2026-06-03T13:29:35-05:00 2025-09-30 882730877 CHERRY BEKAERT ADVISORY LLC 200 SOUTH 10TH ST STE 900 RICHMOND VA 23219 990 2024-10-01 540701665 VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION VIRG 8042973549 PO BOX 31394 RICHMOND VA 23294 SEAN T CONNAUGHTON PRESIDENT AND CEO 8042973549 2026-06-03 1 1 STEPHANIE LEW P01080011 8046735700 2024 2025-03-06 01:10:19Z SEAN T CONNAUGHTON PO BOX 31394 RICHMOND VA 23294 18972613 0 X WWW.VHHA.COM X 1962 VA VHHA STRIVES TO MAKE VIRGINIA THE HEALTHIEST STATE IN THE NATION. COLLABORATING WITH OUR MEMBERS AND STAKEHOLDERS, VHHA WORKS TO ENSURE THE SUSTAINABILITY OF VIRGINIA'S HEALTH CARE SYSTEM AND IMPROVE THE HEALTH OF ALL VIRGINIANS. 27 26 44 26 0 0 6500830 6273773 5700196 6011880 1281399 1925982 1162051 818566 14644476 15030201 5000 3000 0 0 5776891 6033689 0 0 0 8294756 8748058 14076647 14784747 567829 245454 24068427 24582517 4004699 3877926 20063728 20704591 X COLLABORATING WITH OUR MEMBERS AND STAKEHOLDERS, VHHA WORKS TO ENSURE THE SUSTAINABILITY OF VIRGINIA'S HEALTH CARE SYSTEM AND IMPROVE THE HEALTH OF ALL VIRGINIANS. 0 0 THE VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION PROMOTES THE COMMON HEALTH CARE INDUSTRY INTERESTS OF VIRGINIA'S HOSPITALS AND HEALTH SYSTEMS THROUGH PUBLIC POLICY ADVOCACY, EDUCATIONAL PROGRAMMING, RESEARCH, AND PROJECT DEVELOPMENT. VHHA MEMBER PRIVATE ACUTE HOSPITALS ARE SUBJECT TO PAYMENT OF PROVIDER ASSESSMENTS UNDER THE STATE MEDICAID PROGRAM. THE PROVIDER ASSESSMENTS ARE HIGHLY TECHNICAL IN NATURE REQUIRING COMPLEX ACCOUNTING, RECONCILIATION, MANAGED CARE ORGANIZATION COMPLIANCE, AND UPPER PAYMENT LIMIT VALIDATION. TO ASSIST VHHA MEMBERS WITH THESE COMMON ACTIVITIES AND POOL RESOURCES NEEDED TO FINANCE THEM, VHHA SERVES AS A THIRD-PARTY ADMINISTRATOR AUTHORIZED TO PERFORM VARIOUS PROVIDER ASSESSMENT DUTIES ON BEHALF OF ITS MEMBERS. MOST, BUT NOT ALL VHHA MEMBERS ARE SUBJECT TO THE PROVIDER ASSESSMENT. IN ORDER TO PROPERLY ACCOUNT FOR THE FUNDS AND EXPENSES ASSOCIATED WITH THIS THIRD-PARTY ADMINISTRATOR ROLE AND TO ENSURE THAT THOSE NOT AFFECTED BY THE PROVIDER ASSESSMENT ARE NOT CHARGED FOR THESE SERVICES, VHHA HAS ESTABLISHED SEGREGATED FUNDS AND ACCOUNTS, WHICH ARE OVERSEEN BY A SEPARATE COMMITTEE OF THE VHHA BOARD. THE VIRGINIA HOSPITAL & HEALTHCARE ASSOCIATION SERVES AS A KEY LIAISON WITH THE PUBLIC HEALTH SECTOR GOVERNMENT AGENCIES TO PLAN FOR RESPONSES TO EMERGING PUBLIC HEALTH CHALLENGES THROUGH ITS ADMINISTRATION OF THE HOSPITAL PREPAREDNESS PROGRAM THAT IS SUPPORTED WITH FEDERAL GRANT FUNDING. DURING PREVIOUS FISCAL YEARS, VHHA WAS INSTRUMENTAL IN ASSISTING OUR MEMBERS AND OTHER STAKEHOLDERS IN RESPONDING TO THE GLOBAL PANDEMIC THROUGH FULFILLING CRITICAL COLLABORATION AND COMMUNICATION ROLES, PROVIDING ACCURATE AND TIMELY DATA COLLECTION, SOURCING AND DISTRIBUTING PPE, TESTING AND VACCINATION. 0 1 0 1 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 60 0 1 44 1 0 0 0 0 0 0 0 0 X 27 26 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ELIZABETH MCNAMEE 8042973549 4200 INNSLAKE DRIVE GLEN ALLEN VA 23060 MARK S NANTZ CHAIR 1.00 0.00 X X 0 0 0 MICHAEL I ELLIOTT PHARMD PAST CHAIR 1.00 0.00 X X 0 0 0 WILLIAM LUNN MD VICE CHAIR 1.00 0.00 X X 0 0 0 MICHAEL J DACEY MD SEC/TREASURER 1.00 0.00 X X 0 0 0 STEVEN C ARNER DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM AYCOCK DIRECTOR (FROM 07/17/25) 1.00 0.00 X 0 0 0 ERIC CONLEY DIRECTOR (FROM 04/17/25) 1.00 0.00 X 0 0 0 B ERIC DEATON DIRECTOR 1.00 0.00 X 0 0 0 KURT HOOKS DIRECTOR 1.00 0.00 X 0 0 0 JOANN INMAN DIRECTOR (THRU 04/17/25) 1.00 0.00 X 0 0 0 REESE JACKSON DIRECTOR 1.00 0.00 X 0 0 0 CHRISTOPHER T LANE DIRECTOR 1.00 0.00 X 0 0 0 JEFF LINGERFELT DIRECTOR 1.00 0.00 X 0 0 0 ALAN J LOMBARDO DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL LUTES DIRECTOR 1.00 0.00 X 0 0 0 MARY N MANNIX DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL MCDERMOTT DIRECTOR (TERM 04/25) 1.00 0.00 X 0 0 0 PETER M MULKEY DIRECTOR 1.00 0.00 X 0 0 0 STEVE NARANG MD DIRECTOR 1.00 0.00 X 0 0 0 CHRIS NEWMAN DIRECTOR (FROM 04/25) 1.00 0.00 X 0 0 0 THOMAS ORSINI DIRECTOR 1.00 0.00 X 0 0 0 ANGELA PASLEY-RICH DIRECTOR 1.00 0.00 X 0 0 0 MICHELE RILEY-BROWN DIRECTOR 1.00 0.00 X 0 0 0 ROBERT RUCHTI DIRECTOR 1.00 0.00 X 0 0 0 AMY SAMPSON DIRECTOR 1.00 0.00 X 0 0 0 ERIK SHANNON DIRECTOR 1.00 0.00 X 0 0 0 RICHARD TUGMAN DIRECTOR 1.00 0.00 X 0 0 0 VIVIAN WHITE DIRECTOR 1.00 0.00 X 0 0 0 SEAN T CONNAUGHTON PRESIDENT AND CEO 36.00 4.00 X X 941175 0 51480 ELIZABETH MCNAMEE VP, CHIEF FINANCIAL AND HUMAN RESOURCES OFFICER 26.00 14.00 X 258634 0 37891 R BRENT RAWLINGS SR VP AND GENERAL COUNSEL 33.00 7.00 X 449182 0 62697 ABRAHAM SEGRES VP PATIENT SAFETY AND QUALITY 40.00 0.00 X 278800 0 43071 CRAIG CONNORS VP PAYOR RELATIONS 40.00 0.00 X 256924 0 43950 JULIE DIME VP GOVERNMENT RELATIONS 40.00 0.00 X 227752 0 31118 JAMES ANDREWS VP FINANCIAL POLICY 40.00 0.00 X 234270 0 36043 2646737 0 306250 23 0 1 0 BRANDMINT 1 EAST AVE STE M150 ROCHESTER NY 14604 CONSULTING 209537 K&L GATES LLP 1601 K STREET NW WASHINGTON DC 20006 CONSULTING 148913 PINPOINT MEDIA LLC P O BOX 16345 ALEXANDRIA VA 22302 ADVERTISING 124678 ETHOS EVACUATION STRATEGIES 2285 GRISSOM DR ST LOUIS MO 63146 CONSULTING 122212 BDO USA P O BOX 642743 PITTSBURGH PA 15264 CONSULTING 109240 5 1572397 4691698 9678 6273773 MEMBERSHIP DUES 900099 4714269 4714269 SERVICE FEES 518210 648166 648166 MANAGEMENT FEES 561000 471046 471046 178399 178399 6011880 1550122 1550122 662198 662198 713101 556733 156368 156368 156368 3761539 3382874 2805 378665 -2805 375860 375860 15030201 6011880 0 2744548 X 3000 1355370 3412384 629475 335940 300520 37478 148693 20863 1506150 318529 150546 973433 21724 159473 449446 111810 101128 ASPR PROGRAM EXPENSE 4691698 DUES & SUBSCRIPTIONS 57077 PENALTIES 10 14784747 109873 250473 7410671 6555980 712135 392189 748686 846826 224887 207122 7732743 4052058 3246041 3680685 10343818 11437990 1272316 1211252 24068427 24582517 2744974 2443178 1259725 1434748 4004699 3877926 X 20063728 20704591 20063728 20704591 24068427 24582517 245454 395409 0 X 0 1 X 1 1 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1 4714269 538101 76110 614211 773612 -159401 661127 661127 6085881 3409123 2676758 985735 642935 342800 3680685 X PART X, LINE 2: VHHA IS A SECTION 501(C)(6) AND VBCH IS A 501(C)(3). BOTH ARE EXEMPT FROM INCOME TAXES UNDER THE INTERNAL REVENUE CODE ("IRC") AND THE TAX STATUTES OF THE COMMONWEALTH OF VIRGINIA. VHHA AND VBCH ARE SUBJECT TO TAX ON ANY UNRELATED BUSINESS INCOME THAT THEY MAY GENERATE. VHHA AND VBCH REPORTED NO UNRELATED BUSINESS INCOME FOR THE YEAR ENDED SEPTEMBER 30, 2025. INCOME TAXES ARE PROVIDED FOR THE TAX EFFECTS OF TRANSACTIONS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. DEFERRED INCOME TAXES ARE PROVIDED FOR THE ESTIMATED TAX EFFECTS OF DIFFERENCES BETWEEN THE CONSOLIDATED FINANCIAL STATEMENT CARRYING AMOUNTS AND THE TAX BASES OF RECOGNIZED ASSETS AND LIABILITIES. DEFERRED TAX ASSETS ARE REDUCED BY A VALUATION ALLOWANCE WHEN, IN THE OPINION OF MANAGEMENT, IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED TAX ASSETS WILL NOT BE REALIZED. BASED ON MANAGEMENT'S ESTIMATES AND FUTURE PROJECTED RESULTS, NO ALLOWANCE FOR DEFERRED TAX ASSETS WAS CONSIDERED NECESSARY AS OF SEPTEMBER 30, 2025. TAX POSITIONS MUST MEET A THRESHOLD OF MORE-LIKELY-THAN-NOT IN ORDER FOR THE BENEFIT OF THOSE TAX POSITIONS TO BE RECOGNIZED IN THE ASSOCIATION'S CONSOLIDATED FINANCIAL STATEMENTS. THE ASSOCIATION HAS DETERMINED IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2025. INTEREST AND PENALTIES RELATED TO INCOME TAX ASSESSMENTS, IF ANY, ARE REFLECTED IN INTEREST EXPENSE AND OTHER INCOME, RESPECTIVELY, IN THE ACCOMPANYING CONSOLIDATED STATEMENT OF ACTIVITIES. THERE WAS NO PENALTY OR INTEREST ASSOCIATED WITH ITS TAX POSITIONS FOR THE YEAR ENDED SEPTEMBER 30, 2025. THE ASSOCIATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEAR ENDED SEPTEMBER 2022 OR PRIOR. X X 1 0 X X X 0 1 0 SEAN T CONNAUGHTON PRESIDENT AND CEO 746319 0 194856 0 0 0 46000 0 5480 0 992655 0 0 0 R BRENT RAWLINGS SR VP AND GENERAL COUNSEL 374704 0 74478 0 0 0 44034 0 18663 0 511879 0 0 0 ABRAHAM SEGRES VP PATIENT SAFETY AND QUALITY 253294 0 25506 0 0 0 26969 0 16102 0 321871 0 0 0 CRAIG CONNORS VP PAYOR RELATIONS 233498 0 23426 0 0 0 25378 0 18572 0 300874 0 0 0 ELIZABETH MCNAMEE VP, CHIEF FINANCIAL AND HUMAN RESOUR 235168 0 23466 0 0 0 24482 0 13409 0 296525 0 0 0 JAMES ANDREWS VP FINANCIAL POLICY 215373 0 18897 0 0 0 22753 0 13290 0 270313 0 0 0 JULIE DIME VP GOVERNMENT RELATIONS 207780 0 19972 0 0 0 21610 0 9508 0 258870 0 0 0 PART I, LINE 1A SEAN T. CONNAUGHTON RECEIVED A GROSS-UP PAYMENT TO COVER THE TAXES ON INCENTIVE COMPENSATION PAYMENTS. THE INCENTIVE COMPENSATION AND THE GROSS-UP PAYMENTS WERE TREATED AS TAXABLE COMPENSATION. THE ORGANIZATION SUBSIDIZES GYM DUES FOR ALL EMPLOYEES. PART I, LINE 4B THE CEO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THAT WAS ESTABLISHED IN 2015. NO CONTRIBUTIONS WERE MADE TO THE PLAN DURING THE TAX YEAR. THREE HIGHEST COMPENSATED EMPLOYEES (SR. VP AND GENERAL COUNSEL, VP OF QUALITY/SAFETY AND VP OF GOVERNMENT AFFAIRS) ALSO PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. CONTRIBUTIONS OF $39,478, $27,040, AND $23,000 RESPECTIVELY WERE MADE DURING THE TAX YEAR ON THEIR BEHALF. ALL FOUR EMPLOYEES RECEIVED DISTRIBUTIONS IN FY25. A NEW SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WAS ESTABLISHED FOR THE CEO ON 1/1/24 ALLOWING HIM TO DEFER A PORTION OF HIS COMPENSATION EACH PAY PERIOD. A CONTRIBUTION OF $89,600 WAS MADE TO THE PLAN ON THE CEO'S BEHALF IN JANUARY 2025. FORM 990, PART VI, SECTION A, LINE 4 AS OF APRIL 17, 2025 VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION'S MEMBERS UNANIMOUSLY ADOPTED REVISED ORGANIZATION ARTICLES OF INCORPORATION AND BYLAWS. THE SIGNIFICANT CHANGES INCLUDED THE FOLLOWING: 1) THE CORPORATION SHALL NOW HAVE ONE CLASS OF MEMBERS WHO ARE HOSPITALS OR HEALTH SYSTEMS, AND THE REMOVAL OF THE FOLLOWING TYPES OF INSTITUTIONAL MEMBERS: (A) TYPE I SHALL INCLUDE HOSPITALS (GENERAL, NON-GOVERNMENTAL PSYCHIATRIC AND SPECIAL FACILITIES) WHICH PROVIDE INPATIENT CARE AND HEALTH DELIVERY SYSTEMS. THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER PARTICULAR FACILITIES OR ORGANIZATIONS QUALIFY FOR MEMBERSHIP AS PROVIDED FOR IN THE BYLAWS OF THE CORPORATION. (B) TYPE II SHALL INCLUDE ALL OTHER HEALTH CARE ORGANIZATIONS INELIGIBLE FOR TYPE I MEMBERSHIP, INCLUDING WITHOUT LIMITATION FEDERAL AND STATE LONG-TERM CARE FACILITIES, DISPENSARIES, CLINICS AND SIMILAR ORGANIZATIONS FOR THE DIAGNOSIS AND TREATMENT OF THE SICK AND INJURED. (C) TYPE III SHALL INCLUDE ORGANIZATIONS INTERESTED IN THE PURPOSES OF THE CORPORATION BUT WHICH ARE NOT ELIGIBLE FOR INSTITUTIONAL MEMBERSHIP TYPES I OR II. 2) THE DIRECTORS SHALL BE APPOINTED BY THE MEMBERS OF THE CORPORATION IN THE MANNER SPECIFIED IN THE BYLAWS. 3) THERE SHALL BE SUCH NUMBER OF DIRECTORS OF THE CORPORATION AS PROVIDED FOR IN THE BYLAWS, BUT NOT LESS THAN THREE (3). THE DIRECTORS SHALL BE APPOINTED BY THE MEMBERS OF THE CORPORATION IN THE MANNER SPECIFIED IN THE BYLAWS. 4) THE CORPORATION SHALL BE GOVERNED AND OPERATED BY AND UNDER THE AUTHORITY OF THE BOARD OF DIRECTORS. THE NUMBER OF DIRECTORS SHALL BE NO LESS THAN THE NUMBER OF MEMBERS OF THE CORPORATION, EXCEPT AS OTHERWISE SET FORTH HEREIN. THERE SHALL BE ONE DIRECTOR APPOINTED BY EACH MEMBER OF THE CORPORATION, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. NO MEMBER SHALL HAVE MORE THAN ONE REPRESENTATIVE ON THE BOARD OF DIRECTORS. THE DIRECTOR APPOINTED BY THE MEMBER SHALL BE THE PRESIDENT, CHIEF EXECUTIVE OFFICER, OR CHIEF OPERATING OFFICER OF THE MEMBER OR ITS HOSPITAL SUBSIDIARY HAVING THE AUTHORITY TO ACT ON THE MEMBER'S BEHALF WITH RESPECT TO ALL MATTERS CONSIDERED OR ACTIONS TAKEN BY THE BOARD OF DIRECTORS AND SHALL BE SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. ANY EXCEPTION TO THIS REQUIREMENT IS SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. THE PRESIDENT AND CEO SHALL BE AN EX-OFFICIO DIRECTOR WITH ALL PRIVILEGES AND RESPONSIBILITIES OF OTHER DIRECTORS, INCLUDING VOTING RIGHTS; PROVIDED, HOWEVER, THE PRESIDENT AND CEO SHALL NOT BE PERMITTED TO VOTE ON MATTERS PERTAINING TO HIS OR HER EMPLOYMENT STATUS OR COMPENSATION. FORM 990, PART VI, SECTION A, LINE 4 5) VACANCIES SHALL BE FILLED BY APPOINTMENT MADE BY THE MEMBER TO WHICH THE VACANCY RELATES, SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS WITH SUCH DESIGNATIONS, QUALIFICATIONS, AND RIGHTS AS SET FORTH IN THE BYLAWS OF THE CORPORATION. MEMBERS ARE HOSPITALS OR HEALTH SYSTEMS WHICH GOVERN, OWN OR CONTROL AT LEAST ONE VIRGINIA HOSPITAL AND MEET SUCH DESIGNATIONS AND QUALIFICATIONS REQUIRED TO BE ELIGIBLE FOR MEMBERSHIP AS THE BOARD OF DIRECTORS OF THE CORPORATION MAY PRESCRIBE. EACH SHALL HAVE VOTING RIGHTS AS PROVIDED FOR IN THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS SHALL BE APPOINTED BY THE MEMBERS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING MATTERS REQUIRE A MAJORITY VOTE BY THE MEMBERS TO BE ADOPTED: 1. AMENDMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS; 2. A PLAN OF MERGER OR CONSOLIDATION; 3. SALE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; AND 4. DISSOLUTION OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE AND MANAGEMENT REVIEW THE 990 AND THEN MAKE IT AVAILABLE TO THE BOARD OF DIRECTORS ON THE BOARD PORTAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE ALL INTERESTS ANNUALLY ON A WRITTEN FORM WHICH IS SIGNED AND DATED. IF A CONFLICT EXISTS, THE ISSUE WILL BE REVIEWED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE ASSOCIATION CONTRACTS WITH A RELIABLE AND REPUTABLE CONSULTANT WHO REVIEWS APPROPRIATE COMPARATIVE DATA FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING FEES 1,506,150. VIRGINIA HOSPITAL RESEARCH AND EDUCATION FOUNDATION PO BOX 31394 RICHMOND VA 23294 540801059 RESEARCH AND EDUCATION IN THE HEALTHCARE INDUSTRY VA 501(C)(3) LINE 10 VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION 1 VIRGINIA BUSINESS COALITION ON HEALTH PO BOX 31394 RICHMOND VA 23294 541271014 EDUCATION IN THE HEALTHCARE INDUSTRY VA 501(C)(3) LINE 7 VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION 1 VIRGINIA HOSPITAL ASSOCIATION POLITICAL ACTION COMMITTEE PO BOX 31394 RICHMOND VA 23294 541298898 POLITICAL ACTION COMMITTEE VA 527 VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION 1 VIRGINIA HOSPITAL SHARED SERVICES CORPORATION PO BOX 31394 RICHMOND VA 23294 541137831 HOSPITAL GROUP PURCHASING PROGRAM VA VIRGINIA HOSPITAL AND HEALTHCARE ASSOCIATION C 1 1 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 0 VIRGINIA HOSPITAL SHARED SERVICES CORPORATION A 662198 BOOK VIRGINIA HOSPITAL RESEARCH AND EDUCATION FOUNDATION A 41199 BOOK VIRGINIA HOSPITAL SHARED SERVICES CORPORATION A 19255 BOOK VIRGINIA HOSPITAL SHARED SERVICES CORPORATION C 1572397 BOOK VIRGINIA HOSPITAL SHARED SERVICES CORPORATION L 150000 BOOK VIRGINIA HOSPITAL RESEARCH AND EDUCATION FOUNDATION L 150000 BOOK