2020-05-15T16:03:43-05:00 2019-06-30 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2018-07-01 540506309 CRIPPLED CHILDREN'S HOSPITAL % Timothy O'Neill CRIP 8042285874 2924 Brook Road Richmond VA 232201298 TIMOTHY O'NEILL Finance Director 2020-05-14 true LAURA KIELCZEWSKI P00740769 2227733000 73.29.142.225 35057220201365000013 2020-05-15 P 047C777BBD395ADD529156C75D94AFF56594489C 2979594631CB5427DBABEAFA59DA989879D1FE14 2018 2020-11-19 02:30:22Z Children's Hospital of Richmond Elias Neujahr 2924 BROOK ROAD RICHMOND VA 232201298 31589595 false X www.chrichmond.org X 1920 VA CRIPPLED CHILDREN'S HOSPITAL IS A RESOURCE AND PROVIDER OF SPECIALIZED MEDICAL AND THERAPEUTIC SERVICES CUSTOMIZED TO MEET THE SPECIFIC NEEDS OF CHILDREN AND THEIR FAMILIES. 9 5 474 82 0 0 520330 562650 30940550 30941145 14042 27497 19526 38240 31494448 31569532 0 0 0 0 25406005 25569718 0 0 0 7865473 7386071 33271478 32955789 -1777030 -1386257 21099999 17177752 17160596 14591673 3939403 2586079 X CRIPPLED CHILDREN'S HOSPITAL IS A RESOURCE AND PROVIDER OF SPECIALIZED MEDICAL AND THERAPEUTIC SERVICES CUSTOMIZED TO MEET THE SPECIFIC NEEDS OF CHILDREN AND THEIR FAMILIES. OVER 9,326 CHILDREN WERE SERVED THIS PAST YEAR. WE CONTINUE TO FOCUS ON EXPANDING OUR CAPACITY TO SERVE MORE CHILDREN. false false 7653110 11841856 THE TRANSITIONAL CARE UNIT IS THE HOSPITAL'S ONLY INPATIENT UNIT. IT HAS 47 BEDS AND PROVIDES LONG TERM CARE FOR CHILDREN UP TO THE AGE OF 21 WHO REQUIRE SPECIALIZED, AROUND THE CLOCK, NURSING CARE. THE UNIT HAD AN AVERAGE DAILY CENSUS OF 31.7 IN FISCAL YEAR 2019, A DECREASE FROM 36 IN FISCAL YEAR 2018. THE UNIT IS CERTIFIED BY THE VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES AND 100% OF THE REVENUE IN THIS PROGRAM COMES FROM VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS. 10511039 13372575 THE HOSPITAL IS THE PREMIER PROVIDER OF OUTPATIENT PEDIATRIC PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES IN CENTRAL VIRGINIA. OUTPATIENT THERAPY VISITS TOTALED 94,247 IN FISCAL YEAR 2019. THERAPY SERVICES ARE PROVIDED AT THE MAIN HOSPITAL IN THE CITY OF RICHMOND AND AT FIVE COMMUNITY THERAPY CENTERS LOCATED IN GLEN ALLEN, BON AIR, FREDERICKSBURG, PETERSBURG, AND STAFFORD. APPROXIMATELY 50% OF THE THERAPY VISITS ARE FUNDED BY VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS. 1916477 2872407 DENTAL PROGRAM SERVICES ARE PROVIDED FOR THE TYPICAL WELL-CHILD AND FOR CHILDREN WITH SPECIAL NEEDS. IN FISCAL YEAR 2019, THE DENTAL PROGRAM COMPLETED 590 SURGERIES AND 6,070 CLINIC VISITS. THE MAJORITY OF THE DENTAL PROGRAM PATIENTS ARE FUNDED BY VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS. 2568532 1760131 22649158 true true false false false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 24 0 true 474 true false false false false false false false false false false false false X 9 5 false false false false true true true true true false false false true true true true true false false false VA X Timothy O'Neill 8042285874 2924 Brook Road Richmond VA 23220 Thomas S Cain CHAIRMAN 1.0 0.0 X X 0 0 0 Linda Pearson VICE CHAIR AND TREASURER 1.0 0.0 X X 0 0 0 Jeffrey Mapp MD DIRECTOR 1.0 0.0 X 0 0 0 LESLIE WYATT DIRECTOR 1.0 0.0 X 0 0 0 Frances LW Kay DIRECTOR 1.0 0.0 X 0 0 0 Marsha D Rappley MD DIRECTOR 1.0 40.0 X 0 980704 62307 Thomas Yackel Director, Pres. of MCV 1.0 40.0 X 0 369779 32175 Deborah Davis DIRECTOR 1.0 39.0 X 0 812780 43847 Bruce K Rubin MD DIRECTOR-EX-OFFICIO 1.0 39.0 X 0 489860 32714 Elias Neujahr CEO CHILDRE'S HOSPITAL OF RICH 5.0 35.0 X 0 484987 25237 Paul Neimeyer SECRETARY/CHIEF GEN. COUNSEL 1.0 39.0 X 0 502717 26478 Sharon Darby ASSOCIATE VP OF OPERATIONS 40.0 0.0 X 236893 0 29525 SALLIE C TIDMAN DIRECTOR OF THERAPY SERVICES 40.0 0.0 X 138707 0 23496 MARY S TOGNARELLI DIRECTOR OF INPATIENT SERVICES 40.0 0.0 X 138506 0 19572 Mark Nicol Dir. Facilities MGMT 40.0 0.0 X 125724 0 25076 Robin Crotts Dir. Performance Improv. 40.0 0.0 X 125302 0 18485 Timothy O'Neill Director of Finance 40.0 0.0 X 135558 0 25992 John D Ward MD DIRECTOR-EX-OFFICIO 0.0 0.0 X 0 623955 77106 900690 4264782 442010 15 true true false MCV ASSOCIATED PHYSICIANS DBA MCV PO BOX 79203 Baltimore MD 212790203 CONTRACTED PHYSICIAN 890040 VCU DENTISTRY 521 NORTH 11TH STREET RICHMOND VA 23298 CONTRACT DENTIST 574506 COMPASS GROUP USA INC PO BOX 1306800735 BOSTON MA 022417632 CONTRACT FOOD SVCS 353423 NEIGHBORCARE PHARMACY OF VA LLC PO BOX 781668 DETROIT MI 482781668 DRUG & PHARMACY MGMT 173940 INLAND NORTHWEST HEALTH SERVICES PO BOX 2185 SPOKANE WA 99210 NETWORK HOST/MONITOR 160545 16 562650 0 562650 PATIENT SERVICE REVENUE 623000 30912307 30912307 0 0 PHYSICAL THERAPY CONTRACT 623000 28838 28838 0 0 30941145 26547 26547 0 0 0 0 0 950 950 950 950 0 0 0 0 0 0 24003 20063 3940 3940 MEDICAL RECORDS 622110 10113 0 0 10113 All other revenue 900099 24187 0 0 24187 34300 31569532 30946035 0 60847 0 0 0 0 0 0 0 0 934754 934754 0 0 0 0 0 18675071 14741028 3934043 0 1232457 876571 355886 0 3334258 2720159 614099 0 1393178 1053892 339286 0 399213 0 399213 0 0 0 0 0 600 0 600 0 0 0 0 0 0 0 0 0 0 0 1507759 1321329 186430 0 0 0 0 0 658578 207134 451444 0 208529 97236 111293 0 0 0 0 0 2043072 683952 1359120 0 55118 40032 15086 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 821430 0 821430 0 145837 0 145837 0 MEDICAL SUPPLIES 1192333 696564 495769 0 TRAINING AND EDUCATION 62567 33735 28832 0 BANK AND SERVICE FEES 52383 0 52383 0 PHARMACY 129246 129246 109406 48280 61126 32955789 22649158 10306631 0 0 976613 1247661 0 0 0 0 3534967 3451594 0 0 0 0 0 0 163691 171417 93372 23135 41060944 34417252 7234417 6643692 0 0 0 0 0 0 0 0 9096939 5640253 21099999 17177752 3738557 4669312 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13422039 9922361 17160596 14591673 X -7796832 -1714257 7604831 0 4131404 4300336 3939403 2586079 21099999 17177752 X -1386257 0 0 0 0 32933 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4131404 331900 410713 573681 4300336 3921929 303029 315250 408804 4131404 3572986 371488 443961 466506 3921929 3687908 3058 -30019 87961 3572986 3602326 120007 99688 134113 3687908 0.59450 0.40550 true false 54914 54914 18278829 13559771 4719058 594276 548860 45416 20122152 18369405 1752747 2010773 1939216 71557 6643692 EQUITY INTEREST IN FOUNDATION 4300336 SETTLEMENT DUE FROM 3RD PARTY 1275128 DEPOSITS 24836 OTHER ASSETS 39953 5640253 0 NET PENSION LIABILITY 846706 DUE TO AFFILIATES 9019172 PREPAID EXPENSES 56483 9922361 X SCHEDULE D, PART V, LINE 4 THE HOSPITAL HAS RECORDED ITS BENEFICIAL INTEREST IN CERTAIN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF THE FOUNDATION THAT BENEFIT THE HOSPITAL. TEMPORARILY RESTRICTED NET ASSETS IN THE FOUNDATION OF $1,744,790 AND $1,588,800 AT JUNE 30, 2019 AND 2018, RESPECTIVELY, ARE AVAILABLE FOR THE PURCHASE OF CAPITAL ASSETS AND TO SUPPORT THE OPERATIONS OF THE