2019-11-15T17:42:43-06:00 2018-12-31 560747981 DIXON HUGHES GOODMAN LLP 1410 SPRING HILL ROAD 5TH FLOOR TYSONS VA 22102 990 2018-01-01 540505989 VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM VIRG 7035585000 1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 22205 JOHN ZABROWSKI SENIOR VP/CFO 7035585000 2019-11-15 1 TAMARA VINEYARD P01775208 7039700400 108.51.233.232 2019-11-15 15:52:19 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 839A658C77C9BD915FB92B1F12127266767FB63C 2018 2020-03-31 21:24:44Z JAMES COLE 1701 N GEORGE MASON DR ARLINGTON VA 22205 516516449 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 13 4159 409 1323789 566801 4461997 4771716 461283574 489791389 56556991 16493566 2614037 2861357 524916599 513918028 0 0 0 0 240063237 254720517 0 0 0 230507393 263560611 470570630 518281128 54345969 -4363100 1180272870 1140715290 185564341 202091934 994708529 938623356 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 92466583 98095582 MEDICINE: PROVIDE GENERAL MEDICAL SERVICES TO THE COMMUNITY, 11,079 CASES PERFORMED IN 2018. 145597476 148125878 SURGERY: PROVIDE SURGICAL SERVICES TO THE COMMUNITY, 14,106 CASES PERFORMED IN 2018. 235742141 242365607 OTHER: PROVIDE MEDICAL CARE TO THE COMMUNITY INCLUDING CARDIOLOGY, OBSTETRICS, EMERGENCY AND OTHER SERVICES, 253,730 SERVICES PROVIDED IN 2018. 473806200 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 1 0 0 1 371 0 1 4159 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 VA X SUSAN STERMER 7035585000 1701 N GEORGE MASON DR ARLINGTON VA 22205 JOHN GARRETT 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 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 X 0 0 0 DAVID TOWNSHEND BOARD MEMBER 4.00 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 4.00 X 0 0 0 JAMES MILLAR BOARD MEMBER 4.00 X 0 0 0 DAVID LEE BOARD MEMBER 4.00 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 MEREDITH BROADBENT BOARD MEMBER 4.00 X 0 0 0 JAMES B COLE PRESIDENT CEO 40.00 5.00 X X 968067 0 31039 ROBIN NORMAN SENIOR VP CFO 40.00 4.00 X 516630 0 28321 JOHN ZABROWSKI SENIOR VP CFO 40.00 X 222985 0 18 PAMELA KANE VP HEALTH SYSTEMS 40.00 X 342456 0 21861 MICHAEL MALONE VP CHIEF HRO 40.00 X 386293 0 30997 ADRIAN STANTON VP PUBLIC RELATIONS 40.00 X 328383 0 27691 PHILIP PECK ASST TREASURER 40.00 1.00 X 232574 0 24356 KEVIN HOAK AVP PERIOPERATIVE SERVICES AND OPERATIONS 40.00 X 232574 0 6292 JEFFREY DILISI SENIOR VP CHIEF MEDICAL OFFICER 40.00 1.00 X 579965 0 24647 MICHAEL MISTRETTA VP CHIEF INFORMATION OFFICER 40.00 X 456644 0 21387 CHARLES FLETCHER VP SUPPORT SERVICES 40.00 X 255142 0 24112 MELODY DICKERSON SR VP PATIENT CARE SERVICE 40.00 X 390343 0 10754 ELIZABETH FRANTZ PRESIDENT OF FOUNDATION 40.00 4.00 X 233209 0 4128 KELLY ORZECHOWSKI PHYSICIAN 40.00 X 846150 0 13461 NISHA VYAS PHYSICIAN 40.00 X 657858 0 13917 JIHAD SALAMEH PHYSICIAN 40.00 X 599274 0 24754 ROBERT MORDKIN PHYSICIAN 40.00 4.00 X 544516 0 10766 ANDREW JOEL PHYSICIAN 40.00 X 528959 0 26491 8322022 0 344992 404 0 1 0 ARAMARK CORPORATION PO BOX 33170 NEWARK NJ 07188 ENVIRON & FOOD SERVICE 6435243 PULMONARY & MEDICAL ASSOC 500 W ANNANDALE ROAD FALLS CHURCH VA 22046 HEALTHCARE PROVIDER 2826668 SHOEMAKER CONSTRUCTION LLC 15729 CRABBS BRANCH WAY ROCKVILLE MD 20855 CONSTRUCTION 2465279 GILBANE BUILDING COMPANY 7 JACKSON WALKWAY PROVIDENCE RI 02903 CONSTRUCTION 967975 PURSUIT HEALTHCARE 515 PENNSYLVANIA AVE SUITE 100 FORT WASHINGTON PA 19034 CONSULTING 383799 73 1231059 3540657 4771716 PATIENT REVENUE 621400 484394548 484394548 PARKING 812930 2653885 2653885 OTHER OPERATING REVENUE 621400 1733091 1282867 450224 EXECUTIVE PHYSICALS 621300 966373 966373 INTERNET RENTAL 532000 43492 43492 489791389 3184164 -94463 3278627 4048962 1401535 2647427 2647427 2647427 13271471 37931 0 0 13271471 37931 13309402 13309402 1410816 1196886 213930 255767 -41837 513918028 488587067 1323789 19235456 5565560 1005710 4559850 117948 117948 217362032 198833964 18528068 6152205 5627787 524418 10658045 9749547 908498 14864727 13597649 1267078 556302 554875 1427 1017773 314229 703544 229774 229774 25366 25366 2464792 2464792 50758712 48229101 2529611 3339748 2795375 544373 18469713 13364185 5105528 4059117 4027177 31940 560454 489135 71319 4715940 4313950 401990 32891585 30087887 2803698 12006607 10983157 1023450 SUPPLIES 106136467 106033904 102563 EQUIPMENT RENTAL & MAIN 24681950 23376793 1305157 DUES 1392882 421775 971107 TAXES 253429 253429 518281128 473806200 44474928 0 14407165 23855428 47697110 60496120 12664644 14349569 4508619 5078343 734869162 476010432 245956981 258858730 527659966 496705703 304344898 257832309 23033487 23539088 1180272870 1140715290 51740242 61828505 106093133 99836505 27730966 40426924 185564341 202091934 X 973309637 921924345 19658928 14957182 1739964 1741829 994708529 938623356 1180272870 1140715290 X -4363100 -46131101 -5590972 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 25366 25366 0 PART II-B, LINE 1: PORTION OF DUES PAYMENTS TO VIRGINIA HOSPITAL HEALTHCARE ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION RELATED TO LOBBYING EXPENSES. 13917692 3540405 -351630 2589030 14517437 13530613 3503027 1887563 5003511 13917692 11150590 3715781 521611 1857369 13530613 11189953 1862024 -409825 1491562 11150590 12506114 1803403 444295 3563859 11189953 0.00000 0.12000 0.88000 0 0 2857208 2857208 204970337 119663394 85306943 116333558 57836983 58496575 400077807 298510055 101567752 10630252 10630252 258858730 CASH AND CASH EQUIVALENTS 16870783 F INVESTMENT IN LIMITED PARTNERSHIP 12500 F COMMON COLLECTIVE TRUSTS 103068008 F FUNDS HELD BY TRUSTEE 11375523 F PUBLICLY TRADED SECURITIES WITH GREATER THAN 5% OWNERSHIP 126505495 F 257832309 DUE TO THIRD PARTY PAYERS 18041232 INTEREST PAYABLE 2347600 OTHER LIABILITIES 322835 OTHER LONG TERM LIABILITIES 19715257 40426924 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 64094942 0 0 0 0 0 0 64094942 0 64094942 1 0 1 1 1 0 1 1 X 1 X 0 0 1 1 0 1 1 10478000 10478000 0.02020 22962617 16325969 6636648 0.01280 33440617 16325969 17114648 0.03300 3795912 3795912 0.00730 6795091 3313262 3481829 0.00670 60193603 39762752 20430851 0.03940 721709 721709 0.00140 71506315 43076014 28430301 0.05480 104946932 59401983 45544949 0.08780 6000 6000 0.00000 3500 3500 0.00000 102512 102512 0.00020 112012 112012 0.00020 1 9714641 136695004 147201016 -10506012 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 1 1 X X X 1 X WWW.VIRGINIAHOSPITALCENTER.COM X WWW.VIRGINIAHOSPITALCENTER.COM X WWW.VIRGINIAHOSPITALCENTER.COM X X X X X X 1 X 0 X 1 0 0 VIRGINIA HOSPITAL CENTER PART V, SECTION B, LINE 5: THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND COMMUNITY LEADERS OF MINORITY AND UNDERSERVED GROUPS. IN PARTICULAR, THE ORGANIZATION RECEIVED INPUT FROM 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: THE COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED IN 2017 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 ADDRESS THE COMMUNITY HEALTH NEEDS, SEVERAL INITIATIVES WERE UNDERTAKEN IN 2017, AND VHC CONTINUES TO FOCUS EFFORTS IN THESE SERVICE AREAS AS IDENTIFIED BELOW:- MENTAL ILLNESS - BEHAVORIAL HEALTH: - EXPAND PSYCHIATRIC INPATIENT CAPACITY - EXPAND SUBSTANCE ABUSE SERVICES - EXPAND EMERGENCY DEPARTMENT MENTAL HEALTH CAPACITY - ACUTE INPATIENT AND OUTPATIENT RECOVERY AND WELLNESS PROGRAM - WITH FOCUS ON ASSISTING THE MILITARY PERSONNEL- CHILDHOOD AND ADULT OBESITY: - REGULAR, ONGOING COMMUNITY EDUCATION AND EXERCISE PROGRAMS FOR WEIGHT MANAGEMENT - FULL-SERVICE WEIGHT MANAGEMENT AND BARIATRIC SURGERY PROGRAM - NATIONALLY-RECOGNIZED CENTER FOR EXCELLENCE FOR WEIGHT MANAGEMENT - APC OBESITY PROGRAM- MEDICAL/SURGICAL SERVICES: - EXPAND INPATIENT MED/SURG BED CAPACITY - STATE-OF-THE-ART HEART AND STROKE CENTERS; NATIONALLY RECOGNIZED CENTERS OF EXCELLENCE - CANCER CENTER - COC ACCREDITED AND RECIPIENT OF THE OUTSTANDING ACHIEVEMENT AWARD - RADIATION ONCOLOGY - LINEAR ACCELERATOR AND STEREOTACTIC RADIOSURGERY EXPANSION - DIABETES SCREENING, COUNSELING AND EDUCATION - EXPANSION OF OUTPATIENT PHYSICAL THERAPY SERVICES - EXPANSION OF PRIMARY CARE NETWORK - CENTERS IN ARLINGTON, ALEXANDRIA, FALLS CHURCH, MCLEAN AND SHIRLINGTON - 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 - CARDIOVASCULAR & THORACIC SURGERY 1625 N GEORGE MASON DR SUITE 288 ARLINGTON VA 22205 PROVIDES CARDIOVASCULAR & THORACIC SURGERY 8 - OB HOSPITALIST 1701 N GEORGE MASON DR SUITE 413 ARLINGTON VA 22205 PROVIDES SERVICES FOR BREAST HEALTH 9 - OBGYN 700 S WASHINGTON ST SUITE 330 ALEXANDRIA VA 22314 PROVIDES OBSTETRICAL SERVICES 10 - PALLIATIVE CARE 1635 N GEORGE MASON DR SUITE 115 ARLINGTON VA 22205 PROVIDES SERVICES FOR PALLIATIVE MEDICINE 11 - PC ALEXANDRIA 1600 N BEAUREGARD ST SUITE 300 ALEXANDRIA VA 22311 PRIMARY CARE 12 - PC ARLINGTON 2800 S SHIRLINGTON RD SUITE 500 ARLINGTON VA 22206 PRIMARY CARE 13 - PC FALLS CHURCH 400 S MAPLE AVE SUITE 200 FALLS CHURCH VA 22046 PRIMARY CARE 14 - PC MCLEAN 6862 ELM STREET SUITE 600 MCLEAN VA 22101 PRIMARY CARE 15 - PC OLD TOWN 700 S WASHINGTON ST SUITE 330 ALEXANDRIA VA 22314 PRIMARY CARE 16 - PM&R - OFFICE 1715 N GEORGE MASON DR SUITE 305 ARLINGTON VA 22205 PROVIDES SERVICES FOR MEDICAL SPECIALTY 17 - PODIATRY 1600 N BEAUREGARD ST SUITE 300 ALEXANDRIA VA 22311 PROVIDES SERVICES FOR PODIATRY 18 - SURGICAL SPECIALISTS 1625 N GEORGE MASON DR SUITE 334 ARLINGTON VA 22205 INPATIENT CARE 19 - URGENT CARE CENTER 601 S CARLIN SPRINGS RD ARLINGTON VA 22204 PROVIDES URGENT AND NON-URGENT HEALTH CARE 20 - UROLOGY 1625 N GEORGE MASON DR SUITE 454 ARLINGTON VA 22205 PROVIDES UROLOGY SERVICES 21 - WOUND CARE 1701 N GEORGE MASON DR SUITE G200 ARLINGTON VA 22205 PROVIDES WOUND CARE & HYPERBARIC MEDICINE 22 - PLASTIC 1625 N GEORGE MASON DR SUITE 315 ARLINGTON VA 22205 PROVIDES SERVICES FOR PLASTIC SURGERY PART I, LINE 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 $1,505,082. 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 2018, 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 $23,412,634. THE AGGREGATE, NET LOSS FROM PHYSICIAN PRACTICES WAS CALCULATED BY DETERMINING THE NET LOSS INCURRED BY THE PHYSICIAN PRACTICES DURING THE YEAR ($22,730,001) AND THEN SUBTRACTING FROM THAT FIGURE THE ASSOCIATED HOSPITAL SERVICES NET INCOME STEMMING FROM SUCH PHYSICIAN PRACTICES ($4,051,926).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 2018 WAS $1,070,143. 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 $30,202,135 IS REPORTED NET OF REVENUES. THIS AMOUNT WAS EXCLUDED FROM TOTAL EXPENSE. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON LINE 2 WAS THE COST TO THE ORGANIZATION OF PROVIDING THE PATIENT CARE SERVICES THAT RESULTED IN THE BAD DEBT EXPENSE. TO DETERMINE THE COST TO THE ORGANIZATION, THE ORGANIZATION MULTIPLIED THE GROSS CHARGES THAT WERE UNCOLLECTED BY THE HOSPITAL'S COST TO CHARGE RATIO. PART III, LINE 3: THE ORGANIZATION ESTIMATES THAT A NEGLIGIBLE AMOUNT OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION UTILIZES A SOFTWARE PROGRAM TO DETERMINE IF PATIENTS HAVE CERTAIN INDICIA OF QUALIFYING FOR 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 4: THE CORPORATION DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS AND DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE CORPORATION'S POLICY, AND ESTIMATED IMPLICIT PRICE CONCESSIONS RELATED TO UNINSURED PATIENT ACCOUNTS. THE CORPORATION DETERMINES ITS ESTIMATES OF PRICE CONCESSIONS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE WITH THESE CLASSES OF PATIENTS. GENERALLY, PATIENTS WHO HAVE THIRD-PARTY PAYOR COVERAGE ARE RESPONSIBLE FOR RELATED DEDUCTIBLES AND COINSURANCE, WHICH VARY IN AMOUNT. THE CORPORATION ALSO PROVIDES SERVICES TO UNINSURED PATIENTS, AND OFFERS THOSE UNINSURED PATIENTS A DISCOUNT, EITHER BY POLICY OR LAW, FROM STANDARD CHARGES. THE CORPORATION ESTIMATES THE TRANSACTION PRICE FOR PATIENTS WITH DEDUCTIBLES AND COINSURANCE AND FROM THOSE WHO ARE UNINSURED BASED ON HISTORICAL EXPERIENCE AND CURRENT MARKET CONDITIONS. THE INITIAL ESTIMATE OF THE TRANSACTION PRICE IS DETERMINED BY REDUCING THE STANDARD CHARGE BY ANY APPLICABLE EXPLICIT AND/OR IMPLICIT PRICE CONCESSIONS. SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEARS ENDED IN DECEMBER 31, 2018, AND 2017, EXPLICIT AND IMPLICIT PRICE CONCESSIONS ON A CONSOLIDATED BASIS WERE $951 MILLION AND $856 MILLION, RESPECTIVELY. PART III, LINE 8: THE ORGANIZATION'S MEDICARE SHORTFALL, AS REPORTED IN SCHEDULE H, PART III, SECTION B, 7, SHOULD BE CONSIDERED A COMMUNITY BENEFIT. ALTHOUGH PROVIDING THE BEST POSSIBLE CARE TO OUR MEDICARE PATIENTS CREATES A FINANCIAL LOSS, PART OF THE MISSION OF OUR ORGANIZATION IS TO SERVE ELDERLY PATIENTS WITHIN THE COMMUNITY, AND WE BELIEVE PROVIDING SUCH CARE HAS CONTRIBUTED TO THE IMPROVEMENT OF HEALTH OVERALL WITHIN THE COMMUNITY. BY PROVIDING THE BEST POSSIBLE CARE TO OUR MEDICARE PATIENTS, WE RELIEVE THE GOVERNMENT AND SURROUNDING OTHER HOSPITALS OF THE FINANCIAL BURDEN OF TREATING THESE PATIENTS INSURED BY THE MEDICARE PROGRAM. FURTHERMORE, THE MEDICARE SHORTFALL REPORTED IS LIKELY UNDERSTATED BECAUSE MEDICARE ALLOWABLE COSTS WERE DETERMINED UTILIZING THE COST TO CHARGE RATIO AS SET FORTH IN THE MEDICARE COST REPORT, AND, AS A RESULT, DO NOT REFLECT THE TRUE, FULL COST OF DELIVERING CARE TO MEDICARE PATIENTS. PART III, LINE 9B: AS SOON AS A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (EVEN IF AFTER THE BILLING AND COLLECTION PROCESS HAS COMMENCED),THE COLLECTION POLICY STATES THAT ALL BILLING AND COLLECTION EFFORTS WILL CEASE IMMEDIATELY AND COLLECTION EFFORTS WILL NOT TO BE PURSUED. THE ACCOUNT IS IMMEDIATELY WRITTEN OFF AND RECOGNIZED AS CHARITY. ALL PREVIOUS PATIENT PAYMENTS ARE RETURNED TO THE PATIENT. PART VI, LINE 2: THE ORGANIZATION 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/OR ESTABLISHED 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 THE ORGANIZATION LACKS THE REQUISITE EXPERTISE AND EXPERIENCE IN THIS AREA TO EFFECTIVELY ADDRESS THIS HEALTH NEED. IN 2018 AS PART OF VHC'S ONGOING COMMITMENT TO COMMUNITY HEALTH NEEDS, THE HOSPITAL ENTERED INTO AN AGREEMENT TO ESTABLISH A PROGRAM "DIVERSION FIRST: A PILOT TO DIVERT ARLINGTON YOUTH WITH BEHAVIORAL HEALTH CRISES FROM HOSPITALIZATION". THE PROGRAM IS A COLLABORATION BETWEEN THE VIRGINIA HOSPITAL CENTER AND THE COUNTY BOARD OF ARLINGTON COUNTY, VIRGINIA, TO ENCOURAGE THE DIVERSION OF YOUTH FROM (I) PSYCHIATRIC HOSPITALIZATION AND REPEATED VISITS TO THE EMERGENCY ROOM (II) RESIDENTIAL TREATMENT, AND (III) THE ARLINGTON COUNTY JUVENILE JUSTICE SYSTEM. THE AGREEMENT WAS ENTERED INTO IN DECEMBER 2018, AND THE PROGRAM IS IN THE PROCESS OF BEING IMPLEMENTED. IN NOVEMBER 2018, THE ARLINGTON COUNTY BOARD APPROVED THE HOSPITAL'S PLAN TO EXPAND THE NORTH GEORGE MASON DRIVE CAMPUS ONTO THE NEIGHBORING EDISON SITE. THE PROPOSED SERVICE EXPANSION INCLUDES SERVICES TO BETTER SERVE PATIENTS WITH MENTAL HEALTH NEEDS AS FOLLOWS: -EMERGENCY DEPARTMENT EXPANSION TO INCLUDE A DESIGN AND OPERATIONAL PLAN FOR SPACE THAT INCLUDES MEASURES TO BETTER SERVE PATIENTS IN PSYCHIATRIC CRISIS. -NEW INTENSIVE OUTPATIENT BEHAVIORAL HEALTH PROGRAM TO PROVIDE TIMELY CARE OPTIONS IN AN OUTPATIENT SETTING FOR THOSE SUFFERING FROM MENTAL ILLNESS. -QUARTERLY MEETING WITH THE EXECUTIVE DIRECTOR AND CHAIR OF THE ARLINGTON COUNTY COMMUNITY SERVICES BOARD TO EXCHANGE INFORMATION ON THE USAGE OF PSYCHIATRIC BEDS, SUBSTANCE USE DISORDER, AND EMERGENCY SERVICES, TO PROVIDE UPDATES AND FEEDBACK ON PROGRAMS AND ACTIVITIES SPONSORED BY THE INTENSIVE OUTPATIENT BEHAVIORAL HEALTH PROGRAM AND TO PLAN COLLABORATIVELY TO IMPROVE BEHAVIORAL HEALTH SERVICE TO THE COMMUNITY. THESE QUARTERLY MEETINGS SHALL COMMENCE WITH THE APPROVAL OF THE SITE PLAN AMENDMENT FOR THE OUTPATIENT BUILDING AND SHALL CONTINUE FOR A PERIOD OF FIVE YEARS FOLLOWING THE ISSUANCE OF THE FIRST CERTIFICATE OF OCCUPANCY FOR THE BEHAVIORAL HEALTH BED EXPANSION, OR UNTIL SUCH TIME AS THE COUNTY MANAGER AGREES IN WRITING THAT MEETINGS MAY OCCUR LESS FREQUENTLY THAN QUARTERLY OR ARE NO LONGER NECESSARY. IN ADDITION, THE HOSPITAL WILL SEEK TO GET COPN APPROVAL TO EXPAND INPATIENT PSYCH CAPACITY. AS PART OF THIS PROCESS, A DETERMINATION WILL BE MADE AS TO THE NUMBER OF ADDITIONAL INPATIENT PSYCHIATRIC BEDS NEEDED, AND IN THE EVENT, THE STATE DOES NOT APPROVE ADDITIONAL INPATIENT BEDS, HOW THE HOSPITAL WILL MEET THE CAPACITY EXPANSION. AS PART OF THE HOSPITAL'S ONGOING COMMITMENT TO COMMUNITY HEALTH NEEDS, VHC IMPLEMENTED IN 2017, AND CONTINUES TO PROVIDE THE FOLLOWING SERVICES: -INPATIENT AND OUTPATIENT ADDICTIONS SERVICES-PROVISION OF HOME HEALTH SERVICES TO THE COMMUNITY -PRIMARY CARE CENTERS ESTABLISHED IN PRIMARY AND SECONDARY SERVICE AREAS -COMPLETED INSTALLATION OF STATE OF THE ART LINEAR ACCELERATOR FOR CANCER TREATMENT -ESTABLISHED AND CONTINUES TO OFFER 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: PROMOTION OF COMMUNITY HEALTHTHE HOSPITAL'S VISION IS TO BUILD A HEALTHIER COMMUNITY BY PROMOTING AND PROVIDING ACCESS TO HEALTHCARE SERVICES TO LOW INCOME RESIDENTS IN ITS' SERVICE AREA. REGARDLESS OF THE ABILITY TO PAY, THE HOSPITAL PROVIDES A FULL SPECTRUM OF INPATIENT AND OUTPATIENT SERVICES TO MEMBERS OF THE COMMUNITY, INCLUDING 64,597 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 6,300 VISITS PER YEAR TO THE HOSPITAL'S INDIGENT CLINIC. THE INDIGENT CLINIC IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE TO LOW INCOME AND UNINSURED COUNTY RESIDENTS. ADDITIONALLY, THE HOSPITAL SUBSIDIZES BREAST AND COLON SCREENINGS AND TREATMENT SERVICES FOR INDIGENT PATIENTS SEEN BY THE ARLINGTON FREE CLINIC. OTHER COMMUNITY SERVICES INCLUDE: *RENT FREE SPACE TO CRISIS LINK - A NONPROFIT CRISIS HOTLINE SERVING NORTHERN VIRGINIA*RENT FREE SPACE TO THE LIONS CLUB - A NONPROFIT ORGANIZATION FURNISHING EYEGLASSES TO THE NEEDY.*HEALTH PROMOTION PROGRAMS AND SERVICES, SUCH AS SMOKING CESSATION, BLOOD PRESSURE SCREENINGS AND WELLNESS PROGRAMS*CLINIC ELIGIBILITY WORKERS THAT ASSIST PATIENTS IN OBTAINING HEALTHCARE SERVICES *SOCIAL SERVICES TO ASSIST PATIENTS IN ARRANGING FOR NON-HOSPITAL HEALTHCARE SERVICES2018 AWARDS AND RECOGNITION-LEAPFROG TOP TEACHING HOSPITAL-LEAPFROG HOSPITAL SAFETY SCORE OF "A" FOR 13 CONSECUTIVE GRADING PERIODS-MAGNET DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC)-RECOGNIZED BY NURSE.ORG AS TOP HOSPITAL FOR NURSES TO WORK IN VIRGINIA-THREE STAR RATING (HIGHEST RATING) SOCIETY OF THORACIC SURGEONS FOR CORONARY ARTERY BYPASS GRAFTING SURGERY-RECIPIENT OF HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARD, AND PATIENT SAFETY EXCELLENCE AWARD-NAMED ONE OF AMERICA'S 100 BEST HOSPITALS FOR PROSTRATE SURGERY -RECOGNIZED BY BECKER'S HOSPITAL REVIEW AS ONE OF THE 150 TOP PLACES TO WORK IN HEALTHCARE-WOMEN'S CHOICE AWARDS: O AMERICA'S 100 BEST HOSPITALS FOR PATIENT EXPERIENCE O AMERICA'S BEST HOSPITALS FOR BARIATRIC SURGERY O AMERICA'S BEST BREAST CENTERS O AMERICA'S BEST HOSPITALS FOR CANCER CARE O AMERICA'S BEST HOSPITALS FOR OBSTETRICS O AMERICA'S BEST HOSPITALS FOR ORTHOPEDICS O AMERICA'S BEST HOSPITALS FOR PATIENT SAFETY O AMERICA'S BEST STROKE CENTERS-SELECTED AS A TOP HOSPITAL BY VIRGINIA LIVING MAGAZINE, RECOGNIZING EXCELLENCE IN CANCER, CARDIOLOGY, PREVENTION, NEUROLOGY, REHABILITATION, SURGERY, AND ORTHOPEDICS.-RECOGNIZED BY ARLINGTON MAGAZINE AND THE ARLINGTON COMMUNITY AS THE READERS PICK FOR BEST EMERGENCY ROOM AND BEST URGENT CARE. -RECEIVED THE ARLINGTON CHAMBER OF COMMERCE CHAIR'S AWARD FOR OUTSTANDING CONTRIBUTIONS OF RESOURCES TO THE CHAMBER AND THE ARLINGTON BUSINESS COMMUNITY.-LAUNCHED NURSE RESIDENCY PROGRAM IN 2018 AND GRADUATED THE FIRST COHORT OF NURSES.-LAUNCHED THE RESUSCITATION QUALITY IMPROVEMENT INITIATIVE ENDORSED BY THE AHA. THE INITIATIVE PROVIDES CPR, ACLS, AND PALS TRAINING USING KIOSKS LOCATED THROUGHOUT THE HOSPITAL.ACCREDITATION AND CERTIFICATION -RECEIVED AETNA INSTITUTES OF QUALITY RECOGNITION FOR CONSISTENTLY HIGH-VALUE, HIGH QUALITY CARE IN BARIATRIC SURGERY, CARDIAC MEDICAL INTERVENTION, CARDIAC RHYTM AND CARDIOVASCULAR SURGERY.-WOMEN & INFANT HEALTH WAS DESIGNATED AN AETNA ELECTIVE DELIVERY INFANT SAFETY PROGRAM.-BARIATRIC CENTER OF EXCELLENCE FOR UNITED HEALTHCARE.-BLUE CROSS BLUE SHIELD:BLUE DISTINCTION & BLUE DISTINCTION CENTER+HOSPITALBLUE DISTINCTION CENTER FOR MATERNITY CAREBLUE DISTINCTION CENTER +SPECIALTY CENTER FOR KNEE & HIP REPLACEMENTBLUE DISTINCTION CENTER + FOR CARDIAC CAREBLUE DISTINCTION CENTER + BARIATRIC SURGERY-INPATIENT REHABILITATION CENTER - CARF - THREE-YEAR RE-ACCREDITATION FOR THE ADULT MEDICAL REHABILITATION AND STROKE SPECIALTY PROGRAMS.-REINSCH PIERCE FAMILY CENTER FOR BREAST HEALTH RE-ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS FOR ANOTHER THREE YEAR PERIOD, RECOGNIZING A COMMITMENT TO THE HIGHEST QUALITY EVALUATION AND MANAGEMENT OF PATIENTS WITH BREAST DISEASE. -VHC PHYSICIAN GROUP - PRIMARY CARE SERVICES LOCATED IN ARLINGTON, OLD TOWN, FALLS CHURCH, ALEXANDRIA, AND MCLEAN RECEIVED NCQA PATIENT-CENTERED MEDICAL HOME DESIGNATION FOR THEIR COMMITMENT IN ADVANCING QUALITY IN HEALTHCARE. PART VI, LINE 6: THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES NEEDED HEALTHCARE SERVICES TO ITS COMMUNITY. IN PARTICULAR, THROUGH ITS AFFILIATES ARLINGTON PEDIATRIC CENTER AND ARLINGTON URGENT CARE CENTER, AS WELL AS THE EMPLOYMENT OF OVER 125 PHYSICIANS, THE VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM PROVIDES AN ARRAY OF HEALTHCARE SERVICES, IN ADDITION TO INPATIENT AND OUTPATIENT SERVICES PROVIDED BY THE HOSPITAL. ARLINGTON PEDIATRIC CENTER IS A SEPARATE TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, WHICH FOCUSES UPON THE PROVISION OF HEALTHCARE SERVICES TO CHILDREN AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. IN 2018 IT PROVIDED CARE FOR OVER 14,600 PEDIATRIC VISITS AND SERVED AS A MEDICAL HOME TO CHILDREN WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IN 2018 ARLINGTON PEDIATRIC CENTER INCURRED AN OPERATING LOSS OF $1,070,143, 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 910439 0 28649 0 28979 0 22000 0 9039 0 999106 0 0 0 ROBIN NORMAN SENIOR VP CFO 512994 0 0 0 3636 0 22000 0 6321 0 544951 0 0 0 JOHN ZABROWSKI SENIOR VP CFO 184043 0 38700 0 242 0 0 0 18 0 223003 0 0 0 PAMELA KANE VP HEALTH SYSTEMS 338930 0 0 0 3526 0 11111 0 10750 0 364317 0 0 0 MICHAEL MALONE VP CHIEF HRO 381245 0 0 0 5048 0 22000 0 8997 0 417290 0 0 0 ADRIAN STANTON VP PUBLIC RELATIONS 326224 0 0 0 2159 0 18700 0 8991 0 356074 0 0 0 PHILIP PECK ASST TREASURER 229895 0 0 0 2679 0 18064 0 6292 0 256930 0 0 0 KEVIN HOAK AVP PERIOPERATIVE SERVICES AND OPERA 229895 0 0 0 2679 0 0 0 6292 0 238866 0 0 0 JEFFREY DILISI SENIOR VP CHIEF MEDICAL OFFICER 578754 0 0 0 1211 0 13875 0 10772 0 604612 0 0 0 MICHAEL MISTRETTA VP CHIEF INFORMATION OFFICER 374195 0 78104 0 4345 0 12391 0 8996 0 478031 0 0 0 CHARLES FLETCHER VP SUPPORT SERVICES 254658 0 0 0 484 0 13370 0 10742 0 279254 0 0 0 MELODY DICKERSON SR VP PATIENT CARE SERVICE 378555 0 11197 0 591 0 0 0 10754 0 401097 0 0 0 ELIZABETH FRANTZ PRESIDENT OF FOUNDATION 231977 0 0 0 1232 0 0 0 4128 0 237337 0 0 0 KELLY ORZECHOWSKI PHYSICIAN 440779 0 404915 0 456 0 7148 0 6313 0 859611 0 0 0 NISHA VYAS PHYSICIAN 420034 0 236780 0 1044 0 13875 0 42 0 671775 0 0 0 JIHAD SALAMEH PHYSICIAN 469685 0 126947 0 2642 0 13991 0 10763 0 624028 0 0 0 ROBERT MORDKIN PHYSICIAN 494817 0 47094 0 2605 0 0 0 10766 0 555282 0 0 0 ANDREW JOEL PHYSICIAN 497009 0 31151 0 799 0 15725 0 10766 0 555450 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 40500000 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 975969 SURGERY SERVICES, MED DIRECTOR 0 WALSH COLUCCI LUBELEY AND WALSH PC DIRECTOR 663467 LEGAL SERVICES 0 NORTHERN VIRGINIA RADIOLOGY CONSULTANTS PLLC DIRECTOR 328662 RADIOLOGY SERVICES 0 DOMINION ANESTHESIA PLLC DIRECTOR 133820 ANESTHESIA SERVICES 0 ANDREW MALONE SON OF OFFICER 59705 SALARY PAID TO FAMILY MEMBER 0 ANNE MARIE GARRETT DAUGHTER OF DIRECTOR JOHN GARRETT 58243 SALARY PAID TO FAMILY MEMBER 0 PART IV PAYMENT OF $975,969 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 $663,467 FOR LEGAL SERVICES WAS PAID TO WALSH, COLUCCI, LUBELEY & WALSH, WHERE THOMAS COLUCCI, SECRETARY OF THE BOARD, IS A PARTNER.PAYMENT OF $328,662 FOR PROFESSIONAL MEDICAL SERVICES WAS PAID TO NORTHERN VIRGINIA RADIOLOGY WHERE DR. RUSSELL MCWEY IS A PARTNER.PAYMENT OF $133,170 FOR PROFESSIONAL MEDICAL SERVICES WAS PAID TO DOMINION ANESTHESIA PLLC WHERE DR. DAVID LEE IS A PARTNER.SALARY OF $59,705 WAS PAID TO ANDREW MALONE, WHO IS A SON OF MIKE MALONE, CHIEF HR OFFICER.SALARY OF $58,243 WAS PAID TO ANNE MARIE GARRETT, WHO IS A DAUGHTER OF JOHN GARRETT, BOARD CHAIRMAN, DIRECTOR OF PHYSICIAN OPERATIONS.THE HOSPITAL RECEIVED RENT PAYMENTS OF $28,516 FROM JOHN GARRETT, M.D. BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 11B TO ASSURE COMPLIANCE WITH ALL REGULATORY REQUIREMENTS, THE TAX RETURN IS PREPARED BY AN INDEPENDENT CPA FIRM. A COMPLETED DRAFT IS REVIEWED BY MANAGEMENT AND ALL OUTSTANDING REGULATORY AND PRESENTATION ISSUES ARE RESOLVED. ONCE CHANGES ARE MADE TO THE DRAFT TO REFLECT COMMENTS FROM MANAGEMENT, A FINAL DRAFT IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. UPON RESOLUTION OF ANY REMAINING QUESTIONS OR REQUESTS FOR INFORMATION BY THE BOARD MEMBERS, A FINAL RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM. DISCLOSURE OF RELATIONSHIPS AND TRANSACTIONS WITH THE CORPORATION AND RELATED ENTITIES AS WELL AS TRANSACTIONS BETWEEN RELATED INDIVIDUALS ARE DISCLOSED. IN ADDITION TO THE ANNUAL REQUIREMENT, ON AN ONGOING BASIS, OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY SELF CONFLICT OF INTEREST IF THEY OCCUR. ALL KNOWN CONFLICT OF INTERESTS ARE REFERRED TO THE COMPLIANCE COMMITTEE FOR RESOLUTION. FORM 990, PART VI, SECTION B, LINE 15A TO DETERMINE THE APPROPRIATE COMPENSATION OF THE CEO, A MARKET SUMMARY IS COORDINATED AND COMPLETED, ANNUALLY, BY INDEPENDENT CONSULTANTS TO DETERMINE THE MARKET RATE OF COMPENSATION FOR THE CEO, WITHIN AN APPROPRIATE RANGE. THE MARKET SUMMARY IS SUBMITTED TO THE INDEPENDENT COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, WHICH REVIEWS THE MARKET SUMMARY AND THEN APPROVES THE CEO'S COMPENSATION, WITHIN THE RANGE SET BY THE INDEPENDENT CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INVESTMENT IN VHC FOUNDATION -5,133,900. ASSETS RELEASED FROM RESTRICTION -457,072. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEARS. 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