Form 990 for tax year 2022
Filed by UVA PRINCE WILLIAM HEALTH SYSTEM.
This return was superseded by a later amendment. matched by us It is kept because history is preserved rather than replaced.
What the amendment changed
Compared with the latest return for 2022 , filed 15 May 2024. 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
- $23,436,200 changed to $63,256,212
- Total expenses
- $33,314,767 changed to $76,929,006
- Program service revenue
- $23,458,859 changed to $62,616,367
- Investment income
- -$4,132 changed to $6,584
- Other revenue
- -$18,527 changed to $633,261
- Total assets, end of year
- $32,078,352 changed to $51,614,374
- Total liabilities, end of year
- $15,769,274 changed to $25,168,965
- Net assets or fund balances, end of year
- $16,309,078 changed to $26,445,409
- Program services expenses
- $30,322,041 changed to $73,435,732
- Management and general expenses
- $2,992,726 changed to $3,493,274
- Program service expenses (Part III)
- $30,322,041 changed to $73,435,732
Listed only on the earlier return
- Ben Wampler MDBEN WAMPLER MD
- Erik ShannonERIK SHANNON
- Shiv Khandelwal MDSHIV KHANDELWAL MD
Listed only on the later return
- Ahsan Q JafirAHSAN Q JAFIR
- Ara Matthew MaranianARA MATTHEW MARANIAN
- David Mark DemariaDAVID MARK DEMARIA
- Izuchukwu ObiIZUCHUKWU OBI
- Jacqueline KrickJACQUELINE KRICK
- James B MinJAMES B MIN
- L Erik ShannonL ERIK SHANNON
- Matthew GuilfoyleMATTHEW GUILFOYLE
- Raza YunusRAZA YUNUS
- Stephen NelsonSTEPHEN NELSON
- Vikram S KhotVIKRAM S KHOT
- Vipul Parikh MDVIPUL PARIKH MD
Listed under a different title
- Charles BarrellCHARLES BARRELL: TRUSTEE then VICE CHAIR
- Charles CoderCHARLES CODER: CFO & TREASURER then CH SYSTEM CFO & TREASURER
- Richard HarringtonRICHARD HARRINGTON: TRUSTEE then SECRETARY
- Stephen Smith MDSTEPHEN SMITH MD: PRES & COO / TRUSTEE (THRU 2/2022) then FORMER PRES & COO (THRU 02/2022)
Totals
- Total revenue
- $23,436,200
- Total expenses
- $33,314,767
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $23,458,859
- Investment income
- -$4,132
- Other revenue
- -$18,527
- Total assets, end of year
- $32,078,352
- Total liabilities, end of year
- $15,769,274
- Net assets or fund balances, end of year
- $16,309,078
- Program services expenses (Part IX)
- $30,322,041
- Management and general expenses
- $2,992,726
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $30,322,041
Program services were 91.0% 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.
-
2a · Program service revenue: NET PATIENT REVENUE
total $22,514,499 · related or exempt $22,514,499
-
2b · Program service revenue: MOB RENTAL INCOME
total $713,061 · related or exempt $713,061
-
2c · Program service revenue: CARE COORDINATION FEES
total $112,289 · related or exempt $112,289
-
2d · Program service revenue: DIAGNOSTIC IMAGING SERVICES
total $105,900 · related or exempt $105,900
-
2e · Program service revenue: VALUE BASED INCENTIVE
total $13,110 · related or exempt $13,110
-
6a · Gross rents
real property $694,534
-
6b · Less rental expenses
real property $713,061
-
6c · Rental income or loss
real property -$18,527
-
6d · Net rental income or loss
total -$18,527 · excluded -$18,527
-
7b · Less cost or other basis and sales expenses
other assets $4,132
-
7c · Gain or loss
other assets -$4,132
-
7d · Net gain or loss
total -$4,132 · excluded -$4,132
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $19,267,716 · program services $18,882,362 · management and general $385,354
-
8 · Pension plan contributions
total $750,585 · program services $735,430 · management and general $15,155
-
9 · Other employee benefits
total $1,842,524 · program services $1,805,673 · management and general $36,851
-
10 · Payroll taxes
total $1,272,459 · program services $1,247,010 · management and general $25,449
-
11g · Fees: other
total $2,996,241 · program services $1,806,750 · management and general $1,189,491
-
12 · Advertising and promotion
total $193 · program services $193
-
13 · Office expenses
total $264,355 · program services $184,733 · management and general $79,622
-
14 · Information technology
total $262,814 · program services $262,814
-
16 · Occupancy
total $1,760,979 · program services $1,748,303 · management and general $12,676
-
17 · Travel
total $40,148 · program services $39,736 · management and general $412
-
19 · Conferences, conventions and meetings
total $13,323 · program services $13,056 · management and general $267
-
20 · Interest
total $254 · program services $6 · management and general $248
-
22 · Depreciation, depletion and amortization
total $591,297 · program services $589,314 · management and general $1,983
-
23 · Insurance
total $1,261,771 · program services $1,167,202 · management and general $94,569
-
24a · Other expenses: BILLING FEES
total $914,895 · management and general $914,895
-
24b · Other expenses: PHARMACEUTICALS
total $623,021 · program services $623,021
-
24c · Other expenses: BAD DEBT
total $467,448 · program services $467,448
-
24e · All other expenses
total $984,744 · program services $748,990 · management and general $235,754
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $2,070,956 · end of year $2,132,926
-
4 · Accounts receivable
beginning of year $4,322,376 · end of year $4,476,670
-
7 · Other notes and loans receivable
beginning of year $225,826 · end of year $230,829
-
9 · Prepaid expenses and deferred charges
beginning of year $17,920 · end of year $17,410
-
10a · Land, buildings and equipment: cost or other basis
$40,101,374
-
10b · Land, buildings and equipment: accumulated depreciation
$20,456,221
-
10c · Land, buildings and equipment, net
beginning of year $20,082,410 · end of year $19,645,153
-
12 · Investments: other securities
beginning of year $468,282 · end of year $468,282
-
14 · Intangible assets
beginning of year $195,561 · end of year $193,378
-
15 · Other assets
beginning of year $9,640,355 · end of year $4,913,704
-
17 · Accounts payable and accrued expenses
beginning of year $3,748,816 · end of year $6,120,465
-
19 · Deferred revenue
beginning of year $5,903 · end of year $11,339
-
25 · Other liabilities
beginning of year $7,131,114 · end of year $9,637,470
-
27 · Net assets without donor restrictions
beginning of year $26,137,853 · end of year $16,309,078
Mission and programs · 2022
Mission
SEE SCHEDULE O
-
DURING THE SHORT-PERIOD JANUARY 1, 2022 - JUNE 30, 2022, UVA COMMUNITY HEALTH PHYSICIAN PRACTICES OFFERED PHYSICIAN SERVICES TO THE COMMUNITY AT MULTIPLE VA LOCATIONS. THE PHYSICAN PRACTICES OF UVA PRINCE WILLIAM HEALTH SYSTEM HAD 116,739 OUTPATIENT ENCOUNTERS. THE ORGANIZATION'S OPERATIONS SERVE THE COMMUNITY BY PROVIDING ACCESS TO MUCH NEEDED HEALTHCARE SERVICES, REGARDLESS OF THE PATIENTS' ABILITY TO PAY.
Expenses $28,593,884 · Revenue $21,542,832
-
UVA PRINCE WILLIAM HEALTH SYSTEM PROVIDES INTERMEDIARY ADMINISTRATIVE SUPPORT TO UVA HEALTH LOCATIONS IN NORTHERN VIRGINIA, AND CONTINUES TO PROVIDE CORPORATE REAL ESTATE ADMINISTRATION SUPPORT TO THESE SAME ENTITIES.
Expenses $393,270 · Revenue $657,756
-
DURING THE SHORT-PERIOD JANUARY 1, 2022 - JUNE 30, 2022, UVA PRINCE WILLIAM HEALTH SYSTEM OFFERED DIAGNOSTIC IMAGING SERVICES TO THE CENTERVILLE, VA AREA AND SURROUNDING AREAS, WITH 4,484 OUTPATIENT ENCOUNTERS.
Expenses $1,334,887 · Revenue $1,258,271
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 DanzigerSTEVEN M DANZIGER
CHAIR
- Total calculated
- $0
- Hours/week
- 0.2 + 1 related
-
Stephen Smith MDSTEPHEN SMITH MD
PRES & COO / TRUSTEE (THRU 2/2022)
- Total calculated
- $0
- Hours/week
- 25 + 25 related
-
Charles BarrellCHARLES BARRELL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.2 + 0.8 related
-
Christopher Heaton MDCHRISTOPHER HEATON MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 45 + 0.8 related
-
Mary Frances SoutherlandMARY FRANCES SOUTHERLAND
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.2 + 0.8 related
-
Kirsten Green MDKIRSTEN GREEN MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.2 + 0.6 related
-
Lisa Ann PeacockLISA ANN PEACOCK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.2 + 0.6 related
-
Richard HarringtonRICHARD HARRINGTON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.2 + 0.6 related
-
Michelle MetzgarMICHELLE METZGAR
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.2 + 0.6 related
-
Pam Kincheloe RN JDPAM KINCHELOE RN JD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.2 + 0.6 related
-
Ben Wampler MDBEN WAMPLER MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.2 + 0.6 related
-
Shiv Khandelwal MDSHIV KHANDELWAL MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 0.2 + 0.6 related
-
Charles CoderCHARLES CODER
CFO & TREASURER
- Total calculated
- $0
- Hours/week
- 0.2 + 50.2 related
-
Erik ShannonERIK SHANNON
INT. CEO
- Total calculated
- $0
- Hours/week
- 0.2 + 50.8 related
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.
Grants on this return
No itemized grants to organizations on this return.
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.
-
UVA PRINCE WILLIAM MEDICAL CENTER
501(C)(3) · HEALTHCARE · VA · controlled entity
Directly controlled by UVA PRINCE WILLIAM HEALTH SYSTEM
-
501(C)(3) · HEALTHCARE · VA
Directly controlled by UVA COMMUNITY HEALTH INC
-
UVA CATON MERCHANT HOUSE ASSISTED LIVING
501(C)(3) · HEALTHCARE · VA · controlled entity
Directly controlled by UVA PRINCE WILLIAM HEALTH SYSTEM
-
501(C)(3) · HEALTHCARE · VA
Directly controlled by UVA MEDICAL CENTER
-
UVA COMMUNITY HEALTH FOUNDATION
501(C)(3) · HEALTHCARE · VA · controlled entity
Directly controlled by UVA PRINCE WILLIAM HEALTH SYSTEM
-
UNIVERSITY OF VIRGINIA MEDICAL CENTER
GOVERNMENTAL · HEALTHCARE · VA
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
UVA COMMUNITY HEALTH MEDICAL GROUP LLC
HEALTHCARE · NC · income -$10,042,578 · assets $10,831,325
Directly controlled by UVA PRINCE WILLIAM HEALTH SYSTEM
-
UVA CANCER CENTER GAINESVILLE LLC
HEALTHCARE · VA · income $1,708,488 · assets $37,673,692
Directly controlled by UVA PRINCE WILLIAM HEALTH SYSTEM
-
UVA OUTPATIENT IMAGING CENTREVILLE LLC
HEALTHCARE · VA · income -$101,126 · assets $2,892,783
Directly controlled by UVA PRINCE WILLIAM HEALTH SYSTEM
-
PRINCE WILLIAM HEALTH SYSTEM ASCMOB LLC
HEALTHCARE · VA · income $277,667 · assets $4,786,551
Directly controlled by UVA PRINCE WILLIAM HEALTH SYSTEM
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 12 May 2023
- IRS schema version
- 2022v5.0
- Source object
- 202311329349309491
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