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      <Description>CHILDREN'S HEALTHCARE OF ATLANTA, INC. (CHILDREN'S) SERVES AS THE CORPORATE PARENT OF, AND IS AN INTEGRAL PART OF, THE EXEMPT HEALTHCARE SYSTEM WHOSE PROGRAM SERVICE ACCOMPLISHMENTS ARE DESCRIBED BELOW. CHILDREN'S SERVES METRO ATLANTA, THE ENTIRE STATE OF GEORGIA AND THE UNITED STATES. CHILDREN'S IS THE LARGEST PEDIATRIC PROVIDER IN THE STATE CARING FOR CHILDREN FROM ALL 159 GEORGIA COUNTIES IN 2011. CHILDREN'S, ONE OF THE LEADING PEDIATRIC HEALTHCARE SYSTEMS IN THE COUNTRY, IS A NOT-FOR-PROFIT ORGANIZATION THAT BENEFITS FROM THE GENEROUS PHILANTHROPIC AND VOLUNTEER SUPPORT OF OUR COMMUNITY. OPERATING THREE HOSPITALS (EGLESTON, HUGHES SPALDING AND SCOTTISH RITE) AND 17 NEIGHBORHOOD LOCATIONS (INCLUDING MARCUS AUTISM CENTER AND FIVE URGENT CARE CENTERS) WITH MORE THAN HALF A MILLION PATIENT VISITS ANNUALLY, CHILDREN'S IS RECOGNIZED FOR EXCELLENCE IN CANCER, CARDIAC AND ORTHOPAEDICS AND OFFERS ACCESS TO MORE THAN 60 PEDIATRIC SPECIALTIES. CHILDREN'S IS RANKED ONE OF THE TOP PEDIATRIC HOSPITALS NATIONWIDE BY U.S.NEWS &amp; WORLD REPORT AND ALSO HAS BEEN NAMED ONE OF THE "100 BEST COMPANIES TO WORK FOR" BY FORTUNE MAGAZINE. THE MISSION VISION, VALUES AND EMPLOYEE PROMISE OF CHILDREN'S WERE CREATED THROUGH AN IN-DEPTH PROCESS INVOLVING EMPLOYEES, PHYSICIANS, VOLUNTEERS AND BOARD MEMBERS. IN 2011, THE THREE HOSPITALS OPERATED BY CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROVIDED 533 STAFFED BEDS AND MANAGED 777,881 PATIENT VISITS, 326,182 UNIQUE PATIENTS, 24,572 HOSPITAL ADMISSIONS, 136,769 INPATIENT DAYS, 747,103 OUTPATIENT VISITS, 37,785 SURGICAL PROCEDURES (INPATIENT AND OUTPATIENT), 188,637 EMERGENCY DEPARTMENT VISITS, 100,843 IMMEDIATE CARE CENTER VISITS AND 46,551 PRIMARY CARE VISITS. CHILDREN'S ALSO MANAGED 142,000 CALLS FROM PARENTS ACROSS GEORGIA TO THE CHILDREN'S NURSE ADVICE LINE. CHILDREN'S IS ALSO THE LARGEST MEDICAID PROVIDER IN THE STATE OF GEORGIA, SERVING NEARLY 9 OUT OF 10 PEDIATRIC INPATIENT MEDICAID CASES IN ATLANTA AND NEARLY 5 OUT OF 10 CASES STATEWIDE. CHILDREN'S IS COMMITTED TO PROVIDING MEDICALLY NEEDED HEALTHCARE TO THE CHILDREN OF GEORGIA. STATEWIDE, 44% OF GEORGIA'S CHILDREN ARE ENROLLED IN MEDICAID OR PEACHCARE AND 13% ARE UNINSURED. IN 2011, CHILDREN'S PROVIDED ABOUT $74 MILLION OF CARE FOR WHICH WE DO NOT GET PAID. IN ADDITION, CHILDREN'S INVESTS IN PEDIATRIC RESEARCH, TEACHING AND CHILD WELLNESS AND PREVENTIVE CARE INITIATIVES, FOR WHICH WE ALSO DO NOT GET PAID. THE TOTAL COMMUNITY BENEFIT PROVIDED BY CHILDREN'S IN 2011 WAS ABOUT $148 MILLION. CHILDREN'S SERVES AS THE PEDIATRIC PHYSICIAN TEACHING SITE FOR EMORY UNIVERSITY SCHOOL OF MEDICINE AND MOREHOUSE SCHOOL OF MEDICINE. CHILDREN'S TAKES THE LEAD IN TRAINING THE PEDIATRICIANS OF TOMORROW AND INCREASED ITS TRAINING TO 115 RESIDENTS AND 97 FELLOWS IN 2011. NEW PHYSICIANS ARE ENCOURAGED TO PARTICIPATE IN OUR FELLOWSHIP PROGRAMS, WHICH ARE AVAILABLE IN A VARIETY OF SPECIALTIES. CHILDREN'S ALSO TRAINS OTHER PEDIATRIC HEALTHCARE PROFESSIONALS, INCLUDING NURSES, EMERGENCY MEDICAL TECHNICIANS, PARAMEDICS AND PSYCHOSOCIAL EXPERTS. CHILDREN'S OFFERS A WIDE VARIETY OF TRAINING OPPORTUNITIES TO OTHER PROFESSIONALS WHO WORK WITH CHILDREN, INCLUDING PROGRAMS FOR LAW ENFORCEMENT AGENCIES, SCHOOL NURSES, COACHES AND TEACHERS. CHILDREN'S BELIEVES THAT TODAY'S MEDICAL DISCOVERIES COULD SAVE THE LIFE OF A CHILD TOMORROW. RESEARCH IS A CORNERSTONE OF THE CHILDREN'S HEALTHCARE OF ATLANTA MISSION. WE ARE COMMITTED TO ADVANCEMENTS IN PEDIATRIC MEDICINE AND FINDING ANSWERS TO PERPLEXING MEDICAL CONDITIONS, WORKING WITH PARTNERS SUCH AS EMORY UNIVERSITY SCHOOL OF MEDICINE, GEORGIA INSTITUTE OF TECHNOLOGY AND MOREHOUSE SCHOOL OF MEDICINE. IN 2011, OUR RESEARCHERS INITIATED MORE THAN 600 STUDIES IN 30 SPECIALTY AREAS. AS PART OF OUR COMMUNITY HEALTH RESEARCH COLLABORATION WITH EMORY UNIVERSITY AND GEORGIA TECH, WE WORKED TO DEVELOP NEW DRUGS AND TREATMENT TECHNIQUES-LIKE A NEW CONTINUOUS RENAL REPLACEMENT THERAPY DEVICE THAT IS DESIGNED SPECIFICALLY WITH KIDS IN MIND. IT CAN BE USED ACCURATELY ON A 6-POUND CHILD, ALL THE WAY UP TO A FOOTBALL LINEBACKER. AMONG OTHER THINGS, WE ARE WORKING ON TREATMENTS FOR AUTISM, BRAIN TUMORS, CARDIAC PROBLEMS AND SICKLE CELL DISEASE; GROWING BONE; AND USING CELL PHONES TO ENHANCE MEMORY AND ORGANIZATION FOLLOWING TRAUMATIC BRAIN INJURY. OUR 13 KEY PRIORITY RESEARCH CENTERS ARE THE AFLAC CANCER AND BLOOD DISORDERS CENTER; CHILDREN'S CENTER FOR IMMUNOLOGY AND VACCINES; CHILDREN'S CENTER FOR TRANSPLANT IMMUNOLOGY AND IMMUNE THERAPEUTICS; CHILDREN'S CENTER FOR PEDIATRIC HEALTHCARE TECHNOLOGY INNOVATION; CHILDREN'S CENTER FOR CYSTIC FIBROSIS; CHILDREN'S CENTER FOR DEVELOPMENTAL LUNG BIOLOGY; CHILDREN'S CENTER FOR CARDIOVASCULAR BIOLOGY; CHILDREN'S CENTER FOR DRUG DISCOVERY; MARCUS AUTISM CENTER; CHILDREN'S CENTER FOR NEUROSCIENCES; CHILDREN'S CENTER FOR NANOMEDICINE; CHILDREN'S CENTER FOR OUTCOMES RESEARCH AND PUBLIC HEALTH; AND CHILDREN'S CENTER FOR CLINICAL AND TRANSLATIONAL RESEARCH. OUR STEPHANIE V. BLANK CENTER FOR SAFE AND HEALTHY CHILDREN WORKS WITH LAW ENFORCEMENT, THE DIVISION OF FAMILY AND CHILDREN SERVICES (DFCS) AND CHILD ADVOCACY AGENCIES TO IDENTIFY, TREAT AND PREVENT CHILD ABUSE AND NEGLECT. IN 2011, THROUGH THE CENTER, WE TRAINED MORE THAN 6,000 PROFESSIONALS ABOUT HOW TO RECOGNIZE, REPORT AND PREVENT CHILD ABUSE. THOSE TRAINED INCLUDED MEDICAL PERSONNEL, LAW ENFORCEMENT, CHILD ADVOCATES, SCHOOL STAFF, SOCIAL WORKERS AND MENTAL HEALTH PRACTITIONERS. IN 2011 WE LAUNCHED OUR CHILDREN'S STRONG4LIFE CHILDHOOD OBESITY INITIATIVE WITH PILOTS CONDUCTED IN THE COMMUNITIES OF MACON, COLUMBUS AND ATLANTA. A PUBLIC AWARENESS CAMPAIGN WAS THE CORNERSTONE OF OUR EFFORTS TO HELP COMMUNITY MEMBERS RECOGNIZE THE IMPACT OF CHILDHOOD OBESITY IN GEORGIA. WE TRAINED NEARLY 1,000 HEALTHCARE PROVIDERS ON PATIENT-CENTERED COUNSELING TECHNIQUES AND REACHED 9,292 CHILDREN AT 21 SCHOOLS THROUGH THE STRONG4LIFE CHALLENGE PROGRAM. CHILDREN'S SERVES AS THE LEAD AGENCY FOR SAFE KIDS GEORGIA, A STATEWIDE NETWORK FOR PREVENTING UNINTENTIONAL INJURIES AMONG CHILDREN. THESE TYPES OF INJURIES ARE THE NO. 1 CAUSE OF DEATH FOR CHILDREN FROM BIRTH TO AGE 14. IN 2011, SAFE KIDS GEORGIA-THROUGH ITS 29 LOCAL COALITIONS ACROSS 50 COUNTIES-PROVIDED EDUCATION TO MORE THAN 220,000 CHILDREN, CAREGIVERS AND PROFESSIONALS. SAFE KIDS GEORGIA DISTRIBUTED NEARLY 30,000 SAFETY DEVICES TO RESIDENTS THROUGHOUT THE STATE, INCLUDING CAR AND BOOSTER SEATS, BIKE HELMETS, SMOKE AND CARBON MONOXIDE DETECTORS, GUN LOCKS AND PERSONAL FLOTATION DEVICES. THROUGH THE CONDUCT OF THESE ACTIVITIES, CHILDREN'S HEALTHCARE OF ATLANTA, INC. SEEKS TO MAKE KIDS BETTER TODAY AND HEALTHIER TOMORROW.</Description>
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        <EIN>582147112</EIN>
        <TypeOfOrganization>03</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>EGLESTON PEDIATRIC GROUP INC</BusinessNameLine1>
        </Name>
        <EIN>582201217</EIN>
        <TypeOfOrganization>03</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>HSOC INC</BusinessNameLine1>
        </Name>
        <EIN>203962330</EIN>
        <TypeOfOrganization>03</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>MARCUS AUTISM CENTER INC</BusinessNameLine1>
        </Name>
        <EIN>262809380</EIN>
        <TypeOfOrganization>09</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
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      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>CHILDREN'S HEALTHCARE OF ATLANTA FOUNDATION INC</BusinessNameLine1>
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        <EIN>581710601</EIN>
        <TypeOfOrganization>07</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
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      <TotalNumberOfSupportedOrgs>7</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>0</SumOfAmounts>
      <GeneralExplanation>CHILDREN'S HEALTHCARE OF ATLANTA, INC. SERVES AS THE CORPORATE PARENT OF A MULTI-HOSPITAL PEDIATRIC HEALTH SYSTEM AND SUPPORTS THE EXEMPT MEMBERS OF THE SYSTEM THROUGH OVERALL MANAGEMENT OF ADMINISTRATIVE FUNCTIONS SUCH AS FINANCE AND ACCOUNTING, STRATEGIC PLANNING, HUMAN RESOURCES, INVESTMENT MANAGEMENT AND RELATED FUNCTIONS. MANY OF THESE COSTS ARE BORNE DIRECTLY BY THE PARENT RATHER THAN ALLOCATED TO THE VARIOUS SUPPORTED ORGANIZATIONS. FOR 2011, THE SALARY, BENEFIT, INVESTMENT MANAGEMENT AND OTHER COSTS INCURRED DIRECTLY BY PARENT TO MANAGE THE SYSTEM, WHICH CONSTITUTE INDIRECT SUPPORT OF THE SUPPORTED ORGANIZATIONS, TOTAL $16,762,767.</GeneralExplanation>
    </IRS990ScheduleA>
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      <TotalDirectLobbying />
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      <OtherExemptPurposeExpenditures />
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      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
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      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>true</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>true</MailingsMembers>
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      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>true</DirectContactLegislators>
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      <OtherActivities>false</OtherActivities>
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        <Identifier>DESCRIPTION OF LOBBYING ACTIVITIES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-B</ReturnReference>
        <Explanation>DURING THE YEAR, CHILDREN'S ATTEMPTED TO INFLUENCE NATIONAL, STATE OR LOCAL LEGISLATION THROUGH THE USE OF: 1. PAID STAFF AND MANAGEMENT CHILDREN'S GOVERNMENT AFFAIRS STAFF ENGAGES IN DIRECT CONTACT WITH STATE AND FEDERAL LEGISLATORS, AS WELL AS STATE AND FEDERAL GOVERNMENT OFFICIALS. 2. MAILINGS TO MEMBERS, LEGISLATORS OR THE PUBLIC CHILDREN'S MAILED CORRESPONDENCE TO MEMBERS OF THE GEORGIA CONGRESSIONAL DELEGATION DURING THE YEAR. ADDITIONALLY, CHILDREN'S DISTRIBUTED MULTIPLE CORRESPONDENCES TO MEMBERS OF THE GEORGIA GENERAL ASSEMBLY. 3. DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY. DURING THE YEAR, MEMBERS OF CHILDREN'S GOVERNMENT AFFAIRS TEAM MADE DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS AND GOVERNMENT OFFICIALS. THE VAST MAJORITY OF OUR CONTACT WAS MADE TO MEMBERS OF THE GEORGIA GENERAL ASSEMBLY, WITH OTHER CONTACTS MADE TO GOVERNMENT OFFICIALS AND MEMBERS OF THE GEORGIA CONGRESSIONAL DELEGATION AND THEIR STAFFS. THESE MAILINGS AND OTHER COMMUNICATIONS ARE RELATED TO LEGISLATIVE ISSUES THAT IMPACT THE ACCOMPLISHMENT OF CHOA'S EXEMPT PURPOSES, INCLUDING FUNDING FOR PUBLIC HEALTH INITIATIVES, STATE MEDICAID FUNDING AND RELATED LEGISLATION.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>166028389</BeginningOfYearBalance>
        <Contributions>9401283</Contributions>
        <InvestmentEarningsOrLosses>-5945242</InvestmentEarningsOrLosses>
        <OtherExpenditures>4861747</OtherExpenditures>
        <AdministrativeExpenses>422238</AdministrativeExpenses>
        <EndOfYearBalance>164200445</EndOfYearBalance>
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      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>139431731</BeginningOfYearBalance>
        <Contributions>14945071</Contributions>
        <InvestmentEarningsOrLosses>18799901</InvestmentEarningsOrLosses>
        <OtherExpenditures>6702824</OtherExpenditures>
        <AdministrativeExpenses>445490</AdministrativeExpenses>
        <EndOfYearBalance>166028389</EndOfYearBalance>
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      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>125097934</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>27121215</InvestmentEarningsOrLosses>
        <OtherExpenditures>12347045</OtherExpenditures>
        <AdministrativeExpenses>440373</AdministrativeExpenses>
        <EndOfYearBalance>139431731</EndOfYearBalance>
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      <CurrentYearMinus3Years>
        <BeginningOfYearBalance>1125545524</BeginningOfYearBalance>
        <Contributions>125000000</Contributions>
        <InvestmentEarningsOrLosses>-491127434</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>3641096</AdministrativeExpenses>
        <EndOfYearBalance>755776994</EndOfYearBalance>
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      <BoardDesignatedEOYBalance>0.03720</BoardDesignatedEOYBalance>
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      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
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        <OtherCostOrOtherBasis>11147940</OtherCostOrOtherBasis>
        <Depreciation>4277525</Depreciation>
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      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>42081</OtherCostOrOtherBasis>
        <Depreciation>19820</Depreciation>
        <BookValue>22261</BookValue>
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      <OtherSecurities>
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      <OtherAssets>
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      <OtherAssets>
        <Description>IC BOND REC FROM EGLESTON</Description>
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      <OtherAssets>
        <Description>IC BOND REC FROM SCOTTISH RITE</Description>
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      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>INTERCOMPANY PAYABLES TO GROUP</Description>
        <Amount>1492108975</Amount>
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      <OtherLiabilities>
        <Description>LOVELL REDDIN PENSION FUND</Description>
        <Amount>115200</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>SWAP VALUATION LIABILITY</Description>
        <Amount>110932873</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>1603157048</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>EXPLANATION FOR RECLASSIFICATION OF PREVIOUS ENDOWMENT FUND BALANCES</Identifier>
        <ReturnReference>SCHEDULE D, PART V, LINE 1G, COLUMN (D)</ReturnReference>
        <Explanation>A PORTION OF THE 2008 END OF YEAR BALANCE ('THREE YEARS BACK') HAS BEEN RECLASSIFIED TO ACCURATELY REFLECT ASSETS HELD, IN ACCORDANCE WITH REPORTING GUIDANCE FOR ENDOWMENT DISCLOSURES. DESCRIPTION OF INTENDED USES OF THE ORGANIZATIONS'S ENDOWMENT FUNDS SCHEDULE D, PART V, LINE 4 INCOME FROM THE ENDOWMENT FUNDS LISTED IN PART V IS USED TO SUPPORT THE EXEMPT PURPOSES OF THE ORGANIZATIONS IN THE CHOA HEALTHCARE SYSTEM, INCLUDING THE PROVISION OF CHARITY CARE.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF ALTERNATIVE INVESTMENTS</Identifier>
        <ReturnReference>PART VII, OTHER SECURITIES</ReturnReference>
        <Explanation>"ALTERNATIVE" INVESTMENTS PRIMARILY REPRESENT INVESTMENTS IN PARTNERSHIPS AND LIMITED LIABILITY CORPORATIONS. THESE INVESTMENTS IN NON-MARKETABLE SECURITIES (THUS WITHOUT READILY DETERMINABLE FAIR VALUES) ARE CARRIED AT COST WHERE CHILDREN'S OWNS LESS THAN 5% AND ARE ACCOUNTED FOR UNDER THE EQUITY METHOD WHEN CHILDREN'S OWNS BETWEEN 5% AND 50% OF THE OWNERSHIP INTEREST.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF OTHER RECEIVABLES</Identifier>
        <ReturnReference>PART IX, OTHER RECEIVABLES</ReturnReference>
        <Explanation>THE INTERCOMPANY RECEIVABLE BALANCE INCLUDES THE FILING ORGANIZATION'S ALLOCATION OF TAX-EXEMPT BOND LIABILITIES TO AFFILIATED ENTITIES THAT ARE PART OF THE HEALTH SYSTEM'S OBLIGATED GROUP. RESPECTIVE SHARES ARE REPORTED ON THE FORM 990 FOR THE CHOA GROUP.</Explanation>
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      <Form990ScheduleDPartXIV>
        <Identifier>DESCRIPTION OF OTHER LIABILITIES</Identifier>
        <ReturnReference>PART X, OTHER LIABILITIES</ReturnReference>
        <Explanation>THE INTERCOMPANY LIABILITY BALANCE REPRESENTS THE NET OF BALANCES DUE TO AND FROM THE AFFILIATED ENTITIES WITHIN THE CHOA HEALTHCARE SYSTEM. SOME AMOUNTS RESULT FROM TIMING DIFFERENCES OF ACTUAL CASH TRANSACTIONS THAT MAY BE CLEARED IN A FUTURE PERIOD, WHEREAS OTHER BALANCES MAY RESULT FROM TRANSACTIONS MANAGED BY ONE ENTITIY ON BEHALF OF ANOTHER WHERE THERE IS NO EXPECTATION OF FUTURE SETTLEMENT (E.G. CHOA IS THE COMMON PAYMASTER FOR ALL SYSTEM ENTITIES, BUT THE CORRESPONDING EXPENSE FOR THESE DISBURSEMENTS IS RECOGNIZED AT THE RESPECTIVE ENTITY WHERE THE COST WAS INCURRED). FOR THOSE INTERCOMPANY BALANCES THAT HAVE ACCUMULATED SINCE INCEPTION, THERE IS AN OFFSETTING RECEIVABLE OR PAYABLE ON ANOTHER AFFILIATE'S FINANCIALS, SUCH THAT THESE BALANCES ARE PROPERLY ELIMINATED WHEN CHILDREN'S FINANCIALS ARE PRESENTED ON A CONSOLIDATED BASIS.</Explanation>
      </Form990ScheduleDPartXIV>
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        <Identifier>ASC 740 FOOTNOTE</Identifier>
        <ReturnReference>SCHEDULE D, PART X, LINE 2</ReturnReference>
        <Explanation>CHILDREN'S HEALTHCARE OF ATLANTA FOLLOWS THE PROVISIONS OF ASC 740, WHICH ADDRESSES LIABILITY FOR UNCERTAIN TAX POSITIONS. NO RELATED DISCLOSURES HAVE BEEN NECESSARY IN CHOA'S AUDITED FINANCIAL STATEMENTS FOR FISCAL YEARS 2011 OR 2010.</Explanation>
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      <AcctsActvsOutUSTable>
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        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
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        <Region>Sub-Saharan Africa</Region>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>5356</TotalExpenditures>
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      <AcctsActvsOutUSTable>
        <Region>East Asia and the Pacific</Region>
        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
        <TotalExpenditures>54849</TotalExpenditures>
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      <SubtotalAmountSpent>270860860</SubtotalAmountSpent>
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      <TransferToForeignCorp>true</TransferToForeignCorp>
      <InterestInForeignTrust>false</InterestInForeignTrust>
      <OwnForeignCorp>true</OwnForeignCorp>
      <PassiveForeignInvestCo>true</PassiveForeignInvestCo>
      <ForeignPartnership>true</ForeignPartnership>
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        <ReturnReference>Schedule D, Part I, Line 3(f)</ReturnReference>
        <Explanation>Investments are valued according to the detail below: Type Value Total Balance _____________________________________________________________ Non-Marketable Alternative Assets Cost $80,715,045 Directly Held Marketable Assets FMV $6,415,816 Hedge Funds Cost $184,000,000</Explanation>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mark Wulkan</NamePerson>
        <BaseCompensationFilingOrg>225780</BaseCompensationFilingOrg>
        <BonusFilingOrg>47219</BonusFilingOrg>
        <OtherCompensationFilingOrg>1134</OtherCompensationFilingOrg>
        <NontaxableBenefitsFilingOrg>2181</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>276314</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA MATZIGKEIT</NamePerson>
        <BaseCompensationFilingOrg>355033</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>134810</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>9330</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>12305</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>521278</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Compensation Information</Identifier>
        <ReturnReference>Schedule J, Part I, Line 1a</ReturnReference>
        <Explanation>Pursuant to the organization's travel and reimbursement policy, the CEO is entitled to travel first or business class on flights longer than two hours to enable the CEO to get work done more efficiently and effectively on longer flights. However, the CEO must give strong consideration to the financial implications of traveling first or business class. CHOA does not treat the payments for first class travel as taxable to the CEO given the business purposes associated with such flights. Supplemental Compensation Information EMPLOYEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. HAVE THE OPTION TO PARTICIPATE IN THE 403(B) PLAN OFFERED BY THE ORGANIZATION. CHILDREN'S PROVIDES AN ANNUAL DISCRETIONARY CONTRIBUTION TO A 401(A) RETIREMENT PLAN FOR EMPLOYEES WHO WORK AT LEAST 1,000 HOURS IN THE CALENDAR YEAR AND ARE EMPLOYED ON 12/31/11. ALL INDIVIDUALS ARE EMPLOYEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. (THE "PARENT" EIN 58-2367819) WITH CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN (THE "GROUP" EIN 5857) ACTING AS THE COMMON PAYROLL AGENT FOR THE PARENT AND ALL ENTITIES WITHIN THE GROUP.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DEKALB PRIVATE HOSP AUTH&amp;DEV AUTH FULTON CNTY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>581639487</IssuerEIN>
        <CUSIPNumber>241064DZ4</CUSIPNumber>
        <DateIssued>2009-12-02</DateIssued>
        <IssuePrice>302400422</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>DEKALB PRIVATE HOSP AUTH&amp;DEV AUTH FULTON CNTY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>581639487</IssuerEIN>
        <CUSIPNumber>241064DD3</CUSIPNumber>
        <DateIssued>2008-02-28</DateIssued>
        <IssuePrice>192965000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>302400422</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>5422</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>0</CapitalExpenditures>
        <OtherSpentProceeds>302395000</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <AmountRetired>0</AmountRetired>
        <AmountBondDefeased>0</AmountBondDefeased>
        <TotalProceeds>192965000</TotalProceeds>
        <AmountInReserveFund>0</AmountInReserveFund>
        <CapitalizedInterest>0</CapitalizedInterest>
        <RefundingEscrow>0</RefundingEscrow>
        <IssuanceCostsFromProceeds>827037</IssuanceCostsFromProceeds>
        <CreditEnhancement>0</CreditEnhancement>
        <WorkingCapitalExpenditures>0</WorkingCapitalExpenditures>
        <CapitalExpenditures>119826000</CapitalExpenditures>
        <OtherSpentProceeds>72311963</OtherSpentProceeds>
        <AmountUnspent>0</AmountUnspent>
        <YearOfSubstCompletion>2008</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <EngageBondCounselContracts>true</EngageBondCounselContracts>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>true</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <NameOfHedgeProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartVI>
        <Identifier>WRITTEN PROCEDURES</Identifier>
        <ReturnReference>SCHEDULE K, PART V</ReturnReference>
        <Explanation>CHILDREN'S HEALTHCARE OF ATLANTA, INC. HAS IMPLEMENTED AND IS FOLLOWING POST-ISSUANCE COMPLIANCE PROCEDURES FOR ITS TAX-EXEMPT BOND PROCEEDS. THE PROCESS OF FORMALIZING THE WRITTEN DOCUMENTATION TO REFLECT POLICIES IN PLACE AT THE TIME OF FILING IS BEING FINALIZED.</Explanation>
      </Form990ScheduleKPartVI>
      <Form990ScheduleKPartVI>
        <Identifier>DESCRIPTION OF PURPOSE</Identifier>
        <ReturnReference>SCHEDULE K, PART I, COLUMN (F), SEE SCHEDULE O</ReturnReference>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>SUNTRUST BANKS INC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE L, PART V</Relationship>
        <AmountOfTransaction>1989885</AmountOfTransaction>
        <DescriptionOfTransaction>SEE SCHEDULE L, PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MCKENNA LONG ALDRIDGE</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE L, PART V</Relationship>
        <AmountOfTransaction>157283</AmountOfTransaction>
        <DescriptionOfTransaction>SEE SCHEDULE L, PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>JP MORGAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE SCHEDULE L, PART V</Relationship>
        <AmountOfTransaction>8532928</AmountOfTransaction>
        <DescriptionOfTransaction>SEE SCHEDULE L, PART V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>Business Transactions Involving Interested Persons</Identifier>
        <ReturnReference>Schedule L, Part IV</ReturnReference>
        <Explanation>SUNTRUST BANKS, INC. (B) RELATIONSHIP BETWEEN PERSON AND ORGANIZATION - AN OFFICER OF SUNTRUST BANKS, INC. (MARK CHANCY)ALSO SERVES AS CURRENT TRUSTEE FOR CHOA, ECH, SRH, EAS AND EPG. (C) $1,989,885 (D) DESCRIPTION OF TRANSACTION - SUNTRUST BANKS, INC. PROVIDES GENERAL BANKING SERVICES TO CHILDREN'S. MCKENNA, LONG, &amp; ALDRIDGE (B) RELATIONSHIP BETWEEN PERSON AND ORGANIZATION - AN OFFICER OF MCKENNA, LONG, &amp; ALDRIDGE (KEITH MASON) ALSO SERVES AS CURRENT TRUSTEE FOR CHOA, ECH, SRH, EAS AND EPG. (C) $157,283 (D) DESCRIPTION OF TRANSACTION - MCKENNA LONG AND ALDRIDGE PROVIDES PROFESSIONAL LAW SERVICES TO CHILDREN'S. JP MORGAN (B) RELATIONSHIP BETWEEN PERSON AND ORGANIZATION - A MEMBER OF JP MORGAN'S MANAGEMENT TEAM (MICHAEL WALSH) ALSO SERVES AS CURRENT TRUSTEE FOR CHOA, ECH, SRH, EAS AND EPG. (C) $8,532,928 (D) DESCRIPTION OF TRANSACTION - JPMORGAN PROVIDES INVESTMENT-RELATED SERVICES TO THE ORGANIZATION.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Number of employees reported on Form W-3</Identifier>
        <ReturnReference>Form 990, Part V, Question 2a</ReturnReference>
        <Explanation>W-2's for employees of Children's Healthcare of Atlanta, Inc.- Group are issued under EIN 58-2367819 the parent return. We are also including all individuals according to the common paymaster rules where these employees are compensated by a reporting agent, Children's Healthcare of Atlanta, Inc.- Group (EIN 90-0779996). Description of Significant Changes to Organizing or Enabling Document Form 990, Part VI, Question 4 During the current fiscal year, Childrens amended its bylaws to reflect an increase in the maximum number of Trustees from 22 to 24. Describe the Process used by Management &amp;/or Governing Body to Review 990 Form 990, Part VI, Question 11 THE ORGANIZATION'S FORM 990 IS REVIEWED IN DETAIL BY THE MEMBERS OF THE AUDIT AND FINANCE COMMITEES, AFTER WHICH THE ENTIRE BOARD OF DIRECTORS IS PROVIDED A COPY PRIOR TO FINAL APPROVAL AND FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Description of Process to Monitor Transactions for Conflicts of Interest</Identifier>
        <ReturnReference>Form 990, Part VI, Question 12c</ReturnReference>
        <Explanation>CHILDREN'S BOARD OF TRUSTEES ADOPTED A CONFLICT OF INTEREST POLICY THAT APPLIES TO AN "INTERESTED PERSON". AN INTERESTED PERSON WOULD BE EVERY DIRECTOR, TRUSTEE, MEMBER OF A BOARD COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, OFFICER OR "KEY MANAGEMENT EMPLOYEE" OF A CHILDREN'S ORGANIZATION WHOM HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. A KEY MANAGEMENT EMPLOYEE WOULD BE THE CHIEF EXECUTIVE OFFICER OF A CHILDREN'S ORGANIZATION, ANY MANAGERS WHO REPORT DIRECTLY TO THE CHIEF EXECUTIVE OFFICER OR THE BOARD OF A CHILDREN'S ORGANIZATION, ANY EMPLOYEE OTHERWISE LISTED AS A CURRENT OR FORMER "KEY EMPLOYEE" ON THE MOST RECENTLY FILED IRS FORM 990 OF A CHILDREN'S ORGANIZATION, OR ANY OTHER PERSONNEL SO DESIGNATED BY THE CHIEF EXECUTIVE OFFICER. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS OR TRUSTEES AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, SUCH INTERESTED PERSON SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT EXISTS. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER A) THE TRANSACTION OR ARRANGEMENT IS IN THE CHILDREN'S ORGANIZATION BEST INTEREST, IS FAIR AND REASONABLE OR B) WHETHER THE CHILDREN'S ORGANIZATION CAN OBTAIN WITH REASONABLE EFFORTS AN EQUAL OR MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. THE GOVERNING BOARD OF COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS OR TRUSTEES WHETHER A) TO ENTER INTO THE TRANSACTION OR ARRANGEMENT; OR B) TO ENTER INTO AN EQUAL OR MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST; OR C) TAKE NO ACTION. EACH INTERESTED PERSON OF A CHILDREN'S ORGANIZATION SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON A) HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY; B) HAS READ AND UNDERSTANDS THE POLICY; AND C) HAS AGREED TO COMPLY WITH THE POLICY. ANNUALLY, INTERESTED PERSONS WILL COMPLETE A QUESTIONNAIRE TO PROVIDE INFORMATION NEEDED IN CONNECTION WITH THE CHILDREN'S ORGANIZATION'S FILING OF ITS IRS FORM 990 WITH THE INTERNAL REVENUE SERVICE. RESULTS OF THE QUESTIONNAIRE ARE REVIEWED BY SENIOR LEADERSHIP.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED, &amp; YEAR PROCESS WAS BEGUN</Identifier>
        <ReturnReference>FORM 990, PART VI, QUESTION 15A &amp; B</ReturnReference>
        <Explanation>Children's Board of Trustees has ultimate decision-making over Executive Compensation, and the Compensation and Benefits Committee (Committee) is responsible for program oversight and administration and for making recommendations to the Board. The Compensation and Benefits Committee is comprised of Independent Board members and charged with evaluating the total compensation package of selected employees (called "disqualified persons"). To carry out this charge, the Committee engages an independent third party executive compensation consulting firm to complete an annual assessment of the competiveness and reasonableness of the total compensation package for "disqualified persons" and other executives. Using market data provided by the third party relating to the pay, benefits and perquisites paid to functionally comparable positions in organizations comparable to Children's Healthcare of Atlanta, the Committee provides total compensation recommendations. Pay recommendations are made in December and Board approved changes, if any, are effective in January of the coming year. Incentive payouts are approved in February, for the prior year's performance, and issued in March. All Committee recommendations and Board decisions (related to executive compensation) are documented in the applicable meeting minutes. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 Children's Healthcare of Atlanta, Inc. does not make its financial statements, governing documents, and conflict of interest policy available to the public, in accordance with IRS guidelines.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED TO RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>ALL MEMBERS OF CHILDREN'S HEALTHCARE OF ATLANTA EXECUTIVE TEAM WORK A MINIMUM OF 50 HOURS PER WEEK. THE SPLIT OF THESE HOURS BETWEEN THE PARENT AND GROUP RETURNS IS DETERMINED BY THE INDIVIDUAL'S ROLE AND RESPONSIBILITIES AS WELL AS THE LOCATION OF THE INDIVIDUAL'S PAYROLL EXPENSE. INDIVIDUALS WHOSE PAYROLL EXPENSE IS LOCATED AT THE PARENT SPEND 80% OR 40 HOURS OF THEIR WORK WEEK DEVOTED TO CARRYING OUT THE GOALS AND OBJECTIVES OF THE CHOA ORGANIZATION AS A WHOLE. THE REMAINING 20% OR 10 HOURS IS DEVOTED TO SPECIFIC GOALS AND TASKS ASSOCIATED WITH ONE OR MORE OF THE ORGANIZATIONS REPRESENTED IN THE GROUP RETURN. INDIVIDUALS WHOSE PAYROLL EXPENSE IS LOCATED AT THE SUPPORT ZONE SPEND 80% OR 40 HOURS OF THEIR WORK WEEK DEVOTED TO CARRYING OUT THE GOALS AND OBJECTIVES OF ONE 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>OTHER CHANGES IN NET ASSETS OR FUND BALANCE -------OPEN---------- UNREALIZED GAINS: ($161,568,325) TRANSFERS BETWEEN ENTITIES: ($30,415,216) OTHER RECONCILING ITEMS $26,491 ___________ TOTAL OTHER CHANGES ($191,957,050)</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF PURPOSE</Identifier>
        <ReturnReference>SCHEDULE K, PART I, COLUMN (F)</ReturnReference>
        <Explanation>A - Purpose Series 2009 refunded the following : Series 1994A/B date of issuance 03/23/94; Series 1995A/B date of issuance 12/02/95; Series 1998A/B date of issuance 11/24/98; Series 2005A DeKalb, 2005B DeKalb, and 2005B Fulton date of issuance 02/09/05; Series 2008B DeKalb, 2008C DeKalb, 2008B Fulton date of issuance 04/15/08. B - Purpose Series 2008 refunded the following : Series 2005A Fulton and 2005C Fulton date of issuance 02/29/05. It also refunded the construction and equipping of hospital facilities.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Donna Hyland TITLE:President &amp; CEO - CHOA HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ruth Fowler TITLE:SVP Finance/CFO/Treasurer HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Leslie Jones TITLE:SVP General Counsel/Secretary HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Dan Salinas, MD TITLE:SVP Chief Medical Officer HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Carolyn Kenny TITLE:Chief Operating Officer HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Elizabeth Howell TITLE:SVP Academic Administration HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Eugene Hayes TITLE:President Foundation HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:LINDA MATZIGKEIT TITLE:SVP Strategic Planning and HR HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Ron Frieson TITLE:SVP External Affairs HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Nancy Doelling TITLE:Medical Director-SR Campus HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Barbara Stoll, MD TITLE:SVP/Chief Academic Officer HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:James Fortenberry TITLE:Pediatrician in Chief HOURS:10</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED FOR RELATED ORGANIZATION</Identifier>
        <ReturnReference>FORM 990 PART VII</ReturnReference>
        <Explanation>NAME:Mark Wulkan TITLE:Surgeon in Chief HOURS:10</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>EGLESTON CHILDREN'S HOSPITAL EMORY UNIV</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1584 Tullie Circle</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>580572412</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SCOTTISH RITE CHILDREN'S MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1584 Tullie Circle</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>580572465</EIN>
        <PrimaryActivities>Hospital</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CHILDREN'S HEALTHCARE OF ATL FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1584 Tullie Circle</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>581710601</EIN>
        <PrimaryActivities>Fundraising</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MARCUS AUTISM CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1584 Tullie Circle</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>262809380</EIN>
        <PrimaryActivities>Ped Hlth Svcs</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>EGLESTON AFFILIATED SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1584 Tullie Circle</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>582147112</EIN>
        <PrimaryActivities>Phys Care</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>EGLESON PEDIATRIC GROUP INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1584 Tullie Circle</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>582201217</EIN>
        <PrimaryActivities>Phys Mgmt</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HSOC INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1584 Tullie Circle</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>203962330</EIN>
        <PrimaryActivities>Mgmt&amp; Adm Svc</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>MERIDIAN MARK LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1584 Tullie CIR</AddressLine1>
          <City>ATL</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>010723254</EIN>
        <PrimaryActivity>Surgery Center</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>na</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>n/a</PredominantIncomeType>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <CodeVAmount>0</CodeVAmount>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>THE CHILDREN'S HEALTH NETWORK INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>1584 Tullie Circle</AddressLine1>
          <City>Atlanta</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>582133795</EIN>
        <PrimaryActivity>PHO</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHOA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>441338</ShareOfTotalIncome>
        <ShareOfEOYAssets>-2225416</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Emory-Egleston Children's Heart Center</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>2835 BRANDYWINE ROAD SUITE 300</AddressLine1>
          <City>ATLANTA</City>
          <State>GA</State>
          <ZIPCode>30329</ZIPCode>
        </AddressUS>
        <EIN>581871713</EIN>
        <PrimaryActivity>CARDIAC SERVICES</PrimaryActivity>
        <LegalDomicileState>GA</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>CHOA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C Corp</TypeOfEntity>
        <ShareOfTotalIncome>36415448</ShareOfTotalIncome>
        <ShareOfEOYAssets>9827248</ShareOfEOYAssets>
        <PercentageOwnership>1.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>true</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERIDIAN MARK LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>1384573</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>MERIDIAN MARK LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>4508061</AmountInvolved>
        <MethodOfAmtDetermination>Cash</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Schedule R, Part V, Line 1e</ReturnReference>
        <Explanation>Refer to disclosure in Schedule O regarding members of obligated group for CHOA's tax exempt bonds.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>