FURP.ORG / PUBLIC DATA EXPLORER

LOUDOUN HOSPITAL CENTER: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LOUDOUN HOSPITAL CENTER (EIN 54-0525802)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-10-26
IRS object ID
202033009349300753
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-10-26T07:27:04-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1221 E 4TH ST SUITE 2900AddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540525802EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOUDOUN HOSPITAL CENTERBusinessNameLine1Txt
Business Name Line2DBA INOVA LOUDOUN HOSPITALBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLOUDBusinessNameControlTxt
Phone7038586000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1Txt
CityFALLS CHURCHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22042ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALICE POPEPersonNm
Person TitleCFOPersonTitleTxt
Phone7038586000PhoneNum
Signature2020-10-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE L SPARKSPreparerPersonNm
PTINP01268401PTIN
Phone5136121400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.201.243.109IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-21IPDt
IP Tm07:29:03IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2C2748230AB9EBAEFF42548E528CDF4FEA525E48AtSubmissionCreationDeviceId
At Submission Filing Device Id115F918F5B3BFF6E5CFBECC689F621CD653AF3E4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Principal OfficerJ STEPHEN JONES MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1Txt
CityFALLS CHURCHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22042ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$391,757,618GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1930FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionILH PROVIDES PERSONALIZED, HIGH QUALITY ACUTE CARE HOSPITAL SERVICES FOR THE COMMUNITY.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1790TotalEmployeeCnt
Total Volunteers314TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$390,156PYContributionsGrantsAmt
CY Contributions Grants$597,598CYContributionsGrantsAmt
PY Program Service Revenue$342,270,984PYProgramServiceRevenueAmt
CY Program Service Revenue$379,837,585CYProgramServiceRevenueAmt
PY Investment Income$2,252,100PYInvestmentIncomeAmt
CY Investment Income$10,473,938CYInvestmentIncomeAmt
PY Other Revenue$859,459PYOtherRevenueAmt
CY Other Revenue$848,497CYOtherRevenueAmt
PY Total Revenue$345,772,699PYTotalRevenueAmt
CY Total Revenue$391,757,618CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$115,430,913PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$122,430,647CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$190,404,027PYOtherExpensesAmt
CY Other Expenses$193,884,988CYOtherExpensesAmt
PY Total Expenses$305,834,940PYTotalExpensesAmt
CY Total Expenses$316,315,635CYTotalExpensesAmt
PY Revenues Less Expenses$39,937,759PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$75,441,983CYRevenuesLessExpensesAmt
Total Assets BOY$776,576,798TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$47,887,392TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$728,689,406NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionINOVA LOUDOUN HOSPITAL'S MISSION IS TO PROVIDE ACUTE CARE AND OTHER APPROPRIATE HOSPITAL SERVICES DEDICATED TO PROVIDING QUALITY CARE AND IMPROVING THE HEALTH OF THE DIVERSE COMMUNITIES IT SERVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$272,031,446ExpenseAmt
Revenue$380,686,082RevenueAmt
DescINOVA LOUDOUN HOSPITAL (ILH) IS PART OF THE INOVA HEALTH SYSTEM WHOSE MISSION IS TO SERVE THE NORTHERN VIRGINIA COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION THROUGH THE PROVISION OF HIGH QUALITY AND ACCESSIBLE HEALTHCARE SERVICES. ILH WAS SPECIFICALLY CHARTERED FOR THE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF LOUDOUN COUNTY, VIRGINIA, BY ESTABLISHING, MAINTAINING AND OPERATING HOSPITAL FACILITIES, PROGRAMS AND OTHER SHARED SERVICE ARRANGEMENTS; FACILITATING HEALTH-RELATED EDUCATION ACTIVITIES; AND ENGAGING IN ACTIVITIES DESIGNED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. ILH HAS BEEN RATED WITH 5 OUT OF 5 STARS IN THE MOST RECENT CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) FIVE-STAR QUALITY RATING SYSTEM REPORT. INOVA LOUDOUN HOSPITAL IS A 183-LICENSED BED GENERAL ACUTE CARE HOSPITAL, WHICH FIRST OPENED ITS DOORS IN 1912. ILH PROVIDES A FULL-SERVICE 24-HOUR EMERGENCY DEPARTMENT AS WELL AS TWO FREESTANDING EMERGENCY ROOMS; 23 INTENSIVE CARE BEDS; A SPECTRUM OF DIAGNOSTIC SERVICES, INCLUDING FULL-BODY CT SCANNING, MRI, AND A CARDIAC CATHETERIZATION LABORATORY; A VARIETY OF INPATIENT MEDICAL, SURGICAL, AND ORTHOPEDIC SERVICES, AND COMPREHENSIVE OUTPATIENT SERVICES INCLUDING OUTPATIENT SURGERY, PHYSICAL MEDICINE AND REHABILITATION SERVICES, AND RADIATION THERAPY. IN ADDITION, OBSTETRICAL AND PEDIATRIC SERVICES ARE PROVIDED BY ILH'S LADIES' BOARD BIRTHING INN, A PEDIATRIC EMERGENCY DEPARTMENT AND AN INPATIENT PEDIATRIC UNIT. IN 2019, THE HOSPITAL HAD 18,934 ADMISSIONS AND OBSERVATION CASES AND 52,369 PATIENT DAYS EXCLUDING NEWBORNS. EMERGENCY ROOM VISITS TOTALED 77,190 (12,876 EMERGENCY VISITS WERE AT THE ASHBURN HEALTHPLEX); AND THERE WERE 92,597 OUTPATIENT VISITS DURING THE YEAR.SPECIFIC ACUTE CARE PROGRAMSWOMEN'S HEALTH: ILH OFFERS A FULL RANGE OF OBSTETRICAL SERVICES INCLUDING DELIVERY SERVICES, HIGH RISK PRENATAL SERVICES, INPATIENT AND OUTPATIENT OBSTETRICS/GYNECOLOGIC SURGERY, A HOSPITAL-BASED NATURAL BIRTH CENTER AND NURSERY CARE. ILH DELIVERED 2,394 BABIES IN 2019. ILH ALSO OFFERS LEVEL III NEONATAL ICU SPECIALTY SERVICES. IN ADDITION, ILH PROVIDES OBSTETRIC SERVICES TO LOW-INCOME PATIENTS THROUGH ITS OBSTETRICS/GYNECOLOGY CLINIC WHICH HAD 4,756 VISITS IN 2019. PEDIATRIC CARE: ILH OPERATES A DEDICATED PEDIATRIC EMERGENCY ROOM THAT PROVIDED 15,584 VISITS IN 2019. IN ADDITION ILH OPERATES A 14-BED PEDIATRIC UNIT THAT PROVIDES FOR INPATIENT HOSPITALIZATIONS. ILH ADMITTED 415 CHILDREN TO THE UNIT AND HAD 454 OUTPATIENT OBSERVATION CASES DURING 2019.CARDIOVASCULAR CARE: THE INOVA HEART AND VASCULAR INSTITUTE - SCHAUFELD FAMILY HEART CENTER OPENED IN 2005. IT PROVIDES CARDIAC CATHETERIZATION AND ELECTROPHYSIOLOGY SERVICES, A 64-SLICE CT SCANNER AND OTHER DIAGNOSTIC TESTING. THE INOVA HEART & VASCULAR INSTITUTE AT LOUDOUN HOSPITAL HAS GROWN IN THE LAST FEW YEARS TO BETTER SERVE THE GROWING COMMUNITY, ADDING PROCEDURE ROOMS AND CAPACITY. IN 2019, 4,512 PATIENTS WERE SERVED BY THE CARDIOVASCULAR PROGRAM AT ILH.STROKE CARE: INOVA LOUDOUN HOSPITAL HAS BEEN CERTIFIED BY THE JOINT COMMISSION SINCE 2009 AS A PRIMARY STROKE CENTER. INOVA LOUDOUN HOSPITAL WAS RE-CERTIFIED IN JUNE 2017 AS A JOINT COMMISSION CERTIFIED ADVANCED PRIMARY STROKE CENTER. ADDITIONALLY, THE INOVA EMERGENCY ROOM - LEESBURG AND INOVA EMERGENCY ROOM - ASHBURN WERE CERTIFIED AS ACUTE STROKE READY HOSPITALS (ASRH). CERTIFICATION AS AN ADVANCED PRIMARY STROKE CENTER AND AN ACUTE STROKE READY HOSPITAL IS HELD BY ONLY A SMALL PERCENTAGE OF HOSPITALS NATIONWIDE. THE ASHBURN AND LEESBURG FACILITIES ARE THE 2ND AND 3RD IN THE STATE OF VIRGINIA TO ACHIEVE THE ASRH DESIGNATION.CANCER CARE: ILH FEATURES A FULL SERVICE CANCER CENTER INCLUDING MEDICAL AND SURGICAL ONCOLOGY, RADIATION THERAPY SERVICES AND AN OUTPATIENT INFUSION CLINIC. THE INOVA LOUDOUN RADIATION ONCOLOGY CENTER WAS RENOVATED IN 2019 AND UTILIZES THE LATEST TECHNOLOGY IN RADIATION THERAPY. ILH PROVIDED 6,008 RADIATION THERAPY TREATMENTS TO 285 PATIENTS IN 2019.CHARITY CARE ALL INOVA FACILITIES, INCLUDING THE ILH FACILITIES WITH THE EXCEPTION OF THE ASSISTED LIVING FACILITIES, PROVIDE CHARITY CARE IN ACCORDANCE WITH INOVA POLICIES WHICH ENSURES ACCESS TO MEDICALLY NECESSARY CARE FOR ALL INDIVIDUALS. CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY. THESE POLICIES INCLUDE THE FOLLOWING KEY PROVISIONS:1. EMERGENCY CARE SHALL BE PROVIDED TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY.2. NON-EMERGENCY MEDICALLY NECESSARY CARE, EXCEPT FOR CERTAIN SPECIALTY OR REFERRAL PROGRAMS, SHALL BE PROVIDED BY ALL HOSPITALS AND ACCESS FACILITIES TO MEDICALLY INDIGENT PATIENTS. "MEDICALLY NECESSARY" REFERS TO CONDITIONS WHICH, IF NOT PROMPTLY TREATED, WOULD LEAD TO AN ADVERSE CHANGE IN THE HEALTH STATUS OF A PATIENT. FREE CARE IS PROVIDED TO UNINSURED OR UNDERINSURED INDIVIDUALS WITH FAMILY INCOMES AT OR BELOW 400% OF THE CURRENT FEDERAL POVERTY GUIDELINES (FPG).3. IN 2019, THE FAP EXPANDED ELIGIBLE RESIDENCY TO ALL OF VIRGINIA, INCREASED AVAILABILITY OF CATASTROPHIC COVERAGE, AND RAISED UNDERINSURED COVERAGE TO UP TO 400% OF THE FPG.INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S FINANCIAL ASSISTANCE POLICY (FAP) OR SOMETIMES REFERRED TO AS THE CHARITY CARE POLICY. INFORMATION REGARDING THIS POLICY IS KEPT UP TO DATE ON THE INOVA WEBSITE AND THROUGH SIGNAGE. UPON ADMISSION TO ANY INOVA HOSPITAL OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT THE CHARITY CARE PROGRAM AND REFERRALS TO MEET WITH INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY THE INOVA PATIENT ACCOUNTS DEPARTMENT WITH THE PATIENT CONTACTED IF ADDITIONAL INFORMATION IS REQUIRED IN ORDER TO MAKE A DETERMINATION. THE PATIENT IS SUBSEQUENTLY PROVIDED A LETTER, NOTIFYING THEM AS TO WHETHER OR NOT THEY QUALIFY FOR CHARITY CARE.IN 2019 ILH'S UNREIMBURSED COST OF CHARITY CARE, INCLUDING FREE AND DISCOUNTED SERVICES, WAS $8.8 MILLION.MEDICAID ESTABLISHED UNDER TITLE XIX OF THE SOCIAL SECURITY ACT, THIS PROGRAM PROVIDES ASSISTANCE FOR THE MEDICALLY INDIGENT, INCLUDING THOSE WHO CANNOT PAY FOR CARE DESPITE BEING ABLE TO AFFORD OTHER LIVING EXPENSES. ALSO INCLUDED UNDER THIS PROGRAM ARE THE BLIND, DISABLED, PREGNANT WOMEN, VERY LOW INCOME PARENTS, CHILDREN, AND THE ELDERLY. WHILE VIRGINIA MEDICAID COVERAGE WAS EXPANDED IN 2019 TO INCREASE THE NUMBER OF ELIGIBLE INDIVIDUALS, THE REIMBURSEMENT THAT IHCS FACILITIES RECEIVE FROM THE MEDICAID PROGRAM ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED. DURING 2019, ILH PROVIDED CARE TO MEDICAID PATIENTS AT AN UNREIMBURSED COST OF APPROXIMATELY $19 MILLION.PARTICIPATION IN GOVERNMENTAL PROGRAMS FOR THOSE WITHOUT THE ABILITY TO PAY VARIOUS GOVERNMENT PROGRAMS PROVIDE FOR THE INDIGENT, INCLUDING MEDICAID RECIPIENTS. THESE PROGRAMS PROVIDE A PERCENTAGE OF REIMBURSEMENT FOR QUALIFYING PATIENTS; HOWEVER, PAYMENT IS TYPICALLY BELOW THE COST OF THOSE SERVICES. IN ADDITION TO FEDERAL AND STATE PROGRAMS, THE INOVA SUBSIDIARIES, INCLUDING IHCS, WORK WITH VARIOUS COUNTY GOVERNMENTS AND AGENCIES IN PROVIDING CERTAIN FREE SERVICES TO THOSE RESIDENTS THE COUNTY IDENTIFIES AS MOST IN NEED.EACH YEAR, ILH DESIGNATES FUNDS FOR THE DEVELOPMENT AND CONTINUATION OF IDENTIFIED, ACCESSIBLE DIRECT CARE PROGRAMS AND RELATED SERVICES THAT BENEFIT THOSE MOST IN NEED IN THE COMMUNITY. MANY OF THESE PROGRAMS AND SERVICES ARE NOT BILLED TO THE PATIENT OR ARE PROVIDED FOR FEES BELOW THE ACTUAL COST OF PROVIDING THE SERVICE. IN ADDITION TO PROVIDING THE DIRECT CARE SUBSIDIZED SERVICE, INOVA ALSO PROVIDES DISEASE-PREVENTION PROGRAMS, HEALTH AND EXERCISE CLASSES, HEALTH EDUCATION AND HEALTH SCREENINGS, AND OTHER PROGRAMS WITHIN THE COMMUNITY IN SUPPORT OF THE INOVA'S MISSION.INOVA LOUDOUN OB CLINIC: THE INOVA LOUDOUN HOSPITAL-BASED OB CLINIC PROVIDES COMPREHENSIVE OBSTETRIC SERVICES FOR UNINSURED AND LOW-INCOME WOMEN IN LOUDOUN COUNTY. COMPREHENSIVE OBSTETRICAL SERVICES INCLUDE GESTATIONAL DIABETES MANAGEMENT, CASE MANAGEMENT, NON-STRESS TESTING AND NUTRITIONAL COUNSELING. IN 2019, THE ILH OB CLINIC HAD 4,756 VISITS RESULTING IN 421 DELIVERIES AT INOVA LOUDOUN HOSPITAL AT AN UNREIMBURSED COST FOR THE CLINIC SERVICES OF APPROXIMATELY $1.9 MILLION. LOUDOUN FAMILY AND PATIENT EDUCATION PROGRAM: LOUDOUN FAMILY AND PATIENT EDUCATION PROGRAM SERVES THE COMMUNITY THROUGH HEALTH EDUCATION, PREVENTION, WELLNESS PROGRAMS, AND CARE MANAGEMENT. IN 2019, THE PROGRAM PROVIDED EDUCATIONAL PROGRAMS FOR 1,261 PARTICIPANTS.Desc
Total Program Service Expenses$272,031,446TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate OperationsYes (1)TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document287IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1790EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOUDOUN HOSPITAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7032085940PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1Txt
CityFALLS CHURCHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22042ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SCOTT HAMBERGER
CHAIRMAN1.002.00Yes (X)Yes (X)$0$0$0
JOANNE THEURICH
VICE CHAIRMAN2.001.00Yes (X)Yes (X)$0$0$0
THOMAS SIMMONS MD
TRUSTEE2.001.00Yes (X)$0$0$0
DAVID BOSSERMAN
TRUSTEE1.002.00Yes (X)$0$0$0
EDWARD HILL
TRUSTEE2.001.00Yes (X)$0$0$0
PAMELA JEFFRIES
TRUSTEE2.001.00Yes (X)$0$0$0
JILL MCCABE MD
TRUSTEE1.002.00Yes (X)$20,000$0$0
CHRISTINE KALCHTHALER
TRUSTEE2.001.00Yes (X)$0$0$0
JUANITA KOILPILLAI
TRUSTEE2.001.00Yes (X)$0$0$0
TANYA MATTHEWS
TRUSTEE2.001.00Yes (X)$0$0$0
J STEPHEN JONES
CEO, PRESIDENT3.0047.00Yes (X)$0$3,113,435$278,531
SUSAN MILLS
TRUSTEE1.002.00Yes (X)$0$0$0
RANDALL MINCHEW
TRUSTEE2.001.00Yes (X)$0$0$0
JOHN WOOD
TRUSTEE2.001.00Yes (X)$0$0$0
RICHARD MAGENHEIMER
CFO, TREASURER, ENDING 6-4-192.0048.00Yes (X)$0$2,456,488$60,949
LORING FLINT
EVP CMO FORMER, ENDING 6-1-19,4.0046.00$0$1,392,340$63,126Yes (X)
JOHN GAUL
SVP GENERAL COUNSEL FORMER3.0047.00$0$1,202,570$182,985Yes (X)
PATRICK WALTERS
ACTING ICPH EXEC AND HOSP OPS40.0010.00Yes (X)$0$1,136,084$65,405
MARK STAUDER
TRUSTEE, FORMER, ENDING 9-30-182.0048.00$0$1,061,798$0Yes (X)
DEBORAH ADDO
PRESIDENT ILH, SECRETARY15.0025.00Yes (X)Yes (X)$748,240$0$149,416
ALICE POPE
CFO, TREASURER, BEGINNING 6-4-192.0048.00Yes (X)$0$621,102$21,441
CHRISTOPHER CHIANTELLA
CHIEF MEDICAL OFFICER, ILH40.000.00$369,382$0$87,862Yes (X)
WILLIAM BANE
AVP ASSOC ADMIN CFO20.0020.00$317,890$0$51,851Yes (X)
MARISSA JAMARIK
VP NURSING IHVI CNO ILH40.000.00$319,186$0$47,645Yes (X)
OMAR CASTANEDA
CARDIO INVASIVE SPEC CLIN CRD IHVI40.000.00$237,148$0$53,246Yes (X)
DEBBIE WAGNER
MGR PHARMACY PIC40.000.00$191,181$0$49,485Yes (X)
CINDY ANDREJASICH
SR DIR NURSING SRVCS40.000.00$193,838$0$34,255Yes (X)
SHONDRA JONES
CARDIO INVASIVE SPEC CLIN CRD IHVI40.000.00$193,399$0$30,725Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,590,264TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$10,983,817TotReportableCompRltdOrgAmt
Total Other Compensation$1,176,922TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K161IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DPR CONSTRUCTION
11109 SUNSET HILLS ROAD SUITE 200RESTONVA20190CONSTRUCTION SERVICES$64,706,535
CROTHALL SERVICES GROUP
955 CHESTERBROOK BLVD SUITE 300WAYNEPA19087STAFFING$4,668,628
WHITE-TURNER CONTRACTING CO
300 EAST JOPPA ROAD 8TH FLOORBALTIMOREMD21286CONSTRUCTION SERVICES$4,480,239
L2 CONSTRUCTION MANAGEMENT CORP
40892 BIRDSTONE LANEALDIEVA20105CONSTRUCTION SERVICES$3,057,706
ALLIED UNIVERSAL COMPANY
PO BOX 828854PHILADELPHIAPA19182SECURITY$2,737,894
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K115CntrctRcvdGreaterThan100KCnt
Related Organizations$537,633RelatedOrganizationsAmt
Government Grants$59,965GovernmentGrantsAmt
Total Contributions$597,598TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE900099$371,213,408$371,213,408
INOVA AMBULATORY SURGICAL CENTER621400$8,155,304$8,155,304
TDI LLC900099$468,873$468,873
FieldValueIRS element (for citing)
Total Program Service Revenue$379,837,585TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,912,412TotalRevenueColumnAmt
Exclusion$1,912,412ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,561,526SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,561,526SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,561,526TotalRevenueColumnAmt
Exclusion$8,561,526ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER900099$836,843$836,843
FOOD SERVICES900099$11,654$11,654
FieldValueIRS element (for citing)
Other Revenue Total$848,497OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$391,757,618TotalRevenueColumnAmt
Related Or Exempt Func Income$380,686,082RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,473,938ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$826,984TotalAmt
Program Services$826,984ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$100,124,325TotalAmt
Program Services$85,991,142ProgramServicesAmt
Management And General$14,133,183ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,943,543TotalAmt
Program Services$3,391,447ProgramServicesAmt
Management And General$552,096ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,283,881TotalAmt
Program Services$8,844,138ProgramServicesAmt
Management And General$1,439,743ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,251,914TotalAmt
Program Services$6,236,646ProgramServicesAmt
Management And General$1,015,268ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$39,418,019TotalAmt
Program Services$33,899,496ProgramServicesAmt
Management And General$5,518,523ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$145,269TotalAmt
Program Services$124,931ProgramServicesAmt
Management And General$20,338ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$30,844TotalAmt
Program Services$30,844ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$75,202,677TotalAmt
Program Services$64,674,302ProgramServicesAmt
Management And General$10,528,375ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$201,167TotalAmt
Program Services$173,004ProgramServicesAmt
Management And General$28,163ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,996,242TotalAmt
Program Services$4,296,768ProgramServicesAmt
Management And General$699,474ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$678,998TotalAmt
Program Services$583,938ProgramServicesAmt
Management And General$95,060ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,423,607TotalAmt
Program Services$3,804,302ProgramServicesAmt
Management And General$619,305ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$207,887TotalAmt
Program Services$178,783ProgramServicesAmt
Management And General$29,104ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$167,193TotalAmt
Program Services$143,786ProgramServicesAmt
Management And General$23,407ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,250,684TotalAmt
Program Services$2,795,588ProgramServicesAmt
Management And General$455,096ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,488,721TotalAmt
Program Services$14,180,300ProgramServicesAmt
Management And General$2,308,421ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,053,699TotalAmt
Program Services$906,181ProgramServicesAmt
Management And General$147,518ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$42,475,520$36,528,947$5,946,573
BAD DEBT EXPENSE$4,055,459$3,487,695$567,764
TAXES AND LICENSES$812,011$694,011$118,000
FOOD$265,686$228,490$37,196

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,305TotalAmt
Program Services$9,723ProgramServicesAmt
Management And General$1,582ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$316,315,635TotalAmt
Program Services$272,031,446ProgramServicesAmt
Management And General$44,284,189ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$871,128BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,000,750BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,879,560BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,443,865BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,564,186BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$314,774,586BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$49,810,201BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$46,081,158BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$326,151,364BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$776,576,798BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,148,854BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$411,298BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,327,240BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,887,392BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$707,547,040BOYAmt
EOY$0EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,142,366BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$728,689,406BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$776,576,798BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$75,441,983ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,703,674NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$4,975,753PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$801,859,310OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$30,844OtherActivitiesAmt
Total Lobbying Expenditures$30,844TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHERE WERE NO SIGNIFICANT LOBBYING ACTIVITIES DURING 2019. AMOUNTS UNDER OTHER ACTIVITIES PER PART II-B REPRESENT A PORTION OF MEMBERSHIP DUES RELATED TO LOBBYING. LOUDOUN HOSPITAL CENTER PAID $192,571 IN MEMBERSHIP DUES FOR 2019. THE PORTION OF MEMBERSHIP DUES THAT WERE USED FOR LOBBING ACTIVITIES WERE ($192,571 TOTAL MEMBERSHIP DUES X 16.02%) = $30,844.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,041,883OtherCostOrOtherBasisAmt
Book Value$33,041,883BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$369,319,786OtherCostOrOtherBasisAmt
Depreciation$75,529,025DepreciationAmt
Book Value$293,790,761BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,992,882OtherCostOrOtherBasisAmt
Depreciation$39,125,036DepreciationAmt
Book Value$39,867,846BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$128,001,750OtherCostOrOtherBasisAmt
Depreciation$104,188,803DepreciationAmt
Book Value$23,812,947BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,410,760OtherCostOrOtherBasisAmt
Depreciation$17,587,434DepreciationAmt
Book Value$2,823,326BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$393,336,763TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFROM INOVA HEALTH SYSTEM CONSOLIDATED STATEMENTS INCLUDING LOUDOUN HOSPITAL CENTER: THE FOUNDATION, IHCS, AND LHC ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN DETERMINED TO BE EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IHI AND ITS SUBSIDIARIES ARE TAXABLE ORGANIZATIONS. DEFERRED INCOME TAXES ARE PROVIDED FOR ALL SIGNIFICANT TIMING DIFFERENCES BETWEEN REVENUES AND EXPENSES REPORTED FOR FINANCIAL STATEMENT AND FOR TAX PURPOSES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,782,999TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,782,999NetCommunityBenefitExpnsAmt
Total Expense0.02810TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,141,556TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,128,403DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,013,153NetCommunityBenefitExpnsAmt
Total Expense0.06090TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$37,924,555TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,128,403DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,796,152NetCommunityBenefitExpnsAmt
Total Expense0.08900TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$269,352TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,018DirectOffsettingRevenueAmt
Net Community Benefit Expns$209,334NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,921,073TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,921,073NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$672,268TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$672,268NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,862,693TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,018DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,802,675NetCommunityBenefitExpnsAmt
Total Expense0.00910TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,787,248TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$10,188,421DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,598,827NetCommunityBenefitExpnsAmt
Total Expense0.09810TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,517,553BadDebtExpenseAmt
Reimbursed By Medicare$63,567,425ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$85,395,558CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$21,828,133MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 INOVA LOUDOUN AMBULATORY SURGERY CENTER LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesSURGICAL SERVICESPrimaryActivitiesTxt
Org Profit Or Ownership0.59460OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.40540PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INOVA LOUDOUN HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line144045 RIVERSIDE PARKWAYAddressLine1Txt
CityLEESBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP20176ZIPCd
FieldValueIRS element (for citing)
State LicenseVA H1868StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INOVA LOUDOUN HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE LINE 10A FOR CHNA WEBSITEOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.INOVA.ORG/INOVA-IN-THE-COMMUNITY/INDEX.JSPStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.INOVA.ORG/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-HELP/INDEX.JSPFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.INOVA.ORG/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-HELP/INDEX.JSPFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.INOVA.ORG/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-HELP/INDEX.JSPFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
INOVA LOUDOUN HOSPITALPART V, SECTION B, LINE 3J: QUESTION 3EINOVA LOUDOUN HOSPITAL (ILH) COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019 AND FOUND THAT NUMEROUS HEALTH STATUS AND ACCESS PROBLEMS ARE PRESENT IN THE COMMUNITY. NINE AREAS WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE ILH COMMUNITY: CHRONIC CONDITIONS, ECONOMIC STABILITY, HEALTHCARE ACCESS, INFECTIOUS DISEASE AND IMMUNIZATION, INJURIES AND VIOLENCE, MENTAL HEALTH, NEIGHBORHOOD AND BUILT ENVIRONMENT, ORAL HEALTH, AND TOBACCO AND SUBSTANCE USE. WITHIN THESE AREAS THERE WAS NO PRIORITIZATION OR RANKING.BASED ON THE CHNA RESULTS, ILH DEVELOPED A THREE-YEAR IMPLEMENTATION STRATEGY TO ADDRESS ITS COMMUNITY BENEFIT SERVICE AREA FOR CALENDAR (TAX) YEARS 2020 THROUGH 2022. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. BASED ON THE CHNA RECOMMENDATIONS, INOVA LOUDOUN HOSPITAL HAS IDENTIFIED AS ITS COMMUNITY BENEFIT PRIORITIES CHRONIC CONDITIONS, BEHAVIORAL HEALTH, AND HEALTH ACCESS. THESE THREE PRIORITIES WERE SELECTED BY ALL INOVA HOSPITALS, AS THEY APPEARED ON THE NEEDS LIST OF EACH REGION, ALIGN WITH STATE GOALS, AND CAN BE ADDRESSED NOT ONLY IN THE INDIVIDUAL HOSPITAL LOCALES, BUT ALSO THROUGH A SYSTEM APPROACH ACROSS THE ENTIRE NORTHERN VIRGINIA REGION. USING THIS METHODOLOGY, APPROACHES CAN BE CUSTOMIZED TO MEET THE SPECIFIC NEEDS IN EACH HOSPITAL REGION. THE HOSPITAL'S 3-YEAR IMPLEMENTATION STRATEGY WAS APPROVED BY THE INOVA LOUDOUN HOSPITAL BOARD.
INOVA LOUDOUN HOSPITALPART V, SECTION B, LINE 5: WHILE A REGIONAL APPROACH GUIDED THE CHNA/CHA, EACH INOVA HOSPITAL FACILITY USED ITS OWN PROCESS FOR COMMUNITY OUTREACH AND ENGAGEMENT. AS MUCH AS POSSIBLE, THE PROCESS CENTERED ON EXISTING RESOURCES, PARTNERSHIPS, AND LOCAL NEEDS AND VALUES. THIS METHOD ENSURES THAT ANY NEW INITIATIVES ACCURATELY REFLECT COMMUNITY PRIORITIES. INOVA AND THE LOUDOUN COUNTY HEALTH DEPARTMENT PLANNED AND PRODUCED THE LOUDOUN ASSESSMENT TOGETHER. EACH MEMBER OF THE TEAM CONTRIBUTED TO THE ASSESSMENT IN DIFFERENT WAYS, UTILIZING INDIVIDUAL STRENGTHS. AS A PART OF THE COLLABORATIVE PROCESS LEADING THIS ASSESSMENT, THE LOUDOUN COUNTY HEALTH DIRECTOR AND THE LOUDOUN HEALTH COUNCIL PROVIDED VALUABLE INSIGHT AND KNOWLEDGE, AND INPUT WAS RECEIVED FROM DIVERSE SOURCES INCLUDING THE LOCAL HEALTH DEPARTMENT, HOSPITAL STAFF, REPRESENTATIVES OF KEY COMMUNITY GROUPS AND INDIVIDUAL COMMUNITY MEMBERS.THIS 2019 INOVA LOUDOUN HOSPITAL (ILH) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND LOUDOUN COUNTY COMMUNITY HEALTH ASSESSMENT GATHERED COMMUNITY INPUT THROUGH TWO MAIN METHODS - FORCES OF CHANGE DISCUSSIONS AND THE COMMUNITY SURVEY.FORCES OF CHANGE DISCUSSIONS BRING TOGETHER INDIVIDUALS WORKING IN AND WITH THE COMMUNITY, WHO REPRESENT A BROAD DIVERSITY OF STAKEHOLDERS. PARTICIPANTS INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; BUSINESS LEADERS, AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. INOVA AND LOUDOUN COUNTY HEALTH DEPARTMENT REPRESENTATIVES CONDUCTED FORCES OF CHANGE SESSIONS WITH THE LOUDOUN HEALTH COUNCIL, LOUDOUN HUMAN SERVICES NETWORK, AND THE LOUDOUN COUNTY CHAMBER OF COMMERCE.INOVA, THE HEALTH DEPARTMENT AND THE LOUDOUN HEALTH COUNCIL PROMOTED THE COMMUNITY SURVEY TO PARTNERS AND RESIDENTS ALIKE. THE SURVEY WAS AVAILABLE IN PRINT OR ONLINE IN NINE LANGUAGES (AMHARIC, ARABIC, CHINESE (MANDARIN), ENGLISH, FARSI, KOREAN, SPANISH, VIETNAMESE AND URDU). PRINTED COPIES WERE PROVIDED TO PARTNERS AND LOCAL CLINICS, AS WELL AS HEALTH DEPARTMENT FACILITIES. SURVEYS WERE ALSO DISTRIBUTED TO FAMILIES THROUGH THE LOUDOUN COUNTY PUBLIC SCHOOL SYSTEM.
INOVA LOUDOUN HOSPITALPART V, SECTION B, LINE 6A: INOVA FAIRFAX HOSPITALINOVA MT. VERNON HOSPITALINOVA FAIR OAKS HOSPITALINOVA ALEXANDRIA HOSPITAL
INOVA LOUDOUN HOSPITALPART V, SECTION B, LINE 11: AS OF DECEMBER 31, 2019, ILH HAD JUST FINALIZED ITS 2019 IMPLEMENTATION STRATEGY AND WAS PREPARING TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2019 CHNA REPORT. (SEE RESPONSE TO PART VI, LINE 2 FOR A DESCRIPTION OF THE THREE PRIORITY AREAS OF SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA REPORT AND HOW ILH WILL FOCUS ON MEETING THESE NEEDS OVER THE NEXT THREE YEARS.) ACCORDINGLY, THE FOLLOWING IS A DESCRIPTION OF HOW ILH TOOK ACTION IN 2019 TO MEET THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2016 CHNA REPORT AND IMPLEMENTATION STRATEGY.INOVA LOUDOUN HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS IN ITS COMMUNITY AND TO INFORM DEVELOPMENT OF AN IMPLEMENTATION STRATEGY TO ADDRESS THOSE NEEDS. THIS PROCESS ALSO RESPONDS TO REGULATORY REQUIREMENTS, WHICH MANDATE THAT TAX-EXEMPT HOSPITAL FACILITIES CONDUCT A CHNA EVERY THREE YEARS AND ADOPT AN IMPLEMENTATION STRATEGY THAT ADDRESSES SIGNIFICANT COMMUNITY HEALTH NEEDS.ONE MAIN AIM OF THE IMPLEMENTATION STRATEGY IS TO GUIDE THE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES FOR THE PERIOD OF 2017 - 2019. COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. THE CHNA PROCESS ENCOURAGES HOSPITALS TO FOCUS ON IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE, AND NOT TO SELECT OUTREACH EFFORTS BASED SOLELY ON INTERNAL GROWTH PRIORITIES. IMPLEMENTATION STRATEGIES SHOULD BE BROAD BASED AND WORK WITH COMMUNITY ENTITIES TO IMPROVE HEALTH OUTSIDE THE WALLS OF THE HOSPITAL, INCREASE PREVENTION EFFORTS AND IMPROVE PUBLIC HEALTH.THE INOVA LOUDOUN HOSPITAL TEAM SELECTED THE FOLLOWING PRIORITY AREAS FOR THE 2017-19 IMPLEMENTATION STRATEGY: INCREASE ACCESS TO PRIMARY CARE, INCREASE ACCESS TO DENTAL CARE, IMPROVE CARE AND ACCESS TO CARE FOR INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS.UPDATE - YEAR THREEUPON BOARD APPROVAL OF THE 2016 CHNA AND IMPLEMENTATION STRATEGY, THE ILH GOVERNMENT AND COMMUNITY RELATIONS DIRECTOR CONVENED A WORKGROUP TO DISCUSS, PLAN, AND IMPLEMENT SPECIFIC ACTION ITEMS RELATED TO THE PRIMARY CARE AND MENTAL HEALTH AND SUBSTANCE ABUSE PRIORITIES (WORK ON INCREASING ACCESS TO DENTAL HEALTH IS STILL PENDING). MEMBERS OF THE WORKGROUP INCLUDE REPRESENTATIVES FROM THE HOSPITAL (THE ED, PEDS ED, CASE MANAGEMENT, COMMUNITY HEALTH AND NURSING) AS WELL AS REPRESENTATIVES FROM THE PUBLIC SCHOOL SYSTEM, LOCAL GOVERNMENT AGENCIES (PUBLIC HEALTH AND MENTAL HEALTH), SAFETY NET PROVIDERS, AND OTHER RELATED COMMUNITY SERVICES. THE GROUP HAS BEEN MEETING REGULARLY SINCE INCEPTION.THROUGH THE WORK AND COLLABORATION OF THE COMMITTEE, MUCH PROGRESS HAS BEEN MADE, AS DESCRIBED BELOW.1. TO BETTER SERVE NORTHERN VIRGINIA'S MEDICAID POPULATION, INOVA OPENED FOUR NEW PRIMARY CARE CLINICS IN THE REGION. THE INOVA HEALTH ADVANTAGE CLINICS PROVIDE PRIMARY CARE SERVICES TO ADULT MEDICAID ENROLLEES, INCLUDING HEALTH MAINTENANCE AND DISEASE PREVENTION, PATIENT EDUCATION AND COUNSELING, AND TREATMENT OF ACUTE AND CHRONIC MEDICAL CONDITIONS SUCH AS DIABETES AND HYPERTENSION. EXTENDING MEDICAL INSURANCE TO LOW-INCOME RESIDENTS IMPROVES ACCESS TO HEALTHCARE, EARLIER DETECTION OF SERIOUS ILLNESSES, BETTER CARE FOR EXISTING HEALTH PROBLEMS AND IMPROVED ABILITY TO WORK, ATTEND SCHOOL AND LIVE INDEPENDENTLY. IT KEEPS PATIENTS HEALTHY AND OUT OF THE HOSPITAL, IMPROVING OUTCOMES AND REDUCING THE OVERALL COST OF CARE. THE NEW CLINICS ARE CO-LOCATED WITH INOVA'S SIMPLICITY HEALTH CLINICS IN ALEXANDRIA, ANNANDALE, AND STERLING.2. PARTNERSHIP FOR HEALTHIER COMMUNITIES (PHC) IS INOVA'S LONGSTANDING INITIATIVE TO CONNECT CHILDREN AND ADULTS TO HEALTH INSURANCE AND QUALITY HEALTHCARE SERVICES. PHC IS LOCATED THROUGHOUT THE NORTHERN VIRGINIA REGION AND WORKS CLOSELY WITH LOCAL SCHOOL SYSTEMS, GOVERNMENTS, AND COMMUNITY OUTREACH PROGRAMS TO PROVIDE COMPREHENSIVE AND CULTURALLY AND LINGUISTICALLY APPROPRIATE ASSISTANCE TO A VULNERABLE POPULATION. TO MEET THE NEEDS OF THE INCREASED POPULATION NOW ELIGIBLE FOR MEDICAID, PHC EXPANDED OUTREACH EVEN FURTHER TO HELP MORE PEOPLE SUCCESSFULLY ENROLL IN MEDICAID. IN ADDITION TO EXPANDED COMMUNITY OUTREACH TARGETED AT REACHING PREVIOUSLY INELIGIBLE ADULTS, A PHC ELIGIBILITY WORKER IS NOW AVAILABLE AT EACH INOVA HEALTH ADVANTAGE LOCATION TO IDENTIFY AND ASSIST INDIVIDUALS AND FAMILIES.3. ONE WAY THAT INOVA CONTINUES TO WORK TO FILL THE GAP IN SERVICES FOR CHILD AND ADOLESCENT MENTAL HEALTH IS THROUGH THE REACH PROGRAM. REACH IS AN EDUCATIONAL PROGRAM FOR PROVIDERS TO LEARN HOW TO USE PSYCHIATRIC MEDICATIONS WITH THE PEDIATRIC PATIENTS IN THEIR OFFICES. EVERY YEAR INOVA PROVIDES THIS TRAINING OPPORTUNITY TO PEDIATRICIANS AND NURSE PRACTITIONERS.4. ADDITIONALLY, ILH SPONSORED MULTIPLE INFORMATIONAL SESSIONS IN PARTNERSHIP WITH THE COMMUNITY FOUNDATION (THE PHILANTHROPY SUMMIT) AND LCPS (MENTAL HEALTH & WELLNESS CONFERENCE) FOCUSED ON ACCESS TO BEHAVIORAL HEALTH SERVICES AND RESILIENCY TRAINING FOR ADOLESCENTS. ILH ALSO SPONSORED THE SOURCE OF STRENGTH PROGRAM TO ENABLE LCPS TO BRING THE PROGRAM TO THE MIDDLE SCHOOLS. 5. AS PART OF ITS FOCUS TO PROMOTE COMMUNITY HEALTH AND EDUCATION, INOVA'S DEPARTMENT OF POPULATION/COMMUNITY HEALTH PROVIDES SMALL GRANTS TO NOT-FOR-PROFIT ORGANIZATIONS. ONE OF THESE GRANTS WAS TO THE RYAN BARTEL FOUNDATION, WHERE FUNDS WILL SUPPORT THE EXTENSION OF THE SOURCES OF STRENGTH (SOS) TRAINING - AN EVIDENCE-LED, YOUTH SUICIDE PREVENTION AND WELLNESS PROGRAM. THIS GRANT WILL ALLOW THE RYAN BARTEL FOUNDATION TO TAKE SOS INTO THE WIDER COMMUNITY, BRIDGING THE GAP FOR THE POPULATION WHO IS NOT DIRECTLY TRAINED OR EXPOSED TO SOS CAMPAIGNS THOUGH LOUDOUN COUNTY PUBLIC SCHOOLS, WHO HAS IMPLEMENTED THE PROGRAM IN 20 SCHOOLS.6. WORKING WITH COMMUNITY PARTNERS TO INCREASE ACCESS AND UTILIZATION OF ORAL HEALTH SERVICES, INOVA HAS SEVERAL STAFF MEMBERS IN VARIOUS ROLES ON THE VIRGINIA ORAL HEALTH COALITION. SUB-GROUPS ARE WORKING ON IMPROVING ACCESS, UNDERSTANDING THE NEEDS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS AND INCREASING EDUCATION ON THE IMPORTANCE OF ORAL HEALTH.
INOVA LOUDOUN HOSPITALPART V, SECTION B, LINE 13H: CALCULATE FAMILY SIZE
INOVA LOUDOUN HOSPITALPART V, SECTION B, LINE 16J: FINANCIAL AID BROCHURES EXPLAINING THE CHARITY POLICY ARE AVAILABLE THROUGHOUT THE HOSPITAL. ER ROOMS AND WAITING ROOMS HAVE CHARITY NOTIFICATION NOTICES POSTED IN THEIR AREAS AND THE BROCHURES ARE ALSO POSTED ON INOVA'S WEBSITE.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - INOVA LOUDOUN AMBULATORY SURGICAL CENTER
44045 RIVERSIDE PARKWAYLEESBURGVA20176OUTPATIENT SURGERY
2 - CORNWALL - ER
224 CORNWALL STREET NWLEESBURGVA20176EMERGENCY ROOM

Supplemental Information Detail SupplementalInformationDetail (17 entries)

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PART I, LINE 3C:CATASTROPHIC FINANCIAL ASSISTANCE: CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS WHO DO NOT QUALIFY FOR FREE CARE BASED ON THE CRITERIA ABOVE, WHO, DUE TO THE NATURE AND EXTENT OF SERVICES PROVIDED, HAVE SIGNIFICANT CARE-RELATED FINANCIAL OBLIGATIONS IN RELATION TO HOUSEHOLD INCOME AND OTHER POTENALLY AVAILABLE RESOURCES. IN SUCH CIRCUMSTANCES, THE PATIENT RESPONSIBILITY WILL BE LIMITED TO THE LESSER OF 30% OF FAMILY INCOME OR THE AMOUNTS GENERALLY BILLED.
PART I, LINE 6A:THE COMMUNITY BENEFIT REPORT IS INCLUDED IN THE CONSOLIDATED INOVA HEALTH SYSTEM REPORT TO THE COMMUNITY ON INOVA.ORG WEBSITE.
PART I, LINE 7:COST TO CHARGE RATIO METHOD IS USED BASED ON TABLE 2 IN THE INSTRUCTIONS. TOTAL OPERATING EXPENSE IS DIVIDED BY TOTAL GROSS REVENUE TO ARRIVE AT THE COST TO CHARGE RATIO.
PART I, LINE 7G:COST OF PHYSICIAN CLINIC IS $1,921,073.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,055,460.
PART II, COMMUNITY BUILDING ACTIVITIES:INOVA'S OFFICE OF SUSTAINABILITY PROVIDES COMMUNITY BUILDING SUPPORT FOCUSED ON ENVIRONMENTAL IMPROVEMENTS. ENVIRONMENTAL MISSION STATEMENT:INOVA HEALTH SYSTEM IS COMMITTED TO ESTABLISHING AN ENVIRONMENTAL PROGRAM THAT IS SAFER AND HEALTHIER FOR PATIENTS, EMPLOYEES AND THE COMMUNITY.COMMUNITY BUILDING ENVIRONMENTAL IMPROVEMENTS WASTE MANAGEMENTINOVA HAS BEEN FOCUSED ON WASTE REDUCTION STRATEGIES INCLUDING RECYCLING AND SEGREGATION SINCE 2008. THROUGHOUT THE HOSPITALS THERE IS A SINGLE STREAM RECYCLING PROCESS AND THERE ARE FOCUSED EFFORTS ON REDUCING REGULATED MEDICAL WASTE. IN 2019, INOVA RECYCLED OR DIVERTED APPROXIMATELY 2.5 MILLION POUNDS OF MATERIAL FROM LOCAL LANDFILLS AND WASTE TO ENERGY FACILITIES.SPECIALIZED AREAS RECYCLING/REUSE: INOVA HAS IMPLEMENTED SPECIALIZED RECYCLING PROGRAMS TO CAPTURE SPECIFIC MATERIALS THROUGHOUT THE HOSPITALS INCLUDING A MEDICAL DONATION PROGRAM THAT SHIPPED 52,000 POUNDS OF UNUSED, UNOPENED MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT TO PLACES IN NEED BOTH IN LOCAL COMMUNITIES AND TO 29 COUNTRIES ACROSS THE GLOBE.ENERGYDURING 2019, INOVA CONTINUED TO MAKE PROGRESS TOWARDS ITS ENERGY GOAL OF REDUCING ENERGY USE INTENSITY (EUI) 20 PERCENT BY THE YEAR 2020 (BASELINE YEAR 2012). A VARIETY OF PROJECTS INCLUDING EXTERIOR LIGHTING UPGRADES, SPECIFIC INTERIOR LIGHTING PROJECTS, HVAC IMPROVEMENTS AND ENERGY MONITORING, ALL CONTINUED THROUGHOUT 2019. THESE EFFORTS RESULT IN COST SAVINGS AND IMPROVED RESILIENCE FOR THE OVERALL HEALTH OF THE COMMUNITY.WATERINOVA CONTINUES TO MAINTAIN NATIVE PLANTINGS AND LOW-IMPACT IRRIGATION SYSTEMS FOR LANDSCAPING AS WELL AS REDUCE WATER CONSUMPTION IN OUR HOSPITALS THROUGH THE ROUTINE REPLACEMENT OF LESS EFFICIENT PLUMBING FIXTURES. BUILDINGSINOVA IS CURRENTLY WORKING ON A NUMBER OF PROJECTS PURSING LEED CERTIFICATION INCLUDING THE INOVA CENTER FOR PERSONALIZED HEALTH ALONG WITH INOVA FAIRFAX MEDICAL CAMPUS. THE GOAL OF INOVA'S GREEN BUILDING EFFORTS IS TO ENSURE THAT OUR BUILDINGS ARE OPERATED IN THE MOST EFFICIENT MANNER, LEADING TO BOTH OPERATIONAL SAVINGS AS WELL AS IMPROVED PATIENT/EMPLOYEE OUTCOMES. TRANSPORTATIONCONTINUED COLLABORATION WITH FAIRFAX COUNTY DEPARTMENT OF TRANSPORTATION TO PROMOTE ALTERNATIVE COMMUTING OPTIONS FOR INOVA EMPLOYEES RESULTING IN FEWER SINGLE-OCCUPANCY VEHICLE TRIPS. THE INOVA FAIRFAX MEDICAL CAMPUS ACHIEVED THE REQUIRED MODE-SPLIT AGAIN IN 2019, WITH MORE THAN 18% OF EMPLOYEES USING SOME SORT OF ALTERNATIVE MODE OF TRANSPORTATION. INOVA MOUNT VERNON HOSPITAL ALSO HAS A MODE-SPLIT REQUIREMENT AND 15% OF EMPLOYEES THERE ARE USING A FORM OF ALTERNATIVE TRANSPORTATION. THIS IS THE RESULT OF EMPLOYEES TAKING PUBLIC TRANSPORTATION, EMPLOYEE COMMUTER SHUTTLES, CARPOOLS AND SOME EVEN BIKING OR WALKING TO WORK. THESE INITIATIVES CONTRIBUTE TO LOWER LEVELS OF AIR POLLUTION AND CONGESTION AS WELL AS IMPROVEMENTS TO OVERALL COMMUNITY HEALTH. FOODCONTINUED TO PROMOTE AND SERVE LOCAL AND SUSTAINABLE FOODS THROUGHOUT INOVA HOSPITALS WITH 21% OF FOOD SPEND CATEGORIZED AS SUSTAINABLE. INOVA HOSPITALS CONTINUED TO FOCUS ON PURCHASING MEAT WITHOUT ROUTINE USE OF ANTIBIOTICS. IN 2019, 42% OF MEATS SERVED WERE CERTIFIED AS ANTIBIOTIC FREE. THESE INITIATIVES ARE IMPORTANT FOR THE HEALTH OF ALL PATIENTS AND THE COMMUNITY, AND ALSO SUPPORT LOCAL FARMS. SPONSOR OF THE NORTHERN VIRGINIA CHAPTER OF BUY FRESH, BUY LOCAL, A NATIONALLY RECOGNIZED PROGRAM THAT IS DEDICATED TO REINTRODUCING AMERICANS TO THEIR FOOD - THE SEEDS IT GROWS FROM, THE FARMERS WHO PRODUCE IT, AND THE ROUTES THAT CARRY IT FROM THE FIELDS TO THEIR TABLES. IN 2019, INOVA LAUNCHED A COMMUNITY SUPPORTED AGRICULTURE (CSA) PROGRAM TO HELP OUR EMPLOYEE'S ACCESS LOCAL AND SUSTAINABLE FOODS. FOOD IS AGGREGATED FROM LOCAL FARMERS AND DELIVERED DIRECTLY TO FOUR HOSPITAL LOCATIONS FOR WEEKLY PICK-UPS.COMMUNITYDISTRIBUTED MORE THAN 500 NATIVE TREE SEEDLINGS TO BE PLANTED WITHIN THE LOCAL COMMUNITY IN 2019 IN SUPPORT OF EARTH DAY.MENTORED PEER ORGANIZATIONS LOCALLY AND NATIONALLY AS WELL AS A VARIETY OF CORPORATE CLIENTS ON SUSTAINABLE PRACTICES THROUGH A COMBINATION OF FORMAL SPEAKING ENGAGEMENTS, NEWS ARTICLE PUBLICATIONS AND INFORMAL DISCUSSIONS, HELPING THEM CREATE SAFER ENVIRONMENTS FOR THEIR PATIENTS, EMPLOYEES, AND COMMUNITIES.
PART III, LINE 4:BAD DEBT FOOTNOTE FROM INOVA HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTSPATIENT ACCOUNTS RECEIVABLE INCLUDE CHARGES FOR AMOUNTS DUE FROM ALL PATIENTS LESS PRICE CONCESSIONS RELATING TO ALLOWANCES FOR THE EXCESS OF ESTABLISHED CHARGES OVER THE PAYMENTS TO BE RECEIVED ON BEHALF OF PATIENTS COVERED BY MEDICARE, MEDICAID AND OTHER INSURERS. THE PROVISION FOR PRICE CONCESSIONS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMICCONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE PRICE CONCESSIONS BASED UPON HISTORICAL EXPERIENCE OF SELF-PAY ACCOUNTS RECEIVABLE, INCLUDING THOSE BALANCES AFTER INSURANCE PAYMENTS AND NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR PRICE CONCESSIONS. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY IHS TO ESTIMATE THE ALLOWANCE FOR PRICE CONCESSIONS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH IHS POLICIES.ALL OPERATING ENTITIES OF IHS TREAT EMERGENCY PATIENTS AND PROVIDE MEDICALLY NECESSARY TREATMENT TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BASED UPON ESTABLISHED IHS' POLICIES THAT CONSIDER PATIENT INCOME LEVELS AS WELL AS OTHER FACTORS INCLUDING CREDIT HISTORIES AND DEMOGRAPHIC INFORMATION. SINCE IHS DOES NOT PURSUE COLLECTION OF AMOUNTS THAT QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE DEDUCTED FROM GROSS REVENUE.
PART III, LINE 8:THE ORGANIZATION DOES NOT TREAT ANY MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE AMOUNTS ARE TAKEN DIRECTLY FROM THE MEDICARE COST REPORTS AS FILED USING A COST TO CHARGE RATIO METHOD.
PART III, LINE 9B:PATIENTS WHO HAVE NOT APPLIED FOR FINANCIAL ASSISTANCE UNDER THIS POLICY ARE SUBJECT TO INOVA'S NORMAL BILLING AND COLLECTIONS PROCESSES.ALL PATIENT RESPONSIBILITY PORTIONS OF INOVA'S ACCOUNTS WILL PROCESS THROUGH INOVA'S BILLING AND COLLECTION SYSTEMS FOR EFFECTIVE COLLECTIONS WITHIN FEDERAL GUIDELINES. PATIENT RESPONSIBILITY PORTIONS WILL BE PROCESSED THROUGH PRE-BILLING, STATEMENT, AND FOLLOW-UP IN AUTOMATED AND SYSTEMATIC STEPS. ALL COLLECTIONS ACTIONS WILL BE IN COMPLIANCE WITH THE FAIR DEBT COLLECTION PRACTICES ACT AND ACA INTERNATIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY.PATIENTS WILL RECEIVE STATEMENTS FOR 120 DAYS. AFTER 120 DAYS, WITH NO CONTACT FROM THE PATIENT AND WITHOUT THE ESTABLISHMENT OF ACCEPTABLE PAYMENT TERMS, ACCOUNTS WILL BE TRANSFERRED TO A PROFESSIONAL COLLECTION AGENCY. IF CONTINUED NON-PAYMENT OCCURS BEYOND A REASONABLE PERIOD OF TIME, INOVA MAY TAKE ADDITIONAL ACTIONS ON THE ACCOUNT.IF A PATIENT WISHES TO MAKE PAYMENT ARRANGEMENTS AND DOES NOT HAVE RESOURCES TO PAY THE ACCOUNT IN FULL, THE PATIENT SHOULD MAKE INOVA AWARE OF THEIR SITUATION AND INOVA WILL OFFER PAYMENT PLANS.NO INOVA ENTITY OR THIRD-PARTY COLLECTIONS AGENT WILL IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS ("ECAS") SUCH AS LEGAL ACTIONS OR ADVERSE CREDIT REPORTING AGAINST ANY PATIENT, WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THESE REASONABLE EFFORTS INCLUDE:ASSURING THAT NO ECAS ARE IMPOSED FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST BILLING STATEMENT.PROVIDING A 30-DAY WRITTEN NOTICE THAT INCLUDES INFORMATION ABOUT INOVA'S FINANCIAL ASSISTANCE POLICY AND ABOUT ANY INTENDED ECAS TO BE IMPOSED IN THE EVENT OF NONPAYMENT.PROVIDING ORAL NOTIFICATION OF ANY INTENDED ECAS TO BE IMPOSED IN THE EVENT OF NONPAYMENT.IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER PAYMENT IS RECEIVED OR AFTER AN ECA HAS BEEN IMPOSED, THE ACCOUNT WILL BE ADJUSTED AND THE COLLECTIONS ACTION WILL BE REVERSED.THE VICE PRESIDENT OF REVENUE CYCLE OPERATIONS OR HIS/HER DESIGNEE IS RESPONSIBLE FOR DETERMINING WHETHER INOVA HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE AND WHETHER ONE OR MORE ECAS MAY BE IMPOSED.
PART III, LINE 2 AND 3ACTUAL BAD DEBT EXPENSE IS MULTIPLIED BY THE COST TO CHARGE RATIO USED IN COMPUTING CHARITY CARE EXPENSE IN PART I. THE PROVISION FOR BAD DEBTS IS RECOGNIZED WHEN PROVIDING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THERE ARE NO ESTIMATED AMOUNTS FOR BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY.
PART VI, LINE 2:INOVA HEALTH SYSTEM (IHS) COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019 TO IDENTIFY PRIORITY HEALTH STATUS AND ACCESS ISSUES FOR PARTICULAR GEOGRAPHIC AREAS AND POPULATIONS BY FOCUSING ON THE FOLLOWING QUESTIONS: WHAT ARE THE BIGGEST HEALTH CHALLENGES? WHO IS MOST AFFECTED? WHERE ARE THE UNMET NEEDS FOR SERVICES? WHAT ARE THE HEALTH INEQUITIES?INOVA'S CHNA CONSIDERS MULTIPLE DATA SOURCES, INCLUDING SECONDARY DATA (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS), ASSESSMENTS PREPARED BY OTHER ORGANIZATIONS IN RECENT YEARS, AND PRIMARY DATA DERIVED FROM A SURVEYS OF PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH.THE FOLLOWING TOPICS AND DATA ARE ASSESSED IN INOVA'S CHNA REPORT:DEMOGRAPHICS, E.G., NUMBERS AND LOCATIONS OF VULNERABLE PEOPLE;ECONOMIC ISSUES, E.G., POVERTY AND UNEMPLOYMENT RATES, AND IMPACTS OF STATE OR LOCAL BUDGET CHANGES;COMMUNITY ISSUES, E.G., HOMELESSNESS, HOUSING, ENVIRONMENTAL CONCERNS, CRIME, AND AVAILABILITY OF SOCIAL SERVICES;HEALTH STATUS INDICATORS, E.G. MORBIDITY RATES FOR VARIOUS DISEASES AND CONDITIONS, AND MORTALITY RATES FOR LEADING CAUSES OF DEATH;HEALTH ACCESS INDICATORS, E.G., UNINSURED RATES, DISCHARGES FOR AMBULATORY CARE SENSITIVE CONDITIONS (ACSC), AND USE OF EMERGENCY DEPARTMENTS FOR NON-EMERGENT CARE;HEALTH DISPARITIES INDICATORS; ANDAVAILABILITY OF HEALTHCARE FACILITIES AND RESOURCES. THE ASSESSMENT IDENTIFIES A LIST OF SIGNIFICANT COMMUNITY HEALTH NEEDS.AS A RESULT OF THIS WORK AND PREVIOUS WORK, THREE PRIORITY AREAS WILL BE THE FOCUS FOR THE NEXT THREE YEARS. WHILE THE APPROACH TO ADDRESSING THESE AREAS MAY DIFFER FROM ONE COMMUNITY TO ANOTHER, THE SYSTEM-WIDE SELECTION OF PRIORITY AREAS WILL ADD VALUE TO EFFORTS IN EACH REGION. THE DIRECTOR OF COMMUNITY RELATIONS IS COORDINATING PLANS WITH INOVA AND COMMUNITY LEADERS TO ENSURE PLANS ARE IMPLEMENTED EFFECTIVELY AND IN PARTNERSHIP WITH EXISTING FRAMEWORKS AND RESOURCES IN EACH OF THE RESPECTIVE COMMUNITIES. THE DIRECTOR OF COMMUNITY RELATIONS IS CENTRALIZED TO THE SYSTEM UNDER THE VICE PRESIDENT OF POPULATION HEALTH AND THEREBY ASSURES SYSTEM COORDINATED EFFORTS ARE CENTRALIZED AND REFLECTIVE OF INOVA HEALTH SYSTEM'S WORK ACROSS NORTHERN VIRGINIA.THE VARIOUS PUBLIC HEALTH DEPARTMENTS ALSO CONDUCT COMMUNITY HEALTH ASSESSMENTS USING THE FRAMEWORK OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. DUE TO THE TIMING OF THESE PROCESSES, THE INFORMATION FROM THE MAPP HEALTH NEEDS ASSESSMENTS IN THE JURISDICTIONS SERVED BY INOVA HEALTH SYSTEM WERE INCORPORATED DIFFERENTLY INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND IMPLEMENTATION PLANS IN 2019. FAIRFAX AND ARLINGTON HEALTH DEPARTMENTS CONDUCTED THEIR OWN MAPP PROCESS AND COLLABORATED WITH INOVA, ALEXANDRIA CONDUCTED ITS PROCESS JOINTLY WITH INOVA BUT REPORTED SEPARATELY, AND THE LOUDOUN MAPP PROCESS WAS CONDUCTED JOINTLY WITH INOVA. THE MAPP PROCESS LEADS TO AN ONGOING COMMUNITY-DRIVEN PLANNING PROCESS THAT IS DESIGNED TO PROVIDE INFORMATION FOR IMPROVING THE COMMUNITY'S DELIVERY OF THE TEN ESSENTIAL PUBLIC HEALTH SERVICES. THIS PROCESS BRINGS TOGETHER A DIVERSE GROUP OF KEY COMMUNITY STAKEHOLDERS INCLUDING LOCAL GOVERNMENT, HUMAN SERVICE ORGANIZATIONS, SCHOOLS AND UNIVERSITIES, HEALTHCARE CONSUMERS, ADVOCACY GROUPS, HOSPITALS, FAITH INSTITUTIONS, YOUTH DEVELOPMENT ORGANIZATIONS, ECONOMIC AND PHILANTHROPIC GROUPS, ETC. TO IDENTIFY STRENGTHS AND WEAKNESSES IN THE TEN ESSENTIAL AREAS TO PROVIDE A FOUNDATION FOR COMMUNITY HEALTH PLANNING. IN ADDITION TO THESE ACTIVITIES, INOVA IS CONTINUALLY GARNERING FEEDBACK ON EXISTING SAFETY NET AND COMMUNITY PROGRAMS FROM PARTICIPANTS THROUGH SATISFACTION SURVEYS, FOCUS GROUPS, PARTICIPATING IN REGIONAL AND LOCAL HEALTH RELATED GROUPS SUCH AS THE NORTHERN VIRGINIA HEALTH SERVICES COALITION, AND MEETING WITH VARIOUS CULTURAL AND ETHNIC GROUPS IN THE COMMUNITY. INTERNAL UTILIZATION AND OUTCOMES DATA, REVIEW OF BEST PRACTICES, REGIONAL AND NATIONAL BENCHMARK DATA, AND OTHER EXTERNAL SOURCES SUCH AS THE METROPOLITAN WASHINGTON COUNCIL OF GOVERNMENTS (COG) DEMOGRAPHIC DATA ARE USED TO DEVELOP STRATEGIC GOALS FOR HEALTH IMPROVEMENT ACTIVITIES. COLLECTIVELY, ALL THIS INFORMATION IS UTILIZED IN ASSESSING COMMUNITY HEALTH NEEDS TO GUIDE STRATEGIC PLANNING EFFORTS.
PART VI, LINE 3:INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S FINANCIAL ASSISTANCE POLICY (FAP) OR SOMETIMES REFERRED TO AS THE CHARITY CARE POLICY. INFORMATION REGARDING THIS POLICY IS KEPT UP TO DATE ON THE INOVA WEBSITE AND THROUGH SIGNAGE. UPON ADMISSION TO ANY INOVA HOSPITAL OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT THE CHARITY CARE PROGRAM AND REFERRALS TO MEET WITH INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY THE INOVA PATIENT ACCOUNTS DEPARTMENT WITH THE PATIENT CONTACTED IF ADDITIONAL INFORMATION IS REQUIRED IN ORDER TO MAKE A DETERMINATION. THE PATIENT IS SUBSEQUENTLY PROVIDED A LETTER, NOTIFYING THEM AS TO WHETHER OR NOT THEY QUALIFY FOR CHARITY CARE.INOVA ALSO HAS MEDICAID ELIGIBILITY WORKERS ON-SITE IN ALL HOSPITALS, IN THE INOVA CARES CLINICS (CLINIC FOR LOW INCOME FAMILIES) AND IN THE COMMUNITY AS PART OF THE PARTNERSHIP FOR HEALTHIER COMMUNITIES ACCESS TO CARE PROGRAM. INOVA PARTNERS WITH SCHOOLS ACROSS THE JURISDICTION TO PROVIDE INFORMATION ABOUT STATE FUNDED HEALTH PROGRAMS FOR CHILDREN AND CONTACT INFORMATION TO MEET WITH AN ELIGIBILITY WORKER RESPONSIBLE FOR ENROLLING FAMILIES IN STATE MEDICAID PROGRAMS. THESE ELIGIBILITY WORKERS ALSO GO OUT INTO THE COMMUNITY ATTENDING COMMUNITY EVENTS SUCH AS HEALTH FAIRS, FAITH-BASED COMMUNITY ACTIVITIES AND OTHER FAMILY CENTERED COMMUNITY EVENTS TO PROACTIVELY MEET WITH FAMILIES TO ENCOURAGE ENROLLMENT IN PROGRAMS FOR WHICH THEY ARE ELIGIBLE. INOVA HAS A SECTION OF THE PUBLIC WEBSITE DEDICATED TO INFORMATION ABOUT FINANCIAL ASSISTANCE RESOURCES.
PART VI, LINE 4:INOVA LOUDOUN HOSPITAL (ILH) IS A NOT-FOR-PROFIT CORPORATION AND A SUBSIDIARY OF THE PARENT ORGANIZATION, INOVA HEALTH SYSTEM FOUNDATION (INOVA). INOVA PROVIDES HEALTHCARE AND RELATED SERVICES THROUGHOUT NORTHERN VIRGINIA AND THE GREATER METROPOLITAN WASHINGTON, D.C. AREA, INCLUDING CERTAIN CONTIGUOUS COUNTIES OF VIRGINIA AND MARYLAND. NORTHERN VIRGINIA IS ONE OF THE FASTEST GROWING URBAN COMMUNITIES IN THE UNITED STATES. WITH APPROXIMATELY 1,304 SQUARE MILES, THE REGION IS THE MOST DENSELY POPULATED IN THE COMMONWEALTH OF VIRGINIA. NORTHERN VIRGINIA IS COMPRISED OF SEVERAL DISTINCT COMMUNITIES, INCLUDING THE CITIES OF ALEXANDRIA, FAIRFAX, FALLS CHURCH, MANASSAS AND MANASSAS PARK, AND THE COUNTIES OF ARLINGTON, FAIRFAX, LOUDOUN AND PRINCE WILLIAM. THE EASTERN SECTIONS ARE URBANIZED WITH ATTENDANT HEALTH PROBLEMS OF OVERCROWDING AND INCREASING DEMAND FOR HEALTH SERVICES AND PUBLIC PROGRAMS. INOVA LOUDOUN HOSPITAL'S PRIMARY SERVICE AREA COVERS ALL OF LOUDOUN COUNTY.LOUDOUN COUNTY IS SERVED BY TWO HOSPITALS (INOVA LOUDOUN AND HCA STONESPRINGS). THERE ARE SIX CENSUS TRACTS IN LOUDOUN COUNTY THAT ARE MEDICALLY UNDERSERVED.LOUDOUN COUNTY'S POPULATION IS FORECASTED TO GROW 15% OVER THE NEXT DECADE, ADDING AN ESTIMATED AVERAGE OF 6,300 PERSONS A YEAR. POPULATION WILL BE SPURRED BY THE LONG-TERM STRENGTH OF THE REGION'S ECONOMY, HIGH RATES OF IN-MIGRATION AND INTERNATIONAL IMMIGRATION. THE REGION'S POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS EXPECTED TO GROW BY 25% OVER THE NEXT 5 YEARS, WHILE THE NUMBER OF CHILDREN WILL INCREASE BY ABOUT 4% IN THE SAME TIME PERIOD. (MWCOG 9.1 AND ESRI)NORTHERN VIRGINIA'S RACIAL AND ETHNIC DIVERSITY IS MORE PRONOUNCED THAN IN THE REST OF THE STATE. WITH INCREASING DIVERSITY, ECONOMICALLY DISADVANTAGED POPULATIONS AND MULTIPLE LANGUAGES, THE NEED FOR ACCESS TO CULTURALLY APPROPRIATE, FLEXIBLE HEALTH CARE CONTINUES TO GROW. THE NORTHERN VIRGINIA GEOGRAPHIC REGION IN 2018 WAS 41% MINORITY, UP FROM 28% IN 1990, WHILE THE NATION AS A WHOLE REFLECTS A 39% MINORITY POPULATION (U.S. CENSUS BUREAU). THE U.S. CENSUS BUREAU ESTIMATES THAT LOUDOUN COUNTY HAD A POPULATION OF 398,080 PEOPLE IN 2018. THIS IS THE FASTEST GROWING JURISDICTION IN NORTHERN VIRGINIA. IN 2018, LOUDOUN COUNTY'S ASIANS, HISPANICS, AND AFRICAN AMERICANS REPRESENTED 19.4%, 13.9% AND 7.9% OF LOUDOUN'S POPULATION, RESPECTIVELY (U.S. CENSUS BUREAU).ACCORDING TO THE U.S. CENSUS BUREAU SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE) IN 2015 APPROXIMATELY 6.7% OF THE TOTAL POPULATION UNDER THE AGE OF 65 IN LOUDOUN COUNTY LACKED HEALTHCARE INSURANCE. OF THE PEOPLE LIVING IN LOUDOUN COUNTY WHOSE FAMILY INCOMES ARE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, SAHIE ESTIMATES THAT 26.7% WERE UNINSURED IN 2015.AREA RESIDENTS MOST LIKELY TO BE UNINSURED ARE THOSE WHOSE FAMILY INCOMES ARE AT OR BELOW 200% OF THE POVERTY LEVEL, YOUNG ADULTS (AGE 18-44), PEOPLE OF RACIAL BACKGROUNDS OTHER THAN WHITE, UNEMPLOYED INDIVIDUALS, PART-TIME WORKERS, AND PEOPLE WHO WORK AT COMPANIES WITH FEWER THAN 50 EMPLOYEES. SERVING THIS POPULATION POSES SIGNIFICANT CULTURAL AND LINGUISTIC CHALLENGES, AND THESE UNINSURED CITIZENS ARE WIDELY DISTRIBUTED IN TERMS OF AGE, GEOGRAPHIC REGION, AND HEALTH STATUS.
PART VI, LINE 5:INOVA HEALTH SYSTEM'S INVESTMENT IN THE COMMUNITIES ACROSS NORTHERN VIRGINIA IS EVIDENT THROUGH NUMEROUS TARGETED COMMUNITY PROGRAMS. THESE PROGRAMS PROVIDE ACCESS TO CARE FOR LOW INCOME, UNINSURED, UNDERINSURED AND VULNERABLE POPULATIONS; PROMOTE HEALTH & WELLNESS; INCREASE HEALTH LITERACY; PROVIDE THE SUPPORT AND INFRASTRUCTURE FOR DISASTER PREPAREDNESS; AND PROVIDE PROGRAMS TO SUPPORT DEVELOPMENT OF OUR FUTURE HEALTHCARE WORKFORCE TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. ALL INOVA HEALTHCARE FACILITIES HAVE OPEN MEDICAL STAFFS TO PROVIDE THE MAXIMUM ACCESS TO QUALIFIED PHYSICIANS. A COMMUNITY BOARD OF TRUSTEES PROVIDES FISCAL AND QUALITY OVERSIGHT FOR INOVA HEALTH CARE SERVICES' FACILITIES TO ENSURE THE VISION AND MISSION OF THE ORGANIZATION IS ACHIEVED.ACCESS TO CARE PROGRAMSINOVA'S POPULATION AND COMMUNITY HEALTH DIVISION IS ORGANIZED TO ADDRESS A WIDE-SPECTRUM OF COMMUNITY HEALTHCARE NEEDS. IN ADDITION TO THE PROGRAMS ALREADY DESCRIBED IN THE CORE FORM PROGRAM, ACTIVITIES THAT PROVIDE INFRASTRUCTURE SUPPORT AND SERVICES FOCUSED ON VULNERABLE POPULATIONS TO INCREASE ACCESS TO HEALTHCARE SERVICES FOR THE COMMUNITIES SERVED BY INOVA HEALTH SYSTEM INCLUDE THE FOLLOWING PROGRAMS:INOVA ESTABLISHED A SAFETYNET SPECIALTY CARE PROVIDER NETWORK IN PARTNERSHIP WITH FAIRFAX COUNTY. THE PHYSICIAN LEADER ENGAGED NUMEROUS INOVA SPECIALTY CARE PRACTICES TO ACCEPT REFERRALS AT MEDICARE RATES FROM COMMUNITY PRIMARY CARE SETTINGS SUCH AS FEDERALLY QUALIFIED HEALTH CENTERS AND FREE CLINICS. IN ORDER TO ENSURE ACCESS TO SPECIALTIES NOT AVAILABLE AT INOVA, A SPECIALTY NETWORK INCLUDING OUTSIDE PROVIDERS WAS THEN ESTABLISHED WITH THE SAME REFERRAL ARRANGEMENT. WITH FUNDING SUPPORT FROM THE COUNTY, INOVA FACILITATES PAYMENT TO THE PROVIDERS FOR PATIENTS OTHERWISE UNABLE TO PAY FOR THOSE SERVICES. A PROGRAM IS BEING DESIGNED WHEREBY AN INOVA COORDINATOR WILL ASSIST THE REFERRING CLINIC, THE PATIENT, AND THE SPECIALTY PROVIDER WITH SCHEDULING AND NAVIGATING THE COMPLETION OF REQUIRED DOCUMENTATION.INOVA'S PARTNERSHIP FOR HEALTHIER COMMUNITIES (PHC) PROVIDES INDIVIDUALS AND FAMILIES WITH COMPREHENSIVE APPLICATION AND ENROLLMENT ASSISTANCE TO CONNECT THEM WITH AN APPROPRIATE AND AFFORDABLE SOURCE OF HEALTH CARE SERVICES. IN 2019, THE PROGRAM ASSISTED OVER 21,000 CHILDREN AND ADULTS WITH ACCESS TO A SOURCE OF COMPREHENSIVE HEALTH CARE SERVICES SUCH AS MEDICAID, FAMIS OR LOCAL SAFETY NET PROVIDERS. PHC EXPANDED EFFORTS IN 2019 WITH THE ONSET OF MEDICAID EXPANSION IN VIRGINIA (INCLUDING A NAME CHANGE FROM PARTNERSHIP FOR HEALTHIER KIDS TO REFLECT THE UPDATED MISSION AND OUTREACH ACTIVITIES).CARE CONNECTION FOR CHILDREN (CCC) IS PART OF THE VIRGINIA DEPARTMENT OF HEALTH STATEWIDE NETWORK SERVING CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS. PROFESSIONAL CARE COORDINATORS PARTNER WITH FAMILIES TO COORDINATE CARE AND FIND THE BEST HEALTHCARE AND COMMUNITY RESOURCES IN NORTHERN VIRGINIA. CCC IS COMMITTED TO HELPING CHILDREN MAXIMIZE THEIR POTENTIAL IN A CARING, INNOVATIVE AND CULTURALLY SENSITIVE MANNER. IN 2019, CCC SERVED 907 FAMILIES.TRANSITIONAL CARE MANAGEMENT INOVA TRANSITIONAL SERVICES (ITS) IS A COMPREHENSIVE PROGRAM DESIGNED TO SUPPORT MEDICALLY VULNERABLE PATIENTS WITH A RECENT INOVA HOSPITALIZATION TO ENSURE QUALITY TRANSITIONS OF CARE OUTCOMES AND SUPPORT THE AMBULATORY PHYSICIAN COMMUNITY IN MANAGING THIS CHALLENGING POPULATION AFTER DISCHARGE. ITS CASE MANAGERS PROVIDE 30 DAY POST-ACUTE TELEPHONIC CASE MANAGEMENT DESIGNED TO ENCOURAGE PATIENTS TO FOLLOW UP WITH THEIR PRIMARY CARE PHYSICIAN (PCP) AND FOLLOW INSTRUCTIONS ON MEDICATION RECONCILIATION. ITS CASE MANAGERS ALSO ASSIST PATIENTS BY PROVIDING EDUCATION ON THEIR DISEASE SYMPTOMS AND EMPOWER THEM TO TAKE AN ACTIVE, PREVENTATIVE ROLE, IN THEIR HEALTHCARE AND WELLNESS. ITS ALSO OFFERS MEDICARE FOCUSED COORDINATORS FOR THE MEDICARE 65+ FOCUS DIAGNOSIS PATIENTS TO ENSURE PROPER ACCESS AND COORDINATION OF ALL DISCHARGE DISPOSITIONS, POST-ACUTE CARE SERVICES, AND ASSIST WITH TRANSITIONS THROUGHOUT THE 30-DAY POST-HOSPITALIZATION CONTINUUM BY ASSISTING PATIENTS AND COMMUNITY SERVICE PROVIDERS WITH FOLLOW UP COORDINATION, RESOURCE CONNECTION, PROBLEM SOLVING, AND COMMUNICATION. THE ITS CLINICS ARE HOSPITALIST-RUN POST-ACUTE CLINICS THAT PROVIDE IMMEDIATE ATTENTION TO MEDICALLY COMPLEX PATIENTS WHO REQUIRE INTENSIVE FOLLOW-UP CARE. PATIENTS ARE PROVIDED APPOINTMENTS TO ENSURE THAT ALL HOSPITAL DISCHARGE INSTRUCTIONS, MEDICATION RECONCILIATION, AND SYMPTOMS HAVE BEEN STABILIZED AND RESOLVED PRIOR TO TRANSITIONING BACK TO THEIR PCP OR TO A LONG-TERM MEDICAL HOME. CLINIC SERVICES ALSO INCLUDE DISEASE AND MEDICATION EDUCATION, PRESCRIPTION ASSISTANCE, CASE MANAGEMENT SUPPORT, AND COMMUNITY RESOURCE CONNECTION. IN 2019, ITS CASE MANAGERS MANAGED OVER 4,500 ADMISSIONS, MEDICARE COORDINATORS MANAGED ALMOST 5,000 ADMISSIONS, AND THE ITS CLINICS SERVED OVER 3,700 PATIENTS WITH OVER 9,000 VISIT ENCOUNTERS. INOVA KELLAR CENTERINOVA KELLAR CENTER (IKC) IS A COMMUNITY BASED BEHAVIORAL HEALTH PROGRAM AND SPECIAL EDUCATION SCHOOL FOUNDED BY INOVA IN 1991 WITH A GIFT FROM FAIRFAX COUNTY RESIDENTS, ART AND BETTY KELLAR, TO ADDRESS A GAP IN MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR CHILDREN AND ADOLESCENTS. CURRENTLY IKC OFFERS A FULL CONTINUUM OF MENTAL HEALTH SERVICES FROM OUTPATIENT THERAPIES AND MEDICATION MANAGEMENT TO AFTER SCHOOL INTENSIVE OUTPATIENT PROGRAMS AND A FULL DAY PARTIAL HOSPITALIZATION PROGRAM. THE KELLAR SCHOOL, A PRIVATE SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH EMOTIONAL, SOCIAL, AND BEHAVIORAL NEEDS PROVIDES ACADEMIC INSTRUCTION WITHIN A THERAPEUTIC ENVIRONMENT. THE CENTER PROVIDED 72,334 HOURS OF PROGRAMMING, TREATMENT, AND EDUCATION TO CHILDREN, ADOLESCENTS, AND FAMILIES IN 2019. INOVA EWING FORENSIC ASSESSMENT AND CONSULTATION TEAMS (FACT)THE INOVA EWING FACT DEPARTMENT IS A COMPREHENSIVE, OUTPATIENT FORENSIC NURSING PROGRAM FOR CHILDREN AND ADULTS. ESTABLISHED IN THE LATE 1990S, THE INOVA EWING FACT DEPARTMENT HAS PROVIDED SPECIALIZED CARE FOR VICTIMS OF SEXUAL ABUSE, DOMESTIC VIOLENCE, AND CHILD ABUSE. FACT SERVES ALL OF NORTHERN VIRGINIA INCLUDING FAIRFAX, ARLINGTON, LOUDOUN, AND PRINCE WILLIAM COUNTIES, THE CITIES OF ALEXANDRIA AND FALLS CHURCH, PARTS OF FAUQUIER AND STAFFORD COUNTIES, MILITARY INSTALLATIONS, UNIVERSITIES AND THE FBI. THE DEPARTMENT ALSO PERFORMS COURTESY EXAMS FOR OUTLYING JURISDICTIONS INCLUDING THE DISTRICT OF COLUMBIA, MARYLAND, AND WEST VIRGINIA. THE PROGRAM HAS GROWN SIGNIFICANTLY OVER THE YEARS AND NOW PROVIDES SERVICES IN THE AREAS OF SEXUAL ASSAULT, INTIMATE PARTNER/DOMESTIC VIOLENCE, PHYSICAL CHILD ABUSE, STRANGULATION, AND HUMAN SEX TRAFFICKING. IN 2019, THE DEPARTMENT HAD 1,031 PATIENT ENCOUNTERS, REFLECTING A 10% INCREASE FROM 2018 AND A 53% INCREASE FROM 2016. HEALTH PROMOTION AND PREVENTATIVE CARE PROGRAMSTO PREVENT AND REDUCE THE INCIDENCE OF NUTRITION-RELATED DISEASES, INOVA FOCUSES ON SEVERAL INITIATIVES TO REDUCE FOOD INSECURITY AND INCREASE FOOD LITERACY AMONG COMMUNITY MEMBERS. SPECIFICALLY, INOVA CONTINUED TO MATCH THE PURCHASES MADE BY SNAP CUSTOMERS (FORMERLY FOOD STAMPS) AT FARMERS MARKETS, ALLOWING LOW-INCOME INDIVIDUALS TO PURCHASE MORE FRESH PRODUCE.INOVA ALSO CONTINUED TO GROW THE INOVA HEALTHY PLATE PROGRAM, WHICH HELPS CHILDREN AND THEIR FAMILIES LEARN ABOUT THE IMPORTANCE OF HEALTHY EATING AND PHYSICAL ACTIVITY. IN 2019, THE INOVA HEALTHY PLATE CLUB HAD ABOUT 330 KIDS GRADUATE FROM ITS 8-WEEK COOKING AND NUTRITION EDUCATION CLASS. THE PROGRAM ALSO SERVED MORE THAN 8,000 KIDS AND PARENTS THROUGH TASTE TESTS, PARENT CLASSES, LESSONS DURING THE SCHOOL DAY, AND MORE.LANGUAGE AND DISABILITY SERVICESTHE LANGUAGE AND DISABILITY SERVICES DEPARTMENT IS DEDICATED TO ENSURING EQUAL ACCESS TO INOVA'S SERVICES REGARDLESS OF LANGUAGE PREFERENCE OR THE NEED FOR SPECIAL ACCOMMODATIONS. IN SUPPORT OF PATIENT SAFETY AND SATISFACTION, LANGUAGE INTERPRETATION AND DOCUMENT TRANSLATIONS ARE PROVIDED AT EVERY INOVA FACILITY TO FACILITATE COMMUNICATION WITH THE 14% OF INOVA'S PATIENT POPULATION WHO ARE LIMITED ENGLISH PROFICIENT (LEP) AND THE 0.2% OF CLIENTS WHO ARE DEAF OR HARD OF HEARING (D/HH). IN 2019, PHONE, VIDEO, AND IN-PERSON MEDICAL INTERPRETERS DELIVERED 125,325 HOURS OF INTERPRETATION IN 350 LANGUAGES, AND 18,128 HOURS IN AMERICAN SIGN LANGUAGE. ADDITIONALLY, 610 VITAL DOCUMENTS WERE TRANSLATED INTO INOVA'S TOP LANGUAGES.
PART VI, LINE 6:ORGANIZATION IS PART OF INOVA HEALTH SYSTEM INCLUDED IN DESCRIPTION UNDER LINE 5.
PART VI, LINE 5 CONTINUATIONCASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSINOVA DONATES SPACE, CASH, AND IN-KIND SUPPORT SUCH AS UTILITIES, LANDSCAPING/GROUNDS KEEPING, HOUSEKEEPING, AND DONATED STAFF TIME TO A NUMBER OF COMMUNITY GROUPS AND SERVICES. INOVA SUPPORTS NOVA SCRIPTS, THE CENTER FOR MULTICULTURAL HUMAN SERVICES, SHENANDOAH UNIVERSITY, AND THE NOVA DENTAL CLINIC. INOVA ALSO PROVIDES FINANCIAL SUPPORT TO THE LOUDOUN FREE CLINIC AND HEALTHWORKS FOR NORTHERN VIRGINIA AND NEIGHBORHOOD HEALTH, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTERS. IN 2019, INOVA DONATED OVER $3.9 MILLION FOR THESE GROUPS COVERING BOTH CASH AND IN-KIND TRANSACTIONS.ADDITIONALLY, AS PART OF INOVA'S EFFORTS TO HARNESS THE COLLECTIVE POWER OF COMMUNITY PARTNERS, AGENCIES, AND ORGANIZATIONS TO CREATE POSITIVE SOCIAL IMPACT, INOVA PROVIDED $60,000 IN COMMUNITY GRANTS. APPLICANTS WERE REQUIRED TO PRESENT PROGRAMS OR PROJECTS ADDRESSING THE POPULATION HEALTH NEEDS DESCRIBED IN THE INOVA COMMUNITY HEALTH NEEDS ASSESSMENTS. THE FOLLOWING PROGRAMS WERE FUNDED IN 2019.CARPENTER'S SHELTER - $5,000. FUNDS SUPPORTED THEIR MENTAL HEALTH PROGRAM SERVING EMERGENCY SHELTER RESIDENTS. THE FUNDS WILL ALLOW THEM TO EXPAND THEIR PROGRAM TO ACCOMMODATE A MASTERS OF SOCIAL WORK STUDENT INTERN AND SUPPORT ADDITIONAL CONTINUING EDUCATION OPPORTUNITIES TO THEIR LICENSED MENTAL HEALTH CARE PROVIDER.INSIGHT MEMORY CARE CENTER - $10,000. FUNDS HELPED TO SUPPORT THEIR ADULT DAY RESPITE CARE PROGRAM. IMCC IS THE ONLY LICENSED ADULT DAY CENTER IN NORTHERN VIRGINIA DEDICATED TO ENHANCING THE LIVES OF INDIVIDUALS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS AS WELL AS THEIR CAREGIVERS AND FAMILIES.MEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION - $15,000. FUNDS SUPPORTED UNINSURED CHILDREN FROM BIRTH TO AGE 19 WITH COMPREHENSIVE ORAL HEALTH AND PREVENTATIVE CARE. PROJECT MEND-A-HOUSE INC. - $10,000. FUNDS PROVIDED NEEDED MATERIALS AND SUPPLIES TO ENABLE VOLUNTEERS TO PROVIDE FREE HOME REPAIR/CONSTRUCTION SERVICES TO IMPROVE THE QUALITY OF LIFE FOR LOW-INCOME SENIORS, VETERANS AND PEOPLE WITH DISABILITIES ALLOWING THEM TO AGE IN PLACE. THE HOUSE, INC. - $10,000. FUNDS SUPPORTED THE HOUSE STUDENT LEADERSHIP CENTER'S OFFICE ON YOUTH MENTAL HEALTH AND WELLNESS WHICH AIMS TO IMPROVE OVERALL MENTAL HEALTH WITH AN INTEGRATIVE PROGRAM APPROACH FOR UNDERSERVED AND UNDERINSURED YOUTH AND FAMILIES THROUGH EVIDENCE-BASED INTERVENTION STRATEGIES. THE RYAN BARTEL FOUNDATION - $10,000. FUNDS SUPPORTED THE EXTENSION OF THE SOURCES OF STRENGTH (SOS) TRAINING - AN EVIDENCE-LED, YOUTH SUICIDE PREVENTION AND WELLNESS PROGRAM INTO THE WIDER COMMUNITY, BRIDGING THE GAP FOR THE POPULATION WHO IS NOT DIRECTLY TRAINED OR EXPOSED TO SOS CAMPAIGNS THOUGH LOUDOUN COUNTY PUBLIC SCHOOLS WHO HAS IMPLEMENTED THE PROGRAM IN 20 SCHOOLS.
PART VI, LINE 7ORGANIZATION HAS NO STATE FILINGS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation Required0SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
J STEPHEN JONES
CEO, PRESIDENT$0$1,653,686$0$1,440,000$0$19,749$0$253,912$0$24,619$0$3,391,966$0$240,000
RICHARD MAGENHEIMER
CFO, TREASURER, ENDING 6-4-19$0$439,909$0$909,995$0$1,106,584$0$58,000$0$2,949$0$2,517,437$0$1,538,308
LORING FLINT
EVP CMO FORMER, ENDING 6-1-19,$0$301,911$0$978,910$0$111,519$0$58,000$0$5,126$0$1,455,466$0$498,935
JOHN GAUL
SVP GENERAL COUNSEL FORMER$0$663,195$0$444,754$0$94,621$0$154,406$0$28,579$0$1,385,555$0$160,177
PATRICK WALTERS
ACTING ICPH EXEC AND HOSP OPS$0$478,439$0$580,030$0$77,615$0$53,331$0$12,074$0$1,201,489$0$330,080
MARK STAUDER
TRUSTEE, FORMER, ENDING 9-30-18$0$0$0$0$0$1,061,798$0$0$0$0$0$1,061,798$0$0
DEBORAH ADDO
PRESIDENT ILH, SECRETARY$465,643$0$246,245$0$36,352$0$147,147$0$2,269$0$897,656$0$99,829$0
ALICE POPE
CFO, TREASURER, BEGINNING 6-4-19$0$398,650$0$141,728$0$80,724$0$3,366$0$18,075$0$642,543$0$0
CHRISTOPHER CHIANTELLA
CHIEF MEDICAL OFFICER, ILH$295,611$0$59,130$0$14,641$0$83,423$0$4,439$0$457,244$0$0$0
WILLIAM BANE
AVP ASSOC ADMIN CFO$248,898$0$46,058$0$22,934$0$28,225$0$23,626$0$369,741$0$0$0
MARISSA JAMARIK
VP NURSING IHVI CNO ILH$257,355$0$48,214$0$13,617$0$33,896$0$13,749$0$366,831$0$0$0
OMAR CASTANEDA
CARDIO INVASIVE SPEC CLIN CRD IHVI$223,986$0$10,000$0$3,162$0$30,685$0$22,561$0$290,394$0$0$0
DEBBIE WAGNER
MGR PHARMACY PIC$173,844$0$17,006$0$331$0$27,387$0$22,098$0$240,666$0$0$0
CINDY ANDREJASICH
SR DIR NURSING SRVCS$170,282$0$22,629$0$927$0$33,503$0$752$0$228,093$0$0$0
SHONDRA JONES
CARDIO INVASIVE SPEC CLIN CRD IHVI$192,021$0$0$0$1,378$0$19,489$0$11,236$0$224,124$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AGROSS-UP PAYMENT MADE TO ALICE POPE FOR MOVING REIMBURSMENT TAXABLE AS COMPENSATION.
PART I, LINE 3THE FOLLOWING METHODS WERE USED BY INOVA HEALTH SYSTEM FOUNDATION, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF ILH'S CEO FOR THE TAX YEAR: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY FORM 990 OF OTHER ORGANIZATIONS APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-BSEVERANCE PAYMENTS: MARK STAUDER $1,061,798 SEVERANCE AMOUNTS WERE PAID WITHIN 24 MONTHS AFTER SEPARATION FROM SERVICE. SERP PLAN PAYMENTS: RICHARD MAGENHEIMER $108,398 PATRICK WALTERS $66,016 WILLIAM BANE $12,325 JOHN GAUL $90,845 LORING FLINT $106,145 THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP PLAN) IS A NONQUALIFIED RETIREMENT PLAN. EMPLOYEES ELIGIBLE TO PARTICIPATE ARE AT LEVEL OF ASSISTANT VICE PRESIDENT AND ABOVE. EACH YEAR, A CERTAIN PERCENTAGE OF EACH PARTICIPANT'S BASE SALARY IS CONTRIBUTED TO THE SERP PLAN. THIS AMOUNT RANGES FROM 5% TO 20%, DEPENDING ON POSITION. AFTER THREE YEARS OF CONTINUOUS PARTICIPATION, PARTICIPANTS VEST IN 50% OF THEIR BALANCE AT THAT TIME AND ARE PAID OUT THE VESTED BALANCE AS A TAXABLE EVENT. AFTER A TOTAL OF SIX YEARS PARTICIPATION, PARTICIPANTS ARE 100% VESTED AND ARE PAID OUT THEIR REMAINING BALANCE AS A TAXABLE EVENT. VESTING THEN REVERTS TO A THREE-YEAR ROLLING SCHEDULE UNTIL YEAR 12. THEREAFTER, THE ANNUAL CONTRIBUTION IS PAID OUT TO THE PARTICIPANT EACH YEAR AS A TAXABLE EVENT.

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidSEE SCHEDULE N, III FOR 12/31/19 MERGER INFORMATIONAssetsDistriOrExpnssPaidDesc
Distribution2019-12-31DistributionDt
Fair Market Value Of Asset$0FairMarketValueOfAssetAmt
Method Of FMV DeterminationN/AMethodOfFMVDeterminationTxt
EIN540620889EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INOVA HEALTH CARE SERVICESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1Txt
CityFALLS CHURCHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22042ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(3)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of SuccessorYes (1)DirectorOfSuccessorInd
Employee Of Successor0EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets Distributed0AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities PaidYes (1)LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE N, PART I, MERGER INFORMATIONFormAndLineReferenceDesc
ExplanationTHIS ENTITY WAS REALIGNED IN THE OVERALL INOVA TAX-EXEMPT STRUCTURE TO ALLOW FOR A MORE EFFICIENT AND EFFECTIVE OPERATION. THE ASSETS WERE NOT VALUED FOR THIS TRANSITION TO ANOTHER TAX-EXEMPT UNDER SECTION 501(C)(3) AS THE ORGANIZATION WAS TRANSFERRED FROM ONE TAX-EXEMPT AFFILIATE UNDER SECTION 501(C)(3). ALL ENTITIES STILL OPERATE THROUGH INOVA'S CONSOLIDATED TAX-EXEMPT STRUCTURE AND NO NET ASSETS WERE DISTRIBUTED OUTSIDE OF THE COMBINED TAX-EXEMPT GROUP. THEREFORE, NO FAIR MARKET VALUE ANALYSIS WAS DONE. NET ASSETS WERE DISTRIBUTED AND NO TRANSACTION FEES WERE PAID.ATTACHED ARE THE ARTICLES OF MERGER OF INOVA HEALTH CARE SERVICES AND LOUDOUN HOSPITAL CENTER, APPROVED BY THE COMMONWEALTH OF VIRGINIA STATE CORPORATION COMMISSION ON DECEMBER 20, 2019.SCHEDULE N, PART I, LINE 2A:BOARD MEMBERS OF SURVIVING ENTITY WHO WERE OFFICERS, DIRECTORS, OR KEY EMPLOYEES OF THE FILING ORGANIZATION:OFFICER:J. STEPHEN JONES, MDExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3THE SERVICES PROVIDED BY LOUDOUN HOSPITAL CENTER WILL CONTINUE UNDER INOVA HEALTH CARE SERVICES AS A RESULT OF THE MERGER, SEE SCHEDULE N.
PART III, LINE 4ALOUDOUN MOBILE HEALTH PROGRAM: LOUDOUN MOBILE HEALTH IS STAFFED BY NURSES AND OTHER SUPPORT STAFF WHO PROVIDE COMMUNITY HEALTH FAIRS AND HEALTH SCREENING SERVICES. IN 2019, INOVA LOUDOUN MOBILE HEALTH PROVIDED SERVICES TO 8,496 PARTICIPANTS. THE UNREIMBURSED COST OF THIS PROGRAM WAS $172,652. INOVA LOUDOUN CENTER FOR WELLNESS AND METABOLIC HEALTH: THE CENTER PROVIDES OUTPATIENT DIABETES SELF-MANAGEMENT EDUCATION, CARE AND SUPPORT TO PERSONS WITH DIABETES. THE INOVA CENTER FOR WELLNESS AND METABOLIC HEALTH HAS FOUR LOCATIONS IN THE NORTHERN VIRGINIA AREA. IN 2019, THE INOVA CENTER FOR WELLNESS AND METABOLIC HEALTH - LOUDOUN LOCATION PROVIDED 3,494 PATIENT VISITS. CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS: ILH DONATES SPACE, PROVIDES CASH AND IN-KIND SUPPORT SUCH AS HOUSEKEEPING AND DONATED STAFF TIME TO A NUMBER OF COMMUNITY GROUPS AND LOUDOUN COUNTY SERVICES. ILH DONATES SPACE AND FINANCIAL SUPPORT TO THE LOUDOUN FREE CLINIC WHICH IS AN INDEPENDENT 501(C)(3) PROVIDING PRIMARY HEALTHCARE SERVICES FOR THE UNINSURED AND LOW INCOME RESIDENTS OF LOUDOUN COUNTY. ILH DONATES SPACE TO LOUDOUN CARES, AN INDEPENDENT 501(C)(3) ORGANIZATION THAT PROVIDES COORDINATION FOR SOCIAL SERVICES FOR THE RESIDENTS OF LOUDOUN COUNTY; AND THE LOUDOUN CHILD ADVOCACY CENTER. INOVA ALSO PROVIDES FINANCIAL SUPPORT TO HEALTHWORKS FOR NORTHERN VIRGINIA, A FEDERALLY QUALIFIED HEALTH CENTER WITH LOCATIONS IN HERNDON AND LEESBURG, VA. IN 2019, ILH DONATED A TOTAL OF $672,268 FOR THESE GROUPS COVERING BOTH CASH AND IN-KIND TRANSACTIONS.
PART V, LINE 1A AND 2A - NUMBER OF FORMS 1099 AND EMPLOYEESTHE ORGANIZATION FILES ITS FORMS 1099 UNDER THE ORGANIZATION'S PARENT ENTITY, INOVA HEALTH SYSTEM FOUNDATION, AND DOES NOT REPORT ANY AMOUNTS UNDER ITS OWN EIN. THE ORGANIZATION FALLS UNDER A MASTER PAY AGENT AND DOES NOT FILE ANY PAYROLL RETURNS UNDER ITS OWN EIN, HOWEVER ALL REQUIRED RETURNS HAVE BEEN FILED ON TIME.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS A SINGLE MEMBER. THE SOLE MEMBER IS INOVA HEALTH SYSTEM FOUNDATION, A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH SERVES AS THE PARENT COMPANY OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE MEMBER OF THE ORGANIZATION, INOVA HEALTH SYSTEM FOUNDATION, IS A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE SOLE MEMBER ELECTS THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE SOLE MEMBER OF THE ORGANIZATION, INOVA HEALTH SYSTEM FOUNDATION, IS A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE SOLE MEMBER HOLDS RESERVED POWERS WITH RESPECT TO CERTAIN ACTIONS. IN ADDITION TO THE RESERVED POWERS, UNDER THE LAWS OF THE COMMONWEALTH OF VIRGINIA CERTAIN EXTRAORDINARY ACTIONS REQUIRE MEMBER APPROVAL, SUCH AS MERGERS, CONSOLIDATIONS, LIQUIDATIONS AND THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED AND PROVIDED TO THE CHIEF ACCOUNTING OFFICER AND EXTERNAL TAX CONSULTANTS FOR INITIAL REVIEW. AFTER THE REVIEW IT IS GIVEN TO THE CFO OF INOVA HEALTH SYSTEM FOR REVIEW AND COMMENT. THE FORM 990 IS PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES FOR THEIR REVIEW. UPON COMPLETION OF THE EXECUTIVE COMMITTEE REVIEW, IT IS PROVIDED TO THE FULL BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12CYES, ANNUALLY THE ORGANIZATION DISTRIBUTES THE CONFLICT OF INTEREST POLICY TO ALL DIRECTORS, OFFICERS, TRUSTEES, AND KEY EMPLOYEES. THE ORGANIZATION REQUIRES THAT EACH DIRECTOR, OFFICER, TRUSTEE, AND KEY EMPLOYEE ACKNOWLEDGE THAT THEY HAVE READ, UNDERSTOOD, AND WILL ABIDE BY THE POLICY. EACH DIRECTOR, OFFICER, TRUSTEE, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE AND SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THESE DISCLOSURES ARE BROAD AND REQUIRE THAT THE INDIVIDUAL LIST ANY BUSINESS RELATIONSHIPS OR PERSONAL RELATIONSHIPS WITH OTHER DIRECTORS, OFFICERS, TRUSTEES, AND KEY EMPLOYEES, AS WELL AS ANY RELATIONSHIPS WITH COMPETITORS, OR CURRENT OR POTENTIAL VENDORS OR CONTRACTORS. DISCLOSURE STATEMENTS ARE REVIEWED BY SENIOR MANAGEMENT AND ANY POTENTIAL CONFLICTS ARE DISCUSSED WITH GOVERNING BODY CHAIRMAN TO ENSURE THAT ANY MEMBER WHO MAY HAVE A CONFLICT DISCLOSES THEIR POTENTIAL CONFLICT, AND IS DISMISSED FROM RELATED DISCUSSIONS AND RECUSED FROM PARTICIPATION IN APPLICABLE DECISIONS.
FORM 990, PART VI, SECTION B, LINE 15COMPLETED BY RELATED ENTITY, INOVA HEALTH SYSTEM FOUNDATION: THE COMPENSATION OF ALL SENIOR MANAGEMENT POSITIONS IS EVALUATED ANNUALLY IN LIGHT OF EACH MANAGER'S JOB CONTENT, SCOPE AND COMPLEXITY. COMPENSATION LEVELS FOR VICE PRESIDENTS AND ABOVE ARE REVIEWED BY AN INDEPENDENT EXTERNAL CONSULTANT TO ENSURE THAT REMUNERATION IS CONSISTENT WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY AND OBJECTIVES AND COMPETITIVE WITH OTHER LARGE COMPLEX HEALTH SYSTEMS. THE INDEPENDENT COMPENSATION CONSULTANT MAINTAINS NATIONAL BENCHMARK COMPENSATION DATABASES AND SURVEYS AND ALSO REVIEWS FORMS 990 OF COMPARABLE HEALTHCARE SYSTEMS TO DETERMINE MARKET LEVELS OF COMPENSATION. IN ADDITION, THE INOVA HEALTH SYSTEM'S CEO'S COMPENSATION AND CERTAIN OTHER SENIOR EXECUTIVES IS REVIEWED AND APPROVED ANNUALLY BY AN INDEPENDENT GOVERNING BOARD. THE JOB REQUIREMENTS AND COMPLEXITY OF ALL OTHER MANAGEMENT POSITIONS ARE EVALUATED ANNUALLY USING NATIONALLY RECOGNIZED THIRD PARTY SALARY SURVEYS TO ASSURE THAT THE COMPENSATION FOR SUCH POSITIONS IS CONSISTENT WITH EXTERNAL MARKET COMPENSATION COMPARISONS. SALARY RANGES ARE DEVELOPED FOR EACH MANAGEMENT POSITION CLASSIFICATION TO ENSURE THAT THE COMPENSATION LEVELS FOR THESE POSITIONS ARE CONSISTENT WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY AND OBJECTIVES AND WITH COMPETITIVE MARKET COMPARISONS. THE COMPENSATION OF ALL SENIOR MANAGEMENT POSITIONS IS EVALUATED ANNUALLY IN CONSIDERATION OF EACH MANAGER'S JOB CONTENT, SCOPE AND COMPLEXITY. COMPENSATION LEVELS FOR EXECUTIVES ARE REVIEWED BY AN INDEPENDENT EXTERNAL CONSULTANT TO ENSURE THAT REMUNERATION IS CONSISTENT WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY AND OBJECTIVES AND COMPETITIVE WITH OTHER LARGE COMPLEX HEALTH SYSTEMS. THE INDEPENDENT COMPENSATION CONSULTANT MAINTAINS NATIONAL BENCHMARK COMPENSATION DATABASES AND SURVEYS AND ALSO REVIEWS FORMS 990 OF COMPARABLE HEALTHCARE SYSTEMS TO DETERMINE MARKET LEVELS OF COMPENSATION. IN ADDITION, THE INOVA HEALTH SYSTEM'S CEO'S COMPENSATION IS REVIEWED ALONG WITH CERTAIN OTHER SENIOR EXECUTIVES AND APPROVED ANNUALLY BY AN INDEPENDENT GOVERNING BOARD. THE JOB REQUIREMENTS AND COMPLEXITY OF ALL OTHER MANAGEMENT POSITIONS ARE EVALUATED ANNUALLY USING NATIONALLY RECOGNIZED THIRD-PARTY SALARY SURVEYS TO ASSURE THAT THE COMPENSATION FOR SUCH POSITIONS IS CONSISTENT WITH EXTERNAL MARKET COMPENSATION COMPARISONS. SALARY RANGES ARE DEVELOPED FOR EACH MANAGEMENT POSITION CLASSIFICATION TO ENSURE THAT THE COMPENSATION LEVELS FOR THESE POSITIONS ARE CONSISTENT WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY AND WITH COMPETITIVE MARKET COMPARISONS. COMPENSATION FOR EMPLOYED PHYSICIANS IS REVIEWED AND APPROVED BY THE PHYSICIAN SERVICES EXECUTIVE COMMITTEE. THE COMMITTEE IS COMPRISED OF EXECUTIVE MANAGEMENT OF THE PHYSICIAN SERVICES GROUP. THE FAIR MARKET VALUE (FMV) COMPENSATION IS BASED ON FOUR NATIONALLY RECOGNIZED INDUSTRY PHYSICIAN COMPENSATION BENCHMARK SURVEYS (MGMA, AMGA, SULLIVAN & COTTER, KORN FERRY HAY GROUP). THE COMMITTEE ALSO UTILIZES INDEPENDENT CONSULTANTS TO PROVIDE FMV OPINIONS FOR POSITIONS THAT ARE NOT READILY AVAILABLE IN THE FOUR PUBLISHED BENCHMARK SURVEYS. THE CONSULTANTS' OPINIONS AND COMPENSATION SURVEY DATA ARE PRESENTED TO THE PHYSICIAN COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19INOVA HEALTH SYSTEM MAKES CERTAIN INFORMATION PUBLICLY AVAILABLE. INOVA'S CONSOLIDATED FINANCIAL STATEMENTS ARE POSTED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS'S (EMMA) WEBSITE ON A QUARTERLY BASIS. INOVA'S GOVERNING DOCUMENTS ARE NOT CURRENTLY PUBLICLY AVAILABLE. WHILE THE CONFLICT OF INTEREST POLICY IS NOT SPECIFICALLY PUBLICLY DISCLOSED, INOVA'S CODE OF CONDUCT IS ON THE PUBLIC WEBSITE. SECTION II OF THE CODE OF CONDUCT DESCRIBES WHAT CAN CONSTITUTE A CONFLICT AND REQUIRES THAT POTENTIAL CONFLICTS BE REPORTED TO MANAGEMENT OR THE CHIEF COMPLIANCE OFFICER AND/OR INOVA'S LEGAL DEPARTMENT. THE CODE OF CONDUCT CONTAINS THE CONFLICT OF INTEREST PRINCIPLES, IS PART OF INOVA'S ORIENTATION AND ANNUAL COMPLIANCE TRAINING, AND IS AVAILABLE TO TEAM MEMBERS AND PHYSICIANS ON INOVA'S INTRANET WEBSITE.
FORM 990, PART IX, LINE 11GINTERNAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 36,265,948. MANAGEMENT AND GENERAL EXPENSES 5,903,759. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,169,707. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,168,108. MANAGEMENT AND GENERAL EXPENSES 1,166,901. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,335,009. OUTSOURCED SERVICES: PROGRAM SERVICE EXPENSES 21,240,246. MANAGEMENT AND GENERAL EXPENSES 3,457,715. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,697,961.
FORM 990, PART XI, LINE 9:PARTNERSHIP INCOME -8,624,177. TEMP RESTRICTED INCOME/LOSS -5,546. PERM RESTRICTED INCOME/LOSS 267,729. EQUITY IN SUBSIDIARIES 7,715,048. GRANT CAPITAL REIMBURSEMENTS 97,187. MERGER -801,309,551.
PART XII, LINE 2B AND 2C - AUDITED FINANCIAL STATEMENTSTHE COMPANY IS PART OF THE INOVA HEALTH SYSTEM, A NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NORTHERN VIRGINIA AND SURROUNDING AREAS. THE COMPANY'S FINANCIAL STATEMENTS ARE CONSOLIDATED IN THE INOVA HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS. INOVA HEALTH SYSTEM IS AUDITED ON AN ANNUAL BASIS BY A "BIG FOUR" INDEPENDENT PUBLIC ACCOUNTING FIRM. IN ADDITION, THEY ARE RESPONSIBLE FOR THE ISSUANCE OF A MANAGEMENT LETTER ENCOMPASSING EACH MEMBER OF THE CONSOLIDATED GROUP. THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF TRUSTEES OF INOVA HEALTH SYSTEM IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT, INCLUDING THE HIRING OF THE AUDIT FIRM, REVIEW AND APPROVAL OF AUDITED FINANCIAL STATEMENTS AND COMMUNICATION WITH THE EXTERNAL AUDITORS AT LEAST TWICE A YEAR WITHOUT THE PRESENCE OF INTERNAL MANAGEMENT.
PART XII, LINE 3A - A-133 AUDITTHE COMPANY IS A PART OF THE INOVA HEALTH SYSTEM (IHS), A NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NORTHERN VIRGINIA AND SURROUNDING AREAS. IHS RECEIVES VARIOUS FEDERAL GRANTS. THESE GRANTS AND AWARDS ARE AUDITED AS PART OF THE CONSOLIDATED INOVA HEALTH SYSTEM UNIFORM GUIDANCE COMPLIANCE AUDIT. THE INOVA HEALTH SYSTEM'S FEDERAL GRANTS ARE AUDITED ON AN ANNUAL BASIS BY A "BIG FOUR" INDEPENDENT PUBLIC ACCOUNTING FIRM AND A "REPORT OF INDEPENDENT AUDITORS ON COMPLIANCE FOR EACH MAJOR PROGRAM; REPORT ON INTERNAL CONTROL OVER COMPLIANCE AND REPORT ON SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS REQUIRED BY THE UNIFORM GUIDANCE" IS ISSUED ON A CONSOLIDATED BASIS. THE THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF TRUSTEES OF INOVA HEALTH SYSTEM IS RESPONSIBLE FOR THE OVERSIGHT OF THE UNIFORM GUIDANCE AUDIT, INCLUDING THE HIRING OF THE AUDIT FIRM, REVIEW AND APPROVAL OF AUDITED FINANCIAL STATEMENTS AND COMMUNICATIONS WITH THE EXTERNAL AUDITORS DURING THE YEAR WITHOUT THE PRESENCE OF INTERNAL MANAGEMENT.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LOUDOUN HEALTHCARE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line144045 RIVERSIDE PARKWAYAddressLine1Txt
CityLEESBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP20176ZIPCd
FieldValueIRS element (for citing)
EIN311632830EIN
Primary ActivitiesA/R FINANCINGPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LOUDOUN HOSPITAL CENTERBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
INOVA HEALTH SYSTEM FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541071867FUNDRAISINGVA501(C)(3)12, IIN/A0
INOVA HEALTH CARE SERVICES
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042540620889HOSPITAL SYSTEMVA501(C)(3)30INOVA HEALTH SYSTEM FOUNDATION
INOVA HEALTH PLAN LLC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042201581237HMOVA501(C)(3)100INOVA HEALTH CARE SERVICES
ALEXANDRIA HOSPITAL FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042510241913FUNDRAISINGVA501(C)(3)12, I0INOVA HEALTH CARE SERVICES
INOVA VNA HOME CARE
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541277164HOME CARE SERVICESVA501(C)(3)100INOVA HEALTH CARE SERVICES
LOUDOUN NURSING AND REHABILITATION CENTER
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541361310REHABIITATION SERVICESVA501(C)(3)10Yes (1)LOUDOUN HOSPITAL CENTER
(no name)
Yes (1)
LOUDOUN HEALTHCARE FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042542011240FUNDRAISINGVA501(C)(3)12, IYes (1)LOUDOUN HOSPITAL CENTER

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
TECHNICAL DYNAMICS LLC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042432041666EQUIPMENT REPAIRSVAN/ARELATED$468,873$1,019,201000.14960
INOVA LOUDOUN ASC LLC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042203523190SURGERY CENTERVAN/ARELATED$8,155,304$4,001,4310Yes (1)0.60000
INNOVATION HEALTH HOLDINGS LLC
151 FARMNGTON AVENUE RT21HARTFORDCT06156455527797HEALTH INSURANCEVAN/ARELATED$16,616$63,071,1100Yes (1)0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1INOVA HOLDINGS INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1Txt
CityFALLS CHURCHCityNm
State AbbreviationVAStateAbbreviationCd
ZIP22042ZIPCd
FieldValueIRS element (for citing)
EIN510332880EIN
Primary ActivitiesMEDICAL EQUIPMENTPrimaryActivitiesTxt
Legal Domicile StateVALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1INOVA HEALTH SYSTEM FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LOUDOUN HEALTHCARE FOUNDATION
C$537,633GENERAL LEDGER
LOUDOUN HEALTHCARE FOUNDATION
M$608,754GENERAL LEDGER