2015-08-17T13:19:12-05:00 2014-09-30 PricewaterhouseCoopers LLP 600 13TH STREET NW SUITE 1000 WASHINGTON DC 20005 990 2013-10-01 631182994 UAB HEALTH SYSTEM % CONNIE BUCKINGHAM UABH 2059755413 500 22ND STREET SOUTH SUITE 408 Suite BIRMINGHAM AL 352333110 DAWN BULGARELLA CHIEF FINANCIAL OFFICER 2059755413 2015-08-14 true TRAVIS L PATTON P00369623 2059755413 2013 2016-02-25 16:41:14Z WILLIAM FERNIANY 500 22ND ST S STE 408 BIRMINGHAM AL 352333110 26279294 false X N/A X 1996 AL SEE SCHEDULE O 18 10 629 10 0 12891059 12793251 12677016 13461413 9600 24630 0 0 25577675 26279294 12455045 12158471 0 0 9902442 11136996 0 0 0 2143126 2559807 24500613 25855274 1077062 424020 38710421 51156743 28017053 40039355 10693368 11117388 X TO PROVIDE COMMON MANAGEMENT OF THE EXISTING AND FUTURE HEALTHCARE DELIVERY OPERATIONS (THE "JOINT HEALTHCARE OPERATIONS") OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ALABAMA AND THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C. false false 12158471 12158471 13461413 SECTION 1: MISSION STATEMENT AND UABHS INTRODUCTION THE UAB HEALTH SYSTEM (UABHS) IS AN ALABAMA NONPROFIT CORPORATION THAT OVERSEES THE ACADEMIC MEDICAL CENTER ACTIVITIES OF ITS TWO MEMBERS, THE UNIVERSITY OF ALABAMA BOARD OF TRUSTEES AND THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, WHICH COLLABORATIVELY PROVIDE QUALITY HEALTH CARE TO THE CITIZENS OF ALABAMA AND INDIVIDUALS FROM ACROSS THE NATION AND THE GLOBE. UABHS' MISSION IS TO IMPROVE THE HEALTH AND WELL-BEING OF SOCIETY, PARTICULARLY THE CITIZENS OF ALABAMA, BY PROVIDING INNOVATIVE HEALTH SERVICES OF EXCEPTIONAL VALUE, QUALITY, AND PATIENT SAFETY, A SUPERIOR ENVIRONMENT FOR THE EDUCATION OF HEALTH PROFESSIONALS, AND SUPPORT FOR RESEARCH TO ADVANCE MEDICAL SCIENCE. UABHS SUPPORTS THE ACTIVITIES OF THE UAB SCHOOL OF MEDICINE BY OVERSEEING HOSPITAL AND CLINIC OPERATIONS, FOSTERING RESIDENCY AND FELLOWSHIP TRAINING PROGRAMS, SUPPORTING THE RECRUITMENT, TRAINING, AND RETENTION OF FACULTY, AND CREATING HIGHLY INNOVATIVE, WELL-COORDINATED INTERDISCIPLINARY CLINICAL PROGRAMS AND PARTNERING RELATIONSHIPS THAT SERVE AS A MODEL FOR HEALTH CARE EDUCATION AND SERVICE DELIVERY. UABHS IS INTERNATIONALLY RECOGNIZED FOR ITS TRIPARTITE MISSION OF PROVIDING THE HIGHEST LEVEL OF PATIENT CARE, OUTSTANDING EDUCATION OF MEDICAL PROFESSIONALS, AND THE ADVANCEMENT OF SCIENCE IN MEDICINE THROUGH GROUNDBREAKING RESEARCH IN AREAS SUCH AS ONCOLOGY, NEUROSCIENCES, TRANSPLANTATION, CARDIOLOGY, TRAUMA AND BURN TREATMENT, REHABILITATION, IMMUNOBIOLOGY, VIROLOGY, GENE THERAPY, AND GENOMICS. UABHS ENCOMPASSES THE LARGEST MULTISPECIALTY GROUP OF HEALTH CARE PROFESSIONALS IN ALABAMA, WITH MORE THAN 1,134 PHYSICIANS SERVING PATIENTS FROM EVERY STATE IN THE NATION AND MANY COUNTRIES AROUND THE WORLD. IT IS A MAJOR REGIONAL, TERTIARY REFERRAL CENTER THAT TREATS SOME OF THE MOST CRITICAL PATIENTS IN THE SOUTHEAST. IN FY 2014, UABHS ENTITIES DISCHARGED NEARLY 82,000 PATIENTS AND HAD 282,060 EMERGENCY DEPARTMENT VISITS. DESPITE THE FINANCIAL STRAIN IT PLACES ON THE ORGANIZATION, UABHS CARES FOR THE SICKEST, MOST VULNERABLE PATIENTS, SERVING AS A SAFETY NET FOR THOSE WHO ARE TURNED AWAY FROM OTHER CARE PROVIDERS. UNCOMPENSATED CARE COSTS DO NOT INCLUDE OTHER UNFUNDED COSTS OF CARE, SUCH AS UNDERPAYMENT FROM MEDICAID AND MEDICARE. UABHS PROVIDES SIGNIFICANT CHARITY CARE TO INDIGENT INDIVIDUALS WHO ARE NOT COVERED BY INSURANCE. UABHS' ESTIMATED COST INCURRED FOR CHARITY CARE PROVIDED TO INDIGENT INDIVIDUALS IN FISCAL YEAR 2014 WAS $109,952,309. UABHS ALSO PROVIDES CARE TO A LARGE NUMBER OF INDIVIDUALS COVERED BY GOVERNMENTAL PROGRAMS THAT MAY REIMBURSE BELOW COST. IN FY 2014, UABHS' UNREIMBURSED COST FOR TREATING MEDICAID PATIENTS WAS $95,538,827. IN ADDITION, UABHS ENTITIES PROVIDE HEALTH CARE SERVICES TO MANY INDIVIDUALS WHO CANNOT PAY FOR ALL OR ANY OF THEIR MEDICAL CARE. IN FY 2014, THE COST FOR SUCH BAD DEBT WAS $123,168,466. SECTION 2: UABHS ENTITIES UABHS' FLAGSHIP FACILITY IS THE 1,157-BED UAB HOSPITAL, ONE OF THE NATION'S LARGEST PUBLIC HOSPITALS. IT INCLUDES THE UAB WOMEN & INFANTS CENTER, SPAIN REHABILITATION CENTER, THE CENTER FOR PSYCHIATRIC MEDICINE, AND THE FREESTANDING UAB HOSPITAL-HIGHLANDS. ALABAMA'S ONLY LEVEL 1 TRAUMA CENTER (AS DESIGNATED BY THE AMERICAN COLLEGE OF SURGEONS), UAB HOSPITAL PROVIDES CARE FOR MANY OF THE MOST SERIOUS INJURIES THAT OCCUR ANYWHERE IN THE STATE THROUGH ITS EMERGENCY DEPARTMENT, OPERATING ROOMS, TRAUMA AND BURNS UNIT, AND SPAIN REHABILITATION CENTER, ONE OF THE SOUTHEAST'S FOREMOST PROVIDERS OF COMPREHENSIVE REHABILITATION CARE. THE WOMEN & INFANTS CENTER OFFERS ADVANCED SERVICES AND THE LATEST MEDICAL TECHNOLOGY TO CARE FOR HEALTHY AND HIGH-RISK PREGNANT WOMEN, HEALTHY AND HIGH-RISK NEWBORNS, AND WOMEN RECEIVING CARE FOR A VARIETY OF GYNECOLOGICAL PROBLEMS, INCLUDING GYNECOLOGICAL CANCERS. IT INCLUDES THE STATE'S LARGEST REGIONAL NEWBORN INTENSIVE CARE UNIT (RNICU). UAB HOSPITAL-HIGHLANDS IS A GENERAL ACUTE CARE COMPONENT ADJACENT TO CAMPUS THAT PROVIDES AN EMERGENCY DEPARTMENT FOR NON-TRAUMATIC AND NON-CATASTROPHIC CASES, COMPREHENSIVE SURGICAL AND NONSURGICAL TREATMENT FOR BONE AND JOINT DISORDERS, A SPECIALIZED UNIT FOR FRAGILITY FRACTURES, A SLEEP-WAKE DISORDERS CENTER, AND A RADIOSURGERY TREATMENT CENTER. IT ALSO HOUSES THE ACUTE CARE FOR THE ELDERLY (ACE) UNIT, THE REGION'S FIRST MODEL PATIENT UNIT FOR COORDINATED GERIATRIC CARE, AND A PAIN TREATMENT CENTER THAT SERVES PATIENTS WITH ACUTE AND CHRONIC CONDITIONS, INCLUDING INTRACTABLE CANCER PAIN. UABHS ALSO INCLUDES THE CALLAHAN EYE HOSPITAL HEALTH CARE AUTHORITY, THE KIRKLIN CLINIC OF UAB HOSPITAL, THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION (UAHSF), AND VIVA