CHILDRENS HOSPITAL OF ALABAMA: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS HOSPITAL OF ALABAMA (EIN 63-0307306)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202303189349317665
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T18:15:02-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 440160260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FORVIS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 Ridgefield Court | AddressLine1Txt |
| City | Asheville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28806 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630307306 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Children's Hospital of Alabama | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 2056389100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Seventh Avenue South | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35233 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dawn Walton | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2056389100 | PhoneNum |
| Signature | 2023-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Dawn | PersonFirstNm |
| Person Last | Walton | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Amy Bibby | PreparerPersonNm |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Thomas G Shufflebarger | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Seventh Avenue South | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $873,155,721 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ChildrensAL.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1911 | FormationYr |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Activity Or Mission | Specialty acute-care hospital providing inpatient and outpatient medical services to pediatric patients. | ActivityOrMissionDesc |
| Voting Members Governing Body | 31 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 30 | VotingMembersIndependentCnt |
| Total Employee | 6490 | TotalEmployeeCnt |
| Total Volunteers | 538 | TotalVolunteersCnt |
| Total Gross UBI | $18,533 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $15,861 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,509,786 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,594,546 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $789,596,092 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $855,488,218 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,248,393 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,401,117 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,901,067 | PYOtherRevenueAmt |
| CY Other Revenue | $10,560,637 | CYOtherRevenueAmt |
| PY Total Revenue | $804,255,338 | PYTotalRevenueAmt |
| CY Total Revenue | $873,044,518 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $369,698,289 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $407,053,711 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $378,765,822 | PYOtherExpensesAmt |
| CY Other Expenses | $391,639,352 | CYOtherExpensesAmt |
| PY Total Expenses | $748,464,111 | PYTotalExpensesAmt |
| CY Total Expenses | $798,693,063 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $55,791,227 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $74,351,455 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $847,897,331 | TotalAssetsBOYAmt |
| Total Assets EOY | $958,457,357 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $514,457,948 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $551,945,979 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $333,439,383 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $406,511,378 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Children's of Alabama is to provide the finest pediatric health services to all children in an environment that fosters excellence in research and medical education. Children's will be an advocate for all children and work to educate the public about issues affecting children's health and well-being. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $658,004,920 | ExpenseAmt |
| Revenue | $855,488,218 | RevenueAmt |
| Desc | Inpatient:Children's of Alabama provides specialized medical care for ill and injured children. Ranked among the best children's hospitals in the nation by U.S. News & World Report, Children's serves patients from every county in Alabama and nearly every state. With more than 3.5 million square feet, it is one of the largest pediatric medical facilities in the United States. Children's offers inpatient and outpatient services at its Russell Campus on Birmingham's historic Southside with additional specialty services provided at Children's South, Children's on 3rd and in Huntsville and Montgomery. Primary medical care is provided in more than a dozen communities across central Alabama. Children's is the only health system in Alabama dedicated solely to the care and treatment of children. It is a private, not-for-profit medical center that serves as the teaching hospital for the University of Alabama at Birmingham (UAB) pediatric medicine, surgery, psychiatry, research and residency programs. Children's operates 351 beds, which include 48 NICU bassinets and 100 critical care beds in the following units: Cardiovascular, Pediatric, Neonatal, Special Care, Critical Care, Burn and Stem Cell Transplant. In 2022, Children's Hospital had 16,074 discharges and 99,181 patient days. Inpatient surgery cases totaled 5,949 for 2022. The Children's Critical Care Transport team provides helicopter, jet, and ground transport for critically ill and injured children.Outpatient:Children's Hospital operates 13 outpatient specialty clinics that handle follow-up visits for patients as well as referrals from health departments across the state. These clinics provide services in Hemodialysis, Gastroenterology, Hematology/Oncology, Orthopedics, Urology, Otorhinolaryngology, Neurology, Pulmonary Function, General Surgery, Dental, Behavioral Services, Speech and Hearing, Physical Therapy, Occupational Therapy, Heart Transplant and others. In 2022, these clinics had 284,938 visits and 22,128 outpatient surgeries were performed. The Hospital also provides a statewide and regional referral site for complex emergency patients. The Emergency Department had 56,938 visits in 2022.Pediatric Practices:The Hospital has a network of primary care practices throughout the state known as Pediatric Practice Solutions. It consists of 14 practices supporting approximately 70 general pediatricians. In 2022 these practices provided 330,157 visits. | Desc |
