VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- VCU HEALTH CHILDRENS SERVICES AT BROOK ROAD (EIN 54-0506309)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-02-15
- IRS object ID
- 201130479349300703
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-02-15T08:52:47-06:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOODMAN & COMPANY | 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 | 2009-07-01 | 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 | 8042285814 | 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 | SAMUEL G WEIDMAN | Name |
| Title | EXECUTIVE VICE PRESIDENT/CFO | Title |
| Phone | 8042285814 | Phone |
| Date Signed | 2011-02-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTOPHER T BENNETT CPA | Name |
| Phone | 8042827636 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LESLIE G WYATT | 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 | 25651006 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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. NEARLY 8,000 CHILDREN WERE SERVED THIS PAST YEAR. WE CONTINUE TO FOCUS ON EXPANDING OUR CAPACITY TO SERVE MORE CHILDREN. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 27 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 25 | NbrIndependentVotingMembers |
| Total Nbr Employees | 374 | TotalNbrEmployees |
| Total Nbr Volunteers | 90 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4368223 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 959016 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 21151056 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 24478110 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 12489 | InvestmentIncomePriorYear |
| Investment Income Current Year | 15944 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 217039 | OtherRevenuePriorYear |
| Other Revenue Current Year | 187434 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 25748807 | TotalRevenuePriorYear |
| Total Revenue Current Year | 25640504 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 16759846 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 18989548 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6961737 | OtherExpensePriorYear |
| Other Expenses Current Year | 7844879 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 23721583 | TotalExpensesPriorYear |
| Total Expenses Current Year | 26834427 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2027224 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1193923 | RevenuesLessExpensesCY |
| Total Assets BOY | 19966381 | TotalAssetsBOY |
| Total Assets EOY | 20430682 | TotalAssetsEOY |
| Total Liabilities BOY | 7129720 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 8942630 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12836661 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 11488052 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. Nearly 8,000 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 | 7599435 | Expense |
| Revenue | 9913386 | Revenue |
| Description | IN THE FALL OF 2008, THE HOSPITAL COMPLETED A $5.8 MILLION RENOVATION/EXPANSION OF THE INPATIENT TRANSITIONAL CARE UNIT. THE UNIT NOW HAS 47 BEDS AND PROVIDES LONG TERM CARE FOR CHILDREN UP TO AGE 21 WHO REQUIRE SPECIALIZED ROUND THE CLOCK NURSING CARE. THE UNIT HAD 39 RESIDENTS AS OF JUNE 30, 2010. THIS IS AN INCREASE FROM THE 23 RESIDENTS JUST TWO YEARS PRIOR. THE HOSPITAL'S TRANSITIONAL CARE UNIT WAS THE RECIPIENT OF THE 2010 COMMITMENT TO QUALITY AWARD GIVEN BY THE AMERICAN HEALTH CARE ASSOCIATION AND THE NATIONAL CENTER FOR ASSISTED LIVING. THE HOSPITAL WAS AMONG FOUR PERCENT OF THE MORE THAN 11,000 MEMBER FACILITIES WHO WERE RECOGNIZED THIS YEAR AND AMONG 18 PERCENT OF FACILITIES RECOGNIZED IN THE LAST 10 YEARS. TO DATE, THE HOSPITAL IS THE ONLY RICHMOND FACILITY TO HAVE RECEIVED THIS NATIONAL RECOGNITION AWARD. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6901555 | Expense |
| Revenue | 8813813 | Revenue |
| Description | THE HOSPITAL IS THE PREMIER PROVIDER OF OUTPATIENT PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY IN CENTRAL VIRGINIA. OUTPATIENT THERAPY VISITS APPROXIMATED 64,000 IN FISCAL YEAR 2010, AN INCREASE OF 6% FROM THE PRIOR YEAR. THERAPY SERVICES ARE OFFERED AT THE MAIN HOSPITAL AND AT FOUR THERAPY CENTERS LOCATED IN FREDRICKSBURG, PETERSBURG, GLEN ALLEN, AND BON AIR. BON AIR WAS OPENED IN FISCAL 2010 AS A RESULT OF THE NEED TO RELOCATE FROM THE EXISTING CHESTERFIELD FACILITY BECAUSE OF SPACE NEEDS. THE COMMUNITY THERAPY CENTERS NOW ACCOUNT FOR 61% OF ALL THERAPY SERVICES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2351368 | Expense |
| Revenue | 3947875 | Revenue |
| Description | THE HOSPITAL'S DENTAL PROGRAM CONTINUED TO GROW IN FISCAL YEAR 2010. OVER 700 OUTPATIENT SURGERIES WERE COMPLETED. THIS REPRESENTS AN INCREASE OF 20% OVER THE PRIOR YEAR. DURING THE SAME TIME, DENTAL CLINIC VISITS INCREASED BY 20%. THE DENTAL PROGRAM CONTINUES WITH A DENTAL OUTREACH PROGRAM TO TAKE IMPORTANT DENTAL EDUCATION AND MATERIALS TO AREA ELEMENTARY SCHOOLS. DURING THE 2009/2010 SCHOOL YEAR, THE DENTAL OUTREACH PROGRAM HAS PROVIDED SUPPLIES AND INSTRUCTION TO 9,492 CHILDREN IN 82 SCHOOLS. THE PROGRAM WAS DESIGNED BY THE HOSPITAL AND THE VIRGINIA DEPARTMENT OF HEALTH-DENTAL DIVISION TO MEET THE STANDARDS OF LEARNING (SOL) HEALTH REQUIREMENT. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3554186 | Expense |
| Revenue | 1949719 | 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 | 3554186 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 1949719 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 20406544 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | 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 |
