UVA PRINCE WILLIAM MEDICAL CENTER: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: UVA PRINCE WILLIAM MEDICAL CENTER (EIN 54-0696355)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-15
IRS object ID: 202521359349309992
Schema version: 2023v6.0
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 B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-15T13:29:49-05:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	991856619	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	GRANT THORNTON ADVISORS LLC	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	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	540696355	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UVA PRINCE WILLIAM MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	UVAP	BusinessNameControlTxt
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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHARLES CODER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	5712841163	PhoneNum
Signature	2025-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

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

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	UVA HEALTH PRINCE WILLIAM 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	8700 SUDLEY ROAD	AddressLine1Txt
City	MANASSAS	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	20110	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$391,090,020	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	1964	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1855	TotalEmployeeCnt
Total Volunteers	346	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$856,682	PYContributionsGrantsAmt
CY Contributions Grants	$79,031	CYContributionsGrantsAmt
PY Program Service Revenue	$318,283,818	PYProgramServiceRevenueAmt
CY Program Service Revenue	$383,067,612	CYProgramServiceRevenueAmt
PY Investment Income	$440,685	PYInvestmentIncomeAmt
CY Investment Income	$201,394	CYInvestmentIncomeAmt
PY Other Revenue	$2,736,133	PYOtherRevenueAmt
CY Other Revenue	$5,459,038	CYOtherRevenueAmt
PY Total Revenue	$322,317,318	PYTotalRevenueAmt
CY Total Revenue	$388,807,075	CYTotalRevenueAmt
PY Grants And Similar Paid	$188,320	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$267,607	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$132,090,986	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$144,965,626	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$188,807,249	PYOtherExpensesAmt
CY Other Expenses	$226,223,945	CYOtherExpensesAmt
PY Total Expenses	$321,086,555	PYTotalExpensesAmt
CY Total Expenses	$371,457,178	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,230,763	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$17,349,897	CYRevenuesLessExpensesAmt
Total Assets BOY	$239,486,817	TotalAssetsBOYAmt
Total Assets EOY	$244,663,769	TotalAssetsEOYAmt
Total Liabilities BOY	$36,180,767	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$26,266,670	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$203,306,050	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$218,397,099	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	$343,741,838	ExpenseAmt
Grant	$267,607	GrantAmt
Revenue	$386,082,804	RevenueAmt
Desc	UVA PRINCE WILLIAM MEDICAL CENTER IS MADE UP OF TWO NON-PROFIT, ACUTE CARE HOSPITALS DOING BUSINESS AS UVA PRINCE WILLIAM MEDICAL CENTER ("UVAPMC") AND UVA HAYMARKET MEDICAL CENTER ("UVAHMC"). UVAPMC HAS 130 BEDS AND IS LOCATED IN MANASSAS, VA. UVAHMC IS 60 BEDS AND IS LOCATED IN HAYMARKET, VA. TOGETHER THEY PROVIDE PROGRAMS AND ACTIVITIES THAT PROVIDE ACCESS TO HEALTHCARE AND IMPROVE HEALTH IN OUR COMMUNITY. THEY PROVIDE COMPREHENSIVE SERVICES PROVIDING 24-HOUR, PHYSICIAN STAFFED EMERGENCY DEPARTMENT, FAMILY BIRTH CENTERS, SURGICAL SERVICES, INTENSIVE CARE UNITS 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. UVAPMC AND UVAHMC PROVIDE MEDICAL AND OTHER HEALTHCARE (SEE SCHEDULE O)SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL UNINSURED PATIENTS, REGARDLESS OF INCOME LEVEL OR COUNTY OF RESIDENCE, RECEIVE A 40% DISCOUNT ON HOSPITAL SERVICES. WE ALSO PARTNER WITH LOCAL NON-PROFIT AND GOVERNMENTAL ORGANIZATIONS TO SUPPORT LOCAL EVENTS AND PROVIDE HEALTH AND WELLNESS PROGRAMS. UVAPMC AND UVAHMC WORK WITH LOCAL HIGH SCHOOLS AND COMMUNITY COLLEGES TO PROVIDE TOURS, LECTURES, AND INTERNSHIPS FOR STUDENTS.DURING FISCAL YEAR 2024, BETWEEN THE TWO MEDICAL CENTERS, THERE WERE 48,567 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 4 DAYS. THERE WERE 10,473 DISCHARGES, 8,608 INPATIENT AND OUTPATIENT SURGERIES, 91,835 OUTPATIENT ENCOUNTERS AND 84,799 EMERGENCY DEPARTMENT VISITS.	Desc
Total Program Service Expenses	$343,741,838	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	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	0	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	2	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1855	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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 (22 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRIS HEATON MD
TRUSTEE (PWHS EMPLOYEE)	0.20	45.20	Yes (X)	$0	$445,044	$57,766
MARY FRANCES SOUTHERLAND
INTERIM SECRETARY/TRUSTEE	0.20	50.20	Yes (X)	$0	$480,964	$41,702	Yes (X)
KIRSTEN GREEN MD
TRUSTEE	0.20	45.00	Yes (X)	$0	$980,161	$59,299
STEVEN M DANZIGER
CHAIR	0.20	1.00	Yes (X)	$0	$0	$0	Yes (X)
CHARLES BARRELL
VICE CHAIR (THRU 11/2023)	0.20	0.60	Yes (X)	$0	$0	$0	Yes (X)
RICHARD HARRINGTON
SECRETARY/VICE CHAIR	0.20	0.60	Yes (X)	$0	$0	$0	Yes (X)
STEPHEN NELSON
TREASURER	0.20	0.60	Yes (X)	$0	$0	$0	Yes (X)
LISA ANN PEACOCK
TRUSTEE	0.20	0.60	Yes (X)	$0	$0	$0
MATTHEW GUILFOYLE
TRUSTEE	0.20	0.60	Yes (X)	$0	$0	$0
PAM KINCHELOE RN JD
TRUSTEE	0.20	0.60	Yes (X)	$0	$0	$0
JACQUELINE KRICK
TRUSTEE	0.20	0.60	Yes (X)	$0	$0	$0
MICHELLE METZGAR
TRUSTEE	0.20	0.60	Yes (X)	$0	$0	$0
VIPUL PARIKH MD
TRUSTEE	0.20	0.60	Yes (X)	$0	$0	$0
ERIK SHANNON
CEO (UVACH SYSTEM)	0.20	50.00		$715,381	$0	$336,325	Yes (X)
CHARLES CODER
CFO (UVACH SYSTEM)	0.40	50.00		$450,817	$40,554	$52,293	Yes (X)
CAROLYN MATTHEWS
OB GYN ONCOLOGIST	45.00	0.00		$304,619	$0	$16,661		Yes (X)
KELI WILSON
PHYSICIST	45.00	0.00		$285,059	$0	$30,705		Yes (X)
ZAN ZAIDI
VP, CMO	0.00	50.00		$455,958	$0	$44,207		Yes (X)
JOSEPH SCOTT HAAS
ASSOCIATE CMIO	45.00	0.00		$334,487	$0	$53,199		Yes (X)
CATHERINE KELLEY
VP CHRO (UVACH SYSTEM)	0.00	50.00		$265,288	$0	$36,299		Yes (X)
STEPHEN SMITH MD
FORMER PRESIDENT/COO	0.00	0.00		$102,010	$0	$0			Yes (X)
DOUGLAS MARKERT
VP, CHIEF CLINICAL OFFICER	0.20	50.00		$469,137	$0	$39,834			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,382,756	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,946,723	TotReportableCompRltdOrgAmt
Total Other Compensation	$768,290	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	330	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

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE RIDGE ORTHOPAEDIC ASSOCIATES PC	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	52 WEST SHIRLEY AVENUE	AddressLine1Txt
City	WARRENTON	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	20186	ZIPCd

Field	Value	IRS element (for citing)
Services	ORTHOPAEDIC SERVICES	ServicesDesc
Compensation	$113,310	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Related Organizations	$79,031	RelatedOrganizationsAmt
