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CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC (EIN 54-0506321)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201631349349307153
Schema version
2014v6.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T16:02:07-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11676 International DriveAddressLine1Txt
CityMcLeanCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22102ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540506321EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% DENNIS RYANInCareOfNm
Business Name ControlCHILBusinessNameControlTxt
Phone7576687000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 Childrens LaneAddressLine1Txt
CityNorfolkCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23507ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS RYANPersonNm
Person TitleCFO/ASST SECRETARY/ASST TREASPersonTitleTxt
Phone7032868000PhoneNum
Signature2016-05-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRAYMOND LY KPMG LLPPreparerPersonNm
PTINP01205643PTIN
Phone7032868000PhoneNum
Preparation2016-05-10PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES D DAHLINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 CHILDRENS LANEAddressLine1Txt
CityNORFOLKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23507ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$392,123,126GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHKD.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1961FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionDEDICATED 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 Body23VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee2989TotalEmployeeCnt
Total Volunteers648TotalVolunteersCnt
Total Gross UBI$296,920TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$215,460NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$14,687,820PYContributionsGrantsAmt
CY Contributions Grants$12,190,903CYContributionsGrantsAmt
PY Program Service Revenue$316,175,745PYProgramServiceRevenueAmt
CY Program Service Revenue$344,410,937CYProgramServiceRevenueAmt
PY Investment Income$4,436,872PYInvestmentIncomeAmt
CY Investment Income$3,433,344CYInvestmentIncomeAmt
PY Other Revenue$7,272,927PYOtherRevenueAmt
CY Other Revenue$4,137,803CYOtherRevenueAmt
PY Total Revenue$342,573,364PYTotalRevenueAmt
CY Total Revenue$364,172,987CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$21,032,114CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$151,794,837PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$152,661,110CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$640,112PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$20,154CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,725,610CYTotalFundraisingExpenseAmt
PY Other Expenses$145,357,554PYOtherExpensesAmt
CY Other Expenses$160,980,021CYOtherExpensesAmt
PY Total Expenses$297,792,503PYTotalExpensesAmt
CY Total Expenses$334,693,399CYTotalExpensesAmt
PY Revenues Less Expenses$44,780,861PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$29,479,588CYRevenuesLessExpensesAmt
Total Assets BOY$416,670,984TotalAssetsBOYAmt
Total Assets EOY$442,263,422TotalAssetsEOYAmt
Total Liabilities BOY$110,489,692TotalLiabilitiesBOYAmt
Total Liabilities EOY$113,199,427TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$306,181,292NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$329,063,995NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$287,358,787ExpenseAmt
Grant$21,032,114GrantAmt
Revenue$347,590,731RevenueAmt
DescSEE SCHEDULE ODesc
Total Program Service Expenses$287,358,787TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document127IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee2989EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form1098 C FiledYes (true)Form1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members23GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDENNIS RYANPersonNm
Phone7576687000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 CHILDRENS LANEAddressLine1Txt
CityNORFOLKCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23507ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN R LAWSON II
CHAIRMAN/DIRECTOR1.03.0Yes (X)Yes (X)$0$0$0
JAMES D DAHLING
PRESIDENT/DIRECTOR1.042.0Yes (X)Yes (X)$0$988,459$407,129
BETH JOHNSON
DIRECTOR1.01.0Yes (X)$0$0$0
CONRAD M HALL
SECRETARY/DIRECTOR2.02.0Yes (X)Yes (X)$0$0$0
ELIZABETH M WELLER
TREASURER/DIRECTOR2.02.0Yes (X)Yes (X)$0$0$0
BUFFY BAREFOOT
DIRECTOR1.01.0Yes (X)$0$0$0
SARAH BISHOP
DIRECTOR1.01.0Yes (X)$0$0$0
EDWARD A HEIDT JR
Vice Chairman/DIRECTOR1.01.0Yes (X)Yes (X)$0$0$0
CHRISTINE NEIKIRK
DIRECTOR1.01.0Yes (X)$0$0$0
KATHRYN P CALLAHAN
DIRECTOR1.01.0Yes (X)$0$0$0
PAMELA COMBS M ED
DIRECTOR1.01.0Yes (X)$0$0$0
ELIZABETH D LANOUE MD
DIRECTOR1.01.0Yes (X)$0$0$0
J CHRISTOPHER PERRY
DIRECTOR1.01.0Yes (X)$0$0$0
KAREN PRIEST
DIRECTOR1.01.0Yes (X)$0$0$0
BRIAN SKINNER
DIRECTOR1.01.0Yes (X)$0$0$0
MARK R WARDEN
DIRECTOR1.01.0Yes (X)$0$0$0
ROLF WILLIAMS
DIRECTOR1.01.0Yes (X)$0$0$0
SUSAN EINHORN
DIRECTOR1.01.0Yes (X)$0$0$0
CYNTHIA S KELLY MD
DIRECTOR1.01.0Yes (X)$0$0$0
MICHELLE BRENNER MD
DIRECTOR1.041.0Yes (X)$0$195,935$22,627
DONALD NUSS MB CH
DIRECTOR1.01.0Yes (X)$0$0$0
ROBERT OBERMEYER MD
DIRECTOR1.041.0Yes (X)$0$607,728$31,512
BLAIR WIMBUSH
DIRECTOR1.01.0Yes (X)$0$0$0
DOUGLAS D ELLIS SR
DIRECTOR1.01.0Yes (X)$0$0$0
KATHRYN VAN BUREN
DIRECTOR1.01.0Yes (X)$0$0$0
TA GRELL JR
DIRECTOR1.01.0Yes (X)$0$0$0
MARTA SATIN-SMITH MD
DIRECTOR1.01.0Yes (X)$0$0$0
SVINER TOOR MD
DIRECTOR1.01.0Yes (X)$0$0$0
DENNIS RYAN
CFO/ASST TRES./ASST SEC.1.042.0Yes (X)$0$492,647$303,089
DAVID BOWERS
VP SUPPORT SERVICES40.00.0$333,242$0$168,552Yes (X)
KATHRYN ABSHIRE
VP FINANCE0.040.0$0$216,215$36,659Yes (X)
DEBBIE BARNES
VP IS OPERATIONS0.040.0$0$331,223$105,475Yes (X)
JO-ANN BURKE
VP PATIENT CARE SERCES40.00.0$848,645$0$35,996Yes (X)
ALLISON SILVA
VP ANCILLARY SERVICES40.00.0$187,615$0$55,770Yes (X)
ARNO ZARITSKY
VP EXECUTIVE MEDICAL40.00.0$559,512$0$266,160Yes (X)
JOHN HARDING
VP PHYSICIAN PRACTICE MGMT40.00.0$363,254$0$59,025Yes (X)
SUZANNA STARLING
MEDICAL DIRECTOR40.00.0$200,990$0$23,442Yes (X)
JOHN HAMILTON
VP PHYSICIAN PRACTICE40.00.0$246,994$0-$368Yes (X)
JAMES DICE
DIRECTOR PHARMACY40.00.0$199,889$0$16,468Yes (X)
SANDIP GODAMBE
VP QUALITY IMPROVEMENT40.00.0$355,374$0$117,211Yes (X)
MICHAEL FACKELMAN
RNFA NURSE - CARDIAC40.00.0$188,581$0$16,079Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,484,096TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,832,207TotReportableCompRltdOrgAmt
Total Other Compensation$1,664,826TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K123IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CHILDREN'S SPECIALTY GROUP
PO BOX 11049NORFOLKVA23517MEDICAL$14,033,106
EASTERN VIRGINIA MED SCHOOL
PO BOX 1980NORFOLKVA235011980MEDICAL$10,566,779
AMERISOURCE BERGEN
PO BOX 642800PITTSBURGPA15264MEDICAL SUPPLIES$7,980,516
MEDLINE INDUSTRIES INC
ONE MEDLINE PLACEMUNDELINEIL60060MEDICAL SUPPLIES$6,336,786
PHILIPS HEALTHCARE
PO BOX 100355ATLANTAGA30384MEDICAL SUPPLIES$3,702,207
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K164CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Fundraising$214,773FundraisingAmt
Related Organizations$1,745,000RelatedOrganizationsAmt
Government Grants$1,948,348GovernmentGrantsAmt
All Other Contributions$8,282,782AllOtherContributionsAmt
Noncash Contributions$790,241NoncashContributionsAmt
Total Contributions$12,190,903TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICES900099$332,206,234$332,206,234
OTHER RELATED SERVICES900099$11,907,783$11,907,783
LAB SERVICES621500$287,120$287,120
SPORTS RELATED900099$9,800$9,800
FieldValueIRS element (for citing)
Total Program Service Revenue$344,410,937TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,264,518TotalRevenueColumnAmt
Exclusion$3,264,518ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,571,589RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,986,149RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$585,440RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$585,440TotalRevenueColumnAmt
Exclusion$585,440ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,299,320SecuritiesAmt
Other$135,126OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$21,776,606SecuritiesAmt
Other$489,014OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$522,714SecuritiesAmt
Other-$353,888OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$168,826TotalRevenueColumnAmt
Exclusion$168,826ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$152,045FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$214,773ContriRptFundraisingEventAmt
Fundraising Direct Expenses$76,396FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,649TotalRevenueColumnAmt
Exclusion$75,649ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$3,473,448GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,621,974CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$851,474TotalRevenueColumnAmt
Related Or Exempt Func Income$851,474RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GRADUATE MEDICAL EDUCATION900099$2,338,240$2,338,240
EHR MEANINGFUL USE900099$287,000$287,000
FieldValueIRS element (for citing)
Other Revenue Total$2,625,240OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$364,172,987TotalRevenueColumnAmt
Related Or Exempt Func Income$347,590,731RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$296,920UnrelatedBusinessRevenueAmt
Exclusion$4,094,433ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$21,032,114TotalAmt
Program Services$21,032,114ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,036,015TotalAmt
Program Services$1,652,597ProgramServicesAmt
Management And General$383,418ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$124,776,350TotalAmt
Program Services$112,995,245ProgramServicesAmt
Management And General$10,928,162ManagementAndGeneralAmt
Fundraising$852,943FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$672,913TotalAmt
Management And General$672,913ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,278,232TotalAmt
Program Services$13,258,312ProgramServicesAmt
Management And General$2,901,073ManagementAndGeneralAmt
Fundraising$118,847FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,897,600TotalAmt
Program Services$8,120,841ProgramServicesAmt
Management And General$707,059ManagementAndGeneralAmt
Fundraising$69,700FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$206,670TotalAmt
Management And General$206,670ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,500TotalAmt
Management And General$2,500ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,553TotalAmt
Fundraising$8,553FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$20,154TotalAmt
Fundraising$20,154FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,695,483TotalAmt
Program Services$25,963,366ProgramServicesAmt
Management And General$671,110ManagementAndGeneralAmt
Fundraising$61,007FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$75,810TotalAmt
Management And General$39,251ManagementAndGeneralAmt
Fundraising$36,559FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$901,733TotalAmt
Program Services$797,860ProgramServicesAmt
Management And General$99,526ManagementAndGeneralAmt
Fundraising$4,347FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,558,207TotalAmt
Program Services$6,632,543ProgramServicesAmt
Management And General$925,664ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$211,874TotalAmt
Program Services$193,771ProgramServicesAmt
Management And General$11,775ManagementAndGeneralAmt
Fundraising$6,328FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$623,308TotalAmt
Program Services$555,740ProgramServicesAmt
Management And General$57,809ManagementAndGeneralAmt
Fundraising$9,759FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,176,657TotalAmt
Program Services$15,247ProgramServicesAmt
Management And General$3,161,410ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,161,903TotalAmt
Program Services$16,542,292ProgramServicesAmt
Management And General$2,590,263ManagementAndGeneralAmt
Fundraising$29,348FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,342,317TotalAmt
Program Services$480,555ProgramServicesAmt
Management And General$861,762ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$43,592,686$42,745,183$846,575$928
EQUIP RENTAL AND MAINTENANCE$16,578,684$11,733,311$4,833,526$11,847
PURCHASED SERVICES$15,087,601$11,968,531$2,962,057$157,013
CORPORATE SUPPORT$11,803,795$11,803,795

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,952,240TotalAmt
Program Services$12,671,279ProgramServicesAmt
Management And General$942,684ManagementAndGeneralAmt
Fundraising$338,277FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$334,693,399TotalAmt
Program Services$287,358,787ProgramServicesAmt
Management And General$45,609,002ManagementAndGeneralAmt
Fundraising$1,725,610FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$31,859,456BOYAmt
EOY$38,257,385EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,301,625BOYAmt
EOY$2,790,234EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,838,701BOYAmt
EOY$62,667,183EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,381,489BOYAmt
EOY$7,945,261EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,513,162BOYAmt
EOY$3,266,118EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$371,102,398LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$189,598,519LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$184,613,877BOYAmt
EOY$181,503,879EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$113,633,931BOYAmt
EOY$128,119,834EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$16,441,382BOYAmt
EOY$11,066,063EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,087,361BOYAmt
EOY$6,647,465EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$416,670,984BOYAmt
EOY$442,263,422EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$26,421,274BOYAmt
EOY$27,671,580EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$290,746BOYAmt
EOY$271,801EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$69,041,942BOYAmt
EOY$67,141,943EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,735,730BOYAmt
EOY$18,114,103EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$110,489,692BOYAmt
EOY$113,199,427EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$274,182,539BOYAmt
EOY$298,625,783EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,971,471BOYAmt
EOY$8,124,464EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,027,282BOYAmt
EOY$22,313,748EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$306,181,292BOYAmt
EOY$329,063,995EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$416,670,984BOYAmt
EOY$442,263,422EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$29,479,588ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,099,822NetUnrlzdGainsLossesInvstAmt
Investment Expense-$37,978InvestmentExpenseAmt
Other Changes In Net Assets-$1,459,085OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,175,111CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,789,543CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,432,828CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,687,820CurrentTaxYearMinus1YearAmt
Current Tax Year$12,190,903CurrentTaxYearAmt
Total$64,276,205TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,175,111CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,789,543CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,432,828CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,687,820CurrentTaxYearMinus1YearAmt
Current Tax Year$12,190,903CurrentTaxYearAmt
Total$64,276,205TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$884,407SubstantialContributorsTotAmt
Public Support Total170$63,391,798PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,583,040CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,369,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,864,821CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,881,751CurrentTaxYearMinus1YearAmt
Current Tax Year$6,836,107CurrentTaxYearAmt
Total$27,535,002TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$159,098CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$350,371CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$281,821CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$247,183CurrentTaxYearMinus1YearAmt
Current Tax Year$215,460CurrentTaxYearAmt
Total$1,253,933TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$93,065,140TotalSupportAmt
Gross Receipts Rltd Activities$1,602,772,262GrossReceiptsRltdActivitiesAmt
Public Support CY1700.68115PublicSupportCY170Pct
Public Support PY1700.70698PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,864,330BeginningYearBalanceAmt
Contributions$73,133ContributionsAmt
Investment Earnings Or Losses$2,654,077InvestmentEarningsOrLossesAmt
Other Expenditures$582,471OtherExpendituresAmt
End Year Balance$21,009,069EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.92160PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.07840TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,857,063OtherCostOrOtherBasisAmt
Book Value$20,857,063BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$194,217,801OtherCostOrOtherBasisAmt
Depreciation$83,569,972DepreciationAmt
Book Value$110,647,829BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$151,971,323OtherCostOrOtherBasisAmt
Depreciation$105,791,707DepreciationAmt
Book Value$46,179,616BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,056,211OtherCostOrOtherBasisAmt
Depreciation$236,840DepreciationAmt
Book Value$3,819,371BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$181,503,879TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DERIVATIVE INSTRUMENTS$13,537,822
ANNUITY PAYABLE$1,993,572
ACCRUED TAIL COVERAGE$37,361
LONG TERM CAPITAL LEASE LIABILITY$2,545,348
FieldValueIRS element (for citing)
Total Liability$18,114,103TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ASC 740 Footnote from Consolidated Audit ReportCHS RECOGNIZES ANY BENEFITS FROM AN UNCERTAIN 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 VENDOWMENT 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

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$10,625,516RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Spent$10,625,516SubtotalSpentAmt
Total Spent$10,625,516TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (true)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonChildren's miracle networkPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 west 700 southAddressLine1Txt
Citysalt lake cityCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84101ZIPCd
FieldValueIRS element (for citing)
ActivityGENERALActivityTxt
Fundraiser Control Of FundsfalseFundraiserControlOfFundsInd
Gross Receipts$1,353,487GrossReceiptsAmt
Retained By Contractor$94,106RetainedByContractorAmt
Net To Organization$1,259,381NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$1,353,487TotalGrossReceiptsAmt
Total Retained By Contractors$94,106TotalRetainedByContractorsAmt
Total Net To Organization$1,259,381TotalNetToOrganizationAmt
Licensed StatesNCLicensedStatesCd
Licensed StatesVALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1David WrightEvent1Nm
Gross Receipts Event1$252,275GrossReceiptsEvent1Amt
Charitable Contri Event1$105,180CharitableContriEvent1Amt
Gross Revenue Event1$147,095GrossRevenueEvent1Amt
Cash Prizes Event1$16,708CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$2,311RentFacilityCostsEvent1Amt
Food And Beverage Event1$33,814FoodAndBeverageEvent1Amt
Entertainment Event1$6,750EntertainmentEvent1Amt
Other Direct Expenses Event1$3,287OtherDirectExpensesEvent1Amt
Event2Golf TournamentEvent2Nm
Gross Receipts Event2$114,543GrossReceiptsEvent2Amt
Charitable Contri Event2$109,593CharitableContriEvent2Amt
Gross Revenue Event2$4,950GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$270NonCashPrizesEvent2Amt
Rent Facility Costs Event2$3,999RentFacilityCostsEvent2Amt
Food And Beverage Event2$5,704FoodAndBeverageEvent2Amt
Entertainment Event2$0EntertainmentEvent2Amt
Other Direct Expenses Event2$3,553OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$366,818GrossReceiptsTotalAmt
Charitable Contributions Tot$214,773CharitableContributionsTotAmt
Gross Revenue Total Events$152,045GrossRevenueTotalEventsAmt
Cash Prizes Total Events$16,708CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$270NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,310RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$39,518FoodAndBeverageTotalEventsAmt
Entertainment Total Events$6,750EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$6,840OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$76,396DirectExpenseSummaryEventsAmt
Net Income Summary$75,649NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other175.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,254,154TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,254,154NetCommunityBenefitExpnsAmt
Total Expense0.00700TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$152,107,924TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$116,621,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,486,198NetCommunityBenefitExpnsAmt
Total Expense0.10980TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$154,362,078TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$116,621,726DirectOffsettingRevenueAmt
Net Community Benefit Expns$37,740,352NetCommunityBenefitExpnsAmt
Total Expense0.11680TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,194,374TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,195,552DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,998,822NetCommunityBenefitExpnsAmt
Total Expense0.04020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,001,729TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,044,656DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,957,073NetCommunityBenefitExpnsAmt
Total Expense0.01840TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,888,302TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,613,399DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,274,903NetCommunityBenefitExpnsAmt
Total Expense0.14940TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$112,464TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$112,464NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,196,869TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,853,607DirectOffsettingRevenueAmt
Net Community Benefit Expns$67,343,262NetCommunityBenefitExpnsAmt
Total Expense0.20830TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$260,558,947TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$155,475,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$105,083,614NetCommunityBenefitExpnsAmt
Total Expense0.32510TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$11,488,797BadDebtExpenseAmt
Bad Debt Expense Attributable$4,919,020BadDebtExpenseAttributableAmt
Reimbursed By Medicare$1,312,463ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$3,739,211CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,426,748MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities3HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDescFacility Reporting GroupFacilityReportingGroupCd
CHILDREN'S HOSPITAL OF THE KING'S DAU
1601 CHILDRENS LANENORFOLKVA23507Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)MEDICAID DSHA
CHKD HEALTH AND SURGERY CENTER
22021 CONCERT DRIVEVIRGINIA BEACHVA23456Yes (X)OUTPATIENT SURGICAL HOSPITALA
CHKD HEALTH AND SURGERY CENTER
311783 ROCK LANDING DRIVENEWPORT NEWSVA23608Yes (X)OUTPATIENT SURGICAL HOSPITALA

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.CHKD.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt12ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.CHKD.ORGStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care175.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.CHKD.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.CHKD.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Lowest Negotiated RatesYes (X)LowestNegotiatedRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART V SECTION B LINE 5FormAndLineReferenceDesc
ExplanationIN CONDUCTING THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT, INPUT WAS RECEIVED FROM REPRESENTATIVES OF THE COMMUNITY SERVED. A COMMUNITY INSIGHT SURVEY WAS CONDUCTED WITH A GROUP OF COMMUNITY STAKEHOLDERS WHERE SURVEY PARTICIPANTS WERE ASKED TO PROVIDE THEIR VIEWPOINTS ON IMPORTANT HEALTH CONCERNS IN THE COMMUNITY, SIGNIFICANT SERVICES GAPS IN THE COMMUNITY AND ADDITIONAL IDEAS OR SUGGESTIONS FOR IMPROVING COMMUNITY HEALTH. THE SURVEY WAS SENT TO 441 COMMUNITY STAKEHOLDERS WITH A TOTAL OF 95 (22%) RESPONSES. RESPONSES WERE RECEIVED FROM VARIOUS LOCAL SOCIAL SERVICES DEPARTMENTS, POLICE OR OTHER PUBLIC SAFETY OFFICES, PUBLIC SCHOOL DIVISIONS, HOSPITALS, COMMUNITY SERVICES BOARD, FOUNDATIONS, HEALTH ASSOCIATIONS, CITIES & COUNTIES IN THE REGION, UNIVERSITY NURSING PROGRAM, HEALTH DEPARTMENTS, VARIOUS CORPORATE CITIZENS AND OTHER NON-PROFIT ORGANIZATIONS. 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 The following needs were identified in our community health needs assessment but were not addressed in our implementation plan as the services were provided by other community resources: dental health/oral health, substance abuse - illegal and/or prescription drugs, teen pregnancy, crime/violence, tobacco use/exposure, high risk pregnancies and birth outcomes, early intervention services, family planning services, housing services, maternal, infant and child health services, food safety net, respite care services, home health services, public health services, durable medical equipment and assistive devices, long term care services, pharmacy services, hospice services, injury prevention services, mental health 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.ExplanationTxt
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CHKD HEALTH CENTER AT OAKBROOKE
500 DISCOVERY DRIVECHESAPEAKEVA23320OUTPATIENT SERVICES
CHKD HEALTH CENTER AT KEMPSVILLE
171 KEMPSVILLE ROADNORFOLKVA23507OUTPATIENT SERVICES
CHKD HEALTH CENTER AT HARBOUR VIEW
5835 HARBOUR VIEW BLVDSUFFOLKVA23435OUTPATIENT SERVICES
CHKD AT BUTLER FARM ROAD
421 BUTLER FARM ROADHAMPTONVA23666Outpatient Services
HEALTH CENTER AT BURNETT'S WAY
152 BURNETTS WAYSUFFOLKVA23456OUTPATIENT SERVICES
SATELLITE AT MEDICAL TOWER
400 GRESHAM DRIVENORFOLKVA23507OUTPATIENT SERVICES
CHKD URGENT CARE AT VOLVO
817 VOLVO PARKWAYCHESAPEAKEVA23320URGENT CARE SERVICE
CHKD HEALTH CENTER AT STRAWBRIDGE
2117 MCCOMAS WAY SUITE 105VIRGINIA BEACHVA23456OUTPATIENT SERVICES
CHKD CAP
935 REDGATE AVENUENORFOLKVA23507Outpatient services
HEALTH CENTER AT MEDICAL CENTER CAMPUS
850 SOUTHAMPTON AVENUENORFOLKVA23510OUTPATIENT SERVICES

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART 1, LINE 3CN/A
PART 1, LINE 6AN/A
PART 1, LINE 7(G)THE AMOUNT REPORTED ON PART I, LINE 7(G) INCLUDES $32,574,278 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 $11,488,797.
PART 1, LINE 7A 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 OF 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 4THE 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 8AS 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 9BACCOUNTS 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: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. AS THE ONLY HEALTHCARE PROVIDER IN VIRGINIA DEVOTED EXCLUSIVELY TO THE NEEDS OF CHILDREN, CHKD ASSUMES THE RESPONSIBILITY OF LEADING THE REGION IN THE PROVISION OF PEDIATRIC CARE AND THE PROMOTION OF CHILDREN'S HEALTH AND IS TRUSTED THROUGHOUT ITS COMMUNITY AS A RESOURCE READY AND WILLING TO ADDRESS ESTABLISHED AND EMERGENT PEDIATRIC NEEDS WHEREVER AND HOWEVER THEY ARE IDENTIFIED. CHKD'S CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT HTTP://WWW.CHKD.ORG/ABOUT/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, 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 2015, THIS SERVICE REGION INCLUDED 550,000 PERSONS AGE 0-21. COMPARED TO THE COMMONWEALTH OF VIRGINIA AS A WHOLE, THE STUDY REGION IS MORE DENSELY POPULATED, AND PROPORTIONALLY MORE BLACK/AFRICAN AMERICAN. THE REGION ALSO HAS LOWER INCOME LEVELS THAN VIRGINIA AS A WHOLE. MEDICALLY UNDERSERVED AREAS (MUAS) AND MEDICALLY UNDERSERVED POPULATIONS (MUPS) ARE DESIGNATED BY THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION AS BEING AT RISK FOR HEALTH CARE ACCESS PROBLEMS. THE DESIGNATIONS ARE BASED ON SEVERAL FACTORS INCLUDING PRIMARY CARE PROVIDER SUPPLY, INFANT MORTALITY, PREVALENCE OF POVERTY, AND THE PREVALENCE OF SENIORS AGE 65+. TWENTY-SIX OF THE 29 LOCALITIES THAT ENCOMPASS THE STUDY REGION HAVE BEEN FULLY OR PARTIALLY DESIGNATED AS MUAS/MUPS. 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 HEALTHCHKD 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 2015, CHKD had 5,064 admissions resulting in 45,276 discharged patient days. 56.22 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 OR 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. CHKD PROVIDES INPATIENT AND AMBULATORY 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 AND SPORTS AND ADOLESCENT MEDICINE, 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtNon Cash AssistanceNonCashAssistanceDesc
EASTERN VIRGINIA MEDICAL SCHOOL
PO BOX 1980NORFOLKVA23507546055378501(C)(3)$41,567BOOK VALUESTAPH AUREUS RESEARCH HYPEXIA CHAMBER VARIOUS VARIOUS
EASTERN VIRGINIA MEDICAL SCHOOL
PO BOX 1980NORFOLKVA23507546055378501(C)(3)$17,542BOOK VALUE
CHILDREN'S HEALTH SYSTEM INC
601 CHILDRENS LANENORFOLKVA23507541278830501(C)(3)$9,500,000CASH
CHILDREN'S HEALTH FOUNDATION INC
601 CHILDRENS LANENORFOLKVA23507541278865501(C)(3)$5,709,633BOOK VALUE
CHILDREN'S HEALTH SYSTEM INC
601 CHILDRENS LANENORFOLKVA23507541278830501(C)(3)FMV$4,070,910LAND
CHILDREN'S HEALTH SYSTEM INC
601 CHILDRENS LANENORFOLKVA23507541278830501(C)(3)BOOK$649,376THRIFT STORE
CHILDREN'S HEALTH SYSTEM INC
601 CHILDRENS LANENORFOLKVA23507541278830501(C)(3)$1,043,248CASH
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePROCESS FOR AWARDSFormAndLineReferenceDesc
ExplanationAWARDS 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

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JAMES D DAHLING
PRESIDENT/DIRECTOR$0$876,076$0$0$0$112,383$0$377,028$0$30,101$0$1,395,588$0$57,394
DENNIS RYAN
CFO/ASST TRES./ASST SEC.$0$459,170$0$0$0$33,477$0$260,751$0$42,338$0$795,736$0$19,440
MICHELLE BRENNER MD
DIRECTOR$0$195,704$0$0$0$231$0$8,060$0$14,567$0$218,562$0$0
ROBERT OBERMEYER MD
DIRECTOR$0$607,352$0$0$0$376$0$10,400$0$21,112$0$639,240$0$0
DAVID BOWERS
VP SUPPORT SERVICES$305,470$0$0$0$27,772$0$140,370$0$28,182$0$501,794$0$10,562$0
KATHRYN ABSHIRE
VP FINANCE$0$196,922$0$0$0$19,293$0$12,945$0$23,714$0$252,874$0$8,018
DEBBIE BARNES
VP IS OPERATIONS$0$297,316$0$0$0$33,907$0$68,844$0$36,631$0$436,698$0$6,995
JO-ANN BURKE
VP PATIENT CARE SERCES$308,122$0$0$0$540,523$0$10,400$0$25,596$0$884,641$0$383,541$0
ALLISON SILVA
VP ANCILLARY SERVICES$176,744$0$0$0$10,871$0$47,351$0$8,419$0$243,385$0$0$0
SUZANNA STARLING
MEDICAL DIRECTOR$199,610$0$0$0$1,380$0$8,264$0$15,178$0$224,432$0$0$0
JOHN HAMILTON
VP PHYSICIAN PRACTICE$221,535$0$0$0$25,459$0-$24,774$0$24,406$0$246,626$0$14,688$0
ARNO ZARITSKY
VP EXECUTIVE MEDICAL$471,891$0$0$0$87,621$0$240,321$0$25,839$0$825,672$0$39,858$0
JAMES DICE
DIRECTOR PHARMACY$155,285$0$14,681$0$29,923$0$6,951$0$9,517$0$216,357$0$0$0
SANDIP GODAMBE
VP QUALITY IMPROVEMENT$345,106$0$0$0$10,268$0$71,443$0$45,768$0$472,585$0$0$0
JOHN HARDING
VP PHYSICIAN PRACTICE MGMT$351,980$0$0$0$11,274$0$30,765$0$28,260$0$422,279$0$0$0
MICHAEL FACKELMAN
RNFA NURSE - CARDIAC$181,425$0$0$0$7,156$0$7,386$0$8,693$0$204,660$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $ (869) DAVID BOWERS $116,158 JO-ANN BURKE 0 JAMES DAHLING $292,283 JOHN HAMILTON $(45,328) JOANN ROGERS $ 27,130 DENNIS RYAN $228,347 ARNO ZARITSKY $189,169 ALLISON SILVA $ 24,519 SANDIP GODAMBE $ 63,607 DEBORAH BARNES $ 51,841
Previously, certain executives' unvested deferred compensation earnedor accrued in each calendar year was derived and reported in Column C based upon the change in value from year to year of the disability benefit associated with the participant's accrued benefit, as a best effort to determine the annual accrual in the associated supplemental nonqualified defined benefit program in which the executives participate. These amounts do not become vested until 7 years of participation are earned. Based upon a newly discovered Example 4 provided in the Schedule J instructions, the sponsor has determined to base the reported annual accrual on a pro rata portion of the eventual vested accrued benefit. The amounts reported in Column C beginning this year, may appear anomalous to prior year reporting - but these amounts will reflect requisite adjustments to transition the reported annual accrual to align with example 4. 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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1VA SMALL BUSINESS FINANCING ACTIVITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN541300845BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2012-09-09BondIssuedDt
Issue Price$76,400,000IssuePriceAmt
PurposeREFUNDING OF 1/31/2006 ISSUEPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$9,258,057RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$76,400,000TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$0IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$76,400,000OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2007SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsYes (true)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsYes (true)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (true)EngageBondCounselResearchInd
Private Bus Use By Others0.00586PrivateBusUseByOthersPct
Total Private Business Use0.00586TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Exception To RebateYes (true)ExceptionToRebateInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1Txt
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part II, Line 11ALL PROCEEDS OF THE BOND WERE USED TO CURRENTLY REFUND A PRIOR ISSUE.
SCHEDULE K, PART III, LINE 4BOND COUNSEL DUE DILIGENCE SHOWED ONLY $50,000 OF PRIVATE USE THAT WAS NOT EQUITY FINANCED OR DID NOT QUALIFY FOR A REGULATORY SAFE HARBOR.
SCHEDULE K, PART IV, LINE 2B6-MONTH SPENDING EXCEPTION APPLIES

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CHILDREN'S MEDICAL GROUP
MEMBERS SERVE CHKD & CMG$3,878,252CORPORATE SUPPORT & RENTALfalse
CHILDREN'S SURGICAL SPECIALTY GROUP
MEMBERS SERVE CHKD & CMG$1,120,029CORPORATE SUPPORT & RENTAlfalse
WM JORDAN CO INC
MEMBER OWNER$3,022,273CONSTRUCTION SERVICESfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution14ContributionCnt
Noncash Contributions Rpt F990$6,750NoncashContributionsRptF990Amt
Method Of Determining RevenuesCASH ON SALEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution35ContributionCnt
Noncash Contributions Rpt F990$760,080NoncashContributionsRptF990Amt
Method Of Determining RevenuesAVG FMV ON DATE RECMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescVarious in Kind ItemsDesc
Contribution156ContributionCnt
Noncash Contributions Rpt F990$23,411NoncashContributionsRptF990Amt
Method Of Determining RevenuesAVG FMV ON DATE RECMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (true)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Line 32AFormAndLineReferenceDesc
ExplanationCHKD PAYS SYR, INC. MANAGEMENT FEES TO MANAGE THRIFT STORES FOR THE BENEFIT OF THE ORGANIZATION. CHKD ALSO PAYS TIDEWATER AUTO AUCTION TO AUCTION CARS FOR THE BENEFIT OF THE ORGANIZATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSFORM 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 FY 15, 56 PERCENT OF ITS INPATIENT DAYS WERE COVERED BY MEDICAID. OVER THE PAST 50 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 FY 15, CHKD HAD 5,064 ADMISSIONS RESULTING IN 45,276 DISCHARGED PATIENT DAYS. APPROXIMATELY 56 PERCENT OF THESE DAYS, WERE COVERED BY MEDICAID. CHKD HAS 206 INPATIENT BEDS, AND ALMOST HALF OF THOSE ARE FOR PEDIATRIC INTENSIVE CARE. THE HOSPITAL IS HOME TO THE REGION'S HIGHEST LEVEL NEONATAL INTENSIVE CARE UNIT (NICU), 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. THERE WERE 500 ADMISSIONS TO THE NICU IN FY 15. THE HOSPITAL ALSO OPERATES A NEONATAL STEP-DOWN UNIT FOR BABIES FROM OUR NICU WHO REQUIRE A TRANSITIONAL PERIOD BEFORE BEING DISCHARGED HOME. THE REGION'S LARGEST AND MOST EXPERIENCED PEDIATRIC INTENSIVE CARE UNIT (PICU) 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 FY 15. 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 FY 15, THE TEAM TRANSPORTED 1,392 PATIENTS. OF THOSE, 366 WERE NEWBORNS COMING TO OUR NEONATAL INTENSIVE CARE UNIT. CHKD'S 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.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSCHKD OPERATES THE REGION'S ONLY PEDIATRIC SURGERY PROGRAM, OFFERING YOUNG PEOPLE STATE-OF-THE-ART TREATMENT IN A SUPPORTIVE, NON-THREATENING ENVIRONMENT CREATED EXCLUSIVELY TO MEET THEIR NEEDS. IN FY 15, SURGEONS PERFORMED 13,105 SURGERIES AT CHKD FACILITIES FOR A VAST RANGE OF PROBLEMS, FROM THE SIMPLEST OUTPATIENT PROCEDURES TO COMPLEX ORTHOPEDIC AND GENITOURINARY SURGERIES. (SEE OUTPATIENT SERVICES AND PROGRAMS FOR MORE INFORMATION OF CHKD'S SURGERY PROGRAM). CHKD EMPLOYS DOZENS OF PROFESSIONALS WHO PROVIDE EMOTIONAL, RECREATIONAL, SPIRITUAL AND PRACTICAL SUPPORT TO CHILDREN AND FAMILIES DURING HOSPITALIZATIONS. THE WORK OF THESE PROFESSIONALS COMPLEMENTS OUR EXPERT MEDICAL CARE TO CREATE A UNIQUE TREATMENT AND HEALING ENVIRONMENT FOR CHILDREN AND THEIR FAMILIES. OUR CHAPLAINCY SERVICES PROVIDE EMOTIONAL SUPPORT, PASTORAL CARE, ETHICAL REFLECTION, BEREAVEMENT RESOURCES FOLLOW-UP AND SPIRITUAL GUIDANCE TO PATIENTS, FAMILIES AND STAFF WITH IN-HOSPITAL PRESENCE SEVEN DAYS A WEEK, 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, ONE PART-TIME AND FIVE PER-DIEM CHAPLAINS WHO REFLECT THE DIVERSITY OF THE COMMUNITY AND ARE PROFESSIONALLY TRAINED TO MEET THE VARIED SPIRITUAL NEEDS OF FAMILIES 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 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. CHILD LIFE SPECIALISTS WORK WITH CHKD'S VOLUNTEER SERVICES DIVISION TO MANAGE THE HOSPITAL'S POPULAR PET THERAPY PROGRAM, THE BUDDY BRIGADE, WHICH BRINGS VISITS OF DOG/HANDLER TEAMS TO THE HOSPITAL SEVERAL TIMES EACH WEEK. CHILD LIFE STAFF MEMBERS COLLABORATE WITH OTHER HOSPITAL STAFF TO PROVIDE SUPPORT GROUP FOR PARENTS AND SIBLINGS, AN ANNUAL TEDDY BEAR CLINIC AND INPATIENT DEVELOPMENTAL SCREENINGS. CHKD's department of medical social work is comprised of 15 staff members who hold Master's in Social Work, eight of whom are in supervision working toward their clinical licensure, and two family support specialists. 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 PERIODICALLY 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 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 A HOME WITH A WAY TO SUPPORT THEIR MEDICAL NEEDS ON DISCHARGE. THIS FUND HELPED MORE THAN 800 FAMILIES IN FY 15. Due to the increasing need for mental health services, CHKD created the Behavioral Health Services department. The staff includes licensed clinical social workers and licensed professional counselors. The team provides integrated support to assist patients in the hospital and at five outpatient therapy locations in Virginia Beach, Chesapeake and Norfolk. The team connects with the child's 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, 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 for nights, weekends, holidays. During 2015, the CHKD's cultural/language services department continued to meet the needs of patients and families with limited English proficiency by coordinating sign language interpreters, providing face-to-face Spanish interpretation and increasing access to 24/7 telephonic interpretation throughout the health system. This has improved customer service and consistency of care. In FY 15, CHKD provided interpretation services in 2 different languages for our limited English population through 7,429 outpatient visits. At the main hospital, the language services department provided Spanish medical interpretation for 5,092 inpatient and outpatient visits. The cultural/language services department added a full-time MANAGERS and a part-time cultural liaison/Spanish medical interpreter at the main campus. SIXTEEN dual-role staff members AND SEVEN PHYSICIANS continue to assist with Spanish medical interpretation within their departments OR CLINICAL AREAS. AS THE REGIONAL PROVIDER OF PEDIATRIC CARE, CHKD IS AN INTEGRAL PART OF THE COMMUNITY'S NATURAL OR MAN-MADE DISASTER PLANNING EFFORTS. THE HEALTH SYSTEM 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 ACCOMPLISHMENTSSECTION TWO: OUTPATIENT SERVICES AND PROGRAMS CHKD ALSO OFFERS THE COMMUNITY MANY IMPORTANT PEDIATRIC SERVICES ON AN OUTPATIENT BASIS. IN 2015, CHILDREN MADE APPROXIMATELY 560,000 OUTPATIENT VISITS TO CHKD, ITS COMMUNITY-BASED HEALTH CENTERS AND AFFILIATED PHYSICIAN PRACTICES. THEY MADE 363,512 VISITS TO THE PRIMARY CARE PEDIATRICIANS OF CHKD'S MEDICAL GROUP, WHICH OFFERS CARE IN 17 PRACTICES WHO HAVE 28 OFFICES THROUGHOUT OUR SERVICE AREA. CHKD'S SURGICAL SPECIALTY GROUP MAKES THE SERVICES OF THE REGION'S ONLY PEDIATRIC GENERAL, UROLOGICAL, CARDIAC, NEUROSURGICAL, PLASTIC AND ORTHOPEDIC SURGEONS AVAILABLE TO THOUSANDS OF CHILDREN WHO MIGHT OTHERWISE HAVE TO TRAVEL OUTSIDE OF THE AREA FOR SURGERY. CHILDREN MADE 45,759 VISITS TO THE SURGICAL GROUP PRACTICES IN FY 15. THE SURGEONS PERFORMED 5,827 SURGICAL CASES. THE HOSPITAL ALSO PROVIDES CARE TO CHILDREN FACING HEALTH CONDITIONS SUCH AS CANCER, GENETIC DISORDERS, OBESITY, HEART PROBLEMS, DEVELOPMENTAL DISABILITIES, ASTHMA/ALLERGIES AND DIABETES THROUGH OUR OUTPATIENT SPECIALTY CLINICS OFFERING SPECIALIZED PEDIATRIC CARE. IN FY 15, CHILDREN MADE 153,646 VISITS TO OUR OUTPATIENT CLINICS. CHILDREN'S HOSPITAL WAS FOUNDED ON THE PREMISE THAT ALL CHILDREN DESERVE EQUAL ACCESS TO QUALITY PEDIATRIC CARE. AS OUR POPULATION GREW AND SETTLED INTO THE FAR CORNERS OF OUR BRIDGE AND TUNNEL LACED REGION, TRAVEL TO CHKD'S MAIN FACILITY IN NORFOLK BECAME MORE OF A HARDSHIP FOR FAMILIES. TO EASE THAT BURDEN AND IMPROVE CHILDREN'S ACCESS TO CARE IN EVERY CORNER OF OUR SERVICE AREA, CHKD HAS ESTABLISHED MULTI-SERVICE HEALTH CENTERS IN STRATEGIC LOCATIONS. * THE CHKD HEALTH AND SURGERY CENTER AT OYSTER POINT OFFERS FAMILIES WHO LIVE NORTH OF THE HAMPTON ROADS BRIDGE TUNNEL A WEALTH OF IMPORTANT SERVICES IN A CONVENIENT LOCATION. THE CENTER IS HOME TO THE REGION'S FIRST PEDIATRIC AMBULATORY SURGERY CENTER. OTHER SERVICES OFFERED AT THE SITE INCLUDE PRIMARY, SURGICAL AND SUB-SPECIALTY PEDIATRICS, LAB AND RADIOLOGY (INCLUDING ULTRASOUND AND MRI), AUDIOLOGY TESTING AND OCCUPATIONAL, SPEECH AND PHYSICAL THERAPY. SPORTS MEDICINE 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 PRINCESS ANNE SERVES THE GROWING MEDICAL NEEDS OF FAMILIES IN VIRGINIA BEACH. THE CENTER IS HOME TO VIRGINIA BEACH'S FIRST AMBULATORY SURGERY CENTER EXCLUSIVELY FOR CHILDREN. 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, CHKD'S 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 System's 34th location and is part of CHKD's 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 System's 35th location. The new site offers appointments in pediatric dermatology, allergy, gastroenterology, cardiology and nephrology, as well as developmental pediatrics. The CHKD Urgent Care at Volvo Parkway offers the only 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. Since its opening in January 2015, 8,269 patients visited. CHKD's Child Abuse Program coordinates the region's 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 4,371 visits to the program in FY15. At an almost 20 percent increase, the Child Abuse Program has seen more clients than in any prior year. In addition to the main Center in Norfolk, services are also available at CHKD's outpatient centers in Virginia Beach and Newport News. THE PROBLEM OF CHILDHOOD OBESITY POSES A SIGNIFICANT THREAT TO THE CURRENT AND FUTURE HEALTH OF OUR CHILDREN. IN RESPONSE TO THIS ALARMING PUBLIC HEALTH CRISIS, THE HOSPITAL PROVIDES A MULTI-DISCIPLINARY PEDIATRIC WEIGHT MANAGEMENT PROGRAM FOR CHILDREN BETWEEN 3 AND 18 YEARS OF AGE CALLED "HEALTHY YOU FOR LIFE." THE PROGRAM OFFERS CLINICAL AND PSYCHOSOCIAL EVALUATION AND PLANNING, ONGOING CLASSES TO HELP OVERWEIGHT YOUTH AND THEIR PARENTS MAKE LIFESTYLE CHANGES AND FOLLOW UP CLINICS FOR UP TO A YEAR. THE EXERCISE COMPONENT OF THE PROGRAM IS STRENGTHENED BY THE ADDITION THIS YEAR OF AN EXERCISE SPECIALIST WHO CONDUCTS PERSONAL TRAINING SESSIONS AS WELL AS GROUP FITNESS CLASSES FOR THE WHOLE FAMILY. EXERCISE OPPORTUNITIES LISTED ON OUR FITNESS CALENDAR ARE AVAILABLE WEEKDAYS AND WEEKENDS AROUND THE HAMPTON ROADS REGION TO ENHANCE A PATIENT'S ABILITY TO EMBRACE A HEALTHIER LIFESTYLE. WE ALSO HAVE A REGIONAL PARTNERSHIP WITH THE YMCA WHICH OFFERS FAMILIES A SIX-WEEK TRIAL MEMBERSHIP ONCE THEY HAVE COMPLETED THE EIGHT-WEEK LIFESTYLE CLASS. THE HEALTHY YOU FOR LIFE PROGRAM OFFERS INDIVIDUAL COUNSELING SESSIONS, USE OF MULTI-MEDIA COMMUNICATION SUCH AS E-MAILS, TEXT MESSAGES AND A FACEBOOK PAGE AS A WAY TO KEEP CONNECTED WITH OUR PATIENTS AND ENCOURAGE POSITIVE LIFESTYLE CHANGES. IN FY 15, 341 PATIENTS GENERATED 925 CLINIC VISITS. CHKD'S DIABETES EDUCATION PROGRAM HELPS APPROXIMATELY 1,300 LOCAL CHILDREN WHO LIVE WITH THE CHRONIC DISEASE. TWO CERTIFIED DIABETES EDUCATORS, A SOCIAL WORKER, NURSE AND DEPARTMENT 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 676 VISITS TO THE DIABETES CENTER IN FY 15. THE CHILDREN'S CANCER AND BLOOD DISORDERS CENTER IS ONE OF THE HOSPITAL'S BUSIEST OUTPATIENT SPECIALTY CLINICS WITH 7,566 PATIENT VISITS IN FY 15. THE PROGRAM PROVIDES CARE TO YOUNG PEOPLE WITH CANCER, SICKLE CELL DISEASE, BLEEDING AND OTHER BLOOD DISORDERS THROUGH TREATMENT PROGRAMS THAT ENCOMPASS CHILDREN'S PHYSICAL, EMOTIONAL AND EDUCATIONAL NEEDS AND INCORPORATES THE WHOLE FAMILY. THE REGION'S ONLY PEDIATRIC EMERGENCY CENTER IS LOCATED AT CHKD. IN 2015, CHILDREN MADE 50,798 VISITS TO OUR EMERGENCY CENTER. CHILDREN'S HOSPITAL OFFERS THE ONLY PEDIATRIC RENAL DIALYSIS SERVICE IN THE AREA. DIALYSIS IS A TIME-CONSUMING PROCESS AND CHILDREN APPRECIATE THE CHANCE TO HAVE THE SERVICE IN A SETTING WHERE THEY CAN MEET WITH FRIENDS THEIR OWN AGES AS WELL AS HOSPITAL SUPPORT STAFF AND SCHOOL TEACHERS. CHILDREN MADE 2,565 RENAL AND DIALYSIS VISITS IN FY 15. ONE MARK OF CHKD'S DISTINCTIVE PEDIATRIC CARE HAS ALWAYS BEEN CHILD-CENTERED DIAGNOSTIC SERVICES, SUCH AS RADIOLOGY AND LABORATORY. OVER THE PAST SEVERAL YEARS, CHKD HAS WORKED HARD TO MAKE THESE UNIQUE SERVICES MORE ACCESSIBLE TO FAMILIES THROUGHOUT OUR SERVICE REGION. The hospital now has laboratories in its Oyster Point, Princess Anne, Oakbrooke, Burnett's Way Health Centers as well as draw sites at Kempsville in Norfolk and Butler Farm in Hampton. On January 7, 2015 a full service laboratory opened with the new Urgent Care Center at Volvo in Chesapeake. THE LABORATORY ALSO OPERATES A COURIER SERVICE THAT FACILITATES QUICK TURNAROUND OF SPECIMENS. OF THE 684,118 TESTS PERFORMED IN FY 15, MORE THAN 61 PERCENT WERE FOR OUTPATIENTS.
CHKD RADIOLOGY SERVICES ARE ALSO AVAILABLE TO FAMILIES AT OUR CHKDFACILITIES 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 2015, 90,858 DIAGNOSTIC EXAMS WERE PERFORMED, INCLUDING X-RAYS, FLUOROSCOPIC TESTS, URODYNAMICS AND BONE DENSITY TESTS, CT AND MRI SCANS, ULTRASOUND AND NUCLEAR MEDICINE STUDIES. APPROXIMATELY 75 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 FY 15, WE DID 195 AUGMENTATIVE COMMUNICATION EVALUATIONS. * CAR SEAT PROGRAM - SPECIALLY TRAINED THERAPISTS OFFER CAR SEAT SAFETY RESTRAINT EVALUATIONS FOR PATIENTS WITH SPECIAL NEEDS. IN FY 15, WE DID 378 CAR SEAT EVALUATIONS, DISTRIBUTED 303 SPECIAL NEEDS CAR SEATS AND PARTICIPATED IN FIVE 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 944 VISITS TO THIS CLINIC IN FY 15 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 EXPERTS COORDINATED A TOTAL OF 426 PARENT, PROFESSIONAL, AND STUDENT PROGRAMS THAT BROUGHT IMPORTANT HEALTH, SAFETY AND WELLNESS INFORMATION TO MORE THAN 45,542 PARTICIPANTS. THROUGH THE KOHL'S CARES FUNDING, THE KOHL'S KIND KIDS PROGRAM AND EDUCATIONAL MATERIALS HAVE REACHED MORE THAN 27,969 OF THE 45,542 CHILDREN AND FAMILIES IN THE COMMUNITY. CHKD IS A SITE OF THE NATIONAL "REACH OUT AND READ" LITERACY PROGRAM, WHICH ENCOURAGES READING BY DISTRIBUTING FREE BOOKS TO CHILDREN AT THEIR WELL CHILD VISITS TO THEIR PEDIATRICIANS. THROUGH THE DONOR FUNDED PROGRAM, CHKD'S PRIMARY CARE PEDIATRICIANS GAVE MORE THAN 65,011 BOOKS TO CHILDREN IN FY 15. In FY15 CHKD's website, www.chkd.org, continues to be a popular and effective method of communication, averaging more than 130,000 unique visitors a month, a 30 percent increase over last year. The content management system that is in place allows multiple users to create and update content as needed. www.chkd.org is a responsive design site and automatically formats itself to any device (PC, tablet or smartphone) - no app needed. Clickable phone numbers and interactive maps make it easy for our patients to call or find any practice, and families have easy access to test results, shot records, and can even request prescription refills and make appointments online straight from the homepage by accessing the MyCHKD patient portal. Enhanced physician profiles, including clickable phone numbers, interactive maps, biographical information and a link to the physician's practice make it easier than ever to choose the doctor that's right for you. CHKD continues to utilize social media outlets such as Facebook, 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 (CCC), THE STATE FUNDED TITLE V PROGRAM THAT PROVIDES COMPREHENSIVE CARE COORDINATION, INFORMATION AND REFERRAL FOR CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS. THERE ARE MORE THAN 12,000 CHILDREN WITH SPECIAL HEALTHCARE NEEDS IN THE REGION'S PUBLIC HEALTH DISTRICTS. IN FY 15, CARE CONNECTION ASSISTED WITH 627 INFORMATION AND REFERRAL CALLS AND PROVIDED CASE MANAGEMENT SERVICES TO APPROXIMATELY 550 FAMILIES. FINANCIAL ASSISTANCE WAS PROVIDED FOR 53 CHILDREN, AND YOUTH WHO WERE UNINSURED OR UNDER INSURED, AND 190 FAMILIES WERE ASSISTED IN APPLYING FOR STATE HEALTH PROGRAMS, to include Virginia's Waiver services. The CCC staff hosted bi-monthly education sessions for Spanish-speaking families, including sessions about stress and raising a child with special needs and, in conjunction with PEATC, understanding special education. Two resident trainings were held on community resources and pediatric transition for medically complex youth aging out of the pediatric health care system. In our Families as Educators program, 12 community families taught 18 residents about their experiences raising children and youth with special healthcare needs. CHKD'S PHYSICIANS, ADMINISTRATORS AND STAFF MEMBERS LEND THEIR KNOWLEDGE AND TIME AS VOLUNTEERS TO MANY NATIONAL, STATE AND LOCAL ORGANIZATIONS THAT SHARE OUR CONCERN FOR CHILDREN. THESE INCLUDE THE NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS AND RELATED INSTITUTIONS, THE AMERICAN ACADEMY OF PEDIATRICS, THE CHILDREN'S MIRACLE NETWORK, THE NATIONAL SAFE KIDS CAMPAIGN, THE UNITED WAY, THE VIRGINIA HOSPITAL ASSOCIATION AS WELL AS LOCAL ORGANIZATIONS SUCH AS VOLUNTEER HAMPTON ROADS AND THE AMERICAN RED CROSS. 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 (EVMS) 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 110 MEDICAL SCHOOL STUDENTS FOR THEIR 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 (IRB). THERE WERE 182 IRB APPROVED ACTIVE FUNDED STUDIES IN FY 15. 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 children's 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, teen alcohol abuse, and autism.
The Nuss Procedure for the correction of pectus excavatum, developedat CHKD more than 20 years ago, continues to draw national attention from both patients and surgeons. In FY15, CHKD's surgeons hosted the 13th annual workshop on the surgical procedure, teaching a minimally invasive, gentler correction for this common birth defect to more than 40 surgeons from all over the United States, Europe, Asia and the Middle East. 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 300 patients with a brace; 85 percent of those patients have experienced a correction of their chest wall deformity and have not needed surgery. In FY15, the hospital expanded services to include a non-invasive treatment therapy for less severe pectus excavatum cases. The hospital continues its endeavors on multiple research studies in an effort to further understand chest wall deformities. To date, more than 2,000 surgical patients have undergone the Nuss Procedure at CHKD. The hospital will host the Chest Wall International Group in June 2016; a three-day, intensive workshop for pediatric, general and cardiothoracic surgeons, which will include demonstrations and discussions about surgical and non-surgical treatment of pectus excavatum and pectus carinatum. CHKD IS A MEMBER OF CHILDREN'S ONCOLOGY GROUP (COG), AN INTERNATIONAL RESEARCH GROUP THAT CONDUCTS CLINICAL TRIALS FOR CHILDREN WITH CANCER. AS A MEMBER, CHKD HAS ACCESS TO THE LATEST PROTOCOLS FOR TREATMENT OF CHILDHOOD CANCER, PROVIDING THE COMMUNITY AND REGION WITH THE BEST PRACTICES AND TREATMENT RESULTS FROM MORE THAN 240 COG-MEMBER HOSPITALS IN NORTH AMERICA, AUSTRALIA, NEW ZEALAND AND EUROPE. IN FY 15, CHKD HAD 88 COG STUDIES OPEN TO ENROLLMENT OR UNDERGOING DATA ANALYSIS. SEVERAL OF THESE STUDIES WERE INCLUDED IN COG'S LONG-TERM FOLLOW-UP STUDY, WHICH COLLECTS DATA ON PATIENTS WHO HAVE PARTICIPATED IN STUDIES THAT ARE NO LONGER OPEN TO ENROLLMENT. In all, approximately 220 CHKD patients participated in either open or follow-up COG studies in FY15. The Hematology/Oncology division had 35 research studies open that were not COG studies. IN FY 15, CHKD HOSTED 82 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 & 11LINE 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 ITEMS990 PART VI SECTIONS B & C 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. 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 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 9OTHER CHANGES IN NET ASSETS IS MADE UP OF: Donated Services (579,200) Unrealized Gain on Derivative (879,885) Change in endowments (37,978)

Schedule R IRS990ScheduleR

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CHILDREN'S MEDICAL GROUP INC
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CHILDREN'S HEALTH SYSTEM INC
p$11,803,795BOOK VALUE
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CHILDREN'S SURGICAL SPECIALTY GROUP INC
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CHILDREN'S MEDICAL GROUP INC
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CHILDREN'S HEALTH SYSTEM INC
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CHILDREN'S HEALTH SYSTEM INC
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Children's Health System Inc
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