2025-11-13T15:01:02+00:00 2024-12-31 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2024-01-01 630307306 The Children's Hospital of Alabama CHIL 2056389100 1600 Seventh Avenue South Birmingham AL 35233 Dawn Walton CFO 2056389100 2025-11-13 true true Amy Bibby P00445891 8282542254 2025-11-12 2024 2025-03-06 01:10:19Z Thomas G Shufflebarger 1600 Seventh Avenue South Birmingham AL 35233 953214153 false X WWW.ChildrensAL.org X 1911 AL Specialty acute-care hospital providing inpatient and outpatient medical services to pediatric patients. 30 29 6636 866 54255 50113 3695839 4252453 879461049 911915042 14171482 26280360 11941912 10766298 909270282 953214153 0 0 0 0 431512779 462991432 0 0 0 422828304 422841632 854341083 885833064 54929199 67381089 1018277827 988226337 556474238 557551920 461803589 430674417 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. false false 726527464 911915042 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 357 beds, which include 54 NICU bassinets and 100 critical care beds in the following units: Cardiovascular, Pediatric, Neonatal, Special Care, Critical Care, Burn and Stem Cell Transplant. In 2024, Children's Hospital had 16,352 Pdischarges and 101,004patient days. Inpatient surgery cases totaled 6,156 for 2024. 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 2024, these clinics had 285,798 visits and 22,956outpatient surgeries were performed. The Hospital also provides a statewide and regional referral site for complex emergency patients. The Emergency Department had 60,941visits in 2024. 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 2024 these practices provided 307,232visits. 726527464 true true false true false false false false false false true false false false true true false true false false true false false false false false true true false false true true false false false false false false false false false true false false false false true true true true false false true X 438 0 true 6636 true true true true CJ false false false false false false false false true false X 30 29 false false false false false false false true true false false false true true true true true true true true false false X Dawn Walton CFO 2056389100 1600 Seventh Avenue South Birmingham AL 35233 Edward K Aldag Jr Vice Chairman of the Board 1.0 X X 0 0 0 J David Brown III Chairman of the Board 1.0 X X 0 0 0 Lee J Styslinger III Treasurer of the Board 1.0 X X 0 0 0 Myla E Calhoun Secretary of the Board 1.0 X X 0 0 0 Adelia R Hendrix Director 1.0 X 0 0 0 Anna M Manasco Director 1.0 X 0 0 0 C Phillip McWane Director 1.0 X 0 0 0 Craft O'Neal Director 1.0 X 0 0 0 Derrol Dawkins MD Director 1.0 X 0 0 0 Donald M James Director 1.0 X 0 0 0 Frederick W Renneker III Director 1.0 X 0 0 0 James C Lee III Director 1.0 X 0 0 0 L Gwaltney McCollum Jr Director 1.0 X 0 0 0 Marc Bryant Tyson Director 1.0 X 0 0 0 Margaret M Porter Director 1.0 X 0 0 0 Mark E Dixon Director 1.0 X 0 0 0 Mark J Tarr Director 1.0 X 0 0 0 Philippe W Lathrop Director 1.0 X 0 0 0 Ralph Frohsin Jr Director 1.0 X 0 0 0 Randall Woodfin Director 1.0 X 0 0 0 Raymond J Harbert Director 1.0 X 0 0 0 Richard J Bielen Director 1.0 X 0 0 0 Stuart A Royal MD Director 1.0 X 0 0 0 Temple W Tutwiler III Director 1.0 X 0 0 0 Thomas H Lowder Director 1.0 X 0 0 0 Tracey Morant Adams Director 1.0 X 0 0 0 Virginia Walker Jones Director 1.0 X 0 0 0 W Charles Mayer Director 1.0 X 0 0 0 W Jerry Oakes MD Director 1.0 X 0 0 0 William E Horton Director 1.0 X 0 0 0 Dawn Walton Chief Financial Officer 40.0 1.0 X 824191 0 26227 Thomas G Shufflebarger President & CEO 40.0 1.0 X 1635068 0 27320 Andrew Loehr Senior VP & Chief Operating Officer 40.0 1.0 X 662622 0 34009 Crayton A Fargason Jr Medical Director & VP Clinical Affairs 40.0 X 812367 0 12653 Delicia Mason VP of Nursing Operations 40.0 X 396355 0 34009 Douglas Dean VP of Human Resources 40.0 X 596133 0 27415 Robert Sarnecki Chief Information Officer 40.0 X 669816 0 25625 Audie L Woolley Pediatrician 40.0 X 1127642 0 33989 Brian J Wiatrak Pediatrician 40.0 X 1133023 0 33989 Brian Kulbersh Pediatrician 40.0 X 1001228 0 33989 Jimmy Hill Pediatrician 40.0 X 1127770 0 27460 Nicholas Smith Pediatrician 40.0 X 1005195 0 34782 10991410 0 351467 724 false true false University of Alabama Health Services Foundation 1600 7th Avenue South Birmingham AL 35233 Hospitalist Services, Emergency Services 33486646 University of Alabama at Birmingham 19th Street South Suite 300 Birmingham AL 35233 Hospital Residents, Referred Testing 23837234 Hoar Construction LLC Two Metroplex Drive Suite 400 Birmingham AL 35209 Construction 11448498 Epic Systems Corporation 