2013-11-05T15:42:04-06:00 2012-12-31 COHEN RUTHERFORD KNIGHT PC 6903 ROCKLEDGE DRIVE SUITE 500 BETHESDA MD 208171800 990 2012-01-01 540505989 Virginia Hospital Center Arlington Health System % PHILIP PECK VIRG 7035585000 1701 North George Mason Drive Suite Arlington VA 22205 PHILIP PECK 7035585000 2013-11-01 true TINA C ECKLOFF 3018281008 2012 2016-02-24 21:20:13Z James Cole 1701 N George Mason Dr Arlington VA 22205 406257078 false 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 WITH SIGNIFICANT ADMISSIONS IN CARDIOLOGY, ORTHOPEDICS, ONCOLOGY AND OBSTETRICS. 19 14 3068 322 987872 -4470 2199025 1840355 371879248 382424828 17536547 18274712 2646887 3717183 394261707 406257078 0 0 0 0 160040238 174612774 0 0 0 198362226 193233098 358402464 367845872 35859243 38411206 737077872 829925356 193167624 198278734 543910248 631646622 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. 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1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 22205

WWW.VIRGINIAHOSPITALCENTER.COM X X X X VIRGINIA HOSPITAL CENTER 1 true X X X X X X X X 11 true false true X X X X X X X X X X false false true true 200. false true X X X X X X true true X X X X X X true false X X X X true X false false 17 ARLINGTON URGENT CARE

601 SOUTH CARLIN SPRINGS RD ARLINGTON VA 22204

PROVIDES URGENT AND NON-EMERGENCY HEALTH CARE AIM FALLS CHURCH

131 EAST BROAD STREET SUITE 102 FALLS CHURCH VA 22046

PHYSICIAN PRIMARY CARE PRACTICE VHC PHYSICIAN ASSOCIATES

1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 22205

PHYSICIAN PRACTICES PROVIDING FETAL MEDICINE AND WOUND CARE SERVICES ARLINGTON OB HOSPITALISTS

1625 N Geroge Mason Drive ARLINGTON VA 22205

PROVIDES obstetrical services Virginia Phys Assoc Ctr for Breast Hlth

1625 N Geroge Mason Drive Arlington VA 22205

Physician practices provides breast health services Virginia Phys Assoc Med Assoc Arlington

2800 Shirlington Rd 500 Arlington VA 22206

Physician practices provides primary care Virginia Phys Assoc Medical Assoc McLean

6862 Elm St 600 McLean VA 22101

Management office for rental property located in McLean VA Phys Assoc Musculoskeletal Tumor Surg

1625 N Geroge Mason Drive Arlington VA 22205

Physician practices provides musculoskeletal tumor surgery Virginia Phys Assoc Phys Office Mgmt

1701 N George Mason Dr Arlington VA 22205

Management office for administration of Virginia Physician Associates VA Phys Assoc Plastic & Reconstruc Srg

1625 N Geroge Mason Drive Arlington VA 22205

Physician practices provides plastic and reconstructive surgery. Virginia Phys Assoc Surgical Assoc

1625 N Geroge Mason Drive Arlington VA 22205

Physician practices provides general surgical. VA Phys Assoc Uro-gynecology Pelvic Surg

1625 N Geroge Mason Drive Arlington VA 22205

Physician practices provides uro-gynecology surgery Virginia Phys Assoc Wash Colorectal Surg

1625 N Geroge Mason Drive Arlington VA 22205

Physician practices provides colorectal surgery. Virginia Phys Assoc Washington Urology

1625 N Geroge Mason Drive Arlington VA 22205

Physician practices provides urology services. VA Phys Assoc Gillian Surgical Assoc

8988 Lorton Station Blvd 202 Lorton VA 22079

physician practices provides general surgical Northern Virginia Home Care LLC

601 South Carling Spring Road ARLINGTON VA 22204

HOME CARE SERVICES MCLEAN - ARLINGTON MEDICAL ASSOCIATES

1701 N GEORGE MASON DR ARLINGTON VA 22205

PHYSICIAN PRACTICES PROVIDES PRIMARY CARE PART I, LINE 3C 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 $1,168,179. PART I, LINE 7 The cost of the self-pay discount was not included in the determination of the organization's financial assistance at cost, as reported in Part I, Line 7. PART I, LINE 7, COLUMN F The Hospital utilized a cost-to-charge ratio for reporting program costs. The cost to charge ratio utilized excludes the cost and associated changes related to the Hospital's community benefit activities reported in Schedule H. Bad debt expense OF $11,503,824 IS REPORTED NET OF REVENUES. This amount was excluded from total expense. PART I, LINE 7, SECTION G 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 2012, the loss stemming from the operation of the physician practices and clinics by the Virginia Hospital Center Arlington Health System was $6,841,992. 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 2012 was $245,428. PART III, LINE 4 AS STATED IN THE FOOTNOTES OF FY 2012 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, 2012 AND 2011, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS REPRESENTED APPROXIMATELY 96% AND 95% RESPECTIVELY, 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. 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. PART V, SECTION B, LINE 3 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 31 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. PART V, SECTION B, LINE 7 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 4 COMMUNITY HEALTH NEEDS OF HEALTH CARE COVERAGE, SOCIAL SERVICES, AGING SERVICES, AND SUBSTANCE ABUSE, 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's ongoing commitment to addressing the community health needs identified in VHC's Community Health Needs Assessment, the following services were undertaken in 2012: - Expansion of inpatient and outpatient addictions services - Received full accreditation from American College of Surgeons for Bariatric Surgery Center - Began providing Home Health Services 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 V, SECTION B, LINE 19 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. NEEDS ASSESSMENT THE ORGANIZATION UNDERTOOK A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING THE 2011 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 31 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: HEALTH CARE COVERAGE, SOCIAL SERVICES, AGING SERVICES, AND SUBSTANCE ABUSE. 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 2012: - 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 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. 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 LOUDON AND PRINCE WILLIAM COUNTIES. THE POPULATION OF THE PRIMARY AND SECONDARY AREAS IN 2011 WAS 1,867,255 AND APPROXIMATELY 87% OF THE HOSPITAL'S ADMISSIONS WERE FROM WITHIN THIS AREA. BASED ON RECENT CENSUS PROJECTIONS, 17% OF THE POPULATION IS UNDER EIGHTEEN YEARS OF AGE AND 9% IS OVER 65 YEARS OF AGE. APPROXIMATELY 64% OF THE POPULATION IS WHITE, 15% HISPANIC, 10% ASIAN AND 8% BLACK. PROMOTION OF COMMUNITY HEALTH 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 65,054 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 6,550 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 NEEDIES. *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 VIRGINIA HOSPITAL CENTER IS A COMMUNITY BASED HOSPITAL GOVERNED BY A COMMUNITY ELECTED BOARD OF DIRECTORS. In 2012, there were NINEteen members of the Board serving a maximum term of three consecutive three year terms. THE BOARD IS RESPONSIBLE FOR ESTABLISHING OVERALL CORPORATION POLICY. 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 1,100 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 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 twenty-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 2012 it provided care for 13,600 pediatric visits and served as a medical home to children who do not have primary care physicians. In 2012 Arlington Pediatric Center incurred an operating loss of $245,428, 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, urogynecology, oncology and surgery. X X X X X X false false false false false false false false false RUSSELL MCWEY 198000 0 0 0 0 0 0 0 0 0 198000 0 0 0 JAMES B COLE 697719 0 40000 0 0 0 20625 0 8967 0 767311 0 0 0 CARL BAHNLEIN 354411 0 0 0 0 0 20625 0 8947 0 383983 0 0 0 ROBIN NORMAN 406549 0 0 0 0 0 20625 0 5840 0 433014 0 0 0 DAVID CRUTCHFIELD 318465 0 0 0 0 0 0 0 0 0 318465 0 0 0 MICHAEL MALONE 286240 0 0 0 0 0 20625 0 10222 0 317087 0 0 0 ADRIAN STANTON 189481 0 0 0 0 0 10895 0 10776 0 211152 0 0 0 PHILIP PECK 211899 0 6055 0 0 0 17482 0 8759 0 244195 0 0 0 STEVE RUBLOFF 210810 0 6229 0 0 0 12122 0 6593 0 235754 0 0 0 DARLENE VROTSOS 257759 0 7560 0 0 0 12650 0 8767 0 286736 0 0 0 ROBERT MORDKIN 410679 0 107896 0 0 0 14375 0 11089 0 544039 0 0 0 JIHAD SALAMEH 356268 0 110848 0 0 0 12625 0 10800 0 490541 0 0 0 ANDREW JOEL 407928 0 46628 0 0 0 14375 0 11089 0 480020 0 0 0 OTHON WILTZ 245508 0 165945 0 0 0 14375 0 6662 0 432490 0 0 0 JAMES MAYES 318948 0 50926 0 0 0 14375 0 10793 0 395042 0 0 0 CHRISTOPHER O'BRIEN 228819 0 6913 0 0 0 11555 0 10782 0 258069 0 0 0 JEFFREY DILISI 312679 0 3100 0 0 0 12625 0 10793 0 339197 0 0 0 A industrial dev authority of arlington 521304510 0414386E6 2010-04-08 143476411 refund bond issued 11/17/2005 false false false A 6675000 0 143476411 0 0 0 1853717 0 0 0 143476411 0 2004 true false true true A false false false false 0 A false true false false 0 false 0 false false A false WRITTEN PROCEDURES FOR COMPLIANCE WITH SECTION 148 PART IV, LINE 7 IT IS THE ORGANIZATION'S INTENTION TO ADOPT WRITTEN PROCEDURES TO ENSURE COMPLIANCE WITH THE SECTION 148 ARBITRAGE REQUIREMENTS DURING THE 2013 TAX YEAR. John Garrett MD Director 922908 surgery services, med director false Thomas Colucci Director 42422 legal services false Steve Zimmet MD Director 2101506 teach, med dir, sleep lab serv false John Garrett MD Director 23134 rent paid to the hospital false Process to review 990 Part VI, 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. Process of disclosure of conflict of interest Part VI, Section B, Line 12 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. Process for determining compensation Part VI, Section B, Line 15 To determine the appropriate compensation of the CEO, a market summary is coordinated and completed 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. Payments to Directors Schedule L Payment of $922,908 for medical director of Employed Physician Services and medical director of cardiovascular & thoracic surgery was paid to Cardiovascular & Thoracic Surgery Associates, PC, where John Garrett, MD, chairman of the board is a partner. * Payment of $42,422 for legal services was paid to Walsh, Colucci, Lubeley, Emrich & Terpak, where Thomas Colucci, secretary of the board, is a partner. * Payment of $2,101,506 for teaching, medical director services, management, professional and staffing services was paid to Pulmonary & Medical Associates where Steve Zimmet, M.D. board member, is a partner. PAYMENTS FROM DIRECTORS SCHEDULE L THE HOSPITAL RECEIVED RENT PAYMENTS OF $23,134 FROM JOHN GARRETT, M.D. BOARD MEMBER. DOCUMENT AVAILABILITY PART VI, LINE 19 The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Other changes to net assets Part XI, Line 5 CONTRIBUTION TO NON CONSOLIDATED SUBSIDIARIES $3,547,410 OTHER 61,237 ---------- TOTAL $ 3,608,647 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:4347759 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:6564828 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT SERVICES TOTAL FEES:33186529 Virginia Physician Associates LLC 1701 North George Mason Dr Arlington VA 22205 202610918 Physicians VA 11967607 2476290 va hosp ctr VHC Physician Associates LLC 1701 North George Mason Dr Arlington VA 22205 870807407 Physicians VA 5549292 1275379 va hosp ctr AIM Falls Church LLC 1701 North George Mason Dr Arlington VA 22205 541939237 Physician VA 2304784 246893 va hosp ctr Arlington Urgent Care Center 1701 North George Mason Dr Arlington VA 22205 541994394 Urgent Care VA 2445738 318890 va hosp ctr South Arlington LLC 1701 North George Mason Dr Arlington VA 22205 421717170 REAL ESTATE VA 107164 15960 va hosp ctr Arlington OB Hospitalist 1701 North George Mason Dr Arlington VA 22205 300525981 PHYSICIANS VA 647472 167089 va hosp ctr VHC Home Health Services 1701 North George Mason Dr Arlington VA 22205 383874535 health servic VA 0 65637 va hosp ctr McLean-Arlington Medical Associates 1701 North George Mason Dr Arlington VA 22205 364737559 PHYSICIANS VA 394087 343081 va hosp ctr Virginia Hospital Foundation 1701 North George Mason Dr Arlington VA 22205 204129901 fund raising VA 501(c)(3) 509(A)(3) Va Hosp Ctr true Arlington Pediatric Center 1701 North George Mason Dr Arlington VA 22205 541998631 Pediatrics VA 501(c)(3) 170(B)(1)a VA HOSP CTR true AHV GROUP 1701 North George Mason Dr Arlington VA 22205 541304024 REAL ESTATE VA VA Hosp Center C Corp 529962 5457782 1.00000 true true false true false false false false false false false false false false false false false false false VIRGINIA HOSPITAL CENTER FOUNDATION C 1840355 FMV ARLINGTON PEDIATRIC CENTER A 13596 COST VIRGINIA HOSPITAL CENTER FOUNDATION A 51807 FMV PART V, LINE 2 VIRGINIA HOSPITAL CENTER RENTS SPACE, AT COST, 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.