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CHILDRENS HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HEALTH SYSTEM INC (EIN 54-1278830)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-14
IRS object ID
201431349349301678
Schema version
2012v2.3
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)
Timestamp2014-05-14T09:02:11-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11676 International DriveAddressLine1
CityMcLeanCity
StateVAState
ZIP Code22102ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN541278830EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Children's Health System IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DENNIS RYANInCareOfName
Name ControlCHILNameControl
Phone7576688565Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1601 Childrens LaneAddressLine1
Address Line2SuiteAddressLine2
CityNorfolkCity
StateVAState
ZIP Code23507ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDENNIS RYANName
TitleCFO/ASST SEC/ASST TREASURERTitle
Phone7032868000Phone
Date Signed2014-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone7032868000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES DAHLINGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1601 CHILDRENS LANEAddressLine1
CityNORFOLKCity
StateVAState
ZIP Code23507ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12717851GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.chkd.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionChildren's Health System is a multi-specialty health system serving southeastern virginia and northeastern north carolina offering comprehensive pediatric care for children from birth to age 21.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees42TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10795682ProgramServiceRevenuePriorYear
Program Service Revenue CY12239824ProgramServiceRevenueCY
Investment Income Prior Year137693InvestmentIncomePriorYear
Investment Income Current Year196301InvestmentIncomeCurrentYear
Other Revenue Prior Year183020OtherRevenuePriorYear
Other Revenue Current Year280955OtherRevenueCurrentYear
Total Revenue Prior Year11116395TotalRevenuePriorYear
Total Revenue Current Year12717080TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7613456SalariesEtcPriorYear
Salaries Etc Current Year8279922SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3365118OtherExpensePriorYear
Other Expenses Current Year4240087OtherExpensesCurrentYear
Total Expenses Prior Year10978574TotalExpensesPriorYear
Total Expenses Current Year12520009TotalExpensesCurrentYear
Revenues Less Expenses Prior Year137821RevenuesLessExpensesPriorYear
Revenues Less Expenses CY197071RevenuesLessExpensesCY
Total Assets BOY52491875TotalAssetsBOY
Total Assets EOY56342812TotalAssetsEOY
Total Liabilities BOY18465545TotalLiabilitiesBOY
Total Liabilities EOY18264857TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY34026330NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY38077955NetAssetsOrFundBalancesEOY
Mission DescriptionCHILDREN'S HEALTH SYSTEM IS A MULTI-SPECIALTY HEALTH SYSTEM SERVING SOUTHEASTERN VIRGINIA AND NORTHEASTERN NORTH CAROLINA OFFERING COMPREHENSIVE PEDIATRIC CARE FOR CHILDREN FROM BIRTH TO AGE 21.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12518032Expense
Revenue12520779Revenue
DescriptionThe Health System provided long range planning, management and support services for its subsidiaries in furtherance of their missions.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1977Expense
DescriptionContinuing medical education programs for community physicians and support services for its subsidiary corporations in the furtherance of their missions.Description
FieldValueIRS element (for citing)
Total Program Service Expense12520009TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees42NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryBDNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDENNIS RYANNamePerson
Telephone Number7576687000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1601 CHILDRENS LANEAddressLine1
CityNORFOLKCity
StateVAState
ZIP Code23507ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
ELIZABETH M WELLER
TREASURER/DIRECTOR2.02.0XX000
BUFFY BAREFOOT
DIRECTOR1.01.0X000
SARAH BISHOP
DIRECTOR1.01.0X000
EDWARD A HEIDT JR
VICE CHAIR/DIRECTOR1.01.0XX000
CHRISTINE NEIKIRK
DIRECTOR1.01.0X000
KEVIN RACK ESQ
DIRECTOR1.01.0X000
PAMELA COMBS MED
DIRECTOR1.01.0X000
ELIZABETH D LANOUE MD
DIRECTOR1.01.0X000
J CHRISTOPHER PERRY
DIRECTOR1.01.0X000
KAREN PRIEST
DIRECTOR1.01.0X000
BRIAN SKINNER
DIRECTOR1.01.0X000
BETH JOHNSON
DIRECTOR1.01.0X000
CONRAD M HALL
SECRETARY/DIRECTOR2.02.0XX000
MARK R WARDEN
DIRECTOR1.01.0X000
ROLF WILLIAMS
DIRECTOR1.01.0X000
HAROLD J COBB JR DD
DIRECTOR1.01.0X000
CYNTHIA S KELLY MD
DIRECTOR1.01.0X000
LLOYD U NOLAND III
DIRECTOR1.01.0X000
MICHELLE BRENNER MD
DIRECTOR1.041.0X020065318244
JAMES D DAHLING
PRESIDENT/DIRECTOR41.02.0XX9199680844712
John R Lawson II
CHAIRMAN/DIRECTOR3.01.0XX000
DONALD NUSS MB CHB
DIRECTOR1.01.0X000
KATHRYN CALLAHAN
DIRECTOR THROUGH 6/26/20131.01.0X000
DENNIS RYAN
CFO/Assist Treas/Assist Sect41.02.0X4660340336189
AMY SAMPSON
VP Public Relations/Mkting40.00.02713190164767X
SHERRI MATSON
VP General Counsel40.00.03466680222172X
KATHRYN ABSHIRE
VP FINANCE40.00.0214139062593X
DEBORAH BARNES
VP IS Operations40.00.03040940209781X
STEPHANIE CALLIOTT
SR VP Community Relations40.00.03329180111785X
GREGORY JONES
Director Contract Development40.00.0153143023585X
JAMES ROBINSON
DIRECTOR CORP RISK MANAGEMENT40.00.0220385017630X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3228668TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs200653TotalReportableCompFrmRltdOrgs
Total Other Compensation2011458TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Wilcox And Savage
One Commerical PlaceNORFOLKVA23510Legal243816
Patton Boggs LLP
2550 M St NWWASHINGTONDC20037Consulting180168
KPMG LLP
440 Monticello Avenue Suite 1900NofolkVA23510Accounting336548
Child Health Corporation of America
6803 West 64th StreetOverland ParkKS66202CONSULTING171530
NORTHPOINT SOLUTIONS LLC
130 W 42ND STREET STE 550NEW YORKNY10036CONSULTING131926
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMANAGEMENT FEES FROM SUBSIDIARIESDescription
Business Code900099BusinessCode
Total Revenue Column12239824TotalRevenueColumn
Related Or Exempt Function Income12239824RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12239824TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column197072TotalRevenueColumn
Exclusion$197,072ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other771Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-771Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-771TotalRevenueColumn
Exclusion-$771ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column280955TotalRevenueColumn
Related Or Exempt Function Income280955RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue280955TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12717080TotalRevenueColumn
Related Or Exempt Function Income12520779RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$196,301ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3410229Total
Program Services3410229ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1677805Total
Program Services1677805ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total16844Total
Program Services16844ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2943518Total
Program Services2943518ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total231526Total
Program Services231526ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total672667Total
Program Services672667ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total288164Total
Program Services288164ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1198495Total
Program Services1198495ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total721494Total
Program Services721494ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total17019Total
Program Services17019ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total77759Total
Program Services77759ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20382Total
Program Services20382ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total17192Total
Program Services17192ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1139814Total
Program Services1139814ProgramServices

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MISCELLANEOUS EXPENSES4908949089
SUPPLIES3801238012

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12520009Total
Program Services12520009ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2500653BOY
EOY3426750EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY178959BOY
EOY251407EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis520601LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec284831LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY51845BOY
EOY235770EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7636888BOY
EOY10361594EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY42123530BOY
EOY42067291EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY52491875BOY
EOY56342812EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1256971BOY
EOY1251563EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17208574BOY
EOY17013294EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18465545BOY
EOY18264857EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY34026330BOY
EOY38077955EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34026330BOY
EOY38077955EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY52491875BOY
EOY56342812EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses197071ReconcilationRevenueExpenses
Reconciliation Unrealized Invest3854554ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS INC
54050632103truetruetrue$0
NORFOLK CITY UNION OF THE KING'S DAUGHTERS INC
54128394607truetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$331,641DirectContactLegislatorsAmount
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB331641TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-BIdentifier
ExplanationCHILDREN'S HEALTH SYSTEM (CHS) TAKES THE WELFARE OF THE CHILDREN THAT ARE CARED FOR WITHIN THE CHS FAMILY AS A PRIORITY. AS SUCH, THERE ARE MANY LEGISLATIVE ISSUES THAT OUR STATE AND FEDERAL GOVERNMENTS HANDLE THAT COULD AFFECT CHS. CHS RELIES ON VOLUNTEERS FROM THE NORFOLK CITY UNION OF THE KINGS DAUGHTERS, INC. (NCUKD) TO ASSIST IN LETTER-WRITING, EXERCISING THE PERSONAL RIGHTS TO VOTE AND IN SPREADING EDUCATION ON LEGISLATIVE ISSUES AFFECTING THE ORGANIZATION. ADDITIONALLY, CHS HAS PAID STAFF AND MANAGEMENT ALONG WITH MEMBERSHIP IN HEALTHCARE ASSOCIATIONS AND RETENTION OF PROFESSIONAL LOBBYING FIRMS THAT WORK ON LOBBYING ISSUES AND HAVE DIRECT CONTACT WITH LEGISLATORS, GOVERNMENT OFFICIALS AND OTHER MEMBERS OF LEGISLATIVE INFLUENCE. ISSUES THAT ARE ADDRESSED INCLUDE DISPROPORTIONATE SHARE HOSPITAL FUNDING, BECAUSE A HIGH PERCENTAGE OF PATIENTS CARED FOR IN THE CHS FAMILY ARE COVERED BY MEDICAID, CHILDRENS HOSPITALS GRADUATE MEDICAL EDUCATION BUDGETARY CUTS, HEALTH INFORMATION TECHNOLOGY RULES, ACCOUNTABLE CARE ORGANIZATION RULEMAKING PROCESSES, CHILDREN'S HEALTH INSURANCE PROGRAMS ESSENTIAL HEALTH BENEFITS, HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT, GOVERNMENT ACCOUNTABILITY OFFICE REPORT ON CHILDREN'S MENTAL HEALTH AND RELEVANT ACTIVITIES IN CONGRESS, PHYSICIAN SUNSHINE PAYMENT RULEMAKING, CHARITABLE GIVING TAX REFORM, AND THE AFFORDABLE CARE ACT.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis6000OtherCostOrOtherBasis
Book Value6000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis103968OtherCostOrOtherBasis
Depreciation28434Depreciation
Book Value75534BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis410633OtherCostOrOtherBasis
Depreciation256397Depreciation
Book Value154236BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings235770TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN JOINT VENTURE2
CSV OF LIFE INSURANCE183741
INTERCOMPANY RECEIVABLE691336
INVESTMENT IN SUBSIDIARIES41147015
ACCOUNTS RECEIVABLE MISC45197
FieldValueIRS element (for citing)
Total Book Value Other Assets42067291TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
INSURANCE IBNR$511,433
EXEC CAP APPREC ACCT (CAA)$578,953
SERP (ACCRUED BENEFIT)$15,371,908
ACCRUED TAIL COVERAGE$551,000
FieldValueIRS element (for citing)
Total Of Amounts17013294TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierASC 740 Footnote from Consolidated Audit ReportIdentifier
ExplanationCHS 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 positions.Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegion
Type Of Activities ConductedInvestmentsTypeOfActivitiesConducted
Total Expenditures2733396TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent2733396SubtotalAmountSpent
Total Amount Spent2733396TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHELLE BRENNER MD
DIRECTOR020050600014708164010080021889700
JAMES D DAHLING
PRESIDENT/DIRECTOR8140350001059330805578039134017646800554240
DENNIS RYAN
CFO/Assist Treas/Assist Sect42216000043874029344504274408022230127530
KATHRYN ABSHIRE
VP FINANCE1887250002541403933502325802767320141940
DEBORAH BARNES
VP IS Operations2859880001810601740310357500513875059580
STEPHANIE CALLIOTT
SR VP Community Relations319442000134760886870230980444703022000
GREGORY JONES
Director Contract Development125194011202016747056720179130176728000
JAMES ROBINSON
DIRECTOR CORP RISK MANAGEMENT107270099010103214048740127560238015000
AMY SAMPSON
VP Public Relations/Mkting23848300032836015203801272904360860226550
SHERRI MATSON
VP General Counsel3107020003596602135750859705688400245000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanation
Schedule J, Line 1In 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 4bChildren'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. James Dahling, Dennis Ryan, Amy Sampson, Stephanie Calliott, Sherri Matson, Kathryn Abshire and Deborah Barnes participate in the plan.
Schedule J, Line 7Officers 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 O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART VI, AGoverning Body and Management ItemsPart VI, Lines 6 & 7 Children's Health System, Inc. has two classes of members: 1) Class A members (i.e., the then current members in good standing of The Norfolk City Union of the King's Daughters, Inc., a Virginia non-stock not-for-profit corporation); and 2) Class B members (i.e., the then current directors on the Board of Directors of Children's Health System, Inc.). Line 7a The Class A members of Children's Health System, Inc. (i.e., the then current members in good standing of The Norfolk City Union of the King's Daughters, Inc., a Virginia non-stock not-for-profit corporation) elect one third of the elected directors of Children's Health System, Inc. The Class B members of Children's Health System, Inc. (i.e., the then current directors on the Board of Directors of Children's Health System, Inc.) elect two thirds of the elected directors of Children's Health System, Inc. Line 7b The following decisions of the Board of Directors of Children's Health System, Inc. are subject to approval by the Class A and Class B members of Children's Health System, Inc.: 1) any amendments to the Articles of Incorporation of the corporation; and 2) any proposed merger or consolidation of the corporation, or any sale, lease, exchange, mortgage, pledge or other disposition of all, or substantially all, of the property and assets of the corporation.
Part VI, LINE 11The 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.
PART VIPolicies and Disclosure ItemsPart V1, B, Conflict Policy Considerations CHS conflict of interest policy includes officers, members of the Board of Directors and Board Committees, key employees, all other employees, Professional Staff and substantial donors. Annually, a questionnaire is distributed and collected from officers, members of the Board of Directors and Board committees and key employees. Responses to the questionnaires are reviewed by the Legal and Finance Departments. For known conflicts, the person involved recuses himself or herself from deliberations regarding the transaction. Violations of the Conflicts of Interest Policy are reported to the CHS Board Chair or the CHS Compliance Officer, as applicable, and may require corrective action up to and including termination of employment. Compensation Process Considerations An Independent compensation consultant approved and retained by the Compensation Committee of the Board annually, usually in April, provides education and presents to the full Board comparative salaries and salary ranges from a database comprised of Children's Hospitals and other applicable hospitals for officers & executives for the Board to review. The Compensation Committee with the aid of the consultant reviews and makes decisions as to executive salaries of CHS and its subsidiaries. Those salary changes and approvals are 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CHILDREN'S HOSPITAL OF THE KING'S DAUGHT
601 Childrens LaneNorfolkVA23507540506321HealthcareVA501(C)(3)3NAtrue
CHILDREN'S HEALTH FOUNDATION INC
601 Childrens LaneNorfolkVA23507541278865FundraisingVA501(C)(3)11cNAtrue
NORFOLK CITY UNION OF THE KING'S DAUGHTE
601 Childrens LaneNorfolkVA23507541283946Charity PromoVA501(C)(3)7NAfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
CHILDREN'S SURGICAL SPECIALTY GROUP INC
601 Childrens LaneNorfolkVA23507311610834HealthcareVANAC Corp1426010126066251.00000true
CHILDREN'S MEDICAL GROUP INC
601 CHILDRENS LANENORFOLKVA23507541778786HealthcareVANAC Corp61412740108709871.00000true
CMG OF NORTH CAROLINA INC
601 CHILDRENS LANENORFOLKVA23507561960102HealthcareNCNAC Corp28874149988581.00000true
CHILDREN'S HEALTH SYSTEM INSURANCE LTD
InsuranceNAC Corp62869137660541.00000true4TH FLOOR 41 CEDAR AVENUEHAMILTONBDHM12BD
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CHS CORPORATE SUPPORT FOR SUBSIDIARY CHKD
q11687454BOOK VALUE
CHS CORPORATE SUPPORT FOR SUBSIDIARY CSSG
q552370BOOK VALUE
INTERCOMPANY RECEIVABLE FROM CHKD
d648413BOOK VALUE
TRANSFER OF CASH TO CHSIL
r628249BOOK VALUE