2019-11-15T08:11:58-06:00 2018-12-31 560747981 Dixon Hughes Goodman LLP 500 Ridgefield Court Asheville NC 28806 990 2018-01-01 630307306 The Children's Hospital of Alabama CHIL 2056389100 1600 Seventh Avenue South Birmingham AL 35233 Dawn Walton CFO 2056389100 2019-11-15 1 Amy Bibby P00445891 8282542254 2019-11-15 24.241.144.70 2019-11-15 07:43:32 ES P 3C4A73C7F70BFF54BAAC11A85090BDFB39FC8B01 48FB394F9AA065459641371F168D9F2AFFFBB473 2018 2020-04-17 16:48:07Z William Michael Warren J 1600 Seventh Avenue South Birmingham AL 35233 744830159 0 X WWW.ChildrensAL.org X 1911 AL Specialty acute-care hospital providing inpatient and outpatient medical services to pediatric patients. 29 27 5789 1068 165512 153754 3480668 3349317 724222590 730128019 9812329 1520228 10996572 3583714 748512159 738581278 0 0 0 0 323033253 337560978 0 0 0 372159788 359892684 695193041 697453662 53319118 41127616 748335366 700291488 436661355 419076195 311674011 281215293 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 557962929 729962507 Children's Hospital is one of the largest and one of the busiest pediatric medical center in the United States. It is the only pediatric renal care center, and the largest pediatric burn center in the Southeast. Children's operates 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 Transplants. In 2018, Children's Hospital had 15,614 inpatient cases and 94,502 patient days. Inpatient surgery cases totaled 6,098 for 2018. The Children's Critical Care Transport team provides helicopter, jet and ground transport for critically ill and injured children. 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 2018, these clinics had 258,866 visits and 20,283 outpatient surgeries were performed. The Hospital also provides a statewide and regional referral site for complex emergency patients. The Emergency Department had 61,534 visits in 2018.The Hospital has a network of primary care practices throughout the state known as Pediatric Practice Solutions. It consists of 14 practices supporting 70 general pediatricians. In 2018 these practices provided 336,707 visits. 557962929 1 1 0 1 0 0 0 0 0 0 1 0 0 1 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 1 430 0 1 5789 1 0 1 CJ 0 0 0 0 0 0 0 0 1 0 X 29 27 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 Susan N Haskell 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 Thomas N Carruthers Jr Director 1.00 1.00 X 0 0 0 Derrol Dawkins MD Director 1.00 1.00 X 0 0 0 Beth G Dubina 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 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 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 Ben Russell Director 1.00 1.00 X 0 0 0 Lee J Styslinger III 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 1014833 0 20741 Dawn Walton Chief Financial Officer 40.00 1.00 X 862313 0 90026 Thomas G Shufflebarger Chief Operating Officer & EVP 40.00 X 671720 0 107574 Michael E McDevitt EVP of Facilities 40.00 X 3278485 0 20485 Deborah E Wesley SVP & Chief Nursing Officer 40.00 X 661683 0 20813 Crayton A Fargason JR Medical Director & VP Clinical Affairs 40.00 X 876186 0 3841 Douglas Dean VP of Human Resources 40.00 X 1101188 0 26538 Robert Sarnecki Chief Information Officer 40.00 X 349438 0 19432 Brian J Wiatrack Pediatrician 40.00 X 4761784 0 27659 Jimmy Scott Hill Pediatrician 40.00 X 3849311 0 27762 Audie L Woolley Pediatrician 40.00 X 3307275 0 27659 David Kelly Pediatrician 40.00 X 1439455 0 26419 Elizabeth Mroczek-Musulman Pediatrician 40.00 X 722836 0 21009 22896507 0 439958 2212 0 1 0 University of Alabama Health Services Fo 1600 7th Avenue South Birmingham AL 35233 Hospitalist Services, Emergency, Subspec 31349489 University of Alabama at Birmingham 619 19th Street South Ste 300 Birmingham AL 35249 Hospital Residents, Referred Testing 28043363 Brasfied & Gorrie LLC 3021 7th Avenue South Birmingham AL 35233 Construction 13427868 Allscripts Healthcare LLC 24630 Network Place Chicago IL 60673 Clinical Software 9491670 Hoar Construction Two Metroplex Drive Suite 400 Birmingham AL 35209 Construction 7697452 259 2193678 1155639 3349317 Patient Service 621300 716927360 716927360 Graduate Medical Education 611430 5637505 5637505 Medicaid Disproportionate Share 621300 5550960 5550960 Other Program Service 900099 2012194 1846682 165512 730128019 1964438 1964438 2939924 5804671 -2864747 -2864747 -2864747 444210 -444210 -444210 -444210 Cafeteria and Vending 453000 4271362 4271362 Parking 900099 1691882 1691882 Gift Shop 900099 485217 485217 6448461 738581278 729962507 165512 5103942 8815846 7052675 1763171 271523465 217218772 54304693 5669356 4535485 1133871 32607762 26086210 6521552 18944549 15155639 3788910 13195216 10556173 2639043 356256 285005 71251 195257 156206 39051 66464915 53171932 13292983 1067356 853885 213471 23051338 18441070 4610268 14789392 11831514 2957878 16871637 13497310 3374327 928265 742612 185653 7262357 5809886 1452471 55449130 44359304 11089826 7759412 6207530 1551882 Medical Supplies 52771093 42216874 10554219 Drugs 44553740 35642992 8910748 Provider Tax 33163255 26530604 6632651 Bad Debt 10889798 8711838 2177960 11124267 8899413 2224854 697453662 557962929 139490733 0 143490951 88914057 759444 54780553 46104296 14027305 15291570 17593348 19495760 1177600947 698322169 489923975 479278778 27759790 51207027 748335366 700291488 43010671 49037517 240118274 225847300 153532410 144191378 436661355 419076195 X 311674011 281215293 311674011 281215293 748335366 700291488 X 41127616 -71586334 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 389788 389788 714735805 715125593 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 336590 351146 383125 389788 1460649 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 784609749 410027238 374582511 9004062 7282422 1721640 331931348 281012509 50918839 43596016 43596016 479278778 Assets Limited to Use 51207027 51207027 Due to Affiliate 96452485 Estimated 3rd Party Payor Settlements 3357891 Salaries Payable 36468889 Accrued Interest Payable 731147 Professional Liability Accrual 2867050 Executive Retirement Plan 4313916 144191378 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, 2018 and 2017, that it would be unable to substantiate. The Company has filed its tax returns through December 31, 2017. The tax returns for the years ended December 31, 2015, and thereafter are subject to audit by the taxing authorities. Holy Innocents Idemnity, LTD 0 0 Professional Insurance Coverage 243300 0 0 0 0 0 0 243300 0 243300 0 0 1 0 0 0 1 1 1 X 1 X 1 0 1 1 3466584 3466584 0.00500 375735694 337094537 38641157 0.05630 26539493 32474908 0 0.00000 405741771 369569445 42107741 0.06130 9389770 1283340 8106430 0.01180 17330967 1802023 15528944 0.02260 379779 379779 0.00060 27100516 3085363 24015153 0.03500 432842287 372654808 66122894 0.09630 0 10889798 866312 2457209 2687573 -230364 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 16 1 0 0 1 X www.childrensal.org 1 16 1 www.childrensal.org 0 1 X 200.000000000000 300.000000000000 X X 1 1 X X X 1 X www.childrensal.org X www.childrensal.org X www.childrensal.org X X X X X X 1 X 0 X X X 1 X 0 0 Children's Hospital of Alabama Part V, Section B, Line 5: COA (Children's of Alabama) conducted its most recent community health needs assessment in between Spring and Fall 2016 with the help of PARCA (Public Affairs Research Council of Alabama). Stakeholders from both the primary and secondary service area were invited to participate in an online survery to identify health needs for childrens in Alabama. Responding parties included school nurses, administrators, pediatricians, family practice physicians, community advocates and the community at large. In addition to the online survery tool, face-to-face and telephone interviews were conducted in 2016 with Alabama's public health leaders and community and nonprofit advocates. COA's community health needs assessment findings were released on December 31, 2016. For 2018, data continued to be analyzed to identify the greatest health needs for childrens, public health trends and pediatric health challenges and planning began for the 2019 assessment. Children's Hospital of Alabama Part V, Section B, Line 11: COA continues to address significant needs identified in the most recent CHNA including asthma, child safety and pediatric mental and behavioral health. In 2018 COA educated the community-at-large on asthma management through community health fairs, daycare-based exercises and printed campaigns. Regarding child safety, COA continued to aggressively realign its child safety and education efforts in 2018. Think first and project Alabama lifestart (AED distribution), asthma management and environmental prevention, child safety initiatives such as water safety, concussion prevention, sports safety, and teen driving, were promted throughout the state in schools, communities and businesses through health fairs, educational demonstrations and ongoing corporate partnerships. Children's also continued its participation in community-wide roundtables in 2018 on mental health, healthy lifestyles, nutrition and child hunger 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 $10,889,798. Part II, Community Building Activities: In 2018 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 2018, (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 2018 this amount is $24,600, which approximates the income limit for a family of 4 in the federal poverty guidelines. Charity care determinations are based on completing the required application and meeting defined criteria of the hospital. Many times patients fail to complete paperwork required despite efforts to educate and inform patients of this option. However based on socio-economic and other known factors, it is highly likely that these patients would meet established charity care criteria if the application process was completed. Part III, Line 8: Medicare cost & charges primarily relate to renal patients that are covered under Medicare. Given our small Medicare population, the costs/charges could flucuate signifantly 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: COA (Children's of Alabama) conducted its most recent community health needs assessment in between Spring and Fall 2016 with the help of PARCA (Public Affairs Research Council of Alabama). Stakeholders from both the primary and secondary service area were invited to participate in an online survery to identify health needs for childrens in Alabama. Responding parties included school nurses, administrators, pediatricians, family practice physicians, community advocates and the community at large. In addition to the online survery tool, face-to-face and telephone interviews were conducted in 2016 with Alabama's public health leaders and community and nonprofit advocates. COA's community health needs assessment findings were released on December 31, 2016. For 2018, data continued to be analyzed to identify the greatest health needs for childrens, public health trends and pediatric health challenges as the facility planned for the 2019 community health needs assessment. 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 2018, 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 2018 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. The Hospital operates an open medical staff, has a board comprised of community members, and operates an open emergency department that treats all emergent patients regardless of their ability to pay. The Hospital operates the only level 1 pediatric trauma center, the only pediatric renal care center, and the only inpatient children's psychiatric unit in the state. In addition, the Hospital operates the largest pediatric burn center in the southeast. The Hospital is education and research focused and collaborates with local universities, as well as those throughout the state, to train and educate future healthcare professionals. This is reflected by the fact that approximately 50-60% of the pediatricians practicing in the state of Alabama trained at the Hospital and that the Gospital trained nursing students from over 10 different colleges and universities during 2018. In addition, the Hospital participates in approximately 939 clinical research studies on an annual basis. X X X X 0 1 0 0 0 0 0 0 0 William Michael Warren JR President & CEO 619846 0 0 0 394987 0 9250 0 11491 0 1035574 0 393933 0 Dawn Walton Chief Financial Officer 414203 0 0 0 448110 0 77896 0 12130 0 952339 0 447037 0 Thomas G Shufflebarger Chief Operating Officer & EVP 440082 0 0 0 231638 0 90089 0 17485 0 779294 0 230708 0 Michael E McDevitt EVP of Facilities 393056 0 0 0 2885429 0 9250 0 11235 0 3298970 0 2884458 0 Deborah E Wesley SVP & Chief Nursing Officer 286659 0 0 0 375024 0 9250 0 11563 0 682496 0 374027 0 Crayton A Fargason JR Medical Director & VP Clinical Affai 144963 0 0 0 731223 0 3824 0 17 0 880027 0 731223 0 Douglas Dean VP of Human Resources 293452 0 0 0 807736 0 9250 0 17288 0 1127726 0 806728 0 Robert Sarnecki Chief Information Officer 345627 0 0 0 3811 0 6195 0 13237 0 368870 0 3811 0 Brian J Wiatrack Pediatrician 641776 0 490000 0 3630008 0 9250 0 18409 0 4789443 0 3629037 0 Jimmy Scott Hill Pediatrician 636752 0 490000 0 2722559 0 9250 0 18512 0 3877073 0 2721553 0 Audie L Woolley Pediatrician 638651 0 490000 0 2178624 0 9250 0 18409 0 3334934 0 2177628 0 David Kelly Pediatrician 439475 0 70842 0 929138 0 9250 0 17169 0 1465874 0 928167 0 Elizabeth Mroczek-Musulman Pediatrician 351474 0 61144 0 310218 0 9250 0 11759 0 743845 0 280969 0 Part I, Line 4b The following individuals participated in a nonqualified deferred compensation program. The following represents amounts included in the W-2 from participation in the plan. $394,987 William M. Warren, Jr. R. $448,109 Dawn Walton $231,638 Thomas G. Shufflebarger $2,885,429 Michael E. McDevitt $375,024 Deborah E. Wesley 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 5500000 26250000 26250000 0 0 1 1 B 7800000 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 Buffalo Rock Entity more than 35% owned by James C. Lee III, Director 158608 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 -7,858,733. Transfer to Foundation -63,727,601. 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 119193 329347 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 3213319 26485289 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 63727601 Fair Market Value Alabama Children's Hospital Foundation C 1351426 Fair Market Value Holy Innocents Indemnity LLC E 153242 Fair Market Value holy Innocents Indemnity LLC R 3507096 Fair Market Value