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Nonprofiteer
← Arlington Pediatric Center Inc

Form 990 for tax year 2022

Filed by Arlington Pediatric Center Inc.

Totals

Total revenue
$1,998,878
Total expenses
$3,160,662
Contributions and grants received
$499,301
Grants paid
$0
Program service revenue
$1,295,714
Investment income
$0
Other revenue
$203,863
Total assets, end of year
$788,676
Total liabilities, end of year
$241,586
Net assets or fund balances, end of year
$547,090
Program services expenses (Part IX)
$2,911,750
Management and general expenses
$66,205
Fundraising expenses
$182,707
Program service expenses (Part III)
$2,911,750

Program services were 92.1% 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 from June 2022

    Total calculated
    $274,919
    From this org
    $0
    From related orgs
    $274,713
    Other
    $206
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $273,586 related
    Bonus
    $0
    Other
    $0 + $1,127 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $206 related
    Filer's total
    $0 + $274,919 related

  • James B Cole

    Board member/VHC President & CEO through May 2022

    Total calculated
    $464,873
    From this org
    $0
    From related orgs
    $457,317
    Other
    $7,556
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $387,260 related
    Bonus
    $0 + $45,000 related
    Other
    $0 + $25,057 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,556 related
    Filer's total
    $0 + $464,873 related

  • John Zabrowski

    Secretary/Treasurer/VHC CFO

    Total calculated
    $601,355
    From this org
    $0
    From related orgs
    $600,005
    Other
    $1,350
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $578,984 related
    Bonus
    $0 + $16,887 related
    Other
    $0 + $4,134 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $1,350 related
    Filer's total
    $0 + $601,355 related

  • Christopher Lane

    Board Member/VHC President & CEO From March 2022

    Total calculated
    $825,786
    From this org
    $0
    From related orgs
    $789,316
    Other
    $36,470
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $701,181 related
    Bonus
    $0 + $75,000 related
    Other
    $0 + $13,135 related
    Deferred
    $0 + $15,000 related
    Nontaxable benefits
    $0 + $21,470 related
    Filer's total
    $0 + $825,786 related

  • David Lee MD

    Board Member/Chief Medical Officer through May 2022

    Total calculated
    $704,561
    From this org
    $0
    From related orgs
    $662,372
    Other
    $42,189
    Hours/week
    2 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $362,996 related
    Bonus
    $0
    Other
    $0 + $299,376 related
    Deferred
    $0 + $15,860 related
    Nontaxable benefits
    $0 + $26,329 related
    Filer's total
    $0 + $704,561 related

  • Christine Page-Lopez MD

    PHYSICIAN

    Total calculated
    $180,023
    From this org
    $168,843
    From related orgs
    $0
    Other
    $11,180
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,652
    Bonus
    $0
    Other
    $191
    Deferred
    $10,136
    Nontaxable benefits
    $1,044
    Filer's total
    $180,023

  • Delicia Claure

    Clinical Director

    Total calculated
    $188,286
    From this org
    $149,167
    From related orgs
    $0
    Other
    $39,119
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $139,938
    Bonus
    $7,800
    Other
    $1,429
    Deferred
    $13,088
    Nontaxable benefits
    $26,031
    Filer's total
    $188,286

  • Tatiana Zenzano MD

    PHYSICIAN-MEDICAL DIRECTOR

    Total calculated
    $260,175
    From this org
    $229,861
    From related orgs
    $0
    Other
    $30,314
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $209,738
    Bonus
    $0
    Other
    $20,123
    Deferred
    $16,074
    Nontaxable benefits
    $14,240
    Filer's total
    $260,175

  • TERESA KOSCIUK-ROWE MD

    PHYSICIAN

    Total calculated
    $155,755
    From this org
    $145,990
    From related orgs
    $0
    Other
    $9,765
    Hours/week
    24

    Schedule J breakdown matched by us

    Base
    $121,632
    Bonus
    $388
    Other
    $23,970
    Deferred
    $8,762
    Nontaxable benefits
    $1,003
    Filer's total
    $155,755

  • Victoria Saunders MD

    PHYSICIAN

    Total calculated
    $190,663
    From this org
    $168,354
    From related orgs
    $0
    Other
    $22,309
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $165,844
    Bonus
    $0
    Other
    $2,510
    Deferred
    $10,323
    Nontaxable benefits
    $11,986
    Filer's total
    $190,663

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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 4a Severance or change-of-control payment
David Lee received a severance payment of $270,379 from VIRGINIA HOSPITAL CENTER ARLINGTON HEALTH SYSTEM.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
CHRISTOPHER LANE RECEIVED A CONTRIBUTION OF $15,000 INTO A NONQUALIFIED DEFERRED COMPENSATION PLAN IN 2022.
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
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202303199349303210

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