HOSPITAL. PERMANENTLY RESTRICTED NET ASSETS IN THE FOUNDATION OF $2,558,115 AND $2,558,022 AT JUNE 30, 2019 AND 2018, RESPECTIVELY, ARE INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT PROGRAMS AT THE HOSPITAL. SCHEDULE D, PART X, LINE 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. AS A RESULT OF THE RECENT FEDERAL INCOME TAX REFORM ENACTED INTO LAW UNDER THE TAX CUTS AND JOBS ACT OF 2017, CERTAIN PROVISIONS IMPACT TAX-EXEMPT ORGANIZATIONS EFFECTIVE JANUARY 2018. INCLUDING REVISIONS TO TAXES ON UNRELATED BUSINESS ACTIVITIES, EXCISE TAXES ON COMPENSATION OF CERTAIN EMPLOYEES, AND VARIOUS OTHER PROVISIONS. THE AUTHORITY AND ITS AFFILIATES HAVE ESTIMATED NO MATERIAL IMPACTS RELATED TO THE FEDERAL INCOME TAX REFORM. true true true X true X true true false true true 91409 91409 0.00280 23087318 19626933 3460385 0.10500 23178727 19626933 3551794 0.10780 175674 175674 0.00530 175674 175674 0.00530 23354401 19626933 3727468 0.11310 true 261392 14932 14932 true false 1 1 CRIPPLED CHILDREN'S HOSPITAL 2924 BROOK ROAD RICHMOND VA 23220 WWW.CHRICHMOND.ORG H1842 X X X PEDIATRIC LONG TERM CARE CRIPPLED CHILDREN'S HOSPITAL 1 false false true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C NARRATIVE X true 19 true SEE PART V, SECTION C NARRATIVE false false true X 100 250. X X X X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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 of the Hospital it cannot directly address cetain community health needs identified in the CHNA. However, it can and does support other agencies to help these needs. See the Schedule H, Part V, Line 11 disclosure for more details on the prioritized needs. PART V, SECTION B, LINE 5 THE HOSPITAL USED A WRITTEN SURVEY TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS CONDUCTED IN THE SPRING OF 2019. THE SURVEY RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, CARE CONNECTION FOR CHILDREN, DISABILITY LAW CENTER OF VIRGINIA, FREDERICKSBURG CITY SCHOOLS, VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES AND GREATER RICHMOND FIT4KIDS. PART V, SECTION B, LINE 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 COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA 2. EXECUTION OF THE IMPLEMENTATION STRATEGY 3. INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS 4. ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA 5. PRIORITIZATION OF SERVICES THAT THE HOSPITAL WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY THE TOP HEALTH NEEDS OF THE CHILDREN'S HOSPITAL COMMUNITY INCLUDE THOSE THAT ARE SUPPORTED BY THE DATA AND FEEDBACK PROVIDED IN THE ASSESSMENT: A. Children's Health Support Strategy: Leverage the programs and resources available within and associated with VCUHS to provide education and support to families. Action Plan: - Support advocacy efforts through the Office of Government Relations at Virginia Commonwealth University - Access Care Connection for Children for patients and families - Refer eligible patients and families to Medical Legal Partnership-Richmond - UTILIZE PARENT ADVISORY GROUP TO IDENTIFY NEEDS AND POTENTIAL SOLUTIONS - Utilize resources and funding from Children' Hospital Foundation to provide support and education to Families Strategy: Improve access to care for services. Action Plan: - Ongoing support for growth of therapy centers thru relocation and expansion of existing programs - Increase number of beds for ventilator dependent children requiring long term care services - Implement improvements to scheduling appointments for therapy services - Explore opportunities to add services - Coordinate Hospital services with services with VCUHS - Refer patients and families to services within the community as needed B. Children's Health Conditions Strategy: Leverage the programs and resources available within the Hospital and CHoR to address leading health risks in the community including injuries, avoidable hospitalizations, behavioral health disorders, lifestyle, and disabilities. Action Plan: - Ongoing support for growth of therapy centers to provide services for: *Injury prevention and recovery; *Short and long term rehabilitation; *Assistive technology; *Activities of daily living; - Collaboration with concussion/traumatic brain injury multi-disciplinary clinic for services and education - Collaboration with Safe Kids VA for creating safe environments for children in the community - Support of psychology services related medical, emotional and behavioral issues, and neuropsychological evaluations following a neurological injury or illness - Referrals to VCU's Virginia Treatment Center for Children for outpatient and inpatient mental health care - Expansion of long-term care services for children who are ventilator dependent and/or require total parenteral nutrition - Growth of pediatric dental services for care of children with disabilities Implementation Strategies Key Objective: Provide care to children requiring post-acute rehabilitative and restorative care; provide training for disciplines focused on the care of children with disabilities; and advocate for those with disabilities. Due to the rehabilitative specialty focus of the Hospital it cannot directly address certain community health needs identified in the assessment. However, it can and does support other agencies to help with these needs. Other Needs Identified in the Community Health Needs Assessment: Each of the health needs identified in the attached Community Health Needs Assessment is important and many are being addressed by numerous program and initiatives throughout VCUHS. The Hospital cannot directly address certain community health needs that do not relate to its mission. These may be community health needs that governmental or other non-profit agencies have the more appropriate expertise and resources necessary to address. Although the Hospital cannot address these needs directly, it can and does support the efforts of governmental and other agencies to help with these needs. PART V, SECTION B, LINE 16A https://www.chrichmond.org/media/file/PATIENT-FINANCIAL-ASSISTANCE-POLICY- 518.pdf PART V, SECTION B, LINE 16B https://www.vcuhealth.org/media/file/VCUHealth-FinancialCounseling-0118.pd f PART V, SECTION B, LINE 16C https://www.chrichmond.org/media/file/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM -OVERVIEW.pdf 5 FREDERICKSBURG THERAPY CENTER 10530 SPOTSYLVANIA AVNUE SUITE 102 FREDERICKSBURG VA 22408 OUTPATIENT THERAPY CENTER PETERSBURG THERAPY CENTER 321 B POPLAR DRIVE SUITE 4 PETERSBURG VA 23805 OUTPATIENT THERAPY CENTER GLEN ALLEN THERAPY CENTER 10124 WEST BROAD STREET SUITE P GLEN ALLEN VA 23060 OUTPATIENT THERAPY CENTER BON AIR THERAPY CENTER 206 TWINRIDGE LANE SUITE A RICHMOND VA 23235 OUTPATIENT THERAPY CENTER STAFFORD THERAPY CENTER 2781 JEFFERSON DAVIS HIGHWAY SUITE STAFFORD VA 22554 OUTPATIENT THERAPY CENTER SCHEDULE H, PART I, LINE 7 COMMUNITY BENEFIT COST FOR EACH CATEGORY IS DETERMINED BY USING EITHER A COST TO CHARGE RATIO OR A COST ACCOUNTING METHODOLOGY. THE SCHEDULE H WORKSHEETS ARE USED TO COMPUTE THE CORRESPONDING LINE. SCHEDULE H, PART III, LINE 2 CHARGED AMOUNTS NOT EXPECTED TO BE PAID ARE RESERVED AND EXPENSED TO BAD DEBT. A COST TO CHARGE RATIO IS APPLIED TO DETERMINE THE COST OF THE BAD DEBT. SCHEDULE H, PART III, LINE 3 NO ATTEMPT HAS BEEN MADE TO DETERMINE THE AMOUNT IN BAD DEBT THAT COULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART III, LINE 4 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 THE PERIOD IN WHICH COLLECTION IS CONSIDERED DOUBTFUL. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS APPROXIMATELY $117,780,000 AT JUNE 30, 2019. ACCOUNTS WAS APPROXIMATELY $117,780,000 AT JUNE 30, 2019. SCHEDULE H, PART III, LINE 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. SCHEDULE H, PART III, LINE 9B A FINANCIAL COUNSELOR ASSISTS PATIENTS IN UNDERSTANDING THE AVAILABILITY OF COMMUNITY OR GOVERNMENTAL ASSISTANCE PROGRAMS, AS WELL AS, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. NEW PATIENTS RECEIVE NOTIFICATION THROUGH THE PATIENT BOOKLET. THE HOSPITAL PROVIDES A BILLING STATEMENT TO THE FAP INDIVIDUAL THAT SHOWS THE AMOUNTS GENERALLY BILLED FOR THE CARE AND HOW THE HOSPITAL DETERMINED THE AMOUNT THE INDIVIDUAL OWES. THE HOSPITAL WILL ALSO REFUND ANY EXCESS PAYMENTS MADE AND TAKE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION TAKEN. SCHEDULE H, PART VI, LINE 2 THE HOSPITAL USED A WRITTEN SURVEY TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL, RICHMOND CITY HEALTH DISTRICT, CARE CONNECTION FOR CHILDREN, AND GREATER RICHMOND FIT4KIDS. SCHEDULE H, PART VI, LINE 3 THE HOSPITAL PROVIDES CHARITY CARE IN THE FORM OF FINANCIAL ASSISTANCE TO THOSE PATIENTS AND THEIR FAMILIES WHICH QUALIFY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE POLICY ALONG WITH A PLAIN LANGUAGE SUMMARY THAT INCLUDES A BRIEF OVERVIEW OF OUR DISCOUNT PROGRAM IS AVAILIBLE ON OUR WEB SITE. INFORMATION CONCERNING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED IN THE PATIENT HANDBOOK AND THETRANSITIONAL CARE UNIT (TCU) ADMISSION PACKAGE THAT IS GIVEN TO ALL NEW PATIENTS. COPIES OF BOTH THE FINANCIAL ASSISTANCE POLICY AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT EVERY LOCATION FROM THE PATIENT ACCESS REPRESENTATIVES. SCHEDULE H, PART VI, LINE 4 THE HOSPITAL SERVICES AREA INCLUDES 51 ZIP CODES ADJACENT TO ITS SIX LOCATIONS. MOST OF THESE ZIP CODES FALL WITHIN THE COUNTIES OF CHESTERFIELD, HENRICO, KING GEORGE, POWHATAN, SPOTSYLVANIA AND STAFFORD AND THE CITIES OF COLONIAL HEIGHTS, FREDERICKSBURG, HOPEWELL, PETERSBURG, AND RICHMOND. AS A CHILDREN'S HOSPITAL, THE SERVICE POPULATION IS AGED 0-21 YEARS AND AS OF 2019, THE SERVICE AREA INCLUDED MORE THAN 413,331 PERSONS AGED 0-21. AT ANY GIVEN TIME IN 2017, 16,636 CHILDREN AGE 0-18 ARE UNINSURED. REGION DEATH RATES WERE HIGHER THAN THE STATEWIDE RATE OVERALL AND WERE RELATED TO PREMATURITY AND LOW BIRTH WEIGHTS, HOMICIDE AND MOTOR VEHICLE TRAFFIC ACCIDENTS. NINE OF THE 12 LOCALITIES OF OUR SERVICE AREA HAVE BEEN FULLY OR PARTIALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS (MUAS/MUPS). SCHEDULE H, PART VI, LINE 5 THE HOSPITALS ADVOCACY EFFORTS ARE SUPPORTED BY THE OFFICE OF GOVERNMENT RELATIONS AT VIRGINIA