CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC (EIN 54-0506321)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-08
IRS object ID: 202531289349303443
Schema version: 2023v6.0
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	2025-05-08T16:00:32-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	135565207	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	8350 BROAD STREET SUITE 900	AddressLine1Txt
City	MCLEAN	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	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	BusinessNameLine1Txt
Business Name Line2	DAUGHTERS	BusinessNameLine2Txt

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	KATHRYN ABSHIRE	PersonNm
Person Title	CFO/ASST TREAS/SECR	PersonTitleTxt
Phone	7576687000	PhoneNum
Signature	2025-05-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RAYMOND LY	PreparerPersonNm
PTIN	P01205643	PTIN
Phone	7032868000	PhoneNum
Preparation	2025-05-05	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	AMY SAMPSON	PrincipalOfficerNm

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	$920,261,070	GrossReceiptsAmt
Group Return For Affiliates	0	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	DEDICATED TO THE MISSION OF PROVIDING THE BEST POSSIBLE CARE AND SERVICES FOR ALL CHILDREN WHO COME TO US BECAUSE OF SICKNESS AND INJURY.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	4186	TotalEmployeeCnt
Total Volunteers	515	TotalVolunteersCnt
Total Gross UBI	$369,381	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$152,320	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$56,544,790	PYContributionsGrantsAmt
CY Contributions Grants	$28,452,760	CYContributionsGrantsAmt
PY Program Service Revenue	$575,853,785	PYProgramServiceRevenueAmt
CY Program Service Revenue	$621,558,620	CYProgramServiceRevenueAmt
PY Investment Income	$10,603,038	PYInvestmentIncomeAmt
CY Investment Income	$12,396,777	CYInvestmentIncomeAmt
PY Other Revenue	$3,262,265	PYOtherRevenueAmt
CY Other Revenue	$3,422,561	CYOtherRevenueAmt
PY Total Revenue	$646,263,878	PYTotalRevenueAmt
CY Total Revenue	$665,830,718	CYTotalRevenueAmt
PY Grants And Similar Paid	$21,325,041	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$21,295,433	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$309,144,153	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$341,951,907	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$239,775	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$204,214	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,335,034	CYTotalFundraisingExpenseAmt
PY Other Expenses	$291,313,705	PYOtherExpensesAmt
CY Other Expenses	$312,540,374	CYOtherExpensesAmt
PY Total Expenses	$622,022,674	PYTotalExpensesAmt
CY Total Expenses	$675,991,928	CYTotalExpensesAmt
PY Revenues Less Expenses	$24,241,204	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$10,161,210	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,133,029,143	TotalAssetsBOYAmt
Total Assets EOY	$1,159,825,174	TotalAssetsEOYAmt
Total Liabilities BOY	$309,996,072	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$312,282,221	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$823,033,071	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$847,542,953	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$586,877,125	ExpenseAmt
Grant	$21,295,433	GrantAmt
Revenue	$625,163,617	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$586,877,125	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (1)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	120	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4186	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	Yes (1)	NondeductibleContributionsInd
Nondeductible Contri Discl	Yes (1)	NondeductibleContriDisclInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed	Yes (1)	Form1098CFiledInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
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	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 (37 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	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
AMY SAMPSON
PRESIDENT/DIRECTOR	1.00	42.00	Yes (X)	Yes (X)	$0	$1,314,834	$375,724
BRIAN SKINNER
VICE CHAIRMAN/DIRECTOR	1.00	1.00	Yes (X)	Yes (X)	$0	$0	$0
CARL ST REMY MD
DIRECTOR	1.00	40.00	Yes (X)		$0	$771,262	$42,660
EDWARD WHITMORE
DIRECTOR	2.00	2.00	Yes (X)		$0	$0	$0
ELLY BRADSHAW SMITH
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
GEORGE CLARKE
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
JOHN R LAWSON II
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
JULIA CHILDRESS BECK
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
KATHERINE KNAUS
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
KATRINA LESHER MD
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
KEVIN MURPHY
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
KIERAN POULOS
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
KIM GEORGES
SECRETARY/DIRECTOR	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
LARRY BERNERT
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MARTHA COLEN
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
MILES LEON
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
NICOLE LEGUM
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
OWEN GRIFFEN
TREASURER/DIRECTOR	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
R JUSTIN FULTON
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
SCOTT NOTTINGHAM MD
DIRECTOR	1.00	40.00	Yes (X)		$0	$413,835	$41,915
SUSAN WYNNE
DIRECTOR	1.00	1.00	Yes (X)		$0	$0	$0
KATHRYN ABSHIRE
CFO & ASSISTANT SECRETARY/TREASURER	1.00	42.00		Yes (X)	$0	$736,668	$471,360
ALLISON SILVA
VP - ANCILLARY SERVICES	40.00	0.00			$501,525	$0	$131,838	Yes (X)
CHRISTOPHER FOLEY MD
VP - CHIEF CLINICAL OP OFFICER	0.00	40.00			$0	$779,637	$204,825	Yes (X)
DEBORAH BARNES
VP - IS OPERATIONS	0.00	40.00			$0	$840,977	$97,645	Yes (X)
JALANA MCCASLAND
VP - PHYSICIAN PRACTICE MANAGEMENT	40.00	0.00			$511,960	$0	$211,096	Yes (X)
KAREN MITCHELL
VP- PATIENT CARE SERVICES	40.00	0.00			$479,923	$0	$29,040	Yes (X)
TAMIKA HARRIS
VP - FACILITIES & SUPPORT SERVICES	40.00	0.00			$319,782	$0	$106,206	Yes (X)
TERRIE PYEATT
VP - FINANCE	0.00	40.00			$0	$270,429	$52,902	Yes (X)
ANISHA GARG
PHYSICIAN	40.00	0.00			$291,587	$0	$31,804		Yes (X)
DEAN CAULEY
PHYSICIAN	40.00	0.00			$364,207	$0	$26,918		Yes (X)
JOHN HARRINGTON
VP - QUALITY/SAFETY & CLINICAL INTEGRATION	20.00	20.00			$459,362	$0	$120,921		Yes (X)
JOHN WARBURTON
VP - MENTAL HEALTH	40.00	0.00			$376,420	$0	$89,756		Yes (X)
SUZANNE BRIXEY
PHYSICIAN	40.00	0.00			$391,502	$0	$17,994		Yes (X)
JAMES D DAHLING
FORMER PRESIDENT/DIRECTOR	1.00	42.00			$0	$1,209,797	$33,930			Yes (X)
SANDIP GODAMBE MD
FORMER VP - QUAL/PATIENT SAFETY	0.00	0.00			$834,384	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,530,652	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,337,439	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,086,534	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	485	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	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	$36,980,332
EASTERN VIRGINIA MED SCHOOL
P O BOX 1980	NORFOLK	VA	235011980	MEDICAL	$14,509,783
COMPASS ONE
P O BOX 1022289	ATLANTA	GA	30368	FOOD SERVICES	$11,373,734
AYA HEALTHCARE INC
5930 CORNERSTONE COURT W SUITE 300	SAN DIEGO	CA	92121	PERSONNEL	$8,686,460
CERNER CORPORAION
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	I/T	$6,662,897

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	132	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$73,788	FederatedCampaignsAmt
Related Organizations	$2,355,266	RelatedOrganizationsAmt
Government Grants	$9,552,479	GovernmentGrantsAmt
All Other Contributions	$16,471,227	AllOtherContributionsAmt
Noncash Contributions	$3,506,065	NoncashContributionsAmt
Total Contributions	$28,452,760	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	900099	$588,904,943	$588,904,943
OTHER RELATED SERVICES	900099	$32,284,296	$32,284,296
LAB SERVICES	621500	$216,771		$216,771
SPORTS RELATED SERVICE	900099	$152,610		$152,610

Field	Value	IRS element (for citing)
Total Program Service Revenue	$621,558,620	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,600,299	TotalRevenueColumnAmt
Exclusion	$15,600,299	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,551,881	RealAmt
Personal	$7,706	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,742,023	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$190,142	RealAmt
Personal	$7,706	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$182,436	TotalRevenueColumnAmt
Exclusion	-$182,436	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$247,455,786	SecuritiesAmt
Other	$29,021	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$250,671,171	SecuritiesAmt
Other	$17,158	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$3,215,385	SecuritiesAmt
Other	$11,863	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,203,522	TotalRevenueColumnAmt
Exclusion	-$3,203,522	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	GRADUATE MEDICAL ED.	Desc
Business	900099	BusinessCd
Total Revenue Column	$3,604,997	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,604,997	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,604,997	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$665,830,718	TotalRevenueColumnAmt
Related Or Exempt Func Income	$624,794,236	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$369,381	UnrelatedBusinessRevenueAmt
Exclusion	$12,214,341	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$21,295,433	TotalAmt
Program Services	$21,295,433	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,446,991	TotalAmt
