Childrens Hospital of the Kings Daughters Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
SEE SCHEDULE O.
- Income
- $821.0 million
- Spending
- $726.0 million
- Spent on programs
- 88%
- Reserves
- 7.7 months of spending
- Largest source of income
- fees for its services, 94%
- Employees
- 4,228
- Volunteers
- 428
- Highest pay
- $3.3 million, president/ceo/director
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Good: 89 out of 100. Higher than 83% of charities in its peer group (health care, over $100m).
Reserves
28 of 35Spendable reserves would cover 7.7 months of spending.
Debt
16 of 20It owes 25% of what it owns.
Living within its means
15 of 15Income exceeded spending by 12% of income.
Income trend
15 of 15Income rose 23% on the year before.
Spending floor
15 of 1588% of spending went to programs and raising each dollar of donations cost 16 cents.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 95 out of 100. Higher than 36% of charities in its peer group (health care, over $100m).
Independent board
25 of 2519 of 23 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
0 of 5Reports no independent review process for its chief executive's pay.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (1)
- $637.2 million spent. For more than 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 418,000 people under the age of 21. 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 FY25, 56.1 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 offers 266 inpatient beds. Two hundred and six of those beds are in CHKD's acute care facility and sixty are in Children's Pavilion, the organization's new mental health tower. CHKD Health System also offers a variety of outpatient pediatric services at CHKD, Children's Pavilion, and multi-service CHKD Health Centers in Virginia Beach, Newport News, Chesapeake, Hampton, and Suffolk. Its services include everything from wellness and prevention initiatives to primary care, surgery and rehabilitation. Many of CHKD's unique services and programs address pressing public health needs that would otherwise go unmet. As the premier provider of healthcare services to the region's children, CHKD has secured a place in the heart of the community. The Health System 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. Because the organization's ongoing development of mental health services are so integral to its community benefit, advances of this program are highlighted separately. 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 FY25, CHKD had 5,790 admissions resulting in 55,158 patient days. Approximately 56 percent of these days were covered by Medicaid. CHKD's acute care facility 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 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. CHKD's NICU has 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 505 discharges from the NICU in FY25. The region's largest and most sophisticated 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 1,004 admissions to our PICU in FY25. 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. Each critical care transport call is answered by a certified EMT-B neonatal/pediatric critical care nurse, a certified EMT-B registered respiratory therapist and a certified EMT-paramedic trained in neonatal/pediatric care. In FY25, the team transported approximately 1,400 patients. Of those, about 350 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 critical care 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. 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 FY25, surgeons performed 14,279 cases 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 congenital heart defects. (See outpatient services and progra
Source: Form 990 for the year ending June 30, 2025, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated November 6, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated October 13, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending June 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since June 1934.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated October 13, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated November 4, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.