2015-11-16T14:00:28-06:00 2014-12-31 560747981 DIXON HUGHES GOODMAN LLP 111 ROCKVILLE PIKE 6TH FLOOR ROCKVILLE MD 20850 990 2014-01-01 540505989 VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM VIRG 7035585000 1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 22205 PHILIP PECK ASST TREASURER 7035585000 2015-11-11 1 AARON COHEN P01782580 2404033700 2015-11-11 2014 2016-03-07 17:11:31Z JAMES COLE 1701 N GEORGE MASON DR ARLINGTON VA 22205 478255933 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 3435 360 624728 -319760 1260667 3305923 431652621 432996944 23963264 37411940 3507736 3697590 460384288 477412397 0 0 0 0 185704392 196263045 0 0 0 204740913 217335970 390445305 413599015 69938983 63813382 955471204 998099446 199665895 189622349 755805309 808477097 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 96579312 109058266 MEDICINE: PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY, 17,358 CASES PERFORMED IN 2014. 126079686 129287522 SURGERY: PROVIDE SURGICAL SERVICES TO THE COMMUNITY, 15,780 CASES PERFORMED IN 2014. 156865706 159503017 OTHER: PROVIDE MEDICAL CARE TO THE COMMUNITY INCLUDING CARDIOLOGY, OBSTETRICS, EMERGENCY AND OTHER SERVICES, 217,536 SERVICES PROVIDED IN 2014. 379524704 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 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 1 388 0 1 3435 1 1 1 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 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 4.00 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 PETER CONVERSE BOARD MEMBER 4.00 X 0 0 0 STUART GINSBERG BOARD MEMBER 4.00 X 0 0 0 DENIS THOMAS 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 MEM/CHIEF MED INFO O 4.00 X 283250 0 0 JAMES B COLE PRESIDENT CEO 40.00 6.00 X X 832324 0 15832 DAN KNISE BOARD MEMBER 4.00 X 0 0 0 PAUL COFONI BOARD MEMBER 4.00 X 0 0 0 DEBORAH BAUM 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 PAMELA KANE VP COO PHYSICIAN SERVICES 40.00 X 52980 0 1625 ROBIN NORMAN SENIOR VP CFO 40.00 4.00 X 489807 0 15157 MICHAEL MALONE VP ADMIN SERV 40.00 X 337489 0 28408 ADRIAN STANTON VP PUBLIC RELATIONS 40.00 X 229658 0 26154 PHILIP PECK ASST TREASURER 40.00 4.00 X 236824 0 25472 STEVE RUBLOFF CHIEF DEVELOPMENT OFFICER 36.00 4.00 X 245485 0 23788 DARLENE VROTSOS VP CHIEF NURSING OFFICER 40.00 X 333280 0 8842 CHRISTOPHER O'BRIEN VP PHYSICIAN SERVICES 40.00 X 313902 0 17448 JEFFREY DILISI VP CHIEF MEDICAL OFFICER 40.00 X 430386 0 19993 CAROLINA REYES PHYSICIAN 40.00 X 497721 0 8493 JIHAD SALAMEH PHYSICIAN 40.00 X 472925 0 22611 ANDREW JOEL PHYSICIAN 40.00 X 477780 0 24571 OTHON WILTZ PHYSICIAN 40.00 X 526591 0 20797 MARY SEBASTIAN PHYSICIAN 40.00 X 471342 0 17639 6231744 0 276830 312 0 1 1 ARAMARK CORPORATION ENVIRON FOOD SVC NEWARK NJ 07188 ENVIRON & FOOD SERVICE 13941968 MEDSTAR GEORGETOWN UNIVERSITY 3800 RESERVOIR RD WASHINGTON DC 20007 EDUCATION 2887141 PULMONARY & MEDICAL ASSOC 500 W ANNANDALE ROAD FALLS CHURCH VA 22046 HEALTHCARE PROVIDER 2626473 SHOEMAKER CONSTRUCTION LLC 15729 CRABBS BRANCH WAY ROCKVILLE MD 20855 CONSTRUCTION 1528414 ASSOCIATES IN MEDICAL PHYSICS 10210 GREENBELT RD SUITE 110 LANHAM MD 20706 MEDICAL CONSULTING 1318790 70 3305923 3305923 PATIENT REVENUE 426142223 426142223 OTHER OPERATING REVENUE 3091409 3091409 PARKING 2194374 2194374 EXECUTIVE PHYSICALS 621300 823369 823369 LABORATORY REV 621500 302437 302437 443132 443132 432996944 15163542 -931127 16094669 3509996 26742 3483254 3483254 -4569 3487823 22248398 0 22248398 22248398 22248398 1031130 816794 214336 222850 -8514 477412397 431650856 624728 41830890 X 3796081 792502 3003579 47284 47284 164334005 150381286 13952719 4209695 3851164 358531 11798929 10794039 1004890 12077051 11048474 1028577 690513 675974 14539 517132 177491 339641 234389 234389 37237 37237 3349393 3349393 41927027 38907243 3019784 2193230 1552016 641214 11770924 9954919 1816005 2951521 2700051 251470 193606 155598 38008 5777492 5285435 492057 30520559 27921188 2599371 6186058 5659205 526853 SUPPLIES 88423677 88327257 96420 EQUIPMENT RENTAL & MAIN 21609403 20873894 735509 DUES 641284 466968 174316 TAXES 312525 312525 413599015 379524704 34074311 0 11544185 20188962 30309576 30611263 9724279 10112433 3576976 4618388 610305575 384314521 227268184 225991054 565575840 603062838 91506697 85255703 15965467 18258805 955471204 998099446 47696162 42005765 129803127 123584503 22166606 24032081 199665895 189622349 X 739896751 793344698 14223594 13447435 1684964 1684964 755805309 808477097 955471204 998099446 X 63813382 -10548584 -593010 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 37237 37237 0 PART II-B, LINE 1: PORTION OF DUES PAYMENTS TO VIRGINIA HOSPITAL HEALTHCARE ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION RELATED TO LOBBYING EXPENSES. 12506114 1803403 444295 3563859 11189953 9679684 2642437 1444660 1260667 12506114 9452158 978327 1089254 1840055 9679684 8665137 2743672 -42077 1914574 9452158 7852117 455563 895062 537605 8665137 0.00000 0.29000 0.71000 0 0 2857208 2857208 199742453 104068246 95674207 72078613 34720030 37358583 329161775 245526245 83635530 6465526 6465526 225991054 CASH AND CASH EQUIVALENTS 15749757 F INVESTMENT IN LIMITED PARTNERSHIP 12500 F COMMON COLLECTIVE TRUSTS 62533417 F FUNDS HELD BY TRUSTEE 6960029 F 85255703 DUE TO THIRD PARTY PAYERS 8736282 INTEREST PAYABLE 2913100 OTHER LIABILITIES 133057 OTHER LONG TERM LIABILITIES 12249642 24032081 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. CENTRAL AMERICA AND THE CARIBBEAN 6677637 0 0 0 0 0 0 6677637 0 6677637 1 0 1 1 0 0 1 1 1 X 0 1 1 1 0 1 1 8751876 8751876 0.02120 19395111 14788395 4606716 0.01110 28146987 14788395 13358592 0.03230 3456028 3456028 0.00840 5217891 3041661 2176230 0.00530 40270632 31503250 8767382 0.02120 374395 374395 0.00090 49318946 34544911 14774035 0.03580 77465933 49333306 28132627 0.06810 5000 5000 0.00000 3500 3500 0.00000 58004 58004 0.00010 66504 66504 0.00010 1 5441077 118630098 119817429 -1187331 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 14 1 0 0 1 X WWW.VIRGINIAHOSPITALCENTER.COM X 1 14 1 WWW.VIRGINIAHOSPITALCENTER.COM 0 0 1 X 200.000000000000 X X X X 1 1 X X X X 1 X X X X X X X X 1 X 0 X 1 X 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 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 FOCUSED ON THE HEALTH AND WELFARE OF MEMBERS OF THE COMMUNITY. VIRGINIA HOSPITAL CENTER PART V, SECTION B, LINE 11: IN ITS 2014 COMMUNITY HEALTH NEEDS ASSESSMENT, VHC IDENTIFIED THE FOLLOWING AS SIGNIFICANT HEALTH NEEDS: BEHAVIORAL HEALTH SERVICES, OVERALL HEALTH CARE COVERAGE/ACCESS, 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 2014:-MAINTAINED AND ENHANCED ACUTE INPATIENT BEHAVIORAL SERVICES WITH RECRUITMENT OF PSYCHIATRIST WITH INPATIENT FOCUS -REGULAR, ONGOING COMMUNITY EDUCATION COURSES FOR WEIGHT MANAGEMENT AND EXERCISE -FULL SERVICE BARIATRIC SURGERY PROGRAM, CENTER OF EXCELLENCE -EXPANDING ACUTE INPATIENT AND OUTPATIENT RECOVERY AND WELLNESS SERVICES WITH FOCUS ON ASSISTING MILITARY PERSONNEL-STATE OF THE ART CANCER SERVICES PROVIDED, INCLUDING PREVENTION, SCREENING AND TREATMENT -DIABETES SCREENING, COUNSELING AND EDUCATION PROVIDED -STATE OF THE ART SERVICES PROVIDED FOR HEART AND STROKE PATIENTS, INCLUDING OPEN HEART SURGERY, DESIGNATED INPATIENT HEART AND STROKE PATIENT CARE -HEART AND STROKE CENTERS HAVE RECEIVED "CENTERS OF EXCELLENCE" DESIGNATION FROM INDEPENDENT THIRD PARTIES.-MAINTAINED ONGOING PROVISION OF "HEALTHY AGING SERIES" AND ALZHEIMER SUPPORT GROUP -PROVIDED LIFELINE RESPONSE SYSTEM TO COMMUNITY AND LOW-INCOME SENIORS -PRIMARY CARE CENTERS ESTABLISHED IN ALEXANDRIA, BURKE, FALLS CHURCH, MCLEAN, SHIRLINGTON AND TYSON'S -COMPREHENSIVE SENIOR SERVICES - SENIOR EXERCISE, DISEASE MANAGEMENT/PREVENTION, FALLS SAFETY AND MEMORY SCREENING -ACTIVE PARTICIPATION IN THE COMMISSION ON AGING (ARLINGTON & ALEXANDRIA) AND THE AGENCY ON AGING-TOBACCO USE COUNSELING PROVIDED TO ALL APPROPRIATE INPATIENTS. STOP SMOKING CLASSES OFFERED REGULARLY TO THE COMMUNITY -PARTNER WITH CHILDREN NATIONAL MEDICAL CENTER TO PROVIDE NEONATAL INTENSIVE CARE AND BACKUP PEDIATRIC SPECIALTY SERVICES -COLLABORATE WITH LOCAL SENIOR LIVING FACILITIES TO IMPROVE CARE AT THE FACILITY WITH FOCUS ON DECREASING PREVENTABLE ADMISSIONS-OFFER EXPANDED INTENSIVE OUTPATIENT RECOVERY AND WELLNESS SERVICES AT CARLIN SPRINGS LOCATION. -EXPANSION OF PRIMARY CARE NETWORK - ONGOING -ENGAGE IN FACILITY PLANNING TO ASSURE POPULATION GROWTH AND COMMUNITY NEEDS ARE APPROPRIATELY ADDRESSED. -RESEARCH BIRTHS WITHOUT PRENATAL CARE FOR UNDERLYING CAUSES AND POTENTIAL SOLUTIONS.THE ORGANIZATION HAS NOT ADDRESSED THE HEALTH NEED OF DENTAL CARE/ORAL HEALTH. THE ORGANIZATION MADE A DETERMINATION THAT IT WOULD BE A MORE EFFECTIVE USE OF RESOURCES TO FOCUS ON ADDRESSING THE OTHER SIGNIFICANT COMMUNITY HEALTH NEEDS, 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. VIRGINIA HOSPITAL CENTER PART V, SECTION B, LINE 22D: THE HOSPITAL DOES NOT CHARGE ANY PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. ALL PATIENTS THAT QUALIFY FOR FINANCIAL ASSISTANCE RECEIVE FREE CARE. FURTHERMORE, THE ORGANIZATION BELIEVES THERE ARE OTHER ORGANIZATIONS THAT MAY BE IN A SUPERIOR POSITION, DUE TO EXPERTISE AND EXPERIENCE, TO PROVIDE SUCH CARE. 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. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY VIRGINIA HOSPITAL CENTER PART V, SECTION B, LINE 16A WEBSITE: WWW.VIRGINIAHOSPITALCENTER.COM VIRGINIA HOSPITAL CENTER PART V, SECTION B, LINE 16B WEBSITE: WWW.VIRGINIAHOSPITALCENTER.COM VIRGINIA HOSPITAL CENTER PART V, SECTION B, LINE 16C WEBSITE: WWW.VIRGINIAHOSPITALCENTER.COM 29 PRIMARY CARE ALEXANDRIA 1600 N BEAUREGARD STREET 300 ALEXANDRIA VA 22311 PRIMARY CARE PRIMARY CARE ARLINGTON 1635 N GEORGE MASON DRIVE 140 ARLINGTON VA 22205 PRIMARY CARE PRIMARY CARE BURKE 8991 COTSWOLD DRIVE BURKE VA 22215 PRIMARY CARE PRIMARY CARE FALLS CHURCH 400 S MAPLE AVENUE 200 FALLS CHURCH VA 22046 PRIMARY CARE PRIMARY CARE MCLEAN 6862 ELM STREET 600 MCLEAN VA 22101 PRIMARY CARE PRIMARY CARE MT VERNON 1625 N GEORGE MASON DRIVE 314 ARLINGTON VA 22205 PRIMARY CARE PRIMARY CARE TYSONS 1500 CORNERSIDE BOULEVARD 600 TYSONS CORNER VA 22182 PRIMARY CARE BREAST HEALTH 1625 N GEORGE MASON DRIVE 315 ARLINGTON VA 22205 PROVIDES SERVICES FOR BREAST HEALTH CARDIOLOGY 1625 N GEORGE MASON DRIVE 354 ARLINGTON VA 22205 PROVIDES SERVICES FOR CARDIOLOGY COLORECTAL SURGERY 1625 N GEORGE MASON DRIVE 454 ARLINGTON VA 22205 PROVIDES COLORECTAL SURGERY ENDOCRINOLOGY 4660 KENMORE AVENUE 514 ALEXANDRIA VA 22304 OUT PATIENT ENDOCRINE CONSULTATIONS GYNECOLOGIC ONCOLOGY 1625 N GEORGE MASON DRIVE 345 ARLINGTON VA 22205 PROVIDES SERVICES FOR GYNECOLOGY ONCOLOGY HERNIA & HEARTBURN INSTITUTE 8988 LORTON STATION BOULEVARD 202 LORTON VA 22079 PROVIDES SERVICES FOR HERNIA & HEARTBURN HOSPITALISTS 1625 N GEORGE MASON DRIVE 425 ARLINGTON VA 22205 INPATIENT CARE 1635 N GEORGE MASON DRIVE #190 1715 N GEORGE MASON DRIVE 305 ARLINGTON VA 22205 PROVIDES SERVICES FOR INFECTIOUS DISEASES MATERNAL FETAL MEDICINE 1635 N GEORGE MASON DRIVE 190 ARLINGTON VA 22205 PROVIDES SERVICES FOR HIGH RISK PREGNANCY MUSCULOSKELETAL TUMOR SURGERY 1625 N GEORGE MASON DRIVE 464 ARLINGTON VA 22205 PROVIDES SERVICES FOR MUSCULOSKELETAL TUMOR SURGERY ARLINGTON OBGYN HOSPITALISTS 1635 N GEORGE MASON DRIVE 115 ARLINGTON VA 22205 PROVIDES OBSTETRICAL SERVICES PALLIATIVE MEDICINE 1635 N GEORGE MASON DRIVE 115 ARLINGTON VA 22205 PROVIDES SERVICES FOR PALLIATIVE MEDICINE PHYSICAL MEDICINE & REHABILITATION 1715 N GEORGE MASON DRIVE 305 ARLINGTON VA 22205 PROVIDES SERVICES FOR PHYSICAL THERAPY PLASTIC & RECONSTRUCTIVE SURGERY 1625 N GEORGE MASON DRIVE 324 ARLINGTON VA 22205 PROVIDES PLASTIC & RECONSTRUCTIVE SURGERY PODIATRY 5275 LEE HIGHWAY 304 ARLINGTON VA 22207 PROVIDES SERVICES FOR PODIATRY PSYCHIATRIC & ADDICTIONS SERVICES 1701 N GEORGE MASON DRIVE GROUND FLOOR ARLINGTON VA 22205 PROVIDES PSYCHIATRIC & ADDICTIONS SERVICES SURGICAL SPECIALISTS 1625 N GEORGE MASON DRIVE 334 ARLINGTON VA 22205 INPATIENT CARE UROGYNECOLOGY & PELVIC SURGERY 1625 N GEORGE MASON DRIVE 475 ARLINGTON VA 22205 PROVIDES UROGYNECOLOGY & PELVIC SURGERY UROLOGY 1625 N GEORGE MASON DRIVE 415 ARLINGTON VA 22205 PROVIDES UROLOGY SERVICES VHC URGENT CARE 601 S CARLIN SPRINGS ROAD ARLINGTON VA 22204 PROVIDES URGENT AND NON-URGENT HEALTH CARE WOUND CARE & HYPERBARIC MEDICINE 1701 N GEORGE MASON DRIVE G200 ARLINGTON VA 22205 PROVIDES WOUND CARE & HYPERBARIC MEDICINE SOUTH ARLINGTON LLC 601 S CARLIN SPRINGS ROAD ARLINGTON VA 22204 PROPERTY MANAGEMENT OFFICE 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 $1,123,124. 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 2014, 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 $8,767,382. THE AGGREGATE, NET LOSS FROM PHYSICIAN PRACTICES WAS CALCULATED BY DETERMINING THE NET LOSS INCURRED BY THE PHYSICIAN PRACTICES DURING THE YEAR ($13,641,949) AND THEN SUBTRACTING FROM THAT FIGURE THE ASSOCIATED HOSPITAL SERVICES NET INCOME STEMMING FROM SUCH PHYSICIAN PRACTICES ($4,874,567).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 2014 WAS $22,300. 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 $18,326,473 IS REPORTED NET OF REVENUES. THIS AMOUNT WAS EXCLUDED FROM TOTAL EXPENSE. PART III, LINE 4: AS STATED IN THE FOOTNOTES OF FY 2014 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 PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO 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, 2014 AND 2013, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS REPRESENTED APPROXIMATELY 96% OF THE PATIENTS DUE ACCOUNTS RECEIVABLE BALANCE. THE PATIENT DUE ACCOUNTS RECEIVABLE BALANCE REPRESENTS THE ESTIMATED UNINSURED PORTION OF ACCOUNTS RECEIVABLE.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 2014 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 2014: - 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 LOUDON AND PRINCE WILLIAM COUNTIES. THE POPULATION OF THE PRIMARY AND SECONDARY AREAS IN 2014 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 66,619 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 7,042 VISITS PER YEAR TO THE HOSPITAL'S INDIGENT CLINIC (ARLINGTON FREE 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 - VIRGINIA HOSPITAL CENTER HAS RECEIVED THE FOLLOWING AWARDS FOR QUALITY CARE: TRUVEN HEALTH ANALYTICS ONE OF AMERICA'S 100 TOP HOSPITALS & EVEREST AWARD WINNER; 2013 TRUVEN HEALTH ANALYTICS ONE OF AMERICA'S 50 TOP CARDIOVASULAR HOSPITALS; 2013 AMERICAN NURSES CREDENTIALING CENTER MAGNET HOSPITAL; FITCH RATING UPGRADED TO AA RATING; MOODY'S INVESTORS SERVICE REAFFIRMED HOSPITAL'S A1 RATING; THE JOINT COMMISSION TOP PERFORMER ON KEY QUALITY MEASURES; THE JOINT COMMISSION JOINT COMMISSION CERTIFICATION: JOINT REPLACEMENT (HIP & KNEE), ADVANCED PALLIATIVE CARE, DIABETES & PRIMARY STROKE CENTER WOMEN CERTIFIED ("THE VOICE OF FEMALE PATIENTS") ONE OF AMERICA'S BEST HOSPITALS FOR ORTHOPEDICS, OBSTETRICS, BREAST CENTERS, PATIENT SAFETY AND ONE OF AMERICA'S 100 BEST HOSPITALS FOR PATIENT EXPERIENCE; ARLINGTON MAGAZINE "BEST OF ARLINGTON" (URGENT CARE CATEGORY) HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE; AWARD HEALTHGRADES DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE, THE AMERICA'S 100 BEST SPECIALTY CARE - GENERAL SURGERY EXCELLENCE AWARD AND THE AMERICA'S 100 BEST SPECIALTY CARE - GASTROINTESTINAL CARE EXCELLENCE AWARD HEALTHSTRONG. ONE OF THE TOP-PERFORMING HOSPITALS IN THE NATION THE WASHINGTON BUSINESS JOURNAL GREATER WASHINGTON'S HEALTHIEST EMPLOYERS PRESS; GANEY GUARDIAN OF EXCELLENCE AWARD LUNG CANCER ALLIANCE LUNG CANCER SCREENING CENTER OF EXCELLENCE THE LEAPFROG GROUP LEAPFROG GRADE A TOP QUALITY HOSPITAL ED CENTER OF EXCELLENCE EMERGENCY EXCELLENCE AWARD CLINICAL SCIENCES INSTITUTE OF OPTUM - UNITED HEALTHCARE BARIATRIC CENTER OF EXCELLENCE CAREFIRST AND THE BLUE CROSS BLUE SHIELD ASSOCIATION BARIATRIC SURGERY PROGRAM AS A CENTER OF DISTINCTION BECKERS HEALTHCARE 100 HOSPITALS AND HEALTH SYSTEMS WITH GREAT HEART PROGRAMS.VIRGINIA 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 2014, THERE WERE EIGHTEEN (18) 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 1,080 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 2014 IT PROVIDED CARE FOR 14,387 PEDIATRIC VISITS AND SERVED AS A MEDICAL HOME TO CHILDREN WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IN 2014 ARLINGTON PEDIATRIC CENTER INCURRED AN OPERATING LOSS OF $22,300, 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 RUSSELL MCWEY BOARD MEM/CHIEF MED INFO O 283250 0 0 0 0 0 0 0 0 0 283250 0 0 0 JAMES B COLE PRESIDENT CEO 787324 0 45000 0 0 0 6952 0 8880 0 848156 0 0 0 ROBIN NORMAN SENIOR VP CFO 479117 0 10690 0 0 0 5856 0 9301 0 504964 0 0 0 MICHAEL MALONE VP ADMIN SERV 328377 0 9112 0 0 0 19565 0 8843 0 365897 0 0 0 ADRIAN STANTON VP PUBLIC RELATIONS 223529 0 6129 0 0 0 15347 0 10807 0 255812 0 0 0 PHILIP PECK ASST TREASURER 222226 0 14598 0 0 0 18082 0 7390 0 262296 0 0 0 STEVE RUBLOFF CHIEF DEVELOPMENT OFFICER 236416 0 9069 0 0 0 17177 0 6611 0 269273 0 0 0 DARLENE VROTSOS VP CHIEF NURSING OFFICER 325024 0 8256 0 0 0 0 0 8842 0 342122 0 0 0 CHRISTOPHER O'BRIEN VP PHYSICIAN SERVICES 305447 0 8455 0 0 0 6634 0 10814 0 331350 0 0 0 JEFFREY DILISI VP CHIEF MEDICAL OFFICER 419136 0 11250 0 0 0 9167 0 10826 0 450379 0 0 0 CAROLINA REYES PHYSICIAN 487956 0 9765 0 0 0 3494 0 4999 0 506214 0 0 0 JIHAD SALAMEH PHYSICIAN 395348 0 77577 0 0 0 11787 0 10824 0 495536 0 0 0 ANDREW JOEL PHYSICIAN 418434 0 59346 0 0 0 13745 0 10826 0 502351 0 0 0 OTHON WILTZ PHYSICIAN 401811 0 124780 0 0 0 9972 0 10825 0 547388 0 0 0 MARY SEBASTIAN PHYSICIAN 348588 0 122754 0 0 0 17606 0 33 0 488981 0 0 0 PART II MR. RUSSELL MCWEY, THE OWNER OF REM CONSULTING LLC, WAS THE CHIEF INFORMATION OFFICER OF VIRGINIA HOSPITAL CENTER. A PAYMENT OF $283,250 WAS PAID TO REM CONSULTING LLC BY VIRGINIA HOSPITAL CENTER FOR MR. MCWEY'S CIO SERVICES, AND THE SAME AMOUNT WAS PAID BY REM CONSULTING LLC TO MR. MCWEY. A INDUSTRIAL DEV AUTHORITY OF ARLINGTON 521304510 0414386E6 2010-04-08 143476411 REFUND BOND ISSUED 11/17/2005 0 0 0 A 17325000 143476411 1853717 143476411 2004 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 0 JOHN GARRETT MD DIRECTOR 893250 SURGERY SERVICES, MED DIRECTOR 0 THOMAS COLUCCI DIRECTOR 22652 LEGAL SERVICES 0 RUSSELL MCWEY DIRECTOR 197206 IS DIRECTOR 0 JOHN GARRETT MD DIRECTOR 25207 RENT PAID TO THE HOSPITAL 0 ANNE MARIE GARRETT DAUGHTER OF DIRECTOR JOHNE GARRETT 47284 SALARY PAID 0 SCHEDULE L, PART IV PAYMENT OF $893,250 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. SALARY OF $47,284 WAS PAID TO ANNE MARIE GARRETT, WHO IS A DAUGHTER OF JOHN GARRETT, BOARD CHAIRMAN, DIRECTOR OF PHYSICIAN OPERATIONS.PAYMENT OF $22,652 FOR LEGAL SERVICES WAS PAID TO WALSH, COLUCCI, LUBELEY & WALSH, WHERE THOMAS COLUCCI, SECRETARY OF THE BOARD, IS A PARTNER. PAYMENT OF $197,206 FOR PROFESSIONAL MEDICAL SERVICES WAS PAID TO NORTHERN VIRGINIA RADIOLOGY WHERE DR. RUSSELL MCWEY IS A PARTNER.THE HOSPITAL RECEIVED RENT PAYMENTS OF $25,207 FROM JOHN GARRETT, M.D. BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 11 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 6,679,127. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,679,127. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,492,018. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,492,018. CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 26,736,098. MANAGEMENT AND GENERAL EXPENSES 3,019,784. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,755,882. FORM 990, PART XI, LINE 9: NET ASSETS TRANSFER 1,177,009. RESTRICTED CONTRIBUTIONS -1,770,019. VHC PHYSICIAN GROUP LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 870807407 PHYSICIANS VA 26072644 5531581 VIRGINIA HOSPITAL CENTER ARLINGTON URGENT CARE CENTER 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541994394 URGENT CARE VA 2071227 229905 VIRGINIA HOSPITAL CENTER SOUTH ARLINGTON LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 421717170 REAL ESTATE VA 85902 0 VIRGINIA HOSPITAL CENTER ARLINGTON OB HOSPITALIST 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 300525981 PHYSICIANS VA 448912 217834 VIRGINIA HOSPITAL CENTER VIRGINIA PHYSICIAN ASSOCIATES LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 202610918 PHYSICIANS VA 0 0 VIRGINIA HOSPITAL CENTER AIM FALLS CHURCH LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541939237 PHYSICIANS VA 0 0 VIRGINIA HOSPITAL CENTER VHC HOME HEALTH SERVICES 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 383874535 HEALTH SERVICE VA 0 0 VIRGINIA HOSPITAL CENTER MCLEAN-ARLINGTON MEDICAL ASSOCIATES 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 364737559 PHYSICIANS VA 0 0 VIRGINIA HOSPITAL CENTER VIRGINIA HOSPITAL FOUNDATION 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 204129901 FUNDRAISING VA 501(C)(3) LINE 11A, I VHC 1 ARLINGTON PEDIATRIC CENTER 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541998631 PEDIATRICS VA 501(C)(3) LINE 9 VHC 1 AHV GROUP 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541304024 REAL ESTATE VA VIRGINIA HOSPITAL CENTER C 840159 5823506 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 C 3305923 FMV VIRGINIA HOSPITAL CENTER FOUNDATION A 47600 FMV ARLINGTON PEDIATRIC CENTER A 44005 COST PART V, LINE 2A VIRGINIA HOSPITAL CENTER RENTS SPACE TO TWO OF ITS RELATED ORGANIZATIONS: ARLINGTON PEDIATRIC CENTER AND VIRGINIA HOSPITAL CENTER FOUNDATION. ARLINGTON PEDIATRIC CENTER IS A PEDIATRIC CLINIC THAT IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ARLINGTON PEDIATRIC CENTER SEEKS TO IMPROVE HEALTH CARE ACCESS TO LOW INCOME CHILDREN BY PROVIDING COMPREHENSIVE MEDICAL CARE SERVICES TO UNDERSERVED CHILDREN IN ARLINGTON WHOSE FAMILY INCOMES ARE UNDER 200% OF THE FEDERAL POVERTY GUIDELINES. ARLINGTON PEDIATRIC CENTER DOES NOT UNDERTAKE ANY UNRELATED TRADE OR BUSINESS ACTIVITIES. VIRGINIA HOSPITAL CENTER FOUNDATION IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. VIRGINIA HOSPITAL CENTER FOUNDATION RAISES FUNDS TO SUPPORT THE TAX-EXEMPT FUNCTION OF VIRGINIA HOSPITAL CENTER. VIRGINIA HOSPITAL CENTER FOUNDATION DOES NOT UNDERTAKE ANY UNRELATED TRADE OR BUSINESS ACTIVITIES.