHILDREN IN THE COMMUNITY- SUPPORT OF PSYCHOLOGY SERVICES RELATED MEDICAL, EMOTIONAL AND BEHAVIORAL ISSUES, AND NEUROPSYCHOLOGICAL EVALUATIONS FOLLOWING A NEUROLOGICAL INJURY OR ILLNESS- REFERRALS TO VCU'S VIRGINIA TREATMENT CENTER FOR CHILDREN FOR OUTPATIENT AND INPATIENT MENTAL HEALTH CARE- EXPANSION OF LONG-TERM CARE SERVICES FOR CHILDREN WHO ARE VENTILATOR DEPENDENT AND/OR REQUIRE TOTAL PARENTERAL NUTRITION- GROWTH OF PEDIATRIC DENTAL SERVICES FOR CARE OF CHILDREN WITH DISABILITIESIMPLEMENTATION STRATEGIESKEY OBJECTIVE:PROVIDE CARE TO CHILDREN REQUIRING POST-ACUTE REHABILITATIVE AND RESTORATIVE CARE; PROVIDE TRAINING FOR DISCIPLINES FOCUSED ON THE CARE OF CHILDREN WITH DISABILITIES; AND ADVOCATE FOR THOSE WITH DISABILITIES. DUE TO THE REHABILITATIVE SPECIALTY FOCUS OF THE HOSPITAL IT CANNOT DIRECTLY ADDRESS CERTAIN COMMUNITY HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT. HOWEVER, IT CAN AND DOES SUPPORT OTHER AGENCIES TO HELP WITH THESE NEEDS.OTHER NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT IS IMPORTANT AND MANY ARE BEING ADDRESSED BY NUMEROUS PROGRAM AND INITIATIVES THROUGHOUT VCUHS. THE HOSPITAL CANNOT DIRECTLY ADDRESS CERTAIN COMMUNITY HEALTH NEEDS THAT DO NOT RELATE TO ITS MISSION. THESE MAY BE COMMUNITY HEALTH NEEDS THAT GOVERNMENTAL OR OTHER NON-PROFIT AGENCIES HAVE THE MORE APPROPRIATE EXPERTISE AND RESOURCES NECESSARY TO ADDRESS. ALTHOUGH THE HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT CAN AND DOES SUPPORT THE EFFORTS OF GOVERNMENTAL AND OTHER AGENCIES TO HELP WITH THESE NEEDS. |
| PART V, SECTION B, LINE 16A | HTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/PATIENT-FINANCIAL-ASSISTANCE-POLICY-518.PDFPART V, SECTION B, LINE 16BHTTPS://WWW.VCUHEALTH.ORG/MEDIA/FILE/VCUHEALTH-FINANCIALCOUNSELING-0118.PDFPART V, SECTION B, LINE 16CHTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM-OVERVIEW.PDF |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - FREDERICKSBURG THERAPY CENTER | |||||
| 10530 SPOTSYLVANIA AVENUE SUITE 102 | FREDERICKSBURG | VA | 22408 | OUTPATIENT THERAPY CENTER | |
| 2 - PETERSBURG THERAPY CENTER | |||||
| 321 B POPLAR DRIVE SUITE 4 | PETERSBURG | VA | 23805 | OUTPATIENT THERAPY CENTER | |
| 3 - GLEN ALLEN THERAPY CENTER | |||||
| 10124 WEST BROAD STREET SUITE P | GLEN ALLEN | VA | 23060 | OUTPATIENT THERAPY CENTER | |
| 4 - BON AIR THERAPY CENTER | |||||
| 206 TWINRIDGE LANE SUITE A | RICHMOND | VA | 23235 | OUTPATIENT THERAPY CENTER | |
| 5 - STAFFORD THERAPY CENTER | |||||
| 2781 JEFFERSON DAVIS HIGHWAY SUITE | STAFFORD | VA | 22554 | OUTPATIENT THERAPY CENTER | 103 |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| PART I, LN 7 COL(F): | NO ATTEMPT HAS BEEN MADE TO DETERMINE THE AMOUNT IN BAD DEBT THAT COULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE HOSPITAL'S 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. |
| PART III, LINE 3: | 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. |
| PART III, LINE 4: | THE HOSPITAL RECOGNIZES REVENUE NET OF CONTRACTUAL ALLOWANCE PER THE STANDARD CONTRACTED RATE. HISTORICAL EXPERIENCE HAS DEMONSTRATED A PORTION OF REVENUE IS UNCOLLECTABLE. THE HISTORICAL UNCOLLECTABLE RATE IS APPLIED TO OUTSTANDING NET ACCOUNTS RECEIVABLE AND A PROVISION IS RECORDED PERIODICALLY. THE HOSPITAL PROVIDES HEALTHCARE SERVICES TO INFANTS, CHILDREN, AND ADOLESCENTS UP TO THE AGE OF 21 YEARS. HOSPITAL WILL PROVIDE FINANCIAL ASSISTANCE AS ESTABLISHED UNDER THE GUIDELINES. SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, RELIGION, NATIONAL ORIGIN, SEX, DISABILITY, SOCIOECONOMIC STATUS, PAYOR SOURCE, OR ANY OTHER MANNER PROHIBITED BY LAW.AS A TAX-EXEMPT ENTITY AND AS PART OF ITS COMMITMENT TO SERVE THE COMMUNITY, HOSPITAL PROVIDES FINANCIAL ASSISTANCE IN THE FORM OF CHARITY CARE ("FINANCIAL ASSISTANCE") TO PATIENTS' FAMILIES WHO QUALIFY BY MEETING THE REQUIREMENTS.PATIENT FAMILIES ARE ELIGIBLE IF THEIR YEARLY HOUSEHOLD INCOME, AS DOCUMENTED ON THE FINANCIAL ASSISTANCE APPLICATION IS LESS THAN OR EQUAL TO 200% OF THE POVERTY GUIDELINES UPDATED ANNUALLY IN THE FEDERAL REGISTER BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ("FEDERAL POVERTY GUIDELINES").FOOTNOTE 2(E) OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS STATES:THE AUTHORITY RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS DURING THEPERIOD IN WHICH COLLECTION IS CONSIDERED DOUBTFUL. THE ALLOWANCE FORDOUBTFUL ACCOUNTS WAS APPROXIMATELY $49,712 AT JUNE 30, 2020.ACCOUNTS WAS APPROXIMATELY $117,780,000 AT JUNE 30, 2019. |
| PART III, LINE 8: | MEDICARE ALLOWABLE COST WAS CALCULATED USING A COMBINATION OF COST FROM THE FILED FY 2019 MEDICARE COST REPORT; COST TO CHARGE RATIOS FROM FILED THE FY 2019 MEDICARE COST REPORT; AND A CALCULATION OF DIRECT COSTS PLUS ALLOCATED OVERHEAD.SERVICES PROVIDED UNDER MEDICARE ARE FOR PATIENTS IN ASSISTIVE TECHNOLOGY. THIS SERVICE IS A SPECIAL PROGRAM OFFERED TO PATIENTS REGARDLESS OF AGE SINCE THESE SERVICES ARE NOT WIDELY AVAILABLE IN THE COMMUNITY. |
| 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. |
| 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 BEHAVIORAL HEALTH AND DEVELOPMENTAL, RICHMOND CITY HEALTH DISTRICT, CARE CONNECTION FOR CHILDREN, AND GREATER RICHMOND FIT4KIDS. |
| 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 THE TRANSITIONAL CARE UNIT (TCU) ADMISSION PACKAGE THAT IS GIVEN TO ALL NEW PATIENTS. COPIES OF BOTH THE FINANCIAL ASSISTANCE POLICY AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT EVERY LOCATION FROM THE PATIENT ACCESS REPRESENTATIVES. |
| 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 2019, THE SERVICE AREA INCLUDED MORE THAN 413,331 PERSONS AGED 0-21. AT ANY GIVEN TIME IN 2017, 16,636 CHILDREN AGE 0-18 ARE UNINSURED. REGION DEATH RATES WERE HIGHER THAN THE STATEWIDE RATE OVERALL AND WERE RELATED TO PREMATURITY AND LOW BIRTH WEIGHTS, HOMICIDE AND MOTOR VEHICLE TRAFFIC ACCIDENTS. NINE OF THE 12 LOCALITIES OF OUR SERVICE AREA HAVE BEEN FULLY OR PARTIALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS (MUAS/MUPS). |
| PART VI, LINE 5: | 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 5 ENSURING ACCESS TO CARE FOR ALL CHILDREN, TRAINING FUTURE PEDIATRIC CAREGIVERS AND MAKING NEW DISCOVERIES THAT IMPROVE UNDERSTANDING AND TREATMENT OF CHILDHOOD DISEASES. |
| PART VI, LINE 6: | VIRGINIA IS THE ONLY STATE WHERE THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARSHA D RAPPLEY MD | ||||||||||||||
| DIRECTOR | $0 | $919,330 | $0 | $275,675 | $0 | $9,393 | $0 | $110,229 | $0 | $20,343 | $0 | $1,334,970 | $0 | $0 |
| PETER BUCKLEY MD | ||||||||||||||
| DIRECTOR | $0 | $748,372 | $0 | $97,891 | $0 | $5,527 | $0 | $80,985 | $0 | $19,915 | $0 | $952,690 | $0 | $0 |
| DEBORAH DAVIS | ||||||||||||||
| DIRECTOR | $0 | $750,108 | $0 | $93,051 | $0 | $25,487 | $0 | $58,600 | $0 | $20,012 | $0 | $947,258 | $0 | $0 |
| RALPH CLARK MD | ||||||||||||||
| DIRECTOR | $0 | $571,798 | $0 | $18,305 | $0 | $20,844 | $0 | $36,587 | $0 | $2,828 | $0 | $650,362 | $0 | $0 |
| JOHN WARD MD | ||||||||||||||
| DIRECTOR - EX - OFFICIO | $546,204 | $0 | $32,507 | $0 | $12,694 | $0 | $37,505 | $0 | $19,491 | $0 | $648,401 | $0 | $0 | $0 |
| THOMAS YACKEL MD | ||||||||||||||
| DIRECTOR, PRES. OF MCV | $0 | $497,719 | $0 | $44,638 | $0 | $3,399 | $0 | $75,414 | $0 | $11,718 | $0 | $632,888 | $0 | $0 |
| PAUL NEIMEYER | ||||||||||||||
| SECRETARY/CHIEF GEN. COUNSEL | $0 | $469,497 | $0 | $76,713 | $0 | $7,654 | $0 | $51,959 | $0 | $9,981 | $0 | $615,804 | $0 | $0 |
| ELIAS NEUJAHR | ||||||||||||||
| CEO CHILDREN'S HOSPITAL OF RICH | $0 | $449,680 | $0 | $20,083 | $0 | $11,580 | $0 | $38,822 | $0 | $22,031 | $0 | $542,196 | $0 | $0 |
| BRUCE K RUBIN MD | ||||||||||||||
| DIRECTOR-EX-OFFICO | $0 | $388,806 | $0 | $51,427 | $0 | $12,425 | $0 | $62,505 | $0 | $2,426 | $0 | $517,589 | $0 | $0 |
| SHARON DARBY | ||||||||||||||
| ASSOCIATE VP OF OPERATIONS | $224,780 | $0 | $9,731 | $0 | $2,685 | $0 | $51,392 | $0 | $9,484 | $0 | $298,072 | $0 | $0 | $0 |
| TIMOTHY O'NEILL | ||||||||||||||
| DIRECTOR OF FINANCE | $124,549 | $0 | $10,583 | $0 | $4,766 | $0 | $29,271 | $0 | $21,257 | $0 | $190,426 | $0 | $0 | $0 |
| MARK NICOL | ||||||||||||||
| DIR. OF FACILITIES MGMT | $120,287 | $0 | $10,124 | $0 | $1,743 | $0 | $34,365 | $0 | $21,179 | $0 | $187,698 | $0 | $0 | $0 |
| MARY S TOGNARELLI | ||||||||||||||
| DIRECTOR OF INPATIENT SERVICES | $131,912 | $0 | $10,566 | $0 | $2,207 | $0 | $29,224 | $0 | $9,176 | $0 | $183,085 | $0 | $0 | $0 |
| SALLIE C TIDMAN | ||||||||||||||
| DIRECTOR OF THERAPY SERVICES | $126,726 | $0 | $10,760 | $0 | $8,482 | $0 | $13,527 | $0 | $21,270 | $0 | $180,765 | $0 | $0 | $0 |
| ROBIN CROTTS | ||||||||||||||
| DIR. PERFORMANCE IMPROV. | $118,006 | $0 | $9,886 | $0 | $3,034 | $0 | $27,396 | $0 | $13,299 | $0 | $171,621 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | FOR FISCAL YEAR ENDING JUNE 30, 2020 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 M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | MEDICAL EQUIPMENT | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,117,034 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | COLUMN (B) REPORTS THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1 | 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. |
| PART III, LINE 1 | 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 8,445 CHILDREN WERE SERVED THIS PAST YEAR. WE CONTINUE TO FOCUS ON EXPANDING OUR CAPACITY TO SERVE MORE CHILDREN. |
| PART V, LINE 2A | EMPLOYEES ARE PAID THROUGH A COMMON PAYMASTER. THE COMMON PAYMASTER IS VCU HEALTH SYSTEM AUTHORITY. THE ORGANIZATION FALLS UNDER A MASTER PAY AGENT AND DOES NOT FILE ANY PAYROLL RETURNS UNER ITS OWN EIN. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE 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, SECTION A, LINE 7A | 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. |
| FORM 990, PART VI, SECTION A, LINE 7B | 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, SECTION B, LINE 11B | 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, SECTION B, 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, SECTION B, 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 C, LINE 19 | DOCUMENTS ARE AVAILABLE FOR INSPECTION AT THE MAIN HOSPITAL LOCATION UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN TRUSTS 156,005. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| VCU HEALTH SYSTEM AUTHORITY | |||||||||||
| PO BOX 980510 | RICHMOND | VA | 23298 | 541848065 | ACA MED CTR | VA | 170(C)(1) | N/A | 0 | ||
| MCV ASSOCIATED PHYSICIANS | |||||||||||
| PO BOX 980620 | RICHMOND | VA | 23298 | 541581185 | HEALTHCARE | VA | 501(C)(3) | 0 | LINE 12A, I | VCUHSA | |
| UNIVERSITY HEALTH SERVICES INC | |||||||||||
| PO BOX 980152 | RICHMOND | VA | 23298 | 541790550 | EDUCATION | VA | 501(C)(3) | 0 | LINE 12A, I | VCUHSA | |
| COMMUNITY MEMORIAL HOSPITAL | |||||||||||
| 1754 N MECKLENBERG AVE | RICHMOND | VA | 23970 | 540221711 | HOSPITAL | VA | 501(C)(3) | 0 | LINE 3 | VCUHSA | |
| COMMUNITY MEMORIAL HOSPITAL FOUNDATION | |||||||||||
| 1755 N MECKLENBERG AVE | RICHMOND | VA | 23970 | 541831331 | ADMIN FOR CMH | VA | 501(C)(3) | 0 | LINE 12A, I | CMH | |
| VIRGINIA PREMIER HEALTH PLAN INC | |||||||||||
| 600 EAST BROAD STREET | RICHMOND | VA | 23219 | 541760974 | HEALTH PLAN | VA | 501(C)(3) | 0 | LINE 10 | VCUHSA | |
| UHS PROFESSIONAL EDUCATION PROGRAM | |||||||||||
| P O BOX 980048 | RICHMOND | VA | 23298 | 541790553 | EDUCATION | VA | 501(C)(3) | 0 | LINE 12A, I | VCUHSA | |
| VIRGINIA COMMONWEALTH UNIVERSITY | |||||||||||
| PO BOX 842512 | RICHMOND | VA | 23284 | 546001758 | EDU INSTITUTE | VA | 170(C)(1) | N/A | 0 | ||
| VIRGINIA CHILDREN'S CARE NETWORK LLC | |||||||||||
| PO BOX 980152 | RICHMOND | VA | 23298 | 851396091 | HEALTHCARE | VA | 501(C)(3) | 0 | LINE 12A, I | VCUHSA | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S PAVILION OF RICHMOND CONDO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1010 EAST MARSHALL ST PO BOX 980240 | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23298 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | CONDOMINIUMS | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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