Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 12,793,251 | 8,032,864 | 11,426,360 | 11,316,416 | 13,933,546 | 57,502,437 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 12,793,251 | 8,032,864 | 11,426,360 | 11,316,416 | 13,933,546 | 57,502,437 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 19,642,697 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 37,859,740 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 12,793,251 | 8,032,864 | 11,426,360 | 11,316,416 | 13,933,546 | 57,502,437 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 24,630 | 36,759 | 44,780 | 80,862 | 280,484 | 467,515 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | 0 | 0 | 0 | ||
| 11 | Total support. Add lines 7 through 10 | 57,969,952 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| 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 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 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 1,432 PHYSICIANS SERVING PATIENTS FROM EVERY STATE IN THE NATION AND MANY COUNTRIES AROUND THE WORLD. IT IS A MAJOR REGIONAL TERTIARY REFERRAL CENTER THAT TREATS SOME OF THE MOST CRITICAL PATIENTS IN THE SOUTHEAST. IN FY 2018, UABHS ENTITIES DISCHARGED 90,131 PATIENTS AND HAD 116,736 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 FY 2018 WAS $61,761,000. UABHS ALSO PROVIDES CARE TO A LARGE NUMBER OF INDIVIDUALS COVERED BY GOVERNMENTAL PROGRAMS THAT MAY REIMBURSE BELOW COST. IN FY 2018, UABHS UNREIMBURSED COST FOR TREATING MEDICAID PATIENTS WAS $13,939,000. IN ADDITION, UABHS ENTITIES PROVIDE HEALTH CARE SERVICES TO MANY INDIVIDUALS WHO CANNOT PAY FOR ALL OR ANY OF THEIR MEDICAL CARE. IN FY 2018, THE COST FOR THIS BAD DEBT WAS $92,736,000. UNCOMPENSATED CARE COSTS DO NOT INCLUDE OTHER UNFUNDED COSTS OF CARE, SUCH AS UNDERPAYMENT FROM MEDICAID AND MEDICARE. SECTION 2: UABHS ENTITIES UABHS FLAGSHIP FACILITY IS THE 1,157-BED UAB HOSPITAL, ONE OF THE NATIONS 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 ALABAMAS 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 SOUTHEASTS FOREMOST PROVIDERS OF COMPREHENSIVE REHABILITATION CARE. THE WOMEN & INFANTS CENTER OFFERS ADVANCED SERVICES AND THE LATEST MEDICAL TECHNOLOGY TO CARE FOR HEALTHY AND HIGH-RISK PREGNANT WOMEN, HEALTHY AND HIGH-RISK NEWBORNS, AND WOMEN RECEIVING CARE FOR A VARIETY OF GYNECOLOGICAL PROBLEMS, INCLUDING GYNECOLOGICAL CANCERS. IT INCLUDES UABS REGIONAL NEWBORN INTENSIVE CARE UNIT (RNICU), THE STATES 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, A SPECIALIZED UNIT FOR FRAGILITY FRACTURES, THE UAB SLEEP-WAKE DISORDERS CENTER, THE UAB GAMMA KNIFE CENTER, AND THE UAB PAIN TREATMENT CLINIC, WHICH SERVES PATIENTS WITH ACUTE AND CHRONIC CONDITIONS INCLUDING INTRACTABLE CANCER PAIN. IT ALSO HOUSES THE ACUTE CARE FOR ELDERS (ACE) UNIT, THE REGIONS 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 PATIENTS ACUTE MEDICAL DIAGNOSIS. UABHS ALSO 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 IS A MULTISPECIALTY PHYSICIAN PRACTICE SERVING UAB THROUGH 20 CLINICAL DEPARTMENTS AND 63 CLINICAL DIVISIONS. UAHSF PHYSICIANS PROVIDED SERVICE FOR MORE THAN 1.5 MILLION OUTPATIENT VISITS IN FY 2018. UABHS OPERATES APPROXIMATELY 129 CLINICS, INCLUDING 54 HOUSED IN THE KIRKLIN CLINIC OF UAB HOSPITAL AND WHITAKER CLINIC OF UAB HOSPITAL, OUTPATIENT FACILITIES WITH MORE THAN 33 DISTINCT CLINICAL UNITS OF MULTIDISCIPLINARY TEAMS. UABHS SUPPORTS MORE THAN 100 SPECIALIZED CENTERS FOR INTERDISCIPLINARY RESEARCH, CLINICAL CARE, AND COMMUNITY OUTREACH, THE LARGEST BEING THE UAB COMPREHENSIVE CANCER CENTER, WHICH HAS HELD THE HIGHEST NCI DESIGNATION FOR MORE THAN 40 CONSECUTIVE YEARS. UAB CALLAHAN EYE HOSPITAL (CEH) IS THE ONLY EYE SPECIALTY 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 THE UAB HEALTH SYSTEM AND OPERATES THE TEACHING PROGRAM FOR THE UAB SCHOOL OF MEDICINE DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES. THE HOSPITAL AND CLINICS TREAT MORE THAN 167,000 OPHTHALMIC PATIENTS EACH YEAR AND OFFER THE ONLY 24/7 EYE EMERGENCY ROOM AND THE ONLY LEVEL I OCULAR TRAUMA CENTER IN THE STATE. PERFORMING MORE THAN 13,000 SURGICAL CASES EACH YEAR, CEH PROVIDES EXCELLENCE IN EYE TRAUMA, RETINAL, VITREAL, CORNEA, CORNEA TRANSPLANT, GLAUCOMA, CATARACT, LASER CATARACT, OCULOPLASTICS, ORBITAL RECONSTRUCTION, AND PEDIATRIC EYE SURGERIES. 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: - 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 270,000 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 UAB DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES. |
| 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; AND BAPTIST HEALTH IN MONTGOMERY, A PRIMARY PROVIDER OF HEALTH CARE SERVICES IN CENTRAL ALABAMA. BAPTIST HEALTH OF MONTGOMERY COMPRISES THREE HOSPITALS: MONTGOMERYS 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. IN JULY 2016, BAPTIST HEALTH AND UAB MEDICINE OPENED THE UAB MEDICINE MULTISPECIALTY CLINIC AT BAPTIST MEDICAL CENTER SOUTH. THE CLINIC OFFERS MUCH-NEEDED SPECIALTIES INCLUDING UROLOGY, GASTROENTEROLOGY, ENDOCRINOLOGY, RHEUMATOLOGY, CARDIOTHORACIC SURGERY, BREAST HEALTH AND NEUROSURGERY. THE UAB MEDICINE MULTISPECIALTY CLINIC HAS CREATED A CONVENIENT, HIGH-QUALITY HEALTH CARE OPTION FOR THE RESIDENTS OF CENTRAL ALABAMA, AS MANY HAVE BEEN FORCED TO TRAVEL OUTSIDE OF THE MONTGOMERY AREA FOR MEDICAL SERVICES DUE TO THE OVERWHELMING NEED, LIMITED ACCESS, AND THE LACK OF SPECIALISTS IN THE REGION. THE CLINICS 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 ACTIVITIES BEING PERFORMED 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 UAB COMPREHENSIVE CANCER CENTERS DEEP SOUTH NETWORK FOR CANCER CONTROL, WHICH WORKS TO ELIMINATE DISPARITIES IN CANCER DEATH RATES BETWEEN BLACKS AND WHITES BY TARGETING TWO POOR RURAL AND TWO POOR URBAN AREAS IN ALABAMA AND MISSISSIPPI WITH COMMUNITY AWARENESS PROGRAMS, MINORITY ENROLLMENT IN CLINICAL TRIALS, AND THE 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 THROUGH VARIOUS PROGRAMS, INCLUDING A HEALTH AWARENESS AND INTERVENTION STOREFRONT IN DOWNTOWN BIRMINGHAM. OTHER PROGRAMS THAT PROVIDE ESSENTIAL HEALTH CARE SERVICES TO POOR AND MEDICALLY UNDERSERVED INDIVIDUALS INCLUDE THE TOT SHOTS PROGRAM THAT OFFERS FREE, WALK-IN, IMMUNIZATION SERVICES IN COMMUNITY-BASED CLINICS IN PARTNERSHIP WITH THE JEFFERSON COUNTY DEPARTMENT OF HEALTH AND OTHERS; THE VALLEY FOUNDATION CHILDHOOD IMMUNIZATION PROGRAM, A PROGRAM DESIGNED TO REMOVE EDUCATIONAL AND FINANCIAL BARRIERS TO INCREASE IMMUNIZATION RATES OF UNDERSERVED CHILDREN AGE 19 TO 35 MONTHS; AND EQUAL ACCESS BIRMINGHAM, A FREE CLINIC RUN BY AN INTERDISCIPLINARY TEAM OF UAB VOLUNTEER PHYSICIANS, MEDICAL STUDENTS, AND OTHER HEALTH CARE PROFESSIONALS WHO PROVIDE FREE MEDICAL CARE AND HEALTH EDUCATION TO MEDICALLY UNINSURED RESIDENTS OF BIRMINGHAM. IN FY 2018, 260 STUDENT AND 23 PHYSICIAN VOLUNTEERS PROVIDED CARE FOR 683 PATIENT ENCOUNTERS BOTH IN AND OUTSIDE OF ACUTE AND CHRONIC CARE CLINICS. UABHS AFFILIATE BAPTIST HEALTH HAS 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 AS WELL AS 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, 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 ABUSE DIVISION SUPPORTS THE COMMUNITY WITH SUBSTANCE ABUSE TREATMENT, SUPERVISION OF COURT-INVOLVED INDIVIDUALS, AND RESEARCH. PROGRAMS INCLUDE COMMUNITY JUSTICE (TREATMENT ALTERNATIVES FOR SAFER COMMUNITIES) AND BEACON RECOVERY. COMMUNITY JUSTICE WORKS TO IMPROVE THE CRIMINAL JUSTICE SYSTEM THROUGH ADULT ENDEAVORS (PROBLEM-SOLVING COURTS, COMMUNITY CORRECTIONS, COURT REFERRAL, PRETRIAL RELEASE) AND EFFORTS DESIGNED FOR YOUTH (THE ADOLESCENT SUBSTANCE ABUSE PROGRAM, ADOLESCENT MENTORING PROGRAM, ELECTRONIC MONITORING). BEACON RECOVERY OFFERS OUTPATIENT AND INTENSIVE OUTPATIENT SUBSTANCE ABUSE TREATMENT FOR ADULTS AND ADOLESCENTS. BOTH PROGRAMS PRIMARILY SERVE INDIVIDUALS WHO ARE UNDERINSURED OR UNINSURED. 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. 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. |
| FORM 990, PART III, LINE 4A (CONTINUED): | UAB PHYSICIANS PERFORMED THEIR FIRST KIDNEY TRANSPLANT IN 1968; SINCE THAT TIME THE TRANSPLANT PROGRAM HAS PERFORMED MORE THAN 14,000 SOLID ORGAN TRANSPLANTS. UABS 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 NATIONS LONGEST ONGOING KIDNEY TRANSPLANT CHAIN, ENCOMPASSING MORE THAN 110 TRANSPLANTS. UAB IS ALSO KNOWN AS AN INNOVATOR IN PROVIDING ACCESS TO TRANSPLANTATION FOR PATIENTS IN NEED; UAB SEEKS TO INCREASE THE AVAILABILITY OF ORGANS FOR TRANSPLANTATION, OFFERING TREATMENT FOR HIGHLY SENSITIZED PATIENTS, ABO INCOMPATIBLE TRANSPLANTATION, AND SPLIT-LIVER TRANSPLANT, AS WELL AS EFFORTS TO OPTIMIZE RECOVERY AND PRESERVATION OF ORGANS, INCLUDING EX-VIVO LUNG PERFUSION AND NORMOTHERMIC PRESERVATION OF LIVERS. UAB ALSO OFFERS BONE MARROW TRANSPLANTATION FOR A VARIETY OF HEMATOLOGIC MALIGNANCIES, AS WELL AS AUTOLOGOUS ISLET CELL TRANSPLANTATION FOR CHRONIC PANCREATITIS. ADDITIONALLY, THROUGH CALLAHAN EYE HOSPITAL, UAB OFFERS CORNEAL AND RETINA TRANSPLANTS. 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, 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, HELPING REDUCE MATERNAL AND NEONATAL MORTALITY AND SERIOUS MORBIDITIES WHILE INVESTIGATING INTERVENTIONS AIMED AT STEMMING MAJOR PERINATAL COMPLICATIONS. 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. THE OBSTETRIC UNIT CARES FOR THE MOST COMPLEX PREGNANCIES (MOTHER AND/OR FETUS) IN ALABAMA. IN ADDITION, MANY CRITICALLY ILL NEONATES ARE TRANSPORTED TO UAB HOSPITAL FROM OTHER HOSPITALS FOR CARE IN THE STATES ONLY LEVEL IV REGIONAL NEONATAL INTENSIVE CARE UNIT (RNICU). THESE COMBINED SERVICES ACT AS THE 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 RECENTLY LAUNCHED A NEW STATEWIDE PROGRAM, THE ALABAMA GENOMIC HEALTH INITIATIVE, WHICH WILL PROVIDE GENOMIC ANALYSIS TO 10,000 INDIVIDUALS IN THE STATE OF ALABAMA, AS WELL AS A RESEARCH DATABASE AND BIOBANK. IN 2018, THE DEPARTMENT LAUNCED THE ALL OF US RESEARCH PROGRAM - A NATIONWIDE RESEARCH PROGRAM FUNDED BY THE NATIONAL INSTITUTES OF HEALTH TO ADVANCE INDIVIDUALIZED PREVENTION, TREATMENT AND CARE FOR PEOPLE OF ALL BACKGROUNDS WHICH AIMS TO RECRUIT 93,000 PARTICIPANTS FROM ALABAMA, LOUISIANA AND MISSISSIPPI OVER THE NEXT FIVE YEARS. |
| FORM 990, PART III, LINE 4A (CONTINUED): | SECTION 5: PROVISION OF ESSENTIAL HEALTH SERVICES UAB HOSPITAL HAS BEEN RANKED ON U.S. NEWS & WORLD REPORT'S "BEST HOSPITALS" LIST FOR 25 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. ALMOST 49,500 SURGERIES WERE PERFORMED IN FY 2018. ALABAMAS 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 HOSPITALS 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. THE UAB CENTER FOR AIDS RESEARCH (CFAR) IS ONE OF THE SEVEN ORIGINAL CENTERS ESTABLISHED IN 1988 BY THE NATIONAL INSTITUTE FOR ALLERGY AND INFECTIOUS DISEASES. THE MISSION OF THE UAB CFAR IS TO SUPPORT THE CONDUCT OF CUTTING-EDGE RESEARCH IN BASIC SCIENCE, THERAPEUTICS, PREVENTION, COMMUNITY ENGAGED RESEARCH, AND CLINICAL MANIFESTATIONS AND PATHOGENESIS OF HIV AND RELATED DISORDERS. FOR 30 YEARS, THE CFAR HAS PLAYED A VITAL ROLE IN SUPPORTING THE CUTTING-EDGE RESEARCH ACTIVITIES OF ITS MEMBERS, LEADING TO PARADIGM-SHIFTING DISCOVERIES. THE COMMON THREAD LINKING THE MANY NOTEWORTHY DISCOVERIES IS THE PROACTIVE ENGAGEMENT OF THE CFAR IN ENABLING THE DYNAMIC COLLABORATION AMONG INVESTIGATORS FROM DIFFERENT BASIC, CLINICAL, BEHAVIORAL, AND TRANSLATIONAL DISCIPLINES, AND THE FOSTERING OF GENUINE PARTNERSHIPS WITH COMMUNITY STAKEHOLDERS. OVER THE LAST 4 YEARS, THE UAB CFAR HAS ENABLED RESEARCH LEADING TO $66 MILLION IN TOTAL FUNDING. ACROSS ALL CORES THE CFAR SUPPORTED 61 UNIQUE, NIH-FUNDED PROJECTS (FRB) AND 404 OTHER NIH-FUNDED PROJECTS, OF WHICH 309 WERE HIV-SPECIFIC RESULTING IN OVER 1000 HIV