Form 990 for tax year 2024

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $910,958

• 1e · Government grants (contributions)

  $2,534,895

• 1f · All other contributions, gifts and grants

  $6,487,863

• 1g · Noncash contributions included above

  $354,676

• 2a · Program service revenue: ACUTE CARE SERVICES

  total $1,226,919,740 · related or exempt $1,226,919,740

• 2b · Program service revenue: HOME HEALTH SERVICES

  total $11,788,146 · related or exempt $11,788,146

• 2c · Program service revenue: LONG TERM CARE

  total $7,054,940 · related or exempt $7,054,940

• 2d · Program service revenue: PHYSICIAN SERVICES

  total $75,142,911 · related or exempt $75,142,911

• 2e · Program service revenue: PSYCHIATRIC SERVICES

  total $9,011,455 · related or exempt $9,011,455

• 2f · All other program service revenue

  total $4,443,011 · related or exempt $4,443,011

• 3 · Investment income

  total $59,376,979 · excluded $59,376,979

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

  total $0

• 5 · Royalties

  total $0

• 6a · Gross rents

  real property $2,484,173 · personal property $44,700

• 6b · Less rental expenses

  real property $4,947,716

• 6c · Rental income or loss

  real property -$2,463,543 · personal property $44,700

• 6d · Net rental income or loss

  total -$2,418,843 · unrelated business $44,700 · excluded -$2,463,543

• 7a · Gross sales of assets other than inventory

  other assets $27,725,114

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

  securities $443,466 · other assets $24,655,761

• 7c · Gain or loss

  securities -$443,466 · other assets $3,069,353

• 7d · Net gain or loss

  total $2,625,887 · related or exempt -$443,466 · excluded $3,069,353

• 8c · Net income from fundraising events

  total $0

• 9c · Net income from gaming

  total $0

• 10a · Gross sales of inventory

  $3,897

• 10b · Cost of goods sold

  $3,622

• 10c · Net income from sales of inventory

  total $275 · unrelated business $275

• 11a · Other revenue: EDUCATION PROGRAMS

  total $163,959 · related or exempt $163,959

• 11b · Other revenue: MEDICAL RECORDS/FEES

  total $175,914 · related or exempt $175,914

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

  total $38,018,883 · related or exempt $38,018,883

• 11e · Other revenue, total

  $38,358,756

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $7,924,746 · program services $7,924,746

• 2 · Grants to domestic individuals

  total $119,631 · program services $119,631

• 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 $10,029,929 · program services $2,482,087 · management and general $7,547,842

• 6 · Compensation of disqualified persons

  total $592,111 · program services $592,111

• 7 · Other salaries and wages

  total $380,370,946 · program services $334,394,992 · management and general $45,975,954

• 8 · Pension plan contributions

  total $12,353,590 · program services $11,038,348 · management and general $1,315,242

• 9 · Other employee benefits

  total $52,654,772 · program services $46,968,696 · management and general $5,686,076

• 10 · Payroll taxes

  total $28,241,759 · program services $25,378,125 · management and general $2,863,634

• 11a · Fees: management

  total $122,194,981 · program services $104,059,807 · management and general $18,135,174

• 11b · Fees: legal

  total $32,014 · program services $12,377 · management and general $19,637

• 11c · Fees: accounting

  total $247,692 · management and general $247,692

• 11d · Fees: lobbying

  total $0

• 11e · Fees: professional fundraising services

  total $0

• 11f · Fees: investment management

  total $2,584,238 · management and general $2,584,238

• 11g · Fees: other

  total $186,318,500 · program services $162,690,991 · management and general $23,627,509

• 12 · Advertising and promotion

  total $385,084 · program services $26,256 · management and general $358,828

• 13 · Office expenses

  total $6,898,040 · program services $2,811,041 · management and general $4,086,999

• 14 · Information technology

  total $682,046 · program services $530,045 · management and general $152,001

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $12,360,683 · program services $6,281,822 · management and general $6,078,861

• 17 · Travel

  total $1,390,703 · program services $1,058,636 · management and general $332,067

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $1,130,798 · program services $681,711 · management and general $449,087

• 20 · Interest

  total $12,172,116 · program services $7,424,991 · management and general $4,747,125

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $75,472,390 · program services $46,037,768 · management and general $29,434,622

• 23 · Insurance

  total $6,485,659 · program services $2,017,005 · management and general $4,468,654

• 24a · Other expenses: SUPPLIES

  total $181,338,863 · program services $170,914,372 · management and general $10,424,491

• 24b · Other expenses: BAD DEBT EXPENSE

  total $88,106,529 · program services $88,106,529

• 24c · Other expenses: BILLING FEES

  total $61,913,015 · program services $7,524,273 · management and general $54,388,742

• 24d · Other expenses: LICENSE & TAXES

  total $57,341,295 · program services $141,165 · management and general $57,200,130

• 24e · All other expenses

  total $30,443,756 · program services $20,085,036 · management and general $10,358,720

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  end of year $0

• 2 · Savings and temporary cash investments

  beginning of year $44,052,631 · end of year $80,204,267

• 3 · Pledges and grants receivable

  end of year $0

• 4 · Accounts receivable

  beginning of year $140,439,353 · end of year $142,621,529

• 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 $2,444,020 · end of year $2,044,020

• 8 · Inventories for sale or use

  beginning of year $17,910,871 · end of year $18,549,156

• 9 · Prepaid expenses and deferred charges

  beginning of year $16,131,819 · end of year $20,049,459

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

  $1,793,879,426

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

  $1,044,567,068

• 10c · Land, buildings and equipment, net

  beginning of year $736,471,360 · end of year $749,312,358

• 11 · Investments: publicly traded securities

  beginning of year $342,846,376 · end of year $472,653,704

• 12 · Investments: other securities

  beginning of year $318,670,924 · end of year $294,019,610

• 13 · Investments: program-related

  beginning of year $216,820 · end of year $218,016

• 14 · Intangible assets

  end of year $0

• 15 · Other assets

  beginning of year $30,175,836 · end of year $34,032,535

• 17 · Accounts payable and accrued expenses

  beginning of year $54,987,038 · end of year $47,645,653

• 19 · Deferred revenue

  beginning of year $1,601,937 · end of year $1,388,184

• 20 · Tax-exempt bond liabilities

  beginning of year $409,542,397 · end of year $498,902,689

• 25 · Other liabilities

  beginning of year $92,873,031 · end of year $64,030,090

• 27 · Net assets without donor restrictions

  beginning of year $1,053,286,251 · end of year $1,158,518,105

• 28 · Net assets with donor restrictions

  beginning of year $37,069,356 · end of year $43,219,933

The filer's explanations (Part III)

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

Kris Maddalena and Dr. Sheriff Kaiser are paid according to a contract subject to the initial contract exception during the 2023 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 $6,277,796 · share of assets $1,398,955

  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 $1,019,793 · share of assets $3,627,707 · 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