University of Alabama Health Services Foundation, P.C. A brief glimpse inside a Faculty Practice Plan...

Not a Typical MD Practice A bona fide corporation “Shareholder value and earnings” not in annual distributions but for program development / expansion compensation / expenses for operation retention for business downturns MDs are “fully employed / only here”

A Brief View of our History Founded in 1973 IRS Tax Exempt 501(c)(3) As a physician-led company Superior Patient Care Group Practice in an Academic Environment Establish Funds for Program Development The era was ripe for such activities Medical Practice Plans birthed out of “university anxieties”

The “Stages of our Growth” 1970s - a benefit plan and to bill and collect professional revenue 1980s - organizational development University Affiliation Ambulatory Clinics Complete Health Joint Venture 1990s - corporate style behavior The Kirklin Clinic UAB Prime Care Sale of Complete Health UAB Health System

Board of Directors Purpose Membership Develop major policy and strategy Provide a balanced perspective to our goals Recruit key executives and hold them accountable for success Membership 10 public members (“outside directors”) 9 physician leaders (“internal directors”) Executive leadership

Public Board Members Eddie Adair Cordova Ventures Dr. Neal Berte Birmingham Southern College Donald James Vulcan Materials Company Charles Perry, Jr. Highland Associates Dowd Ritter AmSouth Bank Van Richey American Cast Iron Pipe Company Jerome Rose Lehr, MiddleBrooks, Price & Proctor James Stephens EBSCO Industries, Inc. Lee Styslinger, III Altec, Inc. Michael Warren, Jr. Energen Corporation

Executive Leadership A uniquely balanced and important partnership of MD / business leadership Corporate service functions General Counsel, Finance, Human Resources, Treasury, Corporate Compliance, et al

UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION Corporate Services Clinical Services Managed by UAB Health System UAHSF Board of Directors UAB Health System Executive Officers Ray L. Watts, M.D. President Reid F. Jones Executive Vice President General Counsel Director Human Resources Chief Financial Officer Management Services Organization Executive Director TKC Chief Information Officer Director Insurance Risk Management

Financial Overview $1 billion economic impact extremely strong Balance Sheet $434 M endowments, $163 M debt FY 2005 Total Operating Revenue = $349 M FY 2005 Net Patient Care Revenue = $298M

Total Payor Mix Blue Cross Blue Shield 37% Medicare 21% Medicaid 9% United Health Care 3% Viva 8% Commercial Insurance 5% Self Pay 9% Other 8%

Payor Mix - Commercial Blue Cross Blue Shield 76% United Healthcare 6% Viva 8% Other Commercial Insurance 10%

UAHSF Expense Structure Salaries and Benefits $205 59% Medical and Laboratory 41 11% Administrative and General 39 11% Contributions to UAB 17 5% Internal Research Funding 16 5% Other 29 8% ($ in millions)

General Endowment Fund The Successful Failure Over $100 million dollars Research Initiatives Creation and Implementation of the MSO Faculty Recruitment

Scope of Services Portfolio Offers services in 32 clinical specialties … primary and specialty care Employs 850 physicians and 1,800 non-physician employees 22nd largest employer in the State of Alabama

Service Locations Have the “clinical franchise” for physician services at UA Hospital Also provide services at other hospitals, in TKC, at selected regional clinics, and in “local offices” The Kirklin Clinic Acton Road

The Kirklin Clinic Designed by World Renowned Architect I.M. Pei Imported Italian Marble 1,752 rooms

The Kirklin Clinic Opened June 15, 1992 454,000 Square Feet Clinic Visits 427,000 in 1994 473,000 in 1996 543,000 in 1998 588,000 in 2000 671,000 in 2002 769,000 in 2004

John N. Whitaker Building Opened in March 2000 180,000 Square Feet Located on the old IRS Lot Named after UAHSF President, John N. Whitaker M.D. Years of Service (1992-2001) UAB Health System and Alabama Organ Center in JNW Building