| Total Program Service Expenses | $658,004,920 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 330 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 6490 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 31 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 30 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dawn Walton CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2056389901 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Seventh Avenue South | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35233 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Richard J Bielen | |||||||||
| Chairman of the Board | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| J David Brown III | |||||||||
| Vice Chairman of the Board | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Lee J Styslinger III | |||||||||
| Treasurer of the Board | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Beth G Dubina | |||||||||
| Secretary of the Board | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Tracey Morant Adams | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Edward K Aldag Jr | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Myla E Calhoun | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Derrol Dawkins MD | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark E Dixon | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ralph Frohsin Jr | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Raymond J Harbert | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Adelia R Hendrix | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| William E Horton | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Donald M James | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Virginia Walker Jones | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Philippe W Lathrop | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| James C Lee III | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Thomas H Lowder | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Anna M Manasco | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| W Charles Mayer | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| L Gwaltney McCollum Jr | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Ann D McMillan | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| C Phillip McWane | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| W Jerry Oakes MD | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Craft ONeal | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Margaret M Porter | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Frederick W Renneker III | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Stuart A Royal MD | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark J Tarr | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Temple W Tutwiler III | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Marc Bryant Tyson | |||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dawn Walton | |||||||||
| Chief Financial Officer | 40.00 | Yes (X) | $771,941 | $0 | $23,994 | 1.00 | |||
| Thomas G Shufflebarger | |||||||||
| President & CEO | 40.00 | Yes (X) | $1,402,741 | $0 | $24,620 | 1.00 | |||
| Andrew Loehr | |||||||||
| Senior VP & Chief Operating Officer | 40.00 | $541,494 | $0 | $30,617 | 1.00 | Yes (X) | |||
| Delicia Mason | |||||||||
| VP of Nursing Operations | 40.00 | $250,104 | $0 | $30,212 | Yes (X) | ||||
| Crayton A Fargason Jr | |||||||||
| Medical Director & VP Clinical Affairs | 40.00 | $750,820 | $0 | $12,064 | Yes (X) | ||||
| Douglas Dean | |||||||||
| VP of Human Resources | 40.00 | $553,233 | $0 | $24,940 | Yes (X) | ||||
| Robert Sarnecki | |||||||||
| Chief Information Officer | 40.00 | $624,827 | $0 | $24,385 | Yes (X) | ||||
| Audie L Woolley | |||||||||
| Pediatrician | 40.00 | $1,132,979 | $0 | $30,597 | Yes (X) | ||||
| Jimmy Scott Hill | |||||||||
| Pediatrician | 40.00 | $1,132,863 | $0 | $30,617 | Yes (X) | ||||
| Brian J Wiatrak | |||||||||
| Pediatrician | 40.00 | $1,132,085 | $0 | $30,597 | Yes (X) | ||||
| Brian Kulbersh | |||||||||
| Pediatrician | 40.00 | $952,932 | $0 | $30,597 | Yes (X) | ||||
| Nicholas Smith | |||||||||
| Pediatrician | 40.00 | $861,264 | $0 | $30,941 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $10,107,283 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $324,181 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 579 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| University of Alabama Health Services Fo | |||||
| 1600 7th Avenue South | Birmingham | AL | 35233 | Hospitalist Services, Emergency, Subspec | $36,879,100 |
| University of Alabama at Birmingham | |||||
| 19th Street South Suite 300 | Birmingham | AL | 35249 | Hospital Residents, Referred Testing | $26,502,763 |
| Epic Systems Corporation | |||||
| 1979 Milky Way | Verona | WI | 53593 | Consulting & Related licenses for new EH | $10,768,787 |
| Hoar Construction | |||||
| Two Metroplex Drive Suite 400 | Birmingham | AL | 35209 | Construction | $10,097,702 |
| Medix | |||||
| 222 South Riverside Plaza Suite 21 | Chicago | IL | 60606 | Consulting/Project management for EHR Im | $9,402,375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 139 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,314,025 | RelatedOrganizationsAmt |
| Government Grants | $985,293 | GovernmentGrantsAmt |
| All Other Contributions | $295,228 | AllOtherContributionsAmt |
| Total Contributions | $3,594,546 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service | 621300 | $846,257,615 | $846,257,615 |
| Graduate Medical Education | 611430 | $6,290,978 | $6,290,978 |
| Other Program Service | 621990 | $1,932,267 | $1,932,267 |
| Medicaid Disproportionate Share | 621300 | $1,007,358 | $1,007,358 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $855,488,218 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,512,320 | TotalRevenueColumnAmt |
| Exclusion | $3,512,320 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,083,360 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,083,360 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,083,360 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $18,533 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,064,827 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $111,203 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$111,203 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$111,203 | TotalRevenueColumnAmt |
| Exclusion | -$111,203 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| Cafeteria and Vending | 459900 | $4,805,351 | $4,805,351 |
| Parking | 812930 | $2,287,886 | $2,287,886 |
| Gift Shop | 459420 | $384,040 | $384,040 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,477,277 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $873,044,518 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $855,488,218 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $18,533 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,943,221 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,895,160 | TotalAmt |
| Program Services | $3,867,176 | ProgramServicesAmt |
| Management And General | $1,027,984 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,178,857 | TotalAmt |
| Program Services | $264,001,297 | ProgramServicesAmt |
| Management And General | $70,177,560 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,062,511 | TotalAmt |
| Program Services | $8,739,384 | ProgramServicesAmt |
| Management And General | $2,323,127 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,678,435 | TotalAmt |
| Program Services | $26,605,964 | ProgramServicesAmt |
| Management And General | $7,072,471 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,238,748 | TotalAmt |
| Program Services | $18,358,611 | ProgramServicesAmt |
| Management And General | $4,880,137 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,550,867 | TotalAmt |
| Program Services | $8,335,185 | ProgramServicesAmt |
| Management And General | $2,215,682 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,257 | TotalAmt |
| Program Services | $226,933 | ProgramServicesAmt |
| Management And General | $60,324 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,078 | TotalAmt |
| Program Services | $300,262 | ProgramServicesAmt |
| Management And General | $79,816 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $364,384 | TotalAmt |
| Management And General | $364,384 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,770,117 | TotalAmt |
| Program Services | $55,908,392 | ProgramServicesAmt |
| Management And General | $14,861,725 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,221,371 | TotalAmt |
| Program Services | $964,883 | ProgramServicesAmt |
| Management And General | $256,488 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,993,626 | TotalAmt |
| Program Services | $20,534,965 | ProgramServicesAmt |
| Management And General | $5,458,661 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,985,078 | TotalAmt |
| Program Services | $17,368,212 | ProgramServicesAmt |
| Management And General | $4,616,866 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,783,080 | TotalAmt |
| Program Services | $17,208,633 | ProgramServicesAmt |
| Management And General | $4,574,447 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $523,305 | TotalAmt |
| Program Services | $413,411 | ProgramServicesAmt |
| Management And General | $109,894 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,980,521 | TotalAmt |
| Program Services | $5,514,612 | ProgramServicesAmt |
| Management And General | $1,465,909 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,276,480 | TotalAmt |
| Program Services | $42,088,419 | ProgramServicesAmt |
| Management And General | $11,188,061 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,843,993 | TotalAmt |
| Program Services | $6,986,754 | ProgramServicesAmt |
| Management And General | $1,857,239 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $66,288,579 | $66,288,579 | |
| Drugs | $56,039,579 | $56,039,579 | |
| Provider Tax | $30,351,207 | $23,977,454 | $6,373,753 |
| Bad Debt | $7,792,136 | $7,792,136 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,207,694 | TotalAmt |
| Program Services | $6,484,079 | ProgramServicesAmt |
| Management And General | $1,723,615 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $798,693,063 | TotalAmt |
| Program Services | $658,004,920 | ProgramServicesAmt |
| Management And General | $140,688,143 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,622,218 | BOYAmt |
| EOY | $282,932,898 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,383,661 | BOYAmt |
| EOY | $82,945,462 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,322,684 | BOYAmt |
| EOY | $18,562,299 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,328,434 | BOYAmt |
| EOY | $17,266,430 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,307,025,145 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $860,215,646 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $442,343,334 | BOYAmt |
| EOY | $446,809,499 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $80,369,652 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,897,000 | BOYAmt |
| EOY | $29,571,117 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $847,897,331 | BOYAmt |
| EOY | $958,457,357 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,718,421 | BOYAmt |
| EOY | $52,276,482 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,025,245 | BOYAmt |
| EOY | $39,598,486 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,634,376 | BOYAmt |
| EOY | $164,800,219 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $80,000,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $241,079,906 | BOYAmt |
| EOY | $215,270,792 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $514,457,948 | BOYAmt |
| EOY | $551,945,979 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,439,383 | BOYAmt |
| EOY | $406,511,378 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,439,383 | BOYAmt |
| EOY | $406,511,378 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $847,897,331 | BOYAmt |
| EOY | $958,457,357 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $74,351,455 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $256,515 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,535,975 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $364,384 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $364,384 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $798,328,679 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $798,693,063 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $429,262 | CurrentYearMinus3Amt |
| Current Year Minus2 | $442,180 | CurrentYearMinus2Amt |
| Current Year Minus1 | $368,333 | CurrentYearMinus1Amt |
| Current Year | $364,384 | CurrentYearAmt |
| Total | $1,604,159 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-A, Line 1B | FormAndLineReferenceDesc |
| Explanation | The Hospital belongs to certain organizations that engage in lobbying activities on behalf of their hospital members. Since this is a nonallowable expense, these organizations inform their members the portion of their dues that should be considered applicable to lobbying expenses so that the appropriate adjustment can be made. In an effort to determine which dues include lobbying expenses, the Hospital reviewed the invoices for all dues payments in excess of $10,000 and scheduled all other payments we were made aware of through various inquiry. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,815,742 | OtherCostOrOtherBasisAmt |
| Book Value | $12,815,742 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $872,639,256 | OtherCostOrOtherBasisAmt |
| Depreciation | $541,245,991 | DepreciationAmt |
| Book Value | $331,393,265 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,618,080 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,639,772 | DepreciationAmt |
| Book Value | $1,978,308 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $362,365,577 | OtherCostOrOtherBasisAmt |
| Depreciation | $310,115,435 | DepreciationAmt |
| Book Value | $52,250,142 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $48,586,490 | OtherCostOrOtherBasisAmt |
| Depreciation | $214,448 | DepreciationAmt |
| Book Value | $48,372,042 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $446,809,499 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to Affiliate | $132,466,499 |
| Salaries Payable | $57,434,702 |
| Accrued Interest Payable | $874,094 |
| Professional Liability Accrual | $3,806,384 |
| Executive Retirement Plan | $7,648,897 |
| Retroactive Settlements | $167,101 |
| Medicaid Adjust. Pool Liability | $12,873,115 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $215,270,792 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Hospital and the Foundation are exempt from federal income taxes under Section 501(a) of the Internal Revenue Code as organizations described in Section 501(c)(3). TCH Ventures is a taxable entity under the Internal Revenue Code. At present, the Government of the Cayman Islands has imposed no taxation on income or premiums of Holy Innocents. The Company adheres to the provisions of the Accounting Standards Codification relating to uncertainty in income taxes that requires entities to assess their uncertain tax positions for the likelihood that they would be overturned upon Internal Revenue Service (IRS) examination or upon examination by state taxing authorities. The Company has determined that it does not have any positions at December 31, 2022 and 2021, that it would be unable to substantiate. The Company has filed its tax returns through December 31, 2021. The tax returns for the years ended December 31, 2019, and thereafter are subject to audit by the taxing authorities. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Holy Innocents Idemnity, LTD | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Professional Insurance Coverage | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $3,574,630 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $3,574,630 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $3,574,630 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III Accounting Method: | FormAndLineReferenceDesc |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,072,379 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,072,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $426,250,005 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $419,972,016 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,277,989 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00790 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,074,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,406,989 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $460,396,426 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $457,379,005 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,350,368 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01300 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 23173 | PersonsServedCnt |
| Total Community Benefit Expns | $9,961,764 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,002,328 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,959,436 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 1623 | PersonsServedCnt |
| Total Community Benefit Expns | $17,975,036 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,342,920 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,632,116 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01980 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,379,948 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $757,307 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $622,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $127,668 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $127,668 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 24796 | PersonsServedCnt |
| Total Community Benefit Expns | $29,444,416 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,102,555 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,341,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03090 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 24796 | PersonsServedCnt |
| Total Community Benefit Expns | $489,840,842 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $462,481,560 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,692,229 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04390 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,792,136 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $370,396 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $2,676,346 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $2,881,935 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$205,589 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Hospital of Alabama | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Seventh Avenue South | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Children's Hospital of Alabama | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | https://www.childrensal.org/sites/default/files/2022-12/CHNA-REPORT-22.pdf | OwnWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | https://www.childrensal.org/sites/default/files/2022-12/CHNA-REPORT-22.pdf | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.childrensal.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.childrensal.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.childrensal.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Children's Hospital of Alabama | Part V, Section B, Line 5: Children's of Alabama (COA) engaged the Public Affairs Research Council of Alabama (PARCA) to conduct the 2022 community health needs assessment (CHNA) designed to identify local and statewide child health concerns and how to best support efforts to address the concerns. For the 2022 CHNA, COA and PARCA gathered data from four focus groups, over 1200 online & telephone surveys, and interviews of nine key stakeholders. Targeted constituencies for the online survey and focus groups included parents, school nurses, administrators, pediatric/family medicine physician practices, community advocates, and youth. Five hundred and ten stakeholders responded to the online survey, compared to 553 in 2019 and 481 in 2016. Fifteen metrics at the state and national level were also analyzed for secondary data information. |
| Children's Hospital of Alabama | Part V, Section B, Line 11: During 2022, COA continued to emphasize previously identified areas of focus: nutrition & exercise, mental & behavioral health, parenting education and child safety. Nutrition & exercise were addressed by COA's involvement with, among other things, End Child Hunger Alliance to distribute information to patient families on the prevalence of food banks and pantries throughout the state. Mental health was addressed via COA's Operation of the Psychiatric Intake Response Center (PIRC), which received approximately 6,900 calls and consulted in 7,500 psychiatric cases in the Emergency Department from 2020-2022. PIRC-identified mental health providers were present in all counties in Alabama. The Center also provided ongoing behavioral health consultation and presentations to area school systems. COA continues to operate its grief counseling program, the Amelia Center, and provides behavioral health case consultation and treatment service to primary care practices enrolled in the HRSA-funded PATHS (Pediatric Access to Telemental Health Services) initiative. Children's CHIPS Center (Children's Hospital Intervention and Prevention Services) conducts educational sessions and trainings to promote health and healing for those affected by suspected child abuse and neglect. COA recently rebranded its patient health and safety programming to the Children's Health Education and Safety Center. This Center encompasses Safe Kids, ThinkFirst, and Alabama LifeStart. These three programs focus on general safety, brain and head trauma and sudden cardiac arrest. Children's annually hosts its School Nurse Workshop series aimed at providing information and skills competencies through lectures and labs. During and post-COVID 19, these sessions are virtually presented, allowing Children's to reach far more school nurses statewide than ever before. The virtual workshops can reach more 1,000 school nurses statewide per event. The Alabama Poison Information Center (APIC) housed at COA receives over 48,000 calls annually from 2020 2022, offering free and confidential poison information and treatment recommendations to the public and health care providers 24 hours a day.The 2022 CHNA, released in December 2022, identified mental and behavioral health, healthcare access, parent education, and child and adolescent safety as health needs to focus. COA will continue to host various programs and services to address these areas, including but not limited to: the operation of PIRC, CHIPs, APIC, PATHS, and Children's Health Education and Safety Center and continued presence in transportation related safety messaging, school nurse training, and unintended injury education. In addition, COA will continue parent education by offering safe sitter classes, baby showers, sex education, car seat installation and training, safe sleep education, content-rich monthly videos, and social media outreach. |
| Children's Hospital of Alabama | Part V, Section B, Line 16j: Processed incomplete and complete FAP applications. |
| Children's Hospital of Alabama | Part V, Section B, Line 20e: Signage is posted throughout the facility at entrances and all registration locations including the emergency department, waiting and admitting areas notifying patients and guarantors of the availability of financial assistance. |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | The costing methodology used to complete Line 7 was an overall cost-to-charge ratio computed using the IRS Form 990 Worksheet 2, ratio of patient care cost to charges. |
| Part I, Ln 7 Col(f): | The bad debt expense included on Form 990, Part IX, Line 25, column (a), but subtracted for purposes of calculating the percentage in this column is $7,792,136. |
| Part II, Community Building Activities: | In 2022 the Hospital participated in initiatives as defined under Part II, Community Building Activities. COA employees continued to train allied health and other students from area colleges, universities, and two-year institutions virtually and in-person. COA also provided a myriad of programs and initiatives aimed at non-patient care, education, and research. Hospital personnel continued to engage with community organizations and stakeholder groups ranging from the End Child Hunger initiative (focused on our CHNA identified response of nutrition and exercise) to community mental health roundtables and maternal and child health stakeholder groups. COA supported many community causes and organizations focused on parent education through 2020-2022. Children's continued its support of organizations statewide including, but not limited to, Childcare Resources, Alaquest, the YWCA, the YMCA, Alabama Partnership for Children, the Exceptional Foundation, and the Bell Center. The Hospital's Intervention & Prevention Services (CHIPS Center) continued to train school administrators and educators on child abuse prevention, identification, and intervention. The Center for Health Education and Safety educated school nurses and administrators on topics about mental and behavioral health and clinical competencies. Children's of Alabama executives and staff continued in 2022 to serve on a variety of community boards, nonprofit and professional organizations at the local, state and national levels. |
| Part III, Line 2: | Receivables from patients, insurance companies and third-party contractual agencies are stated at net realizable value. The Hospital evaluates the collectability of its patient accounts receivable based on the length of time the receivable is outstanding, historical collection experience, review of large balance accounts and trends in health care insurance programs to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For receivables associated with services provided to patients with third-party insurers, the Hospital estimates contractual allowances based on the terms of third-party insured contracts and estimates an additional allowance for doubtful accounts on patient responsible balances after third-party payments. For receivables associated with self-pay patients, the hospital records a significant provision for bad debts in the period of service based on its experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. These allowances are recorded on an estimated basis and adjusted as needed in future periods. Doubtful accounts are written off against the allowance after adequate collection effort is exhausted and recorded as recoveries of bad debts if subsequently collected. |
| Part III, Line 3: | Bad debts attributable to patients eligible for charity care were calculated based on the outstanding patient balance in excess of a reasonable amount the average person could pay without creating a medical hardship. For 2021 this amount is $24,600, which approximates the income limit for a family of 4 in the federal poverty guidelines. Charity care determinations are based on completing the required application and meeting defined criteria of the hospital. Many times, patients fail to complete paperwork required despite efforts to educate and inform patients of this option. However, based on socio-economic and other known factors, it is highly likely that these patients would meet established charity care criteria if the application process was completed. |
| Part III, Line 8: | Medicare cost & charges primarily relate to renal (ESRD) and SSI patients covered under Medicare. Given our small Medicare population, the costs/charges could fluctuate significantly year over year based on level of care. These would not be considered a community benefit. |
| Part III, Line 9b: | A guarantor will receive four bills before the account is turned over to a collection agency. After 120 days, if there is no attempt to pay - the account will be sent to a collection agency. |
| Part VI, Line 2: | COA engaged the Public Affairs Research Council of Alabama (PARCA) to conduct the 2022 community health needs assessment (CHNA) designed to identify local and statewide child health concerns and how to best support efforts to address the concerns. PARCA distributed an online survey to 30 organizations with the request that the survey be forwarded to the organizations' membership lists. These organizations and distribution lists were selected because of their professional and geographic diversity, and because of their experience with children of many backgrounds and in a variety of settings. Stakeholders from all 67 counties were sent the survey; responses were received from 66 counties. A telephone survey of randomly selected residents in Alabama was conducted; there were 752 survey respondents. In addition, selected statewide stakeholders participated in interviews and focus groups. Stakeholders and responding parties included parents, youth leaders, pediatricians, community advocates, business leaders, and the community at large. Data from these groups both corroborated and elaborated on themes that emerged from survey data. Children's of Alabama's CHNA and assessment findings were released on December 20, 2022. |
| Part VI, Line 3: | Each patient that presents as a self-pay patient is directed to a financial counselor. The financial counselor educates patients and their families about government and financial assistance programs and assists with related applications. If a patient is not counseled by a financial counselor on the date of service, statements are sent with the information needed to apply for financial assistance by the business office. In addition, the Financial Assistance Policy is posted on the Hospital's website and there is signage throughout the Hospital informing patients of the availability of a financial assistance program. |
| Part VI, Line 4: | The Hospital's primary service area is Birmingham / Hoover metropolitan statistical area as defined by the U.S. Office of Management and Budget. The Hospital's secondary service area is defined as the rest of the state, and we care for patients from every county in the state. demographic data including race, gender, and age is captured through the registration process. For 2022, Caucasians, African Americans, Hispanics, and other races accounted for 55%, 34%, 8%, and 3%, respectively, of the patients served while 39%, 34%, and 27% were ages 0-4, 5-12, and 13+ years, respectively. Economic demographic data is not specifically captured. |
| Part VI, Line 5: | Children's of Alabama is Alabama's primary site for pediatric health care and health education and training through its affiliation with the School of Medicine at The University of Alabama at Birmingham, two-year community colleges and four-year universities in Alabama and beyond. Children's is Alabama's sole level one pediatric trauma center, transplant programming, and houses the largest pediatric burn center in the Southeast. Our community health promotion to the larger, non-patient community of youth and adult stakeholders, parents, and guardians focused in 2022 on CHNA responses including, but not limited to, nutrition & exercise, mental & behavioral health, parenting education and child safety. COAs' Health Education and Safety Center encompasses Safe Kids, ThinkFirst, and Alabama LifeStart. These three programs focus on general safety, brain and head trauma and sudden cardiac arrest. More than 6,600 school-aged children and 1,300 parents and adults were reached by the Center in 2019-2022. Ur Keys 2 Drive' aimed to inform adolescents and teens on the importance of safe driving, biking and ATV usage. School nurse workshops educated more than 1,000 school nurses in 2022 alone on a wide range of topics. Children's Intervention & Prevention Services Center (CHIPS) addressed thousands of youth and adult stakeholders in schools on the prevention of child abuse. The Hospital's Alabama Poison Information Center (APIC) fielded thousands of calls from the public representing counties statewide and other states on poisonous interactions and COVID-related questions. In accordance with the IRS' 501(c)3 requirements defining community health promotion, Children's has an open medical staff and is governed by a diverse board comprised of statewide community leaders. Children's retains a strong focus on collaboration of health promotion with key stakeholders statewide. During 22 Children's of Alabama continued addressing the needs of the larger pediatric community through the promotion of its mission and commitment to those who rely on the hospital's care. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Thomas G Shufflebarger | ||||||||||||||
| President & CEO | $965,843 | $0 | $411,691 | $0 | $25,207 | $0 | $10,250 | $0 | $14,370 | $0 | $1,427,361 | $0 | $0 | $0 |
| Audie L Woolley | ||||||||||||||
| Pediatrician | $639,415 | $0 | $490,000 | $0 | $3,564 | $0 | $10,250 | $0 | $20,347 | $0 | $1,163,576 | $0 | $0 | $0 |
| Jimmy Scott Hill | ||||||||||||||
| Pediatrician | $636,217 | $0 | $490,000 | $0 | $6,646 | $0 | $10,250 | $0 | $20,367 | $0 | $1,163,480 | $0 | $0 | $0 |
| Brian J Wiatrak | ||||||||||||||
| Pediatrician | $638,521 | $0 | $490,000 | $0 | $3,564 | $0 | $10,250 | $0 | $20,347 | $0 | $1,162,682 | $0 | $0 | $0 |
| Brian Kulbersh | ||||||||||||||
| Pediatrician | $413,501 | $0 | $535,183 | $0 | $4,248 | $0 | $10,250 | $0 | $20,347 | $0 | $983,529 | $0 | $0 | $0 |
| Nicholas Smith | ||||||||||||||
| Pediatrician | $414,754 | $0 | $442,263 | $0 | $4,247 | $0 | $10,250 | $0 | $20,691 | $0 | $892,205 | $0 | $0 | $0 |
| Dawn Walton | ||||||||||||||
| Chief Financial Officer | $578,626 | $0 | $170,430 | $0 | $22,885 | $0 | $10,250 | $0 | $13,744 | $0 | $795,935 | $0 | $0 | $0 |
| Crayton A Fargason Jr | ||||||||||||||
| Medical Director & VP Clinical Affai | $550,098 | $0 | $175,515 | $0 | $25,207 | $0 | $10,250 | $0 | $1,814 | $0 | $762,884 | $0 | $0 | $0 |
| Robert Sarnecki | ||||||||||||||
| Chief Information Officer | $462,412 | $0 | $137,208 | $0 | $25,207 | $0 | $9,695 | $0 | $14,690 | $0 | $649,212 | $0 | $0 | $0 |
| Douglas Dean | ||||||||||||||
| VP of Human Resources | $404,623 | $0 | $121,614 | $0 | $26,996 | $0 | $10,250 | $0 | $14,690 | $0 | $578,173 | $0 | $0 | $0 |
| Andrew Loehr | ||||||||||||||
| Senior VP & Chief Operating Officer | $406,374 | $0 | $110,952 | $0 | $24,168 | $0 | $10,250 | $0 | $20,367 | $0 | $572,111 | $0 | $0 | $0 |
| Delicia Mason | ||||||||||||||
| VP of Nursing Operations | $195,876 | $0 | $31,982 | $0 | $22,246 | $0 | $10,250 | $0 | $19,962 | $0 | $280,316 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Special Care Facilities Financing Auth of the City of Bham-Children's Hosp | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 631005621 | BondIssuerEIN |
| CUSIP | 090929gj3 | CUSIPNum |
| Bond Issued | 2015-09-12 | BondIssuedDt |
| Issue Price | $153,240,000 | IssuePriceAmt |
| Purpose | Defease 2009 Bonds on 9/12/15 | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $153,240,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $1,557,585 | IssuanceCostsFromProceedsAmt |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Buffalo Rock | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Entity more than 35% owned by James C. Lee III, Director | RelationshipDescriptionTxt |
| Transaction | $118,306 | TransactionAmt |
| Transaction | Vending | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11b | The completed Form 990 is reviewed in detail by the finance and audit committee. The Form 990 is then provided to the board of trustees, prior to the filing of the return. |
| Form 990, Part VI, Section B, line 12c | The Corporate Compliance Officer is responsible for monitoring compliance with the Conflict of Interest Policy. Annual disclosure requests are sent and followed up on to ensure that all are returned. Returned conflict of interest statements are reviewed by the Corporate Compliance Officer and compliance department staff as well as officers of the Organization for accuracy and completeness. Conflict of interest statements are maintained by the compliance department. The Compliance Officer reports activity related to any potential conflicts of interest, including changes in previously reported conflicts to administration, and the corporate compliance committee which is a subcommittee of the board of directors. |
| Form 990, Part VI, Section B, line 15 | The Hospital maintains oversight concerning all executive compensation action. This process is led by the Hospital board of trustees compensation committee, which is involved annually, and throughout the year as needed, in providing oversight of all executive compensation. Total compensation (i.e., base salary, incentive compensation, and executive benefits) of officers, key employees, and other vice-presidents is approved by the compensation committee prior to such compensation being paid. The total compensation that is presented for approval is determined by evaluation of market data comparisons on executive total compensation. This independent, objective market data is provided by the hospital's independent executive compensation consulting firm, Sullivan Cotter. All compensation committee proceedings, decisions, and actions are documented in committee minutes that are maintained by the Hospital. |
| Form 990, Part VI, Section C, line 19 | The Conflict of Interest Policy is summarized in the Corporate Code of Conduct which is available on the Hospital's website. The governing documents and financial statements are not generally available to the public, although the quarterly disclosures and audited financial statements of the Children's Hospital of Alabama are filed on the electronic municipal market access ("EMMA") section of the municipal securities rulemaking board as we maintain public debt. Audited financial statements are also filed as part of this 990. |
| Form 990, Part XI, line 9: | Intercompany transfers 2,314,025. Transfer to Foundation -3,850,000. adjustment for TCH Ventures 0. |
| Form 990, Part XII, Line 2c: | The process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TCH Ventures LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Seventh Avenue South | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630942442 | EIN |
| Primary Activities | Holding Company | PrimaryActivitiesTxt |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Total Income | $43,475 | TotalIncomeAmt |
| End Of Year Assets | $850,554 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Children's Hospital of Alabama | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Alabama Children's Hospital Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Seventh Avenue South | AddressLine1Txt |
| City | Birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 630879471 | EIN |
| Primary Activities | Fundraising Activities | PrimaryActivitiesTxt |
| Legal Domicile State | AL | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 12b, II | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Children's Hospital of Alabama | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Holy Innocents Indemnity LTD | BusinessNameLine1Txt |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 10073 APO | AddressLine1Txt |
| City | Grand Cayman | CityNm |
| Province Or State | Grand Cayman | ProvinceOrStateNm |
| Country | CJ | CountryCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 980436612 | EIN |
| Primary Activities | Insurance | PrimaryActivitiesTxt |
| Legal Domicile Foreign Country | CJ | LegalDomicileForeignCountryCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Children's Hospital of Alabama | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $1,778,262 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $29,688,408 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Alabama Children's Hospital Foundation | ||
| B | $3,850,000 | Fair Market Value |
| Alabama Children's Hospital Foundation | ||
| C | $2,314,025 | Fair Market Value |