2022-08-15T13:41:39-05:00 2021-09-30 PricewaterhouseCoopers LLP 655 NEW YORK AVE NW STE 1100 WASHINGTON DC 20001 990 2020-10-01 631182994 UAB HEALTH SYSTEM % CONNIE BUCKINGHAM UABH 2059755413 500 22ND STREET SOUTH SUITE 408 BIRMINGHAM AL 352333110 SUSAN JENNINGS INTERIM CFO 2059755413 2022-08-11 true SUSAN JENNINGS 999009999 TRAVIS L PATTON P00369623 2024141000 2022-08-11 2 2020 2022-09-23 18:48:47Z DAWN BULGARELLA 500 22ND ST S STE 408 BIRMINGHAM AL 352333110 80834759 false X N/A X 1996 AL SEE SCHEDULE O 17 9 557 11 0 0 14760991 20165379 43496413 56944522 4460959 3724858 0 0 62718363 80834759 14589191 18946439 0 0 15671443 21251428 0 0 0 15099744 21348793 45360378 61546660 17357985 19288099 262548426 293178635 205096451 216438561 57451975 76740074 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 18946439 18946439 56944522 SEE SCHEDULE O 18946439 true true false true 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 true false false false false false false false false false false false true true true false false false true 13 0 true 557 true false false false false false false false false false false true false X 17 9 false true false false true true true true true false false true true true true true true true true false X CONNIE BUCKINGHAM 2059346604 500 22ND ST S STE 408 BIRMINGHAM AL 352333110 ISSAC WILLIAM FERNIANY PHD CEO 40.0 3.25 X 1619761 0 225647 SELWYN VICKERS MD BOARD MEMBER 1.0 46.0 X 1102266 383195 147239 REID JONES COO 40.0 2.0 X 1265239 7338 172028 JAMES MARKERT CHAIR NEUROSURGERY 1.0 40.0 X 0 1169540 138026 HERBERT CHEN BOARD MEMBER 1.0 40.0 X 0 1190284 116230 RAY WATTS MD BOARD MEMBER/CHAIR 20.0 41.5 X 390926 632287 160485 KEITH JONES BOARD MEMBER 1.0 40.0 X 137333 794271 167067 FINIS E ST JOHN IV CHANCELLOR 0.0 43.0 X 0 1009258 88887 DAWN BULGARELLA CFO 40.0 0.0 X 834399 0 58140 SETH LANDEFELD BOARD MEMBER 1.0 41.0 X 0 711400 111508 CLAYTON RYAN VP GOV'T AFFAIRS/SPEC COUNSEL 40.0 0.0 X 775306 0 33835 DAVID RANDALL SR VP STRATEGY AND BUS. 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ITEM 1I DISCLOSURE UAB MEDICINE ENTERPRISE ENGAGED IN ISSUE ADVOCACY AND STRATEGY EFFORTS AT THE LOCAL, STATE, AND FEDERAL LEVEL IN THE AREAS OF HEALTH CARE, INSURANCE, AND HIGHER EDUCATION RELATED MATTERS. 14981680 14981680 15138324 659161 14479163 764302 763746 556 636900 827483 -190583 0 0 29270816 BENEFIT PLAN ASSET 15107621 ASSET CLEARING 51900 15159521 0 BENEFIT PLAN LIABILITIES 15082455 DUE TO UAB 176911 DUE TO UA HSF 3026935 DUE TO UA SCHOOL OF MEDICINE 9607389 DUE TO UA HOSPITAL 52211747 STRATEGIC INITIATIVE FUND PAYABLE 1066542 MISCELLANEOUS 1485851 DUE TO VALLEY FOUNDATION 2087 DUE TO TRITON HEALTH SYSTEM 3176 DUE TO EYE FOUNDATION 338764 83001857 88179832 7345073 7345073 80834759 80834759 68398502 6851842 6851842 61546660 61546660 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) - $7,345,073 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 BIRMINGHAM, A STATE ENTITY) - 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X X true true X X X X false true false false false false false false false BART KELLY EXEC DIR TELEHEALTH SERVICES 189088 0 32692 0 1938 0 38805 0 2700 0 265223 0 0 0 CHRISTOPHER MEEKS VP CLINICAL FUND/EXEC DIR AOC 222317 0 77933 0 1333 0 50136 0 1140 0 352859 0 0 0 CLAYTON RYAN VP GOV'T AFFAIRS/SPEC COUNSEL 699008 0 75250 0 1048 0 13003 0 20832 0 809141 0 0 0 DANA KEITH BOARD MEMBER 0 347806 0 0 0 15110 0 38592 0 12120 0 413628 0 0 DAVID RANDALL SR VP STRATEGY AND BUS. 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REID JONES AND WILL FERNIANY WERE REIMBURSED FOR SOCIAL CLUB DUES. THESE AMOUNTS WERE TREATED AS TAXABLE COMPENSATION. PART II: FOR CALENDAR YEAR 2020 COMPENSATION FOR REID JONES INCLUDED $159,133, WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. A UAB MEDICINE FINANCE AUTHORITY 814143656 902562DQ7 2019-06-05 125903345 FINANCING CAPITAL ASSETS false false false A 0 0 127020801 0 0 0 903345 0 0 73548510 0 52568946 2022 false false false true A false false false false 0.00000 0.00000 0.00000 false false false true A false true false false false false 0 false 0 false false A false PART I, COLUMN (E) TOTAL PROCEEDS OF ISSUE THE PART I, COLUMN (E) "ISSUE PRICE" DOES NOT AGREE WITH THE PART II, LINE 3 "TOTAL PROCEEDS OF ISSUE" FOR THE BOND DUE TO THE INCLUSION OF INVESTMENT EARNINGS ON THE PROCEEDS ACCOUNTS. THE CUMULATIVE INVESTMENT EARNINGS INCLUDED IN PART II, LINE 3 ARE AS FOLLOWS: CUSIP # 902562DQ7 $1,117,456 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 III, LINE 4A: SECTION 1: MISSION STATEMENT & 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 WORLD. 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 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 AND TRAINING OF FACULTY, AND CREATING HIGHLY INNOVATIVE, WELL-COORDINATED INTERDISCIPLINARY CLINICAL PROGRAMS AND RELATIONSHIPS THAT SERVE AS MODELS FOR HEALTH CARE EDUCATION AND DELIVERY. UABHS IS INTERNATIONALLY RECOGNIZED FOR ITS TRIPARTITE MISSION OF PROVIDING THE HIGHEST LEVELS 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 APPROXIMATELY 1,630 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 FY2021, UABHS ENTITIES DISCHARGED 90,743 PATIENTS AND SAW 135,786 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. UABHS PROVIDES SIGNIFICANT CHARITY CARE TO INDIGENT PATIENTS NOT COVERED BY INSURANCE. UABHS' ESTIMATED COST INCURRED FOR CHARITY CARE PROVIDED TO INDIGENT INDIVIDUALS IN FY2021 WAS $78,472,000. UABHS ALSO PROVIDES CARE TO A LARGE NUMBER OF INDIVIDUALS COVERED BY GOVERNMENTAL PROGRAMS THAT MAY REIMBURSE BELOW COST. IN FY2021, UABHS' UNREIMBURSED COST FOR TREATING MEDICAID PATIENTS WAS $127,000. IN ADDITION, UABHS ENTITIES PROVIDE HEALTH CARE SERVICES TO MANY INDIVIDUALS WHO CANNOT PAY FOR ALL OR ANY OF THEIR MEDICAL CARE. IN FY2021, THE COST FOR THIS BAD DEBT WAS $129,969,000. UNCOMPENSATED CARE COSTS DO NOT INCLUDE OTHER UNFUNDED COSTS OF CARE, SUCH AS UNDERPAYMENT FROM MEDICAID AND MEDICARE. IN 2021, UABHS SERVED AS A KEY PARTNER IN FIGHTING THE COVID-19 VIRUS IN THE STATE OF ALABAMA. IN ADDITION TO CARING FOR A SIGNIFICANT PERCENTAGE OF ALABAMA'S COVID-19 PATIENTS, UABHS OPENED AND OPERATED A COMMUNITY COVID-19 TESTING SITE, WHERE IT TESTED MORE THAN 187,100 PATIENTS, EMPLOYEES, AND COMMUNITY MEMBERS. UABHS LEADERS SERVED ON DECISION-MAKING COMMITTEES FOR THE STATE AND WORKED WITH OTHER HOSPITALS IN OUR AREA TO COORDINATE MESSAGING AND POLICIES TO HELP FACILITATE UNIFIED MESSAGING ON VISITATION, MASKING, AND SCREENING POLICIES. SECTION 2: ENTITIES UABHS' FLAGSHIP FACILITY IS THE 1,207-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. AS 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/BURN UNIT, AND SPAIN REHABILITATION CENTER, WHICH IS ONE OF THE SOUTHEAST'S FOREMOST PROVIDERS OF COMPREHENSIVE REHABILITATION CARE. THE WOMEN & INFANTS CENTER OFFERS ADVANCED SERVICES AND THE LATEST MEDICAL TECHNOLOGY 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 UAB'S REGIONAL NEWBORN INTENSIVE CARE UNIT (RNICU), THE STATE'S LARGEST. TOGETHER WITH CHILDREN'S OF ALABAMA, UAB OFFERS THE ONLY LEVEL IV NICU IN ALABAMA - DESIGNATED BY THE AMERICAN ACADEMY OF PEDIATRICS AS THE HIGHEST AND MOST COMPREHENSIVE LEVEL OF CARE AVAILABLE. 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, SURGICAL UROLOGY, A SPECIALIZED UNIT FOR FRAGILITY FRACTURES, THE UAB SLEEP-WAKE DISORDERS CENTER, AND THE UAB PAIN TREATMENT CLINIC, WHICH SERVES PATIENTS WITH ACUTE AND CHRONIC CONDITIONS INCLUDING INTRACTABLE CANCER PAIN. IN 2021, THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS NAMED THE UAB HOSPITAL-HIGHLANDS ED A LEVEL 1 GERIATRIC EMERGENCY DEPARTMENT, MAKING IT THE ONLY ACCREDITED GERIATRIC ED IN ALABAMA, THE FIRST ONE IN THE SOUTHEAST, AND JUST THE 17TH LEVEL 1 ED IN THE WORLD. IT ALSO HOUSES THE ACUTE CARE FOR ELDERS (ACE) UNIT, THE REGION'S FIRST MODEL INPATIENT UNIT FOR COORDINATED GERIATRIC CARE. THE ACE UNIT FOCUSES ON MAINTAINING PATIENT FUNCTION BY UTILIZING AN INTERDISCIPLINARY CARE TEAM TRAINED IN GERIATRICS TO AGGRESSIVELY MANAGE GERIATRIC SYNDROMES, WHILE A HOSPITALIST PHYSICIAN MANAGES EACH PATIENT'S ACUTE MEDICAL DIAGNOSIS. UABHS INCLUDES CALLAHAN EYE HOSPITAL, THE KIRKLIN CLINIC OF UAB HOSPITAL, WHITAKER CLINIC OF UAB HOSPITAL, VIVA HEALTH, AND THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION (UAHSF). UAHSF SUPPORTS AMBULATORY SERVICES THROUGH 39 SPECIALTIES AND 179 SUB-SPECIALTIES IN MORE THAN 200 CLINICS ACROSS THE BIRMINGHAM COMMUNITY. IN 2021, OVER 1,630 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS DELIVERED EXCEPTIONAL SPECIALTY CARE SERVICES TO 1.68 MILLION PATIENTS FROM ACROSS THE WORLD. UABHS SUPPORTS MORE THAN 100 SPECIALIZED CENTERS FOR INTERDISCIPLINARY RESEARCH, CLINICAL CARE, AND COMMUNITY OUTREACH, THE LARGEST BEING THE O'NEAL COMPREHENSIVE CANCER CENTER AT UAB, WHICH HAS HELD THE HIGHEST NCI DESIGNATION FOR MORE THAN 40 CONSECUTIVE YEARS. CALLAHAN EYE HOSPITAL (CEH) IS THE ONLY SPECIALTY EYE HOSPITAL IN ALABAMA AND ONE OF ONLY A FEW FACILITIES IN THE WORLD ENTIRELY DEDICATED TO ADVANCEMENTS IN OPHTHALMOLOGY. AS SUCH, CEH IS A KEY SERVICE OF UAB HEALTH SYSTEM AND OPERATES THE TEACHING PROGRAM FOR THE UAB SCHOOL OF MEDICINE DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES. THE AMBULATORY AND TEACHING CLINICS TREATED MORE THAN 115,000 OPHTHALMIC PATIENTS EACH YEAR AND OFFER THE ONLY 24/7 EYE EMERGENCY DEPARTMENT AND LEVEL I OCULAR TRAUMA CENTER IN THE STATE. PERFORMING MORE THAN 14,500 SURGERIES EACH YEAR, CEH DELIVERS EXCELLENCE IN SURGERY FOR EYE TRAUMA; RETINAL, VITREOUS, AND CORNEAL ISSUES; CORNEA TRANSPLANT; GLAUCOMA; CATARACTS (INCLUDING LASER CATARACT PROCEDURES); OCULOPLASTICS; ORBITAL RECONSTRUCTION; AND PEDIATRIC EYE ISSUES. CALLAHAN HAS MORE THAN 20 SATELLITE CLINIC LOCATIONS IN CENTRAL ALABAMA. CEH SPONSORS OR PARTNERS WITH ORGANIZATIONS SUCH AS THE EYESIGHT FOUNDATION OF ALABAMA, SIGHT SAVERS OF AMERICA, AND THE ALABAMA LIONS SIGHT CONSERVATION ASSOCIATION TO PROVIDE OCULAR SCREENING SERVICES TO UNDERSERVED POPULATIONS IN ALABAMA. OTHER UABHS OPERATIONS INCLUDE: -UAB MEDICINE PRIMARY & SPECIALTY CARE OF GARDENDALE IS A STATE-OF-THE-ART MEDICAL COMPLEX THAT OFFERS PRIMARY AND SPECIALTY CARE SERVICES, AN ADJACENT FREESTANDING EMERGENCY DEPARTMENT, AND A UAB CALLAHAN EYE HOSPITAL CLINIC WITH FULL-SERVICE OPTICAL STORE. -UAB MEDICINE PRIMARY AND SPECIALTY CARE OF HOOVER -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. -UAB MEDICINE LEEDS, A PRIMARY CARE CLINIC COMBINED WITH A FULL AMBULATORY IMAGING FACILITY. -UAB MEDICINE URGENT CARE, THE FIRST URGENT CARE SITE FOR UAB MEDICINE, DESIGNED TO SERVE PATIENTS WITH ACUTE ISSUES, MINOR LACERATIONS, ORTHOPEDIC INJURIES, ETC. -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, AN ALABAMA-BASED HEALTH PLAN COVERING MORE THAN 550,000 ENROLLEES ACROSS COMMERCIAL, MEDICARE ADVANTAGE, AND MEDICAID HEALTH HOMES, WHICH OFFERS 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 -OPHTHALMOLOGY SERVICES FOUNDATION, THE CLINICAL PRACTICE COMPONENT OF THE FORM 990, PART III, LINE 4A (CONTINUED): ADDITIONALLY, UABHS AFFILIATES INCLUDE MEDICAL WEST, A 310-BED ACUTE CARE HOSPITAL OFFERING A WIDE RANGE OF DIAGNOSTIC, SURGICAL, MEDICAL, AND EMERGENCY SERVICES; BAPTIST HEALTH IN MONTGOMERY, A PRIMARY PROVIDER OF HEALTH CARE SERVICES IN CENTRAL ALABAMA. BAPTIST HEALTH OF MONTGOMERY COMPRISES THREE HOSPITALS: MONTGOMERY'S BAPTIST MEDICAL CENTER SOUTH, 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 60-BED BEHAVIORAL HEALTH FACILITY. SINCE 2017, WE ALSO HAVE ENTERED INTO MANAGED AGREEMENTS WITH 5 RURAL HOSPITALS IN CENTRAL ALABAMA. THESE HOSPITALS ARE LICENSED FOR A TOTAL OF 353 BEDS AND PROVIDE THEIR LOCAL COMMUNITIES WITH SERVICES THAT INCLUDE EMERGENCY CARE, DIAGNOSTICS, ACUTE AND BEHAVIORAL HEALTH BEDS, GENERAL SURGERY, INFUSION TREATMENTS, AND ESSENTIAL PRIMARY CARE. UAB HEALTH SYSTEM SUPPORTS THESE HOSPITALS WITH A WIDE RANGE OF TELEHEALTH PROGRAMS THAT HELP THEIR PATIENTS STAY CLOSER TO HOME. BAPTIST HEALTH AND UAB MEDICINE OPERATE THE UAB MEDICINE MULTISPECIALTY CLINIC AT BAPTIST MEDICAL CENTER SOUTH. THE CLINIC OFFERS MUCH-NEEDED SPECIALTIES INCLUDING UROLOGY, GASTROENTEROLOGY, ENDOCRINOLOGY, RHEUMATOLOGY, CARDIOTHORACIC SURGERY, AND BREAST HEALTH. THE UAB MEDICINE MULTISPECIALTY CLINIC CREATED A CONVENIENT, HIGH-QUALITY HEALTH CARE OPTION FOR THE RESIDENTS OF CENTRAL ALABAMA, AS MANY HAVE BEEN FORCED TO TRAVEL BEYOND THE MONTGOMERY AREA FOR MEDICAL SERVICES DUE TO OVERWHELMING NEED, LIMITED ACCESS, AND A LACK OF SPECIALISTS IN THE REGION. THE CLINIC'S SPECIALISTS HAVE INCREASED ACCESS TO SPECIALTY CARE IN A CONVENIENT, CENTRALIZED LOCATION CLOSE TO HOME THAT LEADS TO EARLIER DIAGNOSIS AND TREATMENT. IN ADDITION, PATIENTS HAVE ACCESS TO CLINICAL TRIALS AND RESEARCH BEING CONDUCTED AT UAB. 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 CHARACTERIZED BY HIGH LEVELS OF POVERTY AND A POPULATION OF NUMEROUS UNINSURED AND UNDERINSURED INDIVIDUALS. MANY OF THESE PEOPLE DEPEND ON UABHS MEDICAL PROFESSIONALS FOR THEIR HEALTH CARE NEEDS. UABHS IS DEDICATED TO PROVIDING HEALTH CARE AND SCREENING AND PREVENTION PROGRAMS TO POOR AND UNDERPRIVILEGED INDIVIDUALS. UABHS' MANY PROGRAMS INCLUDE THE O'NEAL COMPREHENSIVE CANCER CENTER OFFICE OF COMMUNITY OUTREACH AND ENGAGEMENT, WHICH WORKS TO ELIMINATE DISPARITIES IN CANCER DEATH RATES BY RACE/ETHNICITY AND GEOGRAPHIC RESIDENCE (URBAN/RURAL) BY TARGETING LOWER INCOME AND MEDICALLY UNDERSERVED COUNTIES IN ALABAMA AND MISSISSIPPI WITH COMMUNITY AWARENESS PROGRAMS, MINORITY ENROLLMENT IN CLINICAL TRIALS, NAVIGATION TO CANCER SCREENING, AND THE DEVELOPMENT OF MINORITY JUNIOR BIOMEDICAL RESEARCHERS. ANOTHER PROGRAM THAT FOCUSES ON MINORITIES AND THE MEDICALLY UNDERSERVED IS THE UAB MINORITY HEALTH & HEALTH DISPARITIES RESEARCH CENTER, A COMPREHENSIVE EDUCATIONAL, RESEARCH, AND COMMUNITY ENGAGEMENT CENTER. THE MHRC GENERATES AND DISSEMINATES RESEARCH KNOWLEDGE FROM BIOMEDICAL, BEHAVIORAL, AND SOCIAL SCIENCES IN ORDER TO REDUCE THE HEALTH DISPARITIES EXPERIENCED BY VULNERABLE POPULATIONS AND DISADVANTAGED COMMUNITIES LOCALLY, REGIONALLY, AND NATIONALLY. OTHER PROGRAMS THAT PROVIDE ESSENTIAL HEALTH CARE SERVICES TO POOR AND MEDICALLY UNDERSERVED INDIVIDUALS INCLUDE THE TOT SHOTS PROGRAM, WHICH OFFERS FREE, WALK-IN IMMUNIZATION SERVICES AT COMMUNITY-BASED CLINICS IN PARTNERSHIP WITH THE JEFFERSON COUNTY DEPARTMENT OF HEALTH AND OTHERS. ADDITIONALLY, EQUAL ACCESS BIRMINGHAM - A FREE CLINIC RUN BY AN INTERDISCIPLINARY TEAM OF VOLUNTEER PHYSICIANS, MEDICAL STUDENTS, AND OTHER HEALTH CARE PROFESSIONALS - PROVIDES FREE MEDICAL CARE AND HEALTH EDUCATION TO MEDICALLY UNINSURED AND UNDERINSURED PATIENTS. IN FY2021, 119 STUDENTS AND 22 PHYSICIAN VOLUNTEERS PROVIDED CARE FOR 708 CLINIC ENCOUNTERS (ACUTE, CHRONIC, AND SPECIALTY CARE) AND ONE COMMUNITY HEALTH SCREENING BETWEEN OCTOBER 2020 AND SEPTEMBER 2021. THESE NUMBERS REPRESENT OVER 780 HOURS OF SERVICE. THESE NUMBERS WERE REDUCED THIS YEAR DUE TO THE COVID-19 PANDEMIC, AS THE CLINIC WAS OFFERED TELEHEALTH APPOINTMENTS THAT REDUCED THE NUMBER OF STUDENT VOLUNTEERS AND PATIENTS. UABHS AFFILIATE BAPTIST HEALTH DEVELOPED THE CAREADVISOR PROGRAM, WHICH PROVIDES PATIENTS AT HOME WITH PRIMARY CARE SERVICES, MEDICATIONS, AND TRANSPORTATION TO OFFICE VISITS AT NO COST TO THOSE PATIENTS. THE PROGRAM, WHICH SERVES APPROXIMATELY 200 PATIENTS PER MONTH, WAS DESIGNED TO REDUCE READMISSION RATES AND IMPROVE OUTCOMES FOR THE RECENTLY DISCHARGED AND IMPROVE THE HEALTH AND WELLNESS OF PATIENTS IN THE BAPTIST HEALTH SERVICE AREA. THE UAB CENTER FOR PSYCHIATRIC MEDICINE (CPM) IS COMMITTED TO PROVIDING THE HIGHEST QUALITY SERVICES AND INPATIENT TREATMENTS FOR ADOLESCENT, ADULT, AND GERIATRIC PATIENTS AND THEIR FAMILIES. THE CPM OFFERS SERVICES IN THE AREAS OF NEUROPSYCHIATRY, PSYCHIATRY, PSYCHOTHERAPY, AND ADDICTION RECOVERY, CARING FOR PATIENTS WHO SUFFER FROM ACUTE PSYCHIATRIC CONDITIONS REQUIRING HOSPITALIZATION AND OFFERING IN-DEPTH EVALUATION AND TREATMENT FOR A BROAD RANGE OF PSYCHIATRIC DISORDERS, USUALLY IN THEIR ACUTE FORM. UAB MENTAL HEALTH SERVICES, WHICH INCLUDES THE COMMUNITY PSYCHIATRY PROGRAM, SERVES MORE THAN 2,000 ADULTS WITH SERIOUS MENTAL ILLNESSES RESIDING IN THE CATCHMENT AREA OF CENTRAL JEFFERSON COUNTY. IT PROVIDES PSYCHIATRIC EVALUATION, STATE-OF-THE-ART TREATMENT, AN ASSERTIVE COMMUNITY TREATMENT TEAM WITH OUTREACH INTO THE COMMUNITY, AND A DAY TREATMENT PROGRAM. THE ADULT PSYCHIATRY PROGRAM OFFERS EVALUATION AND TREATMENT, INCLUDING PSYCHOTHERAPY. SPECIAL POPULATIONS ARE SERVED, INCLUDING CHILDREN AND ADULTS WITH ATTENTION DEFICIT DISORDER, YOUNG ADULTS EXPERIENCING THEIR FIRST EPISODE OF PSYCHOSIS, AND THE LGBTQ COMMUNITY. PSYCHIATRIC CONSULTATION IS READILY AVAILABLE FOR PATIENTS UNDER EMERGENCY OR INPATIENT CARE. THE UAB SUBSTANCE USE DISORDER PROGRAM SUPPORTS THE COMMUNITY WITH SUBSTANCE USE DISORDER TREATMENT, SUPERVISION OF COURT-INVOLVED INDIVIDUALS, AND RESEARCH. PROGRAMS INCLUDE THE UAB MEDICINE ADDICTION RECOVERY PROGRAM, COMMUNITY JUSTICE, AND BEACON RECOVERY. UAB MEDICINE ADDICTION RECOVERY OFFERS AN INDIVIDUALIZED APPROACH TO THE ASSESSMENT AND TREATMENT OF ALCOHOL AND SUBSTANCE USE DISORDERS. THE PROGRAM OFFERS CONFIDENTIAL EVALUATIONS, DETOXIFICATION, AND INTENSIVE OUTPATIENT PROGRAMS. IT OFFERS UNIQUE REHAB SERVICES TAILORED TO YOUNG ADULTS AND MEDICAL PROFESSIONALS AND PROVIDES PROGRAMMING IN A MULTITUDE OF AREAS, INCLUDING SPIRITUALITY, GRIEF, SOBER SUPPORT, COMMUNICATION STRATEGIES, DEALING WITH STRESS, AND PREVENTING RELAPSE. THE PROGRAM ALSO INCLUDES A CONSULT TEAM, WHICH GOES THROUGHOUT THE HOSPITAL TO HELP ANY PATIENT WITH A SUBSTANCE USE DISORDER. THE CONSULT TEAM MAINLY SERVES UNINSURED AND UNDERINSURED PATIENTS. THE TEAM ALSO WORKS WITH UAB'S LIVER TRANSPLANT PROGRAM TO PROVIDE EVALUATIONS TO PATIENTS BEING ASSESSED FOR TRANSPLANT. COMMUNITY JUSTICE PRIMARILY SERVES INDIVIDUALS WHO ARE UNDERINSURED OR UNINSURED AND WORKS TO IMPROVE THE CRIMINAL JUSTICE SYSTEM THROUGH ADULT ENDEAVORS (PROBLEM-SOLVING COURTS, COMMUNITY CORRECTIONS, COURT REFERRAL, AND PRETRIAL RELEASE) AND EFFORTS DESIGNED FOR YOUTH. BEACON RECOVERY OFFERS OUTPATIENT AND INTENSIVE OUTPATIENT SUBSTANCE ABUSE TREATMENT FOR ADULTS AND ADOLESCENTS AND PRIMARILY SERVES THE UNDERINSURED AND UNINSURED. BEACON RECOVERY OFFERS OUTPATIENT AND INTENSIVE OUTPATIENT SUBSTANCE ABUSE TREATMENT FOR ADULTS AND ADOLESCENTS AND PRIMARILY SERVES THE UNDERINSURED AND UNINSURED. THE BEACON INTEGRATED HEALTH CLINIC IS AN EXTENSION SERVICE FOR BEACON RECOVERY AND PROVIDES PRIMARY CARE SERVICES FOR UNINSURED AND UNDERINSURED PATIENTS ENROLLED IN BEACON RECOVERY SUBSTANCE USE TREATMENT PROGRAMS. SECTION 4: REDUCTION OF GOVERNMENT BURDEN AND PROVISION OF UNPROFITABLE SERVICES UABHS PARTNERS WITH LOCAL AND STATE GOVERNMENTS IN A NATIONALLY RECOGNIZED EMERGENCY MEDICAL SERVICES SYSTEM. THE BIRMINGHAM REGIONAL EMERGENCY MEDICAL SERVICES SYSTEM (BREMSS) IS ADMINISTRATIVELY A COMPONENT OF UABHS, WITH POLICY DIRECTION PROVIDED BY A BOARD WITH REPRESENTATION FROM LOCAL GOVERNMENTS, HOSPITALS, HEALTH CARE PROFESSIONALS, AND OTHER EMERGENCY SERVICES PROVIDER GROUPS WITHIN A SEVEN-COUNTY REGION OF ALABAMA. BREMSS IS RESPONSIBLE FOR COORDINATION OF AND IMPROVEMENTS IN THE PRE-HOSPITAL EMERGENCY MEDICAL CARE SYSTEM WITHIN THESE COUNTIES. BREMSS ALSO IS RESPONSIBLE FOR MEDICAL DIRECTION ASPECTS, EQUIPMENT GRANT FUNDING, EMS AGENCY IMPROVEMENTS FROM BASIC LIFE SUPPORT TO ADVANCED LIFE SUPPORT FUNCTIONS, AN EMS COMMUNICATION SYSTEM, MASS CASUALTY INCIDENTS, AND QUALITY IMPROVEMENT ACTIVITIES. FORM 990, PART III, LINE 4A (CONTINUED): BREMSS HAS PROVIDED A REGIONAL TRAUMA SYSTEM SINCE 1996, A STROKE SYSTEM SINCE 2000, AND A STEMI SYSTEM SINCE 2010. THESE ACUTE CARE SYSTEMS PROVIDE FOR CENTRALIZED ROUTING OF ALL ACUTE-EVENT PATIENTS, INCLUSIVE OF PATIENT OUTCOMES AND EMT EDUCATION. THE TRAUMA SYSTEM HAS LOWERED TRAUMA MORTALITY BY GREATER THAN 12%, AND THE STROKE SYSTEM HAS LOWERED STROKE MORTALITY BY GREATER THAN 7.6%. BREMSS FUNCTIONS AS AN AMERICAN HEART ASSOCIATION TRAINING CENTER, AND, IN ASSOCIATION WITH THE UAB TRAUMA PROGRAM, IT ALSO PROVIDES ADVANCED TRAUMA LIFE SUPPORT TO MORE THAN 200 DOCTORS AND ADVANCED BURN SUPPORT TO MORE THAN 100 HEALTH CARE PROFESSIONALS EACH YEAR. UNDER A GRANT FROM THE ALABAMA DEPARTMENT OF PUBLIC HEALTH, BREMSS OPERATES THE ALABAMA TRAUMA COMMUNICATIONS CENTER (ATCC), WHICH ANNUALLY ROUTES MORE THAN 10,000 SERIOUSLY INJURED TRAUMA PATIENTS TO RECOGNIZED TRAUMA AND STROKE HOSPITALS THROUGHOUT THE STATE. THE ATCC ALSO ACTS AS THE HUB FOR PATIENT ROUTING OF SERIOUSLY INJURED PATIENTS IN MASS CASUALTY INCIDENTS STATEWIDE. UAB MEDICINE PHYSICIANS PERFORMED ALABAMA'S FIRST ORGAN TRANSPLANT IN 1968; SINCE THAT TIME, THE TRANSPLANT PROGRAM HAS PERFORMED MORE THAN 16,000 SOLID ORGAN TRANSPLANTS. UAB'S TRANSPLANT PROGRAM IS THE LARGEST COMPREHENSIVE PROGRAM IN THE SOUTH AND LEADS THE NATION IN LIVING DONOR TRANSPLANTATION, WITH ALMOST 4,000 TRANSPLANTS TO DATE. UAB PERFORMS KIDNEY, LIVER, HEART, LUNG, AND PANCREAS SOLID ORGAN TRANSPLANTS, AND IT CURRENTLY HAS THE NATION'S LONGEST ONGOING KIDNEY TRANSPLANT CHAIN, ENCOMPASSING MORE THAN 125 TRANSPLANTS. UAB IS KNOWN AS AN INNOVATOR IN PROVIDING ACCESS TO TRANSPLANTATION FOR PATIENTS IN NEED. IT SEEKS TO INCREASE THE AVAILABILITY OF ORGANS FOR TRANSPLANTATION BY OFFERING TRANSPLANTATION FROM HEPATITIS C-POSITIVE DONORS, TREATMENT FOR HIGHLY SENSITIZED PATIENTS, ABO-INCOMPATIBLE TRANSPLANTATION, SPLIT-LIVER TRANSPLANTS, AND THROUGH EFFORTS TO OPTIMIZE THE RECOVERY AND PRESERVATION OF ORGANS. UAB IS ONE OF A SELECT NUMBER OF TRANSPLANT CENTERS PERFORMING TRANSPLANTS UNDER THE HIV ORGAN POLICY EQUITY ACT (ALSO KNOWN AS THE HOPE ACT), WHICH PROVIDES TRANSPLANT OPPORTUNITIES FOR CANDIDATES WITH HIV WHO ARE WILLING TO ACCEPT ORGAN OFFERS FROM HIV-POSITIVE DONORS. THE UAB SPINAL CORD INJURY MODEL SYSTEM (SCIMS) IS ONE OF 14 SUCH SYSTEMS AND THE LONGEST CONTINUALLY RECOGNIZED MODEL SYSTEM SINCE FUNDING BEGAN IN THE EARLY 1970S. FUNDED BY THE NATIONAL INSTITUTE ON DISABILITY, INDEPENDENT LIVING, AND REHABILITATION RESEARCH (NIDILRR), A PART OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS), IT HELPS RECOGNIZE NATIONAL LEADERS IN MEDICAL RESEARCH AND PATIENT CARE AND PROVIDE THE HIGHEST LEVEL OF COMPREHENSIVE SPECIALTY SERVICES, FROM THE POINT OF INJURY THROUGH REHABILITATION AND RE-ENTRY INTO FULL COMMUNITY LIFE. IT ALSO INCLUDES LONG-TERM FOLLOW-UP, RESEARCH, AND THE PROVISION OF PUBLIC AND COMMUNITY EDUCATION. SIMILARLY, THE UAB TRAUMATIC BRAIN INJURY MODEL SYSTEM HAS ALSO RECEIVED HHS FUNDING SINCE 1998, AND IT IS CURRENTLY ONE OF 16 NATIONAL TRAUMATIC BRAIN INJURY MODEL SYSTEMS. THESE GRANTS ARE AWARDED TO NATIONAL LEADERS IN MEDICAL RESEARCH AND PATIENT CARE TO PROVIDE THE HIGHEST LEVEL OF COMPREHENSIVE SPECIALTY SERVICES FROM THE POINT OF INJURY THROUGH EVENTUAL RE-ENTRY INTO FULL COMMUNITY LIFE. UAB IS ONE OF ONLY SEVEN CENTERS IN THE NATION TO BECOME A MEMBER OF TWO FEDERAL NETWORKS FOR RESEARCH AND CARE OF PREGNANT WOMEN AND THEIR BABIES, THOSE BEING THE MATERNAL-FETAL MEDICINE UNITS NETWORK AND THE NEONATAL RESEARCH NETWORK OF THE NIH. THESE PARTNERSHIPS HAVE PRODUCED GROUNDBREAKING ACHIEVEMENTS IN OBSTETRICS AND NEONATOLOGY RESEARCH TO IDENTIFY INTERVENTIONS TO HELP REDUCE MATERNAL AND NEONATAL MORTALITY AND SERIOUS MORBIDITIES WHILE ELIMINATING THOSE INTERVENTIONS THAT ARE NOT USEFUL. THE OBSTETRIC UNIT CARES FOR THE MOST COMPLEX (HIGH-RISK) PREGNANCIES (MOTHER AND/OR BABY) IN ALABAMA. MORE THAN 600 LOW-BIRTH-WEIGHT BABIES AND NEARLY 1,000 PRETERM BABIES (FEWER THAN 37 WEEKS OF GESTATION) ARE BORN AT UAB HOSPITAL EACH YEAR, REPRESENTING THE MAJORITY OF THE HIGHEST RISK BABIES IN THE STATE. IN ADDITION, MANY CRITICALLY ILL NEONATES ARE TRANSPORTED TO UAB HOSPITAL FROM OTHER HOSPITALS FOR CARE IN THE STATE'S ONLY LEVEL IV REGIONAL NEONATAL INTENSIVE CARE UNIT (RNICU). THESE COMBINED SERVICES ACT AS AN OBSTETRICAL AND NEONATAL "SAFETY NET". UAB IS THE ONLY FACILITY IN ALABAMA AND THE NEIGHBORING REGION WITH NEONATOLOGISTS AND MATERNAL-FETAL MEDICINE SPECIALISTS IN-HOUSE 24 HOURS A DAY, 7 DAYS A WEEK. UAB SCHOOL OF MEDICINE FACULTY DIRECT THE CIVITAN INTERNATIONAL RESEARCH CENTER (CIRC) WHICH HAS AS ITS MISSION IMPROVING THE WELL-BEING AND THE QUALITY OF LIFE OF INDIVIDUALS AND FAMILIES AFFECTED BY INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, INCLUDING INDIVIDUALS WITH RARE DISORDERS THAT OFTEN HAVE DIFFICULTY FINDING A MEDICAL HOME THAT OFFERS STATE-OF-THE-ART TREATMENT FROM QUALIFIED SPECIALISTS. CIRC FACULTY SEEK TO EXPAND KNOWLEDGE ABOUT HUMAN DEVELOPMENT AND DEVELOPMENTAL DISABILITIES THROUGH CONDUCTING BASIC AND APPLIED RESEARCH AND USING THIS KNOWLEDGE TO DEVELOP AND PROVIDE HIGH QUALITY, EXEMPLARY SERVICES AND PROGRAMS, INTERDISCIPLINARY CLINICAL AND RESEARCH TRAINING IN DEVELOPMENTAL DISABILITIES, AND A TIMELY EXCHANGE OF INFORMATION WITH CONSUMERS, PRACTITIONERS, SCIENTISTS, AND SOCIETY. THE UAB DEPARTMENT OF GENETICS, A COMPONENT OF THE UAB SCHOOL OF MEDICINE, DELIVERS OUTSTANDING CARE FOR PATIENTS AND FAMILIES WITH OR AT RISK FOR GENETIC CONDITIONS. THE DEPARTMENT PROVIDES COMMUNITY EDUCATION; COMPREHENSIVE PRENATAL, PEDIATRIC, AND ADULT INPATIENT AND OUTPATIENT GENETIC SERVICES, INCLUDING DIAGNOSIS, MEDICAL MANAGEMENT, GENETIC COUNSELING, AND CLINICAL TRIALS OF NEW TREATMENTS; STATE-OF-THE-ART LABORATORY SERVICES, INCLUDING CYTOGENETICS, MOLECULAR GENETICS, AND BIOCHEMICAL GENETICS; AND EXCEPTIONAL CLINICS THAT OFFER UNCOMMON SERVICES, SUCH AS THE MARFAN SYNDROME CLINIC. FOR SOME CONDITIONS, SUCH AS NEUROFIBROMATOSIS, TUBEROUS SCLEROSIS COMPLEX, AND LYSOSOMAL STORAGE DISORDERS, THE DEPARTMENT IS A NATIONAL AND INTERNATIONAL REFERRAL SOURCE. THE DEPARTMENT ALSO IS HOME TO THE UAB UNDIAGNOSED DISEASES PROGRAM, WHICH OFFERS COMPREHENSIVE ASSESSMENT OF CHILDREN AND ADULTS WITH COMPLEX MULTI-SYSTEM DISORDERS THAT HAVE BEEN DIFFICULT TO DIAGNOSE. THE PROGRAM IS ABLE TO OFFER WHOLE- GENOME SEQUENCING TO HELP IDENTIFY RARE GENETIC CAUSES FOR COMPLEX DISORDERS. IN 2017, THE DEPARTMENT LAUNCHED A NEW STATEWIDE PROGRAM, THE ALABAMA GENOMIC HEALTH INITIATIVE, WHICH WILL PROVIDE GENOMIC ANALYSIS OF 10,000 INDIVIDUALS IN THE STATE OF ALABAMA, RESULTING IN A RESEARCH DATABASE AND BIOBANK. IN 2018, THE DEPARTMENT LAUNCHED THE ALL OF US RESEARCH PROGRAM, A NATIONWIDE RESEARCH EFFORT FUNDED BY THE NATIONAL INSTITUTES OF HEALTH TO ADVANCE INDIVIDUALIZED PREVENTION, TREATMENT, AND CARE FOR PEOPLE OF ALL BACKGROUNDS. IT AIMS TO RECRUIT 93,000 PARTICIPANTS FROM ALABAMA, LOUISIANA, AND MISSISSIPPI OVER FIVE YEARS. SECTION 5: PROVISION OF ESSENTIAL HEALTH SERVICES UAB HOSPITAL HAS BEEN RANKED ON U.S. NEWS & WORLD REPORT'S "BEST HOSPITALS" LIST FOR 27 CONSECUTIVE YEARS, AND IT IS RANKED NO. 1 IN ALABAMA. THE CLINICAL ENTERPRISE OFFERS CUTTING-EDGE PATIENT CARE, TECHNOLOGICALLY ADVANCED FACILITIES, DOCTORS AT THE TOP OF THEIR FIELDS OF EXPERTISE, AND NURSES AND MEDICAL STAFF WHO GO ABOVE AND BEYOND FOR THEIR PATIENTS EVERY DAY. TO MAINTAIN AND EXTEND ITS EXCELLENCE, UABHS HAS UNDERTAKEN MAJOR PROCESSES TO KEEP PATIENT SATISFACTION, QUALITY, SAFETY, AND OTHER FACTORS AT A HIGH LEVEL. UABHS IS A MAJOR REFERRAL CENTER OFFERING A COMPREHENSIVE RANGE OF PRIMARY HEALTH CARE SERVICES AS WELL AS SPECIALTY AND SUBSPECIALTY CARE, INCLUDING THE PROVISION OF CARDIOVASCULAR CARE; MINIMALLY INVASIVE CARDIAC, UROLOGICAL, AND GYNECOLOGICAL SURGICAL PROCEDURES; ROBOTIC SURGERY; NEUROSURGERY; COMPREHENSIVE CANCER SERVICES; COMPREHENSIVE TREATMENT OF HIV/AIDS; GERIATRICS; EMERGENCY HYPERBARIC WOUND CARE; RHEUMATOLOGY; DERMATOLOGY; RECONSTRUCTIVE SURGERY FOR ADULTS AND CHILDREN; TRANSPLANTATION; AND MANY OTHERS. MORE THAN 52,480 SURGERIES WERE PERFORMED IN FY2021. ALABAMA'S DIABETES AND OBESITY RATES ARE AMONG THE HIGHEST IN THE NATION, AND UABHS FACILITIES INCLUDE A COMPREHENSIVE DIABETES CENTER WHOSE FACULTY ARE ENGAGED IN PROVIDING THE HIGHEST QUALITY INNOVATIVE CARE TO PATIENTS WITH DIABETES; CONDUCTING CUTTING-EDGE RESEARCH INTO THE CAUSES AND MECHANISMS OF DIABETES; AND TRAINING FUTURE GENERATIONS OF DIABETES CLINICIANS AND RESEARCHERS. UAB HOSPITAL'S INPATIENT DIABETES AND GLYCEMIC CONTROL PROGRAM NOW IDENTIFIES AND TREATS ALL PATIENTS ENTERING THE HOSPITAL AND REFERS NEW OR PROBLEMATIC PATIENTS TO NEWLY FORMED FOLLOW-UP CLINICS. FORM 990, PART III, LINE 4A (CONTINUED): THE MISSION OF THE UAB CENTER FOR AIDS RESEARCH (CFAR) IS TO SUPPORT CUTTING-EDGE RESEARCH IN BASIC SCIENCE, THERAPEUTICS, PREVENTION, COMMUNITY ENGAGED RESEARCH, AND CLINICAL MANIFESTATIONS AND PATHOGENESIS OF HIV AND RELATED DISORDERS. FIVE CORE FACILITIES PROVIDE VITAL SUPPORT FOR THE CENTER'S PRINCIPAL THEMATIC AREAS OF ITS SCIENTIFIC AGENDA. THE CENTER INCLUDES 185 MEMBERS FROM OVER 30 DIVISIONS AND DEPARTMENTS WITHIN UAB. THE GOALS OF THE CENTER ARE TO (1) ENHANCE THE PRODUCTIVITY OF ONGOING RESEARCH PROGRAMS BY ENABLING INTERDISCIPLINARY RESEARCH THROUGH THE PROVISION OF CRITICAL SHARED RESOURCE FACILITIES AND ADMINISTRATIVE AND FISCAL MANAGEMENT SUPPORT TO CENTER INVESTIGATORS (2) USE ROBUST STRATEGIC PLANNING METHODS TO IDENTIFY NEW RESEARCH OPPORTUNITIES AND PRIORITIES THAT ALIGN WITH EXISTING CFAR PROGRAMS AND FOSTER NEW RESEARCH PROGRAMS WHERE NONE ARE IN EXISTENCE, BUT WHERE FACULTY INTEREST IS EVIDENT; (3) STIMULATE THE ENTRY OF EARLY-STAGE AND ESTABLISHED FACULTY INTO HIV/AIDS RESEARCH PROGRAMS THROUGH MENTORING PROGRAMS FOR YOUNG INVESTIGATORS AND THROUGH A ROBUST, PEER-REVIEWED DEVELOPMENTAL GRANTS PROGRAM; (4) PROVIDE A CENTRAL FOCUS FOR HIV/AIDS RESEARCH ACTIVITIES AT UAB THAT EMPHASIZE EFFECTIVE COMMUNICATION AND COLLABORATION AMONG CFAR MEMBERS WITH THE WIDER HIV/AIDS RESEARCH COMMUNITY; AND (5) PROMOTE FACULTY RECRUITMENT AND PROGRAM DEVELOPMENT IN AREAS THAT REFLECT THE ONGOING EVOLUTION OF HIV/AIDS RESEARCH IN ALABAMA, THE UNITED STATES, AND AROUND THE WORLD. THE UAB CFAR WILL FOSTER HIV/AIDS RESEARCH THAT HAS HIGH LOCAL, NATIONAL, AND INTERNATIONAL IMPACT AND IN SO DOING WILL PROMOTE THE NIH PRIORITIES OF INNOVATION AND EFFECTIVENESS IN HIV/AIDS TREATMENT AND PREVENTION. THE ALABAMA COALITION FOR TESTING, INTERVENTIONS, AND ENGAGEMENT IN HCV CARE (ACTIVE-C) IS LEADING A DYNAMIC AND INNOVATIVE COLLABORATION AMONG ACADEMIC, FEDERALLY QUALIFIED HEALTH CENTERS, OTHER COMMUNITY-BASED ORGANIZATIONS, AND LOCAL HEALTH DEPARTMENTS TO FIGHT HEPATITIS C IN THE STATE OF ALABAMA. THE UAB CFAR AND THE UAB LIVER CENTER ARE THE ADMINISTRATIVE HUBS FOR THIS NETWORK, LEVERAGING EXPERTISE IN FINANCIAL ADMINISTRATION, HEALTH INFORMATICS, DATA SYSTEMS DEVELOPMENT, MANAGEMENT OF LARGE NETWORKS, AND MEDICAL EDUCATION. SECTION 6: ADVANCEMENT OF EDUCATION AND SCIENCE UABHS SUPPORTS WIDE-RANGING, CUTTING-EDGE RESEARCH. SPECIALIZED PROGRAMS OF RESEARCH EXCELLENCE (SPORES) INCLUDE CANCER, CARDIOVASCULAR DISEASE, AND - MOST IMPORTANTLY IN THE LAST TWO YEARS - LUNG AND INFECTIOUS DISEASES, PARTICULARLY COVID-19. THESE ARE COMPETITIVE PROGRAMS FUNDED BY A BROAD RANGE OF NIH INSTITUTES THAT PROMOTE INTERDISCIPLINARY RESEARCH, WITH A GOAL OF MOVING BASIC RESEARCH FINDINGS RAPIDLY FROM THE LABORATORY TO CLINICAL SETTINGS. UABHS CLINICIAN-SCIENTISTS HAVE BEEN INVOLVED IN PIONEERING RESEARCH IN A NUMBER OF DISCIPLINES. UAB SCIENTISTS WERE AMONG THE FIRST TO ENGAGE IN CLINICAL TRIALS FOR COVID-19 TREATMENTS AND ARE AT THE FOREFRONT OF DEVELOPING TREATMENTS FOR CYSTIC FIBROSIS, CARDIOVASCULAR DISEASE, AND NEURODEGENERATIVE DISEASE. OUR RESEARCHERS ARE ALSO DEVELOPING NEW PROGRAMS TO UNDERSTAND HEALTH DISPARITIES IN THE STATE, INCLUDING RECENT FUNDING TO UNDERSTAND HOW ENVIRONMENTAL TOXINS HAVE IMPACTED THE PREVIOUSLY HIGHLY INDUSTRIALIZED REGIONS OF THE STATE. WITH THE APPOINTMENT OF A NEW DIRECTOR OF THE O'NEAL COMPREHENSIVE CANCER CENTER AT UAB, PROGRAMS ARE NOW IN PLACE TO TEST NEW THERAPIES FOR THE TREATMENT OF A BROAD RANGE OF CANCERS. SECTION 7: PUBLIC EDUCATION UABHS HOSTS A NUMBER OF WELLNESS AND SCREENING PROGRAMS FOR THE PUBLIC IN AREAS SUCH AS UROLOGY, DERMATOLOGY, VASCULAR HEALTH, HEART HEALTH, GENERAL HEALTH, AND OTHER FIELDS. UABHS FACULTY ROUTINELY PROVIDES EDUCATIONAL TALKS AND PROGRAMS FOR THE PUBLIC ON TOPICS SUCH AS PSORIASIS, HEART HEALTH, SELF-CARE FOR DIABETES, AND OTHER SUBJECTS. UAB MEDICAL STUDENTS PARTICIPATE IN COMMUNITY HEALTH ASSESSMENTS, PERFORMING BLOOD PRESSURE, BLOOD GLUCOSE, AND WEIGHT EVALUATIONS AT HOMELESS SHELTERS AND BUSINESSES IN THE BIRMINGHAM AREA. INDIVIDUALS PARTICIPATING IN THESE COMMUNITY HEALTH ASSESSMENTS ALSO RECEIVE COUNSELING ON DIET AND SMOKING CESSATION. DUE TO COVID-19 THESE TYPICAL IN-PERSON EFFORTS WERE GREATLY DECREASED OVER THE PAST TWO YEARS. HOWEVER, WE FOUND NEW WAYS TO DELIVER IMPORTANT HEALTH INFORMATION TO THE COMMUNITY THROUGH INCREASED ENGAGEMENT OF PUBLIC MEDIA AND TOPICAL WEBINARS. SECTION 8: PROVISION OF COMMUNITY BENEFITS UABHS SUPPORTS CHARITABLE ORGANIZATIONS THROUGH THE BENEVOLENT FUND, UAB'S OWN SYSTEM OF SUPPORTING NONPROFIT HEALTH AND SOCIAL SERVICE AGENCIES BY PROVIDING A MECHANISM FOR UAB EMPLOYEES TO HELP THOSE IN NEED IN THE BIRMINGHAM AREA. IN 2021, THE FUND CONTRIBUTED $1.4 MILLION TO LOCAL HEALTH CHARITIES, UNITED WAY AGENCIES, AND THE UAB EMPLOYEE EMERGENCY ASSISTANCE PROGRAM. FORM 990, PART VI, LINE 3: UAB HEALTH SYSTEM MANAGES AND COORDINATES THE HEALTH CARE DELIVERY OPERATIONS, INCLUDING REVENUE CYCLE FUNCTIONS, DELEGATED TO IT BY ITS MEMBERS, THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ALABAMA FOR THE UNIVERSITY OF ALABAMA AND THE UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C. AS OF OCTOBER 1, 2016, NAVIGANT CYMETRIX CORPORATION, A DELAWARE CORPORATION ("NAVIGANT CYMETRIX") BEGAN MANAGING AND PERFORMING CERTAIN REVENUE CYCLE MANAGEMENT SERVICES FOR UAB HEALTH SYSTEM PURSUANT TO A SERVICES AGREEMENT ("AGREEMENT") WITH AN INITIAL SEVEN (7) YEAR TERM. UAB HEALTH SYSTEM HAS NOT DELEGATED FULL CONTROL OVER THESE MANAGEMENT DUTIES TO NAVIGANT CYMETRIX, AS THE AGREEMENT SETS FORTH A SHARED GOVERNANCE STRUCTURE WHEREBY MANAGEMENT AND OVERSIGHT COMMITTEES WITH EQUAL REPRESENTATION FROM UAB HEALTH SYSTEM AND NAVIGANT CYMETRIX PARTICIPATE IN AND ARE RESPONSIBLE FOR REVIEWING OPERATIONS, SETTING AND REVIEWING STRATEGY, REVIEWING ANY FUNDAMENTAL CHANGES IN GOVERNANCE STRUCTURE, AND ADDRESSING ONGOING OPERATIONAL ISSUES AND ANY MATTERS THE PARTIES AGREE SHOULD BE ADDRESSED THROUGH THE COMMITTEES. IN ADDITION TO SHARED GOVERNANCE AND A RELATIVELY SHORT TERM, UAB HEALTH SYSTEM HAS THE ABILITY TO TERMINATE THE AGREEMENT WITHOUT CAUSE AFTER OCTOBER 1, 2018 WITH TWELVE MONTHS NOTICE. THIS IS IN ADDITION TO THE MANY FOR CAUSE TERMINATION PROVISIONS IN THE AGREEMENT. FORM 990, PART VI, LINES 6 & 7A: UAB HEALTH SYSTEM ("UABHS"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. THE COMPLETED FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE STAFF, THE CHIEF EXECUTIVE OFFICER, AND IS ALSO MADE AVAILABLE FOR REVIEW TO THE UAB HEALTH SYSTEM BOARD MEMBERS. 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, LINES 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 IX LINE 11G DESCRIPTION:CONSULTING FEES TOTAL FEES:844320 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:4181151 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:6531667 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE PAYROLL PROCESSING FEE TOTAL FEES:47253 ALABAMA PHYSICIAN NETWORK LLC 500 22ND ST S STE 504 BIRMINGHAM AL 35233 631182994 HEALTHCARE AL 0 0 UABHS SEE PART VII NA SEE PART VII NA false true true true false false false false false true 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. ALABAMA CARE NETWORK CENTRAL (EXEMPT) ALABAMA CARE NETWORK EAST (EXEMPT) ALABAMA CARE NETWORK MID-STATE (EXEMPT) ALABAMA CARE NETWORK SOUTHEAST (EXEMPT) ALABAMA CARE PLAN (EXEMPT) ALABAMA ENGINEERING FOUNDATION, INC. (EXEMPT) ALABAMA PHYSICIAN NETWORK, LLC (LLC) ALUMNI OF FARRAH ORDER OF JURISPRUDENCE AND ORDER OF THE COIF (EXEMPT) CAMPUS HOSPITALITY SERVICES, LLC (LLC) CAPSTONE EDUCATIONAL AND RESEARCH FOUNDATION (EXEMPT) CAPSTONE HEALTH SERVICES FOUNDATION, P.C. (EXEMPT) CARE NETWORK OF ALABAMA, INC. (EXEMPT) COMMERCIAL REAL ESTATE, LLC (LLC) COOPER GREEN MERCY HEALTH SERVICES AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM (C CORP) COOPER GREEN REHABILITATION SERVICES (EXEMPT) CRIMSON TIDE FOUNDATION (EXEMPT) EMINENT SCHOLARS 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 HEALTH SYSTEM (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 HEALTH SYSTEM (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 (EXEMPT) UAB HEALTH SYSTEM AUTHORITY (EXEMPT) UAB HOSPITAL MANAGEMENT, LLC (LLC) UAB MEDICINE ENTERPRISE (C CORP) UAB MEDICINE FINANCE AUTHORITY (C CORP) UAB-SVCHS, 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)