2021-11-15T17:57:52-06:00 2020-12-31 560747981 DIXON HUGHES GOODMAN LLP 1410 SPRING HILL ROAD 5TH FLOOR TYSONS VA 22102 990 2020-01-01 540505989 VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM VIRG 7035585000 1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 22205 JOHN ZABROWSKI SENIOR VP/CFO 7035585000 2021-11-15 1 JOHN ZABROWSKI XXX-XX-XXXX AMY BIBBY P00445891 7039700400 2021-11-15 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z JAMES COLE 1701 N GEORGE MASON DR ARLINGTON VA 22205 588056916 0 X WWW.VIRGINIAHOSPITALCENTER.COM 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. 18 14 4283 53 -20221 159337 3520281 45350318 542302515 522503990 58415169 16468430 3327140 1554356 607565105 585877094 0 0 0 0 264877944 274382262 0 0 0 266220089 265889284 531098033 540271546 76467072 45605548 1290415695 1738353951 217341288 513161287 1073074407 1225192664 X 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. TO INVEST IN THE PROFESSIONAL GROWTH AND DEVELOPMENT OF OUR PEOPLE. TO MANAGE OUR RESOURCES PRUDENTLY. TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY. 0 0 111040961 114828734 MEDICINE: PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY, 10,926 CASES PERFORMED IN 2020. 106785335 98496351 SURGERY: PROVIDE SURGICAL SERVICES TO THE COMMUNITY, 10,946 CASES PERFORMED IN 2020 248431309 308357471 OTHER: PROVIDE MEDICAL CARE TO THE COMMUNITY INCLUDING CARDIOLOGY, OBSTETRICS, EMERGENCY AND OTHER SERVICES, 232,575 SERVICES PROVIDED IN 2020 466257605 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 1 0 0 1 294 0 1 4283 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 VA X SUSAN STERMER 7035585000 1701 N GEORGE MASON DR ARLINGTON VA 22205 JOHN GARRETT MD CHAIRMAN & PHYSICIAN 40.00 4.00 X 929482 0 8471 SIDNEY SIMMONDS VICE CHAIRMAN 4.00 X 0 0 0 JOHN NGUYEN TREASURER 4.00 X 0 0 0 THOMAS COLUCCI SECRETARY 4.00 X 0 0 0 DEBORAH BAUM BOARD MEMBER 4.00 4.00 X 0 0 0 CHARLOTTE BENJAMIN BOARD MEMBER 4.00 X 0 0 0 MEREDITH BROADBENT BOARD MEMBER 4.00 4.00 X 0 0 0 PAUL COFONI BOARD MEMBER 4.00 1.00 X 0 0 0 ANDRE COLLINS BOARD MEMBER 4.00 X 0 0 0 NORA GARROTE BOARD MEMBER 4.00 X 0 0 0 STUART GINSBERG BOARD MEMBER 4.00 X 0 0 0 DAN KNISE BOARD MEMBER 4.00 X 0 0 0 LULA LANG-JETER BOARD MEMBER 4.00 X 0 0 0 DAVID LEE MD BOARD MEMBER 4.00 X 0 0 0 RUSSELL MCWEY MD BOARD MEMBER 4.00 X 0 0 0 JAMES MILLAR BOARD MEMBER 4.00 X 0 0 0 VINCENT SEDMAK BOARD MEMBER 4.00 X 0 0 0 DAVID TOWNSHEND BOARD MEMBER 4.00 X 0 0 0 JAMES B COLE PRESIDENT CEO 40.00 6.00 X 1076090 0 31852 JOHN ZABROWSKI SENIOR VP CFO 40.00 4.00 X 508466 0 12724 PAMELA KANE VP HEALTH SYSTEMS 50.00 4.00 X 368729 0 777 MICHAEL MALONE VP CHIEF HRO 50.00 X 453626 0 31844 ADRIAN STANTON VP PUBLIC RELATIONS 50.00 X 385865 0 28417 SUSAN STERMER ASSOCIATE VP/CONTROLLER 50.00 4.00 X 245913 0 24 KEVIN HOAK AVP PERIOPERATIVE SERVICES AND OPERA 50.00 X 302956 0 23338 JEFFREY DILISI SENIOR VP CHIEF MEDICAL OFFICER 50.00 4.00 X 604795 0 9492 MICHAEL MISTRETTA VP CHIEF INFORMATION OFFICER 50.00 X 448117 0 26143 CHARLES FLETCHER VP SUPPORT SERVICES 50.00 X 306285 0 25290 MELODY DICKERSON SR VP PATIENT CARE SERVICE 50.00 X 445683 0 25129 KELLY ORZECHOWSKI PHYSICIAN 40.00 X 863415 0 21146 JIHAD SALAMEH PHYSICIAN 40.00 X 696815 0 27261 ANDREW JOEL PHYSICIAN 40.00 X 695673 0 30187 JOHN RHEE PHYSICIAN 40.00 X 906728 0 9052 9238638 0 311147 356 0 1 0 SKANSKA USA BUILDING INC 389 INTERPACE PKWY 5TH FLOOR PARSIPPANNY NJ 07054 CONSTRUCTION 41805819 MCKESSON DRUG CO 255 ENTERPRISE BLVD GREENVILLE SC 29615 MEDICAL SUPPLIES & EQUIPMENT WHOLESALE 19010742 DMAS MEDICAID 600 EAST BROAD STREET RICHMOND VA 23219 MEDICAL SERVICES 17858371 MEDLINE INDUSTRIES INC 308 CHURCH ST HONEA PATH SC 29654 MEDICAL SUPPLIES AND CLINICAL SOLUTIONS 14540191 CAREFIRST ADMINISTRATORS 3060 WILLIAMS DRIVE SUITE 200 FAIRFAX VA 22030 MEDICAL SERVICES 8126732 356 969958 44286691 93669 45350318 PATIENT REVENUE 621400 519019995 519019995 PARKING 812930 1774196 1774196 OTHER OPERATING REVENUE 621400 1093014 739679 353335 OUTSIDE EXECUTIVE PHYSICALS 621300 483329 483329 INTERNET RENTAL 532000 133456 133456 522503990 7040695 -990341 8031036 2173251 767581 1405670 1405670 1405670 9410434 17301 0 0 9410434 17301 9427735 9427735 1560927 1412241 148686 148686 585877094 521682556 -20221 18864441 5479311 1085100 4394211 131886 131886 233486203 201632214 31853989 7614767 6576488 1038279 11955809 10325626 1630183 15714286 13571632 2142654 142370 142370 2197699 135771 2061928 353460 353460 116076 116076 51609126 46330566 5278560 1913460 1747901 165559 11263831 7978045 3285786 -1440 -1440 3409827 2917149 492678 94513 43653 50860 3559601 3074247 485354 33837218 29223490 4613728 2806437 2423777 382660 SUPPLIES 123855127 122095690 1759437 EQUIPMENT RENTAL & MAIN 25946393 16563720 9382673 DUES 1013648 1013648 TAXES 628193 628193 3143745 143644 3000101 540271546 466257605 74013941 0 25393577 124783669 51781467 47554930 15077045 14910365 4369303 6802631 867772142 542425444 270410156 325346698 616951627 733623836 260283939 439471706 46148581 45860116 1290415695 1738353951 58168854 76321810 93458226 290888460 65714208 145951017 217341288 513161287 X 1054849379 1208976931 18225028 16215733 1073074407 1225192664 1290415695 1738353951 X 45605548 108430681 -1917972 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 57416 57416 0 PART II-B, LINE 1: 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. 17100111 2242135 2122844 6648574 14816516 14517437 2270028 1917515 1604869 17100111 13917692 3540405 -351630 2589030 14517437 13530613 3503027 1887563 5003511 13917692 11150590 3715781 521611 1857369 13530613 0.33040 0.66960 0 0 14631216 14631216 208501855 127512920 80988935 130094662 73824540 56270122 420351872 341087984 79263888 94192537 94192537 325346698 CASH AND CASH EQUIVALENTS 16876359 F INVESTMENT IN LIMITED PARTNERSHIP 12500 F COMMON COLLECTIVE TRUSTS 122254859 F FUNDS HELD BY TRUSTEE 179739219 F PUBLICLY TRADED SECURITIES WITH GREATER THAN 5% OWNERSHIP 120588769 F 439471706 DUE TO THIRD PARTY PAYERS 16999297 INTEREST PAYABLE 4897767 OTHER LIABILITIES 80392450 OTHER LONG TERM LIABILITIES 43661503 145951017 X PART V, LINE 4: 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. PART X, LINE 2: 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 IT 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 - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENT 87777375 0 0 0 0 0 0 87777375 0 87777375 1 0 1 1 1 0 PART III ACCOUNTING METHOD: PART IV, QUESTION 4: THE ORGANIZATION IS NOT REQUIRED TO FILE THE FORM 8621. 1 1 X 1 X 0 0 1 1 0 1 1 12658990 12658990 0.02340 40083271 29418146 10665125 0.01970 52742261 29418146 23324115 0.04310 3182376 3182376 0.00590 9580490 2927291 6653199 0.01230 64434297 43168736 21265561 0.03940 237716 237716 0.00040 77434879 46096027 31338852 0.05800 130177140 75514173 54662967 0.10110 10002 10002 0.00000 341028 341028 0.00060 351030 351030 0.00060 1 3129456 0 123362555 123722422 -359867 X 1 1 1 1 VIRGINIA HOSPITAL CENTER 1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 22205 WWW.VIRGINIAHOSPITALCENTER.COM SCC ID:0040910-2 X X X X VIRGINIA HOSPITAL CENTER 1 0 0 1 X X X X X X X X 20 1 0 0 1 X WWW.VIRGINIAHOSPITALCENTER.COM X 1 20 1 WWW.VIRGINIAHOSPITALCENTER.COM 0 1 X 200.000000000000 1 1 X X X 1 X WWW.VIRGINIAHOSPITALCENTER.COM X WWW.VIRGINIAHOSPITALCENTER.COM X WWW.VIRGINIAHOSPITALCENTER.COM X X X X X X 1 X 0 X 1 0 0 VIRGINIA HOSPITAL CENTER PART V, SECTION B, LINE 5: 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. VIRGINIA HOSPITAL CENTER PART V, SECTION B, LINE 11: 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 VOLENCE, BEHAVIORAL HEALTH SERVICE, HEALTHCARE FOR UNINSURED AND UNDER-INSURED, SOCIAL SERVICES, HOMELESS SERVICES, AND AGAIN 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 - BEHAVORIAL 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 PROGRAMS 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 VIRGINIA HOSPITAL CENTER PART V, SECTION B, LINE 20E: THE ORGANIZATION DID NOT CONDUCT ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST INDIVIDUALS DURING THE TAX YEAR. 22 1 - BREAST CENTER 1625 N GEORGE MASON DR SUITE 315 ARLINGTON VA 22205 PROVIDES SERVICES FOR BREAST HEALTH 2 - CARDIOLOGY 1625 N GEORGE MASON DR SUITE 354 ARLINGTON VA 22205 PROVIDES SERVICES FOR CARDIOLOGY 3 - COLORECTAL 1625 N GEORGE MASON DR SUITE 334 ARLINGTON VA 22205 PROVIDES SERVICES FOR COLORECTAL 4 - HOSPITALISTS 1625 N GEORGE MASON DR SUITE 425 ARLINGTON VA 22205 INPATIENT CARE 5 - INFECTIOUS DISEASES 1715 N GEORGE MASON DR SUITE 305 ARLINGTON VA 22205 PROVIDES SERVICES FOR INFECTIOUS DISEASES 6 - MATERNAL FETAL MEDICINE 1625 N GEORGE MASON DR SUITE 454 ARLINGTON VA 22205 PROVIDES SERVICES FOR HIGH RISK PREGNANCY 7 - CARDIOVASCULAR & THORACIC SURGERY 1625 N GEORGE MASON DR SUITE 288 ARLINGTON VA 22205 PROVIDES CARDIOVASCULAR & THORACIC SURGERY 8 - OB HOSPITALIST 1701 N GEORGE MASON DR SUITE 413 ARLINGTON VA 22205 PROVIDES SERVICES FOR BREAST HEALTH 9 - OBGYN 700 S WASHINGTON ST SUITE 330 ALEXANDRIA VA 22314 PROVIDES OBSTETRICAL SERVICES 10 - PALLIATIVE CARE 1635 N GEORGE MASON DR SUITE 115 ARLINGTON VA 22205 PROVIDES SERVICES FOR PALLIATIVE MEDICINE 11 - PC ALEXANDRIA 1600 N BEAUREGARD ST SUITE 300 ALEXANDRIA VA 22311 PRIMARY CARE 12 - PC ARLINGTON 2800 S SHIRLINGTON RD SUITE 500 ARLINGTON VA 22206 PRIMARY CARE 13 - PC FALLS CHURCH 400 S MAPLE AVE SUITE 200 FALLS CHURCH VA 22046 PRIMARY CARE 14 - PC MCLEAN 6862 ELM STREET SUITE 600 MCLEAN VA 22101 PRIMARY CARE 15 - PC OLD TOWN 700 S WASHINGTON ST SUITE 330 ALEXANDRIA VA 22314 PRIMARY CARE 16 - PM&R - OFFICE 1715 N GEORGE MASON DR SUITE 305 ARLINGTON VA 22205 PROVIDES SERVICES FOR MEDICAL SPECIALTY 17 - PODIATRY 1600 N BEAUREGARD ST SUITE 300 ALEXANDRIA VA 22311 PROVIDES SERVICES FOR PODIATRY 18 - SURGICAL SPECIALISTS 1625 N GEORGE MASON DR SUITE 334 ARLINGTON VA 22205 INPATIENT CARE 19 - URGENT CARE CENTER 601 S CARLIN SPRINGS RD ARLINGTON VA 22204 PROVIDES URGENT AND NON-URGENT HEALTH CARE 20 - UROLOGY 1625 N GEORGE MASON DR SUITE 454 ARLINGTON VA 22205 PROVIDES UROLOGY SERVICES 21 - WOUND CARE 1701 N GEORGE MASON DR SUITE G200 ARLINGTON VA 22205 PROVIDES WOUND CARE & HYPERBARIC MEDICINE 22 - PLASTIC 1625 N GEORGE MASON DR SUITE 315 ARLINGTON VA 22205 PROVIDES SERVICES FOR PLASTIC SURGERY PART I, LINE 7G: THE PLANNING COMMITTEE OF THE BOARD OF DIRECTOR IDENTIFIES CRITICAL MEDICAL NEEDS OF THE COMMUNITY AND RECRUITS PHYSICIANS AND ESTABLISHES NEW PHYSICIAN PRACTICES AND CLINICS TO MEET THE CRITICAL NEEDS OF THE COMMUNITY. IN 2020, THE AGGREGATE, NET LOSS STEMMING FROM THE OPERATION OF THE PHYSICIAN PRACTICES AND CLINICS, INCLUDING THE ARLINGTON URGENT CARE CENTER, BY THE VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM WAS ($21,265,561). THE AGGREGATE, NET LOSS FROM PHYSICIAN PRACTICES WAS CALCULATED BY DETERMINING THE NET LOSS INCURRED BY THE PHYSICIAN PRACTICES DURING THE YEAR ($24,824,229) AND THEN SUBTRACTING FROM THAT FIGURE THE ASSOCIATED HOSPITAL SERVICES NET INCOME OF $13,937,122 STEMMING FROM SUCH PHYSICIAN PRACTICES. PART I, LN 7 COL(F): THE HOSPITAL UTILIZED A COST-TO-CHARGE RATIO FOR REPORTING PROGRAM COSTS. THE COST TO CHARGE RATIO UTILIZED EXCLUDES THE COST AND ASSOCIATED CHARGES RELATED TO THE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES REPORTED IN SCHEDULE H.BAD DEBT EXPENSE OF $11,621,484 IS REPORTED NET OF REVENUES. THIS AMOUNT WAS EXCLUDED FROM TOTAL EXPENSE. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON LINE 2 WAS THE COST TO THE ORGANIZATION OF PROVIDING THE PATIENT CARE SERVICES THAT RESULTED IN THE BAD DEBT EXPENSE. TO DETERMINE THE COST TO THE ORGANIZATION, THE ORGANIZATION MULTIPLIED THE GROSS CHARGES THAT WERE UNCOLLECTED BY THE HOSPITAL'S COST TO CHARGE RATIO. PART III, LINE 3: 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 FINANCIALASSISTANCE, 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. PART III, LINE 4: 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. GENERALLY, PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE CORPORATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY APPLICABLE EXPLICIT AND/OR IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEARS ENDED IN DECEMBER 31, 2020, AND 2019, EXPLICIT AND IMPLICIT PRICE CONCESSIONS ON A CONSOLIDATED BASIS WERE $1,053,346,141 & $1,033,682,048, RESPECTIVELY. PART III, LINE 8: THE ORGANIZATION'S MEDICARE SHORTFALL, AS REPORTED IN SCHEDULE H, PART III, SECTION B, 7, SHOULD BE CONSIDERED A COMMUNITY BENEFIT. ALTHOUGH PROVIDING THE BEST POSSIBLE CARE TO OUR MEDICARE PATIENTS CREATES A FINANCIAL LOSS, PART OF THE MISSION OF OUR ORGANIZATION IS TO SERVE ELDERLY PATIENTS WITHIN THE COMMUNITY, AND WE BELIEVE PROVIDING SUCH CARE HAS CONTRIBUTED TO THE IMPROVEMENT OF HEALTH OVERALL WITHIN THE COMMUNITY. BY PROVIDING THE BEST POSSIBLE CARE TO OUR MEDICARE PATIENTS, WE RELIEVE THE GOVERNMENT AND SURROUNDING OTHER HOSPITALS OF THE FINANCIAL BURDEN OF TREATING THESE PATIENTS INSURED BY THE MEDICARE PROGRAM. FURTHERMORE, THE MEDICARE SHORTFALL REPORTED IS LIKELY UNDERSTATED BECAUSE MEDICARE ALLOWABLE COSTS WERE DETERMINED UTILIZING THE COST TO CHARGE RATIO AS SET FORTH IN THE MEDICARE COST REPORT, AND, AS A RESULT, DO NOT REFLECT THE TRUE, FULL COST OF DELIVERING CARE TO MEDICARE PATIENTS. PART III, LINE 9B: 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 ARE RETURNED TO THE PATIENT. PART VI, LINE 2: 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 COMMUNITYSERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. IN PARTICULAR, THE ORGANIZATION RECEIVED INPUT FROM 28 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. PART VI, LINE 3: 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. PART VI, LINE 4: 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. PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHTHE 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 65,796 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 8500 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 2020 AWARDS AND RECOGNITION- VIRGINIA HOSPITAL CENTER WAS HONORED AS AN ARLINGTON CHAMBER OF COMMERCE 2020 BEST BUSINESS. - NAMED A CMS 5-STAR HOSPITAL, IN 2020, BASED ON OUR PERFORMANCE ACROSS SEVEN AREAS OF QUALITY.- NAMED A LEAPFROG 2019 TOP TEACHING HOSPITAL FOR THE FOURTH TIME IN FIVE YEARS, A DISTINCTION ACHIEVED BY AN ELITE GROUP OF HOSPITALS THAT MEET THE NATION'S TOUGHEST SAFETY AND QUALITY STANDARDS.- RECEIVED A LEAPFROG HOSPITAL SAFETY SCORE OF A FOR THE 16TH CONSECUTIVE GRADING PERIOD ONE OF A FEW HOSPITALS IN THE COUNTRY TO ACHIEVE THIS LEVEL OF CONSISTENCY.- 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.- 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.- 2019 RELEASE OF US NEWS AND WORLD REPORT HOSPITAL RANKINGS, RECEIVED THE HIGHEST RANKING POSSIBLE ("HIGH PERFORMING") IN THE FOLLOWING AREAS: AORTIC VALVE SURGERY, COLON CANCER SURGERY, HEART BYPASS SURGERY, HEART FAILURE, HIP REPLACEMENT AND KNEE REPLACEMENT.- RANKED FOURTH IN US NEWS AND WORLD REPORT'S DC AREA HOSPITAL RANKINGS. VHC RECEIVED THEIR HIGHEST RANKING POSSIBLE ("HIGH PERFORMING") IN THE FOLLOWING AREAS: AORTIC VALVE SURGERY, COLON CANCER SURGERY, HEART BYPASS SURGERY, HEART FAILURE, HIP REPLACEMENT AND KNEE REPLACEMENT.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 - AMERICA'S BEST HOSPITALS FOR HEART CARE - AMERICA'S BEST HOSPITALS FOR OBSTETRICS - AMERICA'S BEST HOSPITALS FOR ORTHOPEDICS - AMERICA'S BEST HOSPITALS FOR PATIENT SAFETY - AMERICA'S BEST STROKE CENTERS- RECOGNIZED AS A 2019 CHIME HEALTHCARE MOST WIRED PROGRAM.ACCREDITATION & CERTIFICATION- RECEIVED COMMISSION ON CANCER (COC) ACCREDITATION AND NATIONAL OUTSTANDING ACHIEVEMENT AWARD FROM THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER 2017-2020- 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 (MEDICAL INTERVENTION, CARDIAC RHYTHM AND CARDIOVASCULAR SURGERY)- ORTHOPEDIC CARE JOINTS AND SPINES - 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+ HOSPITAL - BLUE DISTINCTION CENTER+ FOR MATERNITY CARE - BLUE DISTINCTION CENTER+ SPECIALTY CENTER FOR KNEE & HIP REPLACEMENT - BLUE DISTINCTION CENTER+ FOR CARDIAC CARE - BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY- 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.- THE ORGANIZATION FURTHER INVESTS WITHIN THE COMMUNITY EACH YEAR BY UPDATING INFRASTRUCTURE AND EQUIPMENT, AND SERVICE EXPANSION THRU ITS CAPITAL ALLOCATIONS TO THESE AREAS. PART VI, LINE 6: 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 125 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 2020 IT PROVIDED CARE FOR OVER 14,000 PEDIATRIC VISITS AND SERVED AS A MEDICAL HOME TO CHILDREN WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IN 2020 ARLINGTON PEDIATRIC CENTER INCURRED AN OPERATING LOSS OF $($720,064) , 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. X X X X X X 1 0 0 0 0 0 0 0 0 JOHN GARRETT MD CHAIRMAN & PHYSICIAN 917094 0 1000 0 11388 0 0 0 8471 0 937953 0 0 0 JAMES B COLE PRESIDENT CEO 1026288 0 31000 0 18802 0 22800 0 9052 0 1107942 0 0 0 JOHN ZABROWSKI SENIOR VP CFO 492631 0 14755 0 1080 0 12675 0 49 0 521190 0 0 0 PAMELA KANE VP HEALTH SYSTEMS 368397 0 0 0 332 0 0 0 777 0 369506 0 0 0 MICHAEL MALONE VP CHIEF HRO 434657 0 13136 0 5833 0 22800 0 9044 0 485470 0 0 0 ADRIAN STANTON VP PUBLIC RELATIONS 371945 0 11385 0 2535 0 19380 0 9037 0 414282 0 0 0 SUSAN STERMER ASSOCIATE VP/CONTROLLER 242352 0 1000 0 2561 0 0 0 24 0 245937 0 0 0 KEVIN HOAK AVP PERIOPERATIVE SERVICES AND OPERA 281635 0 20906 0 415 0 12675 0 10663 0 326294 0 0 0 JEFFREY DILISI SENIOR VP CHIEF MEDICAL OFFICER 585319 0 18424 0 1052 0 0 0 9492 0 614287 0 0 0 MICHAEL MISTRETTA VP CHIEF INFORMATION OFFICER 426643 0 12912 0 8562 0 17100 0 9043 0 474260 0 0 0 CHARLES FLETCHER VP SUPPORT SERVICES 296599 0 9143 0 543 0 14625 0 10665 0 331575 0 0 0 MELODY DICKERSON SR VP PATIENT CARE SERVICE 431597 0 13051 0 1035 0 14451 0 10678 0 470812 0 0 0 KELLY ORZECHOWSKI PHYSICIAN 446621 0 416338 0 456 0 14625 0 6521 0 884561 0 0 0 JIHAD SALAMEH PHYSICIAN 513526 0 180590 0 2699 0 16575 0 10686 0 724076 0 0 0 ANDREW JOEL PHYSICIAN 530017 0 164815 0 841 0 19500 0 10687 0 725860 0 0 0 JOHN RHEE PHYSICIAN 902075 0 1000 0 3653 0 0 0 9052 0 915780 0 0 0 PART I, LINE 4A PAMELA KANE RECEIVED A SEVERANCE PAYMENT DURING THE YEAR. A INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY VIRGINIA 521304510 041438HE5 2020-05-20 293883095 FUND VIRGINIA HOSPITAL CENTER CONSTRUCTION 0 1 0 A 293883095 2410228 94828968 196643899 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 0 0 A 0 ANDREW MALONE SON OF OFFICER 60976 SALARY PAID TO FAMILY MEMBER 0 ANNE MARIE GARRETT DAUGHTER OF DIRECTOR JOHN GARRETT 70910 SALARY PAID TO FAMILY MEMBER 0 WALSH COLUCCI LUBELEY AND WALSH PC DIRECTOR, THOMAS COLUCCI 92223 LEGAL SERVICES PROVIDED BY A FIRM IN WHICH THOMAS COLUCCI IS A PARTNER 0 NORTHERN VIRGINIA RADIOLOGY CONSULTANTS PLLC DIRECTOR, RUSSELL MCWEY 150975 RADIOLOGY SERVICES PROVIDED BY A COMPANY IN WHICH RUSSELL MCWEY IS A PARTNER 0 DOMINION ANESTHESIA PLLC DIRECTOR, DAVID LEE 134350 ANESTHESIA SERVICES PROVIDED BY A COMPANY IN WHICH DAVID LEE IS A PARTNER 0 PART IV SALARY OF $60,951 WAS PAID TO ANDREW MALONE, WHO IS A SON OF MIKE MALONE, CHIEF HR OFFICER.SALARY OF $63,272 WAS PAID TO ANNE MARIE GARRETT, WHO IS A DAUGHTER OF JOHN GARRETT, BOARD CHAIRMAN, DIRECTOR OF PHYSICIAN OPERATIONS. FORM 990, PART VI, SECTION B, LINE 11B 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, SECTION B, LINE 12C 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, SECTION B, LINE 15A TO DETERMINE THE APPROPRIATE COMPENSATION OF THE CEO, A MARKET SUMMARY IS COORDINATED AND COMPLETED, ANNUALLY, BY INDEPENDENT CONSULTANTS TO DETERMINE THE MARKET RATE OF COMPENSATION FOR THE CEO, WITHIN AN APPROPRIATE RANGE. THE MARKET SUMMARY IS SUBMITTED TO THE INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, WHICH REVIEWS THE MARKET SUMMARY AND THEN APPROVES THE CEO'S COMPENSATION, WITHIN THE RANGE SET BY THE INDEPENDENT CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 19 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: CHANGE IN INVESTMENT IN VHC FOUNDATION 274,302. ASSETS RELEASED FROM RESTRICTION -2,192,274. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEARS. VHC PHYSICIAN GROUP LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 870807407 PHYSICIANS VA 38668334 21793302 VIRGINIA HOSPITAL CENTER ARLINGTON URGENT CARE CENTER 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541994394 URGENT CARE VA 496462 1089643 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) LINE 12B, II VHC 1 ARLINGTON PEDIATRIC CENTER 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541998631 PEDIATRICS VA 501(C)(3) LINE 11 VHC 1 AHV GROUP 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541304024 REAL ESTATE VA VIRGINIA HOSPITAL CENTER C 1076177 5425087 1.00000 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 VIRGINIA HOSPITAL CENTER FOUNDATION A 56556 FMV VIRGINIA HOSPITAL CENTER FOUNDATION C 969958 FMV