2024-05-08T14:22:41-04:00 2023-06-30 621690032 RODEFER MOSS & CO PLLC 129 W DEPOT ST STE 1 GREENEVILLE TN 37743 990 2022-07-01 621052914 MEDICAL EDUCATION ASSISTANCE CORP MEDI 4234336022 PO BOX 699 MOUNTAIN HOME TN 376840699 RUSSELL EUGENE LEWIS CEO 4234336022 2023-04-30 true RUSSELL LEWIS 999009999 true CURTIS H MORRISON P01878351 4236388144 2024-05-08 2022 2023-04-26 12:10:37Z ETSU PHYSICIANS & ASSOCIATES WILLIAM BLOCK PO BOX 70569 JOHNSON CITY TN 37614 56668908 false X WWW.ETSUPHYSICIANS.COM X 1978 TN SERVE THE HEALTHCARE NEEDS OF OUR PATIENTS, OFFERING A COMPREHENSIVE RANGE OF HEALTH CARE SERVICES FOR PEOPLE OF ALL AGES, EDUCATE OUR STUDENTS AND RESIDENTS, AND IMPROVE THE OVERALL HEALTH OF THE PEOPLE OF THIS REGION. 13 0 490 0 463651 0 51947805 55985607 114558 427565 1575503 255736 54101517 56668908 2433781 2221140 0 36092176 38528460 0 0 11858281 11644482 50384238 52394082 3717279 4274826 46906188 51771439 7545723 11514300 39360465 40257139 SERVE THE HEALTHCARE NEEDS OF OUR PATIENTS, OFFERING A COMPREHENSIVE RANGE OF HEALTH CARE SERVICES FOR PEOPLE OF ALL AGES, EDUCATE OUR STUDENTS AND RESIDENTS, AND IMPROVE THE OVERALL HEALTH OF THE PEOPLE OF THIS REGION. false false 47031610 2221140 54996872 MEAC SUPPORTS THE TEACHING OF APPROXIMATELY 500 MEDICAL STUDENTS AND RESIDENTS BY PROVIDING MEDICAL CARE TO THE GENERAL PUBLIC. IN ADDITION TO THE SALARY SUPPLEMENTS AND EXPENSES PAID DIRECTLY BY MEAC ON BEHALF OF ETSU FOUNDATION. 47031610 true false false false false false false false false false true false false false true false true 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 41 0 490 true false false false false false false false false X 13 0 false false false false true true false true true false false true true true true true true true true false X X GARY HIATT 4234336022 PO BOX 699 MOUNTAIN HOME TN 376840699 WILLIAM BLOCK PRESIDENT 20.00 30.00 X X 112966 679528 85369 BRAD FELTIS DIRECTOR 25.00 25.00 X 458700 221709 57276 J BRACKEN BURNS DIRECTOR 25.00 25.00 X 402120 247171 57047 DANIEL F HAYNES PHYSICIAN 25.00 25.00 X 431917 108406 125288 VIJAY K RAMU PHYSICIAN 25.00 25.00 X 395577 161284 71384 DEVAPIRAN JAISHANKAR DIRECTOR 25.00 25.00 X 395990 159147 41385 ROBERT T MEANS JR DIRECTOR 25.00 25.00 X 10284 497952 82184 ROLAND K HUFFAKER DIRECTOR 25.00 25.00 X 366950 164402 53585 SHERI HOLMES CMO 25.00 25.00 X 235638 265143 57105 DARSHAN SURENDKA SHAH DIRECTOR 25.00 25.00 X 406721 83206 54102 JEFFREY A SUMMERS DIRECTOR 25.00 25.00 X 34229 422334 63656 DES R BHARTI PHYSICIAN 25.00 25.00 X 358960 100318 59685 MARTIN E OLSEN DIRECTOR 25.00 25.00 X 99676 336148 55676 DAWN TUELL DIRECTOR 25.00 25.00 X 19294 408931 62178 WILLIAM BROWDER VICE PRESIDE 0.00 40.00 X 0 407544 48479 REID BLACKWELDER DIRECTOR 2.00 50.00 X 0 382738 47014 CARLOS FLORESGUERRA DIRECTOR 25.00 25.00 X 143504 201832 47615 DAVID LEE WOOD DIRECTOR 20.00 20.00 X 52831 264548 57105 KEVIN F BREUEL DIRECTOR 25.00 25.00 X 210242 119042 38725 KENNETH E OLIVE DIRECTOR 25.00 25.00 X 13384 286938 46492 DAVID LINVILLE DIRECTOR 2.00 40.00 X 0 281714 48276 BLAIR REECE DIRECTOR 25.00 25.00 X 191347 91820 37974 M SALAH SHURBAJI DIRECTOR 25.00 25.00 X 8832 270374 36228 MATTHEW R KROILKOWSKI PHYSICIAN 25.00 25.00 X 179209 80166 36481 JONATHAN P MOORMAN DIRECTOR 20.00 20.00 X 9868 215560 23031 ELIZABETH ANN HENLEY COO 40.00 5.00 X 150629 72789 13723 RUSSELL EUGENE LEWIS CEO 5.00 40.00 X 54786 25156 37810 LINDA LATIMER DIRECTOR 1.00 0.00 X 0 0 0 JASON MOORE DIRECTOR 1.00 X 0 0 0 ALLEN MUSIL DIRECTOR 1.00 0.00 X 0 0 0 4743654 6555900 1444873 15 true true false OUTPATIENT REVENUE 621110 48286660 48286660 HOSPITAL REVENUE 621110 29180558 29180558 OTHER CONTRACT REVENUE 621110 19493994 19493994 OTHER INCOME 621110 1039209 1039209 QUALITY INCENTIVE REVENUE 621110 988735 988735 -43003549 -43003549 55985607 427565 427565 262776 262776 262776 262776 GAIN ON SALE OF ASSET -7040 -7040 -7040 56668908 55978567 690341 2221140 2221140 655089 655089 32465573 30496194 1969379 1697141 1330853 366288 1834928 1636690 198238 1875729 1735426 140303 561190 17950 543240 29220 29220 3513272 2270061 1243211 314687 314687 2989755 2768480 221275 949784 834790 114994 149587 121821 27766 119609 65319 54290 27274 27274 534490 412833 121657 975953 829190 146763 MAINTENANCE - EQUIPMENT 319777 280218 39559 ASC 842 LEASE ADJ - EQUIP 265792 265792 PROFESSIONAL DUES 232555 218357 14198 TELEPHONE 217371 178154 39217 444166 378566 65600 52394082 47031610 5362472 0 14832601 6042548 14884026 8796749 6752978 7215889 366581 241299 10772818 5580640 5078676 5192178 1943818 18031861 2446206 5077820 601302 1173095 46906188 51771439 6131954 6809137 594556 1156497 819213 1396145 2152521 7545723 11514300 X 39360465 40257139 39360465 40257139 46906188 51771439 X 4274826 -190603 -3187549 X false true X true false X 5751173 463651 6214824 42952909 44709962 52836840 53523308 55978567 250001586 42952909 44709962 58588013 53986959 55978567 256216410 2001 946 1179 4126 2001 946 1179 4126 256212284 213647 289763 197284 114558 690341 1505593 213647 289763 197284 114558 690341 1505593 43166556 44999725 58785297 54101517 56668908 257722003 0.99410 0.99610 0.01000 0.00000 X 408450 408450 5543948 1506323 4037625 626880 626880 4193540 3447437 746103 5192178 SBITA LIABILITY - ST 1417618 SBITA LIABILITY 734903 2152521 53435875 -190603 -3041064 -3231667 56667542 1366 1366 56668908 52539202 52539202 -145120 -145120 52394082 SCHEDULE D, PAGE 4, PART XI, LINE 2D BAD DEBT -3,041,064 SCHEDULE D, PAGE 4, PART XI, LINE 4B NET ASC 842 LEASE ADJ REVENUE 1,366 SCHEDULE D, PAGE 4, PART XII, LINE 4B NET ASC 842 LEASE ADJ EXPENSE -145,120 true EAST TENNESSEE STATE UNIVERSITY 1276 GILBREATH DR JOHNSON CITY TN 37614 626021046 501C3 1963368 MEDICAL EDUCATION ETSU FOUNDATION 1276 GILBREATH DR JOHNSON CITY TN 37614 237092731 501C3 257772 MEDICAL EDUCATION 2 SCHEDULE I, PAGE 1, PART I, LINE 2 FUNDS ARE ONLY DISTRIBUTED AT THE REQUEST OF THE MEAC BOARD X X false false false false false false false false false WILLIAM BLOCK PRESIDENT 112966 679528 6778 63657 14934 119744 758119 BRAD FELTIS DIRECTOR 458700 221709 18300 20931 18045 477000 260685 J BRACKEN BURNS DIRECTOR 402120 247171 18300 20743 18004 420420 285918 DANIEL F HAYNES PHYSICIAN 431917 108406 24400 100841 47 456317 209294 VIJAY K RAMU PHYSICIAN 395577 161284 18300 35080 18004 413877 214368 DEVAPIRAN JAISHANKAR DIRECTOR 395990 159147 18330 16056 6999 414320 182202 ROBERT T MEANS JR DIRECTOR 10284 497952 309 63876 17999 10593 579827 ROLAND K HUFFAKER DIRECTOR 366950 164402 18300 17281 18004 385250 199687 SHERI HOLMES CMO 235638 265143 14138 28033 14934 249776 308110 DARSHAN SURENDKA SHAH DIRECTOR 406721 83206 18300 17798 18004 425021 119008 JEFFREY A SUMMERS DIRECTOR 34229 422334 2738 45985 14933 36967 483252 DES R BHARTI PHYSICIAN 358960 100318 24400 17281 18004 383360 135603 MARTIN E OLSEN DIRECTOR 99676 336148 7974 32768 14934 107650 383850 DAWN TUELL DIRECTOR 19294 408931 1544 42630 18004 20838 469565 WILLIAM BROWDER VICE PRESIDENT 407544 40237 8242 456023 REID BLACKWELDER DIRECTOR 382738 32080 14934 429752 CARLOS FLORESGUERRA DIRECTOR 143504 201832 11480 21206 14929 154984 237967 DAVID LEE WOOD DIRECTOR 52831 264548 14138 28033 14934 66969 307515 KEVIN F BREUEL DIRECTOR 210242 119042 16819 12130 9776 227061 140948 KENNETH E OLIVE DIRECTOR 13384 286938 1071 30503 14918 14455 332359 DAVID LINVILLE DIRECTOR 281714 30272 18004 329990 BLAIR REECE DIRECTOR 191347 91820 11481 8489 18004 202828 118313 M SALAH SHURBAJI DIRECTOR 8832 270374 707 28569 6952 9539 305895 MATTHEW R KROILKOWSKI PHYSICIAN 179209 80166 10753 7724 18004 189962 105894 JONATHAN P MOORMAN DIRECTOR 9868 215560 789 22242 10657 237802 ELIZABETH ANN HENLEY COO 150629 72789 6767 6956 150629 86512 FORM 990, PAGE 6, PART VI, LINE 6 ORGANIZED WITH MEMBERS. FORM 990, PAGE 6, PART VI, LINE 7A MEMBERS ELECT THE 3 "AT LARGE" DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION HAS PROCEDURES WHICH ADDRESS CONFLICTS OF INTEREST. ONE MAY PRESENT TO THE GOVERNING BOARD OR AT A COMMITTEE MEETING. AFTER THE PRESENTATION, HE OR SHE MUST STEP OUT DURING THE DISCUSSION OF AND VOTE ON THE TRANSACTION OR ARRANGEMENT CONCERNING THE CONFLICT OF INTEREST. IF THE CHAIRMAN FEELS IT IS APPROPRIATE, HE OR SHE MAY APPOINT A PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE WILL DETERMINE IF THE ORGANIZATION CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY WHERE NO CONFLICT OF INTEREST WOULD ARISE. IF A TRANSACTION WITHOUT CONFLICT OF INTEREST CANNOT BE FOUND, THE GOVERNING BOARD OR COMMITTEE WILL DETERMINE BY 75% MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND FAIR AND REASONABLE. THE VOTE WILL DETERMINE IF ENTERING THE TRANSACTION OR ARRANGEMENT WILL VIOLATE THE CONFLICTS OF INTEREST POLICY. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THE INTERESTED PARTY HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT WILL INFORM THE INTERESTED PARTY OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF AFTER HEARING THE RESPONSE AND COMPLETING ADDITIONAL INVESTIGATIONS, AS NEEDED WITH CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE WILL DETERMINE IF THE INTERESTED PARTY HAS FAILED TO DISCLOSE AN ACTUAL CONFLICT OF INTEREST. THEN, APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION WILL BE TAKEN. FORM 990, PAGE 6, PART VI, LINE 15A ALL SALARIES ARE APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 15B ALL SALARIES ARE APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS MAY BE OBTAINED BY WRITTEN REQUEST. FORM 990, PART XI, LINE 9 BAD DEBT EXPENSE -3,024,992 ACCRUED BAD DEBT ALLOWANCE -16,072 ASC 842 LEASE ADJUSTMENT -146,485 TOTAL -3,187,549 EAST TENNESSEE STATE UNIVERSITY 1276 GILBREATH DR JOHNSON CITY TN 37614 626021046 EDUCATION TN 115 N/A false ETSU FOUNDATION 1276 GILBREATH DR JOHNSON CITY TN 37614 237092731 SUPPORT UN TN 3 5 N/A false true true false false false false false false false true false false false false false true true false false EAST TENNESSEE STATE UNIVERSITY B 1963368 ACTUAL ETSU FOUNDATION B 257772 ACTUAL EAST TENNESSEE STATE UNIVERSITY A 262776 ACTUAL EAST TENNESSEE STATE UNIVERSITY P 1192660 ACTUAL EAST TENNESSEE STATE UNIVERSITY Q 958247 ACTUAL EAST TENNESSEE STATE UNIVERSITY J 1173095 ACTUAL