HEALTH. UAHSF PHYSICIANS PROVIDED SERVICE FOR 1.3 MILLION OUTPATIENT VISITS IN FY 2014. UABHS OPERATES 129 CLINICS, 54 HOUSED IN THE KIRKLIN CLINIC OF UAB HOSPITAL, A CONTIGUOUS OUTPATIENT FACILITY WITH MORE THAN 33 DISTINCT CLINICAL UNITS OF MULTIDISCIPLINARY TEAMS. UAHSF IS A MULTISPECIALTY PHYSICIAN PRACTICE SERVING UAB THROUGH 17 CLINICAL DEPARTMENTS AND 74 CLINICAL DIVISIONS. THE HEALTH SYSTEM SUPPORTS MORE THAN 100 SPECIALIZED CENTERS FOR INTERDISCIPLINARY RESEARCH, CLINICAL CARE, AND COMMUNITY OUTREACH, THE LARGEST BEING THE UAB COMPREHENSIVE CANCER CENTER, WHICH HAS HELD THE HIGHEST NCI DESIGNATION FOR MORE THAN 40 CONSECUTIVE YEARS. THE CALLAHAN EYE HOSPITAL HEALTH CARE AUTHORITY OFFERS THE LATEST IN OPHTHALMIC LASER AND MICROSURGERY TREATMENTS, CORNEAL TRANSPLANTATION, AND THE FIRST LEVEL 1 OCULAR TRAUMA CENTER IN THE NATION AS WELL AS THE ONLY EMERGENCY DEPARTMENT IN THE STATE DEDICATED TO TREATING TRAUMA TO THE EYE. CEH SPONSORS OR PARTNERS WITH PROGRAMS TO DELIVER OCULAR SCREENING SERVICES TO UNDERSERVED POPULATIONS IN ALABAMA. OTHER UABHS OPERATIONS INCLUDE THE KIRKLIN CLINIC AT ACTON ROAD, WHICH OFFERS COMPREHENSIVE CANCER, CARDIOLOGY AND OTHER EXCEPTIONAL CLINICAL SERVICES TO INDIVIDUALS LIVING IN THE SOUTHERN SUBURBS OF BIRMINGHAM; SEVERAL NEIGHBORHOOD HEALTH CENTERS DEDICATED TO SERVING PATIENTS THROUGHOUT THE METROPOLITAN STATISTICAL AREA, AS WELL AS HEALTH CENTERS IN OTHER LOCATIONS THROUGHOUT THE STATE, INCLUDING HUNTSVILLE, MONTGOMERY, AND SELMA; VIVA HEALTH, A 93,417-ENROLLEE, ALABAMA-BASED HEALTH PLAN COMMITTED TO OFFERING QUALITY HEALTH CARE COVERAGE AT AN AFFORDABLE PRICE; THE VALLEY FOUNDATION IN HUNTSVILLE, A GROUP MEDICAL PRACTICE FOR PHYSICIANS ORGANIZED EXCLUSIVELY FOR EDUCATIONAL, SCIENTIFIC, AND CHARITABLE PURPOSES TO ASSIST AND AID UABHS; AND THE OPHTHALMOLOGY SERVICES FOUNDATION, the clinical practice component of the UAB Department of Ophthalmology. UABHS AFFILIATES INCLUDE MEDICAL WEST, A 310-BED ACUTE CARE HOSPITAL OFFERING A WIDE RANGE OF DIAGNOSTIC, SURGICAL, MEDICAL, AND EMERGENCY SERVICES; AND BAPTIST HEALTH IN MONTGOMERY, A PRIMARY PROVIDER OF HEALTH CARE SERVICES IN CENTRAL ALABAMA. BAPTIST HEALTH OF MONTGOMERY INCLUDES ITS THREE HOSPITALS: MONTGOMERY'S BAPTIST MEDICAL CENTER SOUTH AND BAPTIST MEDICAL CENTER EAST AND PRATTVILLE BAPTIST HOSPITAL. IN ADDITION TO THE COLLECTIVE 689 LICENSED BED HOSPITAL, THE AFFILIATION INCLUDES MANAGEMENT OF A REGIONAL CANCER CENTER AND A BEHAVIORAL HEALTH FACILITY. SECTION 3: RELIEF OF THE POOR, DISTRESSED, OR UNDERPRIVILEGED/PROVISION OF CHARITY CARE THE MAIN UABHS MEDICAL CENTER IS LOCATED IN DOWNTOWN BIRMINGHAM, AN AREA THAT INCLUDES A HIGH NUMBER OF MEDICALLY UNDERSERVED INDIVIDUALS. THE STATE OF ALABAMA HAS MANY AREAS THAT ARE CHARACTERIZED BY HIGH LEVELS OF POVERTY AND THE UNINSURED AND UNDERINSURED INDIVIDUALS; MANY OF THESE PEOPLE DEPEND ON UABHS HEALTH CARE PROFESSIONALS FOR THEIR MEDICAL CARE. UABHS IS DEDICATED TO PROVIDING HEALTH CARE AND SCREENING AND PREVENTION PROGRAMS TO POOR AND UNDERPRIVILEGED INDIVIDUALS. UABHS' MANY PROGRAMS INCLUDE THE UAB COMPREHENSIVE CANCER CENTER'S DEEP SOUTH NETWORK FOR CANCER CONTROL, WHICH WORKS TO ELIMINATE DISPARITIES IN CANCER DEATH RATES BETWEEN BLACKS AND WHITES, TARGETING TWO POOR RURAL AND TWO POOR URBAN AREAS IN ALABAMA AND MISSISSIPPI, TO PROMOTE COMMUNITY AWARENESS PROGRAMS, MINORITY ENROLLMENT IN CLINICAL TRIALS, AND DEVELOPMENT OF MINORITY JUNIOR BIOMEDICAL RESEARCHERS. STILL ANOTHER PROGRAM THAT FOCUSES ON MINORITIES AND THE MEDICALLY UNDERSERVED IS THE MINORITY HEALTH AND HEALTH DISPARITIES RESEARCH CENTER, A COMPREHENSIVE EDUCATIONAL, RESEARCH, AND COMMUNITY OUTREACH CENTER FOCUSED ON ELIMINATING RACIAL AND ETHNIC HEALTH DISPARITIES; AMONG ITS MANY PROGRAMS IS A HEALTH AWARENESS AND INTERVENTION STOREFRONT IN DOWNTOWN BIRMINGHAM. OTHER PROGRAMS THAT PROVIDE ESSENTIAL HEALTH CARE SERVICES TO POOR AND MEDICALLY UNDERSERVED INDIVIDUALS INCLUDE THE TOT SHOTS PROGRAM THAT OFFERS FREE, WALK-IN, IMMUNIZATION SERVICES IN COMMUNITY-BASED CLINICS IN PARTNERSHIP WITH THE JEFFERSON COUNTY DEPARTMENT OF HEALTH AND OTHERS; THE VALLEY FOUNDATION CHILDHOOD IMMUNIZATION PROGRAM, A PROGRAM DESIGNED TO REMOVE EDUCATIONAL AND FINANCIAL BARRIERS TO INCREASE IMMUNIZATION RATES OF UNDERSERVED CHILDREN AGE 19 TO 35 MONTHS; AND EQ 12158471 true true false false false false false false false false true false false true true false false true false false false false false false false false false true false true false false false false false false false false false false false false false true true false false false true 25 0 true 629 true false false false false false false false false false false X 18 10 false false false false true true true true true false false false true true true true true true true false X CONNIE BUCKINGHAM 2059346604 500 22ND ST S STE 408 BIRMINGHAM AL 352333110 KIRBY BLAND MD BOARD MEMBER 1.0 40.0 X 0 987791 88757 RAY HAYES BOARD MEMBER 1.0 40.0 X 0 401043 60921 RAY WATTS MD BOARD MEMBER 20.0 20.0 X 449625 564115 194725 ANUPAM AGARWAL BOARD MEMBER 1.0 40.0 X 0 315002 46252 JAMES BONNER BOARD MEMBER 1.0 40.0 X 0 809144 103412 AMIE MCLAIN BOARD MEMBER 1.0 40.0 X 0 546965 88269 CHARLES ADAIR BOARD MEMBER 1.0 X 0 1200 0 CHARLES PERRY BOARD MEMBER 1.0 X 0 900 0 DONALD JAMES BOARD MEMBER 1.0 X 0 1200 0 FINIS E ST JOHN IV BOARD MEMBER 1.0 X 0 0 0 JAMES WILSON BOARD MEMBER 1.0 X 0 0 0 JOHN MCMAHON BOARD MEMBER 1.0 X 0 0 0 JOHN ENGLAND JR BOARD MEMBER 1.0 X 0 0 0 RONALD GRAY BOARD MEMBER 1.0 5.0 X 0 0 0 VAN RICHEY BOARD MEMBER 1.0 X 0 1200 0 SETH LANDEFELD BOARD MEMBER 1.0 40.0 X 0 303079 18633 ROBERT WITT BOARD MEMBER 1.0 40.0 X 0 735684 41267 THOMAS LOWDER BOARD MEMBER 1.0 X 0 0 0 ROBERT RICH BOARD MEMBER 40.0 X 574550 0 72357 ISSAC WILLIAM FERNIANY CEO 40.0 1.0 X 1222637 0 181924 JOHN FAULSTICH CFO 40.0 X 473951 0 106180 JEANETTA KELLER Chief Admin Officer 40.0 X 467583 0 68737 REID JONES COO 40.0 1.0 X 956023 0 116043 DAVID RANDALL SR VP Strategy and Development 40.0 X 385811 0 84659 BART KELLY DIRECTOR, SERVICE LINE 40.0 X 266866 0 47057 DONALD LILLY SR VP NETWORK DEVELOP. 40.0 X 363897 0 64498 WARREN SMEDLEY DIRECTOR, Service Line 40.0 X 247344 0 52510 RAHEEL FAROUGH DIRECTOR, PAYER CONTRACT 40.0 X 260647 0 57432 CHRISTOPHER BRAINARD DIRECTOR, ORG. EXCELLENT 40.0 X 157954 0 20002 5826888 4667323 1513635 82 false true false ECG MANAGEMENT CONSULTANTS 1111 THIRD AVENUE SEATTLE WA 98101 CONSULTING 644464 INFOR INC PO BOX 1450 MINNEAPOLIS MN 55485 SOFTWARE MAINTENANCE 329115 COMPUTER TECHNOLOGY CORP 4900 COLLEGE BLVD OVERLAND PARK KS 66211 CONSULTING 239445 RESULTS LLC TWO N JACKSON STREET SUITE 705B MONTGOMERY AL 36104 CONSULTING 200004 HAY GROUP INC PO BOX 828352 PHILADELPHIA PA 19182 CONSULTING 158931 11 12793251 12793251 MANAGEMENT FEES 900099 10983856 10983856 SALES AND SERVICES INCOME 900099 1095236 1095236 LEASE INCOME 900099 110143 110143 PAYROLL ADMINISTRATION FEES 900099 1272178 1272178 13461413 24630 24630 0 0 0 0 0 0 0 0 0 0 26279294 13461413 24630 12158471 12158471 0 0 0 3712776 3712776 0 5061200 5061200 440912 440912 -439401 -439401 2361509 2361509 0 67390 67390 98600 98600 0 0 0 671790 671790 447048 447048 69177 69177 0 0 422336 422336 106397 106397 0 189105 189105 6868 6868 0 53734 53734 6597 6597 MEALS 114132 114132 DUES & SUBSCRIPTIONS 127320 127320 REPAIRS AND MAINTENANCE 117871 117871 LICENSES & PERMITS 9739 9739 51703 51703 25855274 12158471 13696803 0 20554573 19028779 0 0 0 0 3825065 3725815 0 0 0 0 0 0 0 0 69459 69459 6963607 1346698 105457 5616909 0 0 1000 1000 0 0 0 0 14154867 22714781 38710421 51156743 3202186 3203637 0 0 245244 192049 0 0 0 0 0 0 0 0 0 9510000 24569623 27133669 28017053 40039355 X 10693368 11117388 0 0 0 0 10693368 11117388 38710421 51156743 424020 X false true X true false X 10996133 11280499 12735124 12891059 12793251 60696066 0 0 10996133 11280499 12735124 12891059 12793251 60696066 22990264 37705802 9337 10230 6783 9600 24630 60580 0 0 0 0 0 0 0 60756646 13461413 0.62060 0.62258 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 764302 709798 54504 636900 636900 5562405 5562405 5616909 BENEFIT PLAN ASSET 15546626 NMTC RESTRICTED CASH FROM CDE 7168155 22714781 0 BENEFIT PLAN LIABILITIES 15546626 HEALTH INSURANCE RESERVE 350000 DUE TO UAB 176911 DUE TO UA HSF 225090 DUE TO UA HOSPITAL 3223500 DUE TO UA SCHOOL OF MEDICINE 3050497 STRATEGIC INITIATIVE FUND PAYABLE 4554176 FL&F INTEREST PAYABLE 6869 27133669 34633820 8354526 8354526 26279294 26279294 33018664 7163390 7163390 25855274 25855274 SCHEDULE D, PART XI, LINE 2D: OTHER REVENUE NOT INCLUDED IN RETURN (ACTIVITIES UNDER THE MANAGEMENT OF UAB HEALTH SYSTEM WHICH REPRESENTS AN INTEGRAL PART OF THE UNIVERSITY OF ALABAMA BIRMINGHAM, A STATE ENTITY) - $8,354,526 SCHEDULE D, PART XII, LINE 2D: OTHER EXPENSES NOT INCLUDED IN RETURN (ACTIVITIES UNDER THE MANAGEMENT OF UAB HEALTH SYSTEM WHICH REPRESENTS AN INTEGRAL PART OF THE UNIVERSITY OF ALABAMA BIRMNINGHAM, A STATE ENTITY) - $7,163,390 true UNIVERSITY OF ALABAMA AT BIRMINGHAM 1530 3RD AVE SOUTH BIRMINGHAM AL 35294 GOVERNMENTAL 46930 N/A N/A SUPPORT VARIOUS PROGRAMS UA HEALTH SERVICES FOUNDATION PC 500 22ND STREET SOUTH 510 BIRMINGHAM AL 35233 630649108 501(C)(3) 8003631 N/A N/A UAB PRIME CARE UA HEALTH SERVICES FOUNDATION PC 500 22ND STREET SOUTH SUITE 510 BIRMINGHAM AL 35233 630649108 501(C)(3) 795000 N/A N/A OB/GYN SUPPORT UAB DEPARTMENT OF HEALTH 1720 2ND AVE S BIRMINGHAM AL 35233 GOVERNMENTAL 20000 N/A N/A SPONSORSHIP 2014 UAB SCHOOL OF NURSING 1720 2ND AVE SOUTH BIRMINGHAM AL 35294 636005396 501(C)(3) 5150 N/A N/A SPONSORSHIP 2014 MARCH OF DIMES 450 CENTURY PARK SOUTH SUITE 200B BIRMINGHAM AL 35226 131846366 501(C)(3) 10000 N/A N/A SPONSORSHIP 2014 ALABAMA SYMPHONY ORCHESTRA 3621 6TH AVE SOUTH BIRMINGHAM AL 35222 631103036 501(C)(3) 15000 N/A N/A SPONSORHSIP 2014 UNITED WAY COMMUNITY 3600 8TH AVENUE SOUTH BIRMINGHAM AL 35232 630288846 501(C)(3) 16667 N/A N/A SPONSORSHIP 2014 UAB EDUCATIONAL FOUNDATION 1717 11TH AVE S103-A BIRMINGHAM AL 35205 636155094 501(C)(3) 3072000 N/A N/A SUPPORT VARIOUS PROGRAM BAMA COVERED 1700 UNIV BLVD 422 BIRMINGHAM AL 35294 464363693 501(C)(3) 12500 N/A N/A SPONSORSHIP 2014 9 0 SCHEDULE I, PART I, LINE 2 ORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS & SPONSORSHIPS: UAB HEALTH SYSTEM MAINTAINS GRANT FUND RECORDS AND MONITORS THE USE OF SUCH GRANTS BY RECIPIENTS. X true true X X X X X false true false false false false false false false KIRBY BLAND MD BOARD MEMBER 0 864651 0 108690 0 14450 0 66663 0 22094 0 1076548 0 0 RAY HAYES BOARD MEMBER 0 383554 0 0 0 17489 0 43412 0 17509 0 461964 0 0 BART KELLY DIRECTOR, SERVICE LINE 162734 0 28953 0 75179 0 45258 0 1799 0 313923 0 73488 0 RAY WATTS MD BOARD MEMBER 306364 419902 0 141451 143261 2762 96756 76654 3358 17957 549739 658726 141654 0 ISSAC WILLIAM FERNIANY CEO 633822 0 390000 0 198815 0 160041 0 21883 0 1404561 0 185199 0 JOHN FAULSTICH CFO 359656 0 112687 0 1608 0 84832 0 21348 0 580131 0 0 0 JEANETTA KELLER Chief Admin Officer 303028 0 93838 0 70717 0 64641 0 4096 0 536320 0 68053 0 DAVID RANDALL SR VP Strategy and Development 291332 0 93399 0 1080 0 64483 0 20176 0 470470 0 0 0 DONALD LILLY SR VP NETWORK DEVELOP. 240616 0 70539 0 52742 0 45056 0 19442 0 428395 0 50251 0 WARREN SMEDLEY DIRECTOR, Service Line 179945 0 35616 0 31783 0 23562 0 28948 0 299854 0 30601 0 RAHEEL FAROUGH DIRECTOR, PAYER CONTRACT 214030 0 44320 0 2297 0 37877 0 19555 0 318079 0 0 0 ANUPAM AGARWAL BOARD MEMBER 0 302819 0 10980 0 1203 0 43631 0 2621 0 361254 0 0 JAMES BONNER BOARD MEMBER 0 689829 0 115000 0 4315 0 79812 0 23600 0 912556 0 0 AMIE MCLAIN BOARD MEMBER 0 468235 0 73253 0 5477 0 66521 0 21748 0 635234 0 0 SETH LANDEFELD BOARD MEMBER 0 246376 0 54620 0 2083 0 8156 0 10477 0 321712 0 0 ROBERT WITT BOARD MEMBER 0 604526 0 105000 0 26158 0 39269 0 1998 0 776951 0 0 REID JONES COO 426335 0 222325 0 307363 0 111352 0 4691 0 1072066 0 306340 0 ROBERT RICH BOARD MEMBER 246284 0 0 0 328266 0 69716 0 2641 0 646907 0 326744 0 CHRISTOPHER BRAINARD DIRECTOR, ORG. EXCELLENT 142954 0 15000 0 0 0 3596 0 16406 0 177956 0 0 0 PART I, LINE 1: DONALD LILLY WAS REIMBURSED $912 FOR HEALTH CLUB MEMBERSHIP DUES. PART I, LINE 4B: TOP HAT 457(B) DEFERRED COMPENSATION PLAN PARTICIPANTS WERE: RAHEEL FAROUGH ($17,500) AND ISAAC WILLIAM FERNIANY ($17,500). PART II: FOR CALENDAR YEAR 2013 COMPENSATION FOR ROBERT RICH INCLUDED $326,744 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2013 COMPENSATION FOR BART KELLY INCLUDED $73,488 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR FISCAL YEAR 2013 COMPENSATION FOR ISSAC WILLIAM FERNIANY INCLUDED $185,199 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2013 COMPENSATION FOR JEANETTA KELLER INCLUDED $68,053 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2013 COMPENSATION FOR RAY WATTS INCLUDED $141,654 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2013 COMPENSATION FOR DONALD LILLY INCLUDED $50,251 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2013 COMPENSATION FOR WARREN SMEDLEY INCLUDED $30,601 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN.FOR CALENDAR YEAR 2013 COMPENSATION FOR REID JONES INCLUDED $306,340 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FORM 990, PART I, LINE 1: TO PROVIDE COMMON MANAGEMENT OF THE EXISTING AND FUTURE HEALTHCARE DELIVERY OPERATIONS OF THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ALABAMA AND THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION. FORM 990, PART VI, LINE 6 & 7A: UAB HEALTH SYSTEM ("UABHS" OR "THE ORGANIZATION") HAS TWO MEMBERS, THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ALABAMA AND THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C. EACH MEMBER APPOINTS 9 OF THE DIRECTORS OF THE UABHS BOARD. FORM 990, PART VI, LINE 7B: MEMBER APPROVAL IS REQUIRED FOR: 1) SALE, LEASE OR OTHER DISPOSITION, OTHER THAN IN THE ORDINARY COURSE OF BUSINESS, OF ANY UABHS MATERIAL OPERATING ASSETS; 2) UABHS ASSIGNMENT OF ITS RIGHTS TO A THIRD PARTY; 3) ADDITION OF NEW MEMBERS TO UABHS; 4) ISSUANCE OR INCURRENCE OF DEBT BY UABHS; AND 5) ANY CAPITAL EXPENDITURE BY UABHS WITH ITS OWN FUNDS OVER $5,000,000. FORM 990, PART VI, LINE 11B: THE FORM 990 IS PREPARED BY PRICEWATERHOUSECOOPERS, LLP. AFTER THE FORM 990 IS PREPARED, IT IS REVIEWED BY THE ORGANIZATION'S FINANCE STAFF, THE CHAIRMAN OF THE BOARD, TWO ADDITIONAL BOARD MEMBERS, AND THE CHIEF EXECUTIVE OFFICER. FORM 990, PART VI, LINE 12C: ANNUAL DISCLOSURES ARE REQUIRED AND ARE REVIEWED BY THE UNIVERSITY OF ALABAMA AT BIRMINGHAM HEALTH SYSTEMS BOARD. FORM 990, PART VI, LINE 15A & 15B: A COMPENSATION CONSULTANT IS ENGAGED TO ADVISE THE BOARD OF DIRECTORS ON THE CEO'S COMPENSATION AND THE COMPENSATION OF OTHER KEY MEMBERS OF MANAGEMENT. THE COMPENSATION COMMITTEE OF THE BOARD ANNUALLY REVIEWS THE CEO'S TOTAL COMPENSATION AND SUBMITS ITS RECOMMENDATION OF THE CEO'S COMPENSATION FOR THE COMING YEAR TO THE BOARD FOR ITS APPROVAL. FORM 990, PART VI, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. SEE SCHEDULE R PART VII UAB HEALTH SYSTEMS MANAGEMENT INC 500 22ND ST S STE 408 BIRMINGHAM AL 35233 200884205 HEALTH MANAGE AL UABHS C CORP 0 0 1.00000 true false true true false false false false false false false true true false true true true true true true SCHEDULE R, PART II 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. THE UNIVERSITY OF ALABAMA SYSTEM OFFICE (EXEMPT) -THE UNIVERSITY FOUNDATION (EXEMPT) THE UNIVERSITY OF ALABAMA (EXEMPT) -THE CAPSTONE FOUNDATION (EXEMPT) -THE CRIMSON TIDE FOUNDATION (EXEMPT) -THE UNIVERSITY OF ALABAMA LAW SCHOOL FOUNDATION (EXEMPT) -1831 FOUNDATION (EXEMPT) -DONOR ADVISED FUND (EXEMPT) -NATIONAL ALUMNI ASSOCIATION OF THE UNIVERSITY OF ALABAMA (EXEMPT) -CAPSTONE HEALTH SERVICES FOUNDATION (EXEMPT) -THE UNIVERSITY OF ALABAMA RESEARCH FOUNDATION (EXEMPT) -UA-ASU-TSU EDUCATIONAL RADIO CORPORATION (EXEMPT) THE UNIVERSITY OF ALABAMA AT BIRMINGHAM (EXEMPT) -THE UAB RESEARCH FOUNDATION (EXEMPT) -THE UAB EDUCATIONAL FOUNDATION (EXEMPT) -MEDICAL TOWERS INC. (EXEMPT) -UAB DIABETES TRUST FOUNDATION (EXEMPT) -NATIONAL ALUMNI SOCIETY OF THE UNIVERSITY OF ALABAMA AT BIRMINGHAM (EXEMPT) -UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE ALUMNI ASSOCIATION (EXEMPT) -SOUTHERN RESEARCH INSTITUTE (EXEMPT) -THE GORGAS MEMORIAL INSTITUTE OF TROPICAL & PREVENTATIVE MEDICINE, INC. (EXEMPT) THE UNIVERSITY OF ALABAMA IN HUNTSVILLE (EXEMPT) -THE UNIVERSITY OF ALABAMA IN HUNTSVILLE FOUNDATION (EXEMPT) -THE UNIVERSITY OF ALABAMA IN HUNTSVILLE ALUMNI FOUNDATION (EXEMPT) -THE UNIVERSITY OF ALABAMA IN HUNTSVILLE EMINENT SCHOLARS FOUNDATION (EXEMPT) THE UAB HEALTH SYSTEM (EXEMPT) -UAB HEALTH SYSTEM MANAGEMENT, INC. (EXEMPT) -THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION (EXEMPT) -THE MEDICAL ADVANCEMENT FOUNDATION (EXEMPT) -THE CALLAHAN EYE FOUNDATION HOSPITAL (EXEMPT) -THE OPHTHALMOLOGY SERVICES FOUNDATION (EXEMPT) -VALLEY FOUNDATION (EXEMPT) -CALLAHAN EYE HOSPITAL HEALTH CARE AUTHORITY (EXEMPT) -THE HEALTH CARE AUTHORITY FOR MEDICAL WEST (EXEMPT) -THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH (EXEMPT) -TRITON HEALTH SYSTEM (EXEMPT)