COMMONWEALTH UNIVERSITY. THE OFFICE SERVES AS A LIAISON AMONG THE GOVERNOR'S OFFICE, THE GENERAL ASSEMBLY, AGENCIES OF THE COMMONWEALTH, RICHMOND CITY COUNCIL LOCAL BOARDS OF SUPERVISORS AND VIRGINIA'S CONGRESSIONAL DELEGATION. GOVERNMENT RELATIONS CULTIVATES RELATIONSHIPS WITH ELECTED AND APPOINTED GOVERNMENT OFFICIALS IN AN EFFORT TO SECURE FINANCIAL AND LEGISLATIVE SUPPORT. IN COLLABORATION WITH THE CHILDREN'S HOSPITAL FOUNDATION THE HOSPITAL SUPPORTS A VARIETY OF PEDIATRIC INITIATIVES AND OUTREACH PROGRAMS FOR THE GENERAL COMMUNITY, SUCH AS HEALTH AND SAFETY DAYS IN RICHMOND AND PETERSBURG, FIRE PREVENTION DAY IN RICHMOND AND THE DENTAL OUTREACH PROGRAM. EVERY YEAR, THESE PROGRAMS EDUCATE THOUSANDS OF YOUNG CHILDREN AND GIVE THEM THE TOOLS AND KNOWLEDGE TO LEAD SAFE AND HEALTHY LIVES. THE CHOR COMMUNITY HEALTH EDUCATION CENTER PROVIDES PATIENTS, FAMILIES AND THE PUBLIC UP-TO-DATE INFORMATION FROM RELIABLE SOURCES ABOUT HEALTH AND MEDICINE. RESOURCES INCLUDE BOOKS, JOURNALS, VIDEOS AND COMPUTERS WITH INTERNET CONNECTIONS. THE CENTER IS STAFFED BY A FULL-TIME HEALTH SCIENCES LIBRARIAN, A PART-TIME LIBRARY ASSISTANT, AND TRAINED VOLUNTEERS. SCHEDULE H, PART VI, LINE 6 THE HOSPITAL IS AFFILIATED WITH THE VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM (VCUHS) AND IS COMPONENT OF THE CHILDREN'S HOSPITAL OF RICHMOND AT VCU (CHOR) THAT IS CENTRAL VIRGINIA'S ONLY COMPREHENSIVE, FULL-SERVICE CHILDREN'S HOSPITAL. AS VIRGINIA'S ONLY LEVEL 1 PEDIATRIC TRAUMA CENTER, CHOR OFFERS A WIDE RANGE OF CHILDREN'S HEALTH SERVICES, INCLUDING PEDIATRIC EMERGENCY SERVICES, PRIMARY CARE, SPECIALTY AND SUBSPECIALTY CARE, BURN, TRAUMA, TRANSPLANT AND LONG-TERM CARE. WITH MORE THAN 15 LOCATIONS ACROSS CENTRAL VIRGINIA, CHOR PROVIDES PEDIATRIC INPATIENT AND OUTPATIENT SERVICES THAT COVER NEARLY ALL CHILDREN'S HEALTH-RELATED NEEDS. CHOR IS COMMITTED TO 5 ENSURING ACCESS TO CARE FOR ALL CHILDREN, TRAINING FUTURE PEDIATRIC CAREGIVERS AND MAKING NEW DISCOVERIES THAT IMPROVE UNDERSTANDING AND TREATMENT OF CHILDHOOD DISEASES. SCHEDULE H, PART VI, LINE 7 VIRGINIA IS THE ONLY STATE WHERE THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT. false false false false false false false false false Sharon Darby ASSOCIATE VP OF OPERATIONS 204937 0 15262 0 16694 0 25269 0 4256 0 266418 0 0 0 SALLIE C TIDMAN DIRECTOR OF THERAPY SERVICES 123071 0 9140 0 6496 0 13134 0 10362 0 162203 0 0 0 MARY S TOGNARELLI DIRECTOR OF INPATIENT SERVICES 128807 0 8976 0 723 0 15476 0 4096 0 158078 0 0 0 Mark Nicol Dir. Facilities MGMT 116372 0 8518 0 834 0 14714 0 10362 0 150800 0 0 0 Elias Neujahr CEO CHILDRE'S HOSPITAL OF RICH 0 410470 0 23190 0 51327 0 14408 0 10829 0 510224 0 0 Paul Neimeyer SECRETARY/CHIEF GEN. COUNSEL 0 447237 0 44923 0 10557 0 22000 0 4478 0 529195 0 0 Marsha D Rappley MD DIRECTOR 0 915652 0 60093 0 4959 0 56375 0 5932 0 1043011 0 0 Timothy O'Neill Director of Finance 123118 0 8991 0 3449 0 15561 0 10431 0 161550 0 0 0 Thomas Yackel Director, Pres. of MCV 0 329686 0 35000 0 5093 0 31731 0 444 0 401954 0 0 Deborah Davis DIRECTOR 0 681433 0 57176 0 74171 0 33011 0 10836 0 856627 0 0 John D Ward MD DIRECTOR-EX-OFFICIO 0 580605 0 35910 0 7440 0 57970 0 19136 0 701061 0 0 Bruce K Rubin MD DIRECTOR-EX-OFFICIO 0 375237 0 85790 0 28833 0 31731 0 983 0 522574 0 0 PART I, LINE 3 FOR FISCAL YEAR ENDING JUNE 30, 2019 THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE EXECUTIVE DIRECTOR, IS