| 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 | 1 | 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 |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 52 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 374 | 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 |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 27 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 25 | 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 | Jim Deyarmin | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8042825874 | 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 (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| Frances W Kay RN | ||||||||
| Chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| Thomas S Cain | ||||||||
| Vice-Chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| Randolph A Beales | ||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | ||
| Eugenio A Monasterio Md | ||||||||
| Medical Director | 1.00 | X | X | 0 | 0 | 0 | ||
| Anne C Adams DDS | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Judith B Collins RN NP | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Scott C Denicourt | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| GEORGE C FREEMAN III | ||||||||
| TRUSTEVP/CFOEE | 1.00 | X | 0 | 0 | 0 | |||
| SANDY D GULLQUIST MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Alexander Hamilton IV | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Ann E Honeycutt | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| May Ligon Huff | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| James F Jollay | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Frank Lennon | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| William C McAllister | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| John M O'Bannon III MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Meera A Gokli DDS | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Kathy Raouf | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Michael Sesnowitz PhD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Chester Sharps MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Rex L Smith III | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Katie Taylor | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| William B Thalhimer III | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Henry L Valentine III | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| John D Ward MD | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| KRISTEN GOODE | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| Leslie G Wyatt | ||||||||
| President & CEO | 45.00 | X | X | 267274 | 0 | 42785 | X | |
| Samuel G Weidman | ||||||||
| EVP/CFO | 45.00 | X | 234547 | 0 | 42948 | X | ||
| Sharon W Darby | ||||||||
| VP of Clinical Operations and Long | 45.00 | 176886 | 0 | 11219 | X | X | ||
| Karen A Bennett | ||||||||
| VP of Human Resources | 45.00 | 127638 | 0 | 22263 | X | |||
| Satish K Mahajan MD | ||||||||
| Physician | 45.00 | 171477 | 0 | 18062 | X | |||
| Elizabeth B Bortell DDS | ||||||||
| Dentist | 45.00 | 176147 | 0 | 13364 | X | |||
| DEEPA SIMON | ||||||||
| dentist | 40.00 | 134520 | 0 | 11367 | X | |||
| JAMES A DEYARMIN | ||||||||
| CONTROLLER | 45.00 | 105877 | 0 | 10078 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1394366 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 172086 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 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 | 377766 |
| ARKANSAS COUNTY ANESTHESIA | |||||
| 48180 KIPPER DRIVE | MOSELEY | VA | 23120 | ANESHESIA SERVICES | 288750 |
| MEDSITES LLC | |||||
| PO BOX 127 | SPOTSYLVANIA | VA | 22553 | CONSTRUCTIONS SERVICES | 106561 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 959016 | RelatedOrganizations |
| Total Contributions | 959016 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Services | Description |
| Business Code | 623000 | BusinessCode |
| Total Revenue Column | 24478110 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24478110 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 24478110 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 15794 | TotalRevenueColumn |
| Exclusion | $15,794 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 12800 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 12800 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12800 | TotalRevenueColumn |
| Exclusion | $12,800 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 150 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 150 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 150 | TotalRevenueColumn |
| Exclusion | $150 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 1909 | GrossIncomeFundraisingEvents |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1909 | TotalRevenueColumn |
| Exclusion | $1,909 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 19834 | GrossSalesOfInventory |
| Cost Of Goods Sold | 10502 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9332 | TotalRevenueColumn |
| Exclusion | $9,332 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PAYMENT FROM AFFILIATE | 623990 | 100000 | 100000 |
| Infant services | 621610 | 23477 | 23477 |
| Asst tech loan fund | 900099 | 17051 | 17051 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22865 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6155 | RelatedOrExemptFunctionIncome |
| Exclusion | $16,710 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 163393 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 25640504 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24624793 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $56,695 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 706343 | Total |
