VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD (EIN 54-0506309)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-04-02
- IRS object ID
- 201330929349300518
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-04-02T13:51:22-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4510 COX ROAD SUITE 200 | AddressLine1 |
| City | GLEN ALLEN | City |
| State | VA | State |
| ZIP Code | 230603394 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540506309 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRIPPLED CHILDREN'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CRIP | NameControl |
| Phone | 8042285874 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2924 BROOK ROAD | AddressLine1 |
| City | RICHMOND | City |
| State | VA | State |
| ZIP Code | 232201298 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LINDA E PEARSON | Name |
| Title | SENIOR VP VCU HEALTH SYSTEM | Title |
| Phone | 8042285874 | Phone |
| Date Signed | 2013-03-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JANET L BROCKLEHURST CPA | Name |
| PTIN | P00449539 | PTIN |
| Phone | 8042827636 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL OF RICHMOND OF THE VCU HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LINDA E PEARSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2924 BROOK ROAD | AddressLine1 |
| City | RICHMOND | City |
| State | VA | State |
| ZIP Code | 232201298 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 26543653 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CHILDRENSHOSP-RICHMOND.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1920 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 413 | TotalNbrEmployees |
| Total Nbr Volunteers | 154 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 759903 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 587018 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 26383453 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 25797231 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 4010 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13602 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 37996 | OtherRevenuePriorYear |
| Other Revenue Current Year | 122326 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 27185362 | TotalRevenuePriorYear |
| Total Revenue Current Year | 26520177 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 21985911 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21788558 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7458753 | OtherExpensePriorYear |
| Other Expenses Current Year | 7620891 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 29444664 | TotalExpensesPriorYear |
| Total Expenses Current Year | 29409449 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2259302 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -2889272 | RevenuesLessExpensesCY |
| Total Assets BOY | 18978176 | TotalAssetsBOY |
| Total Assets EOY | 18736550 | TotalAssetsEOY |
| Total Liabilities BOY | 8100730 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 13581019 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 10877446 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5155531 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | CH 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8870497 | Expense |
| Revenue | 10116565 | Revenue |
| Description | 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 37 IN FISCAL YEAR 2012, SLIGHTLY DOWN FROM 38 IN FISCAL YEAR 2011 AND 100% OF THE REVENUE IN THIS PROGRAM COMES FROM VIRGINIA MEDICAID. THE TRANSITIONAL CARE UNIT WAS THE RECIPIENT OF THE 2012 "SILVER-ACHIEVEMENT IN QUALITY" NATIONAL QUALITY AWARD FROM THE AMERICAN HEALTH CARE ASSOCIATION. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8217090 | Expense |
| Revenue | 9679317 | Revenue |
| Description | THE HOSPITAL IS THE PREMIER PROVIDER OF OUTPATIENT PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY IN CENTRAL VIRGINIA. OUTPATIENT THERAPY VISITS TOTALED 72,748 IN FISCAL YEAR 2012 WHICH IS AN INCREASE OF 1,114 VISITS FROM THE PRIOR YEAR. THERAPY SERVICES ARE OFFERED AT THE MAIN HOSPITAL IN THE CITY OF RICHMOND AND AT FOUR COMMUNITY THERAPY CENTERS LOCATED IN GLEN ALLEN, BON AIR, FREDERICKSBURG, AND PETERSBURG. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2481280 | Expense |
| Revenue | 3856738 | Revenue |
| Description | DENTAL PROGRAM SERVICES ARE PROVIDED FOR THE TYPICAL WELL-CHILD AND FOR CHILDREN WITH SPECIAL NEEDS. IN FISCAL YEAR 2012, THE DENTAL PROGRAM COMPLETED NEARLY 700 SURGERIES AND 5,000 CLINIC VISITS. THE DENTAL PROGRAM CONTINUES WITH A DENTAL OUTREACH PROGRAM TO TAKE IMPORTANT DENTAL EDUCATION AND MATERIALS TO AREA ELEMENTARY SCHOOLS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3644922 | Expense |
| Revenue | 2151028 | Revenue |
| Description | PHYSICIAN SPECIALTY SERVICES - PEDIATRIC PHYSICIAN SPECIALIST, NURSE PRACTITIONERS AND THERAPIST PROVIDE EVALUATION, DIAGNOSIS AND TREATMENT OF A WIDE VARIETY OF MEDICAL CONDITIONS IN OUR OUTPATIENT CENTER. CLINICS INCLUDE: PHYSICAL MEDICINE AND REHABILITATION; CEREBRAL PALSY; MUSCULAR DYSTROPHY; SPASTICITY AND SPINA BIFIDA. 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 3644922 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 2151028 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 23213789 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 34 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 413 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES A DEYARMIN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8042285874 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2924 BROOK ROAD | AddressLine1 |
| City | RICHMOND | City |
| State | VA | State |
| ZIP Code | 232201298 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS S CAIN | |||||||||
| CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 | |||
| PONJOLA CONEY MD | |||||||||
| SECRETARY | 1.00 | X | X | 0 | 58095 | 7537 | |||
| LINDA E PEARSON | |||||||||
| VICE CHAIR AND TREASURER | 1.00 | X | X | 0 | 385454 | 46735 | |||
| JOHN F DUVAL | |||||||||
| DIRECTOR - EX-OFFICIO | 1.00 | X | 0 | 573584 | 81610 | ||||
| SHELDON M RETCHIN MD | |||||||||
| DIRECTOR - EX-OFFICIO | 1.00 | X | 0 | 384524 | 29826 | ||||
| BRUCE K RUBIN MD | |||||||||
| DIRECTOR - EX-OFFICIO | 1.00 | X | 0 | 301687 | 53990 | ||||
| ANN E HONEYCUTT | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| HENRY L VALENTINE III | |||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||||
| JOHN D WARD MD | |||||||||
| DIRECTOR - EX-OFFICIO | 1.00 | X | 0 | 419748 | 54539 | ||||
| LESLIE G WYATT | |||||||||
| EXECUTIVE DIRECTOR | 45.00 | X | 293928 | 0 | 35926 | ||||
| SHARON W DARBY | |||||||||
| VP OF CLINICAL OPERATIONS | 45.00 | 185349 | 0 | 24958 | X | ||||
| KAREN A BENNETT | |||||||||
| VP OF HUMAN RESOURCES | 45.00 | 149591 | 0 | 20401 | X | ||||
| MARK D NICOL | |||||||||
| DIRECTOR OF FACILITIES | 45.00 | 104751 | 0 | 22723 | X | ||||
| PATRICIA P ANDERSON | |||||||||
| DIRECTOR OF NURSING | 45.00 | 103005 | 0 | 18053 | X | ||||
| JAMES A DEYARMIN | |||||||||
| CONTROLLER | 45.00 | 125464 | 0 | 17516 | X | ||||
| GREGORY FRIEDMAN | |||||||||
| DIRECTOR OF INFORMATION TECHNOLOGY | 45.00 | 110416 | 0 | 21219 | X | ||||
| SAMUEL G WEIDMAN | |||||||||
| FORMER EVP/ CFO | 45.00 | 414425 | 0 | 24106 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1486929 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2123092 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 459139 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MCV PHYSICIANS | |||||
| PO BOX 79203 | BALTIMORE | MD | 212790203 | CONTRACT PHYSICIANS | 1014949 |
| ARKANSAS COUNTRY ANESTHESIA | |||||
| 48180 KIPPER DRIVE | MOSELEY | VA | 23120 | CONTRACT PHYSICIANS | 314750 |
| SHELTERING ARMS HOSPITAL | |||||
| 8254 ATLEE ROAD | MECHANICSVILLE | VA | 23116 | OFFICE SPACE LEASE | 114916 |
| MEDSITES LLC | |||||
