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        <Explanation>DURING THE YEAR, CHILDREN'S 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. Mailings to members, legislators or the public Children's mailed correspondence to members of the Georgia Congressional delegation during the year. Additionally, Children's distributed multiple correspondences to members of the Georgia General Assembly. 3. Direct contact with legislators, their staffs, government officials, or a legislative body During the year, members of Children's Government Affairs team made direct contact with legislators, their staffs and government officials. The vast majority of our contact was made to members of the Georgia General Assembly, with other contacts made to government officials and members of the Georgia Congressional delegation and their staffs. These mailings and other communications are related to legislative issues that impact the accomplishment of CHOA's exempt purposes, including funding for public health initiatives, State Medicaid funding and related legislation.</Explanation>
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        <Description>IC BOND REC FROM EGLESTON</Description>
        <BookValue>365457461</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>IC BOND REC FROM SCOTTISH RITE</Description>
        <BookValue>121125247</BookValue>
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      <TotalBookValueOtherAssets>497938447</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>INTERCOMPANY PAYABLES TO GROUP</Description>
        <Amount>1302522327</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>SWAP VALUATION LIABILITY</Description>
        <Amount>44647254</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>LOVELL REDDIN PENSION FUND</Description>
        <Amount>133200</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1347302781</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>EXPLANATION FOR RECLASSIFICATION OF PREVIOUS ENDOWMENT FUNDS BALANCES</Identifier>
        <ReturnReference>SCHEDULE D, PART V, LINE 1G, COLUMN (C)</ReturnReference>
        <Explanation>A PORTION OF THE 2008 END OF YEAR BALANCE ('TWO YEARS BACK') HAS BEEN reclassified to accurately reflect assets held, in accordance with reporting guidance for endowment disclosures.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF INTENDED USES Of THE ORGANIZATIONSS ENDOWMENT FUNDS</Identifier>
        <ReturnReference>SCHEDULE D, PART V, LINE 4</ReturnReference>
        <Explanation>INCOME FROM THE ENDOWMENT FUNDS LISTED IN PART V IS USED TO SUPPORT THE EXEMPT PURPOSES OF THE ORGANIZATIONS IN THE CHOA HEALTHCARE SYSTEM, INCLUDING THE PROVISION OF CHARITY CARE.</Explanation>
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        <Identifier>DESCRIPTION OF ALTERNATIVE INVESTMENTS</Identifier>
        <ReturnReference>PART VII, OTHER SECURITIES</ReturnReference>
        <Explanation>"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 AT COST WHERE CHILDREN'S OWNS LESS THAN 5% AND ARE ACCOUNTED FOR UNDER THE EQUITY METHOD WHEN CHILDREN'S OWNS BETWEEN 5% AND 50% OF THE OWNERSHIP INTEREST.</Explanation>
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        <Identifier>DESCRIPTION OF OTHER RECEIVABLES</Identifier>
        <ReturnReference>PART IX, OTHER RECEIVABLES</ReturnReference>
        <Explanation>THE INTERCOMPANY RECEIVABLE BALANCE INCLUDES THE FILING ORGANIZATIONS ALLOCATION OF 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.</Explanation>
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        <Identifier>DESCRIPTION OF OTHER LIABILITIES</Identifier>
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        <Explanation>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 ENTITIY 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 AFFILIATE'S FINANCIALS, SUCH THAT THESE BALANCES ARE PROPERLY ELIMINATED WHEN CHILDREN'S FINANCIALS ARE PRESENTED ON A CONSOLIDATED BASIS.</Explanation>
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        <Explanation>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 2010 or 2009.</Explanation>
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        <Identifier>SUPPLEMENTAL COMPENSATION INFORMATION</Identifier>
        <Explanation>Schedule J, Part I, Line 4a Connie Nestor terminated on 12/24/2010 and received a severance payment of $30,768 during the last pay period of the year. SCHEDULE J SUPPLEMENTAL INFORMATION Schedule J, Part I, Line 4b The following were participants in a 457(f) plan that was terminated 12/31/09. All listed participants received distributions related to the termination of this plan during 2010. Donna Hyland $269,554 Eugene Hayes $165,357 Linda Matzigkeit $154,155 Daniel Salinas, MD $38,178 Elizabeth Howell $18,607 Ruth Fowler $225,787 Donna Hyland and Jim Fortenberry were participants in a keysop plan. The plan was frozen on May 8, 2002 and no contributions were made after this date. On 2/15/10 Donna Hyland and Jim Fortenberry received a distribution from this plan of $140,994 and $2,151, respectively. 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 12/31/10. 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 ____TBD_____) acting as the common payroll agent for the parent and all entities within the group.</Explanation>
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          <BusinessNameLine1>DEKALB PRIVATE HOSP AUTH &amp; DEV AUTH OF FULTON CNTY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>581639487</IssuerEIN>
        <CUSIPNumber>241064DD3</CUSIPNumber>
        <DateIssued>2008-02-28</DateIssued>
        <IssuePrice>192965000</IssuePrice>
        <DescriptionOfPurpose>2008 Bond Refunding - See Sche</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>304400422</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>302395000</RefundingEscrow>
        <IssuanceCostsFromProceeds>5422</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2009</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>192965000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>72311963</RefundingEscrow>
        <IssuanceCostsFromProceeds>827037</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>0</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <Identifier>Tax Exempt Bonds</Identifier>
        <ReturnReference>Schedule K, Part I, Column (f)</ReturnReference>
        <Explanation>A - Purpose Series 2009 refunded the following : Series 1994A/B date of issuance 03/23/94; Series 1995A/B date of issuance 12/02/95; Series 1998A/B date of issuance 11/24/98; Series 2005A DeKalb, 2005B DeKalb, and 2005B Fulton date of issuance 02/09/05; Series 2008B DeKalb, 2008C DeKalb, 2008B Fulton date of issuance 04/15/08. B - Purpose Series 2008 refunded the following : Series 2005A Fulton and 2005C Fulton date of issuance 02/29/05. It also refunded the construction and equipping of hospital facilities.</Explanation>
      </Form990ScheduleKPartV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Cedric Miller</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE L, PART V</Relationship>
        <DescriptionOfTransaction>SEE SCHEDULE L, PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Elizabeth Howell</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE L, PART V</Relationship>
        <DescriptionOfTransaction>SEE SCHEDULE L, PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Mark Chancy</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE L, PART V</Relationship>
        <DescriptionOfTransaction>SEE SCHEDULE L, PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Michael E Walsh</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE L, PART V</Relationship>
        <DescriptionOfTransaction>SEE SCHEDULE L, PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Steve Cahillane</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE L, PART V</Relationship>
        <DescriptionOfTransaction>SEE SCHEDULE L, PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Teri McClure</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE L, PART V</Relationship>
        <DescriptionOfTransaction>SEE SCHEDULE L, PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>Business Transactions Involving Interested Persons</Identifier>
        <ReturnReference>Schedule L, Part IV</ReturnReference>
        <Explanation>Cedric Miller (b) Relationship between interested person and the organization- Current Trustee for CHOA, ECH, SRH, EAS AND EPG (Parent and Group) (c) $12,850,674 (d) Description of transaction- Served as an officer of Pediatric Emergency Medicine Associates, LLC, an entity that provides Emergency Department physician and midlevel staff to CHOA on a contractual basis. Elizabeth Howell (b) Relationship between interested person and the organization- Current Key Employee for CHOA, and Former Trustee and Officer of HSOC (c) $25,266,798 (d) Description of transaction- Served as a board member of the Emory-Egleston Children's Research Center, an entity that receives a contribution from Children's to support pediatric research. Also served as the Executive Director of the Emory-Children's Center, an entity that is a joint venture between Emory and Children's, to provide pediatric medical services. Transactions are with entities related to the Parent, which are reported on the group return. Mark Chancy (b) Relationship between interested person and the organization- Current Trustee for CHOA, ECH, SRH, EAS AND EPG (Parent and Group) (c) $2,029,504 (d) Description of transaction- Served as an officer of SunTrust Banks, Inc., which provides general banking services to Children's. Michael E. Walsh (b) Relationship between interested person and the organization- Current Trustee for CHOA, ECH, SRH, EAS AND EPG (Parent and Group) (c) $7,838,950 (d) Description of transaction- Served as a member of JPMorgan's management team, which provides investment-related services to Children's. Steve Cahillane (b) Relationship between interested person and the organization- Current Trustee for CHOA, ECH, SRH, EAS AND EPG (Parent and Group) (c) $250,038 (d) Description of transaction- Served as an officer of the Coca-Cola Company, which is a food and beverage vendor of Children's. Transactions are with entities related to the Parent, which are reported on the group return. Teri McClure (b) Relationship between interested person and the organization- Current Trustee for CHOA, ECH, SRH, EAS AND EPG (Parent and Group) - resigned May-10 (c) $148,299 (d) Description of transaction- Served as an officer of the United Parcel Service (UPS), which provides shipping services for CHOA. Amount reported represents full year activity, although Teri McClure resigned service as Trustee as of May 2010.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Program Service Accomplishments</Identifier>
        <ReturnReference>Form 990, Part III, Question 4</ReturnReference>
        <Explanation>CHILDREN'S HEALTHCARE OF ATLANTA, INC. (CHILDREN'S) 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 IS A PREMIER CIVIC ASSET, SERVING THE ATLANTA METROPOLITAN AREA, THE ENTIRE STATE OF GEORGIA AND THE UNITED STATES. CHILDREN'S IS THE LARGEST PEDIATRIC PROVIDER IN THE STATE CARING FOR CHILDREN FROM ALL 159 GEORGIA COUNTIES IN 2010. 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 (CHILDREN'S AT EGLESTON, CHILDREN'S AT HUGHES SPALDING AND CHILDREN'S AT SCOTTISH RITE) AND 17 NEIGHBORHOOD LOCATIONS (INCLUDING MARCUS AUTISM CENTER AND FIVE IMMEDIATE CARE CENTERS). WITH MORE THAN HALF A MILLION PATIENT VISITS ANNUALLY, CHILDREN'S IS RECOGNIZED FOR EXCELLENCE IN CANCER, CARDIAC AND ORTHOPAEDICS AND OFFERS ACCESS TO MORE THAN 30 PEDIATRIC SPECIALTIES. CHILDREN'S IS RANKED ONE OF THE TOP PEDIATRIC HOSPITALS NATIONWIDE BY U.S. NEWS &amp; WORLD REPORT AND ALSO HAS BEEN NAMED ONE OF THE "100 BEST COMPANIES TO WORK FOR" BY FORTUNE MAGAZINE. THE PEDIATRIC POPULATION IN METRO ATLANTA IS EXPECTED TO INCREASE BY 144,000 DURING THE NEXT FIVE YEARS, REACHING 1.7 MILLION BY 2016. 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 2010, THE THREE HOSPITALS OPERATED BY CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROVIDED 520 STAFFED BEDS AND MANAGED 740,886 PATIENT VISITS, 314,737 UNIQUE PATIENTS, 25,067 HOSPITAL ADMISSIONS, 141,501 INPATIENT DAYS, 709,145 OUTPATIENT VISITS, 38,868 SURGICAL PROCEDURES (INPATIENT AND OUTPATIENT), 195,495 EMERGENCY DEPARTMENT VISITS, 111,067 IMMEDIATE CARE CENTER VISITS AND 49,226 PRIMARY CARE VISITS. CHILDREN'S IS ALSO THE LARGEST MEDICAID PROVIDER IN THE STATE OF GEORGIA, SERVING 8 OUT OF 10 PEDIATRIC INPATIENT MEDICAID CASES IN ATLANTA AND 4 OUT OF 10 CASES STATEWIDE. CHILDREN'S IS COMMITTED TO PROVIDING MEDICALLY NEEDED HEALTHCARE TO THE CHILDREN OF GEORGIA. STATEWIDE, 44% OF GEORGIA'S CHILDREN ARE ENROLLED IN MEDICAID OR PEACHCARE AND 13% ARE UNINSURED. EACH YEAR, CHILDREN'S PROVIDES ABOUT $90 MILLION OF CARE FOR WHICH WE DO NOT GET PAID. IN ADDITION, CHILDREN'S INVESTS IN PEDIATRIC RESEARCH, TEACHING AND CHILD WELLNESS INITIATIVES, FOR WHICH WE ALSO DO NOT GET PAID. THE TOTAL COMMUNITY BENEFIT PROVIDED BY CHILDREN'S IN 2010 WAS ABOUT $123 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 115 RESIDENTS AND 97 FELLOWS IN 2010. 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. WE ARE 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 AND MOREHOUSE SCHOOL OF MEDICINE. IN 2010, OUR RESEARCHERS INITIATED MORE THAN 600 STUDIES IN 30 SPECIALTY AREAS. AS PART OF OUR COMMUNITY HEALTH RESEARCH COLLABORATION WITH EMORY UNIVERSITY AND GEORGIA TECH, WE WORKED TO DEVELOP NEW DRUGS AND TREATMENT TECHNIQUES-LIKE A NEW CONTINUOUS RENAL REPLACEMENT THERAPY DEVICE THAT IS DESIGNED SPECIFICALLY WITH KIDS IN MIND. IT CAN BE USED ACCURATELY ON A 6-POUND CHILD, ALL THE WAY UP TO A FOOTBALL LINEBACKER. AMONG OTHER THINGS, WE ARE WORKING ON TREATMENTS FOR AUTISM, BRAIN TUMORS, CARDIAC PROBLEMS AND SICKLE CELL DISEASE; GROWING BONE; AND USING CELL PHONES TO ENHANCE MEMORY AND ORGANIZATION FOLLOWING TRAUMATIC BRAIN INJURY. OUR 14 RESEARCH FOCUS AREAS ARE: AUTISM, CARDIOVASCULAR BIOLOGY, CLINICAL AND TRANSLATIONAL RESEARCH, CLINICAL OUTCOMES AND PUBLIC HEALTH, CYSTIC FIBROSIS, DEVELOPMENTAL LUNG BIOLOGY, DRUG DISCOVERY, ENDOTHELIAL BIOLOGY, HEMATOLOGY AND ONCOLOGY, NEUROSCIENCES, IMMUNOLOGY AND VACCINES, PEDIATRIC HEALTHCARE TECHNOLOGY, PEDIATRIC NANOMEDICINE AND TRANSPLANT IMMUNOLOGY. OUR CHILD PROTECTION CENTER 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 2010, THROUGH THE CENTER, WE TRAINED MORE THAN 2,200 PROFESSIONALS ABOUT HOW TO RECOGNIZE, REPORT AND PREVENT CHILD ABUSE IN 2010. THOSE TRAINED INCLUDED MEDICAL PERSONNEL, LAW ENFORCEMENT, CHILD ADVOCATES, SCHOOL STAFF, SOCIAL WORKERS AND MENTAL HEALTH PRACTITIONERS. MANY SCHOOLS LACK THE PERSONNEL AND RESOURCES TO MEET THE NEEDS OF CHILDREN WITH CHRONIC AND ACUTE HEALTH ISSUES, AND SCHOOL NURSES AND ADDITIONAL CARETAKERS RELY ON EDUCATION FROM THIS PROGRAM TO HELP. IN 2010, CHILDREN'S KOHL'S SCHOOL NURSE LIAISON/CONSULTANT PROGRAM TEAM ASSISTED WITH SCHOOL RE-ENTRY FOR 614 CHILDREN FACING COMPLEX HEALTH ISSUES AFTER HOSPITALIZATION AT CHILDREN'S. THE TEAM ALSO TRAINED 1,505 SCHOOL PROFESSIONALS IN CURRENT NURSING PRACTICES FOR IMMUNIZATION, TUBERCULOSIS MANAGEMENT IN THE SCHOOL SETTING, CHILD ABUSE RECOGNITION AND REPORTING, AND MANAGEMENT OF CHILDREN WITH CYSTIC FIBROSIS. IN ADDITION, THE TEAM CONSULTED ON 1,189 QUESTIONS FROM GEORGIA SCHOOL NURSES THROUGHOUT THE STATE. CHILDREN'S 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 14. IN 2010, SAFE KIDS GEORGIA-THROUGH ITS 25 LOCAL COALITIONS ACROSS 50 COUNTIES-DISTRIBUTED 139,000 EDUCATIONAL MATERIALS TO MORE THAN 213,000 PEOPLE, INCLUDING 51 PERCENT OF GEORGIA'S CHILDREN. SAFE KIDS GEORGIA DISTRIBUTED NEARLY 32,000 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. SEEKS TO TRANSFORM PEDIATRIC HEALTHCARE AND BE A LEADING VOICE FOR THE HEALTH OF GEORGIA'S CHILDREN.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Describe the Process Used by Management &amp;/or Governing Body to Review 990</Identifier>
        <ReturnReference>Form 990, Part VI, Question 11a</ReturnReference>
        <Explanation>THE ORGANIZATION'S FORM 990 IS REVIEWED IN DETAIL BY THE MEMBERS OF THE AUDIT AND FINANCE COMMITEES, AFTER WHICH THE ENTIRE BOARD OF DIRECTORS IS PROVIDED A COPY PRIOR TO FINAL APPROVAL AND FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Process to Monitor Transactions for Conflicts of Interest</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>Children's Board of Trustees adopted a conflict of interest policy that applies to an "Interested Person". An Interest 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 Interest 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, 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 from a person or entity that would not give rise to a conflict of interest; or c) take no action. Each interest 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Offices &amp; Positions for Which Process was Used, &amp; Year Process was Begun</Identifier>
        <ReturnReference>Form 990, Part VI, Question 15a&amp;b</ReturnReference>
        <Explanation>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 consulting firm to complete an annual assessment of the competiveness and reasonableness of the total compensation package for "disqualified persons" and other executives. 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 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. Executives are eligible for an annual incentive, which includes a measurement for achievement of the budgeted operating margin. These incentives are calculated as a certain percentage of the executive's base compensation approved by the compensation &amp; benefits committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Avail of Gov Docs, Conflict of Interest Policy, &amp; Fin Stmts to Gen Public</Identifier>
        <ReturnReference>Form 990, Part VI, Question 19</ReturnReference>
        <Explanation>THE ORGANIZATION DOES NOT MAKE ITS FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC, IN ACCORDANCE WITH IRS GUIDELINES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Hours Devoted to Related Organizations</Identifier>
        <ReturnReference>Form 990, Part VII</ReturnReference>
        <Explanation>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 of more of the entities represented in the group return. The remaining 20%, or 10 hours is devoted to tasks or objectives related to the CHOA organization as a whole.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Reconciliation of Net Assets</Identifier>
        <ReturnReference>Form 990, Part XI, Line 5</ReturnReference>
        <Explanation>Other Changes in Net Assets or Fund Balance Unrealized Gains: $69,402,681 Transfers between entities: -$30,229,072 ___________ Total Other Changes $39,173,609</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERIDIAN MARK LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1584 Tullie CIR</AddressLine1>
          <City>ATL</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>010723254</EIN>
        <PrimaryActivity>Surgery Center</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>n/a</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>THE CHILDREN'S HEALTH NETWORK INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1584 Tullie Circle</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>582133795</EIN>
        <PrimaryActivity>PHYSICIAN MGMT</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHOA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>449465</ShareOfTotalIncome>
        <ShareOfEOYAssets>-2098049</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Emory-Egleston Children's Heart Center</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2835 BRANDYWINE ROAD SUITE 300</AddressLine1>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>30341</ZIPCode>
        </AddressUS>
        <EIN>581871713</EIN>
        <PrimaryActivity>CARDIAC SERVICES</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHOA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>35790576</ShareOfTotalIncome>
        <ShareOfEOYAssets>10016973</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERIDIAN MARK LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1367614</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERIDIAN MARK LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>4344927</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>