Georgia House Bill 321

In accordance with Georgia House Bill 321, Children’s Healthcare of Atlanta has provided links to the most recent version of the required financial and organizational documents.

• Section 1(b)(1)(A)(i)(iii)(iv):Hospital audited financial statements (audit): Children’s does not have separate audited financial statements for the hospitals (Arthur M. Blank and Scottish Rite). Children’s has audited financial statements for the consolidated operations of the System, including an independent auditor’s report, balance sheets, statements of operations, statements of changes in net assets, statements of cash flows and notes to consolidated financial statements. Children’s does not have consolidating financial statements for the hospitals or for the hospitals’ parent corporations.
• Section 1(b)(1)(A)(ii): Note in audit that identifies hospital’s gross patient revenue, allowances, charity care and net patient revenue: Children’s audited financial statements and related footnotes do not identify individual amounts for the hospital’s gross patient revenue, allowances, charity care and net patient revenue, as this is not standard. However, this information can be found for the hospitals in the Hospital Finance Survey (HFS) that is filed annually with the Georgia Department of Community Health (DCH). DCH uses the HFS for regulatory, planning and reimbursement purposes. The HFS does not match the audited financial statements because it does not represent all aspects of Children’s operations.
• Section 1(b)(1)(B): Internal Revenue Service (IRS) Form 990: Organizations exempt from income tax under IRS section 501(a) of the U.S. tax code must file a Form 990 to provide the IRS with information required by U.S. code title 26, section 6033.
• Section 1(b)(2)(A): Annual Hospital Questionnaire: A state-required survey that captures key hospital volumes and statistics. The information collected through this survey is used for state regulatory and planning purposes.
• Section 1(b)(2)(B): Community Benefit Report Code Section 31-7-90.1: Not applicable to Children’s.
• Section 1(b)(2)(C): Disproportionate Share Hospital Survey (DSH): A report submitted annually to DCH, which is used to determine if a hospital is eligible to receive reimbursement from the Indigent Care Trust Fund. The DSH report does not provide a comprehensive value of the considerable uncompensated care that Children’s provides and as reported in Form 990.
• Section 1(b)(2)(D):List of real property holdings of the hospital: A list of real property holdings of the hospitals.
• Section 1(b)(2)(E): List of ownership interest in joint ventures: Interests held by the hospitals in the Children’s Healthcare of Atlanta Ambulatory Surgery Center at Meridian Mark Plaza LLC and Premier Pediatrics Providers LLC (doing business as Kids Health First).
• Section 1(b)(2)(F): List of indebtedness: Children’s is the obligor on tax-exempt municipal bonds, which are monitored by the Municipal Securities Rulemaking Board as required by the Securities Exchange Commission. Reports are publicly available on the Electronic Municipal Market Access website.
• Section 1(b)(2)(G): Report identifying fund balances by type: The audited financial statements contain information that distinguishes between funds with donor restrictions (e.g., permanently and temporarily restricted), without donor restrictions (e.g., board restricted) and unrestricted.
• Section 1(b)(2)(H): Going concerns statements: Children’s does not have going concerns statements. If auditors have a substantial doubt about an entity’s ability to continue as a going concern for a reasonable period of time, then the independent auditor’s report would include an explanatory paragraph. Refer to the independent auditor’s report for the Children’s consolidated audited financial statements.
• Section 1(b)(2)(I): Legal chart of corporate structure: The most recent legal chart of the Children’s corporate structure.
• Section 1(b)(2)(J):Salaries and fringe benefits for the 10 highest-paid administrative positions in the hospital: A list of the top 10 highest-paid administrative positions at Arthur M. Blank and Scottish Rite.
• Section 1(b)(2)(K): Evidence of accreditation: The most recent The Joint Commission and ANCC Magnet Recognition Program accreditation certificates for Arthur M. Blank and Scottish Rite.
• Section 1(b)(2)(L): Hospital’s charity care and debt collection practices: The Children’s Board of Trustees approved a policy that outlines procedures for providing financial assistance and charity care in compliance with the requirements for 501(c)(3) hospitals under Affordable Care Act Section 501(r).

Transparency in Coverage

The Transparency in Coverage final rule, released on October 20, 2020, requires health plans and issuers to publicly disclose pricing information via machine readable files (MRF). As a self-funded plan sponsor, Children’s is complying with this regulation by posting our MRF. This MRF data is related to our self-insured health plan that is administered through Aetna for our benefit-eligible employee population.