Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $405,687

• 1e · Government grants (contributions)

  $32,377,444

• 1f · All other contributions, gifts and grants

  $520,648

• 1g · Noncash contributions included above

  $10,150

• 2a · Program service revenue: ACUTE CARE SERVICES

  total $995,009,707 · related or exempt $995,009,707

• 2b · Program service revenue: HOME HEALTH SERVICES

  total $11,006,957 · related or exempt $11,006,957

• 2c · Program service revenue: PHYSICIAN SERVICES

  total $49,061,436 · related or exempt $49,061,436

• 2d · Program service revenue: PSYCHIATRIC SERVICES

  total $9,529,425 · related or exempt $9,529,425

• 2e · Program service revenue: REHABILITATION SERVICES

  total $13,434,782 · related or exempt $13,434,782

• 2f · All other program service revenue

  total $6,005,762 · related or exempt $6,005,762

• 3 · Investment income

  total $18,313,046 · unrelated business -$7,193 · excluded $18,320,239

• 4 · Income from investment of tax-exempt bond proceeds

  total $0

• 5 · Royalties

  total $0

• 6a · Gross rents

  real property $3,708,516 · personal property $44,700

• 6b · Less rental expenses

  real property $4,670,755

• 6c · Rental income or loss

  real property -$962,239 · personal property $44,700

• 6d · Net rental income or loss

  total -$917,539 · unrelated business $44,700 · excluded -$962,239

• 7a · Gross sales of assets other than inventory

  securities $137,960,459 · other assets $23,811,127

• 7b · Less cost or other basis and sales expenses

  securities $144,637,903 · other assets $10,622,871

• 7c · Gain or loss

  securities -$6,677,444 · other assets $13,188,256

• 7d · Net gain or loss

  total $6,510,812 · related or exempt -$6,677,444 · excluded $13,188,256

• 8c · Net income from fundraising events

  total $0

• 9c · Net income from gaming

  total $0

• 10a · Gross sales of inventory

  $3,668

• 10b · Cost of goods sold

  $2,647

• 10c · Net income from sales of inventory

  total $1,021 · unrelated business $1,021

• 11a · Other revenue: EDUCATION PROGRAMS

  total $118,405 · related or exempt $118,405

• 11b · Other revenue: MEDICAL RECORDS/FEES

  total $526,720 · related or exempt $526,720

• 11c · Other revenue: REFUNDS,REBATES,DISCOUNTS

  total $29,706,757 · related or exempt $29,706,757

• 11e · Other revenue, total

  $30,351,882

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $6,293,565 · program services $6,293,565

• 2 · Grants to domestic individuals

  total $118,331 · program services $118,331

• 3 · Grants to foreign organizations and individuals

  total $0

• 4 · Benefits paid to or for members

  total $0

• 5 · Compensation of officers, directors and key employees

  total $11,884,606 · program services $3,780,089 · management and general $8,104,517

• 6 · Compensation of disqualified persons

  total $438,275 · program services $438,275

• 7 · Other salaries and wages

  total $337,323,899 · program services $291,881,638 · management and general $45,442,261

• 8 · Pension plan contributions

  total $5,432,787 · program services $4,846,236 · management and general $586,551

• 9 · Other employee benefits

  total $47,826,586 · program services $41,763,746 · management and general $6,062,840

• 10 · Payroll taxes

  total $24,076,811 · program services $20,855,471 · management and general $3,221,340

• 11a · Fees: management

  total $123,218,615 · program services $104,931,687 · management and general $18,286,928

• 11b · Fees: legal

  total $223,654 · program services $7,368 · management and general $216,286

• 11c · Fees: accounting

  total $284,659 · management and general $284,659

• 11d · Fees: lobbying

  total $0

• 11e · Fees: professional fundraising services

  total $0

• 11f · Fees: investment management

  total $2,756,875 · management and general $2,756,875

• 11g · Fees: other

  total $195,797,430 · program services $162,192,411 · management and general $33,605,019

• 12 · Advertising and promotion

  total $1,211,483 · program services $966,332 · management and general $245,151

• 13 · Office expenses

  total $6,344,269 · program services $2,581,254 · management and general $3,763,015

• 14 · Information technology

  total $542,447 · program services $419,172 · management and general $123,275

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $13,008,037 · program services $5,386,127 · management and general $7,621,910

• 17 · Travel

  total $1,087,799 · program services $793,922 · management and general $293,877

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $1,566,134 · program services $388,610 · management and general $1,177,524

• 20 · Interest

  total $12,054,628 · program services $7,353,323 · management and general $4,701,305

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $66,750,285 · program services $40,730,155 · management and general $26,020,130

• 23 · Insurance

  total $5,144,762 · program services $1,015,190 · management and general $4,129,572

• 24a · Other expenses: SUPPLIES

  total $154,764,052 · program services $146,270,980 · management and general $8,493,072

• 24b · Other expenses: BAD DEBT EXPENSE

  total $51,516,531 · program services $51,516,531

• 24c · Other expenses: LICENSE & TAXES

  total $45,009,274 · program services $138,594 · management and general $44,870,680

• 24d · Other expenses: EQUIP RENTAL & MAINT

  total $13,619,759 · program services $7,582,673 · management and general $6,037,086

• 24e · All other expenses

  total $16,586,449 · program services $14,270,726 · management and general $2,315,723

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  end of year $0

• 2 · Savings and temporary cash investments

  beginning of year $97,392,041 · end of year $29,240,612

• 3 · Pledges and grants receivable

  end of year $0

• 4 · Accounts receivable

  beginning of year $110,353,073 · end of year $130,504,983

• 5 · Loans and receivables from officers and key people

  end of year $0

• 6 · Loans and receivables from disqualified persons

  end of year $0

• 7 · Other notes and loans receivable

  beginning of year $11,240,915 · end of year $63,343,891

• 8 · Inventories for sale or use

  beginning of year $15,665,178 · end of year $16,783,481

• 9 · Prepaid expenses and deferred charges

  beginning of year $15,946,966 · end of year $18,362,187

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

  $1,630,854,273

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

  $909,006,623

• 10c · Land, buildings and equipment, net

  beginning of year $731,792,371 · end of year $721,847,650

• 11 · Investments: publicly traded securities

  beginning of year $471,373,870 · end of year $333,217,546

• 12 · Investments: other securities

  beginning of year $309,084,785 · end of year $292,169,905

• 13 · Investments: program-related

  beginning of year $2,827,892 · end of year $3,089,628

• 14 · Intangible assets

  end of year $0

• 15 · Other assets

  beginning of year $30,232,939 · end of year $26,969,459

• 17 · Accounts payable and accrued expenses

  beginning of year $65,814,439 · end of year $105,296,811

• 19 · Deferred revenue

  beginning of year $3,371,635 · end of year $89,746

• 20 · Tax-exempt bond liabilities

  beginning of year $425,449,374 · end of year $420,970,532

• 25 · Other liabilities

  beginning of year $222,948,034 · end of year $93,290,102

• 27 · Net assets without donor restrictions

  beginning of year $1,041,115,617 · end of year $981,825,721

• 28 · Net assets with donor restrictions

  beginning of year $37,210,931 · end of year $34,056,430

The filer's explanations (Part III)

Part I, Line 1a: Relevant information in regards to selections on 1a.

Tonia Smith received a housing allowance for her move to Winchester. This was treated as taxable income.

Part I, Line 5b: Explanation of organization compensation based on revenues of related organization

A portion of provider compensation is based on RVU's generated. This is defined in their employment contract and is in addition to base compensation.

Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs

Theresa Trivette, Julie Miksit, Jennifer Coello and Bradford Rogers are paid according to a contract subject to the initial contract exception during the 2021 year.Tonya Smith and Dr. Kenneth Janowski are paid according to a contract subject to the initial contract exception during the 2022 year.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

• WINCHESTER OPEN MRI

  N/A · MRI SERVICE · VA

  Directly controlled by NA

• WINCHESTER ENDOSCOPY LLC

  N/A · ENDOSCOPY SERVICES · VA

  Directly controlled by NA

• MEDICAL CIRCLE LLC

  N/A · MRI SERVICES · VA · general or managing partner

  Directly controlled by NA

• NORTHERN WV HOME HEALTH LLC

  RELATED · HOME HEALTH · WV · 100% owned · share of income $6,193,980 · share of assets $3,252,500

  Directly controlled by NA

• VALLEY HEALTH SURGERY CENTER

  N/A · SURGERY CENTER · VA

  Directly controlled by NA

• VALLEY HEALTH & UVA RADIOSURGERY CTR LLC

  RELATED · RADIOSURGERY · VA · 85% owned · share of income $873,612 · share of assets $1,457,015 · general or managing partner

  Directly controlled by NA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• VALLEY REGIONAL ENTERPRISES INC

  C CORP · MED EQUIP/ AMBLANCE · VA · controlled entity

  Directly controlled by NA

• VIRGINIA SOLUTIONS SPE LTD

  C CORP · OTHER INSURANCE FUNDS · CJ · controlled entity

  Directly controlled by NA

• VALLEY HEALTH ASSURANCE COMPANY

  C CORP · OTHER INSURANCE FUNDS · CJ · controlled entity

  Directly controlled by NA