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1205626 19386237 13943925 5442312 38285221 ALT INV - UVIMCO 103811429 F 103811429 0 DUE TO AFFILIATES 23487479 LT DEF COMP 104284 23591763 FORM 990, SCHEDULE D, PART V TO SUPPORT INDIVIDUAL DEPARTMENTAL EFFORTS WITHIN ACADEMIC AND CLINICAL MISSIONS. true UNIVERSITY OF VIRGINIA MADISON HALL CHARLOTTESVILLE VA 22904 546001796 GOVT/HIGHER ED 32855778 SEE PART IV ORTHOPAEDIC RESEARCH AND EDUCATION FDN 6300 N RIVER R STE 700 ROSEMONT IL 60018 366009467 501(C)(3) 26000 SEE PART IV 2 SCHEDULE I, PART I, LINE 2: FOR GRANTS TO UVA, A RELATED ORGANIZATION, PERIODIC REPORTS ARE PROVIDED TO THE UNIVERSITY OF VIRGINIA PHYSICIANS GROUP TO SUPPORT THE USE OF THE FUNDS. FOR GRANTS TO OTHER ORGANIZATIONS LISTED, THE UNIVERSITY OF VIRGINIA PHYSICIANS GROUP REVIEWS ANNUAL REPORTS AND TAX RETURNS TO DETERMINE THAT FUNDS WERE USED APPROPRIATELY. SCHEDULE I, PART II, LINE (1), COL (H): HEALTHCARE PROGRAMS/GENERAL SUPPORT X X X false false false false false false false false false Bennett Alford Physician/Professor 10428 14808 22959 0 1776980 0 0 1038 192 1314 1810559 17160 0 0 Abhinav B Chhabra MD President UPG, Faculty Elected 887500 217064 3044 78610 101051 3481 0 23880 229 22505 991824 345540 0 0 James Gangemi Physician/Professor 700000 296967 100000 100000 80726 450 0 31640 219 23951 880945 453008 0 0 Richard P Shannon MD Executive Vice-President for H 0 732920 0 250 31586 7426 0 365340 553 64575 32139 1170511 0 0 John Kern MD Physician/Professor 550000 198412 175000 175000 70300 774 0 16080 323 13744 795623 404010 0 0 Gorav Ailawadi Physician/Professor 607200 195787 175000 175000 6210 1270 0 16080 185 22315 788595 410452 0 0 James M Larner Physician/Professor 412450 96967 510000 0 62018 1062 0 10338 0 20680 984468 129047 0 0 Reid Adams MD Faculty ElCT Dir THRU 6/1/19 224100 420147 184690 40964 34073 1765 0 44995 345 27236 443208 535107 0 0 Martha Zeiger MD CHAIR, SURGERY THRU 3/29/19 68817 832046 0 0 25527 10302 663 9533 0 7923 95007 859804 0 0 David S Wilkes MD Dean, UVA School of Medicine 50000 594702 0 48750 31704 4396 0 58330 603 22827 82307 729005 0 0 Alan H Matsumoto MD FACULTY ELCT DIR THRU 12/31/18 452511 142424 79645 0 23833 1432 0 12180 603 15314 556592 171350 0 0 Art Saavedra MD Faculty Elected Director 436258 101933 24058 38255 53034 97 0 9736 2800 15075 516150 165096 0 0 Mitchell H Rosner MD CHAIR, MEDICINE THRU 12/31/18 121458 353777 0 46341 19618 1905 0 37930 288 24935 141364 464888 0 0 J Corey Feist Chief Operating Officer 396834 9000 102461 0 46525 0 9209 0 23067 0 578096 9000 0 0 Robert H Thiele MD Faculty Elected Director 215978 99093 151655 250 23661 160 0 9380 148 21961 391442 130844 0 0 Scott Syverud MD President, Clinical Staff, 199508 90883 80555 0 31416 396 0 10880 0 17618 311479 119777 0 0 Patrick D Hogan UVA Office of the President 0 421001 0 0 0 484 0 6034 0 2837 0 430356 0 0 Gregory B Fairchild PHD MBA ELCTD PUBLIC MMBR THRU 6/25/18 0 353896 0 5000 0 1354 0 30175 0 23618 0 414043 0 0 Randolph J Canterbury MD DEAN, UVA SCH, MED THRU 9/1/15 0 314158 0 35620 0 2393 0 33438 0 11224 0 396833 0 0 Susan Rumsey Chief Financial Officer 263504 0 37355 0 32551 0 9192 0 21893 0 364495 0 0 0 Mo Nadkarni MD Faculty Elected Director 130000 148794 12500 0 31011 545 0 16612 307 21581 173818 187532 0 0 Robert S Gibson MD President, CliN Staff THRU 6/3 57725 0 17954 0 0 0 0 0 0 0 75679 0 0 0 Lawrence H Phillips II MD Faculty ElCT Dir THRU 12/31/16 56667 0 0 0 0 0 0 0 0 0 56667 0 0 0 Form 990, Part III, Line 1: THE MISSION OF THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM IS TO PROVIDE EXCELLENCE, INNOVATION, AND SUPERLATIVE QUALITY IN THE CARE OF PATIENTS, THE TRAINING OF HEALTH PROFESSIONALS, AND THE CREATION AND SHARING OF HEALTH KNOWLEDGE WITHIN A CULTURE THAT PROVIDES EQUITY, DIVERSITY, AND INCLUSIVENESS. Form 990, Part III, Line 4A: THE UNIVERSITY OF VIRGINIA PHYSICIANS GROUP (UPG) SUPPORTS THE UNIVERSITY OF VIRGINIA BY EMPLOYING PHYSICIANS WHO ARE FACULTY MEMBERS OF THE UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE AND PROVIDE PATIENT CARE, TEACH MEDICAL STUDENTS, ENGAGE IN MEDICAL RESEARCH, AND PROVIDE OTHER HEALTHCARE-RELATED SERVICES IN CONJUNCTION WITH THE UNIVERSITY OF VIRGINIA MEDICAL CENTER. UPG ALSO PROVIDES FUNDS TO THE UNIVERSITY OF VIRGINIA IN SUPPORT OF HEALTH RELATED ACTIVITIES OF THE UNIVERSITY OF VIRGINIA MEDICAL CENTER. FOR THE YEAR ENDED JUNE 30, 2020, UPG PROVIDED PATIENT CARE AS FOLLOWS: INPATIENTS - 278,409 ; OUTPATIENTS - 947,517; HOME VISITS - 434; NOT CLASSIFIED/UNKNOWN - 1,456. EXPENSES INCURRED BY UPG, FOR THE YEAR ENDING JUNE 30, 2020, IN CARRYING OUT ITS EXEMPT PURPOSES TOTALED $499,923,805. OF THAT AMOUNT, $32,855,778 CONSISTED OF GRANTS AND CONTRIBUTIONS TO THE UNIVERSITY OF VIRGINIA." Form 990, Part VI, Section A, Line 2: Directors, officers, key employees or members of their families may receive health care services from a member of the board as a physician of the group. These services are provided in the normal course of business, and all such individuals are charged for the services rendered. Form 990, Part VI, Section B, Line 11b: UPON RECEIPT OF THE DRAFT TAX RETURN FROM THE TAX PROFESSIONALS, UPG FINANCE PERSONNEL THOROUGHLY REVIEW THE RETURN INFORMATION FOR ACCURACY AND COMPLETNESS AND REVIEW THE RETURN WITH THE DIRECTOR OF FINANCE AND CFO. THE REVIEWED RETURN, WITH SUPPORITNG SCHEDULES, IS PROVIDED TO EACH BOARD OF DIRECTORS MEMBER FOR THEIR FINAL REVIEW BEFORE THE RETURN IS FILED WITH THE IRS. Form 990, Part VI, Section B, Line 12C: EMPLOYEES ARE INSTRUCTED TO CONTACT HUMAN RESOURCES REGARDING SITUATIONS THAT MAY POTENTIALLY PRESENT A CONFLICT OF INTEREST. IF NECESSARY, THE DIRECTOR OF HUMAN RESOURCES WILL CONSULT WITH CORPORATE COUNSEL TO DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IN ADDITION TO THE POLICY, UVA PHYSICIANS GROUP ANNUALLY MAILS QUESTIONNAIRES TO ALL BOARD MEMBERS AND KEY EMPLOYEES ASKING ABOUT POTENTIAL CONFLICTS AS PART OF THE TAX RETURN PREPARATION PROCESS. Form 990, Part VI, Section A, Line 15A: AFTER REVIEW BY THE DEAN OF THE SCHOOL OF MEDICINE AND THE CHAIR OF THE UNIVERSITY OF VIRGINIA PHYSICIANS GROUP BOARD OF DIRECTORS, THE CEO'S COMPENSATION IS DISCUSSED BY THE UNIVERSITY OF VIRGINIA PHYSICIANS GROUP COMPENSATION COMMITTEE WHICH IS COMPRISED OF THE PUBLIC MEMBERS OF THE BOARD OF DIRECTORS. CHANGES ARE COMMUNICATED IN WRITING TO THE DIRECTOR OF HUMAN RESOURCES, AND DOCUMENTATION SIGNED BY THE CHAIR OF THE BOARD IS RETAINED IN THE CEO'S PERSONNEL FILE MAINTAINED IN THE HUMAN RESOURCE DEPARTMENT. IN ADDITION, THE FACULTY PRACTICE PLAN EXECUTIVE STAFF COMPENSATION SURVEY AND OTHER RELEVANT SURVEY SOURCES ARE UTILIZED AS A BENCHMARK REGARDING THE CEO'S COMPENSATION. MINUTES OF THE UNIVERSITY OF VIRGINIA PHYSICIANS GROUP COMPENSATION COMMITTEE ARE MAINTAINED TO THE COMMITTEE'S DECISIONS. Form 990, Part VI, Section A, Line 15B: UPG REVIEWS COMPENSATION OF ALL ADMINISTRATIVE EMPLOYEES ON A TWO-YEAR CYCLE. BOTH THE JOB DESCRIPTION AS WELL AS COMPARABLE MARKET DATA ARE ANALYZED. THE GROUP PARTICIPATES IN MULTIPLE SALARY SURVEYS INCLUDING TOWERS WATSON, APPD, THE VIRGINIA SOCIETY FOR HEALTHCARE AND HUMAN RESOURCES AND COMP DATA. IN ADDITION TO THESE SURVEY SOURCES, THE MEDICAL GROUP MANAGEMENT ASSOCIATION SURVEY DATA IS REVIEWED AS APPROPRIATE. THE CEO, BASED ON THE DATA PRESENTED BY THE HUMAN RESOURCES PERSONNEL, REVIEWS DATA AND APPROVES CHANGES FOR OFFICER POSITIONS AFTER REVIEW BY THE UNIVERSITY OF VIRGINIA PHYSICIANS GROUP COMPENSATION COMMITTEE. THE CEO, ALONG WITH OTHER OFFICERS OF THE ORGANIZATION, REVIEW DATA AND RECOMMEND CHANGES FOR APPROVAL BY THE CEO FOR OTHER ADMINISTRATIVE STAFF POSITIONS INCLUDING KEY EMPLOYEES. THE DEAN OF THE SCHOOL OF MEDICINE AND THE PROVOST OF THE UNIVERSITY REVIEW THE COMPENSATION TO THE CLINICAL FACULTY. Form 990, Part VI, SECTION C, Line 19: UVA PHYSICIANS GROUP MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN UNRECOGNIZED NET PERIODIC PENSION COSTS: $(25,180,999) COMMUNITY HEALTH LLC 4105 LEWIS AND CLARK DRIVE CHARLOTTESVILLE VA 22911 832725805 MED SVCS VA 261921 0 UPG UNIVERSITY OF VIRGINIA PO BOX 400194 CHARLOTTESVILLE VA 22904 546001796 HIGHER ED. 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