2022-11-15T17:02:20-06:00 2021-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2021-01-01 540505989 Virginia Hospital Center Arlington Health System VIRG 7035585000 1701 North George Mason Drive Arlington VA 22205 John Zabrowski Senior VP/CFO 2022-11-15 true John Zabrowski 999009999 Brittney Kocaj P01320603 9542028600 2021 2022-09-23 18:48:47Z VHC Health Christopher T Lane 1701 North George Mason Drive Arlington VA 22205 675703593 false X vhchealth.org X 1945 VA VIRGINIA HOSPITAL CENTER IS AN ACADEMIC TEACHING HOSPITAL OFFERING A FULL SPECTRUM OF PRIMARY, SECONDARY AND TERTIARY CARE SIGNIFICANTLY IN CARDIOLOGY, ORTHOPEDICS, ONCOLOGY & OB. 21 19 4475 53 1331938 889511 45350318 4082804 522503990 633993328 16468430 30581690 1554356 4856687 585877094 673514509 0 25000 0 0 274382262 307507246 0 0 0 265889284 313091276 540271546 620623522 45605548 52890987 1738353951 1877524577 513161287 531681996 1225192664 1345842581 TO BE THE BEST HOSPITAL. TO PROVIDE THE HIGHEST QUALITY CLINICAL CARE. TO ACHIEVE THE HIGHEST LEVELS OF PATIENT SATISFACTION. TO PROVIDE STATE-OF-THE-ART FACILITIES AND EQUIPMENT. TO INNOVATE IN THE USE OF INFORMATION TECHNOLOGY. false false 575561649 25000 635832807 Virginia Hospital Center Arlington Health System ("VHC") provides medical services to the community in the areas of surgery, cardiology, obstetrics, and emergency care, among other general medical services. 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4310808 PT Solutions Holdings LLC 1990 Vaughn Rd Kennesaw GA 30144 CONSULTING 3710628 80 0 0 0 658859 3213061 210884 0 4082804 PATIENT REVENUE 621400 632323012 632323012 0 0 OTHER OPERATING REVENUE 621400 1670316 1507825 162491 0 0 0 0 0 633993328 13677619 0 0 13677619 265464 0 0 265464 0 0 0 0 2153184 0 733751 0 1419433 0 1419433 0 0 1419433 16500743 137864 0 0 16500743 137864 16638607 0 0 16638607 0 0 0 0 0 0 0 0 0 0 0 0 1721170 1455333 265837 0 0 265837 PARKING 812930 2001970 2001970 OUTSIDE EXECUTIVE PHYSICALS 621300 1060397 1060397 INTERNET RENTAL 532000 109050 109050 0 0 0 0 3171417 673514509 635832807 1331938 32266960 25000 25000 0 0 0 0 5639056 1602344 4036712 0 70733 70733 0 0 261533736 243182529 18351207 0 8669160 8059049 610111 0 14061339 13071741 989598 0 17533222 16299283 1233939 0 0 0 1527777 1420256 107521 0 358738 0 358738 0 66385 66385 0 0 0 0 6353878 0 6353878 0 56195996 53102421 3093575 0 2162947 1982464 180483 0 1114223 -211893 1326116 0 0 0 0 0 0 0 0 11930180 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100821 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A portion of the dues payments to Virginia Hospital Healthcare Association and American Hospital Association are Related to Lobbying Expenses. There were also payments to an outside consulting firm to assist in state and local issues not handled by the hospital associations. American Hospital Association $13,326 State Hospital Association $21,110 VECTRE CORP $66,385 14816516 3679838 1149733 2380546 17265541 17100111 2242135 2122844 6648574 14816516 14517437 2270028 1917515 1604869 17100111 13917692 3540405 -351630 2589030 14517437 13530613 3503027 1887563 5003511 13917692 0.0 0.3578 0.6422 false false 14631216 14631216 340299841 132584228 207715613 133303661 82156311 51147350 436900388 361485699 75414689 77859245 77859245 426768113 CASH AND CASH EQUIVALENTS INVESTMENT IN LIMITED PARTNERSHIP COMMON COLLECTIVE TRUSTS 378035926 F FUNDS HELD BY TRUSTEE PUBLICLY TRADED SECURITIES WITH GREATER THAN 5% OWNERSHIP 378035926 138916737 138916737 DUE TO THIRD PARTY PAYERS 12511292 INTEREST PAYABLE 5972713 OTHER LIABILITIES 40324906 OTHER LONG TERM LIABILITIES 47146776 105955687 X Schedule D, Part V, Line 4 Intended uses of endowment funds The intended uses of the endowments held by Virginia Hospital Center are to support the operations and capital needs of the Orthopedic, Cardiology, Diabetes, Nursing Education, and other programs at the Virginia Hospital Center. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Corporation is exempt from Federal Income Tax under Section 501(C) (3) of the Internal Revenue Code as a Not-For-Profit Corporation. Federal Tax Law requires that the corporation be operated in a manner consistent with its initial exemption application in order to maintain its exempt status. Management has analyzed the operations of the corporation and concluded that is remains in compliance with the requirements for exemption. The State in which the corporation operates also provides general exemption from state income taxation for organizations that are exempt from federal income taxation. However the corporation is subject to both Federal and State income taxation at corporate tax rates on its unrelated business income. Exemption from other State taxes, such as real and Personal property taxes, is separately determined. Current accounting standards define the threshold for recognizing uncertain income tax return positions in the financial statements as "more likely than not" that the position is sustainable, based on technical merits, and also provide guidance on the measurement, classification, and disclosure of tax return positions in the financial statements. Management believes there is no impact on the corporation's accompanying financial statements related to uncertain income tax provisions. Central America and the Caribbean 0 0 Investments 94469739 0 0 0 0 0 0 94469739 0 94469739 true false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true X true X false true true false true true 12802134 12802134 0.0206 53839315 26089990 27749325 0.0447 0 0.0 0 0 66641449 26089990 40551459 0.0653 3842965 3842965 0.0062 10088608 3482652 6605956 0.0106 78215611 55001265 23214346 0.0374 0 0.0 130200 130200 0.0002 0 0 92277384 58483917 33793467 0.0545 0 0 158918833 84573907 74344926 0.1198 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 4614 4614 0.0000 0 0.0 0 0.0 349968 349968 0.0006 0 0 354582 0 354582 0.0006 true 0 0 124173117 121051749 3121368 X true true McLean Tysons Orthopedic Surgery Center LLC Health Services Joint Venture 0.51 0.0 0.49 1 1 VIRGINIA HOSPITAL CENTER 1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 22205 WWW.VIRGINIAHOSPITALCENTER.COM 0040910-2 X X X X VIRGINIA HOSPITAL CENTER 1 false false true X X X X X X X X X 20 true false false true X www.vhchealth.org/about-us/community-health-needs-assessment/ X true 20 true www.vhchealth.org/about-us/community-health-needs-assessment/ false true X 200.0 true true X X X true X www.vhchealth.org/about-us/community-health-needs-assessment/ X www.vhchealth.org/about-us/community-health-needs-assessment/ X www.vhchealth.org/about-us/community-health-needs-assessment/ X X X X X X true X false X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - VIRGINIA HOSPITAL CENTER. THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND COMMUNITY LEADERS OF MINORITY AND UNDERSERVED GROUPS. IN PARTICULAR, THE ORGANIZATION RECEIVED INPUT FROM 155 COMMUNITY LEADERS FROM ARLINGTON COUNTY, LAW ENFORCEMENT, SCHOOL REPRESENTATIVES, ARLINGTON FREE CLINIC LEADERSHIP, VIRGINIA HOSPITAL CENTER MEDICAL STAFF LEADERS, RELIGIOUS LEADERS, HEALTH SYSTEMS AGENCY, AND COMMUNITY NON-PROFITS FOCUSED ON THE HEALTH AND WELFARE OF MEMBERS OF THE COMMUNITY. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - VIRGINIA HOSPITAL CENTER. The community health needs assessment conducted in 2020 identified the following as significant health needs: depression, mental health (other than depression), high blood pressure, adult obesity, substance abuse, aging concerns, domestic violence, behavioral health service, healthcare for uninsured and under-insured, social services, homeless services, and aging services & long-term care support. In support of VHC's ongoing commitment to address the community health needs, several initiatives were undertaken in 2020, and VHC continues to focus efforts in these service areas as identified below: - Mental Illness - Behavioral Health: - Expand Psychiatric inpatient capacity - Expand substance abuse services - Expand emergency department mental health capacity - Acute inpatient and outpatient recovery and wellness program - with focus on assisting the military personnel - Childhood and adult obesity: - Regular, ongoing community education and exercise program for weight management - full-service weight management and bariatric surgery program - Nationally-recognized center for excellence for weight management - APC obesity program - Medical/Surgical services: - Expand inpatient Med/SURG bed capacity - State-of-the -art heart and stroke centers; nationally recognized centers of excellence - Cancer Center - COC accredited and recipient of the outstanding achievement award - Radiation Oncology - Linear accelerator and stereotactic radiosurgery expansion - Diabetes Screening, counseling and education - Expansion of outpatient physical therapy services - Expansion of primary care network - centers in Arlington, Alexandria, Falls Church, Mclean and Shirlington - Outpatient pavilion project - completion in 2022 - Aging Services: - Ongoing "Healthy Aging" series and Alzheimer support group - Lifeline response system to community and low-income seniors - Comprehensive senior services: exercise, nutrition, disease management, falls prevention, safety and memory screening - Collaboration with senior living facilities: focus on improving care and decreasing preventable admissions 25 BREAST CENTER 1625 N GEORGE MASON DR SUITE 315 ARLINGTON VA 22205 PROVIDES SERVICES FOR BREAST HEALTH CARDIOLOGY 1625 N GEORGE MASON DR SUITE 354 ARLINGTON VA 22205 PROVIDES SERVICES FOR CARDIOLOGY COLORECTAL Surgery 1625 N GEORGE MASON DR SUITE 334 ARLINGTON VA 22205 PROVIDES SERVICES FOR COLORECTAL HOSPITALISTS 1625 N GEORGE MASON DR SUITE 425 ARLINGTON VA 22205 INPATIENT CARE INFECTIOUS DISEASES 1715 N GEORGE MASON DR SUITE 305 ARLINGTON VA 22205 PROVIDES SERVICES FOR INFECTIOUS DISEASES MATERNAL FETAL MEDICINE 1635 N GEORGE MASON DR SUITE 190 ARLINGTON VA 22205 PROVIDES SERVICES FOR HIGH RISK PREGNANCY CARDIOVASCULAR & THORACIC SURGERY 1625 N GEORGE MASON DR SUITE 288 ARLINGTON VA 22205 PROVIDES CARDIOVASCULAR & THORACIC SURGERY OB HOSPITALIST 1701 N GEORGE MASON DR SUITE 345 ARLINGTON VA 22205 PROVIDES SERVICES FOR BREAST HEALTH OBGYN 700 S WASHINGTON ST SUITE 3000 ALEXANDRIA VA 22314 PROVIDES OBSTETRICAL SERVICES PALLIATIVE CARE 1635 N GEORGE MASON DR SUITE 115 ARLINGTON VA 22205 PROVIDES SERVICES FOR PALLIATIVE MEDICINE PC ALEXANDRIA 1600 N BEAUREGARD ST SUITE 300 ALEXANDRIA VA 22311 PRIMARY CARE PC ARLINGTON 2800 S SHIRLINGTON RD SUITE 500 ARLINGTON VA 22206 PRIMARY CARE PC FALLS CHURCH 400 S MAPLE AVE SUITE 200 FALLS CHURCH VA 22046 PRIMARY CARE PC MCLEAN 6862 ELM STREET SUITE 600 MCLEAN VA 22101 PRIMARY CARE PC OLD TOWN 700 S WASHINGTON ST SUITE 330 ALEXANDRIA VA 22314 PRIMARY CARE PM&R - OFFICE 1715 N GEORGE MASON DR SUITE 305 ARLINGTON VA 22205 PROVIDES SERVICES FOR MEDICAL SPECIALTY PODIATRY 1600 N BEAUREGARD ST SUITE 300 ALEXANDRIA VA 22311 PROVIDES SERVICES FOR PODIATRY SURGICAL SPECIALISTS 1625 N GEORGE MASON DR SUITE 334 ARLINGTON VA 22205 INPATIENT CARE Immediate Care 764 23rd St S ARLINGTON VA 22202 PROVIDES URGENT AND NONURGENT HEALTH CARE UROLOGY 1625 N GEORGE MASON DR SUITE 454 ARLINGTON VA 22205 PROVIDES UROLOGY SERVICES WOUND CARE 1701 N GEORGE MASON DR SUITE G200 ARLINGTON VA 22205 PROVIDES WOUND CARE & HYPERBARIC MEDICINE Plastic & Reconstructive Surgery 1625 N GEORGE MASON DR SUITE 315 ARLINGTON VA 22205 PROVIDES SERVICES FOR PLASTIC Breast reconstruction due to cancer PC-Arlington North 1715 N George Mason Dr Suite 404 Arlington VA 22205 Primary Care PC-Arlington South 950 S George Mason Dr Suite 107 Arlington VA 22204 Primary Care VHCPG-Gastroenterology 1715 North George Mason Drive Suite 410 Arlington VA 22205 GI Service Schedule H, Part VI REV. PROC. 2015-21 DISCLOSURE RELATING TO SECTION 501(R): REV. PROC. 2015-21 DISCLOSURE RELATING TO SECTION 501(R): IN JUNE 2021, THE ORGANIZATION ENGAGED AN OUTSIDE CONSULTING FIRM TO PERFORM A COMPREHENSIVE REVIEW OF ALL APPLICABLE POLICIES AND PRACTICES UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE AND THE TREASURY REGULATIONS ISSUED THEREUNDER. AS A RESULT OF THAT REVIEW, THE ORGANIZATION: (1) PREPARED AN ADDENDUM TO ITS 2020 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO ENSURE THAT THE CHNA AND IMPLEMENTATION STRATEGY REPORT CONTAINED ALL OF THE REQUIRED ELEMENTS. THE ADDENDUM WAS ADOPTED BY THE ORGANIZATION'S BOARD OF DIRECTORS IN JANUARY 2022 AND SUBSEQUENTLY MADE WIDELY AVAILABLE TO THE PUBLIC. (THIS INFORMATION SUPPORTS SCHEDULE H, PART V, SECTION B, LINE 3) (2) UPDATED ITS FINANCIAL ASSISTANCE, EMERGENCY MEDICAL CARE, AND BILLING AND COLLECTION POLICY LANGUAGE TO ENSURE THAT IT CONTAINED ALL OF THE REQUIRED ELEMENTS. THE UPDATED COMBINED POLICY WAS ADOPTED BY THE ORGANIZATION'S BOARD OF DIRECTORS IN DECEMBER 2021 AND SUBSEQUENTLY WIDELY PUBLICZED. (THIS INFORMATION SUPPORTS SCHEDULE H, PART V, SECTION B, LINES 14 AND 22) (3) UPDATED CERTAIN OPERATIONAL PROCEDURES, INCLUDING THE POSTING OF FINANCIAL ASSISTANCE-RELATED INFORMATION ON ITS WEBSITE AND OTHER PROCEDURES TO WIDELY PUBLICIZE THE AVAILABILITY OF FINANCIAL ASSISTANCE. (THIS INFORMATION SUPPORTS SCHEDULE H, PART V, SECTION B, LINE 16) THE ORGANIZATION CONTINUES TO MONITOR COMPLIANCE WITH SECTION 501(R) ON A REGULAR BASIS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION DIRECTLY REDUCES THE AMOUNT OF PATIENT SERVICE REVENUE REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS BY THE AMOUT OF BAD DEBT EXPENSE. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION ESTIMATES THAT A NEGLIGIBLE AMOUNT OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION UTILIZES A SOFTWARE PROGRAM TO DETERMINE IF PATIENTS HAVE CERTAIN INDICIA OF QUALIFYING FOR FINANCIAL ASSISTANCE, SUCH AS BEING HOMELESS OR POSSESSING VERY LIMITED ASSETS, BEFORE WRITING OFF THE PATIENTS' ACCOUNTS TO BAD DEBT. IF THE PATIENT DOES HAVE CERTAIN INDICIA OF QUALIFYING UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, THEN REGARDLESS OF WHETHER THE PATIENT FILLS OUT A FINANCIAL ASSISTANCE APPLICATION, THE PATIENT WILL BE APPROVED FOR, AND THE CORPORATION DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS AND DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE CORPORATION'S POLICY, AND ESTIMATED IMPLICIT PRICE CONCESSIONS RELATED TO UNINSURED PATIENT ACCOUNTS. THE CORPORATION DETERMINES ITS ESTIMATES OF PRICE CONCESSIONS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE WITH THESE CLASSES OF PATIENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS: PAGE 14 OF ATTACHED FINANCIAL STATEMENTS. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance AS SOON AS A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (EVEN IF AFTER THE BILLING AND COLLECTION PROCESS HAS COMMENCED), THE COLLECTION POLICY STATES THAT ALL BILLING AND COLLECTION EFFORTS WILL CEASE IMMEDIATELY AND COLLECTION EFFORTS WILL NOT TO BE PURSUED. THE ACCOUNT IS IMMEDIATELY WRITTEN OFF AND RECOGNIZED AS CHARITY. ALL PREVIOUS PATIENT PAYMENTS RELATING TO THE FINANCIAL ASSISTANCE APPROVAL ARE RETURNED TO THE PATIENT. Schedule H, Part V, Section B, Line 16a FAP website - VIRGINIA HOSPITAL CENTER: Line 16a URL: www.vhchealth.org/about-us/community-health-needs-assessment/; Schedule H, Part V, Section B, Line 16b FAP Application website - VIRGINIA HOSPITAL CENTER: Line 16b URL: www.vhchealth.org/about-us/community-health-needs-assessment/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - VIRGINIA HOSPITAL CENTER: Line 16c URL: www.vhchealth.org/about-us/community-health-needs-assessment/; Schedule H, Part VI, Line 2 Needs assessment THE ORGANIZATION IS IN CONSTANT COMMUNICATION WITH LEADERS OF THE COMMUNITY TO ENSURE THAT THE NECESSARY CHANGES ARE BEING IMPLEMENTED BASED ON THE NEEDS OF THE COMMUNITY. FOR TAX YEAR 2020, THE ORGANIZATION UNDERTOOK A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). ASSOCIATED WITH THE COMPLETION OF THE CHNA, THE ORGANIZATION'S BOARD OF DIRECTORS ADOPTED AN IMPLEMENTATION STRATEGY TO MEET THE HEALTH NEEDS IDENTIFIED IN THE CHNA. THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. IN PARTICULAR, THE ORGANIZATION RECEIVED INPUT FROM 155 COMMUNITY LEADERS FROM ARLINGTON COUNTY, LAW ENFORCEMENT, SCHOOL REPRESENTATIVES, ARLINGTON FREE CLINIC LEADERSHIP, VIRGINIA HOSPITAL CENTER MEDICAL STAFF LEADERS, RELIGIOUS LEADERS, HEALTH SYSTEMS AGENCY, AND COMMUNITY NON-PROFITS. IN ADDITION, THE CHNA DEFINED THE ORGANIZATION'S COMMUNITY, PROVIDED A DESCRIPTION OF THE PROCESS AND METHODS USED TO CONDUCT THE CHNA, AND DESCRIBED HOW THE ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE CHNA IDENTIFIED SEVEN COMMUNITY HEALTH NEEDS, INCLUDING: DEPRESSION, MENTAL HEALTH (OTHER THAN DEPRESSION), HIGH BLOOD PRESSURE, ADULT OBESITY, SUBSTANCE ABUSE, AGING CONCERNS, AND DOMESTIC VIOLENCE. THE ORGANIZATION SET FORTH AN IMPLEMENTATION STRATEGY, ADOPTED BY THE BOARD OF DIRECTORS, PURSUANT TO WHICH THE ORGANIZATION MAINTAINED, EXPANDED, AND/OR ESTABLISHED PROGRAMS TO ADDRESS 4 OF THE COMMUNITY HEALTH NEEDS: MENTAL ILLNESS - BEHAVIORAL HEALTH SERVICES, CHILDHOOD & ADULT OBESITY, MEDICAL/SURGICAL SERVICES, AND AGING SERVICES. THE ORGANIZATION MADE A DETERMINATION THAT IT WOULD BE A MORE EFFECTIVE USE OF RESOURCES TO FOCUS ON ADDRESSING THE 4 COMMUNITY HEALTH NEEDS NOTED ABOVE, RATHER THAN ATTEMPTING TO ADDRESS THE OTHER HEALTH NEEDS, AS THE ORGANIZATION LACKS THE REQUISITE EXPERTISE AND EXPERIENCE IN THIS AREA TO EFFECTIVELY ADDRESS THIS HEALTH NEED. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance AT ALL ENTRY POINTS FOR MEDICAL SERVICE, PATIENT NOTICE OF FINANCIAL AID PAMPHLETS ARE DISPLAYED AND AVAILABLE TO ALL PATIENTS. THE PAMPHLET EXPLAINS AVAILABLE FINANCIAL ASSISTANCE AND CHARITY PROGRAMS AS WELL AS THE PROCESS FOR APPLYING FOR ASSISTANCE. ALL BILLS AND STATEMENTS MAILED TO PATIENTS CONTAIN CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE. INFORMATION REGARDING FINANCIAL ASSISTANCE AND CHARITY IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE. THE HOSPITAL PROVIDES ONSITE ELIGIBILITY WORKERS TO ASSIST PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information THE HOSPITAL IS LOCATED IN ARLINGTON COUNTY, VIRGINIA. THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF ARLINGTON COUNTY, THE CITY OF ALEXANDRIA, AND PART OF NEIGHBORING FAIRFAX COUNTY WITHIN THE CAPITAL BELTWAY. THE SECONDARY SERVICE AREA INCLUDES THE REMAINDER OF FAIRFAX COUNTY, AS WELL AS PARTS OF LOUDOUN AND PRINCE WILLIAM COUNTIES. THE POPULATION OF THE PRIMARY AREA IN 2020 WAS APPROXIMATELY 728,000. BASED ON RECENT CENSUS PROJECTIONS, 19% OF THE POPULATION IS UNDER EIGHTEEN YEARS OF AGE AND 14% IS OVER 65 YEARS OF AGE. APPROXIMATELY 61% OF THE POPULATION IS WHITE, 15% ASIAN, 13% OTHER OR MULTI-RACE, AND 11% BLACK. Schedule H, Part VI, Line 5 Promotion of community health PROMOTION OF COMMUNITY HEALTH THE HOSPITAL'S VISION IS TO BUILD A HEALTHIER COMMUNITY BY PROMOTING AND PROVIDING ACCESS TO HEALTHCARE SERVICES TO LOW INCOME RESIDENTS IN ITS SERVICE AREA. REGARDLESS OF THE ABILITY TO PAY, THE HOSPITAL PROVIDES A FULL SPECTRUM OF INPATIENT AND OUTPATIENT SERVICES TO MEMBERS OF THE COMMUNITY, INCLUDING 59,057 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 9000 VISITS PER YEAR TO THE HOSPITAL'S INDIGENT CLINIC. THE INDIGENT CLINIC IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE TO LOW INCOME AND UNINSURED COUNTY RESIDENTS. ADDITIONALLY, THE HOSPITAL SUBSIDIZES BREAST AND COLON SCREENINGS AND TREATMENT SERVICES FOR INDIGENT PATIENTS SEEN BY THE ARLINGTON FREE CLINIC. OTHER COMMUNITY SERVICES INCLUDE: - RENT FREE SPACE TO CRISIS LINK - A NONPROFIT CRISIS HOTLINE SERVING NORTHERN VIRGINIA - RENT FREE SPACE TO THE LIONS CLUB - A NONPROFIT ORGANIZATION FURNISHING EYEGLASSES TO THE NEEDY. - HEALTH PROMOTION PROGRAMS AND SERVICES, SUCH AS SMOKING CESSATION, BLOOD PRESSURE SCREENINGS AND WELLNESS PROGRAMS - CLINIC ELIGIBILITY WORKERS THAT ASSIST PATIENTS IN OBTAINING HEALTHCARE SERVICES - SOCIAL SERVICES TO ASSIST PATIENTS IN ARRANGING FOR NON-HOSPITAL HEALTHCARE SERVICES - A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. - THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. 2021 AWARDS AND RECOGNITION - VIRGINIA HOSPITAL CENTER WAS HONORED AS AN ARLINGTON CHAMBER OF COMMERCE 2020 BEST BUSINESS. - NAMED A CMS 5-STAR HOSPITAL, IN 2021, BASED ON OUR PERFORMANCE ACROSS SEVEN AREAS OF QUALITY. - NAMED A LEAPFROG 2021 TOP TEACHING HOSPITAL FOR THE FIFTH TIME IN SIX YEARS, A DISTINCTION ACHIEVED BY AN ELITE GROUP OF HOSPITALS THAT MEET THE NATION'S TOUGHEST SAFETY AND QUALITY STANDARDS. AMONG THE 2200 HOSPITALS CONSIDERED, VIRGINIA HOSPITAL CENTER WAS THE ONLY HOSPITAL IN THE WASHINGTON DC METROPOLITAN AREA AND ONE OF ONLY 72 HOSPITALS NATIONWIDE TO RECEIVE A TOP TEACHING HOSPITAL DISTINCTION. - RECEIVED A LEAPFROG HOSPITAL SAFETY SCORE OF A FOR THE 19TH CONSECUTIVE GRADING PERIOD ONE OF A FEW HOSPITALS IN THE COUNTRY TO ACHIEVE THIS LEVEL OF CONSISTENCY. SELECTED AS ONE OF NEWSWEEKS TOP 200 BEST HOSPITALS IN THE UNITED STATES. NEWSWEEK NAMED THE INPATIENT REHABILITATION AS ONE OF AMERICA'S BEST PHYSICAL REHABILITATION CENTERS. - THE ONLY NORTHERN VIRGINIA HOSPITAL NAMED TO NEWSWEEK'S 2020 LIST OF BEST MATERNITY CARE HOSPITALS. THE DISTINCTION RECOGNIZES FACILITIES THAT HAVE EXCELLED IN PROVIDING CARE TO MOTHERS, NEWBORNS AND THEIR FAMILIES, AS VERIFIED BY THE 2019 LEAPFROG HOSPITAL SURVEY. IN JULY 2021, VHC'S STRUCTURAL HEART PROGRAM BECAME JUST THE 13TH HOSPITAL IN THE COUNTRY TO PERFORM THE TIP-TO-BASE LAMPOON PROCEDURE, MAKING IT POSSIBLE FOR A PATIENT TO SAFELY RECEIVE A MINIMALLY INVASIVE TRANSCATHETER MITRAL VALVE REPLACEMENT (TMVR). - ACHIEVED MAGNET RE-DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER'S (ANCC) MAGNET RECOGNITION PROGRAM THE HIGHEST NATIONAL HONOR FOR PROFESSIONAL NURSING PRACTICE. ONLY ABOUT 7% OF US HOSPITALS HAVE ACHIEVED MAGNET RECOGNITION. - RELEASE OF US NEWS AND WORLD REPORT BEST 2021-2022 HOSPITAL RANKINGS, WAS RANKED #2 IN THE WASHINGTON DC METROPOLITAN AREA AND EARNED RECOGNITION FOR ITS PERFORMANCE IN SEVERAL SPECIALITIES IN US NEWS AND WORLD REPORTS 2021-22 BEST HOSPITAL RANKINGS. RANKED SECOND IN US NEWS AND WORLD REPORT'S IN THE WASHINGTON DC AREA HOSPITAL RANKINGS. STATEWIDE, VHC IS RANKED EIGHTH OUT OF 121 HOSPITALS AND WAS NOTED FOR ITS STRENGTH IN ADULT ORTHOPEDICS, AND IN 10 PROCEDURES AND CONDITIONS INCLUDING COLON CANCER AND SURGERY, LUNG CANCER, HEART FAILURE, HEART ATTACK, KIDNEY FAILURE, STROKE, KNEE REPLACEMENT, HIP REPLACEMENT, HIP FRACTURE AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE. RECEIVED THE FOLLOWING WOMEN'S CHOICE AWARDS: - AMERICA'S 100 BEST HOSPITALS FOR PATIENT EXPERIENCE - AMERICA'S BEST HOSPITALS FOR BARIATRIC SURGERY - AMERICA'S BEST HOSPITALS FOR CANCER CARE AND COMPREHENSIVE BREAST CENTER. - AMERICA'S BEST HOSPITALS FOR HEART CARE - AMERICA'S BEST HOSPITALS FOR OBSTETRICS - AMERICA'S BEST HOSPITALS FOR ORTHOPEDICS - AMERICA'S BEST STROKE CENTERS AMERICA'S BEST HOSPITALS FOR WOMEN'S SERVICES WOMEN'S CHOICE AWARD FOR MAMMOGRAM CENTER AMERICA'S BEST HOSPITALS FOR MINIMALLY INVASIVE SURGERY. - RECOGNIZED AS A 2021 CHIME HEALTHCARE MOST WIRED PROGRAM AND RECOGNIZED AS A CERTIFIED LEVEL 9. VHC RECEIVED RECOGNITION FOR ITS COMMUNITY ENGAGEMENT EFFORTS WITH THE LAUNCH OF ITS APP IN APRIL 2021. THE VHC APP INCLUDES DIRECTIONAL TECHNOLOGY THAT GUIDES PATIENTS THROUGH THE HOSPITAL AND ALLOWS USERS TO MAKE APPOINTMENTS AND ACCESS THE MYVHC PATIENT PORTAL ALL IN ONE PLACE. VHC ALSO FORMED PARTNERSHIP WITHIN THE COMMUNITY, INCLUDING SHARING THEIR TECHNOLOGY WITH ARLINGTON FREE CLINIC (AFC). THROUGH THIS PARTNERSHIP, PATIENTS CAN NOW SEAMLESSLY VIRTUALLY SCHEDULE APPOINTMENTS BETWEEN AFC AND VHC. THE COLLABORATION IS PART OF VHC'S EFFORTS TO STRENGTHEN ITS COMMITMENT IN SERVING THE ARLINGTON COMMUNITY THROUGH TECHNOLOGY. VIRGINIA HOSPITAL CENTER BROUGHT EPIC, A LEADING ELECTRONIC HEALTH RECORD (EHR) SYSTEM TO THE ARLINGTON FREE CLINIC, A COMMUNITY PARTNER. EPIC SERVES AS A DIGITAL DATABASE FOR THE PATIENT CHARTS, GIVING REAL-TIME INFORMATION ON MEDICAL HISTORY, DIAGNOSES, ALLERGIES, MEDICATIONS AND LAB RESULTS. THE ADDITION OF EPIC WILL LEAD TO IMPROVED HEALTH CARE AND BETTER OUTCOMES FOR THE PATIENTS COLLECTIVELY SERVED BY VHC AND THE AFC. ACCREDITATION & CERTIFICATION - RECEIVED COMMISSION ON CANCER (COC) REACCREDITATION. DESIGNATED AS A CASE OBSERVATION SITE FOR ROBOTIC COLORECTAL SURGERY BY INTUITIVE SURGICAL, MANUFACTURER OF THE DA VINCI SURGICAL SYSTEM. - ACCREDITATION, FROM THE SURGICAL REVIEW CORPORATION (SRC), AS A ROBOTIC CENTER FOR EXCELLENCE. - GRANTED THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) DESIGNATION ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS (ACS) 2018-2021 - RE-CERTIFICATION BY JOINT COMMISSION OF OUR CENTER OF EXCELLENCE STATUS AS A HIP AND KNEE REPLACEMENT CENTER, PRIMARY STROKE PROGRAM, AND ADVANCED CERTIFICATION FOR INPATIENT DIABETES PROGRAM. - JOINT COMMISSION (TRIENNIAL) RE-CERTIFICATION OF VIRGINIA HOSPITAL CENTER. - ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) INTERNATIONAL FOR BOTH THE INPATIENT REHAB HOSPITAL PROGRAM AND THE REHAB STROKE SPECIALTY PROGRAM 2013-2021 - PEDIATRIC CENTER RECEIVED CERTIFICATION AS A LEVEL III PATIENT-CENTERED MEDICAL HOME BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) - ACHIEVED A COMPREHENSIVE CENTER ACCREDITATION GRANTED BY THE AMERICAN COLLEGE OF SURGEONS (ACS) METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), IN PARTNERSHIP WITH THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS) 2015-2018 - UNDERSEA & HYPERBARIC MEDICAL SOCIETY (UHMS) CLINICAL HYPERBARIC FACILITY ACCREDITATION - AMERICAN COLLEGE OF RADIOLOGY CENTER OF EXCELLENCE FOR BREAST IMAGING (MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY, BREAST ULTRASOUND & ULTRASOUND-GUIDED BREAST BIOPSY); CT & ULTRASOUND - THE PATHOLOGY DEPARTMENT AT VIRGINIA HOSPITAL CENTER EARNED THE AMERICAN ASSOCIATION OF BLOOD BANKS (AABB) ACCREDITATION FOR TRANSFUSION SERVICES 2018-2020 - AETNA INSTITUTES OF QUALITY RECOGNITION FOR CONSISTENTLY HIGH-VALUE, HIGH-QUALITY CARE IN: BARIATRIC SURGERY - CARDIAC CARE - ORTHOPEDIC (TOTAL JOINTS) WOMEN & INFANT HEALTH DESIGNATED AN AETNA ELECTIVE DELIVERY INFANT SAFETY PROGRAM - BARIATRIC CENTER OF EXCELLENCE FOR UNITED HEALTHCARE - BLUECROSS BLUESHIELD/CAREFIRST DESIGNATED VIRGINIA HOSPITAL CENTER A: - BLUE DISTINCTION & BLUE DISTINCTION CENTER PLUS HOSPITAL - BLUE DISTINCTION CENTER PLUS FOR MATERNITY CARE - BLUE DISTINCTION CENTER PLUS SPECIALTY CENTER FOR KNEE & HIP REPLACEMENT - BLUE DISTINCTION CENTER PLUS FOR CARDIAC CARE - BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY BLUE DISTINCTION PLUS FOR SPINE SURGERY CIGNA CENTERS OF EXCELLENCE DESIGNATION: BARIATRIC SURGERY (GASTRIC BYPASS AND WEIGHT LOSS SURGERY). CARDIAC CATHETERIZATION AND ANGIOPLASTY. COLON SURGERY DELIVERY (C-SECTION AND VAGINAL DELIVERY) HEART SURGERY (CORONARY ARTERY BYPASS SURGERY AND HEART VALVE SURGERY). JOINT REPLACEMENT (HIP AND KNEE REPLACEMENT) RESPIRATORY/PULMONARY CONDITIONS (COPN AND PNEUMONIA). FIVE MEMBERS OF THE NURSING TEAM WERE SELECTED BY THE WASHINGTONIAN MAGAZINE TO RECEIVE "EXCELLENCE IN NURSING AWARDS" VHC RECEIVED A RATING OF AA- WITH A STABLE OUTLOOK FROM FITCH RATINGS AND S&P GLOBAL RATINGS AFFIRMED ITS A+ LONG-TERM RATING WITH A STABLE OUTLOOK. THE STRONG RATINGS REFLECT VHC'S STRONG OPERATING RISK ASSESSMENT AND STABLE MARKET POSITION IN A STABLE MARKET BUT COMPETITIVE SERVICE AREA. Schedule H, Part VI, Line 6 Affiliated health care system THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES NEEDED HEALTHCARE SERVICES TO ITS COMMUNITY. IN PARTICULAR, THROUGH ITS AFFILIATES ARLINGTON PEDIATRIC CENTER AND ARLINGTON URGENT CARE CENTER, AS WELL AS THE EMPLOYMENT OF OVER 190 PHYSICIANS, THE VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM PROVIDES AN ARRAY OF HEALTHCARE SERVICES, IN ADDITION TO INPATIENT AND OUTPATIENT SERVICES PROVIDED BY THE HOSPITAL. ARLINGTON PEDIATRIC CENTER IS A SEPARATE TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, WHICH FOCUSES UPON THE PROVISION OF HEALTHCARE SERVICES TO CHILDREN AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. IN 2021 IT PROVIDED CARE FOR OVER 16,000 PEDIATRIC VISITS AND SERVED AS A MEDICAL HOME TO CHILDREN WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IN 2021 ARLINGTON PEDIATRIC CENTER INCURRED AN OPERATING LOSS OF $($1,017,832) , WHICH WAS COMPOSED PRIMARILY OF COSTS IN EXCESS OF OFFSETTING REVENUE RECEIVED FROM MEDICAID AS A RESULT OF PROVIDING SERVICES TO MEDICAID PATIENTS. IN ADDITION, THE HOSPITAL OPERATED ARLINGTON URGENT CARE CENTER FOR NON-EMERGENCY CONDITIONS THAT REQUIRE PROMPT MEDICAL ATTENTION. ARLINGTON URGENT CARE CENTER IS OPEN 24/7 AND IS RUN BY BOARD CERTIFIED PHYSICIANS IN FAMILY PRACTICE AND EMERGENCY MEDICINE. FURTHERMORE, THE HOSPITAL SUPPORTS ITS COMMUNITY THROUGH THE EMPLOYMENT OF PHYSICIANS OFFERING AN ARRAY OF PRIMARY AND SPECIALTY SERVICES IN AREAS SUCH AS BREAST HEALTH, UROLOGY, COLORECTAL, UROGYNECOLOGY, ONCOLOGY AND SURGERY. false Arlington Free Clinic 2921 11th Street Arlington VA 22204 541671883 501(c)(3) 15000 0 N/A N/A program support Arlington Police Charitable Fund Inc 1425 N COURTHOUSE ROAD Arlington VA 222012685 364559350 501(c)(3) 10000 0 N/A N/A program support 2 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. VHC Health does not have a procedure in place for monitoring the use of grants in the U.S. The organization ensures grants are used for their intended purpose by having representatives of the organization attend the sponsored event. X X X X X false false false false false false false false false James B Cole PRESIDENT CEO 1015985 0 40000 0 33536 0 23200 0 18531 0 1131252 0 0 0 John Zabrowski SENIOR VP CFO 535818 0 0 0 2690 0 12675 0 2513 0 553696 0 0 0 Alexander Eremia Senior VP\Chief Legal Officer 348743 0 0 0 12003 0 15080 0 24050 0 399876 0 0 0 Adrian Stanton VP Real Estate Development 336813 0 0 0 23267 0 23200 0 8782 0 392062 0 0 0 Charles Fletcher VP SUPPORT SERVICES 345467 0 0 0 1793 0 14625 0 24436 0 386321 0 0 0 Melody Dickerson CNO 432141 0 0 0 20975 0 17400 0 24744 0 495260 0 0 0 Michael Malone VP/CHIEF HRO 391676 0 0 0 40001 0 23200 0 18757 0 473634 0 0 0 Michael Mistretta VP CHIEF INFORMATION OFFICER 395734 0 0 0 30288 0 17400 0 24711 0 468133 0 0 0 Susan Stermer ASSOCIATE VP/CONTROLLER 239056 0 8841 0 3503 0 13195 0 3551 0 268146 0 0 0 Tiffany Blackman VP Chief Compliance Officer 257605 0 7718 0 875 0 12485 0 18407 0 297090 0 0 0 David Lee SVP/Chief Medical Officer 506187 0 0 0 28544 0 0 0 25360 0 560091 0 0 0 Richard Krumenacker VP of Facilities 171794 0 5441 0 1457 0 11605 0 26198 0 216495 0 0 0 John Garrett Physician 840269 0 3535 0 30532 0 15080 0 18531 0 907947 0 0 0 Kelly Orzechowski VHCPG Vice Chief 830504 0 265096 0 20303 0 14625 0 13376 0 1143904 0 0 0 John Rhee Physician 840269 0 192611 0 23035 0 15080 0 18531 0 1089526 0 0 0 Jihad Salameh VHCPG Vice Chief 786352 0 147627 0 23630 0 23200 0 15003 0 995812 0 0 0 Myriam Ferzli Physician 672676 0 115388 0 20198 0 12675 0 268 0 821205 0 0 0 A INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY VIR 521304510 041438HE5 2020-05-20 293883095 FUND VIRGINIA HOSPITAL CENTER false false false A 0 0 293883095 0 20854292 94836403 2410228 0 0 0 65929607 109852565 true false false true A false false false false 0.0 0.0 0.0 false false true A false true false false false false false false true A true Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY, VIR NA Hitt Contracting Inc Board Member 5581718 Construction false Walsh Colucci Lubeley and Walsh PC Secretary of the Board of Directors 139100 Legal Services false Andrew Malone Son of Officer 70733 Salary Paid false Schedule L, Part IV COLUMNS A & D Line 1: (A) NAME OF INTERESTED PERSON: HITT CONSTRUCTION (D) DESCRIPTION OF TRANSACTION: BUILDING CONSTRUCTION PAYMENT OF $5,581,717.60 FOR CONSTRUCTION SERVICES WAS PAID TO HITT CONSTRUCTION, WHERE THOMAS MILLAR, Board Member, HAS OWNERSHIP OF HITT CONTRACTING. Line 2: (A) NAME OF INTERESTED PERSON: WALSH, COLUCCI, LUBELEY, AND WALSH P.C. (D) DESCRIPTION OF TRANSACTION: LEGAL SERVICES PAYMENT OF $139,099.92 FOR LEGAL SERVICES WAS PAID TO WALSH, COLUCCI, LUBELEY & WALSH PC, WHERE THOMAS COLUCCI, BOARD MEMBER, IS A PARTNER. Line 3: (A) NAME OF PERSON: ANDREW MALONE (D) DESCRIPTION OF TRANSACTION: SALARY PAID TO FAMILY MEMBER SALARY OF $70,733.34 WAS PAID TO ANDREW MALONE, SON OF MIKE MALONE, VP Administrative Services/CHIEF HR OFFICER. Form 990, Part III, Line 1 ORGANIZATION'S MISSION TO INVEST IN THE PROFESSIONAL GROWTH AND DEVELOPMENT OF OUR PEOPLE. TO MANAGE OUR RESOURCES PRUDENTLY. TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons James Cole and John Zabrowski - Business relationship Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization has no committees with authority to act on behalf of the governing body; therefore, this question has intentionally been answered "no" in accordance with the IRS instructions to the Form 990. Form 990, Part VI, Line 11b Review of form 990 by governing body TO ASSURE COMPLIANCE WITH ALL REGULATORY REQUIREMENTS, THE TAX RETURN IS PREPARED BY AN INDEPENDENT CPA FIRM. A COMPLETED DRAFT IS REVIEWED BY MANAGEMENT AND ALL OUTSTANDING REGULATORY AND PRESENTATION ISSUES ARE RESOLVED. ONCE CHANGES ARE MADE TO THE DRAFT TO REFLECT COMMENTS FROM MANAGEMENT, A FINAL DRAFT IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. UPON RESOLUTION OF ANY REMAINING QUESTIONS OR REQUESTS FOR INFORMATION BY THE BOARD MEMBERS, A FINAL RETURN IS FILED WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY, ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM. DISCLOSURE OF RELATIONSHIPS AND TRANSACTIONS WITH THE CORPORATION AND RELATED ENTITIES AS WELL AS TRANSACTIONS BETWEEN RELATED INDIVIDUALS ARE DISCLOSED. IN ADDITION TO THE ANNUAL REQUIREMENT, ON AN ONGOING BASIS, OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY SELF CONFLICT OF INTEREST IF THEY OCCUR. ALL KNOWN CONFLICT OF INTERESTS ARE REFERRED TO THE COMPLIANCE COMMITTEE FOR RESOLUTION. Form 990, Part VI, Line 15a Process to establish compensation of top management official CERTAIN BOARD MEMBERS AND SEVERAL OTHER OFFICERS OF THE ORGANIZATION ARE OFFICERS OR KEY EMPLOYEES OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM, A RELATED ORGANIZATION, AND ARE COMPENSATED BY VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM. THE COMPENSATION OF THE CEO OF VIRGINIAHOSPITAL CENTER ARLINGTON HEALTH SYSTEM IS DETERMINED BY VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM THROUGH THE USE OF A COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION STUDY OR SURVEY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FOR OTHER OFFICERS AND KEY EMPLOYEES OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM (OTHER THAN THE CEO) A MARKET SUMMARY IS COORDINATED BY AN INDEPENDENT CONSULTANT TO DETERMINE A MARKET RATE RANGE OF COMPENSATION FOR SUCH INDIVIDUALS. THE COMPENSATION IS THEN DETERMINED BY THE CEO OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM WITHIN THE RANGE DETERMINED BY THE INDEPENDENT CONSULTANT. COMPENSATION INCREASES ARE PROVIDED BASED ON THE SAME CRITERIA APPLIED TO VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM EMPLOYEES. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Other changes in net assets - 2514117; VHC PHYSICIAN GROUP LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 870807407 PHYSICIANS VA 49396654 37720380 Virginia Hospital Center ARLINGTON URGENT CARE CENTER LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541994394 URGENT CARE VA 1176151 1282465 Virginia Hospital Center SOUTH ARLINGTON LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 421717170 REAL ESTATE VA 0 0 VIRGINIA HOSPITAL CENTER VIRGINIA HOSPITAL FOUNDATION 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 204129901 FUNDRAISING VA 501(c)(3) Type II VHC true ARLINGTON PEDIATRIC CENTER 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541998631 Healthcare VA 501(c)(3) 10 VHC true McLean Tysons Orthopedic Surgery Center LLC 1760 Old Meadow Rd McLean VA 221023433 851995349 Health Services Joint Venture VA Virginia Hospital Center Arlington Health System N/A 0 2518968 false 0 false 0.51 AHV GROUP 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541304024 REAL ESTATE VA VIRGINIA HOSPITAL CENTER C Corporation 920890 5876274 true true false true false false false false false false false false false true true true false false false false VIRGINIA HOSPITAL CENTER FOUNDATION C 658859 COST VIRGINIA HOSPITAL CENTER FOUNDATION A 58260 COST