2013-11-12T14:23:58-06:00 2012-12-31 ERNST & YOUNG US LLP 55 IVAN ALLEN BLVD SUITE 1000 ATLANTA GA 30308 990 2012-01-01 900779996 Children's Healthcare of Atlanta Group Return % Tom Brems CHIL 4047857944 1584 Tullie Circle Suite Atlanta GA 30329 RUTH FOWLER 2013-11-12 4048748300 2012 2016-03-07 17:11:31Z Donna Hyland 1600 Tullie Circle Atlanta GA 30329 1272600659 true true 5857 X www.choa.org X To make kids better today and healthier tomorrow. 74 60 9097 6500 0 77101475 60498767 955782878 1057060662 10505899 11760452 12841813 14614782 1056232065 1143934663 36812072 20303078 0 0 510783112 563753049 0 0 11166366 373404261 385384327 920999445 969440454 135232620 174494209 1959083585 2651935623 211601490 663619486 1747482095 1988316137 X To make kids better today and healthier tomorrow. false false 783134297 20303078 1068689578 THE CHILDREN'S HEALTHCARE OF ATLANTA FOUNDATION, INC. WAS ESTABLISHED IN 2008 AND WORKS TO ENGAGE THE COMMUNITY THROUGH PHILANTHROPY AND VOLUNTEERISM IN SUPPORT OF THE MISSION AND VISION OF CHILDREN'S HEALTHCARE OF ATLANTA. IN 2012, THE FOUNDATION HAD 82 PAID STAFF AND 6,500 VOLUNTEERS. CHILDREN'S AT EGLESTON AND CHILDREN'S AT SCOTTISH RITE ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES THEY SERVE THROUGH STRATEGIC PLANNING PROCESSES COMPLETED FOR THE CHILDREN'S HEALTHCARE OF ALTANTA SYSTEM. AS PART OF A 10-YEAR PLAN LAUNCHED IN 2007, CHILDREN'S IS FOCUSING ON CLINICAL, RESEARCH, TEACHING AND WELLNESS. IN ADDITION, IN FEBRUARY 2006, A MANAGEMENT AGREEMENT WAS SIGNED FOR CHILDREN'S AT HUGHES SPALDING, OWNED BY GRADY HEALTH SYSTEM, TO BE OPERATED BY HSOC INC.-AN AFFILIATE OF CHILDREN'S. THE MISSION OF CHILDREN'S AT HUGHES SPALDING IS TO MAKE KIDS BETTER TODAY AND HEALTHIER TOMORROW. CHILDREN'S BROKE GROUND ON A NEW FOUR-STORY FACILITY FOR CHILDREN'S AT HUGHES SPALDING IN AUGUST 2008. THIS NEW FACILITY OPENED IN FALL 2009 AND HOUSES CHILD-FRIENDLY INPATIENT BEDS, AN ENHANCED EMERGENCY DEPARTMENT AND SPECIALTY CLINICS FOR SICKLE CELL DISEASE, ASTHMA, PRIMARY CARE AND CHILD PROTECTION SERVICES. IN 2012, THE THREE HOSPITALS OPERATED BY CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROVIDED 529 LICENSED BEDS AND MANAGED 847,998 PATIENT VISITS, 346,356 UNIQUE PATIENTS, 25,868 HOSPITAL ADMISSIONS, 147,830 INPATIENT DAYS, 816,227 OUTPATIENT VISITS, 38,663 SURGICAL PROCEDURES (INPATIENT AND OUTPATIENT), 213,579 EMERGENCY DEPARTMENT VISITS, 121,008 URGENT CARE CENTER VISITS AND 45,887 PRIMARY CARE VISITS. CHILDREN'S ALSO MANAGED 135,000 CALLS FROM PARENTS ACROSS GEORGIA TO THE CHILDREN'S NURSE ADVICE LINE. MARCUS AUTISM CENTER IS A NOT-FOR-PROFIT ORGANIZATION WITH A MISSION TO PROVIDE INFORMATION, SERVICES AND PROGRAMS TO CHILDREN WITH AUTISM AND RELATED DISORDERS, THEIR FAMILIES AND THOSE WHO LIVE AND WORK WITH THEM. WE OFFER INTEGRATED ADVANCED CLINICAL, BEHAVIORAL, EDUCATIONAL AND FAMILY SUPPORT SERVICES THROUGH A SINGLE ORGANIZATION TO REDUCE THE STRESS FOR FAMILIES THAT USE OUR SERVICES. MARCUS AUTISM CENTER HAD ITS BEGINNINGS AS THE MARCUS DEVELOPMENTAL RESOURCE CENTER AT EMORY UNIVERSITY IN 1991. SINCE THEN, WITH THE HELP OF COMMUNITY SUPPORT, WE HAVE TREATED MORE THAN 40,000 CHILDREN. IN 2012, WE TREATED MORE THAN 5,400 INDIVIDUAL PATIENTS WITH OUR MULTIDISCIPLINARY APPROACH, WHICH INCLUDES MEDICINE WITH PSYCHOLOGY, SPEECH THERAPY AND BEHAVIORAL INTERVENTION. THROUGH GENEROUS DONATIONS MARCUS AUTISM CENTER HAS BECOME A NATIONALLY RECOGNIZED CENTER FOR EXCELLENCE FOR THE PROVISION OF COORDINATED AND COMPREHENSIVE SERVICES FOR CHILDREN AND ADOLESCENTS WITH DEVELOPMENTAL DISABILITIES. SINCE INCEPTION, MARCUS AUTISM CENTER HAS PROVIDED SERVICES TO MORE THAN 40,000 INDIVIDUALS, CONDUCTED RESEARCH, AND PROVIDED EDUCATION AND TRAINING PROGRAMS. CHILDREN WITH CONDITIONS, SUCH AS AUTISM, MENTAL ILLNESS, CEREBRAL PALSY, LEARNING DISABILITIES AND DISRUPTIVE BEHAVIOR PROBLEMS ARE AFFORDED SOME OF THE HIGHEST QUALITY SERVICES AND ONE OF THE LARGEST TEAM OF PROFESSIONALS AND SUPPORT STAFF SOLELY DEDICATED TO CHILD DEVELOPMENT IN GEORGIA. TOGETHER WITH FAMILIES, SUPPORT GROUPS, GOVERNMENT AGENCIES AND FOUNDATIONS, WE ARE STRENGTHENING THE COMMUNITY THROUGH ADVOCACY AT THE LOCAL AND STATE LEVEL. WE STRIVE FOR FULLER INTEGRATION OF INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES INTO SCHOOL AND COMMUNITY LIFE, BETTER ACCESS FOR FAMILIES TO APPROPRIATE CLINICAL AND EDUCATIONAL SERVICES, AND ENHANCED FUNDING FOR RESEARCH AND TRAINING. THE CENTER'S SERVICES INCLUDE PROVIDING CHILDREN AND THEIR CAREGIVERS SUPPORT, OPPORTUNITY, ENCOURAGEMENT, PRIDE, COMMITMENT AND DETERMINATION. THROUGH SEVEN OUTREACH CLINICS AROUND GEORGIA, HOME-BASED TREATMENT, SCHOOL CONSULTATION AND TELEMEDICINE, WE ARE EXPANDING OUR PROGRAMS TO REACH CHILDREN THROUGHOUT THE STATE WHERE SPECIALIZED CARE IS NOT AVAILABLE. MARCUS AUTISM CENTER IS WORKING WITH GEORGIA PARTNERSHIP FOR TELEHEALTH TO IMPROVE CARE IN COMMUNITIES THROUGHOUT GEORGIA. USING TELEMEDICINE, MARCUS AUTISM CENTER IS INCREASING ACCESS TO CARE, IMPROVING HOW QUICKLY CHILDREN CAN GET CARE AND EDUCATING COMMUNITY DOCTORS. OUR DOCTORS PROVIDE SERVICES TO MEET EACH CHILD'S POTENTIAL. OUR GOAL IS TO HELP EACH CHILD LEARN THE SKILLS TO LIVE A MORE INDEPENDENT LIFE BY WORKING WITH FAMILIES TO DEVELOP GOALS. IN 2012 MARCUS AUTISM CENTER WAS NAMED ONE OF ONLY THREE AUTISM CENTERS OF EXCELLENCE BY THE NIH AND RECEIVED AN $8.3 MILLION GRANT TO ADVANCE THE EFFORTS OF RESEARCH AND SCREENING FOR AUTISM. 783134297 true true false false false false false false false true true false false true true true false true false false false false false false true false true true true true true false false false false false true true true true false false false true true true true false false true X 50 0 true 9097 true false false false false false true true false false false false X 74 60 false false true false true true true true true false false true true true true true true true true true true AK AZ CA CO FL GA HI IL KS KY ME MD MA MI MN MS NH NJ NM NY ND OH OK OR RI SC TN UT WA WV WI X Tom Brems 4047857944 1584 Tullie Circle Atlanta GA 30329 X Donna Hyland 10.0 40.0 X X 0 1484819 14745 Eugene Hayes 10.0 40.0 X X 0 463577 17521 Tonja Bridges 40.0 X X 100722 0 18424 Donald Mueller 40.0 X 242160 0 22717 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PUBLIC CHARITY STATUS: 170(B)(1)(A)(III) - BOX 3 SCOTTISH RITE CHILDREN'S MEDICAL CENTER, INC. PUBLIC CHARITY STATUS: 170(B)(1)(A)(III) - BOX 3 EGLESTON AFFILIATED SERVICES, INC. PUBLIC CHARITY STATUS: 170(B)(1)(A)(III) - BOX 3 EGLESTON PEDIATRIC GROUP, INC. PUBLIC CHARITY STATUS: 170(B)(1)(A)(III) - BOX 3 HSOC, INC. PUBLIC CHARITY STATUS: 170(B)(1)(A)(III) - BOX 3 MARCUS AUTISM CENTER, INC. PUBLIC CHARITY STATUS: 509(A)(2) - BOX 9 CHILDREN'S HEALTHCARE OF ATLANTA FOUNDATION PUBLIC CHARITY STATUS: 509(A)(1) AND 170(B)(1)(A)(VI) - BOX 7 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 109959265 11920392 270848 6881 121601928 108381422 1936108 336444 21821 109959265 104663778 4102980 335796 49540 108381422 95032323 11665264 1900051 133763 104663773 172905427 -25907178 214249 146784000 0.00000 0.93160 0.06840 true false 0 65764315 65764315 0 609066861 284890117 324176744 0 13849484 12099187 1750297 0 304025645 220534173 83491472 0 265650815 210303419 55347396 530530224 DEPOSITS/NONCURRENT ASSETS 6837706 IC RECEIVABLES FROM PARENT 1716602191 1723439897 0 LONG-TERM INSURANCE RESERVES 20652671 DUE TO/FROM GOVERNMENT PAYORS 18200914 OTHER LONG-TERM/NONCURRENT LIAB. 995056 BONDS 468722126 508570767 X ENDOWMENT FUNDS SCHEDULE D, PART V THE PERMANENTLY RESTRICTED ENDOWMENT BALANCE INCLUDES $21,855,739 OF EGLESTON'S BENEFICIAL INTEREST IN TRUSTS AND $91,426,928 OF SCOTTISH RITE'S BENEFICIAL IN TRUSTS. CHILDREN'S IS THE PRIMARY BENEFICIARY OF THE PROPORTIONAL INCOME FROM CERTAIN PERPETUAL THIRD-PARTY TRUSTS. CHILDREN'S HAS NO ACCESS TO THE CORPUS OF THESE TRUSTS AND HAS LIMITED INPUT, AND ONLY IN SOME CASES, INTO THE INVESTMENT MIX OF THE UNDERLYING FUNDS HELD BY THE TRUSTS. THE ESTIMATED PRESENT VALUE OF FUTURE DISTRIBUTIONS TO BE RECEIVED FROM THESE TRUSTS IS USED FOR VALUATION PURPOSES. ALL ENDOWMENT FUNDS ARE COMPRISED ON PUBLICLY TRADED AND MARKETABLE SECURITIES, WITH THE EXCEPTION OF THE SCOTTISH RITE BENEFICIAL INTEREST IN TRUSTS, WHICH ARE CLASSIFIED AS OTHER SECURITIES. ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS ARE UTILIZED TO PROVIDE FINANCIAL SUPPORT FOR CLINICAL, RESEARCH, TEACHING, AND WELLNESS INITIATIVE AND PROGRAMS, INCLUDING A DESIGNATED PORTION FOR CHARITY CARE SERVICES. OTHER LIABILITIES SCHEDULE D, PART X THE INTERCOMPANY PAYABLE BALANCE INCLUDES THE FILING ORGANIZATION'S ALLOCABLE SHARE OF THE TAX-EXEMPT BOND LIABILITIES AS PART OF THE HEALTH SYSTEM'S OBLIGATED GROUP. DETAILED INFORMATION ABOUT THE OBLIGATED GROUP'S TAX EXEMPT BONDS IS REPORTED ON THE FORM 990 OF THE GROUP'S PARENT, CHILDREN'S HEALTHCARE OF ATLANTA, INC., EIN 58-2367819. FIN 48 (ASC 740) FOOTNOTE FORM 990, SCHEDULE D, PART X, LINE 2 CHILDREN'S HEALTHCARE OF ATLANTA FOLLOWS THE PROVISIONS OF ASC 740 (FIN 48), WHICH ADDRESSED LIABILITY FOR UNCERTAIN TAX POSITIONS. NO RELATED DISCLOSURES HAVE BEEN NECESSARY IN CHOA'S AUDITED FINANCIAL STATEMENTS FOR FISCAL YEARS 2012 OR 2011. Gala 806173 666850 139323 28775 162169 15000 12850 19102 Big Splash 531880 450450 81430 30658 1010 10503 21928 75 4840492 1202775 3637717 6506 41926 311663 51608 97598 674007 6178545 2320075 3858470 6506 70701 504490 67618 120951 715037 1485303 2373167 true true X true X 235. true X 340. true true false true true 20856096 708113 20147983 0.02110 442000764 417072099 24928665 0.02610 0 0 0 0.00000 462856860 417780212 45076648 0.04720 19477342 1670510 17806832 0.01870 16664249 5856193 10808056 0.01130 31487147 13661587 17825560 0.01870 28201320 350160 27851160 0.02920 18284123 0 18284123 0.01920 114114181 21538450 92575731 0.09710 576971041 439318662 137652379 0.14430 248710 248710 0.00030 248710 248710 0.00030 true 15959159 0 4935000 4587463 347537 X true true SEE PART VI OUTPATIENT SURGERY CENTER 0.51000 0.00000 0.49000 2 1 EGLESTON CHILDREN'S HOSP EMORY UNIV

