2025-11-13T11:37:55-05:00 2023-06-30 ALVAREZ & MARSAL TAX LLC 425 MARKET ST 15 TH FLOOR SAN FRANCISCO CA 94105 990 2022-07-01 546280083 PIEDMONT LIABILITY TRUST % THE ORGANIZATION PIED 4342962100 1020 EDNAM CENTER 100 CHARLOTTESVILLE VA 22903 BRUCE GEHLE CEO/TRUSTEE 4342962100 2025-11-12 true KIM J BARR P00326055 4159604539 2025-11-12 2022 2025-03-06 01:10:19Z X BRUCE GEHLE 1020 EDNAM CENTER 100 CHARLOTTESVILLE VA 22903 15929147 false X N/A X 1989 VA SEE SCHEDULE O 16 16 10 16 0 0 0 6342719 7389922 2870453 2408217 367707 139161 9580879 9937300 0 0 0 0 2075174 2272650 0 0 0 5001067 415352 7076241 2688002 2504638 7249298 77604181 84995109 77133183 74547573 470998 10447536 X THE ORGANIZATION WAS FORMED TO ACCUMULATE AND HOLD FUNDS FOR USE IN SATISFYING MEDICAL PROFESSIONAL LIABILITY CLIAMS AGAINST THE UNIVERSITY OF VIRGINIA PHYSICIANS' GROUP AND COVERED CLINICIANS OF UNIVERSITY OF VIRGINIA HEALTH. true false 418728 7389922 MANAGEMENT AND PAYMENT OF MEDICAL PROFESSIONAL LIABILITY CLIAMS FOR THE UNIVERSITY OF VRIGINIA PHYSICIANS' GROUP AND COVERED CLINICIANS OF UNIVERSITY OF VIRGINIA HEALTH, INCLUDING MANAGEMENT OF FUNDS HEALD FOR THIS PURPOSE. 418728 true false false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 30 0 true 10 true false false false false false false false false false false false false X 16 16 false false true false false false false true true false false false true true false false true true false false VA X THE ORGANIZATION 4342962100 1020 EDNAM CENTER 100 CHARLOTTESVILLE VA 22903 REBECCA W WEST JD ESQ CEO 40.0 0.0 X 740377 0 80652 BRUCE D GEHLE JD COO 40.0 0.0 X 495000 0 66536 RICHARD O WHITE ASSOCIATE GENERAL COUNSEL 40.0 0.0 X 232500 0 29342 LANCE D FRASIER MANAGER OF FINANCE & OPERATION 40.0 0.0 X 211115 0 26617 JUDY L FORTINEUX CHIEF OF STAFF 40.0 0.0 X 170846 0 22347 SCOTT A SYVERUND MD CHAIRMAN 2.0 0.0 X X 0 0 0 MEGAN J BRAY MD DIRECTOR 2.0 0.0 X 0 0 0 ANITA H L CLAYTON MD DIRECTOR 2.0 0.0 X 0 0 0 PETER T HALLOWELL MD DIRECTOR 2.0 0.0 X 0 0 0 CHRISTOPHER P HOLSTEGE MD DIRECTOR 2.0 0.0 X 0 0 0 JAMES W HOWELL JD DIRECTOR 2.0 0.0 X 0 0 0 SCOTT JUST MD MBA FACEP DIRECTOR 2.0 0.0 X 0 0 0 JAMES M LARNER MD DIRECTOR 2.0 0.0 X 0 0 0 DONALD R MORIN DIRECTOR 2.0 0.0 X 0 0 0 CHRISTOPHER A MOSKALUK MD DIRECTOR 2.0 0.0 X 0 0 0 STEPHEN S PARK MD DIRECTOR 2.0 0.0 X 0 0 0 MITCHELL H ROSNER MD DIRECTOR 2.0 0.0 X 0 0 0 ANDREW SOUTHERLAND MD DIRECTOR 2.0 0.0 X 0 0 0 MARK E SHAFFREY MD DIRECTOR 2.0 0.0 X 0 0 0 MARGARET TRACCI MD DIRECTOR 2.0 0.0 X 0 0 0 JONATHON D TRUWIT MD DIRECTOR 2.0 0.0 X 0 0 0 1849838 0 225494 5 true true false THE MITCHELL LAW GROUP PLLC 221 SOUTH ALFRED ST FL1 ALEXANDRIA VA 22314 LEGAL COUNSEL 160433 TIMBERLAKE SMITH THOMAS MOSES PC PO BOX 108 STAUNTON VA 24402 LEGAL COUNSEL 128295 2 0 PREMIUM ASSESSMENTS 525920 7389922 7389922 7389922 2373783 2373783 0 0 21884 15976 5908 0 5908 5908 6010305 5975871 34434 34434 34434 0 0 0 0 0 0 0 0 0 PROFIT SHARING - REINSURANCE 900099 133253 133253 133253 9937300 7389922 2547378 0 0 0 0 1746867 1746867 0 218826 216788 2038 141987 17515 124472 88572 19417 69155 76398 16161 60237 0 252 252 33325 33325 0 0 157446 157446 28141 28141 0 38331 38331 0 0 0 20982 4839 16143 0 8109 4895 3214 0 0 44151 44151 21956 10230 11726 MISCELLANEOUS 196518 196270 248 0 EQUIPMENT RENTAL AND MA 24876 24876 0 0 PRINTING AND REPUBLICATION 420 420 0 0 LOSS & LOSS ADJUSTMENTS -159155 -159155 0 0 2688002 418728 2269274 0 3052 1956 4620319 6146404 0 0 0 0 0 0 0 0 0 0 0 0 98438 101775 1724551 1135175 550728 589376 72033441 77848610 0 0 0 0 0 0 298203 306988 77604181 84995109 35167 43862 0 0 500 0 0 0 0 0 0 0 0 0 0 0 77097516 74503711 77133183 74547573 X 470998 10447536 0 0 470998 10447536 77604181 84995109 7249298 2727240 X X false true X true false X X 1 UNIVERSITY OF VIRGINIA PHYSICIANS' GROUP 541124769 10 true 86800 0 1 86800 0 0.00000 true false false false false false false false false false false false false false false true true true X true true PART IV, SECTION D, LINE 3 UNIVERSITY OF VIRGINIA PHYSICIANS' GROUP'S PRESIDENT AND CEO SERVE ON THE BOARD OF THE ORGANIZATION AND THE MAJORITY OF THE PHYSICIAN DIRECTORS ARE EMPLOYEES OF UNIVERSITY OF VIRGINIA PHYSICIANS' GROUP. THE ORGANIZATION'S BOARD OF DIRECTIORS ADOPTS THE INVESTMENT POLICY. PART IV, SECTION E, LINE 2A THE ORGANIZATION WAS FORMED TO ACCUMULATE AND HOLD FUNDS FOR USE IN SATISFYING MEDICAL PROFESSIONAL LIABILITY CLIAMS AGAINST THE UNIVERSITY OF VIRGINIA PHYSICIANS' GROUP AND COVERED CLINICIANS OF UNIVERSITY OF VIRGINIA HEALTH. PART IV, SECTION E, LINE 2B IF IT WEREN'T FOR THE ORGANIZATION ACCUMULATING AND HOLDING FUNDS FOR USE IN SATISFYING MEDICAL PROFESSIONAL LIABILITY CLAIMS AGAINST THE UNIVERSITY OF VIRGINIA PHYSICIANS' GROUP AND TRUST COVERED CLINICIANS, UNIVERSITY OF VIRGINIA PHYSICIANS' GROUP AND THE UNIVERSITY OF VIRGINIA WOULD NEED TO PROVIDE MEDICAL PROFESSIONAL LIABILITY INSURANCE THROUGH ANOTHER SOURCE. 267970 267970 1159607 888942 270665 296974 246233 50741 589376 0 RESERVE FOR LOSSES AND LOSS ADJUSTMENT EXPENSES 74503711 74503711 X 12537306 2727240 2727240 9810066 143210 -15976 127234 9937300 2560768 15976 15976 2544792 143210 143210 2688002 PART X, LINE 2 THE TRUST IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE, SECTION 501(C)(3) AND THE TAX STATUTES OF THE COMMONWEALTH OF VIRGINIA. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE TRUST HAS DETERMINED THAT THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2023 AND 2022. PART XI, LINE 4B - OTHER ADJUSTMENTS RENTAL EXPENSES -15,976 PART XII, LINE 2D - OTHER ADJUSTMENTS RENTAL EXPENSES 15,976 X X X X false false false false false false false false false REBECCA W WEST JD ESQ CEO 665377 75000 0 45450 35202 821029 0 BRUCE D GEHLE JD COO 420000 75000 0 49050 17486 561536 0 RICHARD O WHITE ASSOCIATE GENERAL COUNSEL 212500 20000 0 20925 8417 261842 0 JUDY L FORTINEUX CHIEF OF STAFF 158846 12000 0 15376 6971 193193 0 LANCE D FRASIER MANAGER OF FINANCE & OPERATION 191115 20000 0 19000 7617 237732 0 PART I, LINE 3 THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO ITS FILING, THE ORGANIZATION'S 990 IS REVIEWED BY MANAGEMENT FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE ORGANIZATION'S CEO IS DETERMINED BY THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S DOCUMENTS ARE AVAILABLE FOR REVIEW UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE EXECUTIVE COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. AUDITORS REPORT AUDIT RESULTS AND FINDINGS TO EXECUTIVE COMMITTEE EACH YEAR. SELECTION OF AN INDEPENDENT ACCOUNTANT IS MADE BY THE EXECUTIVE COMMITTEE EACH YEAR AT ONE OF THE SCHEDULED MEETINGS. AMENDED RETURN THIS RETURN IS BEING AMENDED TO REPORT CHANGES IN THE ORGANIZATION'S GOVERNING DOCUMENT AND PROGRAM SERVICES. THE FOLLOWING CHANGES ARE BEING MADE TO THE ORIGINAL RETURN: PART III, QUESTION 2- ANSWER REGARDING CHANGES IN PROGRAM SERVICES WAS CHANGED TO "YES." PART VI, SECTION A, QUESTION 4 - THE ANSWER REGARDING CHANGES TO THE ORGANIZATION'S GOVERNING DOCUMENT WAS CHANGED TO "YES." THIS STATEMENT ON SCHEDULE O IS ADDED. ON JUNE 6, 2023, THE TRUST AGREEMENT OF PIEDMONT LIABILITY TRUST WAS AMENDED TO CHANGE ONE OF THE TRUSTEES TO BRUCE GEHLE WHO REPLACED THE PRIOR TRUSTEE AS CEO OF THE TRUST. EFFECTIVE 7/1/22, PIEDMONT LIABILITY TRUST EXPANDED ITS MEDICAL MALPRACTICE COVERAGE TO EMPLOYED CLINICIANS OF UVA COMMUNITY HEALTH MEDICAL GROUP, LLC. UVA COMMUNITY HEALTH MEDICAL GROUP, LLC IS A DISREGARDED ENTITY OWNED BY UVA PRINCE WILLIAM HEALTH SYSTEM (EIN XXX-XX-XXXX). UVA PRINCE WILLIAM HEALTH SYSTEM IS AN ORGANIZATION WHICH IS TAX EXEMPT UNDER IRC 501(C)(3). LIKE OTHER COVERED ORGANIZATIONS, UVA PRINCE WILLIAM HEALTH SYSTEM IS AN AFFILIATE OF THE UNIVERSITY OF VIRGINIA WHICH IS ALSO TAX EXEMPT. PIEDMONT LIABILITY TRUST ALSO CONTINUES TO COVER THE CLINICIANS EMPLOYED BY COMMUNITY MEDICINE UNIVERSITY OF VIRGINIA, LLC. COMMUNITY MEDICINE UNIVERSITY OF VIRIGINIA LLC WAS FORMED BY AND IS OWNED BY THE UNIVERSITY OF VIRIGINIA. FORM 990, PART I, LINE 1 THE ORGANIZATION WAS FORMED TO ACCUMULATE AND HOLD FUNDS FOR USE IN SATISFYING MEDICAL PROFESSIONAL LIABILITY CLIAMS AGAINST THE UNIVERSITY OF VIRGINIA PHYSICIANS' GROUP AND COVERED CLINICIANS OF UNIVERSITY OF VIRGINIA HEALTH. UNIVERSITY OF VIRGINIA PHYSICIANS' GROUP 500 RAY C HUNT DRIVE CHARLOTTESVILLE VA 22903 541124769 PATIENT CARE, VA 501(C)(3) LINE 10 NA false false false false false false false false false false false false true false false false false false true false