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Nonprofiteer
← CHILDRENS HOSPITAL OF ALABAMA

Form 990 for tax year 2024

Filed by CHILDRENS HOSPITAL OF ALABAMA.

Totals

Total revenue
$953,214,153
Total expenses
$885,833,064
Contributions and grants received
$4,252,453
Grants paid
$0
Program service revenue
$911,915,042
Investment income
$26,280,360
Other revenue
$10,766,298
Total assets, end of year
$988,226,337
Total liabilities, end of year
$557,551,920
Net assets or fund balances, end of year
$430,674,417
Program services expenses (Part IX)
$726,527,464
Management and general expenses
$159,305,600
Fundraising expenses
$0
Program service expenses (Part III)
$726,527,464

Program services were 82.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $865,810

  • 1e · Government grants (contributions)

    $1,107,388

  • 1f · All other contributions, gifts and grants

    $2,279,255

  • 2a · Program service revenue: Patient Service

    total $903,429,771 · related or exempt $903,429,771

  • 2b · Program service revenue: Graduate Medical Education

    total $7,016,967 · related or exempt $7,016,967

  • 2c · Program service revenue: Other Program Service

    total $1,468,304 · related or exempt $1,468,304

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $25,560,883 · excluded $25,560,883

  • 6a · Gross rents

    real property $3,381,104

  • 6c · Rental income or loss

    real property $3,381,104 · personal property $0

  • 6d · Net rental income or loss

    total $3,381,104 · unrelated business $54,255 · excluded $3,326,849

  • 7a · Gross sales of assets other than inventory

    securities $62,008 · other assets $657,469

  • 7c · Gain or loss

    securities $62,008 · other assets $657,469

  • 7d · Net gain or loss

    total $719,477 · excluded $719,477

  • 11a · Other revenue: Cafeteria and Vending

    total $4,206,272 · excluded $4,206,272

  • 11b · Other revenue: Parking

    total $2,655,950 · excluded $2,655,950

  • 11c · Other revenue: Gift Shop

    total $522,972 · excluded $522,972

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $7,385,194

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $5,596,553 · program services $4,421,277 · management and general $1,175,276

  • 7 · Other salaries and wages

    total $376,385,576 · program services $297,344,605 · management and general $79,040,971

  • 8 · Pension plan contributions

    total $12,676,104 · program services $10,014,122 · management and general $2,661,982

  • 9 · Other employee benefits

    total $41,713,161 · program services $32,953,397 · management and general $8,759,764

  • 10 · Payroll taxes

    total $26,620,038 · program services $21,029,830 · management and general $5,590,208

  • 11a · Fees: management

    total $11,513,223 · program services $9,095,446 · management and general $2,417,777

  • 11b · Fees: legal

    total $248,169 · program services $196,054 · management and general $52,115

  • 11c · Fees: accounting

    total $403,967 · program services $319,134 · management and general $84,833

  • 11d · Fees: lobbying

    total $393,283 · program services $393,283

  • 11g · Fees: other

    total $74,232,551 · program services $58,643,714 · management and general $15,588,837 · fundraising $0

  • 12 · Advertising and promotion

    total $1,454,186 · program services $1,148,807 · management and general $305,379

  • 13 · Office expenses

    total $28,133,441 · program services $22,225,418 · management and general $5,908,023

  • 14 · Information technology

    total $24,560,906 · program services $19,403,116 · management and general $5,157,790

  • 16 · Occupancy

    total $22,495,361 · program services $17,771,335 · management and general $4,724,026

  • 17 · Travel

    total $881,607 · program services $696,470 · management and general $185,137

  • 20 · Interest

    total $8,354,232 · program services $6,599,843 · management and general $1,754,389

  • 22 · Depreciation, depletion and amortization

    total $52,800,178 · program services $41,712,141 · management and general $11,088,037

  • 23 · Insurance

    total $6,849,080 · program services $5,410,773 · management and general $1,438,307

  • 24a · Other expenses: Medical Supplies

    total $73,520,474 · program services $73,520,474

  • 24b · Other expenses: Drugs

    total $53,321,213 · program services $53,321,213

  • 24c · Other expenses: Provider Tax

    total $42,868,309 · program services $33,865,964 · management and general $9,002,345

  • 24d · Other expenses: Bad Debt

    total $10,726,249 · program services $8,473,737 · management and general $2,252,512

  • 24e · All other expenses

    total $10,085,203 · program services $7,967,311 · management and general $2,117,892 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $351,426,900 · end of year $327,199,246

  • 4 · Accounts receivable

    beginning of year $81,541,340 · end of year $84,852,788

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 8 · Inventories for sale or use

    beginning of year $18,888,855 · end of year $19,530,094

  • 9 · Prepaid expenses and deferred charges

    beginning of year $18,338,209 · end of year $19,636,811

  • 10a · Land, buildings and equipment: cost or other basis

    $1,355,497,557

  • 10b · Land, buildings and equipment: accumulated depreciation

    $928,461,740

  • 10c · Land, buildings and equipment, net

    beginning of year $428,946,894 · end of year $427,035,817

  • 11 · Investments: publicly traded securities

    beginning of year $84,246,584 · end of year $72,705,422

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $34,889,045 · end of year $37,266,159

  • 17 · Accounts payable and accrued expenses

    beginning of year $50,230,182 · end of year $55,014,225

  • 19 · Deferred revenue

    beginning of year $31,137,290 · end of year $28,918,947

  • 20 · Tax-exempt bond liabilities

    beginning of year $154,227,880 · end of year $143,160,542

  • 22 · Loans and payables to officers and key people

    end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $80,000,000 · end of year $80,000,000

  • 25 · Other liabilities

    beginning of year $240,878,886 · end of year $250,458,206

  • 27 · Net assets without donor restrictions

    beginning of year $461,803,589 · end of year $430,674,417

Mission and programs · 2024

Mission

The mission of Children's of Alabama is to provide the finest pediatric health services to all children in an environment that fosters excellence in research and medical education. Children's will be an advocate for all children and work to educate the public about issues affecting children's health and well-being.

Activities or mission (Part I)

Specialty acute-care hospital providing inpatient and outpatient medical services to pediatric patients.

  • Inpatient: Children's of Alabama provides specialized medical care for ill and injured children. Ranked among the best children's hospitals in the nation by U.S. News & World Report, Children's serves patients from every county in Alabama and nearly every state. With more than 3.5 million square feet, it is one of the largest pediatric medical facilities in the United States. Children's offers inpatient and outpatient services at its Russell Campus on Birmingham's historic Southside with additional specialty services provided at Children's South, Children's on 3rd and in Huntsville and Montgomery. Primary medical care is provided in more than a dozen communities across central Alabama. Children's is the only health system in Alabama dedicated solely to the care and treatment of children. It is a private, not-for-profit medical center that serves as the teaching hospital for the University of Alabama at Birmingham (UAB) pediatric medicine, surgery, psychiatry, research and residency programs. Children's operates 357 beds, which include 54 NICU bassinets and 100 critical care beds in the following units: Cardiovascular, Pediatric, Neonatal, Special Care, Critical Care, Burn and Stem Cell Transplant. In 2024, Children's Hospital had 16,352 Pdischarges and 101,004patient days. Inpatient surgery cases totaled 6,156 for 2024. The Children's Critical Care Transport team provides helicopter, jet, and ground transport for critically ill and injured children. Outpatient: Children's Hospital operates 13 outpatient specialty clinics that handle follow-up visits for patients as well as referrals from health departments across the state. These clinics provide services in Hemodialysis, Gastroenterology, Hematology/Oncology, Orthopedics, Urology, Otorhinolaryngology, Neurology, Pulmonary Function, General Surgery, Dental, Behavioral Services, Speech and Hearing, Physical Therapy, Occupational Therapy, Heart Transplant and others. In 2024, these clinics had 285,798 visits and 22,956outpatient surgeries were performed. The Hospital also provides a statewide and regional referral site for complex emergency patients. The Emergency Department had 60,941visits in 2024. Pediatric Practices: The Hospital has a network of primary care practices throughout the state known as Pediatric Practice Solutions. It consists of 14 practices supporting approximately 70 general pediatricians. In 2024 these practices provided 307,232visits.

    Expenses $726,527,464 · Revenue $911,915,042

As filed on the 2024 return.

Listed in Part VII

  • Edward K Aldag Jr

    Vice Chairman of the Board

    Total calculated
    $0
    Hours/week
    1
  • J David Brown III

    Chairman of the Board

    Total calculated
    $0
    Hours/week
    1
  • Lee J Styslinger III

    Treasurer of the Board

    Total calculated
    $0
    Hours/week
    1
  • Myla E Calhoun

    Secretary of the Board

    Total calculated
    $0
    Hours/week
    1
  • Adelia R Hendrix

    Director

    Total calculated
    $0
    Hours/week
    1
  • Anna M Manasco

    Director

    Total calculated
    $0
    Hours/week
    1
  • C Phillip McWane

    Director

    Total calculated
    $0
    Hours/week
    1
  • Craft O'Neal

    Director

    Total calculated
    $0
    Hours/week
    1
  • Derrol Dawkins MD

    Director

    Total calculated
    $0
    Hours/week
    1
  • Donald M James

    Director

    Total calculated
    $0
    Hours/week
    1
  • Frederick W Renneker III

    Director

    Total calculated
    $0
    Hours/week
    1
  • James C Lee III

    Director

    Total calculated
    $0
    Hours/week
    1
  • L Gwaltney McCollum Jr

    Director

    Total calculated
    $0
    Hours/week
    1
  • Marc Bryant Tyson

    Director

    Total calculated
    $0
    Hours/week
    1
  • Margaret M Porter

    Director

    Total calculated
    $0
    Hours/week
    1
  • Mark E Dixon

    Director

    Total calculated
    $0
    Hours/week
    1
  • Mark J Tarr

    Director

    Total calculated
    $0
    Hours/week
    1
  • Philippe W Lathrop

    Director

    Total calculated
    $0
    Hours/week
    1
  • Ralph Frohsin Jr

    Director

    Total calculated
    $0
    Hours/week
    1
  • Randall Woodfin

    Director

    Total calculated
    $0
    Hours/week
    1
  • Raymond J Harbert

    Director

    Total calculated
    $0
    Hours/week
    1
  • Richard J Bielen

    Director

    Total calculated
    $0
    Hours/week
    1
  • Stuart A Royal MD

    Director

    Total calculated
    $0
    Hours/week
    1
  • Temple W Tutwiler III

    Director

    Total calculated
    $0
    Hours/week
    1
  • Thomas H Lowder

    Director

    Total calculated
    $0
    Hours/week
    1
  • Tracey Morant Adams

    Director

    Total calculated
    $0
    Hours/week
    1
  • Virginia Walker Jones

    Director

    Total calculated
    $0
    Hours/week
    1
  • W Charles Mayer

    Director

    Total calculated
    $0
    Hours/week
    1
  • W Jerry Oakes MD

    Director

    Total calculated
    $0
    Hours/week
    1
  • William E Horton

    Director

    Total calculated
    $0
    Hours/week
    1
  • Dawn Walton

    Chief Financial Officer

    Total calculated
    $850,418
    From this org
    $824,191
    From related orgs
    $0
    Other
    $26,227
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $628,227
    Bonus
    $165,876
    Other
    $30,088
    Deferred
    $11,500
    Nontaxable benefits
    $14,727
    Filer's total
    $850,418
  • Thomas G Shufflebarger

    President & CEO

    Total calculated
    $1,662,388
    From this org
    $1,635,068
    From related orgs
    $0
    Other
    $27,320
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $1,054,833
    Bonus
    $552,825
    Other
    $27,410
    Deferred
    $11,500
    Nontaxable benefits
    $15,820
    Filer's total
    $1,662,388
  • Andrew Loehr

    Senior VP & Chief Operating Officer

    Total calculated
    $696,631
    From this org
    $662,622
    From related orgs
    $0
    Other
    $34,009
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $506,060
    Bonus
    $127,008
    Other
    $29,554
    Deferred
    $11,500
    Nontaxable benefits
    $22,509
    Filer's total
    $696,631
  • Crayton A Fargason Jr

    Medical Director & VP Clinical Affairs

    Total calculated
    $825,020
    From this org
    $812,367
    From related orgs
    $0
    Other
    $12,653
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $603,519
    Bonus
    $170,837
    Other
    $38,011
    Deferred
    $11,500
    Nontaxable benefits
    $1,153
    Filer's total
    $825,020
  • Delicia Mason

    VP of Nursing Operations

    Total calculated
    $430,364
    From this org
    $396,355
    From related orgs
    $0
    Other
    $34,009
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $292,005
    Bonus
    $75,762
    Other
    $28,588
    Deferred
    $11,500
    Nontaxable benefits
    $22,509
    Filer's total
    $430,364
  • Douglas Dean

    VP of Human Resources

    Total calculated
    $623,548
    From this org
    $596,133
    From related orgs
    $0
    Other
    $27,415
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $442,068
    Bonus
    $118,361
    Other
    $35,704
    Deferred
    $11,500
    Nontaxable benefits
    $15,915
    Filer's total
    $623,548
  • Robert Sarnecki

    Chief Information Officer

    Total calculated
    $695,441
    From this org
    $669,816
    From related orgs
    $0
    Other
    $25,625
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $506,348
    Bonus
    $133,557
    Other
    $29,911
    Deferred
    $9,710
    Nontaxable benefits
    $15,915
    Filer's total
    $695,441
  • Audie L Woolley

    Pediatrician

    Total calculated
    $1,161,631
    From this org
    $1,127,642
    From related orgs
    $0
    Other
    $33,989
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $634,078
    Bonus
    $490,000
    Other
    $3,564
    Deferred
    $11,500
    Nontaxable benefits
    $22,489
    Filer's total
    $1,161,631
  • Brian J Wiatrak

    Pediatrician

    Total calculated
    $1,167,012
    From this org
    $1,133,023
    From related orgs
    $0
    Other
    $33,989
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $636,165
    Bonus
    $490,000
    Other
    $6,858
    Deferred
    $11,500
    Nontaxable benefits
    $22,489
    Filer's total
    $1,167,012
  • Brian Kulbersh

    Pediatrician

    Total calculated
    $1,035,217
    From this org
    $1,001,228
    From related orgs
    $0
    Other
    $33,989
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $487,068
    Bonus
    $510,000
    Other
    $4,160
    Deferred
    $11,500
    Nontaxable benefits
    $22,489
    Filer's total
    $1,035,217
  • Jimmy Hill

    Pediatrician

    Total calculated
    $1,155,230
    From this org
    $1,127,770
    From related orgs
    $0
    Other
    $27,460
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $634,060
    Bonus
    $490,000
    Other
    $3,710
    Deferred
    $11,500
    Nontaxable benefits
    $15,960
    Filer's total
    $1,155,230
  • Nicholas Smith

    Pediatrician

    Total calculated
    $1,039,977
    From this org
    $1,005,195
    From related orgs
    $0
    Other
    $34,782
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $491,035
    Bonus
    $510,000
    Other
    $4,160
    Deferred
    $11,500
    Nontaxable benefits
    $23,282
    Filer's total
    $1,039,977

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • TCH Ventures LLC

    Holding Company · AL · income $27,226 · assets $903,821

    Directly controlled by The Children's Hospital of Alabama

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Holy Innocents Indemnity LTD

    C Corporation · Insurance · CJ · 1% owned · share of income $5,659,831 · share of assets $25,487,850 · controlled entity

    Directly controlled by The Children's Hospital of Alabama

Provenance

Return type
form_990
Tax year
2024
Filed
13 November 2025
IRS schema version
2024v5.1
Source object
202513179349309521

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