UVA CULPEPER MEDICAL CENTER: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- UVA CULPEPER MEDICAL CENTER (EIN 54-0622371)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-15
- IRS object ID
- 202441369349308404
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-05-15T12:17:35-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 366055558 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 WILSON BOULEVARD SUITE 1500 | AddressLine1Txt |
| City | ARLINGTON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22209 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540622371 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UVA CULPEPER MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UVAC | BusinessNameControlTxt |
| Phone | 5712841163 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 SUNSET LANE | AddressLine1Txt |
| City | CULPEPER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 20110 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHARLES CODER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5712841163 | PhoneNum |
| Signature | 2024-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHARLES | PersonFirstNm |
| Person Last | CODER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARY TORRETTA | PreparerPersonNm |
| PTIN | P00847851 | PTIN |
| Phone | 7038477500 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UVA CULPEPER MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | L ERIK SHANNON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 SUNSET LANE | AddressLine1Txt |
| City | CULPEPER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 20110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $162,092,826 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.UVAHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1956 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 899 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,718,660 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $70,124,290 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $161,065,017 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,127 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,048 | CYInvestmentIncomeAmt |
| PY Other Revenue | $439,053 | PYOtherRevenueAmt |
| CY Other Revenue | $1,002,761 | CYOtherRevenueAmt |
| PY Total Revenue | $74,286,130 | PYTotalRevenueAmt |
| CY Total Revenue | $162,092,826 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,720 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $331,405 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $26,642,891 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,940,711 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $42,580,053 | PYOtherExpensesAmt |
| CY Other Expenses | $87,792,905 | CYOtherExpensesAmt |
| PY Total Expenses | $69,228,664 | PYTotalExpensesAmt |
| CY Total Expenses | $146,065,021 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,057,466 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $16,027,805 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $143,258,753 | TotalAssetsBOYAmt |
| Total Assets EOY | $230,225,474 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,009,814 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $82,230,552 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $122,248,939 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $147,994,922 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $119,372,879 | ExpenseAmt |
| Grant | $331,405 | GrantAmt |
| Revenue | $161,451,315 | RevenueAmt |
| Desc | UVA CULPEPER MEDICAL CENTER ("UVACMC") PROVIDES PROGRAMS AND ACTIVITIES THAT PROVIDE ACCESS TO HEALTHCARE AND IMPROVE HEALTH IN OUR COMMUNITY. UVACMC IS A 70-BED NON-PROFIT, ACUTE CARE HOSPITAL LOCATED IN CULPEPER, VA WITH COMPREHENSIVE SERVICES PROVIDING A 24 HOUR, PHYSICIAN STAFFED EMERGENCY DEPARTMENT, FAMILY BIRTH CENTER, SURGICAL SERVICES, INTENSIVE CARE UNIT AND MORE. OUR MISSION IS TO HELP PEOPLE ACHIEVE AND MAINTAIN OPTIMAL HEALTH BY PROVIDING THE BEST POSSIBLE HEALTHCARE SERVICES. WE ALWAYS MAKE THE NEEDS OF OUR PATIENTS OUR TOP PRIORITY. UVACMC PROVIDES MEDICAL AND OTHER HEALTHCARE SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, REGARDLESS OF INCOME LEVEL OR COUNTY OF RESIDENCE, RECEIVE A SELF-PAY DISCOUNT ON HOSPITAL SERVICES. (SEE SCHEDULE O) WE ALSO PARTNER WITH LOCAL NON-PROFIT AND GOVERNMENTAL ORGANIZATIONS TO SUPPORT LOCAL EVENTS AND PROVIDE HEALTH AND WELLNESS PROGRAMS. UVACMC WORKS WITH LOCAL HIGH SCHOOLS AND COMMUNITY COLLEGES TO PROVIDE TOURS, LECTURES, AND INTERNSHIPS FOR STUDENTS.DURING FISCAL YEAR 2023, THERE WERE 11,781 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 4 DAYS. THERE WERE 3,252 DISCHARGES, 3,185 INPATIENT AND OUTPATIENT SURGERIES, 108,785 OUTPATIENT ENCOUNTERS AND 37,788 EMERGENCY DEPARTMENT VISITS. | Desc |
| Total Program Service Expenses | $119,372,879 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 86 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 899 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES CODER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5712841163 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8700 SUDLEY ROAD | AddressLine1Txt |
| City | MANASSAS | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 20110 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHRIS HEATON MD | ||||||||||
| TRUSTEE (PWHS EMPLOYEE) | 0.40 | 45.00 | Yes (X) | $0 | $413,954 | $53,339 | ||||
| VIKRAM KHOT MD | ||||||||||
| TRUSTEE | 0.20 | 45.00 | Yes (X) | $0 | $10,456 | $0 | ||||
| STEVE DANZIGER | ||||||||||
| CHAIR | 0.20 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| CHARLES BARRELL | ||||||||||
| VICE CHAIR | 0.20 | 0.80 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| RICHARD HARRINGTON | ||||||||||
| SECRETARY | 0.20 | 0.60 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| STEPHEN NELSON | ||||||||||
| TREASURER | 0.20 | 0.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MARY FRANCES SOUTHERLAND | ||||||||||
| TRUSTEE | 0.20 | 50.00 | Yes (X) | $0 | $449,489 | $37,407 | ||||
| KIRSTEN GREEN MD | ||||||||||
| TRUSTEE | 0.20 | 45.00 | Yes (X) | $0 | $894,206 | $67,646 | ||||
| LISA ANN PEACOCK | ||||||||||
| TRUSTEE | 0.20 | 0.60 | Yes (X) | $0 | $0 | $0 | ||||
| MICHELLE METZGAR | ||||||||||
| TRUSTEE | 0.20 | 0.60 | Yes (X) | $0 | $0 | $0 | ||||
| JACKIE KRICK | ||||||||||
| TRUSTEE | 0.20 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| MATT GUILFOYLE | ||||||||||
| TRUSTEE | 0.20 | 0.40 | Yes (X) | $0 | $0 | $0 | ||||
| PAM KINCHELOE RN JD | ||||||||||
| TRUSTEE | 0.20 | 0.60 | Yes (X) | $0 | $0 | $0 | ||||
| VIPUL PARIKH MD | ||||||||||
| TRUSTEE | 0.20 | 0.60 | Yes (X) | $0 | $0 | $0 | ||||
| DONNA STATON | ||||||||||
| CEO & PRESIDENT | 25.00 | 25.40 | $510,722 | $0 | $47,394 | Yes (X) | ||||
| L ERIK SHANNON | ||||||||||
| CH SYSTEM CEO/PRESIDENT | 0.40 | 50.00 | $0 | $923,136 | $2,212 | Yes (X) | ||||
| CHARLES CODER | ||||||||||
| CH SYSTEM CFO & TREASURER | 0.40 | 50.00 | $0 | $617,644 | $45,856 | Yes (X) | ||||
| NAEL HASAN | ||||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 0.00 | $339,915 | $0 | $15,216 | Yes (X) | ||||
| SARA WHITE | ||||||||||
| SR DIRECTOR OF FINANCE | 25.00 | 25.00 | $269,170 | $0 | $35,256 | Yes (X) | ||||
| TEMPLE COATES | ||||||||||
| DIRECTOR OF PROF. & ANCILLARY SVCS | 45.00 | 0.00 | $206,218 | $0 | $46,466 | Yes (X) | ||||
| MARK CHANEY | ||||||||||
| DIRECTOR OF NURSING | 45.00 | 0.00 | $192,432 | $0 | $44,544 | Yes (X) | ||||
| PATRICIA SLATER | ||||||||||
| DIRECTOR OF COMPLIANCE | 45.00 | 0.00 | $217,191 | $0 | $12,970 | Yes (X) | ||||
| SUSAN EDWARDS | ||||||||||
| SR DIRECTOR OF HR SUPPORT SVCS | 45.00 | 0.00 | $180,318 | $0 | $45,408 | Yes (X) | ||||
| MICHELLE STRIDER | ||||||||||
| FORMER CHIEF QUALITY OFFICER | 0.00 | 0.00 | $290,725 | $0 | $37,657 | Yes (X) | ||||
| MINDI SHIFFLETT | ||||||||||
| FORMER CNO (THRU 2/22) | 0.00 | 0.00 | $171,809 | $0 | $9,329 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,378,500 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,308,885 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $500,700 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 79 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AMERICAN ANESTHESIOLOGY OF VIRGINIA | |||||
| PO BOX 935824 | ATLANTA | GA | 31193 | HEALTH SERVICES | $2,049,796 |
| MAYO MEDICAL LABORATORIES | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 55480 | LABORATORY SERVICES | $324,373 |
| BE SMITH LLC | |||||
| PO BOX 74007636 | CHICAGO | IL | 60674 | HR SERVICES | $302,497 |
| SCA PHARMACEUTICALS | |||||
| PO BOX 896546 | CHARLOTTE | NC | 28289 | HEALTH SERVICES | $226,682 |
| BLUE NOTE CONSULTING GROUP LLC | |||||
| 53 SE SEMINOLE ST UNIT 1A | STUART | FL | 34994 | CONSULTING SERVICES | $196,747 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $160,194,389 | $160,194,389 |
| PROVIDER BASED CLINICS | 622110 | $870,628 | $870,628 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $161,065,017 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,048 | TotalRevenueColumnAmt |
| Exclusion | $25,048 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $540,159 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $540,159 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $540,159 | TotalRevenueColumnAmt |
| Exclusion | $540,159 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| EQUITY IN SUBSIDIARIES | 900099 | $329,565 | $329,565 | |
| CAFETERIA REVENUE | 722320 | $76,304 | $76,304 | |
| MISCELLANEOUS REVENUE | 900099 | $56,733 | $56,733 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $462,602 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $162,092,826 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $161,451,315 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $641,511 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,897 | TotalAmt |
| Program Services | $322,897 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,508 | TotalAmt |
| Program Services | $8,508 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,941,932 | TotalAmt |
| Program Services | $1,262,256 | ProgramServicesAmt |
| Management And General | $679,676 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,520 | TotalAmt |
| Program Services | $331,188 | ProgramServicesAmt |
| Management And General | $178,332 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,584,300 | TotalAmt |
| Program Services | $28,329,795 | ProgramServicesAmt |
| Management And General | $15,254,505 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,842,571 | TotalAmt |
| Program Services | $1,197,671 | ProgramServicesAmt |
| Management And General | $644,900 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,696,017 | TotalAmt |
| Program Services | $4,352,411 | ProgramServicesAmt |
| Management And General | $2,343,606 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,366,371 | TotalAmt |
| Program Services | $2,188,141 | ProgramServicesAmt |
| Management And General | $1,178,230 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,312 | TotalAmt |
| Program Services | $4,356 | ProgramServicesAmt |
| Management And General | $956 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,046,556 | TotalAmt |
| Program Services | $23,818,176 | ProgramServicesAmt |
| Management And General | $5,228,380 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,487,727 | TotalAmt |
| Program Services | $1,940,427 | ProgramServicesAmt |
| Management And General | $547,300 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,745,560 | TotalAmt |
| Program Services | $1,745,560 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,370,176 | TotalAmt |
| Program Services | $1,068,737 | ProgramServicesAmt |
| Management And General | $301,439 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,288 | TotalAmt |
| Program Services | $16,437 | ProgramServicesAmt |
| Management And General | $8,851 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,048 | TotalAmt |
| Program Services | $71,531 | ProgramServicesAmt |
| Management And General | $38,517 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,352 | TotalAmt |
| Program Services | $12,352 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,424,955 | TotalAmt |
| Program Services | $6,167,957 | ProgramServicesAmt |
| Management And General | $256,998 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$434,549 | TotalAmt |
| Program Services | -$417,167 | ProgramServicesAmt |
| Management And General | -$17,382 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS | $24,597,624 | $24,597,624 | |
| MEDICAL SUPPLIES | $14,415,145 | $14,415,145 | |
| BAD DEBT | $6,283,542 | $6,283,542 | |
| REPAIRS AND MAINTENANCE | $1,436,273 | $1,421,910 | $14,363 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $266,896 | TotalAmt |
| Program Services | $233,425 | ProgramServicesAmt |
| Management And General | $33,471 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,065,021 | TotalAmt |
| Program Services | $119,372,879 | ProgramServicesAmt |
| Management And General | $26,692,142 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,525,009 | BOYAmt |
| EOY | $1,144 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $17,373,793 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,388,520 | BOYAmt |
| EOY | $15,780,747 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $285,769 | BOYAmt |
| EOY | $95,256 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,926,889 | BOYAmt |
| EOY | $4,123,408 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,252,290 | BOYAmt |
| EOY | $383,752 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $59,179,132 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,739,240 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,618,944 | BOYAmt |
| EOY | $53,439,892 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,827,967 | BOYAmt |
| EOY | $1,100,890 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,493,519 | BOYAmt |
| EOY | $23,400,358 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,939,846 | BOYAmt |
| EOY | $114,526,234 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,258,753 | BOYAmt |
| EOY | $230,225,474 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,164,774 | BOYAmt |
