2014-05-13T07:24:17-05:00 2013-06-30 KPMG LLP 1676 International Drive McLean VA 22102 990 2012-07-01 541581185 MCV ASSOCIATED PHYSICIANS % KEITH PURCELL MCVA 8048278400 PO BOX 980620 Suite RICHMOND VA 232980510 AMY S SEBRING 8048278400 2014-04-21 true 7032868000 2012 2015-11-30 17:44:51Z MCV PHYSICIANS AMY S SEBRING 830 East Main St Suite 1900 Richmond VA 23219 357223450 false X WWW.VCUHEALTH.ORG X 1991 VA THE ORGANIZATION FUNCTIONS AS THE GROUP PRACTICE PLAN FOR THOSE PROFESSIONALS WHO HAVE FACULTY APPOINTMENTS IN VCU SCHOOL OF MEDICINE, SUPPORTING MEDICAL TEACHING AND THE NEEDS OF THE INDIGENT POPULATION. 11 3 1512 0 0 3448578 3715799 241476533 263601068 2029308 4649683 630077 9790651 247584496 281757201 2296892 1776341 0 0 219976069 239706597 0 0 0 19834936 23282781 242107897 264765719 5476599 16991482 148222961 174116231 42094129 45014590 106128832 129101641 X 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 261966515 1776341 263601068 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 UNDER INTERNAL REVENUE CODE (IRC) SECTION 115 AS DESCRIBED IN 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 OPERATES 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 OPERATES 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 I TRAUMA CENTERS ON THE EAST COAST. MORE THAN 50% OF THE PATIENTS SERVED ARE FROM THE CITY OF RICHMOND AND REPRESENT A HIGHLY INDIGENT POPULATION. IN GENERAL, AN INDIGENT PATIENT RESULTS IN A 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. DURING THE FISCAL YEAR ENDING 6/30/2013, THE ASSOCIATION PROVIDED UNSUBSIDIZED AND UN-REIMBURSED COSTS IN THE AMOUNT OF $1,173,690. THE ASSOCIATION ALSO HAS RESPONSIBILITY FOR THE ADMINISTRATION AND MANAGEMENT OF ALL AMBULATORY CARE FACILITIES. EACH AMBULATORY CENTER IS CONSOLIDATED UNDER 1 PHYSICIAN AND 1 NON-PHYSICIAN TEAM. 261966515 true true false false false false false false false false 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 false false false true 651 0 true 1512 true false false 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 true true false X KEITH PURCELL 8046289090 701 E FRANKLIN STREET SUITE 1301 RICHMOND VA 23219 X David P Chelmow 48.5 15.3 X 366600 101661 54607 JAMES J POTYRAJ 60.0 0.0 X X 379770 0 54802 JEROME F STRAUSS 31.4 25.7 X 402792 291450 120336 Ananda K Pandurangi 43.0 14.3 X 205744 59946 46605 JOHN D WARD 46.6 3.0 X X 451541 142481 98797 HARINDER S DHINDSA 60.2 1.9 X 235383 52221 45509 DAMIAN L COVINGTON 1.0 0.0 X 0 0 0 ANTON J KUZEL 26.8 26.8 X 161441 156931 41932 ANN S FULCHER 63.3 2.6 X 617297 101661 75472 LAURIE J LYCKHOLM 36.7 30.0 X 134805 92283 50076 BRUCE K RUBIN 55.0 20.4 X 329025 106744 90951 MICHAEL E KECK 1.0 0.0 X 0 0 0 JOSEPH M TEEFEY 1.0 0.0 X 0 0 0 Mary Ann Peberdy 66.7 8.8 X 143926 118450 37565 KEITH W PURCELL 40.0 0.0 X 123136 0 30661 JAMES P NEIFELD 35.6 21.8 X 288267 339850 142190 John F Butterworth 52.6 12.3 X 463910 126890 59900 JOHN E NESTLER 18.6 41.4 X 109499 405026 132852 William Benson 25.2 27.3 X 594216 254132 103766 Harold Young 60.0 9.0 X 536258 275418 138924 Douglas Arthur 42.2 0.4 X 527842 52221 47569 Marc P Posner 59.0 9.6 X 528746 71239 69712 Adrian Cotterell 39.9 1.7 X 525224 45320 45261 7125422 2793924 1487487 519 false true false Locumtenens PO Box 405547 Atlanta GA 30384 Medical servcies 5716309 LOCUM LEADERS LLC 26745 NETWORK PLACE CHICAGO IL 606731267 MEDICAL SERVICES 711099 LECLAIR RYAN 951 EAST BYRD STREET RICHMOND VA 23218 LEGAL SERVICES 597691 HUNTON WILLIAMS LLP 951 E BYRD STREET RICHMOND VA 23219 LEGAL SERVICES 396617 LOGIXHEALTH INC 8 OAK PARK DR BEDFORD MA 01730 MEDICAL CODING 328741 16 3715799 3715799 NET PATIENT SERVICE REVENUE 812900 186503950 186503950 CONTRACT REVENUE FROM MCVH 900099 61490977 61490977 OTHER CONTRACT REVENUE 900099 14639992 14639992 MEDICAL CONSULTATION INCOME 900099 966149 966149 263601068 2774844 2774844 0 0 0 0 0 77341088 75466249 1874839 1874839 1874839 0 0 0 MEANINGFUL USE PAYMENTS 900099 9146998 9146998 SERVICES 900099 613778 613778 SALES 900099 12324 12324 17551 17551 9790651 281757201 263601068 14440334 1776341 1776341 0 0 0 7040059 7040059 0 187608377 187608377 15678371 15678371 21799821 21799821 7579969 7579969 403505 403505 1607569 1072120 535449 154844 154844 0 0 570390 570390 1538521 1538521 92953 92953 0 0 0 3253975 3253975 1479425 1479425 0 800034 800034 0 0 647087 647087 4672730 4672730 SUPPLIES 2958636 2958636 0 RECRUITMENT 2258488 2258488 DUES & SUBSCRIPTIONS 1414518 1414518 REPAIRS & MAINTENANCE 511488 511488 918618 918618 264765719 261966515 2799204 0 0 0 32385758 26487484 0 0 19013550 18763168 0 0 0 0 0 0 0 0 351208 327375 6252239 4410746 1992087 1841493 89347935 105902359 0 0 0 0 0 0 5132423 20794352 148222961 174116231 22407792 24682402 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19686337 20332188 42094129 45014590 X 106128832 129101641 0 0 0 0 106128832 129101641 148222961 174116231 16991482 5981327 X false true X true false X X X false false false VCU SCHOOL OF MEDICINE 546001758 02 true 1776341 1 1776341 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 45500 45500 0 370608 179170 191438 0 1541253 855792 685461 0 4254270 3369642 884628 0 40608 6142 34466 1841493 OTHER ACCOUNTS RECEIVABLE 3053569 DUE FROM AFFILIATES 17740783 20794352 0 ESTIMATED LOSSES ON MALPRACTIC 20332188 20332188 X FIN 48 (ASC 740) Footnote Schedule D, Part X, Line 2 BEGINNING WITH ADOPTION OF FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (FIN 48), AS OF JULY 1, 2007, MCVAP RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. RECOGNIZED INCOME TAX POSITIONS ARE MEASURED AT THE LARGEST AMOUNT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED. CHANGES IN RECOGNITION OR MEASUREMENT ARE REFLECTED IN THE PERIOD IN WHICH CHANGE IN JUDGEMENT OCCURS. PRIOR TO THE ADOPTION OF FIN 48, MCVAP RECOGNIZED THE EFFECT OF INCOME TAX POSITIONS ONLY IF SUCH POSITIONS WERE PROBABLE OF BEING SUSTAINED. AT JUNE 30, 2013 AND 2012, MCVAP HAS NO INCOME TAX POSITIONS THAT ARE NOT CONSIDERED GREATER THAN 50% LIKELY OF BEING REALIZED. true Virginia Commonwealth University School of Medicine PO Box 980565 Richmond VA 23298 546001758 170(c)(1) 1776341 TO SUPPORT ACADEMIC 1 Monitoring the Use of Grant Funds Schedule I, Part I, Line 2 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. MCVAP MAKES OTHER CONTRIBUTIONS FROM TIME TO TIME TO SUPPORT THE MISSIONS OF ORGANIZATIONS AFFILIATED WITH VCU HEALTH SYSTEM AUTHORITY. X false false false false false false false false false David P Chelmow 324300 98700 40000 2961 2300 0 0 0 23893 30714 390493 132375 0 0 JAMES J POTYRAJ 353872 0 17680 0 8218 0 0 0 54802 0 434572 0 0 0 JEROME F STRAUSS 345882 290108 47573 1342 9337 0 0 0 30057 90279 432849 381729 0 0 Ananda K Pandurangi 180025 58200 22773 1746 2946 0 0 0 28494 18111 234238 78057 0 0 JOHN D WARD 376609 138331 65734 4150 9198 0 0 0 55750 43047 507291 185528 0 0 HARINDER S DHINDSA 234310 50700 0 1521 1073 0 0 0 29732 15777 265115 67998 0 0 ANTON J KUZEL 115519 152472 44208 4459 1714 0 0 0 20966 20966 182407 177897 0 0 ANN S FULCHER 531300 98700 83500 2961 2497 0 0 0 44758 30714 662055 132375 0 0 LAURIE J LYCKHOLM 132288 89498 0 2785 2517 0 0 0 22193 27883 156998 120166 0 0 BRUCE K RUBIN 301300 103635 25000 3109 2725 0 0 0 58701 32250 387726 138994 0 0 Mary Ann Peberdy 141975 115000 0 3450 1951 0 0 0 1778 35787 145704 154237 0 0 KEITH W PURCELL 111994 0 6822 0 4320 0 0 0 30661 0 153797 0 0 0 William Benson 436932 246730 157284 7402 0 0 0 0 26986 76780 621202 330912 0 0 Harold Young 410732 267396 117869 8022 7657 0 0 0 55713 83211 591971 358629 0 0 Douglas Arthur 361444 50700 164319 1521 2079 0 0 0 31792 15777 559634 67998 0 0 Marc P Posner 420417 69201 103952 2038 4377 0 0 0 48211 21501 576957 92740 0 0 Adrian Cotterell 334000 44000 189089 1320 2135 0 0 0 31569 13692 556793 59012 0 0 JAMES P NEIFELD 232851 330356 44936 9494 10480 0 0 0 39755 102435 328022 442285 0 0 John F Butterworth 416300 98700 45000 28190 2610 0 0 0 22122 37778 486032 164668 0 0 JOHN E NESTLER 55271 393229 50000 11797 4228 0 0 0 10483 122369 119982 527395 0 0 FORM 990, PART VI, LINES 6 AND 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 CORPORATE MEMBER. 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. 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 KPMG BY THE MCV PHYSICIANS CONTROLLER. KPMG PREPARES THE FORM 990 AND RETURNS THE COMPLETED FORM 990 TO MCV PHYSICIANS FOR REVIEW. THE CONTROLLER OF MCV PHYSICIANS REVIEWS THE FORM 990 TO ENSURE IT IS COMPLETE AND ACCURATE. THE CONTROLLER WILL REVIEW THE FORM 990 WITH THE EXECUTIVE DIRECTOR OF MCV PHYSICIANS. UPON COMPLETING THE REVIEW WITH THE EXECUTIVE DIRECTOR, 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. EACH VCUHS EMPLOYEE AT THE DIRECTOR OR ABOVE LEVEL ARE REQUIRED TO SUBMIT THE STATEMENT OF ECONOMIC INTEREST TO VCUHS AUDIT & COMPLIANCE SERVICES ON AN ANNUAL BASIS. VCUHS AUDIT & COMPLIANCE REVIEWS THE FORMS TO DETERMINE WHETHER THERE ARE ANY POTENTIAL CONFLICTS NOTED. WHEN DEVIATIONS FROM POLICY HAVE BEEN NOTED AUDIT & COMPLIANCE SERVICES WORKS WITH SENIOR MANAGEMENT TO REMEDIATE THE SITUATION. THESE FORMS ARE THEN SUBMITTED TO THE SECRETARY OF THE COMMONWEALTH. VCU HEALTH SYSTEM'S PARTICIPATION IN THIS PROCESS IS MANDATED BY THE ENABLING LEGISLATION FOR THE HEALTH SYSTEM. FORM 990, PART VI, LINES 15a and 15b THE COMPENSATION FOR THE SENIOR LEVEL ADMINISTRATORS, SALARY AND ANY BONUS IS SET BY DR. SHELDON RETCHIN AS THE CEO OF THE HEALTH SYSTEM. THIS IS CONSISTENT WITH THE REQUIREMENTS ESTABLISHED IN THE BYLAWS OF VCUHS. DR. RETCHIN TRADITIONALLY CONDUCTS A 360 DEGREE EVALUATION OF ALL SENIOR LEVEL ADMINISTRATORS. THIS INFORMATION IS THEN USED ALONG WITH A REVIEW OF THEIR PERFORMANCE AND OF THEIR ACHIEVEMENT OF GOALS FOR THE YEAR. DR. RETCHIN THEN MEETS IN EXECUTIVE SESSION WITH THE VCUHS BOARD OF DIRECTORS TO DISCUSS THE MATTER. 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. VCU HEALTH SYSTEM AUTHORITY PO BOX 980648 RICHMOND VA 23298 541848065 ACA MED CTR VA 170(C)(1) NA false VIRGINIA COMMONWEALTH UNIVERSITY PO BOX 980565 RICHMOND VA 23298 546001758 HIGHER EDUC VA 170(C)(1) NA false VIRGINIA PREMIER HEALTH PLAN INC 600 EAST BROAD STREET RICHMOND VA 23219 541760974 HEALTH PLAN VA 501(C)(3) 9 NA false CRIPPLED CHILDREN'S HOSPITAL 2924 BROOK ROAD RICHMOND VA 23220 540506309 HOSPITAL VA 501(C)(3) 3 VCUHS false false true true false false false false false false false true false false false true true true true false