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        <Title>Director</Title>
        <Former>X</Former>
        <ReportableCompFromOrganization>192480</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5868</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Leonard J Weireter MD</NamePerson>
        <Title>Director</Title>
        <Former>X</Former>
        <ReportableCompFromOrganization>285117</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>27000</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Benjamin P Eng MD</NamePerson>
        <Title>Director</Title>
        <Former>X</Former>
        <ReportableCompFromOrganization>167847</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>5000</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Micheal L Stutts PhD</NamePerson>
        <Title>Director</Title>
        <Former>X</Former>
        <ReportableCompFromOrganization>109426</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>1376</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>9003558</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>237945</TotalOtherCompensation>
      <NumberIndividualsGT100K>128</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>JAMES CARRAWAY MD PC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>7218 SHIRLAND AVENUE</AddressLine1>
            <City>NORFOLK</City>
            <State>VA</State>
            <ZIPCode>23505</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MED/PLASTIC SURGERY</DescriptionOfServices>
        <Compensation>435829</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Medical Temporaries Inc</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>840 First Colonial Road Suite 102A</AddressLine1>
            <City>VIRGINIA BEACH</City>
            <State>VA</State>
            <ZIPCode>23451</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Temporary Staffing</DescriptionOfServices>
        <Compensation>321241</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ROSS BARRETT PC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1921 GREY FRIARS ROAD</AddressLine1>
            <City>VIRGINIA BEACH</City>
            <State>VA</State>
            <ZIPCode>23456</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MED/SPEECH Pathology</DescriptionOfServices>
        <Compensation>168466</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>Weatherby Locums Inc</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>6451 North Federal Highway Suite 80</AddressLine1>
            <City>Fort Lauderdale</City>
            <State>FL</State>
            <ZIPCode>33308</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Medical Services</DescriptionOfServices>
        <Compensation>135425</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>ECG Management Consultants</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1111 Third Avenue Suite 2700</AddressLine1>
            <City>Seattle</City>
            <State>WA</State>
            <ZIPCode>98101</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Mgmt Consultants</DescriptionOfServices>
        <Compensation>121025</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <TotalContributions>0</TotalContributions>
      <ProgramServiceRevenue>
        <Description>PATIENT SERVICES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>54022490</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>54022490</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>STATE INDIGENT CARE APPROPRIATION</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>787464</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>787464</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>54809954</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>118961</TotalRevenueColumn>
        <ExclusionAmount>118961</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetGainOrLossInvestments>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>CONTRACT BILLING</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>7243974</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>7243974</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>MISCELLANEOUS</Description>
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        <TotalRevenueColumn>1441210</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1441210</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <TotalOtherRevenue>8685184</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>63614099</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>63495138</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>118961</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>1525029</Total>
        <ProgramServices>1525029</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>3011642</Total>
        <ProgramServices>2621178</ProgramServices>
        <ManagementAndGeneral>390464</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>28517508</Total>
        <ProgramServices>23313822</ProgramServices>
        <ManagementAndGeneral>5203686</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>1056865</Total>
        <ProgramServices>845492</ProgramServices>
        <ManagementAndGeneral>211373</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>2206613</Total>
        <ProgramServices>1765290</ProgramServices>
        <ManagementAndGeneral>441323</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1728171</Total>
        <ProgramServices>1382537</ProgramServices>
        <ManagementAndGeneral>345634</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>1078206</Total>
        <ProgramServices>862565</ProgramServices>
        <ManagementAndGeneral>215641</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>48560</Total>
        <ManagementAndGeneral>48560</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>71700</Total>
        <ManagementAndGeneral>71700</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>40380</Total>
        <ProgramServices>32304</ProgramServices>
        <ManagementAndGeneral>8076</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>250314</Total>
        <ProgramServices>200251</ProgramServices>
        <ManagementAndGeneral>50063</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>2859223</Total>
        <ProgramServices>2287378</ProgramServices>
        <ManagementAndGeneral>571845</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>810379</Total>
        <ProgramServices>648303</ProgramServices>
        <ManagementAndGeneral>162076</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>2532939</Total>
        <ProgramServices>2026351</ProgramServices>
        <ManagementAndGeneral>506588</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>187243</Total>
        <ProgramServices>149794</ProgramServices>
        <ManagementAndGeneral>37449</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>0</Total>
      </ConferencesMeetings>
      <Interest>
        <Total>5</Total>
        <ProgramServices>5</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>917828</Total>
        <ProgramServices>734262</ProgramServices>
        <ManagementAndGeneral>183566</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>742123</Total>
        <ProgramServices>593698</ProgramServices>
        <ManagementAndGeneral>148425</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>BAD DEBT EXPENSE</Description>
        <Total>9734847</Total>
        <ProgramServices>9734847</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>2168300</Total>
        <ProgramServices>1734640</ProgramServices>
        <ManagementAndGeneral>433660</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>SHARED SERVICES</Description>
        <Total>550000</Total>
        <ProgramServices>550000</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>REPAIRS AND MAINTENANCE</Description>
        <Total>434632</Total>
        <ProgramServices>347706</ProgramServices>
        <ManagementAndGeneral>86926</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES AND LICENSES</Description>
        <Total>246280</Total>
        <ProgramServices>197024</ProgramServices>
        <ManagementAndGeneral>49256</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>2763118</Total>
        <ProgramServices>2210494</ProgramServices>
        <ManagementAndGeneral>552624</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>63481905</Total>
        <ProgramServices>53762970</ProgramServices>
        <ManagementAndGeneral>9718935</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>4150</BOY>
        <EOY>4250</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2919946</BOY>
        <EOY>5441900</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
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        <EOY>7833192</EOY>
      </AccountsReceivable>
      <PrepaidExpensesDeferredCharges>
        <BOY>249510</BOY>
        <EOY>282742</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>13109232</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>10706643</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>2897874</BOY>
        <EOY>2402589</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>2240575</BOY>
        <EOY>2390893</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>15783736</BOY>
        <EOY>18355566</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>3408102</BOY>
        <EOY>3735868</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>6122903</BOY>
        <EOY>8234773</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>9531005</BOY>
        <EOY>11970641</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>102135</BOY>
        <EOY>102135</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>6150596</BOY>
        <EOY>6282790</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>6252731</BOY>
        <EOY>6384925</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>15783736</BOY>
        <EOY>18355566</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementBoth>X</FinancialStatementBoth>
      <FederalGrantAuditRequired>true</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <PubliclySupportedOrg509a2>X</PubliclySupportedOrg509a2>
      <GrossReceiptsFromAdmissions>
        <CurrentTaxYearMinus4Years>50785506</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>48196422</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>51757265</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>52100481</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>54809954</CurrentTaxYear>
        <Total>257649628</Total>
      </GrossReceiptsFromAdmissions>
      <Total509>
        <CurrentTaxYearMinus4Years>50785506</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>48196422</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>51757265</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>52100481</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>54809954</CurrentTaxYear>
        <Total>257649628</Total>
      </Total509>
      <PublicSupportTotal509>257649628</PublicSupportTotal509>
      <GrossInvestmentIncome509>
        <CurrentTaxYearMinus4Years>230221</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>379538</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>310897</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>188637</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>118961</CurrentTaxYear>
        <Total>1228254</Total>
      </GrossInvestmentIncome509>
      <InvestmentIncomeAndUBTI>
        <CurrentTaxYearMinus4Years>230221</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>379538</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>310897</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>188637</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>118961</CurrentTaxYear>
        <Total>1228254</Total>
      </InvestmentIncomeAndUBTI>
      <OtherIncome509>
        <CurrentTaxYearMinus3Years>6435448</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>7172540</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>6916145</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>8685184</CurrentTaxYear>
        <Total>29209317</Total>
      </OtherIncome509>
      <TotalSupportTotal>
        <CurrentTaxYearMinus4Years>51015727</CurrentTaxYearMinus4Years>
        <CurrentTaxYearMinus3Years>55011408</CurrentTaxYearMinus3Years>
        <CurrentTaxYearMinus2Years>59240702</CurrentTaxYearMinus2Years>
        <CurrentTaxYearMinus1Year>59205263</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>63614099</CurrentTaxYear>
        <Total>288087199</Total>
      </TotalSupportTotal>
      <PublicSupportPercentage509>0.89435</PublicSupportPercentage509>
      <PriorYearSupportPercentage>0.92050</PriorYearSupportPercentage>
      <InvestmentIncomePercentage>0.00426</InvestmentIncomePercentage>
      <PriorYrInvestIncomePercentage>0.00470</PriorYrInvestIncomePercentage>
      <ThirtyThreePercntTestsCY509>X</ThirtyThreePercntTestsCY509>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land />
      <Buildings />
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>1403850</OtherCostOrOtherBasis>
        <Depreciation>740070</Depreciation>
        <BookValue>663780</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>11705382</OtherCostOrOtherBasis>
        <Depreciation>9966573</Depreciation>
        <BookValue>1738809</BookValue>
      </Equipment>
      <OtherLandBuildings />
      <TotalOfBookValueLandBuildings>2402589</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>GOODWILL</Description>
        <BookValue>38339</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>CSV OF LIFE INSURANCE</Description>
        <BookValue>2352554</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>2390893</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>ACCRUED PHYSICIAN COMPENSATION</Description>
        <Amount>3772672</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO EVMS</Description>
        <Amount>3279985</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PAYABLE TO EVMS CHAIRMAN FUND</Description>
        <Amount>555404</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>PAYABLE TO DEAN'S FUND OF EVMS</Description>
        <Amount>626712</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>8234773</TotalOfAmounts>
      <TotalRevenue>63614099</TotalRevenue>
      <TotalExpenses>63481905</TotalExpenses>
      <ExcessOrDeficitForYear>132194</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>132194</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>63614099</TotRevenueEtcAuditedFinclStmt>
      <RevenueSubtotal>63614099</RevenueSubtotal>
      <TotalRevenuePerForm990>63614099</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>63481905</TotExpensesEtcAuditedFinclStmt>
      <ExpensesSubtotal>63481905</ExpensesSubtotal>
      <TotalExpensesPerForm990>63481905</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 Footnote from Audit Report</Identifier>
        <ReturnReference>SCHEDULE D, PART X</ReturnReference>
        <Explanation>The organization's financial statements do not include any liability for uncertain tax positions.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EASTERN VIRGINIA MEDICAL SCHOOL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>358 Mowbray Arch</AddressLine1>
          <City>Norfolk</City>
          <State>VA</State>
          <ZIPCode>23507</ZIPCode>
        </AddressUS>
        <EINOfRecipient>546055378</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>508343</AmountOfCashGrant>
        <PurposeOfGrant>Chairman's Fund</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>EASTERN VIRGINIA MEDICAL SCHOOL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>358 Mowbray Arch</AddressLine1>
          <City>Norfolk</City>
          <State>VA</State>
          <ZIPCode>23507</ZIPCode>
        </AddressUS>
        <EINOfRecipient>546055378</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>1016686</AmountOfCashGrant>
        <PurposeOfGrant>Dean's Fund</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>1</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>Schedule I, part I, Line 2</Identifier>
        <Explanation>EVMS Health Services operates in accordance with the terms of an AFFILIATION AGREEMENT BETWEEN EASTERN VIRGINIA MEDICAL SCHOOL (EVMS) AND HEALTH SERVICES (HS). 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.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>L D BRITT MD</NamePerson>
        <BaseCompensationFilingOrg>409336</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>219140</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>3264</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
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    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, Line 11</Identifier>
        <Explanation>EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (EVMS HEALTH SERVICES) ENGAGES THE INDEPENDENT ACCOUNTING FIRM KPMG TO ASSIST WITH THE REVIEW AND FILING OF THE 990 RETURN. EVMS HEALTH SERVICES 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 HEALTH SERVICES PRIOR TO FILING.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINES 12A, 12B AND 12C</Identifier>
        <Explanation>EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (EVMS HEALTH SERVICES) 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 HEALTH SERVICES, 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION B, LINES 15A AND 15B</Identifier>
        <Explanation>MANAGEMENT COMPENSATION IS REVIEWED BY THE EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION (EVMS HEALTH SERVICES) EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CONSIDERS COMPARABILITY DATA FROM THE MGMA, AAMC AND OTHER COMPENSATION DATA RESOURCES IN ITS REVIEW. THE EXECUTIVE COMMITTEE MEETS IN EXECUTIVE SESSION TO DISCUSS COMPENSATION MATTERS. COMPENSATION WAS LAST REVIEWED BY THE EXECUTIVE COMMITTEE IN 2010. THE CEO OF EVMS HEALTH SERVICES HAS A WRITTEN CONTRACT. KEY EMPLOYEES OF EVMS HEALTH SERVICES ARE THE CLINICAL DEPARTMENT CHAIRS OF EVMS WHO HAVE DUAL EMPLOYMENT CONTRACTS WITH EVMS AND EVMS HEALTH SERVICES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>FORM 990, PART VI, SECTION C, LINE 19</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 9</Identifier>
        <Explanation>Addresses of directors that cannot be reached at the organization's mailing address: Peter G. Decker, Jr. 109 E. Main Street Norfolk, VA 23510 William King 7336 Granby Street Norfolk, VA 23505</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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