FURP.ORG / PUBLIC DATA EXPLORER

CHILDRENS HOSPITAL OF ALABAMA: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CHILDRENS HOSPITAL OF ALABAMA (EIN 63-0307306)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-07
IRS object ID
201323119349301912
Schema version
2012v2.1
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)
Timestamp2013-11-07T14:33:37-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

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 Date2012-01-01TaxPeriodBeginDate

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
Phone2056389100Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameDAWN WALTONName
TitleCFOTitle
Phone2059399100Phone
Date Signed2013-10-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJC ROUSEName
PTINP00081132PTIN
Phone2059794100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11600 SEVENTH AVENUE SOUTHAddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code35233ZIPCode
FieldValueIRS element (for citing)
Gross Receipts580762082GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CHILDRENSAL.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 Members28NbrIndependentVotingMembers
Total Nbr Employees4714TotalNbrEmployees
Total Nbr Volunteers1227TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2774425ContributionsGrantsPriorYear
Contributions Grants Current Year2662935ContributionsGrantsCurrentYear
Program Service Revenue Prior Year536126146ProgramServiceRevenuePriorYear
Program Service Revenue CY562332168ProgramServiceRevenueCY
Investment Income Prior Year-672747InvestmentIncomePriorYear
Investment Income Current Year1810088InvestmentIncomeCurrentYear
Other Revenue Prior Year10364751OtherRevenuePriorYear
Other Revenue Current Year10093502OtherRevenueCurrentYear
Total Revenue Prior Year548592575TotalRevenuePriorYear
Total Revenue Current Year576898693TotalRevenueCurrentYear
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 Year224521458SalariesEtcPriorYear
Salaries Etc Current Year245736280SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year248941893OtherExpensePriorYear
Other Expenses Current Year296977182OtherExpensesCurrentYear
Total Expenses Prior Year473463351TotalExpensesPriorYear
Total Expenses Current Year542713462TotalExpensesCurrentYear
Revenues Less Expenses Prior Year75129224RevenuesLessExpensesPriorYear
Revenues Less Expenses CY34185231RevenuesLessExpensesCY
Total Assets BOY668797176TotalAssetsBOY
Total Assets EOY774438516TotalAssetsEOY
Total Liabilities BOY415187509TotalLiabilitiesBOY
Total Liabilities EOY417710863TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY253609667NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY356727653NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense285920318Expense
Revenue337239257Revenue
DescriptionTHE 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. THE HOSPITAL OPERATES 350 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 2012, THE HOSPITAL HAD 13,595 INPATIENT CASES AND 81,579 PATIENT DAYS. INPATIENT SURGERY CASES TOTALED 5,171 FOR 2012. THE HOSPITAL CRITICAL CARE TRANSPORT TEAM PROVIDES HELICOPTER, JET AND GROUND TRANSPORT FOR CRITICALLY ILL AND INJURED CHILDREN.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense161449145Expense
Revenue188003315Revenue
DescriptionTHE 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 2012, THESE CLINICS HAD 240,293 VISITS AND 16,427 OUTPATIENT SURGERIES WERE PERFORMED. THE HOSPITAL ALSO PROVIDES A STATEWIDE AND REGIONAL REFERRAL SITE FOR COMPLEX EMERGENCY PATIENTS. THE EMERGENCY DEPARTMENT HAD 51,259 VISITS IN 2012.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense41072660Expense
Revenue44144184Revenue
DescriptionTHE HOSPITAL HAS A NETWORK OF PRIMARY CARE PRACTICES THROUGHOUT THE STATE KNOWN AS PEDIATRIC PRACTICE SOLUTIONS. IT CONSISTS OF 13 PRACTICES SUPPORTING 60 GENERAL PEDIATRICIANS. IN 2012 THESE PRACTICES PROVIDED 359,066 VISITS.Description
FieldValueIRS element (for citing)
Total Program Service Expense488442123TotalProgramServiceExpense
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 Assets0ReportOtherAssets
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 With1096237NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees4714NumberOfEmployees
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 Members28NumberIndependentVotingMembers
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 Line1JENNY WAKEFORDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2056386778TelephoneNumber

