VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD (EIN 54-0506309)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-15
IRS object ID: 201821359349300727
Schema version: 2016v3.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-15T07:49:28-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	800 YARD STREET SUITE 200	AddressLine1Txt
City	GRANDVIEW HEIGHTS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43212	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	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)
In Care Of	% TIMOTHY O'NEILL	InCareOfNm
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	TIMOTHY O'NEILL	PersonNm
Person Title	DIRECTOR OF FINANCE	PersonTitleTxt
Signature	2018-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DIANE L BEAN	PreparerPersonNm
PTIN	P00104972	PTIN
Phone	6142245678	PhoneNum
Preparation	2018-05-03	PreparationDt

Field	Value	IRS element (for citing)
Tax	2016	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	$30,841,249	GrossReceiptsAmt
Group Return For Affiliates	false	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	CRIPPLED CHILDREN'S HOSPITAL IS A RESOURCE AND PROVIDER OF SPECIALIZED AND PROVIDER OF SPECIALIZED MEDICAL AND THERAPEUTIC SERVICES CUSTOMIZED TO MEET THE SPECIFIC NEEDS OF CHILDREN AND THEIR FAMILIES.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	468	TotalEmployeeCnt
Total Volunteers	200	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$587,961	PYContributionsGrantsAmt
CY Contributions Grants	$623,931	CYContributionsGrantsAmt
PY Program Service Revenue	$31,718,261	PYProgramServiceRevenueAmt
CY Program Service Revenue	$30,113,472	CYProgramServiceRevenueAmt
PY Investment Income	$3,868	PYInvestmentIncomeAmt
CY Investment Income	$14,805	CYInvestmentIncomeAmt
PY Other Revenue	$41,394	PYOtherRevenueAmt
CY Other Revenue	$73,417	CYOtherRevenueAmt
PY Total Revenue	$32,351,484	PYTotalRevenueAmt
CY Total Revenue	$30,825,625	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	$27,367,227	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$25,335,378	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$7,937,636	PYOtherExpensesAmt
CY Other Expenses	$7,197,103	CYOtherExpensesAmt
PY Total Expenses	$35,304,863	PYTotalExpensesAmt
CY Total Expenses	$32,532,481	CYTotalExpensesAmt
PY Revenues Less Expenses	-$2,953,379	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,706,856	CYRevenuesLessExpensesAmt
Total Assets BOY	$23,960,648	TotalAssetsBOYAmt
Total Assets EOY	$27,944,246	TotalAssetsEOYAmt
Total Liabilities BOY	$24,159,904	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$22,078,603	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	-$199,256	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,865,643	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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 9,000 CHILDREN WERE SERVED THIS PAST YEAR. WE CONTINUE TO FOCUS ON EXPANDING OUR CAPACITY TO SERVE MORE CHILDREN.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$9,048,500	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$12,353,196	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 HAD AN AVERAGE DAILY CENSUS OF 39.0 IN FISCAL YEAR 2017, A DECREASE FROM 39.2 IN FISCAL YEAR 2016. THE UNIT IS CERTIFIED BY THE VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES AND 100% OF THE REVENUE IN THIS PROGRAM COMES FROM VIRGINIA MEDICAID.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$10,928,021	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$11,634,148	RevenueAmt
Desc	THE HOSPITAL IS THE PREMIER PROVIDER OF OUTPATIENT PEDIATRIC PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES IN CENTRAL VIRGINIA. OUTPATIENT THERAPY VISITS TOTALED 85,354 IN FISCAL YEAR 2017. 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	$1,871,646	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,005,488	RevenueAmt
Desc	DENTAL PROGRAM SERVICES ARE PROVIDED FOR THE TYPICAL WELL-CHILD AND FOR CHILDREN WITH SPECIAL NEEDS. IN FISCAL YEAR 2017, THE DENTAL PROGRAM COMPLETED 584 SURGERIES AND 7,420 CLINIC VISITS. THE MAJORITY OF THE DENTAL PROGRAM PATIENTS ARE FUNDED BY VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,474,922	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$3,120,640	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$23,323,089	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	29	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	468	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	TIMOTHY O'NEILL	PersonNm
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 (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Frances LW Kay
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Marsha D Rappley MD
DIRECTOR	1.0	40.0	Yes (X)	$0	$938,247	$23,508
PonJola ConeyMD
SECRETARY	1.0	0.0	Yes (X)	$0	$59,359	$4,359	Yes (X)
Deborah Davis
DIRECTOR	1.0	40.0	Yes (X)	$0	$794,890	$55,871
John D Ward MD
DIRECTOR-EX-OFFICIO	1.0	0.0	Yes (X)	$0	$774,170	$97,569
Bruce K Rubin MD
DIRECTOR-EX-OFFICIO	1.0	0.0	Yes (X)	$0	$438,381	$7,826
Thomas S Cain
CHAIRMAN	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Linda Pearson
VICE CHAIR AND TREASURER	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Jeffrey Mapp MD
DIRECTOR (BEG 7/16)	1.0	0.0	Yes (X)	$0	$0	$0
LESLIE WYATT
EXECUTIVE DIRECTOR(TIL 1/17)	1.0	40.0	Yes (X)	$0	$227,295	$4,892
Sharon Darby
Interim Exec Dir/VP Clinic Ops	45.0	0.0		$215,632	$0	$33,436		Yes (X)
JAMES A DEYARMIN
DIRECTOR OF FINANCE	45.0	0.0		$159,189	$0	$27,438		Yes (X)
SALLIE C TIDMAN
DIRECTOR OF THERAPY SERVICES	45.0	0.0		$117,842	$0	$11,699			Yes (X)
MARY S TOGNARELLI
DIRECTOR OF OUTPATIENT SERVICE	45.0	0.0		$112,320	$0	$19,326			Yes (X)
PATRICIA P ANDERSON
DIRECTOR OF INPATIENT SERVICES	45.0	0.0		$121,900	$0	$22,450			Yes (X)
CYNTHIA J BILHEIMER
ASSISTANT DIRECTOR OF INPATIEN	45.0	0.0		$104,379	$0	$31,515			Yes (X)
TIMOTHY M GIBBS
DIRECTOR OF INFORMATION TECHNO	45.0	0.0		$126,733	$0	$11,699			Yes (X)
DR JEROME STRAUSS
FORMER DIRECTOR	0.0	0.0		$0	$859,241	$135,768				Yes (X)
JOHN DUVAL
FORMER BOARD MEMBER	1.0	40.0		$0	$1,918,873	$29,389				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$957,995	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,010,456	TotReportableCompRltdOrgAmt
Total Other Compensation	$516,745	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MCV Associated Physicians DBA MCV
PO Box 79203	Baltimore	MD	212790203	Contracted Physician	$535,694
VCU Denistry
521 North 11th Street	Richmond	VA	23298	Contract Dentist	$512,290
Arkansas County Anesthesia
48180 Kipper Drive	Moseley	VA	23120	Contract Physicians	$238,750
First Choice Nurses Inc
5310 MArkel Road Suite 105A	Richmond	VA	23230	Contract Nurses	$119,325
Compass Group USA Inc
PO Box 1306800735	Boston	MA	022417632	Contract Food Svcs	$321,082

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
All Other Contributions	$623,931	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$623,931	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICES	623000	$30,097,943	$30,097,943	$0	$0
PHYSICAL THERAPY CONTRACT	623000	$15,529	$15,529	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$30,113,472	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,207	TotalRevenueColumnAmt
Exclusion	$6,207	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$11,850	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$3,252	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$8,598	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,598	TotalRevenueColumnAmt
Exclusion	$8,598	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$18,616	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$12,372	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,244	TotalRevenueColumnAmt
Exclusion	$6,244	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MANAGEMENT SUPPORT SERVICES	561499	$45,000	$0	$0	$45,000
MEDICAL RECORDS FEE	622110	$13,308	$0	$0	$13,308
Vendor Discounts	900099	$5,064	$0	$0	$5,064

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,801	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,801	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$67,173	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,825,625	TotalRevenueColumnAmt
Related Or Exempt Func Income	$30,113,472	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$88,222	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$448,612	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$448,612	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$18,742,423	TotalAmt
Program Services	$14,926,976	ProgramServicesAmt
Management And General	$3,815,447	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,203,137	TotalAmt
Program Services	$901,518	ProgramServicesAmt
Management And General	$301,619	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,583,909	TotalAmt
Program Services	$2,543,696	ProgramServicesAmt
Management And General	$1,040,213	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,357,297	TotalAmt
Program Services	$1,060,415	ProgramServicesAmt
Management And General	$296,882	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$367,192	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$367,192	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$276	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$276	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$27,600	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$27,600	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,307,314	TotalAmt
Program Services	$1,219,450	ProgramServicesAmt
Management And General	$87,864	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,861	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,861	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,344,202	TotalAmt
Program Services	$457,230	ProgramServicesAmt
Management And General	$886,972	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$14,847	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$14,847	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,389,488	TotalAmt
Program Services	$1,384,432	ProgramServicesAmt
Management And General	$5,056	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$47,573	TotalAmt
Program Services	$30,568	ProgramServicesAmt
Management And General	$17,005	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$80,981	TotalAmt
Program Services	$50,211	ProgramServicesAmt
Management And General	$30,770	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$929,426	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$929,426	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$151,648	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$151,648	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical Supplies	$1,410,103	$682,187	$727,916	$0
Dues & Licenses	$45,367	$5,011	$40,356	$0
Food Services	$30,797	$22,935	$7,862	$0
MISCELLANEOUS	$47,428	$38,460	$8,968	$0

