2025-11-17T13:22:36+00:00 2024-12-31 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2024-01-01 540505989 Virginia Hospital Center Arlington Health System VIRG 7035585000 1701 North George Mason Drive Arlington VA 22205 John Zabrowski Senior VP/CFO 2025-11-17 true Brittney Kocaj P01320603 9542028600 2025-11-17 2024 2025-03-06 01:10:19Z VHC Health Christopher T Lane 1701 North George Mason Drive Arlington VA 22205 967639547 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. 17 16 5028 196 -68967 273475 2730402 2140679 759919973 803548626 54897156 82788248 7332631 7932562 824880162 896410115 60000 99093 0 433589032 457066825 0 0 367018234 433415316 800667266 890581234 24212896 5828881 1946540688 1960337114 626151071 613190839 1320389617 1347146275 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 747711411 99093 806371267 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 2024, VHC provided general medical services to 10,627 patients, performed 15,566 surgeries, and handled 380,187 cases in other medical specialties. 747711411 true true false true false false false false false true true true false true true true false true false false true false false false false false true true false true true true false false false false false false false false true false false false false false true true true true false false true 242 0 true 5028 true true true false false false false false false false false false true false X 17 16 true false false false false false false true false 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 Russell McWey MD Chair 4.0 4.0 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 Donald Winter Board Member (Beginning January 2024) 4.0 0 X 0 0 0 Duane Andrews BOARD MEMBER 4.0 0 X 0 0 0 James Millar BOARD MEMBER 4.0 0 X 0 0 0 John Sverha II MD 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 Michelle Mangrum Board Member (Beginning January 2024) 4.0 0 X 0 0 0 O'Kelly McWilliams Board Member (Beginning February 2024) 4.0 0 X 0 0 0 Patricia Rodriguez MD BOARD MEMBER 4.0 0 X 0 0 0 Stuart Ginsberg DDS BOARD MEMBER (Through January 2024) 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 520585 0 54045 Christopher Lane President & CEO 40.0 6.0 X 1276921 0 50160 John Zabrowski SENIOR VP, CFO 40.0 6.0 X 773445 0 21784 Adrian Stanton VP, Real Estate Development 40.0 1.0 X 444142 0 50519 Brian Stone MD Senior VP, Medical Affairs/CMO 40.0 6.0 X 724665 0 15436 Dan Greenberg AVP, Perioperative Services and Operations 40.0 0 X 290158 0 43609 Darryl Ernst Senior VP, VHC Physician Group 40.0 0 X 643086 0 53420 Melody Dickerson Senior VP, CNO 40.0 0 X 681015 0 52976 Michael Mistretta VP, CHIEF INFORMATION OFFICER (Through June 2024) 40.0 0 X 552335 0 14950 Richard Krumenacker VP, Facilities 40.0 0 X 370801 0 52890 Samuel T Gilkeson VP, Chief HR Officer 40.0 0 X 389260 0 17585 Sharon Martin VP, HEALTH SERVICES INTEGRATION 40.0 0 X 366852 0 15076 Tiffany Blackman VP, Chief Compliance Officer 40.0 0 X 328585 0 46922 Usman Akhtar MD Chief Medical Information Officer 40.0 0 X 458768 0 28700 George Younan Physician 40.0 0 X 866496 0 13287 John Garrett MD Physician 40.0 0 X 1087680 0 43720 John Rhee MD Physician 40.0 0 X 1086300 0 43720 Kelly Orzechowski MD VHCPG Vice Chief 40.0 0 X 872125 0 39265 Myriam Ferzli MD Physician 40.0 0 X 699174 0 17736 Michael Malone Senior Advisor (Former Key Employee) 40.0 0 X 124141 0 33154 12556534 0 708954 1357 true true false PULMONARY & MEDICAL ASSOC 1625 N George Mason Drive Arlington VA 22205 Sleep Lab Services 3713593 MAYO COLLABORATIVE SERV INC PO Box 9146 Minneapolis MN 554809146 Lab services 3537835 MEDICAL FACULTY ASSOCIATE INC 45155 Research Place Suite 240 Ashburn VA 20147 Professional Neurology & Trauma Services 2488540 Medstar Georgetown University 3800 Reservoir Road NW Washington DC 20007 Lab Services 2361926 Inova Health System 45745 Nokes Blvd Suite 160 Sterling VA 20166 Lab Services 2283175 70 0 0 0 1938222 202457 0 0 2140679 PATIENT REVENUE 622110 790031576 790031576 OTHER OPERATING REVENUE 622110 13517050 13146837 370213 0 0 0 0 803548626 23004142 -1025052 24029194 6730110 6730110 8358146 4585097 3773049 0 3773049 3773049 114727000 60419271 1253733 54307729 -1253733 53053996 53053996 5352119 4971331 380788 380788 PARKING 812930 3364803 3192853 171950 INTERNET RENTAL 532000 72296 72296 Laboratory 622110 55051 55051 286575 0 286575 0 3778725 896410115 806371266 -68967 87967137 X 0 0 99093 99093 0 0 0 0 8338692 6951928 1386764 0 304474 304474 0 0 390328410 325351408 64977002 0 12151003 10130233 2020770 0 18916310 15770437 3145873 0 27027936 22533061 4494875 0 0 0 0 6286851 5241318 1045533 0 251055 0 251055 0 54950 54950 0 0 0 0 9477618 0 9477618 0 90238274 78578610 11659664 0 2622971 2344278 278693 0 18060029 6710710 11349319 0 0 0 0 0 0 0 0 0 17199732 13578083 3621649 0 324028 176855 147173 0 0 0 0 0 394400 145101 249299 0 11547825 9627367 1920458 0 0 0 0 0 34911537 29105582 5805955 0 2721143 2268604 452539 0 Supplies 170457765 170298770 158995 0 Contract Services 35926779 29951984 5974795 0 Equipment Rental & Main 28021504 17690167 10331337 0 Taxes 2875209 0 2875209 0 2043646 798398 1245248 0 890581234 747711411 142869823 0 0 0 0 0 26185392 54930522 0 0 140571419 137098674 0 0 0 0 0 17910635 19877335 23838151 29342802 1207622006 561407197 602897533 646214809 294222344 370689580 655675680 578457767 0 0 185239534 123725625 1946540688 1960337114 108745062 103295017 474077444 464506389 0 0 0 0 0 43328565 45389433 626151071 613190839 X 1302094337 1327516236 18295280 19630039 0 0 0 0 0 0 1320389617 1347146275 1946540688 1960337114 X 5828881 31257666 0 0 0 -10329889 X false true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 72456 72456 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 $17,506 VECTRE CORP $54,950 18295280 2687499 -184554 1168186 19630039 17585882 2817018 440034 2547654 18295280 17265541 2340671 2621525 4641855 17585882 14816516 3679838 1149733 2380546 17265541 17100111 2242135 2122844 6648574 14816516 0.0 0.2535 0.7465 false false 28186407 28186407 539128900 159908916 379219984 200813120 141666358 59146762 343619470 259831923 83787547 95874109 95874109 646214809 Closely-held equity interests Financial derivatives COMMON COLLECTIVE TRUSTS Hedge Funds 413402573 F Private Equity Assets 135679465 F Real Assets 29375729 F 578457767 Other Assets 88754786 Right of Use Assets 34970839 123725625 Federal Income Taxes DUE TO THIRD PARTY PAYERS 9046158 INTEREST PAYABLE 9412538 OTHER LIABILITIES 26930737 45389433 X 0 0 0 0 0 0 0 0 0 0 0 0 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 151380670 0 0 0 0 0 0 151380670 0 151380670 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 20348026 0 20348026 0.02285 110586658 113661124 0 0.0 0 0 0 0.0 0 0 130934684 113661124 20348026 0.02285 3031855 0 3031855 0.00340 7181810 5248157 1933653 0.00217 132101521 111245849 20855672 0.02342 0 0 0 0.0 12034547 0 12034547 0.01351 0 0 154349733 116494006 37855727 0.04251 0 0 285284417 230155130 58203753 0.06535 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 0.00001 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 85963 0 85963 0.00010 0 0 91738 0 91738 0.00010 true 5326502 0 128399015 141330647 -12931632 X true true McLean Tysons Orthopedic Surgery Center LLC Health Services Joint Venture 0.51 0.0 0.49 2 1 VIRGINIA HOSPITAL CENTER 1701 NORTH GEORGE MASON DRIVE ARLINGTON VA 222053610 www.vhchealth.org 0040910-2 X X X X A 2 McLean Tysons Orthopedic Surgery Center 1760 Old Meadow Road Suite 100 McLean VA 22102 https://mctosc.com OSH-0000737 X B A 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 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 B 1 false false false true true 50000 true X 200.0 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 A, 1 Facility A, 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. Focus groups were conducted on May 22, 2023 and June 8, 2023. Focus groups explored multiple areas to identify significant health needs of the community as well as potential ways to address identified needs. 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, ARLINGTON FREE CLINIC, COLUMBIA PIKE REVITALIZATION ORG, AFAC, AND DOORWAYS. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - VIRGINIA HOSPITAL CENTER. The community health needs assessment conducted in 2023 identified the following as significant health needs: access to health services, alcohol abuse, chronic health conditions, food insecurity, isolation for seniors, health equity, lack of affordable housing, lack of mental health providers, lack of prenatal care, lack of substance abuse providers, behavioral health, obesity, poor air quality, poverty, high cost of homelessness, shortage of senior living, substance abuse & youth substance abuse. In support of VHC's ongoing commitment to address the community health needs, several initiatives were undertaken in 2024, and VHC continues to focus efforts in these service areas as identified below: Mental Illness - Behavioral Health: - Increase the capacity of inpatient adult services - Increase the availability of inpatient adolescent services. - Expand the scope and availability of outpatient adult services. - Expand the scope and availability of outpatient adolescent services. Health Equity & Culturally Competent Care: - Enhance the organization's ability to provide respectful and inclusive care - Expansion of services and capabilities of our Pediatric Center and Outpatient Clinic - Expansion of our VHCPG clinic sites in underserved areas. - Expand efforts to identify social determinants of health that are unique to the communities served by VHC Health. Childhood and adult obesity: - Enhancement of Bariatric Surgery program with addition of Clinical Psychologist. - Enhancement of medical weight management program. - Expansion of the Diabetes Prevention Program. - Expand VHC Health's community and corporate nutrition and weight management offerings. Aging Services: - Increase access to Lifeline Medical Alert Service for low income individuals - Increase access to support services to promote recovery and reduce readmission for older adults - Expand awareness of and access to preventive and wellness services - Promote social connection and decrease isolation In 2024 VHC was active in the community in effort to continue the initiatives identified in the 2023 CHNA. VHC continued operation in two free clinic locations: VHC Health Outpatient 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 1,075 persons - Senior Education and Outreach, serving 836 persons - Alzheimer's Support Group, serving 200 persons - Blood pressure screenings, serving 810 persons - Cancer Support Group, serving 1,000 persons - Healthy Aging Lectures, serving 255 persons - Nutrition and Weight Management Program, serving 250 persons - Cancer Education Conference, serving 120 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 V, Section B, Line 12a McLean Tysons Orthopedic Surgery Center 501(r)(3) Failure VHC 501(r) Disclosure under Revenue Procedure 2015-21 MTOSC Community Health Needs Assessment and Implementation Strategy Virginia Hospital Center Arlington Health System ("VHC") entered into a joint venture on February 15, 2021, acquiring a 51 percent ownership interest in McLean Tysons Orthopedic Surgery Center LLC ("MTOSC"). Although MTOSC operates as an ambulatory surgery center, it is licensed by the Commonwealth of Virginia as an outpatient hospital, with its initial hospital license issued on December 2, 2022. In 2025, VHC determined that, due to MTOSC's hospital licensure status, the facility was subject to the requirements of IRC § 501(r)(3) and therefore was required to complete a Community Health Needs Assessment (CHNA) and adopt an implementation strategy by December 31, 2024. The CHNA had not been completed by that date. This failure was inadvertent and due to reasonable cause, as the facility's hospital designation was not initially recognized as triggering section 501(r)(3) requirements. The failure was discovered in 2025, and the IRS Form 4720 is being filed simultaneously with this Form 990 to pay the $50,000 excise tax under section 4959. Description of Correction Immediately upon discovery, VHC and MTOSC took corrective action consistent with Rev. Proc. 2015-21. A collaborative team of VHC and MTOSC representatives was assembled to conduct the CHNA, identify community health needs, and develop a corresponding implementation strategy. The CHNA and implementation strategy were prepared in accordance with Treas. Reg. § 1.501(r)-3, and both reports will be formally adopted by the Boards of VHC and MTOSC and made widely available to the public via their respective websites. Approval and publication are scheduled to occur no later than December 31, 2025. Description of Practices or Procedures Going Forward VHC maintains established compliance procedures to ensure that all hospital facilities meet the requirements of IRC § 501(r)(3). Following this matter, VHC strengthened its hospital acquisition and affiliation review process to ensure that any newly acquired or jointly operated facilities are promptly evaluated for section 501(r) applicability. Specifically: * Due diligence procedures for all acquisitions now include verification of the facility's licensure status under state law and corresponding section 501(r) obligations. * The Compliance and Community Health departments jointly oversee review and tracking of CHNA completion and implementation strategy adoption for all VHC-related hospital entities. * Internal monitoring and reminder procedures have been enhanced to ensure timely awareness of CHNA cycle deadlines. These enhanced safeguards are designed to minimize the likelihood of recurrence and promote timely identification and correction of any potential future failures. Summary This failure was neither willful nor egregious under Rev. Proc. 2015-21 and is being corrected and disclosed in accordance with that revenue procedure. 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 14-17 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 A - VIRGINIA HOSPITAL CENTER: Line 16a URL: https://www.vhchealth.org/patients-visitors/billing-financial-assistance/; B - McLean Tysons Orthopedic Surgery Center: Line 16a URL: HTTPS://WWW.VHCHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/; Schedule H, Part V, Section B, Line 16b FAP Application website A - VIRGINIA HOSPITAL CENTER: Line 16b URL: https://www.vhchealth.org/patients-visitors/billing-financial-assistance/; B - McLean Tysons Orthopedic Surgery 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 A - VIRGINIA HOSPITAL CENTER: Line 16c URL: https://www.vhchealth.org/patients-visitors/billing-financial-assistance/; B - McLean Tysons Orthopedic Surgery 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: Health Equity & Culturally Competent Care, Mental Illness & Behavioral Health, Childhood & adult Obesity, 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 TO EFFECTIVELY ADDRESS THE OTHER HEALTH NEEDS IDENTIFIED. Outside of these prioritized community health needs that were identified and have programs implemented to specifically address them, it should be noted that the Hospital's ongoing operations inherently involve continued engagement with community health priorities as identified through the CHNA. Management regularly reviews CHNA findings, monitors relevant public health data, and collaborates with community partners in the normal course of business to ensure the organization remains responsive to evolving needs and adequately serving the community. 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 $142,583 AND PER CAPITA INCOME IS $115,144. BASED ON GROSS PATIENT SERVICE REVENUE, 2.5% 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. Surplus revenues are routinely invested back into the community in ways that promote community health and help fulfill the organization's exempt purpose. The following initiatives demonstrate the reinvestment of those revenues. THE HOSPITAL PROVIDES A FULL SPECTRUM OF INPATIENT AND OUTPATIENT SERVICES TO MEMBERS OF THE COMMUNITY, INCLUDING 65,549 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 14,855 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. 2024 AWARDS AND RECOGNITION * Received a 'High Performing" designation in U.S. News & World Report's 2024 list of maternity hospitals across the United States. This survey was based on factors most important to parents when choosing the hospital to deliver their baby. * Received a top ranking in the U.S. News & WorldReport's Best Hospitals list for 2023-2024. The report ranked hospitals in 15 adult specialties as well as national and regional rankings. VHC Health is proud to be ranked 2nd in Northern Virginia, 4th in the Washington, DC metro region, and 5th in the Commonwealth of Virginia out of 121 hospitals ranked. * Received an "A" grade in the spring of 2024 in the Leapfrog Group's ranking for hospitals. The Leapfrog Hospital Safety Grade gives 3,000 "general acute-care hospitals" a grade based on certain measures surrounding patient safety. * VHC Health ranked as one of the top hospitals in the region, according to the prestigious annual rankings released by U.S. News & World Report. VHC Health tied for fourth place alongside George Washington University Hospital and Johns Hopkins Medicine-Sibley Memorial Hospital. * VHC Health's Outpatient Pavilion Parking Garage has been awarded the prestigious International Parking and Mobility Institute (IPMI) 2024 Apex Award for Stand-Alone Facility Design. * VHC Health ranks as Best-in-State for 2024 in Virginia by Newsweek. The first ranking of its kind, this survey ranked the leading hospitals in the United States based on four data sources. VHC Health ranked as #5 in Virginia was in the top three in the Washington, DC metro region. * VHC Health received 5 stars (the highest) in the Centers for Medicare and Medicaid Service's Quality rating. We were one of only 381 hospitals nationwide to achieve the prestigious five-star rating. * The Commonwealth of Virginia renewed VHC Health's 2021 accreditation as a Level II Trauma Center. This underscores the hospital's commitment to excellence as a community provider of comprehensive medical services and to acutely injured patients. * VHC Health's cancer program received Accreditation with Commendation from the American College of Surgeons' Commission on Cancer Accreditation. This recognition demonstrates VHC Health's dedication to providing our community with the highest quality cancer care. ACCREDITATION & CERTIFICATION FOR 2024 VHC HEALTH RECEIVED: * Awarded Magnet designation by the American Nurses Credentialing Center (ANCC), making it one of only 612 medical facilities worldwide to currently hold the distinction. This is VHC Health's third Magnet designation. * The VHC Health Diabetes Education Program was recognized by the American Diabetes Association(ADA) for Quality Self-Management Education. 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 2024 IT PROVIDED CARE FOR OVER 1,500 PEDIATRIC VISITS AND SERVED AS A MEDICAL HOME TO CHILDREN WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IN 2024 ARLINGTON PEDIATRIC CENTER INCURRED AN OPERATING LOSS OF APPROXIMATELY $($318,000), 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 Nursing Awards and Scholarships 121 99093 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 true true X X X X X false true false false false false false true false John Zabrowski SENIOR VP, CFO 657890 0 91313 0 24242 0 20700 0 1084 0 795229 0 0 0 Alexander Eremia Senior VP, Chief Legal Officer 446300 0 63798 0 10487 0 20700 0 33345 0 574630 0 0 0 Christopher Lane President & CEO 992679 0 245000 0 39242 0 17940 0 32220 0 1327081 0 15000 0 Michael Malone Senior Advisor (Former Key Employee) 87196 0 0 0 36945 0 10469 0 22685 0 157295 0 0 0 Sharon Martin VP, HEALTH SERVICES INTEGRATION 313922 0 43502 0 9428 0 0 0 15076 0 381928 0 0 0 Adrian Stanton VP, Real Estate Development 359660 0 54797 0 29685 0 27600 0 22919 0 494661 0 0 0 Melody Dickerson Senior VP, CNO 574017 0 82377 0 24621 0 20700 0 32276 0 733991 0 0 0 Michael Mistretta VP, CHIEF INFORMATION OFFICER (Through June 2024) 506428 0 15663 0 30244 0 0 0 14950 0 567285 0 0 0 Tiffany Blackman VP, Chief Compliance Officer 274202 0 30091 0 24292 0 20485 0 26437 0 375507 0 0 0 Brian Stone MD Senior VP, Medical Affairs/CMO 629734 0 87001 0 7930 0 14950 0 486 0 740101 0 0 0 Dan Greenberg AVP, Perioperative Services and Operations 267177 0 8050 0 14931 0 14950 0 28659 0 333767 0 0 0 Richard Krumenacker VP, Facilities 320897 0 47124 0 2780 0 17250 0 35640 0 423691 0 0 0 Usman Akhtar MD Chief Medical Information Officer 400237 0 22500 0 36031 0 17250 0 11450 0 487468 0 0 0 Samuel T Gilkeson VP, Chief HR Officer 341699 0 43830 0 3731 0 17250 0 335 0 406845 0 0 0 Darryl Ernst Senior VP, VHC Physician Group 520923 0 78752 0 43411 0 17940 0 35480 0 696506 0 17160 0 John Garrett MD Physician 1047236 0 12500 0 27944 0 20700 0 23020 0 1131400 0 0 0 Kelly Orzechowski MD VHCPG Vice Chief 766755 0 22471 0 82899 0 19550 0 19715 0 911390 0 0 0 John Rhee MD Physician 1047236 0 12500 0 26564 0 20700 0 23020 0 1130020 0 0 0 Myriam Ferzli MD Physician 624348 0 21250 0 53576 0 17250 0 486 0 716910 0 0 0 George Younan Physician 578773 0 281039 0 6684 0 0 0 13287 0 879783 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments Tax gross up on Darryl Ernst's contribution INTO A NONQUALIFIED DEFERRED COMPENSATION PLAN. Taxable in year distributed. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan In 2024, 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 2024, Darryl Ernst received a contribution of $17,940 into a nonqualified deferred compensation plan. This contribution is included in Schedule J, Part II, Column (C). In 2024, Darryl Ernst received a $17,160 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). 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 VIRGINIA 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 10015000 0 294445807 0 20854292 57735 2410228 0 0 0 271123552 0 2022 true false true true B 0 0 169333321 0 22604167 0 1633635 0 0 69031769 0 76063750 false false false true A false false false false false false 0.0 0.0 0.0 false false 0 false true B false false false false false false 0.0 0.0 0.0 false false 0 false true A false true false false true false 0 false false false 0 false false true B true false false false true false 0 false false false 0 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, VIRGINIA PROCEEDS REPORTED ON PART II LINE 4 DIFFER FROM THE ISSUE PRICE OF THE BOND DUE TO CUMULATIVE INVESTMENT EARNINGS OF $562,712. Schedule K, Part V Different Procedures to Undertake Corrective Action Issuer name: INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY, VIRGINIA PROCEEDS REPORTED ON PART II LINE 4 DIFFER FROM THE ISSUE PRICE OF THE BOND DUE TO CUMULATIVE INVESTMENT EARNINGS OF $8,324,821. Jennifer Nguyen Sister of Board Member John Nguyen 147179 Salary paid false 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 2024. 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 2024. 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 All Other Revenue - Total Revenue: 286575, Related or Exempt Function Revenue: , Unrelated Business Revenue: 286575, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Contract Labor - Total Expense: 25596878, Program Service Expense: 21339995, Management and General Expenses: 4256883, Fundraising Expenses: 0; PROFESSIONAL FEE - Total Expense: 20356821, Program Service Expense: 20313163, Management and General Expenses: 43658, Fundraising Expenses: 0; Other Contract Services - Total Expense: 44284575, Program Service Expense: 36925452, Management and General Expenses: 7359123, Fundraising Expenses: 0; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Capital Contributions - 3749434; Investment Income on Restricted Investments - -184555; Net Assets Released from Restrictions - -2070122; Write-Off APC Intercompany Balances - -11824646; Total - -10329889; VHC PHYSICIAN GROUP LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 870807407 PHYSICIANS VA 74614000 262767000 Virginia Hospital Center ARLINGTON URGENT CARE CENTER LLC 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541994394 URGENT CARE VA 1360000 1863000 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 9277255 10742356 false 0 false 0.51 AHV GROUP 1701 NORTH GEORGE MASON DR ARLINGTON VA 22205 541304024 REAL ESTATE VA VIRGINIA HOSPITAL CENTER C Corporation 1035090 5746435 true true false true false false false false false false false false false true true true false false true false VIRGINIA HOSPITAL CENTER FOUNDATION C 1938222 COST VIRGINIA HOSPITAL CENTER FOUNDATION A 47592 COST