Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
UAB HEALTH SYSTEM
 
Employer identification number

63-1182994
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014
Page 2

Schedule J (Form 990) 2014
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1KIRBY BLAND MDBOARD MEMBER (i)
(ii)
0
.................
866,696
0
.................
124,969
0
.................
14,132
0
.................
60,695
0
.................
23,050
0
.................
1,089,542
0
.................
0
2RAY HAYESBOARD MEMBER (i)
(ii)
0
.................
850,034
0
.................
0
0
.................
18,271
0
.................
49,433
0
.................
17,532
0
.................
935,270
0
.................
0
3RAY WATTS MDBOARD MEMBER (i)
(ii)
284,976
.................
454,956
0
.................
129,000
155,271
.................
4,089
89,255
.................
45,523
3,420
.................
49,402
532,922
.................
682,970
153,663
.................
0
4JAMES BONNERBOARD MEMBER (i)
(ii)
0
.................
723,454
0
.................
143,593
0
.................
3,910
0
.................
90,435
0
.................
24,716
0
.................
986,108
0
.................
0
5AMIE MCLAINBOARD MEMBER (i)
(ii)
0
.................
482,146
0
.................
98,996
0
.................
4,481
0
.................
72,200
0
.................
22,663
0
.................
680,486
0
.................
0
6SELWYN VICKERS MDBOARD MEMBER (i)
(ii)
401,938
.................
291,216
182,000
.................
0
2,375
.................
118,280
120,423
.................
37,018
7,300
.................
18,656
714,036
.................
465,170
0
.................
0
7SETH LANDEFELDBOARD MEMBER (i)
(ii)
0
.................
495,194
0
.................
68,810
0
.................
5,082
0
.................
87,921
0
.................
12,169
0
.................
669,176
0
.................
0
8ROBERT WITTBOARD MEMBER (i)
(ii)
0
.................
624,517
0
.................
105,000
0
.................
26,684
0
.................
43,446
0
.................
2,007
0
.................
801,654
0
.................
0
9ROBERT RICHBOARD MEMBER (i)
(ii)
246,284
.................
0
0
.................
0
169,917
.................
0
69,271
.................
0
2,881
.................
0
488,353
.................
0
168,394
.................
0
10ISSAC WILLIAM FERNIANYCEO (i)
(ii)
649,247
.................
0
390,995
.................
0
211,806
.................
0
200,677
.................
0
23,004
.................
0
1,475,729
.................
0
181,830
.................
0
11JOHN FAULSTICHCFO (UNTIL 12/2014) (i)
(ii)
329,929
.................
0
0
.................
0
552,143
.................
0
31,193
.................
0
14,491
.................
0
927,756
.................
0
535,160
.................
0
12DAWN BULGARELLACFO (SINCE 10/2014) (i)
(ii)
147,161
.................
0
0
.................
0
402
.................
0
24,514
.................
0
1,275
.................
0
173,352
.................
0
0
.................
0
13REID JONESCOO (i)
(ii)
582,556
.................
0
274,542
.................
0
1,080
.................
0
150,153
.................
0
6,954
.................
0
1,015,285
.................
0
0
.................
0
14DAVID RANDALLSR VP Strategy and Development (i)
(ii)
307,599
.................
0
108,268
.................
0
180,926
.................
0
63,215
.................
0
18,251
.................
0
678,259
.................
0
179,846
.................
0
15DONALD LILLYSR VP NETWORK DEVELOP. (i)
(ii)
252,086
.................
0
89,228
.................
0
56,386
.................
0
48,302
.................
0
19,989
.................
0
465,991
.................
0
52,832
.................
0
16WARREN SMEDLEYDIRECTOR, Service Line (i)
(ii)
179,314
.................
0
34,748
.................
0
33,864
.................
0
23,168
.................
0
29,346
.................
0
300,440
.................
0
30,601
.................
0
17RAHEEL FAROUGHDIRECTOR, PAYER CONTRACT (i)
(ii)
197,202
.................
0
44,320
.................
0
19,797
.................
0
37,428
.................
0
18,274
.................
0
317,021
.................
0
0
.................
0
18BART KELLYDIRECTOR, SERVICE LINE (i)
(ii)
152,885
.................
0
30,198
.................
0
11,291
.................
0
37,969
.................
0
1,963
.................
0
234,306
.................
0
0
.................
0
19CHRISTOPHER MEEKSVP CLINICAL FUND/EXEC DIR AOC (i)
(ii)
179,977
.................
0
56,367
.................
0
1,319
.................
0
41,868
.................
0
2,373
.................
0
281,904
.................
0
0
.................
0
Schedule J (Form 990) 2014
Page 3

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1: SELWYN VICKERS RECEIVED $55,491 GROSSED UP COMPENSATION FROM UA HEALTH SERVICES FOUNDATION. SELWYN VICKERS AND DON LILLY WERE REIMBURSED $4,413 AND $936 RESPECTIVELY FOR HEALTH CLUB MEMBERSHIP.
PART I, LINE 4A: THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT. THE PAYMENT IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). JOHN FAULSTICH - $180,299
PART I, LINE 4B: TOP HAT 457(B) DEFERRED COMPENSATION PLAN PARTICIPANTS WERE: RAHEEL FAROUGH ($17,500) AND ISAAC WILLIAM FERNIANY ($17,500).
PART II: FOR CALENDAR YEAR 2014 COMPENSATION FOR ROBERT RICH INCLUDED $168,394 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2014 COMPENSATION FOR ISSAC WILLIAM FERNIANY INCLUDED $181,830 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2014 COMPENSATION FOR RAY WATTS INCLUDED $153,663 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2014 COMPENSATION FOR DONALD LILLY INCLUDED $52,832 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2014 COMPENSATION FOR WARREN SMEDLEY INCLUDED $30,601 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2014 COMPENSATION FOR DAVID RANDALL INCLUDED $179,846 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN. FOR CALENDAR YEAR 2014 COMPENSATION FOR JOHN FAULSTICH INCLUDED $535,160 WHICH IS A ONE TIME PAYMENT FROM DEFERRED COMPENSATION PLAN.
Schedule J (Form 990) 2014

Additional Data


Software ID:  
Software Version: