2017-05-11T20:04:47-05:00 2016-06-30 KPMG LLP 1676 INTERNATIONAL DRIVE McLean VA 22102 990 2015-07-01 541581185 MCV ASSOCIATED PHYSICIANS % KEITH PURCELL MCVA 8048278400 830 East Main St RICHMOND VA 23219 JOHN D WARD PRESIDENT 8048278400 2017-05-11 true WHITNEY E BLAIR P01226647 7032868000 2017-05-03 2015 2021-01-29 14:40:06Z MCV PHYSICIANS John D Ward 830 EAST MAIN ST SUITE 2400 RICHMOND VA 23219 718146663 false X WWW.VCUHEALTH.ORG X 1991 VA THE ORGANIZATION FUNCTIONS AS THE GROUP PRACTICE PLAN FOR PROFESSIONALS WHO HAVE FACULTY APPOINTMENTS IN VCU SCHOOL OF MEDICINE. 11 3 1817 0 0 4562088 15413940 303170461 350893885 7660963 -1182457 4839102 3113773 320232614 368239141 2426489 4670385 0 0 298530567 328359828 0 0 0 27849179 26519609 328806235 359549822 -8573621 8689319 197848106 244970838 77761192 123747732 120086914 121223106 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 357854821 4670385 368239141 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. 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. 357854821 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 false false false true 42 0 true 1817 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 830 EAST MAIN ST SUITE 2400 RICHMOND VA 23219 X DAVID P CHELMOW BOARD MEMBER & DEPT CHAIR 75.8 19.0 X 402839 101661 59861 LAURENCE J DINARDO BOARD MEMBER & DEPT CHAIR 67.2 14.8 X 389155 161195 76879 MICHEL B ABOUTANOS BOARD MEMBER & DIV CHAIR 48.8 13.0 X 553083 120889 68922 JOHN F BUTTERWORTH BOARD MEMBER & DEPT CHAIR 49.2 11.5 X 565214 101661 59967 JONATHAN E ISAACS BOARD MEMBER & PROFESSOR 61.4 6.8 X 535897 72406 57739 MARY ANN PEBERDY BOARD MEMBER & ASSOC. 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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). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 28028403 8997939 334160 7403751 29956751 23923120 8799852 1327303 5000 6016872 28028403 19652859 8048165 3777904 23923120 14489652 7610857 2447650 19652859 10385109 7389124 3284581 14489652 1.00000 false false 0 3601618 2168455 1433163 4245204 3251719 993485 2426648 OTHER ACCOUNTS RECEIVABLE 5060868 DUE FROM AFFILIATES 61080279 66141147 0 EST LOSSES ON MALPRACTICE 22209731 22209731 FIN 48 (ASC 740) FOOTNOTE SCHEDULE D, PART X, LINE 2 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. AT JUNE 30, 2016 AND 2015, 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) 4670385 TO SUPPORT ACADEMIC Donation 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 true false false false false false false false DAVID P CHELMOW BOARD MEMBER & DEPT CHAIR 402839 101661 0 0 0 0 0 0 24991 34870 427830 136531 0 0 LAURENCE J DINARDO BOARD MEMBER & DEPT CHAIR 318557 161195 70598 0 0 0 0 0 21589 55290 410744 216485 0 0 MICHEL B ABOUTANOS BOARD MEMBER & DIV CHAIR 457639 120889 42944 0 52500 0 0 0 27457 41465 580540 162354 0 0 JOHN F BUTTERWORTH BOARD MEMBER & DEPT CHAIR 431839 101661 133375 0 0 0 0 0 25097 34870 590311 136531 0 0 JONATHAN E ISAACS BOARD MEMBER & PROFESSOR 497124 72406 15373 0 23400 0 0 0 32904 24835 568801 97241 0 0 MARY ANN PEBERDY BOARD MEMBER & ASSOC. 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DIR. & TREASURER 26000 324962 3375 0 0 0 0 0 19 111462 29394 436424 0 0 H JOEL SCHMIDT BOARD MEMBER & PROFESSOR 107660 48579 38230 0 0 0 0 0 13502 16663 159392 65242 0 0 JEROME F STRAUSS BOARD MEMBER & DEAN OF SOM 387778 440189 192705 0 170391 0 0 0 11089 150985 761963 591174 0 0 JOHN D WARD BOARD MEMBER & PRESIDENT 427665 146221 54248 0 83599 0 0 0 37055 50154 602567 196375 0 0 KEITH W PURCELL CFO 158311 0 4843 0 5601 0 0 0 41018 0 209773 0 0 0 VIGNESHWAR KASIRAJAN DEPT CHAIR 363959 295541 107248 0 0 0 0 0 11017 101371 482224 396912 0 0 THOMAS YEH PHYSICIAN 849300 50316 100000 0 0 0 0 0 57235 17258 1006535 67574 0 0 ROBERT S GRAHAM PHYSICIAN 598181 52525 244040 0 0 0 0 0 33648 18016 875869 70541 0 0 BRIAN M CAMERON PHYSICIAN 490856 36781 316658 0 6151 0 0 0 30845 12616 844510 49397 0 0 BRUCE E MATHERN PHYSICIAN 646846 108104 69738 0 0 0 0 0 35628 37080 752212 145184 0 0 KENNETH ELLENBOGEN PHYSICIAN 491799 81053 207653 0 5070 0 0 0 31681 27801 736203 108854 0 0 JOHN E NESTLER BOARD MEMBER & DEPT CHAIR 135724 405026 85583 0 0 0 0 0 10281 138924 231588 543950 0 0 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE YEAR: ALAN WAYNE DOW JEROME F. STRAUSS iii JOHN D. WARD THE FOLLOWING PLAN PARTICIPANTS RECEIVED A PAYMENT FROM THE PLAN DURING THE YEAR: JEROME F. STRAUSS iii - $164,809 JOHN D. WARD - $81,313 ALAN WAYNE DOW - $22,581 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 CHIEF FINANCIAL OFFICER. KPMG PREPARES THE FORM 990 AND RETURNS THE COMPLETED FORM 990 TO MCV PHYSICIANS FOR REVIEW. THE CHIEF FINANCIAL OFFICER OF MCV PHYSICIANS REVIEWS THE FORM 990 TO ENSURE IT IS COMPLETE AND ACCURATE. THE CHIEF FINANCIAL OFFICER 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. 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. FORM 990, PART VI, LINES 15a and 15b FOR FISCAL YEAR ENDING JUNE 30, 2016 THE COMPENSATION (SALARIES AND INCENTIVES) FOR THE PRESIDENT OF MCV PHYSICIANS, DR. JOHN D. WARD, AND THE EXECUTIVE DIRECTOR OF MCV PHYSICIANS, AMY S. SEBRING, IS DETERMINED BY THE CEO OF THE 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. 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