1405 CLIFTON ROAD NE ATLANTA GA 30322

CHOA.ORG X X X X X A 2 SCOTTISH RITE CHILDREN'S MEDICAL CTR

1001 JOHNSON FERRY ROAD NE ATLANTA GA 30342

CHOA.ORG X X X X X A GROUP A true true 235. true 340. true X X X true true X X X X true false X true X X false false 27 Marcus Autism Center

1920 Briarcliff Road Atlanta GA 30289

Outpatient Services CHILDREN'S OUTPTIENT SURG CTR SAT BLVD

2620 Satellite Boulevard DULUTH GA 30096

OUTPATIENT SERVICES Children's Medical Office Building

5455 Meridian Mark Road ATLANTA GA 30342

Outpatient Services Children's Specialty Services

2015 Uppergate Drive ATLANTA GA 30322

Outpatient SERVICES Children's at Meridian Mark LLC

5445 Meridian Mark Road Atlanta GA 30342

Outpatient Services Children's at North Druid Hills

1605 Chantilly Drive Suite 200 Atlanta GA 30324

Outpatient services Children's at Forsyth

410 Peachtree Parkway Cumming GA 30041

Outpatient Services Children's at Satellite Boulevard

2660 Satellite Boulevard Duluth GA 30316

Outpatient Services Children's at Town Center

625 Big Shanty Road NW Kennesaw GA 30144

Outpatient Services Children's at Webb Bridge

3155 North Point Parkway Bldg A Alpharetta GA 30005

Outpatient services Children's at Sandy Plains

3618 Sandy Plains Road Marietta GA 30066

Outpatient services Children's at Fayette

1265 Highway 54 West FAYETTEVILLE GA 30214

OUTPATIENT SERVICES Children's at Mount Zion

2201 Mount Zion Parkway MORROW GA 30260

OUTPATIENT SERVICES Children's at Alpharetta Highway

11835 Alpharetta Highway ROSWELL GA 30076

OUTPATIENT SERVICES Children's at Cobb

1371 Church Street Extension Atlanta GA 30060

OUTPATIENT SERVICES Children's at Hudson Bridge

1510 Hudson Bridge Road STOCKBRIDGE GA 30281

OUTPATIENT SERVICES Children's at North Point

3795 Mansell Road ALPHARETTA GA 30202

OUTPATIENT SERVICES Primary Care Center of Chamblee

4166 Buford Highway ATLANTA GA 30345

OUTPATIENT SERVICES Children's at Meridian Mark

5445 Meridian Mark Road ATLANTA GA 30342

OUTPATIENT SERVICES Day Rehabilitation Center

993-F Johnson Ferry Road ATLANTA GA 30342

OUTPATIENT SERVICES Children's at Hamilton Mill

2108 Teron Trace DACULA GA 30019

OUTPATIENT SERVICES Children's at Duluth

2270 Duluth Highway Suite 200 DULUTH GA 30097

OUTPATIENT SERVICES Children's at Snellville

2220 Wisteria Drive Snellville GA 30078

OUTPATIENT SERVICES Children's at Executive Park

6 Executive Park Drive Suite 50 ATLANTA GA 30329

OUTPATIENT SERVICES Chldrn Orthotics & Prosthetics Marietta

175 White Street Suite 350 MARIETTA GA 30060

OUTPATIENT SERVICES CHLDRN ORTHO & PROSTH AT OLD MILTON PWY

3300 Old Milton Parkway Suite 370 Alpharetta GA 30005

OUTPATIENT SERVICES Children's at Suwanee

3640 Burnette Road SUWANNEE GA 30024

OUTPATIENT SERVICES COMMUNITY BENEFIT REPORTING PART I, LINE 6A Children's Healthcare of Atlanta, inc., a related organization, prepares and makes available to the public an annual community benefit report that includes Egleston and Scottish Rite's community benefits. Costing Methodology Part I, Line 7 The costing methodology utilized was derived per IRS Schedule H, Worksheet 2 which calculates ratio of patient care cost to charges. SUBSIDIZED HEALTH SERVICES PART I, LINE 7G The subsidized health services reported are for hospital based physician clinics, including dental, orthodontic, multi-specialty, etc. BAD DEBT EXPENSE PART I, LINE 7 COLUMN (F) Bad debt expense in the amount of $15,959,159 has been removed from total expense. Community Building Part II Community Building activities included a collaboration with the department of community health and HealthMPowers to promote healthy behaviors in students, increasing fitness knowledge and reducing childhood obesity. Bad Debt Expense Part III, Lines 2 and 3 The costing methodology used in determining amounts reported on Lines 2 and 3 was 100% of accounts written off to bad debt as reported on audited financial statements. Children's Charity recognition processes are believed to result in appropriate differentiation between charity and bad debt. As such, Children's reflects 0 (Zero) on Part III, Section A, Line 3. BAD DEBT EXPENSE PART III, LINE 4 The provision for bad debts relating to patient service revenue is based on an evaluation of potentially uncollectible portions of accounts receivable. The provision considered necessary for such debts is based on an analysis of current and past due accounts, collection experience in relation to amounts billed and other relevant information. EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT PART III, LINE 8 Medicare payment and Medicare charges are isolated based on payments posted/received in the calendar year. Cost is estimated using overall cost-to-charge ratio. PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS PART III, LINE 9B Initial screenings of all inpatient, emergency, and surgery encounters as well as most outpatient visits are conducted by financial counselors to identify potential insurance or other coverage for each patient. Counselors make contact with the families, either in person or letter, to assist the family in indentifying any programs for which the patient/service may qualify (including Medicaid, State Children's Health Insurance Program (SCHIP), insurance coverage, and charity assistance). If the family cannot be located or is uncooperative after a period of time, these accounts are transferred to an internal collection area for further attempts to obtain payment or, if the patient may qualify for assistance, to secure a financial assistance application. Management Companies and Joint Ventures Part IV, Line 1 Column A, Name of Entity: Children's Healthcare of Atlanta Surgery Center at Meridian Mark Plaza, LLC. Column B, Description of Primary Activity: Outpatient Surgery Center Column C, Organization's profit or ownership %: 51% Column D, Officers, Directors, Trustees or Key Employees %: 0% Column E, Physicians Profit or Ownership %: 49% Billing and Collections Part V, Section B, Line 18e The hospital facility did not engage in any of the efforts listed in Line 17 a through e. OTHER- PROVIDED FREE CARE PART V, SECTION B, LINE 20D Based on income as attested to by family, provided free care up to 235% of federal poverty guideline, "sliding scale" care up to 340% of federal poverty guideline with minimum write off equivalent to the average of the three lowest negotiated commercial insurance payment rates. Non-Hospital Heath Care Facilities Part V, Section C The non-hospital health care facilities listed provide services to patients on an outpatient basis. These services vary by location and facility and may include but are not limited to the following: urgent care services, rehabilitation, diagnostic and treatment services, surgical services, sports medicine and orthotics and prosthetics services. NEEDS ASSESSMENT PART VI, LINE 2 The Mission of Children's Healthcare of Atlanta (Egleston Children's Hospital at Emory University, Inc. (Egleston) and Scottish Rite Children's Medical Center (Scottish Rite)) is "To make children better today and healthier tomorrow". We achieve this mission through our Best Care ... Healthier Kids strategy that focuses on Delivering the Best Care, Inspiring the Best in People, Transforming Pediatrics and Engaging and Serving Our Communities. As we worked with our board, physicians and leadership to develop this strategy, we asked both how we will meet the needs of Georgia's kids and how we will prepare for delivery system and payment reform. To meet the needs of Georgia's kids we prioritized strategies that include continuing to improve our quality of care, patient satisfaction, access, care integration and a focused effort to reduce obesity. To prepare for delivery system reform we prioritized demonstrating and improving our value, focusing our research and teaching missions and aligning with our medical staff. Deliver the Best Care Children's is the largest pediatric provider in Georgia serving 9:10 Pediatric inpatient cases in the Atlanta MSA and 5:10 statewide. In 2012, Children's saw over 346,000 unique patients originating from all 159 Georgia counties. Children's has consistently higher volumes than the other top pediatric hospitals. Inspire the Best in People Inspiring the best in people requires us to recruit, retain and develop exceptional talent, create an environment that attracts the best physicians, and to support the training of Georgia's pediatric physician workforce. In 2012, 76 percent of our pediatric residents stayed in Georgia. Of the 26 fellows who graduated from Children's, 38 percent stayed in Georgia. Children's is the pediatric physician training site for the Emory University School of Medicine, Morehouse School of Medicine, Medical College of Georgia, Duke University Medical Center, and Atlanta Medical Center. Children's has developed a teaching plan that will focus our training efforts in order to meet Georgia's projected physician manpower needs identified in key pediatric subspecialties. Transform Pediatrics Transforming pediatrics requires Children's to demonstrate the pediatric differential and the distinctive value of our care, align payment with care delivery and improvement efforts and to conduct research in targeted areas to transform pediatric care. Children's research efforts are led by Paul Spearman, M.D., Chief Research Officer at Children's and Vice Chair for research in the Emory Department of Pediatrics. The Emory-Children's Pediatric Research Center is a partnership between Emory and Children's Healthcare of Atlanta. The center creates new opportunities for clinical research at Children's and is available as a resource for physicians from throughout Children's and Emory. The center is a new clinical interaction research site of the Atlanta Clinical and Translational Science Institute, a multi-institutional partnership supported by The National Institutes of Health and led by Emory University, along with Morehouse School of Medicine and Georgia Tech. In 2012, our researchers involved more than 3,200 patients in clinical trials. Children's, Emory and Georgia Tech are investing in pediatric research together. Our research centers are: Aflac Cancer Center and Blood Disorders Center, Cardiovascular biology, Clinical and translational research, Clinical outcomes and public health, Cystic fibrosis, Developmental lung biology, Drug discovery, Immunology and vaccines, Marcus Autism Center, Nanotechnology and nanomedicine, New technologies, devices and therapeutics, Neurosciences, Quick wins, Personalized healthcare devlivery, Transformation of healthcare system, Transplantation and immune-mediated disorders. The strategic vision behind research is important to the community because, in order to be a world-class pediatric institution and improve the health status of children, Children's determined they must develop a robust research program focused on acquiring new knowledge and expertise. Strides in research can have far-reaching implications for patients at Children's and beyond by helping in the development of standards. Engage and Serve Our Communities Engaging and servicing our communities means that Children's will advocate for children's health and be the trusted source of pediatric healthcare information, lead efforts to reduce Georgia's childhood obesity epidemic and increase community awareness, engagement and support of Children's. In 2012, Georgia had the 2nd highest childhood obesity rate in the country. Nearly 40% of Georgia's children are overweight or obese. Children's recognizes a significant opportunity for the organization to partner with the state and other agencies to improve the health of children in Georgia. In 2012, Children's continued making strides with Strong4Life, a program to lead the fight against childhood obesity in Georgia. In 2012, Strong4Life reached and served more than 300,000 Georgia children through physician, camp, school and day care programs. In addition, Children's trained more than 1,500 healthcare providers. The Health4Life Clinic saw nearly 1,500 patient visits, and Camp Strong4Life hosted more than 260 campers and family members and helped 80 percent of campers decrease body fat and reduce or maintain their body mass index. Children's has a strategic wellness goal to improve the well-being of children in Georgia by focusing on high impact wellness initiatives. The organization is working to make a difference by enlisting help from the government, business leaders, school systems and other non-profits. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI, LINE 3 Annually, a newspaper notice advises the community that the organization's hospitals are Medicaid providers participating in the state's indigent care trust fund and that financial assistance for medically necessary hospital services may be available. Similarly, signs at all hospital registration sites provide patients and families with similar notice. In addition, hospital financial counselors actively engage families to assist them in securing financial assistance and written notices advise families to contact customer service with any issues concerning their bills and potential assistance. COMMUNITY INFORMATION PART VI, LINE 4 Geographic Children's is the largest pediatric provider in the state, caring for children from all 159 Georgia counties in 2012. Demographics Of the 9.9 million people who live in Georgia, 2.6 million (26 percent) of those are children, defined as those less than 18 years of age. Approximately 1.5 million children live in the Atlanta MSA, making it the sixth largest pediatric population among the top 10 largest metro areas. The largest population of children in the Atlanta MSA was children ages five to nine years old (422,983.) The population of the Atlanta MSA is predominantly white at 48.9 percent; 32.7 percent are black or African American; 11.1 percent are Hispanic or Latino; and 5.1 percent are Asian/Pacific Islander. The estimated average household income for Georgia residents was $64,728 as compared to $75,013 for residents in the Atlanta MSA. In 2012, approximately 60.13 percent (Egleston) and 51.32 percent (Scottish Rite) of patients were uninsured or Medicaid recipients. PROMOTION OF COMMUNITY HEALTH PART VI, LINE 5 The Children's Healthcare of Atlanta Board of Trustees is the governing body of Children's. It is comprised of voluntary community leaders who share a commitment to serving the community by enhancing the lives of children. A majority of this governing body is comprised of board members who reside in the organization's primary service area. They are not employees or contractors of the organization, nor family members thereof. Children's Healthcare of Atlanta extends medical staff privileges to all qualified physicians in the community for some or all of our departments. Children's provides access to more than 1,700 pediatric physicians. Children's is also the pediatric physician teaching site for Emory University School of Medicine and Morehouse School of Medicine. New physicians are encouraged to participate in fellowship programs, which are available in a variety of specialties. Children's Healthcare of Atlanta applies surplus funds to improvements in patient care, medical education and research. AFFILIATED HEALTH CARE SYSTEM PART VI, LINE 6 Egleston Children's Hospital at Emory University, Inc. (Egleston) and Scottish Rite Children's Medical Center, Inc. (Scottish Rite) are part of an affiliated health care system. Egleston and Scottish Rite are wholly-owned by Children's Healthcare of Atlanta, Inc. (Children's). Children's controls, either directly or indirectly, several other entities which, together, make up the system. Egleston and Scottish Rite play a major role in promoting the health of the community through the specialty pediatric services offered, including: Orthopaedic, Neurosciences, and Craniofacial to name a few. Approximately 3,230 and 2,884 of Children's Healthcare of Atlanta's more than 8,400 total employees work at Scottish Rite and Egleston providing care for the 346,356 patient visits they managed in 2012. In 2012, Children's Healthcare of Atlanta, Inc. promoted the health of the overall community and provided 529 licensed beds and managed 847,998 patient visits, 346,356 unique patients (from all 159 counties in Georgia), 25,868 hospital admissions, 147,830 inpatient days, 816,227 outpatient visits, 38,663 surgical procedures, 213,579 Emergency Department visits, 121,008 Immediate Care Center visits, and 45,887 Primary Care visits. In addition, Children's managed 135,000 calls from parents across Georgia to the Children's nurse advice line. Examples of specific programs offered at Children's to promote the health of the communities served by the system include: - A concussion program that provides treatment for and education about concussions to children, parents, coaches and healthcare professionals. A dedicated concussion nurse helps coordinate each child's care. The program also provides return-to-play guidelines and a Concussion Toolkit to help increase awareness and understanding of concussions. - A school program where Children's employs teachers so that patients can receive instruction during hospitalizations and long clinic visits. - A special needs car seat program that is hospital based and designed to educate and assist parents and families with children who have special transportation needs. - The Health Law Partnership (HELP), which is an interdisciplinary community collaboration among Georgia State University's College of Law, The Atlanta Legal Aid Society, and Children's Healthcare of Atlanta to improve the health and well-being of low-income children and their families. HELP has a law office on the Scottish Rite campus. - A Level I trauma program at Egleston and a Level II trauma program at Scottish Rite that provides high quality trauma care to pediatric patients. There are six designated trauma centers in metro Atlanta. Of those, Children's is one of only two that have the resources needed for injured children. Trauma is the number 1 cause of death in children from one to 21 years of age. STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, LINE 7 Children's Healthcare of Atlanta is not required to file a Community Benefit Report under Georgia law. However, we produce an annual report illustrating our benefit to the community and make that public on our website www.choa.org. This report is posted in the "Children's In Your Community" section. There is also a section titled "Our Impact on Georgia" to show our broader impact on the state. FACILITY REPORTING GROUP(S) PART VI, LINE 8 THE DESCRIPTIONS REQUIRED FOR PART V SECTION B AND THE SAME FOR EACH HOSPITAL FACILITY LISTED IN PART V, SECTION B, RESPECTIVELY. true Emory University 1440 Clifton Road Atlanta GA 30322 580566256 501(c)(3) 11219535 CHILDREN'S HC OF ATLANTA AT HUGHES SPALDING 35 Jesse Hill Jr Drive Atlanta GA 30303 262037695 501(c)(3) 1960809 support for capital & op's expenditures CHILDREN'S HC OF ATLANTA AT HUGHES SPALDING 35 Jesse Hill Jr Drive Atlanta GA 30303 262037695 501(c)(3) 2337054 fund working capital deficit, per mgt agmt Emory-Children's Center Inc 2015 Uppergate Drive NE Atlanta GA 30322 582298500 501(c)(3) 4727533 support exempt org purpose Gift of Life International PO Box 92 Rhinebeck NY 12572 562322626 501(c)(3) 38000 APPRAISAL MEDICAL EQUIPMENT FUND PEDIATRIC RESEARCH BUILDING 4 NURSING SCHOLARSHIPS 11 70147 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants CHANCES GRANTS PROVIDE TUITION EQUIVALENT ASSISTANCE FOR UP TO TWO YEARS. APPLICANTS MUST BE ACCEPTED INTO A BSN PROGRAM AND BE BILINGUAL IN ENGLISH AND SPANISH. CHANCES SCHOLARSHIP RECIPIENTS AGREE TO WORK FOR CHILDREN'S HEALTHCARE OF ATLANTA FOR A PERIOD OF 18 MONTHS FOR EACH ACADEMIC YEAR THEY HAVE RECEIVED SUPPORT. IN ADDITION, CURRENT CHILDREN'S HEALTHCARE OF ATLANTA EMPLOYEES THAT ARE ENROLLED IN AN ACCREDITED NURSING PROGRAM ARE ELIGIBLE FOR THE CANDLISH NURSING SCHOLARSHIP. PER MANAGEMENT AGREEMENT, HSOC INC. HAS OVERSIGHT OF ALL HUGHES SPALDING OPERATIONS, INCLUDING THE USE OF GRANT FUNDS. THE AMOUNT OF FUNDS PROVIDED ANNUALLY TO HUGHES SPALDING FROM HSOC, INC. IS GOVERNED BY AGREED UPON TERMS OF THE MANAGEMENT CONTRACT. PER MANAGEMENT AGREEMENT, FUNDS PROVIDED TO EMORY UNIVERSITY IS GOVERNED BY AGREED UPON TERMS OF THE MANAGEMENT CONTRACT. X true true X X X X X X false false false false false false false false false Donna Hyland 0 894603 0 547278 0 42938 0 10000 0 4745 0 1499564 0 Ruth Fowler 0 417489 0 262876 0 39643 0 10000 0 2981 0 732989 0 0 Leslie Jones 0 303090 0 88883 0 14936 0 10000 0 13579 0 430489 Eugene Hayes 0 273350 0 165397 0 24830 0 10000 0 7521 0 481098 0 0 Carolyn Kenny 0 450121 0 346316 0 22691 0 10000 0 3313 0 832441 0 0 Beth Boatwright 147984 0 29828 0 10792 0 6592 0 7733 0 202929 0 0 0 Patrick Wagner 132183 0 19520 0 11775 0 8569 0 5928 0 177975 0 0 0 Mary Beth Bova 206026 0 52845 0 28445 0 9303 0 6729 0 303349 0 0 0 Linda Cole 192191 0 52177 0 12042 0 13576 0 9109 0 279094 0 0 0 Denise Swords 235075 0 51846 0 4762 0 0 0 2593 0 294276 0 0 0 Scott Hodoval 163063 0 40662 0 18088 0 7205 0 7924 0 236942 0 Robert Bentley 148357 0 41167 0 28336 0 7179 0 5447 0 230486 0 0 0 Donald Mueller 182712 0 48303 0 11145 0 8314 0 14403 0 264877 0 0 0 Roy Sanders 181346 0 1500 0 11776 0 7670 0 6864 0 209156 0 0 0 Julia Jones 165448 0 40972 0 11833 0 14426 0 7623 0 240301 0 0 0 Andrew Reisner 814069 0 0 0 31455 0 10000 0 11387 0 866911 0 0 0 William Boydston 724481 0 88690 0 29955 0 10000 0 6018 0 859145 0 0 0 David Wrubel 608197 0 73033 0 25605 0 18400 0 6822 0 732057 0 0 0 Barunashish Brahma 587288 0 71129 0 11189 0 13067 0 7555 0 690227 0 0 0 Paul Parker 487922 0 79578 0 31379 0 21875 0 7228 0 627981 0 0 0 SUPPLEMENTAL COMPENSATION INFORMATION 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 12/31/12. 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" EIN 5857) ACTING AS THE COMMON PAYROLL AGENT FOR THE PARENT AND ALL ENTITIES WITHIN THE GROUP. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, LINE 1A PURSUANT TO THE ORGANIZATION'S TRAVEL AND REIMBURSEMENT POLICY, THE CEO IS ENTITLED TO TRAVEL FIRST OR BUSINESS CLASS ON FLIGHTS LONGER THAN TWO HOURS TO ENABLE THE CEO TO GET WORK DONE MORE EFFICIENTLY AND EFFECTIVELY ON LONGER FLIGHTS. 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 PURPOSES ASSOCIATED WITH SUCH FLIGHTS. Supplemental Compensation Information SCHEDULE J, PART I, LINES 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 EXECUTIVE'S BASE COMPENSATION APPROVED BY THE COMPENSATION AND BENEFITS COMMITTEE. 0 PEDIATRIC EMERGENCY MEDICINE ASSOC SEE SCHEDULE L, PART V 13580757 SEE SCHEDULE L, PART V false SUNTRUST BANKS INC SEE SCHEDULE L, PART V 1364094 SEE SCHEDULE L, PART V false MCKENNA LONG ALDRIDGE SEE SCHEDULE L, PART V 230098 SEE SCHEDULE L, PART V false KAUFFMAN TIRE INC SEE SCHEDULE L, PART V 50000 SEE SCHEDULE L, PART V false COMPASS GROUP SEE SCHEDULE L, PART V 5769914 SEE SCHEDULE L, PART V false JESSICA JONES SEE SCHEDULE L, PART V 21245 SEE SCHEDULE L, PART V false STAR MILLER SEE SCHEDULE L, PART V 60000 SEE SCHEDULE L, PART V false Business Transactions Involving Interested Persons Schedule L, Part IV (A) PEDIATRIC EMERGENCY MEDICINE ASSOCIATES, LLC (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION - CEDRIC MILLER, AN OFFICER OF PEDIATRIC EMERGENCY MEDICINE ASSOCIATES, LLC, ALSO SERVES AS CURRENT TRUSTEE FOR CHOA, ECH, SRH, EAS AND EPG. (C) $13,580,757 (D) DESCRIPTION OF TRANSACTION - PEDIATRIC EMERGENCY MEDICINE ASSOCIATES, LLC PROVIDES EMERGENCY DEPARTMENT PHYSICIAN AND MIDLEVEL STAFF TO CHOA ON A CONTRACTUAL BASIS. (A) SUNTRUST BANKS, INC. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION- MARK CHANCY, AN OFFICER OF SUNTRUST BANKS, INC., AND DAVID RATCLIFFE, A DIRECTOR OF SUNTRUST BANKS, INC., ALSO SERVE AS CURRENT TRUSTEES FOR CHOA, ECH, SRH, EAS AND EPG. (C) $1,364,094 (D) DESCRIPTION OF TRANSACTION - SUNTRUST BANKS, INC. PROVIDES GENERAL BANKING SERVICES TO CHILDREN'S. (A) MCKENNA, LONG & ALDRIDGE (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION - JESSE SPIKES, AN EMPLOYEE OF MCKENNA, LONG & ALDRIDGE, SERVES AS A CURRENT TRUSTEE FOR CHOA, ECH, SRH, EAS AND EPG. (C) $230,098 (D) DESCRIPTION OF TRANSACTION - MCKENNA, LONG, AND ALDRIDGE PROVIDE PROFESSIONAL LAW SERVICES TO CHILDREN'S. (A) KAUFFMAN TIRE, INC. (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION - MARK KAUFFMAN, AN OFFICER OF KAUFFMAN TIRES, INC., ALSO SERVCES AS CURRENT TRUSTEE FOR FOUNDATION. (C) $50,000 (D) DESCRIPTION OF TRANSACTION - KAUFMANN TIRE, INC. SPONSORED THE KAUFMANN TIRE CLASSIC, A SPRING BASEBALL CLASSIC BENEFITING CHILDREN'S. (A) COMPASS GROUP (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION- SCOTT MACLELLAN, AN OFFICER OF COMPASS GROUP, ALSO SERVCES AS CURRENT TRUSTEE FOR FOUNDATION. (C) $5,769,914 (D) DESCRIPTION OF TRANSACTION - MORRISON, WHICH WAS ACQUIRED BY COMPASS GROUP, PROVIDES FOOD MANAGEMENT SERVICES TO CHILDREN'S. (A) JESSICA JONES (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION - JESSICA JONES, AN EMPLOYEE OF MAC, IS THE DAUGHTER OF LESLIE JONES, WHO IS A CURRENT OFFICER FOR CHOA, ECH, SR, EAS, EPG, AND MAC. (C) $21,245 (D) DESCRIPTION OF TRANSACTION - JESSICA JONES RECEIVED COMPENSATION AS A MAC EMPLOYEE. (A) STAR MILLER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION - STAR MILLER, AN EMPLOYEE OF CHOA, IS THE SPOUSE OF CEDRIC MILLER, WHO IS A TRUSTEE FOR CHOA, ECH, SRH, EAS AND EPG (C) $60,000 (D) DESCRIPTION OF TRANSACTION - STAR MILLER RECEIVED COMPENSATION AS AN EMPLOYEE OF CHOA. X 51 761580 COST/SELLING PRICE X COMPUTER EQUIPMENT 2 331818 FMV 1 false true false METHOD OF DETERMINING NONCASH CONTRIBUTION AMOUNTS SCHEDULE M, PART I, COLUMN D, LINE 26 Children's Healthcare of Atlanta, Inc. valued the computer equipment based on information gathered from the donors. Volunteers Form 990, Part I, Line 6 CHILDREN'S RELIES ON VOLUNTEER SUPPORT TO RAISE FUNDS IN OUR COMMUNITY THROUGH ORGANIZING OR VOLUNTEERING AT EVENTS. INDIVIDUALS AND CORPORATIONS WORK WITH CHILDREN'S TO HOST AND SUPPORT NUMEROUS COMMUNITY, SPORTS AND HOLIDAY EVENTS, ALL TO BENEFIT OUR NOT-FOR-PROFIT ORGANIZATION. IN 2012, MORE THAN 6,000 VOLUNTEERS SUPPORTED CHILDREN'S IN THIS CAPACITY. VOLUNTEERS ALSO PLAY SUCH AN IMPORTANT ROLE IN CLINICAL SETTINGS WITHIN OUR NOT-FOR-PROFIT HEALTHCARE SYSTEM THAT WE CALL THEM FRIENDS. THEY HELP BY BRINGING A SENSE OF ENTHUSIASM AND WARMTH THAT IS IMPORTANT TO OUR PATIENTS, THEIR FAMILIES AND OUR STAFF. WITH THE GUIDANCE OF THE CHILDREN'S STAFF, CHILDREN'S VOLUNTEERS WORK A SET WEEKLY SCHEDULE WITHIN ONE OF THE FOLLOWING HOSPITAL AREAS: DIRECT PATIENT CARE, CUSTOMER SERVICE AND ADMINISTRATIVE SUPPORT. HOSPITAL VOLUNTEERS CAN BE FOUND WORKING ON ALL OF OUR HOSPITAL CAMPUSES AS WELL AS SEVERAL OF OUR NEIGHBORHOOD LOCATIONS. APPROXIMATELY 1,400 ACTIVE VOLUNTEERS ASSIST AT OUR MEDICAL FACILITIES. FOR MORE INFORMATION ON VOLUNTEER OPPORTUNITIES IN FUNDRAISING AND OTHER SUPPORT TO OUR PATIENTS AND FAMILIES, PLEASE VISIT WWW.CHOA.ORG/VOLUNTEER. DESCRIPTION OF SIGNIFICANT CHANGES TO ORGANIZING OR ENABLING DOCUMENT Form 990, Part VI, Question 4 DURING THE CURRENT FISCAL YEAR, THE CHILDREN'S HEALTHCARE OF ATLANTA, INC. BOARD AMENDED ITS BYLAWS TO CAUSE THE BOARD OF TRUSTEES TO BE COMPRISED OF CEO, CFO, AND GENERAL COUNSEL AS EX-OFFICIO, VOTING MEMBERS. THE MARCUS AUTISM CENTER AMENDED ITS BYLAWS TO ADD EX-OFFICIO TRUSTEES AND CREATE A SEPARATE CHAIR EMERITUS CATEGORY. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS Form 990, Part VI, Question 6 CHILDREN'S HEALTHCARE OF ATLANTA, INC. IS THE SOLE MEMBER OF ALL SUBORDINATES EXCEPT HSOC: EGLESTON CHILDREN'S HOSPITAL IS THE SOLE CORPORATE MEMBER OF HSOC. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS Form 990, Part VI, Question 7A THE BYLAWS OF EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERISTY, INC., SCOTTISH RITE CHILDREN'S MEDICAL CENTER, INC., EGLESTON AFFILIATED SERVICES, INC. AND EGLESTON PEDIATRIC GROUP, INC., PROVIDE THAT ITS TRUSTEES SHALL BE THE PERSONS THEN SERVING AS THE TRUSTEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. THE BYLAWS OF MARCUS AUTISM CENTER AND CHILDREN'S HEALTHCARE OF ATLANTA FOUNDATION, INC. PROVIDE THAT THE TRUSTEES OF THESE ORGANIZATIONS ARE SUBJECT TO THE APPROVAL AND REMOVAL BY CHILDREN'S HEALTHCARE OF ATLANTA. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS Form 990, Part VI, Question 7B CHILDREN'S HEALTHCARE OF ATLANTA, INC. (CHOA), A SECTION 501(C)(3) PUBLIC CHARITY, IS THE CORPORATE PARENT OF THE SUBORDINATES INCLUDED IN THIS GROUP RETURN. UNDER THE SUBORDINATES' BYLAWS, CERTAIN CORPORATE ACTIONS ARE SUBJECT TO THE DIRECT OR INDIRECT APPROVAL OF CHOA. THESE ACTIONS INCLUDE: APPOINTMENT OR REMOVAL OF DIRECTORS; ADOPTION OR AMENDMENT OF A STRATEGIC PLAN, ADOPTION AND/OR AMENDMENT OF THE ANNUAL BUDGET; APPROVAL OF MAJOR CAPITAL EXPENDITURES; APPROVAL OR AMENDMENT OF MAJOR CONTRACTS; THE ADDITION OR DISCONTINUATION OF SIGNIFICANT HEALTHCARE SERVICES; INCURRENCE OF DEBT IN EXCESS OF $1 MILLION; APPROVAL OF PURCHASES, LEASES OR DISPOSALS OF ASSETS IN EXCESS OF $250,000; PARTICIPATION IN JOINT VENTURES OR OTHER STRATEGIC RELATIONSHIPS; CREATION OF NEW AFFILIATES; MERGER, CONSOLIDATION, LIQUIDATION, OR DISSOLUTION OF THE ORGANIZATION; SIGNIFICANT DISPOSITIONS OF THE ORGANIZATION'S ASSETS; AND AMENDMENT OR RESTATEMENT OF THE ORGANIZATION'S GOVERNING DOCUMENTS. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 Form 990, Part VI, Question 11B THE ORGANIZATION'S DRAFT 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 FINAL APPROVAL AND FILING. DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST Form 990, Part VI, Question 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 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, QUESTIONS 15A AND 15B CHILDREN'S BOARD OF TRUSTEES (BOARD) 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 COMMITTEE IS COMPRISED OF INDEPENDENT BOARD MEMBERS AND CHARGED WITH EVALUATING THE TOTAL COMPENSATION PACKAGE OF SELECTED EMPLOYEES (CALLED "DISQUALIFIED PERSONS"), AND OTHER EXECUTIVES AND LEADERS. TO CARRY OUT THIS CHARGE, THE COMMITTEE ENGAGES AN INDEPENDENT THIRD PARTY EXECUTIVE COMPENSATION CONSULTING FIRM TO COMPLETE AN ANNUAL ASSESSMENT OF THE COMPETIVENESS AND REASONABLENESS OF THE TOTAL COMPENSATION PACKAGE FOR "DISQUALIFIED PERSONS" AND OTHER EXECUTIVES AND LEADERS TO THE BOARD. USING MARKET DATA PROVIDED BY THE THIRD PARTY RELATING TO THE 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 FOR "DISQUALIFIED PERSONS", AND OTHER EXECUTIVES AND LEADERS ARE MADE IN DECEMBER AND BOARD APPROVED CHANGES, IF ANY, ARE EFFECTIVE IN THE FIRST PAY PERIOD 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. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE, CONSISTENT WITH IRS REQUIREMENTS. DESCRIPTION OF PERSONS TITLES FORM 990, PART VII, SECTION A ABBREVIATION DEFINITIONS: CHOA - CHILDREN'S HEALTHCARE OF ATLANTA, INC. FDN - CHILDREN'S HEALTHCARE OF ATLANTA FOUNDATION, INC. MAC- MARCUS AUTISM CENTER, INC. ECH- EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, INC. SRCH- SCOTTISH RITE CHILDREN'S MEDICAL CENTER, INC. HSOC- HSOC, INC. EAS- EGLESTON AFFILIATED SERVICES, INC. EPG- EGLESTON PEDIATRIC GROUP, INC. NAME AND TITLES: RUTH FOWLER - SVP FINANCE & CFO AT CHOA, TREASURER FND/MAC/ECH/SRCH/HSOC/EAS/EPG DONNA HYLAND - PRESIDENT AND CEO AT MAC/ECH/SRCH/EAS/EPG/HSOC-CHAIRMAN DON CHAPMAN - INDIVIDUAL TRUSTEE ECH/SR/EAS/EPG/MAC DOUG GARGES - INDIVIDUAL TRUSTEE ECH/SR/EAS/EPG/FDN RICHARD ANDERSON - INDIVIDUAL TRUSTEE ECH/SR/EAS/EPG/CHAIRMAN HSOC JONATHAN GOLDMAN - INDIVIDUAL TRUSTEE ECH/SR/EAS/EPG/FDN 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. ROLES FOR OTHER ORGANIZATIONS FORM 990, PART VII RUTH FOWLER - SVP FINANCE & CFO AT CHOA, TREASURER FND/MAC/ECH/SRCH/HSOC/EAS/EPG DONNA HYLAND - PRESIDENT AND CEO AT MAC/ECH/SRCH/EAS/EPG/HSOC-CHAIRMAN DON CHAPMAN - INDIVIDUAL TRUSTEE ECH/SR/EAS/EPG/MAC DOUG GARGES - INDIVIDUAL TRUSTEE ECH/SR/EAS/EPG/FDN RICHARD ANDERSON - INDIVIDUAL TRUSTEE ECH/SR/EAS/EPG/CHAIRMAN HSOC JONATHAN GOLDMAN - INDIVIDUAL TRUSTEE ECH/SR/EAS/EPG/FDN RECONCILIATION OF NET ASSETS FORM 990, PART XI OTHER CHANGES IN NET ASSETS OF FUND BALANCE: TRANSFERS BETWEEN ENTITIES 29,235,618 OTHER RECONCILING ITEMS 3,660,758 ------------ TOTAL $32,896,376 CHILDREN'S SEDATION SERVICES LLC 1584 Tullie Circle Atlanta GA 30329 810582607 Phy Services GA 1463156 0 EGLESTON PED CHILDREN'S ANESTHESIA SERVICES LLC 1584 Tullie Circle Atlanta GA 30329 200044124 Phy Services GA 11624237 0 EGLESTON PED CHOA CENTER FOR PAIN RELIEF LLC 1584 Tullie Circle Atlanta GA 30329 320185406 Phy Services GA 462487 0 EGLESTON PED CHOA PEDIATRIC NEUROLOGY LLC 1584 Tullie Circle Atlanta GA 30329 371575334 Phy Services GA 635859 0 EGLESTON PED PEDIATRIC NEUROSURGERY ASSOCIATES 1584 Tullie Circle Atlanta GA 30329 260833842 Phy Services GA 4499941 0 EGLESTON PED Children's Healthcare of Atlanta Inc 1584 Tullie Circle Atlanta GA 30329 582367819 Hlthcre Mgmt GA 501(c)(3) 11 Type II na false MERIDIAN MARK LLC 1584 Tullie Circle ATLANTA GA 30329 010723254 SURGERY CENTER GA SCOTTISH RITE RELATED 6358004 9226602 false false 0.51000 EMORY-EGLESTON CHILDREN'S HEART CENTER 2835 BRANDYWINE ROAD SUITE 300 ATLANTA GA 30329 581871713 CARDIAC SERVICES GA CHOA C CORP 0 0 1.00000 true THE CHILDREN'S HEALTH NETWORK INC 1584 TULLIE CIRCLE ATLANTA GA 30329 582133795 HLTHCARE SERVICES GA CHOA C CORP 0 0 1.00000 true false true true false true false false false false false false true true false true true false true false