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 | |||||
| (A)
UVA PRINCE WILLIAM MEDICAL CENTER |
540696355 | 3 | Yes | 0 | 0 | |
| (B)
UVA CATON MERCHANT HOUSE ASSISTED LIVING |
541291284 | 10 | Yes | 0 | 0 | |
| (C)
UVA COMMUNITY HEALTH FOUNDATION |
541307595 | 7 | Yes | 0 | 0 | |
|
Total 3
|
0 | 0 | ||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 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) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 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.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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 on 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| 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 A, LINE 1: | THERE ARE OTHER PUBLICLY SUPPORTED ORGANIZATIONS WITHIN THE HEALTH SYSTEM THAT THE FILING ORGANIZATION SUPPORTS. THESE ORGANIZATIONS HAVE A CONTINUING RELATIONSHIP WITH THE FILING ORGANIZATION BY VIRTUE OF THEIR RELATIONSHIPS TO THE SPECIFIED SUPPORTED ORGANIZATIONS. BY REASON OF THIS RELATIONSHIP, A SUBSTANTIAL IDENTITY OF INTEREST HAS BEEN DEVELOPED BETWEEN THE ORGANIZATIONS THEREBY ESTABLISHING A HISTORIC AND CONTINUING RELATIONSHIP. |
| 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. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990, PART III, LINE 1: MISSION, VISION AND VALUES | UVA PRINCE WILLIAM HEALTH SYSTEM ("PWHS") IS PART OF THE UVA COMMUNITY HEALTH ENTERPRISE, AN INTEGRATED NETWORK OF NOT-FOR-PROFIT, TAX-EXEMPT ENTITIES THAT INCLUDES PHYSICIAN OFFICES, OUTPATIENT FACILITIES AND COMMUNITY MEDICAL CENTERS. UVA COMMUNITY HEALTH AND ITS COMPONENT ENTITIES, ALONG WITH THE UNIVERSITY OF VIRGINIA MEDICAL CENTER, THE UVA SCHOOL OF MEDICINE, UVA SCHOOL OF NURSING, UVA PHYSICIANS GROUP, AND THE CLAUDE MOORE HEALTH SCIENCES LIBRARY, COMPRISE UVA HEALTH. GENERAL INFORMATION PWHS ACTS AS THE HOLDING COMPANY FOR VARIOUS AMBULATORY HEALTHCARE SERVICE LINES WITHIN UVA COMMUNITY HEALTH, INCLUDING UVA COMMUNITY HEALTH MEDICAL GROUP ("THE MEDICAL GROUP"), ITS 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 MORE THAN 300 EMPLOYED PROVIDERS THAT CARE FOR PATIENTS AT MORE THAN 50 OUTPATIENT CLINIC LOCATIONS ACROSS CULPEPER, PRINCE WILLIAM, AND FAUQUIER COUNTIES AND SURROUNDING GEOGRAPHIES. 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, COLORECTAL SURGERY, BREAST CARE AND BREAST SURGERY, PLASTIC SURGERY, BARIATRIC SURGERY AND WEIGHT LOSS CARE, VEIN AND VASCULAR CARE, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY, SAME-DAY CARE AND URGENT CARE. SINCE 2023, THE MEDICAL GROUP HAS HIRED MORE THAN 60 PROVIDERS, OPENED NEW LOCATIONS FOR UROLOGY, MEDICAL ONCOLOGY, SURGICAL CARE, FAMILY AND SPORTS MEDICINE, AND MADE IMPROVEMENTS AND EXPANSIONS TO SEVERAL PRIMARY CARE AND SPECIALTY CARE OFFICES. UVA HEALTH CANCER CARE GAINESVILLE PROVIDES 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 OFFERED AT CANCER CARE GAINESVILLE INCLUDE RADIATION THERAPY, RADIOSURGERY, CHEMOTHERAPY, AND PET/CT SCANS. THE MEDICAL GROUP OPERATES A MEDICAL ONCOLOGY PRACTICE THAT WORKS CLOSELY 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 CANCER CARE TEAM COORDINATES CANCER SUPPORT GROUPS WITH OTHER DEPARTMENTS, SUCH AS THE UVA HEALTH BREAST CARE CENTER IN HAYMARKET, AND THE GENERAL AND SPECIALIST SURGEONS IN OUR LOCAL SURGICAL CARE CLINICS. UVA HEALTH OUTPATIENT IMAGING CENTREVILLE IS A STAND-ALONE OUTPATIENT IMAGING CENTER THAT OFFERS STATE-OF-THE-ART HIGH-FIELD 3T, OPEN-BORE MRI AS WELL AS ARTHROGRAM, CT, ULTRASOUND, AND X-RAY SERVICES. IT 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 PAYMENT PLANS AND DISCOUNTS ON THEIR BILLS, 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 EDUCATION. EDUCATIONAL OPPORTUNITIES INCLUDE ENGAGEMENT DURING HERITAGE MONTHS AND HEALTH AWARENESS WEEKS, OUTREACH TO UNDERSERVED COMMUNITIES THROUGHOUT THE YEAR TO SHARE HEALTH INFORMATION AND PROMOTE THE NEED FOR SCREENINGS. THE OBGYN PRACTICE PROVIDERS PARTNER WITH LOCAL FREE CLINICS TO HOST EDUCATIONAL 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 STATE-WIDE CLINICALLY INTEGRATED NETWORK OF PROVIDERS THAT USE DATA AND ANALYTICS TO IMPROVE CARE COORDINATION AND PATIENT OUTCOMES. UVA COMMUNITY HEALTH 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: 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. - EMPATHY: FOSTERING AN ENVIRONMENT OF COMPASSION, ENGAGEMENT, AND UNDERSTANDING TO BUILD TRUST AND SUPPORT FOR OUR PATIENTS, FAMILIES, TEAM MEMBERS, AND COMMUNITIES. OUR GUIDING PRINCIPLES: OUR PATIENTS ARE THE CENTER OF ALL WE DO. - CARE FOR, EMPOWER, AND SUPPORT OUR FELLOW TEAM MEMBERS IN EVERYTHING WE DO. -STRIVE FOR EXCELLENCE ACROSS ALL MISSIONS. -MAKE TRANSPARENT AND DATA-DRIVEN DECISIONS IN THE LONG-TERM BEST INTERESTS OF THE ORGANIZATION. -PROVIDE THE HIGHEST QUALITY, UNPARALLELED SAFETY, AND AN EXCEPTIONAL CARE EXPERIENCE. -BE A LEARNING ORGANIZATION COMMITTED TO INNOVATION AND CONTINUAL DEVELOPMENT OF OURSELVES AND OTHERS. -BE RESPONSIBLE MANAGERS OF OUR FINANCIAL, ENVIRONMENTAL, AND OTHER RESOURCES. -HAVE CLEAR OBJECTIVES, MEASURE RESULTS, AND CELEBRATE SUCCESSES. -DEEPEN COMMUNITY ENGAGEMENT AND FOSTER HEALTHY COMMUNITIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | CLASSES OF MEMBERS OR STOCKHOLDERS 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 | 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 | 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 | ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE REVIEW OF THE 990 IS PERFORMED BY THE CHIEF FINANCIAL OFFICER OF UVA COMMUNITY HEALTH, INC. 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 | 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 ADHERENCE 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 B, LINE 15 | UVA COMMUNITY HEALTH, INC. IS THE PARENT ENTITY OF THE COMMUNITY HEALTH ENTERPRISE, AN INTEGRATED NETWORK OF NOT-FOR-PROFIT, TAX-EXEMPT ENTITIES THAT INCLUDES PHYSICIAN OFFICES, OUTPATIENT FACILITIES, AND COMMUNITY MEDICAL CENTERS. UVA COMMUNITY HEALTH AND ITS COMPONENT ENTITIES, ALONG WITH UNIVERSITY OF VIRGINIA MEDICAL CENTER, THE UVA SCHOOL OF MEDICINE, UVA SCHOOL OF NURSING, UVA PHYSICIANS GROUP, AND THE CLAUDE MOORE HEALTH SCIENCES LIBRARY, COMPRISE UVA HEALTH. THE FILING ORGANIZATION IS AN INTEGRAL PART OF UVA COMMUNITY HEALTH AND UVA HEALTH. THE PROCESS USED TO ESTABLISH THE COMPENSATION OF THE UVA COMMUNITY HEALTH, INC. CEO RELIES UPON PROCESSES AND APPROVALS DESIGNED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS. INDEPENDENT AND DISINTERESTED MEMBERS OF THE UVA COMMUNITY HEALTH, INC.'S BOARD OF TRUSTEES, WHO COMPRISE THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD, REVIEW, APPROVE AND OVERSEE ALL ASPECTS OF COMPENSATION AND BENEFIT'S FOR UVA COMMUNITY HEALTH INC.'S CEO; IT IS ALSO 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. THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT AND USES THIRD PARTY COMPARABILITY DATA FROM FUNCTIONALLY SIMILAR POSITIONS AT COMPARABLE ORGANIZATIONS TO ENSURE THAT TOTAL COMPENSATION AND BENEFITS IS REASONABLE. THE PROCESS USED TO ESTABLISH THE COMPENSATION AND BENEFITS OF CERTAIN EXECUTIVES OTHER THAN THE UVA COMMUNITY HEALTH, INC. CEO IS MANAGED BY THE COMMUNITY HEALTH HUMAN RESOURCES TEAM. THE TEAM USES THIRD PARTY COMPARABILITY DATA FROM FUNCTIONALLY SIMILAR POSITIONS AT COMPARABLE ORGANIZATIONS TO ENSURE THAT TOTAL COMPENSATION AND BENEFITS IS REASONABLE. THE TEAM PRESENTS THE EXECUTIVES' COMPENSATION AND BENEFIT PACKAGES TO THE UVA COMMUNITY HEALTH, INC. CEO AND THE CHIEF EXECUTIVE OFFICER OF UVA HEALTH ANNUALLY FOR REVIEW AND APPROVAL. THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD REVIEWS THIS INFORMATION AS WELL. |
| 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 IX, LINE 11G | CORP ADMIN SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,785,034. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,785,034. HEALTH PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 8,791,735. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,791,735. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 1,359,795. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,359,795. |
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| Software Version: |