Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 01-01-2015 , and ending 12-31-2015
BCheck if applicable:
CName of organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
% Tom Brems
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1587 Northeast Expressway
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Atlanta, GA30329
D Employer identification number

90-0779996
E Telephone number

G Gross receipts $ 1,571,080,500
F Name and address of principal officer:
DONNA HYLAND
1600 Tullie Circle
Atlanta,GA30329
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.choa.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5857
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO MAKE KIDS BETTER TODAY AND HEALTHIER TOMORROW.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 69
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 80
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 11,103
6 Total number of volunteers (estimate if necessary) ............. 6 7,070
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 81,478,337 78,702,680
9 Program service revenue (Part VIII, line 2g) ......... 1,243,840,249 1,356,256,652
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 24,474,890 16,276,231
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 21,555,607 20,698,692
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,371,349,083 1,471,934,255
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 6,946,417 3,927,733
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 692,038,541 757,074,064
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet12,557,309    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 455,836,081 473,050,087
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,154,821,039 1,234,051,884
19 Revenue less expenses. Subtract line 18 from line 12....... 216,528,044 237,882,371
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 3,153,137,000 3,391,919,220
21 Total liabilities (Part X, line 26)............. 665,638,199 660,843,749
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,487,498,801 2,731,075,471
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: TO MAKE KIDS BETTER TODAY AND HEALTHIER TOMORROW.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,014,490,042 including grants of $ 3,927,733 ) (Revenue $ 1,369,264,849 )
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. THEIR MISSION IS TO ENGAGE THE COMMUNITY THROUGH PHILANTHROPY AND VOLUNTEERISM IN SUPPORT OF CHILDREN'S HEALTHCARE OF ATLANTA. IN 2015, THE FOUNDATION HAD 81 PAID STAFF AND OVER 7,000 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 ATLANTA 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 2015, THE THREE HOSPITALS OPERATED BY CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROVIDED 575 LICENSED BEDS AND MANAGED 922,861 PATIENT VISITS, 368,342 UNIQUE PATIENTS, 26,553 HOSPITAL ADMISSIONS, 151,419 INPATIENT DAYS, 888,722 OUTPATIENT VISITS, 40,252 SURGICAL PROCEDURES (INPATIENT AND OUTPATIENT), 229,849 EMERGENCY DEPARTMENT VISITS, 138,407 URGENT CARE CENTER VISITS AND 37,809 PRIMARY CARE VISITS. CHILDREN'S ALSO MANAGED 84,222 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 2015, WE TREATED 4,935 INDIVIDUAL PATIENTS AND REACHED OVER 10,000 CHILDREN THROUGHOUT GEORGIA 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 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 2015, THE RESEARCH TEAM AT MARCUS AUTISM CENTER CONTINUED WORK AS AN NIH AUTISM CENTER OF EXCELLENCE, RECORDING THOUSANDS OF VISUAL AND VOCAL MEASUREMENTS OVER INFANTS FIRST YEARS OF DEVELOPMENT. IN ADDITION, MARCUS AUTISM CENTER CONTINUED THEIR INVOLVEMENT IN A SCALABLE, PUBLIC ACTION STRATEGY CALLED "TALK WITH ME BABY," WHICH IS AIMED AT INCREASING EARLY EXPOSURE TO LANGUAGE AND PUBLIC UNDERSTANDING OF THE PRIMACY OF LANGUAGE. THIS PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT TO NURSES, THE NATIONS LARGEST HEALTHCARE WORKFORCE WHO WILL COACH NEW AND EXPECTANT PARENTS TO DELIVER "LANGUAGE NUTRITION" TO THEIR KIDS.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,014,490,042
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II..............
4
 
