LOUDOUN HOSPITAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: LOUDOUN HOSPITAL CENTER (EIN 54-0525802)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-11
IRS object ID: 201623169349300742
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

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	540525802	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LOUDOUN HOSPITAL CENTER	BusinessNameLine1Txt
Business Name Line2	DBA INOVA LOUDOUN HOSPITAL	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	LOUD	BusinessNameControlTxt
Phone	7038586000	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	7038586000	PhoneNum
Signature	2016-11-09	SignatureDt

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	J KNOX SINGLETON	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	$301,929,861	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	INOVA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1930	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	INOVA LOUDOUN HOSPITAL (ILH) PROVIDES PERSONALIZED, HIGH QUALITY ACUTE CARE HOSPITAL SERVICES AND APPROPRIATE HOSPITAL BASED SERVICES TO MEET THE COMMUNITY HEALTH CARE NEEDS FOR THE RESIDENTS OF LOUDOUN COUNTY AND NEIGHBORING COMMUNITIES	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1539	TotalEmployeeCnt
Total Volunteers	452	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$438,514	PYContributionsGrantsAmt
CY Contributions Grants	$208,850	CYContributionsGrantsAmt
PY Program Service Revenue	$271,363,448	PYProgramServiceRevenueAmt
CY Program Service Revenue	$297,656,187	CYProgramServiceRevenueAmt
PY Investment Income	$3,049,406	PYInvestmentIncomeAmt
CY Investment Income	$257,236	CYInvestmentIncomeAmt
PY Other Revenue	$3,058,898	PYOtherRevenueAmt
CY Other Revenue	$1,882,236	CYOtherRevenueAmt
PY Total Revenue	$277,910,266	PYTotalRevenueAmt
CY Total Revenue	$300,004,509	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	$89,214,185	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$98,128,951	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$142,724,986	PYOtherExpensesAmt
CY Other Expenses	$152,760,002	CYOtherExpensesAmt
PY Total Expenses	$231,939,171	PYTotalExpensesAmt
CY Total Expenses	$250,888,953	CYTotalExpensesAmt
PY Revenues Less Expenses	$45,971,095	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$49,115,556	CYRevenuesLessExpensesAmt
Total Assets BOY	$547,905,726	TotalAssetsBOYAmt
Total Assets EOY	$593,984,958	TotalAssetsEOYAmt
Total Liabilities BOY	$28,977,730	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$27,961,864	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$518,927,996	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$566,023,094	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	` INOVA 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$218,750,078	ExpenseAmt
Revenue	$297,613,071	RevenueAmt
Desc	INOVA 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 THE GREATER LOUDOUN COUNTY, VIRGINIA, COMMUNITY 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 183-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 & 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 2015 THE HOSPITAL HAD 18,613 ADMISSIONS AND OBSERVATION CASES AND 46,270 PATIENT DAYS EXCLUDING NEWBORNS. EMERGENCY ROOM VISITS TOTALED 71,416; AND THERE WERE 81,016 OUTPATIENT VISITS DURING THE YEAR. THE HOSPITAL OPENED THE ASHBURN HEALTHPLEX LATE 2015 PROVIDING 24/7 EMERGENCY CARE SERVICES INCLUDING 17 TREATMENT ROOMS AND COMPREHENSIVE OUTPATIENT IMAGING AND LAB SERVICES. 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 2,829 BABIES IN 2015. 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 5,023 VISITS IN 2015. PEDIATRIC CARE: ILH OPERATES A DEDICATED PEDIATRIC EMERGENCY ROOM THAT PROVIDED SERVICES FOR 17,993 VISITS IN 2015. IN ADDITION ILH OPERATES A 14-BED PEDIATRIC UNIT THAT PROVIDES FOR INPATIENT HOSPITALIZATIONS. ILH ADMITTED 404 CHILDREN TO THE UNIT AND HAD 523 OUTPATIENT OBSERVATION CASES DURING 2015.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 2015, 3,624 PATIENTS WERE SERVED BY THE CARDIOVASCULAR PROGRAM AT ILH.STROKE CARE: INOVA LOUDOUN HOSPITAL HAS BEEN CERTIFIED BY THE JOINT COMMISSION SINCE 2009 AS A PRIMARY STROKE CENTER. 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 5,882 RADIATION THERAPY TREATMENTS TO 262 PATIENTS IN 2015.CHARITY CARE ALL INOVA FACILITIES, INCLUDING THE ILH FACILITIES, PROVIDE CHARITY CARE IN ACCORDANCE WITH INOVA POLICIES WHICH ENSURE 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 300% OF THE FEDERAL POVERTY LEVEL (FPL). IN GENERAL, FREE MEDICALLY NECESSARY CARE IS PROVIDED FOR PATIENTS WITH INCOMES FALLING AT OR BELOW 200% OF THE FPL; AND DISCOUNTED CARE IS PROVIDED FOR SERVICES RENDERED TO PATIENTS WITH INCOMES FALLING BETWEEN 200% AND 300% OF THE 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 AS TO THE LEVEL OF CHARITY CARE FOR WHICH THEY ARE QUALIFIED (WHETHER IT BE 100% COVERAGE OR A SLIDING SCALE PAYMENT BASED UPON THEIR INCOME LEVEL BETWEEN 200-300% OF THE FEDERAL POVERTY LEVEL).IN 2015 ILH'S UNREIMBURSED COST OF CHARITY CARE, INCLUDING FREE AND DISCOUNTED SERVICES, WAS $8.2 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 2015, ILH PROVIDED CARE TO MEDICAID PATIENTS AT AN UNREIMBURSED COST OF APPROXIMATELY $4.6 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.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Desc	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 AND GYNECOLOGIC SERVICES FOR UNINSURED AND LOW-INCOME WOMEN (UP TO 115% OF THE FEDERAL POVERTY LEVEL) IN LOUDOUN COUNTY. COMPREHENSIVE OBSTETRICAL SERVICES INCLUDE GESTATIONAL DIABETES MANAGEMENT, CASE MANAGEMENT, NON-STRESS TESTING AND NUTRITIONAL COUNSELING. IN 2015, THE ILH OB CLINIC HAD 5,023 VISITS RESULTING IN 467 DELIVERIES AT INOVA LOUDOUN HOSPITAL AT AN UNREIMBURSED COST FOR THE CLINIC SERVICES OF APPROXIMATELY $1.68 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 2015, THE PROGRAM PROVIDED EDUCATIONAL PROGRAMS FOR 5,070 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 2015, INOVA LOUDOUN MOBILE HEALTH PROVIDED SERVICES TO 9,399 PARTICIPANTS. THE UNREIMBURSED COST OF THIS PROGRAM WAS $330,245.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 THREE LOCATIONS IN THE NORTHERN VIRGINIA AREA AND EXPANDED SERVICES THIS YEAR TO INCLUDE MEDICAL NUTRITION THERAPY FOR OBESITY AND OTHER CHRONIC DISEASES. IN 2015, THE INOVA CENTER FOR WELLNESS AND METABOLIC HEALTH - LOUDOUN LOCATION PROVIDED 1,399 PATIENT VISITS. CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS: ILH DONATES SPACE, PROVIDES CASH AND IN-KIND SUPPORT SUCH AS HOUSEKEEPING AND DONATED STAFF TIME TO A NUMBER OF COMMUNITY GROUPS AND LOUDOUN COUNTY SERVICES. ILH DONATES SPACE 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, A FEDERALLY QUALIFIED HEALTH CENTER WITH LOCATIONS IN HERNDON AND LEESBURG, VA. IN 2015, ILH DONATED A TOTAL OF $546,208 FOR THESE GROUPS COVERING BOTH CASH AND IN-KIND TRANSACTIONS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$218,750,078	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	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	Yes (1)	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	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
