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CHILDRENS HOSPITAL OF ALABAMA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL OF ALABAMA (EIN 63-0307306)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-31
IRS object ID
201203059349300820
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-31T12:58:14-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN454084437EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WARREN AVERETT LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12500 ACTON ROADAddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code35243ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN630307306EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE CHILDREN'S HOSPITAL OF ALABAMABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCHILNameControl
Phone2059399100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 SEVENTH AVENUE SOUTHAddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code35233ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMIKE BURGESSName
TitleCFOTitle
Phone2059399100Phone
Date Signed2012-09-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJC ROUSEName
PTINP00081132PTIN
Phone2059794100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM MICHAEL WARRENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 SEVENTH AVENUE SOUTHAddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code35233ZIPCode
FieldValueIRS element (for citing)
Gross Receipts587391759GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHSYS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1911YearFormation
State Legal DomicileALStateLegalDomicile
Activity Or Mission DescriptionSPECIALTY ACUTE-CARE HOSPITAL PROVIDING INPATIENT AND OUTPATIENT MEDICAL SERVICES TO PEDIATRIC PATIENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body35NbrVotingMembersGoverningBody
Nbr Independent Voting Members29NbrIndependentVotingMembers
Total Nbr Employees4157TotalNbrEmployees
Total Nbr Volunteers1234TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3024950ContributionsGrantsPriorYear
Contributions Grants Current Year2774425ContributionsGrantsCurrentYear
Program Service Revenue Prior Year539732200ProgramServiceRevenuePriorYear
Program Service Revenue CY536126146ProgramServiceRevenueCY
Investment Income Prior Year-2500604InvestmentIncomePriorYear
Investment Income Current Year-672747InvestmentIncomeCurrentYear
Other Revenue Prior Year15240034OtherRevenuePriorYear
Other Revenue Current Year10364751OtherRevenueCurrentYear
Total Revenue Prior Year555496580TotalRevenuePriorYear
Total Revenue Current Year548592575TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year218730169SalariesEtcPriorYear
Salaries Etc Current Year224521458SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year262308519OtherExpensePriorYear
Other Expenses Current Year248941893OtherExpensesCurrentYear
Total Expenses Prior Year481038688TotalExpensesPriorYear
Total Expenses Current Year473463351TotalExpensesCurrentYear
Revenues Less Expenses Prior Year74457892RevenuesLessExpensesPriorYear
Revenues Less Expenses CY75129224RevenuesLessExpensesCY
Total Assets BOY574659849TotalAssetsBOY
Total Assets EOY668797176TotalAssetsEOY
Total Liabilities BOY432119150TotalLiabilitiesBOY
Total Liabilities EOY415187509TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY142540699NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY253609667NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense247330324Expense
Revenue315679817Revenue
DescriptionCHILDREN'S HOSPITAL IS THE 14TH LARGEST AND THE 10TH BUSIEST PEDIATRIC MEDICAL CENTER IN THE UNITED STATES. IT IS THE ONLY LEVEL I PEDIATRIC TRAUMA CENTER, THE ONLY PEDIATRIC RENAL CARE CENTER, AND THE LARGEST PEDIATRIC BURN CENTER IN THE SOUTHEAST. CHILDREN'S IS LICENSED FOR 290 BEDS AND 42 NICU BASSINETS. THIS INCLUDES 101 CRITICAL CARE BEDS/BASSINETS IN THE FOLLOWING UNITS: PEDIATRIC, NEONATAL, SPECIAL CARE, BURN AND STEM CELL TRANSPLANTS. IN 2011, CHILDREN'S HOSPITAL HAD 13,365 INPATIENT CASES AND 79,689 PATIENT DAYS. INPATIENT SURGERY CASES TOTALED 5,117 FOR 2011. THE CHILDREN'S CRITICAL CARE TRANSPORT TEAM PROVIDES HELICOPTER, JET AND GROUND TRANSPORT FOR CRITICALLY ILL AND INJURED CHILDREN.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense140595463Expense
Revenue186209965Revenue
DescriptionCHILDREN'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 AND OTHERS. IN 2011, THESE CLINICS HAD 240,293 VISITS AND 15,661 OUTPATIENT SURGERIES WERE PERFORMED. THE HOSPITAL ALSO PROVIDES A STATEWIDE AND REGIONAL REFERRAL SITE FOR COMPLEX EMERGENCY PATIENTS. THE EMERGENCY DEPARTMENT HAD 46,622 VISITS IN 2011.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense38191223Expense
Revenue41108889Revenue
DescriptionTHE HOSPITAL HAS A NETWORK OF PRIMARY CARE PRACTICES THROUGH OUT THE STATE KNOWN AS PEDIATRIC PRACTICE SOLUTIONS. IT CONSISTS OF 13 PRACTICES SUPPORTING 60 GENERAL PEDIATRICIANS. IN 2011 THESE PRACTICES PROVIDED 332,254 VISITS.Description
FieldValueIRS element (for citing)
Total Program Service Expense426117010TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096264NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4157NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members35NbrVotingGoverningBodyMembers
Number Independent Voting Members29NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAWN WALTONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2056389073TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 7TH AVENUE SOUTHAddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code35233ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (50 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
RAYMOND J HARBERT
CHAIRMAN OF THE BOARD0.50X000
C PHILLIP MCWANE
VICE CHAIRMAN OF THE BOARD0.50X000
W CHARLES MAYER
TREASURER0.50X000
SUSAN N HASKELL
SECRETARY0.50X000
RICHARD J BIELEN
DIRECTOR0.50X000
J DAVID BROWN III
DIRECTOR0.50X000
THOMAS N CARRUTHERS JR
DIRECTOR0.50X000
GAYLE CUNNINGHAM
DIRECTOR0.50X000
DERROL DAWKINS MD
DIRECTOR0.50X000
DAVID E DIXON MD
DIRECTOR0.50X000
BETH G DUBINA
DIRECTOR0.50X000
DAVID M FIELDS
DIRECTOR0.50X000
RALPH FROHSIN JR
DIRECTOR0.50X000
GILLIAN W GOODRICH
DIRECTOR0.50X000
OB GRAYSON HALL JR
DIRECTOR0.50X000
BEVERLY P HEAD III
DIRECTOR0.50X000
JOHN O HUDSON III
DIRECTOR0.50X000
DONALD M JAMES
DIRECTOR0.50X000
VIRGINIA WALKER JONES
DIRECTOR0.50X000
PHILIPPE W LATHROP
DIRECTOR0.50X000
JAMES C LEE III
DIRECTOR0.50X000
THOMAS H LOWDER
DIRECTOR0.50X000
ROBERT S MCANNALLY
DIRECTOR0.50X000
L GWALTNEY MCCOLLUM JR
DIRECTOR0.50X000
CHARLES D MCCRARY
DIRECTOR0.50X000
ANN D MCMILLAN
DIRECTOR0.50X000
BEVERLY MCNEIL
DIRECTOR0.50X000
HUGH J MORGAN JR
DIRECTOR0.50X000
W JERRY OAKS MD
DIRECTOR0.50X000
CRAFT O'NEAL
DIRECTOR0.50X000
MARGARET M PORTER
DIRECTOR0.50X000
FREDERICK W RENNEKER III
DIRECTOR0.50X000
STUART A ROYAL MD
DIRECTOR0.50X000
BEN RUSSELL
DIRECTOR0.50X000
SERGIO B STAGNO MD
DIRECTOR0.50X000
LEE J STYSLINGER III
DIRECTOR0.50X000
TEMPLE W TUTWILER III
DIRECTOR0.50X000
MARC BRYANT TYSON
DIRECTOR0.50X000
WILLIAM MICHAEL WARREN JR
PRESIDENT & CEO40.005396450187173X
THOMAS G SHUFFLEBARGER
SR VP AND COO40.008200500117804X
JAMES MICHAEL BURGESS
CHIEF FINANCIAL OFFICER40.0010062890106893X
JACKIE STOREY
CHIEF INFORMATION OFFICER40.00402147096948X
MIKE MCDEVITT
EXEC VP FACILITIES AND TECHNOLOGY40.004232330144367X
DOUGLAS DEAN
CHIEF HUMAN RESOURCE OFFICER40.00326788077530X
COKE MATTHEWS
VP DEVELOPMENT40.00311738070312X
AUDIE WOOLLEY
PEDIATRICIAN40.00971421098719X
JIMMY SCOTT HILL
PEDIATRICIAN40.001893514098719X
BRIAN WIATRAK
PEDIATRICIAN40.007643570262297X
WILLIAM PEYTON SHIRLEY
PEDIATRICIAN40.00433727019969X
JOSEPH L HAMM
PEDIATRICIAN40.00393176019877X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8286085TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1300608TotalOtherCompensation
Number Individuals GT100 K222NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HOARBE&K JOINT VENTURE
TWO METROPLEX DRIVE STE 400BIRMINGHAMAL35209CONSTRUCTION91983592
UNIVERSITY OF ALABAMA HEALTH SERVICES FO
1600 SEVENTH AVENUE SOUTHBIRMINGHAMAL35233SUBSPECIALTY, MOONLIGHTING, AFTER HOURS,16178147
ARAMARK
PO BOX 651009CHARLOTTENC282651009CAFETERIA, CENTRAL TRANSPORT6449375
THE OUTSOURCE GROUP INC
PO BOX 504542ST LOUISMO631504542PATIENT ACCOUNTING, MANAGEMENT5246132
UNIVERSITY OF ALABAMA HOSPITAL
619 19TH STREET SOUTH JEFFERSON TOBIRMINGHAMAL35233HOSPITAL RESIDENTS4820852
FieldValueIRS element (for citing)
Number Of Contractors GT100 K53NumberOfContractorsGT100K
Government Grants2002149GovernmentGrants
All Other Contributions772276AllOtherContributions
Total Contributions2774425TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE900099529671300529671300
MEDICAID DISPROPORTION90009964548466454846
FieldValueIRS element (for citing)
Total Program Service Revenue536126146TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column878591TotalRevenueColumn
Exclusion$878,591ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column418993TotalRevenueColumn
Exclusion$418,993ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2852101Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2993953Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-141852Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-141852TotalRevenueColumn
Exclusion-$141,852ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities33829000Securities
Other5900Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities35805231Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1976231Securities
Other5900Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1970331TotalRevenueColumn
Exclusion-$1,970,331ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
GRADUATE MEDICAL90009941158274115827
CAFETERIA/VENDING9000992586093$2,586,093
PARKING900099949539$949,539

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2855144TotalRevenueColumn
Related Or Exempt Function Income2756698RelatedOrExemptFunctionIncome
Exclusion$98,446ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue10506603TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column548592575TotalRevenueColumn
Related Or Exempt Function Income542998671RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,819,479ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3829889Total
Program Services3446900ProgramServices
Management And General382989ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total184251290Total
Program Services165826161ProgramServices
Management And General18425129ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total23774409Total
Program Services21396968ProgramServices
Management And General2377441ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12665870Total
Program Services11399283ProgramServices
Management And General1266587ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total404530Total
Program Services364077ProgramServices
Management And General40453ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total202194Total
Program Services181975ProgramServices
Management And General20219ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32412714Total
Program Services29171443ProgramServices
Management And General3241271ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7011679Total
Program Services6310511ProgramServices
Management And General701168ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2993953Total
Program Services2694558ProgramServices
Management And General299395ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total4234462Total
Program Services3811016ProgramServices
Management And General423446ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total31845963Total
Program Services28661367ProgramServices
Management And General3184596ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4488685Total
Program Services4039816ProgramServices
Management And General448869ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES36818538331366843681854
DRUGS30997280278975523099728
TAXES AND LICENSES27318096245862862731810
MANAGEMENT CONTRACTS11450368103053311145037

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total58763431Total
Program Services52887082ProgramServices
Management And General5876349ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total473463351Total
Program Services426117010ProgramServices
Management And General47346341ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY41703106BOY
EOY15680465EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY112704490BOY
EOY36736664EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32654546BOY
EOY37278069EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7554292BOY
EOY7524546EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10797159BOY
EOY10879861EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis881107968LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec383797311LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY341414537BOY
EOY497310657EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY27831719BOY
EOY63386914EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY574659849BOY
EOY668797176EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY45794428BOY
EOY43921857EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY6454846BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY326458593BOY
EOY304903715EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY53411283BOY
EOY66361937EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY432119150BOY
EOY415187509EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY142540699BOY
EOY253609667EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY142540699BOY
EOY253609667EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY574659849BOY
EOY668797176EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses75129224ReconcilationRevenueExpenses
Reconcilation Other Changes35939744ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Grassroots Lobbying TotalGrassrootsLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals249541FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals249541FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals476207763FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals476457304FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3402993CurrentYearMinus3
Current Year Minus2293157CurrentYearMinus2
Current Year Minus1230070CurrentYearMinus1
Current Year249541CurrentYear
Total1175761Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationCHS 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.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4800118OtherCostOrOtherBasis
Book Value4800118BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis321381824OtherCostOrOtherBasis
Depreciation189131914Depreciation
Book Value132249910BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7018280OtherCostOrOtherBasis
Depreciation3632288Depreciation
Book Value3385992BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis240970312OtherCostOrOtherBasis
Depreciation191033109Depreciation
Book Value49937203BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis306937434OtherCostOrOtherBasis
Book Value306937434BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings497310657TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED BOND ISSUE COSTS9119521
OTHER ASSETS92346
TEBA ASSET16741919
INVESTMENT IN AFFILIATE250000
RESTRICTED CASH36906684
DUE FROM AFFILIATE276444
FieldValueIRS element (for citing)
Total Book Value Other Assets63386914TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
SALARIES PAYABLE$22,645,373
ACCRUED INTEREST PAYABLE$1,427,920
PROFESSIONAL LIABILITY ACCRUAL$3,698,214
TEBA LIABILITY$16,741,919
INTEREST RATE SWAP$908,227
ESTIMATED THIRD PARTY PAYOR SETTLEMENT$10,253,185
DUE TO AFFILIATE$10,687,099
FieldValueIRS element (for citing)
Total Of Amounts66361937TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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). THE COMPANY ADHERES TO THE PROVISION 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, 2011, THAT IT WOULD BE UNABLE TO SUBSTANTIATE. THE COMPANY HAS FILED ITS TAX RETURNS THROUGH DECEMBER 31, 2010. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2008, AND THEREAFTER ARE SUBJECT TO AUDIT BY THE TAXING AUTHORITIES.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense701808TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense701808NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense226134515TotalCommunityBenefitExpense
Direct Offsetting Revenue258247641DirectOffsettingRevenue
Net Community Benefit Expense-32113126NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense17401542TotalCommunityBenefitExpense
Direct Offsetting Revenue19976578DirectOffsettingRevenue
Net Community Benefit Expense-2575036NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense244237865TotalCommunityBenefitExpense
Direct Offsetting Revenue278224219DirectOffsettingRevenue
Net Community Benefit Expense-33986354NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Persons Served164462PersonsServed
Total Community Benefit Expense5626868TotalCommunityBenefitExpense
Direct Offsetting Revenue652371DirectOffsettingRevenue
Net Community Benefit Expense4974497NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Persons Served95616PersonsServed
Total Community Benefit Expense11417088TotalCommunityBenefitExpense
Direct Offsetting Revenue1696395DirectOffsettingRevenue
Net Community Benefit Expense9720693NetCommunityBenefitExpense
Percent Of Total Expense0.02090PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Persons Served50PersonsServed
Total Community Benefit Expense2069470TotalCommunityBenefitExpense
Direct Offsetting Revenue888355DirectOffsettingRevenue
Net Community Benefit Expense1181115NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense253210TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense253210NetCommunityBenefitExpense
Percent Of Total Expense0.00050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served878PersonsServed
Total Community Benefit Expense3574TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3574NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs29NumberOfActivitiesOrPrograms
Persons Served261006PersonsServed
Total Community Benefit Expense19370210TotalCommunityBenefitExpense
Direct Offsetting Revenue3237121DirectOffsettingRevenue
Net Community Benefit Expense16133089NetCommunityBenefitExpense
Percent Of Total Expense0.03460PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs29NumberOfActivitiesOrPrograms
Persons Served261006PersonsServed
Total Community Benefit Expense263608075TotalCommunityBenefitExpense
Direct Offsetting Revenue281461340DirectOffsettingRevenue
Net Community Benefit Expense-17853265NetCommunityBenefitExpense
Percent Of Total Expense0.03610PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$3,036,236BadDebtExpenseAmount
Amount Attributable To2168645AmountAttributableTo
Amount Reimbursed By Medicare1524800AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare1915072CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-390272MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy0WrittenDebtCollectionPolicy
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CHILDREN'S HOSPITAL OF ALABAMABusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11600 SEVENTH AVENUE SOUTHAddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code35233ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE CHILDREN'S HOPSTIAL OF ALABAMABusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent250.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities1CollectionActivities
Report To Credit AgencyXReportToCreditAgency
Notify Upon AdmissionXNotifyUponAdmission
Notified All PatientsXNotifiedAllPatients
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Average Negotiated RatesXAverageNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

ExplanationExplanationIdentifierIdentifier
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, L7 COL(F): TOTAL BAD DEBT EXPENSE OF $8,385,075 IS EXCLUDED FROM TOTAL OPERATING EXPENSES OF $473,463,351 IN CALCULATING THE PERCENTAGES SHOWN. SEE DETAIL OF EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN A. NOTE THAT TOTAL COMMUNITY BENEFIT EXPENSES REPORTED IN COLUMN C AS A PERCENTAGE OF OPERATING EXPENSES NET OF BAD DEBT EXPENSE ARE 56.68%
PART II: WHILE THE HOSPITAL DID NOT HAVE SYSTEMS IN PLACE TO FORMALLY TRACK COMMUNITY BUILDING ACTIVITIES FOR 2011, HOSPITAL EXECUTIVES AND VICE PRESIDENTS SERVED ON A VARIETY OF COMMUNITY BOARDS INCLUDING MAGIC MOMENTS AND RONALD MCDONALD HOUSE. IN ADDITION, APPROXIMATELY 50 ADMINISTRATIVE INTERNS AND AIDES WERE EDUCATED BY HOSPITAL EMPLOYEES DURING THE YEAR.
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. 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. 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 2011 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 ORGANIZATION. MANY TIMES PATIENTS FAIL TO COMPLETE PAPERWORK REQUIRED DESPITE EFFORTS TO EDUCATE AND INFORM PATIENTS OF THIS OPTION. HOWEVER BASED ON SOCIO-ECONOMIC AND OTHER KNOWN FACTORS, IT IS HIGHLY LIKELY THAT THESE PATIENTS WOULD MEET ESTABLISHED CHARITY CARE CRITERIA IF THE APPLICATION PROCESS WAS COMPLETED.
PART III, LINE 8: MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMPONENT OF COMMUNITY BENEFIT BECAUSE THE REIMBURSEMENT IS NOT NEGOTIABLE AND DOES NOT COVER COST TO PROVIDE SERVICES. ADDITIONALLY, THE MAJORITY OF THE HOSPITAL'S MEDICARE PATIENTS WOULD BE COVERED BY MEDICAID IF THEY DID NOT FALL UNDER THE MEDICARE COVERAGE OPTION. THE COST RELATED TO PROVIDING MEDICARE SERVICES WAS CALCULATED BY APPLYING THE OVERALL COST TO CHARGE RATIO OF THE ORGANIZATION TO MEDICARE CHARGES.
PART V, SECTION B, LINE 13G: THE DETAIL FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE HOSPITALS WEBSITE AS WELL AS UPON REQUEST. SIGNAGE REFERENCING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN THE EMERGENCY DEPARTMENT AND 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 HOPSTIAL OF ALABAMA
PART V, SECTION B, LINE 17E: SIGNAGE IS POSTED IN THE EMERGENCY DEPARTMENT AND WAITING AND ADMITTING AREAS NOTIFYING PATIENTS AND GUARANTORS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.THE CHILDREN'S HOPSTIAL OF ALABAMA
PART VI, LINE 2: THE ORGANIZATION ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY EVALUATING DISEASE AND INJURY DATA OF PATIENTS THAT ARE SERVED IN THE HOSPITAL AND CLINICS AND THAT PRESENT IN THE EMERGENCY DEPARTMENT, PARTICULARLY AROUND INJURY CARE. IN ADDITION, THE ORGANIZATION 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: CHILDREN'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 2011, CAUCASIANS, AFRICAN-AMERICANS, HISPANICS, AND OTHER RACES ACCOUNTED FOR 56%, 36%, 5%, AND 3%, RESPECTIVELY, OF THE PATIENTS SERVED WHILE 42%, 36%, AND 22% WERE AGES 0-4, 5-12, AND 13+ YEARS, RESPECTIVELY. ECONOMIC DEMOGRAPHIC DATA IS NOT SPECIFICALLY CAPTURED HOWEVER, IN 2011 GREATER THAN 60% OF THE HOSPITAL'S PATIENTS QUALIFIED FOR GOVERNMENTAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID AND SCHIP.
PART VI, LINE 5: CHILDREN'S 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 CHILDREN'S HOSPITAL AND THAT THE HOSPITAL TRAINED NURSING STUDENTS FROM 14 DIFFERENT COLLEGES AND UNIVERSITIES DURING 2011. IN ADDITION, THE HOSPITAL PARTICIPATES APPROXIMATELY 225 CLINICAL RESEARCH STUDIES ON AN ANNUAL BASIS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM MICHAEL WARREN JR
538220000142501725830145900726818000
THOMAS G SHUFFLEBARGER
33718001370000345870091434026370093785403444300
JAMES MICHAEL BURGESS
317577015300005357120837320231610111318205342440
JACKIE STOREY
2907050110000014420852230117250499095000
MIKE MCDEVITT
27176101500000147201239610204060567600000
DOUGLAS DEAN
231788095000000535320239980404318000
COKE MATTHEWS
223323087000014150573570129550382050000
AUDIE WOOLLEY
5175520408946044923078750019969010701400433900
JIMMY SCOTT HILL
512280040894609722880787500199690199223309708510
BRIAN WIATRAK
353974040894601437024232801996901026654000
WILLIAM PEYTON SHIRLEY
33277709949001460000199690453696000
JOSEPH L HAMM
246288014546301425000198770413053000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationPART I, LINE 4B: WILLIAM MICHAEL WARREN, JR - $172,583 THOMAS G. SHUFFLEBARGER - $91,434 JAMES MICHAEL BURGESS - $83,732 JACKIE STOREY - $85,223 DOUGLAS B. DEAN - $53,532 COKE MATTHEWS - $57,357 AUDIE WOOLLEY - $78,750 JIMMY SCOTT HILL - $78,750 BRIAN WIATRACK - $242,328 MIKE MCDEVITT - $123,961Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
SPECIAL CARE FACILITIES FINANCING AUTH OF THE CTY OF BHAM - CHILDREN'S HOSP
631005621090929FF22003-04-1634031552DEFEASE 1993-B REVENUE BONDS000
SPECIAL CARE FACILITIES FINANCING AUTH OF THE CTY OF BHAM - CHILDREN'S HOSP
631005621090929FV72009-09-01233179363CONSTRUCT AND EQUIP FACILITY000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementOther Spent ProceedsOtherSpentProceedsCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestCapital ExpendituresCapitalExpenditures
340315523746407358832630695330420251011
2331793632280360034808284329725726331001125538118176300761

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000.000000.000000.000001
00000.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line2NameOfGICProvider/BusinessNameLine2Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
BAYERISCHE
0001LANDESBANK0.043200000000100
(no name)
000000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
BUFFALO ROCK
ENTITY MORE THAN 35% OWNED BY JAMES C. LEE, III, DIRECTOR164890VENDING0
ALABAMA POWER
CHARLES D. MCCRARY & DONALD JAMES ARE DIRECTORS OF THE ABOVE ENTITY4109637ELECTRICITY PROVIDER0
ALABAMA GAS CORPORATION
ROBERT MCANNALLY IS EMPLOYED BY THE ABOVE ENTITY1406557GAS UTILITY0
REGIONS BANK
CHARLES D. MCCRARY & LEE STYSLINGER ARE DIRECTORS OF THE ABOVE ENTITY217080BANKING SERVICES0
REGIONS BANK
O.B. GRAYSON HALL, JR. IS THE CEO OF THE ABOVE ENTITY217080BANKING SERVICES0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2THOMAS N. CARRUTHERS, JR. IS A PARTNER IN A FIRM WHICH ACTS AS GENERAL COUNSEL FOR THE HOSPITAL AS WELL AS COUNSEL TO THE OBLIGATED GROUP AND BOND COUNSEL. DERROL DAWKINS, M.D. HAS ADMITTING PRIVILEGES TO THE HOSPITAL. GILLIAN W. GOODRICH'S DAUGHTER IS A MEMBER OF THE UAB MEDICAL STAFF AND PROVIDES SERVICES AT THE HOSPITAL. IN ADDITION, MS. GOODRICH'S SPOUSE WAS AN OWNER OF A CONSTRUCTION COMPANY THAT WAS A PARTNER IN THE LEAD CONTRACTOR PARTNERSHIP ON A MAJOR EXPANSION PROJECT AT THE TIME THE PROJECT WAS BID. O.B. GRAYSON HALL, JR. IS THE CEO OF A BANK THAT PROVIDES THE MAJORITY OF THE BANKING SERVICES TO THE HOSPITAL. RAYMOND J. HARBERT OWNS AN INVESTMENT COMPANY THAT MANAGES A HEDGE FUND IN WHICH THE HOSPITAL HAS INVESTED THROUGH A FUND OF FUNDS. PRIOR TO PASSING AWAY DURING 2011, BEVERLY P. HEAD, III WAS THE LEAD TRUSTEE OF AN ORGANIZATION THAT MAKES CONTRIBUTIONS TO THE FOUNDATION. IN ADDITION, MR. HEAD'S SPOUSE HAS AN OWNERSHIP INTEREST IN AND IS EMPLOYED BY A COMPANY THAT DISTRIBUTES CONSTRUCTION MATERIALS AND RELATED EQUIPMENT THAT ARE BEING UTILIZED BY THE HOSPITAL'S CONTRACTORS ON A MAJOR EXPANSION PROJECT. 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 TRUSTEE FOR UAB HEALTH SYSTEM AND UAB HEALTH SERVICES FOUNDATION BOTH OF WHICH HAVE AN AFFILIATION AGREEMENT TO PROVIDE MEDICAL SERVICES TO THE HOSPITAL. VIRGINA WALKER JONES IS EMPLOYED BY A COMPANY THAT PROVIDES CERTAIN VENDING SERVICES TO THE HOSPITAL. IN ADDITION, MARGARET M. PORTER AND THE SPOUSE OF MS. JONES ARE MEMBERS OF AN ADVISORY BOARD FOR A BANK THAT WAS AN UNDERWRITER AND THAT CURRENTLY PROVIDES THE MAJORITY OF THE BANKING SERVICES TO THE HOSPITAL. MARGARET M. PORTER'S SPOUSE HOLDS A MINORITY OWNERSHIP IN A REAL ESTATE CONSULTING FIRM THAT PROVIDES SERVICES TO THE HOSPITAL. JAMES C. LEE, III IS THE OWNER OF A COMPANY THAT PROVIDES VENDING SERVICES TO THE HOSPITAL. THOMAS H. LOWDER SERVES ON THE BOARD OF TWO ORGANIZATIONS THAT MAKE CONTRIBUTIONS TO THE FOUNDATION. ROBERT S. MCANNALLY IS EMPLOYED BY THE PARENT COMPANY OF AN GAS UTILITY THAT PROVIDES UTILITY SERVICES TO THE HOSPITAL. L. GWALTNEY MCCOLLUM, JR IS EMPLOYED BY AN ORGANIZATION THAT SERVES AS CUSTODIAN TO THE INVESTMENT PORTFOLIO FOR THE HOSPITAL AND FOUNDATION. CHARLES D. MCCRARY IS THE CEO OF AN ELECTRIC UTILITY WHICH PROVIDES UTILITY SERVICES TO THE HOSPITAL AS WELL AS 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, DURING 2011. STUART A. ROYAL, M.D. IS EMPLOYED BY AN ORGANIZATION THAT PROVIDES SERVICES TO THE HOSPITAL AND SERVES ON AN ADVISORY COMMITTEE FOR A COMPANY THAT PROVIDES SOFTWARE SYSTEMS AND RELATED CONSULTING TO THE HOSPITAL. IN ADDITON, THE FOUNDATION FUNDS THE HARRY BURNS ENDOWED CHAIR WHICH WAS OCCUPIED BY DR. ROYAL DURING 2011. 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. SERGIO B. STAGNO, M.D. IS THE CHAIRMAN OF THE UAB DEPARTMENT OF PEDIATRICS WHICH HAS AN AFFILIATION AGREEMENT WITH THE HOSPITAL TO PROVIDE CERTAIN MEDICAL SERVICES. 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. MARC TYSON IS THE CEO OF A COMPANY, WHICH IS PROVIDING CONCRETE FOR THE EXPANSION. 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 11THE 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 12CTHE 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 15CHS MAINTAINS OVERSIGHT CONCERNING ALL EXECUTIVE COMPENSATION ACTION. THIS PROCESS IS LED BY THE CHS 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 19THE 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 X, LINE 24ELAB EXPENSE: PROGRAM SERVICE EXPENSES 9,310,733. MANAGEMENT AND GENERAL EXPENSES 1,034,526. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,345,259. BAD DEBT EXPENSE: PROGRAM SERVICE EXPENSES 7,546,568. MANAGEMENT AND GENERAL EXPENSES 838,508. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,385,076. EQUIPMENT RENTAL AND MAINTENANCE: PROGRAM SERVICE EXPENSES 5,598,502. MANAGEMENT AND GENERAL EXPENSES 622,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,220,558. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 4,241,862. MANAGEMENT AND GENERAL EXPENSES 471,323. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,713,185. EQUIPMENT RELATED SUPPLIES: PROGRAM SERVICE EXPENSES 3,742,182. MANAGEMENT AND GENERAL EXPENSES 415,798. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,157,980. CONSULTING FEES: PROGRAM SERVICE EXPENSES 3,646,705. MANAGEMENT AND GENERAL EXPENSES 405,189. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,051,894. MAINTENANCE: PROGRAM SERVICE EXPENSES 3,099,235. MANAGEMENT AND GENERAL EXPENSES 344,359. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,443,594. MINOR MEDICAL EQUIPMENT: PROGRAM SERVICE EXPENSES 2,673,311. MANAGEMENT AND GENERAL EXPENSES 297,035. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,970,346. TRANSPORTATION: PROGRAM SERVICE EXPENSES 2,484,509. MANAGEMENT AND GENERAL EXPENSES 276,057. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,760,566. SUPPLIES: PROGRAM SERVICE EXPENSES 2,447,966. MANAGEMENT AND GENERAL EXPENSES 271,996. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,719,962. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,188,046. MANAGEMENT AND GENERAL EXPENSES 243,116. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,431,162. TELEPHONE: PROGRAM SERVICE EXPENSES 1,449,953. MANAGEMENT AND GENERAL EXPENSES 161,106. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,611,059. PROFESSIONAL DUES: PROGRAM SERVICE EXPENSES 1,277,844. MANAGEMENT AND GENERAL EXPENSES 141,983. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,419,827. REGISTRATION FEES: PROGRAM SERVICE EXPENSES 530,533. MANAGEMENT AND GENERAL EXPENSES 58,948. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 589,481. SUBSCRIPTIONS AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 459,091. MANAGEMENT AND GENERAL EXPENSES 51,010. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 510,101. BANKING FEES: PROGRAM SERVICE EXPENSES 431,707. MANAGEMENT AND GENERAL EXPENSES 47,967. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 479,674. PRINTING AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 311,000. MANAGEMENT AND GENERAL EXPENSES 34,556. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 345,556. POSTAGE AND SHIPPING: PROGRAM SERVICE EXPENSES 310,672. MANAGEMENT AND GENERAL EXPENSES 34,519. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 345,191. COLLECTION FEES: PROGRAM SERVICE EXPENSES 297,296. MANAGEMENT AND GENERAL EXPENSES 33,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 330,329. LODGING: PROGRAM SERVICE EXPENSES 275,171. MANAGEMENT AND GENERAL EXPENSES 30,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 305,746. NOVELTIES: PROGRAM SERVICE EXPENSES 219,677. MANAGEMENT AND GENERAL EXPENSES 24,409. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 244,086. MEALS: PROGRAM SERVICE EXPENSES 184,989. MANAGEMENT AND GENERAL EXPENSES 20,554. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 205,543. SPECIAL FUNCTIONS: PROGRAM SERVICE EXPENSES 152,547. MANAGEMENT AND GENERAL EXPENSES 16,950. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169,497. RECOGNITIONS: PROGRAM SERVICE EXPENSES 6,974. MANAGEMENT AND GENERAL EXPENSES 775. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,749. TELETHON EXPENSE: PROGRAM SERVICE EXPENSES 9. MANAGEMENT AND GENERAL EXPENSES 1. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10.ALL OTHER FUNCTIONAL EXPENSES
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 1,798,580. TRANSFER FROM ALABAMA CHILDREN'S HOSPITAL FOUNDATION 34,141,164. TOTAL TO FORM 990, PART XI, LINE 5: 35,939,744.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C:THE ORGANIZATION MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
ALABAMA CHILDREN'S HOSPITAL FOUNDATION
1600 SEVENTH AVENUE SOUTHBIRMINGHAMAL35233630879471FUNDRAISING ACTIVITIESAL501(C)(3)SUPPORTING ORG ITHE CHILDREN'S HOSPITAL OF ALABAMA1
THE CHILDREN'S HOSPITAL AUXILIARY
1600 SEVENTH AVENUE SOUTHBIRMINGHAMAL35233630774930FUNDRAISING ACTIVITIESAL501(C)(3)SUPPORTING ORG III0N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryShare Of Total IncomeShareOfTotalIncome
TCH VENTURES
1600 7TH AVENUE SOUTHBIRMINGHAMAL35233630942442HOLDING COMPANYALTHE CHILDREN'S HOSPITAL OF ALABAMAC2768831.00000
HOLY INNOCENTS INDEMNITY LTD
980436612INSURANCETHE CHILDREN'S HOSPITAL OF ALABAMAC225461361.00000PO BOX 10073 APOGRAND CAYMANGRAND CAYMANCJCJ3834336
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ALABAMA CHILDREN'S HOSPITAL FOUNDATION
B23058100FAIR MARKET VALUE
ALABAMA CHILDREN'S HOSPITAL FOUNDATION
E3317223FAIR MARKET VALUE
HOLY INNOCENTS INDEMNITY LLC
E386910FAIR MARKET VALUE
HOLY INNOCENTS INDEMNITY LLC
Q3343836FAIR MARKET VALUE
ALABAMA CHILDREN'S HOSPITAL FOUNDATION
C57199264FAIR MARKET VALUE
TCH VENTURES
D276444FAIR MARKET VALUE