INOVA ALEXANDRIA HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
INOVA ALEXANDRIA HOSPITAL (EIN 54-0505861)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-12
IRS object ID
201223179349301437
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-12T10:10:58-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540505861EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INOVA ALEXANDRIA HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALEXNameControl
Phone7035043000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1
CityFALLS CHURCHCity
StateVAState
ZIP Code22042ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD MAGENHEIMERName
TitleCFOTitle
Phone7035043000Phone
Date Signed2012-11-12DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ KNOX SINGLETONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1
CityFALLS CHURCHCity
StateVAState
ZIP Code22042ZIPCode
FieldValueIRS element (for citing)
Gross Receipts330110762GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteINOVA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1901YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionINOVA ALEXANDRIA HOSPITAL PROVIDES PERSONALIZED, HIGH QUALITY ACUTE CARE HOSPITAL SERVICES AND APPROPRIATE HOSPITAL BASED SERVICES TO MEET THE COMMUNITY HEALTH CARE NEEDS FOR THE CITY OF ALEXANDRIA AND NEIGHBORING COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members1NbrIndependentVotingMembers
Total Nbr Employees2383TotalNbrEmployees
Total Nbr Volunteers634TotalNbrVolunteers
Total Gross UBI6485238TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year373769ContributionsGrantsPriorYear
Contributions Grants Current Year461111ContributionsGrantsCurrentYear
Program Service Revenue Prior Year293246928ProgramServiceRevenuePriorYear
Program Service Revenue CY327775213ProgramServiceRevenueCY
Investment Income Prior Year69584InvestmentIncomePriorYear
Investment Income Current Year93952InvestmentIncomeCurrentYear
Other Revenue Prior Year1690355OtherRevenuePriorYear
Other Revenue Current Year1780486OtherRevenueCurrentYear
Total Revenue Prior Year295380636TotalRevenuePriorYear
Total Revenue Current Year330110762TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year137858588SalariesEtcPriorYear
Salaries Etc Current Year144642479SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year134841979OtherExpensePriorYear
Other Expenses Current Year154317947OtherExpensesCurrentYear
Total Expenses Prior Year272700567TotalExpensesPriorYear
Total Expenses Current Year298960426TotalExpensesCurrentYear
Revenues Less Expenses Prior Year22680069RevenuesLessExpensesPriorYear
Revenues Less Expenses CY31150336RevenuesLessExpensesCY
Total Assets BOY293885869TotalAssetsBOY
Total Assets EOY326125025TotalAssetsEOY
Total Liabilities BOY23259851TotalLiabilitiesBOY
Total Liabilities EOY24761110TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY270626018NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY301363915NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF THE INOVA ALEXANDRIA HOSPITAL PROVIDING QUALITY CARE AND IMPROVING THE HEALTH OF THE DIVERSE COMMUNITY OF THE CITY OF ALEXANDRIA AND NEIGHBORING COMMUNITIES IT SERVES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense277076849Expense
Grants245103Grants
Revenue323070461Revenue
DescriptionINOVA ALEXANDRIA HOSPITAL (IAH) IS PART OF THE INOVA HEALTH SYSTEM WHOSE MISSION IS TO SERVE THE COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION THROUGH THE PROVISION OF A FULL SPECTRUM OF HIGH QUALITY AND ACCESSIBLE HEALTHCARE SERVICES. IAH IS A 318-LICENSED BED GENERAL ACUTE CARE HOSPITAL, WHICH OPENED ON JANUARY 23, 1873. IAH PROVIDES 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; COMPREHENSIVE OUTPATIENT SERVICES, INCLUDING OUTPATIENT SURGERY, PHYSICAL MEDICINE, AND REHABILITATION; AND A 24-HOUR EMERGENCY DEPARTMENT AS WELL AS THE SPRINGFIELD HEALTHPLEX, A FREE STANDING EMERGENCY FACILITY. IN ADDITION, SPECIALIZED OBSTETRIC AND PEDIATRIC SERVICES ARE PROVIDED BY THE HOSPITAL'S MATERNAL AND INFANT HEALTH CENTER AND A CHILDREN'S UNIT. IN 2011 THE HOSPITAL HAD 15,680 ADMISSIONS INCLUDING NEWBORNS, 4,328 OBSERVATION CASES, AND 72,030 PATIENT DAYS EXCLUDING NEWBORNS. HOSPITAL EMERGENCY ROOM VISITS TOTALED 104,669 (40,077 OF THE TOTAL ED VISITS AT THE HEALTHPLEX); AND THERE WERE 102,106 OUTPATIENT VISITS DURING THE YEAR. SPECIFIC ACUTE CARE PROGRAMS CARDIOVASCULAR CARE: THE INOVA HEART AND VASCULAR INSTITUTE AT IAH, OPENED IN OCTOBER 2004, HOUSES TEN INPATIENT BEDS, TWO CARDIOVASCULAR OPERATING ROOMS, ONE CARDIAC CATHETERIZATION LAB, ONE ELECTROPHYSIOLOGY LAB, THREE INTERVENTIONAL RADIOLOGY LABS, ONE MINOR PROCEDURE ROOM, OUTPATIENT CLINICS, CARDIAC REHABILITATION AND EDUCATIONAL FACILITIES. IN 2011, A TOTAL OF 8,784 PATIENTS WERE SERVED BY THE IAH CARDIOVASCULAR PROGRAM.WOMEN'S HEALTH: IAH OFFERS A FULL RANGE OF OBSTETRIC SERVICES INCLUDING DELIVERY SERVICES, HIGH RISK PRENATAL SERVICES, INPATIENT AND OUTPATIENT OBSTETRICS/GYNECOLOGIC SURGERY, AS WELL AS REGULAR AND SPECIALTY NURSERY CARE. IN 2011, IAH HAD 3,998 BABIES DELIVERED AT THE HOSPITAL. THERE IS A PRENATAL DIAGNOSTIC CENTER WHICH PROVIDED 9,070 VISITS IN 2011. IAH HAS A 16 BED, LEVEL III NICU WHICH TREATED 332 NEONATES FOR 4,317 PATIENT DAYS. IN ADDITION, IAH WORKS WITH THE CASEY CLINIC, A STATE HEALTH CLINIC JOINTLY FUNDED BY THE STATE OF VIRGINIA, CITY OF ALEXANDRIA AND THE ALEXANDRIA HEALTH DEPARTMENT, PROVIDING OBSTETRIC SERVICES TO LOW-INCOME PATIENTS. CANCER CARE: IAH, A COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM DESIGNEE, FEATURES A FULL SERVICE CANCER CENTER INCLUDING MEDICAL AND SURGICAL ONCOLOGY AND RADIATION THERAPY. IAH CANCER SERVICES PROVIDE A FULL RANGE OF IMAGING TECHNIQUES TO DETECT AND STAGE CANCER, AS WELL AS PLAN TREATMENT. THESE INCLUDE GENERAL RADIOLOGICAL STUDIES, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT) AND POSITRON EMISSION TOMOGRAPHY (PET). IAH ALSO FEATURES THE VARIAN TRILOGY LINEAR ACCELERATOR TECHNOLOGY, SIR-SPHERES TECHNOLOGY AND OFFERS PROSTATE SEED IMPLANTS. CHARITY CARE ALL INOVA FACILITIES, INCLUDING THE IAH FACILITIES PROVIDE CHARITY CARE IN ACCORDANCE WITH INOVA POLICIES ENSURING 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 GUIDELINE (FPG). IN GENERAL, FREE MEDICALLY NECESSARY CARE IS PROVIDED FOR PATIENTS WITH INCOMES FALLING BELOW 200% OF THE FPG; AND DISCOUNTED CARE IS PROVIDED FOR SERVICES RENDERED TO PATIENTS WITH INCOMES FALLING BETWEEN 200% AND 300% OF THE FPG.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, NURSING HOME 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 OUR 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 GUIDELINE). IN 2011, IAH'S UNREIMBURSED COST OF CHARITY CARE, INCLUDING FREE AND DISCOUNTED SERVICES, WAS APPROXIMATELY $24 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, THE DISABLED, AND CRIPPLED CHILDREN. THE REIMBURSEMENT THAT IAH FACILITIES RECEIVE FROM THE MEDICAID PROGRAM ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED. DURING 2010, IAH PROVIDED CARE TO MEDICAID PATIENTS AT AN UNREIMBURSED COST OF APPROXIMATELY $ 9 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 IAH, WORK WITH VARIOUS COUNTY GOVERNMENTS AND AGENCIES IN PROVIDING CERTAIN FREE SERVICES TO THOSE RESIDENTS THE COUNTY IDENTIFIES AS MOST IN NEED.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionEACH YEAR, IAH DESIGNATES FUNDS FOR THE DEVELOPMENT AND CONTINUATION OF IDENTIFIED DIRECT CARE PROGRAMS. SERVICES BENEFIT THE ALEXANDRIA COMMUNITY BY PROVIDING BROAD ACCESS TO HEALTH CARE AND RELATED SERVICES TO THOSE MOST IN NEED. MANY OF THESE PROGRAMS AND SERVICES ARE NOT BILLED TO THE PATIENT OR ARE PROVIDED AT A SUBSTANTIALLY REDUCED FEE. IN ADDITION TO PROVIDING 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 IAH MISSION. THESE SERVICES AND PROGRAMS INCLUDE: INOVA ALEXANDRIA HOSPITAL OB CLINIC: IAH DONATES SPACE ON THE CAMPUS TO THE CASEY CLINIC, A COMMUNITY HEALTH CENTER FUNDED BY THE STATE OF VIRGINIA, ALEXANDRIA HEALTH DEPARTMENT AND THE CITY OF ALEXANDRIA TO PROVIDE PRIMARY HEALTHCARE SERVICES TO LOW-INCOME AND UNINSURED CHILDREN AND ADULTS THAT ARE RESIDENTS OF THE CITY OF ALEXANDRIA. IAH FUNDS CLINIC PHYSICIANS ($3.1 MILLION IN 2011) WHO PROVIDE OB PATIENT PRENATAL EXAMINATIONS AND DELIVERY AT INOVA ALEXANDRIA HOSPITAL. IN 2011 THE HOSPITAL-BASED PHYSICIANS DELIVERED 684 BABIES FOR WOMEN WHO WERE SEEN IN THE CLINIC AND IN ADDITION HAD AN ADDITIONAL 200-300 DELIVERIES FOR PATIENTS WHO WERE NOT SEEN IN THE CLINIC. INOVA DIABETES CENTER: THE INOVA DIABETES CENTER PROVIDES OUTPATIENT DIABETES SELF-MANAGEMENT EDUCATION TO APPROXIMATELY 2,800 PERSONS WITH DIABETES EACH YEAR IN THE NORTHERN VIRGINIA AREA. THE INOVA DIABETES CENTER HAS FOUR LOCATIONS IN THE NORTHERN VIRGINIA AREA AND IS THE RECIPIENT OF THE AMERICAN DIABETES ASSOCIATION'S RECOGNITION FOR DIABETES EDUCATION PROGRAMS. MEDICAID ELIGIBILITY ASSISTANCE ALEXANDRIA HOSPITAL PROVIDES ASSISTANCE TO PATIENTS IN DETERMINING THEIR ELIGIBILITY FOR THE MEDICAID PROGRAMS.Description
FieldValueIRS element (for citing)
Total Program Service Expense277076849TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2383NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members1NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALEXANDRIA HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7032892433TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1
CityFALLS CHURCHCity
StateVAState
ZIP Code22042ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JKNOX SINGLETON
PRESIDENT10.00XX021169941315479
RICHARD MAGENHEIMER
TREASURER10.00XX0913538132921
STEPHEN CUMBIE
TRUSTEE0.50X000
JOHN GAUL
SECRETARY10.00X0503853106101
CHRISTINE CANDIO
CEO40.00542295095875X
JOHN AUDETT
CHIEF MEDICAL OFFICER40.00380094055199X
TODD LOCKCUFF
AVP, ASSOC ADMIN CFO40.00270063038254X
DANIEL JACKSON
AVP, COO40.00348210034576X
HUGO AGUAS
AVP, HR/ASSOC ADMIN40.00030094049696X
MARY DIXON
AVP ASSOC ADM CHIEF NURSE EXEC40.00160738032750X
ALESSANDRO GHIDINI
PHYSICIAN45.00410522068486X
SARAH POGGI
PHYSICIAN40.00389719056153X
SHIDONG TONG
DIRECTOR MEDICAL PHYSICS40.00242263052762X
REGINA HOWELL
ACUTE CARE NP40.00194446043387X
ZHEN ZHENG
PHYSICIST40.00188214039774X
JAMES KIM
FORMER SECRETARY10.00024527658608X
PAMELA MCVEY
FORMER AVP ASSOC ADM & CHIEF NURS40.00231794027970X
CHERYL WARD
FORMER EXEC DIR LABORATORY SERVIC40.00185143057725X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3543501TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs4080601TotalReportableCompFrmRltdOrgs
Total Other Compensation2265716TotalOtherCompensation
Number Individuals GT100 K143NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DUKE CONSTRUCTION LP
75 REMITTANCE DRIVE SUITE 1323CHICAGOIL60675CONSTRUCTION1469523
ALEXANDRIA HOSPITALISTS LLC
1734 N ALBERMARLE STREETMCLEANVA22101MEDICAL SERVICES1377122
MAYO MEDICAL LABORATORIES
200 FIRST STREET NWROCHESTERMN55905MEDICAL SERVICES1029735
DISPENZA WALTER & BURNS MDS PC
8311 CENTERBROOK PLACEALEXANDRIAVA22308MEDICAL SERVICES754522
RSG PC
14801 MURDOCK ST STE 135CHANTILLYVA20151ARCHITECTS574486
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K
Related Organizations216008RelatedOrganizations
Government Grants245103GovernmentGrants
Total Contributions461111TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE RE900099320951794320951794
LAB OUTREACH62150062787326278732
TECHNICAL DYNAMICS, LL900099412539412539
OUTPATIENT PHARMACY621990132148132148
FieldValueIRS element (for citing)
Total Program Service Revenue327775213TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column93952TotalRevenueColumn
Exclusion$93,952ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHERDescription
Business Code900099BusinessCode
Total Revenue Column1780486TotalRevenueColumn
Related Or Exempt Function Income1706128RelatedOrExemptFunctionIncome
Unrelated Business Revenue74358UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue1780486TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column330110762TotalRevenueColumn
Related Or Exempt Function Income323070461RelatedOrExemptFunctionIncome
Unrelated Business Revenue6485238UnrelatedBusinessRevenue
Exclusion$93,952ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3543501Total
Program Services3543501ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total114719612Total
Program Services105601526ProgramServices
Management And General9118086ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7018779Total
Program Services6477631ProgramServices
Management And General541148ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10858171Total
Program Services10021006ProgramServices
Management And General837165ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8502416Total
Program Services7846880ProgramServices
Management And General655536ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total390883Total
Program Services360746ProgramServices
Management And General30137ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total27225Total
Program Services25126ProgramServices
Management And General2099ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total15288Total
Program Services15288ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total42591005Total
Program Services39306060ProgramServices
Management And General3284945ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total32435Total
Program Services29934ProgramServices
Management And General2501ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total770749Total
Program Services711324ProgramServices
Management And General59425ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total445487Total
Program Services411140ProgramServices
Management And General34347ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4468261Total
Program Services4123758ProgramServices
Management And General344503ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total203867Total
Program Services188149ProgramServices
Management And General15718ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total109504Total
Program Services101061ProgramServices
Management And General8443ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5832226Total
Program Services5382561ProgramServices
Management And General449665ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18264760Total
Program Services16856547ProgramServices
Management And General1408213ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1917599Total
Program Services1769752ProgramServices
Management And General147847ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES47083791434536313630160
BAD DEBT EXPENSE1512673715126737
OTHER PURCHASED SERVICE93090568591328717728
PHYSICIAN FEES53748724960469414403

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2354202Total
Program Services2172694ProgramServices
Management And General181508ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total298960426Total
Program Services277076849ProgramServices
Management And General21883577ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1867870BOY
EOY3902590EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32243451BOY
EOY38635347EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1692648BOY
EOY2143717EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3581360BOY
EOY3030489EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1355785BOY
EOY1258968EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis339397734LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec196870951LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY134112054BOY
EOY142526783EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY119032701BOY
EOY134627131EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY293885869BOY
EOY326125025EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY17158611BOY
EOY18240786EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY406638BOY
EOY118124EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5694602BOY
EOY6402200EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23259851BOY
EOY24761110EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY270626018BOY
EOY301363915EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY270626018BOY
EOY301363915EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY293885869BOY
EOY326125025EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses31150336ReconcilationRevenueExpenses
Reconcilation Other Changes-412439ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$15,288OtherActivitiesAmount
Total Lobbying Expenditures IIB15288TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationTHERE WERE NO SIGNIFICANT LOBBYING ACTIVITIES DURING 2011. AMOUNTS UNDER OTHER ACTIVITIES PER PART II-B REPRESENT A PORTION OF MEMBERSHIP DUES RELATED TO LOBBYING.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis266862OtherCostOrOtherBasis
Book Value266862BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis106348128OtherCostOrOtherBasis
Depreciation51064793Depreciation
Book Value55283335BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis57482223OtherCostOrOtherBasis
Depreciation15207543Depreciation
Book Value42274680BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis170371486OtherCostOrOtherBasis
Depreciation130598615Depreciation
Book Value39772871BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4929035OtherCostOrOtherBasis
Book Value4929035BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings142526783TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN TDI LLC10000
DUE FROM SUBSIDIARIES AND AFFILIATES134132479
OTHER ASSETS484652
FieldValueIRS element (for citing)
Total Book Value Other Assets134627131TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionTHIRD PARTY SETTLEMENTSDescription
Amount$6,402,200Amount
FieldValueIRS element (for citing)
Total Of Amounts6402200TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationFOOTNOTE FROM CONSOLIDATED FINANCIAL STATEMENTS INCLUDING INOVA ALEXANDRIA HOSPITAL: THE FOUNDATION, IHCS, AHSC, LHI AND IHSS, 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.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense20426554TotalCommunityBenefitExpense
Net Community Benefit Expense20426554NetCommunityBenefitExpense
Percent Of Total Expense0.07200PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8671693TotalCommunityBenefitExpense
Net Community Benefit Expense8671693NetCommunityBenefitExpense
Percent Of Total Expense0.03060PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense29098247TotalCommunityBenefitExpense
Net Community Benefit Expense29098247NetCommunityBenefitExpense
Percent Of Total Expense0.10260PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3100819TotalCommunityBenefitExpense
Net Community Benefit Expense3100819NetCommunityBenefitExpense
Percent Of Total Expense0.01090PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3100819TotalCommunityBenefitExpense
Net Community Benefit Expense3100819NetCommunityBenefitExpense
Percent Of Total Expense0.01090PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense32199066TotalCommunityBenefitExpense
Net Community Benefit Expense32199066NetCommunityBenefitExpense
Percent Of Total Expense0.11350PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$6,123,303BadDebtExpenseAmount
Amount Reimbursed By Medicare59007367AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare80812144CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-21804777MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1INOVA ALEXANDRIA HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line14320 SEMINARY ROADAddressLine1
CityALEXANDRIACity
StateVAState
ZIP Code22304ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INOVA ALEXANDRIA HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent300.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities1CollectionActivities
LawsuitXLawsuit
Other ActionsXOtherActions
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 INCLUDED IS $3,099,234.
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 $ 15126737.
PART III, LINE 4: BAD DEBT FOOTNOTEPATIENT 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. BAD DEBT EXPENSE IS RECOGNIZED WHEN PROVIDING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. INOVA HAS A SELF-INSURED DISCOUNT PROGRAM WHEREBY UNINSURED PATIENTS RECEIVE A 35% DISCOUNT FOR SERVICES RENDERED. DISCOUNTS TO UNINSURED PATIENTS ARE CLASSIFIED AS A DEDUCTION FROM REVENUE AS OPPOSED TO BAD DEBT.ALL OPERATING ENTITIES OF IHS TREAT EMERGENCY PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. NON-EMERGENCY MEDICALLY NECESSARY CARE IS PROVIDED VIRTUALLY WITHOUT RESTRICTION AT ALL IHS TAX-EXEMPT OPERATING ENTITIES. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BASED UPON ESTABLISHED IHS POLICIES THAT CONSIDER PATIENT INCOME LEVELS AND AVAILABLE ASSETS. SINCE IHS DOES NOT PURSUE COLLECTION OF AMOUNTS THAT QUALIFY AS CHARITY CARE, THEY ARE DEDUCTED FROM GROSS REVENUE. UNPAID ACCOUNTS OF PATIENTS WHO FAIL TO PROVIDE REQUIRED INCOME AND ASSET DOCUMENTATION TO IHS ARE CLASSIFIED AS BAD DEBT EXPENSE. GUIDELINES USED BY IHS IN DETERMINING CHARITY CARE MAY DIFFER FROM GUIDELINES USED BY CERTAIN STATE OR FEDERAL AGENCIES. COSTING METHODOLOGYACTUAL BAD DEBT EXPENSE IS MULTIPLIED BY THE COST TO CHARGE RATIO USED IN COMPUTING CHARITY CARE EXPENSE IN PART I.THE ARE NO ESTIMATED AMOUNTS FOR BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY.
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: INOVA HEALTH SYSTEM STRIVES TO COMPLY WITH THE GUIDELINES ESTABLISHED BY THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE INTERNATIONAL CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY (ACA) WHICH REQUIRE MEMBERS TO ENGAGE IN HONORABLE, ETHICAL AND PROFESSIONAL CONDUCT OF CHARACTER NOT LIKELY TO DECEIVE, DEFRAUD OR HARM THE PUBLIC.THE POLICY OF INOVA HEALTH SYSTEM IS TO TAKE LEGAL ACTION, ONLY IF THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS IN EXCESS OF THE LEVELS SUGGESTED IN THE FINANCIAL ASSISTANCE POLICY; THE PATIENT HAS FAILED TO PROVIDE THE INFORMATION NEEDED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE; OR THE PATIENT IS NO LONGER MEETING HIS OBLIGATIONS UNDER AN AGREED-UPON PAYMENT PLAN AND HAS NOT INFORMED THE COLLECTIONS OFFICE OF A CHANGE IN FINANCIAL CONDITION.STAFFS WHO WORK CLOSELY WITH PATIENTS, INCLUDING THOSE INVOLVED IN BILLING AND COLLECTION, ARE EDUCATED ABOUT HOSPITAL BILLING, FINANCIAL ASSISTANCE AND COLLECTION POLICIES AND PRACTICES.AGENCIES ACTING ON BEHALF OF INOVA HEALTH SYSTEM MAY NOT GARNISH WAGES OR FREEZE BANK ACCOUNTS AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. AGENCIES MAY FILE LIENS ONLY AGAINST ESTATES. THE FORECLOSURE OR FORCED SALE OF A PATIENT'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING HOSPITAL BILL IS PROHIBITED. IT IS NOT THE POLICY OF INOVA HEALTH SYSTEM TO FILE LIENS RELATED TO MEDICARE, MEDICAID, MEDICREDIT FFA OR CHARITY ACCOUNTS.
PART V, SECTION B, LINE 11H: FAMILY SIZEINOVA ALEXANDRIA HOSPITAL
PART V, SECTION B, LINE 13G: 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.INOVA ALEXANDRIA HOSPITAL
PART V, SECTION B, LINE 16E: JUDGEMENTS OBTAINEDINOVA ALEXANDRIA HOSPITAL
PART V, SECTION B, LINE 19D: ALL SELF PAY PATIENTS RECEIVE A 35% SELF PAY DISCOUNTINOVA ALEXANDRIA HOSPITAL
PART VI, LINE 2: IN PRIOR YEARS, INOVA HEALTH SYSTEM (IHS) HAS USED THE FOLLOWING METHODS TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY:AN ASSESSMENT OF COMMUNITY HEALTH STATUS BASED ON AVAILABLE MORBIDITY AND MORTALITY DATA FROM SECONDARY DATA SOURCES SUCH AS COMMONWEALTH OF VIRGINIA VITAL STATISTICS, CANCER REGISTRIES AND HOSPITAL DISCHARGE ABSTRACTS;FOCUS GROUPS AND SURVEYS TO DETERMINE COMMUNITY CONCERNS AND EXPECTATIONS RELATED TO HEALTH ISSUES; CONFERENCES TO ELICIT BROAD COMMUNITY INPUT AND REACH CONSENSUS ON CRITICAL HEALTH CARE NEEDS.PERIODICALLY UPDATED THE COMMUNITY NEEDS ASSESSMENT WITH A COMPREHENSIVE ANALYSIS OF COMMUNITY HEALTH STATUS TO DETERMINE HOW COMMUNITY HEALTH NEEDS HAVE CHANGED SINCE THE PRIOR ASSESSMENTS WERE COMPLETED. THIS ASSESSMENT RELIED ON SECONDARY DATA SOURCES INCLUDING VDH STATISTICS ON BIRTHS, DEATHS AND DISEASES; INFORMATION ON HOSPITAL FINANCES AND UTILIZATION FROM VIRGINIA HEALTH INFORMATION INC; AND INTERNAL INFORMATION ON HOSPITAL UTILIZATION AND CHARGES FROM INOVA HEALTH SYSTEM.STUDY OF COMMUNITY HEALTH IMPACT ON HOSPITAL SERVICES USING POPULATION BASED HOSPITAL DISCHARGE DATAENGAGED COMMUNITY LEADERS FROM THE ALEXANDRIA HEALTH DEPARTMENT, FAIRFAX COUNTY SCHOOL DISTRICT AND A PRIVATE NON-PROFIT. NORTHERN VIRGINIA FAMILY SERVICES PROVIDED EXPERT CONSULTATION AND GUIDANCE FOR THE TASK FORCE ON THE IMPORTANCE AND CHALLENGES OF ESTABLISHING PARTNERSHIPS.AS A RESULT OF THIS 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 200 GOALS AND OUTCOMES. COMMUNITY HEALTH NEEDS ASSESSMENTS ARE NOW 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. 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 WILL BE INCORPORATED INTO THE COMMUNITY NEEDS ASSESSMENT INOVA INITIATED IN 2011 WITH COMPLETION OF THE ASSESSMENT AS WELL AS IMPLEMENTATION PLANS SCHEDULED FOR 2013. IN ADDITION TO PARTICIPATING IN THE MAPP PROCESS, INOVA IS CONTINUALLY GARNERING FEEDBACK ON THEIR 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 INCORPORATES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND POTENTIAL PATIENTS ABOUT THE INOVA CHARITY CARE POLICY. UPON ADMISSION TO ANY INOVA HOSPITAL OR NURSING HOME OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING OUR EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. PATIENTS ARE PROVIDED INFORMATION ABOUT OUR CHARITY CARE PROGRAM AND REFERRALS TO AN INOVA FINANCIAL COUNSELOR WHO ASSISTS THE PATIENTS IN COMPLETING OUR CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY OUR PATIENT ACCOUNTS DEPARTMENT AND THE PATIENT IS CONTACTED IF ANY ADDITIONAL INFORMATION IS NEEDED TO MAKE A DETERMINATION. THE PATIENT IS SENT A LETTER IN WHICH THEY ARE GIVEN 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 GUIDELINE. INOVA ALSO HAS MEDICAID ELIGIBILITY WORKERS ON-SITE IN ALL HOSPITALS, IN OUR INOVACARES CLINIC FOR WOMEN AND CHILDREN (CLINIC FOR LOW INCOME FAMILIES) AND IN THE COMMUNITY AS PART OF OUR PARTNERSHIP FOR HEALTHIER KIDS ACCESS TO CARE PROGRAM. WE PARTNER WITH SCHOOLS ACROSS OUR 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 OUR 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 OUR CULTURALLY DIVERSE COMMUNITY.
PART VI, LINE 4: ALEXANDRIA HEALTH CARE SERVICES (AHCS) 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 ALEXANDRIA HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE CITY OF ALEXANDRIA AND WEST ALEXANDRIA, MOUNT VERNON NORTH, FRANCONIA/KINGSTOWNE AND BAILEYS CROSSROADS/LINCOLNIA.THE REGION'S POPULATION SERVED BY AHCS IS FORECASTED TO GROW 10% OVER THE NEXT DECADE, ADDING AN ESTIMATED AVERAGE OF 5,500 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 INCREASE BY 50% BY 2030, WHILE THE NUMBER OF CHILDREN WILL INCREASE BY ABOUT 20%. 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 IS 45% MINORITY, UP FROM 23% IN 1990, WHILE THE NATION AS A WHOLE REFLECTS A 36% MINORITY POPULATION (U.S. CENSUS BUREAU, 2010). ALEXANDRIA CITY IN 2010 HAD 140,000 PEOPLE WITH APPROXIMATELY 25% OF THE POPULATION FOREIGN BORN. IN 2010, ALEXANDRIA'S ASIANS, HISPANICS, AND AFRICAN AMERICANS REPRESENTED 6.0%, 16.1%, AND 21.8% OF ALEXANDRIA'S POPULATION, RESPECTIVELY (U.S. CENSUS BUREAU, 2010). ACCORDING TO THE 2007 VIRGINIA HEALTH CARE FOUNDATION HEALTH ACCESS SURVEY, APPROXIMATELY 14.8% OF THE OVERALL NORTHERN VIRGINIA POPULATION CURRENTLY LACKS HEALTHCARE INSURANCE. COMPARED TO 2.5% OF WHITES IN THE REGION WHO LACK HEALTH INSURANCE, 39.6% OF HISPANICS, 6.8% OF ASIANS, AND 6.5% OF BLACKS IN NORTHERN VIRGINIA ARE UNINSURED. 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 GIVEN THE PROGRAMS PROVIDING ACCESS TO CARE FOR LOW INCOME, UNINSURED, UNDERINSURED AND VULNERABLE POPULATIONS; PROMOTING HEALTH & WELLNESS AND INCREASING HEALTH LITERACY; PROVIDING THE SUPPORT AND INFRASTRUCTURE FOR DISASTER PREPAREDNESS; AND PROVIDING 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 COMMITMENT TO SUPPORTING ACCESS TO HEALTHCARE SERVICES IS EVIDENT IN THE INFRASTRUCTURE CREATED TO SUPPORT THE MANY PROGRAMS PROVIDED FOR THE LOW INCOME AND UNINSURED POPULATION. INOVA'S COMMUNITY SAFETY NET AND COMMUNITY HEALTH DIVISION IS ORGANIZED TO ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY. IN ADDITION TO THE PROGRAMS ALREADY DESCRIBED IN THE CORE FORM PROGRAM, ACCOMPLISHMENTS THAT INCREASE ACCESS TO HEALTHCARE SERVICES FOR THE COMMUNITIES SERVED BY INOVA HEALTH SYSTEM INCLUDE THE FOLLOWING PROGRAMS WHICH PROVIDE INFRASTRUCTURE SUPPORT AND SERVICES FOCUSED ON VULNERABLE POPULATIONS: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 285,000 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 2011, PHK ASSISTED OVER 3,700 CHILDREN WITH ACCESS TO A SOURCE OF COMPREHENSIVE HEALTH CARE SERVICES SUCH AS MEDICAID, FAMIS OR LOCAL SAFETY NET PROVIDERS. THROUGH THE PROVISION OF TWO PROGRAMS, INOVA PARTNERSHIP FOR HEALTHIER KIDS WORKS WITH SCHOOLS, COMMUNITY ORGANIZATIONS, CORPORATIONS AND LOCAL GOVERNMENTS TO KEEP KIDS IN OUR COMMUNITY HEALTHY AND READY TO LEARN. THE ACCESS TO CARE PROGRAM PROVIDES FAMILIES WITH COMPREHENSIVE APPLICATION AND ENROLLMENT ASSISTANCE TO CONNECT THEM TO AN APPROPRIATE AND AFFORDABLE SOURCE OF HEALTH CARE SERVICES. THE PREVENTION PROGRAM PROVIDES STUDENTS AND FAMILIES NUTRITION AND PHYSICAL ACTIVITY EDUCATION TO INCREASE KNOWLEDGE AND IMPROVE SKILLS TO MAKE HEALTHY LIFESTYLE CHOICES.INOVA KELLAR CENTER PROVIDES MENTAL HEALTH, SUBSTANCE ABUSE TREATMENT AND SPECIAL EDUCATION SERVICES TO CHILDREN, ADOLESCENTS AND THEIR FAMILIES IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. THE PROGRAM MEETS THE NEEDS OF THE CHILDREN AND FAMILIES OF FAIRFAX COUNTY BY PROVIDING A FULL CONTINUUM OF MENTAL HEALTH SERVICES FROM OUTPATIENT THERAPY AND MEDICATION MANAGEMENT TO INTENSIVE OUTPATIENT AFTER SCHOOL PROGRAMS AND FULL DAY PARTIAL HOSPITALIZATION PROGRAMS. DURING 2011 THE CENTER PROVIDED 78,392 CLINICAL AND EDUCATIONAL SESSIONS TO CHILDREN AND FAMILIES. INOVA KELLAR CENTER HAS BEEN INVOLVED IN THE DEVELOPMENT OF A SYSTEM OF CARE MODEL FOR THE PROVISION OF MENTAL HEALTH SERVICES WITHIN THE REGION. KEEPING WITH THE GOAL OF HAVING CHILDREN REMAIN IN THE COMMUNITY, THE CENTER CONTINUES TO BUILD CAPACITY TO MEET THE NEEDS OF THE INCREASINGLY CHALLENGED POPULATION. THE $300,000 GRANT FROM A PRIVATE FOUNDATION TO SUPPORT THE EXPANSION OF KELLAR CENTER'S SYSTEM OF CARE SERVICES FOR CHILDREN HAS ENABLED THE CENTER TO EXPAND OUTPATIENT FAMILY SERVICES INCLUDING PSYCHOLOGICAL SERVICES AND HOME BASED SERVICES BY UNDERWRITING THE INITIAL INVESTMENT AND "START UP" COSTS ASSOCIATED WITH EXPANSIONS. THE CENTER HAS DOUBLED ITS' ABILITY TO PROVIDED ADLD ASSESSMENTS AND PSYCHOLOGICAL TESTING. THE RECRUITMENT PROCESS FOR 2 ADDITIONAL CHILD AND ADOLESCENT PSYCHIATRIST'S HAS BEGUN. THESE POSITIONS WILL PROVIDE SERVICES TO OVER 500 ADDITIONAL PATIENTS BY 2012.HEALTH PROMOTION AND PREVENTATIVE CARE PROGRAMSNORTHERN VIRGINIA HEALTHY KIDS' COALITION: TIPPING THE SCALES FOR BETTER HEALTH. OBESITY HAS BECOME AN URGENT PUBLIC HEALTH PROBLEM IN NORTHERN VIRGINIA, WITH OVER 100,000 CHILDREN AGED 2 TO 18 YEARS OF AGE BEING EITHER OVERWEIGHT OR AT-RISK OF BECOMING OVERWEIGHT. 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. THE INOVA HEALTH SYSTEM SPONSORS THIS COMMUNITY-BASED COALITION. INOVA PARTNERING ACTIVELY TOWARDS HEALTH (IPATH). THE IPATH MISSION IS TO PROVIDE OPPORTUNITIES FOR STUDENTS TO ENGAGE IN HEALTH ORIENTED ACTIVITIES WITHIN OUR COMMUNITY, STRENGTHEN HEALTHY LIVING AMONGST ADOLESCENTS, AND EXPOSE STUDENTS TO EXCITING MEDICAL CAREERS. THE PATHWAY TO IMPROVED HEALTH PROGRAM IS A TEN-WEEK PROGRAM DESIGNED TO ENGAGE SELECTED STUDENT LEADERS THAT WILL CHAMPION HEALTH AWARENESS ACTIVITIES IN THEIR SCHOOLS AND COMMUNITIES, EMPOWER STUDENTS TO PARTNER WITH HEALTH PROFESSIONALS TO ASSIST INOVA AND THEIR SCHOOL IN DEVELOPING A NEW HEALTH INITIATIVE, AND SERVE AS A HEALTH AMBASSADOR TO THEIR FAMILIES TO HELP ACHIEVE THE GOAL OF IMPROVING THE HEALTH OF THE COMMUNITY ONE FAMILY AT A TIME. CONGREGATIONAL HEALTH PARTNERSHIP (CHP) HAS RESOURCED AND FACILITATED WELLNESS OF SPIRIT, MIND, AND BODY THROUGH MULTI-FAITH COMMUNITIES:PROVIDED MORE THAN 102 HEALTH EDUCATION AND WELLNESS PROMOTION ACTIVITIES DISTRIBUTED OVER 12,654 PIECES OF HEALTH EDUCATION MATERIALS.CONDUCTED OVER 3,371 CONSULTATIONS AND NETWORKING CONVERSATIONSINCREASED THE NUMBER OF NEW FAITH COMMUNITIES PARTNERED WITH CHP WITH 20 NEW FAITH CONGREGATIONS CONTACTED THIS YEAR.INOVACARES FOR SENIORS (PACE)INOVACARES FOR SENIORS IS THE SUBMITTED TRADE NAME FOR INOVA HEALTH SYSTEM'S FIRST PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PACE IS AN EVIDENCED-BASED MODEL OF CARE THAT DELIVERSDELIVERS HIGH QUALITY, COST EFFECTIVE CARE AND IS BUILT ON THE FOUNDATION THAT SENIORS WITH COMPLEX HEALTH CARE NEEDS SHOULD BE ABLE TO LIVE IN THE LEAST RESTRICTIVE ENVIRONMENT FOR AS LONG AS POSSIBLE.INOVA'S FORMAL APPLICATION WAS SUBMITTED AND ACCEPTED UNDER REVIEW BY CMS ON SEPTEMBER 7TH, 2011 INITIATING THE APPROVAL PROCESS AS A PROVIDER OF CLINICAL AND SOCIAL SERVICES TO DUAL ELIGIBLE (MEDICARE/MEDICAID) MEMBERS OF OUR COMMUNITY. UPON APPROVAL OF THE APPLICATION FOLLOWED BY A FORMAL SITE REVIEW IN MID DECEMBER, INOVACARES FOR SENIORS IS PLANNING FOR ENROLLMENT OF AREA SENIORS IN THE FIRST QUARTER OF 2012. THE PHYSICAL SITE PLANNED FOR OUR FIRST PACE CLINIC IS LOCATED AT BRADDOCK GLEN ADULT DAY HEALTH CENTER ON OLLEY LANE IN FAIRFAX COUNTY, AND RENOVATIONS ARE NEARLY COMPLETE FOR THE EXPANSION OF THE CLINIC AND REHAB SERVICE AREAS. HEALTH LITERACY AND HEALTH EQUITY PROGRAMSTHE GOAL OF THE OFFICE OF HEALTH EQUITY (OHE) IS TO IDENTIFY AND ADDRESS DOCUMENTED HEALTH DISPARITIES IN NORTHERN VIRGINIA THROUGH INTERNAL AND COMMUNITY INITIATIVES UNDER THE QUALITY, SERVICE AND COMMUNITY PILLARS. GUIDED BY AN EXECUTIVE ADVISORY COMMITTEE, THE OHE PARTNERS WITH COMMUNITY GROUPS, CONDUCTS EDUCATION AND RESEARCH, AND PROVIDES SERVICES THAT WILL CONTRIBUTE TO THE ELIMINATION OF DISPARITIES IN OUR COMMUNITY. THE FOLLOWING ARE THE OHE'S ACTIVITIES IN THE AREAS OF STAFF TRAINING/EDUCATION, SERVICES FOR THE DEAF AND HARD OF HEARING, AND LANGUAGE SERVICES.
PART VI, LINE 6: ORGANIZATION IS PART OF INOVA HEALTH SYSTEM INCLUDED IN DESCRIPTION UNDER LINE 5.
LANGUAGE SERVICES IN SUPPORT OF PATIENT SAFETY AND SATISFACTION, INTERPRETATION AND TRANSLATION SERVICES ARE PROVIDED AT EVERY INOVA FACILITY, TO FACILITATE COMMUNICATION WITH THE 8-10 PERCENT OF INOVA'S PATIENT POPULATION WHO ARE LIMITED ENGLISH PROFICIENT (LEP). MEDICAL INTERPRETATION IS PROVIDED BY ON SITE MEDICAL INTERPRETERS AND TELEPHONICALLY VIA THE LANGUAGE LINE. THROUGH DECEMBER 2011 THE OHE DELIVERED 120,374 INTERPRETER ENCOUNTERS (108,000 HOURS OF INTERPRETER SERVICE) ACROSS INOVA FACILITIES.SERVICES FOR THE DEAF AND HARD OF HEARING HAVE UNDERGONE SEVERAL CHANGES IN 2010, INCLUDING CREATION OF A SCHEDULER POSITION, AND DEPLOYMENT OF NEXTALK (VIDEO REMOTE INTERPRETING) IN ALL INOVA EMERGENCY DEPARTMENTS, TO IMPROVE OUR ABILITY TO COMMUNICATE WITH DEAF PATIENTS AND THEIR FAMILIES ON SHORT NOTICE. THROUGH DECEMBER 2011 3,823 INTERPRETED SESSIONS (10,000 HOURS) HAVE BEEN DELIVERED. EDUCATION AND TRAININGTHE OHE FACILITATES THE DEVELOPMENT OF A CULTURALLY COMPETENT WORKFORCE WITH THE IMPLEMENTATION OF STAFF EDUCATION AND TRAINING PROGRAMS SUCH AS:THE 21ST CENTURY LEADERSHIP DEVELOPMENT PROGRAM IS A NINE MONTH PROGRAM DESIGNED TO IDENTIFY AND GROW FUTURE INOVA LEADERS. THE PROGRAM LAUNCHED IN SEPTEMBER WITH 22 PARTICIPANTS. CULTURAL COMPETENCE AND DIVERSITY EDUCATION PROGRAMS ARE CONDUCTED REGULARLY. THROUGH DECEMBER 2011, THE OHE DELIVERED 56 EDUCATIONAL SESSIONS AND IN-SERVICE TRAININGS, REACHING A TOTAL OF 1,600 INOVA EMPLOYEES. CONTENT INCLUDED BUT WAS NOT LIMITED TO: PROVIDING CULTURALLY COMPETENT PATIENT CARE, CROSS-CULTURAL COMMUNICATION, CULTURAL AWARENESS AND SENSITIVITY, CROSS-CULTURAL CONFLICT RESOLUTION, AND CROSS-CULTURAL ISSUES IN THE CHILDCARE SETTING.OHE IS CURRENTLY WORKING WITH MEMBERS OF THE ALEXANDRIA HOMELESS SERVICES COORDINATING COMMITTEE (AHSCC) AND KEY STAFF AT INOVA ALEXANDRIA HOSPITAL (IAH) TO ENSURE CONSISTENT IAH REPRESENTATION ON THE COMMITTEE AND TO PRESENT AN IN-SERVICE FOR A RANGE OF IAH STAFF, INCLUDING CASE MANAGERS, SOCIAL WORKERS, PCD'S AND ADDITIONAL ED PERSONNEL. THE GOALS OF THIS INITIATIVE ARE (1) TO REDUCE READMISSIONS TO IAH FROM THE HOMELESS POPULATION AND (2) TO IMPROVE IAH'S PROFILE IN THE COMMUNITY.DISASTER PREPAREDNESSREGIONAL HOSPITAL COORDINATING CENTER - AS PART OF A REGIONAL ALLIANCE OF ALL HOSPITALS ACROSS NORTHERN VIRGINIA TO PROVIDE A COORDINATED RESPONSE IN THE EVENT OF A DISASTER, INOVA HEALTH SYSTEM HAS TAKEN A LEADERSHIP ROLE. INOVA FUNDS AND PROVIDES THE SITE FOR THE REGIONAL HOSPITAL COORDINATING CENTER (RHCC), PROVIDING 24/7 COVERAGE FOR INCIDENT COMMAND AND OPERATIONS CHIEF. INOVA OPERATES AN E-ICU WHICH, DURING A DISASTER, FACILITATES ACCESS TO AND MANAGEMENT OF ALL CRITICAL CARE BEDS WITHIN INOVA HEALTH SYSTEM.PART VI, LINE 5

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JKNOX SINGLETON
0113807306724550306466012919500235290343247300
RICHARD MAGENHEIMER
05822320206056012525001104660224550104645900
JOHN GAUL
0383963098620021270085133020968060995400
CHRISTINE CANDIO
322854099498011994307876501711006381700601840
JOHN AUDETT
27627305850004532104265801254104352930216970
TODD LOCKCUFF
2016040417920266670351940306003083170122490
DANIEL JACKSON
191765082873073572030547040290382786000
HUGO AGUAS
01906000365590737810387110109850350636036497
MARY DIXON
14919101053601011031335014150193488000
ALESSANDRO GHIDINI
356016046436080700528920155940479008000
SARAH POGGI
3417400476440335047700084530445872000
SHIDONG TONG
218179023072010120348240179380295025000
REGINA HOWELL
12497106932601490223000210870237833000
ZHEN ZHENG
184695028120707030445093290227988000
JAMES KIM
0199679035321010276038293020315030388400
PAMELA MCVEY
182464036435012895021367066030259764000
CHERYL WARD
145066035293047840407280169970242868000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1A
PART I, LINES 4A-BDANIEL JACKSON RECIEVED A SEVERANCE PAYMENT OF $35,310. SERP PLAN PAYMENT: J. KNOX SINGLETON $229,900 RICHARD MAGENHEIMER $88,500 CHRISTINE CANDIO $87,431 TODD LOCKCUFF $15,994 JOHN AUDETT $34,014 HUGO AGUAS $58,941 THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP PLAN) IS A NONQUALIFIED RETIREMENT PLAN. EMPLOYEES ELIGIBLE TO PARTICIPATE ARE EXECUTIVE DIRECTORS, ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, CFO, COO, AND CEO. EACH YEAR, A CERTAIN PERCENTAGE OF EACH PARTICIPANT'S BASE SALARY IS CONTRIBUTED TO THE SERP PLAN. THIS AMOUNT RANGES FROM 5% TO 20%, DEPENDING ON POSITION. AFTER THREE YEARS OF CONTINUOUS PARTICIPATION, PARTICIPANTS VEST IN 50% OF THEIR BALANCE AT THAT TIME AND ARE PAID OUT THE VESTED BALANCE AS A TAXABLE EVENT. AFTER A TOTAL OF SIX YEARS PARTICIPATION AND AFTER ATTAINING AGE 50, PARTICIPANTS ARE 100% VESTED AND ARE PAID OUT THEIR REMAINING BALANCE AS A TAXABLE EVENT. VESTING THEN REVERTS TO A THREE-YEAR ROLLING SCHEDULE UNTIL YEAR 12. THEREAFTER, THE ANNUAL CONTRIBUTION IS PAID OUT TO THE PARTICIPANT EACH YEAR AS A TAXABLE EVENT.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CYES, ANNUALLY THE ORGANIZATION DISTRIBUTES THE CONFLICT OF INTEREST POLICY TO ALL DIRECTORS, OFFICERS, TRUSTEES, AND KEY EMPLOYEES. THE ORGANIZATION REQUIRES THAT EACH DIRECTOR, OFFICER, TRUSTEE, AND KEY EMPLOYEE ACKNOWLEDGE THAT THEY HAVE READ, UNDERSTOOD, AND WILL ABIDE BY THE POLICY. EACH DIRECTOR, OFFICER, TRUSTEE, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE AND SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THESE DISCLOSURES ARE BROAD AND REQUIRE THAT THE INDIVIDUAL LIST ANY BUSINESS RELATIONSHIPS OR PERSONAL RELATIONSHIPS WITH OTHER DIRECTORS, OFFICERS, TRUSTEES, AND KEY EMPLOYEES, AS WELL AS ANY RELATIONSHIPS WITH COMPETITORS, OR CURRENT OR POTENTIAL VENDORS OR CONTRACTORS. DISCLOSURE STATEMENTS ARE REVIEWED BY SENIOR MANAGEMENT AND ANY POTENTIAL CONFLICTS ARE DISCUSSED WITH GOVERNING BODY CHAIRMAN TO ENSURE THAT ANY MEMBER WHO MAY HAVE A CONFLICT DISCLOSES THEIR POTENTIAL CONFLICT, AND IS DISMISSED FROM RELATED DISCUSSIONS AND RECUSED FROM PARTICIPATION IN APPLICABLE DECISIONS.
FORM 990, PART VI, SECTION B, LINE 15THE 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 INOVA HEALTH SYSTEM PHYSICIAN COMPENSATION COMMITTEE. THE COMMITTEE IS COMPRISED OF EXECUTIVE MANAGEMENT OF THE INOVA HEALTH SYSTEM. THE FAIR MARKET VALUE (FMV) COMPENSATION IS BASED ON FOUR NATIONALLY RECOGNIZED INDUSTRY PHYSICIAN COMPENSATION BENCHMARK SURVEYS (MGMA, AMGA, SULLIVAN & COTTER, 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 18THE 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 19INOVA HEALTH SYSTEM MAKES CERTAIN INFORMATION PUBLICLY AVAILABLE. INOVA'S CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS ARE POSTED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS'S (EMMA) WEBSITE. IN ADDITION, THE QUARTERLY FINANCIAL STATEMENTS OF THE INOVA ENTITIES THAT ARE OBLIGATED TO SERVICE THE INOVA BONDS, CALLED THE INOVA HEALTH SYSTEM OBLIGATED GROUP (WHICH REPRESENTS THE VAST MAJORITY OF INOVA'S FINANCIAL RESULTS), ARE POSTED ON THE EMMA WEBSITE WITHIN 60 DAYS OF EACH QUARTER-END, EXCEPT THE 4TH QUARTER WHICH IS POSTED WITHIN 150 DAYS AFTER YEAR-END ALONG WITH INOVA'S FULLY CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS (MENTIONED ABOVE). INOVA'S FORM 990S ARE DISCLOSED ON THE GUIDESTAR WEBSITE. INOVA'S GOVERNING DOCUMENTS ARE NOT CURRENTLY PUBLICLY AVAILABLE. WHILE THE CONFLICT OF INTEREST POLICY IS NOT SPECIFICALLY PUBLICLY DISCLOSED, INOVA'S CODE OF CONDUCT IS ON THE PUBLIC WEBSITE. SECTION III OF THE CODE OF CONDUCT DESCRIBES WHAT CAN CONSTITUTE A CONFLICT AND REQUIRES THAT POTENTIAL CONFLICTS BE REPORTED TO MANAGEMENT OR THE CHIEF COMPLIANCE OFFICER. THE CODE ALSO REFERS TO THE CONFLICT OF INTEREST POLICY WHICH IS AVAILABLE TO STAFF AND PHYSICIANS ON INOVA'S INTRANET WEBSITE.
PART VII, COLUMN BTHE FOLLOWING INDIVIDUALS HAVE HOURS PER WEEK WORKED ON RELATED ORGANIZATIONS: J. KNOX SINGLETON, 40 HOURS JAMES KIM, 40 HOURS JOHN GAUL, 40 HOURS RICHARD MAGENHEIMER, 40 HOURS STEPHEN CUMBIE, 10.5 HOURSHOURS WORKED
FORM 990, PART XI, LINE 5:PARTNERSHIP INCOME -412,539. OTHER 100. TOTAL TO FORM 990, PART XI, LINE 5: -412,439.CHANGES IN NET ASSETS OR FUND BALANCES:
PART V, LINE 1A AND 2ATHE ORGANIZATION FILES ITS FORM 1099S UNDER THE PARENT ENTITY AND DOES NOT REPORT ANY AMOUNTS UNDER ITS OWN EIN. THE ORGANIZATION FALLS UNDER A MASTER PAY AGENT AND DOES NOT FILE ANY PAYROLL RETURNS UNDER ITS OWN EIN, HOWEVER ALL REQUIRED RETURNS HAVE BEEN FILED ON TIME.NUMBER OF 1099S AND EMPLOYEES
PART XII, LINE 2B AND 2CTHE 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.AUDITED FINANCIAL STATEMENTS
PART XII, LINE 3ATHE COMPANY IS A SUBSIDIARY OF THE INOVA HEALTH SYSTEM, A NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NORTHERN VIRGINIA AND SURROUNDING AREAS. THE COMPANY 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.A-133 AUDIT

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
INOVA HEALTH SYSTEM FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541071867FUNDRAISINGVA501(C)(3)11,IIIN/A0
INOVA HEALTH CARE SERVICES
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042540620889HOSPITAL SYSTEMVA501(C)(3)3N/A0
INOVA HEALTH SYSTEM SERVICES
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541434144NURSING HOMESVA501(C)(3)9N/A0
IMANCO INC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541340725PAYROLL CORPORATIONVA501(C)(3)11,IN/A0
INOVA ALEXANDRIA HEALTH SERVICES CORPORATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042521356573INACTIVE CORPORATIONVA501(C)(3)11,IN/A0
INOVA PHYSICAL REHABILITATION SERVICES
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541692089REHABILITATION SERVICESVA501(C)(3)9N/A0
INOVA VNA HOME CARE
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541277164HOME CARE SERVICESVA501(C)(3)9N/A0
INOVA MEDICAL FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541716343MANAGED CARE INACTIVEVA501(C)(3)11,IN/A0
UMC HOLDINGS INC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541390795URGENT CARE SERVICESVA501(C)(3)9N/A0
INOVA EMPLOYEE ASSISTANCE
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541916699EMPLOYEE SERVICESVA501(C)(3)11,IN/A0
ALEXANDRIA COMMUNITY HEALTHCARE GROUP
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541444341INACTIVE CORPORATIONVA501(C)(3)11,IN/A0
ALEXANDRIA HOSPITAL FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042510241913FUNDRAISINGVA501(C)(3)11,IN/A0
LOUDOUN HOSPITAL CENTER
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042540525802HOSPITALVA501(C)(3)3N/A0
LOUDOUN NURSING AND REHABILITATION CENTER
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541361310REHABILITATION SERVICESVA501(C)(3)9N/A0
LOUDOUN HEALTH SERVICES
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541555489SURGERY CENTERVA501(C)(3)9N/A0
LOUDOUN HEALTH CARE FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042542011240FUNDRAISINGVA501(C)(3)11,IN/A0
LOUDOUN HEALTHCARE INC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541361309INACTIVE CORPORATIONVA501(C)(3)11,IN/A0
LHI PROPERTIES INC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541651315INACTIVE CORPORATIONVA501(C)(3)11,IN/A0

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1TECHNICAL DYNAMICS LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1
CityFALLS CHURCHCity
StateVAState
ZIP Code22042ZIPCode
FieldValueIRS element (for citing)
EIN432041666EIN
Primary ActivityEQUIPMENT REPAIRPrimaryActivity
Legal Domicile StateVALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income412539ShareOfTotalIncome
Share Of EOY Assets10090ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.17000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
INOVA HEALTH SYSTEM FOUNDATION
Q15744375INTERCOMPANY
ALEXANDRIA HOSPITAL FOUNDATION
C216008FAIR MARKET VALUE
ALEXANDRIA HOSPITAL FOUNDATION
L218933GENERAL LEDGER BALANCE

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