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$32,532,481	TotalAmt
Program Services	$23,323,089	ProgramServicesAmt
Management And General	$9,209,392	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,197,311	BOYAmt
EOY	$935,836	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,679	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,544,616	BOYAmt
EOY	$3,123,567	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$175,061	BOYAmt
EOY	$164,919	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$128,166	BOYAmt
EOY	$99,562	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$40,430,754	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$32,756,335	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$8,063,630	BOYAmt
EOY	$7,674,419	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,850,185	BOYAmt
EOY	$15,945,943	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,960,648	BOYAmt
EOY	$27,944,246	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,607,779	BOYAmt
EOY	$2,930,671	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,552,125	BOYAmt
EOY	$19,147,932	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$24,159,904	BOYAmt
EOY	$22,078,603	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	-$3,772,242	BOYAmt
EOY	$1,943,714	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,090,382	BOYAmt
EOY	$1,290,823	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,482,604	BOYAmt
EOY	$2,631,106	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	-$199,256	BOYAmt
EOY	$5,865,643	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$23,960,648	BOYAmt
EOY	$27,944,246	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$1,706,856	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$7,771,755	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	false	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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,602,326	BeginningYearBalanceAmt
Contributions	$120,007	ContributionsAmt
Investment Earnings Or Losses	$99,688	InvestmentEarningsOrLossesAmt
Other Expenditures	$134,113	OtherExpendituresAmt
End Year Balance	$3,687,908	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,339,987	BeginningYearBalanceAmt
Contributions	$47,440	ContributionsAmt
Investment Earnings Or Losses	$475,729	InvestmentEarningsOrLossesAmt
Other Expenditures	$260,830	OtherExpendituresAmt
End Year Balance	$3,602,326	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,870,417	BeginningYearBalanceAmt
Contributions	$205,967	ContributionsAmt
Investment Earnings Or Losses	$353,072	InvestmentEarningsOrLossesAmt
Other Expenditures	$89,469	OtherExpendituresAmt
End Year Balance	$3,339,987	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.64070	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.35930	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
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	$18,198,465	OtherCostOrOtherBasisAmt
Depreciation	$12,713,849	DepreciationAmt
Book Value	$5,484,616	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$583,826	OtherCostOrOtherBasisAmt
Depreciation	$437,339	DepreciationAmt
Book Value	$146,487	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,578,731	OtherCostOrOtherBasisAmt
Depreciation	$17,686,930	DepreciationAmt
Book Value	$1,891,801	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,014,818	OtherCostOrOtherBasisAmt
Depreciation	$1,918,217	DepreciationAmt
Book Value	$96,601	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$7,674,419	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
PENSION ASSETS	$9,833,684
EQUITY INTEREST IN FOUNDATION	$3,921,929
SETTLEMENTS DUE FROM 3RD PARTY	$2,154,880
DEPOSITS	$24,836
OTHER CURRENT ASSETS	$10,614

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$15,945,943	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$11,390,181
DUE TO AFFILIATES	$7,663,840
PATIENT CREDIT BALANCES	$91,147
UNCLAIMED CHECKS	$2,764

Field	Value	IRS element (for citing)
Total Liability	$19,147,932	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PART V, LINE 4	FormAndLineReferenceDesc
Explanation	THE HOSPITAL HAS RECORDED ITS BENEFICIAL INTEREST IN CERTAIN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF THE FOUNDATION THAT ARE TO BENEFIT THE HOSPITAL. TEMPORARILY RESTRICTED NET ASSETS IN THE FOUNDATION OF $1,409,325 AND $1,090,382 AT JUNE 30, 2017 AND 2016, 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 $2,512,604 AND $2,482,604 AT JUNE 30, 2017 AND 2016, RESPECTIVELY, ARE INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT PROGRAMS AT THE HOSPITAL.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,224	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,224	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,008,501	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,535,543	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,472,958	NetCommunityBenefitExpnsAmt
Total Expense	0.04560	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,016,725	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,535,543	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,481,182	NetCommunityBenefitExpnsAmt
Total Expense	0.04590	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,016,725	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,535,543	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,481,182	NetCommunityBenefitExpnsAmt
Total Expense	0.04590	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$245,288	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	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	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	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 (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C NARRATIVE	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.	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 (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	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 (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.CHRICHMOND.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CHRICHMOND.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CHRICHMOND.ORG	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 Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, VIRGINIA DEPARTMENT OF EDUCATION, RICHMOND CITY HEALTH DISTRICT, CARE CONNECTION FOR CHILDREN, MARCH OF DIMES FOUNDATION, AND GREATER RICHMOND FIT4KIDS. CITY HEALTH DISTRICT, CARE CONNECTION FOR CHILDREN, MARCH OF DIMES FOUNDATION, AND GREATER RICHMOND FIT4KIDS. PART V, SECTION B, LINE 7 https://chrichmond.org/Childrens-Hospital-CHNAL-July2016.pdf PART V, SECTION B, LINE 10 https://www.chrichmond.org/CHNA-Implementation-Plan-FY17-19.pdf

