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Nonprofiteer
← CHILDRENS HOSPITAL OF ALABAMA

Form 990 for tax year 2022

Filed by CHILDRENS HOSPITAL OF ALABAMA.

Totals

Total revenue
$873,044,518
Total expenses
$798,693,063
Contributions and grants received
$3,594,546
Grants paid
$0
Program service revenue
$855,488,218
Investment income
$3,401,117
Other revenue
$10,560,637
Total assets, end of year
$958,457,357
Total liabilities, end of year
$551,945,979
Net assets or fund balances, end of year
$406,511,378
Program services expenses (Part IX)
$658,004,920
Management and general expenses
$140,688,143
Fundraising expenses
$0
Program service expenses (Part III)
$658,004,920

Program services were 82.4% 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

    $2,314,025

  • 1e · Government grants (contributions)

    $985,293

  • 1f · All other contributions, gifts and grants

    $295,228

  • 2a · Program service revenue: Patient Service

    total $846,257,615 · related or exempt $846,257,615

  • 2b · Program service revenue: Graduate Medical Education

    total $6,290,978 · related or exempt $6,290,978

  • 2c · Program service revenue: Other Program Service

    total $1,932,267 · related or exempt $1,932,267

  • 2d · Program service revenue: Medicaid Disproportionate Share

    total $1,007,358 · related or exempt $1,007,358

  • 3 · Investment income

    total $3,512,320 · excluded $3,512,320

  • 6a · Gross rents

    real property $3,083,360

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $3,083,360

  • 6d · Net rental income or loss

    total $3,083,360 · unrelated business $18,533 · excluded $3,064,827

  • 7b · Less cost or other basis and sales expenses

    other assets $111,203

  • 7c · Gain or loss

    other assets -$111,203

  • 7d · Net gain or loss

    total -$111,203 · excluded -$111,203

  • 11a · Other revenue: Cafeteria and Vending

    total $4,805,351 · excluded $4,805,351

  • 11b · Other revenue: Parking

    total $2,287,886 · excluded $2,287,886

  • 11c · Other revenue: Gift Shop

    total $384,040 · excluded $384,040

  • 11e · Other revenue, total

    $7,477,277

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $4,895,160 · program services $3,867,176 · management and general $1,027,984

  • 7 · Other salaries and wages

    total $334,178,857 · program services $264,001,297 · management and general $70,177,560

  • 8 · Pension plan contributions

    total $11,062,511 · program services $8,739,384 · management and general $2,323,127

  • 9 · Other employee benefits

    total $33,678,435 · program services $26,605,964 · management and general $7,072,471

  • 10 · Payroll taxes

    total $23,238,748 · program services $18,358,611 · management and general $4,880,137

  • 11a · Fees: management

    total $10,550,867 · program services $8,335,185 · management and general $2,215,682

  • 11b · Fees: legal

    total $287,257 · program services $226,933 · management and general $60,324

  • 11c · Fees: accounting

    total $380,078 · program services $300,262 · management and general $79,816

  • 11d · Fees: lobbying

    total $364,384 · management and general $364,384

  • 11g · Fees: other

    total $70,770,117 · program services $55,908,392 · management and general $14,861,725

  • 12 · Advertising and promotion

    total $1,221,371 · program services $964,883 · management and general $256,488

  • 13 · Office expenses

    total $25,993,626 · program services $20,534,965 · management and general $5,458,661

  • 14 · Information technology

    total $21,985,078 · program services $17,368,212 · management and general $4,616,866

  • 16 · Occupancy

    total $21,783,080 · program services $17,208,633 · management and general $4,574,447

  • 17 · Travel

    total $523,305 · program services $413,411 · management and general $109,894

  • 20 · Interest

    total $6,980,521 · program services $5,514,612 · management and general $1,465,909

  • 22 · Depreciation, depletion and amortization

    total $53,276,480 · program services $42,088,419 · management and general $11,188,061

  • 23 · Insurance

    total $8,843,993 · program services $6,986,754 · management and general $1,857,239

  • 24a · Other expenses: Medical Supplies

    total $66,288,579 · program services $66,288,579

  • 24b · Other expenses: Drugs

    total $56,039,579 · program services $56,039,579

  • 24c · Other expenses: Provider Tax

    total $30,351,207 · program services $23,977,454 · management and general $6,373,753

  • 24d · Other expenses: Bad Debt

    total $7,792,136 · program services $7,792,136

  • 24e · All other expenses

    total $8,207,694 · program services $6,484,079 · management and general $1,723,615

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $262,622,218 · end of year $282,932,898

  • 4 · Accounts receivable

    beginning of year $72,383,661 · end of year $82,945,462

  • 8 · Inventories for sale or use

    beginning of year $18,322,684 · end of year $18,562,299

  • 9 · Prepaid expenses and deferred charges

    beginning of year $19,328,434 · end of year $17,266,430

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

    $1,307,025,145

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

    $860,215,646

  • 10c · Land, buildings and equipment, net

    beginning of year $442,343,334 · end of year $446,809,499

  • 11 · Investments: publicly traded securities

    end of year $80,369,652

  • 15 · Other assets

    beginning of year $32,897,000 · end of year $29,571,117

  • 17 · Accounts payable and accrued expenses

    beginning of year $52,718,421 · end of year $52,276,482

  • 19 · Deferred revenue

    beginning of year $40,025,245 · end of year $39,598,486

  • 20 · Tax-exempt bond liabilities

    beginning of year $180,634,376 · end of year $164,800,219

  • 23 · Secured mortgages and notes payable

    end of year $80,000,000

  • 25 · Other liabilities

    beginning of year $241,079,906 · end of year $215,270,792

  • 27 · Net assets without donor restrictions

    beginning of year $333,439,383 · end of year $406,511,378

Mission and programs · 2022

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 351 beds, which include 48 NICU bassinets and 100 critical care beds in the following units: Cardiovascular, Pediatric, Neonatal, Special Care, Critical Care, Burn and Stem Cell Transplant. In 2022, Children's Hospital had 16,074 discharges and 99,181 patient days. Inpatient surgery cases totaled 5,949 for 2022. 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 2022, these clinics had 284,938 visits and 22,128 outpatient surgeries were performed. The Hospital also provides a statewide and regional referral site for complex emergency patients. The Emergency Department had 56,938 visits in 2022.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 2022 these practices provided 330,157 visits.

    Expenses $658,004,920 · Revenue $855,488,218

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Richard J Bielen

    Chairman of the Board

    Total calculated
    $0
    Hours/week
    1

  • J David Brown III

    Vice Chairman of the Board

    Total calculated
    $0
    Hours/week
    1

  • Lee J Styslinger III

    Treasurer of the Board

    Total calculated
    $0
    Hours/week
    1

  • Beth G Dubina

    Secretary of the Board

    Total calculated
    $0
    Hours/week
    1

  • Tracey Morant Adams

    Director

    Total calculated
    $0
    Hours/week
    1

  • Edward K Aldag Jr

    Director

    Total calculated
    $0
    Hours/week
    1

  • Myla E Calhoun

    Director

    Total calculated
    $0
    Hours/week
    1

  • Derrol Dawkins MD

    Director

    Total calculated
    $0
    Hours/week
    1

  • Mark E Dixon

    Director

    Total calculated
    $0
    Hours/week
    1

  • Ralph Frohsin Jr

    Director

    Total calculated
    $0
    Hours/week
    1

  • Raymond J Harbert

    Director

    Total calculated
    $0
    Hours/week
    1

  • Adelia R Hendrix

    Director

    Total calculated
    $0
    Hours/week
    1

  • William E Horton

    Director

    Total calculated
    $0
    Hours/week
    1

  • Donald M James

    Director

    Total calculated
    $0
    Hours/week
    1

  • Virginia Walker Jones

    Director

    Total calculated
    $0
    Hours/week
    1

  • Philippe W Lathrop

    Director

    Total calculated
    $0
    Hours/week
    1

  • James C Lee III

    Director

    Total calculated
    $0
    Hours/week
    1

  • Thomas H Lowder

    Director

    Total calculated
    $0
    Hours/week
    1

  • Anna M Manasco

    Director

    Total calculated
    $0
    Hours/week
    1

  • W Charles Mayer

    Director

    Total calculated
    $0
    Hours/week
    1

  • L Gwaltney McCollum Jr

    Director

    Total calculated
    $0
    Hours/week
    1

  • Ann D McMillan

    Director

    Total calculated
    $0
    Hours/week
    1

  • C Phillip McWane

    Director

    Total calculated
    $0
    Hours/week
    1

  • W Jerry Oakes MD

    Director

    Total calculated
    $0
    Hours/week
    1

  • Craft ONeal

    Director

    Total calculated
    $0
    Hours/week
    1

  • Margaret M Porter

    Director

    Total calculated
    $0
    Hours/week
    1

  • Frederick W Renneker III

    Director

    Total calculated
    $0
    Hours/week
    1

  • Stuart A Royal MD

    Director

    Total calculated
    $0
    Hours/week
    1

  • Mark J Tarr

    Director

    Total calculated
    $0
    Hours/week
    1

  • Temple W Tutwiler III

    Director

    Total calculated
    $0
    Hours/week
    1

  • Marc Bryant Tyson

    Director

    Total calculated
    $0
    Hours/week
    1

  • Dawn Walton

    Chief Financial Officer

    Total calculated
    $795,935
    From this org
    $771,941
    From related orgs
    $0
    Other
    $23,994
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $578,626
    Bonus
    $170,430
    Other
    $22,885
    Deferred
    $10,250
    Nontaxable benefits
    $13,744
    Filer's total
    $795,935

  • Thomas G Shufflebarger

    President & CEO

    Total calculated
    $1,427,361
    From this org
    $1,402,741
    From related orgs
    $0
    Other
    $24,620
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $965,843
    Bonus
    $411,691
    Other
    $25,207
    Deferred
    $10,250
    Nontaxable benefits
    $14,370
    Filer's total
    $1,427,361

  • Andrew Loehr

    Senior VP & Chief Operating Officer

    Total calculated
    $572,111
    From this org
    $541,494
    From related orgs
    $0
    Other
    $30,617
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $406,374
    Bonus
    $110,952
    Other
    $24,168
    Deferred
    $10,250
    Nontaxable benefits
    $20,367
    Filer's total
    $572,111

  • Delicia Mason

    VP of Nursing Operations

    Total calculated
    $280,316
    From this org
    $250,104
    From related orgs
    $0
    Other
    $30,212
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $195,876
    Bonus
    $31,982
    Other
    $22,246
    Deferred
    $10,250
    Nontaxable benefits
    $19,962
    Filer's total
    $280,316

  • Crayton A Fargason Jr

    Medical Director & VP Clinical Affairs

    Total calculated
    $762,884
    From this org
    $750,820
    From related orgs
    $0
    Other
    $12,064
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $550,098
    Bonus
    $175,515
    Other
    $25,207
    Deferred
    $10,250
    Nontaxable benefits
    $1,814
    Filer's total
    $762,884

  • Douglas Dean

    VP of Human Resources

    Total calculated
    $578,173
    From this org
    $553,233
    From related orgs
    $0
    Other
    $24,940
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $404,623
    Bonus
    $121,614
    Other
    $26,996
    Deferred
    $10,250
    Nontaxable benefits
    $14,690
    Filer's total
    $578,173

  • Robert Sarnecki

    Chief Information Officer

    Total calculated
    $649,212
    From this org
    $624,827
    From related orgs
    $0
    Other
    $24,385
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $462,412
    Bonus
    $137,208
    Other
    $25,207
    Deferred
    $9,695
    Nontaxable benefits
    $14,690
    Filer's total
    $649,212

  • Audie L Woolley

    Pediatrician

    Total calculated
    $1,163,576
    From this org
    $1,132,979
    From related orgs
    $0
    Other
    $30,597
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $639,415
    Bonus
    $490,000
    Other
    $3,564
    Deferred
    $10,250
    Nontaxable benefits
    $20,347
    Filer's total
    $1,163,576

  • Jimmy Scott Hill

    Pediatrician

    Total calculated
    $1,163,480
    From this org
    $1,132,863
    From related orgs
    $0
    Other
    $30,617
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $636,217
    Bonus
    $490,000
    Other
    $6,646
    Deferred
    $10,250
    Nontaxable benefits
    $20,367
    Filer's total
    $1,163,480

  • Brian J Wiatrak

    Pediatrician

    Total calculated
    $1,162,682
    From this org
    $1,132,085
    From related orgs
    $0
    Other
    $30,597
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $638,521
    Bonus
    $490,000
    Other
    $3,564
    Deferred
    $10,250
    Nontaxable benefits
    $20,347
    Filer's total
    $1,162,682

  • Brian Kulbersh

    Pediatrician

    Total calculated
    $983,529
    From this org
    $952,932
    From related orgs
    $0
    Other
    $30,597
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $413,501
    Bonus
    $535,183
    Other
    $4,248
    Deferred
    $10,250
    Nontaxable benefits
    $20,347
    Filer's total
    $983,529

  • Nicholas Smith

    Pediatrician

    Total calculated
    $892,205
    From this org
    $861,264
    From related orgs
    $0
    Other
    $30,941
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $414,754
    Bonus
    $442,263
    Other
    $4,247
    Deferred
    $10,250
    Nontaxable benefits
    $20,691
    Filer's total
    $892,205

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 $43,475 · assets $850,554

    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 · Insurance · CJ · 100% owned · share of income $1,778,262 · share of assets $29,688,408 · controlled entity

    Directly controlled by The Children's Hospital of Alabama

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202303189349317665

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