Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Virginia · Ranked 93 of 1033 by CEO pay.

Children's Hospital of the King's Daughters

Amy Sampson, President/CEO/Director. Fiscal year ending 2025-06.

$3.3M
CEO total compensation
Form 990 Part VII, columns D+E+F
0.47%
of expenses spent on charity care
Schedule H Part I line 7a
96.3%
CEO pay as a share of all charity care
Amy Sampson’s pay of $3,258,420 equals 96.3 percent of the $3,383,111 the system spent on charity care in the same year.

Most of the reported compensation ($2,286,148 of $3,258,420) came from a related organization (Part VII column E) and was reported on this filing.

§1The filing

Total revenue
$820,962,150
Total expenses
$725,967,208
Net assets
$958,348,545
Employees
4,228
Hospitals covered
3 facilities across 1 filing
Charity care, net
$3,383,111
Bad debt
$27,357,302
Medicare surplus (shortfall), as filed
($3,173,544)
CEO pay from the organization (Part VII col. D)
$0
From related organizations (col. E)
$2,286,148
Other compensation, including deferred pay and nontaxable benefits (col. F)
$972,272
CEO total compensation (D+E+F)
$3,258,420 to Amy Sampson

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Children's Hospital of the King's Daughters, EIN 54-0506321, fiscal year ending 2025-06, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$152.2M Of which charity care to patients who could not pay (line 7a)$3.4M (2%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($27.4M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Children's Hospital of the King's Daughters: CEO pay $3.3M, charity care 0.47% of expenses