2020-11-13T08:54:42-06:00 2019-12-31 560747981 Dixon Hughes Goodman LLP 500 Ridgefield Court Asheville NC 28806 990 2019-01-01 630307306 The Children's Hospital of Alabama CHIL 2056389100 1600 Seventh Avenue South Birmingham AL 35233 Dawn Walton CFO 2056389100 2020-11-13 1 Amy Bibby P00445891 8282542254 2020-11-09 99.47.28.203 2020-11-13 07:16:11 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 48FB394F9AA065459641371F168D9F2AFFFBB473 2019 2021-01-29 14:40:06Z William Michael Warren J 1600 Seventh Avenue South Birmingham AL 35233 760654177 0 X WWW.ChildrensAL.org X 1911 AL Specialty acute-care hospital providing inpatient and outpatient medical services to pediatric patients. 32 30 6037 1033 0 0 3349317 3714382 730128019 744501813 1520228 2308714 3583714 10072638 738581278 760597547 0 0 0 0 337560978 355672573 0 0 0 359892684 362113862 697453662 717786435 41127616 42811112 700291488 786269809 419076195 471704641 281215293 314565168 X The mission of the Children's Hospital of Alabama (the Hospital) is to provide the finest pediatric health services to all children in an environment that fosters excellence in research and medical education. The Hospital will be an advocate for all children and work to educate the public about issues affecting children's health and well-being. 0 0 559873421 754574451 Inpatient:Children's Hospital is the 3rd largest and one of the busiest pediatric medical centers in the United States. It is the only pediatric renal care center and the largest pediatric burn center in the Southeast. Children's operates 341 beds, which include 48 NICU bassinets and 100 critical care beds in the following units: Cardiovascular, Pediatric, Neonatal, Special Care, Critical Care, Burn and Stem Cell Transplant. In 2019, Children's Hospital had 15,130 discharges and 93,730 patient days. Inpatient surgery cases totaled 6,021 for 2019. 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 2019, these clinics had 267,371 visits and 21,212 outpatient surgeries were performed. The Hospital also provides a statewide and regional referral site for complex emergency patients. The Emergency Department had 62,352 visits in 2019.Pediatric Practices:The Hospital has a network of primary care practices throughout the state known as Pediatric Practice Solutions. It consists of 15 practices supporting 78 general pediatricians. In 2019 these practices provided 333,157 visits. 559873421 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 451 0 1 6037 1 0 1 CJ 0 0 0 0 0 0 0 0 1 0 X 32 30 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Jenny Wakeford 2056389100 1600 Seventh Avenue South Birmingham AL 35233 W Charles Mayer Chairman of the Board 1.00 1.00 X 0 0 0 Temple W Tutwiler III Vice Chairman of the Board 1.00 1.00 X 0 0 0 Richard J Bielen Treasurer of the Board 1.00 1.00 X 0 0 0 Beth G Dubina Secretary of the Board 1.00 1.00 X 0 0 0 Edward K Aldag Jr Director 1.00 1.00 X 0 0 0 J David Brown III Director 1.00 1.00 X 0 0 0 Myla E Calhoun Director 1.00 1.00 X 0 0 0 Derrol Dawkins MD Director 1.00 1.00 X 0 0 0 Ralph Frohsin Jr Director 1.00 1.00 X 0 0 0 Raymond J Harbert Director 1.00 1.00 X 0 0 0 William E Horton Director 1.00 1.00 X 0 0 0 Donald M James Director 1.00 1.00 X 0 0 0 Virginia Walker Jones Director 1.00 1.00 X 0 0 0 Philippe W Lathrop Director 1.00 1.00 X 0 0 0 James C Lee III Director 1.00 1.00 X 0 0 0 Thomas H Lowder Director 1.00 1.00 X 0 0 0 Anna M Manasco Director 1.00 1.00 X 0 0 0 L Gwaltney McCollum Jr Director 1.00 1.00 X 0 0 0 Charles D McCrary Director 1.00 1.00 X 0 0 0 Ann D McMillan Director 1.00 1.00 X 0 0 0 Beverly B McNeil Director 1.00 1.00 X 0 0 0 C Phillip McWane Director 1.00 1.00 X 0 0 0 W Jerry Oakes MD Director 1.00 1.00 X 0 0 0 Craft ONeal Director 1.00 1.00 X 0 0 0 Margaret M Porter Director 1.00 1.00 X 0 0 0 Frederick W Renneker III Director 1.00 1.00 X 0 0 0 Stuart A Royal MD Director 1.00 1.00 X 0 0 0 Ben Russell Director 1.00 1.00 X 0 0 0 Lee J Styslinger III Director 1.00 1.00 X 0 0 0 Mark J Tarr Director 1.00 1.00 X 0 0 0 Marc Bryant Tyson Director 1.00 1.00 X 0 0 0 William Michael Warren Jr President & CEO 40.00 1.00 X X 865560 0 21907 Dawn Walton Chief Financial Officer 40.00 1.00 X 687092 0 22154 Thomas G Shufflebarger Chief Operating Officer & Senior EVP 40.00 X 725564 0 28000 Michael E McDevitt EVP of Facilities 40.00 X 643553 0 21685 Deborah E Wesley SVP & Chief Nursing Officer 40.00 X 488867 0 22669 Crayton A Fargason Jr Medical Director & VP Clinical Affairs 40.00 X 435809 0 10749 Douglas Dean VP of Human Resources 40.00 X 501208 0 23067 Robert Sarnecki Chief Information Officer 40.00 X 640884 0 19480 Brian J Wiatrak Pediatrician 40.00 X 1159993 0 28117 Audie L Woolley Pediatrician 40.00 X 1156329 0 28117 Jimmy Scott Hill Pediatrician 40.00 X 1154834 0 28206 Brian Kulbersh Pediatrician 40.00 X 721178 0 28117 Nicholas Smith Pediatrician 40.00 X 665621 0 27757 9846492 0 310025 442 0 1 0 University of Alabama at Birmingham 619 19th Street South Ste 300 Birmingham AL 35249 Hospital Residents, Referred Testing 33482326 University of Alabama Health Services Fo 1600 7th Avenue South Birmingham AL 35233 Hospitalist Services, Emergency, Subspec 30682347 Brasfied & Gorrie LLC 3021 7th Avenue South Birmingham AL 35233 Construction 19994906 Hoar Construction Two Metroplex Drive Suite 400 Birmingham AL 35209 Construction 9403327 Allscripts Healthcare LLC 24630 Network Place Chicago IL 60673 Clinical Software 5942269 258 946915 2767467 3714382 Patient Service 621300 738767414 738767414 Graduate Medical Education 611430 5931493 5931493 Other Program Service 900099 1665849 1665849 Medicaid Disproportionate Share 621300 -1862943 -1862943 744501813 2365344 2365344 2904963 0 2904963 2904963 2904963 56630 -56630 -56630 -56630 Cafeteria and Vending 453000 4882446 4882446 Parking 900099 1806487 1806487 Gift Shop 900099 478742 478742 7167675 760597547 751669488 0 5213677 4988535 3891057 1097478 128104 99921 28183 288566026 225081500 63484526 8980711 7004955 1975756 33543241 26163728 7379513 19465956 15183446 4282510 13012158 10149483 2862675 326057 254324 71733 395005 308104 86901 61338559 47844077 13494482 1195393 932407 262986 22665665 17679219 4986446 15958573 12447687 3510886 22195398 17312410 4882988 928551 724270 204281 6087374 4748152 1339222 57562265 44898567 12663698 8012166 6249489 1762677 Medical Supplies 52814093 41194993 11619100 Drugs 48088640 37509139 10579501 Provider Tax 35885274 27990514 7894760 Bad Debt 8371079 6529442 1841637 7277612 5676537 1601075 717786435 559873421 157913014 0 88914057 171425986 46104296 62826799 15291570 16520075 19495760 17165482 1225511897 740338219 479278778 485173678 51207027 33157789 700291488 786269809 49037517 76541480 225847300 211026325 144191378 184136836 419076195 471704641 X 281215293 314565168 281215293 314565168 700291488 786269809 X 42811112 -9461237 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 429262 429262 669882013 670311275 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 351146 383125 389788 429262 1553321 250000 250000 250000 250000 1000000 1500000 Part II-A, Line 1B The Hospital belongs to certain organizations that engage in lobbying activities on behalf of their hospital members. Since this is a nonallowable expense, these organizations inform their members the portion of their dues that should be considered applicable to lobbying expenses so that the appropriate adjustment can be made. In an effort to determine which dues include lobbying expenses, the Hospital reviewed the invoices for all dues payments in excess of $10,000 and scheduled all other payments we were made aware of through various inquiry. 8459772 8459772 847852842 442719110 405133732 9523751 7707977 1815774 341830564 289911132 51919432 17844968 17844968 485173678 Due to Affiliate 102393401 Salaries Payable 37664963 Accrued Interest Payable 710167 Professional Liability Accrual 30596328 Executive Retirement Plan 12771977 184136836 X Part X, Line 2: The Hospital and the Foundation are exempt from federal income taxes under Section 501(a) of the Internal Revenue Code as organizations described in Section 501(c)(3). TCH Ventures is a taxable entity under the Internal Revenue Code. At present, the Government of the Cayman Islands has imposed no taxation on income or premiums of Holy Innocents. The Company adheres to the provisions of the Accounting Standards Codification relating to uncertainty in income taxes that requires entities to assess their uncertain tax positions for the likelihood that they would be overturned upon Internal Revenue Service (IRS) examination or upon examination by state taxing authorities. The Company has determined that it does not have any positions at December 31, 2019 and 2018, that it would be unable to substantiate. The Company has filed its tax returns through December 31, 2018. The tax returns for the years ended December 31, 2016, and thereafter are subject to audit by the taxing authorities. Holy Innocents Idemnity, LTD 0 0 Professional Insurance Coverage 410642 0 0 0 0 0 0 410642 0 410642 0 0 1 0 0 0 Part III Accounting Method: 1 1 1 X 1 X 1 0 1 1 3069876 3069876 0.00430 388668419 352211070 36457349 0.05140 391738295 352211070 39527225 0.05570 9458370 1984703 7473667 0.01050 18977090 1895150 17081940 0.02410 253933 253933 0.00040 28689393 3879853 24809540 0.03500 420427688 356090923 64336765 0.09070 0 8371079 914912 1743338 1930522 -187184 X 1 1 1 1 Children's Hospital of Alabama 1600 Seventh Avenue South Birmingham AL 35233 X X X X X X Children's Hospital of Alabama 1 0 0 1 X X X X X X X 19 1 0 0 1 X www.childrensal.org 1 19 1 www.childrensal.org 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X www.childrensal.org X www.childrensal.org X www.childrensal.org X X X X X X 1 X 0 X X X 1 X 0 0 Children's Hospital of Alabama Part V, Section B, Line 5: In 2019, to better support the health of children in its community and to comply with federal regulations, Children's engaged the Public Affairs Research Institute of Alabama (PARCA) to conduct the community health needs assessment (CHNA) designed to identify statewide and local child health concerns for children across the state. The assessment's geographic focus targeted Children's primary service area of Bibb, Blount, Chilton, Jefferson, Shelby, St. Clair, and Walker counties. The assessment also focused on child health needs in Children's secondary service area which encompasses the state of Alabama. Stakeholders from both the primary and secondary service areas were invited to participate in an online survey to identify health needs for children's in Alabama. Responding parties included parents, youth leaders, school nurses, administrators, pediatricians, family practice physicians, community advocates, business leaders, and the community at large. In addition to the online survey tool, face-to-face and telephone interviews were conducted in 2019 with Alabama's public health leaders and community and nonprofit advocates. COA's community health needs assessment findings were released on December 20, 2019. Children's Hospital of Alabama Part V, Section B, Line 11: COA continues to address significant needs identified in the most recent CHNA including nutrition and exercise, pediatric mental and behavioral health, and parent education. In 2019, Children's continued to support the missions of like-minded non-profit organizations focused on nutrition, exercise and fitness including Girls on the Run Birmingham, the YWCA, and the YMCA. COA is also an active participant in several regional and statewide coalitions aimed at improving pediatric nutrition and exercise while working to end child hunger. Partnerships include End Child Hunger in Alabama (ECHA) and Bold Goals of Central Alabama's Health Lifestyles Goal Group. These are organizations that have local collaboratives and strategies to address childhood food insecurity. Children's pediatricians are facilitators of the Girlology and Guyology programs aimed at outfitting young girls and boys with age-appropriate health and body classes to navigate their journeys through adolescence. Efforts will continue to increase coordination and collaboration of messaging, educational resources, public events, and other resources as appropriate. Regarding mental and behavioral health, COA established Psychiatric Intake Response Center (PIRC), located in the Emergency Department at Children's. Children's received an ADMH/HRSA grant to establish telehealth relationships with rural pediatric practices to train pediatricians and their staff on how to diagnose and manage their young patients with behavioral and mental health issues, as well as perform diagnosis and treatment plans. Children's also continued its participation in community-wide roundtables in 2019 on mental health, healthy lifestyles, parent education and healthcare equity. Children's Hospital of Alabama Part V, Section B, Line 20e: Signage is posted throughout the facility at entrances and all registration locations including the emergency department, waiting and admitting areas notifying patients and guarantors of the availability of financial assistance. Part I, Line 7: The costing methodology used to complete Line 7 was an overall cost-to-charge ratio computed using the IRS Form 990 Worksheet 2, ratio of patient care cost to charges. Part I, Ln 7 Col(f): The bad debt expense included on Form 990, Part IX, Line 25, column (a), but subtracted for purposes of calculating the percentage in this column is $8,371,079. Part II, Community Building Activities: In 2019 the Hospital participated in initiatives as defined under Part II, Community Building Activities. Thousands of cumulative hours of workforce development and training were reported on a quarterly basis by Hospital divisions training health professionals through annual and seasonal internships. Hospital employees continued their participation in community coalitions including the United Way of Central Alabama's bold goals, local and regional roundtables on mental health, statewide coalitions to address child hunger, access to care, and numerous child safety-related coalitions. The Hospital hosted statewide and local leadership groups in 2019, (i.e. Leadership Birmingham and Leadership Alabama). Our human resource department continued to participate in job and career fairs and marketing campaigns to recruit a broad spectrum of health professionals. Hospital executives served on a variety of community boards, organizations, and professional organizations at a national, state, and local level. Part III, Line 2: Receivables from patients, insurance companies and third-party contractual agencies are stated at net realizable value. The Hospital evaluates the collectability of its patient accounts receivable based on the length of time the receivable is outstanding, historical collection experience, review of large balance accounts and trends in health care insurance programs to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For receivables associated with services provided to patients with third-party insurers, the Hospital estimates contractual allowances based on the terms of third-party insured contracts and estimates an additional allowance for doubtful accounts on patient responsible balances after third-party payments. For receivables associated with self-pay patients, the hospital records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. These allowances are recorded on an estimated basis and adjusted as needed in future periods. Doubtful accounts are written off against the allowance after adequate collection effort is exhausted and recorded as recoveries of bad debts if subsequently collected. Part III, Line 3: Bad debts attributable to patients eligible for charity care were calculated based on the outstanding patient balance in excess of a reasonable amount the average person could pay without creating a medical hardship. For 2019 this amount is $25,750, which approximates the income limit for a family of 4 in the federal poverty guidelines. Charity care determinations are based on completing the required application and meeting defined criteria of the hospital. Many times, patients fail to complete paperwork required despite efforts to educate and inform patients of this option. However, based on socio-economic and other known factors, it is highly likely that these patients would meet established charity care criteria if the application process was completed. Part III, Line 8: Medicare cost & charges primarily relate to renal (ESRD) and SSI patients covered under Medicare. Given our small Medicare population, the costs/charges could fluctuate significantly year over year based on level of care. These would not be considered a community benefit. Part III, Line 9b: A guarantor will receive four bills before the account is turned over to a collection agency. After 120 days, if there is no attempt to pay - the account will be sent to a collection agency. Part VI, Line 2: In 2019, to better support the health of children in its community and to comply with federal regulations, Children's engaged the Public Affairs Research Institute of Alabama (PARCA) to conduct the community health needs assessment (CHNA) designed to identify statewide and local child health concerns for children across the state. The assessment's geographic focus targeted Children's primary service area of Bibb, Blount, Chilton, Jefferson, Shelby, St. Clair, and Walker counties. The assessment also focused on child health needs in Children's secondary service area which encompasses the state of Alabama. Stakeholders from both the primary and secondary service areas were invited to participate in an online survey to identify health needs for children's in Alabama. Responding parties included parents, youth leaders, school nurses, administrators, pediatricians, family practice physicians, community advocates, business leaders, and the community at large. In addition to the online survey tool, face-to-face and telephone interviews were conducted in 2019 with Alabama's public health leaders and community and nonprofit advocates. COA's community health needs assessment findings were released on December 20, 2019. Part VI, Line 3: Each patient that presents as a self pay patient is directed to a financial counselor. The financial counselor educates patients and their families about government and financial assistance programs and assists with related applications. If a patient is not counseled by a financial counselor on the date of service, statements are sent with the information needed to apply for financial assistance by the business office. In addition, the Financial Assistance Policy is posted on the Hospital's website and there is signage throughout the Hospital informing patients of the availability of a financial assistance program. Part VI, Line 4: The Hospital's primary service area is Birmingham / Hoover metropolitan statistical area as defined by the U.S. Office of Management and Budget. The Hospital's secondary service area is defined as the rest of the state, and we care for patients from every county in the state. demographic data including race, gender, and age is captured through the registration process. For 2019, Caucasians, African Americans, Hispanics, and other races accounted for 55%, 36%, 7%, and 2%, respectively, of the patients served while 39%, 35%, and 26% were ages 0-4, 5-12, and 13+ years, respectively. Economic demographic data is not specifically captured. However, in 2019 greater than 60% of the Hospital's patients qualified for governmental means-tested programs such as Medicaid and CHIPS. Part VI, Line 5: The Hospital is the primary source of pediatric healthcare and pediatric health education in the state of Alabama through its affiliation with the School of Medicine at The University of Alabama at Birmingham, other four-year universities, and most of Alabama's two-year colleges. 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, pediatric renal care center, pediatric cardiac and transplant unit, and inpatient children's psychiatric units in the state. In addition, the Hospital operates the largest pediatric burn center in the southeast. The Hospital is education and research focused and collaborates with local universities, as well as those throughout the state, to train and educate future healthcare professionals. This is reflected by the fact that approximately 50-60% of the pediatricians practicing in the state of Alabama trained at the Hospital and that the Hospital trained nursing students and allied health professionals from over 50 different colleges and universities during 2019. In addition, the Hospital participates in approximately 939 clinical research studies on an annual basis. X X X X 0 0 0 0 0 0 0 0 0 William Michael Warren Jr President & CEO 667928 0 168750 0 28882 0 9500 0 12407 0 887467 0 0 0 Dawn Walton Chief Financial Officer 443273 0 212400 0 31419 0 9500 0 12654 0 709246 0 0 0 Thomas G Shufflebarger Chief Operating Officer & Senior EVP 471637 0 226500 0 27427 0 9500 0 18500 0 753564 0 0 0 Michael E McDevitt EVP of Facilities 418807 0 202000 0 22746 0 9500 0 12185 0 665238 0 0 0 Deborah E Wesley SVP & Chief Nursing Officer 306844 0 148650 0 33373 0 9500 0 13169 0 511536 0 0 0 Crayton A Fargason Jr Medical Director & VP Clinical Affai 221090 0 180000 0 34719 0 9500 0 1249 0 446558 0 0 0 Douglas Dean VP of Human Resources 314846 0 154350 0 32012 0 9500 0 13567 0 524275 0 0 0 Robert Sarnecki Chief Information Officer 365636 0 223750 0 51498 0 9500 0 9980 0 660364 0 0 0 Brian J Wiatrak Pediatrician 665669 0 490000 0 4324 0 9500 0 18617 0 1188110 0 0 0 Audie L Woolley Pediatrician 663220 0 490000 0 3109 0 9500 0 18617 0 1184446 0 0 0 Jimmy Scott Hill Pediatrician 661724 0 490000 0 3110 0 9500 0 18706 0 1183040 0 0 0 Brian Kulbersh Pediatrician 406209 0 311897 0 3072 0 9500 0 18617 0 749295 0 0 0 Nicholas Smith Pediatrician 407866 0 254683 0 3072 0 9500 0 18257 0 693378 0 0 0 A Special Care Facilities Financing Auth of the City of Bham-Children's Hosp 631005621 090929fz8 2012-02-24 26250000 Finance Expansion Facility 0 0 0 B Special Care Facilities Financing Auth of the City of Bham-Children's Hosp 631005621 2012-06-28 52000000 Finance Expansion Facility 0 0 0 C Special Care Facilities Financing Auth of the City of Bham-Children's Hosp 631005621 090929gj3 2015-09-12 153240000 Defease 2009 Bonds on 9/12/15 0 0 0 A 10250000 26250000 26250000 0 0 1 1 B 24700000 52000000 52000000 0 0 1 1 C 153240000 1557585 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 1 0 1 0 0 0 0 0 A 0 B 0 C 0 Buffalo Rock Entity more than 35% owned by James C. Lee III, Director 128104 Vending 0 Form 990, Part VI, Section A, line 2 Richard Bielen serves with Mr. Warren on the board of directors of a local insurance company. Form 990, Part VI, Section B, line 11b The completed Form 990 is reviewed in detail by the finance and audit committe. The Form 990 is then provided to the board of trustees, prior to the filing of the return. Form 990, Part VI, Section B, line 12c The Corporate Compliance Officer is responsible for monitoring compliance with the Conflict of Interest Policy. Annual disclosure requests are sent and followed up on to ensure that all are returned. Returned conflict of interest statements are reviewed by the Corporate Compliance Officer and compliance department staff as well as officers of the Organization for accuracy and completeness. Conflict of interest statements are maintained by the compliance department. The Compliance Officer reports activity related to any potential conflicts of interest, including changes in previously reported conflicts to administration, and the corporate compliance committee which is a subcommittee of the board of directors. Form 990, Part VI, Section B, line 15 The Hospital maintains oversight concerning all executive compensation action. This process is led by the Hospital board of trustees compensation committee, which is involved annually, and throughout the year as needed, in providing oversight of all executive compensation. Total compensation (i.e., base salary, incentive compensation, and executive benefits) of officers, key employees, and other vice-presidents is approved by the compensation committee prior to such compensation being paid. The total compensation that is presented for approval is determined by evaluation of market data comparisons on executive total compensation. This independent, objective market data is provided by the hospital's independent executive compensation consulting firm, Sullivan Cotter. All compensation committee proceedings, decisions, and actions are documented in committee minutes that are maintained by the Hospital. Form 990, Part VI, Section C, line 19 The Conflict of Interest Policy is summarized in the Corporate Code of Conduct which is available on the Hospital's website. The governing documents and financial statements are not generally available to the public, although the quarterly disclosures and audited financial statements of the Children's Hospital of Alabama are filed on the electronic municipal market access ("EMMA") section of the municipal securities rulemaking board as we maintain public debt. Audited financial statements are also filed as part of this 990. Form 990, Part XI, line 9: Intercompany transfers -2,029,537. Transfer to Foundation -7,431,700. Form 990, Part XII, Line 2c: The process has not changed from the prior year. TCH Ventures LLC 1600 Seventh Avenue South Birmingham AL 35233 630942442 Holding Company AL 203064 532311 The Children's Hospital of Alabama Alabama Children's Hospital Foundation 1600 Seventh Avenue South Birmingham AL 35233 630879471 Fundraising Activities AL 501(c)(3) Line 12b, II The Children's Hospital of Alabama 1 Holy Innocents Indemnity LTD PO Box 10073 APO Grand Cayman Grand Cayman CJ 980436612 Insurance CJ The Children's Hospital of Alabama C 6087321 32049870 1.00000 1 0 1 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0 Alabama Children's Hospital Foundation B 8431700 Fair Market Value Alabama Children's Hospital Foundation C 706942 Fair Market Value Holy Innocents Indemnity LLC E 22742 Fair Market Value holy Innocents Indemnity LLC R 3306748 Fair Market Value