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Nonprofiteer
← Arlington Pediatric Center Inc

Form 990 for tax year 2023

Filed by Arlington Pediatric Center Inc.

Totals

Total revenue
$2,870,193
Total expenses
$3,335,100
Contributions and grants received
$1,514,574
Grants paid
$0
Program service revenue
$1,333,981
Investment income
-$31,180
Other revenue
$52,818
Total assets, end of year
$1,158,425
Total liabilities, end of year
$129,780
Net assets or fund balances, end of year
$1,028,645
Program services expenses (Part IX)
$3,292,816
Management and general expenses
$42,284
Fundraising expenses
$0
Program service expenses (Part III)
$3,292,816

Program services were 98.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • Brian Stone MD

    Board Member/Chief Medical Officer

    Total calculated
    $581,304
    From this org
    $0
    From related orgs
    $580,818
    Other
    $486
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $577,561 related
    Bonus
    $0
    Other
    $0 + $3,257 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $486 related
    Filer's total
    $0 + $581,304 related

  • Christopher Lane

    Board Member/VHC President & CEO

    Total calculated
    $1,212,213
    From this org
    $0
    From related orgs
    $1,168,077
    Other
    $44,136
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $916,166 related
    Bonus
    $0 + $213,169 related
    Other
    $0 + $38,742 related
    Deferred
    $0 + $15,000 related
    Nontaxable benefits
    $0 + $29,136 related
    Filer's total
    $0 + $1,212,213 related

  • John Zabrowski

    Secretary/Treasurer/VHC CFO

    Total calculated
    $622,514
    From this org
    $0
    From related orgs
    $604,706
    Other
    $17,808
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $600,181 related
    Bonus
    $0
    Other
    $0 + $4,525 related
    Deferred
    $0 + $16,875 related
    Nontaxable benefits
    $0 + $933 related
    Filer's total
    $0 + $622,514 related

  • Delicia Claure

    Clinical Director

    Total calculated
    $198,614
    From this org
    $157,239
    From related orgs
    $0
    Other
    $41,375
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,689
    Bonus
    $7,800
    Other
    $1,750
    Deferred
    $13,761
    Nontaxable benefits
    $27,614
    Filer's total
    $198,614

  • Tatiana Zenzano MD

    PHYSICIAN-MEDICAL DIRECTOR

    Total calculated
    $260,324
    From this org
    $229,398
    From related orgs
    $0
    Other
    $30,926
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $207,043
    Bonus
    $0
    Other
    $22,355
    Deferred
    $16,073
    Nontaxable benefits
    $14,853
    Filer's total
    $260,324

  • TERESA KOSCIUK-ROWE MD

    PHYSICIAN

    Total calculated
    $165,221
    From this org
    $150,852
    From related orgs
    $0
    Other
    $14,369
    Hours/week
    24

    Schedule J breakdown matched by us

    Base
    $119,580
    Bonus
    $0
    Other
    $31,272
    Deferred
    $10,399
    Nontaxable benefits
    $3,970
    Filer's total
    $165,221

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
In 2023, 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 2023, Christopher Lane also received a contribution of $15,000 into a nonqualified deferred compensation plan. This contribution is included in Schedule J, Part II, Column (C).
Schedule J, Part I, Line 3 Establishing Comepensation
The filing organization relied on Virginia Hospital Center Arlington Health System, a related organization, to establish the compensation of the filing organization's top management official. Virginia Hospital Center Arlington Health System utilized an independent compensation consultant and a compensation survey to determine the compensation of the filing organization's top management official.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • AHV Group

    C Corporation · Real Estate · VA

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
31 October 2024
IRS schema version
2023v5.1
Source object
202423059349302637

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