2024-05-15T12:17:35-05:00 2023-06-30 366055558 GRANT THORNTON LLP 1000 WILSON BOULEVARD SUITE 1500 ARLINGTON VA 22209 990 2022-07-01 541278944 UVA PRINCE WILLIAM HEALTH SYSTEM UVAP 5712841163 8700 SUDLEY ROAD MANASSAS VA 20110 CHARLES CODER CFO 5712841163 2024-05-15 1 CHARLES CODER 999009999 1 MARY TORRETTA P00847851 7038477500 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z L ERIK SHANNON 8700 SUDLEY ROAD MANASSAS VA 20110 63256212 0 X N/A X 1997 VA SEE SCHEDULE O 14 10 424 14 0 0 0 0 23458859 62616367 -4132 6584 -18527 633261 23436200 63256212 0 0 0 0 23133284 59321366 0 0 0 10181483 17607640 33314767 76929006 -9878567 -13672794 32078352 51614374 15769274 25168965 16309078 26445409 X SEE SCHEDULE O 1 0 60620904 43883468 UVA COMMUNITY HEALTH MEDICAL GROUP OFFERS PRIMARY CARE AND SPECIALTY CARE PHYSICIAN SERVICES THROUGH ITS 1,200+ PROVIDERS TO THE COMMUNITY AT OVER 50 LOCATIONS THROUGHOUT CENTRAL AND NORTHERN VIRGINIA. THE ORGANIZATION'S OPERATIONS SERVE THE COMMUNITY BY PROVIDING ACCESS TO MUCH NEEDED HEALTHCARE SERVICES, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. DURING FISCAL YEAR, 2023, THE PHYSICIAN PRACTICES HAD 246,211 OUTPATIENT ENCOUNTERS. 9592323 15598374 UVA HEALTH CANCER CARE GAINESVILLE OFFERS EXPERT CANCER CARE TO THE ADULT RESIDENTS OF GAINESVILLE, VA AND THE SURROUNDING AREAS. THE ORGANIZATION'S OPERATIONS SERVE THE COMMUNITY BY PROVIDING ACCESS TO MUCH NEEDED HEALTHCARE SERVICES, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. DURING FISCAL YEAR, 2023, THE CENTER HAD 23,867 OUTPATIENT ENCOUNTERS. 3222505 3224525 UVA OUTPATIENT IMAGING CENTERVILLE OFFERS DIAGNOSTIC IMAGING SERVICES TO THE CENTERVILLE, VA AREA AND SURROUNDING AREAS. THE ORGANIZATION'S OPERATIONS SERVE THE COMMUNITY BY PROVIDING ACCESS TO MUCH NEEDED HEALTHCARE SERVICES, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. DURING FISCAL YEAR, 2023, THE CENTER HAD 10,140 OUTPATIENT ENCOUNTERS. 73435732 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 424 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X CHARLES CODER 5712841163 8700 SUDLEY ROAD MANASSAS VA 20110 KIRSTEN GREEN MD TRUSTEE 0.20 45.00 X 0 894206 67646 CHRISTOPHER HEATON MD TRUSTEE 45.00 0.40 X 413954 0 53339 VIKRAM S KHOT TRUSTEE 45.00 0.20 X 10456 0 0 STEVEN M DANZIGER CHAIR 0.20 1.00 X X 0 0 0 CHARLES BARRELL VICE CHAIR 0.20 0.80 X X 0 0 0 RICHARD HARRINGTON SECRETARY 0.20 0.60 X X 0 0 0 STEPHEN NELSON TREASURER 2.00 0.40 X X 0 0 0 MARY FRANCES SOUTHERLAND TRUSTEE 0.20 50.00 X 0 449489 37407 MATTHEW GUILFOYLE TRUSTEE 2.00 0.40 X 0 0 0 JACQUELINE KRICK TRUSTEE 2.00 0.40 X 0 0 0 LISA ANN PEACOCK TRUSTEE 0.20 0.60 X 0 0 0 MICHELLE METZGAR TRUSTEE 0.20 0.60 X 0 0 0 PAM KINCHELOE RN JD TRUSTEE 0.20 0.60 X 0 0 0 VIPUL PARIKH MD TRUSTEE 0.20 0.60 X 0 0 0 L ERIK SHANNON CH SYSTEM CEO / PRESIDENT 0.40 50.00 X 0 923136 2212 CHARLES CODER CH SYSTEM CFO & TREASURER 0.40 50.00 X 0 617644 45856 JAMES B MIN CLINICAL PHYSICIAN EXECUTIVE 50.00 0.00 X 358033 0 26016 AHSAN Q JAFIR CARDIOLOGIST 45.00 0.00 X 648922 0 61660 ARA MATTHEW MARANIAN CARDIOLOGIST 45.00 0.00 X 588328 0 53991 DAVID MARK DEMARIA CARDIOLOGIST 45.00 0.00 X 484584 0 44204 RAZA YUNUS CARDIOLOGIST 45.00 0.00 X 478134 0 13778 IZUCHUKWU OBI INPATIENT PHYSICIAN 45.00 0.00 X 443954 0 45455 STEPHEN SMITH MD FORMER PRES & COO (THRU 02/2022) 0.00 0.00 X 0 765754 9273 3426365 3650229 460837 115 1 1 0 0 NET PATIENT REVENUE 621111 59179366 59179366 DIAGNOSTIC IMAGING SERVICES 621512 3224525 3224525 PHYSICIAN SERVICES 621111 122250 122250 CARE COORDINATION FEES 900099 90226 90226 62616367 6584 6584 604890 0 604890 604890 604890 MISCELLANEOUS REVENUE 900099 28371 28371 28371 63256212 62616367 0 639845 1294577 1268685 25892 49380848 48393231 987617 1518268 1487903 30365 4423322 4334856 88466 2704351 2650264 54087 3713263 2227958 1485305 1243202 870241 372961 714787 714787 1811765 1793647 18118 39018 30434 8584 161644 126082 35562 133999 133999 3072193 2857139 215054 26441 24590 1851 BAD DEBT 2535902 2535902 PHARMACEUTICALS 1649268 1649268 MEDICAL SUPPLIES 1526398 1526398 REPAIRS AND MAINTENANCE 852729 844202 8527 127031 100145 26886 76929006 73435732 3493274 0 2132926 11193478 4476670 3891026 230829 471301 0 1975 17410 170717 29299181 24651531 19645153 4647650 468282 0 193378 15699341 4913704 15538886 32078352 51614374 6120465 8902763 11339 2530061 9637470 13736141 15769274 25168965 X 0 0 0 0 16309078 26445409 16309078 26445409 32078352 51614374 X -13672794 23809125 0 X X 0 1 X 0 0 X X 3 UVA PRINCE WILLIAM MEDICAL CENTER 540696355 3 1 0 0 UVA CATON MERCHANT HOUSE ASSISTED LIVING 541291284 10 1 0 0 UVA COMMUNITY HEALTH FOUNDATION 541307595 7 1 0 0 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X 1 1 PART I, LINE 12G: UVA PWHS IS THE SOLE MEMBER OF MULTIPLE SINGLE MEMBER LLCS THAT PROVIDE COMPLEMENTARY HEALTHCARE SERVICES TO THE SUPPORTED ORGANIZATIONS. PART IV, SECTION D, LINE 3: THE ORGANIZATION AND ITS SUPPORTED ORGANIZATIONS SHARE A BOARD. REPRESENTATIVES OF THE SUPPORTED ORGANIZATIONS PROVIDE ONGOING FEEDBACK AND GUIDANCE ON THE BUDGETING, OVERHEAD ALLOCATIONS, AND ASSET PURCHASING AND UTILIZATION. PART IV, SECTION E, LINE 3A: THE ORGANIZATION SHARES A BOARD WITH ITS SUPPORTED ORGANIZATIONS AND HAS THE POWER TO REGULARLY APPOINT OR ELECT A MAJORITY OF OFFICERS, DIRECTORS OR TRUSTEES OF EACH SUPPORTED ORGANIZATION. PART IV, SECTION E, LINE 3B: BECAUSE OF THE RELATIONSHIP DESCRIBED ABOVE, THE SAME INDIVIDUALS WHO HAVE OVERSIGHT OVER THE SUPPORTING ORGANIZATION ARE DIRECTLY INVOLVED OR HAVE A SUBSTANTIAL DEGREE OF INFLUENCE IN THE OVERSIGHT, INCLUDING POLICY/PROGRAM DEVELOPMENT AND ACTIVITIES, OF THE SUPPORTED ORGANIZATIONS. 0 0 0 0 0 0 0 0 1 4463 4463 0 PART II-B, LINE 1: LINE 1I DUES PAID TO CERTAIN ORGANIZATIONS WHICH INCLUDE A PORTION RELATED TO LOBBYING ACTIVITIES. 1439060 1439060 8097246 5410144 2687102 6215111 6215111 0 12777271 12255783 521488 770493 770493 0 4647650 LEASE RECEIVABLE 10483481 DUE TO AFFILIATES 5055405 15538886 DUE TO AFFILIATES 8920843 LEASE LIABILITY 4815298 13736141 1 1 0 0 0 0 0 1 0 KIRSTEN GREEN MD TRUSTEE 0 755505 0 78140 0 60561 0 48918 0 18728 0 961852 0 0 L ERIK SHANNON CH SYSTEM CEO / PRESIDENT 0 83542 0 145000 0 694594 0 2212 0 0 0 925348 0 0 STEPHEN SMITH MD FORMER PRES & COO (THRU 02/2022) 0 58732 0 208363 0 498659 0 3592 0 5681 0 775027 0 0 AHSAN Q JAFIR CARDIOLOGIST 633457 0 0 0 15465 0 18300 0 43360 0 710582 0 0 0 CHARLES CODER CH SYSTEM CFO & TREASURER 0 349433 0 254781 0 13430 0 17564 0 28292 0 663500 0 0 ARA MATTHEW MARANIAN CARDIOLOGIST 565817 0 2531 0 19980 0 18300 0 35691 0 642319 0 0 0 DAVID MARK DEMARIA CARDIOLOGIST 479338 0 0 0 5246 0 18300 0 25904 0 528788 0 0 0 RAZA YUNUS CARDIOLOGIST 469535 0 0 0 8599 0 1461 0 12317 0 491912 0 0 0 IZUCHUKWU OBI INPATIENT PHYSICIAN 439496 0 2400 0 2058 0 18300 0 27155 0 489409 0 0 0 MARY FRANCES SOUTHERLAND TRUSTEE 0 357425 0 64000 0 28064 0 20451 0 16956 0 486896 0 0 CHRISTOPHER HEATON MD TRUSTEE 291419 0 17500 0 105035 0 15492 0 37847 0 467293 0 0 0 JAMES B MIN CLINICAL PHYSICIAN EXECUTIVE 323759 0 0 0 34274 0 0 0 26016 0 384049 0 0 0 PART I, LINE 3: METHODS USED TO ESTABLISH COMPENSATION UVA COMMUNITY HEALTH, INC. IS THE PARENT ENTITY OF A NOT-FOR-PROFIT INTEGRATED SYSTEM OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS, AND OTHER HEALTHCARE SERVICES PROVIDERS (COLLECTIVELY KNOWN AS "UVA COMMUNITY HEALTH"). UVACH, IN COMBINATION WITH ITS SOLE MEMBER, THE UNIVERSITY OF VIRGINIA MEDICAL CENTER ("THE MEDICAL CENTER"), COMPRISE UVA HEALTH. THE FILING ORGANIZATION IS AN INTEGRAL PART OF UVA COMMUNITY HEALTH AND UVA HEALTH. THE COMPENSATION OF THE UVA COMMUNITY HEALTH CEO IS ESTABLISHED USING A HOLISTIC SET OF COMPENSABLE FACTORS AND VARIABLE PAY OPTIONS INTENDED TO ASSIST WITH THE RECRUITMENT AND RETENTION OF EXCEPTIONAL OR MISSION-CRITICAL EMPLOYEES AND APPROVED BY THE CHIEF EXECUTIVE OFFICER OF UVA HEALTH ON BEHALF OF THE MEDICAL CENTER AND THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA. PART I, LINE 4A - SEVERANCE PLAN: ELIGIBLE EXECUTIVES MAY RECEIVE SEVERANCE