PUBLICATIONS, AND IN THE GARNERING OF CONTINUED, STRONG INSTITUTIONAL SUPPORT. THE UAB CFAR HAS ESTABLISHED A VIBRANT, BROAD PLATFORM FOR RESEARCH OF THE SOCIAL, BEHAVIORAL, AND CLINICAL DYNAMICS OF HIV EXPOSURE AND TRANSMISSION THROUGHOUT ALABAMA VIA RICH PARTNERSHIPS WITH ALL SEVEN RYAN WHITE CLINICS IN THE STATE, THE STATE DEPARTMENT OF PUBLIC HEALTH, AND A ROBUST AND MEANINGFUL STATEWIDE COALITION OF COMMUNITY PARTNERS WHO ARE ENGAGED IN HIV RESEARCH WITH US, THEREBY ENABLING A BOLD UAB CFAR SCIENTIFIC WORKING GROUP DESIGNED TO "END HIV IN ALABAMA." A MAJOR FOCUS IS UABS 1917 CLINIC, WHICH RECEIVES FUNDING FROM THE RYAN WHITE HIV/AIDS TREATMENT MODERNIZATION ACT TO PROVIDE ACCESS TO CARE FOR LOW-INCOME, UNINSURED, AND UNDERINSURED ADULTS INFECTED WITH HIV. THIS ACADEMICALLY BASED CLINIC IS THE LARGEST HIV HEALTH CARE UNIT IN ALABAMA. FOR MORE THAN 30 YEARS, THE CLINIC HAS PROVIDED COMPREHENSIVE CORE MEDICAL AND SOCIAL SERVICES TO ADULT HIV-INFECTED PATIENTS. THE ALABAMA HIV/AIDS CLINICAL TRIALS UNIT, NESTED WITHIN THE 1917 CLINIC, IS RESPONSIBLE FOR HIV/AIDS VACCINE, PREVENTION, AND TREATMENT RESEARCH IN ALABAMA AND IN LUSAKA, ZAMBIA, THROUGH THE MANAGEMENT OF A CLINICAL RESEARCH SITE IN AFRICA. THE UNIT IS FUNDED BY THE NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES. THE ALABAMA COALITION FOR TESTING, INTERVENTIONS, AND ENGAGEMENT IN HCV CARE (ACTIVE-C) RECEIVED A $1.5 MILLION GRANT FROM THE GILEAD FOUNDATION TO LEAD 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. PROGRAMS INCLUDE THE SPECIALIZED PROGRAMS OF RESEARCH EXCELLENCE (SPORES) FOCUSED ON CERVICAL CANCER. SPORES ARE HIGHLY COMPETITIVE PROGRAMS FUNDED BY THE NATIONAL CANCER INSTITUTE 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 COMPREHENSIVE CANCER CENTER SCIENTISTS WERE AMONG THE FIRST TO DEVELOP AND TEST MONOCLONAL ANTIBODIES AS A CANCER THERAPEUTIC, AND THE WORLDS FIRST GENETICALLY ENGINEERED MOUSE-HUMAN MONOCLONAL ANTIBODY WAS USED AT UAB HOSPITAL IN THE TREATMENT OF RHEUMATOID ARTHRITIS. SCIENTISTS IN THE DEPARTMENT OF CELL, DEVELOPMENTAL, AND INTEGRATIVE BIOLOGY WERE THE FIRST IN THE NATION IN COLLABORATION WITH INVESTIGATORS AT THE WHITEHEAD INSTITUTE FOR BIOMEDICAL RESEARCH TO CURE SICKLE CELL ANEMIA IN MICE USING INDUCED PLURIPOTENT STEM CELLS. BUILDING ON THIS SUCCESS, UAB HAS ESTABLISHED A STEM CELL INSTITUTE THAT IS EXPECTED TO ATTRACT TOP NATIONAL AND INTERNATIONAL RESEARCHERS AND BOOST THE REGIONS SCIENTIFIC TALENT POOL. 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. SECTION 8: PROVISION OF COMMUNITY BENEFITS UABHS SUPPORTS CHARITABLE ORGANIZATIONS THROUGH THE BENEVOLENT FUND, UABS 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 2018, THE FUND CONTRIBUTED APPROXIMATELY $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. 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, 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. |
| Software ID: | |
| Software Version: |