Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN
 
Employer identification number

90-0779996
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2019
Page 2

Schedule J (Form 990) 2019
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1DANIEL SALINAS MD
CMO & TRUSTEE- SYSTEM/HSOC
(i)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

(ii)
983,154
-------------
0
83,659
-------------
0
12,514
-------------
0
0
-------------
0
31,884
-------------
0
1,111,211
-------------
0
0
-------------
0
Schedule J (Form 990) 2019
Page 3

Schedule J (Form 990) 2019
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
SUPPLEMENTAL COMPENSATION EMPLOYEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. HAVE THE OPTION TO PARTICIPATE IN THE 403(B) RETIREMENT PLAN OFFERED BY THE ORGANIZATION. CHILDREN'S PROVIDES AN ANNUAL DISCRETIONARY CONTRIBUTION IN A 401(A) RETIREMENT PLAN FOR EMPLOYEES WHO WORK AT LEAST 1,000 HOURS IN THE CALENDAR YEAR AND ARE EMPLOYED ON 12/31/2019. ALL INDIVIDUALS ARE EMPLOYEES OF CHILDREN'S HEALTHCARE OF ATLANTA, INC. (THE "PARENT" EIN 58-2367819) WITH CHILDREN'S HEALTHCARE OF ATLANTA GROUP RETURN (THE "GROUP" EXEMPTION NUMBER 5857) ACTING AS THE COMMON PAYROLL AGENT FOR THE PARENT AND ALL ENTITIES WITHIN THE GROUP.
SCHEDULE J, PART I, LINE 1A PURSUANT TO THE ORGANIZATION'S TRAVEL AND REIMBURSEMENT POLICY, THE CEO IS ENTITLED TO TRAVEL FIRST CLASS OR BUSINESS CLASS ON FLIGHTS LONGER THAN TWO HOURS TO ENABLE THE CEO TO GET WORK DONE MORE EFFICIENTLY AND EFFECTIVELY ON LONGER FLIGHTS. HOWEVER, THE CEO MUST GIVE STRONG CONSIDERATION TO THE FINANCIAL IMPLICATIONS OF TRAVELING FIRST OR BUSINESS CLASS. IN ADDITION, THE CHIEF INVESTMENT OFFICER (CIO) IS ENTITLED TO TRAVEL FIRST CLASS OR BUSINESS CLASS DUE TO FREQUENT INTERNATIONAL TRAVEL. CHOA DOES NOT TREAT THE PAYMENTS FOR FIRST CLASS TRAVEL AS TAXABLE TO THE CEO AND CIO GIVEN THE BUSINESS PURPOSE ASSOCIATED WITH SUCH FLIGHTS.
SCHEDULE J, PART I, LINE 4B IN 2012, THE COMPENSATION AND BENEFITS COMMITTEE ELECTED TO OFFER AN ADDITIONAL EXECUTIVE RETIREMENT PLAN TO CERTAIN EXECUTIVES. THE BOARD APPROVED THIS RECOMMENDATION IN EARLY 2013. BELOW ARE THE PARTICIPANTS AND THE TOTAL AMOUNT CONTRIBUTED TO THE PLAN FOR EACH DURING 2019: DONNA HYLAND - $316,410 RUTH FOWLER - $130,455 DAN SALINAS - $93,748 RONALD FRIESON - $45,675 JILL STRICKLAND - $29,892 LESLIE JONES - $45,874 JIM FORTENBERRY - $47,568 THE APPROVED PLAN CALLED FOR A FIVE YEAR VESTING PERIOD, AFTER WHICH PAYOUT TO PARTICIPANTS WOULD OCCUR AS OUTLINED IN THE PLAN DOCUMENTS.
SCHEDULE J, PART I, LINES 5A & 5B EXECUTIVES ARE ELIGIBLE FOR AN ANNUAL INCENTIVE, WHICH INCLUDES A MEASUREMENT FOR ACHIEVEMENT OF BUDGETED OPERATING MARGIN. THESE INCENTIVES ARE CALCULATED AS A CERTAIN PERCENTAGE OF THE EXECUTIVE'S BASE COMPENSATION APPROVED BY THE COMPENSATION AND BENEFITS COMMITTEE.
Schedule J (Form 990) 2019

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