INOVA HEALTH PLAN LLC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- INOVA HEALTH PLAN LLC (EIN 20-1581237)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-11
- IRS object ID
- 201613169349300041
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-11T08:29:53-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7501 WISCONSIN AVE SUITE 400E | AddressLine1Txt |
| City | BETHESDA | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 20814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201581237 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTOTAL HEALTH LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INTO | BusinessNameControlTxt |
| Phone | 7032892433 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8110 GATEHOUSE ROAD SUITE 400W | AddressLine1Txt |
| City | FALLS CHURCH | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22042 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | richard magenheimer | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7032892433 | PhoneNum |
| Signature | 2016-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | FRED HUTCHISON | PreparerPersonNm |
| PTIN | P00640420 | PTIN |
| Phone | 7037446700 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK STAUDER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8110 GATEHOUSE ROAD SUITE 400W | AddressLine1Txt |
| City | FALLS CHURCH | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $189,821,778 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | INOVA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | INTotal Health's mission is to improve the health of its members, the quality of their health care, and the accessibility of health care services for Medicaid consumers. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 91 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $177,779,265 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $189,717,143 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$953 | PYInvestmentIncomeAmt |
| CY Investment Income | $88,812 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $177,778,312 | PYTotalRevenueAmt |
| CY Total Revenue | $189,805,955 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,112,027 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,783,284 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $176,272,607 | PYOtherExpensesAmt |
| CY Other Expenses | $181,622,925 | CYOtherExpensesAmt |
| PY Total Expenses | $183,384,634 | PYTotalExpensesAmt |
| CY Total Expenses | $189,406,209 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,606,322 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $399,746 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $118,163,938 | TotalAssetsBOYAmt |
| Total Assets EOY | $118,197,154 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,215,855 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,918,797 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $92,948,083 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $93,278,357 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | INTotal Health's charitable mission is to improve the health of its members, the quality of their health care, and the accessibility of health care services for Medicaid consumers through its broad state-wide network, including primary care and specialist physicians, hospitals, nursing facilities, home health care agencies, and other medical providers who provide medical care as well as assist in the coordination of member care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $186,183,977 | ExpenseAmt |
| Revenue | $189,701,320 | RevenueAmt |
| Desc | INTotal Health, LLC is a Medicaid managed care health insurance plan that is licensed by the Commonwealth of Virginia. The Plan serves approximately 58,000 Temporary Assistance for Needy Families, Children's Health Insurance Program recipients, and Supplemental Security Income/Aged, Blind and Disabled members through the Medallion 3.0 and Family Access to Medical Insurance Security programs. The Plan's network includes primary care and specialist physicians, hospitals, nursing facilities, home health care agencies, and other medical providers who provide medical care as well as assist in the coordination of member care. The Plan provides case management and outreach services to its members in order to assess their needs and to help coordinate their care with the healthcare system and community.The Plan operates as a network-model health plan and contracts directly with physicians, hospitals, and other health care providers for the provision of services to its members. The Plan also contracts with several third party benefit administrators for the provision of certain ancillary services, including pharmacy, vision, lab, and transportation services. | Desc |
| Total Program Service Expenses | $186,183,977 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 1674 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 91 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INTOTAL HEALTH LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7032892433 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8110 GATEHOUSE ROAD SUITE 400W | AddressLine1Txt |
| City | FALLS CHURCH | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22042 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RUSSELL MOHAWK | |||||||||
| PRESIDENT/CEO | 10.00 | 30.00 | Yes (X) | Yes (X) | $0 | $591,560 | $137,239 | ||
| JAMES SANTRY | |||||||||
| SECRETARY/COO | 5.00 | 45.00 | Yes (X) | Yes (X) | $0 | $643,227 | $84,294 | ||
| RICHARD MAGENHEIMER | |||||||||
| TREASURER/CFO | 1.00 | 49.00 | Yes (X) | Yes (X) | $0 | $1,886,593 | $495,017 | ||
| MARK STAUDER | |||||||||
| PRESIDENT/COO | 0.50 | 49.50 | Yes (X) | $0 | $2,723,958 | $821,565 | |||
| JOHN MURACA | |||||||||
| ITH VP CEO HEALTHPLAN | 40.00 | $371,964 | $0 | $94,910 | Yes (X) | ||||
| FARZANA RAHMAN | |||||||||
| ITH PHARMACY DIRECTOR | 40.00 | $154,174 | $0 | $40,920 | Yes (X) | ||||
| JANINE WOLDT | |||||||||
| ITH AVP CAO HEALTHPLAN | 40.00 | $211,726 | $0 | $52,197 | Yes (X) | ||||
| CHERYL RICCARDI | |||||||||
| ITH AVP CLINICAL SVCS | 40.00 | $213,864 | $0 | $43,051 | Yes (X) | ||||
| JULIE GARCIA | |||||||||
| DIR CASE MGMT AND DISEASE MGMT | 40.00 | $127,704 | $0 | $8,152 | Yes (X) | ||||
| MOHAMED ALLY | |||||||||
| ITH AVP CMO HEALTHPLAN | 40.00 | $305,424 | $0 | $51,528 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,384,856 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,845,338 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,828,873 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CRP-3 FAIRVIEW PARTK LLC | |||||
| TWO INTERNATIONAL PLACE SUITE 2500 | BOSTON | MA | 02110 | CONFERENCE SERVICES | $411,269 |
| MILLIMAN CARE GUIDELINES LLC | |||||
| 901 FIFTH AVE SUITE 2000 | SEATTLE | WA | 98164 | CONSULTING | $407,745 |
| MICHAEL K GRADY MD | |||||
| 8 KNOLL LANE | ROSLYN HEIGHTS | NY | 11577 | MEDICAL | $151,800 |
| LOCKTON COMPANIES | |||||
| 7401 METRO BLVE SUITE 210 | EDINA | MD | 55439 | INSURANCE | $130,000 |
| JONES DAY REAVIS & POGUE | |||||
| PO BOX 165017 | COLUMBUS | OH | 43216 | LEGAL | $108,233 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE PREMIUMS | Desc |
| Business | 524298 | BusinessCd |
| Total Revenue Column | $189,717,143 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $189,717,143 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $189,717,143 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $104,635 | TotalRevenueColumnAmt |
| Exclusion | $104,635 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,823 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$15,823 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,823 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$15,823 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $189,805,955 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $189,701,320 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $104,635 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $371,964 | TotalAmt |
| Program Services | $371,964 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,046,206 | TotalAmt |
| Program Services | $5,224,038 | ProgramServicesAmt |
| Management And General | $822,168 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,920 | TotalAmt |
| Program Services | $281,554 | ProgramServicesAmt |
| Management And General | $41,366 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $613,401 | TotalAmt |
| Program Services | $534,824 | ProgramServicesAmt |
| Management And General | $78,577 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $428,793 | TotalAmt |
| Program Services | $373,865 | ProgramServicesAmt |
| Management And General | $54,928 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,355,322 | TotalAmt |
| Program Services | $9,028,805 | ProgramServicesAmt |
| Management And General | $1,326,517 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,857 | TotalAmt |
| Program Services | $51,317 | ProgramServicesAmt |
| Management And General | $7,540 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,282 | TotalAmt |
| Program Services | $36,866 | ProgramServicesAmt |
| Management And General | $5,416 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,331,945 | TotalAmt |
| Program Services | $2,905,123 | ProgramServicesAmt |
| Management And General | $426,822 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,629 | TotalAmt |
| Program Services | $7,524 | ProgramServicesAmt |
| Management And General | $1,105 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,845 | TotalAmt |
| Program Services | $7,712 | ProgramServicesAmt |
| Management And General | $1,133 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,198 | TotalAmt |
| Program Services | $391,656 | ProgramServicesAmt |
| Management And General | $57,542 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,329 | TotalAmt |
| Program Services | $114,506 | ProgramServicesAmt |
| Management And General | $16,823 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,936 | TotalAmt |
| Program Services | $31,333 | ProgramServicesAmt |
| Management And General | $4,603 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,493 | TotalAmt |
| Program Services | $9,149 | ProgramServicesAmt |
| Management And General | $1,344 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,707,413 | TotalAmt |
| Program Services | $1,488,693 | ProgramServicesAmt |
| Management And General | $218,720 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,216 | TotalAmt |
| Program Services | $12,395 | ProgramServicesAmt |
| Management And General | $1,821 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL CLAIMS | $164,252,174 | $164,252,174 | |
| TAXES AND LICENSES | $1,040,161 | $906,916 | $133,245 |
| PRINTING | $64,444 | $56,189 | $8,255 |
| OTHER PURCHASED SERVICE | $43,917 | $38,291 | $5,626 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,764 | TotalAmt |
| Program Services | $59,083 | ProgramServicesAmt |
| Management And General | $8,681 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,406,209 | TotalAmt |
| Program Services | $186,183,977 | ProgramServicesAmt |
| Management And General | $3,222,232 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,767,700 | BOYAmt |
| EOY | $22,083,984 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,864,392 | BOYAmt |
| EOY | $16,115,816 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,528,393 | BOYAmt |
| EOY | $2,670,360 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $883,284 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $578,773 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $496,924 | BOYAmt |
| EOY | $304,511 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,070,822 | BOYAmt |
| EOY | $12,101,776 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,435,707 | BOYAmt |
| EOY | $64,920,707 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,163,938 | BOYAmt |
| EOY | $118,197,154 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,669,604 | BOYAmt |
| EOY | $2,656,070 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,546,251 | BOYAmt |
| EOY | $22,262,727 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,215,855 | BOYAmt |
| EOY | $24,918,797 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,948,083 | BOYAmt |
| EOY | $93,278,357 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,948,083 | BOYAmt |
| EOY | $93,278,357 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,163,938 | BOYAmt |
| EOY | $118,197,154 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $399,746 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$69,472 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $13,991,799 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178,353,226 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $177,779,265 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $189,717,143 | CurrentTaxYearAmt |
| Total | $559,841,433 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $13,991,799 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178,353,226 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $177,779,265 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $189,717,143 | CurrentTaxYearAmt |
| Total | $559,841,433 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $559,841,433 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,501 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $280,512 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,812 | CurrentTaxYearAmt |
| Total | $373,872 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,501 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $280,512 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $88,812 | CurrentTaxYearAmt |
| Total | $373,872 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $13,997,300 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178,633,738 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $177,778,312 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $189,805,955 | CurrentTaxYearAmt |
| Total | $560,215,305 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99930 | PublicSupportCY509Pct |
| Investment Income CY | 0.00070 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $13,217 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $13,217 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | There were no significant lobbying activities during 2015. Amounts under Other activities per Part II-B represent a portion of membership dues related to lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $392,433 | OtherCostOrOtherBasisAmt |
| Depreciation | $263,954 | DepreciationAmt |
| Book Value | $128,479 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $490,851 | OtherCostOrOtherBasisAmt |
| Depreciation | $314,819 | DepreciationAmt |
| Book Value | $176,032 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $304,511 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO SUBSIDIARIES AND AFFILIATES | $1,538,692 |
| MEDICAL CLAIMS LIABILITY | $20,724,035 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $22,262,727 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | From Inova Health System consolidated financial statements that include the organization: The Foundation, IHCS, LHC, and INTotal Health 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUSSELL MOHAWK | ||||||||||||||
| PRESIDENT/CEO | $0 | $425,840 | $0 | $140,818 | $0 | $24,902 | $0 | $118,991 | $0 | $18,248 | $0 | $728,799 | $0 | $0 |
| JAMES SANTRY | ||||||||||||||
| SECRETARY/COO | $0 | $412,241 | $0 | $145,248 | $0 | $85,738 | $0 | $60,259 | $0 | $24,035 | $0 | $727,521 | $0 | $29,205 |
| RICHARD MAGENHEIMER | ||||||||||||||
| TREASURER/CFO | $0 | $686,647 | $0 | $455,969 | $0 | $743,977 | $0 | $478,579 | $0 | $16,438 | $0 | $2,381,610 | $0 | $603,000 |
| MARK STAUDER | ||||||||||||||
| PRESIDENT/COO | $0 | $991,051 | $0 | $588,826 | $0 | $1,144,081 | $0 | $801,492 | $0 | $20,073 | $0 | $3,545,523 | $0 | $778,291 |
| JOHN MURACA | ||||||||||||||
| ITH VP CEO HEALTHPLAN | $278,490 | $0 | $71,252 | $0 | $22,222 | $0 | $71,398 | $0 | $23,512 | $0 | $466,874 | $0 | $0 | $0 |
| FARZANA RAHMAN | ||||||||||||||
| ITH PHARMACY DIRECTOR | $153,967 | $0 | $0 | $0 | $207 | $0 | $24,983 | $0 | $15,937 | $0 | $195,094 | $0 | $0 | $0 |
| JANINE WOLDT | ||||||||||||||
| ITH AVP CAO HEALTHPLAN | $176,311 | $0 | $25,059 | $0 | $10,356 | $0 | $38,835 | $0 | $13,362 | $0 | $263,923 | $0 | $0 | $0 |
| CHERYL RICCARDI | ||||||||||||||
| ITH AVP CLINICAL SVCS | $169,018 | $0 | $23,484 | $0 | $21,362 | $0 | $30,406 | $0 | $12,645 | $0 | $256,915 | $0 | $10,732 | $0 |
| MOHAMED ALLY | ||||||||||||||
| ITH AVP CMO HEALTHPLAN | $272,922 | $0 | $21,315 | $0 | $11,187 | $0 | $29,879 | $0 | $21,649 | $0 | $356,952 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 4b | FormAndLineReferenceDesc |
| Explanation | SERP Plan Payments Richard Magenheimer $101,665 James Santry $51,990 Mark Stauder $246,020 Cheryl Ricciardi $10,732 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 50, 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. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 1A AND 2A - NUMBER OF 1099S AND EMPLOYEES | The organization falls under a master pay agent and does not file any payroll returns under its own EIN. |
| Form 990, Part VI, Section A, line 6 | The organization has a single member. The sole member is Inova Health Care Services, a charitable 501(c)(3) tax-exempt organization which is part of the integrated health care delivery system. The sole member elects the trustees of the organization and has certain other reserved powers. |
| Form 990, Part VI, Section A, line 7a | The sole member of the organization, Inova Health Care Services, is a charitable 501(c)(3) tax-exempt organization. The sole member elects the members of the governing body of the organization periodically as terms expire. The sole member has the right to remove trustees and fill any vacancies on the board. |
| Form 990, Part VI, Section A, line 7b | The sole member of the organization, Inova Health Care Services, is a charitable 501(c)(3) tax-exempt organization. The sole member holds reserved powers with respect to certain actions, including approval of borrowings, amendments of Articles of Incorporation and Bylaws. Approval by the Board of Trustees is required for such 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 11 | The Form 990 is prepared and provided to the Chief Accounting Officer and external tax consultants for initial review. After the review it is given to the CFO of Inova Health System for his review and comment. The Form 990 is presented to the Executive Committee of the Board of Trustees for their review. Upon completion of the Executive Committee review, it is provided to the full Board of Trustees. In this process, the Form 990 has been provided to the Governing Board approximately two weeks prior to the filing of the return. |
| Form 990, Part VI, Section B, line 12c | Yes, annually the organization distributes the conflict of interest policy to all directors, officers, trustees, and key employees. The organization requires that each director, officer, trustee, and key employee acknowledge that they have read, understood, and will abide by the policy. Each director, officer, trustee, and key employee is required to complete and submit an annual conflict of interest disclosure. These disclosures are broad and require that the individual list any business relationships or personal relationships with other directors, officers, trustees, and key employees, as well as any relationships with competitors, or current or potential vendors or contractors. Disclosure statements are reviewed by senior management and any potential conflicts are discussed with governing body chairman to ensure that any member who may have a conflict discloses their potential conflict, and is dismissed from related discussions and recused from participation in applicable decisions. |
| Form 990, Part VI, Section B, line 15 | 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 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. |
| Form 990, Part VI, Section C, line 18 | The Form 1023 and Form 990 are available at the address listed on page 1 of the Form 990 upon request during regular business hours. |
| Form 990, Part VI, Section C, line 19 | Inova Health System makes certain information publicly available. Inova's consolidated financial statements are posted on the Electronic Municipal Market Access's (EMMA) website on a quarterly basis. Inova's Form 990s are disclosed on the Guidestar website. 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. |
| PART XII, LINE 2A AND 2B - AUDITED FINANCIAL STATEMENTS | The company is part of the Inova Health System, a not-for-profit integrated health care delivery system serving Northern Virginia and surrounding areas. The company's financial statements are consolidated in the Inova Health System consolidated financial statements. Inova Health System is audited on an annual basis by a 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 Finance and Audit Committee of the Board of Trustees of Inova Health System is responsible for the oversight of the audit, including the hiring of the audit firm, review and approval of audited financial statements and communication with the external auditors at least twice a year without the presence of internal management. |
| PART XII, LINE 3A - A-133 AUDIT | The 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 A-133 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 on Compliance with Requirements Applicable to Each Major Program and on Internal Controls over Compliance in Accordance with OMB Circular A-133" is issued on a consolidated basis. The Finance and Audit Committee of the Board of Trustees of Inova Health System is responsible for the oversight of the A-133 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 Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| INOVA HEALTH SYSTEM FOUNDATION | ||||||||||
| 8110 GATEHOUSE ROAD SUITE 400W | FALL CHURCH | VA | 22042 | 541071867 | FUNDRAISING | VA | 501(C)(3) | 11,III | N/A | 0 |
| INOVA HEALTH CARE SERVICES | ||||||||||
| 8110 GATEHOUSE ROAD SUITE 400W | FALL CHURCH | VA | 22042 | 540620889 | HOSPITAL SYSTEM | VA | 501(C)(3) | 3 | N/A | 0 |
| PEDIATRIC SPECIALISTS OF VIRGINIA LLC | ||||||||||
| 3023 HAMAKER COURT | FAIRFAX | VA | 22031 | 461851763 | MEDICAL SERVICES FOR CHILDREN | VA | 501(C)(3) | 9 | N/A | 0 |
| IMANCOINC | ||||||||||
| 8110 GATEHOUSE ROAD SUITE 400W | FALL CHURCH | VA | 22042 | 541340725 | PAYROLL CORPORATION | VA | 501(C)(3) | 11, I | N/A | 0 |
| INOVA VNA HOME CARE | ||||||||||
| 8110 GATEHOUSE ROAD SUITE 400W | FALL CHURCH | VA | 22042 | 541277164 | HOME HEALTH | VA | 501(C)(3) | 9 | N/A | 0 |
| LOUDOUN HEALTHCARE FOUNDATION | ||||||||||
| 8110 GATEHOUSE ROAD SUITE 400W | FALL CHURCH | VA | 22042 | 542011240 | FUNDRAISING | VA | 501(C)(3) | 11, I | N/A | 0 |
| ALEXANDRIA HOSPITAL FOUNDATION | ||||||||||
| 8110 GATEHOUSE ROAD SUITE 400W | FALL CHURCH | VA | 22042 | 510241913 | FUNDRAISING | VA | 501(C)(3) | 11, I | N/A | 0 |
| LOUDOUN HOSPITAL CENTER | ||||||||||
| 8110 GATEHOUSE ROAD SUITE 400W | FALL CHURCH | VA | 22042 | 540525802 | HOSPITAL | VA | 501(C)(3) | 3 | N/A | 0 |
| LOUDOUN NURSING AND REHABILITATION CENTER | ||||||||||
| 8110 GATEHOUSE ROAD SUITE 400W | FALL CHURCH | VA | 22042 | 541361310 | NURSING HOME | VA | 501(C)(3) | 9 | N/A | 0 |
| LOUDOUN HEALTH SERVICES | ||||||||||
| 8110 GATEHOUSE ROAD SUITE 400W | FALL CHURCH | VA | 22042 | 541555489 | SURGERY CENTER | VA | 501(C)(3) | 9 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| INOVA HEALTH SYSTEM FOUNDATION | ||
| S | $720,296 | INTERCOMPANY BALANCE |
| INOVA HEALTH CARE SERVICES | ||
| R | $19,880,663 | FAIR MARKET VALUE |
| INOVA VNA HOME CARE | ||
| R | $70,249 | FAIR MARKET VALUE |
| LOUDOUN HOSPITAL CENTER | ||
| R | $1,880,879 | FAIR MARKET VALUE |
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