DETERMINED BY THE CEO OF THE HEALTH SYSTEM. THIS IS CONSISTENT WITH THE REQUIREMENTS ESTABLISHED IN THE BYLAWS OF VCUHS. THE CEO USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE CEO MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF INDIVIDUAL PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE CEO THEN MEETS WITH THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS TO DISCUSS THE MATTER AND PRESENT RECOMMENDATIONS AND RECEIVE FINAL APPROVAL. THE COMPENSATION COMMITTEE MAY DISCUSS THESE RECOMMENDATIONS IN EXECUTIVE SESSION OF THE VCUHS BOARD OF DIRECTORS. PART III, LINE 4D OTHER PROGRAM SERVICES CHILDREN'S FEEDING PROGRAM - THE CHILDREN'S FEEDING PROGRAM IS DESIGNED TO HELP CHILDREN WHO HAVE A MEDICAL CONDITION THAT HAS AFFECTED THEIR FEEDING AND GROWTH. THE CHILD IS INITIALLY SEEN IN THE FEEDING CLINIC BY A TEAM OF SPECIALISTS WHO EVALUATE THE CHILD'S NEEDS AND MAKE RECOMMENDATIONS FOR TREATMENT AND/OR PROVIDES TIPS FOR THE FAMILY. TREATMENT PROGRAMS, EITHER OUTPATIENT OR DAY PATIENT, FOCUS ON ESTABLISHING APPROPRIATE FEEDING AND NUTRITIONAL HABITS. Part V, LINE 2A EMPLOYEES ARE PAID THROUGH A COMMON PAYMASTER. THE COMMON PAYMASTER IS VCU HEALTH SYSTEM AUTHORITY. THE ORGANIZATION FALLS UNDER A MASTER PAY AGENT AND DOES NOT FILE ANY PAYROLL RETURNS UNER ITS OWN EIN. FORM 990, PART VI, SECTION A, LINE 6, 7A AND 7B THE SOLE MEMBER OF THE CORPORATION IS VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (VCUHS), A STATUTORY AUTHORITY CREATED UNDER THE CODE OF VIRGINIA. VCUHS HAS THE EXCLUSIVE RIGHT AND POWER TO ELECT, APPOINT, OR REMOVE THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS AS PROVIDED IN THE BYLAWS. THE BOARD OF DIRECTORS OF VCUHS SHALL ACT ON VCUHS'S BEHALF IN EXERCISING VCUHS'S RESERVED POWERS OVER THE CORPORATION. CERTAIN COMMITTEES OF THE BOARD OF DIRECTORS OF VCUHS SHALL OVERSEE THE ACTIVITIES OF THE CORPORATION. LISTED BELOW ARE VCUHS'S RESERVED POWERS: (A) APPROVAL OF AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; (B) APPROVAL OF THE CORPORATION'S CAPITAL AND OPERATING BUDGETS; (C) ELECTION AND REMOVAL OF AN ELECTED DIRECTOR (AS HEREINAFTER DEFINED); (D) APPROVAL OF THE INCURRENCE OF DEBT OR THE ISSUANCE OF GUARANTEES BY THE CORPORATION IN EXCESS OF $500,000 FOR A SINGLE EXPENDITURE; (E) APPROVAL OF ANY NON-BUDGETED CAPITAL EXPENDITURE IN EXCESS OF $500,000 FOR A SINGLE CAPITAL EXPENDITURE OR $1 MILLION FOR ALL SUCH CAPITAL EXPENDITURES ON AN AGGREGATE BASIS IN ANY TWELVE (12) MONTH PERIOD; (F) ANY PROPOSED EXPENDITURE IN EXCESS OF $500,000 FROM FUNDED DEPRECIATION MAINTAINED BY OR ON BEHALF OF THE CORPORATION FOR THE RENOVATION AND REPLACEMENT OF THE CORPORATION'S CAPITAL ASSETS; (G) AUTHORIZATION OF ANY ACTION THAT COULD CAUSE THE CORPORATION TO OPERATE IN A MANNER INCONSISTENT WITH THE COMMUNITY BENEFIT STANDARD ARTICULATED BY THE INTERNAL REVENUE SERVICE, OR OTHERWISE CAUSE THE CORPORATION TO ACT IN POTENTIAL DEROGATION OF ITS FEDERAL, STATE, OR LOCAL TAX-EXEMPTION AND/OR CHARITABLE PURPOSE; (H) SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (I) MERGER, CONSOLIDATION, DISSOLUTION, OR DIVISION OF THE CORPORATION; (J) ASSIGNMENT OF PROPERTY OR OTHER ASSETS OF THE CORPORATION IN TRUST FOR CREDITORS OR ON THE ASSIGNEE'S PROMISE TO PAY THE DEBTS OF THE CORPORATION; (K) DECLARATION OF BANKRUPTCY BY THE CORPORATION; (L) AUTHORIZATION OF ANY ACTION THAT COULD HAVE A MATERIAL ADVERSE IMPACT ON ANY LICENSURE, ACCREDITATION, OR CERTIFICATION HELD OR DESIRED TO BE HELD BY THE CORPORATION, INCLUDING, WITHOUT LIMITATION, STATE LICENSURE, MEDICARE OR MEDICAID CERTIFICATION, THE JOINT COMMISSION OR OTHER FACILITY ACCREDITATION, MEDICAL RESIDENCY PROGRAM ACCREDITATION, OR CLINICAL DESIGNATION OR CERTIFICATION; (M) ANY SIGNIFICANT PROPOSED AFFILIATIONS WITH OTHER HEALTH CARE PROVIDERS OR ACADEMIC INSTITUTIONS, INCLUDING, WITHOUT LIMITATION, ACQUISITION, MERGER, JOINT OPERATION, MANAGEMENT, STAFFING, CLINICAL COORDINATION, OR 'CO-BRANDING (N) ANY ACTION INVOLVING USE OF THE CORPORATION'S LOGO, SERVICE MARK, TRADE OR OTHER DRESS, OTHER THAN FOR THE DIRECT BENEFIT OF THE CORPORATION OR THE DEPARTMENT OF PEDIATRICS OF THE MEMBER; AND (O) HIRING OR TERMINATION OF THE CORPORATION'S CHIEF EXECUTIVE OFFICER (IRRESPECTIVE OF TITLE). FORM 990, PART VI, LINE 11A A PDF COPY OF THE 990 IS SENT TO ALL THE BOARD MEMBERS FOR REVIEW. COMPENSATION INFORMATION IS REDACTED FROM THE COPY OF THE 990 PROVIDED. THIS BOARD REVIEW PROCESS TAKES PLACE PRIOR TO FILING AND A PERIOD OF TIME IS ALLOTTED FOR REVIEW COMMENTS BY THE BOARD MEMBERS. FORM 990, PART VI, LINE 12C ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES SHALL DISCLOSE A POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD OR COMPLIANCE OFFICER FOR INVESTIGATION AND RESOLUTION. UPON APPOINTMENT TO THE BOARD OR EMPLOYMENT AND ANNUALLY THEREAFTER, OFFICERS, TRUSTEES AND KEY EMPLOYEES SHALL COMPLETE AN AFFIRMATION STATEMENT AND DISCLOSURE FORM FOR REVIEW BY THE BOARD. THE PERSON WITH THE CONFLICT WILL BE PROHIBITED FROM PARTICIPATING IN THE BOARD'S DELIBERATIONS AND DECISIONS IN THE AREA OF CONFLICT. FORM 990, PART VI, LINE 15 AN OUTSIDE CONSULTANT IS USED TO COMPLETE A REVIEW AND ESTABLISH RANGES TO BE USED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE RANGES MEET THE 4958 SAFE HARBOR REQUIREMENTS. FORM 990, PART VI, SECTION B, LINE 19 DOCUMENTS ARE AVAILABLE FOR INSPECTION AT THE MAIN HOSPITAL LOCATION UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES TO NET ASSETS PLAN ASSETS AND BENEFIT OBLIGATION OF PENSION PLAN ($131,523) CHANGE IN BENEFICIAL INTEREST IN TRUSTS $168,932 Unrealized loss on disposal of fixed assets ($4,476) ----------- TOTAL $ 32,933 VCU HEALTH SYSTEM AUTHORITY PO BOX 980510 RICHMOND VA 23298 541848065 HEALTHCARE VA 170(C)(1) NA false MCV ASSOCIATED PHYSICIANS PO BOX 980620 RICHMOND VA 23298 541581185 MED TEACHING VA 501(c)(3) 12A, I VCUHS true UNIVERSITY HEALTH SERVICES INC 1010 E MARSHALL STREET RICHMOND VA 23219 541790550 EDUCATION VA 501(c)(3) 12A, I VCUHS true COMMUNITY MEMORIAL HOSPITAL 1755 N MECKLENBURG AVE SOUTH HILL VA 23970 540221711 HOSPITAL VA 501(c)(3) 3 VCUHS true COMMUNITY MEMORIAL HOSPITAL FOUNDATION 1755 N MECKLENBURG AVE SOUTH HILL VA 23970 541831331 ADMIN FOR CMH VA 501(c)(3) 12A-1 CMH true VIRGINIA PREMIER HEALTH PLAN INC 600 EAST BROAD STREET RICHMOND VA 23219 541760974 HEALTH PLAN VA 501(c)(3) 10 VCUHSA true UHS PROFESSIONAL EDUCATION PROGRAMS PO BOX 980048 RICHMOND VA 23298 541790553 EDUCATION VA 501(c)(3) 12A-1 VCUHS true Virginia Commonwealth University box 842512 richmond VA 23284 546001758 edu institute VA na false CHILDREN'S PAVILION OF RICHMOND CONDO 1010 EAST MARSHALL ST PO BOX 980 RICHMOND VA 23298 CONDONIMNIUMS VA NA C CORP true false false false false false false false false false true false false false false true true true false false