CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC (EIN 54-0506321)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201141369349302714
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T10:27:40-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1676 International Drive	AddressLine1
City	McLean	City
State	VA	State
ZIP Code	22102	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	540506321	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Children's Hospital of The King's Daughters	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CHIL	NameControl
Phone	7576687000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	601 Childrens Lane	AddressLine1
City	Norfolk	City
State	VA	State
ZIP Code	23507	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DENNIS RYAN	Name
Title	CHIEF FINANCIAL OFFICER	Title
Date Signed	2011-05-16	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SCOTT SHERMAN KPMG LLP	Name
Phone	7032868000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	James D Dahling	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	601 Childrens Lane	AddressLine1
City	Norfolk	City
State	VA	State
ZIP Code	23507	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	289785052	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.CHKD.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1961	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	Dedicated to the mission of providing the best possible care and services for all children who come to us because of sickness and injury.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	19	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	2821	TotalNbrEmployees
Total Nbr Volunteers	605	TotalNbrVolunteers
Total Gross UBI	274100	TotalGrossUBI
Net Unrelated Business Txbl Income	204633	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	12022179	ContributionsGrantsPriorYear
Contributions Grants Current Year	14159859	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	247326742	ProgramServiceRevenuePriorYear
Program Service Revenue CY	268215826	ProgramServiceRevenueCY
Investment Income Prior Year	590999	InvestmentIncomePriorYear
Investment Income Current Year	1133958	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2690518	OtherRevenuePriorYear
Other Revenue Current Year	2004613	OtherRevenueCurrentYear
Total Revenue Prior Year	262630438	TotalRevenuePriorYear
Total Revenue Current Year	285514256	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	217701	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	81277	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	122729112	SalariesEtcPriorYear
Salaries Etc Current Year	125182591	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	1399635	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	1383768	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1383768	TotalFundrsngExpCurrentYear
Other Expense Prior Year	114733714	OtherExpensePriorYear
Other Expenses Current Year	115583311	OtherExpensesCurrentYear
Total Expenses Prior Year	239080162	TotalExpensesPriorYear
Total Expenses Current Year	242230947	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	23550276	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	43283309	RevenuesLessExpensesCY
Total Assets BOY	264471757	TotalAssetsBOY
Total Assets EOY	289927502	TotalAssetsEOY
Total Liabilities BOY	116566071	TotalLiabilitiesBOY
Total Liabilities EOY	122569484	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	147905686	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	167358018	NetAssetsOrFundBalancesEOY
Mission Description	DEDICATED TO THE MISSION OF PROVIDING THE BEST POSSIBLE CARE AND SERVICES FOR ALL CHILDREN WHO COME TO US BECAUSE OF SICKNESS AND INJURY. OUR GOAL IS TO PROVIDE THE FINEST HEALTH CARE IN A COMPASSIONATE ENVIRONMENT.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	195823956	Expense
Grants	81277	Grants
Revenue	270696006	Revenue
Description	For 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 greater Hampton Roads, the Eastern Shore of Virginia and northeastern North Carolina. The not-for-profit hospital was founded in 1961 by The King's Daughters, a service organization providing medical care to indigent children. From the day the hospital opened, it has been dedicated to caring for the underserved, today devoting more than half of its inpatient days to Medicaid patients. Many of CHKD's unique pediatric services address pressing public health needs that would otherwise go unmet. As the principal provider of healthcare services for the region's children, CHKD collaborates with and supports many institutions and individuals who share its concern for the well-being of young people. Over the years, the community's generous financial support has helped Children's Hospital of The King's Daughters grow to meet the changing needs of children and families. From its beginnings as an 88-bed hospital to today's broader-reaching health system with a 195-bed hospital, CHKD has secured a place in the hearts of the community and the thousands of children who come for care each year. Today, the CHKD Health System provides comprehensive medical care to children at the hospital in Norfolk as well as at multi-service health centers in Virginia Beach, Norfolk, Newport News and Chesapeake. The Health System also offers a variety of education, research and health initiatives to improve the health and well-being of children in this community and beyond. Each year, more than 250,000 times, children turn to CHKD for services, many of them not available elsewhere. The Health System's primary services center on inpatient and outpatient care community outreach programs and medical education/research. I. Inpatient Care. Children with a vast range of medical problems -- including life-threatening illnesses and injures -- turn to CHKD for inpatient care. In FY 2010, CHKD had 5,835 admissions resulting in 52,905 patient days. Many of these patients were cared for in specialty units described below, which offer a level of care available nowhere else in the region, relieving families of the burden of travel during a child's critical illness. Children's Hospital of The King's Daughters is home to the region's only Level IV Neonatal Intensive Care Unit, where each year critically ill newborns, some as young as 23 weeks gestation, benefit from a unique combination of advanced medical technology, developmental care and family support. There were 523 admissions to the NICU in FY10. 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 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 psychosocial support provided by child life therapists, 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 1,125 admissions to our PICU in 2010. Many patients are brought from other area hospitals to CHKD by the hospital's neonatal/pediatric transport service in one of four fully equipped mobile intensive care units. Two critically trained 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 unit is staffed by a neonatal/pediatric critical care nurse, a registered respiratory therapist and a certified EMT-paramedic trained in neonatal/pediatric care. In FY10, the team transported 1,124 patients. Nearly one third of those 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 transport, the team alerts fixed-wing air and helicopter transports when medically necessary. CHKD operates the region's only acute inpatient Rehabilitation Unit exclusively for children, where young patients receive comprehensive rehabilitation services needed to regain skills lost after accidents or illnesses. Prior to the opening of this unit, families had to travel long distances outside of the area to receive this kind of care, which usually requires a hospitalization of several weeks duration. Admissions to the inpatient rehabilitation unit resulted in 1,692 patient days in FY10. CHKD's Transitional Care Unit, where technology-dependent children begin the process of moving from the hospital to their homes, provides developmental, educational and emotional support as well as high acuity medical care and parent/caregiver support and education. Admissions to this unique unit resulted in 5,247 patient days in FY10. CHKD operates the region's only pediatric surgery program, offering young people state-of-the-art treatment in a supportive, non-threatening environment created exclusively to meet their needs. In FY 10, surgeons performed 13,418 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. The hospital employs three full-time chaplains, one part-time and eight per-diem chaplains who reflect the diversity of the community and are professionally trained to meet the varied pastoral needs of families with respect and compassion. The chaplains also facilitate educational programs for hospital staff and physicians. The hospital employs 16 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. The child life staff also maintain four popular activity areas throughout the hospital, which provide 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. They also manage our very popular David Wright Video Library, which provides hundreds of games and entertainment videos for hospitalized children. CHKD's department of social work helps meet social, emotional and psychological needs that may arise when a child is hospitalized or when an emergency arises. Our 20 licensed social workers also work with children in our outpatient specialty clinics, especially those catering to children with chronic illnesses. Among the services our social workers provide are the following: " coordinate referrals and ongoing communications to other community resources. " facilitate support groups for CHKD families dealing with chronic illness and loss " conduct psychosocial history and mental health assessments of patients to aid caregivers in developing treatment plans " help patients and families deal with situational crises " work with families and CHKD's eligibility workers to complete applications for insurance coverage for medical care 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, sickle cell and special needs. 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 suppor	Description
Total Program Service Expense	195823956	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	true	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	122	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	2821	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form1098 C Filed	true	Form1098CFiled
Nbr Voting Governing Body Members	19	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	VA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DENNIS RYAN	NamePerson
Telephone Number	7576687000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	601 CHILDRENS LANE	AddressLine1
City	NORFOLK	City
State	VA	State
ZIP Code	23507	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Elizabeth M Weller
TREASURER/DIRECTOR	2.0	X	X	0	0	0
MARYELLEN BALDWIN
DIRECTOR	1.0	X		0	0	0
Sarah Bishop
DIRECTOR	1.0	X		0	0	0
Harold J Cobb Jr DD
Director	1.0	X	X	0	0	0
Pamela Q Combs M Ed
Director	1.0	X		0	0	0
Maurice A Jones
Director	1.0	X		0	0	0
J Jerry Kantor
CHAIRMAN/DIRECTOR	3.0	X	X	0	0	0
Cynthia S Kelly MD
Director	1.0	X		0	0	0
John R Lawson II
SECRETARY/DIRECTOR	2.0	X	X	0	0	0
Barbara C Lipskis
VICE CHAIRMAN/DIRECTOR	3.0	X	X	0	0	0
LLOYD U NOLAND III
Director	1.0	X		0	0	0
Donald Nuss MB Ch B
DIRECTOR	1.0	X		0	101781	11752
Kevin Rack Esq
DIRECTOR	1.0	X		0	0	0
CONRAD M HALL
DIRECTOR	1.0	X		0	0	0
MARK R WARDEN
Director	1.0	X		0	0	0
ROLF WILLIAMS
Director	1.0	X		0	0	0
Elizabeth D Lanoue MD
DIRECTOR	1.0	X		0	0	0
Hugh T McPhee MD
DIRECTOR	1.0	X		0	272484	21530
JAMES D DAHLING
PRESIDENT/DIRECTOR	1.0	X	X	0	812789	433803
Dennis Ryan
SR VP CFO Asst Sec Treas	1.0		X	0	441849	68520
ARNO ZARITSKY
SR VP CLINICAL SVCS	40.0			443069	0	61522	X
JOANN ROGERS
VP Physician Practice Mgmt	40.0			309720	0	154317	X
DAVID BOWERS
VP HR AND SUPPORT SERVICES	40.0			258890	0	158286	X
JO-ANN BURKE
VP PATIENT CARE SERVICES	40.0			292568	0	37743	X
Evelyn Keever
Director Pastorial Care	40.0			167604	0	11633		X
SUZANNE STARLING
MEDICAL DIRECTOR	40.0			196844	0	20410		X
JAMES DICE
DIRECTOR PHARMACY	40.0			166202	0	10431		X
Thomas Berry
Director Materials Mgmt	40.0			151813	0	14914		X
Michelle Clayton
Physician	40.0			140619	0	16189		X
MARTIN CASEY
FORMER VP ANCILLARY SERVICES	40.0			119396	0	1782			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2246725	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1628903	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1022832	TotalOtherCompensation
Number Individuals GT100 K	10	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Childrens Specialty Group
PO Box 11049	NORFOLK	VA	23517	Physician Services	7932326
Eastern Virginia Medical School
PO Box 1980	NORFOLK	VA	23501	Physician Services	8540797
Sodexho Inc and Affiliates
PO Box 905374	CHARLOTTE	NC	28290	Dietary Services	2144066
WM Jordan Company Inc
PO Box 1337	VIRGINIA BEACH	VA	23462	Construction	4047347
Sentara Optima Health Plan
4417 Corporation Lane	VIRGINIA BEACH	VA	23462	HEALTH INSUR ADMIN	3929470

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	49	NumberOfContractorsGT100K
Fundraising Events	50589	FundraisingEvents
Government Grants	2136189	GovernmentGrants
All Other Contributions	11550527	AllOtherContributions
Noncash Contributions	422554	NoncashContributions
Total Contributions	14159859	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	900099	265650502	265650502
OTHER RELATED SVCS	900099	2291224	2291224
LAB SERVICES	621500	274100		274100

Field	Value	IRS element (for citing)
Total Program Service Revenue	268215826	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1137314	TotalRevenueColumn
Exclusion	$1,137,314	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	501	TotalRevenueColumn
Exclusion	$501	ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1552326	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2302350	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-750024	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-750024	TotalRevenueColumn
Exclusion	-$750,024	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1906975	Securities
Other	16205	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1866485	Securities
Other	60552	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	40490	Securities
Other	-44347	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-3857	TotalRevenueColumn
Exclusion	-$3,857	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	41766	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	50589	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	41409	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	357	TotalRevenueColumn
Exclusion	$357	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	GRADUATE MEDICAL EDUCATION	Description
Business Code	900099	BusinessCode
Total Revenue Column	2754280	TotalRevenueColumn
Related Or Exempt Function Income	2754280	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2754280	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	285514256	TotalRevenueColumn
Related Or Exempt Function Income	270696006	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	274100	UnrelatedBusinessRevenue
Exclusion	$384,291	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	81277	Total
Program Services	81277	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1474059	Total
Program Services	1198410	ProgramServices
Management And General	275649	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	102945127	Total
Program Services	83694388	ProgramServices
Management And General	19250739	ManagementAndGeneral
Fundraising	0	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	482865	Total
Program Services	392569	ProgramServices
Management And General	90296	ManagementAndGeneral
Fundraising	0	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	12660003	Total
Program Services	10292583	ProgramServices
Management And General	2367420	ManagementAndGeneral
Fundraising	0	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7620537	Total
Program Services	6195497	ProgramServices
Management And General	1425040	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	13480	Total
Program Services	10959	ProgramServices
Management And General	2521	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	1383768	Total
Fundraising	1383768	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	14977488	Total
Program Services	12176698	ProgramServices
Management And General	2800790	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	140413	Total
Program Services	114156	ProgramServices
Management And General	26257	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	842629	Total
Program Services	685057	ProgramServices
Management And General	157572	ManagementAndGeneral
Fundraising	0	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3994728	Total
Program Services	3247714	ProgramServices
Management And General	747014	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	208828	Total
Program Services	169777	ProgramServices
Management And General	39051	ManagementAndGeneral
Fundraising	0	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	483662	Total
Program Services	393217	ProgramServices
Management And General	90445	ManagementAndGeneral
Fundraising	0	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	3595011	Total
Program Services	2922744	ProgramServices
Management And General	672267	ManagementAndGeneral
Fundraising	0	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13812402	Total
Program Services	11229483	ProgramServices
Management And General	2582919	ManagementAndGeneral
Fundraising	0	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1097968	Total
Program Services	892648	ProgramServices
Management And General	205320	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	32870325	26723574	6146751
PURCHASED SERVICES	12567385	10217284	2350101
EQUIP RENTAL AND MAINT	11101405	9025442	2075963
PROVISION FOR BAD DEBTS	9239109	7511396	1727713
CORPORATE SUPPORT	7969640	6479317	1490323

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2668838	Total
Program Services	2169766	ProgramServices
Management And General	499072	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	242230947	Total
Program Services	195823956	ProgramServices
Management And General	45023223	ManagementAndGeneral
Fundraising	1383768	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	16286901	BOY
EOY	15680282	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	5414641	BOY
EOY	4543691	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	41435855	BOY
EOY	42503899	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	4051739	BOY
EOY	4417141	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1619524	BOY
EOY	1337154	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	289373963	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	128060305	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	156228923	BOY
EOY	161313658	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	28381434	BOY
EOY	57052621	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	11052740	BOY
EOY	3079056	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	264471757	BOY
EOY	289927502	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	26946544	BOY
EOY	27393692	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	293122	BOY
EOY	123330	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	78000000	BOY
EOY	78000000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	11326405	BOY
EOY	17052462	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	116566071	BOY
EOY	122569484	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	119062229	BOY
EOY	140415679	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	9479316	BOY
EOY	6924375	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	19364141	BOY
EOY	20017964	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	147905686	BOY
EOY	167358018	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	264471757	BOY
EOY	289927502	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	16948282	BeginningOfYearBalance
Contributions	658921	Contributions
Investment Earnings Or Losses	1308308	InvestmentEarningsOrLosses
Other Expenditures	51181	OtherExpenditures
End Of Year Balance	18864330	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	23542928	BeginningOfYearBalance
Contributions	1206847	Contributions
Investment Earnings Or Losses	-4687689	InvestmentEarningsOrLosses
Other Expenditures	3113804	OtherExpenditures
End Of Year Balance	16948282	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7839430	OtherCostOrOtherBasis
Book Value	7839430	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	156718254	OtherCostOrOtherBasis
Depreciation	55502323	Depreciation
Book Value	101215931	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	115413092	OtherCostOrOtherBasis
Depreciation	72404502	Depreciation
Book Value	43008590	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	9403187	OtherCostOrOtherBasis
Depreciation	153480	Depreciation
Book Value	9249707	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	161313658	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
DERIVATIVE INSTRUMENTS 2006 BO	$11,990,801
ANNUITY PAYABLE	$1,638,666
ACCRUED TAIL COVERAGE	$32,637
LONG TERM CAPITAL LEASE-SIEMEN	$905,719
INTERCO PAYABLE	$2,484,639

Field	Value	IRS element (for citing)
Total Of Amounts	17052462	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier

ExplanationExplanation

FIN 48 Footnote from Consolidated Audit Report

In June 2006, the Financial Accounting Standards Board (FASB) issued FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes - an interpretation of FASB Statement No. 109 (FIN 48), which became effective as of July 1, 2007. FIN 48 addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under FIN 48, the tax benefit from an uncertain tax position must be recognized 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. The tax benefits recognized in the consolidated financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate resolution. The implementation of FIN 48 had no impact on Children's Health System's (CHS) consolidated financial statements. CHS does not believe its financial statements include any uncertain tax positions.

Schedule D, Part V

Endowment funds are used according to specific written requests of the donor endowment agreement. If no direct requests are made, funds are used in accordance with the overall mission of the organization.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
Phone Solicitations	X	PhoneSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	true	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

Name Of IndividualNameOfIndividual	ActivityActivity	Fundraiser Control Of FundsFundraiserControlOfFunds	Amount Retained By ContractorAmountRetainedByContractor
SYR Inc	Thrift Stor	true	117006
Children's Miracle Network	Telethon	false	215529

Field	Value	IRS element (for citing)
Total Retained By Contractors	332535	TotalRetainedByContractors
Licensed States	NC	LicensedStates
Licensed States	VA	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Mini Grand Prix	NameOfEvent1
Gross Receipts Event1	92355	GrossReceiptsEvent1
Charitable Contributions Event1	50589	CharitableContributionsEvent1
Gross Revenue Event1	41766	GrossRevenueEvent1
Non Cash Prizes Event1	116	NonCashPrizesEvent1
Rent Facility Costs Event1	3282	RentFacilityCostsEvent1
Other Direct Expenses Event1	38011	OtherDirectExpensesEvent1
Total Number Of Other Events	0	TotalNumberOfOtherEvents
Gross Receipts Total	92355	GrossReceiptsTotal
Charitable Contributions Total	50589	CharitableContributionsTotal
Gross Revenue Total Events	41766	GrossRevenueTotalEvents
Non Cash Prizes Total Events	116	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	3282	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	38011	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	41409	DirectExpenseSummaryEvents
Net Income Summary	357	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	175.	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	962836	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	962836	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	108837614	TotalCommunityBenefitExpense
Direct Offsetting Revenue	99512729	DirectOffsettingRevenue
Net Community Benefit Expense	9324885	NetCommunityBenefitExpense
Percent Of Total Expense	0.03850	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	109800450	TotalCommunityBenefitExpense
Direct Offsetting Revenue	99512729	DirectOffsettingRevenue
Net Community Benefit Expense	10287721	NetCommunityBenefitExpense
Percent Of Total Expense	0.04250	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13353128	TotalCommunityBenefitExpense
Direct Offsetting Revenue	297217	DirectOffsettingRevenue
Net Community Benefit Expense	13055911	NetCommunityBenefitExpense
Percent Of Total Expense	0.05390	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10571844	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4976106	DirectOffsettingRevenue
Net Community Benefit Expense	5595738	NetCommunityBenefitExpense
Percent Of Total Expense	0.02310	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	47928453	TotalCommunityBenefitExpense
Direct Offsetting Revenue	26878506	DirectOffsettingRevenue
Net Community Benefit Expense	21049947	NetCommunityBenefitExpense
Percent Of Total Expense	0.08690	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	204335	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	204335	NetCommunityBenefitExpense
Percent Of Total Expense	0.00080	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	72057760	TotalCommunityBenefitExpense
Direct Offsetting Revenue	32151829	DirectOffsettingRevenue
Net Community Benefit Expense	39905931	NetCommunityBenefitExpense
Percent Of Total Expense	0.16470	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	181858210	TotalCommunityBenefitExpense
Direct Offsetting Revenue	131664558	DirectOffsettingRevenue
Net Community Benefit Expense	50193652	NetCommunityBenefitExpense
Percent Of Total Expense	0.20720	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$3,666,078	BadDebtExpenseAmount
Amount Attributable To	851992	AmountAttributableTo
Amount Reimbursed By Medicare	939585	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	2367906	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-1428321	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours	OtherOther
Children's Hospital of The King's Daught
601 Childrens Lane	Nofolk	VA	23507	X	X	X	X	X	X	MEDICAID DSH
CHILDREN'S HOSPITAL OF THE KING'S DAUGHT
2021 CONCERT DRIVE	VIRGINIA BEACH	VA	23456							OUTPATIENT SURGICAL HOSPITAL
CHILDREN'S HOSPITAL OF THE KING'S DAUGHT
11783 ROCK LANDING DRIVE	NEWPORT NEWS	VA	23608							OUTPATIENT SURGICAL HOSPITAL

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	N/A	IncomeBasedCriteria
Annual Community Benefit Expln	N/A	AnnualCommunityBenefitExpln
Costing Method Used	A hybrid approach was used for determining costs related to community benefit. Actual costs are identified by department in the general ledger and then were grouped into like community benefit programs. Indirect costs were adjusted for the following: 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.	CostingMethodUsed
Subsidized Health Services Expln	The amount reported on Part I, Line 7g includes $15,685,025 of costs attributable to physician clinics.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	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 $622,189.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Bad debt reported in Part III, Section A is calculated based on the Hospital's overall cost to charge ratio. The ratio was calculated by dividing total applicable charges recorded for all patients into total applicable expenses required to provide that care. CHKD does not maintain records that track patients who could have qualified for charity care. The amount reported in Part III line 3 was calculated using a cost to charge ratio. 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. The audited financial statements and related footnotes for Children's Hospital of the King's Daughters do not contain footnotes related to bad debt expense. 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.	BadDebtFootnote
Shortfall As Community Benefit	As a children's hospital, the Hospital has a small population of Medicare patients and is paid less than cost due to the reimbursement methodology used by Medicare. The shortfall was calculated using the Hospital's overall cost to charge ratio applied to Medicare gross charges. This shortfall is not separately included as a community benefit as 100% of it has already been captured in the appropriate category on Part I, line 7.	ShortfallAsCommunityBenefit
Debt Collection Policy	Accounts with an unpaid balance or without an established payment plan is 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.	DebtCollectionPolicy
Number Of Facility Type Expln	The hospital operates 5 outpatient services facilities offering therapy, laboratory and radiology services in addition to the facilities listed in Part V.	NumberOfFacilityTypeExpln
Needs Assessment	CHKD uses a variety of methods to assess the health care needs of the community it serves. The organization identified the healthcare needs of the community it serves through regional, state and national data and through partnerships and collaborations with other medical and public health agencies and organizations. 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.	NeedsAssessment
Patient Education Assistance	CHKD's Charity Care eligibility criteria and procedures for applying are provided to all patients. Patients who are admitted are provided the information by the use of the admission packet; patients who receive outpatient services are provided the information during the registration process. An application for Charity Care, along with a letter explaining the process, shall be 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 is available on the internet at www. chkd.org. 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 unit social worker is available to provide information or referral to the HBA during an inpatient stay.	PatientEducationAssistance
Community Information	CHKD is the regional pediatric referral center for southeastern Virginia, the Eastern Shore of Virginia and northeastern North Carolina--a service area of nearly 2 million people. The hospital also treats children from across the United States and around the world. This service area comprises a diverse mix of urban, suburban and rural communities, as well as 10 military installations. The Southeastern Virginia region is made up of eight cities collectively known as Hampton Roads: Norfolk, Virginia Beach, Chesapeake, Hampton, Newport News, Portsmouth, Suffolk and Williamsburg. Hampton Roads is the second largest metropolitan area between Washington, D.C., and Atlanta. More than 35% of the region's households have children. Approximately 28.1% of the population of the greater Hampton Roads' area is between 0 - 19 years old. According to the Old Dominion University State of the Region 2010, the recession pushed up poverty rates in Hampton Roads to approximately 11% versus 10.2% in Virginia and a 13.2% rate nationally. Based on federal guidelines, 15.8% of children in CHKD's service area live below the poverty level. The unemployment rate was approximately 6.83% in Hampton Roads compared to 6.65% in Virginia and 9.3% nationally. The region's average wage rate is 8 percent below the national average.	CommunityInformation
Community Building Activities	NONE	CommunityBuildingActivities
Other Information	CHKD has a unique place in the community, especially in service to the indigent population. More than 35 percent of the region's households have children. The region's average wage rate is 8 percent below the national average. Based on federal guidelines, 15.8 percent of children in CHKD's service area live below the poverty level. Those facts help explain why in 2010, the number of patients covered by Medicaid at CHKD grew to 57%. The Virginia hospital with the second-largest Medicaid patient load weighs in under 30%. A majority of the organization's governing body is comprised of persons who reside in the Hampton Roads area and are not 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. The CHKD management and board determine how any surplus funds will be used based on the current needs of the organization. Historically, surplus funds have been used for a variety of purposes including patient care programs, capital improvement needs, reserves, etc.	OtherInformation
Affiliated Health Care System	Role 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 a high percentage of neonatal and pediatric intensive care services; The Children's Health Foundation is established to raise funds, manage investments and fund education, research and other programs for Children's Health System; the Children's Medical Group, Inc., a Virginia stock corporation, 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; and the 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.	AffiliatedHealthCareSystem
Reports Filed With States	VA	ReportsFiledWithStates

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Eastern Virginia Medical School
PO BOX 1980	Norfolk	VA	23501	546055378	501(c)(3)	70000	Nosocomial Infection Research
Old Dominion University Research Foundation
PO BOX 6369	Norfolk	VA	23508	546068198	501(c)(3)	11277	RA Grant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	2	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Process for Awards	Identifier
Explanation	Awards are made to Investigators/Physicians by CHKD (Children's Hospital of The King's Daughters) for specific project or research endeavors. Funding requests are completed and submitted where they are reviewed by the finance department, the CEO and the applicable board. After an award is made, the awardee must file quarterly financial summaries and a final report to be submitted to the CEO at the end of the funding period.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Hugh T McPhee MD
0	271245	0	0	0	1239	0	0	0	21530	0	294014	0	0
JAMES D DAHLING
0	535933	0	205580	0	71276	0	390273	0	43530	0	1246592	0	33369
Dennis Ryan
0	314200	0	96099	0	31550	0	27176	0	41344	0	510369	0	20084
Evelyn Keever
83856	0	7812	0	75936	0	0	0	11633	0	179237	0	0	0
SUZANNE STARLING
182552	0	0	0	14292	0	0	0	20410	0	217254	0	0	0
JAMES DICE
130550	0	11335	0	24317	0	0	0	10431	0	176633	0	0	0
Thomas Berry
102886	0	9347	0	39580	0	0	0	14914	0	166727	0	0	0
Michelle Clayton
138033	0	0	0	2586	0	0	0	16189	0	156808	0	0	0
ARNO ZARITSKY
344843	0	84000	0	14226	0	35048	0	26474	0	504591	0	0	0
JOANN ROGERS
231181	0	55620	0	22919	0	126945	0	27372	0	464037	0	8693	0
DAVID BOWERS
193767	0	47520	0	17603	0	125535	0	32751	0	417176	0	3433	0
JO-ANN BURKE
200993	0	49440	0	42135	0	20600	0	17143	0	330311	0	16335	0
MARTIN CASEY
22710	0	0	0	96686	0	0	0	1782	0	121178	0	4902	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	ExplanationExplanation
Schedule J, Line 1	In connection with a retirement program, tax gross-up payments are provided to certain participants whose 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 4A	MARTIN CASEY RECEIVED A SEVERANCE OF $75,192.
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. James Dahling, Dennis Ryan, Arno Zaritsky, Joann Rogers, David Bowers, and Jo-Ann Burke participate in the Plan. During the year, there were no payments from the Plan.
SCHEDULE J, LINE 7	Officers and Vice Presidents may receive additional compensation based on criteria set up by the Compensation Committee of the Board of Directors. Department Directors may receive additional compensation based on criteria set by management and approved by the Board of Directors.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	VA Small Business Financing Authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	541300845	IssuerEIN
CUSIP Number	928104KD9	CUSIPNumber
Date Issued	2006-01-01	DateIssued
Issue Price	78000000	IssuePrice
Description Of Purpose	Revenue & Refunding Bonds	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	78904564	TotalProceeds
Amount Defeased	55467069	AmountDefeased
Issuance Costs From Proceeds	689744	IssuanceCostsFromProceeds
Capital Expenditures	22747751	CapitalExpenditures
Year Of Subst Completion	2007	YearOfSubstCompletion
Current Refunding	true	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	true	Form8038TFiled
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	false	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	John R Lawson II	NamePerson

Field	Value	IRS element (for citing)
Relationship	Pres/CEO of WM Jordan	Relationship
Amount Of Transaction	4047347	AmountOfTransaction
Description Of Transaction	WM Jordan is construction cont	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	405025	NoncashContribsRptdF990
Method Of Determining Revenues	AVG FMV on date rec	MethodOfDeterminingRevenues

Securities Closely Held Stock SecuritiesCloselyHeldStock

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	5515	NoncashContribsRptdF990
Method Of Determining Revenues	AVG FMV on date rec	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Various in-kind items	Description
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	12014	NoncashContribsRptdF990
Method Of Determining Revenues	AVG FMV on date rec	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	true	ReviewProcessUnusualNCGifts
Third Parties Used	true	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	Schedule M, Line 32A	Identifier
Explanation	CHKD pays SYR, Inc. Management fees to manage thrift stores for the BENEFIT OF THE ORGANIZATION. CHKD ALSO PAYS TIDEWATER AUTO TO AUCTION CARS FOR THE BENEFIT OF THE ORGANIZATION.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
GOVERNING BODY & MANAGEMENT ITEMS	Part VI LINE 11	THE 990 IS PREPARED USING THE ANNUAL FINANCIAL STATEMENTS THAT IS REGULARLY 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 RETURN AND PRIOR TO FILING, THE BOARD IS PROVIDED A COPY FOR REVIEW.
GOVERNING BODY & MANAGEMENT ITEMS	PART VI, SECTION A QUESTIONS 6,7A & 7B	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. 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.). 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.
POLICIES	990 Part VI B	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 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 the governing documents including the conflict of interest policy are available to the public through direct inquiry and the request of the organization.
FORM 990, PART VII		THE FOLLOWING INDIVIDUALS WORK FOR MULTIPLE RELATED ORGANIZATIONS AS INDICATED BELOW: Hugh McPhee - 40 hours CMG & 1 hour CHS Donald Nuss - 16 hours CSSG & 1 hour CHS Jim Dahling - 40 hours CHS and 1 hour CHF Dennis Ryan - 40 hours CHS and 1 hour CHF
SUPPLEMENTAL INFORMATION FOR SCHEDULE K, PART II, LINE 1		INVESTMENT EARNINGS ON PROJECT FUND ADDED $904,564 IN PROCEEDS WHICH ARE REFLECTED IN PART II, LINE 1, BUT ARE NOT A COMPONENT OF "ISSUE PRICE" UNDER THE DEFINITION OF SUCH TERMS IN THE TREASURY REGULATIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Children's Health System Inc
601 Childrens Lane	Norfolk	VA	23507	541278830	Healthcare	VA	501(c)(3)	11c	NA
Children's Health Foundation Inc
601 Childrens Lane	Norfolk	VA	23507	541278865	Fundraising	VA	501(c)(3)	11c	NA
NORFOLK CITY UNION OF THE KING'S DAUGHTE
601 Childrens Lane	Norfolk	VA	23507	541283946	Charity Promo	VA	501(c)(3)	7	NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
Children's Surgical Specialty Group Inc
601 Childrens Lane	Norfolk	VA	23507	311610834	Healthcare	VA	NA	C Corp
Children's Medical Group Inc
601 Childrens Lane	Norfolk	VA	23507	541778786	Healthcare	VA	NA	C Corp
CMG of North Carolina Inc
601 Childrens Lane	Norfolk	VA	23507	561960102	Healthcare	NC	NA	C Corp
Children's Health System Insurance LTD
					Insurance		NA	C Corp	4th Floor 41 Cedar Avenue	Hamilton	BD	HM12	BD

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	true	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
CHILDREN'S SURGICAL SPECIALTY GROUP INC
A,I	863048
CHILDREN'S MEDICAL GROUP
A,I	422247
CORPORATE SUPPORT EXPENSE CHS
O	7969640
CASH TRANSFER TO CHS
Q	1400000
CASH TRANSFER FROM CMG
R	3849000
CASH TRANSFER TO CSSG
Q	2000000
CASH TRANSFER TO CMG
Q	1600000
CHILDREN'S HEALTH FOUNDATION
C	188201
DUE TO CHS
E	2358673
DUE TO CHF
E	95478
CMG
J	97811
CMG VA EQUITY OUT
B	2844643
CSSG EQUITY OUT
B	10053225
NCUKD
C	267275
EMPLOYEES PAID BY NCUKD
N	193995
CMG NC EQUITY OUT
B	574984