UVA CULPEPER MEDICAL CENTER: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- UVA CULPEPER MEDICAL CENTER (EIN 54-0622371)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-15
- IRS object ID
- 202521359349310062
- 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 | 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 | 22701 | 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 | 0 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
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 | 22701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $194,141,117 | 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 | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 908 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $89,827 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $161,065,017 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $194,936,202 | CYProgramServiceRevenueAmt |
| PY Investment Income | $25,048 | PYInvestmentIncomeAmt |
| CY Investment Income | -$8,191 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,002,761 | PYOtherRevenueAmt |
| CY Other Revenue | -$898,969 | CYOtherRevenueAmt |
| PY Total Revenue | $162,092,826 | PYTotalRevenueAmt |
| CY Total Revenue | $194,118,869 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $331,405 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $129,994 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $57,940,711 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $60,456,449 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $87,792,905 | PYOtherExpensesAmt |
| CY Other Expenses | $106,096,354 | CYOtherExpensesAmt |
| PY Total Expenses | $146,065,021 | PYTotalExpensesAmt |
| CY Total Expenses | $166,682,797 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $16,027,805 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $27,436,072 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $230,225,474 | TotalAssetsBOYAmt |
| Total Assets EOY | $189,186,091 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $82,230,552 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,024,315 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $147,994,922 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $179,161,776 | 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 | $139,803,339 | ExpenseAmt |
| Grant | $129,994 | GrantAmt |
| Revenue | $193,752,782 | 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, 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 2024, THERE WERE 14,139 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 4 DAYS. THERE WERE 5,035 DISCHARGES, 3,656 INPATIENT AND OUTPATIENT SURGERIES, 106,504 OUTPATIENT ENCOUNTERS AND 39,133 EMERGENCY DEPARTMENT VISITS. | Desc |
| Total Program Service Expenses | $139,803,339 | 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 | 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 | Yes (1) | 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 | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 908 | 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 (23 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 - UCB / TRUSTEE INC | 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 | ||||
| STEVE 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 | ||||
| MATT 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 | ||||
| JACKIE 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 | ||||
| DONNA STATON | ||||||||||
| SYSTEM CEO & CMC PRESIDENT | 25.00 | 25.20 | $380,332 | $0 | $58,574 | Yes (X) | ||||
| L ERIK SHANNON | ||||||||||
| CEO (UVACH SYSTEM) | 0.20 | 50.00 | $0 | $715,381 | $336,325 | Yes (X) | ||||
| CHARLES CODER | ||||||||||
| CFO (UVACH SYSTEM) | 0.20 | 50.00 | $0 | $491,371 | $52,293 | Yes (X) | ||||
| NAEL HASAN | ||||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 0.00 | $295,977 | $0 | $12,205 | Yes (X) | ||||
| SARA WHITE | ||||||||||
| SR DIR FINANCE / SYSTEM CONTROLLER | 10.00 | 40.00 | $220,702 | $0 | $33,213 | Yes (X) | ||||
| TIMOTHY W MARTIN | ||||||||||
| DIR PROF & ANCILLARY SVCS | 45.00 | 0.00 | $196,005 | $0 | $12,536 | Yes (X) | ||||
| DENNIS SMITH | ||||||||||
| DIRECTOR OF NURSING | 45.00 | 0.00 | $194,844 | $0 | $25,932 | Yes (X) | ||||
| PHYLLIS COBBINAH | ||||||||||
| RN (ER) | 45.00 | 0.00 | $191,349 | $0 | $9,696 | Yes (X) | ||||
| PATRICIA SLATER | ||||||||||
| DIRECTOR OF COMPLIANCE (THRU 10/23) | 25.00 | 25.00 | $237,387 | $0 | $9,914 | Yes (X) | ||||
| MICHELLE STRIDER | ||||||||||
| FMR CHIEF QUALITY OFFICER CMC / SYSTEM VP CNO | 0.00 | 50.00 | $256,858 | $0 | $38,620 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,973,454 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,112,921 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $748,075 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 84 | 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 PC | |||||
| PO BOX 936824 | ATLANTA | GA | 311936824 | HEALTH SERVICES | $1,078,425 |
| ENVIRONMENTS FOR HEALTH LLC | |||||
| PO BOX 779062 | CHICAGO | IL | 606779062 | CONSULTING SERVICES | $232,274 |
| NOVA ACCESS SURGERY PLLC | |||||
| 9905 S PARK CIR | FAIRFAX STATION | VA | 22039 | HEALTH SERVICES | $190,513 |
| MAYO MEDICAL LABORATORIES | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | LABORATORY SERVICES | $158,264 |
| PREMIER TURF AND LANDSCAPING INC | |||||
| 16800 BEVERLEY MILL DRIVE | BROAD RUN | VA | 20137 | LANDSCAPE SERVICES | $105,278 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $89,827 | RelatedOrganizationsAmt |
| Total Contributions | $89,827 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $194,441,632 | $194,441,632 |
| PROVIDER BASED CLINICS | 622110 | $494,570 | $494,570 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $194,936,202 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,598 | TotalRevenueColumnAmt |
| Exclusion | $10,598 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $287,910 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,459 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $284,451 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $284,451 | TotalRevenueColumnAmt |
| Exclusion | $284,451 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,789 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$18,789 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$18,789 | TotalRevenueColumnAmt |
| Exclusion | -$18,789 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS REVENUE | 900099 | $122,190 | $122,190 |
| EQUITY IN SUBSIDIARIES | 900099 | -$1,305,610 | -$1,305,610 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$1,183,420 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $194,118,869 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $193,752,782 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $276,260 | 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 | $124,617 | TotalAmt |
| Program Services | $124,617 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,377 | TotalAmt |
| Program Services | $5,377 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,142,619 | TotalAmt |
| Program Services | $742,702 | ProgramServicesAmt |
| Management And General | $399,917 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $321,287 | TotalAmt |
| Program Services | $208,837 | ProgramServicesAmt |
| Management And General | $112,450 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,300,806 | TotalAmt |
| Program Services | $30,745,524 | ProgramServicesAmt |
| Management And General | $16,555,282 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,879,738 | TotalAmt |
| Program Services | $1,221,830 | ProgramServicesAmt |
| Management And General | $657,908 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,377,722 | TotalAmt |
| Program Services | $4,145,519 | ProgramServicesAmt |
| Management And General | $2,232,203 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,434,277 | TotalAmt |
| Program Services | $2,232,280 | ProgramServicesAmt |
| Management And General | $1,201,997 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,312,794 | TotalAmt |
| Program Services | $22,396,491 | ProgramServicesAmt |
| Management And General | $4,916,303 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,589 | TotalAmt |
| Program Services | $186,879 | ProgramServicesAmt |
| Management And General | $52,710 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274,745 | TotalAmt |
| Program Services | $274,745 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,219,250 | TotalAmt |
| Program Services | $1,731,015 | ProgramServicesAmt |
| Management And General | $488,235 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,175 | TotalAmt |
| Program Services | $17,014 | ProgramServicesAmt |
| Management And General | $9,161 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,549 | TotalAmt |
| Program Services | $34,807 | ProgramServicesAmt |
| Management And General | $18,742 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,472 | TotalAmt |
| Program Services | $27,472 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,672,812 | TotalAmt |
| Program Services | $5,445,900 | ProgramServicesAmt |
| Management And General | $226,912 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,405 | TotalAmt |
| Program Services | $20,549 | ProgramServicesAmt |
| Management And General | $856 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PHARMACEUTICALS | $29,232,463 | $29,232,463 |
| MEDICAL SUPPLIES | $17,170,280 | $17,170,280 |
| CORPORATE ALLOCATION | $12,409,345 | $12,409,345 |
| BAD DEBT | $10,683,123 | $10,683,123 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $753,352 | TotalAmt |
| Program Services | $746,570 | ProgramServicesAmt |
| Management And General | $6,782 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,682,797 | TotalAmt |
| Program Services | $139,803,339 | ProgramServicesAmt |
| Management And General | $26,879,458 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,144 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,373,793 | BOYAmt |
| EOY | $1,037,442 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,780,747 | BOYAmt |
| EOY | $18,819,092 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,256 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,123,408 | BOYAmt |
| EOY | $4,496,966 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,752 | BOYAmt |
| EOY | $119,479 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $64,557,980 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,831,331 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,439,892 | BOYAmt |
| EOY | $53,726,649 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,100,890 | BOYAmt |
| EOY | $4,831,673 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,400,358 | BOYAmt |
| EOY | $23,400,358 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,526,234 | BOYAmt |
| EOY | $82,754,432 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,225,474 | BOYAmt |
| EOY | $189,186,091 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,807,557 | BOYAmt |
| EOY | $8,084,715 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,450 | BOYAmt |
| EOY | $342,031 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,545 | BOYAmt |
| EOY | $1,597,569 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,230,552 | BOYAmt |
| EOY | $10,024,315 | 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 | $147,994,922 | BOYAmt |
| EOY | $179,161,776 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,994,922 | BOYAmt |
| EOY | $179,161,776 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,225,474 | BOYAmt |
| EOY | $189,186,091 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $27,436,072 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $3,730,782 | 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 | $10,752 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $10,752 | 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 | $6,192,308 | OtherCostOrOtherBasisAmt |
| Book Value | $6,192,308 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,641,429 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,117,056 | DepreciationAmt |
| Book Value | $10,524,373 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,174,193 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,379,035 | DepreciationAmt |
| Book Value | $29,795,158 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,550,050 | OtherCostOrOtherBasisAmt |
| Depreciation | $335,240 | DepreciationAmt |
| Book Value | $7,214,810 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,726,649 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $62,596,870 |
| THIRD PARTY PAYMENT RECEIVABLE | $18,172,556 |
| RIGHT OF USE ASSET | $1,637,992 |
| LEASE RECEIVABLE | $347,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $82,754,432 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITY | Desc |
| Amt | $1,597,569 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,597,569 | 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 | 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 | $8,717,775 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,723,547 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,994,228 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01280 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,289,394 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,530,713 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $758,682 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,007,169 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,254,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,752,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,907 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,907 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $120,510 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $120,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $94,057 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $94,057 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $250,474 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $250,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,257,643 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $31,254,260 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,003,384 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01930 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $842 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $842 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $89 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $89 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,288 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,288 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,219 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,219 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,683,123 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $37,239,275 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $44,209,207 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$6,969,932 | 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 |
| 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 | 23 | 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 |
| 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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION A, LINE 1: | HTTPS://UVAHEALTH.COM/LOCATIONS/CULPEPER-MEDICAL-CENTER-5597271 |
| 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. |
| 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 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 HOSPITAL FACILITY IS A PART OF THE COMMUNITY 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, 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 OBGYN PART OF CMC | ||||
| 633 SUNSET LANE | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 4 - UVA HEALTH CARDIOLOGY PART OF CMC | ||||
| 501 SUNSET LANE | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 5 - UVA HEALTH SURGICAL CARE (UROLOGY) | ||||
| 541 SUNSET LANE SUITE 101 | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 6 - UVA HEALTH CANCER CARE PART OF CMC | ||||
| 545 SUNSET LANE | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 7 - UVA HEALTH ORTHOPEDICS PART OF CMC | ||||
| 541 SUNSET LANE SUITE 305 | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 8 - UVA HEALTH SURGICAL CARE PART OF CMC | ||||
| 541 SUNSET LANE SUITE 103 | CULPEPER | VA | 22701 | PHYSICIAN OFFICE |
| 9 - UVA HEALTH THERAPY SERVICES POWELL | ||||
| 1005 GOLF DRIVE | CULPEPER | VA | 22701 | REHABILITATION SERVICES |
| 10 - UVA HEALTH THERAPY SERVICES MEADOWBROOK | ||||
| 425 MEADOWBROOK SHOPPING CENTER | CULPEPER | VA | 22701 | REHABILITATION SERVICES |
Supplemental Information Detail SupplementalInformationDetail (14 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 $10,683,123. |
| 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 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 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 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 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 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 THE 2010 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 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.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 (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| CULPEPER CHAMBER OF COMMERCE | ||||||||
| 629 SPERRYVILLE PIKE STE 100 | CULPEPER | VA | 22701 | 540640609 | 501(C)(6) | $15,005 | $0 | COMMUNITY OUTREACH |
| HERO'S BRIDGE | ||||||||
| 98 ALEXANDRIA PIKE STE 41 | WARRENTON | VA | 201862849 | 812827604 | 501(C)(3) | $7,500 | $0 | COMMUNITY OUTREACH |
| ORANGE FREE CLINIC DBA ORANGE COUNTY FREE CLINIC | ||||||||
| 101C WOODMARK STREET | ORANGE | VA | 22960 | 251922019 | 501(C)(3) | $10,000 | $0 | COMMUNITY OUTREACH |
| PIEDMONT REGIONAL DENTAL CLINIC | ||||||||
| 13296 JAMES MADISON HWY STE B | ORANGE | VA | 22960 | 270625764 | 501(C)(3) | $10,000 | $0 | COMMUNITY OUTREACH |
| RX DRUG ACCESS PARTNERSHIP DBA RX PARTNERSHIP (RXP) | ||||||||
| 1500 FOREST AVE STE 201 | RICHMOND | VA | 23229 | 571186937 | 501(C)(3) | $7,500 | $0 | COMMUNITY OUTREACH |
| VIRGINIA REGIONAL TRANSIT | ||||||||
| PO BOX 2665 | PURCELLVILLE | VA | 20134 | 621441965 | 501(C)(3) | $7,000 | $0 | COMMUNITY OUTREACH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|
| SCHOLARSHIPS | 4 | $4,000 | |||
| MEDICATION/DME FUND | 2 | $370 | |||
| PATIENT TRANSPORTATION | 10 | $1,007 | COST | TRANSPORT FOR PATIENTS |
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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| L ERIK SHANNON | ||||||||||||||
| CEO (UVACH SYSTEM) | $0 | $712,593 | $0 | $0 | $0 | $2,788 | $0 | $298,688 | $0 | $37,637 | $0 | $1,051,706 | $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) | $0 | $371,199 | $0 | $78,116 | $0 | $42,056 | $0 | $15,797 | $0 | $36,496 | $0 | $543,664 | $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 |
| CHRIS HEATON MD | ||||||||||||||
| TRUSTEE - UCB / TRUSTEE INC | $0 | $327,454 | $0 | $12,115 | $0 | $105,475 | $0 | $18,985 | $0 | $38,781 | $0 | $502,810 | $0 | $0 |
| DONNA STATON | ||||||||||||||
| SYSTEM CEO & CMC PRESIDENT | $313,697 | $0 | $65,385 | $0 | $1,250 | $0 | $19,500 | $0 | $39,074 | $0 | $438,906 | $0 | $0 | $0 |
| NAEL HASAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | $268,597 | $0 | $26,780 | $0 | $600 | $0 | $8,652 | $0 | $3,553 | $0 | $308,182 | $0 | $0 | $0 |
| MICHELLE STRIDER | ||||||||||||||
| FMR CHIEF QUALITY OFFICER CMC / SYST | $206,253 | $0 | $49,778 | $0 | $827 | $0 | $13,306 | $0 | $25,314 | $0 | $295,478 | $0 | $0 | $0 |
| SARA WHITE | ||||||||||||||
| SR DIR FINANCE / SYSTEM CONTROLLER | $191,346 | $0 | $29,356 | $0 | $0 | $0 | $11,742 | $0 | $21,471 | $0 | $253,915 | $0 | $0 | $0 |
| PATRICIA SLATER | ||||||||||||||
| DIRECTOR OF COMPLIANCE (THRU 10/23) | $137,896 | $0 | $16,582 | $0 | $82,909 | $0 | $8,227 | $0 | $1,687 | $0 | $247,301 | $0 | $0 | $0 |
| DENNIS SMITH | ||||||||||||||
| DIRECTOR OF NURSING | $182,713 | $0 | $7,166 | $0 | $4,965 | $0 | $11,501 | $0 | $14,431 | $0 | $220,776 | $0 | $0 | $0 |
| TIMOTHY W MARTIN | ||||||||||||||
| DIR PROF & ANCILLARY SVCS | $163,754 | $0 | $32,251 | $0 | $0 | $0 | $0 | $0 | $12,536 | $0 | $208,541 | $0 | $0 | $0 |
| PHYLLIS COBBINAH | ||||||||||||||
| RN (ER) | $158,830 | $0 | $15,769 | $0 | $16,750 | $0 | $9,648 | $0 | $48 | $0 | $201,045 | $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 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 CULPEPER 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. THE SEVERANCE PAY WOULD BE PAID ONLY IN THE EVENT OF CERTAIN TYPES OF EMPLOYMENT TERMINATION, AND IS FURTHER CONTINGENT ON THE SATISFACTION OF OTHER CONDITIONS SUCH AS COMPLIANCE WITH A NON-COMPETITION COVENANT. ANY CURRENT YEAR PAYMENTS HAVE BEEN INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN PART VII AND IN COLUMN (B)(III) OF SCHEDULE J. - PATRICIA SLATER - $82,909 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 CULPEPER 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 CULPEPER MEDICAL CENTER IS LOCATED 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 AND COMPREHENSIVE CATEGORIES OF SERVICES, UVA COMMUNITY HEALTH IS PROUD TO OFFER A PATIENT FINANCIAL ASSISTANCE 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 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 2023 AND 2024, CULPEPER MEDICAL CENTER HOSTED EDUCATION SESSIONS AND SCREENINGS FOR THE COMMUNITY WHICH INCLUDED: - HEALTHCARE CAREER DAYS WHICH INCLUDE MOCK INTERVIEWS AND INTERVIEW SEMINARS. - PROVIDING EDUCATIONAL INFORMATION ON MEDICAID RENEWALS, HEART HEALTHY TIPS, INFORMATION ON MEDICAL GROUP CLINICS, AND ADMINISTERING BLOOD PRESSURE CHECKS AT VARIOUS LOCAL EVENTS. - MEN'S HEALTH LET'S TALK PROSTATE HEALTH IN CULPEPER. - PHYSICAL, OCCUPATION AND SPEECH THERAPY CLINIC AT MADISON DAY IN MADISON COUNTY, PROVIDING SCREENING AND EDUCATION ABOUT BALANCE. - 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. - COHOSTING PAMPER ME PINK EVENT TO RAISE AWARENESS FOR BREAST CANCER AND RAISE MONEY TO FUND FREE MAMMOGRAMS FOR UNDERSERVED INDIVIDUALS. - PROMOTING MENTAL HEALTH AND HEALTHY HABITS FOR CHILDREN AT CHILDREN'S DAY IN THE PARK HOSTED BY HEALTHY CULPEPER. - SENIOR DINNERS HOSTED AT CULPEPER MEDICAL CENTER WITH HEALTH EDUCATION INFORMATION FOR OLDER ADULTS. - LIGHTS OF LOVE TREE LIGHTING CEREMONY. 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 TO EXPAND HEALTHCARE ACCESS. - THE LIVING DREAM FOUNDATION GRANT TO SUPPORT MENTAL HEALTH GATEKEEPER TRAINING AND SCHOLARSHIPS. - AGING TOGETHER SUPPORT TO PROVIDE DEMENTIA TOOLBOX TRAINING FOR CAREGIVERS. - GRANT FUNDING TO HELP THOSE WITH DEVELOPMENTAL DISABILITIES ENTER THE WORKFORCE THROUGH CULPEPER COUNTY PARKS AND RECREATION. - 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. 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 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. - CULPEPER MEDICAL CENTER EXPANDED ITS ORTHOPEDIC SPACE. - UVA HEALTH SURGICAL CARE CULPEPER ADDED UROLOGIC SURGERY. - UVA HEALTH OUTPATIENT IMAGING CULPEPER INSTALLED A NEW 3D MAMMOGRAPHY UNIT. AWARDS, RECOGNITIONS & CERTIFICATIONS/RECERTIFICATIONS - THE LEAPFROG GROUP A GRADE FOR PATIENT SAFETY IN SPRING AND FALL 2024 GRADING PERIOD. - HEALTHGRADES AMERICA'S 100 BEST HOSPITALS FOR: - JOINT REPLACEMENT - ORTHOPEDIC SURGERY - VIRGINIA MATERNITY CENTER BREASTFEEDING FRIENDLY DESIGNATION, "BABY-FRIENDLY" DESIGNATION BY UNICEF AND THE WHO. - BABY FRIENDLY DESIGNATION BY THE WORLD HEALTH ORGANIZATION AND THE UNITED NATIONS CHILDREN'S FUND. - 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. - EARNED A PERFECT SCORE IN THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S MATERNITY PRACTICES IN INFANT NUTRITION AND CARE (MPINC) SURVEY. ACCREDITATION THE JOINT COMMISSION TRIENNIAL ACCREDITATION SURVEY WAS COMPLETED IN MAY 2023. 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. ADDITIONALLY, CULPEPER MEDICAL CENTER MAINTAINS THE FOLLOWING CERTIFICATIONS OR ACCREDITATIONS FROM THE JOINT COMMISSION: - THE JOINT COMMISSION ACUTE HEART ATTACK READY INITIAL ACCREDITATION - THE JOINT COMMISSION TOTAL HIP/KNEE RECERTIFICATION - THE JOINT COMMISSION ACUTE STROKE READY INITIAL ACCREDITATION CULPEPER MEDICAL CENTER'S BREAST CARE 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. 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 | CLASSES OF MEMBERS OR STOCKHOLDERS THE SOLE MEMBER, UVA COMMUNITY HEALTH, INC., HAS CERTAIN RIGHTS AND POWERS WITH REGARDS TO THE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | ELECTION OF MEMBERS AND THEIR RIGHTS AS THE SOLE MEMBER, UVA COMMUNITY HEALTH, INC. HAS THE POWER TO APPOINT ALL MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS THE SOLE MEMBER, UVA COMMUNITY HEALTH, INC. HAS THE POWER TO APPROVE CERTAIN TRANSACTIONS, ACTIONS AND CHANGES TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE REVIEW OF THE 990 IS PERFORMED BY THE CHIEF FINANCIAL OFFICER OF UVA COMMUNITY HEALTH, INC. ALL BOARD MEMBERS HAVE RECEIVED A COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCEMENT OF COI THE ORGANIZATION'S TRUSTEE CONFLICT OF INTEREST POLICY APPLIES TO ALL TRUSTEES, PRINCIPAL OFFICERS OR MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS. ANNUALLY, ALL TRUSTEES ARE SENT A COPY OF THE CONFLICT OF INTEREST POLICY AND RECEIVE INSTRUCTION ON HOW TO DISCLOSE A CONFLICT OF INTEREST. AT THAT TIME, THEY MUST COMPLETE AN ATTESTATION STATEMENT AFFIRMING THEIR ADHERENCE TO THE POLICY. A SUPPLEMENTAL QUESTIONNAIRE IS SENT OUT ANNUALLY THAT INFORMS CERTAIN OF THE FORM 990 DISCLOSURES. IF THE TRUSTEE DISCLOSES A CONFLICT OF INTEREST, THEY MUST RECUSE THEMSELVES FROM DISCUSSIONS AND DELIBERATIONS RELATED TO THE CONFLICTED TRANSACTION. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS DISCLOSURE 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 | CONTRACTUAL SVS - COR: PROGRAM SERVICE EXPENSES 13,560,899. MANAGEMENT AND GENERAL EXPENSES 2,976,783. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,537,682. HEALTH PRO SER: PROGRAM SERVICE EXPENSES 8,022,820. MANAGEMENT AND GENERAL EXPENSES 1,761,107. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,783,927. PURCHASED SERV. & OTH: PROGRAM SERVICE EXPENSES 302,889. MANAGEMENT AND GENERAL EXPENSES 66,488. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 369,377. HOSPITAL SERV: PROGRAM SERVICE EXPENSES 509,883. MANAGEMENT AND GENERAL EXPENSES 111,925. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 621,808. |
| FORM 990, PART XI, LINE 9: | INTERCOMPANY DISTRIBUTIONS/TRANSFERS 3,730,782. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CULPEPER SURGERY CENTER LLC (AS OF 062024) | 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) |
|---|---|---|
| EIN | 541975624 | EIN |
| Primary Activities | INACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UVA CULPEPER MEDICAL CENTER | BusinessNameLine1Txt |
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 (THRU 062024) | |||||||||||||
| 541 SUNSET LANE | CULPEPER | VA | 22701 | 541975624 | HEALTHCARE | VA | UVA CULPEPER MEDICAL CENTER INC | RELATED | -$219,003 | $1,676,042 | 0 | 0 | |
| UVA OUTPATIENT IMAGING CULPEPER LLC | |||||||||||||
| 800 CRESCENT CENTRE DR SUITE 400 | FRANKLIN | TN | 37076 | 843646484 | HEALTHCARE | TN | UVA CULPEPER MEDICAL CENTER INC | RELATED | $1,137,017 | $5,475,996 | 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 | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | 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 |
Comments