PART V, SECTION B, LINE 11

THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY TAKING THE FOLLOWING ACTIONS: 1. ADOPTION OF AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE MAJORITY OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA 2. EXECUTION OF THE IMPLEMENTATION STRATEGY 3. INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS 4. ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA 5. PRIORITIZATION OF SERVICES THAT THE HOSPITAL WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY The top health needs of the Childrens Hospital community include those that are supported by the data and feedback provided in the assessment: A. Childrens Health Support - Learning more about the childs health and developmental needs B. Childrens Health Conditions - Childhood Asthma - Low Birth Weight - Behavioral Health - Childhood Obesity - Disabilities (intellectual and developmental) Implementation Strategies Key Objectives: Provide care to children requiring post-acute rehabilitative and restorative care; provide training for disciplines focused on the care of children with disabilities; and advocate for those with disabilities. Due to the rehabilitative specialty focus of the Hospital it cannot directly address certain community health needs identified in the assessment. However, it can and does support other agencies to help with these needs. The Hospital is affiliated with the Virginia Commonwealth University Health System (VCUHS) and is component of the Children's Hospital of Richmond at VCU (CHoR) that is Central Virginia's only comprehensive, full-service children's hospital. As Virginia's only Level 1 pediatric trauma center, CHoR offers a wide range of children's health services, including pediatric emergency services, primary care, specialty and subspecialty care, burn, trauma, transplant and long-term care. With more than 15 locations across Central Virginia, CHoR provides pediatric inpatient and outpatient services that cover nearly all children's health-related needs. CHoR is committed to ensuring access to care for all children, training future pediatric caregivers and making new discoveries that improve understanding and treatment of childhood diseases. Childrens Health Support The Hospitals advocacy efforts are supported by the Office of Government Relations at Virginia Commonwealth University. The office serves as a liaison among the Governor's Office, the General Assembly, agencies of the Commonwealth, Richmond City Council local boards of supervisors and Virginia's congressional delegation. Government Relations cultivates relationships with elected and appointed government officials in an effort to secure financial and legislative support. In collaboration with the Children's Hospital Foundation the Hospital supports a variety of pediatric initiatives and outreach programs for the general community, such as Health and Safety Days in Richmond and Petersburg, Fire Prevention Day in Richmond and the Dental Outreach Program. Every year, these programs educate thousands of young children and give them the tools and knowledge to lead safe and healthy lives. The CHoR Community Health Education Center provides patients, families and the public up-to-date information from reliable sources about health and medicine. Resources include books, journals, videos and computers with internet connections. The center is staffed by a full-time health sciences librarian, a part-time library assistant, and trained volunteers. A. Childrens Health Conditions Childhood Asthma CHoR has the region's only pediatric severe asthma clinic, staffed by both allergists and pulmonologists. This comprehensive, blended approach to evaluation and management enhances the care for children with chronic asthma, while decreasing the time commitment for both children and their families. Parents and children also receive education and training in a number of areas including asthma education; use and cleaning of inhaled medication and delivery devices; airway clearance methods and equipment; and administration of inhaled medications. Low Birth Weight Within VCUHS, the Obstetrics and Gynecology services are dedicated to providing comprehensive reproductive and gynecologic care to women of all ages. Care is provided for pregnancies affected by illnesses that can lead to a complicated pregnancy or impact the baby. Also, the most medically complex newborns in Central Virginia get the dedicated, specialized care they require in the region's most up-to-date neonatal intensive care unit. There is a large team of dedicated and experienced health care professionals that enables VCUHS to offer complete Level 3+ neonatal services the highest level available. Behavioral Health Conditions The VCUHS Virginia Treatment Center for Children (VTCC) provides services for children and adolescents with mental health issues ranging from depression and ADD/ADHD to anxiety, autism spectrum disorder and behavioral problems at home and school. VTCC offers both inpatient programs including acute care crisis stabilization and evaluations and outpatient programs including evaluations, family and individual therapy and specialty clinics. The Hospitals Psychology Department specializes in working with children from birth to age 17 who have psychological needs related to medical, emotional and behavioral issues, and neuropsychological evaluations following a neurological injury or illness. Psychologists provide individual and family therapy, behavioral consultation and a variety of evaluations, for hospitalized patients and through outpatient referrals. Childhood Obesity The Hospital provides registered dietitians services for children and adolescents with complex medical issues or specific concerns. Services include medical nutrition therapy; nutrition screenings and counseling. The CHoR Healthy Lifestyles Center aims to stem the rising tide of childhood obesity by promoting healthy weight management, eating, exercise and lifestyle habits that can last a lifetime. The Healthy Lifestyles Clinic team works with children and their families to identify and modify behavioral (e.g., exercise) and psychological (e.g., stress) factors that contribute to obesity, and to promote healthy eating and exercise habits for a lifetime. Disabilities The CHoR Child Development Clinic is committed to providing comprehensive developmental assessments for children and youth who are suspected of having developmental delays and/or disabilities. The staff offers medical, psychological, social work, evaluations and testing to assist in making a diagnosis. Recommendations are generated from the evaluations for parents and other professionals to assist with care planning, referrals, follow-up care coordination, and intervention services. The Hospital provides Occupational Therapy, Physical Therapy and Speech and Language Pathology services that are based on a plan of care that is individualized for each patient based on his/her therapeutic needs. Rehabilitation patients may be given responsibility for performing minor tasks as part of their therapeutic plan. Such assignments are made through a collaborative team approach, which includes the patient and family. The plan is adjusted based on ongoing assessments, reassessment and any associated diagnostic testing. The patients assessed learning needs and abilities are used to provide education and training through an interdisciplinary and collaborative approach. Other Needs Identified in the Community Health Needs Assessment Each of the health needs identified in the 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 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.

