Civic Intelligence

Virginia Medical Group Management Association

EIN 54-1878008 • 501(c)6 • Sandston, VA

Profile

The mission of the virginia mgma is to advance medical practice management, so as to improve the delivery of healthcare. A key element in achieving this goal is education. The virginia mgma is well-respected for its high- quality continuing educational programs held regularly, in cities throughout the commonwealth. We offer health care managers a forum for addressing issues related to the healthcare industry and provide networking and continuing education opportunities to members, thereby improving management in medical practices.

PO Box 263Sandston, VA 23150

www.vmgma.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

66th percentile

0.03x

Higher debt load relative to assets than 66% of similar nonprofits.

501(c)6 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

66th percentile

0.02x

Higher debt load relative to revenue than 66% of similar nonprofits.

501(c)6 • <$500k nonprofits • Source year 2024

Net Margin

11th percentile

-51%

Higher net margin than 11% of similar nonprofits.

501(c)6 • <$500k nonprofits • Source year 2024

Top Officer Pay

77th percentile

$0

Higher top officer pay than 77% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)6 • <$500k nonprofits • Source year 2024

Asset Growth

16th percentile

-42%

Faster asset growth than 16% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

49th percentile

-1.1%

Faster revenue growth than 49% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets66th percentile

Assets

Down

$152,594

Down $110,204 (-42%) from 2023

Liabilities

Up

$5,150

Up $5,150 from 2023

Net Assets

Down

$147,444

Down $115,354 (-44%) from 2023

Operations
Liabilities / Revenue66th percentileNet Margin11th percentile

Revenue

Down

$224,580

Down $2,437 (-1.1%) from 2023

Expenses

Up

$339,934

Up $156,994 (+86%) from 2023

Net Income

Down

-$115,354

Down $159,431 (-362%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth16th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400K$300K$200K$100K$0-$100KAssets 2011: $247,664Liabilities 2011: -$493Net Assets 2011: $248,1572011Assets 2012: $277,954Liabilities 2012: -$493Net Assets 2012: $278,4472012Assets 2013: $313,092Liabilities 2013: -$493Net Assets 2013: $313,5852013Assets 2014: $355,370Liabilities 2014: -$493Net Assets 2014: $355,8632014Assets 2015: $290,998Liabilities 2015: $0Net Assets 2015: $290,9982015Assets 2016: $302,569Liabilities 2016: $0Net Assets 2016: $302,5692016Assets 2017: $322,056Liabilities 2017: $0Net Assets 2017: $322,0562017Assets 2018: $246,516Liabilities 2018: $0Net Assets 2018: $246,5162018Assets 2019: $216,224Liabilities 2019: $0Net Assets 2019: $216,2242019Assets 2020: $225,097Liabilities 2020: $0Net Assets 2020: $225,0972020Assets 2021: $210,944Liabilities 2021: $0Net Assets 2021: $210,9442021Assets 2022: $218,721Liabilities 2022: $0Net Assets 2022: $218,7212022Assets 2023: $262,798Liabilities 2023: $0Net Assets 2023: $262,7982023Assets 2024: $152,594Liabilities 2024: $5,150Net Assets 2024: $147,4442024

Highlighted filing

2024

Assets$152,594
Liabilities$5,150
Net Assets$147,444
Open 2024 Filing

Operations Trend

Revenue Growth49th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$200K$0-$200KExpenses 2011: $227,8902011Expenses 2012: $222,3362012Expenses 2013: $240,2832013Revenue 2014: $275,834Expenses 2014: $233,556Net Income 2014: $42,2782014Revenue 2015: $259,360Expenses 2015: $324,225Net Income 2015: -$64,8652015Revenue 2016: $277,532Expenses 2016: $265,961Net Income 2016: $11,5712016Revenue 2017: $277,095Expenses 2017: $248,721Net Income 2017: $28,3742017Revenue 2018: $182,994Expenses 2018: $258,534Net Income 2018: -$75,5402018Revenue 2019: $299,589Expenses 2019: $329,881Net Income 2019: -$30,2922019Revenue 2020: $194,881Expenses 2020: $186,008Net Income 2020: $8,8732020Revenue 2021: $159,466Expenses 2021: $173,615Net Income 2021: -$14,1492021Revenue 2022: $230,623Expenses 2022: $222,846Net Income 2022: $7,7772022Revenue 2023: $227,017Expenses 2023: $182,940Net Income 2023: $44,0772023Revenue 2024: $224,580Expenses 2024: $339,934Net Income 2024: -$115,3542024

Highlighted filing

2024

Revenue$224,580
Expenses$339,934
Net Income-$115,354
Open 2024 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$152,594
Liabilities
$5,150
Net assets
$147,444
Revenue
$224,580
Expenses
$339,934
Net income
-$115,354
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.53$0.05$1.47$2.25$3.40$1.15
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.63$0.00$2.63$2.27$1.83$0.44
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.19$0.00$2.19$2.31$2.23$0.08
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.11$0.00$2.11$1.59$1.74$0.14
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.25$0.00$2.25$1.95$1.86$0.09
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.16$0.00$2.16$3.00$3.30$0.30
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.47$0.00$2.47$1.83$2.59$0.76
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.22$0.00$3.22$2.77$2.49$0.28
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.03$0.00$3.03$2.78$2.66$0.12
2015Detailed filing. Detailed filing data is available for this year.$2.91$0.00$2.91$2.59$3.24$0.65
2014Detailed filing. Detailed filing data is available for this year.$3.55$0.00$3.56$2.76$2.34$0.42
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.13$0.00$3.14$2.40
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.78$0.00$2.78$2.22
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.48$0.00$2.48$2.28
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2021 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2021 to Dec 31, 2021
Signed
May 10, 2022
Return Version
2021v4.0
Gross Receipts
$159,466
Mission and Program Overview

Mission

The mission of the virginia mgma is to advance medical practice management, so as to improve the delivery of healthcare. A key element in achieving this goal is education. The virginia mgma is well-respected for its high- quality continuing educational programs held regularly, in cities throughout the commonwealth. We offer health care managers a forum for addressing issues related to the healthcare industry and provide networking and continuing education opportunities to members, thereby improving management in medical practices.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$203,008$178,807▼ $24,201
Cash and Non-Interest-Bearing Accounts$21,198$31,540▲ $10,342
Land, Buildings, and Equipment, Net$741$447▼ $294
Prepaid Expenses and Deferred Charges$150$150→ $0
Total Assets$225,097$210,944▼ $14,153
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$225,097$210,944▼ $14,153
Total Net Assets Fund Balance$225,097$210,944▼ $14,153
Total Liabilities and Net Assets / Fund Balance$225,097$210,944▼ $14,153

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$447$19,759$20,206
Compensation and Service Providers
Top Officer Pay77th percentile

Board Members and Trustees

NameTitle
Maribeth CulbertsonPresident/se
Alka KumarBoard Member
Benjamin DolewskiBoard Member
Brenda PalmoreBoard Member
Della CollinsBoard Member
Katie NunnBoard Member
Sharon SmithBoard Member
Susan CollettBoard Member
Gerard FilickoNon-voting M
Jack MoranaTreasurer
Donna DiazVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$158,067
Investment Income
$799
Other Revenue
$600
Change in Net Assets
$-14,149
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$119,516
Salaries, Compensation, and Employee Benefits$54,099
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Conferences and Meetings---$84,836
Current Officers, Directors, Trustees, and Key Employees---$49,599
Advertising---$7,200
Information Technology---$5,497
Payroll Taxes---$3,913
Travel---$3,389
Insurance---$2,660
Occupancy---$2,644
Office Expenses---$1,688
Fees for Services Accounting---$1,305
All Other Expenses---$1,161
Other Expenses---$750
Other Salaries and Wages---$587
Fees for Services Other---$483
Fees for Services Legal---$435
Depreciation Depletion---$297
Total Functional Expenses$0$0$0$173,615
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
In-house lobbying only
No
Subject to proxy tax
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“Administrator and treasurer reviews the 990 and briefs the executive committee regarding the annual filing.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public”

Filing and Contact Details

Filer

Filer Name
Virginia Medical Group Management
EIN
54-1878008
Phone
8043283344
Address
PO BOX 263, SANDSTON, VA 23150

Signing Officer

Name
Jack Morana
Title
Treasurer
Phone
8043283344
Signed
2022-05-10

Organization Details

Principal Officer
Maribeth Culbertson
Formed
1974
Legal Domicile
Va
Voting Board Members
10
Independent Board Members
10
Employees
3
Volunteers
11

Preparer

Firm
Rcg Cpas Advisors
Address
3957 WESTERRE PKWY STE 410, RICHMOND, VA 23233
Preparer
Amanda L Sent
Phone
8042706980
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

“The mission of the virginia mgma is to advance medical practice management, so as to improve the delivery of healthcare. A key element in achieving this goal is education. The virginia mgma is well-respected for its high- quality continuing educational programs held regularly, in cities throughout the commonwealth. We offer health care managers a forum for addressing issues related to the healthcare industry and provide networking and continuing education opportunities to members, thereby improving management in medical practices.”

Form 990, Page 2, Part III, Line 4D

“Vmgma is committed to assisting health care professionals succeed in practice management through enhancing their knowledge and skills while expanding their contact with fellow members and associates.”

Raw XML Appendix338 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
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IRS990/CYContributionsGrantsAmt00
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IRS990/CYOtherExpensesAmt0119516
IRS990/CYOtherRevenueAmt0600
IRS990/CYProgramServiceRevenueAmt0158067
IRS990/CYRevenuesLessExpensesAmt0-14149
IRS990/CYSalariesCompEmpBnftPaidAmt054099
IRS990/CYTotalExpensesAmt0173615
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IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0159466
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IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/TotalAmt0297
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IRS990/EmployeeCnt03
IRS990/EmploymentTaxReturnsFiledInd0true
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IRS990/FeesForServicesAccountingGrp/TotalAmt01305
IRS990/FeesForServicesLegalGrp/TotalAmt0435
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IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
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IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
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IRS990/Form990PartVIISectionAGrp/PersonNm4SHARON SMITH
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IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT/SE
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IRS990/Form990PartVIISectionAGrp/TitleTxt3VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
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IRS990/OtherExpensesGrp/Desc3WEBINARS
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IRS990/OtherRevenueMiscGrp/Desc0WEBSITE ADVERTISING
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IRS990/PayrollTaxesGrp/TotalAmt03913
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0150
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0150
IRS990/PrincipalOfficerNm0MARIBETH CULBERTSON
IRS990/PriorPeriodAdjustmentsAmt0-4
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0SPONSORSHIP FEES
IRS990/ProgramServiceRevenueGrp/Desc1REGISTRATION FEES
IRS990/ProgramServiceRevenueGrp/Desc2MEMBERSHIP DUES
IRS990/ProgramServiceRevenueGrp/Desc3EXHIBITOR FEES
IRS990/ProgramServiceRevenueGrp/ExclusionAmt069000
IRS990/ProgramServiceRevenueGrp/ExclusionAmt135384
IRS990/ProgramServiceRevenueGrp/ExclusionAmt225200
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt028483
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt069000
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt135384
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt228483
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt325200
IRS990/ProgSrvcAccomActyOtherGrp/Desc0VMGMA IS COMMITTED TO ASSISTING HEALTH CARE PROFESSIONALS SUCCEED IN PRACTICE MANAGEMENT THROUGH ENHANCING THEIR KNOWLEDGE AND SKILLS WHILE EXPANDING THEIR CONTACT WITH FELLOW MEMBERS AND ASSOCIATES.
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IRS990/PYInvestmentIncomeAmt01216
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IRS990/PYOtherRevenueAmt0422
IRS990/PYProgramServiceRevenueAmt0193243
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IRS990/PYSalariesCompEmpBnftPaidAmt053444
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IRS990/PYTotalRevenueAmt0194881
IRS990/ReconcilationRevenueExpnssAmt0-14149
IRS990/RelatedEntityInd0false
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IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
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IRS990/SavingsAndTempCashInvstGrp/EOYAmt0178807
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IRS990ScheduleC/AgreeCarryoverPriorYearInd0false
IRS990ScheduleC/OnlyInHouseLobbyingInd0false
IRS990ScheduleC/SubstantiallyAllDuesNondedInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt0447
IRS990ScheduleD/EquipmentGrp/DepreciationAmt019759
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt020206
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0447
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE MISSION OF THE VIRGINIA MGMA IS TO ADVANCE MEDICAL PRACTICE MANAGEMENT, SO AS TO IMPROVE THE DELIVERY OF HEALTHCARE. A KEY ELEMENT IN ACHIEVING THIS GOAL IS EDUCATION. THE VIRGINIA MGMA IS WELL-RESPECTED FOR ITS HIGH- QUALITY CONTINUING EDUCATIONAL PROGRAMS HELD REGULARLY, IN CITIES THROUGHOUT THE COMMONWEALTH. WE OFFER HEALTH CARE MANAGERS A FORUM FOR ADDRESSING ISSUES RELATED TO THE HEALTHCARE INDUSTRY AND PROVIDE NETWORKING AND CONTINUING EDUCATION OPPORTUNITIES TO MEMBERS, THEREBY IMPROVING MANAGEMENT IN MEDICAL PRACTICES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1VMGMA IS COMMITTED TO ASSISTING HEALTH CARE PROFESSIONALS SUCCEED IN PRACTICE MANAGEMENT THROUGH ENHANCING THEIR KNOWLEDGE AND SKILLS WHILE EXPANDING THEIR CONTACT WITH FELLOW MEMBERS AND ASSOCIATES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ADMINISTRATOR AND TREASURER REVIEWS THE 990 AND BRIEFS THE EXECUTIVE COMMITTEE REGARDING THE ANNUAL FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3NO DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 2, PART III, LINE 4D
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0true
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IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0225097
IRS990/TotalAssetsEOYAmt0210944
IRS990/TotalAssetsGrp/BOYAmt0225097
IRS990/TotalAssetsGrp/EOYAmt0210944
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0173615
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0225097
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0210944
IRS990/TotalProgramServiceRevenueAmt0158067
IRS990/TotalRevenueGrp/ExclusionAmt0130983
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt028483
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0159466
IRS990/TotalVolunteersCnt011
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0225097
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0210944
IRS990/TravelGrp/TotalAmt03389
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/USAddress/AddressLine1Txt0P O BOX 263
IRS990/USAddress/CityNm0SANDSTON
IRS990/USAddress/StateAbbreviationCd0VA
IRS990/USAddress/ZIPCd023150
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0WWW.VMGMA.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/PersonNm0JACK MORANA
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum08043283344
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-05-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0VIRGINIA MEDICAL GROUP MANAGEMENT
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0ASSOCIATION
ReturnHeader/Filer/BusinessNameControlTxt0VIRG
ReturnHeader/Filer/EIN0541878008
ReturnHeader/Filer/PhoneNum08043283344
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 263
ReturnHeader/Filer/USAddress/CityNm0SANDSTON
ReturnHeader/Filer/USAddress/StateAbbreviationCd0VA
ReturnHeader/Filer/USAddress/ZIPCd023150
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0273119743
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0RCG CPAS ADVISORS
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03957 WESTERRE PKWY STE 410
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0RICHMOND
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0VA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd023233
ReturnHeader/PreparerPersonGrp/PhoneNum08042706980
ReturnHeader/PreparerPersonGrp/PreparationDt02022-05-10
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0AMANDA L SENT
ReturnHeader/ReturnTs02022-05-13T15:29:01-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0JACK
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0MORANA
ReturnHeader/TaxPeriodBeginDt02021-01-01
ReturnHeader/TaxPeriodEndDt02021-12-31
ReturnHeader/TaxYr02021

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