2024-11-14T10:23:21+00:00 2023-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2023-01-01 540505989 Virginia Hospital Center Arlington Health System VIRG 7035585000 1701 North George Mason Drive Arlington VA 22205 John Zabrowski Senior VP/CFO 2024-11-14 true Brittney Kocaj P01320603 9542028600 2024-11-14 2023 2024-10-15 13:58:12Z VHC Health Christopher T Lane 1701 North George Mason Drive Arlington VA 22205 891964974 false X vhchealth.org X 1945 VA VIRGINIA HOSPITAL CENTER IS AN ACADEMIC TEACHING HOSPITAL OFFERING A FULL SPECTRUM OF PRIMARY, SECONDARY AND TERTIARY CARE SIGNIFICANTLY IN CARDIOLOGY, ORTHOPEDICS, ONCOLOGY & OB. 14 11 5009 184 -64594 219863 14748633 2730402 682031802 759919973 15549982 54897156 6503961 7332631 718834378 824880162 870688 60000 0 382102637 433589032 0 0 313879959 367018234 696853284 800667266 21981094 24212896 1674570899 1946540688 467053855 626151071 1207517044 1320389617 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. Continued on Schedule O. false false 666718087 60000 763079158 Virginia Hospital Center Arlington Health System ("VHC") provides medical services to the community in the areas of surgery, cardiology, obstetrics, and emergency care, among other general medical services. In 2023, VHC provided general medical services to 10,980 patients, performed 14,681 surgeries, and handled 340,200 cases in other medical specialties. 666718087 true true false true false false false false true true true false true true true false true false false true false false false false false true true true false true true false false false false false false false false true true false false false false true true true true false false true 149 0 true 5009 true true true false false false false false false false false false true false X 14 11 true false false false false false false true false false false true true true true true true true false true true VA X John L Zabrowski 7035585000 1701 N George Mason Dr Arlington VA 22205 Andre Collins Secretary 4.0 0 X X 0 0 0 Dan Knise VICE CHAIR 4.0 0 X X 0 0 0 John Nguyen TREASURER 4.0 0 X X 0 0 0 David Townshend Board Member 4.0 4.0 X 0 0 0 Deborah Baum BOARD MEMBER 4.0 0 X 0 0 0 Duane Andrews BOARD MEMBER 4.0 0 X 0 0 0 Ivan Petrovitch MD BOARD MEMBER (Through June 2023) 4.0 4.0 X 0 0 0 Ivan Sverha BOARD MEMBER (Beginning July 2023) 4.0 0 X 0 0 0 James Millar BOARD MEMBER 4.0 0 X 0 0 0 M Anthony Casolaro MD BOARD MEMBER 4.0 0 X 0 0 0 Mary Jo Morris BOARD MEMBER 4.0 0 X 0 0 0 Meredith Broadbent BOARD MEMBER 4.0 0 X 0 0 0 Patricia Rodriguez MD BOARD MEMBER 4.0 0 X 0 0 0 Sharon Martin Board member (through March 2023)/VP HEALTH SERVICES INTEGRATION 40.0 0 X 231712 0 11497 Stuart Ginsberg DDS BOARD MEMBER 4.0 0 X 0 0 0 Thomas Colucci BOARD MEMBER 4.0 0 X 0 0 0 Alexander Eremia Senior VP\Chief Legal Officer 40.0 0 X 417279 0 48053 Christopher Lane President CEO 40.0 6.0 X 1168077 0 44136 John Zabrowski SENIOR VP CFO 40.0 6.0 X 604706 0 17808 Russell McWey MD Chair 4.0 4.0 X 0 0 0 Adrian Stanton VP Real Estate Development 40.0 0 X 357733 0 47586 Brian Stone MD Sr. VP Medical Affairs/CMO 40.0 2.0 X 580818 0 486 Dan Greenberg AVP Perioperative Services and Operations 40.0 0 X 274612 0 26792 Darryl Ernst Senior VP, VHC Physician Group 40.0 0 X 474894 0 17160 Melody Dickerson Senior VP, CNO 40.0 0 X 530660 0 54396 Michael Mistretta VP CHIEF INFORMATION OFFICER 40.0 0 X 521761 0 47769 Richard Krumenacker VP of Facilities 40.0 0 X 293652 0 47898 Samuel T Gilkeson VP & Chief HR Officer 40.0 0 X 311331 0 14905 Tiffany Blackman VP Chief Compliance Officer 40.0 0 X 294155 0 42229 Usman Akhtar MD Chief Medical Information Officer 40.0 0 X 437885 0 27360 Jihad Salameh MD VHCPG Vice Chief 40.0 0 X 791399 0 40224 John Garrett MD Physician 40.0 0 X 960846 0 41125 John Rhee MD Physician 40.0 0 X 951412 0 41125 Kelly Orzechowski MD VHCPG Vice Chief 40.0 0 X 844910 0 31960 Myriam Ferzli MD Physician 40.0 0 X 678889 0 17361 Michael Malone Senior Advisor (Former Key Employee) 40.0 0 X 127973 0 31928 10854704 0 651798 882 true true false MEDICAL FACULTY ASSOCIATE INC 45155 Research Place Suite 240 Ashburn VA 20147 Professional Neurology & Trauma Services 4933634 PULMONARY & MEDICAL ASSOC 1625 N George Mason Drive Arlington VA 22205 Sleep Lab Services 3652425 MAYO COLLABORATIVE SERV INC PO Box 9146 Minneapolis MN 554809146 Lab services 3468704 Inova Health System 45745 Nokes Blvd Suite 160 Sterling VA 20166 Lab Services 2819756 Crossvue 1 E Erie Street Suite 525-4935 Chicago IL 606112980 Consulting Services 2694003 33 0 0 0 2730402 0 0 0 2730402 PATIENT REVENUE 622110 744617155 744617155 OTHER OPERATING REVENUE 622110 15302818 15302818 0 0 0 0 759919973 18260290 -400685 18660975 1695325 1695325 6566409 3399361 3167048 0 3167048 0 0 3167048 95807193 60037321 828331 35769872 -828331 34941541 34941541 3490106 2819799 670307 670307 PARKING 812930 3227681 3159185 68496 Laboratory 622110 178580 178580 INTERNET RENTAL 532000 67326 67326 21689 0 21689 0 3495276 824880162 763079158 -64594 59135196 60000 60000 7925108 6369014 1556094 0 936322 936322 0 0 373684054 300127399 73556655 0 10130699 8141538 1989161 0 15665539 12589613 3075926 0 25247310 20290004 4957306 0 0 0 0 0 1675127 1346216 328911 0 286545 0 286545 0 66282 66282 0 0 0 0 5891277 0 5891277 0 49997335 42592952 7404383 0 3975836 3661436 314400 0 8524953 7976061 548892 0 0 0 0 0 0 0 0 0 15928910 12918568 3010342 0 389643 177710 211933 0 0 0 0 0 232142 96494 135648 0 7430858 5971810 1459048 0 0 0 0 0 46113705 37059286 9054419 0 2793413 2244927 548486 0 Supplies 159344935 158646004 698931 0 Equipment Rental & Main 31160184 18450600 12709584 0 Contract Services 30280844 26504643 3776201 0 DUES 2290159 491208 1798951 0 636086 0 636086 0 800667266 666718087 133949179 0 0 0 0 0 56928218 26185392 0 0 0 0 94920238 140571419 0 0 0 0 0 0 15838142 17910635 19708944 23838151 1140733156 537835623 520231060 602897533 273620740 294222344 644708554 655675680 0 0 0 48615003 185239534 1674570899 1946540688 82874847 108745062 329999215 474077444 0 0 0 0 0 0 0 0 54179793 43328565 467053855 626151071 X 1186334734 1302094337 21182310 18295280 0 0 0 0 0 0 1207517044 1320389617 1674570899 1946540688 X 24212896 91847939 -3188262 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 100009 100009 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A portion of the dues payments to Virginia Hospital Healthcare Association 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 association. Virginia Hospital Healthcare Association $33,727 VECTRE CORP $66,282 17585882 2817018 440034 2547654 18295280 17265541 2340671 2621525 4641855 17585882 14816516 3679838 1149733 2380546 17265541 17100111 2242135 2122844 6648574 14816516 14517437 2270028 1917515 1604869 17100111 0.0 0.2798 0.7202 false false 22567647 22567647 548160846 152381133 395779713 199178610 136226022 62952588 339166753 249228468 89938285 31659300 31659300 602897533 COMMON COLLECTIVE TRUSTS Hedge Funds 522600834 F Private Equity Assets 99943193 F Real Assets 33131653 F 655675680 Other Assets 151700840 Right of Use Assets 33538694 185239534 DUE TO THIRD PARTY PAYERS 6167961 INTEREST PAYABLE 7769954 OTHER LIABILITIES 29390650 43328565 X Schedule D, Part V, Line 4 Intended uses of endowment funds The intended uses of the endowments held by Virginia Hospital Center are to support the operations and capital needs of the Orthopedic, Cardiology, Diabetes, Nursing Education, and other programs at the Virginia Hospital Center. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Corporation is exempt from Federal Income Tax under Section 501(C) (3) of the Internal Revenue Code as a Not-For-Profit Corporation. Federal Tax Law requires that the corporation be operated in a manner consistent with its initial exemption application in order to maintain its exempt status. Management has analyzed the operations of the corporation and concluded that is remains in compliance with the requirements for exemption. The State in which the corporation operates also provides general exemption from state income taxation for organizations that are exempt from federal income taxation. However the corporation is subject to both Federal and State income taxation at corporate tax rates on its unrelated business income. Exemption from other State taxes, such as real and Personal property taxes, is separately determined. Current accounting standards define the threshold for recognizing uncertain income tax return positions in the financial statements as "more likely than not" that the position is sustainable, based on technical merits, and also provide guidance on the measurement, classification, and disclosure of tax return positions in the financial statements. Management believes there is no impact on the corporation's accompanying financial statements related to uncertain income tax provisions. Central America and the Caribbean 0 0 Investments 166161650 0 0 0 0 0 0 166161650 0 166161650 true false true true true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual true true X true X false true true false true true 0 0 15842991 0 15842991 0.0198 0 0 84532730 44958303 39574427 0.0494 0 0 0 0 0 0.0 0 0 100375721 44958303 55417418 0.0692 0 0 4032724 0 4032724 0.0050 0 0 12149128 4410584 7738544 0.0097 0 0 107978605 99138398 8840207 0.0110 0 0 0 0 0 0.0 0 0 333365 0 333365 0.0004 0 0 124493822 103548982 20944840 0.0262 0 0 224869543 148507285 76362258 0.0954 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 5775 0 5775 0.0000 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 339857 0 339857 0.0004 0 0 345632 0 345632 0.0004 true 1995223 0 125330014 130055459 -4725445 X true true McLean Tysons Orthopedic Surgery Center LLC Health Services Joint Venture 0.51 0.0 0.49 1 1 VIRGINIA HOSPITAL CENTER 1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 222053610 www.vhchealth.org 0040910-2 X X X X VIRGINIA HOSPITAL CENTER 1 false false true X X X X X X X X X 23 true false false true X https://www.vhchealth.org/about-us/community-health-needs-assessment/ X true 23 false true false true X 200.0 X true true X X X true X https://www.vhchealth.org/patients-visitors/billing-financial-assistance/ X https://www.vhchealth.org/patients-visitors/billing-financial-assistance/ X https://www.vhchealth.org/patients-visitors/billing-financial-assistance/ X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - VIRGINIA HOSPITAL CENTER. THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND COMMUNITY LEADERS OF MINORITY AND UNDERSERVED GROUPS. IN PARTICULAR, THE ORGANIZATION RECEIVED INPUT FROM COMMUNITY LEADERS OF 56 ORGANIZATIONS INCLUDING PUBLIC HEALTH, PUBLIC SCHOOLS, LOCAL GOVERNMENT OFFICIALS, SOCIAL SERVICES, NEIGHBORHOOD GROUPS AND VARIOUS NON-PROFIT ORGANIZATIONS AND COMMUNITIES INCLUDING THOSE LIVING WITH LOW INCOME OR UNDER THE POVERTY THRESHOLD, AFRICAN AMERICAN COMMUNITIES SUCH AS GREEN VALLEY, ETHNICALLY-DIVERSE COMMUNITIES SUCH AS COLUMBIA PIKE, CHILDREN FROM LOW INCOME OR IMPOVERISHED HOUSEHOLDS, AND THOSE SUFFERING FROM MENTAL HEALTH ILLNESS. THE INPUT FROM THESE LEADERS HELPED TO GAIN A DEEPER UNDERSTANDING OF THE IMPACT OF THE HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ON THE AT-RISK POPULATIONS. THE COMMUNITY LEADERS INTERVIEWED SERVE AT A NUMBER OF ORGANIZATIONS THROUGHOUT THE COMMUNITY, INCLUDING VHC OUTPATIENT CLINIC, VHC PEDIATRIC CENTER, ARLINGTON FREE CLINIC, COLUMBIA PIKE REVITALIZATION ORG, AFAC, AND DOORWAYS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - VIRGINIA HOSPITAL CENTER. The community health needs assessment conducted in 2023 identified the following as significant health needs: depression, mental health (other than depression), high blood pressure, adult obesity, substance abuse, aging concerns, domestic violence, behavioral health service, healthcare for uninsured and under-insured, social services, homeless services, and aging services & long-term care support. This community health needs assessment was not adopted until December 2023. Thus, the response below related to how the significant health needs identified on the 2020 assessment were addressed. In support of VHC's ongoing commitment to address the community health needs, several initiatives were undertaken in 2023, and VHC continues to focus efforts in these service areas as identified below: - Mental Illness - Behavioral Health: - Expand Psychiatric inpatient capacity - Expand substance abuse services - Expand emergency department mental health capacity - Acute inpatient and outpatient recovery and wellness program - with focus on assisting the military personnel - Childhood and adult obesity: - Regular, ongoing community education and exercise program for weight management - full-service weight management and bariatric surgery program - Nationally-recognized center for excellence for weight management - APC obesity program - Medical/Surgical services: - Expand inpatient Med/SURG bed capacity - State-of-the -art heart and stroke centers; nationally recognized centers of excellence - Cancer Center - COC accredited and recipient of the outstanding achievement award - Radiation Oncology - Linear accelerator and stereotactic radiosurgery expansion - Diabetes Screening, counseling and education - Expansion of outpatient physical therapy services - Expansion of primary care network - centers in Arlington, Alexandria, Falls Church, Mclean and Shirlington - Outpatient pavilion project - 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 In 2023 VHC was active in the community in effort to continue the initiatives identified in the 2020 CHNA. VHC continued operation in 3 free clinic locations: VHC Health Outpatient Clinic, VHC Pediatric Clinic, and Arlington Free Clinic. Monetary support was provided to the Arlington Free Clinic as well as participating in Arlington Food Assistance Center's Can Food Drive, and the annual Arlington Partnership for Children, Youth & Families backpack drive. Additionally, many community wellness events and programs were hosted including: - Health Fairs, serving 425 persons - Fitness & Exercise Program, serving 300 persons - Lifeline Safe Transitions Program, serving 147 persons - Speakers Bureau on Health Topics, serving 1,115 persons - Senior Education and Outreach, serving 530 persons - Worksite-based programs, serving 1,450 persons - Alzheimer's Support Group, serving 200 persons - Blood pressure screenings, serving 50 persons VHC Health determined that programs would not be created to address all of the significant health needs that were identified in the community health needs assessment. Many of these are covered by the comprehensive services offered by VHC and through the action plan for priority areas previously identified. The significant needs that were identified and are not being addressed are as follows: - Lack of prenatal care: This is addressed through VHC's action plan for the first priority health need identified, which was health equity and culturally competent care. - Food insecurity: VHC has covered this through their childhood and obesity efforts as well as educational outreach that is being continually conducted. There are also community service initiatives that are being conducted throughout the year that help to support this health need. - Lack of affordable housing: This identified need is outside the scope of services of what VHC provides. However, it is the focus of the county's health needs assessment, which VHC supports and actively participates in addressing those needs. 33 BREAST CENTER 1851 N GEORGE MASON DR SUITE 5D ARLINGTON VA 22207 PROVIDES SERVICES FOR BREAST HEALTH COLORECTAL Surgery 1851 N GEORGE MASON DR SUITE 4D ARLINGTON VA 22205 PROVIDES SERVICES FOR COLORECTAL VHC Health Physicians - HOSPITALISTS 1625 N GEORGE MASON DR First Floor ARLINGTON VA 22205 INPATIENT CARE INFECTIOUS DISEASES 1715 N GEORGE MASON DR SUITE 302 ARLINGTON VA 222053609 PROVIDES SERVICES FOR INFECTIOUS DISEASES MATERNAL FETAL MEDICINE 1851 N GEORGE MASON DR SUITE 5B ARLINGTON VA 22207 PROVIDES SERVICES FOR HIGH RISK PREGNANCY CARDIOVASCULAR & THORACIC SURGERY 1625 N GEORGE MASON DR SUITE 288 ARLINGTON VA 22205 PROVIDES CARDIOVASCULAR & THORACIC SURGERY OB HOSPITALIST 1701 N GEORGE MASON DR SUITE 345 ARLINGTON VA 22205 PROVIDES SERVICES FOR BREAST HEALTH OBGYN 700 S WASHINGTON ST SUITE 300 ALEXANDRIA VA 22314 PROVIDES OBSTETRICAL SERVICES PALLIATIVE CARE 1635 N GEORGE MASON DR SUITE 115 ARLINGTON VA 22205 PROVIDES SERVICES FOR PALLIATIVE MEDICINE PC West ALEXANDRIA 3475 North Beauregard St Ste 201 ALEXANDRIA VA 22302 PRIMARY CARE PC SHIRLINGTON 2800 S SHIRLINGTON RD SUITE 500 ARLINGTON VA 22206 PRIMARY CARE PC FALLS CHURCH 400 S MAPLE AVE SUITE 200 FALLS CHURCH VA 22046 PRIMARY CARE PC MCLEAN 6862 ELM STREET SUITE 600 MCLEAN VA 22101 PRIMARY CARE PC OLD TOWN 700 S WASHINGTON ST SUITE 330 ALEXANDRIA VA 22314 PRIMARY CARE PM&R - OFFICE 1715 N GEORGE MASON DR SUITE 302 ARLINGTON VA 222053659 PROVIDES SERVICES FOR MEDICAL SPECIALTY PODIATRY Alexandria 3475 N BEAUREGARD ST SUITE 201 ALEXANDRIA VA 22302 PROVIDES SERVICES FOR PODIATRY SURGICAL SPECIALISTS 1851 N GEORGE MASON DR SUITE 4C ARLINGTON VA 22207 INPATIENT CARE Immediate Care 764 23rd St S ARLINGTON VA 22202 PROVIDES URGENT AND NONURGENT HEALTH CARE UROLOGY 1851 N GEORGE MASON DR Suite 4A ARLINGTON VA 22207 PROVIDES UROLOGY SERVICES WOUND CARE 1701 N GEORGE MASON DR SUITE G200 ARLINGTON VA 22205 PROVIDES WOUND CARE & HYPERBARIC MEDICINE Plastic & Reconstructive Surgery 1851 N GEORGE MASON DR SUITE 4B ARLINGTON VA 22207 PROVIDES SERVICES FOR PLASTIC Breast reconstruction due to cancer PC-Arlington North 1715 N George Mason Dr Suite 404 Arlington VA 22205 Primary Care PC-Arlington South 950 S George Mason Dr Suite 107 Arlington VA 22204 Primary Care VHCPG Gastroenterology 1851 N George Mason Dr Suite 3A Arlington VA 22207 GI Service VHCPG Annandale 7611 Little River Turnpike Suite 10 8 Annandale VA 22003 Primary Care VHCPG West Springfield 5803 Rolling Road Springfield VA 22152 Primary Care VHCPG Vienna 527 Maple Ave E Suite 200 Vienna VA 22180 Primary Care VHCPG Kingstowne 5971 Kingstowne Village Pkwy Suite 300 Alexandria VA 22315 Primary Care VHCPG Tysons 1760 Old Meadow Road Suite 305 McLean VA 22102 Primary Care VHCPG Executive Health 1635 N George Mason Drive Suite 130 Arlington VA 22205 Executive Health Services Menopause Center 1851 N George Mason Drive Fifth Flo or Arlington VA 22207 Women's Health Services VHCPG Cardiology Arlington 1851 N George Mason Drive Suite 3C Arlington VA 22207 Provides Services for Cardiology VHCPG Arlington 1851 N George Mason Dr Suite 3B Arlington VA 22207 Primary Care Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 0 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Part I, Line 7: The best available data was used to calculate the cost amounts report in Item 7. Financial Assistance at cost, line 7a, was determined using the cost-to charge ratio as report on the filed Medicaid report. Community health improvement services and contributions for community benefit, lines 7f and 7i, were calculated based on actual costs as reported on the annual community benefit report. The calculation of all other benefits, Lines 7b and 7g, was derived from the Medicaid cost report filed including all patient segments. Schedule H, Part II Community Building Activities The organization supports activities that promote the health and well-being of community members through collaboration with other community health and well-being agencies and through outreach programs to educate community members on a variety of healthcare-related topics. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. Schedule H, Part III, Line 3 Bad Debt Expense Methodology THE ORGANIZATION ESTIMATES THAT A NEGLIGIBLE AMOUNT OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION UTILIZES A SOFTWARE PROGRAM TO DETERMINE IF PATIENTS HAVE CERTAIN INDICIA OF QUALIFYING FOR FINANCIAL ASSISTANCE, SUCH AS BEING HOMELESS OR POSSESSING VERY LIMITED ASSETS, BEFORE WRITING OFF THE PATIENTS' ACCOUNTS TO BAD DEBT. IF THE PATIENT DOES HAVE CERTAIN INDICIA OF QUALIFYING UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, THEN REGARDLESS OF WHETHER THE PATIENT FILLS OUT A FINANCIAL ASSISTANCE APPLICATION, THE PATIENT WILL BE APPROVED FOR, AND THE CORPORATION DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS AND DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE CORPORATION'S POLICY, AND ESTIMATED IMPLICIT PRICE CONCESSIONS RELATED TO UNINSURED PATIENT ACCOUNTS. THE CORPORATION DETERMINES ITS ESTIMATES OF PRICE CONCESSIONS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE WITH THESE CLASSES OF PATIENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization's audited financial statements do not directly address bad debt expense; however, the organization's patient service revenue and associated accounts receivable are described in footnote 3, Patient Service Revenue, found on pages 13-16 of the attached financial statements. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The organization utilizes the Medicare cost report to determine the total revenue received from Medicare and the Medicare allowable costs. The organization believes that the Medicare shortfall as reported on Schedule H Part III Section B Line 7 should be considered community benefit. Although providing the best possible care to Medicare patients creates a financial loss, part of the mission of the organization is to serve elderly patients within the community, and the organization believes that providing such care has contributed to the improvement of health overall within the community. By providing the best possible care to the community's Medicare patients, we relieve the government and other surrounding hospitals of the financial burden of treating these patients insured by the Medicare program. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance AS SOON AS A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (EVEN IF AFTER THE BILLING AND COLLECTION PROCESS HAS COMMENCED), THE COLLECTION POLICY STATES THAT ALL BILLING AND COLLECTION EFFORTS WILL CEASE IMMEDIATELY AND COLLECTION EFFORTS WILL NOT TO BE PURSUED. THE ACCOUNT IS IMMEDIATELY WRITTEN OFF AND RECOGNIZED AS CHARITY. ALL PREVIOUS PATIENT PAYMENTS RELATING TO THE FINANCIAL ASSISTANCE APPROVAL ARE RETURNED TO THE PATIENT. Schedule H, Part V, Section B, Line 16a FAP website - VIRGINIA HOSPITAL CENTER: Line 16a URL: https://www.vhchealth.org/patients-visitors/billing-financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - VIRGINIA HOSPITAL CENTER: Line 16b URL: https://www.vhchealth.org/patients-visitors/billing-financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - VIRGINIA HOSPITAL CENTER: Line 16c URL: https://www.vhchealth.org/patients-visitors/billing-financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment THE ORGANIZATION IS IN CONSTANT COMMUNICATION WITH LEADERS OF THE COMMUNITY TO ENSURE THAT THE NECESSARY CHANGES ARE BEING IMPLEMENTED BASED ON THE NEEDS OF THE COMMUNITY. FOR TAX YEAR 2023, THE ORGANIZATION UNDERTOOK A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). ASSOCIATED WITH THE COMPLETION OF THE CHNA, THE ORGANIZATION'S BOARD OF DIRECTORS ADOPTED AN IMPLEMENTATION STRATEGY TO MEET THE HEALTH NEEDS IDENTIFIED IN THE CHNA. THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. IN PARTICULAR, THE ORGANIZATION RECEIVED INPUT FROM COMMUNITY LEADERS OF 56 ORGANIZATIONS INCLUDING ARLINGTON COUNTY, LAW ENFORCEMENT, SCHOOL REPRESENTATIVES, ARLINGTON FREE CLINIC LEADERSHIP, VIRGINIA HOSPITAL CENTER MEDICAL STAFF LEADERS, RELIGIOUS LEADERS, HEALTH SYSTEMS AGENCY, AND COMMUNITY NON-PROFITS. IN ADDITION, THE CHNA DEFINED THE ORGANIZATION'S COMMUNITY, PROVIDED A DESCRIPTION OF THE PROCESS AND METHODS USED TO CONDUCT THE CHNA, AND DESCRIBED HOW THE ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE CHNA IDENTIFIED SEVEN COMMUNITY HEALTH NEEDS, INCLUDING: DEPRESSION, MENTAL HEALTH (OTHER THAN DEPRESSION), HIGH BLOOD PRESSURE, ADULT OBESITY, SUBSTANCE ABUSE, AGING CONCERNS, AND DOMESTIC VIOLENCE. THE ORGANIZATION SET FORTH AN IMPLEMENTATION STRATEGY, ADOPTED BY THE BOARD OF DIRECTORS, PURSUANT TO WHICH THE ORGANIZATION MAINTAINED, EXPANDED, AND/OR ESTABLISHED PROGRAMS TO ADDRESS 4 OF THE COMMUNITY HEALTH NEEDS: MENTAL ILLNESS - BEHAVIORAL HEALTH SERVICES, CHILDHOOD & ADULT OBESITY, MEDICAL/SURGICAL SERVICES, AND AGING SERVICES. THE ORGANIZATION MADE A DETERMINATION THAT IT WOULD BE A MORE EFFECTIVE USE OF RESOURCES TO FOCUS ON ADDRESSING THE 4 COMMUNITY HEALTH NEEDS NOTED ABOVE, RATHER THAN ATTEMPTING TO ADDRESS THE OTHER HEALTH NEEDS, AS THE ORGANIZATION LACKS THE REQUISITE EXPERTISE AND EXPERIENCE IN THIS AREA TO EFFECTIVELY ADDRESS THIS HEALTH NEED. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance AT ALL ENTRY POINTS FOR MEDICAL SERVICE, PATIENT NOTICE OF FINANCIAL AID PAMPHLETS ARE DISPLAYED AND AVAILABLE TO ALL PATIENTS. THE PAMPHLET EXPLAINS AVAILABLE FINANCIAL ASSISTANCE AND CHARITY PROGRAMS AS WELL AS THE PROCESS FOR APPLYING FOR ASSISTANCE. ALL BILLS AND STATEMENTS MAILED TO PATIENTS CONTAIN CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE. INFORMATION REGARDING FINANCIAL ASSISTANCE AND CHARITY IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE. THE HOSPITAL PROVIDES ONSITE ELIGIBILITY WORKERS TO ASSIST PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE. Schedule H, Part VI, Line 4 Community information THE HOSPITAL IS LOCATED IN ARLINGTON COUNTY, VIRGINIA. THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF ARLINGTON COUNTY, THE CITY OF ALEXANDRIA, AND PART OF NEIGHBORING FAIRFAX COUNTY WITHIN THE CAPITAL BELTWAY. THE SECONDARY SERVICE AREA INCLUDES THE REMAINDER OF FAIRFAX COUNTY, AS WELL AS PARTS OF LOUDOUN AND PRINCE WILLIAM COUNTIES. THE POPULATION OF THE PRIMARY AREA IN 2023 WAS APPROXIMATELY 2,116,000. BASED ON RECENT CENSUS PROJECTIONS, 23% OF THE POPULATION IS UNDER EIGHTEEN YEARS OF AGE AND 12% IS OVER 65 YEARS OF AGE. APPROXIMATELY 48% OF THE POPULATION IS WHITE, 19% HISPANIC OR LATINO, 16% ASIAN, 5% OTHER OR MULTI-RACE, AND 12% BLACK. MEDIAN HOUSEHOLD INCOME IS $125,145 AND PER CAPITA INCOME IS $107,600. BASED ON GROSS PATIENT SERVICE REVENUE, 2.7% IS UNINSURED (SELF PAY) AND 8.9% IS USING MEDICAID. OTHER LOCAL HOSPITALS THAT SERVE THE SAME COMMUNITY ARE INOVA ALEXANDRIA, INOVA MT. VERNON AND INOVA FAIRFAX. Schedule H, Part VI, Line 5 Promotion of community health PROMOTION OF COMMUNITY HEALTH THE HOSPITAL'S VISION IS TO BUILD A HEALTHIER COMMUNITY BY PROMOTING AND PROVIDING EASIER ACCESS TO HEALTHCARE SERVICES. THE BOARD MEMBERS ARE MEMBERS OF THE COMMUNITY AND THUS PLACE A LARGE EMPASIS ON SUCH HEALTHCARE SERVICES WITH AN EYE ON IMPROVING AND PROMOTING THE HEALTH OF THE SURROUNDING COMMUNITY. A MAJORITY OF THE HOSPITAL'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 HOSPITAL HAS AN OPEN MEDICAL STAFF WHICH PROVIDES HEALTHCARE SERVICES TO LOW INCOME RESIDENTS IN ITS SERVICE AREA, REGARDLESS OF THE ABILITY TO PAY. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. THE HOSPITAL PROVIDES A FULL SPECTRUM OF INPATIENT AND OUTPATIENT SERVICES TO MEMBERS OF THE COMMUNITY, INCLUDING 67,853 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 14,151 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: - 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 - SUPPORT OF THE ARLINGTON FREE CLINIC: INCLUDES FINANCIAL, OPERATIONS AND IT SUPPORT. - OUTPATIENT CLINIC SERVES THE COMMUNITY BY PROVIDING HEATHCARE SERVICES TO PATIENTS WITH OR WITHOUT INSURANCE. - VHC HEALTH PEDIATRICS IS DEDICATED TO ITS MISSION TO PROVIDE A MEDICAL HOME OFFERING WHICH IS COMPREHENSIVE, AFFORDABLE, QUALITY HEALTHCARE IN A CULTURALLY-SENSITIVE ENVIRONMENT TO CHILDREN, BIRTH THROUGH 18 YEARS OF AGE, LIVING IN ARLINGTON COUNTY WITH FAMILY INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. VHC HEALTH PEDIATRICS FEATURES A FULL-TIME STAFF INCLUDING PEDIATRIAIANS, NURSE PRACTITIONERS, NURSES, CARE COORDINATORS AND BEHAVIORAL HEALTH PROFESSIONALS. 2023 AWARDS AND RECOGNITION - Recognized as a top hospital in both Virginia and Washington, DC in the U.S. News & World Report's 2023-2024 "Best Hospital" rankings. VHC Health is proud to be ranked second in Northern Virginia, 4th in the Washington, DC metro region, and 5th in the Commonwealth of Virginia out of 121 hospitals ranked. - Received a top ranking in Newsweek's World's Best Hospitals for the fourth year in a row. Ranking more than 2,800 hospitals in 28 countries, VHC Health came in at the top 3% of hospitals in the U.S. - U.S. News & World Report High Performing Hospital in 11 procedural areas and 2 adults specialties (prior year VHC had 8 procedural areas and no specialties ranked). - Received a 'High Performing" designation in U.S. News & World Report's 2024 list of maternity hospitals across the United States. This survey ranked the leading hospitals in the United States, over 680 in total, and was based on factors most important to parents when choosing the hospital to deliver their baby. - Awarded an 'A' for the fall 2023 Leapfrog Hospital Safety Grade rating. This is VHC Health's 21st consecutive "A" Hospital Safety Grade, making it one of 30 hospitals in the nation and only 6 in Virginia to have reached this status. - Received the CHIME Most Wired Recognition for 2023 as a certified level 9 for acute and ambulatory services, marking another consecutive survey year recognized. - Named a best hospital for billing ethics by Money magazine and The Leapfrog Group. This is the first-ever Leapfrog Best Hospitals ranking to help patients make educated decisions about which institutions are best for the money. - Achieved the Healthgrades 2023 Outstanding Patient Experience Award. VHC Health is the only hospital in the Washington, DC region and in the state of Virginia that has received the Outstanding Patient Experience Award for 11 consecutive years. - Named a 2023 Best Cancer Hospital by Newsweek, one of 175 hospitals and just 3 in the Washington, DC metro region to be included in the rankings. - Recognized as a High Performer in the prestigious Association for Healthcare Philanthropy's (AHP) 2023 Report on Giving. The AHP recognized less than 50 organizations across North America with the High Performer status in 2023. - Received the NCDR Chest Pain/MI Registry Silver Performance Achievement Award. - Recognized by the Women's Choice Award for Best Hospital in ten categories: bariatric surgery, obstetrics, heart care, minimally invasive surgery, orthopedics, cancer care, comprehensive breast care, women's services, mammogram and patient experience. This award is graded based on the best publicly available information, patient surveys and accreditation information. In each award category, VHC Health ranked in the top 6% of hospitals or higher. - Selected by the Washington Commanders as their official women's health partner. ACCREDITATION & CERTIFICATION For 2023 VHC Health received: - BCBS's Blue Distinction Plus - Bariatrics, Cardiac Care, Knee & Hip (BDC not Plus), and Spine Surgery designations - The Aetna Institutes of Quality recognition for Bariatric Surgery, Cardiac and Orthopedic. - Cigna's Centers of Excellence designation for Bariatric Surgery, Cardiac Cath, Colon Surgery, OB/Deliveries, Laparoscopic Gallbladder, Joint Replacement, Orthopedic/Back Surgery and Pulmonary Medicine. - Received national accreditation by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). - Earned The Joint Commission's Gold Seal of Approval and the American Stroke Association's Heart-Check mark for Advanced Certification for Comprehensive Stroke Centers. - Completed a successful Joint Commission survey for the Outpatient Pavilion and Stroke and Trauma services. - Increased key areas of HCAHPS scores, including a Superior rating of lihood to recommend." Schedule H, Part VI, Line 6 Affiliated health care system THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES NEEDED HEALTHCARE SERVICES TO ITS COMMUNITY. IN PARTICULAR, THROUGH ITS AFFILIATES ARLINGTON PEDIATRIC CENTER AND ARLINGTON URGENT CARE CENTER, AS WELL AS THE EMPLOYMENT OF OVER 160 PHYSICIANS, VHC Health 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 2023 IT PROVIDED CARE FOR OVER 15,000 PEDIATRIC VISITS AND SERVED AS A MEDICAL HOME TO CHILDREN WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IN 2023 ARLINGTON PEDIATRIC CENTER INCURRED AN OPERATING LOSS OF $($1,098,031), WHICH WAS COMPOSED PRIMARILY OF COSTS IN EXCESS OF OFFSETTING REVENUE RECEIVED FROM MEDICAID AND DONATIONS 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. Schedule H, Part VI, Line 7 State filing of community benefit report VA true NVCC Educational Foundation 4001 Wakefield Chapel Rd Annandale VA 22003 510249730 501(c)(3) 60000 To support the establishment of the NOVA Workforce LPN certification program 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. Award recipients must provide documentation to be reimbursed for any scholarship related fees, e.g., school related, certifications, professional development, etc. The Foundation's staff development department approved and tracks all reimbursements. X X X X X false true false false false false false true false Sharon Martin Board member (through March 2023)/VP HEALTH SERVICES INTEGRATION 225249 0 0 0 6463 0 0 0 11497 0 243209 0 0 0 John Zabrowski SENIOR VP CFO 600181 0 0 0 4525 0 16875 0 933 0 622514 0 0 0 Alexander Eremia Senior VP\Chief Legal Officer 397133 0 12152 0 7994 0 17160 0 30893 0 465332 0 0 0 Christopher Lane President CEO 916166 0 213169 0 38742 0 15000 0 29136 0 1212213 0 15000 0 Michael Malone Senior Advisor (Former Key Employee) 104161 0 0 0 23812 0 10859 0 21069 0 159901 0 0 0 Adrian Stanton VP Real Estate Development 329335 0 0 0 28398 0 26400 0 21186 0 405319 0 0 0 Melody Dickerson Senior VP, CNO 506532 0 0 0 24128 0 19800 0 34596 0 585056 0 0 0 Michael Mistretta VP CHIEF INFORMATION OFFICER 472563 0 14917 0 34281 0 19800 0 27969 0 569530 0 0 0 Tiffany Blackman VP Chief Compliance Officer 262030 0 8597 0 23528 0 18339 0 23890 0 336384 0 0 0 Brian Stone MD Sr. VP Medical Affairs/CMO 577561 0 0 0 3257 0 0 0 486 0 581304 0 0 0 Dan Greenberg AVP Perioperative Services and Operations 266300 0 7667 0 645 0 0 0 26792 0 301404 0 0 0 Richard Krumenacker VP of Facilities 291564 0 0 0 2088 0 16875 0 31023 0 341550 0 0 0 Usman Akhtar MD Chief Medical Information Officer 388337 0 10000 0 39548 0 16875 0 10485 0 465245 0 0 0 Samuel T Gilkeson VP & Chief HR Officer 291014 0 10000 0 10317 0 14625 0 280 0 326236 0 0 0 Darryl Ernst Senior VP, VHC Physician Group 436970 0 13401 0 24523 0 17160 0 0 0 492054 0 0 0 John Garrett MD Physician 917748 0 10000 0 33098 0 19800 0 21325 0 1001971 0 0 0 Kelly Orzechowski MD VHCPG Vice Chief 722505 0 15000 0 107405 0 16875 0 15085 0 876870 0 0 0 John Rhee MD Physician 914448 0 10000 0 26964 0 19800 0 21325 0 992537 0 0 0 Jihad Salameh MD VHCPG Vice Chief 741772 0 14903 0 34724 0 26400 0 13824 0 831623 0 0 0 Myriam Ferzli MD Physician 582283 0 37757 0 58849 0 16875 0 486 0 696250 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan In 2023, Christopher Lane received a $15,000 distribution out of a nonqualified deferred compensation plan. This payment is included in Schedule J, Part II, Column (B)(iii). This payment was reported as deferred on a prior Form 990 and is therefore also included in Schedule J, Part II, Column (F). In 2023, Christopher Lane also received a contribution of $15,000 into a nonqualified deferred compensation plan. This contribution is included in Schedule J, Part II, Column (C). In 2023, Darryl Ernst received a contribution of $17,160 into a nonqualified deferred compensation plan. This contribution is included in Schedule J, Part II, Column (C). Schedule J, Part I, Line 7 Non-fixed payments Bonuses are based on an employee's annual performance appraisal and merit rating results. The head of the employee's department works with Human Resources to determine the amount of the employee's bonus each year. A INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY VIR 521304510 041438HE5 2020-05-20 293883095 REFUND 2010 BONDS; FINANCE CAPITAL PROJECTS false false false B INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY VIRGINIA 521304510 041438HF2 2023-09-26 161008500 Used to finance capital projects false false false A 4885000 0 294442948 0 20854292 54880 2410228 0 0 0 271123548 0 2022 true false true true B 0 0 162606071 0 22604167 0 1633635 0 0 7849010 0 130519259 false false false true A false false false false 0.0 0.0 0.0 false false true B false false false false 0.0 0.0 0.0 false false true A false true false false true false false false true B true true false false false true A true B true Schedule K, Part IV, Line 2c Date Rebate Calculation was performed ISSUER NAME: INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY, VIRGINIA Form 8038-T was filed on 6/20/2024. Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY, VIR Proceeds reported on Part VIII, Line 4 differ from the issue price of the bond due to cumulative investment earnings of $559,852. Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY, VIRGINIA PROCEEDS REPORTED ON PART VIII, LINE 4 DIFFER FROM THE ISSUE PRICE OF THE BOND DUE TO THE CUMULATIVE INVESTMENT EARNINGS OF $1,597,571. Hitt Contracting Inc SEE ATTACHED 792586 Building Construction false Jennifer Casolaro Spouse of Board Member M.Anthony Casolaro 12902 Salary paid false Jennifer Nguyen Sister of Board Member John Nguyen 130834 Salary paid false Schedule L, Part IV COLUMNS A & D Line 1: (A) NAME OF INTERESTED PERSON: HITT Contracting, Inc. (B) RELATIONSHIP: JAMES MILLAR, Board Member, HAS OWNERSHIP OF HITT CONTRACTING, Inc. Form 990, Part III, Line 1 ORGANIZATION'S MISSION TO INVEST IN THE PROFESSIONAL GROWTH AND DEVELOPMENT OF OUR PEOPLE. TO MANAGE OUR RESOURCES PRUDENTLY. TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY. Form 990, Part VI, Line 15b Process for determining compensation of officers and key employees OFFICERS AND KEY EMPLOYEES OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM (OTHER THAN THE CEO) A MARKET SUMMARY IS COORDINATED BY AN INDEPENDENT CONSULTANT TO DETERMINE A MARKET RATE RANGE OF COMPENSATION FOR SUCH INDIVIDUALS. THE COMPENSATION IS THEN DETERMINED BY THE CEO OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM WITHIN THE RANGE DETERMINED BY THE INDEPENDENT CONSULTANT. This process is undertaken annually and was completed during 2023. COMPENSATION INCREASES ARE PROVIDED BASED ON THE SAME CRITERIA APPLIED TO VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM EMPLOYEES. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Christopher Lane and John Zabrowski - Business relationship Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization has no committees with authority to act on behalf of the governing body; therefore, this question has intentionally been answered "no" in accordance with the IRS instructions to the Form 990. Form 990, Part VI, Line 11b Review of form 990 by governing body TO ENSURE COMPLIANCE WITH ALL REGULATORY REQUIREMENTS, THE TAX RETURN IS PREPARED BY AN INDEPENDENT CPA FIRM. A COMPLETED DRAFT IS REVIEWED BY MANAGEMENT AND ALL OUTSTANDING REGULATORY AND PRESENTATION ISSUES ARE RESOLVED. ONCE CHANGES ARE MADE TO THE DRAFT TO REFLECT COMMENTS FROM MANAGEMENT, A FINAL DRAFT IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. UPON RESOLUTION OF ANY REMAINING QUESTIONS OR REQUESTS FOR INFORMATION BY THE BOARD MEMBERS, A FINAL RETURN IS FILED WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY, ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM. DISCLOSURE OF RELATIONSHIPS AND TRANSACTIONS WITH THE CORPORATION AND RELATED ENTITIES AS WELL AS TRANSACTIONS BETWEEN RELATED INDIVIDUALS ARE DISCLOSED. IN ADDITION TO THE ANNUAL REQUIREMENT, ON AN ONGOING BASIS, OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY SELF CONFLICT OF INTEREST IF THEY OCCUR. ALL KNOWN CONFLICT OF INTERESTS ARE REFERRED TO THE COMPLIANCE COMMITTEE FOR RESOLUTION. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE COMPENSATION OF THE CEO OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM IS DETERMINED BY VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM THROUGH THE USE OF A COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION STUDY OR SURVEY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. This process is undertaken annually and was conducted in 2023. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Answering Services - Total Revenue: 21689, Related or Exempt Function Revenue: , Unrelated Business Revenue: 21689, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Capital Contributions - 2816918; Investment Income on Restricted Investments - -6002; Net Assets Released from Restrictions - -5999178; VHC PHYSICIAN GROUP LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 870807407 PHYSICIANS VA 62085373 88584100 Virginia Hospital Center ARLINGTON URGENT CARE CENTER LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541994394 URGENT CARE VA 1835697 2265769 Virginia Hospital Center SOUTH ARLINGTON LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 421717170 REAL ESTATE VA 0 0 VIRGINIA HOSPITAL CENTER VIRGINIA HOSPITAL FOUNDATION 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 204129901 FUNDRAISING VA 501(c)(3) Type II VHC true ARLINGTON PEDIATRIC CENTER 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541998631 Healthcare VA 501(c)(3) 10 VHC true McLean Tysons Orthopedic Surgery Center LLC 1760 Old Meadow Rd McLean VA 221023433 851995349 Health Services Joint Venture VA Virginia Hospital Center Arlington Health System Related 1983329 11417636 false false 0.51 AHV GROUP 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541304024 REAL ESTATE VA VIRGINIA HOSPITAL CENTER C Corporation 1073241 5716847 true true false true false false false false false false false false true true true false false false false VIRGINIA HOSPITAL CENTER FOUNDATION C 2730402 COST VIRGINIA HOSPITAL CENTER FOUNDATION A 61812 COST