Uab Medicine Enterprise

“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.”

“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.”

“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.”

“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.”

“Annual disclosures are required and are reviewed by the university of alabama at birmingham health systems board.”

“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.”

“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”

“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.”

“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 1,500 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 fy2019, uabhs entities discharged 91,635 patients and saw 132,144 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 fy2019 was $59,723,000. Uabhs also provides care to a large number of individuals covered by governmental programs that may reimburse below cost. In fy2019, uabhs unreimbursed cost for treating medicaid patients was $32,631,000. In addition, uabhs entities provide health care services to many individuals who cannot pay for all or any of their medical are. In fy2019, the cost for this bad debt was $98,966,000. 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 comp”

“Additionally, uabhs affiliates include medical west hospital authority, a 310-bed acute care hospital offering a wide range of diagnostic, surgical, medical, and emergency services; the health care authority for baptist health in montgomery, a primary provider of health care services in central alabama. The health care authority for baptist health in 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 and breast health. 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 beyond 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 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 oneal comprehensive cancer center at uabs 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. 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. 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 underinsured and uninsured patients. In fy2019, 399 students and 10 physician volunteers provided care for 1,082 patient encounters during clinics (acute, chronic, and specialty care) and conducted eight community health screenings. Uabhs affiliate the health care authority for 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 de”

“Uab medicine 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 115 transplants. Uab is also known as an innovator in providing access to transplantation for patients in need. It seeks to increase the availability of organs for transplantation, offering transplantation from hepatitis c-positive donors, treatment for highly sensitized patients, abo-incompatible transplantation, and split-liver transplant, as well as efforts to optimize the recovery and preservation of organs. Uab is also 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 states 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 th”

“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. More than 51,900 surgeries were performed in fy2019. 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 mission of the uab center for aids research (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 in the u.s. And around the world. Geographically placed in the heart of the ongoing domestic hiv epidemic in the southeast, we are ideally positioned to tackle some of the fields most pressing emerging challenges in a unique fashion and are well-positioned to expand our role as leaders in the fight against hiv regionally, nationally, and internationally. Our benchmarks of success include enabling research leading to over $70 million of hiv grant funding per year, while 62% of new nih grants in hiv to uab were obtained over the last 5 years. Cfar has maintained consistent high levels of hiv funding at uab, in spite of tightening nih hiv funding priorities, and increased the number of early stage investigators supported by training awards from 7 to 16 (14 women; 5 under-represented minorities). Our development core invested $1.9m over the last 10 years in pilot awards, yielding over $26 million in extramural funding. Overall, the center has partnered to recruit 53 new hiv/aids investigators in the last 5 years (26 external, 24 internal new to hiv research with 3 critical retentions). To further illustrate the value of the cfar to hiv research at uab, consider that among new members recruited since the last renewal, 46% are women, 25% are under-represented minorities, and 38% of the newly funded nih grants were cultivated with cfar developmental pilot funding. Across all service cores in the last 5 years, cfar supported over 500 nih-funded projects, of which 350 were hiv-specific, resulting in significant scientific impacts and over 1,000 hiv publications. Cfar currently manages over $85 million in grant funding (up from $42 million in 2014), encompassing the major hiv program projects at uab including cnics, mwccs, ctu, cnihr, hiv and aging pilot program, k12 in hiv-related heart, lung, blood and sleep disorders, and the ryan white part c and associated 340b program. The cfars ending hiv in alabama scientific working group (swg) provides a leadership structure and scientific vector to operationalize the centers vision and mission in”

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