2018-11-14T16:00:32-06:00 2017-12-31 560747981 DIXON HUGHES GOODMAN LLP 1410 SPRING HILL ROAD 5TH FLOOR TYSONS VA 22102 990 2017-01-01 540505989 VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM VIRG 7035585000 1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 22205 PHILIP W PECK ASST TREASURER 7035585000 2018-11-13 1 TAMARA VINEYARD P01775208 7039700400 96.255.204.129 2018-11-13 15:27:04 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 FA6615D9C99F458CE6FA9C42C18D29C367B8AA70 2017 2019-02-21 02:37:17Z JAMES COLE 1701 N GEORGE MASON DR ARLINGTON VA 22205 527456306 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. 17 12 4299 380 -590799 -98121 4826937 4461997 454436250 461283574 38596703 56556991 2550476 2614037 500410366 524916599 0 0 0 0 221586396 240063237 0 0 0 212271725 230507393 433858121 470570630 66552245 54345969 1069566612 1180272870 179394670 185564341 890171942 994708529 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 97428729 0 125812687 MEDICINE: PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY, 20,079 CASES PERFORMED IN 2017. 127967073 0 134642783 SURGERY: PROVIDE SURGICAL SERVICES TO THE COMMUNITY, 14,417 CASES PERFORMED IN 2017. 219102273 0 201085542 OTHER: PROVIDE MEDICAL CARE TO THE COMMUNITY INCLUDING CARDIOLOGY, OBSTETRICS, EMERGENCY AND OTHER SERVICES, 202,676 SERVICES PROVIDED IN 2017. 444498075 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 0 0 0 0 0 1 1 1 1 0 0 1 363 0 1 4299 1 1 1 0 0 0 0 0 0 0 0 0 X 17 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 VA X PHILIP PECK 7035585000 1701 N GEORGE MASON DR ARLINGTON VA 22205 JOHN GARRETT CHAIRMAN 4.00 4.00 X 0 0 0 SIDNEY SIMMONDS VICE CHAIRMAN 2.00 X 0 0 0 JOHN NGUYEN TREASURER 4.00 X 0 0 0 THOMAS COLUCCI SECRETARY 4.00 X 0 0 0 CHARLOTTE BENJAMIN BOARD MEMBER 4.00 4.00 X 0 0 0 STUART GINSBERG BOARD MEMBER 4.00 X 0 0 0 NORA GARROTE BOARD MEMBER 4.00 4.00 X 0 0 0 VINCENT SEDMAK BOARD MEMBER 4.00 1.00 X 0 0 0 DAVID TOWNSHEND BOARD MEMBER 4.00 X 0 0 0 LULA LANG JETER BOARD MEMBER 4.00 X 0 0 0 RUSSELL MCWEY BOARD MEMBER 4.00 X 0 0 0 DAN KNISE BOARD MEMBER 4.00 X 0 0 0 PAUL COFONI BOARD MEMBER 4.00 X 0 0 0 JAMES MILLAR BOARD MEMBER 4.00 X 0 0 0 DAVID LEE BOARD MEMBER 4.00 X 0 0 0 DEBORAH BAUM BOARD MEMBER 4.00 X 0 0 0 ANDRE COLLINS BOARD MEMBER 4.00 X 0 0 0 JAMES B COLE PRESIDENT CEO 40.00 6.00 X X 966639 0 30467 ROBIN NORMAN SENIOR VP CFO 40.00 4.00 X 501605 0 27706 PAMELA KANE VP COO PHYSICIAN SERVICES 40.00 4.00 X 340587 0 22304 MICHAEL MALONE VP CHIEF HRO 40.00 X 374938 0 30418 ADRIAN STANTON VP PUBLIC RELATIONS 40.00 X 265038 0 26755 PHILIP PECK ASST TREASURER 40.00 4.00 X 225783 0 23594 STEVEN RUBLOFF VP & CHIEF DEVELOPMENT OFF 4.00 40.00 X 308558 0 24814 DARLENE VROTSOS SENIOR VP CHIEF NURSING OF 40.00 X 213554 0 4641 JEFFREY DILISI SENIOR VP CHIEF MEDICAL OF 40.00 4.00 X 538612 0 24124 MICHAEL MISTRETTA VP CHIEF INFORMATION OFFIC 40.00 X 366424 0 22858 CHARLES FLETCHER VP SUPPORT SERVICES 40.00 X 212644 0 18680 MELODY DICKERSON SR VP PATIENT CARE SERVICES 40.00 X 190027 0 5437 ROBERT MORDKIN PHYSICIAN 40.00 X 655059 0 10617 JIHAD SALAMEH PHYSICIAN 40.00 X 728410 0 24351 ANDREW JOEL PHYSICIAN 40.00 X 556011 0 25921 KELLY ORZECHOWSKI PHYSICIAN 40.00 X 621365 0 13091 HASSAN TABANDEH PHYSICIAN 40.00 X 603566 0 24643 7668820 0 360421 299 0 1 0 ARAMARK CORPORATION PO BOX 33170 NEWARK NJ 07188 ENVIRON & FOOD SERVICE 6518228 GILBANE BUILDING COMPANY 7 JACKSON WALKWAY PROVIDENCE RI 02903 CONSTRUCTION 5816997 PURSUIT HEALTHCARE 515 PENNSYLVANIA AVE SUITE 100 FORT WASHINGTON PA 19034 CONSULTING 3695338 PULMONARY & MEDICAL ASSOC 500 W ANNANDALE ROAD FALLS CHURCH VA 22046 HEALTHCARE PROVIDER 2757214 SHOEMAKER CONSTRUCTION LLC 15729 CRABBS BRANCH WAY ROCKVILLE MD 20855 CONSTRUCTION 2691326 73 2801727 1660270 4461997 PATIENT REVENUE 621400 455549638 455549638 PARKING 812930 2610747 2610747 OTHER OPERATING REVENUE 621400 2070282 2070282 EXECUTIVE PHYSICALS 621300 1052907 1052907 461283574 47260367 -583884 47844251 3839332 1482733 2356599 2356599 -6915 2363514 8216529 1080095 0 0 8216529 1080095 9296624 9296624 1314412 1056974 257438 257438 524916599 461541012 -590799 59504389 X 4861011 976396 3884615 112737 112737 203522252 194137830 9384422 5170187 4931789 238398 12340534 11771511 569023 14056516 13408369 648147 627228 602135 25093 483339 283339 200000 200000 200000 40918 40918 1393956 1393956 47288560 44218027 3070533 3760435 3219572 540863 12206774 11109632 1097142 4126610 3936332 190278 1049392 997373 52019 5003878 4773149 230729 29476707 28117534 1359173 1895744 1808331 87413 SUPPLIES 97724778 97611212 113566 EQUIPMENT RENTAL & MAIN 23521394 22259940 1261454 DUES 1227625 335604 892021 TAXES 480055 480055 470570630 444498075 26072555 0 19942128 14407165 46817394 47697110 12028632 12664644 5876169 4508619 689215791 443258810 225513080 245956981 449684178 527659966 283983685 304344898 25721346 23033487 1069566612 1180272870 42884049 51740242 112032802 106093133 24477819 27730966 179394670 185564341 X 871341940 973309637 17095038 19658928 1734964 1739964 890171942 994708529 1069566612 1180272870 X 54345969 47583736 2606882 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 40918 40918 0 PART II-B, LINE 1: PORTION OF DUES PAYMENTS TO VIRGINIA HOSPITAL HEALTHCARE ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION RELATED TO LOBBYING EXPENSES. 13530613 3503027 1887563 5003511 13917692 11150590 3715781 521611 1857369 13530613 11189953 1862024 -409825 1491562 11150590 12506114 1803403 444295 3563859 11189953 9679684 2642437 1444660 1260667 12506114 0.13000 0.87000 0 0 2857208 2857208 204603146 115264430 89338716 101252425 50552655 50699770 344287831 277441725 66846106 36215181 36215181 245956981 CASH AND CASH EQUIVALENTS 21745610 F INVESTMENT IN LIMITED PARTNERSHIP 12500 F COMMON COLLECTIVE TRUSTS 136923625 F FUNDS HELD BY TRUSTEE 11371304 F PUBLICLY TRADED SECURITIES WITH GREATER THAN 5% OWNERSHIP 134291859 F 304344898 DUE TO THIRD PARTY PAYERS 14085430 INTEREST PAYABLE 2498600 OTHER LIABILITIES 220226 OTHER LONG TERM LIABILITIES 10926710 27730966 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 76470216 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 INVESTMENT 52290533 0 0 0 0 0 0 128760749 0 128760749 1 0 1 1 1 0 1 1 1 X 0 1 1 1 0 1 1 10444000 10444000 0.02260 20503194 19107941 1395253 0.00300 30947194 19107941 11839253 0.02560 3813825 3813825 0.00830 5816157 3613362 2202795 0.00480 33857660 19317559 14540101 0.03150 660974 660974 0.00140 44148616 22930921 21217695 0.04600 75095810 42038862 33056948 0.07160 6000 6000 0.00000 3500 3500 0.00000 112122 112122 0.00020 121622 121622 0.00020 1 8779714 139248816 143360406 -4111590 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 17 1 0 0 1 X WWW.VIRGINIAHOSPITALCENTER.COM X 1 17 1 WWW.VIRGINIAHOSPITALCENTER.COM 0 1 X 200.000000000000 X X X X 1 1 X 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 91 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: IN ITS 2017 COMMUNITY HEALTH NEEDS ASSESSMENT, VHC IDENTIFIED THE FOLLOWING AS SIGNIFICANT HEALTH NEEDS: BEHAVIORAL HEALTH SERVICES, DENTAL CARE/ORAL HEALTH, AGING SERVICES, CHILDHOOD AND ADULT OBESITY, CANCER, DIABETES, TOBACCO USE, STROKE AND SOCIAL SERVICES. IN SUPPORT OF VHC'S ONGOING COMMITMENT TO ADDRESSING THE COMMUNITY HEALTH NEEDS IDENTIFIED IN VHC'S COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOLLOWING SERVICES WERE UNDERTAKEN IN 2017:- 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 - IMPLEMENTATION OF NEW INTEGRATED HEALTH RECORD- DENTAL CARE/ORAL HEALTH: - NOT A SERVICE EXPERTISE OF VIRGINIA HOSPITAL CENTER- 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 24: THE HOSPITAL FACILITY MAY HAVE CHARGED INDIVIDUALS GROSS CHARGES PRIOR TO THEIR SUBMISSION OF A FINANCIAL ASSISTANCE POLICY OR THE HOSPITAL FACILITY'S DETERMINATION THAT THE INDIVIDUAL QUALIFIED FOR FINANCIAL ASSISTANCE. HOWEVER, THE HOSPITAL FACILITY ALWAYS CORRECTED THE BILL WITHIN A REASONABLE PERIOD OF TIME AFTER LEARNING THE INDIVIDUALS WERE ELIGIBLE FOR FINANCIAL ASSISTANCE. 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 - NEUROLOGY 1701 N GEORGE MASON DR ARLINGTON VA 22205 PROVIDES SERVICES FOR NEUROLOGY 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 3C: THE HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO ALL INDIVIDUALS THAT HAVE FAMILY INCOME LESS THAN 200% OF FEDERAL POVERTY GUIDELINES, REGARDLESS OF THE AMOUNT OF ASSETS HELD BY THE PATIENT.IN ADDITION TO PROVIDING FINANCIAL ASSISTANCE TO PATIENTS THAT QUALIFY UNDER THE PATIENT'S FINANCIAL ASSISTANCE POLICY BECAUSE THEIR FAMILY INCOME IS LESS THAN 200% OF THE FPG, THE HOSPITAL PROVIDES A DISCOUNT TO ALL SELF PAY PATIENTS THAT DO NOT QUALIFY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON THEIR HOSPITAL CHARGES. THE INTENTION OF THE DISCOUNT IS TO LIMIT THE AMOUNT SELF PAY PATIENTS ARE BILLED TO AN AMOUNT THAT APPROXIMATES THE AMOUNT PAID BY CERTAIN COMMERCIAL HMO/PPO PAYERS. USING THE HOSPITAL'S COST-TO-CHARGE RATIO, THE COST OF THE DISCOUNT PROVIDED TO SELF-PAY PATIENTS WAS APPROXIMATELY $1,173,179. PART I, LINE 7: THE COST OF THE SELF-PAY DISCOUNT WAS NOT INCLUDED IN THE DETERMINATION OF THE ORGANIZATION'S FINANCIAL ASSISTANCE AT COST, AS REPORTED IN PART I, LINE 7. 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 2017, 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 $13,616,611. THE AGGREGATE, NET LOSS FROM PHYSICIAN PRACTICES WAS CALCULATED BY DETERMINING THE NET LOSS INCURRED BY THE PHYSICIAN PRACTICES DURING THE YEAR ($20,289,555) AND THEN SUBTRACTING FROM THAT FIGURE THE ASSOCIATED HOSPITAL SERVICES NET INCOME STEMMING FROM SUCH PHYSICIAN PRACTICES ($6,672,944).ALSO INCLUDED IN THE AMOUNT OF SUBSIDIZED HEALTH SERVICES PROVIDED BY VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM IS THE OPERATING LOSS INCURRED BY ARLINGTON PEDIATRIC CENTER, A SUBSIDIARY ORGANIZATION OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM THAT IS EXEMPT FROM FEDERAL INCOME TAXATION UNDER SECTION 501(C)(3). VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM IS REQUIRED TO FUND THE ANNUAL OPERATING LOSSES INCURRED BY ARLINGTON PEDIATRIC CENTER. THE OPERATING LOSS INCURRED BY APC IN 2017 WAS $640,738. 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 $24,652,182 IS REPORTED NET OF REVENUES. THIS AMOUNT WAS EXCLUDED FROM TOTAL EXPENSE. PART III, LINE 4: AS STATED IN THE FOOTNOTES OF FY 2017 AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES RECEIVABLE PAYOR COMPOSITION AND AGING, TAKING INTO CONSIDERATION RECENT WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES AND OTHER FACTORS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. FOR SELF-PAY PATIENTS, THE ALLOWANCE IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO THE COLLECTION RATE OF SELF-PAY BALANCES. THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. AT DECEMBER 31, 2017 AND 2016, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS REPRESENTED APPROXIMATELY 91% AND 92% OF THE PAST DUE ACCOUNTS RECEIVABLE BALANCE, RESPECTIVELY. THE PAST DUE ACCOUNTS RECEIVABLE BALANCE REPRESENTS THE ESTIMATED UNINSURED PORTION OF ACCOUNTS RECEIVABLE. FOR ACCOUNTS RECEIVABLE ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WITH THIRD PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBT AS NECESSARY.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.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 WILL RECEIVE, FINANCIAL ASSISTANCE. 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 UNDERTOOK A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING THE 2017 TAX YEAR. 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 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 5 COMMUNITY HEALTH NEEDS, INCLUDING: HEALTH CARE COVERAGE, DENTALCARE/ORAL HEALTH, SOCIAL SERVICES, AGING SERVICES, AND SUBSTANCE ABUSE. THE ORGANIZATION SET FORTH AN IMPLEMENTATION STRATEGY, ADOPTED BY THE BOARD OF DIRECTORS, PURSUANT TO WHICH THE ORGANIZATION MAINTAINED, EXPANDED, AND ESTABLISED PROGRAMS TO ADDRESS 4 OF THE COMMUNITY HEALTH NEEDS: BEHAVIORAL HEALTH SERVICES, HEALTH CARE COVERAGE, SOCIAL 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 DENTAL CARE/ORAL HEALTH AS WELL. THE ORGANIZATION LACKS THE REQUISITE EXPERTISE AND EXPERIENCE IN THIS AREA TO EFFECTIVELY ADDRESS THIS HEALTH NEED. IN SUPPORT OF VHC ONGOING COMMITMENT TO COMMUNITY HEALTH NEEDS, THE FOLLOWING SERVICES WERE UNDERTAKEN IN 2017: - EXPANSION OF INPATIENT AND OUTPATIENT ADDICTIONS SERVICES - RECEIVED FULL ACCREDITATION FROM AMERICAN COLLEGE OF SURGEONS FOR BARIATRIC SURGERY CENTER - BEGAN PROVIDING HOME HEALTH SERVCIES TO THE COMMUNITY - PRIMARY CARE CENTERS ESTABLISHED IN PRIMARY AND SECONDARY SERVICE AREAS - CONSTRUCTION FOR THE STATE OF THE ART LINEAR ACCELERATOR FOR CANCER TREATMENT - OFFERED REGULAR ONGOING COMMUNITY EDUCATION CLASSES FOR WEIGHT MANAGEMENT AND EXERCISE CLASSES. 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 AND SECONDARY AREAS IN 2017 WAS APPROXIMATELY 1,900,000 AND APPROXIMATELY 87% OF THE HOSPITAL'S ADMISSIONS WERE FROM WITHIN THIS AREA. BASED ON RECENT CENSUS PROJECTIONS, 20% OF THE POPULATION IS UNDER EIGHTEEN YEARS OF AGE AND 11% IS OVER 65 YEARS OF AGE. APPROXIMATELY 64% OF THE POPULATION IS WHITE, 12% HISPANIC, 13% ASIAN AND 11% BLACK. PART VI, LINE 5: 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 64,882 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 6,800 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 FURNISHING EYEGLASSES TO THE NEEDY.*HEALTH PROMOTION PROGRAMS AND SERVICES, SUCH AS SMOKING CESSATION, BLOOD PRESSURE SCREENINGS AND WELLNESS PROGRAMS*CLINIC ELIGIBILITY WORKS THAT ASSIST PATIENTS IN OBTAINING HEALTHCARE SERVICES *SOCIAL SERVICES TO ASSIST PATIENTS IN ARRANGING FOR NON-HOSPITAL HEALTHCARE SERVICES*ACCREDITATION - VIRGINIA HOSPITAL CENTER IS INVOLVED WITH THE FOLLOWING ACCREDITATION PROGRAMS: CARF(LABORATORY) - FULL; TRANSFUSION SERVICES (BLOOD BANK) - FULL; BREAST CENTER OF EXCELLENCE; RADIATION ONCOLOGY DEPARTMENT REACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY.*SPECIAL QUALITY AWARDS: - BEST HOSPITAL IN VIRGINIA FOR NURSES - 2017. VIRGINIA HOSPITAL CENTER WAS RECOGNIZED AS THE #1 HOSPITAL FOR NURSES BASED ON OVER 1,800 SURVEYS OF NURSES FROM 314 HOSPITALS IN VIRGINIA WHO RANKED THE BEST HOSPITALS TO WORK FOR IN THE STATE OF VIRGINIA.- 2017 LEAPFROG HOSPITAL SAFETY SCORE = A. GRADE A - TOP QUALITY HOSPITAL NINE CONSECUTIVE GRADING PERIODS (THE ONLY HOSPITAL IN THE METRO DC MARKET TO ACHIEVE THAT STRING OF CONSISTENCY.- VIRGINIA HOSPITAL CENTER WAS RECOGNIZED AS ONE OF 2017'S MOST WIRED HOSPITALS FOR OUR USE OF TECHNOLOGY TO IMPROVE PATIENT EXPERIENCE AND THE EFFICIENCY OF CARE DELIVERED. THIS IS THE SECOND YEAR IN A ROW THAT WE HAVE RECEIVED THIS SPECIAL RECOGNITION.- VIRGINIA HOSPITAL CENTER WAS RECOGNIZED BY HEALTHSTREAM WITH AN EXCELLENCE THROUGH KNOWLEDGE AWARD FOR THE TOP SCORE AMONG HEALTH SYSTEMS WITH 300+ COURSE COMPLETIONS IN LIFE SAFETY.- THE VHC IT TEAM WAS NAMED A "BEST HOSPITAL IT DEPARTMENT" BY HEALTHCARE IT NEWS BASED ON VHC'S "COMMITMENT TO ENABLING INNOVATIVE USE OF TECHNOLOGY TO HELP PHYSICIANS AND CLINICAL STAFF TO PROVIDE THE BEST CARE AND SUPPORT TO PATIENTS AND FAMILIES."- VIRGINIA HOSPITAL CENTER'S EMERGENCY DEPARTMENT AND URGENT CARE CENTER WHERE RECOGNIZED BY ARLINGTON MAGAZINE AND THE ARLINGTON COMMUNITY AS THE READER'S PICK FOR BEST EMERGENCY ROOM AND BEST URGENT CARE.- VICTORIA LAI, MD, VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP PERFORMED THE FIRST TRANSORAL ENDOSCOPIC THYRODECTOMY IN VIRGINIA AND WASHINGTON DC. THIS IS A VERY ADVANCED PROCEDURE THAT VERY FEW SURGEONS IN THE COUNTRY HAVE PERFORMED AND MAY BE ONE OF THE VERY FEW DONE IN A NON-ACADEMIC HOSPITAL. - RADIATION ONCOLOGISTS DRS. HONG & NASR COLLABORATED WITH NEUROSURGEONS AT GWU AND UVA AND PUBLISHED RESEARCH ON THEIR WORK AROUND CUMULATIVE VOLUMETRIC ANALYSIS AS A KEY CRITERION FOR THE TREATMENT OF BRAIN METASTASES. - VIRGINIA HOSPITAL CENTER RECEIVED THE FOLLOWING WOMEN'S CHOICE AWARD'S FOR PATIENT EXPERIENCE: 100 BEST HOSPITALS FOR PATIENT EXPERIENCE, AMERICA'S BEST HOSPITALS FOR BARIATRIC SURGERY, AMERICA'S BEST BREAST CENTERS, AMERICA'S BEST HOSPITALS FOR CANCER CARE, BEST HOSPITALS FOR HEART CARE, BEST HOSPITALS FOR OBSTETRICS, BEST HOSPITALS FOR ORTHOPEDICS, BEST HOSPITALS FOR PATIENT SAFETY AND AMERICA'S BEST STROKE CENTERS.- VIRGINIA HOSPITAL CENTER RECEIVED THE GOLD DESIGNATION OF ACHIEVEMENT 2017 FOR THE HOSPITAL'S PARTICIPATION IN THE CHAMPIONS PROGRAM WITH ARLINGTON TRANSPORTATION PARTNERS (ATP).*ACCREDITATION & CERTIFICATION- VIRGINIA HOSPITAL CENTER WAS AWARDED THE 2017 OUTSTANDING ACHIEVEMENT AWARD BY THE COMMISSION ON CANCER (COC) OF THE AMERICAN COLLEGE OF SURGEONS (ACS). THIS AWARD RECOGNIZES CANCER PROGRAMS THAT ACHIEVE EXCELLENCE IN COC STANDARDS AND PROVIDING THE HIGHEST QUALITY OF CARE TO CANCER PATIENTS. VHC IS ONE OF A SELECT GROUP OF 16 HOSPITALS TO ACHIEVE THIS RECOGNITION. - VIRGINIA HOSPITAL CENTER'S RADIATION ONCOLOGY SERVICES RECEIVED THE AMERICAN COLLEGE OF RADIOLOGY CERTIFICATE OF ACCREDITATION.- THE VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP PRIMARY CARE PRACTICES OF ARLINGTON, SHIRLINGTON, OLD TOWN, FALLS CHURCH, ALEXANDRIA AND MCLEAN ALL RECEIVED THE PRESTIGIOUS NCQA PATIENT-CENTERED MEDICAL HOME RECOGNITION (THE HIGHEST LEVEL OF DISTINCTION). ONLY ONE IN SIX PRIMARY CARE PHYSICIANS IN AMERICA PRACTICES IN A NCQA-RECOGNIZED PRACTICE. THIS PLACES ALL OF THE VHC PG PRIMARY CARE PRACTICES IN AN ELITE GROUP THAT HAS DEMONSTRATED ITS COMMITMENT TO ADVANCING QUALITY IN HEALTHCARE. - VIRGINIA HOSPITAL CENTER'S ORTHOPEDIC SERVICES RECEIVED DESIGNATION AS AN AETNA INSTITUTES OF QUALITY TOTAL JOINT REPLACEMENT PROGRAM BASED ON THE PROGRAMS "CONSISTENTLY HIGH-QUALITY AND HIGH-VALUE CARE."- VIRGINIA HOSPITAL CENTER'S HEART STATION RECEIVED CERTIFICATE OF ACCREDITATION FROM THE INTERSOCIETAL ACCREDITATION COMMISSION FOR ECHOCARDIOGRAPHY.*LEADERSHIP RECOGNITION- JAMES B. COLE RECEIVED THE 2016 GRASSROOTS CHAMPION AWARD FROM THE AMERICAN HOSPITAL ASSOCIATION. THE AWARD RECOGNIZES THOSE HOSPITAL LEADERS WHO MOST EFFECTIVELY EDUCATE ELECTED OFFICIALS ON HOW MAJOR ISSUES AFFECT THE HOSPITAL'S VITAL ROLE IN THE COMMUNITY, WHO HAVE DONE AN EXEMPLARY JOB IN BROADENING THE BASE OF COMMUNITY SUPPORT FOR THE HOSPITAL AND WHO ARE TIRELESS ADVOCATES FOR HOSPITALS AND THEIR PATIENTS. IT IS AWARDED TO ONE RECIPIENT FROM EACH STATE. - MICHAEL MISTRETTA WAS AGAIN RECOGNIZED IN BECKER'S HOSPITAL REVIEW AS ONE OF THE 100 HOSPITAL CIOS TO KNOW IN 2017.- LYNSI GARVIN, SENIOR DIRECTOR OF EPIC CLINICAL APPLICATIONS, WAS NAMED ONE OF THIS YEAR'S LEADERSHIP CENTER FOR EXCELLENCE 40 UNDER 40 HONOREES.- ROBIN NORMAN, SENIOR VICE PRESIDENT AND CFO, WAS AGAIN RECOGNIZED BY BECKER'S HEALTHCARE AS ONE OF THE "130 WOMEN HOSPITAL AND HEALTH SYSTEM LEADERS TO KNOW IN 2017." - MELISSA CABAHUG, DEBORAH DEATON, ROBIN HARRY, TARYN OVERMAN, JANE RECZEK AND NAGAINA (NIKKI) SIMMONS WERE ALL FINALISTS IN THE 2017 VIRGINIA NURSES ASSOCIATION LEADERSHIP EXCELLENCE AWARDS.- MARIAN SAVAGE WAS ELECTED TO THE NATIONAL ASSOCIATION FOR HEALTHCARE QUALITY'S BOARD OF DIRECTORSVIRGINIA HOSPITAL CENTER IS GOVERNED BY A SELF-PERPETUATING BOARD OF DIRECTORS, COMPRISED OF THE PRESIDENT OF THE CORPORATION, WHO IS AN EX-OFFICIO MEMBER OF THE BOARD WITHOUT VOTE, A REPRESENTATIVE OF THE VIRGINIA HOSPITAL CENTER MEDICAL STAFF, AND NOT LESS THAN FIFTEEN (15) OR MORE THAN TWENTY (20) OTHER MEMBERS ELECTED BY THE BOARD. THE PRESIDENT OF THE CORPORATION AND REPRESENTATIVE OF THE MEDICAL STAFF ARE ELECTED FOR ONE (1) YEAR TERMS. THE REMAINING MEMBERS OF THE BOARD OF DIRECTORS ARE ELECTED FOR THREE (3) YEAR TERMS, WITH APPROXIMATELY ONE-THIRD OF THE MEMBERS' TERMS EXPIRING EACH YEAR. IN DECEMBER 2017, THERE WERE SEVENTEEN (17) TOTAL BOARD MEMBERS.THE MEDICAL STAFF IS APPOINTED BY THE BOARD OF DIRECTORS PURSUANT TO MEDICAL STAFF BYLAWS. THE MEDICAL STAFF BYLAWS PROVIDE THAT THE HOSPITAL WILL EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THIS MEDICAL STAFF IS COMPRISED OF OVER 1,050 MEMBERS.ALL SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED IN THE COMMUNITY THROUGH THE DEVELOPMENT OF NEW AND EXISTING PROGRAMS AND SERVICES AS WELL AS THE PURCHASE AND INVESTMENT IN CURRENT AND FUTURE PROPERTY, PLANT AND EQUIPMENT. 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 NINETY-FIVE 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 2017 IT PROVIDED CARE FOR OVER 14,500 PEDIATRIC VISITS AND SERVED AS A MEDICAL HOME TO CHILDREN WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IN 2017 ARLINGTON PEDIATRIC CENTER INCURRED AN OPERATING LOSS OF $640,738, 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 0 0 0 0 0 0 0 0 0 JAMES B COLE PRESIDENT CEO 950183 0 0 0 16456 0 21600 0 8867 0 997106 0 0 0 ROBIN NORMAN SENIOR VP CFO 498056 0 0 0 3549 0 21600 0 6106 0 529311 0 0 0 PAMELA KANE VP COO PHYSICIAN SERVICES 337109 0 0 0 3478 0 11700 0 10604 0 362891 0 0 0 MICHAEL MALONE VP CHIEF HRO 370147 0 0 0 4791 0 21600 0 8818 0 405356 0 0 0 ADRIAN STANTON VP PUBLIC RELATIONS 263934 0 0 0 1104 0 17948 0 8807 0 291793 0 0 0 PHILIP PECK ASST TREASURER 223204 0 0 0 2579 0 17538 0 6056 0 249377 0 0 0 STEVEN RUBLOFF VP & CHIEF DEVELOPMENT OFF 307988 0 0 0 570 0 18326 0 6488 0 333372 0 0 0 DARLENE VROTSOS SENIOR VP CHIEF NURSING OF 210162 0 0 0 3392 0 0 0 4641 0 218195 0 0 0 JEFFREY DILISI SENIOR VP CHIEF MEDICAL OF 537448 0 0 0 1164 0 13500 0 10624 0 562736 0 0 0 MICHAEL MISTRETTA VP CHIEF INFORMATION OFFIC 362114 0 0 0 4310 0 14040 0 8818 0 389282 0 0 0 CHARLES FLETCHER VP SUPPORT SERVICES 212253 0 0 0 391 0 8087 0 10593 0 231324 0 0 0 MELODY DICKERSON SR VP PATIENT CARE SERVICES 189760 0 0 0 267 0 0 0 5437 0 195464 0 0 0 ROBERT MORDKIN PHYSICIAN 605550 0 46004 0 3505 0 0 0 10617 0 665676 0 0 0 JIHAD SALAMEH PHYSICIAN 611332 0 115180 0 1898 0 13732 0 10619 0 752761 0 0 0 ANDREW JOEL PHYSICIAN 554312 0 0 0 1699 0 15300 0 10621 0 581932 0 0 0 KELLY ORZECHOWSKI PHYSICIAN 526986 0 93023 0 1356 0 6992 0 6099 0 634456 0 0 0 HASSAN TABANDEH PHYSICIAN 494175 0 107760 0 1631 0 14040 0 10603 0 628209 0 0 0 A INDUSTRIAL DEV AUTHORITY OF ARLINGTON 521304510 0414386E6 2010-04-08 143476411 REFUND BOND ISSUED 11/17/2005 0 1 0 A 34375000 143476411 1853717 143476411 2004 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 1 0 0 0 0 0 A 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: INDUSTRIAL DEV AUTHORITY OF ARLINGTON DATE THE REBATE COMPUTATION WAS PERFORMED: 04/30/2015 CARDIOVASCULAR & THORACIC SURGERY PARTNER PLLC DIRECTOR 983775 SURGERY SERVICES, MED DIRECTOR 0 WALSH COLUCCI LUBELEY AND WALSH PC DIRECTOR 142249 LEGAL SERVICES 0 ANNE MARIE GARRETT DAUGHTER OF DIRECTOR JOHN GARRETT 53848 SALARY PAID TO FAMILY MEMBER 0 HITT CONTRACTING INC DIRECTOR 402717 BUILDING AND CONSTRUCTION 0 DOMINION ANESTHESIA PLLC DIRECTOR 159800 ANESTHESIA SERVICES 0 ANDREW MALONE SON OF OFFICER 58889 SALARY PAID TO FAMILY MEMBER 0 PART IV PAYMENT OF $937,950 FOR MEDICAL DIRECTOR OF EMPLOYED PHYSICIAN SERVICES, MEDICAL DIRECTOR OF CARDIOVASCULAR & THORACIC SURGERY AND PROFESSIONAL MEDICAL SERVICES WAS PAID TO CARDIOVASCULAR & THORACIC SURGERY ASSOCIATES, PC, WHERE JOHN GARRETT, MD, CHAIRMAN OF THE BOARD IS A PARTNER.PAYMENT OF $44,021 FOR LEGAL SERVICES WAS PAID TO WALSH, COLUCCI, LUBELEY & WALSH, WHERE THOMAS COLUCCI, SECRETARY OF THE BOARD, IS A PARTNER.PAYMENT OF $65,533 FOR PROFESSIONAL MEDICAL SERVICES WAS PAID TO NORTHERN VIRGINIA RADIOLOGY WHERE DR. RUSSELL MCWEY IS A PARTNER.THE HOSPITAL RECEIVED RENT PAYMENTS OF $26,620 FROM JOHN GARRETT, M.D. BOARD MEMBER.SALARY OF $45,060 WAS PAID TO ANNE MARIE GARRETT, WHO IS A DAUGHTER OF JOHN GARRETT, BOARD CHAIRMAN, DIRECTOR OF PHYSICIAN OPERATIONS.PAYMENT OF $5,132,989 FOR BUILDING & CONSTRUCTION SERVICES WAS PAID TO HITT CONTRACTING INC WHERE JAMES MILLAR IS A CO-CHAIRMAN.PAYMENT OF $133,170 FOR PROFESSIONAL MEDICAL SERVICES WAS PAID TO DOMINION ANESTHESIA PLLC WHERE DR. DAVID LEE IS A PARTNER.PAYMENT OF $8,652 FOR LEGAL SERVICES WAS PAID TO PILLSBURY, WINTHROP, SHAW & PITTMAN WHERE DEBORAH BAUM IS A PARTNER. 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 IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,411,881. MANAGEMENT AND GENERAL EXPENSES 1,861. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,413,742. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 8,897,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,897,772. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 28,908,374. MANAGEMENT AND GENERAL EXPENSES 3,068,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,977,046. FORM 990, PART XI, LINE 9: CHANGE IN INVESTMENT IN VHC FOUNDATION 2,016,083. ASSETS RELEASED FROM RESTRICTION 590,799. 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 28929700 4532100 VIRGINIA HOSPITAL CENTER ARLINGTON URGENT CARE CENTER 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541994394 URGENT CARE VA 2247600 158800 VIRGINIA HOSPITAL CENTER SOUTH ARLINGTON LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 421717170 REAL ESTATE VA 105200 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 1027700 5981200 1.00000 1 1 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 1 VIRGINIA HOSPITAL CENTER FOUNDATION C 2801727 FMV VIRGINIA HOSPITAL CENTER FOUNDATION A 51762 FMV ARLINGTON PEDIATRIC CENTER A 66953 COST