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          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>48180 KIPPER DRIVE</AddressLine1>
            <City>MOSELEY</City>
            <State>VA</State>
            <ZIPCode>23120</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>ANESTHESIA SERVICES</DescriptionOfServices>
        <Compensation>297500</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>TROUTMAN SANDERS LLP</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 933652</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>311933652</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LEGAL SERVICES</DescriptionOfServices>
        <Compensation>283035</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>HOLLY C LEWIS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2008 STEEPLECHASE PKWY</AddressLine1>
            <City>GOOCHLAND</City>
            <State>VA</State>
            <ZIPCode>23063</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONTRACT DENTIST</DescriptionOfServices>
        <Compensation>127685</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MEDSITES LLC</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 127</AddressLine1>
            <City>SPOTSYLVANIA</City>
            <State>VA</State>
            <ZIPCode>22553</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION SERVICE</DescriptionOfServices>
        <Compensation>106561</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <AllOtherContributions>759903</AllOtherContributions>
      <TotalContributions>759903</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICES</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>26354809</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>26354809</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>INFANT SERVICES</Description>
        <BusinessCode>621610</BusinessCode>
        <TotalRevenueColumn>17004</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>17004</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>RESEARCH REVENUE</Description>
        <BusinessCode>541700</BusinessCode>
        <TotalRevenueColumn>10845</TotalRevenueColumn>
        <ExclusionAmount>10845</ExclusionAmount>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>DENTAL PROFESSIONAL OT</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>795</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>795</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>26383453</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>8877</TotalRevenueColumn>
        <ExclusionAmount>8877</ExclusionAmount>
      </InvestmentIncome>
      <GrossRents>
        <Real>12600</Real>
      </GrossRents>
      <RentalIncomeOrLoss>
        <Real>12600</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>12600</TotalRevenueColumn>
        <ExclusionAmount>12600</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Other>8800</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Other>13667</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Other>-4867</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>-4867</TotalRevenueColumn>
        <ExclusionAmount>-4867</ExclusionAmount>
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      <GrossSalesOfInventory>24693</GrossSalesOfInventory>
      <CostOfGoodsSold>21031</CostOfGoodsSold>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>3662</TotalRevenueColumn>
        <ExclusionAmount>3662</ExclusionAmount>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>MED RECORDS FEE</Description>
        <BusinessCode>623000</BusinessCode>
        <TotalRevenueColumn>8078</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>8078</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>7967</TotalRevenueColumn>
        <ExclusionAmount>7967</ExclusionAmount>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
        <BusinessCode>624310</BusinessCode>
        <TotalRevenueColumn>2758</TotalRevenueColumn>
        <ExclusionAmount>2758</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>2931</TotalRevenueColumn>
        <ExclusionAmount>2931</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>21734</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>27185362</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>26380686</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>44773</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>1027893</Total>
        <ProgramServices>770920</ProgramServices>
        <ManagementAndGeneral>256973</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>16257635</Total>
        <ProgramServices>13424415</ProgramServices>
        <ManagementAndGeneral>2833220</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1283486</Total>
        <ProgramServices>1021860</ProgramServices>
        <ManagementAndGeneral>261626</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2173457</Total>
        <ProgramServices>1841647</ProgramServices>
        <ManagementAndGeneral>331810</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1243440</Total>
        <ProgramServices>1036730</ProgramServices>
        <ManagementAndGeneral>206710</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>267648</Total>
        <ManagementAndGeneral>267648</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>16227</Total>
        <ManagementAndGeneral>16227</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>61980</Total>
        <ManagementAndGeneral>61980</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>1857565</Total>
        <ProgramServices>1469640</ProgramServices>
        <ManagementAndGeneral>387925</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>158951</Total>
        <ProgramServices>2101</ProgramServices>
        <ManagementAndGeneral>156850</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>2575272</Total>
        <ProgramServices>1901368</ProgramServices>
        <ManagementAndGeneral>673904</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>226710</Total>
        <ProgramServices>33050</ProgramServices>
        <ManagementAndGeneral>193660</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>836306</Total>
        <ProgramServices>363771</ProgramServices>
        <ManagementAndGeneral>472535</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>44810</Total>
        <ProgramServices>31925</ProgramServices>
        <ManagementAndGeneral>12885</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>93176</Total>
        <ProgramServices>70509</ProgramServices>
        <ManagementAndGeneral>22667</ManagementAndGeneral>
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      <DepreciationDepletion>
        <Total>1072317</Total>
        <ProgramServices>804238</ProgramServices>
        <ManagementAndGeneral>268079</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>200515</Total>
        <ManagementAndGeneral>200515</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>DUES &amp; LICENSES</Description>
