2023-05-13T19:30:20+00:00 2022-06-30 346565596 ERNST & YOUNG US LLP 1101 NEW YORK AVENUE NW Washington DC 20005 990 2021-07-01 541581185 MCV Associated Physicians MCVA 8048278400 830 EAST MAIN STREET 2400 RICHMOND VA 23219 DARRELL GRIFFITH COO TREASURER 2023276000 2023-05-13 true DARRELL GRIFFITH 999009999 Amber Gazica P01391011 2023276000 2023-05-09 2021 2023-04-26 12:10:37Z MCV PHYSICIANS DARRELL GRIFFITH BOX 980152 RICHMOND VA 23298 572404350 false X WWW.VCUHEALTH.ORG/MCV-PHYSICIANS/MCV-PHYS X 1991 VA SUPPORTING THE HEALTHCARE NEEDS OF THE COMMUNITY & THE MISSION OF THE VCU SCHOOL OF MEDICINE. 11 2 2741 3 142523 141523 49516196 47651343 488440803 522262019 1711100 2477165 315531 13823 539983630 572404350 10038985 13426657 0 464901697 500948567 0 0 125680844 182355626 600621526 696730850 -60637896 -124326500 296921285 913688645 206825788 981513785 90095497 -67825140 THE MISSION OF THE ORGANIZATION IS TO PROVIDE PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS TO SUPPORT THE NEEDS OF THE COMMUNITY, AS WELL AS THE ACADEMIC MISSION OF THE VCU SCHOOL OF MEDICINE. false false 670104250 13426657 522262019 MCV ASSOCIATED PHYSICIANS D/B/A MCV PHYSICIANS (MCVP) IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF VIRGINIA COMMONWEALTH UNIVERSITY (VCU), A TAX-EXEMPT ORGANIZATION AS DESCRIBED UNDER INTERNAL REVENUE CODE (IRC) SECTION 170(C)(1). ON JULY 1, 2000, MCVP BECAME PART OF THE VCU HEALTH SYSTEM ALONG WITH THE MCV HOSPITAL AUTHORITY. MCVP SERVES THE ONLY BURN CENTER AND FULL RANGE CANCER CENTER IN THE AREA. IN SUPPORT OF THE MEDICAL SCHOOL, MCVP PROVIDES ESSENTIAL SERVICES TO AND WORKS CLOSELY WITH THE VCU HEALTH SYSTEM - MCV HOSPITAL; A DIVISION OF MCV/VCU AND AFFILIATED AMBULATORY CARE CENTERS. 670104250 true true false false false false false false true true true false true true true false true false false true false false false false false false true false true false false false false false false true false false false false false false true false false false true 4 0 true 2741 true true true false false false false false false false false false false false X 11 2 false false false false true true true true true false false true true true true true true true true false VA X MIN CUMMINGS 8048270545 PO BOX 980152 RICHMOND VA 23298 DARRELL GRIFFITH TREAS / SEC /COO 60.0 0 X X 522299 0 38589 THOMAS YACKEL MD PRESIDENT/CHAIR 60.0 5.0 X X 564234 49456 64468 ANN FULCHER MD DIRECTOR 55.0 10.0 X 749644 0 38550 CHARLES CLEVENGER MD DIRECTOR 36.0 15.0 X 259157 295618 86125 DAVID CHELMOW MD DIR (JAN-JUNE) 30.0 36.0 X 601965 0 33300 EVAN REITER MD DIRECTOR 40.0 15.0 X 418368 46481 67330 FRANCESCO CELI MD DIRECTOR 40.0 0.0 X 268039 84450 60975 GEORGE BURKE III MD DIRECTOR (JULY-DEC) 1.0 0 X 0 0 0 GEORGE VETROVEC MD DIRECTOR (JULY-DEC) 1.0 0 X 0 0 0 HARINDER DHINDSA MD DIRECTOR 30.0 21.0 X 506206 0 30381 MARIEKA HELOU MD DIRECTOR 39.5 15.5 X 0 55282 27313 PETER BUCKLEY MD DIR (JULY-DEC) 47.0 23.0 X 484485 354058 88368 RAMANA FEESER MD DIRECTOR 12.4 27.6 X 378123 0 38550 STEPHEN KATES MD DIRECTOR 30.0 25.0 X 537073 428472 96672 STEVEN JULIAN MD DIRECTOR (JULY-DEC) 1.0 0 X 0 0 0 VIGNESHWAR KASIRAJAN MD DEPT. CHAIR 42.0 33.0 X 801413 301030 98804 ALEX VALADKA MD NEUROSURGEON 66.0 12.0 X 909841 98847 59358 BRIAN CAMERON MD NEUROSURGEON 47.0 3.0 X 929266 38494 60059 DENNIS RIVET MD NEUROSURGEON 68.0 0 X 955438 0 38550 KARANVIR PRAKASH MD ORTHOPEDIC SURGEON 60.0 0 X 886111 0 41986 ROBERT GRAHAM MD NEUROSURGEON 57.0 8.0 X 884961 48083 70127 PAUL NEIMEYER FORMER SECRETARY 0.0 0.0 X 0 811125 28168 10656623 2611397 1067675 1280 true true false VIRTUAL RADIOLOGIC CORP 11995 SINGLETREE LANE EDEN PRAIRIE MN 55344 RADIOLOGY SERVICES 2080119 PRESS GANEY INC 1660 International Dr Ste 200 McLean VA 22102 CONSULTING SERVICES 901781 HAYES LOCUMS LLC 5900 N ANDREWS AVE 900 FORT LAUDERDALE FL 33309 PHYSICIAN STAFFING SERVICES 859194 VIRGINIA COMMONWEALTH UNIVERSITY PO BOX 842512 RICHMOND VA 23284 PHYSICIAN SERVICE 714630 ERNST AND YOUNG 1101 NEW YORK AVE NW WASHINGTON DC 20005 CONSULTING SERVICES 257625 10 43839996 3811347 47651343 NET PATIENT SRVC REV 622110 411884951 411884951 CONTRACT REV FROM MCV 900099 79927597 79927597 OTHER CONTRACT REV 900099 29209395 29209395 Consulting 541990 1240076 1240076 0 0 0 0 522262019 483896 142523 341373 2159 2159 0 0 1993269 0 1993269 0 1993269 1993269 Misc Revenue 900099 11622 11622 MEDICAL RECORDS 900099 42 42 0 0 0 0 11664 572404350 522262019 142523 2348465 13426657 13426657 4677883 4490768 187115 413728596 397179452 16549144 32998565 31678622 1319943 30806824 29574551 1232273 18736699 17987231 749468 34307 34307 19500 19500 263836 263836 873397 873397 0 0 49505 47525 1980 1129217 1084048 45169 195313 187500 7813 2908378 2792043 116335 1079603 1036419 43184 1187620 1140115 47505 189986 189986 5073477 4870538 202939 11690842 11223208 467634 SHARED SRVC. ALLOCATION 106908683 102632336 4276347 BAD DEBT EXPENSE 23174400 23174400 PURCHASED SERVICES 14369891 13795095 574796 MEDICAL SUPPLIES 5774528 5774528 7433143 7135817 297326 0 696730850 670104250 26626600 0 5230 5845 57928617 250489 68281879 101028940 0 0 0 0 1104582 576516 27667860 14829420 7668925 12838440 18149849 0 100424570 82952580 0 43357633 716035835 296921285 913688645 50903607 37731352 0 0 155922181 943782433 206825788 981513785 X 90095497 -67825140 90095497 -67825140 296921285 913688645 -124326500 -33481450 -112687 0 X false true X true true true X 66802644 69654650 56369122 49516196 47651342 289993954 357385011 394098021 469015509 488440803 522262019 2231201363 0 0 0 424187655 463752671 525384631 537956999 569913361 2521195317 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2521195317 756256 1581465 1112847 916915 486055 4853538 0 0 756256 1581465 1112847 916915 486055 4853538 0 0 882723 1093283 1575110 293072 11664 3855852 425826634 466427419 528072588 539166986 570411080 2529904707 0.9966 0.0 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - MEANINGFUL USE & OTHER SIMILAR PAYMENTS PAYMENTS, COLUMN A - 200000.0, COLUMN B - 0.0, COLUMN C - 1212842.0, COLUMN D - , COLUMN E - , COLUMN F - 1412842.0; DESCRIPTION - OTHER SERVICES, COLUMN A - 480820.0, COLUMN B - 871050.0, COLUMN C - 333526.0, COLUMN D - , COLUMN E - , COLUMN F - 1685396.0; DESCRIPTION - OTHER INTEREST INCOME, COLUMN A - 196028.0, COLUMN B - 191599.0, COLUMN C - 18100.0, COLUMN D - , COLUMN E - , COLUMN F - 405727.0; DESCRIPTION - OTHER MISC, COLUMN A - 5875.0, COLUMN B - 30634.0, COLUMN C - 10642.0, COLUMN D - 4622.0, COLUMN E - 11664.0, COLUMN F - 63437.0; DESCRIPTION - REIMBURSEMENTS, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 288450.0, COLUMN E - , COLUMN F - 288450.0; DESCRIPTION - , COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 118609500 -31059386 4333699 263836 82952579 84774246 33950198 -160764 275708 118609500 111763842 5050697 31813751 226542 84774246 126590233 8887904 23269127 445168 111763842 118162189 10986387 1593637 964706 126590233 1.0 0.0 0.0 false false 12456851 4775435 7681416 14028468 10053985 3974483 1182541 1182541 12838440 LONG TERM INVESTMENTS 82952580 F 82952580 DUE FROM AFFILIATES 663857936 SETTLEMENT DUE FROM 3RD PARTY 41640081 INTEREST RECEIVABLE RIGHT OF USE LEASE ASSETS 10537818 716035835 DUE TO AFFILIATES 918778431 Due to Third Party Payors 11148024 Lease Liability 10786456 Other Liabilities 3069522 943782433 X Schedule D, Part V, Line 4 Intended uses of endowment funds THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO SUPPORT THE ACADEMIC MISSION OF THE VCU SCHOOL OF MEDICINE. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE FILING ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. Central America and the Caribbean 0 0 Investments 42551631 0 0 0 0 0 0 42551631 0 42551631 true false true false true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEA true VCU School of Medicine 907 Floyd Avenue Richmond VA 23284 546001758 Government 13426657 Academic and Educational Goals 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. MCVP IS REQUIRED TO MAKE A CLINICAL EARNINGS CONTRIBUTION TO THE VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE (VCU SOM) IN SUPPORT OF ITS ACADEMIC AND EDUCATIONAL GOALS. THIS CONTRIBUTION IS BASED ON A PERCENTAGE OF NET PATIENT SERVICE REVENUE, AS DEFINED. THE CLINICAL EARNINGS CONTRIBUTION MAY BE USED FOR ACADEMIC, RESEARCH, CLINICAL OR OPERATIONAL COSTS AT THE DISCRETION OF THE DEAN OF THE VCU SOM. THE DEAN HAS DIRECTED THAT ALL CLINICAL EARNINGS CONTRIBUTIONS REMAIN A DESIGNATED UNRESTRICTED FUND BALANCE OF MCVP UNTIL SUCH TIME AS THE AMOUNTS ARE NEEDED FOR THE REQUIRED PURPOSE. false false false false false false false false false THOMAS YACKEL MD PRESIDENT/CHAIR 491722 49416 72512 0 0 40 33040 8034 0 23394 597274 80884 0 0 DARRELL GRIFFITH TREAS / SEC /COO 453537 0 43605 0 25157 0 34800 0 3789 0 560888 0 0 0 DAVID CHELMOW MD DIR (JAN-JUNE) 484077 0 117888 0 0 0 33040 0 260 0 635265 0 0 0 PETER BUCKLEY MD DIR (JULY-DEC) 422051 353578 62434 0 0 480 33040 24650 0 30678 517525 409386 0 0 FRANCESCO CELI MD DIRECTOR 223320 84210 44719 0 0 240 29449 7293 0 24234 297488 115977 0 0 CHARLES CLEVENGER MD DIRECTOR 199183 295618 59770 0 204 0 28806 24650 2750 29920 290712 350188 0 0 ANN FULCHER MD DIRECTOR 587544 0 162100 0 0 0 38550 0 0 0 788195 0 0 0 STEPHEN KATES MD DIRECTOR 425822 427992 108074 0 3177 480 33040 31510 0 32121 570113 492104 0 0 EVAN REITER MD DIRECTOR 359340 46001 59028 0 0 480 38550 5416 0 23364 456919 75261 0 0 HARINDER DHINDSA MD DIRECTOR 434601 0 71605 0 0 0 27631 0 2750 0 536587 0 0 0 RAMANA FEESER MD DIRECTOR 362796 0 12037 0 3290 0 38550 0 0 0 416674 0 0 0 PAUL NEIMEYER FORMER SECRETARY 0 316423 0 0 0 494702 0 27628 0 540 0 839293 0 0 VIGNESHWAR KASIRAJAN MD DEPT. CHAIR 683622 300550 117791 0 0 480 38550 30160 0 30094 839963 361284 0 0 BRIAN CAMERON MD NEUROSURGEON 555711 38014 373555 0 0 480 33040 3841 0 23178 962306 65513 0 0 ROBERT GRAHAM MD NEUROSURGEON 681779 47603 203182 0 0 480 38550 6732 1750 23094 925261 77909 0 0 KARANVIR PRAKASH MD ORTHOPEDIC SURGEON 803161 0 82746 0 204 0 33040 0 8945 0 928096 0 0 0 DENNIS RIVET MD NEUROSURGEON 682334 0 272900 0 204 0 38550 0 0 0 993989 0 0 0 ALEX VALADKA MD NEUROSURGEON 802202 98367 107639 0 0 480 33040 8617 0 17701 942882 125165 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation FOR FISCAL YEAR ENDING JUNE 30, 2022, COMPENSATION (SALARIES AND INCENTIVES) FOR THE CEO, EXECUTIVE DIRECTOR OR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION, IS APPROVED BY THE CEO OF THE HEALTH SYSTEM. THE ORGANIZATION USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE ORGANIZATION MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF THE INDIVIDUAL'S PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS DISCUSSES THE MATTER AND PRESENTS RECOMMENDATIONS TO THE CEO OF THE HEALTH SYSTEM. NICOLE DEIORIO SPOUSE OF THOMAS YACKEL, MD 87106 COMPENSATION AS AN EMPLOYEE false GIAO PHAN SPOUSE OF FRANCESCO CELI, MD 265828 COMPENSATION AS AN EMPLOYEE false Form 990, Part VI, Line 6 Classes of members or stockholders THE SELECTION PROCESS FOR THE GOVERNING BODY OF MCV PHYSICIANS IS AS FOLLOWS: THE CHAIRS OF EACH SCHOOL OF MEDICINE CLINICAL DEPARTMENT SHALL RECOMMEND APPOINTMENT OF THE FOUR DEPARTMENTAL CHAIR DIRECTORS TO THE SOLE CORPORATE MEMBER, VCUHS. THE FULL-TIME FACULTY OF THE SCHOOL OF MEDICINE SHALL RECOMMEND TO THE CORPORATE MEMBER APPOINTMENT OF THE FOUR FACULTY DIRECTORS WHO ARE NOT DEPARTMENTAL CHAIRS. THE PRESIDENT AND EXECUTIVE DIRECTOR OF THE CORPORATION SHALL RECOMMEND THREE INDEPENDENT DIRECTORS TO THE BOARD OF DIRECTORS; THE BOARD, AFTER CONSIDERATION OF THE RECOMMENDATIONS FROM THE PRESIDENT AND EXECUTIVE DIRECTOR, SHALL RECOMMEND THREE INDEPENDENT DIRECTORS TO THE CORPORATE MEMBER. ALL RECOMMENDATIONS FOR APPOINTED DIRECTORS SHALL BE SUBMITTED TO THE CORPORATE MEMBER BY THE PRESIDENT OF THE CORPORATION, FOLLOWING NOTIFICATION OF THE RECOMMENDATIONS TO THE CEO/VCUHS AND THE DEAN. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body AFTER CONSIDERATION OF THE RECOMMENDATIONS, THE CORPORATE MEMBER SHALL APPOINT DIRECTORS TO THE BOARD, FOR TERMS OF SERVICE CONSISTENT WITH THE PROVISIONS OF THESE BYLAWS. CORPORATE MEMBER SHALL APPOINT DIRECTORS TO THE BOARD, FOR TERMS OF SERVICE CONSISTENT WITH THE PROVISIONS OF THESE BYLAWS. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders MCV PHYSICIANS BOARD OF DIRECTORS DECISIONS ARE SUBJECT TO APPROVAL OF THE CORPORATE MEMBER, VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY. Form 990, Part VI, Line 11b Review of form 990 by governing body FINANCIAL INFORMATION IS PROVIDED BY VCUHS' FINANCE DEPARTMENT TO AN INDEPENDENT ACCOUNTING FIRM. THE FIRM PREPARES THE FORM 990 FOR REVIEW. THE FINANCE DEPARTMENT REVIEWS THE FORM 990 WITH THE APPROPRIATE EXECUTIVE DIRECTOR AND FINANCE LEADER OF THE ORGANIZATION. UPON FINAL REVIEW WITH LEADERSHIP, THE GOVERNING BODY OF THE ORGANIZATION IS PROVIDED WITH A COPY OF THE RETURN PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy FINANCIAL INFORMATION IS PROVIDED BY VCUHS' FINANCE DEPARTMENT TO AN INDEPENDENT ACCOUNTING FIRM. THE FIRM PREPARES THE FORM 990 FOR REVIEW. THE FINANCE DEPARTMENT REVIEWS THE FORM 990 WITH THE APPROPRIATE EXECUTIVE DIRECTOR AND FINANCE LEADER OF THE ORGANIZATION. UPON FINAL REVIEW WITH LEADERSHIP, THE GOVERNING BODY OF THE ORGANIZATION IS PROVIDED WITH A COPY OF THE RETURN PRIOR TO FILING WITH THE IRS. WHEN A BOARD MEMBER HAS A CONFLICT, THE BOARD MEMBER IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS RELATED TO THE CONFLICTING TRANSACTION. Form 990, Part VI, Line 15a Process to establish compensation of top management official FOR FISCAL YEAR ENDING JUNE 30, 2022 THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE PRESIDENT AND THE EXECUTIVE DIRECTOR OF MCV PHYSICIANS IS DETERMINED BY THE CEO OF THE VCU HEALTH SYSTEM (VCUHS). THIS IS CONSISTENT WITH THE REQUIREMENTS ESTABLISHED IN THE BYLAWS OF VCUHS. THE CEO OF VCUHS USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE CEO OF VCUHS MAY ALSO CONDUCT A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THESE DATA ELEMENTS IN CONJUNCTION WITH A REVIEW OF INDIVIDUAL PERFORMANCE AND THE ATTAINMENT OF GOALS FOR THE YEAR, ARE THE BASIS FOR COMPENSATION RECOMMENDATIONS. THE CEO OF VCUHS THEN MEETS WITH THE COMPENSATION COMMITTEE OF THE VCUHS BOARD OF DIRECTORS TO DISCUSS THE MATTER AND PRESENT RECOMMENDATIONS AND RECEIVE FINAL APPROVAL. THE COMPENSATION COMMITTEE MAY DISCUSS THESE RECOMMENDATIONS IN EXECUTIVE SESSION OF THE VCUHS BOARD OF DIRECTORS. THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE KEY EMPLOYEES IS DETERMINED BY THE DEAN OF THE SCHOOL OF MEDICINE. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS FOR MCV PHYSICIANS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. COMMUNITY MEMORIAL HOSPITAL FOUNDATION 1755 N MECKLENBERG AVE RICHMOND VA 23970 541831331 FUNDRAISING ORG VA 501(c)(3) Type I CMH false VCU HEALTH TAPPAHANNOCK HOSPITAL 618 HOSPITAL ROAD TAPPAHANNOCK VA 22560 541489410 HOSPITAL VA 501(c)(3) 3 VCUHSA false VCU AMBULATORY SURGERY CENTER LLC 11958 WEST BROAD ST 5TH FLOOR HENRICO VA 23294 863310585 AMBULATORY SERVICES VA 501(c)(3) 3 VCUHSA false VCU HEALTH SYSTEM AUTHORITY PO BOX 980648 RICHMOND VA 23298 541848065 HOSPITAL VA NA false VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD 2924 BROOK ROAD RICHMOND VA 23220 540506309 PEDIATRIC SERVICES VA 501(c)(3) 3 VCUHSA false COMMUNITY MEMORIAL HOSPITAL 1755 N MECKLENBERG AVE RICHMOND VA 23970 540551711 HOSPITAL VA 501(c)(3) 3 VCUHSA false VIRGINIA COMMONWEALTH UNIVERSITY PO BOX 842512 RICHMOND VA 23284 546001758 EDU INSTITUTE VA NA false UHS PROFESSIONAL EDUCATION PROGRAM - P O BOX 980048 RICHMOND VA 23298 541790553 EDU SEMINARS VA 501(c)(3) Type I UHS false HOSPITAL HOSPITALITY HOUSE OF RICHMOND 612 E MARSHALL STREET RICHMOND VA 23219 311240348 LODGING SUPPORT VA 501(c)(3) 7 NA false 7TH AND MARSHALL CORPORATION - PO BOX 980152 RICHMOND VA 23298 311568886 SUPPORT ACTIVITY VA 501(c)(3) Type I UHS false UNIVERSITY HEALTH SERVICES INC PO BOX 980152 RICHMOND VA 23298 541790550 PROPERTY VA 501(c)(3) Type I VCUHSA false VIRGINIA CHILDRENS CARE NETWORK LLC BOX 980152 RICHMOND VA 23298 851396091 HEALTHCARE VA 501(c)(3) Type I VCUHSA false false true true true true false false false false false true true true false true true true true false