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Children's hospital · Birmingham, Alabama · 368 beds · CMS certification number 013300

The Children's Hospital of Alabama

Its Medicare cost reports, read cell by cell. Latest filing: fiscal year ended December 31, 2025, as submitted, stamped by CMS June 3, 2026. 30 years on file, every one shown below. Also on the 340B covered-entity register.

Fiscal 2025 at a glance

Net patient revenue
$932.6M
$932,635,858 · G-3 line 3
Operating expenses
$920.4M
$920,396,324 · G-3 line 4
Result from patient care
$12.2M
$12,239,534 · G-3 line 5
Margin on patient care
1.3%
line 5 ÷ line 3, same filing

What stands out

  • Net patient revenue rose from $141.5M in its first year on file (1996) to $932.6M in 2025.
  • Its result from patient care: $13.5M (2023), $18.3M (2024), $12.2M (2025).
  • 2 of the 5 children's hospital peers below with a margin on file also report a gain on patient care for fiscal year 2025.

Every statement is drawn from figures on this page; nothing is estimated.

30 years of filings

Net patient revenue against operating expenses, each year as filed.

Net patient revenueOperating expenses
1996
settled
$141.5M
$133.1M
1997
settled
$154.5M
$146.7M
1998
reopened
$163.9M
$158.3M
1999
reopened
$178.7M
$179.2M
2000
settled
$213.5M
$195.7M
2001
settled
$243.8M
$228.5M
2002
settled
$253.2M
$249.0M
2003
settled with audit
$277.9M
$286.3M
2004
reopened
$284.2M
$286.6M
2005
reopened
$291.6M
$299.9M
2006
settled
$333.6M
$331.0M
2007
reopened
$356.2M
$366.6M
2008
settled
$398.2M
$400.3M
2009
settled
$436.7M
$431.3M
2010
settled
$511.9M
$464.3M
2011
settled
$518.2M
$468.1M
2012
as submitted
$542.3M
$529.9M
2013
reopened
$664.7M
$624.2M
2014
reopened
$672.7M
$664.9M
2015
settled with audit
$642.9M
$678.8M
2016
settled
$693.4M
$666.7M
2017
settled
$713.1M
$692.8M
2018
settled
$711.6M
$692.8M
2019
settled
$728.5M
$709.5M
2020
reopened
$682.4M
$697.2M
2021
settled
$769.4M
$740.5M
2022
as submitted
$839.5M
$791.0M
2023
as submitted
$860.2M
$846.7M
2024
as submitted
$896.4M
$878.2M
2025
as submitted
$932.6M
$920.4M

Beside its peers

Hospitals of the same type (children's hospital), nearest in size, from Alabama first; each on fiscal year 2025.

HospitalBedsNet patient revenueOperating expensesMargin
The Children's Hospital of Alabama368$932,635,858$920,396,3241.3%
Lurie Children's, Chicago (IL)364$1,318,542,613$1,376,949,935−4.4%
Akron Children's Hospital, Akron (OH)381$1,376,089,553$1,381,370,506−0.4%
Childrens Hospital & Regional Medical Center, Seattle (WA)381$2,436,094,575$2,016,126,14317.2%
University of South Alabama, Mobile245$306,572,609$293,860,4104.2%
Valley Childrens Hospital, Madera (CA)358$919,460,586$949,424,953−3.3%

Patients and payers

Discharges
16,485
S-3 line 14, col 15
Inpatient days
104,304
S-3 line 14, col 8
Beds in use, on an average day
286.5
days ÷ days in year
Occupancy
77.9%
days ÷ bed days
Medicare share of days
0.5%
S-3 cols 6 ÷ 8

Who owns it

Type of control on its cost report: voluntary nonprofit, other.

Community benefit, as filed

From IRS Form 990 Schedule H, Part I, filed by The Children's Hospital of Alabama (employer identification number 630307306) for tax year 2023. The return lists this hospital as its one hospital facility.

FigureAs filedWhere it comes from
Total community benefit expense (line 7k)$52,320,882IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><NetCommunityBenefitExpnsAmt>
Financial assistance at cost (line 7a)$5,580,873IRS Form 990 Schedule H, Part I, <FinancialAssistanceAtCostTyp><NetCommunityBenefitExpnsAmt>
Medicaid (line 7b)$21,640,293IRS Form 990 Schedule H, Part I, <UnreimbursedMedicaidGrp><NetCommunityBenefitExpnsAmt>
Financial assistance and means-tested government programs (line 7d)$27,221,166IRS Form 990 Schedule H, Part I, <TotalFinancialAssistanceTyp><NetCommunityBenefitExpnsAmt>
Other benefits (line 7j)$25,099,716IRS Form 990 Schedule H, Part I, <TotalOtherBenefitsGrp><NetCommunityBenefitExpnsAmt>
Total, fraction of total expense (line 7k, column f)0.0612IRS Form 990 Schedule H, Part I, <TotalCommunityBenefitsGrp><TotalExpensePct>

E-file object id 202403199349308075. The IRS archive it was read from.

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Figures: CMS Healthcare Cost Report Information System, file HOSP10FY2025.ZIP, form CMS-2552-10, filed under CMS certification number 013300. Patients and payers: worksheet S-3 Part I of the same filing.

How this page was built: the CMS Medicare cost report, file HOSP10FY2025.ZIP, read June 3, 2026.