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← UVA COMMUNITY HEALTH FOUNDATION

Form 990 for tax year 2022

Filed by UVA COMMUNITY HEALTH FOUNDATION.

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
$68,323 changed to $518,745
Total expenses
$16,294 changed to $92,153
Contributions and grants received
$9,706 changed to $424,170
Grants paid
$12,284 changed to $64,981
Program services expenses
$14,582 changed to $83,653
Management and general expenses
$1,666 changed to $0
Fundraising expenses
$46 changed to $8,500
Program service expenses (Part III)
$14,582 changed to $83,653

Listed only on the earlier return

  • RUTH SIMIONE
  • VIKRAM KHOT MD

Listed only on the later return

  • CAROLYN HAYS
  • CHARLES CODER

Listed under a different title

  • DONNA STATON: PRES & COO CMH/TRUSTEE then TRUSTEE/SYSTEM CEO & CMC PRES
  • DOUGLAS MARKERT MD: TRUSTEE then TRUSTEE / VP, CHIEF CLIN OFF
  • ERIK SHANNON: INT. CEO then PW CEO & PRES / CEO UCH SYSTEM
  • HEATHER ARAM: TRUSTEE then TRUSTEE (THRU 4/23)
  • IVAN HARANGOZO MD: SECRETARY then SECRETARY (THRU 7/22)
  • MOLLY GROVE: TRUSTEE then TRUSTEE (THRU 3/23)

Totals

Total revenue
$518,745
Total expenses
$92,153
Contributions and grants received
$424,170
Grants paid
$64,981
Program services expenses (Part IX)
$83,653
Management and general expenses
$0
Fundraising expenses
$8,500
Program service expenses (Part III)
$83,653

Program services were 90.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • ERIK SHANNON

    PW CEO & PRES / CEO UCH SYSTEM

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

    Schedule J breakdown matched by us

    Base
    $0 + $83,542 related
    Bonus
    $0 + $145,000 related
    Other
    $0 + $694,594 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $2,212 related
    Filer's total
    $0 + $925,348 related

  • DOUGLAS MARKERT MD

    TRUSTEE / VP, CHIEF CLIN OFF

    Total calculated
    $650,253
    From this org
    $0
    From related orgs
    $607,809
    Other
    $42,444
    Hours/week
    0.2 + 50.2 related

    Schedule J breakdown matched by us

    Base
    $0 + $373,353 related
    Bonus
    $0 + $188,886 related
    Other
    $0 + $45,570 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $24,144 related
    Filer's total
    $0 + $650,253 related

  • DONNA STATON

    TRUSTEE/SYSTEM CEO & CMC PRES

    Total calculated
    $558,116
    From this org
    $0
    From related orgs
    $510,722
    Other
    $47,394
    Hours/week
    0.4 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $302,605 related
    Bonus
    $0 + $169,742 related
    Other
    $0 + $38,375 related
    Deferred
    $0 + $15,381 related
    Nontaxable benefits
    $0 + $32,013 related
    Filer's total
    $0 + $558,116 related

  • HEATHER ARAM

    TRUSTEE (THRU 4/23)

    Total calculated
    $65,377
    From this org
    $0
    From related orgs
    $63,469
    Other
    $1,908
    Hours/week
    0 + 0.2 related

  • IVAN HARANGOZO MD

    SECRETARY (THRU 7/22)

    Total calculated
    $0
    Hours/week
    0.2

  • GARY JONES

    TREASURER

    Total calculated
    $0
    Hours/week
    0.2

  • MICHAEL PYBUS

    CHAIR

    Total calculated
    $0
    Hours/week
    0.2

  • MOLLY GROVE

    TRUSTEE (THRU 3/23)

    Total calculated
    $0
    Hours/week
    0.2

  • ELIZABETH WARD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • STEPHEN WARD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • STEVE DANZIGER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 1 related

  • AMY KARR

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2

  • CAROLYN HAYS

    EXECUTIVE DIRECTOR (AS OF 10/22)

    Total calculated
    $0
    Hours/week
    45

  • 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

  • KEVIN CALLANAN

    EXECUTIVE DIRECTOR

    Total calculated
    $109,327
    From this org
    $0
    From related orgs
    $109,327
    Other
    $0
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $109,327 related
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $109,327 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 — 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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3:
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 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. - DOUGLAS MARKERT, MD: $40,570 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 (BIII).

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

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
202421369349308127

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