| 1005 SOPHIA STREET | FREDERICKSBURG | VA | 22401 | OFFICE SPACE LEASE | 106421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 587018 | AllOtherContributions |
| Total Contributions | 587018 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| PATIENT SERVICES | 623000 | 25776231 | 25776231 | |
| INFANT SERVICES | 621610 | 18000 | 18000 | |
| RESEARCH REVENUE | 541700 | 3000 | $3,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 25797231 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7144 | TotalRevenueColumn |
| Exclusion | $7,144 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 14300 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 14300 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14300 | TotalRevenueColumn |
| Exclusion | $14,300 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 14336 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7878 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6458 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6458 | TotalRevenueColumn |
| Exclusion | $6,458 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 21249 | GrossSalesOfInventory |
| Cost Of Goods Sold | 15598 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5651 | TotalRevenueColumn |
| Exclusion | $5,651 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| FOUNDATION REIMBURSEME | 561499 | 45000 | $45,000 | |
| MISCELLANEOUS | 900099 | 29676 | $29,676 | |
| MED RECORDS FEE | 623000 | 9417 | 9417 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18282 | TotalRevenueColumn |
| Exclusion | $18,282 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 102375 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 26520177 | TotalRevenueColumn |
| Related Or Exempt Function Income | 25803648 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $129,511 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 596495 | Total |
| Program Services | 447371 | ProgramServices |
| Management And General | 149124 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16451223 | Total |
| Program Services | 13957539 | ProgramServices |
| Management And General | 2493684 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1032440 | Total |
| Program Services | 818595 | ProgramServices |
| Management And General | 213845 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2508481 | Total |
| Program Services | 2141559 | ProgramServices |
| Management And General | 366922 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1199919 | Total |
| Program Services | 1019753 | ProgramServices |
| Management And General | 180166 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 292954 | Total |
| Management And General | 292954 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1392 | Total |
| Management And General | 1392 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60900 | Total |
| Management And General | 60900 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1952061 | Total |
| Program Services | 1517833 | ProgramServices |
| Management And General | 434228 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2300 | Total |
| Program Services | 1741 | ProgramServices |
| Management And General | 559 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 498188 | Total |
| Program Services | 231567 | ProgramServices |
| Management And General | 266621 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55197 | Total |
| Program Services | 41215 | ProgramServices |
| Management And General | 13982 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 835888 | Total |
| Program Services | 374836 | ProgramServices |
| Management And General | 461052 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41418 | Total |
| Program Services | 31796 | ProgramServices |
| Management And General | 9622 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87715 | Total |
| Program Services | 70821 | ProgramServices |
| Management And General | 16894 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 982393 | Total |