Total Contributions	$79,031	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$383,039,122	$383,039,122
OTHER HEALTHCARE REV.	622110	$28,490	$28,490

Field	Value	IRS element (for citing)
Total Program Service Revenue	$383,067,612	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$259,678	TotalRevenueColumnAmt
Exclusion	$259,678	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,406,270	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$224,661	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$2,181,609	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,181,609	TotalRevenueColumnAmt
Exclusion	$2,181,609	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$2,000,000	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,058,284	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$58,284	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$58,284	TotalRevenueColumnAmt
Exclusion	-$58,284	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
EQUITY IN SUBSIDIARIES	900099	$2,824,958	$2,824,958
AUXILIARY REVENUE	900099	$262,237		$262,237
MISCELLANEOUS REVENUE	900099	$190,234	$190,234

Field	Value	IRS element (for citing)
Other Revenue Total	$3,277,429	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$388,807,075	TotalRevenueColumnAmt
Related Or Exempt Func Income	$386,082,804	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,645,240	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	$267,607	TotalAmt
Program Services	$267,607	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,536,386	TotalAmt
Management And General	$1,536,386	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$102,010	TotalAmt
Management And General	$102,010	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$114,378,410	TotalAmt
Program Services	$105,228,137	ProgramServicesAmt
Management And General	$9,150,273	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,954,316	TotalAmt
Program Services	$4,557,971	ProgramServicesAmt
Management And General	$396,345	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$14,245,573	TotalAmt
Program Services	$13,105,927	ProgramServicesAmt
Management And General	$1,139,646	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,748,931	TotalAmt
Program Services	$8,969,017	ProgramServicesAmt
Management And General	$779,914	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$63,807,527	TotalAmt
Program Services	$55,945,691	ProgramServicesAmt
Management And General	$7,861,836	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,989,548	TotalAmt
Program Services	$5,032,475	ProgramServicesAmt
Management And General	$1,957,073	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$694,742	TotalAmt
Program Services	$680,847	ProgramServicesAmt
Management And General	$13,895	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,852,303	TotalAmt
Program Services	$3,274,458	ProgramServicesAmt
Management And General	$577,845	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$42,809	TotalAmt
Program Services	$33,391	ProgramServicesAmt
Management And General	$9,418	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$165,152	TotalAmt
Program Services	$128,819	ProgramServicesAmt
Management And General	$36,333	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,521,018	TotalAmt
Program Services	$5,521,018	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$15,003,575	TotalAmt
Program Services	$11,852,824	ProgramServicesAmt
Management And General	$3,150,751	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,478,313	TotalAmt
Program Services	$2,539,168	ProgramServicesAmt
Management And General	$939,145	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$48,989,433	$48,989,433
BAD DEBT	$34,628,171	$34,628,171
CORPORATE ALLOCATION	$23,045,927	$23,045,927
PHARMACEUTICALS	$10,664,588	$10,664,588

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,340,839	TotalAmt
Program Services	$9,276,369	ProgramServicesAmt
Management And General	$64,470	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$371,457,178	TotalAmt
Program Services	$343,741,838	ProgramServicesAmt
Management And General	$27,715,340	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$100,776	BOYAmt
EOY	$414,256	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,322,779	BOYAmt
EOY	$4,841,709	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$38,811,465	BOYAmt
EOY	$40,918,023	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,415,227	BOYAmt
EOY	$651,863	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,441,639	BOYAmt
EOY	$6,232,884	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,486,208	BOYAmt
EOY	$1,623,199	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$476,931,762	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$337,950,943	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$139,440,118	BOYAmt
EOY	$138,980,819	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$731,417	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,625,489	BOYAmt
EOY	$4,546,105	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$8,744	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$29,111,699	BOYAmt
EOY	$46,446,167	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$239,486,817	BOYAmt
EOY	$244,663,769	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,935,960	BOYAmt
EOY	$9,011,049	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$9,373,200	BOYAmt
EOY	$13,614,244	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,871,607	BOYAmt
EOY	$3,641,377	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$36,180,767	BOYAmt
EOY	$26,266,670	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	$203,306,050	BOYAmt
EOY	$218,397,099	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$203,306,050	BOYAmt
EOY	$218,397,099	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$239,486,817	BOYAmt
EOY	$244,663,769	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$17,349,897	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	$102,180	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$2,361,028	OtherChangesInNetAssetsAmt
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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$21,829	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$21,829	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 INDIVIDUAL'S SALARY IS ALLOCATED TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,323,010	OtherCostOrOtherBasisAmt
Book Value	$14,323,010	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$225,592,011	OtherCostOrOtherBasisAmt
Depreciation	$206,522,156	DepreciationAmt
Book Value	$19,069,855	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,013,719	OtherCostOrOtherBasisAmt
Depreciation	$5,013,719	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$184,180,576	OtherCostOrOtherBasisAmt
Depreciation	$119,549,173	DepreciationAmt
Book Value	$64,631,403	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,822,446	OtherCostOrOtherBasisAmt
Depreciation	$6,865,895	DepreciationAmt
Book Value	$40,956,551	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$138,980,819	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM THIRD PARTIES	$30,536,274
LEASE RECEIVABLE	$9,233,676
RIGHT-OF-USE ASSET	$4,578,634
DEFERRED PENSION COSTS	$1,897,583
DUE FROM AFFILIATES	$200,000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$46,446,167	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$2,401,582
OTHER LIABILITIES	$1,239,795

Field	Value	IRS element (for citing)
Total Liability	$3,641,377	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
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	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,318,730	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,337,660	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,981,070	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,463,047	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$56,709,155	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,753,892	NetCommunityBenefitExpnsAmt
Total Expense	0.00520	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,781,777	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,046,815	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,734,962	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$183,647	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$183,647	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$909,569	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$40,273	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$869,296	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,168,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,498,282	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,670,515	NetCommunityBenefitExpnsAmt
Total Expense	0.00800	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$190,431	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$190,431	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,452,444	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,538,555	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,913,889	NetCommunityBenefitExpnsAmt
Total Expense	0.01170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,234,221	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,585,370	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,648,851	NetCommunityBenefitExpnsAmt
Total Expense	0.02280	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,602	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,602	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,186	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,186	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,177	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,177	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,965	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,965	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$34,628,171	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$55,626,017	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$87,224,614	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$31,598,597	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

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 NOVANTUVAUSP SURGERY CENTERS LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.25000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.49000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
UVAPWMC DBA UVA HEALTH PRINCE WILLIAM MEDICAL CENTER
1	8700 SUDLEY ROAD	MANASSAS	VA	20110	SEE SUPPLEMENTAL INFORMATION	H1882	Yes (X)	Yes (X)	Yes (X)	A
UVAHMC DB UVA HEALTH HAYMARKET MEDICAL CENTER
2	15225 HEATHCOTE BLVD	HAYMARKET	VA	20169	SEE SUPPLEMENTAL INFORMATION	H1938	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	UVA PRINCE WILLIAM 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	22	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	HTTPS://UVAHEALTH.COM/SERVICES/COMMUNITY-RELATIONS	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	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://UVAHEALTH.COM/SERVICES/COMMUNITY-RELATIONS	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
Permit No Actions	Yes (X)	PermitNoActionsInd
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A:	LINE 1: HOSPITAL FACILITIES INFORMATIONHTTPS://UVAHEALTH.COM/LOCATIONS/PRINCE-WILLIAM-MEDICAL-CENTER-5597282LINE 2: HOSPITAL FACILITIES INFORMATIONHTTPS://UVAHEALTH.COM/LOCATIONS/UVA-HEALTH-HAYMARKET-MEDICAL-CENTER-5597284
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: UVAPWMC DBA UVA HEALTH PRINCE WILLIAM MEDICAL , - FACILITY 2: UVAHMC DB UVA HEALTH HAYMARKET MEDICAL CENTER
UVA PRINCE WILLIAM MEDICAL CENTER 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, AND OTHER SOCIAL SERVICE AGENCIES. INPUT WAS GATHERED THROUGH A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY AND DATA FROM THE VIRGINIA DEPARTMENT OF HEALTH. THE SCOPE OF EXPERTISE WAS BROAD AND INCLUDED SUCH AREAS AS PUBLIC HEALTH, MINORITY POPULATIONS, HEALTH DISPARITIES, AND SOCIAL SERVICES. WHERE POSSIBLE, WE HAVE LEVERAGED THE RESOURCES OF THE ORGANIZATION TO BEST ADDRESS THOSE NEEDS THAT ARE HIGHEST IN PRIORITY AND CONSISTENT ACROSS COMMUNITIES.
UVA PRINCE WILLIAM MEDICAL CENTER 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 SUPORT OUR EFFORTS TO ADDRESS THE IDENTIFIED NEEDS AND TO SUPPORT OUR COMMUNITIES IN GENERAL.
UVA PRINCE WILLIAM MEDICAL CENTER PART V, SECTION B, LINE 11:	THE HOSPITAL FACILITY IS PART OF THE UVA COMMUNITY HEALTH ENTERPRISE, AN INTEGRATED NETWORK OF NOT-FOR-PROFIT, TAX-EXEMPT ENTITIES THAT INCLUDES PHYSICIAN OFFICES, OUTPATIENT FACILITIES AND COMMUNITY MEDICAL CENTERS. UVA COMMUNITY HEALTH AND ITS COMPONENT ENTITIES, ALONG WITH THE UNIVERSITY OF VIRGINIA MEDICAL CENTER, THE UVA SCHOOL OF MEDICINE, UVA SCHOOL OF NURSING, UVA PHYSICIANS GROUP, AND THE CLAUDE MOORE HEALTH SCIENCES LIBRARY, COMPRISE UVA HEALTH. THE FACILITY'S CHNA IDENTIFIED MULTIPLE NEEDS FOR THE COMMUNITY SERVED. THE NEEDS IDENTIFIED WERE REVIEWED AND PRIORITIZED BY THE COMMUNITY ENGAGEMENT TEAM, THE ORGANIZATION'S EXECUTIVE LEADERSHIP TEAM, AND SUBSEQUENTLY THE BOARD. UVA COMMUNITY HEALTH, INC. AND EACH OF ITS HOSPITAL FACILITIES HAVE ADOPTED AND EXECUTED AN IMPLLEMENTATION STRATEGY THAT ADDRESSES THE PRIORITIZEIED COMMUNITY HEALTH NEEDS FORM THE CHNAS. NEEDS WERE EVALUATED BASED ON THE FACILITY'S SCOPE OF SERVICE, EXPERTISE, AVAILABILITY OF RESOURCES, AND THE FACILITY'S ABILITY TO IMPACT OVERALL POPULATION HEALTH. THE HOSPITAL FACILITY HAS ADOPTED AND EXECUTED AN IMPLEMENTATION STRATEGY THAT ADDRESSES THE PRIORITIZED COMMUNITY HEALTH NEEDS FROM THE CHNA. THE IMPLEMENTATION STRATEGY OUTLINES 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 THE SCOPE OF TRADITIONAL HEALTHCARE (I.E. QUALITY OF EDUCATION) AND OTHERS ARE CANDIDATES FOR COLLABORATIVE WORK AND HAVE OTHER 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 TO THE URL GIVEN PREVIOUSLY FOR THE POSTING OF THE INFORMATION. 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
UVA PRINCE WILLIAM MEDICAL CENTER 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	4	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - UVA HEALTH IMAGING HAYMARKET MED CTR
15195 HEATHCOTE BLVD STE 110	HAYMARKET	VA	20169	IMAGING CENTER
2 - HAYMARKET SURGERY CENTER LLC
15225 HEATHCOTE BLVD	HAYMARKET	VA	20169	AMBULATORY SURGERY CENTER
3 - PRINCE WILLIAM AMBULATORY SURGERY CTR
8650 SUDLEY ROAD SUITE 411	MANASSAS	VA	20110	AMBULATORY SURGERY CENTER
4 - UVA HEALTH THERAPY SERVICES
15195 HEATHCOTE BLVD STE 340	HAYMARKET	VA	20169	REHABILITATION SERVICES

Supplemental Information Detail SupplementalInformationDetail (15 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 AMOUNT OF BAD DEBT REMOVED FROM TOTAL EXPENSES (DENOMINATOR) WAS $34,628,171.
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 3:	THE ESTIMATED AMOUNT IS ZERO DOLLARS BASED ON FAP ELIGIBILITY.
PART III, LINE 4:	THE ORGANIZATION FILES ITS FINANCIAL STATEMENTS ON A GASB METHOD OF ACCOUNTING WHICH DO NOT SPECIFICALLY ADDRESS BAD DEBT. FOR FURTHER INFORMATION, SEE RESPONSE TO LINE 2.
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 HOSPITALMAY TAKE FOR NONPAYMENT INCLUDING INTERNAL AND EXTERNAL COLLECTIONPRACTICES AND REPORTING TO CREDIT AGENCIES. THE POLICY STATES THATREASONABLE EFFORTS TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE MUSTBE MADE BEFORE THE ORGANIZATION, OR ANY EXTERNAL ORGANIZATION, ENGAGE INAN EXTRAORDINARY COLLECTION ACTION.FOR PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE AND WHO ARE COOPERATINGIN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, THE ORGANIZATIONMAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDECOLLECTION AGENCIES, AND WILL CEASE ALL COLLECTION EFFORTS.
PART VI, LINE 2:	THE HOSPITAL FACILITY IS PART OF THE UVA COMMUNITY HEALTH ENTERPRISE, AN INTEGRATED NETWORK OF NOT-FOR-PROFIT, TAX-EXEMPT ENTITIES THAT INCLUDES PHYSICIAN OFFICES, OUTPATIENT FACILITIES AND COMMUNITY MEDICAL CENTERS. UVA COMMUNITY HEALTH AND ITS COMPONENT ENTITIES, ALONG WITH THE UNIVERSITY OF VIRGINIA MEDICAL CENTER, THE UVA SCHOOL OF MEDICINE, UVA SCHOOL OF NURSING, UVA PHYSICIANS GROUP, AND THE CLAUDE MOORE HEALTH SCIENCES LIBRARY, COMPRISE UVA HEALTH. 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 WORKS 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 PRINCE WILLIAM 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 REGISTRARS) 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. AT THE POINT OF SCHEDULING, WE RUN ALL PATIENTS THROUGH A 3RD PARTY SERVICE TO DETERMINE POTENTIAL ELIGBILITY FOR FINANCIAL ASSITANCE BASED UPON AN ESTIMATED FPG PROVIDED BY THE VENDOR. WHEN POTENTIALLY ELIGIBLE PATIENTS ARE IDENTIFIED WE MAIL A FINANCIAL ASSISTANCE APPLICATION TO THE PATIENT AND ENCOURAGE COMPLETING IT.
PART VI, LINE 4:	COMMUNITY INFORMATIONUVA PRINCE WILLIAM MEDICAL CENTER FORM 990 INCLUDES THE OPERATIONS OF TWO LICENSED HOSPITAL: UVAPWMC DBA UVA HEALTH PRINCE WILLIAM MEDICAL CENTER AND AS UVAHMC DBA UVA HEALTH HAYMARKET MEDICAL CENTER.UVAPMCTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA FOR UVA PRINCE WILLIAM MEDICAL CENTER IS DEFINED BY THE ZIP CODES THAT REPRESENT MORE THAN 75% OF THE HOSPITAL'S INPATIENT POPULATION. THIS INCLUDES THE CITY OF MANASSAS, CITY OF MANASSAS PARK, PRINCE WILLIAM COUNTY, BRISTOW, AND GAINESVILLE, ALL LOCATED IN GREATER PRINCE WILLIAM.THE SECONDARY SERVICE AREA FOR UVA PRINCE WILLIAM MEDICAL CENTER COVERS A FOUR-COUNTY RADIUS, INCLUDING: CULPEPER, FAIRFAX, FAUQUIER AND WARRENTON COUNTIES IN VIRGINIA.UVAHMCTHE ORGANIZATION DEFINES ITS COMMUNITY BY ITS PRIMARY SERVICE AREA. THE PRIMARY SERVICE AREA FOR UVA HAYMARKET MEDICAL CENTER IS DEFINED BY THE ZIP CODES THAT REPRESENT MORE THAN 75% OF THE HOSPITAL'S IN-PATIENT POPULATION. THIS INCLUDES THE CITY OF MANASSAS, BRISTOW, AND GAINESVILLE, HAYMARKET, NOKESVILLE, AND WARRENTON, ALL LOCATED WITHIN PRINCE WILLIAM COUNTY, MANASSAS CITY, AND FAUQUIER COUNTY.THE SECONDARY SERVICE AREA FOR UVA HAYMARKET MEDICAL CENTER COVERS FOUR COUNTIES, INCLUDING CULPEPER, FAIRFAX, LOUDOUN AND WARREN COUNTIES IN VIRGINIA.PRINCE WILLIAM COUNTY IS THE 10TH MOST DIVERSE COUNTY IN THE U.S. IT IS MORE URBAN IN NATURE. THE COUNTY CONSISTS OF A LARGE URBAN CENTER SURROUNDED BY SMALLER, MORE RURAL COMMUNITIES AND IS PART OF THE WASHINGTON ARLINGTON ALEXANDRIA METROPOLITAN STATISTICAL AREA. BASED ON 2021 CENSUS, PRINCE WILLIAM COUNTY REMAINED THE SECOND-MOST POPULOUS COUNTY IN THE STATE OF VIRGINIA WITH MORE THAN 540,000 RESIDENTS. THE CITY OF MANASSAS HAS AN ESTIMATED POPULATION OF 41,723 RESIDENTS. THE CITY OF MANASSAS PARK ESTIMATED POPULATION IS 17,095 AND PRINCE WILLIAM COUNTY'S POPULATION IS ESTIMATED AT 465,243 RESPECTIVELY. PRINCE WILLIAM COUNTY AND THE CITY OF MANASSAS HAVE EXPERIENCED STEADY POPULATION GROWTH. REGIONAL POPULATION PROJECTIONS ESTIMATE CITY OF MANASSAS WILL GROW 17%. AMD PRINCE WILLIAM COUNTY WILL GROW 41% BY 2040. CHILDREN UNDER 18 YEARS OLD MAKE UP ONE-FOURTH (25%) OF THE POPULATION IN GREATER PRINCE WILLIAM COUNTY. SENIORS MAKE UP 11.3% OF AND 11.2% OF THE POPULATION IN THE CIY OF MANASSAS AND PRINCE WILLIAM COUNTY, RESPECTIVELY. FAUQUIER COUNTY'S 65AND OLDER POPULATION IS HIGHER THAN THE STATE AVERAGE AT 18.3%. MEDIAN AGE CONTINUES TO INCREASE, AND WE CAN SEE A SHIFT IN THE POPULATION FROM ADOLESCENTS TO SENIORS AS OUR POPULATION CONTINUES TO AGE. THIS TREND MAY PUT A STRAIN ON HEALTHCARE SERVICES IN PRINCE WILLIAM COUNTY BECAUSE HEALTH CARE FOR OLDER INDIVIDUALS ARE DIFFERENT FROM THAT PROVIDED TO OTHER AGE GROUPS IN SEVERAL RESPECTS: GREATER RESOURCE DEMANDS, THE INTERTWINING OF PROFESSIONAL HEALTH SERVICES WITH SOCIAL SERVICES, THE FREQUENT OCCURRENCE OF IMPORTANT ETHICAL CONUNDRUMS, AND A HIGHER PREVALENCE OF PHYSICAL AND MENTAL DISABILITIES.NON-WHITE MINORITIES CURRENTLY MAKE UP 48.8% OF THE RACIAL DEMOGRAPHIC IN PRINCE WILLIAM COUNTY AND 45.1% OF THE RACIAL DEMOGRAPHIC IN THE CITY OF MANASSAS. THE SPECIFIC POPULATION GROUPS (ETHNIC AND CULTURAL) ARE AS FOLLOWS FOR PRINCE WILLIAM COUNTY: WHITE NON-HISPANIC 51.3%; BLACK/AFRICAN-AMERICAN 21.2%; HISPANIC 25.9%; OTHER 10.9%. THE SPECIFIC POPULATION GROUPS (ETHNIC AND CULTURAL) ARE AS FOLLOWS FOR CITY OF MANASSAS: WHITE NON-HISPANIC 54.9%; BLACK/AFRICAN-AMERICAN 14.3%; HISPANIC OR LATINO 40.1%; OTHER 18.6%.ACCORDING TO THE US CENSUS BUREAU DATA, THE MEDIAN HOUSEHOLD INCOME LEVEL WAS $106,704 IN PRINCE WILLIAM, $84,376 IN MANASSAS CITY, AND $104,260 IN FAUQUIER. THE POVERTY RATE FOR PRINCE WILLIAM COUNTY AND CITY OF MANASSASARE 5.8%, AND 8.4%, RESPECTIVELY.THERE ARE THREE ACUTE CARE HOSPITALS IN THE COMMUNITY, TWO OF WHICH ARE THE ORGANIZATION. THE OTHER IS ANOTHER NON-PROFIT HOSPITAL. STATISTICAL INFORMATION WAS GATHERED FROM VARIOUS STATE AND FEDERAL SOURCES BUT PRIMARILY THE US CENSUS BUREAU. SPECIFIC REFERENCES AND OTHERSUPPORTING 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:	PROMOTION OF COMMUNITY HEALTHTHE 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 STATE CHILDREN'S HEALTH INSURANCE PROGRAM (SCHIP) AND 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:	AFFILIATED HEALTH CARE SYSTEMTHE HOSPITAL FACILITY IS PART OF THE UVA COMMUNITY HEALTH ENTERPRISE, AN INTEGRATED NETWORK OF NOT-FOR-PROFIT, TAX-EXEMPT ENTITIES THAT INCLUDES PHYSICIAN OFFICES, OUTPATIENT FACILITIES AND COMMUNITY MEDICAL CENTERS. UVA COMMUNITY HEALTH AND ITS COMPONENT ENTITIES, ALONG WITH THE UNIVERSITY OF VIRGINIA MEDICAL CENTER, THE UVA SCHOOL OF MEDICINE, UVA SCHOOL OF NURSING, UVA PHYSICIANS GROUP, AND THE CLAUDE MOORE HEALTH SCIENCES LIBRARY, COMPRISE UVA HEALTH. 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 PRINCE WILLIAM 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 (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
ART FACTORY CENTER FOR THE ARTS DBA CENTER FOR THE ARTS OF GREATER MANASSAS
9419 BATTLE STREET	MANASSAS	VA	20110	521338092	501(C)(3)	$15,593	$0	COMMUNITY OUTREACH
BRAIN INJURY SERVICES
8136 OLD KEENE MILL RD B-102	SPRINGFIELD	VA	22152	541346045	501(C)(3)	$10,000	$0	COMMUNITY OUTREACH
CHRIS ATWOOD FOUNDATION INC
PO BOX 9282	RESTON	VA	20195	462749211	501(C)(3)	$12,000	$0	COMMUNITY OUTREACH
FUTURE KINGS
8170 FLANNERY CT	MANASSAS	VA	20110	204572642	501(C)(3)	$10,000	$0	COMMUNITY OUTREACH
GEORGE MASON UNIVERSITY FOUNDATION INC
4326 DALE BOULEVARD	WOODBRIDGE	VA	22193	541590421	501(C)(3)	$7,000	$0	COMMUNITY OUTREACH
HISTORIC MANASSAS INC
9431 WEST STREET	MANASSAS	VA	20110	541347862	501(C)(3)	$12,500	$0	COMMUNITY OUTREACH
NAMI PRINCE WILLIAM
PO BOX 1423	WOODBRIDGE	VA	22195	640958983	501(C)(3)	$10,000	$0	COMMUNITY OUTREACH
NORTHERN VIRGINIA FAMILY SERVICE
1173 W MAIN ST	ABINGDON	VA	24210	540763686	501(C)(3)	$12,500	$0	COMMUNITY OUTREACH
NORTHERN VIRGINIA FOOD RESCUE
1173 W MAIN ST	ABINGDON	VA	24210	540763686	501(C)(3)	$16,000	$0	COMMUNITY OUTREACH
NORTHERN VIRGINIA VETERANS ASSOCIATION
PO BOX 7521	ARLINGTON	VA	22207	263029233	501(C)(3)	$10,000	$0	COMMUNITY OUTREACH
PRINCE WILLIAM CHAMBER OF COMMERCE
9733 BUCHANAN LOOP	MANASSAS	VA	20110	272875613	501(C)(6)	$20,500	$0	COMMUNITY OUTREACH
PWCPS EDUCATION FOUNDATION (SPARK)
PO BOX 389	MANASSAS	VA	20108	541498824	501(C)(3)	$6,750	$0	COMMUNITY OUTREACH
THE HOUSE INC
14000 CROWN CT STE 105	WOODBRIDGE	VA	22193	202947568	501(C)(3)	$10,000	$0	COMMUNITY OUTREACH
YOUTH FOR TOMORROW - NEW LIFE CENTER INC
11835 HAZEL CIRCLE DR	BRISTOW	VA	20136	521342268	501(C)(3)	$20,000	$0	COMMUNITY OUTREACH

Field	Value	IRS element (for citing)
Total501c3 Org	13	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

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 (12 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
ERIK SHANNON
CEO (UVACH SYSTEM)	$712,593	$0	$0	$0	$2,788	$0	$298,688	$0	$37,637	$0	$1,051,706	$0	$0	$0
KIRSTEN GREEN MD
TRUSTEE	$0	$763,203	$0	$154,280	$0	$62,678	$0	$27,180	$0	$32,119	$0	$1,039,460	$0	$0
CHARLES CODER
CFO (UVACH SYSTEM)	$371,199	$0	$78,116	$0	$1,502	$40,554	$15,797	$0	$36,496	$0	$503,110	$40,554	$0	$0
MARY FRANCES SOUTHERLAND
INTERIM SECRETARY/TRUSTEE	$0	$400,540	$0	$80,000	$0	$424	$0	$22,730	$0	$18,972	$0	$522,666	$0	$0
DOUGLAS MARKERT
VP, CHIEF CLINICAL OFFICER	$395,599	$0	$72,000	$0	$1,538	$0	$15,185	$0	$24,649	$0	$508,971	$0	$0	$0
CHRIS HEATON MD
TRUSTEE (PWHS EMPLOYEE)	$0	$327,454	$0	$12,115	$0	$105,475	$0	$18,985	$0	$38,781	$0	$502,810	$0	$0
ZAN ZAIDI
VP, CMO	$394,420	$0	$60,000	$0	$1,538	$0	$19,800	$0	$24,407	$0	$500,165	$0	$0	$0
JOSEPH SCOTT HAAS
ASSOCIATE CMIO	$292,487	$0	$42,000	$0	$0	$0	$17,308	$0	$35,891	$0	$387,686	$0	$0	$0
CAROLYN MATTHEWS
OB GYN ONCOLOGIST	$304,619	$0	$0	$0	$0	$0	$0	$0	$16,661	$0	$321,280	$0	$0	$0
KELI WILSON
PHYSICIST	$264,058	$0	$14,665	$0	$6,336	$0	$6,426	$0	$24,279	$0	$315,764	$0	$0	$0
CATHERINE KELLEY
VP CHRO (UVACH SYSTEM)	$226,784	$0	$37,600	$0	$904	$0	$11,811	$0	$24,488	$0	$301,587	$0	$0	$0
STEPHEN SMITH MD
FORMER PRESIDENT/COO	$0	$0	$0	$0	$102,010	$0	$0	$0	$0	$0	$102,010	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 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 COMMUNITY HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS, AND OTHER HEALTHCARE SERVICES PROVIDERS (COLLECTIVELY KNOWN AS "UVA COMMUNITY HEALTH OR "UVACH"). UVACH, IN COMBINATION WITH ITS SOLE MEMBER, THE UNIVERSITY OF VIRGINIA MEDICAL CENTER ("THE MEDICAL CENTER"), THE UVA SCHOOL OF MEDICINE, UVA SCHOOL OF NURSING, UVA PHYSICIANS GROUP, AND THE CLAUDE MOORE HEALTH SCIENCES LIBRARY, COMPRISE UVA HEALTH. THE FILING ORGANIZATION, UVA PRINCE WILLIAM MEDICAL CENTER, IS AN INTEGRAL PART OF UVA COMMUNITY HEALTH AND UVA HEALTH. THE COMPENSATION OF THE UVA COMMUNITY HEALTH CEO IS ESTABLISHED USING A HOLISTIC SET OF COMPENSABLE FACTORS AND VARIABLE PAY OPTIONS INTENDED TO ASSIST WITH THE RECRUITMENT AND RETENTION OF EXCEPTIONAL OR MISSION-CRITICAL EMPLOYEES AND APPROVED BY THE CHIEF EXECUTIVE OFFICER OF UVA HEALTH ON BEHALF OF THE MEDICAL CENTER AND THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA.
PART I, LINE 4A:	SEVERANCE PLAN: ELIGIBLE EXECUTIVES MAY RECEIVE SEVERANCE PAY THAT IS BASED ON ANNUAL COMPENSATION FOR A SPECIFIED PERIOD OF TIME. ANY CURRENT YEAR PAYMENTS HAVE BEEN INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN PART VII AND IN COLUMN (B)(III) OF SCHEDULE J. - STEPHEN SMITH, MD: $102,010
PART I, LINE 4B:	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: THE UVA COMMUNITY HEALTH 457F PLAN, IMPLEMENTED 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, IS INTENDED TO SUPPORT RETENTION OF THE CEO AND TO OFFER COMPETITIVE TOTAL COMPENSATION. ANNUAL CONTRIBUTIONS/DEFERRALS TO THE PLAN ARE BASED ON A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AS OF JANUARY 1ST AND ARE REPORTED IN COLUMN (C) OF SCHEDULE J ANNUALLY. AMOUNTS VEST AFTER 3 YEARS ON DECEMBER 31ST. - L. ERIK SHANNON: $296,888
PART I, LINE 7:	NONFIXED PAYMENTS (BONUSES): 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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1	UVA PRINCE WILLIAM MEDICAL CENTER IS PART OF THE UVA COMMUNITY HEALTH ENTERPRISE, AN INTEGRATED NETWORK OF NOT-FOR-PROFIT, TAX-EXEMPT ENTITIES THAT INCLUDES PHYSICIAN OFFICES, OUTPATIENT FACILITIES AND COMMUNITY MEDICAL CENTERS. UVA COMMUNITY HEALTH AND ITS COMPONENT ENTITIES, ALONG WITH THE UNIVERSITY OF VIRGINIA MEDICAL CENTER, THE UVA SCHOOL OF MEDICINE, UVA SCHOOL OF NURSING, UVA PHYSICIANS GROUP, AND THE CLAUDE MOORE HEALTH SCIENCES LIBRARY, COMPRISE UVA HEALTH. GENERAL INFORMATION UVA HEALTH PRINCE WILLIAM MEDICAL CENTER IS LOCATED IN MANASSAS, VA., AND UVA HEALTH HAYMARKET MEDICAL CENTER IS LOCATED IN HAYMARKET, VA. THE MEDICAL CENTERS ARE FOCUSED ON CULTIVATING HEALTHY COMMUNITIES BY PROVIDING COMMUNITY SUPPORT, CONSISTENT QUALITY, EXCELLENT SERVICES, AND AN EXCEPTIONAL WORK ENVIRONMENT FOR TEAM MEMBERS. THE MEDICAL CENTERS ARE COMMITTED TO MEETING THE HEALTH CARE NEEDS OF RESIDENTS OF MANASSAS, MANASSAS PARK, PRINCE WILLIAM, AND SURROUNDING COUNTIES IN VIRGINIA. IN ADDITION TO OUR QUALITY AND COMPREHENSIVE CATEGORIES OF SERVICES, UVA COMMUNITY HEALTH IS PROUD TO OFFER A PATIENT FINANCIAL ASSISTANCE PROGRAM. WE PARTNER 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 PRINCE WILLIAM 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 NAMI, THERAPEUTIC RIDING FOR ADOLESCENTS WITH MENTAL HEALTH DIFFERENCES, CASA, YOUTH FOR TOMORROW, MANASSAS CITY PUBLIC SCHOOLS EDUCATION FOUNDATION, PRINCE WILLIAM COUNTY PUBLIC SCHOOL FOUNDATION (SPARK), THE ARTFACTORY, WELLNESS IN THE ARTS PROGRAM, BRAIN INJURY SERVICES, AND SERVING OUR WILLING WARRIORS. IN 2023 AND 2024, UVA PRINCE WILLIAM MEDICAL CENTER HOSTED EDUCATION SESSIONS AND SCREENINGS FOR THE COMMUNITY WHICH INCLUDED: - BLOOD PRESSURE SCREENINGS, BODY MASS INDEX SCREENINGS, AND HEART HEALTH EDUCATION AT MULTIPLE COMMUNITY EVENTS. - HEART HEALTH EDUCATION AND SCREENING AT EAST END MOBILE HOME PARK COMMUNITY WITH SPANISH LANGUAGE TRANSLATION SERVICES. - EDUCATION ON PREVENTATIVE CARE TO COMBAT CHRONIC DISEASE AT FESTIVALS, FARMERS MARKETS AND VARIOUS OUTREACH EVENTS WITH A FOCUS ON ETHNIC COMMUNITIES THAT HAVE HIGHER RISK FACTORS FOR CHRONIC DISEASE SUCH AS BLACK, AFRICAN AMERICAN, AND HISPANIC/LATINO. - FUTURE KINGS DIABETES RESEARCH FOCUSED ON WELLNESS AND PREVENTION FOR THE BLACK AND AFRICAN AMERICAN COMMUNITY. - CFH INC. & CROSSROADS CONNECTION FOR FOOD INSECURITY. - LIFE LONG LEARNING INSTITUTE PRESENTATIONS FOR SENIORS ON THE AGING HEART AND ACID REFLUX. PRINCE WILLIAM MEDICAL CENTER PROVIDED 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: - VIRTUAL EVENT ON SUBSTANCE ABUSE AWARENESS & PREVENTION WITH MANASSAS CITY POLICE DEPARTMENT. - WORKFORCE PIPELINE PROGRAM SUPPORT FOR THE ORGANIZATION HIRE GROUND, FOCUSED ON MOTIVATING 11-12TH GRADERS AT RISK OF DROPPING OUT OF SCHOOL TO STAY ENROLLED UNTIL GRADUATION FROM HIGH SCHOOL. - SUPPORT PRINCE WILLIAM COUNTY SCHOOLS DISCOVERY ENRICHMENT SUMMER PROGRAM IN MATHEMATICS AND STEM-H. - DRUG TAKE BACK DAY EVENTS HELD IN PARTNERSHIP WITH LOCAL POLICE DEPARTMENTS AND DRUG ENFORCEMENT AGENCY. ADDITIONALLY, WE CREATED EDUCATION ABOUT STROKE PREVENTION IN ENGLISH AND SPANISH THAT WAS DISTRIBUTED THROUGH OUR COMMUNITY. BOTH PRINCE WILLIAM MEDICAL CENTER AND HAYMARKET MEDICAL CENTER CONTINUE TO PROVIDE FINANCIAL AND HUMAN RESOURCES TO CARE FOR PATIENTS AT THE MOTHER OF MERCY FREE CLINICS AND THE GREATER PRINCE WILLIAM COMMUNITY HEALTH CENTER. NEW TECHNOLOGY & SERVICES IN 2024, UVA COMMUNITY HEALTH FACILITIES CONTINUED FOCUS ON DELIVERING A REMARKABLE PATIENT EXPERIENCE WHILE MAKING HEALTHCARE MORE CONVENIENT AND EASIER TO ACCESS FOR THE COMMUNITY. - PRINCE WILLIAM MEDICAL CENTER OPENED ITS NEW CATHETERIZATION/EP LAB, THE FIRST OF ITS KIND IN THE UVA HEALTH SYSTEM. - PRINCE WILLIAM MEDICAL CENTER RENOVATED THE INTERVENTIONAL RADIOLOGY SUITE. ACCREDITATIONS, AWARDS, RECOGNITIONS & CERTIFICATIONS/RECERTIFICATIONS PRINCE WILLIAM MEDICAL CENTER: - THE LEAPFROG GROUP A GRADE FOR PATIENT SAFETY IN SPRING AND FALL 2024 GRADING PERIOD. - AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES BRONZE PLUS FOR CORONARY ARTERY DISEASE STEMI RECEIVING BRONZE PLUS. - AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES STROKE GOLD PLUS WITH HONOR ROLL ELITE. - HIGH PERFORMING HOSPITAL FOR HEART ATTACK BY U.S. NEWS & WORLD REPORT. - GREAT COMMUNITY HOSPITALS 2024 BY BECKER'S HOSPITAL REVIEW. - NEWSWEEK HIGH PERFORMING HEART ATTACK CATEGORY FOR OUTSTANDING CARDIAC CARE. - 2024 TOP DOCTORS IN NORTHERN VA MAGAZINE. - FULLY ACCREDITED BY THE JOINT COMMISSION, AN INDEPENDENT ORGANIZATION THAT EVALUATES A HEALTHCARE ORGANIZATION'S PERFORMANCE IN AREAS MOST AFFECTING PATIENT HEALTH AND SAFETY: - THE JOINT COMMISSION PRIMARY HEART ATTACK CENTER INITIAL ACCREDITATION. - THE JOINT COMMISSION ADVANCED STROKE CENTER RECERTIFICATION. - AMERICAN NURSING CREDENTIALING CENTER MAGNET RECOGNITION, THE HIGHEST AND MOST PRESTIGIOUS DISTINCTION FOR NURSING EXCELLENCE AND HIGH-QUALITY PATIENT CARE. - AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION CERTIFICATION. - AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES RECOGNITION FOR STROKE GOLD PLUS WITH HONOR ROLL AND HEART FAILURE GOLD PLUS WITH HONOR ROLL. - COLLEGE OF AMERICAN PATHOLOGISTS ACCREDITATION LABORATORY ACCREDITATION PROGRAM. - AMERICAN COLLEGE OF SURGEONS COMMISSION CANCER PROGRAM CERTIFICATION. - LESLIE EBERT SYNERGY FOR LIFE AWARD, WASHINGTON REGIONAL TRANSPLANT COMMUNITY. - BLUE DISTINCTION CENTER FOR KNEE / HIP REPLACEMENT BY BCBS. - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS ACCREDITATION. - FDA CERTIFICATION FOR EXCELLENCE IN MAMMOGRAPHY SERVICES FOR EARLY BREAST CANCER DETECTION. - AABB ACCREDITATION FOR DEMONSTRATING THE HIGHEST STANDARDS OF CARE IN ALL ASPECTS OF BLOOD SERVICES, INCLUDING TRANSFUSION MEDICINE, CELLULAR THERAPIES, TRANSPLANTATION AND TESTING. HAYMARKET MEDICAL CENTER: - FULLY ACCREDITED BY THE JOINT COMMISSION, AN INDEPENDENT ORGANIZATION THAT EVALUATES A HEALTHCARE ORGANIZATION'S PERFORMANCE IN AREAS MOST AFFECTING PATIENT HEALTH AND SAFETY. - NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS ACCREDITATION. - FDA CERTIFICATION FOR EXCELLENCE IN MAMMOGRAPHY SERVICES FOR EARLY BREAST CANCER DETECTION. - AMERICAN COLLEGE OF SURGEONS COMMISSION CANCER PROGRAM CERTIFICATION. - AMERICAN COLLEGE OF RADIOLOGY RECOGNITION FOR CT, MAMMOGRAPHY, MRI, NUCLEAR MEDICINE, BREAST ULTRASOUND, ULTRASOUND-GUIDED BIOPSY, AND VASCULAR ULTRASOUND. - PRESS GANEY HX GUARDIANS OF EXCELLENCE AWARD FOR UVA HEALTH THERAPY SERVICES HAYMARKET. - INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABORATORIES. - COLLEGE OF AMERICAN PATHOLOGISTS ACCREDITATION LABORATORY ACCREDITATION PROGRAM. - 2024 TOP DOCTORS IN NORTHERN VA MAGAZINE. - THE LEAPFROG GROUP A GRADE FOR PATIENT SAFETY IN SPRING AND FALL 2024 GRADING PERIOD. FOR MORE INFORMATION, VISIT: PRINCE WILLIAM MEDICAL CENTER IN PRINCE WILLIAM, VIRGINIA (UVAHEALTH.COM) HTTPS://UVAHEALTH.COM/LOCATIONS/UVA-HEALTH-PRINCE-WILLIAM-MEDICAL-CENTER -5597282 HAYMARKET MEDICAL CENTER IN NORTHERN VIRGINIA (UVAHEALTH.COM) HTTPS://UVAHEALTH.COM/LOCATIONS/UVA-HEALTH-HAYMARKET-MEDICAL-CENTER-5597 284
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	THE SOLE MEMBER, UVA PRINCE WILLIAM HEALTH SYSTEM HAS CERTAIN RIGHTS AND POWERS WITH REGARD TO THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE MEMBER OF THE ORGANIZATION, UVA PRINCE WILLIAM HEALTH SYSTEM HAS THE POWER TO APPOINT ALL MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7B	AS THE SOLE MEMBER, UVA PRINCE WILLIAM HEALTH SYSTEM 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	THE REVIEW OF THE 990 IS PERFORMED BY THE CHIEF FINANCIAL OFFICER OF UVA COMMUNITY HEALTH, INC. ALL BOARD MEMBERS HAVE RECEIVED A COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	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	THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINING ALL ORGANIZATIONS IN THE UVA COMMUNITY HEALTH SYSTEM, INCLUDING THE FILING ORGANIZATION, 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	HEALTH PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 43,986,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,986,400. ADMIN FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,778,072. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,778,072. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 7,377,997. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,377,997. FOOD SERVICE: PROGRAM SERVICE EXPENSES 3,617,995. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,617,995. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 963,299. MANAGEMENT AND GENERAL EXPENSES 83,764. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,047,063.
FORM 990, PART XI, LINE 9:	INTERCOMPANY DISTRIBUTIONS/TRANSFERS -2,361,028.

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
UVA CULPEPER MEDICAL CENTER
501 SUNSET LANE	CULPEPER	VA	22701	540622371	HEALTHCARE	VA	501(C)(3)	LINE 3	UVA COMMUNITY HEALTH INC	0
UVA CATON MERCHANT HOUSE ASSISTED LIVING
8700 SUDLEY RD STE 411	MANASSAS	VA	20110	541291284	HEALTHCARE	VA	501(C)(3)	LINE 10	UVA PRINCE WILLIAM HEALTH SYSTEM	0
UVA PRINCE WILLIAM HEALTH SYSTEM
8700 SUDLEY RD STE 411	MANASSAS	VA	20110	541278944	HEALTHCARE	VA	501(C)(3)	LINE 12C, III-FI	UVA COMMUNITY HEALTH INC	0
UVA COMMUNITY HEALTH INC
8700 SUDLEY RD STE 411	MANASSAS	VA	20110	810868533	HEALTHCARE	VA	501(C)(3)	LINE 12A, I	UVA MEDICAL CENTER	0
UVA COMMUNITY HEALTH FOUNDATION
8700 SUDLEY RD STE 411	MANASSAS	VA	20110	541307595	HEALTHCARE	VA	501(C)(3)	LINE 7	UVA PRINCE WILLIAM HEALTH SYSTEM	0
UNIVERSITY OF VIRGINIA MEDICAL CENTER
1201 LEE STREET	CHARLOTTESVILLE	VA	22902	546001796	HEALTHCARE	VA	GOVERNMENTAL	LINE 6		0	N/A

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	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	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	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd