Civic Intelligence

Appalachian Emergency Physicians

990 • Fiscal year 2013 • EIN 80-0592504

Jul 01, 2012 to Jun 30, 2013 • Filed on May 13, 2014

1019 W Oakland Avenue Suite 20737604
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

94th percentile

1.01x

Higher debt load relative to assets than 94% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2013

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2013

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2013

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2013

Asset Growth

95th percentile

51%

Faster asset growth than 95% of similar nonprofits.

2013 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Assets

Up

$4,418,747

Up $1,486,949 (+51%) from 2012

Net Assets

Down

-$36,034

Down $36,034 from 2012

Liabilities

Up

$4,454,781

Up $1,522,983 (+52%) from 2012

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$29,470,040

Up $2,088,069 (+7.6%) from 2012

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0M$4.0M$2.0M$0-$2.0MAssets 2010: $1,825Liabilities 2010: $1,8252010Assets 2011: $3,985,400Liabilities 2011: $3,985,400Net Assets 2011: $02011Assets 2012: $2,931,798Liabilities 2012: $2,931,798Net Assets 2012: $02012Assets 2013: $4,418,747Liabilities 2013: $4,454,781Net Assets 2013: -$36,0342013Assets 2014: $4,292,687Liabilities 2014: $4,328,720Net Assets 2014: -$36,0332014Assets 2015: $4,433,383Liabilities 2015: $4,469,416Net Assets 2015: -$36,0332015Assets 2016: $5,095,819Liabilities 2016: $5,131,852Net Assets 2016: -$36,0332016Assets 2017: $875,572Liabilities 2017: $911,613Net Assets 2017: -$36,0412017

Highlighted filing

2013

Assets$4,418,747
Liabilities$4,454,781
Net Assets-$36,034

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$40M$30M$20M$10M$0-$10MRevenue 2010: $41,825Expenses 2010: $41,825Net Income 2010: $02010Revenue 2011: $16,432,708Expenses 2011: $16,432,708Net Income 2011: $02011Revenue 2012: $27,381,971Expenses 2012: $27,381,971Net Income 2012: $02012Expenses 2013: $29,470,0402013Revenue 2014: $30,084,214Expenses 2014: $30,084,213Net Income 2014: $12014Revenue 2015: $28,762,811Expenses 2015: $28,762,811Net Income 2015: $02015Revenue 2016: $29,638,857Expenses 2016: $29,638,857Net Income 2016: $02016Revenue 2017: $23,506,110Expenses 2017: $23,506,118Net Income 2017: -$82017

Highlighted filing

2013

Revenue-
Expenses$29,470,040
Net Income-
Jump To
Filing Snapshot
Filing Period
Jul 1, 2012 to Jun 30, 2013
Signed
May 13, 2014
Return Version
2012v2.1
Gross Receipts
$29,434,006
Mission and Program Overview

Mission

Appalachian emergency physicians is organized and operated for charitable purposes, which include the provision of emergency physician services to acute care hospital facilities in southwest virginia and northeast tennessee.

Filing and Contact Details

Filer

EIN
80-0592504
Raw XML AppendixShowing 400 of 779 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.

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IRS990/Description0- APPALACHIAN EMERGENCY PHYSICIANS ("AEP") IS A VIRGINIA NONSTOCK CORPORATION THAT IS ORGANIZED AND OPERATED FOR CHARITABLE PURPOSES, WHICH INCLUDE THE PROVISION OF EMERGENCY PHYSICIAN SERVICES TO ACUTE CARE HOSPITAL FACILITIES IN SOUTHWEST VIRGINIA AND NORTHEAST TENNESSEE. AEP HAS NO MEMBERS AND IS GOVERNED BY ITS BOARD OF DIRECTORS.- AEP HAS A CLOSE CONNECTION WITH MOUNTAIN STATES HEALTH ALLIANCE ("MSHA"), WHICH IS A NONPROFIT TENNESSEE CORPORATION THAT IS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAXATION UNDER IRC SECTION 501(C)(3). MSHA OWNS AND OPERATES SEVERAL ACUTE CARE HOSPITAL FACILITIES AND OTHER HEALTHCARE FACILITIES WITHIN SOUTHWEST VIRGINIA AND NORTHEAST TENNESSEE. MSHA HAS ENCOUNTERED PROBLEMS IN SECURING COMPREHENSIVE PHYSICIAN COVERAGE FOR ITS HOSPITALS WITHIN THE FIELD OF EMERGENCY MEDICINE. MSHA HELPED TO FACILITATE THE FORMATION OF AEP TO CONTRACT WITH MSHA-AFFILIATED ACUTE CARE HOSPITALS FOR PHYSICIAN COVERAGE. AS WITH ALL MSHA-AFFILIATED HOSPITALS, AEP WILL ENSURE THAT PATIENTS ARE TREATED FOR MEDICALLY NECESSARY CONDITIONS REGARDLESS OF RACE, RELIGION, ETHNICITY OR ABILITY TO PAY, IN A MANNER CONSISTENT WITH MSHA'S CHARITY CARE PROGRAM. IN RECOGNIZING THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES, AEP WILL NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE. MSHA'S CHARITY CARE POLICY HAS BEEN ADOPTED BY THE AEP BOARD.- AEP IS ORGANIZED AND OPERATED AS AN EMERGENCY PHYSICIAN DEVELOPMENT SERVICE. SPECIFICALLY, AEP WILL (I) RECRUIT AND CONTRACT WITH A STABLE BASE OF PHYSICIANS AND MID-LEVEL PROVIDERS (E.G., NURSE PRACTITIONERS AND PHYSICIAN ASSISTANTS) TO SUPPORT THE LEVEL OF EMERGENCY MEDICAL CARE REQUIRED FOR MSHA ACUTE CARE HOSPITAL FACILITIES; (II) CREATE A VEHICLE FOR FUTURE COLLABORATION BETWEEN MSHA HOSPITALS AND THEIR MEDICAL STAFFS; AND (III) STABILIZE THE PROVISION OF EMERGENCY CARE THROUGH EXISTING PHYSICIAN PRACTICES IN SOUTHWEST VIRGINIA AND NORTHEAST TENNESSEE. AEP PROVIDES EMERGENCY MEDICINE PROFESSIONAL COVERAGE BY CONTRACT FOR THE FOLLOWING MSHA HOSPITALS:. JOHNSON CITY MEDICAL CENTER (TN). FRANKLIN WOODS COMMUNITY HOSPITAL (TN). NISWONGER CHILDREN'S HOSPITAL (TN - CHILDREN'S HOSPITAL). INDIAN PATH MEDICAL CENTER (TN). SYCAMORE SHOALS HOSPITAL (TN). JOHNSON COUNTY COMMUNITY HOSPITAL (TN). NORTON COMMUNITY HOSPITAL (VA). DICKENSON COMMUNITY HOSPITAL (VA). RUSSELL COUNTY MEDICAL CENTER (VA), AND. SMYTH COUNTY COMMUNITY HOSPITAL (VA).- EACH OF THESE HOSPITAL FACILITIES IS EITHER WHOLLY OR PARTIALLY OWNED BY MSHA. MSHA IS A NONPROFIT HEALTH SYSTEM BASED IN JOHNSON CITY, TENNESSEE. MSHA IS TAX-EXEMPT UNDER IRC SECTION 501(C)(3) AND FORMED AEP IN AN EFFORT TO ENSURE THAT EACH OF THE AFOREMENTIONED HOSPITALS WOULD HAVE COMPREHENSIVE AND CONTINUOUS PHYSICIAN COVERAGE FOR ITS RESPECTIVE EMERGENCY DEPARTMENT. SUCH SERVICES ARE PROVIDED BY AEP IN AN EFFORT TO COMPLEMENT MSHA'S PROVISION OF HEALTH CARE SERVICES TO THE COMMUNITY.- MEDICAL SERVICES WOULD BE PROVIDED TO INDIVIDUALS PRESENTING TO THE EMERGENCY DEPARTMENT OF ONE OF THE AFOREMENTIONED HOSPITAL FACILITIES AND WOULD BE BASED UPON EMERGENCY MEDICAL NEED. AEP FOLLOWS THE INDIGENT CARE POLICIES AND PROCEDURES ADOPTED BY MSHA AND EACH OF THE AFOREMENTIONED HOSPITAL FACILITIES FOR THE TREATMENT OF PATIENTS WITHOUT REGARD TO THE ABILITY TO PAY.- AS SUCH SERVICES ARE MADE AVAILABLE TO THE GENERAL PUBLIC, AEP MAY INCIDENTALLY PROVIDE EMERGENCY SERVICES TO OFFICERS, DIRECTORS, EMPLOYEES AND INDEPENDENT CONTRACTORS, HOWEVER, SUCH INDIVIDUALS WOULD NOT BE TREATED DIFFERENTLY THAN OTHER PATIENTS AND SUCH SERVICES WOULD ONLY BE MADE AVAILABLE IN THE NORMAL COURSE OF AEP'S BUSINESS OPERATIONS.
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IRS990ScheduleD/OtherLiabilities/Description0DUE TO AFFILIATE
IRS990ScheduleD/TotalBookValueOtherAssets0846915
IRS990ScheduleD/TotalOfAmounts0106
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IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation0THE FOLLOWING PROCESS IS UTILIZED BY MOUNTAIN STATES HEALTH ALLIANCE ("MSHA"), THE RELATED ORGANIZATION FROM WHICH REPORTABLE COMPENSATION IS DISCLOSED ON SCHEDULE J, PART II: THE MSHA COMPENSATION COMMITTEE, WHICH IS THE EXECUTIVE COMMITTEE OF THE MSHA BOARD, OBTAINS THE SERVICES OF AN OUTSIDE AND INDEPENDENT COMPENSATION CONSULTANT TO PROVIDE THE COMMITTEE WITH RELEVANT MARKET DATA FROM COMPENSATION SURVEYS AND WITH ADVICE WHEN THE COMMITTEE APPROVES PAY AND BENEFITS FOR MSHA EXECUTIVES.
IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation1THE FOLLOWING EXECUTIVES LISTED IN J, PART II PARTICIPATED IN A 457(F) RETIREMENT PLAN PROVIDED BY MOUNTAIN STATES HEALTH ALLIANCE ("MSHA"): ANN FLEMING, CANDACE JENNINGS, AND STEVEN KILGORE. THE 457(F) RETIREMENT PLAN IS A NONQUALIFIED TAX-DEFERRED COMPENSATION PLAN AVAILABLE TO A SELECT GROUP OF KEY EXECUTIVES FOR THE INTENT OF SUPPORTING RETENTION AND TO OFFER A COMPETITIVE TOTAL RETIREMENT PROGRAM. ACCOUNT BALANCES HAVE A "SUBSTANTIAL RISK OF FORFEITURE". IN ADDITION TO CREDITOR RISK, SUBSTANTIAL RISK OF FORFEITURE IS CREATED THROUGH DEFAULT RISK IF THE PARTICIPANT'S EMPLOYMENT WITH MSHA IS TERMINATED PRIOR TO AGE 65. HOWEVER, THE 457(F) PLAN CONTAINS A NON-COMPETE PROVISION THAT PROVIDES THE ACCOUNT BALANCE TO BE PAID IN A LUMP SUM AFTER THE EXECUTIVE SATISFIES THE TWO-YEAR NON-COMPETE PERIOD. THIS PROVISION APPLIES TO EMPLOYER CONTRIBUTIONS IF THE EXECUTIVE HAS PROVIDED ELIGIBLE SERVICE FOR SIX OR MORE YEARS. (ELIGIBLE SERVICE IS OFFICER SERVICE THAT PERMITTED THE EXECUTIVE TO PARTICIPATE IN THE PLAN). THE EXECUTIVE WILL RECEIVE THE ENTIRE ACCOUNT BALANCE IF HE/SHE BECOMES DISABLED, DIES OR IF THE EXECUTIVE TERMINATES FOR "GOOD REASON" OR IS INVOLUNTARILY TERMINATED WITHOUT "GOOD CAUSE" WITHIN A 24 MONTH PERIOD AFTER A CHANGE-OF-CONTROL OCCURS. DISTRIBUTIONS FROM THIS PLAN ARE SUBJECT TO FEDERAL, STATE, AND LOCAL TAXES ON THE ENTIRE ACCOUNT BALANCE UPON DISTRIBUTION. SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS: ANN FLEMING $35,925 CANDACE JENNINGS $41,057 STEVEN KILGORE $15,396
IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference0PART I, LINE 3
IRS990ScheduleJ/Form990ScheduleJPartIII/ReturnReference1PART I, LINES 4B-C
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson0CANDACE JENNINGS
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson1ANN FLEMING
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson2CLAY RUNNELS MD
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson3BERT SMITH MD
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson4TY PUTNAM MD
IRS990ScheduleJ/Form990ScheduleJPartII/NamePerson5C STEVEN KILGORE
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