| EOY | $81,807,557 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $190,450 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,845,040 | BOYAmt |
| EOY | $232,545 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,009,814 | BOYAmt |
| EOY | $82,230,552 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,248,939 | BOYAmt |
| EOY | $147,994,922 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,248,939 | BOYAmt |
| EOY | $147,994,922 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,258,753 | BOYAmt |
| EOY | $230,225,474 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $16,027,805 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $9,718,178 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $10,752 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $15,958 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $26,710 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LINE 1G: A PORTION OF ONE INDIVIDUALS SALARY IS ALLOCATED TO LOBBYING ACTIVITIES. LINE 1I: A PORTION OF DUES PAID WERE RELATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,192,309 | OtherCostOrOtherBasisAmt |
| Book Value | $6,192,309 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,567,450 | OtherCostOrOtherBasisAmt |
| Depreciation | $835,824 | DepreciationAmt |
| Book Value | $11,731,626 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,542,948 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,287,455 | DepreciationAmt |
| Book Value | $31,255,493 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,876,425 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,615,961 | DepreciationAmt |
| Book Value | $4,260,464 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,439,892 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| THIRD PARTY PAYMENT RECEIVABLE | $10,599,587 |
| DUE FROM AFFILIATES | $103,502,551 |
| LEASE RECEIVABLE | $198,842 |
| RIGHT OF USE ASSET | $225,254 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $114,526,234 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITY | Desc |
| Amt | $232,545 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $232,545 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,530,964 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,091,516 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,439,448 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00990 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,305,318 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,606,159 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $699,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,836,282 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,697,675 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,138,607 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01470 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $56,551 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $56,551 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,417 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,417 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,710 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,710 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $148,678 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $148,678 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,984,960 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,697,675 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,287,285 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01640 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,388 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,974 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,974 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,362 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,362 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,283,542 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $36,003,969 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $37,255,170 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,251,201 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 CULPEPER SURGERY CENTER LLC | |||
| OUTPATIENT SURGERY CENTER | 0.63740 | 0.00000 | 0.36260 |
| 2 UVA OUTPATIENT IMAGING CULPEPER LLC | |||
| OUTPATIENT IMAGING CENTER | 0.80000 | 0.00000 | 0.00000 |
| 3 UVA OUTPATIENT IMAGING CULPEPER LLC | |||
| OIA OF CULPEPER, LLC | 0.20000 | 0.00000 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UVACMC DBA UVA CULPEPER MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 SUNSET LANE | AddressLine1Txt |
| City | CULPEPER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | SEE SUPPLEMENTAL INFORMATION | WebsiteAddressTxt |
| State License | H1848 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UVA CULPEPER MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE SECTION C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION A: | UVA CULPEPER MEDICAL CENTER:LINE 1:HTTPS://UVAHEALTH.COM/LOCATIONS/CULPEPER-MEDICAL-CENTER-5597271 |
| PART V, SECTION B, LINE 3: | CORRECTION AND DISCLOSURE OF A FAILURE TO MEET THE REQUIREMENTS OF 1.501(R)-3 THROUGH 1.501(R)-6 IN ACCORDANCE WITH REV. PROC. 2015-21 PER 1.501(R)-2(C):IN JANUARY 2016, NOVANT HEALTH ("NH") AND THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM FORMED A NEW REGIONAL HEALTH PARTNERSHIP IN THE STATE OF VIRGINIA. THE NEW HEALTH SYSTEM CONSISTED OF A NEW "PARENT" ENTITY, NOVANT HEALTH UVA HEALTH SYSTEM, OF WHICH UVA AND NOVANT WERE BOTH MEMBERS, AND MULTIPLE SUBSIDIARIES CONTRIBUTED TO THE VENTURE BY THE MEMBERS. THE OPERATIONS OF THREE HOSPITAL FACILITIES WITHIN TWO LEGAL ENTITIES WERE INCLUDED, THESE BEING CULPEPER MEMORIAL HOSPITAL, INC. DOING BUSINESS AS NOVANT HEALTH UVA HEALTH SYSTEM CULPEPER MEDICAL CENTER AND PRINCE WILLIAM HOSPITAL, INC, DOING BUSINESS AS NOVANT HEALTH UVA HEALTH SYSTEM PRINCE WILLIAM MEDICAL CENTER AND NOVANT HEALTH UVA HEALTH SYSTEM HAYMARKET MEDICAL CENTER. NH CONTROLLED THE VENTURE AND PROVIDED SUPPORT AND OVERSIGHT FOR THE VENTURE VIA A CENTRALIZED CORPORATE FUNCTION; CULPEPER'S MANAGEMENT WAS MORE LOCALIZED, BUT WAS COORDINATED WITH NH'S OVERSIGHT. IN JULY 2021, THE VENTURE ENDED AND THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM ON BEHALF OF ITS MEDICAL CENTER ("UVA"), A GOVERNMENTAL ENTITY, BECAME THE SOLE MEMBER OF THE PARENT ENTITY. THE LEGAL NAMES OF THE ENTITIES WERE CHANGED TO REFLECT THE NEW ALIGNMENT AND INCLUDED A NAME CHANGE FOR THE PARENT ENTITY, NOW KNOWN AS UVA COMMUNITY HEALTH, INC. AND ITS SUBSIDIARIES. THE HOSPITAL ENTITIES WERE RENAMED UVA CULPEPER MEDICAL CENTER ("CMC") AND UVA PRINCE WILLIAM MEDICAL CENTER ('PMC") WHICH IS INCLUSIVE OF UVA HAYMARKET MEDICAL CENTER ("HMC"). TOGETHER THESE ENTITIES, ALONG WITH SEVERAL OTHER SUBSIDIARIES, MAKE UP THE UVA COMMUNITY HEALTH SYSTEM (COLLECTIVELY "CH"); CH IS A COMPONENT PART OF UVA HEALTH. IN ORDER TO ALIGN OPERATIONS, ALL OF THE CH ENTITIES CHANGED THEIR TAX YEAR FROM A CALENDAR YEAR TO A FISCAL YEAR ENDING JUNE 30TH. A TRANSITIONAL SERVICES AGREEMENT WAS IN PLACE TO ENSURE CONTINUITY WHILE UVA INTEGRATED CH INTO THEIR SYSTEMS, BUT UVA, AS A GOVERNMENTAL ENTITY, IS NOT SUBJECT TO IRC 501(R) AND THEIR GOVERNMENTAL STATUS MEANT THAT THEY WERE NOT AS FAMILIAR WITH THE IRC 501(R) REQUIREMENTS THAT A CHARITABLE HOSPITAL EXEMPT UNDER IRC 501(C)(3) IS SUBJECT TO IN ORDER TO MAINTAIN ITS EXEMPTION. NOT BEING SUBJECT TO IRC 501(R) MEANT THAT THEY HAVE DID NOT HAVE THE DEDICATED RESOURCES AND PERSONNEL THAT WERE AVAILABLE UNDER THE NH UMBRELLA. UNDERSTANDING THAT IT DID APPLY TO CH, BUT WITHOUT DEDICATED RESOURCES OR SUBJECT MATTER EXPERTISE, UVA USED THEIR INTERNAL RESOURCES TO INTERPRET, UPDATE, AND IMPLEMENT THE LAW AND ITS REQUIREMENTS TO THE BEST OF THEIR ABILITY AND UNDERSTANDING WHILE CH OPERATIONALIZED BASED ON THEIR BEST-EFFORTS INTERPRETATION. UPON INTERNAL REVIEW, FAILURES WERE FOUND IN THE IMPLEMENTATION OF 1.501(R)-3 AND 1.501(R)-4. THE 1.501(R)-3 INSTANCES OF NON-COMPLIANCE INCLUDED TAX YEAR TIMING ERRORS AND THE OMISSION OF CERTAIN REQUIRED ELEMENTS WITHIN THE COMMUNITY HEALTH NEEDS ASSESSMENTS. THE 1.501(R)-4 INSTANCES OF NON-COMPLIANCE INCLUDED THE OMISSION OF CERTAIN REQUIREMENTS IN THE FINANCIAL ASSISTANCE POLICY ("FAP"), THESE BEING CERTAIN REQUIRED AGB LANGUAGE, REGULAR UPDATES OF PROVIDERS WHO FOLLOW OR DO NOT FOLLOW THE FAP, AND THE OMISSION OF TRANSLATIONS OF CERTAIN FAP DOCUMENTS TO ACCOMMODATE POPULATIONS WITH LIMITED ENGLISH PROFICIENCY. AS NOTED PREVIOUSLY, GOOD FAITH EFFORTS WERE MADE TO COMPLY WITH ALL REQUIREMENTS. HOWEVER, THE LACK OF FAMILIARITY BY UVA, A GOVERNMENTAL ENTITY, WITH THE NUANCES OF THE IRC 501(R) REQUIREMENTS AND THE LACK OF RESOURCES/EXPERTISE AVAILABLE INADVERTENTLY LED TO THESE OVERSIGHTS AND OMISSIONS AND WERE THE REASON FOR THE FAILURE. UPON DISCOVERY AND INVESTIGATION, CORRECTIVE ACTIONS WERE TAKEN IMMEDIATELY TO REMEDIATE AND BRING ALL ELEMENTS INTO COMPLIANCE BY THE DATE OF THE 990 FILING FOR THE TAX YEAR OF THE DISCOVERY. NONE OF THE OMISSIONS WERE SUCH THAT ANY PERSON ELIGIBLE FOR ASSISTANCE WAS HARMED, AS THEY WERE UNDER A GENEROUS FAP POLICY UNDER THE GOVERNMENT STANDARDS OF UVA HEALTH. THE ORGANIZATION HAS PROCESSES IN PLACE TO CONFIRM THAT ANY PERSONS NEGATIVELY AFFECTED BY THE OMISSION WERE RESTORED AND MADE WHOLE. THE REMEDIATION STEPS WILL ENSURE CONTINUING COMPLIANCE.A SERIES OF SAFEGUARDS AND BEST PRACTICES HAVE BEEN IMPLEMENTED. AN INTERNAL TASK FORCE/COMMITTEE HAS BEEN CREATED THAT IS DESIGNED TO ENSURE THAT ALL RESPONSIBLE AREAS ARE COMPLIANT ON AN ONGOING BASIS AND THAT ALL POLICIES AND PRACTICES ARE ALIGNED WITH THE STRATEGIC MISSION. THE ORGANIZATION WILL PURSUE ADDITIONAL EDUCATION AND ENLIST OUTSIDE RESOURCES AS NEEDED. INTERNAL AUDIT WILL MONITOR ACTIVITY DURING THE FIRST YEAR; THEREAFTER PERIODIC MONITORING WILL BE PERFORMED BY COMPLIANCE AND TAX. ANY OMISSIONS BY THE HOSPITAL PURSUANT TO 1.501(R)-3 THROUGH 1.501(R)(6) WERE NEITHER WILLFUL NOR EGREGIOUS AND DUE SOLELY TO AN ADMINISTRATIVE CHANGE AND LACK OF INFORMED PERSONS AT THE PARENT LEVEL (GOVERNMENTAL UNIT). THE FAILURE WAS NOT WILLFUL AND WAS A RESULT OF CHANGING ADMINISTRATIVE SYSTEMS IN CONJUNCTION WITH A STATE GOVERNMENTAL HEALTH SYSTEM. THE HOSPITAL MAKES DISCLOSURES HEREIN AND HAS ESTABLISHED BOTH FORMAL AND INFORMAL PROCEDURES TO PROMOTE AND FACILITATE OVERALL COMPLIANCE. ANY PATIENTS AND OTHER AFFECTED PERSONS WERE NOT NEGATIVELY AFFECTED AS THEY WERE UNDER A GENEROUS FAP POLICY UNDER THE GOVERNMENTAL STANDARDS OF UVA HEALTH. THE HOSPITAL HAS DOCUMENTED THE CORRECTION AND DISCLOSURE OF THE FAILURE IN ACCORDANCE WITH THE REQUIRED GUIDANCE. |
| PART V, SECTION B, LINE 3E: | SEVERAL SOCIAL, BEHAVIORAL, AND CLINICAL HEALTH NEEDS WERE IDENTIFIED THROUGH A COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY. ONCE THE HEALTH NEEDS WERE IDENTIFIED, SURVEYS AND COMMUNITY MEETINGS WERE CONDUCTED TO ASK COMMUNITY MEMBERS AND STAKEHOLDERS TO IDENTIFY THE AREAS WITH THE MOST NEED AND THEN RANKING WAS DETERMINED BY THE PERCENTAGE OF RESPONDENTS. THE RESULTS WERE CROSS-REFERENCED TO FACILITY SPECIFIC INFORMATION AND THE SUBSEQUENT REVIEW AND EVALUATION RESULTED IN A PRIORITIZATION OF THE MOST SIGNIFICANT IDENTIFIED HEALTH NEEDS. |
| PART V, SECTION B, LINE 5: | WHILE CONDUCTING THE CHNA, THE HOSPITAL FACILITY SOLICITED INPUT FROM, AND CONSULTED WITH, A VARIETY OF COMMUNITY REPRESENTATIVES INCLUDING, BUT NOT LIMITED TO, REPRESENTATIVES OF CITY AND COUNTY GOVERNMENT INCLUDING HEALTH DEPARTMENTS, COMMUNITY-BASED ORGANIZATIONS, FOUNDATIONS, CHURCHES, COLLEGES/UNIVERSITIES, COMMUNITY COALITIONS AND OTHER SOCIAL SERVICE AGENCIES. INPUT WAS GATHERED THROUGH COMMUNITY MEETINGS, STAKEHOLDER'S INTERVIEWS, AND SOLICITED THROUGH WRITTEN COMMENTS THROUGHOUT THE SURVEY PERIOD UNTIL THE FINAL COMMUNITY PRIORITY SETTING MEETING(S) AND/OR SURVEY. THE SCOPE OF EXPERTISE WAS BROAD AND INCLUDED SUCH AREAS AS PUBLIC HEALTH, MINORITY POPULATIONS, HEALTH DISPARITIES, AND SOCIAL SERVICES. |
| PART V, SECTION B, LINE 7B: | HTTPS://UVAHEALTH.COM/SERVICES/COMMUNITY-RELATIONS |
| PART V, SECTION B, LINE 7D: | COMMUNITY PARTNERS ARE PROACTIVELY NOTIFIED AND MADE AWARE OF THE AVAILABILITY OF THE CHNA, THE CBIP, AND FAP INFORMATION AND COPIES ARE AVAILABLE AT VARIOUS COMMUNITY EVENTS THAT SUPPORT OUR EFFORTS TO ADDRESS THE IDENTIFIED NEEDS AND TO SUPPORT OUR COMMUNITIES IN GENERAL. |
| PART V, SECTION B, LINE 10A: | HTTPS://UVAHEALTH.COM/SERVICES/COMMUNITY-RELATIONS |
| PART V, SECTION B, LINE 11: | THE HOSPITAL FACILITY IS A PART OF THE UVA COMMUNITY HEALTH, INC., AN INTEGRATED NOT-FOR-PROFIT HEALTH SYSTEM. THE FACILITY'S CHNA IDENTIFIED MULTIPLE NEEDS FOR THE COMMUNITY SERVED. THE NEEDS IDENTIFIED WERE REVIEWED AND PRIORITIZED BY THE COMMUNITY ENGAGEMENT TEAM, THE ORGANIZATIONS EXECUTIVE LEADERSHIP TEAM, AND SUBSEQUENTLY THE BOARD. UVA COMMUNITY HEALTH, INC. AND EACH OF ITS HOSPITAL FACILITIES HAVE ADOPTED AND EXECUTED AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE PRIORITIZED COMMUNITY HEALTH NEEDS FROM THE CHNAS. THE IMPLEMENTATION STRATEGIES OUTLINE THE ACTIVITIES THAT THE HOSPITAL FACILITY(IES) WILL UNDERTAKE TO MEET THOSE HEALTH NEEDS IN EACH OF ITS COMMUNITIES. CERTAIN NEEDS THAT WERE IDENTIFIED BY THE CHNA HAVE NOT BEEN ADDRESSED. CERTAIN OF THE NEEDS NOT ADDRESSED FALL OUTSIDE OF THE SCOPE OF TRADITIONAL HEALTHCARE (I.E., QUALITY OF EDUCATION) AND OTHERS ARE CANDIDATES FOR COLLABORATIVE WORK AND HAVE OTHER RESOURCES IN THE COMMUNITY THAT CAN MORE APPROPRIATELY ADDRESS THESE NEEDS BASED ON SCOPE OF SERVICES AND SKILL SET. FOR MORE DETAILED INFORMATION, REFER TO THE URL GIVEN PREVIOUSLY FOR THE POSTING OF THE INFORMATION. |
| PART V, SECTION B: | UVA CULPEPER MEDICAL CENTER:PART V, LINE 16A, FAP WEBSITE:HTTPS://UVAHEALTH.COM/SERVICES/BILLING-INSURANCE/FINANCIAL-ASSISTANCE-INFORMATION/UVACH-POLICYPART V, LINE 16B, FAP APPLICATION:HTTPS://UVAHEALTH.COM/SERVICES/BILLING-INSURANCE/FINANCIAL-AIDPART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY:HTTPS://UVAHEALTH.COM/SERVICES/BILLING-INSURANCE/UVACH-FINANCIAL-ASSISTANCE-SUMMARY |
| PART V, SECTION B, LINE 20D: | THE FILING ORGANIZATION IS A COMPONENT PART OF UVA HEALTH. UVA HEALTH, IN PARTICULAR ITS MEDICAL CENTER, A GOVERNMENTAL ENTITY, IS SUBJECT TO GUIDANCE ISSUED BY THE STATE OF VIRGINIA. THE FINANCIAL ASSISTANCE GUIDELINES ARE APPROVED BY THE STATE OF VIRGINIA ANNUALLY. THE ABILITY TO PERFORM AND PROVIDE PRESUMPTIVE ELIGIBILITY HAS BEEN REQUESTED FROM THE STATE, BUT HAS NOT BEEN GRANTED TO DATE. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - UVA OUTPATIENT IMAGING CULPEPER LLC | ||||
| 509 SOUTH MAIN STREET | CULPEPER | VA | 22701 | IMAGING CENTER |
| 2 - CULPEPER SURGERY CENTER | ||||
| 541 SUNSET LANE STE 201 | CULPEPER | VA | 22701 | AMBULATORY SURGERY CENTER |
| 3 - UVA HEALTH ORTHOPEDICS PART OF CMC | ||||
| 541 SUNSET LANE SUITE 305 | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 4 - UVA HEALTH OBGYN PART OF CMC | ||||
| 633 SUNSET LANE | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 5 - UVA HEALTH SURGICAL CARE PART OF CMC | ||||
| 541 SUNSET LANE SUITE 103 | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 6 - UVA HEALTH THERAPY SERVICES MEADOWBROOK | ||||
| 425 MEADOWBROOK SHOPPING CENTER | CULPEPER | VA | 22701 | REHABILITATION SERVICES |
| 7 - UVA HEALTH SURGICAL CARE ( UROLOGY) PART | ||||
| 541 SUNSET LANE SUITE 101 | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 8 - UVA HEALTH CANCER CENTER PART OF CMC ( | ||||
| 545 SUNSET LANE | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 9 - UVA HEALTH CARDIOLOGY PART OF CMC | ||||
| 501 SUNSET LANE | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 10 - UVA HEALTH THERAPY SERVICES POWELL | ||||
| 1005 GOLF DRIVE | CULPEPER | VA | 22701 | REHABILITATION SERVICES |
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | OTHER CRITERIA BESIDES INCOME AND FPG USED IN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE INCLUDE WHETHER THE PATIENT HAS ANY OF THE FOLLOWING ASSETS VALUED IN EXCESS OF $50,000: BANK, INVESTMENT, AND RETIREMENT ACCOUNTS; LIFE INSURANCE (CASH TO LOAN VALUE); REAL PROPERTY OR PERSONAL PROPERTY SUCH AS HOMES (PRIMARY/SECONDARY), CAMPERS, OR MOBILE HOMES, VEHICLES, RECREATIONAL VEHICLES, BOATS; ALSO CONSIDERED, THE LIQUIDATED VALUE OF LAND (INCLUDING FARMLAND). PART I, LINE 4: THE FILING ORGANIZATION'S FAP DOES NOT ADDRESS MEDICAL INDIGENCY. HOWEVER, THE ORGANIZATION HAS A CATASTROPHIC DISCOUNT POLICY THAT APPLIES TO EMERGENCY CARE AND LIMITS AMOUNTS OWED TO NO MORE THAN 25% OF A FAMILY'S INCOME AND ASSETS. |
| PART I, LINE 7: | COSTS REPORTED IN THE TABLE FOR CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AMOUNTS ARE CALCULATED USING AN ENTITY SPECIFIC COST TO CHARGE RATIO BASED ON WORKSHEET 2 (CCR).PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,283,542. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES ADDRESS THE UNDERLYING CAUSES OF HEALTH PROBLEMS AND IMPACTS THE HEALTH OF OUR COMMUNITY THROUGH PARTNERSHIPS WITH LOCAL AGENCIES DEDICATED TO IMPROVING THE LIVES OF ALL INDIVIDUALS. OUTREACH INCLUDES PROVIDING SUPPORT TO ORGANIZATIONS SUCH AS CHAMBERS OF COMMERCE AND OTHER LOCAL COMMUNITY ORGANIZATIONS, AND PROVIDING EDUCATION SCHOLARSHIPS AND TRAINING FOR COMMUNITY WORKFORCES. |
| PART III, LINE 2: | BAD DEBT IS DETERMINED BASED ON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS, AND ECONOMIC CONDITIONS, THE AGE OF THE ACCOUNTS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. |
| PART III, LINE 4: | 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 STANDARDSFOR 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. |
| PART III, LINE 8: | THE METHODOLOGY USED TO DETERMINE THE MEDICARE ALLOWABLE COSTS REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT AS REFLECTED IN THE AMOUNT REPORTED IN PART III, LINE 6 IS DETERMINED BY FOLLOWING THE MEDICARE PRINCIPLES OF ALLOWABLE COSTS. COST FOR THE OVERHEAD DEPARTMENTS ARE STEPPED DOWN TO THE REMAINING COST CENTERS BASED ON STATISTICS FOR EACH OVERHEAD COST CENTER. ONCE THE STEP-DOWN PROCESS IS COMPLETE, A COST TO CHARGE RATIO ("CCR") IS DEVELOPED FOR EACH COST CENTER. THE CCR IS THEN APPLIED TO THE MEDICARE REVENUE BY COST CENTER AND TOTALED. IT SHOULD BE NOTED THAT THE MEDICARE COST REPORTS DO NOT ADDRESS ANY MANAGED CARE MEDICARE REVENUES, COSTS, OR RELATED SHORTFALL. THE TOTAL REVENUES REPORTED AS RECEIVED FROM MEDICARE IN LINE 5 OF SECTION B ARE ONLY REPRESENTATIVE OF MEDICARE FEE FOR SERVICE PAYMENTS RECEIVED. THE ALLOWABLE COSTS ON LINE 6 ARE SIGNIFICANTLY LOWER THAN THE ACTUAL EXPENDITURES. AS SUCH, THE SHORTFALL IS UNDERESTIMATED. EVERY HOSPITAL TREATS MEDICARE PATIENTS. SOME HOSPITALS ARE LOCATED IN HIGH MEDICARE POPULATION AREAS; OTHERS PROVIDE SERVICES DISPROPORTIONATELY USED BY MEDICARE PATIENTS. MEDICARE RATES AND NUMBERS OF MEDICARE PATIENTS ARE NOT NEGOTIATED. AS REIMBURSEMENT RATES DECLINE RELATIVE TO COSTS OF CARE, HOSPITALS CONTINUE TO SERVE THE MEDICARE POPULATION. WITHOUT THIS SERVICE THESE PATIENTS WOULD BECOME AN OBLIGATION ON THE GOVERNMENT. ANY UNREIMBURSED COSTS OF THIS CARE ARE A COMMUNITY BENEFIT PROVIDED BY THE HOSPITAL TO THE COMMUNITY AND GOVERNMENT. |
| PART III, LINE 9B: | THE FILING ORGANIZATION HAS A POLICY THAT OUTLINES PROCEDURES THE HOSPITAL MAY TAKE FOR NONPAYMENT INCLUDING INTERNAL AND EXTERNAL COLLECTION PRACTICES AND REPORTING TO CREDIT AGENCIES. THE POLICY STATES THAT REASONABLE EFFORTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE MUST BE MADE BEFORE THE ORGANIZATION, OR ANY EXTERNAL ORGANIZATION, ENGAGE IN AN EXTRAORDINARY COLLECTION ACTION.FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, THE ORGANIZATION MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS. |
| PART VI, LINE 2: | THE ORGANIZATION IS AN INTEGRAL PART OF UVA COMMUNITY HEALTH, A NOT-FOR-PROFIT SYSTEM OF HEALTHCARE ENTITIES AFFILIATED WITH UVA MEDICAL CENTER. TOGETHER, THESE ENTITIES COMPRISE UVA HEALTH. UVA COMMUNITY HEALTH HAS A COMMUNITY ENGAGEMENT (CE) TEAM RESPONSIBLE FOR COORDINATING THE PREPARATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR EACH HOSPITAL WITHIN THE SYSTEM. THE CE TEAM WORK TO IDENTIFY ORGANIZATIONS AND RESOURCES WITHIN ITS COMMUNITY THAT CONTRIBUTE TO THE PROCESS. THESE ORGANIZATIONS AND RESOURCES INCLUDE PUBLIC HEALTH DEPARTMENTS, LOCAL COMMUNITY COALITIONS REPRESENTING THE MEDICALLY UNDERSERVED, UNITED WAY, LOCAL UNIVERSITIES, ETC. COMMUNITY HEALTH ASSESSMENTS PREPARED BY OTHER ORGANIZATIONS IN THE COMMUNITY ARE USED IN COMBINATION WITH INTERNAL HOSPITAL DATA AND INFORMATION COLLECTED FROM LOCAL AGENCIES TO PREPARE THE HOSPITAL'S CHNA. THROUGH PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS, WE ARE ABLE TO DRAW INFERENCE OF THE NEEDS NOT MET WITHIN THE IMMEDIATE COMMUNITIES WE SERVE, AND MEET AND EXCEED THOSE COMMUNITY MEMBER'S NEEDS. IN ADDITION TO ADDRESSING NEEDS IDENTIFIED THROUGH THE CHNA, EACH HOSPITAL MAY RESPOND TO REQUESTS FOR SPECIFIC COMMUNITY BENEFIT ACTIVITIES OR PROGRAMS FROM PUBLIC AGENCIES OR COMMUNITY GROUPS. ORGANIZATIONAL PARTNERSHIPS ESTABLISHED BY THE COMMUNITY ENGAGEMENT TEAM ARE OFTEN LEVERAGED TO ADDRESS NEEDS THAT WERE IDENTIFIED IN THE CHNA, BUT WERE UNADDRESSED BY THE FACILITY IMPLEMENTATION PLAN. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEUVA CULPEPER MEDICAL CENTER HAS SEVERAL WAYS THAT IT INFORMS AND EDUCATES PATIENTS WHO MAY BE IN NEED AND ARE ELIGIBLE FOR ASSISTANCE. WHEN STAFF (CASHIER, FINANCIAL COUNSELOR, AND REGISTERS) ARE SPEAKING WITH A PATIENT THAT STATES THEY ARE NOT ABLE TO PAY, THE PATIENT IS ENCOURAGED TO APPLY FOR FINANCIAL ASSISTANCE. BROCHURES DESCRIBING THE FINANCIAL ASSISTANCE POLICY ARE PLACED IN OUR BILLING STATEMENTS, AS WELL AS THE APPLICABLE POVERTY GUIDELINES FOR QUALIFYING FOR FINANCIAL ASSISTANCE. INFORMATION ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN PROMINENT AREAS OF THE HOSPITALS INCLUDING THE EMERGENCY ROOMS, ADMISSIONS AND FINANCIAL COUNSELING. FINANCIAL COUNSELORS WORK WITH PATIENTS TO IDENTIFY AND APPLY FOR BENEFITS SUCH AS MEDICAID AND OTHER GOVERNMENT PROGRAMS.THE HOSPITAL'S WEBSITE POSTS THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY AND GUIDELINES FOR APPLYING. |
| PART VI, LINE 4: | COMMUNITY INFORMATIONTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA FOR UVA CULPEPER MEDICAL CENTER IS DEFINED BY THE ZIP CODES THAT REPRESENT 75% TO 85% OF THE HOSPITAL'S IN-PATIENT POPULATION. THESE ZIP CODES ALL FALL WITHIN CULPEPER, FAUQUIER, ORANGE AND MADISON COUNTIES IN VIRGINIA. BASED ON 2021 ESTIMATES, CULPEPER COUNTY HAD AN ESTIMATED 52,021 RESIDENTS. SPREAD ACROSS THE FOOTHILLS OF THE BLUE RIDGE MOUNTAINS' FIELDS OF THE NORTH CENTRAL PIEDMONT REGION, CULPEPER COUNTY, VIRGINIA POSSESSES A RURAL CHARACTER DISPLAYING THE NATURAL SPLENDOR OF RUSTIC VIRGINIA.CULPEPER COUNTY HAD SLIGHT POPULATION GROWTH OF ROUGHLY 12.7% SINCE THE2010 US CENSUS.CHILDREN AND ADOLESCENTS (AGE 0-18) MAKE UP CLOSE TO ONE-QUARTER (24.6%) OF THE POPULATION IN CULPEPER COUNTY AND SENIORS (AGE 65 AND OVER) MAKE UP 15.4% OF THE POPULATION, WHICH IS SIMILAR TO THE SENIOR POPULATION ESTIMATE FOR THE STATE OF VIRGINIA. NONWHITE MINORITIES CURRENTLY MAKE UP MORE THAN ONE QUARTER (27.8%) OF THE RACIAL DEMOGRAPHIC IN CULPEPER COUNTY AND 13.6% IN MADISON. THE SPECIFIC POPULATION GROUPS (ETHNIC AND CULTURAL) ARE AS FOLLOWS: WHITE NON-HISPANIC 72.2%; BLACK/AFRICAN-AMERICAN 13.5%; HISPANIC OR 11.9%; OTHER 6.5%. DATA TAKEN FROM THE 2020 US CENSUS BUREAU INCLUDES INDIVIDUALS THAT IDENTIFIED WITH TWO OR MORE RACES IS 6.4% IN CULPEPER. ACCORDING TO THE US CENSUS BUREAU DATA, THE MEDIAN HOUSEHOLD INCOME LEVEL WAS $85,274, IN FAQUIER $111,368 AND IN MADISON COUNTY $72,349. ORANGE COUNTY INCOME IS 79,211. THE POVERTY RATE FOR CULPEPER COUNTY IS 8.4%. THIS IS THE ONLY ACUTE CARE FACILITY IN THE COMMUNITY.STATISTICAL INFORMATION WAS GATHERED FROM VARIOUS STATE AND FEDERAL SOURCES BUT PRIMARILY THE US CENSUS BUREAU. SPECIFIC REFERENCES AND OTHER SUPPORTING INFORMATION CAN BE FOUND IN THE STUDY REPORT THAT ACCOMPANIES THE ORGANIZATION'S MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT AT: HTTPS://UVAHEALTH.COM/SERVICES/COMMUNITY-RELATIONS |
| PART VI, LINE 5: | THE ORGANIZATION FURTHERS ITS EXEMPT PURPOSES BY DOING THE FOLLOWING:1. ADOPTING A FINANCIAL ASSISTANCE POLICY;2. REMAINING CERTIFIED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES TO PROVIDE SERVICES TO ALL BENEFICIARIES OF MEDICARE, MEDICAID, AND OTHER GOVERNMENT PAYMENT PROGRAMS, AND PROVIDING SERVICES IN A NONDISCRIMINATORY MANNER TO SUCH BENEFICIARIES;3. OPERATING A FULL-TIME EMERGENCY ROOM WHICH IS OPEN TO AND ACCEPTS ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY;4. MAINTAINING AN OPEN MEDICAL STAFF, SUBJECT TO EXCLUSIVE CONTRACTS FOR HOSPITAL-BASED SERVICES SUCH AS ANESTHESIOLOGY, RADIOLOGY, PATHOLOGY, HOSPITALIST, AND EMERGENCY DEPARTMENT SERVICES, TO THE EXTENT AN EXCLUSIVE CONTRACT FOR THOSE SERVICES IS REQUIRED TO OBTAIN PROPER STAFFING COVERAGE OR TO PERMIT A MORE EFFICIENT DELIVERY OF THOSE SERVICES WITHIN THE HOSPITAL FACILITY;5. MAINTAINING A GOVERNING BOARD CONSISTING PRIMARILY OF A BROAD CROSS-SECTION OF LEADERS IN THE COMMUNITY;6. ADOPTING AND APPLYING A CONFLICT OF INTEREST POLICY, WHICH APPLIES TO THE GOVERNING BOARD AND ORGANIZATION OFFICERS;7. PROVIDING HEALTH EDUCATION LECTURES AND WORKSHOPS;8. PROVIDING HEALTH FAIRS, EDUCATION ON SPECIFIC DISEASES OR CONDITIONS, AND HEALTH PROMOTION AND WELLNESS PROGRAMS TO THE COMMUNITIES IT SERVES;9. PROVIDING SUPPORT GROUPS AND SELF HELP PROGRAMS TO THE COMMUNITIES IT SERVES;10. PROVIDING COMMUNITY-BASED CLINICAL SERVICES, INCLUDING WITHOUT LIMITATION, HEALTH SCREENINGS AND CLINICS FOR UNINSURED OR UNDERINSURED PERSONS TO THE COMMUNITIES IT SERVES;11. PROVIDING HEALTHCARE SUPPORT SERVICES, INCLUDING WITHOUT LIMITATION, INFORMATION AND REFERRAL TO COMMUNITY SERVICES, CASE MANAGEMENT OF UNDERINSURED AND UNINSURED PERSONS, TELEPHONE INFORMATION SERVICES AND ASSISTANCE TO ENROLL IN PUBLIC PROGRAMS, SUCH AS MEDICAID TO THE COMMUNITIES IT SERVES;12. PROVIDING SUBSIDIZED HEALTH SERVICES AND CLINICAL PROGRAMS TO THE COMMUNITIES IT SERVES;13. PROVIDING CASH AND IN-KIND CONTRIBUTIONS TO NONPROFIT COMMUNITY HEALTHCARE ORGANIZATIONS IN THE COMMUNITIES IT SERVES; AND14. GENERALLY PROMOTING THE HEALTH, WELLNESS, AND WELFARE OF THE COMMUNITIES IT SERVES BY PROVIDING QUALITY HEALTHCARE SERVICES AT REASONABLE COST. |
| PART VI, LINE 6: | THE ORGANIZATION IS AN INTEGRAL PART OF UVA COMMUNITY HEALTH, A NOT-FOR-PROFIT SYSTEM OF HEALTHCARE ENTITIES AFFILIATED WITH UVA MEDICAL CENTER AND PART OF THE LARGER UVA HEALTH SYSTEM. THE SYSTEM CONSISTS OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS AND OTHER HEALTHCARE SERVICE PROVIDERS. EACH HOSPITAL PROVIDES SUBSTANTIAL COMMUNITY BENEFIT TO THE COMMUNITY IT SERVES, AS REPORTED INDIVIDUALLY ON EACH HOSPITAL'S FORM 990, SCHEDULE H. IN ADDITION TO HOSPITALS, UVA COMMUNITY HEALTH INC. INCLUDES A PHYSICIAN ORGANIZATION WITH PRACTICES IN VIRGINIA AND A HOSPITAL FOUNDATION WHICH SUPPORTS AND ENHANCES THE ACTIVITIES IN THOSE HOSPITALS' COMMUNITIES. |
| PART VI, LINE 7: STATE FILING OF COMMUNITY BENEFIT REPORT | UVA CULPEPER MEDICAL CENTER FILES COMMUNITY BENEFIT INFORMATION WITH THE VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION IN ACCORDANCE WITH THEIR REPORTING GUIDELINES FOR PURPOSES OF ADVOCACY AND THE STATE'S REPORTING REQUIREMENTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| AGING TOGETHER CORPORATION | ||||||||||
| PO BOX 367 | CULPEPER | VA | 22701 | 462046459 | 501(C)(3) | $5,500 | $0 | COMMUNITY OUTREACH | ||
| CULPEPER CHAMBER OF COMMERCE | ||||||||||
| 629 SPERRYVILLE PIKE | CULPEPER | VA | 22701 | 540640609 | 501(C)(6) | $7,000 | $0 | COMMUNITY OUTREACH | ||
| CULPEPER COUNTY BOARD OF SUPERVISORS COUNTY OF CULPEPER | ||||||||||
| 16388 COMPETITION DRIVE | CULPEPER | VA | 22701 | 546001236 | GOV | $16,500 | $0 | COMMUNITY OUTREACH | ||
| CULPEPER FOOD CLOSET ST STEPHEN'S EPISCOPAL CHURCH | ||||||||||
| 120 N COMMERCE ST P O BOX 343 | CULPEPER | VA | 22701 | 540542602 | 501(C)(3) | $6,000 | $0 | COMMUNITY OUTREACH | ||
| CULPEPER TECHNICAL EDUCATION CENTER | ||||||||||
| 17441 FRANK TURNAGE DR | CULPEPER | VA | 22701 | GOV | $0 | $5,710 | COMMUNITY OUTREACH | COST/FMV | MATERIALS TO SUPPORT HPE PROGRAM | |
| HERO'S BRIDGE | ||||||||||
| 98 ALEXANDRIA PIKE STE 41 | WARRENTON | VA | 201862849 | 812827604 | 501(C)(3) | $7,500 | $0 | COMMUNITY OUTREACH | ||
| MENTAL HEALTH ASSOCIATION OF FAUQUIER COUNTY | ||||||||||
| PO BOX 3549 | WARRENTON | VA | 20188 | 521215685 | 501(C)(3) | $7,000 | $0 | COMMUNITY OUTREACH | ||
| THE ARC OF NORTH CENTRAL VIRGINIA INC | ||||||||||
| PO BOX 3186 | WARRENTON | VA | 20188 | 273162654 | 501(C)(3) | $6,000 | $0 | COMMUNITY OUTREACH | ||
| UVA COMMUNITY HEALTH FOUNDATION | ||||||||||
| 8700 SUDLEY ROAD | MANASSAS | VA | 20110 | 541307595 | 501(C)(3) | $224,377 | $0 | GENERAL SUPPORT | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| SCHOLARSHIPS | 5 | $4,500 |
| MEDICATION/DME FUND | 11 | $4,008 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS UVA COMMUNITY HEALTH, INC. IS THE PARENT ORGANIZATION OF A NOT-FOR-PROFIT INTEGRATED SYSTEM OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS AND OTHER HEALTHCARE SERVICE PROVIDERS OF WHICH THE FILING ORGANIZATION IS A SUBSIDIARY. UVA COMMUNITY HEALTH IS AUTHORIZED TO ESTABLISH CERTAIN POLICIES FOR ALL OF ITS SUBSIDIARIES WITHIN THE SYSTEM. UVA COMMUNITY HEALTH HAS ESTABLISHED A SYSTEM-WIDE POLICY WITH STANDARDIZED GUIDELINES THAT ARE TO BE USED IN REVIEWING THE ELIGIBILITY AND SELECTION OF GRANTEES RECEIVING CERTAIN EXEMPT PURPOSE FUNDS. THE FILING ORGANIZATION MAINTAINS DOCUMENTATION OF THE ELIGIBILITY AND SELECTION CRITERIA AND RECORDS OF THE AMOUNTS ARE MAINTAINED VIA THE GENERAL LEDGER. FUNDS ARE GENERALLY NOT TRACKED AFTER BEING GRANTED, AS THE ORIGINAL ELIGIBILITY AND SELECTION CRITERIA HAVE ALREADY BEEN MET. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KIRSTEN GREEN MD | ||||||||||||||
| TRUSTEE | $0 | $755,505 | $0 | $78,140 | $0 | $60,561 | $0 | $48,918 | $0 | $18,728 | $0 | $961,852 | $0 | $0 |
| L ERIK SHANNON | ||||||||||||||
| CH SYSTEM CEO/PRESIDENT | $0 | $83,542 | $0 | $145,000 | $0 | $694,594 | $0 | $0 | $0 | $2,212 | $0 | $925,348 | $0 | $0 |
| CHARLES CODER | ||||||||||||||
| CH SYSTEM CFO & TREASURER | $0 | $349,433 | $0 | $254,781 | $0 | $13,430 | $0 | $17,564 | $0 | $28,292 | $0 | $663,500 | $0 | $0 |
| DONNA STATON | ||||||||||||||
| CEO & PRESIDENT | $302,605 | $0 | $169,742 | $0 | $38,375 | $0 | $15,381 | $0 | $32,013 | $0 | $558,116 | $0 | $0 | $0 |
| MARY FRANCES SOUTHERLAND | ||||||||||||||
| TRUSTEE | $0 | $357,425 | $0 | $64,000 | $0 | $28,064 | $0 | $20,451 | $0 | $16,956 | $0 | $486,896 | $0 | $0 |
| CHRIS HEATON MD | ||||||||||||||
| TRUSTEE (PWHS EMPLOYEE) | $0 | $291,419 | $0 | $17,500 | $0 | $105,035 | $0 | $15,492 | $0 | $37,847 | $0 | $467,293 | $0 | $0 |
| NAEL HASAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $267,475 | $0 | $62,165 | $0 | $10,275 | $0 | $11,124 | $0 | $4,092 | $0 | $355,131 | $0 | $0 | $0 |
| MICHELLE STRIDER | ||||||||||||||
| FORMER CHIEF QUALITY OFFICER | $202,627 | $0 | $69,241 | $0 | $18,857 | $0 | $12,634 | $0 | $25,023 | $0 | $328,382 | $0 | $0 | $0 |
| SARA WHITE | ||||||||||||||
| SR DIRECTOR OF FINANCE | $188,059 | $0 | $66,375 | $0 | $14,736 | $0 | $11,251 | $0 | $24,005 | $0 | $304,426 | $0 | $0 | $0 |
| TEMPLE COATES | ||||||||||||||
| DIRECTOR OF PROF. & ANCILLARY SVCS | $158,408 | $0 | $25,516 | $0 | $22,294 | $0 | $9,945 | $0 | $36,521 | $0 | $252,684 | $0 | $0 | $0 |
| MARK CHANEY | ||||||||||||||
| DIRECTOR OF NURSING | $151,425 | $0 | $32,850 | $0 | $8,157 | $0 | $10,079 | $0 | $34,465 | $0 | $236,976 | $0 | $0 | $0 |
| PATRICIA SLATER | ||||||||||||||
| DIRECTOR OF COMPLIANCE | $166,140 | $0 | $33,490 | $0 | $17,561 | $0 | $9,916 | $0 | $3,054 | $0 | $230,161 | $0 | $0 | $0 |
| SUSAN EDWARDS | ||||||||||||||
| SR DIRECTOR OF HR SUPPORT SVCS | $132,574 | $0 | $18,615 | $0 | $29,129 | $0 | $8,848 | $0 | $36,560 | $0 | $225,726 | $0 | $0 | $0 |
| MINDI SHIFFLETT | ||||||||||||||
| FORMER CNO (THRU 2/22) | $32,987 | $0 | $26,169 | $0 | $112,653 | $0 | $2,099 | $0 | $7,230 | $0 | $181,138 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. - MINDI SHIFFLETT: $93,043 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. - CHRIS HEATON, MD: $10,793 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 (BIII). PART I, LINE 7: NONFIXED PAYMENTS 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 1: | UVA CULPEPER MEDICAL CENTER UVA CULPEPER MEDICAL CENTER DOING BUSINESS AS UVA HEALTH CULPEPER MEDICAL CENTER IS AN INTEGRAL PART OF UVA COMMUNITY HEALTH, INC. ("UVACH"). UVA COMMUNITY HEALTH IS A NOT-FOR-PROFIT INTEGRATED SYSTEM OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS, AND OTHER HEALTHCARE SERVICES PROVIDERS, AND, IN COMBINATION WITH THE UNIVERSITY OF VIRGINIA MEDICAL CENTER ("UVA MEDICAL CENTER"), COMPRISES UVA HEALTH. GENERAL INFORMATION UVA CULPEPER MEDICAL CENTER IS LOCATED IN IN CULPEPER, VA. THE HOSPITAL FOCUSES ON CULTIVATING HEALTH COMMUNITIES BY PROVIDING COMMUNITY SUPPORT, CONSISTENT QUALITY, EXCELLENT CARE, AND A REMARKABLE WORK ENVIRONMENT FOR OUR TEAM MEMBERS. WE ARE COMMITTED TO MEETING THE HEALTH CARE NEEDS OF RESIDENTS OF CULPEPER, ORANGE, MADISON, AND SURROUNDING COUNTIES IN VIRGINIA. 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 COMMUNITY ENGAGEMENT IS A CRITICAL COMPONENT TO THE UVA HEALTH MISSION OF UVA CULPEPER MEDICAL CENTER. BEYOND OUR PROVISION OF QUALITY HEALTHCARE SERVICES, WE SUPPORT OTHER COMMUNITY ORGANIZATIONS THAT PROVIDE HEALTH SERVICES, EDUCATION, AND ASSISTANCE TO UNINSURED AND VULNERABLE POPULATIONS, AS WELL AS THE OVERALL COMMUNITY. THIS SUPPORT INCLUDES ACCESS TO EDUCATION, ACCESS TO HEALTHY FOOD, AND INITIATIVES TO ADDRESS EARLY CHILDHOOD DEVELOPMENT, ENVIRONMENTAL AND SOCIAL INCLUSION, AND NON-DISCRIMINATION AS WELL AS UNDERLYING SOCIAL DETERMINANTS OF HEALTH. SOME OF THE ORGANIZATIONS INCLUDE THE MENTAL HEALTH ASSOCIATION OF FAUQUIER COUNTY, HERO'S BRIDGE, CULPEPER FOOD CLOSET, THE ARC OF NORTH CENTRAL VIRGINIA INC., HOSPICE OF PIEDMONT, PEOPLE INCORPORATED OF VIRGINIA, LIVING THE DREAM FOUNDATION CASA, AND AGING TOGETHER CORPORATION. IN 2022 AND 2023, UVA CULPEPER MEDICAL CENTER HOSTED EDUCATION SESSIONS AND SCREENINGS FOR THE COMMUNITY WHICH INCLUDED: - MEN'S HEALTH LET'S TALK PROSTATE HEALTH IN CULPEPER. - REHAB CLINIC SCREENING AND EDUCATION ON BALANCE AT MADISON DAY. - EDUCATION PROVIDED AT OUTREACH EVENTS WITH A FOCUS ON ETHNIC COMMUNITIES THAT HAVE HIGHER RISK FACTORS FOR CHRONIC DISEASE SUCH AS BLACK, AFRICAN AMERICAN, AND HISPANIC/LATINO. - EDUCATION ON PREVENTION OF CHRONIC DISEASE AT REMINGTON HEALTH FAIR. - SUPPORT STUDENT STEM+H HEALTH CAREER PROGRAMS THROUGH A PARTNERSHIP WITH CULPEPER COUNTY PUBLIC SCHOOLS AND CAREER PARTNERS - PARTNERING WITH LOCAL PARTNERS FOR PAMPER ME PINK TO PROVIDE BREAST CANCER AWARENESS AND RAISE MONEY FOR FREE MAMMOGRAMS FOR THE UNDERSERVED. - PROMOTING MENTAL HEALTH AND HEALTHY HABITS FOR CHILDREN AT CHILDREN'S DAY IN THE PARK HOSTED BY HEALTHY CULPEPER. UVA CULPEPER MEDICAL CENTER PROVIDED MULTIPLE GRANTS TO SUPPORT NONPROFIT ORGANIZATIONS FOCUSED ON IMPROVING AREAS SUCH AS ACCESS TO MENTAL/BEHAVIORAL HEALTH RESOURCES, PREVENTION OF CHRONIC DISEASE AND HEALTHCARE WORKFORCE PIPELINE. OTHER INITIATIVES INCLUDED: - PROVIDED FUNDING TO SUPPORT MADISON FREE CLINIC IN THE EXPANSION OF HEALTHCARE ACCESS. - THE LIVING DREAM FOUNDATION GRANT SUPPORTS MENTAL HEALTH GATEKEEPER TRAINING AND SCHOLARSHIPS. - AGING TOGETHER SUPPORT TO PROVIDE DEMENTIA TOOLBOX TRAINING FOR CAREGIVERS. - GRANT FUNDING FOR INTEGRATION OF THOSE WITH DEVELOPMENTAL DISABILITIES THROUGH CULPEPER COUNTY PARKS AND RECREATION. - DRUG TAKE BACK DAY EVENTS HELD IN PARTNERSHIP WITH LOCAL POLICE DEPARTMENTS AND DEA ADDITIONALLY, WE CREATED EDUCATION ABOUT STROKE PREVENTION IN ENGLISH AND SPANISH THAT WAS DISTRIBUTED THROUGH OUR COMMUNITY. CULPEPER MEDICAL CENTER CONTINUES TO PROVIDE FINANCIAL AND HUMAN RESOURCES TO CARE FOR PATIENTS AT THE CULPEPER FREE CLINIC, ORANGE FREE CLINIC, AND THE MADISON FREE CLINIC. NEW TECHNOLOGY & SERVICES ON JUNE 1, 2023, UVA CULPEPER MEDICAL CENTER COMPLETED ITS MIGRATION TO UVA HEALTH'S ELECTRONIC MEDICAL RECORDING SYSTEM. THE NEW EPIC INTEGRATION WAS THE LAST STEP IN CONNECTING ALL UVA HEALTH FACILITIES UNDER ONE ELECTRONIC MEDICAL RECORD SYSTEM. EPIC ALLOWS EFFECTIVE COORDINATION OF PATIENT CARE INCLUDING; INPATIENT, OUTPATIENT, ANCILLARY, ACCESS, AND BILLING AND CODING. A NEW STATE-OF-THE-ART LINEAR ACCELERATOR WAS INSTALLED TO REPLACE THE PREVIOUS END-OF-LIFE EQUIPMENT. THE NEW LINEAR ACCELERATOR PROVIDES ENHANCED TARGETED EXTERNAL BEAM FOR RADIATION THERAPY WHICH PROVIDES RAPID, HIGHLY ACCURATE TREATMENTS AND HAS A WIDER BORE AND IS QUIETER THAN PREVIOUSLY REPLACED MACHINERY. UVA CULPEPER MEDICAL CENTER INSTITUTED A ROBOTIC SURGICAL SYSTEM TO PROVIDE LESS INVASIVE SURGICAL PROCEDURES FOR PATIENTS. IN 2022, THE TRIO ROUNDING WAS IMPLEMENTED IN ACUTE CARE SERVICES, WHICH ENGAGED THE PATIENT, THEIR PROVIDER, AND NURSE IN DISCUSSING THE PATIENT'S PLAN OF CARE. THIS IMPROVES QUALITY, SAFETY, AND THE PATIENT'S OVERALL EXPERIENCE. THE EMERGENCY DEPARTMENT MOVED TO THE VERTICAL CARE MODEL. THIS REFERS TO REPLACING BEDS WITH A CHAIR TO TRIAGE PATIENTS WHILE REMAINING VERTICAL. THIS GRANTS ADDITIONAL SPACE TO TREAT MORE INDIVIDUALS IN THE SAME SPACE, SIGNIFICANTLY REDUCING THE NUMBER OF WALK-AWAYS, DOOR-TO-PROVIDER TIME, AND OVERALL TIME TO DISCHARGE. AWARDS, RECOGNITIONS & CERTIFICATIONS/RECERTIFICATIONS - RECEIVED AN 'A' GRADE IN THE LEAPFROG GROUP'S FALL AND SPRING 2022 HOSPITAL SAFETY GRADE - HEALTHGRADES AMERICA'S 100 BEST HOSPITALS - JOINT REPLACEMENT - ORTHOPEDIC SURGERY - VIRGINIA MATERNITY CENTER BREASTFEEDING FRIENDLY DESIGNATION, "BABY-FRIENDLY" DESIGNATION BY UNICEF AND THE WHO - BEST MATERNITY HOSPITALS IN 2022 FROM MONEY MAGAZINE & THE LEAPFROG GROUP - GET WITH THE GUIDELINES RESUSCITATION SILVER AWARD - VIRGINIA MATERNITY CENTER BREASTFEEDING-FRIENDLY DESIGNATION BY THE VIRGINIA DEPARTMENT OF HEALTH - BABY FRIENDLY DESIGNATION BY THE WORLD HEALTH ORGANIZATION AND THE UNITED NATIONS CHILDREN'S FUND - NAMED ONE OF THE 100 BEST "HOSPITALS FOR SPECIALTY CARE" BY HEALTHGRADES FOR TWO AREAS OF ORTHOPEDICS: JOINT REPLACEMENT AND ORTHOPEDIC SURGERY - EARNED A PERFECT SCORE IN THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S MATERNITY PRACTICES IN INFANT NUTRITION AND CARE (MPINC) SURVEY - THE JOINT COMMISSION ACUTE HEART ATTACK READY INITIAL ACCREDITATION - THE JOINT COMMISSION TOTAL HIP AND KNEE RECERTIFICATION ACCREDITATION THE JOINT COMMISSION TRIENNIAL ACCREDITATION SURVEY WAS COMPLETED MAY 2023. UVA CULPEPER MEDICAL CENTER IS FULLY ACCREDITED BY THE JOINT COMMISSION, AN INDEPENDENT ORGANIZATION THAT EVALUATES A HEALTHCARE ORGANIZATION'S PERFORMANCE IN AREAS THAT MOST AFFECT PATIENT HEALTH AND SAFETY. - THE JOINT COMMISSION ACUTE HEART ATTACK READY INITIAL ACCREDITATION - THE JOINT COMMISSION TOTAL HIP/KNEE RECERTIFICATION - THE JOINT COMMISSION ACUTE STROKE READY INITIAL ACCREDITATION UVA CULPEPER MEDICAL CENTER BREAST CENTER IS ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS BY THE AMERICAN COLLEGE OF SURGEONS. ACCREDITATION IS GRANTED TO CENTERS THAT HAVE VOLUNTARILY COMMITTED TO PROVIDE THE HIGHEST QUALITY OF CARE TO PATIENTS WITH BREAST DISEASES AND THAT UNDERGO A RIGOROUS EVALUATION AND REVIEW OF ITS PERFORMANCE AND COMPLIANCE WITH THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. UVA CULPEPER MEDICAL CENTER IS ACCREDITED BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABORATORIES, ENSURING QUALITY PATIENT CARE FOR VASCULAR TESTING. COLLEGE OF AMERICAN PATHOLOGIST ACCREDITATION LABORATORY ACCREDITATION PROGRAM COMPLETED FEBRUARY 2023. BABY FRIENDLY DESIGNATION COMPLETED MAY 2023. FOR MORE INFORMATION, VISIT: UVA CULPEPER MEDICAL CENTER IN VIRGINIA (UVAHEALTH.COM) HTTPS://UVAHEALTH.COM/LOCATIONS/UVA-HEALTH-CULPEPER-MEDICAL-CENTER-55972 71 |
| 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 VI, SECTION A, LINE 6 | 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 | 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 | 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 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 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 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 | CONTRACTUAL SVS - COR: PROGRAM SERVICE EXPENSES 15,206,513. MANAGEMENT AND GENERAL EXPENSES 3,338,015. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,544,528. HEALTH PRO SER: PROGRAM SERVICE EXPENSES 8,597,010. MANAGEMENT AND GENERAL EXPENSES 1,887,148. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,484,158. PURCHASED SERV. & OTH: PROGRAM SERVICE EXPENSES 14,653. MANAGEMENT AND GENERAL EXPENSES 3,217. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,870. |
| FORM 990, PART XI, LINE 8 | 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| UNIVERSITY OF VIRGINIA MEDICAL CENTER | |||||||||||
| 1201 LEE STREET | CHARLOTTESVILLE | VA | 22902 | 546001796 | HEALTHCARE | VA | G0VERNMENTAL | LINE 6 | N/A | 0 | |
| UVA PRINCE WILLIAM HEALTH SYSTEM | |||||||||||
| 8700 SUDLEY RD STE 411 | MANASSAS | VA | 20110 | 541278944 | HEALTHCARE | VA | 501(C)(3) | LINE 12C, III-FI | 0 | UVA COMMUNITY HEALTH INC | |
| UVA COMMUNITY HEALTH INC | |||||||||||
| 8700 SUDLEY RD STE 411 | MANASSAS | VA | 20110 | 810868533 | HEALTHCARE | VA | 501(C)(3) | LINE 12A, I | 0 | UVA MEDICAL CENTER | |
| UVA CATON MERCHANT HOUSE ASSISTED LIVING | |||||||||||
| 8700 SUDLEY RD STE 411 | MANASSAS | VA | 20110 | 541291284 | HEALTHCARE | VA | 501(C)(3) | LINE 10 | 0 | UVA PRINCE WILLIAM HEALTH SYSTEM | |
| UVA COMMUNITY HEALTH FOUNDATION | |||||||||||
| 8700 SUDLEY RD STE 411 | MANASSAS | VA | 20110 | 541307595 | HEALTHCARE | VA | 501(C)(3) | LINE 7 | 0 | UVA PRINCE WILLIAM HEALTH SYSTEM | |
| UVA PRINCE WILLIAM MEDICAL CENTER | |||||||||||
| 8700 SUDLEY RD STE 411 | MANASSAS | VA | 20110 | 540696355 | HEALTHCARE | VA | 501(C)(3) | LINE 3 | 0 | UVA PRINCE WILLIAM HEALTH SYSTEM | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CULPEPER SURGERY CENTER LLC | |||||||||||||
| 541 SUNSET LANE | CULPEPER | VA | 22701 | 541975624 | HEALTHCARE | VA | UVA CULPEPER MEDICAL CENTER INC | RELATED | $174,682 | $1,400,158 | 0 | 0 | 0.63740 |
| UVA OUTPATIENT IMAGING CULPEPER LLC | |||||||||||||
| 8700 SUDLEY RD STE 411 | MANASSAS | VA | 37076 | 843646484 | HEALTHCARE | TN | UVA CULPEPER MEDICAL CENTER INC | RELATED | $1,017,252 | $5,214,789 | 0 | Yes (1) | 0.80000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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