Civic Intelligence

Virginia Children'S Hospital Alliance

990 • Fiscal year 2014 • EIN 46-4212481

Jul 01, 2013 to Jun 30, 2014 • Filed on Nov 14, 2014

PO Box 23023103

(804) 240-1475

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

81st percentile

0.20x

Higher debt load relative to assets than 81% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Liabilities / Revenue

85th percentile

0.17x

Higher debt load relative to revenue than 85% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

97th percentile

76%

Higher net margin than 97% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

97th percentile

$45,000

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 20.7% of source-year revenue.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2014

Assets

$186,257

No earlier filing loaded for comparison.

Net Assets

$149,314

No earlier filing loaded for comparison.

Liabilities

$36,943

No earlier filing loaded for comparison.

Revenue

$217,015

No earlier filing loaded for comparison.

Expenses

$52,701

No earlier filing loaded for comparison.

Net Income

$164,314

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.0M$500K$0Assets 2014: $186,257Liabilities 2014: $36,943Net Assets 2014: $149,3142014Assets 2015: $851,461Liabilities 2015: $750Net Assets 2015: $850,7112015

Highlighted filing

2014

Assets$186,257
Liabilities$36,943
Net Assets$149,314

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$5.0M$0-$5.0MRevenue 2014: $217,015Expenses 2014: $52,701Net Income 2014: $164,3142014Revenue 2015: $36,777Expenses 2015: $4,671,984Net Income 2015: -$4,635,2072015

Highlighted filing

2014

Revenue$217,015
Expenses$52,701
Net Income$164,314
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Nov 14, 2014
Return Version
2013v3.0
Gross Receipts
$217,015
Mission and Program Overview

Mission

Building community collaborations to create a world class freestanding, independent, academic children's hospital serving families across the commonwealth of virginia with unprecedented excellence in pediatric c.a.r.e. (clinical care, advocacy, research, and education).

To plan and build a world class, freestanding, independent academic children's hospital serving families across the commonwealth of virginia.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$0$186,257▲ $186,257
Rtn Earn Endowment Incm Other Fnds$0$149,314▲ $149,314
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$0$186,257▲ $186,257
Liabilities
Accounts Payable and Accrued Expenses$0$36,943▲ $36,943
Total Liabilities$0$36,943▲ $36,943
Net Assets / Fund Balance
Total Net Assets Fund Balance$0$149,314▲ $149,314
Total Liabilities and Net Assets / Fund Balance$0$186,257▲ $186,257
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Katherine BusserCEO and PresidentFT$45,000$45,000

Board Members and Trustees

NameTitle
Dr Melissa NelsonDirector
Hugh EwingDirector
Kirsti GoodwinDirector
Richard DavisDirector
Robert BollingDirector
Wallace B MillnerDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$217,015
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$217,015
Change in Net Assets
$164,314
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$49,591
Total Fundraising Expense$5,270
Other Expenses$3,110
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$33,750$6,750$4,500$45,000
Payroll Taxes$3,443$689$459$4,591
Conferences and Meetings$683$137$91$911
Travel$595$119$79$793
Fees for Services Accounting$563$113$75$751
Office Expenses$492$97$66$655
Total Functional Expenses$39,526$7,905$5,270$52,701
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 8B

The organization has no commitees with authority to act on behalf of the governing body.

Form 990, Part VI, Section B, Line 11

The draft of the form 990 is electronically circulated to the current board of directors by management for review and approval. This is the first filing for this organization. Approval is documented and stored with the 990 files. Approved form 990 is filed with the irs.

Form 990, Part VI, Section B, Line 12

This is a new organization. The ceo was hired on 5/1/2014 and policies and procedures for the conflict of interest, whistleblower and document retention and destruction are being developed and should be completed by 12/31/2014.

Form 990, Part VI, Section B, Line 15A

Board of directors have established the ceo's compensation. This is a new organization and policies, procedures and a compensation comittee of the board are being established.

Form 990, Part VI, Section C, Line 19

Once approved by the board of directors, the organization will make its governing documents available to the public upon request.

Filing and Contact Details

Filer

EIN
46-4212481
Phone
8042401475

Signing Officer

Name
Katherine Busser
Title
President & CEO
Phone
8042401475
Signed
2014-11-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Katherine Busser
Formed
2013
Legal Domicile
Va
Voting Board Members
6
Independent Board Members
6
Employees
1
Volunteers
6

Preparer

Preparer
Virginia R Belcher
Phone
8047470000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Book tax difference - accrued compensation -15,000.

Raw XML Appendix309 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivityOrMissionDesc0TO PLAN AND BUILD A WORLD CLASS, FREESTANDING, INDEPENDENT ACADEMIC CHILDREN'S HOSPITAL SERVING FAMILIES ACROSS THE COMMONWEALTH OF VIRGINIA.
IRS990/AllOtherContributionsAmt0217015
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IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine10KATHERINE BUSSER
IRS990/BooksInCareOfDetail/PhoneNum08042401475
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IRS990/CompensationFromOtherSrcsInd00
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IRS990/CompensationProcessOtherInd00
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IRS990/ConferencesMeetingsGrp/TotalAmt0911
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IRS990/ConservationEasementsInd00
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IRS990/Desc0ESTABLISH A NEW ORGANIZATION TO LEAD AND DIRECT THE PLANNING, DESIGN AND EXECUTION OF A CHILDREN'S HOSPITAL. WORK ACROSS THE COMMUNITY TO IDENTIFY AND ENGAGE ALL OF THE KEY PARTIES FOR THE PLANNING, DESIGN AND EXECUTION OF THIS CHILDREN'S HOSPITAL. MEET WITH KEY LEADERS AND MEMBERS OF EACH GROUP TO ENGAGE THEIR PARTICIPATION AND INCLUDE THEIR FEEDBACK IN THE OVERALL PROJECT. KEY STAKEHOLDER GROUPS INCLUDE: PARENTS, COMMUNITY PEDIATRICIANS, LOCAL HOSPITALS/HEALTH SYSTEMS, MEDICAL SCHOOL, RESEARCH CENTER, PHYSICIANS/SCIENTISTS/EDUCATORS, BUSINESS LEADERS, COMMUNITY LEADERS, PHILANTHROPISTS, MEDICAL SOCIETIES, STATE AND LOCAL OFFICIALS. ESTABLISH THE PHASES OF DELIVERY FOR THE CHILDREN'S HOSPITAL TO FACILITATE THE ENGAGEMENT OF STAFF, CONSULTANTS AND PROFESSIONAL RESOURCES TO PROVIDE KEY SERVICES AND SKILLS FOR EACH PHASE.
IRS990/DescribedInSection501c3Ind01
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IRS990/FeesForServicesAccountingGrp/TotalAmt0751
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt05.00
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt645000
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IRS990/Form990PartVIISectionAGrp/PersonNm4ROBERT BOLLING
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IRS990/Form990PartVIISectionAGrp/PersonNm6KATHERINE BUSSER
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6CEO AND PRESIDENT
IRS990/Form990ProvidedToGvrnBodyInd01
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IRS990/FSAuditedInd00
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IRS990/GoverningBodyVotingMembersCnt06
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0217015
IRS990/GroupReturnForAffiliatesInd00
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IRS990/IndivRcvdGreaterThan100KCnt00
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IRS990/MembersOrStockholdersInd00
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IRS990/MissionDesc0BUILDING COMMUNITY COLLABORATIONS TO CREATE A WORLD CLASS FREESTANDING, INDEPENDENT, ACADEMIC CHILDREN'S HOSPITAL SERVING FAMILIES ACROSS THE COMMONWEALTH OF VIRGINIA WITH UNPRECEDENTED EXCELLENCE IN PEDIATRIC C.A.R.E. (CLINICAL CARE, ADVOCACY, RESEARCH, AND EDUCATION).
IRS990/MoreThan5000KToIndividualsInd00
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IRS990ScheduleA/First5Years170Ind0X
IRS990ScheduleA/Form990ScheduleAPartIVGrp/ExplanationTxt0THE ORGANIZATION'S EFFECTIVE DATE OF EXEMPTION WAS NOVEMBER 26, 2013 WITH A FISCAL YEAR ENDING JUNE 30TH. THEREFORE, THE INTIAL RETURN IS A SHORT YEAR RETURN FOR THE SEVEN AND ONE HALF MONTHS ENDING JUNE 30, 2014
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS NO COMMITEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE DRAFT OF THE FORM 990 IS ELECTRONICALLY CIRCULATED TO THE CURRENT BOARD OF DIRECTORS BY MANAGEMENT FOR REVIEW AND APPROVAL. THIS IS THE FIRST FILING FOR THIS ORGANIZATION. APPROVAL IS DOCUMENTED AND STORED WITH THE 990 FILES. APPROVED FORM 990 IS FILED WITH THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THIS IS A NEW ORGANIZATION. THE CEO WAS HIRED ON 5/1/2014 AND POLICIES AND PROCEDURES FOR THE CONFLICT OF INTEREST, WHISTLEBLOWER AND DOCUMENT RETENTION AND DESTRUCTION ARE BEING DEVELOPED AND SHOULD BE COMPLETED BY 12/31/2014.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BOARD OF DIRECTORS HAVE ESTABLISHED THE CEO'S COMPENSATION. THIS IS A NEW ORGANIZATION AND POLICIES, PROCEDURES AND A COMPENSATION COMITTEE OF THE BOARD ARE BEING ESTABLISHED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ONCE APPROVED BY THE BOARD OF DIRECTORS, THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5BOOK TAX DIFFERENCE - ACCRUED COMPENSATION -15,000.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9:
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IRS990/TotReportableCompRltdOrgAmt00
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IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02016-02-25 16:41:14Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0KATHERINE BUSSER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT & CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum08042401475
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-11-14
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ReturnHeader/Filer/USAddress/State0VA
ReturnHeader/Filer/USAddress/ZIPCode023103
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0541631262
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10KEITERSTEPHENSHURSTGARY & SHREAVESPC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10PO BOX 32066
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0RICHMOND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0VA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode0232942066
ReturnHeader/PreparerPersonGrp/PhoneNum08047470000
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0VIRGINIA R BELCHER
ReturnHeader/ReturnTs02014-11-17T10:37:46-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-11-07
ReturnHeader/TaxPeriodEndDt02014-06-30
ReturnHeader/TaxYr02013

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Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2014 filings • 501(c)3 • <$500k nonprofits