| Program Services | 736795 | ProgramServices |
| Management And General | 245598 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145803 | Total |
| Management And General | 145803 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| RESIDENT CARE | 2619725 | 1810750 | 808975 |
| DUES & LICENSES | 25008 | 9697 | 15311 |
| MISCELLANEOUS | 19949 | 1921 | 18028 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29409449 | Total |
| Program Services | 23213789 | ProgramServices |
| Management And General | 6195660 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1756318 | BOY |
| EOY | 2309119 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2927 | BOY |
| EOY | 4421 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3080504 | BOY |
| EOY | 3061679 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 167051 | BOY |
| EOY | 169591 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97272 | BOY |
| EOY | 89817 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 38349721 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 28155792 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10831580 | BOY |
| EOY | 10193929 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3042524 | BOY |
| EOY | 2907994 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18978176 | BOY |
| EOY | 18736550 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2667281 | BOY |
| EOY | 2549038 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5433449 | BOY |
| EOY | 11031981 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8100730 | BOY |
| EOY | 13581019 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7881171 | BOY |
| EOY | 2285114 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 944253 | BOY |
| EOY | 542895 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2052022 | BOY |
| EOY | 2327522 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10877446 | BOY |
| EOY | 5155531 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18978176 | BOY |
| EOY | 18736550 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -2889272 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2832643 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2996275 | BeginningOfYearBalance |
| Contributions | 563458 | Contributions |
| Investment Earnings Or Losses | -102298 | InvestmentEarningsOrLosses |
| Other Expenditures | 587018 | OtherExpenditures |
| End Of Year Balance | 2870417 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2609947 | BeginningOfYearBalance |
| Contributions | 541132 | Contributions |
| Investment Earnings Or Losses | 605099 | InvestmentEarningsOrLosses |
| Other Expenditures | 759903 | OtherExpenditures |
| End Of Year Balance | 2996275 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2563739 | BeginningOfYearBalance |
| Contributions | 597294 | Contributions |
| Investment Earnings Or Losses | 41040 | InvestmentEarningsOrLosses |
| Other Expenditures | 592126 | OtherExpenditures |
| End Of Year Balance | 2609947 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3089602 | BeginningOfYearBalance |
| Contributions | 1034025 | Contributions |
| Investment Earnings Or Losses | 82059 | InvestmentEarningsOrLosses |
| Other Expenditures | 1641947 | OtherExpenditures |
| End Of Year Balance | 2563739 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.81000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.19000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 54914 | OtherCostOrOtherBasis |
| Book Value | 54914 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17574281 | OtherCostOrOtherBasis |
| Depreciation | 10150741 | Depreciation |
| Book Value | 7423540 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 477715 | OtherCostOrOtherBasis |
| Depreciation | 169428 | Depreciation |
| Book Value | 308287 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19845143 | OtherCostOrOtherBasis |
| Depreciation | 17443954 | Depreciation |
| Book Value | 2401189 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 397668 | OtherCostOrOtherBasis |
| Depreciation | 391669 | Depreciation |
| Book Value | 5999 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10193929 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER CURRENT ASSETS | 26181 |
| EQUITY INTEREST IN FOUNDATION NET ASSETS | 2870417 |
| DEPOSITS | 11396 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2907994 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SETTLEMENTS DUE TO THIRD-PARTY PAYORS | $1,524,273 |
| PENSION LIABILITY | $4,187,852 |
| DUE TO AFFILIATES | $4,838,997 |
| OTHER LIABILITES | $84,034 |
| PATIENT CREDIT BALANCES | $365,137 |
| PATIENT ACCOUNT REFUNDS | $24,629 |
| UNCLAIMED CHECKS | $7,059 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11031981 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE HOSPITAL HAS RECORDED ITS BENEFICIAL INTEREST IN CERTAIN TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS OF THE FOUNDATION THAT ARE TO BENEFIT THE HOSPITAL. TEMPORARILY RESTRICTED NET ASSETS IN THE FOUNDATION OF $542,895 AND $944,253 AT JUNE 30, 2012 AND 2011, 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 $2,327,522 AND $2,052,022 AT JUNE 30, 2012 AND 2011, RESPECTIVELY, ARE INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT PROGRAMS AT THE HOSPITAL. THE HOSPITAL RECEIVED FROM THE FOUNDATION $587,018 AND $759,903 IN 2012 AND 2011, RESPECTIVELY, TO SUPPORT OPERATIONS OF THE HOSPITAL AND FOR THE PURCHASE OF CAPITAL ASSETS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | CHILDRENS HOSPITAL IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF THE AUTHORITY: THE AUTHORITY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASUREED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. AT JUNE 30, 2012 AND 2011, THE AUTHORITY HAS NO INCOME TAX POSITIONS THAT ARE NOT CONSIDERED GREATER THAN 50% LIKELY OF BEING REALIZED. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 0 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 11 | PersonsServed |
| Total Community Benefit Expense | 18994 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18994 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 1349 | PersonsServed |
| Total Community Benefit Expense | 14407803 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12469617 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1938186 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06590 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 1360 | PersonsServed |
| Total Community Benefit Expense | 14426797 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12469617 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1957180 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06650 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 58 | NumberOfActivitiesOrPrograms |
| Persons Served | 27366 | PersonsServed |
| Total Community Benefit Expense | 188733 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 188733 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00640 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 16 | NumberOfActivitiesOrPrograms |
| Persons Served | 2301 | PersonsServed |
| Total Community Benefit Expense | 129155 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 129155 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00440 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 4 | NumberOfActivitiesOrPrograms |
| Persons Served | 1796 | PersonsServed |
| Total Community Benefit Expense | 1428327 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 321886 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1106441 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03760 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 78 | NumberOfActivitiesOrPrograms |
| Persons Served | 31463 | PersonsServed |
| Total Community Benefit Expense | 1746215 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 321886 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1424329 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04840 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 80 | NumberOfActivitiesOrPrograms |
