TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) JOHN GARRETT........................................................................ CHAIRMAN/DIRECTOR OF PHYS OPER	4.0 .......................4.0	X		95,626	0
(2) SIDNEY SIMMONDS........................................................................ VICE CHAIRMAN	4.0 .......................0.0	X		0	0
(3) JOHN DANIEL........................................................................ TREASURER	4.0 .......................0.0	X		0	0
(4) THOMAS COLUCCI........................................................................ SECRETARY	4.0 .......................0.0	X		0	0
(5) CHARLOTTE BENJAMIN........................................................................ BOARD MEMBER	4.0 .......................4.0	X		0	0
(6) PETER CONVERSE........................................................................ BOARD MEMBER	4.0 .......................0.0	X		0	0
(7) STUART GINSBERG........................................................................ BOARD MEMBER	4.0 .......................0.0	X		0	0
(8) DENIS THOMAS........................................................................ BOARD MEMBER	4.0 .......................0.0	X		0	0
(9) NORA GARROTE........................................................................ BOARD MEMBER	4.0 .......................4.0	X		0	0
(10) VINCENT SEDMAK........................................................................ BOARD MEMBER	4.0 .......................1.0	X		0	0
(11) STEVEN ZIMMET........................................................................ BOARD MEMBER	4.0 .......................4.0	X		0	0
(12) DAVID TOWNSHEND........................................................................ BOARD MEMBER	4.0 .......................0.0	X		0	0
(13) LULA LANG JETER........................................................................ BOARD MEMBER	4.0 .......................0.0	X		0	0
(14) RUSSELL MCWEY........................................................................ board mem/chief med info offcr	4.0 .......................0.0	X		198,000	0
(15) JAMES B COLE........................................................................ PRESIDENT CEO	40.0 .......................6.0	X	X	737,719	29,592
(16) DAN KNISE........................................................................ BOARD MEMBER	4.0 .......................0.0	X		0	0
(17) PAUL COFONI........................................................................ BOARD MEMBER	4.0 .......................0.0	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) ANTHONY CASOLARO........................................................................ BOARD MEMBER	4.0 .......................0.0	X			0	0
(19) JAMES MILLAR........................................................................ BOARD MEMBER	4.0 .......................0.0	X			0	0
(20) ARCHIE MCPHERSON........................................................................ VP CHIEF MEDICAL OFFICER	0.0 .......................1.0		X		33,827	2,287
(21) CARL BAHNLEIN........................................................................ EXECUTIVE VP COO	40.0 .......................0.0		X		354,411	29,572
(22) ROBIN NORMAN........................................................................ senior VP CFO	40.0 .......................4.0		X		406,549	26,465
(23) DAVID CRUTCHFIELD........................................................................ VP CHIEF INFORMATION OFFICER	40.0 .......................0.0		X		318,465	0
(24) MICHAEL MALONE........................................................................ VP ADMIN SERV	40.0 .......................0.0		X		286,240	30,847
(25) ADRIAN STANTON........................................................................ VP PUBLIC RELATIONS	40.0 .......................0.0		X		189,481	21,671
(26) PHILIP PECK........................................................................ ASST TREASURER	40.0 .......................2.0		X		217,954	26,241
(27) STEVE RUBLOFF........................................................................ CHIEF DEVELOPMENT OFFICER	36.0 .......................4.0		X		217,039	18,715
(28) DARLENE VROTSOS........................................................................ VP CHIEF NURSING OFFICER	40.0 .......................0.0		X		265,319	21,417
(29) CHRISTOPHER O'BRIEN........................................................................ VP PHYSICIAN SERVICES	40.0 .......................0.0		X		235,732	22,337
(30) KATHERINE NAVARRO........................................................................ ASST SECRETARY	40.0 .......................0.0		X		77,972	14,948
(31) JEFFREY DILISI........................................................................ VP CHIEF MEDICAL OFFICER	40.0 .......................0.0		X		315,779	23,418
(32) ROBERT MORDKIN........................................................................ PHYSICIAN	40.0 .......................0.0			X	518,575	25,464
(33) JIHAD SALAMEH........................................................................ PHYSICIAN	40.0 .......................0.0			X	467,116	23,425
(34) ANDREW JOEL........................................................................ PHYSICIAN	40.0 .......................0.0			X	454,556	25,464
(35) OTHON WILTZ........................................................................ PHYSICIAN	40.0 .......................0.0			X	411,453	21,037
(36) JAMES MAYES........................................................................ PHYSICIAN	40.0 .......................0.0			X	369,874	25,168

(A) Name and business address	(B) Description of services	(C) Compensation
ARAMARK HEALTHCARE MGMT SERVICE, PO BOX 33170NEWARKNJ07188	environ & food svc	16,322,616
MCKESSON DRUG, PO BOX 409521ATLANTAGA30384	PHARMACEUTICAL PROD	12,175,378
GE HEALTHCARE INC, PO BOX 640200PITTSBURGHPA15264	SOFTWARE/HARDWARE	6,022,258
SIEMENS MEDICAL SOLUTIONS USA, PO BOX 7777 W3580PHILADELPHIAPA19755	SYSTEM SOFTWARE APPS	5,935,756
OWENS AND MINOR INC, 79171 DEPARTMENTBALTIMOREMD21204	SURGICAL SUPPLIES	8,014,826
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 279

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	3,923,970	662,021	3,261,949
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	144,755,204	134,443,837	10,311,367
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,611,698	3,354,425	257,273	0
9	Other employee benefits .......	12,069,003	11,209,290	859,713
10	Payroll taxes ...........	10,252,899	9,522,553	730,346
11	Fees for services (non-employees):
a	Management ......	407,217	405,808	1,409
b	Legal .........	633,274		633,274
c	Accounting ...........	298,748		298,748
d	Lobbying ...........	152		152
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	2,399,409	0	2,399,409
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	44,099,116	40,901,266	3,197,850	0
12	Advertising and promotion ....	796,764	95,860	700,904	0
13	Office expenses .......	5,202,677	4,439,144	763,533	0
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	5,356,740	4,975,163	381,577	0
17	Travel ............	155,777	127,250	28,527	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	6,210,299	5,767,920	442,379	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	25,344,460	23,539,095	1,805,365
23	Insurance ..............	3,273,512	3,040,329	233,183
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	EQUIPMENT RENTAL & MAINTENANCE	22,237,446	21,523,075	714,371	0
b	TAXES	230,667	230,667	0	0
c	DUES	407,298	244,158	163,140	0
d	SUPPLIES	75,825,078	75,646,464	178,614	0
e	All other expenses	354,464	161,626	192,838
25	Total functional expenses. Add lines 1 through 24e	367,845,872	340,289,951	27,555,921	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............	12,579,596	1	16,124,077
2	Savings and temporary cash investments .........	0	2	0
3	Pledges and grants receivable, net ...........	0	3	0
4	Accounts receivable, net .............	40,788,185	4	33,059,628
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	0	7	0
8	Inventories for sale or use ..............	6,565,653	8	8,172,160
9	Prepaid expenses and deferred charges ..........	3,910,391	9	3,956,443
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	553,413,204
b	Less: accumulated depreciation .....	10b	326,921,940	220,781,961	10c	226,491,264
11	Investments—publicly traded securities ..........	410,105,269	11	475,939,833
12	Investments—other securities. See Part IV, line 11 .....	41,018,116	12	60,375,769
13	Investments—program-related. See Part IV, line 11 .....	0	13	0
14	Intangible assets ...............	0	14	0
15	Other assets. See Part IV, line 11 ...........	1,328,701	15	5,806,182
16	Total assets. Add lines 1 through 15 (must equal line 34)......	737,077,872	16	829,925,356
	17	Accounts payable and accrued expenses .........	37,913,857	17	42,372,476
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	142,785,000	20	135,286,048
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	12,468,767	25	20,620,210
26	Total liabilities. Add lines 17 through 25.........	193,167,624	26	198,278,734
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	534,458,090	27	618,395,855
28	Temporarily restricted net assets ...........	7,767,194	28	11,565,803
29	Permanently restricted net assets ...........	1,684,964	29	1,684,964
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	543,910,248	33	631,646,622
34	Total liabilities and net assets/fund balances ........	737,077,872	34	829,925,356

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2012

Name of the organization

Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization Virginia Hospital Center Arlington Health System

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization Virginia Hospital Center Arlington Health System

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2012

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

25,259

Total. Add lines 1c through 1i ...............................

25,259

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered “No” OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation
PART II-B, LINE 1I		PORTION OF DUES PAYMENTS TO VIRGINIA HOSPITAL HEALTHCARE ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION RELATED TO LOBBYING EXPENSES.

Schedule C (Form 990 or 990EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	9,452,158	8,665,137	7,852,117	7,811,123	11,339,778
b	Contributions ........	978,327	2,743,672	455,563	649,880	675,050
c	Net investment earnings, gains, and losses	1,089,254	-42,077	895,062	1,775,049	-3,134,603
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	1,840,055	1,914,574	537,605	2,383,935	1,069,103
f	Administrative expenses ....
g	End of year balance ......	9,679,684	9,452,158	8,665,137	7,852,117	7,811,122

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

28.000 %

Temporarily restricted endowment SchDMd Bullet

72.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	2,857,208		2,857,208
b	Buildings ................	199,717,411	99,954,243	99,763,168
c	Leasehold improvements ............	67,270,683	28,548,397	38,722,286
d	Equipment ................	279,713,396	198,419,299	81,294,097
e	Other .................	3,854,505	0	3,854,505
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				226,491,264

Schedule D (Form 990) 2012

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) CASH AND CASH EQUIVALENTS	13,473,145	F
(B) INVEST IN LIMITED PTRSH	12,500	F
(C) COMMON COLLECTIVE TRUSTS	40,309,488	F
(D) FUNDS HELD BY TRUSTEE	6,528,474	F
(E) INVESTMENT IN NOVA HOME CARE	52,162	F




Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	60,375,769

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
DUE TO THIRD PARTY PAYERS		10,231,617
INTEREST PAYABLE		3,122,338
OTHER LIABILITIES		351,113
OTHER LONG TERM LIABILITIES		6,915,142





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		20,620,210
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
ENDOWMENT FUNDS	PART V, LINE 4	TO CONTINUE TO SUPPORT THE OPERATIONS AND CAPITAL NEEDS OF THE ORTHOPEDIC CARDIOLOGY, DIABETES, NURSING EDUCATION, AND OTHER PROGRAMS AT THE VIRGINIA HOSPITAL CENTER.

Schedule D (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization
Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Part I

General Information on Activities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of the grants or

assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used to award

the grants or assistance? ...................................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside
the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean	Investments	34,482,000
















3a	Sub-total .....		34,482,000
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)		34,482,000

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2012

Schedule F (Form 990) 2012

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered “Yes” to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2012

Schedule F (Form 990) 2012Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2012

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2012

Page 5

Part V

Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

Identifier	ReturnReference	Explanation

Schedule F (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	9,148,865		9,148,865	2.490 %
b	Medicaid (from Worksheet 3, column a) ....	18,751,038	14,686,745	4,064,293	1.100 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	27,899,903	14,686,745	13,213,158	3.590 %
Other Benefits		3,193,735		3,193,735	0.870 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	3,193,735		3,193,735	0.870 %
f	Health professions education (from Worksheet 5) ..	5,593,229	3,523,535	2,069,694	0.560 %
g	Subsidized health services (from Worksheet 6) ..	29,324,371	22,236,951	7,087,420	1.930 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	267,381		267,381	0.070 %
j	Total. Other Benefits ..	38,378,716	25,760,486	12,618,230	3.430 %
k	Total. Add lines 7d and 7j .	66,278,619	40,447,231	25,831,388	7.020 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	5,000	5,000
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building	3,500	3,500
7	Community health improvement advocacy
8	Workforce development
9	Other	71,808	71,808	0.020 %
10	Total	80,308	80,308	0.020 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

3,871,644

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the 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.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

100,545,704

Enter Medicare allowable costs of care relating to payments on line 5.....

101,425,587

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-879,883

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2012

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, and primary website address
1	VIRGINIA HOSPITAL CENTER 1701 NORTH GEORGE MASON DRIVE ARLINGTON,VA22205 WWW.VIRGINIAHOSPITALCENTER.COM	X	X	X	X

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	VIRGINIA HOSPITAL CENTER
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 11

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11		No
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: % If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........	17		No
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Part VI)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?17
Name and address		Type of Facility (describe)
1	ARLINGTON URGENT CARE 601 SOUTH CARLIN SPRINGS RD ARLINGTON,VA22204	PROVIDES URGENT AND NON-EMERGENCY HEALTH CARE
2	AIM FALLS CHURCH 131 EAST BROAD STREET SUITE 102 FALLS CHURCH,VA22046	PHYSICIAN PRIMARY CARE PRACTICE
3	VHC PHYSICIAN ASSOCIATES 1701 NORTH GEORGE MASON DRIVE ARLINGTON,VA22205	PHYSICIAN PRACTICES PROVIDING FETAL MEDICINE AND WOUND CARE SERVICES
4	ARLINGTON OB HOSPITALISTS 1625 N Geroge Mason Drive ARLINGTON,VA22205	PROVIDES obstetrical services
5	Virginia Phys Assoc Ctr for Breast Hlth 1625 N Geroge Mason Drive Arlington,VA22205	Physician practices provides breast health services
6	Virginia Phys Assoc Med Assoc Arlington 2800 Shirlington Rd 500 Arlington,VA22206	Physician practices provides primary care
7	Virginia Phys Assoc Medical Assoc McLean 6862 Elm St 600 McLean,VA22101	Management office for rental property located in McLean
8	VA Phys Assoc Musculoskeletal Tumor Surg 1625 N Geroge Mason Drive Arlington,VA22205	Physician practices provides musculoskeletal tumor surgery
9	Virginia Phys Assoc Phys Office Mgmt 1701 N George Mason Dr Arlington,VA22205	Management office for administration of Virginia Physician Associates
10	VA Phys Assoc Plastic & Reconstruc Srg 1625 N Geroge Mason Drive Arlington,VA22205	Physician practices provides plastic and reconstructive surgery.
11	Virginia Phys Assoc Surgical Assoc 1625 N Geroge Mason Drive Arlington,VA22205	Physician practices provides general surgical.
12	VA Phys Assoc Uro-gynecology Pelvic Surg 1625 N Geroge Mason Drive Arlington,VA22205	Physician practices provides uro-gynecology surgery
13	Virginia Phys Assoc Wash Colorectal Surg 1625 N Geroge Mason Drive Arlington,VA22205	Physician practices provides colorectal surgery.
14	Virginia Phys Assoc Washington Urology 1625 N Geroge Mason Drive Arlington,VA22205	Physician practices provides urology services.
15	VA Phys Assoc Gillian Surgical Assoc 8988 Lorton Station Blvd 202 Lorton,VA22079	physician practices provides general surgical
16	Northern Virginia Home Care LLC 601 South Carling Spring Road ARLINGTON,VA22204	HOME CARE SERVICES
17	MCLEAN - ARLINGTON MEDICAL ASSOCIATES 1701 N GEORGE MASON DR ARLINGTON,VA22205	PHYSICIAN PRACTICES PROVIDES PRIMARY CARE

Schedule H (Form 990) 2012

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

Identifier	ReturnReference	Explanation
PART I, LINE 3C		In addition to providing financial assistance to patients that qualify under the patient's financial assistance policy because their family income is less than 200% of the FPG, THE HOSPITAL PROVIDES A DISCOUNT TO ALL SELF PAY PATIENTS THAT DO NOT QUALIFY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY ON THEIR HOSPITAL CHARGES. THE INTENTION OF THE DISCOUNT IS TO LIMIT THE AMOUNT SELF PAY PATIENTS ARE BILLED TO AN AMOUNT THAT APPROXIMATES THE AMOUNT PAID BY CERTAIN COMMERCIAL HMO/PPO PAYERS. USING THE HOSPITAL'S COST-TO-CHARGE RATIO, THE COST OF THE DISCOUNT PROVIDED TO SELF-PAY PATIENTS WAS APPROXIMATELY $1,168,179.
PART I, LINE 7		The cost of the self-pay discount was not included in the determination of the organization's financial assistance at cost, as reported in Part I, Line 7.
PART I, LINE 7, COLUMN F		The Hospital utilized a cost-to-charge ratio for reporting program costs. The cost to charge ratio utilized excludes the cost and associated changes related to the Hospital's community benefit activities reported in Schedule H. Bad debt expense OF $11,503,824 IS REPORTED NET OF REVENUES. This amount was excluded from total expense.
PART I, LINE 7, SECTION G		The Planning Committee of the Board of Director identifies critical medical needs of the community and recruits physicians and establishes new physician practices and clinics to meet the critical needs of the community. In 2012, the loss stemming from the operation of the physician practices and clinics by the Virginia Hospital Center Arlington Health System was $6,841,992. Included in the amount of subsidized health services provided by Virginia Hospital Center Arlington Health System is the operating loss incurred by Arlington Pediatric Center, a subsidiary organization of Virginia Hospital Center Arlington Health System that is exempt from federal income taxation under Section 501(c)(3). Virginia Hospital Center Arlington Health System is required to fund the annual operating losses incurred by Arlington Pediatric Center. The operating loss incurred by APC in 2012 was $245,428.
PART III, LINE 4		AS STATED IN THE FOOTNOTES OF FY 2012 AUDITED FINANCIAL STATEMENTS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S JUDGMENTAL ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES RECEIVABLE PAYOR COMPOSITION AND AGING, TAKING INTO CONSIDERATION RECENT WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, PAYOR AGREEMENT RATE CHANGES AND OTHER FACTORS. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS AND TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE. FOR SELF-PAY PATIENTS, THE PROVISION IS BASED ON AN ANALYSIS OF PAST EXPERIENCE RELATED TO COLLECTION RATE OF SELF-PAY BALANCES. THE CORPORATION FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH EXTERNAL COLLECTION AGENCIES. AT DECEMBER 31, 2012 AND 2011, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS REPRESENTED APPROXIMATELY 96% AND 95% RESPECTIVELY, OF THE PATIENTS DUE ACCOUNTS RECEIVABLE BALANCE. THE PATIENT DUE ACCOUNTS RECEIVABLE BALANCE REPRESENTS THE ESTIMATED UNINSURED PORTION OF ACCOUNTS RECEIVABLE. The bad debt expense reported on Line 2 was the cost to the organization of providing the patient care services that resulted in the bad debt expense. To determine the cost to the organization, the organization multiplied the gross charges that were uncollected by the hospital's cost to charge ratio.
PART III, LINE 8		The organization's Medicare Shortfall, as reported in Schedule H, Part III, Section B, 7, should be considered a community benefit. Although providing the best possible care to our Medicare patients creates a financial loss, part of the mission of our organization is to serve elderly patients within the community, and we believe providing such care has contributed to the improvement of health overall within the community. By providing the best possible care to our Medicare patients, we relieve the government and surrounding other hospitals of the financial burden of treating these patients insured by the Medicare program. Furthermore, the Medicare shortfall reported is likely understated because Medicare allowable costs were determined utilizing the cost to charge ratio as set forth in the Medicare Cost Report, and, as a result, do not reflect the true, full cost of delivering care to Medicare patients.
PART III, LINE 9B		As soon as a patient qualifies for financial assistance under the hospital's financial assistance policy (even if after the billing and collection process has commenced),THE COLLECTION POLICY STATES THAT ALL Billing and COLLECTION EFFORTS will CEASE immediately AND COLLECTION EFFORTS will NOT TO BE PURSUED. THE ACCOUNT IS IMMEDIATELY written off and RECOGNIZed as charity.
PART V, SECTION B, LINE 3		The CHNA took into account input from persons who represent the broad interests of the community served by the hospital facility, including those with specialized knowledge of or expertise in public health and community leaders of minority and underserved groups. In particular, the organization received input from 31 community leaders from Arlington County, law enforcement, school representatives, Arlington Free Clinic leadership, Virginia Hospital Center medical staff leaders, religious leaders, health systems agency, and community non-profits focused on the health and welfare of members of the community.
PART V, SECTION B, LINE 7		THE ORGANIZATION HAS NOT ADDRESSED THE HEALTH NEED OF DENTAL CARE/ORAL HEALTH. THE ORGANIZATION MADE A DETERMINATION THAT IT WOULD BE A MORE EFFECTIVE USE OF RESOURCES TO FOCUS ON ADDRESSING THE 4 COMMUNITY HEALTH NEEDS OF HEALTH CARE COVERAGE, SOCIAL SERVICES, AGING SERVICES, AND SUBSTANCE ABUSE, RATHER THAN ATTEMPTING TO ADDRESS DENTAL CARE/ORAL HEALTH AS WELL. THE ORGANIZATION LACKS THE REQUISITE EXPERTISE AND EXPERIENCE IN THIS AREA TO EFFECTIVELY ADDRESS THIS HEALTH NEED. In support of VHC's ongoing commitment to addressing the community health needs identified in VHC's Community Health Needs Assessment, the following services were undertaken in 2012: - Expansion of inpatient and outpatient addictions services - Received full accreditation from American College of Surgeons for Bariatric Surgery Center - Began providing Home Health Services to the community - Primary care centers established in primary and secondary service areas - Construction for the state of the art Linear Accelerator for cancer treatment - Offered regular ongoing community education classes for weight management and exercise classes"
PART V, SECTION B, LINE 19		THE HOSPITAL DOES NOT CHARGE any PATIENTS THAT QUALIFY FOR financial assistance UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. All patients that qualify for financial assistance receive free care.
NEEDS ASSESSMENT		THE ORGANIZATION UNDERTOOK A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") DURING THE 2011 TAX YEAR. ASSOCIATED WITH THE COMPLETION OF THE CHNA, THE ORGANIZATION'S BOARD OF DIRECTORS ADOPTED AN implementation strategy to meet the health needs identified in the CHNA. THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. IN PARTICULAR, THE ORGANIZATION RECEIVED INPUT FROM 31 COMMUNITY LEADERS FROM Arlington county, law enforcement, school representatives, Arlington Free Clinic Leadership, Virginia Hospital Center medical staff leaders, religious leaders, health systems agency, and community non-profits. IN ADDITION, THE CHNA DEFINED THE ORGANIZATION'S COMMUNITY, PROVIDED A DESCRIPTION OF THE PROCESS AND METHODS USED TO CONDUCT THE CHNA, AND DESCRIBED HOW THE ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE CHNA IDENTIFIED 5 COMMUNITY HEALTH NEEDS, INCLUDING: HEALTH CARE COVERAGE, DENTALCARE/ORAL HEALTH, SOCIAL SERVICES, AGING SERVICES, AND SUBSTANCE ABUSE. THE ORGANIZATION SET FORTH AN IMPLEMENTATION STRATEGY, ADOPTED BY THE BOARD OF DIRECTORS, PURSUANT TO WHICH THE ORGANIZATION MAINTAINED, EXPANDED, AND ESTABLISED PROGRAMS TO ADDRESS 4 OF THE COMMUNITY HEALTH NEEDS: HEALTH CARE COVERAGE, SOCIAL SERVICES, AGING SERVICES, AND SUBSTANCE ABUSE. THE ORGANIZATION MADE A DETERMINATION THAT IT WOULD BE A MORE EFFECTIVE USE OF RESOURCES TO FOCUS ON ADDRESSING THE 4 COMMUNITY HEALTH NEEDS NOTED ABOVE, RATHER THAN ATTEMPTING TO ADDRESS DENTAL CARE/ORAL HEALTH AS WELL. THE ORGANIZATION LACKS THE REQUISITE EXPERTISE AND EXPERIENCE IN THIS AREA TO EFFECTIVELY ADDRESS THIS HEALTH NEED. In support of VHC ongoing commitment to community health needs, the following services were undertaken in 2012: - Expansion of inpatient and outpatient addictions services - Received full accreditation from American College of Surgeons for Bariatric Surgery Center - Began providing home health servcies to the community - Primary care centers established in primary and secondary service areas - Construction for the state of the art linear accelerator for cancer treatment - Offered regular ongoing community education classes for weight management and exercise classes
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE		AT ALL ENTRY POINTS FOR MEDICAL SERVICE, PATIENT NOTICE OF FINANCIAL AID PAMPHLETS ARE DISPLAYED AND AVAILABLE TO ALL PATIENTS. THE PAMPHLET EXPLAINS AVAILABLE FINANCIAL ASSISTANCE AND CHARITY PROGRAMS AS WELL AS THE PROCESS FOR APPLYING FOR ASSISTANCE. ALL BILLS AND STATEMENTS MAILED TO PATIENTS CONTAIN CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE. INFORMATION REGARDING FINANCIAL ASSISTANCE AND CHARITY IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE. THE HOSPITAL PROVIDES ONSITE ELIGIBILITY WORKERS TO ASSIST PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE.
COMMUNITY INFORMATION		THE HOSPITAL IS LOCATED IN ARLINGTON COUNTY, VIRGINIA. THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF ARLINGTON COUNTY, THE CITY OF ALEXANDRIA, AND PART OF NEIGHBORING FAIRFAX COUNTY WITHIN THE CAPITAL BELTWAY. THE SECONDARY SERVICE AREA INCLUDES THE REMAINDER OF FAIRFAX COUNTY, AS WELL AS PARTS OF LOUDON AND PRINCE WILLIAM COUNTIES. THE POPULATION OF THE PRIMARY AND SECONDARY AREAS IN 2011 WAS 1,867,255 AND APPROXIMATELY 87% OF THE HOSPITAL'S ADMISSIONS WERE FROM WITHIN THIS AREA. BASED ON RECENT CENSUS PROJECTIONS, 17% OF THE POPULATION IS UNDER EIGHTEEN YEARS OF AGE AND 9% IS OVER 65 YEARS OF AGE. APPROXIMATELY 64% OF THE POPULATION IS WHITE, 15% HISPANIC, 10% ASIAN AND 8% BLACK.
PROMOTION OF COMMUNITY HEALTH		THE HOSPITAL'S VISION IS TO BUILD A HEALTHIER COMMUNITY BY PROMOTING AND PROVIDING ACCESS TO HEALTHCARE SERVICES TO LOW INCOME RESIDENTS IN ITS' SERVICE AREA. REGARDLESS OF THE ABILITY TO PAY, THE HOSPITAL PROVIDES A FULL SPECTRUM OF INPATIENT AND OUTPATIENT SERVICES TO MEMBERS OF THE COMMUNITY, INCLUDING 65,054 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 6,550 VISITS PER YEAR TO THE HOSPITAL'S INDIGENT CLINIC (ARLINGTON FREE CLINIC). THE INDIGENT CLINIC IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE TO LOW INCOME AND UNINSURED COUNTY RESIDENTS. ADDITIONALLY, THE HOSPITAL SUBSIDIZES BREAST AND COLON SCREENINGS AND TREATMENT SERVICES FOR INDIGENT PATIENTS SEEN BY THE ARLINGTON FREE CLINIC. OTHER COMMUNITY SERVICES INCLUDE: RENT FREE SPACE TO CRISIS LINK - A NONPROFIT CRISIS HOTLINE SERVING NORTHERN VIRGINIA RENT FREE SPACE TO THE LIONS CLUB - A NONPROFIT FURNISHING EYEGLASSES TO THE NEEDIES. HEALTH PROMOTION PROGRAMS AND SERVICES, SUCH AS SMOKING CESSATION, BLOOD PRESSURE SCREENINGS AND WELLNESS PROGRAMS CLINIC ELIGIBILITY WORKS THAT ASSIST PATIENTS IN OBTAINING HEALTHCARE SERVICES *SOCIAL SERVICES TO ASSIST PATIENTS IN ARRANGING FOR NON-HOSPITAL HEALTHCARE SERVICES VIRGINIA HOSPITAL CENTER IS A COMMUNITY BASED HOSPITAL GOVERNED BY A COMMUNITY ELECTED BOARD OF DIRECTORS. In 2012, there were NINEteen members of the Board serving a maximum term of three consecutive three year terms. THE BOARD IS RESPONSIBLE FOR ESTABLISHING OVERALL CORPORATION POLICY. THE MEDICAL STAFF IS APPOINTED BY THE BOARD OF DIRECTORS PURSUANT TO MEDICAL STAFF BYLAWS. THE MEDICAL STAFF BYLAWS PROVIDE THAT THE HOSPITAL WILL EXTEND MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THIS MEDICAL STAFF IS COMPRISED OF OVER 1,100 MEMBERS. ALL SURPLUS FUNDS GENERATED BY HOSPITAL OPERATIONS ARE RE-INVESTED IN THE COMMUNITY THROUGH THE DEVELOPMENT OF NEW AND EXISTING PROGRAMS AND SERVICES AS WELL AS THE PURCHASE AND INVESTMENT IN CURRENT AND FUTURE PROPERTY, PLANT AND EQUIPMENT
AFFILIATED HEALTH CARE SYSTEM		The organization is part of an affiliated health care system that provides needed healthcare services to its community. In particular, through its affiliates Arlington Pediatric Center and Arlington Urgent Care Center, as well as the employment of over twenty-five physicians, the Virginia Hospital Center Arlington Health System provides an array of healthcare services, in addition to inpatient and outpatient services provided by the Hospital. Arlington Pediatric Center is a separate tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code, which focuses upon the provision of healthcare services to children at or below 200% of the Federal Poverty Guidelines. In 2012 it provided care for 13,600 pediatric visits and served as a medical home to children who do not have primary care physicians. In 2012 Arlington Pediatric Center incurred an operating loss of $245,428, which was composed primarily of costs in excess of offsetting revenue received from Medicaid as a result of providing services to Medicaid patients. In addition, the Hospital operated Arlington Urgent Care Center for non-emergency conditions that require prompt medical attention. Arlington Urgent Care Center is open 24/7 and is run by Board Certified physicians in Family Practice and Emergency Medicine. Furthermore, the Hospital supports its community through the employment of physicians offering an array of primary and specialty services in areas such as breast health, urology, urogynecology, oncology and surgery.

Schedule H (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2012

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)RUSSELL MCWEYboard mem/chief med info offcr	(i) (ii)	198,000 0	0 0	0 0	0 0	0 0	198,000 0	0 0
(2)JAMES B COLEPRESIDENT CEO	(i) (ii)	697,719 0	40,000 0	0 0	20,625 0	8,967 0	767,311 0	0 0
(3)CARL BAHNLEINEXECUTIVE VP COO	(i) (ii)	354,411 0	0 0	0 0	20,625 0	8,947 0	383,983 0	0 0
(4)ROBIN NORMANsenior VP CFO	(i) (ii)	406,549 0	0 0	0 0	20,625 0	5,840 0	433,014 0	0 0
(5)DAVID CRUTCHFIELDVP CHIEF INFORMATION OFFICER	(i) (ii)	318,465 0	0 0	0 0	0 0	0 0	318,465 0	0 0
(6)MICHAEL MALONEVP ADMIN SERV	(i) (ii)	286,240 0	0 0	0 0	20,625 0	10,222 0	317,087 0	0 0
(7)ADRIAN STANTONVP PUBLIC RELATIONS	(i) (ii)	189,481 0	0 0	0 0	10,895 0	10,776 0	211,152 0	0 0
(8)PHILIP PECKASST TREASURER	(i) (ii)	211,899 0	6,055 0	0 0	17,482 0	8,759 0	244,195 0	0 0
(9)STEVE RUBLOFFCHIEF DEVELOPMENT OFFICER	(i) (ii)	210,810 0	6,229 0	0 0	12,122 0	6,593 0	235,754 0	0 0
(10)DARLENE VROTSOSVP CHIEF NURSING OFFICER	(i) (ii)	257,759 0	7,560 0	0 0	12,650 0	8,767 0	286,736 0	0 0
(11)ROBERT MORDKINPHYSICIAN	(i) (ii)	410,679 0	107,896 0	0 0	14,375 0	11,089 0	544,039 0	0 0
(12)JIHAD SALAMEHPHYSICIAN	(i) (ii)	356,268 0	110,848 0	0 0	12,625 0	10,800 0	490,541 0	0 0
(13)ANDREW JOELPHYSICIAN	(i) (ii)	407,928 0	46,628 0	0 0	14,375 0	11,089 0	480,020 0	0 0
(14)OTHON WILTZPHYSICIAN	(i) (ii)	245,508 0	165,945 0	0 0	14,375 0	6,662 0	432,490 0	0 0
(15)JAMES MAYESPHYSICIAN	(i) (ii)	318,948 0	50,926 0	0 0	14,375 0	10,793 0	395,042 0	0 0
(16)CHRISTOPHER O'BRIENVP PHYSICIAN SERVICES	(i) (ii)	228,819 0	6,913 0	0 0	11,555 0	10,782 0	258,069 0	0 0
(17)JEFFREY DILISIVP CHIEF MEDICAL OFFICER	(i) (ii)	312,679 0	3,100 0	0 0	12,625 0	10,793 0	339,197 0	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule J (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization
Virginia Hospital Center Arlington Health
System

Employer identification number
54-0505989

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	industrial dev authority of arlington	52-1304510	0414386E6	04-08-2010	143,476,411	refund bond issued 11/17/2005		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	6,675,000
2 Amount of bonds legally defeased . . . . . . . . . . .	0
3 Total proceeds of issue . . . . . . . . . . . . . .	143,476,411
4 Gross proceeds in reserve funds . . . . . . . . . . . .	0
5 Capitalized interest from proceeds . . . . . . . . . . .	0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0
7 Issuance costs from proceeds . . . . . . . . . . . .	1,853,717
8 Credit enhancement from proceeds . . . . . . . . . . .	0
9 Working capital expenditures from proceeds . . . . . . . . .	0
10 Capital expenditures from proceeds . . . . . . . . . . .	0
11 Other spent proceeds . . . . . . . . . . . . . .	143,476,411
12 Other unspent proceeds . . . . . . . . . . . . . .	0
13 Year of substantial completion . . . . . . . . . . . .	2004
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . . . . . . . . . . . . .
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		%		%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	%		%		%		%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	%		%		%		%
7 Does the bond issue meet the private security or payment test? . . . . .
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .	X
c No rebate due? . . . . . . . . . .
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X
b Name of provider . . . . . . . . .	0
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . . . .
e Was a hedge terminated? . . . . . . .

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X
b Name of provider . . . . . . . . .	0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X

Part VI

Supplemental Information. Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
WRITTEN PROCEDURES FOR COMPLIANCE WITH SECTION 148	PART IV, LINE 7	IT IS THE ORGANIZATION'S INTENTION TO ADOPT WRITTEN PROCEDURES TO ENSURE COMPLIANCE WITH THE SECTION 148 ARBITRAGE REQUIREMENTS DURING THE 2013 TAX YEAR.

Schedule K (Form 990) 2012

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) John Garrett MD	Director	922,908	surgery services, med director		No
(2) Thomas Colucci	Director	42,422	legal services		No
(3) Steve Zimmet MD	Director	2,101,506	teach, med dir, sleep lab serv		No
(4) John Garrett MD	Director	23,134	rent paid to the hospital		No

Part V

Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2012

Open to Public
Inspection

Name of the organization

Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Identifier	Return Reference	Explanation
Process to review 990	Part VI, Line 11	To assure compliance with all regulatory requirements, the tax return is prepared by an independent CPA firm. A completed draft is reviewed by management and all outstanding regulatory and presentation issues are resolved. Once changes are made to the draft to reflect comments from management, a final draft is made available to all members of the Board of Directors for their review. Upon resolution of any remaining questions or requests for information by the Board members, a final return is filed with the IRS.
Process of disclosure of conflict of interest	Part VI, Section B, Line 12	Annually, all officers, directors, trustees and key employees are required to complete a Conflict of Interest form. Disclosure of relationships and transactions with the corporation and related entities as well as transactions between related individuals are disclosed. In addition to the annual requirement, on an ongoing basis, officers, directors, trustees and key employees are required to immediately disclose any self conflict of interest if they occur. All known conflict of interests are referred to the Compliance Committee for resolution.
Process for determining compensation	Part VI, Section B, Line 15	To determine the appropriate compensation of the CEO, a market summary is coordinated and completed by independent consultants to determine the market rate of compensation for the CEO, within an appropriate range. The market summary is submitted to the independent Compensation Committee of the Board of Directors, which reviews the market summary and then approves the CEO's compensation, within the range set by the independent consultants.
Payments to Directors	Schedule L	Payment of $922,908 for medical director of Employed Physician Services and medical director of cardiovascular & thoracic surgery was paid to Cardiovascular & Thoracic Surgery Associates, PC, where John Garrett, MD, chairman of the board is a partner. * Payment of $42,422 for legal services was paid to Walsh, Colucci, Lubeley, Emrich & Terpak, where Thomas Colucci, secretary of the board, is a partner. * Payment of $2,101,506 for teaching, medical director services, management, professional and staffing services was paid to Pulmonary & Medical Associates where Steve Zimmet, M.D. board member, is a partner.
PAYMENTS FROM DIRECTORS	SCHEDULE L	THE HOSPITAL RECEIVED RENT PAYMENTS OF $23,134 FROM JOHN GARRETT, M.D. BOARD MEMBER.
DOCUMENT AVAILABILITY	PART VI, LINE 19	The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Other changes to net assets	Part XI, Line 5	CONTRIBUTION TO NON CONSOLIDATED SUBSIDIARIES $3,547,410 OTHER 61,237 ---------- TOTAL $ 3,608,647
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT LABOR TOTAL FEES:4347759
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:6564828
OTHER FEES FOR SERVICES FOR NON-EMPLOYEES	FORM 990 PART IX LINE 11G	DESCRIPTION:CONTRACT SERVICES TOTAL FEES:33186529

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

Open to Public Inspection

Name of the organization

Virginia Hospital Center Arlington Health
System

Employer identification number

54-0505989

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) Virginia Physician Associates LLC 1701 North George Mason Dr Arlington,VA22205 20-2610918	Physicians	VA	11,967,607	2,476,290	va hosp ctr
(2) VHC Physician Associates LLC 1701 North George Mason Dr Arlington,VA22205 87-0807407	Physicians	VA	5,549,292	1,275,379	va hosp ctr
(3) AIM Falls Church LLC 1701 North George Mason Dr Arlington,VA22205 54-1939237	Physician	VA	2,304,784	246,893	va hosp ctr
(4) Arlington Urgent Care Center 1701 North George Mason Dr Arlington,VA22205 54-1994394	Urgent Care	VA	2,445,738	318,890	va hosp ctr
(5) South Arlington LLC 1701 North George Mason Dr Arlington,VA22205 42-1717170	REAL ESTATE	VA	107,164	15,960	va hosp ctr
(6) Arlington OB Hospitalist 1701 North George Mason Dr Arlington,VA22205 30-0525981	PHYSICIANS	VA	647,472	167,089	va hosp ctr
(7) VHC Home Health Services 1701 North George Mason Dr Arlington,VA22205 38-3874535	health servic	VA	0	65,637	va hosp ctr
(8) McLean-Arlington Medical Associates 1701 North George Mason Dr Arlington,VA22205 36-4737559	PHYSICIANS	VA	394,087	343,081	va hosp ctr

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) Virginia Hospital Foundation 1701 North George Mason Dr Arlington,VA22205 20-4129901	fund raising	VA	501(c)(3)	509(A)(3)	Va Hosp Ctr	Yes
(2) Arlington Pediatric Center 1701 North George Mason Dr Arlington,VA22205 54-1998631	Pediatrics	VA	501(c)(3)	170(B)(1)a	VA HOSP CTR	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) AHV GROUP 1701 North George Mason Dr Arlington,VA22205 54-1304024	REAL ESTATE	VA	VA Hosp Center	C Corp	529,962	5,457,782	100.000 %	Yes

Schedule R (Form 990) 2012

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) VIRGINIA HOSPITAL CENTER FOUNDATION	C	1,840,355	FMV
(2) ARLINGTON PEDIATRIC CENTER	A	13,596	COST
(3) VIRGINIA HOSPITAL CENTER FOUNDATION	A	51,807	FMV

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2012

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation
PART V, LINE 2		VIRGINIA HOSPITAL CENTER RENTS SPACE, AT COST, TO TWO OF ITS RELATED ORGANIZATIONS: ARLINGTON PEDIATRIC CENTER AND VIRGINIA HOSPITAL CENTER FOUNDATION. ARLINGTON PEDIATRIC CENTER IS A PEDIATRIC CLINIC THAT IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ARLINGTON PEDIATRIC CENTER SEEKS TO IMPROVE HEALTH CARE ACCESS TO LOW INCOME CHILDREN BY PROVIDING COMPREHENSIVE MEDICAL CARE SERVICES TO UNDERSERVED CHILDREN IN ARLINGTON WHOSE FAMILY INCOMES ARE UNDER 200% OF THE FEDERAL POVERTY GUIDELINES. ARLINGTON PEDIATRIC CENTER DOES NOT UNDERTAKE ANY UNRELATED TRADE OR BUSINESS ACTIVITIES. VIRGINIA HOSPITAL CENTER FOUNDATION IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. VIRGINIA HOSPITAL CENTER FOUNDATION RAISES FUNDS TO SUPPORT THE TAX-EXEMPT FUNCTION OF VIRGINIA HOSPITAL CENTER. VIRGINIA HOSPITAL CENTER FOUNDATION DOES NOT UNDERTAKE ANY UNRELATED TRADE OR BUSINESS ACTIVITIES.

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: VIRGINIA HOSPITAL CENTER IS AN ACADEMIC TEACHING HOSPITAL OFFERING A FULL SPECTRUM OF PRIMARY, SECONDARY AND TERTIARY CARE WITH SIGNIFICANT ADMISSIONS IN CARDIOLOGY, ORTHOPEDICS, ONCOLOGY AND OBSTETRICS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	3,068
6	Total number of volunteers (estimate if necessary) .............	6	322
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	987,872
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-4,470

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,199,025	1,840,355
9	Program service revenue (Part VIII, line 2g) .........	371,879,248	382,424,828
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	17,536,547	18,274,712
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,646,887	3,717,183
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	394,261,707	406,257,078
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	160,040,238	174,612,774
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	198,362,226	193,233,098
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	358,402,464	367,845,872
19	Revenue less expenses. Subtract line 18 from line 12.......	35,859,243	38,411,206
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	737,077,872	829,925,356
21	Total liabilities (Part X, line 26).............	193,167,624	198,278,734
22	Net assets or fund balances. Subtract line 21 from line 20.....	543,910,248	631,646,622

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 68,283,275 including grants of $ ) (Revenue $ 72,207,654 )
	Medicine: Provide general medical services to the community, 26,375 cases performed in 2012.

4b	(Code: ) (Expenses $ 48,910,465 including grants of $ ) (Revenue $ 51,378,342 )
	Surgery: Provide surgical services to the community, 8,237 cases performed in 2012.

4c	(Code: ) (Expenses $ 223,096,211 including grants of $ ) (Revenue $ 257,846,816 )
	Other: Provide medical care to the community including cardiology, obstetrics, emergency and other services, 220,474 services provided in 2012.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses340,289,951

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	6,171,687	0	388,068

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		1,840,355
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,840,355
			Business Code
2a	PATIENT REVENUE			376,796,909	376,796,909
b	LABORATORY REV		621500	589,399		589,399
c	ANSWERING SERVICE		561000	249,053		249,053
d	PARKING			1,694,047	1,694,047
e	OTHER OPERATING REVENUE			2,941,856	2,941,856
f	All other program service revenue .			153,564		153,564
g	Total. Add lines 2a–2f........			382,424,828
3	Investment income (including dividends, interest, and other similar amounts).......			9,844,077		-63,444	9,907,521
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	3,535,883
b	Less: rental expenses
c	Rental income or (loss)	3,535,883	0
d	Net rental income or (loss).......			3,535,883		59,300	3,476,583
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	8,430,325	310
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	8,430,325	310
d	Net gain or (loss)..........			8,430,635			8,430,635
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	FEDERAL REFUNDS			181,300			181,300
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			181,300
12	Total revenue. See Instructions......			406,257,078	381,432,812	987,872	21,996,039


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............			12,579,596	1	16,124,077
2	Savings and temporary cash investments .........			0	2	0
3	Pledges and grants receivable, net ...........			0	3	0
4	Accounts receivable, net .............			40,788,185	4	33,059,628
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			0	7	0
8	Inventories for sale or use ..............			6,565,653	8	8,172,160
9	Prepaid expenses and deferred charges ..........			3,910,391	9	3,956,443
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	553,413,204
b	Less: accumulated depreciation .....	10b	326,921,940	220,781,961	10c	226,491,264
11	Investments—publicly traded securities ..........			410,105,269	11	475,939,833
12	Investments—other securities. See Part IV, line 11 .....			41,018,116	12	60,375,769
13	Investments—program-related. See Part IV, line 11 .....			0	13	0
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			1,328,701	15	5,806,182
16	Total assets. Add lines 1 through 15 (must equal line 34)......			737,077,872	16	829,925,356
17	Accounts payable and accrued expenses .........			37,913,857	17	42,372,476
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			142,785,000	20	135,286,048
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			0	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			12,468,767	25	20,620,210
26	Total liabilities. Add lines 17 through 25.........			193,167,624	26	198,278,734
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			534,458,090	27	618,395,855
28	Temporarily restricted net assets ...........			7,767,194	28	11,565,803
29	Permanently restricted net assets ...........			1,684,964	29	1,684,964
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			543,910,248	33	631,646,622
34	Total liabilities and net assets/fund balances ........			737,077,872	34	829,925,356

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If “Yes,”the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If “Yes,” the organizationmay be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A).......................................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713)................................................	Yes	No