TY 2024 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/1099-NEC)
(1) Andre Collins...................................................................... Secretary	4.0 ................. 0	X	X
(2) Dan Knise...................................................................... VICE CHAIR	4.0 ................. 0	X	X
(3) John Nguyen...................................................................... TREASURER	4.0 ................. 0	X	X
(4) Russell McWey MD...................................................................... Chair	4.0 ................. 4.0	X	X
(5) David Townshend...................................................................... Board Member	4.0 ................. 4.0	X
(6) Deborah Baum...................................................................... BOARD MEMBER	4.0 ................. 0	X
(7) Donald Winter...................................................................... Board Member (Beginning January 2024)	4.0 ................. 0	X
(8) Duane Andrews...................................................................... BOARD MEMBER	4.0 ................. 0	X
(9) James Millar...................................................................... BOARD MEMBER	4.0 ................. 0	X
(10) John Sverha II MD...................................................................... BOARD MEMBER	4.0 ................. 0	X
(11) M Anthony Casolaro MD...................................................................... BOARD MEMBER	4.0 ................. 0	X
(12) Mary Jo Morris...................................................................... BOARD MEMBER	4.0 ................. 0	X
(13) Meredith Broadbent...................................................................... BOARD MEMBER	4.0 ................. 0	X
(14) Michelle Mangrum...................................................................... Board Member (Beginning January 2024)	4.0 ................. 0	X
(15) O'Kelly McWilliams...................................................................... Board Member (Beginning February 2024)	4.0 ................. 0	X
(16) Patricia Rodriguez MD...................................................................... BOARD MEMBER	4.0 ................. 0	X
(17) Stuart Ginsberg DDS...................................................................... BOARD MEMBER (Through January 2024)	4.0 ................. 0	X

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) Thomas Colucci........................................................................ BOARD MEMBER	4.0 .......................0	X					0	0
(19) Alexander Eremia........................................................................ Senior VP, Chief Legal Officer	40.0 .......................0		X				520,585	54,045
(20) Christopher Lane........................................................................ President & CEO	40.0 .......................6.0		X				1,276,921	50,160
(21) John Zabrowski........................................................................ SENIOR VP, CFO	40.0 .......................6.0		X				773,445	21,784
(22) Adrian Stanton........................................................................ VP, Real Estate Development	40.0 .......................1.0			X			444,142	50,519
(23) Brian Stone MD........................................................................ Senior VP, Medical Affairs/CMO	40.0 .......................6.0			X			724,665	15,436
(24) Dan Greenberg........................................................................ AVP, Perioperative Services and Operations	40.0 .......................0			X			290,158	43,609
(25) Darryl Ernst........................................................................ Senior VP, VHC Physician Group	40.0 .......................0			X			643,086	53,420
(26) Melody Dickerson........................................................................ Senior VP, CNO	40.0 .......................0			X			681,015	52,976
(27) Michael Mistretta........................................................................ VP, CHIEF INFORMATION OFFICER (Through June 2024)	40.0 .......................0			X			552,335	14,950
(28) Richard Krumenacker........................................................................ VP, Facilities	40.0 .......................0			X			370,801	52,890
(29) Samuel T Gilkeson........................................................................ VP, Chief HR Officer	40.0 .......................0			X			389,260	17,585
(30) Sharon Martin........................................................................ VP, HEALTH SERVICES INTEGRATION	40.0 .......................0			X			366,852	15,076
(31) Tiffany Blackman........................................................................ VP, Chief Compliance Officer	40.0 .......................0			X			328,585	46,922
(32) Usman Akhtar MD........................................................................ Chief Medical Information Officer	40.0 .......................0			X			458,768	28,700
(33) George Younan........................................................................ Physician	40.0 .......................0				X		866,496	13,287
(34) John Garrett MD........................................................................ Physician	40.0 .......................0				X		1,087,680	43,720
(35) John Rhee MD........................................................................ Physician	40.0 .......................0				X		1,086,300	43,720
(36) Kelly Orzechowski MD........................................................................ VHCPG Vice Chief	40.0 .......................0				X		872,125	39,265
(37) Myriam Ferzli MD........................................................................ Physician	40.0 .......................0				X		699,174	17,736
(38) Michael Malone........................................................................ Senior Advisor (Former Key Employee)	40.0 .......................0					X	124,141	33,154

(A) Name and business address	(B) Description of services	(C) Compensation
PULMONARY & MEDICAL ASSOC 1625 N George Mason Drive Arlington,VA22205	Sleep Lab Services	3,713,593
MAYO COLLABORATIVE SERV INC PO Box 9146 Minneapolis,MN554809146	Lab services	3,537,835
MEDICAL FACULTY ASSOCIATE INC 45155 Research Place Suite 240 Ashburn,VA20147	Professional Neurology & Trauma Services	2,488,540
Medstar Georgetown University 3800 Reservoir Road NW Washington,DC20007	Lab Services	2,361,926
Inova Health System 45745 Nokes Blvd Suite 160 Sterling,VA20166	Lab Services	2,283,175
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 70

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

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 12, 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 (Form 990).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

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

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2024

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 VI.)..
11	Total support. Add lines 7 through 10

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

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2023 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2024. 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—2023. 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—2024. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2023. 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 VI 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) 2024

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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) 2020	(b) 2021	(c) 2022	(d) 2023	(e) 2024	(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 on 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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2024 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2023 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2024 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2023 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2024. 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—2023. 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) 2024

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2024

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2024

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2024

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2024 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2024	(iii) Distributable Amount for 2024
1 Distributable amount for 2024 from Section C, line 6
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2024:
a From 2019.......
b From 2020.......
c From 2021.......
d From 2022.......
e From 2023.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2024 distributable amount
i Carryover from 2019 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2024 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2024 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2025. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2020.....
b Excess from 2021.....
c Excess from 2022.....
d Excess from 2023.....
e Excess from 2024.....

Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule B
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 its Form 990PF, Part I, line 2, to certify that it doesn't 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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025) 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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 3

Name of organization Virginia Hospital Center Arlington Health System		Employer identification number 54-0505989

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) (Rev. 1-2025)

Schedule B (Form 990) (Rev. 1-2025)

Page 4


Name of organization Virginia Hospital Center Arlington Health System			Employer identification number 54-0505989
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE C
(Form 990)

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

right arrow

Complete if the organization is described below. right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990) 2024

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 right arrow

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 right arrow

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(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) 2024

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 on 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

72,456

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

72,456

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

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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	A portion of the dues payments to Virginia Hospital Healthcare Association are Related to Lobbying Expenses. There were also payments to an outside consulting firm to assist in state and local issues not handled by the hospital association. Virginia Hospital Healthcare Association $17,506 VECTRE CORP $54,950

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	18,295,280	17,585,882	17,265,541	14,816,516	17,100,111
b	Contributions ...	2,687,499	2,817,018	2,340,671	3,679,838	2,242,135
c	Net investment earnings, gains, and losses	-184,554	440,034	2,621,525	1,149,733	2,122,844
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	1,168,186	2,547,654	4,641,855	2,380,546	6,648,574
f	Administrative expenses ....
g	End of year balance ......	19,630,039	18,295,280	17,585,882	17,265,541	14,816,516

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

25.35 %

Term endowment right arrow

74.65 %

The percentages on 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" on 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.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	28,186,407		28,186,407
b	Buildings ....	539,128,900	159,908,916	379,219,984
c	Leasehold improvements	200,813,120	141,666,358	59,146,762
d	Equipment ....	343,619,470	259,831,923	83,787,547
e	Other .....	95,874,109		95,874,109
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				646,214,809

Schedule D (Form 990) (Rev. 1-2025)

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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) Closely-held equity interests
(B) Financial derivatives
(C) COMMON COLLECTIVE TRUSTS
(D) Hedge Funds	413,402,573	F
(E) Private Equity Assets	135,679,465	F
(F) Real Assets	29,375,729	F
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	578,457,767

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)Other Assets				88,754,786
(2)Right of Use Assets				34,970,839
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				123,725,625

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Federal Income Taxes
DUE TO THIRD PARTY PAYERS	9,046,158
INTEREST PAYABLE	9,412,538
OTHER LIABILITIES	26,930,737





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	45,389,433
2. Liability for uncertain tax positions. 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) (Rev. 1-2025)

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) 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	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
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	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
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	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

Part XIII

Supplemental Information

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.

Return Reference

Explanation

Schedule D, Part V, Line 4 Intended uses of endowment funds

The intended uses of the endowments held by Virginia Hospital Center are to support the operations and capital needs of the Orthopedic, Cardiology, Diabetes, Nursing Education, and other programs at the Virginia Hospital Center.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The Corporation is exempt from Federal Income Tax under Section 501(C) (3) of the Internal Revenue Code as a Not-For-Profit Corporation. Federal Tax Law requires that the corporation be operated in a manner consistent with its initial exemption application in order to maintain its exempt status. Management has analyzed the operations of the corporation and concluded that is remains in compliance with the requirements for exemption. The State in which the corporation operates also provides general exemption from state income taxation for organizations that are exempt from federal income taxation. However the corporation is subject to both Federal and State income taxation at corporate tax rates on its unrelated business income. Exemption from other State taxes, such as real and Personal property taxes, is separately determined. Current accounting standards define the threshold for recognizing uncertain income tax return positions in the financial statements as "more likely than not" that the position is sustainable, based on technical merits, and also provide guidance on the measurement, classification, and disclosure of tax return positions in the financial statements. Management believes there is no impact on the corporation's accompanying financial statements related to uncertain income tax provisions.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE F(Form 990)
(Rev. January 2025)

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 arrow

Attach to Form 990. Right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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" on Form 990, Part IV, line 14b.

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

other 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 its grants and other assistance outside the United States.

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in the region
	Central America and the Caribbean	0	0	Investments	151,380,670
















3a	Sub-total ....	0	0		151,380,670
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		151,380,670

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	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 .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) (Rev. 1-2025)

Schedule F (Form 990) (Rev. 1-2025)Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) (Rev. 1-2025)

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) (Rev. 1-2025)

Page 5

Part V

Supplemental Information
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.

ReturnReference	Explanation
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	CENTRAL AMERICA AND THE CARIBBEAN-Accrual

Schedule F (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2024

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 criteria used 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"? . . . . . . . . . . . . .

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

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

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? . . . . . . . . .

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

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		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(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) . . .			20,348,026	0	20,348,026	2.285 %
b	Medicaid (from Worksheet 3, column a) . . . . .			110,586,658	113,661,124	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .			0	0	0	0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	0	0	130,934,684	113,661,124	20,348,026	2.285 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).			3,031,855	0	3,031,855	0.340 %
f	Health professions education (from Worksheet 5) . . .			7,181,810	5,248,157	1,933,653	0.217 %
g	Subsidized health services (from Worksheet 6) . . . .			132,101,521	111,245,849	20,855,672	2.342 %
h	Research (from Worksheet 7) .			0	0	0	0 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .			12,034,547	0	12,034,547	1.351 %
j	Total. Other Benefits . .	0	0	154,349,733	116,494,006	37,855,727	4.251 %
k	Total. Add lines 7d and 7j .	0	0	285,284,417	230,155,130	58,203,753	6.535 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024

Schedule H (Form 990) 2024

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	0	0	0	0	0	0 %
2	Economic development	0	0	0	0	0	0 %
3	Community support	0	0	0	0	0	0 %
4	Environmental improvements	0	0	0	0	0	0 %
5	Leadership development and training for community members	0	0	0	0	0	0 %
6	Coalition building	0	0	5,775	0	5,775	0.001 %
7	Community health improvement advocacy	0	0	0	0	0	0 %
8	Workforce development	0	0	0	0	0	0 %
9	Other	0	0	85,963	0	85,963	0.010 %
10	Total	0	0	91,738	0	91,738	0.010 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

5,326,502

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).....

128,399,015

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

141,330,647

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

-12,931,632

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 %
1McLean Tysons Orthopedic Surgery Center LLC	Health Services Joint Venture	51 %	0 %	49 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2024

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?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	VIRGINIA HOSPITAL CENTER 1701 NORTH GEORGE MASON DRIVE ARLINGTON,VA222053610 www.vhchealth.org 0040910-2	X	X	X	X	A
2	McLean Tysons Orthopedic Surgery Center 1760 Old Meadow Road Suite 100 McLean,VA22102 https://mctosc.com OSH-0000737	X				B

Schedule H (Form 990) 2024

Page 4

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)

	A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 23

In conducting its most recent CHNA, did the hospital facility take 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? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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 (list url): https://www.vhchealth.org/about-us/community-health-needs-assessment/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 23

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	A
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

https://www.vhchealth.org/patients-visitors/billing-financial-assistance/

The FAP application form was widely available on a website (list url):

https://www.vhchealth.org/patients-visitors/billing-financial-assistance/

A plain language summary of the FAP was widely available on a website (list url):
https://www.vhchealth.org/patients-visitors/billing-financial-assistance/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	A
Name of hospital facility or letter of facility reporting group

Yes

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 all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

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 individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

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

	A
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual 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 Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 4

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)

	B
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

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 12......................

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 significant 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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

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

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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

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

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

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)?...............................

12a

Yes

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

Yes

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $50,000

Schedule H (Form 990) 2024

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	B
Name of hospital facility or letter of facility reporting group

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.0%
and FPG family income limit for eligibility for discounted care of 0%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.VHCHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/

The FAP application form was widely available on a website (list url):

HTTPS://WWW.VHCHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.VHCHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 6

Part VFacility Information (continued)

Billing and Collections

	B
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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 Section C)

Other (describe in Section C)

Schedule H (Form 990) 2024

Page 7

Part VFacility Information (continued)

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

	B
Name of hospital facility or letter of facility reporting group

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2024

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1	Facility A, 1 - VIRGINIA HOSPITAL CENTER. THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIALIZED KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH AND COMMUNITY LEADERS OF MINORITY AND UNDERSERVED GROUPS. Focus groups were conducted on May 22, 2023 and June 8, 2023. Focus groups explored multiple areas to identify significant health needs of the community as well as potential ways to address identified needs. IN PARTICULAR, THE ORGANIZATION RECEIVED INPUT FROM COMMUNITY LEADERS OF 56 ORGANIZATIONS INCLUDING PUBLIC HEALTH, PUBLIC SCHOOLS, LOCAL GOVERNMENT OFFICIALS, SOCIAL SERVICES, NEIGHBORHOOD GROUPS AND VARIOUS NON-PROFIT ORGANIZATIONS AND COMMUNITIES INCLUDING THOSE LIVING WITH LOW INCOME OR UNDER THE POVERTY THRESHOLD, AFRICAN AMERICAN COMMUNITIES SUCH AS GREEN VALLEY, ETHNICALLY-DIVERSE COMMUNITIES SUCH AS COLUMBIA PIKE, CHILDREN FROM LOW INCOME OR IMPOVERISHED HOUSEHOLDS, AND THOSE SUFFERING FROM MENTAL HEALTH ILLNESS. THE INPUT FROM THESE LEADERS HELPED TO GAIN A DEEPER UNDERSTANDING OF THE IMPACT OF THE HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ON THE AT-RISK POPULATIONS. THE COMMUNITY LEADERS INTERVIEWED SERVE AT A NUMBER OF ORGANIZATIONS THROUGHOUT THE COMMUNITY, INCLUDING VHC OUTPATIENT CLINIC, ARLINGTON FREE CLINIC, COLUMBIA PIKE REVITALIZATION ORG, AFAC, AND DOORWAYS.
Schedule H, Part V, Section B, Line 11 Facility A, 1	Facility A, 1 - VIRGINIA HOSPITAL CENTER. The community health needs assessment conducted in 2023 identified the following as significant health needs: access to health services, alcohol abuse, chronic health conditions, food insecurity, isolation for seniors, health equity, lack of affordable housing, lack of mental health providers, lack of prenatal care, lack of substance abuse providers, behavioral health, obesity, poor air quality, poverty, high cost of homelessness, shortage of senior living, substance abuse & youth substance abuse. In support of VHC's ongoing commitment to address the community health needs, several initiatives were undertaken in 2024, and VHC continues to focus efforts in these service areas as identified below: Mental Illness - Behavioral Health: - Increase the capacity of inpatient adult services - Increase the availability of inpatient adolescent services. - Expand the scope and availability of outpatient adult services. - Expand the scope and availability of outpatient adolescent services. Health Equity & Culturally Competent Care: - Enhance the organization's ability to provide respectful and inclusive care - Expansion of services and capabilities of our Pediatric Center and Outpatient Clinic - Expansion of our VHCPG clinic sites in underserved areas. - Expand efforts to identify social determinants of health that are unique to the communities served by VHC Health. Childhood and adult obesity: - Enhancement of Bariatric Surgery program with addition of Clinical Psychologist. - Enhancement of medical weight management program. - Expansion of the Diabetes Prevention Program. - Expand VHC Health's community and corporate nutrition and weight management offerings. Aging Services: - Increase access to Lifeline Medical Alert Service for low income individuals - Increase access to support services to promote recovery and reduce readmission for older adults - Expand awareness of and access to preventive and wellness services - Promote social connection and decrease isolation In 2024 VHC was active in the community in effort to continue the initiatives identified in the 2023 CHNA. VHC continued operation in two free clinic locations: VHC Health Outpatient Clinic and Arlington Free Clinic. Monetary support was provided to the Arlington Free Clinic as well as participating in Arlington Food Assistance Center's Can Food Drive, and the annual Arlington Partnership for Children, Youth & Families backpack drive. Additionally, many community wellness events and programs were hosted including: - Health Fairs, serving 1,075 persons - Senior Education and Outreach, serving 836 persons - Alzheimer's Support Group, serving 200 persons - Blood pressure screenings, serving 810 persons - Cancer Support Group, serving 1,000 persons - Healthy Aging Lectures, serving 255 persons - Nutrition and Weight Management Program, serving 250 persons - Cancer Education Conference, serving 120 persons VHC Health determined that programs would not be created to address all of the significant health needs that were identified in the community health needs assessment. Many of these are covered by the comprehensive services offered by VHC and through the action plan for priority areas previously identified. The significant needs that were identified and are not being addressed are as follows: - Lack of prenatal care: This is addressed through VHC's action plan for the first priority health need identified, which was health equity and culturally competent care. - Food insecurity: VHC has covered this through their childhood and obesity efforts as well as educational outreach that is being continually conducted. There are also community service initiatives that are being conducted throughout the year that help to support this health need. - Lack of affordable housing: This identified need is outside the scope of services of what VHC provides. However, it is the focus of the county's health needs assessment, which VHC supports and actively participates in addressing those needs.

Schedule H (Form 990) 2024

Page 9

Part VFacility Information (continued)

Section D. 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?33
Name and address		Type of Facility (describe)
1	BREAST CENTER 1851 N GEORGE MASON DR SUITE 5D ARLINGTON,VA22207	PROVIDES SERVICES FOR BREAST HEALTH
2	COLORECTAL Surgery 1851 N GEORGE MASON DR SUITE 4D ARLINGTON,VA22205	PROVIDES SERVICES FOR COLORECTAL
3	VHC Health Physicians - HOSPITALISTS 1625 N GEORGE MASON DR First Floor ARLINGTON,VA22205	INPATIENT CARE
4	INFECTIOUS DISEASES 1715 N GEORGE MASON DR SUITE 302 ARLINGTON,VA222053609	PROVIDES SERVICES FOR INFECTIOUS DISEASES
5	MATERNAL FETAL MEDICINE 1851 N GEORGE MASON DR SUITE 5B ARLINGTON,VA22207	PROVIDES SERVICES FOR HIGH RISK PREGNANCY
6	CARDIOVASCULAR & THORACIC SURGERY 1625 N GEORGE MASON DR SUITE 288 ARLINGTON,VA22205	PROVIDES CARDIOVASCULAR & THORACIC SURGERY
7	OB HOSPITALIST 1701 N GEORGE MASON DR SUITE 345 ARLINGTON,VA22205	PROVIDES SERVICES FOR BREAST HEALTH
8	OBGYN 700 S WASHINGTON ST SUITE 300 ALEXANDRIA,VA22314	PROVIDES OBSTETRICAL SERVICES
9	PALLIATIVE CARE 1635 N GEORGE MASON DR SUITE 115 ARLINGTON,VA22205	PROVIDES SERVICES FOR PALLIATIVE MEDICINE
10	PC West ALEXANDRIA 3475 North Beauregard St Ste 201 ALEXANDRIA,VA22302	PRIMARY CARE
11	PC SHIRLINGTON 2800 S SHIRLINGTON RD SUITE 500 ARLINGTON,VA22206	PRIMARY CARE
12	PC FALLS CHURCH 400 S MAPLE AVE SUITE 200 FALLS CHURCH,VA22046	PRIMARY CARE
13	PC MCLEAN 6862 ELM STREET SUITE 600 MCLEAN,VA22101	PRIMARY CARE
14	PC OLD TOWN 700 S WASHINGTON ST SUITE 330 ALEXANDRIA,VA22314	PRIMARY CARE
15	PM&R - OFFICE 1715 N GEORGE MASON DR SUITE 302 ARLINGTON,VA222053659	PROVIDES SERVICES FOR MEDICAL SPECIALTY
16	PODIATRY Alexandria 3475 N BEAUREGARD ST SUITE 201 ALEXANDRIA,VA22302	PROVIDES SERVICES FOR PODIATRY
17	SURGICAL SPECIALISTS 1851 N GEORGE MASON DR SUITE 4C ARLINGTON,VA22207	INPATIENT CARE
18	Immediate Care 764 23rd St S ARLINGTON,VA22202	PROVIDES URGENT AND NONURGENT HEALTH CARE
19	UROLOGY 1851 N GEORGE MASON DR Suite 4A ARLINGTON,VA22207	PROVIDES UROLOGY SERVICES
20	WOUND CARE 1701 N GEORGE MASON DR SUITE G200 ARLINGTON,VA22205	PROVIDES WOUND CARE & HYPERBARIC MEDICINE
21	Plastic & Reconstructive Surgery 1851 N GEORGE MASON DR SUITE 4B ARLINGTON,VA22207	PROVIDES SERVICES FOR PLASTIC Breast reconstruction due to cancer
22	PC-Arlington North 1715 N George Mason Dr Suite 404 Arlington,VA22205	Primary Care
23	PC-Arlington South 950 S George Mason Dr Suite 107 Arlington,VA22204	Primary Care
24	VHCPG Gastroenterology 1851 N George Mason Dr Suite 3A Arlington,VA22207	GI Service
25	VHCPG Annandale 7611 Little River Turnpike Suite 10 8 Annandale,VA22003	Primary Care
26	VHCPG West Springfield 5803 Rolling Road Springfield,VA22152	Primary Care
27	VHCPG Vienna 527 Maple Ave E Suite 200 Vienna,VA22180	Primary Care
28	VHCPG Kingstowne 5971 Kingstowne Village Pkwy Suite 300 Alexandria,VA22315	Primary Care
29	VHCPG Tysons 1760 Old Meadow Road Suite 305 McLean,VA22102	Primary Care
30	VHCPG Executive Health 1635 N George Mason Drive Suite 130 Arlington,VA22205	Executive Health Services
31	Menopause Center 1851 N George Mason Drive Fifth Flo or Arlington,VA22207	Women's Health Services
32	VHCPG Cardiology Arlington 1851 N George Mason Drive Suite 3C Arlington,VA22207	Provides Services for Cardiology
33	VHCPG Arlington 1851 N George Mason Dr Suite 3B Arlington,VA22207	Primary Care

Schedule H (Form 990) 2024

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Schedule H, Part V, Section B, Line 12a McLean Tysons Orthopedic Surgery Center 501(r)(3) Failure	VHC 501(r) Disclosure under Revenue Procedure 2015-21 MTOSC Community Health Needs Assessment and Implementation Strategy Virginia Hospital Center Arlington Health System ("VHC") entered into a joint venture on February 15, 2021, acquiring a 51 percent ownership interest in McLean Tysons Orthopedic Surgery Center LLC ("MTOSC"). Although MTOSC operates as an ambulatory surgery center, it is licensed by the Commonwealth of Virginia as an outpatient hospital, with its initial hospital license issued on December 2, 2022. In 2025, VHC determined that, due to MTOSC's hospital licensure status, the facility was subject to the requirements of IRC § 501(r)(3) and therefore was required to complete a Community Health Needs Assessment (CHNA) and adopt an implementation strategy by December 31, 2024. The CHNA had not been completed by that date. This failure was inadvertent and due to reasonable cause, as the facility's hospital designation was not initially recognized as triggering section 501(r)(3) requirements. The failure was discovered in 2025, and the IRS Form 4720 is being filed simultaneously with this Form 990 to pay the $50,000 excise tax under section 4959. Description of Correction Immediately upon discovery, VHC and MTOSC took corrective action consistent with Rev. Proc. 2015-21. A collaborative team of VHC and MTOSC representatives was assembled to conduct the CHNA, identify community health needs, and develop a corresponding implementation strategy. The CHNA and implementation strategy were prepared in accordance with Treas. Reg. § 1.501(r)-3, and both reports will be formally adopted by the Boards of VHC and MTOSC and made widely available to the public via their respective websites. Approval and publication are scheduled to occur no later than December 31, 2025. Description of Practices or Procedures Going Forward VHC maintains established compliance procedures to ensure that all hospital facilities meet the requirements of IRC § 501(r)(3). Following this matter, VHC strengthened its hospital acquisition and affiliation review process to ensure that any newly acquired or jointly operated facilities are promptly evaluated for section 501(r) applicability. Specifically: * Due diligence procedures for all acquisitions now include verification of the facility's licensure status under state law and corresponding section 501(r) obligations. * The Compliance and Community Health departments jointly oversee review and tracking of CHNA completion and implementation strategy adoption for all VHC-related hospital entities. * Internal monitoring and reminder procedures have been enhanced to ensure timely awareness of CHNA cycle deadlines. These enhanced safeguards are designed to minimize the likelihood of recurrence and promote timely identification and correction of any potential future failures. Summary This failure was neither willful nor egregious under Rev. Proc. 2015-21 and is being corrected and disclosed in accordance with that revenue procedure.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	0
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Part I, Line 7: The best available data was used to calculate the cost amounts report in Item 7. Financial Assistance at cost, line 7a, was determined using the cost-to charge ratio as report on the filed Medicaid report. Community health improvement services and contributions for community benefit, lines 7f and 7i, were calculated based on actual costs as reported on the annual community benefit report. The calculation of all other benefits, Lines 7b and 7g, was derived from the Medicaid cost report filed including all patient segments.
Schedule H, Part II Community Building Activities	The organization supports activities that promote the health and well-being of community members through collaboration with other community health and well-being agencies and through outreach programs to educate community members on a variety of healthcare-related topics.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	THE BAD DEBT EXPENSE REPORTED ON LINE 2 WAS THE COST TO THE ORGANIZATION OF PROVIDING THE PATIENT CARE SERVICES THAT RESULTED IN THE BAD DEBT EXPENSE. TO DETERMINE THE COST TO THE ORGANIZATION, THE ORGANIZATION MULTIPLIED THE GROSS CHARGES THAT WERE UNCOLLECTED BY THE HOSPITAL'S COST TO CHARGE RATIO.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE ORGANIZATION ESTIMATES THAT A NEGLIGIBLE AMOUNT OF BAD DEBT EXPENSE IS ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE ORGANIZATION UTILIZES A SOFTWARE PROGRAM TO DETERMINE IF PATIENTS HAVE CERTAIN INDICIA OF QUALIFYING FOR FINANCIAL ASSISTANCE, SUCH AS BEING HOMELESS OR POSSESSING VERY LIMITED ASSETS, BEFORE WRITING OFF THE PATIENTS' ACCOUNTS TO BAD DEBT. IF THE PATIENT DOES HAVE CERTAIN INDICIA OF QUALIFYING UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, THEN REGARDLESS OF WHETHER THE PATIENT FILLS OUT A FINANCIAL ASSISTANCE APPLICATION, THE PATIENT WILL BE APPROVED FOR, AND THE CORPORATION DETERMINES THE TRANSACTION PRICE BASED ON STANDARD CHARGES FOR GOODS AND SERVICES PROVIDED, REDUCED BY EXPLICIT PRICE CONCESSIONS PROVIDED TO THIRD-PARTY PAYORS AND DISCOUNTS PROVIDED TO UNINSURED PATIENTS IN ACCORDANCE WITH THE CORPORATION'S POLICY, AND ESTIMATED IMPLICIT PRICE CONCESSIONS RELATED TO UNINSURED PATIENT ACCOUNTS. THE CORPORATION DETERMINES ITS ESTIMATES OF PRICE CONCESSIONS BASED ON CONTRACTUAL AGREEMENTS, ITS DISCOUNT POLICIES, AND HISTORICAL EXPERIENCE WITH THESE CLASSES OF PATIENTS.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The organization's audited financial statements do not directly address bad debt expense; however, the organization's patient service revenue and associated accounts receivable are described in footnote 3, Patient Service Revenue, found on pages 14-17 of the attached financial statements.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The organization utilizes the Medicare cost report to determine the total revenue received from Medicare and the Medicare allowable costs. The organization believes that the Medicare shortfall as reported on Schedule H Part III Section B Line 7 should be considered community benefit. Although providing the best possible care to Medicare patients creates a financial loss, part of the mission of the organization is to serve elderly patients within the community, and the organization believes that providing such care has contributed to the improvement of health overall within the community. By providing the best possible care to the community's Medicare patients, we relieve the government and other surrounding hospitals of the financial burden of treating these patients insured by the Medicare program.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	AS SOON AS A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY (EVEN IF AFTER THE BILLING AND COLLECTION PROCESS HAS COMMENCED), THE COLLECTION POLICY STATES THAT ALL BILLING AND COLLECTION EFFORTS WILL CEASE IMMEDIATELY AND COLLECTION EFFORTS WILL NOT TO BE PURSUED. THE ACCOUNT IS IMMEDIATELY WRITTEN OFF AND RECOGNIZED AS CHARITY. ALL PREVIOUS PATIENT PAYMENTS RELATING TO THE FINANCIAL ASSISTANCE APPROVAL ARE RETURNED TO THE PATIENT.
Schedule H, Part V, Section B, Line 16a FAP website	A - VIRGINIA HOSPITAL CENTER: Line 16a URL: https://www.vhchealth.org/patients-visitors/billing-financial-assistance/; B - McLean Tysons Orthopedic Surgery Center: Line 16a URL: HTTPS://WWW.VHCHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16b FAP Application website	A - VIRGINIA HOSPITAL CENTER: Line 16b URL: https://www.vhchealth.org/patients-visitors/billing-financial-assistance/; B - McLean Tysons Orthopedic Surgery Center: Line 16b URL: HTTPS://WWW.VHCHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	A - VIRGINIA HOSPITAL CENTER: Line 16c URL: https://www.vhchealth.org/patients-visitors/billing-financial-assistance/; B - McLean Tysons Orthopedic Surgery Center: Line 16c URL: HTTPS://WWW.VHCHEALTH.ORG/PATIENTS-VISITORS/BILLING-FINANCIAL-ASSISTANCE/;
Schedule H, Part VI, Line 2 Needs assessment	THE ORGANIZATION IS IN CONSTANT COMMUNICATION WITH LEADERS OF THE COMMUNITY TO ENSURE THAT THE NECESSARY CHANGES ARE BEING IMPLEMENTED BASED ON THE NEEDS OF THE COMMUNITY. FOR TAX YEAR 2023, THE ORGANIZATION UNDERTOOK A COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). ASSOCIATED WITH THE COMPLETION OF THE CHNA, THE ORGANIZATION'S BOARD OF DIRECTORS ADOPTED AN IMPLEMENTATION STRATEGY TO MEET THE HEALTH NEEDS IDENTIFIED IN THE CHNA. THE CHNA TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. IN PARTICULAR, THE ORGANIZATION RECEIVED INPUT FROM COMMUNITY LEADERS OF 56 ORGANIZATIONS INCLUDING ARLINGTON COUNTY, LAW ENFORCEMENT, SCHOOL REPRESENTATIVES, ARLINGTON FREE CLINIC LEADERSHIP, VIRGINIA HOSPITAL CENTER MEDICAL STAFF LEADERS, RELIGIOUS LEADERS, HEALTH SYSTEMS AGENCY, AND COMMUNITY NON-PROFITS. IN ADDITION, THE CHNA DEFINED THE ORGANIZATION'S COMMUNITY, PROVIDED A DESCRIPTION OF THE PROCESS AND METHODS USED TO CONDUCT THE CHNA, AND DESCRIBED HOW THE ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. THE CHNA IDENTIFIED SEVEN COMMUNITY HEALTH NEEDS, INCLUDING: DEPRESSION, MENTAL HEALTH (OTHER THAN DEPRESSION), HIGH BLOOD PRESSURE, ADULT OBESITY, SUBSTANCE ABUSE, AGING CONCERNS, AND DOMESTIC VIOLENCE. THE ORGANIZATION SET FORTH AN IMPLEMENTATION STRATEGY, ADOPTED BY THE BOARD OF DIRECTORS, PURSUANT TO WHICH THE ORGANIZATION MAINTAINED, EXPANDED, AND/OR ESTABLISHED PROGRAMS TO ADDRESS 4 OF THE COMMUNITY HEALTH NEEDS: Health Equity & Culturally Competent Care, Mental Illness & Behavioral Health, Childhood & adult Obesity, Aging Services. THE ORGANIZATION MADE A DETERMINATION THAT IT WOULD BE A MORE EFFECTIVE USE OF RESOURCES TO FOCUS ON ADDRESSING THE 4 COMMUNITY HEALTH NEEDS NOTED ABOVE, RATHER THAN ATTEMPTING TO ADDRESS THE OTHER HEALTH NEEDS, AS THE ORGANIZATION LACKS THE REQUISITE EXPERTISE AND EXPERIENCE TO EFFECTIVELY ADDRESS THE OTHER HEALTH NEEDS IDENTIFIED. Outside of these prioritized community health needs that were identified and have programs implemented to specifically address them, it should be noted that the Hospital's ongoing operations inherently involve continued engagement with community health priorities as identified through the CHNA. Management regularly reviews CHNA findings, monitors relevant public health data, and collaborates with community partners in the normal course of business to ensure the organization remains responsive to evolving needs and adequately serving the community.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	AT ALL ENTRY POINTS FOR MEDICAL SERVICE, PATIENT NOTICE OF FINANCIAL AID PAMPHLETS ARE DISPLAYED AND AVAILABLE TO ALL PATIENTS. THE PAMPHLET EXPLAINS AVAILABLE FINANCIAL ASSISTANCE AND CHARITY PROGRAMS AS WELL AS THE PROCESS FOR APPLYING FOR ASSISTANCE. ALL BILLS AND STATEMENTS MAILED TO PATIENTS CONTAIN CONTACT INFORMATION TO OBTAIN FINANCIAL ASSISTANCE. INFORMATION REGARDING FINANCIAL ASSISTANCE AND CHARITY IS ALSO AVAILABLE ON THE HOSPITAL'S WEB SITE. THE HOSPITAL PROVIDES ONSITE ELIGIBILITY WORKERS TO ASSIST PATIENTS IN APPLYING FOR FINANCIAL ASSISTANCE.
Schedule H, Part VI, Line 4 Community information	THE HOSPITAL IS LOCATED IN ARLINGTON COUNTY, VIRGINIA. THE HOSPITAL'S PRIMARY SERVICE AREA IS COMPRISED OF ARLINGTON COUNTY, THE CITY OF ALEXANDRIA, AND PART OF NEIGHBORING FAIRFAX COUNTY WITHIN THE CAPITAL BELTWAY. THE SECONDARY SERVICE AREA INCLUDES THE REMAINDER OF FAIRFAX COUNTY, AS WELL AS PARTS OF LOUDOUN AND PRINCE WILLIAM COUNTIES. THE POPULATION OF THE PRIMARY AREA IN 2023 WAS APPROXIMATELY 2,116,000. BASED ON RECENT CENSUS PROJECTIONS, 23% OF THE POPULATION IS UNDER EIGHTEEN YEARS OF AGE AND 12% IS OVER 65 YEARS OF AGE. APPROXIMATELY 48% OF THE POPULATION IS WHITE, 19% HISPANIC OR LATINO, 16% ASIAN, 5% OTHER OR MULTI-RACE, AND 12% BLACK. MEDIAN HOUSEHOLD INCOME IS $142,583 AND PER CAPITA INCOME IS $115,144. BASED ON GROSS PATIENT SERVICE REVENUE, 2.5% IS UNINSURED (SELF PAY) AND 8.9% IS USING MEDICAID. OTHER LOCAL HOSPITALS THAT SERVE THE SAME COMMUNITY ARE INOVA ALEXANDRIA, INOVA MT. VERNON AND INOVA FAIRFAX.
Schedule H, Part VI, Line 5 Promotion of community health	PROMOTION OF COMMUNITY HEALTH THE HOSPITAL'S VISION IS TO BUILD A HEALTHIER COMMUNITY BY PROMOTING AND PROVIDING EASIER ACCESS TO HEALTHCARE SERVICES. THE BOARD MEMBERS ARE MEMBERS OF THE COMMUNITY AND THUS PLACE A LARGE EMPASIS ON SUCH HEALTHCARE SERVICES WITH AN EYE ON IMPROVING AND PROMOTING THE HEALTH OF THE SURROUNDING COMMUNITY. A MAJORITY OF THE HOSPITAL'S GOVERNING BODY IS COMPRISED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE HOSPITAL HAS AN OPEN MEDICAL STAFF WHICH PROVIDES HEALTHCARE SERVICES TO LOW INCOME RESIDENTS IN ITS SERVICE AREA, REGARDLESS OF THE ABILITY TO PAY. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. Surplus revenues are routinely invested back into the community in ways that promote community health and help fulfill the organization's exempt purpose. The following initiatives demonstrate the reinvestment of those revenues. THE HOSPITAL PROVIDES A FULL SPECTRUM OF INPATIENT AND OUTPATIENT SERVICES TO MEMBERS OF THE COMMUNITY, INCLUDING 65,549 EMERGENCY CARE VISITS AND PROVIDING APPROXIMATELY 14,855 VISITS PER YEAR TO THE HOSPITAL'S INDIGENT CLINIC. THE INDIGENT CLINIC IS COMMITTED TO PROVIDING ACCESS TO QUALITY HEALTHCARE TO LOW INCOME AND UNINSURED COUNTY RESIDENTS. ADDITIONALLY, THE HOSPITAL SUBSIDIZES BREAST AND COLON SCREENINGS AND TREATMENT SERVICES FOR INDIGENT PATIENTS SEEN BY THE ARLINGTON FREE CLINIC. OTHER COMMUNITY SERVICES INCLUDE: - HEALTH PROMOTION PROGRAMS AND SERVICES, SUCH AS SMOKING CESSATION, BLOOD PRESSURE SCREENINGS AND WELLNESS PROGRAMS - CLINIC ELIGIBILITY WORKERS THAT ASSIST PATIENTS IN OBTAINING HEALTHCARE SERVICES - SOCIAL SERVICES TO ASSIST PATIENTS IN ARRANGING FOR NON-HOSPITAL HEALTHCARE SERVICES - SUPPORT OF THE ARLINGTON FREE CLINIC: INCLUDES FINANCIAL, OPERATIONS AND IT SUPPORT. - OUTPATIENT CLINIC SERVES THE COMMUNITY BY PROVIDING HEATHCARE SERVICES TO PATIENTS WITH OR WITHOUT INSURANCE. 2024 AWARDS AND RECOGNITION * Received a 'High Performing" designation in U.S. News & World Report's 2024 list of maternity hospitals across the United States. This survey was based on factors most important to parents when choosing the hospital to deliver their baby. * Received a top ranking in the U.S. News & WorldReport's Best Hospitals list for 2023-2024. The report ranked hospitals in 15 adult specialties as well as national and regional rankings. VHC Health is proud to be ranked 2nd in Northern Virginia, 4th in the Washington, DC metro region, and 5th in the Commonwealth of Virginia out of 121 hospitals ranked. * Received an "A" grade in the spring of 2024 in the Leapfrog Group's ranking for hospitals. The Leapfrog Hospital Safety Grade gives 3,000 "general acute-care hospitals" a grade based on certain measures surrounding patient safety. * VHC Health ranked as one of the top hospitals in the region, according to the prestigious annual rankings released by U.S. News & World Report. VHC Health tied for fourth place alongside George Washington University Hospital and Johns Hopkins Medicine-Sibley Memorial Hospital. * VHC Health's Outpatient Pavilion Parking Garage has been awarded the prestigious International Parking and Mobility Institute (IPMI) 2024 Apex Award for Stand-Alone Facility Design. * VHC Health ranks as Best-in-State for 2024 in Virginia by Newsweek. The first ranking of its kind, this survey ranked the leading hospitals in the United States based on four data sources. VHC Health ranked as #5 in Virginia was in the top three in the Washington, DC metro region. * VHC Health received 5 stars (the highest) in the Centers for Medicare and Medicaid Service's Quality rating. We were one of only 381 hospitals nationwide to achieve the prestigious five-star rating. * The Commonwealth of Virginia renewed VHC Health's 2021 accreditation as a Level II Trauma Center. This underscores the hospital's commitment to excellence as a community provider of comprehensive medical services and to acutely injured patients. * VHC Health's cancer program received Accreditation with Commendation from the American College of Surgeons' Commission on Cancer Accreditation. This recognition demonstrates VHC Health's dedication to providing our community with the highest quality cancer care. ACCREDITATION & CERTIFICATION FOR 2024 VHC HEALTH RECEIVED: * Awarded Magnet designation by the American Nurses Credentialing Center (ANCC), making it one of only 612 medical facilities worldwide to currently hold the distinction. This is VHC Health's third Magnet designation. * The VHC Health Diabetes Education Program was recognized by the American Diabetes Association(ADA) for Quality Self-Management Education.
Schedule H, Part VI, Line 6 Affiliated health care system	THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM THAT PROVIDES NEEDED HEALTHCARE SERVICES TO ITS COMMUNITY. IN PARTICULAR, THROUGH ITS AFFILIATES ARLINGTON PEDIATRIC CENTER AND ARLINGTON URGENT CARE CENTER, AS WELL AS THE EMPLOYMENT OF OVER 160 PHYSICIANS, VHC HEALTH PROVIDES AN ARRAY OF HEALTHCARE SERVICES, IN ADDITION TO INPATIENT AND OUTPATIENT SERVICES PROVIDED BY THE HOSPITAL. ARLINGTON PEDIATRIC CENTER IS A SEPARATE TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, WHICH FOCUSES UPON THE PROVISION OF HEALTHCARE SERVICES TO CHILDREN AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. IN 2024 IT PROVIDED CARE FOR OVER 1,500 PEDIATRIC VISITS AND SERVED AS A MEDICAL HOME TO CHILDREN WHO DO NOT HAVE PRIMARY CARE PHYSICIANS. IN 2024 ARLINGTON PEDIATRIC CENTER INCURRED AN OPERATING LOSS OF APPROXIMATELY $($318,000), WHICH WAS COMPOSED PRIMARILY OF COSTS IN EXCESS OF OFFSETTING REVENUE RECEIVED FROM MEDICAID AND DONATIONS AS A RESULT OF PROVIDING SERVICES TO MEDICAID PATIENTS. IN ADDITION, THE HOSPITAL OPERATED ARLINGTON URGENT CARE CENTER FOR NON-EMERGENCY CONDITIONS THAT REQUIRE PROMPT MEDICAL ATTENTION. ARLINGTON URGENT CARE CENTER IS OPEN 24/7 AND IS RUN BY BOARD CERTIFIED PHYSICIANS IN FAMILY PRACTICE AND EMERGENCY MEDICINE. FURTHERMORE, THE HOSPITAL SUPPORTS ITS COMMUNITY THROUGH THE EMPLOYMENT OF PHYSICIANS OFFERING AN ARRAY OF PRIMARY AND SPECIALTY SERVICES IN AREAS SUCH AS BREAST HEALTH, UROLOGY, COLORECTAL, UROGYNECOLOGY, ONCOLOGY AND SURGERY.
Schedule H, Part VI, Line 7 State filing of community benefit report	VA

Schedule H (Form 990) 2024

Additional Data

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Software Version:	2024v5.1

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Schedule I
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
Virginia Hospital Center Arlington Health System

Employer identification number
54-0505989

Part I

General Information on Grants and Assistance

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 No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) Nursing Awards and Scholarships	121	99,093
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	Award recipients must provide documentation to be reimbursed for any scholarship related fees, e.g., school related, certifications, professional development, etc. The Foundation's staff development department approved and tracks all reimbursements.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 on 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 on 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 .....

Yes

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

Yes

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 on 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? .........

Yes

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

Were any amounts reported on 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" on 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) (Rev. 1-2025)

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 on 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, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on 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)
1John Zabrowski SENIOR VP, CFO	(i) (ii)	657,890 ------------- 0	91,313 ------------- 0	24,242 ------------- 0	20,700 ------------- 0	1,084 ------------- 0	795,229 ------------- 0	0 ------------- 0
2Alexander Eremia Senior VP, Chief Legal Officer	(i) (ii)	446,300 ------------- 0	63,798 ------------- 0	10,487 ------------- 0	20,700 ------------- 0	33,345 ------------- 0	574,630 ------------- 0	0 ------------- 0
3Christopher Lane President & CEO	(i) (ii)	992,679 ------------- 0	245,000 ------------- 0	39,242 ------------- 0	17,940 ------------- 0	32,220 ------------- 0	1,327,081 ------------- 0	15,000 ------------- 0
4Michael Malone Senior Advisor (Former Key Employee)	(i) (ii)	87,196 ------------- 0	0 ------------- 0	36,945 ------------- 0	10,469 ------------- 0	22,685 ------------- 0	157,295 ------------- 0	0 ------------- 0
5Sharon Martin VP, HEALTH SERVICES INTEGRATION	(i) (ii)	313,922 ------------- 0	43,502 ------------- 0	9,428 ------------- 0	0 ------------- 0	15,076 ------------- 0	381,928 ------------- 0	0 ------------- 0
6Adrian Stanton VP, Real Estate Development	(i) (ii)	359,660 ------------- 0	54,797 ------------- 0	29,685 ------------- 0	27,600 ------------- 0	22,919 ------------- 0	494,661 ------------- 0	0 ------------- 0
7Melody Dickerson Senior VP, CNO	(i) (ii)	574,017 ------------- 0	82,377 ------------- 0	24,621 ------------- 0	20,700 ------------- 0	32,276 ------------- 0	733,991 ------------- 0	0 ------------- 0
8Michael Mistretta VP, CHIEF INFORMATION OFFICER (Through June 2024)	(i) (ii)	506,428 ------------- 0	15,663 ------------- 0	30,244 ------------- 0	0 ------------- 0	14,950 ------------- 0	567,285 ------------- 0	0 ------------- 0
9Tiffany Blackman VP, Chief Compliance Officer	(i) (ii)	274,202 ------------- 0	30,091 ------------- 0	24,292 ------------- 0	20,485 ------------- 0	26,437 ------------- 0	375,507 ------------- 0	0 ------------- 0
10Brian Stone MD Senior VP, Medical Affairs/CMO	(i) (ii)	629,734 ------------- 0	87,001 ------------- 0	7,930 ------------- 0	14,950 ------------- 0	486 ------------- 0	740,101 ------------- 0	0 ------------- 0
11Dan Greenberg AVP, Perioperative Services and Operations	(i) (ii)	267,177 ------------- 0	8,050 ------------- 0	14,931 ------------- 0	14,950 ------------- 0	28,659 ------------- 0	333,767 ------------- 0	0 ------------- 0
12Richard Krumenacker VP, Facilities	(i) (ii)	320,897 ------------- 0	47,124 ------------- 0	2,780 ------------- 0	17,250 ------------- 0	35,640 ------------- 0	423,691 ------------- 0	0 ------------- 0
13Usman Akhtar MD Chief Medical Information Officer	(i) (ii)	400,237 ------------- 0	22,500 ------------- 0	36,031 ------------- 0	17,250 ------------- 0	11,450 ------------- 0	487,468 ------------- 0	0 ------------- 0
14Samuel T Gilkeson VP, Chief HR Officer	(i) (ii)	341,699 ------------- 0	43,830 ------------- 0	3,731 ------------- 0	17,250 ------------- 0	335 ------------- 0	406,845 ------------- 0	0 ------------- 0
15Darryl Ernst Senior VP, VHC Physician Group	(i) (ii)	520,923 ------------- 0	78,752 ------------- 0	43,411 ------------- 0	17,940 ------------- 0	35,480 ------------- 0	696,506 ------------- 0	17,160 ------------- 0
16John Garrett MD Physician	(i) (ii)	1,047,236 ------------- 0	12,500 ------------- 0	27,944 ------------- 0	20,700 ------------- 0	23,020 ------------- 0	1,131,400 ------------- 0	0 ------------- 0
17Kelly Orzechowski MD VHCPG Vice Chief	(i) (ii)	766,755 ------------- 0	22,471 ------------- 0	82,899 ------------- 0	19,550 ------------- 0	19,715 ------------- 0	911,390 ------------- 0	0 ------------- 0
18John Rhee MD Physician	(i) (ii)	1,047,236 ------------- 0	12,500 ------------- 0	26,564 ------------- 0	20,700 ------------- 0	23,020 ------------- 0	1,130,020 ------------- 0	0 ------------- 0
19Myriam Ferzli MD Physician	(i) (ii)	624,348 ------------- 0	21,250 ------------- 0	53,576 ------------- 0	17,250 ------------- 0	486 ------------- 0	716,910 ------------- 0	0 ------------- 0
20George Younan Physician	(i) (ii)	578,773 ------------- 0	281,039 ------------- 0	6,684 ------------- 0	0 ------------- 0	13,287 ------------- 0	879,783 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

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.

Return Reference	Explanation
Schedule J, Part I, Line 1a Tax indemnification and gross-up payments	Tax gross up on Darryl Ernst's contribution INTO A NONQUALIFIED DEFERRED COMPENSATION PLAN. Taxable in year distributed.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	In 2024, Christopher Lane received a $15,000 distribution out of a nonqualified deferred compensation plan. This payment is included in Schedule J, Part II, Column (B)(iii). This payment was reported as deferred on a prior Form 990 and is therefore also included in Schedule J, Part II, Column (F). In 2024, Darryl Ernst received a contribution of $17,940 into a nonqualified deferred compensation plan. This contribution is included in Schedule J, Part II, Column (C). In 2024, Darryl Ernst received a $17,160 distribution out of a nonqualified deferred compensation plan. This payment is included in Schedule J, Part II, Column (B)(iii). This payment was reported as deferred on a prior Form 990 and is therefore also included in Schedule J, Part II, Column (F).
Schedule J, Part I, Line 7 Non-fixed payments	Bonuses are based on an employee's annual performance appraisal and merit rating results. The head of the employee's department works with Human Resources to determine the amount of the employee's bonus each year.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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 COUNTY VIRGINIA	52-1304510	041438HE5	05-20-2020	293,883,095	REFUND 2010 BONDS; FINANCE CAPITAL PROJECTS		X		X		X
B	INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY VIRGINIA	52-1304510	041438HF2	09-26-2023	161,008,500	Used to finance capital projects		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	10,015,000		0
2 Amount of bonds legally defeased ..............	0		0
3 Total proceeds of issue ..................	294,445,807		169,333,321
4 Gross proceeds in reserve funds .............	0		0
5 Capitalized interest from proceeds .............	20,854,292		22,604,167
6 Proceeds in refunding escrows ...............	57,735		0
7 Issuance costs from proceeds ...............	2,410,228		1,633,635
8 Credit enhancement from proceeds .............	0		0
9 Working capital expenditures from proceeds .............	0		0
10 Capital expenditures from proceeds .............	0		69,031,769
11 Other spent proceeds .............	271,123,552		0
12 Other unspent proceeds .............	0		76,063,750
13 Year of substantial completion .............	2022
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue of tax-exempt bonds (or, if issued prior to 2020, a current refunding issue)? ........	X			X
15 Were the bonds issued as part of an advance refunding issue of taxable bonds (or, if issued prior to 2020, an advance refunding issue)? ........		X		X
16 Has the final allocation of proceeds been made? ..........	X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

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

Cat. No. 50193E

Schedule K (Form 990) (Rev. 1-2025)

Page 2

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		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		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?		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		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?		X		X
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 %		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 .........	0 %		0 %
6 Total of lines 4 and 5 .............	0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X		X
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?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0 %		0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X
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? ........	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X	X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X			X
b Exception to rebate? ........		X		X
c No rebate due? .........		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....	X		X

Schedule K (Form 990) (Rev. 1-2025)

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........	0 %		0 %
d Was the hedge superintegrated? ......		X		X
e Was the hedge terminated? ........		X		X
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........	0 %		0 %
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........		X		X
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part Ⅴ

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
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		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).

Return Reference	Explanation
Schedule K, Part IV, Line 2c Date Rebate Calculation was performed	ISSUER NAME: INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY, VIRGINIA Form 8038-T was filed on 6/20/2024.
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY, VIRGINIA PROCEEDS REPORTED ON PART II LINE 4 DIFFER FROM THE ISSUE PRICE OF THE BOND DUE TO CUMULATIVE INVESTMENT EARNINGS OF $562,712.
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: INDUSTRIAL DEV AUTHORITY OF ARLINGTON COUNTY, VIRGINIA PROCEEDS REPORTED ON PART II LINE 4 DIFFER FROM THE ISSUE PRICE OF THE BOND DUE TO CUMULATIVE INVESTMENT EARNINGS OF $8,324,821.

Schedule K (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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), section 501(c)(4), and section 501(c)(29) 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 the organization managers or disqualified persons during the year under section 4958. ........................... $

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

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 Benefiting 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) (Rev. 1-2025)

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) Jennifer Nguyen	Sister of Board Member John Nguyen	147,179	Salary paid		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

Virginia Hospital Center Arlington Health System

Employer identification number

54-0505989

Return Reference	Explanation
Form 990, Part III, Line 1 ORGANIZATION'S MISSION	TO INVEST IN THE PROFESSIONAL GROWTH AND DEVELOPMENT OF OUR PEOPLE. TO MANAGE OUR RESOURCES PRUDENTLY. TO SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY.
Form 990, Part VI, Line 15b Process for determining compensation of officers and key employees	OFFICERS AND KEY EMPLOYEES OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM (OTHER THAN THE CEO) A MARKET SUMMARY IS COORDINATED BY AN INDEPENDENT CONSULTANT TO DETERMINE A MARKET RATE RANGE OF COMPENSATION FOR SUCH INDIVIDUALS. THE COMPENSATION IS THEN DETERMINED BY THE CEO OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM WITHIN THE RANGE DETERMINED BY THE INDEPENDENT CONSULTANT. This process is undertaken annually and was completed during 2024. COMPENSATION INCREASES ARE PROVIDED BASED ON THE SAME CRITERIA APPLIED TO VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM EMPLOYEES.
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons	Christopher Lane and John Zabrowski - Business relationship
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	The organization has no committees with authority to act on behalf of the governing body; therefore, this question has intentionally been answered "no" in accordance with the IRS instructions to the Form 990.
Form 990, Part VI, Line 11b Review of form 990 by governing body	TO ENSURE COMPLIANCE WITH ALL REGULATORY REQUIREMENTS, THE TAX RETURN IS PREPARED BY AN INDEPENDENT CPA FIRM. A COMPLETED DRAFT IS REVIEWED BY MANAGEMENT AND ALL OUTSTANDING REGULATORY AND PRESENTATION ISSUES ARE RESOLVED. ONCE CHANGES ARE MADE TO THE DRAFT TO REFLECT COMMENTS FROM MANAGEMENT, A FINAL DRAFT IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW. UPON RESOLUTION OF ANY REMAINING QUESTIONS OR REQUESTS FOR INFORMATION BY THE BOARD MEMBERS, A FINAL RETURN IS FILED WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	ANNUALLY, ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM. DISCLOSURE OF RELATIONSHIPS AND TRANSACTIONS WITH THE CORPORATION AND RELATED ENTITIES AS WELL AS TRANSACTIONS BETWEEN RELATED INDIVIDUALS ARE DISCLOSED. IN ADDITION TO THE ANNUAL REQUIREMENT, ON AN ONGOING BASIS, OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO IMMEDIATELY DISCLOSE ANY SELF CONFLICT OF INTEREST IF THEY OCCUR. ALL KNOWN CONFLICT OF INTERESTS ARE REFERRED TO THE COMPLIANCE COMMITTEE FOR RESOLUTION.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	THE COMPENSATION OF THE CEO OF VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM IS DETERMINED BY VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM THROUGH THE USE OF A COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION STUDY OR SURVEY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. This process is undertaken annually and was conducted in 2024.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	All Other Revenue - Total Revenue: 286575, Related or Exempt Function Revenue: , Unrelated Business Revenue: 286575, Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Contract Labor - Total Expense: 25596878, Program Service Expense: 21339995, Management and General Expenses: 4256883, Fundraising Expenses: 0; PROFESSIONAL FEE - Total Expense: 20356821, Program Service Expense: 20313163, Management and General Expenses: 43658, Fundraising Expenses: 0; Other Contract Services - Total Expense: 44284575, Program Service Expense: 36925452, Management and General Expenses: 7359123, Fundraising Expenses: 0;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Capital Contributions - 3749434; Investment Income on Restricted Investments - -184555; Net Assets Released from Restrictions - -2070122; Write-Off APC Intercompany Balances - -11824646; Total - -10329889;

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

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" on 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) VHC PHYSICIAN GROUP LLC 1701 NORTH GEORGE MASON DR ARLINGTON,VA22205 87-0807407	PHYSICIANS	VA	74,614,000	262,767,000	Virginia Hospital Center
(2) ARLINGTON URGENT CARE CENTER LLC 1701 NORTH GEORGE MASON DR ARLINGTON,VA22205 54-1994394	URGENT CARE	VA	1,360,000	1,863,000	Virginia Hospital Center
(3) SOUTH ARLINGTON LLC 1701 NORTH GEORGE MASON DR ARLINGTON,VA22205 42-1717170	REAL ESTATE	VA	0	0	VIRGINIA HOSPITAL CENTER

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on 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	FUNDRAISING	VA	501(c)(3)	Type II	VHC	Yes
(2)ARLINGTON PEDIATRIC CENTER 1701 NORTH GEORGE MASON DR ARLINGTON,VA22205 54-1998631	Healthcare	VA	501(c)(3)	10	VHC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on 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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) McLean Tysons Orthopedic Surgery Center LLC 1760 Old Meadow Rd McLean,VA221023433 85-1995349	Health Services Joint Venture	VA	Virginia Hospital Center Arlington Health System	Related	9,277,255	10,742,356		No	0		No	51 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on 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	(h) Percentage ownership	Yes	No
(1) AHV GROUP 1701 NORTH GEORGE MASON DR ARLINGTON,VA22205 54-1304024	REAL ESTATE	VA	VIRGINIA HOSPITAL CENTER	C Corporation	1,035,090	5,746,435		Yes

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on 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) .................

Yes

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

Yes

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

Yes

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) ............................

Yes

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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) VIRGINIA HOSPITAL CENTER FOUNDATION	C	1,938,222	COST
(2) VIRGINIA HOSPITAL CENTER FOUNDATION	A	47,592	COST

Schedule R (Form 990) (Rev. 1-2025)

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on 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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

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 SIGNIFICANTLY IN CARDIOLOGY, ORTHOPEDICS, ONCOLOGY & OB.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	5,028
6	Total number of volunteers (estimate if necessary) .............	6	196
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-68,967
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	273,475

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,730,402	2,140,679
9	Program service revenue (Part VIII, line 2g) .........	759,919,973	803,548,626
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	54,897,156	82,788,248
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,332,631	7,932,562
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	824,880,162	896,410,115
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	60,000	99,093
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	433,589,032	457,066,825
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	367,018,234	433,415,316
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	800,667,266	890,581,234
19	Revenue less expenses. Subtract line 18 from line 12.......	24,212,896	5,828,881
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,946,540,688	1,960,337,114
21	Total liabilities (Part X, line 26).............	626,151,071	613,190,839
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,320,389,617	1,347,146,275

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 747,711,411 including grants of $ 99,093 ) (Revenue $ 806,371,267 )
	Virginia Hospital Center Arlington Health System ("VHC") provides medical services to the community in the areas of surgery, cardiology, obstetrics, and emergency care, among other general medical services. In 2024, VHC provided general medical services to 10,627 patients, performed 15,566 surgeries, and handled 380,187 cases in other medical specialties.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses747,711,411

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	12,556,534	0	708,954

1a	Federated campaigns..		1a	0
b	Membership dues..		1b	0
c	Fundraising events..		1c	0
d	Related organizations		1d	1,938,222
e	Government grants (contributions)		1e	202,457

f	All other contributions, gifts, grants, and similar amounts not included above		1f	0

g	Noncash contributions included in lines 1a - 1f:$		1g	0

h Total. Add lines 1a-1f.......		2,140,679

		Business Code
2a	PATIENT REVENUE	622110	790,031,576	790,031,576
b	OTHER OPERATING REVENUE	622110	13,517,050	13,146,837	370,213
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		803,548,626

3 Investment income (including dividends, interest, and othersimilar amounts) ......			23,004,142		-1,025,052	24,029,194
4 Income from investment of tax-exempt bond proceeds			6,730,110			6,730,110
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	8,358,146
b	Less: rental expenses	6b	4,585,097
c	Rental income or (loss)	6c	3,773,049	0
d	Net rental income or (loss).......			3,773,049			3,773,049
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	114,727,000
b	Less: cost or other basis and sales expenses	7b	60,419,271	1,253,733
c	Gain or (loss)	7c	54,307,729	-1,253,733
d	Net gain or (loss).........			53,053,996			53,053,996
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	5,352,119
b	Less: cost of goods sold ..		10b	4,971,331
c	Net income or (loss) from sales of inventory..			380,788			380,788

Business Code
11a	PARKING		812930	3,364,803	3,192,853	171,950
b	INTERNET RENTAL		532000	72,296		72,296
c	Laboratory		622110	55,051		55,051
d	All other revenue ....			286,575	0	286,575	0
e	Total. Add lines 11a–11d ......			3,778,725
12	Total revenue. See instructions.....			896,410,115	806,371,266	-68,967	87,967,137

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	0	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	99,093	99,093
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............	0	0
4	Benefits paid to or for members .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	8,338,692	6,951,928	1,386,764	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	304,474	304,474	0	0
7	Other salaries and wages........	390,328,410	325,351,408	64,977,002	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	12,151,003	10,130,233	2,020,770	0
9	Other employee benefits .......	18,916,310	15,770,437	3,145,873	0
10	Payroll taxes ...........	27,027,936	22,533,061	4,494,875
11	Fees for services (non-employees):
a	Management ......	0	0	0	0
b	Legal .........	6,286,851	5,241,318	1,045,533	0
c	Accounting ...........	251,055	0	251,055	0
d	Lobbying ...........	54,950	54,950	0	0
e	Professional fundraising services. See Part IV, line 17	0			0
f	Investment management fees ......	9,477,618	0	9,477,618	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	90,238,274	78,578,610	11,659,664	0
12	Advertising and promotion ....	2,622,971	2,344,278	278,693	0
13	Office expenses .......	18,060,029	6,710,710	11,349,319	0
14	Information technology ......	0	0	0	0
15	Royalties ..	0	0	0	0
16	Occupancy ...........	17,199,732	13,578,083	3,621,649	0
17	Travel ............	324,028	176,855	147,173	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0	0	0	0
19	Conferences, conventions, and meetings ....	394,400	145,101	249,299	0
20	Interest ...........	11,547,825	9,627,367	1,920,458	0
21	Payments to affiliates .......	0	0	0	0
22	Depreciation, depletion, and amortization ..	34,911,537	29,105,582	5,805,955	0
23	Insurance ...	2,721,143	2,268,604	452,539	0
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	Supplies	170,457,765	170,298,770	158,995	0
b	Contract Services	35,926,779	29,951,984	5,974,795	0
c	Equipment Rental & Main	28,021,504	17,690,167	10,331,337	0
d	Taxes	2,875,209	0	2,875,209	0
e	All other expenses	2,043,646	798,398	1,245,248	0
25	Total functional expenses. Add lines 1 through 24e	890,581,234	747,711,411	142,869,823	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).	0	0	0	0

1	Cash–non-interest-bearing ........			26,185,392	1	54,930,522
2	Savings and temporary cash investments .........			0	2
3	Pledges and grants receivable, net ......			0	3
4	Accounts receivable, net .............			140,571,419	4	137,098,674
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7
8	Inventories for sale or use ............			17,910,635	8	19,877,335
9	Prepaid expenses and deferred charges ......			23,838,151	9	29,342,802
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,207,622,006
b	Less: accumulated depreciation	10b	561,407,197	602,897,533	10c	646,214,809
11	Investments—publicly traded securities .			294,222,344	11	370,689,580
12	Investments—other securities. See Part IV, line 11 .....			655,675,680	12	578,457,767
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............			0	14
15	Other assets. See Part IV, line 11 ...........			185,239,534	15	123,725,625
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,946,540,688	16	1,960,337,114

17	Accounts payable and accrued expenses .....	108,745,062	17	103,295,017
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	474,077,444	20	464,506,389
21	Escrow or custodial account liability. Complete Part IV of Schedule D	0	21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	0	23
24	Unsecured notes and loans payable to unrelated third parties ..	0	24
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	43,328,565	25	45,389,433
26	Total liabilities. Add lines 17 through 25..	626,151,071	26	613,190,839

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,302,094,337	27	1,327,516,236
28	Net assets with donor restrictions ...........	18,295,280	28	19,630,039
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	0	31	0
32	Total net assets or fund balances ...........	1,320,389,617	32	1,347,146,275
33	Total liabilities and net assets/fund balances ........	1,946,540,688	33	1,960,337,114

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 organization may be required to separately 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; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	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, Information 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No