TY 2019 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) SCOTT HAMBERGER...................................................................... CHAIRMAN	1.00 ................. 2.00	X	X		0	0	0
(2) JOANNE THEURICH...................................................................... VICE CHAIRMAN	2.00 ................. 1.00	X	X		0	0	0
(3) THOMAS SIMMONS MD...................................................................... TRUSTEE	2.00 ................. 1.00	X			0	0	0
(4) DAVID BOSSERMAN...................................................................... TRUSTEE	1.00 ................. 2.00	X			0	0	0
(5) EDWARD HILL...................................................................... TRUSTEE	2.00 ................. 1.00	X			0	0	0
(6) PAMELA JEFFRIES...................................................................... TRUSTEE	2.00 ................. 1.00	X			0	0	0
(7) JILL MCCABE MD...................................................................... TRUSTEE	1.00 ................. 2.00	X			20,000	0	0
(8) CHRISTINE KALCHTHALER...................................................................... TRUSTEE	2.00 ................. 1.00	X			0	0	0
(9) JUANITA KOILPILLAI...................................................................... TRUSTEE	2.00 ................. 1.00	X			0	0	0
(10) TANYA MATTHEWS...................................................................... TRUSTEE	2.00 ................. 1.00	X			0	0	0
(11) J STEPHEN JONES...................................................................... CEO, PRESIDENT	3.00 ................. 47.00		X		0	3,113,435	278,531
(12) SUSAN MILLS...................................................................... TRUSTEE	1.00 ................. 2.00	X			0	0	0
(13) RANDALL MINCHEW...................................................................... TRUSTEE	2.00 ................. 1.00	X			0	0	0
(14) JOHN WOOD...................................................................... TRUSTEE	2.00 ................. 1.00	X			0	0	0
(15) RICHARD MAGENHEIMER...................................................................... CFO, TREASURER, ENDING 6-4-19	2.00 ................. 48.00		X		0	2,456,488	60,949
(16) LORING FLINT...................................................................... EVP CMO FORMER, ENDING 6-1-19,	4.00 ................. 46.00			X	0	1,392,340	63,126
(17) JOHN GAUL...................................................................... SVP GENERAL COUNSEL FORMER	3.00 ................. 47.00			X	0	1,202,570	182,985

(A) Name and business address	(B) Description of services	(C) Compensation
DPR CONSTRUCTION 11109 SUNSET HILLS ROAD SUITE 200 RESTON,VA20190	CONSTRUCTION SERVICES	64,706,535
CROTHALL SERVICES GROUP 955 CHESTERBROOK BLVD SUITE 300 WAYNE,PA19087	STAFFING	4,668,628
WHITE-TURNER CONTRACTING CO 300 EAST JOPPA ROAD 8TH FLOOR BALTIMORE,MD21286	CONSTRUCTION SERVICES	4,480,239
L2 CONSTRUCTION MANAGEMENT CORP 40892 BIRDSTONE LANE ALDIE,VA20105	CONSTRUCTION SERVICES	3,057,706
ALLIED UNIVERSAL COMPANY PO BOX 828854 PHILADELPHIA,PA19182	SECURITY	2,737,894
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 115

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

LOUDOUN HOSPITAL CENTER
DBA INOVA LOUDOUN HOSPITAL

Employer identification number

54-0525802

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Name of the organization

LOUDOUN HOSPITAL CENTER
DBA INOVA LOUDOUN HOSPITAL

Employer identification number

54-0525802

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization LOUDOUN HOSPITAL CENTER DBA INOVA LOUDOUN HOSPITAL

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization LOUDOUN HOSPITAL CENTER DBA INOVA LOUDOUN HOSPITAL		Employer identification number 54-0525802

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization LOUDOUN HOSPITAL CENTER DBA INOVA LOUDOUN HOSPITAL			Employer identification number 54-0525802
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

LOUDOUN HOSPITAL CENTER
DBA INOVA LOUDOUN HOSPITAL

Employer identification number

54-0525802

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2019

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2019

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

30,844

Total. Add lines 1c through 1i ....................................................................................................

30,844

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	THERE WERE NO SIGNIFICANT LOBBYING ACTIVITIES DURING 2019. AMOUNTS UNDER OTHER ACTIVITIES PER PART II-B REPRESENT A PORTION OF MEMBERSHIP DUES RELATED TO LOBBYING. LOUDOUN HOSPITAL CENTER PAID $192,571 IN MEMBERSHIP DUES FOR 2019. THE PORTION OF MEMBERSHIP DUES THAT WERE USED FOR LOBBING ACTIVITIES WERE ($192,571 TOTAL MEMBERSHIP DUES X 16.02%) = $30,844.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LOUDOUN HOSPITAL CENTER
DBA INOVA LOUDOUN HOSPITAL

Employer identification number

54-0525802

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	33,041,883		33,041,883
b	Buildings ....	369,319,786	75,529,025	293,790,761
c	Leasehold improvements	78,992,882	39,125,036	39,867,846
d	Equipment ....	128,001,750	104,188,803	23,812,947
e	Other .....	20,410,760	17,587,434	2,823,326
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				393,336,763

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2019

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART X, LINE 2:

FROM INOVA HEALTH SYSTEM CONSOLIDATED STATEMENTS INCLUDING LOUDOUN HOSPITAL CENTER: THE FOUNDATION, IHCS, AND LHC 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.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LOUDOUN HOSPITAL CENTER
DBA INOVA LOUDOUN HOSPITAL

Employer identification number

54-0525802

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 40000.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	8,782,999		8,782,999	2.810 %
b	Medicaid (from Worksheet 3, column a) . . . . .	29,141,556	10,128,403	19,013,153	6.090 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	37,924,555	10,128,403	27,796,152	8.900 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	269,352	60,018	209,334	0.070 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	1,921,073		1,921,073	0.620 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	672,268		672,268	0.220 %
j	Total. Other Benefits . .	2,862,693	60,018	2,802,675	0.910 %
k	Total. Add lines 7d and 7j .	40,787,248	10,188,421	30,598,827	9.810 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,517,553

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

63,567,425

Enter Medicare allowable costs of care relating to payments on line 5.....

85,395,558

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-21,828,133

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 INOVA LOUDOUN AMBULATORY SURGERY CENTER LLC	SURGICAL SERVICES	59.460 %	0 %	40.540 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2019

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	INOVA LOUDOUN HOSPITAL 44045 RIVERSIDE PARKWAY LEESBURG,VA20176 VA H1868	X	X	X

Schedule H (Form 990) 2019

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	INOVA LOUDOUN HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE LINE 10A FOR CHNA WEBSITE

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 19

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.INOVA.ORG/INOVA-IN-THE-COMMUNITY/INDEX.JSP

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	INOVA LOUDOUN HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.INOVA.ORG/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-HELP/INDEX.JSP

The FAP application form was widely available on a website (list url):

WWW.INOVA.ORG/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-HELP/INDEX.JSP

A plain language summary of the FAP was widely available on a website (list url):
WWW.INOVA.ORG/PATIENT-AND-VISITOR-INFORMATION/FINANCIAL-HELP/INDEX.JSP

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	INOVA LOUDOUN HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	INOVA LOUDOUN HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 3J: QUESTION 3EINOVA LOUDOUN HOSPITAL (ILH) COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019 AND FOUND THAT NUMEROUS HEALTH STATUS AND ACCESS PROBLEMS ARE PRESENT IN THE COMMUNITY. NINE AREAS WERE IDENTIFIED AS THE MOST SIGNIFICANT HEALTH NEEDS FOR THE ILH COMMUNITY: CHRONIC CONDITIONS, ECONOMIC STABILITY, HEALTHCARE ACCESS, INFECTIOUS DISEASE AND IMMUNIZATION, INJURIES AND VIOLENCE, MENTAL HEALTH, NEIGHBORHOOD AND BUILT ENVIRONMENT, ORAL HEALTH, AND TOBACCO AND SUBSTANCE USE. WITHIN THESE AREAS THERE WAS NO PRIORITIZATION OR RANKING.BASED ON THE CHNA RESULTS, ILH DEVELOPED A THREE-YEAR IMPLEMENTATION STRATEGY TO ADDRESS ITS COMMUNITY BENEFIT SERVICE AREA FOR CALENDAR (TAX) YEARS 2020 THROUGH 2022. PRIORITIES WERE BASED ON COMMUNITY NEED AS DETERMINED BY QUANTITATIVE DATA AND COMMUNITY INPUT, AS WELL AS ON HOSPITAL EXPERTISE, RESOURCES, STRENGTHS OF EXISTING PROGRAMMING AND PARTNERSHIPS, AND ALIGNMENT WITH NATIONAL, STATE, AND LOCAL HEALTH GOALS. BASED ON THE CHNA RECOMMENDATIONS, INOVA LOUDOUN HOSPITAL HAS IDENTIFIED AS ITS COMMUNITY BENEFIT PRIORITIES CHRONIC CONDITIONS, BEHAVIORAL HEALTH, AND HEALTH ACCESS. THESE THREE PRIORITIES WERE SELECTED BY ALL INOVA HOSPITALS, AS THEY APPEARED ON THE NEEDS LIST OF EACH REGION, ALIGN WITH STATE GOALS, AND CAN BE ADDRESSED NOT ONLY IN THE INDIVIDUAL HOSPITAL LOCALES, BUT ALSO THROUGH A SYSTEM APPROACH ACROSS THE ENTIRE NORTHERN VIRGINIA REGION. USING THIS METHODOLOGY, APPROACHES CAN BE CUSTOMIZED TO MEET THE SPECIFIC NEEDS IN EACH HOSPITAL REGION. THE HOSPITAL'S 3-YEAR IMPLEMENTATION STRATEGY WAS APPROVED BY THE INOVA LOUDOUN HOSPITAL BOARD.
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 5: WHILE A REGIONAL APPROACH GUIDED THE CHNA/CHA, EACH INOVA HOSPITAL FACILITY USED ITS OWN PROCESS FOR COMMUNITY OUTREACH AND ENGAGEMENT. AS MUCH AS POSSIBLE, THE PROCESS CENTERED ON EXISTING RESOURCES, PARTNERSHIPS, AND LOCAL NEEDS AND VALUES. THIS METHOD ENSURES THAT ANY NEW INITIATIVES ACCURATELY REFLECT COMMUNITY PRIORITIES. INOVA AND THE LOUDOUN COUNTY HEALTH DEPARTMENT PLANNED AND PRODUCED THE LOUDOUN ASSESSMENT TOGETHER. EACH MEMBER OF THE TEAM CONTRIBUTED TO THE ASSESSMENT IN DIFFERENT WAYS, UTILIZING INDIVIDUAL STRENGTHS. AS A PART OF THE COLLABORATIVE PROCESS LEADING THIS ASSESSMENT, THE LOUDOUN COUNTY HEALTH DIRECTOR AND THE LOUDOUN HEALTH COUNCIL PROVIDED VALUABLE INSIGHT AND KNOWLEDGE, AND INPUT WAS RECEIVED FROM DIVERSE SOURCES INCLUDING THE LOCAL HEALTH DEPARTMENT, HOSPITAL STAFF, REPRESENTATIVES OF KEY COMMUNITY GROUPS AND INDIVIDUAL COMMUNITY MEMBERS.THIS 2019 INOVA LOUDOUN HOSPITAL (ILH) COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND LOUDOUN COUNTY COMMUNITY HEALTH ASSESSMENT GATHERED COMMUNITY INPUT THROUGH TWO MAIN METHODS - FORCES OF CHANGE DISCUSSIONS AND THE COMMUNITY SURVEY.FORCES OF CHANGE DISCUSSIONS BRING TOGETHER INDIVIDUALS WORKING IN AND WITH THE COMMUNITY, WHO REPRESENT A BROAD DIVERSITY OF STAKEHOLDERS. PARTICIPANTS INCLUDED INDIVIDUALS WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH; LOCAL PUBLIC HEALTH DEPARTMENTS; AGENCIES WITH CURRENT DATA OR INFORMATION ABOUT THE HEALTH AND SOCIAL NEEDS OF THE COMMUNITY; REPRESENTATIVES OF SOCIAL SERVICE ORGANIZATIONS; BUSINESS LEADERS, AND LEADERS, REPRESENTATIVES, AND MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. INOVA AND LOUDOUN COUNTY HEALTH DEPARTMENT REPRESENTATIVES CONDUCTED FORCES OF CHANGE SESSIONS WITH THE LOUDOUN HEALTH COUNCIL, LOUDOUN HUMAN SERVICES NETWORK, AND THE LOUDOUN COUNTY CHAMBER OF COMMERCE.INOVA, THE HEALTH DEPARTMENT AND THE LOUDOUN HEALTH COUNCIL PROMOTED THE COMMUNITY SURVEY TO PARTNERS AND RESIDENTS ALIKE. THE SURVEY WAS AVAILABLE IN PRINT OR ONLINE IN NINE LANGUAGES (AMHARIC, ARABIC, CHINESE (MANDARIN), ENGLISH, FARSI, KOREAN, SPANISH, VIETNAMESE AND URDU). PRINTED COPIES WERE PROVIDED TO PARTNERS AND LOCAL CLINICS, AS WELL AS HEALTH DEPARTMENT FACILITIES. SURVEYS WERE ALSO DISTRIBUTED TO FAMILIES THROUGH THE LOUDOUN COUNTY PUBLIC SCHOOL SYSTEM.
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 6A: INOVA FAIRFAX HOSPITALINOVA MT. VERNON HOSPITALINOVA FAIR OAKS HOSPITALINOVA ALEXANDRIA HOSPITAL
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 11: AS OF DECEMBER 31, 2019, ILH HAD JUST FINALIZED ITS 2019 IMPLEMENTATION STRATEGY AND WAS PREPARING TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2019 CHNA REPORT. (SEE RESPONSE TO PART VI, LINE 2 FOR A DESCRIPTION OF THE THREE PRIORITY AREAS OF SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 CHNA REPORT AND HOW ILH WILL FOCUS ON MEETING THESE NEEDS OVER THE NEXT THREE YEARS.) ACCORDINGLY, THE FOLLOWING IS A DESCRIPTION OF HOW ILH TOOK ACTION IN 2019 TO MEET THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2016 CHNA REPORT AND IMPLEMENTATION STRATEGY.INOVA LOUDOUN HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 TO IDENTIFY THE SIGNIFICANT HEALTH NEEDS IN ITS COMMUNITY AND TO INFORM DEVELOPMENT OF AN IMPLEMENTATION STRATEGY TO ADDRESS THOSE NEEDS. THIS PROCESS ALSO RESPONDS TO REGULATORY REQUIREMENTS, WHICH MANDATE THAT TAX-EXEMPT HOSPITAL FACILITIES CONDUCT A CHNA EVERY THREE YEARS AND ADOPT AN IMPLEMENTATION STRATEGY THAT ADDRESSES SIGNIFICANT COMMUNITY HEALTH NEEDS.ONE MAIN AIM OF THE IMPLEMENTATION STRATEGY IS TO GUIDE THE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES FOR THE PERIOD OF 2017 - 2019. COMMUNITY BENEFITS ARE PROGRAMS OR ACTIVITIES THAT PROVIDE TREATMENT AND/OR PROMOTE HEALTH AND HEALING AS A RESPONSE TO IDENTIFIED COMMUNITY NEEDS. THE CHNA PROCESS ENCOURAGES HOSPITALS TO FOCUS ON IMPROVING THE HEALTH OF THE COMMUNITIES THEY SERVE, AND NOT TO SELECT OUTREACH EFFORTS BASED SOLELY ON INTERNAL GROWTH PRIORITIES. IMPLEMENTATION STRATEGIES SHOULD BE BROAD BASED AND WORK WITH COMMUNITY ENTITIES TO IMPROVE HEALTH OUTSIDE THE WALLS OF THE HOSPITAL, INCREASE PREVENTION EFFORTS AND IMPROVE PUBLIC HEALTH.THE INOVA LOUDOUN HOSPITAL TEAM SELECTED THE FOLLOWING PRIORITY AREAS FOR THE 2017-19 IMPLEMENTATION STRATEGY: INCREASE ACCESS TO PRIMARY CARE, INCREASE ACCESS TO DENTAL CARE, IMPROVE CARE AND ACCESS TO CARE FOR INDIVIDUALS WITH MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS.UPDATE - YEAR THREEUPON BOARD APPROVAL OF THE 2016 CHNA AND IMPLEMENTATION STRATEGY, THE ILH GOVERNMENT AND COMMUNITY RELATIONS DIRECTOR CONVENED A WORKGROUP TO DISCUSS, PLAN, AND IMPLEMENT SPECIFIC ACTION ITEMS RELATED TO THE PRIMARY CARE AND MENTAL HEALTH AND SUBSTANCE ABUSE PRIORITIES (WORK ON INCREASING ACCESS TO DENTAL HEALTH IS STILL PENDING). MEMBERS OF THE WORKGROUP INCLUDE REPRESENTATIVES FROM THE HOSPITAL (THE ED, PEDS ED, CASE MANAGEMENT, COMMUNITY HEALTH AND NURSING) AS WELL AS REPRESENTATIVES FROM THE PUBLIC SCHOOL SYSTEM, LOCAL GOVERNMENT AGENCIES (PUBLIC HEALTH AND MENTAL HEALTH), SAFETY NET PROVIDERS, AND OTHER RELATED COMMUNITY SERVICES. THE GROUP HAS BEEN MEETING REGULARLY SINCE INCEPTION.THROUGH THE WORK AND COLLABORATION OF THE COMMITTEE, MUCH PROGRESS HAS BEEN MADE, AS DESCRIBED BELOW.1. TO BETTER SERVE NORTHERN VIRGINIA'S MEDICAID POPULATION, INOVA OPENED FOUR NEW PRIMARY CARE CLINICS IN THE REGION. THE INOVA HEALTH ADVANTAGE CLINICS PROVIDE PRIMARY CARE SERVICES TO ADULT MEDICAID ENROLLEES, INCLUDING HEALTH MAINTENANCE AND DISEASE PREVENTION, PATIENT EDUCATION AND COUNSELING, AND TREATMENT OF ACUTE AND CHRONIC MEDICAL CONDITIONS SUCH AS DIABETES AND HYPERTENSION. EXTENDING MEDICAL INSURANCE TO LOW-INCOME RESIDENTS IMPROVES ACCESS TO HEALTHCARE, EARLIER DETECTION OF SERIOUS ILLNESSES, BETTER CARE FOR EXISTING HEALTH PROBLEMS AND IMPROVED ABILITY TO WORK, ATTEND SCHOOL AND LIVE INDEPENDENTLY. IT KEEPS PATIENTS HEALTHY AND OUT OF THE HOSPITAL, IMPROVING OUTCOMES AND REDUCING THE OVERALL COST OF CARE. THE NEW CLINICS ARE CO-LOCATED WITH INOVA'S SIMPLICITY HEALTH CLINICS IN ALEXANDRIA, ANNANDALE, AND STERLING.2. PARTNERSHIP FOR HEALTHIER COMMUNITIES (PHC) IS INOVA'S LONGSTANDING INITIATIVE TO CONNECT CHILDREN AND ADULTS TO HEALTH INSURANCE AND QUALITY HEALTHCARE SERVICES. PHC IS LOCATED THROUGHOUT THE NORTHERN VIRGINIA REGION AND WORKS CLOSELY WITH LOCAL SCHOOL SYSTEMS, GOVERNMENTS, AND COMMUNITY OUTREACH PROGRAMS TO PROVIDE COMPREHENSIVE AND CULTURALLY AND LINGUISTICALLY APPROPRIATE ASSISTANCE TO A VULNERABLE POPULATION. TO MEET THE NEEDS OF THE INCREASED POPULATION NOW ELIGIBLE FOR MEDICAID, PHC EXPANDED OUTREACH EVEN FURTHER TO HELP MORE PEOPLE SUCCESSFULLY ENROLL IN MEDICAID. IN ADDITION TO EXPANDED COMMUNITY OUTREACH TARGETED AT REACHING PREVIOUSLY INELIGIBLE ADULTS, A PHC ELIGIBILITY WORKER IS NOW AVAILABLE AT EACH INOVA HEALTH ADVANTAGE LOCATION TO IDENTIFY AND ASSIST INDIVIDUALS AND FAMILIES.3. ONE WAY THAT INOVA CONTINUES TO WORK TO FILL THE GAP IN SERVICES FOR CHILD AND ADOLESCENT MENTAL HEALTH IS THROUGH THE REACH PROGRAM. REACH IS AN EDUCATIONAL PROGRAM FOR PROVIDERS TO LEARN HOW TO USE PSYCHIATRIC MEDICATIONS WITH THE PEDIATRIC PATIENTS IN THEIR OFFICES. EVERY YEAR INOVA PROVIDES THIS TRAINING OPPORTUNITY TO PEDIATRICIANS AND NURSE PRACTITIONERS.4. ADDITIONALLY, ILH SPONSORED MULTIPLE INFORMATIONAL SESSIONS IN PARTNERSHIP WITH THE COMMUNITY FOUNDATION (THE PHILANTHROPY SUMMIT) AND LCPS (MENTAL HEALTH & WELLNESS CONFERENCE) FOCUSED ON ACCESS TO BEHAVIORAL HEALTH SERVICES AND RESILIENCY TRAINING FOR ADOLESCENTS. ILH ALSO SPONSORED THE SOURCE OF STRENGTH PROGRAM TO ENABLE LCPS TO BRING THE PROGRAM TO THE MIDDLE SCHOOLS. 5. AS PART OF ITS FOCUS TO PROMOTE COMMUNITY HEALTH AND EDUCATION, INOVA'S DEPARTMENT OF POPULATION/COMMUNITY HEALTH PROVIDES SMALL GRANTS TO NOT-FOR-PROFIT ORGANIZATIONS. ONE OF THESE GRANTS WAS TO THE RYAN BARTEL FOUNDATION, WHERE FUNDS WILL SUPPORT THE EXTENSION OF THE SOURCES OF STRENGTH (SOS) TRAINING - AN EVIDENCE-LED, YOUTH SUICIDE PREVENTION AND WELLNESS PROGRAM. THIS GRANT WILL ALLOW THE RYAN BARTEL FOUNDATION TO TAKE SOS INTO THE WIDER COMMUNITY, BRIDGING THE GAP FOR THE POPULATION WHO IS NOT DIRECTLY TRAINED OR EXPOSED TO SOS CAMPAIGNS THOUGH LOUDOUN COUNTY PUBLIC SCHOOLS, WHO HAS IMPLEMENTED THE PROGRAM IN 20 SCHOOLS.6. WORKING WITH COMMUNITY PARTNERS TO INCREASE ACCESS AND UTILIZATION OF ORAL HEALTH SERVICES, INOVA HAS SEVERAL STAFF MEMBERS IN VARIOUS ROLES ON THE VIRGINIA ORAL HEALTH COALITION. SUB-GROUPS ARE WORKING ON IMPROVING ACCESS, UNDERSTANDING THE NEEDS OF CHILDREN WITH SPECIAL HEALTHCARE NEEDS AND INCREASING EDUCATION ON THE IMPORTANCE OF ORAL HEALTH.
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 13H: CALCULATE FAMILY SIZE
INOVA LOUDOUN HOSPITAL	PART V, SECTION B, LINE 16J: FINANCIAL AID BROCHURES EXPLAINING THE CHARITY POLICY ARE AVAILABLE THROUGHOUT THE HOSPITAL. ER ROOMS AND WAITING ROOMS HAVE CHARITY NOTIFICATION NOTICES POSTED IN THEIR AREAS AND THE BROCHURES ARE ALSO POSTED ON INOVA'S WEBSITE.

Schedule H (Form 990) 2019

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address		Type of Facility (describe)
1	1 - INOVA LOUDOUN AMBULATORY SURGICAL CENTER 44045 RIVERSIDE PARKWAY LEESBURG,VA20176	OUTPATIENT SURGERY
2	2 - CORNWALL - ER 224 CORNWALL STREET NW LEESBURG,VA20176	EMERGENCY ROOM
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2019

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	CATASTROPHIC FINANCIAL ASSISTANCE: CATASTROPHIC FINANCIAL ASSISTANCE IS AVAILABLE FOR PATIENTS WHO DO NOT QUALIFY FOR FREE CARE BASED ON THE CRITERIA ABOVE, WHO, DUE TO THE NATURE AND EXTENT OF SERVICES PROVIDED, HAVE SIGNIFICANT CARE-RELATED FINANCIAL OBLIGATIONS IN RELATION TO HOUSEHOLD INCOME AND OTHER POTENALLY AVAILABLE RESOURCES. IN SUCH CIRCUMSTANCES, THE PATIENT RESPONSIBILITY WILL BE LIMITED TO THE LESSER OF 30% OF FAMILY INCOME OR THE AMOUNTS GENERALLY BILLED.
PART I, LINE 6A:	THE COMMUNITY BENEFIT REPORT IS INCLUDED IN THE CONSOLIDATED INOVA HEALTH SYSTEM REPORT TO THE COMMUNITY ON INOVA.ORG WEBSITE.
PART I, LINE 7:	COST TO CHARGE RATIO METHOD IS USED BASED ON TABLE 2 IN THE INSTRUCTIONS. TOTAL OPERATING EXPENSE IS DIVIDED BY TOTAL GROSS REVENUE TO ARRIVE AT THE COST TO CHARGE RATIO.
PART I, LINE 7G:	COST OF PHYSICIAN CLINIC IS $1,921,073.
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 $ 4,055,460.
PART II, COMMUNITY BUILDING ACTIVITIES:	INOVA'S OFFICE OF SUSTAINABILITY PROVIDES COMMUNITY BUILDING SUPPORT FOCUSED ON ENVIRONMENTAL IMPROVEMENTS. ENVIRONMENTAL MISSION STATEMENT:INOVA HEALTH SYSTEM IS COMMITTED TO ESTABLISHING AN ENVIRONMENTAL PROGRAM THAT IS SAFER AND HEALTHIER FOR PATIENTS, EMPLOYEES AND THE COMMUNITY.COMMUNITY BUILDING ENVIRONMENTAL IMPROVEMENTS WASTE MANAGEMENTINOVA HAS BEEN FOCUSED ON WASTE REDUCTION STRATEGIES INCLUDING RECYCLING AND SEGREGATION SINCE 2008. THROUGHOUT THE HOSPITALS THERE IS A SINGLE STREAM RECYCLING PROCESS AND THERE ARE FOCUSED EFFORTS ON REDUCING REGULATED MEDICAL WASTE. IN 2019, INOVA RECYCLED OR DIVERTED APPROXIMATELY 2.5 MILLION POUNDS OF MATERIAL FROM LOCAL LANDFILLS AND WASTE TO ENERGY FACILITIES.SPECIALIZED AREAS RECYCLING/REUSE: INOVA HAS IMPLEMENTED SPECIALIZED RECYCLING PROGRAMS TO CAPTURE SPECIFIC MATERIALS THROUGHOUT THE HOSPITALS INCLUDING A MEDICAL DONATION PROGRAM THAT SHIPPED 52,000 POUNDS OF UNUSED, UNOPENED MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT TO PLACES IN NEED BOTH IN LOCAL COMMUNITIES AND TO 29 COUNTRIES ACROSS THE GLOBE.ENERGYDURING 2019, INOVA CONTINUED TO MAKE PROGRESS TOWARDS ITS ENERGY GOAL OF REDUCING ENERGY USE INTENSITY (EUI) 20 PERCENT BY THE YEAR 2020 (BASELINE YEAR 2012). A VARIETY OF PROJECTS INCLUDING EXTERIOR LIGHTING UPGRADES, SPECIFIC INTERIOR LIGHTING PROJECTS, HVAC IMPROVEMENTS AND ENERGY MONITORING, ALL CONTINUED THROUGHOUT 2019. THESE EFFORTS RESULT IN COST SAVINGS AND IMPROVED RESILIENCE FOR THE OVERALL HEALTH OF THE COMMUNITY.WATERINOVA CONTINUES TO MAINTAIN NATIVE PLANTINGS AND LOW-IMPACT IRRIGATION SYSTEMS FOR LANDSCAPING AS WELL AS REDUCE WATER CONSUMPTION IN OUR HOSPITALS THROUGH THE ROUTINE REPLACEMENT OF LESS EFFICIENT PLUMBING FIXTURES. BUILDINGSINOVA IS CURRENTLY WORKING ON A NUMBER OF PROJECTS PURSING LEED CERTIFICATION INCLUDING THE INOVA CENTER FOR PERSONALIZED HEALTH ALONG WITH INOVA FAIRFAX MEDICAL CAMPUS. THE GOAL OF INOVA'S GREEN BUILDING EFFORTS IS TO ENSURE THAT OUR BUILDINGS ARE OPERATED IN THE MOST EFFICIENT MANNER, LEADING TO BOTH OPERATIONAL SAVINGS AS WELL AS IMPROVED PATIENT/EMPLOYEE OUTCOMES. TRANSPORTATIONCONTINUED COLLABORATION WITH FAIRFAX COUNTY DEPARTMENT OF TRANSPORTATION TO PROMOTE ALTERNATIVE COMMUTING OPTIONS FOR INOVA EMPLOYEES RESULTING IN FEWER SINGLE-OCCUPANCY VEHICLE TRIPS. THE INOVA FAIRFAX MEDICAL CAMPUS ACHIEVED THE REQUIRED MODE-SPLIT AGAIN IN 2019, WITH MORE THAN 18% OF EMPLOYEES USING SOME SORT OF ALTERNATIVE MODE OF TRANSPORTATION. INOVA MOUNT VERNON HOSPITAL ALSO HAS A MODE-SPLIT REQUIREMENT AND 15% OF EMPLOYEES THERE ARE USING A FORM OF ALTERNATIVE TRANSPORTATION. THIS IS THE RESULT OF EMPLOYEES TAKING PUBLIC TRANSPORTATION, EMPLOYEE COMMUTER SHUTTLES, CARPOOLS AND SOME EVEN BIKING OR WALKING TO WORK. THESE INITIATIVES CONTRIBUTE TO LOWER LEVELS OF AIR POLLUTION AND CONGESTION AS WELL AS IMPROVEMENTS TO OVERALL COMMUNITY HEALTH. FOODCONTINUED TO PROMOTE AND SERVE LOCAL AND SUSTAINABLE FOODS THROUGHOUT INOVA HOSPITALS WITH 21% OF FOOD SPEND CATEGORIZED AS SUSTAINABLE. INOVA HOSPITALS CONTINUED TO FOCUS ON PURCHASING MEAT WITHOUT ROUTINE USE OF ANTIBIOTICS. IN 2019, 42% OF MEATS SERVED WERE CERTIFIED AS ANTIBIOTIC FREE. THESE INITIATIVES ARE IMPORTANT FOR THE HEALTH OF ALL PATIENTS AND THE COMMUNITY, AND ALSO SUPPORT LOCAL FARMS. SPONSOR OF THE NORTHERN VIRGINIA CHAPTER OF BUY FRESH, BUY LOCAL, A NATIONALLY RECOGNIZED PROGRAM THAT IS DEDICATED TO REINTRODUCING AMERICANS TO THEIR FOOD - THE SEEDS IT GROWS FROM, THE FARMERS WHO PRODUCE IT, AND THE ROUTES THAT CARRY IT FROM THE FIELDS TO THEIR TABLES. IN 2019, INOVA LAUNCHED A COMMUNITY SUPPORTED AGRICULTURE (CSA) PROGRAM TO HELP OUR EMPLOYEE'S ACCESS LOCAL AND SUSTAINABLE FOODS. FOOD IS AGGREGATED FROM LOCAL FARMERS AND DELIVERED DIRECTLY TO FOUR HOSPITAL LOCATIONS FOR WEEKLY PICK-UPS.COMMUNITYDISTRIBUTED MORE THAN 500 NATIVE TREE SEEDLINGS TO BE PLANTED WITHIN THE LOCAL COMMUNITY IN 2019 IN SUPPORT OF EARTH DAY.MENTORED PEER ORGANIZATIONS LOCALLY AND NATIONALLY AS WELL AS A VARIETY OF CORPORATE CLIENTS ON SUSTAINABLE PRACTICES THROUGH A COMBINATION OF FORMAL SPEAKING ENGAGEMENTS, NEWS ARTICLE PUBLICATIONS AND INFORMAL DISCUSSIONS, HELPING THEM CREATE SAFER ENVIRONMENTS FOR THEIR PATIENTS, EMPLOYEES, AND COMMUNITIES.
PART III, LINE 4:	BAD DEBT FOOTNOTE FROM INOVA HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTSPATIENT ACCOUNTS RECEIVABLE INCLUDE CHARGES FOR AMOUNTS DUE FROM ALL PATIENTS LESS PRICE CONCESSIONS RELATING TO ALLOWANCES FOR THE EXCESS OF ESTABLISHED CHARGES OVER THE PAYMENTS TO BE RECEIVED ON BEHALF OF PATIENTS COVERED BY MEDICARE, MEDICAID AND OTHER INSURERS. THE PROVISION FOR PRICE CONCESSIONS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMICCONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE PRICE CONCESSIONS BASED UPON HISTORICAL EXPERIENCE OF SELF-PAY ACCOUNTS RECEIVABLE, INCLUDING THOSE BALANCES AFTER INSURANCE PAYMENTS AND NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR PRICE CONCESSIONS. THERE HAVE BEEN NO SIGNIFICANT CHANGES IN THE CURRENT YEAR TO THE UNDERLYING ASSUMPTIONS USED BY IHS TO ESTIMATE THE ALLOWANCE FOR PRICE CONCESSIONS. PATIENT ACCOUNTS RECEIVABLE ARE WRITTEN OFF AFTER COLLECTION EFFORTS HAVE BEEN FOLLOWED IN ACCORDANCE WITH IHS POLICIES.ALL OPERATING ENTITIES OF IHS TREAT EMERGENCY PATIENTS AND PROVIDE MEDICALLY NECESSARY TREATMENT TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BASED UPON ESTABLISHED IHS' POLICIES THAT CONSIDER PATIENT INCOME LEVELS AS WELL AS OTHER FACTORS INCLUDING CREDIT HISTORIES AND DEMOGRAPHIC INFORMATION. SINCE IHS DOES NOT PURSUE COLLECTION OF AMOUNTS THAT QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE DEDUCTED FROM GROSS REVENUE.
PART III, LINE 8:	THE ORGANIZATION DOES NOT TREAT ANY MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE AMOUNTS ARE TAKEN DIRECTLY FROM THE MEDICARE COST REPORTS AS FILED USING A COST TO CHARGE RATIO METHOD.
PART III, LINE 9B:	PATIENTS WHO HAVE NOT APPLIED FOR FINANCIAL ASSISTANCE UNDER THIS POLICY ARE SUBJECT TO INOVA'S NORMAL BILLING AND COLLECTIONS PROCESSES.ALL PATIENT RESPONSIBILITY PORTIONS OF INOVA'S ACCOUNTS WILL PROCESS THROUGH INOVA'S BILLING AND COLLECTION SYSTEMS FOR EFFECTIVE COLLECTIONS WITHIN FEDERAL GUIDELINES. PATIENT RESPONSIBILITY PORTIONS WILL BE PROCESSED THROUGH PRE-BILLING, STATEMENT, AND FOLLOW-UP IN AUTOMATED AND SYSTEMATIC STEPS. ALL COLLECTIONS ACTIONS WILL BE IN COMPLIANCE WITH THE FAIR DEBT COLLECTION PRACTICES ACT AND ACA INTERNATIONAL'S CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY.PATIENTS WILL RECEIVE STATEMENTS FOR 120 DAYS. AFTER 120 DAYS, WITH NO CONTACT FROM THE PATIENT AND WITHOUT THE ESTABLISHMENT OF ACCEPTABLE PAYMENT TERMS, ACCOUNTS WILL BE TRANSFERRED TO A PROFESSIONAL COLLECTION AGENCY. IF CONTINUED NON-PAYMENT OCCURS BEYOND A REASONABLE PERIOD OF TIME, INOVA MAY TAKE ADDITIONAL ACTIONS ON THE ACCOUNT.IF A PATIENT WISHES TO MAKE PAYMENT ARRANGEMENTS AND DOES NOT HAVE RESOURCES TO PAY THE ACCOUNT IN FULL, THE PATIENT SHOULD MAKE INOVA AWARE OF THEIR SITUATION AND INOVA WILL OFFER PAYMENT PLANS.NO INOVA ENTITY OR THIRD-PARTY COLLECTIONS AGENT WILL IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS ("ECAS") SUCH AS LEGAL ACTIONS OR ADVERSE CREDIT REPORTING AGAINST ANY PATIENT, WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THIS POLICY. THESE REASONABLE EFFORTS INCLUDE:ASSURING THAT NO ECAS ARE IMPOSED FOR AT LEAST 120 DAYS FROM THE DATE OF THE FIRST BILLING STATEMENT.PROVIDING A 30-DAY WRITTEN NOTICE THAT INCLUDES INFORMATION ABOUT INOVA'S FINANCIAL ASSISTANCE POLICY AND ABOUT ANY INTENDED ECAS TO BE IMPOSED IN THE EVENT OF NONPAYMENT.PROVIDING ORAL NOTIFICATION OF ANY INTENDED ECAS TO BE IMPOSED IN THE EVENT OF NONPAYMENT.IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AFTER PAYMENT IS RECEIVED OR AFTER AN ECA HAS BEEN IMPOSED, THE ACCOUNT WILL BE ADJUSTED AND THE COLLECTIONS ACTION WILL BE REVERSED.THE VICE PRESIDENT OF REVENUE CYCLE OPERATIONS OR HIS/HER DESIGNEE IS RESPONSIBLE FOR DETERMINING WHETHER INOVA HAS MADE REASONABLE EFFORTS TO DETERMINE WHETHER AN INDIVIDUAL IS FAP-ELIGIBLE AND WHETHER ONE OR MORE ECAS MAY BE IMPOSED.
PART III, LINE 2 AND 3	ACTUAL BAD DEBT EXPENSE IS MULTIPLIED BY THE COST TO CHARGE RATIO USED IN COMPUTING CHARITY CARE EXPENSE IN PART I. THE PROVISION FOR BAD DEBTS IS RECOGNIZED WHEN PROVIDING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.THERE ARE NO ESTIMATED AMOUNTS FOR BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY.
