2022-11-15T11:12:37-06:00 2021-12-31 440160260 FORVIS LLP 500 Ridgefield Court Asheville NC 28806 990 2021-01-01 630307306 The Children's Hospital of Alabama CHIL 2056389100 1600 Seventh Avenue South Birmingham AL 35233 Dawn Walton CFO 2056389100 2022-11-15 1 Dawn Walton 999009999 Amy Bibby P00445891 8282542254 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Thomas G Shufflebarger 1600 Seventh Avenue South Birmingham AL 35233 804472613 0 X WWW.ChildrensAL.org X 1911 AL Specialty acute-care hospital providing inpatient and outpatient medical services to pediatric patients. 33 31 6432 437 0 13910 3767445 3509786 759383887 789596092 11885896 1248393 8090668 9901067 783127896 804255338 0 0 0 0 345541361 369698289 0 0 0 355968330 378765822 701509691 748464111 81618205 55791227 830300382 847897331 490515237 514457948 339785145 333439383 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 614153884 796591490 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 2021, Children's Hospital had 15,142 discharges and 98,109 patient days. Inpatient surgery cases totaled 5,734 for 2021. 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 2021, these clinics had 280,322 visits and 19,961 outpatient surgeries were performed. The Hospital also provides a statewide and regional referral site for complex emergency patients. The Emergency Department had 53,634 visits in 2021.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 2021 these practices provided 332,857 visits. 614153884 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 1 346 0 1 6432 1 1 1 1 CJ 0 0 0 0 0 0 0 0 1 0 X 33 31 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Jenny Wakeford 2056386778 1600 Seventh Avenue South Birmingham AL 35233 Temple W Tutwiler III Chairman of the Board 1.00 X X 0 0 0 Richard J Bielen 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 J David Brown III 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 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 Charles D McCrary 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 Ben Russell Director 1.00 X 0 0 0 Mark J Tarr Director 1.00 X 0 0 0 Marc Bryant Tyson Director 1.00 X 0 0 0 William Michael Warren Jr President & CEO (through May 31, 2021) 40.00 1.00 X X 575518 0 15693 Thomas G Shufflebarger President & CEO (effective June 1, 2021) 40.00 1.00 X X 1049391 0 22917 Dawn Walton Chief Financial Officer 40.00 1.00 X 701119 0 22658 Michael E McDevitt EVP of Facilities (through April 2, 2021) 40.00 X 384894 0 11254 Andrew Loehr VP & Chief Nursing Officer 40.00 X 427267 0 28739 Crayton A Fargason Jr Medical Director & VP Clinical Affairs 40.00 X 684811 0 11564 Douglas Dean VP of Human Resources 40.00 X 499283 0 22512 Robert Sarnecki Chief Information Officer 40.00 X 563957 0 23515 Brian J Wiatrak Pediatrician 40.00 X 1036207 0 24871 Audie L Woolley Pediatrician 40.00 X 1030356 0 28719 Jimmy Scott Hill Pediatrician 40.00 X 1028950 0 28739 Brian Kulbersh Pediatrician 40.00 X 774020 0 28719 Nicholas Smith Pediatrician 40.00 X 734858 0 28636 9490631 0 298536 443 0 1 0 University of Alabama at Birmingham 19th Street South Suite 300 Birmingham AL 35249 Hospital Residents, Referred Testing 25970061 University of Alabama Health Services Fo 1600 7th Avenue South Birmingham AL 35233 Hospitalist Services, Emergency, Subspec 25585397 Hoar Construction Two Metroplex Drive Suite 400 Birmingham AL 35209 Construction 7035566 Westerkamp Group LLC 701 Warrenville Road Suite 120 Lisle IL 60532 Revenue Cycle Services 6041442 Allscripts Healthcare LLC 24630 Network Place Chicago IL 60673 Clinical Software 5598122 153 1635942 1001406 872438 3509786 Patient Service 621300 777494583 777494583 Other Program Service 900099 6050513 6050513 Graduate Medical Education 611430 5975996 5975996 Medicaid Disproportionate Share 621300 75000 75000 789596092 1465668 1465668 2905669 0 2905669 2905669 2905669 217275 -217275 -217275 -217275 Cafeteria and Vending 453000 4293852 4293852 Parking 900099 2293479 2293479 Gift Shop 900099 408067 408067 6995398 804255338 796591490 0 4154062 5045089 3985620 1059469 299729675 236786443 62943232 9932278 7846500 2085778 34383230 27162752 7220478 20608017 16280333 4327684 10801754 8533386 2268368 358727 283394 75333 338676 267554 71122 69192705 54662237 14530468 1265938 1000091 265847 20558275 16241037 4317238 19954094 15763734 4190360 20732483 16378662 4353821 150209 118665 31544 6695682 5289589 1406093 56246376 44434637 11811739 8538309 6745264 1793045 Medical Supplies 60335528 60335528 Drugs 48556077 48556077 Provider Tax 38930612 30755183 8175429 Bad Debt 8169734 6454090 1715644 7940643 6273108 1667535 748464111 614153884 134310227 0 219228954 262622218 88265766 72383661 17141942 18322684 18921227 19328434 1273118454 830775120 452721201 442343334 34021292 32897000 830300382 847897331 44013288 52718421 34285943 40025245 195955351 180634376 216260655 241079906 490515237 514457948 X 339785145 333439383 339785145 333439383 830300382 847897331 X 55791227 -62136989 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 368333 368333 748095777 748464110 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 389788 429262 442180 368333 1629563 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 868467025 514408041 354058984 11133026 8802685 2330341 353181544 307564394 45617150 27521117 27521117 442343334 Due to Affiliate 122113691 Salaries Payable 56548604 Accrued Interest Payable 661912 Professional Liability Accrual 3763123 Executive Retirement Plan 8502902 Retroactive Settlements 734073 Medicaid Adjust. Pool Liability 48755601 241079906 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, 2021 and 2020, that it would be unable to substantiate. The Company has filed its tax returns through December 31, 2020. The tax returns for the years ended December 31, 2018, and thereafter are subject to audit by the taxing authorities. Holy Innocents Idemnity, LTD 0 0 Professional Insurance Coverage 269454 0 0 0 0 0 0 269454 0 269454 0 0 1 0 0 0 Part III Accounting Method: 1 1 1 X 1 X 1 0 1 1 5848800 5848800 0.00790 412329149 394389617 17939532 0.02420 27292489 35749282 0 0.00000 445470438 430138899 23788332 0.03210 6 2 6586870 1849169 4737701 0.00640 5 9766 14193028 1940275 12252753 0.01660 1 1481999 980108 501891 0.00070 1 97528 97528 0.00010 13 9768 22359425 4769552 17589873 0.02380 13 9768 467829863 434908451 41378205 0.05590 1 8169735 604626 2350422 2456184 -105762 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 19 1 0 0 1 X https://www.childrensal.org/sites/default/files/workfiles/CHNA/CHNA-REPORT- 1 19 1 https://www.childrensal.org/sites/default/files/workfiles/CHNA/CHNA-REPORT- 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 engaged the Public Affairs Research Center of Alabama (PARCA) in 2019 to conduct the Community Health Needs Assessment (CNHA) designed to identify statewide and local child health concerns for children across the state and best support efforts to address those concerns. For the 2019 CHNA, Children's of Alabama and PARCA expanded the scope and breadth of the assessment by adding four (4) focus groups of diverse community representatives to the existing online survey and face-to-face interviews of 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. Key stakeholder interviewees consisted of state and local officials, executives of child-oriented nonprofits and community members representative of Children's of Alabama's population served. Five hundred fifty-three stakeholders responded to the online survey, an increase of more than 20 percent over previous response rates. Forty-six total stakeholders were represented in the focus groups for the first time and 15 metrics at the state and national level were researched for secondary data information. All total, more than 600 stakeholders participated in the 2019 Community Health Needs Assessment. In late 2021, Children's once again contracted with PARCA to conduct the 2022 CHNA. The same components will be utilized in 2022 with the addition of a telephone survey of more than 750 stakeholders in all 67 Alabama counties. Children's Hospital of Alabama Part V, Section B, Line 11: Children's of Alabama continued to address the 2019 CHNA-identified needs even during the COVID State of Emergency from 2020-2022. The CHNA priorities included mental and behavioral health, children with medically complex conditions, nutrition, and parent and youth education. While the COVID pandemic froze in-person outreach efforts for COA and participating collaborators, innovative thinking by staff allowed us to pivot to virtual trainings, outreach efforts, workshops, and meetings to continue meeting the needs of the state-at-large. Programs presented including school nurse training on topics ranging from AED safety to asthma, tracheotomy and gastrointestinal tubes, diabetes, mental health, and bullying. More than 1,200 school nurses participated virtually statewide. Additional programs and opportunities presented both virtually and in-person in 2020-2021 include virtual child abuse prevention/identification webinars by the Hospital's CHIPS Center to school administrators and stakeholders, emergency department training to urban and rural hospitals through the COACHES initiative, baby safety showers aimed at educating parents of newborns, teen driving and general safety trainings by the Children's Health Education and Safety Center. The Alabama Poison Information Center housed at Children's of Alabama addressed a significant number of COVID related calls about symptoms, incidents tied to use of household cleaning products and other COVID related activities. As in year's past, APIC responded to more than 50,000 calls and follow-ups. 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 $8,169,735. 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 past 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 2020 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: Children's engaged the Public Affairs Research Center of Alabama (PARCA) in 2019 to conduct the community health needs assessment (CHNA) designed to identify statewide and local child health concerns for children across the state and how to best support efforts to address the concerns. Stakeholders from all 67 counties (service areas described below) were asked to complete an online survey of health needs for children in Alabama. In addition, selected statewide stakeholders participated in face to face interviews. In 2019, four primary service area face to face focus groups were convened for the first time to help identify issues. The assessment's geographic focus targeted Children's primary service area of Bibb, Blount, Chilton, Jefferson, Shelby, St. Clair, and Walker counties and the secondary service area which is defined as the remaining 60 counties statewide. Stakeholders and responding parties included parents, youth leaders, school nurses, administrators, pediatricians, family practice physicians, community advocates, business leaders, and the community at large. Top responses from the assessment by stakeholders included child and adolescent mental and behavioral health, nutrition, parent and guardian education, and children with special healthcare needs. Children's of Alabama's CHNA and assessment findings were released on December 20, 2019. In 2021, Children's reengaged PARCA for the 2022 Community Health Needs Assessment. 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 2021, Caucasians, African Americans, Hispanics, and other races accounted for 55%, 35%, 8%, and 2%, respectively, of the patients served while 38%, 34%, and 28% 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 2020-2021 on CHNA responses including, but not limited to, mental and behavioral health, obesity and nutrition, parent and guardian education, and children with special healthcare needs. Programs such as ThinkFirst and the Center for Health Education and Safety's '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 1,200 school nurses in 2021 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. For 2020-2021, 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 (effective June 1, 2 812926 0 213500 0 22965 0 9750 0 13167 0 1072308 0 0 0 Brian J Wiatrak Pediatrician 642643 0 390000 0 3564 0 9750 0 15121 0 1061078 0 0 0 Audie L Woolley Pediatrician 638034 0 390000 0 2322 0 9750 0 18969 0 1059075 0 0 0 Jimmy Scott Hill Pediatrician 636437 0 390000 0 2513 0 9750 0 18989 0 1057689 0 0 0 Brian Kulbersh Pediatrician 390639 0 377867 0 5514 0 9750 0 18969 0 802739 0 0 0 Nicholas Smith Pediatrician 392016 0 337329 0 5513 0 9750 0 18886 0 763494 0 0 0 Dawn Walton Chief Financial Officer 561735 0 117500 0 21884 0 9750 0 12908 0 723777 0 0 0 Crayton A Fargason Jr Medical Director & VP Clinical Affai 538504 0 122100 0 24207 0 9750 0 1814 0 696375 0 0 0 William Michael Warren Jr President & CEO (through May 31, 202 309103 0 243250 0 23165 0 9750 0 5943 0 591211 0 0 0 Robert Sarnecki Chief Information Officer 449192 0 91800 0 22965 0 9750 0 13765 0 587472 0 0 0 Douglas Dean VP of Human Resources 392612 0 80950 0 25721 0 8747 0 13765 0 521795 0 0 0 Andrew Loehr VP & Chief Nursing Officer 334034 0 69300 0 23933 0 9750 0 18989 0 456006 0 0 0 Michael E McDevitt EVP of Facilities (through April 2, 124493 0 240130 0 20271 0 7367 0 3887 0 396148 0 0 0 A Special Care Facilities Financing Auth of the City of Bham-Children's Hosp 631005621 090929fz8 2012-02-24 26250000 Finance Expansion Facility 0 0 0 B Special Care Facilities Financing Auth of the City of Bham-Children's Hosp 631005621 2012-06-28 52000000 Finance Expansion Facility 0 0 0 C 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 20500000 26250000 26250000 0 0 1 1 B 42900000 52000000 52000000 0 0 1 1 C 153240000 1557585 0 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 1 0 1 0 0 0 0 0 A 0 B 0 C 0 Buffalo Rock Entity more than 35% owned by James C. Lee III, Director 115580 Vending 0 Form 990, Part VI, Section A, line 2 Richard Bielen serves with Mr. Warren on the board of directors of a local insurance company. 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 635,942. Transfer to Foundation -63,504,833. adjustment for TCH Ventures 731,902. 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 75177 807080 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 4756160 30379598 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 63504833 Fair Market Value Alabama Children's Hospital Foundation C 1635942 Fair Market Value