No
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV ........................Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
111
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
2
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
11,103
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
69
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
80
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
AK , CO , FL , GA , HI , IL , KS , KY , ME , MD , MA , MI , MN , MS , NH , NJ , NM , NY , NC , ND , OH , OR , RI , SC , TN , UT , WA , WV , WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletTom Brems1587 Northeast Expressway   Atlanta,GA30329 (404) 785-7944
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Doug Black......................................................................
Individual Trustee - FDN
 1.0
.................
0.0 		X           0 0 0
(2) Jesse Spikes......................................................................
Indiv Trustee - HSOC
 1.0
.................
0.0 		X           0 0 0
(3) Ami Klin......................................................................
Indiv Trustee - MAC
 1.0
.................
0.0 		X           0 0 0
(4) Larry Smith......................................................................
Indiv Trustee - MAC
 1.0
.................
0.0 		X           0 0 0
(5) Barbara Stoll MD......................................................................
Indiv Trustee - MAC PED CTR LD
 10.0
.................
40.0 		X           0 237,632 2,069
(6) Gregory Abowd......................................................................
Indiv Trustee - MAC
 1.0
.................
0.0 		X           0 0 0
(7) John Dyer......................................................................
Indiv Trustee - MAC
 1.0
.................
0.0 		X           0 0 0
(8) Rebecca Flick......................................................................
Indiv Trustee - MAC
 1.0
.................
0.0 		X           0 0 0
(9) Frederick R Marcus PhD......................................................................
Indiv Trustee - MAC
 1.0
.................
0.0 		X           0 0 0
(10) Walt Deriso......................................................................
Indiv Trustee - MAC
 1.0
.................
0.0 		X           0 0 0
(11) Allen Ecker......................................................................
Indiv Trustee - MAC
 1.0
.................
0.0 		X           0 0 0
(12) Robert C Wilde......................................................................
Ind Trustee - HSOC/CTO
 1.0
.................
0.0 		X           416,879 0 36,865
(13) Jimmy Carlos......................................................................
Indiv Trustee - Fdn
 1.0
.................
0.0 		X           0 0 0
(14) Tom Giddens......................................................................
Individual Trustee - Fdn
 1.0
.................
0.0 		X           0 0 0
(15) Thomas Holder......................................................................
Ind Trustee-ECH/SR/EAS/EPG/FDN
 1.0
.................
0.0 		X           0 0 0
(16) Mary Ellen Imlay......................................................................
Individual Trustee - FDN
 1.0
.................
0.0 		X           0 0 0
(17) Mark Kaufmann......................................................................
Individual Trustee - Fdn
 1.0
.................
0.0 		X           0 0 0
Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Scott MacLellan........................................................................
Individual Trustee - Fdn
 1.0
.......................0.0 		X           0 0 0
(19) Rich McKay........................................................................
Individual Trustee - Fdn
 1.0
.......................0.0 		X           0 0 0
(20) William Pate........................................................................
Individual Trustee - Fdn
 1.0
.......................0.0 		X           0 0 0
(21) Bea Perez........................................................................
Individual Trustee - Fdn
 1.0
.......................0.0 		X           0 0 0
(22) Christy Roberts........................................................................
Individual Trustee - Fdn
 1.0
.......................0.0 		X           0 0 0
(23) Jay Simms........................................................................
Individual Trustee - Fdn
 1.0
.......................0.0 		X           0 0 0
(24) Virginia Brewer........................................................................
Individual Trustee - Fdn
 1.0
.......................0.0 		X           0 0 0
(25) Robert Bruce........................................................................
Individual Trustee - Fdn
 1.0
.......................0.0 		X           0 0 0
(26) David Fagin........................................................................
Individual Trustee - Fdn
 1.0
.......................0.0 		X           0 0 0
(27) Doug Garges........................................................................
Ind Trustee-Fdn/ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(28) Jack Markwalter........................................................................
Individual Trustee - Fdn
 1.0
.......................0.0 		X           0 0 0
(29) Lovette Russell........................................................................
Individual Trustee - Fdn/HSOC
 1.0
.......................0.0 		X           0 0 0
(30) Daniel Salinas MD........................................................................
CMO/INDIV. TRUSTEE - ECH/SR/EA
 10.0
.......................40.0 		X           0 595,605 120,298
(31) Jackie Montag........................................................................
Individual Trustee - HSOC
 1.0
.......................0.0 		X           0 0 0
(32) Madelyn Adams........................................................................
Individual Trustee - HSOC
 1.0
.......................0.0 		X           0 0 0
(33) Adam Fuller........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(34) Helen Carlos........................................................................
Individual Trustee - MAC
 1.0
.......................0.0 		X           0 0 0
(35) Ira Moreland........................................................................
Individual Trustee - FDN
 1.0
.......................0.0 		X           0 0 0
(36) Judson Miller........................................................................
Individual Trustee - HSOC
 1.0
.......................0.0 		X           3,876 0 0
(37) Keith Holmes........................................................................
Individual Trustee - MAC
 1.0
.......................0.0 		X           0 0 0
(38) Mark Rudel........................................................................
Individual Trustee - MAC
 1.0
.......................0.0 		X           0 0 0
(39) Michelle Jarrard........................................................................
IND TRUSTEE-FDN/ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(40) Patti Dickey........................................................................
Individual Trustee - FDN
 1.0
.......................0.0 		X           0 0 0
(41) Ronald Frieson........................................................................
Indiv Trustee - HSOC/PRES FDN
 1.0
.......................50.0 		X   X       0 468,783 22,019
(42) Cameron Sherrill........................................................................
Indiv Trustee-FDN
 1.0
.......................0.0 		X           0 0 0
(43) Allison Moran........................................................................
Indiv Trustee-FDN
 1.0
.......................0.0 		X           0 0 0
(44) Charlie Brown........................................................................
Indiv Trustee-MAC
 1.0
.......................0.0 		X           0 0 0
(45) David Sapp........................................................................
Indiv Trustee-MAC
 1.0
.......................0.0 		X           0 0 0
(46) Jack Cay........................................................................
Indiv Trustee-FDN
 1.0
.......................0.0 		X           0 0 0
(47) Jim Fortenberry MD........................................................................
Indiv Trustee-FDN
 1.0
.......................40.0 		X           0 277,610 24,313
(48) John Montag........................................................................
Indiv Trustee-FDN
 1.0
.......................0.0 		X           0 0 0
(49) Kristine Faulkner........................................................................
Indiv Trustee-FDN
 1.0
.......................0.0 		X           0 0 0
(50) Nick McKay........................................................................
Indiv Trustee-FDN
 1.0
.......................0.0 		X           0 0 0
(51) Paul Bowers........................................................................
Indiv Trustee-FDN
 1.0
.......................0.0 		X           0 0 0
(52) Tyler Woolson........................................................................
Indiv Trustee-FDN
 1.0
.......................0.0 		X           0 0 0
(53) Bernie Marcus........................................................................
Indiv Trustee-MAC
 1.0
.......................0.0 		X           0 0 0
(54) Charles Shaffer Jr........................................................................
Ind Trustee - MAC/BRD Emeritus
 1.0
.......................0.0 		X           0 0 0
(55) Richard Courts........................................................................
INDIV TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(56) Shannon Sullivan........................................................................
Individual Trustee - FDN
 1.0
.......................0.0 		X           0 0 0
(57) William Taggert........................................................................
Individual Trustee - FDN
 1.0
.......................0.0 		X           0 0 0
(58) Farah Chapes........................................................................
Individual Trustee-MAC
 1.0
.......................0.0 		X           214,526 0 31,986
(59) Tripp Rawls........................................................................
Individual Trustee - MAC
 1.0
.......................0.0 		X           0 0 0
(60) Pat Frias........................................................................
Indvid Trstee-MAC
 10.0
.......................40.0 		X           0 752,369 131,139
(61) Donald Mueller........................................................................
VP Operations/Ind Trustee-MAC
 50.0
.......................0.0 		X           176,503 0 17,876
(62) Bruce Miller........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           1,540 0 0
(63) Alan Dahl........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(64) Bernie Dixon........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(65) Cedric Miller MD........................................................................
Indiv. Trustee/Chief Em. Svcs
 40.0
.......................0.0 		X           129,635 0 0
(66) Chris Womack........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(67) David Ratcliffe........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(68) Don Chapman........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(69) Eddie Myers........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(70) Ernest Greer........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(71) Jeff Seaman........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(72) Jonathan Goldman........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(73) Joe Williams MD........................................................................
TRUST/CLIN PHYS-ECH/SR/EAS/EPG
 40.0
.......................0.0 		X           81,284 0 0
(74) Keith Mason........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(75) Liz Blake........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(76) Mark Chancy........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(77) Stephanie Blank........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(78) Stephanie Jernigan MD........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(79) Steve Cahillane........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(80) Tom Noonan........................................................................
Indiv. Trustee-ECH/SR/EAS/EPG
 1.0
.......................0.0 		X           0 0 0
(81) Donna Hyland........................................................................
Pres/CEO - ECH/SR/EAS/EPG/MAC
 10.0
.......................40.0 		    X       0 1,374,876 288,470
(82) Ruth Fowler........................................................................
Treas ECH/SR/FDN/EAS/EPG/MAC
 10.0
.......................40.0 		    X       0 663,220 115,140
(83) Leslie Jones........................................................................
Sec - ECH/SR/EAS/EPG/MAC/HSOC
 10.0
.......................40.0 		    X       0 446,917 30,291
(84) Eugene Hayes........................................................................
President Foundation - FDN
 10.0
.......................40.0 		    X       421,176 0 101,748
(85) Tonja Bridges........................................................................
Dir Fdn Admn/Brd Corp Sect-Fdn
 50.0
.......................0.0 		    X       129,478 0 26,167
(86) Raymond Reynolds........................................................................
VP Dev Fdn Major/Planned Gifts
 50.0
.......................0.0 		      X     241,308 0 2,417
(87) Rex Adams........................................................................
INDIV TRSTEE - HSOC COO-ECH
 10.0
.......................40.0 		      X     0 282,700 5,767
(88) Beth Boatwright........................................................................
Sr Dir Financial Oper. ECH/SR
 50.0
.......................0.0 		      X     185,959 0 19,520
(89) Mary Beth Bova........................................................................
SVP OPS-ECH/IND TRUSTEE-HSOC
 50.0
.......................0.0 		      X     343,704 0 21,705
(90) Timothy King........................................................................
VP Physician Practices Ops
 50.0
.......................0.0 		      X     261,270 0 36,755
(91) Jill Strickland........................................................................
SVP Physician Practices Ops
 50.0
.......................0.0 		      X     300,301 0 32,699
(92) Scott Hodoval........................................................................
VP Dev Ann Corp Giving - Fdn
 50.0
.......................0.0 		      X     249,553 0 30,533
(93) Robert Bentley........................................................................
VP Corporate Development - FDN
 50.0
.......................0.0 		      X     241,350 0 25,546
(94) Stacey Deweese........................................................................
VP Operations-SR
 50.0
.......................0.0 		      X     215,100 0 29,518
(95) Julia Jones........................................................................
VP Operations - HSOC
 50.0
.......................0.0 		      X     239,789 0 26,650
(96) Andrew Reisner........................................................................
Neurosurgeon
 50.0
.......................0.0 		        X   855,270 0 25,629
(97) William Boydston........................................................................
Prac Dir Neursurgical Svcs
 50.0
.......................0.0 		        X   932,990 0 23,731
(98) John Bleacher........................................................................
Surgeon
 50.0
.......................0.0 		        X   895,990 0 22,067
(99) Julie Glasson........................................................................
Surgeon
 50.0
.......................0.0 		        X   866,968 0 24,574
(100) Joseph Bussey........................................................................
Surgeon
 50.0
.......................0.0 		        X   816,868 0 26,231
(101) Burt Lesnick........................................................................
FORMER IND TRUSTEE/MEDICAL DR
 40.0
.......................10.0 		          X 237,781 0 13,676
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 8,459,098 5,099,712 1,315,399
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet645
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
MORRIS DICKSON CO LLC,
PO BOX 51367
SHREVEPORT,LA711351367 		PHARMACY DISTRIB. 30,183,573
PEDIATRIC EMERGENCY MEDICINE ASSOCI,
2247 SALIENT ROAD
MARIETTA,GA300641360 		EMERGENCY SERVICES 17,295,434
CVS CAREMARK LLC,
PO BOX 840336
DALLAS,TX752840336 		PRESCRIPTION SRVCS 15,376,760
THREE ATLANTA LLC,
550 PHARR ROAD STE 900
ATLANTA,GA30305 		MRKTNG & ADVRT SVCS 10,696,347
BRASFIELD GORRIE LLC,
PO BOX 11407
BIRMINGHAM,AL352460351 		CONTRACTING SRVCS 8,226,404
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet180
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 3,070,781
d Related organizations1d  
e Government grants (contributions)1e 10,173,482
f All other contributions, gifts, grants, and similar amounts not included above1f 65,458,417
g Noncash contributions included in lines 1a-1f:$ 1,562,837
h Total.Add lines 1a-1f.......MediumBullet 78,702,680
Program Service RevenueAmt Business Code
2a NET PATIENT SRVC REVENUE 621110 1,309,183,239 1,309,183,239 0 0
b Graduate Medical Funding 621110 5,842,561 5,842,561 0 0
c State Neonate Income 621110 3,912,220 3,912,220 0 0
d Management Service Fees 561110 37,012,829 37,012,829 0 0
e Tuition Income 621110 305,803 305,803 0 0
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 1,356,256,652
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 6,851,634     6,851,634
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   2,457,198
b Less: rental expenses   2,593,702
c Rental income or (loss) 0 -136,504
d Net rental income or (loss)......MediumBullet -136,504     -136,504
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 1,282 104,054,597
b Less: cost or other basis and sales expenses 641 94,630,641
c Gain or (loss) 641 9,423,956
d Net gain or (loss).....MediumBullet 9,424,597     9,424,597
8a Gross income from fundraising events (not including $ 3,070,781of contributions reported on line 1c). See Part IV, line 18 ....
a 9,708,048
b Less: direct expenses ...b 1,868,588
c Net income or (loss) from fundraising events..MediumBullet 7,839,460   7,839,460
9a Gross income from gaming activities.
See Part IV, line 19 ...
a 40,212
b Less: direct expenses ...b 52,673
c Net income or (loss) from gaming activities..MediumBullet -12,461     -12,461
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a MEANINGFUL USE 900099 2,690,374 2,690,374 0 0
b GIFT SHOPS 900099 1,813,771 1,813,771 0 0
c PARKING 900099 1,253,117 1,253,117 0 0
d All other revenue .... 7,250,935 7,250,935 0 0
e Total. Add lines 11a–11d ...... MediumBullet 13,008,197
12 Total revenue. See Instructions......MediumBullet 1,471,934,255 1,369,264,849 0 23,966,726
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 3,921,327 3,921,327
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 6,406 6,406
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0 0
4 Benefits paid to or for members 0 0
5 Compensation of current officers, directors, trustees, and key employees .... 3,275,790 239,789 2,312,274 723,727
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0 0 0 0
7 Other salaries and wages 611,822,295 502,089,109 105,107,557 4,625,629
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 27,843,952 23,411,649 4,432,303 0
9 Other employee benefits ....... 76,017,468 61,408,307 13,287,974 1,321,187
10 Payroll taxes ........... 38,114,559 31,126,815 6,987,744 0
11 Fees for services (non-employees):        
a Management ...... 0 0 0 0
b Legal ......... 162,925 143,968 18,957 0
c Accounting ........... 391,875 0 391,875 0
d Lobbying ........... 0 0 0 0
e Professional fundraising services. See Part IV, line 17 0 0
f Investment management fees ...... 0 0 0 0
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 15,212,839 8,426,613 6,719,601 66,625
12 Advertising and promotion .... 11,434,263 4,280,358 6,563,744 590,161
13 Office expenses ....... 9,034,798 4,977,177 3,437,414 620,207
14 Information technology ...... 20,515,783 17,265,380 3,249,958 445
15 Royalties .. 0 0 0 0
16 Occupancy ........... 23,269,786 17,919,259 5,339,010 11,517
17 Travel ............ 2,445,877 1,292,205 1,038,383 115,289
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 138,776 0 0 138,776
19 Conferences, conventions, and meetings .... 4,943,057 2,913,693 2,029,364 0
20 Interest ........... 19,848,933 33,466 19,815,467 0
21 Payments to affiliates ....... 0 0 0 0
22 Depreciation, depletion, and amortization .. 58,926,387 41,438,445 17,487,942 0
23 Insurance ... 2,106,509 2,106,509 0 0
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 150,680,139 147,131,021 3,546,314 2,804
b PURCHASED SVCS MEDICAL 38,020,684 38,020,684 0 0
c PURCHASED SVCS NON-MED 23,978,949 20,098,580 0 3,880,369
d BAD DEBT EXPENSE 17,885,308 17,885,308 0 0
e All other expenses 74,053,199 68,353,974 5,238,652 460,573
25 Total functional expenses. Add lines 1 through 24e 1,234,051,884 1,014,490,042 207,004,533 12,557,309
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 75,791,782 1 69,619,497
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 47,700,139 3 39,458,149
4 Accounts receivable, net ............. 142,905,098 4 150,023,334
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net .... 0 7 0
8 Inventories for sale or use ........ 17,723,944 8 20,354,469
9 Prepaid expenses and deferred charges ...... 4,424,224 9 9,042,088
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,398,842,993
b Less: accumulated depreciation 10b 818,396,740 562,705,933 10c 580,446,253
11 Investments—publicly traded securities . 133,609,714 11 135,236,762
12 Investments—other securities. See Part IV, line 11 ..... 132,297,535 12 134,631,112
13 Investments—program-related. See Part IV, line 11 .. 0 13 0
14 Intangible assets ............... 0 14 0
15 Other assets. See Part IV, line 11 ........... 2,035,978,631 15 2,253,107,556
16 Total assets. Add lines 1 through 15 (must equal line 34)... 3,153,137,000 16 3,391,919,220
Liabilities 17 Accounts payable and accrued expenses ..... 150,267,049 17 163,599,191
18 Grants payable ... -5,031,775 18 7,265,836
19 Deferred revenue ......... 0 19 0
20 Tax-exempt bond liabilities ......... 0 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.. 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .. 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D 520,402,925 25 489,978,722
26 Total liabilities. Add lines 17 through 25.. 665,638,199 26 660,843,749
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 2,029,125,946 27 2,262,555,867
28 Temporarily restricted net assets ........... 285,724,295 28 291,662,967
29 Permanently restricted net assets 172,648,560 29 176,856,637
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 2,487,498,801 33 2,731,075,471
34 Total liabilities and net assets/fund balances ........ 3,153,137,000 34 3,391,919,220
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,471,934,255
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,234,051,884
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
237,882,371
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
2,487,498,801
5
Net unrealized gains (losses) on investments ...............
5
-17,501,912
6
Donated services and use of facilities .................
6
0
7
Investment expenses .....................
7
0
8
Prior period adjustments .....................
8
0
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
23,196,211
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
2,731,075,471
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2015)
Form 990 (2015)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4


5
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total      

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... 77,101,475 60,498,767 90,979,701 81,478,337 78,702,680 388,760,960
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......           0
3 The value of services or facilities furnished by a governmental unit to the organization without charge..           0
4 Total. Add lines 1 through 3 77,101,475 60,498,767 90,979,701 81,478,337 78,702,680 388,760,960
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. 23,621,954
6 Public support. Subtract line 5 from line 4. 365,139,006
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
7 Amounts from line 4.. 77,101,475 60,498,767 90,979,701 81,478,337 78,702,680 388,760,960
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 7,058,470 8,132,661 8,323,999 22,837,809 9,308,832 55,661,771
9 Net income from unrelated business activities, whether or not the business is regularly carried on..           0
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..           0
11 Total support. Add lines 7 through 10. 444,422,731
12
12
5,843,443,893
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
82.160 %
15
15
87.197 %
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513...            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
0 %
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
No
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
No
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
No
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
No
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
No
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1 0  
2 Recoveries of prior-year distributions 2 0  
3 Other gross income (see instructions) 3 0  
4 Add lines 1 through 3 4 0  
5 Depreciation and depletion 5 0  
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6 0  
7 Other expenses (see instructions) 7 0  
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8 0  

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a 0  
b Average monthly cash balances 1b 0  
c Fair market value of other non-exempt-use assets 1c 0  
d Total (add lines 1a, 1b, and 1c) 1d 0  
e Discount claimed for blockage or other factors
(explain in detail in Part VI): 0
2 Acquisition indebtedness applicable to non-exempt use assets 2 0  
3 Subtract line 2 from line 1d 3 0  
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4 0  
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5 0  
6 Multiply line 5 by .035 6 0  
7 Recoveries of prior-year distributions 7 0  
8 Minimum Asset Amount (add line 7 to line 6) 8 0  

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1 0
2 Enter 85% of line 1 2 0
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3 0
4 Enter greater of line 2 or line 3 4 0
5 Income tax imposed in prior year 5 0
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6 0
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 0
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		 0
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 0
4 Amounts paid to acquire exempt-use assets 0
5 Qualified set-aside amounts (prior IRS approval required) 0
6 Other distributions (describe in Part VI). See instructions 0
7Total annual distributions. Add lines 1 through 6. 0
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		 0
9 Distributable amount for 2015 from Section C, line 6 0
10 Line 8 amount divided by Line 9 amount 0 %

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2015 		(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6 		0
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)		 0
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......0
e From 2014.......0
fTotal of lines 3a through e 0
g Applied to underdistributions of prior years 0
h Applied to 2015 distributable amount 0
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f. 0
4Distributions for 2015 from Section D, line 7:
$ 0
a Applied to underdistributions of prior years 0
b Applied to 2015 distributable amount 0
c Remainder. Subtract lines 4a and 4b from 4. 0
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		 0
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		 0
7 Excess distributions carryover to 2016. Add lines
3j and 4c.		 0
8 Breakdown of line 7:
a
b
c Excess from 2013.......0
d From 2014.......0
e From 2015.......0
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
PUBLIC CHARITY STATUS OF GROUP RETURN AFFILIATES SCHEDULE A, PART I EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, INC. 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
Schedule A (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
Name of organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
  		Employer identification number
90-0779996
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 3
Name of organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
  		Employer identification number

90-0779996
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 4
Name of organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
  		Employer identification number

90-0779996
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year ....    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ....    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 142,112,872 133,659,871 121,601,928 109,959,265 108,381,422
b Contributions ...   0      
c Net investment earnings, gains, and losses 2,500,092 8,855,491 12,361,363 11,920,392 1,936,108
d Grants or scholarships ...   0      
e Other expenditures for facilities
and programs ... 		457,164 402,389 297,897 270,848 336,444
f Administrative expenses ....   101 5,523 6,881 21,821
g End of year balance ...... 144,155,800 142,112,872 133,659,871 121,601,928 109,959,265
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet0 %
b
Permanent endowment SchDMd Bullet93.810 %
c
Temporarily restricted endowment SchDMd Bullet6.190 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
Yes
 
(ii) related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ...   82,377,042 82,377,042
b Buildings   682,092,323 353,779,375 328,312,948
c Leasehold improvements   14,179,637 12,626,092 1,553,545
d Equipment ...   417,938,127 280,230,222 137,707,905
e Other ...   202,255,864 171,761,051 30,494,813
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 580,446,253
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c)Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) IC RECEIVABLES FROM PARENT 2,243,889,725
(2) DEPOSITS/NONCURRENT ASSETS 9,217,831
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 2,253,107,556
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes 0
BONDS 440,185,263
LONG-TERM INSURANCE RESERVES 20,845,242
DUE TO/FROM GOVERNMENT PAYORS 26,172,377
OTHER LONG-TERM/NONCURRENT LIAB 2,775,840
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 489,978,722
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  

Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
INTENDED USE OF ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 THE PERMANENTLY RESTRICTED ENDOWMENT BALANCE INCLUDES $36,985,057 OF EGLESTON'S BENEFICIAL INTEREST IN TRUSTS AND $98,251,756 OF SCOTTISH RITE'S BENEFICIAL INTEREST 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 OF 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 INITIATIVES 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 (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 2015 AND 2014.
Schedule D (Form 990) 2015


Additional Data


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Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Part I
Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2015
Schedule G (Form 990 or 990-EZ) 2015
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.




VerticalRevenue
(a) Event #1

GALA
(event type) 		(b) Event #2

SPRING CLASSIC
(event type) 		(c) Other events

100
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
1,168,677
315,240
11,294,912
12,778,829

2
Less: Contributions . . . .
152,800
188,631
2,729,350
3,070,781
3 Gross income (line 1 minus
line 2) . . . . . .
1,015,877
126,609
8,565,562
9,708,048



VerticalDirectExpenses
4 Cash prizes . . . . .     20,000 20,000
5 Noncash prizes . . . .     119,856 119,856
6 Rent/facility costs . . . . 129,380 31,384 142,266 303,030
7 Food and beverages . . . 23,519   119,869 143,388
8 Entertainment . . . . 4,415 2,855 22,538 29,808
9 Other direct expenses . . . 57,388 78,070 1,117,048 1,252,506
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 1,868,588
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 7,839,460
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
40,212
40,212
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
49,998
49,998

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
57,388
78,070
1,117,048
1,252,506


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
52,673

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
-12,461

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2015
Schedule G (Form 990 or 990-EZ) 2015
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Gerald Pendrey
Address right arrow
1687 Tullie Circle
Atlanta,GA30329
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Denise Barnes
Gaming manager compensation right arrow $ 0
Description of services provided right arrow
Employee/Independent
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2015
Additional Data


Software ID:  
Software Version:  
SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    26,746,601 981,000 25,765,601 2.120 %
b Medicaid (from Worksheet 3, column a) . . . . .     589,944,205 532,144,000 57,800,205 4.750 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     616,690,806 533,125,000 83,565,806 6.870 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     26,341,562 4,321,258 22,020,304 1.810 %
f Health professions education (from Worksheet 5) . . .     19,212,947 9,417,145 9,795,802 0.810 %
g Subsidized health services (from Worksheet 6) . . . .     34,517,049 19,071,479 15,445,570 1.270 %
h Research (from Worksheet 7) .     45,102,120 13,487,305 31,614,815 2.600 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     2,198,879 0 2,198,879 0.180 %
j Total. Other Benefits . .     127,372,557 46,297,187 81,075,370 6.670 %
k Total. Add lines 7d and 7j .     744,063,363 579,422,187 164,641,176 13.540 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy     27,000   0  
8 Workforce development            
9 Other            
10 Total     27,000   0 0 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
17,885,308
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
6,262,000
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
5,235,000
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
1,027,000
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1SEE PART VI
  		OUTPATIENT SURGERY CENTER 51 %   49 %
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?2
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 EGLESTON CHILDREN'S HOSPITAL
1405 CLIFTON ROAD NE
ATLANTA,GA30322
CHOA.ORG
044-079 		X                 A
2 SCOTTISH RITE CHILDREN'S MEDICAL CTR
1001 JOHNSON FERRY ROAD NE
ATLANTA,GA30342
CHOA.ORG
060-303 		X                 A
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
GROUP A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		12
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): http://childrensatl.uberflip.com/i/227994-com
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
www.choa.org
b
www.choa.org
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 7
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
FORM 990, SCHEDULE H, PART V, SECTION B, LINE 5 LIST OF CHNA CONTRIBUTORS 1 Olatawa Adewale Manager, Office of Infectious Disease Control Clayton Health District, Jonesboro, GA 2 Tom Andrews President and CEO, Saint Josephs Health System President, Saint Josephs Mercy Care Services, Atlanta, GA 3 Rosalyn K. Bacon, MPH Deputy Director Clayton Health District, Jonesboro, GA 4 Carolyn Bannister, MD Director, Department of Operative Services, Chief of Anesthesia Childrens Healthcare of Atlanta Egleston, Atlanta, GA 5 Avril Beckford, MD Chief Pediatric Officer WellStar Health System WellStar Pediatric and Adolescent Center, Smyrna, GA 6 Bruce Beeber, MD, MPH Pediatrician Solo Practice, Conyers, GA 7 Jim Beiter Jr., MD Medical Director, Emergency Department Childrens Healthcare of Atlanta-Scottish Rite, Atlanta, GA 8 Helena Bentley, MD Pediatrician KidCare Pediatrics, College Park, GA 9 Susan Bertonaschi Director of Health Promotion Annie E. Casey Foundation - Atlanta Civic Site, Atlanta, GA 10 Rick Bonner, MD Executive Medical Director, Physician Practices Childrens Healthcare of Atlanta, Atlanta, GA 11 Robert W. Bruce, MD Pediatric Orthopedic Surgeon Emory Orthopedics Spine Center & Sports Medicine, Atlanta, GA 12 Alpha F. Bryan, MD District Health Director Clayton Health District, Jonesboro, GA 13 Robert Campbell, MD Chief Medical Officer, Sibley Heart Ctr, Chief of Cardiac Svcs Childrens Healthcare of Atlanta, Atlanta, GA 14 Nicola Chin, MD Pediatrician Kids First Pediatric Group, Stockbridge, GA 15 Gerald H. Clark, MD Pediatrician North Fulton Pediatrics, Roswell, GA 16 Lisa Crossman, MA Director, Clinical Prevention Services Cobb-Douglas Health District, Marietta, GA 17 Karen B. Dewling, MD Pediatrician Johns Creek Pediatrics, Suwanee, GA 18 Carla Doyle Parent and Member, Patient Advisory Committee Childrens Healthcare of Atlanta, Milton, GA 19 Pat Doyle Parent and Member, Patient Advisory Committee Childrens Healthcare of Atlanta, Milton, GA 20 Missy Dugan President and CEO Boys & Girls Clubs of Metro Atlanta, Atlanta, GA 21 Josephine R. Dunagan, MD Pediatrician Snellville Pediatrics, Snellville, GA 22 Maryann J. Fedack, MD Pediatrician Pediatric Physicians, Alpharetta, GA 23 Tom Finnerty CEO Kids Health First IPA, Atlanta, GA 24 Brenda Fitzgerald, MD Commissioner of Public Health Georgia Department of Public Health, Atlanta, GA 25 Jan Fitzgerald-Soapes, MD Pediatrician Childrens Medicine, Lawrenceville, GA 26 Runette Flowers, MD Pediatrician South DeKalb Pediatrics, Decatur, GA 27 James D. Fortenberry, MD Pediatrician in Chief Childrens Healthcare of Atlanta, Atlanta, GA 28 Patrick A. Frias, MD Chief, Physician Practices Childrens Healthcare of Atlanta, Atlanta, GA 29 Ronald E. Frieson Chief Public Policy Officer Childrens Healthcare of Atlanta, Atlanta, GA 30 Sher Lynn Gardner, MD Pediatric Hospitalist Childrens Healthcare of Atlanta Hughes Spalding, Atlanta, GA 31 Jackie S. Gotlieb, MD Pediatrician, The Pediatric Center of Stone Mountain Medical Director, Kids Health First Pediatric Alliance, Atlanta, GA 32 Sally Goza, MD Pediatrician Piedmont Pediatric Physicians, Fayetteville, GA 33 Angela M. Hall, MD Pediatrician Pearl Pediatrics & Adolescent Medicine, Marietta, GA 34 James Hammons, LCSW Director of Residential Programs City of Refuge, Atlanta, GA 35 Patrice Harris, MD Director Health Services Fulton County Health & Wellness, Atlanta, GA 36 Debbie Heaton, RN Director, Child & School Health Cobb-Douglas Health District, Marietta, GA 37 Lloyd M. Hofer, MD, MPH District Health Director East Metro Health District Gwinnett, Newton, Rockdale County Health Dept., Lawrenceville, GA 38 Lucky Jain, MD Executive Medical Director, Faculty Practices Childrens Specialty Services, Atlanta, GA 39 John Jack Kennedy, MD District Health Director Cobb-Douglas Health District, Marietta, GA 40 Carolyn Kenney Chief Operating Officer (through May 2013) Childrens Healthcare of Atlanta, Atlanta, GA 41 Barbara King Parent and Member Patient Advisory Committee Children's Healthcare of Atlanta, Douglasville, GA 42 Vivian Lennon, MD Primary Care Medical Director Childrens Healthcare of Atlanta, Atlanta, GA 43 Burt Lesnick, MD President, Scottish Rite Medical Staff Georgia Pediatric Pulmonology Associates, Atlanta, GA 44 Robert Licata, MD Board Chair The Childrens Health Network, Atlanta, GA 45 Tania Lynch, RN, MSN, CLNC District Nursing and Clinical Director Clayton County Board of Health, Jonesboro, GA 46 Ophelia Mandock, MD Pediatrician Cobb-Douglas Health District, Marietta, GA 47 Cedric Miller, MD Chief, ED and Ambul. Service Line Childrens Healthcare of Atlanta President. Pediatric Emergency Medical Associates, Atlanta, GA 48 Wendolyn Miller, MPH Maternal & Child Health Coordinator Clayton County Board of Health, Jonesboro, GA 49 Roni Mintz Parent and Leader, Patient Advisory Council Childrens Healthcare of Atlanta, Atlanta, GA 50 Edward Munster President and CEO YMCA of Metro Atlanta, Atlanta, GA 51 Twanna Nelson Program Mgr. Making our Mothers Successful, Parents as Teachers Clayton County Board of Health, Jonesboro, GA 52 Rolanda Patrick, MPH Adolescent Health Program Manager, Teen Pregnancy Prevention Clayton County Board of Health, Jonesboro, GA 53 William R. Payne, MD Pediatrician Cartersville Pediatric Associates, Cartersville, GA 54 Sandra D. Pye, RN Child Health Nurse Coordinator, Children First Clayton County Board of Health, Jonesboro, GA 55 George Rauschbaum, MD Pediatric Surgeon Board Member, Childrens Healthcare of Atlanta, Atlanta, GA 56 Daniel Salinas, MD Chief Medical Officer Childrens Healthcare of Atlanta, Atlanta, GA 57 Michael Schmitz, MD Chief of Orthopedic Surgery Childrens Healthcare of Atlanta, Atlanta, GA 58 Julius Sherwinter, MD Pediatric Nephrologist Dunwoody Pediatrics and Childrens Kidney Center, Dunwoody, GA 59 Paul Spearman, MD Chief Research Officer Emory University, Atlanta, GA 60 Barbara J. Stoll, MD Chair, Depart of Pediatrics, Emory University School of Medicine President & CEO, Emory Childrens Center, Atlanta, GA 61 Jacqueline R. Sulton, MD Pediatrician Sulton Pediatrics, Lithonia, GA 62 Michelle Thatcher, RN First Care Nurse Specialist Clayton County Board of Health, Jonesboro, GA 63 Vasanne S. Tinsley, EdD Assistant Director of Student Support Services DeKalb County School District, Stone Mountain, GA 64 Yasmin Tyler-Hill, MD Interim Chair, Dept of Pediatrics, Morehouse School of Medicine MSM Pediatric Services, Grady Health System, Atlanta, GA 65 Joseph K. Williams, MD Director of Clinical Research, Center for Craniofacial Disorders Pediatric Plastic and Craniofacial Associates, Atlanta, GA 66 William G. Woods, MD Director, AFLAC Cancer & Blood Disorders Center Childrens Healthcare of Atlanta, Atlanta, GA 67 Mark Wulkan, MD Surgeon in Chief Childrens Healthcare of Atlanta, Atlanta, GA Schedule H, Part V, Section B, Line 6a The CHNA was conducted with both Egelston Children's Hospital and the related Scottish Rite Hospital. Form 990, Schedule H, Part V, Section B, Line 7a The CHNA Report was widely available to the public at the hospital facility's website listed below: http://childrensatl.uberflip.com/i/227994-community-health-needs-assessmen t-2013 Schedule H, Part V, Part B, Line 11 Our Implementation Strategy Unique implementation plans for Egleston and Scottish Rite hospitals are included in the CHNA report located at www.choa.org or at http://childrensatl.uberflip.com/i/227994-community-health-needs-assessmen t-2013/2. Due to the long history of Children's working with the community, the health needs uncovered in the assessment were not unexpected. Each of the 10 needs is actively being addressed in some capacity by existing and ongoing programs and services of Children's. Additionally, there are many organizations in the community that are addressing these needs as well. Due to limited resources and the extraordinary cost of providing highly specialized care to children throughout Georgia, the Children's community health needs implementation strategy is focused on leveraging existing programs, services and resources where possible and focuses on the health need priorities of children and adolescents who reside in our 18-county, metropolitan Atlanta primary and secondary service area communities. In addition to leveraging existing programs, over the next three years, Children's will place special emphasis on three of the top four needs, as these tightly align with our strategic plan. These needs are: - Need for ensuring access to continuity and coordination of quality pediatric health services through development of "medical homes - Need for programs to reduce the prevalence of overweight and obese children and adolescents within the community; and - Need for ensuring access to affordable pediatric psychiatry, neurology, pulmonary medicine and rheumatology services for infants, children and adolescents. Form 990, Schedule H, Part V, Section B, Line 16a THE FAP WAS WIDELY AVAILABLE TO THE PUBLIC AT THE HOSPITAL FACILITY'S WEBSITE LISTED BELOW: htt
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 8
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?31
Name and address Type of Facility (describe)
1 Marcus Autism Center
1920 Briarcliff Road
Atlanta,GA30329 		Outpatient Services
2 CHILDREN'S OUTPTIENT SURG CTR SAT BLVD
2620 Satellite Boulevard
DULUTH,GA30096 		OUTPATIENT SERVICES
3 Children's Medical Office Building
5455 Meridian Mark Road NE
ATLANTA,GA30342 		Outpatient Services
4 Children's Specialty Services
2015 Uppergate Drive
ATLANTA,GA30322 		Outpatient SERVICES
5 Children's at Meridian Mark LLC
5445 Meridian Mark Road NE
Atlanta,GA30342 		Outpatient Services
6 Children's at North Druid Hills
1605 Chantilly Drive NE
Atlanta,GA30324 		Outpatient services
7 Children's at Forsyth
410 Peachtree Parkway
Cumming,GA30041 		Outpatient Services
8 Children's at Satellite Boulevard
2660 Satellite Boulevard
Duluth,GA30096 		Outpatient Services
9 Children's at Town Center
625 Big Shanty Road NW
Kennesaw,GA30144 		Outpatient Services
10 Children's at Webb Bridge
3155 North Point Parkway
Alpharetta,GA30005 		Outpatient services
11 Children's at Sandy Plains
3618 Sandy Plains Road
Marietta,GA30066 		Outpatient services
12 Children's at Fayette
1265 Highway 54 West
FAYETTEVILLE,GA30214 		OUTPATIENT SERVICES
13 Children's at Mount Zion
2201 Mount Zion Parkway
MORROW,GA30260 		OUTPATIENT SERVICES
14 Children's at Alpharetta Highway
11835 Alpharetta Highway
ROSWELL,GA30076 		OUTPATIENT SERVICES
15 Children's at Cobb
1371 Church Street Extension
Marietta,GA30060 		OUTPATIENT SERVICES
16 Children's at Hudson Bridge
1510 Hudson Bridge Road
STOCKBRIDGE,GA30281 		OUTPATIENT SERVICES
17 Children's at North Point
3795 Mansell Road
ALPHARETTA,GA30022 		OUTPATIENT SERVICES
18 Primary Care Center of Chamblee
4166 Buford Highway
ATLANTA,GA30345 		OUTPATIENT SERVICES
19 Day Rehabilitation Center
993-F Johnson Ferry Road NE
ATLANTA,GA30342 		OUTPATIENT SERVICES
20 Children's at Hamilton Mill
2108 Teron Trace
DACULA,GA30019 		OUTPATIENT SERVICES
21 Children's at Duluth
2270 Duluth Hwy 120
DULUTH,GA30097 		OUTPATIENT SERVICES
22 Children's at Snellville
2220 Wisteria Drive
Snellville,GA30078 		OUTPATIENT SERVICES
23 Children's at Executive Park
6 Executive Park Drive NE
ATLANTA,GA30329 		OUTPATIENT SERVICES
24 Children's at Marietta
175 White Street
MARIETTA,GA30060 		OUTPATIENT SERVICES
25 Children's at Old Milton Parkway
3300 Old Milton Parkway
Alpharetta,GA30005 		OUTPATIENT SERVICES
26 Children's at Suwanee
3640 Burnette Road
SUWANEE,GA30024 		OUTPATIENT SERVICES
27 Northside Professional Center
975 Johnson Ferry Road NE
Atlanta,GA30342 		OUTPATIENT SERVICES
28 Children's at Century Boulevard
1975 Century Boulevard
Atlanta,GA30345 		OUTPATIENT SERVICES
29 Children's at Ivy Walk
1675 Cumberland Parkway Suite 305
Smyrna,GA30080 		Outpatient Services
30 Childrens at Cherokee
1554 Riverstone Parkway
Canton,GA30114 		Outpatient Services
31 Pavilion at Lake Hearn
1100 Lake Hearn Dr Ste 450
Atlanta,GA30342 		Outpatient Services
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 9
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
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, 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 $17,885,308 has been removed from total expense. Community Building Activities Part II Children's Healthcare Building activities include: Action for Healthy Kids: Childrens is part of the AFHK State Team, an affiliate under the AFHK organization. Together the team identifies opportunities for collaboration to promote nutrition and physical activity as well as workshops to help schools with wellness policy needs and provide update son resources available to schools across Georgia. Aetna Health Career Academy: Childrens partnered with the Aetna Foundation, Morehouse School of Medicine and Emory School of Medicine to deliver education and career coaching to high school sophomores considering a career in health. Childrens Strong4Life dietitians and exercise physiologists coached students from four underserved Atlanta high schools throughout 2015. Atlanta Falcons Youth Foundation: Childrens attends and frequently presents at monthly meetings with other grantee organizations to discuss project details related to program development and implementation. The primary purpose of this meeting is to support collaborative relationships between grantee organizations and to sustain partnerships. Atlanta Public Schools Wellness Committee: Childrens participates in the Atlanta Public Schools District Wellness Council meetings, in which organizations come together to highlight current APS work and discuss new ways to partner to better student health and wellness at APS. This also provides an opportunity to provide guidance on the districts school wellness policy. Cobb 2020: The Cobb2020 Partnership is a partnership of community organizations and individuals dedicated to promoting healthy lifestyles and the delivery of essential health services in Cobb County. The partnership completed a community health assessment, and developed a Health Improvement Plan, targeting the reduction and prevention of chronic diseases such as diabetes, stroke, heart disease and cancer. Farm to Preschool: Farm to Preschool is a coalition of organizations committed to promoting nutrition education, local foods, and gardening in early care and education programs throughout Georgia. Strategy meetings were held in 2015 to lay the groundwork for the statewide coalition to begin meeting officially in 2016. Fulton County Board of Health Diabetes Design Team: Childrens served as a founding member of the Diabetes Design Team, a coalition of public health experts and community members working together to provide diabetes education to elementary and middle school students in Fulton County, Georgia. Georgia Association for Health Literacy: Childrens is an active member of the Georgia Association for Health Literacy, a coalition dedicated to improving health literacy and access to healthcare for all Georgians. Partner organizations include the Georgia Hospital Association, Emory School of Nursing, Emory School of Medicine, Merck Pharmaceuticals, the University of Georgia, Georgia Watch, Georgia State University, the Georgia Dental Association and others. Georgia Campaign for Adolescent Power and Potential: Childrens participates in GCAPPs Adolescent Services Network workgroup, providing education and resources regarding adolescent health and wellness. Georgia Farm to School Alliance: Childrens is a member in this network that joins statewide agencies working in food, farming and nutrition to collaborate and provides updates on resources and support for Farm to School, and creates a dialogue for building statewide programming. Georgia SHAPE: Childrens participates on the SHAPE advisory board and several workgroups. This statewide Governor-led initiative brings together governmental, philanthropic, academic and business communities to address childhood obesity in Georgia. Georgia SHAPE works to: reach disparate populations, increase the aerobic capacity measure of Georgias youth, increase the breastfeeding rate across Georgia, and increase the number of early care centers that excel in nutrition and physical activity measures. Gwinnett Coalition for Health and Human Services: Childrens participates in the Gwinnett Coalition for Health and Human Services Health and Wellness Committee. The county-wide initiative brings several partners together to promote initiatives that educate and increase awareness related to obesity, healthy lifestyles and substance abuse prevention. Target populations include youth, seniors, and low-income communities. Live Healthy Gwinnett: Childrens collaborated closely with Gwinnett County Parks and Recreation in their health and wellness efforts that laid the foundation for Live Healthy Gwinnett. Live Healthy Gwinnett promotes positive change in the Gwinnett community and encourages people to be active, eat healthy, get checked, and be positive. The initiative brings several local partners to the table to plan events, develop partnerships, and seek grant opportunities. Bad Debt Expense Part III, Line 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. 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. 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 identifying 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% 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 KIDS BETTER TODAY AND HEALTHIER TOMORROW". WE ACHIEVE THIS MISSION THROUGH OUR BEST CARE... HEALTHIER KIDS VISION 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 VISION, 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 O
DELIVER THE BEST CARE CHILDREN'S IS THE LARGEST PEDIATRIC PROVIDER IN GEORGIA, SERVING ALMOST 9 OUT OF 10 PEDIATRIC INPATIENT CASES IN THE ATLANTA MSA AND CLOSE TO 6 OUT OF 10 STATEWIDE. IN 2015, CHILDREN'S SAW MORE THAN 368,000 UNIQUE PATIENTS ORIGINATING FROM ALL 159 GEORGIA COUNTIES. CHILDREN'S HAS AMONG THE HIGHEST VOLUMES OF ALL THE TOP PEDIATRIC HOSPITALS IN THE NATION. 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 2015, 50 PERCENT OF OUR PEDIATRIC RESIDENTS 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, ATLANTA MEDICAL CENTER, AND DUKE UNIVERSITY MEDICAL CENTER (ORTHOPAEDICS). 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. THE EMORY-CHILDREN'S PEDIATRIC RESEARCH CENTER IS A PARTNERSHIP BETWEEN EMORY AND CHILDREN'S HEALTHCARE OF ATLANTA TO FACILITATE NEW OPPORTUNITIES FOR RESEARCH AND SERVE AS A RESOURCE FOR PHYSICIANS FROM THROUGHOUT CHILDREN'S AND EMORY. THE CENTER IS A 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. CHILDREN'S, EMORY AND GEORGIA TECH ARE INVESTING IN PEDIATRIC RESEARCH TOGETHER. OUR RESEARCH CENTERS ARE: AFLAC CANCER CENTER AND BLOOD DISORDERS CENTER, HEART RESEARCH AND OUTCOMES CENTER, CENTER FOR CLINICAL AND TRANSLATIONAL RESEARCH, CENTER FOR CYSTIC FIBROSIS AND AIRWAYS DISEASE RESEARCH, CENTER FOR DRUG DISCOVERY, CENTER FOR TRANSPLANTATION AND IMMUNE-MEDIATED DISORDERS; CENTER FOR CHILDHOOD INFECTIONS AND VACCINES, CENTER FOR NEUROSCIENCES RESEARCH, CLINICAL OUTCOMES RESEARCH AND PUBLIC HEALTH, AND MARCUS AUTISM CENTER. CHILDREN'S IS AFFILIATED WITH EMORY'S DEPARTMENT OF PEDIATRICS, ONE OF THE FASTEST GROWING RECIPIENTS OF NIH FUNDING IN THE COUNTRY. IN 2015, IT WAS RANKED NO. 6 IN NIH FUNDING. 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. 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 2015, CHILDREN'S CONTINUED MAKING STRIDES WITH STRONG4LIFE, A PROGRAM TO LEAD THE FIGHT AGAINST CHILDHOOD OBESITY IN GEORGIA. IN 2015, STRONG4LIFE REACHED AND SERVED MORE THAN 442,000 GEORGIA CHILDREN THROUGH PHYSICIAN, CAMP, SCHOOL AND DAY CARE PROGRAMS. IN ADDITION, CHILDREN'S TRAINED 376 HEALTHCARE PROVIDERS. THE HEALTH4LIFE CLINIC SAW MORE THAN 1,275 PATIENT VISITS, AND CAMP STRONG4LIFE HOSTED 96 CAMPERS AND FAMILY MEMBERS. 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 2015. DEMOGRAPHICS OF THE 10.2 MILLION PEOPLE WHO LIVE IN GEORGIA, 2.5 MILLION (25 PERCENT) OF THOSE ARE CHILDREN (DEFINED AS THOSE LESS THAN 18 YEARS OF AGE). APPROXIMATELY 1.4 MILLION CHILDREN LIVE IN THE ATLANTA MSA, MAKING IT THE SEVENTH LARGEST PEDIATRIC POPULATION AMONG THE TOP 10 LARGEST METRO AREAS IN THE UNITED STATES. THE LARGEST POPULATION OF CHILDREN IN THE ATLANTA MSA BY AGE COHORT IS CHILDREN AGES TEN TO FOURTEEN YEARS OLD (JUST UNDER 404,000). THE ATLANTA MSA POPULATION IS RACIALLY DIVERSE: 49.0 PERCENT WHITE, 32.2 PERCENT BLACK OR AFRICAN AMERICAN, 11.0 PERCENT HISPANIC OR LATINO, 5.4 PERCENT ASIAN/PACIFIC ISLANDER, AND 2.4 PERCENT OTHER. THE 2015 ESTIMATED AVERAGE HOUSEHOLD INCOME FOR RESIDENTS IN THE ATLANTA MSA IS APPROXIMATELY $56,000 AS COMPARED TO $42,000 FOR RESIDENTS IN OTHER GEORGIA COUNTIES.
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 1,900 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: ORTHOPEDIC, NEUROSCIENCES, AND CRANIOFACIAL TO NAME A FEW. MORE THAN 10,000 EMPLOYEES WORK AT SCOTTISH RITE AND EGLESTON PROVIDING CARE FOR OVER 923,000 PATIENT VISITS THEY MANAGED IN 2015. IN 2015, CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROMOTED THE HEALTH OF THE OVERALL COMMUNITY AND PROVIDED 575 LICENSED BEDS AND 368,342 UNIQUE PATIENTS (FROM ALL 159 COUNTIES IN GEORGIA), 26,553 HOSPITAL ADMISSIONS, 151,419 INPATIENT DAYS, 888,722 OUTPATIENT VISITS, 40,252 SURGICAL PROCEDURES, 229,849 EMERGENCY DEPARTMENT VISITS, AND 138,407 URGENT CARE CENTER VISITS. IN ADDITION, CHILDREN'S MANAGED 24,243 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 PROVIDE HIGH QUALITY TRAUMA CARE TO PEDIATRIC PATIENTS. CHILDREN'S HAS THE ONLY DESIGNATED PEDIATRIC TRAUMA CENTERS IN GEORGIA. TRAUMA IS THE NUMBER ONE 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 "COMMUNITY AND GOVERNMENT AFFARIS" SECTION. THERE IS ALSO A SECTION TITLED "OUR IMPACT ON GEORGIA" TO SHOW OUR BROADER IMPACT ON THE STATE.
Schedule H (Form 990) 2015
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number
90-0779996
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) EMORY UNIVERSITY
1440 CLIFTON ROAD
ATLANTA,GA30322 		58-0566256 501(c)(3) 2,015,000       RESEARCH BUILDING FUND WORKING CAPITAL DEFICIT
(2) CHILDREN'S HC OF ATLANTA AT HUGHES SPALDING
35 JESSE HILL DRIVE
ATLANTA,GA30303 		26-2037695 501(c)(3) 183,879       FUND WORKING CAPITAL DEFICIT
(3) CHILDREN'S HC OF ATLANTA AT HUGHES SPALDING
35 Jesse Hill Drive
Atlanta,GA30303 		26-2037695 501(c)(3) 1,722,448       FUND WORKING CAPITAL DEFICIT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
3
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash assistance
(1) Nursing Scholarship 3 6,000      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PROCEDURES FOR MONITORING THE USE OF GRANTS SCHEDULE I, PART I, LINE 2 CHANCES GRANTS PROVIDE TUITION EQUIVALENT ASSISTANCE FOR UP TO TWO YEARS. APPLICANTS MUST BE ACCEPTED INTO A BACHELOR OF SCIENCE IN NURSING 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 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.
Schedule I (Form 990) 2015



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Andrew ReisnerNeurosurgeon (i)

(ii)		 771,218
-------------
0 		62,053
-------------
0 		21,999
-------------
0 		0
-------------
0 		25,629
-------------
0 		880,899
-------------
0 		0
-------------
0
2William BoydstonPrac Dir Neursurgical Svcs (i)

(ii)		 840,647
-------------
0 		70,705
-------------
0 		21,638
-------------
0 		0
-------------
0 		23,731
-------------
0 		956,721
-------------
0 		0
-------------
0
3Barbara Stoll MDIndiv Trustee - MAC PED CTR LD (i)

(ii)		 0
-------------
187,715 		0
-------------
42,473 		0
-------------
7,444 		0
-------------
0 		0
-------------
2,069 		0
-------------
239,701 		0
-------------
0
4Robert C WildeInd Trustee - HSOC/CTO (i)

(ii)		 310,890
-------------
0 		85,850
-------------
0 		20,139
-------------
0 		10,200
-------------
0 		26,665
-------------
0 		453,744
-------------
0 		0
-------------
0
5Daniel Salinas MDCMO/INDIV. TRUSTEE - ECH/SR/EA (i)

(ii)		 0
-------------
438,916 		0
-------------
137,657 		0
-------------
19,032 		0
-------------
96,949 		0
-------------
23,349 		0
-------------
715,903 		0
-------------
0
6Raymond ReynoldsVP Dev Fdn Major/Planned Gifts (i)

(ii)		 190,993
-------------
0 		48,033
-------------
0 		2,282
-------------
0 		0
-------------
0 		2,417
-------------
0 		243,725
-------------
0 		0
-------------
0
7Rex AdamsINDIV TRSTEE - HSOC COO-ECH (i)

(ii)		 0
-------------
112,949 		0
-------------
165,701 		0
-------------
4,050 		0
-------------
1,664 		0
-------------
4,103 		0
-------------
288,467 		0
-------------
0
8Ronald FriesonIndiv Trustee - HSOC/PRES FDN (i)

(ii)		 0
-------------
359,168 		0
-------------
99,144 		0
-------------
10,471 		0
-------------
10,200 		0
-------------
11,819 		0
-------------
490,802 		0
-------------
0
9Donna HylandPres/CEO - ECH/SR/EAS/EPG/MAC (i)

(ii)		 0
-------------
992,197 		0
-------------
346,135 		0
-------------
36,544 		0
-------------
270,693 		0
-------------
17,777 		0
-------------
1,663,346 		0
-------------
0
10Ruth FowlerTreas ECH/SR/FDN/EAS/EPG/MAC (i)

(ii)		 0
-------------
492,606 		0
-------------
154,004 		0
-------------
16,610 		0
-------------
97,051 		0
-------------
18,089 		0
-------------
778,360 		0
-------------
0
11Leslie JonesSec - ECH/SR/EAS/EPG/MAC/HSOC (i)

(ii)		 0
-------------
350,038 		0
-------------
92,880 		0
-------------
3,999 		0
-------------
0 		0
-------------
30,291 		0
-------------
477,208 		0
-------------
0
12Eugene HayesPresident Foundation - FDN (i)

(ii)		 302,334
-------------
0 		94,695
-------------
0 		24,147
-------------
0 		0
-------------
0 		101,748
-------------
0 		522,924
-------------
0 		0
-------------
0
13Beth BoatwrightSr Dir Financial Oper. ECH/SR (i)

(ii)		 154,790
-------------
0 		30,685
-------------
0 		484
-------------
0 		0
-------------
0 		19,520
-------------
0 		205,479
-------------
0 		0
-------------
0
14Mary Beth BovaSVP OPS-ECH/IND TRUSTEE-HSOC (i)

(ii)		 249,537
-------------
0 		69,276
-------------
0 		24,891
-------------
0 		3,756
-------------
0 		17,949
-------------
0 		365,409
-------------
0 		0
-------------
0
15Timothy KingVP Physician Practices Ops (i)

(ii)		 190,727
-------------
0 		50,426
-------------
0 		20,117
-------------
0 		8,800
-------------
0 		27,955
-------------
0 		298,025
-------------
0 		0
-------------
0
16Jill StricklandSVP Physician Practices Ops (i)

(ii)		 235,574
-------------
0 		62,866
-------------
0 		1,861
-------------
0 		8,917
-------------
0 		23,782
-------------
0 		333,000
-------------
0 		0
-------------
0
17Jim Fortenberry MDIndiv Trustee-FDN (i)

(ii)		 0
-------------
222,471 		0
-------------
51,492 		0
-------------
3,647 		0
-------------
0 		0
-------------
24,313 		0
-------------
301,923 		0
-------------
0
18Scott HodovalVP Dev Ann Corp Giving - Fdn (i)

(ii)		 190,162
-------------
0 		51,899
-------------
0 		7,492
-------------
0 		6,280
-------------
0 		24,253
-------------
0 		280,086
-------------
0 		0
-------------
0
19Robert BentleyVP Corporate Development - FDN (i)

(ii)		 170,301
-------------
0 		50,739
-------------
0 		20,310
-------------
0 		2,657
-------------
0 		22,889
-------------
0 		266,896
-------------
0 		0
-------------
0
20Stacey DeweeseVP Operations-SR (i)

(ii)		 161,540
-------------
0 		34,638
-------------
0 		18,922
-------------
0 		4,951
-------------
0 		24,567
-------------
0 		244,618
-------------
0 		0
-------------
0
21John BleacherSurgeon (i)

(ii)		 660,063
-------------
0 		215,788
-------------
0 		20,139
-------------
0 		9,487
-------------
0 		12,580
-------------
0 		918,057
-------------
0 		0
-------------
0
22Julie GlassonSurgeon (i)

(ii)		 620,367
-------------
0 		221,258
-------------
0 		25,343
-------------
0 		9,487
-------------
0 		15,087
-------------
0 		891,542
-------------
0 		0
-------------
0
23Joseph BusseySurgeon (i)

(ii)		 613,650
-------------
0 		201,015
-------------
0 		2,203
-------------
0 		0
-------------
0 		26,231
-------------
0 		843,099
-------------
0 		0
-------------
0
24Farah ChapesIndividual Trustee-MAC (i)

(ii)		 187,094
-------------
0 		26,591
-------------
0 		841
-------------
0 		6,690
-------------
0 		25,296
-------------
0 		246,512
-------------
0 		0
-------------
0
25Pat FriasIndvid Trstee-MAC (i)

(ii)		 0
-------------
570,919 		0
-------------
165,701 		0
-------------
15,749 		0
-------------
110,862 		0
-------------
20,277 		0
-------------
883,508 		0
-------------
0
26Tonja BridgesDir Fdn Admn/Brd Corp Sect-Fdn (i)

(ii)		 114,888
-------------
0 		13,399
-------------
0 		1,191
-------------
0 		2,292
-------------
0 		23,875
-------------
0 		155,645
-------------
0 		0
-------------
0
27Donald MuellerVP Operations/Ind Trustee-MAC (i)

(ii)		 127,758
-------------
0 		48,311
-------------
0 		434
-------------
0 		0
-------------
0 		17,876
-------------
0 		194,379
-------------
0 		0
-------------
0
28Julia JonesVP Operations - HSOC (i)

(ii)		 191,450
-------------
0 		45,983
-------------
0 		2,356
-------------
0 		0
-------------
0 		26,650
-------------
0 		266,439
-------------
0 		0
-------------
0
29Burt LesnickFORMER IND TRUSTEE/MEDICAL DR (i)

(ii)		 198,983
-------------
0 		25,000
-------------
0 		13,798
-------------
0 		7,124
-------------
0 		6,552
-------------
0 		251,457
-------------
0 		0
-------------
0
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
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 OF A 401 (A) RETIREMENT PLAN FOR EMPLOYEES WHO WORK AT LEAST 1,000 HOURS IN THE CALENDAR YEAR AND ARE EMPLOYED ON 12/31/2015. 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 CLASS 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 PURPOSE ASSOCIATED WITH SUCH FLIGHTS.
SUPPLEMENTAL COMPENSATION INFORMATION 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 2015: DONNA HYLAND $270,693.28 RUTH FOWLER $97,051.38 DANIEL SALINAS $86,749.34
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.
Schedule J (Form 990) 2015
Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2015
Schedule L (Form 990 or 990-EZ) 2015
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) BUSINESSRX CONSULTING SEE SCHEDULE L. PART V 69,000 SEE SCHEDULE L. PART V Yes  
(2) JACKSON DYER SEE SCHEDULE L. PART V 8,303 SEE SCHEDULE L. PART V Yes  
(3) KATE DIXON SEE SCHEDULE L. PART V 90,000 SEE SCHEDULE L. PART V Yes  
(4) STAR MILLER SEE SCHEDULE L. PART V 86,505 SEE SCHEDULE L. PART V Yes  
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Business Transactions involving interested persons SCHEDULE L, PART IV (A) BUSINESSRX CONSULTING (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION - LARRY SMITH A BOARD MEMBER OF MAC AND IS A 50% PARTNER OF BUSINESSRX CONSULTING. (C) 69,000 (D) DESCRIPTION OF TRANSACTION BUSINESSRX CONSULTING PROVIDES CONSULTING FOR THE CARDIAC OPERATION AND AT MARCUS AUTISM. IN ALL CASES, THEIR WORK CENTERED ON PATIENT FLOW FROM INTAKE TO DISCHARGE (A) JACKSON DYER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION - JACKSON DYER, AN EMPLOYEE WORKING AT SCOTTISH RITE, IS THE SON OF JOHN DYER, WHO IS A BOARD MEMBER OF MAC (C) 8,303 (D) DESCRIPTION OF TRANSACTION JACKSON DYER RECEIVED COMPENSATION AS AN EMPLOYEE OF CHOA (A) KATE DIXON (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION - KATE DIXON, AN EMPLOYEE WORKING AS A RN IN CARDIAC AT EGLESTON, IS THE DAUGHTER OF BERNIE DIXON, WHO IS A TRUSTEE FOR CHOA, ECH, SR EAS, AND EPG (C) 90,000 (D) DESCRIPTION OF TRANSACTION - KATE DIXON RECEIVED COMPENSATION AS AN EMPLOYEE OF CHOA (A) STAR MILLER (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION - AN EMPLOYEE WORKING AS FOR CHOA, IS THE WIFE OF CEDRIC MILLER, WHO IS BOARD MEMBER OF CHOA (C)86,505 (D) DESCRIPTION OF TRANSACTION - STAR MILLER RECEIVED COMPENSATION AS AN EMPLOYEE OF CHOA
Schedule L (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 66 1,562,837 Cost/Selling Price
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( )
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2015)
Schedule M (Form 990) (2015)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Part I, Line 9, Column B The amount of 66 represents the number of contributors.
Schedule M (Form 990) (2015)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Return Reference Explanation
VOLUNTEERS FORM 990, PART I, LINE 6 CHILDRENS RELIES ON VOLUNTEER SUPPORT TO RAISE FUNDS IN OUR COMMUNITY THROUGH ORGANIZING OR VOLUNTEERING AT EVENTS. INDIVIDUALS AND CORPORATIONS WORK WITH CHILDRENS TO HOST AND SUPPORT NUMEROUS COMMUNITY, SPORTS AND HOLIDAY EVENTS, ALL TO BENEFIT OUR NOT-FOR-PROFIT ORGANIZATION. IN 2015, MORE THAN 6,000 VOLUNTEERS SUPPORTED CHILDRENS 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 CHILDRENS STAFF, CHILDRENS 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.
BUSINESS & FAMILY RELATIONSHIPS FORM 990, PART VI, LINE 2 CEDRIC MILLER AND DAVID FAGAN HAVE A BUSINESS RELATIONSHIP. BERNIE MARCUS AND FREDERICK R. MARCUS HAVE A FAMILY RELATIONSHIP. JOHN MONTAG AND JACKIE MONTAG HAVE A FAMILY RELATIONSHIP.
MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 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.
POWER TO ELECT OR APPOINT MEMBERS FORM 990, PART VI, LINE 7A THE BYLAWS OF EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, 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.
DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 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 DIRECT OR INDIRECT APPROVAL OF CHOA. THESE ACTIONS INCLUDE: APPOINTMENT OR REMOVAL OR 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 OR 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.
PROCESS USED TO REVIEW THE FORM 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 FINAL APPROVAL AND FILING.
MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT 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 DELGATED POWERS, OFFICER OR "KEY MANAGEMENT EMPLOYEEA 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.
PROCESS FOR DETERMINING COMPENSATION FORM 990, PART VI, LINE 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 COMPETITIVENESS AND REASONABLENESS OF THE TOTAL COMPENSATION PACKAGE FOR "DISQUALIFIED PERSONSOTHER EXECUTIVES AND LEADERS TO THE BOARD. USING MARKET DATA PROVIDED BY THE THIRD PARTY RELATED 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 RECOMMENDATION 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 INT POLICY & FIN STMTS TO GEN PUB FORM 990, PART VI, LINE 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 & CEO AT MAC/ ECH/ SRCH/ EAS/ EPG/ HSOC- CHAIRMAN
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 $29,634,600 TOTAL OTHER RECONCILING ITEMS ($6,438,389) ------------ TOTAL OTHER CHANGES $23,196,211 ============
OTHER CHANGES IN NET ASSETS OR FUND BALANCES Form 990, Part XI, Line 9 Prior to 2015, Childrens Healthcare of Atlanta, Inc. accounted for its investments in non-marketable securities without readily determinable fair values where its ownership interest was less than 5% using the cost method of accounting. Effective January 1, 2015, Childrens adopted the equity method of accounting for these investments. This is a change in accounting principle, and accordingly, the 2014 consolidated financial statements have been retrospectively adjusted to reflect the change.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) CHILDREN'S SEDATION SERVICES LLC
1587 Northeast Expressway
Atlanta,GA30329
81-0582607 		Phy Services GA 1,173,600 0 Egleston Ped
 
(2) CHILDREN'S ANESTHESIA SERVICES LLC
1587 Northeast Expressway
Atlanta,GA30329
20-0044124 		Phy Services GA 7,984,587 0 Egleston Ped
 
(3) CHOA CENTER FOR PAIN RELIEF LLC
1587 Northeast Expressway
Atlanta,GA30329
32-0185406 		Phy Services GA 428,172 0 Egleston Ped
 
(4) PEDIATRIC NEUROSURGERY ASSOCIATES
1587 Northeast Expressway
Atlanta,GA30329
26-0833842 		Phy Services GA 4,145,073 0 Egleston Ped
 




Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Children's Healthcare of Atlanta Inc
1587 Northeast Expressway

Atlanta,GA30329
58-2367819 		Hlthcre Mgmt GA 501(c)(3) 11b NA
 
 
No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) MERIDIAN MARK LLC

1587 Northeast Expressway
Atlanta,GA30329
01-0723254 		Surgery Center GA Scottish Rite
  		Related 8,599,331 14,036,913   No     No 51.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) THE CHILDREN'S HEALTH NETWORK INC

1584 Tullie Circle
Atlanta,GA30329
58-2133795 		Healthcare SVCS GA CHOA
  		C Corp 0 0 100.000 % Yes  
(2) Emory-Egleston Children's Heart Center

2835 BRANDYWINE ROAD SUITE 300
Atlanta,GA30329
58-1871713 		CARDIAC SERVICES GA CHOA
  		C Corp 0 0 100.000 % Yes  
(3) The Children Care Network

1584 Tullie Circle
Atlanta,GA30329
47-1373158 		PHYSICIAN SVCS GA CHOA
  		C Corp 0 0 100.000 % Yes  
(4) CHARITABLE REMAINDER TRUSTS (2)

One West Fourth Street
WinstonSalem,NC27101
 SPLIT INT. TRUST NC NA
  		T 13,077 559,176     No
(5) CHARITABLE REMAINDER TRUSTS (2)

303 Peachtree Street
Atlanta,GA30303
 SPLIT INT. TRUST GA NA
  		T 6,049 222,739     No
(6) LAURIE DAVIS WEBSTER TRUST

303 Peachtree Street
Atlanta,GA30303
58-6026013 		CHARITABLE TRUST GA NA
  		T 2,160 86,983 100.000 %   No
(7) WE CHAPLIN TRUST

303 Peachtree Street
Atlanta,GA30303
58-6026010 		CHARITABLE TRUST GA NA
  		T 330 13,647 100.000 %   No
(8) THOMAS EGLESTON TRUST

303 Peachtree Street
Atlanta,GA30303
58-6026009 		CHARITABLE TRUST GA NA
  		T 368,516 20,358,202 100.000 %   No
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) THOMAS EGLESTON

 C 368,516 CASH TRANSFER





Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2015

Additional Data


Software ID:  
Software Version: