2016-11-11T14:10:37-06:00 2015-12-31 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2015-01-01 630307306 THE CHILDREN'S HOSPITAL OF ALABAMA CHIL 2056389100 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 dawn walton CFO 2059399100 2016-11-08 1 JC Rouse P00081132 2059794100 2016-11-08 2015 2017-02-10 21:41:12Z WILLIAM MICHAEL WARREN j 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 676311048 0 X WWW.childrensal.org X 1911 AL SPECIALTY ACUTE-CARE HOSPITAL PROVIDING INPATIENT AND OUTPATIENT MEDICAL SERVICES TO PEDIATRIC PATIENTS. 30 26 5297 1092 0 0 3334468 3119967 679474402 656266322 1029315 823825 14765664 10777295 698603849 670987409 0 0 0 0 289577982 289854366 0 0 0 376757452 389482816 666335434 679337182 32268415 -8349773 773364092 767122583 406018024 409373582 367346068 357749001 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 370356456 411202065 Children's Hospital is the 3rd largest and one of the top ten 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 345 beds, which includes 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 2015, Children's Hospital had 15,462 inpatient cases and 89,734 patient days. Inpatient surgery cases totaled 6,295 for 2015. The Children's Critical Care Transport team provides helicopter, jet and ground transport for critically ill and injured children. 192829017 203975033 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, Otorinolaryngology, Neurology, Pulmonary Function, General Surgery, Dental, Behavioral Services, Speech and Hearing, Physical Therapy, Occupational Therapy, Heart Transplant and others. In 2015, these clinics had 259,120 visits and 18,161 outpatient surgeries were performed. The Hospital also provides a statewide and regional referral site for complex emergency patients. The Emergency Department had 58,817 visits in 2015. 48217993 50050944 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 2015, these practices provided 340,939 visits. 611403466 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 1 384 0 1 5297 1 0 1 CJ 0 0 0 0 0 0 0 0 X 30 26 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 X X 582779 0 197782 RAYmond J Harbert Director 0.50 X 0 0 0 C Phillip McWane Director 0.50 X 0 0 0 W Charles Mayer Director 0.50 X 0 0 0 Susan N Haskell Secretary 0.50 X 0 0 0 RICHARD J BIELEN Treasurer 0.50 X 0 0 0 J DAVID BROWN III Director 0.50 X 0 0 0 THOMAS N CARRUTHERS JR Director 0.50 X 0 0 0 DERROL DAWKINS MD Director 0.50 X 0 0 0 DAVID E DIXON Director 0.50 X 0 0 0 BETH G DUBINA Director 0.50 X 0 0 0 RALPH FROHSIN JR Director 0.50 X 0 0 0 JOHN O HUDSON III Director 0.50 X 0 0 0 DONALD M JAMES Director 0.50 X 0 0 0 VIRGINIA WALKER JONES Vice Chairman of the Board 0.50 X 0 0 0 PHILIPPE W LATHROP Director 0.50 X 0 0 0 JAMES C LEE III Chairman of the Board 0.50 X 0 0 0 THOMAS H LOWDER Director 0.50 X 0 0 0 L GWALTNEY MCCOLLUM JR Director 0.50 X 0 0 0 CHARLES D MCCRARY Director 0.50 X 0 0 0 ANN D MCMILLAN Director 0.50 X 0 0 0 BEVERLY b MCNEIL Director 0.50 X 0 0 0 CRAFT O'NEAL Director 0.50 X 0 0 0 MARGARET M PORTER Director 0.50 X 0 0 0 FREDERICK W RENNEKER III Director 0.50 X 0 0 0 BEN RUSSELL Director 0.50 X 0 0 0 LEE J STYSLINGER III Director 0.50 X 0 0 0 TEMPLE W TUTWILER III Director 0.50 X 0 0 0 MARC BRYANT TYSON Director 0.50 X 0 0 0 William E Horton DIRector 0.50 X 0 0 0 Robert S McAnnally Director 0.50 X 0 0 0 Thomas G Shufflebarger SR VP & COO 40.00 X 588229 0 162521 DAWN Walton Chief Financial Officer 40.00 X 539117 0 137897 MIKE MCDEVITT EXEC VP & CIO 40.00 X 434192 0 113455 JAMES PETER VAN PELT SR VP OPERATION (Former) 40.00 X 445436 0 0 Jackie Storey Chief Information Officer (Former) 40.00 X 959680 0 0 Audie Woolley Pediatrician 40.00 X 1008223 0 199957 Jimmy Scott Hill Pediatrician 40.00 X 1005673 0 199955 Brian Wiatrak Pediatrician 40.00 X 1013868 0 199955 David Kelly Pediatrician 40.00 X 554562 0 199715 Diane Dietlein-Cox Pediatrician 40.00 X 547765 0 22612 7679524 0 1433849 288 0 1 0 UAHSF-Department of Pediatrics 1600 seveNTH AVENUE SOUTH BIRMINGHAM AL 35233 Huntsville, Emergency, subspecialty, moo 24199956 HOAR construction TWO METROPLEX DRIVE STE 400 BIRMINGHAM AL 35209 CONSTRUCTION 11642731 University of Alabama Hospital-UAB Dept 619 19th Street South Ste 300 BIRMINGHAM AL 35249 Hospital Residents 9561071 UAB Department of Pediatrics 1600 7th Avenue South BIRMINGHAM AL 35233 Mission support, resident support, resea 6201354 Westerkamp Group LLC 1415 West 22nd Street Ste 710 Oakbrook IL 60523 Business Office 5171191 270 2361405 758562 3119967 PATIENT SERVICE 900099 648648113 648648113 MEDICAID DISPROPORTIONATE SHARE 900099 7193840 7193840 Gift Shop Revenue 900099 424369 424369 656266322 824303 824303 -1484 -1484 2219770 5281979 -3062209 -3062209 -3062209 42666 41660 1006 1006 1006 GRADUATE MEDICAL 900099 4239241 4239241 CAFETERIA/VENDING 900099 3273648 3273648 PARKING 900099 1519249 1519249 4807366 4722479 84887 13839504 670987409 665228042 0 2639400 X 3549434 3194490 354944 233220699 209898629 23322070 37252841 33527557 3725284 15831392 14248253 1583139 330726 297653 33073 234550 211095 23455 89347922 80413130 8934792 673413 606072 67341 13132410 11819169 1313241 3281256 2953130 328126 9878181 8890363 987818 64640464 58176418 6464046 6659386 5993447 665939 MEDICAL SUPPLIES 46668984 42002086 4666898 DRUGS 35989861 32390875 3598986 PROVIDER TAX 29173730 26256357 2917373 LAB EXPENSE 12709801 11438821 1270980 76762132 69085921 7676211 679337182 611403466 67933716 0 61141078 90919984 16919419 779770 54802454 60309698 13438031 14482929 12444016 23252213 1111269559 559647114 584773683 551622445 29845411 25755544 773364092 767122583 44354213 44412454 1500471 267962831 270064339 93700980 93396318 406018024 409373582 X 367346068 357749001 367346068 357749001 773364092 767122583 X -8349773 -1247294 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 336590 336590 679000592 679337182 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 267916 294424 314322 336590 1213252 250000 250000 250000 250000 1000000 1500000 Part II-B, Line 1: 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, 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. 4800118 4800118 778670779 321972587 456698192 8137337 6551290 1586047 296731279 231123237 65608042 22930046 22930046 551622445 SALARIES PAYABLE 33164301 ACCRUED INTEREST PAYABLE 794692 PROFESSIONAL LIABILITY ACCRUAL 2938378 EXECUTIVE RETIREMENT PLAN 21430809 DUE TO AFFILIATE 35068138 93396318 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, 2015, that it would be unable to substantiate. The Company has filed its tax returns through December 31, 2014. The tax returns for the years ended December 31, 2012, and thereafter are subject to audit by the taxing authorities. 1 1 1 X 250.000000000000 1 X 1 0 1 1 3373526 3373526 0.00500 367523563 315644521 51879042 0.07640 16747971 18478713 -1730742 0.00000 387645060 334123234 53521826 0.08140 8355583 1433558 6922025 0.01020 15092492 1618353 13474139 0.01980 2612645 1617174 995471 0.00150 153421 153421 0.00020 26214141 4669085 21545056 0.03170 413859201 338792319 75066882 0.11310 0 2188845 966822 2636093 2850279 -214186 X 1 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 1 0 1 X X X X X X X X 13 1 0 0 1 X WWW.CHILDRENSAL.ORG 1 13 1 www.childrensal.org 0 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X 1 X www.childrensal.org X X X 1 X 1 X X X X 1 X 0 0 THE CHILDREN'S HOSPITAL OF ALABAMA Part V, Section B, Line 5: Children's of Alabama invited school nurses, pediatricians, family practice physicians, and community advocates to participate in an online survey to identify health needs for children in Alabama. In addition to the online survey tool, face-to-face and telephone interviews were conducted in October and November 2012 with Alabama's public health leaders and community advocates. They were chosen for their knowledge of medically and socially underserved areas, public health, and pediatric health challenges. Interviewees were asked what they perceive as the greatest health needs for children in their specific communities and in the state in general. THE CHILDREN'S HOSPITAL OF ALABAMA Part V, Section B, Line 11: THE CHILDREN'S OF ALABAMA BOARD OF TRUSTEES ADOPTED AN IMPLEMENTATION PLAN ON NOVEMBER 14, 2013 TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS FOR THE THREE YEARS BEGINNING IN 2014. Work continues to progress as we near completion of this cycle next year on December 31, 2016. In 2015, Children's focused on identifying root causes of asthma and the need for emergent care by convening focus groups with pediatric healthcare providers and generating original research to identify zip codes in the primary service area with high prevalence of emergent care for asthma. Outcomes of these action steps included targeted asthma education at health fairs in these communities, the reallocation of marketing resources to promote asthma education, outreach to healthcare providers and childcare providers and increased collaboration between child safety departments within the Hospital. Children's of Alabama also continued to participate in community-wide roundtables on mental health, healthy lifestyles, nutrition and child hunger and healthcare optimization. We supported community partners when possible through financial donations on issues pertaining to our targeted areas of focus as identified by the community health needs assessment. In all of the CHNA areas, Children's of Alabama representatives served on diverse local and state coalitions and collaborated with numerous partners aimed at improving pediatric health. THE CHILDREN'S HOSPITAL OF ALABAMA Part V, Section B, Line 16i: The detail financial assistance policy is available on the hospital's website as well as upon request. Signage referencing the availability of financial assistance is posted in the emergency department, waiting and admitting areas. In addition, there is language included on all billing invoices informing the guarantor of the availability of financial assistance. THE CHILDREN'S HOSPITAL OF ALABAMA Part V, Section B, Line 20e: Signage is posted in 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 (A), but subtracted for purposes of calculating the percentage in this column is $5,790,594 Part II, Community Building Activities: Children's of Alabama participated in numerous initiatives as defined under Part II, Community Building Activities in 2015. Quarterly reporting of community building activities tied to training of health professionals through annual and summer internships in collaboration with educational institutions resulted in thousands of hours documented workforce development. Hospital executives participated in community coalitions and other collaborative efforts such as Bold Goals, End Child Hunger in Alabama and Safe Kids along with dozens of nonprofit, governmental and educational entities aimed at addressing health and safety issues. The hospital served as a participant in and host of several leadership development programs in 2015 including Leadership Alabama. In regards to "community support", Children's of Alabama was a leader in the Southeast Regional Pediatric Disaster Surge Response Network in 2015 aimed at southeastern regional disaster readiness and public health emergency response. Children's of Alabama participated in career and job fairs to recruit health professionals. Lastly, hospital executives and vice presidents served on a variety of community boards and organizations. 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 2015 this amount is $20,000, 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: The HOSPITAL assesses the healthcare needs of the communities it serves by evaluating disease and injury data of patients that are served in the Hospital's clinics and that present in the Emergency Department, particularly around injury care. In addition, the HOSPITAL considers information provided by local pediatricians, The Center for Disease Control, and other national, state, and local healthcare groups. 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, follow up attempts are made by the financial counselors and the business office to continue to inform and educate patients related to available programs. 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 2015, Caucasians, African-Americans, Hispanics, and other races accounted for 55%, 37%, 6%, and 2%, respectively, of the patients served while 38%, 36%, and 26% were ages 0-4, 5-12, and 13+ years, respectively. Economic demographic data is not specifically captured however, in 2015 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 2015. In addition, the Hospital participates in approximately 225 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 581764 0 0 0 1015 0 180173 0 17609 0 780561 0 0 0 Thomas G Shufflebarger SR VP & COO 367794 0 120000 0 100435 0 136321 0 26200 0 750750 0 99456 0 DAWN Walton Chief Financial Officer 318446 0 120000 0 100671 0 118065 0 19832 0 677014 0 99661 0 MIKE MCDEVITT EXEC VP & CIO 343182 0 90000 0 1010 0 90973 0 22482 0 547647 0 0 0 JAMES PETER VAN PELT SR VP OPERATION (Former) 22346 0 0 0 423090 0 0 0 0 0 445436 0 422097 0 Jackie Storey Chief Information Officer (Former) 133111 0 0 0 826569 0 0 0 0 0 959680 0 825563 0 Audie Woolley Pediatrician 667208 0 340000 0 1015 0 78752 0 121205 0 1208180 0 0 0 Jimmy Scott Hill Pediatrician 664681 0 340000 0 992 0 78750 0 121205 0 1205628 0 0 0 Brian Wiatrak Pediatrician 672877 0 340000 0 991 0 78750 0 121205 0 1213823 0 0 0 David Kelly Pediatrician 342093 0 60180 0 152289 0 88406 0 111309 0 754277 0 151296 0 Diane Dietlein-Cox Pediatrician 467479 0 79219 0 1067 0 0 0 22612 0 570377 0 0 0 Part I, Line 4b WILLIAM MICHAEL WARREN, JR. - $180,173 THOMAS G. SHUFFLEBARGER - $136,321 DAWN WALTON - $118,065 MIKE MCDEVITT - $90,973 AUDIE WOOLLEY - $78,752 JIMMY SCOTT HILL - $78,750 BRIAN WIATRACK - $78,750 DAVID KELLY - $88,406 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 9/12/2015 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 178222 VENDING 0 ALABAMA POWER CHARLES D. MCCRARY is former CEO & Donald M. James is a director of above 5261144 ELECTRICITY PROVIDER 0 ALABAMA GAS CORPORATION ROBERT MCANNALLY IS the Senior VP of the above corporation 776376 GAS UTILITY 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 counsel in 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, and is a committee member for the capital campaign for Ronald McDonald House. Derrol Dawkins, M.D. has admitting privileges to the Hospital. 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. Mr. James is also a director for the parent company of an electric utility that provides utility 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. He is also an officer of a local construction company of which Mr. Hall & Mr. Styslinger serve on the board. However, the Hospital has no transactions w/ this company. James C. Lee, III is the owner of a company that provides vending services to the Hospital. 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. 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. 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 11 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. Form 990, Part IX, line 11g Other: Program service expenses 80,413,130. Management and general expenses 8,934,792. Fundraising expenses 0. Total expenses 89,347,922. Form 990, Part IX, line 24e MANAGEMENT CONTRACTS: Program service expenses 10,718,664. Management and general expenses 1,190,963. Fundraising expenses 0. Total expenses 11,909,627. EQUIPMENT RENTAL AND MAINTENANCE: Program service expenses 10,063,625. Management and general expenses 1,118,181. Fundraising expenses 0. Total expenses 11,181,806. MISCELLANEOUS EXPENSE: Program service expenses 8,019,201. Management and general expenses 891,020. Fundraising expenses 0. Total expenses 8,910,221. MAINTENANCE: Program service expenses 5,882,014. Management and general expenses 653,557. Fundraising expenses 0. Total expenses 6,535,571. BAD DEBT EXPENSE: Program service expenses 5,211,535. Management and general expenses 579,059. Fundraising expenses 0. Total expenses 5,790,594. EQUIPMENT RELATED SUPPLIES: Program service expenses 4,831,782. Management and general expenses 536,865. Fundraising expenses 0. Total expenses 5,368,647. CONTRACT LABOR: Program service expenses 4,387,566. Management and general expenses 487,507. Fundraising expenses 0. Total expenses 4,875,073. CONSULTING FEES: Program service expenses 3,616,605. Management and general expenses 401,845. Fundraising expenses 0. Total expenses 4,018,450. TRANSPORTATION: Program service expenses 3,119,328. Management and general expenses 346,592. Fundraising expenses 0. Total expenses 3,465,920. MINOR MEDICAL EQUIPMENT: Program service expenses 2,912,552. Management and general expenses 323,617. Fundraising expenses 0. Total expenses 3,236,169. SUPPLIES: Program service expenses 1,895,970. Management and general expenses 210,663. Fundraising expenses 0. Total expenses 2,106,633. TELEPHONE: Program service expenses 1,849,168. Management and general expenses 205,463. Fundraising expenses 0. Total expenses 2,054,631. PROFESSIONAL DUES: Program service expenses 1,561,780. Management and general expenses 173,531. Fundraising expenses 0. Total expenses 1,735,311. BILLING EXPENSE: Program service expenses 747,941. Management and general expenses 83,105. Fundraising expenses 0. Total expenses 831,046. BANKING FEES: Program service expenses 623,852. Management and general expenses 69,317. Fundraising expenses 0. Total expenses 693,169. SUBSCRIPTIONS AND PUBLICATIONS: Program service expenses 540,903. Management and general expenses 60,100. Fundraising expenses 0. Total expenses 601,003. REGISTRATION FEES: Program service expenses 517,984. Management and general expenses 57,554. Fundraising expenses 0. Total expenses 575,538. PRINTING AND PUBLICATIONS: Program service expenses 417,099. Management and general expenses 46,344. Fundraising expenses 0. Total expenses 463,443. COLLECTION FEES: Program service expenses 387,902. Management and general expenses 43,100. Fundraising expenses 0. Total expenses 431,002. POSTAGE AND SHIPPING: Program service expenses 310,543. Management and general expenses 34,505. Fundraising expenses 0. Total expenses 345,048. Interpreting and Translation Expense: Program service expenses 281,149. Management and general expenses 31,239. Fundraising expenses 0. Total expenses 312,388. LODGING: Program service expenses 272,934. Management and general expenses 30,326. Fundraising expenses 0. Total expenses 303,260. MEALS: Program service expenses 263,916. Management and general expenses 29,324. Fundraising expenses 0. Total expenses 293,240. NOVELTIES: Program service expenses 203,486. Management and general expenses 22,610. Fundraising expenses 0. Total expenses 226,096. SPECIAL FUNCTIONS: Program service expenses 188,629. Management and general expenses 20,959. Fundraising expenses 0. Total expenses 209,588. Gift shop expenses: Program service expenses 148,548. Management and general expenses 16,505. Fundraising expenses 0. Total expenses 165,053. RECOGNITIONS: Program service expenses 110,542. Management and general expenses 12,282. Fundraising expenses 0. Total expenses 122,824. TELETHON EXPENSE: Program service expenses 703. Management and general expenses 78. Fundraising expenses 0. Total expenses 781. Form 990, Part XI, line 9: TRANSFER TO ALABAMA CHILDREN'S HOSPITAL FOUNDATION -1,247,294. 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 0 5522 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 11b, II THE CHILDREN'S HOSPITAL OF ALABAMA 1 THE CHILDREN'S HOSPITAL AUXILIARY 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 630774930 FUNDRAISING ACTIVITIES AL 501(C)(3) Line 11c, III-FI N/A 0 TCH VENTURES INC 1600 7TH AVENUE SOUTH BIRMINGHAM AL 35233 630942442 HOLDING COMPANY AL THE CHILDREN'S HOSPITAL OF ALABAMA C 1.00000 1 HOLY INNOCENTS INDEMNITY LTD PO BOX 10073 APO GRAND CAYMAN GRAND CAYMAN CJ 980436612 INSURANCE CJ THE CHILDREN'S HOSPITAL OF ALABAMA C 3945371 26202101 1.00000 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 ALABAMA CHILDREN'S HOSPITAL FOUNDATION B 1391146 FAIR MARKET VALUE ALABAMA CHILDREN'S HOSPITAL FOUNDATION E 210612 FAIR MARKET VALUE HOLY INNOCENTS INDEMNITY LLC E 94956 FAIR MARKET VALUE HOLY INNOCENTS INDEMNITY LLC R 3353553 FAIR MARKET VALUE ALABAMA CHILDREN'S HOSPITAL FOUNDATION C 143852 FAIR MARKET VALUE