CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC (EIN 54-0506321)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-11
IRS object ID: 201711319349305266
Schema version: 2015v3.0
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 F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-11T19:41:19-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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	1676 INTERNATIONAL DRIVE	AddressLine1Txt
City	McLean	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22102	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540506321	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% DENNIS RYAN	InCareOfNm
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	DENNIS RYAN	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2017-04-20	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WHITNEY E BLAIR	PreparerPersonNm
PTIN	P01226647	PTIN
Phone	7032868000	PhoneNum
Preparation	2017-02-27	PreparationDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JAMES D DAHLING	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	$432,718,993	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHKD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1961	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	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	22	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	2954	TotalEmployeeCnt
Total Volunteers	857	TotalVolunteersCnt
Total Gross UBI	$423,425	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$305,539	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$12,190,903	PYContributionsGrantsAmt
CY Contributions Grants	$11,517,067	CYContributionsGrantsAmt
PY Program Service Revenue	$344,410,937	PYProgramServiceRevenueAmt
CY Program Service Revenue	$375,833,823	CYProgramServiceRevenueAmt
PY Investment Income	$3,433,344	PYInvestmentIncomeAmt
CY Investment Income	$195,739	CYInvestmentIncomeAmt
PY Other Revenue	$4,137,803	PYOtherRevenueAmt
CY Other Revenue	$3,207,887	CYOtherRevenueAmt
PY Total Revenue	$364,172,987	PYTotalRevenueAmt
CY Total Revenue	$390,754,516	CYTotalRevenueAmt
PY Grants And Similar Paid	$21,032,114	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$23,606,364	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$152,661,110	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$161,875,647	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$20,154	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$183,562	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,779,038	CYTotalFundraisingExpenseAmt
PY Other Expenses	$160,980,021	PYOtherExpensesAmt
CY Other Expenses	$175,185,078	CYOtherExpensesAmt
PY Total Expenses	$334,693,399	PYTotalExpensesAmt
CY Total Expenses	$360,850,651	CYTotalExpensesAmt
PY Revenues Less Expenses	$29,479,588	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$29,903,865	CYRevenuesLessExpensesAmt
Total Assets BOY	$442,263,422	TotalAssetsBOYAmt
Total Assets EOY	$474,953,705	TotalAssetsEOYAmt
Total Liabilities BOY	$113,199,427	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$123,076,667	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$329,063,995	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$351,877,038	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$311,521,093	ExpenseAmt
Grant	$23,606,364	GrantAmt
Revenue	$378,013,138	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$311,521,093	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	125	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2954	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	Yes (true)	NondeductibleContributionsInd
Nondeductible Contri Discl	Yes (true)	NondeductibleContriDisclInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form1098 C Filed	Yes (true)	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	22	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DENNIS RYAN	PersonNm
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 (42 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
Buffy Barefoot
Vice Chairman/Director	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Sarah Bishop
Director	1.0	1.0	Yes (X)		$0	$0	$0
Michelle Brenner MD
Director	1.0	41.0	Yes (X)		$0	$205,560	$23,897
Kathryn P Callahan
Director	1.0	1.0	Yes (X)		$0	$0	$0
James D Dahling
President/Director	1.0	42.0	Yes (X)	Yes (X)	$0	$994,951	$566,643
Susan R Einhorn
Director	1.0	1.0	Yes (X)		$0	$0	$0
Douglas D Ellis Sr
Director	1.0	1.0	Yes (X)		$0	$0	$0
R Justin Fulton
Director	1.0	1.0	Yes (X)		$0	$0	$0
T A Grell Jr
Director	1.0	1.0	Yes (X)		$0	$0	$0
Conrad M Hall
Director	1.0	1.0	Yes (X)		$0	$0	$0
Edward A Heidt Jr
Chairman/Director	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Beth Johnson
Director	1.0	1.0	Yes (X)		$0	$0	$0
John R Lawson II
Director	1.0	1.0	Yes (X)		$0	$0	$0
Miles Leon
Director	1.0	1.0	Yes (X)		$0	$0	$0
Christine Neikirk
Director	1.0	1.0	Yes (X)		$0	$0	$0
Robert Obermeyer MD
Director	1.0	41.0	Yes (X)		$0	$632,168	$33,344
Karen Priest
Treasurer/Director	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Marta Satin-Smith
Director	1.0	1.0	Yes (X)		$0	$0	$0
Elly Bradshaw Smith
Director	1.0	1.0	Yes (X)		$0	$0	$0
Brian K Skinner
Director	1.0	1.0	Yes (X)		$0	$0	$0
Svinder S Toor MD
Director	1.0	1.0	Yes (X)		$0	$0	$0
Kathryn M Van Buren
Director	1.0	1.0	Yes (X)		$0	$0	$0
Mark R Warden
Director	1.0	1.0	Yes (X)		$0	$0	$0
Elizabeth M Weller
Director	1.0	1.0	Yes (X)		$0	$0	$0
Fred J Whyte
Director	1.0	1.0	Yes (X)		$0	$0	$0
F Blair Wimbush
Secretary/Director	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Dennis Ryan
CFO/Asst Treas/Assist Secr	1.0	42.0		Yes (X)	$0	$513,134	$389,046
Kathryn Abshire
VP Finance	0.0	40.0			$0	$226,888	$56,450	Yes (X)
Deborah Barnes
VP - IS Operations	0.0	40.0			$0	$335,508	$151,694	Yes (X)
David Bowers
VP - Support Services	40.0	0.0			$2,276,717	$0	$19,450	Yes (X)
Jo-Ann Burke
VP- Patient Care Services	40.0	0.0			$417,074	$0	$28,657	Yes (X)
John Harding
Chief Operating Officer	0.0	40.0			$122,116	$354,540	$178,809	Yes (X)
Tamika Harris
VP - Facilities & Support svcs	40.0	0.0			$167,365	$0	$27,742	Yes (X)
Karen Mitchell
VP- Patient Care Services	40.0	0.0			$198,816	$0	$34,368	Yes (X)
Allison Silva
VP - Ancillary Services	40.0	0.0			$228,737	$0	$70,029	Yes (X)
Sandip Godambe MD
VP - Quality & Patient Safety	40.0	0.0			$375,635	$0	$133,116		Yes (X)
Elizabeth Musial
Director Perioperative Service	40.0	0.0			$228,596	$0	$10,085		Yes (X)
James Dice
Director Pharmacy	40.0	0.0			$213,007	$0	$17,428		Yes (X)
Suzanne Starling
Medical Director	40.0	0.0			$205,972	$0	$23,385		Yes (X)
Rowland Harrison
Director Information Services	40.0	0.0			$189,562	$0	$14,624		Yes (X)
Joann Rogers
Former VP	0.0	0.0			$1,888,930	$0	$0			Yes (X)
Arno Zarisky
Former VP	0.0	0.0			$1,345,015	$0	$20,798			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,857,542	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,262,749	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,799,565	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	138	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CHILDREN'S SPECIALTY GROUP
PO BOX 11049	NORFOLK	VA	23517	MEDICAL	$14,418,214
EASTERN VIRGINIA MED SCHOOL
PO BOX 1980	NORFOLK	VA	235011980	MEDICAL	$10,159,186
AMERISOURCE BERGEN
PO BOX 642800	PITTSBURGH	PA	15264	MEDICAL SUPPLIES	$9,896,585
MEDLINE INDUSTRIES INC
ONE MEDLINE PLACE	MUNDELINE	IL	60060	MEDICAL SUPPLIES	$6,524,822
SODEXO INC AND AFFILIATES
PO BOX 536922	ATLANTA	GA	30353	MEDICAL SUPPLIES	$5,239,407

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	176	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Federated Campaigns	$87,435	FederatedCampaignsAmt
Fundraising	$244,988	FundraisingAmt
Related Organizations	$1,100,000	RelatedOrganizationsAmt
Government Grants	$1,913,248	GovernmentGrantsAmt
All Other Contributions	$8,171,396	AllOtherContributionsAmt
Noncash Contributions	$750,288	NoncashContributionsAmt
Total Contributions	$11,517,067	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES	900099	$361,515,420	$361,515,420
OTHER RELATED SERVICES	900099	$13,894,978	$13,894,978
LAB SERVICES	621500	$398,673		$398,673
SPORTS RELATED SERVICES	900099	$24,752		$24,752

Field	Value	IRS element (for citing)
Total Program Service Revenue	$375,833,823	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,942,954	TotalRevenueColumnAmt
Exclusion	$2,942,954	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,632,982	RealAmt
Personal	$15,670	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,082,190	RealAmt
Personal	$2,223	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$550,792	RealAmt
Personal	$13,447	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$564,239	TotalRevenueColumnAmt
Exclusion	$564,239	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$36,047,577	SecuritiesAmt
Other	$9,840	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$38,151,687	SecuritiesAmt
Other	$652,945	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$2,104,110	SecuritiesAmt
Other	-$643,105	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,747,215	TotalRevenueColumnAmt
Exclusion	-$2,747,215	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$116,340	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$244,988	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$75,432	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$40,908	TotalRevenueColumnAmt
Exclusion	$40,908	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GRADUATE MEDICAL EDUCATION	900099	$2,439,698	$2,439,698
EHR MEANINGFUL USE	900099	$163,042	$163,042

