LOUDOUN HOSPITAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
LOUDOUN HOSPITAL CENTER (EIN 54-0525802)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-12
IRS object ID
201823169349303142
Schema version
2017v2.3
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)
Return2018-11-12T15:19:41-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Line1312 WALNUT ST SUITE 1900AddressLine1Txt
CityCINCINNATICityNm
State AbbreviationOHStateAbbreviationCd
ZIP45202ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

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)
PersonRICHARD MAGENHEIMERPersonNm
Person TitleCFOPersonTitleTxt
Phone7038586000PhoneNum
Signature2018-11-07SignatureDt
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 Address167.201.241.175IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-07IPDt
IP Tm08:32:11IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE21AF0F1BD5C10A123A0C82CC8A47C454803277BAtSubmissionCreationDeviceId
At Submission Filing Device IdE21AF0F1BD5C10A123A0C82CC8A47C454803277BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
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$353,726,191GrossReceiptsAmt
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
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1674TotalEmployeeCnt
Total Volunteers529TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$348,878PYContributionsGrantsAmt
CY Contributions Grants$1,260,306CYContributionsGrantsAmt
PY Program Service Revenue$323,041,376PYProgramServiceRevenueAmt
CY Program Service Revenue$338,960,140CYProgramServiceRevenueAmt
PY Investment Income$5,721,688PYInvestmentIncomeAmt
CY Investment Income$12,520,191CYInvestmentIncomeAmt
PY Other Revenue$980,384PYOtherRevenueAmt
CY Other Revenue$985,554CYOtherRevenueAmt
PY Total Revenue$330,092,326PYTotalRevenueAmt
CY Total Revenue$353,726,191CYTotalRevenueAmt
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$104,667,686PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$109,458,490CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$168,341,320PYOtherExpensesAmt
CY Other Expenses$176,858,276CYOtherExpensesAmt
PY Total Expenses$273,009,006PYTotalExpensesAmt
CY Total Expenses$286,316,766CYTotalExpensesAmt
PY Revenues Less Expenses$57,083,320PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$67,409,425CYRevenuesLessExpensesAmt
Total Assets BOY$651,472,622TotalAssetsBOYAmt
Total Assets EOY$725,680,032TotalAssetsEOYAmt
Total Liabilities BOY$27,960,035TotalLiabilitiesBOYAmt
Total Liabilities EOY$33,076,627TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$623,512,587NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$692,603,405NetAssetsOrFundBalancesEOYAmt
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 Change0SignificantChangeInd
Expense$249,066,955ExpenseAmt
Revenue$339,945,694RevenueAmt
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.INOVA LOUDOUN HOSPITAL IS A 167-LICENSED BED GENERAL ACUTE CARE HOSPITAL, WHICH FIRST OPENED ITS DOORS IN 1912. ILH PROVIDES A FULL-SERVICE 24-HOUR EMERGENCY DEPARTMENT; 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 2017, THE HOSPITAL HAD 19,302 ADMISSIONS AND OBSERVATION CASES AND 48,781 PATIENT DAYS EXCLUDING NEWBORNS. EMERGENCY ROOM VISITS TOTALED 77,353 (13,044 EMERGENCY VISITS WERE AT THE ASHBURN HEALTHPLEX); AND THERE WERE 84,786 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 BIRTHING CENTER AND NURSERY CARE. ILH DELIVERED 2,696 BABIES IN 2017. ILH ALSO OFFERS LEVEL II NEONATAL ICU SPECIALTY SERVICES. IN ADDITION, ILH PROVIDES OBSTETRIC SERVICES TO LOW-INCOME PATIENTS THROUGH ITS OBSTETRICS/GYNECOLOGY CLINIC WHICH HAD 5,238 VISITS IN 2017. PEDIATRIC CARE: ILH OPERATES A DEDICATED PEDIATRIC EMERGENCY ROOM THAT PROVIDED 16,502 VISITS IN 2017. IN ADDITION ILH OPERATES A 14-BED PEDIATRIC UNIT THAT PROVIDES FOR INPATIENT HOSPITALIZATIONS. ILH ADMITTED 395 CHILDREN TO THE UNIT AND HAD 490 OUTPATIENT OBSERVATION CASES DURING 2017.CARDIOVASCULAR CARE: THE INOVA LOUDOUN HOSPITAL HEART AND VASCULAR INSTITUTE OPENED IN 2005. IT PROVIDES CARDIAC CATHETERIZATION AND ELECTROPHYSIOLOGY SERVICES, A 64-SLICE CT SCANNER AND OTHER DIAGNOSTIC TESTING. IN 2017, 3,976 PATIENTS WERE SERVED BY THE CARDIOVASCULAR PROGRAM AT ILH.THE EXPANSION OF THE INOVA HEART & VASCULAR INSTITUTE AT LOUDOUN HOSPITAL WAS COMPLETED OCTOBER OF 2017. THE PROJECT ADDED APPROXIMATELY 5,300 SQUARE FEET TO THE EXISTING FACILITY ALLOWING FOR AN ADDITIONAL FLUORO PROCEDURE ROOM TO COMPLEMENT THE EXISTING TWO ROOMS. WITH THIS ADDITIONAL SPACE, IHVIL WILL BE ABLE TO BETTER SERVE THE GROWING COMMUNITY WITH AN ADDITIONAL 1000+ INVASIVE AND NON-INVASIVE CARDIOVASCULAR PATIENTS ANNUALLY. THE COMPLETION OF THIS PROJECT WAS MADE POSSIBLE IN PART BY A $5 MILLION DONATION FROM THE SCHAUFELD FAMILY. STROKE CARE: INOVA LOUDOUN HOSPITAL HAS BEEN CERTIFIED BY THE JOINT COMMISSION SINCE 2009 AS A PRIMARY STROKE CENTER. THE CERTIFICATION ALSO COVERS THE INOVA EMERGENCY CARE CENTER IN LEESBURG WHICH IS THE FIRST FREE-STANDING EMERGENCY DEPARTMENT IN THE STATE TO BE DESIGNATED AS A PRIMARY STROKE CENTER.CANCER CARE: ILH FEATURES A FULL SERVICE CANCER CENTER INCLUDING MEDICAL AND SURGICAL ONCOLOGY, RADIATION THERAPY SERVICES AND AN OUTPATIENT INFUSION CLINIC. ILH PROVIDED 5,676 RADIATION THERAPY TREATMENTS TO 265 PATIENTS IN 2017.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 CARE" REFERS TO INPATIENT AND OUTPATIENT SERVICES DEFINED AS MEDICALLY NECESSARY BY THE FEDERAL MEDICARE PROGRAM. "MEDICALLY INDIGENT" IS DEFINED AS THOSE PATIENTS WHOSE INCOME FALLS AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL (FPL).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 WHETHER OR NOT THEY QUALIFY FOR CHARITY CARE.IN 2017 ILH'S UNREIMBURSED COST OF CHARITY CARE, INCLUDING FREE AND DISCOUNTED SERVICES, WAS $10.7 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. THE REIMBURSEMENT THAT ILH FACILITIES RECEIVE FROM THE MEDICAID PROGRAM ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED. DURING 2017, ILH PROVIDED CARE TO MEDICAID PATIENTS AT AN UNREIMBURSED COST OF APPROXIMATELY $8.6 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 ILH, 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 ILH MISSION.INOVA LOUDOUN OB CLINIC: THE INOVA LOUDOUN HOSPITAL-BASED OB CLINIC PROVIDES COMPREHENSIVE OBSTETRIC SERVICES FOR UNINSURED AND LOW-INCOME WOMEN (UTILIZING A SLIDING SCALE UP TO 400% OF THE FEDERAL POVERTY LEVEL) IN LOUDOUN COUNTY. COMPREHENSIVE OBSTETRICAL SERVICES INCLUDE GESTATIONAL DIABETES MANAGEMENT, CASE MANAGEMENT, NON-STRESS TESTING AND NUTRITIONAL COUNSELING. IN 2017, THE ILH OB CLINIC HAD 5,238 VISITS RESULTING IN 482 DELIVERIES AT INOVA LOUDOUN HOSPITAL AT AN UNREIMBURSED COST FOR THE CLINIC SERVICES OF APPROXIMATELY $1.57 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 2017, THE PROGRAM PROVIDED EDUCATIONAL PROGRAMS FOR 3,878 PARTICIPANTS. LOUDOUN MOBILE HEALTH PROGRAM: LOUDOUN MOBILE HEALTH IS STAFFED BY NURSES AND OTHER SUPPORT STAFF WHO PROVIDE COMMUNITY HEALTH FAIRS AND HEALTH SCREENING SERVICES. IN 2017, INOVA LOUDOUN MOBILE HEALTH PROVIDED SERVICES TO 6,728 PARTICIPANTS. THE UNREIMBURSED COST OF THIS PROGRAM WAS $239,274.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 2017, THE INOVA CENTER FOR WELLNESS AND METABOLIC HEALTH - LOUDOUN LOCATION PROVIDED 2,476 PATIENT VISITS.Desc
Total Program Service Expenses$249,066,955TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
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 Document155IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1674EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
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 (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ELIZABETH CASEY HALLEY
CHAIRMAN1.002.00Yes (X)Yes (X)$0$0$0
CHRISTINE BRENNAN
VICE CHAIRMAN1.002.00Yes (X)Yes (X)$0$0$0
MILES DAVIS
TRUSTEE2.001.00Yes (X)$0$0$0
PAMELA JEFFRIES
TRUSTEE2.001.00Yes (X)$0$0$0
VIRGINIA HACKENBERG MD
TRUSTEE2.001.00Yes (X)$0$0$0
TANYA MATTHEWS
TRUSTEE2.001.00Yes (X)$0$0$0
JILL MCCABE MD
TRUSTEE1.002.00Yes (X)$120,000$0$0
ALEXIA ORR
TRUSTEE1.002.00Yes (X)$0$0$0
MARK STAUDER
TRUSTEE2.0048.00Yes (X)$0$2,439,210$1,380,481
JUANITA KOILPILLAI
TRUSTEE2.001.00Yes (X)$0$0$0
MICHAEL WHEELER
TRUSTEE2.001.00Yes (X)$0$0$0
SCOTT HAMBERGER
TRUSTEE2.001.00Yes (X)$0$0$0
JOANNE THEURICH
TRUSTEE2.001.00Yes (X)$0$0$0
PATRICK WALTERS
INTERIM CHRO, SECRETARY40.0010.00Yes (X)Yes (X)$708,905$0$290,740
LORING FLINT
EVP CHIEF MEDICAL OFFICER4.0046.00Yes (X)$0$1,115,281$588,179
DAVID BOSSERMAN
TRUSTEE1.002.00Yes (X)$0$0$0
JOHN WOOD
TRUSTEE2.001.00Yes (X)$0$0$0
J KNOX SINGLETON
PRESIDENT2.5047.50Yes (X)$0$13,655,282$1,945,495
JOHN GAUL
SVP GENERAL COUNSEL3.0047.00Yes (X)$0$643,867$230,376
RICHARD MAGENHEIMER
TREASURER2.0048.00Yes (X)$0$1,605,266$688,700
DEBORAH ADDO
CEO ILH20.0020.00$683,159$0$169,650Yes (X)
WILLIAM BANE
AVP ASSOC ADMIN CFO20.0020.00$287,306$0$45,888Yes (X)
ELIZABETH DUGAN
AVP, CNO40.000.00$238,277$0$32,442Yes (X)
CHRISTOPHER CHIANTELLA
CHIEF MEDICAL OFFICER, ILH40.000.00$333,248$0$103,129Yes (X)
DEBBIE WAGNER
MGR PHARMACY PIC40.000.00$180,368$0$46,619Yes (X)
MARISSA JAMARIK
SIR DIR NURSING SRVCS40.000.00$221,341$0$23,057Yes (X)
APRIL BROWN
SR DIR NURSING SVCS40.000.00$169,394$0$44,689Yes (X)
REBECCA VALDESUSO
SR DIR PERIOP SVCS40.000.00$172,353$0$34,161Yes (X)
SHONDRA JONES
CARDIO INVASIVE SPECIALIST40.000.00$170,255$0$28,415Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,284,606TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$19,458,906TotReportableCompRltdOrgAmt
Total Other Compensation$5,652,021TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K146IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
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
L2 CONSTRUCTION MANAGEMENT
40892 BIRDSTONE LANEALDIEVA20105CONSULTING SERVICES$4,527,840
HDR ARCHITECTURE INC
8404 INDIAN HILLS DRIVEOMAHANE68114ARCHITECT SERVICES$4,010,962
PATNER CONSTRUCTION INC
2710 PROSPERITY AVENUEFAIRFAXVA22031CONSTRUCTION SERVICES$2,909,066
MEDICAL TRANSPORTATION SERVICE
360 HERNDON PKWY SUITE 700HERNDONVA20170TRANSPORT SERVICES$2,559,452
DELPHI HEALTHCARE PARTNERS INC
265 BROOKVIEW CENTRE WAYKNOXVILLETN37919CONSULTING SERVICES$1,770,006
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K46CntrctRcvdGreaterThan100KCnt
Related Organizations$1,260,306RelatedOrganizationsAmt
Total Contributions$1,260,306TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE900099$330,943,272$330,943,272
INOVA AMBULATORY SURGICAL CENTER621400$7,610,050$7,610,050
TDI LLC900099$406,818$406,818
FieldValueIRS element (for citing)
Total Program Service Revenue$338,960,140TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,703,768TotalRevenueColumnAmt
Exclusion$1,703,768ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,816,423SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,816,423SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,816,423TotalRevenueColumnAmt
Exclusion$10,816,423ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER900099$966,630$966,630
FOOD SERVICES900099$18,924$18,924
FieldValueIRS element (for citing)
Other Revenue Total$985,554OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$353,726,191TotalRevenueColumnAmt
Related Or Exempt Func Income$339,945,694RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12,520,191ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,250,896TotalAmt
Program Services$2,250,896ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$87,295,784TotalAmt
Program Services$75,645,761ProgramServicesAmt
Management And General$11,650,023ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,871,719TotalAmt
Program Services$3,368,008ProgramServicesAmt
Management And General$503,711ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,614,344TotalAmt
Program Services$8,363,518ProgramServicesAmt
Management And General$1,250,826ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,425,747TotalAmt
Program Services$5,589,757ProgramServicesAmt
Management And General$835,990ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$33,689,910TotalAmt
Program Services$29,306,853ProgramServicesAmt
Management And General$4,383,057ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$102,415TotalAmt
Program Services$89,091ProgramServicesAmt
Management And General$13,324ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$26,458TotalAmt
Program Services$26,458ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$57,015,835TotalAmt
Program Services$49,594,633ProgramServicesAmt
Management And General$7,421,202ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$33,654TotalAmt
Program Services$29,276ProgramServicesAmt
Management And General$4,378ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,433,230TotalAmt
Program Services$4,726,367ProgramServicesAmt
Management And General$706,863ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$433,238TotalAmt
Program Services$376,874ProgramServicesAmt
Management And General$56,364ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,701,370TotalAmt
Program Services$3,219,822ProgramServicesAmt
Management And General$481,548ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$134,558TotalAmt
Program Services$117,052ProgramServicesAmt
Management And General$17,506ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$140,110TotalAmt
Program Services$121,882ProgramServicesAmt
Management And General$18,228ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,374,934TotalAmt
Program Services$2,065,955ProgramServicesAmt
Management And General$308,979ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,763,580TotalAmt
Program Services$12,842,837ProgramServicesAmt
Management And General$1,920,743ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$794,518TotalAmt
Program Services$691,151ProgramServicesAmt
Management And General$103,367ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$37,246,344$32,400,595$4,845,749
BAD DEBT EXPENSE$20,538,391$17,866,346$2,672,045
TAXES AND LICENSES$268,103$233,223$34,880
FOOD$160,398$139,530$20,868

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,230TotalAmt
Program Services$1,070ProgramServicesAmt
Management And General$160ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$286,316,766TotalAmt
Program Services$249,066,955ProgramServicesAmt
Management And General$37,249,811ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,606,733BOYAmt
EOY$8,995,563EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,063,984BOYAmt
EOY$33,855,468EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,017,869BOYAmt
EOY$894,945EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,437,100BOYAmt
EOY$3,923,308EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,598,671BOYAmt
EOY$1,270,708EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$443,797,592LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$203,289,775LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$190,942,210BOYAmt
EOY$240,507,817EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$46,888,222BOYAmt
EOY$53,782,281EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$39,963,106BOYAmt
EOY$46,677,932EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$325,954,727BOYAmt
EOY$335,772,010EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$651,472,622BOYAmt
EOY$725,680,032EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$17,127,978BOYAmt
EOY$22,721,272EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$261,569BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,570,488BOYAmt
EOY$10,355,355EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,960,035BOYAmt
EOY$33,076,627EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$603,787,941BOYAmt
EOY$670,217,473EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,373BOYAmt
EOY$34,734EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,685,273BOYAmt
EOY$22,351,198EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$623,512,587BOYAmt
EOY$692,603,405EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$651,472,622BOYAmt
EOY$725,680,032EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$67,409,425ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,236,822NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$555,429OtherChangesInNetAssetsAmt
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

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$26,458OtherActivitiesAmt
Total Lobbying Expenditures$26,458TotalLobbyingExpendituresAmt
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 2017. AMOUNTS UNDER OTHER ACTIVITIES PER PART II-B REPRESENT A PORTION OF MEMBERSHIP DUES RELATED TO LOBBYING. LOUDOUN HOSPITAL CENTER PAID $160,127 IN MEMBERSHIP DUES FOR 2017. THE PORTION OF MEMBERSHIP DUES THAT WERE USED FOR LOBBING ACTIVITIES WERE ($160,127 TOTAL MEMBERSHIP DUES X 16.52%) = $26,458.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,820,085OtherCostOrOtherBasisAmt
Book Value$49,820,085BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$143,996,611OtherCostOrOtherBasisAmt
Depreciation$70,177,889DepreciationAmt
Book Value$73,818,722BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$64,245,440OtherCostOrOtherBasisAmt
Depreciation$28,371,239DepreciationAmt
Book Value$35,874,201BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,382,415OtherCostOrOtherBasisAmt
Depreciation$88,075,181DepreciationAmt
Book Value$22,307,234BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,353,041OtherCostOrOtherBasisAmt
Depreciation$16,665,466DepreciationAmt
Book Value$58,687,575BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$240,507,817TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$46,677,932BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$46,677,932TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INVESTMENTS AND RECEIVABLES FROM AFFILIATES$335,615,363
OTHER LONG TERM ASSETS$156,647
FieldValueIRS element (for citing)
Total Book Value Other Assets$335,772,010TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO THIRD PARTY PAYORS$7,305,892
DEFERRED COSTS$3,049,463
FieldValueIRS element (for citing)
Total Liability$10,355,355TotalLiabilityAmt
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, LHC, AND INOVA HEALTH PLAN LLC 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 Other250.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
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$10,706,729TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,706,729NetCommunityBenefitExpnsAmt
Total Expense0.04030TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,307,083TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,674,841DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,632,242NetCommunityBenefitExpnsAmt
Total Expense0.03250TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,013,812TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,674,841DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,338,971NetCommunityBenefitExpnsAmt
Total Expense0.07280TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$363,078TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$103,100DirectOffsettingRevenueAmt
Net Community Benefit Expns$259,978NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,573,201TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,573,201NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$706,637TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$706,637NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,642,916TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$103,100DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,539,816NetCommunityBenefitExpnsAmt
Total Expense0.00960TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,656,728TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,777,941DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,878,787NetCommunityBenefitExpnsAmt
Total Expense0.08240TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,827,180BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$53,328,329ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$74,268,468CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$20,940,139MedicareSurplusOrShortfallAmt

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 Ownership0.64820OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.35180PhysiciansProfitOrOwnershipPct
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 Conducted16CHNAConductedYr
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 PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
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 (7 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 2016 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: ACCESS TO BASIC MEDICAL CARE, ACCESS TO DENTAL CARE, CARE AND CONDITIONS OF OLDER ADULTS, CULTURAL COMPETENCY IN CARE, LACK OF AFFORDABLE HOUSING, LYME DISEASE, MENTAL HEALTH AND ACCESS TO MENTAL HEALTH SERVICES, OBESITY AND OBESITY-RELATED CONCERNS AND SUBSTANCE ABUSE AND EXCESSIVE ALCOHOL 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 2017 THROUGH 2019. 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 ACCESS TO PRIMARY CARE, ACCESS TO DENTAL CARE AND ADOLESCENT MENTAL HEALTH AND ACCESS TO MENTAL HEALTH SERVICES. THE HOSPITAL'S 3-YEAR IMPLEMENTATION STRATEGY WAS ENDORSED BY THE INOVA LOUDOUN HOSPITAL BOARD.
INOVA LOUDOUN HOSPITALPART V, SECTION B, LINE 5: THE HOSPITAL INTERVIEWED 30 KEY INFORMANTS, INCLUDING EXTERNAL STAKEHOLDERS (THOSE WHO REPRESENTED THE BROAD INTERESTS IN THE COMMUNITY) AND INTERNAL INOVA STAFF. THE INTERVIEWS WERE GUIDED BY A STRUCTURED INTERVIEW GUIDE, AND INTERVIEWEES WERE ENCOURAGED TO IDENTIFY AND DISCUSS A WIDE RANGE OF CURRENT AND EMERGING ISSUES AFFECTING COMMUNITY HEALTH. INTERVIEWS WERE CONDUCTED FROM AUGUST 2015 THROUGH JANUARY 2016. A DETAILED LISTING OF THE COMMUNITY STAKEHOLDERS WHO PROVIDED COMMUNITY INPUT IS SHOWN BELOW. THE HOSPITAL ALSO SOUGHT INPUT FROM THE PUBLIC REGARDING THE HEALTH OF THE COMMUNITY THROUGH AN ONLINE SURVEY PUBLICIZED THROUGH EMAILS, HOSPITAL INFORMATION AND COMMUNITY PARTNERS. THE SURVEY WAS ALSO AVAILABLE ON PAPER IN THE HOSPITAL AND AT THE LOCAL FQHC.IN THE PROCESS OF CONDUCTING THE 2016 CHNA, INOVA RECEIVED FEEDBACK FROM CONSTITUENTS ON THE 2013 CHNA PROCESS AND PROGRESS MADE SINCE THEN. AT THE START OF THE 2016 CHNA, INOVA CREATED AN ADVISORY COMMITTEE IN ORDER TO STEER DECISION MAKING, PROVIDE FEEDBACK ON SURVEY CREATION, INTERVIEW CANDIDATES AND PROTOCOLS AND THE PROCESS BY WHICH COMMUNITY HEALTH NEEDS WERE DETERMINED TO BE SIGNIFICANT. THE COMMITTEE INCLUDED REPRESENTATIVES FROM LOCAL FQHCS, LOCAL HEALTH DIRECTORS AND A PUBLIC OFFICIAL. MEMBERS OF THE COMMITTEE PROVIDED FEEDBACK ON THE 2013 CHNA, INCLUDING BOTH THE INITIAL ASSESSMENT AS WELL AS IMPLEMENTATION OF STRATEGIES TO IMPROVE HEALTH SINCE THEN. ADDITIONAL FEEDBACK ON INOVA'S COMMUNITY HEALTH IMPROVEMENT PROGRAMS WAS GATHERED DURING KEY INFORMANT INTERVIEWS.COMMUNITY FOUNDATION FOR LOUDOUN AND NORTHERN FAUQUIER COUNTIES - GENERAL POPULATION, FAMILIES AND LOCAL YOUTHGEORGE MASON UNIVERSITY, COLLEGE OF HEALTH AND HUMAN SERVICES - GENERAL POPULATION , STUDENTSGRACE MINISTRIES - FAITH-BASED COMMUNITY, IMMIGRANT POPULATIONHEALTHWORKS FOR NORTHERN VIRGINIA - GENERAL POPULATION, LOW INCOME, UNINSURED/UNDERINSUREDINOVA BOARD OF DIRECTORS - GENERAL POPULATIONINOVA LOUDOUN INTERNAL STAFF - GENERAL POPULATION, PHYSICIANSINOVA OFFICE OF HEALTH EQUITY - MARGINALIZED POPULATIONS , MINORITY POPULATIONSLOUDOUN COUNTY AREA AGENCY ON AGING - GENERAL POPULATION, AGING POPULATIONLOUDOUN COUNTY HEALTH DEPARTMENT - GENERAL POPULATIONLOUDOUN COUNTY OFFICE OF COUNTY ADMINISTRATOR - GENERAL POPULATIONLOUDOUN COUNTY PUBLIC SCHOOLS - GENERAL POPULATION, YOUTH/ADOLESCENTSLOUDOUN HEALTH COUNCIL - GENERAL POPULATION, PHYSICIANS, FAITH-BASED COMMUNITY , NON-PROFIT COMMUNITYNORTHERN VIRGINIA FAMILY SERVICES - ADOLESCENT/YOUTH , LOW INCOME , HOMELESS , MENTALLY ILLNORTHERN VIRGINIA HEALTH FOUNDATION - GENERAL POPULATION, LOW INCOME, UNINSURED/UNDERINSURED
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: IN 2016, EACH HOSPITAL WITHIN INOVA HEALTH SYSTEM CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN ORDER TO BETTER ASSESS EACH COMMUNITY'S UNIQUE HEALTH NEEDS AND TO DEVELOP AN EFFECTIVE IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED PRIORITY NEEDS. EACH CHNA WAS CONDUCTED IN ACCORDANCE WITH THE GUIDELINES ESTABLISHED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND THE INTERNAL REVENUE SERVICE. EACH CHNA CONSIDERED 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 COMMUNITY SURVEY AND FROM INTERVIEWS WITH PERSONS WHO REPRESENT THE BROAD INTERESTS OF EACH COMMUNITY, INCLUDING PUBLIC HEALTH OFFICIALS AND EXPERTS AND HOSPITAL-AFFILIATED CLINICIANS, ADMINISTRATORS AND STAFF. THE TOPICS AND DATA ASSESSED IN THESE REPORTS INCLUDE DEMOGRAPHICS, ECONOMIC ISSUES, COMMUNITY ISSUES, HEALTH STATUS INDICATORS, HEALTH ACCESS INDICATORS, HEALTH DISPARITIES INDICATORS AND AVAILABILITY OF HEALTHCARE FACILITIES AND RESOURCES.EACH CHNA IDENTIFIED A PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS. FROM THESE REPORTS, EACH HOSPITAL HAS DEVELOPED A THREE-YEAR IMPLEMENTATION STRATEGY WITH MEASURABLE OBJECTIVES TO ADDRESS THEIR UNIQUE COMMUNITY BENEFIT SERVICE AREA FOR CALENDAR (TAX) YEARS 2017 THROUGH 2019. 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 ACCESS TO PRIMARY CARE, ACCESS TO DENTAL CARE AND ADOLESCENT MENTAL HEALTH AND ACCESS TO MENTAL HEALTH SERVICES. THE HOSPITAL'S 3-YEAR IMPLEMENTATION STRATEGY WAS ENDORSED BY THE SYSTEM'S BOARD OF TRUSTEES.AS DESCRIBED IN THE IMPLEMENTATION STRATEGY ADOPTED BY THE BOARD, INOVA LOUDOUN HOSPITAL INDICATED THAT IT WOULD ADDRESS MANY BUT NOT ALL OF THE IDENTIFIED NEEDS. THE HOSPITAL INDICATED IT WOULD NOT ADDRESS CERTAIN ELEMENTS THAT ARE BEYOND THE SCOPE OF THE MEDICAL CAMPUS OR ARE OUTSIDE OF THE HOSPITAL'S EXPERTISE INCLUDING LACK OF TRANSPORTATION, POOR AIR QUALITY AND BASIC NEEDS INSECURITY. THE HOSPITAL ALSO INDICATED THAT IT WOULD NOT ADDRESS OTHER ELEMENTS THAT ARE ALSO IMPORTANT BUT ARE BEING ADDRESSED BY OTHERS, INCLUDING DISPARITIES IN CHRONIC LIVER DISEASE, HIGH RATES OF TUBERCULOSIS AND HIGH RATES OF LYME DISEASE.IN 2017, ILH ACTIVELY WORKED TOWARD THE GOALS SET FORTH WITHIN THE NEW IMPLEMENTATION PLAN. BELOW ARE SOME OF THE HIGHLIGHTS OF THIS WORK:1.THE INOVA KELLAR CENTER WILL BE OPENING A LOUDOUN COUNTY LOCATION IN THE SECOND QUARTER OF 2018. THE PROVIDERS ARE HIRED AND A STERLING LOCATION HAS BEEN SELECTED. WITH CONSTRUCTION, EPIC INSTALLATION AND COUNTY APPROVALS, THE OFFICE IS SCHEDULED TO OPEN IN APRIL 2018. INITIAL SERVICES WILL INCLUDE PARTIAL HOSPITALIZATION PROGRAM FOR ADOLESCENTS; OUTPATIENT INDIVIDUAL, FAMILY AND GROUP THERAPY; PSYCHIATRIC EVALUATIONS; AND MEDICATION MANAGEMENT. INTENSIVE OUTPATIENT PROGRAMS FOR MENTAL HEALTH ARE EXPECTED TO START IN THE FALL.2. A NEW PSYCHIATRIC LIAISON POSITION HAS BEEN CREATED AT INOVA LOUDOUN HOSPITAL. THIS INDIVIDUAL PROVIDES BEHAVIORAL HEALTH CARE MANAGEMENT FOR INDIVIDUALS (ADULTS AND ADOLESCENTS) ADMITTED TO THE HOSPITAL FOR MEDICAL DIAGNOSES. THE PSYCH LIAISON WILL ASSIST WITH TREATMENT RECOMMENDATIONS, IDENTIFY BEHAVIORAL HEALTH NEEDS FOLLOWING DISCHARGE, DEVELOP EDUCATIONAL AND TRAINING PROGRAMS, AND IDENTIFY RESOURCES (OR THE LACK THEREOF) FOR BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY.3. ONE-PAGE INFORMATION SHEETS HAVE BEEN CREATED WITH DESCRIPTIONS OF COMMUNITY RESOURCES RELATED TO SOCIAL NEEDS (I.E. FOOD, SHELTER, ETC), MENTAL HEALTH AND SUBSTANCE ABUSE AND PRIMARY CARE. THESE GUIDES WILL ENABLE FRONT LINE STAFF TO PROVIDE PATIENTS WITH THE TOOLS NECESSARY TO STAY HEALTHY AND ENSURE A CONTINUUM OF CARE POST DISCHARGE.4. IN DECEMBER 2017 ILH HELD ITS FIRST EMPLOYEE RESOURCE FAIR. AT THE FAIR, REPRESENTATIVES FROM BOTH INTERNAL AND EXTERNAL RESOURCES STAFFED TABLES AND PROVIDED INFORMATION ON SERVICES AVAILABLE TO PATIENTS AND MEMBERS OF THE COMMUNITY. THE FAIR WAS ATTENDED BY FRONT LINE STAFF, NURSES, CASE MANAGEMENT TEAM MEMBERS, AND ANYONE WORKING THAT DAY TO LEARN DIRECTLY MORE ABOUT THE OPTIONS AVAILABLE. THE ORGANIZATIONS REPRESENTED AT THE FAIR ARE ALSO IN LARGE PART THE RESOURCES THAT WILL BE INCLUDED IN THE ONE-PAGERS NOTED ABOVE.5. INOVA RECOGNIZES THAT HOSPITALS CAN HAVE A LARGE IMPACT ON THE RISING OPIOID EPIDEMIC. IN ORDER TO DO ITS PART TO REDUCE PRESCRIPTION DRUG ABUSE, INOVA LOUDOUN HOSPITAL EMERGENCY CARE CENTERS (ASHBURN, CORNWALL, LANSDOWNE AND THE PEDS ED) HAVE REDUCED PHYSICIAN ORDERS WITHIN THE CENTERS FOR OPIOIDS BY AN AVERAGE OF 83%. ADDITIONALLY, IN SITUATIONS WHERE OPIATES ARE APPROPRIATE, PATIENTS ARE GIVEN A PRESCRIPTION FOR A SHORTER DURATION AS WELL AS A LOWER DOSE.ADDITIONALLY, ILH AND THE INOVA HEALTH SYSTEM CONTINUE TO ADDRESS IDENTIFIED HEALTH NEEDS (WHETHER SELECTED AS A PRIORITY AREA IN THE 2016 IMPLEMENTATION PLAN OR NOT) BY ONGOING INITIATIVES AND PROGRAMS INCLUDING THE FOLLOWING: PROVIDING IN-KIND AND FINANCIAL SUPPORT FOR COMMUNITY ORGANIZATIONS SEEKING TO IMPROVE COMMUNITY HEALTH AND MEET SOCIAL SERVICES NEEDS; PARTICIPATING ACTIVELY IN COMMUNITY COALITIONS AND ON BOARDS; OPERATING THE INOVA TRANSITIONAL CARE MANAGEMENT PROGRAM AND DISCHARGE CLINICS FOR LOW-INCOME PATIENTS WITHOUT A MEDICAL HOME; OPERATING INOVACARES CLINICS FOR MEDICAID AND UNINSURED PATIENTS; THE INOVA PACE PROGRAM; INCREASING VISITS FOR UNINSURED PATIENTS TO INOVA-AFFILIATED SPECIALISTS; EXPANDING HEALTH PROMOTION AND EDUCATION PROGRAMS PARTICULARLY TO REDUCE THE PREVALENCE OF DIET AND EXERCISE-RELATED HEALTH PROBLEMS; INCREASING INVESTMENT IN INOVA'S SNAP DOUBLE DOLLARS PROGRAM WHICH ENHANCES ACCESS TO HEALTHY FOOD; EXPANDING THE INOVA HEALTHY PLATE CLUB AT LOCAL TITLE I SCHOOLS; INCREASING SERVICES PROVIDED BY THE INOVA JUNIPER PROGRAM WHICH IS NORTHERN VIRGINIA'S LARGEST PROVIDER OF SERVICES FOR HIV/AIDS PATIENTS; PREVENTION, EDUCATION AND SUPPORT THROUGH THE INOVA LOUDOUN CANCER CENTER; AND ALCOHOL AND SUBSTANCE ABUSE TREATMENT AT THE INOVA COMPREHENSIVE ADDICTION TREATMENT SERVICES.
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.
PART V, SECTION B, LINE 7A AND LINE 10AHTTP://WWW.INOVA.ORG/INOVA-IN-THE-COMMUNITY/INDEX.JSP
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 - CORNWALL - ER
224 CORNWALL STREET NWLEESBURGVA20176EMERGENCY ROOM
2 - INOVA LOUDOUN AMBULATORY SURGICAL CENTER
44045 RIVERSIDE PARKWAYLEESBURGVA20176OUTPATIENT SURGERY

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 HAVE FAMILY INCOMES AT OR BELOW 500% OF THE CURRENT FPG, AND WHO, DUE TO THE NATURE AND EXTENT OF SERVICES PROVIDED, HAVE SIGNIFICANT CARE-RELATED FINANCIAL OBLIGAONS IN RELAON 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. TO QUALIFY FOR THIS ASSISTANCE, PATIENTS MUST HAVE LESS THAN $75,000 IN SAVINGS,CHECKING, OR SECURITY ACCOUNTS.
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 $1,573,301.
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 $ 20,538,390.
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 OUR 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 2017, INOVA RECYCLED OR DIVERTED APPROXIMATELY TWO 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 58,000 POUNDS OF UNUSED, UNOPENED MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT TO PLACES IN NEED BOTH IN LOCAL COMMUNITIES AND ACROSS THE GLOBE.ENERGYDURING 2017, INOVA CONTINUED TO MAKE PROGRESS TOWARDS ITS ENERGY GOAL OF REDUCING ENERGY USE INTENSITY (EUI) 20 PERCENT BY THE YEAR 2020 (2012 BASELINE YEAR). A VARIETY OF PROJECTS INCLUDING EXTERIOR LIGHTING UPGRADES, HVAC IMPROVEMENTS AND ENERGY MONITORING, ALL CONTRIBUTED TO INOVA MEETING THE 20% REDUCTION GOAL TWO YEARS PRIOR TO THE 2020 GOAL DATE. THESE EFFORTS RESULT IN COSTS 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. THERE ARE OTHER PROJECTS UNDERWAY INCLUDING INOVA LOUDOUN HOSPITAL PURSUING A NUMBER OF GREEN ELEMENTS. 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. TRANSPORTATIONWORKED 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 IN 2017, WITH 20% OF EMPLOYEES USING SOME SORT OF ALTERNATIVE MODE OF TRANSPORTATION. THIS IS THE RESULT OF A NUMBER OF PROGRAMS INCLUDING THE EMPLOYEE COMMUTER SHUTTLE, RESERVED PARKING FOR CARPOOLS AND VANPOOLS, BIKE RACKS, AND A PRE-TAX COMMUTER BENEFITS PROGRAM. THE CAMPUS ALSO INITIATED A COMMUTER CHALLENGE THIS FALL, RESULTING IN 455 FEWER VEHICLE TRIPS DURING THE MONTH OF OCTOBER. THESE INITIATIVES CONTRIBUTED TO LESS AIR POLLUTION AND LOCAL CONGESTION AS WELL AS IMPROVEMENTS TO OVERALL COMMUNITY HEALTH. FOODCONTINUED TO PROMOTE COMMUNITY SUPPORTED AGRICULTURE (CSA) PROGRAM THAT INCLUDES LOCATIONS ACROSS THE HEALTH SYSTEM. THE PROGRAM HELPS HIGHLIGHT THE IMPORTANCE OF LOCAL FARMERS AND BRINGS FRESH, HEALTHY, SEASONAL FOODS TO EMPLOYEES. 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. COMMUNITYDISTRIBUTED 525 NATIVE TREE SEEDLINGS TO BE PLANTED WITHIN THE LOCAL COMMUNITY IN 2017 IN SUPPORT OF EARTH DAY.MENTORED PEER ORGANIZATIONS LOCALLY AND NATIONALLY AS WELL AS A CORPORATE CLIENT (E-TRADE) 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 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 BAD DEBTS IS RECOGNIZED WHEN PROVIDING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.ALL OPERATING ENTITIES OF IHS TREAT EMERGENCY 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. SINCE IHS DOES NOT PURSUE COLLECTION OF AMOUNTS THAT QUALIFY AS CHARITY CARE, THEY 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 WILL BE TREATED AS SELF-PAY AND 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 IN-HOUSE COLLECTIONS AND WITHIN FEDERAL GUIDELINES FOR TRANSITIONING TO EXTERNAL COLLECTION AGENCIES AFTER IN-HOUSE EFFORTS HAVE BEEN EXHAUSTED. 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, LEGAL ACTIONS MAY BE UNDERTAKEN TO COLLECT PAYMENT.IF A PATIENT WISHES TO MAKE PAYMENT ARRANGEMENTS AND DOES NOT HAVE RESOURCES TO PAY THE ACCOUNT IN FULL, PAYMENT PLANS WILL BE OFFERED.NO INOVA ENTITY OR THIRD-PARTY COLLECTIONS AGENT WILL IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS 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 EXTRAORDINARY COLLECTIONS ACTIONS ARE IMPOSED FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST BILLING STATEMENT, ANDPROVIDING A 30-DAY WRITTEN NOTICE THAT INCLUDES INFORMATION ABOUT INOVA'S FINANCIAL ASSISTANCE POLICY AND ABOUT ANY INTENDED EXTRAORDINARY COLLECTIONS ACTIONS 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 EXTRAORDINARY COLLECTIONS ACTION HAS BEEN IMPOSED, THE ACCOUNT WILL BE ADJUSTED AND THE COLLECTIONS ACTION WILL BE REVERSED.
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.THE 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 2016 TO IDENTIFY PRIORITY HEALTH STATUS AND ACCESS ISSUES FOR PARTICULAR GEOGRAPHIC AREAS AND POPULATIONS BY FOCUSING ON THE FOLLOWING QUESTIONS: WHO IN THE COMMUNITY IS MOST VULNERABLE IN TERMS OF HEALTH STATUS OR ACCESS TO CARE?WHAT ARE THE UNIQUE HEALTH STATUS AND/OR ACCESS NEEDS FOR THESE POPULATIONS?WHERE DO THESE PEOPLE LIVE IN THE COMMUNITY? WHY ARE THESE PROBLEMS PRESENT?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 COMMUNITY SURVEY AND FROM INTERVIEWS WITH 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., UNINSURANCE 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, EACH INOVA HOSPITAL SELECTED 2-3 PRIORITY AREAS TO FOCUS ON FOR THE NEXT FEW YEARS, AND IS MOVING FORWARD WITH DEVELOPING COORDINATED EFFORTS WITHIN THE HEALTH SYSTEM TO CARRY OUT THE DESIGNED IMPLEMENTATION PLANS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE PROGRAM OUTREACH ADMINISTRATOR IS COORDINATING PLANS WITH HOSPITAL LEADERS TO ASSURE EFFECTIVE PLAN IMPLEMENTATION IN EACH OF THE RESPECTIVE COMMUNITIES. THE PROGRAM OUTREACH ADMINISTRATOR IS CENTRALIZED TO THE SYSTEM UNDER THE VICE PRESIDENT OF COMMUNITY HEALTH SERVICES 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 NEEDS ASSESSMENTS USING THE FRAMEWORK OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. INOVA HEALTH SYSTEM IS A PARTICIPATING MEMBER OF THE MAPP PROCESS IN EACH JURISDICTION ACROSS NORTHERN VIRGINIA.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. THE INFORMATION FROM THE MAPP HEALTH NEEDS ASSESSMENTS IN ALL JURISDICTIONS SERVED BY INOVA HEALTH SYSTEM, AS WELL AS THE ONGOING WORK OF THE ACTION TEAMS, WERE INCORPORATED INTO THE COMMUNITY NEEDS ASSESSMENT IMPLEMENTATION PLANS THAT WERE FINALIZED IN 2016. IN ADDITION TO THESE ACTIVITIES, INOVA IS CONTINUALLY GARNERING FEEDBACK ON EXISTING SAFETY NET AND COMMUNITY PROGRAMS FROM PARTICIPANTS THROUGH MONTHLY AND QUARTERLY SATISFACTION SURVEYS AND FOCUS GROUPS, PARTICIPATING IN REGIONAL AND LOCAL HEALTH RELATED GROUPS SUCH AS THE NORTHERN VIRGINIA HEALTH SERVICES COALITION, MEETING WITH VARIOUS CULTURAL AND ETHNIC GROUPS IN THE COMMUNITY AND USING INTERNAL UTILIZATION AND OUTCOMES DATA, REVIEW OF BEST PRACTICES AND REGIONAL AND NATIONAL BENCHMARK DATA AND OTHER EXTERNAL SOURCES SUCH AS THE METROPOLITAN WASHINGTON COUNCIL OF GOVERNMENTS (COG) DEMOGRAPHIC DATA 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 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. INOVA ALSO HAS MEDICAID ELIGIBILITY WORKERS ON-SITE IN ALL HOSPITALS, IN THE INOVACARES CLINIC FOR WOMEN AND CHILDREN (CLINIC FOR LOW INCOME FAMILIES) AND IN THE COMMUNITY AS PART OF THE PARTNERSHIP FOR HEALTHIER KIDS 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 BILLING AND FINANCIAL COORDINATORS AND FINANCIAL ASSISTANCE RESOURCES. ON THE SITE, A BROCHURE CALLED "YOUR GUIDE TO FINANCIAL HELP FOR HEALTH CARE SERVICES" CAN BE DOWNLOADED AND IS AVAILABLE IN SIX LANGUAGES TO ADDRESS THE NEEDS OF THE CULTURALLY DIVERSE COMMUNITY INOVA SERVES.
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 1,314 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 23% OVER THE NEXT DECADE, ADDING AN ESTIMATED AVERAGE OF 8,400 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 64% OVER THE NEXT 10 YEARS, WHILE THE NUMBER OF CHILDREN WILL INCREASE BY ABOUT 19% IN THE SAME TIME PERIOD. (MWCOG 9.0 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 2015 WAS 48% MINORITY, UP FROM 28% IN 1990, WHILE THE NATION AS A WHOLE REFLECTS A 38% MINORITY POPULATION (U.S. CENSUS BUREAU). THE U.S. CENSUS BUREAU ESTIMATES THAT LOUDOUN COUNTY HAD A POPULATION OF 375,629 PEOPLE IN 2015. THIS IS THE FASTEST GROWING JURISDICTION IN NORTHERN VIRGINIA. IN 2015, LOUDOUN COUNTY'S ASIANS, HISPANICS, AND AFRICAN AMERICANS REPRESENTED 18.0%, 13.6% 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 COMMUNITY HEALTH SERVICES 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:THE STREAMLINED ELIGIBILITY PROGRAM (SES), LAUNCHED BY THE SUCCESSFUL IMPLEMENTATION OF THE FEDERALLY-FUNDED 2001 CAP AND 2004 HCAP GRANTS, CONTINUES TO BE FUNDED BY INOVA AND FAIRFAX COUNTY. SES PROVIDES LOCAL SAFETY-NET HEALTH CARE PROVIDERS ACCESS TO COORDINATED HEALTH CARE NETWORKS TO SERVE THE UNINSURED AND UNDERINSURED RESIDENTS OF NORTHERN VIRGINIA. A SHARED DATABASE IS USED TO DETERMINE A PATIENT'S ELIGIBILITY FOR SERVICES WHICH PROVIDES ONE CENTRAL INTAKE THEREBY STREAMLINING AND EXPEDITING THE PROCESS. INOVA SUPPORTS THE INFRASTRUCTURE AND EXPANSION OF THE PROGRAM WHICH CURRENTLY CONSISTS OF 12 PUBLIC/PRIVATE PARTNERS SERVING FAIRFAX COUNTY, CITY OF ALEXANDRIA, LOUDOUN COUNTY, ARLINGTON COUNTY, AND PRINCE WILLIAM COUNTY. THE SYSTEM CURRENTLY HOUSES OVER 300,000 ELIGIBILITY RECORDS OF UNINSURED AND MEDICAID PATIENTS.INOVA'S PARTNERSHIP FOR HEALTHIER KIDS (PHK) ACCESS TO CARE PROGRAM PROVIDES FAMILIES WITH COMPREHENSIVE APPLICATION AND ENROLLMENT ASSISTANCE TO CONNECT THEM WITH AN APPROPRIATE AND AFFORDABLE SOURCE OF HEALTH CARE SERVICES. IN 2017, PHK ASSISTED OVER 7,720 CHILDREN AND PARENTS WITH ACCESS TO A SOURCE OF COMPREHENSIVE HEALTH CARE SERVICES SUCH AS MEDICAID, FAMIS OR LOCAL SAFETY NET PROVIDERS.CARE CONNECTION FOR CHILDREN (CCC) IS FUNDED BY THE VIRGINIA DEPARTMENT OF HEALTH. THE GOAL OF CCC IS TO HELP FAMILIES COORDINATE COMMUNITY AND EDUCATIONAL RESOURCES WITH MEDICAL EXPERTISE TO ENSURE THAT CHILDREN WITH SPECIAL HEALTHCARE NEEDS CAN REACH THEIR MAXIMUM POTENTIAL. CCC PARTNERS WITH FAMILIES OF CHILDREN WHO HAVE CHRONIC HEALTHCARE NEEDS TO HELP OPEN DOORS TO NEEDED RESOURCES AND COORDINATE QUALITY FAMILY-CENTERED CARE. CCC IS COMMITTED TO HELPING CHILDREN MAXIMIZE THEIR POTENTIAL IN A CARING, INNOVATIVE AND CULTURALLY SENSITIVE MANNER. IN 2017, CCC SERVED 943 FAMILIES.TRANSITIONAL CARE MANAGEMENTINOVA TRANSITIONAL SERVICES IS A COMPREHENSIVE SERVICE 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. INOVA TRANSITIONAL SERVICES ENCOMPASSES THREE MAIN PROGRAMS-TRANSITIONAL CARE MANAGEMENT (TCM), THE TRANSITIONAL SERVICES CLINICS AND THE NEW MEDICARE FOCUSED NAVIGATOR (MFN) PROGRAM. TCM IS A 30 DAY POST-ACUTE TELEPHONIC CASE MANAGEMENT PROGRAM DESIGNED TO ENCOURAGE PATIENTS TO FOLLOW UP WITH THEIR PRIMARY CARE PHYSICIAN (PCP) AND TO FOLLOW PCP INSTRUCTIONS ON MEDICATION RECONCILIATION. TCM ALSO ASSISTS PATIENTS BY PROVIDING EDUCATION ON THEIR DISEASE SYMPTOMS AND EMPOWERS THEM TO TAKE AN ACTIVE, PREVENTATIVE ROLE IN THEIR HEALTHCARE AND WELLNESS. TCM PROMOTES EARLY INTERVENTION AND COMMUNICATION WITH PCPS AT THE FIRST SIGNS OF DISEASE SYMPTOMS AND ASSISTS PATIENTS IN NAVIGATING SERVICES AND RESOURCES IN THE COMMUNITY TO SUPPORT THEIR WELLNESS GOALS.THE TRANSITIONAL SERVICES 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. IN 2017, TCM MANAGED ALMOST 5,000 ADMISSIONS AND THE TRANSITIONAL SERVICES CLINICS SERVED OVER 4,000 PATIENTS WITH OVER 10,000 VISIT ENCOUNTERS. THE MEDICARE FOCUSED NAVIGATOR PROGRAM IS DESIGNED TO PROVIDE OVERSIGHT AND NAVIGATION OF THE MEDICARE 65+ FOCUS DIAGNOSIS PATIENTS THROUGHOUT THE CONTINUUM OF CARE DURING THE 30 DAYS POST INPATIENT HOSPITALIZATION. THE GOAL OF THE PROGRAM IS TO ENSURE PROPER ACCESS AND COORDINATION OF ALL DISCHARGE DISPOSITIONS, POST-ACUTE CARE SERVICES AND ASSIST WITH TRANSITIONS THROUGHOUT THE CONTINUUM BY ASSISTING PATIENTS AND COMMUNITY SERVICE PROVIDERS WITH FOLLOW UP APPOINTMENT COORDINATION, APPOINTMENT REMINDER CALLS, RESOURCE CONNECTION, PROBLEM SOLVING AND COMMUNICATION. THE MFN PROGRAM WAS LAUNCHED IN JUNE, 2017 AND ENROLLED OVER 1,100 PATIENTS IN THE FIRST SIX MONTHS. INOVA IS COMMITTED TO PROVIDING A QUALITY, POST-HOSPITALIZATION CARE CONTINUUM TO ENSURE THAT THE AMBULATORY PHYSICIAN COMMUNITY IS SUPPORTED IN CARING FOR THIS MEDICALLY COMPLEX AND VULNERABLE POPULATION.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 76,225 HOURS OF PROGRAMMING, TREATMENT AND EDUCATION TO CHILDREN, ADOLESCENTS, AND FAMILIES IN 2017. 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 MOST OF NORTHERN VIRGINIA INCLUDING FAIRFAX, ARLINGTON, LOUDOUN AND PRINCE WILLIAM COUNTIES, THE CITIES OF ALEXANDRIA AND FALLS CHURCH, PARTS OF FAUQUIER AND STAFFORD COUNTIES AND ALL NORTHERN VIRGINIA DETENTION CENTERS, MILITARY INSTALLATIONS AND UNIVERSITIES. FACT 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 VICTIMS OF HUMAN SEX TRAFFICKING. IN 2017, THE DEPARTMENT HAD 880 PATIENT ENCOUNTERS, REFLECTING A 30% INCREASE FROM 2016. HEALTH PROMOTION AND PREVENTATIVE CARE PROGRAMSNORTHERN VIRGINIA HEALTHY KIDS COALITION: INOVA HEALTH SYSTEM, IN PARTNERSHIP WITH NORTHERN VIRGINIA SCHOOLS, HEALTH DEPARTMENTS, AND GOVERNMENT ENTITIES HAVE JOINED TOGETHER IN A MULTI-YEAR EFFORT TO ADDRESS THE CHILDHOOD OBESITY EPIDEMIC BY WORKING TO REVERSE THIS TREND. INOVA HEALTH SYSTEM SPONSORS THIS COMMUNITY-BASED COALITION. TO PREVENT AND REDUCE THE INCIDENCE OF NUTRITION-RELATED DISEASES, INOVA FOCUSED 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. IN ADDITION, IN 2017 INOVA PROVIDED $74,500 IN FUNDING TO SUPPORT THE BREAKFAST IN THE CLASSROOM PROGRAM IN FAIRFAX AND LOUDOUN COUNTY PUBLIC SCHOOLS AND THE CITY OF ALEXANDRIA PUBLIC SCHOOLS.INOVA ALSO CONTINUED TO GROW THE INOVA HEALTHY PLATE PROGRAM, AN 8-WEEK SCHOOL-BASED NUTRITION PROGRAM PROVIDED TO FIVE LOCAL TITLE I ELEMENTARY SCHOOLS, PLUS THREE COMMUNITY-BASED SUMMER CAMPS. THE INOVA HEALTHY PLATE CLUB AIMS TO IMPROVE STUDENTS' UNDERSTANDING OF NUTRITION AND THE IMPORTANCE OF HEALTHY BEHAVIORS. IN 2017, THE INOVA HEALTHY PLATE CLUB SERVED OVER 250 STUDENTS.
PART VI, LINE 6:ORGANIZATION IS PART OF INOVA HEALTH SYSTEM INCLUDED IN DESCRIPTION UNDER LINE 5.
PART VI, LINE 5 CONTINUATIONLANGUAGE 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 2017, PHONE, VIDEO AND IN-PERSON MEDICAL INTERPRETERS DELIVERED 81,775 HOURS OF INTERPRETATION IN 200 LANGUAGES, AND 19,361 HOURS IN AMERICAN SIGN LANGUAGE. ADDITIONALLY, 509 VITAL DOCUMENTS WERE TRANSLATED INTO INOVA'S TOP LANGUAGES.CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSINOVA DONATES SPACE, PROVIDES CASH AND IN-KIND SUPPORT SUCH AS HOUSEKEEPING AND DONATED STAFF TIME TO A NUMBER OF COMMUNITY GROUPS AND SERVICES. INOVA PROVIDES SUPPORT TO 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 2017, INOVA DONATED OVER $3 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.
PART VI, LINE 7ORGANIZATION HAS NO STATE FILINGS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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
MARK STAUDER
TRUSTEE$0$1,024,801$0$657,176$0$757,233$0$1,356,934$0$23,547$0$3,819,691$0$712,120
PATRICK WALTERS
INTERIM CHRO, SECRETARY$430,708$0$172,544$0$105,653$0$271,943$0$18,797$0$999,645$0$55,046$0
LORING FLINT
EVP CHIEF MEDICAL OFFICER$0$652,575$0$418,228$0$44,478$0$567,126$0$21,053$0$1,703,460$0$209,114
J KNOX SINGLETON
PRESIDENT$0$1,320,845$0$3,278,873$0$9,055,564$0$1,944,850$0$645$0$15,600,777$0$1,424,025
JOHN GAUL
SVP GENERAL COUNSEL$0$480,329$0$141,828$0$21,710$0$203,033$0$27,343$0$874,243$0$47,276
RICHARD MAGENHEIMER
TREASURER$0$706,313$0$364,400$0$534,553$0$666,913$0$21,787$0$2,293,966$0$429,700
DEBORAH ADDO
CEO ILH$420,074$0$140,998$0$122,087$0$166,580$0$3,070$0$852,809$0$88,759$0
WILLIAM BANE
AVP ASSOC ADMIN CFO$203,069$0$37,923$0$46,314$0$22,204$0$23,684$0$333,194$0$21,916$0
ELIZABETH DUGAN
AVP, CNO$89,606$0$50,665$0$98,006$0$14,582$0$17,860$0$270,719$0$43,559$0
CHRISTOPHER CHIANTELLA
CHIEF MEDICAL OFFICER, ILH$275,748$0$43,137$0$14,363$0$87,103$0$16,026$0$436,377$0$0$0
DEBBIE WAGNER
MGR PHARMACY PIC$160,237$0$19,819$0$312$0$25,551$0$21,068$0$226,987$0$0$0
MARISSA JAMARIK
SIR DIR NURSING SRVCS$169,157$0$46,611$0$5,573$0$7,014$0$16,043$0$244,398$0$0$0
APRIL BROWN
SR DIR NURSING SVCS$149,003$0$20,121$0$270$0$20,069$0$24,620$0$214,083$0$0$0
REBECCA VALDESUSO
SR DIR PERIOP SVCS$154,747$0$17,424$0$182$0$25,582$0$8,579$0$206,514$0$0$0
SHONDRA JONES
CARDIO INVASIVE SPECIALIST$169,481$0$671$0$103$0$19,806$0$8,609$0$198,670$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3QUESTION 3 - THE FOLLOWING METHODS WERE USED BY IMANCO, INC., A REALTED 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-BSEVERENCE: J. KNOX SINGLETON $5,007,436 SERP PLAN PAYMENTS J. KNOX SINGLETON $258,502 RICHARD MAGENHEIMER $105,241 ELIZABETH DUGAN $61,818 PATRICK WALTERS $64,721 DEBORAH ADDO $87,185 WILLIAM BANE $35,047 MARK STAUDER $154,395 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJILL MCCABE MDPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionTRUSTEERelationshipDescriptionTxt
Transaction$120,000TransactionAmt
TransactionFEE FOR MEDICAL DIRECTOR. SERVICES PROVIDED AT ARM'S LENGTH AND CUSTOMARY RATES.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4ACASH 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 TO THE LOUDOUN FREE CLINIC WHICH IS AN INDEPENDENT 501(C)(3) COMMUNITY HEALTH CENTER PROVIDING PRIMARY HEALTHCARE SERVICES FOR THE UNINSURED AND LOW INCOME RESIDENTS OF LOUDOUN COUNTY; 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 2017, ILH DONATED A TOTAL OF $706,637 FOR THESE GROUPS COVERING BOTH CASH AND IN-KIND TRANSACTIONS.
PART V, LINE 1A AND 2ATHE 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, 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. 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 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, 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 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 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 IX, LINE 11GINTERNAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 27,779,299. MANAGEMENT AND GENERAL EXPENSES 4,154,600. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,933,899. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 5,616,652. MANAGEMENT AND GENERAL EXPENSES 840,012. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,456,664. OUTSOURCED SERVICES: PROGRAM SERVICE EXPENSES 16,198,682. MANAGEMENT AND GENERAL EXPENSES 2,426,590. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,625,272.
FORM 990, PART XI, LINE 9:PARTNERSHIP INCOME -8,016,868. TEMP RESTRICTED INCOME/LOSS -4,639. PERM RESTRICTED INCOME/LOSS -185,843. EQUITY IN SUBSIDIARIES 7,445,038. GRANT CAPITAL REIMBURSEMENTS 207,086. OTHER -203.
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 LARGE "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 AUDITTHE COMPANY IS A SUBSIDIARY 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 LARGE "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 AT LEAST TWICE A 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 NAN/ADirectControllingNACd

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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
IMANCO INC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541340725PAYROLL CORPORTIONVA501(C)(3)12, I0INOVA 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 HEALTH CARE 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$406,818$717,030000.13370
INOVA LOUDOUN ASC LLC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042203523190SURGERY CENTERVAN/ARELATED$7,610,050$6,162,0170Yes (1)0.64820
INNOVATION HEALTH HOLDINGS LLC
151 FARMNGTON AVENUE RT21HARTFORDCT06156455527797HEALTH INSURANCEVAN/ARELATED-$27,834$63,066,9060Yes (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
Share Of Total Income$58,369,446ShareOfTotalIncomeAmt
Share Of EOY Assets$58,547,355ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
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 HOSPITAL FOUNDATION
C$1,260,306GENERAL LEDGER
LOUDOUN HOSPITAL FOUNDATION
M$1,488,596GENERAL LEDGER

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