2023-11-14T18:15:02-06:00 2022-12-31 440160260 FORVIS LLP 500 Ridgefield Court Asheville NC 28806 990 2022-01-01 630307306 The Children's Hospital of Alabama CHIL 2056389100 1600 Seventh Avenue South Birmingham AL 35233 Dawn Walton CFO 2056389100 2023-11-14 1 Dawn Walton 999009999 0 Amy Bibby P00445891 8282542254 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Thomas G Shufflebarger 1600 Seventh Avenue South Birmingham AL 35233 873155721 0 X WWW.ChildrensAL.org X 1911 AL Specialty acute-care hospital providing inpatient and outpatient medical services to pediatric patients. 31 30 6490 538 18533 15861 3509786 3594546 789596092 855488218 1248393 3401117 9901067 10560637 804255338 873044518 0 0 0 0 369698289 407053711 0 0 0 378765822 391639352 748464111 798693063 55791227 74351455 847897331 958457357 514457948 551945979 333439383 406511378 X 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. 0 0 658004920 855488218 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. 658004920 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 330 0 1 6490 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 31 30 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Dawn Walton CFO 2056389901 1600 Seventh Avenue South Birmingham AL 35233 Richard J Bielen Chairman of the Board 1.00 X X 0 0 0 J David Brown III Vice Chairman of the Board 1.00 X X 0 0 0 Lee J Styslinger III Treasurer of the Board 1.00 X X 0 0 0 Beth G Dubina Secretary of the Board 1.00 X X 0 0 0 Tracey Morant Adams Director 1.00 X 0 0 0 Edward K Aldag Jr Director 1.00 X 0 0 0 Myla E Calhoun Director 1.00 X 0 0 0 Derrol Dawkins MD Director 1.00 X 0 0 0 Mark E Dixon Director 1.00 X 0 0 0 Ralph Frohsin Jr Director 1.00 X 0 0 0 Raymond J Harbert Director 1.00 X 0 0 0 Adelia R Hendrix Director 1.00 X 0 0 0 William E Horton Director 1.00 X 0 0 0 Donald M James Director 1.00 X 0 0 0 Virginia Walker Jones Director 1.00 X 0 0 0 Philippe W Lathrop Director 1.00 X 0 0 0 James C Lee III Director 1.00 X 0 0 0 Thomas H Lowder Director 1.00 X 0 0 0 Anna M Manasco Director 1.00 X 0 0 0 W Charles Mayer Director 1.00 X 0 0 0 L Gwaltney McCollum Jr Director 1.00 X 0 0 0 Ann D McMillan Director 1.00 X 0 0 0 C Phillip McWane Director 1.00 X 0 0 0 W Jerry Oakes MD Director 1.00 X 0 0 0 Craft ONeal Director 1.00 X 0 0 0 Margaret M Porter Director 1.00 X 0 0 0 Frederick W Renneker III Director 1.00 X 0 0 0 Stuart A Royal MD Director 1.00 X 0 0 0 Mark J Tarr Director 1.00 X 0 0 0 Temple W Tutwiler III Director 1.00 X 0 0 0 Marc Bryant Tyson Director 1.00 X 0 0 0 Dawn Walton Chief Financial Officer 40.00 1.00 X 771941 0 23994 Thomas G Shufflebarger President & CEO 40.00 1.00 X 1402741 0 24620 Andrew Loehr Senior VP & Chief Operating Officer 40.00 1.00 X 541494 0 30617 Delicia Mason VP of Nursing Operations 40.00 X 250104 0 30212 Crayton A Fargason Jr Medical Director & VP Clinical Affairs 40.00 X 750820 0 12064 Douglas Dean VP of Human Resources 40.00 X 553233 0 24940 Robert Sarnecki Chief Information Officer 40.00 X 624827 0 24385 Audie L Woolley Pediatrician 40.00 X 1132979 0 30597 Jimmy Scott Hill Pediatrician 40.00 X 1132863 0 30617 Brian J Wiatrak Pediatrician 40.00 X 1132085 0 30597 Brian Kulbersh Pediatrician 40.00 X 952932 0 30597 Nicholas Smith Pediatrician 40.00 X 861264 0 30941 10107283 0 324181 579 0 1 0 University of Alabama Health Services Fo 1600 7th Avenue South Birmingham AL 35233 Hospitalist Services, Emergency, Subspec 36879100 University of Alabama at Birmingham 19th Street South Suite 300 Birmingham AL 35249 Hospital Residents, Referred Testing 26502763 Epic Systems Corporation 1979 Milky Way Verona WI 53593 Consulting & Related licenses for new EH 10768787 Hoar Construction Two Metroplex Drive Suite 400 Birmingham AL 35209 Construction 10097702 Medix 222 South Riverside Plaza Suite 21 Chicago IL 60606 Consulting/Project management for EHR Im 9402375 139 2314025 985293 295228 3594546 Patient Service 621300 846257615 846257615 Graduate Medical Education 611430 6290978 6290978 Other Program Service 621990 1932267 1932267 Medicaid Disproportionate Share 621300 1007358 1007358 855488218 3512320 3512320 3083360 0 3083360 3083360 18533 3064827 111203 -111203 -111203 -111203 Cafeteria and Vending 459900 4805351 4805351 Parking 812930 2287886 2287886 Gift Shop 459420 384040 384040 7477277 873044518 855488218 18533 13943221 4895160 3867176 1027984 334178857 264001297 70177560 11062511 8739384 2323127 33678435 26605964 7072471 23238748 18358611 4880137 10550867 8335185 2215682 287257 226933 60324 380078 300262 79816 364384 364384 70770117 55908392 14861725 1221371 964883 256488 25993626 20534965 5458661 21985078 17368212 4616866 21783080 17208633 4574447 523305 413411 109894 6980521 5514612 1465909 53276480 42088419 11188061 8843993 6986754 1857239 Medical Supplies 66288579 66288579 Drugs 56039579 56039579 Provider Tax 30351207 23977454 6373753 Bad Debt 7792136 7792136 8207694 6484079 1723615 798693063 658004920 140688143 0 262622218 282932898 72383661 82945462 18322684 18562299 19328434 17266430 1307025145 860215646 442343334 446809499 80369652 32897000 29571117 847897331 958457357 52718421 52276482 40025245 39598486 180634376 164800219 80000000 241079906 215270792 514457948 551945979 X 333439383 406511378 333439383 406511378 847897331 958457357 X 74351455 256515 -1535975 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 364384 364384 798328679 798693063 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 429262 442180 368333 364384 1604159 250000 250000 250000 250000 1000000 1500000 Part II-A, Line 1B 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. 12815742 12815742 872639256 541245991 331393265 10618080 8639772 1978308 362365577 310115435 52250142 48586490 214448 48372042 446809499 Due to Affiliate 132466499 Salaries Payable 57434702 Accrued Interest Payable 874094 Professional Liability Accrual 3806384 Executive Retirement Plan 7648897 Retroactive Settlements 167101 Medicaid Adjust. Pool Liability 12873115 215270792 X Part X, Line 2: 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. Holy Innocents Idemnity, LTD 0 0 Professional Insurance Coverage 3574630 0 0 0 0 0 0 3574630 0 3574630 0 0 1 0 0 0 Part III Accounting Method: 1 1 1 X 1 X 1 0 1 1 4072379 4072379 0.00510 426250005 419972016 6277989 0.00790 30074042 37406989 0 0.00000 460396426 457379005 10350368 0.01300 5 23173 9961764 2002328 7959436 0.01010 4 1623 17975036 2342920 15632116 0.01980 1 1379948 757307 622641 0.00080 1 127668 127668 0.00020 11 24796 29444416 5102555 24341861 0.03090 11 24796 489840842 462481560 34692229 0.04390 1 7792136 370396 2676346 2881935 -205589 X 1 1 1 1 Children's Hospital of Alabama 1600 Seventh Avenue South Birmingham AL 35233 X X X X X X Children's Hospital of Alabama 1 0 0 1 X X X X X X X X X 22 1 0 0 1 X https://www.childrensal.org/sites/default/files/2022-12/CHNA-REPORT-22.pdf 1 22 1 https://www.childrensal.org/sites/default/files/2022-12/CHNA-REPORT-22.pdf 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X www.childrensal.org X www.childrensal.org X www.childrensal.org X X X X X X X 1 X 0 X X X 1 X 0 0 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. 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. X X X X 0 0 0 0 0 0 0 0 0 Thomas G Shufflebarger President & CEO 965843 0 411691 0 25207 0 10250 0 14370 0 1427361 0 0 0 Audie L Woolley Pediatrician 639415 0 490000 0 3564 0 10250 0 20347 0 1163576 0 0 0 Jimmy Scott Hill Pediatrician 636217 0 490000 0 6646 0 10250 0 20367 0 1163480 0 0 0 Brian J Wiatrak Pediatrician 638521 0 490000 0 3564 0 10250 0 20347 0 1162682 0 0 0 Brian Kulbersh Pediatrician 413501 0 535183 0 4248 0 10250 0 20347 0 983529 0 0 0 Nicholas Smith Pediatrician 414754 0 442263 0 4247 0 10250 0 20691 0 892205 0 0 0 Dawn Walton Chief Financial Officer 578626 0 170430 0 22885 0 10250 0 13744 0 795935 0 0 0 Crayton A Fargason Jr Medical Director & VP Clinical Affai 550098 0 175515 0 25207 0 10250 0 1814 0 762884 0 0 0 Robert Sarnecki Chief Information Officer 462412 0 137208 0 25207 0 9695 0 14690 0 649212 0 0 0 Douglas Dean VP of Human Resources 404623 0 121614 0 26996 0 10250 0 14690 0 578173 0 0 0 Andrew Loehr Senior VP & Chief Operating Officer 406374 0 110952 0 24168 0 10250 0 20367 0 572111 0 0 0 Delicia Mason VP of Nursing Operations 195876 0 31982 0 22246 0 10250 0 19962 0 280316 0 0 0 A Special Care Facilities Financing Auth of the City of Bham-Children's Hosp 631005621 090929gj3 2015-09-12 153240000 Defease 2009 Bonds on 9/12/15 0 0 0 A 153240000 1557585 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 1 0 0 0 0 0 A 0 Buffalo Rock Entity more than 35% owned by James C. Lee III, Director 118306 Vending 0 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. TCH Ventures LLC 1600 Seventh Avenue South Birmingham AL 35233 630942442 Holding Company AL 43475 850554 The Children's Hospital of Alabama Alabama Children's Hospital Foundation 1600 Seventh Avenue South Birmingham AL 35233 630879471 Fundraising Activities AL 501(c)(3) Line 12b, II The Children's Hospital of Alabama 1 Holy Innocents Indemnity LTD PO Box 10073 APO Grand Cayman Grand Cayman CJ 980436612 Insurance CJ The Children's Hospital of Alabama C 1778262 29688408 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 Alabama Children's Hospital Foundation B 3850000 Fair Market Value Alabama Children's Hospital Foundation C 2314025 Fair Market Value