CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC (EIN 54-0506321)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-13
IRS object ID: 202641339349302344
Schema version: 2024v5.1
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-13T09:21:01+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	One Oak Plaza Suite 300	AddressLine1Txt
City	Asheville	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28801	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540506321	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital of the King's Daughters	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	7576687000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 Childrens Lane	AddressLine1Txt
City	Norfolk	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23507	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	AMY SAMPSON	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	7576687000	PhoneNum
Signature	2026-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Amy Bibby	PreparerPersonNm
PTIN	P00445891	PTIN
Phone	8282542254	PhoneNum
Preparation	2026-05-06	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AMY SAMPSON	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 Childrens Lane	AddressLine1Txt
City	Norfolk	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23507	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$923,129,913	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHKD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1961	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	4228	TotalEmployeeCnt
Total Volunteers	428	TotalVolunteersCnt
Total Gross UBI	$694,099	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$380,586	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$28,452,760	PYContributionsGrantsAmt
CY Contributions Grants	$19,027,723	CYContributionsGrantsAmt
PY Program Service Revenue	$621,558,620	PYProgramServiceRevenueAmt
CY Program Service Revenue	$769,037,056	CYProgramServiceRevenueAmt
PY Investment Income	$12,396,777	PYInvestmentIncomeAmt
CY Investment Income	$30,045,978	CYInvestmentIncomeAmt
PY Other Revenue	$3,422,561	PYOtherRevenueAmt
CY Other Revenue	$2,851,393	CYOtherRevenueAmt
PY Total Revenue	$665,830,718	PYTotalRevenueAmt
CY Total Revenue	$820,962,150	CYTotalRevenueAmt
PY Grants And Similar Paid	$21,295,433	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$20,397,894	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$341,951,907	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$366,797,778	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$204,214	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$210,435	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,102,839	CYTotalFundraisingExpenseAmt
PY Other Expenses	$312,540,374	PYOtherExpensesAmt
CY Other Expenses	$338,561,101	CYOtherExpensesAmt
PY Total Expenses	$675,991,928	PYTotalExpensesAmt
CY Total Expenses	$725,967,208	CYTotalExpensesAmt
PY Revenues Less Expenses	-$10,161,210	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$94,994,942	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,159,825,174	TotalAssetsBOYAmt
Total Assets EOY	$1,270,930,081	TotalAssetsEOYAmt
Total Liabilities BOY	$312,282,221	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$312,581,536	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$847,542,953	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$958,348,545	NetAssetsOrFundBalancesEOYAmt
Mission	SEE SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$637,189,797	ExpenseAmt
Grant	$20,397,894	GrantAmt
Revenue	$771,861,263	RevenueAmt
Desc	SEE SCHEDULE O.	Desc
Total Program Service Expenses	$637,189,797	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	136	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4228	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	Yes (true)	NondeductibleContributionsInd
Nondeductible Contri Discl	Yes (true)	NondeductibleContriDisclInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed	Yes (true)	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	SC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	UT	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Kathryn Abshire	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7576687000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 Childrens Lane	AddressLine1Txt
City	Norfolk	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23507	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Akhil Jain
Chairman/Director	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Amy Sampson
President/CEO/Director	2.0	44.0	Yes (X)	Yes (X)	$0	$2,286,148	$972,272
Brian Skinner
Chair/Vice Chairman/Director	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Kim Georges
Secretary/Director	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Larry Bernert
Secretary/Director	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Miles Leon
Vice Chairman/Director	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Owen Griffin
Treasurer/Director	2.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
Carl St Remy MD
Director	1.0	42.0	Yes (X)		$0	$852,062	$44,227
Elly Bradshaw Smith
Director	1.0	2.0	Yes (X)		$0	$0	$0
George Clarke
Director	1.0	2.0	Yes (X)		$0	$0	$0
John R Lawson II
Director	1.0	2.0	Yes (X)		$0	$0	$0
Julia Childress Beck
Director	1.0	2.0	Yes (X)		$0	$0	$0
Katherine Knaus
Director	1.0	2.0	Yes (X)		$0	$0	$0
Katrina Lesher MD
Director	1.0	2.0	Yes (X)		$0	$0	$0
Kevin Murphy
Director	1.0	2.0	Yes (X)		$0	$0	$0
Kieran Poulos
Director	1.0	2.0	Yes (X)		$0	$0	$0
Lemuel Lewis
Director	1.0	2.0	Yes (X)		$0	$0	$0
Leslie Doyle
Director	1.0	2.0	Yes (X)		$0	$0	$0
Mark Compton
Director	1.0	2.0	Yes (X)		$0	$0	$0
Martha Colen
Director	1.0	2.0	Yes (X)		$0	$0	$0
Nicole Legum
Director	1.0	2.0	Yes (X)		$0	$0	$0
Scott Nottingham MD
Director	1.0	42.0	Yes (X)		$0	$412,261	$43,519
Susan Wynne
Director	1.0	2.0	Yes (X)		$0	$0	$0
Taylor Priest
Director	1.0	2.0	Yes (X)		$0	$0	$0
Kathryn Abshire
CFO/Asst Tres./Asst Sec.	1.0	42.0		Yes (X)	$0	$1,027,420	$535,712
Allison Silva
VP - Ancillary Services	40.0				$626,435	$0	$186,962	Yes (X)
Christopher Foley
Senior VP - Chief Clinical Operations Officer		40.0			$0	$970,874	$184,126	Yes (X)
Deborah Barnes
VP - IS Operations		40.0			$0	$991,934	$165,374	Yes (X)
Donald Barnes
Senior VP - Chief People Officer		40.0			$0	$454,854	$102,249	Yes (X)
Kimberly Day
Senior VP - Chief Legal Officer		40.0			$0	$700,226	$128,648	Yes (X)
Kristi McGowin
VP - Patient Care Services/CNO	40.0				$366,839	$0	$80,551	Yes (X)
Tamika Harris
VP - Facilities & Support Services	40.0				$159,224	$0	$19,196	Yes (X)
Terrie Pyeatt
VP - Finance		40.0			$0	$325,155	$63,821	Yes (X)
Dean Cauley
Physician	40.0				$366,462	$0	$27,635		Yes (X)
John Harrington
VP Quality/Safety & Clinical Integration	40.0				$563,278	$0	$126,714		Yes (X)
John Warburton
VP - Mental Health Service Line	40.0				$480,020	$0	$97,450		Yes (X)
Kamil Cak
VP - Experience of Care	40.0				$305,667	$0	$68,000		Yes (X)
Suzanne Brixey
Physician	40.0				$399,736	$0	$17,434		Yes (X)
JOHN HARDING
FORMER CHIEF OPERATING OFFICER	0.0	0.0			$0	$1,174,869	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,267,661	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,195,803	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,863,890	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	652	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CHILDREN'S SPECIALTY GROUP
P O BOX 11049	NORFOLK	VA	23517	MEDICAL	$42,745,560
EASTERN VIRGINIA MED SCHOOL
P O BOX 1980	NORFOLK	VA	235011980	MEDICAL	$15,114,804
COMPASS ONE
P O BOX 1022289	ATLANTA	GA	30368	CLEANING	$12,000,679
AYA HEALTHCARE INC
5930 CORNERSTONE COURT W SUITE 300	SAN DIEGO	CA	92121	TEMP PERSONNEL	$7,603,484
ORACLE AMERICA INC CERNER CORP
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	I/T	$7,055,591

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	143	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$70,794	FederatedCampaignsAmt
Fundraising	$37,917	FundraisingAmt
Related Organizations	$1,333,822	RelatedOrganizationsAmt
Government Grants	$4,198,186	GovernmentGrantsAmt
All Other Contributions	$13,387,004	AllOtherContributionsAmt
Noncash Contributions	$2,845,337	NoncashContributionsAmt
Total Contributions	$19,027,723	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	900099	$733,520,614	$733,520,614
OTHER RELATED SERVICES	900099	$34,822,343	$34,822,343
LAB SERVICES	621500	$522,937		$522,937
SPORTS RELATED SERVICE	900099	$171,162		$171,162

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$769,037,056	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,082,036	TotalRevenueColumnAmt
Exclusion	$15,082,036	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$844,198	RealAmt
Personal	$8,213	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,518,815	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$674,617	RealAmt
Personal	$8,213	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$666,404	TotalRevenueColumnAmt
Exclusion	-$666,404	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$115,516,031	SecuritiesAmt
Other	$94,350	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$96,938,619	SecuritiesAmt
Other	$3,707,820	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,577,412	SecuritiesAmt
Other	-$3,613,470	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,963,942	TotalRevenueColumnAmt
Exclusion	$14,963,942	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$2,000	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$37,917	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$2,509	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$509	TotalRevenueColumnAmt
Exclusion	-$509	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GRADUATE MEDICAL ED.	Desc
Business	900099	BusinessCd
Total Revenue Column	$3,518,306	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,518,306	RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,518,306	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$820,962,150	TotalRevenueColumnAmt
Related Or Exempt Func Income	$771,861,263	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$694,099	UnrelatedBusinessRevenueAmt
Exclusion	$29,379,065	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$20,397,894	TotalAmt
Program Services	$20,397,894	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,307,565	TotalAmt
Program Services	$899,833	ProgramServicesAmt
Management And General	$407,732	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$302,222,401	TotalAmt
Program Services	$275,240,006	ProgramServicesAmt
Management And General	$25,100,911	ManagementAndGeneralAmt
Fundraising	$1,881,484	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,591,778	TotalAmt
Program Services	$7,890,418	ProgramServicesAmt
Management And General	$1,622,961	ManagementAndGeneralAmt
Fundraising	$78,399	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,767,497	TotalAmt
Program Services	$23,017,366	ProgramServicesAmt
Management And General	$9,558,450	ManagementAndGeneralAmt
Fundraising	$191,681	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$20,908,537	TotalAmt
Program Services	$18,963,416	ProgramServicesAmt
Management And General	$1,796,767	ManagementAndGeneralAmt
Fundraising	$148,354	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$269,614	TotalAmt
Program Services	$164,613	ProgramServicesAmt
Management And General	$104,595	ManagementAndGeneralAmt
Fundraising	$406	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,163	TotalAmt
Management And General	$10,163	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$21,000	TotalAmt
Management And General	$21,000	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$210,435	TotalAmt
Fundraising	$210,435	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$555,626	TotalAmt
Management And General	$555,626	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$64,749,079	TotalAmt
Program Services	$60,396,867	ProgramServicesAmt
Management And General	$4,322,457	ManagementAndGeneralAmt
Fundraising	$29,755	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$360,300	TotalAmt
Program Services	$74,266	ProgramServicesAmt
Management And General	$270,070	ManagementAndGeneralAmt
Fundraising	$15,964	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,854,491	TotalAmt
Program Services	$1,986,315	ProgramServicesAmt
Management And General	$818,198	ManagementAndGeneralAmt
Fundraising	$49,978	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,173,824	TotalAmt
Program Services	$2,381,554	ProgramServicesAmt
Management And General	$681,200	ManagementAndGeneralAmt
Fundraising	$111,070	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,320,417	TotalAmt
Program Services	$15,022,305	ProgramServicesAmt
Management And General	$2,284,537	ManagementAndGeneralAmt
Fundraising	$13,575	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$293,950	TotalAmt
Program Services	$240,142	ProgramServicesAmt
Management And General	$47,025	ManagementAndGeneralAmt
Fundraising	$6,783	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$836,193	TotalAmt
Program Services	$734,043	ProgramServicesAmt
Management And General	$90,183	ManagementAndGeneralAmt
Fundraising	$11,967	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,145,577	TotalAmt
Program Services	$5,112,729	ProgramServicesAmt
Management And General	$32,848	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$37,118,364	TotalAmt
Program Services	$33,988,048	ProgramServicesAmt
Management And General	$3,086,185	ManagementAndGeneralAmt
Fundraising	$44,131	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,111,406	TotalAmt
Program Services	$1,135,919	ProgramServicesAmt
Management And General	$1,975,291	ManagementAndGeneralAmt
Fundraising	$196	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$118,377,018	$117,690,033	$656,617	$30,368
EQUIP RENTAL AND MAINT.	$33,661,365	$30,548,979	$3,020,018	$92,368
PURCHASED SERVICES	$21,244,722	$16,484,533	$4,727,003	$33,186
UNRELATED BUSINESS INC.	$25,710		$25,710

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$29,432,282	TotalAmt
Program Services	$4,820,518	ProgramServicesAmt
Management And General	$24,459,025	ManagementAndGeneralAmt
Fundraising	$152,739	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$725,967,208	TotalAmt
Program Services	$637,189,797	ProgramServicesAmt
Management And General	$85,674,572	ManagementAndGeneralAmt
Fundraising	$3,102,839	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$62,691,536	BOYAmt
EOY	$144,725,445	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,280,753	BOYAmt
EOY	$11,794,229	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$148,878,969	BOYAmt
EOY	$177,850,116	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,071,431	BOYAmt
EOY	$16,240,241	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,954,070	BOYAmt
EOY	$11,267,354	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$886,806,752	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$448,021,556	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$449,834,918	BOYAmt
EOY	$438,785,196	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$323,550,886	BOYAmt
EOY	$332,151,884	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$54,792,771	BOYAmt
EOY	$59,997,417	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$71,769,840	BOYAmt
EOY	$78,118,199	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,159,825,174	BOYAmt
EOY	$1,270,930,081	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$60,250,888	BOYAmt
EOY	$66,422,379	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$377,385	BOYAmt
EOY	$788,186	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$224,554,965	BOYAmt
EOY	$218,589,857	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,098,983	BOYAmt
EOY	$26,781,114	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$312,282,221	BOYAmt
EOY	$312,581,536	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$796,050,815	BOYAmt
EOY	$907,198,024	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$51,492,138	BOYAmt
EOY	$51,150,521	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$847,542,953	BOYAmt
EOY	$958,348,545	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,159,825,174	BOYAmt
EOY	$1,270,930,081	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$94,994,942	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$14,424,556	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$738,293	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$2,124,387	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$99,087,320	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$88,572,506	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$56,544,790	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$28,452,760	CurrentTaxYearMinus1YearAmt
Current Tax Year	$19,027,723	CurrentTaxYearAmt
Total	$291,685,099	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$99,087,320	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$88,572,506	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$56,544,790	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$28,452,760	CurrentTaxYearMinus1YearAmt
Current Tax Year	$19,027,723	CurrentTaxYearAmt
Total	$291,685,099	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$0	SubstantialContributorsTotAmt
Public Support Total170	$291,685,099	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,246,160	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,745,593	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,401,256	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$19,159,886	CurrentTaxYearMinus1YearAmt
Current Tax Year	$15,934,447	CurrentTaxYearAmt
Total	$66,487,342	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$392,485	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$240,510	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$206,714	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$152,320	CurrentTaxYearMinus1YearAmt
Current Tax Year	$380,586	CurrentTaxYearAmt
Total	$1,372,615	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$359,545,056	TotalSupportAmt
Gross Receipts Rltd Activities	$2,932,353,710	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.81126	PublicSupportCY170Pct
Public Support PY170	0.8375	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$30,228,626	BeginningYearBalanceAmt
Contributions	$765,320	ContributionsAmt
Investment Earnings Or Losses	$3,306,305	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,236,832	OtherExpendituresAmt
End Year Balance	$33,063,419	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,987,077	BeginningYearBalanceAmt
Contributions	$715,998	ContributionsAmt
Investment Earnings Or Losses	$2,551,123	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,025,572	OtherExpendituresAmt
End Year Balance	$30,228,626	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,170,544	BeginningYearBalanceAmt
Contributions	$664,247	ContributionsAmt
Investment Earnings Or Losses	$1,852,435	InvestmentEarningsOrLossesAmt
Other Expenditures	$700,149	OtherExpendituresAmt
End Year Balance	$27,987,077	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$29,093,174	BeginningYearBalanceAmt
Contributions	$600,675	ContributionsAmt
Investment Earnings Or Losses	-$2,262,495	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,260,810	OtherExpendituresAmt
End Year Balance	$26,170,544	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,741,292	BeginningYearBalanceAmt
Contributions	$482,624	ContributionsAmt
Investment Earnings Or Losses	$3,489,607	InvestmentEarningsOrLossesAmt
Other Expenditures	$620,349	OtherExpendituresAmt
End Year Balance	$29,093,174	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,417,162	OtherCostOrOtherBasisAmt
Book Value	$18,417,162	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$534,707,890	OtherCostOrOtherBasisAmt
Depreciation	$200,186,503	DepreciationAmt
Book Value	$334,521,387	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,036,783	OtherCostOrOtherBasisAmt
Depreciation	$12,521,988	DepreciationAmt
Book Value	$3,514,795	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$301,866,244	OtherCostOrOtherBasisAmt
Depreciation	$234,926,505	DepreciationAmt
Book Value	$66,939,739	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,778,673	OtherCostOrOtherBasisAmt
Depreciation	$386,560	DepreciationAmt
Book Value	$15,392,113	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$438,785,196	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt
CONTRIBUTION/REMAINDER TRUST	$5,620,599
CASH SURRENDER VALUE LIFE INSURANCE	$267,288
INTERCOMPANY RECEIVABLES	$4,235,716
INVESTMENT IN SHARED HOSPITAL	$313,350
RIGHT OF USE ASSETS	$15,115,464
INSURANCE RECOVERABLE	$5,079,814
DERIVATIVE INSTRUMENTS ASSET	$43,216,433
LT - AR SETTLEMENT	$4,270,000
MISCELLANEOUS	-$465

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$78,118,199	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDesc	AmtAmt
Federal Income Taxes
INSURANCE IBNR & IBNE	$7,378,161
DERIVATIVE INSTRUMENTS	$2,417,024
CAPITAL LEASE	$0
ANNUITY PAYABLE	$878,134
INTERCOMPANY LIABILITIES	$26,564
ACCRUED TAIL COVERAGE	$33,712
OPERATING LEASE OBLIGATIONS	$16,047,519

Field	Value	IRS element (for citing)
Total Liability	$26,781,114	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

ENDOWMENT FUNDS ARE USED ACCORDING TO SPECIFIC WRITTEN REQUESTS OF THE DONOR ENDOWMENT AGREEMENT. IF NO DIRECT REQUESTS ARE MADE, FUNDS ARE USED IN ACCORDANCE WITH THE OVERALL MISSION OF THE ORGANIZATION.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

CHS RECOGNIZES ANY BENEFITS FROM AN UNCERTAINTY IN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. IF APPLICABLE, THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION WOULD BE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE RESOLUTION. CHS DOES NOT BELIEVE ANY UNCERTAIN TAX PROVISIONS REQUIRE RECORDING IN ITS CONSOLIDATED FINANCIAL STATEMENTS.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
Phone Solicitations	Yes (X)	PhoneSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Solicitation Of Govt Grants	Yes (X)	SolicitationOfGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S MIRACLE NETWORK	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	205 WEST 700 SOUTH	AddressLine1Txt
City	SALT LAKE CITY	CityNm
State Abbreviation	UT	StateAbbreviationCd
ZIP	84101	ZIPCd

Field	Value	IRS element (for citing)
Activity	CONSULTING	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$1,618,179	GrossReceiptsAmt
Retained By Contractor	$210,435	RetainedByContractorAmt
Net To Organization	$1,407,744	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$1,618,179	TotalGrossReceiptsAmt
Total Retained By Contractors	$210,435	TotalRetainedByContractorsAmt
Total Net To Organization	$1,407,744	TotalNetToOrganizationAmt
Licensed States	CA	LicensedStatesCd
Licensed States	CO	LicensedStatesCd
Licensed States	CT	LicensedStatesCd
Licensed States	DC	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	GA	LicensedStatesCd
Licensed States	AL	LicensedStatesCd
Licensed States	HI	LicensedStatesCd
Licensed States	IL	LicensedStatesCd
Licensed States	KS	LicensedStatesCd
Licensed States	KY	LicensedStatesCd
Licensed States	LA	LicensedStatesCd
Licensed States	ME	LicensedStatesCd
Licensed States	MD	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MN	LicensedStatesCd
Licensed States	MO	LicensedStatesCd
Licensed States	NV	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	NY	LicensedStatesCd
Licensed States	NC	LicensedStatesCd
Licensed States	OH	LicensedStatesCd
Licensed States	OK	LicensedStatesCd
Licensed States	PA	LicensedStatesCd
Licensed States	RI	LicensedStatesCd
Licensed States	SC	LicensedStatesCd
Licensed States	TN	LicensedStatesCd
Licensed States	UT	LicensedStatesCd
Licensed States	VA	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
Licensed States	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	BREWTIFUL DAY 10/26	Event1Nm
Gross Receipts Event1	$39,917	GrossReceiptsEvent1Amt
Charitable Contri Event1	$37,917	CharitableContriEvent1Amt
Gross Revenue Event1	$2,000	GrossRevenueEvent1Amt
Food And Beverage Event1	$2,250	FoodAndBeverageEvent1Amt
Entertainment Event1	$250	EntertainmentEvent1Amt
Other Direct Expenses Event1	$9	OtherDirectExpensesEvent1Amt
Gross Revenue Event2	$0	GrossRevenueEvent2Amt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Gross Receipts Total	$39,917	GrossReceiptsTotalAmt
Charitable Contributions Tot	$37,917	CharitableContributionsTotAmt
Gross Revenue Total Events	$2,000	GrossRevenueTotalEventsAmt
Food And Beverage Total Events	$2,250	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$250	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$9	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$2,509	DirectExpenseSummaryEventsAmt
Net Income Summary	-$509	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	175	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,383,111	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,383,111	NetCommunityBenefitExpnsAmt
Total Expense	0.00466	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$331,581,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$354,442,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$334,964,635	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$354,442,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,383,111	NetCommunityBenefitExpnsAmt
Total Expense	0.00466	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$110,518,227	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,021,810	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,496,417	NetCommunityBenefitExpnsAmt
Total Expense	0.13292	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,771,348	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,242,786	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,528,562	NetCommunityBenefitExpnsAmt
Total Expense	0.01037	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,121,529	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$36,226,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,894,686	NetCommunityBenefitExpnsAmt
Total Expense	0.06046	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$912,620	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,331	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$893,289	NetCommunityBenefitExpnsAmt
Total Expense	0.00123	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$209,323,724	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$60,510,770	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$148,812,954	NetCommunityBenefitExpnsAmt
Total Expense	0.20499	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$544,288,359	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$414,953,613	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$152,196,065	NetCommunityBenefitExpnsAmt
Total Expense	0.20965	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$27,357,302	BadDebtExpenseAmt
Bad Debt Expense Attributable	$11,107,702	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$2,026,430	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$5,199,974	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,173,544	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Research FacilityResearchFacilityInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd
CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS
2	601 CHILDRENS LANE	NORFOLK	VA	23507	H1843	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	MEDICAID DSH HOSPITAL	A
CHKD HEALTH AND SURGERY CENTER
1	2021 CONCERT DRIVE	VIRGINIA BEACH	VA	23456	OH713	Yes (X)						OUTPATIENT SURGICAL HOSPITAL	A
CHKD HEALTH AND SURGERY CENTER
3	11783 ROCK LANDING DRIVE	NEWPORT NEWS	VA	23608	OH694	Yes (X)						OUTPATIENT SURGICAL HOSPITAL	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	3	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CHKD.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	25	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CHKD.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	175.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.CHKD.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CHKD.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CHKD.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP A. CHKD'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED COLLECTING DATA FROM SEVERAL DIFFERENT SOURCES: A COMMUNITY HEALTH SURVEY (IN COLLABORATION WITH OTHER AREA HOSPITAL SYSTEMS), FOCUS GROUPS, KEY STAKEHOLDER INTERVIEWS, AND A HEALTH INDICATOR ANALYSIS. TWO VERSIONS OF THE SURVEY, WITH SIMILAR QUESTIONS, WERE CIRCULATED ACROSS CHKD'S SERVICE AREA. BOTH SURVEYS WERE CIRCULATED WIDELY THROUGH PARTNERS AND NOTIFICATIONS VIA SOCIAL MEDIA. THE FIRST VERSION WAS A STAKEHOLDER SURVEY IN WHICH MANY PARTICIPANTS PROVIDED EDUCATIONAL, HEALTH, OR OTHER SUPPORT SERVICES TO ITS MEDICALLY UNDERSERVED COMMUNITY. THERE WERE 289 RESPONSES TO THIS VERSION OF THE SURVEY. THE SECOND VERSION WAS A COMMUNITY SURVEY THAT WAS CIRCULATED MORE BROADLY TO COMMUNITY MEMBERS IN CHKD'S SERVICE AREA. THERE WERE A TOTAL OF 5,197 INDIVIDUALS WHO COMPLETED THE MAJORITY OF THE QUESTIONS IN THIS VERSION OF THE SURVEY. GIVEN THE PREVIOUSLY IDENTIFIED PRIORITY OF MENTAL & BEHAVIORAL HEALTH, PLUS AN INTEREST IN HEARING FROM STAKEHOLDERS FAMILIAR WITH THESE ISSUES FROM ACROSS THE REGION, KEY STAKEHOLDER INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED. A TOTAL OF 28 KEY STAKEHOLDERS WERE INTERVIEWED. KEY STAKEHOLDER INTERVIEWS INCLUDED CORE SERVICE PROVIDERS, AND TARGETED LOCAL PUBLIC HEALTH AND SOCIAL SERVICE DEPARTMENT REPRESENTATIVES, INDIVIDUALS OR ORGANIZATIONS SERVING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, SCHOOL NURSES FROM LOCAL SCHOOL SYSTEMS, PARTICULARLY IN RURAL AND PREDOMINANTLY LOW-INCOME AREAS, AND HEALTHCARE AND MENTAL/BEHAVIORAL HEALTHCARE PROVIDERS WHO OFFER SERVICES FOR CHILDREN AND FAMILIES. ORGANIZATIONAL PARTICIPANTS INCLUDED HOSPITALS, COMMUNITY HEALTH CENTERS, SCHOOL SYSTEMS, SOCIAL SERVICES, NON-PROFIT AND OTHER COMMUNITY-BASED ORGANIZATIONS. THERE WERE A TOTAL OF 247 PEOPLE WHO PARTICIPATED IN 27 FOCUS GROUPS. FOCUS GROUPS WERE FACILITATED BY THE CHNA COLLABORATIVE. THE COLLABORATIVE WAS FORMED BY REGIONAL HOSPITAL SYSTEMS AND HEALTH DEPARTMENTS TO PLAN AND IMPLEMENT PARTS OF THE CHNA PROCESS. THIS PROCESS INCLUDED SEEKING INPUT FROM COMMUNITIES SERVED, INCLUDING MEDICALLY UNDERSERVED POPULATIONS, AS WELL AS ORGANIZATIONS WITH INSIGHT INTO THE PUBLIC HEALTH NEEDS OF THE BROADER COMMUNITY AND/OR SPECIFIC NEEDS OF THE MEDICALLY UNDERSERVED COMMUNITIES. THE CHNA COLLABORATIVE USED CHATGPT TO INITIALLY IDENTIFY FOCUS GROUP THEMES. STRONG THEMES EMERGED AND INCLUDED: MENTAL HEALTH; CHRONIC & ACUTE HEALTH CONDITIONS; ACCESS TO HEALTH CARE; ACCESS TO HEALTHY FOODS, NUTRITION, & FOOD SECURITY; IMPACT OF SOCIAL & ENVIRONMENTAL FACTORS; TECHNOLOGY & SOCIAL INTERACTION; AND CULTURAL & TRUST BARRIERS. IN ADDITION TO PRIORITIZING SIGNIFICANT HEALTH NEEDS, FOCUS GROUPS DISCUSSED EXISTING RESOURCES AND ORGANIZATIONS, PROGRAMS, AND PARTNERSHIPS WORKING TO ADDRESS SOME OF THOSE NEEDS IDENTIFIED. IN THE KEY HEALTH INDICATOR ANALYSIS, NATIONAL, STATE, AND PRIVATE DATA SOURCES WERE USED. KEY HEALTH ISSUES WERE IDENTIFIED WHEN DATA FROM CHKD'S SERVICE AREA REVEALED WORSE HEALTH OUTCOMES OR CONDITIONS, COMPARED TO STATE AVERAGES. SIGNIFICANT HEALTH NEEDS WERE ALSO IDENTIFIED BASED ON HEALTH DISPARITIES RELATED TO GEOGRAPHIC LOCATION, GENDER, RACE, OR AGE DIFFERENCES.
Schedule H, Part V, Section B, Line 6a Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP - A. A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FOR CHKD'S THREE LICENSED FACILITIES LISTED IN PART V, SECTION A.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP - A. AFTER COMPILING THE RESULTS FROM THE COMMUNITY HEALTH SURVEY, KEY STAKEHOLDER INTERVIEWS, FOCUS GROUPS, AND HEALTH INDICATOR ANALYSIS, SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED ACROSS DATA SOURCES. THESE THEMES EITHER AROSE AS PRIORITIES IN AT LEAST TWO OF THE DATA SOURCES OR IF DATA FROM ONE OF THE SOURCES REVEALED OVERWHELMING NEED. THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED: MENTAL HEALTH, ACCESS TO HEALTH CARE, CHRONIC & ACUTE HEALTH CONDITIONS, ACCESS TO HEALTHY FOODS, VIOLENCE IN THE HOME/COMMUNITY, MATERNAL/INFANT HEALTH, ALCOHOL MISUSE, SOCIAL/ENVIRONMENTAL FACTORS, AND AFFORDABLE HOUSING/HOMELESSNESS. CHKD LEADERS REVIEWED RESULTS ACROSS ALL DATA SOURCES, AS WELL AS THE PRIORITIES LISTED PREVIOUSLY, TO DETERMINE PRIORITIES BASED ON SIMILAR CRITERIA USED IN PREVIOUS CHNA PROCESSES, INCLUDING: ALIGNMENT WITH CHKD'S MISSION, GOALS, & SCOPE OF SERVICE; IMPORTANCE AND PRIORITY INDICATED THROUGH COMMUNITY & KEY STAKEHOLDER INPUT; AND THE DEGREE TO WHICH CHKD HAS THE RESOURCES NEEDED TO ADDRESS THE ISSUE. INDIVIDUALS AND GROUPS INVOLVED IN THIS PROCESS INCLUDED THE FOLLOWING: THE HOSPITAL'S SENIOR LEADERSHIP TEAM, WHICH INCLUDES ITS CEO, SENIOR AND VICE PRESIDENTS; CHKD'S PHYSICIAN LEADERS; AND CHKD'S PARENT & FAMILY ADVISORY COUNCIL. BASED ON THE CRITERIA AND GIVEN THE ENORMOUS NEED FOR MENTAL HEALTH SERVICES, THERE WAS A STRONG CONSENSUS THAT CHKD SHOULD CONTINUE TO FOCUS ITS IMPLEMENTATION STRATEGY ON PEDIATRIC MENTAL HEALTH IN ITS 2025 IMPLEMENTATION PLAN STRATEGY. FOR ITS PREVIOUS, 2022-2024 IMPLEMENTATION STRATEGY, CHKD'S SOLE FOCUS WAS MENTAL HEALTH. SINCE 2019, CHKD OPENED THE CHILDREN'S PAVILION, AND HIRED MORE THAN 400 PEDIATRIC MENTAL HEALTH PROVIDERS & SUPPORT STAFF. OTHER STEPS INCLUDED PROVISION OF CLINICAL NEEDS ASSESSMENTS ACROSS THE REGION; TELEHEALTH; EMERGENCY DEPARTMENT SERVICES/CONSULTS; THE PARTIAL HOSPITALIZATION PROGRAM; THE INTENSIVE OUTPATIENT PROGRAM AT LANDSTOWN; THE BRIDGE CRISIS CLINIC FOR INTERIM PSYCHIATRIC SERVICES; THE PAVILION FOR INPATIENT CARE; ACADEMICS & RESEARCH; AND COLLABORATION WITH VARIOUS COMMUNITY PARTNERS. MENTAL HEALTH: 2025 CHNA JOINT IMPLEMENTATION STRATEGY ACTION STEPS INCLUDE WORKFORCE RETENTION & DEVELOPMENT; STRENGTHENING SPECIALIZED SERVICES; AND COMMUNITY OUTREACH AND ENGAGEMENT. * WORKFORCE RETENTION & DEVELOPMENT: INCREASE CHILD/ADOLESCENT PSYCHIATRY FELLOWSHIPS; HIRE ADDITIONAL SUPERVISORS & RESIDENTS; DEVELOP INTERNAL FLOAT & RESOURCE POOL MODELS, RESTRUCTURE THE PAVILION'S NURSING & ADMINISTRATIVE ORGANIZATIONS; REDESIGN THE RECRUITMENT PORTION OF THE WEBSITE, COMMIT RESOURCES TO RAISE THE PROFILE OF THE MENTAL HEALTH SERVICE LINE & STAFF POSITIONS; A SERVICE LINE-SPECIFIC NEWSLETTER; AND INCREASE IN-PERSON MEETINGS WITH LEADERSHIP. * STRENGTHENING SPECIALIZED SERVICES: ADOPT THE NATIONALLY RECOGNIZED CHILD AND ADOLESCENT SERVICE INTENSITY INSTRUMENT (CASII) AND CREATE MORE APPOINTMENT AVAILABILITY AT COMMUNITY BASED HEALTH CENTERS. DUE TO LIMITED SPACE FOR MENTAL HEALTH CARE, CHKD OFFERS MENTAL HEALTH SERVICES AT CHKD HEALTH CENTERS AT LANDSTOWN & CONCERT DRIVE FOR VIRGINIA BEACH; CHKD HEALTH CENTER AND URGENT CARE AT TECH CENTER FOR NEWPORT NEWS, IN ADDITION TO CHKD'S CHILDREN'S PAVILION IN NORFOLK, VIRGINIA. * COMMUNITY OUTREACH AND ENGAGEMENT (CORE): FOSTERS COLLABORATION, PROGRAMS, AND PARTNERSHIPS WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS TO ADDRESS PEDIATRIC MENTAL HEALTH. OTHER SIGNIFICANT HEALTH NEEDS ADDRESSED BY CHKD'S EXISTING EFFORTS INCLUDE ACCESS TO HEALTH CARE, CHRONIC & ACUTE HEALTH CONDITIONS, INFANT CARE, AND VIOLENCE IN THE HOME/COMMUNITY. THESE AREAS ARE ADDRESSED VIA THE NEONATAL INTENSIVE CARE UNIT, CHILD ADVOCACY CENTER (CAP), AND THE SAFER FUTURES PROGRAM. DUE TO RESOURCE CONSTRAINTS, CHKD IS NOT ADDRESSING OTHER SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA, INCLUDING ACCESS TO HEALTHY FOODS, ALCOHOL MISUSE, SOCIAL/ENVIRONMENTAL FACTORS, AND AFFORDABLE HOUSING/HOMELESSNESS. THESE NEEDS ARE ADDRESSED BY OTHER COMMUNITY ORGANIZATIONS.
Schedule H, Part V, Section B, Line 13 Facility A, 1	Facility A, 1 - FACILITY REPORTING GROUP - A. PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE: 1. STATE-FUNDED PRESCRIPTION PROGRAMS; 2. HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC; 3. PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC); 4. FOOD STAMP ELIGIBILITY; 5. SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY; 6. ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT ARE UNFUNDED (E.G., MEDICAID SPEND-DOWN); 7. LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; AND 8. PATIENT IS DECEASED WITH NO KNOWN ESTATE.

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHKD HLTH CTR & URGENT CARE AT LOEHMA
3960 VIRGINIA BEACH BLVD	VIRGINIA BEACH	VA	23452	URGENT CARE & OUTPATIENT SERVICES
CHKD HEALTH CENTER AT OAKBROOKE
500 DISCOVERY DRIVE	CHESAPEAKE	VA	23320	OUTPATIENT SERVICES
CHKD URGENT CARE AT VOLVO
817 VOLVO PARKWAY	CHESAPEAKE	VA	23320	URGENT CARE & OUTPATIENT SERVICES
CHKD HLTH CTR & URGENT CARE AT TECH C
680 OYSTER POINT ROAD	NEWPORT NEWS	VA	23602	URGENT CARE & OUTPATIENT SERVICES
CHKD HLTH CTR & URGENT CARE AT LANDST
1924 LANDSTOWN WAY	VIRGINIA BEACH	VA	23456	URGENT CARE & OUTPATIENT SERVICES
CHKD HEALTH CENTER AT HARBOUR VIEW
5832 HARBOUR VIEW BLVD	SUFFOLK	VA	23435	OUTPATIENT SERVICES
CHKD HEALTH CENTER AT HARBOUR
5834 HARBOUR VIEW BLVD	SUFFOLK	VA	23435	OUTPATIENT SERVICES
CHKD HEALTH CENTER AT LIGHTFOOT
6425 RICHMOND ROAD	WILLIAMSBURG	VA	23188	OUTPATIENT SERVICES
HEALTH CENTER AT MEDICAL CENTER CAMPU
850 SOUTHAMPTON AVENUE	NORFOLK	VA	23510	OUTPATIENT SERVICES
SPORTS MEDICINE IN GHENT
702 WEST 21ST STREET	NORFOLK	VA	23517	OUTPATIENT SERVICES
SATELLITE AT MEDICAL TOWER
400 GRESHAM DRIVE	NORFOLK	VA	23507	OUTPATIENT SERVICES
CHKD CAP
935 REDGATE AVENUE	NORFOLK	VA	23507	OUTPATIENT SERVICES
FORT NORFOLK PLAZA MEDICAL BUILDING
301 RIVERVIEW AVENUE	NORFOLK	VA	23510	OUTPATIENT SERVICES
CHKD HEALTH CENTER AT KEMPSVILLE
171 KEMPSVILLE ROAD	NORFOLK	VA	23510	OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7e	THE AMOUNT REPORTED ON PART I, LINE 7(E) INCLUDES $80,470,900 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.
Schedule H, Part I, Line 7f	THE AMOUNT OF BAD DEBT INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) THAT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENT OF TOTAL EXPENSE IN PART I, LINE 7, COLUMN (F) IS $27,357,302.
Schedule H, Part VI, Line 7	FACILITY REPORTING GROUP A INCLUDES CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, CHKD HEALTH AND SURGERY CENTER IN NEWPORT NEWS AND CHKD HEALTH AND SURGERY CENTER IN VIRGINIA BEACH.
Schedule H, Part V, Section B FACILITY REPORTING GROUP A	FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS - FACILITY 2: CHKD HEALTH AND SURGERY CENTER - FACILITY 3: CHKD HEALTH AND SURGERY CENTER
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	A HYBRID APPROACH WAS USED FOR DETERMINING COSTS RELATED TO COMMUNITY BENEFIT. ACTUAL COSTS FROM ALL PATIENT SEGMENTS ARE IDENTIFIED BY DEPARTMENT IN THE GENERAL LEDGER AND THEN WERE GROUPED INTO LIKE COMMUNITY BENEFIT PROGRAMS. INDIRECT COSTS WERE ADJUSTED FOR COSTS ATTRIBUTABLE TO UNREIMBURSED MEDICAID COSTS REPORTED ELSEWHERE, MARKETING AND GRANT WRITING EXPENSES. THE MEDICAID COSTS ADJUSTMENT WAS CALCULATED USING A COST TO CHARGE RATIO OF APPLICABLE EXPENSES DIVIDED BY TOTAL APPLICABLE CHARGES APPLIED TO MEDICAID REVENUE. THE REMAINING INDIRECT COSTS WERE ALLOCATED PROPORTIONATELY TO THE DIRECT COSTS REPORTED BY DEPARTMENT. IN ADDITION, EXPENSES WERE CALCULATED AT COST AND THEN COSTS RELATED TO CHARITY CARE, BAD DEBT AND MEDICAID WERE REMOVED BEFORE ARRIVING AT THE AMOUNTS FOR COMMUNITY BENEFIT AT COST.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT REPORTED IN PART III, LINE 2 REFLECTS PATIENT ACCOUNT BALANCES WRITTEN OFF AS UNCOLLECTIBLE BASED ON THE ORGANIZATION'S REVENUE CYCLE POLICIES AND COLLECTION EXPERIENCE. AMOUNTS ARE DERIVED FROM PATIENT-RELATED WRITE-OFFS RECORDED IN THE GENERAL LEDGER AND ARE NOT LIMITED TO GAAP BAD DEBT EXPENSE REPORTED IN THE AUDITED FINANCIAL STATEMENTS. IF AMOUNTS PREVIOUSLY WRITTEN OFF ARE SUBSEQUENTLY COLLECTED, BAD DEBT EXPENSE IS REDUCED IN THE PERIOD COLLECTED.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS CALCULATED BASED OFF THE PERCENTAGE OF CHARITY CARE EXPENSES AS A PERCENTAGE OF SELF-PAY REVENUE. CHKD DOES NOT MAINTAIN RECORDS THAT TRACK PATIENTS WHO COULD HAVE QUALIFIED FOR CHARITY CARE. THIS AMOUNT IS AN ESTIMATE OF PATIENTS WHO LIKELY WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO DETERMINE THEIR ELIGIBILITY. THIS AMOUNT IS NOT INCLUDED AS COMMUNITY BENEFIT.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	CHKD PRESENTS BAD DEBT PROVISION ON THE FINANCIAL STATEMENTS AS A DEDUCTION FROM NET PATIENT SERVICE REVENUE PER ACCOUNTING STANDARDS UPDATE (ASU) 2011-07. THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES IS MANAGEMENT'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE HOSPITAL'S EXISTING RECEIVABLES. THE HOSPITAL DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE, NET OF PAYMENTS AND DISCOUNTS, AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR THE RECOVERY IS CONSIDERED REMOTE. FOR ADDITIONAL DETAILS SEE FOOTNOTE 3 ON PAGE 13 OF THE AUDITED FINANCIAL STATEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	AS A CHILDREN'S HOSPITAL, THE HOSPITAL HAS A SMALL POPULATION OF MEDICARE PATIENTS AND IS PAID LESS THAN COST DUE TO THE REIMBURSEMENT METHODOLOGY USED BY MEDICARE. THE SHORTFALL WAS CALCULATED USING THE HOSPITAL'S OVERALL COST TO CHARGE RATIO APPLIED TO MEDICARE GROSS CHARGES. THIS SHORTFALL IS NOT SEPARATELY INCLUDED AS A COMMUNITY BENEFIT AS 100% OF IT HAS ALREADY BEEN CAPTURED IN THE APPROPRIATE CATEGORY ON PART I, LINE 7.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	ACCOUNTS WITH AN UNPAID BALANCE OR WITHOUT AN ESTABLISHED PAYMENT PLAN ARE REFERRED TO A COLLECTION AGENCY OR ATTORNEY FOR CONTINUED COLLECTION EFFORTS. CHKD MAKES REASONABLE EFFORTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE/CHARITY CARE BEFORE REFERRING TO A COLLECTION AGENCY OR AN ATTORNEY. REASONABLE EFFORT INCLUDES AND IS NOT LIMITED TO NOTIFICATION ABOUT THE FINANCIAL ASSISTANCE - CHARITY CARE/COLLECTION POLICY POSTED IN ADMISSIONS, EMERGENCY DEPARTMENT OR OTHER DESIGNATED AREAS. THE INFORMATION REGARDING THE POLICY IS INCLUDED IN THE ADMISSION PACKAGE AND ON THE PATIENT BILL. THE HEALTH BENEFITS ANALYST AND CUSTOMER SERVICE REPRESENTATIVE WHO MAY SPEAK WITH THE GUARANTOR BY PHONE PROVIDE THEM WITH FINANCIAL ASSISTANCE INCLUDING CHARITY CARE INFORMATION. THE FINANCIAL ASSISTANCE-CHARITY CARE/COLLECTION POLICY IS AVAILABLE UPON REQUEST AND VIA WWW.CHKD.ORG. CHKD ENSURES ALL COLLECTION PROTOCOLS ARE MET PRIOR TO REFERRAL TO COLLECTIONS AGENCY OR ATTORNEY. APPROVED CHARITY CARE AMOUNT WILL NOT BE SUBJECT TO COLLECTION ACTIVITIES. THE REMAINING BALANCE WILL BE SUBJECT TO CHKD'S STANDARD COLLECTION PROTOCOLS.
Schedule H, Part V, Section B, Line 16a FAP website	A - CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS: Line 16a URL: WWW.CHKD.ORG;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS: Line 16b URL: WWW.CHKD.ORG;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS: Line 16c URL: WWW.CHKD.ORG;
Schedule H, Part VI, Line 2 Needs assessment	AS THE ONLY HEALTHCARE PROVIDER IN VIRGINIA DEVOTED EXCLUSIVELY TO THE NEEDS OF CHILDREN, CHKD ASSUMES THE RESPONSIBILITY OF LEADING THE REGION IN THE PROVISION OF PEDIATRIC CARE AND THE PROMOTION OF CHILDREN'S HEALTH AND IS TRUSTED THROUGHOUT ITS COMMUNITY TO ADDRESS ESTABLISHED AND EMERGENT PEDIATRIC NEEDS WHEREVER AND HOWEVER THEY ARE IDENTIFIED. CHKD USES A VARIETY OF METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. NEEDS ARE IDENTIFIED THROUGH A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, PARTNERSHIPS AND COLLABORATIONS WITH OTHER MEDICAL, NON-PROFIT, AND PUBLIC HEALTH AGENCIES AND ORGANIZATIONS AND THROUGH REGIONAL, STATE AND NATIONAL DATA. FROM NOVEMBER 2024 TO APRIL 2025, CHKD CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH SUPPORT FROM TOXCEL, LLC, A GAINESVILLE, VIRGINIA-BASED SCIENCE, ENGINEERING AND HEALTH RESEARCH AND CONSULTING FIRM. THIS JOINT CHNA COVERS ALL THREE LICENSED FACILITIES ASSOCIATED WITHIN THE CHKD HEALTHSYSTEM: CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS (CHKD) LOCATED IN NORFOLK AND CHKD'S TWO HEALTH AND SURGERY CENTERS, ONE AT OYSTER POINT IN NEWPORT NEWS AND ONE AT PRINCESS ANNE IN VIRGINIA BEACH. CHKD'S CHNA PROVIDES AN OVERVIEW OF THE PRIMARY AND SECONDARY DATA USED TO IDENTIFY KEY HEALTH ISSUES WITHIN THE CHKD COMMUNITY. IT COMBINES AND COMPARES RESULTS FROM THREE SOURCES: A COMMUNITY HEALTH SURVEY, FOCUS GROUPS, AND KEY STAKEHOLDER INTERVIEWS. CHKD'S CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT WWW.CHKD.ORG/COMMUNITYBENEFIT.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	CHKD'S CHARITY CARE ELIGIBILITY CRITERIA AND PROCEDURES FOR APPLYING ARE PROVIDED TO ALL PATIENTS. CHARITY CARE INFORMATION IS INCLUDED IN EVERY INPATIENT ADMISSION PACKET AND DISTRIBUTED TO THE OUTPATIENT DURING THE OUTPATIENT REGISTRATION PROCESS. AN APPLICATION FOR CHARITY CARE, ALONG WITH A LETTER EXPLAINING THE PROCESS, IS SENT TO ANY PATIENT OR GUARANTOR WHO REQUESTS INFORMATION ON ANY PROGRAMS OR PROVISIONS THE HOSPITAL MAY HAVE TO HELP ASSIST PATIENTS OR GUARANTORS IN PAYING THEIR HOSPITAL BILL. THE CHARITY CARE POLICY AND APPLICATION ARE PROMINENTLY DISPLAYED ON THE MAIN "BILLING" PAGE OF THE HOSPITAL WEBSITE, JUST ONE CLICK FROM THE HOME PAGE, AT WWW.CHKD.ORG/BILLING/FINANCIAL-ASSISTANCE. PRINTED COPIES ARE ALSO AVAILABLE AT EACH REGISTRATION WORKSTATION. ALL BILLING STATEMENTS MAILED TO GUARANTORS INCLUDE A NOTICE OF THE AVAILABILITY OF CHARITY AND HOW TO OBTAIN THE INFORMATION/APPLICATION. ASSISTANCE WITH THE APPLICATION PROCESS IS AVAILABLE THROUGH THE HEALTH BENEFITS ANALYST (HBA). THE HBA SENDS OUT APPLICATIONS VIA MAIL AND REFERS FAMILIES TO THE HOSPITAL'S WEBSITE. THE UNIT SOCIAL WORKER IS AVAILABLE TO PROVIDE INFORMATION OR REFERRAL TO THE HBA DURING AN INPATIENT STAY.
Schedule H, Part VI, Line 4 Community information	CHKD IS THE REGIONAL PEDIATRIC REFERRAL CENTER FOR SOUTHEASTERN VIRGINIA, THE EASTERN SHORE OF VIRGINIA AND NORTHEASTERN NORTH CAROLINA. CHKD SERVES THE FOLLOWING REGIONS IN VIRGINIA: ACCOMACK COUNTY, CHESAPEAKE CITY, FRANKLIN CITY, GLOUCESTER COUNTY, HAMPTON CITY, ISLE OF WIGHT COUNTY, JAMES CITY COUNTY, MATHEWS COUNTY, NEWPORT NEWS CITY, NORFOLK CITY, NORTHAMPTON COUNTY, POQUOSON CITY, PORTSMOUTH CITY, PRINCE GEORGE COUNTY, SOUTHAMPTON COUNTY, SUFFOLK CITY, SURRY COUNTY, SUSSEX COUNTY, VIRGINIA BEACH CITY, WILLIAMSBURG CITY AND YORK COUNTY. WITHIN NORTH CAROLINA, CHKD SERVES THE FOLLOWING REGIONS: BERTIE COUNTY, CAMDEN COUNTY, CHOWAN COUNTY, CURRITUCK COUNTY, DARE COUNTY, GATES COUNTY, HERTFORD COUNTY, PASQUOTANK COUNTY AND PERQUIMANS COUNTY. AS REFLECTED IN OUR 2025 CHNA, THIS SERVICE REGION INCLUDED 492,179 PERSONS AGE 0-19. CHKD'S SERVICE AREA COMPRISES A DIVERSE MIX OF URBAN, SUBURBAN AND RURAL COMMUNITIES, AS WELL AS 10 MILITARY INSTALLATIONS. CHKD IS WELL VERSED IN THE SPECIAL NEEDS OF MILITARY FAMILIES AND HAS ONE OF THE HIGHEST TRICARE PAYER PERCENTAGES AMONG THE CHILDREN'S HOSPITALS IN THE NATION.
Schedule H, Part VI, Line 5 Promotion of community health	CHKD PLAYS A UNIQUE ROLE IN ITS COMMUNITY BY PROVIDING PEDIATRIC HEALTHCARE SERVICES AVAILABLE NOWHERE ELSE IN THE REGION AND, AT THE SAME TIME, SERVING AS THE SAFETY NET PROVIDER TO THE REGION'S INDIGENT CHILDREN. IN FY 2025, CHKD HAD 5,790 ADMISSIONS RESULTING IN 55,158 PATIENT DAYS. 56.1 PERCENT OF THESE DAYS WERE COVERED BY MEDICAID, WHICH IS THE HIGHEST PERCENTAGE BY FAR OF ANY ACUTE-CARE HOSPITAL IN VIRGINIA. CHKD LEADS THE REGION IN EFFORTS TO ADDRESS PUBLIC HEALTH CONCERNS LIKE CHILD ABUSE AND CHILDHOOD OBESITY. IT IS THE SOLE PROVIDER OF PEDIATRIC SUBSPECIALTY CARE FOR CHILDREN WITH CHRONIC ILLNESSES LIKE CANCER AND DIABETES AND EMPLOYS THE REGION'S ONLY PEDIATRIC SURGEONS. THE HOSPITAL'S VIBRANT COMMUNITY OUTREACH PROGRAM COORDINATES PARENT, PROFESSIONAL AND STUDENT PROGRAMS THAT BRING IMPORTANT HEALTH, SAFETY AND WELLNESS INFORMATION TO THOUSANDS OF PARTICIPANTS. CHKD ALSO TAKES AN ACTIVE ROLE IN THE EDUCATION OF PEDIATRICIANS. COMPREHENSIVE INFORMATION ON CHKD'S EFFORTS TO IMPROVE THE HEALTH OF CHILDREN IS AVAILABLE AT WWW.CHKD.ORG/COMMUNITYBENEFIT
Schedule H, Part VI, Line 6 Affiliated health care system	CHKD IS PART OF CHILDREN'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. CHKD EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. SURPLUS FUNDS ARE USED TO MEET THE NEEDS OF THE ORGANIZATION AS DETERMINED BY CHKD SENIOR MANAGEMENT AND THE CHS BOARD OF DIRECTORS. HISTORICALLY, SURPLUS FUNDS HAVE BEEN USED FOR A VARIETY OF PURPOSES INCLUDING PATIENT CARE PROGRAMS, CAPITAL IMPROVEMENT NEEDS, RESERVES, ETC. ROLES OF ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED: THE CHILDREN'S HEALTH SYSTEM IS COMPRISED OF SEVERAL ORGANIZATIONS. CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS IS A FREESTANDING CHILDREN'S HOSPITAL THAT PROVIDES A BROAD SPECTRUM OF INPATIENT AND OUTPATIENT CARE SERVICES ACROSS MANY PEDIATRIC SPECIALTIES, INCLUDING EVERYTHING FROM PRIMARY CARE AND WELLNESS INITIATIVES TO NEONATAL AND PEDIATRIC INTENSIVE CARE. OTHER ENTITIES UNDER THE CHILDREN'S HEALTH SYSTEM UMBRELLA INCLUDE: * CHILDREN'S HEALTH FOUNDATION, WHICH MANAGES INVESTMENTS AND FUNDS EDUCATION, RESEARCH AND OTHER PROGRAMS FOR CHILDREN'S HEALTH SYSTEM * CHILDREN'S MEDICAL GROUP, INC., A VIRGINIA STOCK CORPORATION, WHICH OWNS AND OPERATES PEDIATRIC PHYSICIAN PRACTICES * CMG OF NORTH CAROLINA, INC., A NORTH CAROLINA STOCK CORPORATION, WHICH OWNS AND OPERATES A PEDIATRIC PHYSICIAN PRACTICE IN NORTHEASTERN NORTH CAROLINA * CHILDREN'S SURGICAL SPECIALTY GROUP, INC., A VIRGINIA STOCK CORPORATION, WHICH OWNS AND OPERATES PEDIATRIC SURGICAL SUBSPECIALTY PRACTICES, INCLUDING PEDIATRIC GENERAL SURGERY, PEDIATRIC UROLOGY, PEDIATRIC CARDIAC SURGERY, PEDIATRIC ORTHOPEDIC SURGERY, PEDIATRIC NEUROSURGERY AND PEDIATRIC PLASTIC SURGERY. * CHILDREN'S HEALTH INSURANCE, LLC, A CAPTIVE INSURANCE COMPANY INCORPORATED IN SOUTH CAROLINA IS A DISREGARDED ENTITY OF CHKD. * CHKD THRIFT STORES, LLC, A DISREGARDED ENTITY ORGANIZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM. * CHILDREN'S REAL ESTATE, LLC, IS A DISREGARDED ENTITY ORGANIZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM. * CHILDREN'S RESEARCH HOLDING, LLC, A DISREGARDED ENTITY ORGANIZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM. * CHILDREN'S QUALITY CARE, LLC, A DISREGARDED ENTITY ORGANIZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM. * CHILDREN'S PHARMACY SERVICES, LLC, A DISREGARDED ENTITY ORGANIZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM.
Schedule H, Part VI, Line 7 State filing of community benefit report	VA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
CHILDREN'S HEALTH SYSTEM INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278830	501(C)(3)	$13,500,000	CASH	GENERAL SUPPORT
CHILDREN'S HEALTH FOUNDATION INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278865	501(C)(3)	$6,790,106	CASH	GENERAL SUPPORT
TIDEWATER EMS COUNCIL
1104 MADISON PLAZA STE 101	CHESAPEAKE	VA	23320	540977032	501(C)(3)	$20,000	CASH	EMS RESUPPLY SYSTEM
PENINSULAS EMS COUNCIL
PO BOX 1297	GLOUCESTER	VA	23061	541064500	501(C)(3)	$5,000	CASH	EMS RESUPPLY SYSTEM
TEXAS TECH UNIVERSITY
3601 4TH STREET	LUBBOCK	TX	79430	752668014	501(C)(3)	$25,000	CASH	HUMAN MILK BANK
EASTERN VIRGINIA MEDICAL SCHOOL
PO BOX 1980	NORFOLK	VA	23501	546055378	501(C)(3)	$14,492	CASH	RESEARCH STUDY

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	AWARDS ARE MADE TO INVESTIGATORS/PHYSICIANS BY CHKD (CHILDREN'S HOSPITAL THE KING'S DAUGHTERS) FOR SPECIFIC PROJECT OR RESEARCH ENDEAVORS. FUNDING REQUESTS ARE COMPLETED AND SUBMITTED WHERE THEY ARE REVIEWED BY THE FINANCE DEPARTMENT, THE CEO AND THE APPLICABLE BOARD. AFTER AN AWARD IS MADE, THE AWARDEE MUST FILE QUARTERLY FINANCIAL SUMMARIES AND A FINAL REPORT TO BE SUBMITTED TO THE CEO AT THE END OF THE FUNDING PERIOD. ADDITIONALLY, CHKD GIVES CONTRIBUTIONS TO ITS PARENT ORGANIZATION, CHILDREN'S HEALTH SYSTEM, AND TO CHILDREN'S HEALTH FOUNDATION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Amy Sampson
President/CEO/Director	$0	$1,144,719	$0	$326,859	$0	$814,570	$0	$930,206	$0	$42,066	$0	$3,258,420	$0	$756,504
Scott Nottingham MD
Director	$0	$411,789	$0	$0	$0	$472	$0	$13,800	$0	$29,719	$0	$455,780	$0	$0
Carl St Remy MD
Director	$0	$851,252	$0	$0	$0	$810	$0	$13,800	$0	$30,427	$0	$896,289	$0	$0
Kathryn Abshire
CFO/Asst Tres./Asst Sec.	$0	$555,389	$0	$114,459	$0	$357,572	$0	$497,762	$0	$37,950	$0	$1,563,132	$0	$324,962
JOHN HARDING
FORMER CHIEF OPERATING OFFICER	$0	$0	$0	$0	$0	$1,174,869	$0	$0	$0	$0	$0	$1,174,869	$0	$783,026
Allison Silva
VP - Ancillary Services	$320,977	$0	$52,586	$0	$252,872	$0	$171,708	$0	$15,254	$0	$813,397	$0	$178,823	$0
Kristi McGowin
VP - Patient Care Services/CNO	$296,912	$0	$24,645	$0	$45,282	$0	$65,264	$0	$15,287	$0	$447,390	$0	$0	$0
Tamika Harris
VP - Facilities & Support Services	$112,488	$0	$0	$0	$46,736	$0	$4,739	$0	$14,457	$0	$178,420	$0	$0	$0
Christopher Foley
Senior VP - Chief Clinical Operations Officer	$0	$814,043	$0	$144,735	$0	$12,096	$0	$136,787	$0	$47,339	$0	$1,155,000	$0	$0
Kimberly Day
Senior VP - Chief Legal Officer	$0	$490,396	$0	$102,138	$0	$107,692	$0	$100,590	$0	$28,058	$0	$828,874	$0	$71,060
Donald Barnes
Senior VP - Chief People Officer	$0	$380,959	$0	$63,179	$0	$10,716	$0	$80,907	$0	$21,342	$0	$557,103	$0	$0
Terrie Pyeatt
VP - Finance	$0	$270,292	$0	$44,147	$0	$10,716	$0	$51,255	$0	$12,566	$0	$388,976	$0	$0
Deborah Barnes
VP - IS Operations	$0	$461,801	$0	$78,395	$0	$451,738	$0	$145,454	$0	$19,920	$0	$1,157,308	$0	$424,585
John Harrington
VP Quality/Safety & Clinical Integration	$451,883	$0	$74,473	$0	$36,922	$0	$92,903	$0	$33,811	$0	$689,992	$0	$0	$0
John Warburton
VP - Mental Health Service Line	$379,178	$0	$63,360	$0	$37,482	$0	$69,223	$0	$28,227	$0	$577,470	$0	$11,593	$0
Suzanne Brixey
Physician	$353,575	$0	$34,000	$0	$12,161	$0	$13,800	$0	$3,634	$0	$417,170	$0	$0	$0
Dean Cauley
Physician	$346,012	$0	$20,000	$0	$450	$0	$13,800	$0	$13,835	$0	$394,097	$0	$0	$0
Kamil Cak
VP - Experience of Care	$246,241	$0	$41,424	$0	$18,002	$0	$47,998	$0	$20,002	$0	$373,667	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	IN CONNECTION WITH A RETIREMENT PROGRAM, TAX GROSS-UP PAYMENTS ARE PROVIDED TO CERTAIN EMPLOYEES WHOSE EMPLOYER FUNDED CONTRIBUTIONS ARE IMMEDIATELY BENEFITS OF PARTICIPANTS WHOSE CONTRIBUTIONS ARE NOT IMMEDIATELY TAXABLE.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	CHILDREN'S HEALTH SYSTEM SPONSORS TWO SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS ("THE PLANS"). THE PLANS ARE DESIGNED TO RETAIN EXECUTIVES IN POSITIONS ESSENTIAL TO THE SUCCESS OF CHILDREN'S HEALTH SYSTEM. DURING THE YEAR, THE FOLLOWING INDIVIDUALS WERE PARTICIPANTS IN ONE OF THE SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AND RECEIVED THE FOLLOWING ANNUAL ACTUARIAL INCREASE OR DEFERRED CONTRIBUTION (INCLUDED IN SCHEDULE J, PART II, COLUMN (C)) AND/OR PAYMENT (INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III)). AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III) MAY DIFFER FROM AMOUNTS PAID DUE TO TIMING DIFFERENCES IN VESTING AND PAYMENTS. NAME: AMY SAMPSON ACT. INCREASE: $829,117 AMT. PAID: $329,049 NAME: KATHRYN ABSHIRE ACT. INCREASE: $463,097 AMT. PAID: $136,327 NAME: ALLISON SILVA ACT. INCREASE: $134,787 AMT. PAID: $819,034 NAME: DEBORAH BARNES ACT. INCREASE: $120,553 AMT. PAID: $2,116,694 NAME: CHRIS FOLEY ACT. INCREASE: $122,987 AMT. PAID: $0 NAME: KIMBERLY DAY ACT. INCREASE: $86,790 AMT. PAID: $80,255 NAME: JOHN HARRINGTON ACT. INCREASE: $79,103 AMT. PAID: $0 NAME: DONALD BARNES ACT. INCREASE: $67,107 AMT. PAID: $0 NAME: KRISTI MCGOWIN ACT. INCREASE: $65,264 AMT. PAID: $0 NAME: JOHN WARBURTON ACT. INCREASE: $55,423 AMT. PAID: $348,867 NAME: TERRIE PYEATT ACT. INCREASE: $38,617 AMT. PAID: $0 NAME: KAMIL CAK ACT. INCREASE: $36,235 AMT. PAID: $0 NAME: JOHN HARDING ACT. INCREASE: $0 AMT. PAID: $1,480,250
Schedule J, Part I, Line 7 Non-fixed payments	OFFICERS AND VICE PRESIDENTS MAY RECEIVE ADDITIONAL COMPENSATION BASED ON CRITERIA SET UP BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. DEPARTMENT DIRECTORS MAY RECEIVE ADDITIONAL COMPENSATION BASED ON CRITERIA SET BY MANAGEMENT AND APPROVED BY THE BOARD OF DIRECTORS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
VA SMALL BUSINESS FIN AUTH (2025)
A	541300845	2025-06-02	$90,805,000	REFINANCE 2015 SERIES BONDS (ISSUED 12/01/2015) AND FINANCING OF HEALTHCARE FACILITIES	false	false	false
VA SMALL BUSINESS FIN AUTH (2020)
B	541300845	2020-06-10	$100,000,000	FINANCING OF HOSPITAL FACILITIES	false	false	false
VA SMALL BUSINESS FIN AUTH (2021)
C	541300845	2021-11-09	$91,958,991	REFINANCE 2012 SERIES BONDS (ISSUED 9/19/2012) AND FINANCING OF HOSPITAL FACILITIES	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	RetiredRetiredAmt
A	$44,494,000	$44,494,000	2025	Yes (true)	false	Yes (true)	Yes (true)
B	$100,000,000	$100,000,000	2022	false	false	Yes (true)	Yes (true)	$5,145,000
C	$91,958,991	$91,958,991	2022	Yes (true)	false	Yes (true)	Yes (true)	$12,400,000

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0033	0.0033	false	false	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0	0.0	false	false	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0059	0.0059	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	Yes (true)	false	false	Yes (true)	false	false	false	false	false	false	Yes (true)
B	false	Yes (true)	false	false	Yes (true)	false	false	false	false	false	false	Yes (true)
C	false	Yes (true)	false	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule K, Part II, Line 10 COLUMN C -

CAPITAL EXPENDITURES FROM REQUISITIONED PROCEEDS CURRENTLY TOTAL $90,805,000 OF WHICH $46,311,000 WAS ALLOCATED TO CHILDREN'S HEALTH SYSTEM AND $44,494,000 WAS ALLOCATED TO CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS

Schedule K, Part III, Line 4

COLUMN B: WE HAVE CONCLUDED THAT OUT OF THE ACTIVITIES CONDUCTED IN THIS BOND FINANCED SPACE, WE HAVE NOTED THAT 0.59% OF THE SPACE WAS PRIVATE BUSINESS USE. THE REMAINING SPACE DID NOT RESULT IN PRIVATE BUSINESS USE DUE TO EQUITY PROVIDED OR A REGULATORY SAFE HARBOR. COLUMN C: WE HAVE CONCLUDED THAT OUT OF THE ACTIVITIES CONDUCTED IN THIS BOND FINANCED SPACE, WE HAVE NOTED THAT 0.33% OF THE SPACE WAS PRIVATE BUSINESS USE. THE REMAINING SPACE DID NOT RESULT IN PRIVATE BUSINESS USE DUE TO EQUITY PROVIDED OR A REGULATORY SAFE HARBOR.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WM JORDAN CO INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	ENTITY MORE THAN 35% OWNED BY JOHN LAWSON II, CURRENT BOARD MEMBER.	RelationshipDescriptionTxt
Transaction	$5,829,382	TransactionAmt
Transaction	CONSTRUCTION SERVICES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehiclesGrp

Field	Value	IRS element (for citing)
Contribution	3	ContributionCnt
Noncash Contributions Rpt F990	$10,475	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Other - CASH ON SALE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Contribution	35	ContributionCnt
Noncash Contributions Rpt F990	$2,821,178	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Other - AVG FMV ON DATE REC	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	OTHER	Desc
Contribution	17	ContributionCnt
Noncash Contributions Rpt F990	$13,684	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Other - FMV ON DATE REC	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions	CHKD PAYS AMERICA'S AA VIRGINIA A FEE TO AUCTION CARS FOR THE BENEFIT OF THE ORGANIZATION
Schedule M, Part I Explanations of reporting method for number of contributions	Cars and other vehicles - COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS RECEIVED. Securities - Publicly traded - COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS RECEIVED. Other - OTHER COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS RECEIVED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1	DEDICATED TO THE MISSION OF PROVIDING THE BEST POSSIBLE CARE AND SERVICES FOR ALL CHILDREN WHO COME TO US BECAUSE OF SICKNESS AND INJURY.
Form 990, Part III, Line 4a	For more than six decades, Children's Hospital of The King's Daughters (CHKD) has been the only facility of its kind in Virginia, serving the medical and surgical needs of children throughout the state. Its primary service area encompasses greater Hampton Roads, the Eastern Shore of Virginia, and northeastern North Carolina, a region that is home to approximately 418,000 people under the age of 21. CHKD was established as an 88-bed, not-for-profit hospital in 1961 by The King's Daughters, a women's service organization dedicated to the health and well-being of the community's indigent children. The hospital has always upheld the charitable mission of its founders, and in FY25, 56.1 percent of its inpatient days were covered by Medicaid. Over the past 60 years, CHKD's hospital has grown into an extensive pediatric health care system that offers 266 inpatient beds. Two hundred and six of those beds are in CHKD's acute care facility and sixty are in Children's Pavilion, the organization's new mental health tower. CHKD Health System also offers a variety of outpatient pediatric services at CHKD, Children's Pavilion, and multi-service CHKD Health Centers in Virginia Beach, Newport News, Chesapeake, Hampton, and Suffolk. Its services include everything from wellness and prevention initiatives to primary care, surgery and rehabilitation. Many of CHKD's unique services and programs address pressing public health needs that would otherwise go unmet. As the premier provider of healthcare services to the region's children, CHKD has secured a place in the heart of the community. The Health System is an eager collaborator with other community organizations and institutions that share its concern for the well-being of young people and offers a variety of education, research and health initiatives to improve the health and well-being of children in this community and beyond. The Health System's primary services center on inpatient and outpatient care, community outreach programs and medical education/research. Because the organization's ongoing development of mental health services are so integral to its community benefit, advances of this program are highlighted separately. Section One: Inpatient Care Children with a vast range of medical problems -- including life-threatening illnesses and injuries -- turn to CHKD for inpatient care. In FY25, CHKD had 5,790 admissions resulting in 55,158 patient days. Approximately 56 percent of these days were covered by Medicaid. CHKD's acute care facility has 206 inpatient beds, and almost half of those are for pediatric intensive care. The hospital is home to the region's highest-level Neonatal Intensive Care Unit, where critically ill newborns, some as young as 22 weeks gestation, benefit from a unique combination of advanced medical technology, developmental care, family support, and palliative care. CHKD's NICU has 50 private rooms and 10 semi-private rooms to create a more individualized and family-centered approach, giving families more privacy to bond with their babies. There were 505 discharges from the NICU in FY25. The region's largest and most sophisticated Pediatric Intensive Care Unit is at CHKD. In this unit, a full-time staff of board-certified pediatric intensive care physicians, critical care nurses, and respiratory therapists provide extremely sophisticated, technologically advanced care to children with life-threatening injuries and illnesses. Medical care is supplemented with support from child life specialists, social workers and chaplains who have extensive experience helping families through the trauma and stress of a severe illness or injury in a child. There were 1,004 admissions to our PICU in FY25. Many patients are brought from other area hospitals to CHKD by the hospital's neonatal/pediatric transport program, which operates out of four fully equipped mobile intensive care units. Two EMT certified critical care transport teams are available 24 hours a day, seven days a week to all area medical facilities that need to send sick or injured children to CHKD. CHKD transport teams are equipped and trained to transport all trauma patients under the age of 15 to Children's Hospital of The King's Daughters for specialized pediatric trauma care. Each critical care transport call is answered by a certified EMT-B neonatal/pediatric critical care nurse, a certified EMT-B registered respiratory therapist and a certified EMT-paramedic trained in neonatal/pediatric care. In FY25, the team transported approximately 1,400 patients. Of those, about 350 were newborns in need of neonatal intensive care. CHKD's transport service is also under contract to the Naval Medical Center, Portsmouth, to provide all critical care neonatal and pediatric military transports in the region. Besides ground transports in our Mobile ICUs or acute care transport, the team can respond via fixed wing aircraft or helicopter transport when medically necessary. CHKD transfer center is staffed with paramedics who operate to ensure appropriate dispatch services to the transport team as well as to deliver assistance and support for referral facilities and staff throughout the community. CHKD operates the region's only pediatric surgery program, offering young people state-of-the-art treatment in a supportive, non-threatening environment created exclusively to meet their needs. In FY25, surgeons performed 14,279 cases at CHKD facilities for a vast range of problems, from the simplest outpatient procedures to complex Craniofacial, Orthopedic and Chest Wall surgeries. CHKD's cardiac surgery program is part of a regional collaborative between CHKD and the University of Virginia. CHKD and UVA combine the efforts of pediatric cardiologists, cardiac surgeons, cardiac anesthesiologists, intensive care physicians and cardiac support professionals from both institutions with the goal of improving outcomes for children with complex congenital heart defects. (See outpatient services and programs for more information of CHKD's surgery program.) CHKD employs dozens of professionals who provide emotional, recreational, spiritual and practical support to children and families during hospitalizations. The work of these professionals complements our expert medical care to create a unique treatment and healing environment for children and their families. Our chaplaincy services provide emotional support, spiritual care, ethical reflection, bereavement care/resources/follow-up (including parent support groups), spiritual assessment and guidance to patients, families, and staff with in-hospital presence seven days a week and 24 hours a day. Additionally, a chaplain is assigned to Children's Pavilion to provide for patients on our inpatient mental healthcare floors. Chaplains assist with advance directives, advanced care plans and serve on the trauma team as primary providers of family support. The hospital employs a chaplaincy manager, six full-time chaplains, one full-time Family/Staff Support Coordinator and four per-diem chaplains who reflect the diversity of the community. All chaplains are professionally trained to meet the varied spiritual needs of families and staff with respect and compassion. Chaplaincy services has numerous connections with community clergy to ensure most religious needs can be met. The chaplains provide an annual memorial service to remember and celebrate the lives of the children who have passed on during the previous year. The chaplains also facilitate educational and wellness programs for hospital staff and physicians, as well as planning and participating in outreach to the community. The hospital employs 29 integrative care/child life staff members, including two art therapists and two music therapists, who help children adjust and cope during hospitalization. Their goal is to make the child's hospital experience as normal as possible by developing supportive relationships with patients and families, providing age-appropriate preparation for medical procedures and surgeries, coping strategies and play opportunities for children to relieve stress. Ten members of the department, including certified therapeutic recreation specialists, work on our inpatient mental health units.
Form 990, Part III, Line 4a	There are four popular activity areas, including a teen room, in the main hospital, providing hospitalized children opportunities for socialization and creative play. And child life assistants work with CHKD's volunteer services division to manage the hospital's popular pet therapy program -- the Buddy Brigade -- which brings visits of dog/handler teams to visit patients several times each week. Child life staff members collaborate with other hospital staff to provide support for parents and siblings, offering an annual Teddy Bear clinic, weekly closed-circuit TV bingo, inpatient developmental screenings, and a Kids as Partners Advisory Council. CHKD's Medical Social Work team provides many services, including the following: -Conduct biopsychosocial and behavioral assessments. -Provide support during hospitalization to CHKD patients and families dealing with trauma, chronic illness, and loss. -Refer to CHKD's eligibility workers to complete applications for insurance coverage for medical care, prescriptions, and medical supplies. -Coordinate referrals and ongoing communication to other community resources for assistance with needs such as housing, mental health counseling, educational advocacy, legal assistance, and much more. -Aid in communication with families with the medical treatment teams by coordinating patient care conferences and team meetings. -Evaluate and report suspicion for child abuse/neglect. -Conducts trauma assessments as required for the coordination of care for patients of a Level 1 pediatric trauma center. In July 2021, a grant was awarded to the medical social work team under the Hospital Violence Intervention Program initiative. This program is now identified as "Safer Futures, is managed by an identified licensed eligible coordinator, and one full-time medical social worker who conduct intake assessments, develop individual service plans, do interval check-ins and provide progress notes for patients and family members affected by violence. Additionally, medical social workers facilitate a variety of support groups in the community that assist patients and families in connecting with others who share similar challenges. Some examples include Sibshops, Healthy Mommy Healthy Baby, and Dine and Discover for NICU families. The Medical Social Work team manages the Halo, Butterfly Blessings, and Sam's Warriors Funds, monetary funds designated to assist patients/families encountering barriers such as transportation needs, meal and medication/prescription assistance, and other discharge-related costs. These donated funds may also be used in emergency situations to assist with special healthcare challenges, lost money due to parent's inability to work during child's inpatient stay, and partial or one-time payments for utilities or rent fees post discharge. The medical social work team is part of CHKD's mental health program, which is covered in more detail in the next section. The cultural/language services department at Children's Hospital of The King's Daughters (CHKD) meets the needs of patients and families with limited English proficiency by coordinating access to language interpretation via face-to-face, over the phone, and video remote interpretation throughout the health system. The program's goal is to improve customer service, consistency of care, and patient safety. We recognize that it is critical to have access to interpreters and caregivers who can provide culturally sensitive and accurate information so they can understand and participate in the child's treatment and discharge process and help prevent potential medical errors. It also contributes to overall family satisfaction, which is vitally important. We meet this goal through the activities described below: CHKD provided interpretation services in 43 different languages for our limited English population through 25,225 outpatient visits during FY25. To meet the needs of these families, hospital staff used Over the Phone Interpretation, Video Remote Interpretation, and 3.83 FTE Spanish medical interpreters in the Language Services department who cover the main hospital and the General Academic Pediatrics (GAP) clinic. Additionally, the CHKD system had 29 dual role bilingual staff who were available to provide medical interpretation in their assigned areas. For written document translation (Spanish), language services staffing relied on the assistance of 2.2 Language Services Spanish interpreters in the department. All CHKD Language Services interpreters assisting with Spanish document translation must have National Certification as Healthcare Interpreters at a minimum. During FY25 the CHKD Language Services department assisted with in person and over the phone interpretation for 12,235 patient encounters at the main hospital and at the GAP clinic, translated 339 documents from English to Spanish, and conducted 22 language proficiency assessments. Language proficiency assessments are conducted by the Language Services Department to ensure bilingual staff throughout the CHKD health system have the skills necessary to communicate effectively with patients and families in Spanish, or before they are allowed to provide medical interpretation in Spanish. As the regional provider of pediatric care, CHKD is an integral part of the community's natural or man-made disaster planning efforts. CHKDHS recognizes the importance of a National Incident Management System (NIMS) community-integrated, all-hazard emergency operations plan. This plan is prepared, exercised and shared internally and externally with community, State and Federal emergency response agents. Section Two: Outpatient Services and Programs CHKD Health System also offers the community many important pediatric services on an outpatient basis. In FY25, children made approximately 659,979 outpatient visits to CHKD pediatricians, surgeons, and subspecialty clinics. They made 376,312 visits to the primary care pediatricians of CHKD's Medical Group, which offers care in 19 practices in 31 offices throughout our service area. CHKD's Surgical Specialty Group makes the services of the region's only pediatric general, urological, cardiac, neurosurgical, plastic, oral maxillofacial, and orthopedic surgeons available to thousands of children who might otherwise have to travel outside of the area for surgery. Children made 50,876 visits to the surgical group practices in FY25. The surgeons performed 5,891 surgical cases. The hospital also provides care to children facing health conditions such as cancer, genetic disorders, obesity, heart problems, developmental disabilities, asthma/allergies, and diabetes through more than 34 outpatient specialty clinics offering specialized pediatric care. In FY25, children made 232,791 visits to our outpatient clinics. Children's Hospital was founded on the premise that all children deserve equal access to quality pediatric care. As our population grew and settled into the far corners of our bridge- and tunnel-laced region, travel to CHKD's main facility in Norfolk became more of a hardship for families. To ease that burden and improve children's access to care in every corner of our service area, CHKD has established multi-service health centers in strategic locations. These include, but are not limited to, the following: * The CHKD Health and Surgery Center at Oyster Point offers families who live north of the Hampton Roads Bridge Tunnel a wealth of important services in a convenient location. The center is home to the region's first pediatric ambulatory surgery center. Other services offered at the site include primary, surgical, and sub-specialty pediatrics; lab and radiology services (including ultrasound and MRI); audiology testing; and occupational, speech, and physical therapy. Aquatic therapy and child abuse program services are also available there. * The CHKD Health Center and Urgent Care at Tech Center is home to the Peninsula's only pediatric urgent care as well as the Center for Pediatric Sleep Medicine, lab and radiology services, physical medicine and rehabilitation, rheumatology, sports medicine primary care, sports medicine physical therapy, mental health, neurology, and performance training. * The CHKD Health Center at Oakbrooke serves families in Chesapeake and northeastern North Carolina. It is home to a primary care pediatric practice; physical, occupational, and speech therapy; lab and radiology services (including ultrasound); a sports medicine gym; sleep studies unit; audiology testing; therapy pool; and clinic space for a variety of pediatric specialists and surgeons providing evaluation, treatment, and follow-up.
Form 990, Part III, Line 4a	* The CHKD Health and Surgery Center at Concert Drive serves the growing medical needs of families in Virginia Beach. The center is home to Virginia Beach's first ambulatory surgery center exclusively for children. Families can also find primary care pediatricians and in-house lab and radiology services - including MRI - at the center, along with child life specialists. Other services include specialty care pediatrics for help with chronic problems such as diabetes. A third operating room at this location supports the pediatric dental needs of the community. It was built and designed according to input from community dentists. * The CHKD Health Center at Landstown is located just down the road from Concert Drive and offers dedicated Virginia Beach space for specialty services such as sports medicine, dermatology, and gynecology. * The CHKD Health Center and Urgent Care at Loehmann's Plaza serves the northern and middle Virginia Beach region and is home to CHKD Urgent Care; sports medicine (primary care) and therapy; sports performance training; and physical, occupational, and speech therapy. * The CHKD Health Center at Harbour View offers specialized pediatric care to families in Suffolk. The site offers appointments in pediatric dermatology, allergy, gastroenterology, cardiology, gynecology, physical medicine and rehabilitation, lab and radiology services (including ultrasound), nephrology, and developmental pediatrics. * CHKD Sports Medicine & Therapy Services offers sports medicine and therapy services in Suffolk, conveniently located next to the CHKD Health Center at Harbour View. * The CHKD Health Center at Lightfoot offers families in the northern corner of our service area appointments in pediatric cardiology, nephrology, gynecology, physical medicine and rehabilitation, rehabilitative therapies, plastic and oral maxillofacial surgery, sports medicine, and urology. It is also home to the Children's Diagnostic Center. * The CHKD Health Center at Fort Norfolk is located in the Fort Norfolk Plaza building and is home to specialty services including allergy and asthma, adolescent medicine, ophthalmology, and the Cleft and Craniofacial Center. * The CHKD Health Center at Kempsville provides families in Norfolk and Virginia Beach pediatric primary care and orthopedics and sports medicine. * The CHKD Health Center, South Campus is home to CHKD's Neuroscience Center and is located just across Brambleton Avenue to the south of the main hospital. This site offers appointments in mental health, neurology, sleep medicine, and physical medicine and rehabilitation. Children's Hospital of The King's Daughters operates the region's only pediatric urgent care. Parents of children with urgent, but not emergent medical needs, now have access to quality medical care just for kids after-hours, on weekends and holidays. In FY25, children made 98,068 visits to CHKD Urgent Care Centers in Chesapeake, Virginia Beach and Newport News. CHKD's Child Advocacy Center (CAC) coordinates the region's efforts to accurately identify, treat, and support children who are suspected victims of abuse or neglect. In addition to the main program in Norfolk, services are available at CHKD's outpatient centers in Virginia Beach and Newport News. The CAC provides comprehensive assessment, evaluation, and treatment services, including case management and advocacy, an array of evidence-based mental health services, forensic interviewing, forensic medical examinations, and consultations, which include 24/7 coverage of acute sexual assaults of children. The CAC also coordinates efforts among investigative agencies involved in the investigation and prosecution of child maltreatment and facilitates collaboration across 12 multidisciplinary teams (MDTs). These teams discuss each child referred to the program to ensure the best possible outcomes. With strong community support, CHKD's Child Advocacy Center served 2,621 children and families in FY2025 across southeastern Virginia. For over 27 years, investigative agencies across southeastern Virginia have relied on this specialized program for assessment and treatment services when a child is suspected of experiencing any form of maltreatment. In FY2025, the center provided nearly 900 forensic interviews, over 3,800 mental health service visits, more than 1,300 medical service encounters, and almost 14,000 victim and family advocacy encounters to children and families across Hampton Roads. A specialty program within the CAC helps accurately identify and provide assistance and treatment to commercially sexually exploited children (CSEC). Since launching this program and CSEC MDT, the program has seen a sharp increase in the need for these services. The Child Advocacy Center assisted 297 children through the CSEC program this year - a 5% increase from the previous year. The team frequently collaborates with federal and local investigators, as well as juvenile court services, and medical and mental health providers, to best meet the unique needs of each child. The CAC's mental health team recently completed a year-long training to implement the Problematic Sexualized Behavior Cognitive Behavioral Therapy - Young Children (PSB-CBT) treatment modality. Currently unavailable elsewhere in our region, this needed treatment expands our mental health services to address these problematic behaviors. In FY25, our mental health team provided treatment for 29 children who were identified as having problematic sexual behaviors with PSB-CBT or Trauma-Focused Cognitive Behavior therapy with PSB components added. The CAC is also the backbone agency for the Hampton Roads Trauma Informed Community Network (HRTICN), which exists to promote an understanding of how trauma affects individuals and communities, and to advocate practices that help all people reach their full potential. HRTICN worked with the Virginia chapter of the American Academy of Pediatrics this year to train pediatricians on approaches to screening, referral, and follow-up for maternal depression, social determinants of health and social-emotional development during well-child visits. Approximately 14% of children served at our CAC have a military affiliation, supported by a dedicated case manager who is also a decorated veteran. In addition to nine city MTD case review teams, this program also facilitates three multidisciplinary case review teams, covering all military branches, and is focused on meeting the unique needs of these families, linking them to military resources, and providing educational opportunities to our MDT partners. The epidemic of childhood obesity continues to be a concern and focus area for CHKD. To address this critical issue, CHKD offers a comprehensive program called Healthy You for Life that is offered to children ages 3 through 21. Healthy You for Life offers a multidisciplinary team approach that provides clinical and psychological evaluation and treatment planning for individuals either in person or by telemedicine visits. The program's clinical staff includes a physician, nurse practitioner, registered dieticians, a licensed clinical social worker, medical assistants, and an exercise physiologist. The Healthy You for Life program also offers individual counseling sessions. In the 2025 fiscal year, the team conducted 1,502 visits. Moving into the new fiscal year, the team is continuing to use telemedicine to ensure access to all providers, including behavioral health counselor to address psycho-social stressors many patients experience. Middle school and high school group therapy sessions continues via telehealth to help pre-teen and teenagers feel connected and supported. Personal training is also offered for interested patients and group fitness classes resumed with parent and patient enthusiasm. Pursuant to recommendations from the American Academy of Pediatrics, the use of pharmacotherapy has been considered as an additional treatment in conjunction with diet, exercise and lifestyle changes for those children and adolescents at high risk for developing life-threatening comorbidities. Healthy You continues to partner with various community organizations to educate and encourage healthy lifestyles for chronically obese children and their families in Hampton Roads. Our providers also partner with neighboring universities as preceptors, guest lecturers and consultants in nutrition and wellness.
Form 990, Part III, Line 4a	CHKD's diabetes education program helps approximately 1,600 local children who live with the chronic disease. Three certified diabetes educators, a social worker, a registered dietitian and office coordinator help patients and families at the onset of the disease and until adulthood. The Diabetes Center provides inpatient and outpatient clinical management, diabetes education, support groups, and professional and community education programs. A transition program helps the older teens and young adults begin transferring care to adult providers in the community. Children made 646 visits to the Diabetes Center in FY25. The Children's Cancer and Blood Disorders Center provides care to young people with cancer, sickle cell disease, bleeding and other blood disorders through treatment programs that encompass children's physical, emotional and educational needs and incorporates the whole family. Patients made 8,541 visits to the center in FY25. CHKD is the only Emergency Department and Level 1 Trauma Center exclusively serving children and their families in the southeast region of Virginia. In FY25, children made 60,256 visits to our Emergency Department. We provide care for patients and their families from birth to young adulthood with varied levels of acuity from trauma and resuscitations to urgent care-type patients. Our collaborative team includes pediatric board-certified emergency physicians, nurse practitioners, nurses, ED techs, nursing care partners, behavioral health techs, pharmacists, social workers, child life specialists, chaplains, respiratory therapists and more. Children's Hospital offers the only pediatric renal dialysis service in the area. Dialysis is a time-consuming process and children appreciate the chance to have the service in a setting where they can meet with friends their own ages as well as hospital support staff. During FY25, children made 6,045 visits to the renal clinic. CHKD is a stand-alone pediatric transplant hospital. Since 2005, CHKD has performed more than 100 kidney transplants from living donors as well as deceased donors. Living donation options include a partnership with Sentara Norfolk General Hospital and the National Kidney Registry (nationwide living donor paired-exchange program). One mark of CHKD's distinctive pediatric care has always been child-centered diagnostic services, such as radiology and laboratory. Over the past several years, CHKD has worked hard to make these unique services more accessible to families throughout our service region. In addition to the lab at the main hospital, CHKD now offers lab services at its Oyster Point, Harbour View, Concert Drive, Oakbrook, Loehmann's and Tech Center locations as well as the Volvo Urgent Care Center. The laboratory also operates a courier service that facilitates quick turnaround of specimens. Of the 832,875 lab tests performed in FY25, 558,296 were from outpatients. CHKD radiology services are also available to families at our CHKD facilities in Newport News, Chesapeake, Suffolk, Hampton, Norfolk and Virginia Beach. The radiology department is a fully integrated digital imaging center that allows diagnostic images and reports to be transmitted and viewed electronically. In FY25, 129,448 diagnostic exams were performed including X-rays, fluoroscopic tests, urodynamics and bone density tests, CT, MRI scans, ultrasound, PVL, PET scans, and nuclear medicine studies. Approximately 80 percent were outpatient based. CHKD's rehabilitative therapy services are offered in locations throughout the community, including Norfolk, Chesapeake, Virginia Beach, Suffolk, Newport News, and Williamsburg. In FY 25, CHKD provided 33,965 inpatient and 191,551 outpatient therapy units, which included highly specialized pediatric physical, occupational and speech therapy, as well as: * Aquatic Therapy - Physical and occupational therapists work with children in the water to help relax tight musculature, increase range of motion and improve strength, balance and endurance. * Assistive Technology/Augmentative Program - Services provided for children who are unable to communicate verbally or through gestures due to various medical conditions, thereby allowing them an alternative way to increase their participation and inclusion in daily activities. * Car Seat Program - Specially trained therapists offer car seat safety restraint evaluations for patients with special needs. * Wheelchair Clinic - Certified therapists complete a comprehensive evaluation to determine and prescribe the appropriate wheelchair and seating system. Section Three: Mental Health Services Since 2013, CHKD's Community Health Needs Assessments have indicated that the region's number one need in the children's health arena was improved access to pediatric mental health services. In response, CHKD formally expanded its mission to incorporate children's mental health services and began building a program to answer our children's most pressing mental health needs. Children's Pavilion, a 14-story pediatric psychiatric hospital and outpatient center that comprises 60 of CHKD's 266 licensed inpatient beds, is the hub of CHKD's growing mental health program. Since the launch of the program, CHKD has developed the essential framework of a comprehensive pediatric mental health network, with the goal of providing care in the least restrictive environment possible. Elements of this plan include the following: * Inpatient psychiatric care (1,237 discharges in FY25) * Emergency psychiatric care (3,027 visits to CHKD's Emergency Department were for mental health care in FY25) * Medical-psychiatric care. (682 discharges in FY25) * Partial hospitalization program (2,481 patient days in FY25) * Intensive outpatient program (1,297 patient days in FY25) * Outpatient mental health (48,000 visits in FY25) * Child and adolescent psychiatry fellowship Section Four: Community Outreach CHKD reached 26,316 families through parent education, school-based programs, social media, and publications focused on mental wellness, injury prevention, and family support. Partnering with community organizations, the Community Outreach & Engagement (CORE) program conducted 238 outreach events for 21,770 families. Online resources (blogs, podcasts, and webinars on demand) and I&R contacts reached an additional 4,546 families, covering topics such as mental health, trauma, and social-emotional learning. Community partners supported marketing and collaboration to deliver timely presentations and resources for parents, professionals, and children/students. CHKD is a site of the national "Reach Out and Read" literacy program, which encourages reading by distributing free books to children at their well child visits to their pediatricians. Through the donor-funded program, CHKD primary care pediatricians gave approximately 77,000 books to children in FY25. CHKD also has a "Reach Out and Read" program in our NICU, where 1,838 books were distributed in FY25. In FY25, CHKD's website, www.chkd.org, underwent a major transformation, migrating to new, open-source platform that is easier to manage and navigate. They also streamlined back-end content management and third-party integrations (e.g. scheduling, patient portals, donation tools), reducing maintenance overhead and improving data flow. Post-launch, the new platform delivered measurable gains: search and "provider-finder" tools significantly improved, user engagement rose, and visits to high-value pages (like Find a Provider, Urgent Care, billing, etc.) increased year over year. The site's updated design and info architecture enhanced navigation, making it easier for families and medical professionals to find essential information. Overall, the migration gave CHKD a scalable, secure, and flexible foundation - improving both the patient-facing experience and the internal content management workflow. CHKD continues to utilize social media outlets such as Facebook, LinkedIn, and Instagram to increase direct interaction with our patients and their families. The website continues to be a resource for our services and health information.
Form 990, Part III, Line 4a	CHKD is one of six locations in the state for the Care Connection for Children, the state-funded Title V program that provides comprehensive care coordination, information and referral for children and youth with special health care needs. There are estimated to be more than 52,000 children with special healthcare needs in the region's public health districts. In FY25, CCC assisted with just under 600 information and referral calls and provided comprehensive case management services to more than 500 families. Close to 20 children who were uninsured or underinsured received a total of $23,597 in financial assistance for equipment, specialty care and medications. More than 40 families were assisted in applying for state health programs, to include Virginia's waiver services. The program provided ongoing bilingual care coordination services to approximately 100 clients/families and assisted them with access to community resources and financial assistance. Care Connections maintains an updated regional database with cataloged resources for all 21 cities and counties in CHKD service area. This resource directory was made available to the health system as well as local agencies and the community. 2024-2025 Highlights: -Developed, implemented, and continue to moderate a list serv for the community on disability topics with more than 500 people registered via GOOGLE GROUPS. Members are patients, parents, caregivers, and providers. -Added a SPANISH language list serv for our Hispanic population. -Collaborated with CHKD, Fortify Clinically Integrated Network and CMG to integrate care coordination activities within the electronic record to improve communication with primary care providers. -Engaged in home visiting collaboration autism collaboratives, Infant Toddler Connection, PEATC, FAPT Teams, SEAC state representative for Medicaid Advisory Group. -Offered a virtual Spanish speaking support group. Other trainings planned, coordinated, and reported on quarterly, based on needs identified through community networks and the Families as Educators group. -Refined intake process to improve enrollment experience for families and improve communication with referral sources. -Researched and updated resources in our community asset mapping tool. Collaborated across the CCC network to identify resources. -Actively engaged with the VDH Intercenter Work Group meetings, trainings, email collaborations and teleconference sessions. This group is resourceful, and members support one another to identify resources to close gaps in services. -Continued to offer Educational Consultant services per VDOE regulations. Provided information and referral services for health system related to educational concerns (IEP/IFSP). -Representatives from team serve on the Medicaid Waiver Task Force and the DMAS Pharmacy and DME provider network to problem solve and identify needs in our region. -Continued our Families as Educators program focused on providing the Pediatric Residents an opportunity to experience the challenges and joys of living in the community with a child with complex medical care needs. Section Five: Medical Education and Research CHKD invests in the present and future health of our children through a variety of research programs and educational activities. Children's Hospital is home to Eastern Virginia Medical School's Department of Pediatrics and its pediatric residency program, where new physicians become specialists in the field of pediatrics. Many of our residents elect to stay and practice pediatrics in this community or in the state of Virginia. CHKD also serves as the exclusive pediatric teaching site for physician assistants and residents in family medicine, emergency medicine, obstetrics-gynecology, ENT, plastic surgery, and general surgery. CHKD participates in the education of all EVMS medical students and is the exclusive site for some 150 third-year medical school students for their six-week pediatric clerkship rotation. CHKD provides a setting for many clinical research trials. Highlights of the basic science research include new gene therapy for neuromuscular disorders, breakthroughs in treatment of cystic fibrosis, innovative therapies in sports medicine, advanced growth hormone treatments, and interventions for disordered sleep. In addition, research includes new medications and other therapies, clinical outcomes analyses, and epidemiological studies sanctioned by the Institutional Review Board of EVMS, part of the Macon and Joan Brock Virginia Health Sciences at ODU. There were 214 IRB-approved active funded studies in FY25. Topics of study included hematology/oncology, allergy/asthma, infectious disease, neurology, pediatric surgery, cardiology, otolaryngology, pulmonology, gastroenterology, child abuse, endocrinology, dermatology, neonatology and mental health. Many of these studies are phase three clinical trials that bring cutting-edge treatments to CHKD patients years before they are available to the public. This fiscal year there were also new phase one trials opened, which allowed our patients the earliest possible access to novel therapies. There is an increased focus on registry studies across all disciplines. Data collected in these registries is intended to standardize optimal levels of care and lead to improved patient outcomes. The Nuss Procedure for the correction of pectus excavatum, developed at CHKD more than 30 years ago, continues to draw national attention from both patients and surgeons. The Children's Surgical Special Group surgeons continue to refine treatment techniques, publish research and outcomes and present their work at national meetings to strengthen the care and understanding of chest wall anomalies world-wide. In addition to surgery, innovative therapies offered through CHKD's Nuss Center include non-surgical, non-invasive modalities such as state-of-the-art bracing for pectus carinatum and vacuum therapy for pectus excavatum. CHKD is a member of Children's Oncology Group, an international research group that conducts clinical trials for children with cancer. As a member, CHKD has access to the latest protocols for treatment of childhood cancer, providing the community and region with the best practices and treatment results from more than 225 COG-member hospitals in North America, Australia, New Zealand, and Saudi Arabia. Our primary goal is to increase participation in clinical trials which we feel will advance the field of pediatric oncology. In FY25, CHKD had approximately 90 COG studies including LTF studies open to enrollment or undergoing data analysis. In all, approximately 200 CHKD patients participated in either open or follow-up COG studies in FY25. The hematology/oncology division had 18 research studies open that were not COG studies. In FY25 CHKD hosted seven continuing medical education events in various locations throughout the region, helping child health experts in our region keep up with their skills and their accreditation.
Form 990, Part VI, Line 15a	CHILDREN'S HEALTH SYSTEM ESTABLISHES THE COMPENSATION OF THE CEO AMY SAMPSON.
Form 990, Part VI, Line 15b	CHILDREN'S HEALTH SYSTEM AND CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS USE THE FOLLOWING PROCESS TO ESTABLISH COMPENSATION FOR OFFICERS AND KEY EMPLOYEES: AN INDEPENDENT COMPENSATION CONSULTANT APPROVED AND RETAINED BY THE COMPENSATION COMMITTEE OF THE BOARD ANNUALLY, USUALLY IN APRIL, PROVIDES EDUCATION AND PRESENTS TO THE FULL BOARD COMPARATIVE SALARIES AND SALARY RANGES FROM A DATABASE COMPRISED OF CHILDREN'S HOSPITALS AND OTHER APPLICABLE HOSPITALS FOR OFFICERS & EXECUTIVES FOR THE BOARD TO REVIEW. THE COMPENSATION COMMITTEE WITH THE AID OF THE CONSULTANT REVIEWS AND MAKES DECISIONS AS TO EXECUTIVE SALARIES OF CHKD AND ITS SUBSIDIARIES. THOSE SALARY CHANGES AND APPROVALS ARE CONTEMPORANEOUSLY DOCUMENTED BY MINUTES MAINTAINED BY THE COMPENSATION COMMITTEE AND SIGNED BY THE CHAIRMAN OF THE BOARD.
Form 990, Part VI, Line 6 Classes of members or stockholders	CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED, IS A VIRGINIA NON-STOCK CORPORATION WITH A SOLE MEMBER. THE SOLE MEMBER OF CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED, IS CHILDREN'S HEALTH SYSTEM, INC., A VIRGINIA NON-STOCK NOT-FOR-PROFIT CORPORATION. PURSUANT TO SECTION 13.1-852.1 OF THE CODE OF VIRGINIA, CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED, IS MANAGED BY ITS SOLE MEMBER, CHILDREN'S HEALTH SYSTEM, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	CHILDREN'S HEALTH SYSTEM, INC., THE SOLE MEMBER OF CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED, IS A VIRGINIA NON-STOCK NOT-FOR-PROFIT CORPORATION. PURSUANT TO SECTION 13.1-852.1 OF THE CODE OF VIRGINIA, CHILDREN'S HEALTH SYSTEM, INC., THE SOLE MEMBER OF CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED, MANAGES CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS. ACCORDINGLY, THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC., IS THE GOVERNING BODY FOR CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED. AS A VIRGINIA NON-STOCK CORPORATION, CHILDREN'S HEALTH SYSTEM, INC., HAS MEMBERS THAT ELECT THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC. THE MEMBERS OF CHILDREN'S HEALTH SYSTEM, INC., THAT ELECT THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC. ARE THE CLASS A MEMBERS OF CHILDREN'S HEALTH SYSTEM, INC. (I.E., THE THEN CURRENT MEMBERS IN GOOD STANDING OF THE NORFOLK CITY UNION OF THE KING'S DAUGHTERS, INC., A VIRGINIA NON-STOCK NOT-FOR-PROFIT CORPORATION) AND THE CLASS B MEMBERS OF CHILDREN'S HEALTH SYSTEM INC. (I.E., THE THEN CURRENT DIRECTORS ON THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC.).
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE FOLLOWING DECISIONS OF THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC., WHICH IS THE GOVERNING BODY FOR CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED, ARE SUBJECT TO APPROVAL BY THE CLASS A AND CLASS B MEMBERS OF CHILDREN'S HEALTH SYSTEM, INC.: 1) ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION; AND 2) ANY PROPOSED MERGER OR CONSOLIDATION OF THE CORPORATION, OR ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE CORPORATION.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FOLLOWING DECISIONS OF THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC., WHICH IS THE GOVERNING BODY FOR CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED, ARE SUBJECT TO APPROVAL BY THE CLASS A AND CLASS B MEMBERS OF CHILDREN'S HEALTH SYSTEM, INC.: 1) ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION; AND 2) ANY PROPOSED MERGER OR CONSOLIDATION OF THE CORPORATION, OR ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE CORPORATION.
Form 990, Part VI, Line 12c Conflict of interest policy	CONFLICT POLICY CONSIDERATIONS: CHKD CONFLICT OF INTEREST POLICY INCLUDES OFFICERS, MEMBERS OF THE BOARD OF DIRECTORS AND BOARD COMMITTEES, KEY EMPLOYEES, ALL OTHER EMPLOYEES, PROFESSIONAL STAFF AND SUBSTANTIAL DONORS. ANNUALLY, A QUESTIONNAIRE IS DISTRIBUTED AND COLLECTED FROM OFFICERS, MEMBERS OF THE BOARD OF DIRECTORS AND BOARD COMMITTEES AND KEY EMPLOYEES. THE QUESTIONNAIRES ARE REVIEWED BY THE LEGAL DEPARTMENT. FOR KNOWN CONFLICTS, THE PERSON INVOLVED RECUSES HIMSELF OR HERSELF FROM DELIBERATIONS REGARDING THE TRANSACTION. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY ARE REPORTED TO THE CHKD BOARD CHAIR OR THE CHKD COMPLIANCE OFFICER, AS APPLICABLE, AND MAY REQUIRE CORRECTIVE ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT.
Form 990, Part VI, Line 19 Required documents available to the public	FINANCIAL STATEMENTS (PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF CHILDREN'S HEALTH SYSTEM, INC.) ALONG WITH GOVERNING DOCUMENTS OF THE ORGANIZATION INCLUDING THE CONFLICT OF INTEREST POLICY, ARE AVAILABLE TO THE PUBLIC THROUGH DIRECT INQUIRY AND REQUEST.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	GAIN/LOSS ON DERIVATIVE INVESTMENTS - -1248792; CHANGE IN DONOR RESTRICTED CONTRIBUTIONS - 3373179; Total - 2124387;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CHILDREN'S MEDICAL TOWER LLC
601 CHILDRENS LANE	NORFOLK	VA	23507	452907147	LESSOR	VA	$132,404	$9,321,255	CHKD
CHILDREN'S HEALTH SYSTEM INSURANCE LLC
601 CHILDRENS LANE	NORFOLK	VA	23507		INSURANCE	SC	$1,189,933	$2,896,347	CHKD

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S HEALTH SYSTEM INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278830	HEALTHCARE	VA	501(c)(3)	Type II	NA	false
CHILDREN'S HEALTH FOUNDATION INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278865	SUPP CHKD	VA	501(c)(3)	Type I	CHILDREN'S HEALTH SYSTEM	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
FORTIFY CHILDREN'S HEALTH LLC
1330 JEFFERSON PARK AVENUE	CHARLOTTESVILLE	VA	22903	831442745	HEALTHCARE	VA	NA	Related	false	false
REALTA HOLDINGS LLC
601 CHILDRENS LANE	NORFOLK	VA	23507	823954346	RESEARCH	VA	NA	Related	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S SURGICAL SPECIALTY GROUP INC
601 CHILDRENS LANE	NORFOLK	VA	23507	311610834	HEALTHCARE	VA	NA	C Corporation	false
CHILDREN'S MEDICAL GROUP INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541778786	HEALTHCARE	VA	NA	C Corporation	false
CMG OF NORTH CAROLINA INC
601 CHILDRENS LANE	NORFOLK	VA	23507	561960102	HEALTHCARE	NC	NA	C Corporation	false

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd