MARTHA JEFFERSON HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: MARTHA JEFFERSON HOSPITAL (EIN 54-0261840)
Tax period: 2009-10-01 to 2010-09-30
Filed: 2011-08-15
IRS object ID: 201102279349303635
Schema version: 2009v1.4
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 J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-08-15T15:38:44-05:00	Timestamp
Tax Period End Date	2010-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2100 EAST CARY STREET SUITE 201	AddressLine1
City	RICHMOND	City
State	VA	State
ZIP Code	232237078	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-10-01	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	2011-08-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DYANN BARNES	Name
Phone	8043446000	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange
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	243032882	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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	THE MISSION OF MARTHA JEFFERSON HOSPITAL IS TO IMPROVE THE HEALTH STATUS OF THE COMMUNITY BY MAINTAINING, ENHANCING AND RESTORING PERSONAL HEALTH AND WELL BEING.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	1744	TotalNbrEmployees
Total Nbr Volunteers	731	TotalNbrVolunteers
Total Gross UBI	155822	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	4470903	ContributionsGrantsPriorYear
Contributions Grants Current Year	5875354	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	219996078	ProgramServiceRevenuePriorYear
Program Service Revenue CY	224324967	ProgramServiceRevenueCY
Investment Income Prior Year	1221717	InvestmentIncomePriorYear
Investment Income Current Year	739801	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2534241	OtherRevenuePriorYear
Other Revenue Current Year	2617942	OtherRevenueCurrentYear
Total Revenue Prior Year	228222939	TotalRevenuePriorYear
Total Revenue Current Year	233558064	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	94129408	SalariesEtcPriorYear
Salaries Etc Current Year	101044888	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	125268999	OtherExpensePriorYear
Other Expenses Current Year	125600436	OtherExpensesCurrentYear
Total Expenses Prior Year	219398407	TotalExpensesPriorYear
Total Expenses Current Year	226645324	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	8824532	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6912740	RevenuesLessExpensesCY
Total Assets BOY	454002990	TotalAssetsBOY
Total Assets EOY	485162429	TotalAssetsEOY
Total Liabilities BOY	323952686	TotalLiabilitiesBOY
Total Liabilities EOY	349759822	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	130050304	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	135402607	NetAssetsOrFundBalancesEOY
Mission Description	MARTHA JEFFERSON HOSPITAL IS DEDICATED TO IMPROVING THE HEALTH STATUS OF OUR COMMUNITY. WE HAVE A VISION TO SET THE STANDARD FOR CLINICAL QUALITY AND PERSONALIZED HEALTHCARE SERVICES AND ARE DEDICATED TO PROVIDING THE BEST CLINICAL QUALITY POSSIBLE WHILE MAINTAINING EXTRAORDINARY CUSTOMER SERVICE.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	186245100	Expense
Revenue	225739147	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 2010 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 10.10%. 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 2010, 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 2010, MARTHA JEFFERSON HOSPITAL SERVED THE COMMUNITY BY WAY OF 11,058 INPATIENT ADMISSIONS; 214,051 OUTPATIENT ACCOUNTS; 48,753 EMERGENCY DEPARTMENT VISITS; 6,390 OPERATING ROOM VISITS; AND 126,741 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, WISDOM OF THE HEART, 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 SCHOOLS PROGRAM 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. FOR THE TEENAGE POPULATION, MARTHA JEFFERSON PROVIDES A COMMUNITY BASED VOCATIONAL EDUCATION TRAINING PROGRAM FOR ALBEMARLE HIGH SCHOOL GRADUATES AND SEVERAL SHORT CAMPS THROUGHOUT THE YEAR TO EXPOSE INTERESTED STUDENTS TO THE HEALTHCARE FIELD. PROFESSIONAL EDUCATION SUPPORT: AS A WAY TO PROVIDE CONTINUED PROFESSIONAL EDUCATION, MARTHA JEFFERSON FUNDS A UNIVERSITY OF VIRGINIA CLINICAL INSTRUCTOR FACULTY POSITION TO FACILITATE EIGHT UNDERGRADUATE BSN NURSING STUDENTS' CLINICAL EXPERIENCES EACH SEMESTER AT MARTHA JEFFERSON. IN ADDITION, THE HOSPITAL SUPPORTS THE PIEDMONT VIRGINIA COMMUNITY COLLEGE REGISTERED NURSE AND CODING PROGRAMS, THE UNIVERSITY OF VIRGINIA SCHOOL OF NURSING CLINICAL FACULTY AND PROVIDES CLINICAL PLACEMENTS FOR NURSING STUDENTS OF UVA, JMU, PVCC AND CATEC.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 150 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. TWO 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 FOUR 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, HEALTH INFORMATION PUBLICATIONS, 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: PROSTATE SCREENING, SKIN CANCER SCREENING, BREAST HEALTH SCREENING, DIABETES SCREENING, PERIPHERAL ARTERIAL DISEASE 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, LOOK GOOD...FEEL BETTER, BETTER BREATHERS 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 HABITAT FOR HUMANITY AND THE WOMEN'S INITIATIVE.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	186245100	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	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	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
Grants To Organizations	0	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	0	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
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	162	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	1744	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
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	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 OFFICER	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

Form990 Part VII Section A Form990PartVIISectionA (27 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
VICE CHAIR	2.00	X	0	0	0	X
ARTHUR KISER
BOARD MEMBER	2.00	X	0	0	0
DR R HUNT MACMILLAN II
BOARD MEMBER	2.00	X	0	0	0
DR KEVIN R MCCONNELL
CHAIR	2.50	X	0	0	0	X
DR JOSEPH ORLICK
BOARD MEMBER	2.00	X	0	0	0
KATHRYN B PARKER
BOARD MEMBER	2.00	X	0	0	0
DR TIMOTHY B SHORT
BOARD MEMBER	2.00	X	0	0	0
DR BURKHARD SPIEKERMANN
BOARD MEMBER	2.00	X	0	0	0
JAMES E HADEN
PRESIDENT (NON-VOTING)	65.00		606715	0	242936	X
AMY BLACK
SECRETARY (NON-VOTING)	65.00		230040	0	61766	X
J MICHAEL BURRIS
TREASURER (NON-VOTING)	65.00		277725	0	113086	X
ELLIOT H KUIDA
VP, COO	65.00		329068	0	57383		X
MARIJO LECKER
VP, CLINICAL SUPPORT SVS	65.00		245556	0	63131		X
RONALD J COTTRELL
VP, PLANNING, MKTG, CORP	65.00		238414	0	93701		X
FINLAY M ASHBY
VP, MEDICAL AFFAIRS	65.00		239638	0	48511		X
SUSAN CABELL MAINS
VP, HR, RETAIL, COMPLIAN	65.00		220906	0	144716		X
RAY R MISHLER
VP, DEVELOPMENT	65.00		180350	0	97983		X
DEBORAH L THEXTON
FINANCE DIRECTOR	65.00		165663	0	46453		X
SANDEEP TEJA
PHYSICIAN	40.00		515516	0	38124			X
JOHN Z EDWARDS
PHYSICIAN	40.00		473571	0	30111			X
CHRISTOPHER D WILLMS
PHYSICIAN	40.00		369120	0	31097			X
MICHAEL TRAHAN
PHYSICIAN	40.00		324047	0	36991			X
ALEXANDER A GRUNSFELD
PHYSICIAN	40.00		313818	0	27867			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4730147	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1133856	TotalOtherCompensation
Number Individuals GT100 K	116	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	110726758
KAHLERSLATER
111 W WISCONSIN AVENUE	MILWAUKEE	WI	532032501	ARCHITECTS	2413567
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	606932436	LAB SERVICES	1366447
INSCRIBE LLC
PO BOX 1427	MURRAY	KY	42071	TRANSCRIPTION SERVICE	752868
BERGMAN GROUP
4880 SADLER ROAD SUITE 220	GLEN ALLEN	VA	23060	MARKETING/COMMUNICATIONS	647449

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	45	NumberOfContractorsGT100K
Fundraising Events	295126	FundraisingEvents
All Other Contributions	5580228	AllOtherContributions
Noncash Contributions	2570374	NoncashContributions
Total Contributions	5875354	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICES	Description
Business Code	621500	BusinessCode
Total Revenue Column	224324967	TotalRevenueColumn
Related Or Exempt Function Income	224226954	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	98013	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	224324967	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	489610	TotalRevenueColumn
Unrelated Business Revenue	57809	UnrelatedBusinessRevenue
Exclusion	$431,801	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	312289	TotalRevenueColumn
Exclusion	$312,289	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1892703	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2171228	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-278525	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-278525	TotalRevenueColumn
Exclusion	-$278,525	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	7134337	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	7196435	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-62098	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-62098	TotalRevenueColumn
Exclusion	-$62,098	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	145632	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	295126	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	107155	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	38477	TotalRevenueColumn
Exclusion	$38,477	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA & GIFT SHOP	722210	1165918	$1,165,918
PURCHASE DISCOUNTS	900099	729273		729273
PHYSICIAN TELEPHONE SV	621110	111471		111471

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	851328	TotalRevenueColumn
Related Or Exempt Function Income	671449	RelatedOrExemptFunctionIncome
Exclusion	$179,879	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	2857990	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	233558064	TotalRevenueColumn
Related Or Exempt Function Income	225739147	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	155822	UnrelatedBusinessRevenue
Exclusion	$1,787,741	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2734076	Total
Management And General	2734076	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	72665955	Total
Program Services	68642217	ProgramServices
Management And General	4023738	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4907309	Total
Program Services	4143408	ProgramServices
Management And General	763901	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15036783	Total
Program Services	13225765	ProgramServices
Management And General	1811018	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5700765	Total
Program Services	5217475	ProgramServices
Management And General	483290	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1066711	Total
Program Services	1066711	ProgramServices

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	575444	Total
Program Services	14855	ProgramServices
Management And General	560589	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	461110	Total
Program Services	220295	ProgramServices
Management And General	240815	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	14031017	Total
Program Services	10032397	ProgramServices
Management And General	3998620	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	647061	Total
Program Services	638651	ProgramServices
Management And General	8410	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	44702790	Total
Program Services	43981740	ProgramServices
Management And General	721050	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4391891	Total
Program Services	3295592	ProgramServices
Management And General	1096299	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4875347	Total
Program Services	4758985	ProgramServices
Management And General	116362	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	190825	Total
Program Services	150744	ProgramServices
Management And General	40081	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	123441	Total
Program Services	86042	ProgramServices
Management And General	37399	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3408414	Total
Management And General	3408414	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	17285368	Total
Program Services	11691932	ProgramServices
Management And General	5593436	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1693443	Total
Program Services	933648	ProgramServices
Management And General	759795	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROV FOR BAD DEBT	13896371	13897797	-1426
INTEREST RATE SWAP	11927993		11927993
EQUIPMENT MAINTENANCE	3755496	3570679	184817
DUES & SUBSCRIPTIONS	1204179	487485	716694
RECRUITMENT	625040	234195	390845

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	738495	Total
Program Services	-45513	ProgramServices
Management And General	784008	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	226645324	Total
Program Services	186245100	ProgramServices
Management And General	40400224	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	43201091	BOY
EOY	93355036	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	20011584	BOY
EOY	21315310	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	5263815	BOY
EOY	2417703	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3036176	BOY
EOY	3422784	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2878310	BOY
EOY	2843927	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	407747437	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	110584994	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	181762724	BOY
EOY	297162443	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	52760119	BOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	145089171	BOY
EOY	64645226	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	454002990	BOY
EOY	485162429	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	89633867	BOY
EOY	88869316	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	232718819	BOY
EOY	230148275	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1600000	BOY
EOY	30742231	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	323952686	BOY
EOY	349759822	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	105190678	BOY
EOY	131166311	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	24362359	BOY
EOY	3696776	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	497267	BOY
EOY	539520	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	130050304	BOY
EOY	135402607	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	454002990	BOY
EOY	485162429	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
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	$132	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$22,036	OtherActivitiesAmount
Total Lobbying Expenditures IIB	22168	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	ReturnReference
Explanation	$20,036 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 $86,849. THE REMAINING $2,000 REPRESENTS THE LOBBYING PORTION OF DUES PAID TO MEDICAL ASSOCIATIONS ON BEHALF OF MJH EMPLOYEES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	17983188	OtherCostOrOtherBasis
Book Value	17983188	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	42494943	OtherCostOrOtherBasis
Depreciation	16556806	Depreciation
Book Value	25938137	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	116657018	OtherCostOrOtherBasis
Depreciation	93907755	Depreciation
Book Value	22749263	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	230612288	OtherCostOrOtherBasis
Depreciation	120433	Depreciation
Book Value	230491855	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	297162443	TotalOfBookValueLandBuildings

Other Assets OtherAssets (10 entries)

DescriptionDescription	Book ValueBookValue
RESTRICTED CASH	32592652
MISCELLANEOUS ACCOUNTS RECEIVABLE	369244
DEBT SERVICE RESERVE FUND	6401895
PREPAID BOND ISSUANCE COSTS	1431380
SINKING FUNDS	2950857
INTEREST FUNDS	10084431
CHARITABLE TRUSTS	1347807
DEPOSITS	257599
INVESTMENTS - JOINT VENTURES	3819361
ASSETS HELD FOR SALE	5390000

Field	Value	IRS element (for citing)
Total Book Value Other Assets	64645226	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
CLAIMS ACCRUAL	$1,250,000
PENSION LIABILITY	$28,516,121
CAPITAL LEASE OBLIGATIONS	$976,110

Field	Value	IRS element (for citing)
Total Of Amounts	30742231	TotalOfAmounts
Total Revenue	233558064	TotalRevenue
Total Expenses	226645324	TotalExpenses
Excess Or Deficit For Year	6912740	ExcessOrDeficitForYear
Other	-$1,560,437	OtherAmount
Total Adjustments	-1560437	TotalAdjustments
Excess Or Deficit Per FS	5352303	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	228962081	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2536	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	26533	DonatedSrvcAndUseOfFacilities
Other Revenues	-1667019	OtherRevenues
Revenue Not Rptd F990	-1637950	RevenueNotRptdF990
Revenue Subtotal	230600031	RevenueSubtotal
Other Revenues Not Included	2958033	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	2958033	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	233558064	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	214478937	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	26533	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	26533	ExpensesNotRptdF990
Expenses Subtotal	214452404	ExpensesSubtotal
Other Expenses Not Included	12192920	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	12192920	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	226645324	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	ExplanationExplanation
Part XI, Line 8 - Other Adjustments:	TRANSFER FROM MJH FOUNDATION INCREASE IN ADDITIONAL MINIMUM PENSION LIABILITY NET UNREALIZED GAINS ON CHARITABLE TRUSTS NET UNREALIZED GAINS ON INVESTMENTS
Part XII, Line 2d - Other Adjustments:	NET ASSETS RELEASED FROM RESTRICTIONS RESTRICTED EXPENSES INTEREST RATE SWAP VALUATION NON-OPERATING REVENUES (NET)
Part XII, Line 4b - Other Adjustments:	RESTRICTED CONTRIBUTIONS DEEMED DIVIDEND
Part XIII, Line 4b - Other Adjustments:	RESTRICTED EXPENSES INTEREST RATE SWAP VALUATION DEEMED DIVIDEND
	PART XI, LINE 10 REPRESENTS THE CHANGE IN NET ASSETS NOT THE CHANGE IN NET INCOME PER THE AUDITED FINANCIAL STATEMENTS. THE FINANCIAL STATEMENTS ARE PREPARED FOR MARTHA JEFFERSON HOSPITAL WHICH INCLUDES THEIR BENEFICIAL INTEREST IN MJH FOUNDATION. THE CHANGE IN NET ASSETS ABOVE REPRESENTS THE SEPARATE ACTIVITY FOR MARTHA JEFFERSON HOSPITAL.

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	160000
EUROPE	PROGRAM SERVICES	INVESTMENT	0

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	160000	TotalAmountSpent

Form990 Schedule F Part IV Form990ScheduleFPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule F, Part IV	Identifier
Return Reference	Other Information	ReturnReference
Explanation	AS OF SEPTEMBER 30, 2010 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	409914	GrossReceiptsEvent1
Charitable Contributions Event1	264282	CharitableContributionsEvent1
Gross Revenue Event1	145632	GrossRevenueEvent1
Rent Facility Costs Event1	34286	RentFacilityCostsEvent1
Other Direct Expenses Event1	72274	OtherDirectExpensesEvent1
Name Of Event2	IN THE PINK	NameOfEvent2
Gross Receipts Event2	30844	GrossReceiptsEvent2
Charitable Contributions Event2	30844	CharitableContributionsEvent2
Other Direct Expenses Event2	595	OtherDirectExpensesEvent2
Gross Receipts Total	440758	GrossReceiptsTotal
Charitable Contributions Total	295126	CharitableContributionsTotal
Gross Revenue Total Events	145632	GrossRevenueTotalEvents
Rent Facility Costs Total Events	34286	RentFacilityCostsTotalEvents
Other Direct Expenses Total Events	72869	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	107155	DirectExpenseSummaryEvents
Net Income Summary	38477	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	0	ExpensesExceededBudget
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	3684711	TotalCommunityBenefitExpense
Net Community Benefit Expense	3684711	NetCommunityBenefitExpense
Percent Of Total Expense	0.01730	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2676497	TotalCommunityBenefitExpense
Net Community Benefit Expense	2676497	NetCommunityBenefitExpense
Percent Of Total Expense	0.01260	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	565	TotalCommunityBenefitExpense
Net Community Benefit Expense	565	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6361773	TotalCommunityBenefitExpense
Net Community Benefit Expense	6361773	NetCommunityBenefitExpense
Percent Of Total Expense	0.02990	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	686097	TotalCommunityBenefitExpense
Net Community Benefit Expense	686097	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	578644	TotalCommunityBenefitExpense
Direct Offsetting Revenue	192607	DirectOffsettingRevenue
Net Community Benefit Expense	386037	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16028187	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8869640	DirectOffsettingRevenue
Net Community Benefit Expense	7158547	NetCommunityBenefitExpense
Percent Of Total Expense	0.03360	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	124750	TotalCommunityBenefitExpense
Net Community Benefit Expense	124750	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17417678	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9062247	DirectOffsettingRevenue
Net Community Benefit Expense	8355431	NetCommunityBenefitExpense
Percent Of Total Expense	0.03920	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	23779451	TotalCommunityBenefitExpense
Direct Offsetting Revenue	9062247	DirectOffsettingRevenue
Net Community Benefit Expense	14717204	NetCommunityBenefitExpense
Percent Of Total Expense	0.06910	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	68170	TotalCommunityBuildingExpense
Net Community Building Expense	68170	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	20638	TotalCommunityBuildingExpense
Net Community Building Expense	20638	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	26195	TotalCommunityBuildingExpense
Net Community Building Expense	26195	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	115003	TotalCommunityBuildingExpense
Net Community Building Expense	115003	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$6,347,297	BadDebtExpenseAmount
Amount Attributable To	1798757	AmountAttributableTo
Amount Reimbursed By Medicare	59365798	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	65585002	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6219204	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	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

Form990 Schedule H Part V Form990ScheduleHPartV (20 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	OtherOther	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Er OtherErOther
AFTON FAMILY MEDICINE
7849 ROCKFISH VALLEY HWY	AFTON	VA	229203203	PHYSICIAN CLINIC
BLUE RIDGE INTERNAL MEDICINE
310 OLD IVY WAY SUITE 201	CHARLOTTESVILLE	VA	229034896	PHYSICIAN CLINIC
BUCKINGHAM FAMILY MEDICINE
65 BRICKYARD ROAD	DILLWYN	VA	239360030	PHYSICIAN CLINIC
CROZET FAMILY MEDICINE
1646 PARK RIDGE DRIVE	CROZET	VA	229323155	PHYSICIAN CLINIC
FOREST LAKES FAMILY MEDICINE
3263 PROFFIT ROAD SUITE 101	CHARLOTTESVILLE	VA	229115639	PHYSICIAN CLINIC
GREENE FAMILY MEDICINE
140 STONERIDGE DRIVE S SUITE 100	RUCKERSVILLE	VA	229683096	PHYSICIAN CLINIC
MADISON FAMILY MEDICINE
2503 SOUTH SEMINOLE TRAIL	MADISON	VA	227272690	PHYSICIAN CLINIC
PALMYRA MEDICAL ASSOCIATES
17 CENTRE COURT	PALMYRA	VA	229632330	PHYSICIAN CLINIC
MARTHA JEFFERSON HOSPITAL
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911		X	X	X
MJ MEDICAL ASSOCIATES
459 LOCUST AVENUE	CHARLOTTESVILLE	VA	22902	PHYSICIAN CLINIC
MJ ORTHOPAEDICS
310 OLD IVY WAY SUITE 202	CHARLOTTESVILLE	VA	22903			X
MJ SURGICAL ASSOCIATES
459 LOCUST AVENUE	CHARLOTTESVILLE	VA	22902			X
MARTHA JEFFERSON HEALTH SERVICES
3263 PROFFIT ROAD	CHARLOTTESVILLE	VA	22902	PHYSICIAN CLINIC
MARTHA JEFFERSON OUTPATIENT CARE CENTER
595 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	22911			X		X
MJH IVF LAB
595 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	22911	FERTILITY LABORATORY
MJH OUTPATIENT SURGERY CENTER
595 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	22911
THE SOMETHING SPECIAL SHOP
415 LEXINGTON AVENUE	CHARLOTTESVILLE	VA	22902	DURABLE MEDICAL EQUIPMENT
MJ MEDICAL ONCOLOGY ASSOCIATES
459 LOCUST AVENUE	CHARLOTTESVILLE	VA	22902	PHYSICIAN CLINIC
MJ SPRING CREEK
29 JEFFERSON COURT	GORDONSVILLE	VA	22942	PHYSICIAN CLINIC
MJ INTERNAL MEDICINE
1100 EAST HIGH STREET SUITE B	CHARLOTTESVILLE	VA	22902	PHYSICIAN CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Costing Method Used	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.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: INCLUDES PRIMARY CARE PRACTICES COSTS OF $7,158,547.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: THE AMOUNT OF BAD DEBT EXPENSE SUBTRACTED FROM THE DENOMINATOR WHEN CALCULATING COLUMN F PERCENTAGES IS $13,896,371.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: CHARITY AND UNCOMPENSATED CARE: THE HOSPITAL'S POLICY IS TO PROVIDE NECESSARY MEDICAL CARE WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY FOR SUCH SERVICES. CHARITY CARE IS BASED ON A REVIEW OF THE PATIENT'S FINANCIAL CIRCUMSTANCES UPON ADMISSION OR SERVICE DATE. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF THE AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, SUCH AMOUNTS ARE NOT REPORTED AS A COMPONENT OF NET PATIENT SERVICE REVENUE.THE HOSPITAL DEFINES UNCOMPENSATED CARE AS CARE FOR WHICH COLLECTION IS NOT ATTEMPTED (I.E., CHARITY CARE), OPERATING COSTS FOR SERVICES RENDERED FOR MEDICAID PATIENTS THAT ARE IN EXCESS OF REIMBURSEMENT AND PROVISION FOR BAD DEBTS. DISTINGUISHING UNCOLLECTED PATIENT REVENUE BETWEEN CHARITY AND BAD DEBT REQUIRES FULL CONSIDERATION OF BOTH THE FINANCIAL AND NONFINANCIAL CIRCUMSTANCES OF THE PATIENT, WHICH ARE NOT ALWAYS AVAILABLE TO THE ORGANIZATION. THEREFORE, BOTH TRADITIONAL CHARITY CARE AND BAD DEBT ARE INCLUDED AS A COMPONENT OF UNCOMPENSATED CARE. THE FOLLOWING DEPICTS THE LEVEL OF UNCOMPENSATED CARE PROVIDED FOR THE YEAR ENDED SEPTEMBER 30, 2010 (IN THOUSANDS): CHARITY CARE CHARGES FOREGONE, BASED ON ESTABLISHED RATES $9,451; ESTIMATED COSTS INCURRED TO PROVIDE CHARITY CARE $4,189; ESTIMATED UNPAID COSTS OF MEDICAID PROGRAMS $1,128; PROVISION FOR BAD DEBTS $13,896; COMMUNITY BENEFIT PROGRAMS $242; TOTAL COSTS OF UNCOMPENSATED CARE $19,455.THE HOSPITAL ANNUALLY BUDGETS HUMAN AND FINANCIAL RESOURCES THROUGH ITS COMMUNITY HEALTH PARTNERSHIP PROGRAM FOR IDENTIFIED SERVICES THAT POSITIVELY IMPACT HEALTH STATUS OR BURDENING COMMUNITY HEALTH ISSUES INCLUDING COMMUNITY OBESITY INITIATIVES; DENTAL SERVICES TO LOW-INCOME CHILDREN; BREAST HEALTH PROGRAMS PROVIDING FREE MAMMOGRAPHY SERVICES; AND REFERRAL SERVICES WITH THE CHARLOTTESVILLE FREE CLINIC, INCLUDING FREE DIAGNOSTIC TESTING IN CARDIAC, LABORATORY, AND RADIOLOGY SERVICES.A RATIO OF COSTS TO CHARGES WAS USED TO DETERMINE THE COST OF BAD DEBT. 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.	BadDebtFootnote
Shortfall As Community Benefit	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.	ShortfallAsCommunityBenefit
Debt Collection Policy	Part III, Line 9b: IT IS THE POLICY OF MARTHA JEFFERSON HOSPITAL TO REVIEW ACOUNTS TO ENSURE ALL POSSIBLE METHODS OF PAYMENT HAVE BEEN EXHAUSTED, I.E., MEDICAL ASSISTANCE, FINANCIAL ASSISTANCE, PAYMENT PLANS, AND PROMPT PAY DISCOUNTS, PRIOR TO AN ACCOUNT BEING DEEMED AS "BAD DEBT".FINANCIAL ASSISTANCE PROGRAMS: IF YOU HAVE A BALANCE DUE AND ARE UNABLE TO PAY, YOU MAY QUALIFY FOR ONE OF MARTHA JEFFERSON'S FINANCE ASSISTANCE PROGRAMS LISTED BELOW. YOUR ABILITY TO CONTRIBUTE TO THE COST OF YOUR CARE WILL BE EVALUATED AND ALLOWANCES WILL BE MADE FOR EXTENUATING CIRCUMSTANCES BASED ON GOOD FAITH EFFORTS AND MITIGATING FACTORS. THE EVALUATION WILL BE BASED ON INCOME, FAMILY SIZE, AND AMOUNT OF MEDICAL BILLS. THE FINANCIAL COUNSELORS AT MARTHA JEFFERSON MAY REACH OUT TO YOU TO ASK IF YOU WOULD LIKE TO APPLY FOR FINANCIAL ASSISTANCE. YOU MAY REQUEST ASSISTANCE PRIOR TO, DURING, OR SUBSEQUENT TO RECEIVING YOUR SERVICE. PLEASE CONTACT A FINANCIAL COUNSELOR AT 434-654-8186, 434-654-7485 OR BY EMAILING PATFINSER@MJH.ORG.1. FREE ASSISTANCE IN APPLYING FOR MEDICAID THROUGH THE DEPARTMENT OF MEDICAL ASSISTANCE SERVICES OR SUPPLEMENTAL SOCIAL SECURITY BENEFITS.2. A SLIDING SCALE DISCOUNT IS PROVIDED TO PATIENT WHOSE FAMILY INCOME FALLS AT OR BELOW 300% OF THE CURRENT FEDERAL POVERTY GUIDELINES, WHICH IS UPDATED ANNUALLY.3. SHORT-TERM PAYMENT PLAN4. DISCOUNTS APPLIED TO OUTSTANDING BALANCES FOR PAYMENTS MADE WITHIN 15 BUSINESS DAYS OF RECEIPT OF BILL.YOU WILL CONTINUE TO RECEIVE BILLS UNTIL ELIGIBILITY UNDER ONE OF THESE PROGRAMS HAS BEEN DETERMINED. YOUR ASSISTANCE IS REQUIRED IN DETERMINING ELIGIBILITY.	DebtCollectionPolicy
Needs Assessment	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.	NeedsAssessment
Patient Education Assistance	Part VI, Line 3: THE HOSPITAL PROVIDES PAMPHLETS AT REGISTRATION AREAS, PAYMENT AREAS AND WAITING ROOMS DESCRIBING THE HOSPITAL'S BILL 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.	PatientEducationAssistance
Community Information	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.	CommunityInformation
Community Building Activities	Part VI, Line 5: 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 THREE ANNUAL UNWANTED MEDICATION AND SHARPS DROP-OFF EVENTS. WE HAVE STEADILY INCREASED THE AMOUNT OF MEDICAITONS AND SHARPS WE ARE TAKING OUT OF HOMES IN OUR COMMUNITY AT EACH EVENT.	CommunityBuildingActivities
Other Information	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 CONTINUED AS DID 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.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: MARTHA JEFFERSON HOSPITAL MAINTAINS, ENHANCES AND RESTORES PERSONAL HEALTH AND WELL-BEING THROUGH: HIGHLY-INDIVIDUALIZED CARE AND ATTENTION TO PATIENTS, ADVANCED CLINICAL CAPABILITIES AND MEDICAL TECHNOLOGY, SUPERIOR CLINICAL PERFORMANCE AND HEALTH OUTCOMES, EFFICIENT AND TIMELY REGISTRATION AND TREATMENT PROCESSES, TECHNOLOGY-ENABLED ACCESS TO INFORMATION AND SERVICES, CARING, COMPETENT, HIGHLY MOTIVATED PROFESSIONALS WHO DELIVER THE BEST POSSIBLE HEALTHCARE EXPERIENCE, ONGOING EMPLOYEE EDUCATION, TRAINING AND RECOGNITION THAT PROMOTES PERSONAL GROWTH AND ENCOURAGES CAREER ADVANCEMENT.MARTHA JEFFERSON HEALTH SERVICES CORPORATION PROVIDES PLANNING COORDINATION AND DELIVERY OF A CONTINUUM OF QUALITY HEALTHCARE SERVICES THROUGH THE HOSPITAL AND OTHER SUBSIDIARIES AND CONDUCTS FUNDRAISING FOR THE AFFILIATED GROUP INCLUDING MARTHA JEFFERSON HOSPITAL.MARTHA JEFFERSON MEDICAL ENTERPRISES SUPPORTS THE STRATEGIC MISSION OF MARTHA JEFFERSON HEALTH SERVICES THROUGH THE INTEGRATION OF PHYSICIANS INTO MARTHA JEFFERSON HOSPITAL'S DEFINED SERVICE AREA IN A MANNER THAT MEETS OR EXCEEDS THE CLINICAL QUALITY AND CUSTOMER SERVICE BENCHMARKS OF THE ORGANIZATION.MJH FOUNDATION PROVIDES INVESTMENT AND MANAGEMENT SERVICES FOR MARTHA JEFFERSON HOSPITAL.MARTHA JEFFERSON HOSPITAL FOUNDATION DEVELOPS RESOURCES THROUGH PHILANTHROPY TO MEET THE NEEDS AND INITIATIVES OF MARTHA JEFFERSON HOSPITAL. IT CONDUCTS FUNDRAISING FOR ITS AFFILIATES INCLUDING MARTHA JEFFERSON HOSPITAL.	AffiliatedHealthCareSystem
Reports Filed With States	VA	ReportsFiledWithStates

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
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	1	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
486715	0	120000	0	0	0	215940	0	26996	0	849651	0	0	0
AMY BLACK
187372	0	42668	0	0	0	41103	0	20663	0	291806	0	0	0
J MICHAEL BURRIS
226483	0	51242	0	0	0	91564	0	21522	0	390811	0	0	0
ELLIOT H KUIDA
267739	0	61329	0	0	0	36800	0	20583	0	386451	0	0	0
MARIJO LECKER
201690	0	43866	0	0	0	42150	0	20981	0	308687	0	0	0
RONALD J COTTRELL
195072	0	43342	0	0	0	72893	0	20808	0	332115	0	0	0
FINLAY M ASHBY
200830	0	38808	0	0	0	34275	0	14236	0	288149	0	0	0
SUSAN CABELL MAINS
181757	0	39149	0	0	0	125378	0	19338	0	365622	0	0	0
RAY R MISHLER
147722	0	32628	0	0	0	78251	0	19732	0	278333	0	0	0
DEBORAH L THEXTON
145268	0	20395	0	0	0	36596	0	9857	0	212116	0	0	0
SANDEEP TEJA
493516	0	22000	0	0	0	17150	0	20974	0	553640	0	0	0
JOHN Z EDWARDS
443571	0	30000	0	0	0	7350	0	22761	0	503682	0	0	0
CHRISTOPHER D WILLMS
323618	0	45502	0	0	0	9800	0	21297	0	400217	0	0	0
MICHAEL TRAHAN
312047	0	12000	0	0	0	16427	0	20564	0	361038	0	0	0
ALEXANDER A GRUNSFELD
286318	0	27500	0	0	0	7350	0	20517	0	341685	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
Part I, Line 4a	JAMES E. HADEN $149,989 AMY BLACK $25,000 J. MICHAEL BURRIS $25,000 ELLIOT H. KUIDA $27,000 MARIJO LECKER $25,000 RONALD COTTRELL $25,000 FINLAY M. ASHBY $17,500 SUSAN CABELL MAINS $27,000 RAY R. MISHLER $35,000 DEBORAH L. THEXTON $25,000
Part I, Line 6	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 I, Line 7	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 LONG TERM CARE INSURANCE POLICY: THE CEO RECEIVES ANNUAL PAYMENT OF PREMIUM FOR CEO AND SPOUSE SUPPLEMENTAL DISABILITY INSURANCE: OFFERED TO THE CEO AND VICE PRESIDENTS ON A VOLUNTARY BASIS AND IS PAID FOR BY THE ORGANIZATION. PREMIUM IS DETERMINED BY AGE AND SALARY COVERED, NOT ALL EXECUTIVES PARTICIPATE CAR ALLOWANCE: PROVIDED FOR CEO AND VICE PRESIDENT, DEVELOPMENT ONLY COUNTRY CLUB MEMBERSHIP FEES AND DUES: PROVIDED FOR CEO, COO AND VICE PRESIDENT, DEVELOPMENT ONLY SERVICE/COMMUNITY ORGANIZATION MEMBERSHIP PROFESSIONAL BUSINESS MEMBERSHIP EMPLOYER-PAID MALPRACTICE INSURANCE: PROVIDED FOR VICE PRESIDENT, MEDICAL AFFAIRS ONLY

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
INDUSTRIAL DEVELOPMENT AUTHORITY OF ALBEMARLE COUNTY VIRGINIA
521297503	012677CE8	2003-09-25	34192283	REFUNDED BONDS ISSUED JULY 1, 1993	0	0
ECONOMIC DEVELOPMENT AUTHORITY OF ALBEMARLE COUNTY VIRGINIA
521297503	012663AD2	2008-10-30	160795000	CONSTRUCT REPLACEMENT HOSPITAL	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent
35120006	3030244	405262	1093133	30758485	2003	1	0	1	1
160910173		1623978		151173763	2011	0	0	0	1	8112432

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	1	1
0	0	0	0	1	1

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
WACHOVIA BANK
0	0	0	1	16.500000000000	1	0	1
UBS AG STAMFORD
0	1	1	0			0	0	BRANCH	40.000000000000

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	9	NumberOfContributions
Noncash Contribs Rptd F990	49796	NoncashContribsRptdF990
Method Of Determining Revenues	COST OR SELLING PRICE	MethodOfDeterminingRevenues

Real Estate Commercial RealEstateCommercial

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	2	NumberOfContributions
Noncash Contribs Rptd F990	2482215	NoncashContribsRptdF990
Method Of Determining Revenues	SALE OF COMPARABLE PROP	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	143	NumberOfContributions
Noncash Contribs Rptd F990	38363	NoncashContribsRptdF990
Method Of Determining Revenues	COST OR SELLING PRICE OF DONATED PROPERTY	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
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 A SEPARATE CONTRIBUTION 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 (15 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section A, line 6	MARTHA JEFFERSON HEALTH SERVICES CORPORATION, A 501(c)(3) TAX EXEMPT ORGANIZATION, IS THE SOLE MEMBER OF MARTHA JEFFERSON HOSPITAL.
Form 990, Part VI, Section A, line 7a	THE BOARD OF MARTHA JEFFERSON HOSPITAL PRESENTS POTENTIAL NEW BOARD MEMBERS TO MARTHA JEFFERSON HEALTH SERVICES CORPORATION'S BOARD FOR APPROVAL. MARTHA JEFFERSON HEALTH SERVICES CORPORATION'S BOARD MAY, AT ITS DISCRETION, REMOVE A BOARD MEMBER OF MARTHA JEFFERSON HOSPITAL.
Form 990, Part VI, Section A, line 7b	THE DECISIONS OF THE BOARD OF MARTHA JEFFERSON HOSPITAL ARE SUBJECT TO APPROVAL BY THE BOARD OF MARTHA JEFFERSON HEALTH SERVICES CORPORATION.
Form 990, Part VI, Section B, line 11	THE ANNUAL FINANCIALS OF MARTHA JEFFERSON HOSPITAL ARE REVIEWED BY THE AUDIT AND FINANCE COMMITTEES OF MARTHA JEFFERSON HEALTH SERVICES CORPORATION 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. 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 HEALTH SERVICES 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 TRUSTEES AND THE MARTHA JEFFERSON HEALTH SERVICES BOARD OF DIRECTORS AT EACH RESPECTIVE 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).
Form 990, Part VI, Section B, line 12c	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.
Form 990, Part VI, Section B, line 15	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 C, line 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2c	THE AUDIT COMMITTEE IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE HAS BEEN NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR.	Financial Statements and Reporting
	SCHEDULE K PART II LINE 6 ISSUE A PURSUANT TO THE BOND INDENTURE, INVESTMENT EARNINGS FROM THE DEBT SERVICE RESERVE FUND, IN EXCESS OF THE DEBT SERVICE REQUIREMENT, ARE SWEPT INTO THE INTEREST ACCOUNT AND USED TO PAY INTEREST ON THE BONDS ON EACH INTEREST PAYMENT DATE. UNEXPECTED EXCESS AMOUNTS FROM COST OF ISSUANCE FUND WERE DEPOSITED INTO THE PRINCIPAL ACCOUNT.
	SCHEDULE K PART II LINE 7 ISSUE A $30,758,485 WAS USED TO REFUND BONDS ORIGINALLY ISSUED ON JULY 1, 1993.
	SCHEDULE K PART II LINE 5 ISSUE B COST OF ISSUANCE $1,424,688 FEES FOR CREDIT ENHANCEMENT $199,290
	SCHEDULE K PART III ISSUE A IN ACCORDANCE WITH THE SPECIAL RULES FOR REFUNDING PRE-2003 ISSUES, PART III DOES NOT NEED TO BE COMPLETED FOR ISSUE A. ISSUE A WAS ISSUED AFTER 12/31/02 TO REFUND BONDS ISSUED BEFORE 1/1/03.
	SCHEDULE K PART III LINES 2 THROUGH 6 ISSUE B THE PROJECT HAS NOT BEEN PLACED INTO SERVICE YET.
Form 990, PART I, Line 6	MARTHA JEFFERSON HOSPITAL VOLUNTEER SERVICES IS RESPONSIBLE FOR THE RECRUITMENT, TRAINING, TRACKING AND RETENTION OF VOLUNTEERS THROUGHOUT THE HOSPITAL. VOLUNTEERS ARE RECRUITED THROUGH A VARIETY OF COMMUNITY NETWORKS INCLUDING THE UNITED WAY, MADISON HOUSE AT THE UNIVERSITY OF VIRGINIA AND MEMBERSHIP IN THE CHARLOTTESVILLE AREA ASSOCIATION OF VOLUNTEER ADMINISTRATORS. IN ADDITION, VOLUNTEER OPPORTUNITIES ARE POSTED ON THE MJH WEBSITE TO PROVIDE FURTHER EXPOSURE TO THE COMMUNITY. VOLUNTEER INFORMATION SESSIONS AND NEW VOLUNTEER ORIENTATION SESSIONS ARE CONDUCTED ON A MONTHLY BASIS AT THE HOSPITAL. VOLUNTEERS ARE PLACED ACCORDING TO THEIR INDIVIDUAL SKILLS AND STRENGTHS AS COMPARED TO THE NEEDS OF THE SPECIFIC DEPARTMENTS WITHIN THE ORGANIZATION. MJH VOLUNTEERS SUPPORT MORE THAN 45 DEPARTMENTS WITH GENERAL JOB DUTIES SUCH AS CUSTOMER SERVICE, CLERICAL JOBS, AND PATIENT ESCORT AND TRANSPORTATION RESPONSIBILITIES. SERVICES ARE DETERMINED THROUGH INDIVIDUAL INTERVIEWS WITH DEPARTMENTAL MANAGERS AND REQUESTS MADE BY MANAGERS FOR SPECIFIC PROJECTS. WE ALSO HAVE VOLUNTEERS WITH ADVANCED SKILLS AND TRAINING THAT SERVE AS PATIENT ADVOCATES AND CHAPLAINS. THE HOSPITAL USES VOLUNTEERS ON SPECIAL PROJECTS SUCH AS PREPARING STROKE PATIENTS AWARENESS FOLDERS OR SPECIAL EVENTS SUCH AS THE CELEBRATION OF LIFE, A COMMUNITY EVENT FOR CANCER PATIENTS, PAST AND PRESENT, THEIR FAMILY AND FRIENDS. OUTSIDE OF VOLUNTEER ROLES AVAILABLE INSIDE THE HOSPITAL, COMMUNITY LEADERS ALSO SERVE IN OTHER CAPACITIES, INCLUDING OUR BOARD OF DIRECTORS, A CONSULTING AND GOVERNING BODY FOR OUR ORGANIZATION. IN ADDITION TO VOLUNTEERS WHO PROVIDE DIRECT SERVICES IN THE HOSPITAL SETTING AND MANAGED BY THE DEPARTMENT OF VOLUNTEER SERVICES, THE FUNDRAISING FUNCTION OF THE HOSPITAL IS ALSO SUPPORTED BY A CADRE OF VOLUNTEERS, ESPECIALLY IN SUPPORT OF SPECIAL EVENTS. THE WOMEN'S COMMITTEE OF MARTHA JEFFERSON HOSPITAL, WITH 140 ACTIVE MEMBERS, COORDINATES TWO ANNUAL FUNDRAISERS. THE MARTHA JEFFERSON GOLF CLASSIC IS ALSO SUPPORTED BY A 10-MEMBER VOLUNTEER ORGANIZING COMMITTEE AND MORE THAN 30 VOLUNTEERS WORK THE DAY OF THE EVENT. EACH YEAR THE HOSPITAL ALSO PUTS ON THE MJ8K ROAD RACE/WALK FUNDRAISER THAT ENGAGES MORE THAN 75 DAY-OF VOLUNTEERS. WHILE VOLUNTEER SCHEDULES ARE MANAGED BY THE INDIVIDUAL DEPARTMENTS, A MASTER LIST OF VOLUNTEERS IS MAINTAINED BY VOLUNTEER SERVICES. VOLUNTEER HOURS ARE TRACKED THROUGH TIMESHEETS AND COLLECTED ON A MONTHLY BASIS.	Summary
FORM 990, PART VI, SECTION B, Line 16b	AT SEPTEMBER 30, 2010 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 TRUSTEES AND THE MARTHA JEFFERSON HEALTH SERVICES' BOARD OF DIRECTORS. A SPECIFIC JOINT VENTURE PARTICIPATION POLICY IS CURRENTLY IN PROCESS OF DEVELOPMENT.	Policies

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	459 LOCUST AVENUE	AddressLine1
City	CHARLOTTESVILLE	City
State	VA	State
ZIP Code	22902	ZIPCode

Field	Value	IRS element (for citing)
EIN	261126956	EIN
Primary Activities	PHYSICIAN PRACTICES	PrimaryActivities
Legal Domicile State	VA	LegalDomicileState
Total Income	16355672	TotalIncome
EOY Assets	2336777	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (4 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	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
MJH FOUNDATION
500 MARTHA JEFFERSON DRIVE	CHARLOTTESVILLE	VA	22911	541401357	INVESTMENT & MANAGEMENT SERVICES FOR MARTHA JEFFERSON HOSPITAL	VA	501(C)(3)	11 TYPE II		MARTHA JEFFERSON HEALTH SERVICES CORPORATION
MARTHA JEFFERSON HOSPITAL FOUNDATION
459 LOCUST AVENUE	CHARLOTTESVILLE	VA	22902	300041113	FUNDRAISING	VA	501(C)(3)	11 TYPE II		MARTHA JEFFERSON HEALTH SERVICES CORPORATION
MJH ENTERPRISES
459 LOCUST AVENUE	CHARLOTTESVILLE	VA	22902	541403114	NON-HOSPITAL PATIENT CARE SERVICES	VA	501(C)(3)	11 TYPE I		MARTHA JEFFERSON HEALTH SERVICES CORPORATION

Form990 Schedule R Part III Form990ScheduleRPartIII (2 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
MARTHA JEFFERSON OUTPATIENT SURGERY CENTER LLC
595 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	22911	113656095	OUTPATIENT SURGERY CENTER	VA	N/A	RELATED	975200	1547392	0	0
PHYSICAL THERAPY ACAC LLC
501 ALBEMARLE SQUARE	CHARLOTTESVILLE	VA	22901	260080717	PHYSICAL THERAPY	VA	N/A	N/A			0	0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 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 PHYSICIAN HOSPITAL ORGANIZATION INC
459 LOCUST AVENUE	CHARLOTTESVILLE	VA	22902	541719463	PHYSICIAN HOSPITAL ORGANIZATION	VA	N/A	C	86137	489352	0.50000
MARTHA JEFFERSON MEDICAL ENTERPRISES INC
630 PETER JEFFERSON PARKWAY	CHARLOTTESVILLE	VA	22911	541841528	MEDICAL BILLING SERVICE	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 (5 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MARTHA JEFFERSON MEDICAL ENTERPRISES
A	57809
mARTHA JEFFERSON MEDICAL ENTERPRISES
D	1769118
MARTHA JEFFERSON MEDICAL ENTERPRISES
P	276173
MJH FOUNDATION
P	171318
MJH FOUNDATION
R	4139171