| Persons Served | 32823 | PersonsServed |
| Total Community Benefit Expense | 16173012 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12791503 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3381509 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11490 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $81,973 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 36556 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 36556 | CostOfCareReimbursedByMedicare |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRIPPLED CHILDREN'S HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2924 BROOK ROAD | AddressLine1 |
| City | RICHMOND | City |
| State | VA | State |
| ZIP Code | 23220 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Childrens Hospital | X | ChildrensHospital |
| Teaching Hospital | X | TeachingHospital |
| Other | PEDIATRIC LONG TERM CARE | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CRIPPLED CHILDREN'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 0 | NondiscrimEmergencyCarePolicy |
| No Emergency Care | X | NoEmergencyCare |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 6A: THE HOSPITAL PROVIDED A COMMUNITY BENEFIT REPORT TO AN ASSOCIATION WHICH INCLUDED THE RESULTS WITH OTHER LOCAL HOSPITALS IN A PUBLISHED REPORT. THROUGH ITS MANY PUBLICATIONS AND WEBSITES, THE HOSPITAL AND CHILDREN'S HOSPITAL FOUNDATION REPORT THE ACTIVITIES THAT SUPPORT THE COMMUNITY. | |
| PART I, LINE 7: COST IS USED TO DETERMINE THE AMOUNT OF COMMUNITY BENEFIT FOR EACH CATEGORY. COST IS DETERMINED BY USING EITHER A COST ACCOUNTING METHODOLOGY OR A COST TO CHARGE RATIO. | |
| PART I, LINE 7G: THE COST OF CERTAIN PHYSICIAN CLINICS THAT MET THE DEFINITION OF A SUBSIDIZED HEALTHCARE SERVICE IS INCLUDED IN SUBSIDIZED HEALTHCARE SERVICES. | |
| PART III, LINE 4: REVENUE FROM THE MEDICAID PROGRAM ACCOUNTED FOR APPROXIMATELY 69% OF THE HOSPITAL'S NET PATIENT SERVICE REVENUE FOR THE YEAR ENDED JUNE 30, 2012. AMOUNTS NOT EXPECTED TO BE PAID ARE RESERVED AND CHARGED TO BAD DEBT EXPENSE. THE AMOUNT REPORTED AS BAD DEBT EXPENSE IS AT COST AND IS BASED ON A COST TO CHARGE RATIO. NO ATTEMPT HAS BEEN MADE TO DETERMINE THE AMOUNT IN BAD DEBT EXPENSE THAT COULD HAVE BEEN ELIGIBLE FOR CHARITY CARE. THE HOSPITAL WILL REFER TO A CONTRACTED COLLECTION AGENCY ACCOUNTS WHERE THE RESPONSIBLE PARTY HAS NOT ATTEMPTED TO RESOLVE THE BALANCE DUE. THE HOSPITAL DOES NOT ENTER INTO PAYMENT PLANS WHERE THE RESPONSIBLE PARTY IS ATTEMPTING TO RESOLVE OUTSTANDING BALANCES. THE BAD DEBT EXPENSE IS BASED UPON THE COST TO CHARGE RATIO. | |
| PART III, LINE 8: MEDICARE ALLOWABLE COST IS FROM THE LOW UTILIZATION MEDICARE COST REPORT. | |
| PART III, LINE 9B: A FINANCIAL COUNSELOR ASSISTS PATIENTS IN UNDERSTANDING AVAILABILITY OF COMMUNITY OR GOVERNMENTAL ASSISTANCE PROGRAMS, AS WELL AS THE HOSPITAL'S CHARITY CARE POLICY. PATIENT FAMILIES RECEIVE NOTIFICATION THROUGH THE PATIENT BOOKLET AS A NEW PATIENT. | |
| PART V, SECTION B, LINE 19D: FREE CARE IS PROVIDED TO ELIGIBLE PARTICIPANTS AT 100% OF FPG. BETWEEN 100% AND 200% OF FPG, PATIENTS ARE RESPONSIBLE FOR EITHER 10% OR 20% OF THEIR PATIENT BILL. PATIENTS CAN QUALIFY FOR A 70% DISCOUNT WHEN THEY MEET CERTAIN REQUIREMENTS TO BE DEEMED MEDICALLY INDIGENT. THE HOSPITAL ALSO OFFERS A SELF-PAY RATE (APPROXIMATELY 40% OF CHARGES, SIMILAR TO WHAT MEDICAID PAYS) TO UNINSURED PATIENTS BEYOND THOSE WHO QUALIFY FOR CHARITY CARE. PATIENTS CAN ALSO MAKE MONTHLY PAYMENTS, INTEREST FREE, FOR 18 MONTHS. | CRIPPLED CHILDREN'S HOSPITAL |
| PART VI, LINE 3: SEE PART III, LINE 9B EXPLANATION. | |
| PART VI, LINE 4: SEE PART V EXPLANATION. | |
| PART VI, LINE 5: SEE PART V EXPLANATION. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINDA E PEARSON | |||||||||||||
| 0 | 328302 | 0 | 51680 | 0 | 5472 | 0 | 38820 | 0 | 7915 | 0 | 432189 | 0 | 0 |
| JOHN F DUVAL | |||||||||||||