| Program Services | 536387 | ProgramServices |
| Management And General | 169956 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14712195 | Total |
| Program Services | 12293626 | ProgramServices |
| Management And General | 2418569 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1329408 | Total |
| Program Services | 1104429 | ProgramServices |
| Management And General | 224979 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1107079 | Total |
| Program Services | 912949 | ProgramServices |
| Management And General | 194130 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1134523 | Total |
| Program Services | 955072 | ProgramServices |
| Management And General | 179451 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 262362 | Total |
| Management And General | 262362 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 314011 | Total |
| Management And General | 314011 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58625 | Total |
| Management And General | 58625 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2016956 | Total |
| Program Services | 1495728 | ProgramServices |
| Management And General | 521228 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 164431 | Total |
| Program Services | 2668 | ProgramServices |
| Management And General | 161763 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2163082 | Total |
| Program Services | 1565815 | ProgramServices |
| Management And General | 597267 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 209038 | Total |
| Program Services | 24082 | ProgramServices |
| Management And General | 184956 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 784406 | Total |
| Program Services | 328625 | ProgramServices |
| Management And General | 455781 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35824 | Total |
| Program Services | 25515 | ProgramServices |
| Management And General | 10309 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85941 | Total |
| Program Services | 70769 | ProgramServices |
| Management And General | 15172 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1175635 | Total |
| Program Services | 881726 | ProgramServices |
| Management And General | 293909 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 314322 | Total |
| Management And General | 314322 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| RESTrictED GIFT EXPENSE | 313059 | 313059 | |
| Dues & Licenses | 48057 | 6692 | 41365 |
| Miscellaneous | 26192 | 16464 | 9728 |
| Bad Debt | -127062 | -127062 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26834427 | Total |
| Program Services | 20406544 | ProgramServices |
| Management And General | 6427883 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1601469 | BOY |
| EOY | 1260804 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1567 | BOY |
| EOY | 1005507 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2490419 | BOY |
| EOY | 2842904 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 154925 | BOY |
| EOY | 159790 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 348661 | BOY |
| EOY | 266897 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 37996241 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 26347756 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12189852 | BOY |
| EOY | 11648485 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3179488 | BOY |
| EOY | 3246295 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19966381 | BOY |
| EOY | 20430682 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2175087 | BOY |
| EOY | 2770128 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4954633 | BOY |
| EOY | 6172502 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7129720 | BOY |
| EOY | 8942630 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10272922 | BOY |
| EOY | 8878105 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 511817 | BOY |
| EOY | 557925 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2051922 | BOY |
| EOY | 2052022 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12836661 | BOY |
| EOY | 11488052 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19966381 | BOY |
| EOY | 20430682 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| 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 | 2563739 | BeginningOfYearBalance |
| Contributions | 597294 | Contributions |
| Investment Earnings Or Losses | 41040 | InvestmentEarningsOrLosses |
| Other Expenditures | 592126 | OtherExpenditures |
| End Of Year Balance | 2609947 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| 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 | 0.79000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.21000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
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 | 9262316 | Depreciation |
| Book Value | 8311965 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 472015 | OtherCostOrOtherBasis |
| Depreciation | 91035 | Depreciation |
| Book Value | 380980 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19497363 | OtherCostOrOtherBasis |
| Depreciation | 16607668 | Depreciation |
| Book Value | 2889695 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 397668 | OtherCostOrOtherBasis |
| Depreciation | 386737 | Depreciation |
| Book Value | 10931 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11648485 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER CURRENT ASSETS | 72856 |
| EQUITY INTEREST IN FOUNDATION NET ASSETS | 2609947 |
| DUE FROM FOUNDATION | 178828 |
| DUE FROM AFFILIATES | 47575 |
| OTHER NONCURRENT ASSETS | 337089 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3246295 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| SETTLEMENTS DUE TO THIRD-PARTY PAYORS | $1,841,488 |
| PENSION LIABILITY | $3,908,779 |
| DUE TO AFFILIATES | $3,395 |
| Deferred Compensation | $325,693 |
| deferred mda revenue | $85,301 |
| unearned grant revenue | $7,846 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6172502 | TotalOfAmounts |
| Total Revenue | 25640504 | TotalRevenue |
| Total Expenses | 26834427 | TotalExpenses |
| Excess Or Deficit For Year | -1193923 | ExcessOrDeficitForYear |
| Other | -$154,686 | OtherAmount |
| Total Adjustments | -154686 | TotalAdjustments |
| Excess Or Deficit Per FS | -1348609 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 25640504 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 25640504 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 25640504 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 26834427 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 26834427 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 26834427 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part V, Line 4: | Identifier |
| Return Reference | Description of Intended Use of Endowment Funds: | ReturnReference |
| Explanation | PROCEEDS FROM ENDOWMENT FUNDS SUPPORT THE HOSPITAL PROGRAMS. | Explanation |
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 | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 56 | PersonsServed |
| Total Community Benefit Expense | 14734 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14734 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 1 | NumberOfActivitiesOrPrograms |
| Persons Served | 4221 | PersonsServed |
| Total Community Benefit Expense | 1166182 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 269092 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 897090 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03300 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 4277 | PersonsServed |
| Total Community Benefit Expense | 1180916 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 269092 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 911824 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03350 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 159 | NumberOfActivitiesOrPrograms |
| Persons Served | 32150 | PersonsServed |
| Total Community Benefit Expense | 192086 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 192086 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00710 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 5 | NumberOfActivitiesOrPrograms |
| Persons Served | 2130 | PersonsServed |
| Total Community Benefit Expense | 156489 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 25337 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 131152 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00480 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 2 | NumberOfActivitiesOrPrograms |
| Persons Served | 5000 | PersonsServed |
| Total Community Benefit Expense | 1338142 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 273888 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1064254 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03920 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 75 | NumberOfActivitiesOrPrograms |
| Persons Served | 800 | PersonsServed |
| Total Community Benefit Expense | 3600 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3600 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 241 | NumberOfActivitiesOrPrograms |
| Persons Served | 40080 | PersonsServed |
| Total Community Benefit Expense | 1690317 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 299225 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1391092 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05120 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 243 | NumberOfActivitiesOrPrograms |
| Persons Served | 44357 | PersonsServed |
| Total Community Benefit Expense | 2871233 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 568317 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2302916 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08470 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $78,818 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 41004 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 41004 | 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 |
Form990 Schedule H Part V Form990ScheduleHPartV
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 VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: | IncomeBasedCriteria |
| Annual Community Benefit Expln | Part I, Line 6a: The hospital and Children's Hospital Foundation reports through it many publications and web sites the activitiesthat supports the community. The Foundation includes information in an annual report that is distributed throughout the community. | AnnualCommunityBenefitExpln |
| Costing Method Used | Part I, Line 7: COST IS USED TO DETERMINE THE AMOUNT OF COMMUNITY BENEFIT FOR EACH CATEGORY. COST IS DETERMINED BY USING EITHER A COSTACCOUNTING METHODOLOGY OR A COST TO CHARGE RATIO. | CostingMethodUsed |