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	Yes (1)	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	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1539	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	18	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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	LOUDOUN HOSPITAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7032085940	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 (31 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PATRICK RHODES
CHAIRMAN	2.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
CHRISTINE BRENNAN
VICE CHAIRMAN	3.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
ELIZABETH CASEY HALLEY
SECRETARY	3.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
MILES DAVIS
TRUSTEE	3.00	2.00	Yes (X)		$0	$0	$0
ROBERT LAFSKY MD
TRUSTEE	1.00	4.00	Yes (X)		$0	$0	$0
KAREN DRENKARD PHD
TRUSTEE	3.00	2.00	Yes (X)		$0	$0	$0
VIRGINIA HACKENBERG MD
TRUSTEE	2.00	2.00	Yes (X)		$0	$0	$0
TANYA MATTHEWS
TRUSTEE	3.00	2.00	Yes (X)		$0	$0	$0
BECKY OTTINGER
TRUSTEE	3.00	2.00	Yes (X)		$0	$0	$0
DENIS MCFARLANE
TRUSTEE	3.00	2.00	Yes (X)		$0	$0	$0
MARK STAUDER
TRUSTEE	1.50	48.50	Yes (X)		$0	$2,723,958	$821,565
EDWARD PUCCIO MD
TRUSTEE	2.00	3.00	Yes (X)		$0	$0	$0
MICHAEL WHEELER
TRUSTEE	3.00	2.00	Yes (X)		$0	$0	$0
SCOTT HAMBERGER
TRUSTEE	3.00	2.00	Yes (X)		$0	$0	$0
DAPHNE THOMAS MD
TRUSTEE	3.00	2.00	Yes (X)		$0	$0	$0
PATRICK WALTERS
CEO, ILH, ASST SECRETARY	40.00	10.00	Yes (X)	Yes (X)	$686,023	$0	$68,669
LORING FLINT
EVP CHIEF MEDICAL OFFICER	4.00	46.00	Yes (X)	Yes (X)	$0	$941,132	$171,016
STEVEN FRIDERICKSON
TRUSTEE	3.00	2.00	Yes (X)		$0	$0	$0
JOHN WOOD
TRUSTEE	3.00	2.00	Yes (X)		$0	$0	$0
J KNOX SINGLETON
PRESIDENT	2.50	47.50		Yes (X)	$0	$3,180,656	$558,953
JOHN GAUL
SVP GENERAL COUNSEL	3.00	47.00		Yes (X)	$0	$601,163	$121,869
RICHARD MAGENHEIMER
TREASURER	2.00	48.00		Yes (X)	$0	$1,886,593	$495,017
WILLIAM BANE
AVP ASSOC ADMIN CFO	20.00	20.00			$281,927	$0	$47,133	Yes (X)
ELIZABETH DUGAN
AVP, CNO	40.00				$263,372	$0	$67,607	Yes (X)
CHRISTOPHER CHIANTELLA
CHIEF MEDICAL OFFICE, ILH	40.00				$369,628	$0	$78,718	Yes (X)
MARISSA JAMARIK
SIR DIR NURSING SRVCS	40.00				$170,418	$0	$23,106		Yes (X)
DANIEL YIARGA
SONOGRAPHER SPECIALTY	40.00				$157,349	$0	$44,681		Yes (X)
OMAR CASTANEDA
CARDIO INVASIVE SPECIALIST	40.00				$174,400	$0	$45,798		Yes (X)
REBECCA VALDESUSO
SR DIR PERIOP SVCS	40.00				$173,051	$0	$29,610		Yes (X)
SHONDRA JONES
CARDIO INVASIVE SPECIALIST	40.00				$163,367	$0	$7,483		Yes (X)
SUSAN CARROLL
FORMER VP ICI AND ITMI	0.00	40.00			$0	$610,087	$117,853			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,439,535	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,943,589	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,699,078	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	99	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	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
HDR ARCHITECTURE INC
8404 INDIAN HILLS DRIVE	OMAHA	NE	68114	ARCHITECT SERVICES	$3,195,441
MEDICAL TRANSPORTATION SERVICE
360 HERNDON PKWY SUITE 700	HERNDON	VA	20170	TRANSPORT SERVICES	$2,004,664
LOUDOUN MEDICAL LLC II
9600 BLACKWELL ROADSUITE 200	ROCKVILLE	MD	20850	MEDICAL SERVICES	$1,875,269
DELPHI HEALTHCARE PARTNERS INC
170 SOUTHPORT DRIVE	MORRISVILLE	NC	27560	MANAGEMENT SERVICES	$1,515,995
LS CONSTRUCTION MANAGEMENT
40892 BIRDSTONE LANE	ALDIE	VA	20105	CONSULTING SERVICES	$1,033,310

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	31	CntrctRcvdGreaterThan100KCnt
Related Organizations	$208,850	RelatedOrganizationsAmt
Total Contributions	$208,850	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	900099	$290,179,428	$290,179,428
INOVA AMBULATORY SURGICAL CENTER	621400	$6,940,901	$6,940,901
TDI LLC	900099	$535,858	$535,858

Field	Value	IRS element (for citing)
Total Program Service Revenue	$297,656,187	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,182,588	TotalRevenueColumnAmt
Exclusion	$2,182,588	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,925,352	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,925,352	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,925,352	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,925,352	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER	900099	$1,857,926	$1,857,926
FOOD SERVICES	900099	$24,310	$24,310

Field	Value	IRS element (for citing)
Other Revenue Total	$1,882,236	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$300,004,509	TotalRevenueColumnAmt
Related Or Exempt Func Income	$297,613,071	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,182,588	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,600,950	TotalAmt
Program Services	$1,600,950	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$78,568,651	TotalAmt
Program Services	$68,298,925	ProgramServicesAmt
Management And General	$10,269,726	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,237,619	TotalAmt
Program Services	$3,694,780	ProgramServicesAmt
Management And General	$542,839	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,011,554	TotalAmt
Program Services	$6,985,274	ProgramServicesAmt
Management And General	$1,026,280	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,710,177	TotalAmt
Program Services	$4,978,703	ProgramServicesAmt
Management And General	$731,474	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$29,763,650	TotalAmt
Program Services	$25,950,926	ProgramServicesAmt
Management And General	$3,812,724	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$392,537	TotalAmt
Program Services	$342,253	ProgramServicesAmt
Management And General	$50,284	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$26,139,072	TotalAmt
Program Services	$22,790,657	ProgramServicesAmt
Management And General	$3,348,415	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$23,257	TotalAmt
Program Services	$20,278	ProgramServicesAmt
Management And General	$2,979	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$51,877	TotalAmt
Program Services	$45,232	ProgramServicesAmt
Management And General	$6,645	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$345,214	TotalAmt
Program Services	$300,992	ProgramServicesAmt
Management And General	$44,222	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,406,447	TotalAmt
Program Services	$3,841,981	ProgramServicesAmt
Management And General	$564,466	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$130,329	TotalAmt
Program Services	$113,634	ProgramServicesAmt
Management And General	$16,695	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$116,276	TotalAmt
Program Services	$101,381	ProgramServicesAmt
Management And General	$14,895	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,055,347	TotalAmt
Program Services	$2,663,957	ProgramServicesAmt
Management And General	$391,390	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,326,144	TotalAmt
Program Services	$11,619,065	ProgramServicesAmt
Management And General	$1,707,079	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$528,468	TotalAmt
Program Services	$460,772	ProgramServicesAmt
Management And General	$67,696	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SUPPLIES	$35,541,358	$30,988,510	$4,552,848
OUTSOURCED SERVICES	$18,240,583	$15,903,964	$2,336,619
BAD DEBT EXPENSE	$14,729,188	$12,842,379	$1,886,809
PHYSICIAN FEES	$4,241,267	$3,697,961	$543,306

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,728,988	TotalAmt
Program Services	$1,507,504	ProgramServicesAmt
Management And General	$221,484	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$250,888,953	TotalAmt
Program Services	$218,750,078	ProgramServicesAmt
Management And General	$32,138,875	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,768,197	BOYAmt
EOY	$11,256,190	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,807,806	BOYAmt
EOY	$28,635,573	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,528,323	BOYAmt
EOY	$943,012	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,801,878	BOYAmt
EOY	$3,170,675	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,363,307	BOYAmt
EOY	$2,824,778	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$329,206,133	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$173,912,460	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$159,524,235	BOYAmt
EOY	$155,293,673	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$56,328,006	BOYAmt
EOY	$55,269,800	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$28,351,907	BOYAmt
EOY	$27,583,763	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$261,432,067	BOYAmt
EOY	$309,007,494	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$547,905,726	BOYAmt
EOY	$593,984,958	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,047,727	BOYAmt
EOY	$18,024,803	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$342,524	BOYAmt
EOY	$345,789	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,587,479	BOYAmt
EOY	$9,591,272	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,977,730	BOYAmt
EOY	$27,961,864	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$497,192,599	BOYAmt
EOY	$545,593,304	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$48,819	BOYAmt
EOY	$44,074	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,686,578	BOYAmt
EOY	$20,385,716	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$518,927,996	BOYAmt
EOY	$566,023,094	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$547,905,726	BOYAmt
EOY	$593,984,958	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$49,115,556	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,852,317	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$748,730	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	-$916,871	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)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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	$21,306	OtherActivitiesAmt
Total Lobbying Expenditures	$21,306	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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,605,288	OtherCostOrOtherBasisAmt
Book Value	$49,605,288	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$108,477,704	OtherCostOrOtherBasisAmt
Depreciation	$64,291,593	DepreciationAmt
Book Value	$44,186,111	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$54,043,737	OtherCostOrOtherBasisAmt
Depreciation	$19,367,138	DepreciationAmt
Book Value	$34,676,599	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$98,891,570	OtherCostOrOtherBasisAmt
Depreciation	$74,987,772	DepreciationAmt
Book Value	$23,903,798	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,187,834	OtherCostOrOtherBasisAmt
Depreciation	$15,265,957	DepreciationAmt
Book Value	$2,921,877	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$155,293,673	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENTS AND RECEIVABLES FROM AFFILIATES	$290,159,503
OTHER LONG TERM ASSETS	$200,402
CONTRUCTION IN PROGRESS	$18,647,589

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$309,007,494	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DUE TO THIRD PARTY PAYORS	$5,901,616
DEFERRED COSTS	$3,689,656

Field	Value	IRS element (for citing)
Total Liability	$9,591,272	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 STATEMENTS INCLUDING LOUDOUN HOSPITAL CENTER: 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 H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,213,620	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,213,620	NetCommunityBenefitExpnsAmt
Total Expense	0.03480	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,035,548	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,429,827	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,605,721	NetCommunityBenefitExpnsAmt
Total Expense	0.01950	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,249,168	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,429,827	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,819,341	NetCommunityBenefitExpnsAmt
Total Expense	0.05430	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$467,032	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$359,687	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,680,028	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,680,028	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$546,208	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$546,208	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,693,268	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$107,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,585,923	NetCommunityBenefitExpnsAmt
Total Expense	0.01090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,942,436	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,537,172	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,405,264	NetCommunityBenefitExpnsAmt
Total Expense	0.06520	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,022,765	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$45,937,340	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$71,683,801	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$25,746,461	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 INOVA LOUDOUN AMBULATORY SURGERY CENTER LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	SURGICAL SERVICES	PrimaryActivitiesTxt
Org Profit Or Ownership	0.67880	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.32120	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INOVA LOUDOUN HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	44045 RIVERSIDE PARKWAY	AddressLine1Txt
City	LEESBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	20176	ZIPCd

Field	Value	IRS element (for citing)
State License	VA H1868	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	INOVA LOUDOUN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.INOVA.ORG	OwnWebsiteURLTxt
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.INOVA.ORG	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	INOVA.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	INOVA.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	INOVA.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Lowest Negotiated Rates	Yes (X)	LowestNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 5: THE HOSPITAL INTERVIEWED 21 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. THE HOSPITAL ALSO SOUGHT INPUT FROM THE PUBLIC REGARDING THE HEALTH OF THE COMMUNITY THROUGH AN ONLINE SURVEY PUBLICIZED THROUGH MAILERS AND FLYERS. A DETAILED LISTING OF THE COMMUNITY STAKEHOLDERS WHO PROVIDED COMMUNITY INPUT IS INCLUDED IN THE APPENDIX OF THE CHNA.
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 6A: INOVA FAIRFAX HOSPITALINOVA MT. VERNON HOSPITALINOVA FAIR OAKS HOSPITALINOVA ALEXANDRIA HOSPITAL
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 11: IN THE CHNA REPORT CONDUCTED IN 2013, INOVA LOUDOUN HOSPITAL IDENTIFIED THE FOLLOWING SIGNIFICANT COMMUNITY HEALTH NEEDS: ACCESS TO HEALTH AND HUMAN SERVICES, CHRONIC DISEASE, DENTAL HEALTH, HEALTH BEHAVIORS, MATERNAL AND CHILD HEALTH, MENTAL HEALTH, MORBIDITY, THE PHYSICAL ENVIRONMENT AND SOCIAL AND ECONOMIC FACTORS.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.SINCE THE 2013 CHNA WAS CONDUCTED, INOVA LOUDOUN HOSPITAL HAS ADDRESSED ALL OF THE SIGNIFICANT NEEDS AS DESCRIBED IN THIS IMPLEMENTATION STRATEGY. THESE NEEDS WERE ADDRESSED BY INITIATIVES 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, AND INCREASING SERVICES PROVIDED BY THE INOVA JUNIPER PROGRAM WHICH IS NORTHERN VIRGINIA'S LARGEST PROVIDER OF SERVICES FOR HIV/AIDS PATIENTS.SOME OF THE NEW INITIATIVES IN 2015 INCLUDED A PROGRAM TO HELP CHILDREN AND THEIR FAMILIES LEARN ABOUT THE IMPORTANCE OF HEALTHY EATING AND PHYSICAL ACTIVITY. THE PROGRAM WAS PILOTED WITH FAMILIES AT THE INOVA CARES CLINIC FOR CHILDREN, WHERE FAMILY INCOME CANNOT EXCEED 300% OF THE FEDERAL POVERTY GUIDELINES AND MANY OF THE CHILDREN RECEIVE SNAP BENEFITS (FOOD STAMPS). ADDITIONALLY, THE FACT DEPARTMENT FINALIZED MOAS WITH THE FAIRFAX DEPARTMENT OF FAMILY SERVICES/CHILD PROTECTIVE SERVICES TO PROVIDE EMERGENCY REMOVAL EXAMINATIONS FOR FOSTER CARE PLACEMENT, AND THE LOUDOUN ADULT DETENTION CENTER AND LOUDOUN JUVENILE DETENTION CENTER TO WORK ON PRISON RAPE ELIMINATION.WHILE NOT IDENTIFIED FOR EXPANSION OF SERVICES IN THE 2013 CHNA, INOVA CONTINUES TO SERVE THE COMMUNITY THROUGH MANY ONGOING PROGRAMS, INCLUDING THE PROVISION OF CULTURALLY COMPETENT AND LINGUISTICALLY APPROPRIATE SERVICES; PREVENTION, EDUCATION AND SUPPORT THROUGH THE INOVA LOUDOUN CANCER CENTER; ALCOHOL AND SUBSTANCE ABUSE TREATMENT AT THE INOVA COMPREHENSIVE ADDICTION TREATMENT SERVICES; MEDICAID MANAGED CARE PLANS THROUGH INTOTAL HEALTH; AND COMPREHENSIVE MENTAL HEALTH SERVICES FOR CHILDREN AND YOUNG ADULTS AT THE INOVA KELLAR CENTER.
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 13H: CALCULATE FAMILY SIZE
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 15E: FINANCIAL AID BROCHURES EXPLAINING THE CHARITY POLICY ARE AVAILABLE THROUGH OUT THE HOSPITALS. ER ROOMS AND WAITING ROOMS HAVE CHARITY NOTIFICATION NOTICES POSTED IN THEIR AREAS AND ON INOVA'S WEBSITE.
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 16I: FINANCIAL AID BROCHURES EXPLAINING THE CHARITY POLICY ARE AVAILABLE THROUGH OUT THE HOSPITALS. ER ROOMS AND WAITING ROOMS HAVE CHARITY NOTIFICATION NOTICES POSTED IN THEIR AREAS AND ON INOVA'S WEBSITE.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CORNWALL - ER
224 CORNWALL STREET NW	LEESBURG	VA	20176	EMERGENCY ROOM
2 - INOVA LOUDOUN AMBULATORY SURGICAL CENTER
44045 RIVERSIDE PARKWAY	LEESBURG	VA	20176	OUTPATIENT SURGERY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 $1,680,028.
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 $ 14,729,188.
PART II, COMMUNITY BUILDING ACTIVITIES:	INOVA'S OFFICE OF SUSTAINABILITY PROVIDED 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 2015, INOVA WAS ABLE TO PROVIDE OVER 1,300 LBS. OF MATERIAL FOR MEDICAL DONATION. DURING THIS SAME PERIOD INOVA RECYCLED OVER 3 MILLION POUNDS OF MATERIALS.SPECIALIZED AREAS RECYCLING (ORS, KITCHENS): INOVA HAS IMPLEMENTED SPECIALIZED RECYCLING PROGRAMS TO CAPTURE SPECIFIC MATERIALS IN AREAS SUCH AS OPERATING ROOMS AND CONSTRUCTION SITES.ENERGYDURING 2015 INOVA WAS VERY FOCUSED ON ENERGY REDUCTION BY IMPLEMENTING THE BASELINE PHASES FOR THE STRATEGIC ENERGY MANAGEMENT PLAN. ALL 5 HOSPITALS WENT THROUGH A PROCESS OF SUB-METERING THROUGH A DASHBOARD THAT ALLOWS FOR REAL-TIME ENERGY MONITORING OF ALL HOSPITALS. THIS WAS STARTED AS A PILOT PROJECT WHICH WAS ROLLED OUT ACROSS THE ENTIRE SYSTEM IN 2015. WORK WAS DONE TO RETRO-COMMISSION INOVA'S BUILDING MANAGEMENT SYSTEMS (BMS). A FINE-TUNED BMS WILL ALLOW STAFF TO BETTER REGULATE ENERGY USE. ALL OF THESE EFFORTS TO INCREASE EFFICIENCY AND RESILIENCE REDUCE INOVA'S GREENHOUSE GASES, CARBON FOOTPRINT AND IMPACT ON COMMUNITY HEALTH.WATERINCORPORATED NATIVE PLANTS AND LOW-IMPACT IRRIGATION SYSTEMS FOR LANDSCAPINGBUILDINGSCONTINUED LEED CONSTRUCTION ON INOVA WOMEN AND CHILDREN'S BUILDING (IFMC)TRANSPORTATIONPARTNERED WITH FAIRFAX COUNTY DEPARTMENT OF TRANSPORTATION TO PROMOTE ALTERNATIVE COMMUTE OPTIONS FOR INOVA EMPLOYEES; PROGRAMS SUCH AS EMPLOYEE COMMUTER SHUTTLE, RESERVED PARKING FOR CARPOOLS/VANPOOLS/HYBRIDS, BIKE RACKS, AND A PRE-TAX COMMUTER BENEFITS PROGRAM HELP INOVA REDUCE AIR POLLUTION AND TRAFFIC CONGESTION IN LOCAL COMMUNITIESFOODEXPANDED COMMUNITY SUPPORTED AGRICULTURE (CSA) PROGRAM FROM INOVA FAIRFAX HOSPITAL TO INCLUDE 11 ADDITIONAL LOCATIONS, PROVIDING DIRECT SUPPORT TO LOCAL FARMERS AND BRINGING FRESH, HEALTHY, SEASONAL FOODS TO OUR EMPLOYEES. THIS PROVIDED OVER $27,000 OF IMPACT TO THE LOCAL COMMUNITY AND OVER 18,000 POUNDS OF LOCAL FOOD TO INOVA EMPLOYEES.PROMOTED SUSTAINABLE FOODS, HEALTHY LIVES COOKBOOK AND FREE LOCAL INGREDIENTS GUIDE TO EDUCATE COMMUNITY AROUND ISSUES OF HEALTH, WELLNESS, AND FOOD; ALL PROCEEDS FROM THE COOKBOOK GO DIRECTLY TO INOVA'S DOUBLE DOLLARS SNAP ENHANCEMENT PROGRAM, WHICH MATCHES THE FIRST $10 OF SNAP BENEFITS SPENT AT SELECT LOCAL FARMERS' MARKETSSPONSOR 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 OVER 500 NATIVE TREE SEEDLINGS TO BE PLANTED WITHIN THE LOCAL COMMUNITY IN 2015 IN SUPPORT OF EARTH DAYMENTORED PEER ORGANIZATIONS LOCALLY AND NATIONALLY ON SUSTAINABILITY EFFORTS, HELPING THEM CREATE SAFER ENVIRONMENTS FOR THEIR OWN 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 VI, LINE 2:	INOVA HEALTH SYSTEM (IHS) COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2013 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 PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS.AS A RESULT OF THIS WORK AND PREVIOUS WORK, INOVA'S PROGRAMS EXPANDED TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES. THESE GOALS WERE RE-EVALUATED AND UPDATED TO ALIGN WITH THE HEALTHY PEOPLE 2020 GOALS AND OUTCOMES. INOVA HAS MOVED 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 ASSISTANT VICE PRESIDENT OF POPULATION HEALTH AND THEREBY ASSURES SYSTEM COORDINATED EFFORTS ARE CENTRALIZED AND REFLECTIVE OF INOVA HEALTH SYSTEM'S WORK ACROSS NORTHERN VIRGINIA.COMMUNITY HEALTH NEEDS ASSESSMENTS ARE CURRENTLY IN PROGRESS ACROSS NORTHERN VIRGINIA SPONSORED BY THE VARIOUS HEALTH DEPARTMENTS USING THE FRAMEWORK OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. INOVA HEALTH SYSTEM IS A PARTICIPATING MEMBER OF EACH MAPP PROCESS TEAM IN EACH JURISDICTION ACROSS NORTHERN VIRGINIA. INOVA SERVED ON THE MAPP TEAM'S YEAR-LONG TASK FORCE FOR ARLINGTON COUNTY, FOR WHICH THE FINAL REPORT WAS COMPLETED IN 2008. IN 2008, INOVA ALSO PARTICIPATED IN THE FIRST OF FOUR ASSESSMENTS BEING CONDUCTED BY FAIRFAX COUNTY, HAVING LNOVA LEADERS IN PIVOTAL LEADERSHIP ROLES IN THIS PROCESS. THIS IS AN ONGOING COMMUNITY-DRIVEN PLANNING PROCESS THAT IS DESIGNED TO PROVIDE INFORMATION FOR IMPROVING THE COMMUNITY'S DELIVERY OF THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. FAIRFAX COUNTY HAS THREE OTHER ASSESSMENTS TO COMPLETE THE MAPP PROCESS. 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. INOVA IS PARTICIPATING IN THE CONTINUING LOCAL PUBLIC HEALTH NEEDS ASSESSMENT IN THE CITY OF ALEXANDRIA AS WELL. THE INFORMATION FROM ALL THE MAPP HEALTH NEEDS ASSESSMENTS FROM ALL JURISDICTIONS SERVED BY INOVA HEALTH SYSTEM WILL PROVIDE THE NEW BASELINE FOR THE ONGOING THREE-YEAR COMMUNITY NEEDS ASSESSMENTS AND WERE INCORPORATED INTO THE COMMUNITY NEEDS ASSESSMENT IMPLEMENTATION PLANS THAT WERE FINALIZED IN 2013. IN ADDITION TO PARTICIPATING IN THE MAPP PROCESS AND THE CHNA, INOVA IS CONTINUALLY GARNERING FEEDBACK ON EXISTING PROGRAMS FROM PROGRAM PARTICIPANTS THROUGH MONTHLY AND QUARTERLY SATISFACTION SURVEYS AND FOCUS GROUPS, PARTICIPATING IN REGIONAL AND LOCAL HEALTH RELATED GROUPS SUCH AS THE NORTHERN VIRGINIA ACCESS TO HEALTH CARE CONSORTIUM, 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 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 THE LEVEL OF CHARITY CARE FOR WHICH THEY ARE QUALIFIED (WHETHER IT BE 100% COVERAGE OR A SLIDING SCALE PAYMENT BASED UPON THEIR INCOME LEVEL BETWEEN 200-300% OF THE FEDERAL POVERTY LEVEL). 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 "FINANCIAL HELP FOR HEALTHCARE SERVICES" CAN BE DOWNLOADED AND IS AVAILABLE IN 6 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'S POPULATION IS FORECASTED TO GROW 21% OVER THE NEXT DECADE, ADDING AN ESTIMATED AVERAGE OF 8,500 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 75% OVER THE NEXT 10 YEARS, WHILE THE NUMBER OF CHILDREN WILL INCREASE BY ABOUT 12% IN THE SAME TIME PERIOD. 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 2014 WAS 47% 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 363,050 PEOPLE IN 2014. THIS IS THE FASTEST GROWING JURISDICTION IN NORTHERN VIRGINIA. IN 2014 LOUDOUN COUNTY'S ASIANS, HISPANICS, AND AFRICAN AMERICANS REPRESENTED 17.3%, 13.4% AND 7.8% OF LOUDOUN'S POPULATION, RESPECTIVELY (U.S. CENSUS BUREAU).ACCORDING TO THE U.S. CENSUS BUREAU SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE) IN 2013 APPROXIMATELY 9.1% 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 37.7% WERE UNINSURED IN 2013.AREA RESIDENTS MOST LIKELY TO BE UNINSURED ARE THOSE WHOSE FAMILY INCOMES ARE AT OR BELOW 200% OF THE POVERTY LEVEL, YOUNG ADULTS (AGE 18-44), PEOPLE OF RACIAL BACKGROUNDS OTHER THAN WHITE, UNEMPLOYED INDIVIDUALS, PART-TIME WORKERS, AND PEOPLE WHO WORK AT COMPANIES WITH FEWER THAN 50 EMPLOYEES. SERVING THIS POPULATION POSES SIGNIFICANT CULTURAL AND LINGUISTIC CHALLENGES, AND THESE UNINSURED CITIZENS ARE WIDELY DISTRIBUTED IN TERMS OF AGE, GEOGRAPHIC REGION, AND HEALTH STATUS.
PART VI, LINE 5:	INOVA HEALTH SYSTEM'S INVESTMENT IN THE COMMUNITIES ACROSS NORTHERN VIRGINIA IS EVIDENT THROUGH NUMEROUS TARGETED COMMUNITY PROGRAMS. THESE PROGRAMS PROVIDE ACCESS TO CARE FOR LOW INCOME, UNINSURED, UNDERINSURED AND VULNERABLE POPULATIONS; PROMOTE HEALTH & WELLNESS; INCREASE HEALTH LITERACY; PROVIDE THE SUPPORT AND INFRASTRUCTURE FOR DISASTER PREPAREDNESS; AND PROVIDE PROGRAMS TO SUPPORT DEVELOPMENT OF OUR FUTURE HEALTHCARE WORKFORCE TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. ALL INOVA HEALTHCARE FACILITIES HAVE OPEN MEDICAL STAFFS TO PROVIDE THE MAXIMUM ACCESS TO QUALIFIED PHYSICIANS. A COMMUNITY BOARD OF TRUSTEES PROVIDES FISCAL AND QUALITY OVERSIGHT FOR INOVA HEALTH CARE SERVICES' FACILITIES TO ENSURE THE VISION AND MISSION OF THE ORGANIZATION IS ACHIEVED.ACCESS TO CARE PROGRAMSINOVA'S POPULATION HEALTH DIVISION IS ORGANIZED TO ADDRESS A WIDE-SPECTRUM OF COMMUNITY HEALTHCARE NEEDS . IN ADDITION TO THE PROGRAMS ALREADY DESCRIBED IN THE CORE FORM PROGRAM, ACTIVITIES THAT PROVIDE INFRASTRUCTURE SUPPORT AND SERVICES FOCUSED ON VULNERABLE POPULATIONS TO INCREASE ACCESS TO HEALTHCARE SERVICES FOR THE COMMUNITIES SERVED BY INOVA HEALTH SYSTEM INCLUDE THE FOLLOWING PROGRAMS: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. 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 2015, PHK ASSISTED OVER 4,195 CHILDREN 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 2015, CCC SERVED 669 FAMILIES.TRANSITIONAL CARE MANAGEMENT INOVA TRANSITIONAL CARE MANAGEMENT PROGRAM (TCM), IMPLEMENTED JULY 2011, FOCUSES ON UNMANAGED MEDICARE/ MEDICAID, INNOVATION HEALTH, AETNA MEDICARE ADVANTAGE AND UNINSURED PATIENTS DIAGNOSED WITH HEART FAILURE (CHF), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), PNEUMONIA AND ACUTE MYOCARDIAL INFARCTION (AMI). THESE DISEASES ACCOUNT FOR A HIGH PROPORTION OF POTENTIALLY PREVENTABLE READMISSIONS. FOR 30 DAYS AFTER DISCHARGE FROM THE HOSPITAL OR EMERGENCY ROOM, TCM CASE MANAGERS MONITOR PATIENTS PRIMARILY BY TELEPHONE. THEY EDUCATE PATIENTS ABOUT THEIR ILLNESSES, ENSURE THEY HAVE A FOLLOW-UP APPOINTMENT WITH THEIR PRIMARY CARE PHYSICIAN (PCP), AND CONFIRM THEY HAVE FILLED ANY PRESCRIPTIONS AND ARE TAKING THE CORRECT MEDICATIONS AND PROVIDE INTENSIVE CARE COORDINATION. FOR THOSE PATIENTS THAT DO NOT HAVE A PCP OR CANNOT BE SEEN BY THEIR PCP WITHIN AN APPROPRIATE TIME FRAME POST HOSPITAL DISCHARGE, INOVA HAS DEVELOPED THE INOVA TRANSITIONAL SERVICES DISCHARGE CLINICS IN THREE LOCATIONS IN WHICH PATIENTS ARE PROVIDED A FOLLOW-UP APPOINTMENT WITH A NURSE PRACTITIONER OR PHYSICIAN WHO WILL FOLLOW THE PATIENT UNTIL THE PATIENT IS READY TO TRANSITION TO A PERMANENT MEDICAL HOME. INOVA HOME HEALTH SERVICES ALSO PARTNERS WITH TCM IN PROVIDING HOME VISITS TO PATIENTS IDENTIFIED BY THE CASE MANAGERS AS NEEDING A HOME VISIT. IN 2015, THERE WERE 4,549 ENROLLMENTS TO THE TCM PROGRAM WITH ALMOST 4,000 PATIENTS BEING SERVED. IN 2015, THE DISCHARGE CLINIC SERVED 2,994 PATIENTS WITH OVER 9,000 VISIT ENCOUNTERS. INOVA KELLAR CENTERINOVA KELLAR CENTER IS A COMMUNITY BASED BEHAVIORAL HEALTH CENTER 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 75,999 HOURS OF PROGRAMMING, TREATMENT AND EDUCATION TO CHILDREN, ADOLESCENTS, AND FAMILIES IN 2015. HEALTH PROMOTION AND PREVENTATIVE CARE PROGRAMSNORTHERN VIRGINIA HEALTHY KIDS' COALITION: TIPPING THE SCALES FOR BETTER HEALTH. 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 2015 INOVA BEGAN SUPPORTING TWO NEW FARMERS MARKETS AND PROVIDED NEARLY $9,000 IN GRANTS. INOVA ALSO LAUNCHED A NUTRITION EDUCATION AND PHYSICAL ACTIVITY PROGRAM AT THE INOVA CARES CLINIC FOR CHILDREN, WHERE FAMILY INCOME LEVELS ARE AT 400% OR BELOW OF THE FEDERAL POVERTY LEVEL. FAMILIES LEARN COOKING SKILLS AND WAYS TO EAT HEALTHIER AND GET MORE EXERCISE WITHIN BUDGET AND TIME CONSTRAINTS. INOVA AND WESLEY THEOLOGICAL SEMINARY ARE WORKING ON A 3 YEAR PARTNERSHIP TO STRENGTHEN THE FAITH/HEALTH CONNECTION IN THE MT. VERNON COMMUNITY. THROUGH THE CREATION OF HEALTH MINISTRIES IN CONGREGATIONS THROUGHOUT MT. VERNON, THE PARTNERSHIP SUPPORTS CONGREGATIONS WORKING TO IMPROVE HEALTH OUTCOMES AND REDUCE HOSPITAL READMISSION RATES BY PROVIDING RESOURCES AND EDUCATION. INOVA PROVIDES HEALTH MINISTRY AND FAITH COMMUNITY NURSE CERTIFICATE SCHOLARSHIPS TO THOSE INTERESTED IN BUILDING A HEALTH MINISTRY WITHIN THEIR CONGREGATION.HEALTH LITERACY AND HEALTH EQUITY PROGRAMSTHE OFFICE OF HEALTH EQUITY (OHE) IDENTIFIES AND ADDRESSES HEALTH DISPARITIES IN NORTHERN VIRGINIA THROUGH INTERNAL AND COMMUNITY INITIATIVES. THE DEPARTMENT IS DEDICATED TO THE ELIMINATION OF DISPARITIES IN THE COMMUNITY THROUGH COMMUNITY PARTNERSHIP, DIVERSITY AND CULTURAL COMPETENCE EDUCATION, AND PROVISION OF LANGUAGE SERVICES. IN SUPPORT OF PATIENT SAFETY AND SATISFACTION, LANGUAGE INTERPRETATION AND TRANSLATION SERVICES ARE PROVIDED AT EVERY INOVA FACILITY, TO FACILITATE COMMUNICATION WITH THE 14 PERCENT OF INOVA'S PATIENT POPULATION WHO ARE LIMITED ENGLISH PROFICIENT (LEP). MEDICAL INTERPRETATION IN OVER 200 LANGUAGES IS PROVIDED BY ON-SITE MEDICAL INTERPRETERS AND TELEPHONIC INTERPRETERS. IN 2015, INOVA DELIVERED 59,048 HOURS OF INTERPRETER SERVICES AND 13,715 HOURS OF SIGN LANGUAGE INTERPRETATION ACROSS INOVA FACILITIES. OVER 572 VITAL DOCUMENTS WERE TRANSLATED INTO INOVA'S TOP LANGUAGES.
PART VI, LINE 6:	ORGANIZATION IS PART OF INOVA HEALTH SYSTEM INCLUDED IN DESCRIPTION UNDER LINE 5.

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 (15 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
MARK STAUDER
TRUSTEE	$0	$991,051	$0	$588,826	$0	$1,144,081	$0	$801,492	$0	$20,073	$0	$3,545,523	$0	$778,291
PATRICK WALTERS
CEO, ILH, ASST SECRETARY	$418,357	$0	$165,533	$0	$102,133	$0	$54,178	$0	$14,491	$0	$754,692	$0	$0	$0
LORING FLINT
EVP CHIEF MEDICAL OFFICER	$0	$607,509	$0	$296,099	$0	$37,524	$0	$151,048	$0	$19,968	$0	$1,112,148	$0	$0
J KNOX SINGLETON
PRESIDENT	$0	$1,239,735	$0	$917,834	$0	$1,023,087	$0	$553,000	$0	$5,953	$0	$3,739,609	$0	$687,500
JOHN GAUL
SVP GENERAL COUNSEL	$0	$446,197	$0	$133,255	$0	$21,711	$0	$100,783	$0	$21,086	$0	$723,032	$0	$0
RICHARD MAGENHEIMER
TREASURER	$0	$686,647	$0	$455,969	$0	$743,977	$0	$478,579	$0	$16,438	$0	$2,381,610	$0	$603,000
WILLIAM BANE
AVP ASSOC ADMIN CFO	$199,812	$0	$59,765	$0	$22,350	$0	$26,183	$0	$20,950	$0	$329,060	$0	$3,981	$0
ELIZABETH DUGAN
AVP, CNO	$194,574	$0	$55,519	$0	$13,279	$0	$46,180	$0	$21,427	$0	$330,979	$0	$0	$0
CHRISTOPHER CHIANTELLA
CHIEF MEDICAL OFFICE, ILH	$256,488	$0	$68,416	$0	$44,724	$0	$64,752	$0	$13,966	$0	$448,346	$0	$11,648	$0
MARISSA JAMARIK
SIR DIR NURSING SRVCS	$145,772	$0	$24,470	$0	$176	$0	$6,020	$0	$17,086	$0	$193,524	$0	$0	$0
DANIEL YIARGA
SONOGRAPHER SPECIALTY	$152,496	$0	$4,799	$0	$54	$0	$24,032	$0	$20,649	$0	$202,030	$0	$0	$0
OMAR CASTANEDA
CARDIO INVASIVE SPECIALIST	$169,346	$0	$4,992	$0	$62	$0	$24,216	$0	$21,582	$0	$220,198	$0	$0	$0
REBECCA VALDESUSO
SR DIR PERIOP SVCS	$149,801	$0	$23,074	$0	$176	$0	$24,899	$0	$4,711	$0	$202,661	$0	$0	$0
SHONDRA JONES
CARDIO INVASIVE SPECIALIST	$159,321	$0	$3,997	$0	$49	$0	$0	$0	$7,483	$0	$170,850	$0	$0	$0
SUSAN CARROLL
FORMER VP ICI AND ITMI	$0	$372,218	$0	$91,757	$0	$146,112	$0	$95,373	$0	$22,480	$0	$727,940	$0	$59,276

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4B	FormAndLineReferenceDesc
Explanation	SERP PLAN PAYMENTS J. KNOX SINGLETON $243,660 RICHARD MAGENHEIMER $101,665 WILLIAM BANE $11,534 PATRICK WALTERS $62,821 SUSAN CARROLL $115,344 CHRISTOPHER CHIANTELLA $30,593 MARK STAUDER $246,020 SUPPLEMENTAL 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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 1A AND 2A - NUMBER OF EMPLOYEES AND 1099S	THE ORGANIZATION FILES ITS FORM 1099S UNDER THE PARENT ENTITY AND DOES NOT REPORT ANY AMOUNTS UNDER ITS OWN EIN. THE ORGANIZATION FALLS UNDER A MASTER PAY AGENT AND DOES NOT FILE ANY PAYROLL RETURNS UNDER ITS OWN EIN, HOWEVER ALL REQUIRED RETURNS HAVE BEEN FILED ON TIME.
FORM 990, PART VI, SECTION A, LINE 6	THE 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. 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 SYSTEM FOUNDATION, 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 SYSTEM FOUNDATION, 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. 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 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.
FORM 990, PART IX, LINE 11G	INTERNAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 22,790,657. MANAGEMENT AND GENERAL EXPENSES 3,348,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,139,072.
FORM 990, PART XI, LINE 9:	PARTNERSHIP INCOME -7,476,759. TEMP RESTRICTED INCOME/LOSS -4,745. PERM RESTRICTED INCOME/LOSS 3,809. EQUITY IN SUBSIDIARIES 6,560,824.
PART XII, LINE 2B AND 2C - AUDITED FINANCIAL STATEMENTS	THE COMPANY IS PART OF THE INOVA HEALTH SYSTEM, A NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NORTHERN VIRGINIA AND SURROUNDING AREAS. THE COMPANY'S FINANCIAL STATEMENTS ARE CONSOLIDATED IN THE INOVA HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS. INOVA HEALTH SYSTEM IS AUDITED ON AN ANNUAL BASIS BY A 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 Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	LOUDOUN HEALTHCARE LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	44045 RIVERSIDE PARKWAY	AddressLine1Txt
City	LEESBURG	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	20176	ZIPCd

Field	Value	IRS element (for citing)
EIN	311632830	EIN
Primary Activities	A/R FINANCING	PrimaryActivitiesTxt
Legal Domicile State	VA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt
Direct Controlling NA	N/A	DirectControllingNACd

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	FALLS CHURCH	VA	22042	541071867	FUNDRAISING	VA	501(C)(3)	11,III	N/A	0
INOVA HEALTH CARE SERVICES
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	540620889	HOSPITAL SYSTEM	VA	501(C)(3)	3	N/A	0
PEDIATRIC SPECIALISTS OF VIRGINIA LLC
3023 HAMAKER COURT	FAIRFAX	VA	22301	461851763	MEDICAL SERVICES FOR CHILDREN	VA	501(C)(3)	9	N/A	0
IMANCO INC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541340725	PAYROLL CORPORTION	VA	501(C)(3)	11,I	N/A	0
INTOTAL HEALTH LLC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	201581237	HMO	VA	501(C)(3)	9	N/A	0
ALEXANDRIA HOSPITAL FOUNDATION
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	510241913	FUNDRAISING	VA	501(C)(3)	11,I	N/A	0
INOVA VNA HOME CARE
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541277164	HOME CARE SERVICES	VA	501(C)(3)	9	N/A	0
LOUDOUN NURSING AND REHABILITATION CENTER
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541361310	REHABIITATION SERVICES	VA	501(C)(3)	9	N/A	0
LOUDOUN HEALTH SERVICES
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541555489	SURGERY CENTER	VA	501(C)(3)	9	N/A	0
LOUDOUN HEALTH CARE FOUNDATION
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	542011240	FUNDRAISING	VA	501(C)(3)	11,I	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
TECHNICAL DYNAMICS LLC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	432041666	EQUIPMENT REPAIRS	VA	N/A	RELATED	$535,858	$17,527	0	0	0.13370
INOVA LOUDOUN AMBULATORY SURGERY CENTER LLC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	203523190	SURGERY CENTER	VA	N/A	RELATED	$6,940,901	$5,455,241	0	Yes (1)	0.67880

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	Yes (1)	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	Yes (1)	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	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
LOUDOUN HOSPITAL FOUNDATION
C	$208,850	GENERAL LEDGER
LOUDOUN HOSPITAL FOUNDATION
M	$243,447	GENERAL LEDGER
INOVA HEALTH SYSTEM FOUNDATION CASH SWEEP ACCOUNT
R	$33,800,089	INTERCOMPANY BALANCE