Program Services	$1,080,405	ProgramServicesAmt
Management And General	$366,586	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$287,734,833	TotalAmt
Program Services	$260,138,682	ProgramServicesAmt
Management And General	$25,627,242	ManagementAndGeneralAmt
Fundraising	$1,968,909	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,412,370	TotalAmt
Program Services	$5,742,880	ProgramServicesAmt
Management And General	$1,597,034	ManagementAndGeneralAmt
Fundraising	$72,456	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,292,068	TotalAmt
Program Services	$20,205,784	ProgramServicesAmt
Management And General	$5,873,484	ManagementAndGeneralAmt
Fundraising	$212,800	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,065,645	TotalAmt
Program Services	$17,315,175	ProgramServicesAmt
Management And General	$1,596,677	ManagementAndGeneralAmt
Fundraising	$153,793	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$66,154	TotalAmt
Management And General	$66,154	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$795	TotalAmt
Management And General	$795	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$50,000	TotalAmt
Management And General	$50,000	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$204,214	TotalAmt
Fundraising	$204,214	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$243,072	TotalAmt
Management And General	$243,072	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$57,713,599	TotalAmt
Program Services	$54,260,909	ProgramServicesAmt
Management And General	$3,335,760	ManagementAndGeneralAmt
Fundraising	$116,930	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$311,045	TotalAmt
Program Services	$43,290	ProgramServicesAmt
Management And General	$257,267	ManagementAndGeneralAmt
Fundraising	$10,488	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,020,564	TotalAmt
Program Services	$1,963,759	ProgramServicesAmt
Management And General	$1,009,296	ManagementAndGeneralAmt
Fundraising	$47,509	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,174,260	TotalAmt
Program Services	$2,389,708	ProgramServicesAmt
Management And General	$640,613	ManagementAndGeneralAmt
Fundraising	$143,939	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,405,038	TotalAmt
Program Services	$16,658,739	ProgramServicesAmt
Management And General	$2,728,079	ManagementAndGeneralAmt
Fundraising	$18,220	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$348,922	TotalAmt
Program Services	$276,594	ProgramServicesAmt
Management And General	$66,315	ManagementAndGeneralAmt
Fundraising	$6,013	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$566,892	TotalAmt
Program Services	$531,565	ProgramServicesAmt
Management And General	$32,126	ManagementAndGeneralAmt
Fundraising	$3,201	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,484,880	TotalAmt
Program Services	$5,459,065	ProgramServicesAmt
Management And General	$25,815	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$36,296,151	TotalAmt
Program Services	$33,321,836	ProgramServicesAmt
Management And General	$2,921,697	ManagementAndGeneralAmt
Fundraising	$52,618	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,125,366	TotalAmt
Program Services	$1,009,486	ProgramServicesAmt
Management And General	$2,115,676	ManagementAndGeneralAmt
Fundraising	$204	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$91,279,245	$90,967,498	$300,163	$11,584
EQUIP RENTAL AND MAINT.	$31,508,355	$28,527,839	$2,863,690	$116,826
PURCHASED SERVICES	$24,558,206	$19,443,666	$5,070,400	$44,140
UNRELATED BUSINESS INC.	$48,698	$0	$48,698	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$35,339,132	TotalAmt
Program Services	$6,244,812	ProgramServicesAmt
Management And General	$28,943,130	ManagementAndGeneralAmt
Fundraising	$151,190	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$675,991,928	TotalAmt
Program Services	$586,877,125	ProgramServicesAmt
Management And General	$85,779,769	ManagementAndGeneralAmt
Fundraising	$3,335,034	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$57,777,910	BOYAmt
EOY	$62,691,536	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,957,982	BOYAmt
EOY	$24,280,753	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$116,749,503	BOYAmt
EOY	$148,878,969	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,426,907	BOYAmt
EOY	$13,071,431	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,546,317	BOYAmt
EOY	$10,954,070	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$865,365,046	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$415,530,128	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$471,632,902	BOYAmt
EOY	$449,834,918	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$323,926,289	BOYAmt
EOY	$323,550,886	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$46,700,214	BOYAmt
EOY	$54,792,771	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$65,311,119	BOYAmt
EOY	$71,769,840	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,133,029,143	BOYAmt
EOY	$1,159,825,174	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,824,086	BOYAmt
EOY	$60,250,888	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$217,675	BOYAmt
EOY	$377,385	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$229,954,076	BOYAmt
EOY	$224,554,965	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,000,235	BOYAmt
EOY	$27,098,983	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$309,996,072	BOYAmt
EOY	$312,282,221	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	$770,097,162	BOYAmt
EOY	$796,050,815	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$52,935,909	BOYAmt
EOY	$51,492,138	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$823,033,071	BOYAmt
EOY	$847,542,953	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,133,029,143	BOYAmt
EOY	$1,159,825,174	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$10,161,210	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$26,514,823	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$699,548	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$8,855,817	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	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	$46,947,279	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$99,087,320	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$88,572,506	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$56,544,790	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,452,760	CurrentTaxYearAmt
Total	$319,604,655	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$46,947,279	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$99,087,320	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$88,572,506	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$56,544,790	CurrentTaxYearMinus1YearAmt
Current Tax Year	$28,452,760	CurrentTaxYearAmt
Total	$319,604,655	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$319,604,655	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,070,432	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,246,160	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,745,593	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,401,256	CurrentTaxYearMinus1YearAmt
Current Tax Year	$19,159,886	CurrentTaxYearAmt
Total	$60,623,327	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$397,998	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$392,485	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$240,510	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$206,714	CurrentTaxYearMinus1YearAmt
Current Tax Year	$152,320	CurrentTaxYearAmt
Total	$1,390,027	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$381,618,009	TotalSupportAmt
Gross Receipts Rltd Activities	$2,607,656,838	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.83750	PublicSupportCY170Pct
Public Support PY170	0.85100	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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,731,316	BeginningYearBalanceAmt
Contributions	$322,831	ContributionsAmt
Investment Earnings Or Losses	$754,876	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,067,731	OtherExpendituresAmt
End Year Balance	$25,741,292	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	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	$533,064,004	OtherCostOrOtherBasisAmt
Depreciation	$180,809,558	DepreciationAmt
Book Value	$352,254,446	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,769,986	OtherCostOrOtherBasisAmt
Depreciation	$11,153,795	DepreciationAmt
Book Value	$4,616,191	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$289,299,041	OtherCostOrOtherBasisAmt
Depreciation	$223,217,745	DepreciationAmt
Book Value	$66,081,296	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,814,853	OtherCostOrOtherBasisAmt
Depreciation	$349,030	DepreciationAmt
Book Value	$8,465,823	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$449,834,918	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
CONTRIBUTION/REMAINDER TRUST	$5,553,724
CASH SURRENDER VALUE LIFE INSURANCE	$267,288
INTERCOMPANY RECEIVABLES	$2,651,708
INVESTMENT IN SHARED HOSPITAL	$313,350
RIGHT OF USE ASSETS	$14,048,691
INSURANCE RECOVERABLE	$4,368,189
DERIVATIVE INSTUMENTS ASSET	$44,086,890
LT - AR SETTLEMENT	$480,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$71,769,840	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
INSURANCE IBNR & IBNE	$6,480,477
DERIVATIVE INSTRUMENTS	$2,038,689
CAPITAL LEASE	$2,554,766
ANNUITY PAYABLE	$1,013,319
INTERCOMPANY LIABILITIES	$33,409
ACCRUED TAIL COVERAGE	$35,524
OPERATING LEASE OBLIGATIONS	$14,942,799

Field	Value	IRS element (for citing)
Total Liability	$27,098,983	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

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.

