Community Benefit Insight - Tax-exempt hospital

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Virginia Hospital Center Arlington Health System

Virginia Hospital Center Arlington

1701 George Mason Dr
Arlington, VA 22205

Bed count	342	Medicare provider number	490050	Member of the Council of Teaching Hospitals	YES	Children's hospital	NO

EIN: 540505989

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

11.98%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 12,802,134 2.06 %
Medicaid as % of operating expenses	$ 27,749,325 4.47 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 6,605,956 1.06 %
Subsidized health services as % of operating expenses	$ 23,214,346 3.74 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 3,842,965 0.62 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 130,200 0.02 %
Community building* as % of operating expenses	$ 354,582 0.06 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	YES
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 354,582 0.06 %
Physical improvements and housing as % of community building expenses	$ 0 0 %
Economic development as % of community building expenses	$ 0 0 %
Community support as % of community building expenses	$ 0 0 %
Environmental improvements as % of community building expenses	$ 0 0 %
Leadership development and training for community members as % of community building expenses	$ 0 0 %
Coalition building as % of community building expenses	$ 4,614 1.30 %
Community health improvement advocacy as % of community building expenses	$ 0 0 %
Workforce development as % of community building expenses	$ 0 0 %
Other as % of community building expenses	$ 349,968 98.70 %
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 3,658,334 0.59 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 575561649 including grants of $ 25000) (Revenue $ 635832807)
"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 2021, VHC provided general medical services to 12,563 patients, performed 13,525 surgeries, and handled 303,576 cases in other medical specialties."

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - VIRGINIA HOSPITAL CENTER. THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND COMMUNITY LEADERS OF MINORITY AND UNDERSERVED GROUPS. IN PARTICULAR, THE ORGANIZATION RECEIVED INPUT FROM 155 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.

Schedule H, Part V, Section B, Line 11 Facility , 1
"Facility , 1 - VIRGINIA HOSPITAL CENTER. The community health needs assessment conducted in 2020 identified the following as significant health needs: depression, mental health (other than depression), high blood pressure, adult obesity, substance abuse, aging concerns, domestic violence, behavioral health service, healthcare for uninsured and under-insured, social services, homeless services, and aging services & long-term care support. In support of VHC's ongoing commitment to address the community health needs, several initiatives were undertaken in 2020, and VHC continues to focus efforts in these service areas as identified below: - Mental Illness - Behavioral Health: - Expand Psychiatric inpatient capacity - Expand substance abuse services - Expand emergency department mental health capacity - Acute inpatient and outpatient recovery and wellness program - with focus on assisting the military personnel - Childhood and adult obesity: - Regular, ongoing community education and exercise program for weight management - full-service weight management and bariatric surgery program - Nationally-recognized center for excellence for weight management - APC obesity program - Medical/Surgical services: - Expand inpatient Med/SURG bed capacity - State-of-the -art heart and stroke centers; nationally recognized centers of excellence - Cancer Center - COC accredited and recipient of the outstanding achievement award - Radiation Oncology - Linear accelerator and stereotactic radiosurgery expansion - Diabetes Screening, counseling and education - Expansion of outpatient physical therapy services - Expansion of primary care network - centers in Arlington, Alexandria, Falls Church, Mclean and Shirlington - Outpatient pavilion project - completion in 2022 - 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"

Supplemental Information

Schedule H (Form 990) Part VI

Schedule H, Part VI REV. PROC. 2015-21 DISCLOSURE RELATING TO SECTION 501(R):
REV. PROC. 2015-21 DISCLOSURE RELATING TO SECTION 501(R): IN JUNE 2021, THE ORGANIZATION ENGAGED AN OUTSIDE CONSULTING FIRM TO PERFORM A COMPREHENSIVE REVIEW OF ALL APPLICABLE POLICIES AND PRACTICES UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE AND THE TREASURY REGULATIONS ISSUED THEREUNDER. AS A RESULT OF THAT REVIEW, THE ORGANIZATION: (1) PREPARED AN ADDENDUM TO ITS 2020 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY TO ENSURE THAT THE CHNA AND IMPLEMENTATION STRATEGY REPORT CONTAINED ALL OF THE REQUIRED ELEMENTS. THE ADDENDUM WAS ADOPTED BY THE ORGANIZATION'S BOARD OF DIRECTORS IN JANUARY 2022 AND SUBSEQUENTLY MADE WIDELY AVAILABLE TO THE PUBLIC. (THIS INFORMATION SUPPORTS SCHEDULE H, PART V, SECTION B, LINE 3) (2) UPDATED ITS FINANCIAL ASSISTANCE, EMERGENCY MEDICAL CARE, AND BILLING AND COLLECTION POLICY LANGUAGE TO ENSURE THAT IT CONTAINED ALL OF THE REQUIRED ELEMENTS. THE UPDATED COMBINED POLICY WAS ADOPTED BY THE ORGANIZATION'S BOARD OF DIRECTORS IN DECEMBER 2021 AND SUBSEQUENTLY WIDELY PUBLICZED. (THIS INFORMATION SUPPORTS SCHEDULE H, PART V, SECTION B, LINES 14 AND 22) (3) UPDATED CERTAIN OPERATIONAL PROCEDURES, INCLUDING THE POSTING OF FINANCIAL ASSISTANCE-RELATED INFORMATION ON ITS WEBSITE AND OTHER PROCEDURES TO WIDELY PUBLICIZE THE AVAILABILITY OF FINANCIAL ASSISTANCE. (THIS INFORMATION SUPPORTS SCHEDULE H, PART V, SECTION B, LINE 16) THE ORGANIZATION CONTINUES TO MONITOR COMPLIANCE WITH SECTION 501(R) ON A REGULAR BASIS.

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
TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS: PAGE 14 OF ATTACHED FINANCIAL STATEMENTS.

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
AS SOON AS A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (EVEN IF AFTER THE BILLING AND COLLECTION PROCESS HAS COMMENCED), THE COLLECTION POLICY STATES THAT ALL BILLING AND COLLECTION EFFORTS WILL CEASE IMMEDIATELY AND COLLECTION EFFORTS WILL NOT TO BE PURSUED. THE ACCOUNT IS IMMEDIATELY WRITTEN OFF AND RECOGNIZED AS CHARITY. ALL PREVIOUS PATIENT PAYMENTS RELATING TO THE FINANCIAL ASSISTANCE APPROVAL ARE RETURNED TO THE PATIENT.

Schedule H, Part V, Section B, Line 16a FAP website
- VIRGINIA HOSPITAL CENTER: Line 16a URL: www.vhchealth.org/about-us/community-health-needs-assessment/;

Schedule H, Part V, Section B, Line 16b FAP Application website
- VIRGINIA HOSPITAL CENTER: Line 16b URL: www.vhchealth.org/about-us/community-health-needs-assessment/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- VIRGINIA HOSPITAL CENTER: Line 16c URL: www.vhchealth.org/about-us/community-health-needs-assessment/;

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 2020, 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 155 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 SEVEN COMMUNITY HEALTH NEEDS, INCLUDING: DEPRESSION, MENTAL HEALTH (OTHER THAN DEPRESSION), HIGH BLOOD PRESSURE, ADULT OBESITY, SUBSTANCE ABUSE, AGING CONCERNS, AND DOMESTIC VIOLENCE. THE ORGANIZATION SET FORTH AN IMPLEMENTATION STRATEGY, ADOPTED BY THE BOARD OF DIRECTORS, PURSUANT TO WHICH THE ORGANIZATION MAINTAINED, EXPANDED, AND/OR ESTABLISHED PROGRAMS TO ADDRESS 4 OF THE COMMUNITY HEALTH NEEDS: MENTAL ILLNESS - BEHAVIORAL HEALTH SERVICES, CHILDHOOD & ADULT OBESITY, MEDICAL/SURGICAL SERVICES, AND AGING SERVICES. THE ORGANIZATION MADE A DETERMINATION THAT IT WOULD BE A MORE EFFECTIVE USE OF RESOURCES TO FOCUS ON ADDRESSING THE 4 COMMUNITY HEALTH NEEDS NOTED ABOVE, RATHER THAN ATTEMPTING TO ADDRESS THE OTHER HEALTH NEEDS, AS THE ORGANIZATION LACKS THE REQUISITE EXPERTISE AND EXPERIENCE IN THIS AREA TO EFFECTIVELY ADDRESS THIS HEALTH NEED."

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
AT ALL ENTRY POINTS FOR MEDICAL SERVICE, PATIENT NOTICE OF FINANCIAL AID PAMPHLETS ARE DISPLAYED AND AVAILABLE TO ALL PATIENTS. THE PAMPHLET EXPLAINS AVAILABLE FINANCIAL ASSISTANCE AND CHARITY PROGRAMS AS WELL AS THE PROCESS FOR APPLYING FOR ASSISTANCE. ALL BILLS AND STATEMENTS MAILED TO PATIENTS CONTAIN CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE. INFORMATION REGARDING FINANCIAL ASSISTANCE AND CHARITY IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE. THE HOSPITAL PROVIDES ONSITE ELIGIBILITY WORKERS TO ASSIST PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE.

Schedule H, Part VI, Line 4 Community information
THE HOSPITAL IS LOCATED IN ARLINGTON COUNTY, VIRGINIA. THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF ARLINGTON COUNTY, THE CITY OF ALEXANDRIA, AND PART OF NEIGHBORING FAIRFAX COUNTY WITHIN THE CAPITAL BELTWAY. THE SECONDARY SERVICE AREA INCLUDES THE REMAINDER OF FAIRFAX COUNTY, AS WELL AS PARTS OF LOUDOUN AND PRINCE WILLIAM COUNTIES. THE POPULATION OF THE PRIMARY AREA IN 2020 WAS APPROXIMATELY 728,000. BASED ON RECENT CENSUS PROJECTIONS, 19% OF THE POPULATION IS UNDER EIGHTEEN YEARS OF AGE AND 14% IS OVER 65 YEARS OF AGE. APPROXIMATELY 61% OF THE POPULATION IS WHITE, 15% ASIAN, 13% OTHER OR MULTI-RACE, AND 11% BLACK.

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 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 59,057 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 9000 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 SERVICES - A MAJORITY OF THE ORGANIZATION'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 ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. 2021 AWARDS AND RECOGNITION - VIRGINIA HOSPITAL CENTER WAS HONORED AS AN ARLINGTON CHAMBER OF COMMERCE 2020 BEST BUSINESS. - NAMED A CMS 5-STAR HOSPITAL, IN 2021, BASED ON OUR PERFORMANCE ACROSS SEVEN AREAS OF QUALITY. - NAMED A LEAPFROG 2021 TOP TEACHING HOSPITAL FOR THE FIFTH TIME IN SIX YEARS, A DISTINCTION ACHIEVED BY AN ELITE GROUP OF HOSPITALS THAT MEET THE NATION'S TOUGHEST SAFETY AND QUALITY STANDARDS. AMONG THE 2200 HOSPITALS CONSIDERED, VIRGINIA HOSPITAL CENTER WAS THE ONLY HOSPITAL IN THE WASHINGTON DC METROPOLITAN AREA AND ONE OF ONLY 72 HOSPITALS NATIONWIDE TO RECEIVE A TOP TEACHING HOSPITAL DISTINCTION. - RECEIVED A LEAPFROG HOSPITAL SAFETY SCORE OF A FOR THE 19TH CONSECUTIVE GRADING PERIOD ONE OF A FEW HOSPITALS IN THE COUNTRY TO ACHIEVE THIS LEVEL OF CONSISTENCY. SELECTED AS ONE OF NEWSWEEKS TOP 200 BEST HOSPITALS IN THE UNITED STATES. NEWSWEEK NAMED THE INPATIENT REHABILITATION AS ONE OF AMERICA'S BEST PHYSICAL REHABILITATION CENTERS. - THE ONLY NORTHERN VIRGINIA HOSPITAL NAMED TO NEWSWEEK'S 2020 LIST OF BEST MATERNITY CARE HOSPITALS. THE DISTINCTION RECOGNIZES FACILITIES THAT HAVE EXCELLED IN PROVIDING CARE TO MOTHERS, NEWBORNS AND THEIR FAMILIES, AS VERIFIED BY THE 2019 LEAPFROG HOSPITAL SURVEY. IN JULY 2021, VHC'S STRUCTURAL HEART PROGRAM BECAME JUST THE 13TH HOSPITAL IN THE COUNTRY TO PERFORM THE TIP-TO-BASE LAMPOON PROCEDURE, MAKING IT POSSIBLE FOR A PATIENT TO SAFELY RECEIVE A MINIMALLY INVASIVE TRANSCATHETER MITRAL VALVE REPLACEMENT (TMVR). - ACHIEVED MAGNET RE-DESIGNATION BY THE AMERICAN NURSES CREDENTIALING CENTER'S (ANCC) MAGNET RECOGNITION PROGRAM THE HIGHEST NATIONAL HONOR FOR PROFESSIONAL NURSING PRACTICE. ONLY ABOUT 7% OF US HOSPITALS HAVE ACHIEVED MAGNET RECOGNITION. - RELEASE OF US NEWS AND WORLD REPORT BEST 2021-2022 HOSPITAL RANKINGS, WAS RANKED #2 IN THE WASHINGTON DC METROPOLITAN AREA AND EARNED RECOGNITION FOR ITS PERFORMANCE IN SEVERAL SPECIALITIES IN US NEWS AND WORLD REPORTS 2021-22 BEST HOSPITAL RANKINGS. RANKED SECOND IN US NEWS AND WORLD REPORT'S IN THE WASHINGTON DC AREA HOSPITAL RANKINGS. STATEWIDE, VHC IS RANKED EIGHTH OUT OF 121 HOSPITALS AND WAS NOTED FOR ITS STRENGTH IN ADULT ORTHOPEDICS, AND IN 10 PROCEDURES AND CONDITIONS INCLUDING COLON CANCER AND SURGERY, LUNG CANCER, HEART FAILURE, HEART ATTACK, KIDNEY FAILURE, STROKE, KNEE REPLACEMENT, HIP REPLACEMENT, HIP FRACTURE AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE. RECEIVED THE FOLLOWING WOMEN'S CHOICE AWARDS: - AMERICA'S 100 BEST HOSPITALS FOR PATIENT EXPERIENCE - AMERICA'S BEST HOSPITALS FOR BARIATRIC SURGERY - AMERICA'S BEST HOSPITALS FOR CANCER CARE AND COMPREHENSIVE BREAST CENTER. - AMERICA'S BEST HOSPITALS FOR HEART CARE - AMERICA'S BEST HOSPITALS FOR OBSTETRICS - AMERICA'S BEST HOSPITALS FOR ORTHOPEDICS - AMERICA'S BEST STROKE CENTERS AMERICA'S BEST HOSPITALS FOR WOMEN'S SERVICES WOMEN'S CHOICE AWARD FOR MAMMOGRAM CENTER AMERICA'S BEST HOSPITALS FOR MINIMALLY INVASIVE SURGERY. - RECOGNIZED AS A 2021 CHIME HEALTHCARE MOST WIRED PROGRAM AND RECOGNIZED AS A CERTIFIED LEVEL 9. VHC RECEIVED RECOGNITION FOR ITS COMMUNITY ENGAGEMENT EFFORTS WITH THE LAUNCH OF ITS APP IN APRIL 2021. THE VHC APP INCLUDES DIRECTIONAL TECHNOLOGY THAT GUIDES PATIENTS THROUGH THE HOSPITAL AND ALLOWS USERS TO MAKE APPOINTMENTS AND ACCESS THE MYVHC PATIENT PORTAL ALL IN ONE PLACE. VHC ALSO FORMED PARTNERSHIP WITHIN THE COMMUNITY, INCLUDING SHARING THEIR TECHNOLOGY WITH ARLINGTON FREE CLINIC (AFC). THROUGH THIS PARTNERSHIP, PATIENTS CAN NOW SEAMLESSLY VIRTUALLY SCHEDULE APPOINTMENTS BETWEEN AFC AND VHC. THE COLLABORATION IS PART OF VHC'S EFFORTS TO STRENGTHEN ITS COMMITMENT IN SERVING THE ARLINGTON COMMUNITY THROUGH TECHNOLOGY. VIRGINIA HOSPITAL CENTER BROUGHT EPIC, A LEADING ELECTRONIC HEALTH RECORD (EHR) SYSTEM TO THE ARLINGTON FREE CLINIC, A COMMUNITY PARTNER. EPIC SERVES AS A DIGITAL DATABASE FOR THE PATIENT CHARTS, GIVING REAL-TIME INFORMATION ON MEDICAL HISTORY, DIAGNOSES, ALLERGIES, MEDICATIONS AND LAB RESULTS. THE ADDITION OF EPIC WILL LEAD TO IMPROVED HEALTH CARE AND BETTER OUTCOMES FOR THE PATIENTS COLLECTIVELY SERVED BY VHC AND THE AFC. ACCREDITATION & CERTIFICATION - RECEIVED COMMISSION ON CANCER (COC) REACCREDITATION. DESIGNATED AS A CASE OBSERVATION SITE FOR ROBOTIC COLORECTAL SURGERY BY INTUITIVE SURGICAL, MANUFACTURER OF THE DA VINCI SURGICAL SYSTEM. - ACCREDITATION, FROM THE SURGICAL REVIEW CORPORATION (SRC), AS A ROBOTIC CENTER FOR EXCELLENCE. - GRANTED THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC) DESIGNATION ADMINISTERED BY THE AMERICAN COLLEGE OF SURGEONS (ACS) 2018-2021 - RE-CERTIFICATION BY JOINT COMMISSION OF OUR CENTER OF EXCELLENCE STATUS AS A HIP AND KNEE REPLACEMENT CENTER, PRIMARY STROKE PROGRAM, AND ADVANCED CERTIFICATION FOR INPATIENT DIABETES PROGRAM. - JOINT COMMISSION (TRIENNIAL) RE-CERTIFICATION OF VIRGINIA HOSPITAL CENTER. - ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF) INTERNATIONAL FOR BOTH THE INPATIENT REHAB HOSPITAL PROGRAM AND THE REHAB STROKE SPECIALTY PROGRAM 2013-2021 - PEDIATRIC CENTER RECEIVED CERTIFICATION AS A LEVEL III PATIENT-CENTERED MEDICAL HOME BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE (NCQA) - ACHIEVED A COMPREHENSIVE CENTER ACCREDITATION GRANTED BY THE AMERICAN COLLEGE OF SURGEONS (ACS) METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP), IN PARTNERSHIP WITH THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS) 2015-2018 - UNDERSEA & HYPERBARIC MEDICAL SOCIETY (UHMS) CLINICAL HYPERBARIC FACILITY ACCREDITATION - AMERICAN COLLEGE OF RADIOLOGY CENTER OF EXCELLENCE FOR BREAST IMAGING (MAMMOGRAPHY, STEREOTACTIC BREAST BIOPSY, BREAST ULTRASOUND & ULTRASOUND-GUIDED BREAST BIOPSY); CT & ULTRASOUND - THE PATHOLOGY DEPARTMENT AT VIRGINIA HOSPITAL CENTER EARNED THE AMERICAN ASSOCIATION OF BLOOD BANKS (AABB) ACCREDITATION FOR TRANSFUSION SERVICES 2018-2020 - AETNA INSTITUTES OF QUALITY RECOGNITION FOR CONSISTENTLY HIGH-VALUE, HIGH-QUALITY CARE IN: BARIATRIC SURGERY - CARDIAC CARE - ORTHOPEDIC (TOTAL JOINTS) WOMEN & INFANT HEALTH DESIGNATED AN AETNA ELECTIVE DELIVERY INFANT SAFETY PROGRAM - BARIATRIC CENTER OF EXCELLENCE FOR UNITED HEALTHCARE - BLUECROSS BLUESHIELD/CAREFIRST DESIGNATED VIRGINIA HOSPITAL CENTER A: - BLUE DISTINCTION & BLUE DISTINCTION CENTER PLUS HOSPITAL - BLUE DISTINCTION CENTER PLUS FOR MATERNITY CARE - BLUE DISTINCTION CENTER PLUS SPECIALTY CENTER FOR KNEE & HIP REPLACEMENT - BLUE DISTINCTION CENTER PLUS FOR CARDIAC CARE - BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY BLUE DISTINCTION PLUS FOR SPINE SURGERY CIGNA CENTERS OF EXCELLENCE DESIGNATION: BARIATRIC SURGERY (GASTRIC BYPASS AND WEIGHT LOSS SURGERY). CARDIAC CATHETERIZATION AND ANGIOPLASTY. COLON SURGERY DELIVERY (C-SECTION AND VAGINAL DELIVERY) HEART SURGERY (CORONARY ARTERY BYPASS SURGERY AND HEART VALVE SURGERY). JOINT REPLACEMENT (HIP AND KNEE REPLACEMENT) RESPIRATORY/PULMONARY CONDITIONS (COPN AND PNEUMONIA). FIVE MEMBERS OF THE NURSING TEAM WERE SELECTED BY THE WASHINGTONIAN MAGAZINE TO RECEIVE ""EXCELLENCE IN NURSING AWARDS"" VHC RECEIVED A RATING OF AA- WITH A STABLE OUTLOOK FROM FITCH RATINGS AND S&P GLOBAL RATINGS AFFIRMED ITS A+ LONG-TERM RATING WITH A STABLE OUTLOOK. THE STRONG RATINGS REFLECT VHC'S STRONG OPERATING RISK ASSESSMENT AND STABLE MARKET POSITION IN A STABLE MARKET BUT COMPETITIVE SERVICE AREA."

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 190 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 2021 IT PROVIDED CARE FOR OVER 16,000 PEDIATRIC VISITS AND SERVED AS A MEDICAL HOME TO CHILDREN WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IN 2021 ARLINGTON PEDIATRIC CENTER INCURRED AN OPERATING LOSS OF $($1,017,832) , 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.

Operating expenses	$ 620,623,522
Total amount spent on community benefits as % of operating expenses	$ 74,344,926 11.98 %