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
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
206 Twinridge lane Suite A	Richmond	VA	23235	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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6A	THE HOSPITAL REPORTS COMMUNITY BENEFIT DATA TO THE VA HOSPITAL AND HEALTHCARE ASSOCIATION (VHHA).
SCHEDULE H, PART I, LINE 7	COMMUNITY BENEFIT COST FOR EACH CATEGORY IS DETERMINED BY USING EITHER A COST TO CHARGE RATIO OR A COST ACCOUNTING METHODOLOGY. THE SCHEDULE H WORKSHEETS ARE USED TO COMPUTE THE CORRESPONDING LINE.
SCHEDULE H, PART III, LINE 2	CHARGED AMOUNTS NOT EXPECTED TO BE PAID ARE RESERVED AND EXPENSED TO BAD DEBT. A COST TO CHARGE RATIO IS APPLIED TO DETERMINE THE COST OF THE BAD DEBT.
SCHEDULE H, PART III, LINE 3	NO ATTEMPT HAS BEEN MADE TO DETERMINE THE AMOUNT IN BAD DEBT THAT COULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART III, LINE 4	FOOTNOTE 2(E) THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS STATES: the Authority records an allowance for doubtful accounts during the period in which collection is considered doubtful. The allowance for doubtful accounts was approximately $166,560,000 at June 30, 2017.
SCHEDULE H, PART III, LINE 8	MEDICARE ALLOWABLE COST IS FROM THE LOW UTILIZATION MEDICARE COST REPORT.
SCHEDULE H, PART III, LINE 9B	A FINANCIAL COUNSELOR ASSISTS PATIENTS IN UNDERSTANDING THE AVAILABILITY OF COMMUNITY OR GOVERNMENTAL ASSISTANCE PROGRAMS, AS WELL AS, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. NEW PATIENTS RECEIVE NOTIFICATION THROUGH THE PATIENT BOOKLET. THE HOSPITAL PROVIDES A BILLING STATEMENT TO THE FAP INDIVIDUAL THAT SHOWS THE AMOUNTS GENERALLY BILLED FOR THE CARE AND HOW THE HOSPITAL DETERMINED THE AMOUNT THE INDIVIDUAL OWES. THE HOSPITAL WILL ALSO REFUND ANY EXCESS PAYMENTS MADE AND TAKE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION TAKEN.
SCHEDULE H, PART VI, LINE 2	THE HOSPITAL USED A WRITTEN SURVEY TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, VIRGINIA DEPARTMENT OF EDUCATION, RICHMOND CITY HEALTH DISTRICT, CARE CONNECTION FOR CHILDREN, MARCH OF DIMES FOUNDATION, AND GREATER RICHMOND FIT4KIDS. SCHEDULE H, PART VI, LINE 3 THE HOSPITAL PROVIDES CHARITY CARE IN THE FORM OF FINANCIAL ASSISTANCE TO THOSE PATIENTS AND THEIR FAMILIES WHICH QUALIFY FOR THE HOSPITALS 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 AVAILIBLE AT EVERY LOCATION FROM THE PATIENT ACCESS REPRESENATIVES.
SCHEDULE H, PART VI, LINE 4	The Hospital services area includes 51 zip codes adjacent to its six locations. Most of these zip codes fall within the counties of Chesterfield, Henrico, King George, Powhatan, Spotsylvania and Stafford and the cities of Colonial Heights, Fredericksburg, Hopewell, Petersburg, and Richmond. AS A CHILDREN'S HOSPITAL, THE SERVICE POPULATION IS AGED 0-21 YEARS AND AS OF 2014, THE SERVICE AREA INCLUDED MORE THAN 412,473 PERSONS AGED 0-21. AT ANY GIVEN TIME IN 2014, 24,002 CHILDREN AGE 0-18 ARE UNINSURED WITH 50% OF THE UNINSURED CHILDREN HAD INCOME BELOW THE 200% OF THE FEDERAL POVERTY LEVEL. REGION DEATH RATES WERE HIGHER THAN THE STATEWIDE RATE OVERALL AND WERE RELATED TO PREMATURITY AND LOW BIRTH WEIGHTS, HOMICIDE AND MOTOR VEHICLE TRAFFIC ACCIDENTS. NINE OF THE 12 LOCALITIES OF OUR SERVICE AREA HAVE BEEN FULLY OR PARTIALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS(MUAs/MUPs).
SCHEDULE H, PART VI, LINE 5	The Hospitals advocacy efforts are supported by the Office of Government Relations at Virginia Commonwealth University. The office serves as a liaison among the Governor's Office, the General Assembly, agencies of the Commonwealth, Richmond City Council local boards of supervisors and Virginia's congressional delegation. Government Relations cultivates relationships with elected and appointed government officials in an effort to secure financial and legislative support. In collaboration with the Children's Hospital Foundation the Hospital supports a variety of pediatric initiatives and outreach programs for the general community, such as Health and Safety Days in Richmond and Petersburg, Fire Prevention Day in Richmond and the Dental Outreach Program. Every year, these programs educate thousands of young children and give them the tools and knowledge to lead safe and healthy lives. The CHoR Community Health Education Center provides patients, families and the public up-to-date information from reliable sources about health and medicine. Resources include books, journals, videos and computers with internet connections. The center is staffed by a full-time health sciences librarian, a part-time library assistant, and trained volunteers.
SCHEDULE H, PART VI, LINE 6	The Hospital is affiliated with the Virginia Commonwealth University Health System (VCUHS) and is component of the Children's Hospital of Richmond at VCU (CHoR) that is Central Virginia's only comprehensive, full-service children's hospital. As Virginia's only Level 1 pediatric trauma center, CHoR offers a wide range of children's health services, including pediatric emergency services, primary care, specialty and subspecialty care, burn, trauma, transplant and long-term care. With 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 J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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	$847,501	$0	$58,250	$0	$32,496	$0	$0	$0	$23,508	$0	$961,755	$0	$0
Deborah Davis
DIRECTOR	$0	$569,597	$0	$201,293	$0	$24,000	$0	$0	$0	$55,871	$0	$850,761	$0	$0
John D Ward MD
DIRECTOR-EX-OFFICIO	$0	$674,387	$0	$83,926	$0	$15,857	$0	$0	$0	$97,569	$0	$871,739	$0	$0
Bruce K Rubin MD
DIRECTOR-EX-OFFICIO	$0	$345,784	$0	$92,597	$0	$0	$0	$0	$0	$7,826	$0	$446,207	$0	$0
Sharon Darby
Interim Exec Dir/VP Clinic Ops	$215,632	$0	$0	$0	$0	$0	$24,863	$0	$8,573	$0	$249,068	$0	$0	$0
JAMES A DEYARMIN
DIRECTOR OF FINANCE	$159,189	$0	$0	$0	$0	$0	$19,008	$0	$8,430	$0	$186,627	$0	$0	$0
DR JEROME STRAUSS
FORMER DIRECTOR	$0	$715,650	$0	$143,591	$0	$0	$0	$0	$0	$135,768	$0	$995,009	$0	$0
LESLIE WYATT
EXECUTIVE DIRECTOR(TIL 1/17)	$0	$221,872	$0	$0	$0	$5,423	$0	$0	$0	$4,892	$0	$232,187	$0	$0
JOHN DUVAL
FORMER BOARD MEMBER	$0	$751,691	$0	$336,155	$0	$831,027	$0	$0	$0	$29,389	$0	$1,948,262	$0	$296,280

