2019-11-13T07:36:19-06:00 2018-12-31 346565596 ERNST & YOUNG US LLP 221 E 4TH STSUITE 2900 CINCINNATI OH 45202 990 2018-01-01 541277164 INOVA VNA HOME CARE INOV 7032892433 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 ALICE POPE CFO 7032892433 2019-11-12 1 JULIE L SPARKS P01268401 5136121400 167.201.241.175 2019-11-12 08:10:54 ES P E21AF0F1BD5C10A123A0C82CC8A47C454803277B E21AF0F1BD5C10A123A0C82CC8A47C454803277B 2018 2020-03-31 21:24:44Z J STEPHEN JONES MD 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 10647680 0 X NA X 1951 VA INOVA VNA HOME CARE PROVIDES HEALTHCARE SERVICES AND VISITS TO PATIENTS IN THEIR HOMES. X 2 0 212 0 0 0 0 0 19829685 10451793 0 0 5490 195887 19835175 10647680 0 0 0 0 17976190 13240907 0 0 0 4696757 4430524 22672947 17671431 -2837772 -7023751 4303310 0 32362695 2829949 -28059385 -2829949 X THE MISSION OF THE INOVA VNA HOME CARE IS TO PROVIDE QUALITY CARE AND IMPROVE THE HEALTH OF THE DIVERSE COMMUNITY IT SERVES. SERVICES INCLUDE SKILLED NURSING CARE (ASSESSMENT AND TEACHING, MEDICATION COUNSELING, AND PROCEDURES), REHABILITATION THERAPY (PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE PATHOLOGY AND RESTORATIVE NURSING), CLINICAL NURSING SPECIALTY CARE (MATERNAL/NEWBORN CARE, PEDIATRIC SERVICES, INFUSION THERAPY, PSYCHIATRIC NURSING, WOUND/OSTOMY CARE, CANCER, CARDIAC AND DIABETIC CARE), SOCIAL WORK SERVICES PROVIDED BY MEDICAL SOCIAL WORKERS AND PERSONAL CARE PROVIDED BY HOME HEALTH AIDES. CARE IS DELIVERED 24 HOURS A DAY AND SEVEN DAYS A WEEK ACROSS NORTHERN VIRGINIA USING A TEAM-CENTERED APPROACH TO ENSURE DELIVERY OF COMPREHENSIVE, COORDINATED HEALTH CARE SERVICES. 0 0 15162088 10647680 THE MISSION OF THE INOVA VNA HOME HEALTH IS TO PROVIDE QUALITY IN-HOME CARE AND IMPROVE THE HEALTH OF THE DIVERSE COMMUNITY IT SERVES. SERVICES INCLUDE SKILLED NURSING CARE (ASSESSMENT AND TEACHING, MEDICATION COUNSELING, TELEHEALTH AND PROCEDURES), REHABILITATION THERAPY (PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH AND LANGUAGE PATHOLOGY), CLINICAL NURSING SPECIALTY CARE (INFUSION THERAPY, BEHAVIORAL HEALTH, WOUND/OSTOMY CARE, CANCER, CARDIAC, PULMONARY AND DIABETIC CARE), SOCIAL WORK SERVICES PROVIDED BY MEDICAL SOCIAL WORKERS AND PERSONAL CARE PROVIDED BY HOME HEALTH AIDES. CARE IS DELIVERED 24 HOURS A DAY, SEVEN DAYS A WEEK ACROSS NORTHERN VIRGINIA USING A TEAM-CENTERED APPROACH TO ENSURE DELIVERY OF COMPREHENSIVE, COORDINATED HEALTH CARE SERVICES. TOTAL HOME HEALTH VISITS FOR 2018 WERE 63,592.IN SEPTEMBER 2018, INOVA ENTERED INTO A JOINT VENTURE WITH ALTERNATE SOLUTIONS HEALTH NETWORK TO RESTRUCTURE THE MANAGEMENT OF THESE SERVICES. INOVA MAINTAINS 51% OWNERSHIP OF THE COMPANY, AND THE JOINT VENTURE IS NOW KNOWN AS INOVA HOME HEALTH (IHH).CHARITY CARE ALL INOVA FACILITIES, INCLUDING THE IHCS 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 CREATE AN ADVERSE CHANGE IN THE HEALTH STATUS OF A PATIENT. FREE CARE IS PROVIDED TO UNINSURED INDIVIDUALS WITH FAMILY INCOMES AT OR BELOW 400% OF THE CURRENT FEDERAL POVERTY GUIDELINES (FPG). INSURED INDIVIDUALS WITH FAMILY INCOMES AT OR BELOW 250% OF THE CURRENT FPG WHO HAVE PARTIAL COVERAGE, AND WHOSE INSURER ALLOWS IT, MAY RECEIVE A 100% DISCOUNT ON THE PATIENT PORTION OF THEIR CARE.INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S CHARITY CARE POLICY. 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.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. THE $21,076 REIMBURSEMENT THAT IHH RECEIVED FROM THE MEDICAID PROGRAM IN 2018 ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED.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 IVNAHH, WORK WITH VARIOUS COUNTY GOVERNMENTS AND AGENCIES IN PROVIDING CERTAIN FREE SERVICES TO THOSE RESIDENTS THE COUNTY IDENTIFIES AS MOST IN NEED. 15162088 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 X 19 0 1 212 1 0 0 0 0 0 0 0 0 0 0 0 0 X 2 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X INOVA VNA HOME CARE 7032892433 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 J KNOX SINGLETON CEO, PRESIDENT, ENDING 4/9/18 0.50 49.50 X 0 4616750 45945 RICHARD MAGENHEIMER TREASURER 1.00 49.00 X X 0 3312495 716003 J STEPHEN JONES MD CEO, PRESIDENT, BEGINNING 4/9/18 0.50 49.50 X X 0 1350890 447629 JOHN GAUL SECRETARY 1.00 49.00 X 0 980859 253765 LAURA OILER MGR UTILIZATION REVIEW HH 40.00 0.00 X 129315 0 35477 SHAWN SANSBURY MGR REHAB SERVICES 40.00 0.00 X 125020 0 21837 MARY BROWN AVP HOME HEALTH 40.00 0.00 X 263239 0 46790 JOHANNA GASKINS SR DIR CLINICAL EXCELLENCE 40.00 0.00 X 120563 0 26170 MONIKA VIRK DIR QUALITY EDUC AND PROG DEV 40.00 0.00 X 103831 0 7955 741968 10260994 1601571 7 0 1 0 VAN METRE MID RISE LLC 9900 MAIN STREET SUITE 500 FAIRFAX VA 22026 REAL ESTATE 460002 RANDSTAD HEALTHCARE PO BOX 742689 ATLANTA GA 30374 STAFFING 196030 ACCOUNTABLE HEALTHCARE STAFFING 999 YAMATO RD STE 210 BOCA RATON FL 33431 STAFFING 171919 MEDTRONIC CARE MGMT SERVICES 7980 CENTURY BLVD CHANHASSEN MN 55317 MEDICAL 124614 NEAL GERBER & EISENBERG TWO NORTH LA SALLE ST CHICAGO IL 60602 LEGAL 109758 6 NET PATIENT SERVICE REVENUE 621610 10451793 10451793 10451793 OTHER 900099 195887 195887 195887 10647680 10647680 0 0 10672226 9156770 1515456 405725 348112 57613 1415393 1214407 200986 747563 641409 106154 2113544 1813421 300123 169795 145684 24111 628397 539164 89233 5979 5130 849 361830 310450 51380 95936 82313 13623 484572 415763 68809 281149 241226 39923 9417 8080 1337 59837 51340 8497 31420 26958 4462 MEDICAL SUPPLIES 153213 131458 21755 TAXES AND LICENSES 31251 26813 4438 FOOD 4184 3590 594 17671431 15162088 2509343 0 500 0 3818320 0 305888 0 178602 4303310 0 1134508 979927 1050421 0 53602 30177766 1796420 32362695 2829949 X -28059385 -2829949 -28059385 -2829949 4303310 0 X -7023751 32253187 X X 0 1 X 1 0 X 233771 2850 163939 400560 19278414 21232898 22187674 19829685 10451793 92980464 19512185 21235748 22351613 19829685 10451793 93381024 0 0 0 93381024 2352 7301 17592 5490 195887 228622 19514537 21243049 22369205 19835175 10647680 93609646 0.99760 0.99960 0.00000 X 0 DUE TO SUBSIDIARIES AND AFFILIATES 1796420 1796420 X PART X, LINE 2: FROM INOVA HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDE THE FILING ORGANIZATION: 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. 1 1 0 0 0 0 0 0 0 J KNOX SINGLETON CEO, PRESIDENT, ENDING 4/9/18 0 718511 0 3779513 0 118726 0 42491 0 3454 0 4662695 0 1890422 RICHARD MAGENHEIMER TREASURER 0 777201 0 979253 0 1556041 0 697070 0 18933 0 4028498 0 513084 J STEPHEN JONES MD CEO, PRESIDENT, BEGINNING 4/9/18 0 825143 0 300000 0 225747 0 428108 0 19521 0 1798519 0 0 JOHN GAUL SECRETARY 0 497263 0 360510 0 123086 0 225359 0 28406 0 1234624 0 160023 LAURA OILER MGR UTILIZATION REVIEW HH 85115 0 6691 0 37509 0 13513 0 21964 0 164792 0 0 0 MARY BROWN AVP HOME HEALTH 159943 0 41445 0 61851 0 28154 0 18636 0 310029 0 0 0 PART I, LINE 3 THE FOLLOWING METHODS WERE USED BY IMANCO, INC., A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF INOVA VNA'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-B SEVERENCE: J. KNOX SINGLETON $63,000 RICHARD MAGENHEIMER $1,428,789 MARY BROWN $11,680 LAURA OILER $6,931 SHAWN SANSBURY $8,639 JOHANNA GASKINS $22,137 MONIKA VIRK $30,756 SEVERANCE AMOUNTS WERE PAID WITHIN 24 MONTHS AFTER SEPARATION FROM SERVICE. SERP PLAN PAYMENTS: JOHN GAUL $82,771 RICHARD MAGENHEIMER $108,398 MARY BROWN $20,885 THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP PLAN) IS A NONQUALIFIED RETIREMENT PLAN. EMPLOYEES ELIGIBLE TO PARTICIPATE ARE EXECUTIVE DIRECTORS, ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, CFO, COO, AND CEO. 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 AND AFTER ATTAINING AGE 45, 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. TANGIBLE AND INTANGIBLE ASSETS OF INOVA VNA HOME CARE 2018-09-05 32253187 MARKET APPROACH COMPARABLE ANALYSIS 825217263 INOVA HH HOLDINGS LLC 1050 FORRER BLVD KETTERNG OH 45420 LLC 0 0 0 0 PART V, LINE 1A AND 2A - NUMBER OF 1099S AND EMPLOYEES THE ORGANIZATION FILES ITS FORM 1099S UNDER THE PARENT ENTITY 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. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SINGLE MEMBER. THE SOLE MEMBER IS INOVA HEALTH CARE SERVICES, A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH IS PART OF THE INOVA HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION, INOVA HEALTH CARE SERVICES, IS A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE SOLE MEMBER OF INOVA HEALTH CARE SERVICES IS INOVA HEALTH SYSTEM FOUNDATION, A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH SERVES AS THE PARENT COMPANY OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. INOVA HEALTH SYSTEM FOUNDATION ELECTS THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION, INOVA HEALTH CARE SERVICES, IS A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE SOLE MEMBER OF INOVA HEALTH CARE SERVICES IS INOVA HEALTH SYSTEM FOUNDATION, A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH SERVES AS THE PARENT COMPANY OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. INOVA HEALTH SYSTEM FOUNDATION 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 11B THE 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 HER 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. IN THIS PROCESS, THE FORM 990 HAS BEEN PROVIDED TO THE GOVERNING BOARD APPROXIMATELY TWO WEEKS PRIOR TO THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C YES, 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 15 COMPLETED BY RELATED ENTITY, IMANCO, INC.: 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. COMPENSATION FOR EMPLOYED PHYSICIANS IS REVIEWED AND APPROVED BY THE IMG EXECUTIVE COMMITTEE. THE COMMITTEE IS COMPRISED OF EXECUTIVE MANAGEMENT OF THE INOVA MEDICAL 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 19 INOVA 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 III 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. THE CODE ALSO REFERS TO THE CONFLICT OF INTEREST POLICY WHICH IS AVAILABLE TO STAFF AND PHYSICIANS ON INOVA'S INTRANET WEBSITE. FORM 990, PART XI, LINE 9: CAPITAL INFUSION 32,253,187. PART XII, LINE 2B AND 2C - AUDITED FINANCIAL STATEMENTS THE 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 AUDIT AND COMPLIANCE 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 AUDIT THE 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 AUDIT AND COMPLIANCE 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. INOVA HEALTH SYSTEM FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541071867 FUNDRAISING VA 501(C)(3) 12, II N/A 0 INOVA HEALTH CARE SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 540620889 HOSPITAL SYSTEM VA 501(C)(3) 3 INOVA HEALTH SYSTEM FOUNDATION 0 IMANCOINC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541340725 PAYROLL CORPORATION VA 501(C)(3) 12, I INOVA HEALTH SYSTEM FOUNDATION 0 INOVA HEALTH PLAN LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 201581237 HMO VA 501(C)(3) 10 INOVA HEALTH CARE SERVICES 0 ALEXANDRIA HOSPITAL FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 510241913 FUNDRAISING VA 501(C)(3) 12, I INOVA HEALTH CARE SERVICES 0 LOUDOUN HOSPITAL CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 540525802 HOSPITAL VA 501(C)(3) 3 INOVA HEALTH SYSTEM FOUNDATION 0 LOUDOUN NURSING AND REHABILITATION CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541361310 REHABILITATION SERVICES VA 501(C)(3) 10 LOUDOUN HOSPITAL CENTER 0 LOUDOUN HEALTH CARE FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 542011240 FUNDRAISING VA 501(C)(3) 12, I LOUDOUN HOSPITAL CENTER 0 INOVA HH HOLDINGS LLC 1050 FORRER BLVD KETTERING OH 45420 825217263 HOME HEALTH CARE VA N/A RELATED -502673 1058536 0 0 0.51000 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1