Community Benefit Insight - Tax-exempt hospital

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Vcu Health Children's Services At Brook Road

Childrens Hosp Of Richmond Of The Vcu Health Sys

2924 Brook Road
Richmond, VA 23220

Bed count	60	Medicare provider number	493302	Member of the Council of Teaching Hospitals	YES	Children's hospital	YES

EIN: 540506309

Display data for year:

Community Benefit Spending- 2020
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

33.63%

Spending by Community Benefit Category- 2020
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2020

Additional data

Community Benefit Expenditures: 2020

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 9,500 0.03 %
Medicaid as % of operating expenses	$ 9,399,351 33.15 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 126,158 0.44 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 0 0 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2020

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 19,406 0.07 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2020

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2020

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 15069547 including grants of $ 0) (Revenue $ 9497800)
THE TRANSITIONAL CARE UNIT IS THE HOSPITAL'S ONLY INPATIENT UNIT. IT HAS 47 BEDS AND PROVIDES LONG TERM CARE FOR CHILDREN UP TO THE AGE OF 21 WHO REQUIRE SPECIALIZED, AROUND THE CLOCK, NURSING CARE. THE UNIT IS CERTIFIED BY THE VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES AND 100% OF THE REVENUE IN THIS PROGRAM COMES FROM VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS.

4B (Expenses $ 6147246 including grants of $ 0) (Revenue $ 14181888)
CSBR IS THE PREMIER PROVIDER OF OUTPATIENT PEDIATRIC PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES IN CENTRAL VIRGINIA. THERAPY SERVICES ARE PROVIDED AT THE MAIN HOSPITAL IN THE CITY OF RICHMOND AND AT FIVE COMMUNITY THERAPY CENTERS LOCATED IN GLEN ALLEN, BON AIR, FREDERICKSBURG, PETERSBURG, AND STAFFORD. APPROXIMATELY 50% OF THE THERAPY VISITS ARE FUNDED BY VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS.

4C (Expenses $ 1156942 including grants of $ 215725) (Revenue $ 26844)
DENTAL PROGRAM SERVICES ARE PROVIDED FOR THE TYPICAL WELL-CHILD AND FOR CHILDREN WITH SPECIAL NEEDS.THE MAJORITY OF THE DENTAL PROGRAM PATIENTS ARE FUNDED BY VIRGINIA MEDICAID AND MEDICAID MANAGED CARE ORGANIZATIONS.

4D (Expenses $ 615051 including grants of $ 0) (Revenue $ 587076)
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.

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD
PART V, SECTION B, LINE 5: THE HOSPITAL USED A WRITTEN SURVEY TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY WAS CONDUCTED IN THE SPRING OF 2019. THE SURVEY RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, CARE CONNECTION FOR CHILDREN, DISABILITY LAW CENTER OF VIRGINIA, FREDERICKSBURG CITY SCHOOLS, VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL SERVICES AND GREATER RICHMOND FIT4KIDS.

VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD
PART V, SECTION B, LINE 7D: HTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/CHILDREN'SREHABSVCS2019CHNA.PDFPART V, SECTION B, LINE 10HTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/CHNA%20IMPLEMENTATION%20PLAN%20FY20-22%20.PDF

VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD
PART V, SECTION B, LINE 11: THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA BY TAKING THE FOLLOWING ACTIONS:1. ADOPTION OF AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE MAJORITY OF THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA 2. EXECUTION OF THE IMPLEMENTATION STRATEGY 3. INCLUSION OF A COMMUNITY BENEFIT SECTION IN OPERATIONAL PLANS 4. ADOPTION OF A BUDGET FOR PROVISION OF SERVICES THAT ADDRESS THE NEEDS IDENTIFIED IN THE CHNA 5. PRIORITIZATION OF SERVICES THAT THE HOSPITAL WILL UNDERTAKE TO MEET HEALTH NEEDS IN ITS COMMUNITY THE TOP HEALTH NEEDS OF THE CHILDREN'S HOSPITAL COMMUNITY INCLUDE THOSE THAT ARE SUPPORTED BY THE DATA AND FEEDBACK PROVIDED IN THE ASSESSMENT: A. CHILDREN'S HEALTH SUPPORTSTRATEGY: LEVERAGE THE PROGRAMS AND RESOURCES AVAILABLE WITHIN AND ASSOCIATED WITH VCUHS TO PROVIDE EDUCATION AND SUPPORT TO FAMILIES.ACTION PLAN: - SUPPORT ADVOCACY EFFORTS THROUGH THE OFFICE OF GOVERNMENT RELATIONS AT VIRGINIA COMMONWEALTH UNIVERSITY- ACCESS CARE CONNECTION FOR CHILDREN FOR PATIENTS AND FAMILIES- REFER ELIGIBLE PATIENTS AND FAMILIES TO MEDICAL LEGAL PARTNERSHIP-RICHMOND- UTILIZE PARENT ADVISORY GROUP TO IDENTIFY NEEDS AND POTENTIAL SOLUTIONS- UTILIZE RESOURCES AND FUNDING FROM CHILDREN' HOSPITAL FOUNDATION TO PROVIDE SUPPORT AND EDUCATION TO FAMILIESSTRATEGY: IMPROVE ACCESS TO CARE FOR SERVICES. ACTION PLAN:- ONGOING SUPPORT FOR GROWTH OF THERAPY CENTERS THRU RELOCATION AND EXPANSION OF EXISTING PROGRAMS- INCREASE NUMBER OF BEDS FOR VENTILATOR DEPENDENT CHILDREN REQUIRING LONG TERM CARE SERVICES- IMPLEMENT IMPROVEMENTS TO SCHEDULING APPOINTMENTS FOR THERAPY SERVICES- EXPLORE OPPORTUNITIES TO ADD SERVICES- COORDINATE HOSPITAL SERVICES WITH SERVICES WITH VCUHS- REFER PATIENTS AND FAMILIES TO SERVICES WITHIN THE COMMUNITY AS NEEDEDB. CHILDREN'S HEALTH CONDITIONSSTRATEGY: LEVERAGE THE PROGRAMS AND RESOURCES AVAILABLE WITHIN THE HOSPITAL AND CHOR TO ADDRESS LEADING HEALTH RISKS IN THE COMMUNITY INCLUDING INJURIES, AVOIDABLE HOSPITALIZATIONS, BEHAVIORAL HEALTH DISORDERS, LIFESTYLE, AND DISABILITIES.ACTION PLAN:- ONGOING SUPPORT FOR GROWTH OF THERAPY CENTERS TO PROVIDE SERVICES FOR: - INJURY PREVENTION AND RECOVERY; - SHORT AND LONG TERM REHABILITATION; - ASSISTIVE TECHNOLOGY; - ACTIVITIES OF DAILY LIVING;- COLLABORATION WITH CONCUSSION/TRAUMATIC BRAIN INJURY MULTI-DISCIPLINARY CLINIC FOR SERVICES AND EDUCATION- COLLABORATION WITH SAFE KIDS VA FOR CREATING SAFE ENVIRONMENTS FOR CHILDREN IN THE COMMUNITY- SUPPORT OF PSYCHOLOGY SERVICES RELATED MEDICAL, EMOTIONAL AND BEHAVIORAL ISSUES, AND NEUROPSYCHOLOGICAL EVALUATIONS FOLLOWING A NEUROLOGICAL INJURY OR ILLNESS- REFERRALS TO VCU'S VIRGINIA TREATMENT CENTER FOR CHILDREN FOR OUTPATIENT AND INPATIENT MENTAL HEALTH CARE- EXPANSION OF LONG-TERM CARE SERVICES FOR CHILDREN WHO ARE VENTILATOR DEPENDENT AND/OR REQUIRE TOTAL PARENTERAL NUTRITION- GROWTH OF PEDIATRIC DENTAL SERVICES FOR CARE OF CHILDREN WITH DISABILITIESIMPLEMENTATION STRATEGIESKEY OBJECTIVE:PROVIDE CARE TO CHILDREN REQUIRING POST-ACUTE REHABILITATIVE AND RESTORATIVE CARE; PROVIDE TRAINING FOR DISCIPLINES FOCUSED ON THE CARE OF CHILDREN WITH DISABILITIES; AND ADVOCATE FOR THOSE WITH DISABILITIES. DUE TO THE REHABILITATIVE SPECIALTY FOCUS OF THE HOSPITAL IT CANNOT DIRECTLY ADDRESS CERTAIN COMMUNITY HEALTH NEEDS IDENTIFIED IN THE ASSESSMENT. HOWEVER, IT CAN AND DOES SUPPORT OTHER AGENCIES TO HELP WITH THESE NEEDS.OTHER NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT:EACH OF THE HEALTH NEEDS IDENTIFIED IN THE ATTACHED COMMUNITY HEALTH NEEDS ASSESSMENT IS IMPORTANT AND MANY ARE BEING ADDRESSED BY NUMEROUS PROGRAM AND INITIATIVES THROUGHOUT VCUHS. THE HOSPITAL CANNOT DIRECTLY ADDRESS CERTAIN COMMUNITY HEALTH NEEDS THAT DO NOT RELATE TO ITS MISSION. THESE MAY BE COMMUNITY HEALTH NEEDS THAT GOVERNMENTAL OR OTHER NON-PROFIT AGENCIES HAVE THE MORE APPROPRIATE EXPERTISE AND RESOURCES NECESSARY TO ADDRESS. ALTHOUGH THE HOSPITAL CANNOT ADDRESS THESE NEEDS DIRECTLY, IT CAN AND DOES SUPPORT THE EFFORTS OF GOVERNMENTAL AND OTHER AGENCIES TO HELP WITH THESE NEEDS.

VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD
PART V, SECTION B, LINE 16J: HTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/PATIENT-FINANCIAL-ASSISTANCE-POLICY-518.PDFPART V, SECTION B, LINE 16BHTTPS://WWW.VCUHEALTH.ORG/MEDIA/FILE/VCUHEALTH-FINANCIALCOUNSELING-0118.PDFPART V, SECTION B, LINE 16CHTTPS://WWW.CHRICHMOND.ORG/MEDIA/FILE/PATIENT-FINANCIAL-ASSISTANCE-PROGRAM-OVERVIEW.PDF

Supplemental Information

Schedule H (Form 990) Part VI

PART I, LINE 3C:
SEE DETAILS IN SCH H, PART V, SECTION B, LINE 16.

PART I, LINE 7:
COMMUNITY BENEFIT COST FOR EACH CATEGORY IS DETERMINED BY USING EITHER A COST TO CHARGE RATIO OR A COST ACCOUNTING METHODOLOGY. THE SCHEDULE H WORKSHEETS ARE USED TO COMPUTE THE CORRESPONDING LINE.PART I, LN 7 COL(F):NO ATTEMPT HAS BEEN MADE TO DETERMINE THE AMOUNT IN BAD DEBT THAT COULD HAVE BEEN ELIGIBLE FOR FINANCIAL ASSISTANCE.

PART II, COMMUNITY BUILDING ACTIVITIES:
THE HOSPITAL'S ADVOCACY EFFORTS ARE SUPPORTED BY THE OFFICE OF GOVERNMENT RELATIONS AT VIRGINIA COMMONWEALTH UNIVERSITY. THE OFFICE SERVES AS A LIAISON AMONG THE GOVERNOR'S OFFICE, THE GENERAL ASSEMBLY, AGENCIES OF THE COMMONWEALTH, RICHMOND CITY COUNCIL LOCAL BOARDS OF SUPERVISORS AND VIRGINIA'S CONGRESSIONAL DELEGATION. GOVERNMENT RELATIONS CULTIVATES RELATIONSHIPS WITH ELECTED AND APPOINTED GOVERNMENT OFFICIALS IN AN EFFORT TO SECURE FINANCIAL AND LEGISLATIVE SUPPORT. IN COLLABORATION WITH THE CHILDREN'S HOSPITAL FOUNDATION THE HOSPITAL SUPPORTS A VARIETY OF PEDIATRIC INITIATIVES AND OUTREACH PROGRAMS FOR THE GENERAL COMMUNITY, SUCH AS HEALTH AND SAFETY DAYS IN RICHMOND AND PETERSBURG, FIRE PREVENTION DAY IN RICHMOND AND THE DENTAL OUTREACH PROGRAM. EVERY YEAR, THESE PROGRAMS EDUCATE THOUSANDS OF YOUNG CHILDREN AND GIVE THEM THE TOOLS AND KNOWLEDGE TO LEAD SAFE AND HEALTHY LIVES. THE CHOR COMMUNITY HEALTH EDUCATION CENTER PROVIDES PATIENTS, FAMILIES AND THE PUBLIC UP-TO-DATE INFORMATION FROM RELIABLE SOURCES ABOUT HEALTH AND MEDICINE. RESOURCES INCLUDE BOOKS, JOURNALS, VIDEOS AND COMPUTERS WITH INTERNET CONNECTIONS. THE CENTER IS STAFFED BY A FULL-TIME HEALTH SCIENCES LIBRARIAN, A PART-TIME LIBRARY ASSISTANT, AND TRAINED VOLUNTEERS.

PART III, LINE 2:
CHARGED AMOUNTS NOT EXPECTED TO BE PAID ARE RESERVED AND EXPENSED TO BAD DEBT. A COST TO CHARGE RATIO IS APPLIED TO DETERMINE THE COST OF THE BAD DEBT.

PART III, LINE 4:
"THE HOSPITAL RECOGNIZES REVENUE NET OF CONTRACTUAL ALLOWANCE PER THE STANDARD CONTRACTED RATE. HISTORICAL EXPERIENCE HAS DEMONSTRATED A PORTION OF REVENUE IS UNCOLLECTABLE. THE HISTORICAL UNCOLLECTABLE RATE IS APPLIED TO OUTSTANDING NET ACCOUNTS RECEIVABLE AND A PROVISION IS RECORDED PERIODICALLY.THE HOSPITAL PROVIDES HEALTHCARE SERVICES TO INFANTS, CHILDREN, AND ADOLESCENTS UP TO THE AGE OF 21 YEARS. HOSPITAL WILL PROVIDE FINANCIAL ASSISTANCE AS ESTABLISHED UNDER THE GUIDELINES. SERVICES ARE PROVIDED REGARDLESS OF RACE, CREED, RELIGION, NATIONAL ORIGIN, SEX, DISABILITY, SOCIOECONOMIC STATUS, PAYOR SOURCE, OR ANY OTHER MANNER PROHIBITED BY LAW.AS A TAX-EXEMPT ENTITY AND AS PART OF ITS COMMITMENT TO SERVE THE COMMUNITY, HOSPITAL PROVIDES FINANCIAL ASSISTANCE IN THE FORM OF CHARITY CARE (""FINANCIAL ASSISTANCE"") TO PATIENTS' FAMILIES WHO QUALIFY BY MEETING THE REQUIREMENTS.PATIENT FAMILIES ARE ELIGIBLE IF THEIR YEARLY HOUSEHOLD INCOME, AS DOCUMENTED ON THE FINANCIAL ASSISTANCE APPLICATION IS LESS THAN OR EQUAL TO 200% OF THE POVERTY GUIDELINES UPDATED ANNUALLY IN THE FEDERAL REGISTER BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (""FEDERAL POVERTY GUIDELINES"").FOOTNOTE 2(E) OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS STATES: THE AUTHORITY RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS DURING THE PERIOD IN WHICH COLLECTION IS CONSIDERED DOUBTFUL. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS WAS APPROXIMATELY $19,406 AT JUNE 30, 2021. ACCOUNTS WAS APPROXIMATELY $49,712 AT JUNE 30, 2020."

PART III, LINE 8:
MEDICARE ALLOWABLE COST WAS CALCULATED USING A COMBINATION OF COST FROM THE FILED FY 2020 MEDICARE COST REPORT; COST TO CHARGE RATIOS FROM FILED THE FY 2020 MEDICARE COST REPORT; AND A CALCULATION OF DIRECT COSTS PLUS ALLOCATED OVERHEAD.SERVICES PROVIDED UNDER MEDICARE ARE FOR PATIENTS IN ASSISTIVE TECHNOLOGY. THIS SERVICE IS A SPECIAL PROGRAM OFFERED TO PATIENTS REGARDLESS OF AGE SINCE THESE SERVICES ARE NOT WIDELY AVAILABLE IN THE COMMUNITY.

PART III, LINE 9B:
A FINANCIAL COUNSELOR ASSISTS PATIENTS IN UNDERSTANDING THE AVAILABILITY OF COMMUNITY OR GOVERNMENTAL ASSISTANCE PROGRAMS, AS WELL AS, THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. NEW PATIENTS RECEIVE NOTIFICATION THROUGH THE PATIENT BOOKLET. THE HOSPITAL PROVIDES A BILLING STATEMENT TO THE FAP INDIVIDUAL THAT SHOWS THE AMOUNTS GENERALLY BILLED FOR THE CARE AND HOW THE HOSPITAL DETERMINED THE AMOUNT THE INDIVIDUAL OWES. THE HOSPITAL WILL ALSO REFUND ANY EXCESS PAYMENTS MADE AND TAKE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION TAKEN.

PART VI, LINE 2:
THE HOSPITAL USED A WRITTEN SURVEY TO OBTAIN INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE SURVEY RESPONDENTS REPRESENTED SOME OF THE FOLLOWING ORGANIZATIONS: VIRGINIA DEPARTMENT OF HEALTH, VIRGINIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL, RICHMOND CITY HEALTH DISTRICT, CARE CONNECTION FOR CHILDREN, AND GREATER RICHMOND FIT4KIDS.

PART VI, LINE 3:
THE HOSPITAL PROVIDES CHARITY CARE IN THE FORM OF FINANCIAL ASSISTANCE TO THOSE PATIENTS AND THEIR FAMILIES WHICH QUALIFY FOR THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. THE FINANCIAL ASSISTANCE POLICY ALONG WITH A PLAIN LANGUAGE SUMMARY THAT INCLUDES A BRIEF OVERVIEW OF OUR DISCOUNT PROGRAM IS AVAILIBLE ON OUR WEB SITE. INFORMATION CONCERNING THE FINANCIAL ASSISTANCE PROGRAM IS INCLUDED IN THE PATIENT HANDBOOK AND THE TRANSITIONAL CARE UNIT (TCU) ADMISSION PACKAGE THAT IS GIVEN TO ALL NEW PATIENTS. COPIES OF BOTH THE FINANCIAL ASSISTANCE POLICY AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT EVERY LOCATION FROM THE PATIENT ACCESS REPRESENTATIVES.

PART VI, LINE 1:
SEE DETAILS IN SCHEDULE H, PART V, SECTION B, LINE 16

PART VI, LINE 4:
SUPRLUS FUNDS OF THE ORGANIZATION ARE RE-INVESTED INTO THE PROGRAMS AND OPERATIONS OF THE ORGANIZATION IN ORDER TO BETTER SERVE THE COMMUNITY. THE HOSPITAL SERVICES AREA INCLUDES 51 ZIP CODES ADJACENT TO ITS SIX LOCATIONS. MOST OF THESE ZIP CODES FALL WITHIN THE COUNTIES OF CHESTERFIELD, HENRICO, KING GEORGE, POWHATAN, SPOTSYLVANIA AND STAFFORD AND THE CITIES OF COLONIAL HEIGHTS, FREDERICKSBURG, HOPEWELL, PETERSBURG, AND RICHMOND. AS A CHILDREN'S HOSPITAL, THE SERVICE POPULATION IS AGED 0-21 YEARS AND AS OF 2019, THE SERVICE AREA INCLUDED MORE THAN 413,331 PERSONS AGED 0-21. AT ANY GIVEN TIME IN 2017, 16,636 CHILDREN AGE 0-18 ARE UNINSURED. REGION DEATH RATES WERE HIGHER THAN THE STATEWIDE RATE OVERALL AND WERE RELATED TO PREMATURITY AND LOW BIRTH WEIGHTS, HOMICIDE AND MOTOR VEHICLE TRAFFIC ACCIDENTS. NINE OF THE 12 LOCALITIES OF OUR SERVICE AREA HAVE BEEN FULLY OR PARTIALLY DESIGNATED AS MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS (MUAS/MUPS).

PART VI, LINE 6:
THE HOSPITAL IS AFFILIATED WITH THE VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM (VCUHS) AND IS COMPONENT OF THE CHILDREN'S HOSPITAL OF RICHMOND AT VCU (CHOR) THAT IS CENTRAL VIRGINIA'S ONLY COMPREHENSIVE, FULL-SERVICE CHILDREN'S HOSPITAL. AS VIRGINIA'S ONLY LEVEL 1 PEDIATRIC TRAUMA CENTER, CHOR OFFERS A WIDE RANGE OF CHILDREN'S HEALTH SERVICES, INCLUDING PEDIATRIC EMERGENCY SERVICES, PRIMARY CARE, SPECIALTY AND SUBSPECIALTY CARE, BURN, TRAUMA, TRANSPLANT AND LONG-TERM CARE. WITH MORE THAN 15 LOCATIONS ACROSS CENTRAL VIRGINIA, CHOR PROVIDES PEDIATRIC INPATIENT AND OUTPATIENT SERVICES THAT COVER NEARLY ALL CHILDREN'S HEALTH-RELATED NEEDS. CHOR IS COMMITTED TO 5 ENSURING ACCESS TO CARE FOR ALL CHILDREN, TRAINING FUTURE PEDIATRIC CAREGIVERS AND MAKING NEW DISCOVERIES THAT IMPROVE UNDERSTANDING AND TREATMENT OF CHILDHOOD DISEASES. SURPLUS FUNDS OF THE ORGANIZATION ARE RE-INVESTED INTO THE PROGRAMS AND OPERATIONS OF THE ORGANIZATION IN ORDER TO BETTER SERVE THE COMMUNITY.PART VI, LINE 7:VIRGINIA IS THE ONLY STATE WHERE THE ORGANIZATION FILES A COMMUNITY BENEFIT REPORT.

Operating expenses	$ 28,354,860
Total amount spent on community benefits as % of operating expenses	$ 9,535,009 33.63 %