2018-11-15T10:24:58-06:00 2017-12-31 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2017-01-01 630307306 THE CHILDREN'S HOSPITAL OF ALABAMA CHIL 2056389100 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 DAWN WALTON CFO 2059399100 2018-11-14 1 MEGAN RANDOLPH P00989558 2059794100 2018-11-14 209.136.244.2 2018-11-14 10:07:19 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 EBCDC8FD939D725F61EA68C2F7BDAAAA34E87A32 2017 2019-02-21 02:37:17Z WILLIAM MICHAEL WARREN J 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 757105236 0 X WWW.CHILDRENSAL.ORG X 1911 AL SPECIALTY ACUTE-CARE HOSPITAL PROVIDING INPATIENT AND OUTPATIENT MEDICAL SERVICES TO PEDIATRIC PATIENTS. 31 27 5691 1096 0 0 3293843 3480668 699385389 724222590 1158279 9812329 8312151 10996572 712149662 748512159 0 0 0 0 305886186 323033253 0 0 0 360174650 372159788 666060836 695193041 46088826 53319118 733433221 748335366 434375535 436661355 299057686 311674011 X THE MISSION OF THE CHILDREN'S HOSPITAL OF ALABAMA (THE HOSPITAL) IS TO PROVIDE THE FINEST PEDIATRIC HEALTH SERVICES TO ALL CHILDREN IN AN ENVIRONMENT THAT FOSTERS EXCELLENCE IN RESEARCH AND MEDICAL EDUCATION. THE HOSPITAL WILL BE AN ADVOCATE FOR ALL CHILDREN AND WORK TO EDUCATE THE PUBLIC ABOUT ISSUES AFFECTING CHILDREN'S HEALTH AND WELL-BEING. 0 0 373687742 452468025 CHILDREN'S HOSPITAL IS THE 3RD LARGEST AND ONE OF THE BUSIEST PEDIATRIC MEDICAL CENTER IN THE UNITED STATES. IT IS THE ONLY PEDIATRIC RENAL CARE CENTER, AND THE LARGEST PEDIATRIC BURN CENTER IN THE SOUTHEAST. CHILDREN'S OPERATES 339 BEDS, WHICH INCLUDE 48 NICU BASSINETS AND 98 CRITICAL CARE BEDS IN THE FOLLOWING UNITS: CARDIOVASCULAR, PEDIATRIC, NEONATAL, SPECIAL CARE, CRITICAL CARE, BURN AND STEM CELL TRANSPLANTS. IN 2017, CHILDREN'S HOSPITAL HAD 15,548 INPATIENT CASES AND 92,224 PATIENT DAYS. INPATIENT SURGERY CASES TOTALED 6,178 FOR 2017. THE CHILDREN'S CRITICAL CARE TRANSPORT TEAM PROVIDES HELICOPTER, JET AND GROUND TRANSPORT FOR CRITICALLY ILL AND INJURED CHILDREN. 199709466 222514614 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 2017, THESE CLINICS HAD 264,195 VISITS AND 19,807 OUTPATIENT SURGERIES WERE PERFORMED. THE HOSPITAL ALSO PROVIDES A STATEWIDE AND REGIONAL REFERRAL SITE FOR COMPLEX EMERGENCY PATIENTS. THE EMERGENCY DEPARTMENT HAD 61,279 VISITS IN 2017. 52276528 58486020 THE HOSPITAL HAS A NETWORK OF PRIMARY CARE PRACTICES THROUGHOUT THE STATE KNOWN AS PEDIATRIC PRACTICE SOLUTIONS. IT CONSISTS OF 14 PRACTICES SUPPORTING 70 GENERAL PEDIATRICIANS. IN 2017 THESE PRACTICES PROVIDED 332,268 VISITS. 625673736 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 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 1 368 0 1 5691 1 0 1 CJ 0 0 0 0 0 0 0 0 X 31 27 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 7TH AVENUE SOUTH BIRMINGHAM AL 35233 WILLIAM MICHAEL WARREN JR PRESIDENT & CEO 40.00 0.00 X X 633174 0 213246 RAYMOND J HARBERT DIRECTOR 0.50 0.00 X 0 0 0 C PHILLIP MCWANE DIRECTOR 0.50 0.00 X 0 0 0 W CHARLES MAYER VICE CHAIRMAN OF THE BOARD 0.50 0.00 X 0 0 0 SUSAN N HASKELL SECRETARY 0.50 0.00 X 0 0 0 RICHARD J BIELEN TREASURER 0.50 0.00 X 0 0 0 J DAVID BROWN III DIRECTOR 0.50 0.00 X 0 0 0 THOMAS N CARRUTHERS JR DIRECTOR 0.50 0.00 X 0 0 0 DERROL DAWKINS MD DIRECTOR 0.50 0.00 X 0 0 0 DAVID E DIXON DIRECTOR 0.50 0.00 X 0 0 0 BETH G DUBINA DIRECTOR 0.50 0.00 X 0 0 0 RALPH FROHSIN JR DIRECTOR 0.50 0.00 X 0 0 0 JOHN O HUDSON III DIRECTOR 0.50 0.00 X 0 0 0 DONALD M JAMES DIRECTOR 0.50 0.00 X 0 0 0 VIRGINIA WALKER JONES CHAIRMAN OF THE BOARD 0.50 0.00 X 0 0 0 PHILIPPE W LATHROP DIRECTOR 0.50 0.00 X 0 0 0 JAMES C LEE III DIRECTOR 0.50 0.00 X 0 0 0 THOMAS H LOWDER DIRECTOR 0.50 0.00 X 0 0 0 L GWALTNEY MCCOLLUM JR DIRECTOR 0.50 0.00 X 0 0 0 CHARLES D MCCRARY DIRECTOR 0.50 0.00 X 0 0 0 ANN D MCMILLAN DIRECTOR 0.50 0.00 X 0 0 0 BEVERLY B MCNEIL DIRECTOR 0.50 0.00 X 0 0 0 CRAFT O'NEAL DIRECTOR 0.50 0.00 X 0 0 0 MARGARET M PORTER DIRECTOR 0.50 0.00 X 0 0 0 FREDERICK W RENNEKER III DIRECTOR 0.50 0.00 X 0 0 0 BEN RUSSELL DIRECTOR 0.50 0.00 X 0 0 0 LEE J STYSLINGER III DIRECTOR 0.50 0.00 X 0 0 0 TEMPLE W TUTWILER III DIRECTOR 0.50 0.00 X 0 0 0 MARC BRYANT TYSON DIRECTOR 0.50 0.00 X 0 0 0 WILLIAM E HORTON DIRECTOR 0.50 0.00 X 0 0 0 EDWARD K ALDAG JR DIRECTOR 0.50 0.00 X 0 0 0 THOMAS G SHUFFLEBARGER SR VP & COO 40.00 0.00 X 640555 0 144137 DAWN WALTON CHIEF FINANCIAL OFFICER 40.00 0.00 X 579442 0 129880 MIKE MCDEVITT EXEC VP & CIO 40.00 0.00 X 1709042 0 130502 AUDIE WOOLLEY PEDIATRICIAN 40.00 0.00 X 1032445 0 220448 JIMMY SCOTT HILL PEDIATRICIAN 40.00 0.00 X 1651074 0 220500 BRIAN WIATRAK PEDIATRICIAN 40.00 0.00 X 1033504 0 220448 DAVID KELLY PEDIATRICIAN 40.00 0.00 X 780461 0 195349 PHILLIP HARMON PEDIATRICIAN 40.00 0.00 X 647011 0 20128 8706708 0 1494638 355 0 1 0 UAHSF-DEPARTMENT OF PEDIATRICS 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 HUNTSVILLE, EMERGENCY, SUBSPECIALTY, MOO 42217728 UAB HOSPITAL 619 19TH STREET SOUTH STE 300 BIRMINGHAM AL 35249 HOSPITAL RESIDENTS, REFERRED TESTING 27275407 HOAR CONSTRUCTION TWO METROPLEX DRIVE STE 400 BIRMINGHAM AL 35209 CONSTRUCTION 8532688 WESTERKAMP GROUP LLC 1415 WEST 22ND STREET STE 710 OAKBROOK IL 60523 BUSINESS OFFICE 5714367 ALLSCRIPTS HEALTHCARE PO BOX 8538-0133 PHILADELPHIA PA 191710133 HEALTHCARE SOFTWARE SERCIVES 4122718 264 2713955 766713 3480668 PATIENT SERVICE 900099 720285378 720285378 MEDICAID DISPROPORTIONATE SHARE 900099 3472539 3472539 GIFT SHOP REVENUE 900099 464673 464673 724222590 11522744 11522744 1727 1727 2846245 6549137 -3702892 -3702892 -3702892 331798 2043940 -1712142 -1712142 -1712142 GRADUATE MEDICAL 900099 5184781 5184781 CAFETERIA/VENDING 900099 3711785 3711785 PARKING 900099 1659398 1659398 4143500 4061288 82212 14699464 748512159 733468659 0 11562832 X 3562213 3205992 356221 263577259 237219533 26357726 37903939 34113545 3790394 17989842 16190858 1798984 313666 282299 31367 212331 191098 21233 59873009 53885708 5987301 959806 863825 95981 13902193 12511974 1390219 3636363 3272727 363636 7884426 7095983 788443 59237791 53314012 5923779 7627801 6865021 762780 MEDICAL SUPPLIES 53151676 47836508 5315168 DRUGS 44080576 39672518 4408058 PROVIDER TAX 32499812 29249831 3249981 OUTSOURCED FUNCTIONS 12807522 11526770 1280752 75972816 68375534 7597282 695193041 625673736 69519305 0 89431695 143490951 825065 759444 71155919 54780553 13524868 14027305 14189049 17593348 1159830491 669906516 519698282 489923975 24608343 27759790 733433221 748335366 39104614 43010671 254376786 240118274 140894135 153532410 434375535 436661355 X 299057686 311674011 299057686 311674011 733433221 748335366 X 53319118 -40702793 X X 0 1 X 1 0 X 383125 383125 694809916 695193041 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 314322 336590 351146 383125 1385183 250000 250000 250000 250000 1000000 1500000 PART II-A, LINE 1B THIS 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, WE 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. 8459772 8459772 796650990 394203338 402447652 8166370 7442568 723802 321379394 268260610 53118784 25173965 25173965 489923975 SALARIES PAYABLE 38790224 ACCRUED INTEREST PAYABLE 759388 PROFESSIONAL LIABILITY ACCRUAL 2894995 EXECUTIVE RETIREMENT PLAN 25292980 DUE TO AFFILIATE 85794823 153532410 X PART X, LINE 2: THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). 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, 2017, THAT IT WOULD BE UNABLE TO SUBSTANTIATE. THE COMPANY HAS FILED ITS TAX RETURNS THROUGH DECEMBER 31, 2016. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2014, AND THEREAFTER ARE SUBJECT TO AUDIT BY THE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH REVENUE PER FORM 990 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUE PER AUDITED FINANCIAL STATEMENTS TRANSFER TO ALABAMA CHILDREN'S HOSPITAL FOUNDATION - A RELATED 501C3 ORG ROUNDING GAIN ON DISPOSALS NETTED WITH EXPENSES PER AUDITED FINANCIAL STATEMENTS PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED WITH REVENUE PER FORM 990 PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE NETTED WITH REVENUE PER AUDITED FINANCIAL STATEMENTS ROUNDING GAIN ON DISPOSALS NETTED WITH EXPENSES PER AUDITED FINANCIAL STATEMENTS 1 1 1 X 1 X 1 0 1 1 4334722 0 4334722 0.00630 372400169 335824424 36575745 0.05340 28018741 32094166 0 0.00000 404753632 367918590 40910467 0.05970 8657563 1720421 6937142 0.01010 15406774 1789112 13617662 0.01990 4139206 1341724 2797482 0.00410 176451 0 176451 0.00030 0 0 28379994 4851257 23528737 0.03440 433133626 372769847 64439204 0.09410 0 3795404 783210 3348023 3613605 -265582 X 0 1 1 CHILDREN'S HOSPITAL OF ALABAMA 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 X X X X X X THE CHILDREN'S HOSPITAL OF ALABAMA 1 0 0 1 X X X X X X X 16 1 0 0 1 X WWW.CHILDRENSAL.ORG 1 16 1 WWW.CHILDRENSAL.ORG 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 1 X 0 X X X 1 X 0 0 THE CHILDREN'S HOSPITAL OF ALABAMA PART V, SECTION B, LINE 5: COA (CHILDREN'S OF ALABAMA) CONDUCTED ITS MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT IN BETWEEN SPRING AND FALL 2016 WITH THE HELP OF PARCA (PUBLIC AFFAIRS RESEARCH COUNCIL OF ALABAMA). STAKEHOLDERS FROM BOTH THE PRIMARY AND SECONDARY SERVICE AREA WERE INVITED TO PARTICIPATE IN AN ONLINE SURVEY TO IDENTIFY HEALTH NEEDS FOR CHILDREN IN ALABAMA. RESPONDING PARTIES INCLUDED SCHOOL NURSES, ADMINISTRATORS, PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, COMMUNITY ADVOCATES AND THE COMMUNITY AT LARGE. IN ADDITION TO THE ONLINE SURVEY TOOL, FACE-TO-FACE AND TELEPHONE INTERVIEWS WERE CONDUCTED IN 2016 WITH ALABAMA'S PUBLIC HEALTH LEADERS AND COMMUNITY AND NONPROFIT ADVOCATES. COA'S COMMUNITY HEALTH NEEDS ASSESSMENT FINDINGS WERE RELEASED ON DECEMBER 31, 2016. FOR 2017, DATA CONTINUED TO BE ANALYZED TO IDENTIFY THE GREATEST HEALTH NEEDS FOR CHILDREN, PUBLIC HEALTH TRENDS AND PEDIATRIC HEALTH CHALLENGES. THE CHILDREN'S HOSPITAL OF ALABAMA PART V, SECTION B, LINE 11: COA CONTINUES TO ADDRESS SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT CHNA INCLUDING ASTHMA, CHILD SAFETY AND PEDIATRIC MENTAL AND BEHAVIORAL HEALTH. IN 2017 COA EDUCATED THE COMMUNITY-AT-LARGE ON ASTHMA MANAGEMENT THROUGH COMMUNITY HEALTH FAIRS, DAYCARE-BASED EXERCISES AND PRINTED CAMPAIGNS. REGARDING CHILD SAFETY, COA CONTINUED TO AGGRESSIVELY REALIGN ITS CHILD SAFETY AND EDUCATION EFFORTS IN 2017. THINK FIRST AND PROJECT ALABAMA LIFESTART (AED DISTRIBUTION), ASTHMA MANAGEMENT AND ENVIRONMENTAL PREVENTION, CHILD SAFETY INITIATIVES SUCH AS WATER SAFETY, CONCUSSION PREVENTION, SPORTS SAFETY, AND TEEN DRIVING, WERE PROMOTED THROUGHOUT THE STATE IN SCHOOLS, COMMUNITIES AND BUSINESSES THROUGH HEALTH FAIRS, EDUCATIONAL DEMONSTRATIONS AND ONGOING CORPORATE PARTNERSHIPS. CHILDREN'S ALSO CONTINUED ITS PARTICIPATION IN COMMUNITY-WIDE ROUNDTABLES IN 2017 ON MENTAL HEALTH, HEALTHY LIFESTYLES, NUTRITION AND CHILD HUNGER AND HEALTHCARE EQUITY. THE 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, LINE 7, COLUMN (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 $ 10,619,486. PART II, COMMUNITY BUILDING ACTIVITIES: IN 2017 COA PARTICIPATED IN INITIATIVES AS DEFINED UNDER PARK II, COMMUNITY BUILDING ACTIVITIES. THOUSANDS OF CUMULATIVE HOURS OF WORKFORCE DEVELOPMENT AND TRAINING WERE REPORTED ON A QUARTERLY BASIS BY HOSPITAL DIVISIONS TRAINING HEALTH PROFESSIONALS THROUGH ANNUAL AND SEASONAL INTERNSHIPS. HOSPITAL EMPLOYEES CONTINUED THEIR PARTICIPATION IN COMMUNITY COALITIONS INCLUDING THE UNITED WAY OF CENTRAL ALABAMA'S BOLD GOALS, LOCAL AND REGIONAL ROUNDTABLES ON MENTAL HEALTH, STATEWIDE COALITIONS TO ADDRESS CHILD HUNGER, ACCESS TO CARE, AND NUMEROUS CHILD SAFETY-RELATED COALITIONS. COA HOSTED STATEWIDE AND LOCAL LEADERSHIP GROUPS IN 2017, (I.E. LEADERSHIP BIRMINGHAM AND LEADERSHIP ALABAMA). OUR HUMAN RESOURCE DEPARTMENT CONTINUED TO PARTICIPATE IN JOB AND CAREER FAIRS AND MARKETING CAMPAIGNS TO RECRUIT A BROAD SPECTRUM OF HEALTH PROFESSIONALS. HOSPITAL EXECUTIVES SERVED ON A VARIETY OF COMMUNITY BOARDS, ORGANIZATIONS, AND PROFESSIONAL ORGANIZATIONS AT A NATIONAL, STATE, AND LOCAL LEVEL. PART III, LINE 4: 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 ON THE BASIS OF 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 2: THE COST OF BAD DEBT WRITE-OFFS AND THE RELATED COSTS ON LINE 3 WERE CALCULATED BY APPLYING THE OVERALL COST TO CHARGE RATIO OF THE ORGANIZATION TO THE CHARGES WRITTEN OFF. 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 2017 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 VI, LINE 2: COA ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES BY EVALUATING DISEASE AND INJURY DATA OBTAINED THROUGH DIVISIONS INCLUDING, BUT NOT LIMITED TO, THE EMERGENCY DEPARTMENT, SOCIAL SERVICES, MEDICAL STAFF, PARENTS, SCHOOL NURSES, ALABAMA DEPARTMENT OF PUBLIC HEALTH, ALABAMA DEPARTMENT OF PUBLIC SAFETY, ALABAMA DEPARTMENT OF MENTAL HEALTH, ALABAMA MEDICAID AGENCY, ALABAMA KIDS COUNT, AND THE REGIONAL POISON CONTROL CENTER. IN ADDITION, THE HOSPITAL CONSIDERS INFORMATION PROVIDED BY LOCAL PEDIATRICIANS, THE CENTER FOR DISEASE CONTROL AND OTHER NATIONAL, STATE AND LOCAL HEALTH CARE ORGANIZATIONS. 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 2017, CAUCASIANS, AFRICAN-AMERICANS, HISPANICS, AND OTHER RACES ACCOUNTED FOR 56%, 36%, 6%, AND 2%, RESPECTIVELY, OF THE PATIENTS SERVED WHILE 39%, 36%, AND 25% WERE AGES 0-4, 5-12, AND 13+ YEARS, RESPECTIVELY. ECONOMIC DEMOGRAPHIC DATA IS NOT SPECIFICALLY CAPTURED HOWEVER, IN 2017 GREATER THAN 60% OF THE HOSPITAL'S PATIENTS QUALIFIED FOR GOVERNMENTAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID AND SCHIP. PART VI, LINE 5: THE HOSPITAL IS THE PRIMARY SOURCE OF PEDIATRIC HEALTHCARE AND PEDIATRIC HEALTH EDUCATION IN THE STATE OF ALABAMA THROUGH ITS AFFILIATION WITH THE SCHOOL OF MEDICINE AT THE UNIVERSITY OF ALABAMA AT BIRMINGHAM. THE HOSPITAL OPERATES AN OPEN MEDICAL STAFF, HAS A BOARD COMPRISED OF COMMUNITY MEMBERS, AND OPERATES AN OPEN EMERGENCY DEPARTMENT THAT TREATS ALL EMERGENT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES THE ONLY LEVEL 1 PEDIATRIC TRAUMA CENTER, THE ONLY PEDIATRIC RENAL CARE CENTER, AND THE ONLY INPATIENT CHILDREN'S PSYCHIATRIC UNIT IN THE STATE. IN ADDITION, THE HOSPITAL OPERATES THE LARGEST PEDIATRIC BURN CENTER IN THE SOUTHEAST. THE HOSPITAL IS EDUCATION AND RESEARCH FOCUSED AND COLLABORATES WITH LOCAL UNIVERSITIES, AS WELL AS THOSE THROUGHOUT THE STATE, TO TRAIN AND EDUCATE FUTURE HEALTHCARE PROFESSIONALS. THIS IS REFLECTED BY THE FACT THAT APPROXIMATELY 50-60% OF THE PEDIATRICIANS PRACTICING IN THE STATE OF ALABAMA TRAINED AT THE HOSPITAL AND THAT THE HOSPITAL TRAINED NURSING STUDENTS FROM 11 DIFFERENT COLLEGES AND UNIVERSITIES DURING 2017. IN ADDITION, THE HOSPITAL PARTICIPATES IN APPROXIMATELY 861 CLINICAL RESEARCH STUDIES ON AN ANNUAL BASIS. X X X X 0 1 0 0 0 0 0 0 0 WILLIAM MICHAEL WARREN JR PRESIDENT & CEO 632082 0 0 0 1092 0 193793 0 19453 0 846420 0 0 0 THOMAS G SHUFFLEBARGER SR VP & COO 423648 0 110000 0 106907 0 114792 0 29345 0 784692 0 105891 0 DAWN WALTON CHIEF FINANCIAL OFFICER 386946 0 100000 0 92496 0 108552 0 21328 0 709322 0 91435 0 MIKE MCDEVITT EXEC VP & CIO 384710 0 95000 0 1229332 0 105893 0 24609 0 1839544 0 1228283 0 AUDIE WOOLLEY PEDIATRICIAN 641387 0 390000 0 1058 0 97500 0 122948 0 1252893 0 0 0 JIMMY SCOTT HILL PEDIATRICIAN 640265 0 390000 0 620809 0 97500 0 123000 0 1871574 0 619734 0 BRIAN WIATRAK PEDIATRICIAN 642454 0 390000 0 1050 0 97500 0 122948 0 1253952 0 0 0 DAVID KELLY PEDIATRICIAN 355687 0 68777 0 355997 0 84832 0 110517 0 975810 0 354941 0 PHILLIP HARMON PEDIATRICIAN 495852 0 150078 0 1081 0 0 0 20128 0 667139 0 0 0 PART I, LINE 4B WILLIAM MICHAEL WARREN, JR. - $193,793 THOMAS G. SHUFFLEBARGER - $114,792 DAWN WALTON - $108,552 MIKE MCDEVITT - $105,893 BRIAN WIATRACK - $97,500 AUDIE WOOLLEY - $97,500 JIMMY SCOTT HILL - $97,500 DAVID KELLY - $84,832 A SPECIAL CARE FACILITIES FINANCING AUTH OF THE CTY 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 CTY OF BHAM - CHILDREN'S HOSP 631005621 2012-06-28 74600000 FINANCE EXPANSION FACILITY 0 0 0 C SPECIAL CARE FACILITIES FINANCING AUTH OF THE CTY OF BHAM - CHILDREN'S HOSP 631005621 090929GJ3 2015-09-12 153240000 DEFEASE 2009 BONDS ON 9/12/15 0 0 0 A 26250000 26250000 0 0 1 1 B 74600000 74600000 0 0 1 1 C 153240000 1557595 0 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 BUFFALO ROCK ENTITY MORE THAN 35% OWNED BY JAMES C. LEE, III, DIRECTOR 161486 VENDING 0 ALABAMA POWER CHARLES D. MCCRARY IS FORMER CEO & DONALD M. JAMES IS A DIRECTOR OF ABOVE 5043203 ELECTRICITY PROVIDER 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. HOWEVER, THE HOSPITAL HAS NO MATERIAL TRANSACTIONS WITH THIS INSURANCE COMPANY. THOMAS N. CARRUTHERS, JR. IS A RETIRED PARTNER FROM A FIRM WHICH ACTS AS GENERAL COUNSEL FOR THE HOSPITAL AS WELL AS COUNSEL TO THE OBLIGATED GROUP AND BOND COUNSEL. MITCHELL COHEN HAS ADMITTING PRIVILEGES TO THE HOSPITAL, IS THE CHAIRMAN OF THE UAB DEPARTMENT OF PEDIATRICS WHICH HAS AN AFFILIATION AGREEMENT WITH THE HOSPITAL TO PROVIDE CERTAIN MEDICAL SERVICES. HE IS A BOARD MEMBER OF THE RONALD MCDONALD HOUSE. MIKE CHEN, M.D, OCCUPIED THE FARLEY ENDOWED CHAIR, WHICH IS FUNDED BY THE FOUNDATION. HE ALSO ACTS AS SURGEON IN CHIEF AND HAS ADMITTING PRIVELGES TO THE HOSPITAL. DERROL DAWKINS, M.D. HAS ADMITTING PRIVILEGES TO THE HOSPITAL. JENNY DOLLAR, M.D. HAS ADMITTING PRIVILEGES TO THE HOSPITAL. BETH DUBINA IS A BOARD MEMBER OF MONTOGMERY CHRISTIAN SCHOOL; HOWEVER THE HOSPITAL HAS NO MATERIAL TRANSACTIONS WITH THIS COMPANY RAYMOND HARBERT OWNS A COMPANY OF WHICH FELLOW BOARD MEMBER CHARLES MCCARY'S SON IS EMPLOYEED. THE HOSPTIAL HAS NO MATERIAL TRANSACTIONS WITH HARBERT. WILLIAM E. HORTON IS AN EXECUTIVE OF A BANK THAT IS AN UNDERWRITER AND THAT CURRENTLY PROVIDES THE MAJORITY OF THE BANKING SERVICES TO THE HOSPITAL. DONALD M. JAMES IS A DIRECTOR OF A BANK WHICH WAS AN UNDERWRITER FOR THE HOSPITAL BONDS. HE ALSO SERVES ON THE BOARD OF A LOCAL UTILITY COMPANY THAT PROVIDES SERVICES TO THE HOSPITAL. IN ADDITION, MR. JAMES IS A DIRECTOR FOR UAB HEALTH SYSTEM AND UAB HEALTH SERVICES FOUNDATION, BOTH OF WHICH HAVE AN AFFILIATION AGREEMENT TO PROVIDE MEDICAL SERVICES TO THE HOSPITAL. VIRGINIA WALKER JONES OWNS STOCK & IS A DIRECTOR IN A COMPANY THAT PROVIDES VENDING SERVICES TO THE HOSPITAL. JAMES C. LEE, III IS THE OWNER OF A COMPANY THAT PROVIDES VENDING SERVICES TO THE HOSPITAL. W. CHARLES MAYER SERVES AS A BOARD MEMBER OF A BANK WHICH HOLDS FUNDS FOR THE HOSPTIAL. CHARLES D. MCCRARY SERVES AS A BOARD MEMBER FOR A BANK THAT WAS AN UNDERWRITER AND THAT CURRENTLY PROVIDES THE MAJORITY OF THE BANKING SERVICES TO THE HOSPITAL. W. JERRY OAKES, M.D. OCCUPIED THE DAN HENDLEY ENDOWED CHAIR, WHICH IS FUNDED BY THE FOUNDATION, AND HE HAS ADMITTING PRIVILEGES TO THE HOSPITAL. MARGARET M. PORTER IS A MEMBER OF AN ADVISORY BOARD FOR A BANK THAT WAS AN UNDERWRITER AND THAT CURRENTLY PROVIDES THE MAJORITY OF THE BANKING SERVICES TO THE HOSPITAL. STUART A. ROYAL, M.D. OCCUPIED THE HARRY BURNS ENDOWED CHAIR WHICH WAS FUNDED BY THE FOUNDATION, AND HE HAS ADMITTING PRIVILEGES TO THE HOSPITAL. BEN RUSSELL IS THE FOUNDER AND CHAIRMAN OF THE BOARD OF A NON-PROFIT ORGANIZATION THAT LEASES SPACE FROM THE HOSPITAL TO PROVIDE FAMILY SERVICE ACTIVITIES TO PATIENTS AND THEIR FAMILIES. LEE J. STYSLINGER, III SERVES AS A BOARD MEMBER FOR A BANK THAT IS AN UNDERWRITER AND THAT CURRENTLY PROVIDES THE MAJORITY OF THE BANKING SERVICES TO THE HOSPITAL. THE HOSPITAL BELIEVES THAT ALL BUSINESS WITH SUCH FIRMS AND BUSINESSES IS CONDUCTED ON TERMS AND CONDITIONS NO LESS FAVORABLE TO THE HOSPITAL THAN THAT WITH UNRELATED THIRD PARTIES. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS REVIEWED IN DETAIL BY THE FINANCE AND AUDIT COMMITTEE, AS WELL AS THE BOARD OF TRUSTEES, PRIOR TO FILING 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, THE COMPLIANCE COMMITTEE, THE FINANCE & AUDIT COMMITTEE, AND THE BOARD OF TRUSTEES ON A REGULAR BASIS. 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, MERCER. 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 AUDITED FINANCIAL STATEMENTS ARE FILED AS PART OF THIS 990 AND FILED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS ("EMMA") SECTION OF THE MUNICIPAL SECURITIES RULEMAKING BOARD AS WE MAINTAIN PUBLIC DEBT. QUARTERLY DISCLOSURES ARE ALSO FILED ON EMMA. FORM 990, PART IX, LINE 24E LAB EXPENSE: PROGRAM SERVICE EXPENSES 9,879,576. MANAGEMENT AND GENERAL EXPENSES 1,097,731. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,977,307. BAD DEBT EXPENSE: PROGRAM SERVICE EXPENSES 9,557,537. MANAGEMENT AND GENERAL EXPENSES 1,061,949. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,619,486. EQUIPMENT RENTAL AND MAINTENANCE: PROGRAM SERVICE EXPENSES 8,609,973. MANAGEMENT AND GENERAL EXPENSES 956,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,566,637. MAINTENANCE: PROGRAM SERVICE EXPENSES 7,585,347. MANAGEMENT AND GENERAL EXPENSES 842,816. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,428,163. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 6,412,837. MANAGEMENT AND GENERAL EXPENSES 712,537. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,125,374. CONSULTING FEES: PROGRAM SERVICE EXPENSES 4,715,181. MANAGEMENT AND GENERAL EXPENSES 523,909. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,239,090. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,366,547. MANAGEMENT AND GENERAL EXPENSES 374,061. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,740,608. SUPPLIES: PROGRAM SERVICE EXPENSES 3,332,998. MANAGEMENT AND GENERAL EXPENSES 370,333. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,703,331. TRANSPORTATION: PROGRAM SERVICE EXPENSES 3,289,874. MANAGEMENT AND GENERAL EXPENSES 365,542. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,655,416. MINOR MEDICAL EQUIPMENT: PROGRAM SERVICE EXPENSES 3,268,927. MANAGEMENT AND GENERAL EXPENSES 363,214. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,632,141. PROFESSIONAL DUES: PROGRAM SERVICE EXPENSES 1,559,965. MANAGEMENT AND GENERAL EXPENSES 173,329. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,733,294. TELEPHONE: PROGRAM SERVICE EXPENSES 1,236,794. MANAGEMENT AND GENERAL EXPENSES 137,422. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,374,216. BILLING EXPENSE: PROGRAM SERVICE EXPENSES 711,182. MANAGEMENT AND GENERAL EXPENSES 79,020. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 790,202. POSTAGE AND SHIPPING: PROGRAM SERVICE EXPENSES 701,086. MANAGEMENT AND GENERAL EXPENSES 77,898. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 778,984. SUBSCRIPTIONS AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 594,265. MANAGEMENT AND GENERAL EXPENSES 66,029. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 660,294. BANKING FEES: PROGRAM SERVICE EXPENSES 510,227. MANAGEMENT AND GENERAL EXPENSES 56,692. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 566,919. REGISTRATION FEES: PROGRAM SERVICE EXPENSES 413,191. MANAGEMENT AND GENERAL EXPENSES 45,910. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 459,101. INTERPRETING AND TRANSLATION EXPENSE: PROGRAM SERVICE EXPENSES 399,100. MANAGEMENT AND GENERAL EXPENSES 44,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 443,444. COLLECTION FEES: PROGRAM SERVICE EXPENSES 367,331. MANAGEMENT AND GENERAL EXPENSES 40,815. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 408,146. LODGING: PROGRAM SERVICE EXPENSES 342,799. MANAGEMENT AND GENERAL EXPENSES 38,089. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 380,888. MEALS: PROGRAM SERVICE EXPENSES 324,712. MANAGEMENT AND GENERAL EXPENSES 36,079. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 360,791. PRINTING AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 314,945. MANAGEMENT AND GENERAL EXPENSES 34,994. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 349,939. SPECIAL FUNCTIONS: PROGRAM SERVICE EXPENSES 302,328. MANAGEMENT AND GENERAL EXPENSES 33,592. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 335,920. NOVELTIES: PROGRAM SERVICE EXPENSES 231,530. MANAGEMENT AND GENERAL EXPENSES 25,726. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 257,256. GIFT SHOP EXPENSES: PROGRAM SERVICE EXPENSES 230,486. MANAGEMENT AND GENERAL EXPENSES 25,610. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 256,096. RECOGNITIONS: PROGRAM SERVICE EXPENSES 116,796. MANAGEMENT AND GENERAL EXPENSES 12,977. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,773. FORM 990, PART XI, LINE 9: TRANSFER TO ALABAMA CHILDREN'S HOSPITAL FOUNDATION -40,702,796. ROUNDING 3. FORM 990, PART XI, LINE 2C: THE HOSPITAL MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. TCH VENTURES LLC 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 630942442 HOLDING COMPANY AL 210966 210154 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 4339081 24060394 1.00000 1 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 ALABAMA CHILDREN'S HOSPITAL FOUNDATION B 43340543 FAIR MARKET VALUE ALABAMA CHILDREN'S HOSPITAL FOUNDATION E 9489734 FAIR MARKET VALUE HOLY INNOCENTS INDEMNITY LLC E 127060 FAIR MARKET VALUE HOLY INNOCENTS INDEMNITY LLC R 3492475 FAIR MARKET VALUE ALABAMA CHILDREN'S HOSPITAL FOUNDATION C 4190275 FAIR MARKET VALUE HOLY INNOCENTS INDEMNITY LLC F 10000000 FAIR MARKET VALUE