Civic Intelligence

Appalachian Emergency Physicians

990 • Fiscal year 2014 • EIN 80-0592504

Jul 01, 2013 to Jun 30, 2014 • Filed on May 10, 2015

1019 W Oakland Avenue Suite 20737604

(804) 967-9604

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.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Liabilities / Revenue

28th percentile

0.14x

Higher debt load relative to revenue than 28% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Net Margin

32nd percentile

0.0%

Higher net margin than 32% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Top Officer Pay

91st percentile

$827,320

Higher top officer pay than 91% of similar nonprofits.

Top officer pay equals 2.8% of source-year revenue.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Asset Growth

17th percentile

-2.9%

Faster asset growth than 17% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2013 to 2014

Revenue Growth

52nd percentile

4.8%

Faster revenue growth than 52% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2012 to 2014

Assets

Down

$4,292,687

Down $126,060 (-2.9%) from 2013

Net Assets

Up

-$36,033

Up $1 (+0.0%) from 2013

Liabilities

Down

$4,328,720

Down $126,061 (-2.8%) from 2013

Revenue

$30,084,214

No earlier filing loaded for comparison.

Expenses

Up

$30,084,213

Up $614,173 (+2.1%) from 2013

Net Income

$1

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

2014

Assets$4,292,687
Liabilities$4,328,720
Net Assets-$36,033

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

2014

Revenue$30,084,214
Expenses$30,084,213
Net Income$1
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 10, 2015
Return Version
2013v4.0
Gross Receipts
$30,084,214
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.

To provide emergency physicians services to acute care hospital facilities in southwest virginia and northeast tennessee.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$2,348,078$1,740,672▼ $607,406
Cash and Non-Interest-Bearing Accounts$348,820$1,111,819▲ $762,999
Intangible Assets$650,000$650,000→ $0
Prepaid Expenses and Deferred Charges$224,934$89,600▼ $135,334
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-36,034$-36,033▲ $1
Total Assets$4,418,747$4,292,687▼ $126,060
Other Assets Total$846,915$700,596▼ $146,319
Liabilities
Accounts Payable and Accrued Expenses$4,098,648$4,105,094▲ $6,446
Mortgage Notes Payable Secured by Investment Property$356,027$223,626▼ $132,401
Other Liabilities$106$0▼ $106
Total Liabilities$4,454,781$4,328,720▼ $126,061
Net Assets / Fund Balance
Total Net Assets Fund Balance$-36,034$-36,033▲ $1
Total Liabilities and Net Assets / Fund Balance$4,418,747$4,292,687▼ $126,060

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$700,596--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Clay Runnels MdFormer President
Mark Wilkinson MdPresident
Bert Smith MdDirector
Bill MillerDirector
Stephen GoodsonDirector
Todd JonesDirector
Ty Putnam MdDirector
Ann FlemingDirector/msha SVP
Candace JenningsSecretary/msha SVP

Highest Paid Contractors

ContractorServicesLocationCompensation
Mountain States Emergency Physicians LlManagement & Billing Services-$2,774,899
Southwest Virginia Emergency PhysiciansManagement & Billing Services-$1,465,485
James H BurlesonPhysician Services-$417,455
-Physician Services-$404,183
-Physician Services-$394,808
Revenue and Support

Revenue Composition

Contributions and Grants
$9,501,269
Program Service Revenue
$20,582,945
Investment Income
$0
Other Revenue
$0
All Other Contributions
$314,113
Change in Net Assets
$1
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$30,084,213
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$27,323,110--$27,323,110
Insurance$1,525,665--$1,525,665
Office Expenses-$80,835-$80,835
Occupancy-$64,420-$64,420
Travel$32,456--$32,456
Fees for Services Legal$28,985--$28,985
Conferences and Meetings$22,423--$22,423
Fees for Services Accounting$17,975--$17,975
Other Expenses$6,204$10,094-$16,298
Interest-$14,794-$14,794
Depreciation Depletion-$390-$390
Total Functional Expenses$29,913,680$170,533$0$30,084,213
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
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

The tax return is prepared by an unrelated, independent accounting firm and then submitted to internal management for internal review. Copies are available to the entire board for review.

Form 990, Part VI, Section B, Line 12C

Every covered person as defined by the conflicts of interest policy adopted by the board of directors shall be subject to that policy. As part of said policy, every covered person shall complete a conflicts of interest disclosure statement in accordance with the requirement of the conflicts of interest policy.

Form 990, Part VI, Section B, Line 15

Aep does not compensate its directors or officers. Aep has entered into professional service contracts with physicians to assist aep in providing emergency service coverage to hospitals. These agreements may include fixed rates and bonuses based on productivity or achieving quality, patient satisfaction scores or other quality metrics. The methodology or amount of the bonus is fixed and set in advance within each contract. Bonus formulas are based upon reached pre-determined and objectively verifiable performance metrics. In addition to addressing excess benefit, private inurement and private benefit concerns, aep's compensation arrangements are structured in a manner to comply with applicable fraud and abuse laws that apply to health care providers. Aep has negotiated each of its compensation arrangements at arm's length. The agreements include commercially reasonable terms and conditions with a compensation arrangement that is consistent with fair market value for the services rendered. The terms and conditions of such arrangements have been, are and will continue to be set through good faith negotiations among the relevant parties in an effort to be consistent with similar arrangements for other health care providers providing similar services in similar specialties within southwestern virginia and northeastern tennessee. National physician compensation survey data (e.g., mgma physician compensation survey) and other objective comparable data has been and will continue to be used as the basis for setting physician compensation arrangements. Aep also utilizes the services of nationally-recognized valuation firms to evaluate certain proposed compensation arrangements to ensure that they are consistent with fair market value and are commercially reasonable.

Form 990, Part VI, Section C, Line 19

The conflict of interest policy, in addition to other governing policies, is available upon request. All corporate policies and corporate financial statements are also available upon request.

Form 990, Part VII, Section A,

Board of directors members candace jennings, ann fleming, bert smith, m.d., ty putnam, m.d., former president clay runnels, m.d., and president mark wilkinson, m.d. Receive reportable compensation from related organizations derived from services they provided as employees. Aep does not compensate its directors or officers.

Filing and Contact Details

Filer

EIN
80-0592504
Phone
8049679604

Signing Officer

Name
Mark Wilkinson Md
Title
President
Phone
8049679604
Signed
2015-05-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mark Wilkinson Md
Formed
2010
Legal Domicile
Va
Voting Board Members
8
Independent Board Members
3
Employees
0
Volunteers
0

Preparer

Preparer
Deborah O Ernsberger
Phone
8656730844
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Consulting fees: program service expenses 1,603. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,603. Medical director & physician fees: program service expenses 22,569,263. Management and general expenses 0. Fundraising expenses 0. Total expenses 22,569,263. Purchased services: program service expenses 4,876,162. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,876,162. Management fees: program service expenses -123,918. Management and general expenses 0. Fundraising expenses 0. Total expenses -123,918.

Raw XML AppendixShowing 400 of 787 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/Desc0- 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)UNICOI COUNTY MEMORIAL HOSPITAL (TN)NORTON COMMUNITY HOSPITAL (VA)DICKENSON COMMUNITY HOSPITAL (VA)RUSSELL COUNTY MEDICAL CENTER (VA), ANDSMYTH 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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