PART VI, LINE 2:	INOVA HEALTH SYSTEM (IHS) COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2019 TO IDENTIFY PRIORITY HEALTH STATUS AND ACCESS ISSUES FOR PARTICULAR GEOGRAPHIC AREAS AND POPULATIONS BY FOCUSING ON THE FOLLOWING QUESTIONS: WHAT ARE THE BIGGEST HEALTH CHALLENGES? WHO IS MOST AFFECTED? WHERE ARE THE UNMET NEEDS FOR SERVICES? WHAT ARE THE HEALTH INEQUITIES?INOVA'S CHNA CONSIDERS MULTIPLE DATA SOURCES, INCLUDING SECONDARY DATA (REGARDING DEMOGRAPHICS, HEALTH STATUS INDICATORS, AND MEASURES OF HEALTH CARE ACCESS), ASSESSMENTS PREPARED BY OTHER ORGANIZATIONS IN RECENT YEARS, AND PRIMARY DATA DERIVED FROM A SURVEYS OF PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH EXPERTISE IN PUBLIC HEALTH.THE FOLLOWING TOPICS AND DATA ARE ASSESSED IN INOVA'S CHNA REPORT:DEMOGRAPHICS, E.G., NUMBERS AND LOCATIONS OF VULNERABLE PEOPLE;ECONOMIC ISSUES, E.G., POVERTY AND UNEMPLOYMENT RATES, AND IMPACTS OF STATE OR LOCAL BUDGET CHANGES;COMMUNITY ISSUES, E.G., HOMELESSNESS, HOUSING, ENVIRONMENTAL CONCERNS, CRIME, AND AVAILABILITY OF SOCIAL SERVICES;HEALTH STATUS INDICATORS, E.G. MORBIDITY RATES FOR VARIOUS DISEASES AND CONDITIONS, AND MORTALITY RATES FOR LEADING CAUSES OF DEATH;HEALTH ACCESS INDICATORS, E.G., UNINSURED RATES, DISCHARGES FOR AMBULATORY CARE SENSITIVE CONDITIONS (ACSC), AND USE OF EMERGENCY DEPARTMENTS FOR NON-EMERGENT CARE;HEALTH DISPARITIES INDICATORS; ANDAVAILABILITY OF HEALTHCARE FACILITIES AND RESOURCES. THE ASSESSMENT IDENTIFIES A LIST OF SIGNIFICANT COMMUNITY HEALTH NEEDS.AS A RESULT OF THIS WORK AND PREVIOUS WORK, THREE PRIORITY AREAS WILL BE THE FOCUS FOR THE NEXT THREE YEARS. WHILE THE APPROACH TO ADDRESSING THESE AREAS MAY DIFFER FROM ONE COMMUNITY TO ANOTHER, THE SYSTEM-WIDE SELECTION OF PRIORITY AREAS WILL ADD VALUE TO EFFORTS IN EACH REGION. THE DIRECTOR OF COMMUNITY RELATIONS IS COORDINATING PLANS WITH INOVA AND COMMUNITY LEADERS TO ENSURE PLANS ARE IMPLEMENTED EFFECTIVELY AND IN PARTNERSHIP WITH EXISTING FRAMEWORKS AND RESOURCES IN EACH OF THE RESPECTIVE COMMUNITIES. THE DIRECTOR OF COMMUNITY RELATIONS IS CENTRALIZED TO THE SYSTEM UNDER THE VICE PRESIDENT OF POPULATION HEALTH AND THEREBY ASSURES SYSTEM COORDINATED EFFORTS ARE CENTRALIZED AND REFLECTIVE OF INOVA HEALTH SYSTEM'S WORK ACROSS NORTHERN VIRGINIA.THE VARIOUS PUBLIC HEALTH DEPARTMENTS ALSO CONDUCT COMMUNITY HEALTH ASSESSMENTS USING THE FRAMEWORK OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. DUE TO THE TIMING OF THESE PROCESSES, THE INFORMATION FROM THE MAPP HEALTH NEEDS ASSESSMENTS IN THE JURISDICTIONS SERVED BY INOVA HEALTH SYSTEM WERE INCORPORATED DIFFERENTLY INTO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND IMPLEMENTATION PLANS IN 2019. FAIRFAX AND ARLINGTON HEALTH DEPARTMENTS CONDUCTED THEIR OWN MAPP PROCESS AND COLLABORATED WITH INOVA, ALEXANDRIA CONDUCTED ITS PROCESS JOINTLY WITH INOVA BUT REPORTED SEPARATELY, AND THE LOUDOUN MAPP PROCESS WAS CONDUCTED JOINTLY WITH INOVA. THE MAPP PROCESS LEADS TO AN ONGOING COMMUNITY-DRIVEN PLANNING PROCESS THAT IS DESIGNED TO PROVIDE INFORMATION FOR IMPROVING THE COMMUNITY'S DELIVERY OF THE TEN ESSENTIAL PUBLIC HEALTH SERVICES. THIS PROCESS BRINGS TOGETHER A DIVERSE GROUP OF KEY COMMUNITY STAKEHOLDERS INCLUDING LOCAL GOVERNMENT, HUMAN SERVICE ORGANIZATIONS, SCHOOLS AND UNIVERSITIES, HEALTHCARE CONSUMERS, ADVOCACY GROUPS, HOSPITALS, FAITH INSTITUTIONS, YOUTH DEVELOPMENT ORGANIZATIONS, ECONOMIC AND PHILANTHROPIC GROUPS, ETC. TO IDENTIFY STRENGTHS AND WEAKNESSES IN THE TEN ESSENTIAL AREAS TO PROVIDE A FOUNDATION FOR COMMUNITY HEALTH PLANNING. IN ADDITION TO THESE ACTIVITIES, INOVA IS CONTINUALLY GARNERING FEEDBACK ON EXISTING SAFETY NET AND COMMUNITY PROGRAMS FROM PARTICIPANTS THROUGH SATISFACTION SURVEYS, FOCUS GROUPS, PARTICIPATING IN REGIONAL AND LOCAL HEALTH RELATED GROUPS SUCH AS THE NORTHERN VIRGINIA HEALTH SERVICES COALITION, AND MEETING WITH VARIOUS CULTURAL AND ETHNIC GROUPS IN THE COMMUNITY. INTERNAL UTILIZATION AND OUTCOMES DATA, REVIEW OF BEST PRACTICES, REGIONAL AND NATIONAL BENCHMARK DATA, AND OTHER EXTERNAL SOURCES SUCH AS THE METROPOLITAN WASHINGTON COUNCIL OF GOVERNMENTS (COG) DEMOGRAPHIC DATA ARE USED TO DEVELOP STRATEGIC GOALS FOR HEALTH IMPROVEMENT ACTIVITIES. COLLECTIVELY, ALL THIS INFORMATION IS UTILIZED IN ASSESSING COMMUNITY HEALTH NEEDS TO GUIDE STRATEGIC PLANNING EFFORTS.
PART VI, LINE 3:	INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S FINANCIAL ASSISTANCE POLICY (FAP) OR SOMETIMES REFERRED TO AS THE CHARITY CARE POLICY. INFORMATION REGARDING THIS POLICY IS KEPT UP TO DATE ON THE INOVA WEBSITE AND THROUGH SIGNAGE. UPON ADMISSION TO ANY INOVA HOSPITAL OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT THE CHARITY CARE PROGRAM AND REFERRALS TO MEET WITH INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY THE INOVA PATIENT ACCOUNTS DEPARTMENT WITH THE PATIENT CONTACTED IF ADDITIONAL INFORMATION IS REQUIRED IN ORDER TO MAKE A DETERMINATION. THE PATIENT IS SUBSEQUENTLY PROVIDED A LETTER, NOTIFYING THEM AS TO WHETHER OR NOT THEY QUALIFY FOR CHARITY CARE.INOVA ALSO HAS MEDICAID ELIGIBILITY WORKERS ON-SITE IN ALL HOSPITALS, IN THE INOVA CARES CLINICS (CLINIC FOR LOW INCOME FAMILIES) AND IN THE COMMUNITY AS PART OF THE PARTNERSHIP FOR HEALTHIER COMMUNITIES ACCESS TO CARE PROGRAM. INOVA PARTNERS WITH SCHOOLS ACROSS THE JURISDICTION TO PROVIDE INFORMATION ABOUT STATE FUNDED HEALTH PROGRAMS FOR CHILDREN AND CONTACT INFORMATION TO MEET WITH AN ELIGIBILITY WORKER RESPONSIBLE FOR ENROLLING FAMILIES IN STATE MEDICAID PROGRAMS. THESE ELIGIBILITY WORKERS ALSO GO OUT INTO THE COMMUNITY ATTENDING COMMUNITY EVENTS SUCH AS HEALTH FAIRS, FAITH-BASED COMMUNITY ACTIVITIES AND OTHER FAMILY CENTERED COMMUNITY EVENTS TO PROACTIVELY MEET WITH FAMILIES TO ENCOURAGE ENROLLMENT IN PROGRAMS FOR WHICH THEY ARE ELIGIBLE. INOVA HAS A SECTION OF THE PUBLIC WEBSITE DEDICATED TO INFORMATION ABOUT FINANCIAL ASSISTANCE RESOURCES.
PART VI, LINE 4:	INOVA LOUDOUN HOSPITAL (ILH) IS A NOT-FOR-PROFIT CORPORATION AND A SUBSIDIARY OF THE PARENT ORGANIZATION, INOVA HEALTH SYSTEM FOUNDATION (INOVA). INOVA PROVIDES HEALTHCARE AND RELATED SERVICES THROUGHOUT NORTHERN VIRGINIA AND THE GREATER METROPOLITAN WASHINGTON, D.C. AREA, INCLUDING CERTAIN CONTIGUOUS COUNTIES OF VIRGINIA AND MARYLAND. NORTHERN VIRGINIA IS ONE OF THE FASTEST GROWING URBAN COMMUNITIES IN THE UNITED STATES. WITH APPROXIMATELY 1,304 SQUARE MILES, THE REGION IS THE MOST DENSELY POPULATED IN THE COMMONWEALTH OF VIRGINIA. NORTHERN VIRGINIA IS COMPRISED OF SEVERAL DISTINCT COMMUNITIES, INCLUDING THE CITIES OF ALEXANDRIA, FAIRFAX, FALLS CHURCH, MANASSAS AND MANASSAS PARK, AND THE COUNTIES OF ARLINGTON, FAIRFAX, LOUDOUN AND PRINCE WILLIAM. THE EASTERN SECTIONS ARE URBANIZED WITH ATTENDANT HEALTH PROBLEMS OF OVERCROWDING AND INCREASING DEMAND FOR HEALTH SERVICES AND PUBLIC PROGRAMS. INOVA LOUDOUN HOSPITAL'S PRIMARY SERVICE AREA COVERS ALL OF LOUDOUN COUNTY.LOUDOUN COUNTY IS SERVED BY TWO HOSPITALS (INOVA LOUDOUN AND HCA STONESPRINGS). THERE ARE SIX CENSUS TRACTS IN LOUDOUN COUNTY THAT ARE MEDICALLY UNDERSERVED.LOUDOUN COUNTY'S POPULATION IS FORECASTED TO GROW 15% OVER THE NEXT DECADE, ADDING AN ESTIMATED AVERAGE OF 6,300 PERSONS A YEAR. POPULATION WILL BE SPURRED BY THE LONG-TERM STRENGTH OF THE REGION'S ECONOMY, HIGH RATES OF IN-MIGRATION AND INTERNATIONAL IMMIGRATION. THE REGION'S POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS EXPECTED TO GROW BY 25% OVER THE NEXT 5 YEARS, WHILE THE NUMBER OF CHILDREN WILL INCREASE BY ABOUT 4% IN THE SAME TIME PERIOD. (MWCOG 9.1 AND ESRI)NORTHERN VIRGINIA'S RACIAL AND ETHNIC DIVERSITY IS MORE PRONOUNCED THAN IN THE REST OF THE STATE. WITH INCREASING DIVERSITY, ECONOMICALLY DISADVANTAGED POPULATIONS AND MULTIPLE LANGUAGES, THE NEED FOR ACCESS TO CULTURALLY APPROPRIATE, FLEXIBLE HEALTH CARE CONTINUES TO GROW. THE NORTHERN VIRGINIA GEOGRAPHIC REGION IN 2018 WAS 41% MINORITY, UP FROM 28% IN 1990, WHILE THE NATION AS A WHOLE REFLECTS A 39% MINORITY POPULATION (U.S. CENSUS BUREAU). THE U.S. CENSUS BUREAU ESTIMATES THAT LOUDOUN COUNTY HAD A POPULATION OF 398,080 PEOPLE IN 2018. THIS IS THE FASTEST GROWING JURISDICTION IN NORTHERN VIRGINIA. IN 2018, LOUDOUN COUNTY'S ASIANS, HISPANICS, AND AFRICAN AMERICANS REPRESENTED 19.4%, 13.9% AND 7.9% OF LOUDOUN'S POPULATION, RESPECTIVELY (U.S. CENSUS BUREAU).ACCORDING TO THE U.S. CENSUS BUREAU SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE) IN 2015 APPROXIMATELY 6.7% OF THE TOTAL POPULATION UNDER THE AGE OF 65 IN LOUDOUN COUNTY LACKED HEALTHCARE INSURANCE. OF THE PEOPLE LIVING IN LOUDOUN COUNTY WHOSE FAMILY INCOMES ARE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, SAHIE ESTIMATES THAT 26.7% WERE UNINSURED IN 2015.AREA RESIDENTS MOST LIKELY TO BE UNINSURED ARE THOSE WHOSE FAMILY INCOMES ARE AT OR BELOW 200% OF THE POVERTY LEVEL, YOUNG ADULTS (AGE 18-44), PEOPLE OF RACIAL BACKGROUNDS OTHER THAN WHITE, UNEMPLOYED INDIVIDUALS, PART-TIME WORKERS, AND PEOPLE WHO WORK AT COMPANIES WITH FEWER THAN 50 EMPLOYEES. SERVING THIS POPULATION POSES SIGNIFICANT CULTURAL AND LINGUISTIC CHALLENGES, AND THESE UNINSURED CITIZENS ARE WIDELY DISTRIBUTED IN TERMS OF AGE, GEOGRAPHIC REGION, AND HEALTH STATUS.
PART VI, LINE 5:	INOVA HEALTH SYSTEM'S INVESTMENT IN THE COMMUNITIES ACROSS NORTHERN VIRGINIA IS EVIDENT THROUGH NUMEROUS TARGETED COMMUNITY PROGRAMS. THESE PROGRAMS PROVIDE ACCESS TO CARE FOR LOW INCOME, UNINSURED, UNDERINSURED AND VULNERABLE POPULATIONS; PROMOTE HEALTH & WELLNESS; INCREASE HEALTH LITERACY; PROVIDE THE SUPPORT AND INFRASTRUCTURE FOR DISASTER PREPAREDNESS; AND PROVIDE PROGRAMS TO SUPPORT DEVELOPMENT OF OUR FUTURE HEALTHCARE WORKFORCE TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. ALL INOVA HEALTHCARE FACILITIES HAVE OPEN MEDICAL STAFFS TO PROVIDE THE MAXIMUM ACCESS TO QUALIFIED PHYSICIANS. A COMMUNITY BOARD OF TRUSTEES PROVIDES FISCAL AND QUALITY OVERSIGHT FOR INOVA HEALTH CARE SERVICES' FACILITIES TO ENSURE THE VISION AND MISSION OF THE ORGANIZATION IS ACHIEVED.ACCESS TO CARE PROGRAMSINOVA'S POPULATION AND COMMUNITY HEALTH DIVISION IS ORGANIZED TO ADDRESS A WIDE-SPECTRUM OF COMMUNITY HEALTHCARE NEEDS. IN ADDITION TO THE PROGRAMS ALREADY DESCRIBED IN THE CORE FORM PROGRAM, ACTIVITIES THAT PROVIDE INFRASTRUCTURE SUPPORT AND SERVICES FOCUSED ON VULNERABLE POPULATIONS TO INCREASE ACCESS TO HEALTHCARE SERVICES FOR THE COMMUNITIES SERVED BY INOVA HEALTH SYSTEM INCLUDE THE FOLLOWING PROGRAMS:INOVA ESTABLISHED A SAFETYNET SPECIALTY CARE PROVIDER NETWORK IN PARTNERSHIP WITH FAIRFAX COUNTY. THE PHYSICIAN LEADER ENGAGED NUMEROUS INOVA SPECIALTY CARE PRACTICES TO ACCEPT REFERRALS AT MEDICARE RATES FROM COMMUNITY PRIMARY CARE SETTINGS SUCH AS FEDERALLY QUALIFIED HEALTH CENTERS AND FREE CLINICS. IN ORDER TO ENSURE ACCESS TO SPECIALTIES NOT AVAILABLE AT INOVA, A SPECIALTY NETWORK INCLUDING OUTSIDE PROVIDERS WAS THEN ESTABLISHED WITH THE SAME REFERRAL ARRANGEMENT. WITH FUNDING SUPPORT FROM THE COUNTY, INOVA FACILITATES PAYMENT TO THE PROVIDERS FOR PATIENTS OTHERWISE UNABLE TO PAY FOR THOSE SERVICES. A PROGRAM IS BEING DESIGNED WHEREBY AN INOVA COORDINATOR WILL ASSIST THE REFERRING CLINIC, THE PATIENT, AND THE SPECIALTY PROVIDER WITH SCHEDULING AND NAVIGATING THE COMPLETION OF REQUIRED DOCUMENTATION.INOVA'S PARTNERSHIP FOR HEALTHIER COMMUNITIES (PHC) PROVIDES INDIVIDUALS AND FAMILIES WITH COMPREHENSIVE APPLICATION AND ENROLLMENT ASSISTANCE TO CONNECT THEM WITH AN APPROPRIATE AND AFFORDABLE SOURCE OF HEALTH CARE SERVICES. IN 2019, THE PROGRAM ASSISTED OVER 21,000 CHILDREN AND ADULTS WITH ACCESS TO A SOURCE OF COMPREHENSIVE HEALTH CARE SERVICES SUCH AS MEDICAID, FAMIS OR LOCAL SAFETY NET PROVIDERS. PHC EXPANDED EFFORTS IN 2019 WITH THE ONSET OF MEDICAID EXPANSION IN VIRGINIA (INCLUDING A NAME CHANGE FROM PARTNERSHIP FOR HEALTHIER KIDS TO REFLECT THE UPDATED MISSION AND OUTREACH ACTIVITIES).CARE CONNECTION FOR CHILDREN (CCC) IS PART OF THE VIRGINIA DEPARTMENT OF HEALTH STATEWIDE NETWORK SERVING CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDS. PROFESSIONAL CARE COORDINATORS PARTNER WITH FAMILIES TO COORDINATE CARE AND FIND THE BEST HEALTHCARE AND COMMUNITY RESOURCES IN NORTHERN VIRGINIA. CCC IS COMMITTED TO HELPING CHILDREN MAXIMIZE THEIR POTENTIAL IN A CARING, INNOVATIVE AND CULTURALLY SENSITIVE MANNER. IN 2019, CCC SERVED 907 FAMILIES.TRANSITIONAL CARE MANAGEMENT INOVA TRANSITIONAL SERVICES (ITS) IS A COMPREHENSIVE PROGRAM DESIGNED TO SUPPORT MEDICALLY VULNERABLE PATIENTS WITH A RECENT INOVA HOSPITALIZATION TO ENSURE QUALITY TRANSITIONS OF CARE OUTCOMES AND SUPPORT THE AMBULATORY PHYSICIAN COMMUNITY IN MANAGING THIS CHALLENGING POPULATION AFTER DISCHARGE. ITS CASE MANAGERS PROVIDE 30 DAY POST-ACUTE TELEPHONIC CASE MANAGEMENT DESIGNED TO ENCOURAGE PATIENTS TO FOLLOW UP WITH THEIR PRIMARY CARE PHYSICIAN (PCP) AND FOLLOW INSTRUCTIONS ON MEDICATION RECONCILIATION. ITS CASE MANAGERS ALSO ASSIST PATIENTS BY PROVIDING EDUCATION ON THEIR DISEASE SYMPTOMS AND EMPOWER THEM TO TAKE AN ACTIVE, PREVENTATIVE ROLE, IN THEIR HEALTHCARE AND WELLNESS. ITS ALSO OFFERS MEDICARE FOCUSED COORDINATORS FOR THE MEDICARE 65+ FOCUS DIAGNOSIS PATIENTS TO ENSURE PROPER ACCESS AND COORDINATION OF ALL DISCHARGE DISPOSITIONS, POST-ACUTE CARE SERVICES, AND ASSIST WITH TRANSITIONS THROUGHOUT THE 30-DAY POST-HOSPITALIZATION CONTINUUM BY ASSISTING PATIENTS AND COMMUNITY SERVICE PROVIDERS WITH FOLLOW UP COORDINATION, RESOURCE CONNECTION, PROBLEM SOLVING, AND COMMUNICATION. THE ITS CLINICS ARE HOSPITALIST-RUN POST-ACUTE CLINICS THAT PROVIDE IMMEDIATE ATTENTION TO MEDICALLY COMPLEX PATIENTS WHO REQUIRE INTENSIVE FOLLOW-UP CARE. PATIENTS ARE PROVIDED APPOINTMENTS TO ENSURE THAT ALL HOSPITAL DISCHARGE INSTRUCTIONS, MEDICATION RECONCILIATION, AND SYMPTOMS HAVE BEEN STABILIZED AND RESOLVED PRIOR TO TRANSITIONING BACK TO THEIR PCP OR TO A LONG-TERM MEDICAL HOME. CLINIC SERVICES ALSO INCLUDE DISEASE AND MEDICATION EDUCATION, PRESCRIPTION ASSISTANCE, CASE MANAGEMENT SUPPORT, AND COMMUNITY RESOURCE CONNECTION. IN 2019, ITS CASE MANAGERS MANAGED OVER 4,500 ADMISSIONS, MEDICARE COORDINATORS MANAGED ALMOST 5,000 ADMISSIONS, AND THE ITS CLINICS SERVED OVER 3,700 PATIENTS WITH OVER 9,000 VISIT ENCOUNTERS. INOVA KELLAR CENTERINOVA KELLAR CENTER (IKC) IS A COMMUNITY BASED BEHAVIORAL HEALTH PROGRAM AND SPECIAL EDUCATION SCHOOL FOUNDED BY INOVA IN 1991 WITH A GIFT FROM FAIRFAX COUNTY RESIDENTS, ART AND BETTY KELLAR, TO ADDRESS A GAP IN MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR CHILDREN AND ADOLESCENTS. CURRENTLY IKC OFFERS A FULL CONTINUUM OF MENTAL HEALTH SERVICES FROM OUTPATIENT THERAPIES AND MEDICATION MANAGEMENT TO AFTER SCHOOL INTENSIVE OUTPATIENT PROGRAMS AND A FULL DAY PARTIAL HOSPITALIZATION PROGRAM. THE KELLAR SCHOOL, A PRIVATE SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH EMOTIONAL, SOCIAL, AND BEHAVIORAL NEEDS PROVIDES ACADEMIC INSTRUCTION WITHIN A THERAPEUTIC ENVIRONMENT. THE CENTER PROVIDED 72,334 HOURS OF PROGRAMMING, TREATMENT, AND EDUCATION TO CHILDREN, ADOLESCENTS, AND FAMILIES IN 2019. INOVA EWING FORENSIC ASSESSMENT AND CONSULTATION TEAMS (FACT)THE INOVA EWING FACT DEPARTMENT IS A COMPREHENSIVE, OUTPATIENT FORENSIC NURSING PROGRAM FOR CHILDREN AND ADULTS. ESTABLISHED IN THE LATE 1990S, THE INOVA EWING FACT DEPARTMENT HAS PROVIDED SPECIALIZED CARE FOR VICTIMS OF SEXUAL ABUSE, DOMESTIC VIOLENCE, AND CHILD ABUSE. FACT SERVES ALL OF NORTHERN VIRGINIA INCLUDING FAIRFAX, ARLINGTON, LOUDOUN, AND PRINCE WILLIAM COUNTIES, THE CITIES OF ALEXANDRIA AND FALLS CHURCH, PARTS OF FAUQUIER AND STAFFORD COUNTIES, MILITARY INSTALLATIONS, UNIVERSITIES AND THE FBI. THE DEPARTMENT ALSO PERFORMS COURTESY EXAMS FOR OUTLYING JURISDICTIONS INCLUDING THE DISTRICT OF COLUMBIA, MARYLAND, AND WEST VIRGINIA. THE PROGRAM HAS GROWN SIGNIFICANTLY OVER THE YEARS AND NOW PROVIDES SERVICES IN THE AREAS OF SEXUAL ASSAULT, INTIMATE PARTNER/DOMESTIC VIOLENCE, PHYSICAL CHILD ABUSE, STRANGULATION, AND HUMAN SEX TRAFFICKING. IN 2019, THE DEPARTMENT HAD 1,031 PATIENT ENCOUNTERS, REFLECTING A 10% INCREASE FROM 2018 AND A 53% INCREASE FROM 2016. HEALTH PROMOTION AND PREVENTATIVE CARE PROGRAMSTO PREVENT AND REDUCE THE INCIDENCE OF NUTRITION-RELATED DISEASES, INOVA FOCUSES ON SEVERAL INITIATIVES TO REDUCE FOOD INSECURITY AND INCREASE FOOD LITERACY AMONG COMMUNITY MEMBERS. SPECIFICALLY, INOVA CONTINUED TO MATCH THE PURCHASES MADE BY SNAP CUSTOMERS (FORMERLY FOOD STAMPS) AT FARMERS MARKETS, ALLOWING LOW-INCOME INDIVIDUALS TO PURCHASE MORE FRESH PRODUCE.INOVA ALSO CONTINUED TO GROW THE INOVA HEALTHY PLATE PROGRAM, WHICH HELPS CHILDREN AND THEIR FAMILIES LEARN ABOUT THE IMPORTANCE OF HEALTHY EATING AND PHYSICAL ACTIVITY. IN 2019, THE INOVA HEALTHY PLATE CLUB HAD ABOUT 330 KIDS GRADUATE FROM ITS 8-WEEK COOKING AND NUTRITION EDUCATION CLASS. THE PROGRAM ALSO SERVED MORE THAN 8,000 KIDS AND PARENTS THROUGH TASTE TESTS, PARENT CLASSES, LESSONS DURING THE SCHOOL DAY, AND MORE.LANGUAGE AND DISABILITY SERVICESTHE LANGUAGE AND DISABILITY SERVICES DEPARTMENT IS DEDICATED TO ENSURING EQUAL ACCESS TO INOVA'S SERVICES REGARDLESS OF LANGUAGE PREFERENCE OR THE NEED FOR SPECIAL ACCOMMODATIONS. IN SUPPORT OF PATIENT SAFETY AND SATISFACTION, LANGUAGE INTERPRETATION AND DOCUMENT TRANSLATIONS ARE PROVIDED AT EVERY INOVA FACILITY TO FACILITATE COMMUNICATION WITH THE 14% OF INOVA'S PATIENT POPULATION WHO ARE LIMITED ENGLISH PROFICIENT (LEP) AND THE 0.2% OF CLIENTS WHO ARE DEAF OR HARD OF HEARING (D/HH). IN 2019, PHONE, VIDEO, AND IN-PERSON MEDICAL INTERPRETERS DELIVERED 125,325 HOURS OF INTERPRETATION IN 350 LANGUAGES, AND 18,128 HOURS IN AMERICAN SIGN LANGUAGE. ADDITIONALLY, 610 VITAL DOCUMENTS WERE TRANSLATED INTO INOVA'S TOP LANGUAGES.
PART VI, LINE 6:	ORGANIZATION IS PART OF INOVA HEALTH SYSTEM INCLUDED IN DESCRIPTION UNDER LINE 5.
PART VI, LINE 5 CONTINUATION	CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPSINOVA DONATES SPACE, CASH, AND IN-KIND SUPPORT SUCH AS UTILITIES, LANDSCAPING/GROUNDS KEEPING, HOUSEKEEPING, AND DONATED STAFF TIME TO A NUMBER OF COMMUNITY GROUPS AND SERVICES. INOVA SUPPORTS NOVA SCRIPTS, THE CENTER FOR MULTICULTURAL HUMAN SERVICES, SHENANDOAH UNIVERSITY, AND THE NOVA DENTAL CLINIC. INOVA ALSO PROVIDES FINANCIAL SUPPORT TO THE LOUDOUN FREE CLINIC AND HEALTHWORKS FOR NORTHERN VIRGINIA AND NEIGHBORHOOD HEALTH, THE LOCAL FEDERALLY QUALIFIED HEALTH CENTERS. IN 2019, INOVA DONATED OVER $3.9 MILLION FOR THESE GROUPS COVERING BOTH CASH AND IN-KIND TRANSACTIONS.ADDITIONALLY, AS PART OF INOVA'S EFFORTS TO HARNESS THE COLLECTIVE POWER OF COMMUNITY PARTNERS, AGENCIES, AND ORGANIZATIONS TO CREATE POSITIVE SOCIAL IMPACT, INOVA PROVIDED $60,000 IN COMMUNITY GRANTS. APPLICANTS WERE REQUIRED TO PRESENT PROGRAMS OR PROJECTS ADDRESSING THE POPULATION HEALTH NEEDS DESCRIBED IN THE INOVA COMMUNITY HEALTH NEEDS ASSESSMENTS. THE FOLLOWING PROGRAMS WERE FUNDED IN 2019.CARPENTER'S SHELTER - $5,000. FUNDS SUPPORTED THEIR MENTAL HEALTH PROGRAM SERVING EMERGENCY SHELTER RESIDENTS. THE FUNDS WILL ALLOW THEM TO EXPAND THEIR PROGRAM TO ACCOMMODATE A MASTERS OF SOCIAL WORK STUDENT INTERN AND SUPPORT ADDITIONAL CONTINUING EDUCATION OPPORTUNITIES TO THEIR LICENSED MENTAL HEALTH CARE PROVIDER.INSIGHT MEMORY CARE CENTER - $10,000. FUNDS HELPED TO SUPPORT THEIR ADULT DAY RESPITE CARE PROGRAM. IMCC IS THE ONLY LICENSED ADULT DAY CENTER IN NORTHERN VIRGINIA DEDICATED TO ENHANCING THE LIVES OF INDIVIDUALS WITH ALZHEIMER'S DISEASE AND RELATED DEMENTIAS AS WELL AS THEIR CAREGIVERS AND FAMILIES.MEDICAL CARE FOR CHILDREN PARTNERSHIP FOUNDATION - $15,000. FUNDS SUPPORTED UNINSURED CHILDREN FROM BIRTH TO AGE 19 WITH COMPREHENSIVE ORAL HEALTH AND PREVENTATIVE CARE. PROJECT MEND-A-HOUSE INC. - $10,000. FUNDS PROVIDED NEEDED MATERIALS AND SUPPLIES TO ENABLE VOLUNTEERS TO PROVIDE FREE HOME REPAIR/CONSTRUCTION SERVICES TO IMPROVE THE QUALITY OF LIFE FOR LOW-INCOME SENIORS, VETERANS AND PEOPLE WITH DISABILITIES ALLOWING THEM TO AGE IN PLACE. THE HOUSE, INC. - $10,000. FUNDS SUPPORTED THE HOUSE STUDENT LEADERSHIP CENTER'S OFFICE ON YOUTH MENTAL HEALTH AND WELLNESS WHICH AIMS TO IMPROVE OVERALL MENTAL HEALTH WITH AN INTEGRATIVE PROGRAM APPROACH FOR UNDERSERVED AND UNDERINSURED YOUTH AND FAMILIES THROUGH EVIDENCE-BASED INTERVENTION STRATEGIES. THE RYAN BARTEL FOUNDATION - $10,000. FUNDS SUPPORTED THE EXTENSION OF THE SOURCES OF STRENGTH (SOS) TRAINING - AN EVIDENCE-LED, YOUTH SUICIDE PREVENTION AND WELLNESS PROGRAM INTO THE WIDER COMMUNITY, BRIDGING THE GAP FOR THE POPULATION WHO IS NOT DIRECTLY TRAINED OR EXPOSED TO SOS CAMPAIGNS THOUGH LOUDOUN COUNTY PUBLIC SCHOOLS WHO HAS IMPLEMENTED THE PROGRAM IN 20 SCHOOLS.
PART VI, LINE 7	ORGANIZATION HAS NO STATE FILINGS.

Schedule H (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

LOUDOUN HOSPITAL CENTER
DBA INOVA LOUDOUN HOSPITAL

Employer identification number

54-0525802

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1J STEPHEN JONES CEO, PRESIDENT	(i) (ii)	0 ------------- 1,653,686	0 ------------- 1,440,000	0 ------------- 19,749	0 ------------- 253,912	0 ------------- 24,619	0 ------------- 3,391,966	0 ------------- 240,000
2RICHARD MAGENHEIMER CFO, TREASURER, ENDING 6-4-19	(i) (ii)	0 ------------- 439,909	0 ------------- 909,995	0 ------------- 1,106,584	0 ------------- 58,000	0 ------------- 2,949	0 ------------- 2,517,437	0 ------------- 1,538,308
3LORING FLINT EVP CMO FORMER, ENDING 6-1-19,	(i) (ii)	0 ------------- 301,911	0 ------------- 978,910	0 ------------- 111,519	0 ------------- 58,000	0 ------------- 5,126	0 ------------- 1,455,466	0 ------------- 498,935
4JOHN GAUL SVP GENERAL COUNSEL FORMER	(i) (ii)	0 ------------- 663,195	0 ------------- 444,754	0 ------------- 94,621	0 ------------- 154,406	0 ------------- 28,579	0 ------------- 1,385,555	0 ------------- 160,177
5PATRICK WALTERS ACTING ICPH EXEC AND HOSP OPS	(i) (ii)	0 ------------- 478,439	0 ------------- 580,030	0 ------------- 77,615	0 ------------- 53,331	0 ------------- 12,074	0 ------------- 1,201,489	0 ------------- 330,080
6MARK STAUDER TRUSTEE, FORMER, ENDING 9-30-18	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 1,061,798	0 ------------- 0	0 ------------- 0	0 ------------- 1,061,798	0 ------------- 0
7DEBORAH ADDO PRESIDENT ILH, SECRETARY	(i) (ii)	465,643 ------------- 0	246,245 ------------- 0	36,352 ------------- 0	147,147 ------------- 0	2,269 ------------- 0	897,656 ------------- 0	99,829 ------------- 0
8ALICE POPE CFO, TREASURER, BEGINNING 6-4-19	(i) (ii)	0 ------------- 398,650	0 ------------- 141,728	0 ------------- 80,724	0 ------------- 3,366	0 ------------- 18,075	0 ------------- 642,543	0 ------------- 0
9CHRISTOPHER CHIANTELLA CHIEF MEDICAL OFFICER, ILH	(i) (ii)	295,611 ------------- 0	59,130 ------------- 0	14,641 ------------- 0	83,423 ------------- 0	4,439 ------------- 0	457,244 ------------- 0	0 ------------- 0
10WILLIAM BANE AVP ASSOC ADMIN CFO	(i) (ii)	248,898 ------------- 0	46,058 ------------- 0	22,934 ------------- 0	28,225 ------------- 0	23,626 ------------- 0	369,741 ------------- 0	0 ------------- 0
11MARISSA JAMARIK VP NURSING IHVI CNO ILH	(i) (ii)	257,355 ------------- 0	48,214 ------------- 0	13,617 ------------- 0	33,896 ------------- 0	13,749 ------------- 0	366,831 ------------- 0	0 ------------- 0
12OMAR CASTANEDA CARDIO INVASIVE SPEC CLIN CRD IHVI	(i) (ii)	223,986 ------------- 0	10,000 ------------- 0	3,162 ------------- 0	30,685 ------------- 0	22,561 ------------- 0	290,394 ------------- 0	0 ------------- 0
13DEBBIE WAGNER MGR PHARMACY PIC	(i) (ii)	173,844 ------------- 0	17,006 ------------- 0	331 ------------- 0	27,387 ------------- 0	22,098 ------------- 0	240,666 ------------- 0	0 ------------- 0
14CINDY ANDREJASICH SR DIR NURSING SRVCS	(i) (ii)	170,282 ------------- 0	22,629 ------------- 0	927 ------------- 0	33,503 ------------- 0	752 ------------- 0	228,093 ------------- 0	0 ------------- 0
15SHONDRA JONES CARDIO INVASIVE SPEC CLIN CRD IHVI	(i) (ii)	192,021 ------------- 0	0 ------------- 0	1,378 ------------- 0	19,489 ------------- 0	11,236 ------------- 0	224,124 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	GROSS-UP PAYMENT MADE TO ALICE POPE FOR MOVING REIMBURSMENT TAXABLE AS COMPENSATION.
PART I, LINE 3	THE FOLLOWING METHODS WERE USED BY INOVA HEALTH SYSTEM FOUNDATION, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF ILH'S CEO FOR THE TAX YEAR: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY FORM 990 OF OTHER ORGANIZATIONS APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINES 4A-B	SEVERANCE PAYMENTS: MARK STAUDER $1,061,798 SEVERANCE AMOUNTS WERE PAID WITHIN 24 MONTHS AFTER SEPARATION FROM SERVICE. SERP PLAN PAYMENTS: RICHARD MAGENHEIMER $108,398 PATRICK WALTERS $66,016 WILLIAM BANE $12,325 JOHN GAUL $90,845 LORING FLINT $106,145 THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP PLAN) IS A NONQUALIFIED RETIREMENT PLAN. EMPLOYEES ELIGIBLE TO PARTICIPATE ARE AT LEVEL OF ASSISTANT VICE PRESIDENT AND ABOVE. 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, 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 J (Form 990) 2019

Additional Data

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SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet

Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet

Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet

Attach to Form 990 or 990-EZ.
bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
LOUDOUN HOSPITAL CENTER
DBA INOVA LOUDOUN HOSPITAL

Employer identification number
54-0525802

Part I

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36. Part I can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity
SEE SCHEDULE N, III FOR 12/31/19 MERGER INFORMATION	12-31-2019	0	N/A	54-0620889	INOVA HEALTH CARE SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042	501(C)(3)

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Yes

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's significant disposition of assets? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2019)

Page 2

Part I

Liquidation, Termination, or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III .............

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? ......

Yes

If "Yes," did the organization provide such notice? .....................

Yes

Did the organization discharge or pay all of its liabilities in accordance with state laws? .....................

Yes

Did the organization have any tax-exempt bonds outstanding during the year? .....................

If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?

If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Yes

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2019)

Page 3

Part III

Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.

Return Reference	Explanation

SCHEDULE N, PART I, MERGER INFORMATION

THIS ENTITY WAS REALIGNED IN THE OVERALL INOVA TAX-EXEMPT STRUCTURE TO ALLOW FOR A MORE EFFICIENT AND EFFECTIVE OPERATION. THE ASSETS WERE NOT VALUED FOR THIS TRANSITION TO ANOTHER TAX-EXEMPT UNDER SECTION 501(C)(3) AS THE ORGANIZATION WAS TRANSFERRED FROM ONE TAX-EXEMPT AFFILIATE UNDER SECTION 501(C)(3). ALL ENTITIES STILL OPERATE THROUGH INOVA'S CONSOLIDATED TAX-EXEMPT STRUCTURE AND NO NET ASSETS WERE DISTRIBUTED OUTSIDE OF THE COMBINED TAX-EXEMPT GROUP. THEREFORE, NO FAIR MARKET VALUE ANALYSIS WAS DONE. NET ASSETS WERE DISTRIBUTED AND NO TRANSACTION FEES WERE PAID.ATTACHED ARE THE ARTICLES OF MERGER OF INOVA HEALTH CARE SERVICES AND LOUDOUN HOSPITAL CENTER, APPROVED BY THE COMMONWEALTH OF VIRGINIA STATE CORPORATION COMMISSION ON DECEMBER 20, 2019.SCHEDULE N, PART I, LINE 2A:BOARD MEMBERS OF SURVIVING ENTITY WHO WERE OFFICERS, DIRECTORS, OR KEY EMPLOYEES OF THE FILING ORGANIZATION:OFFICER:J. STEPHEN JONES, MD

Schedule N (Form 990 or 990-EZ) (2019)

Additional Data

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Software Version:

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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

LOUDOUN HOSPITAL CENTER
DBA INOVA LOUDOUN HOSPITAL

Employer identification number

54-0525802

Return Reference	Explanation
FORM 990, PART III, LINE 3	THE SERVICES PROVIDED BY LOUDOUN HOSPITAL CENTER WILL CONTINUE UNDER INOVA HEALTH CARE SERVICES AS A RESULT OF THE MERGER, SEE SCHEDULE N.
PART III, LINE 4A	LOUDOUN MOBILE HEALTH PROGRAM: LOUDOUN MOBILE HEALTH IS STAFFED BY NURSES AND OTHER SUPPORT STAFF WHO PROVIDE COMMUNITY HEALTH FAIRS AND HEALTH SCREENING SERVICES. IN 2019, INOVA LOUDOUN MOBILE HEALTH PROVIDED SERVICES TO 8,496 PARTICIPANTS. THE UNREIMBURSED COST OF THIS PROGRAM WAS $172,652. INOVA LOUDOUN CENTER FOR WELLNESS AND METABOLIC HEALTH: THE CENTER PROVIDES OUTPATIENT DIABETES SELF-MANAGEMENT EDUCATION, CARE AND SUPPORT TO PERSONS WITH DIABETES. THE INOVA CENTER FOR WELLNESS AND METABOLIC HEALTH HAS FOUR LOCATIONS IN THE NORTHERN VIRGINIA AREA. IN 2019, THE INOVA CENTER FOR WELLNESS AND METABOLIC HEALTH - LOUDOUN LOCATION PROVIDED 3,494 PATIENT VISITS. CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS: ILH DONATES SPACE, PROVIDES CASH AND IN-KIND SUPPORT SUCH AS HOUSEKEEPING AND DONATED STAFF TIME TO A NUMBER OF COMMUNITY GROUPS AND LOUDOUN COUNTY SERVICES. ILH DONATES SPACE AND FINANCIAL SUPPORT TO THE LOUDOUN FREE CLINIC WHICH IS AN INDEPENDENT 501(C)(3) PROVIDING PRIMARY HEALTHCARE SERVICES FOR THE UNINSURED AND LOW INCOME RESIDENTS OF LOUDOUN COUNTY. ILH DONATES SPACE TO LOUDOUN CARES, AN INDEPENDENT 501(C)(3) ORGANIZATION THAT PROVIDES COORDINATION FOR SOCIAL SERVICES FOR THE RESIDENTS OF LOUDOUN COUNTY; AND THE LOUDOUN CHILD ADVOCACY CENTER. INOVA ALSO PROVIDES FINANCIAL SUPPORT TO HEALTHWORKS FOR NORTHERN VIRGINIA, A FEDERALLY QUALIFIED HEALTH CENTER WITH LOCATIONS IN HERNDON AND LEESBURG, VA. IN 2019, ILH DONATED A TOTAL OF $672,268 FOR THESE GROUPS COVERING BOTH CASH AND IN-KIND TRANSACTIONS.
PART V, LINE 1A AND 2A - NUMBER OF FORMS 1099 AND EMPLOYEES	THE ORGANIZATION FILES ITS FORMS 1099 UNDER THE ORGANIZATION'S PARENT ENTITY, INOVA HEALTH SYSTEM FOUNDATION, AND DOES NOT REPORT ANY AMOUNTS UNDER ITS OWN EIN. THE ORGANIZATION FALLS UNDER A MASTER PAY AGENT AND DOES NOT FILE ANY PAYROLL RETURNS UNDER ITS OWN EIN, HOWEVER ALL REQUIRED RETURNS HAVE BEEN FILED ON TIME.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS A SINGLE MEMBER. THE SOLE MEMBER IS INOVA HEALTH SYSTEM FOUNDATION, A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH SERVES AS THE PARENT COMPANY OF THE INTEGRATED HEALTH CARE DELIVERY SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE MEMBER OF THE ORGANIZATION, INOVA HEALTH SYSTEM FOUNDATION, IS A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE SOLE MEMBER ELECTS THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER OF THE ORGANIZATION, INOVA HEALTH SYSTEM FOUNDATION, IS A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE SOLE MEMBER HOLDS RESERVED POWERS WITH RESPECT TO CERTAIN ACTIONS. IN ADDITION TO THE RESERVED POWERS, UNDER THE LAWS OF THE COMMONWEALTH OF VIRGINIA CERTAIN EXTRAORDINARY ACTIONS REQUIRE MEMBER APPROVAL, SUCH AS MERGERS, CONSOLIDATIONS, LIQUIDATIONS AND THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	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 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.
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	COMPLETED BY RELATED ENTITY, INOVA HEALTH SYSTEM FOUNDATION: THE COMPENSATION OF ALL SENIOR MANAGEMENT POSITIONS IS EVALUATED ANNUALLY IN LIGHT OF EACH MANAGER'S JOB CONTENT, SCOPE AND COMPLEXITY. COMPENSATION LEVELS FOR VICE PRESIDENTS AND ABOVE ARE REVIEWED BY AN INDEPENDENT EXTERNAL CONSULTANT TO ENSURE THAT REMUNERATION IS CONSISTENT WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY AND OBJECTIVES AND COMPETITIVE WITH OTHER LARGE COMPLEX HEALTH SYSTEMS. THE INDEPENDENT COMPENSATION CONSULTANT MAINTAINS NATIONAL BENCHMARK COMPENSATION DATABASES AND SURVEYS AND ALSO REVIEWS FORMS 990 OF COMPARABLE HEALTHCARE SYSTEMS TO DETERMINE MARKET LEVELS OF COMPENSATION. IN ADDITION, THE INOVA HEALTH SYSTEM'S CEO'S COMPENSATION AND CERTAIN OTHER SENIOR EXECUTIVES IS REVIEWED AND APPROVED ANNUALLY BY AN INDEPENDENT GOVERNING BOARD. THE JOB REQUIREMENTS AND COMPLEXITY OF ALL OTHER MANAGEMENT POSITIONS ARE EVALUATED ANNUALLY USING NATIONALLY RECOGNIZED THIRD PARTY SALARY SURVEYS TO ASSURE THAT THE COMPENSATION FOR SUCH POSITIONS IS CONSISTENT WITH EXTERNAL MARKET COMPENSATION COMPARISONS. SALARY RANGES ARE DEVELOPED FOR EACH MANAGEMENT POSITION CLASSIFICATION TO ENSURE THAT THE COMPENSATION LEVELS FOR THESE POSITIONS ARE CONSISTENT WITH THE ORGANIZATION'S COMPENSATION PHILOSOPHY AND OBJECTIVES AND WITH COMPETITIVE MARKET COMPARISONS. THE COMPENSATION OF ALL SENIOR MANAGEMENT POSITIONS IS EVALUATED ANNUALLY IN CONSIDERATION OF EACH MANAGER'S JOB CONTENT, SCOPE AND COMPLEXITY. COMPENSATION LEVELS FOR EXECUTIVES 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 ALONG WITH CERTAIN OTHER SENIOR EXECUTIVES 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 WITH COMPETITIVE MARKET COMPARISONS. COMPENSATION FOR EMPLOYED PHYSICIANS IS REVIEWED AND APPROVED BY THE PHYSICIAN SERVICES EXECUTIVE COMMITTEE. THE COMMITTEE IS COMPRISED OF EXECUTIVE MANAGEMENT OF THE PHYSICIAN SERVICES GROUP. THE FAIR MARKET VALUE (FMV) COMPENSATION IS BASED ON FOUR NATIONALLY RECOGNIZED INDUSTRY PHYSICIAN COMPENSATION BENCHMARK SURVEYS (MGMA, AMGA, SULLIVAN & COTTER, KORN FERRY HAY GROUP). THE COMMITTEE ALSO UTILIZES INDEPENDENT CONSULTANTS TO PROVIDE FMV OPINIONS FOR POSITIONS THAT ARE NOT READILY AVAILABLE IN THE FOUR PUBLISHED BENCHMARK SURVEYS. THE CONSULTANTS' OPINIONS AND COMPENSATION SURVEY DATA ARE PRESENTED TO THE PHYSICIAN COMPENSATION COMMITTEE FOR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19	INOVA HEALTH SYSTEM MAKES CERTAIN INFORMATION PUBLICLY AVAILABLE. INOVA'S CONSOLIDATED FINANCIAL STATEMENTS ARE POSTED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS'S (EMMA) WEBSITE ON A QUARTERLY BASIS. INOVA'S 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 II 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 AND/OR INOVA'S LEGAL DEPARTMENT. THE CODE OF CONDUCT CONTAINS THE CONFLICT OF INTEREST PRINCIPLES, IS PART OF INOVA'S ORIENTATION AND ANNUAL COMPLIANCE TRAINING, AND IS AVAILABLE TO TEAM MEMBERS AND PHYSICIANS ON INOVA'S INTRANET WEBSITE.
FORM 990, PART IX, LINE 11G	INTERNAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 36,265,948. MANAGEMENT AND GENERAL EXPENSES 5,903,759. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,169,707. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 7,168,108. MANAGEMENT AND GENERAL EXPENSES 1,166,901. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,335,009. OUTSOURCED SERVICES: PROGRAM SERVICE EXPENSES 21,240,246. MANAGEMENT AND GENERAL EXPENSES 3,457,715. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,697,961.
FORM 990, PART XI, LINE 9:	PARTNERSHIP INCOME -8,624,177. TEMP RESTRICTED INCOME/LOSS -5,546. PERM RESTRICTED INCOME/LOSS 267,729. EQUITY IN SUBSIDIARIES 7,715,048. GRANT CAPITAL REIMBURSEMENTS 97,187. MERGER -801,309,551.
PART XII, LINE 2B AND 2C - AUDITED FINANCIAL STATEMENTS	THE COMPANY IS PART OF THE INOVA HEALTH SYSTEM, A NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NORTHERN VIRGINIA AND SURROUNDING AREAS. THE COMPANY'S FINANCIAL STATEMENTS ARE CONSOLIDATED IN THE INOVA HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS. INOVA HEALTH SYSTEM IS AUDITED ON AN ANNUAL BASIS BY A "BIG FOUR" INDEPENDENT PUBLIC ACCOUNTING FIRM. IN ADDITION, THEY ARE RESPONSIBLE FOR THE ISSUANCE OF A MANAGEMENT LETTER ENCOMPASSING EACH MEMBER OF THE CONSOLIDATED GROUP. THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF TRUSTEES OF INOVA HEALTH SYSTEM IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT, INCLUDING THE HIRING OF THE AUDIT FIRM, REVIEW AND APPROVAL OF AUDITED FINANCIAL STATEMENTS AND COMMUNICATION WITH THE EXTERNAL AUDITORS AT LEAST TWICE A YEAR WITHOUT THE PRESENCE OF INTERNAL MANAGEMENT.
PART XII, LINE 3A - A-133 AUDIT	THE COMPANY IS A PART OF THE INOVA HEALTH SYSTEM (IHS), A NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NORTHERN VIRGINIA AND SURROUNDING AREAS. IHS RECEIVES VARIOUS FEDERAL GRANTS. THESE GRANTS AND AWARDS ARE AUDITED AS PART OF THE CONSOLIDATED INOVA HEALTH SYSTEM UNIFORM GUIDANCE COMPLIANCE AUDIT. THE INOVA HEALTH SYSTEM'S FEDERAL GRANTS ARE AUDITED ON AN ANNUAL BASIS BY A "BIG FOUR" INDEPENDENT PUBLIC ACCOUNTING FIRM AND A "REPORT OF INDEPENDENT AUDITORS ON COMPLIANCE FOR EACH MAJOR PROGRAM; REPORT ON INTERNAL CONTROL OVER COMPLIANCE AND REPORT ON SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS REQUIRED BY THE UNIFORM GUIDANCE" IS ISSUED ON A CONSOLIDATED BASIS. THE THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF TRUSTEES OF INOVA HEALTH SYSTEM IS RESPONSIBLE FOR THE OVERSIGHT OF THE UNIFORM GUIDANCE AUDIT, INCLUDING THE HIRING OF THE AUDIT FIRM, REVIEW AND APPROVAL OF AUDITED FINANCIAL STATEMENTS AND COMMUNICATIONS WITH THE EXTERNAL AUDITORS DURING THE YEAR WITHOUT THE PRESENCE OF INTERNAL MANAGEMENT.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: ILH PROVIDES PERSONALIZED, HIGH QUALITY ACUTE CARE HOSPITAL SERVICES FOR THE COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	13
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	1,790
6	Total number of volunteers (estimate if necessary) .............	6	314
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	390,156	597,598
9	Program service revenue (Part VIII, line 2g) .........	342,270,984	379,837,585
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,252,100	10,473,938
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	859,459	848,497
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	345,772,699	391,757,618
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	115,430,913	122,430,647
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	190,404,027	193,884,988
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	305,834,940	316,315,635
19	Revenue less expenses. Subtract line 18 from line 12.......	39,937,759	75,441,983
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	776,576,798	0
21	Total liabilities (Part X, line 26).............	47,887,392	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	728,689,406	0

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 272,031,446 including grants of $ ) (Revenue $ 380,686,082 )
	INOVA LOUDOUN HOSPITAL (ILH) IS PART OF THE INOVA HEALTH SYSTEM WHOSE MISSION IS TO SERVE THE NORTHERN VIRGINIA COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION THROUGH THE PROVISION OF HIGH QUALITY AND ACCESSIBLE HEALTHCARE SERVICES. ILH WAS SPECIFICALLY CHARTERED FOR THE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF LOUDOUN COUNTY, VIRGINIA, BY ESTABLISHING, MAINTAINING AND OPERATING HOSPITAL FACILITIES, PROGRAMS AND OTHER SHARED SERVICE ARRANGEMENTS; FACILITATING HEALTH-RELATED EDUCATION ACTIVITIES; AND ENGAGING IN ACTIVITIES DESIGNED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. ILH HAS BEEN RATED WITH 5 OUT OF 5 STARS IN THE MOST RECENT CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) FIVE-STAR QUALITY RATING SYSTEM REPORT. INOVA LOUDOUN HOSPITAL IS A 183-LICENSED BED GENERAL ACUTE CARE HOSPITAL, WHICH FIRST OPENED ITS DOORS IN 1912. ILH PROVIDES A FULL-SERVICE 24-HOUR EMERGENCY DEPARTMENT AS WELL AS TWO FREESTANDING EMERGENCY ROOMS; 23 INTENSIVE CARE BEDS; A SPECTRUM OF DIAGNOSTIC SERVICES, INCLUDING FULL-BODY CT SCANNING, MRI, AND A CARDIAC CATHETERIZATION LABORATORY; A VARIETY OF INPATIENT MEDICAL, SURGICAL, AND ORTHOPEDIC SERVICES, AND COMPREHENSIVE OUTPATIENT SERVICES INCLUDING OUTPATIENT SURGERY, PHYSICAL MEDICINE AND REHABILITATION SERVICES, AND RADIATION THERAPY. IN ADDITION, OBSTETRICAL AND PEDIATRIC SERVICES ARE PROVIDED BY ILH'S LADIES' BOARD BIRTHING INN, A PEDIATRIC EMERGENCY DEPARTMENT AND AN INPATIENT PEDIATRIC UNIT. IN 2019, THE HOSPITAL HAD 18,934 ADMISSIONS AND OBSERVATION CASES AND 52,369 PATIENT DAYS EXCLUDING NEWBORNS. EMERGENCY ROOM VISITS TOTALED 77,190 (12,876 EMERGENCY VISITS WERE AT THE ASHBURN HEALTHPLEX); AND THERE WERE 92,597 OUTPATIENT VISITS DURING THE YEAR.SPECIFIC ACUTE CARE PROGRAMSWOMEN'S HEALTH: ILH OFFERS A FULL RANGE OF OBSTETRICAL SERVICES INCLUDING DELIVERY SERVICES, HIGH RISK PRENATAL SERVICES, INPATIENT AND OUTPATIENT OBSTETRICS/GYNECOLOGIC SURGERY, A HOSPITAL-BASED NATURAL BIRTH CENTER AND NURSERY CARE. ILH DELIVERED 2,394 BABIES IN 2019. ILH ALSO OFFERS LEVEL III NEONATAL ICU SPECIALTY SERVICES. IN ADDITION, ILH PROVIDES OBSTETRIC SERVICES TO LOW-INCOME PATIENTS THROUGH ITS OBSTETRICS/GYNECOLOGY CLINIC WHICH HAD 4,756 VISITS IN 2019. PEDIATRIC CARE: ILH OPERATES A DEDICATED PEDIATRIC EMERGENCY ROOM THAT PROVIDED 15,584 VISITS IN 2019. IN ADDITION ILH OPERATES A 14-BED PEDIATRIC UNIT THAT PROVIDES FOR INPATIENT HOSPITALIZATIONS. ILH ADMITTED 415 CHILDREN TO THE UNIT AND HAD 454 OUTPATIENT OBSERVATION CASES DURING 2019.CARDIOVASCULAR CARE: THE INOVA HEART AND VASCULAR INSTITUTE - SCHAUFELD FAMILY HEART CENTER OPENED IN 2005. IT PROVIDES CARDIAC CATHETERIZATION AND ELECTROPHYSIOLOGY SERVICES, A 64-SLICE CT SCANNER AND OTHER DIAGNOSTIC TESTING. THE INOVA HEART & VASCULAR INSTITUTE AT LOUDOUN HOSPITAL HAS GROWN IN THE LAST FEW YEARS TO BETTER SERVE THE GROWING COMMUNITY, ADDING PROCEDURE ROOMS AND CAPACITY. IN 2019, 4,512 PATIENTS WERE SERVED BY THE CARDIOVASCULAR PROGRAM AT ILH.STROKE CARE: INOVA LOUDOUN HOSPITAL HAS BEEN CERTIFIED BY THE JOINT COMMISSION SINCE 2009 AS A PRIMARY STROKE CENTER. INOVA LOUDOUN HOSPITAL WAS RE-CERTIFIED IN JUNE 2017 AS A JOINT COMMISSION CERTIFIED ADVANCED PRIMARY STROKE CENTER. ADDITIONALLY, THE INOVA EMERGENCY ROOM - LEESBURG AND INOVA EMERGENCY ROOM - ASHBURN WERE CERTIFIED AS ACUTE STROKE READY HOSPITALS (ASRH). CERTIFICATION AS AN ADVANCED PRIMARY STROKE CENTER AND AN ACUTE STROKE READY HOSPITAL IS HELD BY ONLY A SMALL PERCENTAGE OF HOSPITALS NATIONWIDE. THE ASHBURN AND LEESBURG FACILITIES ARE THE 2ND AND 3RD IN THE STATE OF VIRGINIA TO ACHIEVE THE ASRH DESIGNATION.CANCER CARE: ILH FEATURES A FULL SERVICE CANCER CENTER INCLUDING MEDICAL AND SURGICAL ONCOLOGY, RADIATION THERAPY SERVICES AND AN OUTPATIENT INFUSION CLINIC. THE INOVA LOUDOUN RADIATION ONCOLOGY CENTER WAS RENOVATED IN 2019 AND UTILIZES THE LATEST TECHNOLOGY IN RADIATION THERAPY. ILH PROVIDED 6,008 RADIATION THERAPY TREATMENTS TO 285 PATIENTS IN 2019.CHARITY CARE ALL INOVA FACILITIES, INCLUDING THE ILH FACILITIES WITH THE EXCEPTION OF THE ASSISTED LIVING FACILITIES, PROVIDE CHARITY CARE IN ACCORDANCE WITH INOVA POLICIES WHICH ENSURES ACCESS TO MEDICALLY NECESSARY CARE FOR ALL INDIVIDUALS. CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY. THESE POLICIES INCLUDE THE FOLLOWING KEY PROVISIONS:1. EMERGENCY CARE SHALL BE PROVIDED TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY.2. NON-EMERGENCY MEDICALLY NECESSARY CARE, EXCEPT FOR CERTAIN SPECIALTY OR REFERRAL PROGRAMS, SHALL BE PROVIDED BY ALL HOSPITALS AND ACCESS FACILITIES TO MEDICALLY INDIGENT PATIENTS. "MEDICALLY NECESSARY" REFERS TO CONDITIONS WHICH, IF NOT PROMPTLY TREATED, WOULD LEAD TO AN ADVERSE CHANGE IN THE HEALTH STATUS OF A PATIENT. FREE CARE IS PROVIDED TO UNINSURED OR UNDERINSURED INDIVIDUALS WITH FAMILY INCOMES AT OR BELOW 400% OF THE CURRENT FEDERAL POVERTY GUIDELINES (FPG).3. IN 2019, THE FAP EXPANDED ELIGIBLE RESIDENCY TO ALL OF VIRGINIA, INCREASED AVAILABILITY OF CATASTROPHIC COVERAGE, AND RAISED UNDERINSURED COVERAGE TO UP TO 400% OF THE FPG.INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S FINANCIAL ASSISTANCE POLICY (FAP) OR SOMETIMES REFERRED TO AS THE CHARITY CARE POLICY. INFORMATION REGARDING THIS POLICY IS KEPT UP TO DATE ON THE INOVA WEBSITE AND THROUGH SIGNAGE. UPON ADMISSION TO ANY INOVA HOSPITAL OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT THE CHARITY CARE PROGRAM AND REFERRALS TO MEET WITH INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY THE INOVA PATIENT ACCOUNTS DEPARTMENT WITH THE PATIENT CONTACTED IF ADDITIONAL INFORMATION IS REQUIRED IN ORDER TO MAKE A DETERMINATION. THE PATIENT IS SUBSEQUENTLY PROVIDED A LETTER, NOTIFYING THEM AS TO WHETHER OR NOT THEY QUALIFY FOR CHARITY CARE.IN 2019 ILH'S UNREIMBURSED COST OF CHARITY CARE, INCLUDING FREE AND DISCOUNTED SERVICES, WAS $8.8 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. ALSO INCLUDED UNDER THIS PROGRAM ARE THE BLIND, DISABLED, PREGNANT WOMEN, VERY LOW INCOME PARENTS, CHILDREN, AND THE ELDERLY. WHILE VIRGINIA MEDICAID COVERAGE WAS EXPANDED IN 2019 TO INCREASE THE NUMBER OF ELIGIBLE INDIVIDUALS, THE REIMBURSEMENT THAT IHCS FACILITIES RECEIVE FROM THE MEDICAID PROGRAM ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED. DURING 2019, ILH PROVIDED CARE TO MEDICAID PATIENTS AT AN UNREIMBURSED COST OF APPROXIMATELY $19 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 IHCS, WORK WITH VARIOUS COUNTY GOVERNMENTS AND AGENCIES IN PROVIDING CERTAIN FREE SERVICES TO THOSE RESIDENTS THE COUNTY IDENTIFIES AS MOST IN NEED.EACH YEAR, ILH DESIGNATES FUNDS FOR THE DEVELOPMENT AND CONTINUATION OF IDENTIFIED, ACCESSIBLE DIRECT CARE PROGRAMS AND RELATED SERVICES THAT BENEFIT THOSE MOST IN NEED IN THE COMMUNITY. MANY OF THESE PROGRAMS AND SERVICES ARE NOT BILLED TO THE PATIENT OR ARE PROVIDED FOR FEES BELOW THE ACTUAL COST OF PROVIDING THE SERVICE. IN ADDITION TO PROVIDING THE DIRECT CARE SUBSIDIZED SERVICE, INOVA ALSO PROVIDES DISEASE-PREVENTION PROGRAMS, HEALTH AND EXERCISE CLASSES, HEALTH EDUCATION AND HEALTH SCREENINGS, AND OTHER PROGRAMS WITHIN THE COMMUNITY IN SUPPORT OF THE INOVA'S MISSION.INOVA LOUDOUN OB CLINIC: THE INOVA LOUDOUN HOSPITAL-BASED OB CLINIC PROVIDES COMPREHENSIVE OBSTETRIC SERVICES FOR UNINSURED AND LOW-INCOME WOMEN IN LOUDOUN COUNTY. COMPREHENSIVE OBSTETRICAL SERVICES INCLUDE GESTATIONAL DIABETES MANAGEMENT, CASE MANAGEMENT, NON-STRESS TESTING AND NUTRITIONAL COUNSELING. IN 2019, THE ILH OB CLINIC HAD 4,756 VISITS RESULTING IN 421 DELIVERIES AT INOVA LOUDOUN HOSPITAL AT AN UNREIMBURSED COST FOR THE CLINIC SERVICES OF APPROXIMATELY $1.9 MILLION. LOUDOUN FAMILY AND PATIENT EDUCATION PROGRAM: LOUDOUN FAMILY AND PATIENT EDUCATION PROGRAM SERVES THE COMMUNITY THROUGH HEALTH EDUCATION, PREVENTION, WELLNESS PROGRAMS, AND CARE MANAGEMENT. IN 2019, THE PROGRAM PROVIDED EDUCATIONAL PROGRAMS FOR 1,261 PARTICIPANTS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses272,031,446

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)					(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) PATRICK WALTERS........................................................................ ACTING ICPH EXEC AND HOSP OPS	40.00 .......................10.00		X				0	1,136,084	65,405
(19) MARK STAUDER........................................................................ TRUSTEE, FORMER, ENDING 9-30-18	2.00 .......................48.00					X	0	1,061,798	0
(20) DEBORAH ADDO........................................................................ PRESIDENT ILH, SECRETARY	15.00 .......................25.00	X	X				748,240	0	149,416
(21) ALICE POPE........................................................................ CFO, TREASURER, BEGINNING 6-4-19	2.00 .......................48.00		X				0	621,102	21,441
(22) CHRISTOPHER CHIANTELLA........................................................................ CHIEF MEDICAL OFFICER, ILH	40.00 .......................0.00			X			369,382	0	87,862
(23) WILLIAM BANE........................................................................ AVP ASSOC ADMIN CFO	20.00 .......................20.00			X			317,890	0	51,851
(24) MARISSA JAMARIK........................................................................ VP NURSING IHVI CNO ILH	40.00 .......................0.00				X		319,186	0	47,645
(25) OMAR CASTANEDA........................................................................ CARDIO INVASIVE SPEC CLIN CRD IHVI	40.00 .......................0.00				X		237,148	0	53,246
(26) DEBBIE WAGNER........................................................................ MGR PHARMACY PIC	40.00 .......................0.00				X		191,181	0	49,485
(27) CINDY ANDREJASICH........................................................................ SR DIR NURSING SRVCS	40.00 .......................0.00				X		193,838	0	34,255
(28) SHONDRA JONES........................................................................ CARDIO INVASIVE SPEC CLIN CRD IHVI	40.00 .......................0.00				X		193,399	0	30,725

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,590,264	10,983,817	1,176,922

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	537,633
e	Government grants (contributions)		1e	59,965

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		597,598

		Business Code
2a	NET PATIENT SERVICE REVENUE	900099	371,213,408	371,213,408
b	INOVA AMBULATORY SURGICAL CENTER	621400	8,155,304	8,155,304
c	TDI LLC	900099	468,873	468,873
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		379,837,585

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,912,412			1,912,412
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		8,561,526	7a
b	Less: cost or other basis and sales expenses		0	7b
c	Gain or (loss)		8,561,526	7c
d	Net gain or (loss).........			8,561,526			8,561,526
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	OTHER		900099	836,843	836,843
b	FOOD SERVICES		900099	11,654	11,654
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			848,497
12	Total revenue. See instructions.....			391,757,618	380,686,082	0	10,473,938

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	826,984	826,984
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	100,124,325	85,991,142	14,133,183
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,943,543	3,391,447	552,096
9	Other employee benefits .......	10,283,881	8,844,138	1,439,743
10	Payroll taxes ...........	7,251,914	6,236,646	1,015,268
11	Fees for services (non-employees):
a	Management ......	39,418,019	33,899,496	5,518,523
b	Legal .........	145,269	124,931	20,338
c	Accounting ...........
d	Lobbying ...........	30,844	30,844
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	75,202,677	64,674,302	10,528,375
12	Advertising and promotion ....	201,167	173,004	28,163
13	Office expenses .......	4,996,242	4,296,768	699,474
14	Information technology ......	678,998	583,938	95,060
15	Royalties ..
16	Occupancy ...........	4,423,607	3,804,302	619,305
17	Travel ............	207,887	178,783	29,104
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	167,193	143,786	23,407
20	Interest ...........	3,250,684	2,795,588	455,096
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	16,488,721	14,180,300	2,308,421
23	Insurance ...	1,053,699	906,181	147,518
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	42,475,520	36,528,947	5,946,573
b	BAD DEBT EXPENSE	4,055,459	3,487,695	567,764
c	TAXES AND LICENSES	812,011	694,011	118,000
d	FOOD	265,686	228,490	37,196
e	All other expenses	11,305	9,723	1,582
25	Total functional expenses. Add lines 1 through 24e	316,315,635	272,031,446	44,284,189	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1	0
2	Savings and temporary cash investments .........			871,128	2	0
3	Pledges and grants receivable, net ......				3	0
4	Accounts receivable, net .............			31,000,750	4	0
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6	0
7	Notes and loans receivable, net ...........			1,879,560	7	0
8	Inventories for sale or use ............			4,443,865	8	0
9	Prepaid expenses and deferred charges ......			1,564,186	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	0
b	Less: accumulated depreciation	10b	0	314,774,586	10c	0
11	Investments—publicly traded securities .			49,810,201	11	0
12	Investments—other securities. See Part IV, line 11 .....			46,081,158	12	0
13	Investments—program-related. See Part IV, line 11 ..				13	0
14	Intangible assets ...............				14	0
15	Other assets. See Part IV, line 11 ...........			326,151,364	15	0
16	Total assets. Add lines 1 through 15 (must equal line 33)...			776,576,798	16	0

17	Accounts payable and accrued expenses .....	32,148,854	17	0
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	411,298	23	0
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	15,327,240	25	0
26	Total liabilities. Add lines 17 through 25..	47,887,392	26	0

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	707,547,040	27	0
28	Net assets with donor restrictions ...........	21,142,366	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	728,689,406	32	0
33	Total liabilities and net assets/fund balances ........	776,576,798	33	0

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) LOUDOUN HEALTHCARE LLC 44045 RIVERSIDE PARKWAY LEESBURG,VA20176 31-1632830	A/R FINANCING	VA	0	0	LOUDOUN HOSPITAL CENTER

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)INOVA HEALTH SYSTEM FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1071867	FUNDRAISING	VA	501(C)(3)	12, II	N/A		No
(2)INOVA HEALTH CARE SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-0620889	HOSPITAL SYSTEM	VA	501(C)(3)	3	INOVA HEALTH SYSTEM FOUNDATION		No
(3)INOVA HEALTH PLAN LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 20-1581237	HMO	VA	501(C)(3)	10	INOVA HEALTH CARE SERVICES		No
(4)ALEXANDRIA HOSPITAL FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 51-0241913	FUNDRAISING	VA	501(C)(3)	12, I	INOVA HEALTH CARE SERVICES		No
(5)INOVA VNA HOME CARE 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1277164	HOME CARE SERVICES	VA	501(C)(3)	10	INOVA HEALTH CARE SERVICES		No
(6)LOUDOUN NURSING AND REHABILITATION CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1361310	REHABIITATION SERVICES	VA	501(C)(3)	10	LOUDOUN HOSPITAL CENTER	Yes
(7)						Yes
(8)LOUDOUN HEALTHCARE FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-2011240	FUNDRAISING	VA	501(C)(3)	12, I	LOUDOUN HOSPITAL CENTER	Yes

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) TECHNICAL DYNAMICS LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 43-2041666	EQUIPMENT REPAIRS	VA	N/A	RELATED	468,873	1,019,201		No			No	14.960 %
(2) INOVA LOUDOUN ASC LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 20-3523190	SURGERY CENTER	VA	N/A	RELATED	8,155,304	4,001,431		No		Yes		60.000 %
(3) INNOVATION HEALTH HOLDINGS LLC 151 FARMNGTON AVENUE RT21 HARTFORD,CT06156 45-5527797	HEALTH INSURANCE	VA	N/A	RELATED	16,616	63,071,110		No		Yes		50.000 %

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) LOUDOUN HEALTHCARE FOUNDATION	C	537,633	GENERAL LEDGER
(2) LOUDOUN HEALTHCARE FOUNDATION	M	608,754	GENERAL LEDGER

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No