MARTHA JEFFERSON HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: MARTHA JEFFERSON HOSPITAL (EIN 54-0261840)
Tax period: 2010-10-01 to 2011-09-30
Filed: 2012-08-15
IRS object ID: 201222309349300612
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-15T11:42:34-05:00	Timestamp
Tax Period End Date	2011-09-30	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	540261840	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MARTHA JEFFERSON HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MART	NameControl
Phone	4346548198	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1
City	CHARLOTTESVILLE	City
State	VA	State
ZIP Code	22911	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	J Michael Burris	Name
Title	VICE PRESIDENT & CFO	Title
Phone	4346547000	Phone
Date Signed	2012-08-14	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JAMES HADEN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1
City	CHARLOTTESVILLE	City
State	VA	State
ZIP Code	22911	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	249593737	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MARTHAJEFFERSON.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1929	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	IMPROVE HLTH STATUS OF COMMUNITY BY MAINTAINING, ENHANCING & RESTORING PERSONAL HEALTH & WELL BEING.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	1761	TotalNbrEmployees
Total Nbr Volunteers	813	TotalNbrVolunteers
Total Gross UBI	140823	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5875354	ContributionsGrantsPriorYear
Contributions Grants Current Year	4176406	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	224324967	ProgramServiceRevenuePriorYear
Program Service Revenue CY	233790096	ProgramServiceRevenueCY
Investment Income Prior Year	739801	InvestmentIncomePriorYear
Investment Income Current Year	719922	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2617942	OtherRevenuePriorYear
Other Revenue Current Year	3681439	OtherRevenueCurrentYear
Total Revenue Prior Year	233558064	TotalRevenuePriorYear
Total Revenue Current Year	242367863	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	317500	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	101044888	SalariesEtcPriorYear
Salaries Etc Current Year	105001460	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	125600436	OtherExpensePriorYear
Other Expenses Current Year	116397603	OtherExpensesCurrentYear
Total Expenses Prior Year	226645324	TotalExpensesPriorYear
Total Expenses Current Year	221716563	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6912740	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	20651300	RevenuesLessExpensesCY
Total Assets BOY	485162429	TotalAssetsBOY
Total Assets EOY	317788638	TotalAssetsEOY
Total Liabilities BOY	349759822	TotalLiabilitiesBOY
Total Liabilities EOY	359534902	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	135402607	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-41746264	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE ORGANIZATION'S MISSION IS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY AND SET THE STANDARD FOR CLINICAL QUALITY AND PERSONALIZED HEALTHCARE SERVICES. IT IS DEDICATED TO PROVIDING THE BEST CLINICAL QUALITY WHILE MAINTAINING EXTRAORDINARY CUSTOMER SERVICE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	189163348	Expense
Revenue	235459537	Revenue
Description	AT THE HEART OF MARTHA JEFFERSON'S MISSION AS A NOT-FOR-PROFIT COMMUNITY HOSPITAL IS OUR ROLE AND RESPONSIBILITY TO ADDRESS THE HEALTH NEEDS OF OUR COMMUNITY. MARTHA JEFFERSON IS ENTRUSTED WITH RESOURCES AND SKILLS THAT CAN HELP THE PEOPLE OF OUR COMMUNITY ACHIEVE AND MAINTAIN THEIR BEST POSSIBLE HEALTH. THE HOSPITAL'S BOARD OF TRUSTEES IN 2011 REAFFIRMED THE FOLLOWING COMMITMENTS THAT ARE FUNDAMENTAL TO OUR ABILITY TO MEET THESE CHALLENGES: AS AN INTEGRAL PART OF THE STRATEGIC PLANNING PROCESS, THE MISSION OF MARTHA JEFFERSON HOSPITAL WILL BE REVIEWED ALONG WITH SPECIFIC INITIATIVES, GOALS AND OBJECTIVES TO CONSIDER INCORPORATING SPECIFIC STATEMENTS AIMED AT HELPING TO RESOLVE COMMUNITY PROBLEMS ADVERSELY AFFECTING THE HEALTH STATUS OF THE COMMUNITIES WE SERVE. MARTHA JEFFERSON WILL CONDUCT, OR GAIN ACCESS TO, COMMUNITY-NEEDS ASSESSMENTS TO IDENTIFY PROBLEMS ADVERSELY AFFECTING OUR COMMUNITIES' HEALTH STATUS. MARTHA JEFFERSON WILL REGULARLY INVENTORY HOSPITAL-SPONSORED AND COMMUNITY PROGRAMS WORKING TO MEET THE IDENTIFIED NEEDS OF MEDICALLY UNDERSERVED OR DISADVANTAGED POPULATIONS. AS APPROPRIATE, THESE PROGRAMS WILL BE TRACKED AND EVALUATED FOR THEIR IMPACT ON IDENTIFIED HEALTH STATUS ISSUES. MARTHA JEFFERSON WILL REGULARLY ASSESS ITS ABILITY TO COMMIT RESOURCES, FINANCIAL AND HUMAN, TOWARD HELPING MEET IDENTIFIED NEEDS. ACCESS TO HEALTHCARE: MARTHA JEFFERSON ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR HEALTHCARE SERVICES. THE HOSPITAL ASSISTS PATIENTS WITH FINANCIAL NEEDS THROUGH THE MARTHA JEFFERSON HEALTHTRUST, A PROGRAM THAT PROVIDES A SLIDING FEE SCALE FOR HOSPITAL PATIENTS WHO QUALIFY BASED ON FAMILY INCOME UP TO 300 PERCENT OF POVERTY LEVEL. FINANCIAL ASSISTANCE IS BASED ON A REVIEW OF THE PATIENT'S FINANCIAL CIRCUMSTANCES UPON ADMISSION OR THE SERVICE DATE. BECAUSE MARTHA JEFFERSON DOES NOT PURSUE COLLECTION OF THE AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS A COMPONENT OF PATIENT SERVICE REVENUES. MARTHA JEFFERSON DEFINES CHARITY CARE AS CARE FOR WHICH COLLECTION IS NOT ATTEMPTED (I.E. INDIGENT CARE) AND OPERATING COSTS FOR SERVICES RENDERED FOR MEDICAID PATIENTS THAT ARE IN EXCESS OF REIMBURSEMENT FROM STATE AGENCIES. THE PERCENTAGE OF PATIENTS RECEIVING SOME FORM OF CHARITY ASSISTANCE 14.67%. ADDITIONAL CHARITY CARE INFORMATION IS PROVIDED ON SCHEDULE H. IN ADDITION TO PROVIDING UNCOMPENSATED CARE, MARTHA JEFFERSON HAS ESTABLISHED SPECIAL ACCOUNTS TO PROVIDE FREE DIAGNOSTIC SERVICES FOR PATIENTS REFERRED BY THE CHARLOTTESVILLE FREE CLINIC AND THE FREE CLINIC OF GREENE COUNTY. THROUGHOUT THE YEAR, COMMUNITY HEALTH SCREENINGS AND REDUCED-FEE SERVICES PROVIDED OTHER MEANS OF ACCESS TO HEALTHCARE FOR PEOPLE ACROSS CENTRAL VIRGINIA. PHYSICIANS EMPLOYED BY MARTHA JEFFERSON HOSPITAL HAVE OFFICES THROUGHOUT CHARLOTTESVILLE AND IN SEVEN SURROUNDING COUNTIES INCLUDING ALBEMARLE, BUCKINGHAM, LOUISA, MADISON, GREENE, FLUVANNA AND NELSON, WHICH PROVIDE ACCESS TO HEALTHCARE IN MANY RURAL AREAS WITHOUT REGARD TO ONE'S ABILITY TO PAY. DURING 2011, THE MEDICAL STAFF CONSISTED OF JUST OVER 400 PHYSICIANS REPRESENTING 35 MEDICAL SPECIALTIES. MARTHA JEFFERSON HOSPITAL ALSO OPERATES AN EMERGENCY DEPARTMENT, WHICH IS STAFFED 24-HOURS A DAY/7 DAYS A WEEK BY BOARD-CERTIFIED PHYSICIANS AND SPECIALLY TRAINED NURSES AND SUPPORT STAFF. ADDITIONALLY, THE HOSPITAL OPERATES A FREE-STANDING EMERGENCY DEPARTMENT. IN FISCAL YEAR 2011, MARTHA JEFFERSON HOSPITAL SERVED THE COMMUNITY BY WAY OF 10,982 INPATIENT ADMISSIONS; 223,229 OUTPATIENT ACCOUNTS; 51,189 EMERGENCY DEPARTMENT VISITS; 6,194 OPERATING ROOM VISITS; AND 152,079 PHYSICIAN OFFICE VISITS. IN ADDITION, MARTHA JEFFERSON OFFERED OR SUPPORTED MANY PROGRAMS AND SERVICES IN OUR COMMUNITY, WHICH ARE DETAILED BELOW.EDUCATIONAL PROGRAMS: AN IMPORTANT PART OF OUR COMMUNITY OUTREACH IS CENTERED ON EDUCATIONAL PROGRAMS AND TRAINING. WHEN A FAMILY IS PREPARING TO DELIVER A BABY AT MARTHA JEFFERSON, SIBLING TOURS, BREASTFEEDING CLASSES AND PEDIATRIC CPR ARE OFFERED AS WELL AS CLASSES CENTERED ON PREPARING FOR CHILDBIRTH AND BECOMING A PARENT. ONCE THE BABY HAS BEEN DELIVERED HOWEVER, THE EDUCATION DOESN'T STOP. A BRUNCH IS HELD DAILY FOR NEW FAMILIES BEFORE THEY ARE DISCHARGED. DURING THIS TIME FAMILIES LEARN HOW TO CALM THEIR CRYING BABY, THE DANGERS OF SUDDEN INFANT DEATH SYNDROME AND HOW TO GET A BIG BROTHER OR SISTER WARMED UP TO THE IDEA OF SHARING MOM AND DAD. OTHER EDUCATIONAL CLASS OFFERINGS AT MARTHA JEFFERSON INCLUDE; POSTOPERATIVE BREAST REHABILITATION, PREPARING FOR A HYSTERECTOMY, POST-HYSTERECTOMY REHAB, ADVANCED MEDICAL PLANNING, STRESS MANAGEMENT, UNDERSTANDING VASCULAR DISEASE, CARDIAC REHABILITATION AND PULMONARY REHABILITATION.CONTINUED IN PROGRAM SERVICE TWO	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	CONTINUED FROM PROGRAM SERVICE ONESCHOOL PROGRAMS: MARTHA JEFFERSON HOSPITAL UNDERSTANDS MANY OF THE HEALTH DECISIONS WE MAKE AS ADULTS ARE A RESULT OF THE SITUATIONS WE EXPERIENCE AS CHILDREN. THROUGH OUR SCHOOL PROGRAMS WE ARE ABLE TO TEACH CHILDREN AND LEAVE AN IMPRESSION THAT WILL HOPEFULLY STAY WITH THEM AS THEY GROW UP.IN OUR ELEMENTARY SCHOOL OUTREACH, AN EMPLOYEE OF MARTHA JEFFERSON ENGAGES STUDENTS IN THEIR CLASSROOM IN LESSONS ON HEALTH AND WELLNESS THAT DIRECTLY RELATE TO THE VIRGINIA STANDARDS OF LEARNING TEST. PROFESSIONAL EDUCATION SUPPORT: AS A WAY TO PROVIDE CONTINUED PROFESSIONAL EDUCATION, MARTHA JEFFERSON SUPPORTS THE PIEDMONT VIRGINIA COMMUNITY COLLEGE SONOGRAPHY PROGRAM AND PROVIDES CLINICAL PLACEMENTS FOR NURSING STUDENTS OF UVA, JMU, PVCC, BLUE RIDGE COMMUNITY COLLEGE, BRYANT AND STRATTON SCHOOL OF NURSING, WALDEN UNIVERSITY AND GERMANNA COMMUNITY COLLEGE.HOSPITAL SERVICES: MARTHA JEFFERSON HOSPITAL OFFERS MANY PROGRAMS THAT HELP PATIENTS BOTH GET ACCLIMATED WITH OUR SYSTEM, AND ALSO NAVIGATE THE HOSPITAL AS NEEDS ARISE.HEALTH CONNECTION, OUR PHYSICIAN REFERRAL, PATIENT EDUCATION AND INFORMATION SERVICE TAKES 120 CALLS ON A DAILY BASIS. THEY'RE ABLE TO HELP NEW MEMBERS OF THE COMMUNITY FIND A PHYSICIAN, ENROLL PEOPLE IN THE VARIOUS CLASSES THE HOSPITAL OFFERS AND PROVIDE SUPPORT FOR SPECIFIC MEDICAL NEEDS.FOR PEOPLE UNDERGOING CANCER TREATMENTS AT MARTHA JEFFERSON HOSPITAL, WE PROVIDE A CANCER CARE CENTER. THE CENTER SERVES AS A RESOURCE FOR PATIENTS FROM THE MOMENT THEY ARE DIAGNOSED THROUGH THEIR ENTIRE LINE OF INTERACTIONS AT THE HOSPITAL, AND IN MANY CASES EVEN CONTINUES AFTER THEY ARE ARE NO LONGER COMING FOR VISITS. STAFF MEMBERS ARE DEDICATED TO HELPING PATIENTS DEAL WITH THE EMOTIONS THAT GO ALONG WITH BEING DIAGNOSED WITH CANCER, FITTING THEM WITH COMPLIMENTARY WIGS AND SCARVES TO USE DURING TREATMENT AND JUST BEING FRIENDS THROUGHOUT THE PROCESS.MARTHA JEFFERSON HOSPITAL ALSO OFFERS A PALLIATIVE CARE PROGRAM. WHEN A PERSON IS FACING A SERIOUS OR ADVANCING ILLNESS, THE ACCOMPANYING PHYSICAL, EMOTIONAL AND SPIRITUAL ISSUES CAN DRAMATICALLY AFFECT THE EXPERIENCE AND OFTEN QUALITY OF LIFE FOR PATIENTS AND LOVED ONES. OVER THE PAST FIVE YEARS MORE THAN 1,000 LOCAL FAMILIES HAVE BENEFITTED FROM CONSULTATIONS BY A MULTIDISCIPLINARY TEAM PROVIDING PALLIATIVE CARE AT MARTHA JEFFERSON HOSPITAL. THE CAREGIVERS FOCUS ON DELIVERING A UNIQUE COMBINATION OF SPECIAL EXPERTISE IN PAIN AND SYMPTOM MANAGEMENT AND COORDINATE CARE AMONG A MULTIPLICITY OF PHYSICIANS INVOLVED WHEN AN INDIVIDUAL IS SERIOUSLY ILL AND DEDICATE THE TIME NEEDED FOR PATIENT-FAMILY COMMUNICATION ABOUT GOALS OF CARE AND THE EMOTIONAL AND SPIRITUAL STRUGGLES THAT OFTEN ACCOMPANY A LIFE-CHANGING ILLNESS. IN ADDITION TO THE ABOVE MENTIONED PROGRAMS, MARTHA JEFFERSON HOSPITAL ALSO OFFERS THE FOLLOWING: CHAPLAINCY PROGRAM, PATIENT ADVOCATE PROGRAM, WEBSITE WITH INTEGRATED HEALTH INFORMATION (WWW.MARTHAJEFFERSON.ORG), A HEALTH SOURCE LIBRARY AND A WOMEN'S MIDLFE RESOURCE CENTER. MARTHA JEFFERSON HOSPITAL HELD 'UNWANTED MEDICATION TAKE BACK DAY' WHICH WAS A DRIVE-THROUGH EVENT ALLOWING ANY AND ALL IN OUR COMMUNITY TO DROP OFF UNWANTED MEDICATIONS AND MEDICAL SHARPS FOR PROPER DISPOSAL.COMMUNITY EVENTS AND HEALTH SCREENINGS: HEALTH SCREENINGS ARE AN IMPORTANT SERVICE OFFERED BY MARTHA JEFFERSON. THE FOLLOWING SCREENINGS ARE HELD ANNUALLY: SKIN CANCER SCREENING, BREAST HEALTH SCREENING, DIABETES SCREENING.IN ADDITION TO THE SCREENING EVENTS, WE ALSO HOST EVENTS FOR THE COMMUNITY THAT PROMOTE WELLNESS. EACH SPRING THE CELEBRATION OF LIFE IS HELD FOR CANCER PATIENTS, SURVIVORS AND THEIR FAMILIES. THE AFTERNOON IS FILLED WITH FOOD, SALSA DANCING, GAMES AND MUSIC AND PROVIDES A CHANCE FOR MEMBERS OF THE COMMUNITY TO CELEBRATE THEIR LIFE. WE ALSO HOLD FOOD AND SHOE DRIVES TO HELP PROVIDE MUCH NEEDED ITEMS TO PEOPLE IN OUR COMMUNITY. ANNUALLY, WE HOST THE MJ8K RUN AND WALK TO BENEFIT COMMUNITY EDUCATION SERVICES AND MARTHA'S MARKET, WHICH HELPS FUND CANCER SERVICES AND SUPPORT WELLNESS INITIATIVES.NUTRITION PROGRAMS: AS HEALTHCARE PROVIDERS, OUR GOAL IS TO KEEP THE MEMBERS OF OUR COMMUNITY HEALTHY AND FEELING WELL. AT MARTHA JEFFERSON HOSPITAL WE OFFER A VARIETY OF PROGRAMS THAT ALLOW PEOPLE ACCESS TO INFORMATION THAT THEN HELPS THEM MAKE EDUCATED NUTRITION CHOICES.FOR STARTERS, ONE OF OUR REGISTERED DIETICIANS TAKES LEARNING ON LOCATION THROUGH OUR SUPERMARKET SMARTS CLASSES. THROUGH A PARTNERSHIP WITH GIANT FOOD, PEOPLE ARE ABLE TO GET HANDS-ON EXPERIENCE WHEN IT COMES TO MAKING HEALTHY DECISIONS AT THE GROCERY. WE ALSO PROVIDE HEART HEALTHY NUTRITION, DIABETES NUTRITION AND NUTRITION TIPS FOR INDIVIDUALS WITH CANCER.IN ADDITION TO OUR CLASSES, MARTHA JEFFERSON HAS A PRESENCE ACROSS THE LOCAL MEDIA AIRWAVES. NUTRITION TIPS AND TIMELY INFORMATION IS GIVEN BY ONE OF OUR REGISTERED DIETICIANS THROUGH DAILY RADIO SPOTS, A WEEKLY TELEVISION SEGMENT, AND VARIOUS PRINT OPPORTUNITIES.SUPPORT GROUPS: MARTHA JEFFERSON HOSPITAL OFFERS SUPPORT GROUPS OF A WIDE VARIETY TO OUR PATIENTS AND MEMBERS OF THE COMMUNITY. GROUPS MEET ON A REGULAR BASIS AND HELP PROVIDE A SAFE COMMUNITY WHERE PEOPLE CAN SHARE STORIES, REFLECT ON THEIR EXPERIENCES, AND GAIN KNOWLEDGE FROM WHAT OTHERS ARE GOING THROUGH. THE FOLLOWING ARE JUST SOME OF THE TOPICS WE OFFER: WELCOME TO MOTHERHOOD, BREAST CANCER SUPPORT, FAMILY CANCER SUPPORT, HODGKIN'S AND LYMPHOMA SUPPORT, CARDIAC REHAB SUPPORT AND SLEEP APNEA SUPPORT.PROGRAM SUPPORT/UNDERWRITING: MARTHA JEFFERSON PROVIDES MEDICAL IMAGING, LABORATORY SERVICE AND OUTPATIENT DIAGNOSTIC SERVICE ACCESS TO THE CLIENTS OF THE CHARLOTTESVILLE FREE CLINIC (CFC) AND GREENE FREE CLINIC (GFC). THIS ACCESS SUPPORTS PRIMARY CARE SERVICES FOR THE WORKING UNINSURED MEMBERS OF OUR COMMUNITIES. THE HOSPITAL IS ALSO DEDICATED TO SUPPORTING HEADSTART WHICH FOCUSES ON CHILD DENTAL SERVICES AND GIVES IN-KIND DONATIONS TO THE WOMEN'S INITIATIVE, PACEM (PEOPLE AND CONGREGATIONS ENGAGED IN MINISTRY) AND EMT TRAINING THROUGH THE THOMAS JEFFERSON EMERGENCY MEDICAL COUNCIL.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	189163348	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	178	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1761	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	0	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	VA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	J MICHAEL BURRIS CHIEF FINANCIAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	4346547304	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1
City	CHARLOTTESVILLE	City
State	VA	State
ZIP Code	22911	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
JOHN P CHAMALES
BOARD MEMBER	2.00	X	0	0	0
JAMES P CRAIG
BOARD MEMBER	2.00	X	0	0	0
DR GREGORY G DEGNAN
BOARD MEMBER	2.00	X	0	0	0
MARK GILES
BOARD MEMBER	2.00	X	0	0	0
CAROL B HURT
CHAIR	2.50	X	0	0	0	X
ARTHUR KISER
BOARD MEMBER	2.00	X	0	0	0
Dr JOHN LIGUSH
VICE CHAIR	2.00	X	0	0	0	X
DR JOHN M CARPENTER
BOARD MEMBER	2.00	X	0	0	0
DR JOSEPH ORLICK
BOARD MEMBER	2.00	X	0	0	0
KATHRYN B PARKER
BOARD MEMBER	2.00	X	0	0	0
DR JOSH FISCHER
BOARD MEMBER	2.00	X	0	0	0
DR BURKHARD SPIEKERMANN
BOARD MEMBER	2.00	X	0	0	0
DR R HUNT MACMILLAN
BOARD MEMBER & CHAIR	2.00	X	0	0	0
DR KEVIN R MCCONNELL
BOARD MEMBER	2.00	X	0	0	0
DR TIMOTHY B SHORT
BOARD MEMBER	2.00	X	0	0	0
WILLIAM L ACHENBACH
BOARD MEMBER	2.00	X	0	0	0
DAVID BERND
BOARD MEMBER	2.00	X	0	0	0
LILLIAN R BEVIER
BOARD MEMBER	2.00	X	0	0	0
PETER BROOKS
BOARD MEMBER	2.00	X	0	0	0
GREGORY DOULL MD
BOARD MEMBER	2.00	X	0	0	0
EARNEST EDWARDS
BOARD MEMBER	2.00	X	0	0	0
RICHARD GILLIAM
BOARD MEMBER	2.00	X	0	0	0
HOWARD KERN
BOARD MEMBER	2.00	X	0	0	0
KENNETH KRAKAUR
BOARD MEMBER	2.00	X	0	0	0
E RAY MURPHY
BOARD MEMBER	2.00	X	0	0	0
BRUCE MURRAY
BOARD MEMBER	2.00	X	0	0	0
CHARLES ROTGIN JR
BOARD MEMBER	2.00	X	0	0	0
DAVID G SUTTON
BOARD MEMBER	2.00	X	0	0	0
JAMES E HADEN
PRESIDENT (NON-VOTING)	50.00		615116	0	195462	X
AMY BLACK
SECRETARY (NON-VOTING)	65.00		231437	0	27742	X
J MICHAEL BURRIS
TREASURER (NON-VOTING)	54.00		277357	0	76539	X
ELLIOT H KUIDA
VP, COO	63.00		325286	0	26915		X
MARIJO LECKER
VP, CLINICAL SUPPORT SVS/I	65.00		245167	0	28626		X
RONALD J COTTRELL
VP, PLANNING, MKTG, CORP D	65.00		236620	0	58649		X
FINLAY M ASHBY
VP, MEDICAL AFFAIRS	65.00		238872	0	21111		X
SUSAN CABELL MAINS
VP, HR, RETAIL, COMPLIANCE	65.00		226588	0	100054		X
RAY R MISHLER
VP, DEVELOPMENT	65.00		180865	0	60718		X
DEBORAH L THEXTON
FINANCE DIRECTOR	65.00		163661	0	12357		X
JOHN Z EDWARDS
PHYSICIAN	40.00		483201	0	24342			X
CHRISTOPHER D WILLMS
PHYSICIAN	40.00		477508	0	27717			X
TEJA SANDEEP
PHYSICIAN	40.00		475247	0	19760			X
JACOB N YOUNG
PHYSICIAN	40.00		445631	0	14499			X
GORDON L MORRIS
PHYSICIAN	40.00		376029	0	17209			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4998585	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	711700	TotalOtherCompensation
Number Individuals GT100 K	111	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MA MORTENSON COMPANY
17975 WEST SARAH LANE	BROOKFIELD	WI	53045	CONSTRUCTION	64223672
KAHLERSLATER
111 W WISCONSIN AVENUE	MILWAUKEE	WI	532032501	ARCHITECTS	2057584
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	606932436	LAB SERVICES	1268392
INSCRIBE LLC
PO BOX 1427	MURRAY	KY	42071	TRANSCRIPTION SERVICE	938572
MCCANDLISH HOLTON PC
PO BOX 796	RICHMOND	VA	232180796	LEGAL SERVICES	778377

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	43	NumberOfContractorsGT100K
Fundraising Events	286304	FundraisingEvents
All Other Contributions	3890102	AllOtherContributions
Noncash Contributions	108168	NoncashContributions
Total Contributions	4176406	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICES	Description
Business Code	621500	BusinessCode
Total Revenue Column	233790096	TotalRevenueColumn
Related Or Exempt Function Income	233711046	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	79050	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	233790096	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	338943	TotalRevenueColumn
Unrelated Business Revenue	61773	UnrelatedBusinessRevenue
Exclusion	$277,170	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	312326	TotalRevenueColumn
Exclusion	$312,326	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1486834	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	873205	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	613629	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	613629	TotalRevenueColumn
Exclusion	$613,629	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	6317601	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	6248948	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	68653	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	68653	TotalRevenueColumn
Exclusion	$68,653	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	153208	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	286304	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	103721	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	49487	TotalRevenueColumn
Exclusion	$49,487	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA & GIFT SHOP	722210	1162439	$1,162,439
PHYSICIAN TELEPHONE SV	621110	105072		105072
NETWORK ACCESS FEES	561000	96364		96364

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1654448	TotalRevenueColumn
Related Or Exempt Function Income	1547055	RelatedOrExemptFunctionIncome
Exclusion	$107,393	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	3018323	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	242367863	TotalRevenueColumn
Related Or Exempt Function Income	235459537	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	140823	UnrelatedBusinessRevenue
Exclusion	$2,591,097	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	317500	Total
Program Services	317500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2859602	Total
Management And General	2859602	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	77691944	Total
Program Services	72635848	ProgramServices
Management And General	5056096	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5288992	Total
Program Services	4747143	ProgramServices
Management And General	541849	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13283965	Total
Program Services	12112502	ProgramServices
Management And General	1171463	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5876957	Total
Program Services	5380940	ProgramServices
Management And General	496017	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1087895	Total
Program Services	1087895	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1125722	Total
Program Services	-14846	ProgramServices
Management And General	1140568	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	246304	Total
Program Services	66774	ProgramServices
Management And General	179530	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	17873510	Total
Program Services	12186160	ProgramServices
Management And General	5687350	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	591155	Total
Program Services	561650	ProgramServices
Management And General	29505	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	45784791	Total
Program Services	44270747	ProgramServices
Management And General	1514044	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4802020	Total
Program Services	3742661	ProgramServices
Management And General	1059359	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6250808	Total
Program Services	5021368	ProgramServices
Management And General	1229440	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	195730	Total
Program Services	159206	ProgramServices
Management And General	36524	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	118033	Total
Program Services	93073	ProgramServices
Management And General	24960	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	6791725	Total
Management And General	6791725	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9110468	Total
Program Services	7941835	ProgramServices
Management And General	1168633	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	738386	Total
Program Services	799172	ProgramServices
Management And General	-60786	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROV FOR BAD DEBT	13433514	13437406	-3892
EQUIPMENT MAINTENANCE	4394318	4009275	385043
DUES & SUBSCRIPTIONS	1040629	334650	705979
RECRUITMENT	499783	265207	234576

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2312812	Total
Program Services	7182	ProgramServices
Management And General	2305630	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	221716563	Total
Program Services	189163348	ProgramServices
Management And General	32553215	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	93355036	BOY
EOY	23184335	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	21315310	BOY
EOY	24830779	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2417703	BOY
EOY	1819634	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3422784	BOY
EOY	3627267	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2843927	BOY
EOY	3228468	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	189090363	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2701067	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	297162443	BOY
EOY	186389296	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	54656615	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	64645226	BOY
EOY	20052244	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	485162429	BOY
EOY	317788638	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	88869316	BOY
EOY	42471418	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	230148275	BOY
EOY	230137799	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	30742231	BOY
EOY	86925685	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	349759822	BOY
EOY	359534902	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	131166311	BOY
EOY	-46106689	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3696776	BOY
EOY	3849557	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	539520	BOY
EOY	510868	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	135402607	BOY
EOY	-41746264	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	485162429	BOY
EOY	317788638	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	20651300	ReconcilationRevenueExpenses
Reconcilation Other Changes	-197800171	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$35	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$11,014	OtherActivitiesAmount
Total Lobbying Expenditures IIB	11049	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Other Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1i:	ReturnReference
Explanation	$9,014 REPRESENTS A PORTION OF MJH'S DUES PAID TO VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION (VHHA) ALLOCABLE TO LOBBYING ACTIVITIES CONDUCTED BY VHHA. DUES TO VHHA TOTALED $92,923. THE REMAINING $2,000 REPRESENTS THE LOBBYING PORTION OF DUES PAID TO MEDICAL ASSOCIATIONS ON BEHALF OF MJH EMPLOYEES.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Contributions	29368803	Contributions
End Of Year Balance	29368803	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	30248829	OtherCostOrOtherBasis
Book Value	30248829	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	109988770	OtherCostOrOtherBasis
Depreciation	317406	Depreciation
Book Value	109671364	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	434239	OtherCostOrOtherBasis
Depreciation	11074	Depreciation
Book Value	423165	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	48199786	OtherCostOrOtherBasis
Depreciation	2372587	Depreciation
Book Value	45827199	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	218739	OtherCostOrOtherBasis
Book Value	218739	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	186389296	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
MISCELLANEOUS ACCOUNTS RECEIVABLE	1101929
DEPOSITS	778363
OTHER ASSETS	5292802
ASSETS HELD FOR SALE	11583150
DUE FROM AFFILIATE	1296000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	20052244	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
CLAIMS ACCRUAL	$750,000
PENSION LIABILITY	$29,149,071
CAPITAL LEASE OBLIGATIONS	$1,623,707
LONG TERM LIABILITIES	$7,607,733
INTEREST RATE SWAP LIABILITY	$47,795,174

Field	Value	IRS element (for citing)
Total Of Amounts	86925685	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X:	ReturnReference
Explanation	THE HOSPITAL RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH THE CHANGE IN JUDGMENT OCCURS. THERE WERE NO UNCERTAIN TAX POSITIONS RECORDED AT SEPTEMBER 30, 2011.	Explanation

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
CENTRAL AMERICA AND THE CARIBBEAN	PROGRAM SERVICES	INSURANCE CAPTIVE	0
EUROPE	PROGRAM SERVICE INVESTMENTS		38702000

Field	Value	IRS element (for citing)
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	38702000	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	38702000	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	Other Information	Identifier
Return Reference	Schedule F, Part V	ReturnReference
Explanation	AS OF SEPTEMBER 30, 2011 MARTHA JEFFERSON HOSPITAL HAS A 17% OWNERSHIP IN VIRGINIA SOLUTION SPC LTD, AN INSURANCE CAPTIVE, WHICH OPERATES IN THE CAYMAN ISLANDS. IN ACCORDANCE WITH MARTHA JEFFERSON HOSPITAL'S INTEREST RATE SWAP AGREEMENTS WITH UBS, MARTHA JEFFERSON HOSPITAL IS REQUIRED TO PROVIDE COLLATERAL WHEN THE FAIR VALUE OF THE SWAP AGREEMENTS EXCEEDS A PREDETERMINED THRESHOLD AMOUNT. WHEN MARTHA JEFFERSON IS REQUIRED TO PROVIDE COLLATERAL, IT IS HELD BY UBS AND EARNS INTEREST.	Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	MARTHA'S MARKET	NameOfEvent1
Gross Receipts Event1	410561	GrossReceiptsEvent1
Charitable Contributions Event1	257353	CharitableContributionsEvent1
Gross Revenue Event1	153208	GrossRevenueEvent1
Other Direct Expenses Event1	102973	OtherDirectExpensesEvent1
Name Of Event2	IN THE PINK	NameOfEvent2
Gross Receipts Event2	28951	GrossReceiptsEvent2
Charitable Contributions Event2	28951	CharitableContributionsEvent2
Other Direct Expenses Event2	748	OtherDirectExpensesEvent2
Gross Receipts Total	439512	GrossReceiptsTotal
Charitable Contributions Total	286304	CharitableContributionsTotal
Gross Revenue Total Events	153208	GrossRevenueTotalEvents
Other Direct Expenses Total Events	103721	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	103721	DirectExpenseSummaryEvents
Net Income Summary	49487	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5079059	TotalCommunityBenefitExpense
Net Community Benefit Expense	5079059	NetCommunityBenefitExpense
Percent Of Total Expense	0.02310	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11073225	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7689127	DirectOffsettingRevenue
Net Community Benefit Expense	3384098	NetCommunityBenefitExpense
Percent Of Total Expense	0.01540	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	220	TotalCommunityBenefitExpense
Net Community Benefit Expense	220	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16152504	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7689127	DirectOffsettingRevenue
Net Community Benefit Expense	8463377	NetCommunityBenefitExpense
Percent Of Total Expense	0.03850	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	722516	TotalCommunityBenefitExpense
Net Community Benefit Expense	722516	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	581959	TotalCommunityBenefitExpense
Direct Offsetting Revenue	297842	DirectOffsettingRevenue
Net Community Benefit Expense	284117	NetCommunityBenefitExpense
Percent Of Total Expense	0.00130	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18386040	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10028091	DirectOffsettingRevenue
Net Community Benefit Expense	8357949	NetCommunityBenefitExpense
Percent Of Total Expense	0.03800	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	338392	TotalCommunityBenefitExpense
Net Community Benefit Expense	338392	NetCommunityBenefitExpense
Percent Of Total Expense	0.00150	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20028907	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10325933	DirectOffsettingRevenue
Net Community Benefit Expense	9702974	NetCommunityBenefitExpense
Percent Of Total Expense	0.04410	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36181411	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18015060	DirectOffsettingRevenue
Net Community Benefit Expense	18166351	NetCommunityBenefitExpense
Percent Of Total Expense	0.08260	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	9280	TotalCommunityBuildingExpense
Net Community Building Expense	9280	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	28463	TotalCommunityBuildingExpense
Net Community Building Expense	28463	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	37743	TotalCommunityBuildingExpense
Net Community Building Expense	37743	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$6,058,949	BadDebtExpenseAmount
Amount Attributable To	1098483	AmountAttributableTo
Amount Reimbursed By Medicare	61927928	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	70302878	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-8374950	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 MARTHA JEFFERSON OUTPATIENT SURGERY CENTER LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	FREESTANDING AMBULATORY SURGERY CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.50000	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
MARTHA JEFFERSON HOSPITAL
1	500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	X	X	X
MARTHA JEFFERSON OUTPATIENT SURGERY CENT
2	595 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	X			AMBULATORY SURGERY CENTER

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	NOT REQUIRED	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	2	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	19	NumberOfOtherFacilities

Other Facilities OtherFacilities (19 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
MARTHA JEFFERSON OUTPATIENT CARE CENTER
595 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	DIAGNOSTIC CENTER
THE SOMETHING SPECIAL SHOP
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	DME
MJ SURGICAL ASSOCIATES
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC
MARTHA JEFFERSON SLEEP CENTER
1793 RICHMOND ROAD	CHARLOTTESVILLE	VA	22911	DIAGNOSTIC CENTER
FOREST LAKES FAMILY MEDICINE
3263 PROFFIT ROAD SUITE 101	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC
GREENE FAMILY MEDICINE
140 STONERIDGE DRIVE S SUITE 100	RUCKERSVILLE	VA	229683096	PHYSICIAN CLINIC
CROZET FAMILY MEDICINE
1646 PARK RIDGE DRIVE	CROZET	VA	229323155	PHYSICIAN CLINIC
PALMYRA MEDICAL ASSOCIATES
17 CENTRE COURT	PALMYRA	VA	229632330	PHYSICIAN CLINIC
MADISON FAMILY MEDICINE
2503 SOUTH SEMINOLE TRAIL	MADISON	VA	227272690	PHYSICIAN CLINIC
MJH IVF LAB
595 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	FERTILITY LABORATORY
AFTON FAMILY MEDICINE
7849 ROCKFISH VALLEY HWY	AFTON	VA	229203203	PHYSICIAN CLINIC
BUCKINGHAM FAMILY MEDICINE
65 BRICKYARD ROAD	DILLWYN	VA	229360030	PHYSICIAN CLINIC
BLUE RIDGE INTERNAL MEDICINE
310 OLD IVY WAY SUITE 201	CHARLOTTESVILLE	VA	229034896	PHYSICIAN CLINIC
MJ INTERNAL MEDICINE
1100 EAST HIGH STREET SUITE B	CHARLOTTESVILLE	VA	22902	PHYSICIAN CLINIC
MJ ORTHOPAEDICS
310 OLD IVY WAY SUITE 202	CHARLOTTESVILLE	VA	229034896	PHYSICIAN CLINIC
MJ MEDICAL ONCOLOGY ASSOCIATES
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	PHYSICIAN CLINIC
MARTHA JEFFERSON HEALTH SERVICES
3263 PROFFIT ROAD	CHARLOTTESVILLE	VA	22902	DIAGNOSTIC CENTER
WOUND CARE AT MARTHA JEFFERSON
1490 PANTOPS MOUNTAIN PLACE	CHARLOTTESVILLE	VA	22911	WOUND CENTER
MJ SPRING CREEK
29 JEFFERSON COURT	GORDONSVILLE	VA	22942	PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation
Part I, Line 7: A COMBINATION OF A RATIO OF COSTS TO CHARGES AND A COST ACCOUNTING PROCESS WHICH ADDRESSES ALL PATIENT SEGMENTS (INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICARE, MEDICAID, UNINSURED AND SELF PAY) WAS USED TO DETERMINE ALL AMOUNTS REPORTED ON LINE 7.
Part I, Line 7g: INCLUDES PRIMARY CARE PRACTICES COSTS OF $8,357,949.
Part I, L7 Col(f): THE AMOUNT OF BAD DEBT EXPENSE SUBTRACTED FROM THE DENOMINATOR WHEN CALCULATING COLUMN F PERCENTAGES IS $13,433,514.
Part II: WE OFFER A VARIETY OF COMMUNITY BUILDING ACTIVITIES INCLUDING THOSE DESIGNED TO HELP MEET THE BASIC NEEDS OF OUR COMMUNITY SUCH AS FOOD DRIVES AND OUR SHOES FOR THE HOMELESS ANNUAL CAMPAIGN. WE OFFER AN ANNUAL CELEBRATION OF LIFE EVENT FOR CANCER SURVIVORS TO GIVE THEM THE OPPORTUNITY TO INTERACT WITH THE PHYSICIANS AND STAFF WHO WERE RESPONSIBLE FOR THEIR CARE. WE HAVE HAD FOUR ANNUAL UNWANTED MEDICATION AND SHARPS DROP-OFF EVENTS. WE HAVE STEADILY INCREASED THE AMOUNT OF MEDICATIONS AND SHARPS WE ARE TAKING OUT OF HOMES IN OUR COMMUNITY AT EACH EVENT.
Part III, Line 4: WORKSHEET A IN THE INSTRUCTIONS WAS USED TO COMPUTE THE AMOUNT REPORTED ON LINE 2.IN COMPUTING LINE 3, THE ORGANIZATION USES PRESUMPTIVE CRITERIA FOR ACCOUNTS IN BAD DEBT, BASED ON PREVIOUS QUALIFICATIONS FOR MEDICAID, EXISTENCE OF INSURANCE, EMPLOYMENT STATUS, AND HISTORY OF BAD DEBT WRITE-OFFS. BAD DEBT SHOULD BE INCLUDED IN COMMUNITY BENEFIT AS HOSPITALS OFTEN FACE A BARRIER TO CLASSIFYING A PATIENT ACCOUNT AS CHARITY CARE DUE TO THEIR ABILITY TO OBTAIN FROM PATIENTS THE NECESSARY INFORMATION TO EVALUATE THEIR ELIGIBILITY FOR CHARITY CARE. AS SUCH, SOME PORTION OF BAD DEBT EXPENSE MAY, IN FACT, MORE ACCURATELY BE CONSIDERED TO BE CHARITY CARE.THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE DESCRIBING BAD DEBT EXPENSE. THE FINANCIAL STATEMENTS ACCOUNT FOR BAD DEBT BY RESERVING 72% OF THE SELF PAY A/R BALANCES. BAD DEBT EXPENSE IS REPORTED NET OF ANY DISCOUNTS OR COLLECTIONS ON ACCOUNTS THAT WERE PREVIOUSLY WRITTEN-OFF (I.E. BAD DEBT WRITE-OFFS - DISCOUNTS - PAYMENTS RECEIVED).
Part III, Line 8: THE MEDICARE COST REPORT WAS USED TO DETERMINE THE MEDICARE COSTS REPORTED ON LINE 6. MEDICARE MARGINS HAVE BEEN DECLINING AT THE SAME TIME THAT HOSPITALS HAVE BEEN ENGAGED IN CONCERTED EFFORTS TO IMPROVE EFFICIENCY, WHICH POINTS TO THE FACT THAT THE LOSSES ARE MOST LIKELY THE RESULT OF INADEQUATE REIMBURSEMENT BY THE FEDERAL GOVERNMENT, THUS, SHOULD BE INCLUDED IN COMMUNITY BENEFIT.
Part III, Line 9b: COLLECTION PRACTICES ARE GEARED TOWARDS PATIENTS THAT HAVE A HIGH PROBABILITY OF BEING ABLE TO PAY FOR SERVICES BASED ON INCOME LEVEL AND INELIGIBILITY FOR CHARITY PROGRAMS. IT IS THE POLICY OF MARTHA JEFFERSON HOSPITAL TO REVIEW ACCOUNTS TO ENSURE ALL POSSIBLE METHODS OF PAYMENT HAVE BEEN EXHAUSTED, I.E. MEDICAL ASSISTANCE, FINANCIAL ASSISTANCE, PAYMENT PLANS AND SELF-PAY DISCOUNTS, PRIOR TO AN ACCOUNT BEING DEEMED AS "BAD DEBT". THE ORGANIZATION USES OUTSIDE COLLECTION AGENCIES ON A PRIMARY PLACEMENT BASIS. THE ORGANIZATION DETERMINES WHICH PATIENTS ARE SENT TO OUTSIDE AGENCIES AND GUIDES THE AGENCIES IN PERFORMING REASONABLE COLLECTION EFFORTS.
Part VI, Line 2: MARTHA JEFFERSON WAS INVITED BY THE THOMAS JEFFERSON HEALTH DISTRICT TO PARTICIPATE ON THE STEERING COMMITTEE OF THE CITY OF CHARLOTTESVILLE/ALBEMARLE COUNTY COMMUNITY HEALTH STATUS ASSESSMENT. THE STEERING COMMITTEE WAS INCLUSIVE, WITH REPRESENTATIVES FROM ALL LOCAL AGENCIES AND ORGANIZATIONS THAT IMPACT THE OVERALL HEALTH OF OUR COMMUNITY. THE PURPOSE OF COMMUNITY HEALTH STATUS ASSESSMENT WAS TO ANSWER THREE MAIN QUESTIONS: 1) WHO COMPRISES THE COMMUNITY, AND WHAT DO THE COMMUNITY MEMBERS BRING TO THE TABLE? 2) WHAT ARE THE STRENGTHS AND RISK FACTORS IN THE COMMUNITY THAT CONTRIBUTE TO HEALTH? 3) WHAT IS THE STATUS OF THE COMMUNITY?THIS ASSESSMENT WAS PUBLISHED IN 2008 AND CAN BE FOUND ON THE THOMAS JEFFERSON HEALTH DISTRICT'S WEBSITE LOCATED AT WWW.VDH.STATE.VA.US/LHD/THOMASJEFFERSON.WE ARE CURRENTLY PLANNING A SIMILAR COLLABORATIVE EFFORT TO MEET THE REQUIREMENTS FOR A NEW ASSESSMENT BY OCTOBER 2013.
Part VI, Line 3: THE HOSPITAL PROVIDES PAMPHLETS AT REGISTRATION AREAS, PAYMENT AREAS AND WAITING ROOMS DESCRIBING THE HOSPITAL'S BILLING PROCESS AND FINANCIAL ASSISTANCE. IN ADDITION, INFORMATION IS AVAILABLE ON THE HOSPITAL'S WEBSITE DISCUSSING ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE, THE FULL FINANCIAL ASSISTANCE POLICY, AS WELL AS INFORMATION ON THE APPLICATION PROCESS. FINANCIAL COUNSELORS AT THE HOSPITAL MAY REACH OUT TO PATIENTS TO DETERMINE IF THEY WOULD LIKE TO APPLY FOR ASSISTANCE, WHICH APPLICATION MAY BE MADE PRIOR TO, DURING OR SUBSEQUENT TO RECEIVING SERVICES.
Part VI, Line 4: MARTHA JEFFERSON HOSPITAL SERVES THE THOMAS JEFFERSON AREA PLANNING DISTRICT (PD10), INCLUDING THE CITY OF CHARLOTTESVILLE, AND THE COUNTIES OF ALBEMARLE, FLUVANNA, GREENE, LOUISA, AND NELSON, ALL OF WHICH ARE FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS. THIS DISTRICT INCLUDES URBAN, RURAL AND SUBURBAN GEOGRAPHIC AREAS. PD10 CONSISTS OF APPROXIMATELY 230,000 PEOPLE (U.S. CENSUS BUREAU 2009), WITH ALBEMARLE COUNTY BY FAR THE MOST HIGHLY POPULATED AREA, DISTANTLY FOLLOWED BY THE CITY OF CHARLOTTESVILLE AND THE OTHER COUNTIES. IN GENERAL, THE PLANNING DISTRICT IS GROWING IN POPULATION, WITH AN INCREASE OF OVER 30,000 PEOPLE FROM 2000-2009 (U.S. CENSUS BUREAU 2009). APPROXIMATELY 75 PERCENT OF CITY RESIDENTS AND 90 PERCENT OF ALBEMARLE COUNTY RESIDENTS LIVE ABOVE THE FEDERAL POVERTY LEVEL, WITH CHILDREN BEING THE MOST AFFECTED GROUP BY AGE OF PERSONS LIVING IN POVERTY. WHILE ABOUT 10 PERCENT OF CITY HOUSEHOLDS RECEIVE ASSISTANCE THROUGH FOOD STAMPS, OVER 50 PERCENT OF CITY SCHOOL CHILDREN QUALIFY FOR FREE OR REDUCED-COST LUNCH PROGRAMS (2008 CITY OF CHARLOTTESVILLE/ALBEMARLE COUNTY COMMUNITY HEALTH STATUS ASSESSMENT). MEDICAID AND SELF PAY PATIENTS COMPRISE APPROXIMATELY 9% OF THE HOSPITAL'S PATIENTS. THE COMMUNITY IS SERVED BY TWO HOSPITALS.
Part VI, Line 6: MARTHA JEFFERSON FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY THROUGH WORKPLACE HEALTHY INITIATIVES, AN OPEN MEDICAL STAFF, BOARDS OF DIRECTORS COMPRISED OF COMMUNITY MEMBERS AND PHYSICIANS, CHARITY CARE POLICIES AND OUTREACH, AND USE OF SURPLUS FUND DISPERSAL. WORKFORCE DEVELOPMENT PROGRAMS CONTINUE AS DOES OUR SUPPORT OF ORGANIZATIONS CHAMPIONING CHILD DENTAL, INDIGENT PRESCRIPTION DRUG, COMMUNITY MENTAL HEALTH SERVICES AND FREE CLINIC ACCESS EFFORTS.MARTHA JEFFERSON HOSPITAL STAFF SERVE ON COMMITTEES AND BOARDS RELATED TO COMMUNITY HEALTH INCLUDING THE CHARLOTTESVILLE FREE CLINIC, JEFFERSON AREA BOARD FOR AGING, THE SENIOR CENTER, THE CHARLOTTESVILLE OBESITY TASK FORCE, HOSPICE OF THE PIEDMONT, AND THE WOMEN'S INITIATIVE. PARTNERSHIPS ARE IMPORTANT TO US. WE PARTNER WITH ORGANIZATIONS THAT HAVE A TRACK RECORD OF IMPROVING HEALTH IN OUR COMMUNITY INCLUDING BUT NOT LIMITED TO THE CHARLOTTESVILLE FREE CLINIC, GREENE FREE CLINIC, CHARLOTTESVILLE/ALBEMARLE RESCUE SQUAD, THE UNITED WAY, AND THE WOMEN'S INITIATIVE (MENTAL HEALTH SERVICES). WE MAXIMIZE OUR REACH THROUGH FINANCIAL AND IN-KIND DONATIONS TO ORGANIZATIONS SUCH AS THE CHARLOTTESVILLE CITY SCHOOLS, HOSPICE OF THE PIEDMONT, JEFFERSON AREA BOARD FOR AGING AND HEAD START PROGRAMS IN SEVERAL SURROUNDING COUNTIES. OUR PARTNERSHIPS HELP BUILD AND STRENGTHEN EXISTING PROGRAMS, AS WELL AS LEADING TO THE DEVELOPMENT OF NEW PROGRAMS. OUR PARTNERSHIPS WITH OTHER NON-PROFITS IN THE COMMUNITY ALSO HELP US STAY ABREAST OF COMMUNITY NEEDS.MARTHA JEFFERSON HOSPITAL WELCOMES AND ENCOURAGES SIGNIFICANT COMMUNITY INVOLVEMENT THROUGH THE ESTABLISHMENT OF NUMEROUS GOVERNING COMMITTEES AND A COMMUNITY LEADERSHIP COUNCIL. THERE ARE 100 COMMUNITY MEMBERS ANNUALLY INVOLVED DIRECTLY WITH THESE COMMITTEES.MARTHA JEFFERSON HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF TO ALL WHO SEEK PRIVILEGES HERE. THERE ARE OVER 450 PHYSICIANS AND ALLIED STAFF ON THE MARTHA JEFFERSON HOSPITAL MEDICAL STAFF.MARTHA JEFFERSON HOSPITAL UTILIZES SURPLUS FUNDS TO PURCHASE MEDICAL EQUIPMENT AND FACILITIES DESIGNED TO MEET THE NEEDS OF THE COMMUNITY IT SERVES.
Part VI, Line 7: IN ORDER TO INCREASE ITS ABILITY TO PROVIDE HIGH QUALITY, COMPREHENSIVE HELATH CARE SERVICES TO PATIENTS, THE ORGANIZATION AFFILIATED WITH SENTARA HEALTHCARE SYSTEM EFFECTIVE JUNE 1, 2011. SENTARA, A NOT-FOR-PROFIT HEALTH SYSTEM, OPERATES MORE THAN 100 SITES OF CARE SERVING RESIDENTS ACROSS VIRGINIA AND NORTHEASTERN NORTH CAROLINA. THE SYSTEM IS COMPRISED OF 10 ACUTE CARE HOSPITALS, INCLUDING SEVEN IN HAMPTON ROADS, ONE IN NORTHERN VIRGINIA AND TWO IN THE BLUE RIDGE REGION, ADVANCED IMAGING CENTERS, NURSING AND ASSISTED LIVING CENTERS, OUTPATIENT CAMPUSES, TWO HOME HEALTH AND HOSPICE AGENCIES, A 3,680-PROVIDE MEDICAL STAFF, AND THREE MEDICAL GROUPS WITH 618 PROVIDERS.THE ORGANIZATION, ALONG WITH ITS SUBSIDIARIES, HAS JOINED WITH SENTARA IN ORDER TO ENHANCE ITS ABILITY TO ACHIEVE BEST PRACTICES IN HEALTHCARE DELIVERY; ACQUIRE CUTTING EDGE TECHNOLOGY AND INTEGRATED INFORMATION SYSTEMS, AND PROVIDE A HIGHER LEVEL OF MEDICAL CARE TO VIRGINIA'S BLUE RIDGE REGION COMMUNITY. COMBINED, THESE ATTRIBUTES BETTER POSITION THE ORGANIZATION TO ADDRESS HELATH CARE REFORM AND OTHER PROFOUND CHANGES AFFECTING THE HEALTHCARE ENVIRONMENT.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (16 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
VIRGINIA HEALTH CARE FOUNDATION
707 EAST MAIN STREET STE 1350	RICHMOND	VA	23219	541639924	501(c)(3)	60000	COMMUNITY HEALTH
BLUE RIDGE MEDICAL CENTER
4038 THOMAS NELSON HWY	ARRINGTON	VA	22922	541222147	501(c)(3)	25000	DENTAL SERVICES
BOYS & GIRLS CLUB OF CENTRAL VIRGINIA
PO BOX 707	CHARLOTTESVILLE	VA	22902	541602004	501(c)(3)	7500	NUTRITIONAL PROGRAMS
CHARLOTTESVILLE CITY SCHOOLS
1562 DAILY ROAD	CHARLOTTESVILLE	VA	22903	546001203		15000	SPECIAL EDUCATION, STUDENT SERVICES
CHARLOTTESVILLE FREE CLINIC
1138 ROSE HILL DRIVE	CHARLOTTESVILLE	VA	22903	541610405	501(c)(3)	40000	RX RELIEF PROGRAM
COUNTY OF ALBEMARLE
401 MCINTIRE ROAD	CHARLOTTESVILLE	VA	22903	546001102		12000	BRIGHT STARS PROGRAM, DEPT OF SOCIAL SERVICES, PRESCHOOL NETWORK
GREENE CARE CLINIC
39 STANDARD STREET	STANDARDSVILLE	VA	22973	721602744	501(c)(3)	15000	COMMUNITY HEALTH
MADISON FREE CLINIC
410 NORTH MAIN STREET	MADISON	VA	22727	311654015	501(c)(3)	15000	COMMUNITY HEALTH
MONTICELLO AREA COMMUNITY ACTION AGENCY
1025 PARK STREET	CHARLOTTESVILLE	VA	22901	540799964	501(c)(3)	21000	DENTAL SERVICES FOR UNDERSERVED CHILDREN
ORANGE COUNTY FREE CLINIC
13296-A JAMES MADISON HWY	ORANGE	VA	22960	251922019	501(c)(3)	15000	COMMUNITY HEALTH
REGION TEN COMMUNITY SERVICES BOARD
502 OLD LYNCHBURG ROAD	CHARLOTTESVILLE	VA	22902	541625290	501(c)(3)	40000	PHYCHIATRIC SERVICES
THE WOMEN'S INITIATIVE
1101 EAST HIGH STREET STE A	CHARLOTTESVILLE	VA	22902	205913090	501(c)(3)	20000	MENTAL HEALTH SERVICES
THOMAS JEFFERSON PARTNERSHIP FOR ECONOMIC DEVELOPMENT
2211 HYDRAULIC ROAD STE 104	CHARLOTTESVILLE	VA	22901	263895424	501(c)(3)	5000	COMMUNITY HEALTH
AMERICAN HEART ASSOCIATION
4217 PARK PLACE COURT	GLEN ALLEN	VA	23060	135613797	501(c)(3)	6000	COMMUNITY HEALTH
FIRST TEE CHARLOTTESVILLE
1400 PEN PARK ROAD	CHARLOTTESVILLE	VA	22901	546001202	501(c)(3)	5000	COMMUNITY HEALTH
UNITED WAY
806 EAST HIGH STREET	CHARLOTTESVILLE	VA	22902	540505882	501(c)(3)	15000	COMMUNITY HEALTH

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	16	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: MARTHA JEFFERSON HOSPITAL DONATES FUNDS IN FURTHERANCE OF THE HOSPITAL'S MISSION TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY MAINTAINING, ENHANCING AND RESTORING PERSONAL HEALTH AND WELL BEING. ASSISTANCE IS GIVEN BASED ON DIRECTION FROM THE BOARD OF DIRECTORS AND COMMUNITY NEED.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES E HADEN
487616	0	127500	0	0	0	182914	0	12548	0	810578	0	0	0
AMY BLACK
187916	0	43521	0	0	0	16321	0	11421	0	259179	0	0	0
J MICHAEL BURRIS
225091	0	52266	0	0	0	64925	0	11614	0	353896	0	0	0
ELLIOT H KUIDA
262731	0	62555	0	0	0	17150	0	9765	0	352201	0	0	0
MARIJO LECKER
200424	0	44743	0	0	0	17150	0	11476	0	273793	0	0	0
RONALD J COTTRELL
191490	0	45130	0	0	0	47172	0	11477	0	295269	0	0	0
FINLAY M ASHBY
199869	0	39003	0	0	0	16721	0	4390	0	259983	0	0	0
SUSAN CABELL MAINS
185824	0	40764	0	0	0	88763	0	11291	0	326642	0	0	0
RAY R MISHLER
146932	0	33933	0	0	0	49510	0	11208	0	241583	0	0	0
DEBORAH L THEXTON
142857	0	20804	0	0	0	11456	0	901	0	176018	0	0	0
JOHN Z EDWARDS
483201	0	0	0	0	0	17150	0	7192	0	507543	0	0	0
CHRISTOPHER D WILLMS
477508	0	0	0	0	0	17150	0	10567	0	505225	0	0	0
TEJA SANDEEP
475247	0	0	0	0	0	9800	0	9960	0	495007	0	0	0
JACOB N YOUNG
445631	0	0	0	0	0	7350	0	7149	0	460130	0	0	0
GORDON L MORRIS
376029	0	0	0	0	0	7350	0	9859	0	393238	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	THE INDICATED BENEFITS ARE PROVIDED TO CERTAIN SENIOR EXECUTIVES OF THE ORGANIZATION AS PART OF OVERALL COMPENSATION PACKAGES AND ARE CONSIDERED IN EVALUATING THE REASONABLENESS OF COMPENSATION (SEE FORM 990, PART VI, LINE 15, FOR A DESCRIPTION OF THE PROCESS USED TO DETERMINE EXECUTIVE COMPENSATION). COUNTRY CLUB MEMBERSHIP FEES AND DUES: PROVIDED FOR CEO, COO AND VICE PRESIDENT, DEVELOPMENT ONLY. SOCIAL CLUB DUES PAID ON BEHALF OF THE ORGANIZATION'S SENIOR EXECUTIVES ARE ALLOCATED BETWEEN BUSINESS AND PERSONAL USE, THE PERSONAL USE OF WHICH IS TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES. PERSONAL SERVICES: FINANCIAL PLANNING - THE CEO RECEIVES ANNUAL PAYMENTS UP TO $4,000, VICE PRESIDENTS RECEIVE UP TO $2,500 EVERY FOUR YEARS AT THE DISCRETION OF THE PRESIDENT/CEO. FINANCIAL PLANNING (I.E. PERSONAL SERVICES) EXPENSES PAID BY OR ON BEHALF OF THE ORGANIZATION'S SENIOR EXECUTIVES ARE TREATED AS ADDITIONAL COMPENSATION AND REPORTED ON FORM W-2 AS TAXABLE WAGES.
Part I, Line 7	THE MANAGEMENT AND SENIOR MANAGEMENT INCENTIVE PLANS RECOGNIZE INDIVIDUALS BASED ON SPECIFIC CRITERIA AND DEFINED ORGANIZATION PERFORMANCE STANDARDS. THOSE PLANS ARE NOT ANNUALLY GUARANTEED AND IMPLEMENTATION WILL DEPEND ON ORGANIZATION-WIDE PERFORMANCE. IF ORGANIZATION-WIDE GOALS ARE NOT MET, THE PRESIDENT/CEO WILL HAVE THE DISCRETION TO DETERMINE ANY VARIATIONS TO THE PLAN.
Part III	PART 1, LINE 4b: SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 457(f): JAMES HADEN PARTICIPATES IN THE MARTHA JEFFERSON HEALTH SERVICES CORPORATION NONQUALIFIED RETIREMENT PLAN. THIS IS A SERP WITH TARGET BENEFIT OFFSET BY THE QUALIFIED PENSION PLAN AND SOCIAL SECURITY. ELLIOT KUIDA, FINLAY ASHBY, MICHAEL BURRIS, MARIJO LECKER, AMELIA BLACK, RONALD COTTRELL, SUSAN CABELL MAINS, RAY MISHLER AND DEBORAH THEXTON PARTICIPATE IN THE MARTHA JEFFERSON HEALTH SERVICES CORPORATION NONQUALIFIED DEFERRED COMPENSATION ARRANGEMENT. THIS PLAN REWARDS THE INDIVIDUALS LISTED FOR MEETING TARGET FINANCIAL GOALS ESTABLISHED FOR EACH OF THEM BY THE CEO WITH THE APPROVAL OF THE BOARD, AND AS AN INCENTIVE FOR THE EMPLOYEES TO REMAIN WITH THE EMPLOYER UNTIL THEIR VESTING DATE.	Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
INDUSTRIAL DEVELOPMENT AUTHORITY OF ALBEMARLE COUNTY VIRGINIA
521297503	012677CE8	2003-09-25	34192283	REFUNDED BONDS ISSUED JULY 1993	0	0	0
ECONOMIC DEVELOPMENT AUTHORITY OF ALBEMARLE COUNTY VIRGINIA
521297503	012663AD2	2008-10-30	160795000	FINANCING FOR REPLACEMENT HOSPITAL CONSTRUCTION	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capitalized InterestCapitalizedInterest	Credit EnhancementCreditEnhancement	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent
35257603	4093857	30758484	405262	2003	1	0	1	1
160910173			1424688	2011	0	0	0	1	20817708	199290	137812586	655901

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse
0	0	0	0	0
0	0	0	0	1	1	0.00000	0.00000	0.00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Term Of GICTermOfGIC	Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
WACHOVIA BANK
0	0	0	1	16.500000000000	1	0	1
UBS AG STAMFORD
0	1	1	0			0	0	BRANCH	40.000000000000	1	0

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

IdentifierIdentifier	ExplanationExplanation
PART II, LINE 3, COLUMN A	TOTAL PROCEEDS INCLUDES DSRF EARNINGS SINCE 2003 OF $1,063,168 INTEREST FUND EARNINGS OF $1,454, AND RESIDUAL COI RESERVE TRANSFER FOR DSRF OF $67,410
PART II, LINE 3, COLUMN B	TOTAL PROCEEDS FROM ISSUANCE INCLUDES $115,173 OF EARNINGS ON THE COI, PROJECT AND INTEREST FUNDS FROM 2009; THERE WERE NO EARNINGS IN 2010/2011.
PART III, COLUMN A	N/A: POST 12/31/2002 REFUNDING ISSUE OF AN ORIGINAL ISSUANCE PRIOR TO 1/1/2003. TAX PREPARATION SOFTWARE WOULD NOT ACCOMODATE LEAVING THIS SECTION BLANK AND ANSWERED ALL QUESTIONS "NO".

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
MARTHA JEFFERSON PHYSICIAN HOSPITAL ORGANIZATION INC
SEE BELOW	144813	ACCOUNTING SERVICE	0
MARTHA JEFFERSON OUTPATIENT SURGERY CENTER LLC
SEE BELOW	465719	RENT AND CLEANING SERVICE	0

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	PART IV (b)	Identifier
Explanation	TRANSACTIONS WITH INTERESTED PERSONS - BOARD/OFFICER/KEY EMPLOYEE OVERLAP WITH TAXABLE ENTITIESBOARD MEMBERS CAROL HURT AND CHARLES ROTGIN, JR. AND OFFICERS JAMES HADEN AND J. MICHAEL BURRIS ALSO SERVE AS BOARD MEMBERS AND/OR OFFICERS OF MARTHA JEFFERSON PHYSICIAN HOSPITAL ORGANIZATION, INC., A JOINT VENTURE OF THE ORGANIZATION.BOARD MEMBERS LILLIAN BEVIER AND PETER BROOKS, OFFICER J. MICHAEL BURRIS, AND KEY EMPLOYEE RONALD COTTRELL SERVE AS BOARD MEMBERS OF MARTHA JEFFERSON OUTPATIENT SURGERY CENTER, LLC, A JOINT VENTURE OF THE ORGANIZATION.DIRECTORS/OFFICERS/KEY EMPLOYEES OF THE ORGANIZATION MAY ALSO SERVE AS DIRECTORS/OFFICERS/KEY EMPLOYEES OF RELATED TAXABLE ENTITIES WITHIN THE SENTARA HEALTHCARE SYSTEM. SEE FORM 990 SCHEDULE R FOR A LISTING OF TRANSACTIONS THE ORGANIZATION HAD WITH THESE RELATED TAXABLE ENTITIES.	Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	21999	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	15	NumberOfContributions
Noncash Contribs Rptd F990	49596	NoncashContribsRptdF990
Method Of Determining Revenues	COST OR SELLING PRICE	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	GIFTS IN KIND	Description
Number Of Contributions	113	NumberOfContributions
Noncash Contribs Rptd F990	36573	NoncashContribsRptdF990
Method Of Determining Revenues	COST OR SELLING PRICE OF DONATED PROPERTY	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	3	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	1	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Method for Determining Number of Contributors:	Part I, Column (b):	THE NUMBER OF CONTRIBUTIONS FOR EACH TYPE OF PROPERTY RECEIVED IS CALCULATED USING THE NUMBER OF CONTRIBUTIONS RECORDED, WHICH MAY INCLUDE MULTIPLE ITEMS RECEIVED. CONTRIBUTIONS FROM DONORS WHO GIVE ITEMS THROUGHOUT THE YEAR ARE COUNTED AS SEPARATE CONTRIBUTIONS ON EACH NEW DATE RECEIVED.
Third Party Use:	Part I, Line 32b:	MARTHA JEFFERSON HOSPITAL USES EXTERNAL PARTIES TO COORDINATE AN ARMS-LENGTH SALE OF NON-CASH CONTRIBUTIONS. FOR EXAMPLE, A LICENSED STOCK BROKER WAS USED THIS YEAR TO SELL GIFTS OF STOCK.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 2	THE ORGANIZATION'S OFFICERS AND DIRECTORS SERVE TOGETHER ON THE BOARDS OF OTHER TAXABLE ORGANIZATIONS WITHIN THE SENTARA HEALTHCARE SYSTEM ("THE SYSTEM"), AS WELL AS JOINT VENTURES IN WHICH THE SYSTEM HAS AN OWNERSHIP INTEREST. SEE SCHEDULE R FOR A LISTING OF SUCH ENTITIES.
Form 990, Part VI, Section A, line 4	ON APRIL 1, 2011, THE ORGANIZATION ENTERED INTO AN AFFILIATION AGREEMENT WITH SENTARA HEALTHCARE, A 501(c)(3) ORGANIZATION ("SENTARA"), WHEREBY SENTARA REPLACED MARTHA JEFFERSON HEALTH SERVICES CORPORATION ("MJHSC") AS THE SOLE MEMBER OF THE ORGANIZATION EFFECTIVE JUNE 1, 2011. AS A RESULT OF THE AFFILIATION, THE ORGANIZING AND GOVERNING DOCUMENTS WERE CHANGED IN THE FOLLOWING MANNER: - MJHSC WAS REPLACED BY SENTARA AS SOLE MEMBER OF THE ORGANIZATION. - THE TWELVE-MEMBER BOARD OF TRUSTEES, WHICH WAS SELECTED BY MJHSC AS SOLE MEMBER AND WAS COMPRISED OF SIX ACTIVE MEDICAL STAFF MEMBERS AND SIX LAY PERSONS, WAS REPLACED WITH A FIFTEEN-MEMBER BOARD OF DIRECTORS, TWELVE SELECTED BY MJHSC AND THREE APPOINTED BY SENTARA. THOSE SELECTED BY MJHSC SHALL ALSO SERVE AS DIRECTORS OF MJHSC DURING THE COVENANT PERIOD DEFINED IN THE AFFILIATION AGREEMENT AND SHALL ULTIMATELY BE REDUCED TO SIX THROUGH TERM EXPIRATIONS. - SENTARA, AS SOLE MEMBER, SHALL HAVE EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE ORGANIZATION AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE ORGANIZATION, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS. THE BOARD OF DIRECTORS SHALL FUNCTION IN AN ADVISORY CAPACITY, PROVIDING RECOMMENDATIONS TO SENTARA REGARDING THE ESTABLISHMENT OF ORGANIZATION POLICIES, THE MAINTENANCE OF QUALITY PATIENT CARE, AND THE PROVISION OF INSTITUTIONAL PLANNING IN A MANNER RESPONSIVE TO LOCAL COMMUNITY NEEDS. - UPON ANY LIQUIDATION OR DISSOLUTION OF THE ORGANIZATION, ITS REMAINING ASSETS SHALL BE DISTRIBUTED TO SENTARA. - DURING THE COVENANT PERIOD DEFINED IN THE AFFILIATION AGREEMENT, ORGANIZING OR ENABLING DOCUMENTS OR BYLAWS MAY ONLY BE ALTERED, AMENDED, RESTATED OR REPEALED THROUGH APPROVAL OF A MAJORITY OF THE BOARD MEMBERS SELECTED BY MJHSC VOTING AS A SEPARATE CLASS, AND SENTARA.
Form 990, Part VI, Section A, line 6	SENTARA HEALTHCARE, A 501(c)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF MARTHA JEFFERSON HOSPITAL.
Form 990, Part VI, Section A, line 7a	BOARD CANDIDATES IDENTIFIED BY THE ORGANIZATION'S NOMINATION COMMITTEE MUST BE RATIFIED BY THE BOARD OF DIRECTORS OF THE ORGANIZATION'S SOLE MEMBER, SENTARA HEALTHCARE, PRIOR TO ELECTION.
Form 990, Part VI, Section A, line 7b	THE ORGANIZATION MAY NOT TAKE OR ALLOW ANY OF THE FOLLOWING GOVERNANCE ACTIONS WITHOUT THE CONSENT OF ITS 501(c)(3) SOLE MEMBER, SENTARA HEALTHCARE: APPROVAL OR ADOPTION OF ANY PLAN OR MERGER OR CONSOLIDATION, ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE ORGANIZATION, THE VOLUNTARY DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION, REVOCATION OF ANY SUCH VOLUNTARY DISSOLUTION PROCEEDINGS, OR ANY DECISION TO FILE A PETITION REQUESTING OR CONSENTING TO AN ORDER FOR RELIEF UNDER THE FEDERAL BANKRUPTCY LAWS OR SIMILAR STATE LAWS FOR THE ORGANIZATION; ELECTION OF NEW BOARD MEMBERS; OR ALTERATION, AMENDMENT, RESTATEMENT OR REPEAL OF ANY ORGANIZING OR ENABLING DOCUMENTS OR BYLAWS. THE APPROVAL OF THE SOLE MEMBER IS ALSO REQUIRED FOR CERTAIN OPERATIONAL ACTIONS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS. SUCH ACTIONS INCLUDE, BUT ARE NOT LIMITED TO, APPROVAL OF LONG-RANGE AND STRATEGIC PLANS AND ANNUAL OPERATING AND CAPITAL BUDGETS; TRANSACTIONS WITH INTERESTED PERSONS; CREATION OR ACQUISITION OF SUBSIDIARIES OR INTERESTS IN WHICH THE ORGANIZATION WILL BE A MEMBER; ENTRANCE INTO JOINT VENTURE OR OTHER SIMILAR ARRANGEMENTS; EMPLOYMENT MATTERS CONCERNING THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER; AND THE COMMENCEMENT OR SETTLEMENT OF LITIGATION. SENTARA HEALTHCARE HAS EXCLUSIVE AUTHORITY TO DIRECT AND MANAGE THE OPERATIONS AND AFFAIRS OF THE HOSPITAL AND TO MAKE ALL DECISIONS REGARDING THE BUSINESS OF THE ORGANIZATION, SUBJECT TO BOARD OVERSIGHT TO THE EXTENT AND IN THE MANNER SET FORTH IN THE ORGANIZATION'S BYLAWS.
Form 990, Part VI, Section B, line 11	THE ANNUAL AUDITED FINANCIALS OF MARTHA JEFFERSON HOSPITAL ARE REVIEWED BY SENTARA HEALTHCARE IN ADDITION TO THE MARTHA JEFFERSON HOSPITAL BOARD'S REVIEW. PRIOR TO FILING THE FORM 990 WITH THE IRS, IT IS REVIEWED BY THE FINANCE TEAM, INCLUDING THE CHIEF FINANCIAL OFFICER. IT IS ALSO REVIEWED BY SENTARA HEALTHCARE'S TAX DIRECTOR. MARTHA JEFFERSON HOSPITAL WILL SUBMIT THE INTERNAL REVENUE SERVICE FORM 990 FOR THE PRECEEDING FISCAL YEAR TO THE CEO EVALUATION COMMITTEE OF THE MARTHA JEFFERSON HOSPITAL BOARD OF DIRECTORS IN THE RESPECTIVE MEETING FOLLOWING THE FILING OF THE FORM 990. IN ADDITION, THE FORM 990 WILL BE PROVIDED TO THE MARTHA JEFFERSON HOSPITAL BOARD OF DIRECTORS AT THE MEETING FOLLOWING THE FILING OF THE FORM 990. MARTHA JEFFERSON HOSPITAL WILL ALSO ADVISE BOARD MEMBERS OF THE WEBSITE ADDRESS AT WHICH THE FILED FORM 990 WILL BE POSTED (WWW.GUIDESTAR.ORG/990).
	MARTHA JEFFERSON HOSPITAL'S CONFLICT OF INTEREST POLICY IS ADMINISTERED BY THE CORPORATE COMPLIANCE OFFICER. ON AN ANNUAL BASIS ALL DIRECTORS, TRUSTEES, OFFICERS, KEY EMPLOYEES, MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES AND OTHER EMPLOYEES COMPLETE A DETAILED CONFLICT OF INTEREST QUESTIONNAIRE DISCLOSING ANY REPORTABLE ACTIVITIES AND INVESTMENTS. THESE QUESTIONNAIRES ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER. IN ADDITION, ALL PERSONS LISTED ABOVE ARE ANNUALLY PROVIDED A COPY OF THE CONFLICT OF INTEREST POLICY. IF CHANGES TO PERSONNEL OCCUR BETWEEN ANNUAL COMPLETION OF THE CONFLICT OF INTEREST QUESTIONNAIRE, NEW PERSONNEL ARE ALSO REQUIRED TO COMPLETE THE QUESTIONNAIRE. ALL DISCLOSURE STATEMENTS ARE REVIEWED FOR REPORTABLE TRANSACTIONS.	Form 990, Part VI, Section B, line 12c
	THE ORGANIZATION HAS AN ESTABLISHED CEO EVALUATION COMMITTEE MADE UP OF HOSPITAL BOARD MEMBERS AND COMMITTEE MEMBERS. ON AN ANNUAL BASIS, A THIRD PARTY COMPENSATION CONSULTING FIRM PROVIDES AN INDEPENDENT REVIEW AND ANALYSIS OF BASE AND TOTAL COMPENSATION AND EXECUTIVE PERQUISITES USING MARKET COMPARABILITY DATA. THE CONSULTING FIRM RENDERS AN OPINION ON THE FAIR MARKET VALUE OF COMPENSATION PAID AND BENEFITS PROVIDED WITH RESPECT TO THE IRS INTERMEDIATE SANCTIONS REGULATIONS. THE PROCESS IS FOLLOWED FOR THE FOLLOWING POSITIONS: CEO, VICE PRESIDENTS, EMPLOYED PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 16b AT SEPTEMBER 30, 2011 MARTHA JEFFERSON HOSPITAL DID NOT HAVE A SPECIFIC JOINT VENTURE POLICY. ANY PROPOSED JOINT VENTURE PARTICIPATION IS EVALUATED WITHIN THE CONTEXT OF THE ADMINISTRATIVE POLICY ENTITLED "AUTHORITY TO COMMIT AND EXPEND FUNDS". THIS POLICY DEPICTS THE TYPES AND LEVELS OF EXPENDITURES AND COMMITMENTS THAT MANAGEMENT CAN UNDERTAKE. ALL PROPOSED JOINT VENTURES ARE REVIEWED BY EXTERNAL LEGAL COUNSEL TO ENSURE COMPLIANCE WITH THE APPROPRIATE FEDERAL, STATE AND REGULATORY LAW. ANY JOINT VENTURE PARTICIPATION MUST BE EVALUATED AND APPROVED BY THE MARTHA JEFFERSON HOSPITAL BOARD OF DIRECTORS. A SPECIFIC JOINT VENTURE PARTICIPATION POLICY IS CURRENTLY IN PROCESS OF DEVELOPMENT.	Form 990, Part VI, Section B, line 15
	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.	Form 990, Part VI, Section C, line 19
HOURS DEVOTED TO RELATED ORGANIZATIONS	JAMES HADEN DEVOTED AN AVERAGE OF 15 HOURS PER WEEK TO RELATED ORGANIZATIONS. J. MICHAEL BURRIS DEVOTED AN AVERAGE OF 11 HOURS PER WEEK TO RELATED ORGANIZATIONS. ELLIOT KUIDA DEVOTED AN AVERAGE OF 2 HOURS PER WEEK TO RELATED ORGANIZATIONS.	FORM 990, PART VII, SECTION A
	THE EFFECTIVE DATE OF THE ORGANIZATION'S AFFILIATION WITH SENTARA HEALTHCARE, ITS NEW 501(c)(3) SOLE MEMBER, WAS JUNE 1, 2011. SINCE THE COMPENSATION REQUIRED TO BE REPORTED IN PART VII SECTION A IS FROM THE 2010 CALENDAR YEAR, AND SENTARA HEALTHCARE WAS NOT RELATED TO THE ORGANIZATION AT ANY TIME DURING 2010, NO RELATED COMPENSATION HAS BEEN REPORTED IN PART VII SECTION A FOR VICE CHAIRMAN HOWARD KERN AND BOARD MEMBERS DAVID BERND AND KENNETH KRAKAUR, WHO ARE EMPLOYED OFFICERS OF SENTARA HEALTHCARE.	FORM 990, PART VII, SECTION A
	CERTAIN BALANCE SHEET ITEMS WERE RECLASSIFIED IN THE CURRENT YEAR DUE TO AFFILIATION WITH SENTARA HEALTHCARE.	FORM 990, PART X
Changes in Net Assets or Fund Balances:	TRANSFER FROM MJH FOUNDATION 3007292. INCREASE IN ADDITIONAL MINIMUM PENSION LIABILITY -5870375. NET UNREALIZED GAINS ON CHARITABLE TRUSTS -43422. NET UNREALIZED GAINS ON INVESTMENTS 899. ASU 2010-07 FAIR MARKET VALUE ADJUSTMENTS -XXX-XX-XXXX. NET PLEDGE ACTIVITY 25130. FY10 CAPITALIZED INTEREST RESTATED -11423820. DEEMED DISTRIBUTION FROM CFC NOT ON BOOKS -33850. INTEREST RATE SWAP VALUATION -11631070. Total to Form 990, Part XI, Line 5: -XXX-XX-XXXX.	Form 990, Part XI, line 5:
	DURING THE YEAR, MARTHA JEFFERSON HOSPITAL AFFILIATED WITH SENTARA HEALTHCARE WHO ASSUMED RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTED THE INDEPENDENT ACCOUNTANT.	FORM 990, PART XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	MARTHA JEFFERSON MEDICAL GROUP LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	500 MARTHA JEFFERSON DRIVE	AddressLine1
City	CHARLOTTESVILLE	City
State	VA	State
ZIP Code	22911	ZIPCode

Field	Value	IRS element (for citing)
EIN	261126956	EIN
Primary Activities	PHYSICIAN PRACTICES	PrimaryActivities
Legal Domicile State	VA	LegalDomicileState
Total Income	18747398	TotalIncome
EOY Assets	2810673	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (15 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
MARTHA JEFFERSON HEALTH SERVICES CORPORATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541401355	COMMUNITY HEALTHCARE	VA	501(C)(3)	11 TYPE I	N/A	0
MJH FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541401357	INVESTMENT & MANAGEMENT SERVICES FOR MARTHA JEFFERSON HOSPITAL	VA	501(C)(3)	11 TYPE I		1	MARTHA JEFFERSON HOSPITAL
MARTHA JEFFERSON HOSPITAL FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	300041113	FUNDRAISING	VA	501(C)(3)	11 TYPE I		1	MARTHA JEFFERSON HOSPITAL
MJH ENTERPRISES
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541403114	NON-HOSPITAL PATIENT CARE SERVICES	VA	501(C)(3)	11 TYPE I		1	MARTHA JEFFERSON HOSPITAL
SENTARA HEALTHCARE
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521271901	HEALTH CARE	VA	501(C)(3)	7	N/A	0
SENTARA PRINCESS ANNE HOSPITAL
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	521277419	HEALTH CARE	VA	501(C)(3)	3		1	SENTARA HOSPITALS
SENTARA HOSPITALS
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541547408	HEALTH CARE	VA	501(C)(3)	3		1	SENTARA HEALTHCARE
SENTARA MEDICAL GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217184	HEALTH CARE	VA	501(C)(3)	9		1	SENTARA HEALTHCARE
SENTARA LIFE CARE CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541217183	HEALTH CARE	VA	501(C)(3)	9		1	SENTARA HEALTHCARE
MPB INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541346393	TITLE HOLDING COMPANY	VA	501(C)(2)			1	SENTARA ENTERPRISES
OPTIMA HEALTH PLAN
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541283337	HMO	VA	501(C)(3)	11A - I		1	SENTARA HEALTHCARE
POTOMAC HOSPITAL CORP OF PRINCE WILLIAM
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	540853898	HEALTH CARE	VA	501(C)(3)	3		1	SENTARA HEALTHCARE
ROCKINGHAM MEMORIAL HOSPITAL
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	540506331	HEALTH CARE	VA	501(C)(3)	3		1	SENTARA HEALTHCARE
VALLEY WELLNESS CENTER
501 STONE SPRING ROAD	HARRISONBURG	VA	22801	521309257	PREVENTATIVE HEALTH/REHAB	VA	501(C)(3)	9		1	ROCKINGHAM MEMORIAL HOSPITAL
SENTARA ENTERPRISES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541917649	HEALTH CARE	VA	501(C)(3)	9		1	SENTARA HEALTHCARE

Form990 Schedule R Part III Form990ScheduleRPartIII (20 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
MARTHA JEFFERSON OUTPATIENT SURGERY CENTER LLC
595 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	22911	113656095	OUTPATIENT SURGERY CENTER	VA	N/A	RELATED	1002232	1555092	0	1	0.51950
PHYSICAL THERAPY ACAC LLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	PHYSICAL THERAPY	VA	N/A	N/A			0	1
MANAGEMENT SERVICES
814 GREENBRIER CIR	CHESAPEAKE	VA	23320	541365012	HEALTH MANAGEMENT SERVICES	VA	N/A	N/A			0	0
OBICI REAL ESTATE HOLDINGS LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	261749881	REAL ESTATE RENTAL	VA	N/A	N/A			0	0
PRINCESS ANNE AMB SURG CENTER
1975 GLENN MITCHELL DRIVE	VA BEACH	VA	23456	204920880	HEALTH CARE	VA	N/A	N/A			0	0
VA BEACH AMBULATORY SURG CENTER
1700 WILL O WISP DR	VA BEACH	VA	23454	541448218	HEALTH CARE	VA	N/A	N/A			0	0
AMER HEALTH EVAL CTR - WMSBG
PO BOX 3508	WILLIAMSBURG	VA	23187	263761741	HEALTH CARE	VA	N/A	N/A			0	0
CANCER CENTERS OF VA LLC
5900 LAKE WRIGHT DR	NORFOLK	VA	23502	201338518	HEALTH CARE	VA	N/A	N/A			0	0
HAMPTON ROADS LITHOTRIPSY LLC
225 CLEARFIELD AVE	VA BEACH	VA	23502	200942600	HEALTH CARE	VA	N/A	N/A			0	0
HEALTHCARE PERFORMANCE IMPROVEMENT LLC
5041 CORPORATE WOODS DR	VA BEACH	VA	23462	204024074	CONSULTING	VA	N/A	N/A			0	0
RADIOLOGY SERVICES OF HAMPTON ROADS LC
814 GREENBRIER CIR	CHESAPEAKE	VA	23320	541774472	HEALTH CARE	VA	N/A	N/A			0	1
CAREPLEX ORTHO ASC LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	271867311	HEALTH CARE	VA	N/A	N/A			0	0
SENTARA OBICI AMBULATORY SURGERY LLC
2750 GODWIN BLVD	SUFFOLK	VA	23434	260144898	HEALTH CARE	VA	N/A	N/A			0	0
ST LUKES PROPERTIES LLC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	272774684	MOB RENTAL	VA	N/A	N/A			0	1
POTOMAC INOVA HEALCARE ALLIANCE LLC
8110 GATEHOUSE ROAD	FALLS CHURCH	VA	22042	541802733	HEALTH CARE	VA	N/A	N/A			0	0
CAREPLEX WEST LLC
18000 W SARAH LANE	BROOKFIELD	WI	53045	202738977	RENTAL RE	WI	N/A	N/A			0	0
PORT WARWICK II LLC
18000 W SARAH LANE	BROOKFIELD	WI	53045	202739075	RENTAL RE	WI	N/A	N/A			0	0
ORTHOPAEDIC HOSPITAL MGT LLC
3000 COLISEUM DRIVE	HAMPTON	VA	23666	274185117	MGT SVCS	VA	N/A	N/A			0	0
PORT WARWICK III LLC
18000 W SARAH LANE	BROOKFIELD	WI	53045	611499371	RENTAL RE	WI	N/A	N/A			0	0
VALIANCE HEALTH LLC
3190 PEOPLES DR	HARRISONBURG	VA	22801	541866081	HEALTH CARE	VA	N/A	N/A			0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (12 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
630 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	22911	541841528	MEDICAL BILLING SERVICE	VA	N/A	C	3700395	387434	1.00000
SENTARA HOLDINGS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541555638	HOLDING COMPANY	VA	N/A	C
SENTARA HEALTH PLANS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	522368125	TPA	VA	N/A	C
OPTIMA HEALTH GROUP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541473382	HMO	VA	N/A	C
OPTIMA HEALTH INSURANCE COMPANY
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541642752	HEALTH INSURANCE	VA	N/A	C
OPTIMA BEHAVIORAL HEALTH SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	621382666	MENTAL HEALTH SVCS	VA	N/A	C
SENTARA VENTURES INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541688615	HOLDING COMPANY	VA	N/A	C
SMG INNOVATIONS INC
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	203730331	HEALTH CARE	VA	N/A	C
SENTARA OBICI PROFESSIONAL CENTER
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541445865	RE RENTAL	VA	N/A	C
SENTARA OBICI MED MGT SERVICES
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541020941	HEALTH CARE	VA	N/A	C
ROCKINGHAM HEALTH SERVICES INC
2010 HEALTH CAMPUS DRIVE	HARRISONBURG	VA	22801	541721387	CONTRACTING SERVICES	VA	N/A	C
POTOMAC VENTURES CORP
6015 POPLAR HALL DRIVE	NORFOLK	VA	23502	541441420	PHARMACY	VA	N/A	C

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
MARTHA JEFFERSON MEDICAL ENTERPRISES
A	61773	CORP BOOKS/RECORDS
MARTHA JEFFERSON MEDICAL ENTERPRISES
D	2019889	CORP BOOKS/RECORDS
MARTHA JEFFERSON MEDICAL ENTERPRISES
P	276173	CORP BOOKS/RECORDS
MJH FOUNDATION
P	178632	CORP BOOKS/RECORDS
MJH FOUNDATION
R	3007292	CORP BOOKS/RECORDS
MARTHA JEFFERSON OUTPATIENT SURGERY CENTER
A	465719	CORP BOOKS/RECORDS