        <Total>37452</Total>
        <ProgramServices>9123</ProgramServices>
        <ManagementAndGeneral>28329</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>9824</Total>
        <ProgramServices>781</ProgramServices>
        <ManagementAndGeneral>9043</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>29444664</Total>
        <ProgramServices>22782078</ProgramServices>
        <ManagementAndGeneral>6662586</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>1260804</BOY>
        <EOY>1756318</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>1005507</BOY>
        <EOY>2927</EOY>
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      <AccountsReceivable>
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        <EOY>3080504</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>167051</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>266897</BOY>
        <EOY>97272</EOY>
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      <LandBuildingsEquipmentBasis>38051768</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>27220188</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>11648485</BOY>
        <EOY>10831580</EOY>
      </LandBuildingsEquipmentBasisNet>
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        <BOY>3246295</BOY>
        <EOY>3042524</EOY>
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      <TotalAssets>
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        <EOY>18978176</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>2770128</BOY>
        <EOY>2667281</EOY>
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      <OtherLiabilities>
        <BOY>6172502</BOY>
        <EOY>5433449</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>8942630</BOY>
        <EOY>8100730</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>8878105</BOY>
        <EOY>7881171</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>557925</BOY>
        <EOY>944253</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>2052022</BOY>
        <EOY>2052022</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>11488052</BOY>
        <EOY>10877446</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>20430682</BOY>
        <EOY>18978176</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>-2259302</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>1648696</ReconcilationOtherChanges>
      <InfoInScheduleOPartXII>X</InfoInScheduleOPartXII>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <CurrentYear>
        <BeginningOfYearBalance>2609947</BeginningOfYearBalance>
        <Contributions>541132</Contributions>
        <InvestmentEarningsOrLosses>605099</InvestmentEarningsOrLosses>
        <OtherExpenditures>759903</OtherExpenditures>
        <EndOfYearBalance>2996275</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>2563739</BeginningOfYearBalance>
        <Contributions>597294</Contributions>
        <InvestmentEarningsOrLosses>41040</InvestmentEarningsOrLosses>
        <OtherExpenditures>592126</OtherExpenditures>
        <EndOfYearBalance>2609947</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>3089602</BeginningOfYearBalance>
        <Contributions>1034025</Contributions>
        <InvestmentEarningsOrLosses>82059</InvestmentEarningsOrLosses>
        <OtherExpenditures>1641947</OtherExpenditures>
        <EndOfYearBalance>2563739</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.00000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.68000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.32000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>1</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>54914</OtherCostOrOtherBasis>
        <BookValue>54914</BookValue>
      </Land>
      <Buildings>
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        <Depreciation>9708077</Depreciation>
        <BookValue>7866204</BookValue>
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      <LeaseholdImprovements>
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        <Depreciation>130236</Depreciation>
        <BookValue>347479</BookValue>
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        <Depreciation>16992630</Depreciation>
        <BookValue>2554560</BookValue>
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      <OtherLandBuildings>
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        <Depreciation>389245</Depreciation>
        <BookValue>8423</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>10831580</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>OTHER CURRENT ASSETS</Description>
        <BookValue>28006</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>EQUITY INTEREST IN FOUNDATION NET ASSETS</Description>
        <BookValue>2996275</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM AFFILIATES</Description>
        <BookValue>6847</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEPOSITS</Description>
        <BookValue>11396</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>3042524</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>SETTLEMENTS DUE TO THIRD-PARTY PAYORS</Description>
        <Amount>1654814</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PENSION LIABILITY</Description>
        <Amount>2169811</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO AFFILIATES</Description>
        <Amount>1311752</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITES</Description>
        <Amount>82175</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PATIENT CREDIT BALANCES</Description>
        <Amount>188163</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PATIENT ACCOUNT REFUNDS</Description>
        <Amount>22559</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>UNCLAIMED CHECKS</Description>
        <Amount>4175</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5433449</TotalOfAmounts>
      <TotalRevenue>27185362</TotalRevenue>
      <TotalExpenses>29444664</TotalExpenses>
      <ExcessOrDeficitForYear>-2259302</ExcessOrDeficitForYear>
      <OtherAmount>1648696</OtherAmount>
      <TotalAdjustments>1648696</TotalAdjustments>
      <ExcessOrDeficitPerFS>-610606</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>28859960</TotRevenueEtcAuditedFinclStmt>
      <OtherRevenues>2408603</OtherRevenues>
      <RevenueNotRptdF990>2408603</RevenueNotRptdF990>
      <RevenueSubtotal>26451357</RevenueSubtotal>
      <OtherRevenuesNotIncluded>734005</OtherRevenuesNotIncluded>
      <RevenueNotRptdOnFinStmt>734005</RevenueNotRptdOnFinStmt>
      <TotalRevenuePerForm990>27185362</TotalRevenuePerForm990>
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      <ExpensesNotRptdF990>0</ExpensesNotRptdF990>
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      <ExpensesNotRptdOnFinStmt>-25902</ExpensesNotRptdOnFinStmt>
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      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:</Identifier>
        <ReturnReference>PART V, LINE 4:</ReturnReference>
        <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 $944,253 AND $557,925 AT JUNE 30, 2011 AND 2010, 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 $2,052,022 AT BOTH JUNE 30, 2011 AND 2010, 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 $759,903 AND $959,017 IN 2011 AND 2010, RESPECTIVELY, TO SUPPORT OPERATIONS OF THE HOSPITAL AND FOR THE PURCHASE OF CAPITAL ASSETS.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:</Identifier>
        <ReturnReference>PART X:</ReturnReference>
        <Explanation>THE HOSPITAL IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE TAX STATUTES OF THE COMMONWEALTH OF VIRGINIA; ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE HOSPITAL HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2011. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2008 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XI, LINE 8 - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CHANGE IN PLAN ASSETS AND BENEFIT OBLIGATION OF PENSION PLAN 1,262,368. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 386,328.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 2D - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>CHANGE IN PLAN ASSETS AND BENEFIT OBLIGATIONS OF PENSION PLAN 1,262,372. CHANGE IN EQUITY INTEREST OF FOUNDATION 1,146,231.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>LOSS ON SALE OF ASSET -4,867. SUNSHINE GIFT EXPENSES -21,031. GIFTS TRANSFERRED FROM CHF 759,903.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>PART XIII, LINE 4B - OTHER ADJUSTMENTS:</Identifier>
        <Explanation>LOSS ON SALE OF ASSET -4,867. SUNSHINE GIFTSHOP EXPENSES -21,035.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent100>X</Pcent100>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent200D>X</Pcent200D>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>0</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>10986</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>10986</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
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        <DirectOffsettingRevenue>12463776</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1163287</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03950</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>13638049</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>12463776</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1174273</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03990</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
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        <PersonsServed>39180</PersonsServed>
        <TotalCommunityBenefitExpense>144557</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>144557</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00490</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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        <PersonsServed>2294</PersonsServed>
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        <NetCommunityBenefitExpense>147112</NetCommunityBenefitExpense>
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      </HealthProfessionsEducation>
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        <TotalCommunityBenefitExpense>1744486</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>275192</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1469294</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04990</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>157</NumberOfActivitiesOrPrograms>
        <PersonsServed>45572</PersonsServed>
        <TotalCommunityBenefitExpense>2036155</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>275192</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>1760963</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05980</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>157</NumberOfActivitiesOrPrograms>
        <PersonsServed>45572</PersonsServed>
        <TotalCommunityBenefitExpense>15674204</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>12738968</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2935236</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09970</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>83866</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>38367</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>38367</CostOfCareReimbursedByMedicare>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>1</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>CRIPPLED CHILDREN'S HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>2924 BROOK ROAD</AddressLine1>
          <City>RICHMOND</City>
          <State>VA</State>
          <ZIPCode>23220</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <Other>PEDIATRIC LONG TERM CARE</Other>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>CRIPPLED CHILDREN'S HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
        <CHNAConducted>0</CHNAConducted>
        <EligibilityCriteriaExplained>1</EligibilityCriteriaExplained>
        <UsesFPGFree>1</UsesFPGFree>
        <FPGFreePercent>100.000000000000</FPGFreePercent>
        <UsesFPGDiscounted>1</UsesFPGDiscounted>
        <FPGDiscountPercent>200.000000000000</FPGDiscountPercent>
        <ExplainsBasis>1</ExplainsBasis>
        <IncomeLevel>X</IncomeLevel>
        <AssetLevel>X</AssetLevel>
        <MedicalIndigency>X</MedicalIndigency>
        <InsuranceStatus>X</InsuranceStatus>
        <UninsuredDiscount>X</UninsuredDiscount>
        <MedicaidMedicare>X</MedicaidMedicare>
        <ExplainsApplicationMethod>1</ExplainsApplicationMethod>
        <IncludesPublicityMeasures>1</IncludesPublicityMeasures>
        <PostedOnWebsite>X</PostedOnWebsite>
        <AvailableOnRequest>X</AvailableOnRequest>
        <ActionsOnNonpayment>1</ActionsOnNonpayment>
        <PermitReportToCreditAgency>X</PermitReportToCreditAgency>
        <CollectionActivities>1</CollectionActivities>
        <ReportToCreditAgency>X</ReportToCreditAgency>
        <NotifiedAllPatients>X</NotifiedAllPatients>
        <DocumentedDetermination>X</DocumentedDetermination>
        <NondiscrimEmergencyCarePolicy>0</NondiscrimEmergencyCarePolicy>
        <NoEmergencyCare>X</NoEmergencyCare>
        <UsedOtherMethod>X</UsedOtherMethod>
        <AmountsGenerallyBilled>0</AmountsGenerallyBilled>
        <GrossCharges>0</GrossCharges>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>PART I, LINE 6A: THE HOSPITAL AND CHILDREN'S HOSPITAL FOUNDATION REPORTS THROUGH ITS MANY PUBLICATIONS AND WEB SITES THE ACTIVITIES THAT SUPPORT THE COMMUNITY. THE FOUNDATION INCLUDES INFORMATION IN AN ANNUAL REPORT THAT IS DISTRIBUTED THROUGHOUT THE COMMUNITY.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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. DIRECT COST FOR THE SPECIALTY PHYSICIAN CLINICS WAS $1,070,426.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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, 2011. 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART III, LINE 8: THE BAD DEBT EXPENSE IS BASED UPON THE COST TO CHARGE RATIO. MEDICARE ALLOWABLE COST IS FROM THE LOW UTILIZATION MEDICARE COST REPORT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>CRIPPLED CHILDREN'S HOSPITAL</Identifier>
        <Explanation>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 QUALITY 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 3: SEE PART III, LINE 9B EXPLANATION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 4: SEE PART V EXPLANATION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>PART VI, LINE 6: SEE PART V EXPLANATION.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
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      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA E PEARSON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>328565</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
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        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>23374</NontaxableBenefitsRelatedOrgs>
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        <TotalCompensationRelatedOrgs>351939</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN F DUVAL</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>603340</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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      <Form990ScheduleJPartII>
        <NamePerson>SHELDON M RETCHIN MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>259841</CompBasedOnRelatedOrgs>
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        <TotalCompensationRelatedOrgs>268080</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BRUCE K RUBIN MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>314080</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>22000</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>336080</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN D WARD MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>402705</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>402705</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LESLIE G WYATT</NamePerson>
        <BaseCompensationFilingOrg>302354</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>42179</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>12000</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>15763</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15077</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>387373</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>155030</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SAMUEL G WEIDMAN</NamePerson>
        <BaseCompensationFilingOrg>299746</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>43477</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>9600</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>14150</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13937</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>380910</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>138748</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SHARON W DARBY</NamePerson>
        <BaseCompensationFilingOrg>159233</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>8267</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9176</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>3668</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>180344</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>94053</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KAREN A BENNETT</NamePerson>
        <BaseCompensationFilingOrg>160681</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10071</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8520</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7298</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>186570</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>74951</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SATISH K MAHAJAN MD</NamePerson>
        <BaseCompensationFilingOrg>165773</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8875</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9215</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>183863</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>94770</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ELIZABETH B BORTELL DDS</NamePerson>
        <BaseCompensationFilingOrg>174015</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9810</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>22477</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>206302</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>94756</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
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    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 6</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7A</Identifier>
        <Explanation>SEE RESPONSE TO PAGE 6, PART VI, LINE 6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION A, LINE 7B</Identifier>
        <Explanation>SEE RESPONSE TO PAGE 6, PART VI, LINE 6</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINE 11</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION B, LINE 15</ReturnReference>
        <Explanation>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).</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VI, SECTION C, LINE 19</ReturnReference>
        <Explanation>THE PUBLIC VIEWING DOCUMENT IS AVAILABLE FOR INSPECTION AT THE MAIN HOSPITAL LOCATION UPON REQUEST.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART VII, LINE 1B, COL (D)</ReturnReference>
        <Explanation>TOTAL REPORTABLE COMPENSATION INCLUDES ONE TIME COMPENSATION PAYOUTS RECEIVED UNDER THE VCU AUTHORITY MERGER AGREEMENTS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>CHANGES IN NET ASSETS OR FUND BALANCES:</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5:</ReturnReference>
        <Explanation>CHANGE IN PLAN ASSETS AND BENEFIT OBLIGATION OF PENSION PLAN 1,262,368. CHANGE IN VALUE OF SPLIT-INTEREST AGREEMENTS 386,328. TOTAL TO FORM 990, PART XI, LINE 5: 1,648,696.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>FORM 990, PART XII, LINE 2C</ReturnReference>
        <Explanation>THE BOARD HAS NOT CHANGED THE OVERSIGHT OF ITS PROCESS FOR THE ORGANIZATION'S AUDIT OR SELECTION OF THE INDEPENDENT ACCOUNTANT.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (VCUHS)</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 980152</AddressLine1>
          <City>RICHMOND</City>
          <State>VA</State>
          <ZIPCode>23298</ZIPCode>
        </AddressUS>
        <EIN>541848065</EIN>
        <PrimaryActivities>PARENT - ACADEMIC MEDICAL CTR - MCV HOSPITALS</PrimaryActivities>
        <LegalDomicileState>VA</LegalDomicileState>
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</Return>