| Subsidized Health Services Expln | Part I, Line 7g: The cost of certain physician clinics that meet the definition of a subsidized healthcare service is included in SubsidizedHealthcare Services. Direct cost for the specialty physician clinics was $652,749. | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | Part I, Line 7f: Total community benefit cost before direct offsetting revenue was 10.56% of total expense. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | Part III, Line 4: Revenue from the Medicaid program accounted for approximately 70% of the Hospital's net patient service revenue for the year ended June 30, 2010. Amounts not expected to be paid are reserved and charged to bad debt expense.The amounted 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 enter into payment plans where the responsible party is attempting to resolve outstanding balances. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: The bad debt expense or Medicare allowable cost is determined based upon a cost to charge ratio. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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 each receives as a new patient. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Part V: The hospital serves patients from throughout Virginia. In addition, patients needing to access some of the special programs we offer, may come from throughout the United States. | NumberOfFacilityTypeExpln |
| Needs Assessment | Part VI, Line 2: Free care is provided to eligible participants at 100% of FPG. Between 100% of FPG 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 does offer self-pay allowances (avg 60% charges) to uninsured patients beyond those who qualify for charity care. Patients can also be offered the spreading of payments over a period of time interest free. The hospital also provides discounts based upon the anticipated amount of the patient's total annual out-of-pocket liability for hospital and/or other medical care (medically indigent discount). | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: See Part III, Line 9B EXPLANATION. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: See Part V explanation. | CommunityInformation |
| Affiliated Health Care System | Part VI, Line 7: See Part V explanation. | AffiliatedHealthCareSystem |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Leslie G Wyatt | |||||||||||||
| 228014 | 0 | 27260 | 0 | 12000 | 0 | 30523 | 0 | 12262 | 0 | 310059 | 0 | 0 | 0 |
| Samuel G Weidman | |||||||||||||
| 192638 | 0 | 32309 | 0 | 9600 | 0 | 30656 | 0 | 12292 | 0 | 277495 | 0 | 0 | 0 |
| Sharon W Darby | |||||||||||||
| 164652 | 0 | 12234 | 0 | 0 | 0 | 7303 | 0 | 3916 | 0 | 188105 | 0 | 0 | 0 |
| Satish K Mahajan MD | |||||||||||||
| 171477 | 0 | 0 | 0 | 0 | 0 | 8154 | 0 | 9908 | 0 | 189539 | 0 | 0 | 0 |
| Elizabeth B Bortell DDS | |||||||||||||
| 176147 | 0 | 0 | 0 | 0 | 0 | 2241 | 0 | 11123 | 0 | 189511 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | EUGENIO A MONASTERIO MD | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | MEDICAL DIRECTOR | Relationship |
| Amount Of Transaction | 233825 | AmountOfTransaction |
| Description Of Transaction | INDEPENDENT CONTRACTOR | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | Also Lines 7A and 7B - The sole corporate member for most of the fiscal year was Children's Hospital Health Service (CHHS), a Virginia nonstock, non-profit corporation. On the close of business June 30, 2010, the sole member of the corporation became Virginia commonwealth University Health System Authority (VCUHS), a statutory authority created under the code of Virginia and CHHS would be dissolved. 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. Until close of business June 30, 2010, Crippled Children's Hospital Foundation (CHF), had CHHS as a common parent with governing decisions approved by the CHHS board. As of June 30, 2010 this relationship was dissolved and CHF became Children's Hospital and Healthcare services Foundation (Foundation)which exists as a non-membership, non-stock corporation whose purpose is to provide finanical support to, and engage in fundraising activities to support the health and general welfare of children. Neither VCUHS nor the hospital has power to appoint to the Foundation's board. |
| Form 990, Part VI, Section A, line 7a | see above response. |
| Form 990, Part VI, Section A, line 7b | SEE ABOVE RESPONSE. |
| Form 990, Part VI, Section B, line 11 | THE FORM 990 IS FURNISHED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW BEFORE THE FORM IS FILED. QUESTIONS ARE ADDRESSED AND ALL DIRECTORS ARE UPDATED. |
| Form 990, Part VI, Section B, line 12c | All officers, trustees and key employees shall disclose a potential conflict to the compliance officer of the VCUHS for investigation and resolution. Upon appointment to the Board or employment and annually thereafter, officers, directors and key employees shall complete a conflict of interest questionnare which goes to the compliance officer. |
| Form 990, Part VI, Section B, line 15 | An outside consultant was used to complte a review and establish ranges to be used for compensation levels for 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. |
| PART XI, LINE 2B AND 2C | THE HOSPITAL'S FINANCIAL STATEMENTS ARE AUDITED ON A SEPARATE AND CONSOLIDATED BASIS. THE BOARD OF DIRECTORS OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|
| CRIPPLED CHILDREN'S HOSPITAL FOUNDATION (UNTIL JUNE 30 2010) | ||||||||||
| 2924 brook road | richmond | VA | 23220 | 510220692 | PUBLIC FOUNDATION | VA | 501(C)(3) | Line 7 | CHILDREN'S HOSPITAL HEALTH SERVICE UNTIL JUNE 30 2010 | |
| CHILDREN'S HOSPITAL HEALTH SERVICE (UNTIL JUNE 30 2010) | ||||||||||
| 2924 brook road | Richmond | VA | 23220 | 541632424 | HOLDING COMPANY - HEALTHCARE | VA | 501(C)(3) | Line 3 | N/A | |
| VCU HEALTH SYSTEM AUTHORITY | ||||||||||
| PO BOX 980152 | RICHMOND | VA | 23298 | 541848065 | HEALTHCARE | VA | 501(C)(3) | N/A | ||
| 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 | 1 | 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 | 0 | 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 | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| CRIPPLED CHILDREN'S HOSPITAL FOUNDATION | |
| C | 959016 |
| CRIPPLED CHILDREN'S HOSPITAL FOUNDATION | |
| N | 300437 |
| CRIPPLED CHILDREN'S HOSPITAL FOUNDATION | |
| P | 100000 |
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