CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC (EIN 54-0506321)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202331359349304383
- Schema version
- 2021v4.2
- 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) |
|---|---|---|
| Return | 2023-05-15T09:36:13-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 135565207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8350 BROAD STREET SUITE 900 | AddressLine1Txt |
| City | MCLEAN | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540506321 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S HOSPITAL OF THE KING'S | BusinessNameLine1Txt |
| Business Name Line2 | DAUGHTERS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 7576687000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 CHILDRENS LANE | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23507 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHRYN ABSHIRE | PersonNm |
| Person Title | CFO/ASST TREAS/SECR | PersonTitleTxt |
| Phone | 7576687000 | PhoneNum |
| Signature | 2023-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KATHRYN | PersonFirstNm |
| Person Last | ABSHIRE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHAWN HUTCHINSON | PreparerPersonNm |
| PTIN | P01048557 | PTIN |
| Phone | 7032868000 | PhoneNum |
| Preparation | 2023-05-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JAMES D DAHLING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 CHILDRENS LANE | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23507 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $749,378,014 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHKD.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE ODEDICATED TO THE MISSION OF PROVIDING THE BEST POSSIBLE CARE AND SERVICES FOR ALL CHILDREN WHO COME TO US BECAUSE OF SICKNESS AND INJURY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 3622 | TotalEmployeeCnt |
| Total Volunteers | 242 | TotalVolunteersCnt |
| Total Gross UBI | $495,419 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $240,510 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $99,087,320 | PYContributionsGrantsAmt |
| CY Contributions Grants | $88,572,506 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $405,576,468 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $545,779,845 | CYProgramServiceRevenueAmt |
| PY Investment Income | $49,345,049 | PYInvestmentIncomeAmt |
| CY Investment Income | -$3,631,860 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,363,837 | PYOtherRevenueAmt |
| CY Other Revenue | $3,906,723 | CYOtherRevenueAmt |
| PY Total Revenue | $558,372,674 | PYTotalRevenueAmt |
| CY Total Revenue | $634,627,214 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $19,703,670 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $14,604,433 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $213,621,050 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $262,614,831 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $200,918 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $232,113 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $3,144,680 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $232,798,272 | PYOtherExpensesAmt |
| CY Other Expenses | $256,248,073 | CYOtherExpensesAmt |
| PY Total Expenses | $466,323,910 | PYTotalExpensesAmt |
| CY Total Expenses | $533,699,450 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $92,048,764 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $100,927,764 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,001,729,901 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,082,483,548 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $328,154,515 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $312,473,512 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $673,575,386 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $770,010,036 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $471,335,905 | ExpenseAmt |
| Grant | $14,604,433 | GrantAmt |
| Revenue | $548,781,894 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Program Service Expenses | $471,335,905 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 99 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3622 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (1) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (1) | NondeductibleContriDisclInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | Yes (1) | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | AL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MD | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | OK | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | UT | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | WI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATHRYN ABSHIRE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7576687000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 CHILDRENS LANE | AddressLine1Txt |
| City | NORFOLK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23507 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JAMES D DAHLING | |||||||||
| PRESIDENT/DIRECTOR | 1.00 | 42.00 | Yes (X) | Yes (X) | $0 | $1,156,661 | $45,921 | ||
| ROBERT OBERMEYER MD | |||||||||
| DIRECTOR | 1.00 | 41.00 | Yes (X) | $0 | $650,822 | $39,423 | |||
| AKHIL JAIN | |||||||||
| CHAIRMAN/DIRECTOR | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| EDWARD WHITMORE | |||||||||
| TREASURER/DIRECTOR | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ELLY BRADSHAW SMITH | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN R LAWSON II | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JULIA CHILDRESS BECK | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHRYN M VAN BUREN | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KIM GEORGES | |||||||||
| SECRETARY/DIRECTOR | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARTA SATIN-SMITH | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARTHA COLEN | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MILES LEON | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| R JUSTIN FULTON | |||||||||
| VICE CHAIRMAN/DIRECTOR | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SVINDER S TOOR MD | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KIERAN POULOS | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STACEY VELLINES | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| OWEN GRIFFEN | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN MURPHY | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT NOTTINGHAM MD | |||||||||
| DIRECTOR | 1.00 | 41.00 | Yes (X) | $0 | $340,274 | $40,423 | |||
| BRIAN SKINNER | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS RYAN | |||||||||
| CFO & ASSISTANT SECRETARY/TREASURER | 1.00 | 42.00 | Yes (X) | $0 | $2,165,943 | $88,462 | |||
| KATHRYN ABSHIRE | |||||||||
| VP - FINANCE & ASST. SECR/TREAS. | 1.00 | 41.00 | Yes (X) | $0 | $318,815 | $184,096 | |||
| DEBORAH BARNES | |||||||||
| VP - IS OPERATIONS | 0.00 | 40.00 | $0 | $787,512 | $428,062 | Yes (X) | |||
| KAREN MITCHELL | |||||||||
| VP - PATIENT CARE SERVICES | 40.00 | 0.00 | $500,080 | $0 | $27,761 | Yes (X) | |||
| JOHN HARDING | |||||||||
| CHIEF OPERATING OFFICER | 0.00 | 40.00 | $0 | $809,035 | $431,478 | Yes (X) | |||
| ALLISON SILVA | |||||||||
| VP - ANCILLARY SERVICES | 40.00 | 0.00 | $435,420 | $0 | $185,834 | Yes (X) | |||
| JALANA MCCASLAND | |||||||||
| VP - PHYSICIAN PRACTICE MGMT | 40.00 | 0.00 | $378,572 | $0 | $192,397 | Yes (X) | |||
| TAMIKA HARRIS | |||||||||
| VP - FACILITIES & SUPPORT SERV | 40.00 | 0.00 | $273,907 | $0 | $97,429 | Yes (X) | |||
| SANDIP GODAMBE MD | |||||||||
| VP - QUALITY & PATIENT SAFETY | 40.00 | 0.00 | $465,499 | $0 | $282,970 | Yes (X) | |||
| SUZANNE BRIXEY | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $330,151 | $0 | $14,838 | Yes (X) | |||
| JOHN WARBURTON | |||||||||
| VP - MENTAL HEALTH | 40.00 | 0.00 | $329,131 | $0 | $85,353 | Yes (X) | |||
| MICHELLE CLAYTON | |||||||||
| MEDICAL DIRECTOR CHILD ADVOCACY | 40.00 | 0.00 | $217,185 | $0 | $34,344 | Yes (X) | |||
| JOHN HARRINGTON | |||||||||
| VP - QUALITY/SAFETY & CLINICAL INTG. | 20.00 | 20.00 | $140,658 | $218,505 | $98,793 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,070,603 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $6,447,567 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,277,584 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 236 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| W M JORDAN | |||||
| 11010 JEFFERSON AVE | NEWPORT NEWS | VA | 23601 | CONSTRUCTION | $76,562,420 |
| CHILDREN'S SPECIALTY GROUP | |||||
| PO BOX 11049 | NORFOLK | VA | 23517 | MEDICAL | $33,178,241 |
| EASTERN VIRGINIA MED SCHOOL | |||||
| PO BOX 1980 | NORFOLK | VA | 235011980 | MEDICAL | $13,226,062 |
| THE WHITING-TURNER CONTRACTING COMPANY | |||||
| 300 E JOPPA ROAD | BALTIMORE | MD | 212863048 | CONSTRUCTION | $9,160,733 |
| COMPASS ONE | |||||
| PO BOX 1022289 | ATLANTA | GA | 30368 | FOOD SERVICES | $8,747,211 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 128 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $168,736 | FederatedCampaignsAmt |
| Related Organizations | $47,272,331 | RelatedOrganizationsAmt |
| Government Grants | $11,757,950 | GovernmentGrantsAmt |
| All Other Contributions | $29,373,489 | AllOtherContributionsAmt |
| Noncash Contributions | $1,849,613 | NoncashContributionsAmt |
| Total Contributions | $88,572,506 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 900099 | $516,487,471 | $516,487,471 | |
| OTHER RELATED SERVICES | 900099 | $28,796,955 | $28,796,955 | |
| LAB SERVICES | 621500 | $371,146 | $371,146 | |
| SPORTS RELATED SERVICE | 900099 | $124,273 | $124,273 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $545,779,845 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,874,002 | TotalRevenueColumnAmt |
| Exclusion | $6,874,002 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,848,786 | RealAmt |
| Personal | $22,805 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,460,330 | RealAmt |
| Personal | $2,006 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $388,456 | RealAmt |
| Personal | $20,799 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $409,255 | TotalRevenueColumnAmt |
| Exclusion | $409,255 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $101,697,580 | SecuritiesAmt |
| Other | $85,022 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $112,098,534 | SecuritiesAmt |
| Other | $189,930 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$10,400,954 | SecuritiesAmt |
| Other | -$104,908 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,505,862 | TotalRevenueColumnAmt |
| Exclusion | -$10,505,862 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GRADUATE MEDICAL ED. | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,497,468 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,497,468 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,497,468 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $634,627,214 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $548,781,894 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $495,419 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$3,222,605 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,604,433 | TotalAmt |
| Program Services | $14,604,433 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,523,468 | TotalAmt |
| Program Services | $1,201,888 | ProgramServicesAmt |
| Management And General | $321,580 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,505,219 | TotalAmt |
| Program Services | $203,280,568 | ProgramServicesAmt |
| Management And General | $17,365,486 | ManagementAndGeneralAmt |
| Fundraising | $1,859,165 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,450,380 | TotalAmt |
| Program Services | $4,646,511 | ProgramServicesAmt |
| Management And General | $1,737,163 | ManagementAndGeneralAmt |
| Fundraising | $66,706 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,680,998 | TotalAmt |
| Program Services | $16,437,398 | ProgramServicesAmt |
| Management And General | $1,045,228 | ManagementAndGeneralAmt |
| Fundraising | $198,372 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,454,766 | TotalAmt |
| Program Services | $13,094,329 | ProgramServicesAmt |
| Management And General | $1,217,496 | ManagementAndGeneralAmt |
| Fundraising | $142,941 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,500 | TotalAmt |
| Management And General | $62,500 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,182 | TotalAmt |
| Program Services | $5 | ProgramServicesAmt |
| Management And General | $5,177 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,900 | TotalAmt |
| Management And General | $45,900 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,113 | TotalAmt |
| Fundraising | $232,113 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,681 | TotalAmt |
| Management And General | $303,681 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,937,832 | TotalAmt |
| Program Services | $46,479,482 | ProgramServicesAmt |
| Management And General | $3,370,349 | ManagementAndGeneralAmt |
| Fundraising | $88,001 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,488 | TotalAmt |
| Program Services | $28,721 | ProgramServicesAmt |
| Management And General | $242,867 | ManagementAndGeneralAmt |
| Fundraising | $900 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,271,241 | TotalAmt |
| Program Services | $2,208,517 | ProgramServicesAmt |
| Management And General | $961,547 | ManagementAndGeneralAmt |
| Fundraising | $101,177 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,658,884 | TotalAmt |
| Program Services | $2,095,740 | ProgramServicesAmt |
| Management And General | $485,771 | ManagementAndGeneralAmt |
| Fundraising | $77,373 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,409,449 | TotalAmt |
| Program Services | $15,353,861 | ProgramServicesAmt |
| Management And General | $2,039,555 | ManagementAndGeneralAmt |
| Fundraising | $16,033 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,968 | TotalAmt |
| Program Services | $200,677 | ProgramServicesAmt |
| Management And General | $39,835 | ManagementAndGeneralAmt |
| Fundraising | $5,456 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $722,906 | TotalAmt |
| Program Services | $648,312 | ProgramServicesAmt |
| Management And General | $74,279 | ManagementAndGeneralAmt |
| Fundraising | $315 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,672,164 | TotalAmt |
| Program Services | $4,539,102 | ProgramServicesAmt |
| Management And General | $133,062 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,066,522 | TotalAmt |
| Program Services | $24,447,123 | ProgramServicesAmt |
| Management And General | $2,524,096 | ManagementAndGeneralAmt |
| Fundraising | $95,303 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,904,199 | TotalAmt |
| Program Services | $694,218 | ProgramServicesAmt |
| Management And General | $1,209,849 | ManagementAndGeneralAmt |
| Fundraising | $132 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $81,929,784 | $81,723,507 | $189,589 | $16,688 |
| EQUIP RENTAL AND MAINT. | $23,749,979 | $21,561,950 | $2,100,921 | $87,108 |
| PURCHASED SERVICES | $20,531,291 | $15,630,795 | $4,811,090 | $89,406 |
| CORPORATE SUPPORT | $16,310,931 | $16,310,931 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,147,172 | TotalAmt |
| Program Services | $2,458,768 | ProgramServicesAmt |
| Management And General | $2,620,913 | ManagementAndGeneralAmt |
| Fundraising | $67,491 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,699,450 | TotalAmt |
| Program Services | $471,335,905 | ProgramServicesAmt |
| Management And General | $59,218,865 | ManagementAndGeneralAmt |
| Fundraising | $3,144,680 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,981,519 | BOYAmt |
| EOY | $64,766,381 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,108,722 | BOYAmt |
| EOY | $24,150,559 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,448,509 | BOYAmt |
| EOY | $92,745,444 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,180,116 | BOYAmt |
| EOY | $13,192,307 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,171,291 | BOYAmt |
| EOY | $8,906,221 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $823,681,223 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $348,715,461 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $419,505,175 | BOYAmt |
| EOY | $474,965,762 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $319,345,255 | BOYAmt |
| EOY | $318,152,363 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,639,946 | BOYAmt |
| EOY | $45,318,925 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,349,368 | BOYAmt |
| EOY | $40,285,586 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,001,729,901 | BOYAmt |
| EOY | $1,082,483,548 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,441,384 | BOYAmt |
| EOY | $56,567,101 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,236,982 | BOYAmt |
| EOY | $1,406,048 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,693,628 | BOYAmt |
| EOY | $235,172,888 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,782,521 | BOYAmt |
| EOY | $19,327,475 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,154,515 | BOYAmt |
| EOY | $312,473,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $605,246,805 | BOYAmt |
| EOY | $713,694,947 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,328,581 | BOYAmt |
| EOY | $56,315,089 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $673,575,386 | BOYAmt |
| EOY | $770,010,036 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,001,729,901 | BOYAmt |
| EOY | $1,082,483,548 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $100,927,764 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$37,692,629 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | -$554,157 | DonatedServicesAndUseFcltsAmt |
| Prior Period Adjustments | $5,841,092 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $27,912,580 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,064,465 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,669,332 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,947,279 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $99,087,320 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,572,506 | CurrentTaxYearAmt |
| Total | $265,340,902 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,064,465 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,669,332 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,947,279 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $99,087,320 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,572,506 | CurrentTaxYearAmt |
| Total | $265,340,902 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $265,340,902 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,097,824 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,139,234 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,070,432 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,246,160 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,745,593 | CurrentTaxYearAmt |
| Total | $45,299,243 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $363,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $349,255 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $397,998 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $392,485 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $495,419 | CurrentTaxYearAmt |
| Total | $1,998,846 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $312,638,991 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,332,561,540 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.84870 | PublicSupportCY170Pct |
| Public Support PY170 | 0.80830 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $29,093,174 | BeginningYearBalanceAmt |
| Contributions | $600,675 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,262,495 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,260,810 | OtherExpendituresAmt |
| End Year Balance | $26,170,544 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,741,292 | BeginningYearBalanceAmt |
| Contributions | $482,624 | ContributionsAmt |
| Investment Earnings Or Losses | $3,489,607 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $620,349 | OtherExpendituresAmt |
| End Year Balance | $29,093,174 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,731,316 | BeginningYearBalanceAmt |
| Contributions | $322,831 | ContributionsAmt |
| Investment Earnings Or Losses | $754,876 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,067,731 | OtherExpendituresAmt |
| End Year Balance | $25,741,292 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,265,775 | BeginningYearBalanceAmt |
| Contributions | $546,670 | ContributionsAmt |
| Investment Earnings Or Losses | $1,056,618 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,137,747 | OtherExpendituresAmt |
| End Year Balance | $25,731,316 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $25,040,857 | BeginningYearBalanceAmt |
| Contributions | $359,017 | ContributionsAmt |
| Investment Earnings Or Losses | $992,800 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,126,899 | OtherExpendituresAmt |
| End Year Balance | $25,265,775 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,417,162 | OtherCostOrOtherBasisAmt |
| Book Value | $18,417,162 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $510,799,937 | OtherCostOrOtherBasisAmt |
| Depreciation | $146,238,169 | DepreciationAmt |
| Book Value | $364,561,768 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,981,432 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,231,155 | DepreciationAmt |
| Book Value | $7,750,277 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $247,018,486 | OtherCostOrOtherBasisAmt |
| Depreciation | $193,972,423 | DepreciationAmt |
| Book Value | $53,046,063 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,464,206 | OtherCostOrOtherBasisAmt |
| Depreciation | $273,714 | DepreciationAmt |
| Book Value | $31,190,492 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $474,965,762 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| INSURANCE IBNR & IBNE | $6,790,063 |
| DERIVATIVE INSTRUMENTS | $5,630,914 |
| CAPITAL LEASE | $5,264,205 |
| ANNUITY PAYABLE | $1,408,912 |
| INTERCOMPANY LIABILITIES | $203,258 |
| ACCRUED TAIL COVERAGE | $30,123 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,327,475 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | 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. |
| PART X, LINE 2: | ASC 740 FOOTNOTE FROM CONSOLIDATED AUDIT REPORT CHS RECOGNIZES ANY BENEFITS FROM AN UNCERTAINTY IN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. IF APPLICABLE, THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION WOULD BE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE RESOLUTION. CHS DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY UNCERTAIN TAX POSITIONS. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Phone Solicitations | Yes (X) | PhoneSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| CHILDREN'S MIRACLE NETWORK | ||||||||
| 205 WEST 700 SOUTH | SALT LAKE CITY | UT | 84101 | CONSULTING | 0 | $1,684,447 | $185,382 | $1,499,065 |
| HEALTH GIVING | ||||||||
| 3996 N HAMPTON DRIVE | POWELL | OH | 43065 | CONSULTING | 0 | $0 | $38,077 | -$38,077 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $1,684,447 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $223,459 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $1,460,988 | TotalNetToOrganizationAmt |
| Licensed States | AL | LicensedStatesCd |
| Licensed States | AR | LicensedStatesCd |
| Licensed States | CA | LicensedStatesCd |
| Licensed States | CO | LicensedStatesCd |
| Licensed States | CT | LicensedStatesCd |
| Licensed States | DC | LicensedStatesCd |
| Licensed States | FL | LicensedStatesCd |
| Licensed States | GA | LicensedStatesCd |
| Licensed States | HI | LicensedStatesCd |
| Licensed States | IL | LicensedStatesCd |
| Licensed States | KS | LicensedStatesCd |
| Licensed States | KY | LicensedStatesCd |
| Licensed States | LA | LicensedStatesCd |
| Licensed States | ME | LicensedStatesCd |
| Licensed States | MD | LicensedStatesCd |
| Licensed States | MA | LicensedStatesCd |
| Licensed States | MI | LicensedStatesCd |
| Licensed States | MN | LicensedStatesCd |
| Licensed States | MO | LicensedStatesCd |
| Licensed States | NV | LicensedStatesCd |
| Licensed States | NJ | LicensedStatesCd |
| Licensed States | NY | LicensedStatesCd |
| Licensed States | NC | LicensedStatesCd |
| Licensed States | OH | LicensedStatesCd |
| Licensed States | OK | LicensedStatesCd |
| Licensed States | PA | LicensedStatesCd |
| Licensed States | RI | LicensedStatesCd |
| Licensed States | SC | LicensedStatesCd |
| Licensed States | TN | LicensedStatesCd |
| Licensed States | UT | LicensedStatesCd |
| Licensed States | VA | LicensedStatesCd |
| Licensed States | WA | LicensedStatesCd |
| Licensed States | WV | LicensedStatesCd |
| Licensed States | WI | LicensedStatesCd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 175.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,206,820 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,206,820 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $250,183,656 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $219,663,543 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,520,113 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05900 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $252,390,476 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $219,663,543 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,726,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $79,493,741 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,031,489 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,462,252 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13230 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,194,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,358,520 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,836,275 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01320 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,415,915 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,778,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,637,115 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04570 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $396,249 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,500 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $385,749 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $151,500,700 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $52,179,309 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $99,321,391 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.19190 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $403,891,176 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $271,842,852 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $132,048,324 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.25520 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,067,789 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,693,613 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,614,696 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $7,032,534 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,417,838 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 3 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (3 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Childrens HospitalChildrensHospitalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS | |||||||||||||
| 1 | 601 CHILDRENS LANE | NORFOLK | VA | 23507 | H1843 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | MEDICAID DSH HOSPITAL | A |
| CHKD HEALTH AND SURGERY CENTER | |||||||||||||
| 2 | 2021 CONCERT DRIVE | VIRGINIA BEACH | VA | 23456 | OH713 | Yes (X) | OUTPATIENT SURGICAL HOSPITAL | A | |||||
| CHKD HEALTH AND SURGERY CENTER | |||||||||||||
| 3 | 11783 ROCK LANDING DRIVE | NEWPORT NEWS | VA | 23608 | OH694 | Yes (X) | OUTPATIENT SURGICAL HOSPITAL | A | |||||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.CHKD.ORG | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.CHKD.ORG | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.CHKD.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.CHKD.ORG | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.CHKD.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, - FACILITY 2: CHKD HEALTH AND SURGERY CENTER, - FACILITY 3: CHKD HEALTH AND SURGERY CENTER |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5: | CHKD'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INCLUDED COLLECTING DATA FROM SEVERAL DIFFERENT SOURCES: A COMMUNITY HEALTH SURVEY (IN COLLABORATION WITH OTHER AREA HOSPITAL SYSTEMS), FOCUS GROUPS AND KEY STAKEHOLDER INTERVIEWS AND HEALTH INDICATOR ANALYSIS.TWO VERSIONS OF THE SURVEY WITH SIMILAR QUESTIONS WERE CIRCULATED ACROSS CHKD'S SERVICE AREA. THE FIRST VERSION WAS A STAKEHOLDER SURVEY IN WHICH MANY PARTICIPANTS PROVIDED (OR HAD KNOWLEDGE OF) HEALTH, PREVENTIVE AND SUPPORT SERVICES, AS WELL AS THE NEEDS OF LOW INCOME AND MINORITY RESIDENTS. THE SECOND VERSION WAS A COMMUNITY SURVEY THAT WAS CIRCULATED MORE BROADLY TO COMMUNITY MEMBERS. THERE WERE A TOTAL OF 11,744 COMMUNITY MEMBERS WHO COMPLETED THE SURVEY QUESTIONS. THERE WERE 1,099 RESPONSES TO THE STAKEHOLDER SURVEY.GIVEN THE PREVIOUSLY IDENTIFIED PRIORITY OF MENTAL AND BEHAVIORAL HEALTH AND AN INTEREST IN HEARING FROM STAKEHOLDERS FROM ACROSS THE REGION WHO WERE FAMILIAR WITH THESE ISSUES, KEY STAKEHOLDER INTERVIEWS AND FOCUS GROUPS WERE CONDUCTED. A TOTAL OF 51 PEOPLE PARTICIPATED IN KEY STAKEHOLDER INTERVIEWS AND FOCUS GROUPS. THERE WERE 4 FOCUS GROUPS CONDUCTED BY VOICES (VIRGINIA ORGANIZATION FOR INCLUSIVE CONCEPTS AND EQUITABLE SOLUTIONS), A THINK TANK THAT FOCUSES ON PROVIDING BEST PRACTICE AND GUIDANCE ON FAIR AND EQUAL TREATMENT, SYSTEMIC AND INSTITUTIONAL RACISM, SOCIO-ECONOMIC ISSUES, AND SOCIAL DETERMINANTS OF HEALTH THAT CREATE IMPEDIMENTS FOR MARGINALIZED AND UNDERSERVED PEOPLE. TWENTY-FOUR PARTICIPANTS FROM ACROSS THE REGION TOOK PART IN THE GROUP DISCUSSIONS ON THE FOLLOWING TOPICS: (1) A HEALTHY WORKPLACE, (2) ACCESS TO HEALTHCARE, (3) ACCESS TO FOOD, (4) EMERGENCIES AND FINANCES.THE 27 KEY STAKEHOLDER INTERVIEWS TARGETED LOCAL PUBLIC HEALTH AND SOCIAL SERVICE DEPARTMENT REPRESENTATIVES, INDIVIDUALS OR ORGANIZATIONS SERVING MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, SCHOOL NURSES FROM LOCAL SCHOOL SYSTEMS PARTICULARLY IN RURAL AND PREDOMINANTLY LOW INCOME AREAS, AND HEALTHCARE AND MENTAL/BEHAVIORAL HEALTHCARE PROVIDERS WHO OFFER SERVICES FOR CHILDREN AND FAMILIES. ORGANIZATIONAL PARTICIPANTS INCLUDED HOSPITALS, COMMUNITY HEALTH CENTERS, SCHOOL SYSTEMS, SOCIAL SERVICES, NON-PROFIT AND OTHER COMMUNITY-BASED ORGANIZATIONS.NATIONAL, STATE AND PRIVATE DATA SOURCES WERE USED IN THE HEALTH INDICATOR ANALYSIS. KEY HEALTH ISSUES WERE IDENTIFIED WHEN MULTIPLE LOCALITIES HAD WORSE RATES OR PERCENTAGES IN COMPARISON TO STATE AVERAGES. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A: | A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED FOR CHKD'S THREE LICENSED FACILITIES LISTED IN PART V, SECTION A. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11: | AFTER COMPILING ALL OF THE RESULTS FROM THE STAKEHOLDER AND COMMUNITY SURVEYS, FOCUS GROUPS, KEY STAKEHOLDER INTERVIEWS AND HEALTH INDICATOR ANALYSIS, COMMON THEMES AND SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED ACROSS DATA SOURCES. THESE THEMES EITHER AROSE AS PRIORITIES IN AT LEAST TWO OF THE DATA SOURCES OR IF DATA FROM ONE OF THE SOURCES REVEALED OVERWHELMING NEED. THE FOLLOWING SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED: MENTAL/BEHAVIORAL HEALTH, HEALTHY EATING AND ACCESS TO HEALTHY FOODS, ALCOHOL/SUBSTANCE ABUSE, SAFE AND AFFORDABLE HOUSING, PEDIATRIC ASTHMA, INFANT HEALTH, SEXUALLY TRANSMITTED INFECTIONS, AND CHILD ABUSE.CHKD LEADERS REVIEWED RESULTS FROM ALL THREE DATA SOURCES TO BETTER UNDERSTAND THE SIGNIFICANT HEALTH NEEDS AND PRIORITIES TO DETERMINE THE BEST FOCUS FOR ITS IMPLEMENTATION PLAN. INDIVIDUALS AND GROUPS INVOLVED IN THIS PROCESS INCLUDED THE FOLLOWING: THE HOSPITAL'S SENIOR LEADERSHIP TEAM, WHICH INCLUDES ITS CEO, PRESIDENT AND VICE PRESIDENTS; CHKD PHYSICIAN LEADERS; AND CHKD'S PARENT AND FAMILY ADVISORY COUNCIL.GIVEN THE SCOPE AND DEPTH OF THE NEED FOR MENTAL HEALTH CARE AND THE SIGNIFICANT RESOURCES CHKD HAS DEVOTED TO EXPANDING ITS MENTAL HEALTH SERVICES, CHKD IS PRIORITIZING THIS ISSUE IN ITS IMPLEMENTATION PLAN STRATEGY FROM 2022 TO 2024. SINCE THE 2019 CHNA, CHKD HAS MADE SIGNIFICANT PROGRESS TOWARD DEVELOPING A COORDINATED, REGIONAL CONTINUUM OF INPATIENT, OUTPATIENT AND DAY TREATMENT PROGRAMS FOR CHILDREN WITH MENTAL HEALTH CHALLENGES. ADDRESSING PEDIATRIC MENTAL/BEHAVIORAL HEALTH WOULD HAVE A POSITIVE EFFECT ON PEDIATRIC HEALTH AND WELL-BEING OVERALL, AFFECTING MULTIPLE OTHER IDENTIFIED HEALTH NEEDS, SUCH AS VIOLENCE AND ALCOHOL/SUBSTANCE ABUSE. CHKD WILL CONTINUE ITS COMMITMENT TO PREVIOUSLY IMPLEMENTED PROGRAMS INCLUDING ITS EXISTING CHILD ADVOCACY CENTER THAT ADDRESSES CHILD ABUSE.MENTAL/BEHAVIORAL HEALTH: CHKD OPENED CHKD'S CHILDREN PAVILION, A 60-BED PEDIATRIC MENTAL HEALTH HOSPITAL AND OUTPATIENT CENTER IN LATE 2022. THE NEW FACILITY WILL INCLUDE THOUGHTFUL PATIENT AND FAMILY-CENTERED DESIGN, EVIDENCE-BASED TREATMENTS, ACADEMIC TRAINING PROGRAMS, AND CLINICAL RESEARCH TO GUIDE INNOVATION. CHKD'S MENTAL HEALTH IMPLEMENTATION STRATEGY INCLUDES ESTABLISHING A PARTIAL HOSPITALIZATION PROGRAM THAT OFFERS FULL-DAY MENTAL HEALTH TREATMENT, OFFERING AND EXPANDING INTENSIVE OUTPATIENT PROGRAMMING, WORKING WITH OUR COMMUNITY TO ESTABLISH PARTNERSHIPS AND SUPPORT CHILDREN AND ADOLESCENTS IN THEIR TYPICAL ENVIRONMENTS, AND CONTINUING TO OFFER TELEHEALTH FOR OUTPATIENT CARE. CHKD HAS ESTABLISHED 2 OUTPATIENT MENTAL HEALTH FACILITIES FOCUSING ON MENTAL HEALTH THERAPY, PSYCHOLOGICAL ASSESSMENT, AND PSYCHIATRY SERVICES: NEWPORT NEWS HEALTH CENTER AT TECH CENTER AND VIRGINIA BEACH HEALTH CENTER AT LANDSTOWN. IN AN ANSWER TO THE PEDIATRIC MENTAL HEALTH CARE FRAGMENTATION DUE TO THE LACK OF COMMUNICATION BETWEEN A CHILD'S VARIOUS MEDICAL AND MENTAL HEALTH PROVIDERS, CHKD'S GOAL IS TO DEVELOP A COORDINATED CONTINUUM OF CARE ACROSS ITS FACILITIES. WITH ITS BROAD NETWORK OF MORE THAT 300 PEDIATRICIANS, SPECIALISTS, AND SURGEONS IN MORE THAN 40 LOCATIONS THROUGHOUT THE REGION, CHKD HEALTH SYSTEM IS IN A UNIQUE POSITION TO ADDRESS AND IMPROVE CARE FRAGMENTATION. CHKD IS THE REGION'S PARTNER FOR THE VIRGINIA MENTAL HEALTH ACCESS PROGRAM (VMAP), A STATEWIDE INITIATIVE THAT OFFERS PEDIATRICIANS REAL-TIME PHONE CONSULTATIONS WITH BOARD-CERTIFIED CHILD AND ADOLESCENT PSYCHIATRISTS. VMAP ALSO SERVES AS A RESOURCE FOR PEDIATRICIANS WHO ARE LOOKING FOR MENTAL HEALTH CARE AND BEHAVIORAL CONSULTATION FOR A CHILD IN THEIR CARE.CHKD PLANS TO CONTINUE TO COMMIT PROGRAMMING AND RESOURCES TO ITS ONGOING INITIATIVES TO ADDRESS OBESITY, CHILD ABUSE AND INFANT HEALTH. OTHER SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA ARE NOT BEING SPECIFICALLY ADDRESSED IN THE CURRENT IMPLEMENTATION ARE ALCOHOL/SUBSTANCE ABUSE, SAFE AND AFFORDABLE HOUSING, PEDIATRIC ASTHMA, AND SEXUALLY TRANSMITTED INFECTIONS, THESE ARE ALL CONDITIONS THAT CHKD EITHER CURRENTLY PROVIDES CARE FOR AND/OR COLLABORATES WITH OTHER COMMUNITY AGENCIES TO ADDRESS. CHKD REGULARLY AND ROUTINELY OFFERS ITS EXPERTISE AND ASSISTANCE AS WELL AS COMMUNITY RESOURCES TO ADDRESS A BROAD RANGE OF ISSUES RELATING TO THE HEALTH AND WELFARE OF CHILDREN. |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 13H: | PRESUMPTIVE ELIGIBILITY MAY BE DETERMINED ON THE BASIS OF INDIVIDUAL LIFE CIRCUMSTANCES THAT MAY INCLUDE:1. STATE-FUNDED PRESCRIPTION PROGRAMS;2. HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC;3. PARTICIPATION IN WOMEN, INFANTS AND CHILDREN PROGRAMS (WIC);4. FOOD STAMP ELIGIBILITY;5. SUBSIDIZED SCHOOL LUNCH PROGRAM ELIGIBILITY;6. ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAMS THAT AREUNFUNDED (E.G., MEDICAID SPEND-DOWN);7. LOW INCOME/SUBSIDIZED HOUSING IS PROVIDED AS A VALID ADDRESS; AND8. PATIENT IS DECEASED WITH NO KNOWN ESTATE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - CHKD HEALTH CENTER AT OAKBROOKE | ||||
| 500 DISCOVERY DRIVE | CHESAPEAKE | VA | 23320 | OUTPATIENT SERVICES |
| 2 - CHKD HLTH CTR & URGENT CARE AT LOEHMAN'S | ||||
| 3960 VIRGINIA BEACH BLVD | VIRGINIA BEACH | VA | 23452 | URGENT CARE & OUTPATIENT SERVICES |
| 3 - CHKD HLTH CTR & URGENT CARE AT TECH CNTR | ||||
| 680 OYSTER POINT ROAD | NEWPORT NEWS | VA | 23602 | URGENT CARE & OUTPATIENT SERVICES |
| 4 - CHKD URGENT CARE AT VOLVO | ||||
| 817 VOLVO PARKWAY | CHESAPEAKE | VA | 23320 | URGENT CARE & OUTPATIENT SERVICES |
| 5 - HEALTH CENTER AT MEDICAL CENTER CAMPUS | ||||
| 850 SOUTHAMPTON AVENUE | NORFOLK | VA | 23510 | OUTPATIENT SERVICES |
| 6 - CHKD HEALTH CENTER AT HARBOUR VIEW | ||||
| 5834 HARBOUR VIEW BLVD | SUFFOLK | VA | 23435 | OUTPATIENT SERVICES |
| 7 - CHKD HLTH CTR & URGENT CARE AT LANDSTOWN | ||||
| 1924 LANDSTOWN WAY | VIRGINIA BEACH | VA | 23456 | URGENT CARE & OUTPATIENT SERVICES |
| 8 - SATELLITE AT MEDICAL TOWER | ||||
| 400 GRESHAM DRIVE | NORFOLK | VA | 23507 | OUTPATIENT SERVICES |
| 9 - CHKD HEALTH CENTER AT LIGHTFOOT | ||||
| 6425 RICHMOND ROAD | WILLIAMSBURG | VA | 23188 | OUTPATIENT SERVICES |
| 10 - SPORTS MEDICINE IN GHENT | ||||
| 702 WEST 21ST STREET | NORFOLK | VA | 23517 | OUTPATIENT SERVICES |
| 11 - CHKD CHILD ADVOCACY CENTER | ||||
| 935 REDGATE AVENUE | NORFOLK | VA | 23507 | OUTPATIENT SERVICES |
| 12 - CHKD HEALTH CENTER AT KEMPSVILLE | ||||
| 171 KEMPSVILLE ROAD | NORFOLK | VA | 23510 | OUTPATIENT SERVICES |
| 13 - CHKD AT BUTLER FARM ROAD | ||||
| 421 BUTLER FARM ROAD | HAMPTON | VA | 23666 | OUTPATIENT SERVICES |
| 14 - FORT NORFOLK PLAZA MEDICAL BUILDING | ||||
| 301 RIVERVIEW AVENUE | NORFOLK | VA | 23510 | OUTPATIENT SERVICES |
| 15 - HEALTH CENTER AT BURNETT'S WAY | ||||
| 152 BURNETTS WAY | SUFFOLK | VA | 23456 | OUTPATIENT SERVICES |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7(E): | THE AMOUNT REPORTED ON PART I, LINE 7(E) INCLUDES $57,312,685 OF COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS.PART I, LINE 7(F):THE AMOUNT OF BAD DEBT INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) THAT WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENT OF TOTAL EXPENSE IN PART I, LINE 7, COLUMN (F) IS $16,067,789. |
| PART I, LINE 7: | A HYBRID APPROACH WAS USED FOR DETERMINING COSTS RELATED TO COMMUNITY BENEFIT. ACTUAL COSTS FROM ALL PATIENT SEGMENTS ARE IDENTIFIED BY DEPARTMENT IN THE GENERAL LEDGER AND THEN WERE GROUPED INTO LIKE COMMUNITY BENEFIT PROGRAMS. INDIRECT COSTS WERE ADJUSTED FOR COSTS ATTRIBUTABLE TO UNREIMBURSED MEDICAID COSTS REPORTED ELSEWHERE, MARKETING AND GRANT WRITING EXPENSES. THE MEDICAID COSTS ADJUSTMENT WAS CALCULATED USING A COST TO CHARGE RATIO OF APPLICABLE EXPENSES DIVIDED BY TOTAL APPLICABLE CHARGES APPLIED TO MEDICAID REVENUE. THE REMAINING INDIRECT COSTS WERE ALLOCATED PROPORTIONATELY TO THE DIRECT COSTS REPORTED BY DEPARTMENT. IN ADDITION, EXPENSES WERE CALCULATED AT COST AND THEN COSTS RELATED TO CHARITY CARE, BAD DEBT AND MEDICAID WERE REMOVED BEFORE ARRIVING AT THE AMOUNTS FOR COMMUNITY BENEFIT AT COST. |
| PART III, LINE 2: | BAD DEBT REPORTED IN PART III LINE 2 IS BASED ON THE AMOUNT REPORTED AS BAD DEBT IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE AMOUNT DOES NOT INCLUDE DISCOUNTS OR OTHER ADMINISTRATIVE WRITE OFFS. IF A PATIENT ACCOUNT HAS BEEN WRITTEN OFF TO BAD DEBT AND IS SUBSEQUENTLY COLLECTED, BAD DEBT EXPENSE IS REDUCED IN THAT PERIOD BY THE PAYMENT.PART III, LINE 3:THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS CALCULATED BASED OFF THE PERCENTAGE OF CHARITY CARE EXPENSES AS A PERCENTAGE OF SELF-PAY REVENUE. CHKD DOES NOT MAINTAIN RECORDS THAT TRACK PATIENTS WHO COULD HAVE QUALIFIED FOR CHARITY CARE. THIS AMOUNT IS AN ESTIMATE OF PATIENTS WHO LIKELY WOULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO DETERMINE THEIR ELIGIBILITY. THIS AMOUNT IS NOT INCLUDED AS COMMUNITY BENEFIT. |
| PART III, LINE 4: | CHKD PRESENTS BAD DEBT PROVISION ON THE FINANCIAL STATEMENTS AS A DEDUCTION FROM NET PATIENT SERVICE REVENUE PER ACCOUNTING STANDARDS UPDATE (ASU) 2011-07. THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES IS MANAGEMENT'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN THE HOSPITAL'S EXISTING RECEIVABLES. THE HOSPITAL DETERMINES THE ALLOWANCE BASED ON HISTORICAL WRITE-OFF EXPERIENCE. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE, NET OF PAYMENTS AND DISCOUNTS, AFTER ALL MEANS OF COLLECTION HAVE BEEN EXHAUSTED AND THE POTENTIAL FOR THE RECOVERY IS CONSIDERED REMOTE. FOR ADDITIONAL DETAILS SEE FOOTNOTE 17 ON PAGE 32 OF AUDITED FINANCIAL STATEMENTS.PART III, LINE 8: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. |
| PART III, LINE 9B: | ACCOUNTS WITH AN UNPAID BALANCE OR WITHOUT AN ESTABLISHED PAYMENT PLAN ARE REFERRED TO A COLLECTION AGENCY OR ATTORNEY FOR CONTINUED COLLECTION EFFORTS. CHKD MAKES REASONABLE EFFORTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE/CHARITY CARE BEFORE REFERRING TO A COLLECTION AGENCY OR AN ATTORNEY. REASONABLE EFFORT INCLUDES AND IS NOT LIMITED TO NOTIFICATION ABOUT THE FINANCIAL ASSISTANCE - CHARITY CARE/COLLECTION POLICY POSTED IN ADMISSIONS, EMERGENCY DEPARTMENT OR OTHER DESIGNATED AREAS. THE INFORMATION REGARDING THE POLICY IS INCLUDED IN THE ADMISSION PACKAGE AND ON THE PATIENT BILL. THE HEALTH BENEFITS ANALYST AND CUSTOMER SERVICE REPRESENTATIVE WHO MAY SPEAK WITH THE GUARANTOR BY PHONE PROVIDE THEM WITH FINANCIAL ASSISTANCE INCLUDING CHARITY CARE INFORMATION. THE FINANCIAL ASSISTANCE-CHARITY CARE/COLLECTION POLICY IS AVAILABLE UPON REQUEST AND VIA WWW.CHKD.ORG. CHKD ENSURES ALL COLLECTION PROTOCOLS ARE MET PRIOR TO REFERRAL TO COLLECTIONS AGENCY OR ATTORNEY. APPROVED CHARITY CARE AMOUNT WILL NOT BE SUBJECT TO COLLECTION ACTIVITIES. THE REMAINING BALANCE WILL BE SUBJECT TO CHKD'S STANDARD COLLECTION PROTOCOLS.PART VI, LINE 2:NEEDS ASSESSMENT: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 TO ADDRESS ESTABLISHED AND EMERGENT PEDIATRIC NEEDS WHEREVER AND HOWEVER THEY ARE IDENTIFIED. CHKD USES A VARIETY OF METHODS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. NEEDS ARE IDENTIFIED THROUGH A FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, PARTNERSHIPS AND COLLABORATIONS WITH OTHER MEDICAL, NON PROFIT AND PUBLIC HEALTH AGENCIES AND ORGANIZATIONS AND THROUGH REGIONAL, STATE AND NATIONAL DATA. FROM NOVEMBER 2021 TO APRIL 2022, CHKD CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH SUPPORT FROM TOXCEL, LLC, A GAINESVILLE, VIRGINIA-BASED SCIENCE, ENGINEERING AND HEALTH RESEARCH AND CONSULTING FIRM. THIS JOINT CHNA COVERS ALL THREE LICENSED FACILITIES ASSOCIATED WITHIN THE CHKD HEALTH SYSTEM: CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS (CHKD) LOCATED IN NORFOLK AND CHKD'S TWO HEALTH AND SURGERY CENTERS, ONE AT OYSTER POINT IN NEWPORT NEWS AND ONE AT PRINCESS ANNE IN VIRGINIA BEACH. CHKD'S CHNA PROVIDES AN OVERVIEW OF THE PRIMARY AND SECONDARY DATA USED TO IDENTIFY KEY HEALTH ISSUES WITHIN THE CHKD COMMUNITY. IT COMBINES AND COMPARES RESULTS FROM THREE SOURCES: A COMMUNITY HEALTH SURVEY, FOCUS GROUPS, AND KEY STAKEHOLDER INTERVIEWS. CHKD'S CURRENT COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY CAN BE FOUND AT WWW.CHKD.ORG/COMMUNITYBENEFIT.PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE:CHKD'S CHARITY CARE ELIGIBILITY CRITERIA AND PROCEDURES FOR APPLYING ARE PROVIDED TO ALL PATIENTS. CHARITY CARE INFORMATION IS INCLUDED IN EVERY INPATIENT ADMISSION PACKET AND DISTRIBUTED TO THE OUTPATIENT DURING THE OUTPATIENT REGISTRATION PROCESS. AN APPLICATION FOR CHARITY CARE, ALONG WITH A LETTER EXPLAINING THE PROCESS, IS SENT TO ANY PATIENT OR GUARANTOR WHO REQUESTS INFORMATION ON ANY PROGRAMS OR PROVISIONS THE HOSPITAL MAY HAVE TO HELP ASSIST PATIENTS OR GUARANTORS IN PAYING THEIR HOSPITAL BILL. THE CHARITY CARE POLICY AND APPLICATION ARE PROMINENTLY DISPLAYED ON THE MAIN "BILLING" PAGE OF THE HOSPITAL WEBSITE, JUST ONE CLICK FROM THE HOME PAGE, AT WWW.CHKD.ORG/BILLING/FINANCIAL-ASSISTANCE. PRINTED COPIES ARE ALSO AVAILABLE AT EACH REGISTRATION WORKSTATION. ALL BILLING STATEMENTS MAILED TO GUARANTORS INCLUDE A NOTICE OF THE AVAILABILITY OF CHARITY AND HOW TO OBTAIN THE INFORMATION/APPLICATION. ASSISTANCE WITH THE APPLICATION PROCESS IS AVAILABLE THROUGH THE HEALTH BENEFITS ANALYST (HBA). THE HBA SENDS OUT APPLICATIONS VIA MAIL AND REFERS FAMILIES TO THE HOSPITAL'S WEBSITE. THE UNIT SOCIAL WORKER IS AVAILABLE TO PROVIDE INFORMATION OR REFERRAL TO THE HBA DURING AN INPATIENT STAY.PART VI, LINE 4:COMMUNITY INFORMATION:CHKD IS THE REGIONAL PEDIATRIC REFERRAL CENTER FOR SOUTHEASTERN VIRGINIA, THE EASTERN SHORE OF VIRGINIA AND NORTHEASTERN NORTH CAROLINA. CHKD SERVES THE FOLLOWING REGIONS IN VIRGINIA: ACCOMACK COUNTY, CHESAPEAKE CITY, FRANKLIN CITY, GLOUCESTER COUNTY, HAMPTON CITY, ISLE OF WIGHT COUNTY, JAMES CITY COUNTY, MATHEWS COUNTY, NEWPORT NEWS CITY, NORFOLK CITY, NORTHAMPTON COUNTY, POQUOSON CITY, PORTSMOUTH CITY, PRINCE GEORGE COUNTY, SOUTHAMPTON COUNTY, SUFFOLK CITY, SURRY COUNTY, SUSSEX COUNTY, VIRGINIA BEACH CITY, WILLIAMSBURG CITY AND YORK COUNTY. WITHIN NORTH CAROLINA, CHKD SERVES THE FOLLOWING REGIONS: BERTIE COUNTY, CAMDEN COUNTY, CHOWAN COUNTY, CURRITUCK COUNTY, DARE COUNTY, GATES COUNTY, HERTFORD COUNTY, PASQUOTANK COUNTY AND PERQUIMANS COUNTY. AS REFLECTED IN OUR 2022 CHNA, THIS SERVICE REGION INCLUDED 458,649 PERSONS AGE 0-19. CHKD'S SERVICE AREA COMPRISES A DIVERSE MIX OF URBAN, SUBURBAN AND RURAL COMMUNITIES, AS WELL AS 10 MILITARY INSTALLATIONS. CHKD IS WELL VERSED IN THE SPECIAL NEEDS OF MILITARY FAMILIES AND HAS ONE OF THE HIGHEST TRICARE PAYER PERCENTAGES AMONG THE CHILDREN'S HOSPITALS IN THE NATION.PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHCHKD PLAYS A UNIQUE ROLE IN ITS COMMUNITY BY PROVIDING PEDIATRICHEALTHCARE SERVICES AVAILABLE NOWHERE ELSE IN THE REGION AND, AT THE SAME TIME, SERVING AS THE SAFETY NET PROVIDER TO THE REGION'S INDIGENT CHILDREN. IN FY 2022, CHKD HAD 4,834 ADMISSIONS RESULTING IN 49,261 PATIENT DAYS. APPROXIMATELY 55 PERCENT OF THESE DAYS, WERE COVERED BY MEDICAID, WHICH IS THE HIGHEST PERCENTAGE BY FAR OF ANY ACUTE-CARE HOSPITAL IN VIRGINIA. CHKD LEADS THE REGION IN EFFORTS TO ADDRESS PUBLIC HEALTH CONCERNS LIKE CHILD ABUSE AND CHILDHOOD OBESITY. IT IS THE SOLE PROVIDER OF PEDIATRIC SUBSPECIALTY CARE FOR CHILDREN WITH CHRONIC ILLNESSES LIKE CANCER AND DIABETES AND EMPLOYS THE REGION'S ONLY PEDIATRIC SURGEONS. THE HOSPITAL'S VIBRANT COMMUNITY OUTREACH PROGRAM COORDINATES PARENT, PROFESSIONAL AND STUDENT PROGRAMS THAT BRING IMPORTANT HEALTH, SAFETY AND WELLNESS INFORMATION TO THOUSANDS OF PARTICIPANTS. CHKD ALSO TAKES AN ACTIVE ROLE IN THE EDUCATION OF PEDIATRICIANS.COMPREHENSIVE INFORMATION ON CHKD'S EFFORTS TO IMPROVE THE HEALTH OF CHILDREN IS AVAILABLE AT WWW.CHKD.ORG/COMMUNITYBENEFIT |
| PART VI, LINE 6: | AFFILIATED HEALTH CARE SYSTEM:CHKD IS PART OF CHILDREN'S HEALTH SYSTEM, A 501(C)(3) ORGANIZATION GOVERNED BY A BOARD OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS. A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. CHKD EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS. SURPLUS FUNDS ARE USED TO MEET THE NEEDS OF THE ORGANIZATION AS DETERMINED BY CHKD SENIOR MANAGEMENT AND THE CHS BOARD OF DIRECTORS. HISTORICALLY, SURPLUS FUNDS HAVE BEEN USED FOR A VARIETY OF PURPOSES INCLUDING PATIENT CARE PROGRAMS, CAPITAL IMPROVEMENT NEEDS, RESERVES, ETC.ROLES OF ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED: THE CHILDREN'S HEALTH SYSTEM IS COMPRISED OF SEVERAL ORGANIZATIONS. CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS IS A FREESTANDING CHILDREN'S HOSPITAL THAT PROVIDES A BROAD SPECTRUM OF INPATIENT AND OUTPATIENT CARE SERVICES ACROSS MANY PEDIATRIC SPECIALTIES, INCLUDING EVERYTHING FROM PRIMARY CARE AND WELLNESS INITIATIVES TO NEONATAL AND PEDIATRIC INTENSIVE CARE. OTHER ENTITIES UNDER THE CHILDREN'S HEALTH SYSTEM UMBRELLA INCLUDE:* CHILDREN'S HEALTH FOUNDATION, WHICH MANAGES INVESTMENTS AND FUNDS EDUCATION, RESEARCH AND OTHER PROGRAMS FOR CHILDREN'S HEALTH SYSTEM* CHILDREN'S MEDICAL GROUP, INC., A VIRGINIA STOCK CORPORATION, WHICH OWNS AND OPERATES PEDIATRIC PHYSICIAN PRACTICES* CMG OF NORTH CAROLINA, INC., A NORTH CAROLINA STOCK CORPORATION, WHICH OWNS AND OPERATES A PEDIATRIC PHYSICIAN PRACTICE IN NORTHEASTERN NORTH CAROLINA* CHILDREN'S SURGICAL SPECIALTY GROUP, INC., A VIRGINIA STOCK CORPORATION, WHICH OWNS AND OPERATES PEDIATRIC SURGICAL SUBSPECIALTY PRACTICES, INCLUDING PEDIATRIC GENERAL SURGERY, PEDIATRIC UROLOGY, PEDIATRIC CARDIAC SURGERY, PEDIATRIC ORTHOPEDIC SURGERY, PEDIATRIC NEUROSURGERY AND PEDIATRIC PLASTIC SURGERY.* CHILDREN'S HEALTH INSURANCE, LLC, A CAPTIVE INSURANCE COMPANY INCORPORATED IN SOUTH CAROLINA IS A DISREGARDED ENTITY OF CHKD.* CHKD THRIFT STORES, LLC, A DISREGARDED ENTITY ORGANIZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM.* CHILDREN'S REAL ESTATE, LLC, IS A DISREGARDED ENTITY ORGANIZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM.* CHILDREN'S RESEARCH HOLDING, LLC, A DISREGARDED ENTITY ORGANINZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM.* CHILDREN'S QUALITY CARE, LLC, A DISREGARDED ENTITY ORGANINZED TO SUPPORT THE CHARITABLE MISSION AND PURPOSE OF CHILDREN'S HEALTH SYSTEM.PART VI, LINE 7:FACILITY REPORTING GROUP(S):FACILITY REPORTING GROUP A INCLUDES CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, CHKD HEALTH AND SURGERY CENTER IN NEWPORT NEWS AND CHKD HEALTH AND SURGERY CENTER IN VIRGINIA BEACH. STATE FILING OF COMMUNITY BENEFIT REPORT:VA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HEALTH FOUNDATION INC | |||||||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | 541278865 | 501(C)(3) | $4,829,234 | $0 | CASH | GENERAL SUPPORT |
| CHILDREN'S HEALTH SYSTEM INC | |||||||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | 541278830 | 501(C)(3) | $9,700,000 | $0 | CASH | GENERAL SUPPORT |
| OLD DOMINION UNIVERSITY RESEARCH FOUNDATION | |||||||||
| PO BOX 6369 | NORFOLK | VA | 23508 | 546068198 | 501(C)(3) | $41,321 | $0 | CASH | CHEST WALL STUDY |
| FRIENDS OF THE ELIZABETH RIVER TRAIL FOUNDATION | |||||||||
| PO BOX 3042 | NORFOLK | VA | 23514 | 814431199 | 501(C)(3) | $20,000 | $0 | CASH | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PROCESS FOR AWARDS AWARDS ARE MADE TO INVESTIGATORS/PHYSICIANS BY CHKD (CHILDREN'S HOSPITAL THE KING'S DAUGHTERS) FOR SPECIFIC PROJECT OR RESEARCH ENDEAVORS. FUNDING REQUESTS ARE COMPLETED AND SUBMITTED WHERE THEY ARE REVIEWED BY THE FINANCE DEPARTMENT, THE CEO AND THE APPLICABLE BOARD. AFTER AN AWARD IS MADE, THE AWARDEE MUST FILE QUARTERLY FINANCIAL SUMMARIES AND A FINAL REPORT TO BE SUBMITTED TO THE CEO AT THE END OF THE FUNDING PERIOD. ADDITIONALLY, CHKD GIVES CONTRIBUTIONS TO ITS PARENT ORGANIZATION, CHILDREN'S HEALTH SYSTEM, AND TO CHILDREN'S HEALTH FOUNDATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENNIS RYAN | ||||||||||||||
| CFO & ASSISTANT SECRETARY/TREASURER | $0 | $542,407 | $0 | $18,500 | $0 | $1,605,036 | $0 | $48,929 | $0 | $39,533 | $0 | $2,254,405 | $0 | $989,535 |
| JOHN HARDING | ||||||||||||||
| CHIEF OPERATING OFFICER | $0 | $596,477 | $0 | $0 | $0 | $212,558 | $0 | $386,685 | $0 | $44,793 | $0 | $1,240,513 | $0 | $198,524 |
| DEBORAH BARNES | ||||||||||||||
| VP - IS OPERATIONS | $0 | $410,910 | $0 | $0 | $0 | $376,602 | $0 | $398,390 | $0 | $29,672 | $0 | $1,215,574 | $0 | $343,904 |
| JAMES D DAHLING | ||||||||||||||
| PRESIDENT/DIRECTOR | $0 | $1,048,470 | $0 | $0 | $0 | $108,191 | $0 | $11,600 | $0 | $34,321 | $0 | $1,202,582 | $0 | $0 |
| SANDIP GODAMBE MD | ||||||||||||||
| VP - QUALITY & PATIENT SAFETY | $358,046 | $0 | $0 | $0 | $107,453 | $0 | $261,007 | $0 | $21,963 | $0 | $748,469 | $0 | $92,065 | $0 |
| ROBERT OBERMEYER MD | ||||||||||||||
| DIRECTOR | $0 | $647,158 | $0 | $3,250 | $0 | $414 | $0 | $11,600 | $0 | $27,823 | $0 | $690,245 | $0 | $0 |
| ALLISON SILVA | ||||||||||||||
| VP - ANCILLARY SERVICES | $281,246 | $0 | $0 | $0 | $154,174 | $0 | $170,154 | $0 | $15,680 | $0 | $621,254 | $0 | $124,426 | $0 |
| JALANA MCCASLAND | ||||||||||||||
| VP - PHYSICIAN PRACTICE MGMT | $323,508 | $0 | $0 | $0 | $55,064 | $0 | $151,304 | $0 | $41,093 | $0 | $570,969 | $0 | $39,690 | $0 |
| KAREN MITCHELL | ||||||||||||||
| VP - PATIENT CARE SERVICES | $356,052 | $0 | $0 | $0 | $144,028 | $0 | $11,600 | $0 | $16,161 | $0 | $527,841 | $0 | $25,029 | $0 |
| KATHRYN ABSHIRE | ||||||||||||||
| VP - FINANCE & ASST. SECR/TREAS. | $0 | $246,781 | $0 | $0 | $0 | $72,034 | $0 | $148,496 | $0 | $35,600 | $0 | $502,911 | $0 | $55,499 |
| JOHN HARRINGTON | ||||||||||||||
| VP - QUALITY/SAFETY & CLINICAL INTG. | $135,815 | $217,989 | $0 | $0 | $4,843 | $516 | $59,992 | $8,956 | $11,270 | $18,575 | $211,920 | $246,036 | $0 | $0 |
| JOHN WARBURTON | ||||||||||||||
| VP - MENTAL HEALTH | $320,431 | $0 | $0 | $0 | $8,700 | $0 | $56,930 | $0 | $28,423 | $0 | $414,484 | $0 | $0 | $0 |
| SCOTT NOTTINGHAM MD | ||||||||||||||
| DIRECTOR | $0 | $340,025 | $0 | $0 | $0 | $249 | $0 | $11,600 | $0 | $28,823 | $0 | $380,697 | $0 | $0 |
| TAMIKA HARRIS | ||||||||||||||
| VP - FACILITIES & SUPPORT SERV | $235,877 | $0 | $0 | $0 | $38,030 | $0 | $62,342 | $0 | $35,087 | $0 | $371,336 | $0 | $17,761 | $0 |
| SUZANNE BRIXEY | ||||||||||||||
| PHYSICIAN | $299,337 | $0 | $30,400 | $0 | $414 | $0 | $11,600 | $0 | $3,238 | $0 | $344,989 | $0 | $0 | $0 |
| MICHELLE CLAYTON | ||||||||||||||
| MEDICAL DIRECTOR CHILD ADVOCACY | $215,773 | $0 | $0 | $0 | $1,412 | $0 | $6,900 | $0 | $27,444 | $0 | $251,529 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | IN CONNECTION WITH A RETIREMENT PROGRAM, TAX GROSS-UP PAYMENTS ARE PROVIDED TO CERTAIN EMPLOYEES WHOSE EMPLOYER FUNDED CONTRIBUTIONS ARE IMMEDIATELY BENEFITS OF PARTICIPANTS WHOSE CONTRIBUTIONS ARE NOT IMMEDIATELY TAXABLE. |
| PART I, LINE 4B | 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: KAREN MITCHELL ACT. INCREASE $0 AMT. PAID $65,678 NAME: ALLISON SILVA ACT. INCREASE $138,546 AMT. PAID $47,253 NAME: JOHN HARDING ACT. INCREASE: $332,509 AMT. PAID: $71,224 NAME: DEBORAH BARNES ACT. INCREASE: $369,586 AMT. PAID: $147,291 NAME: KATHY ABSHIRE ACT. INCREASE $133,959 AMT. PAID: $22,674 NAME: TAMIKA HARRIS ACT. INCREASE $32,075 AMT. PAID: $0 NAME: DENNIS RYAN ACT. INCREASE: $ 416,894 AMT. PAID: $3,045,669 NAME: JOHN WARBURTON ACT. INCREASE: $46,751 AMT. PAID: $0 NAME: SANDIP GODAMBE ACT INCREASE: $244,414 AMT PAID: $33,751 NAME: JALANA MCCASLAND ACT INCREASE: $113,808 AMT PAID: $7,284 NAME: JOHN HARRINGTON ACT. INCREASE: $57,348 AMT PAID: $0 |
| PART I, 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
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| VA SMALL BUSINESS FINANCING AUTHORITY | |||||||
| A | 541300845 | 2015-12-01 | $100,000,000 | FINANCING OF HEALTH CARE FACILITIES | 0 | 0 | 0 |
| VA SMALL BUSINESS FINANCING AUTHORITY | |||||||
| B | 541300845 | 2020-06-10 | $100,000,000 | FINANCING OF HOSPITAL FACILITIES | 0 | 0 | 0 |
| VA SMALL BUSINESS FINANCING AUTHORITY | |||||||
| C | 541300845 | 2021-11-09 | $91,958,991 | REFINANCE 2012 SERIES BONDS & FIN. OF HOSP. FACILITIES | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $2,461,713 | $48,650,000 | $48,650,000 | 2018 | 0 | 0 | Yes (1) | Yes (1) |
| B | $100,000,000 | $100,000,000 | 2022 | 0 | 0 | Yes (1) | Yes (1) | |
| C | $2,800,000 | $91,958,991 | $91,958,991 | Yes (1) | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00330 | 0.00330 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00590 | 0.00590 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: VA SMALL BUSINESS FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 05/12/2021 |
| PART II, LINE 10, COLUMN A: | LINE 10 - CAPITAL EXPENDITURES FROM PROCEEDS ALLOCATED CURRENTLY TOTAL $99,950,000, OF WHICH $51,300,000 WAS ALLOCATED TO CHILDREN'S HEALTH SYSTEM AND $48,650,000 WAS ALLOCATED TO CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS. |
| PART II, LINES 3 AND 10, COLUMN B: | LINE 3 - FUNDS WERE DRAWN BY CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS FROM THE TOTAL ISSUE PRICE OF THE BOND. FINAL PROCEEDS WERE DRAWN TOTALLING $100,000,000. |
| PART II, LINE 3 AND 10, COLUMN C: | LINE 3: FUNDS WERE DRAWN BY CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS FROM THE TOTAL ISSUE PRICE OF THE BOND. ALL PROCEEDS WERE DRAWN TOTALLING $91,958,991. LINE 10: CAPITAL EXPENDITURES FROM PROCEEDS TOTALLED $91,958,991. |
| PART III, LINE 4: | COLUMN A: WE HAVE CONCLUDED THAT OUT OF THE ACTIVITIES CONDUCTED IN THIS BOND FINANCED SPACE, WE HAVE NOTED THAT 0.33% 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. COLUMN C: WE HAVE CONCLUDED THAT OUT OF THE ACTIVITIES CONDUCTED IN THIS BOND FINANCED SPACE, WE HAVE NOTED THAT 0.5863% 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. PNC BANK, NATIONAL ASSOCIATION AND BANK OF AMERICA, N.A. AND TOWNE BANK, EACH HOLD PARITY NOTES OF CHKD'S OBLIGATED GROUP (INCLUDING CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED; CHILDREN'S HEALTH SERVICES, INC.; AND CHILDREN'S HEALTH FOUNDATION, INC.) ISSUED UNDER THE MASTER TRUST INDENTURE. ACCORDINGLY, PNC AND BANK OF AMERICA AND TOWNE BANK HAVE THE BENEFIT, ON A PARITY BASIS, OF A VALID AND PERFECTED, FIRST PRIORITY SECURITY INTEREST HELD BY THE MASTER TRUSTEE IN THE TOTAL REVENUES PLEDGED UNDER THE MASTER TRUST INDENTURE AND IN ANY OTHER SECURITY INTEREST GRANTED BY THE MASTER TRUST INDENTURE. THE MASTER TRUST INDENTURE AND THE FINANCING DOCUMENTS WITH PNC AND BANK OF AMERICA AND TOWNE BANK PLACE CERTAIN RESTRICTIONS UPON CHKD'S OBLIGATED GROUP RELATIVE TO OPERATING RATIOS, INCURRENCE OF ADDITIONAL INDEBTEDNESS, MAINTENANCE OF TAX-EXEMPT STATUS AND FINANCIAL REPORTING REQUIREMENTS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WM JORDAN CO INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $48,868,406 | TransactionAmt |
| Transaction | CONSTRUCTION SERVICES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | INTERESTED PERSON AND THE ORGANIZATION | FormAndLineReferenceDesc |
| Explanation | ENTITY MORE THAN 35% OWNED BY JOHN LAWSON II, CURRENT BOARD MEMBER. | ExplanationTxt |
Schedule M IRS990ScheduleM
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $5,700 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | CASH ON SALE | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 49 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,785,467 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | AVG FMV ON DATE REC | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | OTHER | Desc |
| Contribution | 10 | ContributionCnt |
| Noncash Contributions Rpt F990 | $58,446 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | AVG FMV ON DATE REC | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 32B: | FormAndLineReferenceDesc |
| Explanation | CHKD PAYS ABC VIRGINIA AUTO AUCTION, LLC A FEE TO AUCTION CARS FOR THE BENEFIT OF THE ORGANIZATION. SCHEDULE M, PART I: COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS, NOT THE NUMBER OF ITEMS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS: | FOR SIX DECADES, CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS (CHKD) HAS BEEN THE ONLY FACILITY OF ITS KIND IN VIRGINIA, SERVING THE MEDICAL AND SURGICAL NEEDS OF CHILDREN THROUGHOUT THE STATE. ITS PRIMARY SERVICE AREA ENCOMPASSES GREATER HAMPTON ROADS, THE EASTERN SHORE OF VIRGINIA AND NORTHEASTERN NORTH CAROLINA, A REGION THAT IS HOME TO APPROXIMATELY 460,000 CHILDREN UNDER THE AGE OF 20. CHKD WAS ESTABLISHED AS AN 88-BED, NOT-FOR-PROFIT HOSPITAL IN 1961 BY THE KING'S DAUGHTERS, A WOMEN'S SERVICE ORGANIZATION DEDICATED TO THE HEALTH AND WELL BEING OF THE COMMUNITY'S INDIGENT CHILDREN. THE HOSPITAL HAS ALWAYS UPHELD THE CHARITABLE MISSION OF ITS FOUNDERS, AND IN FY2022, OVER 55 PERCENT OF ITS INPATIENT DAYS WERE COVERED BY MEDICAID. OVER THE PAST 60 YEARS, CHKD'S HOSPITAL HAS GROWN INTO AN EXTENSIVE PEDIATRIC HEALTH CARE SYSTEM THAT INCLUDES A 206-BED TEACHING HOSPITAL, AND A NEW MENTAL HEALTH TOWER, CHILDREN'S PAVILION, THAT WILL ACCOMMODATE 60 INPATIENT PSYCHIATRIC BEDS. THE SYSTEM PROVIDES COMPREHENSIVE MEDICAL CARE TO CHILDREN AT THE MAIN HOSPITAL, CHILDREN'S PAVILION, AND MULTI-SERVICE HEALTH CENTERS IN VIRGINIA BEACH, NEWPORT NEWS, CHESAPEAKE, HAMPTON, SUFFOLK, NORFOLK AND WILLIAMSBURG. ITS SERVICES INCLUDE EVERYTHING FROM WELLNESS AND PREVENTION INITIATIVE TO PRIMARY CARE, SURGERY AND REHABILITATION. MANY OF ITS UNIQUE SERVICES AND PROGRAMS ADDRESS PRESSING PUBLIC HEALTH NEEDS THAT WOULD OTHERWISE GO UNMET. CHKD COMPLETED CONSTRUCTION OF A $224 MILLION MENTAL HEALTH FACILITY IN 2022 IN RESPONSE TO THE GROWING NEED FOR PEDIATRIC PSYCHIATRIC CARE - IN APRIL OF 2022 CHILDREN'S PAVILION OPENED TO OUTPATIENT MENTAL HEALTH SERVICES, PRIMARY PEDIATRIC CARE, SPORTS MEDICINE, AND LABORATORY AND RADIOLOGY SERVICES. IN OCTOBER OF 2022 THE FIRST 12 OF 60 PRIVATE INPATIENT MENTAL HEALTH BEDS OPENED. THE 14-STORY MENTAL HEALTH CENTER ALSO HAS INDOOR AND OUTDOOR EXERCISE AREAS, AND ROOMS FOR OUTPATIENT SERVICES. A FULL CONTINUUM OF MENTAL HEALTH CARE, FROM OUTPATIENT THERAPY TO MORE INTENSIVE INPATIENT TREATMENT IS NOW AVAILABLE AND ALL 60 BEDS ARE EXPECTED TO OPEN BY MID 2023. AS THE PREMIER PROVIDER OF HEALTHCARE SERVICES TO THE REGION'S CHILDREN, CHKD HAS SECURED A PLACE IN THE HEART OF THE COMMUNITY. THE HOSPITAL IS AN EAGER COLLABORATOR WITH OTHER COMMUNITY ORGANIZATIONS AND INSTITUTIONS THAT SHARE ITS CONCERN FOR THE WELL-BEING OF YOUNG PEOPLE AND OFFERS A VARIETY OF EDUCATION, RESEARCH AND HEALTH INITIATIVES TO IMPROVE THE HEALTH AND WELL BEING OF CHILDREN IN THIS COMMUNITY AND BEYOND. THE HEALTH SYSTEM'S PRIMARY SERVICES CENTER ON INPATIENT AND OUTPATIENT CARE, COMMUNITY OUTREACH PROGRAMS AND MEDICAL EDUCATION/RESEARCH. SECTION ONE: INPATIENT CARE CHILDREN WITH A VAST RANGE OF MEDICAL PROBLEMS INCLUDING LIFE-THREATENING ILLNESSES AND INJURIES TURN TO CHKD FOR INPATIENT CARE. IN FY22, CHKD HAD 4,834 ADMISSIONS RESULTING IN 49,261 PATIENT DAYS. APPROXIMATELY 55 PERCENT OF THESE DAYS WERE COVERED BY MEDICAID. CHKD HAS 206 INPATIENT BEDS AND ALMOST HALF OF THOSE ARE FOR PEDIATRIC INTENSIVE CARE. THE HOSPITAL IS HOME TO THE REGION'S HIGHEST LEVEL NEONATAL INTENSIVE CARE UNIT, WHERE EACH YEAR CRITICALLY ILL NEWBORNS, SOME AS YOUNG AS 22 WEEKS GESTATION, BENEFIT FROM A UNIQUE COMBINATION OF ADVANCED MEDICAL TECHNOLOGY, DEVELOPMENTAL CARE, FAMILY SUPPORT, AND PALLIATIVE CARE. IN SEPTEMBER 2020, A RENOVATION OF THE NICU WAS COMPLETED CREATING 50 PRIVATE ROOMS AND 10 SEMI-PRIVATE ROOMS TO CREATE A MORE INDIVIDUALIZED AND FAMILY CENTERED APPROACH, GIVING FAMILIES MORE PRIVACY TO BOND WITH THEIR BABIES. THERE WERE APPROXIMATELY 526 ADMISSIONS TO THE NICU IN FY22. 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 SUPPORT FROM CHILD LIFE SPECIALISTS, SOCIAL WORKERS AND CHAPLAINS WHO HAVE EXTENSIVE EXPERIENCE HELPING FAMILIES THROUGH THE TRAUMA AND STRESS OF A SEVERE ILLNESS OR INJURY IN A CHILD. THERE WERE 899 ADMISSIONS TO THE PICU IN FY22. MANY PATIENTS ARE BROUGHT FROM OTHER AREA HOSPITALS TO CHKD BY THE HOSPITAL'S NEONATAL/PEDIATRIC TRANSPORT PROGRAM, WHICH OPERATES OUT OF FOUR FULLY-EQUIPPED MOBILE INTENSIVE CARE UNITS. TWO EMT CERTIFIED CRITICAL CARE TRANSPORT TEAMS ARE AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK TO ALL AREA MEDICAL FACILITIES THAT NEED TO SEND SICK OR INJURED CHILDREN TO CHKD. CHKD TRANSPORT TEAMS ARE EQUIPPED AND TRAINED TO TRANSPORT ALL TRAUMA PATIENTS UNDER THE AGE OF 15 TO CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS FOR SPECIALIZED PEDIATRIC TRAUMA CARE. ONE ACUTE CARE TRANSPORT TEAM IS STAFFED DAILY WITH TWO PARAMEDICS TO PROVIDE TRANSPORT TO PEDIATRIC PATIENTS THROUGHOUT THE COMMUNITY, SERVING URGENT CARE FACILITIES AS WELL AS EMERGENCY ROOMS WITHIN THE TIDEWATER REGION. EACH CRITICAL CARE TRANSPORT CALL IS ANSWERED BY A NEONATAL/PEDIATRIC CRITICAL CARE NURSE, A REGISTERED RESPIRATORY THERAPIST AND A CERTIFIED EMT PARAMEDIC TRAINED IN NEONATAL/PEDIATRIC CARE. IN FY22, THE TEAM TRANSPORTED 1,531 PATIENTS. OF THOSE, 387 WERE NEWBORNS IN NEED OF NEONATAL INTENSIVE CARE. CHKD'S TRANSPORT SERVICE IS ALSO UNDER CONTRACT TO THE NAVAL MEDICAL CENTER, PORTSMOUTH, TO PROVIDE ALL NEONATAL AND PEDIATRIC MILITARY TRANSPORTS IN THE REGION. BESIDES GROUND TRANSPORTS IN OUR MOBILE ICUS OR ACUTE CARE TRANSPORT, THE TEAM CAN RESPOND VIA FIXED WING AIRCRAFT OR HELICOPTER TRANSPORT WHEN MEDICALLY NECESSARY. CHKD TRANSFER CENTER IS STAFFED WITH PARAMEDICS WHO OPERATE TO ENSURE APPROPRIATE DISPATCH SERVICES TO THE TRANSPORT TEAM AS WELL AS TO DELIVER ASSISTANCE AND SUPPORT FOR REFERRAL FACILITIES AND STAFF THROUGHOUT THE COMMUNITY. |
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | 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 FY22, SURGEONS PERFORMED 12,189 SURGERIES AT CHKD FACILITIES FOR A VAST RANGE OF PROBLEMS, FROM THE SIMPLEST OUTPATIENT PROCEDURES TO COMPLEX CRANIOFACIAL, ORTHOPEDIC AND CHEST WALL SURGERIES. CHKD'S CARDIAC SURGERY PROGRAM IS PART OF A REGIONAL COLLABORATIVE BETWEEN CHKD AND THE UNIVERSITY OF VIRGINIA. CHKD AND UVA COMBINE THE EFFORTS OF PEDIATRIC CARDIOLOGISTS, CARDIAC SURGEONS, CARDIAC ANESTHESIOLOGISTS, INTENSIVE CARE PHYSICIANS AND CARDIAC SUPPORT PROFESSIONALS FROM BOTH INSTITUTIONS WITH THE GOAL OF IMPROVING OUTCOMES FOR CHILDREN WITH COMPLEX CONGENTIAL HEART DEFECTS. (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, SPIRITUAL CARE, ETHICAL REFLECTION, BEREAVEMENT CARE/RESOURCES/FOLLOW-UP (INCLUDING PARENT AND CHILD SUPPORT GROUP), SPIRITUAL ASSESSMENT AND GUIDANCE TO PATIENTS, FAMILIES AND STAFF WITH IN-HOSPITAL PRESENCE SEVEN DAYS A WEEK AND 24 HOURS A DAY. ADDITIONALLY, A CHAPLAIN IS ASSIGNED TO CHILDREN'S PAVILION TO PROVIDE FOR PATIENTS ON OUR INPATIENT MENTAL HEALTHCARE FLOORS. CHAPLAINS ASSIST WITH ADVANCE DIRECTIVES, ADVANCE CARE PLANS AND SERVE ON THE TRAUMA TEAM AS PRIMARY PROVIDERS OF FAMILY SUPPORT. THE HOSPITAL EMPLOYS A CHAPLAINCY MANAGER, SIX FULL-TIME CHAPLAINS, ONE FULL-TIME FAMILY/STAFF SUPPORT COORDINATOR, AND THREE PER-DIEM CHAPLAINS WHO REFLECT THE DIVERSITY OF THE COMMUNITY. ALL CHAPLAINS ARE PROFESSIONALLLY TRAINED TO MEET THE VARIED SPIRITUAL NEEDS OF FAMILIES AND STAFF WITH RESPECT AND COMPASSION. CHAPLAINCY SERVICES HAS NUMEROUS CONNECTIONS WITH COMMUNITY CLERGY TO ENSURE MOST RELIGIOUS NEEDS CAN BE MET. THE CHAPLAINS PROVIDE AN ANNUAL MEMORIAL SERVICE TO REMEMBER AND CELEBRATE THE LIVES OF THE CHILDREN WHO HAVE PASSED ON DURING THE PREVIOUS YEAR. THE CHAPLAINS ALSO FACILITATE EDUCATIONAL AND WELLNESS PROGRAMS FOR HOSPITAL STAFF AND PHYSICIANS, AS WELL AS PLANNING AND PARTICIPATING IN OUTREACH TO THE COMMUNITY. THE HOSPITAL EMPLOYS 17 CHILD LIFE STAFF MEMBERS, INCLUDING AN ART THERAPIST AND A MUSIC THERAPIST, 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 AND SURGERIES, COPING STRATEGIES AND PLAY OPPORTUNITIES FOR CHILDREN TO RELIEVE STRESS. WITH THE OPENING OF CHILDREN'S PAVILION IN 2022, EIGHT NEW CHILD LIFE POSITIONS WERE ADDED FOR THAT FACILITY, INCLUDING CERTIFIED THERAPEUTIC RECREATION SPECIALISTS, CERTIFIED CHILD LIFE SPECIALISTS, AND AN ART AND MUSIC THERAPIST. THERE ARE FOUR POPULAR ACTIVITY AREAS, INCLUDING A TEEN ROOM, IN THE MAIN HOSPITAL, PROVIDING HOSPITALIZED CHILDREN OPPORTUNITIES FOR SOCIALIZATION AND CREATIVE PLAY. CHILD LIFE ASSISTANTS 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 AND ALSO PROVIDES VIRTUAL VISITS. CHKD ALSO HAS A FACILITY DOG THAT WORKS ALONGSIDE A CHILD LIFE STAFF MEMBER. CHILD LIFE STAFF MEMBERS COLLABORATE WITH OTHER HOSPITAL STAFF TO PROVIDE SUPPORT FOR PARENTS AND SIBLINGS, OFFERING AN ANNUAL TEDDY BEAR CLINIC, WEEKLY CLOSED-CIRCUIT TV BINGO, INPATIENT DEVELOPMENTAL SCREENINGS, AND A KIDS-AS-PARTNERS ADVISORY COUNCIL. |
| STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | CHKD'S MENTAL HEALTH SERVICE LINE IS COMPRISED OF ONE MANAGER, ONE OFFICE SUPERVISOR, 20 FULL-TIME MEDICAL SOCIAL WORKERS AND THREE PER DIEM SOCIAL WORKERS. ALL OF THE MEDICAL SOCIAL WORKERS ARE REQUIRED TO HAVE A MASTER'S DEGREE IN SOCIAL WORK. THERE ARE THREE LICENSED CLINICAL SOCIAL WORKERS IN THE DEPARTMENT WITH AN ADDITIONAL 19 SOCIAL WORKERS WORKING TOWARD CLINICAL LICENSURE. THE PRIMARY FOCUS OF THE MEDICAL SOCIAL WORK TEAM IS BIOPSYCHOSOCIAL EVALUATION, SUPPORT TO FAMILIES, CRISIS INTERVENTION, CONNECTION TO RESOURCES AND SUPPORTING ADJUSTMENT TO ILLNESSES AND HELPING TO MITIGATE THE STRESS OF HOSPITALIZATION. THE MEDICAL SOCIAL WORK TEAM PROVIDES MANY SERVICES, INCLUDING: * CONDUCT BIOPSYCHOSOCIAL AND BEHAVIORAL ASSESSMENTS. * PROVIDE SUPPORT DURING HOSPITALIZATION TO CHKD PATIENTS AND FAMILIES DEALING WITH TRAUMA, CHRONIC ILLNESS AND LOSS. * REFER TO CHKD'S ELIGIBILITY WORKERS TO COMPLETE APPLICATIONS FOR INSURANCE COVERAGE FOR MEDICAL CARE, PRESCRIPTIONS, AND MEDICAL SUPPLIES. * COORDINATE REFERRALS AND ONGOING COMMUNICATIONS TO OTHER COMMUNITY RESOURCES FOR ASSISTANCE WITH NEEDS SUCH AS HOUSING, MENTAL HEALTH COUNSELING, EDUCATIONAL ADVOCACY, LEGAL ASSISTANCE AND MUCH MORE. * AID IN COMMUNICATION WITH FAMILIES WITH THE MEDICAL TREATMENT TEAMS BY COORDINATING PATIENT CARE CONFERENCES AND TEAM MEETINGS. * EVALUATE AND REPORT SUSPICION FOR CHILD ABUSE/NEGLECT. IN JULY 2021, A GRANT WAS AWARDED TO THE MEDICAL SOCIAL WORK TEAM UNDER THE HOSPITAL VIOLENCE INTERVENTION PROGRAM INITIATIVE. THIS PROGRAM IS NOW IDENTIFIED AS "SAFER FUTURES AND IS MANAGED BY AN IDENTIFIED LICENSED ELIGIBLE COORDINATOR AND ONE FULL TIME MEDICAL SOCIAL WORKER. ADDITIONALLY, MEDICAL SOCIAL WORKERS ALSO FACILITATE A VARIETY OF SUPPORT GROUPS THAT HELP PATIENTS AND FAMILIES CONNECT WITH OTHERS IN THE COMMUNITY WHO SHARE THEIR CHALLENGES. SOME EXAMPLES ARE SIBSHOPS, HEALTHY MOMMY HEALTHY BABY, DINE AND DISCOVER FOR NICU FAMILIES. THE MEDICAL SOCIAL WORK TEAM MANAGES THE HALO FUND,BUTTERFLY BLESSINGS FUND, AND SAM'S WARRIORS FUNDS, MONETARY FUNDS DESIGNATED TO ASSIST PATIENTS/FAMILIES ENCOUNTERING BARRIERS SUCH AS TRANSPORTATION, MEALS, MEDICATION/PRESCRIPTION ASSISTANCE AND OTHER DISCHARGE-RELATED COSTS. THESE DONATED FUNDS MAY ALSO BE USED IN EMERGENCY SITUATIONS TO ASSIST WITH SPECIAL HEALTHCARE CHALLENGES, LOST MONEY DUE TO PARENT'S INABILITY TO WORK DURING CHILDREN'S INPATIENT STAY, AND PARTIAL OR ONE-TIME PAYMENTS FOR UTILITIES OR RENT FEES POST DISCHARGE. THE MSW TEAM ALSO COORDINATES HOLIDAY FUNDS FOR FAMILIES IN NEED. THESE FUNDS ASSISTED MORE THAN 41 FAMILIES, TOTALING 174 PEOPLE, WITH $5,250 SPENT IN FY22. THE MENTAL HEALTH TEAM PROVIDES OUTPATIENT AND HOSPITAL-BASED MENTAL HEALTH SERVICES TO PATIENTS WHO PRESENT TO OUR ED OR WHO ARE ADMITTED TO CHKD FOR MEDICAL REASONS BUT ALSO HAVE A CONCURRENT MENTAL HEALTH CONDITION. IN ADDITION, WE PROVIDE OUTPATIENT EVIDENCE BASED THERAPY AT FIVE LOCATIONS IN VIRGINIA BEACH, CHESAPEAKE, NORFOLK, AND NEWPORT NEWS. IN 2018, CHKD HAD ONE CHILD AND ADOLESCENT PSYCHIATRIST. TODAY, IN THE SECOND QUARTER OF FY23, WE HAVE 19 CHILD AND ADOLESCENT PSYCHIATRISTS WITH RECRUITMENT ONGOING AS WE CONTINUE TO RECRUIT TO EXPAND OUR SERVICES AND PROGRAMS. WE HAVE TWELVE PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONERS ON THE TEAM, UP FROM TWO IN 2022. IN SEPTEMBER OF 2019, WE BROKE GROUND FOR A 14-STORY MEDICAL BUILDING WHICH WILL PROVIDE 60 INPATIENT BEDS FOR ACUTE MENTAL HEALTH CARE, EXPANDED OUTPATIENT SERVICES, INCLUDING PARTIAL HOSPITALIZATION PROGRAMS AND INTENSIVE OUTPATIENT SERVICES. THE NEW MENTAL HEALTH HOSPITAL OPENED OUTPAITENT ON SCHEDULE IN APRIL OF 2022 AND OUR FIRST INPATIENT BEDS OPENED IN OCTOBER 2022. WE ARE OPERATING A COMPREHENSIVE MENTAL HEALTH CONSULT SERVICE AT THE MAIN HOSPITAL FOR MEDICALLY COMPROMISED CHILDREN WITH A MENTAL HEALTH DIAGNOSIS. WE CONTINUE TO OPERATE OUR OUTPATIENT CRISIS "BRIDGE" CLINIC, WHICH EXTENDS OUR SERVICES TO KIDS WHO ARE NOT CONNECTED TO A PROVIDER AS THEY ARE WAITING TO CONNECT TO OUTPATIENT SERVICES. WE CONTINUE TO EXPAND OUR OUTPATIENT WORKFORCE BY ADDING ADDITIONAL PSYCHOLOGISTS AND MENTAL HEALTH THERAPISTS AND THE NEED CONTINUES TO BE OVERWHELMING WITH MORE THAN 5,000 CHILDREN WAITING FOR OUTPATIENT MENTAL HEALTH CARE. WE HAVE A FULL COMPLEMENT OF LEADERS FOR OUR PROGRAMS AND SERVICES, WE OPENED INTENSIVE OUTPATIENT PROGRAMMING IN JULY 2022 AND OPENED OUR SECOND TRACK IN OCTOBER FOR INTENSIVE OUTPATIENT PROGRAMMING. WE INTEND TO OPEN PARTIAL HOSPITAL PROGRAMMING EARLY IN 2023 AT CHILDREN'S PAVILION. WE CONTINUE TO TRAIN AND EDUCATE OUR TEAM ON EVIDENCE-BASED RESEARCH AND SUPPORTED-CARE DELIVERY. WE'VE ADDED MATCH THERAPY IN ADDITION TO TRAINING SEVERAL MORE CLINICIANS IN OTHER EVIDENCE-BASED TREATMENTS. WE HAVE ALSO PARTNERED WITH OUR COMMUNITY ON SEVERAL FOUNDATION GRANTS TO SUPPORT SCHOOLS AND PEDIATRIC INTEGRATION OF CARE FOR EARLY CHILDHOOD CONSULTATION. WE ARE THE EASTERN REGION'S PARTNER FOR THE VIRGINIA MENTAL HEALTH ACCESS PROGRAM, WHICH WAS FULLY FUNDED THROUGH THE STATE BUDGET. WE CONTINUE TO EXPAND OUR REACH INTO OUR COMMUNITY WITH SCHOOL-BASED PARTNERSHIPS, WITH A RECENT ADD OF STAFF TO VIRGINIA BEACH CITY PUBLIC SCHOOLS TO PROVIDE CRISIS SERVICES TO STUDENTS IDENTIFIED BY SCHOOL (MIDDLE AND HIGH SCHOOL). WE ARE ALSO IN OUR SECOND YEAR ON-SITE TELLOHAB FOR OUR 3RD YEAR AT GOVERNOR'S SCHOOL FOR THE ARTS. WE HAVE OPENED A MENTAL HEALTH RESEARCH CENTER AND HAVE A CHILD AND ADOLESCENT PSYCHIATRY FELLOWSHIP PROGRAM STARTING IN THE SUMMER OF 2023 UNDER THE DIRECTION OF DR. MARY MARGARET GLEASON. WE HAVE ALSO STARTED A HOSPITAL VIOLENCE INTERVENTION PROGRAM HERE AT CHKD WITH THE HELP OF STATE FUNDING TO SUPPORT THE PROGRAM'S MISSION. THERAPISTS IN THIS PROGRAM HAVE BEEN TRAINING IN AN INTERVENTION CALLED CFTSI (CHILD AND FAMILY TRAUMATIC STRESS INTERVENTION), WHICH WHEN DELIVERED WITHIN 45 DAYS OF TRAUMATIC EXPERIENCE GREATLY REDUCES THE LIKELIHOOD OF PTSD. WE HAVE THREE STAFF IN THIS PROGRAM. THE TEAM COLLABORATES WITH THE CHILD'S PEDIATRICIAN, PSYCHIATRIC PROVIDER, SPECIALIST AND FAMILY TO ENSURE THE CHILD RECEIVES COMPREHENSIVE AND INTEGRATED SUPPORT. AMONG THE SERVICES OUR MENTAL HEALTH TEAM PROVIDES ARE THE FOLLOWING: * CONDUCT PSYCHOSOCIAL HISTORY AND MENTAL HEALTH ASSESSMENTS OF PATIENTS: OUTPATIENT, ED, AND IN-HOUSE. * UTILIZE EVIDENCE-BASED PRACTICES TO OFFER BRIEF THERAPY TO IN-HOUSE PATIENTS BY PHYSICIAN REFERRAL TO ADDRESS ACUTE OR CHRONIC MENTAL HEALTH ISSUES. * OFFER INDIVIDUALIZED BEHAVIOR PLANS FOR CHILDREN WITH MEDICAL AND BEHAVIORAL ISSUES ADMITTED TO CHKD FOR THEIR MEDICAL CONDITION. * PROVIDE OUTPATIENT MENTAL HEALTH SERVICES UTILIZING EVIDENCE-BASED TREATMENT (COGNITIVE BEHAVIORAL THERAPY, PARENT CHILD INTERACTION THERAPY, TRAUMA-FOCUSED COGNITIVE BEHAVIORAL THERAPY, FAMILY BASED THERAPY FOR ANOREXIA NERVOSA, BEHAVIORAL THERAPY FOR CHILDREN WITH AUTISM SPECTRUM DISORDER AND OTHER NEURODEVELOPMENTAL CONDITIONS, EMDR, AND A GROUP THERAPY IN ORDER TO PROVIDE MENTAL HEALTH SKILLS FOR PATIENTS. * HELP PATIENTS AND FAMILIES DEAL WITH SITUATIONAL CRISES RESULTING FROM ACCIDENT, ILLNESS OR TRAUMA. * 24-HOUR COVERAGE BY A LICENSED CLINICIAN OR SUPERVISEE FOR NIGHTS, WEEKENDS AND HOLIDAYS. THE CHKD'S CULTURAL/LANGUAGE SERVICES DEPARTMENT MEETS THE NEEDS OF PATIENTS AND FAMILIES WITH LIMITED ENGLISH PROFICIENCY BY COORDINATING ACCESS TO LANGUAGE INTERPRETATION VIA FACE-TO-FACE, OVER THE PHONE AND VIDEO REMOTE INTERPRETATION THROUGHOUT THE HEALTH SYSTEM. THE PROGRAM'S GOAL IS TO IMPROVE CUSTOMER SERVICE, CONSISTENCY OF CARE AND PATIENT SAFETY. WE RECOGNIZE THAT IT IS CRITICAL TO HAVE ACCESS TO INTERPRETERS AND CAREGIVERS WHO CAN PROVIDE CULTURALLY SENSITIVE AND ACCURATE INFORMATION SO THEY CAN UNDERSTAND AND PARTICIPATE IN THE CHILDREN'S TREATMENT AND DISCHARGE PROCESS AND HELP PREVENT POTENTIAL MEDICAL ERRORS. IT ALSO CONTRIBUTES TO OVERALL SATISFACTION, WHICH IS VITALLY IMPORTANT. WE MEET THIS GOAL THROUGH THE ACTIVITIES DESCRIBED BELOW: CHKD PROVIDED INTERPRETATION SERVICES IN 34 DIFFERENT LANGUAGES FOR OUR LIMITED ENGLISH POPULATION THROUGH 13,542 OUTPATIENT VISITS IN FY22. TO MEET THE NEEDS OF THESE FAMILIES HOSPITAL STAFF USED OVER THE PHONE INTERPRETATION, VIDEO REMOTE INTERPRETATION AND THREE FULL TIME SPANISH MEDICAL INTERPRETERS IN THE LANGUAGE SERVICES DEPARTMENT COVERING THE MAIN HOSPITAL AND THE GENERAL ACEDEMIC PEDIATRICS CLINIC. ADDITIONALLY, THE HEALTH SYSTEM HAD 24 DUAL ROLE BILINGUAL STAFF MEMBERS WHO WERE AVAILABLE TO PROVIDE MEDICAL INTERPRETATION IN THEIR ASSIGNED AREAS. FOR WRITTEN DOCUMENT TRANSLATION, THE HEALTH SYSTEM RELIED ON ONE REMOTE PRN DOCUMENT TRANSLATOR IN ADDITION TO TWO OF THE LANGUAGE SERVICES FULL-TIME SPANISH MEDICAL INTERPRETERS. |
| DURING FY22, THE LANGUAGE SERVICES DEPARTMENT ASSISTED WITH IN-PERSON AND | OVER THE PHONE INTERPRETATION FOR 10,496 PATIENT ENCOUNTERS AT THE MAIN HOSPITAL AND AT THE GAP CLINIC, TRANSLATED 299 DOCUMENTS FROM ENGLISH TO SPANISH AND CONDUCTED 19 LANGUAGE PROFICIENCY ASSESSMENTS (10 FOR BASIC SPANISH AND 9 FOR MEDICAL SPANISH). LANGUAGE PROFICIENCY ASSESSMENTS ARE CONDUCTED BY THE LANGUAGE SERVICES DEPARTMENT TO ENSURE BILINGUAL STAFF THROUGHOUT THE CHKD HEALTH SYSTEM HAVE THE SKILLS NECESSARY TO COMMUNICATE EFFECTIVELY WITH PATIENTS AND FAMILIES IN SPANISH, OR BEFORE THEY ARE ALLOWED TO PROVIDE MEDICAL INTERPRETATION IN SPANISH. AS THE REGIONAL PROVIDER OF PEDIATRIC CARE, CHKD IS AN INTEGRAL PART OF THE COMMUNITY'S NATURAL OR MAN-MADE DISASTER PLANNING EFFORTS. CHKDHS RECOGNIZES THE IMPORTANCE OF A NATIONAL INCIDENT MANAGEMENT SYSTEM(NIMS) COMMUNITY-INTEGRATED, ALL-HAZARD EMERGENCY OPERATIONS PLAN. THIS PLAN IS PREPARED, EXERCISED AND SHARED INTERNALLY AND EXTERNALLY WITH COMMUNITY, STATE AND FEDERAL EMERGENCY RESPONSE AGENTS. STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SECTION TWO: OUTPATIENT SERVICES AND PROGRAMS CHKD HEALTH SYSTEM ALSO OFFERS THE COMMUNITY MANY IMPORTANT PEDIATRIC SERVICES ON AN OUTPATIENT BASIS. IN FY22, CHILDREN MADE APPROXIMATELY 631,587 (THIS IS CMG, CSSG VISITS, AND OUTPATIENT CLINIC VISITS) OUTPATIENT VISITS TO CHKD PEDIATRICIANS, SURGEONS AND SUBSPECIALTY SPECIALTY CLINICS. THEY MADE 389,329 VISITS TO THE PRIMARY CARE PEDIATRICIANS OF CHKD'S MEDICAL GROUP, WHICH OFFERS CARE IN 20 PRACTICES AND 32 OFFICES THROUGHOUT OUR SERVICE AREA. CHKD'S SURGICAL SPECIALTY GROUP MAKES THE SERVICES OF THE REGION'S ONLY PEDIATRIC GENERAL, UROLOGICAL, CARDIAC, NEUROSURGICAL, PLASTIC AND ORTHOPEDIC SURGEONS AVAILABLE TO THOUSANDS OF CHILDREN WHO MIGHT OTHERWISE HAVE TO TRAVEL OUTSIDE OF THE AREA FOR SURGERY. CHILDREN MADE 46,512 VISITS TO THE SURGICAL GROUP PRACTICES IN FY22. THE SURGEONS PERFORMED 5,444 SURGICAL CASES. THE HOSPITAL ALSO PROVIDES CARE TO CHILDREN FACING HEALTH CONDITIONS SUCH AS CANCER, GENETIC DISORDERS, OBESITY, HEART PROBLEMS, DEVELOPMENTAL DISABILITIES, ASTHMA/ALLERGIES AND DIABETES THROUGH MORE THAN 50 OUTPATIENT SPECIALTY CLINICS OFFERING SPECIALIZED PEDIATRIC CARE. IN FY22, CHILDREN MADE 242,258 VISITS TO OUR OUTPATIENT CLINICS. CHILDREN'S HOSPITAL WAS FOUNDED ON THE PREMISE THAT ALL CHILDREN DESERVE EQUAL ACCESS TO QUALITY PEDIATRIC CARE. AS OUR POPULATION GREW AND SETTLED INTO THE FAR CORNERS OF OUR BRIDGE-AND TUNNEL-LACED REGION, TRAVEL TO CHKD'S MAIN FACILITY IN NORFOLK BECAME MORE OF A HARDSHIP FOR FAMILIES. TO EASE THAT BURDEN AND IMPROVE CHILDREN'S ACCESS TO CARE IN EVERY CORNER OF OUR SERVICE AREA, CHKD HAS ESTABLISHED MULTI-SERVICE HEALTH CENTERS IN STRATEGIC LOCATIONS. THESE INCLUDE, BUT ARE NOT LIMITED TO THE FOLLOWING: * THE CHKD HEALTH AND SURGERY CENTER AT OYSTER POINT OFFERS FAMILIES WHO LIVE NORTH OF THE HAMPTON ROADS BRIDGE TUNNEL A WEALTH OF IMPORTANT SERVICES IN A CONVENIENT LOCATION. THE CENTER IS HOME TO THE REGION'S FIRST PEDIATRIC AMBULATORY SURGERY CENTER. OTHER SERVICES OFFERED AT THE SITE INCLUDE PRIMARY, SURGICAL AND SUB-SPECIALTY PEDIATRICS; LAB AND RADIOLOGY (INCLUDING ULTRASOUND AND MRI), AUDIOLOGY TESTING AND OCCUPATIONAL, SPEECH AND PHYSICAL THERAPY. AQUATIC THERAPY AND CHILD ABUSE PROGRAM SERVICES ARE ALSO AVAILABLE THERE. * THE CHKD HEALTH CENTER AND URGENT CARE AT TECH CENTER IS HOME TO THE PENINSULA'S ONLY PEDIATRIC URGENT CARE AS WELL AS THE CENTER FOR PEDIATRIC SLEEP MEDICINE, X-RAY, LAB, PHYSICAL MEDICINE AND REHABILITATION, RHEUMATOLOGY, AND SPORTS MEDICINE PRIMARY CARE, PHYSICAL THERAPY, AND PERFORMANCE TRAINING. * THE CHKD HEALTH CENTER AT OAKBROOKE SERVES FAMILIES IN CHESAPEAKE AND NORTHEASTERN NORTH CAROLINA. IT IS HOME TO A PRIMARY CARE PEDIATRIC PRACTICE; PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY; X-RAY AND LAB SERVICES, A SPORTS MEDICINE GYM, SLEEP STUDIES UNIT AND THERAPY POOL, AS WELL AS CLINIC SPACE FOR A VARIETY OF PEDIATRIC SPECIALISTS AND SURGEONS PROVIDING EVALUATION, TREATMENT AND FOLLOW-UP. * THE CHKD HEALTH AND SURGERY CENTER AT PRINCESS ANNE SERVES THE GROWING MEDICAL NEEDS OF FAMILIES IN VIRGINIA BEACH. THE CENTER IS HOME TO VIRGINIA BEACH'S FIRST AMBULATORY SURGERY CENTER EXCLUSIVELY FOR CHILDREN. BEACH FAMILIES CAN ALSO FIND PRIMARY CARE PEDIATRICIANS AND IN-HOUSE LAB AND RADIOLOGY SERVICES - INCLUDING MRI - AT THE CENTER. OTHER SERVICES INCLUDE SPECIALTY CARE PEDIATRICS FOR HELP WITH CHRONIC PROBLEMS SUCH AS DIABETES. THIS YEAR, A THIRD OPERATING ROOM WAS ADDED TO THIS LOCATION TO SUPPORT THE PEDIATRIC DENTAL NEEDS OF THE COMMUNITY. IT WAS BUILT AND DESIGNED ACCORDING TO THE INPUT FROM COMMUNITY DENTISTS. * THE CHKD HEALTH CENTER AT LANDSTOWN IS LOCATED JUST DOWN THE ROAD FROM CONCERT DRIVE AND OFFERS DEDICATED VIRGINIA BEACH SPACE FOR SERVICES SUCH AS SPORTS MEDICINE, DERMATOLOGY AND GYNECOLOGY. * THE CHKD HEALTH CENTER AND URGENT CARE AT LOEHMANN'S SERVES THE NORTHERN AND MIDDLE VIRGINIA BEACH REGION AND IS HOME TO CHKD URGENT CARE, SPORTS MEDICINE (PRIMARY CARE) AND THERAPY, SPORTS PERFORMANCE TRAINING AND PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. * THE CHKD HEALTH CENTER AT BUTLER FARM OFFERS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, AND SPORTS MEDICINE PHYSICAL THERAPY TO CHILDREN AND TEENS ON THE PENNISULA. DEVELOPMENTAL PEDIATRICS ALSO HOSTS A WHEELCHAIR CLINIC AT THIS LOCATION. * THE CHKD HEALTH CENTER AT HARBOUR VIEW NORTH OFFERS SPECIALIZED PEDIATRIC CARE TO FAMILIES IN SUFFOLK. THE SITE OFFERS APPOINTMENTS IN PEDIATRIC DERMATOLOGY, ALLERGY, GASTROENTEROLOGY, CARDIOLOGY AND NEPHROLOGY, AS WELL AS DEVELOPMENTAL PEDIATRICS. * THE CHKD HEALTH CENTER AT LIGHTFOOT OFFERS FAMILIES IN THE NORTHERN CORNER OF OUR SERVICE AREA APPOINTMENTS IN PEDIATRIC CARDIOLOGY, NEPHROLOGY, GYNECOLOGY, PHYSICAL MEDICINE AND REHABILITATION, REHABILITATIVE THERAPIES, SPORTS MEDICINE AND UROLOGY. CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS OPERATES THE REGION'S ONLY PEDIATRIC URGENT CARE. PARENTS OF CHILDREN WITH URGENT, BUT NOT EMERGENT MEDICAL NEEDS, NOW HAVE ACCESS TO QUALITY MEDICAL CARE JUST FOR KIDS AFTER-HOURS, ON WEEKENDS AND HOLIDAYS. IN FY22, CHILDREN MADE 106,811 VISITS TO CHKD URGENT CARE CENTERS IN CHESAPEAKE, VIRGINIA BEACH AND NEWPORT NEWS. CHKD'S CHILD ADVOCACY CENTER (CAC) COORDINATES THE REGION'S EFFORTS TO ACCURATELY IDENTIFY, TREAT AND SUPPORT CHILDREN WHO HAVE BEEN SUSPECTED OF ABUSE OR NEGLECT. IN ADDITION TO THE MAIN PROGRAM IN NORFOLK, SERVICES ARE ALSO AVAILABLE AT CHKD'S OUTPATIENT CENTERS IN VIRGINIA BEACH AND NEWPORT NEWS. THE CAC PROVIDES COMPREHENSIVE ASSESSMENT, EVALUATION AND TREATMENT SERVICES, INCLUDING CASE MANAGEMENT AND ADVOCACY, AN ARRAY OF EVIDENCE-BASED MENTAL HEALTH SERVICES, FORENSIC INTERVIEWING, FORENSIC MEDICAL EXAMINATIONS AND CONSULTATIONS, WHICH INCLUDE 24/7 COVERAGE OF ACUTE SEXUAL ASSAULTS OF CHILDREN. THE CAC ALSO HELPS COORDINATE THE EFFORTS OF INVESTIGATIVE AGENCIES INVOLVED IN THE INVESTIGATION AND PROSECUTION OF CHILD MALTREATMENT AND FACILITATES THE COLLABORATION OF 11 MULTIDISCIPLINARY TEAMS (MDTS). THESE TEAMS DISCUSS ALL CHILDREN REFERRED TO THE PROGRAM TO HELP ENSURE THE BEST OUTCOMES CAN BE REALIZED. WITH STRONG COMMUNITY SUPPORT, CHKD'S CHILD ADVOCACY CENTER HELPED 2,282 CHILDREN AND THEIR FAMILIES IN FY22 A 38% INCREASE OVER FY21. FOR ALMOST 25 YEARS, INVESTIGATIVE AGENCIES ACROSS SOUTHEASTERN VIRGINIA HAVE TRUSTED THIS SPECIALIZED PROGRAM FOR ASSESSMENT AND TREATMENT SERVICES AFTER A CHILD IS SUSPECTED OF HAVING EXPERIENCED ALL FORMS OF CHILD MALTREATMENT. A SPECIALTY PROGRAM WITHIN THE CAC HELPS ACCURATELY IDENTIFY AND PROVIDE ASSISTANCE AND TREATMENT TO COMMERCIALLY SEXUALLY EXPLOITED CHILDREN (CSEC). SINCE LAUNCHING OUR PROGRAM AND CSEC MDT WE HAVE SEEN A SHARP INCREASE IN THE NEED FOR SERVICES FOR CHILDREN WHO NEED SUPPORT. OUR TEAM OFTEN COORDINATES WITH FEDERAL AND LOCAL INVESTIGATORS AS WELL AS JUVENILE COURT SERVICES AND MEDICAL AND MENTAL HEALTH PROVIDERS TO BEST SERVE THE UNIQUE NEEDS OF EACH CHILD. THE CAC IS ALSO THE BACKBONE AGENCY FOR THE HAMPTON ROADS TRAUMA INFORMED COMMUNITY NETWORK (HRTICN). THE NETWORK EXISTS TO PROMOTE AN UNDERSTANDING OF HOW TRAUMA AFFECTS INDIVIDUALS AND COMMUNITIES, AND TO ADVOCATE PRACTICES THAT HELP ALL PEOPLE REACH THEIR FULL POTENTIAL. THE HRTICN WORKED WITH THE VIRGINIA CHAPTER OF AMERICAN ACADEMY OF PEDIATRICS THIS YEAR TO TRAIN PEDIATRICIANS ON APPROACHES TO SCREENING, REFERRAL, AND FOLLOW-UP FOR MATERNAL DEPRESSION, SOCIAL DETERMINANTS OF HEALTH AND SOCIAL-EMOTIONAL DEVELOPMENT DURING WELL VISITS. ALMOST 15% OF THE CHILDREN SERVED AT OUR CAC HAVE A MILITARY AFFILIATION; HAVING A RECENTLY ADDED CASE MANAGER DEDICATED TO THESE FAMILIES HAS BEEN AN IMPORTANT PROGRAM ENHANCEMENT. THE PROGRAM MAINTAINS THREE MILITARY MULTIDISCIPLINARY TEAMS THAT COVER ALL BRANCHES OF THE MILITARY, AND WE STRIVE TO CONTINUALLY IMPROVE OUR RESPONSE TO MILITARY FAMILIES, LINK THEM TO OTHER MILITARY RESOURCES AVAILABLE TO THEM, AND PROVIDE EDUCATIONAL OPPORTUNITIES TO OUR MDT PARTNERS WE WORK WITH. |
| THE EPIDEMIC OF CHILDHOOD OBESITY CONTINUES TO BE A CONCERN AND FOCUS AREA | FOR CHKD. IN ORDER TO ADDRESS THIS CRITICAL ISSUE, IN 2001, CHKD ESTABLISHED A COMPREHENSIVE PROGRAM CALLED HEALTHY YOU FOR LIFE THAT IS OFFERED TO CHILDREN AGES 3 THROUGH HIGH SCHOOL. HEALTHY YOU FOR LIFE OFFERS A MULTIDISCIPLINARY TEAM APPROACH THAT PROVIDES CLINICAL AND PSYCHOLOGICAL EVALUATION AND TREATMENT PLANNING FOR INDIVIDUALS EITHER IN PERSON OR BY TELEMEDICINE VISITS. THE PROGRAM'S STAFF INCLUDES PHYSICIANS, NURSE PRACTITIONERS, REGISTERED DIETITIANS, LICENSED CLINICAL SOCIAL WORKERS, A MEDICAL ASSISTANT,AND EXERCISE PHYSIOLOGIST. THE HEALTHY YOU FOR LIFE PROGRAM ALSO OFFERS INDIVIDUAL COUNSELING SESSIONS. IN FY22 THE TEAM CONDUCTED NEARLY 1,500 VISITS COVERING 81 ZIP CODES. MOVING INTO THE NEW FISCAL YEAR, THE TEAM IS CONTINUING TO USE TELEMEDICINE AS A WAY TO IMPROVE ACCESS TO A BEHAVIORAL HEALTH COUNSELOR TO ADDRESS PSYCHO-SOCIAL STRESSORS MANY PATIENTS EXPERIENCE. MIDDLE SCHOOL AND HIGH SCHOOL GROUP THERAPY SESSIONS HAVE BEEN INITIATED VIA TELEHEALTH TO HELP PRE-TEEN AND TEENAGERS FEEL CONNECTED AND SUPPORTED DURING THE PANDEMIC. PERSONAL TRAINING IS ALSO OFFERED FOR INTERESTED PATIENTS. HEALTHY YOU CONTINUES TO PARTNER WITH VARIOUS COMMUNITY ORGANZIATIONS TO EDUCATE AND ENCOURAGE HEALTHY LIFESTYLES FOR CHRONICALLY OBESE CHILDREN AND THEIR FAMILIES IN HAMPTON ROADS. CHKD'S DIABETES EDUCATION PROGRAM HELPS APPROXIMATELY 1,600 LOCAL CHILDREN WHO LIVE WITH THE CHRONIC DISEASE. THREE CERTIFIED DIABETES EDUCATORS, A SOCIAL WORKER, A REGISTERED DIETITIAN AND OFFICE COORDINATOR HELP PATIENTS AND FAMILIES AT THE ONSET OF THE DISEASE AND UNTIL ADULTHOOD. THE DIABETES CENTER PROVIDES INPATIENT AND OUTPATIENT CLINICAL MANAGEMENT, DIABETES EDUCATION, SUPPORT GROUPS, AND PROFESSIONAL AND COMMUNITY EDUCATION PROGRAMS. A TRANSITION PROGRAM HELPS THE OLDER TEENS AND YOUNG ADULTS BEGIN TRANSFERRING CARE TO ADULT PROVIDERS IN THE COMMUNITY. CHILDREN MADE 619 VISITS TO THE DIABETES CENTER IN FY22. THE CHILDREN'S CANCER AND BLOOD DISORDERS CENTER PROVIDES CARE TO YOUNG PEOPLE WITH CANCER, SICKLE CELL DISEASE, BLEEDING AND OTHER BLOOD DISORDERS THROUGH TREATMENT PROGRAMS THAT ENCOMPASS CHILDREN'S PHYSICAL, EMOTIONAL AND EDUCATIONAL NEEDS AND INCORPORATES THE WHOLE FAMILY. PATIENTS MADE 8,579 VISITS TO THE CENTER IN FY22. CHKD IS THE ONLY EMERGENCY DEPARTMENT AND LEVEL 1 TRAUMA CENTER EXCLUSIVELY SERVING CHILDREN AND THEIR FAMILIES IN THE SOUTHEAST REGION OF VIRGINIA. IN FY22, CHILDREN MADE 60,690 VISITS TO OUR EMERGENCY CENTER. CHKD PROVIDES CARE FOR PATIENTS AND THEIR FAMILIES FROM BIRTH TO YOUNG ADULTHOOD WITH VARIED LEVELS OF ACUITY FROM TRAUMA AND RESUSCITATIONS TO URGENT CARE TYPE PATIENTS. OUR COLLABORATIVE TEAM INCLUDES PEDIATRIC BOARD-CERTIFIED EMERGENCY PHYSICIANS, NURSE PRACTITIONERS, NURSES, ED TECHS, NURSING CARE PARTNERS, BEHAVIORAL HEALTH TECHS, PHARMACISTS, SOCIAL WORKERS, CHILD LIFE SPECIALISTS, CHAPLAINS, RESPIRATORY THERAPISTS AND MORE. CHKD OFFERS THE ONLY PEDIATRIC RENAL DIALYSIS SERVICE IN THE AREA. DIALYSIS IS A TIME-CONSUMING PROCESS AND CHILDREN APPRECIATE THE CHANCE TO HAVE THE SERVICE IN A SETTING WHERE THEY CAN MEET WITH FRIENDS THEIR OWN AGES AS WELL AS HOSPITAL SUPPORT STAFF AND SCHOOL TEACHERS. DURING FY22 CHILDREN MADE 2,359 CHRONIC AND ACUTE DIALYSIS VISITS, AND 5,672 VISITS TO THE RENAL CLINIC AND RECEIVED 485 RENAL INFUSIONS. CHKD IS A STAND-ALONE PEDIATRIC TRANSPLANT HOSPITAL. SINCE 2005, CHKD HAS PERFORMED 91 KIDNEY TRANSPLANTS FROM LIVING DONORS AS WELL AS DECEASED DONORS. LIVING DONATION OPTIONS INCLUDE A PARTNERSHIP WITH SENTARA NORFOLK GENERAL HOSPITAL AND THE NATIONAL KIDNEY REGISTRY (NATIONWIDE LIVING DONOR PAIRED-EXCHANGE PROGRAM). ONE MARK OF CHKD'S DISTINCTIVE PEDIATRIC CARE HAS ALWAYS BEEN CHILD-CENTERED DIAGNOSTIC SERVICES, SUCH AS RADIOLOGY AND LABORATORY. OVER THE PAST SEVERAL YEARS, CHKD HAS WORKED HARD TO MAKE THESE UNIQUE SERVICES MORE ACCESSIBLE TO FAMILIES THROUGHOUT OUR SERVICE REGION. IN ADDITION TO THE LAB AT THE MAIN HOSPITAL, CHKD NOW HAS LAB SERVICES AT ITS OYSTER POINT, HARBOUR VIEW, CONCERT DRIVE, OAKBROOKE, LOEHMANN'S AND TECH CENTER LOCATIONS AS WELL AS THE VOLVO URGENT CARE CENTER. THE LABORATORY ALSO OPERATES A COURIER SERVICE THAT FACILITATES QUICK TURNAROUND OF SPECIMENS. OF THE 1,042,282 LAB TESTS PERFORMED IN FY22, APPROXIMATELY 72 PERCENT WERE FOR OUTPATIENTS. CHKD RADIOLOGY SERVICES ARE ALSO AVAILABLE TO FAMILIES AT OUR CHKD FACILITIES IN NEWPORT NEWS, CHESAPEAKE, SUFFOLK, HAMPTON, NORFOLK AND VIRGINIA BEACH. THE RADIOLOGY DEPARTMENT IS A FULLY INTEGRATED DIGITAL IMAGING CENTER THAT ALLOWS DIAGNOSTIC IMAGES AND REPORTS TO BE TRANSMITTED AND VIEWED ELECTRONICALLY. IN FY22, 110,621 DIAGNOSTIC EXAMS WERE PERFORMED, INCLUDING X-RAYS, FLUOROSCOPIC TESTS, URODYNAMICS AND BONE DENSITY TESTS, CT AND MRI SCANS, ULTRASOUND, PVL AND NUCLEAR MEDICINE STUDIES. APPROXIMATELY 80 PERCENT WERE OUTPATIENT BASED. CHKD'S REHABILITATIVE THERAPY SERVICES ARE OFFERED IN LOCATIONS THROUGHOUT THE COMMUNITY, INCLUDING NORFOLK, CHESAPEAKE, VIRGINIA BEACH, SUFFOLK, WILLIAMSBURG AND NEWPORT NEWS. IN ADDITION TO ITS HIGHLY SPECIALIZED PEDIATRIC PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, THE DEPARTMENT ALSO OFFERS: * AQUATIC THERAPY - PHYSICAL AND OCCUPATIONAL THERAPISTS WORK WITH CHILDREN IN THE WATER TO HELP RELAX TIGHT MUSCULATURE, INCREASE RANGE OF MOTION AND IMPROVE STRENGTH, BALANCE AND ENDURANCE. * ASSISTIVE TECHNOLOGY/AUGMENTATIVE PROGRAM - SERVICES PROVIDED FOR CHILDREN WHO ARE UNABLE TO COMMUNICATE VERBALLY OR THROUGH GESTURES DUE TO VARIOUS MEDICAL CONDITIONS, THEREBY ALLOWING THEM AN ALTERNATIVE WAY TO INCREASE THEIR PARTICIPATION AND INCLUSION IN DAILY ACTIVITIES. IN FY22, WE DID 192 AUGMENTATIVE COMMUNICATION EVALUATIONS. * CAR SEAT PROGRAM - SPECIALLY TRAINED THERAPISTS OFFER CAR SEAT SAFETY RESTRAINT EVALUATIONS FOR PATIENTS WITH SPECIAL NEEDS. IN FY22, WE DID 225 CAR SEAT EVALUATIONS, DISTRIBUTED 54 CAR SEATS DURING THOSE EVALUATIONS, DISTRIBUTED AN ADDITIONAL 156 STANDARD CAR SEATS, AND PARTICIPATED IN ONE COMMUNITY-BASED CAR SEAT SAFETY CHECKS THROUGH THIS PROGRAM. * WHEELCHAIR CLINIC - CERTIFIED THERAPISTS COMPLETE A COMPREHENSIVE EVALUATION TO DETERMINE AND PRESCRIBE THE APPROPRIATE WHEELCHAIR AND SEATING SYSTEM. CHILDREN MADE ALMOST 665 VISITS TO THIS CLINIC IN FY22 FOR EVALUATION AND TECHNICAL ADJUSTMENTS. SECTION THREE: COMMUNITY OUTREACH CHKD REACHED FAMILIES IN THEIR HOMES, DOCTORS' OFFICES, SCHOOLS, NEIGHBORHOODS AND COMMUNITY CENTERS WITH A WIDE VARIETY OF PROGRAMS, SOCIAL MEDIA AND PUBLICATIONS THAT PROMOTE MENTAL WELLNESS, PREVENT INJURIES, AND STRENGTHEN FAMILIES. USING CREATIVE AND INNOVATIVE WAYS WITH OUR STRONG COMMUNITY PARTNERS, OUR COMMUNITY OUTREACH AND ENGAGEMENT (CORE) PROGRAM CONDUCTED 193 OUTREACH EVENTS REACHING 31,475 FAMILIES. DESPITE COVID-19 LIMITATIONS, CORE WAS ABLE TO ADJUST AND CONTINUE TO PROVIDE QUALITY PARENT EDUCATION AND RESOURCES. EFFORTS FOCUSED ON MENTAL HEALTH, TRAUMA, AND SOCIAL EMOTIONAL LEARNING FOR BOTH PARENTS AND PROFESSIONALS AND DEVELOPING PROGRAMS ON DEMAND. OUR STRONG COMMUNITY PARTNERS ASSISTED WITH PROGRAM MARKETING AND COLLABORATION TO PROVIDE A VARIETY OF TIMELY PRESENTATIONS TO EQUIP PARENTS, PROFESSIONALS AND CHILDREN IN OUR COMMUNITY. CHKD IS A SITE OF THE NATIONAL "REACH OUT AND READ" LITERACY PROGRAM, WHICH ENCOURAGES READING BY DISTRIBUTING FREE BOOKS TO CHILDREN AT THEIR WELL CHILD VISITS BY THEIR PEDIATRICIANS. THROUGH THE DONOR-FUNDED PROGRAM, CHKD PRIMARY CARE PEDIATRICIANS GAVE APPROVIMATELY 65,571 BOOKS TO CHILDREN IN FY22. CHKD ALSO HAS A "REACH OUT AND READ" PROGRAM IN OUR NICU, WHERE 786 BOOKS WERE DISTRIBUTED IN FY22. CHKD'S WEBSITE, WWW.CHKD.ORG, CONTINUES TO BE A POPULAR AND EFFECTIVE METHOD OF COMMUNICATION. IN FY22, CHKD.ORG HAD MORE THAN 3 MILLION VISITS. NEARLY 2 MILLION NEW AND RETURNING VISITORS VIEWED 5,477,596 PAGES ON OUR SITE. THE CONTENT MANAGEMENT SYSTEM THAT IS IN PLACE ALLOWS MULTIPLE USERS TO CREATE AND UPDATE CONTENT AS NEEDED. CHKD.ORG IS A RESPONSIVE DESIGN SITE AND AUTOMATICALLY FORMATS ITSELF TO ANY DEVICE (PC, TABLET OR SMARTPHONE)- NO APP NEEDED. CLICKABLE PHONE NUMBERS AND INTERACTIVE MAPS MAKE IT EASY FOR OUR PATIENTS TO CALL OR FIND ANY PRACTICE, AND FAMILIES HAVE EASY ACCESS TO TEST RESULTS, SHOT RECORDS, AND CAN EVEN REQUEST PRESCRIPTION REFILLS AND MAKE APPOINTMENTS ONLINE STRAIGHT FROM THE HOMEPAGE BY ACCESSING THE MYCHKD PATIENT PORTAL. ENHANCED PHYSICIAN PROFILES, INCLUDING CLICKABLE PHONE NUMBERS, INTERACTIVE MAPS, BIOGRAPHICAL INFORMATION AND A LINK TO THE PHYSICIAN'S PRACTICE MAKE IT EASIER THAN EVER TO CHOOSE THE DOCTOR THAT'S RIGHT FOR YOU. CHKD CONTINUES TO UTILIZE SOCIAL MEDIA OUTLETS SUCH AS FACEBOOK, TWITTER, LINKEDIN, PINTEREST AND INSTAGRAM TO INCREASE DIRECT INTERACTION WITH OUR PATIENTS AND THEIR FAMILIES. THE WEBSITE CONTINUES TO BE A RESOURCE FOR OUR SERVICES AND HEALTH INFORMATION. |
| CHKD IS ONE OF SIX LOCATIONS IN THE STATE FOR THE CARE CONNECTION FOR | CHILDREN (CCC), THE STATE-FUNDED TITLE V PROGRAM THAT PROVIDES COMPREHENSIVE CARE COORDINATION, INFORMATION AND REFERRAL FOR CHILDREN AND YOUTH WITH SPECIAL HEALTH CARE NEEDS. THERE ARE APPROXIMATELY 12,000 CHILDREN WITH SPECIAL HEALTH CARE NEEDS IN THE REGION'S PUBLIC HEALTH DISTRICTS. IN FY22, CCC ASSISTED WITH 580 INFORMATION AND REFERRAL CALLS AND PROVIDED COMPREHENSIVE CASE MANAGEMENT SERVICES TO 525 FAMILIES. FINANCIAL ASSISTANCE WAS PROVIDED FOR 26 CHILDREN AND YOUTH WHO WERE UNINSURED OR UNDERINSURED AND 70 FAMILIES WERE ASSISTED IN APPLYING FOR STATE HEALTH PROGRAMS, TO INCLUDE VIRGINIA'S WAIVER SERVICES. THE PROGRAM PROVIDED ONGOING BILINGUAL CARE COORDINATION SERVICES TO 85 CLIENTS AND FAMILY MEMBERS AND ASSISTED THEM WITH ACCESS TO COMMUNITY RESOURCES AND FINANCIAL ASSISTANCE. WE MAINTAINED AN UPDATED LOCAL AND REGIONAL COMMUNITY DATABASE WITH CATALOGED RESOURCES FOR ALL 21 CITIES AND COUNTIES IN OUR REGION. THIS RESOURCE DIRECTORY WAS MADE AVAILABLE TO THE HEALTH SYSTEM AS WELL AS LOCAL AGENCIES AND THE COMMUNITY. THE PARENT EDUCATORS FROM THE FAMILIES AS EDUCATORS PROGRAM (SHARING OF CHALLENGES AND POSITIVE EXPERIENCES IN RAISING CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS), WHICH PROVIDES COMMUNIY BASED EXPERIENCES TO PARTICIPATING RESIDENTS WAS TEMPORARILY DISCONTINUED BECAUSE OF COVID-19 BUT IS ACTIVE AGAIN. 2021-2022 HIGHLIGHTS *DEVELOPED, IMPLEMENTED AND CONTINUED TO MODERATE A LISTSERV FOR THE COMMUNITY ON DISABILITY TOPICS WITH MORE THAN 500 PEOPLE REGISTERED. MEMBERS ARE PATIENTS, PARENTS, CAREGIVERS, AND PROVIDERS. *ONGOING COLLABORATION WITH CHKD, FORTIFY CLINICALLY INTEGRATED NETWORK AND CMG TO INTEGRATE CARE COORDINATION ACTIVITIES WITHIN THE ELECTRONIC RECORD TO IMPROVE COMMUNICATION WITH PATIENT CENTERED MEDICAL HOME. *HAMPTON ROADS CYSN CONSORTIUM MEMBERS DEVELOPED AND IMPLEMENTED FIVE VIRTUAL TRAININGS ATTENDED BY 200 COMMUNITY MEMBERS BOTH PROFESSIONALS AND FAMILY MEMBERS. TRAININGS ARE RECORDED AND EMBEDDED IN CHKD WEBSITE FOR ANYONE TO ACCESS. *ACTIVELY ENGAGED IN HOME VISITING COLLABORATION (9 TO 5 EVMS PROGRAM), AUTISM COLLABORATIVE, EDHI LEARNING COLLABORATIVE, CINCH, TRICC, PEATC, FAPT TEAMS, SEAC STATE REPRESENTATIVE FOR MEDICAID ADVISORY GROUP. *NEW PROJECT WHICH OFFERS A VIRTUAL SPANISH SPEAKING SUPPORT GROUP. OTHER TRANINGS PLANNED, COORDINATED, AND REPORTED ON QUARTERLY, BASED ON NEEDS IDENTIFIED THROUGH NETWORKDS WE ARE INVOLVED IN WITH THE COMMUNITY AND OUR FAMILIES AS EDUCATORS GROUP. *FOR ALL STAFF A TRACKING TOOL FOR ALL STAFF WAS DEVELOPED FOR MONITORING AND OPENING AND CLOSING OF CASES AND RELATED ACTIVITIES REQUIRED FOR COMPLETION AS SOME DOES NOT HAVE A TASK LIST NOR CALENDAR. THIS EXCEL DOCUMENT IS UPDATED AND STORED IN A CENTRAL SHARE DIRECTORY TO ALLOW STAFF ACCESS TO VIEW WHAT NEEDS TO BE UPDATED FOR CASE. *IN PROCESS OF DEVELOPING JOB AIDS AS A STANDARD METHODOLOGY WITH DOCUMENT CONTROL INITIATIVES PER DNV/ISO STANDARDS. *ROBUST RESEARCH AND UPDATING RESOURCES IN OUR COMMUNITY ASSET MAPPING TOOL. COLLABORATE ACROSS THE CCC NETWORK TO IDENTIFY RESOURCES. *IMPLEMENTED A MONTHLY VIRTUAL BILINGUAL SUPPORT GROUP WITH OUR PARENT COORDINATOR AND OUR BILINGUAL SOCIAL WORK CARE COORDINATOR. *DEVELOPED A NEW TRAINING MODULE ON SAFETY AND HOME/AGENCY VISITING INCORPORATING COVID CDC GUIDANCE FOR STAFF SAFETY. * ACTIVELY ENGAGED WITH INTERCENTER WORK GROUP MEETINGS, TRAININGS, EMAIL COLLABORATIONS AND TELECONFERENCE SESSIONS. GROUP MEMBERS SUPPORT ONE ANOTHER TO IDENTIFY RESOURCES WHEN WE FACE CHALLENGES. WE ALSO ADVOCATE TO CLOSE GAPS IN SERVICES. * CONTINUE TO OFFER EDUCATIONAL CONSULTANT SERVICES PER VDOE REGULATIONS. PROVIDE INFORMATION AND REFERRAL SERVICES FOR HEALTH SYSTEM RELATED TO EDUCATIONAL CONCERNS (IEP/IFSP). SECTION FOUR: MEDICAL EDUCATION AND RESEARCH CHKD INVESTS IN THE PRESENT AND FUTURE HEALTH OF OUR CHILDREN THROUGH A VARIETY OF RESEARCH PROGRAMS AND EDUCATIONAL ACTIVITIES. CHILDREN'S HOSPITAL IS HOME TO EASTERN VIRGINIA MEDICAL SCHOOL'S PEDIATRIC RESIDENCY PROGRAM, WHERE NEW PHYSICIANS BECOME SPECIALISTS IN THE FIELD OF PEDIATRICS. MANY OF OUR RESIDENTS ELECT TO STAY AND PRACTICE PEDIATRICS IN THIS COMMUNITY OR IN THE STATE OF VIRGINIA. CHKD ALSO SERVES AS THE EXCLUSIVE PEDIATRIC TEACHING SITE FOR PHYSICIAN ASSISTANTS AND RESIDENTS IN FAMILY MEDICINE, EMERGENCY MEDICINE, OBSTETRICS-GYNECOLOGY, ENT, PLASTIC SURGERY, AND GENERAL SURGERY. CHKD PARTICIPATES IN THE EDUCATION OF ALL EVMS MEDICAL STUDENTS AND IS THE EXCLUSIVE SITE FOR SOME 150 THIRD-YEAR MEDICAL SCHOOL STUDENTS FOR THEIR SIX-WEEK PEDIATRIC CLERKSHIP ROTATION. CHKD PROVIDES A SETTING FOR MANY CLINICAL RESEARCH TRIALS. HIGHLIGHTS OF THE BASIC SCIENCE RESEARCH INCLUDE NEW GENE THERAPY FOR NEUROMUSCULAR DISORDERS, BREAKTHROUGHS IN TREATMENT OF CYSTIC FIBROSIS, INNOVATIVE THERAPIES IN SPORTS MEDICINE, ADVANCE GROWTH HORMONE TREATMENTS, AND INTERVENTIONS FOR DISORDERED SLEEP. IN ADDITION, RESEARCH INCLUDES NEW MEDICATIONS AND OTHER THERAPIES, CLINICAL OUTCOMES ANALYSES AND EPIDEMIOLOGICAL STUDIES SANCTIONED BY THE EASTERN VIRGINIA MEDICAL SCHOOL INSTITUTIONAL REVIEW BOARD. THERE WERE 214 IRB-APPROVED ACTIVE FUNDED STUDIES IN FY22. TOPICS OF STUDY INCLUDED HEMATOLOGY/ONCOLOGY, ALLERGY/ASTHMA, INFECTIOUS DISEASE, NEUROLOGY, PEDIATRIC SURGERY, CARDIOLOGY, OTOLARYNGOLOGY, PULMONOLOGY, GASTROENTEROLOGY, CHILD ABUSE, ENDOCRINOLOGY, DERMATOLOGY, NEONATOLOGY AND MENTAL HEALTH. MANY OF THESE STUDIES ARE PHASE THREE CLINICAL TRIALS THAT BRING CUTTING-EDGE TREATMENTS TO CHKD PATIENTS YEARS BEFORE THEY ARE AVAILABLE TO THE PUBLIC. THIS FISCAL YEAR THERE WERE ALSO NEW PHASE ONE TRIALS OPENED, WHICH ALLOWED OUR PATIENTS THE EARLIEST POSSIBLE ACCESS TO NOVEL THERAPIES. THERE IS AN INCREASED FOCUS ON REGISTRY STUDIES ACROSS ALL DISCIPLINES. DATA COLLECTED IN THESE REGISTRIES IS INTENDED TO STANDARDIZE OPTIMAL LEVELS OF CARE AND LEAD TO IMPROVED PATIENT OUTCOMES. THERE HAVE ALSO BEEN OPPORTUNITIES TO STUDY THE EFFECTS OF VARIOUS TELEHEALTH TELEMEDICINE INTERVENTIONS, NOT ONLY TO ADAPT TO THE COVID-19 PANDEMIC, BUT TO BE ABLE TO REACH SUBJECTS WHO CANNOT TRAVEL TO THE SITE, SUCH AS SUBJECTS WHO ARE HOMEBOUND OR IN HOSPICE CARE. THE NUSS PROCEDURE FOR THE CORRECTION OF PECTUS EXCAVATUM, DEVELOPED AT CHKD MORE THAN 30 YEARS AGO, CONTINUES TO DRAW NATIONAL ATTENTION FROM BOTH PATIENTS AND SURGEONS. THE CHILDREN'S SURGICAL SPECIAL GROUP SURGEONS CONTINUE TO PUBLISH MANUSCRIPTS AND PRESENT THEIR WORK AT NATIONAL MEETINGS TO REINFORCE AND MAINTAIN OUR REPUTATION OF EXCELLENCE ON AN INTERNATIONAL SCALE. THE NUSS CENTER CONTINUES TO OFFER NON-SURGICAL TREATMENT THERAPIES AS WELL. THE ARGENTINA COMPRESSION BRACE INITIATED IN 2009 HAS HELPED MORE THAN 575 PATIENTS WITH OVER 92% OF THOSE PATIENTS EXPERIENCING A CORRECTION TO THEIR DEFORMITY. THAT TYPE OF TREATMENT WAS EXPANDED IN 2020 BY USING A BRACE KNOWN AS THE EMBRACE, WHICH CHKD HAS USED WITH 32 PATIENTS. IN ADDITION, THE VACUUM BELL TREATMENT FIRST OFFERED IN 2012 HAS HELPED OVER 381 PATIENTS. IN JUNE 2016, CHKD OPENED THE NEW NUSS CENTER, OFFERING A SPACE DEDICATED TO THE EVALUATION AND TREATMENT OF CHEST WALL CONDITIONS. THE HOSPITAL CONTINUES ITS ENDEAVORS ON MULTIPLE RESEARCH STUDIES IN AN EFFORT TO FURTHER UNDERSTAND CHEST WALL DEFORMITIES. TO DATE, MORE THAN 2,601 SURGICAL PATIENTS HAVE UNDERGONE THE NUSS PROCEDURE AT CHKD AND OVER 5,949 PATIENTS HAVE BEEN EVALUATED FOR CHEST WALL CONDITIONS. CHKD IS A MEMBER OF CHILDREN'S ONCOLOGY GROUP (COG), AN INTERNATIONAL RESEARCH GROUP THAT CONDUCTS CLINICAL TRIALS FOR CHILDREN WITH CANCER. AS A MEMBER, CHKD HAS ACCESS TO THE LATEST PROTOCOLS FOR TREATMENT OF CHILDHOOD CANCER, PROVIDING THE COMMUNITY AND REGION WITH THE BEST PRACTICES AND TREATMENT RESULTS FROM MORE THAN 250 (285 TOTAL) COG-MEMBER HOSPITALS IN NORTH AMERICA, AUSTRALIA, NEW ZEALAND, EUROPE, AND SAUDI ARABIA. OUR PRIMARY GOAL IS TO INCREASE PARTICIPATION IN CLINICAL TRIALS WHICH WE FEEL WILL ADVANCE THE FIELD OF PEDIATRIC ONCOLOGY. IN FY22, CHKD HAD APPROXIMATELY 105 COG STUDIES INCLUDING LTF STUDIES OPEN TO ENROLLMENT OR UNDERGOING DATA ANALYSIS. SEVERAL OF THESE STUDIES WERE INCLUDED IN COG'S LONG-TERM FOLLOW-UP STUDY, WHICH COLLECTS DATA ON PATIENTS WHO HAVE PARTICIPATED IN STUDIES THAT ARE NO LONGER OPEN TO ENROLLMENT. IN ALL, OVER 200 CHKD PATIENTS PARTICIPATED IN EITHER OPEN OR FOLLOW-UP COG STUDIES IN FY22. THE HEMATOLOGY ONCOLOGY DIVISION HAD 21 RESEARCH STUDIES OPEN THAT WERE NOT COG STUDIES. IN FY22, CHKD HOSTED 6 CONTINUING MEDICAL EDUCATION EVENTS IN VARIOUS LOCATIONS THROUGHOUT THE REGION. HELPING CHILD HEALTH EXPERTS IN OUR REGION KEEP UP WITH THEIR SKILLS AND THEIR ACCREDITATION. THERE WERE TEN REGULARLY SCHEDULED SERIES FOR A TOTAL OF 158 ACTIVITIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | LINE 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. |
| FORM 990, PART VI, SECTION A, LINE 7A | LINE 7A: CHILDREN'S HEALTH SYSTEM, INC., THE SOLE MEMBER OF CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED, IS A VIRGINIA NON-STOCK NOT-FOR-PROFIT CORPORATION. PURSUANT TO SECTION 13.1-852.1 OF THE CODE OF VIRGINIA, CHILDREN'S HEALTH SYSTEM, INC., THE SOLE MEMBER OF CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED, MANAGES CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS. ACCORDINGLY, THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC., IS THE GOVERNING BODY FOR CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED. AS A VIRGINIA NON-STOCK CORPORATION, CHILDREN'S HEALTH SYSTEM, INC., HAS MEMBERS THAT ELECT THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC. THE MEMBERS OF CHILDREN'S HEALTH SYSTEM, INC., THAT ELECT THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC. ARE THE CLASS A MEMBERS OF CHILDREN'S HEALTH SYSTEM, INC. (I.E., THE THEN CURRENT MEMBERS IN GOOD STANDING OF THE NORFOLK CITY UNION OF THE KING'S DAUGHTERS, INC., A VIRGINIA NON-STOCK NOT-FOR-PROFIT CORPORATION) AND THE CLASS B MEMBERS OF CHILDREN'S HEALTH SYSTEM INC. (I.E., THE THEN CURRENT DIRECTORS ON THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC.). |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING DECISIONS OF THE BOARD OF DIRECTORS OF CHILDREN'S HEALTH SYSTEM, INC., WHICH IS THE GOVERNING BODY FOR CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS, INCORPORATED, ARE SUBJECT TO APPROVAL BY THE CLASS A AND CLASS B MEMBERS OF CHILDREN'S HEALTH SYSTEM, INC.: 1) ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OF THE CORPORATION; AND 2) ANY PROPOSED MERGER OR CONSOLIDATION OF THE CORPORATION, OR ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE PROPERTY AND ASSETS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | 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. |
| FORM 990, PART VI, SECTION B, LINE 12C | 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. |
| FORM 990, PART VI, SECTION B, LINE 15B | LINE 15A: COMPENSATION PROCESS CONSIDERATIONS: CHILDREN'S HEALTH SYSTEM ESTABLISHES THE COMPENSATION OF THE CEO JAMES DAHLING. LINE 15B: CHILDREN'S HEALTH SYSTEM AND CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERS USE THE FOLLOWING PROCESS TO ESTABLISH COMPENSATION FOR OFFICERS AND KEY EMPLOYEES: AN INDEPENDENT COMPENSATION CONSULTANT APPROVED AND RETAINED BY THE COMPENSATION COMMITTEE OF THE BOARD ANNUALLY, USUALLY IN APRIL, PROVIDES EDUCATION AND PRESENTS TO THE FULL BOARD COMPARATIVE SALARIES AND SALARY RANGES FROM A DATABASE COMPRISED OF CHILDREN'S HOSPITALS AND OTHER APPLICABLE HOSPITALS FOR OFFICERS & EXECUTIVES FOR THE BOARD TO REVIEW. THE COMPENSATION COMMITTEE WITH THE AID OF THE CONSULTANT REVIEWS AND MAKES DECISIONS AS TO EXECUTIVE SALARIES OF CHKD AND ITS SUBSIDIARIES. THOSE SALARY CHANGES AND APPROVALS ARE CONTEMPORANEOUSLY DOCUMENTED BY MINUTES MAINTAINED BY THE COMPENSATION COMMITTEE AND SIGNED BY THE CHAIRMAN OF THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS (PART OF THE CONSOLIDATED FINANCIAL STATEMENTS OF CHILDREN'S HEALTH SYSTEM, INC.) ALONG WITH GOVERNING DOCUMENTS OF THE ORGANIZATION INCLUDING THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC THROUGH DIRECT INQUIRY AND REQUEST. |
| FORM 990, PART XI, LINE 9: | GAIN/LOSS ON DERIVATIVE INVESTMENTS 31,847,903. CHANGE IN DONOR RESTRICTED CONTRIBUTIONS -3,562,683. CHANGE IN TR ENDOWMENT -372,640. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S MEDICAL TOWER LLC | |||||||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | 452907147 | LESSOR | VA | $1,525,708 | $17,092,868 | CHKD |
| CHILDREN'S HEALTH SYSTEM INSURANCE LLC | |||||||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | INSURANCE | SC | $940,971 | $2,532,735 | CHKD | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S HEALTH SYSTEM INC | ||||||||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | 541278830 | HEALTHCARE | VA | 501(C)(3) | LINE 12B, II | N/A | 0 |
| CHILDREN'S HEALTH FOUNDATION INC | ||||||||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | 541278865 | SUPP CHKD | VA | 501(C)(3) | LINE 12A, I | N/A | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FORTIFY CHILDREN'S HEALTH LLC | ||||||||||
| 1330 JEFFERSON PARK AVENUE | CHARLOTTESVILLE | VA | 22903 | 831442745 | HEALTHCARE | VA | N/A | RELATED | 0 | 0 |
| REALTA HOLDINGS LLC | ||||||||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | 823954346 | RESEARCH | VA | N/A | RELATED | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| CHILDREN'S SURGICAL SPECIALTY GROUP INC | |||||||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | 311610834 | HEALTHCARE | VA | N/A | C | 0 |
| CHILDREN'S MEDICAL GROUP INC | |||||||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | 541778786 | HEALTHCARE | VA | N/A | C | 0 |
| CMG OF NORTH CAROLINA INC | |||||||||
| 601 CHILDRENS LANE | NORFOLK | VA | 23507 | 561960102 | HEALTHCARE | NC | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (16 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CHILDREN'S HEALTH FOUNDATION INC | ||
| C | $42,772,331 | BOOK VALUE |
| CHILDREN'S MEDICAL GROUP INC | ||
| J | $501,065 | BOOK VALUE |
| CHILDREN'S HEALTH SYSTEM INC | ||
| P | $16,310,931 | BOOK VALUE |
| CHILDREN'S HEALTH SYSTEM INC | ||
| E | $1,915,458 | BOOK VALUE |
| CMG OF NORTH CAROLINA | ||
| Q | $209,135 | BOOK VALUE |
| CHILDREN'S MEDICAL GROUP INC | ||
| Q | $5,567,646 | BOOK VALUE |
| CMG OF NORTH CAROLINA | ||
| D | $48,229 | BOOK VALUE |
| CHILDREN'S HEALTH FOUNDATION INC | ||
| B | $4,829,234 | BOOK VALUE |
| CHILDREN'S SURGICAL SPECIALTY GROUP INC | ||
| D | $246,817 | BOOK VALUE |
| CHILDREN'S MEDICAL GROUP INC | ||
| D | $1,265,373 | BOOK VALUE |
| CHILDREN'S HEALTH SYSTEM INC | ||
| B | $9,700,000 | BOOK VALUE |
| CHILDREN'S HEALTH SYSTEM INC | ||
| C | $4,500,000 | BOOK VALUE |
| CHILDREN'S HEALTH SYSTEM INC | ||
| L | $550,842 | BOOK VALUE |
| CHILDREN'S HEALTH SYSTEM INC | ||
| K | $3,125,719 | BOOK VALUE |
| CHILDREN'S SURGICAL SPECIALTY GROUP INC | ||
| Q | $788,069 | BOOK VALUE |
| CHILDREN'S HEALTH FOUNDATION INC | ||
| P | $151,780 | BOOK VALUE |