2015-11-13T14:49:40-06:00 2014-12-31 454084437 WARREN AVERETT LLC 2500 ACTON ROAD BIRMINGHAM AL 35243 990 2014-01-01 630307306 THE CHILDREN'S HOSPITAL OF ALABAMA CHIL 2056389100 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 DAWN WALTON CFO 2059399100 2015-11-12 1 JC ROUSE P00081132 2059794100 2014 2016-03-07 17:11:31Z WILLIAM MICHAEL WARREN J 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 703867254 0 X WWW.CHILDRENSAL.ORG X 1911 AL SPECIALTY ACUTE-CARE HOSPITAL PROVIDING INPATIENT AND OUTPATIENT MEDICAL SERVICES TO PEDIATRIC PATIENTS. 31 24 5169 1062 0 0 2807370 3334468 661414935 679474402 11553664 1029315 9023407 14765664 684799376 698603849 5000000 0 0 0 268451345 289577982 0 0 0 363563802 376757452 637015147 666335434 47784229 32268415 807994870 773364092 417976828 406018024 390018042 367346068 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 361002770 395973269 THE HOSPITAL IS THE 3RD LARGEST AND ONE OF THE TOP 10 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 351 BEDS, WHICH INCLUDES 48 NICU BASSINETS AND 98 CRITICAL CARE BEDS IN THE FOLLOWING UNITS: CARDIOVASCULAR, PEDIATRIC, NEONATAL, SPECIAL CARE, CRITICAL CARE, BURN AND STEM CELL TRANSPLANTS. IN 2014, CHILDREN'S HOSPITAL HAD 13,698 INPATIENT CASES AND 84,569 PATIENT DAYS. INPATIENT SURGERY CASES TOTALED 5,264 FOR 2014. THE CHILDREN'S CRITICAL CARE TRANSPORT TEAM PROVIDES HELICOPTER, JET AND GROUND TRANSPORT FOR CRITICALLY ILL AND INJURED CHILDREN. 190589492 244407360 THE 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 2014, THESE CLINICS HAD 246,274 VISITS AND 17,277 OUTPATIENT SURGERIES WERE PERFORMED. THE HOSPITAL ALSO PROVIDES A STATEWIDE AND REGIONAL REFERRAL SITE FOR COMPLEX EMERGENCY PATIENTS. THE EMERGENCY DEPARTMENT HAD 56,876 VISITS IN 2014. 48109629 51965778 THE HOSPITAL HAS A NETWORK OF PRIMARY CARE PRACTICES THROUGHOUT THE STATE KNOWN AS PEDIATRIC PRACTICE SOLUTIONS. IT CONSISTS OF 13 PRACTICES SUPPORTING 70 GENERAL PEDIATRICIANS. IN 2013 THESE PRACTICES PROVIDED 333,499 VISITS. 599701891 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 305 0 1 5169 1 0 1 CJ 0 0 0 0 0 0 0 0 X 31 24 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JENNY WAKEFORD 2056386778 1600 7TH AVENUE SOUTH BIRMINGHAM AL 35233 WILLIAM MICHAEL WARREN JR PRESIDENT & CEO 40.00 X X 595099 0 197873 RAYMOND J HARBERT DIRECTOR 0.50 X 0 0 0 C PHILLIP MCWANE DIRECTOR 0.50 X 0 0 0 W CHARLES MAYER DIRECTOR 0.50 X 0 0 0 SUSAN N HASKELL SECRETARY 0.50 X 0 0 0 RICHARD J BIELEN TREASURER 0.50 X 0 0 0 J DAVID BROWN III DIRECTOR 0.50 X 0 0 0 THOMAS N CARRUTHERS JR DIRECTOR 0.50 X 0 0 0 DERROL DAWKINS MD DIRECTOR 0.50 X 0 0 0 DAVID E DIXON DIRECTOR 0.50 X 0 0 0 BETH G DUBINA DIRECTOR 0.50 X 0 0 0 RALPH FROHSIN JR DIRECTOR 0.50 X 0 0 0 OB GRAYSON HALL JR DIRECTOR 0.50 X 0 0 0 JOHN O HUDSON III DIRECTOR 0.50 X 0 0 0 DONALD M JAMES DIRECTOR 0.50 X 0 0 0 VIRGINIA WALKER JONES VICE CHAIRMAN OF THE BOARD 0.50 X 0 0 0 PHILIPPE W LATHROP DIRECTOR 0.50 X 0 0 0 JAMES C LEE III CHAIRMAN OF THE BOARD 0.50 X 0 0 0 THOMAS H LOWDER DIRECTOR 0.50 X 0 0 0 ROBERT S MCANNALLY DIRECTOR 0.50 X 0 0 0 L GWALTNEY MCCOLLUM JR DIRECTOR 0.50 X 0 0 0 CHARLES D MCCRARY DIRECTOR 0.50 X 0 0 0 ANN D MCMILLAN DIRECTOR 0.50 X 0 0 0 BEVERLY B MCNEIL DIRECTOR 0.50 X 0 0 0 CRAFT O'NEAL DIRECTOR 0.50 X 0 0 0 MARGARET M PORTER DIRECTOR 0.50 X 0 0 0 FREDERICK W RENNEKER III DIRECTOR 0.50 X 0 0 0 BEN RUSSELL DIRECTOR 0.50 X 0 0 0 LEE J STYSLINGER III DIRECTOR 0.50 X 0 0 0 TEMPLE W TUTWILER III DIRECTOR 0.50 X 0 0 0 MARC BRYANT TYSON DIRECTOR 0.50 X 0 0 0 THOMAS G SHUFFLEBARGER SR VP AND COO 40.00 X 620189 0 125484 DAWN WALTON CHIEF FINANCIAL OFFICER 40.00 X 440288 0 95619 MIKE MCDEVITT EXEC VP FACILITIES AND TEC 40.00 X 460603 0 114543 JAMES PETER VAN PELT SR VP OPERATION 40.00 X 636057 0 64955 AUDIE WOOLLEY PEDIATRICIAN 40.00 X 926835 0 179977 JIMMY SCOTT HILL PEDIATRICIAN 40.00 X 924272 0 179974 BRIAN WIATRAK PEDIATRICIAN 40.00 X 927183 0 179974 DAVID KELLY PEDIATRICIAN 40.00 X 820356 0 192247 PHILLIP HARMON PEDIATRICIAN 40.00 X 537853 0 20820 6888735 0 1351466 309 0 1 0 UNIVERSITY OF ALABAMA HEALTH SERVICES FO 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 SUBSPECIALTY, MOONLIGHTING, AFTER HOURS, 23801399 HOAR CONSTRUCTION TWO METROPLEX DRIVE STE 400 BIRMINGHAM AL 35209 CONSTRUCTION 12482676 UNIVERSITY OF ALABAMA HOSPITAL 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 HOSPITAL RESIDENTS 10500000 DOSTER CONSTRUCTION COMPANY INC 2100 INTERNATIONAL PARK DR BIRMINGHAM AL 35243 CONSTRUCTION 8808925 UAHSF DEPARTMENT OF SURGERY 500 22ND STREET SOUTH BIRMINGHAM AL 35294 PROGRAM SUPPORT 8534586 310 2499688 834780 3334468 PATIENT SERVICE 900099 679467538 679467538 MEDICAID DISPROPORTIONATE SHARE 900099 6864 6864 679474402 1007629 1007629 4844 4844 2312611 5247050 -2934439 -2934439 -2934439 33197 16355 16842 16842 16842 GRADUATE MEDICAL 900099 3961852 3961852 CAFETERIA/VENDING 900099 3292245 3292245 PARKING 900099 1434326 1434326 9011680 8910158 101522 17700103 698603849 692346412 0 2922969 X 2752236 2477012 275224 235350047 211815042 23535005 35502008 31951807 3550201 15973691 14376322 1597369 248742 223868 24874 213649 192284 21365 58843326 52958993 5884333 1193708 1074337 119371 10345540 9310986 1034554 3272922 2945630 327292 11005731 9905158 1100573 64385384 57946846 6438538 8907429 8016686 890743 MEDICAL SUPPLIES 44935276 40441748 4493528 PROVIDER TAX 37259944 33533950 3725994 DRUGS 35947066 32352359 3594707 MANAGEMENT CONTRACTS 12473518 11226166 1247352 87725217 78952697 8772520 666335434 599701891 66633543 0 94207625 61141078 16912251 16919419 54276832 54802454 13018032 13438031 11844156 12444016 1139806691 555033008 584302787 584773683 33433187 29845411 807994870 773364092 53793798 44354213 3438562 0 280507203 267962831 80237265 93700980 417976828 406018024 X 390018042 367346068 390018042 367346068 807994870 773364092 X 32268415 -54940389 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 314322 314322 666021112 666335434 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 249541 267916 294424 314322 1126203 250000 250000 250000 250000 1000000 1500000 PART II-B, LINE 1: THE HOSPITAL BELONGS TO CERTAIN ORGANIZATIONS THAT ENGAGE IN LOBBYING ACTIVITIES ON BEHALF OF THEIR HOSPITAL MEMBERS. SINCE THIS IS A NONALLOWABLE EXPENSE, THESE ORGANIZATIONS INFORM THEIR MEMBERS THE PORTION OF THEIR DUES THAT SHOULD BE CONSIDERED APPLICABLE TO LOBBYING EXPENSES SO THAT THE APPROPRIATE ADJUSTMENT CAN BE MADE. IN AN EFFORT TO DETERMINE WHICH DUES INCLUDE LOBBYING EXPENSES, WE REVIEWED THE INVOICES FOR ALL DUES PAYMENTS IN EXCESS OF $10,000 AND SCHEDULED ALL OTHER PAYMENTS WE WERE MADE AWARE OF THROUGH VARIOUS INQUIRY. 4800118 4800118 758836748 283415036 475421712 8012158 5970342 2041816 348288735 265647630 82641105 19868932 19868932 584773683 SALARIES PAYABLE 31730614 ACCRUED INTEREST PAYABLE 967711 PROFESSIONAL LIABILITY ACCRUAL 3708980 EXECUTIVE RETIREMENT PLAN 22531105 DUE TO AFFILIATE 34762570 93700980 X PART X, LINE 2: THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3). THE COMPANY ADHERES TO THE PROVISIONS OF THE ACCOUNTING STANDARDS CODIFICATION RELATING TO UNCERTAINTY IN INCOME TAXES THAT REQUIRES ENTITIES TO ASSESS THEIR UNCERTAIN TAX POSITIONS FOR THE LIKELIHOOD THAT THEY WOULD BE OVERTURNED UPON INTERNAL REVENUE SERVICE (IRS) EXAMINATION OR UPON EXAMINATION BY STATE TAXING AUTHORITIES. THE COMPANY HAS DETERMINED THAT IT DOES NOT HAVE ANY POSITIONS AT DECEMBER 31, 2014, THAT IT WOULD BE UNABLE TO SUBSTANTIATE. THE COMPANY HAS FILED ITS TAX RETURNS THROUGH DECEMBER 31, 2013. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2011, AND THEREAFTER ARE SUBJECT TO AUDIT BY THE TAXING AUTHORITIES. 1 1 1 X 250.000000000000 1 X 1 0 0 6362873 6362873 0.00960 344862552 325080431 19782121 0.03000 15618646 16768115 -1149469 0.00000 366844071 341848546 24995525 0.03960 9 36866 8792837 1352052 7440785 0.01130 5 4412 19861541 1624664 18236877 0.02760 2 0 10008523 5483991 4524532 0.00690 1 0 339633 339633 0.00050 17 41278 39002534 8460707 30541827 0.04630 17 41278 405846605 350309253 55537352 0.08590 0 2553301 908674 1922204 2127972 -205768 X 1 0 1 1 CHILDREN'S HOSPITAL OF ALABAMA 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 X X X X X X THE CHILDREN'S HOSPITAL OF ALABAMA 1 1 0 1 X X X X X X X X 13 1 0 0 1 X WWW.CHILDRENSAL.ORG 1 13 1 WWW.CHILDRENSAL.ORG 0 0 1 X 250.000000000000 400.000000000000 X X X X 1 1 X X 1 X X X X 1 X 1 X X X X 1 X 0 0 THE CHILDREN'S HOSPITAL OF ALABAMA PART V, SECTION B, LINE 5: CHILDREN'S OF ALABAMA INVITED SCHOOL NURSES, PEDIATRICIANS, FAMILY PRACTICE PHYSICIANS, AND COMMUNITY ADVOCATES TO PARTICIPATE IN AN ONLINE SURVEY TO IDENTIFY HEALTH NEEDS FOR CHILDREN IN ALABAMA. IN ADDITION TO THE ONLINE SURVEY TOOL, FACE-TO-FACE AND TELEPHONE INTERVIEWS WERE CONDUCTED IN OCTOBER AND NOVEMBER 2012 WITH ALABAMA'S PUBLIC HEALTH LEADERS AND COMMUNITY ADVOCATES. THEY WERE CHOSEN FOR THEIR KNOWLEDGE OF MEDICALLY AND SOCIALLY UNDERSERVED AREAS, PUBLIC HEALTH, AND PEDIATRIC HEALTH CHALLENGES. INTERVIEWEES WERE ASKED WHAT THEY PERCEIVE AS THE GREATEST HEALTH NEEDS FOR CHILDREN IN THEIR SPECIFIC COMMUNITIES AND IN THE STATE IN GENERAL. THE CHILDREN'S HOSPITAL OF ALABAMA PART V, SECTION B, LINE 11: THE CHILDREN'S OF ALABAMA BOARD OF TRUSTEES ADOPTED AN IMPLEMENTATION PLAN ON NOVEMBER 14, 2013 TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS FOR THE THREE YEARS BEGINNING IN 2014. CHILDREN'S ASSUMED A LEAD ROLE IN TARGETING EDUCATION AND INTERVENTION OF ASTHMA AND CHILD SAFETY WHILE SUPPORTING COMMUNITY PARTNERS IN MENTAL HEALTH, OBESITY AND CHILDREN WITH SPECIAL HEALTH CARE NEEDS. IN 2014 CHILDREN'S CONVENED A COMMUNITY BENEFIT STRATEGIC TASK FORCE. RESULTS INCLUDED INCREASED ASTHMA EDUCATION, DEVELOPMENT OF CHILD SAFETY PROCESS AND OUTCOME MEASUREMENTS AND MARKETING AND IDENTIFYING FIVE (5) COMMUNITY-WIDE HEALTH FAIRS TO PROMOTE PRIORITIES IN ASTHMA AND CHILD SAFETY. CHILDREN'S SUPPORTED COMMUNITY PARTNERS IN MENTAL HEALTH, OBESITY AND CHILDREN WITH SPECIAL HEALTH CARE NEEDS BY PARTICIPATING IN COMMUNITY-WIDE MENTAL HEALTH ROUNDTABLES, FOCUSED NUTRITIONAL EDUCATION AND OUTREACH DISCUSSION (OBESITY) AND PARTICIPATING IN THE ANNUAL BIRMINGHAM PARENT'S SPECIAL NEEDS EXPO. IN ALL OF THE CHNA AREAS, CHILDREN'S OF ALABAMA REPRESENTATIVES SERVE ON DIVERSE LOCAL AND STATE COALITIONS AND COLLABORATIONS SURROUNDING PEDIATRIC HEALTH IMPROVEMENT. THE CHILDREN'S HOSPITAL OF ALABAMA PART V, SECTION B, LINE 16I: THE DETAIL FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON THE HOSPITAL'S WEBSITE AS WELL AS UPON REQUEST. SIGNAGE REFERENCING THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN THE EMERGENCY DEPARTMENT, WAITING AND ADMITTING AREAS. IN ADDITION, THERE IS LANGUAGE INCLUDED ON ALL BILLING INVOICES INFORMING THE GUARANTOR OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THE CHILDREN'S HOSPITAL OF ALABAMA PART V, SECTION B, LINE 20E: SIGNAGE IS POSTED IN THE EMERGENCY DEPARTMENT, WAITING AND ADMITTING AREAS NOTIFYING PATIENTS AND GUARANTORS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY THE CHILDREN'S HOSPITAL OF ALABAMA PART V, SECTION B, LINE 16A WEBSITE: WWW.CHILDRENSAL.ORG PART I, LINE 7: THE COSTING METHODOLOGY USED TO COMPLETE LINE 7 WAS AN OVERALL COST-TO-CHARGE RATIO COMPUTED USING THE IRS FORM 990 WORKSHEET 2, RATIO OF PATIENT CARE COST TO CHARGES. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 6,729,840. PART II, COMMUNITY BUILDING ACTIVITIES: WHILE THE HOSPITAL DID NOT HAVE SYSTEMS IN PLACE TO FORMALLY TRACK COMMUNITY BUILDING ACTIVITIES FOR 2014, 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. PART III, LINE 2: THE COST OF BAD DEBT WRITE-OFFS AND THE RELATED COSTS ON LINE 3 WERE CALCULATED BY APPLYING THE OVERALL COST TO CHARGE RATIO OF THE ORGANIZATION TO THE CHARGES WRITTEN OFF. PART III, LINE 3: BAD DEBTS ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR CHARITY CARE WERE CALCULATED BASED ON THE OUTSTANDING PATIENT BALANCE IN EXCESS OF A REASONABLE AMOUNT THE AVERAGE PERSON COULD PAY WITHOUT CREATING A MEDICAL HARDSHIP. FOR 2014 THIS AMOUNT IS $20,000, WHICH APPROXIMATES THE INCOME LIMIT FOR A FAMILY OF 4 IN THE FEDERAL POVERTY GUIDELINES. CHARITY CARE DETERMINATIONS ARE BASED ON COMPLETING THE REQUIRED APPLICATION AND MEETING DEFINED CRITERIA OF THE HOSPITAL. MANY TIMES PATIENTS FAIL TO COMPLETE PAPERWORK REQUIRED DESPITE EFFORTS TO EDUCATE AND INFORM PATIENTS OF THIS OPTION. HOWEVER BASED ON SOCIO-ECONOMIC AND OTHER KNOWN FACTORS, IT IS HIGHLY LIKELY THAT THESE PATIENTS WOULD MEET ESTABLISHED CHARITY CARE CRITERIA IF THE APPLICATION PROCESS WAS COMPLETED. PART VI, LINE 2: THE HOSPITAL ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITIES IT SERVES BY EVALUATING DISEASE AND INJURY DATA OF PATIENTS THAT ARE SERVED IN THE HOSPITAL'S CLINICS AND THAT PRESENT IN THE EMERGENCY DEPARTMENT, PARTICULARLY AROUND INJURY CARE. IN ADDITION, THE HOSPITAL CONSIDERS INFORMATION PROVIDED BY LOCAL PEDIATRICIANS, THE CENTER FOR DISEASE CONTROL, AND OTHER NATIONAL, STATE, AND LOCAL HEALTHCARE GROUPS. PART VI, LINE 3: EACH PATIENT THAT PRESENTS AS A SELF PAY PATIENT IS DIRECTED TO A FINANCIAL COUNSELOR. THE FINANCIAL COUNSELOR EDUCATES PATIENTS AND THEIR FAMILIES ABOUT GOVERNMENT AND FINANCIAL ASSISTANCE PROGRAMS AND ASSISTS WITH RELATED APPLICATIONS. IF A PATIENT IS NOT COUNSELED BY A FINANCIAL COUNSELOR ON THE DATE OF SERVICE, FOLLOW UP ATTEMPTS ARE MADE BY THE FINANCIAL COUNSELORS AND THE BUSINESS OFFICE TO CONTINUE TO INFORM AND EDUCATE PATIENTS RELATED TO AVAILABLE PROGRAMS. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL'S WEBSITE AND THERE IS SIGNAGE THROUGHOUT THE HOSPITAL INFORMING PATIENTS OF THE AVAILABILITY OF A FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 4: THE HOSPITAL'S PRIMARY SERVICE AREA IS BIRMINGHAM-HOOVER METROPOLITAN STATISTICAL AREA AS DEFINED BY THE U.S. OFFICE OF MANAGEMENT AND BUDGET. THE HOSPITAL'S SECONDARY SERVICE AREA IS DEFINED AS THE REST OF THE STATE, AND WE CARE FOR PATIENTS FROM EVERY COUNTY IN THE STATE. DEMOGRAPHIC DATA INCLUDING RACE, GENDER, AND AGE IS CAPTURED THROUGH THE REGISTRATION PROCESS. FOR 2014, CAUCASIANS, AFRICAN-AMERICANS, HISPANICS, AND OTHER RACES ACCOUNTED FOR 56%, 37%, 5%, AND 2%, RESPECTIVELY, OF THE PATIENTS SERVED WHILE 38%, 37%, AND 25% WERE AGES 0-4, 5-12, AND 13+ YEARS, RESPECTIVELY. ECONOMIC DEMOGRAPHIC DATA IS NOT SPECIFICALLY CAPTURED HOWEVER, IN 2014 GREATER THAN 60% OF THE HOSPITAL'S PATIENTS QUALIFIED FOR GOVERNMENTAL MEANS-TESTED PROGRAMS SUCH AS MEDICAID AND SCHIP. PART VI, LINE 5: THE HOSPITAL IS THE PRIMARY SOURCE OF PEDIATRIC HEALTHCARE AND PEDIATRIC HEALTH EDUCATION IN THE STATE OF ALABAMA THROUGH ITS AFFILIATION WITH THE SCHOOL OF MEDICINE AT THE UNIVERSITY OF ALABAMA AT BIRMINGHAM. THE HOSPITAL OPERATES AN OPEN MEDICAL STAFF, HAS A BOARD COMPRISED OF COMMUNITY MEMBERS, AND OPERATES AN OPEN EMERGENCY DEPARTMENT THAT TREATS ALL EMERGENT PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL OPERATES THE ONLY LEVEL 1 PEDIATRIC TRAUMA CENTER, THE ONLY PEDIATRIC RENAL CARE CENTER, AND THE ONLY INPATIENT CHILDREN'S PSYCHIATRIC UNIT IN THE STATE. IN ADDITION, THE HOSPITAL OPERATES THE LARGEST PEDIATRIC BURN CENTER IN THE SOUTHEAST. THE HOSPITAL IS EDUCATION AND RESEARCH FOCUSED AND COLLABORATES WITH LOCAL UNIVERSITIES, AS WELL AS THOSE THROUGHOUT THE STATE, TO TRAIN AND EDUCATE FUTURE HEALTHCARE PROFESSIONALS. THIS IS REFLECTED BY THE FACT THAT APPROXIMATELY 50-60% OF THE PEDIATRICIANS PRACTICING IN THE STATE OF ALABAMA TRAINED AT THE HOSPITAL AND THAT THE HOSPITAL TRAINED NURSING STUDENTS FROM 11 DIFFERENT COLLEGES AND UNIVERSITIES DURING 2014. IN ADDITION, THE HOSPITAL PARTICIPATES IN APPROXIMATELY 225 CLINICAL RESEARCH STUDIES ON AN ANNUAL BASIS. X X X X 0 1 0 0 0 0 0 0 0 WILLIAM MICHAEL WARREN JR PRESIDENT & CEO 593705 0 0 0 1394 0 181503 0 16370 0 792972 0 0 0 THOMAS G SHUFFLEBARGER SR VP AND COO 378371 0 143000 0 98818 0 102477 0 23007 0 745673 0 97583 0 DAWN WALTON CHIEF FINANCIAL OFFICER 286533 0 103000 0 50755 0 76639 0 18980 0 535907 0 49302 0 MIKE MCDEVITT EXEC VP FACILITIES AND TEC 350275 0 109000 0 1328 0 93093 0 21450 0 575146 0 0 0 JAMES PETER VAN PELT SR VP OPERATION 402737 0 35000 0 198320 0 44461 0 20494 0 701012 0 197024 0 AUDIE WOOLLEY PEDIATRICIAN 516542 0 408946 0 1347 0 78752 0 101225 0 1106812 0 0 0 JIMMY SCOTT HILL PEDIATRICIAN 513805 0 408946 0 1521 0 78750 0 101224 0 1104246 0 0 0 BRIAN WIATRAK PEDIATRICIAN 516716 0 408946 0 1521 0 78750 0 101224 0 1107157 0 0 0 DAVID KELLY PEDIATRICIAN 346706 0 50326 0 423324 0 85568 0 106679 0 1012603 0 422016 0 PHILLIP HARMON PEDIATRICIAN 458348 0 78046 0 1459 0 0 0 20820 0 558673 0 0 0 PART I, LINE 4B WILLIAM MICHAEL WARREN, JR. - $181,503 THOMAS G. SHUFFLEBARGER - $102,477 DAWN WALTON - $76,639 JAMES PETER VAN PELT - $44,461 MIKE MCDEVITT - $93,093 AUDIE WOOLLEY - $78,752 JIMMY SCOTT HILL - $78,750 BRIAN WIATRACK - $78,750 DAVID KELLY - $85,568 A SPECIAL CARE FACILITIES FINANCING AUTH OF THE CTY OF BHAM - CHILDREN'S HOSP 631005621 090929FV7 2009-09-01 233179363 CONSTRUCT AND EQUIP FACILITY 0 0 0 B SPECIAL CARE FACILITIES FINANCING AUTH OF THE CTY OF BHAM - CHILDREN'S HOSP 631005621 090929FZ8 2012-02-24 26250000 FINANCE EXPANSION FACILITY 0 0 0 C SPECIAL CARE FACILITIES FINANCING AUTH OF THE CTY OF BHAM - CHILDREN'S HOSP 631005621 2012-06-28 74600000 FINANCE EXPANSION FACILITY 0 0 0 A 233179363 15974301 25538118 3480828 4329725 176300761 726331 0 0 1 1 B 26250000 26250000 0 0 1 1 C 74600000 74600000 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 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 A 0 B 0 C 0 BUFFALO ROCK ENTITY MORE THAN 35% OWNED BY JAMES C. LEE, III, DIRECTOR 232132 VENDING 0 ALABAMA POWER CHARLES D. MCCRARY & DONALD JAMES ARE DIRECTORS OF THE ABOVE ENTITY 4763195 ELECTRICITY PROVIDER 0 ALABAMA GAS CORPORATION ROBERT MCANNALLY IS EMPLOYED BY THE ABOVE ENTITY 1079134 GAS UTILITY 0 REGIONS BANK CHARLES D. MCCRARY & LEE STYSLINGER ARE DIRECTORS OF THE ABOVE ENTITY 146249 BANKING SERVICES 0 REGIONS BANK O.B. GRAYSON HALL, JR. IS THE CEO OF THE ABOVE ENTITY 146249 BANKING SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 RICHARD BIELEN SERVES WITH MR. MIKE WARREN, CEO ON THE BOARD OF DIRECTORS OF A LOCAL INSURANCE COMPANY. THOMAS N. CARRUTHERS, JR. IS OF COUNSEL IN A FIRM WHICH ACTS AS GENERAL COUNSEL FOR THE HOSPITAL AS WELL AS COUNSEL TO THE OBLIGATED GROUP AND BOND COUNSEL. MITCHELL COHEN HAS ADMITTING PRIVILEGES TO THE HOSPITAL & (EFFECTIVE 9/1/14) IS THE CHAIRMAN OF THE UAB DEPARTMENT OF PEDIATRICS WHICH HAS AN AFFILIATION AGREEMENT WITH THE HOSPITAL TO PROVIDE CERTAIN MEDICAL SERVICES. DERROL DAWKINS, M.D. HAS ADMITTING PRIVILEGES TO THE HOSPITAL. O.B. GRAYSON HALL, JR IS THE CEO OF A BANK THAT PROVIDES THE MAJORITY OF THE BANKING SERVICES TO THE HOSPITAL. HE IS ALSO DIRECTOR OF A LOCAL CONSTRUCTION AGGREGATES COMPANY. RAYMOND J. HARBERT OWNS AN INVESTMENT COMPANY THAT MANAGES A HEDGE FUND IN WHICH THE HOSPITAL HAS INVESTED THROUGH A FUND OF FUNDS. (HOWEVER, THE HOSPITAL HAS NO CONTROL HEDGE FUND INVESTMENTS.) DONALD M. JAMES IS A DIRECTOR OF A BANK WHICH WAS AN UNDERWRITER FOR THE HOSPITAL BONDS. MR. JAMES IS ALSO A DIRECTOR FOR THE PARENT COMPANY OF AN ELECTRIC UTILITY THAT PROVIDES UTILITY SERVICES TO THE HOSPITAL. IN ADDITION, MR. JAMES IS A DIRECTOR FOR UA HEALTH SERVICES FOUNDATION, WHICH HAS AN AFFILIATION AGREEMENT TO PROVIDE MEDICAL SERVICES TO THE HOSPITAL. HE IS ALSO AN OFFICER OF A LOCAL CONSTRUCTION AGGREGATES COMPANY OF WHICH MR. HALL & MR. STYSLINGER SERVE ON THE BOARD. VIRGINIA WALKER JONES HAS NO RELATED COMPANIES AS OF 12/31/14. SHE HAS RETIRED FROM A COMPANY THAT PROVIDES CERTAIN VENDING SERVICES TO THE HOSPITAL. MARGARET M. PORTER IS A MEMBER OF AN ADVISORY BOARD FOR A BANK THAT WAS AN UNDERWRITER AND THAT CURRENTLY PROVIDES THE MAJORITY OF THE BANKING SERVICES TO THE HOSPITAL. MARGARET M. PORTER'S SPOUSE PREVIOUSLY HELD A MINORITY OWNERSHIP IN A REAL ESTATE CONSULTING FIRM THAT PROVIDES SERVICES TO THE HOSPITAL; THIS REAL ESTATE FIRM WAS CLOSED IN 2014. 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. IN ADDITION, MR. LOWDER IS A DIRECTOR FOR UA HEALTH SERVICES FOUNDATION, WHICH HAS AN AFFILIATION AGREEMENT TO PROVIDE MEDICAL SERVICES TO THE HOSPITAL. ROBERT S. MCANNALLY IS AN OFFICER OF A GAS UTILITY THAT PROVIDES UTILITY SERVICES TO THE HOSPITAL. CHARLES D. MCCRARY RESIGNED EFFECTIVE 3/1/2014 AS CEO OF AN ELECTRIC UTILITY WHICH PROVIDES UTILITY SERVICES TO THE HOSPITAL. HE ALSO 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 2014. 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 ADDITION, THE FOUNDATION FUNDS THE HARRY BURNS ENDOWED CHAIR WHICH WAS OCCUPIED BY DR. ROYAL DURING 2014. 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. WAS THE CHAIRMAN OF THE UAB DEPARTMENT OF PEDIATRICS WHICH HAS AN AFFILIATION AGREEMENT WITH THE HOSPITAL TO PROVIDE CERTAIN MEDICAL SERVICES. DR. STAGNO RESIGNED EFFECTIVE 9/1/14. 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. IN ADDITION, HE IS A DIRECTOR FOR UA HEALTH SERVICES FOUNDATION, WHICH HAS AN AFFILIATION AGREEMENT TO PROVIDE MEDICAL SERVICES TO THE HOSPITAL. THE HOSPITAL BELIEVES THAT ALL BUSINESS WITH SUCH FIRMS AND BUSINESSES IS CONDUCTED ON TERMS AND CONDITIONS NO LESS FAVORABLE TO THE HOSPITAL THAN THAT WITH UNRELATED THIRD PARTIES. FORM 990, PART VI, SECTION B, LINE 11 THE COMPLETED FORM 990 IS REVIEWED IN DETAIL BY THE FINANCE AND AUDIT COMMITTEE, AS WELL AS THE BOARD OF TRUSTEES, PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATE COMPLIANCE OFFICER IS RESPONSIBLE FOR MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ANNUAL DISCLOSURE REQUESTS ARE SENT AND FOLLOWED UP ON TO ENSURE THAT ALL ARE RETURNED. RETURNED CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND COMPLIANCE DEPARTMENT STAFF AS WELL AS OFFICERS OF THE HOSPITAL 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 FINANCE & AUDIT COMMITTEE, AND THE BOARD OF TRUSTEES ON A REGULAR BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE HOSPITAL MAINTAINS OVERSIGHT CONCERNING ALL EXECUTIVE COMPENSATION ACTION. THIS PROCESS IS LED BY THE HOSPITAL BOARD OF TRUSTEES COMPENSATION COMMITTEE, WHICH IS INVOLVED ANNUALLY, AND THROUGHOUT THE YEAR AS NEEDED, IN PROVIDING OVERSIGHT OF ALL EXECUTIVE COMPENSATION. TOTAL COMPENSATION (I.E. BASE SALARY, INCENTIVE COMPENSATION, AND EXECUTIVE BENEFITS) OF OFFICERS, KEY EMPLOYEES, AND OTHER VICE-PRESIDENTS IS APPROVED BY THE COMPENSATION COMMITTEE PRIOR TO SUCH COMPENSATION BEING PAID. THE TOTAL COMPENSATION THAT IS PRESENTED FOR APPROVAL IS DETERMINED BY EVALUATION OF MARKET DATA COMPARISONS ON EXECUTIVE TOTAL COMPENSATION. THIS INDEPENDENT, OBJECTIVE MARKET DATA IS PROVIDED BY THE HOSPITAL'S INDEPENDENT EXECUTIVE COMPENSATION CONSULTING FIRM, MERCER. ALL COMPENSATION COMMITTEE PROCEEDINGS, DECISIONS, AND ACTIONS ARE DOCUMENTED IN COMMITTEE MINUTES THAT ARE MAINTAINED BY THE HOSPITAL. FORM 990, PART VI, SECTION C, LINE 19 THE CONFLICT OF INTEREST POLICY IS SUMMARIZED IN THE CORPORATE CODE OF CONDUCT WHICH IS AVAILABLE ON THE HOSPITAL'S WEBSITE. THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT GENERALLY AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 24E LAB EXPENSE: PROGRAM SERVICE EXPENSES 10,864,670. MANAGEMENT AND GENERAL EXPENSES 1,207,186. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,071,856. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 10,808,417. MANAGEMENT AND GENERAL EXPENSES 1,200,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,009,352. EQUIPMENT RENTAL AND MAINTENANCE: PROGRAM SERVICE EXPENSES 8,915,334. MANAGEMENT AND GENERAL EXPENSES 990,593. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,905,927. BAD DEBT EXPENSE: PROGRAM SERVICE EXPENSES 6,056,856. MANAGEMENT AND GENERAL EXPENSES 672,984. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,729,840. MAINTENANCE: PROGRAM SERVICE EXPENSES 5,307,372. MANAGEMENT AND GENERAL EXPENSES 589,708. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,897,080. ASSET IMPAIRMENT: PROGRAM SERVICE EXPENSES 5,284,840. MANAGEMENT AND GENERAL EXPENSES 587,204. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,872,044. MINOR MEDICAL EQUIPMENT: PROGRAM SERVICE EXPENSES 5,260,134. MANAGEMENT AND GENERAL EXPENSES 584,459. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,844,593. EQUIPMENT RELATED SUPPLIES: PROGRAM SERVICE EXPENSES 4,749,320. MANAGEMENT AND GENERAL EXPENSES 527,702. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,277,022. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,011,576. MANAGEMENT AND GENERAL EXPENSES 445,731. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,457,307. CONSULTING FEES: PROGRAM SERVICE EXPENSES 3,951,865. MANAGEMENT AND GENERAL EXPENSES 439,096. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,390,961. TRANSPORTATION: PROGRAM SERVICE EXPENSES 2,951,613. MANAGEMENT AND GENERAL EXPENSES 327,957. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,279,570. SUPPLIES: PROGRAM SERVICE EXPENSES 2,125,277. MANAGEMENT AND GENERAL EXPENSES 236,142. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,361,419. TELEPHONE: PROGRAM SERVICE EXPENSES 1,808,496. MANAGEMENT AND GENERAL EXPENSES 200,944. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,009,440. PROFESSIONAL DUES: PROGRAM SERVICE EXPENSES 1,529,621. MANAGEMENT AND GENERAL EXPENSES 169,958. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,699,579. BILLING EXPENSE: PROGRAM SERVICE EXPENSES 675,526. MANAGEMENT AND GENERAL EXPENSES 75,058. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 750,584. BANKING FEES: PROGRAM SERVICE EXPENSES 669,739. MANAGEMENT AND GENERAL EXPENSES 74,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 744,154. REGISTRATION FEES: PROGRAM SERVICE EXPENSES 668,477. MANAGEMENT AND GENERAL EXPENSES 74,275. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 742,752. PRINTING AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 459,497. MANAGEMENT AND GENERAL EXPENSES 51,055. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 510,552. MEALS: PROGRAM SERVICE EXPENSES 450,628. MANAGEMENT AND GENERAL EXPENSES 50,070. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 500,698. SUBSCRIPTIONS AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 439,642. MANAGEMENT AND GENERAL EXPENSES 48,849. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 488,491. COLLECTION FEES: PROGRAM SERVICE EXPENSES 403,835. MANAGEMENT AND GENERAL EXPENSES 44,871. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 448,706. POSTAGE AND SHIPPING: PROGRAM SERVICE EXPENSES 392,061. MANAGEMENT AND GENERAL EXPENSES 43,562. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 435,623. LODGING: PROGRAM SERVICE EXPENSES 357,691. MANAGEMENT AND GENERAL EXPENSES 39,743. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 397,434. INTERPRETING AND TRANSLATION EXPENSE: PROGRAM SERVICE EXPENSES 326,523. MANAGEMENT AND GENERAL EXPENSES 36,280. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 362,803. NOVELTIES: PROGRAM SERVICE EXPENSES 222,946. MANAGEMENT AND GENERAL EXPENSES 24,772. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 247,718. SPECIAL FUNCTIONS: PROGRAM SERVICE EXPENSES 186,283. MANAGEMENT AND GENERAL EXPENSES 20,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 206,981. RECOGNITIONS: PROGRAM SERVICE EXPENSES 73,894. MANAGEMENT AND GENERAL EXPENSES 8,210. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82,104. TELETHON EXPENSE: PROGRAM SERVICE EXPENSES 564. MANAGEMENT AND GENERAL EXPENSES 63. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 627. FORM 990, PART XI, LINE 9: TRANSFER TO ALABAMA CHILDREN'S HOSPITAL FOUNDATION -54,940,385. ROUNDING -4. FORM 990, PART XI, LINE 2C: THE HOSPITAL MADE NO CHANGES TO ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. ALABAMA CHILDREN'S HOSPITAL FOUNDATION 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 630879471 FUNDRAISING ACTIVITIES AL 501(C)(3) LINE 11B, II THE CHILDREN'S HOSPITAL OF ALABAMA 1 THE CHILDREN'S HOSPITAL AUXILIARY 1600 SEVENTH AVENUE SOUTH BIRMINGHAM AL 35233 630774930 FUNDRAISING ACTIVITIES AL 501(C)(3) LINE 11C, III-FI N/A 0 TCH VENTURES 1600 7TH AVENUE SOUTH BIRMINGHAM AL 35233 630942442 HOLDING COMPANY AL THE CHILDREN'S HOSPITAL OF ALABAMA C 552 1.00000 1 HOLY INNOCENTS INDEMNITY LTD PO BOX 10073 APO GRAND CAYMAN GRAND CAYMAN CJ 980436612 INSURANCE CJ THE CHILDREN'S HOSPITAL OF ALABAMA C 6113052 23136575 1.00000 1 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 ALABAMA CHILDREN'S HOSPITAL FOUNDATION B 55410000 FAIR MARKET VALUE ALABAMA CHILDREN'S HOSPITAL FOUNDATION E -1379792 FAIR MARKET VALUE HOLY INNOCENTS INDEMNITY LLC E 10048497 FAIR MARKET VALUE HOLY INNOCENTS INDEMNITY LLC R 3362903 FAIR MARKET VALUE ALABAMA CHILDREN'S HOSPITAL FOUNDATION C 469615 FAIR MARKET VALUE TCH VENTURES D -1025 FAIR MARKET VALUE