Civic Intelligence

Children'S Health System Inc

EIN 54-1278830 • 501(c)3 • Norfolk, VA

Profile

See schedule ochildren's health system is a pediatric healthcare system dedicated to the health and wellbeing of children and young adults from southeastern virginia, virginia's eastern shore and northeastern north carolina. Through its oversight and management of children's hospital of the king's daughters, children's medical group, children's surgical specialty group and children's health foundation, the health system meets the varied medical needs of more than 400,000 infants, children, teens and young adults.

601 Childrens LaneNorfolk, VA 23507

www.chkd.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

74th percentile

0.60x

Higher debt load relative to assets than 74% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

83rd percentile

2.04x

Higher debt load relative to revenue than 83% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

53rd percentile

5.5%

Higher net margin than 53% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

89th percentile

$1,690,558

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 4.2% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

46th percentile

4.9%

Faster asset growth than 46% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

53rd percentile

8.9%

Faster revenue growth than 53% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Assets

Up

$136,241,412

Up $6,389,354 (+4.9%) from 2023

Liabilities

Down

$81,777,710

Down $1,491,795 (-1.8%) from 2023

Net Assets

Up

$54,463,702

Up $7,881,149 (+17%) from 2023

Revenue

Up

$40,064,863

Up $3,288,056 (+8.9%) from 2023

Expenses

Up

$37,848,870

Up $2,329,521 (+6.6%) from 2023

Net Income

Up

$2,215,993

Up $958,535 (+76%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2011: $50,491,177Liabilities 2011: $13,753,636Net Assets 2011: $36,737,5412011Assets 2012: $52,491,875Liabilities 2012: $18,465,545Net Assets 2012: $34,026,3302012Assets 2013: $56,342,812Liabilities 2013: $18,264,857Net Assets 2013: $38,077,9552013Assets 2014: $70,249,784Liabilities 2014: $30,600,814Net Assets 2014: $39,648,9702014Assets 2015: $90,195,985Liabilities 2015: $34,546,660Net Assets 2015: $55,649,3252015Assets 2016: $132,139,161Liabilities 2016: $70,444,365Net Assets 2016: $61,694,7962016Assets 2017: $142,399,981Liabilities 2017: $83,522,499Net Assets 2017: $58,877,4822017Assets 2018: $140,853,119Liabilities 2018: $85,102,608Net Assets 2018: $55,750,5112018Assets 2019: $135,897,636Liabilities 2019: $89,864,790Net Assets 2019: $46,032,8462019Assets 2020: $117,192,191Liabilities 2020: $92,185,807Net Assets 2020: $25,006,3842020Assets 2021: $122,433,385Liabilities 2021: $87,236,241Net Assets 2021: $35,197,1442021Assets 2022: $115,004,661Liabilities 2022: $74,285,871Net Assets 2022: $40,718,7902022Assets 2023: $129,852,058Liabilities 2023: $83,269,505Net Assets 2023: $46,582,5532023Assets 2024: $136,241,412Liabilities 2024: $81,777,710Net Assets 2024: $54,463,7022024

Highlighted filing

2024

Assets$136,241,412
Liabilities$81,777,710
Net Assets$54,463,702

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MRevenue 2011: $13,111,192Expenses 2011: $12,943,377Net Income 2011: $167,8152011Revenue 2012: $11,116,395Expenses 2012: $10,978,574Net Income 2012: $137,8212012Expenses 2013: $12,520,0092013Revenue 2014: $15,267,504Expenses 2014: $12,571,390Net Income 2014: $2,696,1142014Revenue 2015: $30,130,488Expenses 2015: $15,116,004Net Income 2015: $15,014,4842015Revenue 2016: $33,222,233Expenses 2016: $26,038,434Net Income 2016: $7,183,7992016Revenue 2017: $24,305,844Expenses 2017: $30,526,222Net Income 2017: -$6,220,3782017Revenue 2018: $20,932,227Expenses 2018: $28,542,842Net Income 2018: -$7,610,6152018Revenue 2019: $31,439,637Expenses 2019: $30,865,853Net Income 2019: $573,7842019Revenue 2020: $30,331,259Expenses 2020: $45,415,561Net Income 2020: -$15,084,3022020Revenue 2021: $34,959,405Expenses 2021: $30,687,226Net Income 2021: $4,272,1792021Revenue 2022: $29,231,867Expenses 2022: $34,192,980Net Income 2022: -$4,961,1132022Revenue 2023: $36,776,807Expenses 2023: $35,519,349Net Income 2023: $1,257,4582023Revenue 2024: $40,064,863Expenses 2024: $37,848,870Net Income 2024: $2,215,9932024

Highlighted filing

2024

Revenue$40,064,863
Expenses$37,848,870
Net Income$2,215,993

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$136$81.8$54.5$40.1$37.8$2.22
2023Detailed filing. Detailed filing data is available for this year.$130$83.3$46.6$36.8$35.5$1.26
2022Detailed filing. Detailed filing data is available for this year.$115$74.3$40.7$29.2$34.2$4.96
2021Detailed filing. Detailed filing data is available for this year.$122$87.2$35.2$35.0$30.7$4.27
2020Detailed filing. Detailed filing data is available for this year.$117$92.2$25.0$30.3$45.4$15.1
2019Detailed filing. Detailed filing data is available for this year.$136$89.9$46.0$31.4$30.9$0.57
2018Detailed filing. Detailed filing data is available for this year.$141$85.1$55.8$20.9$28.5$7.61
2017Detailed filing. Detailed filing data is available for this year.$142$83.5$58.9$24.3$30.5$6.22
2016Detailed filing. Detailed filing data is available for this year.$132$70.4$61.7$33.2$26.0$7.18
2015Detailed filing. Detailed filing data is available for this year.$90.2$34.5$55.6$30.1$15.1$15.0
2014Detailed filing. Detailed filing data is available for this year.$70.2$30.6$39.6$15.3$12.6$2.70
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$56.3$18.3$38.1$12.5
2012Summary only. Only limited summary data is available for this year.$52.5$18.5$34.0$11.1$11.0$0.14
2011Summary only. Only limited summary data is available for this year.$50.5$13.8$36.7$13.1$12.9$0.17
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 8, 2025
Return Version
2023v6.0
Gross Receipts
$58,197,630
Mission and Program Overview

Mission

Children's health system is a pediatric healthcare system dedicated to the health and wellbeing of children and young adults from southeastern virginia, virginia's eastern shore and northeastern north carolina. Through its oversight and management of children's hospital of the king's daughters, children's medical group, children's surgical speciality group and children's health foundation, the health system meets the varied medical needs of more than 400,000 infants, children, teens and young adults.

Children's health system is a multi-specialty health system serving southeastern virginia and northeastern north carolina offering comprehensive pediatric care for children from birth to age 21.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$46,088,917$45,256,865▼ $832,052
Investments Program Related$6,877,032$9,308,313▲ $2,431,281
Cash and Non-Interest-Bearing Accounts$5,898,901$8,257,365▲ $2,358,464
Investments in Publicly Traded Securities$5,651,985$6,505,573▲ $853,588
Prepaid Expenses and Deferred Charges$719,415$706,371▼ $13,044
Inventories for Sale or Use$18,188$405,119▲ $386,931
Total Assets$129,852,058$136,241,412▲ $6,389,354
Other Assets Total$64,597,620$65,801,806▲ $1,204,186
Liabilities
Tax Exempt Bond Liabilities$46,811,013$46,280,613▼ $530,400
Other Liabilities$32,203,661$29,744,365▼ $2,459,296
Accounts Payable and Accrued Expenses$4,254,831$5,752,732▲ $1,497,901
Total Liabilities$83,269,505$81,777,710▼ $1,491,795
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$46,582,553$54,463,702▲ $7,881,149
Total Net Assets Fund Balance$46,582,553$54,463,702▲ $7,881,149
Total Liabilities and Net Assets / Fund Balance$129,852,058$136,241,412▲ $6,389,354

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$24,819,999$9,617,379$34,437,378
Land$19,662,039-$19,662,039
Equipment$581,279$1,410,311$1,991,590
Leasehold Improvements$193,548$246,405$439,953
Investment Program Related Org$9,308,313--
Other Assets Org$4,282,678--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Amy SampsonPresidentFT$931,980$758,578$1,690,558
James D DahlingFormer PresidentFT$973,198$270,529$1,243,727
Kathryn AbshireCFO & Asst. Secr./treas.FT$528,454$679,574$1,208,028
Christoper Foley MdChief Clinical Operations OfficerFT$768,447$216,015$984,462
Deborah BarnesVP - Is OperationsFT$461,695$476,927$938,622
Kimberly DayVP General CounselFT$466,610$206,895$673,505
Terrie PyeattVP - FinanceFT$259,749$63,582$323,331
Tara EstabrooksVP - Planning & Business DevelopmentFT$227,998$86,391$314,389
Bryant ThomasVP - AdvancementFT$197,830$72,892$270,722
Ridgley IngersollDirector MarketingFT$161,914$93,506$255,420
Joseph Black JrDirector Risk & RegulatoryFT$178,824$59,003$237,827
Garrett UrbanDirector Legal ServicesFT$209,258$22,414$231,672

Board Members and Trustees

NameTitle
Akhil JainChairman/director
Brian SkinnerVice Chair/director
Carl St Remy MdDirector
Edward WhitmoreDirector
Elly Bradshaw SmithDirector
George ClarkeDirector
John R Lawson IiDirector
Julia Childress BeckDirector
Katherine KnausDirector
Katrina Lesher MdDirector
Kevin MurphyDirector
Kieran PoulosDirector
Larry BernertDirector
Martha ColenDirector
Miles LeonDirector
Nicole LegumDirector
R Justin FultonDirector
Scott Nottingham MdDirector
Susan WynneDirector
Kim GeorgesSecretary/director
Owen GriffenTreasurer/director
Tamika HarrisVP Facilities & Support Serv

Highest Paid Contractors

ContractorServicesLocationCompensation
Syr INCMgmt & Wf Fee795 MONTICELLO AVE, Norfolk, VA 23601$9,639,547
Davis & CompanyAdvertising1705 BALTIC AVE, Virginia Beach, VA 23455$939,550
KpmgAccountingPO BOX 120522, Dallas, TX 75312$490,477
B E SmithPersonnelPO BOX 74007636, Chicago, IL 60674-7636$372,067
Wilcox SavageLegal440 MONTICELLO AVENUE SUITE 2200, Norfolk, VA 23510$291,840
Revenue and Support

Revenue Composition

Contributions and Grants
$13,250,000
Program Service Revenue
$22,915,118
Investment Income
$276,050
Other Revenue
$3,623,695
Change in Net Assets
$2,215,993

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
Yes
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$22,708,862
Salaries, Compensation, and Employee Benefits$13,138,908
Grants and Similar Amounts Paid$2,000,000
Total Fundraising Expense$237,650
Professional Fundraising Fees$1,100

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Payments to Affiliates$9,750,000--$9,750,000
Other Salaries and Wages$4,454,868$2,267,555-$6,722,423
Current Officers, Directors, Trustees, and Key Employees$319,329$4,456,581$25,943$4,801,853
Fees for Services Other$3,708,977$1,200$50$3,710,227
Grants to Domestic Orgs$2,000,000--$2,000,000
Insurance$1,615,037$2,567$116,111$1,733,715
Interest$1,319,120--$1,319,120
Advertising$1,057,156--$1,057,156
Other Employee Benefits$574,551$168,230-$742,781
Fees for Services Accounting$569,542$14-$569,556
Fees for Services Legal$196,582$313,839-$510,421
Payroll Taxes$270,385$167,811-$438,196
Pension Plan Contributions$326,529$107,126-$433,655
Fees for Services Lobbying$308,143--$308,143
Occupancy$180,047-$27,554$207,601
Office Expenses$177,208$1,040$14,313$192,561
Information Technology$160,956$211-$161,167
Depreciation Depletion$55,355-$11,276$66,631
Travel$24,759-$15$24,774
Other Expenses$11,218$101,318$6,386$17,604
Conferences and Meetings$8,380$8,624-$17,004
Fees for Services Professional Fundraising--$1,100$1,100
Total Functional Expenses$30,015,104$7,596,116$237,650$37,848,870
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
CHILDREN'S HOSPITAL OF THE KING'S DAUGHTERSNorfolk, VA501(c)(3)Support Mission$2,000,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$1,100
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
457b/tophat Liability$11,641,198
Serp Liabilities$8,944,055
Right of Use Liability$4,355,221
Ibne Insurance Claims$3,696,573
Accrued Tail Coverage$555,825
Intercompany Liabilities$235,710
Exec Cap Apprec Acct (caa)$188,501
Acrrued Post Employment Benefit$127,282

Bond Issues

BondIssuerIssuedIssue PricePurpose
AVa Small Business Financing Authority2015-12-01$100,000,000Financing of healthcare facilities

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$51,300,000-$5,019,387-

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Children's health system, inc. Has two classes of members: 1) class a members (i.e., the then current members in good standing of the norfolk city union of the king's daughters, inc., a virginia non-stock not-for-profit corporation); and 2) class b members (i.e., the then current directors on the board of directors of children's health system, inc.).

Form 990, Part VI, Section A, Line 7A

The class a members of children's health system, inc. (i.e., the then current members in good standing of the norfolk city union of the king's daughters, inc., a virginia non-stock not-for-profit corporation) elect one third of the elected directors of children's health system, inc. The class b members of children's health system, inc. (i.e., the then current directors on the board of directors of children's health system, inc.) elect two thirds of the elected directors of children's health system, inc.

Form 990, Part VI, Section A, Line 7B

The following decisions of the board of directors of children's health system, inc. Are subject to approval by the class a and class b members of children's health system, inc.: 1) any amendments to the articles of incorporation of the corporation; and 2) any proposed merger or consolidation of the corporation, or any sale, lease, exchange, mortgage, pledge or other disposition of all, or substantially all, of the property and assets of the corporation.

Form 990, Part VI, Section B, Line 11B

The 990 is prepared by an independent accounting firm using the annual financial statements that are reviewed by the board and audited annually as a part of the consolidated financial statements of children's health system, inc. Upon completion of the draft of the return, a detail review is performed by several members of staff and management. Prior to filing with the irs, the board is provided a copy to review.

Form 990, Part VI, Section B, Line 12C

Conflict policy considerations chs conflict of interest policy includes officers, members of the board of directors and board committees, key employees, all other employees, professional staff and substantial donors. Annually, a questionnaire is distributed and collected from officers, members of the board of directors and board committees and key employees. Responses to the questionnaires are reviewed by the legal and finance departments. For known conflicts, the person involved recuses himself or herself from deliberations regarding the transaction. Violations of the conflict of interest policy are reported to the chs board chair or the chs compliance officer, as applicable, and may require corrective action up to and including termination of employment.

Form 990, Part VI, Section B, Line 15

Compensation process considerations an independent compensation consultant approved and retained by the compensation committee of the board annually, usually in april, provides education and presents to the full board comparative salaries and salary ranges from a database comprised of children's hospitals and other applicable hospitals for officers and executives for the board to review. The compensation committee with the aid of the consultant reviews and makes decisions as to executive salaries of chs and its subsidiaries. Those salary changes and approvals are contemporaneously documented by minutes maintained by the compensation committee and signed by the chairman of the board.

Form 990, Part VI, 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.

Filing and Contact Details

Filer

Filer Name
CHILDREN'S HEALTH SYSTEM INC
EIN
54-1278830
Phone
7576687000
Address
601 CHILDRENS LANE, NORFOLK, VA 23507

Signing Officer

Name
Kathryn Abshire
Title
CFO/asst Treas/secr
Phone
7576687000
Signed
2025-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Amy Sampson
Formed
1984
Legal Domicile
Va
Voting Board Members
19
Independent Board Members
16
Employees
63
Volunteers
19

Preparer

Firm
Kpmg Llp
Address
8350 BROAD STREET SUITE 900, MCLEAN, VA 22102
Preparer
Raymond Ly
Phone
7032868000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Change in derivative 1,138,847. Change in pension liability 1,394,220.

Financial Statement Notes

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 any uncertain tax provisions require recording in its consolidated financial statements.

Raw XML AppendixShowing 400 of 1,327 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt22CFO & ASST. SECR./TREAS.
IRS990/Form990PartVIISectionAGrp/TitleTxt23FORMER PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt24VP GENERAL COUNSEL
IRS990/Form990PartVIISectionAGrp/TitleTxt25VP FACILITIES & SUPPORT SERV
IRS990/Form990PartVIISectionAGrp/TitleTxt26CHIEF CLINICAL OPERATIONS OFFICER
IRS990/Form990PartVIISectionAGrp/TitleTxt27VP - FINANCE
IRS990/Form990PartVIISectionAGrp/TitleTxt28VP - PLANNING & BUSINESS DEVELOPMENT

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