Children's Healthcare of Atlanta Inc

What it reported doing in 2024

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 2024. 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. Children's healthcare of atlanta manages more than one million patient visits annually at three hospitals (arthur m. Blank hospital, hughes spalding hospital, scottish rite hospital), marcus autism center, center for advanced pediatric, zalk behavioral and mental health center, urgent care centers and neighborhood locations. Children's is ranked among the nation's top pediatric hospitals and offers access to more than 60 pediatric specialties. Children's is consistently ranked among the nation's top pediatric hospitals by the u.s. News & world report list of "best children's hospitals." 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 2024, the three hospitals operated by children's healthcare of atlanta, inc. Provided 789 licensed beds and managed 1,248,089 patient visits, 453,482 unique patients, 29,004 hospital discharges, 190,483 inpatient days, 1,210,068 outpatient visits, 45,576 surgical cases (inpatient and outpatient), 238,969 emergency department visits, 187,026 urgent care center visits and 21,406 telemedicine visits. Children's also managed 57,334 calls from parents across Georgia to the children's nurse advice line. Children's is also the largest pediatric medicaid provider in the state of Georgia, serving 88% pediatric inpatient medicaid cases in atlanta and 61% of the cases statewide in 2024. Children's is committed to providing medically needed healthcare to the children of Georgia. Statewide, 55% of children's patients are enrolled in public health plan coverage including medicaid, peachcare for kids or unable to cover the cost of their care. In 2024, children's provided $61.4 million in subsidized health services and $364 million of unreimbursed clinical care. In addition, children's invests in pediatric research, teaching and child wellness and preventive care initiatives, of $158.2 million for which children's also does not get paid. The total community benefit provided by children's in 2024 was $522.2 million. Children's serves as the pediatric physician teaching site for emory university school of medicine, morehouse school of medicine, dwight david eisenhower army medical center, atrium health navicent the medical center, northside hospital, northside hospital - gwinnett, upmc medical education, wellstar health system, northeast Georgia medical center, jack hughston memorial hospital, and piedmont macon medical center. Children's takes the lead in training the pediatricians of tomorrow. New physicians are encouraged to participate in our fellowship programs, which are available in a variety of specialties. Of the trainees who completed one of our fellowship programs in 2024, 46% have remained in Georgia, and 31% of those are now employees of children's or faculty at emory. Children's also trains other pediatric healthcare professionals, including nurses, emergency medical technicians, paramedics and psychosocial experts. The joint children's and emory pediatric subspecialty training program provides a pipeline for the entire state of Georgia. The children's healthcare of atlanta rural pediatric scholarship program was established in 2023 as part of a joint initiative between children's and mercer university school of medicine to improve pediatric healthcare in rural Georgia. Scholars selected for this program have a strong commitment to be

Financial Efficiency

• Mission deployment rate: 1.7%; rating input score 2
• Program expense ratio: 9.6%; rating input score 10
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 4 of 6 controls in place; rating input score 67
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 88.5%; rating input score 88; 35th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 80.2%; rating input score 99; 99th percentile among comparable filings
• Total-asset coverage ratio: 265.57; rating input score 100; 100th percentile among comparable filings
• Liabilities to assets ratio: 0.6; rating input score 28; 28th percentile among comparable filings
• Officer compensation ratio: 40.6%; rating input score 0; 0th percentile among comparable filings

Growth

• Program expense growth: -7.3% per year; rating input score 0; 2nd percentile among comparable filings
• Revenue growth: 3.7% per year; rating input score 100; 29th percentile among comparable filings
• Asset growth: 9.8% per year; rating input score 100; 69th percentile among comparable filings