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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2019 , and ending 12-31-2019
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)
1575 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 $ 2,046,303,068
F Name and address of principal officer:
DONNA HYLAND
1575 Northeast Expressway
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: GA
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 82
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 74
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 13,415
6 Total number of volunteers (estimate if necessary) ............. 6 11,197
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 39 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 99,007,975 130,320,916
9 Program service revenue (Part VIII, line 2g) ......... 1,690,409,483 1,815,858,818
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 21,349,235 69,110,468
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 20,743,227 20,919,247
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 1,831,509,920 2,036,209,449
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 4,545,271 1,313,259
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) 948,648,201 1,003,203,678
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet15,424,118    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 596,809,442 617,887,795
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,550,002,914 1,622,404,732
19 Revenue less expenses. Subtract line 18 from line 12....... 281,507,006 413,804,717
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 4,318,871,883 4,849,817,153
21 Total liabilities (Part X, line 26)............. 865,829,048 1,657,762,635
22 Net assets or fund balances. Subtract line 21 from line 20..... 3,453,042,835 3,192,054,518
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 (2019)
Form 990 (2019)
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 $ 1,354,499,049 including grants of $ 1,312,259 ) (Revenue $ 1,829,612,797 )
THE CHILDRENS 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 CHILDRENS HEALTHCARE OF ATLANTA. IN 2019, THE FOUNDATION HAD 86 PAID STAFF AND MORE THAN 10,000 HOSPITAL AND EVENT VOLUNTEERS. IN 1998, EGLESTON CHILDREN'S HEALTH CARE SYSTEM AND SCOTTISH RITE MEDICAL CENTER CAME TOGETHER TO FORM CHILDREN'S HEALTHCARE OF ATLANTA - ONE OF THE LARGEST PEDIATRIC SYSTEMS IN THE COUNTRY. THE NEW SYSTEM HAD A SINGLE PRIORITY: FAMILY-CENTERED CARE. IN 2006, CHILDREN'S ASSUMED RESPONSIBILITY FOR THE MANAGEMENT OF SERVICES AT HUGHES SPALDING CHILDREN'S HOSPITAL, GROWING THE SYSTEM TO THREE HOSPITALS AND 27 NEIGHBORHOOD LOCATIONS. IN 2019, THE THREE HOSPITALS OPERATED BY CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROVIDED 673 LICENSED BEDS AND MANAGED 1,205,697 PATIENT VISITS, 444,076 UNIQUE PATIENTS, 26,818 HOSPITAL ADMISSIONS, 164,453 INPATIENT DAYS, 1,170,880 OUTPATIENT VISITS, 44,993 SURGICAL PROCEDURES (INPATIENT AND OUTPATIENT), 244,403 EMERGENCY DEPARTMENT VISITS, 194,669 URGENT CARE CENTER VISITS AND 42,595 PRIMARY CARE VISITS. CHILDRENS ALSO MANAGED 69,507 CALLS FROM PARENTS ACROSS GEORGIA TO THE CHILDRENS 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 SPECTRUM DISORDER, THEIR FAMILIES AND THOSE WHO LIVE AND WORK WITH THEM. MARCUS AUTISM CENTER OFFERS 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, MARCUS AUTISM CENTER HAS TREATED MORE THAN 40,000 CHILDREN. IN 2019, THEY CARED FOR MORE THAN 4,700 INDIVIDUAL PATIENTS. WITH THE SUPPORT OF GENEROUS DONATIONS, MARCUS AUTISM CENTER HAS BECOME A NATIONALLY RECOGNIZED CENTER FOR EXCELLENCE FOR THE PROVISION OF COORDINATED AND COMPREHENSIVE SERVICES FOR CHILDREN WITH AUTISM SPECTRUM DISORDER. SINCE 2014, MARCUS AUTISM CENTER HAS TRACKED MORE THAN 6,000 DIAGNOSTIC EVALUATIONS AND 180,000 CLINICAL VISITS WITH 24,000 UNIQUE PATIENTS, CONDUCTED RESEARCH, AND PROVIDED EDUCATION AND TRAINING PROGRAMS. TOGETHER WITH FAMILIES, SUPPORT GROUPS, GOVERNMENT AGENCIES AND FOUNDATIONS, MARCUS AUTSIM CENTER IS STRENGTHENING THE COMMUNITY THROUGH ADVOCACY AT THE LOCAL AND STATE LEVEL. MARCUS AUTISM CENTER STRIVES FOR FULLER INTEGRATION OF INDIVIDUALS WITH AUTISM SPECTRUM DISORDER 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.
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 expensesMediumBullet1,354,499,049
Form 990 (2019)
Form 990 (2019)
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 IIIClick 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
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick 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
 
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
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick 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, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV..................... Click to see attachment
28c
 
No
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
 
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
211
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
13
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
13,415
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
Yes
 
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
Yes
 
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
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
1
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
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
82
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
74
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
 
No
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
Yes
 
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 , CA , CO , CT , DC , FL , GA , HI , IL , KS , KY , ME , MD , MA , MI , MN , MS , NV , NH , NJ , NM , NY , NC , ND , OH , OK , OR , RI , SC , TN , UT , WA , WV , WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A 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 BREMS1575 NORTHEAST EXPRESSWAY   ATLANTA,GA30329 (404) 785-7944
Form 990 (2019)
Form 990 (2019)
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.

See instructions for the order in which to list the persons above.
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) DONNA HYLAND PRESIDEN......................................................................
TRUSTEE - SYS/MAC/FDN/HSOC
 10.0
.................
41.0 		    X       0 1,680,678 333,048
(2) DENNIS DEVITO MD......................................................................
ORTHOPEDIC SURGEON
 40.0
.................
10.0 		        X   1,116,626 0 14,729
(3) SAMUEL WILLIMON......................................................................
ORTHOPEDIC SURGEON
 50.0
.................
10.0 		        X   1,079,327 0 31,884
(4) WILLIAM BOYDSTON......................................................................
CHIEF NEUROSURGEON/BRAIN HLTH
 50.0
.................
0.0 		        X   1,033,489 0 29,234
(5) RUTH FOWLER......................................................................
CFO/TREASURER - SYSTEM
 10.0
.................
40.0 		    X       0 915,933 143,908
(6) ANDREW REISNER......................................................................
NEUROSURGEON
 50.0
.................
0.0 		        X   975,585 0 35,010
(7) MICHAEL SCHMITZ......................................................................
ORTHOPEDIC SURGEON
 50.0
.................
0.0 		        X   939,058 0 34,428
(8) TIM SCHRADER MD......................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 50.0
.................
1.0 		X           863,528 0 30,583
(9) DANIEL SALINAS MD......................................................................
CMO & TRUSTEE- SYSTEM/HSOC
 10.0
.................
41.0 		X           0 645,113 121,453
(10) RONALD FRIESON......................................................................
TRUSTEE-PRES FDN & EXT AFFAIRS
 40.0
.................
10.0 		X   X       0 644,844 70,450
(11) BILL MAHLE MD......................................................................
INDIVIDUAL TRUSTEE- SYSTEM/FDN
 1.0
.................
50.0 		X           0 643,303 11,200
(12) LESLIE JONES......................................................................
GEN COUNSEL, SECRETARY-SYS/MAC
 10.0
.................
40.0 		    X       0 582,894 69,833
(13) JIM FORTENBERRY MD......................................................................
INDIVIDUAL TRUSTEE - FDN
 10.0
.................
41.0 		X           0 577,047 70,805
(14) JILL STRICKLAND......................................................................
SVP PHYSICIAN PRACTICES OPS
 50.0
.................
0.0 		      X     383,288 0 50,130
(15) MARY BETH BOVA......................................................................
SR ADVISOR/INDIV TRUSTEE-HSOC
 50.0
.................
0.0 		      X     375,581 0 24,245
(16) MICHAEL RILEY......................................................................
INDIV TRUSTEE-HSOC/VP FIN OPS
 1.0
.................
51.0 		X           353,974 0 31,019
(17) LYNN PEREZ......................................................................
INDIV TRUSTEE - MAC/VP OPS MAC
 1.0
.................
51.0 		X           313,855 0 31,742
Form 990 (2019)
Form 990 (2019)
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) STACEY DEWEESE........................................................................
SVP SYSTEM OPERATIONS
 50.0
.......................0.0 		      X     306,893 0 24,303
(19) LUCKY JAIN........................................................................
INDIV TRUSTEE-MAC/EX. PRAC DIR
 1.0
.......................50.0 		X           0 315,283 3,382
(20) SCOTT HODOVAL........................................................................
FORMER KEY EMPLOYEE - FDN
 50.0
.......................0.0 		          X 288,794 0 20,535
(21) JULIA JONES........................................................................
FORMER KEY EMPLOYEE - HSOC
 50.0
.......................0.0 		          X 274,642 0 19,074
(22) LORISA WILLIAMS........................................................................
VP NURSING & HOSP OPS - SR
 40.0
.......................10.0 		      X     262,313 0 12,453
(23) CHERYL HEAD........................................................................
VP NURSING & HOSP OPS - ECH
 40.0
.......................10.0 		      X     224,320 0 20,553
(24) TONJA BRIDGES........................................................................
CAMPAIGN OPS DIRECTOR/SEC-FDN
 50.0
.......................0.0 		    X       146,361 0 31,064
(25) JOHN DYER........................................................................
INDIVIDUAL TRUSTEE- SYSTEM/MAC
 1.0
.......................1.0 		X           0 0 0
(26) REBECCA ROULAND........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(27) FREDERICK R MARCUS P........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(28) ALLEN ECKER........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(29) JIMMY CARLOS........................................................................
INDIVIDUAL TRUSTEE - Fdn
 1.0
.......................0.0 		X           0 0 0
(30) MARY ELLEN IMLAY........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(31) MARK KAUFMAN........................................................................
INDIVIDUAL TRUSTEE- SYSTEM
 1.0
.......................1.0 		X           0 0 0
(32) WILLIAM PATE........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(33) BEA PEREZ........................................................................
INDIVIDUAL TRUSTEE-SYSTEM
 1.0
.......................1.0 		X           0 0 0
(34) VIRGINIA BREWER........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(35) LOVETTE RUSSELL........................................................................
INDIVIDUAL TRUSTEE- FDN/HSOC
 1.0
.......................0.0 		X           0 0 0
(36) JACKIE MONTAG........................................................................
INDIVIDUAL TRUSTEE - HSOC
 1.0
.......................0.0 		X           0 0 0
(37) MADELYN ADAMS........................................................................
INDIVIDUAL TRUSTEE - HSOC
 1.0
.......................0.0 		X           0 0 0
(38) ADAM FULLER........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(39) HELEN CARLOS........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(40) MARK RUDEL........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(41) MICHELLE JARRARD........................................................................
INDIVIDUAL TRUSTEE- SYSTEM
 1.0
.......................1.0 		X           0 0 0
(42) CAMERON SHERRILL........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(43) DAVID SAPP........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(44) JACK CAY........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(45) KRISTINE FAULKNER........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(46) NICK MCKAY........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(47) PAUL BOWERS........................................................................
INDIVIDUAL TRUSTEE- SYSTEM/FDN
 1.0
.......................1.0 		X           0 0 0
(48) TYLER WOOLSON........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(49) BERNIE MARCUS........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(50) RICHARD COURTS........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(51) ANDREW SULLIVAN........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(52) TRIPP RAWLS........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(53) CEDRIC MILLER MD........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(54) EDDIE MEYERS........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(55) ERNEST GREER........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(56) JEFF SEAMAN........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(57) KEITH MASON........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(58) LIZ BLAKE........................................................................
INDIVIDUAL TRUSTEE - SYS & MAC
 1.0
.......................0.0 		X           0 0 0
(59) STEPHANIE BLANK........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(60) CHANTAL BAGWELL........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(61) JAY CUNNINGHAM........................................................................
Individual Trustee - FDN
 1.0
.......................0.0 		X           0 0 0
(62) ALLISON DUKES........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(63) MARCIA TAYLOR........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(64) MARK GILREATH........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(65) CHARLES OGBURN........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(66) ALAN DAHL........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(67) CHRIS MOFFETT........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(68) JOHN STEPHENSON........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(69) MARK GRIFFITHS MD........................................................................
INDIVIDUAL TRUSTEE - HSOC
 1.0
.......................0.0 		X           0 0 0
(70) NICK FLETCHER........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(71) STEVE CHADDICK........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(72) TOMMY HOLDER........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(73) TONY RICH........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(74) JESSE SPIKES........................................................................
INDIVIDUAL TRUSTEE - HSOC
 1.0
.......................0.0 		X           0 0 0
(75) AMI KLIN........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(76) LARRY SMITH........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(77) ATUL VATS........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(78) MARK CHANCY........................................................................
INDIVIDUAL TRUSTEE- SYSTEM/FDN
 1.0
.......................1.0 		X           0 0 0
(79) AMY HERTZ AGAMI........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................1.0 		X           0 0 0
(80) ASIF RAMJI........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(81) DAVID TOOLAN........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(82) HELEN SMITH PRICE........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(83) MATTHEW GUFFEY........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(84) WALT EHMER........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(85) CHARLIE SCHAFFER........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(86) ASHISH MISTRY........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(87) BRIAN BETKOWSKI........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(88) JOHN RICHERT........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(89) LIGE GILLIS........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(90) MARIE FOSTER........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(91) SARAH FANNING........................................................................
INDIVIDUAL TRUSTEE - FDN
 1.0
.......................0.0 		X           0 0 0
(92) CAROLINE JEFFORDS........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(93) DAVID SAPP........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
(94) HALA MODDELMOG........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(95) JOSHUA VOVA MD........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(96) MICHAEL COTE........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(97) PAUL BROWN........................................................................
INDIVIDUAL TRUSTEE - SYSTEM
 1.0
.......................1.0 		X           0 0 0
(98) MARYAM ALAVI........................................................................
INDIVIDUAL TRUSTEE - MAC
 1.0
.......................0.0 		X           0 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 8,937,634 6,005,095 1,265,065
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 MediumBullet1,504
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. 45,552,899
CVS CAREMARK LLC,
PO BOX 840336
DALLAS,TX752840336 		PRESCRIPTION SVCS 22,060,805
BRASFIELD GORRIE LLC,
PO BOX 11407
BIRMINGHAM,AL352460351 		CONTRACTING SERVICES 20,224,763
PEDIATRIC EMERGENCY MEDICINE ASSOCI,
2247 SALIENT ROAD
MARIETTA,GA300641360 		EMERGENCY SERVICES 18,965,784
PROSYS INFORMATION SYSTEMS,
6025 THE CORNERS PKWY STE 120
NOCROSS,GA30092 		IT PROFESSIONAL SVCS 11,632,869
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet192
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c 4,126,465
d Related organizations1d 234,000
e Government grants (contributions)1e 10,912,730
f All other contributions, gifts, grants, and similar amounts not included above1f 115,047,721
g Noncash contributions included in lines 1a - 1f:$ 1g 1,781,618
h Total. Add lines 1a-1f.......MediumBullet 130,320,916
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 622310 1,754,421,162 1,754,421,162    
b GRADUATE MEDICAL FUNDING 622310 8,511,557 8,511,557    
c STATE NEONATE INCOME 622310 3,510,441 3,510,441    
d MANAGEMENT SERVICE FEE 622310 47,842,571 47,842,571    
e OTHER 622310 1,573,087 1,573,087    
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 1,815,858,818
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 3,127,658     3,127,658
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   3,804,852 6a
b Less: rental expenses   6,780,232 6b
c Rental income or (loss) 0 -2,975,380 6c
d Net rental income or (loss).......MediumBullet -2,975,380     -2,975,380
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 28,618 65,954,192 7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss) 28,618 65,954,192 7c
d Net gain or (loss).........MediumBullet 65,982,810     65,982,810
8a Gross income from fundraising events (not including $ 4,126,465of contributions reported on line 1c). See Part IV, line 18 ....
8a 13,266,690
b Less: direct expenses ... 8b 3,263,388
c Net income or (loss) from fundraising events..MediumBullet 10,003,302   10,003,302
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 187,345
b Less: direct expenses ... 9b 49,999
c Net income or (loss) from gaming activities..MediumBullet 137,346     137,346
10a Gross sales of inventory, less
returns and allowances ..
10a 0
b Less: cost of goods sold .. 10b 0
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a MEANINGFUL USE 900099 1,611,512 1,611,512    
b GIFT SHOPS 900099 2,081,553 2,081,553    
c PARKING 900099 1,472,302 1,472,302    
d All other revenue .... 8,588,612 8,588,612    
e Total. Add lines 11a–11d ...... MediumBullet 13,753,979
12 Total revenue. See instructions.....MediumBullet 2,036,209,449 1,829,612,797   76,275,736
Form 990 (2019)
Form 990 (2019)
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 .... 1,305,684 1,305,684
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 7,575 7,575
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. ............. 0  
4 Benefits paid to or for members ....... 0  
5 Compensation of current officers, directors, trustees, and key employees ........... 2,382,108 2,204,684 88,712 88,712
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      
7 Other salaries and wages........ 805,071,903 657,125,157 141,247,442 6,699,304
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 41,075,396 33,829,454 7,245,942  
9 Other employee benefits ....... 105,119,167 85,280,671 18,266,297 1,572,199
10 Payroll taxes ........... 49,555,104 40,813,291 8,741,813  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 1,512,285 569,697 942,588  
c Accounting ........... 413,058   413,058  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 1,015,467   1,015,467  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 12,897,511 11,815,227 777,978 304,306
12 Advertising and promotion .... 8,835,868 1,875,970 6,581,711 378,187
13 Office expenses ....... 13,619,579 8,318,617 4,522,063 778,899
14 Information technology ...... 28,281,840 26,420,525 1,861,066 249
15 Royalties .. 0      
16 Occupancy ........... 27,031,731 19,117,360 7,911,555 2,816
17 Travel ............ 3,007,417 1,673,048 1,194,583 139,786
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 6,600,836 3,912,089 2,543,587 145,160
20 Interest ........... 18,164,396 11,498 18,152,898  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 86,955,186 57,519,044 29,436,142  
23 Insurance ... 7,323,340 6,556,066 767,274  
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 193,912,552 193,140,519 771,389 644
b PURCHASED SVCS-MEDICAL 45,164,974 45,164,782   192
c BAD DEBT EXPENSE 32,568,308 32,568,308    
d PURCHASED SVCS-NON MED 25,937,528 20,984,905   4,952,623
e All other expenses 104,645,919 104,284,878   361,041
25 Total functional expenses. Add lines 1 through 24e 1,622,404,732 1,354,499,049 252,481,565 15,424,118
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 (2019)
Form 990 (2019)
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 ........ 220,824,974 1 283,896,661
2 Savings and temporary cash investments ......... 0 2 0
3 Pledges and grants receivable, net ...... 54,617,755 3 102,389,900
4 Accounts receivable, net ............. 208,903,445 4 233,284,447
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 0 7 0
8 Inventories for sale or use ............ 25,814,186 8 25,192,326
9 Prepaid expenses and deferred charges ...... 15,962,989 9 19,908,397
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,979,608,159
b Less: accumulated depreciation 10b 881,074,037 930,126,865 10c 1,098,534,122
11 Investments—publicly traded securities . 183,416,482 11 965,221,544
12 Investments—other securities. See Part IV, line 11 ..... 159,245,267 12 169,962,431
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 ........... 2,519,959,920 15 1,951,427,325
16 Total assets. Add lines 1 through 15 (must equal line 33)... 4,318,871,883 16 4,849,817,153
Liabilities 17 Accounts payable and accrued expenses ..... 209,308,246 17 241,849,190
18 Grants payable ... 0 18 0
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
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 656,520,802 25 1,415,913,445
26 Total liabilities. Add lines 17 through 25.. 865,829,048 26 1,657,762,635
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 2,916,959,594 27 2,593,943,711
28 Net assets with donor restrictions ........... 536,083,241 28 598,110,807
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 3,453,042,835 32 3,192,054,518
33 Total liabilities and net assets/fund balances ........ 4,318,871,883 33 4,849,817,153
Form 990 (2019)
Form 990 (2019)
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
2,036,209,449
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,622,404,732
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
413,804,717
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
3,453,042,835
5
Net unrealized gains (losses) on investments ...............
5
-9,459,718
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-665,333,316
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
3,192,054,518
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 (2019)
Form 990 (2019)
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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
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- 10 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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 failed 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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. 78,702,680 94,771,344 76,891,967 99,007,975 130,320,916 479,694,882
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... 0 0 0 0   0
3 The value of services or facilities furnished by a governmental unit to the organization without charge.. 0 0 0 0   0
4 Total. Add lines 1 through 3 78,702,680 94,771,344 76,891,967 99,007,975 130,320,916 479,694,882
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).. 53,289,747
6 Public support. Subtract line 5 from line 4. 426,405,135
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
7 Amounts from line 4.. 78,702,680 94,771,344 76,891,967 99,007,975 130,320,916 479,694,882
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... 9,308,832 8,814,277 10,647,713 9,378,525 6,932,510 45,081,857
9 Net income from unrelated business activities, whether or not the business is regularly carried on..     4,550     4,550
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. 22,756,457 21,721,097 26,791,671 26,759,423 27,208,014 125,236,662
11 Total support. Add lines 7 through 10 650,017,951
12
12
7,976,761,596
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
65.599 %
15
15
75.701 %
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . 7,238,000 9,870,000 8,364,000 8,245,000 7,735,000 41,452,000
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 3,769,000 5,424,000 6,164,000 1,705,593,225 11,163,000 1,732,113,225
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....           0
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... 0 0 0 0   0
5 The value of services or facilities furnished by a governmental unit to the organization without charge 0 0 0 0   0
6 Total. Add lines 1 through 5 11,007,000 15,294,000 14,528,000 1,713,838,225 18,898,000 1,773,565,225
7a Amounts included on lines 1, 2, and 3 received from disqualified persons 0 0 0 0   0
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. 0 0   0   0
c Add lines 7a and 7b.. 0 0 0 0   0
8 Public support. (Subtract line 7c from line 6.) 1,773,565,225
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Total
9 Amounts from line 6... 11,007,000 15,294,000 14,528,000 1,713,838,225 18,898,000 1,773,565,225
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. 0 0 0 0 0 0
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.           0
c Add lines 10a and 10b. 0 0 0 0 0 0
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.     4,550     4,550
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. 98,000 66,000 195,000 656,000 1,049,000 2,064,000
13 Total support. (Add lines 9, 10c, 11, and 12.).. 11,105,000 15,360,000 14,727,550 1,714,494,225 19,947,000 1,775,633,775
14
Section C. Computation of Public Support Percentage
15
15
99.884 %
16
16
98.242 %
Section D. Computation of Investment Income Percentage
17
17
0 %
18
18
0 %
19a
b
20
Schedule A (Form 990 or 990-EZ) 2019

Schedule A (Form 990 or 990-EZ) 2019
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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
 
 
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
 
 
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
 
 
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 12a or 12b in Part I, answer (b) and (c) below.
4a
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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
 
 
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
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
 
 
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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) 2019

Schedule A (Form 990 or 990-EZ) 2019
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 2019 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-2019 		(iii)
Distributable
Amount for 2019
1 Distributable amount for 2019 from Section C, line 6 0
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.		 0
3 Excess distributions carryover, if any, to 2019:
a From 2014.......0
b From 2015.......0
c From 2016.......0
d From 2017.......0
e From 2018.......0
fTotal of lines 3a through e 0
g Applied to underdistributions of prior years 0
h Applied to 2019 distributable amount 0
i Carryover from 2014 not applied (see
instructions) 		0
j Remainder. Subtract lines 3g, 3h, and 3i from 3f. 0
4Distributions for 2019 from Section D, line 7:
$ 0
a Applied to underdistributions of prior years 0
b Applied to 2019 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4. 0
5 Remaining underdistributions for years prior to
2019, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.		 0
6 Remaining underdistributions for 2019. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.		 0
7 Excess distributions carryover to 2020. Add lines
3j and 4c.		 0
8 Breakdown of line 7:
a Excess from 2015.....0
b Excess from 2016.....0
c Excess from 2017.....0
d Excess from 2018.....0
e Excess from 2019.....0
Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019
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
SCHEDULE A, PART I PUBLIC CHARITY STATUS OF GROUP RETURN AFFILIATES 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 10 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) 2019


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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2
Name of organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
  		Employer identification number
90-0779996
Part I
Contributors
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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) (2019)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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) (2019)

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.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2019

Schedule D (Form 990) 2019
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 .... 170,514,035 165,633,234 151,455,152 144,155,800 142,112,872
b Contributions ...          
c Net investment earnings, gains, and losses 11,941,906 5,453,985 14,740,293 7,825,208 2,500,092
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		582,894 573,184 562,211 525,856 457,164
f Administrative expenses ....          
g End of year balance ...... 181,873,047 170,514,035 165,633,234 151,455,152 144,155,800
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 Bullet91.910 %
c
Term endowment SchDMd Bullet8.090 %
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 .....   185,418,715 185,418,715
b Buildings ....   874,710,567 342,070,199 532,640,368
c Leasehold improvements   18,608,527 9,247,305 9,361,222
d Equipment ....   630,920,164 292,861,574 338,058,590
e Other .....   269,950,187 236,894,860 33,055,227
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 1,098,534,122
Schedule D (Form 990) 2019

Schedule D (Form 990) 2019
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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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 RECEIVALBES FROM PARENT 1,891,480,098
(2)DEPOSITS/NON CURRENT ASSETS 59,947,227
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 1,951,427,325
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
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,415,913,445
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) 2019

Schedule D (Form 990) 2019
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
SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS THE PERMANENTLY RESTRICTED ENDOWMENT BALANCE INCLUDES $47,440,735 OF EGLESTON'S BENEFICIAL INTEREST IN TRUSTS AND $114,437,028 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 INTO, AND ONLY IN SOME CASES, 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 INTERESTS IN TRUSTS, WHICH ARE CLASSIFIED AS OTHER SECURITIES. 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.
SCHEDULE D, PART X DESCRIPTION OF OTHER LIABILITIES THE INTERCOMPANY BALANCE INCLUDES THE FILING ORGANIZATION'S 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 HEALTH CARE OF ATLANTA, INC., EIN 58-2367819.
Schedule D (Form 990) 2019


Additional Data


Software ID:  
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 arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 10 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.
AL, AK, AR, CA, CO, DC, FL, GA, HI, IL, KS, KY, ME, MD, MA, MI, MN, MS, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, RI, SC, TN, UT, VA, WA, WV
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2019
Schedule G (Form 990 or 990-EZ) 2019
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

EVENT PARTY
(event type) 		(c) Other events

117
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
1,388,616
676,851
15,327,688
17,393,155

2
Less: Contributions . . . .
891,240
376,000
2,859,225
4,126,465
3 Gross income (line 1 minus
line 2) . . . . . .
497,376
300,851
12,468,463
13,266,690



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .   34,214   34,214
6 Rent/facility costs . . . .   10,608 90,277 100,885
7 Food and beverages . . . 153,824 56,000 91,434 301,258
8 Entertainment . . . . 6,000   10,976 16,976
9 Other direct expenses . . . 95,565 79,899 2,634,591 2,810,055
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 3,263,388
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow 10,003,302
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 . . . . .
 
 
187,345
187,345
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
49,999
49,999

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
 
 
 
 


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
49,999

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
137,346

9
Enter the state(s) in which the organization conducts gaming activities: GA
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) 2019
Schedule G (Form 990 or 990-EZ) 2019
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
100.000 %
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
ANTHONY MEADOWS
Address right arrow
1575 Northeast Expressway   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 $  
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 provide any additional information. See instructions.
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2019
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 Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
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) . . . 		    29,523,221 0 29,523,221 1.860 %
b Medicaid (from Worksheet 3, column a) . . . . .     780,037,125 678,738,005 101,299,120 6.370 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     809,560,346 678,738,005 130,822,341 8.230 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     29,030,287 5,430,693 23,599,594 1.480 %
f Health professions education (from Worksheet 5) . . .     29,154,044 17,329,617 11,824,427 0.740 %
g Subsidized health services (from Worksheet 6) . . . .     56,547,689 28,874,004 27,673,685 1.740 %
h Research (from Worksheet 7) .     68,508,795 24,678,805 43,829,990 2.760 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     824,409 0 824,409 0.050 %
j Total. Other Benefits . .     184,065,224 76,313,119 107,752,105 6.770 %
k Total. Add lines 7d and 7j .     993,625,570 755,051,124 238,574,446 15.000 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
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     29,590      
8 Workforce development            
9 Other            
10 Total     29,590      
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 Healthcare 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
32,568,308
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
7,001,975
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
7,016,663
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-14,688
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
 
 
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

 

 
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) 2019
Schedule H (Form 990) 2019
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?2Name, 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) 2019
Schedule H (Form 990) 2019
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 19
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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) 2019
Schedule H (Form 990) 2019
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 Was widely publicized 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
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
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
e
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
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
GROUP A
Name of hospital facility or letter of facility reporting group  
Yes No
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) 2019
Schedule H (Form 990) 2019
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
SCHEDULE H, PART V, SECTION B, LINE 5 INPUT WAS GATHERED FROM A BROAD RANGE OF REMARKABLE LEADERS THROUGHOUT GEORGIA WHO ARE PASSIONATE ABOUT THE INTEREST OF CHILDREN AND ADOLESCENTS. THESE LEADERS IDENTIFIED AND PRIORITIZED PEDIATRIC HEALTH NEEDS TO HELP ADVANCE THE HEALTH AND WELLNESS OF CHILDREN AND ADOLESCENTS WITHIN THE COMMUNITY. LIST OF CHNA CONTRIBUTORS 1 ROY BENAROCH, MD PEDIATRICIAN PEDIATRIC PHYSICIANS, PC 2 CHERYL BENEFIELD PROGRAM MANAGER GEORGIA DEPARTMENT OF EDUCATION 3 HELENA BENTLEY, MD PHYSICIAN KIDCARE PEDIATRICS, LLC 4 KERI BERRY, LPN SCHOOL HEALTH PROFESSIONAL DENMARK HIGH SCHOOL 5 TIFFINI BILLINGSLY MEDICAL DIRECTOR PREMIER PEDIATRIC ASSOCIATES 6 FIONA BLAIR PHYSICIAN-OWNER ABC PEDIATRIC GROUP 7 DANITA BREEDEN, RN SCHOOL HEALTH PROFESSIONAL CHICKAMAUGA CITY SCHOOLS 8 GWENDOLYN BROWN SCHOOL HEALTH PROFESSIONAL ATLANTA PUBLIC SCHOOLS 9 MS. WILLIE CANNADY CLINIC AIDE HENRY COUNTY SCHOOL 10 JENNIFER CANTRELL CPNP CORNERSTONE PEDIATRICS 11 ALICIA CARDWELL-ALSTON DISTRICT COMMUNICATIONS DIRECTOR FULTON COUNTY BOARD OF HEALTH 12 GWEN CHAMBERS, RN LEAD NURSE/SCHOOL HEALTH PROFESSIONAL CHEROKEE COUNTY SCHOOL DISTRICT 13 RAJANI CHAUDHARI, MD PHYSICIAN RAJANI CHAUDHARI MD PC 14 NICOLA CHIN, MD PHYSICIAN MOREHOUSE HEALTHCARE 15 MARK COKER, MD PHYSICIAN COKER PEDIATRICS 16 TIM COLEY DIRECTOR PARKS & RECREATION 17 JEFF COOPER, MD PEDIATRICIAN COOPER PEDIATRICS 18 CATHERINE CRENSON, PA PHYSICIAN ASSISTANT SUN PEDIATRICS 19 LISA CROSSMAN DEPUTY DIRECTOR COBB & DOUGLAS PUBLIC HEALTH 20 RACHELLE DENNIS-SMITH, MD PEDIATRICIAN PEDIA-DOC 21 LORI DESOUTTER, MD PEDIATRICIAN PEDIATRIC ASSOCIATES OF NORTH ATLANTA 22 JESSICA DOYLE, MD PEDIATRICIAN OAKHURST PEDIATRICS 23 MISSY DUGAN CEO BOYS & GIRLS CLUBS OF METRO ATLANTA 24 TARA ECHOLS PERFORMANCE MANAGEMENT & COMMUNITY HEALTH DIRECTOR GNR HEALTH 25 GERREN ECTOR, MD PEDIATRICIAN TRI-COUNTY PEDIATRICS 26 TINA FLEMING DIRECTOR, GWINNETT COUNTY DEPARTMENT OF COMMUNITY SERVICES GWINNETT COUNTY 27 LAKITA FORD PROGRAM MANAGER CITY OF SOUTH FULTON PARKS AND RECREATION 28 CASSANDRA FOSTER SCHOOL CLINIC WORKER GCPS 29 LESTER A FREEMAN, MD PEDIATRICIAN TEENS, LITTLE ONES & CHILDREN PEDIATRICS, LLC 30 FAY FULTON EXECUTIVE VICE PRESIDENT GEORGIA ACADEMY OF FAMILY PHYSICIANS 31 ANN GOEHE SPECIAL EDUCATION NURSE DEKALB SCHOOLS 32 DAWN HICKMON, RN SCHOOL HEALTH PROFESSIONAL FORSYTH COUNTY SCHOOLS 33 VALENCIA HILDRETH COMPREHENSIVE HEALTH SERVICES MANAGER ATLANTA PUBLIC SCHOOLS 34 ERIC HOFFLER, MD PHYSICIAN ABC PEDIATRICS 35 GINGER HOGAN, LPN SCHOOL HEALTH PROFESSIONAL SHILOH POINT ELEMENTARY 36 MONCIA HOLZWARTH, MD PHYSICIAN PEDIATRIC AND ADOLESCENT HEALTHCARE 37 DR. ANGELA HORRISON-COLLIER DIRECTOR OF STUDENT SERVICES CLAYTON COUNTY PUBLIC SCHOOLS 38 SHARON HOWELL SCHOOL HEALTH PROFESSIONAL FORSYTH COUNTY BOE 39 JASMINE HUGHEY PARAPROFESSIONAL HENRY COUNTY BOE 40 LINDSEY JORSTAD OUTREACH MANAGER GWINNETT COUNTY DEPARTMENT OF COMMUNITY SERVICES 41 MICHAEL JUSTUS DIRECTOR, PARKS, RECREATION AND CULTURAL AFFAIRS PAULDING COUNTY BOARD OF COMMISSIONERS 42 ABIGAIL KAMISHLIAN, MD PHYSICIAN DAFFODIL PEDIATRICS 43 KIMBERLY KARLIN LEAD NURSE/SCHOOL HEALTH PROFESSIONAL RCPS 44 CHERYL KENDALL PHYSICIAN WE CARE PEDIATRIC AND ADOLESCENT GROUP 45 SHELLEY KIM, MD PEDIATRICIAN LITTLE FIVE POINTS PEDIATRICS 46 DEBBIE KING, RN, BSN SCHOOL HEALTH SERVICES COORDINATOR FAYETTE COUNTY SCHOOLS 47 VICKI KNIGHT-MATHIS, MD PHYSICIAN DV PEDIATRICS 48 SHIRLETA LAWRENCE SCHOOL DIRECTOR SHELTERING ARMS 49 RICHARD LEVITT, MD PHYSICIAN NORTH FULTON PEDIATRICS 50 BOB LICATA, MD PHYSICIAN 51 VALERIE LOVEJOY FAMILY CHILD CARE PROVIDER STEM GROW LLC 52 MONETTE LOWE ELEMENTARY CLINIC ASSISTANT RCPS 53 SEAN MACK STATE WIC DIRECTOR GA DPH - WIC 54 KHAWAJA MAHMOOD ASSOCIATE PROFESSOR OF PEDIATRICS MOUNTAINSIDE PEDS 55 CAROL MARTIN LEAD NURSE NEWTON COUNTY SCHOOLS 56 DAN MATHEWS COO CAMP TWIN LAKES 57 REBECCA MCWALTERS SCHOOL HEALTH PROFESSIONAL FORSYTH COUNTY SCHOOLS 58 LYNNE P. MEADOWS COORDINATOR, STUDENT HEALTH SERVICES FULTON COUNTY SCHOOL SYSTEM 59 ISAAC MELAMED, MD PEDIATRICIAN KIDS START PEDIATRICS 60 JANET MEMARK DISTRICT HEALTH DIRECTOR COBB AND DOUGLAS PUBLIC HEALTH 61 KAREN MINYARD CEO AND PROFESSOR GEORGIA HEALTH POLICY CENTER 62 BILL MOATS HR DIRECTOR HALL COUNTY GOVT 63 ROGER MORALES MEDICAL DIRECTOR EXCELLENT PEDIATRICS 64 CINDY MOTT CLUSTER NURSE - TELEHEALTH HENRY COUNTY SCHOOLS 65 DEBRA MURDOCK EXECUTIVE DIRECTOR, SCHOOL OPERATIONS CHEROKEE COUNTY SCHOOL DISTRICT 66 JOHN MYNATT, MD PHYSICIAN LOCUST GROVE PEDIATRICS, LLC 67 DORSEY NORWOOD, MD PEDIATRICIAN LIFE CYCLE PEDIATRICS, LLC 68 WANDE OKUNOREN-MEADOWS EARLY CHILDHOOD PROGRAM ADMINISTRATOR LITTLE ONES LEARNING CENTER 69 TAMARA OLAGBEGI SITE DIRECTOR OUR HOUSE 70 KOLA OLOGUNJA SPECTRUM PEDIATRIC GROUP 71 J. PATRICK O'NEAL RETIRED DPH 72 JULIE OPEKA CPNP GRAYSON PEDIATRICS 73 JILL OVERCASH, MD PRACTICE OWNER AND PEDIATRICIAN ALL ABOUT KIDS PEDIATRICS 74 WILLIAM PAYNE, MD PEDIATRICIAN CARTERSVILLE PEDIATRIC ASSOCIATES 75 ROBERT PLATNER, MD PEDIATRICIAN AND PRACTICE OWNER OLD FOURTH WARD PEDIATRICS (HAMMAD & PLATNER) 76 C. PLEASANT CHILDCARE PROVIDER PLEASANT FAMILY CHILDCARE 77 BENTLEY PONDER DEPUTY COMMISSIONER, QUALITY INNOVATIONS AND PARTNERSHIPS GEORGIA DEPARTMENT OF EARLY CARE AND LEARNING 78 DARRIA PRINTUP EDUCATION DISABILITIES SPECIALIST EASTER SEALS NORTH GA 79 JIM PRYOR DIRECTOR OF PARKS & RECREATION FORSYTH COUNTY GOVERNMENT 80 PAMELA QUATTLEBAUM, RN SCHOOL HEALTH PROFESSIONAL ROCKDALE CO. PUBLIC SCHOOLS- SHOAL CREEK ELEMENTARY 81 GHAZALA QURAISHI, MD PHYSICIAN CRESCENT NEUROLOGY AND SLEEP 82 MICHELLE RAINES HR DIRECTOR DEKALB COUNTY BOARD OF HEALTH 83 JOSEPH ROSENFELD, MD PHYSICIAN SNAPFINGER WOODS PEDIATRICS 84 CONNIE RUSSELL DISTRICT PROGRAM DIRECTOR GWINNETT, NEWTON AND ROCKDALE COUNTY HEALTH DEPARTMENTS 85 ADRIANA RZEZNIK, MD PEDIATRICIAN WOODSTOCK PEDIATRIC MEDICINE 86 MARIBEL ANGKA SERVERA, MD PHYSICIAN MAIN STREET IM & PEDS PC 87 HAL SCHERZ MANAGING PARTNER & PRESIDENT GEORGIA UROLOGY 88 LUQMAN SEIDU, MD PHYSICIAN OMNI ALLERGY IMMUNOLOGY 89 SONIA SERRANO BILLER/CERTIFIED MEDICAL ASSISTANT WESTSIDE PEDIATRICS 90 ALLISON SETTERLIND GEORGIA HEAD START COLLABORATION DIRECTOR GEORGIA DEPARTMENT OF EARLY CARE AND LEARNING 91 ANU SHETH, MD PHYSICIAN PEDIATRIC ASSOCIATES OF LAWRENCEVILLE 92 GERALD SILVERBOARD, MD PHYSICIAN 93 RON SMITH, MD PHYSICIAN OWNER STORYBOOK PEDIATRICS 94 KELLY SPANGLER, RN SCHOOL HEALTH PROFESSIONAL FORSYTH COUNTY SCHOOLS 95 TERESA TATUM SCHOOL HEALTH PROFESSIONAL CCSD - CLAYTON ELEMENTARY SCHOOL 96 RUTH TAYLOR COORDINATOR FULTON COUNTY SCHOOL NUTRITION PROGRAM 97 ASHLEE TELI PROGRAM DIRECTOR LITTLE SUNSHINE'S PLAYHOUSE 98 CHERYL TILLMAN, RN LEAD NURSE/SCHOOL HEALTH PROFESSIONAL WALTON COUNTY SCHOOLS 99 MICHAEL TIM, MD PHYSICIAN 100 CONNIE TRENT HEALTH SERVICES FACILITATOR FORSYTH COUNTY SCHOOLS 101 YASMIN TYLER-HILL CHAIR DEPT OF PEDIATRICS MOREHOUSE SCHOOL OF MECICINE 102 PHIL WEISS, MD PHYSICIAN NORTH ATLANTA PEDIATRICS 103 ROBERT WHIPPLE, MD PHYSICIAN 104 LATRICE WILLIAMS SCHOOL HEALTH PROFESSIONAL ATLANTA PUBLIC SCHOOL DISTRICT 105 DOUGLAS WILLIAMS, MD PEDIATRICIAN GEORGETOWN PEDIATRICS 106 MELINDA WILLINGHAM PHYSICIAN OWNER DECATUR PEDIATRIC GROUP 107 BOB WISKIND, MD PHYSICIAN PEACHTREE PARK PEDIATRICS THE CHNA SURVEY AND QUALITATIVE INTERVIEWS WERE COMPLETED FROM MAY 15, 2019 TO SEPTEMBER 15, 2019. THE SURVEY WAS COMPLETED BY INDIVIDUALS REPRESENTING THE INTERESTS OF THE PEDIATRIC COMMUNITY IN THE GREATER METROPOLITAN ATLANTA REGION, INCLUDING CHILDREN OF ALL AGES, RACES, ETHNICITIES, INCOME LEVELS AND INSURANCE STATUSES. THESE INDIVIDUALS ALSO REPRESENT EACH OF THE COUNTIES IN THE PRIMARY AND SECONDARY SERVICE AREAS. THERE WAS SIGNIFICANT CONSENSUS THAT THE PEDIATRIC COMMUNITY HEALTH NEED PRIORITIES AND ISSUES IDENTIFIED AFFECTED CHILDREN ACROSS MULTIPLE CULTURAL, SOCIO-ECONOMIC AND GEOGRAPHIC COMMUNITIES WITHIN THE EXPANSIVE GREATER METRO ATLANTA REGION. CHILDRENS HAS DEVELOPED PROGRAMS TO ADDRESS HEALTH NEEDS OF IMMIGRANT AND TRANSIENT POPULATIONS. THESE PROGRAMS INCLUDE 1) MERCY CARE CHAMBLEE THAT COLLABORATES WITH CHILDRENS TO OFFER ONSITE PEDIATRIC PRIMARY CARE INCLUDING ROUTINE HEALTH CHECKUPS, SICK VISITS FOR CHILDREN, IMMUNIZATIONS FOR SCHOOL TO INFANTS, CHILDREN AND ADOLESCENTS WHO RELY ON MEDICAID 2) INTERPRETATIVE SERVICES AT EVERY FACILITY, AND 3) RESOURCES FOR STAFF TO INCREASE CULTURAL AWARENESS CONCERNING THE HEALTH NEEDS OF IMMIGRANT POPULATIONS. HUGHES SPALDING IS A HOSPITAL MANAGED BY CHILDRENS FOR FULTON-DEKALB HOSPITAL AUTHORITY. IN ADDITION TO BEING AN ACUTE CARE HOSPITAL WITH A FULL SERVICE EMERGENCY DEPARTMENT AND INPATIENT BEDS, HUGHES SPALDING PROVIDES PRIMARY CARE SERVICES FOR THOSE UNDERSERVED POPULATIONS IN AND AROUND DOWNTOWN ATLANTA. FINALLY, SOME OF THE COMMUNITY GROUPS THAT PARTICIPATED IN EITHER KEY INFORMANT INTERVIEWS OR THE SURVEY REPRESENT UNIQUE HEALTH NEEDS, INCLUDING: *HEALTHMPOWERS, INC.: OBESITY AND NUTRITION, *GEORGIA DEPARTMENT OF EARLY CARE AND LEARNING: EARLY CARE AND LEARNING, *CAMP TWIN LAKES: INCLUSION FOR KIDS WI
SCHEDULE H, PART V, SECTION B, LINE 6A THE CHNA REPORT WAS CONDUCTED WITH BOTH EGLESTON CHILDREN'S HOSPITAL AND SCOTTISH RITE HOSPITAL.
SCHEDULE H, PART V, SECTION B, LINE 7A THE CHNA REPORT WAS WIDELY AVAILABLE TO THE PUBLIC ON THE HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.CHOA.ORG/~/MEDIA/FILES/CHILDRENS/ABOUT-US/CHILDRENS-COMMUNITY- HEALTH-NEEDS-ASSESSMENT-2019.PDF?LA=EN SCHEDULE H, PART V, SECTION B, LINE 10 THE IMPLEMENTATION STRATEGY IS INCLUDED IN THE CHNA REPORT ON THE HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.CHOA.ORG/~/MEDIA/FILES/CHILDRENS/ABOUT-US/CHILDRENS-COMMUNITY- HEALTH-NEEDS-ASSESSMENT-2019.PDF?LA=EN
SCHEDULE H, PART V, SECTION B, LINE 11 UNIQUE AND DETAILED IMPLEMENTATION PLANS FOR EGLESTON AND SCOTTISH RITE HOSPITALS ARE INCLUDED IN THE CHNA REPORT LOCATED AT WWW.CHOA.ORG OR AT HTTPS://WWW.CHOA.ORG/~/MEDIA/FILES/CHILDRENS/ABOUT-US/CHILDRENS-COMMUNITY- HEALTH-NEEDS-ASSESSMENT-2019.PDF?LA=EN DUE TO THE LONG HISTORY OF CHILDRENS WORKING WITH THE COMMUNITY, THE PRIORITY HEALTH NEEDS IN THE ASSESSMENT WERE EXPECTED. EACH OF THE 10 NEEDS IS ACTIVELY BEING ADDRESSED IN SOME CAPACITY BY EXISTING AND ONGOING PROGRAMS AND SERVICES OF CHILDRENS. 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 CHILDRENS 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, CHILDRENS WILL PLACE SPECIAL EMPHASIS ON FOUR OF THE TOP FIVE NEEDS, AS THESE TIGHTLY ALIGN WITH OUR STRATEGIC PLAN. THESE NEEDS ARE: - ENSURE ACCESS TO PRIMARY CARE MEDICAL HOMES FOR CHILDREN AND ADOLESCENTS - ENHANCE ACCESS TO BEHAVIORAL AND DEVELOPMENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS - ADDRESS CHILDHOOD OVERWEIGHT AND OBESITY - ENSURE ACCESS TO SPECIALTY CARE FOR CHILDREN AND ADOLESCENTS
SCHEDULE H, PART V, SECTION B, LINES 16A-C THE FAP WAS WIDELY AVAILABLE TO THE PUBLIC AT THE HOSPITAL FACILITY'S WEBSITE LISTED BELOW: HTTPS://WWW.CHOA.ORG/~/MEDIA/FILES/CHILDRENS/PATIENTS/BILLS-AND-INSURANCE/ FINANCIAL-ASSISTANCE-POLICY.PDF?LA=EN
SCHEDULE H, PART V, SECTION B, LINE 20F THE HOSPITAL FACILITY DID NOT ENGAGE IN ANY OF THE EFFORTS LISTED IN LINE 20 A THROUGH D. SCHEDULE H, PART V, SECTION B, LINE 22B BASED ON INCOME AS ATTESTED TO BY FAMILY, PROVIDED FREE CARE UP TO 235% OF FEDERAL POVERTY GUIDELINE, "SLIDING SCALE" CARE UP TO 340% OF FEDERAL POVERTY GUIDELINE WITH MINIMUM WRITE OFF EQUIVALENT TO THE AVERAGE OF THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE PAYMENT RATES. THE THREE LOWEST NEGOTIATED COMMERCIAL INSURANCE PAYMENT RATES.
SCHEDULE H, PART V, SECTION D NON-HOSPITAL HEATH CARE FACILITIES 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.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 9
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?43
Name and address Type of Facility (describe)
1 MARCUS AUTISM CENTER
1920 Briarcliff Road
Atlanta,GA30329 		OUTPATIENT SERVICES
2 CHILDREN'S OUTPATIENT 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 SPECIAL 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 HUDSON BRIDGE
1510 Hudson Bridge Road
Stockbridge,GA30281 		OUTPATIENT SERVICES
16 CHILDREN'S AT NORTHPOINT
3795 Mansell Road
Alpharetta,GA30022 		OUTPATIENT SERVICES
17 PRIMARY CARE CENTER OF CHAMBLEE
4166 Buford Highway
Atlanta,GA30345 		OUTPATIENT SERVICES
18 DAY REHABILITATION CENTER
993-F Johnson Ferry Road NE
Atlanta,GA30342 		OUTPATIENT SERVICES
19 CHILDREN'S AT HAMILTON CREEK
2240 Hamilton Creek Parkway
Dacula,GA30019 		OUTPATIENT SERVICES
20 CHILDREN'S AT DULUTH
2270 Duluth Highway 120
Duluth,GA30097 		OUTPATIENT SERVICES
21 CHILDREN'S AT SNELLVILLE
2220 Wisteria Drive
Snellville,GA30078 		OUTPATIENT SERVICES
22 CHILDREN'S AT EXECUTIVE PARK
6 Executive Park Drive NE
Atlanta,GA30329 		OUTPATIENT SERVICES
23 CHILDREN'S AT MARIETTA
175 White Street
Marietta,GA30060 		OUTPATIENT SERVICES
24 CHILDREN'S AT OLD MILTON PARKWAY
3300 Old Milton Parkway
Alpharetta,GA30005 		Outpatient Services
25 CHILDREN'S AT SUWANEE
3640 Burnette Road
Suwanee,GA30024 		OUTPATIENT SERVICES
26 NORTHSIDE PROFESSIONAL CENTER
975 Johnson Ferry Road NE
Atlanta,GA30342 		OUTPATIENT SERVICES
27 CHILDREN'S AT IVY WALK
1675 Cumberland Parkway Suite 105
Smyrna,GA30080 		OUTPATIENT SERVICES
28 CHILDREN'S AT CHEROKEE
1554 RIVERSTONE PARKWAY
CANTON,GA30114 		OUTPATIENT SERVICES
29 CENTER FOR ADVANCED PEDIATRICS
1400 Tullie Road NE
ATLANTA,GA30329 		OUTPATIENT SERVICES
30 CHILDREN'S AT CHAMBLEE-BROOKHAVEN
5080 Peachtree Blvd Suite 100
BROOKHAVEN,GA30341 		OUTPATIENT SERVICES
31 CHILDREN'S AT EAST COBB
1255 Johnson Ferry Road Suite 2
MARIETTEA,GA30068 		OUTPATIENT SERVICES
32 CHILDREN'S AT HAMILTON MILL
2108 Teron Trace Suite 200
DACULA,GA30019 		OUTPATIENT SERVICES
33 CHILDREN'S AT MOUNT VERNON HIGHWAY
859 Mount Vernon Highway Suite 300
ATLANTA,GA30328 		OUTPATIENT SERVICES
34 ATHENS-ST MARY'S
1230 Baxter St
ATHENS,GA30606 		OUTPATIENT SERVICES
35 ATHENS-HAWTHORNE AVENUE
1000 Hawthorne Ave Suite S
ATHENS,GA30606 		OUTPATIENT SERVICES
36 ATHENS-OGLETHORPE AVENUE
1500 Oglethorpe Ave
ATHENS,GA30606 		OUTPATIENT SERVICES
37 ATHENS-OCONEE CAMPUS
1181 Langford Drive BLDG 200 STE
WATKINSVILLE,GA30677 		OUTPATIENT SERVICES
38 BUFORD
2914 Vinson Court
BUFORD,GA30518 		OUTPATIENT SERVICES
39 COLUMBUS
705 17th St Suite 406
COLUMBUS,GA31901 		OUTPATIENT SERVICES
40 MACON
4660 Riverside Park Blvd
MACON,GA31210 		OUTPATIENT SERVICES
41 NEWMAN
60 Oak Hill Blvd Suite 102
NEWMAN,GA30265 		OUTPATIENT SERVICES
42 THOMASVILLE
915 Gordon Ave
THOMASVILLE,GA31792 		OUTPATIENT SERVICES
43 VILLA RICA
705 Dallas Highway Suite 301
VILLA RICA,GA30180 		OUTPATIENT SERVICES
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page 10
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
SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFIT REPORTING CHILDREN'S HEALTHCARE OF ATLANTA, INC., A RELATED ORGANIZATION, PREPARES AND MAKES AVAILABLE TO THE PUBLIC AN ANNUAL REPORT THAT INCLUDES EGLESTON AND SCOTTISH RITE'S COMMUNITY BENEFITS.
SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY THE COSTING METHODOLOGY UTILIZED WAS DERIVED PER IRS SCHEDULE, WORKSHEET 2, WHICH CALCULATES RATIO OF PATIENT CARE COST TO CHARGES.
SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES THE SUBSIDIZED HEALTH SERVICES REPORTED ARE FOR HOSPITAL BASED PHYSICIAN CLINICS, INCLUDING DENTAL, ORTHODONTIC, MULTI-SPECIALTY, ETC.
SCHEDULE H, PART I, LINE 7, COLUMN (F) BAD DEBT EXPENSE BAD DEBT EXPENSE IN THE AMOUNT OF $32,568,308 HAS BEEN REMOVED FROM TOTAL EXPENSE.
SCHEDULE H, PART II CHILDREN'S HEALTHCARE COMMUNITY BUILDING ACTIVITIES INCLUDE: ATLANTA REGIONAL COLLABORATIVE FOR HEALTH IMPROVEMENT: ARCHI FOLLOWS THE COLLECTIVE IMPACT FRAMEWORK TO ADDRESS COMPLEX ISSUES, LIKE HEALTH DISPARITIES BY ALIGNING RESOURCES AND EXPERTISE FROM MULTIPLE AND DIVERSE SECTORS IN A MULTI-YEAR COMMITMENT TO CREATE CHANGE. CHILDRENS PARTICIPATES AS A PARTNER AGENCY TO BUILD ALIGNMENTS THAT CREATE MUTUALLY REINFORCING WORK AND FORGING THE TRUST AND RELATIONSHIPS TO SUSTAIN THE WORK. 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. BOY SCOUTS OF AMERICA ATLANTA AREA COUNCIL, SAFETY AND HEALTH COMMITTEE: THIS COMMITTEE ADVISES THE BOY SCOUTS OF AMERICA ATLANTA AREA COUNCIL ON SAFETY AND HEALTH PRACTICES AND POLICIES. BRIGHT FROM THE START: GEORGIA DEPARTMENT OF EARLY CARE AND LEARNING (DECAL) HEAD START HEALTH SERVICES ADVISORY COMMITTEE. THE HEALTH SERVICES ADVISORY COMMITTEE IS COMPRISED OF LOCAL ORGANIZATIONS THAT ADVISE THE AGENCY AND PROVIDE SUPPORT FOR HEALTH AND WELLNESS INITIATIVES FOR HEAD START AND EARLY HEAD START STUDENTS. CHILD DEVELOPMENT INSTITUTE, HEAD START HEALTH SERVICES ADVISORY COMMITTEE: THE HEALTH SERVICES ADVISORY COMMITTEE IS COMPRISED OF LOCAL ORGANIZATIONS THAT ADVISE THE AGENCY AND PROVIDE SUPPORT FOR HEALTH AND WELLNESS INITIATIVES FOR HEAD START AND EARLY HEAD START STUDENTS. COBB 2020: (COBB2020) IS A PARTNERSHIP CONSISTING OF COMMUNITY ORGANIZATIONS AND INDIVIDUALS DEDICATED TO PROMOTING HEALTHY LIFESTYLES AND THE DELIVERY OF ESSENTIAL HEALTH SERVICES IN COBB COUNTY. THE PARTNERSHIP IS FOCUSED ON A HEALTH IMPROVEMENT PLAN, WHICH TARGETS THE REDUCTION AND PREVENTION OF CHRONIC DISEASES SUCH AS DIABETES, STROKE, HEART DISEASE AND CANCER. CHILDRENS SITS ON BOTH THE HEALTHY EATING AND PHYSICAL ACTIVITY WORKGROUPS. CHILD PROTECTIVE SERVICES ADVISORY COMMITTEE: MEETINGS TO DISCUSS ISSUES RELATED TO CHILD PROTECTIVE SERVICES (DFCS) IN GEORGIA. FOCUS IS ON POLICY IMPLEMENTATION AND PROCESS IMPROVEMEN.T GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (DBHDD) SUICIDE PREVENTION COMMITTEE: STATEWIDE WORKGROUP TO DEVELOP STRATEGIC PLAN FOR SUICIDE PREVENTION IN MULTIPLE SECTORS. FARM TO EARLY CARE AND EDUCATION: FARM TO EARLY CARE AND EDUCATION IS A COALITION OF ORGANIZATIONS COMMITTED TO PROMOTING NUTRITION EDUCATION, LOCAL FOODS, AND GARDENING IN EARLY CARE AND EDUCATION PROGRAMS THROUGHOUT GEORGIA. FORSYTH COUNTY MENTAL HEALTH AND WELLNESS COMMITTEE: THIS GROUP IS BROUGHT TOGETHER IN PARTNERSHIP WITH DISTRICT 4 COUNTY COMMISSIONER IN FORSYTH COUNTY, UNITED WAY, PUBLIC SAFETY PROFESSIONALS, REPRESENTATIVES FROM NON-PROFITS, NAMI AND FORSYTH COUNTY SCHOOLS. THE FOCUS IS ON COLLABORATIVE PARTNERSHIPS TO IMPROVED MENTAL HEALTH AND WELLNESS IS FORSYTH COUNTY. FORSYTH COUNTY TOTAL WELLNESS COLLABORATIVE: THIS MULTIDISCIPLINARY GROUP IS LED BY THE FORSYTH COUNTY SCHOOL SYSTEM WITH THE GOAL OF BRINGING TOGETHER COMMUNITY PARTNERS TO IMPROVE THE PHYSICAL, EMOTIONAL AND MENTAL HEALTH OF ALL STUDENTS SO THAT THEY WILL SUCCEED IN SCHOOL. CHILDRENS PARTICIPATES AS A COMMUNITY PARTNER. GEORGIA 4H ADVISORY COMMITTEE: THE GEORGIA 4-H ADVISORY COMMITTEES PURPOSE IS TO ADVISE THE UNIVERSITY OF GEORGIA COLLEGE OF AGRICULTURAL AND ENVIRONMENTAL SCIENCES EXTENSION, ON BEHALF OF THE CITIZENS OF GEORGIA, IN THE PLANNING OF 4-H PROGRAMS WHICH MEET THE NEEDS OF GEORGIA YOUTH. GEORGIA COMMISSION FOR TRAUMA EXCELLENCE: CHILDRENS SERVES ON THE INJURY PREVENTION SUBCOMMITTEE AND THE MOTOR VEHICLE TASK FORCE TO COLLABORATE WITH OTHER INJURY PREVENTION PARTNERS THROUGHOUT THE STATE. 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 INJURY PREVENTION ADVISORY COUNCIL: THIS GROUP BRING TOGETHER STATEWIDE PARTNERS FROM THE PUBLIC AND PRIVATE SECTOR TO COLLABORATE ON INJURY PREVENTION WORK. GEORGIA PHYSICAL ACTIVITY AND NUTRITION ASSESSMENT COMMITTE: THIS GROUP IS LED BY HEALTHMPOWERS IN CONJUNCTION WITH VOICES FOR GEORGIAS CHILDREN WITH A FOCUS ON ALIGNING ASSESSMENT STANDARDS ACROSS EARLY CARE SETTINGS TO GUIDE AND MEASURE IMPACT OF NUTRITION AND PHYSICAL ACTIVITY EFFORTS. THIS PROVIDES AN OPPORTUNITY FOR PARTNERS WORKING IN THE EARLY CARE AND EDUCATION SPACE TO ALIGN. 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. GEORGIA STATEWIDE CHILD FATALITY REVIEW TEAM: SERVE ON TEAM TO DEVELOP BROAD PREVENTION MESSAGING RELATED TO LEADING CAUSES OF CHILDHOOD DEATHS IN GEORGIA. ALSO SERVE ON THE CHILD MALTREATMENT SUBCOMMITTEE TO DEVELOP MESSAGING RELATED TO FATALITIES CAUSED BY CHILD ABUSE AND NEGLECT. 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 INCLUDES '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. CHILDRENS ALSO PARTICIPATES IN THE EARLY LEARNING COMMITTEE, BRINGING TOGETHER STAKEHOLDERS INVESTED IN PROMOTING QUALITY EARLY CARE AND LEARNING EXPERIENCES FOR GWINNETT COUNTY YOUTH. GWINNETT COUNTY SCHOOLS WELLNESS COMMITTEE: CHILDRENS PARTICIPATES IN THE GWINNETT COUNTY SCHOOLS DISTRICT WELLNESS COUNCIL MEETINGS, IN WHICH ORGANIZATIONS COME TOGETHER TO HIGHLIGHT CURRENT GWINNETT COUNTY SCHOOLS WORK AND DISCUSS NEW WAYS TO PARTNER TO BETTER STUDENT HEALTH AND WELLNESS. THIS ALSO PROVIDES AN OPPORTUNITY TO PROVIDE GUIDANCE ON THE DISTRICTS SCHOOL WELLNESS POLICY. HUMAN TRAFFICKING TASK FORCE: THIS GROUP MEETS QUARTERLY TO DISCUSS CHILD SEX TRAFFICKING CONCERNS IN THE STATE. CHILDRENS SERVES ON MULTIPLE SUBGROUPS INCLUDING THE COMMUNITY AWARENESS WORKGROUP, THE TASK FORCE MANAGEMENT TEAM AND THE YOUTH AWARE AND SAFE WORKGROUP. INTERAGENCY DIRECTORS TEAM: IDT WAS CREATED BY GEORGIAS DBHDD IN ORDER TO DESIGN, MANAGE, FACILITATE, AND IMPLEMENT AN INTEGRATED APPROACH TO A CHILD AND ADOLESCENT SYSTEM OF CARE THAT INFORMS POLICY AND PRACTICE, AND SHARES RESOURCES AND FUNDING. IDT IS MADE UP OF OVER 20 REPRESENTATIVES FROM STATE AGENCIES AND NON-GOVERNMENTAL ORGANIZATIONS THAT SERVE CHILDREN WITH BEHAVIORAL HEALTH NEEDS. QUALITY RATED ADVISORY COMMITTEE: THE QRAC IS LED BY BRIGHT FROM THE START: GEORGIA DEPARTMENT OF EARLY CARE AND LEARNING AND IS COMPRISED OF CHILDCARE PROVIDERS AT OTHER STAKEHOLDERS TO PROVIDE FEEDBACK ON GEORGIAS QUALITY RATING AND IMPROVEMENT SYSTEM FOR EARLY CARE AND EDUCATION PROGRAMS. LIVE HEALTHY DOUGLAS: THIS COMMITTEE IS A PARTNERSHIP CONSISTING OF COMMUNITY ORGANIZATIONS AND INDIVIDUALS DEDICATED TO PROMOTING HEALTHY LIFESTYLES AND ENVIRONMENTS IN DOUGLAS COUNTY. NORTH FULTON MENTAL HEALTH COLLABORATIVE: THE NORTH FULTON MENTAL HEALTH COLLABORATIVE IS NORMALIZING THE CONVERSATION SURROUNDING MENTAL HEALTH THROUGH ENGAGING COMMUNITY LEADERS AND FAMILIES IN AN ON-GOING DIALOGUE TO PROMOTE MENTAL HEALTH AWARENESS AND SUICIDE PREVENTION IN OUR FAITH COMMUNITIES, SCHOOLS, BUSINESSES, AND COMMUNITY AT LARGE. RESILIENT GEORGIA: CHILDRENS PARTICIPATES IN RESILIENT GEORGIA MEETINGS, INCLUDING REPRESENTATION ON MULTIPLE SUBGROUPS. THIS MULTISECTOR COLLABORATIVE GROUP ALIGNS PUBLIC AND PRIVATE EFFORTS AND RESOURCES TO SUPPORT RESILIENCY FOR ALL PERSONS AGED 0-26 AND THEIR FAMILIES. STRENGTHENING FAMILIES GEORGIA (SFG): SFG REPRESENTS A MULTI-DISCIPLINARY PARTNERSHIP OF NEARLY 50 NATIONAL, STATE AND LOCAL, AND PUBLIC AND PRIVATE ORGANIZATIONS DEDICATED TO EMBEDDING FIVE RESEARCH-BASED PROTECTIVE FACTORS INTO SERVICES AND SUPPORT FOR CHILDREN AND THEIR FAMILIES. CHILDRENS SERVES ON THEIR CO
SCHEDULE H, PART III, LINE 2 AND 3 BAD DEBT EXPENSE THE AMOUNT REPORTED IS CONSISTENT WITH THE AUDITED FINANCIAL STATEMENTS AND INCLUDES BAD DEBT AMOUNTS WRITTEN OFF AND A PROVISIONAL ESTIMATE BASED ON HISTORICAL EXPERIENCE. 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.
SCHEDULE H, 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. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS REPRESENTS THE ESTIMATED UNCOLLECTIBLE PORTION OF PATIENT ACCOUNTS RECEIVABLE FOR SELF-PAY RECEIVABLES ASSOCIATED WITH PATIENTS THAT HAVE THIRD PARTY COVERAGE.
SCHEDULE H, PART III, LINE 8 EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT MEDICARE PAYMENT AND MEDICARE CHARGES ARE ISOLATED BASED ON PAYMENTS POSTED/RECEIVED IN THE CALENDAR YEAR. COST IS ESTIMATED USING OVERALL COST-TO-CHARGE RATIO.
SCHEDULE H, PART III, LINE 9B PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS 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.
SCHEDULE H, PART IV, LINE 1 MANAGEMENT COMPANIES AND JOINT VENTURES NAME OF ENTITY: CHILDREN'S HEALTHCARE OF ATLANTA SURGERY CENTER AT MERIDIAN MARK PLAZA, LLC DESCRIPTION OF PRIMARY ACTIVITY: OUTPATIENT SURGERY CENTER ORGANIZATION'S PROFIT OR OWNERSHIP %: 51% OFFICERS', DIRECTORS', TRUSTEESKEY EMPLOYEES' OWNERSHIP %: 0% PHYSICIANS' PROFIT OR OWNERSHIP %: 49%
SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT TO CONTINUE TO ADVANCE THE HEALTH AND WELLNESS OF CHILDREN AND ADOLESCENTS WITHIN THE COMMUNITY, CHILDRENS IDENTIFIED AND PRIORITIZED PEDIATRIC COMMUNITY HEALTH NEEDS WITH INPUT FROM A BROAD RANGE OF TRULY REMARKABLE PROFESSIONALS WHO ARE PASSIONATE ABOUT THE INTERESTS OF CHILDREN AND ADOLESCENTS. THE ASSESSMENT HELPS CHILDRENS BETTER UNDERSTAND THE NEEDS OF THE PEDIATRIC COMMUNITY, INFORMS OUR COMMUNITY BENEFIT ACTIVITIES AND INFLUENCES OUR STRATEGIC PLANNING EFFORTS. WE WILL REPEAT THE COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") PROCESS EVERY THREE YEARS AND REPORT THE RESULTS OF OUR ASSESSMENT ON THE CHILDRENS WEBSITE IN ACCORDANCE WITH IRS REGULATIONS. OUR COMMUNITY OF FOCUS THE 2019 CHNA FOCUSED ON IDENTIFYING PEDIATRIC HEALTH NEEDS IN THE METROPOLITAN ATLANTA REGION, FOCUSING SPECIFICALLY ON THE 18-COUNTY PRIMARY AND SECONDARY SERVICE AREAS THAT ACCOUNTED FOR 88 PERCENT OF ADMISSIONS, 93 PERCENT OF EMERGENCY DEPARTMENT VISITS AND 88 PERCENT OF OUTPATIENT VISITS TO CHILDRENS DURING 2018. THESE 18 COUNTIES ARE BARTOW, CARROLL, CHEROKEE, CLAYTON, COBB, COWETA, DEKALB, DOUGLAS, FAYETTE, FORSYTH, FULTON, GWINNETT, HALL, HENRY, NEWTON, PAULDING, ROCKDALE AND WALTON. PROCESS AND DATA SOURCES BUILDING ON EXTENSIVE WORK CONDUCTED IN 2013 AND 2016, THE 2019 CHNA PROCESS USED A SURVEY TO VALIDATE THE TOP NEEDS AND DETERMINE WHETHER ANY NEW NEEDS HAD EMERGED IN THE THREE YEARS BETWEEN ASSESSMENTS. IN ADDITION, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH COMMUNITY LEADERS ACROSS MULTIPLE SECTORS TO PROVIDE IN-DEPTH FEEDBACK. THE SURVEY WAS COMPLETED BY 108 INDIVIDUALS REPRESENTING THE INTERESTS OF THE PEDIATRIC COMMUNITY IN THE GREATER METROPOLITAN ATLANTA REGION, INCLUDING COMMUNITY LEADERS, PHYSICIANS, SCHOOLS, RESEARCH/ACADEMIA, GOVERNMENT/NONPROFIT, EDUCATION, AND PARENTS. A COMPLETE LIST OF PARTICIPANTS IS AVAILABLE IN THE ACKNOWLEDGMENTS. THESE INDIVIDUALS ALSO REPRESENT EACH OF THE COUNTIES IN THE PRIMARY AND SECONDARY SERVICE AREAS. CONTRIBUTORS WERE ASKED TO RANK THE PEDIATRIC COMMUNITY HEALTH NEED PRIORITIES PREVIOUSLY IDENTIFIED ON AN ORDINAL SCALE WITH ONE BEING THE HIGHEST PRIORITY AND 10 BEING THE LOWEST PRIORITY. RESULTS WERE WEIGHTED TO DETERMINE THE OVERALL RANKING AMONG RESPONDENTS. PARTICIPANTS ALSO HAD THE OPPORTUNITY TO IDENTIFY NEW HEALTH NEEDS OUTSIDE OF THE 10 LISTED, AS WELL AS CLARIFYING STATEMENTS FOR EACH NEED LISTED. THERE WAS SIGNIFICANT CONSENSUS THAT THESE ISSUES AFFECTED CHILDREN ACROSS MULTIPLE CULTURAL, SOCIO-ECONOMIC AND GEOGRAPHIC COMMUNITIES WITHIN THE EXPANSIVE GREATER METRO ATLANTA REGION. PARTICIPANTS ALSO HAD THE OPPORTUNITY TO IDENTIFY NEW HEALTH NEEDS IN ADDITION TO THE 10 IDENTIFIED. THE CHNA WAS COMPLETED FROM MAY TO JUNE 2019. KEY INFORMANT INTERVIEWS WERE CONDUCTED FROM MAY TO SEPTEMBER 2019, WHICH LARGELY CONFIRMED THE SURVEY RANKING OF HEALTH NEEDS WITH DEEPER DISCUSSION OF THE INTRICACIES SURROUNDING EACH. SURVEY PARTICIPANTS AND KEY INFORMANT INTERVIEWS ALSO IDENTIFIED SOCIAL DETERMINANTS OF HEALTH AS A CONCERN NOT CURRENTLY IDENTIFIED IN THE REPORT, SPECIFICALLY POVERTY AND UNDER-RESOURCED COMMUNITIES. COMMUNITY HEALTH NEEDS PRIORITIES THE PEDIATRIC HEALTHCARE NEEDS PREVIOUSLY IDENTIFIED REMAIN THE TOP NEEDS, EXCEPT FOR INJURY AND ILLNESS PREVENTION REPLACING DENTISTRY DUE TO THE PRINCIPAL FUNCTIONS OF CHILDRENS. THE 2019 CHNA NEEDS IN PRIORITY ORDER ARE: 1. ENSURE ACCESS TO PRIMARY CARE MEDICAL HOMES FOR CHILDREN AND ADOLESCENTS 2. ENHANCE ACCESS TO BEHAVIORAL AND DEVELOPMENTAL HEALTH SERVICES FOR CHILDREN AND ADOLESCENTS 3. ADDRESS CHILDHOOD OVERWEIGHT AND OBESITY 4. ENSURE ACCESS TO SPECIALTY CARE FOR CHILDREN AND ADOLESCENTS 5. RAISE AWARENESS FOR ASTHMA, ALLERGIES AND RESPIRATORY ISSUES 6. SUPPORT ACCESS TO HEALTH SERVICES THAT ADDRESS ADOLESCENT ISSUES 7. COORDINATE CARE WITH SCHOOLS FOR PRIMARY AND CHRONIC HEALTH ISSUES 8. ADDRESS INJURY AND ILLNESS PREVENTION 9. COORDINATE TRANSITION OF CARE FOR INDIVIDUALS WITH CHRONIC HEALTH ISSUES FROM ADOLESCENTS TO YOUNG ADULTHOOD 10. DEVELOP PROGRAMS TO ADDRESS THE HEALTH NEEDS OF IMMIGRANT AND TRANSIENT POPULATIONS
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE 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.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION GEOGRAPHIC CHILDREN'S IS THE LARGEST PEDIATRIC PROVIDER IN THE STATE, CARING FOR CHILDREN FROM ALL 159 GEORGIA COUNTIES IN 2019. DEMOGRAPHICS OF THE 10.6 MILLION PEOPLE WHO LIVE IN GEORGIA, 2.5 MILLION (24 PERCENT) OF THOSE ARE CHILDREN (DEFINED AS LESS THAN 18 YEARS OF AGE). APPROXIMATELY 1.4 MILLION CHILDREN LIVE IN THE ATLANTA MSA, THE LARGEST POPULATION OF CHILDREN IN THE ATLANTA MSA BY AGE COHORT IS CHILDREN AGES 10 TO 14 YEARS OLD (JUST UNDER 420,000). THE ATLANTA MSA POPULATION IS RACIALLY DIVERSE: 47 PERCENT WHITE, 33.5 PERCENT BLACK OR AFRICAN AMERICAN, 10.8 PERCENT HISPANIC OR LATINO, 5.8 PERCENT ASIAN OR PACIFIC ISLANDER AND 2.8 PERCENT OTHER. THE 2018 ESTIMATED MEDIAN HOUSEHOLD INCOME FOR RESIDENTS IN THE ATLANTA MSA IS APPROXIMATELY $65,381 AS COMPARED TO $56,183 FOR GEORGIA OVERALL.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH 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.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEATLH CARE SYSTEM 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. CHILDREN'S ALSO MANAGES THE OPERATIONS OF HUGHES SPALDING WHICH IS OWNED BY GRADY HEALTH 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 11,500 EMPLOYEES WORK ACROSS THE CHILDREN'S HEALTHCARE SYSTEM PROVIDING CARE FOR OVER 1,160,186 PATIENT VISITS THEY MANAGED IN 2018. IN 2018, CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROMOTED THE HEALTH OF THE OVERALL COMMUNITY AND PROVIDED 638 LICENSED BEDS AND 430,868 UNIQUE PATIENTS (FROM ALL 159 COUNTIES IN GEORGIA) 27,074 HOSPITAL DISCHARGES, 165,570 INPATIENT DAYS, 1,124,069 OUTPATIENT VISITS, 43,333 SURGICAL PROCEDURES, 243,709 EMERGENCY DEPARTMENT VISITS, AND 177,894 URGENT CARE CENTER VISITS. IN ADDITION, CHILDREN'S MANAGED 74,645 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 CAMP FOR OVERWEIGHT AND OBESE CHILDREN AND THEIR FAMILIES. THE STRONG4LIFE CAMP HELPS OVERWEIGHT CHILDREN IMPROVE THEIR LIVES BY EMPHASIZING INCREASED PHYSICAL ACTIVITY, BETTER EATING HABITS AND HEIGHTENED MOTIVATION TO ENGAGE IN HEALTHY BEHAVIORS. - A SCHOOL-BASED PROGRAM, THE STRONG4LIFE CHALLENGE, THAT TEACHES ELEMENTARY SCHOOL CHILDREN ABOUT THE IMPORTANCE OF GOOD NUTRITION AND PHYSICAL ACTIVITY IN A FUN AND ENGAGING WAY, ENERGIZING THE ENTIRE SCHOOL COMMUNITY - A SCHOOL NUTRITION PROGRAM, THE STRONG4LIFE SCHOOL NUTRITION PROGRAM, THAT AIMS TO INCREASE CONSUMPTION OF HEALTHIER FOODS IN GEORGIA SCHOOL LUNCHROOMS BY BETTER EQUIPPING SCHOOL NUTRITION TEAM MEMBERS WITH TARGETED SKILLS AND AN INNOVATIVE TOOLKIT. STRONG4LIFE USES BASIC MARKETING PRINCIPLES TO ENCOURAGE KIDS TO MAKE POSITIVE CHOICES REGARDING THE FOODS THEY EAT. - A HEALTHCARE PROVIDER TRAINING PROGRAM THAT EQUIPS PROVIDERS WITH EVIDENCE-BASED OBESITY PREVENTION COUNSELING TECHNIQUES THAT CAN BE USED ACROSS THE SPECTRUM OF CARE FROM PREVENTION COUNSELING IN HEALTHY CHILDREN TO TREATMENT FOR CHILDREN IN CRISIS. - A TRAINING PROGRAM FOR HEALTHCARE PROVIDERS, THE STRONG4LIFE EARLY FEEDING PROGRAM, THAT EQUIPS HEALTHCARE PROVIDERS WITH THE NECESSARY TRAINING, PARENT TOOLS AND RESOURCES TO EDUCATE AND MOTIVATE FAMILIES OF YOUNG CHILDREN TO ADOPT HEALTHY BEHAVIORS THAT PREVENT CHILDHOOD OBESITY. - A TRAINING PROGRAM FOR YOUTH-SERVING COMMUNITY-BASED ORGANIZATIONS PROMOTE A HEALTHY ENVIRONMENT THROUGH THE IMPLEMENTATION OF A WELLNESS BLUEPRINT, WHICH IS A WRITTEN SET OF STANDARDS AN ORGANIZATION COMMITS TO ACHIEVING TO PROMOTE THE HEALTH AND WELLNESS OF THOSE REACHED BY THEIR PROGRAMS AND SERVICES. - A TRAINING PROGRAM FOR BOTH HEALTHCARE PROVIDERS AND SCHOOLS FOCUSED ON WHOLE-CHILD WELLNESS AND BUILDING RESILIENCE AMONG CHILDREN AND ADOLESCENTS. - A TRAINING PROGRAM FOR KEY STAKEHOLDERS FOCUSING ON PREVENTION OF CHILD ABUSE AND NEGLECT. - 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.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT CHILDRENS HEALTHCARE OF ATLANTA IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT UNDER GEORGIA LAW. HOWEVER, AN ANNUAL REPORT IS PRODUCED ILLUSTRATING THE BENEFIT TO THE COMMUNITY AND WHICH IS MADE AVAILABLE ON CHOA'S WEBSITE AT WWW.CHOA.ORG. THIS REPORT IS POSTED IN THE "COMMUNITY AND GOVERNMENT AFFARIS" SECTION. THESE IS ALSO A SECTION TITLED "OUT IMPACT ON GEORGIA" TO SHOW OUR BROADER IMPACT ON THE STATE. GOVERNMENT AFFAIRS SECTION. THERE IS ALSO A SECTION TITLED OUR IMPACT ON GEORGIA TO SHOW OUR BROADER IMPACT ON THE STATE.
Schedule H (Form 990) 2019
Additional Data


Software ID:  
Software Version:  

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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
noncash assistance		 (h) Purpose of grant
or assistance
(1) CHILDREN'S HEALTHCARE OF ATLANTA - HUGHES SPALDING
25 JESSEE HILL DR
ATLANTA,GA30303 		26-2037695 501(C)(3) 1,305,684       SUPPORT FOR CAPITAL PURCHASES
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2019

Schedule I (Form 990) 2019
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
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) NURSING SCHOLARSHIPS 4 7,575      
(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
SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS NURSES CURRENTLY ENROLLED IN AN ACCREDITED NURSING PROGRAM AND WHO ARE SEEKING FINANCIAL ASSISTANCE MAY APPLY FOR THE JESSIE M. CANDLISH SCHOLARSHIP. TO QUALIFY, APPLICANTS MUST MEET THE FOLLOWING CRITERIA: 1) MUST BE EMPLOYED BY CHILDREN'S BY MAY 31ST OF THE SCHOLARSHIP YEAR; 2) BE ENROLLED AS AN UNDERGRADUATE STUDENT IN AN ACCREDITED NURSING PROGRAM FOR AN RN DEGREE OR HIGHER, WITH A MINIMUM GPA OF 3.0; 3) UPHOLD THE MISSION AND VALUES OF CHILDREN'S; AND 4) IS NOT A PAST RECIPIENT OF THE CANDLISH SCHOLARSHIP. THE DOLLAR AMOUNT AND NUMBER OF SCHOLARSHIPS AWARDED VARIES FROM YEAR TO YEAR, DEPENDING ON THE THREE YEAR AVERAGE GENERATED BY THE CANDLISH FUND. PER THE 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.
Schedule I (Form 990) 2019



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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 on 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 on 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 nonfixed
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) 2019

Schedule J (Form 990) 2019
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
1DANIEL SALINAS MD
CMO & TRUSTEE- SYSTEM/HSOC 		(i)

(ii)		 0
-------------
486,201 		0
-------------
127,635 		0
-------------
31,277 		0
-------------
93,748 		0
-------------
27,705 		0
-------------
766,566 		0
-------------
0
2RONALD FRIESON
TRUSTEE-PRES FDN & EXT AFFAIRS 		(i)

(ii)		 0
-------------
446,963 		0
-------------
168,006 		0
-------------
29,875 		0
-------------
45,675 		0
-------------
24,775 		0
-------------
715,294 		0
-------------
0
3DONNA HYLAND PRESIDENTCEO
TRUSTEE - SYS/MAC/FDN/HSOC 		(i)

(ii)		 0
-------------
1,163,550 		0
-------------
468,092 		0
-------------
49,036 		0
-------------
316,410 		0
-------------
16,638 		0
-------------
2,013,726 		0
-------------
0
4RUTH FOWLER
CFO/TREASURER - SYSTEM 		(i)

(ii)		 0
-------------
684,340 		0
-------------
197,998 		0
-------------
33,595 		0
-------------
130,455 		0
-------------
13,453 		0
-------------
1,059,841 		0
-------------
0
5LESLIE JONES
GEN COUNSEL, SECRETARY-SYS/MAC 		(i)

(ii)		 0
-------------
442,066 		0
-------------
123,524 		0
-------------
17,304 		0
-------------
45,874 		0
-------------
23,959 		0
-------------
652,727 		0
-------------
0
6MARY BETH BOVA
SR ADVISOR/INDIV TRUSTEE-HSOC 		(i)

(ii)		 281,392
-------------
0 		72,019
-------------
0 		22,170
-------------
0 		0
-------------
0 		24,245
-------------
0 		399,826
-------------
0 		0
-------------
0
7JILL STRICKLAND
SVP PHYSICIAN PRACTICES OPS 		(i)

(ii)		 285,427
-------------
0 		84,758
-------------
0 		13,103
-------------
0 		50,130
-------------
0 		0
-------------
0 		433,418
-------------
0 		0
-------------
0
8JIM FORTENBERRY MD
INDIVIDUAL TRUSTEE - FDN 		(i)

(ii)		 0
-------------
421,464 		0
-------------
130,396 		0
-------------
25,187 		0
-------------
47,568 		0
-------------
23,237 		0
-------------
647,852 		0
-------------
0
9STACEY DEWEESE
SVP SYSTEM OPERATIONS 		(i)

(ii)		 234,766
-------------
0 		60,756
-------------
0 		11,371
-------------
0 		0
-------------
0 		24,303
-------------
0 		331,196
-------------
0 		0
-------------
0
10TONJA BRIDGES
CAMPAIGN OPS DIRECTOR/SEC-FDN 		(i)

(ii)		 121,601
-------------
0 		18,430
-------------
0 		6,330
-------------
0 		0
-------------
0 		31,064
-------------
0 		177,425
-------------
0 		0
-------------
0
11LUCKY JAIN
INDIV TRUSTEE-MAC/EX. PRAC DIR 		(i)

(ii)		 0
-------------
247,250 		0
-------------
52,045 		0
-------------
15,988 		0
-------------
0 		0
-------------
3,382 		0
-------------
318,665 		0
-------------
0
12LYNN PEREZ
INDIV TRUSTEE - MAC/VP OPS MAC 		(i)

(ii)		 235,113
-------------
0 		67,572
-------------
0 		11,170
-------------
0 		0
-------------
0 		31,742
-------------
0 		345,597
-------------
0 		0
-------------
0
13MICHAEL RILEY
INDIV TRUSTEE-HSOC/VP FIN OPS 		(i)

(ii)		 271,204
-------------
0 		71,196
-------------
0 		11,574
-------------
0 		0
-------------
0 		31,019
-------------
0 		384,993
-------------
0 		0
-------------
0
14BILL MAHLE MD
INDIVIDUAL TRUSTEE- SYSTEM/FDN 		(i)

(ii)		 0
-------------
512,857 		0
-------------
130,446 		0
-------------
0 		0
-------------
11,200 		0
-------------
0 		0
-------------
654,503 		0
-------------
0
15ANDREW REISNER
NEUROSURGEON 		(i)

(ii)		 879,515
-------------
0 		78,867
-------------
0 		17,203
-------------
0 		0
-------------
0 		35,010
-------------
0 		1,010,595
-------------
0 		0
-------------
0
16WILLIAM BOYDSTON
CHIEF NEUROSURGEON/BRAIN HLTH 		(i)

(ii)		 923,346
-------------
0 		87,132
-------------
0 		23,011
-------------
0 		0
-------------
0 		29,234
-------------
0 		1,062,723
-------------
0 		0
-------------
0
17TIM SCHRADER MD
INDIVIDUAL TRUSTEE - SYSTEM 		(i)

(ii)		 787,666
-------------
0 		68,768
-------------
0 		7,094
-------------
0 		0
-------------
0 		30,583
-------------
0 		894,111
-------------
0 		0
-------------
0
18MICHAEL SCHMITZ
ORTHOPEDIC SURGEON 		(i)

(ii)		 861,291
-------------
0 		62,180
-------------
0 		15,587
-------------
0 		0
-------------
0 		34,428
-------------
0 		973,486
-------------
0 		0
-------------
0
19JULIA JONES
FORMER KEY EMPLOYEE - HSOC 		(i)

(ii)		 208,429
-------------
0 		54,125
-------------
0 		12,088
-------------
0 		0
-------------
0 		19,074
-------------
0 		293,716
-------------
0 		0
-------------
0
20SCOTT HODOVAL
FORMER KEY EMPLOYEE - FDN 		(i)

(ii)		 213,302
-------------
0 		63,849
-------------
0 		11,643
-------------
0 		0
-------------
0 		20,535
-------------
0 		309,329
-------------
0 		0
-------------
0
21CHERYL HEAD
VP NURSING & HOSP OPS - ECH 		(i)

(ii)		 177,847
-------------
0 		37,739
-------------
0 		8,734
-------------
0 		0
-------------
0 		20,553
-------------
0 		244,873
-------------
0 		0
-------------
0
22LORISA WILLIAMS
VP NURSING & HOSP OPS - SR 		(i)

(ii)		 205,163
-------------
0 		45,010
-------------
0 		12,140
-------------
0 		0
-------------
0 		12,453
-------------
0 		274,766
-------------
0 		0
-------------
0
23DENNIS DEVITO MD
ORTHOPEDIC SURGEON 		(i)

(ii)		 999,057
-------------
0 		94,449
-------------
0 		23,120
-------------
0 		0
-------------
0 		14,729
-------------
0 		1,131,355
-------------
0 		0
-------------
0
24SAMUEL WILLIMON
ORTHOPEDIC SURGEON 		(i)

(ii)		 983,154
-------------
0 		83,659
-------------
0 		12,514
-------------
0 		0
-------------
0 		31,884
-------------
0 		1,111,211
-------------
0 		0
-------------
0
Schedule J (Form 990) 2019

Schedule J (Form 990) 2019
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 EMPLOYEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. HAVE THE OPTION TO PARTICIPATE IN THE 403(B) RETIREMENT PLAN OFFERED BY THE ORGANIZATION. CHILDREN'S PROVIDES AN ANNUAL DISCRETIONARY CONTRIBUTION IN A 401(A) RETIREMENT PLAN FOR EMPLOYEES WHO WORK AT LEAST 1,000 HOURS IN THE CALENDAR YEAR AND ARE EMPLOYED ON 12/31/2019. ALL INDIVIDUALS ARE EMPLOYEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. (THE "PARENT" EIN 58-2367819) WITH CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN (THE "GROUP" EXEMPTION NUMBER 5857) ACTING AS THE COMMON PAYROLL AGENT FOR THE PARENT AND ALL ENTITIES WITHIN THE GROUP.
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. IN ADDITION, THE CHIEF INVESTMENT OFFICER (CIO) IS ENTITLED TO TRAVEL FIRST CLASS OR BUSINESS CLASS DUE TO FREQUENT INTERNATIONAL TRAVEL. CHOA DOES NOT TREAT THE PAYMENTS FOR FIRST CLASS TRAVEL AS TAXABLE TO THE CEO AND CIO GIVEN THE BUSINESS PURPOSE ASSOCIATED WITH SUCH FLIGHTS.
SCHEDULE J, PART I, LINE 4B IN 2012, THE COMPENSATION AND BENEFITS COMMITTEE ELECTED TO OFFER AN ADDITIONAL EXECUTIVE 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 2019: DONNA HYLAND - $316,410 RUTH FOWLER - $130,455 DAN SALINAS - $93,748 RONALD FRIESON - $45,675 JILL STRICKLAND - $29,892 LESLIE JONES - $45,874 JIM FORTENBERRY - $47,568 THE APPROVED PLAN CALLED FOR A FIVE YEAR VESTING PERIOD, AFTER WHICH PAYOUT TO PARTICIPANTS WOULD OCCUR AS OUTLINED IN THE PLAN DOCUMENTS.
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) 2019

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.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
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 section 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 the 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) 2019
Schedule L (Form 990 or 990-EZ) 2019
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) HANNAH CHANCY SEE SCHEDULE L, PART V 2,524 EMPLOYEE COMPENSATION   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
SCHEDULE L, PART IV, COLUMN (B) (1) HANNAH CHANCY - HANNAH CHANCY WORKS AS A CLINICAL NURSE 2 IN PICU AT EGLESTON, SHE IS THE DAUGHTER OF MARK CHANCY, WHO IS A TRUSTEE FOR FOUNDATION AND SYS.
Schedule L (Form 990 or 990-EZ) 2019


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 imageGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
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 145 1,781,619 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 isn't 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 nonstandard 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 didn't 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) (2019)
Schedule M (Form 990) (2019)
Page 2
Part IISupplemental 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
SCHEDULE M, PART I, LINE 9, COLUMN (B) THE AMOUNT OF 145 REPRESENTS THE NUMBER OF CONTRIBUTIONS
Schedule M (Form 990) (2019)

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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2019
Open to Public
Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Return Reference Explanation
FORM 990, PART I, LINE 6 VOLUNTEERS CHILDREN'S RELIES ON VOLUNTEER SUPPORT TO RAISE FUNDS IN OUR COMMUNITY THROUGH ORGANIZING OR VOLUNTEERING AT EVENTS. INDIVIDUALS AND CORPORATIONS WORK WITH CHILDREN'S TO HOST AND SUPPORT NUMEROUS COMMUNITY, SPORTS AND HOLIDAY EVENTS, ALL TO BENEFIT OUR NOT-FOR-PROFIT ORGANIZATION. IN 2019, 11,197 VOLUNTEERS SUPPORTED CHILDREN'S IN THIS CAPACITY. VOLUNTEERS PLAY AN IMPORTANT ROLE IN CLINICAL SETTINGS WITHIN OUR NOT-FOR-PROFIT HEALTHCARE SYSTEM. THE VOLUNTEERS IN THE CLINICAL SETTINGS ARE CALLED IN-SERVICE VOLUNTEERS. THEY HELP BY BRINGING A SENSE OF ENTHUSIASM AND WARMTH THAT IS IMPORTANT TO OUR PATIENTS, THEIR FAMILIES AND OUR STAFF. WITH THE GUIDANCE OF THE CHILDREN'S STAFF, CHILDREN'S VOLUNTEERS WORK A SET WEEKLY SCHEDULE WITHIN ONE OF THE FOLLOWING HOSPITAL AREAS: DIRECT PATIENT CARE, CUSTOMER SERVICE AND ADMINISTRATIVE SUPPORT. HOSPITAL VOLUNTEERS CAN BE FOUND WORKING ON ALL OF OUR HOSPITAL CAMPUSES AS WELL AS SEVERAL OF OUR NEIGHBORHOOD LOCATIONS. APPROXIMATELY 5,346 ACTIVE VOLUNTEERS ASSIST AT OUR MEDICAL FACILITIES. VOLUNTEERS THAT WORK WITH THE FOUNDATION IN THE COMMUNITY ARE CALLED FRIENDS. FOR MORE INFORMATION ON VOLUNTEER OPPORTUNITIES IN FUNDRAISING AND OTHER SUPPORT TO OUR PATIENTS AND FAMILIES, PLEASE VISIT WWW.CHOA.ORG/VOLUNTEER. FORM 990, PART V, LINE 2A NUMBER OF EMPLOYEES REPORTED ON FORM W-3 W-2'S FOR EMPLOYEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. - GROUP ARE ISSUED UNDER EING 58-2367819, THE PARENT RETURN. FORM 990, PART VI, LINE 4 SIGNIFICANT CHANGES TO THE GOVERNING DOCUMENTS EFFECTIVE DECEMBER 17, 2019, THE ORGANIZATIONS BYLAWS WERE AMENDED TO: HSOC - REFER TO CHILDRENS RESERVED POWERS AND NOTE THAT SUCH POWERS ARE RESERVED SOLELY TO CHILDRENS; ECH - REMOVE THE REFERENCE TO RESERVED POWERS; MAC - REDUCE THE NUMBER OF EX-OFFICIO TRUSTEES FROM FIVE TO FOUR; REPLACE EXECUTIVE DIRECTOR OF THE PEDIATRIC CENTER WITH EXECUTIVE DIRECTOR OF THE PEDIATRIC INSTITUTE; AMEND EX-OFFICIO TITLES OF THE VP OF THE BRAIN HEALTH CENTER/CORPORATION AND THE DIRECTOR OF THE CORPORATION; FDN ADDED PROVISION THAT OFFICERS OF THE BOARD WILL NOT BE SUBJECT TO TERM LIMITATIONS WHILE SERVING AS AN OFFICER; ECH/SR/EAS/EPG/FDN/HSOC MAKE RESIGNATION PROVISIONS CONSISTENT WITH OTHER CHILDRENS ORGANIZATIONS; AND ADDS CONDITION THAT AUTHORITY TO ENTER CONTRACTS MUST BE CONSISTENT WITH CHILDRENS POLICIES.
FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS CHILDREN'S HEALTHCARE OF ATLANTA, INC. IS THE SOLE MEMBER OF ALL SURBORDINATES EXCEPT HSOC. EGLESTON CHILDREN'S HOSPITAL IS THE SOLE CORPORATE MEMBER OF HSOC. FORM 990, PART VI, LINE 7A POWER TO ELECT OR APPOINT MEMBERS 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 HEATLHCARE OF ATLANTA.
FORM 990, PART VI, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS 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 OF DIRECTORS; ADOPTION OR AMENDMENT OF A STRATEGIC PLAN; ADOPTION AND/OR AMENDMENT OF THE ANNUAL BUDGET; APPROVAL OF MAJOR CAPITAL EXPENDITURES; APPROVAL OR AMEMDMENT OF MAJOR CONTRACTS; THE ADDITION OR DISCONTINUATION OF SIGNIFICANT HEALTHCARE SERVICES; INCURRENCE OF DEBT IN EXCESS OF $1 MILLION; APPROVAL OF PURCHASES, LEASES OR DISPOSAL 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 DISPOSITION OF THE ORGANIZATION'S ASSETS; AND AMENDMENT OR RESTATEMENT OF THE ORGANIZATION'S GOVERNING DOCUMENTS.
FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990 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.
FORM 990, PART VI, LINE 12C MONITORING & ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY CHILDREN'S BOARD OF TRUSTEES ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO AN "INTERESTED PERSON". AN INTERESTED PERSON WOULD BE EVERY DIRECTOR, TRUSTEE, MEMBER OF A BOARD COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, OFFICERS 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" IN 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 THE COMMITTEEE 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 OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS OR TRUSTEES WHETHER: A) TO ENTER INTO THE TRANSACTION OR ARRANGEMENT; 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 ORGANIZATIONS' FILING OF ITS IRS FORM 990 WITH THE INTERNAL REVENUE SERVICE. RESULTS OF THE QUESTIONNAIRE ARE REVIEWED BY SENIOR LEADERSHIP.
FORM 990, PART VI, LINES 15A AND 15B PROCESS FOR DETERMINING COMPENSATION 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 RECOMMENDATIONS FOR "DISQUALIFIED PERSONS", AND OTHER EXECUTIVES AND LEADERS ARE MADE IN DECEMBER AND BOARD APPROVED CHANGES, IF ANY, ARE EFFECTIVE IN THE FIRST PAY PERIOD OF THE COMING YEAR. INCENTIVE PAYOUTS ARE APPROVED IN FEBRUARY, FOR THE PRIOR YEAR'S PERFORMANCE, AND ISSUED IN MARCH. ALL COMMITTEE RECOMMENDATIONS AND BOARD DECISIONS (RELATED TO EXECUTIVE COMPENSATION) ARE DOCUMENTED IN THE APPLICABLE MEETING MINUTES.
FORM 990, PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS TO GENERAL PUBLIC THE ORGANIZATION DOES NOT MAKE THESE DOCUMENTS AVAILABLE, CONSISTENT WITH IRS REQUIREMENTS.
FORM 990, PART VII, SECTION A DESCRIPTION OF PERSONS TITLES ABBREVIATION DEFINITIONS: FDN - CHILDREN'S HEALTHCARE OF ATLANTA FOUNDATION, INC. MAC - MARCUS AUTISM CENTER, INC. HSOC - HSOC, INC. CHOA, EAS, EPG, ECH, SRCH ARE COLLECTIVELY REFERRED TO AS "SYSTEM"SYS" ON PART VII. INDIVIDUALS WITH "SYSTEM"SYS" INDICATION SERVE OF THE BOARD OF THE FOLLOWING ENTITIES: CHOA - CHILDREN'S HEALTHCARE OF ATLANTA, INC. EAS - EGLESTON AFFILIATED SERVICES, INC. EPG - EGLESTON PEDIATRIC GROUP, INC. ECH - EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, INC. SRCH - SCOTTISH RITE CHILDREN'S MEDICAL CENTER, INC.
FORM 990, PART VII HOURS DEVOTED TO RELATED ORGANIZATIONS 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.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES TRANSFERS BETWEEN ENTITIES (702,008,624) OTHER RECONCILING ITEMS 36,675,308 _____________ TOTAL (665,333,316)
FORM 990, PART III - PROGRAM SERVICE, LINE 4A THE CHILDREN'S HEALTHCARE OF ATLANTA FOUNDATION, INC. WAS ESTABLISHED IN 2008 AND WORKS TO ENGAGE THE COMMUNITY THROUGH PHILANTHROPY AND VOLUNTEERISM IN SUPPORT OF THE MISSION AND VISION OF CHILDREN'S HEALTHCARE OF ATLANTA. IN 2019, THE FOUNDATION HAD 86 PAID STAFF AND MORE THAN 10,000 HOSPITAL AND EVENT VOLUNTEERS. IN 1998, EGLESTON CHILDREN'S HEALTH CARE SYSTEM AND SCOTTISH RITE MEDICAL CENTER CAME TOGETHER TO FORM CHILDREN'S HEALTHCARE OF ATLANTA - ONE OF THE LARGEST PEDIATRIC SYSTEMS IN THE COUNTRY. THE NEW SYSTEM HAD A SINGLE PRIORITY: FAMILY-CENTERED CARE. IN 2006, CHILDREN'S ASSUMED RESPONSIBILITY FOR THE MANAGEMENT OF SERVICES AT HUGHES SPALDING CHILDREN'S HOSPITAL, GROWING THE SYSTEM TO THREE HOSPITALS AND 27 NEIGHBORHOOD LOCATIONS. IN 2019, THE THREE HOSPITALS OPERATED BY CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROVIDED 673 LICENSED BEDS AND MANAGED 1,205,697 PATIENT VISITS, 444,076 UNIQUE PATIENTS, 26,818 HOSPITAL ADMISSIONS, 164,453 INPATIENT DAYS, 1,170,880 OUTPATIENT VISITS, 44,993 SURGICAL PROCEDURES (INPATIENT AND OUTPATIENT), 244,403 EMERGENCY DEPARTMENT VISITS, 194,669 URGENT CARE CENTER VISITS AND 42,595 PRIMARY CARE VISITS. CHILDREN'S ALSO MANAGED 69,507 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 SPECTRUM DISORDER, THEIR FAMILIES AND THOSE WHO LIVE AND WORK WITH THEM. MARCUS AUTISM CENTER OFFERS 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, MARCUS AUTISM CENTER HAS TREATED MORE THAN 40,000 CHILDREN. IN 2019, THEY CARED FOR MORE THAN 4,700 INDIVIDUAL PATIENTS. WITH THE SUPPORT OF GENEROUS DONATIONS, MARCUS AUTISM CENTER HAS BECOME A NATIONALLY RECOGNIZED CENTER FOR EXCELLENCE FOR THE PROVISION OF COORDINATED AND COMPREHENSIVE SERVICES FOR CHILDREN WITH AUTISM SPECTRUM DISORDER. SINCE 2014, MARCUS AUTISM CENTER HAS TRACKED MORE THAN 6,000 DIAGNOSTIC EVALUATIONS AND 180,000 CLINICAL VISITS WITH 24,000 UNIQUE PATIENTS, CONDUCTED RESEARCH, AND PROVIDED EDUCATION AND TRAINING PROGRAMS. TOGETHER WITH FAMILIES, SUPPORT GROUPS, GOVERNMENT AGENCIES AND FOUNDATIONS, MARCUS AUTSIM CENTER IS STRENGTHENING THE COMMUNITY THROUGH ADVOCACY AT THE LOCAL AND STATE LEVEL. MARCUS AUTISM CENTER STRIVES FOR FULLER INTEGRATION OF INDIVIDUALS WITH AUTISM SPECTRUM DISORDER 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. IN 2019, 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.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


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 Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2019
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
3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
81-0582607 		PHYS SERVICES GA 1,301,928 0 EGLESTON PED
 
(2) CHILDREN'S ANESTHESIA SERVICES LLC
3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
20-0044124 		PHYS SERVICES GA 17,273,909 0 EGLESTON PED
 
(3) CHOA CENTER FOR PAIN RELIEF LLC
3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
32-0185406 		PHYS SERVICES GA 0 0 EGLESTON PED
 
(4) PED NEUROSURGERY ASSOC AT CHILDREN'S LLC
3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
26-0833842 		PHYS SERVICES GA 5,564,215 0 EGLESTON PED
 
(5) CHOA - MULTISPECIALTY LLC
3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
61-1665353 		PHYS SERVICES GA 49,736,104 0 EGLESTON PED
 
(6) CHOA - HOSPITAL BASED LLC
3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
80-0863895 		PHYS SERVICES GA 104,397,824 0 EGLESTON PED
 
(7) SPECIALTY PROVIDERS AT CHILDREN'S LLC
3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
61-1753346 		PHYS SERVICES GA 0 0 EGLESTON PED
 
(8) MED-SURGICAL PROVIDERS AT CHILDREN'S LLC
3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
30-0853755 		PHYS SERVICES GA   0 EGLESTON PED
 
(9) CARDIOTHORACIC PROVDRS AT CHILDREN'S LLC
3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
32-0456470 		PHYS SERVICES GA 5,918,302 0 EGLESTON PED
 
(10) PRIMARY CARE AT CHILDREN'S LLC
3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
61-1752679 		PHYS SERVICES GA 1,975,042 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
3375 NORTHEAST EXPRESSWAY

ATLANTA,GA30341
58-2367819 		HLTHCRE MGMT GA 501(c)(3) 12B NA
 
 
No












For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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 01-0723254

1575 NE EXPY
ATL,GA30329
 SURGERY CENTER GA SCOTTISH RITE
  		RELATED 10,549,057 14,588,805   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) EMORY-EGLESTON CHILDREN'S HEART CENTER

2835 BRANDYWINE RD SUITE 300
ATLANTA,GA30329
58-1871713 		CARDIAC SERVICES GA CHOA
  		C CORP 0 0 100.000 % Yes  
(2) THE CHILDREN'S CARE NETWORK

3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
47-1373158 		PHYSICIAN SRVS GA CHOA
  		C CORP -1,687,628 6,783,734 100.000 % Yes  
(3) CHARITABLE REMAINDER TRUST - SUNTRUST

303 PEACHTREE ST
ATLANTA,GA30303
 SPLIT INT. TRUST GA NA
  		TRUST 26,934 1,012,363 100.000 %   No
(4) LAURIE DAVIS WEBSTER TRUST

303 PEACHTREE ST
ATLANTA,GA30303
58-6026013 		CHARITABLE TRUST GA CHOA
  		TRUST 2,498 103,240 100.000 % Yes  
(5) WE CHAPLIN TRUST

303 PEACHTREE ST
ATLANTA,GA30303
58-6026010 		CHARITABLE TRUST GA CHOA
  		TRUST 320 13,187 100.000 % Yes  
(6) THOMAS EGLESTON TRUST

303 PEACHTREE ST
ATLANTA,GA30303
58-6026009 		CHARITABLE TRUST GA CHOA
  		TRUST 407,539 23,967,659 100.000 % Yes  
(7) CHARITABLE REMAINDER TRUST - WELLS FARGO

3375 NORTHEAST EXPRESSWAY
ATLANTA,GA30341
 SPLIT INT. TRUST NC NA
  		TRUST       Yes  
(8) NEAL ALLEN CHARITABLE REMAINDER UNITRUST

303 PEACHTREE ST
ATLANTA,GA30303
 CHARITABLE TRUST GA N/A
   23,062 899,844 100.000 % Yes  
(9) TYCHO HOWLE CHARITABLE REMAINDER UNITRUS

303 PEACHTREE ST
ATLANTA,GA30303
 CHARITABLE TRUST GA N/A
   10,671 41,923 100.000 % Yes  
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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
 
 
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 TRUST

 C 407,539 CASH TRANSFER





Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
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) 2019
Schedule R (Form 990) 2019
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) 2019

Additional Data


Software ID:  
Software Version: