2011-11-10T14:21:29-06:00 2010-12-31 990 2010-01-01 540505861 INOVA ALEXANDRIA HOSPITAL ALEX 7035043000 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 RICHARD MAGENHEIMER 7035043000 2011-11-11 2010 2016-03-07 17:11:31Z J KNOX SINGLETON 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 295380636 0 X INOVA.ORG X 1901 VA INOVA 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. 3 1 2326 350 6449603 0 461870 373769 284137737 293246928 37908 69584 1832144 1690355 286469659 295380636 0 0 0 0 127401474 137858588 0 0 0 125697180 134841979 253098654 272700567 33371005 22680069 269204896 293885869 21181240 23259851 248023656 270626018 X THE MISSION OF THE INOVA ALEXANDRIA HOSPITAL IS TO PROVIDING QUALITY CARE AND IMPROVING THE HEALTH OF THE DIVERSE COMMUNITY OF THE CITY OF ALEXANDRIA AND NEIGHBORING COMMUNITIES IT SERVES. 0 0 250339121 60692 288487680 INOVA 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 WAS SPECIFICALLY CHARTERED FOR THE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF THE ALEXANDRIA 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. IAH IS A 318-LICENSED BED GENERAL ACUTE CARE HOSPITAL, WHICH OPENED ON JANUARY 23, 1873. IAH PROVIDES A FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT; A SPECTRUM OF DIAGNOSTIC SERVICES, INCLUDING FULL-BODY CT SCANNING, MRI, AND A CARDIAC CATHETERIZATION LABORATORY; A VARIETY OF INPATIENT MEDICAL, SURGICAL, AND ORTHOPEDIC SERVICES; AND COMPREHENSIVE OUTPATIENT SERVICES, INCLUDING OUTPATIENT SURGERY, PHYSICAL MEDICINE, AND REHABILITATION. IN ADDITION, SPECIALIZED OBSTETRIC AND PEDIATRIC SERVICES ARE PROVIDED BY THE HOSPITAL'S MATERNAL AND INFANT HEALTH CENTER AND A CHILDREN'S UNIT. IN 2010 THE HOSPITAL HAD 14,807 ADMISSIONS INCLUDING NEWBORNS AND 70,142 PATIENT DAYS EXCLUDING NEWBORNS. EMERGENCY ROOM VISITS TOTALED 59,755; AND THERE WERE 67,653 OUTPATIENT VISITS DURING THE YEAR. SPECIFIC ACUTE CARE PROGRAMS CARDIOVASCULAR CARE: THE INOVA HEART AND VASCULAR INSTITUTE AT IAH, WHICH OPENED IN OCTOBER 2004, HOUSES TEN INPATIENT BEDS, TWO CARDIOVASCULAR OPERATING ROOMS, ONE CARDIAC CATHETERIZATION LAB, ONE ELECTROPHYSIOLOGY LAB, THREE INTERVENTIONAL RADIOLOGY LABS AND ONE MINOR PROCEDURE ROOM, OUTPATIENT CLINICS, CARDIAC REHABILITATION AND EDUCATIONAL FACILITIES. SPECIALTY PROGRAMS INCLUDE ARTERIAL FIBRILLATION, VALVE DISEASE AND HEART FAILURE. IN 2010, A TOTAL OF 6,465 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. IAH DELIVERS APPROXIMATELY 4,000 BABIES EACH YEAR AND INCLUDES A PERINATAL DIAGNOSTIC CENTER, SERVING 9,591 PATIENT VISITS IN 2010. IAH HAS A 16 BED, LEVEL III NICU WHICH TREATED 339 NEONATES FOR 5,386 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. FINANCIAL ASSISTANCE/CHARITY CAREALL INOVA FACILITIES, INCLUDING THE IAH FACILITIES, PROVIDE FINANCIAL ASSISTANCE/CHARITY CARE IN ACCORDANCE WITH INOVA POLICIES WHICH ENSURE ACCESS TO MEDICALLY NECESSARY CARE FOR ALL INDIVIDUALS. FINANCIAL ASSISTANCE/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 FINANCIAL ASSISTANCE/CHARITY CARE POLICY. INOVA HAS INFORMATION POSTED AT PATIENT ACCESS SITES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE AND PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE/CHARITY CARE PROGRAM AND REFERRALS TO INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S FINANCIAL ASSISTANCE/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 FINANCIAL ASSISTANCE/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 2010, IAH'S UNREIMBURSED COST OF FINANCIAL ASSISTANCE/CHARITY CARE, INCLUDING FREE AND DISCOUNTED SERVICES, WAS APPROXIMATELY $18.8 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, AS WELL AS ADULTS AND CHILDREN WITH DISABILITIES, INCLUDING VISION IMPAIRMENTS. 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 $7.6 MILLION. PARTICIPATION IN GOVERNMENTAL PROGRAMS FOR THOSE WITHOUT THE ABILITY TO PAY VARIOUS GOVERNMENT PROGRAMS PROVIDE FOR THE INDIGENT, INCLUDING MEDICAID AND CHIP 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 THAT COUNTIES IDENTIFY AS MOST IN NEED. EACH 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: IAH OB CLINIC: IAH DONATES SPACE ON THE CAMPUS TO THE CASEY CLINIC, A COMMUNITY HEALTH CENTER FUNDED BY THE COMMONWEALTH 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 WHO PROVIDE OB PATIENT PRENATAL EXAMINATIONS AND DELIVERY AT IAH. IN 2010 THE HOSPITAL-BASED PHYSICIANS DELIVERED 587 BABIES FOR WOMEN WHO WERE SEEN IN THE CLINIC. INOVA DIABETES CENTER THE INOVA DIABETES CENTER PROVIDES OUTPATIENT DIABETES SELF-MANAGEMENT EDUCATION TO OVER 2,700 ADULTS AND CHILDREN WITH DIABETES EACH YEAR IN THE NORTHERN VIRGINIA AREA. SINCE 95% OF EFFECTIVE DIABETES MANAGEMENT IS THE RESPONSIBILITY OF THE INDIVIDUAL WITH DIABETES, THIS SELF-MANAGEMENT EDUCATION IS VITAL TO REDUCE THE BURDEN OF THIS CHRONIC DISEASE AND ITS COMPLICATIONS IN OUR NORTHERN VIRGINIA COMMUNITY. 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. IN 2010, THE INOVA ALEXANDRIA DIABETES CENTER PROVIDED 1,093 VISITS AT A COST OF APPROXIMATELY $93,000.MEDICAID ELIGIBILITY ASSISTANCE IAH PROVIDES ASSISTANCE TO PATIENTS IN DETERMINING THEIR ELIGIBILITY FOR MEDICAID PROGRAMS. THE UNREIMBURSED COST OF THIS PROGRAM IN 2010 WAS APPROXIMATELY $80,000 250339121 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 2326 1 1 1 0 0 0 0 0 X 3 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ALEXANDRIA HOSPITAL 7032892433 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 JKNOX SINGLETON 10.00 X X 0 4740012 598266 RICHARD MAGENHEIMER 10.00 X X 0 931361 74611 STEPHEN CUMBIE 0.50 X 0 0 0 JOHN GAUL 10.00 X 0 411351 64796 CHRISTINE CANDIO 40.00 X 439240 0 123205 JOHN AUDETT 40.00 X 381917 0 68594 TODD LOCKCUFF 40.00 X 249282 0 41911 PAMELA MCVEY 40.00 X 228117 0 23017 DANIEL JACKSON 40.00 X 281868 0 51592 ALESSANDRO GHIDINI 45.00 X 371093 0 68002 SARAH POGGI 40.00 X 345965 0 56105 CHERYL WARD 40.00 X 188757 0 54581 SHIDONG TONG 40.00 X 230890 0 50020 HUGO AGUAS 40.00 X 250989 0 74953 JAME KIM 10.00 X 0 246210 59657 2968118 6328934 1409310 150 1 1 0 MAYO MEDICAL LABORATORIES 200 FIRST STREET NW ROCHESTER MN 55905 MEDICAL SERVICES 1553207 ALEXANDRIA HOSPITALISTS LLC 1734 N ALBERMARLE STREET MCLEAN VA 22101 MEDICAL SERVICES 1204550 RSG PC 14801 MURDOCK ST STE 135 CHANTILLY VA 20151 ARCHITECTS 860979 DISPENZA WALTER & BURNS MDS PC 8311 CENTERBROOK PLACE ALEXANDRIA VA 22308 MEDICAL SERVICES 754522 ALEXANDRIA PATHOLOGY ASSOC PO BOX 3593 ALEXANDRIA VA 22302 MEDICAL STAFFING 580008 31 313077 60692 373769 NET PATIENT SERVICE RE 900099 286493301 286493301 LAB OUTREACH 621500 6327075 6327075 TECHNICAL DYNAMICS, LL 900099 426552 426552 293246928 69584 69584 OTHER 900099 887208 887208 OUTPATIENT PHARMACY 621990 803147 680619 122528 1690355 295380636 288487680 6449603 69584 2968118 2968118 109349320 100139290 9210030 6468991 5938534 530457 11032304 10127655 904649 8039855 7380587 659268 459857 422149 37708 15320 14064 1256 26051800 23915552 2136248 7215 6623 592 819098 751932 67166 305744 280673 25071 1895060 1739665 155395 186061 170804 15257 137184 125935 11249 7152819 6566288 586531 17525236 16088167 1437069 1557685 1429955 127730 SUPPLIES 44239752 40612092 3627660 BAD DEBT EXPENSE 16582064 15222335 1359729 OTHER PURCHASED SERVICE 7928091 7277988 650103 PHYSICIAN FEES 5591845 5133314 458531 EQUIPMENT RENTAL AND MA 3678084 3376481 301603 709064 650920 58144 272700567 250339121 22361446 0 1948667 1867870 29843858 32243451 669056 766548 3306490 3581360 1576737 1355785 310501069 176389015 128759669 134112054 103100419 119958801 269204896 293885869 17011238 17158611 270079 406638 3899923 5694602 21181240 23259851 X 248023656 270626018 248023656 270626018 269204896 293885869 X 22680069 -77707 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 266862 266862 106005912 47500500 58505412 35667094 10836643 24830451 155552715 118051872 37500843 13008486 13008486 134112054 THIRD PARTY SETTLEMENTS 926100 INVESTMENT IN TDI LLC 10000 DUE FROM SUBSIDIARIES AND AFFILIATES 118412453 OTHER ASSETS 610248 119958801 THIRD PARTY SETTLEMENTS 5648978 CAPITAL LEASE OBLIGATION 45624 5694602 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FOOTNOTE 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. 1 1 1 X 1 X 1 1 1 0 1 1 18771552 18771552 0.07330 22675405 15066978 7608427 0.02970 41446957 15066978 26379979 0.10300 80000 80000 0.00030 3149836 3149836 0.01230 3229836 3229836 0.01260 44676793 15066978 29609815 0.11560 0 6598253 57490571 74950068 -17459497 X 1 1 1 1 INOVA ALEXANDRIA HOSPITAL

4320 SEMINARY ROAD ALEXANDRIA VA 22304

X X X INOVA ALEXANDRIA HOSPITAL 1 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 $3,057,088. PART I, L7 COL(F): BAD DEBT EXPENSE SUBTRACTED FROM CALCULATION IS $16,582,064 HFMA STATEMENT 15 PART III, LINE 2 INOVA HEALTH SYSTEM DOES NOT FOLLOW HFMA STATEMENT 15 WITH RESPECT TO BAD DEBTS. THE DISCLOSURE METHOD FOLLOWED DOES NOT RESULT IN MATERIALLY DIFFERENT RESULTS. 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 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 REVIEWS WITH A COMPREHENSIVE ANALYSIS OF COMMUNITY HEALTH STATUS TO DETERMINE HOW COMMUNITY HEALTH NEEDS HAVE CHANGED SINCE THE PRIOR REVIEWS WERE COMPLETED. THIS ANALYSIS RELIED ON SECONDARY DATA SOURCES INCLUDING VIRGINIA DEPARTMENT OF HEALTH 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 IHS. STUDY OF COMMUNITY HEALTH IMPACT ON HOSPITAL SERVICES USING POPULATION BASED HOSPITAL DISCHARGE DATA.ENGAGED COMMUNITY LEADERS WITH SPECIAL KNOWLEDGE OF, OR AN EXPERTISE IN, PUBLIC HEALTH, INCLUDING REPRESENTATIVES 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 2010 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. IHS IS A PARTICIPATING MEMBER OF THE MAPP PROCESS TEAMS 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. 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 PUBLIC HEALTH SERVICES TO PROVIDE A FOUNDATION FOR COMMUNITY HEALTH PLANNING AND IMPROVE THE COMMUNITY'S DELIVERY OF THESE SERVICES. INOVA IS ALSO PARTICIPATING IN THE CONTINUING LOCAL PUBLIC HEALTH NEEDS ASSESSMENT IN THE CITY OF ALEXANDRIA. THE INFORMATION FROM ALL THE MAPP HEALTH NEEDS ASSESSMENTS FROM ALL JURISDICTIONS SERVED BY IHS WILL PROVIDE THE NEW BASELINE FOR THE ONGOING THREE-YEAR COMMUNITY NEEDS ASSESSMENTS AND WILL BE INCORPORATED INTO THE COMMUNITY NEEDS ASSESSMENT INOVA HAS INITIATED IN 2011 TO BE COMPLETED IN 2012. 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 OF THIS INFORMATION IS UTILIZED IN ASSESSING COMMUNITY HEALTH NEEDS TO GUIDE STRATEGIC PLANNING EFFORTS. PART VI, LINE 3: IHS UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY. INOVA HAS INFORMATION POSTED AT PATIENT ACCESS SITES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE AND PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE/CHARITY CARE PROGRAM AND REFERRALS TO INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S FINANCIAL ASSISTANCE/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 FINANCIAL ASSISTANCE/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. INOVA PARTNERS 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 ON ITS 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 SIX LANGUAGES TO ADDRESS THE NEEDS OF OUR CULTURALLY DIVERSE COMMUNITY. PART VI, LINE 4: INOVA ALEXANDRIA HOSPITAL (IAH) 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. IAHS 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 IAH IS FORECASTED TO GROW FROM 2010 THROUGH 2020 ABOUT 26% ADDING AN ESTIMATED AVERAGE OF 5,000 PERSONS A YEAR. POPULATION GROWTH WILL BE SPURRED BY THE COMPARATIVE STRENGTH OF THE REGION'S ECONOMY AND HIGH RATES OF IN-MIGRATION FROM DOMESTIC AND INTERNATIONAL LOCATIONS. THE REGION'S POPULATION THAT IS 65 YEARS OF AGE AND OLDER WILL MORE THAN DOUBLE FROM 2000 TO 2030, WHILE THE NUMBER OF CHILDREN WILL INCREASE BY ABOUT 30 PERCENT DURING THE PERIOD. NORTHERN VIRGINIA'S POPULATION IS MORE RACIALLY AND ETHNICALLY DIVERSE 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 40.4 PERCENT NON-WHITE, UP FROM 23.2 PERCENT IN 1990, WHILE THE NATION AS A WHOLE HAS A 33.9 PERCENT NON-WHITE POPULATION (U.S. CENSUS BUREAU, 2007). IN 2010, ALEXANDRIA CITY HAD 140,000 PEOPLE WITH APPROXIMATELY 25% OF THE POPULATION FOREIGN BORN. IN 2010, ASIANS, HISPANICS, AND AFRICAN AMERICANS REPRESENTED 6.0 PERCENT, 16.1 PERCENT, AND 21.8 PERCENT OF ALEXANDRIA'S POPULATION, RESPECTIVELY (U.S. CENSUS BUREAU, 2010). ACCORDING TO THE 2007 VIRGINIA HEALTH CARE FOUNDATION HEALTH ACCESS SURVEY, APPROXIMATELY 14.8 PERCENT OF THE OVERALL NORTHERN VIRGINIA POPULATION CURRENTLY LACKS HEALTHCARE INSURANCE. COMPARED TO 2.5 PERCENT OF WHITES IN THE REGION WHO LACK HEALTH INSURANCE, 39.6 PERCENT OF HISPANICS, 6.8 PERCENT OF ASIANS, AND 6.5 PERCENT OF AFRICAN AMERICANS IN NORTHERN VIRGINIA ARE UNINSURED. AREA RESIDENTS MOST LIKELY TO BE UNINSURED ARE THOSE WHOSE FAMILY INCOMES ARE AT OR BELOW 200 PERCENT OF THE POVERTY LEVEL, YOUNG ADULTS (AGE 18-44), PEOPLE WHO ARE NON-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 RESIDENTS HAVE WIDELY DIVERGENT AGE, GEOGRAPHIC, AND HEALTH STATUS CHARACTERISTICS. PART VI, LINE 6: INOVA HEALTH SYSTEM FOUNDATION (IHSF), THE PARENT COMPANY OF INOVA HEALTH SYSTEM, IS A NON-STOCK, NOT-FOR-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. INOVA HEALTH SYSTEM (INOVA) PROVIDES HEALTHCARE AND RELATED SERVICES THROUGHOUT NORTHERN VIRGINIA AND THE GREATER METROPOLITAN WASHINGTON, D.C. AREA, INCLUDING CERTAIN CONTINUOUS COUNTIES OF VIRGINIA AND MARYLAND.INOVA HEALTH SYSTEM'S INVESTMENT IN THE COMMUNITIES ACROSS NORTHERN VIRGINIA IS EVIDENT BY ITS 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 SYSTEM'S FACILITIES TO ENSURE THE VISION AND MISSION OF THE ORGANIZATION ARE 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 ARE ORGANIZED TO ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY. IN ADDITION TO THE PROGRAMS ALREADY DESCRIBED IN THE CORE FORM 990, 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.THE 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. IN 2010, PHK ASSISTED OVER 3,000 CHILDREN WITH ACCESS TO A SOURCE OF COMPREHENSIVE HEALTH CARE SERVICES SUCH AS MEDICAID, FAMIS OR LOCAL SAFETY NET PROVIDERS.THE INOVA 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 ACCESS TO CARE 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 2010 THE CENTER PROVIDED 75,710 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 TWO ADDITIONAL CHILD AND ADOLESCENT PSYCHIATRISTS 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 TWO 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. THE KEY MESSAGE FOR THIS PROGRAM IS: 9-5-2-1-0 FOR HEALTH - HELP CHILDREN AND TEENS ADOPT HEALTHY HABITS WHICH PROMOTE HEALTHY WEIGHT:9 - GET AT LEAST NINE HOURS OF SLEEP PER NIGHT5 - EAT FIVE SERVINGS OF FRUITS AND VEGETABLES PER DAY2 - LIMIT SCREEN TIME OUTSIDE OF SCHOOL TO NO MORE THAN TWO HOURS PER DAY1 - GET AT LEAST ONE HOUR OF PHYSICAL ACTIVITY PER DAY0 - ELIMINATE OR MINIMIZE CONSUMPTION OF BEVERAGES WITH SUGAR ADDEDINOVA 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. SOME KEY ACCOMPLISHMENTS ARE: PROVIDED MORE THAN 102 HEALTH EDUCATION AND WELLNESS PROMOTION ACTIVITIES; DISTRIBUTED OVER 12,000 PIECES OF HEALTH EDUCATION MATERIALS; CONDUCTED OVER 3,371 CONSULTATIONS AND NETWORKING CONVERSATIONS; AND INCREASED THE NUMBER OF NEW FAITH COMMUNITIES PARTNERED WITH CHP WITH 20 NEW FAITH CONGREGATIONS CONTACTED THIS YEAR. EVERYDAY, CONGREGATIONAL HEALTH PARTNERSHIP SERVES VULNERABLE AND MARGINALIZED COMMUNITY GROUPS, WORKS TO DECREASE HEALTH DISPARITIES, STRESSES ASSESSMENT, PREVENTION AND BEST PRACTICES HEALTH PROMOTION, AND EMPHASIZES TEACHING, MENTORING, COACHING, AND PROVIDING HEALTH INFORMATION RESOURCES.HEALTH LITERACY AND HEALTH EQUITY PROGRAMSTHE GOAL OF INOVA'S OFFICE OF HEALTH EQUITY (OHE) IS TO IDENTIFY AND ADDRESS DOCUMENTED HEALTH DISPARITIES IN NORTHERN VIRGINIA THROUGH INTERNAL AND COMMUNITY INITIATIVES WITH RESPECT TO QUALITY, SERVICE AND COMMUNITY. 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 DISCUSSION PRESENTS THE OHE'S ACTIVITIES IN THE AREAS OF STAFF TRAINING/EDUCATION, SERVICES FOR THE DEAF AND HARD OF HEARING, AND LANGUAGE SERVICES.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 HAS LIMITED ENGLISH PROFICIENCY (LEP). MEDICAL INTERPRETATION IS PROVIDED BY ON-SITE MEDICAL INTERPRETERS AND TELEPHONICALLY VIA THE LANGUAGE LINE. THROUGH DECEMBER 2010 THE OHE DELIVERED 109,515 INTERPRETER ENCOUNTERS (37,414 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 2010, 1,696 INTERPRETED SESSIONS (6,412 HOURS) HAVE BEEN DELIVERED. PART VI, LINE 7: ORGANIZATION IS PART OF INOVA HEALTH SYSTEM INCLUDED IN DESCRIPTION UNDER LINE 5. PART VI, LINE 5 EDUCATION AND TRAININGTHROUGH OUR STAFF EDUCATION AND TRAINING PROGRAMS, THE OFFICE OF HEALTH EQUITY FACILITATES THE DEVELOPMENT OF A CULTURALLY COMPETENT WORKFORCE. IN SUPPORT OF THIS GOAL, THE OHE CONTINUES TO IMPLEMENT PROGRAMS SUCH AS:THE 21ST CENTURY LEADERSHIP DEVELOPMENT PROGRAM IS A NINE-MONTH PROGRAM DESIGNED TO IDENTIFY AND GROW FUTURE INOVA LEADERS. IN MARCH 2010, THE OHE PARTNERED WITH INOVA'S OFFICE OF CONTINUING EDUCATION TO ORGANIZE AN ALL-DAY CME PROGRAM ON HEALTH DISPARITIES. THE PROGRAM FEATURED SEVERAL NATIONALLY-KNOWN SPEAKERS AND HAD OVER 237 PROVIDERS, INCLUDING PHYSICIANS, NURSES, SOCIAL WORKERS AND PSYCHOLOGISTS IN ATTENDANCE.CULTURAL COMPETENCE AND DIVERSITY EDUCATION PROGRAMS ARE CONDUCTED REGULARLY. IN 2010, THE OHE DELIVERED 84 EDUCATIONAL SESSIONS AND IN-SERVICE TRAININGS, REACHING OVER 1,000 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 TO ENSURE CONSISTENT INOVA REPRESENTATION ON THE COMMITTEE AND TO PRESENT AN IN-SERVICE FOR A RANGE OF IAH STAFF, INCLUDING CASE MANAGERS, SOCIAL WORKERS, PATIENT CARE DIRECTORS AND ADDITIONAL EMERGENCY DEPARTMENT PERSONNEL. THE GOAL OF THIS INITIATIVE IS TO REDUCE READMISSIONS TO IAH FROM THE HOMELESS POPULATION.A LONGSTANDING PARTNERSHIP BETWEEN FAIRFAX COUNTY PUBLIC LIBRARY SYSTEM AND INOVA HEALTH SYSTEM, THE HEALTH INFORMATION PARTNERSHIP (HIP) IS DEDICATED TO INCREASING HEALTH LITERACY THROUGHOUT FAIRFAX COUNTY. PROGRAMS SPONSORED BY AND ADMINISTERED THROUGH THE PARTNERSHIP INCLUDE LITERATURE IN MEDICINE AND ASK ME THREE FOCUSED ON EDUCATING THE PUBLIC ON OPTIMIZING COMMUNICATION WITH HEALTHCARE PROVIDERS TO ENSURE UNDERSTANDING OF HEALTHCARE INFORMATION AND TREATMENT PROVIDED. IN THE FALL OF 2010, THE HIP HOSTED A TRAVELING EXHIBIT FROM THE NATIONAL INSTITUTES OF HEALTH'S NATIONAL LIBRARY OF MEDICINE ON THE TOPIC TITLED "CHANGING THE FACE OF MEDICINE: CELEBRATING AMERICA'S WOMEN PHYSICIANS."THE EXHIBIT TELLS THE EXTRAORDINARY STORY OF HOW AMERICAN WOMEN WHO WANTED TO PRACTICE MEDICINE HAVE STRUGGLED OVER THE PAST TWO CENTURIES TO GAIN ACCESS TO MEDICAL EDUCATION AND TO WORK IN THE SPECIALTY THEY CHOSE. IT DESCRIBES WOMEN'S SUCCESSFUL QUEST TO BECOME DOCTORS AND INTRODUCES AUDIENCES TO OUTSTANDING PHYSICIANS FROM ACROSS THE UNITED STATES. INTERACTIVE KIOSKS PROVIDE EDUCATIONAL ACTIVITIES, INFORMATION ABOUT MEDICAL CAREERS, AND BIOGRAPHIES OF OUTSTANDING WOMEN PHYSICIANS. THESE INTERACTIVE ELEMENTS HELP THE EXHIBIT APPEAL TO THOSE WITHIN AND OUTSIDE OF THE MEDICAL COMMUNITY, ADULTS AND CHILDREN, AND MEN AND WOMEN.DISASTER PREPAREDNESS - 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. WORKFORCE PROGRAMSMILITARY TO MEDICINE, A NON-PROFIT MILITARY SERVICE ORGANIZATION OF INOVA HEALTH SYSTEM, PROVIDES HEALTHCARE TRAINING AND EMPLOYMENT OPPORTUNITY ASSISTANCE FOR MILITARY SPOUSES, WOUNDED WARRIORS AND THEIR CAREGIVERS, VETERANS, MEMBERS OF THE NATIONAL GUARD, RESERVISTS AND THEIR SPOUSES AND TRANSITIONING SERVICE MEMBERS SO THEY CAN BECOME PRODUCTIVE MEMBERS OF THE HEALTHCARE WORKFORCE. MILITARY TO MEDICINE BECAME A NATIONAL MILITARY SERVICE ORGANIZATION IN OCTOBER 2008 WHEN AGREEMENTS WERE FORMALIZED WITH THE U.S. ARMY RESERVE AND THE DEPARTMENT OF DEFENSE. X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 JKNOX SINGLETON 0 1141985 0 564307 0 3033720 0 578200 0 20066 0 5338278 0 0 RICHARD MAGENHEIMER 0 584341 0 228221 0 118799 0 53200 0 21411 0 1005972 0 0 JOHN GAUL 0 355105 0 35875 0 20371 0 47314 0 17482 0 476147 0 0 CHRISTINE CANDIO 316723 0 91892 0 30625 0 107965 0 15240 0 562445 0 0 0 JOHN AUDETT 276395 0 82116 0 23406 0 56540 0 12054 0 450511 0 0 0 TODD LOCKCUFF 192881 0 46118 0 10283 0 38857 0 3054 0 291193 0 0 0 PAMELA MCVEY 193424 0 19127 0 15566 0 16521 0 6496 0 251134 0 0 0 DANIEL JACKSON 226632 0 42528 0 12708 0 46626 0 4966 0 333460 0 0 0 ALESSANDRO GHIDINI 344810 0 18813 0 7470 0 53200 0 14802 0 439095 0 0 0 SARAH POGGI 327892 0 17738 0 335 0 47699 0 8406 0 402070 0 0 0 CHERYL WARD 144894 0 22109 0 21754 0 37895 0 16686 0 243338 0 0 0 SHIDONG TONG 216869 0 13159 0 862 0 31455 0 18565 0 280910 0 0 0 HUGO AGUAS 192847 0 44768 0 13374 0 60298 0 14655 0 325942 0 0 0 JAME KIM 0 203171 0 33267 0 9772 0 40922 0 18735 0 305867 0 0 PART I, LINE 1A PART I, LINE 1A: EMPLOYEES WITH TEMPORARY HOUSING AUDETT, JOHN $53 221 MCVEY, PAMELA $54,942 PART I, LINE 4B SERP PLAN PAYMENT: J. KNOX SINGLETON $209,003 RICHARD MAGENHEIMER $85,051 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. 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 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 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 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PARTNERSHIP INCOME -426,552. UNRESTRICTED FUNDS - DONATED 163,260. OTHER 185,585. TOTAL TO FORM 990, PART XI, LINE 5: -77,707. NUMBER OF 1099S AND EMPLOYEES PART V, LINE 1A AND 2A 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. AUDITED FINANCIAL STATEMENTS PART XI, LINE 2B AND 2C 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. A-133 AUDIT PART XI, LINE 3A THE 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. HOURS WORKED PART VII, COLUMN B THE 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 HOURS 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 INOVA HEALTH SYSTEM SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541434144 NURSING HOMES VA 501(C)(3) 9 N/A 0 IMANCO INC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541340725 PAYROLL CORPORATION VA 501(C)(3) 11,I N/A 0 INOVA ALEXANDRIA HEALTH SERVICES CORPORATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 521356573 INACTIVE CORPORATION VA 501(C)(3) 11,I N/A 0 INOVA PHYSICAL REHABILITATION SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541692089 REHABILITATION SERVICES VA 501(C)(3) 9 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 INOVA MEDICAL FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541716343 MANAGED CARE INACTIVE VA 501(C)(3) 11,I N/A 0 UMC HOLDINGS INC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541390795 URGENT CARE SERVICES VA 501(C)(3) 9 N/A 0 INOVA EMPLOYEE ASSISTANCE 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541916699 EMPLOYEE SERVICES VA 501(C)(3) 11,I N/A 0 ALEXANDRIA COMMUNITY HEALTHCARE GROUP 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541444341 INACTIVE CORPORATION VA 501(C)(3) 11,I 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 LOUDOUN HOSPITAL CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 540525802 HOSPITAL VA 501(C)(3) 3 N/A 0 LOUDOUN NURSING AND REHABILITATION CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541361310 REHABILITATION 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 LOUDOUN HEALTHCARE INC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541361309 INACTIVE CORPORATION VA 501(C)(3) 11,I N/A 0 LHI PROPERTIES INC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 541651315 INACTIVE CORPORATION VA 501(C)(3) 11,I N/A 0 TECHNICAL DYNAMICS LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH VA 22042 432041666 EQUIPMENT REPAIR VA N/A RELATED 426552 10089 0 0 0.17000 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 INOVA HEALTH SYSTEM FOUNDATION Q 16691232 INTERCOMPANY ALEXANDRIA HOSPITAL FOUNDATION C 313077 FAIR MARKET VALUE ALEXANDRIA HOSPITAL FOUNDATION L 473096 GENERAL LEDGER BALANCE