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 DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
WILLIAM MICHAEL WARREN JR
PRESIDENT & CEO40.00XX5573940192564
RAYMOND J HARBERT
DIRECTOR0.50X000
C PHILLIP MCWANE
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
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
VICE CHAIRMAN OF THE BOARD0.50X000
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 B 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
THOMAS G SHUFFLEBARGER
SR VP AND COO40.00X7215810118456
JAMES MICHAEL BURGESS
CHIEF FINANCIAL OFFICER40.00X5738010110316
MIKE MCDEVITT
EXEC VP FACILITIES AND TEC40.004726910108138X
DOUGLAS DEAN
CHIEF HUMAN RESOURCE OFFICER40.00514045079831X
JAMES PETER VANPELT
SENIOR VP OPERATIONS40.00451212061344X
LORI DENICE MOLER
VP OF CUSTOMER SERVICE40.00441137053140X
COKE MATTHEWS
VP DEVELOPMENT40.00363396071091X
AUDIE WOOLLEY
PEDIATRICIAN40.0010805240118629X
JIMMY SCOTT HILL
PEDIATRICIAN40.0013521830178628X
BRIAN WIATRAK
PEDIATRICIAN40.009931600178628X
WILLIAM PEYTON SHIRLEY
PEDIATRICIAN40.00482112021129X
JOHN D SIMPSON
PEDIATRICIAN40.00424874021129X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8428110TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1313023TotalOtherCompensation
Number Individuals GT100 K259NumberIndividualsGT100K
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 400BIRMINGHAMAL35209CONSTRUCTION38073320
UNIVERSITY OF ALABAMA HEALTH SERVICES FO
1600 SEVENTH AVENUE SOUTHBIRMINGHAMAL35233SUBSPECIALTY, MOONLIGHTING, AFTER HOURS,16659468
VITALIZE CONSULTING SOLUTIONS INC
1710 SAIC DRIVEMCLEANVA22102CONSULTING9648171
ARAMARK
PO BOX 651009CHARLOTTENC282651009CAFETERIA, CENTRAL TRANSPORT6479458
SIEMENS MEDICAL SOLUTIONS
PO BOX 120001DALLASTX753120733SOARIAN DESIGN, IT WORK6293307
FieldValueIRS element (for citing)
Number Of Contractors GT100 K327NumberOfContractorsGT100K
Government Grants1883622GovernmentGrants
All Other Contributions779313AllOtherContributions
Total Contributions2662935TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE900099562329756562329756
MEDICAID DISPROPORTIONATE SHARE90009924122412
FieldValueIRS element (for citing)
Total Program Service Revenue562332168TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1094186TotalRevenueColumn
Exclusion$1,094,186ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column248259TotalRevenueColumn
Exclusion$248,259ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2817149Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3688889Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-871740Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-871740TotalRevenueColumn
Exclusion-$871,740ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other642143Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other174500Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other467643Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column467643TotalRevenueColumn
Exclusion$467,643ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
GRADUATE MEDICAL90009944670924467092
CAFETERIA/VENDING9000992745302$2,745,302
PARKING9000991085103$1,085,103