Field	Value	IRS element (for citing)
Other Revenue Total	$2,602,740	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$390,754,516	TotalRevenueColumnAmt
Related Or Exempt Func Income	$378,013,138	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$423,425	UnrelatedBusinessRevenueAmt
Exclusion	$800,886	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$23,606,364	TotalAmt
Program Services	$23,606,364	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,152,915	TotalAmt
Program Services	$788,411	ProgramServicesAmt
Management And General	$2,364,504	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$133,560,869	TotalAmt
Program Services	$122,681,952	ProgramServicesAmt
Management And General	$9,873,741	ManagementAndGeneralAmt
Fundraising	$1,005,176	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$525,387	TotalAmt
Management And General	$525,387	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,196,099	TotalAmt
Program Services	$14,011,776	ProgramServicesAmt
Management And General	$1,052,824	ManagementAndGeneralAmt
Fundraising	$131,499	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,440,377	TotalAmt
Program Services	$8,547,411	ProgramServicesAmt
Management And General	$815,991	ManagementAndGeneralAmt
Fundraising	$76,975	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$87,500	TotalAmt
Program Services	$87,500	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$70,854	TotalAmt
Management And General	$70,854	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$183,562	TotalAmt
Fundraising	$183,562	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$28,861,031	TotalAmt
Program Services	$26,731,376	ProgramServicesAmt
Management And General	$2,121,534	ManagementAndGeneralAmt
Fundraising	$8,121	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$70,385	TotalAmt
Management And General	$32,291	ManagementAndGeneralAmt
Fundraising	$38,094	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,721,346	TotalAmt
Program Services	$1,848,326	ProgramServicesAmt
Management And General	$760,128	ManagementAndGeneralAmt
Fundraising	$112,892	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,058,335	TotalAmt
Program Services	$843,852	ProgramServicesAmt
Management And General	$214,483	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,784,860	TotalAmt
Program Services	$7,783,875	ProgramServicesAmt
Management And General	$1,000,985	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$262,260	TotalAmt
Program Services	$213,700	ProgramServicesAmt
Management And General	$41,603	ManagementAndGeneralAmt
Fundraising	$6,957	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,118,513	TotalAmt
Program Services	$973,080	ProgramServicesAmt
Management And General	$120,049	ManagementAndGeneralAmt
Fundraising	$25,384	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,152,659	TotalAmt
Program Services	$71,946	ProgramServicesAmt
Management And General	$3,080,713	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,404,475	TotalAmt
Program Services	$17,607,439	ProgramServicesAmt
Management And General	$2,779,840	ManagementAndGeneralAmt
Fundraising	$17,196	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,155,000	TotalAmt
Program Services	$508,553	ProgramServicesAmt
Management And General	$646,122	ManagementAndGeneralAmt
Fundraising	$325	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
SUPPLIES	$49,448,712	$48,566,832	$870,925	$10,955
PURCHASED SERVICES	$11,760,067	$9,913,606	$1,845,361	$1,100
EQUIP RENTAL AND MAINT	$17,445,917	$12,748,322	$4,685,290	$12,305
CORPORATE SUPPORT	$13,038,507		$13,038,507

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,744,657	TotalAmt
Program Services	$13,986,772	ProgramServicesAmt
Management And General	$1,609,388	ManagementAndGeneralAmt
Fundraising	$148,497	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$360,850,651	TotalAmt
Program Services	$311,521,093	ProgramServicesAmt
Management And General	$47,550,520	ManagementAndGeneralAmt
Fundraising	$1,779,038	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$38,257,385	BOYAmt
EOY	$60,420,869	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,790,234	BOYAmt
EOY	$2,340,191	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$62,667,183	BOYAmt
EOY	$71,169,163	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,945,261	BOYAmt
EOY	$7,397,589	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,266,118	BOYAmt
EOY	$6,674,680	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$390,307,250	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$207,081,219	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$181,503,879	BOYAmt
EOY	$183,226,031	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$128,119,834	BOYAmt
EOY	$129,973,023	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$11,066,063	BOYAmt
EOY	$10,011,879	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,647,465	BOYAmt
EOY	$3,740,280	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$442,263,422	BOYAmt
EOY	$474,953,705	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$27,671,580	BOYAmt
EOY	$34,859,842	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$271,801	BOYAmt
EOY	$302,161	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$67,141,943	BOYAmt
EOY	$66,391,943	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,114,103	BOYAmt
EOY	$21,522,721	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$113,199,427	BOYAmt
EOY	$123,076,667	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$298,625,783	BOYAmt
EOY	$321,538,457	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$8,124,464	BOYAmt
EOY	$7,994,529	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,313,748	BOYAmt
EOY	$22,344,052	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$329,063,995	BOYAmt
EOY	$351,877,038	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$442,263,422	BOYAmt
EOY	$474,953,705	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$29,903,865	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,657,666	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$687,622	DonatedServicesAndUseFcltsAmt
Investment Expense	-$18,732	InvestmentExpenseAmt
Other Changes In Net Assets	-$4,726,802	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	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 (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,789,543	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,432,828	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,687,820	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,190,903	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,517,067	CurrentTaxYearAmt
Total	$62,618,161	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

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

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

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

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,789,543	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,432,828	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,687,820	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,190,903	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,517,067	CurrentTaxYearAmt
Total	$62,618,161	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$2,313,052	SubstantialContributorsTotAmt
Public Support Total170	$60,305,109	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,369,283	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,864,821	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,881,751	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,836,107	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,591,606	CurrentTaxYearAmt
Total	$30,543,568	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$350,371	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$281,821	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$247,183	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$215,460	CurrentTaxYearMinus1YearAmt
Current Tax Year	$305,636	CurrentTaxYearAmt
Total	$1,400,471	TotalAmt

Other Income170 OtherIncome170Grp

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

Field	Value	IRS element (for citing)
Total Support	$94,562,200	TotalSupportAmt
Gross Receipts Rltd Activities	$1,693,810,411	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.63773	PublicSupportCY170Pct
Public Support PY170	0.68115	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

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$24,211,713	BeginningYearBalanceAmt
Contributions	$56,826	ContributionsAmt
Investment Earnings Or Losses	-$171,891	InvestmentEarningsOrLossesAmt
Other Expenditures	$141,663	OtherExpendituresAmt
End Year Balance	$23,954,985	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,458,495	BeginningYearBalanceAmt
Contributions	$361,283	ContributionsAmt
Investment Earnings Or Losses	-$382,972	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,225,093	OtherExpendituresAmt
End Year Balance	$24,211,713	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$23,804,262	BeginningYearBalanceAmt
Contributions	$454,805	ContributionsAmt
Investment Earnings Or Losses	$2,103,210	InvestmentEarningsOrLossesAmt
Other Expenditures	$903,782	OtherExpendituresAmt
End Year Balance	$25,458,495	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,979,768	BeginningYearBalanceAmt
Contributions	$597,930	ContributionsAmt
Investment Earnings Or Losses	$876,135	InvestmentEarningsOrLossesAmt
Other Expenditures	$649,571	OtherExpendituresAmt
End Year Balance	$23,804,262	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,009,069	BeginningYearBalanceAmt
Contributions	$697,977	ContributionsAmt
Investment Earnings Or Losses	$885,348	InvestmentEarningsOrLossesAmt
Other Expenditures	-$387,374	OtherExpendituresAmt
End Year Balance	$22,979,768	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.93280	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.06720	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,719,623	OtherCostOrOtherBasisAmt
Book Value	$20,719,623	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$193,532,570	OtherCostOrOtherBasisAmt
Depreciation	$88,830,032	DepreciationAmt
Book Value	$104,702,538	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,894,080	OtherCostOrOtherBasisAmt
Depreciation	$497,044	DepreciationAmt
Book Value	$4,397,036	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$161,503,214	OtherCostOrOtherBasisAmt
Depreciation	$117,514,457	DepreciationAmt
Book Value	$43,988,757	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,657,763	OtherCostOrOtherBasisAmt
Depreciation	$239,686	DepreciationAmt
Book Value	$9,418,077	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$183,226,031	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
DERIVATIVES	$18,264,624
ANNUITY PAYABLE	$1,956,768
ACCRUED TAIL COVERAGE	$38,480
LONG TERM CAPITAL LEASE LIABILITY	$1,262,849

Field	Value	IRS element (for citing)
Total Liability	$21,522,721	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX PROVISIONS.

SCHEDULE D, PART V

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

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$10,011,879	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$10,011,879	SubtotalSpentAmt
Total Spent	$10,011,879	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule G IRS990ScheduleG

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

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	Children's miracle network	PersonNm

