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Children's Healthcare Of Atlanta Group Return

1575 Northeast Expressway
Atlanta, GA 30329
EIN: 900779996
Individual Facility Details: Egleston Childrens Hospital At Emory
1405 Clifton Road
Atlanta, GA 30322
2 hospitals in organization:
(click a facility name to update Individual Facility Details panel)
Bed count295Medicare provider number113300Member of the Council of Teaching HospitalsYESChildren's hospitalYES

Children's Healthcare Of Atlanta Group ReturnDisplay data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
16.23%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
* = CBI denoted preventative categories
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data

Community Benefit Expenditures: 2021

  • All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.

    • Operating expenses$ 1,842,692,871
      Total amount spent on community benefits
      as % of operating expenses
      $ 299,024,556
      16.23 %
  • Amount spent in the following IRS community benefit categories:
      • Financial Assistance at cost
        as % of operating expenses
        $ 28,682,990
        1.56 %
        Medicaid
        as % of operating expenses
        $ 124,349,294
        6.75 %
        Costs of other means-tested government programs
        as % of operating expenses
        $ 0
        0 %
        Health professions education
        as % of operating expenses
        $ 11,517,054
        0.63 %
        Subsidized health services
        as % of operating expenses
        $ 34,854,306
        1.89 %
        Research
        as % of operating expenses
        $ 75,485,351
        4.10 %
        Community health improvement services and community benefit operations*
        as % of operating expenses
        Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.
        $ 23,967,193
        1.30 %
        Cash and in-kind contributions for community benefit*
        as % of operating expenses
        $ 168,368
        0.01 %
        Community building*
        as % of operating expenses
        $ 0
        0 %
    • * = CBI denoted preventative categories
    • Community building activities details:
        • Did tax-exempt hospital report community building activities?YES
          Number of activities or programs (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Persons served (optional)0
          Physical improvements and housing0
          Economic development0
          Community support0
          Environmental improvements0
          Leadership development and training for community members0
          Coalition building0
          Community health improvement advocacy0
          Workforce development0
          Other0
          Community building expense
          as % of operating expenses
          $ 0
          0 %
          Physical improvements and housing
          as % of community building expenses
          $ 0
          Economic development
          as % of community building expenses
          $ 0
          Community support
          as % of community building expenses
          $ 0
          Environmental improvements
          as % of community building expenses
          $ 0
          Leadership development and training for community members
          as % of community building expenses
          $ 0
          Coalition building
          as % of community building expenses
          $ 0
          Community health improvement advocacy
          as % of community building expenses
          $ 0
          Workforce development
          as % of community building expenses
          $ 0
          Other
          as % of community building expenses
          $ 0
          Direct offsetting revenue$ 0
          Physical improvements and housing$ 0
          Economic development$ 0
          Community support$ 0
          Environmental improvements$ 0
          Leadership development and training for community members$ 0
          Coalition building$ 0
          Community health improvement advocacy$ 0
          Workforce development$ 0
          Other$ 0

    Other Useful Tax-exempt Hospital Information: 2021

    • In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

      • Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
        as % of operating expenses
        $ 38,003,291
        2.06 %
        Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?NO
    • Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy

      The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2022 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

      • Does the organization have a written financial assistance (charity care) policy?YES
        Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?YES
        Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
        as % of operating expenses
        $ 0
        0 %
    • Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
      • Reported to credit agencyNot available
    • Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.

      • After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid?NO
    • The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.

      • If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines?YES
    • In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

      • Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute?YES

    Community Health Needs Assessment Activities: 2021

    • The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

      • Did the tax-exempt hospital report that they had conducted a CHNA?YES
        Did the CHNA define the community served by the tax-exempt hospital?YES
        Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?YES
        Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?YES
        Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?YES

    Supplemental Information: 2021

    This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
    • Statement of Program Service Accomplishments
      Description of 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 (Expenses $ 1513646857 including grants of $ 2995066) (Revenue $ 2114331996)
      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 2021, THE FOUNDATION HAD 7,652 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 MORE THAN 20 NEIGHBORHOOD LOCATIONS AND URGENT CARE CENTERS. IN 2021, THE THREE HOSPITALS OPERATED BY CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROVIDED 673 LICENSED BEDS AND MANAGED 1,091,000 PATIENT VISITS, 414,000 UNIQUE PATIENTS, 27,760 HOSPITAL DISCHARGES, 168,988 INPATIENT DAYS, 1,057,281 OUTPATIENT VISITS, 41,946 SURGICAL CASES (INPATIENT AND OUTPATIENT), MORE THAN 218,000 EMERGENCY DEPARTMENT VISITS, 153,462 URGENT CARE CENTER VISITS AND 12,587 TELEMEDICINE VISITS. CHILDREN'S ALSO MANAGED 68,633 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 41,000 CHILDREN. IN 2021, THEY CARED FOR MORE THAN 5,000 INDIVIDUAL PATIENTS. SINCE 2015, MARCUS AUTISM CENTER HAS TRACKED MORE THAN 15,000 DIAGNOSTIC EVALUATIONS AND 215,000 CLINICAL VISITS WITH 30,000 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.
      Facility Information
      Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
      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 MONICA 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 18 COUNTIES IN CHILDREN'S 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. CHILDREN'S HAS DEVELOPED PROGRAMS TO ADDRESS HEALTH NEEDS OF IMMIGRANT AND TRANSIENT POPULATIONS. THESE PROGRAMS INCLUDE 1) MERCY CARE CHAMBLEE THAT COLLABORATES WITH CHILDREN'S 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 CHILDREN'S 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.
      SCHEDULE H, PART V, SECTION B, LINE 5 CON'T
      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 WITH SPECIAL NEEDS, *VOICES FOR GEORGIA'S KIDS: CHILD POLICY AND ADVOCACY, AND *BOYS & GIRLS CLUB: MENTORING FOR CHILDREN FACING ADVERSITY. 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
      OUR IMPLEMENTATION STRATEGY 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 CHILDREN'S 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 CHILDREN'S. THERE ARE MANY ORGANIZATIONS IN THE COMMUNITY THAT ARE ADDRESSING THESE NEEDS, AS WELL. DUE TO LIMITED RESOURCES AND THE EXTRAORDINARY COST OF PROVIDING HIGHLY SPECIALIZED CARE TO CHILDREN THROUGHOUT GEORGIA, THE CHILDREN'S COMMUNITY HEALTH NEEDS IMPLEMENTATION STRATEGY IS FOCUSED ON LEVERAGING EXISTING PROGRAMS, SERVICES AND RESOURCES, WHERE POSSIBLE, AND FOCUSES ON THE HEALTH NEED PRIORITIES OF CHILDREN AND ADOLESCENTS WHO RESIDE IN OUR 18-COUNTY, METROPOLITAN ATLANTA PRIMARY AND SECONDARY SERVICE AREA COMMUNITIES. IN ADDITION TO LEVERAGING EXISTING PROGRAMS, FROM 2020-2022, CHILDREN'S 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/ 2022/FINANCIAL-ASSISTANCE-POLICY-ENGLISH.PDF