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2667745TotalRevenueColumn
Related Or Exempt Function Income2587496RelatedOrExemptFunctionIncome
Exclusion$80,249ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue10965242TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column576898693TotalRevenueColumn
Related Or Exempt Function Income569386756RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$4,849,002ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4095258Total
Program Services3685732ProgramServices
Management And General409526ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total200322641Total
Program Services180290377ProgramServices
Management And General20032264ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total27373984Total
Program Services24636586ProgramServices
Management And General2737398ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13944397Total
Program Services12549957ProgramServices
Management And General1394440ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total420096Total
Program Services378086ProgramServices
Management And General42010ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total276576Total
Program Services248918ProgramServices
Management And General27658ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total48222624Total
Program Services43400362ProgramServices
Management And General4822262ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8498589Total
Program Services7648730ProgramServices
Management And General849859ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3043922Total
Program Services2739530ProgramServices
Management And General304392ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3764830Total
Program Services3388347ProgramServices
Management And General376483ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total41034983Total
Program Services36931485ProgramServices
Management And General4103498ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7551576Total
Program Services6796418ProgramServices
Management And General755158ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES38779658349016923877966
DRUGS29854274268688472985427
PROVIDER TAX29485344265368102948534
BAD DEBT EXPENSE16522069148698621652207

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total69522641Total
Program Services62570384ProgramServices
Management And General6952257ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total542713462Total
Program Services488442123ProgramServices
Management And General54271339ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY15680465BOY
EOY68874018EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY36736664BOY
EOY16909131EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY37278069BOY
EOY40839232EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7524546BOY
EOY11512787EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10879861BOY
EOY10756549EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1025240671LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec425217518LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY497310657BOY
EOY600023153EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY63386914BOY
EOY25523646EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY668797176BOY
EOY774438516EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY43921857BOY
EOY48967664EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY7238EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY304903715BOY
EOY292851574EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY66361937BOY
EOY75884387EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY415187509BOY
EOY417710863EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY253609667BOY
EOY356727653EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY253609667BOY
EOY356727653EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY668797176BOY
EOY774438516EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses34185231ReconcilationRevenueExpenses
Reconcilation Other Changes68932755ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

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 Totals267916FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals267916FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals546134435FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals546402351FilingOrganizationsTotals

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 Minus3293157CurrentYearMinus3
Current Year Minus2230070CurrentYearMinus2
Current Year Minus1249541CurrentYearMinus1
Current Year267916CurrentYear
Total1040684Total

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 LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationTHE 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.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 Basis669854753OtherCostOrOtherBasis
Depreciation212095483Depreciation
Book Value457759270BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7390857OtherCostOrOtherBasis
Depreciation4343394Depreciation
Book Value3047463BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis324507308OtherCostOrOtherBasis
Depreciation208778641Depreciation
Book Value115728667BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18687635OtherCostOrOtherBasis
Book Value18687635BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings600023153TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
SALARIES PAYABLE$25,477,754
ACCRUED INTEREST PAYABLE$995,638
PROFESSIONAL LIABILITY ACCRUAL$3,574,278
TEBA LIABILITY$17,829,445
DUE TO AFFILIATE$28,007,272
FieldValueIRS element (for citing)
Total Of Amounts75884387TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE COMPANY IS 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 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, 2012, THAT IT WOULD BE UNABLE TO SUBSTANTIATE. THE COMPANY HAS FILED ITS TAX RETURNS THROUGH DECEMBER 31, 2011. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2009, 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

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage250.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense864194TotalCommunityBenefitExpense
Net Community Benefit Expense864194NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense280640956TotalCommunityBenefitExpense
Direct Offsetting Revenue267654665DirectOffsettingRevenue
Net Community Benefit Expense12986291NetCommunityBenefitExpense
Percent Of Total Expense0.02470PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense17753808TotalCommunityBenefitExpense
Direct Offsetting Revenue19085596DirectOffsettingRevenue
Net Community Benefit Expense-1331788NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense299258958TotalCommunityBenefitExpense
Direct Offsetting Revenue286740261DirectOffsettingRevenue
Net Community Benefit Expense12518697NetCommunityBenefitExpense
Percent Of Total Expense0.02630PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5976724TotalCommunityBenefitExpense
Direct Offsetting Revenue667138DirectOffsettingRevenue
Net Community Benefit Expense5309586NetCommunityBenefitExpense
Percent Of Total Expense0.01010PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense12490787TotalCommunityBenefitExpense
Direct Offsetting Revenue1670370DirectOffsettingRevenue
Net Community Benefit Expense10820417NetCommunityBenefitExpense
Percent Of Total Expense0.02060PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3872935TotalCommunityBenefitExpense
Direct Offsetting Revenue2450816DirectOffsettingRevenue
Net Community Benefit Expense1422119NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense772479TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense772479NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense469TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense469NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense23113394TotalCommunityBenefitExpense
Direct Offsetting Revenue4788324DirectOffsettingRevenue
Net Community Benefit Expense18325070NetCommunityBenefitExpense
Percent Of Total Expense0.03490PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense322372352TotalCommunityBenefitExpense
Direct Offsetting Revenue291528585DirectOffsettingRevenue
Net Community Benefit Expense30843767NetCommunityBenefitExpense
Percent Of Total Expense0.06120PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$6,271,777BadDebtExpenseAmount
Amount Attributable To4617559AmountAttributableTo
Amount Reimbursed By Medicare1824678AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare2478639CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-653961MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare
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 HOSPITAL 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 (10 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, 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 $ 16522069.
PART II: WHILE THE HOSPITAL DID NOT HAVE SYSTEMS IN PLACE TO FORMALLY TRACK COMMUNITY BUILDING ACTIVITIES FOR 2012, 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 2012 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 V, SECTION B, LINE 14G: 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 18E: SIGNAGE IS POSTED IN THE EMERGENCY DEPARTMENT, WAITING AND ADMITTING AREAS NOTIFYING PATIENTS AND GUARANTORS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.THE CHILDREN'S HOSPITAL OF ALABAMA
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 2012, CAUCASIANS, AFRICAN-AMERICANS, HISPANICS, AND OTHER RACES ACCOUNTED FOR 58%, 36%, 2%, AND 4%, RESPECTIVELY, OF THE PATIENTS SERVED WHILE 40%, 37%, AND 23% WERE AGES 0-4, 5-12, AND 13+ YEARS, RESPECTIVELY. ECONOMIC DEMOGRAPHIC DATA IS NOT SPECIFICALLY CAPTURED HOWEVER, IN 2012 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 9 DIFFERENT COLLEGES AND UNIVERSITIES DURING 2012. IN ADDITION, THE HOSPITAL PARTICIPATES IN 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 (13 entries)

TitleTitleBase 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
PRESIDENT & CEO556158000123601770760154880749958000
THOMAS G SHUFFLEBARGER
SR VP AND COO34689101610000213690095304023152084003702124080
JAMES MICHAEL BURGESS
CHIEF FINANCIAL OFFICER328083015200009371808603702427906841170924180
MIKE MCDEVITT
EXEC VP FACILITIES AND TEC3214040150000012870880050201330580829000
DOUGLAS DEAN
CHIEF HUMAN RESOURCE OFFICER2368910980000179154055268024563059387601791540
JAMES PETER VANPELT
SENIOR VP OPERATIONS1868050480000216407039833021511051255602151020
LORI DENICE MOLER
VP OF CUSTOMER SERVICE1659780420000233159035828017312049427702318520
COKE MATTHEWS
VP DEVELOPMENT22668309000004671305854701254404344870454300
AUDIE WOOLLEY
PEDIATRICIAN517356040894601542220787500398790119915301529720
JIMMY SCOTT HILL
PEDIATRICIAN512320040894604309170787500998780153081104296850
BRIAN WIATRAK
PEDIATRICIAN5177580408946066456078750099878011717880652230
WILLIAM PEYTON SHIRLEY
PEDIATRICIAN335949014492701236000211290503241000
JOHN D SIMPSON
PEDIATRICIAN302289012127801307000211290446003000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 4BReturnReference
ExplanationPART I, LINE 4B: WILLIAM MICHAEL WARREN, JR. - $177,076 THOMAS G. SHUFFLEBARGER - $95,304 JAMES MICHAEL BURGESS - $86,037 JAMES PETER VANPELT - $39,833 DOUGLAS B. DEAN - $55,268 LORI DENICE MOLER - $35,828 MIKE MCDEVITT - $88,005 AUDIE WOOLLEY - $78,750 JIMMY SCOTT HILL - $78,750 BRIAN WIATRACK - $78,750 COKE MATTHEWS - $58,547Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
SPECIAL CARE FACILITIES FINANCING AUTH OF THE CTY OF BHAM - CHILDREN'S HOSP
A631005621090929FV72009-09-01233179363CONSTRUCT AND EQUIP FACILITY000
SPECIAL CARE FACILITIES FINANCING AUTH OF THE CTY OF BHAM - CHILDREN'S HOSP
B631005621090929FZ82012-02-2426250000FINANCE EXPANSION FACILITY000
SPECIAL CARE FACILITIES FINANCING AUTH OF THE CTY OF BHAM - CHILDREN'S HOSP
C6310056212012-06-2874600000FINANCE EXPANSION FACILITY000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A752650002331793631597368725538118348082843297251763007617263310011
B26250000262500000011
C74600000746000000011

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000001
B00000.000000.000000.00000001
C00000.000000.000000.00000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000000000
B000000000
C000000000

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, DIRECTOR151496VENDING0
ALABAMA POWER
CHARLES D. MCCRARY & DONALD JAMES ARE DIRECTORS OF THE ABOVE ENTITY4507609ELECTRICITY PROVIDER0
ALABAMA GAS CORPORATION
ROBERT MCANNALLY IS EMPLOYED BY THE ABOVE ENTITY1358009GAS UTILITY0
REGIONS BANK
CHARLES D. MCCRARY & LEE STYSLINGER ARE DIRECTORS OF THE ABOVE ENTITY175574BANKING SERVICES0
REGIONS BANK
O.B. GRAYSON HALL, JR. IS THE CEO OF THE ABOVE ENTITY175574BANKING 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. 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 A GAS UTILITY THAT PROVIDES UTILITY SERVICES TO THE HOSPITAL. L. GWALTNEY MCCOLLUM, JR. IS EMPLOYED BY AN ORGANIZATION THAT SERVED AS CUSTODIAN TO THE INVESTMENT PORTFOLIO FOR THE HOSPITAL AND FOUNDATION THROUGH JUNE 2012. 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 2012. 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 2012. 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 PROVIDED CONCRETE FOR THE EXPANSION FACILITY. 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 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 COMPLIANCE COMMITTEE, THE FINANCE & AUDIT COMMITTEE, AND THE BOARD OF TRUSTEES ON A REGULAR BASIS.
FORM 990, PART VI, SECTION B, LINE 15THE 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 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 IX, LINE 24ELAB EXPENSE : PROGRAM SERVICE EXPENSES 9,101,556. MANAGEMENT AND GENERAL EXPENSES 1,011,284. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,112,840. MANAGEMENT CONTRACTS : PROGRAM SERVICE EXPENSES 8,768,327. MANAGEMENT AND GENERAL EXPENSES 974,259. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,742,586. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 8,154,951. MANAGEMENT AND GENERAL EXPENSES 906,096. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,061,047. EQUIPMENT RENTAL AND MAINTENANCE: PROGRAM SERVICE EXPENSES 6,073,439. MANAGEMENT AND GENERAL EXPENSES 674,827. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,748,266. CONSULTING FEES: PROGRAM SERVICE EXPENSES 5,147,992. MANAGEMENT AND GENERAL EXPENSES 571,999. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,719,991. EQUIPMENT RELATED SUPPLIES: PROGRAM SERVICE EXPENSES 4,087,563. MANAGEMENT AND GENERAL EXPENSES 454,174. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,541,737. MAINTENANCE: PROGRAM SERVICE EXPENSES 3,572,690. MANAGEMENT AND GENERAL EXPENSES 396,966. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,969,656. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,350,624. MANAGEMENT AND GENERAL EXPENSES 372,292. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,722,916. TRANSPORTATION: PROGRAM SERVICE EXPENSES 2,847,652. MANAGEMENT AND GENERAL EXPENSES 316,406. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,164,058. MINOR MEDICAL EQUIPMENT: PROGRAM SERVICE EXPENSES 2,807,165. MANAGEMENT AND GENERAL EXPENSES 311,907. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,119,072. SUPPLIES: PROGRAM SERVICE EXPENSES 2,274,083. MANAGEMENT AND GENERAL EXPENSES 252,676. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,526,759. TELEPHONE: PROGRAM SERVICE EXPENSES 1,600,180. MANAGEMENT AND GENERAL EXPENSES 177,798. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,777,978. PROFESSIONAL DUES: PROGRAM SERVICE EXPENSES 1,336,962. MANAGEMENT AND GENERAL EXPENSES 148,551. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,485,513. SUBSCRIPTIONS AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 552,018. MANAGEMENT AND GENERAL EXPENSES 61,335. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 613,353. BANKING FEES: PROGRAM SERVICE EXPENSES 489,620. MANAGEMENT AND GENERAL EXPENSES 54,402. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 544,022. PRINTING AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 394,568. MANAGEMENT AND GENERAL EXPENSES 43,841. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 438,409. POSTAGE AND SHIPPING: PROGRAM SERVICE EXPENSES 348,089. MANAGEMENT AND GENERAL EXPENSES 38,677. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 386,766. COLLECTION FEES: PROGRAM SERVICE EXPENSES 344,407. MANAGEMENT AND GENERAL EXPENSES 38,267. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 382,674. REGISTRATION FEES: PROGRAM SERVICE EXPENSES 343,324. MANAGEMENT AND GENERAL EXPENSES 38,147. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 381,471. NOVELTIES: PROGRAM SERVICE EXPENSES 309,058. MANAGEMENT AND GENERAL EXPENSES 34,340. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 343,398. LODGING: PROGRAM SERVICE EXPENSES 254,414. MANAGEMENT AND GENERAL EXPENSES 28,268. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 282,682. MEALS: PROGRAM SERVICE EXPENSES 211,092. MANAGEMENT AND GENERAL EXPENSES 23,455. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 234,547. SPECIAL FUNCTIONS: PROGRAM SERVICE EXPENSES 166,400. MANAGEMENT AND GENERAL EXPENSES 18,489. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 184,889. RECOGNITIONS: PROGRAM SERVICE EXPENSES 34,210. MANAGEMENT AND GENERAL EXPENSES 3,801. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,011.ALL OTHER FUNCTIONAL EXPENSES
FORM 990, PART XI, LINE 9:TRANSFER FROM ALABAMA CHILDREN'S HOSPITAL FOUNDATION 68,932,755.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2C:THE HOSPITAL 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 OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryShare Of Total IncomeShareOfTotalIncome
TCH VENTURES
1600 7TH AVENUE SOUTHBIRMINGHAMAL35233630942442HOLDING COMPANYALTHE CHILDREN'S HOSPITAL OF ALABAMAC11.000001
HOLY INNOCENTS INDEMNITY LTD
980436612INSURANCETHE CHILDREN'S HOSPITAL OF ALABAMAC257920481.000001PO BOX 10073 APOGRAND CAYMANGRAND CAYMANCJCJ4223329
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
Dividends Related Organization0DividendsRelatedOrganization
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
B3721000FAIR MARKET VALUE
ALABAMA CHILDREN'S HOSPITAL FOUNDATION
E17747821FAIR MARKET VALUE
HOLY INNOCENTS INDEMNITY LLC
E-427648FAIR MARKET VALUE
HOLY INNOCENTS INDEMNITY LLC
R3284313FAIR MARKET VALUE
ALABAMA CHILDREN'S HOSPITAL FOUNDATION
C72653755FAIR MARKET VALUE
TCH VENTURES
D-276444FAIR MARKET VALUE