PART X, LINE 2:

ASC 740 FOOTNOTE FROM CONSOLIDATED AUDIT REPORT 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 (1)	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	0	FundraiserControlOfFundsInd
Gross Receipts	$1,673,662	GrossReceiptsAmt
Retained By Contractor	$204,214	RetainedByContractorAmt
Net To Organization	$1,469,448	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$1,673,662	TotalGrossReceiptsAmt
Total Retained By Contractors	$204,214	TotalRetainedByContractorsAmt
Total Net To Organization	$1,469,448	TotalNetToOrganizationAmt
Licensed States	AL	LicensedStatesCd
Licensed States	AR	LicensedStatesCd
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	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	WA	LicensedStatesCd
Licensed States	WV	LicensedStatesCd
Licensed States	WI	LicensedStatesCd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	175.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,547,127	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,547,127	NetCommunityBenefitExpnsAmt
Total Expense	0.00390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$323,023,278	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$270,251,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,771,958	NetCommunityBenefitExpnsAmt
Total Expense	0.08120	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$325,570,405	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$270,251,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$55,319,085	NetCommunityBenefitExpnsAmt
Total Expense	0.08510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,408,382	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,072,621	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$82,335,761	NetCommunityBenefitExpnsAmt
Total Expense	0.12660	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,891,122	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,186,609	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,704,513	NetCommunityBenefitExpnsAmt
Total Expense	0.01030	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,326,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,843,036	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,483,359	NetCommunityBenefitExpnsAmt
Total Expense	0.06230	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$757,700	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,477	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$740,223	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$226,383,599	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,119,743	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$130,263,856	NetCommunityBenefitExpnsAmt
Total Expense	0.20030	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$551,954,004	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$366,371,063	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$185,582,941	NetCommunityBenefitExpnsAmt
Total Expense	0.28540	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$17,471,101	BadDebtExpenseAmt
Bad Debt Expense Attributable	$7,403,320	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$2,692,741	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$6,743,654	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,050,913	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	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
1	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
2	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	FACILITY REPORTING GROUP - A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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	21	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	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 (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CHKD.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	175.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
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 (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	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 (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	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 (1)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:	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 AND KEY STAKEHOLDER INTERVIEWS AND HEALTH INDICATOR ANALYSIS.TWO VERSIONS OF THE SURVEY WITH SIMILAR QUESTIONS WERE CIRCULATED ACROSS CHKD'S SERVICE AREA. THE FIRST VERSION WAS A STAKEHOLDER SURVEY IN WHICH MANY PARTICIPANTS PROVIDED (OR HAD KNOWLEDGE OF) HEALTH, PREVENTIVE AND SUPPORT SERVICES, AS WELL AS THE NEEDS OF LOW INCOME AND MINORITY RESIDENTS. THE SECOND VERSION WAS A COMMUNITY SURVEY THAT WAS CIRCULATED MORE BROADLY TO COMMUNITY MEMBERS. THERE WERE A TOTAL OF 11,744 COMMUNITY MEMBERS WHO COMPLETED THE SURVEY QUESTIONS. THERE WERE 1,099 RESPONSES TO THE STAKEHOLDER SURVEY.GIVEN THE PREVIOUSLY IDENTIFIED PRIORITY OF MENTAL AND BEHAVIORAL HEALTH AND AN INTEREST IN HEARING FROM STAKEHOLDERS FROM ACROSS THE REGION WHO WERE FAMILIAR WITH THESE ISSUES, KEY STAKEHOLDER INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED. A TOTAL OF 51 PEOPLE PARTICIPATED IN KEY STAKEHOLDER INTERVIEWS AND FOCUS GROUPS. THERE WERE 4 FOCUS GROUPS CONDUCTED BY VOICES (VIRGINIA ORGANIZATION FOR INCLUSIVE CONCEPTS AND EQUITABLE SOLUTIONS), A THINK TANK THAT FOCUSES ON PROVIDING BEST PRACTICE AND GUIDANCE ON FAIR AND EQUAL TREATMENT, SYSTEMIC AND INSTITUTIONAL RACISM, SOCIO-ECONOMIC ISSUES, AND SOCIAL DETERMINANTS OF HEALTH THAT CREATE IMPEDIMENTS FOR MARGINALIZED AND UNDERSERVED PEOPLE. TWENTY-FOUR PARTICIPANTS FROM ACROSS THE REGION TOOK PART IN THE GROUP DISCUSSIONS ON THE FOLLOWING TOPICS: (1) A HEALTHY WORKPLACE, (2) ACCESS TO HEALTHCARE, (3) ACCESS TO FOOD, (4) EMERGENCIES AND FINANCES.THE 27 KEY STAKEHOLDER INTERVIEWS 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.NATIONAL, STATE AND PRIVATE DATA SOURCES WERE USED IN THE HEALTH INDICATOR ANALYSIS. KEY HEALTH ISSUES WERE IDENTIFIED WHEN MULTIPLE LOCALITIES HAD WORSE RATES OR PERCENTAGES IN COMPARISON TO STATE AVERAGES.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:	A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FOR CHKD'S THREE LICENSED FACILITIES LISTED IN PART V, SECTION A.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:	AFTER COMPILING ALL OF THE RESULTS FROM THE STAKEHOLDER AND COMMUNITY SURVEYS, FOCUS GROUPS, KEY STAKEHOLDER INTERVIEWS AND HEALTH INDICATOR ANALYSIS, COMMON THEMES AND 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/BEHAVIORAL HEALTH, HEALTHY EATING AND ACCESS TO HEALTHY FOODS, ALCOHOL/SUBSTANCE ABUSE, SAFE AND AFFORDABLE HOUSING, PEDIATRIC ASTHMA, INFANT HEALTH, SEXUALLY TRANSMITTED INFECTIONS, AND CHILD ABUSE.CHKD LEADERS REVIEWED RESULTS FROM ALL THREE DATA SOURCES TO BETTER UNDERSTAND THE SIGNIFICANT HEALTH NEEDS AND PRIORITIES TO DETERMINE THE BEST FOCUS FOR ITS IMPLEMENTATION PLAN. INDIVIDUALS AND GROUPS INVOLVED IN THIS PROCESS INCLUDED THE FOLLOWING: THE HOSPITAL'S SENIOR LEADERSHIP TEAM, WHICH INCLUDES ITS CEO, PRESIDENT AND VICE PRESIDENTS; CHKD PHYSICIAN LEADERS; AND CHKD'S PARENT AND FAMILY ADVISORY COUNCIL.GIVEN THE SCOPE AND DEPTH OF THE NEED FOR MENTAL HEALTH CARE AND THE SIGNIFICANT RESOURCES CHKD HAS DEVOTED TO EXPANDING ITS MENTAL HEALTH SERVICES, CHKD IS PRIORITIZING THIS ISSUE IN ITS IMPLEMENTATION PLAN STRATEGY FROM 2022 TO 2024. SINCE THE 2019 CHNA, CHKD HAS MADE SIGNIFICANT PROGRESS TOWARD DEVELOPING A COORDINATED, REGIONAL CONTINUUM OF INPATIENT, OUTPATIENT AND DAY TREATMENT PROGRAMS FOR CHILDREN WITH MENTAL HEALTH CHALLENGES. ADDRESSING PEDIATRIC MENTAL/BEHAVIORAL HEALTH WOULD HAVE A POSITIVE EFFECT ON PEDIATRIC HEALTH AND WELL-BEING OVERALL, AFFECTING MULTIPLE OTHER IDENTIFIED HEALTH NEEDS, SUCH AS VIOLENCE AND ALCOHOL/SUBSTANCE ABUSE. CHKD WILL CONTINUE ITS COMMITMENT TO PREVIOUSLY IMPLEMENTED PROGRAMS INCLUDING ITS EXISTING CHILD ADVOCACY CENTER THAT ADDRESSES CHILD ABUSE.MENTAL/BEHAVIORAL HEALTH: CHKD OPENED CHKD'S CHILDREN PAVILION, A 60-BED PEDIATRIC MENTAL HEALTH HOSPITAL AND OUTPATIENT CENTER IN LATE 2022. THE NEW FACILITY WILL INCLUDE THOUGHTFUL PATIENT AND FAMILY-CENTERED DESIGN, EVIDENCE-BASED TREATMENTS, ACADEMIC TRAINING PROGRAMS, AND CLINICAL RESEARCH TO GUIDE INNOVATION. CHKD'S MENTAL HEALTH IMPLEMENTATION STRATEGY INCLUDES ESTABLISHING A PARTIAL HOSPITALIZATION PROGRAM THAT OFFERS FULL-DAY MENTAL HEALTH TREATMENT, OFFERING AND EXPANDING INTENSIVE OUTPATIENT PROGRAMMING, WORKING WITH OUR COMMUNITY TO ESTABLISH PARTNERSHIPS AND SUPPORT CHILDREN AND ADOLESCENTS IN THEIR TYPICAL ENVIRONMENTS, AND CONTINUING TO OFFER TELEHEALTH FOR OUTPATIENT CARE. CHKD HAS ESTABLISHED 2 OUTPATIENT MENTAL HEALTH FACILITIES FOCUSING ON MENTAL HEALTH THERAPY, PSYCHOLOGICAL ASSESSMENT, AND PSYCHIATRY SERVICES: NEWPORT NEWS HEALTH CENTER AT TECH CENTER AND VIRGINIA BEACH HEALTH CENTER AT LANDSTOWN. IN AN ANSWER TO THE PEDIATRIC MENTAL HEALTH CARE FRAGMENTATION DUE TO THE LACK OF COMMUNICATION BETWEEN A CHILD'S VARIOUS MEDICAL AND MENTAL HEALTH PROVIDERS, CHKD'S GOAL IS TO DEVELOP A COORDINATED CONTINUUM OF CARE ACROSS ITS FACILITIES. WITH ITS BROAD NETWORK OF MORE THAN 300 PEDIATRICIANS, SPECIALISTS, AND SURGEONS IN MORE THAN 40 LOCATIONS THROUGHOUT THE REGION, CHKD HEALTH SYSTEM IS IN A UNIQUE POSITION TO ADDRESS AND IMPROVE CARE FRAGMENTATION. CHKD IS THE REGION'S PARTNER FOR THE VIRGINIA MENTAL HEALTH ACCESS PROGRAM (VMAP), A STATEWIDE INITIATIVE THAT OFFERS PEDIATRICIANS REAL-TIME PHONE CONSULTATIONS WITH BOARD-CERTIFIED CHILD AND ADOLESCENT PSYCHIATRISTS. VMAP ALSO SERVES AS A RESOURCE FOR PEDIATRICIANS WHO ARE LOOKING FOR MENTAL HEALTH CARE AND BEHAVIORAL CONSULTATION FOR A CHILD IN THEIR CARE.CHKD PLANS TO CONTINUE TO COMMIT PROGRAMMING AND RESOURCES TO ITS ONGOING INITIATIVES TO ADDRESS OBESITY, CHILD ABUSE AND INFANT HEALTH. OTHER SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA ARE NOT BEING SPECIFICALLY ADDRESSED IN THE CURRENT IMPLEMENTATION ARE ALCOHOL/SUBSTANCE ABUSE, SAFE AND AFFORDABLE HOUSING, PEDIATRIC ASTHMA, AND SEXUALLY TRANSMITTED INFECTIONS, THESE ARE ALL CONDITIONS THAT CHKD EITHER CURRENTLY PROVIDES CARE FOR AND/OR COLLABORATES WITH OTHER COMMUNITY AGENCIES TO ADDRESS. CHKD REGULARLY AND ROUTINELY OFFERS ITS EXPERTISE AND ASSISTANCE AS WELL AS COMMUNITY RESOURCES TO ADDRESS A BROAD RANGE OF ISSUES RELATING TO THE HEALTH AND WELFARE OF CHILDREN.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13H:	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 AREUNFUNDED (E.G., MEDICAID SPEND-DOWN);7. LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; AND8. 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
1 - CHKD HLTH CTR & URGENT CARE AT LOEHMAN'S
3960 VIRGINIA BEACH BLVD	VIRGINIA BEACH	VA	23452	URGENT CARE & OUTPATIENT SERVICES
2 - CHKD HEALTH CENTER AT OAKBROOKE
500 DISCOVERY DRIVE	CHESAPEAKE	VA	23320	OUTPATIENT SERVICES
3 - CHKD URGENT CARE AT VOLVO
817 VOLVO PARKWAY	CHESAPEAKE	VA	23320	URGENT CARE & OUTPATIENT SERVICES
4 - CHKD HLTH CTR & URGENT CARE AT TECH CNTR
680 OYSTER POINT ROAD	NEWPORT NEWS	VA	23602	URGENT CARE & OUTPATIENT SERVICES
5 - CHKD HLTH CTR & URGENT CARE AT LANDSTOWN
1924 LANDSTOWN WAY	VIRGINIA BEACH	VA	23456	URGENT CARE & OUTPATIENT SERVICES
6 - CHKD HEALTH CENTER AT HARBOUR VIEW
5832 HARBOUR VIEW BLVD	SUFFOLK	VA	23435	OUTPATIENT SERVICES
7 - CHKD HEALTH CENTER AT HARBOUR
5834 HARBOUR VIEW BLVD	SUFFOLK	VA	23435	OUTPATIENT SERVICES
8 - CHKD HEALTH CENTER AT LIGHTFOOT
6425 RICHMOND ROAD	WILLIAMSBURG	VA	23188	OUTPATIENT SERVICES
9 - HEALTH CENTER AT MEDICAL CENTER CAMPUS
850 SOUTHAMPTON AVENUE	NORFOLK	VA	23510	OUTPATIENT SERVICES
10 - SPORTS MEDICINE IN GHENT
702 WEST 21ST STREET	NORFOLK	VA	23517	OUTPATIENT SERVICES
11 - SATELLITE AT MEDICAL TOWER
400 GRESHAM DRIVE	NORFOLK	VA	23507	OUTPATIENT SERVICES
12 - CHKD CAP
935 REDGATE AVENUE	NORFOLK	VA	23507	OUTPATIENT SERVICES
13 - FORT NORFOLK PLAZA MEDICAL BUILDING
301 RIVERVIEW AVENUE	NORFOLK	VA	23510	OUTPATIENT SERVICES
14 - CHKD HEALTH CENTER AT KEMPSVILLE
171 KEMPSVILLE ROAD	NORFOLK	VA	23510	OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7(E):	THE AMOUNT REPORTED ON PART I, LINE 7(E) INCLUDES $71,404,489 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.PART I, LINE 7(F):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 $17,471,101.
PART I, LINE 7:	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.
PART III, LINE 2:	BAD DEBT REPORTED IN PART III LINE 2 IS BASED ON THE AMOUNT REPORTED AS BAD DEBT IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE AMOUNT DOES NOT INCLUDE DISCOUNTS OR OTHER ADMINISTRATIVE WRITE OFFS. IF A PATIENT ACCOUNT HAS BEEN WRITTEN OFF TO BAD DEBT AND IS SUBSEQUENTLY COLLECTED, BAD DEBT EXPENSE IS REDUCED IN THAT PERIOD BY THE PAYMENT.PART III, LINE 3: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.
PART III, LINE 4:	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 17 ON PAGE 32 OF AUDITED FINANCIAL STATEMENTS.PART III, LINE 8: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.
PART III, LINE 9B:	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.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 2021 TO APRIL 2022, 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 HEALTH SYSTEM: 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.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.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 2022 CHNA, THIS SERVICE REGION INCLUDED 458,649 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.PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHCHKD PLAYS A UNIQUE ROLE IN ITS COMMUNITY BY PROVIDING PEDIATRICHEALTHCARE 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 2024, CHKD HAD 5,881 ADMISSIONS RESULTING IN 56,584 PATIENT DAYS. 56.6 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.
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 ORGANINZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM.* CHILDREN'S QUALITY CARE, LLC, A DISREGARDED ENTITY ORGANINZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM.* CHILDREN'S PHARMACY SERVICES, LLC, A DISREGARDED ENTITY ORGANINZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM.PART VI, LINE 7:FACILITY REPORTING GROUP(S):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. STATE FILING OF COMMUNITY BENEFIT REPORT:VA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
CHILDREN'S HEALTH FOUNDATION INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278865	501(C)(3)	$8,000,297	$0	CASH	GENERAL SUPPORT
CHILDREN'S HEALTH SYSTEM INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278830	501(C)(3)	$13,250,000	$0	CASH	GENERAL SUPPORT
TEXAS TECH UNIVERSITY
3601 4TH STREET	LUBBOCK	TX	79430	752668014	501(C)(3)	$25,000	$0	CASH	HUMAN MILK BANK

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	PROCESS FOR AWARDS 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 (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	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	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	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/DIRECTOR	$0	$931,980	$0	$0	$0	$382,854	$0	$345,164	$0	$30,560	$0	$1,690,558	$0	$363,486
JAMES D DAHLING
FORMER PRESIDENT/DIRECTOR	$0	$973,198	$0	$0	$0	$236,599	$0	$13,200	$0	$20,730	$0	$1,243,727	$0	$0
KATHRYN ABSHIRE
CFO & ASSISTANT SECRETARY/TREASURER	$0	$528,454	$0	$0	$0	$208,214	$0	$432,885	$0	$38,475	$0	$1,208,028	$0	$194,180
CHRISTOPHER FOLEY MD
VP - CHIEF CLINICAL OP OFFICER	$0	$768,447	$0	$0	$0	$11,190	$0	$165,901	$0	$38,924	$0	$984,462	$0	$0
DEBORAH BARNES
VP - IS OPERATIONS	$0	$461,695	$0	$0	$0	$379,282	$0	$67,760	$0	$29,885	$0	$938,622	$0	$360,371
SANDIP GODAMBE MD
FORMER VP - QUAL/PATIENT SAFETY	$0	$0	$0	$0	$834,384	$0	$0	$0	$0	$0	$834,384	$0	$722,963	$0
CARL ST REMY MD
DIRECTOR	$0	$770,848	$0	$0	$0	$414	$0	$13,200	$0	$29,460	$0	$813,922	$0	$0
JALANA MCCASLAND
VP - PHYSICIAN PRACTICE MANAGEMENT	$394,784	$0	$0	$0	$117,176	$0	$171,416	$0	$39,680	$0	$723,056	$0	$102,508	$0
ALLISON SILVA
VP - ANCILLARY SERVICES	$308,384	$0	$0	$0	$193,141	$0	$115,551	$0	$16,287	$0	$633,363	$0	$172,582	$0
JOHN HARRINGTON
VP - QUALITY/SAFETY & CLINICAL INTEG	$431,424	$0	$0	$0	$27,938	$0	$87,762	$0	$33,159	$0	$580,283	$0	$0	$0
KAREN MITCHELL
VP- PATIENT CARE SERVICES	$400,515	$0	$0	$0	$79,408	$0	$13,200	$0	$15,840	$0	$508,963	$0	$0	$0
JOHN WARBURTON
VP - MENTAL HEALTH	$367,420	$0	$0	$0	$9,000	$0	$65,441	$0	$24,315	$0	$466,176	$0	$0	$0
SCOTT NOTTINGHAM MD
DIRECTOR	$0	$413,425	$0	$0	$0	$410	$0	$13,200	$0	$28,715	$0	$455,750	$0	$0
TAMIKA HARRIS
VP - FACILITIES & SUPPORT SERVICES	$289,567	$0	$0	$0	$30,215	$0	$70,166	$0	$36,040	$0	$425,988	$0	$19,566	$0
SUZANNE BRIXEY
PHYSICIAN	$347,550	$0	$32,000	$0	$11,952	$0	$13,200	$0	$4,794	$0	$409,496	$0	$0	$0
DEAN CAULEY
PHYSICIAN	$343,793	$0	$20,000	$0	$414	$0	$13,200	$0	$13,718	$0	$391,125	$0	$0	$0
ANISHA GARG
PHYSICIAN	$291,425	$0	$0	$0	$162	$0	$3,702	$0	$28,102	$0	$323,391	$0	$0	$0
TERRIE PYEATT
VP - FINANCE	$0	$259,749	$0	$0	$0	$10,680	$0	$40,448	$0	$12,454	$0	$323,331	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	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.
PART I, LINE 4B	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: KAREN MITCHELL ACT. INCREASE $0 AMT. PAID $27,405 NAME: ALLISON SILVA ACT. INCREASE $80,947 AMT. PAID $68,602 NAME: DEBORAH BARNES ACT. INCREASE: $34,730 AMT. PAID: $154,670 NAME: KATHY ABSHIRE ACT. INCREASE $401,958 AMT. PAID: $85,833 NAME: TAMIKA HARRIS ACT. INCREASE $38,456 AMT. PAID: $0 NAME: JOHN WARBURTON ACT. INCREASE: $52,241 AMT. PAID: $0 NAME: JALANA MCCASLAND ACT INCREASE: $137,275 AMT PAID: $34,130 NAME: AMY SAMPSON ACT. INCREASE: $244,415 AMT PAID: $151,798 NAME: CHRISTOPHER FOLEY MD ACT INCREASE $165,901 AMT PAID: $ 0 NAME: JOHN HARRINGTON ACT INCREASE $74,562 AMT PAID: $ 0 NAME: TERRIE PYEATT ACT INCREASE $36,400 AMT PAID: $ 0 NAME: SANDIP GODAMBE ACT INCREASE $0 AMT. PAID: $751,627
PART I, LINE 7	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 (2015)
A	541300845	2015-12-01	$100,000,000	FINANCING OF HEALTH CARE FACILITIES	0	0	0
VA SMALL BUSINESS FIN AUTH (2020)
B	541300845	2020-06-10	$100,000,000	FINANCING OF HOSPITAL FACILITIES	0	0	0
VA SMALL BUSINESS FIN AUTH (2021)
C	541300845	2021-11-09	$91,958,991	REFINANCE 2012 SERIES BONDS (ISSUED 9/19/12) & FIN. OF HOSP. FACILITIES	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$3,495,613	$48,650,000	$48,650,000	2018	0	Yes (1)	Yes (1)
B	$3,405,000	$100,000,000	$100,000,000	2022	0	Yes (1)	Yes (1)
C	$9,000,000	$91,958,991	$91,958,991	2022	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	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	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00330	0.00330	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)			Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0.00590	0.00590	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	0	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: VA SMALL BUSINESS FIN. AUTH. (2015) DATE THE REBATE COMPUTATION WAS PERFORMED: 05/12/2021
PART II, LINE 10 COLUMN A:	CAPITAL EXPENDITURES FROM REQUISITIONED PROCEEDS CURRENTLY TOTAL $99,950,000, OF WHICH $51,300,000 WAS ALLOCATED TO CHILDREN'S HEALTH SYSTEM AND $48,650,000 WAS ALLOCATED TO CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS.
PART III, LINE 4	COLUMN A: 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. COLUMN C: 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.

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	SEE PART V	RelationshipDescriptionTxt
Transaction	$2,270,174	TransactionAmt
Transaction	CONSTRUCTION SERVICES	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	INTERESTED PERSON AND THE ORGANIZATION	FormAndLineReferenceDesc
Explanation	ENTITY MORE THAN 35% OWNED BY JOHN LAWSON II, CURRENT BOARD MEMBER.	ExplanationTxt

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehiclesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$3,250	NoncashContributionsRptF990Amt
Method Of Determining Revenues	CASH ON SALE	MethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	39	ContributionCnt
Noncash Contributions Rpt F990	$3,475,143	NoncashContributionsRptF990Amt
Method Of Determining Revenues	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	5	ContributionCnt
Noncash Contributions Rpt F990	$27,672	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVG FMV ON DATE REC	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 32B:	FormAndLineReferenceDesc
Explanation	CHKD PAYS ABC VIRGINIA AUTO AUCTION, LLC A FEE TO AUCTION CARS FOR THE BENEFIT OF THE ORGANIZATION. SCHEDULE M, PART I: COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS:	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 500,000 CHILDREN 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 FY2024, 56.6 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 LOCATED 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 HEALTH CENTERS IN VIRGINIA BEACH, NEWPORT NEWS, CHESAPEAKE, HAMPTON, WILLIAMSBURG, SUFFOLK, AND NORFOLK. ITS SERVICES INCLUDE EVERYTHING FROM WELLNESS AND PREVENTION INITIATIVE 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, MENTAL HEALTH SERVICES, 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 AT THE ACUTE CARE FACILITY CHILDREN WITH A VAST RANGE OF MEDICAL PROBLEMS INCLUDING LIFE-THREATENING ILLNESSES AND INJURIES TURN TO CHKD FOR INPATIENT CARE. IN FY24, CHKD HAD 4,879 ADMISSIONS RESULTING IN 48,211 PATIENT DAYS. APPROXIMATELY 56 PERCENT OF THESE DAYS WERE COVERED BY MEDICAID. CHKD 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 EACH YEAR 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 APPROXIMATELY 485 ADMISSIONS TO THE NICU IN FY24. 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 942 ADMISSIONS TO THE PICU IN FY24. 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 FY24, THE TEAM TRANSPORTED APPROXIMATELY 1,600 PATIENTS. OF THOSE, 400 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.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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 FY24, SURGEONS PERFORMED 14,199 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 CONGENTIAL 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 AND CHILD SUPPORT GROUP), 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, ADVANCE 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 PROFESSIONALLLY 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 CHILD/LIFE STAFF MEMBERS, INCLUDING TWO ART THERAPIST AND TWO MUSIC THERAPIST, 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, CERTIFIED CHILD LIFE SPECIALISTS, WORK WITH INPATIENT PSYCHIATRIC PATIENTS. THERE ARE FOUR POPULAR ACTIVITY AREAS, INCLUDING A TEEN ROOM, IN THE MAIN HOSPITAL, PROVIDING HOSPITALIZED CHILDREN OPPORTUNITIES FOR SOCIALIZATION AND CREATIVE PLAY. 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 THE HOSPITAL 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.
FORM 990, PART III, LINE 4A	CHKD'S MEDICAL SOCIAL WORK TEAM PROVIDES MANY SERVICES, INCLUDING: * 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 COMMUNICATIONS 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 AND IS MANAGED BY AN IDENTIFIED LICENSED ELIGIBLE COORDINATOR AND ONE FULL TIME MEDICAL SOCIAL WORKER WHO CONDUCT INTAKE ASSESSMENTS, DEVELOP INDIVIDUAL SERVICE PLANS, TO INTERVAL CHECK-INS AND PROVIDE PROGRESS NOTES FOR PATIENTS AND FAMILY MEMBERS AFFECTED BY VIOLENCE. ADDITIONALLY, MEDICAL SOCIAL WORKERS ALSO 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, DINE AND DISCOVER FOR NICU FAMILIES. THE MEDICAL SOCIAL WORK TEAM MANAGES THE HALO FUND, BUTTERFLY BLESSINGS FUND, AND SAM'S WARRIORS FUNDS, MONETARY FUNDS DESIGNATED TO ASSIST PATIENTS/FAMILIES ENCOUNTERING BARRIERS SUCH AS TRANSPORTATION NEEDS, MEALS, 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 CHILDREN'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 CHKD'S CULTURAL/LANGUAGE SERVICES DEPARTMENT 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 CHILDREN'S TREATMENT AND DISCHARGE PROCESS AND HELP PREVENT POTENTIAL MEDICAL ERRORS. IT ALSO CONTRIBUTES TO OVERALL 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 21,215 OUTPATIENT VISITS DURING FY24. THE NUMBER OF LANGUAGE AND VISITS ARE BOTH INCREASES OVER THE PREVIOUS YEAR. TO MEET THE NEEDS OF THESE FAMILIES HOSPITAL STAFF USED OVER THE PHONE INTERPRETATION, VIDEO REMOTE INTERPRETATION AND 3.75 FTE SPANISH MEDICAL INTERPRETERS IN THE LANGUAGE SERVICES DEPARTMENT COVERING THE MAIN HOSPITAL AND THE GENERAL ACEDEMIC PEDIATRICS CLINIC. ADDITIONALLY, THE HEALTH SYSTEM HAD 30 DUAL ROLE BILINGUAL STAFF MEMBERS WHO WERE AVAILABLE TO PROVIDE MEDICAL INTERPRETATION IN THEIR ASSIGNED AREAS. FOR WRITTEN DOCUMENT TRANSLATION (SPANISH), LANGUAGE SERVICES STAFFING RELIED ON THE ASSISTANCE OF 2.75 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 FY24, THE LANGUAGE SERVICES DEPARTMENT ASSISTED WITH IN-PERSON AND OVER THE PHONE INTERPRETATION FOR 11,278 PATIENT ENCOUNTERS AT THE MAIN HOSPITAL AND AT THE GAP CLINIC (ALSO INCREASES OVER THE PREVIOUS YEAR), TRANSLATED 278 DOCUMENTS FROM ENGLISH TO SPANISH AND CONDUCTED 23 LANGUAGE PROFICIENCY ASSESSMENTS (15 FOR BASIC SPANISH AND 18 FOR MEDICAL SPANISH). 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 FY24, CHILDREN MADE APPROXIMATELY 644,158 (THIS IS CMG, CSSG VISITS, AND OUTPATIENT CLINIC VISITS) OUTPATIENT VISITS TO CHKD PEDIATRICIANS, SURGEONS AND SUBSPECIALTY SPECIALTY CLINICS. THEY MADE 393,748 VISITS TO THE PRIMARY CARE PEDIATRICIANS OF CHKD'S MEDICAL GROUP, WHICH OFFERS CARE IN 19 PRACTICES AND 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 AND ORTHOPEDIC SURGEONS AVAILABLE TO THOUSANDS OF CHILDREN WHO MIGHT OTHERWISE HAVE TO TRAVEL OUTSIDE OF THE AREA FOR SURGERY. CHILDREN MADE 46,737 VISITS TO THE SURGICAL GROUP PRACTICES IN FY24. THE SURGEONS PERFORMED 5,604 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 33 OUTPATIENT SPECIALTY CLINICS OFFERING SPECIALIZED PEDIATRIC CARE. IN FY24, CHILDREN MADE 223,673 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 SURGERY CENTER. OTHER SERVICES OFFERED AT THE SITE INCLUDE PRIMARY, SURGICAL AND SUB-SPECIALTY PEDIATRICS; LAB AND RADIOLOGY (INCLUDING ULTRASOUND AND MRI), AUDIOLOGY TESTING AND OCCUPATIONAL, SPEECH AND PHYSICAL THERAPY. AQUATIC THERAPY AND CHILD ABUSE PROGRAM SERVICES ARE ALSO AVAILABLE. * 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, X-RAY, LAB, PHYSICAL MEDICINE AND REHABILITATION, RHEUMATOLOGY, AND SPORTS MEDICINE PRIMARY CARE, PHYSICAL THERAPY, 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. * 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 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 THE 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 SERVICES SUCH AS SPORTS MEDICINE, DERMATOLOGY AND GYNECOLOGY. * THE CHKD HEALTH CENTER AND URGENT CARE AT LOEHMANN'S 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 NORTH 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 AS WELL AS 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 KEMPVILLE 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 FY24, CHILDREN MADE 104,970 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 HAVE BEEN SUSPECTED OF ABUSE OR NEGLECT. IN ADDITION TO THE MAIN PROGRAM IN NORFOLK, SERVICES ARE ALSO 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 HELPS COORDINATE THE EFFORTS OF INVESTIGATIVE AGENCIES INVOLVED IN THE INVESTIGATION AND PROSECUTION OF CHILD MALTREATMENT AND FACILITATES THE COLLABORATION OF 12 MULTIDISCIPLINARY TEAMS (MDTS). THESE TEAMS DISCUSS ALL CHILDREN REFERRED TO THE PROGRAM TO HELP ENSURE THE BEST OUTCOMES. WITH STRONG COMMUNITY SUPPORT, CHKD'S CHILD ADVOCACY CENTER SERVED 2,742 CHILDREN AND FAMILIES IN FY24 THE HIGHEST NUMBER SERVED IN ANY SINGLE YEAR IN THE CAC'S 25+ YEAR HISTORY. FOR OVER 25 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 FY24, THE CENTER PROVIDED NEARLY 1.000 FORENSIC INTERVIEWS, OVER 3,500 MENTAL HEALTH SERVICES, MORE THAN 1,500 MEDICAL SERVICES, AND OVER 13,000 VICTIM AND FAMILY ADVOCACY SERVICES 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 OUR PROGRAM AND CSEC MDT WE HAVE SEEN A SHARP INCREASE IN THE NEED FOR SERVICES FOR CHILDREN WHO NEED SUPPORT. THE CHILD ADVOCACY CENTER HELPED 284 CHILDREN THROUGH CSEC PROGRAM THIS YEAR A 21 PERCENT INCREASE FROM LAST YEAR. OUR TEAM OFTEN COORDINATES WITH FEDERAL AND LOCAL INVESTIGATORS AS WELL AS JUVENILE COURT SERVICES AND MEDICAL AND MENTAL HEALTH PROVIDERS TO BEST SERVE THE UNIQUE NEEDS OF EACH CHILD. THE CACS MENTAL HEALTH TEAM RECENTLY BEGAN A YEAR-LONG TRAINING TO IMPLEMENT THE PROBLEMATIC SEXUALIZATION 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. THE CAC IS ALSO THE BACKBONE AGENCY FOR THE HAMPTON ROADS TRAUMA INFORMED COMMUNITY NETWORK (HRTICN). THE NETWORK EXISTS TO PROMOTE AN UNDERSTANDING OF HOW TRAUMA AFFECTS INDIVIDUALS AND COMMUNITIES, AND TO ADVOCATE PRACTICES THAT HELP ALL PEOPLE REACH THEIR FULL POTENTIAL. THE HRTICN WORKED WITH THE VIRGINIA CHAPTER OF 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 VISITS.
NEARLY 15% OF THE CHILDREN SERVED AT OUR CAC HAVE A MILITARY	AFFILIATION, SUPPORTED BY A DEDICATED CASE MANAGER, WHO IS A DECORATED VETERAN. OUR PROGRAM INCLUDES THREE MULTIDISCIPLINARY TEAMS COVERING ALL BRANCHES OF THE MILITARY, FOCUSED ON MEETING THESE FAMILIES' UNIQUE NEEDS, 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 STAFF INCLUDES PHYSICIANS, NURSE PRACTITIONERS, REGISTERED DIETITIANS, LICENSED CLINICAL SOCIAL WORKERS, A MEDICAL ASSISTANT, AND EXERCISE PHYSIOLOGIST. THE HEALTHY YOU FOR LIFE PROGRAM ALSO OFFERS INDIVIDUAL COUNSELING SESSIONS. IN FY24 THE TEAM CONDUCTED NEARLY 1,300 VISITS COVERING 78 ZIP CODES. MOVING INTO THE NEW FISCAL YEAR, THE TEAM IS CONTINUING TO USE TELEMEDICINE AS A WAY 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 CONTINUE 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 CONJUCTION WITH DIET, EXERCISE AND LIFESTYLE CHANGES FOR THOSE CHILDREN AND ADOLOSCENTS AT HIGH RISK FOR DEVELOPING LIFE-THREATENING. 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. 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 709 VISITS TO THE DIABETES CENTER IN FY24. 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 8,553 VISITS TO THE CENTER IN FY24. CHKD IS THE ONLY EMERGENCY DEPARTMENT AND LEVEL 1 TRAUMA CENTER EXCLUSIVELY SERVING CHILDREN AND THEIR FAMILIES IN THE SOUTHEAST REGION OF VIRGINIA. IN FY24, CHILDREN MADE 60,840 VISITS TO OUR EMERGENCY CENTER. CHKD PROVIDES 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. CHKD 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 FY24 CHILDREN MADE 2,280 CHRONIC AND ACUTE DIALYSIS VISITS, AND 5,922 VISITS TO THE RENAL CLINIC AND RECEIVED 487 RENAL INFUSIONS. CHKD IS A STAND-ALONE PEDIATRIC TRANSPLANT HOSPITAL. SINCE 2005, CHKD HAS PERFORMED 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, OAKBROOKE, 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 857,486 LAB TESTS PERFORMED IN FY24, APPROXIMATELY 65 PERCENT 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 FY24, 120,065 DIAGNOSTIC EXAMS WERE PERFORMED, INCLUDING X-RAYS, FLUOROSCOPIC TESTS, URODYNAMICS AND BONE DENSITY TESTS, CT AND MRI SCANS, ULTRASOUND, PVL AND NUCLEAR MEDICINE STUDIES. APPROXIMATELY 78 PERCENT WERE OUTPATIENT BASED. CHKD'S REHABILITATIVE THERAPY SERVICES ARE OFFERED IN LOCATIONS THROUGHOUT THE COMMUNITY, INCLUDING NORFOLK, CHESAPEAKE, VIRGINIA BEACH, SUFFOLK, WILLIAMSBURG, AND NEWPORT NEWS. IN ADDITION TO ITS HIGHLY SPECIALIZED PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, THE DEPARTMENT ALSO OFFERS: * 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. THERE WERE 687 COMPLETED VISITS IN FY24. * 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. IN FY24, WE DID 129 AUGMENTATIVE COMMUNICATION EVALUATIONS AND COMPLETED 395 AUGMENTATIVE COMMINICATION VISITS TO TRIAL PERSONAL COMMUNICATION DEVICES. * CAR SEAT PROGRAM - SPECIALLY TRAINED THERAPISTS OFFER CAR SEAT SAFETY RESTRAINT EVALUATIONS FOR PATIENTS WITH SPECIAL NEEDS. IN FY24, WE DID 324 CAR SEAT EVALUATIONS, DISTRIBUTED 81 CAR SEATS DURING THOSE EVALUATIONS, DISTRIBUTED AN ADDITIONAL 142 STANDARD CAR SEATS, AND PARTICIPATED IN SIX COMMUNITY-BASED CAR SEAT SAFETY CHECKS THROUGH THIS PROGRAM. MANY MORE SEATS WERE ORDERED THROUGH INSURANCE AND DELIVERED AT FOLLOW UP APPOINTMENTS. IN ADDITION, WITH FUNDING AND PARTNERSHIP WITH MILEONE/ALL AUTO, WE DISTRIBUTED MANY MORE CAR SEATS AT THE LARGER CAR SEAT DISTRIBUTION AND EDUCATION EVENTS HELD AT LOCAL HALL AUTO DELEARSHIPS. * WHEELCHAIR CLINIC - CERTIFIED THERAPISTS COMPLETE A COMPREHENSIVE EVALUATION TO DETERMINE AND PRESCRIBE THE APPROPRIATE WHEELCHAIR AND SEATING SYSTEM. CHILDREN MADE ALMOST 683 VISITS TO THIS CLINIC IN FY24. FOR EVALUATION AND TECHNICAL ADJUSTMENTS. SECTION THREE: MENTAL HEALTH SERVICES CHKD'S COMMUNITY HEALTH NEEDS ASSESSMENTS PERFORMED IN 2013, 2016, AND 2019 SHOWED 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 PAVILLION, 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 HEATH 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 - EMERGENCY PSYCHIATRIC CARE - MEDICAL-PSYCHIATRIC CARE - PARTIAL HOSPITALIZATION PROGRAM - INTENSIVE OUTPATIENT PROGRAM - OUTPATIENT MENTAL HEALTH THERAPY - COMMUNITY OUTREACH/EDUCATION - RESEARCH - CHILD AND ADOLESCENT PSYCHIATRY FELLOWSHIP
THE HEALTH SYSTEM WAS ABLE TO SERVE MORE PATIENTS IN FY24	THAN IN PREVIOUS YEARS. - OUTPATIENT VISITS WHICH INCLUDE PSYCHIATRY, PSYCHOLOGY, MENTAL HEALTH THERAPY TOTALED 49,315 IN FY24 VS 43,653 IN FY23, A 13% INCREASE. - IN FY24, 557 PATIENTS WERE ADMITTED TO THE MED-PSYCHE UNIT, A 14.6% INCREASE OVER 486 ADMISSIONS IN FY23. - OUR EMERGENCY DEPARTMENT CARED FOR 3,005 PSYCHIATRIC PATIENTS IN FY24 VS 2,612 IN FY23, A 15% INCREASE. - WE INAUGURATED A PARTIAL HOSPITALIZATION PROGRAM FOR CHILDREN NEEDING ADDITIONAL CONSISTENT AND STRUCTURED CARE EITHER AFTER AN INPATIENT STAY OR TO AVOID AN INPATIENT STAY. PATIENTS ATTEND MONDAY THRU FRIDAY FROM 8:30 TO 3:15, SO THEY CAN REMAIN AT HOME AT NIGHT. PATIENTS MADE 1,424 VISITS TO THIS PROGRAM IN FY24. - OUR OUTPATIENT PROGRAM FOR TEENS WHO NEED A LITTLE MORE THAN WEEKLY OUTPATIENT SESSIONS TO ADDRESS THEIR CHALLENGES, BUT LESS THAN PARTIAL HOSPITALIZATION OR INPATIENT CARE GREW BY 17% OVER FY24, TALLYING 1,909 VISITS VS 1,625 VISITS IN FY23. SECTION FOUR: COMMUNITY OUTREACH CHKD REACHED 41,068 FAMILIES IN THEIR HOMES, DOCTORS' OFFICES, SCHOOLS, NEIGHBORHOODS AND COMMUNITY CENTERS WITH A WIDE VARIETY OF PROGRAMS, SOCIAL MEDIA AND PUBLICATIONS THAT PROMOTE MENTAL WELLNESS, PREVENT INJURIES, AND STRENGTHEN FAMILIES. USING CREATIVE AND INNOVATIVE WAYS WITH OUR STRONG COMMUNITY PARTNERS, OUR COMMUNITY OUTREACH AND ENGAGEMENT (CORE) PROGRAM CONDUCTED 271 OUTREACH EVENTS REACHING 26,901 FAMILIES. UTILIZING WEB-BASED EDUCATION (BLOGS, PODCASTS, AND WEBINARS ON DEMAND) AND I&R CONTACTS, CORE EXTENDED THEIR REACH TO AN ADDITIONAL 14,167 FAMILIES. EFFORTS FOCUSED ON MENTAL HEALTH, TRAUMA, AND SOCIAL EMOTIONAL LEARNING FOR BOTH PARENTS AND PROFESSIONALS. OUR STRONG COMMUNITY PARTNERS ASSISTED WITH PROGRAM MARKETING AND COLLABORATION TO PROVIDE A VARIETY OF TIMELY PRESENTATIONS TO EQUIP PARENTS, PROFESSIONALS AND CHILDREN IN OUR COMMUNITY. 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 BY THEIR PEDIATRICIANS. THROUGH THE DONOR-FUNDED PROGRAM, CHKD PRIMARY CARE PEDIATRICIANS GAVE APPROXIMATELY 75,732 BOOKS TO CHILDREN IN FY24. CHKD ALSO HAS A "REACH OUT AND READ" PROGRAM IN OUR NICU, WHERE 750 BOOKS WERE DISTRIBUTED IN FY24. IN FY24, CHKD'S WEBSITE, WWW.CHKD.ORG, CONTINUES TO BE A POPULAR AND EFFECTIVE METHOD OF COMMUNICATION. IN FY24, CHKD.ORG HAD NEARLY 5 MILLION VIEWS. NEARLY 2 MILLION NEW AND RETURNING 325,000 VISITORS VIEWED 4,586,445 PAGES ON OUR SITE. THE CONTENT MANAGEMENT SYSTEM THAT IS IN PLACE ALLOWS MULTIPLE USERS TO CREATE AND UPDATE CONTENT AS NEEDED. CHKD.ORG IS A RESPONSIVE DESIGN SITE AND AUTOMATICALLY FORMATS ITSELF TO ANY DEVICE (PC, TABLET OR SMARTPHONE)- NO APP NEEDED. CLICKABLE PHONE NUMBERS AND INTERACTIVE MAPS MAKE IT EASY FOR OUR PATIENTS TO CALL OR FIND ANY PRACTICE, AND FAMILIES HAVE EASY ACCESS TO TEST RESULTS, SHOT RECORDS, AND CAN EVEN REQUEST PRESCRIPTION REFILLS AND MAKE APPOINTMENTS ONLINE STRAIGHT FROM THE HOMEPAGE BY ACCESSING THE MYCHKD PATIENT PORTAL. ENHANCED PHYSICIAN PROFILES, INCLUDING CLICKABLE PHONE NUMBERS, INTERACTIVE MAPS, BIOGRAPHICAL INFORMATION AND A LINK TO THE PHYSICIAN'S PRACTICE MAKE IT EASIER THAN EVER TO CHOOSE THE DOCTOR THAT'S RIGHT FOR YOU. 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.
