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Nonprofiteer
← UVA PRINCE WILLIAM MEDICAL CENTER

Form 990 for tax year 2022

Filed by UVA PRINCE WILLIAM MEDICAL CENTER.

What the amendment changed

Compared with the return it replaced , filed 12 May 2023. matched by us Only the Part I totals and the names listed in Part VII are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$163,249,966 changed to $322,317,318
Total expenses
$150,567,285 changed to $321,086,555
Contributions and grants received
$1,270,768 changed to $856,682
Grants paid
$58,850 changed to $188,320
Program service revenue
$160,901,485 changed to $318,283,818
Investment income
$48,079 changed to $440,685
Other revenue
$1,029,634 changed to $2,736,133
Total assets, end of year
$295,890,516 changed to $239,486,817
Total liabilities, end of year
$73,624,898 changed to $36,180,767
Net assets or fund balances, end of year
$222,265,618 changed to $203,306,050
Program services expenses
$138,913,992 changed to $293,730,354
Management and general expenses
$11,653,293 changed to $27,356,201
Program service expenses (Part III)
$138,913,992 changed to $293,730,354

Listed only on the earlier return

  • Ben Wampler MD
  • Ross Switkes MD
  • Shiv Khandelwal MD

Listed only on the later return

  • Douglas Markert
  • Jarrod A Brubaker
  • Joseph Scott Haas
  • Michael H Chaumont
  • Sidi M Benhabib
  • Tina M Stoernell
  • Vipul Parikh MD

Listed under a different title

  • Charles Barrell: TRUSTEE then VICE CHAIR
  • Charles Coder: CFO & TREASURER then CH SYSTEM CFO & TREASURER
  • Chris Heaton MD: TRUSTEE then TRUSTEE (PWHS EMPLOYEE)
  • Erik Shannon: INT. CEO then CH SYSTEM CEO / PRESIDENT
  • Richard Harrington: TRUSTEE then SECRETARY
  • Stephen Nelson: TRUSTEE then TREASURER
  • Stephen Smith MD: PRES & COO / TRUSTEE (THRU 2/2022) then FORMER PRESIDENT/COO (THRU 2/22)

Totals

Total revenue
$322,317,318
Total expenses
$321,086,555
Contributions and grants received
$856,682
Grants paid
$188,320
Program service revenue
$318,283,818
Investment income
$440,685
Other revenue
$2,736,133
Total assets, end of year
$239,486,817
Total liabilities, end of year
$36,180,767
Net assets or fund balances, end of year
$203,306,050
Program services expenses (Part IX)
$293,730,354
Management and general expenses
$27,356,201
Fundraising expenses
$0
Program service expenses (Part III)
$293,730,354

Program services were 91.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $30,000

  • 1e · Government grants (contributions)

    $826,682

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $318,283,818 · related or exempt $318,283,818

  • 3 · Investment income

    total $440,685 · excluded $440,685

  • 6a · Gross rents

    real property $2,310,104

  • 6b · Less rental expenses

    real property $188,333

  • 6c · Rental income or loss

    real property $2,121,771

  • 6d · Net rental income or loss

    total $2,121,771 · excluded $2,121,771

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $325,011 · related or exempt $325,011

  • 11b · Other revenue: EQUITY IN SUBSIDIARIES

    total $289,351 · related or exempt $289,351

  • 11e · Other revenue, total

    $614,362

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $188,320 · program services $188,320

  • 5 · Compensation of officers, directors and key employees

    total $4,156,472 · management and general $4,156,472

  • 6 · Compensation of disqualified persons

    total $1,425,281 · management and general $1,425,281

  • 7 · Other salaries and wages

    total $102,739,639 · program services $94,520,468 · management and general $8,219,171

  • 8 · Pension plan contributions

    total $4,121,399 · program services $3,791,687 · management and general $329,712

  • 9 · Other employee benefits

    total $11,538,250 · program services $10,615,190 · management and general $923,060

  • 10 · Payroll taxes

    total $8,109,945 · program services $7,461,149 · management and general $648,796

  • 11b · Fees: legal

    total $3,385 · management and general $3,385

  • 11g · Fees: other

    total $81,283,997 · program services $74,781,277 · management and general $6,502,720

  • 13 · Office expenses

    total $3,073,877 · program services $2,213,191 · management and general $860,686

  • 14 · Information technology

    total $1,377,799 · program services $1,350,243 · management and general $27,556

  • 16 · Occupancy

    total $4,008,735 · program services $3,407,425 · management and general $601,310

  • 17 · Travel

    total $38,667 · program services $30,160 · management and general $8,507

  • 19 · Conferences, conventions and meetings

    total $154,812 · program services $120,753 · management and general $34,059

  • 20 · Interest

    total $5,362,954 · program services $5,362,954

  • 22 · Depreciation, depletion and amortization

    total $15,964,281 · program services $12,611,782 · management and general $3,352,499

  • 23 · Insurance

    total $496,072 · program services $362,133 · management and general $133,939

  • 24a · Other expenses: BAD DEBT

    total $31,192,320 · program services $31,192,320

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $28,052,002 · program services $28,052,002

  • 24c · Other expenses: PHARMACEUTICALS

    total $9,377,062 · program services $9,377,062

  • 24d · Other expenses: REPAIRS AND MAINTENANCE

    total $7,327,440 · program services $7,254,166 · management and general $73,274

  • 24e · All other expenses

    total $1,093,846 · program services $1,038,072 · management and general $55,774

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $49,673,327 · end of year $100,776

  • 2 · Savings and temporary cash investments

    beginning of year $28,337 · end of year $15,322,779

  • 4 · Accounts receivable

    beginning of year $67,952,550 · end of year $38,811,465

  • 7 · Other notes and loans receivable

    beginning of year $2,267,992 · end of year $2,415,227

  • 8 · Inventories for sale or use

    beginning of year $6,623,301 · end of year $6,441,639

  • 9 · Prepaid expenses and deferred charges

    beginning of year $684,272 · end of year $4,486,208

  • 10a · Land, buildings and equipment: cost or other basis

    $465,510,774

  • 10b · Land, buildings and equipment: accumulated depreciation

    $326,070,656

  • 10c · Land, buildings and equipment, net

    beginning of year $137,481,722 · end of year $139,440,118

  • 11 · Investments: publicly traded securities

    beginning of year $731,417 · end of year $731,417

  • 12 · Investments: other securities

    beginning of year $6,783,980 · end of year $2,625,489

  • 14 · Intangible assets

    beginning of year $15,514,628 · end of year $0

  • 15 · Other assets

    beginning of year $8,148,990 · end of year $29,111,699

  • 17 · Accounts payable and accrued expenses

    beginning of year $52,451,806 · end of year $20,935,960

  • 19 · Deferred revenue

    beginning of year $0 · end of year $9,373,200

  • 24 · Unsecured notes and loans payable

    beginning of year $2,985,305 · end of year $0

  • 25 · Other liabilities

    beginning of year $18,187,787 · end of year $5,871,607

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $222,265,618 · end of year $203,306,050

Mission and programs · 2022

Mission

SEE SCHEDULE O

  • UVA PRINCE WILLIAM MEDICAL CENTER IS MADE UP OF TWO NON-PROFIT, ACUTE CARE HOSPITALS DOING BUSINESS AS UVA PRINCE WILLIAM MEDICAL CENTER ("UVAPMC") AND UVA HAYMARKET MEDICAL CENTER ("UVAHMC"). UVAPMC HAS 130 BEDS AND IS LOCATED IN MANASSAS, VA. UVAHMC IS 60 BEDS AND IS LOCATED IN HAYMARKET, VA. TOGETHER THEY PROVIDE PROGRAMS AND ACTIVITIES THAT PROVIDE ACCESS TO HEALTHCARE AND IMPROVE HEALTH IN OUR COMMUNITY. THEY PROVIDE COMPREHENSIVE SERVICES PROVIDING 24-HOUR, PHYSICIAN STAFFED EMERGENCY DEPARTMENT, FAMILY BIRTH CENTERS, SURGICAL SERVICES, INTENSIVE CARE UNITS AND MORE. OUR MISSION IS TO HELP PEOPLE ACHIEVE AND MAINTAIN OPTIMAL HEALTH BY PROVIDING THE BEST POSSIBLE HEALTHCARE SERVICES. WE ALWAYS MAKE THE NEEDS OF OUR PATIENTS OUR TOP PRIORITY. UVAPMC AND UVAHMC PROVIDE MEDICAL AND OTHER HEALTHCARE (SEE SCHEDULE O) SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. ALL UNINSURED PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE, REGARDLESS OF INCOME LEVEL OR COUNTY OF RESIDENCE, RECEIVE A SELF-PAY DISCOUNT ON HOSPITAL SERVICES. WE ALSO PARTNER WITH LOCAL NON-PROFIT AND GOVERNMENTAL ORGANIZATIONS TO SUPPORT LOCAL EVENTS AND PROVIDE HEALTH AND WELLNESS PROGRAMS. UVAPMC AND UVAHMC WORK WITH LOCAL HIGH SCHOOLS AND COMMUNITY COLLEGES TO PROVIDE TOURS, LECTURES, AND INTERNSHIPS FOR STUDENTS. DURING FISCAL YEAR 2023, BETWEEN THE TWO MEDICAL CENTERS, THERE WERE 39,640 PATIENT DAYS WITH AN AVERAGE LENGTH OF STAY OF 4 DAYS. THERE WERE 9,437 DISCHARGES, 5,217 INPATIENT AND OUTPATIENT SURGERIES, 77,391 OUTPATIENT ENCOUNTERS AND 64,246 EMERGENCY DEPARTMENT VISITS.

    Expenses $293,730,354 · Grants $188,320 · Revenue $318,898,180

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Steven M Danziger

    CHAIR

    Total calculated
    $0
    Hours/week
    0.2 + 1 related
  • Chris Heaton MD

    TRUSTEE (PWHS EMPLOYEE)

    Total calculated
    $467,293
    From this org
    $0
    From related orgs
    $413,954
    Other
    $53,339
    Hours/week
    0.4 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $291,419 related
    Bonus
    $0 + $17,500 related
    Other
    $0 + $105,035 related
    Deferred
    $0 + $15,492 related
    Nontaxable benefits
    $0 + $37,847 related
    Filer's total
    $0 + $467,293 related
  • Vikram Khot MD

    TRUSTEE

    Total calculated
    $10,456
    From this org
    $0
    From related orgs
    $10,456
    Other
    $0
    Hours/week
    0.2 + 45 related
  • Charles Barrell

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.2 + 0.8 related
  • Richard Harrington

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.2 + 0.6 related
  • Stephen Nelson

    TREASURER

    Total calculated
    $0
    Hours/week
    0.2 + 0.4 related
  • Matthew Guilfoyle

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 0.4 related
  • Jacqueline Krick

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 0.4 related
  • Mary Frances Southerland

    TRUSTEE

    Total calculated
    $486,896
    From this org
    $0
    From related orgs
    $449,489
    Other
    $37,407
    Hours/week
    0.2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $357,425 related
    Bonus
    $0 + $64,000 related
    Other
    $0 + $28,064 related
    Deferred
    $0 + $20,451 related
    Nontaxable benefits
    $0 + $16,956 related
    Filer's total
    $0 + $486,896 related
  • Kirsten Green MD

    TRUSTEE

    Total calculated
    $961,852
    From this org
    $0
    From related orgs
    $894,206
    Other
    $67,646
    Hours/week
    0.2 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $755,505 related
    Bonus
    $0 + $78,140 related
    Other
    $0 + $60,561 related
    Deferred
    $0 + $48,918 related
    Nontaxable benefits
    $0 + $18,728 related
    Filer's total
    $0 + $961,852 related
  • Lisa Ann Peacock

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 0.6 related
  • Michelle Metzgar

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 0.6 related
  • Pam Kincheloe RN JD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 0.6 related
  • Vipul Parikh MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 0.6 related
  • Charles Coder

    CH SYSTEM CFO & TREASURER

    Total calculated
    $663,500
    From this org
    $0
    From related orgs
    $617,644
    Other
    $45,856
    Hours/week
    0.4 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $349,433 related
    Bonus
    $0 + $254,781 related
    Other
    $0 + $13,430 related
    Deferred
    $0 + $17,564 related
    Nontaxable benefits
    $0 + $28,292 related
    Filer's total
    $0 + $663,500 related
  • Erik Shannon

    CH SYSTEM CEO / PRESIDENT

    Total calculated
    $925,348
    From this org
    $923,136
    From related orgs
    $0
    Other
    $2,212
    Hours/week
    0.4 + 50 related

    Schedule J breakdown matched by us

    Base
    $83,542
    Bonus
    $145,000
    Other
    $694,594
    Deferred
    $0
    Nontaxable benefits
    $2,212
    Filer's total
    $925,348
  • Joseph Scott Haas

    ASSOCIATE CMIO

    Total calculated
    $393,644
    From this org
    $340,174
    From related orgs
    $0
    Other
    $53,470
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $287,861
    Bonus
    $39,840
    Other
    $12,473
    Deferred
    $18,000
    Nontaxable benefits
    $35,470
    Filer's total
    $393,644
  • Sidi M Benhabib

    MEDICAL PHYSICIST

    Total calculated
    $287,534
    From this org
    $262,148
    From related orgs
    $0
    Other
    $25,386
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $248,195
    Bonus
    $13,953
    Other
    $0
    Deferred
    $3,229
    Nontaxable benefits
    $22,157
    Filer's total
    $287,534
  • Jarrod A Brubaker

    DIRECTOR OF PHARMACY

    Total calculated
    $280,874
    From this org
    $242,810
    From related orgs
    $0
    Other
    $38,064
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $204,250
    Bonus
    $38,560
    Other
    $0
    Deferred
    $11,339
    Nontaxable benefits
    $26,725
    Filer's total
    $280,874
  • Tina M Stoernell

    DIRECTOR RISK MGMT & PT SAFETY

    Total calculated
    $262,470
    From this org
    $227,167
    From related orgs
    $0
    Other
    $35,303
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $190,663
    Bonus
    $36,504
    Other
    $0
    Deferred
    $11,715
    Nontaxable benefits
    $23,588
    Filer's total
    $262,470
  • Michael H Chaumont

    PHARMACIST

    Total calculated
    $261,433
    From this org
    $216,429
    From related orgs
    $0
    Other
    $45,004
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $190,509
    Bonus
    $8,130
    Other
    $17,790
    Deferred
    $12,360
    Nontaxable benefits
    $32,644
    Filer's total
    $261,433
  • Stephen Smith MD

    FORMER PRESIDENT/COO (THRU 2/22)

    Total calculated
    $775,027
    From this org
    $765,754
    From related orgs
    $0
    Other
    $9,273
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $58,732
    Bonus
    $208,363
    Other
    $498,659
    Deferred
    $3,592
    Nontaxable benefits
    $5,681
    Filer's total
    $775,027
  • Douglas Markert

    VP, CHIEF CLINICAL OFFICER

    Total calculated
    $650,253
    From this org
    $607,809
    From related orgs
    $0
    Other
    $42,444
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $373,353
    Bonus
    $188,886
    Other
    $45,570
    Deferred
    $18,300
    Nontaxable benefits
    $24,144
    Filer's total
    $650,253

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3: METHODS USED TO ESTABLISH COMPENSATION
UVA COMMUNITY HEALTH, INC. IS THE PARENT ENTITY OF A NOT-FOR-PROFIT INTEGRATED SYSTEM OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS, AND OTHER HEALTHCARE SERVICES PROVIDERS (COLLECTIVELY KNOWN AS "UVA COMMUNITY HEALTH"). UVACH, IN COMBINATION WITH ITS SOLE MEMBER, THE UNIVERSITY OF VIRGINIA MEDICAL CENTER ("THE MEDICAL CENTER"), COMPRISE UVA HEALTH. THE FILING ORGANIZATION IS AN INTEGRAL PART OF UVA COMMUNITY HEALTH AND UVA HEALTH. THE COMPENSATION OF THE UVA COMMUNITY HEALTH CEO IS ESTABLISHED USING A HOLISTIC SET OF COMPENSABLE FACTORS AND VARIABLE PAY OPTIONS INTENDED TO ASSIST WITH THE RECRUITMENT AND RETENTION OF EXCEPTIONAL OR MISSION-CRITICAL EMPLOYEES AND APPROVED BY THE CHIEF EXECUTIVE OFFICER OF UVA HEALTH ON BEHALF OF THE MEDICAL CENTER AND THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA.
PART I, LINE 4A - SEVERANCE PLAN:
ELIGIBLE EXECUTIVES MAY RECEIVE SEVERANCE PAY THAT IS BASED ON ANNUAL COMPENSATION FOR A SPECIFIED PERIOD OF TIME. ANY CURRENT YEAR PAYMENTS HAVE BEEN INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN PART VII AND IN COLUMN (B)(III) OF SCHEDULE J. - STEPHEN SMITH, MD: $428,441
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS:
THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") PAYMENTS MADE IN 2022 ARE THE FINAL PAYMENTS ATTRIBUTABLE TO PARTICIPATION IN THE PLAN OFFERED BY NOVANT HEALTH, INC. PRIOR TO THE UVA MEDICAL CENTER BECOMING THE SOLE MEMBER OF UVA COMMUNITY HEALTH, INC. ("UVACHI") AND THE INTEGRATION OF UVACHI AND ITS SUBSIDIARIES INTO UVA HEALTH. THE PLAN WAS INTENDED TO SUPPORT RETENTION OF KEY EXECUTIVES AND TO OFFER COMPETITIVE TOTAL COMPENSATION. ELIGIBLE EXECUTIVES WERE NOMINATED BY THE CEO AND APPROVED BY THE NOVANT HEALTH COMPENSATION AND LEADERSHIP COMMITTEE ("THE COMMITTEE") FOR PARTICIPATION. ANNUAL CONTRIBUTIONS TO THE PLAN WERE BASED ON A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AS OF JANUARY 1ST OF THE PREVIOUS PLAN YEAR AND WERE REPORTED IN COLUMN (C) OF SCHEDULE J. PRIOR TO MAKING THE CONTRIBUTIONS, THE COMMITTEE REVIEWED AND APPROVED AMOUNTS AS TO REASONABLENESS, WHEN COMBINED WITH ALL OTHER ANNUAL COMPENSATION. A 3 YEAR CLASS-YEAR VESTING PERIOD WOULD APPLY UP TO AGE 62, WHEN ALL MONEY WOULD BE VESTED AND PAID OUT TO THE PARTICIPANT. FOR THE FINAL PAYMENTS LISTED, VESTING OCCURRED ON JANUARY 1, 2022. - JOSEPH SCOTT HAAS: $7,857 - STEPHEN SMITH, MD: $70,218 - CHRIS HEATON, MD: $10,793 ERIK SHANNON SERVED AS AN INDEPENDENT CONTRACTOR FROM JANUARY THROUGH NOVEMBER BEFORE BEING HIRED AS A FULL TIME EMPLOYEE. THIS PAYMENT IS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III).
PART I, LINE 7: NONFIXED PAYMENTS
DEPENDING ON INDIVIDUAL PERFORMANCE, SOME EMPLOYEES MAY BE ELIGIBLE FOR PERFORMANCE BONUSES IN ADDITION TO THEIR REGULAR COMPENSATION. THE AWARDING OF ANY COMPENSATION BONUS CONSIDERS THE INDIVIDUAL'S GOALS AND THE GOALS OF THE ORGANIZATION AS A WHOLE. ANY POTENTIAL BONUS IS CONSIDERED WHEN EVALUATING AN EMPLOYEE'S TOTAL COMPENSATION FOR REASONABLENESS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202401369349308130

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