2023-08-15T13:14:02-05:00 2022-09-30 PWC US TAX LLP 655 NEW YORK AVE NW STE 1100 WASHINGTON DC 20001 990 2021-10-01 862364708 UAB-SVHS INC % DOROTHY D PAK UAB- 2059755413 701 20TH STREET SOUTH Suite 820 BIRMINGHAM AL 35233 DAWN BULGARELLA PRESIDENT 2059755413 2023-08-15 true DAWN BULGARELLA 999009999 TRAVIS L PATTON P00369623 2024141000 2023-08-15 2 2021 2023-04-26 12:10:37Z DAWN BULGARELLA 701 20TH STREET SOUTH820 BIRMINGHAM AL 35233 495650 false X N/A X 2020 AL SEE SCHEDULE O 7 5 0 5 0 0 500000 495650 0 0 0 0 0 0 500000 495650 0 0 0 0 0 0 0 0 0 468955 357219 468955 357219 31045 138431 31045 169476 0 0 31045 169476 SEE SCHEDULE O false false 357219 0 0 SUPPORT THE UAB HEALTH SYSTEM AUTHORITY AND ST. VINCENT'S BIRMINGHAM. 357219 true true false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 7 5 false false false false true true false true true false false true true true true false false false X DOROTHY D PAK 2059757534 500 22ND STREET SOUTH SUITE 504 BIRMINGHAM AL 35233 ISAAC WILLIAM FERNIANY PHD PRES/TREAS (RETIRED 12/21) 0.25 41.25 X 0 2024740 85142 SELWYN VICKERS MD DIR, PRES/TREAS (RETIRED 7/22) 0.25 47.0 X X 0 1768283 135523 DAWN BULGARELLA INTERIM PRESIDENT/TREASURER 0.25 47.0 X 0 1328768 65167 RAY L WATTS MD DIRECTOR/CHAIR 0.25 61.5 X 0 1217900 165779 FINIS ST JOHN IV DIRECTOR 0.25 44.0 X 0 1130515 143559 KENNETH VANDERVOORT MD DIRECTOR 0.25 0.0 X 0 0 0 JOSEPH CACCHIONE MD DIRECTOR 0.25 0.0 X 0 0 0 SCOTT CALDWELL DIRECTOR 0.25 0.0 X 0 0 0 LISA DAVIS DIRECTOR 0.25 0.0 X 0 0 0 CRAIG CORDOLA DIRECTOR 0.25 0.0 X 0 0 0 JASON ALEXANDER EXECUTIVE VICE PRESIDENT 0.25 0.0 X 0 0 0 0 7470206 595170 0 false true false 0 495650 495650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 495650 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 357219 357219 0 0 0 0 0 0 0 0 0 0 0 0 357219 357219 0 0 31045 169476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31045 169476 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 31045 169476 0 0 31045 169476 31045 169476 138431 X false false false X X 2 UAB HEALTH SYSTEM AUTHORITY 822375760 6 true 0 0 ST VINCENT'S BIRMINGHAM 630288864 3 false 0 0 2 0 0 false false false false false false false false false false false false false false false true false SCHEDULE A, PART IV, SECTION A, LINE 1: UAB-SVHS, INC.'S SUPPORTED ORGANIZATIONS ARE EITHER A MEMBER OF THE ORGANIZATION OR AN AFFILIATE/SUBSIDIARY OF A MEMBER OF THE ORGANIZATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false false false RAY L WATTS MD DIRECTOR/CHAIR 0 839700 0 153000 0 225200 0 134742 0 31037 0 1383679 0 145120 FINIS ST JOHN IV DIRECTOR 0 725163 0 297223 0 108129 0 123723 0 19836 0 1274074 0 0 SELWYN VICKERS MD DIR, PRES/TREAS (RETIRED 7/22) 0 876023 0 700823 0 191437 0 102395 0 33128 0 1903806 0 0 ISAAC WILLIAM FERNIANY PHD PRES/TREAS (RETIRED 12/21) 0 827869 0 512901 0 683970 0 58000 0 27142 0 2109882 0 311723 DAWN BULGARELLA INTERIM PRESIDENT/TREASURER 0 748009 0 285116 0 295643 0 58000 0 7167 0 1393935 0 0 PART I, LINE 4B: FOR CALENDAR YEAR 2021, COMPENSATION FOR ISAAC WILLIAM FERNIANY INCLUDED $311,723, WHICH IS A ONE TIME PAYMENT FROM A DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2021, COMPENSATION FOR RAY WATTS MD INCLUDED $145,120, WHICH IS A ONE TIME PAYMENT FROM A DEFERRED COMPENSATION PLAN. FORM 990, PART I, LINE I SUPPORT THE UAB HEALTH SYSTEM AUTHORITY AND ST. VINCENT'S BIRMINGHAM, SPECIFICALLY RELATED TO JOINTLY COORDINATING THE COVERED HEALTH CARE FACILITIES AND OPERATIONS OF ITS SUPPORTED ORGANIZATIONS IN JEFFERSON COUNTY, ALABAMA AND THE SURROUNDING AREAS. FORM 990, PART VI, LINES 6 AND 7A: UAB-SVHS, INC. HAS TWO MEMBERS, UAB HEALTH SYSTEM AUTHORITY AND ASCENSION HEALTH. THERE ARE NINE DIRECTORS. UAB HEALTH SYSTEM AUTHORITY APPOINTS FIVE OF THE DIRECTORS TO THE UAB-SVHS, INC. BOARD, AND ST. VINCENT'S BIRMINGHAM APPOINTS FOUR OF THE DIRECTORS. FORM 990, PART VI, LINE 11B: THE FORM 990 IS PREPARED BY PWC US TAX LLP. THE COMPLETED FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE STAFF AND CEO, AND IS ALSO MADE AVAILABLE FOR REVIEW TO THE UAB-SVHS, INC. BOARD MEMBERS. FORM 990, PART VI, LINE 12C: ANNUAL DISCLOSURES ARE REQUIRED AND ARE REVIEWED BY THE UAB-SVHS, INC. BOARD. FORM 990, PART VI, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART IX LINE 11G DESCRIPTION:OTHER EXPENSES TOTAL FEES:357219 SEE PART VII NA SEE PART VII NA false false true false false false false false false false false false false false false false false false false FORM 990, SCHEDULE R, PART II - NAMES OF RELATED ORGANIZATIONS: THE ATTACHED LIST OF ENTITIES ARE FOUNDATIONS OR SUBSIDIARIES AFFILIATED WITH THE UNIVERSITY OF ALABAMA SYSTEM AND ITS VARIOUS CAMPUSES. SOME OF THESE ENTITIES MAY NOT MEET THE IRS DEFINITION OF "RELATED ORGANIZATION" FOR PURPOSES OF SCHEDULE R. THEY ARE INCLUDED, HOWEVER, ON THIS ATTACHED STATEMENT FOR PURPOSES OF COMPLETENESS AND TRANSPARENCY. ALABAMA CARE NETWORK MID-STATE (EXEMPT) ALABAMA CARE NETWORK SOUTHEAST (EXEMPT) ALABAMA ENGINEERING FOUNDATION, INC. (EXEMPT) ALABAMA PHYSICIAN NETWORK, LLC (LLC) CAMPUS HOSPITALITY SERVICES, LLC (LLC) CAPSTONE EDUCATIONAL AND RESEARCH FOUNDATION (EXEMPT) CAPSTONE HEALTH SERVICES FOUNDATION, P.C. (EXEMPT) COMMERCIAL REAL ESTATE, LLC (LLC) COOPER GREEN MERCY HEALTH SERVICES AUTHORITY, AN AFFILIATE OF UAB MEDICINE ENTERPRISE (C CORP) COOPER GREEN REHABILITATION SERVICES (EXEMPT) CRIMSON TIDE FOUNDATION (EXEMPT) GORGAS MEMORIAL INSTITUTE OF TROPICAL AND PREVENTATIVE MEDICINE, INC. (C CORP) MEDICAL TOWERS, INC. (C CORP) MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB MEDICINE ENTERPRISE (EXEMPT) RIDGECREST STUDENT HOUSING, LLC (LLC) SOUTHERN RESEARCH INSTITUTE (EXEMPT) THE 1831 FOUNDATION (EXEMPT) THE ALABAMA "A" CLUB EDUCATIONAL AND CHARITABLE FOUNDATION (EXEMPT) THE ALUMNI ASSOCIATION OF THE UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE (EXEMPT) THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ALABAMA (EXEMPT) THE CAPSTONE FOUNDATION (EXEMPT) THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH, AN AFFILIATE OF UAB MEDICINE ENTERPRISE (C CORP) THE KIRKLIN CLINIC, INC. (C CORP) THE NATIONAL ALUMNI ASSOCIATION OF THE UNIVERSITY OF ALABAMA (EXEMPT) THE NATIONAL ALUMNI SOCIETY OF THE UNIVERSITY OF ALABAMA AT BIRMINGHAM (EXEMPT) THE UAB DIABETES TRUST FOUNDATION (EXEMPT) THE UAB EDUCATIONAL FOUNDATION (EXEMPT) THE UAB RESEARCH FOUNDATION (EXEMPT) THE UNIVERSITY FOUNDATION (EXEMPT) THE UNIVERSITY OF ALABAMA "A" CLUB ALUMNI ASSOCIATION (EXEMPT) THE UNIVERSITY OF ALABAMA DONOR ADVISED FUND (EXEMPT) THE UNIVERSITY OF ALABAMA IN HUNTSVILLE PUBLIC EDUCATION BUILDING AUTHORITY (EXEMPT) THE UNIVERSITY OF ALABAMA IN HUNTSVILLE RESEARCH AND TECHNOLOGY CORPORATION (EXEMPT) THE UNIVERSITY OF ALABAMA LAW SCHOOL FOUNDATION (EXEMPT) THE UNIVERSITY OF ALABAMA OPHTHALMOLOGY SERVICES FOUNDATION (EXEMPT) THE VALLEY FOUNDATION (EXEMPT) THE WORKPLACE, INC. (C CORP) TRITON HEALTH SYSTEMS, LLC (LLC) UA-ASU-TSU EDUCATIONAL RADIO CORPORATION (EXEMPT) UAB ATHLETICS FOUNDATION (EXEMPT) UAB CALLAHAN EYE HOSPITAL AUTHORITY (EXEMPT) UAB HEALTH SYSTEM AUTHORITY (EXEMPT) UAB HOSPITAL MANAGEMENT, LLC (LLC) UAB MEDICINE ENTERPRISE (EXEMPT) UAB MEDICINE FINANCE AUTHORITY (C CORP) UAB-SVHS, INC. (EXEMPT) UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C. (EXEMPT) UNIVERSITY OF ALABAMA HUNTSVILLE FOUNDATION (EXEMPT) VIVA HEALTH ADMINISTRATION, LLC (LLC) VIVA HEALTH, INC. (EXEMPT)