CHKD IS ONE OF SIX LOCATIONS IN THE STATE FOR THE CARE CONNECTION FOR	CHILDREN (CCC), 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 APPROXIMATELY 12,000 CHILDREN WITH SPECIAL HEALTH CARE NEEDS IN THE REGION'S PUBLIC HEALTH DISTRICTS. IN FY24, CCC ASSISTED WITH MORE THAN 600 INFORMATION AND REFERRAL CALLS AND PROVIDED COMPREHENSIVE CASE MANAGEMENT SERVICES TO MORE THAN 550 FAMILIES. FINANCIAL ASSISTANCE WAS PROVIDED FOR 31 CHILDREN AND YOUTH WHO WERE UNINSURED OR UNDERINSURED AND 61 FAMILIES WERE ASSISTED IN APPLYING FOR STATE HEALTH PROGRAMS, TO INCLUDE VIRGINIA'S WAIVER SERVICES. THE PROGRAM PROVIDED ONGOING BILINGUAL CARE COORDINATION SERVICES TO 115 CLIENTS/FAMILIES AND ASSISTED THEM WITH ACCESS TO COMMUNITY RESOURCES AND FINANCIAL ASSISTANCE. WE MAINTAINED AN UPDATED LOCAL AND REGIONAL COMMUNITY DATABASE WITH CATALOGED RESOURCES FOR ALL 21 CITIES AND COUNTIES IN OUR REGION. THIS RESOURCE DIRECTORY WAS MADE AVAILABLE TO THE HEALTH SYSTEM AS WELL AS LOCAL AGENCIES AND THE COMMUNITY. THE PARENT EDUCATORS FROM THE FAMILIES AS EDUCATORS PROGRAM (SHARING OF CHALLENGES AND POSITIVE EXPERIENCES IN RAISING CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS) PROVIDED COMMUNITY BASED EXPERIENCES TO PARTICIPATING RESIDENTS. 2023-2024 HIGHLIGHTS DEVELOPED, IMPLEMENTED AND CONTINUED TO MODERATE A LIST SERV FOR THE COMMUNITY ON DISABILITY TOPICS WITH 504 PEOPLE REGISTERED. MEMBERS ARE PATIENTS, PARENTS, CAREGIVERS, AND PROVIDERS. ADDED A SPANISH LANGUAGE LIST SERV FOR OUR HISPANIC POPULATION ONGOING COLLABORATION WITH CHKD, FORTIFY CLINICALLY INTEGRATED NETWORK AND CMG TO INTEGRATE CARE COORDINATION ACTIVITIES WITHIN THE ELECTRONIC RECORD TO IMPROVE COMMUNICATION WITH PATIENT CENTERED MEDICAL HOME. CCC IS ACTIVELY ENGAGED IN HOME VISITING COLLABORATION, AUTISM COLLABORATIVE, INFANT TODDLER CONNECTION, PEATC, FAPT TEAMS, SEAC STATE REPRESENTATIVE FOR MEDICAID ADVISORY GROUP. OFFERED A VIRTUAL SPANISH SPEAKING SUPPORT GROUP. OTHER TRANINGS PLANNED, COORDINATED, AND REPORTED ON QUARTERLY, BASED ON NEEDS IDENTIFIED THROUGH NETWORKS WE ARE INVOLVED IN WITH THE COMMUNITY AND OUR FAMILIES AS EDUCATORS GROUP. REFINED OUR INTAKE PROCESS TO IMPROVE ENROLLMENT PROCESSES FOR FAMILIES AND IMPROVE COMMUNICATION WITH REFERRAL SOURCES AND MAKE SURE THROUGH WEEKLY REVIEW OF REFERRALS THAT NO CASES ARE DROPPED WITHOUT 3 ATTEMPTS. * ROBUST RESEARCH AND UPDATING RESOURCES IN OUR COMMUNITY ASSET MAPPING TOOL. COLLABORATE ACROSS THE CCC NETWORK TO IDENTIFY RESOURCES. * ACTIVELY ENGAGED WITH VDH INTERCENTER WORK GROUP MEETINGS, TRAININGS, EMAIL COLLABORATIONS AND TELECONFERENCE SESSIONS. THIS GROUP IS RESOURCEFUL, AND MEMBERS SUPPORT ONE ANOTHER TO IDENTIFY RESOURCES WHEN WE FACE CHALLENGES. THIS TALENTED AND EXPERIENCED GROUP WORKS TOGETHER FOR ADVOCACY AND TO CLOSE GAPS IN SERVICE. * CONTINUE TO OFFER EDUCATIONAL CONSULTANT SERVICES PER VDOE REGULATIONS. PROVIDE 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 AND 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. THIS IS A PART OF THEIR ADVOCACY TRAINING WITHIN THE PROGRAM. 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 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, ADVANCE GROWTH HORMONE TREATMENTS, AND INTERVENTIONS FOR DISORDERED SLEEP. IN ADDITION, RESEARCH INCLUDES NEW MEDICATIONS AND OTHER THERAPIES, CLINICAL OUTCOME ANALYSES AND EPIDEMIOLOGICAL STUDIES SANCTIONED BY THE EASTERN VIRGINIA MEDICAL SCHOOL INSTITUTIONAL REVIEW BOARD, PART OF THE MACON AND JOAN BROCK VIRGINIA HEALTH SCIENCES AT ODU. THERE WERE 214 IRB-APPROVED ACTIVE FUNDED STUDIES IN FY24. 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 SPECIALTY 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 (COG), 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, EUROPE, AND SAUDI ARABIA. OUR PRIMARY GOAL IS TO INCREASE PARTICIPATION IN CLINICAL TRIALS WHICH WE FEEL WILL ADVANCE THE FIELD OF PEDIATRIC ONCOLOGY. IN FY24, 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 FY24. THE HEMATOLOGY ONCOLOGY DIVISION HAD 18 RESEARCH STUDIES OPEN THAT WERE NOT COG STUDIES. IN FY24, CHKD HOSTED 6 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. THERE WERE 110 REGULARLY SCHEDULED SERIES FOR A TOTAL OF 212 ACTIVITIES.
FORM 990, PART VI, SECTION A, LINE 6	LINE 6: 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, SECTION A, LINE 7A	LINE 7A: 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, SECTION A, LINE 7B	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, SECTION B, LINE 11B	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, SECTION B, LINE 12C	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, SECTION B, LINE 15B	LINE 15A: COMPENSATION PROCESS CONSIDERATIONS: CHILDREN'S HEALTH SYSTEM ESTABLISHES THE COMPENSATION OF THE CEO AMY SAMPSON. 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, SECTION C, LINE 19	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:	GAIN/LOSS ON DERIVATIVE INVESTMENTS 6,091,150. CHANGE IN DONOR RESTRICTED CONTRIBUTIONS 2,764,667.

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	$2,856,503	$9,645,021	CHKD
CHILDREN'S HEALTH SYSTEM INSURANCE LLC
601 CHILDRENS LANE	NORFOLK	VA	23507		INSURANCE	SC	$1,118,039	$2,480,809	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	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd
CHILDREN'S HEALTH SYSTEM INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278830	HEALTHCARE	VA	501(C)(3)	LINE 12B, II	N/A	0
CHILDREN'S HEALTH FOUNDATION INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278865	SUPP CHKD	VA	501(C)(3)	LINE 12A, I	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
FORTIFY CHILDREN'S HEALTH LLC
1330 JEFFERSON PARK AVENUE	CHARLOTTESVILLE	VA	22903	831442745	HEALTHCARE	VA	N/A	RELATED	0	0
REALTA HOLDINGS LLC
601 CHILDRENS LANE	NORFOLK	VA	23507	823954346	RESEARCH	VA	N/A	RELATED	0	0

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	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S SURGICAL SPECIALTY GROUP INC
601 CHILDRENS LANE	NORFOLK	VA	23507	311610834	HEALTHCARE	VA	N/A	C	0
CHILDREN'S MEDICAL GROUP INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541778786	HEALTHCARE	VA	N/A	C	0
CMG OF NORTH CAROLINA INC
601 CHILDRENS LANE	NORFOLK	VA	23507	561960102	HEALTHCARE	NC	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd