Skip to content
Nonprofiteer
← UVA CATON MERCHANT HOUSE ASSISTED LIVING

Form 990 for tax year 2022

Filed by UVA CATON MERCHANT HOUSE ASSISTED LIVING.

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
$1,583,473 changed to $3,065,652
Total expenses
$2,188,011 changed to $4,146,997
Program service revenue
$1,583,473 changed to $3,059,857
Investment income
$0 changed to $5,795
Total assets, end of year
$2,848,013 changed to $2,971,994
Total liabilities, end of year
$1,826,257 changed to $3,031,583
Net assets or fund balances, end of year
$1,021,756 changed to -$59,589
Program services expenses
$1,864,843 changed to $3,810,925
Management and general expenses
$323,168 changed to $336,072
Program service expenses (Part III)
$1,864,843 changed to $3,810,925

Listed only on the earlier return

  • BEN WAMPLER MD
  • ROSS SWITKES MD
  • SHIV KHANDELWAL MD

Listed only on the later return

  • BRENDA MCKENDRY
  • CHARLES CODER
  • VIPUL PARIKH MD

Listed under a different title

  • AMANDA DICKINSON: CATON ADMIN / EXEC DIRECTOR / SEC then EXECUTIVE DIRECTOR
  • CHARLES BARRELL: TRUSTEE then VICE CHAIR
  • ERIK SHANNON: INT. CEO then CH SYSTEM CEO / PRESIDENT
  • MARY FRANCES SOUTHERLAND: TRUSTEE then INTERIM SEC, TRUSTEE
  • RICHARD HARRINGTON: TRUSTEE then SECRETARY
  • STEPHEN NELSON: TRUSTEE then TREASURER

Totals

Total revenue
$3,065,652
Total expenses
$4,146,997
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$3,059,857
Investment income
$5,795
Other revenue
$0
Total assets, end of year
$2,971,994
Total liabilities, end of year
$3,031,583
Net assets or fund balances, end of year
-$59,589
Program services expenses (Part IX)
$3,810,925
Management and general expenses
$336,072
Fundraising expenses
$0
Program service expenses (Part III)
$3,810,925

Program services were 91.9% 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 $3,052,777 · related or exempt $3,052,777

  • 2b · Program service revenue: RESIDENT SERVICES

    total $7,080 · related or exempt $7,080

  • 3 · Investment income

    total $5,795 · excluded $5,795

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $221,756 · management and general $221,756

  • 7 · Other salaries and wages

    total $1,609,705 · program services $1,609,705

  • 8 · Pension plan contributions

    total $79,499 · program services $68,369 · management and general $11,130

  • 9 · Other employee benefits

    total $222,706 · program services $191,527 · management and general $31,179

  • 10 · Payroll taxes

    total $132,700 · program services $114,122 · management and general $18,578

  • 11g · Fees: other

    total $1,051,850 · program services $1,040,345 · management and general $11,505

  • 13 · Office expenses

    total $75,551 · program services $70,262 · management and general $5,289

  • 14 · Information technology

    total $48,552 · program services $48,552

  • 16 · Occupancy

    total $101,905 · program services $101,905

  • 17 · Travel

    total $768 · program services $768

  • 22 · Depreciation, depletion and amortization

    total $343,018 · program services $319,007 · management and general $24,011

  • 24a · Other expenses: REPAIRS AND MAINTENANCE

    total $178,089 · program services $165,625 · management and general $12,464

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $34,370 · program services $34,370

  • 24c · Other expenses: BAD DEBT

    total $21,590 · program services $21,590

  • 24d · Other expenses: PHARMACEUTICALS

    total $3,646 · program services $3,646

  • 24e · All other expenses

    total $21,292 · program services $21,132 · management and general $160

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $978,835 · end of year $151,236

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $1,314,007

  • 4 · Accounts receivable

    beginning of year $109,334 · end of year $100,148

  • 9 · Prepaid expenses and deferred charges

    beginning of year $10,221 · end of year $0

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

    $11,404,321

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

    $9,997,718

  • 10c · Land, buildings and equipment, net

    beginning of year $1,749,623 · end of year $1,406,603

  • 17 · Accounts payable and accrued expenses

    beginning of year $417,773 · end of year $357,062

  • 25 · Other liabilities

    beginning of year $1,408,484 · end of year $2,674,521

  • 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 $1,021,756 · end of year -$59,589

Mission and programs · 2022

Mission

SEE SCHEDULE O

  • UVA CATON MERCHANT HOUSE ASSISTED LIVING ("CATON") IS A LONG-TERM CARE FACILITY LOCATED IN MANASSAS, VA. CATON MAINTAINS AN OPEN-DOOR POLICY PROVIDING INDIVIDUALS IN THE COMMUNITY WITH AN LOCAL AFFORDABLE OPTION FOR LONG TERM CARE. DURING FISCAL YEAR 2023, CATON HAD 125 LICENSED BEDS, 78 APARTMENTS, 17,522 RESIDENT DAYS AND AN AVERAGE DAILY CENSUS OF 46.

    Expenses $3,810,925 · Revenue $3,059,857

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

Listed in Part VII

  • 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

  • MARY FRANCES SOUTHERLAND

    INTERIM SEC, 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

  • CHRIS HEATON MD

    TRUSTEE

    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

  • STEVE DANZIGER

    CHAIR

    Total calculated
    $0
    Hours/week
    0.2 + 1 related

  • STEPHEN NELSON

    TREASURER

    Total calculated
    $0
    Hours/week
    0.2 + 0.2 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

  • CHARLES BARRELL

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.2 + 0.8 related

  • LISA ANN PEACOCK

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.2 + 0.6 related

  • RICHARD HARRINGTON

    SECRETARY

    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

  • ERIK SHANNON

    CH SYSTEM CEO / PRESIDENT

    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

  • AMANDA DICKINSON

    EXECUTIVE DIRECTOR

    Total calculated
    $197,016
    From this org
    $185,313
    From related orgs
    $0
    Other
    $11,703
    Hours/week
    45

    Schedule J breakdown matched by us

    Base
    $161,172
    Bonus
    $24,141
    Other
    $0
    Deferred
    $9,664
    Nontaxable benefits
    $2,039
    Filer's total
    $197,016

  • 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

  • BRENDA MCKENDRY

    MANAGER NURSING - ASSISTED LIVING

    Total calculated
    $134,613
    From this org
    $117,158
    From related orgs
    $0
    Other
    $17,455
    Hours/week
    45

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

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

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
  • 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. - 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 (BIII).
PART I, LINE 7
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

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202421369349308402

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.