2026-05-13T09:12:21+00:00 2025-06-30 440160260 Forvis Mazars LLP One Oak Plaza Suite 300 Asheville NC 28801 990 2024-07-01 541278830 Children's Health System Inc CHIL 7576687000 601 Childrens Lane Norfolk VA 23507 AMY SAMPSON PRESIDENT/DIRECTOR 7576687000 2026-05-13 true true Amy Bibby P00445891 8282542254 2026-05-06 2024 2025-03-06 01:10:19Z AMY SAMPSON 601 Childrens Lane Norfolk VA 23507 70060470 false X WWW.CHKD.ORG X 1984 VA SEE SCHEDULE O. 24 21 74 21 0 13250000 13500000 22915118 30867507 276050 594655 3623695 3208746 40064863 48170908 2000000 1000000 0 0 13138908 17034015 1100 1100 230561 22708862 31215545 37848870 49250660 2215993 -1079752 136241412 137132232 81777710 83246673 54463702 53885559 SEE SCHEDULE O. false false 38287194 1000000 31020398 THE HEALTH SYSTEM PROVIDED LONG RANGE PLANNING, MANAGEMENT AND SUPPORT SERVICES FOR ITS SUBSIDIARIES IN FURTHERANCE OF THEIR MISSIONS. 38287194 true true false true false false false false false false true false true true true true false true false false false false false false false false false true false true true false false false false false false false false false false true false false false true true true true false false true 54 0 true 74 true false false false false false false false false false false true false X 24 21 false false false false true true true true true false false false true true true true true true true true false false NC VA X Kathryn Abshire 7576687000 601 Childrens Lane Norfolk VA 23507 Akhil Jain Chairman/Director 2.0 4.0 X X 0 0 0 Amy Sampson President/CEO/Director 42.0 4.0 X X 2286148 0 972272 Brian Skinner Chair/Vice Chairman/Director 2.0 4.0 X X 0 0 0 Kim Georges Secretary/Director 2.0 4.0 X X 0 0 0 Larry Bernert Secretary/Director 2.0 4.0 X X 0 0 0 Miles Leon Vice Chairman/Director 2.0 4.0 X X 0 0 0 Owen Griffin Treasurer/Director 2.0 4.0 X X 0 0 0 Carl St Remy MD Director 1.0 42.0 X 0 852062 44227 Elly Bradshaw Smith Director 1.0 2.0 X 0 0 0 George Clarke Director 1.0 2.0 X 0 0 0 John R Lawson II Director 1.0 2.0 X 0 0 0 Julia Childress Beck Director 1.0 2.0 X 0 0 0 Katherine Knaus Director 1.0 2.0 X 0 0 0 Katrina Lesher MD Director 1.0 2.0 X 0 0 0 Kevin Murphy Director 1.0 2.0 X 0 0 0 Kieran Poulos Director 1.0 2.0 X 0 0 0 Lemuel Lewis Director 1.0 2.0 X 0 0 0 Leslie Doyle Director 1.0 2.0 X 0 0 0 Mark Compton Director 1.0 2.0 X 0 0 0 Martha Colen Director 1.0 2.0 X 0 0 0 Nicole Legum Director 1.0 2.0 X 0 0 0 Scott Nottingham MD Director 1.0 42.0 X 0 412261 43519 Susan Wynne Director 1.0 2.0 X 0 0 0 Taylor Priest Director 1.0 2.0 X 0 0 0 Kathryn Abshire CFO/Asst Tres./Asst Sec. 41.0 2.0 X 1027420 0 535712 Christopher Foley Senior VP - Chief Clinical Operations Officer 40.0 X 970874 0 184126 Donald Barnes Senior VP - Chief People Officer 40.0 X 454854 0 102249 Kimberly Day Senior VP - Chief Legal Officer 40.0 X 700226 0 128648 Tamika Harris VP - Facilities & Support Services 40.0 X 0 159224 19196 Tara Estabrooks VP - Strategic Planning & Business Development 40.0 X 316200 0 59090 Terrie Pyeatt VP - Finance 40.0 X 325155 0 63821 Bryant Thomas VP - Advancement 40.0 X 267785 0 39885 Deborah Barnes VP - IS Operations 40.0 X 991934 0 165374 Garrett Urban Director Legal Services 40.0 X 259491 0 42766 Ridgely Ingersoll Director Marketing 40.0 X 241368 0 9402 Windy Mason-Leslie Medical Director Fortify 40.0 X 269445 0 40815 JOHN HARDING FORMER Chief Operations Officer X 1174869 0 0 9285769 1423547 2451102 27 false true false SYR INC 795 MONTICELLO AVE NORFOLK VA 23601 management services 10230190 KPMG LLP PO BOX 120522 DALLAS TX 75312 accounting 533900 DAVIS INC 1705 BALTIC AVE VIRGINIA BEACH VA 23455 advertising 428108 ECG MANAGEMENT CONSULTANTS INC 115 Federal St Suite 1900 Boston MA 02110 payer consulting 418756 ROLYN LLC 5706 Frederick Avenue Rockville MD 20852 maintenance & repair 379606 18 13500000 13500000 MANAGEMENT FEES FROM SUBSIDIARIES 900099 20946931 20946931 CONTRACT REVENUE 900099 5303840 5303840 PHARMACY REVENUE 900099 4616736 4616736 0 0 0 0 30867507 534799 534799 3336215 2893311 442904 0 442904 442904 4587069 4527213 59856 0 59856 59856 17099676 14469038 2630638 2630638 MISCELLANEOUS 900099 152891 152891 GAIN/LOSS ON UNCONSOLIDATED SUBS. 900099 -345846 -345846 328159 0 0 328159 135204 48170908 31020398 0 3650510 X 1000000 1000000 5532364 403405 5094452 34507 8009767 5146665 2863102 1911562 829259 1082303 1002950 765967 236983 577372 378794 198578 995217 75448 919769 494537 494459 78 364732 364732 1100 1100 5583095 5583007 88 0 1111508 1111508 240307 219852 1797 18658 227001 217969 9032 234529 207076 27453 33249 33099 142 8 14315 9621 4694 1232645 1232645 12352417 12352417 63722 62994 728 1744483 1635684 2136 106663 SUPPLIES 3778803 3769029 3376 6398 PURCHASED SERVICES 1337489 1337489 EQUIP RENTAL AND MAINT. 15356 9712 5644 1392140 1046363 316375 29402 49250660 38287194 10732905 230561 8257365 8649633 0 0 405119 639749 706371 575846 56696767 12510148 45256865 44186619 6505573 4457093 0 9308313 9822215 65801806 68801077 136241412 137132232 5752732 6490037 46280613 46127721 0 29744365 30628915 81777710 83246673 X 54463702 53885559 54463702 53885559 136241412 137132232 X -1079752 1022248 734645 -1255284 X false true true true true X X 1 CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS 540506321 3 true 1000000 0 1 1000000 0 true false false false false false false false false false false false false false false true Schedule A, Part I, Line 12g(vi) THE EXPENSES INCURRED BY CHILDREN'S HEALTH SYSTEM, INC. THAT ARE REPORTED ON FORM 990, PART IX WERE EXPENDED TO PROVIDE SUPPORT AND MANAGEMENT TO ITS SUPPORTED ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false false false false true 443959 false false 443959 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY CHILDREN'S HEALTH SYSTEM (CHS) TAKES THE WELFARE OF THE CHILDREN THAT ARE CARED FOR WITHIN THE CHS FAMILY AS A PRIORITY. AS SUCH, THERE ARE MANY LEGISLATIVE ISSUES THAT OUR STATE AND FEDERAL GOVERNMENTS HANDLE THAT COULD AFFECT CHS. CHS RELIES ON VOLUNTEERS FROM THE NORFOLK CITY UNION OF THE KING'S 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 PEDIATRIC GENERAL AND MENTAL HEALTH CARE; DISPROPORTIONATE SHARE HOSPITAL FUNDING; BECAUSE A HIGH PERCENTAGE OF PATIENTS CARED FOR IN THE CHS FAMILY ARE COVERED BY MEDICAID; CHILDREN'S HOSPITALS GRADUATE MEDICAL EDUCATION (CHGME) BUDGET AND FUNDING; TRICARE FUNDING FOR CHILDREN'S HEALTH ISSUES; MEDICAID/CHIP; CHILDREN'S MENTAL HEALTH SERVICES; MEDICAL EDUCATION; DEFENSE HEALTH AGENCY PEDIATRIC CARE; FY 2025 AND 2026 SERVICEMEMBER QUALITY OF LIFE IMPROVEMENT AND NATIONAL DEFENSE AUTHORIZATION ACT (NDAA); THE MILITARY TREATMENT FACILITIES RESTRUCTURING; FY 2025 CONTINUING RESOLUTION; AND CONGRESSIONIALLY DIRECTED SPENDING AND COMMUNITY PROJECT FUNDING. 19662039 19662039 34453245 10709793 23743452 513317 237930 275387 2032021 1547565 484456 36145 14860 21285 44186619 CLOSE-HELD EQUITY INTERESTS 9822215 C 9822215 INVESTMENT IN SUBSIDIARIES 36897015 457B/TOPHAT INVESTMENT 12939816 INSURANCE RECOVERABLE 4474689 CSV OF LIFE INSURANCE 650879 INTERCOMPANY RECEIVABLE 525582 SERP PLAN ASSETS 1681731 ACCOUNTS RECEIVABLE MISC 1309610 DERIVATIVE INSTRUMENTS 5482235 RIGHT OF USE ASSETS 4839520 68801077 Federal Income Taxes SERP LIABILITIES 7314612 457B/TOPHAT LIABILITY 11881816 IBNE INSURANCE CLAIMS 4474689 ACCRUED TAIL COVERAGE 527467 EXEC CAP APPREC ACCT (CAA) 169926 INTERCOMPANY LIABILITIES 1206040 RIGHT OF USE LIABILITY 4928732 ACRRUED POST EMPLOYMENT BENEFIT 125633 30628915 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote CHS RECOGNIZES ANY BENEFITS FROM AN UNCERTAINTY IN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. IF APPLICABLE, THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION WOULD BE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE RESOLUTION. CHS DOES NOT BELIEVE ANY UNCERTAIN TAX PROVISIONS REQUIRE RECORDING IN ITS CONSOLIDATED FINANCIAL STATEMENTS. true CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS 601 CHILDRENS LANE NORFOLK VA 23507 540506321 501(C)(3) 1000000 SUPPORT MISSION 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds CHILDREN'S HEALTH SYSTEM, INC. DID NOT PROVIDE GRANTS TO UNRELATED THIRD PARTIES DURING THE TAX YEAR. THE AMOUNTS LISTED ON PART II ARE CONTRIBUTIONS TO THE ORGANIZATIONS LISTED. X true true X X X X false true false false false false false false false Amy Sampson President/CEO/Director 1144719 0 326859 0 814570 0 930206 0 42066 0 3258420 0 756504 0 Scott Nottingham MD Director 0 411789 0 0 0 472 0 13800 0 29719 0 455780 0 0 Carl St Remy MD Director 0 851252 0 0 0 810 0 13800 0 30427 0 896289 0 0 Kathryn Abshire CFO/Asst Tres./Asst Sec. 555389 0 114459 0 357572 0 497762 0 37950 0 1563132 0 324962 0 JOHN HARDING FORMER Chief Operations Officer 0 0 0 0 1174869 0 0 0 0 0 1174869 0 783026 0 Tamika Harris VP - Facilities & Support Services 0 112488 0 0 0 46736 0 4739 0 14457 0 178420 0 0 Christopher Foley Senior VP - Chief Clinical Operations Officer 814043 0 144735 0 12096 0 136787 0 47339 0 1155000 0 0 0 Kimberly Day Senior VP - Chief Legal Officer 490396 0 102138 0 107692 0 100590 0 28058 0 828874 0 71060 0 Donald Barnes Senior VP - Chief People Officer 380959 0 63179 0 10716 0 80907 0 21342 0 557103 0 0 0 Terrie Pyeatt VP - Finance 270292 0 44147 0 10716 0 51255 0 12566 0 388976 0 0 0 Tara Estabrooks VP - Strategic Planning & Business Development 261194 0 43907 0 11099 0 50801 0 8289 0 375290 0 0 0 Deborah Barnes VP - IS Operations 461801 0 78395 0 451738 0 145454 0 19920 0 1157308 0 424585 0 Windy Mason-Leslie Medical Director Fortify 268995 0 0 0 450 0 11168 0 29647 0 310260 0 0 0 Bryant Thomas VP - Advancement 216314 0 35629 0 15842 0 36988 0 2897 0 307670 0 0 0 Garrett Urban Director Legal Services 219890 0 18878 0 20723 0 10057 0 32709 0 302257 0 0 0 Ridgely Ingersoll Director Marketing 197097 0 14186 0 30085 0 7557 0 1845 0 250770 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments IN CONNECTION WITH A RETIREMENT PROGRAM, TAX GROSS-UP PAYMENTS ARE PROVIDED TO CERTAIN EMPLOYEES 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, Part I, Line 4b Supplemental nonqualified retirement plan CHILDREN'S HEALTH SYSTEM SPONSORS TWO SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS (THE PLANS). THE PLANS ARE DESIGNED TO RETAIN EXECUTIVES IN POSITIONS ESSENTIAL TO THE SUCCESS OF CHILDREN'S HEALTH SYSTEM. DURING THE YEAR, THE FOLLOWING INDIVIDUALS WERE PARTICIPANTS IN ONE OF THE SPONSORED SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS AND RECEIVED THE FOLLOWING ANNUAL ACTUARIAL INCREASE OR DEFERRED CONTRIBUTION (INCLUDED IN SCHEDULE J, PART II, COLUMN (C)) AND/OR PAYMENT (INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III)). AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (B) III MAY DIFFER FROM AMOUNTS PAID DUE TO TIMING DIFFERENCES IN VESTING AND PAYMENTS. NAME: AMY SAMPSON ACT. INCREASE: $829,117 AMT. PAID: $329,049 NAME: KATHRYN ABSHIRE ACT. INCREASE: $463,097 AMT. PAID: $136,327 NAME: DEBORAH BARNES ACT. INCREASE: $120,553 AMT. PAID: $2,116,694 NAME: CHRIS FOLEY ACT. INCREASE: $122,987 AMT. PAID: $0 NAME: KIMBERLY DAY ACT. INCREASE: $86,790 AMT. PAID: $80,255 NAME: DONALD BARNES ACT. INCREASE: $67,107 AMT. PAID: $0 NAME: TERRIE PYEATT ACT. INCREASE: $38,617 AMT. PAID: $0 NAME: TARA ESTABROOKS ACT. INCREASE: $38,406 AMT. PAID: $0 NAME: BRYANT THOMAS ACT. INCREASE: $31,166 AMT. PAID: $0 NAME: JOHN HARDING ACT. INCREASE: $0 AMT. PAID: $1,480,250 A VA SMALL BUSINESS FINANCING AUTHORITY 541300845 000000000 2025-06-02 90805000 REFINANCE 2015 SERIES BONDS (ISSUED 12/01/2015) FOR THE FINANCING OF HEALTHCARE FACILITIES false false false A 46311000 46311000 2025 true false true true A false true true true true true 0.0033 0 0.0033 false false 0 false true A false true false false true false 0 false false false 0 false false true A true Schedule K, Part II, Line 10 CAPITAL EXPENDITURES FROM REQUISITIONED PROCEEDS CURRENTLY TOTAL $90,805,000 OF WHICH $46,311,000 WAS ALLOCATED TO CHILDREN'S HEALTH SYSTEM AND $44,494,000 WAS ALLOCATED TO CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS. Schedule K, Part III, Line 4 WE HAVE CONCLUDED THAT OUT OF THE ACTIVITIES CONDUCTED IN THIS BOND FINANCE SPACE, WE HAVE NOTED THAT .33% OF THE SPACE WAS PRIVATE BUSINESS USE. THE REMAINING SPACE DID NOT RESULT IN PRIVATE BUSINESS USE DUE TO EQUITY PROVIDED OR A REGULATORY SAFE HARBOR. X Other false true true Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions CHILDREN'S HEALTH SYSTEM PAYS SYR, INC. MANAGEMENT FEES TO MANAGE THRIFT STORES FOR THE BENEFIT OF THE ORGANIZATION. Schedule M, Part I, Line 33 Noncash contribution amounts not reported CHILDREN'S HEALTH SYSTEM RECEIVED NON-CASH CONTRIBUTIONS DURING THE YEAR; HOWEVER THESE NON CASH CONTRIBUTIONS WERE NOT VALUED UNTIL THE ITEMS WERE SOLD IN THE THRIFT STORE. Form 990, Part I, Line 1 CHILDREN'S HEALTH SYSTEM IS A MULTI-SPECIALTY HEALTH SYSTEM SERVING SOUTHEASTERN VIRGINIA AND NORTHEASTERN NORTH CAROLINA OFFERING COMPREHENSIVE PEDIATRIC CARE FOR CHILDREN FROM BIRTH TO AGE 21. Form 990, Part III, Line 1 CHILDREN'S HEALTH SYSTEM IS A PEDIATRIC HEALTHCARE SYSTEM DEDICATED TO THE HEALTH AND WELLBEING OF CHILDREN AND YOUNG ADULTS FROM SOUTHEASTERN VIRGINIA, VIRGINIA'S EASTERN SHORE AND NORTHEASTERN NORTH CAROLINA. THROUGH ITS OVERSIGHT AND MANAGEMENT OF CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, CHILDREN'S MEDICAL GROUP, CHILDREN'S SURGICAL SPECIALTY GROUP AND CHILDREN'S HEALTH FOUNDATION, THE HEALTH SYSTEM MEETS THE VARIED MEDICAL NEEDS OF MORE THAN 400,000 INFANTS, CHILDREN, TEENS AND YOUNG ADULTS. Form 990, Part VI, Line 15 AN INDEPENDENT COMPENSATION CONSULTANT APPROVED AND RETAINED BY THE COMPENSATION COMMITTEE OF THE BOARD ANNUALLY, USUALLY IN APRIL, PROVIDES EDUCATION AND PRESENTS TO THE FULL BOARD COMPARATIVE SALARIES AND SALARY RANGES FROM A DATABASE COMPRISED OF CHILDREN'S HOSPITALS AND OTHER APPLICABLE HOSPITALS FOR OFFICERS AND EXECUTIVES FOR THE BOARD TO REVIEW. THE COMPENSATION COMMITTEE WITH THE AID OF THE CONSULTANT REVIEWS AND MAKES DECISIONS AS TO EXECUTIVE SALARIES OF CHS AND ITS SUBSIDIARIES. THOSE SALARY CHANGES AND APPROVALS ARE CONTEMPORANEOUSLY DOCUMENTED BY MINUTES MAINTAINED BY THE COMPENSATION COMMITTEE AND SIGNED BY THE CHAIRMAN OF THE BOARD. Form 990, Part VI, Line 6 Classes of members or stockholders 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.). Form 990, Part VI, Line 7a Members or stockholders electing members of governing body 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. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders 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. Form 990, Part VI, Line 11b Review of form 990 by governing body THE 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM 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. Form 990, Part VI, Line 12c Conflict of interest policy 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 CONFLICT 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. Form 990, Part VI, Line 19 Required documents available to the public FINANCIAL STATEMENTS (PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF CHILDREN'S HEALTH SYSTEM, INC.) ALONG WITH GOVERNING DOCUMENTS OF THE ORGANIZATION INCLUDING THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC THROUGH DIRECT INQUIRY AND REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue ALL OTHER REVENUE - Total Revenue: 328159, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 328159; Form 990, Part IX, Line 11g Other Fees CONSULTING FEES - Total Expense: 2070720, Program Service Expense: 2070720, Management and General Expenses: , Fundraising Expenses: ; PROF CONTRACT FEES - Total Expense: 2755555, Program Service Expense: 2755555, Management and General Expenses: , Fundraising Expenses: ; OTHER FEES - Total Expense: 756820, Program Service Expense: 756732, Management and General Expenses: 88, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN DERIVATIVE - -416118; CHANGE IN PENSION LIABILITY - -839166; Total - -1255284; CHKD THRIFT STORES LLC 601 CHILDRENS LANE NORFOLK VA 23507 THRIFT STORES VA 17099675 9206984 CHS INC CHILDREN'S REAL ESTATE 601 CHILDRENS LANE NORFOLK VA 23507 LESSOR VA 3664374 51260291 CHS INC CHILDREN'S RESEARCH HOLDINGS LLC 601 CHILDRENS LANE NORFOLK VA 23507 RESEARCH INV VA 0 8264657 CHS INC CHILDREN'S QUALITY CARE LLC 601 CHILDRENS LANE NORFOLK VA 23507 CIN VA 2678140 2497692 CHS INC CHILDREN'S PHARMACY SERVICES LLC 601 CHILDRENS LANE NORFOLK VA 23507 PHARMACY VA 4616736 1845793 CHS INC CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS 601 CHILDRENS LANE NORFOLK VA 23507 540506321 HEALTHCARE VA 501(c)(3) 3 CHILDREN'S HEALTH SYSTEM true CHILDREN'S HEALTH FOUNDATION INC 601 CHILDRENS LANE NORFOLK VA 23507 541278865 SUPP CHKD VA 501(c)(3) Type I CHILDREN'S HEALTH SYSTEM true FORTIFY CHILDREN'S HEALTH LLC 1330 JEFFERSON PARK AVENUE CHARLOTTESVILLE VA 22903 831442745 HEALTHCARE VA NA Related false false REALTA HOLDINGS LLC 601 CHILDRENS LANE NORFOLK VA 23507 823954346 RESEARCH VA NA Related 0 false false CHILDREN'S SURGICAL SPECIALTY GROUP INC 601 CHILDRENS LANE NORFOLK VA 23507 311610834 HEALTHCARE VA NA C Corporation 28239751 true CHILDREN'S MEDICAL GROUP INC 601 CHILDRENS LANE NORFOLK VA 23507 541778786 HEALTHCARE VA NA C Corporation true CMG OF NORTH CAROLINA INC 601 CHILDRENS LANE NORFOLK VA 23507 561960102 HEALTHCARE NC NA C Corporation true true true true false true false false false false true false true true true true true true true false CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS L 20946932 BOOK VALUE CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS E 650195 BOOK VALUE CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS B 1000000 CASH CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS C 13500000 CASH CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS A 3336215 CASH CHILDREN'S SURGICAL SPECIALTY GROUP INC R 12352417 BOOK VALUE CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS M 734645 BOOK VALUE