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

FOR FISCAL YEAR ENDING JUNE 30, 2017 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.

SCHEDULE J, PART I, LINE 4B

JOHN DUVAL PARTICIPATED IN A 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN. DURING 2016, THE 457(F) NON-QUALIFIED DEFERRED COMPENSATION PLAN VESTED AND THE PROCEEDS OF $807,027 WERE IMMEDIATELY TAXABLE TO JOHN DUVAL. THE $807,027 AMOUNT IS BEING REPORTED IN SCHEDULE J, PART II, COLUMN B(III) OTHER REPORTABLE COMPENSATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III, LINE 4D	OTHER PROGRAM SERVICES CHILDREN'S FEEDING PROGRAM - THE CHILDREN'S FEEDING PROGRAM IS DESIGNED TO HELP CHILDREN WHO HAVE A MEDICAL CONDITION THAT HAS AFFECTED THEIR FEEDING AND GROWTH. THE CHILD IS INITIALLY SEEN IN THE FEEDING CLINIC BY A TEAM OF SPECIALISTS WHO EVALUATE THE CHILD'S NEEDS AND MAKE RECOMMENDATIONS FOR TREATMENT AND/OR PROVIDES TIPS FOR THE FAMILY. TREATMENT PROGRAMS, EITHER OUTPATIENT OR DAY PATIENT, FOCUS ON ESTABLISHING APPROPRIATE FEEDING AND NUTRITIONAL HABITS.
FORM 990, PART VI, SECTION A, LINE 6, 7A AND 7B	THE SOLE MEMBER OF THE CORPORATION IS VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (VCUHS), A STATUTORY AUTHORITY CREATED UNDER THE CODE OF VIRGINIA. VCUHS HAS THE EXCLUSIVE RIGHT AND POWER TO ELECT, APPOINT, OR REMOVE THE MEMBERS OF THE CORPORATION'S BOARD OF DIRECTORS AS PROVIDED IN THE BYLAWS. THE BOARD OF DIRECTORS OF VCUHS SHALL ACT ON VCUHS'S BEHALF IN EXERCISING VCUHS'S RESERVED POWERS OVER THE CORPORATION. CERTAIN COMMITTEES OF THE BOARD OF DIRECTORS OF VCUHS SHALL OVERSEE THE ACTIVITIES OF THE CORPORATION. LISTED BELOW ARE VCUHS'S RESERVED POWERS: (A) APPROVAL OF AMENDMENTS TO THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS; (B) APPROVAL OF THE CORPORATION'S CAPITAL AND OPERATING BUDGETS; (C) ELECTION AND REMOVAL OF AN ELECTED DIRECTOR (AS HEREINAFTER DEFINED); (D) APPROVAL OF THE INCURRENCE OF DEBT OR THE ISSUANCE OF GUARANTEES BY THE CORPORATION IN EXCESS OF $500,000 FOR A SINGLE EXPENDITURE; (E) APPROVAL OF ANY NON-BUDGETED CAPITAL EXPENDITURE IN EXCESS OF $500,000 FOR A SINGLE CAPITAL EXPENDITURE OR $1 MILLION FOR ALL SUCH CAPITAL EXPENDITURES ON AN AGGREGATE BASIS IN ANY TWELVE (12) MONTH PERIOD; (F) ANY PROPOSED EXPENDITURE IN EXCESS OF $500,000 FROM FUNDED DEPRECIATION MAINTAINED BY OR ON BEHALF OF THE CORPORATION FOR THE RENOVATION AND REPLACEMENT OF THE CORPORATION'S CAPITAL ASSETS; (G) AUTHORIZATION OF ANY ACTION THAT COULD CAUSE THE CORPORATION TO OPERATE IN A MANNER INCONSISTENT WITH THE COMMUNITY BENEFIT STANDARD ARTICULATED BY THE INTERNAL REVENUE SERVICE, OR OTHERWISE CAUSE THE CORPORATION TO ACT IN POTENTIAL DEROGATION OF ITS FEDERAL, STATE, OR LOCAL TAX-EXEMPTION AND/OR CHARITABLE PURPOSE; (H) SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (I) MERGER, CONSOLIDATION, DISSOLUTION, OR DIVISION OF THE CORPORATION; (J) ASSIGNMENT OF PROPERTY OR OTHER ASSETS OF THE CORPORATION IN TRUST FOR CREDITORS OR ON THE ASSIGNEE'S PROMISE TO PAY THE DEBTS OF THE CORPORATION; (K) DECLARATION OF BANKRUPTCY BY THE CORPORATION; (L) AUTHORIZATION OF ANY ACTION THAT COULD HAVE A MATERIAL ADVERSE IMPACT ON ANY LICENSURE, ACCREDITATION, OR CERTIFICATION HELD OR DESIRED TO BE HELD BY THE CORPORATION, INCLUDING, WITHOUT LIMITATION, STATE LICENSURE, MEDICARE OR MEDICAID CERTIFICATION, THE JOINT COMMISSION OR OTHER FACILITY ACCREDITATION, MEDICAL RESIDENCY PROGRAM ACCREDITATION, OR CLINICAL DESIGNATION OR CERTIFICATION; (M) ANY SIGNIFICANT PROPOSED AFFILIATIONS WITH OTHER HEALTH CARE PROVIDERS OR ACADEMIC INSTITUTIONS, INCLUDING, WITHOUT LIMITATION, ACQUISITION, MERGER, JOINT OPERATION, MANAGEMENT, STAFFING, CLINICAL COORDINATION, OR 'CO-BRANDING (N) ANY ACTION INVOLVING USE OF THE CORPORATION'S LOGO, SERVICE MARK, TRADE OR OTHER DRESS, OTHER THAN FOR THE DIRECT BENEFIT OF THE CORPORATION OR THE DEPARTMENT OF PEDIATRICS OF THE MEMBER; AND (O) HIRING OR TERMINATION OF THE CORPORATION'S CHIEF EXECUTIVE OFFICER (IRRESPECTIVE OF TITLE).
FORM 990, PART VI, LINE 11A	A PDF COPY OF THE 990 IS SENT TO ALL THE BOARD MEMBERS FOR REVIEW. COMPENSATION INFORMATION IS REDACTED FROM THE COPY OF THE 990 PROVIDED. THIS BOARD REVIEW PROCESS TAKES PLACE PRIOR TO FILING AND A PERIOD OF TIME IS ALLOTTED FOR REVIEW COMMENTS BY THE BOARD MEMBERS.
FORM 990, PART VI, LINE 12C	ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES SHALL DISCLOSE A POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD OR COMPLIANCE OFFICER FOR INVESTIGATION AND RESOLUTION. UPON APPOINTMENT TO THE BOARD OR EMPLOYMENT AND ANNUALLY THEREAFTER, OFFICERS, TRUSTEES AND KEY EMPLOYEES SHALL COMPLETE AN AFFIRMATION STATEMENT AND DISCLOSURE FORM FOR REVIEW BY THE BOARD. The person with the conflict will be prohibited from participating in the Board's deliberations and decisions in the area of conflict.
FORM 990, PART VI, LINE 15	AN OUTSIDE CONSULTANT IS USED TO COMPLETE A REVIEW AND ESTABLISH RANGES TO BE USED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THESE RANGES MEET THE 4958 SAFE HARBOR REQUIREMENTS.
FORM 990, PART VI, SECTION B, LINE 19	THE PUBLIC VIEWING DOCUMENT IS AVAILABLE FOR INSPECTION AT THE MAIN HOSPITAL LOCATION UPON REQUEST.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS SPLIT-INTEREST AGREEMENTS $ 348,943 PLAN ASSETS AND BENEFIT OBLIGATION OF PENSION PLAN $7,422,812 ---------------- TOTAL $7,771,755

