SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
right arrow Attach to Form 990 or 990-EZ.
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OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
EMORY CHILDREN'S PEDIATRIC INSTITUTE INC
 
Employer identification number

58-1692698
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES MANAGEMENT DUTIES TO ITS MEMBERS, EMORY UNIVERSITY ("EMORY") AND CHILDREN'S HEALTHCARE OF ATLANTA, INC. ("CHILDREN'S"), INCLUDING HIRING AND MANAGEMENT OF PERSONNEL AND DEVELOPMENT OF THE ORGANIZATION'S BUDGET.
FORM 990, PART VI, SECTION A, LINES 6, 7A, AND 7B FORM 990, PART VI, LINE 6 EMORY AND CHILDREN'S ARE THE SOLE MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, LINE 7A THE BYLAWS STATE THAT EMORY AND CHILDREN'S ARE SUBJECT TO THE APPROVAL OR REMOVAL OF HALF OF THE ORGANIZATION'S GOVERNING BOARD. FORM 990, PART VI, LINE 7B EMORY + CHILDREN'S PEDIATRIC INSTITUTE, INC., A SECTION 501(C)(3) PUBLIC CHARITY. UNDER THE BYLAWS, CERTAIN CORPORATE ACTIONS ARE SUBJECT TO DIRECT OR INDIRECT APPROVAL OF EMORY AND CHILDREN'S. THESE ACTIONS INCLUDE: APPOINTMENT OR REMOVAL OF DIRECTORS; ADOPTION OR AMENDMENT OF A STRATEGIC PLAN; ADOPTION AND/OR AMENDMENT OF THE ANNUAL BUDGET; APPROVAL OF MAJOR CAPITAL EXPENDITURES; CONSOLIDATION, LIQUIDATION OR DISSOLUTION OF THE ORGANIZATION; SIGNIFICANT DISPOSITION OF THE ORGANIZATION'S ASSETS; AND AMENDMENT OR RESTATEMENT OF THE ORGANIZATION'S GOVERNING DOCUMENTS.
FORM 990, PART VI, SECTION B, LINE 11B BEFORE THE FORM 990 IS FILED WITH THE IRS, AN ELECTRONIC COPY OF THE RETURN IS DISTRIBUTED TO ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'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, OFFICERS OR A ORGANIZATION THAT HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. 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 THE COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. ANNUALLY, INTERESTED PERSONS WILL COMPLETE A QUESTIONNAIRE TO PROVIDE INFORMATION NEEDED IN CONNECTION WITH THE ORGANIZATIONS' FILING OF ITS IRS FORM 990 WITH THE INTERNAL REVENUE SERVICE. RESULTS OF THE QUESTIONNAIRE ARE REVIEWED BY SENIOR LEADERSHIP.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. JUST AS THE ORGANIZATION WILL PROVIDE A COPY OF THE FORM 990, EXEMPT ORGANIZATION TAX RETURN, UPON REQUEST, THE ORGANIZATION WILL ALSO PROVIDE A COPY OF THE ORGANIZING DOCUMENTS TO ANY INTERESTED PARTY UPON REQUEST.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2022


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