1979 Milky Way Verona WI 53593 access, organize, store and share electronic medical records, and new EHR system 8991381 Doster Construction Company Inc 2100 International Park Dr Birmingham AL 35243 Construction 8196294 149 865810 1107388 2279255 4252453 Patient Service 621300 903429771 903429771 Graduate Medical Education 611430 7016967 7016967 Other Program Service 621990 1468304 1468304 0 0 0 0 911915042 25560883 25560883 3381104 3381104 0 3381104 54255 3326849 62008 657469 62008 657469 719477 719477 Cafeteria and Vending 459900 4206272 4206272 Parking 812930 2655950 2655950 Gift Shop 459420 522972 522972 0 0 0 0 7385194 953214153 911915042 54255 36992403 5596553 4421277 1175276 376385576 297344605 79040971 12676104 10014122 2661982 41713161 32953397 8759764 26620038 21029830 5590208 11513223 9095446 2417777 248169 196054 52115 403967 319134 84833 393283 393283 74232551 58643714 15588837 0 1454186 1148807 305379 28133441 22225418 5908023 24560906 19403116 5157790 22495361 17771335 4724026 881607 696470 185137 8354232 6599843 1754389 52800178 41712141 11088037 6849080 5410773 1438307 Medical Supplies 73520474 73520474 Drugs 53321213 53321213 Provider Tax 42868309 33865964 9002345 Bad Debt 10726249 8473737 2252512 10085203 7967311 2117892 0 885833064 726527464 159305600 0 351426900 327199246 81541340 84852788 0 0 18888855 19530094 18338209 19636811 1355497557 928461740 428946894 427035817 84246584 72705422 0 0 34889045 37266159 1018277827 988226337 50230182 55014225 31137290 28918947 154227880 143160542 0 80000000 80000000 240878886 250458206 556474238 557551920 X 461803589 430674417 461803589 430674417 1018277827 988226337 X 67381089 -25416 -98484845 X X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 393283 393283 885439781 885833064 1000000 0 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 368333 364384 508462 393283 1634462 250000 250000 250000 250000 1000000 1500000 0 0 0 0 0 Schedule C, 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. 16379603 16379603 891056719 594380900 296675819 10977576 9297743 1679833 371391317 315092917 56298400 65692342 9690180 56002162 427035817 Federal Income Taxes Due To Affiliate 160370891 Salaries Payable 61546773 Accrued Interest Payable 708138 Professional Liability Accrual 3871642 Executive Retirement Plan 11549319 Retroactive Settlements Medicaid Adjust. Pool Liability 12411443 250458206 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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, 2024 and 2023, that it would be unable to substantiate. The Company has filed its tax returns through December 31, 2023. The tax returns for the years ended December 31, 2020, and thereafter are subject to audit by the taxing authorities. Central America and the Caribbean 0 0 Professional Insurance Coverage Holy Innocents Indemnity, LTD 1277786 0 0 0 0 0 0 1277786 0 1277786 false false true false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true true X true X 7053532 7053532 0.00723 479054922 437108973 41945949 0.04302 38703926 51225874 0 0.0 0 0 524812380 488334847 48999481 0.05025 4 93705 11658721 3164719 8494002 0.00871 3 18378031 2881700 15496331 0.01589 1 1810558 1258842 551716 0.00057 1 83686 83686 0.00009 0 0.0 9 93705 31930996 7305261 24625735 0.02525 9 93705 556743376 495640108 73625216 0.07550 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 10726249 958502 2776177 3142796 -366619 X true true 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 false false true X X X X X X X X X 22 true false false true X https://www.childrensal.org/sites/default/files/2022-12/CHNA-REPORT-22.pdf true 22 true https://www.childrensal.org/sites/default/files/2022-12/CHNA-REPORT-22.pdf false true X 200.0 300.0 X X true true X X X true X www.childrensal.org X www.childrensal.org X www.childrensal.org X X X X X X X true X false X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Children's Hospital of Alabama. In 2022, Children's of Alabama (COA) engaged the Public Affairs Research Council of Alabama (PARCA) to conduct the 2023-2025 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 2023-2025 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. 510 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. The next formal query of the community for CHNA will occur in FY25. In the interim, COA receives community input by integrating with various community-facing groups (e.g., United Way Health Action Partnership/Bold Goals, Alabama Department of Mental Health, Alabama Department of Public Health, etc.) as well as having regular conversations with local and state elected officials to hear emerging health issues that may not have been identified in the most recently completed CHNA. Based on those meetings and conversations, COA develops strategies to address pressing needs in real-time and fold those initiatives into the next CHNA. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Children's Hospital of Alabama. During 2024, 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 collaboration with The Hunger Solutions Institute and several other related agencies to host Feeding Change: Nourishing Alabama's Future in Montgomery in November 2024h. Part of the conference included a Food as Medicine track with four breakout sessions, one of those led by COA physician and provider teams that oversee our Food is Medicine program, and highlighted best practices for Food is Medicine activities that are happening in the state. Mental health was addressed via COA's operation of the Psychiatric Intake Response Center (PIRC), which received approximately 2,110 calls and consulted in 4,400 psychiatric cases in the Emergency Department for 2024. 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, serving over 2,200 children in 2024 and providing behavioral health case consultation and treatment service to primary care practices enrolled in the HRSA-funded PATHS (Pediatric Access to Telemental Health Services) initiative. Over 120 practices and 450 providers participated with PATHS in FY24. 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. Over 250 children were treated by the CHIPS center in FY24, providing over 3100 counseling sessions. COA recently rebranded its patient health and safety programming to the Children's Health Education and Safety Center (HESC). The HESC encompasses Safe Kids, ThinkFirst, and Alabama LifeStart and several other community facing programs. HESC's programs focus on general safety, brain and head trauma and sudden cardiac arrest. In total, the HESC's programs reached over 14,500 children and teens, and over 7,500 adults from in 2024. The HESC is a participant in a grant administered by the Alabama Department of Transportation to provide education for child passenger safety and teen driving, including pedestrian safety and wheeled sports safety. Through COA's Car Seat Program, checked 642 car seats were checked, 323 children and 344 parents/caregivers were educated at a Car Seat Clinic on the Children's of Alabama campus. Off Campus, COA held 2 community events in 2024, with one being in Florence and the other in Birmingham. At these off-campus events, COA checked 41 car seats, educated 28 children and 22 parents/caregivers. COA also participated in community events in Trussville and Tuscaloosa as part of the Child Passenger Safety Technician Certification Courses. Additionally, COA provided educational opportunities for 1,341 children and 720 parents/caregivers regarding transportation related topics, including pedestrian, wheeled sports, school bus, golf carts and ATV's. As a part of Pediatric Vehicular Heatstroke Campaign, COA educated 1,607 parents, caregivers, healthcare, and other professionals about the dangers of leaving children in the car alone. Lastly, COA held 3 Child Passenger Safety Technician (CPST) Certification Courses that certified 33 new CPST's across the state. Through these events and programs, COA provided 498 child restraints to children and their caregivers. COA also provided 190 booster seats to our partner programs so they could distribute them to booster seat appropriate children. COA' teen driving programs have touched thousands of students in 2024 through several programs. URKeys2Drv with mini summits, U TLK U TXT U CRSH, and other individual teen driving programs have been hosted across the state. In 2024, COA added tailgating events at high school sports games - this included having the game announcer provide teen driving facts to spectators, and COA staff set up a "game show trivia wheel with all transportation related questions for the teens to answers for a prize. Additionally, educational materials were provided to parents/caregivers and teens. Through COA's brain and spinal cord injury prevention program, COA staff educated 9,753 children/teens and 968 adults. These were done through a variety of different age-appropriate programs. Grants also played a factor in this, as grant specifications allowed COA to provide bike helmets after appropriate educational programs. These programs are for children of all ages, starting as young as pre-kindergartners and ending with our teenaged drivers and passengers. During the year, COA hosted School Nurse Workshops and Spotlights, as well as clinical skills labs. Our School Nurse Workshops are held in the summer since the nurses are out of school and have more time to attend longer sessions. However, COA also hosts Spotlights during the school year that are an hour in length so that the nurses can attend while working. The clinical skills labs are held at the beginning of each school semester so nurses with new students needing care are up to date on their education. COA hosted 601 nurses for skills labs, 955 for Spotlights and 1,111 for School Nurse Workshops. The topics for spotlights were headaches, obesity, sudden cardiac arrest, and firearm safety. The topics for Summer School Nurse Workshops included cystic fibrosis & immunizations & allergies, anxiety & adrenal insufficiency & dermatology, and a diabetes workshop. COA also provides a monthly newsletter, The Pulse, that provides medical, social, and mental health information, as well as information specifically about Children's of Alabama. This newsletter is available to all school nurses, and serves as a way of continuing to foster open communication. COA maintains a website (myschoolnurse.net) that is continually updated with educational information and offerings for school nurses. The HESC continued to designate schools as Heart Safe Schools through Alabama LifeStart, a program modeled after National Project Adam. The HESC also is a participant in a grant administered by the Alabama Department of Community and Economic Affairs grant to provide a multi-pronged state-wide education program on pediatric vehicular heatstroke. Through our other programs, we have provided safety education surrounding home safety, safe sleep for infants, firearm safe storage, and more. The Alabama Poison Information Center (APIC) housed at COA received over 50,000 incoming calls in 2024, offering free and confidential poison information and treatment recommendations to the public and health care providers 24 hours a day. In 2024, the APIC participated in 168 hours of community health events, engaging with the public and distributing poison information to >5,600 Alabamians. Along with Healthy Child Care Alabama (HCCA) the APIC provided 2,193 poison prevention programs reaching a total of 11,966 parents throughout all 67 counties. HCCA nurses distributed 12,221 poison prevention items provided by the APIC. Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Children's Hospital of Alabama. Processed incomplete and complete FAP applications. Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - Children's Hospital of Alabama. 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. 0 Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 10726249 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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. Schedule H, Part II Community Building Activities In 2024, COA participated in initiatives as defined under Part II, Community Building Activities. COA employees continued to train allied health professionals and other students from area colleges, universities, and two-year institutions virtually and in-person. COA also provided myriads of programs and initiatives aimed at non-patient care, education, and research. COA personnel continued to engage with community organizations and stakeholder groups ranging from community mental health roundtables to maternal and child health stakeholder groups. COA continued its support of organizations statewide including, but not limited to, KidOne Transport, Childcare Resources, Alaquest, the YWCA, the YMCA, United Way of Central Alabama, VOICES for Alabama's Children, Alabama Partnership for Children, the Exceptional Foundation, and the Bell Center. COA's Child Intervention & Prevention Services (CHIPS Center) continued to train school administrators and educators on child abuse prevention, identification, and intervention. COA's Health Education and Safety Center educated school nurses and administrators on topics about mental and behavioral health and clinical competencies. Children's of Alabama executives and staff continued in 2024 to serve on a variety of community boards, nonprofit and professional organizations at the local, state and national levels. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology 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. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part V, Section B, Line 16a FAP website - Children's Hospital of Alabama: Line 16a URL: www.childrensal.org; Schedule H, Part V, Section B, Line 16b FAP Application website - Children's Hospital of Alabama: Line 16b URL: www.childrensal.org; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Children's Hospital of Alabama: Line 16c URL: www.childrensal.org; Schedule H, Part VI, Line 2 Needs assessment COA engaged the Public Affairs Research Council of Alabama (PARCA) to conduct the 2023-2025 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 findings and related implementation strategies were released on December 20, 2022. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance 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. Schedule H, Part VI, Line 4 Community information 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 2023, Caucasians, African Americans, Hispanics, and other races accounted for 53%, 30%, 8%, and 9%, respectively, of the patients served while 37%, 46%, and 17% were ages 0-4, 5-14, and 15+ years, respectively. Economic demographic data is not specifically captured. Schedule H, Part VI, Line 5 Promotion of community health Children's of Alabama is Alabama's primary site for pediatric health care and health education and training for community colleges and universities in Alabama and beyond through its affiliation with the School of Medicine at The University of Alabama at Birmingham. COA 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 2024 on implementation strategies tied to the 2023-2025 CHNA priorities including, but not limited to, nutrition & exercise, mental & behavioral health, parenting education and child safety. COA's 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 2024 alone on a wide range of topics. COA's Hospital 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 FY24, 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 false false false false false false false false false Dawn Walton Chief Financial Officer 628227 0 165876 0 30088 0 11500 0 14727 0 850418 0 0 0 Thomas G Shufflebarger President & CEO 1054833 0 552825 0 27410 0 11500 0 15820 0 1662388 0 0 0 Andrew Loehr Senior VP & Chief Operating Officer 506060 0 127008 0 29554 0 11500 0 22509 0 696631 0 0 0 Delicia Mason VP of Nursing Operations 292005 0 75762 0 28588 0 11500 0 22509 0 430364 0 0 0 Crayton A Fargason Jr Medical Director & VP Clinical Affairs 603519 0 170837 0 38011 0 11500 0 1153 0 825020 0 0 0 Douglas Dean VP of Human Resources 442068 0 118361 0 35704 0 11500 0 15915 0 623548 0 0 0 Robert Sarnecki Chief Information Officer 506348 0 133557 0 29911 0 9710 0 15915 0 695441 0 0 0 Audie L Woolley Pediatrician 634078 0 490000 0 3564 0 11500 0 22489 0 1161631 0 0 0 Jimmy Hill Pediatrician 634060 0 490000 0 3710 0 11500 0 15960 0 1155230 0 0 0 Brian J Wiatrak Pediatrician 636165 0 490000 0 6858 0 11500 0 22489 0 1167012 0 0 0 Brian Kulbersh Pediatrician 487068 0 510000 0 4160 0 11500 0 22489 0 1035217 0 0 0 Nicholas Smith Pediatrician 491035 0 510000 0 4160 0 11500 0 23282 0 1039977 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 false false false A 153240000 1557585 false false true true A false false false false false false 0.0 0.0 0.0 false false 0 false true A false true false true false false 0 false false false 0 false false false A false Buffalo Rock Entity more than 35% owned by James C. Lee III, Director 246816 Vending false Form 990, Part VI, Line 11b Review of form 990 by governing body 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, Line 12c Conflict of interest policy 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, Line 15a Process to establish compensation of top management official 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, Line 15b Process to establish compensation of other employees 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, Line 19 Required documents available to the public 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 Other changes in net assets or fund balances Intercompany Transfers - 894890; Transfer from Foundation - 620265; Transfer to foundation for investments - -100000000; Total - -98484845; Form 990, Part XII, Line 2c Change of oversight process or selection process The process has not changed from the prior year. TCH Ventures LLC 1600 Seventh Avenue South Birmingham AL 35233 630942442 Holding Company AL 27226 903821 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) Type II The Children's Hospital of Alabama true Holy Innocents Indemnity LTD PO Box 10073 APO Grand Cayman Grand Cayman CJ 980436612 Insurance CJ The Children's Hospital of Alabama C Corporation 5659831 25487850 0.01 true false true true false false true false false false false false false true false true true true false false Alabama Children's Hospital Foundation B 99379735 Fair Market Value Alabama Children's Hospital Foundation C 865810 Fair Market Value Holy Innocents Indemnity LTD F 10000000 Fair Market Value