| 0 | 565676 | 0 | 0 | 0 | 7908 | 0 | 68539 | 0 | 13071 | 0 | 655194 | 0 | 0 |
| SHELDON M RETCHIN MD | |||||||||||||
| 0 | 380166 | 0 | 0 | 0 | 4358 | 0 | 26289 | 0 | 3537 | 0 | 414350 | 0 | 0 |
| BRUCE K RUBIN MD | |||||||||||||
| 0 | 298900 | 0 | 0 | 0 | 2787 | 0 | 51732 | 0 | 2258 | 0 | 355677 | 0 | 0 |
| JOHN D WARD MD | |||||||||||||
| 0 | 357567 | 0 | 55457 | 0 | 6724 | 0 | 51732 | 0 | 2807 | 0 | 474287 | 0 | 0 |
| LESLIE G WYATT | |||||||||||||
| 242979 | 0 | 27790 | 0 | 23159 | 0 | 24755 | 0 | 11171 | 0 | 329854 | 0 | 0 | 0 |
| SHARON W DARBY | |||||||||||||
| 167654 | 0 | 0 | 0 | 17695 | 0 | 16966 | 0 | 7992 | 0 | 210307 | 0 | 0 | 0 |
| KAREN A BENNETT | |||||||||||||
| 135999 | 0 | 0 | 0 | 13592 | 0 | 14139 | 0 | 6262 | 0 | 169992 | 0 | 0 | 0 |
| SAMUEL G WEIDMAN | |||||||||||||
| 150227 | 0 | 20000 | 0 | 244198 | 0 | 16302 | 0 | 7804 | 0 | 438531 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 3 | COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE LEADERSHIP OF VCUHS |
| PART I, LINE 4A | SAMUEL WEIDMAN RECEIVED SEVERANCE PAYMENTS OF $196,227 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | ALSO LINES 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. | |
| FORM 990, PART VI, SECTION A, LINE 7A | SEE RESPONSE TO PAGE 6, PART VI, LINE 6 | |
| FORM 990, PART VI, SECTION A, LINE 7B | SEE RESPONSE TO PAGE 6, PART VI, LINE 6 | |
| FORM 990, PART VI, SECTION B, LINE 11 | A PDF COPY OF THE 990 IS SENT TO ALL THE BOARD MEMBERS FOR REVIEW AND A PERIOD OF TIME IS ALLOTED FOR REIVEW COMMENTS BY THE BOARD MEMBERS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL OFFICERS, TRUSTEES AND KEY EMPLOYEES SHALL DISCLOSE A POTENTIAL CONFLICT TO THE CHAIRMAN OF THE BOARD OR COMPLIANCE OFFICER FOR INVESTIGATION AND RESOLUTION. UPON APPOINTMENT TO THE BOARD OR EMPLOYMENT AND ANNUALLY THEREAFTER, OFFICERS, TRUSTEES AND KEY EMPLOYEES SHALL COMPLETE AN AFFIRMATION STATEMENT AND DISCLOSURE FORM FOR REVIEW BY THE BOARD. | |
| FORM 990, PART VI, SECTION B, LINE 15 | AN OUTSIDE CONSULTANT IS USED TO COMPLETE A REVIEW AND ESTABLISH RANGES TO BE USED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE REVIEW INCLUDES ALL SENIOR MANAGEMENT POSITIONS (CEO, EVP/CFO, VP OF CLINICAL OPERATIONS/CNO, VP OF HR AND COMPLIANCE OFFICER). | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE PUBLIC VIEWING DOCUMENT IS AVAILABLE FOR INSPECTION AT THE MAIN HOSPITAL LOCATION UPON REQUEST. | |
| FORM 990, PART XI, LINE 5: | CHANGE IN PLAN ASSETS AND BENEFIT OBLIGATION OF PENSION PLAN -2,706,785. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS -125,858. TOTAL TO FORM 990, PART XI, LINE 5: -2,832,643. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE BOARD HAS NOT CHANGED THE OVERSIGHT OF ITS PROCESS FOR THE ORGANIZATION'S AUDIT OR SELECTION OF THE INDEPENDENT ACCOUNTANT. | |
| FORM 990, PART IX, LINE 25D | THE HOSPITAL DOES NOT PERFORM FUNDRAISING FUNCTIONS. THE CHILDREN'S HOSPITAL FOUNDATION RAISES FUNDS FOR CHILDREN'S SERVICES IN THE RICHMOND AREA AND DONATES TO THE HOSPITAL EACH YEAR. | FUNDRAISING EXPENSES |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (VCUHS) | |||||||||||
| PO BOX 980152 | RICHMOND | VA | 23298 | 541848065 | PARENT - ACADEMIC MEDICAL CTR - MCV HOSPITALS | VA | 501(C)(1) | N/A | 0 | ||
| MCV ASSOCIATED PHYSICIANS DBA MCV PHYSICIANS | |||||||||||
| PO BOX 980620 | RICHMOND | VA | 232980510 | 541581185 | GROUP PRACTICE OF PROFESSIONALS SUPPORTING MEDICAL TEACHING | VA | 501(C)(3) | 0 | LINE 11A, I | VCUHS | |
| UNIVERSITY HEALTH SERVICES INC (UHS) | |||||||||||
| PO BOX 980152 | RICHMOND | VA | 23298 | 541790550 | SUPPORT EDUCATIONAL & SCIENTIFIC ACTIVITIES OF VA COMMONWEALTH UNIVERSITY | VA | 501(C)(3) | 0 | LINE 11A, I | VCUHS | |
| UHS MANAGED CARE INC | |||||||||||
| PO BOX 980152 | RICHMOND | VA | 23298 | 541790554 | PROVIDE HEALTHCARE | VA | 501(C)(3) | 0 | LINE 9 | UHS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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