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CPA Board Treasurer thru 12/31/18 1.7 0.0 X X 0 0 0 Edward C Dalrymple JR Elected Public Member 1.1 0.0 X 0 0 0 Katherine L Acuff JD Elected Public Member 1.0 0.0 X 0 0 0 Richard F Demong PHD Elected Public Member 1.3 0.0 X 0 0 0 Lettie J Bien Elected Public Member 0.2 0.0 X 0 0 0 George W Pace Board Chair,Elected Public Mem 1.3 0.0 X X 0 0 0 Julie Speasmaker Elected Public Member 1.4 0.0 X 0 0 0 Sanford S Williams JD MBA Elected Public Member 0.8 0.0 X 0 0 0 Louise McNamee Elected Public Member 0.8 0.0 X 0 0 0 Mark Lorenzoni Elected Public Member 0.8 0.0 X 0 0 0 Tom Daniel MD Elected Public Member 0.7 0.0 X 0 0 0 Pamela Sutton-Wallace VP & CEO of UVAMC 0.5 0.0 X 0 0 0 Robert H Thiele MD Faculty Elected Director 10.6 39.4 X 372526 100413 29046 Art Saavedra MD Faculty Elected Director 37.9 12.1 X 478691 153389 25388 Alan H Matsumoto MD Faculty Elct Dir thru 12/31/18 39.3 10.7 X 544265 147960 31019 Abhinav B Chhabra MD Pres UPG, Faculty Elected Dir 41.8 8.2 X X 1206189 236225 45539 Mo 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9479154 8128950 1350204 17939517 13341207 4598310 36611309 ALT INV - UVIMCO 100444049 F 100444049 DUE FROM AFFILIATES 26057886 26057886 0 DUE TO AFFILIATES 30363911 LT DEF COMP 138952 30502863 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 29976164 SEE PART IV ORTHOPAEDIC RESEARCH & EDUCATION FOUNDATION 6300 N RIVER ROAD ROSEMONT IL 60018 366009467 501(C)(3) 27000 GENERAL SUPPORT PWH Foundation 5720 59th AVE NE SEATTLE WA 981052028 880327058 501(C)(3) 7760 GENERAL SUPPORT 3 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 David S Wilkes MD Dean, UVA School of Medicine 50000 600019 0 57688 30016 0 0 53880 603 21072 80619 732659 0 0 Scott Syverud MD Vice Chair/Pres/Clinical Staff 189583 91467 60300 0 23773 0 0 10880 453 18018 274109 120365 0 0 Martha Zeiger MD Chair, Surgery thru 03/29/19 0 620107 0 78830 0 0 0 55482 0 21341 0 775760 0 0 Mitchell H Rosner MD Chair, Medicine thru 12/31/18 117000 348852 0 47710 18477 0 0 37227 288 5736 135765 439525 0 0 Robert H Thiele MD Faculty Elected Director 206708 100413 140079 0 25739 0 0 9380 148 19518 372674 129311 0 0 Art Saavedra MD Faculty Elected Director 426492 99809 53580 52199 0 0 9528 2750 13110 481441 176027 0 0 Alan H Matsumoto MD Faculty Elct Dir thru 12/31/18 400100 147960 80822 0 63343 0 0 16080 603 14336 544868 178376 0 0 Abhinav B Chhabra MD Pres UPG, Faculty Elected Dir 664275 236225 465276 0 76638 0 0 25076 229 20234 1206418 281535 0 0 Mo Nadkarni MD Faculty Elected Director 142000 126906 8850 0 26252 0 0 14234 307 2846 177409 143986 0 0 Reid Adams MD Faculty Elctd Dir thru 6/1/19 224100 173174 154654 0 31927 0 0 18774 345 20750 411026 212698 0 0 Rebekah Compton Advance Practice Provider 114039 0 1200 0 13431 0 4043 0 23178 0 155891 0 0 0 Irving L Kron MD Chair of Surgery thru 08/31/17 54167 124633 0 0 5473020 0 0 13278 448 4944 5527635 142855 0 0 Richard P Shannon MD Executive VP for Health Affair 0 770956 0 0 30490 0 0 474691 0 30164 30490 1275811 0 0 Susan Rumsey Chief Financial Officer 239571 0 34268 0 29721 0 6422 0 25649 0 335631 0 0 0 Bradley E Haws CEO thru 08/2018 328427 0 133799 0 41987 0 9689 0 24713 0 538615 0 0 0 J Corey Feist CHIEF EXECUTIVE OFFICER 361419 0 98608 0 42549 0 8639 0 36595 0 547810 0 0 0 Gorav Ailawadi Physician/Professor 550000 285349 332298 17702 64583 0 0 21280 185 20766 947066 345097 0 0 James Gangemi Physician/Professor 700000 297719 400000 0 82955 0 0 31640 219 21265 1183174 350624 0 0 John Kern MD Physician/Professor 550000 199539 342455 7545 70927 0 0 21280 323 12273 963705 240637 0 0 James M Larner Physician/Professor 402367 97665 485725 0 59408 0 0 11981 557 18018 948057 127664 0 0 Philip C Smith Physician/Professor 808886 0 24600 0 103330 0 0 0 36975 0 973791 0 0 0 Gregory B Fairchild PHD MBA Elctd Public Mmbr thru 6/25/18 0 356189 0 0 0 0 0 32206 0 21206 0 409601 0 0 Paul A Levine MD Prs UPG, Chr Otol thru 8/31/17 5880 1717 0 0 3208658 0 0 208 0 105 3214538 2030 0 0 Randolph J Canterbury MD Dean, UVA Sch, Med thru 9/1/15 31500 312348 0 34840 17877 0 0 32922 654 10010 50031 390120 0 0 Lawrence H Phillips II MD Faculty Elct Dir thru 12/31/16 34633 0 0 0 995827 0 0 0 155 0 1030615 0 0 0 Form 990, Part III, Line 1: THE MISSION FOR THE UNIVERSITY 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, 2019, UPG PROVIDED PATIENT CARE AS FOLLOWS: INPATIENTS - 295,676 ; OUTPATIENTS - 996,022; HOME VISITS - 516; NOT CLASSIFIED/UNKNOWN - 1,164. EXPENSES INCURRED BY UPG, FOR THE YEAR ENDING JUNE 30, 2019, IN CARRYING OUT ITS EXEMPT PURPOSES TOTALED $498,997,111. OF THAT AMOUNT, $29,983,914 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 RESOURCES 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 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: $(17,801,000) COMMUNITY HEALTH LLC 4105 LEWIS AND CLARK DRIVE CHARLOTTESVILLE VA 22911 832725805 MED SVCS VA 1624009 0 UPG UNIVERSITY OF VIRGINIA PO BOX 400194 CHARLOTTESVILLE VA 22904 546001796 HIGHER ED. VA 170(C)(1) NA false VIRGINIA UROLOGIC FOUNDATION 4105 LEWIS AND CLARK DRIVE CHARLOTTESVILLE VA 22911 541259576 MEDICAL SRVCS VA 501(c)(3) 10 NA true PIEDMONT LIABILITY TRUST 1020 EDNAM CENTER CHARLOTTESVILLE VA 22903 546280083 INSURANCE VA 501(c)(3) 12 NA true WELL VIRGINIA CORPORATION 4105 LEWIS AND CLARK DR CHARLOTTESVILLE VA 22911 541828615 MEDICAL SERVICES VA SEE PART VII C CORP 0 0 1.00000 true false true false false false false false false false false false false false true true true false false false SCHEDULE R, PART IV, LINE (1), COLUMN (D): DIRECT CONTROLLING ENTITY: UVA PHYSICIANS GROUP