2023-11-15T08:22:51+00:00 2022-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2022-01-01 541998631 Arlington Pediatric Center Inc ARLI 7035588511 1701 North George Mason Drive Arlington VA 22205 John Zabrowski CFO 2023-11-15 true John Zabrowski 999009999 Brittney Kocaj P01320603 9542028600 2022 2023-04-26 12:10:37Z Virginia Hospital Center Pediatrics John L Zabrowski 1701 North George Mason Drive Arlington VA 22205 1998878 false X https://www.vhchealth.org/medical-services/community-health-clinics/vhc-pediatrics/ X 1997 VA Operate a pediatric clinic which provides comprehensive medical services to the underserved Arlington children, whose family income is below 200% of the poverty level. 3 0 35 0 0 0 651425 499301 1048527 1295714 0 42340 203863 1742292 1998878 0 0 2262980 2341858 0 182707 714552 818804 2977532 3160662 -1235240 -1161784 1029917 788676 442271 241586 587646 547090 To provide a Medical Home offering consistent, comprehensive, affordable, quality health care to newborns, children and youth through 18 years of age, living in Arlington County, with family incomes at or below 200% of Federal Poverty Level (FPL). false false 2911750 1499577 VHC Pediatrics is recognized as a highest level patient-centered medical home by the national committee on quality assurance (NCQA). This recognition is available for systematic use of patient-centered, coordinated care management practices. In 2022, VHC Pediatrics enrolled 746 new children. 4,593 children were evaluated and treated through 17,478 clinical encounters; 47% were acute care visits and 53% were well child visits. There were 1,262 visits for children under the age of 1 month. VHC Pediatrics administered 12,827 vaccines to protect children and the community against life threatening, preventable diseases. Immunizations for 2 year-olds was 92%. VHC Pediatrics provided resources that helped parents obtain or renew 362 Medicaid/FAMIS benefits for children ensuring them greater access to pediatric specialists, hospitalizations, and medications. VHC Pediatrics provided 157 free prescriptions and 1900 free over-the-counter medications to uninsured children to help improve compliance with treatment plans. There were 412 patients identified as children with special health care needs (CSHCN). These children are profoundly affected by conditions such as Cerebral Palsy, Developmental Delay, Congenital Heart Conditions, Asthma, and Down syndrome. Their treatment plans require extensive care coordination. VHC Pediatrics participates in reach out and read and every child is encouraged to take home a book after every visit. Successes from 2022 * Full Time Mental Health Counselor on site * Adverse Childhood Experiences Program Implementation Includes Trauma informed screening and intervention evaluation project * Anthem Health Keepers Plus Providers Incentive Program (PQIP) This program uses HEDIAS-like assessment process and pay for performance principles * NCQA * Patient Centered Medical Home (PCMH) Recognition * VVFC Gold Star Award * Recognition from VHD for outstanding compliance of vaccines for children 2911750 true true false false false false false false false true false false true true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 35 true false false false false false false false false false false false false X 3 0 true false false false true true false true true false false true true true true true true false false false VA X John L Zabrowski 7035558511 1701 N George Mason Drive Arlington VA 22205 Brian Stone MD Board Member/Chief Medical Officer from June 2022 2.0 40.0 X X 0 274713 206 James B Cole Board member/VHC President & CEO through May 2022 2.0 44.0 X X 0 457317 7556 John Zabrowski Secretary/Treasurer/VHC CFO 2.0 44.0 X X 0 600005 1350 Christopher Lane Board Member/VHC President & CEO From March 2022 2.0 44.0 X 0 789316 36470 David Lee MD Board Member/Chief Medical Officer through May 2022 2.0 44.0 X 0 662372 42189 Christine Page-Lopez MD PHYSICIAN 40.0 0 X 168843 0 11180 Delicia Claure Clinical Director 40.0 0 X 149167 0 39119 Tatiana Zenzano MD PHYSICIAN-MEDICAL DIRECTOR 40.0 0 X 229861 0 30314 TERESA KOSCIUK-ROWE MD PHYSICIAN 24.0 0 X 145990 0 9765 Victoria Saunders MD PHYSICIAN 40.0 0 X 168354 0 22309 862215 2783723 200458 6 false true false 0 78223 421078 499301 Net Patient Revenue 621400 1295714 1295714 0 0 0 0 1295714 0 0 0 0 Anthem Incentive Payment 900099 203863 203863 0 0 0 0 203863 1998878 1499577 0 0 2106803 2106803 89407 89407 145648 145648 24000 24000 32520 21084 11436 0 4059 1457 2602 28926 28821 105 25370 25370 234469 209015 25454 20821 20821 8848 5238 3610 69758 69758 23517 22248 1269 Shared Services 180000 180000 Medical Supplies 160707 160707 Utilities 4359 3923 436 Licenses & permits 1450 1450 0 0 0 0 3160662 2911750 66205 182707 300 300 319475 158055 59031 66521 0 0 0 0 36773 37227 642619 550049 146389 92570 0 0 0 467949 434003 1029917 788676 19968 21789 0 0 422303 219797 442271 241586 X 209751 236612 377895 310478 587646 547090 1029917 788676 X -1161784 1121228 X false true X true false X 688623 605878 729014 651425 499301 3174241 1701581 1077589 1017659 1048527 1295714 6141070 0 0 0 2390204 1683467 1746673 1699952 1795015 9315311 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9315311 0 0 0 0 0 0 0 0 0 23602 109099 180928 42340 203863 559832 2413806 1792566 1927601 1742292 1998878 9875143 0.9433 0.9635 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 23602.0, COLUMN B - 109099.0, COLUMN C - 180928.0, COLUMN D - 42340.0, COLUMN E - 203863.0, COLUMN F - 559832.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 376710 313496 63214 239986 210630 29356 25923 25923 0 92570 Operating Right-of-use assets 210318 Restricted Assets 152423 Other Assets 71262 434003 Right-of-use Liability 219797 219797 X 3120106 1121228 1121228 1998878 0 0 1998878 3160662 0 0 3160662 0 0 3160662 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE CENTER WAS RECOGNIZED AS A PUBLIC CHARITY, NOT A FOUNDATION, GENERALLY EXEMPT FROM FEDERAL INCOME TAXATION UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE PURSUANT TO A DETERMINATION LETTER ISSUED BY THE IRS IN NOVEMBER 2000. THE CENTER IS ENTITLED TO RELY ON THIS DETERMINATION AS LONG AS THERE ARE NO SUBSTANTIAL CHANGES IN ITS CHARACTER, PURPOSES, OR METHODS OF OPERATION. MANAGEMENT HAS CONCLUDED THAT THERE HAVE BEEN NO SUCH CHANGES AND THEREFORE THE CENTER'S STATUS AS A PUBLIC CHARITY EXEMPT FROM FEDERAL INCOME TAXATION REMAINS IN EFFECT. THE STATE IN WHICH THE CENTER OPERATES ALSO PROVIDES GENERAL EXEMPTION FROM STATE INCOME TAXATION FOR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL INCOME TAXATION. HOWEVER, THE CENTER 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. THE CENTER HAD NO UNRECOGNIZED TAX BENEFITS OR SUCH AMOUNTS WERE IMMATERIAL DURING THE PERIODS PRESENTED. FOR TAX PERIODS WITH RESPECT TO WHICH NO UNRELATED BUSINESS INCOME WAS RECOGNIZED, THE CENTER WAS NOT REQUIRED TO FILE ANY INCOME TAX RETURNS. 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 ITS TECHNICAL MERITS, AND ALSO PROVIDE GUIDANCE ON THE MEASUREMENT, CLASSIFICATION AND DISCLOSURE OF TAX RETURN POSITIONS IN THE FINANCIAL STATEMENTS. THE CENTER MANAGEMENT BELIEVES THERE IS NO IMPACT ON THE ACCOMPANYING FINANCIAL STATEMENTS RELATED TO UNCERTAIN INCOME TAX POSITIONS. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Net Asset Transfer - 1121228 true true false false false false false false false James B Cole Board member/VHC President & CEO through May 2022 0 387260 0 45000 0 25057 0 0 0 7556 0 464873 0 0 John Zabrowski Secretary/Treasurer/VHC CFO 0 578984 0 16887 0 4134 0 0 0 1350 0 601355 0 0 Brian Stone MD Board Member/Chief Medical Officer from June 2022 0 273586 0 0 0 1127 0 0 0 206 0 274919 0 0 David Lee MD Board Member/Chief Medical Officer through May 2022 0 362996 0 0 0 299376 0 15860 0 26329 0 704561 0 0 Christopher Lane Board Member/VHC President & CEO From March 2022 0 701181 0 75000 0 13135 0 15000 0 21470 0 825786 0 0 Tatiana Zenzano MD PHYSICIAN-MEDICAL DIRECTOR 209738 0 0 0 20123 0 16074 0 14240 0 260175 0 0 0 Christine Page-Lopez MD PHYSICIAN 168652 0 0 0 191 0 10136 0 1044 0 180023 0 0 0 Victoria Saunders MD PHYSICIAN 165844 0 0 0 2510 0 10323 0 11986 0 190663 0 0 0 TERESA KOSCIUK-ROWE MD PHYSICIAN 121632 0 388 0 23970 0 8762 0 1003 0 155755 0 0 0 Delicia Claure Clinical Director 139938 0 7800 0 1429 0 13088 0 26031 0 188286 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment David Lee received a severance payment of $270,379 from VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan CHRISTOPHER LANE RECEIVED A CONTRIBUTION OF $15,000 INTO A NONQUALIFIED DEFERRED COMPENSATION PLAN IN 2022. Schedule J, Part I, Line 3 Establishing Comepensation The filing organization relied on Virginia Hospital Center Arlington Health System, a related organization, to establish the compensation of the filing organization's top management official. Virginia Hospital Center Arlington Health System utilized an independent compensation consultant and a compensation survey to determine the compensation of the filing organization's top management official. Form 990, Part VI, Line 15 Process for determining compensation for officers and key employees CERTAIN BOARD MEMBERS AND SEVERAL OTHER OFFICERS OF THE ORGANIZATION ARE OFFICERS OR KEY EMPLOYEES OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM, A RELATED ORGANIZATION, AND ARE COMPENSATED BY VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM. 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. FOR OTHER 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. 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 James Cole and John Zabrowski - Business relationship, Christopher Lane and John Zabrowski - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders THE SOLE MEMBER OF ARLINGTON PEDIATRIC CENTER IS VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM, A RELATED TAX EXEMPT ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE SOLE MEMBER ELECTS THE GOVERNING BODY OF ARLINGTON PEDIATRIC CENTER. 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 THE ORGANIZATION IS COVERED UNDER THE CONFLICT OF INTEREST POLICY ADOPTED BY VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM. 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. If a conflict arises with a board member, they recuse themselves from voting on all members related to the conflict. 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 XI, Line 9 Other changes in net assets or fund balances Net Asset Transfer - 1121228; VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM 1701 N George Mason Drive Arlington VA 22205 540505989 Healthcare VA 501(c)(3) 3 NONE false VIRGINIA HOSPITAL CENTER FOUNDATION 1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 22205 204129901 FUNDRAISING VA 501(c)(3) Type I VHC false McLean Tysons Orthopedic Surgery Center LLC 1760 Old Meadow Rd Mclean VA 221023433 851995349 HEALTH SERVICES JOINT VENTURE VA NA N/A AHV Group 1701 North George Mason Drive Arlington VA 22205 541304024 Real Estate VA NA C Corporation false false false false false false false false false false false false false false true true false true true true