2017-11-15T14:05:41-06:00 2016-12-31 990 2016-01-01 810868533 NOVANT HEALTH UVA HEALTH SYSTEM NOVA 3367182803 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 FRED HARGETT EVP & CFO 3367182803 2017-11-14 170.98.106.254 2017-11-14 10:19:51 ES P 7AA337F3ADADCA5BF014F5DE8F20B8DB09A5D137 EA41BDE3C3DB37B92BEF4B915198E9A32E027107 2016 2021-01-29 14:40:06Z X MARGARET GILL 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 17188692 0 X WWW.NOVANTHEALTHUVA.ORG X 2016 VA SEE SCHEDULE O 7 4 0 7 0 0 0 17188692 0 0 17188692 0 0 0 0 0 23322033 23322033 -6133341 72803 9179350 -9106547 X SEE SCHEDULE O 0 0 21748165 17188692 NOVANT HEALTH UVA HEALTH SYSTEM SUPPORTS NOVANT HEALTH'S VIRGINIA OPERATIONS, WHICH INCLUDE NOVANT HEALTH UVA HEALTH SYSTEM CULPEPER MEDICAL CENTER, NOVANT HEALTH UVA HEALTH SYSTEM HAYMARKET MEDICAL CENTER, NOVANT HEALTH UVA HEALTH SYSTEM PRINCE WILLIAM MEDICAL CENTER, NOVANT HEALTH UVA HEALTH SYSTEM CANCER CENTER, NOVANT HEALTH UVA HEALTH SYSTEM CATON MERCHANT HOUSE AND THE NOVANT HEALTH UVA HEALTH SYSTEM PHYSICIAN CLINICS. 21748165 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 4 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 0 0 0 VA X KAREN DAUGHERTY 3367182803 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 X ARMATO CARL CEO & PRES NOVANT HEALTH/TRUSTEE 2.00 X 0 3322793 103625 CRIST CHARLES VICE CHAIR 2.00 X X 0 0 0 FITZGERALD LARRY TRUSTEE 2.00 X 0 0 0 HARGETT FRED EVP & CHIEF FINANCIAL OFFICER/TREAS 2.00 X X 0 1960154 95823 HOOVER MICHAEL CHAIR 2.00 X X 0 0 0 PHIPPS JOHN MD EVP & PRESIDENT NHMG/TRUSTEE 2.00 X 0 1113266 206747 SHANNON RICHARD TRUSTEE 2.00 X 0 0 0 CODER CHARLES D CFO NHUVAHS 60.00 X 0 206108 17434 ROBSON MELISSA SVP & CEO NH-UVA HEALTH SYSTEM 60.00 X 0 768025 153416 0 7370346 577045 0 0 1 0 PRICEWATERHOUSECOOPERS LLP PO BOX 932011 ATLANTA GA 31193 AUDIT/ACCOUNTING SERVICE 178500 1 CORPORATE SUPPORT 551114 17188692 17188692 17188692 17188692 17188692 0 0 X 178500 178500 18280737 17061803 1218934 2871409 2755308 116101 12662 12150 512 1602 1537 65 21635 20760 875 32 32 CONTRACT LABOR 1439405 1381205 58200 ACADEMIC AFFIL AGRMT 500000 500000 MISCELLANEOUS 13799 13241 558 OTHER SUPPLIES 2252 2161 91 23322033 21748165 1573868 0 4500 68303 0 0 68303 0 72803 629994 0 8549356 0 9179350 X -9106547 0 -9106547 0 72803 X -6133341 -2973206 X 0 1 X 1 0 X X 4 CULPEPER MEMORIAL HOSPITAL INC 540622371 3 1 0 0 PRINCE WILLIAM HOSPITAL 540696355 3 1 16599701 0 PERSONAL CARE SERVICES 541291284 10 1 135886 0 RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA 546001796 6 1 0 0 4 16735587 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART I, LINE 12G: IN ADDITION TO SUPPORTING THOSE ORGANIZATIONS LISTED IN PART I, NOVANT HEALTH UVA HEALTH SYSTEM ALSO PROVIDES MONETARY SUPPORT TO PRINCE WILLIAM HEALTH SYSTEM, A TYPE III FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATION IN THE AMOUNT OF $453,105. PART IV, SECTION A, LINE 2: THE ORGANIZATION ALSO SUPPORTS PRINCE WILLIAM HEALTH SYSTEM, A 509(A)(3) SUPPORTING ORGANIZATION THAT HOLDS THE MEMBER INTERESTS OF PRINCE WILLIAM HOSPITAL, PWHS FOUNDATION, AND PERSONAL CARE SERVICES. AS A SUPPORTING ORGANIZATION, IT ALSO SUPPORTS OR BENEFITS THE SUPPORTED ORGANIZATIONS OF THE FILING ORGANIZATION. PART IV, SECTION B, LINE 1: THE RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA, DOING BUSINESS AS UNIVERSITY OF VIRGINIA ACADEMIC MEDICAL CENTER ("UVAMC"), A GOVERNMENTAL ORGANIZATION AND NOVANT HEALTH, INC. ("NH"), A 509(A)(3) SUPPORTING ORGANIZATION ARE THE MEMBERS OF THE FILING ORGANIZATION. UVAMC APPOINTS 3 TRUSTEES AND NH APPOINTS 4 TRUSTEES. THE OTHER PUBLICLY SUPPORTED ORGANIZATIONS OF THE FILING ORGANIZATION ARE ALSO SUPPORTED ORGANIZATIONS OF NH, THEREFORE THEY ARE EFFECTIVELY OPERATING, SUPERVISING, AND CONTROLLING THE FILING ORGANIZATION'S ACTIVITIES THROUGH THE NOVANT HEALTH SUPPORT SERVICES PROVIDED TO THE FILING ORGANIZATION. 68303 68303 68303 0 DUE TO AFFILIATE 8549356 8549356 0 1 0 0 0 0 0 0 0 ARMATO CARL CEO & PRES NOVANT HEALTH/TRUSTEE 0 1346995 0 1409378 0 566420 0 65093 0 38533 0 3426419 0 7500 HARGETT FRED EVP & CHIEF FINANCIAL OFFICER/TREAS 0 803386 0 822855 0 333913 0 59400 0 36423 0 2055977 0 7500 PHIPPS JOHN MD EVP & PRESIDENT NHMG/TRUSTEE 0 546701 0 524426 0 42139 0 170062 0 36685 0 1320013 0 7500 CODER CHARLES D CFO NHUVAHS 0 185112 0 15000 0 5996 0 10742 0 6692 0 223542 0 0 ROBSON MELISSA SVP & CEO NH-UVA HEALTH SYSTEM 0 424169 0 311555 0 32301 0 116343 0 37073 0 921441 0 0 PART I, LINE 3 THE FILING ORGANIZATION IS AN INTEGRAL PART OF NOVANT HEALTH UVA HEALTH SYSTEM ("THE SYSTEM"). NOVANT HEALTH, INC. IS A SUPPORTING ORGANIZATION OF THE SYSTEM AND USES THE PROCESS DESCRIBED IN PART VI, LINE 15A OF THIS RETURN TO ESTABLISH THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION. THIS PROCESS ADHERES TO THE REQUIREMENTS SET FORTH TO SECURE THE REBUTTABLE PRESUMPTION OF REASONABLENESS AND INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT AND DISINTERESTED MEMBERS OF A COMPENSATION COMMITTEE, CONSULTATION WITH INDEPENDENT COMPENSATION CONSULTANTS, THE UTILIZATION OF THIRD-PARTY COMPARABILITY DATA SUCH AS PUBLISHED COMPENSATION SURVEYS, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. PART I, LINE 4B PART I, LINES 4A-C: SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SEVERANCE NONQUALIFIED EQUITY-BASED PHIPPS, JOHN 110,662 ROBSON, MELISSA 64,943 PART I, LINE 4A - SEVERANCE PLAN: ELIGIBLE EXECUTIVES MAY RECEIVE SEVERANCE PAY THAT IS BASED ON ANNUAL COMPENSATION FOR A SPECIFIED PERIOD OF TIME. THE SEVERANCE PAY WOULD BE PAID ONLY IN THE EVENT OF CERTAIN TYPES OF EMPLOYMENT TERMINATION, AND IS FURTHER CONTINGENT ON THE SATISFACTION OF OTHER CONDITIONS SUCH AS COMPLIANCE WITH A NON-COMPETITION COVENANT. ANY CURRENT YEAR PAYMENTS HAVE BEEN INCLUDED IN THE COMPENSATION AMOUNTS REPORTED IN PART VII AND IN COLUMN (B)(III) OF SCHEDULE J. THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE NOVANT HEALTH BOARD REVIEWS, APPROVES, AND OVERSEES ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS, INCLUDING THE AMOUNTS AWARDED UNDER THIS SEVERANCE PLAN. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS: THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("SERP") IS INTENDED TO SUPPORT RETENTION OF KEY EXECUTIVES, AND TO OFFER COMPETITIVE TOTAL COMPENSATION. ELIGIBLE EXECUTIVES WILL BE NOMINATED BY THE CEO AND APPROVED BY THE NOVANT HEALTH COMPENSATION AND LEADERSHIP COMMITTEE ("THE COMMITTEE") TO PARTICIPATE. GENERALLY, ANNUAL CONTRIBUTIONS TO THE PLAN OR PAYMENTS TO PARTICIPANTS WILL BE BASED ON A PERCENTAGE OF THE PARTICIPANT'S BASE SALARY AS OF JANUARY 1ST OF THE PREVIOUS PLAN YEAR AND ARE REPORTED IN COLUMN (C) OF SCHEDULE J. PRIOR TO MAKING THE CONTRIBUTIONS OR PAYMENTS, THE COMMITTEE WILL APPROVE THE AMOUNTS AS TO REASONABLENESS, WHEN COMBINED WITH ALL OTHER ANNUAL COMPENSATION. A 3 YEAR CLASS-YEAR VESTING PERIOD WILL APPLY UP TO AGE 62, WHEN ALL MONEY WOULD BE VESTED AND PAID OUT TO THE PARTICIPANT. OTHERWISE, VESTING WILL OCCUR ON JANUARY 1ST OF EACH YEAR FOR THE APPROPRIATE CLASS-YEAR VESTING PERIOD. THE COMMITTEE REVIEWS, APPROVES, AND OVERSEES ALL ASPECTS AND ALL ELEMENTS OF EXECUTIVE COMPENSATION AND BENEFITS. FORM 990, PI, L1: ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES NOVANT HEALTH UVA HEALTH SYSTEM ("NHUVAHS") IS A JOINT OPERATING COMPANY AND THE PARENT ORGANIZATION OF A NOT-FOR-PROFIT INTEGRATED GROUP OF HOSPITALS, PHYSICIAN CLINICS, OUTPATIENT CENTERS AND OTHER HEALTHCARE SERVICE PROVIDERS (COLLECTIVELY KNOWN AS "NOVANT HEALTH UVA HEALTH SYSTEM"). NHUVAHS WAS FORMED IN 2016 BY NOVANT HEALTH AND THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM. NHUVAHS CONSISTS OF NOVANT HEALTH'S VIRGINIA OPERATIONS, WHICH INCLUDE NOVANT HEALTH UVA HEALTH SYSTEM CULPEPER MEDICAL CENTER, NOVANT HEALTH UVA HEALTH SYSTEM HAYMARKET MEDICAL CENTER, NOVANT HEALTH UVA HEALTH SYSTEM PRINCE WILLIAM MEDICAL CENTER, NOVANT HEALTH UVA HEALTH SYSTEM CANCER CENTER, NOVANT HEALTH UVA HEALTH SYSTEM CATON MERCHANT HOUSE AND THE NOVANT HEALTH UVA HEALTH SYSTEM PHYSICIAN CLINICS. GENERAL INFORMATION NOVANT HEALTH UVA HEALTH SYSTEM EXISTS TO SUPPORT THE HEALTHCARE SYSTEM, BY PROVIDING ADMINISTRATIVE AND OTHER SUPPORT TO ENTITIES WITHIN THE NOVANT HEALTH UVA HEALTH SYSTEM. NHUVAHS IS FOCUSED ON PROVIDING COMMUNITY SUPPORT, CONSISTENT QUALITY, EXCELLENT SERVICES AND A REMARKABLE WORK ENVIRONMENT FOR OUR TEAM MEMBERS. WE ACCOMPLISH THAT MISSION BY PROVIDING AND SUPPORTING EXCELLENT HEALTHCARE FACILITIES AND PHYSICIAN PRACTICES, AND BY MAKING A COMMITMENT TO COMMUNITY OUTREACH AND SERVICE, INCLUDING THE PROVISION OF PROGRAMS THAT SERVE OUR PATIENTS, NEIGHBORS, AND OUR COMMUNITIES' MOST VULNERABLE CITIZENS. IN ADDITION TO OUR QUALITY AND COMPREHENSIVE CATEGORIES OF SERVICES, WE'RE VERY PROUD OF OUR PATIENT FINANCIAL ASSISTANCE PROGRAM. WE WORK WITH PATIENTS TO HELP QUALIFY THEM FOR PUBLIC ASSISTANCE, ESTABLISH A REASONABLE PAYMENT PLAN, DISCOUNT THEIR BILL OR PROVIDE FREE CARE FOR THOSE THAT QUALIFY FOR FINANCIAL ASSISTANCE. COMMUNITY OUTREACH NOVANT HEALTH UVA HEALTH SYSTEM PROVIDES PROGRAMS THAT SERVE PATIENTS, NEIGHBORS AND SOME OF OUR COMMUNITIES' MOST VULNERABLE CITIZENS. WE ALSO PROVIDE CHARITY MEDICAL CARE FOR THE UNINSURED, SERVICES TO INDIVIDUALS WITH MEDICAID COVERAGE REIMBURSED AT LESS THAN COST, COMMUNITY HEALTH EDUCATION, MEDICAL SERVICES THAT LOSE MONEY BUT ARE IMPORTANT FOR THE COMMUNITY, SUPPORT GROUPS, OUTREACH SERVICES, COMMUNITY EVENTS AND SCREENINGS. IN ADDITION, WE PARTICIPATE IN MEDICAL RESEARCH, ACADEMIC HEALTH PROGRAMS AND PARTNERSHIPS WITH A DIVERSE GROUP OF ORGANIZATIONS TO PROVIDE OTHER COMMUNITY INITIATIVES. NEW TECHNOLOGY & SERVICES IN 2016, NOVANT HEALTH UVA HEALTH SYSTEM FACILITIES CONTINUED THEIR RELENTLESS FOCUS ON DELIVERING A REMARKABLE PATIENT EXPERIENCE AND LOOKED FOR INNOVATIVE WAYS TO DELIVER EXPANDED ACCESS TO CARE, AS WELL AS EASE NAVIGATION OF THE HEALTHCARE SYSTEM. COMMUNITY BENEFIT REPORT HTTPS://WWW.NOVANTHEALTH.ORG/HOME/ABOUT-US/COMPANY-INFORMATION/ FINANCIAL-PROFILE/COMMUNITY-BENEFIT-REPORT.ASPX THE COMMUNITY BENEFIT REPORT PREPARED BY NOVANT HEALTH IS A SYSTEM-WIDE REPORT THAT INCLUDES QUALITATIVE AND QUANTITATIVE INFORMATION. PLEASE NOTE THAT THE NUMERIC DATA IN THIS REPORT IS NOT BASED UPON THE FORM 990, SCHEDULE H CRITERIA, BUT RATHER IT HAS BEEN PREPARED IN ACCORDANCE WITH THE NORTH CAROLINA HOSPITAL ASSOCIATION REPORTING GUIDELINES. IT SHOULD NOT BE RELIED UPON AS THE ORGANIZATION'S FORM 990, SCHEDULE H COMMUNITY BENEFIT REPORT, ITS COMMUNITY HEALTH NEEDS ASSESSMENT OR COMMUNITY BENEFIT IMPLEMENTATION STRATEGY. IN THIS REPORT, THE NOVANT HEALTH SYSTEM'S COMMUNITY BENEFIT WAS APPROXIMATELY $725,000,000, INCLUDING $122,000,000 IN FINANCIAL ASSISTANCE FOR 2016. FORM 990, PART I, LINE 6: THE NUMBER OF VOLUNTEERS REPORTED INCLUDES THOSE VOLUNTEERS SERVINGS AS BOARD MEMBERS. FORM 990, PART III, LINE 1: MISSION THE MISSION OF NOVANT HEALTH UVA HEALTH SYSTEM IS TO CREATE A LEADING REGIONAL HEALTH SYSTEM FOR THE COMMONWEALTH OF VIRGINIA BY PROVIDING HIGH QUALITY, ACCESSIBLE PATIENT-CENTERED CARE, AND TO SERVE AS A PLATFORM FOR EVOLVING POPULATION HEALTH STRATEGIES DESIGNED TO IMPROVE DISEASE PREVENTION, IMPROVE HEALTH PROMOTION, AND TEMPER THE RISE IN COSTS OF CARE. FORM 990, PART VI, SECTION A, LINE 2 FORM 990, PART VI, SECTION A, LINE 2: FAMILY AND/OR BUSINESS RELATIONSHIPS BUSINESS RELATIONSHIP RICHARD SHANNON LARRY FITZGERALD FORM 990, PART VI, SECTION A, LINE 6 FORM 990, PART VI, SECTION A, LINE 6: CLASSES OF MEMBERS OR STOCKHOLDERS THE CORPORATION IS A NONPROFIT CORPORATION WITH MEMBERS (OR A MEMBER). FORM 990, PART VI, SECTION A, LINE 7A FROM 990, PART VI, SECTION A, LINE 7A: ELECTION OF MEMBERS AND THEIR RIGHTS THE MEMBERS APPOINT THE BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990, PART VI, SECTION B, LINE 11: ORGANIZATION'S PROCESS TO REVIEW FORM 990 THE REVIEW OF THE 990 IS PERFORMED BY THE CHIEF FINANCIAL OFFICER. ALL BOARD MEMBERS HAVE RECEIVED A COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C FORM 990, PART VI, SECTION B, LINE 12C: MONITORING AND ENFORCEMENT OF COI THE ORGANIZATION'S TRUSTEE CONFLICT OF INTEREST POLICY APPLIES TO ALL TRUSTEES, PRINCIPAL OFFICERS OR MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS. ALL TRUSTEES ARE SENT AN ANNUAL DISCLOSURE QUESTIONNAIRE. WITH RESPECT TO PARTICULAR TRANSACTIONS THAT COME BEFORE THE BOARD, THE CONFLICT OF INTEREST POLICY WOULD BE FOLLOWED. THE POTENTIAL CONFLICT OF INTEREST WOULD BE DISCLOSED BY THE BOARD MEMBER BEFORE A VOTE ON THE TRANSACTION AND THE REST OF THE BOARD WOULD DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF THE REST OF THE BOARD DETERMINED THAT A CONFLICT OF INTEREST EXISTED THEN THE BOARD MEMBER WITH THE CONFLICT OF INTEREST WOULD NOT PARTICIPATE IN THE DELIBERATIONS AND VOTE. FORM 990, PART VI, SECTION B, LINE 13: WRITTEN WHISTLEBLOWER POLICY THE FILING ORGANIZATION IS THE PARENT ORGANIZATION IN THE NOVANT HEALTH UVA HEALTH SYSTEM, AN INTEGRATED HEALTHCARE SYSTEM. ALL SUBSIDIARY ORGANIZATIONS HAVE ESTABLISHED POLICIES APPLICABLE TO THEIR PARTICULAR ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 14: WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY THE FILING ORGANIZATION IS THE PARENT ORGANIZATION IN THE NOVANT HEALTH UVA HEALTH SYSTEM, AN INTEGRATED HEALTHCARE SYSTEM. ALL SUBSIDIARY ORGANIZATIONS HAVE ESTABLISHED POLICIES APPLICABLE TO THEIR PARTICULAR ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINE 15A: COMPENSATION PROCESS FOR TOP OFFICIAL THE FILING ORGANIZATION IS THE PARENT ORGANIZATION OF THE NOVANT HEALTH UVA HEALTH SYSTEM ("THE SYSTEM"), WHICH IS SUPPORTED BY NOVANT HEALTH, INC. ("NOVANT HEALTH"), ONE OF ITS MEMBERS. NOVANT HEALTH SUPPORTS THE SYSTEM BY PROVIDING A COMPENSATION REVIEW AND APPROVAL PROCESS TO CERTAIN SYSTEM ENTITIES. THE PROCESS IS CONDUCTED BY THE INDEPENDENT AND DISINTERESTED MEMBERS OF THE NOVANT HEALTH, INC. BOARD OF TRUSTEES (WHO COMPRISE THE COMPENSATION AND LEADERSHIP COMMITTEE OF THE BOARD) WHO REVIEW, APPROVE, AND OVERSEE ALL ASPECTS OF COMPENSATION AND BENEFITS PROVIDED TO CERTAIN EXECUTIVES ("EXECUTIVES") SERVING AS THE TOP MANAGEMENT OFFICIAL(S) FOR CERTAIN ENTITIES WITHIN THE SYSTEM, INCLUDING THE FILING ORGANIZATION. THE COMMITTEE WORKS WITH AN INDEPENDENT COMPENSATION CONSULTANT AND USES THIRD PARTY COMPARABILITY DATA FOR FUNCTIONALLY SIMILAR POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS TO ENSURE THAT TOTAL COMPENSATION AND BENEFITS FOR EACH EXECUTIVE IS REASONABLE FOR THAT EXECUTIVE'S POSITION. THE COMMITTEE REVIEWS AND APPROVES EXECUTIVE COMPENSATION AND BENEFITS ANNUALLY, CONSISTENT WITH THE WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY OF NOVANT HEALTH, AND IN A MANNER THAT QUALIFIES FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS, THEREBY ASSURING THAT TOTAL COMPENSATION AND BENEFITS PROVIDED TO EACH EXECUTIVE IS REASONABLE. FORM 990, PART VI, SECTION B, LINE 15B: COMPENSATION PROCESS FOR OFFICERS THE ORGANIZATION DOES NOT HAVE ANY KEY EMPLOYEES OR OFFICERS OTHER THAN THE TOP MANAGEMENT OFFICIAL AND THE CHIEF FINANCIAL OFFICER. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, SECTION C, LINE 19: GOVERNING DOCUMENTS DISCLOSURE THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINING ALL ORGANIZATIONS IN THE NOVANT HEALTH UVA HEALTH SYSTEM ARE AVAILABLE UPON REQUEST. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, COLUMN B: RELATED ORGANIZATIONS THE ORGANIZATION EMPLOYS CERTAIN EXECUTIVES WHOSE ROLES ARE SUCH THAT THEY PROVIDE SERVICES TO NOT ONLY THE ORGANIZATION, BUT ALSO TO SOME OR ALL OF THE OTHER TAX-EXEMPT ORGANIZATIONS WITHIN THE HEALTHCARE SYSTEM. FOR EXAMPLE, MANY OF THESE EXECUTIVES' ROLES FOCUS ON PARTICULAR SERVICE LINES WHICH CROSS THE VARIOUS GEOGRAPHIC MARKETS OUR ORGANIZATIONS SERVE, THUS THE SERVICES PROVIDED BY THESE EXECUTIVES MAY BENEFIT AND BE RECEIVED BY MULTIPLE ORGANIZATIONS WITHIN THE SYSTEM. THE EXECUTIVES DO NOT ALLOCATE THEIR HOURS BETWEEN THE VARIOUS ORGANIZATIONS, BUT RATHER THEIR TIME SPENT ON SERVICES TO THE ORGANIZATION IS INCLUSIVE OF SERVICES TO ALL OF THE ORGANIZATIONS THEY SERVE WITHIN THE SYSTEM. FORM 990, PART VII, SECTION B: INDEPENDENT CONTRACTORS THE FILING ENTITY IS PART OF THE NOT-FOR-PROFIT INTEGRATED HEALTHCARE SYSTEM KNOWN AS NOVANT HEALTH UVA HEALTH SYSTEM. NOVANT HEALTH, INC. IS A MEMBER OF THE ENTITY THAT OPERATES THE HEALTH SYSTEM AND IS RESPONSIBLE FOR CERTAIN CORPORATE SUPPORT FUNCTIONS INCLUDING ACCOUNTS PAYABLE AND ISSUES FORMS 1099 FOR CERTAIN ENTITIES IN THE SYSTEM INCLUDING THE FILING ENTITY. INFORMATION REPORTED IN PART VII, SECTION B REPRESENTS THE EXPENSES PAID ON BEHALF OF THE FILING ENTITY TO INDEPENDENT CONTRACTORS OVER $100,000. FORM 990, PART IX, LINE 11G OUTSIDE SERVICES : PROGRAM SERVICE EXPENSES 16,590,056. MANAGEMENT AND GENERAL EXPENSES 699,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,289,112. CONSULTING FEES : PROGRAM SERVICE EXPENSES 471,747. MANAGEMENT AND GENERAL EXPENSES 19,878. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 491,625. CONTRACTED SERVICES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 500,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 500,000. FORM 990, PART XI, LINE 9: CAPITAL INVESTMENT: 5,587,547. BOOK ADJUSTMENT: -8,560,753. PRINCE WILLIAM HEALTH SYSTEM ASCMOB LLC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 203195704 HEALTHCARE VA 521736 7879765 PRINCE WILLIAM HEALTH SYSTEM PRINCE WILLIAM-FAUQUIER CANCER CENTER LLC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 050570221 HEALTHCARE VA 9774477 28422967 PRINCE WILLIAM HOSPITAL NMG AFFILIATE PRACTICE I LLC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 562084786 HEALTHCARE NC 25268169 7586680 PRINCE WILLIAM HEALTH SYSTEM VIENNA DIAGNOSTIC IMAGING LLC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 743065759 HEALTHCARE VA 332764 3474878 PRINCE WILLIAM HEALTH SYSTEM AUXILIARY OF FORSYTH MEMORIAL HOSPITAL 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 560862112 HEALTHCARE NC 501(C)(3) LINE 10 FORSYTH MEMORIAL HOSPITAL INC 0 BRUNSWICK NOVANT MEDICAL CENTER FOUNDATION 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 274616751 HEALTHCARE NC 501(C)(3) LINE 7 BRUNSWICK COMMUNITY HOSPITAL LLC 0 CAROLINA MEDICORP ENTERPRISES INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 581466368 HEALTHCARE NC 501(C)(3) LINE 12B, II NOVANT MEDICAL GROUP INC 0 COMMUNITY GENERAL HEALTH PARTNERS INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 560636250 HEALTHCARE NC 501(C)(3) LINE 3 NOVANT HEALTH TRIAD REGION LLC 0 COMMUNITY GENERAL HOSPITAL FOUNDATION INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561828629 HEALTHCARE NC 501(C)(3) LINE 7 COMMUNITY GENERAL HEALTH PARTNERS INC 0 FORSYTH MEDICAL CENTER FOUNDATION 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 562120959 HEALTHCARE NC 501(C)(3) LINE 7 FORSYTH MEMORIAL HOSPITAL INC 0 FORSYTH MEMORIAL HOSPITAL INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 560928089 HEALTHCARE NC 501(C)(3) LINE 3 NOVANT HEALTH TRIAD REGION LLC 0 FOUNDATION HEALTH SYSTEMS CORP 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561373175 HEALTHCARE NC 501(C)(3) LINE 10 NOVANT HEALTH INC 0 MEDICAL PARK HOSPITAL INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561340424 HEALTHCARE NC 501(C)(3) LINE 3 NOVANT HEALTH TRIAD REGION LLC 0 NMG SERVICES INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 562098809 HEALTHCARE NC 501(C)(3) LINE 10 NOVANT HEALTH INC 0 NOVANT HEALTH INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561376950 HEALTHCARE NC 501(C)(3) LINE 12C, III-FI N/A 0 NOVANT MEDICAL GROUP INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 581728803 HEALTHCARE NC 501(C)(3) LINE 3 NMG SERVICES INC 0 PERSONAL CARE SERVICES 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 541291284 HEALTHCARE VA 501(C)(3) LINE 10 PRINCE WILLIAM HEALTH SYSTEM 1 PRESBYTERIAN HOSPITAL FOUNDATION 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 581413074 HEALTHCARE NC 501(C)(3) LINE 7 NOVANT HEALTH SOUTHERN PIEDMONT REGION LLC 0 PRESBYTERIAN MEDICAL CARE CORPORATION 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561376368 HEALTHCARE NC 501(C)(3) LINE 3 NOVANT HEALTH SOUTHERN PIEDMONT REGION LLC 0 PRINCE WILLIAM HEALTH SYSTEM 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 541278944 HEALTHCARE VA 501(C)(3) LINE 12C, III-FI NOVANT HEALTH UVA HEALTH SYSTEM 1 PRINCE WILLIAM HOSPITAL 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 540696355 HEALTHCARE VA 501(C)(3) LINE 3 PRINCE WILLIAM HEALTH SYSTEM 1 PWHS FOUNDATION 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 541307595 HEALTHCARE VA 501(C)(3) LINE 7 PRINCE WILLIAM HEALTH SYSTEM 1 ROWAN HEALTH SERVICES CORPORATION 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561424814 HEALTHCARE NC 501(C)(3) LINE 12C, III-FI NOVANT HEALTH INC 0 ROWAN REGIONAL MEDICAL CENTER AUXILIARY 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 237022472 HEALTHCARE NC 501(C)(3) LINE 10 ROWAN REGIONAL MEDICAL CENTER INC 0 ROWAN REGIONAL MEDICAL CENTER FOUNDATION INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 561424818 HEALTHCARE NC 501(C)(3) LINE 7 ROWAN REGIONAL MEDICAL CENTER INC 0 ROWAN REGIONAL MEDICAL CENTER INC 2085 FRONTIS PLAZA BLVD WINSTON SALEM NC 27103 560547479 HEALTHCARE NC 501(C)(3) LINE 3 ROWAN HEALTH SERVICES CORPORATION 0 SELF INSURANCE FUND - 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