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	GENERAL	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$1,224,539	GrossReceiptsAmt
Retained By Contractor	$203,568	RetainedByContractorAmt
Net To Organization	$1,020,971	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$1,224,539	TotalGrossReceiptsAmt
Total Retained By Contractors	$203,568	TotalRetainedByContractorsAmt
Total Net To Organization	$1,020,971	TotalNetToOrganizationAmt
Licensed States	NC	LicensedStatesCd
Licensed States	VA	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	David Wright	Event1Nm
Gross Receipts Event1	$254,468	GrossReceiptsEvent1Amt
Charitable Contri Event1	$149,278	CharitableContriEvent1Amt
Gross Revenue Event1	$105,190	GrossRevenueEvent1Amt
Cash Prizes Event1	$13,800	CashPrizesEvent1Amt
Rent Facility Costs Event1	$2,572	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$35,671	FoodAndBeverageEvent1Amt
Entertainment Event1	$5,500	EntertainmentEvent1Amt
Other Direct Expenses Event1	$2,666	OtherDirectExpensesEvent1Amt
Event2	Golf Tournament	Event2Nm
Gross Receipts Event2	$106,860	GrossReceiptsEvent2Amt
Charitable Contri Event2	$95,710	CharitableContriEvent2Amt
Gross Revenue Event2	$11,150	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$203	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$4,452	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$8,153	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$2,415	OtherDirectExpensesEvent2Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$361,328	GrossReceiptsTotalAmt
Charitable Contributions Tot	$244,988	CharitableContributionsTotAmt
Gross Revenue Total Events	$116,340	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$13,800	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$203	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$7,024	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$43,824	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$5,500	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$5,081	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$75,432	DirectExpenseSummaryEventsAmt
Net Income Summary	$40,908	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,001,663	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,001,663	NetCommunityBenefitExpnsAmt
Total Expense	0.00570	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$163,271,729	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,586,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,685,206	NetCommunityBenefitExpnsAmt
Total Expense	0.07930	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$165,273,392	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$135,586,523	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,686,869	NetCommunityBenefitExpnsAmt
Total Expense	0.08500	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,194,181	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,861,249	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,332,932	NetCommunityBenefitExpnsAmt
Total Expense	0.04110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,315,808	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,301,285	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,014,523	NetCommunityBenefitExpnsAmt
Total Expense	0.01720	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,830,552	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$34,528,182	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,302,370	NetCommunityBenefitExpnsAmt
Total Expense	0.14410	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,525	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107,525	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,448,066	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$42,690,716	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$70,757,350	NetCommunityBenefitExpnsAmt
Total Expense	0.20270	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$278,721,458	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$178,277,239	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$100,444,219	NetCommunityBenefitExpnsAmt
Total Expense	0.28770	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$11,729,861	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,541,839	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$914,650	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$2,745,872	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,831,222	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	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 DAU
1	601 CHILDRENS LANE	NORFOLK	VA	23507	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	MEDICAID DSH	A
CHKD HEALTH AND SURGERY CENTER
2	2021 CONCERT DRIVE	VIRGINIA BEACH	VA	23456	Yes (X)						OUTPATIENT SURGICAL HOSPITAL	A
CHKD HEALTH AND SURGERY CENTER
3	11783 ROCK LANDING DRIVE	Newport News	VA	23608	Yes (X)						OUTPATIENT SURGICAL HOSPITAL	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.CHKD.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.CHKD.ORG	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	175.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	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
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.CHKD.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CHKD.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CHKD.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART V SECTION B LINE 5	FormAndLineReferenceDesc
Explanation	CHKDS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS INCLUDED COLLECTING INFORMATION, FEEDBACK, DATA, AND PRIORITIES FROM THREE DIFFERENT SOURCES: A COMMUNITY HEALTH SURVEY, KEY STAKEHOLDER INTERVIEWS AND HEALTH INDICATOR ANALYSES. CHKD WORKED WITH AN OUTSIDE CONSULTANT TO DEVELOP AN ENGAGEMENT PLAN THAT IDENTIFIED KEY STAKEHOLDER, PARTNERS AND ORGANIZATIONS WHO REPRESENT THE BROAD INTERESTS OF THE CHKD COMMUNITY, INCLUDING: A) LOCAL HEALTH AND SOCIAL SERVICE DEPARTMENT REPRESENTATIVES; B)INDIVIDUALS OR ORGANIZATIONS SERVING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN THE COMMUNITY C) SCHOOL COUNSELORS AND NURSES FROM LOCAL SCHOOL SYSTEMS; AND D)HEALTH PROVIDERS WHO OFFER SERVICES FOR CHILDREN AND FAMILIES. THE COMMUNITY HEALTH SURVEY WAS A REGIONAL SURVEY CONDUCTED IN PARTNERSHIP WITH ANOTHER HEALTH SYSTEM. OUT OF 1,703 SURVEY PARTICIPANTS, 1,496 COMPLETED ALL OF THE REQUIRED QUESTIONS. THESE RESPONSES HIGHLIGHTED ADULT AND PEDIATRIC SERVICE NEEDS IN THE REGION. KEY STAKEHOLDER INTERVIEWS WERE CONDUCTED WITH SOCIAL WORKERS, SCHOOL NURSES, A TRUANT OFFICER, AN IMMIGRATION LAWYER,HEALTH DEPARTMENTS, WIC, PEOPLE WHO WORK WITH CHILDREN ACROSS THE AGE SPAN, MEDICAID REPRESENTATIVES, CHKDS CARE CONNECTION, A COUNTY EXTENSION 4-H AGENT, A THERAPIST WHO SPECIALIZES IN TRAUMA, A PRIVATE FOUNDATION THAT COORDINATES GRANTS TO LOCAL AGENCIES, FAMILY SERVICES SUPERVISORS, A CATHOLIC CHARITITES FAMILY LIFE EDUCATION COORDINATOR, FREE AND LOW COST MEDICAL CARE PROVIDERS AND KINDERGARTEN-READINESS PROFESSIONALS. AN ANALYSIS OF KEY HEALTH INDICATORS WAS CONDUCTED IN ORDER TO UNDERSTAND THE COMMUNITY HEALTH STATUS OF RESIDENTS. WHEN POSSIBLE, HEALTH INDICATIORS WERE INVESTIGATED BY LOCALITY IN ORDER TO UNDERSTAND WHERE GREATER HEALTH DISPARITIES EXISTED WITHIN THE CHKD COMMUNITY. 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. Part V Section B line 11 bASED ON THE KEY HEALTH ISSUES IDENTIFIED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT, CHKD LEADERSHIP, PROVIDERS AND STAKEHOLDERS IDENTIFIED FIVE PRIORITIES TO FOCUS ON IN OUR IMPLEMENTATION STRAGEY INCLUDING: pEDIATRIC MENTAL/BEHAVIORAL HEALTH, ACCESS TO CARE, CHILDHOOD OBESITY, NEONATAL CARE, AND CHILD ABUSE . FOR EACH OF THE PRIORITIES LISTED ABOVE, OUR IMPLEMENTATION STRATEGY DESCRIBES CURRENT WORK THAT CHKD ALREADY HAS UNDERWAY TO SUPPORT THE PRIORITY AREAS, ACTIONS THAT CHKD PLANS TO TAKE TO FURTHER ADDRESS THE PRIORITY AREAS, PROGRAMS, RESOURCES AND COLLABORATIONS THAT CHKD PLANS TO UTILIZE TO ADDRESS THE HEALTH NEEDS, AND ANTICIPATED IMPACTS OF THESE ACTIONS.The health needs identified through the CHNA that are not addressed specifically in the implementation strategy are outside the scope of CHKDs mission, expertise, resources or any combination thereof. Many of these items are within the purview of other health care providers and/or community or public agencies. CHKD regularly and routinely offers its expertise and assistance TO HELP OTHER COMMUNITY AGENCIES address a broad range of issues relating to the health and welfare of children. By addressing the prioritized issues such as pediatric mental/behavioral health, CHKD will be able to positively influence pediatric health and well-being overall, affecting multiple other identified health needs in the CHNA, such as dental services, violence, crime, educational success, substance abuse and, as our pediatric population grows older, their transition to adult care services. Part V Section B line 13 Presumptive eligibility may be determined on the basis of individual life circumstances that may include: 1. State-funded prescription programs; 2. Homeless or received care from a homeless clinic; 3. Participation in Women, Infants and Children programs (WIC); 4. Food stamp eligibility; 5. Subsidized school lunch program eligibility; 6. Eligibility for other state or local assistance programs that are unfunded (e.g., Medicaid spend-down); 7. Low income/subsidized housing is provided as a valid address; and 8. Patient is deceased with no known estate. Patient is deceased with no known estate.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CHKD HEALTH CENTER AT OAKBROOKE
500 DISCOVERY DRIVE	CHESAPEAKE	VA	23320	OUTPATIENT SERVICES
CHKD HEALTH CENTER AT KEMPSVILLE
171 KEMPSVILLE ROAD	NORFOLK	VA	23507	OUTPATIENT SERVICES
CHKD URGENT CARE AT VOLVO
817 VOLVO PARKWAY	CHESAPEAKE	VA	23320	urgent care services
CHKD HEALTH CENTER AT HARBOUR VIEW
5835 HARBOUR VIEW BLVD	SUFFOLK	VA	23435	OUTPATIENT SERVICES
CHKD AT BUTLER FARM ROAD
421 BUTLER FARM ROAD	HAMPTON	VA	23666	Outpatient Services
HEALTH CENTER AT BURNETT'S WAY
152 BURNETTS WAY	SUFFOLK	VA	23456	OUTPATIENT SERVICES
SATELLITE AT MEDICAL TOWER
400 GRESHAM DRIVE	NORFOLK	VA	23507	OUTPATIENT SERVICES
CHKD Hlth ctr & urgent care at loehman's
3960 virginia beach blvd	VIRGINIA BEACH	VA	23452	urgent care & outpatient services
SPORTS MEDICINE IN GHENT
702 WEST 21ST STREET	NORFOLK	VA	23517	Outpatient services
CHKD CAP
935 REDGATE AVENUE	NORFOLK	VA	23507	OUTPATIENT SERVICES
HEALTH CENTER AT MEDICAL CENTER CAMPUS
850 SOUTHAMPTON AVENUE	NORFOLK	VA	23510	OUTPATIENT SERVICES
CHKD HEALTH CENTER AT STRAWBRIDGE
152 MCCOMAS WAY SUITE 105	VIRGINIA BEACH	VA	23456	OUTPATIENT SERVICES
FORT NORFOLK PLAZA MEDICAL BUILDING
301 RIVERVIEW AVENUE	NORFOLK	VA	23510	OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART 1, LINE 3C	N/A
PART 1, LINE 6A	CHKDS COMMUNITY HEALTH ASSESSMENT PROCESS INCLUDED COLLECTING INFORMATION, FEEDBACK, DATA, AND PRIORITIES FROM THREE DIFFERENT SOURCES: A COMMUNITY HEALTH SURVEY, KEY STAKEHOLDER INTERVIEWS AND HEALTH INDICATOR ANALYSES.
PART 1, LINE 7(G)	THE AMOUNT REPORTED ON PART I, LINE 7(G) INCLUDES $30,811,097 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 $11,729,861.
PART 1, 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 II N/A 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	THE AUDITED FINANCIAL STATEMENTS AND RELATED FOOTNOTES FOR CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS DO NOT SPECIFICALLY CONTAIN FOOTNOTES RELATED TO BAD DEBT EXPENSE. CHKD PRESENTS BAD DEBT PROVISION ON THE FINANCIAL STATEMENTS AS A DEDUCTION FROM NET PATIENT SERVICE 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.
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.
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 childrens health and is trusted throughout its community as a resource ready and willing 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 2015 to April 2016, 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: Childrens Hospital of The Kings Daughters (CHKD) located in Norfolk and CHKDs two Health and Surgery Centers, one at Oyster Point in Newport News and one at Princess Anne in Virginia Beach. CHKDs 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, key stakeholder interviews, and health indicator analyses. CHKDs current Community Health Needs Assessment and Implementation Strategy can be found at www.chkd.org/communitybenefit.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:	CHKDs Charity Care eligibility criteria and procedures for applying are provided to all patients. Charity Care information is in included in every inpatient admission packet and distributed during 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 ww.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 Hospitals website. The unit social worker is available to provide information or referral to the HBA during an inpatient stay.
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. IN FY 2016, THIS SERVICE REGION INCLUDED 565,000 PERSONS AGE 0-21. Approximately 64 percent of residents are white. The next-largest demographic group is African-American at 31 percent. Approximately 18 percent of all families with children under the age of 18 have incomes below the federal poverty level. For families headed by single mothers, that percentage increases to 41 percent. 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.
PROMOTION OF COMMUNITY HEALTH	CHKD plays a unique role in its community by providing pediatric healthcare services available nowhere else in the region and, at the same time, serving as the safety net provider to the region's indigent children. In FY 2016, CHKD had 5,476 admissions resulting in 50,405 discharged patient days. Approximately 62 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
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. * CHSIL, A CAPTIVE INSURANCE COMPANY INCORPORATED IN BERMUDA, WHICH PROVIDES COMMERCIAL GENERAL LIABILITY COVERAGE FOR CHS AND ITS SUBSIDIARIES AND MEDICAL PROFESSIONAL LIABILITY COVERAGE FOR NON-PHYSICIAN PRACTITIONERS EMPLOYED BY CHS AND ITS SUBSIDIARIES. * 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.
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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt
CHILDREN'S HEALTH SYSTEM INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278830	501(C)(3)	$17,850,000	CASH	VARIOUS
CHILDREN'S HEALTH FOUNDATION INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278865	501(C)(3)	$5,723,022	CASH	VARIOUS
CHILDREN'S HEALTH FOUNDATION INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278865	501(C)(3)	$30,250	CASH	PECTUS RESEARCH

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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
Michelle Brenner MD
Director	$0	$205,331	$0	$0	$0	$229	$0	$8,463	$0	$15,434	$0	$229,457	$0	$0
James D Dahling
President/Director	$0	$912,539	$0	$0	$0	$82,412	$0	$537,442	$0	$29,201	$0	$1,561,594	$0	$61,424
Robert Obermeyer MD
Director	$0	$631,854	$0	$0	$0	$314	$0	$10,600	$0	$22,744	$0	$665,512	$0	$0
Dennis Ryan
CFO/Asst Treas/Assist Secr	$0	$478,437	$0	$0	$0	$34,697	$0	$345,680	$0	$43,366	$0	$902,180	$0	$20,537
Kathryn Abshire
VP Finance	$0	$206,885	$0	$0	$0	$20,003	$0	$32,283	$0	$24,167	$0	$283,338	$0	$8,605
Deborah Barnes
VP - IS Operations	$0	$312,926	$0	$0	$0	$22,582	$0	$123,951	$0	$27,743	$0	$487,202	$0	$7,710
David Bowers
VP - Support Services	$201,039	$0	$0	$0	$2,075,678	$0	$10,600	$0	$8,850	$0	$2,296,167	$0	$1,631,552	$0
Jo-Ann Burke
VP- Patient Care Services	$336,627	$0	$0	$0	$80,447	$0	$10,600	$0	$18,057	$0	$445,731	$0	$0	$0
John Harding
Chief Operating Officer	$118,439	$322,736	$0	$0	$3,677	$31,804	$10,236	$139,742	$8,482	$20,350	$140,834	$514,632	$0	$0
Tamika Harris
VP - Facilities & Support svcs	$143,386	$0	$12,173	$0	$11,806	$0	$20,053	$0	$7,689	$0	$195,107	$0	$0	$0
Karen Mitchell
VP- Patient Care Services	$153,096	$0	$11,553	$0	$34,167	$0	$25,388	$0	$8,980	$0	$233,184	$0	$0	$0
Allison Silva
VP - Ancillary Services	$198,662	$0	$0	$0	$30,075	$0	$61,114	$0	$8,915	$0	$298,766	$0	$13,008	$0
Sandip Godambe MD
VP - Quality & Patient Safety	$360,532	$0	$0	$0	$15,103	$0	$76,864	$0	$56,252	$0	$508,751	$0	$3,964	$0
Elizabeth Musial
Director Perioperative Service	$170,757	$0	$17,225	$0	$40,614	$0	$7,558	$0	$2,527	$0	$238,681	$0	$0	$0
James Dice
Director Pharmacy	$161,641	$0	$14,766	$0	$36,600	$0	$7,214	$0	$10,214	$0	$230,435	$0	$0	$0
Suzanne Starling
Medical Director	$204,592	$0	$0	$0	$1,380	$0	$8,438	$0	$14,947	$0	$229,357	$0	$0	$0
Rowland Harrison
Director Information Services	$130,765	$0	$12,337	$0	$46,460	$0	$0	$0	$14,624	$0	$204,186	$0	$0	$0
Joann Rogers
Former VP	$0	$0	$0	$0	$1,888,930	$0	$0	$0	$0	$0	$1,888,930	$0	$1,181,687	$0
Arno Zarisky
Former VP	$240,481	$0	$0	$0	$1,104,534	$0	$10,600	$0	$10,198	$0	$1,365,813	$0	$1,032,719	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, LINE 1:	IN CONNECTION WITH A RETIREMENT PROGRAM, TAX GROSS-UP PAYMENTS ARE PROVIDED TO CERTAIN DIRECTORS WHOSE EMPLOYER FUNDED CONTRIBUTIONS ARE IMMEDIATELY TAXABLE, IN ORDER TO PROVIDE THEM WITH BENEFITS THAT ARE TAX-EQUIVALENT TO BENEFITS OF PARTICIPANTS WHOSE CONTRIBUTIONS ARE NOT IMMEDIATELY TAXABLE.
SCHEDULE J, LINE 4B:	CHILDREN'S HEALTH SYSTEM SPONSORS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("THE PLAN"). THE PLAN IS DESIGNED TO RETAIN EXECUTIVES IN POSITIONS ESSENTIAL TO THE SUCCESS OF CHILDREN'S HEALTH SYSTEM. DURING THE YEAR, THE FOLLOWING INDIVIDUALS WERE PARTICIPANTS IN A SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AND RECEIVED THE FOLLOWING PAYMENTS WHICH ARE INCLUDED IN SCHEDULE J PART II COLUMN (C): KATHY ABSHIRE $ 22,461 JAMES DAHLING $ 405,545 KAREN MITCHELL $ 26,231 DENNIS RYAN $ 329,467 ALLISON SILVA $ 37,107 SANDIP GODAMBE $ 67,368 DEBORAH BARNES $ 152,470 TAMIKA HARRIS $ 8,069 JOHN HARDNG $ 124,883 AND IN SCHEDULE J, PART II, COLUMN(B): JOANN ROGERS $ 1,864,851 DAVID BOWERS $ 2,039,534 ARNO ZARITSKY $ 1,032,753
SCHEDULE J, 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 (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
VA Small Business Financing Authority Series 2012
A	541300845	000000000	2012-09-19	$76,400,000	REFUNDING OF 1/31/2006 ISSUE	false	false	false
VA Small Business Financing Authority Series 2015
B	541300845	000000000	2015-12-01	$100,000,000	FINANCING OF HEALTH CARE FACILITAT	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$11,258,057	$0	$76,400,000	$0	$0	$0	$0	$0	$0	$0	$76,400,000	$0	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$0	$0	$0	$0	$0	$0	$0	$1,250,000	$0	$0	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.00586	0.00586	false	false	false	Yes (true)
B	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0		false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd
0
A	false	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
B	false		Yes (true)	false	false	0	false	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part II, Line 11, Column A	All proceeds of the bond were used to currently refund a prior issue.
Part II, Lines 3, 10, and 12, Column B	Line 3 Funds will be drawn as needed by Childrens Health System and Childrens Hospital of the Kings Daughters from the total issue price of the bond. At this time, it is unknown what the final proceeds will be. Line 10 Capital expenditures from proceeds allocated currently total $36,400,000, of which $35,150,000 was allocated to Childrens Health System and $1,250,000 was allocated to Childrens Hospital of the Kings Daughters. Line 12 - Funds will be drawn as needed by Childrens Health System and Childrens Hospital of the Kings Daughters from the total issue price of the bond. At this time, there are currently no other spent proceeds.
Part III, Line 4	Column A: We have concluded that out of the activities conducted in this bond financed space, we have noted that 0.5863% 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 B: We have concluded that out of the activities conducted in this bond financed space, we have noted that 0.0% 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.
Part IV, Line 2B, Column A	The 6-Month spending exception applies to the bond. Obligated Group PNC Bank, National Association and Bank of America, N.A., each hold parity notes of CHKDs Obligated Group (including Childrens Hospital of The Kings Daughters, Incorporated; Childrens Health Services, Inc.; and Childrens Health Foundation, Inc.) issued under the Master Trust Indenture. Accordingly, PNC and Bank of America have the benefit, on a parity basis, of a valid and perfected, first priority security interest held by the Master Trustee in the total revenues pledged under the Master Trust Indenture and in any other security interest granted by the Master Trust Indenture. The Master Trust Indenture and the financing documents with PNC and Bank of America place certain restrictions upon CHKDs Obligated Group relative to operating ratios, incurrence of additional indebtedness, maintenance of tax-exempt status and financial reporting requirements.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp

Cars And Other Vehicles CarsAndOtherVehiclesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	32	ContributionCnt
Noncash Contributions Rpt F990	$12,440	NoncashContributionsRptF990Amt
Method Of Determining Revenues	CASH ON SALE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	41	ContributionCnt
Noncash Contributions Rpt F990	$585,723	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVG FMV ON DATE REC	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp

Real Estate Residential RealEstateResidentialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$146,500	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV APPRAISAL	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Various in Kind Items	Desc
Contribution	45	ContributionCnt
Noncash Contributions Rpt F990	$5,625	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVG FMV ON DATE REC	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	1	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, LINE 32	FormAndLineReferenceDesc
Explanation	CHKD PAYS ABC VIRGINIA AUTO AUCTION, LLC A FEE TO AUCTION CARS FOR THE BENEFIT OF THE ORGANIZATION.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	FORM 990, PART III FOR MORE THAN 50 YEARS, 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 FY2016, 62 PERCENT OF ITS INPATIENT DAYS WERE COVERED BY MEDICAID. OVER THE PAST 55 YEARS, CHKD HAS GROWN INTO A 206-BED TEACHING HOSPITAL THAT IS THE HEART OF AN EXTENSIVE PEDIATRIC HEALTH CARE SYSTEM. TODAY, THAT SYSTEM PROVIDES COMPREHENSIVE MEDICAL CARE TO CHILDREN AT THE HOSPITAL AND MULTI-SERVICE HEALTH CENTERS IN VIRGINIA BEACH, NEWPORT NEWS, CHESAPEAKE, HAMPTON, AND SUFFOLK. ITS SERVICES INCLUDE EVERYTHING FROM WELLNESS AND PREVENTION INITIATIVES TO PRIMARY CARE, SURGERY AND REHABILITATION. MANY OF ITS 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 HOSPITAL IS AN EAGER COLLABORATOR WITH OTHER COMMUNITY ORGANIZATIONS AND INSTITUTIONS THAT SHARE ITS CONCERN FOR THE WELL-BEING OF YOUNG PEOPLE AND OFFERS A VARIETY OF EDUCATION, RESEARCH AND HEALTH INITIATIVES TO IMPROVE THE HEALTH AND WELL-BEING OF CHILDREN IN THIS COMMUNITY AND BEYOND. THE HEALTH SYSTEM'S PRIMARY SERVICES CENTER ON INPATIENT AND OUTPATIENT CARE, COMMUNITY OUTREACH PROGRAMS AND MEDICAL EDUCATION/RESEARCH. SECTION ONE: INPATIENT CARE CHILDREN WITH A VAST RANGE OF MEDICAL PROBLEMS -- INCLUDING LIFE-THREATENING ILLNESSES AND INJURIES -- TURN TO CHKD FOR INPATIENT CARE. IN FY2016, CHKD HAD 5,476 ADMISSIONS RESULTING IN 50,405 PATIENT DAYS. APPROXIMATELY 62 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 REGIONS HIGHEST LEVEL NEONATAL INTENSIVE CARE UNIT, WHERE EACH YEAR CRITICALLY ILL NEWBORNS, SOME AS YOUNG AS 23 WEEKS GESTATION, BENEFIT FROM A UNIQUE COMBINATION OF ADVANCED MEDICAL TECHNOLOGY, DEVELOPMENTAL CARE AND FAMILY SUPPORT, AND PALLIATIVE CARE. THERE WERE APPROXIMATELY 550 ADMISSIONS TO THE NICU IN FY16. THE HOSPITAL ALSO OPERATES A NEONATAL STEP-DOWN UNIT FOR BABIES FROM OUR NICU WHO REQUIRE A TRANSITIONAL PERIOD BEFORE BEING DISCHARGED HOME. THE REGIONS LARGEST AND MOST EXPERIENCED PEDIATRIC INTENSIVE CARE UNIT IS AT CHKD. IN THIS UNIT, A FULL-TIME STAFF OF BOARD-CERTIFIED PEDIATRIC INTENSIVE CARE PHYSICIANS, CRITICAL CARE NURSES AND RESPIRATORY THERAPISTS PROVIDE EXTREMELY SOPHISTICATED, TECHNOLOGICALLY-ADVANCED CARE TO CHILDREN WITH LIFE-THREATENING INJURIES AND ILLNESSES. MEDICAL CARE IS SUPPLEMENTED WITH SUPPORT FROM CHILD LIFE SPECIALISTS, SOCIAL WORKERS AND CHAPLAINS WHO HAVE EXTENSIVE EXPERIENCE HELPING FAMILIES THROUGH THE TRAUMA AND STRESS OF A SEVERE ILLNESS OR INJURY IN A CHILD. THERE WERE 1,225 ADMISSIONS TO OUR PICU IN FY16. 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 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. EACH TRANSPORT CALL IS ANSWERED BY A NEONATAL/PEDIATRIC CRITICAL CARE NURSE, A REGISTERED RESPIRATORY THERAPIST AND A CERTIFIED EMT-PARAMEDIC TRAINED IN NEONATAL/PEDIATRIC CARE. IN FY16, THE TEAM TRANSPORTED 1,671 PATIENTS. OF THOSE, 471 WERE NEWBORNS COMING TO OUR NEONATAL INTENSIVE CARE UNIT. CHKDS TRANSPORT SERVICE IS ALSO UNDER CONTRACT TO THE NAVAL MEDICAL CENTER, PORTSMOUTH, TO PROVIDE ALL NEONATAL AND PEDIATRIC MILITARY TRANSPORTS IN THE REGION. BESIDES GROUND TRANSPORTS IN OUR MOBILE ICUS, THE TEAM CAN RESPOND VIA FIXED WING AIRCRAFT OR HELICOPTER TRANSPORT WHEN MEDICALLY NECESSARY. ADDITIONALLY, WE HAVE ADDED A TRANSPORT TEAM TO HELP SERVE OUR PATIENTS VISITING THE UCC THAT MAY REQUIRE ADDITIONAL CARE AND/OR SERVICES THAT ARE PROVIDED AT THE MAIN HOSPITAL. THIS TEAM IS STAFFED BY 2 CERTIFIED EMT-PARAMEDICS THAT ARE ALSO TRAINED TO PROVIDE CARE TO PEDIATRIC PATIENTS.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	CHKD OPERATES THE REGIONS 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 FY16, SURGEONS PERFORMED 13,929 SURGERIES AT CHKD FACILITIES FOR A VAST RANGE OF PROBLEMS, FROM THE SIMPLEST OUTPATIENT PROCEDURES TO COMPLEX CRANIOFACIAL, ORTHOPEDIC AND CHEST WALL SURGERIES. (SEE OUTPATIENT SERVICES AND PROGRAMS FOR MORE INFORMATION OF CHKDS 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, PASTORAL CARE, ETHICAL REFLECTION, BEREAVEMENT RESOURCES/FOLLOW-UP (INCLUDING A PARENT SUPPORT GROUP) AND SPIRITUAL ASSESSMENT AND/OR GUIDANCE TO PATIENTS, FAMILIES AND STAFF WITH IN-HOSPITAL PRESENCE SEVEN DAYS A WEEK AND WITH 24-HOUR ON-CALL AVAILABILITY. CHAPLAINS SERVE ON THE TRAUMA TEAM AS PRIMARY PROVIDERS OF FAMILY SUPPORT. THE HOSPITAL EMPLOYS THREE FULL-TIME CHAPLAINS, AND FOUR PER-DIEM CHAPLAINS WHO REFLECT THE DIVERSITY OF THE COMMUNITY AND ARE PROFESSIONALLY TRAINED TO MEET THE VARIED SPIRITUAL NEEDS OF FAMILIES AND STAFF WITH RESPECT AND COMPASSION. THE CHAPLAINS ALSO FACILITATE EDUCATIONAL PROGRAMS FOR HOSPITAL STAFF AND PHYSICIANS, AS WELL AS PLANNING AND PARTICIPATING IN OUTREACH TO THE COMMUNITY. THE HOSPITAL EMPLOYS 14 CHILD LIFE STAFF MEMBERS 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, COPING STRATEGIES AND PLAY OPPORTUNITIES FOR CHILDREN TO RELIEVE STRESS. CHILD LIFE STAFF MEMBERS ALSO SCHEDULE AND FACILITATE COMMUNITY GROUP VISITORS TO THE HOSPITAL AND MANAGE APPROXIMATELY 100 VOLUNTEERS WEEKLY. THERE ARE THREE POPULAR ACTIVITY AREAS THROUGHOUT THE HOSPITAL, PROVIDING HOSPITALIZED CHILDREN OPPORTUNITIES FOR SOCIALIZATION AND CREATIVE PLAY. AND CHILD LIFE ASSISTANTS WORK WITH CHKD'S VOLUNTEER SERVICES DIVISION TO MANAGE THE HOSPITALS 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, AN ANNUAL TEDDY BEAR CLINIC AND INPATIENT DEVELOPMENTAL SCREENINGS. IN FEBRUARY 2016, WE ADDED A GOLDEN RETRIEVER, SARALEE, TO THE CHILD LIFE STAFF. SHE IS A FACILITY DOG THAT HELPS SPECIFIC PATIENTS TO GAIN STRENGTH, ENDURANCE, AND BALANCE THROUGH PLAY. SHE HAS ALSO BEEN A GREAT SUPPORT AND COMFORT TO THOSE HEARING HARD NEWS OR DEALING WITH PAIN WHILE HOSPITALIZED. CHKDS DEPARTMENT OF MEDICAL SOCIAL WORK IS COMPRISED OF 17 STAFF MEMBERS WHO HOLD MASTERS IN SOCIAL WORK, EIGHT OF WHOM ARE IN SUPERVISION WORKING TOWARD THEIR CLINICAL LICENSURE, AND ONE FAMILY SUPPORT SPECIALIST. THE PRIMARY FOCUS OF THE DEPARTMENT IS PSYCHOSOCIAL EVALUATION, SUPPORT TO FAMILIES, CONNECTION TO RESOURCES AND MANAGING ADJUSTMENT TO ILLNESSES AND HOSPITALIZATION. THE MEDICAL SOCIAL WORK DEPARTMENT PROVIDES MANY SERVICES, INCLUDING: * FACILITATE SUPPORT GROUPS FOR CHKD FAMILIES DEALING WITH TRAUMA, CHRONIC ILLNESS AND LOSS * REFER TO CHKD'S ELIGIBILITY WORKERS TO COMPLETE APPLICATIONS FOR INSURANCE COVERAGE FOR MEDICAL CARE. * COORDINATE REFERRALS AND ONGOING COMMUNICATIONS TO OTHER COMMUNITY RESOURCES. * AID IN COMMUNICATION WITH FAMILIES WITH THE MEDICAL TREATMENT TEAMS BY COORDINATING PATIENT CARE CONFERENCES AND TEAM MEETINGS MEDICAL SOCIAL WORKERS ALSO FACILITATE A VARIETY OF SUPPORT GROUPS THAT HELP PATIENTS AND FAMILIES CONNECT WITH OTHERS IN THE COMMUNITY WHO SHARE THEIR CHALLENGES. CHKD SPONSORS SUPPORT GROUPS FOR PATIENTS AND THEIR FAMILIES WITH HEART CONDITIONS, DIABETES, TURNER'S SYNDROME, PRADER-WILLI SYNDROME, CANCER, AND SICKLE CELL. FAMILIES OF NICU PATIENTS MEET WEEKLY TO SHARE INFORMATION; AND OUR RECREATION-BASED GROUP FOR BROTHERS AND SISTERS OF CHILDREN WITH SPECIAL NEEDS -- CALLED SIBSHOPS -- MEETS REGULARLY TO SUPPORT SIBLINGS. THE MEDICAL SOCIAL WORK DEPARTMENT MANAGES THE HALO FUND AS WELL AS OUR NEW "LEISH-LINE" OF DONATED MONIES TO ASSIST PARENTS AND PATIENTS WITH THE COST OF TRANSPORTATION, MEALS, MEDICATIONS AND SPECIFIC NEEDS AT DISCHARGE. THESE DONATED FUNDS MAY ALSO BE USED IN EMERGENCY SITUATIONS TO ASSIST WITH SPECIAL NEEDS, WHICH HAVE CONSISTED OF PARTIAL OR ONE-TIME PAYMENTS FOR UTILITY SERVICES NEEDED TO ENSURE THAT PATIENTS ARE DISCHARGED TO HOME WITH A WAY TO SUPPORT THEIR MEDICAL NEEDS ON DISCHARGE. THIS FUND HELPED MORE THAN 900 FAMILIES IN FY16. DUE TO THE INCREASING NEED FOR MENTAL HEALTH SERVICES, CHKD CREATED THE BEHAVIORAL HEALTH SERVICES DEPARTMENT IN AUGUST OF 2014. THE STAFF INCLUDES 13 LICENSED CLINICAL SOCIAL WORKERS AND LICENSED PROFESSIONAL COUNSELORS, 1 LICENSED CLINICAL PSYCHOLOGIST AND 7 PER DIEM LCSWS AND LPCS. THE TEAM PROVIDES INTEGRATED SUPPORT TO ASSIST PATIENTS IN THE HOSPITAL AND AT 7 OUTPATIENT THERAPY LOCATIONS IN VIRGINIA BEACH, CHESAPEAKE, NORFOLK AND HAMPTON. THE TEAM COLLABORATES WITH THE CHILDS PEDIATRICIAN, PSYCHIATRIC PROVIDER, SPECIALIST AND FAMILY TO ENSURE THE CHILD RECEIVES COMPREHENSIVE SUPPORT. AMONG THE SERVICES OUR BEHAVIORAL HEALTH DEPARTMENT PROVIDES ARE THE FOLLOWING: * CONDUCT PSYCHOSOCIAL HISTORY AND MENTAL HEALTH ASSESSMENTS OF PATIENTS: OUTPATIENT, ED, AND IN-HOUSE * UTILIZE EVIDENCE-BASED PRACTICES TO OFFER BRIEF THERAPY TO IN-HOUSE PATIENTS BY PHYSICIAN REFERRAL TO ADDRESS ACUTE OR CHRONIC MENTAL HEALTH ISSUES * OFFER INDIVIDUALIZED BEHAVIOR PLANS FOR CHILDREN WITH MEDICAL AND BEHAVIORAL ISSUES ADMITTED TO CHKD FOR THEIR MEDICAL CONDITION * PROVIDE OUTPATIENT BEHAVIORAL HEALTH SERVICES UTILIZING EVIDENCE-BASED TREATMENT (COGNITIVE BEHAVIORAL THERAPY, PARENT CHILD INTERACTION THERAPY, TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY, BEHAVIORAL THERAPY FOR CHILDREN WITH AUTISM SPECTRUM DISORDER AND OTHER NEURODEVELOPMENTAL CONDITIONS, EMDR, AND PLAY-BASED THERAPY), CONSISTING OF INDIVIDUAL, FAMILY AND GROUP THERAPY * HELP PATIENTS AND FAMILIES DEAL WITH SITUATIONAL CRISES RESULTING FROM ACCIDENT, ILLNESS OR TRAUMA * 24-HOUR PER-DIEM COVERAGE BY A LICENSED CLINICIAN OR SUPERVISEE FOR NIGHTS, WEEKENDS, HOLIDAYS. DURING FY16, THE CHKDS CULTURAL/LANGUAGE SERVICES DEPARTMENT CONTINUED TO MEET THE NEEDS OF PATIENTS AND FAMILIES WITH LIMITED ENGLISH PROFICIENCY BY COORDINATING ACCESS TO LANGUAGE INTERPRETATION IN PERSON, OVER THE PHONE AND VIDEO REMOTE INTERPRETATION THROUGHOUT THE HEALTH SYSTEM. IN FY16, CHKD PROVIDED INTERPRETATION SERVICES IN 30 DIFFERENT LANGUAGES FOR OUR LIMITED ENGLISH POPULATION THROUGH 10,317 OUTPATIENT VISITS, WHICH IS AN INCREASE OF CLOSE TO 3,000 PATIENTS COMPARED TO THE LAST FISCAL YEAR. ON AVERAGE, 88% OF OUR LIMITED ENGLISH PROFICIENT PATIENTS AND FAMILIES SPEAK SPANISH. TO MEET THIS DEMAND, IN ADDITION TO OVER THE PHONE INTERPRETATION AND VIDEO REMOTE INTERPRETATION, AVAILABLE THROUGHOUT CHKD, THE LANGUAGE SERVICES DEPARTMENT CONSISTS OF 3 SPANISH MEDICAL INTERPRETERS AT THE MAIN CAMPUS. DURING FY16, LANGUAGE SERVICES STAFF ASSISTED IN 6,290 PATIENT ENCOUNTERS AT THE MAIN SITE. ADDITIONALLY, THE HEALTH SYSTEM RELIED ON THE ASSISTANCE OF 25 DUAL ROLE BILINGUAL STAFF WHO PROVIDED MEDICAL INTERPRETATION IN THEIR ASSIGNED AREAS. AS THE REGIONAL PROVIDER OF PEDIATRIC CARE, CHKD IS AN INTEGRAL PART OF THE COMMUNITYS NATURAL OR MAN-MADE DISASTER PLANNING EFFORTS. CHKD 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.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	SECTION TWO: OUTPATIENT SERVICES AND PROGRAMS CHKD ALSO OFFERS THE COMMUNITY MANY IMPORTANT PEDIATRIC SERVICES ON AN OUTPATIENT BASIS. IN 2016, CHILDREN MADE APPROXIMATELY 593,000 OUTPATIENT VISITS TO CHKD PHYSICIAN PRACTICES AND PEDIATRIC SPECIALTY CLINICS. THEY MADE 378,034 VISITS TO THE PRIMARY CARE PEDIATRICIANS OF CHKD'S MEDICAL GROUP, WHICH OFFERS CARE IN 18 PRACTICES THAT HAVE 29 OFFICES THROUGHOUT OUR SERVICE AREA. CHKD'S SUBSPECIALTY CLINICS, WHICH PROVIDE CARE TO CHILDREN FACING HEALTH CONDITIONS SUCH AS CANCER, GENETIC DISORDERS, OBESITY, HEART PROBLEMS, DEVELOPMENTAL DISABILITIES, ASTHMA/ALLERGIES AND DIABETES, LOGGED 166,747 VISITS IN 2016. 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 48,959 VISITS TO THE SURGICAL GROUP PRACTICES IN FY16. THE SURGEONS PERFORMED 5,889 SURGICAL CASES. CHILDRENS 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 CHKDS MAIN FACILITY IN NORFOLK BECAME MORE OF A HARDSHIP FOR FAMILIES. TO EASE THAT BURDEN AND IMPROVE CHILDRENS ACCESS TO CARE IN EVERY CORNER OF OUR SERVICE AREA, CHKD HAS ESTABLISHED FOUR MULTI-SERVICE HEALTH CENTERS AND TWO SATELLITE SITES IN STRATEGIC LOCATIONS. * 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 REGIONS FIRST PEDIATRIC AMBULATORY 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 THERE. * 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; X-RAY AND LAB SERVICES, A SPORTS MEDICINE GYM, SLEEP STUDIES UNIT AND THERAPY POOL, AS WELL AS 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 BEACHS FIRST AMBULATORY SURGERY CENTER EXCLUSIVELY FOR CHILDREN. BEACH FAMILIES CAN ALSO FIND PRIMARY CARE PEDIATRICIANS AND IN-HOUSE LAB AND RADIOLOGY SERVICES INCLUDING MRI - AT THE CENTER. OTHER SERVICES INCLUDE SPECIALTY CARE PEDIATRICS FOR HELP WITH CHRONIC PROBLEMS SUCH AS ASTHMA AND DIABETES, CHKDS CHILD ABUSE PROGRAM AND PHYSICAL, SPEECH, OCCUPATIONAL AND SPORTS MEDICINE THERAPY. * THE CHKD HEALTH CENTER AT BUTLER FARM ROAD OFFERS STATE-OF-THE-ART PEDIATRIC LAB AND X-RAY SERVICES TO FAMILIES IN HAMPTON. THE CENTER OFFERS A FULL RANGE OF DIAGNOSTIC TESTING, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, AND SPORTS MEDICINE PHYSICAL THERAPY TO CHILDREN AND TEENS ON THE PENINSULA. THE NEW HEALTH CENTER MARKS THE HEALTH SYSTEMS 34TH LOCATION AND IS PART OF CHKDS COMMITMENT TO PROVIDE CONVENIENT ACCESS TO SPECIALIZED PEDIATRIC CARE FOR THE NEARLY 500,000 CHILDREN IN HAMPTON ROADS. * THE CHKD HEALTH CENTER AT HARBOUR VIEW NORTH OFFERS SPECIALIZED PEDIATRIC CARE TO FAMILIES IN SUFFOLK. THE ADDITION OF THE FACILITY AT HARBOUR VIEW NORTH MARKS THE HEALTH SYSTEMS 35TH LOCATION. THE NEW SITE OFFERS APPOINTMENTS IN PEDIATRIC DERMATOLOGY, ALLERGY, GASTROENTEROLOGY, CARDIOLOGY AND NEPHROLOGY, AS WELL AS DEVELOPMENTAL PEDIATRICS. * THE CHKD HEALTH CENTER AT TECH CENTER, CENTRALLY LOCATED ON THE PENINSULA, CONTAINS SPORTS MEDICINE PHYSICAL THERAPY, PRIMARY CARE SPORTS MEDICINE, AND A VARIETY OF SHARED CLINICS. CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS OPERATES THE REGIONS 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. * THE CHKD URGENT CARE AT VOLVO PARKWAY WAS THE FIRST PEDIATRIC URGENT CARE IN THE REGION, SERVING CHILDREN WITH URGENT, BUT NOT EMERGENT MEDICAL NEEDS. PROVIDERS COMMONLY SEE SORE THROATS, FEVERS, SPRAINS AND STRAINS, HEAD INJURIES AND OTHER ILLNESS AND INJURIES THAT NEED PROMPT MEDICAL ATTENTION. * THE CHKD URGENT CARE AT LOEHMANNS OPENED THIS YEAR AND OFFERS PEDIATRIC URGENT CARE TO FAMILIES IN AND AROUND THE DOWNTOWN AREA OF VIRGINIA BEACH. PROVIDERS COMMONLY SEE SORE THROATS, FEVERS, SPRAINS AND STRAINS, HEAD INJURIES AND OTHER ILLNESS AND INJURIES THAT NEED PROMPT MEDICAL ATTENTION. CHKDS CHILD ABUSE PROGRAM COORDINATES THE REGIONS EFFORTS TO ACCURATELY IDENTIFY, TREAT AND PROTECT CHILDREN WHO HAVE BEEN SUSPECTED OF ABUSE OR NEGLECT. THE PROGRAM PROVIDES COMPREHENSIVE ASSESSMENT, EVALUATION AND TREATMENT SERVICES, INCLUDING AN ARRAY OF EVIDENCE-BASED MENTAL HEALTH SERVICES, FORENSIC INTERVIEWING, MEDICAL EXAMINATIONS AND CONSULTATIONS, WHICH INCLUDE 24/7 COVERAGE OF ACUTE SEXUAL ASSAULTS OF CHILDREN. THE PROGRAM ALSO HELPS COORDINATE THE EFFORTS OF INVESTIGATIVE AGENCIES INVOLVED IN THE INVESTIGATION AND PROSECUTION OF ABUSE. CHILDREN MADE 4,833 VISITS TO THE PROGRAM IN FY16. AT A 10.50 PERCENT INCREASE, THE CHILD ABUSE PROGRAM HAS SEEN MORE CHILDREN THAN IN ANY PRIOR YEAR. COMMUNITY PARTNERS CONTINUE TO INCREASE THEIR REFERRALS TO OUR PROGRAM DUE TO HAVING POSITIVE OUTCOMES FOR THEIR INVESTIGATIONS AND KNOWING CHILDREN RECEIVE APPROPRIATE TREATMENT. IN ADDITION TO THE MAIN CENTER IN NORFOLK, SERVICES ARE ALSO AVAILABLE AT CHKD'S OUTPATIENT CENTERS IN VIRGINIA BEACH AND NEWPORT NEWS. THE EPIDEMIC OF CHILDHOOD OBESITY CONTINUES TO BE A CONCERN AND FOCUS AREA FOR CHKD. IN ORDER TO ADDRESS THIS CRITICAL ISSUE, IN 2001, CHKD ESTABLISHED A COMPREHENSIVE PROGRAM CALLED HEALTHY YOU FOR LIFE THAT IS OFFERED TO CHILDREN AGES 3 THROUGH HIGH SCHOOL. HEALTHY YOU FOR LIFE OFFERS A MULTIDISCIPLINARY TEAM APPROACH THAT PROVIDES CLINICAL AND PSYCHOLOGICAL EVALUATION AND TREATMENT PLANNING FOR INDIVIDUALS. IN ADDITION, GROUP CLASSES THAT COVER NUTRITION, EXERCISE AND LIFESTYLE MANAGEMENT ARE AVAILABLE TO PATIENTS AND THEIR FAMILIES. THE PROGRAMS STAFF INCLUDES PHYSICIANS, NURSES, REGISTERED DIETITIANS, LICENSED CLINICAL SOCIAL WORKERS AND EXERCISE SPECIALISTS AS WELL AS A COMMUNITY OUTREACH COORDINATOR. IN THE 2016 FISCAL YEAR, THE TEAM CONDUCTED NEARLY 1,400 VISITS AND SAW 576 INDIVIDUAL PATIENTS AND THEIR FAMILIES. MOVING INTO THE NEW FISCAL YEAR, WE ARE EXPANDING CLINICAL AND CLASS SERVICES TO INCLUDE VIRGINIA BEACH OFFERING A 4TH LOCATION FOR THE CONVENIENCE OF PATIENTS.
CHKDS DIABETES EDUCATION PROGRAM HELPS APPROXIMATELY 1,300 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 708 VISITS TO THE DIABETES CENTER IN FY16. THE CHILDRENS CANCER AND BLOOD DISORDERS CENTER IS ONE OF THE HOSPITALS BUSIEST OUTPATIENT SPECIALTY CLINICS WITH 8,056 PATIENT VISITS IN FY16. THE PROGRAM PROVIDES CARE TO YOUNG PEOPLE WITH CANCER, SICKLE CELL DISEASE, BLEEDING AND OTHER BLOOD DISORDERS THROUGH TREATMENT PROGRAMS THAT ENCOMPASS CHILDRENS PHYSICAL, EMOTIONAL AND EDUCATIONAL NEEDS AND INCORPORATES THE WHOLE FAMILY. THE REGIONS ONLY PEDIATRIC EMERGENCY CENTER IS LOCATED AT CHKD. IN FY16, CHILDREN MADE 50,598 VISITS TO OUR EMERGENCY CENTER. CHILDRENS HOSPITAL OFFERS THE ONLY PEDIATRIC RENAL DIALYSIS SERVICE IN THE AREA. DIALYSIS IS A TIME-CONSUMING PROCESS AND CHILDREN APPRECIATE THE CHANCE TO HAVE THE SERVICE IN A SETTING WHERE THEY CAN MEET WITH FRIENDS THEIR OWN AGES AS WELL AS HOSPITAL SUPPORT STAFF AND SCHOOLTEACHERS. CHILDREN MADE 2,576 RENAL AND DIALYSIS VISITS IN FY16. ONE MARK OF CHKDS 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. THE HOSPITAL NOW HAS LABORATORIES IN ITS OYSTER POINT, PRINCESS ANNE, OAKBROOKE, BURNETTS WAY HEALTH CENTERS, VOLVO URGENT CARE CENTER AS WELL AS DRAW SITES AT KEMPSVILLE IN NORFOLK AND BUTLER FARM IN HAMPTON. ON MARCH 16, 2016 A FULL SERVICE LABORATORY OPENED WITH THE NEW URGENT CARE CENTER AT LOEHMANNS PLAZA IN VIRGINIA BEACH. THE LABORATORY ALSO OPERATES A COURIER SERVICE THAT FACILITATES QUICK TURNAROUND OF SPECIMENS. OF THE 730,272 LAB TESTS PERFORMED IN FY16, APPROXIMATELY 60 PERCENT WERE FOR 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 2016, 100,692 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. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CHKD'S REHABILITATIVE THERAPY SERVICES ARE OFFERED IN LOCATIONS THROUGHOUT THE COMMUNITY, INCLUDING NORFOLK, CHESAPEAKE, VIRGINIA BEACH, SUFFOLK, HAMPTON 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. * Assistive Technology/Augmentative Program - Services provided for children who are unable to communicate verbally or through gestures due to various medical conditions. In FY16, we did 249 augmentative communication evaluations. * Car Seat Program - Specially trained therapists offer car seat safety restraint evaluations for patients with special needs. In FY16, we did 393 car seat evaluations, distributed 317 special needs car seats and participated in 9 community-based car seat safety checks through this program. * Wheelchair Clinic - Certified therapists complete a comprehensive evaluation to determine and prescribe the appropriate wheelchair and seating system. Children made almost 992 visits to this clinic in FY16 for evaluation and technical adjustments. SECTION THREE: COMMUNITY OUTREACH CHKD REACHED FAMILIES IN THEIR HOMES, DOCTORS OFFICES, NEIGHBORHOODS AND COMMUNITY CENTERS WITH A WIDE VARIETY OF PROGRAMS AND PUBLICATIONS THAT PROMOTE WELLNESS, PREVENT INJURIES, AND STRENGTHEN FAMILIES. OUR COMMUNITY OUTREACH PROGRAM EXPERTS COORDINATED A TOTAL OF 372 PARENT, PROFESSIONAL AND STUDENT PROGRAMS, OR MEDIA APPEARANCES. IN ADDITION, LAUNCHED A NEW BIRTH AND BEYOND PARENT BLOG, INFANT MASSAGE AND BABY YOGA CLASSES. THESE PROGRAMS PROVIDED IMPORTANT HEALTH, SAFETY AND WELLNESS INFORMATION FOR MORE THAN 78,864 PARTICIPANTS THROUGHOUT OUR SERVICE AREA. THROUGH THE KOHLS CARES FUNDING, THE KOHLS KIND KIDS PROGRAM, IN PARTNERSHIP WITH THE VIRGINIA STAGE COMPANY, REACHED 57,339 CHILDREN AND FAMILIES IN THE COMMUNITY WHICH WAS A SIGNIFICANT INCREASE FROM THE YEAR BEFORE. CHKD IS A SITE OF THE NATIONAL "REACH OUT AND REACH" LITERACY PROGRAM, WHICH ENCOURAGES READING BY DISTRIBUTING FREE BOOKS TO CHILDREN AT THEIR WELL CHILD VISITS TO THEIR PEDIATRICIANS. THROUGH THE DONOR-FUNDED PROGRAM, CHKD PRIMARY CARE PEDIATRICIANS GAVE 72,185 BOOKS TO CHILDREN IN FY16. IN FY16 CHKDS WEBSITE, WWW.CHKD.ORG, CONTINUES TO BE A POPULAR AND EFFECTIVE METHOD OF COMMUNICATION, AVERAGING MORE THAN 250,000 UNIQUE VISITORS A MONTH, A 16 PERCENT INCREASE OVER LAST YEAR. 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 PHYSICIANS PRACTICE MAKE IT EASIER THAN EVER TO CHOOSE THE DOCTOR THATS RIGHT FOR YOU. CHKD CONTINUES TO UTILIZE SOCIAL MEDIA OUTLETS SUCH AS FACEBOOK, TWITTER, LINKEDIN, PINTEREST 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, 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 HEALTHCARE NEEDS IN THE REGION'S PUBLIC HEALTH DISTRICTS. IN FY16, CCC ASSISTED WITH 578 INFORMATION AND REFERRAL CALLS AND PROVIDED COMPREHENSIVE CASE MANAGEMENT SERVICES TO 636 FAMILIES. FINANCIAL ASSISTANCE WAS PROVIDED FOR 27 CHILDREN AND YOUTH WHO WERE UNINSURED OR UNDERINSURED AND 173 FAMILIES WERE ASSISTED IN APPLYING FOR STATE HEALTH PROGRAMS, TO INCLUDE VIRGINIAS WAIVER SERVICES. 39 NEWBORN SCREENING REFERRALS WERE PROCESSED BY OUR CARE COORDINATORS AND, AT THIS TIME, THERE HAVE BEEN NO NEW ZIKA CONFIRMED BIRTH DEFECTS REFERRALS. THE CCC STAFF HOSTED BI-MONTHLY EDUCATION SESSIONS FOR SPANISH SPEAKING FAMILIES AND, IN CONJUNCTION WITH PEATC, HOSTED TRAINING SESSIONS FOR SPANISH SPEAKING FAMILIES ON SUCCESSFUL TRANSITION PLANNING AND THE IEP, THE NEEDS OF THE SPANISH SPEAKING COMMUNITY AND THE SUPPORT CCC PROVIDES. IN ADDITION, A WORKSHOP WAS HELD ON HOW TO TALK SO SCHOOLS WILL LISTEN. TWO RESIDENT TRAININGS WERE HELD. THE FIRST WAS AN OVERVIEW OF BOTH THE CCC PROGRAM AND FAMILIES AS EDUCATORS PROGRAM. THE SECOND WAS A PRESENTATION BY DR. JOHN HARRINGTON ON "THE PHYSICIANS ROLE IN THE IEP". FOR OUR FAMILIES AS EDUCATORS PROGRAM, 11 COMMUNITY FAMILIES CONDUCTED SESSIONS WITH 20 RESIDENTS ABOUT THEIR EXPERIENCES RAISING CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS. A FOCUS GROUP WAS HELD TO DISCUSS FEEDBACK FROM FAMILY AND RESIDENT SURVEYS, REVIEW THE PROGRAM AS TO HOW IT IS CURRENTLY WORKING AND IDENTIFY WAYS TO IMPROVE OUTCOMES. THE ANNUAL FAMILIES AS EDUCATORS DINNER TRAINING SESSION WAS HOSTED BY CCC. THIS YEAR THE KEYNOTE SPEAKER WAS JONATHAN MARTINIS, SENIOR DIRECTOR FOR LAW AND POLICY, BURTON BLATT INSTITUTE AND THE PROJECT DIRECTOR, NATIONAL RESOURCES CENTER FOR SUPPORTED DECISION-MAKING. SECTION FOUR: 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 THEM STAY IN THIS COMMUNITY OR IN THE STATE TO PRACTICE PEDIATRICS AFTER THEY COMPLETE THEIR RESIDENCIES. CHKD ALSO SERVES AS THE EXCLUSIVE PEDIATRIC TEACHING SITE FOR RESIDENTS IN FAMILY MEDICINE PRACTICE, EMERGENCY PRACTICE, ENT AND PHYSICIAN ASSISTANTS, AS WELL AS THE EXCLUSIVE SITE FOR SOME 120 THIRD-YEAR MEDICAL SCHOOL STUDENTS FOR THEIR EIGHT-WEEK PEDIATRIC ROTATION. CHKD PROVIDES A SETTING FOR MANY CLINICAL RESEARCH TRIALS. HIGHLIGHTS OF THE BASIC SCIENCE RESEARCH INCLUDE PROTECTION OF THE NEWBORN BRAIN FROM THE EFFECTS OF HYPOXIC INJURY, NEW INNOVATIONS TO COMBAT SERIOUS INVASIVE INFECTION, MANAGEMENT OF AUTISM, AND EMERGENCY INTERVENTIONS FOR ASTHMA. IN ADDITION, RESEARCH INCLUDES NEW MEDICATIONS AND OTHER THERAPIES, CLINICAL OUTCOMES ANALYSES AND EPIDEMIOLOGICAL STUDIES SANCTIONED BY THE EASTERN VIRGINIA MEDICAL SCHOOL INSTITUTIONAL REVIEW BOARD. THERE WERE 216 IRB-APPROVED ACTIVE FUNDED STUDIES IN FY16. 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 STAGE-THREE CLINICAL TRIALS THAT BRING CUTTING-EDGE TREATMENTS TO CHKD PATIENTS YEARS BEFORE THEY ARE AVAILABLE TO THE PUBLIC. IN ADDITION, 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. OUR DIVISION OF COMMUNITY HEALTH AND RESEARCH HAS FOCUSED ON CONDITIONS AND ISSUES IMPACTING CHILDRENS HEALTH WITH AN EMPHASIS ON HEALTH DISPARITIES IN THE CITIES OF THE HAMPTON ROADS REGION, WESTERN TIDEWATER, AND THE RURAL EASTERN SHORE. CURRENT AREAS OF EMPHASIS INCLUDE CHILDHOOD OBESITY, ASTHMA, IMMUNIZATION, E-CIGARETTE USE BY ADOLESCENTS AND YOUNG ADULTS, TEEN PREGNANCY, INFANT AND CHILD PASSENGER SAFETY AND TEEN ALCOHOL AND SUBSTANCE ABUSE. THE NUSS PROCEDURE FOR THE CORRECTION OF PECTUS EXCAVATUM, DEVELOPED AT CHKD MORE THAN 25 YEARS AGO, CONTINUES TO DRAW NATIONAL ATTENTION FROM BOTH PATIENTS AND SURGEONS. IN FY16, CHKD'S SURGEONS HOSTED THE CHEST WALL INTERNATIONAL GROUP MEETING, AN INTERNATIONAL CONFERENCE HOSTED FOR THE VERY FIRST TIME IN THE UNITED STATES IN NORFOLK, VIRGINIA. THE CONFERENCE OFFERED A LECTURE SERIES ON CHEST WALL CONDITIONS, REVIEWING THE MINIMALLY INVASIVE TECHNIQUE, A GENTLER CORRECTION FOR THIS COMMON BIRTH DEFECT TO MORE THAN 150 SURGEONS FROM ALL OVER THE UNITED STATES, INCLUDING 23 COUNTRIES. IN 2009, CHKD INITIATED BRACING THERAPY FOR THE TREATMENT OF PECTUS CARINATUM, A DEFECT THAT IS THE OPPOSITE OF PECTUS EXCAVATUM. SINCE THIS INITIATION, THE HOSPITAL HAS TREATED MORE THAN 350 PATIENTS WITH A BRACE; 85 PERCENT OF THOSE PATIENTS HAVE EXPERIENCED A CORRECTION OF THEIR CHEST WALL DEFORMITY AND HAVE NOT NEEDED SURGERY. IN 2012, CHKD IMPLEMENTED THE VACUUM BELL AS A MINIMALLY INVASIVE TREATMENT OF PECTUS EXCAVATUM. IN JUNE 2016, CHKD OPENED THE NEW NUSS CENTER, OFFERING A SPACE DEDICATED TO THE EVALUATION AND TREATMENT OF CHEST WALL CONDITIONS. THE HOSPITAL CONTINUES ITS ENDEAVORS ON MULTIPLE RESEARCH STUDIES IN AN EFFORT TO FURTHER UNDERSTAND CHEST WALL DEFORMITIES. TO DATE, MORE THAN 2,100 SURGICAL PATIENTS HAVE UNDERGONE THE NUSS PROCEDURE AT CHKD. CHKD IS A MEMBER OF CHILDREN'S ONCOLOGY GROUP, AN INTERNATIONAL RESEARCH GROUP THAT CONDUCTS CLINICAL TRIALS FOR CHILDREN WITH CANCER. AS A MEMBER, CHKD HAS ACCESS TO THE LATEST PROTOCOLS FOR TREATMENT OF CHILDHOOD CANCER, PROVIDING THE COMMUNITY AND REGION WITH THE BEST PRACTICES AND TREATMENT RESULTS FROM MORE THAN 220 COG-MEMBER HOSPITALS IN NORTH AMERICA, AUSTRALIA, NEW ZEALAND, AND EUROPE. SO FAR DURING CALENDAR YEAR 2016, WE HAVE ENROLLED 10 THERAPEUTIC, 17 BIOLOGY/NON-THERAPEUTIC SUBJECTS IN COG THERAPEUTIC AND BIOLOGIC STUDIES. OUR PRIMARY GOAL IS TO INCREASE PARTICIPATION IN CLINICAL TRIALS WHICH WE FEEL WILL ADVANCE THE FIELD OF PEDIATRIC ONCOLOGY. WE CURRENTLY HAVE 103 COG TOTAL OPEN STUDIES, 46 OF WHICH ARE OPEN TO ENROLLMENT. IN ALL, APPROXIMATELY 200 CHKD PATIENTS PARTICIPATED IN EITHER ACTIVE OR FOLLOW-UP COG STUDIES IN FY16. THE HEMATOLOGY/ONCOLOGY DIVISION HAD 21 RESEARCH STUDIES OPEN THAT WERE NOT COG STUDIES. IN FY16, CHKD HOSTED 46 INDIVIDUAL 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.
PART VI, SECTION A LINES 6, 7A, 7B & 11	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. 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.). 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. LINE 11: THE 990 IS PREPARED USING THE ANNUAL FINANCIAL STATEMENTS THAT ARE REVIEWED BY THE BOARD AND AUDITED ANNUALLY AS A PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF CHILDREN'S HEALTH SYSTEM, INC. UPON COMPLETION OF THE DRAFT OF THE RETURN A DETAIL REVIEW IS PERFORMED BY SEVERAL MEMBERS OF STAFF AND MANAGEMENT. PRIOR TO FILING WITH THE IRS, THE BOARD IS PROVIDED A COPY TO REVIEW.
POLICIES & DISCLOSURE ITEMS	PART VI, Section B, LINE 12: 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 CONFLICTS 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. Part VI, Section B, Lines 15a-15b LINE 15A: COMPENSATION PROCESS CONSIDERATIONS: CHILDREN'S HEALTH SYSTEM ESTABLISHES THE COMPENSATION OF THE CEO JAMES DAHLING. CHILDREN'S HEALTH SYSTEM AND CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS USE THE FOLLOWING LINE 15B: 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. PART VI, 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	OTHER CHANGES IN NET ASSETS IS MADE UP OF: Gain on Derivative Investments (4,726,802)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S MEDICAL TOWER LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 CHILDRENS LANE	AddressLine1Txt
City	NORFOLK	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23507	ZIPCd

Field	Value	IRS element (for citing)
EIN	452907147	EIN
Primary Activities	LESSOR	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd
Total Income	$1,946,078	TotalIncomeAmt
End Of Year Assets	$20,853,762	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHILDREN'S HEALTH SYSTEM INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278830	HEALTHCARE	VA	501 (C) (3)	11A	NA	false
CHILDREN'S HEALTH FOUNDATION INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541278865	SUPP CHKD	VA	501 (C) (3)	11A	NA	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Address Line1ForeignAddress/AddressLine1Txt	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CHILDREN'S SURGICAL SPECIALTY GROUP INC
601 CHILDRENS LANE	NORFOLK	VA	23507	311610834	HEALTHCARE	VA	NA	C CORP	$0	$0
CHILDREN'S MEDICAL GROUP INC
601 CHILDRENS LANE	NORFOLK	VA	23507	541778786	HEALTHCARE	VA	NA	C CORP	$0	$0
CMG OF NORTH Carolina INC
601 CHILDRENS LANE	NORFOLK	VA	23507	561960102	HEALTHCARE	NC	NA	C CORP	$0	$0
CHILDREN'S HEALTH SYSTEM INSURANCE LTD
					INSURANCE		NA	C CORP	$0	$0	4TH FL 41 CEDAR AVENUE HM12 BD	HAMILTON	BD	HM12 BD	BD

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

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CHILDREN'S SURGICAL SPECIALTY GROUP INC
j	$872,324	BOOK VALUE
CHILDREN'S MEDICAL GROUP INC
j	$728,431	BOOK VALUE
CHILDREN'S HEALTH SYSTEM INC
p	$13,038,507	BOOK VALUE
CHILDREN'S HEALTH SYSTEM INC
e	$823,603	BOOK VALUE
CMG OF NORTH CAROLINA
q	$136,645	BOOK VALUE
CHILDREN'S MEDICAL GROUP INC
q	$3,187,259	BOOK VALUE
CMG OF NORTH CAROLINA
d	$65,070	BOOK VALUE
CHILDREN'S FOUNDATION INC
b	$5,753,271	BOOK VALUE
CHILDREN'S SURGICAL SPECIALTY GROUP INC
d	$292,356	BOOK VALUE
CHILDREN'S MEDICAL GROUP INC
d	$884,422	BOOK VALUE
CHILDREN'S HEALTH SYSTEM INC
b	$17,850,000	cash
CHILDREN'S HEALTH SYSTEM INC
c	$1,100,000	BOOK VALUE
CHILDREN'S HEALTH SYSTEM INC
l	$683,322	BOOK VALUE
CHILDREN'S HEALTH SYSTEM INC
K	$320,059	BOOK VALUE
CHILDREN'S HEALTH FOUNDATION
C	$65,575	BOOK VALUE