2021-02-01T14:14:54-06:00 2020-06-30 KPMG LLP 8350 Broad Street Suite 900 McLean VA 22102 990 2019-07-01 521576648 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION % MELANIE TYLER EVMS 7574516200 4111 Monarch Way Suite 500 NORFOLK VA 23508 KURT STAUDER CEO 7574516200 2021-01-28 true RAYMOND LY P01205643 7032868000 2021-01-26 2019 2022-09-23 18:48:47Z KURT STAUDER 4111 Monarch Way Norfolk VA 23508 76952937 false X WWW.EVMSHEALTHSERVICES.ORG X 1989 VA SUPPORTS CLINICAL PRACTICE AND RESEARCH AT EVMS IN CONJUNCTION WITH PROVIDING FACULTY THE OPPORTUNITY TO TEACH IN A PHYSICIAN GROUP SETTING WITHIN AN ACADEMIC ENVIRONMENT. 17 4 679 4 0 0 0 0 70923901 74325401 153820 157565 2363844 2469971 73441565 76952937 1580590 2471145 0 0 55468844 55572844 0 0 0 19371819 18288626 76421253 76332615 -2979688 620322 21451043 21915426 15690610 15534671 5760433 6380755 X SEE SCHEDULE O false false 67801138 2471145 76795372 OVER 150 PHYSICIANS AND OTHER PROVIDERS PRESENT 19 SPECIALTIES IN PRIMARY CARE, MEDICAL AND SURGICAL CARE, AND RADIATION ONCOLOGY WITH FULL-TIME CLINICAL PRACTICES. OUR OFFICES ARE LOCATED THROUGHOUT THE GREATER HAMPTON ROADS REGION, WITH MOST SPECIALTIES AVAILABLE ON THE CAMPUS OF EVMS. FOUNDATION PHYSICIANS AND OTHER PROVIDERS SUPPORT PATIENTS THROUGH COMPREHENSIVE SERVICES, AWARD WINNING MEDICAL RESEARCH, SPECIALIZED PATIENT CARE PROGRAMS IN CANCER, DIABETES, GERIATRICS, TRAUMA AND WOMEN'S HEALTH, AND COLLABORATION WITH NATIONAL AND INTERNATIONAL PARTNERS DEVELOPING MEDICAL TECHNOLOGIES FOR THE FUTURE. WE PRIDE OURSELVES ON STAYING UP TO DATE ON THE LATEST AND SAFEST THERAPIES, TREATMENTS AND TEHCNOLOGY. OUR PRACTICES USE AN ELECTRONIC HEALTH RECORD, OR EHR, THAT ALLOWS US TO SERVE OUR PATIENTS FASTER AND BETTER. THE EHR REPLACES THE OLD PAPER MEDICAL CHART WITH SECURE COMPUTERIZED RECORDS WITH ADDED BENEFITS SUCH AS ELECTRONIC PRESCRIBING AND REMOTE ACCESS TO PATIENT MEDICAL INFORMATION. OUR PHYSICIANS CAN VIEW SECURE MEDICAL RECORDS ANYTIME FROM ANYWHERE TO SAFELY PROVIDE AFTER-HOURS OR EMERGENCY CARE. OUR VALUES OF EXCELLENCE, INTEGRITY, TEAMWORK AND SERVICE DRIVE US TO PROVIDE PATIENT-CENTERED QUALITY HEALTHCARE TO THE PATIENTS THAT WE SERVE. 67801138 true false false false false false false false false false true false false true true true true false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false true 0 0 true 679 true false false false false false false false false false false false false X 17 4 false false false false false false false true true true false false true true true true true true true false X MELANIE TYLER 7574516200 4111 MONARCH WAY NORFOLK VA 23508 BARRY STRASNICK MD DIRECTOR 60.0 0.0 X 1112405 0 50120 MARK SINESI MD DIRECTOR 60.0 0.0 X 1027793 0 52131 SCOTT WILLIAMS MD ASSISTANT PROFESSOR 60.0 0.0 X 822311 0 62339 L D BRITT MD DIRECTOR 60.0 0.0 X 821314 0 61284 ALFRED ABUHAMAD MEDICAL DIRECTOR 60.0 0.0 X 807003 0 59236 JIMMIE COLLINS PROFESSOR 60.0 0.0 X 540693 0 29700 SHANNON MCCOLE MD DIRECTOR 60.0 0.0 X 492976 0 54735 ERIC DOBRATZ ASSOCIATE PROFESSOR 60.0 0.0 X 518159 0 29441 LARA BONNER MILLAR MD ASSISTANT PROFESSOR 60.0 0.0 X 496765 0 47874 REBECCA BRITT MD PROFESSOR 60.0 0.0 X 512809 0 28826 ABBY VAN VOORHEES MD DIRECTOR 60.0 0.0 X 471804 0 36126 STEPHEN DEUTSCH MD PHD DIRECTOR 60.0 0.0 X 447875 0 50120 JAMES F LIND JR CEO (Until 12/2019) 60.0 0.0 X X 408965 0 66570 ALISON DOBBIE MD DIRECTOR 60.0 0.0 X 401593 0 32472 ROBERT PALMER MD DIRECTOR 60.0 0.0 X 326423 0 57882 ANTONIO QUIDGLEY NEVAR DIRECTOR 60.0 0.0 X 367384 0 2169 RICHARD BIKOWSKI MD DIRECTOR 30.0 0.0 X 194721 0 36118 KURT STAUDER CEO/Director (As of 11/2019) 60.0 0.0 X X 62274 0 4199 CONRAD SHUMADINE DIRECTOR 3.0 0.0 X 0 0 0 MARK BABASHNIAN DIRECTOR 3.0 0.0 X 0 0 0 RICHARD V HOMAN MD BOARD CHAIRMAN 10.0 0.0 X X 0 0 0 WILLIAM VAN BUREN DIRECTOR 3.0 0.0 X 0 0 0 9833267 0 761342 168 false true false AEROTEK INC 7301 PARKWAY DR HANOVER MD 21076 TEMP STAFF SERVICES 558966 MEDICAL TEMPORARIES INC 840 FIRST COLONIAL RD VIRGINIA BEACH VA 23451 TEMP STAFF SVCS 252451 ROSS BARRETT PC 1700 TIMBER RIDGE COURT VIRGINIA BEACH VA 23455 MED/SPEECH PATHOLOGY 151287 KPMG LLP 440 MONTICELLO AVE STE 1900 NORFOLK VA 23510 ACCOUNTING SVCS 129300 KAUFMAN AND CANOLES 150 W MAIN ST STE 2100 NORFOLK VA 23510 LEGAL SERVICES 104960 5 0 PATIENT SERVICES 900099 57140059 57140059 CONTRACT BILLING 900099 9296354 9296354 PHYSICIAN SUPP PAYMENT PROGRAM 900099 5683046 5683046 CARES ACT PROVIDER RELIEF 900099 1418478 1418478 STATE INDIGENT CARE APPROPRIATION 900099 787464 787464 74325401 155565 155565 0 0 0 0 0 2000 2000 2000 2000 0 0 0 0 0 0 0 0 0 INTERDIVISIONAL REVENUE 900099 2032722 2032722 OTHER REVENUE 900099 437249 437249 2469971 76952937 76795372 157565 2471145 2471145 0 0 0 3847966 3161527 686439 0 43977783 40456218 3521565 1422399 1253998 168401 3829372 3294740 534632 2495324 2280057 215267 1455587 1239675 215912 111546 111546 99300 25500 73800 0 0 0 0 56608 43929 12679 5966866 5577819 389047 1946425 524314 1422111 0 2613425 2331626 281799 115524 107581 7943 0 28936 23158 5778 34407 34407 0 1048267 684186 364081 1038921 1002185 36736 PURCHASED SERVICES 735337 669002 66335 SHARED SERVICES 550000 550000 REPAIR AND MAINTENANCE 651963 384175 267788 DUES AND LICENSES 260556 258395 2161 1574958 1461908 113050 76332615 67801138 8531477 0 2860 2700 1129928 2467700 0 0 13132625 12210479 0 0 0 0 0 0 0 0 500226 575927 22634807 19890773 2921491 2744034 0 0 0 0 0 0 0 0 3763913 3914586 21451043 21915426 6224835 4273557 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9465775 11261114 15690610 15534671 X 75297 75297 5685136 6305458 5760433 6380755 21451043 21915426 620322 X false true X true true true X 0 0 0 0 0 0 74207279 72467646 70223053 70923901 74325401 362147280 0 0 0 74207279 72467646 70223053 70923901 74325401 362147280 0 0 0 362147280 140943 144231 163882 153820 155565 758441 0 140943 144231 163882 153820 155565 758441 0 1446256 1826513 2267392 2363844 2469971 10373976 75794478 74438390 72654327 73441565 76950937 373279697 0.97018 0.96393 0.00203 0.00204 X 3111886 2549603 562283 19522921 17341170 2181751 2744034 CSV OF LIFE INSURANCE 3914586 3914586 0 ACCRUED NONSALAR PHYSICIAN COM 5766004 PAYABLE DUE TO EVMS 4395110 NOTE PAYABLE TO EVMS 1100000 11261114 X 77669982 77669982 -717045 -717045 76952937 76959474 76959474 -626859 -626859 76332615 SCHEDULE D, PART X THE INTERNAL REVENUE SERVICE HAS DETERMINED AND INFORMED MG BY A LETTER DATED JANUARY 29, 1993 THAT IT QUALIFIES AS A NOT-FOR-PROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAX PURSUANT TO SECTION 501(A) OF THE IRC. MANAGEMENT IS NOT AWARE OF ANY COURSE OF ACTION OR EVENT THAT HAS OCCURRED THAT MIGHT ADVERSELY AFFECT MG'S QUALIFIED STATUS AND BELIEVES MG IS DESIGNED AND IS CURRENTLY BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE ANY LIABILITY FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH ASC TOPIC 740. SCHEDULE D, PART XI, LINE 4B NET ASSETS RELEASED FROM RESTRICTIONS (717,045) SCHEDULE D, PART XII, LINE 4B FEDERAL GRANT REVENUES (626,859) true EASTERN VIRGINIA MEDICAL SCHOOL 358 MOWBRAY ARCH NORFOLK VA 23507 546055378 501 (C)(3) 823715 CHAIRMAN'S FUND EASTERN VIRGINIA MEDICAL SCHOOL 358 MOWBRAY ARCH NORFOLK VA 23507 546055378 501 (C)(3) 1647430 Dean's Fund 1 Schedule I, Part I, Line 2 THE FOUNDATION OPERATES IN ACCORDANCE WITH THE TERMS OF AN AFFILIATION AGREEMENT BETWEEN EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) AND THE FOUNDATION (EVMS MEDICAL GROUP). THE AFFILIATION AGREEMENT SPECIFIES THAT THE EXCESS OF REVENUES OVER EXPENSES WILL BE AVAILABLE FOR DISTRIBUTION AS FOLLOWS: 20% TO THE DEAN'S FUND OF EVMS AND 10% TO THE CHAIR FUND OF EVMS. X X false false false false false false false true false ALISON DOBBIE MD DIRECTOR 378500 23093 25000 0 7472 0 434065 0 0 0 ABBY VAN VOORHEES MD DIRECTOR 471210 594 0 25000 11126 0 507930 0 0 0 ALFRED ABUHAMAD MEDICAL DIRECTOR 633515 169101 4387 50000 0 9236 0 866239 0 0 0 ANTONIO QUIDGLEY NEVARES MD DIRECTOR 365869 0 1515 0 2169 0 369553 0 0 0 BARRY STRASNICK MD DIRECTOR 532491 577291 2623 50000 0 120 0 1162525 0 0 0 ROBERT PALMER MD DIRECTOR 323952 2471 50000 0 7882 0 384305 0 0 0 JAMES F LIND JR CEO (Until 12/2019) 400949 8016 63000 0 3570 0 475535 0 0 0 L D BRITT MD DIRECTOR 641405 175345 4564 50000 0 11284 0 882598 0 0 0 MARK SINESI MD DIRECTOR 875438 149532 2823 50000 0 2131 0 1079924 0 0 0 RICHARD BIKOWSKI MD DIRECTOR 134774 59947 32440 0 3678 0 230839 0 0 0 SHANNON MCCOLE MD DIRECTOR 431459 61517 50000 0 4735 0 547711 0 0 0 STEPHEN DEUTSCH MD PHD DIRECTOR 446732 1143 50000 0 120 0 497995 0 0 0 REBECCA BRITT MD PROFESSOR 495841 3333 13635 19000 0 9826 0 541635 0 0 0 SCOTT WILLIAMS MD ASSISTANT PROFESSOR 670747 149532 2032 50000 0 12339 0 884650 0 0 0 ERIC DOBRATZ ASSOCIATE PROFESSOR 161968 355321 870 19000 0 10441 0 547600 0 0 0 JIMMIE COLLINS PROFESSOR 458040 67559 15094 25000 0 4700 0 570393 0 0 0 LARA BONNER MILLAR MD ASSISTANT PROFESSOR 478591 12500 5674 38000 0 9874 0 544639 0 0 0 SCHEDULE J, PART I, LINE 7 INCENTIVE PAYMENTS ARE LIMITED TO THE PRIOR YEAR'S NET EXCESS IN EACH DEPARTMENT. THE DEPARTMENT CHAIR DETERMINES THE AMOUNT ALLOCATED TO EACH FACULTY MEMBER. FORM 990, PART III, LINE 1 - ORGANIZATION'S MISSION THE EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (THE "FOUNDATION") EXISTS TO FURTHER THE MISSION AND GOALS OF THE EASTERN VIRGINIA MEDICAL SCHOOL("EVMS"), A BODY POLITIC AND CORPORATE OF THE COMMONWEALTH OF VIRGINIA. THE FOUNDATION WILL FOCUS ON THE ADMINISTRATION OF THE CLINICAL PRACTICE OF EVMS FACULTY MEMBERS WHILE STRIVING TO ENHANCE THE CAPACITY OF THE FACULTY OF EVMS TO PROVIDE EXCELLENCE IN THEIR EDUCATION, RESEARCH, AND SERVICE ROLES. IT ASPIRES TO HELP EVMS TO ATTRACT AND RETAIN THE BEST CLINICAL FACULTY AVAILABLE IN EACH OF THE SEVERAL CLINICAL/EDUCATIONAL DEPARTMENTS OF EVMS BY SUPPORTING CLINICAL PRACTICE AND RESEARCH, IN CONJUNCTION WITH TEACHING, UNDER WORKING CONDITIONS COMPARABLE TO THOSE PREVAILING IN COMPARABLE ACADEMICALLY ORIENTED MEDICAL CENTERS WITHIN THE COMMONWEALTH OF VIRGINIA AND ELSEWHERE. THE FOUNDATION WILL SPONSOR THE CLINICAL PRACTICE OF MEDICINE IN THE ACADEMIC SETTING TO PROVIDE THE FACULTY THE OPPORTUNITY TO TEACH EXCELLENCE IN HEALTH CARE DELIVERY TO STUDENTS AT ALL LEVELS OF TRAINING. THE FOUNDATION'S SUPPORT OF THE MEDICAL PRACTICE ACTIVITIES WILL ADDITIONALLY PROVIDE AN IMPROVED ENVIRONMENT, WHICH ALLOWS FOR THE PROVISION OF TRULY EXCELLENT PATIENT SERVICE. IN ITS CLINICAL AND RESEARCH ACTIVITIES, THE FOUNDATION WILL ASSIST EVMS IN ASSEMBLING A FACULTY WHICH CONSTITUTES A CRITICAL MASS OF TALENTED CLINICIANS DEDICATED TO REINFORCING EACH OTHER'S ABILITY TO PERFORM CLINICAL SERVICES, AND TO EDUCATE STUDENTS OF MEDICINE AND THE HEALING ARTS TO PERFORM AT THE HIGHEST STANDARDS OF EXCELLENCE AND EVER TO UPHOLD AND ENHANCE THE REPUTATION OF EVMS AND EACH OF ITS DEPARTMENTS. FORM 990, PART VI, SECTION A, LINE 9. ADDRESSES OF DIRECTORS THAT CANNOT BE REACHED AT THE ORGANIZATION'S MAILING ADDRESS: WILLIAM VAN BUREN KAUFMAN & CANOLES, PC 150 W. MAIN STREET, SUITE 2100 NORFOLK, VA 23510 CONRAD SHUMADINE WILCOX & SAVAGE 440 MONTICELLO AVE., SUITE 2200 NORFOLK, VA 23510 MARK BABASHANIAN 721 FAIRFAX AVE. NORFOLK, VA 23507 FORM 990, PART VI, SECTION B, LINE 11 EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (EVMS MEDICAL GROUP) ENGAGES THE INDEPENDENT ACCOUNTING FIRM KPMG TO ASSIST WITH REVIEW AND FILING OF THE 990 RETURN. EVMS MEDICAL GROUP PROVIDES THE DATA TO KPMG FOR COMPLETION OF THE 990 RETURN. THE RETURN IS REVIEWED BY THE DIRECTOR OF FINANCE AND CHIEF EXECUTIVE OFFICER OF EVMS MEDICAL GROUP PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINES 12A, 12B AND 12C EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (EVMS MEDICAL GROUP) ADOPTS AND CONFORMS TO THE CONFLICTS OF INTEREST AND COMMITMENT POLICY OF THE EASTERN VIRGINIA MEDICAL SCHOOL. EVMS EMPLOYEES WHO CONDUCT EVMS RELATED ACTIVITIES, INCLUDING FACULTY WHO CONDUCT PROFESSIONAL CLINICAL SERVICES THROUGH EVMS MEDICAL GROUP, ARE COVERED INDIVIDUALS UNDER THE EVMS POLICY. DISCLOSURES BY COVERED INDIVIDUALS ARE REQUIRED ON AN ANNUAL BASIS AND ARE TO BE UPDATED IF ENTERING INTO A NEW ARRANGEMENT THAT COULD POSE A CONFLICT (EVMS DISCLOSURE OF EXTERNAL FINANCIAL AND TIME COMMITMENTS FORM). THE INITIAL DISCLOSURE IS MADE TO THE CHAIR OR TO THE HEAD OF THE COVERED INDIVIDUAL'S DEPARTMENT. THE REVIEW AND MANAGEMENT PROCESS BEGINS WITH THE DEPARTMENT CHAIR/HEAD AND INCLUDES THE INSTITUTIONAL DESIGNATED AUTHORITY AND THE INSTITUTIONAL CONFLICT OF INTEREST COMMITTEE. THE CONFLICT OF INTEREST COMMITTEE IS THE FINAL AUTHORITY FOR DETERMINING IF A CONFLICT OF INTEREST EXISTS. ANY VIOLATION OF THE CONFLICT OF INTEREST POLICY IS CONSIDERED A VIOLATION OF EVMS INSTITUTIONAL POLICY AND SUBJECT TO DISCIPLINARY PROCEDURES, INCLUDING SANCTIONS UP TO AND INCLUDING SUSPENSION AND DISMISSAL. ADDITIONALLY, EMPLOYEES IN VIOLATION OF THIS POLICY WHO HAVE RECEIVED FINANCIAL BENEFIT ARE LIABLE FOR REPAYMENT OF ANY AND ALL FINANCIAL BENEFITS THAT RESULTED FROM THE VIOLATION. FORM 990, PART VI, SECTION B, LINES 15A AND 15B MANAGEMENT COMPENSATION IS REVIEWED BY THE EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (EVMS MEDICAL GROUP) BOARD OF DIRECTORS. THE BOARD CONSIDERS COMPARABILITY DATA FROM THE MGMA, AAMC AND OTHER COMPENSATION DATA RESOURCES IN ITS REVIEW. THE CEO OF EVMS MEDICAL GROUP HAS A WRITTEN CONTRACT. KEY EMPLOYEES OF EVMS MEDICAL GROUP ARE THE CLINICAL DEPARTMENT CHAIRS OF EVMS WHO HAVE DUAL EMPLOYMENT CONTRACTS WITH EVMS AND EVMS MEDICAL GROUP. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS OF EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION, INCLUDING FORM 990 RETURNS, ARE MADE AVAILABLE TO THE PUBLIC FOR INSPECTION UPON RECEIPT OF A FORMAL WRITTEN REQUEST. THE FOUNDATION DOES NOT MAKE ITS ANNUAL FINANCIAL STATEMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.