      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 INSURACE PAYMENT RATES."
      SCHEDULE H, PART V, SECTION D
      NON-HOSPITAL HEALTH 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.
      Supplemental Information
      Schedule H (Form 990) Part VI
      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 INCLUDES MARCUS AUTISM CENTER AND 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 $38,003,291 HAS BEEN REMOVED FROM TOTAL EXPENSE.
      SCHEDULE H, PART II
      CHILDREN'S HEALTHCARE 2021 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. CHILDREN'S PARTICIPATES AS A PARTNER AGENCY TO BUILD ALIGNMENTS THAT CREATE MUTUALLY REINFORCING WORK AND FORGING THE TRUST AND RELATIONSHIPS TO SUSTAIN THE WORK. ATLANTA PUBLIC SCHOOLS WELLNESS COMMITTEE: CHILDREN'S 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 DISTRICT'S 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. BUFORD CITY SCHOOLS WELLNESS COMMITTEE. CHILDREN'S PARTICIPATES IN THE DISTRICTWIDE WELLNESS COMMITTEE TO SUPPORT WELLNESS EFFORTS AND INITIATIVES IN BUFORD CITY SCHOOLS. THEY SERVED AS A PILOT SCHOOL DISTRICT FOR THE RESILIENCE PROGRAM IN THE 2019/2020 SCHOOL YEAR AND ARE CURRENTLY WORKING ON NUTRITION AND EMOTIONAL WELLNESS EFFORTS. COBB 2020 PHYSICAL ACTIVITY AND HEALTHY EATING WORKGROUP: THIS WORKGROUP IS MADE UP OF ORGANIZATIONS AND INDIVIDUALS, DEDICATED TO IMPLEMENTING THE EVIDENCE-BASED INITIATIVES FROM COBB AND DOUGLAS'S COMMUNITY HEALTH IMPROVEMENT PLAN. THE GOALS OF THIS WORKGROUP ARE TO INCREASE ACCESS TO HEALTHY AND AFFORDABLE FOODS IN FOOD DESERT COMMUNITIES, INCREASE COMMUNITY KNOWLEDGE ON MAKING HEALTHY FOOD AND BEVERAGE CHOICES, INCREASE ORGANIZATIONAL AND PROGRAMMATIC CHANGES FOCUSED ON HEALTHY EATING, IMPROVE HEALTH AND THE QUALITY OF LIFE THROUGH DAILY PHYSICAL ACTIVITY, INCREASE PHYSICAL ACTIVITY AMONG AT-RISK POPULATIONS THROUGH COMMUNITY DESIGN AND ACCESS, PROMOTE AND STRENGTHEN SCHOOLS AND EARLY LEARNING POLICIES AND PROGRAMS THAT INCREASE PHYSICAL ACTIVITY. CHILD PROTECTIVE SERVICES ADVISORY COMMITTEE: MEETINGS TO DISCUSS ISSUES RELATED TO CHILD PROTECTIVE SERVICES (DFCS) IN GEORGIA. FOCUS IS ON POLICY IMPLEMENTATION AND PROCESS IMPROVEMENT. DEPARTMENT OF EARLY CARE AND LEARNING, INFANT EARLY CHILD MENTAL HEALTH (IECMH): THIS TASK FORCE WAS ESTABLISHED IN FEBRUARY 2021 TO CARRY OUT RECOMMENDATIONS FROM THE GEORGIA LEGISLATIVE HOUSE STUDY COMMITTEE ON INFANT AND TODDLER SOCIAL EMOTIONAL HEALTH. THE GROUP SERVES AS A CROSS-AGENCY COLLABORATIVE FOCUSED ON EARLY CHILD MENTAL HEALTH POLICY, FINANCE, WORKFORCE DEVELOPMENT AND PROMOTION/PREVENTION EFFORTS TO SUPPORT INFANT AND EARLY CHILDHOOD MENTAL HEALTH IN GEORGIA. DBHDD SUICIDE PREVENTION COMMITTEE: STATEWIDE WORKGROUP TO DEVELOP STRATEGIC PLAN FOR SUICIDE PREVENTION IN MULTIPLE SECTORS. 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. CHILDREN'S PARTICIPATES AS A COMMUNITY PARTNER. GEORGIA EDUCATION CLIMATE COALITION: THIS COALITION OF EDUCATION ADVOCATES REPRESENTS A VARIETY OF SECTORS WORKING TO INCREASE JUSTICE IN GEORGIA THROUGH LAW AND POLICY REFORM AND COMMUNITY ENGAGEMENT. OUR ROLE IS TO SHARE RELEVANT UPDATES FROM STRONG4LIFE AS IT RELATES TO THEIR WORK. GEORGIA FARM TO EARLY CARE AND EDUCATION COALITION: 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. GEORGIA 4H ADVISORY COMMITTEE. THE GEORGIA 4-H ADVISORY COMMITTEE'S 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: CHILDREN'S SERVES ON THE INJURY PREVENTION SUBCOMMITTEE TO COLLABORATE WITH OTHER INJURY PREVENTION PARTNERS THROUGHOUT THE STATE. GEORGIA FARM TO EARLY CARE AND SCHOOL ALLIANCE: CHILDREN'S 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 EARLY CARE AND SCHOOL AND CREATES A DIALOGUE FOR BUILDING STATEWIDE PROGRAMMING. GEORGIA PHYSICAL ACTIVITY AND NUTRITION ASSESSMENT COMMITTEE. THIS GROUP IS LED BY HEALTHMPOWERS IN CONJUNCTION WITH VOICES FOR GEORGIA'S 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: CHILDREN'S IS A PARTNER WITH THE GEORGIA SHAPE INITIATIVE SUPPORTING ACTIVITIES TO REDUCE CHILDHOOD OBESITY IN GEORGIA. GEORGIA SHAPE WORKS TO: REACH DISPARATE POPULATIONS, INCREASE THE AEROBIC CAPACITY MEASURE OF GEORGIA'S 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. GEORGIA STAY S.A.F.E. COALITION: CHILDREN'S SERVES ON THIS COALITION OF STATEWIDE PARTNERS WORKING TO ADDRESS FIREARM SAFETY VIA EDUCATION AND AWARENESS. GEORGIA SCHOOL NURSE PARTNERSHIP: THIS COLLABORATION BETWEEN DEPARTMENT OF EDUCATION, DEPARTMENT OF PUBLIC HEALTH, GEORGIA ASSOCIATION OF SCHOOL NURSES AND CHILDREN'S WORKS TO IMPROVE TRAINING, TOOLS AND SUPPORT FOR SCHOOL NURSES ACROSS GEORGIA. GEORGIA WIC WORKGROUP: THIS COLLABORATION BETWEEN STATEWIDE PARTNERS WORKING WITH WIC POPULATIONS IS STRUCTURED TO ALIGN EFFORTS TO SUPPORT AND PROMOTE GEORGIA WIC SERVICES. THIS GROUP STRATEGIZES ON HOW TO SUPPORT INCREASED ENROLLMENT IN GEORGIA WIC, HOW TO PROMOTE THE NUTRITION FOODS WIC PROVIDES AND TO SHARE DATA ON WIC'S PARTICIPATION AND IMPACT STATEWIDE. GEORGIA STATEWIDE AFTERSCHOOL NETWORK: STRONG4LIFE PARTICIPATES IN THIS GROUP TO HELP CONNECT AND SUPPORT HIGH QUALITY AFTERSCHOOL AND SUMMER LEARNING PROGRAMS TO PROMOTE THE SUCCESS OF CHILDREN AND YOUTH THROUGHOUT GEORGIA.STRON4LIFE PROVIDES EXPERTISE IN THE AREA OF HEALTH AND WELLBEING. GWINNETT COUNTY SCHOOLS WELLNESS COMMITTEE. CHILDREN'S 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 DISTRICT'S SCHOOL WELLNESS POLICY. HUMAN TRAFFICKING TASK FORCE: THIS GROUP MEETS QUARTERLY TO DISCUSS CHILD SEX TRAFFICKING CONCERNS IN THE STATE. CHILDREN'S SERVES ON MULTIPLE SUBGROUPS INCLUDING THE COMMUNITY AWARENESS WORKGROUP, THE TASK FORCE MANAGEMENT TEAM AND THE YOUTH AWARE AND SAFE WORKGROUP. INTERAGENCY DIRECTOR'S TEAM: THE IDT WAS CREATED BY GEORGIA'S DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (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. THE IDT HAS SEVERAL SUBCOMMITTEE WORKGROUPS THAT ARE FOCUSED AROUND THE PHASES OF THE SOC STATE PLAN. OUR S4L BMH TEAM MEMBERS PARTICIPATE IN THE SCHOOL BASED MENTAL HEALTH SUBCOMMITTEE AND THE INFANT EARLY CHILDHOOD MENTAL HEALTH SUBCOMMITTEE.
      SCHEDULE H, PART II CON'T
      LIVE HEALTHY DOUGLAS: THIS WORKGROUP IS MADE UP OF ORGANIZATIONS AND INDIVIDUALS, DEDICATED TO IMPLEMENTING THE EVIDENCE-BASED INITIATIVES FROM COBB AND DOUGLAS'S COMMUNITY HEALTH IMPROVEMENT PLAN. DOUGLAS'S HEALTHY EATING GOAL IS TO PROMOTE HEALTH AND REDUCE OVERWEIGHT AND OBESITY THROUGH THE CONSUMPTION OF HEALTHY FOODS. STRATEGIES INCLUDE INCREASING ACCESS TO HEALTHY AND AFFORDABLE FOODS IN FOOD DESERT COMMUNITIES, INCREASING COMMUNITY KNOWLEDGE ON RECOGNIZING APPROPRIATE PORTIONS AND MAKING HEALTHY FOOD AND BEVERAGE CHOICES, INCREASING ORGANIZATIONAL AND PROGRAMMATIC CHANGES FOCUSED ON HEALTHY EATING. LIVE HEALTHY GWINNETT: CHILDREN'S PARTICIPATES IN THIS COUNTY-WIDE INITIATIVE THAT 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. 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.
      SCHEDULE H, PART II CON'T
      RESILIENT GEORGIA: CHILDREN'S 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. SHELTERING ARMS HEALTH SERVICES ADVISORY COUNCIL: THIS GROUP WORKS IN PARTNERSHIP WITH ALL SHELTERING ARMS SITES TO ASSIST THE PROGRAM IN MEETING HEAD START PERFORMANCE STANDARDS AND PROVIDE TECHNICAL ASSISTANCE ON HEALTH SERVICES. IT HELPS TO DEVELOP POLICIES AND PROCEDURES, IDENTIFY HEALTH AND NUTRITION NEEDS OF THE COMMUNITY, ASSIST TO IDENTIFY MEDICAL, DENTAL, MENTAL HEALTH AND NUTRITION RESOURCES AND EDUCATION FOR THE CHILDREN, FAMILY, AND COMMUNITY. THIS MEETING ALSO HELPS TO BUILD COLLABORATIVE RELATIONSHIPS AND AGREEMENTS. WESTSIDE HEALTH COLLABORATIVE: A COLLECTIVE EFFORT AMONG WESTSIDE RESIDENTS, FOUNDATIONS, CIVIC LEADERS, NONPROFITS AND BUSINESSES TO CATALYZE TRANSFORMATION IN ATLANTA'S HISTORIC WESTSIDE NEIGHBORHOODS. CHILDREN'S COLLABORATES AS A MEMBER OF THE COLLABORATIVE FOCUSED ON IMPACTING THE PEDIATRIC POPULATION IN THE WESTSIDE. 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. ATLANTA PUBLIC SCHOOLS WELLNESS COMMITTEE: CHILDREN'S 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 DISTRICT'S 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. BUFORD CITY SCHOOLS WELLNESS COMMITTEE. CHILDREN'S PARTICIPATES IN THE DISTRICTWIDE WELLNESS COMMITTEE TO SUPPORT WELLNESS EFFORTS AND INITIATIVES IN BUFORD CITY SCHOOLS. THEY SERVED AS A PILOT SCHOOL DISTRICT FOR THE RESILIENCE PROGRAM IN THE 2019/2020 SCHOOL YEAR AND ARE CURRENTLY WORKING ON NUTRITION AND EMOTIONAL WELLNESS EFFORTS. 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. CHILD PROTECTIVE SERVICES ADVISORY COMMITTEE: MEETINGS TO DISCUSS ISSUES RELATED TO CHILD PROTECTIVE SERVICES (DFCS) IN GEORGIA. FOCUS IS ON POLICY IMPLEMENTATION AND PROCESS IMPROVEMENT GEORGIA DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES (DBHDD) SUICIDE PREVENTION COMMITTEE: STATEWIDE WORKGROUP TO DEVELOP STRATEGIC PLAN FOR SUICIDE PREVENTION IN MULTIPLE SECTORS. 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. CHILDREN'S PARTICIPATES AS A COMMUNITY PARTNER. GEORGIA EDUCATION CLIMATE COALITION: THIS COALITION OF EDUCATION ADVOCATES REPRESENTS A VARIETY OF SECTORS WORKING TO INCREASE JUSTICE IN GEORGIA THROUGH LAW AND POLICY REFORM AND COMMUNITY ENGAGEMENT. OUR ROLE IS TO SHARE RELEVANT UPDATES FROM STRONG4LIFE AS IT RELATES TO THEIR WORK. GEORGIA FARM TO EARLY CARE AND EDUCATION COALITION: 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. GEORGIA 4H ADVISORY COMMITTEE: THE GEORGIA 4-H ADVISORY COMMITTEE'S 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: CHILDREN'S 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: CHILDREN'S 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 BRINGS TOGETHER STATEWIDE PARTNERS FROM THE PUBLIC AND PRIVATE SECTOR TO COLLABORATE ON INJURY PREVENTION WORK. GEORGIA PHYSICAL ACTIVITY AND NUTRITION ASSESSMENT COMMITTEE. THIS GROUP IS LED BY HEALTHMPOWERS IN CONJUNCTION WITH VOICES FOR GEORGIA'S 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: CHILDREN'S 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 GEORGIA. GEORGIA SHAPE WORKS TO: REACH DISPARATE POPULATIONS, INCREASE THE AEROBIC CAPACITY MEASURE OF GEORGIA'S 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. GEORGIA STAY SAFE COALITION: CHILDREN'S SERVES ON THIS COALITION OF STATEWIDE PARTNERS WORKING TO ADDRESS FIREARM SAFETY VIA EDUCATION AND AWARENESS. GEORGIA SCHOOL NURSE PARTNERSHIP: THIS COLLABORATION BETWEEN DEPARTMENT OF EDUCATION, DEPARTMENT OF PUBLIC HEALTH, GEORGIA ASSOCIATION OF SCHOOL NURSES AND CHILDREN'S WORKS TO IMPROVE TRAINING, TOOLS AND SUPPORT FOR SCHOOL NURSES ACROSS GEORGIA. GWINNETT COUNTY SCHOOLS WELLNESS COMMITTEE: CHILDREN'S 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 DISTRICT'S SCHOOL WELLNESS POLICY. HUMAN TRAFFICKING TASK FORCE: THIS GROUP MEETS QUARTERLY TO DISCUSS CHILD SEX TRAFFICKING CONCERNS IN THE STATE. CHILDREN'S SERVES ON MULTIPLE SUBGROUPS INCLUDING THE COMMUNITY AWARENESS WORKGROUP, THE TASK FORCE MANAGEMENT TEAM AND THE YOUTH AWARE AND SAFE WORKGROUP. INTERAGENCY DIRECTOR'S TEAM: THE IDT WAS CREATED BY GEORGIA'S 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. THE IDT HAS SEVERAL SUBCOMMITTEE WORKGROUPS THAT ARE FOCUSED AROUND THE PHASES OF THE SOC STATE PLAN. OUR S4L BMH TEAM MEMBERS PARTICIPATE IN THE SCHOOL BASED MENTAL HEALTH SUBCOMMITTEE AND THE INFANT EARLY CHILDHOOD MENTAL HEALTH SUBCOMMITTEE. LIVE HEALTHY GWINNETT: CHILDREN'S PARTICIPATES IN THIS COUNTY-WIDE INITIATIVE THAT 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.
      SCHEDULE H, PART III, LINE 2 AND 3 CON'T
      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 GEORGIA'S QUALITY RATING AND IMPROVEMENT SYSTEM FOR EARLY CARE AND EDUCATION PROGRAMS. 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: CHILDREN'S 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. WESTSIDE HEALTH COLLABORATIVE: A COLLECTIVE EFFORT AMONG WESTSIDE RESIDENTS, FOUNDATIONS, CIVIC LEADERS, NONPROFITS AND BUSINESSES TO CATALYZE TRANSFORMATION IN ATLANTA'S HISTORIC WESTSIDE NEIGHBORHOODS. CHILDREN'S COLLABORATES AS A MEMBER OF THE COLLABORATIVE FOCUSED ON IMPACTING THE PEDIATRIC POPULATION IN THE WESTSIDE. 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 MEDICARE COST REPORTS.
      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 %: 52% OFFICERS', DIRECTORS', TRUSTEESKEY EMPLOYEES' OWNERSHIP %: 0% PHYSICIANS' PROFIT OR OWNERSHIP %: 48%
      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 2
      "NEEDS ASSESSMENT TO CONTINUE TO ADVANCE THE HEALTH AND WELLNESS OF CHILDREN AND ADOLESCENTS WITHIN THE COMMUNITY, CHILDREN'S 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 CHILDREN'S 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 CHILDREN'S 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 CHILDREN'S 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 CHILDREN'S. 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 4
      COMMUNITY INFORMATION GEOGRAPHIC CHILDREN'S IS THE LARGEST PEDIATRIC PROVIDER IN THE STATE, CARING FOR CHILDREN FROM ALL 159 GEORGIA COUNTIES IN 2021. 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 (NEARLY 440,000). THE ATLANTA MSA POPULATION IS RACIALLY DIVERSE: 46 PERCENT WHITE, 34 PERCENT BLACK OR AFRICAN AMERICAN, 11 PERCENT HISPANIC OR LATINO, 6 PERCENT ASIAN OR PACIFIC ISLANDER AND 3 PERCENT OTHER. THE 2020 ESTIMATED MEDIAN HOUSEHOLD INCOME FOR RESIDENTS IN THE ATLANTA MSA IS APPROXIMATELY $71,193 AS COMPARED TO $61,224 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 HEALTH 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 11,000 EMPLOYEES WORK ACROSS THE CHILDREN'S HEALTHCARE SYSTEM PROVIDING CARE FOR OVER 1,091,000 PATIENT VISITS THEY MANAGED IN 2021. IN 2021, CHILDREN'S HEALTHCARE OF ATLANTA, INC. PROMOTED THE HEALTH OF THE OVERALL COMMUNITY AND PROVIDED 673 LICENSED BEDS AND 414,000 UNIQUE PATIENTS (FROM ALL 159 COUNTIES IN GEORGIA) 27,760 HOSPITAL DISCHARGES, 168,988 INPATIENT DAYS, 1,057,281 OUTPATIENT VISITS, 41,946 SURGICAL PROCEDURES, 218,000 EMERGENCY DEPARTMENT VISITS, 153,462 URGENT CARE CENTER VISITS. IN ADDITION, CHILDREN'S MANAGED 68,633 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 CHILDREN'S 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, WHICH IS MADE AVAILABLE ON CHILDREN'S WEBSITE AT WWW.CHOA.ORG. THIS REPORT IS POSTED IN THE ""COMMUNITY AND GOVERNMENT AFFAIRS"" SECTION AND IS AVAILABLE HERE: HTTPS://WWW.CHOA.ORG/-/MEDIA/FILES/CHILDRENS/ABOUT-US/COMMUNITY-BENEFIT-RE PORTS/COMMUNITY-BENEFIT-REPORT-2020.PDF THERE IS ALSO A SECTION TITLED ""OUR ECONOMIC IMPACT ON THE STATE"" TO SHOW OUR BROADER IMPACT ON GEORGIA. OUR BENEFIT TO THE COMMUNITY IS ALSO PRESENTED IN OUR ANNUAL SOCIAL AND ENVIRONMENTAL RESPONSIBILITY REPORT. THIS REPORT IS AVAILABLE ON CHILDREN'S WEBSITE: HTTPS://WWW.CHOA.ORG/ABOUT-US/SOCIAL-AND-ENVIRONMENTAL-RESPONSIBILITY"