UAB MEDICINE ENTERPRISE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UAB MEDICINE ENTERPRISE (EIN 63-1182994)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-14
IRS object ID
201432269349304458
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-14T16:57:03-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1600 13TH STREET NW SUITE 1000AddressLine1
CityWASHINGTONCity
StateDCState
ZIP Code20005ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN631182994EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UAB HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% CONNIE BUCKINGHAMInCareOfName
Name ControlUABHNameControl
Phone2059755413Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 22ND STREET SOUTH SUITE 408AddressLine1
Address Line2SuiteAddressLine2
CityBIRMINGHAMCity
StateALState
ZIP Code352333110ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameISSAC WILLIAM FERNIANYName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone2059755413Phone
Date Signed2014-08-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2024141000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonWILLIAM FERNIANYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 22ND ST S STE 408AddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code352333110ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25577675GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
State Legal DomicileALStateLegalDomicile
Activity Or Mission DescriptionTO 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees626TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year12735124ContributionsGrantsPriorYear
Contributions Grants Current Year12891059ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12134104ProgramServiceRevenuePriorYear
Program Service Revenue CY12677016ProgramServiceRevenueCY
Investment Income Prior Year6783InvestmentIncomePriorYear
Investment Income Current Year9600InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year24876011TotalRevenuePriorYear
Total Revenue Current Year25577675TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year11284703GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY12455045GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9197028SalariesEtcPriorYear
Salaries Etc Current Year9902442SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3334584OtherExpensePriorYear
Other Expenses Current Year2143126OtherExpensesCurrentYear
Total Expenses Prior Year23816315TotalExpensesPriorYear
Total Expenses Current Year24500613TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1059696RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1077062RevenuesLessExpensesCY
Total Assets BOY30133808TotalAssetsBOY
Total Assets EOY38710421TotalAssetsEOY
Total Liabilities BOY19928317TotalLiabilitiesBOY
Total Liabilities EOY28017053TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY10205491NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10693368NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12455045Expense
Grants12455045Grants
Revenue12677016Revenue
DescriptionSECTION 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 1110 PHYSICIANS SERVING PATIENTS FROM EVERY STATE IN THE NATION AND INDIVIDUALS FROM AROUND THE WORLD. IT IS A MAJOR, REGIONAL, TERTIARY REFERRAL CENTER THAT TREATS SOME OF THE MOST CRITICAL PATIENTS IN THE SOUTHEAST. IN 2013, UABHS ENTITIES DISCHARGED MORE THAN 99,050 PATIENTS AND HAD 271,967 EMERGENCY DEPARTMENT VISITS. IN SPITE OF THE FINANCIAL STRAIN IT PLACES ON THE ORGANIZATION, UABHS CARES FOR THE SICKEST, MOST VULNERABLE PATIENTS, SERVING AS A SAFETY NET FOR PEOPLE WHO ARE TURNED AWAY FROM ELSEWHERE. 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 (FY) 2013 WAS $103,041,084. UABHS ALSO PROVIDES CARE TO A LARGE NUMBER OF INDIVIDUALS COVERED BY GOVERNMENTAL PROGRAMS THAT MAY REIMBURSE BELOW COST. IN FY 2013, UABHS' UNREIMBURSED COST FOR TREATING MEDICAID PATIENTS WAS $97,012,545. IN ADDITION, UABHS ENTITIES PROVIDE HEALTH CARE SERVICES TO MANY INDIVIDUALS WHO CANNOT PAY FOR SOME OR ALL OF THEIR MEDICAL CARE. IN FY 2013, COST FOR SUCH BAD DEBT WAS $140,020,005. SECTION 2: UABHS ENTITIES UABHS' FLAGSHIP FACILITY IS THE 1157-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 SERVICES, AND SPAIN REHABILITATION CENTER, ONE OF THE SOUTHEAST'S FOREMOST PROVIDERS OF COMPREHENSIVE REHABILITATION CARE. THE WOMEN & INFANTS CENTER OF UAB HOSPITAL PROVIDES ADVANCED SERVICES AND SOPHISTICATED STATE-OF-THE-ART MEDICAL TECHNOLOGY TO 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. 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, A RADIOSURGERY TREATMENT CENTER, AND 'ACUTE CARE FOR ELDERLY', THE REGION'S FIRST MODEL PATIENT UNIT FOR COORDINATED GERIATRIC CARE, AND A PAIN TREATMENT CENTER SERVING PATIENTS WITH ACUTE AND CHRONIC CONDITIONS INCLUDING INTRACTABLE CANCER PAIN. UAB CALLAHAN EYE HOSPITAL, THE KIRKLIN CLINIC AT UAB, THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, AND VIVA HEALTH ARE AMONG OTHER UABHS ENTITIES. UABHS PHYSICIANS PROVIDED SERVICE FOR 1.2 MILLION OUTPATIENT VISITS IN FY 2013. UABHS OPERATES 129 CLINICS, 54 HOUSED IN THE KIRKLIN CLINIC, A CONTIGUOUS OUTPATIENT FACILITY WITH MORE THAN 33 DISTINCT CLINICAL UNITS OF MULTIDISCIPLINARY TEAMS. THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION 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, WITH THE LARGEST BEING THE UAB COMPREHENSIVE CANCER CENTER, WHICH HAS HELD THE HIGHEST NCI DESIGNATION FOR MORE THAN 40 CONSECUTIVE YEARS. THE UAB CALLAHAN EYE HOSPITAL (CEH) OFFERS THE LATEST IN OPHTHALMIC LASER AND MICROSURGERY TREATMENT, 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 IN 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; FOUR 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. BESIDES 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 AGED 19 TO 35 MONTHS; AND EQUAL ACCESS BIRMINGHAM, A FREE CDescription
Total Program Service Expense12455045TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees626NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCONNIE BUCKINGHAMNamePerson
Telephone Number2059346604TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 22ND ST S STE 408AddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code352333110ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationReportable Comp From OrganizationReportableCompFromOrganizationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KIRBY BLAND MD
BOARD MEMBER1.040.0X88710087376
RAY HAYES
BOARD MEMBER1.040.0X34401152658
RAY WATTS MD
BOARD MEMBER20.020.0X397733218418407882
ANUPAM AGARWAL
BOARD MEMBER1.040.0X15174122519
JAMES BONNER
BOARD MEMBER1.040.0X1298249129892
AMIE MCLAIN
BOARD MEMBER1.040.0X49672688887
CHARLES ADAIR
BOARD MEMBER1.0X
CHARLES PERRY
BOARD MEMBER1.0X
DONALD JAMES
BOARD MEMBER1.0X
FINIS E ST JOHN IV
BOARD MEMBER1.0X
JAMES WILSON
BOARD MEMBER1.0X
JOHN MCMAHON
BOARD MEMBER1.0X
JOHN ENGLAND JR
BOARD MEMBER1.0X
RONALD GRAY
BOARD MEMBER1.0X
VAN RICHEY
BOARD MEMBER1.0X
SETH LANDEFELD
BOARD MEMBER1.040.0X16685115121
RICHARD MARCHASE
BOARD MEMBER1.040.0X41116473527
ROBERT WITT
BOARD MEMBER1.040.0X53310639920
THOMAS LOWDER
BOARD MEMBER1.0X
ISSAC WILLIAM FERNIANY
CEO40.01.01941491342698X
JOHN FAULSTICH
CFO40.089783452637X
JEANETTA KELLER
Chief Admin Officer40.067263431529X
DAVID RANDALL
SR VP Strategy and Development40.081564424615X
BART KELLY
DIRECTOR, SERVICE LINE40.047493251556X
DONALD LILLY
VP CLINICAL NETWORK DEVELOP.40.063915341349X
WARREN SMEDLEY
DIRECTOR, Service Line40.052487244435X
RAHEEL FAROUGH
DIRECTOR, PAYER CONTRACT40.071368244594X
MARY GIBSON
DIRECTOR PHYSICIAN RELATIONS40.029564143479X
ROBERT RICH MD
FORMER BOARD MEMBER40.072891359807X
SERGIO STAGNO MD
FORMER BOARD MEMBER1.040.022681537402X
MALCOM PORTERA
FORMER BOARD MEMBER40.0648982104069X
CAROL Z GARRISON PHD
FORMER BOARD MEMBER66667798363X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4644581TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6229155TotalReportableCompFrmRltdOrgs
Total Other Compensation1738629TotalOtherCompensation
Number Individuals GT100 K83NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AKIN GUMP STRAUSS HAUER FELD
DPT 7247-6827PHILADELPHIAPA191706827LEGAL495653
THE CRIMSON INITIATIVE
PO BOX 79461BALTIMOREMD212790461CONSULTING385000
LAWSON SOFTWARE
380 St Peter StreetST PAULMN551021302SOFTWARE MAINTENANCE315044
RESULTS LLC
2 N JACKSON ST SUITE 705BMONTGOMERYAL36104CONSULTING200004
ECG MANAGEMENT CONSULTANTS
1111 3RD AV STE 2700SEATTLEWA98101CONSULTING199476
FieldValueIRS element (for citing)
Number Of Contractors GT100 K14NumberOfContractorsGT100K
Related Organizations12891059RelatedOrganizations
Total Contributions12891059TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEES9000991163315611633156
SALES AND SERVICES INCOME90009910438601043860
FieldValueIRS element (for citing)
Total Program Service Revenue12677016TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9600TotalRevenueColumn
Exclusion$9,600ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25577675TotalRevenueColumn
Related Or Exempt Function Income12677016RelatedOrExemptFunctionIncome
Exclusion$9,600ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total12455045Total
Program Services12455045ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4219612Total
Management And General4219612ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5144460Total
Management And General5144460ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total538370Total
Management And General538370ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total71526Total
Management And General71526ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total512828Total
Management And General512828ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total441529Total
Management And General441529ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total21594Total
Management And General21594ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total437222Total
Management And General437222ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total122797Total
Management And General122797ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total118864Total
Management And General118864ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total50953Total
Management And General50953ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total9168Total
Management And General9168ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneral
MEALS184355184355
DUES & SUBSCRIPTIONS139141139141
LICENSES & PERMITS1576615766
SALES & USE TAX42474247

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13136Total
Management And General13136ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24500613Total
Program Services12455045ProgramServices
Management And General12045568ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY11648641BOY
EOY20554573EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4930844BOY
EOY3825065EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY177591BOY
EOY69459EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1401202LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1295745LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY156410BOY
EOY105457EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1000BOY
EOY1000EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13219322BOY
EOY14154867EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY30133808BOY
EOY38710421EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6670612BOY
EOY3202186EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY38383BOY
EOY245244EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13219322BOY
EOY24569623EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19928317BOY
EOY28017053EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10205491BOY
EOY10693368EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10205491BOY
EOY10693368EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY30133808BOY
EOY38710421EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1077062ReconcilationRevenueExpenses
Reconcilation Other Changes-589185ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10170433CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10996133CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11280499CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12735124CurrentTaxYearMinus1Year
Current Tax Year12891059CurrentTaxYear
Total58073248Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10170433CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10996133CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11280499CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12735124CurrentTaxYearMinus1Year
Current Tax Year12891059CurrentTaxYear
Total58073248Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total21874994AmountsSubstContributorsTotal
Public Support Total17036198254PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years33312CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9337CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10230CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6783CurrentTaxYearMinus1Year
Current Tax Year9600CurrentTaxYear
Total69262Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Total Support58142510TotalSupport
Public Support Pertcentage1700.62258PublicSupportPertcentage170
Public Support Pertcent Prior Year0.61460PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis764302OtherCostOrOtherBasis
Depreciation658845Depreciation
Book Value105457BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis636900OtherCostOrOtherBasis
Depreciation636900Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings105457TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEFIT PLAN ASSETDescription
Book Value14154867BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets14154867TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
BENEFIT PLAN LIABILITIES$14,154,867
HEALTH INSURANCE RESERVE$350,000
DUE TO UAB$176,911
DUE TO UA HSF$71,910
DUE TO UA HOSPITAL$50,000
DUE TO UA SCHOOL OF MEDICINE$9,765,935
FieldValueIRS element (for citing)
Total Of Amounts24569623TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt34740036TotRevenueEtcAuditedFinclStmt
Other Revenues9162361OtherRevenues
Revenue Not Rptd F9909162361RevenueNotRptdF990
Revenue Subtotal25577675RevenueSubtotal
Total Revenue Per Form99025577675TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33662074TotExpensesEtcAuditedFinclStmt
Other Expenses Included9161461OtherExpensesIncluded
Expenses Not Rptd F9909161461ExpensesNotRptdF990
Expenses Subtotal24500613ExpensesSubtotal
Total Expenses Per Form99024500613TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE D, PART XI, LINE 2DFUNDS TRANSFERRED FROM REVENUE TO EQUITY FOR FINANCIAL STATEMENTS PURPOSES - $6,826,062 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) - $2,336,299
SCHEDULE D, PART XII, LINE 2DOTHER 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) - ($9,161,461)

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2EIN Of RecipientEINOfRecipient
UNIVERSITY OF ALABAMA AT BIRMINGHAM
1530 3RD AVE SOUTHBIRMINGHAMAL35294GOVERNMENTAL54833N/AN/ASUPPORT VARIOUS PROGRAMS
UA HEALTH SERVICES FOUNDATION PC
500 22ND STREET SOUTHBIRMINGHAMAL35233501(C)(3)8391419N/AN/AUAB PRIME CARE510630649108
UA HEALTH SERVICES FOUNDATION PC
500 22ND STREET SOUTHBIRMINGHAMAL35233501(C)(3)795000N/AN/AOB/GYN SUPPORTSUITE 510630649108
UAB DEPARTMENT OF HEALTH
1720 2ND AVE SBIRMINGHAMAL35233GOVERNMENTAL20000N/AN/ASPONSORSHIP 2013
AMERICAN HEART ASSOCIATION
1449 MEDICAL PARK DRBIRMINGHAMAL35213501(C)(3)22500N/AN/ASPONSORSHIP 2013135613797
ALABAMA SYMPHONY ORCHESTRA
3621 6TH AVE SOUTHBIRMINGHAMAL35222501(C)(3)15000N/AN/ASPONSORHSIP 2013631103036
BIRMINGHAM EDUCATION FOUNDATION
2100 1ST AVENUE NORTHBIRMINGHAMAL35203501(C)(3)25000N/AN/ASPONSORSHIP 2013264685144
UAB EDUCATIONAL FOUNDATION
1717 11TH AVE S103-ABIRMINGHAMAL35205501(C)(3)3072000N/AN/ASUPPORT VARIOUS PROGRAM636155094
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierORGANIZATION'S PROCEDURES FOR MONITORING USE OF GRANT FUNDS & SPONSORSHIPSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationUAB HEALTH SYSTEM MAINTAINS GRANT FUND RECORDS AND MONITORS THE USE OF SUCH GRANTS BY RECIPIENTS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrgBonus Filing OrgBonusFilingOrg
KIRBY BLAND MD
BOARD MEMBER8644492200204516468322693974476
RAY HAYES
BOARD MEMBER33910649053498017678396669
ROBERT RICH MD
FORMER BOARD MEMBER207603152204700102881432698150993
BART KELLY
DIRECTOR, SERVICE LINE162292622744553019632990496079526990
RAY WATTS MD
BOARD MEMBER2651021300122619406904110647952940638215001317404882544504
ISSAC WILLIAM FERNIANY
CEO599737367526172881212681536847338165375435
JOHN FAULSTICH
CFO34173215006922920554542420109405
JEANETTA KELLER
Chief Admin Officer291353454276273145324987924308794749
DAVID RANDALL
SR VP Strategy and Development2823614794862895186695061794686894306
DONALD LILLY
VP CLINICAL NETWORK DEVELOP.2261215209645322185934052644998163132
WARREN SMEDLEY
DIRECTOR, Service Line1795472869326456260312969222759536195
RAHEEL FAROUGH
DIRECTOR, PAYER CONTRACT2030111913534501791831596239670
SERGIO STAGNO MD
FORMER BOARD MEMBER2216065209337423660264217
ANUPAM AGARWAL
BOARD MEMBER1501311000610212151304174260
JAMES BONNER
BOARD MEMBER65177064647984545453471428141
AMIE MCLAIN
BOARD MEMBER49345632706486424023585613
SETH LANDEFELD
BOARD MEMBER146022196001229124642657181972
RICHARD MARCHASE
BOARD MEMBER3968571059037176123612291484691
ROBERT WITT
BOARD MEMBER4221441045416421375092411573026
MALCOM PORTERA
FORMER BOARD MEMBER533004104541114378676217307753051
CAROL Z GARRISON PHD
FORMER BOARD MEMBER51424614623461978736610997765040
MARY GIBSON
DIRECTOR PHYSICIAN RELATIONS119263124101715417304324216

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPART II:Identifier
ExplanationFOR CALENDAR YEAR 2012 COMPENSATION FOR ROBERT RICH INCLUDED $150,993 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2012 COMPENSATION FOR BART KELLY INCLUDED $60,795 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR FISCAL YEAR 2012 COMPENSATION FOR ISSAC WILLIAM FERNIANY INCLUDED $338,165 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2012 COMPENSATION FOR JEANETTA KELLER INCLUDED $43,087 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2012 COMPENSATION FOR DAVID RANDALL INCLUDED $46,868 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2012 COMPENSATION FOR DONALD LILLY INCLUDED $49,981 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2012 COMPENSATION FOR WARREN SMEDLEY INCLUDED $27,595 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
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.
FORM 990, PART XI, LINE 9:OTHER CHANGES IN NET ASSETS: ($589,185)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE R PART VIIBusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1UAB HEALTH SYSTEMS MANAGEMENT INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 22ND ST S STE 408AddressLine1
CityBIRMINGHAMCity
StateALState
ZIP Code35233ZIPCode
FieldValueIRS element (for citing)
EIN200884205EIN
Primary ActivityHEALTH MANAGEMENTPrimaryActivity
Legal Domicile StateALLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UABHSBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPTypeOfEntity
Share Of Total Income0ShareOfTotalIncome
Share Of EOY Assets0ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierSCHEDULE R, PART IIIdentifier
ExplanationTHE ATTACHED LIST OF ENTITIES INCLUDES FOUNDATIONS OR SUBSIDIARIES AFFILIATED WITH THE UNIVERSITY OF ALABAMA SYSTEM AND ITS VARIOUS CAMPUSES INCLUDING THE UNIVERSITY OF ALABAMA, THE UNIVERSITY OF ALABAMA AT BIRMINGHAM, THE UNIVERSITY OF ALABAMA AT HUNTSVILLE, AND THE UAB HEALTH SYSTEM. SOME OF THESE ENTITIES MAY NOT MEET THE IRS DEFINITION OF "RELATED ORGANIZATION" FOR PURPOSES OF SCHEDULE R. THEY ARE INCLUDED, HOWEVER, ON THIS STATEMENT FOR PURPOSES OF COMPLETENESS AND TRANSPARENCY. THE UNIVERSITY FOUNDATION THE CAPSTONE FOUNDATION THE CRIMSON TIDE FOUNDATION THE UNIVERSITY OF ALABAMA LAW SCHOOL FOUNDATION 1831 FOUNDATION UA DONOR ADVISED FUND NATIONAL ALUMNI ASSOCIATION OF THE UNIVERSITY OF ALABAMA CAPSTONE HEALTH SERVICES FOUNDATION THE UNIVERSITY OF ALABAMA RESEARCH FOUNDATION THE GORGAS MEMORIAL BOARD THE UAB RESEARCH FOUNDATION THE UAB EDUCATIONAL FOUNDATION NATIONAL ALUMNI SOCIETY OF THE UNIVERSITY OF ALABAMA AT BIRMINGHAM UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE ALUMNI ASSOCIATION SOUTHERN RESEARCH INSTITUTE THE UNIVERSITY OF ALABAMA PROFESSIONAL LIABILITY TRUST FUND THE UNIVERSITY OF ALABAMA COMPREHENSIVE GENERAL LIABILITY TRUST FUND CENTER FOR INFECTIOUS DISEASE RESEARCH, ZAMBIA LIMITED THE GORGAS MEMORIAL INSTITUTE OF TROPICAL & PREVENTATIVE MEDICINE, INC. THE UNIVERSITY OF ALABAMA IN HUNTSVILLE FOUNDATION THE UNIVERSITY OF ALABAMA IN HUNTSVILLE ALUMNI FOUNDATION THE UNIVERSITY OF ALABAMA IN HUNTSVILLE EMINENT SCHOLARS FOUNDATION UAB HEALTH SYSTEM MANAGEMENT, INC. THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION THE MEDICAL ADVANCEMENT FOUNDATION THE CALLAHAN EYE FOUNDATION HOSPITAL THE OPHTHALMOLOGY SERVICES FOUNDATION VALLEY FOUNDATION THE HEALTH CARE AUTHORITY FOR MEDICAL WEST THE HEALTH CARE AUTHORITY FOR BAPTIST HEALTH THE HEALTH CARE AUTHORITY FOR UAB HIGHLANDS CALLAHAN EYE HOSPITAL HEALTH CARE AUTHORITYExplanation

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