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Public Charity StatusPublicCharityStatusTxt
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	232980510	541581185	MED TEACHING	VA	501(C)(3)	VCUHS	Yes (true)	12A, I
UNIVERSITY HEALTH SERVICES INC
1010 E MARSHALL STREET	RICHMOND	VA	23219	541790550	SUPPORT	VA	501(C)(3)	VCUHS	Yes (true)	12A, I
COMMUNITY MEMORIAL HOSPITAL
1755 N MECKLENBURG AVE PO BOX 90	SOUTH HILL	VA	23970	540221711	HOSPITAL	VA	501(C)(3)	VCUHS	Yes (true)	3
COMMUNITY MEMORIAL HOSPITAL FOUNDATION
1755 N MECKLENBURG AVE PO BOX 90	SOUTH HILL	VA	23970	541831331	ADMIN FOR CMH	VA	501(C)(3)	CMH	Yes (true)	12A-1
VIRGINIA PREMIER HEALTH PLAN INC
600 EAST BROAD STREET	RICHMOND	VA	23219	541760974	HEALTH PLAN	VA	501(C)(3)	VCUHSA	Yes (true)	10
UHS PROFESSIONAL EDUCATION PROGRAMS INC
PO BOX 980048	RICHMOND	VA	23298	541790553	EDUCATION	VA	501(C)(3)	VCUHS	Yes (true)	12A-1

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 980	AddressLine1Txt
City	RICHMOND	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23298	ZIPCd

Field	Value	IRS element (for citing)
Primary Activities	CONDONIMNIUMS	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C CORP	EntityTypeTxt
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd