2017-11-13T15:00:51-06:00 2016-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN BLVD SUITE 1000 ATLANTA GA 30308 990 2016-01-01 582367819 CHILDREN'S HEALTHCARE OF ATLANTA INC % Tom Brems CHIL 4047857944 1587 Northeast Expressway Atlanta GA 30329 Ruth Fowler CFO 4047857944 2017-11-09 true AERRIAL M ORR P01598400 4048748300 164.57.159.253 58145420173175000003 2017-11-13 P 52DC2905624A263167CEF3FB002A4B8CCB88897A 090DF3880695D33BA5F0896781DD7F1FFA4BF94E 2016 2018-03-14 21:41:22Z Donna Hyland 1600 Tullie Circle Atlanta GA 30329 1341444377 false 5857 X www.choa.org X 1997 GA TO MAKE KIDS BETTER TODAY AND HEALTHIER TOMORROW. 24 16 12061 18 1874701 76316 3069 1721720 1917386 125710972 31604848 0 48812 127509008 33574115 0 0 0 0 10962217 11342697 0 0 626610 13759136 10029272 24721353 21371969 102787655 12202146 3920226067 4238784829 2796510414 2962769404 1123715653 1276015425 X TO MAKE KIDS BETTER TODAY AND HEALTHIER TOMORROW. false false 1826211 1917386 CHILDREN'S HEALTHCARE OF ATLANTA, INC. (CHILDRENS) SERVES AS THE CORPORATE PARENT OF, AND IS AN INTEGRAL PART OF, THE EXEMPT HEALTHCARE SYSTEM WHOSE PROGRAM SERVICE ACCOMPLISHMENTS ARE DESCRIBED BELOW. CHILDREN'S SERVES METRO ATLANTA, THE ENTIRE STATE OF GEORGIA AND THE UNITED STATES. CHILDRENS IS THE LARGEST PEDIATRIC PROVIDER IN THE STATE CARING FOR CHILDREN FROM ALL 159 GEORGIA COUNTIES IN 2016. CHILDREN'S, ONE OF THE LEADING PEDIATRIC HEALTHCARE SYSTEMS IN THE COUNTRY, IS A NOT-FOR-PROFIT ORGANIZATION THAT BENEFITS FROM THE GENEROUS PHILANTHROPIC AND VOLUNTEER SUPPORT OF OUR COMMUNITY. OPERATING THREE HOSPITALS (EGLESTON, HUGHES SPALDING AND SCOTTISH RITE), MARCUS AUTISM CENTER AND 27 NEIGHBORHOOD LOCATIONS (INCLUDING SEVEN URGENT CARE CENTERS) WITH MORE THAN ONE MILLION PATIENT VISITS ANNUALLY, CHILDREN'S IS RECOGNIZED FOR EXCELLENCE IN CANCER, CARDIAC AND ORTHOPAEDICS AND OFFERS ACCESS TO MORE THAN 60 PEDIATRIC SPECIALTIES. CHILDREN'S IS RANKED ONE OF THE TOP PEDIATRIC HOSPITALS NATIONWIDE BY U.S.NEWS & WORLD REPORT AND ALSO HAS BEEN NAMED ONE OF THE "100 BEST COMPANIES TO WORK FOR" BY FORTUNE MAGAZINE. THE MISSION VISION, VALUES AND EMPLOYEE PROMISE OF CHILDREN'S WERE CREATED THROUGH AN IN-DEPTH PROCESS INVOLVING EMPLOYEES, PHYSICIANS, VOLUNTEERS AND BOARD MEMBERS. IN 2016, THE THREE HOSPITALS OPERATED BY CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROVIDED 575 LICENSED BEDS AND MANAGED 1,008,830 PATIENT VISITS, 391,277 UNIQUE PATIENTS, 27,836 HOSPITAL discharges, 161,475 INPATIENT DAYS, 973,482 OUTPATIENT VISITS, 42,781 SURGICAL PROCEDURES (INPATIENT AND OUTPATIENT), 236,595 EMERGENCY DEPARTMENT VISITS, 154,091 URGENT CARE CENTER VISITS AND 42,331 PRIMARY CARE VISITS. CHILDRENS ALSO MANAGED 81,047 CALLS FROM PARENTS ACROSS GEORGIA TO THE CHILDRENS NURSE ADVICE LINE. CHILDREN'S IS ALSO THE LARGEST PEDIATRIC MEDICAID PROVIDER IN THE STATE OF GEORGIA, SERVING NEARLY 9 OUT OF 10 PEDIATRIC INPATIENT MEDICAID CASES IN ATLANTA AND NEARLY 6 OUT OF 10 CASES STATEWIDE. CHILDREN'S IS COMMITTED TO PROVIDING MEDICALLY NEEDED HEALTHCARE TO THE CHILDREN OF GEORGIA. STATEWIDE, 45% OF GEORGIA'S CHILDREN ARE ENROLLED IN MEDICAID OR PEACHCARE AND 8% ARE UNINSURED. NEARLY 58% OF CHILDRENS SERVICES ARE PROVIDED TO CHILDREN ON MEDICAID. IN 2016, CHILDRENS PROVIDED $132.4 MILLION OF CARE FOR WHICH IT DID NOT GET PAID. IN ADDITION, CHILDRENS INVESTS IN PEDIATRIC RESEARCH, TEACHING AND CHILD WELLNESS AND PREVENTIVE CARE INITIATIVES, FOR WHICH CHILDRENS ALSO DOES NOT GET PAID. THE TOTAL COMMUNITY BENEFIT PROVIDED BY CHILDRENS IN 2016 WAS $205.5 MILLION. CHILDREN'S SERVES AS THE PEDIATRIC PHYSICIAN TEACHING SITE FOR EMORY UNIVERSITY SCHOOL OF MEDICINE AND MOREHOUSE SCHOOL OF MEDICINE. CHILDREN'S TAKES THE LEAD IN TRAINING THE PEDIATRICIANS OF TOMORROW AND INCREASED ITS TRAINING TO 97 RESIDENTS AND 117 FELLOWS IN 2016. NEW PHYSICIANS ARE ENCOURAGED TO PARTICIPATE IN OUR FELLOWSHIP PROGRAMS, WHICH ARE AVAILABLE IN A VARIETY OF SPECIALTIES. CHILDREN'S ALSO TRAINS OTHER PEDIATRIC HEALTHCARE PROFESSIONALS, INCLUDING NURSES, EMERGENCY MEDICAL TECHNICIANS, PARAMEDICS AND PSYCHOSOCIAL EXPERTS. CHILDREN'S OFFERS A WIDE VARIETY OF TRAINING OPPORTUNITIES TO OTHER PROFESSIONALS WHO WORK WITH CHILDREN, INCLUDING PROGRAMS FOR LAW ENFORCEMENT AGENCIES, SCHOOL NURSES, COACHES AND TEACHERS. CHILDREN'S BELIEVES THAT TODAY'S MEDICAL DISCOVERIES COULD SAVE THE LIFE OF A CHILD TOMORROW. RESEARCH IS A CORNERSTONE OF THE CHILDREN'S HEALTHCARE OF ATLANTA MISSION. CHILDRENS IS COMMITTED TO ADVANCEMENTS IN PEDIATRIC MEDICINE AND FINDING ANSWERS TO PERPLEXING MEDICAL CONDITIONS, WORKING WITH PARTNERS SUCH AS EMORY UNIVERSITY SCHOOL OF MEDICINE, GEORGIA INSTITUTE OF TECHNOLOGY, MOREHOUSE SCHOOL OF MEDICINE AND THE CDC. IN 2016, CHILDRENS HAD MORE THAN 5,800 PATIENTS PARTICIPATING IN CLINICAL TRIALS AND RECRUITED SIX NEW INVESTIGATORS FROM ACROSS THE U.S. CHILDRENS HAS AN ONGOING COMMITMENT TO OUR RESEARCH PARTNERSHIP WITH GEORGIA TECH, LEADING TO THE ESTABLISHMENT OF THE CHILDRENS PEDIATRIC TECHNOLOGY CENTER (PEDTECH), WHICH IS RECOGNIZED WITHIN THE NEW ENGINEERED BIOSYSTEMS BUILDING (EBB) AND IN OTHER GEORGIA TECH CAMPUS FACILITIES WHERE JOINT RESEARCH IS TAKING PLACE. AMONG OTHER THINGS, CHILDRENS HAS NUMEROUS RESEARCH SUCCESS STORIES IN INFECTIOUS DISEASES, DRUG DISCOVERY, NEWBORN MEDICINE, SICKLE CELL DISEASE, ONCOLOGY, TRANSPLANT MEDICINE, DEVICE DEVELOPMENT AND AUTISM. CHILDRENS KEY PRIORITY RESEARCH CENTERS ARE THE AFLAC CANCER AND BLOOD DISORDERS CENTER, ATLANTIC PEDIATRIC DEVICE CONSORTIUM, CENTER FOR CHILDHOOD INFECTIONS AND VACCINES, CENTER FOR CLINICAL AND TRANSLATIONAL RESEARCH, CENTER FOR CYSTIC FIBROSIS AND AIRWAYS DISEASE RESEARCH, CENTER FOR DRUG DISCOVERY, CENTER FOR PEDIATRIC INNOVATION, CENTER FOR PEDIATRIC NANOMEDICINE, CENTER FOR TRANSFORMING PEDIATRIC HEALTHCARE DELIVERY, CENTER FOR TRANSPLANTATION AND IMMUNE-MEDIATED DISORDERS, CHILDRENS CENTER FOR NEUROSCIENCES RESEARCH, CHILDRENS HEART RESEARCH AND OUTCOMES CENTER, CLINICAL OUTCOMES RESEARCH & PUBLIC HEALTH, AND MARCUS AUTISM CENTER. OUR STEPHANIE V. BLANK CENTER FOR SAFE AND HEALTHY CHILDREN WORKS WITH LAW ENFORCEMENT, THE DIVISION OF FAMILY AND CHILDREN SERVICES (DFCS) AND CHILD ADVOCACY AGENCIES TO IDENTIFY, TREAT AND PREVENT CHILD ABUSE AND NEGLECT. IN 2016, THROUGH THE CENTER, CHILDRENS TRAINED MORE THAN 10,000 PROFESSIONALS ABOUT HOW TO RECOGNIZE, REPORT AND PREVENT CHILD ABUSE. THOSE TRAINED INCLUDED MEDICAL PERSONNEL, LAW ENFORCEMENT, CHILD ADVOCATES, SCHOOL STAFF, SOCIAL WORKERS AND MENTAL HEALTH PRACTITIONERS. IN 2016 CHILDRENS CONTINUED ITS STRONG4LIFE CHILDHOOD OBESITY MOVEMENT TO COMBAT THE CHILDHOOD OBESITY EPIDEMIC IN GEORGIA. IN 2016 STRONG4LIFE TRAINED 200 HEALTHCARE PROVIDERS ON PATIENT-CENTERED COUNSELING TECHNIQUES AND WORKED WITH 600 SCHOOLS. CHILDRENS SERVES AS THE LEAD AGENCY FOR SAFE KIDS GEORGIA, A STATEWIDE NETWORK FOR PREVENTING UNINTENTIONAL INJURIES AMONG CHILDREN. THESE TYPES OF INJURIES ARE THE NO. 1 CAUSE OF DEATH FOR CHILDREN FROM BIRTH TO AGE 19. IN 2016, SAFE KIDS GEORGIA-THROUGH ITS 33 LOCAL COALITIONS ACROSS 65 COUNTIES-PROVIDED EDUCATION TO MORE THAN 360,000 CHILDREN, CAREGIVERS AND PROFESSIONALS. SAFE KIDS GEORGIA DISTRIBUTED MORE THAN 24,000 SAFETY DEVICES TO RESIDENTS THROUGHOUT THE STATE, INCLUDING CAR AND BOOSTER SEATS, BIKE HELMETS, SMOKE AND CARBON MONOXIDE DETECTORS, GUN LOCKS AND PERSONAL FLOTATION DEVICES. THROUGH THE CONDUCT OF THESE ACTIVITIES, CHILDREN'S HEALTHCARE OF ATLANTA, INC. 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SERVES AS THE CORPORATE PARENT OF A MULTI-HOSPITAL PEDIATRIC HEALTH SYSTEM AND SUPPORTS THE EXEMPT MEMBERS OF THE SYSTEM THROUGH OVERALL MANAGEMENT OF ADMINISTRATIVE FUNCTIONS SUCH AS FINANCE AND ACCOUNTING, STRATEGIC PLANNING, HUMAN RESOURCES, INVESTMENT MANAGEMENT AND RELATED FUNCTIONS. MANY OF THESE COSTS ARE BORNE DIRECTLY BY THE PARENT RATHER THAN ALLOCATED TO THE VARIOUS SUPPORTED ORGANIZATIONS. FOR 2016, THE SALARY, BENEFIT, INVESTMENT MANAGEMENT AND OTHER COSTS INCURRED DIRECTLY BY THE PARENT TO MANAGE THE SYSTEM, WHICH CONSTITUTE INDIRECT SUPPORT OF THE SUPPORTED ORGANIZATIONS, TOTALED $18,919,148. false true false 0 false 0 false 0 false 0 true 373560 false 0 false 0 373560 false DESCRIPTION OF LOBBYING ACTIVITIES DURING THE YEAR, CHILDREN'S HAS ATTEMPTED TO INFLUENCE NATIONAL, STATE OR LOCAL LEGISLATION THROUGH THE USE OF: 1. PAID STAFF AND MANAGEMENT - CHILDREN'S GOVERNMENT AFFAIRS STAFF ENGAGES IN DIRECT CONTACT WITH STATE AND FEDERAL LEGISLATORS, AS WELL AS STATE AND FEDERAL GOVERNMENT OFFICIALS. 2. DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF, GOVERNMENT OFFICIALS, OR LEGISLATIVE BODY DURING THE YEAR MEMBERS OF THE CHILDREN'S GOVERNMENT AFFAIRS TEAM MADE DIRECT CONTACT WITH LEGISLATORS, THEIR STAFF AND GOVERNMENT OFFICIALS. THE VAST MAJORITY OF OUR CONTACT WAS MADE TO MEMBERS OF THE GEORGIA GENERAL ASSEMBLY, WITH OUR CONTACTS MADE TO GOVERNMENT OFFICIALS AND MEMBERS OF THE GEORGIA CONGRESSIONAL DELEGATION AND THEIR STAFF. ALL COMMUNICATIONS ARE RELATED TO LEGISLATIVE ISSUES THAT IMPACT THE ACCOMPLISHMENT OF CHOA'S TAX EXEMPT PURPOSE, INCLUDING FUNDING FOR PUBLIC HEALTH INITIATIVES, STATE MEDICAID FUNDING AND RELATED LEGISLATION. IN ADDITION, CHOA HAS ENGAGED OUTSIDE LOBBYING FIRMS TO ASSIST IN ADVOCACY EFFORTS. 227633493 17142676 12857834 8512856 384321 248736826 220710368 17482633 -1261031 8923039 375438 227633493 210535667 6812434 10120916 0 6710282 48367 220710368 185825230 5688489 25092004 5747035 323021 210535667 164200445 9532559 17421296 4984580 344490 185825230 0.08620 0.00000 0.91380 false false 0 11293287 7737457 3555830 53311 36667 16644 4261297 3308019 953278 8345947 7870039 475908 5001660 ALTERNATIVE INVESTMENTS 751097014 F 751097014 CAPITALIZED BOND INTEREST COST 5265815 DEFERRED BOND ISSUANCE COST 196669 IC BOND REC FROM EGLESTON 318826617 IC BOND REC FROM SCOTTISH RITE 111266815 435555916 0 INTERCOMPANY PAYABLES TO GROUP 2440833077 SWAP VALUATION LIABILITY 90283699 LOVELL REDDIN PENSION FUND 70200 2531186976 X DESCRIPTION ON INTENDED USE OF ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 INCOME FROM THE ENDOWMENT FUNDS IS USED TO SUPPORT THE EXEMPT PURPOSES OF THE ORGANIZATIONS IN THE CHILDREN'S HEALTHCARE OF ATLANTA SYSTEM, INCLUDING THE PROVISION OF CHARITY CARE. DESCRIPTION OF ALTERNATIVE INVESTMENTS PART VII, OTHER SECURITIES "Alternative" investments primarily represent investments in partnerships and limited liability corporations. These investments in non-marketable securities (thus without readily determinable fair values) are carried on an equity accounting basis. DESCRIPTION OF OTHER ASSETS PART IX, OTHER ASSETS THE INTERCOMPANY RECEIVABLE BALANCE INCLUDES THE FILING ORGANIZATIONS ALLOCATION OF THE TAX-EXEMPT BOND LIABILITIES TO AFFILIATED ENTITIES THAT ARE PART OF THE HEALTH SYSTEMS OBLIGATED GROUP. RESPECTIVE SHARES ARE REPORTED ON THE FORM 990 FOR THE CHOA GROUP. DESCRIPTION OF OTHER LIABILITIES PART X, OTHER LIABILITIES THE INTERCOMPANY LIABILITY BALANCE REPRESENTS THE NET OF BALANCES DUE TO AND FROM THE AFFILIATED ENTITIES WITHIN THE CHOA HEALTHCARE SYSTEM. SOME AMOUNTS RESULT FROM TIMING DIFFERENCES OF ACTUAL CASH TRANSACTIONS THAT MAY BE CLEARED IN A FUTURE PERIOD, WHEREAS OTHER BALANCES MAY RESULT FROM TRANSACTIONS MANAGED BY ONE ENTITY ON BEHALF OF ANOTHER WHERE THERE IS NO EXPECTATION OF FUTURE SETTLEMENT (E.G. CHOA IS THE COMMON PAYMASTER FOR ALL SYSTEM ENTITIES, BUT THE CORRESPONDING EXPENSE FOR THESE DISBURSEMENTS IS RECOGNIZED AT THE RESPECTIVE ENTITY WHERE THE COST WAS INCURRED). FOR THOSE INTERCOMPANY BALANCES THAT HAVE ACCUMULATED SINCE INCEPTION, THERE IS AN OFFSETTING RECEIVABLE OR PAYABLE ON ANOTHER AFFILIATES FINANCIALS, SUCH THAT THESE BALANCES ARE PROPERLY ELIMINATED WHEN CHILDRENS FINANCIALS ARE PRESENTED ON A CONSOLIDATED BASIS. FIN 48(ASC740) Footnote SCHEDULE D, PART X, LINE 2 CHILDREN'S HEALTHCARE OF ATLANTA FOLLOWS THE PROVISIONS OF ASC 740 (FIN 48), WHICH ADDRESSES LIABILITY FOR UNCERTAIN TAX POSITIONS. NO RELATED DISCLOSURES HAVE BEEN NECESSARY IN CHOA'S AUDITED FINANCIAL STATEMENTS FOR FISCAL YEARS 2016 AND 2015. true Russia and the Newly Independent States Investments 4337722 Central America and the Caribbean Investments 70219552 Europe (Including Iceland and Greenland) Investments 367987074 South America Investments 6624244 Middle East and North Africa Investments 1192789 North America Investments 596586026 East Asia and the Pacific Investments 327975731 Sub-Saharan Africa Investments 1179704 1376102842 1376102842 true false true true true false INVESTMENT VALUATION SCHEDULE F, PART I, LINE 3, COLUMN F THE AMOUNTS FOR PART I, LINE 3, COLUMN F INCLUDE NON-MARKETABLE ALTERNATIVE ASSETS VALUED ON AN EQUITY BASIS, HEDGE FUNDS AT FAIR MARKET VALUE, AND DIRECTLY HELD MARKETABLE ASSETS AT FAIR MARKET VALUE. X true true X X X X X X false true false false false false false false false PAT FRIAS CHIEF OPERATING OFFICER 598673 0 189305 0 16061 0 141103 0 21298 0 966440 0 0 0 DONNA HYLAND PRESIDENT & CEO - CHOA 1019655 0 352520 0 39693 0 346530 0 18798 0 1777196 0 0 0 RUTH FOWLER SVP FINANCE/CFO/TREASURER 505380 0 158070 0 22028 0 118922 0 21268 0 825668 0 0 0 LESLIE JONES SVP GENERAL COUNSEL/SECRETARY 385543 0 100760 0 6138 0 0 0 35192 0 527633 0 0 0 DANIEL SALINAS INDIV. 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HOWEVER, THE CEO MUST GIVE STRONG CONSIDERATION TO THE FINANCIAL IMPLICATIONS OF TRAVELING FIRST OR BUSINESS CLASS. CHOA DOES NOT TREAT THE PAYMENTS FOR FIRST CLASS TRAVEL AS TAXABLE TO THE CEO GIVEN THE BUSINESS PURPOSE ASSOCIATED WITH SUCH FLIGHTS. SCHEDULE J, PART I, LINE 4B IN 2012, THE COMPENSATION AND BENEFITS COMMITTEE ELECTED TO OFFER AN ADDITIONAL RETIREMENT PLAN TO CERTAIN EXECUTIVES. THE BOARD APPROVED THIS RECOMMENDATION IN EARLY 2013. BELOW ARE THE PARTICIPANTS AND THE TOTAL AMOUNT CONTRIBUTED TO THE PLAN FOR EACH DURING 2016: DONNA HYLAND $346,530.37 PAT FRIAS $141,103.29 RUTH FOWLER $118,922.19 LINDA MATZIGKEIT $104,502.28 DANIEL SALINAS $106,546.07 RON FRIESON $ 37,822.54 ALLANA CUMMINGS $ 51,099.94 SCHEDULE J, PART I, LINE 5A & 5B EXECUTIVES ARE ELIGIBLE FOR AN ANNUAL INCENTIVE, WHICH INCLUDES A MEASUREMENT FOR ACHIEVEMENT OF BUDGETED OPERATING MARGIN. THESE INCENTIVES ARE CALCULATED AS A CERTAIN PERCENTAGE OF THE EXECUTIVES BASE COMPENSATION APPROVED BY THE COMPENSATION AND BENEFITS COMMITTEE. SCHEDULE J, PART II EMPLOYEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. HAVE THE OPTION TO PARTICIPATE IN THE 403 (B) PLAN OFFERED BY THE ORGANIZATION. CHILDREN'S PROVIDES AN ANNUAL DISCRETIONARY CONTRIBUTION TO A 401 (A) RETIREMENT PLAN FOR EMPLOYEES WHO WORK AT LEAST 1,000 HOURS IN THE CALENDAR YEAR AND ARE EMPLOYED ON 12/31/2016. ALL INDIVIDUALS ARE EMPLOYEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. (THE "PARENT" EIN 58-2367819) WITH CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN (THE "GROUP" exemption number 5857) ACTING AS THE COMMON PAYROLL AGENT FOR THE PARENT AND ALL ENTITIES WITHIN THE GROUP. A DEKALB PRIVATE HOSP AUTH&DEV AUTH FULTON CNTY 581639487 241064DZ4 2009-12-02 302400422 SEE SCHEDULE K, PART VI false false false B DEKALB PRIVATE HOSP AUTH&DEV AUTH FULTON CNTY 581639487 241064DD3 2008-02-28 192965000 SEE SCHEDULE K, PART VI false false false A 8235000 0 302400422 0 0 0 5422 0 0 0 302400422 0 2009 true false true true B 13845000 0 192965000 0 0 0 827037 0 0 119826000 72311963 0 2008 true false true true A false true true true false 0 false false false true B false true false false 0 false false false true A false false true false false false 0 false 0 false true B false false true false true false 0 false 0 false true A true B true WRITTEN PROCEDURES SCHEDULE K, PART V CHILDREN'S HEALTHCARE OF ATLANTA, INC. HAS IMPLEMENTED POST-COMPLIANCE PROCEDURES FOR ITS TAX-EXEMPT BOND PROCEEDS. DESCRIPTION OF PURPOSE SCHEDULE K, PART I, COLUMN (F) A - PURPOSE SERIES 2009 REFUNDED THE FOLLOWING: SERIES 1994A/B DATE OF ISSUANCE 3/23/94; SERIES 1995 A/B DATE OF ISSUANCE 12/2/95; SERIES 1998 A/B DATE OF ISSUANCE 11/24/98; SERIES 2005A DEKALB, SERIES 2005B DEKALB, AND 2005B FULTON DATE OF ISSUANCE 2/9/05; SERIES 2008B DEKALB, 2008C DEKALB, 2008B FULTON DATE OF ISSUANCE 4/15/08. B - PURPOSE SERIES 2008 REFUNDED THE FOLLOWING: SERIES 2005A FULTON AND 2005C FULTON DATE OF ISSUANCE 2/29/05. IT ALSO REFUNDED THE CONSTRUCTION AND EQUIPPING OF HOSPITAL FACILITIES. EXCEPTION TO REBATE SCHEDULE K, PART IV, LINE 2B, COLUMN ( B ) NO REBATE IS DUE FOR THE SERIES 2008 BONDS BECAUSE THE BOND PROCEEDS WERE NOT INVESTED. THEREFORE, THERE WERE NO INVESTMENT EARNINGS THAT COULD RESULT IN REBATE BEING DUE. Jackson Dyer SEE SCHEDULE L. PART V 10897 SEE SCHEDULE L. PART V true Katherine Dixon SEE SCHEDULE L. PART V 100825 SEE SCHEDULE L. PART V true Star Overton SEE SCHEDULE L. PART V 79495 SEE SCHEDULE L. PART V true A) Jackson Dyer B)Relationship between interested person and the organization- Jackson works at CHOA in surgery Center at meridian Mark Plaza, LLC. He is the son of John Dyer a board member of CHOA. C)Compensation - 10,897 D) Description of transaction - Jackson Dyer received compensation as an employee A) Katherine Dixon B)Relationship between interested person and the organization- Kate works as an RN in Cardiac at Egleston, she is the daughter of Bernie Dixon, who is a trustee for CHOA, ECH, SR EAS, And EPG. C)Compensation - 100,825 D) Description of transaction - Katherine Dixon received compensation as an employee A) Star Overton B)Relationship between interested person and the organization- Star an employee working for CHOA, is the wife of Cedric Miller, who is a board member of CHOA C)Compensation - 79,495 D) Description of transaction - Star Overton received compensation as an employee NUMBER OF EMPLOYEES REPORTED ON FORM W-3 FORM 990, PART V, LINE 2A W-2'S FOR EMPLOYEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. - GROUP ARE ISSUED UNDER EIN 58-2367819, THE PARENT RETURN. WE ARE ALSO INCLUDING ALL INDIVIDUALS ACCORDING TO THE COMMON PAYMASTER RULES WHERE THESE EMPLOYEES ARE COMPENSATED BY A REPORTING AGENT, CHILDREN'S HEALTHCARE OF ATLANTA, INC. - GROUP (EIN 90-0779996). DESCRIBE THE PROCESS USED BY MNGMT &/OR GOV BODY TO REVIEW 990 FORM 990, PART VI, LINE 11B THE ORGANIZATION'S FORM 990 IS REVIEWED IN DETAIL BY THE MEMBERS OF THE AUDIT AND FINANCE COMMITTEES, AFTER WHICH THE ENTIRE BOARD OF DIRECTORS IS PROVIDED A COPY PRIOR TO THE FINAL APPROVAL AND FILING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST FORM 990, PART VI, LINE 12C CHILDREN'S BOARD OF TRUSTEES ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO AN "INTERESTED PERSON". AN INTERESTED PERSON WOULD BE EVERY DIRECTOR, TRUSTEE, MEMBER OF A BOARD COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, OFFICER OR "KEY MANAGEMENT EMPLOYEE" OF A CHILDREN'S ORGANIZATION WHOM HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. A KEY MANAGEMENT EMPLOYEE WOULD BE THE CHIEF EXECUTIVE OFFICER OF A CHILDREN'S ORGANIZATION, ANY MANAGERS WHO REPORT DIRECTLY TO THE CHIEF EXECUTIVE OFFICER OR THE BOARD OF A CHILDREN'S ORGANIZATION, ANY EMPLOYEE OTHERWISE LISTED AS A CURRENT OR FORMER "KEY EMPLOYEE" ON THE MOST RECENTLY FILED IRS FORM 990 OF A CHILDREN'S ORGANIZATION, OR ANY OTHER PERSONNEL SO DESIGNATED BY THE CHIEF EXECUTIVE OFFICER. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS OR TRUSTEES AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, SUCH INTERESTED PERSON SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT EXISTS. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER A) THE TRANSACTION OR ARRANGEMENT IS IN THE CHILDREN'S ORGANIZATION BEST INTEREST, AND IS FAIR AND REASONABLE OR B) WHETHER THE CHILDREN'S ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS AN EQUAL OR MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. THE GOVERNING BOARD OF THE COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS OR TRUSTEES WHETHER A) TO ENTER INTO THE TRANSACTION OR ARRANGEMENT; OR B) TO ENTER INTO AN EQUAL OR MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; OR C) TAKE NO ACTION. EACH INTERESTED PERSON OF A CHILDREN'S ORGANIZATION SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; B) HAS READ AND UNDERSTANDS THE POLICY; AND C) HAS AGREED TO COMPLY WITH THE POLICY. ANNUALLY, INTERESTED PERSONS WILL COMPLETE A QUESTIONNAIRE TO PROVIDE INFORMATION NEEDED IN CONNECTION WITH THE CHILDREN'S ORGANIZATION'S FILING OF ITS IRS FORM 990 WITH THE INTERNAL REVENUE SERVICE. RESULTS OF THE QUESTIONNAIRE ARE REVIEWED BY SENIOR LEADERSHIP. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINES 15A AND 15B CHILDREN'S BOARD OF TRUSTEES HAS ULTIMATE DECISION-MAKING OVER EXECUTIVE COMPENSATION, AND THE COMPENSATION AND BENEFITS COMMITTEE (COMMITTEE) IS RESPONSIBLE FOR PROGRAM OVERSIGHT AND ADMINISTRATION AND FOR MAKING RECOMMENDATIONS TO THE BOARD. THE COMPENSATION AND BENEFITS COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS AND CHARGED WITH EVALUATING THE TOTAL COMPENSATION PACKAGE OF SELECTED EMPLOYEES (CALLED 'DISQUALIFIED PERSONS'). TO CARRY OUT THIS CHARGE, THE COMMITTEE ENGAGES AN INDEPENDENT THIRD PARTY EXECUTIVE COMPENSATION FIRM TO COMPLETE AN ANNUAL ASSESSMENT OF THE COMPETITIVENESS AND REASONABLENESS OF THE TOTAL COMPENSATION FOR 'DISQUALIFIED PERSONSOTHER EXECUTIVES. USING MARKET DATA PROVIDED BY THE THIRD PARTY RELATING TO PAY, BENEFITS AND PERQUISITES PAID TO FUNCTIONALLY COMPARABLE POSITIONS IN ORGANIZATIONS COMPARABLE TO CHILDREN'S HEALTHCARE OF ATLANTA, THE COMMITTEE PROVIDES TOTAL COMPENSATION RECOMMENDATIONS. PAY RECOMMENDATIONS ARE MADE IN DECEMBER AND BOARD APPROVED CHANGES, IF ANY, ARE EFFECTIVE IN JANUARY OF THE COMING YEAR. INCENTIVE PAYOUTS ARE APPROVED IN FEBRUARY, FOR THE PRIOR YEAR'S PERFORMANCE, AND ISSUED IN MARCH. ALL COMMITTEE RECOMMENDATIONS AND BOARD DECISIONS (RELATED TO EXECUTIVE COMPENSATION) ARE DOCUMENTED IN THE APPLICABLE MEETING MINUTES. PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART VI, LINE 19 CHILDREN'S HEALTHCARE OF ATLANTA, INC. DOES NOT MAKE FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, IN ACCORDANCE WITH IRS GUIDELINES. HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII ALL MEMBERS OF CHILDREN'S HEALTHCARE OF ATLANTA EXECUTIVE TEAM WORK A MINIMUM OF 50 HOURS PER WEEK. THE SPLIT OF THESE HOURS BETWEEN THE PARENT AND GROUP RETURNS IS DETERMINED BY THE INDIVIDUAL'S ROLE AND RESPONSIBILITIES AS WELL AS THE LOCATION OF THE INDIVIDUAL'S PAYROLL EXPENSE. INDIVIDUALS WHOSE PAYROLL EXPENSE IS LOCATED AT THE PARENT SPEND 80% OR 40 HOURS OF THEIR WORK WEEK DEVOTED TO CARRYING OUT THE GOALS AND OBJECTIVES OF THE CHOA ORGANIZATION AS A WHOLE. THE REMAINING 20% OR 10 HOURS IS DEVOTED TO SPECIFIC GOALS AND TASKS ASSOCIATED WITH ONE OR MORE OF THE ORGANIZATIONS REPRESENTED IN THE GROUP RETURN. INDIVIDUALS WHOSE PAYROLL EXPENSE IS LOCATED AT THE SUPPORT ZONE SPEND 80% OR 40 HOURS OF THEIR WORK WEEK DEVOTED TO CARRYING OUT THE GOALS AND OBJECTIVES OF ONE OR MORE OF THE ENTITIES REPRESENTED IN THE GROUP RETURN. THE REMAINING 20% OR 10 HOURS IN DEVOTED TO TASKS OR OBJECTIVES RELATED TO THE CHOA ORGANIZATION AS A WHOLE. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 9 TRANSFERS BETWEEN ENTITIES (29,994,597) CHILDREN'S HEALTHCARE OF ATLANTA AFFIL 1587 NORTHEAST EXPRESSWAY ATLANTA GA 30329 812628990 AFFIL AGMTS GA 124909 0 CHOA INC REAL ESTATE ENTERPRISES LLC 1587 NORTHEAST EXPRESSWAY ATLANTA GA 30329 812291402 REAL ESTATE GA 431479 0 CHOA INC PEDIATRIC INFORMATICS LLC 1587 NORTHEAST EXPRESSWAY ATLANTA GA 30329 812305602 INFO TECH GA 0 0 CHOA INC Egleston Children's Hospital Emory Univ 1587 NORTHEAST EXPRESSWAY Atlanta GA 30329 520572412 Hospital GA 501(c)(3) 3 NA false Scottish Rite Children's Medical Center 1587 Northeast Expressway Atlanta GA 30329 580572465 Hospital GA 501(c)(3) 3 NA false Children's Healthcare of Atlanta FDN 1587 Northeast Expressway Atlanta GA 30329 581710601 Fundraising GA 501(c)(3) 7 NA false Marcus Autism Center 1587 Northeast Expressway Atlanta GA 30329 262809380 PED HLTH SVCS GA 501(c)(3) 10 NA false Egleston Affiliated Services Inc 1587 Northeast Expressway Atlanta GA 30329 582147112 Phys care GA 501(c)(3) 3 NA false Egleston Pediatric Group Inc 1587 Northeast Expressway Atlanta GA 30329 582201217 Phys Mgmt GA 501(c)(3) 3 NA false HSOC Inc 1587 Northeast Expressway Atlanta GA 30329 203962330 Mgmt & Adm Sv GA 501(c)(3) 3 NA false Meridian Mark LLC 1587 NE Exprswy Atl GA 30329 010723254 Surgery Center GA NA Related 0 0 false 0 false 0.51000 The Children Health Network Inc 1587 Northeast Expressway Atlanta GA 30329 582133795 Physician HSP ORG GA CHOA C Corp 2054769 -629096 1.00000 true The Children Care Network Inc 1587 Northeast Expressway Atlanta GA 30329 471373158 Healthcare Srvcs GA CHOA C Corp 1954329 1118034 1.00000 true Emory-Egleston Children's Heart Center 1587 Northeast Expressway Atlanta GA 30329 581871713 Cardiac Services GA CHOA C Corp 45998503 11097747 1.00000 true false false false false true false false false false false false true false false false false true false false Meridian Mark LLC l 1819469 Cash Meridian Mark LLC q 6267890 Cash SCHEDULE R, PART V, LINE 1E Refer to disclosure in Schedule K regarding members of the obligated group for CHOA's tax exempt bonds.