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        <FundraisingAmt>14911</FundraisingAmt>
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        <FundraisingAmt>52138</FundraisingAmt>
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        <EOYAmt>0</EOYAmt>
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      <InventoriesForSaleOrUseGrp>
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      <PrepaidExpensesDefrdChargesGrp>
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      <LandBldgEquipCostOrOtherBssAmt>44279499</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>668122</LandBldgEquipAccumDeprecAmt>
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      <GrantsPayableGrp>
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      <EscrowAccountLiabilityGrp>
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      <LoansFromOfficersDirectorsGrp>
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      <MortgNotesPyblScrdInvstPropGrp>
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      <UnsecuredNotesLoansPayableGrp>
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      <OtherLiabilitiesGrp>
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      <TotalLiabilitiesGrp>
        <BOYAmt>34546660</BOYAmt>
        <EOYAmt>70444365</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <TotalNetAssetsFundBalanceGrp>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>7183799</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-229769</NetUnrlzdGainsLossesInvstAmt>
      <DonatedServicesAndUseFcltsAmt>683322</DonatedServicesAndUseFcltsAmt>
      <InvestmentExpenseAmt>-1591881</InvestmentExpenseAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>true</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>true</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
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      <SupportingOrgType3FuncIntInd>X</SupportingOrgType3FuncIntInd>
      <SupportedOrganizationsCnt>1</SupportedOrganizationsCnt>
      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS INC</BusinessNameLine1Txt>
        </SupportedOrganizationName>
        <EIN>540506321</EIN>
        <OrganizationTypeCd>3</OrganizationTypeCd>
        <GoverningDocumentListedInd>false</GoverningDocumentListedInd>
        <SupportAmt>1100000</SupportAmt>
        <OtherSupportAmt>0</OtherSupportAmt>
      </SupportedOrgInformationGrp>
      <SupportedOrganizationsTotalCnt>1</SupportedOrganizationsTotalCnt>
      <SupportSumAmt>1100000</SupportSumAmt>
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      <Form990SchASupportingOrgGrp>
        <ListedByNameGoverningDocInd>false</ListedByNameGoverningDocInd>
        <SuprtOrgNoIRSDeterminationInd>false</SuprtOrgNoIRSDeterminationInd>
        <SupportedOrgSectionC456Ind>false</SupportedOrgSectionC456Ind>
        <SupportedOrgNotOrganizedUSInd>false</SupportedOrgNotOrganizedUSInd>
        <OrganizationChangeSuprtOrgInd>false</OrganizationChangeSuprtOrgInd>
        <SupportNonSupportedOrgInd>false</SupportNonSupportedOrgInd>
        <PaymentSubstantialContribtrInd>false</PaymentSubstantialContribtrInd>
        <LoanDisqualifiedPersonInd>false</LoanDisqualifiedPersonInd>
        <ControlledDisqualifiedPrsnInd>false</ControlledDisqualifiedPrsnInd>
        <DisqualifiedPrsnControllIntInd>false</DisqualifiedPrsnControllIntInd>
        <DisqualifiedPrsnOwnrIntInd>false</DisqualifiedPrsnOwnrIntInd>
        <ExcessBusinessHoldingsRulesInd>false</ExcessBusinessHoldingsRulesInd>
        <ContributionControllerInd>false</ContributionControllerInd>
        <ContributionFamilyInd>false</ContributionFamilyInd>
        <Contribution35ControlledInd>false</Contribution35ControlledInd>
      </Form990SchASupportingOrgGrp>
      <Form990SchAType3SprtOrgAllGrp>
        <TimelyProvidedDocumentsInd>true</TimelyProvidedDocumentsInd>
        <OfficersCloseRelationshipInd>true</OfficersCloseRelationshipInd>
        <SupportedOrgVoiceInvestmentInd>true</SupportedOrgVoiceInvestmentInd>
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      <Form990SchAType3FuncIntGrp>
        <ParentSupportedOrgInd>X</ParentSupportedOrgInd>
        <AppointElectMajorityOfficerInd>true</AppointElectMajorityOfficerInd>
        <ExerciseDirectionPoliciesInd>true</ExerciseDirectionPoliciesInd>
      </Form990SchAType3FuncIntGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part I, Line 11g, Column (vi)</FormAndLineReferenceDesc>
        <ExplanationTxt>The expenses incurred by Children's Health System, Inc. that are reported on Form 990, Part IX were expended to provide support and management to its supported organizations.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section A, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>SINCE ITS CREATION IN 1984, THE ORGANIZATION, AS PARENT OF THE HOSPITAL AND ITS AFFILATES, HAS HAD A CLOSE AND CONTINUING HISTORICAL RELATIONSHIP WITH THE HOSPITAL TO PROVIDE SUPPORT TO THE HOSPITAL AND ITS AFFILIATES, SPECIFICALLY TO PROVIDE HEALTHCARE FACILITIES AND SERVICES FOR SICK, INJURED, DISABLED, INDIGENT, OR INFIRM CHILDREN AND OTHER PERSONS, AND PROVIDING FOR THE PRESERVATION OF THE HEALTH AS THE BOARD OF DIRECTORS MAY DETERMINE TO BE APPROPRIATE INCLUDING WITHOUT LIMITATION: HOSPITALS, AMBULATORY CARE SERVICES, PROGRAMS INVOLVING RESEARCH, PREVENTATIVE HEALTH ACTIVITIES, AND HEALTH-RELATED EDUCATION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section D, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Pursuant to the hospital's bylaws and as permitted by Virginia Code Section 13.1-852.1 the supported organization hospital is managed by its sole member, the system parent with the power to appoint and remove a majority of the board. THE HEALTH SYSTEM PARENT ACTS AS THE BOARD OF DIRECTORS OF THE SUPPORTED ORGANIZATION HOSPITAL. BECAUSE OF THIS GOVERNANCE STRUCTURE, THE SUPPORTED ORGANIZATION HOSPITAL IS ABLE TO HAVE A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES OF ORGANIZATION AND IN DIRECTING THE USE OF ITS INCOME AND ASSETS FOR THE BENEFIT OF THE HEALTH OF CHILDREN AND OTHER PERSONS.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section E, Line 3a</FormAndLineReferenceDesc>
        <ExplanationTxt>Pursuant to the hospital's bylaws and as permitted by Virginia Code Section 13.1-852.1 the supported organization hospital is managed by its sole member, the system parent with the power to appoint and remove a majority of the board. BECAUSE OF THIS GOVERNANCE STRUCTURE THE ORGANIZATION HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF THE OFFICERS OR DIRECTORS OF ITS SUPPORTED ORGANIZATION.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part IV, Section E, Line 3b</FormAndLineReferenceDesc>
        <ExplanationTxt>AS A PARENT ORGANIZATION OF AN INTEGRATED HEALTH CARE SYSTEM, CHILDREN'S HEALTH SYSTEM, INC. EXERCISES A SUBSTANTIAL DEGREE OF DIRECTION OVER THE POLICES, PROGRAMS, AND ACTIVITIES OF ITS SUPPORTED ORGANIZATION AND AFFILIATES.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbyingGrp />
      <TotalDirectLobbyingGrp />
      <TotalLobbyingExpendGrp />
      <OtherExemptPurposeExpendGrp />
      <TotalExemptPurposeExpendGrp />
      <LobbyingNontaxableAmountGrp />
      <GrassrootsNontaxableGrp />
      <TotLbbyngGrassrootMnsNonTxGrp />
      <TotLbbyExpendMnsLbbyngNonTxGrp />
      <VolunteersInd>true</VolunteersInd>
      <PaidStaffOrManagementInd>true</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>false</MediaAdvertisementsInd>
      <MailingsMembersInd>false</MailingsMembersInd>
      <PublicationsOrBroadcastInd>false</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>false</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>true</DirectContactLegislatorsInd>
      <DirectContactLegislatorsAmt>65882</DirectContactLegislatorsAmt>
      <RalliesDemonstrationsInd>false</RalliesDemonstrationsInd>
      <OtherActivitiesInd>false</OtherActivitiesInd>
      <TotalLobbyingExpendituresAmt>65882</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>false</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II-B</FormAndLineReferenceDesc>
        <ExplanationTxt>CHILDREN'S HEALTH SYSTEM (CHS) TAKES THE WELFARE OF THE CHILDREN THAT ARE CARED FOR WITHIN THE CHS FAMILY AS A PRIORITY. AS SUCH, THERE ARE MANY LEGISLATIVE ISSUES THAT OUR STATE AND FEDERAL GOVERNMENTS HANDLE THAT COULD AFFECT CHS. CHS RELIES ON VOLUNTEERS FROM THE NORFOLK CITY UNION OF THE KINGS DAUGHTERS, INC. (NCUKD) TO ASSIST IN LETTER-WRITING, EXERCISING THE PERSONAL RIGHTS TO VOTE AND IN SPREADING EDUCATION ON LEGISLATIVE ISSUES AFFECTING THE ORGANIZATION. ADDITIONALLY, CHS HAS PAID STAFF AND MANAGEMENT ALONG WITH MEMBERSHIP IN HEALTHCARE ASSOCIATIONS AND RETENTION OF PROFESSIONAL LOBBYING FIRMS THAT WORK ON LOBBYING ISSUES AND HAVE DIRECT CONTACT WITH LEGISLATORS, GOVERNMENT OFFICIALS AND OTHER MEMBERS OF LEGISLATIVE INFLUENCE. ISSUES THAT ARE ADDRESSED INCLUDE DISPROPORTIONATE SHARE HOSPITAL FUNDING, BECAUSE A HIGH PERCENTAGE OF PATIENTS CARED FOR IN THE CHS FAMILY ARE COVERED BY MEDICAID, CHILDRENS HOSPITALS GRADUATE MEDICAL EDUCATION BUDGET AND FUNDING, CHILDRENS HEALTH INSURANCE PROGRAM EXTENSION, TRICARE FUNDING FOR CHILDREN'S HEALTH ISSUES, AFFORDABLE CARE ACT REFORM, MEDICAID REFORM PROPOSALS, LEGISLATIVE PROPOSAL REGARDING MEDICALLY COMPLEX CARE OF CHILDREN, CHARITABLE GIVING TAX RERORM AND SUSTAINABLE GROWTH RATE FORMULA, DEVELOPMENTS RELATED TO EBOLA OUTBREAKS, 340B, ICD-10 AND HEALTH IT, 21ST CENTURY CURE LEGISLATION, AND CHILDRENS ADVOCACY CENTER PROGRAMS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
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      <HeldWorksArtGrp />
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      <CYMinus4YrEndwmtFundGrp />
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        <OtherCostOrOtherBasisAmt>9410737</OtherCostOrOtherBasisAmt>
        <BookValueAmt>9410737</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
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        <DepreciationAmt>264119</DepreciationAmt>
        <BookValueAmt>8696859</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
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      <EquipmentGrp>
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        <DepreciationAmt>316364</DepreciationAmt>
        <BookValueAmt>648953</BookValueAmt>
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      <OtherLandBuildingsGrp>
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        <BookValueAmt>24705338</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>43611377</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
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        <BookValueAmt>2</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>CSV OF LIFE INSURANCE</Desc>
        <BookValueAmt>240581</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INTERCOMPANY RECEIVABLE</Desc>
        <BookValueAmt>948418</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN SUBSIDIARIES</Desc>
        <BookValueAmt>43147015</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>ACCOUNTS RECEIVABLE MISC</Desc>
        <BookValueAmt>36432</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>INSURANCE RECOVERABLE</Desc>
        <BookValueAmt>5613097</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>457B/TOPHAT INVESTMENT</Desc>
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      <TotalBookValueOtherAssetsAmt>55566405</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>INSURANCE IBNR</Desc>
        <Amt>380100</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>EXEC CAP APPREC ACCT (CAA)</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>SERP (ACCRUED BENEFIT)</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>ACCRUED TAIL COVERAGE</Desc>
        <Amt>602074</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>IBNE INSURANCE CLAIMS</Desc>
        <Amt>5613097</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>457B/TOPHAT LIAB</Desc>
        <Amt>5580860</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>INTERCOMPANY LIABILITIES</Desc>
        <Amt>6033</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OTHER MISC LIABILITIES</Desc>
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      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ASC 740 FOOTNOTE FROM CONSOLIDATED AUDIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>Part X Line 2 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 positions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleF documentId="IRS990ScheduleF">
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      <ForeignCorpOwnershipInd>true</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>false</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>false</ForeignPartnershipInd>
      <BoycottCountriesInd>false</BoycottCountriesInd>
    </IRS990ScheduleF>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
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          <BusinessNameLine1Txt>Children's Hospital of the King's Daughters</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>601 Childrens Lane</AddressLine1Txt>
          <CityNm>Norfolk</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23507</ZIPCd>
        </USAddress>
        <RecipientEIN>540506321</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>1100000</CashGrantAmt>
        <PurposeOfGrantTxt>Support Mission</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>HAMPTON ROADS ECONOMIC DEVELOPMENT ALLIANCE</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>500 East Main Street</AddressLine1Txt>
          <CityNm>NORFOLK</CityNm>
          <StateAbbreviationCd>VA</StateAbbreviationCd>
          <ZIPCd>23510</ZIPCd>
        </USAddress>
        <RecipientEIN>540600387</RecipientEIN>
        <IRCSectionDesc>501(C)(6)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>COMMUNICATE MISSION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>1</Total501c3OrgCnt>
      <TotalOtherOrgCnt>1</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Children's Health System, Inc. did not provide grants to third parties during the tax year. The amounts listed on Part II are contributions to the organizations listed.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
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      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
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      <AnyNonFixedPaymentsInd>true</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>James D Dahling</PersonNm>
        <TitleTxt>President/Director</TitleTxt>
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        <PersonNm>Dennis Ryan</PersonNm>
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        <PersonNm>Sherri Matson</PersonNm>
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        <PersonNm>Kathryn Abshire</PersonNm>
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        <PersonNm>Debbie Barnes</PersonNm>
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        <PersonNm>Gregory Jones</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephanie Calliott</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michelle Brenner MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert Obermeyer MD</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John Harding</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Tamika Harris</PersonNm>
        <TitleTxt>VP Facilities &amp; Support Serv</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM SCH J PART I LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form Sch J Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>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): James Dahling $405,545 Dennis Ryan $329,467 Amy Sampson $59,290 Stephanie Calliott $66,796 Sherri Matson $248,720 Kathryn Abshire $22,461 Deborah Barnes $152,470 John Harding $124,883 Tamika Harris $8,069</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM SCH J PART I LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>VA Small Business Financing Authority Series 2015</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>541300845</BondIssuerEIN>
        <CUSIPNum>000000000</CUSIPNum>
        <BondIssuedDt>2015-12-01</BondIssuedDt>
        <IssuePriceAmt>100000000</IssuePriceAmt>
        <PurposeDesc>FINANCING OF HEALTHCARE FACILITIES</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
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        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>0</RetiredAmt>
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        <InReserveFundAmt>0</InReserveFundAmt>
        <CapitalizedInterestAmt>0</CapitalizedInterestAmt>
        <RefundingEscrowAmt>0</RefundingEscrowAmt>
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        <CreditEnhancementAmt>0</CreditEnhancementAmt>
        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>35150000</CapitalExpendituresAmt>
        <OtherSpentProceedsAmt>0</OtherSpentProceedsAmt>
        <UnspentAmt>0</UnspentAmt>
        <CurrentRefundingInd>false</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>false</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>true</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>true</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>true</AnyResearchAgreementsInd>
        <EngageBondCounselResearchInd>true</EngageBondCounselResearchInd>
        <PrivateBusUseByOthersPct>0.00782</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.00782</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>true</RebateNotDueYetInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Lines 3, 10, and 12</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>We have concluded that out of the activities conducted in this bond financed space, we have noted that .7822% 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. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
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      <BooksAndPublicationsGrp />
      <ClothingAndHouseholdGoodsGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <MethodOfDeterminingRevenuesTxt>SELLING PRICE</MethodOfDeterminingRevenuesTxt>
      </ClothingAndHouseholdGoodsGrp>
      <CarsAndOtherVehiclesGrp />
      <BoatsAndPlanesGrp />
      <IntellectualPropertyGrp />
      <SecuritiesPubliclyTradedGrp />
      <SecuritiesCloselyHeldStockGrp />
      <SecurPrtnrshpTrustIntrstsGrp />
      <SecuritiesMiscellaneousGrp />
      <QualifiedContribHistStructGrp />
      <QualifiedContribOtherGrp />
      <RealEstateResidentialGrp />
      <RealEstateCommercialGrp />
      <RealEstateOtherGrp />
      <CollectiblesGrp />
      <FoodInventoryGrp />
      <DrugsAndMedicalSuppliesGrp />
      <TaxidermyGrp />
      <HistoricalArtifactsGrp />
      <ScientificSpecimensGrp />
      <ArchaeologicalArtifactsGrp />
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>true</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, LINE 32A</FormAndLineReferenceDesc>
        <ExplanationTxt>CHILDREN'S HEALTH SYSTEM PAYS SYR, INC. MANAGEMENT FEES TO MANAGE THRIFT STORES FOR THE BENEFIT OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE M, LINE 33</FormAndLineReferenceDesc>
        <ExplanationTxt>CHILDREN'S HEALTH SYSTEM RECEIVED NON-CASH CONTRIBUTIONS DURING THE YEAR; HOWEVER THESE NON CASH CONTRIBUTIONS WERE NOT VALUED UNTIL THE ITEMS WERE SOLD IN THE THRIFT STORE.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Organization's Mission</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, Line 1 CHILDREN'S HEALTH SYSTEM IS A MULTI-SPECIALTY HEALTH SYSTEM SERVING SOUTHEASTERN VIRGINIA AND NORTHEASTERN NORTH CAROLINA OFFERING COMPREHENSIVE PEDIATRIC CARE FOR CHILDREN FROM BIRTH TO AGE 21. Part VI, Lines 6 &amp; 7 Children's Health System, Inc. has two classes of members: 1) Class A members (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 2) Class B members (i.e., the then current directors on the Board of Directors of Children's Health System, Inc.). Line 7a 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) elect one third of the elected directors of Children's Health System, Inc. 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.) elect two thirds of the elected directors of Children's Health System, Inc. Line 7b The following decisions of the Board of Directors of Children's Health System, Inc. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, SECTION B, LINE 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Policies and Disclosure Items</FormAndLineReferenceDesc>
        <ExplanationTxt>Part VI, Section B, Line 12a Conflict Policy Considerations CHS 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. Responses to the questionnaires are reviewed by the Legal and Finance Departments. 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 CHS Board Chair or the CHS Compliance Officer, as applicable, and may require corrective action up to and including termination of employment. Part VI, Section B, Line 15a &amp; 15b Compensation Process Considerations 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 and executives for the Board to review. The Compensation Committee with the aid of the consultant reviews and makes decisions as to executive salaries of CHS 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, Section C, Line 19 Financial statements (part of the consolidated financial statements of Children's Health System, Inc.) along with governing documents of the organization including the conflict of interest policy are available to the public through direct inquiry and request.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <AddressLine1Txt>601 CHILDRENS LANE</AddressLine1Txt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>CMG OF NORTH CAROLINA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>601 CHILDRENS LANE</AddressLine1Txt>
          <CityNm>NORFOLK</CityNm>
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          <AddressLine1Txt>4TH FLOOR 41 CEDAR AVENUE</AddressLine1Txt>
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      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
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      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
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          <BusinessNameLine1Txt>CHS CORPORATE SUPPORT FROM SUBSIDIARY CHKD</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>13038507</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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        </OtherOrganizationName>
        <TransactionTypeTxt>q</TransactionTypeTxt>
        <InvolvedAmt>489464</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>INTERCOMPANY RECEIVABLE FROM CHKD</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>d</TransactionTypeTxt>
        <InvolvedAmt>823603</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS</BusinessNameLine1Txt>
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        <InvolvedAmt>17850000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>CASH</MethodOfAmountDeterminationTxt>
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          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS</BusinessNameLine1Txt>
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        <InvolvedAmt>320059</InvolvedAmt>
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          <BusinessNameLine1Txt>CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>TRANSFER OF CASH TO CHSIL</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>BOOK VALUE</MethodOfAmountDeterminationTxt>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>