PAY THAT IS BASED ON ANNUAL COMPENSATION FOR A SPECIFIED PERIOD OF TIME. ANY CURRENT YEAR PAYMENTS HAVE BEEN INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN PART VII AND IN COLUMN (B)(III) OF SCHEDULE J. - STEPHEN SMITH, MD: $428,441 PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") PAYMENTS MADE IN 2022 ARE THE FINAL PAYMENTS ATTRIBUTABLE TO PARTICIPATION IN THE PLAN OFFERED BY NOVANT HEALTH, INC. PRIOR TO THE UVA MEDICAL CENTER BECOMING THE SOLE MEMBER OF UVA COMMUNITY HEALTH, INC. ("UVACHI") AND THE INTEGRATION OF UVACHI AND ITS SUBSIDIARIES INTO UVA HEALTH. THE PLAN WAS INTENDED TO SUPPORT RETENTION OF KEY EXECUTIVES AND TO OFFER COMPETITIVE TOTAL COMPENSATION. ELIGIBLE EXECUTIVES WERE NOMINATED BY THE CEO AND APPROVED BY THE NOVANT HEALTH COMPENSATION AND LEADERSHIP COMMITTEE ("THE COMMITTEE") FOR PARTICIPATION. ANNUAL CONTRIBUTIONS TO THE PLAN WERE BASED ON A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AS OF JANUARY 1ST OF THE PREVIOUS PLAN YEAR AND WERE REPORTED IN COLUMN (C) OF SCHEDULE J. PRIOR TO MAKING THE CONTRIBUTIONS, THE COMMITTEE REVIEWED AND APPROVED AMOUNTS AS TO REASONABLENESS, WHEN COMBINED WITH ALL OTHER ANNUAL COMPENSATION. A 3 YEAR CLASS-YEAR VESTING PERIOD WOULD APPLY UP TO AGE 62, WHEN ALL MONEY WOULD BE VESTED AND PAID OUT TO THE PARTICIPANT. FOR THE FINAL PAYMENTS LISTED, VESTING OCCURRED ON JANUARY 1, 2022. - AHSAN JAFIR: $11,228 - ARA MARANIAN: $8,589 - CHRISTOPHER HEATON: $10,793 - STEPHEN SMITH: $70,218 ERIK SHANNON SERVED AS AN INDEPENDENT CONTRACTOR FROM JANUARY THROUGH NOVEMBER BEFORE BEING HIRED AS A FULL TIME EMPLOYEE, THIS PAYMENT IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III). PART I, LINE 7: NONFIXED PAYMENT DEPENDING ON INDIVIDUAL PERFORMANCE, SOME EMPLOYEES MAY BE ELIGIBLE FOR PERFORMANCE BONUSES IN ADDITION TO THEIR REGULAR COMPENSATION. THE AWARDING OF ANY COMPENSATION BONUS CONSIDERS THE INDIVIDUAL'S GOALS AND THE GOALS OF THE ORGANIZATION AS A WHOLE. ANY POTENTIAL BONUS IS CONSIDERED WHEN EVALUATING AN EMPLOYEE'S TOTAL COMPENSATION FOR REASONABLENESS. FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: UVA PRINCE WILLIAM HEALTH SYSTEM UVA PRINCE WILLIAM HEALTH SYSTEM ("PWHS") IS AN INTEGRAL PART OF UVA COMMUNITY HEALTH, INC. ("UVACH"). UVACH IS A NOT-FOR-PROFIT INTEGRATED SYSTEM OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS, AND OTHER HEALTHCARE SERVICES PROVIDERS COLLECTIVELY KNOWN AS "UVA COMMUNITY HEALTH". UVA COMMUNITY HEALTH, IN COMBINATION WITH THE UNIVERSITY OF VIRGINIA MEDICAL CENTER, COMPRISES UVA HEALTH. GENERAL INFORMATION PWHS ACTS AS THE HOLDING COMPANY FOR VARIOUS AMBULATORY HEALTHCARE SERVICE LINES WITHIN UVA COMMUNITY HEALTH INCLUDING A PHYSICIAN MEDICAL GROUP, A CANCER CENTER, AND AN OUTPATIENT IMAGING CENTER. IN ADDITION, IT HOLDS TITLE TO CERTAIN REAL ESTATE USED BY THE VARIOUS HEALTHCARE ENTITIES IN THE SYSTEM. THE MEDICAL GROUP IS A GROUP OF EMPLOYED PROVIDERS THAT CARE FOR PATIENTS AT MORE THAN 30 SITES OF CARE ACROSS CULPEPER, PRINCE WILLIAM, AND FAUQUIER COUNTIES AND SURROUNDING GEOGRAPHIES. THIS MEDICAL GROUP INCLUDES MORE THAN 200 EMPLOYED PROVIDERS ACROSS MORE THAN 45 OUTPATIENT CLINIC LOCATIONS. THESE INCLUDE PRIMARY CARE AND FAMILY MEDICINE, PEDIATRIC PRIMARY AND SPECIALTY CARE, OBSTETRICS AND GYNECOLOGY CARE, CARDIOLOGY, MEDICAL ONCOLOGY, SPORTS MEDICINE, ORTHOPEDICS, NEUROLOGY, UROLOGY, BEHAVIORAL HEALTH, GENERAL SURGERY, BREAST CARE AND BREAST SURGERY, BARIATRIC SURGERY AND WEIGHT LOSS CARE, VEIN AND VASCULAR CARE, THERAPY SERVICES LIKE PHYSICAL, OCCUPATION AND SPEECH THERAPY, AND URGENT CARE. SINCE BECOMING FULLY OWNED BY UVA HEALTH IN MID-YEAR 2021, THIS MEDICAL GROUP HAS HIRED MORE THAN 50 PROVIDERS, OPENED NEW LOCATIONS FOR UROLOGY, MEDICAL ONCOLOGY, AND SURGICAL CARE, AND MADE IMPROVEMENTS AND EXPANSIONS TO SEVERAL PRIMARY CARE AND SPECIALTY CARE OFFICES. PWHS ALSO INCLUDES UVA HEALTH CANCER CARE GAINESVILLE. AT THIS LOCATION, WE PROVIDE EXPERT CANCER CARE SERVICES FOR MANY TYPES OF CANCER, INCLUDING: BLADDER, BONE, BRAIN, BREAST, COLORECTAL, ESOPHAGEAL, GYNECOLOGIC, HEAD AND NECK, LUNG, PANCREATIC, PROSTATE, SKIN, STOMACH, AND TESTICULAR CANCER. TREATMENTS FROM UVA HEALTH AT THIS LOCATION FOCUS ON RADIATION THERAPY, RADIOSURGERY, CHEMOTHERAPY AND PET/CT SCANS. IN 2023, WE OPENED A MEDICAL ONCOLOGY PRACTICE IN THE UVA COMMUNITY HEALTH MEDICAL GROUP WHICH WORKS IN CLOSE COORDINATION WITH UVA HEALTH CANCER CARE GAINESVILLE, UVA HEALTH CANCER CARE CULPEPER AND THE UVA EMILY COURIC CANCER CENTER AT UNIVERSITY MEDICAL CENTER TO ASSIST PATIENTS FROM DIAGNOSIS TO TREATMENT AND RECOVERY. THE GAINESVILLE TEAM OFFERS CANCER CARE SUPPORT GROUPS IN COORDINATION WITH OTHER DEPARTMENTS SUCH AS THE UVA HEALTH BREAST CARE CENTER IN HAYMARKET. UVA HEALTH OUTPATIENT IMAGING CENTREVILLE ("OIC") IS ALSO A LOCATION OF PWHS. THIS STAND-ALONE OUTPATIENT IMAGING CENTER OFFERS STATE OF THE ART HIGH-FIELD 3T, OPEN-BORE MRI AS WELL AS ARTHROGRAM, CT, ULTRASOUND AND X-RAY SERVICES. OIC PROVIDES A WEALTH OF INFORMATION TO PATIENTS AND PROVIDERS REGARDING HOW TO OBTAIN AN IMAGING ORDER, HOW TO PREPARE FOR AN IMAGING STUDY, AND HOW TO NAVIGATE BILLING, INSURANCE AND PAYMENT. IN ADDITION TO OUR QUALITY OF SERVICES AND COMPREHENSIVE CATEGORIES OF SERVICES, WE'RE VERY PROUD OF OUR PATIENT FINANCIAL SERVICES PROGRAM. WE WORK WITH CUSTOMERS TO HELP QUALIFY THEM FOR PUBLIC ASSISTANCE, ESTABLISH A REASONABLE PAYMENT PLAN, DISCOUNT THEIR BILL, OR PROVIDE THEM WITH FREE CHARITY CARE. COMMUNITY ENGAGEMENT TEAM MEMBERS AND PROVIDERS FROM THE MEDICAL GROUP VOLUNTEER THEIR TIME AT COMMUNITY EVENTS TO OFFER PREVENTIVE CARE SCREENINGS AND HEALTH INFORMATION. THIS INCLUDES ENGAGEMENT DURING HERITAGE MONTHS AND HEALTH AWARENESS WEEKS, INCLUDING OCTOBER'S BREAST CANCER AWARENESS MONTH, OUTREACH TO UNDERSERVED COMMUNITIES SUCH AS THE LATINX COMMUNITY DURING HISPANIC HERITAGE MONTH, AND ENGAGING THE BLACK AND AFRICAN AMERICAN COMMUNITY DURING VARIOUS MEN'S HEALTH AND MEN'S CANCER AWARENESS OPPORTUNITIES THROUGHOUT THE YEAR TO SHARE HEALTH INFORMATION AND PROMOTE THE NEED FOR SCREENINGS. THE OBGYN PRACTICE PROVIDERS PARTNER WITH LOCAL FREE CLINICS TO HOST BABY SHOWERS AT PRINCE WILLIAM MEDICAL CENTER FOR MOTHERS-TO-BE, EDUCATING ON PRENATAL CARE AND PROVIDING INFORMATION ABOUT POST-PARTUM SUPPORT GROUPS. THE PRIMARY CARE PRACTICES PARTICIPATE IN AN ACCOUNTABLE CARE ORGANIZATION (ACO) UNDER THE CENTERS FOR MEDICARE AND MEDICAID SERVICES, WHICH HOLDS THE ENTITY ACCOUNTABLE FOR THE TOTAL COST OF CARE AND PATIENT HEALTH OUTCOMES OF THEIR MEDICARE PATIENT PANELS. ADDITIONALLY, THE PEDIATRIC PRACTICES PARTICIPATE IN FORTIFY CHILDREN'S NETWORK, A CLINICALLY INTEGRATED NETWORK OF PROVIDERS STATE-WIDE THAT USE DATA AND ANALYTICS TO IMPROVE CARE COORDINATION AND PATIENT OUTCOMES. UVACH IS PROUD OF THESE POPULATION HEALTH ACTIVITIES AND OUR PROVIDERS' SUCCESS IN MOVING TO ALTERNATIVE PAYMENT MODELS THAT PROVIDE GREATER VALUE FOR THE SERVICES PROVIDED AND OUTCOMES ACHIEVED. FORM 990, PART III, LINE 1: MISSION, VISION AND VALUES OUR MISSION TRANSFORMING HEALTH AND INSPIRING HOPE FOR ALL VIRGINIANS AND BEYOND. OUR VISION TO BE THE NATION'S LEADING PUBLIC ACADEMIC HEALTH SYSTEM AND A BEST PLACE TO WORK - WHILE TRANSFORMING PATIENT CARE, RESEARCH, EDUCATION, AND ENGAGEMENT WITH THE DIVERSE COMMUNITIES WE SERVE. OUR VALUES: ASPIRE AT UVA HEALTH, WE PUT THE PATIENT AT THE CENTER OF EVERYTHING WE DO. WE ASPIRE TO CREATE A CULTURE OF EXCELLENCE, ENGAGEMENT, AND TRUST THROUGH OUR VALUES. - ACCOUNTABILITY: ACKNOWLEDGING AND ASSUMING RESPONSIBILITY FOR WHERE WE HAVE SUCCEEDED AND FAILED IN TERMS OF OUR ACTIONS, DECISIONS, POLICIES, AND RESULTS. - STEWARDSHIP: RESPONSIBILITY AND CAREFULLY MANAGING OUR RESOURCES AND COMMITMENT TO CONTINUAL IMPROVEMENT AND LEARNING WHILE ACKNOWLEDGING SHORTCOMINGS OR PROBLEMS IN OUR QUEST. - PROFESSIONALISM: APPROACHING ALL THAT WE DO IN A COLLABORATIVE WAY AND DELIVERING EXCELLENT CARE THROUGH THE LENS OF HELPFULNESS, POSITIVITY, KINDNESS, AND COMPETENCY. - INTEGRITY: BEING HONEST, OPEN, AND FAIR THROUGH OUR BEHAVIORS, ATTITUDE, AND TREATMENT OF OTHERS. - RESPECT: VALUING EVERYONE THROUGH OUR COMPASSIONATE AND CARING WAYS. - EQUITY: FOSTERING AN ENVIRONMENT OF BELONGING THAT PROMOTES JUSTICE, EQUITY, DIVERSITY, INCLUSION, AND UNITY THROUGHOUT THE ORGANIZATION AND WITHIN THE COMMUNITIES WE SERVE. FORM 990, PART III, LINE 2 IN FISCAL YEAR 2023, THE SOLE MEMBER OF UVA CANCER CENTER GAINESVILLE, LLC BECAME UVA PRINCE WILLIAM HEALTH SYSTEM RATHER THAN UVA PRINCE WILLIAM MEDICAL CENTER AS A RESULT OF ORGANIZATIONAL RESTRUCTURING. AS A RESULT, THE ACCOMPANY CANCER CENTER ACTIVITY IS NOW REPORTED HERE. FORM 990, PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION A, LINE 6: CLASSES OF MEMBERS OR STOCKHOLDERS THE CORPORATION IS A NONPROFIT CORPORATION WITH MEMBERS (OR A MEMBER). THE SOLE MEMBER, UVA COMMUNITY HEALTH, INC., HAS CERTAIN RIGHTS AND POWERS WITH REGARDS TO THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION A, LINE 7A: ELECTION OF MEMBERS AND THEIR RIGHTS AS THE SOLE MEMBER, UVA COMMUNITY HEALTH, INC. HAS THE POWER TO APPOINT ALL MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B FORM 990, PART VI, SECTION A, LINE 7B: AS THE SOLE MEMBER, UVA COMMUNITY HEALTH, INC. HAS THE POWER TO APPROVE CERTAIN TRANSACTIONS, ACTIONS AND CHANGES TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990, PART VI, SECTION B, LINE 11: ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE REVIEW OF THE 990 IS PERFORMED BY THE CHIEF FINANCIAL OFFICER. ALL BOARD MEMBERS HAVE RECEIVED A COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C FORM 990, PART VI, SECTION B, LINE 12C: MONITORING AND ENFORCEMENT OF COI THE ORGANIZATION'S TRUSTEE CONFLICT OF INTEREST POLICY APPLIES TO ALL TRUSTEES, PRINCIPAL OFFICERS OR MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS. ANNUALLY, ALL TRUSTEES ARE SENT A COPY OF THE CONFLICT OF INTEREST POLICY AND RECEIVE INSTRUCTION ON HOW TO DISCLOSE A CONFLICT OF INTEREST. AT THAT TIME, THEY MUST COMPLETE AN ATTESTATION STATEMENT AFFIRMING THEIR ADHERANCE TO THE POLICY. A SUPPLEMENTAL QUESTIONNAIRE IS SENT OUT ANNUALLY THAT INFORMS CERTAIN OF THE FORM 990 DISCLOSURES. IF THE TRUSTEE DISCLOSES A CONFLICT OF INTEREST, THEY MUST RECUSE THEMSELVES FROM DISCUSSIONS AND DELIBERATIONS RELATED TO THE CONFLICTED TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, SECTION C, LINE 19: GOVERNING DOCUMENTS DISCLOSURE THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN ALL ORGANIZATIONS IN THE UVA COMMUNITY HEALTH SYSTEM AND ARE AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE EXTENT REQUIRED BY LAW. FORM 990, PART XI, LINE 8: PRIOR PERIOD ADJUSTMENT AS A RESULT OF THE FINANCIAL INTEGRATION INTO NEW SOFTWARE AND THE ALLOCATION OF PURCHASE PRICE BY THE NEW PARENT (UVA HEALTH), PRIOR YEAR BALANCES WERE AFFECTED. THE ORGANIZATION HAS REPORTED ALL CURRENT YEAR ACTIVITIES ON THIS FORM 990. FORM 990, PART XII: FINANCIAL STATEMENTS AND REPORTING THE UNIVERSITY OF VIRGINIA MEDICAL CENTER ("THE MEDICAL CENTER") BECAME THE SOLE MEMBER OF UVA COMMUNITY HEALTH, INC. ("UVACHI") EFFECTIVE JULY 1, 2021. AS A RESULT, UVACHI, AND ITS SUBSIDIARIES, INCLUDING THIS FILING ORGANIZATION, BECAME A FULLY OWNED BLENDED COMPONENT UNIT OF THE MEDICAL CENTER, A COMPONENT UNIT OF THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM. THE MEDICAL CENTER IS A DIVISION OF THE UNIVERSITY OF VIRGINIA, A GOVERNMENTAL ENTITY. HISTORICALLY, THE ORGANIZATION'S FORM 990 PRESENTATION REFLECTED THE STANDARDS FOR GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) AS PRESCRIBED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB). AFTER JULY 2021, AS A COMPONENT UNIT OF A GOVERNMENTAL ENTITY, THE STANDARDS FOR GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) ARE PRESCRIBED BY THE GOVERNMENTAL ACCOUNTING STANDARDS BOARD (GASB) FOR PROVIDERS OF HEALTHCARE SERVICES AND THE FORM 990 REFLECTS THAT CHANGE. UVA COMMUNITY HEALTH MEDICAL GROUP LLC 8700 SUDLEY RD STE 411 MANASSAS VA 20110 562084786 HEALTHCARE VA 44151888 17697352 UVA PRINCE WILLIAM HEALTH SYSTEM UVA CANCER CENTER GAINESVILLE LLC 8700 SUDLEY RD STE 411 MANASSAS VA 20110 743065759 HEALTHCARE VA 15885942 31406436 UVA PRINCE WILLIAM HEALTH SYSTEM UVA OUTPATIENT IMAGING CENTREVILLE LLC 8700 SUDLEY RD STE 411 MANASSAS VA 20110 050570221 HEALTHCARE VA 3224525 3135259 UVA PRINCE WILLIAM HEALTH SYSTEM PRINCE WILLIAM HEALTH SYSTEM ASCMOB LLC 8700 SUDLEY RD STE 411 MANASSAS VA 20110 203195704 HEALTHCARE VA 0 0 UVA PRINCE WILLIAM HEALTH SYSTEM UVA CULPEPER MEDICAL CENTER 501 SUNSET LANE CULPEPER VA 22701 540622371 HEALTHCARE VA 501(C)(3) LINE 3 UVA COMMUNITY HEALTH INC 0 UVA COMMUNITY HEALTH INC 8700 SUDLEY RD MANASSAS VA 20110 810868533 HEALTHCARE VA 501(C)(3) LINE 12A, I UVA MEDICAL CENTER 0 UVA COMMUNITY HEALTH FOUNDATION 8700 SUDLEY RD MANASSAS VA 20110 541307595 HEALTHCARE VA 501(C)(3) LINE 7 UVA PRINCE WILLIAM HEALTH SYSTEM 1 UNIVERSITY OF VIRGINIA MEDICAL CENTER 1201 LEE STREET CHARLOTTESVILLE VA 22902 546001796 HEALTHCARE/HIGHER ED VA 501(C)(3) LINE 6 N/A 0 UVA PRINCE WILLIAM MEDICAL CENTER 8700 SUDLEY RD MANASSAS VA 20110 540696355 HEALTHCARE VA 501(C)(3) LINE 3 UVA PRINCE WILLIAM HEALTH SYSTEM 1 UVA CATON MERCHANT HOUSE ASSISTED LIVING 8700 SUDLEY RD MANASSAS VA 20110 541291284 HEALTHCARE VA 501(C)(3) LINE 10 UVA PRINCE WILLIAM HEALTH SYSTEM 1 0 1 1 0 1 0 0 1 1 0 0 0 0 0 1 1 1 1 1