2019-05-15T12:51:41-05:00 2018-06-30 ERNST & YOUNG US LLP 5 TIMES SQUARE NEW YORK NY 10036 990 2017-07-01 541581185 MCV ASSOCIATED PHYSICIANS % ELIZABETH (BETH) ALLEN MCVA 8048278400 830 East Main Street Suite 2400 Richmond VA 23219 Darrell Griffith Executive Director 2019-05-15 true LAURA KIELCZEWSKI P00740769 2127733000 164.57.159.253 35057220191355000011 2019-05-15 P 770194AAF055F9EA87E64CA02E08FE540289067F 2979594631CB5427DBABEAFA59DA989879D1FE14 2017 2019-02-21 02:37:17Z MCV Physicians Thomas Yackel 830 East Main Street Suite 24 Richmond VA 23219 796724107 false X SEE SCHEDULE O X 1991 VA THE ORGANIZATION FUNCTIONS AS THE GROUP PRACTICE PLAN FOR PROFESSIONALS WHO HAVE FACULTY APPOINTMENTS IN VCU SCHOOL OF MEDICINE. 11 3 2196 0 0 27955 66456060 66802644 338335910 357385011 4873764 2665094 2458778 898671 412124512 427751420 7697991 15021489 0 0 376644890 409377627 0 0 0 27962047 33133805 412304928 457532921 -180416 -29781501 203237713 203593190 70056337 91872021 133181376 111721169 The organization functions as the group practice plan for those physicians and healthcare professionals who have faculty appointments in VCU School of Medicine supporting medical teaching and the needs of the indigent population. false false 403732717 15021489 358267734 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 was formed and operated as an internal revenue code 509(A)(3) supporting organization of the Medical College of Virginia (MCV)/Virginia Commonwealth University (VCU), a state medical school and university. MCVP also 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. The VCU Health System - MCV Hospital operated one of the few remaining hospital facilities in the highly indigent inner-city area of Richmond, VA as well as surrounding community locations. It serves as one of the busiest Level 1 trauma centers on the east coast. More than 50% of the patients served are from the City of Richmond as represent a highly indigent population. In general, an indigent patient results in as much more expensive patient to treat for several reasons: 1) the patient has not requested or received preventive medicine, and 2) the patient is generally sicker because the preventive medicine was not affordable. In fact, the majority of patients use the VCU Health System Emergency Center as their first stop for primary care. The Association also has the responsibility for the administration and management of all ambulatory care facilities. Each ambulatory center is consolidated under 1 physician and 1 non-physician team. For the 2017 tax year, indigent and self pay comprised 13.7% of MCVP's total gross charges. Medicare, Medicaid, Indigent Care and Self Pay comprised 57% of MCVP's total gross charges. MCVP's total gross charges. Medicare, Medicaid, Indigent Care and Self Pay comprised 57% of MCVP's total gross charges. 403732717 true true false false false false false false false true true false false true true true false true 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 true true true false false true 135 0 true 2196 true true true false false false false false false false false false X 11 3 false false false false true true true true true false false true true true true true true false false false VA X ELIZABETH BETH ALLEN 8046281338 701 EAST FRANKLIN ST 13TH FL Richmond VA 23219 Mary Ann Peberdy Board Member & Assoc. Prof. 67.0 3.0 X 485188 53167 51983 Damien Covington Board Member 1.0 0.0 X 0 0 0 Wyatt Beazley Board Member 1.0 0.0 X 0 0 0 Joseph Teefey Board Member 1.0 0.0 X 0 0 0 Michel B Aboutanos Board Member & Div. Chair 49.0 13.0 X 476361 99121 69029 John F Butterworth Board Member & Dept Chair 49.0 12.0 X 554911 99503 54343 David P Chelmow Board Member & Dept Chair 76.0 19.0 X 579701 97386 61426 Stephen Kates Board Member & Professor 36.0 14.0 X 739321 94766 62708 Evan Reiter Board Member & Professor 36.0 25.0 X 389612 44974 53887 Laurence J DiNardo Board Member & Dept Chair 67.0 15.0 X 479311 158282 76366 Jonathan E Isaacs Board Member & Professor 61.0 7.0 X 601355 179483 77315 John D Ward President 75.0 5.0 X 581182 155414 285264 Darrell Griffith Exec. Director & Treasurer 36.0 24.0 X 445630 0 51641 Keith W Purcell MCVP CFO 50.0 0.0 X 170379 0 33800 Sandra B Noel Assistant Secretary 1.0 45.0 X 0 39687 9351 Mary A Tacconi Assistant Secretary 1.0 45.0 X 0 58183 27632 Jennifer E Ward-McDonald Assistant Secretary 50.0 0.0 X 53571 0 25952 Lisa Hassmer Assistant Secretary 50.0 0.0 X 30412 0 23099 Brian M Cameron Physician 55.0 2.0 X 898786 31020 42917 Kenneth Ellenbogen Physician 55.0 5.0 X 880916 67464 64129 Robert S Graham Physician 60.0 2.0 X 904226 47265 68611 Alex B Valadka Physician 66.0 12.0 X 912339 94766 65589 Thomas Yeh Physician 77.0 4.0 X 954610 49473 49240 John E Nestler frm Brd Mbr/Dept Chair 21.0 39.0 X 229500 410332 476881 Ann S Fulcher Former Board Member 45.0 5.0 X 743901 0 37396 HARINDER S DHINDSA FORMER BOARD MEMBER 40.0 5.0 X 447352 0 36637 VIGNESHWAR KASIRAJAN FORMER dept chair 42.0 33.0 X 547245 292343 62352 12105809 2072629 1867548 846 true true false The Blackhawk Consulting Group 25650 Network Pl Chicago IL 60673 medical coding svcs 304025 Medkoder LLC 200 Greenleaves Blvd Ste 7 Mandeville LA 70448 Medical Coding Svcs 869233 Quad Med LLC PO Box 644840 Pittsburgh PA 15264 Professional mgmt 753326 Hayes Locums LLC 6700 N Andrews Ave Ste 600 Fort Lauderdale FL 33309 medical coding svcs 429122 McCandlish Holton PC PO Box 796 Richmond VA 23218 hospitalists svcs 179202 9 66686076 116568 66802644 NET PATIENT SERVICE REVENUE 622110 277178131 277178131 0 0 Contract Revenue from MCV 900099 59554791 59554791 0 0 Other Contract Revenue 900099 19692127 19692127 0 0 MEDICAL CONSULTATION INCOME 900099 959962 959962 0 0 357385011 756256 756256 0 15948 15948 0 0 0 370881525 368972687 1908838 1908838 1908838 0 0 0 0 0 0 0 0 0 Meaningful Use Payments 900099 200000 200000 0 0 Other Services 900099 480820 480820 0 0 Other Interest Income 900099 196028 196028 0 0 5875 5875 0 0 882723 427751420 358267734 0 2681042 15021489 15021489 0 0 0 15575641 14925324 650317 0 323862004 287757533 36104471 0 25388877 24262945 1125932 0 31261276 22572985 8688291 0 13289829 12314794 975035 0 2763454 1850954 912500 0 505409 441638 63771 0 90992 2250 88742 0 0 0 0 0 0 0 964706 260013 704693 0 1107557 1107557 0 53986 53715 271 0 3550345 3268785 281560 0 917334 917334 0 0 0 0 0 0 3649388 2702766 946622 0 2334060 2203768 130292 0 0 0 0 0 1330372 1256310 74062 0 0 0 0 0 0 0 0 0 1355730 1321706 34024 0 2163416 2099236 64180 0 Medical Supplies 6193031 5735994 457037 0 Dues & Subscriptions 1813064 1486637 326427 0 Recruitment 970065 762006 208059 0 Repairs and Maintenance 789019 492021 296998 0 2581877 914957 1666920 457532921 403732717 53800204 0 0 0 0 27614844 19354235 0 0 37065939 42442346 0 0 0 0 0 0 0 0 345496 451274 12375652 7925198 5277970 4450454 118162189 126590233 0 0 0 0 0 0 14771275 10304648 203237713 203593190 49236970 70730199 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20819367 21141822 70056337 91872021 X 133181376 111721169 0 0 0 0 133181376 111721169 203237713 203593190 -29781501 8321294 0 0 0 X false true X true false X X 1 VCU School of Medicine 546001758 5 true 15020489 0 1 15020489 true true false false false false false false false false false false false false false true false SCHEDULE A, PART IV, SECTION A, LINE 2 MCV ASSOCIATED PHYSICIANS SUPPORTS THE SCHOOL OF MEDICINE AT VIRGINIA COMMONWEALTH UNIVERSITY. THE UNIVERSITY IS A PUBLIC UNIVERSITY (STATE AGENCY) FOR THE COMMONWEALTH OF VIRGINIA AND BECAUSE IT IS A COMMONWEALTH OF VIRGINIA AGENCY, THE UNIVERSITY DOES NOT HAVE AN IRS DETERMINATION OF 509(A)(1) OR (2). 34148833 6506121 1153886 12258497 29550343 29966751 7218154 4070898 7096970 34158833 28028403 8997939 334160 7403751 29956751 23923120 8799852 1327303 5000 6016872 28028403 19652859 8048165 3777904 23923120 1.00000 false false 0 3713714 2840014 873700 8581791 5085184 3496607 80147 80147 4450454 Other Accounts Receivable 5331169 Due from Affiliates 4973479 10304648 0 Est. Losses on Malpractice 21141822 21141822 X SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS THE INTENDED USES 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 INCOME TAXES: THE ORGANIZATION IS TAX-EXEMPT ON RELATED ACTIVITIES AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A RESULT OF THE RECENT FEDERAL INCOME TAX REFORM ENACTED INTO LAW UNDER THE TAX CUTS AND JOBS ACT OF 2017, CERTAIN PROVISIONS IMPACT TAX-EXEMPT ORGANIZATIONS EFFECTIVE JANUARY 1, 2018, INCLUDING REVISIONS TO TAXES ON UNRELATED BUSINESS ACTIVITIES, EXCISE TAXES ON COMPENSATION OF CERTAIN EMPLOYEES, AND VARIOUS OTHER PROVISIONS. THE REGULATIONS NECESSARY TO IMPLEMENT THE LAW ARE EXPECTED TO BE PROMULGATED THROUGHOUT 2018 AND THE ULTIMATE OUTCOME OF THESE REGULATIONS AND THE IMPACT TO THE FINANCIAL STATEMENTS CANNOT BE PRESENTLY DETERMINED. THROUGHOUT 2018 AND THE ULTIMATE OUTCOME OF THESE REGULATIONS AND THE IMPACT TO THE FINANCIAL STATEMENTS CANNOT BE PRESENTLY DETERMINED. true VCU School of Medicine 907 Floyd Avenue Richmond VA 23284 546001758 Government 15020489 To support academic 1 0 Schedule I, Part I, Line 2 Monitoring the use of grant funds MCVAP 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 MCVAP UNTIL SUCH TIME AS THE AMOUNTS ARE NEEDED FOR THE REQUIRED PURPOSE. false false false false false false false false false Mary Ann Peberdy Board Member & Assoc. Prof. 316724 53167 163869 0 4595 0 34614 5683 2392 9294 522194 68144 0 0 John D Ward President 471838 155414 92977 0 16367 0 29982 20737 2347 232198 613511 408349 0 0 Darrell Griffith Exec. Director & Treasurer 379649 0 60800 0 5181 0 27356 0 24285 0 497271 0 0 0 Keith W Purcell MCVP CFO 158717 0 6464 0 5198 0 19704 0 14096 0 204179 0 0 0 Michel B Aboutanos Board Member & Div. Chair 472605 99121 0 0 3756 0 32832 10752 2820 22625 512013 132498 0 0 John F Butterworth Board Member & Dept Chair 433345 99503 113369 0 8197 0 26558 8641 2782 16362 584251 124506 0 0 David P Chelmow Board Member & Dept Chair 460988 97386 113034 0 5679 0 27457 8641 2744 22584 609902 128611 0 0 Stephen Kates Board Member & Professor 569850 94766 159750 0 9721 0 24856 12821 3001 22030 767178 129617 0 0 Evan Reiter Board Member & Professor 311362 42474 75220 2500 3030 0 34757 4911 2369 11850 426738 61735 0 0 Brian M Cameron Physician 522707 31020 372968 0 3111 0 33431 3131 3001 3354 935218 37505 0 0 Kenneth Ellenbogen Physician 522753 67464 348940 0 9223 0 38555 7379 2999 15196 922470 90039 0 0 Robert S Graham Physician 620472 47265 279683 0 4071 0 38792 5458 3001 21360 946019 74083 0 0 Alex B Valadka Physician 703820 94766 200500 0 8019 0 31689 8389 3001 22510 947029 125665 0 0 Thomas Yeh Physician 848139 49473 100000 0 6471 0 33304 4334 3001 8601 990915 62408 0 0 Laurence J DiNardo Board Member & Dept Chair 352479 158282 122141 0 4691 0 33120 16764 2508 23974 514939 199020 0 0 Jonathan E Isaacs Board Member & Professor 477830 179483 117730 0 5795 0 30772 19095 2830 24618 634957 223196 0 0 John E Nestler frm Brd Mbr/Dept Chair 133124 410332 95065 0 1311 0 29426 416000 1386 30069 260312 856401 0 0 Ann S Fulcher Former Board Member 512394 0 225036 0 6471 0 34395 0 3001 0 781297 0 0 0 VIGNESHWAR KASIRAJAN FORMER dept chair 398914 292343 144818 0 3513 0 31610 28080 2662 0 581517 320423 0 0 HARINDER S DHINDSA FORMER BOARD MEMBER 353527 0 88979 0 4846 0 34059 0 2578 0 483989 0 0 0 SCHEDULE J, PART I, Line 3 For the fiscal year ending June 30, 2018, the compensation (salaries and incentives) for the President of MCV Physicians, Darrell Griffith, is determined by the CEO of the VCU Health System. This is consistent with the requirements established in the bylaws of VCUHS. The CEO uses a third party compensation consulting firm to conduct a market study to determine market position. The CEO 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 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. FORM 990, BOX J https://www.vcuhealth.org/mcv-physicians/mcv-physicians FORM 990, PART VI, LINES 6 & 7A 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. 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 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 11 The financial information is PROVIDED TO THE INDEPENDENT ACCOUNTANT BY THE VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM'S FINANCE OFFICE. The independent accountant prepares Form 990 and returns the completed 990 to the finance office for review. The finance office reviews the Form 990 to ensure it is complete and accurate. The finance office reviews the Form 990 with the Executive Director and Director of Finance. Upon completing the review with the leadership, the governing body of MCV Physicians is provided with a copy of Form 990 before it is filed with the IRS. FORM 990, PART VI, LINE 12C VCU HEALTH SYSTEM POLICY 2104.01 - TERMS OF EMPLOYMENT CONTAINS THE HEALTH SYSTEM'S POLICY REGARDING CONFLICTS OF INTEREST IN SECTION I. ALSO, VCU HEALTH SYSTEM IS REQUIRED TO PARTICIPATE IN THE COMMONWEALTH'S STATEMENT OF ECONOMIC INTEREST PROCESS. VCU HEALTH SYSTEM'S PARTICIPATION IN THIS PROCESS IS MANDATED BY THE ENABLING LEGISLATION FOR THE HEALTH SYSTEM. ADDITIONALLY, EMPLOYEES ARE ENCOURAGED TO CONTACT THE COMPLIANCE HELPLINE IF THEY ARE AWARE OF ANY VIOLATIONS OF HEALTH SYSTEM POLICY OR HAVE ANY COMPLIANCE CONCERNS. ALL CONCERNS REPORTED VIA THIS VENUE ARE INVESTIGATED AND APPROPRIATE REMEDIATION IS IMPLEMENTED. WHEN A BOARD MEMBER HAS A CONFLICT, THE BOARD MEMBER IS PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODYS DELIBERATIONS AND DECISIONS RELATED TO THE CONFLICTING TRANSACTION. FORM 990, PART VI, LINES 15A & 15B FOR FISCAL YEAR ENDING JUNE 30, 2018 THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE PRESIDENT OF MCV PHYSICIANS, DR. JOHN D. WARD, AND THE EXECUTIVE DIRECTOR OF MCV PHYSICIANS, DARRELL GRIFFITH, IS DETERMINED BY THE CEO OF THE VCU HEALTH SYSTEM. THIS IS CONSISTENT WITH THE REQUIREMENTS ESTABLISHED IN THE BYLAWS OF VCUHS. THE CEO USES A THIRD PARTY COMPENSATION CONSULTING FIRM TO CONDUCT A MARKET STUDY TO DETERMINE MARKET POSITION. THE CEO 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 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 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS FOR MCV PHYSICIANS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. VCH Health System Authority PO Box 980648 Richmond VA 23298 541848065 ACA Med Ctr VA NA false Virginia Premier Health Plan Inc 600 East Broad Street Richmond VA 23219 541760974 Health Plan VA 501(c)(3) 10 NA true Crippled Children's Hospital 2924 Brook Rd Richmond VA 23220 540506309 Hospital VA 501(c)(3) 3 VCU Health true Community Memorial Hospital 1755 Mecklenburg Ave South Hill VA 23970 540551711 Hospital VA 501(c)(3) 3 VCU Health true University Health Services Inc 1010 E Marshall Street Richmond VA 23219 541790550 Education VA 501(c)(3) 12a-1 VCU Health true UHS Professional Education Programs Inc PO Box 980048 Richmond VA 23298 541790553 Education VA 501(c)(3) 12a-1 VCU Health true Community Memorial Hospital Foundation 1755 N Mecklenburg Ave South Hill VA 23970 541831331 Admin for CMH VA 501(c)(3) 12A-1 CMH true VCU School of Medicine 907 Floyd avenue richmond VA 23284 546001758 Education VA N/A false MCV Foundation 1228 E Broad St Richmond VA 23298 546053660 support vcu VA 501(c)(3) 5 na false Children's Pavilion of Richmond Condonim 1010 East Marshall Street Richmond VA 23298 Condonimniums VA NA C Corp true false true true false false false false false false false true false false false true true true true false