{"success":true,"data":{"_id":540505861,"filings":[{"Organization":{"Hours":[0],"Total Compensation":[0],"Direct compensation":[0],"Other compensation":[0]},"Basic":{"mission":"Inova alexandria hospital provides personalized, high quality acute care hospital services and appropriate hospital based services to meet the community health care needs for the city of alexandria and neighboring communities.","primary_activities":"Inova alexandria hospital (iah) is part of the inova health system whose mission is to serve the community as a not-for-profit organization through the provision of a full spectrum of high quality and accessible healthcare services. Iah was specifically chartered for the purpose of serving the health care needs of the alexandria community by establishing, maintaining, and operating hospital facilities, programs, and other shared service arrangements; facilitating health-related education activities; and engaging in activities designed to promote the general health of the community. Iah is a 318-licensed bed general acute care hospital, which opened on january 23, 1873. Iah provides a full-service, 24-hour emergency department; a spectrum of diagnostic services, including full-body ct scanning, mri, and a cardiac catheterization laboratory; a variety of inpatient medical, surgical, and orthopedic services; and comprehensive outpatient services, including outpatient surgery, physical medicine, and rehabilitation. In addition, specialized obstetric and pediatric services are provided by the hospital's maternal and infant health center and a children's unit. In 2010 the hospital had 14,807 admissions including newborns and 70,142 patient days excluding newborns. Emergency room visits totaled 59,755; and there were 67,653 outpatient visits during the year. Specific acute care programs cardiovascular care: the inova heart and vascular institute at iah, which opened in october 2004, houses ten inpatient beds, two cardiovascular operating rooms, one cardiac catheterization lab, one electrophysiology lab, three interventional radiology labs and one minor procedure room, outpatient clinics, cardiac rehabilitation and educational facilities. Specialty programs include arterial fibrillation, valve disease and heart failure. In 2010, a total of 6,465 patients were served by the iah cardiovascular program.women's health: iah offers a full range of obstetric services including delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, as well as regular and specialty nursery care. Iah delivers approximately 4,000 babies each year and includes a perinatal diagnostic center, serving 9,591 patient visits in 2010. Iah has a 16 bed, level iii nicu which treated 339 neonates for 5,386 patient days. In addition, iah works with the casey clinic, a state health clinic jointly funded by the state of virginia, city of alexandria and the alexandria health department, providing obstetric services to low-income patients. Cancer care: iah, a community hospital comprehensive cancer program designee, features a full service cancer center including medical and surgical oncology and radiation therapy. Iah cancer services provide a full range of imaging techniques to detect and stage cancer, as well as plan treatment. These include general radiological studies, magnetic resonance imaging (mri), computed tomography (ct) and positron emission tomography (pet). Iah also features the varian trilogy linear accelerator technology, sir-spheres technology and offers prostate seed implants. Financial assistance/charity careall inova facilities, including the iah facilities, provide financial assistance/charity care in accordance with inova policies which ensure access to medically necessary care for all individuals. Financial assistance/charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. These policies include the following key provisions:1. Emergency care shall be provided to all persons regardless of their ability to pay.2. Non-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and access facilities to medically indigent patients. \"medically necessary care\" refers to inpatient and outpatient services defined as medically necessary by the federal medicare program. \"medically indigent\" is defined as those patients whose income falls at or below 300% of the federal poverty guideline (fpg). In general, free medically necessary care is provided for patients with incomes falling below 200% of the fpg; and discounted care is provided for services rendered to patients with incomes falling between 200% and 300% of the fpg.inova health system utilizes a multifaceted approach to educate and inform patients and the public about inova's financial assistance/charity care policy. Inova has information posted at patient access sites regarding the availability of financial assistance/charity care and patient rights and responsibilities. In addition, inova provides information about its financial assistance/charity care program and referrals to inova financial counselors who assist patients in completing inova's financial assistance/charity care application. This financial information is reviewed by the inova patient accounts department with the patient contacted if additional information is required in order to make a determination. The patient is subsequently provided a letter, notifying them as to the level of financial assistance/charity care for which they are qualified (whether it be 100% coverage or a sliding scale payment based upon their income level between 200-300% of the federal poverty guideline). In 2010, iah's unreimbursed cost of financial assistance/charity care, including free and discounted services, was approximately $18.8 million.medicaid established under title xix of the social security act, this program provides assistance for the medically indigent, including those who cannot pay for care despite being able to afford other living expenses, as well as adults and children with disabilities, including vision impairments. The reimbursement that iah facilities receive from the medicaid program routinely falls below the actual cost of services provided. During 2010, iah provided care to medicaid patients at an unreimbursed cost of approximately $7.6 million. Participation in governmental programs for those without the ability to pay various government programs provide for the indigent, including medicaid and chip recipients. These programs provide a percentage of reimbursement for qualifying patients; however, payment is typically below the cost of those services. In addition to federal and state programs, the inova subsidiaries, including iah, work with various county governments and agencies in providing certain free services to those residents that counties identify as most in need.\n\nEach year, iah designates funds for the development and continuation of identified direct care programs. Services benefit the alexandria community by providing broad access to health care and related services to those most in need. Many of these programs and services are not billed to the patient or are provided at a substantially reduced fee. In addition to providing direct care subsidized service, inova also provides disease-prevention programs, health and exercise classes, health education and health screenings and other programs within the community in support of the iah mission. These services and programs include: iah ob clinic: iah donates space on the campus to the casey clinic, a community health center funded by the commonwealth of virginia, alexandria health department and the city of alexandria to provide primary healthcare services to low-income and uninsured children and adults that are residents of the city of alexandria. Iah funds clinic physicians who provide ob patient prenatal examinations and delivery at iah. In 2010 the hospital-based physicians delivered 587 babies for women who were seen in the clinic. Inova diabetes center the inova diabetes center provides outpatient diabetes self-management education to over 2,700 adults and children with diabetes each year in the northern virginia area. Since 95% of effective diabetes management is the responsibility of the individual with diabetes, this self-management education is vital to reduce the burden of this chronic disease and its complications in our northern virginia community. The inova diabetes center has four locations in the northern virginia area and is the recipient of the american diabetes association's recognition for diabetes education programs. In 2010, the inova alexandria diabetes center provided 1,093 visits at a cost of approximately $93,000.medicaid eligibility assistance iah provides assistance to patients in determining their eligibility for medicaid programs. The unreimbursed cost of this program in 2010 was approximately $80,000","year":2010,"name":"INOVA ALEXANDRIA HOSPITAL","phone":"7035043000","website":"INOVA.ORG","type":"990","principal_officer":"J KNOX SINGLETON","year_formation":1901,"state_legal_domicile":"VA","total_volunteers":350,"tax_period_begin":"2010-01-01T00:00:00","tax_period_end":"2010-12-31T00:00:00","address":"8110 GATEHOUSE ROAD SUITE 400W, FALLS CHURCH, VA, 22042, USA","city":"FALLS CHURCH","state":"VA","country":"USA","zip_code":"22042"},"Governance":{"501c3 determination":true,"Number of voting members":3,"Number of independent voting members":1,"Number of employees total":2326,"Total Gross UBI":6449603,"Net unrelated business taxable income":0,"Number of employees":2326,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":295380636,"Contributions":{"value":373769,"Grant revenue":60692,"Related organizations":313077},"Program revenue":{"value":293246928,"Total revenue":{"value":293246928,"VARIOUS":293246928},"Unrelated business revenue":6449603},"Investment income":{"value":69584,"Investment income total":69584},"Other revenues":{"value":1690355,"Other total":1690355}},"Expenses":{"value":272700567,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":137858588,"Current officers":2968118,"Other salaries and wages":109349320,"Pension plan contributions":6468991,"Other employee benefits":11032304,"Payroll taxes":8039855},"Other expenses":{"value":134841979,"Legal":459857,"Accounting":15320,"Other services":26051800,"Advertising":7215,"Office expenses":819098,"Information technology":305744,"Occupancy":1895060,"Travel":186061,"Conferences and meetings":137184,"Interest":7152819,"Depreciation and depletion":17525236,"Insurance":1557685,"Itemized Expenses":{"value":78019836,"VARIOUS":78019836},"All other expenses":709064}},"Assets":{"value":293885869,"Savings and temp cash investments":1867870,"Accounts receivable":32243451,"Other net note and loans":766548,"Inventories for sale or use":3581360,"Prepaid expenses deferred charges":1355785,"Land, building, equipment":134112054,"Other assets":119958801},"Liabilities":{"value":23259851,"Accounts payable, accrued":17158611,"Secured mortgages and notes payable":406638,"Other liabilities":5694602},"Fund balance":{"value":270626018},"Form990Details":{"program_service_accomplishments":[{"description":"INOVA ALEXANDRIA HOSPITAL (IAH) IS PART OF THE INOVA HEALTH SYSTEM WHOSE MISSION IS TO SERVE THE COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION THROUGH THE PROVISION OF A FULL SPECTRUM OF HIGH QUALITY AND ACCESSIBLE HEALTHCARE SERVICES. IAH WAS SPECIFICALLY CHARTERED FOR THE PURPOSE OF SERVING THE HEALTH CARE NEEDS OF THE ALEXANDRIA COMMUNITY BY ESTABLISHING, MAINTAINING, AND OPERATING HOSPITAL FACILITIES, PROGRAMS, AND OTHER SHARED SERVICE ARRANGEMENTS; FACILITATING HEALTH-RELATED EDUCATION ACTIVITIES; AND ENGAGING IN ACTIVITIES DESIGNED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. IAH IS A 318-LICENSED BED GENERAL ACUTE CARE HOSPITAL, WHICH OPENED ON JANUARY 23, 1873. IAH PROVIDES A FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT; A SPECTRUM OF DIAGNOSTIC SERVICES, INCLUDING FULL-BODY CT SCANNING, MRI, AND A CARDIAC CATHETERIZATION LABORATORY; A VARIETY OF INPATIENT MEDICAL, SURGICAL, AND ORTHOPEDIC SERVICES; AND COMPREHENSIVE OUTPATIENT SERVICES, INCLUDING OUTPATIENT SURGERY, PHYSICAL MEDICINE, AND REHABILITATION. IN ADDITION, SPECIALIZED OBSTETRIC AND PEDIATRIC SERVICES ARE PROVIDED BY THE HOSPITAL'S MATERNAL AND INFANT HEALTH CENTER AND A CHILDREN'S UNIT. IN 2010 THE HOSPITAL HAD 14,807 ADMISSIONS INCLUDING NEWBORNS AND 70,142 PATIENT DAYS EXCLUDING NEWBORNS. EMERGENCY ROOM VISITS TOTALED 59,755; AND THERE WERE 67,653 OUTPATIENT VISITS DURING THE YEAR. SPECIFIC ACUTE CARE PROGRAMS CARDIOVASCULAR CARE: THE INOVA HEART AND VASCULAR INSTITUTE AT IAH, WHICH OPENED IN OCTOBER 2004, HOUSES TEN INPATIENT BEDS, TWO CARDIOVASCULAR OPERATING ROOMS, ONE CARDIAC CATHETERIZATION LAB, ONE ELECTROPHYSIOLOGY LAB, THREE INTERVENTIONAL RADIOLOGY LABS AND ONE MINOR PROCEDURE ROOM, OUTPATIENT CLINICS, CARDIAC REHABILITATION AND EDUCATIONAL FACILITIES. SPECIALTY PROGRAMS INCLUDE ARTERIAL FIBRILLATION, VALVE DISEASE AND HEART FAILURE. IN 2010, A TOTAL OF 6,465 PATIENTS WERE SERVED BY THE IAH CARDIOVASCULAR PROGRAM.WOMEN'S HEALTH: IAH OFFERS A FULL RANGE OF OBSTETRIC SERVICES INCLUDING DELIVERY SERVICES, HIGH RISK PRENATAL SERVICES, INPATIENT AND OUTPATIENT OBSTETRICS/GYNECOLOGIC SURGERY, AS WELL AS REGULAR AND SPECIALTY NURSERY CARE. IAH DELIVERS APPROXIMATELY 4,000 BABIES EACH YEAR AND INCLUDES A PERINATAL DIAGNOSTIC CENTER, SERVING 9,591 PATIENT VISITS IN 2010. IAH HAS A 16 BED, LEVEL III NICU WHICH TREATED 339 NEONATES FOR 5,386 PATIENT DAYS. IN ADDITION, IAH WORKS WITH THE CASEY CLINIC, A STATE HEALTH CLINIC JOINTLY FUNDED BY THE STATE OF VIRGINIA, CITY OF ALEXANDRIA AND THE ALEXANDRIA HEALTH DEPARTMENT, PROVIDING OBSTETRIC SERVICES TO LOW-INCOME PATIENTS. CANCER CARE: IAH, A COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM DESIGNEE, FEATURES A FULL SERVICE CANCER CENTER INCLUDING MEDICAL AND SURGICAL ONCOLOGY AND RADIATION THERAPY. IAH CANCER SERVICES PROVIDE A FULL RANGE OF IMAGING TECHNIQUES TO DETECT AND STAGE CANCER, AS WELL AS PLAN TREATMENT. THESE INCLUDE GENERAL RADIOLOGICAL STUDIES, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT) AND POSITRON EMISSION TOMOGRAPHY (PET). IAH ALSO FEATURES THE VARIAN TRILOGY LINEAR ACCELERATOR TECHNOLOGY, SIR-SPHERES TECHNOLOGY AND OFFERS PROSTATE SEED IMPLANTS. FINANCIAL ASSISTANCE/CHARITY CAREALL INOVA FACILITIES, INCLUDING THE IAH FACILITIES, PROVIDE FINANCIAL ASSISTANCE/CHARITY CARE IN ACCORDANCE WITH INOVA POLICIES WHICH ENSURE ACCESS TO MEDICALLY NECESSARY CARE FOR ALL INDIVIDUALS. FINANCIAL ASSISTANCE/CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY. THESE POLICIES INCLUDE THE FOLLOWING KEY PROVISIONS:1. EMERGENCY CARE SHALL BE PROVIDED TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY.2. NON-EMERGENCY MEDICALLY NECESSARY CARE, EXCEPT FOR CERTAIN SPECIALTY OR REFERRAL PROGRAMS, SHALL BE PROVIDED BY ALL HOSPITALS AND ACCESS FACILITIES TO MEDICALLY INDIGENT PATIENTS. \"MEDICALLY NECESSARY CARE\" REFERS TO INPATIENT AND OUTPATIENT SERVICES DEFINED AS MEDICALLY NECESSARY BY THE FEDERAL MEDICARE PROGRAM. \"MEDICALLY INDIGENT\" IS DEFINED AS THOSE PATIENTS WHOSE INCOME FALLS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE (FPG). IN GENERAL, FREE MEDICALLY NECESSARY CARE IS PROVIDED FOR PATIENTS WITH INCOMES FALLING BELOW 200% OF THE FPG; AND DISCOUNTED CARE IS PROVIDED FOR SERVICES RENDERED TO PATIENTS WITH INCOMES FALLING BETWEEN 200% AND 300% OF THE FPG.INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY. INOVA HAS INFORMATION POSTED AT PATIENT ACCESS SITES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE AND PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE/CHARITY CARE PROGRAM AND REFERRALS TO INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S FINANCIAL ASSISTANCE/CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY THE INOVA PATIENT ACCOUNTS DEPARTMENT WITH THE PATIENT CONTACTED IF ADDITIONAL INFORMATION IS REQUIRED IN ORDER TO MAKE A DETERMINATION. THE PATIENT IS SUBSEQUENTLY PROVIDED A LETTER, NOTIFYING THEM AS TO THE LEVEL OF FINANCIAL ASSISTANCE/CHARITY CARE FOR WHICH THEY ARE QUALIFIED (WHETHER IT BE 100% COVERAGE OR A SLIDING SCALE PAYMENT BASED UPON THEIR INCOME LEVEL BETWEEN 200-300% OF THE FEDERAL POVERTY GUIDELINE). IN 2010, IAH'S UNREIMBURSED COST OF FINANCIAL ASSISTANCE/CHARITY CARE, INCLUDING FREE AND DISCOUNTED SERVICES, WAS APPROXIMATELY $18.8 MILLION.MEDICAID ESTABLISHED UNDER TITLE XIX OF THE SOCIAL SECURITY ACT, THIS PROGRAM PROVIDES ASSISTANCE FOR THE MEDICALLY INDIGENT, INCLUDING THOSE WHO CANNOT PAY FOR CARE DESPITE BEING ABLE TO AFFORD OTHER LIVING EXPENSES, AS WELL AS ADULTS AND CHILDREN WITH DISABILITIES, INCLUDING VISION IMPAIRMENTS. THE REIMBURSEMENT THAT IAH FACILITIES RECEIVE FROM THE MEDICAID PROGRAM ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED. DURING 2010, IAH PROVIDED CARE TO MEDICAID PATIENTS AT AN UNREIMBURSED COST OF APPROXIMATELY $7.6 MILLION. PARTICIPATION IN GOVERNMENTAL PROGRAMS FOR THOSE WITHOUT THE ABILITY TO PAY VARIOUS GOVERNMENT PROGRAMS PROVIDE FOR THE INDIGENT, INCLUDING MEDICAID AND CHIP RECIPIENTS. THESE PROGRAMS PROVIDE A PERCENTAGE OF REIMBURSEMENT FOR QUALIFYING PATIENTS; HOWEVER, PAYMENT IS TYPICALLY BELOW THE COST OF THOSE SERVICES. IN ADDITION TO FEDERAL AND STATE PROGRAMS, THE INOVA SUBSIDIARIES, INCLUDING IAH, WORK WITH VARIOUS COUNTY GOVERNMENTS AND AGENCIES IN PROVIDING CERTAIN FREE SERVICES TO THOSE RESIDENTS THAT COUNTIES IDENTIFY AS MOST IN NEED.","expense":250339121,"grants":60692,"revenue":288487680},{"description":"EACH YEAR, IAH DESIGNATES FUNDS FOR THE DEVELOPMENT AND CONTINUATION OF IDENTIFIED DIRECT CARE PROGRAMS. SERVICES BENEFIT THE ALEXANDRIA COMMUNITY BY PROVIDING BROAD ACCESS TO HEALTH CARE AND RELATED SERVICES TO THOSE MOST IN NEED. MANY OF THESE PROGRAMS AND SERVICES ARE NOT BILLED TO THE PATIENT OR ARE PROVIDED AT A SUBSTANTIALLY REDUCED FEE. IN ADDITION TO PROVIDING DIRECT CARE SUBSIDIZED SERVICE, INOVA ALSO PROVIDES DISEASE-PREVENTION PROGRAMS, HEALTH AND EXERCISE CLASSES, HEALTH EDUCATION AND HEALTH SCREENINGS AND OTHER PROGRAMS WITHIN THE COMMUNITY IN SUPPORT OF THE IAH MISSION. THESE SERVICES AND PROGRAMS INCLUDE: IAH OB CLINIC: IAH DONATES SPACE ON THE CAMPUS TO THE CASEY CLINIC, A COMMUNITY HEALTH CENTER FUNDED BY THE COMMONWEALTH OF VIRGINIA, ALEXANDRIA HEALTH DEPARTMENT AND THE CITY OF ALEXANDRIA TO PROVIDE PRIMARY HEALTHCARE SERVICES TO LOW-INCOME AND UNINSURED CHILDREN AND ADULTS THAT ARE RESIDENTS OF THE CITY OF ALEXANDRIA. IAH FUNDS CLINIC PHYSICIANS WHO PROVIDE OB PATIENT PRENATAL EXAMINATIONS AND DELIVERY AT IAH. IN 2010 THE HOSPITAL-BASED PHYSICIANS DELIVERED 587 BABIES FOR WOMEN WHO WERE SEEN IN THE CLINIC. INOVA DIABETES CENTER THE INOVA DIABETES CENTER PROVIDES OUTPATIENT DIABETES SELF-MANAGEMENT EDUCATION TO OVER 2,700 ADULTS AND CHILDREN WITH DIABETES EACH YEAR IN THE NORTHERN VIRGINIA AREA. SINCE 95% OF EFFECTIVE DIABETES MANAGEMENT IS THE RESPONSIBILITY OF THE INDIVIDUAL WITH DIABETES, THIS SELF-MANAGEMENT EDUCATION IS VITAL TO REDUCE THE BURDEN OF THIS CHRONIC DISEASE AND ITS COMPLICATIONS IN OUR NORTHERN VIRGINIA COMMUNITY. THE INOVA DIABETES CENTER HAS FOUR LOCATIONS IN THE NORTHERN VIRGINIA AREA AND IS THE RECIPIENT OF THE AMERICAN DIABETES ASSOCIATION'S RECOGNITION FOR DIABETES EDUCATION PROGRAMS. IN 2010, THE INOVA ALEXANDRIA DIABETES CENTER PROVIDED 1,093 VISITS AT A COST OF APPROXIMATELY $93,000.MEDICAID ELIGIBILITY ASSISTANCE IAH PROVIDES ASSISTANCE TO PATIENTS IN DETERMINING THEIR ELIGIBILITY FOR MEDICAID PROGRAMS. THE UNREIMBURSED COST OF THIS PROGRAM IN 2010 WAS APPROXIMATELY $80,000"}],"program_service_revenue_detail":[{"business_code":"900099","description":"NET PATIENT SERVICE RE","total_revenue":286493301},{"business_code":"621500","description":"LAB OUTREACH","total_revenue":6327075},{"business_code":"900099","description":"TECHNICAL DYNAMICS, 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COO","average_hours_per_week":40.0,"reportable_comp_from_org":281868,"reportable_comp_from_related_orgs":0,"other_compensation":51592,"key_employee":true},{"title":"PHYSICIAN","average_hours_per_week":45.0,"reportable_comp_from_org":371093,"reportable_comp_from_related_orgs":0,"other_compensation":68002,"highest_compensated_employee":true},{"title":"PHYSICIAN","average_hours_per_week":40.0,"reportable_comp_from_org":345965,"reportable_comp_from_related_orgs":0,"other_compensation":56105,"highest_compensated_employee":true},{"title":"EXEC DIR LABORATORY SERVICES","average_hours_per_week":40.0,"reportable_comp_from_org":188757,"reportable_comp_from_related_orgs":0,"other_compensation":54581,"highest_compensated_employee":true},{"title":"DIRECTOR MEDICAL PHYSICS","average_hours_per_week":40.0,"reportable_comp_from_org":230890,"reportable_comp_from_related_orgs":0,"other_compensation":50020,"highest_compensated_employee":true},{"title":"AVP, HR/ASSOC ADMIN","average_hours_per_week":40.0,"reportable_comp_from_org":250989,"reportable_comp_from_related_orgs":0,"other_compensation":74953,"highest_compensated_employee":true},{"title":"FORMER SECRETARY","average_hours_per_week":10.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":246210,"other_compensation":59657,"former":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":266862,"book_value":266862},"buildings":{"other_cost_or_other_basis":106005912,"book_value":58505412,"depreciation":47500500},"leasehold_improvements":{"other_cost_or_other_basis":35667094,"book_value":24830451,"depreciation":10836643},"equipment":{"other_cost_or_other_basis":155552715,"book_value":37500843,"depreciation":118051872},"other_land_buildings":{"other_cost_or_other_basis":13008486,"book_value":13008486},"total_book_value":134112054},"other_assets":{"assets":[{"description":"THIRD PARTY SETTLEMENTS","book_value":926100},{"description":"INVESTMENT IN TDI LLC","book_value":10000},{"description":"DUE FROM SUBSIDIARIES AND AFFILIATES","book_value":118412453},{"description":"OTHER ASSETS","book_value":610248}],"total_book_value":119958801},"other_liabilities":{"liabilities":[{"description":"THIRD PARTY SETTLEMENTS","amount":5648978},{"description":"CAPITAL LEASE OBLIGATION","amount":45624}],"total_liability":5694602},"supplemental_information":[{"identifier":"DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:","form_and_line_reference":"PART X:","explanation":"FOOTNOTE FROM CONSOLIDATED FINANCIAL STATEMENTS INCLUDING INOVA ALEXANDRIA HOSPITAL: THE FOUNDATION, IHCS, AHSC, LHI AND IHSS, ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN DETERMINED TO BE EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IHI AND ITS SUBSIDIARIES ARE TAXABLE ORGANIZATIONS. DEFERRED INCOME TAXES ARE PROVIDED FOR ALL SIGNIFICANT TIMING DIFFERENCES BETWEEN REVENUES AND EXPENSES REPORTED FOR FINANCIAL STATEMENT AND FOR TAX PURPOSES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_300":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":false,"bad_debt_expense":6598253,"reimbursed_by_medicare":57490571,"cost_of_care_reimbursed_by_medicare":74950068,"medicare_surplus_or_shortfall":-17459497,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":18771552,"net_community_benefit_expense":18771552,"total_expense_percentage":0.0733},"unreimbursed_medicaid":{"total_community_benefit_expense":22675405,"direct_offsetting_revenue":15066978,"net_community_benefit_expense":7608427,"total_expense_percentage":0.0297},"total_financial_assistance":{"total_community_benefit_expense":41446957,"direct_offsetting_revenue":15066978,"net_community_benefit_expense":26379979,"total_expense_percentage":0.103},"community_health_services":{"total_community_benefit_expense":80000,"net_community_benefit_expense":80000,"total_expense_percentage":0.0003},"subsidized_health_services":{"total_community_benefit_expense":3149836,"net_community_benefit_expense":3149836,"total_expense_percentage":0.0123},"total_other_benefits":{"total_community_benefit_expense":3229836,"net_community_benefit_expense":3229836,"total_expense_percentage":0.0126},"total_community_benefits":{"total_community_benefit_expense":44676793,"direct_offsetting_revenue":15066978,"net_community_benefit_expense":29609815,"total_expense_percentage":0.1156}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"INOVA ALEXANDRIA HOSPITAL","address_line1":"4320 SEMINARY ROAD","city":"ALEXANDRIA","state":"VA","zip":"22304","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"INOVA ALEXANDRIA HOSPITAL","address":"4320 SEMINARY ROAD, ALEXANDRIA, VA, 22304"}],"facility_policies":[{"business_name_line1":"INOVA ALEXANDRIA HOSPITAL","facility_number":1,"name":"INOVA ALEXANDRIA HOSPITAL"}],"supplemental_information":[{"explanation":"PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS INCLUDED IN THE CONSOLIDATED INOVA HEALTH SYSTEM REPORT TO THE COMMUNITY ON INOVA.ORG WEBSITE."},{"explanation":"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."},{"explanation":"PART I, LINE 7G: COST OF PHYSICIAN CLINIC INCLUDED IS $3,057,088."},{"explanation":"PART I, L7 COL(F): BAD DEBT EXPENSE SUBTRACTED FROM CALCULATION IS $16,582,064"},{"explanation":"INOVA HEALTH SYSTEM DOES NOT FOLLOW HFMA STATEMENT 15 WITH RESPECT TO BAD DEBTS. THE DISCLOSURE METHOD FOLLOWED DOES NOT RESULT IN MATERIALLY DIFFERENT RESULTS."},{"explanation":"PART III, LINE 4: BAD DEBT FOOTNOTEPATIENT ACCOUNTS RECEIVABLE INCLUDE CHARGES FOR AMOUNTS DUE FROM ALL PATIENTS LESS ALLOWANCES FOR THE EXCESS OF ESTABLISHED CHARGES OVER THE PAYMENTS TO BE RECEIVED ON BEHALF OF PATIENTS COVERED BY MEDICARE, MEDICAID AND OTHER INSURERS. BAD DEBT EXPENSE IS RECOGNIZED WHEN PROVIDING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. INOVA HAS A SELF-INSURED DISCOUNT PROGRAM WHEREBY UNINSURED PATIENTS RECEIVE A 35% DISCOUNT FOR SERVICES RENDERED. DISCOUNTS TO UNINSURED PATIENTS ARE CLASSIFIED AS A DEDUCTION FROM REVENUE AS OPPOSED TO BAD DEBT.ALL OPERATING ENTITIES OF IHS TREAT EMERGENCY PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. NON-EMERGENCY MEDICALLY NECESSARY CARE IS PROVIDED VIRTUALLY WITHOUT RESTRICTION AT ALL IHS TAX-EXEMPT OPERATING ENTITIES. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BASED UPON ESTABLISHED IHS POLICIES THAT CONSIDER PATIENT INCOME LEVELS AND AVAILABLE ASSETS. SINCE IHS DOES NOT PURSUE COLLECTION OF AMOUNTS THAT QUALIFY AS CHARITY CARE, THEY ARE DEDUCTED FROM GROSS REVENUE. UNPAID ACCOUNTS OF PATIENTS WHO FAIL TO PROVIDE REQUIRED INCOME AND ASSET DOCUMENTATION TO IHS ARE CLASSIFIED AS BAD DEBT EXPENSE. GUIDELINES USED BY IHS IN DETERMINING CHARITY CARE MAY DIFFER FROM GUIDELINES USED BY CERTAIN STATE OR FEDERAL AGENCIES. COSTING METHODOLOGYACTUAL BAD DEBT EXPENSE IS MULTIPLIED BY THE COST TO CHARGE RATIO USED IN COMPUTING CHARITY CARE EXPENSE IN PART I.THE ARE NO ESTIMATED AMOUNTS FOR BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY."},{"explanation":"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."},{"explanation":"PART III, LINE 9B: INOVA HEALTH SYSTEM STRIVES TO COMPLY WITH THE GUIDELINES ESTABLISHED BY THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE INTERNATIONAL CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY (ACA) WHICH REQUIRE MEMBERS TO ENGAGE IN HONORABLE, ETHICAL AND PROFESSIONAL CONDUCT OF CHARACTER NOT LIKELY TO DECEIVE, DEFRAUD OR HARM THE PUBLIC.THE POLICY OF INOVA HEALTH SYSTEM IS TO TAKE LEGAL ACTION, ONLY IF THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS IN EXCESS OF THE LEVELS SUGGESTED IN THE FINANCIAL ASSISTANCE POLICY; THE PATIENT HAS FAILED TO PROVIDE THE INFORMATION NEEDED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE; OR THE PATIENT IS NO LONGER MEETING HIS OBLIGATIONS UNDER AN AGREED-UPON PAYMENT PLAN AND HAS NOT INFORMED THE COLLECTIONS OFFICE OF A CHANGE IN FINANCIAL CONDITION.STAFFS WHO WORK CLOSELY WITH PATIENTS, INCLUDING THOSE INVOLVED IN BILLING AND COLLECTION, ARE EDUCATED ABOUT HOSPITAL BILLING, FINANCIAL ASSISTANCE AND COLLECTION POLICIES AND PRACTICES.AGENCIES ACTING ON BEHALF OF INOVA HEALTH SYSTEM MAY NOT GARNISH WAGES OR FREEZE BANK ACCOUNTS AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. AGENCIES MAY FILE LIENS ONLY AGAINST ESTATES. THE FORECLOSURE OR FORCED SALE OF A PATIENT'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING HOSPITAL BILL IS PROHIBITED. IT IS NOT THE POLICY OF INOVA HEALTH SYSTEM TO FILE LIENS RELATED TO MEDICARE, MEDICAID, MEDICREDIT FFA OR CHARITY ACCOUNTS."},{"explanation":"PART VI, LINE 2: IN PRIOR YEARS, INOVA HEALTH SYSTEM (IHS) HAS USED THE FOLLOWING METHODS TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY:AN ASSESSMENT OF COMMUNITY HEALTH STATUS BASED ON AVAILABLE MORBIDITY AND MORTALITY DATA FROM SECONDARY DATA SOURCES SUCH AS COMMONWEALTH OF VIRGINIA VITAL STATISTICS, CANCER REGISTRIES AND HOSPITAL DISCHARGE ABSTRACTS.FOCUS GROUPS AND SURVEYS TO DETERMINE COMMUNITY CONCERNS AND EXPECTATIONS RELATED TO HEALTH ISSUES.CONFERENCES TO ELICIT BROAD COMMUNITY INPUT AND REACH CONSENSUS ON CRITICAL HEALTH CARE NEEDS.PERIODICALLY UPDATED THE COMMUNITY NEEDS REVIEWS WITH A COMPREHENSIVE ANALYSIS OF COMMUNITY HEALTH STATUS TO DETERMINE HOW COMMUNITY HEALTH NEEDS HAVE CHANGED SINCE THE PRIOR REVIEWS WERE COMPLETED. THIS ANALYSIS RELIED ON SECONDARY DATA SOURCES INCLUDING VIRGINIA DEPARTMENT OF HEALTH STATISTICS ON BIRTHS, DEATHS AND DISEASES; INFORMATION ON HOSPITAL FINANCES AND UTILIZATION FROM VIRGINIA HEALTH INFORMATION INC; AND INTERNAL INFORMATION ON HOSPITAL UTILIZATION AND CHARGES FROM IHS. STUDY OF COMMUNITY HEALTH IMPACT ON HOSPITAL SERVICES USING POPULATION BASED HOSPITAL DISCHARGE DATA.ENGAGED COMMUNITY LEADERS WITH SPECIAL KNOWLEDGE OF, OR AN EXPERTISE IN, PUBLIC HEALTH, INCLUDING REPRESENTATIVES FROM THE ALEXANDRIA HEALTH DEPARTMENT, FAIRFAX COUNTY SCHOOL DISTRICT AND A PRIVATE NON-PROFIT. NORTHERN VIRGINIA FAMILY SERVICES PROVIDED EXPERT CONSULTATION AND GUIDANCE FOR THE TASK FORCE ON THE IMPORTANCE AND CHALLENGES OF ESTABLISHING PARTNERSHIPS.AS A RESULT OF THIS WORK INOVA'S PROGRAMS EXPANDED TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES. THESE GOALS WERE RE-EVALUATED AND UPDATED TO ALIGN WITH THE HEALTHY PEOPLE 2010 GOALS AND OUTCOMES. COMMUNITY HEALTH NEEDS ASSESSMENTS ARE NOW IN PROGRESS ACROSS NORTHERN VIRGINIA SPONSORED BY THE VARIOUS HEALTH DEPARTMENTS USING THE FRAMEWORK OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. IHS IS A PARTICIPATING MEMBER OF THE MAPP PROCESS TEAMS ACROSS NORTHERN VIRGINIA. INOVA SERVED ON THE MAPP TEAM'S YEAR-LONG TASK FORCE FOR ARLINGTON COUNTY, FOR WHICH THE FINAL REPORT WAS COMPLETED IN 2008. IN 2008 INOVA ALSO PARTICIPATED IN THE FIRST OF FOUR ASSESSMENTS BEING CONDUCTED BY FAIRFAX COUNTY. FAIRFAX COUNTY HAS THREE OTHER ASSESSMENTS TO COMPLETE THE MAPP PROCESS. THIS PROCESS BRINGS TOGETHER A DIVERSE GROUP OF KEY COMMUNITY STAKEHOLDERS INCLUDING LOCAL GOVERNMENT, HUMAN SERVICE ORGANIZATIONS, SCHOOLS AND UNIVERSITIES, HEALTHCARE CONSUMERS, ADVOCACY GROUPS, HOSPITALS, FAITH INSTITUTIONS, YOUTH DEVELOPMENT ORGANIZATIONS, ECONOMIC AND PHILANTHROPIC GROUPS, ETC. TO IDENTIFY STRENGTHS AND WEAKNESSES IN THE TEN ESSENTIAL PUBLIC HEALTH SERVICES TO PROVIDE A FOUNDATION FOR COMMUNITY HEALTH PLANNING AND IMPROVE THE COMMUNITY'S DELIVERY OF THESE SERVICES. INOVA IS ALSO PARTICIPATING IN THE CONTINUING LOCAL PUBLIC HEALTH NEEDS ASSESSMENT IN THE CITY OF ALEXANDRIA. THE INFORMATION FROM ALL THE MAPP HEALTH NEEDS ASSESSMENTS FROM ALL JURISDICTIONS SERVED BY IHS WILL PROVIDE THE NEW BASELINE FOR THE ONGOING THREE-YEAR COMMUNITY NEEDS ASSESSMENTS AND WILL BE INCORPORATED INTO THE COMMUNITY NEEDS ASSESSMENT INOVA HAS INITIATED IN 2011 TO BE COMPLETED IN 2012. IN ADDITION TO PARTICIPATING IN THE MAPP PROCESS, INOVA IS CONTINUALLY GARNERING FEEDBACK ON THEIR EXISTING PROGRAMS FROM PROGRAM PARTICIPANTS THROUGH MONTHLY AND QUARTERLY SATISFACTION SURVEYS AND FOCUS GROUPS, PARTICIPATING IN REGIONAL AND LOCAL HEALTH RELATED GROUPS SUCH AS THE NORTHERN VIRGINIA ACCESS TO HEALTH CARE CONSORTIUM, MEETING WITH VARIOUS CULTURAL AND ETHNIC GROUPS IN THE COMMUNITY AND USING INTERNAL UTILIZATION AND OUTCOMES DATA, REVIEW OF BEST PRACTICES AND REGIONAL AND NATIONAL BENCHMARK DATA AND OTHER EXTERNAL SOURCES SUCH AS THE METROPOLITAN WASHINGTON COUNCIL OF GOVERNMENTS (COG) DEMOGRAPHIC DATA TO DEVELOP STRATEGIC GOALS FOR HEALTH IMPROVEMENT ACTIVITIES. COLLECTIVELY, ALL OF THIS INFORMATION IS UTILIZED IN ASSESSING COMMUNITY HEALTH NEEDS TO GUIDE STRATEGIC PLANNING EFFORTS."},{"explanation":"PART VI, LINE 3: IHS UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S FINANCIAL ASSISTANCE/CHARITY CARE POLICY. INOVA HAS INFORMATION POSTED AT PATIENT ACCESS SITES REGARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE/CHARITY CARE AND PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT ITS FINANCIAL ASSISTANCE/CHARITY CARE PROGRAM AND REFERRALS TO INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S FINANCIAL ASSISTANCE/CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY THE INOVA PATIENT ACCOUNTS DEPARTMENT WITH THE PATIENT CONTACTED IF ADDITIONAL INFORMATION IS REQUIRED IN ORDER TO MAKE A DETERMINATION. THE PATIENT IS SUBSEQUENTLY PROVIDED A LETTER, NOTIFYING THEM AS TO THE LEVEL OF FINANCIAL ASSISTANCE/CHARITY CARE FOR WHICH THEY ARE QUALIFIED (WHETHER IT BE 100% COVERAGE OR A SLIDING SCALE PAYMENT BASED UPON THEIR INCOME LEVEL BETWEEN 200-300% OF THE FEDERAL POVERTY GUIDELINE). INOVA ALSO HAS MEDICAID ELIGIBILITY WORKERS ON-SITE IN ALL HOSPITALS, IN OUR INOVACARES CLINIC FOR WOMEN AND CHILDREN (CLINIC FOR LOW INCOME FAMILIES) AND IN THE COMMUNITY AS PART OF OUR PARTNERSHIP FOR HEALTHIER KIDS ACCESS TO CARE PROGRAM. INOVA PARTNERS WITH SCHOOLS ACROSS OUR JURISDICTION TO PROVIDE INFORMATION ABOUT STATE FUNDED HEALTH PROGRAMS FOR CHILDREN AND CONTACT INFORMATION TO MEET WITH AN ELIGIBILITY WORKER RESPONSIBLE FOR ENROLLING FAMILIES IN STATE MEDICAID PROGRAMS. THESE ELIGIBILITY WORKERS ALSO GO OUT INTO THE COMMUNITY ATTENDING COMMUNITY EVENTS SUCH AS HEALTH FAIRS, FAITH-BASED COMMUNITY ACTIVITIES AND OTHER FAMILY-CENTERED COMMUNITY EVENTS TO PROACTIVELY MEET WITH FAMILIES TO ENCOURAGE ENROLLMENT IN PROGRAMS FOR WHICH THEY ARE ELIGIBLE. INOVA HAS A SECTION ON ITS PUBLIC WEBSITE DEDICATED TO INFORMATION ABOUT BILLING AND FINANCIAL COORDINATORS AND FINANCIAL ASSISTANCE RESOURCES. ON THE SITE A BROCHURE CALLED \"FINANCIAL HELP FOR HEALTHCARE SERVICES\" CAN BE DOWNLOADED AND IS AVAILABLE IN SIX LANGUAGES TO ADDRESS THE NEEDS OF OUR CULTURALLY DIVERSE COMMUNITY."},{"explanation":"PART VI, LINE 4: INOVA ALEXANDRIA HOSPITAL (IAH) IS A NOT-FOR-PROFIT CORPORATION AND A SUBSIDIARY OF THE PARENT ORGANIZATION, INOVA HEALTH SYSTEM FOUNDATION (INOVA). INOVA PROVIDES HEALTHCARE AND RELATED SERVICES THROUGHOUT NORTHERN VIRGINIA AND THE GREATER METROPOLITAN WASHINGTON, D.C. AREA, INCLUDING CERTAIN CONTIGUOUS COUNTIES OF VIRGINIA AND MARYLAND. NORTHERN VIRGINIA IS ONE OF THE FASTEST GROWING URBAN COMMUNITIES IN THE UNITED STATES. WITH APPROXIMATELY 1,314 SQUARE MILES, THE REGION IS THE MOST DENSELY POPULATED IN THE COMMONWEALTH OF VIRGINIA. NORTHERN VIRGINIA IS COMPRISED OF SEVERAL DISTINCT COMMUNITIES, INCLUDING THE CITIES OF ALEXANDRIA, FAIRFAX, FALLS CHURCH, MANASSAS AND MANASSAS PARK, AND THE COUNTIES OF ARLINGTON, FAIRFAX, LOUDOUN, AND PRINCE WILLIAM. THE EASTERN SECTIONS ARE URBANIZED WITH ATTENDANT HEALTH PROBLEMS OF OVERCROWDING AND INCREASING DEMAND FOR HEALTH SERVICES AND PUBLIC PROGRAMS. IAHS PRIMARY SERVICE AREA INCLUDES THE CITY OF ALEXANDRIA AND WEST ALEXANDRIA, MOUNT VERNON NORTH, FRANCONIA/KINGSTOWNE AND BAILEYS CROSSROADS/LINCOLNIA.THE REGION'S POPULATION SERVED BY IAH IS FORECASTED TO GROW FROM 2010 THROUGH 2020 ABOUT 26% ADDING AN ESTIMATED AVERAGE OF 5,000 PERSONS A YEAR. POPULATION GROWTH WILL BE SPURRED BY THE COMPARATIVE STRENGTH OF THE REGION'S ECONOMY AND HIGH RATES OF IN-MIGRATION FROM DOMESTIC AND INTERNATIONAL LOCATIONS. THE REGION'S POPULATION THAT IS 65 YEARS OF AGE AND OLDER WILL MORE THAN DOUBLE FROM 2000 TO 2030, WHILE THE NUMBER OF CHILDREN WILL INCREASE BY ABOUT 30 PERCENT DURING THE PERIOD. NORTHERN VIRGINIA'S POPULATION IS MORE RACIALLY AND ETHNICALLY DIVERSE THAN IN THE REST OF THE STATE. WITH INCREASING DIVERSITY, ECONOMICALLY DISADVANTAGED POPULATIONS AND MULTIPLE LANGUAGES, THE NEED FOR ACCESS TO CULTURALLY APPROPRIATE, FLEXIBLE HEALTH CARE CONTINUES TO GROW. THE NORTHERN VIRGINIA GEOGRAPHIC REGION IS 40.4 PERCENT NON-WHITE, UP FROM 23.2 PERCENT IN 1990, WHILE THE NATION AS A WHOLE HAS A 33.9 PERCENT NON-WHITE POPULATION (U.S. CENSUS BUREAU, 2007). IN 2010, ALEXANDRIA CITY HAD 140,000 PEOPLE WITH APPROXIMATELY 25% OF THE POPULATION FOREIGN BORN. IN 2010, ASIANS, HISPANICS, AND AFRICAN AMERICANS REPRESENTED 6.0 PERCENT, 16.1 PERCENT, AND 21.8 PERCENT OF ALEXANDRIA'S POPULATION, RESPECTIVELY (U.S. CENSUS BUREAU, 2010). ACCORDING TO THE 2007 VIRGINIA HEALTH CARE FOUNDATION HEALTH ACCESS SURVEY, APPROXIMATELY 14.8 PERCENT OF THE OVERALL NORTHERN VIRGINIA POPULATION CURRENTLY LACKS HEALTHCARE INSURANCE. COMPARED TO 2.5 PERCENT OF WHITES IN THE REGION WHO LACK HEALTH INSURANCE, 39.6 PERCENT OF HISPANICS, 6.8 PERCENT OF ASIANS, AND 6.5 PERCENT OF AFRICAN AMERICANS IN NORTHERN VIRGINIA ARE UNINSURED. AREA RESIDENTS MOST LIKELY TO BE UNINSURED ARE THOSE WHOSE FAMILY INCOMES ARE AT OR BELOW 200 PERCENT OF THE POVERTY LEVEL, YOUNG ADULTS (AGE 18-44), PEOPLE WHO ARE NON-WHITE, UNEMPLOYED INDIVIDUALS, PART-TIME WORKERS, AND PEOPLE WHO WORK AT COMPANIES WITH FEWER THAN 50 EMPLOYEES. SERVING THIS POPULATION POSES SIGNIFICANT CULTURAL AND LINGUISTIC CHALLENGES, AND THESE UNINSURED RESIDENTS HAVE WIDELY DIVERGENT AGE, GEOGRAPHIC, AND HEALTH STATUS CHARACTERISTICS."},{"explanation":"PART VI, LINE 6: INOVA HEALTH SYSTEM FOUNDATION (IHSF), THE PARENT COMPANY OF INOVA HEALTH SYSTEM, IS A NON-STOCK, NOT-FOR-PROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. INOVA HEALTH SYSTEM (INOVA) PROVIDES HEALTHCARE AND RELATED SERVICES THROUGHOUT NORTHERN VIRGINIA AND THE GREATER METROPOLITAN WASHINGTON, D.C. AREA, INCLUDING CERTAIN CONTINUOUS COUNTIES OF VIRGINIA AND MARYLAND.INOVA HEALTH SYSTEM'S INVESTMENT IN THE COMMUNITIES ACROSS NORTHERN VIRGINIA IS EVIDENT BY ITS PROGRAMS PROVIDING ACCESS TO CARE FOR LOW INCOME, UNINSURED, UNDERINSURED AND VULNERABLE POPULATIONS; PROMOTING HEALTH & WELLNESS AND INCREASING HEALTH LITERACY; PROVIDING THE SUPPORT AND INFRASTRUCTURE FOR DISASTER PREPAREDNESS; AND PROVIDING PROGRAMS TO SUPPORT DEVELOPMENT OF OUR FUTURE HEALTHCARE WORKFORCE TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. ALL INOVA HEALTHCARE FACILITIES HAVE OPEN MEDICAL STAFFS TO PROVIDE THE MAXIMUM ACCESS TO QUALIFIED PHYSICIANS. A COMMUNITY BOARD OF TRUSTEES PROVIDES FISCAL AND QUALITY OVERSIGHT FOR INOVA HEALTH SYSTEM'S FACILITIES TO ENSURE THE VISION AND MISSION OF THE ORGANIZATION ARE ACHIEVED.ACCESS TO CARE PROGRAMSINOVA'S COMMITMENT TO SUPPORTING ACCESS TO HEALTHCARE SERVICES IS EVIDENT IN THE INFRASTRUCTURE CREATED TO SUPPORT THE MANY PROGRAMS PROVIDED FOR THE LOW INCOME AND UNINSURED POPULATION. INOVA'S COMMUNITY SAFETY NET AND COMMUNITY HEALTH DIVISION ARE ORGANIZED TO ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY. IN ADDITION TO THE PROGRAMS ALREADY DESCRIBED IN THE CORE FORM 990, PROGRAM ACCOMPLISHMENTS THAT INCREASE ACCESS TO HEALTHCARE SERVICES FOR THE COMMUNITIES SERVED BY INOVA HEALTH SYSTEM INCLUDE THE FOLLOWING PROGRAMS WHICH PROVIDE INFRASTRUCTURE SUPPORT AND SERVICES FOCUSED ON VULNERABLE POPULATIONS:THE STREAMLINED ELIGIBILITY PROGRAM (SES), LAUNCHED BY THE SUCCESSFUL IMPLEMENTATION OF THE FEDERALLY-FUNDED 2001 CAP AND 2004 HCAP GRANTS, CONTINUES TO BE FUNDED BY INOVA. SES PROVIDES LOCAL SAFETY-NET HEALTH CARE PROVIDERS ACCESS TO COORDINATED HEALTH CARE NETWORKS TO SERVE THE UNINSURED AND UNDERINSURED RESIDENTS OF NORTHERN VIRGINIA. A SHARED DATABASE IS USED TO DETERMINE A PATIENT'S ELIGIBILITY FOR SERVICES WHICH PROVIDES ONE CENTRAL INTAKE THEREBY STREAMLINING AND EXPEDITING THE PROCESS. INOVA SUPPORTS THE INFRASTRUCTURE AND EXPANSION OF THE PROGRAM WHICH CURRENTLY CONSISTS OF 12 PUBLIC/PRIVATE PARTNERS SERVING FAIRFAX COUNTY, CITY OF ALEXANDRIA, LOUDOUN COUNTY, ARLINGTON COUNTY, AND PRINCE WILLIAM COUNTY. THE SYSTEM CURRENTLY HOUSES OVER 285,000 ELIGIBILITY RECORDS OF UNINSURED AND MEDICAID PATIENTS.THE INOVA PARTNERSHIP FOR HEALTHIER KIDS WORKS WITH SCHOOLS, COMMUNITY ORGANIZATIONS, CORPORATIONS AND LOCAL GOVERNMENTS TO KEEP KIDS IN OUR COMMUNITY HEALTHY AND READY TO LEARN. IN 2010, PHK ASSISTED OVER 3,000 CHILDREN WITH ACCESS TO A SOURCE OF COMPREHENSIVE HEALTH CARE SERVICES SUCH AS MEDICAID, FAMIS OR LOCAL SAFETY NET PROVIDERS.THE INOVA ACCESS TO CARE PROGRAM PROVIDES FAMILIES WITH COMPREHENSIVE APPLICATION AND ENROLLMENT ASSISTANCE TO CONNECT THEM TO AN APPROPRIATE AND AFFORDABLE SOURCE OF HEALTH CARE SERVICES. THE ACCESS TO CARE PROGRAM PROVIDES STUDENTS AND FAMILIES NUTRITION AND PHYSICAL ACTIVITY EDUCATION TO INCREASE KNOWLEDGE AND IMPROVE SKILLS TO MAKE HEALTHY LIFESTYLE CHOICES.INOVA KELLAR CENTER PROVIDES MENTAL HEALTH, SUBSTANCE ABUSE TREATMENT AND SPECIAL EDUCATION SERVICES TO CHILDREN, ADOLESCENTS AND THEIR FAMILIES IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. THE PROGRAM MEETS THE NEEDS OF THE CHILDREN AND FAMILIES OF FAIRFAX COUNTY BY PROVIDING A FULL CONTINUUM OF MENTAL HEALTH SERVICES FROM OUTPATIENT THERAPY AND MEDICATION MANAGEMENT TO INTENSIVE OUTPATIENT AFTER-SCHOOL PROGRAMS AND FULL-DAY PARTIAL HOSPITALIZATION PROGRAMS. DURING 2010 THE CENTER PROVIDED 75,710 CLINICAL AND EDUCATIONAL SESSIONS TO CHILDREN AND FAMILIES. INOVA KELLAR CENTER HAS BEEN INVOLVED IN THE DEVELOPMENT OF A SYSTEM OF CARE MODEL FOR THE PROVISION OF MENTAL HEALTH SERVICES WITHIN THE REGION. KEEPING WITH THE GOAL OF HAVING CHILDREN REMAIN IN THE COMMUNITY, THE CENTER CONTINUES TO BUILD CAPACITY TO MEET THE NEEDS OF THE INCREASINGLY CHALLENGED POPULATION. THE $300,000 GRANT FROM A PRIVATE FOUNDATION TO SUPPORT THE EXPANSION OF KELLAR CENTER'S SYSTEM OF CARE SERVICES FOR CHILDREN HAS ENABLED THE CENTER TO EXPAND OUTPATIENT FAMILY SERVICES INCLUDING PSYCHOLOGICAL SERVICES AND HOME-BASED SERVICES BY UNDERWRITING THE INITIAL INVESTMENT AND \"START UP\" COSTS ASSOCIATED WITH EXPANSIONS. THE CENTER HAS DOUBLED ITS ABILITY TO PROVIDED ADLD ASSESSMENTS AND PSYCHOLOGICAL TESTING. THE RECRUITMENT PROCESS FOR TWO ADDITIONAL CHILD AND ADOLESCENT PSYCHIATRISTS HAS BEGUN. THESE POSITIONS WILL PROVIDE SERVICES TO OVER 500 ADDITIONAL PATIENTS BY 2012.HEALTH PROMOTION AND PREVENTATIVE CARE PROGRAMSNORTHERN VIRGINIA HEALTHY KIDS' COALITION: TIPPING THE SCALES FOR BETTER HEALTH. OBESITY HAS BECOME AN URGENT PUBLIC HEALTH PROBLEM IN NORTHERN VIRGINIA, WITH OVER 100,000 CHILDREN TWO TO 18 YEARS OF AGE BEING EITHER OVERWEIGHT OR AT-RISK OF BECOMING OVERWEIGHT. INOVA HEALTH SYSTEM, IN PARTNERSHIP WITH NORTHERN VIRGINIA SCHOOLS, HEALTH DEPARTMENTS, AND GOVERNMENT ENTITIES HAVE JOINED TOGETHER IN A MULTI-YEAR EFFORT TO ADDRESS THE CHILDHOOD OBESITY EPIDEMIC BY WORKING TO REVERSE THIS TREND. THE INOVA HEALTH SYSTEM SPONSORS THIS COMMUNITY-BASED COALITION. THE KEY MESSAGE FOR THIS PROGRAM IS: 9-5-2-1-0 FOR HEALTH - HELP CHILDREN AND TEENS ADOPT HEALTHY HABITS WHICH PROMOTE HEALTHY WEIGHT:9 - GET AT LEAST NINE HOURS OF SLEEP PER NIGHT5 - EAT FIVE SERVINGS OF FRUITS AND VEGETABLES PER DAY2 - LIMIT SCREEN TIME OUTSIDE OF SCHOOL TO NO MORE THAN TWO HOURS PER DAY1 - GET AT LEAST ONE HOUR OF PHYSICAL ACTIVITY PER DAY0 - ELIMINATE OR MINIMIZE CONSUMPTION OF BEVERAGES WITH SUGAR ADDEDINOVA PARTNERING ACTIVELY TOWARDS HEALTH (IPATH). THE IPATH MISSION IS TO PROVIDE OPPORTUNITIES FOR STUDENTS TO ENGAGE IN HEALTH-ORIENTED ACTIVITIES WITHIN OUR COMMUNITY, STRENGTHEN HEALTHY LIVING AMONGST ADOLESCENTS, AND EXPOSE STUDENTS TO EXCITING MEDICAL CAREERS. THE PATHWAY TO IMPROVED HEALTH PROGRAM IS A TEN-WEEK PROGRAM DESIGNED TO ENGAGE SELECTED STUDENT LEADERS THAT WILL CHAMPION HEALTH AWARENESS ACTIVITIES IN THEIR SCHOOLS AND COMMUNITIES, EMPOWER STUDENTS TO PARTNER WITH HEALTH PROFESSIONALS TO ASSIST INOVA AND THEIR SCHOOL IN DEVELOPING A NEW HEALTH INITIATIVE, AND SERVE AS A HEALTH AMBASSADOR TO THEIR FAMILIES TO HELP ACHIEVE THE GOAL OF IMPROVING THE HEALTH OF THE COMMUNITY ONE FAMILY AT A TIME. CONGREGATIONAL HEALTH PARTNERSHIP (CHP) HAS RESOURCED AND FACILITATED WELLNESS OF SPIRIT, MIND, AND BODY THROUGH MULTI-FAITH COMMUNITIES. SOME KEY ACCOMPLISHMENTS ARE: PROVIDED MORE THAN 102 HEALTH EDUCATION AND WELLNESS PROMOTION ACTIVITIES; DISTRIBUTED OVER 12,000 PIECES OF HEALTH EDUCATION MATERIALS; CONDUCTED OVER 3,371 CONSULTATIONS AND NETWORKING CONVERSATIONS; AND INCREASED THE NUMBER OF NEW FAITH COMMUNITIES PARTNERED WITH CHP WITH 20 NEW FAITH CONGREGATIONS CONTACTED THIS YEAR. EVERYDAY, CONGREGATIONAL HEALTH PARTNERSHIP SERVES VULNERABLE AND MARGINALIZED COMMUNITY GROUPS, WORKS TO DECREASE HEALTH DISPARITIES, STRESSES ASSESSMENT, PREVENTION AND BEST PRACTICES HEALTH PROMOTION, AND EMPHASIZES TEACHING, MENTORING, COACHING, AND PROVIDING HEALTH INFORMATION RESOURCES.HEALTH LITERACY AND HEALTH EQUITY PROGRAMSTHE GOAL OF INOVA'S OFFICE OF HEALTH EQUITY (OHE) IS TO IDENTIFY AND ADDRESS DOCUMENTED HEALTH DISPARITIES IN NORTHERN VIRGINIA THROUGH INTERNAL AND COMMUNITY INITIATIVES WITH RESPECT TO QUALITY, SERVICE AND COMMUNITY. GUIDED BY AN EXECUTIVE ADVISORY COMMITTEE, THE OHE PARTNERS WITH COMMUNITY GROUPS, CONDUCTS EDUCATION AND RESEARCH, AND PROVIDES SERVICES THAT WILL CONTRIBUTE TO THE ELIMINATION OF DISPARITIES IN OUR COMMUNITY. THE FOLLOWING DISCUSSION PRESENTS THE OHE'S ACTIVITIES IN THE AREAS OF STAFF TRAINING/EDUCATION, SERVICES FOR THE DEAF AND HARD OF HEARING, AND LANGUAGE SERVICES.LANGUAGE SERVICES IN SUPPORT OF PATIENT SAFETY AND SATISFACTION, INTERPRETATION AND TRANSLATION SERVICES ARE PROVIDED AT EVERY INOVA FACILITY TO FACILITATE COMMUNICATION WITH THE 8-10 PERCENT OF INOVA'S PATIENT POPULATION WHO HAS LIMITED ENGLISH PROFICIENCY (LEP). MEDICAL INTERPRETATION IS PROVIDED BY ON-SITE MEDICAL INTERPRETERS AND TELEPHONICALLY VIA THE LANGUAGE LINE. THROUGH DECEMBER 2010 THE OHE DELIVERED 109,515 INTERPRETER ENCOUNTERS (37,414 HOURS OF INTERPRETER SERVICE) ACROSS INOVA FACILITIES.SERVICES FOR THE DEAF AND HARD OF HEARING HAVE UNDERGONE SEVERAL CHANGES IN 2010, INCLUDING CREATION OF A SCHEDULER POSITION, AND DEPLOYMENT OF NEXTALK (VIDEO REMOTE INTERPRETING) IN ALL INOVA EMERGENCY DEPARTMENTS, TO IMPROVE OUR ABILITY TO COMMUNICATE WITH DEAF PATIENTS AND THEIR FAMILIES ON SHORT NOTICE. THROUGH DECEMBER 2010, 1,696 INTERPRETED SESSIONS (6,412 HOURS) HAVE BEEN DELIVERED."},{"explanation":"PART VI, LINE 7: ORGANIZATION IS PART OF INOVA HEALTH SYSTEM INCLUDED IN DESCRIPTION UNDER LINE 5."},{"explanation":"EDUCATION AND TRAININGTHROUGH OUR STAFF EDUCATION AND TRAINING PROGRAMS, THE OFFICE OF HEALTH EQUITY FACILITATES THE DEVELOPMENT OF A CULTURALLY COMPETENT WORKFORCE. IN SUPPORT OF THIS GOAL, THE OHE CONTINUES TO IMPLEMENT PROGRAMS SUCH AS:THE 21ST CENTURY LEADERSHIP DEVELOPMENT PROGRAM IS A NINE-MONTH PROGRAM DESIGNED TO IDENTIFY AND GROW FUTURE INOVA LEADERS. IN MARCH 2010, THE OHE PARTNERED WITH INOVA'S OFFICE OF CONTINUING EDUCATION TO ORGANIZE AN ALL-DAY CME PROGRAM ON HEALTH DISPARITIES. THE PROGRAM FEATURED SEVERAL NATIONALLY-KNOWN SPEAKERS AND HAD OVER 237 PROVIDERS, INCLUDING PHYSICIANS, NURSES, SOCIAL WORKERS AND PSYCHOLOGISTS IN ATTENDANCE.CULTURAL COMPETENCE AND DIVERSITY EDUCATION PROGRAMS ARE CONDUCTED REGULARLY. IN 2010, THE OHE DELIVERED 84 EDUCATIONAL SESSIONS AND IN-SERVICE TRAININGS, REACHING OVER 1,000 INOVA EMPLOYEES. CONTENT INCLUDED, BUT WAS NOT LIMITED TO, PROVIDING CULTURALLY COMPETENT PATIENT CARE, CROSS-CULTURAL COMMUNICATION, CULTURAL AWARENESS AND SENSITIVITY, CROSS-CULTURAL CONFLICT RESOLUTION, AND CROSS-CULTURAL ISSUES IN THE CHILDCARE SETTING.OHE IS CURRENTLY WORKING WITH MEMBERS OF THE ALEXANDRIA HOMELESS SERVICES COORDINATING COMMITTEE (AHSCC) AND KEY STAFF AT INOVA ALEXANDRIA HOSPITAL TO ENSURE CONSISTENT INOVA REPRESENTATION ON THE COMMITTEE AND TO PRESENT AN IN-SERVICE FOR A RANGE OF IAH STAFF, INCLUDING CASE MANAGERS, SOCIAL WORKERS, PATIENT CARE DIRECTORS AND ADDITIONAL EMERGENCY DEPARTMENT PERSONNEL. THE GOAL OF THIS INITIATIVE IS TO REDUCE READMISSIONS TO IAH FROM THE HOMELESS POPULATION.A LONGSTANDING PARTNERSHIP BETWEEN FAIRFAX COUNTY PUBLIC LIBRARY SYSTEM AND INOVA HEALTH SYSTEM, THE HEALTH INFORMATION PARTNERSHIP (HIP) IS DEDICATED TO INCREASING HEALTH LITERACY THROUGHOUT FAIRFAX COUNTY. PROGRAMS SPONSORED BY AND ADMINISTERED THROUGH THE PARTNERSHIP INCLUDE LITERATURE IN MEDICINE AND ASK ME THREE FOCUSED ON EDUCATING THE PUBLIC ON OPTIMIZING COMMUNICATION WITH HEALTHCARE PROVIDERS TO ENSURE UNDERSTANDING OF HEALTHCARE INFORMATION AND TREATMENT PROVIDED. IN THE FALL OF 2010, THE HIP HOSTED A TRAVELING EXHIBIT FROM THE NATIONAL INSTITUTES OF HEALTH'S NATIONAL LIBRARY OF MEDICINE ON THE TOPIC TITLED \"CHANGING THE FACE OF MEDICINE: CELEBRATING AMERICA'S WOMEN PHYSICIANS.\"THE EXHIBIT TELLS THE EXTRAORDINARY STORY OF HOW AMERICAN WOMEN WHO WANTED TO PRACTICE MEDICINE HAVE STRUGGLED OVER THE PAST TWO CENTURIES TO GAIN ACCESS TO MEDICAL EDUCATION AND TO WORK IN THE SPECIALTY THEY CHOSE. IT DESCRIBES WOMEN'S SUCCESSFUL QUEST TO BECOME DOCTORS AND INTRODUCES AUDIENCES TO OUTSTANDING PHYSICIANS FROM ACROSS THE UNITED STATES. INTERACTIVE KIOSKS PROVIDE EDUCATIONAL ACTIVITIES, INFORMATION ABOUT MEDICAL CAREERS, AND BIOGRAPHIES OF OUTSTANDING WOMEN PHYSICIANS. THESE INTERACTIVE ELEMENTS HELP THE EXHIBIT APPEAL TO THOSE WITHIN AND OUTSIDE OF THE MEDICAL COMMUNITY, ADULTS AND CHILDREN, AND MEN AND WOMEN.DISASTER PREPAREDNESS - AS PART OF A REGIONAL ALLIANCE OF ALL HOSPITALS ACROSS NORTHERN VIRGINIA TO PROVIDE A COORDINATED RESPONSE IN THE EVENT OF A DISASTER, INOVA HEALTH SYSTEM HAS TAKEN A LEADERSHIP ROLE. INOVA FUNDS AND PROVIDES THE SITE FOR THE REGIONAL HOSPITAL COORDINATING CENTER (RHCC), PROVIDING 24/7 COVERAGE FOR INCIDENT COMMAND AND OPERATIONS CHIEF. INOVA OPERATES AN E-ICU WHICH, DURING A DISASTER, FACILITATES ACCESS TO AND MANAGEMENT OF ALL CRITICAL CARE BEDS WITHIN INOVA HEALTH SYSTEM. WORKFORCE PROGRAMSMILITARY TO MEDICINE, A NON-PROFIT MILITARY SERVICE ORGANIZATION OF INOVA HEALTH SYSTEM, PROVIDES HEALTHCARE TRAINING AND EMPLOYMENT OPPORTUNITY ASSISTANCE FOR MILITARY SPOUSES, WOUNDED WARRIORS AND THEIR CAREGIVERS, VETERANS, MEMBERS OF THE NATIONAL GUARD, RESERVISTS AND THEIR SPOUSES AND TRANSITIONING SERVICE MEMBERS SO THEY CAN BECOME PRODUCTIVE MEMBERS OF THE HEALTHCARE WORKFORCE. MILITARY TO MEDICINE BECAME A NATIONAL MILITARY SERVICE ORGANIZATION IN OCTOBER 2008 WHEN AGREEMENTS WERE FORMALIZED WITH THE U.S. ARMY RESERVE AND THE DEPARTMENT OF DEFENSE."}]},"ScheduleJ":{"benefits_and_procedures":{"housing_allowance_or_residence":true,"substantiation_required":true,"written_policy_travel_and_entertainment":true},"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JKNOX 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AGUAS","base_compensation_filing_org":192847,"bonus_filing_org":44768,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":60298,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":14655,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":13374,"other_compensation_related_orgs":0,"total_compensation_filing_org":325942,"total_compensation_related_orgs":0,"name":"HUGO AGUAS"},{"person_name":"JAME KIM","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":33267,"compensation_based_on_related_orgs":203171,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":40922,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":18735,"other_compensation_filing_org":0,"other_compensation_related_orgs":9772,"total_compensation_filing_org":0,"total_compensation_related_orgs":305867,"name":"JAME KIM"}],"supplemental_information":[{"form_and_line_reference":"PART I, LINE 1A","explanation":"PART I, LINE 1A: EMPLOYEES WITH TEMPORARY HOUSING AUDETT, JOHN $53 221 MCVEY, PAMELA $54,942"},{"form_and_line_reference":"PART I, LINE 4B","explanation":"SERP PLAN PAYMENT: J. KNOX SINGLETON $209,003 RICHARD MAGENHEIMER $85,051 THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP PLAN) IS A NONQUALIFIED RETIREMENT PLAN. EMPLOYEES ELIGIBLE TO PARTICIPATE ARE EXECUTIVE DIRECTORS, ASSISTANT VICE PRESIDENTS, VICE PRESIDENTS, SENIOR VICE PRESIDENTS, EXECUTIVE VICE PRESIDENTS, CFO, COO, AND CEO. EACH YEAR, A CERTAIN PERCENTAGE OF EACH PARTICIPANT'S BASE SALARY IS CONTRIBUTED TO THE SERP PLAN. THIS AMOUNT RANGES FROM 5% TO 20%, DEPENDING ON POSITION. AFTER THREE YEARS OF CONTINUOUS PARTICIPATION, PARTICIPANTS VEST IN 50% OF THEIR BALANCE AT THAT TIME AND ARE PAID OUT THE VESTED BALANCE AS A TAXABLE EVENT. AFTER A TOTAL OF SIX YEARS PARTICIPATION AND AFTER ATTAINING AGE 50, PARTICIPANTS ARE 100% VESTED AND ARE PAID OUT THEIR REMAINING BALANCE AS A TAXABLE EVENT. VESTING THEN REVERTS TO A THREE-YEAR ROLLING SCHEDULE UNTIL YEAR 12. THEREAFTER, THE ANNUAL CONTRIBUTION IS PAID OUT TO THE PARTICIPANT EACH YEAR AS A TAXABLE EVENT."}]},"ScheduleR":{"tax_exempt_organizations":[{"ein":541071867,"business_name_line1":"INOVA HEALTH SYSTEM FOUNDATION","primary_activities":"FUNDRAISING","exempt_code_section":"501(C)(3)","public_charity_status":"11,III","controlled_organization":false,"legal_domicile_state":"VA","address_line1":"8110 GATEHOUSE ROAD SUITE 400W","city":"FALLS CHURCH","state":"VA","zip":"22042","name":"INOVA HEALTH SYSTEM FOUNDATION","address":"8110 GATEHOUSE ROAD SUITE 400W, FALLS CHURCH, VA, 22042"},{"ein":540620889,"business_name_line1":"INOVA HEALTH CARE SERVICES","primary_activities":"HOSPITAL SYSTEM","exempt_code_section":"501(C)(3)","public_charity_status":"3","controlled_organization":false,"legal_domicile_state":"VA","address_line1":"8110 GATEHOUSE ROAD SUITE 400W","city":"FALLS CHURCH","state":"VA","zip":"22042","name":"INOVA HEALTH CARE SERVICES","address":"8110 GATEHOUSE ROAD SUITE 400W, FALLS 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of a full spectrum of high quality and accessible healthcare services. Iah is a 318-licensed bed general acute care hospital, which opened on january 23, 1873. Iah provides a spectrum of diagnostic services, including full-body ct scanning, mri, and a cardiac catheterization laboratory; a variety of inpatient medical, surgical, and orthopedic services; comprehensive outpatient services, including outpatient surgery, physical medicine, and rehabilitation; and a 24-hour emergency department as well as the springfield healthplex, a free standing emergency facility. In addition, specialized obstetric and pediatric services are provided by the hospital's maternal and infant health center and a children's unit. In 2012 the hospital had 16,195 admissions excluding newborns, 3,884 observation cases, and 74,354 patient days excluding newborns. Hospital emergency room visits totaled 109,273 (41,443 of the total ed visits at the healthplex); and there were 102,098 outpatient visits during the year. Specific acute care programs cardiovascular care: the inova heart and vascular institute at iah, opened in october 2004, houses ten inpatient beds, two cardiovascular operating rooms, one cardiac catheterization lab, one electrophysiology lab, three interventional radiology labs, one minor procedure room, outpatient clinics, cardiac rehabilitation and educational facilities. Women's health: iah offers a full range of obstetric services including delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, as well as regular and specialty nursery care. In 2012, iah had 3,781 deliveries at the hospital. There is a prenatal diagnostic center and a 16 bed, level iii nicu.. In addition, iah works with the casey clinic, a state health clinic jointly funded by the state of virginia, city of alexandria and the alexandria health department, providing obstetric services to low-income patients. Cancer care: iah, a community hospital comprehensive cancer program designee, features a full service cancer center including medical and surgical oncology and radiation therapy. Iah cancer services provide a full range of imaging techniques to detect and stage cancer, as well as plan treatment. These include general radiological studies, magnetic resonance imaging (mri), computed tomography (ct) and positron emission tomography (pet). Iah also features the varian trilogy linear accelerator technology, sir-spheres technology and offers prostate seed implants. Charity care all inova facilities, including the iah facilities provide charity care in accordance with inova policies ensuring access to medically necessary care for all individuals. Charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. These policies include the following key provisions:1. Emergency care shall be provided to all persons regardless of their ability to pay.2. Non-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and access facilities to medically indigent patients. \"medically necessary care\" refers to inpatient and outpatient services defined as medically necessary by the federal medicare program. \"medically indigent\" is defined as those patients whose income falls at or below 300% of the federal poverty guideline (fpg). In general, free medically necessary care is provided for patients with incomes falling below 200% of the fpg; and discounted care is provided for services rendered to patients with incomes falling between 200% and 300% of the fpg.inova health system utilizes a multifaceted approach to educate and inform patients and the public about inova's charity care policy. Upon admission to any inova hospital, nursing home or any visit to outpatient facilities or clinics including emergency departments, inova has information posted regarding patient rights and responsibilities. In addition, inova provides information about our charity care program and referrals to meet with inova financial counselors who assist patients in completing inova's charity care application. This financial information is reviewed by the inova patient accounts department with the patient contacted if additional information is required in order to make a determination. The patient is subsequently provided a letter, notifying them as to the level of charity care for which they are qualified (whether it be 100% coverage or a sliding scale payment based upon their income level between 200-300% of the federal poverty guideline). In 2012, iah's unreimbursed cost of charity care, including free and discounted services, was approximately $23 million.medicaid established under title xix of the social security act, this program provides assistance for the medically indigent, including those who cannot pay for care despite being able to afford other living expenses. Also included under this program are the blind, the disabled, and crippled children. The reimbursement that iah facilities receive from the medicaid program routinely falls below the actual cost of services provided. During 2012, iah provided care to medicaid patients at an unreimbursed cost of approximately $9 million. Participation in governmental programs for those without the ability to pay various government programs provide for the indigent, including medicaid recipients. These programs provide a percentage of reimbursement for qualifying patients; however, payment is typically below the cost of those services. In addition to federal and state programs, the inova subsidiaries, including iah, work with various county governments and agencies in providing certain free services to those residents the county identifies as most in need.\n\nEach year, iah designates funds for the development and continuation of identified direct care programs. Services benefit the alexandria community by providing broad access to health care and related services to those most in need. Many of these programs and services are not billed to the patient or are provided at a substantially reduced fee. In addition to providing direct care subsidized service, inova also provides disease-prevention programs, health and exercise classes, health education and health screenings and other programs within the community in support of the iah mission. These services and programs include: inova alexandria hospital ob clinic: iah donates space on the campus to the casey clinic, a community health center funded by the state of virginia, alexandria health department and the city of alexandria to provide primary healthcare services to low-income and uninsured children and adults that are residents of the city of alexandria. Iah funds the clinic physicians who provide ob patient prenatal examinations and delivery at inova alexandria hospital. Inova diabetes center: the inova diabetes center (idc), a recipient of the amercian diabetes association's recognitions for diabetes education, provides outpatient diabetes self-management education. In 2012, the idc provided over 5,000 visits at the four locations in the northern virginia.medicaid eligibility assistance alexandria hospital provides assistance to patients in determining their eligibility for the medicaid programs.","year":2012,"name":"INOVA ALEXANDRIA HOSPITAL","phone":"7035043000","website":"INOVA.ORG","type":"990","principal_officer":"J KNOX SINGLETON","year_formation":1901,"state_legal_domicile":"VA","total_volunteers":586,"tax_period_begin":"2012-01-01T00:00:00","tax_period_end":"2012-12-31T00:00:00","address":"8110 GATEHOUSE ROAD SUITE 400W, FALLS CHURCH, VA, 22042, USA","city":"FALLS CHURCH","state":"VA","country":"USA","zip_code":"22042"},"Governance":{"501c3 determination":true,"Number of voting members":3,"Number of independent voting members":1,"Number of employees total":2198,"Total Gross UBI":6978679,"Net unrelated business taxable income":0,"Number of employees":2198,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Family or business relationship":true,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Audited financial statements consolidated":true,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":340395893,"Contributions":{"value":320791,"Grant revenue":91082,"Related organizations":229709},"Program revenue":{"value":338294681,"Total revenue":{"value":338294681,"VARIOUS":338294681},"Unrelated business revenue":6978679},"Investment income":{"value":54816,"Investment income total":54816},"Other revenues":{"value":1725605,"Other total":1725605}},"Expenses":{"value":303208275,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":132115387,"Current officers":3173061,"Other salaries and wages":104437413,"Pension plan contributions":5890338,"Other employee benefits":10773499,"Payroll taxes":7841076},"Other expenses":{"value":171092888,"Legal":96218,"Accounting":49,"Other services":55029671,"Advertising":15369,"Office expenses":124184,"Information technology":679426,"Occupancy":3947525,"Travel":180601,"Conferences and meetings":94029,"Interest":6233361,"Depreciation and depletion":19842749,"Insurance":1602833,"Itemized Expenses":{"value":80792605,"VARIOUS":80792605},"All other expenses":2454268}},"Assets":{"value":0,"Non-interest bearing cash":0,"Savings and temp cash investments":0,"Pledges and grants receivable":0,"Accounts receivable":0,"Receivables from officers":0,"Receivables from disqual persons":0,"Other net note and loans":0,"Inventories for sale or use":0,"Prepaid expenses deferred charges":0,"Land, building, equipment":0,"Investments publicly traded":0,"Investments other":0,"Investments program related":0,"Intangible assets":0,"Other assets":0},"Liabilities":{"value":0,"Accounts payable, accrued":0,"Secured mortgages and notes payable":0,"Other liabilities":0},"Fund balance":{"value":0},"Form990Details":{"program_service_accomplishments":[{"description":"INOVA ALEXANDRIA HOSPITAL (IAH) IS PART OF THE INOVA HEALTH SYSTEM WHOSE MISSION IS TO SERVE THE COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION THROUGH THE PROVISION OF A FULL SPECTRUM OF HIGH QUALITY AND ACCESSIBLE HEALTHCARE SERVICES. IAH IS A 318-LICENSED BED GENERAL ACUTE CARE HOSPITAL, WHICH OPENED ON JANUARY 23, 1873. IAH PROVIDES A SPECTRUM OF DIAGNOSTIC SERVICES, INCLUDING FULL-BODY CT SCANNING, MRI, AND A CARDIAC CATHETERIZATION LABORATORY; A VARIETY OF INPATIENT MEDICAL, SURGICAL, AND ORTHOPEDIC SERVICES; COMPREHENSIVE OUTPATIENT SERVICES, INCLUDING OUTPATIENT SURGERY, PHYSICAL MEDICINE, AND REHABILITATION; AND A 24-HOUR EMERGENCY DEPARTMENT AS WELL AS THE SPRINGFIELD HEALTHPLEX, A FREE STANDING EMERGENCY FACILITY. IN ADDITION, SPECIALIZED OBSTETRIC AND PEDIATRIC SERVICES ARE PROVIDED BY THE HOSPITAL'S MATERNAL AND INFANT HEALTH CENTER AND A CHILDREN'S UNIT. IN 2012 THE HOSPITAL HAD 16,195 ADMISSIONS EXCLUDING NEWBORNS, 3,884 OBSERVATION CASES, AND 74,354 PATIENT DAYS EXCLUDING NEWBORNS. HOSPITAL EMERGENCY ROOM VISITS TOTALED 109,273 (41,443 OF THE TOTAL ED VISITS AT THE HEALTHPLEX); AND THERE WERE 102,098 OUTPATIENT VISITS DURING THE YEAR. SPECIFIC ACUTE CARE PROGRAMS CARDIOVASCULAR CARE: THE INOVA HEART AND VASCULAR INSTITUTE AT IAH, OPENED IN OCTOBER 2004, HOUSES TEN INPATIENT BEDS, TWO CARDIOVASCULAR OPERATING ROOMS, ONE CARDIAC CATHETERIZATION LAB, ONE ELECTROPHYSIOLOGY LAB, THREE INTERVENTIONAL RADIOLOGY LABS, ONE MINOR PROCEDURE ROOM, OUTPATIENT CLINICS, CARDIAC REHABILITATION AND EDUCATIONAL FACILITIES. WOMEN'S HEALTH: IAH OFFERS A FULL RANGE OF OBSTETRIC SERVICES INCLUDING DELIVERY SERVICES, HIGH RISK PRENATAL SERVICES, INPATIENT AND OUTPATIENT OBSTETRICS/GYNECOLOGIC SURGERY, AS WELL AS REGULAR AND SPECIALTY NURSERY CARE. IN 2012, IAH HAD 3,781 DELIVERIES AT THE HOSPITAL. THERE IS A PRENATAL DIAGNOSTIC CENTER AND A 16 BED, LEVEL III NICU.. IN ADDITION, IAH WORKS WITH THE CASEY CLINIC, A STATE HEALTH CLINIC JOINTLY FUNDED BY THE STATE OF VIRGINIA, CITY OF ALEXANDRIA AND THE ALEXANDRIA HEALTH DEPARTMENT, PROVIDING OBSTETRIC SERVICES TO LOW-INCOME PATIENTS. CANCER CARE: IAH, A COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM DESIGNEE, FEATURES A FULL SERVICE CANCER CENTER INCLUDING MEDICAL AND SURGICAL ONCOLOGY AND RADIATION THERAPY. IAH CANCER SERVICES PROVIDE A FULL RANGE OF IMAGING TECHNIQUES TO DETECT AND STAGE CANCER, AS WELL AS PLAN TREATMENT. THESE INCLUDE GENERAL RADIOLOGICAL STUDIES, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT) AND POSITRON EMISSION TOMOGRAPHY (PET). IAH ALSO FEATURES THE VARIAN TRILOGY LINEAR ACCELERATOR TECHNOLOGY, SIR-SPHERES TECHNOLOGY AND OFFERS PROSTATE SEED IMPLANTS. CHARITY CARE ALL INOVA FACILITIES, INCLUDING THE IAH FACILITIES PROVIDE CHARITY CARE IN ACCORDANCE WITH INOVA POLICIES ENSURING ACCESS TO MEDICALLY NECESSARY CARE FOR ALL INDIVIDUALS. CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY. THESE POLICIES INCLUDE THE FOLLOWING KEY PROVISIONS:1. EMERGENCY CARE SHALL BE PROVIDED TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY.2. NON-EMERGENCY MEDICALLY NECESSARY CARE, EXCEPT FOR CERTAIN SPECIALTY OR REFERRAL PROGRAMS, SHALL BE PROVIDED BY ALL HOSPITALS AND ACCESS FACILITIES TO MEDICALLY INDIGENT PATIENTS. \"MEDICALLY NECESSARY CARE\" REFERS TO INPATIENT AND OUTPATIENT SERVICES DEFINED AS MEDICALLY NECESSARY BY THE FEDERAL MEDICARE PROGRAM. \"MEDICALLY INDIGENT\" IS DEFINED AS THOSE PATIENTS WHOSE INCOME FALLS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE (FPG). IN GENERAL, FREE MEDICALLY NECESSARY CARE IS PROVIDED FOR PATIENTS WITH INCOMES FALLING BELOW 200% OF THE FPG; AND DISCOUNTED CARE IS PROVIDED FOR SERVICES RENDERED TO PATIENTS WITH INCOMES FALLING BETWEEN 200% AND 300% OF THE FPG.INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S CHARITY CARE POLICY. UPON ADMISSION TO ANY INOVA HOSPITAL, NURSING HOME OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT OUR CHARITY CARE PROGRAM AND REFERRALS TO MEET WITH INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY THE INOVA PATIENT ACCOUNTS DEPARTMENT WITH THE PATIENT CONTACTED IF ADDITIONAL INFORMATION IS REQUIRED IN ORDER TO MAKE A DETERMINATION. THE PATIENT IS SUBSEQUENTLY PROVIDED A LETTER, NOTIFYING THEM AS TO THE LEVEL OF CHARITY CARE FOR WHICH THEY ARE QUALIFIED (WHETHER IT BE 100% COVERAGE OR A SLIDING SCALE PAYMENT BASED UPON THEIR INCOME LEVEL BETWEEN 200-300% OF THE FEDERAL POVERTY GUIDELINE). IN 2012, IAH'S UNREIMBURSED COST OF CHARITY CARE, INCLUDING FREE AND DISCOUNTED SERVICES, WAS APPROXIMATELY $23 MILLION.MEDICAID ESTABLISHED UNDER TITLE XIX OF THE SOCIAL SECURITY ACT, THIS PROGRAM PROVIDES ASSISTANCE FOR THE MEDICALLY INDIGENT, INCLUDING THOSE WHO CANNOT PAY FOR CARE DESPITE BEING ABLE TO AFFORD OTHER LIVING EXPENSES. ALSO INCLUDED UNDER THIS PROGRAM ARE THE BLIND, THE DISABLED, AND CRIPPLED CHILDREN. THE REIMBURSEMENT THAT IAH FACILITIES RECEIVE FROM THE MEDICAID PROGRAM ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED. DURING 2012, IAH PROVIDED CARE TO MEDICAID PATIENTS AT AN UNREIMBURSED COST OF APPROXIMATELY $9 MILLION. PARTICIPATION IN GOVERNMENTAL PROGRAMS FOR THOSE WITHOUT THE ABILITY TO PAY VARIOUS GOVERNMENT PROGRAMS PROVIDE FOR THE INDIGENT, INCLUDING MEDICAID RECIPIENTS. THESE PROGRAMS PROVIDE A PERCENTAGE OF REIMBURSEMENT FOR QUALIFYING PATIENTS; HOWEVER, PAYMENT IS TYPICALLY BELOW THE COST OF THOSE SERVICES. IN ADDITION TO FEDERAL AND STATE PROGRAMS, THE INOVA SUBSIDIARIES, INCLUDING IAH, WORK WITH VARIOUS COUNTY GOVERNMENTS AND AGENCIES IN PROVIDING CERTAIN FREE SERVICES TO THOSE RESIDENTS THE COUNTY IDENTIFIES AS MOST IN NEED.","expense":255665218,"revenue":333041607},{"description":"EACH YEAR, IAH DESIGNATES FUNDS FOR THE DEVELOPMENT AND CONTINUATION OF IDENTIFIED DIRECT CARE PROGRAMS. SERVICES BENEFIT THE ALEXANDRIA COMMUNITY BY PROVIDING BROAD ACCESS TO HEALTH CARE AND RELATED SERVICES TO THOSE MOST IN NEED. MANY OF THESE PROGRAMS AND SERVICES ARE NOT BILLED TO THE PATIENT OR ARE PROVIDED AT A SUBSTANTIALLY REDUCED FEE. IN ADDITION TO PROVIDING DIRECT CARE SUBSIDIZED SERVICE, INOVA ALSO PROVIDES DISEASE-PREVENTION PROGRAMS, HEALTH AND EXERCISE CLASSES, HEALTH EDUCATION AND HEALTH SCREENINGS AND OTHER PROGRAMS WITHIN THE COMMUNITY IN SUPPORT OF THE IAH MISSION. THESE SERVICES AND PROGRAMS INCLUDE: INOVA ALEXANDRIA HOSPITAL OB CLINIC: IAH DONATES SPACE ON THE CAMPUS TO THE CASEY CLINIC, A COMMUNITY HEALTH CENTER FUNDED BY THE STATE OF VIRGINIA, ALEXANDRIA HEALTH DEPARTMENT AND THE CITY OF ALEXANDRIA TO PROVIDE PRIMARY HEALTHCARE SERVICES TO LOW-INCOME AND UNINSURED CHILDREN AND ADULTS THAT ARE RESIDENTS OF THE CITY OF ALEXANDRIA. IAH FUNDS THE CLINIC PHYSICIANS WHO PROVIDE OB PATIENT PRENATAL EXAMINATIONS AND DELIVERY AT INOVA ALEXANDRIA HOSPITAL. INOVA DIABETES CENTER: THE INOVA DIABETES CENTER (IDC), A RECIPIENT OF THE AMERCIAN DIABETES ASSOCIATION'S RECOGNITIONS FOR DIABETES EDUCATION, PROVIDES OUTPATIENT DIABETES SELF-MANAGEMENT EDUCATION. IN 2012, THE IDC PROVIDED OVER 5,000 VISITS AT THE FOUR LOCATIONS IN THE NORTHERN VIRGINIA.MEDICAID ELIGIBILITY ASSISTANCE ALEXANDRIA HOSPITAL PROVIDES ASSISTANCE TO PATIENTS IN DETERMINING THEIR ELIGIBILITY FOR THE MEDICAID PROGRAMS."}],"program_service_revenue_detail":[{"business_code":"900099","description":"NET PATIENT SERVICE RE","total_revenue":330876849},{"business_code":"621500","description":"LAB OUTREACH","total_revenue":6796528},{"business_code":"900099","description":"TECHNICAL DYNAMICS, LLC","total_revenue":480338},{"business_code":"621990","description":"OUTPATIENT 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20170"}],"officers_directors_key_employees":[{"title":"PRESIDENT","average_hours_per_week":10.0,"average_hours_per_week_related_org":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":3538107,"other_compensation":644863,"individual_trustee_or_director":true,"officer":true},{"title":"TREASURER","average_hours_per_week":10.0,"average_hours_per_week_related_org":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":980061,"other_compensation":300965,"individual_trustee_or_director":true,"officer":true},{"title":"TRUSTEE","average_hours_per_week":0.5,"average_hours_per_week_related_org":10.5,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":0,"other_compensation":0,"individual_trustee_or_director":true},{"title":"SECRETARY","average_hours_per_week":10.0,"average_hours_per_week_related_org":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":600590,"other_compensation":89927,"officer":true},{"title":"CEO","average_hours_per_week":35.0,"average_hours_per_week_related_org":5.0,"reportable_comp_from_org":455414,"reportable_comp_from_related_orgs":0,"other_compensation":137749,"key_employee":true},{"title":"CHIEF 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SERVICES","average_hours_per_week":40.0,"reportable_comp_from_org":189014,"reportable_comp_from_related_orgs":0,"other_compensation":39364,"highest_compensated_employee":true},{"title":"FORMER SECRETARY","average_hours_per_week":10.0,"average_hours_per_week_related_org":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":243724,"other_compensation":64844,"former":true},{"title":"FORMER AVP ASSOC ADM & CHI","average_hours_per_week":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":253285,"other_compensation":22848,"former":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleC":{"lobbying_activities":{"volunteers":false,"paid_staff_or_management":false,"media_advertisements":false,"mailings_members":false,"publications_or_broadcast":false,"grants_other_organizations":false,"direct_contact_legislators":false,"rallies_demonstrations":false,"other_activities":true,"other_activities_amount":25570,"total_lobbying_expenditures":25570,"not_described_section_501c3":false},"supplemental_information":[{"identifier":"EXPLANATION OF LOBBYING ACTIVITIES:","form_and_line_reference":"PART II-B, LINE 1:","explanation":"THERE WERE NO SIGNIFICANT LOBBYING ACTIVITIES DURING 2012. AMOUNTS UNDER OTHER ACTIVITIES PER PART II-B REPRESENT A PORTION OF MEMBERSHIP DUES RELATED TO LOBBYING."}]},"ScheduleD":{"land_buildings_equipment":{"total_book_value":0},"other_liabilities":{"footnote_text":true},"supplemental_information":[{"identifier":"DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:","form_and_line_reference":"PART X, LINE 2:","explanation":"FOOTNOTE FROM CONSOLIDATED FINANCIAL STATEMENTS INCLUDING INOVA ALEXANDRIA HOSPITAL: THE FOUNDATION, IHCS, AHSC, LHI AND IHSS, ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN DETERMINED TO BE EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IHI AND ITS SUBSIDIARIES ARE TAXABLE ORGANIZATIONS. DEFERRED INCOME TAXES ARE PROVIDED FOR ALL SIGNIFICANT TIMING DIFFERENCES BETWEEN REVENUES AND EXPENSES REPORTED FOR FINANCIAL STATEMENT AND FOR TAX PURPOSES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_300":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":7041517,"reimbursed_by_medicare":62829403,"cost_of_care_reimbursed_by_medicare":82910120,"medicare_surplus_or_shortfall":-20080717,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":22413239,"net_community_benefit_expense":22413239,"total_expense_percentage":0.0786},"unreimbursed_medicaid":{"total_community_benefit_expense":8680281,"net_community_benefit_expense":8680281,"total_expense_percentage":0.0305},"total_financial_assistance":{"total_community_benefit_expense":31093520,"net_community_benefit_expense":31093520,"total_expense_percentage":0.1091},"subsidized_health_services":{"total_community_benefit_expense":3352590,"net_community_benefit_expense":3352590,"total_expense_percentage":0.0118},"cash_and_inkind_contributions":{"total_community_benefit_expense":227000,"net_community_benefit_expense":227000,"total_expense_percentage":0.0008},"total_other_benefits":{"total_community_benefit_expense":3579590,"net_community_benefit_expense":3579590,"total_expense_percentage":0.0126},"total_community_benefits":{"total_community_benefit_expense":34673110,"net_community_benefit_expense":34673110,"total_expense_percentage":0.1217}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"INOVA ALEXANDRIA HOSPITAL","address_line1":"4320 SEMINARY ROAD","city":"ALEXANDRIA","state":"VA","zip":"22304","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"INOVA ALEXANDRIA HOSPITAL","address":"4320 SEMINARY ROAD, ALEXANDRIA, VA, 22304"}],"facility_policies":[{"business_name_line1":"INOVA ALEXANDRIA HOSPITAL","facility_number":1,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":300.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"other_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"other_method_used":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"other_publicity":true,"fap_actions_on_nonpayment":true,"collection_activities":false,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"lowest_negotiated_rates":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"INOVA ALEXANDRIA HOSPITAL"}],"supplemental_information":[{"explanation":"PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS INCLUDED IN THE CONSOLIDATED INOVA HEALTH SYSTEM REPORT TO THE COMMUNITY ON INOVA.ORG WEBSITE."},{"explanation":"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."},{"explanation":"PART I, LINE 7G: COST OF PHYSICIAN CLINIC INCLUDED IS $3,352,382."},{"explanation":"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 $ 18223388."},{"explanation":"PART II: INOVA'S OFFICE OF SUSTAINABILITY PROVIDED COMMUNITY BUILDING SUPPORT FOCUSED ON ENVIRONMENTAL IMPROVEMENTS. ENVIRONMENTAL MISSION STATEMENT: INOVA HEALTH SYSTEM IS COMMITTED TO ESTABLISHING AN ENVIRONMENTAL PROGRAM THAT IS SAFER AND HEALTHIER FOR OUR PATIENTS, EMPLOYEES AND COMMUNITY.COMMUNITY BUILDING ENVIRONMENTAL IMPROVEMENTS RECYCLING COMMINGLED RECYCLING: SINCE 2008 INOVA HAS HAD A COMMINGLED, OR SINGLE-STREAM, RECYCLING PROGRAM. THROUGHOUT OUR FACILITIES, PAPER, PLASTICS, CARDBOARD, METALS AND GLASS ARE ALL RECYCLED IN THE SAME CONTAINERS. SPECIALIZED MATERIALS RECYCLING SPECIALIZED AREAS RECYCLING (ORS, KITCHENS): WE HAVE ALSO IMPLEMENTED SPECIALIZED RECYCLING PROGRAMS TO CAPTURE SPECIFIC MATERIALS IN AREAS SUCH AS OPERATING ROOMS AND CONSTRUCTION SITES.ENERGY CALCULATED CARBON FOOTPRINT OF INOVA HOSPITALS BASED ON ENERGY CONSUMPTION ENERGY USAGE DATA TRACKING WITH ENERGY STAR PORTFOLIO MANAGER HIRED SYSTEM-LEVEL ENERGY MANAGER RETUNED BUILDING MANAGEMENT SYSTEMS EVALUATED PREVENTATIVE MAINTENANCE STRATEGIES NVESTIGATED AND INSTALLED MAGNETIC BEARING CHILLERS AT INOVA MOUNT VERNON HOSPITAL SUPPORTED ENERGY-SAVING TECHNOLOGIES INCLUDING MOTION AND DAYLIGHT SENSORS, LED AND INDUCTION LIGHTING AND SOLAR PANELS SUPPORTED THE PROCUREMENT OF ENERGY STAR AND EPEAT DESKTOP ELECTRONICS AND OTHER APPLIANCES WATER INTEGRATED GREEN TECHNOLOGIES: MOTION SENSOR FAUCETS, LOW-FLOW RESTROOM FIXTURES INCORPORATED NATIVE PLANTS AND LOW-IMPACT IRRIGATION SYSTEMS FOR LANDSCAPING UTILIZED WATER-EFFICIENT STERILIZATION EQUIPMENT INSTALLED RAIN CISTERN IN INOVA FAIRFAX MEDICAL CAMPUS' NEW SOUTH PATIENT TOWER BUILDINGS COMPLETED CONSTRUCTION ON LEED SILVER SOUTH PATIENT TOWER (IFMC) INSTALLED A 4,000 SQUARE FOOT VEGETATED ROOF SYSTEM THAT MITIGATES STORMWATER RUNOFF AND PROVIDES NATURE VIEWS TO ADJACENT PATIENT ROOMS OVER 20% OF BUILDING MATERIALS CONTAIN RECYCLED CONTENT 37% OF MATERIALS SOURCED FROM WITHIN 500 MILES OF THE FACILITY OVER 70% OF WOOD SOURCED FROM SUSTAINABLY MANAGED FORESTS RECYCLED CONSTRUCTION & DEMOLITION WASTE IMPLEMENTED INTEGRATED PEST MANAGEMENT PRACTICES APPLIED WATER-EFFICIENT AND PEST-RESISTANT NATIVE LANDSCAPING PRACTICES AND WATER-EFFICIENT IRRIGATION SYSTEMS"},{"explanation":"PART III, LINE 4: BAD DEBT FOOTNOTEPATIENT ACCOUNTS RECEIVABLE INCLUDE CHARGES FOR AMOUNTS DUE FROM ALL PATIENTS LESS ALLOWANCES FOR THE EXCESS OF ESTABLISHED CHARGES OVER THE PAYMENTS TO BE RECEIVED ON BEHALF OF PATIENTS COVERED BY MEDICARE, MEDICAID AND OTHER INSURERS. IHS HAS A SELF-INSURED DISCOUNT POLICY WHEREBY UNINSURED PATIENTS RECEIVE A 35% DISCOUNT FOR SERVICES RENDERED. DISCOUNTS TO UNINSURED PATIENTS ARE CLASSIFIED AS A DEDUCTION FROM REVENUE. THE PROVISION FOR BAD DEBTS IS RECOGNIZED WHEN PROVIDING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.ALL OPERATING ENTITIES OF IHS TREAT EMERGENCY PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. NON-EMERGENCY MEDICALLY NECESSARY CARE IS PROVIDED VIRTUALLY WITHOUT RESTRICTION AT ALL IHS TAX-EXEMPT OPERATING ENTITIES. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BASED UPON ESTABLISHED IHS POLICIES THAT CONSIDER PATIENT INCOME LEVELS AND AVAILABLE ASSETS. SINCE IHS DOES NOT PURSUE COLLECTION OF AMOUNTS THAT QUALIFY AS CHARITY CARE, THEY ARE DEDUCTED FROM GROSS REVENUE. THE PROVISION FOR BAD DEBTS INCLUDES UNPAID ACCOUNTS OF PATIENTS WHO FAIL TO PROVIDE REQUIRED INCOME AND ASSET DOCUMENTATION TO IHS. GUIDELINES USED BY IHS IN DETERMINING CHARITY CARE MAY DIFFER FROM GUIDELINES USED BY CERTAIN STATE OR FEDERAL AGENCIES. COSTING METHODOLOGYACTUAL BAD DEBT EXPENSE IS MULTIPLIED BY THE COST TO CHARGE RATIO USED IN COMPUTING CHARITY CARE EXPENSE IN PART I.THE ARE NO ESTIMATED AMOUNTS FOR BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY."},{"explanation":"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."},{"explanation":"PART III, LINE 9B: INOVA HEALTH SYSTEM STRIVES TO COMPLY WITH THE GUIDELINES ESTABLISHED BY THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE INTERNATIONAL CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY (ACA) WHICH REQUIRE MEMBERS TO ENGAGE IN HONORABLE, ETHICAL AND PROFESSIONAL CONDUCT OF CHARACTER NOT LIKELY TO DECEIVE, DEFRAUD OR HARM THE PUBLIC.THE POLICY OF INOVA HEALTH SYSTEM IS TO TAKE LEGAL ACTION, ONLY IF THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS IN EXCESS OF THE LEVELS SUGGESTED IN THE FINANCIAL ASSISTANCE POLICY; THE PATIENT HAS FAILED TO PROVIDE THE INFORMATION NEEDED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE; OR THE PATIENT IS NO LONGER MEETING HIS OBLIGATIONS UNDER AN AGREED-UPON PAYMENT PLAN AND HAS NOT INFORMED THE COLLECTIONS OFFICE OF A CHANGE IN FINANCIAL CONDITION.STAFFS WHO WORK CLOSELY WITH PATIENTS, INCLUDING THOSE INVOLVED IN BILLING AND COLLECTION, ARE EDUCATED ABOUT HOSPITAL BILLING, FINANCIAL ASSISTANCE AND COLLECTION POLICIES AND PRACTICES.AGENCIES ACTING ON BEHALF OF INOVA HEALTH SYSTEM MAY NOT GARNISH WAGES OR FREEZE BANK ACCOUNTS AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. AGENCIES MAY FILE LIENS ONLY AGAINST ESTATES. THE FORECLOSURE OR FORCED SALE OF A PATIENT'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING HOSPITAL BILL IS PROHIBITED. IT IS NOT THE POLICY OF INOVA HEALTH SYSTEM TO FILE LIENS RELATED TO MEDICARE, MEDICAID, MEDICREDIT FFA OR CHARITY ACCOUNTS."},{"explanation":"PART V, SECTION B, LINE 12H: FAMILY SIZE"},{"explanation":"PART V, SECTION B, LINE 14G: FINANCIAL AID BROCHURES EXPLAINING THE CHARITY POLICY ARE AVAILABLE THROUGH OUT THE HOSPITALS ER ROOMS AND WAITING ROOMS HAVE CHARITY NOTIFICATION NOTICES POSTED IN THEIR AREAS."},{"explanation":"PART V, SECTION B, LINE 20D: ALL SELF PAY PATIENTS RECEIVE A 35% SELF PAY DISCOUNT"},{"explanation":"PART VI, LINE 2: INOVA HEALTH SYSTEM (IHS) HAS USED THE FOLLOWING METHODS TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY:AN ASSESSMENT OF COMMUNITY HEALTH STATUS BASED ON AVAILABLE MORBIDITY AND MORTALITY DATA FROM SECONDARY DATA SOURCES SUCH AS COMMONWEALTH OF VIRGINIA VITAL STATISTICS, CANCER REGISTRIES AND HOSPITAL DISCHARGE ABSTRACTS;FOCUS GROUPS AND SURVEYS TO DETERMINE COMMUNITY CONCERNS AND EXPECTATIONS RELATED TO HEALTH ISSUES; CONFERENCES TO ELICIT BROAD COMMUNITY INPUT AND REACH CONSENSUS ON CRITICAL HEALTH CARE NEEDS.PERIODICALLY UPDATED THE COMMUNITY NEEDS ASSESSMENT WITH A COMPREHENSIVE ANALYSIS OF COMMUNITY HEALTH STATUS TO DETERMINE HOW COMMUNITY HEALTH NEEDS HAVE CHANGED SINCE THE PRIOR ASSESSMENTS WERE COMPLETED. THIS ASSESSMENT RELIED ON SECONDARY DATA SOURCES INCLUDING VDH STATISTICS ON BIRTHS, DEATHS AND DISEASES; INFORMATION ON HOSPITAL FINANCES AND UTILIZATION FROM VIRGINIA HEALTH INFORMATION INC; AND INTERNAL INFORMATION ON HOSPITAL UTILIZATION AND CHARGES FROM INOVA HEALTH SYSTEM.STUDY OF COMMUNITY HEALTH IMPACT ON HOSPITAL SERVICES USING POPULATION BASED HOSPITAL DISCHARGE DATAENGAGED COMMUNITY LEADERS FROM THE ALEXANDRIA HEALTH DEPARTMENT, FAIRFAX COUNTY SCHOOL DISTRICT AND A PRIVATE NON-PROFIT. NORTHERN VIRGINIA FAMILY SERVICES PROVIDED EXPERT CONSULTATION AND GUIDANCE FOR THE TASK FORCE ON THE IMPORTANCE AND CHALLENGES OF ESTABLISHING PARTNERSHIPS.AS A RESULT OF THIS WORK INOVA'S PROGRAMS EXPANDED TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES. THESE GOALS WERE RE-EVALUATED AND UPDATED TO ALIGN WITH THE HEALTHY PEOPLE 2010 GOALS AND OUTCOMES. COMMUNITY HEALTH NEEDS ASSESSMENTS ARE CURRENTLY IN PROGRESS ACROSS NORTHERN VIRGINIA SPONSORED BY THE VARIOUS HEALTH DEPARTMENTS USING THE FRAMEWORK OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. INOVA HEALTH SYSTEM IS A PARTICIPATING MEMBER OF EACH MAPP PROCESS TEAM IN EACH JURISDICTION ACROSS NORTHERN VIRGINIA. INOVA SERVED ON THE MAPP TEAM'S YEAR-LONG TASK FORCE FOR ARLINGTON COUNTY, FOR WHICH THE FINAL REPORT WAS COMPLETED IN 2008. IN 2008 INOVA ALSO PARTICIPATED IN THE FIRST OF FOUR ASSESSMENTS BEING CONDUCTED BY FAIRFAX COUNTY. THIS IS AN ONGOING COMMUNITY-DRIVEN PLANNING PROCESS THAT IS DESIGNED TO PROVIDE INFORMATION FOR IMPROVING THE COMMUNITY'S DELIVERY OF THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. FAIRFAX COUNTY HAS THREE OTHER ASSESSMENTS TO COMPLETE THE MAPP PROCESS. THIS PROCESS BRINGS TOGETHER A DIVERSE GROUP OF KEY COMMUNITY STAKEHOLDERS INCLUDING LOCAL GOVERNMENT, HUMAN SERVICE ORGANIZATIONS, SCHOOLS AND UNIVERSITIES, HEALTHCARE CONSUMERS, ADVOCACY GROUPS, HOSPITALS, FAITH INSTITUTIONS, YOUTH DEVELOPMENT ORGANIZATIONS, ECONOMIC AND PHILANTHROPIC GROUPS, ETC. TO IDENTIFY STRENGTHS AND WEAKNESSES IN THE TEN ESSENTIAL AREAS TO PROVIDE A FOUNDATION FOR COMMUNITY HEALTH PLANNING. INOVA IS PARTICIPATING IN THE CONTINUING LOCAL PUBLIC HEALTH NEEDS ASSESSMENT IN THE CITY OF ALEXANDRIA AS WELL. THE INFORMATION FROM ALL THE MAPP HEALTH NEEDS ASSESSMENTS FROM ALL JURISDICTIONS SERVED BY INOVA HEALTH SYSTEM WILL PROVIDE THE NEW BASELINE FOR THE ONGOING THREE-YEAR COMMUNITY NEEDS ASSESSMENTS AND WILL BE INCORPORATED INTO THE COMMUNITY NEEDS ASSESSMENT INOVA INITIATED IN 2011 WITH COMPLETION OF THE ASSESSMENT AS WELL AS IMPLEMENTATION PLANS SCHEDULED FOR 2013. IN ADDITION TO PARTICIPATING IN THE MAPP PROCESS, INOVA IS CONTINUALLY GARNERING FEEDBACK ON THEIR EXISTING PROGRAMS FROM PROGRAM PARTICIPANTS THROUGH MONTHLY AND QUARTERLY SATISFACTION SURVEYS AND FOCUS GROUPS, PARTICIPATING IN REGIONAL AND LOCAL HEALTH RELATED GROUPS SUCH AS THE NORTHERN VIRGINIA ACCESS TO HEALTH CARE CONSORTIUM, MEETING WITH VARIOUS CULTURAL AND ETHNIC GROUPS IN THE COMMUNITY AND USING INTERNAL UTILIZATION AND OUTCOMES DATA, REVIEW OF BEST PRACTICES AND REGIONAL AND NATIONAL BENCHMARK DATA AND OTHER EXTERNAL SOURCES SUCH AS THE METROPOLITAN WASHINGTON COUNCIL OF GOVERNMENTS (COG) DEMOGRAPHIC DATA TO DEVELOP STRATEGIC GOALS FOR HEALTH IMPROVEMENT ACTIVITIES. COLLECTIVELY, ALL THIS INFORMATION IS UTILIZED IN ASSESSING COMMUNITY HEALTH NEEDS TO GUIDE STRATEGIC PLANNING EFFORTS."},{"explanation":"PART VI, LINE 3: INOVA HEALTH SYSTEM INCORPORATES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND POTENTIAL PATIENTS ABOUT THE INOVA CHARITY CARE POLICY. UPON ADMISSION TO ANY INOVA HOSPITAL OR NURSING HOME OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING OUR EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. PATIENTS ARE PROVIDED INFORMATION ABOUT OUR CHARITY CARE PROGRAM AND REFERRALS TO AN INOVA FINANCIAL COUNSELOR WHO ASSISTS THE PATIENTS IN COMPLETING OUR CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY OUR PATIENT ACCOUNTS DEPARTMENT AND THE PATIENT IS CONTACTED IF ANY ADDITIONAL INFORMATION IS NEEDED TO MAKE A DETERMINATION. THE PATIENT IS SENT A LETTER IN WHICH THEY ARE GIVEN THE LEVEL OF CHARITY CARE FOR WHICH THEY ARE QUALIFIED WHETHER IT BE 100% COVERAGE OR A SLIDING SCALE PAYMENT BASED UPON THEIR INCOME LEVEL BETWEEN 200-300% OF THE FEDERAL POVERTY GUIDELINE. INOVA ALSO HAS MEDICAID ELIGIBILITY WORKERS ON-SITE IN ALL HOSPITALS, IN OUR INOVACARES CLINIC FOR WOMEN AND CHILDREN (CLINIC FOR LOW INCOME FAMILIES) AND IN THE COMMUNITY AS PART OF OUR PARTNERSHIP FOR HEALTHIER KIDS ACCESS TO CARE PROGRAM. WE PARTNER WITH SCHOOLS ACROSS OUR JURISDICTION TO PROVIDE INFORMATION ABOUT STATE FUNDED HEALTH PROGRAMS FOR CHILDREN AND CONTACT INFORMATION TO MEET WITH AN ELIGIBILITY WORKER RESPONSIBLE FOR ENROLLING FAMILIES IN STATE MEDICAID PROGRAMS. THESE ELIGIBILITY WORKERS ALSO GO OUT INTO THE COMMUNITY ATTENDING COMMUNITY EVENTS SUCH AS HEALTH FAIRS, FAITH-BASED COMMUNITY ACTIVITIES AND OTHER FAMILY CENTERED COMMUNITY EVENTS TO PROACTIVELY MEET WITH FAMILIES TO ENCOURAGE ENROLLMENT IN PROGRAMS FOR WHICH THEY ARE ELIGIBLE. INOVA HAS A SECTION OF OUR PUBLIC WEBSITE DEDICATED TO INFORMATION ABOUT BILLING AND FINANCIAL COORDINATORS AND FINANCIAL ASSISTANCE RESOURCES. ON THE SITE A BROCHURE CALLED \"FINANCIAL HELP FOR HEALTHCARE SERVICES\" CAN BE DOWNLOADED AND IS AVAILABLE IN 6 LANGUAGES TO ADDRESS THE NEEDS OF OUR CULTURALLY DIVERSE COMMUNITY."},{"explanation":"PART VI, LINE 4: ALEXANDRIA HEALTH CARE SERVICES (AHCS) IS A NOT-FOR-PROFIT CORPORATION AND A SUBSIDIARY OF THE PARENT ORGANIZATION, INOVA HEALTH SYSTEM FOUNDATION (INOVA). INOVA PROVIDES HEALTHCARE AND RELATED SERVICES THROUGHOUT NORTHERN VIRGINIA AND THE GREATER METROPOLITAN WASHINGTON, D.C. AREA, INCLUDING CERTAIN CONTIGUOUS COUNTIES OF VIRGINIA AND MARYLAND. NORTHERN VIRGINIA IS ONE OF THE FASTEST GROWING URBAN COMMUNITIES IN THE UNITED STATES. WITH APPROXIMATELY 1,314 SQUARE MILES, THE REGION IS THE MOST DENSELY POPULATED IN THE COMMONWEALTH OF VIRGINIA. NORTHERN VIRGINIA IS COMPRISED OF SEVERAL DISTINCT COMMUNITIES, INCLUDING THE CITIES OF ALEXANDRIA, FAIRFAX, FALLS CHURCH, MANASSAS AND MANASSAS PARK, AND THE COUNTIES OF ARLINGTON, FAIRFAX, LOUDOUN, AND PRINCE WILLIAM. THE EASTERN SECTIONS ARE URBANIZED WITH ATTENDANT HEALTH PROBLEMS OF OVERCROWDING AND INCREASING DEMAND FOR HEALTH SERVICES AND PUBLIC PROGRAMS. INOVA ALEXANDRIA HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE CITY OF ALEXANDRIA AND WEST ALEXANDRIA, MOUNT VERNON NORTH, FRANCONIA/KINGSTOWNE AND BAILEYS CROSSROADS/LINCOLNIA.THE REGION'S POPULATION SERVED BY AHCS IS FORECASTED TO GROW 10% OVER THE NEXT DECADE, ADDING AN ESTIMATED AVERAGE OF 5,700 PERSONS A YEAR. POPULATION WILL BE SPURRED BY THE LONG-TERM STRENGTH OF THE REGION'S ECONOMY, HIGH RATES OF IN-MIGRATION AND INTERNATIONAL IMMIGRATION. THE REGION'S POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS EXPECTED TO INCREASE BY 80% BY 2030, WHILE THE NUMBER OF CHILDREN WILL INCREASE BY ABOUT 20%. NORTHERN VIRGINIA'S RACIAL AND ETHNIC DIVERSITY IS MORE PRONOUNCED THAN IN THE REST OF THE STATE. WITH INCREASING DIVERSITY, ECONOMICALLY DISADVANTAGED POPULATIONS AND MULTIPLE LANGUAGES, THE NEED FOR ACCESS TO CULTURALLY APPROPRIATE, FLEXIBLE HEALTH CARE CONTINUES TO GROW. THE NORTHERN VIRGINIA GEOGRAPHIC REGION IS 45% MINORITY, UP FROM 23% IN 1990, WHILE THE NATION AS A WHOLE REFLECTS A 37% MINORITY POPULATION (U.S. CENSUS BUREAU, 2013). ALEXANDRIA CITY IN 2012 HAD 139,000 PEOPLE WITH APPROXIMATELY 25% OF THE POPULATION FOREIGN BORN. IN 2010, ALEXANDRIA'S ASIANS, HISPANICS, AND AFRICAN AMERICANS REPRESENTED 6.0%, 16.1%, AND 21.8% OF ALEXANDRIA'S POPULATION, RESPECTIVELY (U.S. CENSUS BUREAU, 2013).ACCORDING TO THE US CENSUS BUREAU SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE) IN 2010 APPROXIMATELY 13.0% OF THE TOTAL POPULATION UNDER THE AGE OF 65 (ABOUT 264,000 PEOPLE) IN NORTHERN VIRGINIA LACKED HEALTHCARE INSURANCE. OF THE PEOPLE LIVING IN NORTHERN VIRGINIA WHOSE FAMILY INCOMES ARE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, SAHIE ESTIMATES THAT 40% (ABOUT 122,000 PEOPLE) WERE UNINSURED IN 2010.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."},{"explanation":"PART VI, LINE 5: INOVA HEALTH SYSTEM'S INVESTMENT IN THE COMMUNITIES ACROSS NORTHERN VIRGINIA IS EVIDENT GIVEN THE PROGRAMS PROVIDING ACCESS TO CARE FOR LOW INCOME, UNINSURED, UNDERINSURED AND VULNERABLE POPULATIONS; PROMOTING HEALTH & WELLNESS AND INCREASING HEALTH LITERACY; PROVIDING THE SUPPORT AND INFRASTRUCTURE FOR DISASTER PREPAREDNESS; AND PROVIDING PROGRAMS TO SUPPORT DEVELOPMENT OF OUR FUTURE HEALTHCARE WORKFORCE TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. ALL INOVA HEALTHCARE FACILITIES HAVE OPEN MEDICAL STAFFS TO PROVIDE THE MAXIMUM ACCESS TO QUALIFIED PHYSICIANS. A COMMUNITY BOARD OF TRUSTEES PROVIDES FISCAL AND QUALITY OVERSIGHT FOR INOVA HEALTH CARE SERVICES' FACILITIES TO ENSURE THE VISION AND MISSION OF THE ORGANIZATION IS ACHIEVED.ACCESS TO CARE PROGRAMSINOVA'S COMMUNITY SAFETY NET AND COMMUNITY HEALTH DIVISION IS ORGANIZED TO ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY. IN ADDITION TO THE PROGRAMS ALREADY DESCRIBED IN THE CORE FORM PROGRAM, ACCOMPLISHMENTS THAT INCREASE ACCESS TO HEALTHCARE SERVICES FOR THE COMMUNITIES SERVED BY INOVA HEALTH SYSTEM INCLUDE THE FOLLOWING PROGRAMS WHICH PROVIDE INFRASTRUCTURE SUPPORT AND SERVICES FOCUSED ON VULNERABLE POPULATIONS:THE STREAMLINED ELIGIBILITY PROGRAM (SES), LAUNCHED BY THE SUCCESSFUL IMPLEMENTATION OF THE FEDERALLY-FUNDED 2001 CAP AND 2004 HCAP GRANTS, CONTINUES TO BE FUNDED BY INOVA. SES PROVIDES LOCAL SAFETY-NET HEALTH CARE PROVIDERS ACCESS TO COORDINATED HEALTH CARE NETWORKS TO SERVE THE UNINSURED AND UNDERINSURED RESIDENTS OF NORTHERN VIRGINIA. A SHARED DATABASE IS USED TO DETERMINE A PATIENT'S ELIGIBILITY FOR SERVICES WHICH PROVIDES ONE CENTRAL INTAKE THEREBY STREAMLINING AND EXPEDITING THE PROCESS. INOVA SUPPORTS THE INFRASTRUCTURE AND EXPANSION OF THE PROGRAM WHICH CURRENTLY CONSISTS OF 12 PUBLIC/PRIVATE PARTNERS SERVING FAIRFAX COUNTY, CITY OF ALEXANDRIA, LOUDOUN COUNTY, ARLINGTON COUNTY, AND PRINCE WILLIAM COUNTY. THE SYSTEM CURRENTLY HOUSES OVER 285,000 ELIGIBILITY RECORDS OF UNINSURED AND MEDICAID PATIENTS. INOVA'S PARTNERSHIP FOR HEALTHIER KIDS (PHK) ACCESS TO CARE PROGRAM PROVIDES FAMILIES WITH COMPREHENSIVE APPLICATION AND ENROLLMENT ASSISTANCE TO CONNECT THEM WITH AN APPROPRIATE AND AFFORDABLE SOURCE OF HEALTH CARE SERVICES. IN 2012, PHK ASSISTED OVER 4,982 CHILDREN WITH ACCESS TO A SOURCE OF COMPREHENSIVE HEALTH CARE SERVICES SUCH AS MEDICAID, FAMIS OR LOCAL SAFETY NET PROVIDERS. TRANSITIONAL CARE MANAGEMENT INOVA TRANSITIONAL CARE MANAGEMENT PROGRAM (TCM), IMPLEMENTED JULY 2011 FOCUSES ON UNMANAGED MEDICARE/ MEDICAID AND UNINSURED PATIENTS DIAGNOSED WITH HEART FAILURE (CHF), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), PNEUMONIA AND DIABETES. THESE DISEASES ACCOUNT FOR A HIGH PROPORTION OF POTENTIALLY PREVENTABLE READMISSIONS. FOR 30 DAYS AFTER DISCHARGE FROM THE HOSPITAL OR EMERGENCY ROOM, TCM CASE MANAGERS AND HEALTH COACHES MONITOR PATIENTS PRIMARILY BY TELEPHONE. THEY EDUCATE PATIENTS ABOUT THEIR ILLNESSES, ENSURE THEY HAVE A FOLLOW-UP APPOINTMENT WITH THEIR PRIMARY CARE PHYSICIAN (PCP), AND CONFIRM THEY HAVE FILLED ANY PRESCRIPTIONS AND ARE TAKING THE CORRECT MEDICATIONS. FOR THOSE PATIENTS THAT DO NOT HAVE A PCP, INOVA HAS DEVELOPED TCM CLINICS IN COLLABORATION WITH THE INOVA JUNIPER PROGRAM IN WHICH PATIENTS ARE PROVIDED A FOLLOW UP APPOINTMENT WITH A NURSE PRACTITIONER WHO WILL FOLLOW THE PATIENT UNTIL THE PATIENT IS CONNECTED WITH A MEDICAL HOME. INOVA HOME HEALTH SERVICES ALSO PARTNERS WITH TCM IN PROVIDING HOME VISITS TO PATIENTS IDENTIFIED BY THE CASE MANAGERS AS NEEDING A HOME VISIT. IN 2012, 3,567 PATIENTS WERE ADMITTED TO THE TCM PROGRAM.INOVA KELLAR CENTERINOVA KELLAR CENTER IS A COMMUNITY BASED BEHAVIORAL HEALTH CENTER AND SPECIAL EDUCATION SCHOOL FOUNDED BY INOVA IN 1991 WITH A GIFT FROM FAIRFAX COUNTY RESIDENTS, ART AND BETTY KELLAR, TO ADDRESS A GAP IN MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR CHILDREN AND ADOLESCENTS. CURRENTLY IKC OFFERS A FULL CONTINUUM OF MENTAL HEALTH SERVICES FROM OUTPATIENT THERAPIES AND MEDICATION MANAGEMENT TO AFTER SCHOOL INTENSIVE OUTPATIENT PROGRAMS AND A FULL DAY PARTIAL HOSPITALIZATION PROGRAM. THE KELLAR SCHOOL, A PRIVATE SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH EMOTIONAL, SOCIAL AND BEHAVIORAL NEEDS PROVIDES ACADEMIC INSTRUCTION WITHIN A THERAPEUTIC ENVIRONMENT. THE CENTER PROVIDED 37,679 CLINICAL AND 42,402 EDUCATIONAL HOURS TO CHILDREN AND FAMILIES FOR A TOTAL OF 80,081 HOURS IN 2012. HEALTH PROMOTION AND PREVENTATIVE CARE PROGRAMSNORTHERN VIRGINIA HEALTHY KIDS' COALITION: TIPPING THE SCALES FOR BETTER HEALTH. INOVA HEALTH SYSTEM IN PARTNERSHIP WITH NORTHERN VIRGINIA SCHOOLS, HEALTH DEPARTMENTS, AND GOVERNMENT ENTITIES HAVE JOINED TOGETHER IN A MULTI-YEAR EFFORT TO ADDRESS THE CHILDHOOD OBESITY EPIDEMIC BY WORKING TO REVERSE THIS TREND. THE INOVA HEALTH SYSTEM SPONSORS THIS COMMUNITY-BASED COALITION. INOVA PARTNERING ACTIVELY TOWARDS HEALTH (IPATH). THE IPATH MISSION IS TO PROVIDE OPPORTUNITIES FOR STUDENTS TO ENGAGE IN HEALTH ORIENTED ACTIVITIES WITHIN OUR COMMUNITY, STRENGTHEN HEALTHY LIVING AMONGST ADOLESCENTS, AND EXPOSE STUDENTS TO EXCITING MEDICAL CAREERS. THE PATHWAY TO IMPROVED HEALTH PROGRAM IS A TEN-WEEK PROGRAM DESIGNED TO ENGAGE SELECTED STUDENT LEADERS THAT WILL CHAMPION HEALTH AWARENESS ACTIVITIES IN THEIR SCHOOLS AND COMMUNITIES, EMPOWER STUDENTS TO PARTNER WITH HEALTH PROFESSIONALS TO ASSIST INOVA AND THEIR SCHOOL IN DEVELOPING A NEW HEALTH INITIATIVE, AND SERVE AS A HEALTH AMBASSADOR TO THEIR FAMILIES TO HELP ACHIEVE THE GOAL OF IMPROVING THE HEALTH OF THE COMMUNITY ONE FAMILY AT A TIME. CONGREGATIONAL HEALTH PARTNERSHIP (CHP) HAS RESOURCED AND FACILITATED WELLNESS OF SPIRIT, MIND, AND BODY THROUGH MULTI-FAITH COMMUNITIES:PROVIDED MORE THAN 102 HEALTH EDUCATION AND WELLNESS PROMOTION ACTIVITIES DISTRIBUTED OVER 12,654 PIECES OF HEALTH EDUCATION MATERIALS.CONDUCTED OVER 3,371 CONSULTATIONS AND NETWORKING CONVERSATIONSINCREASED THE NUMBER OF NEW FAITH COMMUNITIES PARTNERED WITH CHP WITH 20 NEW FAITH CONGREGATIONS CONTACTED THIS YEAR.HEALTH LITERACY AND HEALTH EQUITY PROGRAMSTHE OFFICE OF HEALTH EQUITY (OHE) IDENTIFIES AND ADDRESSES HEALTH DISPARITIES IN NORTHERN VIRGINIA THROUGH INTERNAL AND COMMUNITY INITIATIVES UNDER THE QUALITY, SERVICE AND COMMUNITY PILLARS. THE DEPARTMENT IS DEDICATED TO THE ELIMINATION OF DISPARITIES IN OUR COMMUNITY THROUGH COMMUNITY PARTNERSHIP, DIVERSITY AND CULTURAL COMPETENCE EDUCATION, AND PROVISION OF LANGUAGE SERVICES. IN SUPPORT OF PATIENT SAFETY AND SATISFACTION, LANGUAGE INTERPRETATION AND TRANSLATION SERVICES ARE PROVIDED AT EVERY INOVA FACILITY, TO FACILITATE COMMUNICATION WITH THE 8-10 PERCENT OF INOVA'S PATIENT POPULATION WHO ARE LIMITED ENGLISH PROFICIENT (LEP). MEDICAL INTERPRETATION IN OVER 100 LANGUAGES IS PROVIDED BY ON SITE MEDICAL INTERPRETERS AND TELEPHONIC INTERPRETERS. IN 2012, THE OHE DELIVERED 55,289 HOURS OF INTERPRETER SERVICE ACROSS INOVA FACILITIES. IN 2012, 18,099 HOURS OF SIGN LANGUAGE INTERPRETATION WERE DELIVERED. VIDEO REMOTE INTERPRETING (ON DEMAND, ONLINE INTERPRETING) HAS BEEN EXPANDED TO 24 LOCATIONS THROUGHOUT INOVA."},{"explanation":"PART VI, LINE 6: ORGANIZATION IS PART OF INOVA HEALTH SYSTEM INCLUDED IN DESCRIPTION UNDER LINE 5."}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JKNOX 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GAUL","title":"SECRETARY","base_compensation_filing_org":0,"bonus_filing_org":0,"bonus_related_orgs":98500,"compensation_based_on_related_orgs":407543,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":35023,"deferred_compensation_filing_org":0,"deferred_compensation_related_orgs":69829,"nontaxable_benefits_filing_org":0,"nontaxable_benefits_related_orgs":20098,"other_compensation_filing_org":0,"other_compensation_related_orgs":94547,"total_compensation_filing_org":0,"total_compensation_related_orgs":690517,"name":"JOHN GAUL"},{"person_name":"CHRISTINE CANDIO","title":"CEO","base_compensation_filing_org":344625,"bonus_filing_org":77951,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":120697,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":17052,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":32838,"other_compensation_related_orgs":0,"total_compensation_filing_org":593163,"total_compensation_related_orgs":0,"name":"CHRISTINE CANDIO"},{"person_name":"JOHN AUDETT","title":"CHIEF MEDICAL OFFICER","base_compensation_filing_org":285100,"bonus_filing_org":42434,"bonus_related_orgs":0,"compensation_based_on_related_orgs":0,"comp_report_prior_990_filing_org":0,"comp_report_prior_990_related_orgs":0,"deferred_compensation_filing_org":59097,"deferred_compensation_related_orgs":0,"nontaxable_benefits_filing_org":11311,"nontaxable_benefits_related_orgs":0,"other_compensation_filing_org":11437,"other_compensation_related_orgs":0,"total_compensation_filing_org":409379,"total_compensation_related_orgs":0,"name":"JOHN AUDETT"},{"person_name":"TODD LOCKCUFF","title":"AVP, ASSOC ADMIN 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hospital (iah) is part of the inova health system whose mission is to serve the community as a not-for-profit organization through the provision of a full spectrum of high quality and accessible healthcare services. Iah is a 318-licensed bed general acute care hospital, which opened on january 23, 1873. Iah provides a spectrum of diagnostic services, including full-body ct scanning, mri, and a cardiac catheterization laboratory; a variety of inpatient medical, surgical, and orthopedic services; comprehensive outpatient services, including outpatient surgery, physical medicine, and rehabilitation; and a 24-hour emergency department as well as the springfield healthplex, a free standing emergency facility. In addition, specialized obstetric and pediatric services are provided by the hospital's maternal and infant health center and a children's unit. In 2011 the hospital had 15,680 admissions including newborns, 4,328 observation cases, and 72,030 patient days excluding newborns. Hospital emergency room visits totaled 104,669 (40,077 of the total ed visits at the healthplex); and there were 102,106 outpatient visits during the year. Specific acute care programs cardiovascular care: the inova heart and vascular institute at iah, opened in october 2004, houses ten inpatient beds, two cardiovascular operating rooms, one cardiac catheterization lab, one electrophysiology lab, three interventional radiology labs, one minor procedure room, outpatient clinics, cardiac rehabilitation and educational facilities. In 2011, a total of 8,784 patients were served by the iah cardiovascular program.women's health: iah offers a full range of obstetric services including delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, as well as regular and specialty nursery care. In 2011, iah had 3,998 babies delivered at the hospital. There is a prenatal diagnostic center which provided 9,070 visits in 2011. Iah has a 16 bed, level iii nicu which treated 332 neonates for 4,317 patient days. In addition, iah works with the casey clinic, a state health clinic jointly funded by the state of virginia, city of alexandria and the alexandria health department, providing obstetric services to low-income patients. Cancer care: iah, a community hospital comprehensive cancer program designee, features a full service cancer center including medical and surgical oncology and radiation therapy. Iah cancer services provide a full range of imaging techniques to detect and stage cancer, as well as plan treatment. These include general radiological studies, magnetic resonance imaging (mri), computed tomography (ct) and positron emission tomography (pet). Iah also features the varian trilogy linear accelerator technology, sir-spheres technology and offers prostate seed implants. Charity care all inova facilities, including the iah facilities provide charity care in accordance with inova policies ensuring access to medically necessary care for all individuals. Charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. These policies include the following key provisions:1. Emergency care shall be provided to all persons regardless of their ability to pay.2. Non-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and access facilities to medically indigent patients. \"medically necessary care\" refers to inpatient and outpatient services defined as medically necessary by the federal medicare program. \"medically indigent\" is defined as those patients whose income falls at or below 300% of the federal poverty guideline (fpg). In general, free medically necessary care is provided for patients with incomes falling below 200% of the fpg; and discounted care is provided for services rendered to patients with incomes falling between 200% and 300% of the fpg.inova health system utilizes a multifaceted approach to educate and inform patients and the public about inova's charity care policy. Upon admission to any inova hospital, nursing home or any visit to outpatient facilities or clinics including emergency departments, inova has information posted regarding patient rights and responsibilities. In addition, inova provides information about our charity care program and referrals to meet with inova financial counselors who assist patients in completing inova's charity care application. This financial information is reviewed by the inova patient accounts department with the patient contacted if additional information is required in order to make a determination. The patient is subsequently provided a letter, notifying them as to the level of charity care for which they are qualified (whether it be 100% coverage or a sliding scale payment based upon their income level between 200-300% of the federal poverty guideline). In 2011, iah's unreimbursed cost of charity care, including free and discounted services, was approximately $24 million.medicaid established under title xix of the social security act, this program provides assistance for the medically indigent, including those who cannot pay for care despite being able to afford other living expenses. Also included under this program are the blind, the disabled, and crippled children. The reimbursement that iah facilities receive from the medicaid program routinely falls below the actual cost of services provided. During 2010, iah provided care to medicaid patients at an unreimbursed cost of approximately $ 9 million. Participation in governmental programs for those without the ability to pay various government programs provide for the indigent, including medicaid recipients. These programs provide a percentage of reimbursement for qualifying patients; however, payment is typically below the cost of those services. In addition to federal and state programs, the inova subsidiaries, including iah, work with various county governments and agencies in providing certain free services to those residents the county identifies as most in need.\n\nEach year, iah designates funds for the development and continuation of identified direct care programs. Services benefit the alexandria community by providing broad access to health care and related services to those most in need. Many of these programs and services are not billed to the patient or are provided at a substantially reduced fee. In addition to providing direct care subsidized service, inova also provides disease-prevention programs, health and exercise classes, health education and health screenings and other programs within the community in support of the iah mission. These services and programs include: inova alexandria hospital ob clinic: iah donates space on the campus to the casey clinic, a community health center funded by the state of virginia, alexandria health department and the city of alexandria to provide primary healthcare services to low-income and uninsured children and adults that are residents of the city of alexandria. Iah funds clinic physicians ($3.1 million in 2011) who provide ob patient prenatal examinations and delivery at inova alexandria hospital. In 2011 the hospital-based physicians delivered 684 babies for women who were seen in the clinic and in addition had an additional 200-300 deliveries for patients who were not seen in the clinic. Inova diabetes center: the inova diabetes center provides outpatient diabetes self-management education to approximately 2,800 persons with diabetes each year in the northern virginia area. The inova diabetes center has four locations in the northern virginia area and is the recipient of the american diabetes association's recognition for diabetes education programs. Medicaid eligibility assistance alexandria hospital provides assistance to patients in determining their eligibility for the medicaid programs.","year":2011,"name":"INOVA ALEXANDRIA HOSPITAL","phone":"7035043000","website":"INOVA.ORG","type":"990","principal_officer":"J KNOX SINGLETON","year_formation":1901,"state_legal_domicile":"VA","total_volunteers":634,"tax_period_begin":"2011-01-01T00:00:00","tax_period_end":"2011-12-31T00:00:00","address":"8110 GATEHOUSE ROAD SUITE 400W, FALLS CHURCH, VA, 22042, USA","city":"FALLS CHURCH","state":"VA","country":"USA","zip_code":"22042"},"Governance":{"501c3 determination":true,"Number of voting members":3,"Number of independent voting members":1,"Number of employees total":2383,"Total Gross UBI":6485238,"Net unrelated business taxable income":0,"Number of employees":2383,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Family or business relationship":false,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":330110762,"Contributions":{"value":461111,"Grant revenue":245103,"Related organizations":216008},"Program revenue":{"value":327775213,"Total revenue":{"value":327775213,"VARIOUS":327775213},"Unrelated business revenue":6485238},"Investment income":{"value":93952,"Investment income total":93952},"Other revenues":{"value":1780486,"Other total":1780486}},"Expenses":{"value":298960426,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":144642479,"Current officers":3543501,"Other salaries and wages":114719612,"Pension plan contributions":7018779,"Other employee benefits":10858171,"Payroll taxes":8502416},"Other expenses":{"value":154317947,"Legal":390883,"Accounting":27225,"Lobbying services":15288,"Other services":42591005,"Advertising":32435,"Office expenses":770749,"Information technology":445487,"Occupancy":4468261,"Travel":203867,"Conferences and meetings":109504,"Interest":5832226,"Depreciation and depletion":18264760,"Insurance":1917599,"Itemized Expenses":{"value":76894456,"VARIOUS":76894456},"All other expenses":2354202}},"Assets":{"value":326125025,"Savings and temp cash investments":3902590,"Accounts receivable":38635347,"Other net note and loans":2143717,"Inventories for sale or use":3030489,"Prepaid expenses deferred charges":1258968,"Land, building, equipment":142526783,"Other assets":134627131},"Liabilities":{"value":24761110,"Accounts payable, accrued":18240786,"Secured mortgages and notes payable":118124,"Other liabilities":6402200},"Fund balance":{"value":301363915},"Form990Details":{"program_service_accomplishments":[{"description":"INOVA ALEXANDRIA HOSPITAL (IAH) IS PART OF THE INOVA HEALTH SYSTEM WHOSE MISSION IS TO SERVE THE COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION THROUGH THE PROVISION OF A FULL SPECTRUM OF HIGH QUALITY AND ACCESSIBLE HEALTHCARE SERVICES. IAH IS A 318-LICENSED BED GENERAL ACUTE CARE HOSPITAL, WHICH OPENED ON JANUARY 23, 1873. IAH PROVIDES A SPECTRUM OF DIAGNOSTIC SERVICES, INCLUDING FULL-BODY CT SCANNING, MRI, AND A CARDIAC CATHETERIZATION LABORATORY; A VARIETY OF INPATIENT MEDICAL, SURGICAL, AND ORTHOPEDIC SERVICES; COMPREHENSIVE OUTPATIENT SERVICES, INCLUDING OUTPATIENT SURGERY, PHYSICAL MEDICINE, AND REHABILITATION; AND A 24-HOUR EMERGENCY DEPARTMENT AS WELL AS THE SPRINGFIELD HEALTHPLEX, A FREE STANDING EMERGENCY FACILITY. IN ADDITION, SPECIALIZED OBSTETRIC AND PEDIATRIC SERVICES ARE PROVIDED BY THE HOSPITAL'S MATERNAL AND INFANT HEALTH CENTER AND A CHILDREN'S UNIT. IN 2011 THE HOSPITAL HAD 15,680 ADMISSIONS INCLUDING NEWBORNS, 4,328 OBSERVATION CASES, AND 72,030 PATIENT DAYS EXCLUDING NEWBORNS. HOSPITAL EMERGENCY ROOM VISITS TOTALED 104,669 (40,077 OF THE TOTAL ED VISITS AT THE HEALTHPLEX); AND THERE WERE 102,106 OUTPATIENT VISITS DURING THE YEAR. SPECIFIC ACUTE CARE PROGRAMS CARDIOVASCULAR CARE: THE INOVA HEART AND VASCULAR INSTITUTE AT IAH, OPENED IN OCTOBER 2004, HOUSES TEN INPATIENT BEDS, TWO CARDIOVASCULAR OPERATING ROOMS, ONE CARDIAC CATHETERIZATION LAB, ONE ELECTROPHYSIOLOGY LAB, THREE INTERVENTIONAL RADIOLOGY LABS, ONE MINOR PROCEDURE ROOM, OUTPATIENT CLINICS, CARDIAC REHABILITATION AND EDUCATIONAL FACILITIES. IN 2011, A TOTAL OF 8,784 PATIENTS WERE SERVED BY THE IAH CARDIOVASCULAR PROGRAM.WOMEN'S HEALTH: IAH OFFERS A FULL RANGE OF OBSTETRIC SERVICES INCLUDING DELIVERY SERVICES, HIGH RISK PRENATAL SERVICES, INPATIENT AND OUTPATIENT OBSTETRICS/GYNECOLOGIC SURGERY, AS WELL AS REGULAR AND SPECIALTY NURSERY CARE. IN 2011, IAH HAD 3,998 BABIES DELIVERED AT THE HOSPITAL. THERE IS A PRENATAL DIAGNOSTIC CENTER WHICH PROVIDED 9,070 VISITS IN 2011. IAH HAS A 16 BED, LEVEL III NICU WHICH TREATED 332 NEONATES FOR 4,317 PATIENT DAYS. IN ADDITION, IAH WORKS WITH THE CASEY CLINIC, A STATE HEALTH CLINIC JOINTLY FUNDED BY THE STATE OF VIRGINIA, CITY OF ALEXANDRIA AND THE ALEXANDRIA HEALTH DEPARTMENT, PROVIDING OBSTETRIC SERVICES TO LOW-INCOME PATIENTS. CANCER CARE: IAH, A COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM DESIGNEE, FEATURES A FULL SERVICE CANCER CENTER INCLUDING MEDICAL AND SURGICAL ONCOLOGY AND RADIATION THERAPY. IAH CANCER SERVICES PROVIDE A FULL RANGE OF IMAGING TECHNIQUES TO DETECT AND STAGE CANCER, AS WELL AS PLAN TREATMENT. THESE INCLUDE GENERAL RADIOLOGICAL STUDIES, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT) AND POSITRON EMISSION TOMOGRAPHY (PET). IAH ALSO FEATURES THE VARIAN TRILOGY LINEAR ACCELERATOR TECHNOLOGY, SIR-SPHERES TECHNOLOGY AND OFFERS PROSTATE SEED IMPLANTS. CHARITY CARE ALL INOVA FACILITIES, INCLUDING THE IAH FACILITIES PROVIDE CHARITY CARE IN ACCORDANCE WITH INOVA POLICIES ENSURING ACCESS TO MEDICALLY NECESSARY CARE FOR ALL INDIVIDUALS. CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY. THESE POLICIES INCLUDE THE FOLLOWING KEY PROVISIONS:1. EMERGENCY CARE SHALL BE PROVIDED TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY.2. NON-EMERGENCY MEDICALLY NECESSARY CARE, EXCEPT FOR CERTAIN SPECIALTY OR REFERRAL PROGRAMS, SHALL BE PROVIDED BY ALL HOSPITALS AND ACCESS FACILITIES TO MEDICALLY INDIGENT PATIENTS. \"MEDICALLY NECESSARY CARE\" REFERS TO INPATIENT AND OUTPATIENT SERVICES DEFINED AS MEDICALLY NECESSARY BY THE FEDERAL MEDICARE PROGRAM. \"MEDICALLY INDIGENT\" IS DEFINED AS THOSE PATIENTS WHOSE INCOME FALLS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE (FPG). IN GENERAL, FREE MEDICALLY NECESSARY CARE IS PROVIDED FOR PATIENTS WITH INCOMES FALLING BELOW 200% OF THE FPG; AND DISCOUNTED CARE IS PROVIDED FOR SERVICES RENDERED TO PATIENTS WITH INCOMES FALLING BETWEEN 200% AND 300% OF THE FPG.INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S CHARITY CARE POLICY. UPON ADMISSION TO ANY INOVA HOSPITAL, NURSING HOME OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT OUR CHARITY CARE PROGRAM AND REFERRALS TO MEET WITH INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY THE INOVA PATIENT ACCOUNTS DEPARTMENT WITH THE PATIENT CONTACTED IF ADDITIONAL INFORMATION IS REQUIRED IN ORDER TO MAKE A DETERMINATION. THE PATIENT IS SUBSEQUENTLY PROVIDED A LETTER, NOTIFYING THEM AS TO THE LEVEL OF CHARITY CARE FOR WHICH THEY ARE QUALIFIED (WHETHER IT BE 100% COVERAGE OR A SLIDING SCALE PAYMENT BASED UPON THEIR INCOME LEVEL BETWEEN 200-300% OF THE FEDERAL POVERTY GUIDELINE). IN 2011, IAH'S UNREIMBURSED COST OF CHARITY CARE, INCLUDING FREE AND DISCOUNTED SERVICES, WAS APPROXIMATELY $24 MILLION.MEDICAID ESTABLISHED UNDER TITLE XIX OF THE SOCIAL SECURITY ACT, THIS PROGRAM PROVIDES ASSISTANCE FOR THE MEDICALLY INDIGENT, INCLUDING THOSE WHO CANNOT PAY FOR CARE DESPITE BEING ABLE TO AFFORD OTHER LIVING EXPENSES. ALSO INCLUDED UNDER THIS PROGRAM ARE THE BLIND, THE DISABLED, AND CRIPPLED CHILDREN. THE REIMBURSEMENT THAT IAH FACILITIES RECEIVE FROM THE MEDICAID PROGRAM ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED. DURING 2010, IAH PROVIDED CARE TO MEDICAID PATIENTS AT AN UNREIMBURSED COST OF APPROXIMATELY $ 9 MILLION. PARTICIPATION IN GOVERNMENTAL PROGRAMS FOR THOSE WITHOUT THE ABILITY TO PAY VARIOUS GOVERNMENT PROGRAMS PROVIDE FOR THE INDIGENT, INCLUDING MEDICAID RECIPIENTS. THESE PROGRAMS PROVIDE A PERCENTAGE OF REIMBURSEMENT FOR QUALIFYING PATIENTS; HOWEVER, PAYMENT IS TYPICALLY BELOW THE COST OF THOSE SERVICES. IN ADDITION TO FEDERAL AND STATE PROGRAMS, THE INOVA SUBSIDIARIES, INCLUDING IAH, WORK WITH VARIOUS COUNTY GOVERNMENTS AND AGENCIES IN PROVIDING CERTAIN FREE SERVICES TO THOSE RESIDENTS THE COUNTY IDENTIFIES AS MOST IN NEED.","expense":277076849,"grants":245103,"revenue":323070461},{"description":"EACH YEAR, IAH DESIGNATES FUNDS FOR THE DEVELOPMENT AND CONTINUATION OF IDENTIFIED DIRECT CARE PROGRAMS. SERVICES BENEFIT THE ALEXANDRIA COMMUNITY BY PROVIDING BROAD ACCESS TO HEALTH CARE AND RELATED SERVICES TO THOSE MOST IN NEED. MANY OF THESE PROGRAMS AND SERVICES ARE NOT BILLED TO THE PATIENT OR ARE PROVIDED AT A SUBSTANTIALLY REDUCED FEE. IN ADDITION TO PROVIDING DIRECT CARE SUBSIDIZED SERVICE, INOVA ALSO PROVIDES DISEASE-PREVENTION PROGRAMS, HEALTH AND EXERCISE CLASSES, HEALTH EDUCATION AND HEALTH SCREENINGS AND OTHER PROGRAMS WITHIN THE COMMUNITY IN SUPPORT OF THE IAH MISSION. THESE SERVICES AND PROGRAMS INCLUDE: INOVA ALEXANDRIA HOSPITAL OB CLINIC: IAH DONATES SPACE ON THE CAMPUS TO THE CASEY CLINIC, A COMMUNITY HEALTH CENTER FUNDED BY THE STATE OF VIRGINIA, ALEXANDRIA HEALTH DEPARTMENT AND THE CITY OF ALEXANDRIA TO PROVIDE PRIMARY HEALTHCARE SERVICES TO LOW-INCOME AND UNINSURED CHILDREN AND ADULTS THAT ARE RESIDENTS OF THE CITY OF ALEXANDRIA. IAH FUNDS CLINIC PHYSICIANS ($3.1 MILLION IN 2011) WHO PROVIDE OB PATIENT PRENATAL EXAMINATIONS AND DELIVERY AT INOVA ALEXANDRIA HOSPITAL. IN 2011 THE HOSPITAL-BASED PHYSICIANS DELIVERED 684 BABIES FOR WOMEN WHO WERE SEEN IN THE CLINIC AND IN ADDITION HAD AN ADDITIONAL 200-300 DELIVERIES FOR PATIENTS WHO WERE NOT SEEN IN THE CLINIC. INOVA DIABETES CENTER: THE INOVA DIABETES CENTER PROVIDES OUTPATIENT DIABETES SELF-MANAGEMENT EDUCATION TO APPROXIMATELY 2,800 PERSONS WITH DIABETES EACH YEAR IN THE NORTHERN VIRGINIA AREA. THE INOVA DIABETES CENTER HAS FOUR LOCATIONS IN THE NORTHERN VIRGINIA AREA AND IS THE RECIPIENT OF THE AMERICAN DIABETES ASSOCIATION'S RECOGNITION FOR DIABETES EDUCATION PROGRAMS. MEDICAID ELIGIBILITY ASSISTANCE ALEXANDRIA HOSPITAL PROVIDES ASSISTANCE TO PATIENTS IN DETERMINING THEIR ELIGIBILITY FOR THE MEDICAID PROGRAMS."}],"program_service_revenue_detail":[{"business_code":"900099","description":"NET PATIENT SERVICE RE","total_revenue":320951794},{"business_code":"621500","description":"LAB OUTREACH","total_revenue":6278732},{"business_code":"900099","description":"TECHNICAL DYNAMICS, LL","total_revenue":412539},{"business_code":"621990","description":"OUTPATIENT 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AMOUNTS UNDER OTHER ACTIVITIES PER PART II-B REPRESENT A PORTION OF MEMBERSHIP DUES RELATED TO LOBBYING."}]},"ScheduleD":{"land_buildings_equipment":{"land":{"other_cost_or_other_basis":266862,"book_value":266862},"buildings":{"other_cost_or_other_basis":106348128,"book_value":55283335,"depreciation":51064793},"leasehold_improvements":{"other_cost_or_other_basis":57482223,"book_value":42274680,"depreciation":15207543},"equipment":{"other_cost_or_other_basis":170371486,"book_value":39772871,"depreciation":130598615},"other_land_buildings":{"other_cost_or_other_basis":4929035,"book_value":4929035},"total_book_value":142526783},"other_assets":{"assets":[{"description":"INVESTMENT IN TDI LLC","book_value":10000},{"description":"DUE FROM SUBSIDIARIES AND AFFILIATES","book_value":134132479},{"description":"OTHER ASSETS","book_value":484652}],"total_book_value":134627131},"other_liabilities":{"liabilities":[{"description":"THIRD PARTY SETTLEMENTS","amount":6402200}],"total_liability":6402200},"supplemental_information":[{"identifier":"DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:","form_and_line_reference":"PART X:","explanation":"FOOTNOTE FROM CONSOLIDATED FINANCIAL STATEMENTS INCLUDING INOVA ALEXANDRIA HOSPITAL: THE FOUNDATION, IHCS, AHSC, LHI AND IHSS, ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN DETERMINED TO BE EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IHI AND ITS SUBSIDIARIES ARE TAXABLE ORGANIZATIONS. DEFERRED INCOME TAXES ARE PROVIDED FOR ALL SIGNIFICANT TIMING DIFFERENCES BETWEEN REVENUES AND EXPENSES REPORTED FOR FINANCIAL STATEMENT AND FOR TAX PURPOSES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_300":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":false,"bad_debt_expense":6123303,"reimbursed_by_medicare":59007367,"cost_of_care_reimbursed_by_medicare":80812144,"medicare_surplus_or_shortfall":-21804777,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":20426554,"net_community_benefit_expense":20426554,"total_expense_percentage":0.072},"unreimbursed_medicaid":{"total_community_benefit_expense":8671693,"net_community_benefit_expense":8671693,"total_expense_percentage":0.0306},"total_financial_assistance":{"total_community_benefit_expense":29098247,"net_community_benefit_expense":29098247,"total_expense_percentage":0.1026},"subsidized_health_services":{"total_community_benefit_expense":3100819,"net_community_benefit_expense":3100819,"total_expense_percentage":0.0109},"total_other_benefits":{"total_community_benefit_expense":3100819,"net_community_benefit_expense":3100819,"total_expense_percentage":0.0109},"total_community_benefits":{"total_community_benefit_expense":32199066,"net_community_benefit_expense":32199066,"total_expense_percentage":0.1135}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"INOVA ALEXANDRIA HOSPITAL","address_line1":"4320 SEMINARY ROAD","city":"ALEXANDRIA","state":"VA","zip":"22304","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"INOVA ALEXANDRIA HOSPITAL","address":"4320 SEMINARY ROAD, ALEXANDRIA, VA, 22304"}],"facility_policies":[{"business_name_line1":"INOVA ALEXANDRIA HOSPITAL","facility_number":1,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":300.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"other_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"other_method_used":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"other_publicity":true,"fap_actions_on_nonpayment":true,"collection_activities":true,"engaged_legal_judicial_process":true,"other_actions":true,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"lowest_negotiated_rates":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"INOVA ALEXANDRIA HOSPITAL"}],"supplemental_information":[{"explanation":"PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS INCLUDED IN THE CONSOLIDATED INOVA HEALTH SYSTEM REPORT TO THE COMMUNITY ON INOVA.ORG WEBSITE."},{"explanation":"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."},{"explanation":"PART I, LINE 7G: COST OF PHYSICIAN CLINIC INCLUDED IS $3,099,234."},{"explanation":"PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 15126737."},{"explanation":"PART III, LINE 4: BAD DEBT FOOTNOTEPATIENT ACCOUNTS RECEIVABLE INCLUDE CHARGES FOR AMOUNTS DUE FROM ALL PATIENTS LESS ALLOWANCES FOR THE EXCESS OF ESTABLISHED CHARGES OVER THE PAYMENTS TO BE RECEIVED ON BEHALF OF PATIENTS COVERED BY MEDICARE, MEDICAID AND OTHER INSURERS. BAD DEBT EXPENSE IS RECOGNIZED WHEN PROVIDING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. INOVA HAS A SELF-INSURED DISCOUNT PROGRAM WHEREBY UNINSURED PATIENTS RECEIVE A 35% DISCOUNT FOR SERVICES RENDERED. DISCOUNTS TO UNINSURED PATIENTS ARE CLASSIFIED AS A DEDUCTION FROM REVENUE AS OPPOSED TO BAD DEBT.ALL OPERATING ENTITIES OF IHS TREAT EMERGENCY PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. NON-EMERGENCY MEDICALLY NECESSARY CARE IS PROVIDED VIRTUALLY WITHOUT RESTRICTION AT ALL IHS TAX-EXEMPT OPERATING ENTITIES. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BASED UPON ESTABLISHED IHS POLICIES THAT CONSIDER PATIENT INCOME LEVELS AND AVAILABLE ASSETS. SINCE IHS DOES NOT PURSUE COLLECTION OF AMOUNTS THAT QUALIFY AS CHARITY CARE, THEY ARE DEDUCTED FROM GROSS REVENUE. UNPAID ACCOUNTS OF PATIENTS WHO FAIL TO PROVIDE REQUIRED INCOME AND ASSET DOCUMENTATION TO IHS ARE CLASSIFIED AS BAD DEBT EXPENSE. GUIDELINES USED BY IHS IN DETERMINING CHARITY CARE MAY DIFFER FROM GUIDELINES USED BY CERTAIN STATE OR FEDERAL AGENCIES. COSTING METHODOLOGYACTUAL BAD DEBT EXPENSE IS MULTIPLIED BY THE COST TO CHARGE RATIO USED IN COMPUTING CHARITY CARE EXPENSE IN PART I.THE ARE NO ESTIMATED AMOUNTS FOR BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY."},{"explanation":"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."},{"explanation":"PART III, LINE 9B: INOVA HEALTH SYSTEM STRIVES TO COMPLY WITH THE GUIDELINES ESTABLISHED BY THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE INTERNATIONAL CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY (ACA) WHICH REQUIRE MEMBERS TO ENGAGE IN HONORABLE, ETHICAL AND PROFESSIONAL CONDUCT OF CHARACTER NOT LIKELY TO DECEIVE, DEFRAUD OR HARM THE PUBLIC.THE POLICY OF INOVA HEALTH SYSTEM IS TO TAKE LEGAL ACTION, ONLY IF THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS IN EXCESS OF THE LEVELS SUGGESTED IN THE FINANCIAL ASSISTANCE POLICY; THE PATIENT HAS FAILED TO PROVIDE THE INFORMATION NEEDED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE; OR THE PATIENT IS NO LONGER MEETING HIS OBLIGATIONS UNDER AN AGREED-UPON PAYMENT PLAN AND HAS NOT INFORMED THE COLLECTIONS OFFICE OF A CHANGE IN FINANCIAL CONDITION.STAFFS WHO WORK CLOSELY WITH PATIENTS, INCLUDING THOSE INVOLVED IN BILLING AND COLLECTION, ARE EDUCATED ABOUT HOSPITAL BILLING, FINANCIAL ASSISTANCE AND COLLECTION POLICIES AND PRACTICES.AGENCIES ACTING ON BEHALF OF INOVA HEALTH SYSTEM MAY NOT GARNISH WAGES OR FREEZE BANK ACCOUNTS AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. AGENCIES MAY FILE LIENS ONLY AGAINST ESTATES. THE FORECLOSURE OR FORCED SALE OF A PATIENT'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING HOSPITAL BILL IS PROHIBITED. IT IS NOT THE POLICY OF INOVA HEALTH SYSTEM TO FILE LIENS RELATED TO MEDICARE, MEDICAID, MEDICREDIT FFA OR CHARITY ACCOUNTS."},{"explanation":"PART V, SECTION B, LINE 11H: FAMILY SIZE"},{"explanation":"PART V, SECTION B, LINE 13G: FINANCIAL AID BROCHURES EXPLAINING THE CHARITY POLICY ARE AVAILABLE THROUGH OUT THE HOSPITALS ER ROOMS AND WAITING ROOMS HAVE CHARITY NOTIFICATION NOTICES POSTED IN THEIR AREAS."},{"explanation":"PART V, SECTION B, LINE 16E: JUDGEMENTS OBTAINED"},{"explanation":"PART V, SECTION B, LINE 19D: ALL SELF PAY PATIENTS RECEIVE A 35% SELF PAY DISCOUNT"},{"explanation":"PART VI, LINE 2: IN PRIOR YEARS, INOVA HEALTH SYSTEM (IHS) HAS USED THE FOLLOWING METHODS TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY:AN ASSESSMENT OF COMMUNITY HEALTH STATUS BASED ON AVAILABLE MORBIDITY AND MORTALITY DATA FROM SECONDARY DATA SOURCES SUCH AS COMMONWEALTH OF VIRGINIA VITAL STATISTICS, CANCER REGISTRIES AND HOSPITAL DISCHARGE ABSTRACTS;FOCUS GROUPS AND SURVEYS TO DETERMINE COMMUNITY CONCERNS AND EXPECTATIONS RELATED TO HEALTH ISSUES; CONFERENCES TO ELICIT BROAD COMMUNITY INPUT AND REACH CONSENSUS ON CRITICAL HEALTH CARE NEEDS.PERIODICALLY UPDATED THE COMMUNITY NEEDS ASSESSMENT WITH A COMPREHENSIVE ANALYSIS OF COMMUNITY HEALTH STATUS TO DETERMINE HOW COMMUNITY HEALTH NEEDS HAVE CHANGED SINCE THE PRIOR ASSESSMENTS WERE COMPLETED. THIS ASSESSMENT RELIED ON SECONDARY DATA SOURCES INCLUDING VDH STATISTICS ON BIRTHS, DEATHS AND DISEASES; INFORMATION ON HOSPITAL FINANCES AND UTILIZATION FROM VIRGINIA HEALTH INFORMATION INC; AND INTERNAL INFORMATION ON HOSPITAL UTILIZATION AND CHARGES FROM INOVA HEALTH SYSTEM.STUDY OF COMMUNITY HEALTH IMPACT ON HOSPITAL SERVICES USING POPULATION BASED HOSPITAL DISCHARGE DATAENGAGED COMMUNITY LEADERS FROM THE ALEXANDRIA HEALTH DEPARTMENT, FAIRFAX COUNTY SCHOOL DISTRICT AND A PRIVATE NON-PROFIT. NORTHERN VIRGINIA FAMILY SERVICES PROVIDED EXPERT CONSULTATION AND GUIDANCE FOR THE TASK FORCE ON THE IMPORTANCE AND CHALLENGES OF ESTABLISHING PARTNERSHIPS.AS A RESULT OF THIS WORK INOVA'S PROGRAMS EXPANDED TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES. THESE GOALS WERE RE-EVALUATED AND UPDATED TO ALIGN WITH THE HEALTHY PEOPLE 200 GOALS AND OUTCOMES. COMMUNITY HEALTH NEEDS ASSESSMENTS ARE NOW IN PROGRESS ACROSS NORTHERN VIRGINIA SPONSORED BY THE VARIOUS HEALTH DEPARTMENTS USING THE FRAMEWORK OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. INOVA HEALTH SYSTEM IS A PARTICIPATING MEMBER OF EACH MAPP PROCESS TEAM IN EACH JURISDICTION ACROSS NORTHERN VIRGINIA. INOVA SERVED ON THE MAPP TEAM'S YEAR-LONG TASK FORCE FOR ARLINGTON COUNTY, FOR WHICH THE FINAL REPORT WAS COMPLETED IN 2008. IN 2008 INOVA ALSO PARTICIPATED IN THE FIRST OF FOUR ASSESSMENTS BEING CONDUCTED BY FAIRFAX COUNTY. THIS IS AN ONGOING COMMUNITY-DRIVEN PLANNING PROCESS THAT IS DESIGNED TO PROVIDE INFORMATION FOR IMPROVING THE COMMUNITY'S DELIVERY OF THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. FAIRFAX COUNTY HAS THREE OTHER ASSESSMENTS TO COMPLETE THE MAPP PROCESS. THIS PROCESS BRINGS TOGETHER A DIVERSE GROUP OF KEY COMMUNITY STAKEHOLDERS INCLUDING LOCAL GOVERNMENT, HUMAN SERVICE ORGANIZATIONS, SCHOOLS AND UNIVERSITIES, HEALTHCARE CONSUMERS, ADVOCACY GROUPS, HOSPITALS, FAITH INSTITUTIONS, YOUTH DEVELOPMENT ORGANIZATIONS, ECONOMIC AND PHILANTHROPIC GROUPS, ETC. TO IDENTIFY STRENGTHS AND WEAKNESSES IN THE TEN ESSENTIAL AREAS TO PROVIDE A FOUNDATION FOR COMMUNITY HEALTH PLANNING. INOVA IS PARTICIPATING IN THE CONTINUING LOCAL PUBLIC HEALTH NEEDS ASSESSMENT IN THE CITY OF ALEXANDRIA AS WELL. THE INFORMATION FROM ALL THE MAPP HEALTH NEEDS ASSESSMENTS FROM ALL JURISDICTIONS SERVED BY INOVA HEALTH SYSTEM WILL PROVIDE THE NEW BASELINE FOR THE ONGOING THREE-YEAR COMMUNITY NEEDS ASSESSMENTS AND WILL BE INCORPORATED INTO THE COMMUNITY NEEDS ASSESSMENT INOVA INITIATED IN 2011 WITH COMPLETION OF THE ASSESSMENT AS WELL AS IMPLEMENTATION PLANS SCHEDULED FOR 2013. IN ADDITION TO PARTICIPATING IN THE MAPP PROCESS, INOVA IS CONTINUALLY GARNERING FEEDBACK ON THEIR EXISTING PROGRAMS FROM PROGRAM PARTICIPANTS THROUGH MONTHLY AND QUARTERLY SATISFACTION SURVEYS AND FOCUS GROUPS, PARTICIPATING IN REGIONAL AND LOCAL HEALTH RELATED GROUPS SUCH AS THE NORTHERN VIRGINIA ACCESS TO HEALTH CARE CONSORTIUM, MEETING WITH VARIOUS CULTURAL AND ETHNIC GROUPS IN THE COMMUNITY AND USING INTERNAL UTILIZATION AND OUTCOMES DATA, REVIEW OF BEST PRACTICES AND REGIONAL AND NATIONAL BENCHMARK DATA AND OTHER EXTERNAL SOURCES SUCH AS THE METROPOLITAN WASHINGTON COUNCIL OF GOVERNMENTS (COG) DEMOGRAPHIC DATA TO DEVELOP STRATEGIC GOALS FOR HEALTH IMPROVEMENT ACTIVITIES. COLLECTIVELY, ALL THIS INFORMATION IS UTILIZED IN ASSESSING COMMUNITY HEALTH NEEDS TO GUIDE STRATEGIC PLANNING EFFORTS."},{"explanation":"PART VI, LINE 3: INOVA HEALTH SYSTEM INCORPORATES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND POTENTIAL PATIENTS ABOUT THE INOVA CHARITY CARE POLICY. UPON ADMISSION TO ANY INOVA HOSPITAL OR NURSING HOME OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING OUR EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. PATIENTS ARE PROVIDED INFORMATION ABOUT OUR CHARITY CARE PROGRAM AND REFERRALS TO AN INOVA FINANCIAL COUNSELOR WHO ASSISTS THE PATIENTS IN COMPLETING OUR CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY OUR PATIENT ACCOUNTS DEPARTMENT AND THE PATIENT IS CONTACTED IF ANY ADDITIONAL INFORMATION IS NEEDED TO MAKE A DETERMINATION. THE PATIENT IS SENT A LETTER IN WHICH THEY ARE GIVEN THE LEVEL OF CHARITY CARE FOR WHICH THEY ARE QUALIFIED WHETHER IT BE 100% COVERAGE OR A SLIDING SCALE PAYMENT BASED UPON THEIR INCOME LEVEL BETWEEN 200-300% OF THE FEDERAL POVERTY GUIDELINE. INOVA ALSO HAS MEDICAID ELIGIBILITY WORKERS ON-SITE IN ALL HOSPITALS, IN OUR INOVACARES CLINIC FOR WOMEN AND CHILDREN (CLINIC FOR LOW INCOME FAMILIES) AND IN THE COMMUNITY AS PART OF OUR PARTNERSHIP FOR HEALTHIER KIDS ACCESS TO CARE PROGRAM. WE PARTNER WITH SCHOOLS ACROSS OUR JURISDICTION TO PROVIDE INFORMATION ABOUT STATE FUNDED HEALTH PROGRAMS FOR CHILDREN AND CONTACT INFORMATION TO MEET WITH AN ELIGIBILITY WORKER RESPONSIBLE FOR ENROLLING FAMILIES IN STATE MEDICAID PROGRAMS. THESE ELIGIBILITY WORKERS ALSO GO OUT INTO THE COMMUNITY ATTENDING COMMUNITY EVENTS SUCH AS HEALTH FAIRS, FAITH-BASED COMMUNITY ACTIVITIES AND OTHER FAMILY CENTERED COMMUNITY EVENTS TO PROACTIVELY MEET WITH FAMILIES TO ENCOURAGE ENROLLMENT IN PROGRAMS FOR WHICH THEY ARE ELIGIBLE. INOVA HAS A SECTION OF OUR PUBLIC WEBSITE DEDICATED TO INFORMATION ABOUT BILLING AND FINANCIAL COORDINATORS AND FINANCIAL ASSISTANCE RESOURCES. ON THE SITE A BROCHURE CALLED \"FINANCIAL HELP FOR HEALTHCARE SERVICES\" CAN BE DOWNLOADED AND IS AVAILABLE IN 6 LANGUAGES TO ADDRESS THE NEEDS OF OUR CULTURALLY DIVERSE COMMUNITY."},{"explanation":"PART VI, LINE 4: ALEXANDRIA HEALTH CARE SERVICES (AHCS) IS A NOT-FOR-PROFIT CORPORATION AND A SUBSIDIARY OF THE PARENT ORGANIZATION, INOVA HEALTH SYSTEM FOUNDATION (INOVA). INOVA PROVIDES HEALTHCARE AND RELATED SERVICES THROUGHOUT NORTHERN VIRGINIA AND THE GREATER METROPOLITAN WASHINGTON, D.C. AREA, INCLUDING CERTAIN CONTIGUOUS COUNTIES OF VIRGINIA AND MARYLAND. NORTHERN VIRGINIA IS ONE OF THE FASTEST GROWING URBAN COMMUNITIES IN THE UNITED STATES. WITH APPROXIMATELY 1,314 SQUARE MILES, THE REGION IS THE MOST DENSELY POPULATED IN THE COMMONWEALTH OF VIRGINIA. NORTHERN VIRGINIA IS COMPRISED OF SEVERAL DISTINCT COMMUNITIES, INCLUDING THE CITIES OF ALEXANDRIA, FAIRFAX, FALLS CHURCH, MANASSAS AND MANASSAS PARK, AND THE COUNTIES OF ARLINGTON, FAIRFAX, LOUDOUN, AND PRINCE WILLIAM. THE EASTERN SECTIONS ARE URBANIZED WITH ATTENDANT HEALTH PROBLEMS OF OVERCROWDING AND INCREASING DEMAND FOR HEALTH SERVICES AND PUBLIC PROGRAMS. INOVA ALEXANDRIA HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE CITY OF ALEXANDRIA AND WEST ALEXANDRIA, MOUNT VERNON NORTH, FRANCONIA/KINGSTOWNE AND BAILEYS CROSSROADS/LINCOLNIA.THE REGION'S POPULATION SERVED BY AHCS IS FORECASTED TO GROW 10% OVER THE NEXT DECADE, ADDING AN ESTIMATED AVERAGE OF 5,500 PERSONS A YEAR. POPULATION WILL BE SPURRED BY THE LONG-TERM STRENGTH OF THE REGION'S ECONOMY, HIGH RATES OF IN-MIGRATION AND INTERNATIONAL IMMIGRATION. THE REGION'S POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS EXPECTED TO INCREASE BY 50% BY 2030, WHILE THE NUMBER OF CHILDREN WILL INCREASE BY ABOUT 20%. NORTHERN VIRGINIA'S RACIAL AND ETHNIC DIVERSITY IS MORE PRONOUNCED THAN IN THE REST OF THE STATE. WITH INCREASING DIVERSITY, ECONOMICALLY DISADVANTAGED POPULATIONS AND MULTIPLE LANGUAGES, THE NEED FOR ACCESS TO CULTURALLY APPROPRIATE, FLEXIBLE HEALTH CARE CONTINUES TO GROW. THE NORTHERN VIRGINIA GEOGRAPHIC REGION IS 45% MINORITY, UP FROM 23% IN 1990, WHILE THE NATION AS A WHOLE REFLECTS A 36% MINORITY POPULATION (U.S. CENSUS BUREAU, 2010). ALEXANDRIA CITY IN 2010 HAD 140,000 PEOPLE WITH APPROXIMATELY 25% OF THE POPULATION FOREIGN BORN. IN 2010, ALEXANDRIA'S ASIANS, HISPANICS, AND AFRICAN AMERICANS REPRESENTED 6.0%, 16.1%, AND 21.8% OF ALEXANDRIA'S POPULATION, RESPECTIVELY (U.S. CENSUS BUREAU, 2010). ACCORDING TO THE 2007 VIRGINIA HEALTH CARE FOUNDATION HEALTH ACCESS SURVEY, APPROXIMATELY 14.8% OF THE OVERALL NORTHERN VIRGINIA POPULATION CURRENTLY LACKS HEALTHCARE INSURANCE. COMPARED TO 2.5% OF WHITES IN THE REGION WHO LACK HEALTH INSURANCE, 39.6% OF HISPANICS, 6.8% OF ASIANS, AND 6.5% OF BLACKS IN NORTHERN VIRGINIA ARE UNINSURED. AREA RESIDENTS MOST LIKELY TO BE UNINSURED ARE THOSE WHOSE FAMILY INCOMES ARE AT OR BELOW 200% OF THE POVERTY LEVEL, YOUNG ADULTS (AGE 18-44), PEOPLE OF RACIAL BACKGROUNDS OTHER THAN WHITE, UNEMPLOYED INDIVIDUALS, PART-TIME WORKERS, AND PEOPLE WHO WORK AT COMPANIES WITH FEWER THAN 50 EMPLOYEES. SERVING THIS POPULATION POSES SIGNIFICANT CULTURAL AND LINGUISTIC CHALLENGES, AND THESE UNINSURED CITIZENS ARE WIDELY DISTRIBUTED IN TERMS OF AGE, GEOGRAPHIC REGION, AND HEALTH STATUS."},{"explanation":"PART VI, LINE 5: INOVA HEALTH SYSTEM'S INVESTMENT IN THE COMMUNITIES ACROSS NORTHERN VIRGINIA IS EVIDENT GIVEN THE PROGRAMS PROVIDING ACCESS TO CARE FOR LOW INCOME, UNINSURED, UNDERINSURED AND VULNERABLE POPULATIONS; PROMOTING HEALTH & WELLNESS AND INCREASING HEALTH LITERACY; PROVIDING THE SUPPORT AND INFRASTRUCTURE FOR DISASTER PREPAREDNESS; AND PROVIDING PROGRAMS TO SUPPORT DEVELOPMENT OF OUR FUTURE HEALTHCARE WORKFORCE TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. ALL INOVA HEALTHCARE FACILITIES HAVE OPEN MEDICAL STAFFS TO PROVIDE THE MAXIMUM ACCESS TO QUALIFIED PHYSICIANS. A COMMUNITY BOARD OF TRUSTEES PROVIDES FISCAL AND QUALITY OVERSIGHT FOR INOVA HEALTH CARE SERVICES FACILITIES TO ENSURE THE VISION AND MISSION OF THE ORGANIZATION IS ACHIEVED.ACCESS TO CARE PROGRAMSINOVA'S COMMITMENT TO SUPPORTING ACCESS TO HEALTHCARE SERVICES IS EVIDENT IN THE INFRASTRUCTURE CREATED TO SUPPORT THE MANY PROGRAMS PROVIDED FOR THE LOW INCOME AND UNINSURED POPULATION. INOVA'S COMMUNITY SAFETY NET AND COMMUNITY HEALTH DIVISION IS ORGANIZED TO ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY. IN ADDITION TO THE PROGRAMS ALREADY DESCRIBED IN THE CORE FORM PROGRAM, ACCOMPLISHMENTS THAT INCREASE ACCESS TO HEALTHCARE SERVICES FOR THE COMMUNITIES SERVED BY INOVA HEALTH SYSTEM INCLUDE THE FOLLOWING PROGRAMS WHICH PROVIDE INFRASTRUCTURE SUPPORT AND SERVICES FOCUSED ON VULNERABLE POPULATIONS:THE STREAMLINED ELIGIBILITY PROGRAM (SES), LAUNCHED BY THE SUCCESSFUL IMPLEMENTATION OF THE FEDERALLY-FUNDED 2001 CAP AND 2004 HCAP GRANTS, CONTINUES TO BE FUNDED BY INOVA. SES PROVIDES LOCAL SAFETY-NET HEALTH CARE PROVIDERS ACCESS TO COORDINATED HEALTH CARE NETWORKS TO SERVE THE UNINSURED AND UNDERINSURED RESIDENTS OF NORTHERN VIRGINIA. A SHARED DATABASE IS USED TO DETERMINE A PATIENT'S ELIGIBILITY FOR SERVICES WHICH PROVIDES ONE CENTRAL INTAKE THEREBY STREAMLINING AND EXPEDITING THE PROCESS. INOVA SUPPORTS THE INFRASTRUCTURE AND EXPANSION OF THE PROGRAM WHICH CURRENTLY CONSISTS OF 12 PUBLIC/PRIVATE PARTNERS SERVING FAIRFAX COUNTY, CITY OF ALEXANDRIA, LOUDOUN COUNTY, ARLINGTON COUNTY, AND PRINCE WILLIAM COUNTY. THE SYSTEM CURRENTLY HOUSES OVER 285,000 ELIGIBILITY RECORDS OF UNINSURED AND MEDICAID PATIENTS. INOVA'S PARTNERSHIP FOR HEALTHIER KIDS (PHK) ACCESS TO CARE PROGRAM PROVIDES FAMILIES WITH COMPREHENSIVE APPLICATION AND ENROLLMENT ASSISTANCE TO CONNECT THEM WITH AN APPROPRIATE AND AFFORDABLE SOURCE OF HEALTH CARE SERVICES. IN 2011, PHK ASSISTED OVER 3,700 CHILDREN WITH ACCESS TO A SOURCE OF COMPREHENSIVE HEALTH CARE SERVICES SUCH AS MEDICAID, FAMIS OR LOCAL SAFETY NET PROVIDERS. THROUGH THE PROVISION OF TWO PROGRAMS, INOVA PARTNERSHIP FOR HEALTHIER KIDS WORKS WITH SCHOOLS, COMMUNITY ORGANIZATIONS, CORPORATIONS AND LOCAL GOVERNMENTS TO KEEP KIDS IN OUR COMMUNITY HEALTHY AND READY TO LEARN. THE ACCESS TO CARE PROGRAM PROVIDES FAMILIES WITH COMPREHENSIVE APPLICATION AND ENROLLMENT ASSISTANCE TO CONNECT THEM TO AN APPROPRIATE AND AFFORDABLE SOURCE OF HEALTH CARE SERVICES. THE PREVENTION PROGRAM PROVIDES STUDENTS AND FAMILIES NUTRITION AND PHYSICAL ACTIVITY EDUCATION TO INCREASE KNOWLEDGE AND IMPROVE SKILLS TO MAKE HEALTHY LIFESTYLE CHOICES.INOVA KELLAR CENTER PROVIDES MENTAL HEALTH, SUBSTANCE ABUSE TREATMENT AND SPECIAL EDUCATION SERVICES TO CHILDREN, ADOLESCENTS AND THEIR FAMILIES IN OUR COMMUNITY REGARDLESS OF THEIR ABILITY TO PAY. THE PROGRAM MEETS THE NEEDS OF THE CHILDREN AND FAMILIES OF FAIRFAX COUNTY BY PROVIDING A FULL CONTINUUM OF MENTAL HEALTH SERVICES FROM OUTPATIENT THERAPY AND MEDICATION MANAGEMENT TO INTENSIVE OUTPATIENT AFTER SCHOOL PROGRAMS AND FULL DAY PARTIAL HOSPITALIZATION PROGRAMS. DURING 2011 THE CENTER PROVIDED 78,392 CLINICAL AND EDUCATIONAL SESSIONS TO CHILDREN AND FAMILIES. INOVA KELLAR CENTER HAS BEEN INVOLVED IN THE DEVELOPMENT OF A SYSTEM OF CARE MODEL FOR THE PROVISION OF MENTAL HEALTH SERVICES WITHIN THE REGION. KEEPING WITH THE GOAL OF HAVING CHILDREN REMAIN IN THE COMMUNITY, THE CENTER CONTINUES TO BUILD CAPACITY TO MEET THE NEEDS OF THE INCREASINGLY CHALLENGED POPULATION. THE $300,000 GRANT FROM A PRIVATE FOUNDATION TO SUPPORT THE EXPANSION OF KELLAR CENTER'S SYSTEM OF CARE SERVICES FOR CHILDREN HAS ENABLED THE CENTER TO EXPAND OUTPATIENT FAMILY SERVICES INCLUDING PSYCHOLOGICAL SERVICES AND HOME BASED SERVICES BY UNDERWRITING THE INITIAL INVESTMENT AND \"START UP\" COSTS ASSOCIATED WITH EXPANSIONS. THE CENTER HAS DOUBLED ITS' ABILITY TO PROVIDED ADLD ASSESSMENTS AND PSYCHOLOGICAL TESTING. THE RECRUITMENT PROCESS FOR 2 ADDITIONAL CHILD AND ADOLESCENT PSYCHIATRIST'S HAS BEGUN. THESE POSITIONS WILL PROVIDE SERVICES TO OVER 500 ADDITIONAL PATIENTS BY 2012.HEALTH PROMOTION AND PREVENTATIVE CARE PROGRAMSNORTHERN VIRGINIA HEALTHY KIDS' COALITION: TIPPING THE SCALES FOR BETTER HEALTH. OBESITY HAS BECOME AN URGENT PUBLIC HEALTH PROBLEM IN NORTHERN VIRGINIA, WITH OVER 100,000 CHILDREN AGED 2 TO 18 YEARS OF AGE BEING EITHER OVERWEIGHT OR AT-RISK OF BECOMING OVERWEIGHT. INOVA HEALTH SYSTEM IN PARTNERSHIP WITH NORTHERN VIRGINIA SCHOOLS, HEALTH DEPARTMENTS, AND GOVERNMENT ENTITIES HAVE JOINED TOGETHER IN A MULTI-YEAR EFFORT TO ADDRESS THE CHILDHOOD OBESITY EPIDEMIC BY WORKING TO REVERSE THIS TREND. THE INOVA HEALTH SYSTEM SPONSORS THIS COMMUNITY-BASED COALITION. INOVA PARTNERING ACTIVELY TOWARDS HEALTH (IPATH). THE IPATH MISSION IS TO PROVIDE OPPORTUNITIES FOR STUDENTS TO ENGAGE IN HEALTH ORIENTED ACTIVITIES WITHIN OUR COMMUNITY, STRENGTHEN HEALTHY LIVING AMONGST ADOLESCENTS, AND EXPOSE STUDENTS TO EXCITING MEDICAL CAREERS. THE PATHWAY TO IMPROVED HEALTH PROGRAM IS A TEN-WEEK PROGRAM DESIGNED TO ENGAGE SELECTED STUDENT LEADERS THAT WILL CHAMPION HEALTH AWARENESS ACTIVITIES IN THEIR SCHOOLS AND COMMUNITIES, EMPOWER STUDENTS TO PARTNER WITH HEALTH PROFESSIONALS TO ASSIST INOVA AND THEIR SCHOOL IN DEVELOPING A NEW HEALTH INITIATIVE, AND SERVE AS A HEALTH AMBASSADOR TO THEIR FAMILIES TO HELP ACHIEVE THE GOAL OF IMPROVING THE HEALTH OF THE COMMUNITY ONE FAMILY AT A TIME. CONGREGATIONAL HEALTH PARTNERSHIP (CHP) HAS RESOURCED AND FACILITATED WELLNESS OF SPIRIT, MIND, AND BODY THROUGH MULTI-FAITH COMMUNITIES:PROVIDED MORE THAN 102 HEALTH EDUCATION AND WELLNESS PROMOTION ACTIVITIES DISTRIBUTED OVER 12,654 PIECES OF HEALTH EDUCATION MATERIALS.CONDUCTED OVER 3,371 CONSULTATIONS AND NETWORKING CONVERSATIONSINCREASED THE NUMBER OF NEW FAITH COMMUNITIES PARTNERED WITH CHP WITH 20 NEW FAITH CONGREGATIONS CONTACTED THIS YEAR.INOVACARES FOR SENIORS (PACE)INOVACARES FOR SENIORS IS THE SUBMITTED TRADE NAME FOR INOVA HEALTH SYSTEM'S FIRST PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE). PACE IS AN EVIDENCED-BASED MODEL OF CARE THAT DELIVERSDELIVERS HIGH QUALITY, COST EFFECTIVE CARE AND IS BUILT ON THE FOUNDATION THAT SENIORS WITH COMPLEX HEALTH CARE NEEDS SHOULD BE ABLE TO LIVE IN THE LEAST RESTRICTIVE ENVIRONMENT FOR AS LONG AS POSSIBLE.INOVA'S FORMAL APPLICATION WAS SUBMITTED AND ACCEPTED UNDER REVIEW BY CMS ON SEPTEMBER 7TH, 2011 INITIATING THE APPROVAL PROCESS AS A PROVIDER OF CLINICAL AND SOCIAL SERVICES TO DUAL ELIGIBLE (MEDICARE/MEDICAID) MEMBERS OF OUR COMMUNITY. UPON APPROVAL OF THE APPLICATION FOLLOWED BY A FORMAL SITE REVIEW IN MID DECEMBER, INOVACARES FOR SENIORS IS PLANNING FOR ENROLLMENT OF AREA SENIORS IN THE FIRST QUARTER OF 2012. THE PHYSICAL SITE PLANNED FOR OUR FIRST PACE CLINIC IS LOCATED AT BRADDOCK GLEN ADULT DAY HEALTH CENTER ON OLLEY LANE IN FAIRFAX COUNTY, AND RENOVATIONS ARE NEARLY COMPLETE FOR THE EXPANSION OF THE CLINIC AND REHAB SERVICE AREAS. HEALTH LITERACY AND HEALTH EQUITY PROGRAMSTHE GOAL OF THE OFFICE OF HEALTH EQUITY (OHE) IS TO IDENTIFY AND ADDRESS DOCUMENTED HEALTH DISPARITIES IN NORTHERN VIRGINIA THROUGH INTERNAL AND COMMUNITY INITIATIVES UNDER THE QUALITY, SERVICE AND COMMUNITY PILLARS. GUIDED BY AN EXECUTIVE ADVISORY COMMITTEE, THE OHE PARTNERS WITH COMMUNITY GROUPS, CONDUCTS EDUCATION AND RESEARCH, AND PROVIDES SERVICES THAT WILL CONTRIBUTE TO THE ELIMINATION OF DISPARITIES IN OUR COMMUNITY. THE FOLLOWING ARE THE OHE'S ACTIVITIES IN THE AREAS OF STAFF TRAINING/EDUCATION, SERVICES FOR THE DEAF AND HARD OF HEARING, AND LANGUAGE SERVICES."},{"explanation":"PART VI, LINE 6: ORGANIZATION IS PART OF INOVA HEALTH SYSTEM INCLUDED IN DESCRIPTION UNDER LINE 5."},{"explanation":"LANGUAGE SERVICES IN SUPPORT OF PATIENT SAFETY AND SATISFACTION, INTERPRETATION AND TRANSLATION SERVICES ARE PROVIDED AT EVERY INOVA FACILITY, TO FACILITATE COMMUNICATION WITH THE 8-10 PERCENT OF INOVA'S PATIENT POPULATION WHO ARE LIMITED ENGLISH PROFICIENT (LEP). MEDICAL INTERPRETATION IS PROVIDED BY ON SITE MEDICAL INTERPRETERS AND TELEPHONICALLY VIA THE LANGUAGE LINE. THROUGH DECEMBER 2011 THE OHE DELIVERED 120,374 INTERPRETER ENCOUNTERS (108,000 HOURS OF INTERPRETER SERVICE) ACROSS INOVA FACILITIES.SERVICES FOR THE DEAF AND HARD OF HEARING HAVE UNDERGONE SEVERAL CHANGES IN 2010, INCLUDING CREATION OF A SCHEDULER POSITION, AND DEPLOYMENT OF NEXTALK (VIDEO REMOTE INTERPRETING) IN ALL INOVA EMERGENCY DEPARTMENTS, TO IMPROVE OUR ABILITY TO COMMUNICATE WITH DEAF PATIENTS AND THEIR FAMILIES ON SHORT NOTICE. THROUGH DECEMBER 2011 3,823 INTERPRETED SESSIONS (10,000 HOURS) HAVE BEEN DELIVERED. EDUCATION AND TRAININGTHE OHE FACILITATES THE DEVELOPMENT OF A CULTURALLY COMPETENT WORKFORCE WITH THE IMPLEMENTATION OF STAFF EDUCATION AND TRAINING PROGRAMS SUCH AS:THE 21ST CENTURY LEADERSHIP DEVELOPMENT PROGRAM IS A NINE MONTH PROGRAM DESIGNED TO IDENTIFY AND GROW FUTURE INOVA LEADERS. THE PROGRAM LAUNCHED IN SEPTEMBER WITH 22 PARTICIPANTS. CULTURAL COMPETENCE AND DIVERSITY EDUCATION PROGRAMS ARE CONDUCTED REGULARLY. THROUGH DECEMBER 2011, THE OHE DELIVERED 56 EDUCATIONAL SESSIONS AND IN-SERVICE TRAININGS, REACHING A TOTAL OF 1,600 INOVA EMPLOYEES. CONTENT INCLUDED BUT WAS NOT LIMITED TO: PROVIDING CULTURALLY COMPETENT PATIENT CARE, CROSS-CULTURAL COMMUNICATION, CULTURAL AWARENESS AND SENSITIVITY, CROSS-CULTURAL CONFLICT RESOLUTION, AND CROSS-CULTURAL ISSUES IN THE CHILDCARE SETTING.OHE IS CURRENTLY WORKING WITH MEMBERS OF THE ALEXANDRIA HOMELESS SERVICES COORDINATING COMMITTEE (AHSCC) AND KEY STAFF AT INOVA ALEXANDRIA HOSPITAL (IAH) TO ENSURE CONSISTENT IAH REPRESENTATION ON THE COMMITTEE AND TO PRESENT AN IN-SERVICE FOR A RANGE OF IAH STAFF, INCLUDING CASE MANAGERS, SOCIAL WORKERS, PCD'S AND ADDITIONAL ED PERSONNEL. THE GOALS OF THIS INITIATIVE ARE (1) TO REDUCE READMISSIONS TO IAH FROM THE HOMELESS POPULATION AND (2) TO IMPROVE IAH'S PROFILE IN THE COMMUNITY.DISASTER PREPAREDNESSREGIONAL HOSPITAL COORDINATING CENTER - AS PART OF A REGIONAL ALLIANCE OF ALL HOSPITALS ACROSS NORTHERN VIRGINIA TO PROVIDE A COORDINATED RESPONSE IN THE EVENT OF A DISASTER, INOVA HEALTH SYSTEM HAS TAKEN A LEADERSHIP ROLE. INOVA FUNDS AND PROVIDES THE SITE FOR THE REGIONAL HOSPITAL COORDINATING CENTER (RHCC), PROVIDING 24/7 COVERAGE FOR INCIDENT COMMAND AND OPERATIONS CHIEF. INOVA OPERATES AN E-ICU WHICH, DURING A DISASTER, FACILITATES ACCESS TO AND MANAGEMENT OF ALL CRITICAL CARE BEDS WITHIN INOVA HEALTH SYSTEM."}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":true,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JKNOX 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provision of a full spectrum of high quality and accessible healthcare services. Iah is a 318-licensed bed general acute care hospital, which opened on january 23, 1873. Iah provides a spectrum of diagnostic services, including full-body ct scanning, mri, and a cardiac catheterization laboratory; a variety of inpatient medical, surgical, and orthopedic services; comprehensive outpatient services, including outpatient surgery, physical medicine, and rehabilitation; and a 24-hour emergency department as well as the springfield healthplex, a free standing emergency facility. In addition, specialized obstetric and pediatric services are provided by the hospital's maternal and infant health center and a children's unit. In 2012 the hospital had 16,195 admissions excluding newborns, 3,884 observation cases, and 74,354 patient days excluding newborns. Hospital emergency room visits totaled 109,273 (41,443 of the total ed visits at the healthplex); and there were 102,098 outpatient visits during the year. Specific acute care programs cardiovascular care: the inova heart and vascular institute at iah, opened in october 2004, houses ten inpatient beds, two cardiovascular operating rooms, one cardiac catheterization lab, one electrophysiology lab, three interventional radiology labs, one minor procedure room, outpatient clinics, cardiac rehabilitation and educational facilities. Women's health: iah offers a full range of obstetric services including delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, as well as regular and specialty nursery care. In 2012, iah had 3,781 deliveries at the hospital. There is a prenatal diagnostic center and a 16 bed, level iii nicu.. In addition, iah works with the casey clinic, a state health clinic jointly funded by the state of virginia, city of alexandria and the alexandria health department, providing obstetric services to low-income patients. Cancer care: iah, a community hospital comprehensive cancer program designee, features a full service cancer center including medical and surgical oncology and radiation therapy. Iah cancer services provide a full range of imaging techniques to detect and stage cancer, as well as plan treatment. These include general radiological studies, magnetic resonance imaging (mri), computed tomography (ct) and positron emission tomography (pet). Iah also features the varian trilogy linear accelerator technology, sir-spheres technology and offers prostate seed implants. Charity care all inova facilities, including the iah facilities provide charity care in accordance with inova policies ensuring access to medically necessary care for all individuals. Charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. These policies include the following key provisions:1. Emergency care shall be provided to all persons regardless of their ability to pay.2. Non-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and access facilities to medically indigent patients. \"medically necessary care\" refers to inpatient and outpatient services defined as medically necessary by the federal medicare program. \"medically indigent\" is defined as those patients whose income falls at or below 300% of the federal poverty guideline (fpg). In general, free medically necessary care is provided for patients with incomes falling below 200% of the fpg; and discounted care is provided for services rendered to patients with incomes falling between 200% and 300% of the fpg.inova health system utilizes a multifaceted approach to educate and inform patients and the public about inova's charity care policy. Upon admission to any inova hospital, nursing home or any visit to outpatient facilities or clinics including emergency departments, inova has information posted regarding patient rights and responsibilities. In addition, inova provides information about our charity care program and referrals to meet with inova financial counselors who assist patients in completing inova's charity care application. This financial information is reviewed by the inova patient accounts department with the patient contacted if additional information is required in order to make a determination. The patient is subsequently provided a letter, notifying them as to the level of charity care for which they are qualified (whether it be 100% coverage or a sliding scale payment based upon their income level between 200-300% of the federal poverty guideline). In 2012, iah's unreimbursed cost of charity care, including free and discounted services, was approximately $23 million.medicaid established under title xix of the social security act, this program provides assistance for the medically indigent, including those who cannot pay for care despite being able to afford other living expenses. Also included under this program are the blind, the disabled, and crippled children. The reimbursement that iah facilities receive from the medicaid program routinely falls below the actual cost of services provided. During 2012, iah provided care to medicaid patients at an unreimbursed cost of approximately $9 million. Participation in governmental programs for those without the ability to pay various government programs provide for the indigent, including medicaid recipients. These programs provide a percentage of reimbursement for qualifying patients; however, payment is typically below the cost of those services. In addition to federal and state programs, the inova subsidiaries, including iah, work with various county governments and agencies in providing certain free services to those residents the county identifies as most in need.\n\nEach year, iah designates funds for the development and continuation of identified direct care programs. Services benefit the alexandria community by providing broad access to health care and related services to those most in need. Many of these programs and services are not billed to the patient or are provided at a substantially reduced fee. In addition to providing direct care subsidized service, inova also provides disease-prevention programs, health and exercise classes, health education and health screenings and other programs within the community in support of the iah mission. These services and programs include: inova alexandria hospital ob clinic: iah donates space on the campus to the casey clinic, a community health center funded by the state of virginia, alexandria health department and the city of alexandria to provide primary healthcare services to low-income and uninsured children and adults that are residents of the city of alexandria. Iah funds the clinic physicians who provide ob patient prenatal examinations and delivery at inova alexandria hospital. Inova diabetes center: the inova diabetes center (idc), a recipient of the amercian diabetes association's recognitions for diabetes education, provides outpatient diabetes self-management education. In 2012, the idc provided over 5,000 visits at the four locations in the northern virginia.medicaid eligibility assistance alexandria hospital provides assistance to patients in determining their eligibility for the medicaid programs.","year":2012,"name":"INOVA ALEXANDRIA HOSPITAL","phone":"7035043000","website":"INOVA.ORG","type":"990","principal_officer":"J KNOX SINGLETON","year_formation":1901,"state_legal_domicile":"VA","total_volunteers":586,"tax_period_begin":"2012-01-01T00:00:00","tax_period_end":"2012-12-31T00:00:00","address":"8110 GATEHOUSE ROAD SUITE 400W, FALLS CHURCH, VA, 22042, USA","city":"FALLS CHURCH","state":"VA","country":"USA","zip_code":"22042"},"Governance":{"501c3 determination":true,"Number of voting members":3,"Number of independent voting members":1,"Number of employees total":2198,"Total Gross UBI":6978679,"Net unrelated business taxable income":0,"Number of employees":2198,"Prohibited tax shelter transactions":false,"Taxable party notification":false,"Family or business relationship":true,"Delegation of management duties":false,"Conflict of interest policy":true,"Whistle blower policy":true,"Compensation process for CEO":true,"Compensation process for other employees":true,"Changes to organizing documents":false,"Material diversion or misuse":false,"Members or stockholders":false,"Election of board members":false,"Decisions subject to approval":false,"Minutes of governing body":true,"Local chapters":false,"Form 990 provided to governing body":true,"Document retention policy":true,"Investment in joint venture":false,"Independent audit financial statements":false,"Consolidated audit financial statements":true,"Accountant compile or review":false,"Financial statements audited by independent accountant":true,"Audit committee":true,"Federal grant audit required":false,"Audited financial statements consolidated":true,"Political activities":false,"Donor advised funds":false,"Conservation easements":false,"Collections of art":false,"School":false,"Hospital":true,"Foreign activities":false,"Foreign office":false,"Gaming":false,"Fundraising activities":false,"Professional fundraising":false,"Loan to officer or DQP":false,"Grant to related person":false,"Business relationship through family member":false,"Business relationship with organization":false,"Transfers to exempt non-charitable organization":false},"Revenues":{"value":340395893,"Contributions":{"value":320791,"Grant revenue":91082,"Related organizations":229709},"Program revenue":{"value":338294681,"Total revenue":{"value":338294681,"VARIOUS":338294681},"Unrelated business revenue":6978679},"Investment income":{"value":54816,"Investment income total":54816},"Other revenues":{"value":1725605,"Other total":1725605}},"Expenses":{"value":303208275,"Grant expense":{"value":0},"Total professional fundraising expense":{"value":0},"Benefits paid to members":{"value":0},"Salaries":{"value":132115387,"Current officers":3173061,"Other salaries and wages":104437413,"Pension plan contributions":5890338,"Other employee benefits":10773499,"Payroll taxes":7841076},"Other expenses":{"value":171092888,"Legal":96218,"Accounting":49,"Other services":55029671,"Advertising":15369,"Office expenses":124184,"Information technology":679426,"Occupancy":3947525,"Travel":180601,"Conferences and meetings":94029,"Interest":6233361,"Depreciation and depletion":19842749,"Insurance":1602833,"Itemized Expenses":{"value":80792605,"VARIOUS":80792605},"All other expenses":2454268}},"Assets":{"value":0,"Non-interest bearing cash":0,"Savings and temp cash investments":0,"Pledges and grants receivable":0,"Accounts receivable":0,"Receivables from officers":0,"Receivables from disqual persons":0,"Other net note and loans":0,"Inventories for sale or use":0,"Prepaid expenses deferred charges":0,"Land, building, equipment":0,"Investments publicly traded":0,"Investments other":0,"Investments program related":0,"Intangible assets":0,"Other assets":0},"Liabilities":{"value":0,"Accounts payable, accrued":0,"Secured mortgages and notes payable":0,"Other liabilities":0},"Fund balance":{"value":0},"Form990Details":{"program_service_accomplishments":[{"description":"INOVA ALEXANDRIA HOSPITAL (IAH) IS PART OF THE INOVA HEALTH SYSTEM WHOSE MISSION IS TO SERVE THE COMMUNITY AS A NOT-FOR-PROFIT ORGANIZATION THROUGH THE PROVISION OF A FULL SPECTRUM OF HIGH QUALITY AND ACCESSIBLE HEALTHCARE SERVICES. IAH IS A 318-LICENSED BED GENERAL ACUTE CARE HOSPITAL, WHICH OPENED ON JANUARY 23, 1873. IAH PROVIDES A SPECTRUM OF DIAGNOSTIC SERVICES, INCLUDING FULL-BODY CT SCANNING, MRI, AND A CARDIAC CATHETERIZATION LABORATORY; A VARIETY OF INPATIENT MEDICAL, SURGICAL, AND ORTHOPEDIC SERVICES; COMPREHENSIVE OUTPATIENT SERVICES, INCLUDING OUTPATIENT SURGERY, PHYSICAL MEDICINE, AND REHABILITATION; AND A 24-HOUR EMERGENCY DEPARTMENT AS WELL AS THE SPRINGFIELD HEALTHPLEX, A FREE STANDING EMERGENCY FACILITY. IN ADDITION, SPECIALIZED OBSTETRIC AND PEDIATRIC SERVICES ARE PROVIDED BY THE HOSPITAL'S MATERNAL AND INFANT HEALTH CENTER AND A CHILDREN'S UNIT. IN 2012 THE HOSPITAL HAD 16,195 ADMISSIONS EXCLUDING NEWBORNS, 3,884 OBSERVATION CASES, AND 74,354 PATIENT DAYS EXCLUDING NEWBORNS. HOSPITAL EMERGENCY ROOM VISITS TOTALED 109,273 (41,443 OF THE TOTAL ED VISITS AT THE HEALTHPLEX); AND THERE WERE 102,098 OUTPATIENT VISITS DURING THE YEAR. SPECIFIC ACUTE CARE PROGRAMS CARDIOVASCULAR CARE: THE INOVA HEART AND VASCULAR INSTITUTE AT IAH, OPENED IN OCTOBER 2004, HOUSES TEN INPATIENT BEDS, TWO CARDIOVASCULAR OPERATING ROOMS, ONE CARDIAC CATHETERIZATION LAB, ONE ELECTROPHYSIOLOGY LAB, THREE INTERVENTIONAL RADIOLOGY LABS, ONE MINOR PROCEDURE ROOM, OUTPATIENT CLINICS, CARDIAC REHABILITATION AND EDUCATIONAL FACILITIES. WOMEN'S HEALTH: IAH OFFERS A FULL RANGE OF OBSTETRIC SERVICES INCLUDING DELIVERY SERVICES, HIGH RISK PRENATAL SERVICES, INPATIENT AND OUTPATIENT OBSTETRICS/GYNECOLOGIC SURGERY, AS WELL AS REGULAR AND SPECIALTY NURSERY CARE. IN 2012, IAH HAD 3,781 DELIVERIES AT THE HOSPITAL. THERE IS A PRENATAL DIAGNOSTIC CENTER AND A 16 BED, LEVEL III NICU.. IN ADDITION, IAH WORKS WITH THE CASEY CLINIC, A STATE HEALTH CLINIC JOINTLY FUNDED BY THE STATE OF VIRGINIA, CITY OF ALEXANDRIA AND THE ALEXANDRIA HEALTH DEPARTMENT, PROVIDING OBSTETRIC SERVICES TO LOW-INCOME PATIENTS. CANCER CARE: IAH, A COMMUNITY HOSPITAL COMPREHENSIVE CANCER PROGRAM DESIGNEE, FEATURES A FULL SERVICE CANCER CENTER INCLUDING MEDICAL AND SURGICAL ONCOLOGY AND RADIATION THERAPY. IAH CANCER SERVICES PROVIDE A FULL RANGE OF IMAGING TECHNIQUES TO DETECT AND STAGE CANCER, AS WELL AS PLAN TREATMENT. THESE INCLUDE GENERAL RADIOLOGICAL STUDIES, MAGNETIC RESONANCE IMAGING (MRI), COMPUTED TOMOGRAPHY (CT) AND POSITRON EMISSION TOMOGRAPHY (PET). IAH ALSO FEATURES THE VARIAN TRILOGY LINEAR ACCELERATOR TECHNOLOGY, SIR-SPHERES TECHNOLOGY AND OFFERS PROSTATE SEED IMPLANTS. CHARITY CARE ALL INOVA FACILITIES, INCLUDING THE IAH FACILITIES PROVIDE CHARITY CARE IN ACCORDANCE WITH INOVA POLICIES ENSURING ACCESS TO MEDICALLY NECESSARY CARE FOR ALL INDIVIDUALS. CHARITY CARE IS DEFINED AS FREE OR DISCOUNTED HEALTHCARE SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD TO PAY. THESE POLICIES INCLUDE THE FOLLOWING KEY PROVISIONS:1. EMERGENCY CARE SHALL BE PROVIDED TO ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY.2. NON-EMERGENCY MEDICALLY NECESSARY CARE, EXCEPT FOR CERTAIN SPECIALTY OR REFERRAL PROGRAMS, SHALL BE PROVIDED BY ALL HOSPITALS AND ACCESS FACILITIES TO MEDICALLY INDIGENT PATIENTS. \"MEDICALLY NECESSARY CARE\" REFERS TO INPATIENT AND OUTPATIENT SERVICES DEFINED AS MEDICALLY NECESSARY BY THE FEDERAL MEDICARE PROGRAM. \"MEDICALLY INDIGENT\" IS DEFINED AS THOSE PATIENTS WHOSE INCOME FALLS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE (FPG). IN GENERAL, FREE MEDICALLY NECESSARY CARE IS PROVIDED FOR PATIENTS WITH INCOMES FALLING BELOW 200% OF THE FPG; AND DISCOUNTED CARE IS PROVIDED FOR SERVICES RENDERED TO PATIENTS WITH INCOMES FALLING BETWEEN 200% AND 300% OF THE FPG.INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S CHARITY CARE POLICY. UPON ADMISSION TO ANY INOVA HOSPITAL, NURSING HOME OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. IN ADDITION, INOVA PROVIDES INFORMATION ABOUT OUR CHARITY CARE PROGRAM AND REFERRALS TO MEET WITH INOVA FINANCIAL COUNSELORS WHO ASSIST PATIENTS IN COMPLETING INOVA'S CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY THE INOVA PATIENT ACCOUNTS DEPARTMENT WITH THE PATIENT CONTACTED IF ADDITIONAL INFORMATION IS REQUIRED IN ORDER TO MAKE A DETERMINATION. THE PATIENT IS SUBSEQUENTLY PROVIDED A LETTER, NOTIFYING THEM AS TO THE LEVEL OF CHARITY CARE FOR WHICH THEY ARE QUALIFIED (WHETHER IT BE 100% COVERAGE OR A SLIDING SCALE PAYMENT BASED UPON THEIR INCOME LEVEL BETWEEN 200-300% OF THE FEDERAL POVERTY GUIDELINE). IN 2012, IAH'S UNREIMBURSED COST OF CHARITY CARE, INCLUDING FREE AND DISCOUNTED SERVICES, WAS APPROXIMATELY $23 MILLION.MEDICAID ESTABLISHED UNDER TITLE XIX OF THE SOCIAL SECURITY ACT, THIS PROGRAM PROVIDES ASSISTANCE FOR THE MEDICALLY INDIGENT, INCLUDING THOSE WHO CANNOT PAY FOR CARE DESPITE BEING ABLE TO AFFORD OTHER LIVING EXPENSES. ALSO INCLUDED UNDER THIS PROGRAM ARE THE BLIND, THE DISABLED, AND CRIPPLED CHILDREN. THE REIMBURSEMENT THAT IAH FACILITIES RECEIVE FROM THE MEDICAID PROGRAM ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED. DURING 2012, IAH PROVIDED CARE TO MEDICAID PATIENTS AT AN UNREIMBURSED COST OF APPROXIMATELY $9 MILLION. PARTICIPATION IN GOVERNMENTAL PROGRAMS FOR THOSE WITHOUT THE ABILITY TO PAY VARIOUS GOVERNMENT PROGRAMS PROVIDE FOR THE INDIGENT, INCLUDING MEDICAID RECIPIENTS. THESE PROGRAMS PROVIDE A PERCENTAGE OF REIMBURSEMENT FOR QUALIFYING PATIENTS; HOWEVER, PAYMENT IS TYPICALLY BELOW THE COST OF THOSE SERVICES. IN ADDITION TO FEDERAL AND STATE PROGRAMS, THE INOVA SUBSIDIARIES, INCLUDING IAH, WORK WITH VARIOUS COUNTY GOVERNMENTS AND AGENCIES IN PROVIDING CERTAIN FREE SERVICES TO THOSE RESIDENTS THE COUNTY IDENTIFIES AS MOST IN NEED.","expense":255665218,"revenue":333041607},{"description":"EACH YEAR, IAH DESIGNATES FUNDS FOR THE DEVELOPMENT AND CONTINUATION OF IDENTIFIED DIRECT CARE PROGRAMS. SERVICES BENEFIT THE ALEXANDRIA COMMUNITY BY PROVIDING BROAD ACCESS TO HEALTH CARE AND RELATED SERVICES TO THOSE MOST IN NEED. MANY OF THESE PROGRAMS AND SERVICES ARE NOT BILLED TO THE PATIENT OR ARE PROVIDED AT A SUBSTANTIALLY REDUCED FEE. IN ADDITION TO PROVIDING DIRECT CARE SUBSIDIZED SERVICE, INOVA ALSO PROVIDES DISEASE-PREVENTION PROGRAMS, HEALTH AND EXERCISE CLASSES, HEALTH EDUCATION AND HEALTH SCREENINGS AND OTHER PROGRAMS WITHIN THE COMMUNITY IN SUPPORT OF THE IAH MISSION. THESE SERVICES AND PROGRAMS INCLUDE: INOVA ALEXANDRIA HOSPITAL OB CLINIC: IAH DONATES SPACE ON THE CAMPUS TO THE CASEY CLINIC, A COMMUNITY HEALTH CENTER FUNDED BY THE STATE OF VIRGINIA, ALEXANDRIA HEALTH DEPARTMENT AND THE CITY OF ALEXANDRIA TO PROVIDE PRIMARY HEALTHCARE SERVICES TO LOW-INCOME AND UNINSURED CHILDREN AND ADULTS THAT ARE RESIDENTS OF THE CITY OF ALEXANDRIA. IAH FUNDS THE CLINIC PHYSICIANS WHO PROVIDE OB PATIENT PRENATAL EXAMINATIONS AND DELIVERY AT INOVA ALEXANDRIA HOSPITAL. INOVA DIABETES CENTER: THE INOVA DIABETES CENTER (IDC), A RECIPIENT OF THE AMERCIAN DIABETES ASSOCIATION'S RECOGNITIONS FOR DIABETES EDUCATION, PROVIDES OUTPATIENT DIABETES SELF-MANAGEMENT EDUCATION. IN 2012, THE IDC PROVIDED OVER 5,000 VISITS AT THE FOUR LOCATIONS IN THE NORTHERN VIRGINIA.MEDICAID ELIGIBILITY ASSISTANCE ALEXANDRIA HOSPITAL PROVIDES ASSISTANCE TO PATIENTS IN DETERMINING THEIR ELIGIBILITY FOR THE MEDICAID PROGRAMS."}],"program_service_revenue_detail":[{"business_code":"900099","description":"NET PATIENT SERVICE RE","total_revenue":330876849},{"business_code":"621500","description":"LAB OUTREACH","total_revenue":6796528},{"business_code":"900099","description":"TECHNICAL DYNAMICS, LLC","total_revenue":480338},{"business_code":"621990","description":"OUTPATIENT 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CHI","average_hours_per_week":40.0,"reportable_comp_from_org":0,"reportable_comp_from_related_orgs":253285,"other_compensation":22848,"former":true}]},"ScheduleA":{"public_charity_status":{"hospital_170b1_aiii":true}},"ScheduleB":{"attached":true,"required":true},"ScheduleC":{"lobbying_activities":{"volunteers":false,"paid_staff_or_management":false,"media_advertisements":false,"mailings_members":false,"publications_or_broadcast":false,"grants_other_organizations":false,"direct_contact_legislators":false,"rallies_demonstrations":false,"other_activities":true,"other_activities_amount":25570,"total_lobbying_expenditures":25570,"not_described_section_501c3":false},"supplemental_information":[{"identifier":"EXPLANATION OF LOBBYING ACTIVITIES:","form_and_line_reference":"PART II-B, LINE 1:","explanation":"THERE WERE NO SIGNIFICANT LOBBYING ACTIVITIES DURING 2012. AMOUNTS UNDER OTHER ACTIVITIES PER PART II-B REPRESENT A PORTION OF MEMBERSHIP DUES RELATED TO LOBBYING."}]},"ScheduleD":{"land_buildings_equipment":{"total_book_value":0},"other_liabilities":{"footnote_text":true},"supplemental_information":[{"identifier":"DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:","form_and_line_reference":"PART X, LINE 2:","explanation":"FOOTNOTE FROM CONSOLIDATED FINANCIAL STATEMENTS INCLUDING INOVA ALEXANDRIA HOSPITAL: THE FOUNDATION, IHCS, AHSC, LHI AND IHSS, ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN DETERMINED TO BE EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IHI AND ITS SUBSIDIARIES ARE TAXABLE ORGANIZATIONS. DEFERRED INCOME TAXES ARE PROVIDED FOR ALL SIGNIFICANT TIMING DIFFERENCES BETWEEN REVENUES AND EXPENSES REPORTED FOR FINANCIAL STATEMENT AND FOR TAX PURPOSES. MANAGEMENT ANNUALLY REVIEWS ITS TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS."}]},"ScheduleH":{"policies":{"financial_assistance_policy":true,"written_policy":true,"fpg_reference_free_care":true,"free_care_percent_200":true,"fpg_reference_discounted_care":true,"discounted_care_percent_300":true,"free_or_discounted_care_medically_indigent":true,"financial_assistance_budget":true,"expenses_exceed_budget":true,"unable_to_provide_care":false,"annual_community_benefit_report":true,"report_publicly_available":true},"bad_debt_medicare_collections":{"bad_debt_expense_reported":true,"bad_debt_expense":7041517,"reimbursed_by_medicare":62829403,"cost_of_care_reimbursed_by_medicare":82910120,"medicare_surplus_or_shortfall":-20080717,"cost_to_charge_ratio":true,"written_debt_collection_policy":true,"financial_assistance_provision":true},"community_benefit":{"financial_assistance_at_cost":{"total_community_benefit_expense":22413239,"net_community_benefit_expense":22413239,"total_expense_percentage":0.0786},"unreimbursed_medicaid":{"total_community_benefit_expense":8680281,"net_community_benefit_expense":8680281,"total_expense_percentage":0.0305},"total_financial_assistance":{"total_community_benefit_expense":31093520,"net_community_benefit_expense":31093520,"total_expense_percentage":0.1091},"subsidized_health_services":{"total_community_benefit_expense":3352590,"net_community_benefit_expense":3352590,"total_expense_percentage":0.0118},"cash_and_inkind_contributions":{"total_community_benefit_expense":227000,"net_community_benefit_expense":227000,"total_expense_percentage":0.0008},"total_other_benefits":{"total_community_benefit_expense":3579590,"net_community_benefit_expense":3579590,"total_expense_percentage":0.0126},"total_community_benefits":{"total_community_benefit_expense":34673110,"net_community_benefit_expense":34673110,"total_expense_percentage":0.1217}},"hospital_facility_count":1,"hospital_facilities":[{"facility_number":1,"business_name_line1":"INOVA ALEXANDRIA HOSPITAL","address_line1":"4320 SEMINARY ROAD","city":"ALEXANDRIA","state":"VA","zip":"22304","licensed_hospital":true,"general_medical_and_surgical":true,"emergency_room_24_hours":true,"name":"INOVA ALEXANDRIA HOSPITAL","address":"4320 SEMINARY ROAD, ALEXANDRIA, VA, 22304"}],"facility_policies":[{"business_name_line1":"INOVA ALEXANDRIA HOSPITAL","facility_number":1,"eligibility_criteria_explained":true,"fpg_family_income_limit_free_discounted":true,"fpg_family_income_limit_free_care_percentage":200.0,"fpg_family_income_limit_discounted_care_percentage":300.0,"fpg_used_determine_discounted_care":true,"income_level_criteria":true,"asset_level_criteria":true,"medical_indigency_criteria":true,"insurance_status_criteria":true,"other_criteria":true,"basis_explained":true,"application_financial_assistance_explanation":true,"other_method_used":true,"includes_publicity_measures":true,"fap_available_on_website":true,"fap_available_on_request_no_charge":true,"fap_notified_all_patients":true,"other_publicity":true,"fap_actions_on_nonpayment":true,"collection_activities":false,"provided_written_notice":true,"made_effort_orally_notify":true,"processed_fap_application":true,"nondiscriminatory_emergency_care_policy":true,"lowest_negotiated_rates":true,"medicaid_medicare":true,"state_regulation":true,"uninsured_discount":true,"amounts_generally_billed":false,"gross_charges":false,"name":"INOVA ALEXANDRIA HOSPITAL"}],"supplemental_information":[{"explanation":"PART I, LINE 6A: THE COMMUNITY BENEFIT REPORT IS INCLUDED IN THE CONSOLIDATED INOVA HEALTH SYSTEM REPORT TO THE COMMUNITY ON INOVA.ORG WEBSITE."},{"explanation":"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."},{"explanation":"PART I, LINE 7G: COST OF PHYSICIAN CLINIC INCLUDED IS $3,352,382."},{"explanation":"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 $ 18223388."},{"explanation":"PART II: INOVA'S OFFICE OF SUSTAINABILITY PROVIDED COMMUNITY BUILDING SUPPORT FOCUSED ON ENVIRONMENTAL IMPROVEMENTS. ENVIRONMENTAL MISSION STATEMENT: INOVA HEALTH SYSTEM IS COMMITTED TO ESTABLISHING AN ENVIRONMENTAL PROGRAM THAT IS SAFER AND HEALTHIER FOR OUR PATIENTS, EMPLOYEES AND COMMUNITY.COMMUNITY BUILDING ENVIRONMENTAL IMPROVEMENTS RECYCLING COMMINGLED RECYCLING: SINCE 2008 INOVA HAS HAD A COMMINGLED, OR SINGLE-STREAM, RECYCLING PROGRAM. THROUGHOUT OUR FACILITIES, PAPER, PLASTICS, CARDBOARD, METALS AND GLASS ARE ALL RECYCLED IN THE SAME CONTAINERS. SPECIALIZED MATERIALS RECYCLING SPECIALIZED AREAS RECYCLING (ORS, KITCHENS): WE HAVE ALSO IMPLEMENTED SPECIALIZED RECYCLING PROGRAMS TO CAPTURE SPECIFIC MATERIALS IN AREAS SUCH AS OPERATING ROOMS AND CONSTRUCTION SITES.ENERGY CALCULATED CARBON FOOTPRINT OF INOVA HOSPITALS BASED ON ENERGY CONSUMPTION ENERGY USAGE DATA TRACKING WITH ENERGY STAR PORTFOLIO MANAGER HIRED SYSTEM-LEVEL ENERGY MANAGER RETUNED BUILDING MANAGEMENT SYSTEMS EVALUATED PREVENTATIVE MAINTENANCE STRATEGIES NVESTIGATED AND INSTALLED MAGNETIC BEARING CHILLERS AT INOVA MOUNT VERNON HOSPITAL SUPPORTED ENERGY-SAVING TECHNOLOGIES INCLUDING MOTION AND DAYLIGHT SENSORS, LED AND INDUCTION LIGHTING AND SOLAR PANELS SUPPORTED THE PROCUREMENT OF ENERGY STAR AND EPEAT DESKTOP ELECTRONICS AND OTHER APPLIANCES WATER INTEGRATED GREEN TECHNOLOGIES: MOTION SENSOR FAUCETS, LOW-FLOW RESTROOM FIXTURES INCORPORATED NATIVE PLANTS AND LOW-IMPACT IRRIGATION SYSTEMS FOR LANDSCAPING UTILIZED WATER-EFFICIENT STERILIZATION EQUIPMENT INSTALLED RAIN CISTERN IN INOVA FAIRFAX MEDICAL CAMPUS' NEW SOUTH PATIENT TOWER BUILDINGS COMPLETED CONSTRUCTION ON LEED SILVER SOUTH PATIENT TOWER (IFMC) INSTALLED A 4,000 SQUARE FOOT VEGETATED ROOF SYSTEM THAT MITIGATES STORMWATER RUNOFF AND PROVIDES NATURE VIEWS TO ADJACENT PATIENT ROOMS OVER 20% OF BUILDING MATERIALS CONTAIN RECYCLED CONTENT 37% OF MATERIALS SOURCED FROM WITHIN 500 MILES OF THE FACILITY OVER 70% OF WOOD SOURCED FROM SUSTAINABLY MANAGED FORESTS RECYCLED CONSTRUCTION & DEMOLITION WASTE IMPLEMENTED INTEGRATED PEST MANAGEMENT PRACTICES APPLIED WATER-EFFICIENT AND PEST-RESISTANT NATIVE LANDSCAPING PRACTICES AND WATER-EFFICIENT IRRIGATION SYSTEMS"},{"explanation":"PART III, LINE 4: BAD DEBT FOOTNOTEPATIENT ACCOUNTS RECEIVABLE INCLUDE CHARGES FOR AMOUNTS DUE FROM ALL PATIENTS LESS ALLOWANCES FOR THE EXCESS OF ESTABLISHED CHARGES OVER THE PAYMENTS TO BE RECEIVED ON BEHALF OF PATIENTS COVERED BY MEDICARE, MEDICAID AND OTHER INSURERS. IHS HAS A SELF-INSURED DISCOUNT POLICY WHEREBY UNINSURED PATIENTS RECEIVE A 35% DISCOUNT FOR SERVICES RENDERED. DISCOUNTS TO UNINSURED PATIENTS ARE CLASSIFIED AS A DEDUCTION FROM REVENUE. THE PROVISION FOR BAD DEBTS IS RECOGNIZED WHEN PROVIDING AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS.ALL OPERATING ENTITIES OF IHS TREAT EMERGENCY PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. NON-EMERGENCY MEDICALLY NECESSARY CARE IS PROVIDED VIRTUALLY WITHOUT RESTRICTION AT ALL IHS TAX-EXEMPT OPERATING ENTITIES. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BASED UPON ESTABLISHED IHS POLICIES THAT CONSIDER PATIENT INCOME LEVELS AND AVAILABLE ASSETS. SINCE IHS DOES NOT PURSUE COLLECTION OF AMOUNTS THAT QUALIFY AS CHARITY CARE, THEY ARE DEDUCTED FROM GROSS REVENUE. THE PROVISION FOR BAD DEBTS INCLUDES UNPAID ACCOUNTS OF PATIENTS WHO FAIL TO PROVIDE REQUIRED INCOME AND ASSET DOCUMENTATION TO IHS. GUIDELINES USED BY IHS IN DETERMINING CHARITY CARE MAY DIFFER FROM GUIDELINES USED BY CERTAIN STATE OR FEDERAL AGENCIES. COSTING METHODOLOGYACTUAL BAD DEBT EXPENSE IS MULTIPLIED BY THE COST TO CHARGE RATIO USED IN COMPUTING CHARITY CARE EXPENSE IN PART I.THE ARE NO ESTIMATED AMOUNTS FOR BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE ORGANIZATION'S CHARITY CARE POLICY."},{"explanation":"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."},{"explanation":"PART III, LINE 9B: INOVA HEALTH SYSTEM STRIVES TO COMPLY WITH THE GUIDELINES ESTABLISHED BY THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND THE INTERNATIONAL CODE OF ETHICS AND PROFESSIONAL RESPONSIBILITY (ACA) WHICH REQUIRE MEMBERS TO ENGAGE IN HONORABLE, ETHICAL AND PROFESSIONAL CONDUCT OF CHARACTER NOT LIKELY TO DECEIVE, DEFRAUD OR HARM THE PUBLIC.THE POLICY OF INOVA HEALTH SYSTEM IS TO TAKE LEGAL ACTION, ONLY IF THERE IS EVIDENCE THAT THE PATIENT OR RESPONSIBLE PARTY HAS INCOME AND/OR ASSETS IN EXCESS OF THE LEVELS SUGGESTED IN THE FINANCIAL ASSISTANCE POLICY; THE PATIENT HAS FAILED TO PROVIDE THE INFORMATION NEEDED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE; OR THE PATIENT IS NO LONGER MEETING HIS OBLIGATIONS UNDER AN AGREED-UPON PAYMENT PLAN AND HAS NOT INFORMED THE COLLECTIONS OFFICE OF A CHANGE IN FINANCIAL CONDITION.STAFFS WHO WORK CLOSELY WITH PATIENTS, INCLUDING THOSE INVOLVED IN BILLING AND COLLECTION, ARE EDUCATED ABOUT HOSPITAL BILLING, FINANCIAL ASSISTANCE AND COLLECTION POLICIES AND PRACTICES.AGENCIES ACTING ON BEHALF OF INOVA HEALTH SYSTEM MAY NOT GARNISH WAGES OR FREEZE BANK ACCOUNTS AS A MEANS OF COLLECTING UNPAID HOSPITAL BILLS. AGENCIES MAY FILE LIENS ONLY AGAINST ESTATES. THE FORECLOSURE OR FORCED SALE OF A PATIENT'S PRIMARY RESIDENCE TO PAY AN OUTSTANDING HOSPITAL BILL IS PROHIBITED. IT IS NOT THE POLICY OF INOVA HEALTH SYSTEM TO FILE LIENS RELATED TO MEDICARE, MEDICAID, MEDICREDIT FFA OR CHARITY ACCOUNTS."},{"explanation":"PART V, SECTION B, LINE 12H: FAMILY SIZE"},{"explanation":"PART V, SECTION B, LINE 14G: FINANCIAL AID BROCHURES EXPLAINING THE CHARITY POLICY ARE AVAILABLE THROUGH OUT THE HOSPITALS ER ROOMS AND WAITING ROOMS HAVE CHARITY NOTIFICATION NOTICES POSTED IN THEIR AREAS."},{"explanation":"PART V, SECTION B, LINE 20D: ALL SELF PAY PATIENTS RECEIVE A 35% SELF PAY DISCOUNT"},{"explanation":"PART VI, LINE 2: INOVA HEALTH SYSTEM (IHS) HAS USED THE FOLLOWING METHODS TO DETERMINE THE HEALTHCARE NEEDS OF THE COMMUNITY:AN ASSESSMENT OF COMMUNITY HEALTH STATUS BASED ON AVAILABLE MORBIDITY AND MORTALITY DATA FROM SECONDARY DATA SOURCES SUCH AS COMMONWEALTH OF VIRGINIA VITAL STATISTICS, CANCER REGISTRIES AND HOSPITAL DISCHARGE ABSTRACTS;FOCUS GROUPS AND SURVEYS TO DETERMINE COMMUNITY CONCERNS AND EXPECTATIONS RELATED TO HEALTH ISSUES; CONFERENCES TO ELICIT BROAD COMMUNITY INPUT AND REACH CONSENSUS ON CRITICAL HEALTH CARE NEEDS.PERIODICALLY UPDATED THE COMMUNITY NEEDS ASSESSMENT WITH A COMPREHENSIVE ANALYSIS OF COMMUNITY HEALTH STATUS TO DETERMINE HOW COMMUNITY HEALTH NEEDS HAVE CHANGED SINCE THE PRIOR ASSESSMENTS WERE COMPLETED. THIS ASSESSMENT RELIED ON SECONDARY DATA SOURCES INCLUDING VDH STATISTICS ON BIRTHS, DEATHS AND DISEASES; INFORMATION ON HOSPITAL FINANCES AND UTILIZATION FROM VIRGINIA HEALTH INFORMATION INC; AND INTERNAL INFORMATION ON HOSPITAL UTILIZATION AND CHARGES FROM INOVA HEALTH SYSTEM.STUDY OF COMMUNITY HEALTH IMPACT ON HOSPITAL SERVICES USING POPULATION BASED HOSPITAL DISCHARGE DATAENGAGED COMMUNITY LEADERS FROM THE ALEXANDRIA HEALTH DEPARTMENT, FAIRFAX COUNTY SCHOOL DISTRICT AND A PRIVATE NON-PROFIT. NORTHERN VIRGINIA FAMILY SERVICES PROVIDED EXPERT CONSULTATION AND GUIDANCE FOR THE TASK FORCE ON THE IMPORTANCE AND CHALLENGES OF ESTABLISHING PARTNERSHIPS.AS A RESULT OF THIS WORK INOVA'S PROGRAMS EXPANDED TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH PRIORITIES. THESE GOALS WERE RE-EVALUATED AND UPDATED TO ALIGN WITH THE HEALTHY PEOPLE 2010 GOALS AND OUTCOMES. COMMUNITY HEALTH NEEDS ASSESSMENTS ARE CURRENTLY IN PROGRESS ACROSS NORTHERN VIRGINIA SPONSORED BY THE VARIOUS HEALTH DEPARTMENTS USING THE FRAMEWORK OF THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS. INOVA HEALTH SYSTEM IS A PARTICIPATING MEMBER OF EACH MAPP PROCESS TEAM IN EACH JURISDICTION ACROSS NORTHERN VIRGINIA. INOVA SERVED ON THE MAPP TEAM'S YEAR-LONG TASK FORCE FOR ARLINGTON COUNTY, FOR WHICH THE FINAL REPORT WAS COMPLETED IN 2008. IN 2008 INOVA ALSO PARTICIPATED IN THE FIRST OF FOUR ASSESSMENTS BEING CONDUCTED BY FAIRFAX COUNTY. THIS IS AN ONGOING COMMUNITY-DRIVEN PLANNING PROCESS THAT IS DESIGNED TO PROVIDE INFORMATION FOR IMPROVING THE COMMUNITY'S DELIVERY OF THE 10 ESSENTIAL PUBLIC HEALTH SERVICES. FAIRFAX COUNTY HAS THREE OTHER ASSESSMENTS TO COMPLETE THE MAPP PROCESS. THIS PROCESS BRINGS TOGETHER A DIVERSE GROUP OF KEY COMMUNITY STAKEHOLDERS INCLUDING LOCAL GOVERNMENT, HUMAN SERVICE ORGANIZATIONS, SCHOOLS AND UNIVERSITIES, HEALTHCARE CONSUMERS, ADVOCACY GROUPS, HOSPITALS, FAITH INSTITUTIONS, YOUTH DEVELOPMENT ORGANIZATIONS, ECONOMIC AND PHILANTHROPIC GROUPS, ETC. TO IDENTIFY STRENGTHS AND WEAKNESSES IN THE TEN ESSENTIAL AREAS TO PROVIDE A FOUNDATION FOR COMMUNITY HEALTH PLANNING. INOVA IS PARTICIPATING IN THE CONTINUING LOCAL PUBLIC HEALTH NEEDS ASSESSMENT IN THE CITY OF ALEXANDRIA AS WELL. THE INFORMATION FROM ALL THE MAPP HEALTH NEEDS ASSESSMENTS FROM ALL JURISDICTIONS SERVED BY INOVA HEALTH SYSTEM WILL PROVIDE THE NEW BASELINE FOR THE ONGOING THREE-YEAR COMMUNITY NEEDS ASSESSMENTS AND WILL BE INCORPORATED INTO THE COMMUNITY NEEDS ASSESSMENT INOVA INITIATED IN 2011 WITH COMPLETION OF THE ASSESSMENT AS WELL AS IMPLEMENTATION PLANS SCHEDULED FOR 2013. IN ADDITION TO PARTICIPATING IN THE MAPP PROCESS, INOVA IS CONTINUALLY GARNERING FEEDBACK ON THEIR EXISTING PROGRAMS FROM PROGRAM PARTICIPANTS THROUGH MONTHLY AND QUARTERLY SATISFACTION SURVEYS AND FOCUS GROUPS, PARTICIPATING IN REGIONAL AND LOCAL HEALTH RELATED GROUPS SUCH AS THE NORTHERN VIRGINIA ACCESS TO HEALTH CARE CONSORTIUM, MEETING WITH VARIOUS CULTURAL AND ETHNIC GROUPS IN THE COMMUNITY AND USING INTERNAL UTILIZATION AND OUTCOMES DATA, REVIEW OF BEST PRACTICES AND REGIONAL AND NATIONAL BENCHMARK DATA AND OTHER EXTERNAL SOURCES SUCH AS THE METROPOLITAN WASHINGTON COUNCIL OF GOVERNMENTS (COG) DEMOGRAPHIC DATA TO DEVELOP STRATEGIC GOALS FOR HEALTH IMPROVEMENT ACTIVITIES. COLLECTIVELY, ALL THIS INFORMATION IS UTILIZED IN ASSESSING COMMUNITY HEALTH NEEDS TO GUIDE STRATEGIC PLANNING EFFORTS."},{"explanation":"PART VI, LINE 3: INOVA HEALTH SYSTEM INCORPORATES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND POTENTIAL PATIENTS ABOUT THE INOVA CHARITY CARE POLICY. UPON ADMISSION TO ANY INOVA HOSPITAL OR NURSING HOME OR ANY VISIT TO OUTPATIENT FACILITIES OR CLINICS INCLUDING OUR EMERGENCY DEPARTMENTS, INOVA HAS INFORMATION POSTED REGARDING PATIENT RIGHTS AND RESPONSIBILITIES. PATIENTS ARE PROVIDED INFORMATION ABOUT OUR CHARITY CARE PROGRAM AND REFERRALS TO AN INOVA FINANCIAL COUNSELOR WHO ASSISTS THE PATIENTS IN COMPLETING OUR CHARITY CARE APPLICATION. THIS FINANCIAL INFORMATION IS REVIEWED BY OUR PATIENT ACCOUNTS DEPARTMENT AND THE PATIENT IS CONTACTED IF ANY ADDITIONAL INFORMATION IS NEEDED TO MAKE A DETERMINATION. THE PATIENT IS SENT A LETTER IN WHICH THEY ARE GIVEN THE LEVEL OF CHARITY CARE FOR WHICH THEY ARE QUALIFIED WHETHER IT BE 100% COVERAGE OR A SLIDING SCALE PAYMENT BASED UPON THEIR INCOME LEVEL BETWEEN 200-300% OF THE FEDERAL POVERTY GUIDELINE. INOVA ALSO HAS MEDICAID ELIGIBILITY WORKERS ON-SITE IN ALL HOSPITALS, IN OUR INOVACARES CLINIC FOR WOMEN AND CHILDREN (CLINIC FOR LOW INCOME FAMILIES) AND IN THE COMMUNITY AS PART OF OUR PARTNERSHIP FOR HEALTHIER KIDS ACCESS TO CARE PROGRAM. WE PARTNER WITH SCHOOLS ACROSS OUR JURISDICTION TO PROVIDE INFORMATION ABOUT STATE FUNDED HEALTH PROGRAMS FOR CHILDREN AND CONTACT INFORMATION TO MEET WITH AN ELIGIBILITY WORKER RESPONSIBLE FOR ENROLLING FAMILIES IN STATE MEDICAID PROGRAMS. THESE ELIGIBILITY WORKERS ALSO GO OUT INTO THE COMMUNITY ATTENDING COMMUNITY EVENTS SUCH AS HEALTH FAIRS, FAITH-BASED COMMUNITY ACTIVITIES AND OTHER FAMILY CENTERED COMMUNITY EVENTS TO PROACTIVELY MEET WITH FAMILIES TO ENCOURAGE ENROLLMENT IN PROGRAMS FOR WHICH THEY ARE ELIGIBLE. INOVA HAS A SECTION OF OUR PUBLIC WEBSITE DEDICATED TO INFORMATION ABOUT BILLING AND FINANCIAL COORDINATORS AND FINANCIAL ASSISTANCE RESOURCES. ON THE SITE A BROCHURE CALLED \"FINANCIAL HELP FOR HEALTHCARE SERVICES\" CAN BE DOWNLOADED AND IS AVAILABLE IN 6 LANGUAGES TO ADDRESS THE NEEDS OF OUR CULTURALLY DIVERSE COMMUNITY."},{"explanation":"PART VI, LINE 4: ALEXANDRIA HEALTH CARE SERVICES (AHCS) IS A NOT-FOR-PROFIT CORPORATION AND A SUBSIDIARY OF THE PARENT ORGANIZATION, INOVA HEALTH SYSTEM FOUNDATION (INOVA). INOVA PROVIDES HEALTHCARE AND RELATED SERVICES THROUGHOUT NORTHERN VIRGINIA AND THE GREATER METROPOLITAN WASHINGTON, D.C. AREA, INCLUDING CERTAIN CONTIGUOUS COUNTIES OF VIRGINIA AND MARYLAND. NORTHERN VIRGINIA IS ONE OF THE FASTEST GROWING URBAN COMMUNITIES IN THE UNITED STATES. WITH APPROXIMATELY 1,314 SQUARE MILES, THE REGION IS THE MOST DENSELY POPULATED IN THE COMMONWEALTH OF VIRGINIA. NORTHERN VIRGINIA IS COMPRISED OF SEVERAL DISTINCT COMMUNITIES, INCLUDING THE CITIES OF ALEXANDRIA, FAIRFAX, FALLS CHURCH, MANASSAS AND MANASSAS PARK, AND THE COUNTIES OF ARLINGTON, FAIRFAX, LOUDOUN, AND PRINCE WILLIAM. THE EASTERN SECTIONS ARE URBANIZED WITH ATTENDANT HEALTH PROBLEMS OF OVERCROWDING AND INCREASING DEMAND FOR HEALTH SERVICES AND PUBLIC PROGRAMS. INOVA ALEXANDRIA HOSPITAL'S PRIMARY SERVICE AREA INCLUDES THE CITY OF ALEXANDRIA AND WEST ALEXANDRIA, MOUNT VERNON NORTH, FRANCONIA/KINGSTOWNE AND BAILEYS CROSSROADS/LINCOLNIA.THE REGION'S POPULATION SERVED BY AHCS IS FORECASTED TO GROW 10% OVER THE NEXT DECADE, ADDING AN ESTIMATED AVERAGE OF 5,700 PERSONS A YEAR. POPULATION WILL BE SPURRED BY THE LONG-TERM STRENGTH OF THE REGION'S ECONOMY, HIGH RATES OF IN-MIGRATION AND INTERNATIONAL IMMIGRATION. THE REGION'S POPULATION THAT IS 65 YEARS OF AGE AND OLDER IS EXPECTED TO INCREASE BY 80% BY 2030, WHILE THE NUMBER OF CHILDREN WILL INCREASE BY ABOUT 20%. NORTHERN VIRGINIA'S RACIAL AND ETHNIC DIVERSITY IS MORE PRONOUNCED THAN IN THE REST OF THE STATE. WITH INCREASING DIVERSITY, ECONOMICALLY DISADVANTAGED POPULATIONS AND MULTIPLE LANGUAGES, THE NEED FOR ACCESS TO CULTURALLY APPROPRIATE, FLEXIBLE HEALTH CARE CONTINUES TO GROW. THE NORTHERN VIRGINIA GEOGRAPHIC REGION IS 45% MINORITY, UP FROM 23% IN 1990, WHILE THE NATION AS A WHOLE REFLECTS A 37% MINORITY POPULATION (U.S. CENSUS BUREAU, 2013). ALEXANDRIA CITY IN 2012 HAD 139,000 PEOPLE WITH APPROXIMATELY 25% OF THE POPULATION FOREIGN BORN. IN 2010, ALEXANDRIA'S ASIANS, HISPANICS, AND AFRICAN AMERICANS REPRESENTED 6.0%, 16.1%, AND 21.8% OF ALEXANDRIA'S POPULATION, RESPECTIVELY (U.S. CENSUS BUREAU, 2013).ACCORDING TO THE US CENSUS BUREAU SMALL AREA HEALTH INSURANCE ESTIMATES (SAHIE) IN 2010 APPROXIMATELY 13.0% OF THE TOTAL POPULATION UNDER THE AGE OF 65 (ABOUT 264,000 PEOPLE) IN NORTHERN VIRGINIA LACKED HEALTHCARE INSURANCE. OF THE PEOPLE LIVING IN NORTHERN VIRGINIA WHOSE FAMILY INCOMES ARE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL, SAHIE ESTIMATES THAT 40% (ABOUT 122,000 PEOPLE) WERE UNINSURED IN 2010.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."},{"explanation":"PART VI, LINE 5: INOVA HEALTH SYSTEM'S INVESTMENT IN THE COMMUNITIES ACROSS NORTHERN VIRGINIA IS EVIDENT GIVEN THE PROGRAMS PROVIDING ACCESS TO CARE FOR LOW INCOME, UNINSURED, UNDERINSURED AND VULNERABLE POPULATIONS; PROMOTING HEALTH & WELLNESS AND INCREASING HEALTH LITERACY; PROVIDING THE SUPPORT AND INFRASTRUCTURE FOR DISASTER PREPAREDNESS; AND PROVIDING PROGRAMS TO SUPPORT DEVELOPMENT OF OUR FUTURE HEALTHCARE WORKFORCE TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED. ALL INOVA HEALTHCARE FACILITIES HAVE OPEN MEDICAL STAFFS TO PROVIDE THE MAXIMUM ACCESS TO QUALIFIED PHYSICIANS. A COMMUNITY BOARD OF TRUSTEES PROVIDES FISCAL AND QUALITY OVERSIGHT FOR INOVA HEALTH CARE SERVICES' FACILITIES TO ENSURE THE VISION AND MISSION OF THE ORGANIZATION IS ACHIEVED.ACCESS TO CARE PROGRAMSINOVA'S COMMUNITY SAFETY NET AND COMMUNITY HEALTH DIVISION IS ORGANIZED TO ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY. IN ADDITION TO THE PROGRAMS ALREADY DESCRIBED IN THE CORE FORM PROGRAM, ACCOMPLISHMENTS THAT INCREASE ACCESS TO HEALTHCARE SERVICES FOR THE COMMUNITIES SERVED BY INOVA HEALTH SYSTEM INCLUDE THE FOLLOWING PROGRAMS WHICH PROVIDE INFRASTRUCTURE SUPPORT AND SERVICES FOCUSED ON VULNERABLE POPULATIONS:THE STREAMLINED ELIGIBILITY PROGRAM (SES), LAUNCHED BY THE SUCCESSFUL IMPLEMENTATION OF THE FEDERALLY-FUNDED 2001 CAP AND 2004 HCAP GRANTS, CONTINUES TO BE FUNDED BY INOVA. SES PROVIDES LOCAL SAFETY-NET HEALTH CARE PROVIDERS ACCESS TO COORDINATED HEALTH CARE NETWORKS TO SERVE THE UNINSURED AND UNDERINSURED RESIDENTS OF NORTHERN VIRGINIA. A SHARED DATABASE IS USED TO DETERMINE A PATIENT'S ELIGIBILITY FOR SERVICES WHICH PROVIDES ONE CENTRAL INTAKE THEREBY STREAMLINING AND EXPEDITING THE PROCESS. INOVA SUPPORTS THE INFRASTRUCTURE AND EXPANSION OF THE PROGRAM WHICH CURRENTLY CONSISTS OF 12 PUBLIC/PRIVATE PARTNERS SERVING FAIRFAX COUNTY, CITY OF ALEXANDRIA, LOUDOUN COUNTY, ARLINGTON COUNTY, AND PRINCE WILLIAM COUNTY. THE SYSTEM CURRENTLY HOUSES OVER 285,000 ELIGIBILITY RECORDS OF UNINSURED AND MEDICAID PATIENTS. INOVA'S PARTNERSHIP FOR HEALTHIER KIDS (PHK) ACCESS TO CARE PROGRAM PROVIDES FAMILIES WITH COMPREHENSIVE APPLICATION AND ENROLLMENT ASSISTANCE TO CONNECT THEM WITH AN APPROPRIATE AND AFFORDABLE SOURCE OF HEALTH CARE SERVICES. IN 2012, PHK ASSISTED OVER 4,982 CHILDREN WITH ACCESS TO A SOURCE OF COMPREHENSIVE HEALTH CARE SERVICES SUCH AS MEDICAID, FAMIS OR LOCAL SAFETY NET PROVIDERS. TRANSITIONAL CARE MANAGEMENT INOVA TRANSITIONAL CARE MANAGEMENT PROGRAM (TCM), IMPLEMENTED JULY 2011 FOCUSES ON UNMANAGED MEDICARE/ MEDICAID AND UNINSURED PATIENTS DIAGNOSED WITH HEART FAILURE (CHF), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD), PNEUMONIA AND DIABETES. THESE DISEASES ACCOUNT FOR A HIGH PROPORTION OF POTENTIALLY PREVENTABLE READMISSIONS. FOR 30 DAYS AFTER DISCHARGE FROM THE HOSPITAL OR EMERGENCY ROOM, TCM CASE MANAGERS AND HEALTH COACHES MONITOR PATIENTS PRIMARILY BY TELEPHONE. THEY EDUCATE PATIENTS ABOUT THEIR ILLNESSES, ENSURE THEY HAVE A FOLLOW-UP APPOINTMENT WITH THEIR PRIMARY CARE PHYSICIAN (PCP), AND CONFIRM THEY HAVE FILLED ANY PRESCRIPTIONS AND ARE TAKING THE CORRECT MEDICATIONS. FOR THOSE PATIENTS THAT DO NOT HAVE A PCP, INOVA HAS DEVELOPED TCM CLINICS IN COLLABORATION WITH THE INOVA JUNIPER PROGRAM IN WHICH PATIENTS ARE PROVIDED A FOLLOW UP APPOINTMENT WITH A NURSE PRACTITIONER WHO WILL FOLLOW THE PATIENT UNTIL THE PATIENT IS CONNECTED WITH A MEDICAL HOME. INOVA HOME HEALTH SERVICES ALSO PARTNERS WITH TCM IN PROVIDING HOME VISITS TO PATIENTS IDENTIFIED BY THE CASE MANAGERS AS NEEDING A HOME VISIT. IN 2012, 3,567 PATIENTS WERE ADMITTED TO THE TCM PROGRAM.INOVA KELLAR CENTERINOVA KELLAR CENTER IS A COMMUNITY BASED BEHAVIORAL HEALTH CENTER AND SPECIAL EDUCATION SCHOOL FOUNDED BY INOVA IN 1991 WITH A GIFT FROM FAIRFAX COUNTY RESIDENTS, ART AND BETTY KELLAR, TO ADDRESS A GAP IN MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR CHILDREN AND ADOLESCENTS. CURRENTLY IKC OFFERS A FULL CONTINUUM OF MENTAL HEALTH SERVICES FROM OUTPATIENT THERAPIES AND MEDICATION MANAGEMENT TO AFTER SCHOOL INTENSIVE OUTPATIENT PROGRAMS AND A FULL DAY PARTIAL HOSPITALIZATION PROGRAM. THE KELLAR SCHOOL, A PRIVATE SPECIAL EDUCATION DAY SCHOOL FOR STUDENTS WITH EMOTIONAL, SOCIAL AND BEHAVIORAL NEEDS PROVIDES ACADEMIC INSTRUCTION WITHIN A THERAPEUTIC ENVIRONMENT. THE CENTER PROVIDED 37,679 CLINICAL AND 42,402 EDUCATIONAL HOURS TO CHILDREN AND FAMILIES FOR A TOTAL OF 80,081 HOURS IN 2012. HEALTH PROMOTION AND PREVENTATIVE CARE PROGRAMSNORTHERN VIRGINIA HEALTHY KIDS' COALITION: TIPPING THE SCALES FOR BETTER HEALTH. INOVA HEALTH SYSTEM IN PARTNERSHIP WITH NORTHERN VIRGINIA SCHOOLS, HEALTH DEPARTMENTS, AND GOVERNMENT ENTITIES HAVE JOINED TOGETHER IN A MULTI-YEAR EFFORT TO ADDRESS THE CHILDHOOD OBESITY EPIDEMIC BY WORKING TO REVERSE THIS TREND. THE INOVA HEALTH SYSTEM SPONSORS THIS COMMUNITY-BASED COALITION. INOVA PARTNERING ACTIVELY TOWARDS HEALTH (IPATH). THE IPATH MISSION IS TO PROVIDE OPPORTUNITIES FOR STUDENTS TO ENGAGE IN HEALTH ORIENTED ACTIVITIES WITHIN OUR COMMUNITY, STRENGTHEN HEALTHY LIVING AMONGST ADOLESCENTS, AND EXPOSE STUDENTS TO EXCITING MEDICAL CAREERS. THE PATHWAY TO IMPROVED HEALTH PROGRAM IS A TEN-WEEK PROGRAM DESIGNED TO ENGAGE SELECTED STUDENT LEADERS THAT WILL CHAMPION HEALTH AWARENESS ACTIVITIES IN THEIR SCHOOLS AND COMMUNITIES, EMPOWER STUDENTS TO PARTNER WITH HEALTH PROFESSIONALS TO ASSIST INOVA AND THEIR SCHOOL IN DEVELOPING A NEW HEALTH INITIATIVE, AND SERVE AS A HEALTH AMBASSADOR TO THEIR FAMILIES TO HELP ACHIEVE THE GOAL OF IMPROVING THE HEALTH OF THE COMMUNITY ONE FAMILY AT A TIME. CONGREGATIONAL HEALTH PARTNERSHIP (CHP) HAS RESOURCED AND FACILITATED WELLNESS OF SPIRIT, MIND, AND BODY THROUGH MULTI-FAITH COMMUNITIES:PROVIDED MORE THAN 102 HEALTH EDUCATION AND WELLNESS PROMOTION ACTIVITIES DISTRIBUTED OVER 12,654 PIECES OF HEALTH EDUCATION MATERIALS.CONDUCTED OVER 3,371 CONSULTATIONS AND NETWORKING CONVERSATIONSINCREASED THE NUMBER OF NEW FAITH COMMUNITIES PARTNERED WITH CHP WITH 20 NEW FAITH CONGREGATIONS CONTACTED THIS YEAR.HEALTH LITERACY AND HEALTH EQUITY PROGRAMSTHE OFFICE OF HEALTH EQUITY (OHE) IDENTIFIES AND ADDRESSES HEALTH DISPARITIES IN NORTHERN VIRGINIA THROUGH INTERNAL AND COMMUNITY INITIATIVES UNDER THE QUALITY, SERVICE AND COMMUNITY PILLARS. THE DEPARTMENT IS DEDICATED TO THE ELIMINATION OF DISPARITIES IN OUR COMMUNITY THROUGH COMMUNITY PARTNERSHIP, DIVERSITY AND CULTURAL COMPETENCE EDUCATION, AND PROVISION OF LANGUAGE SERVICES. IN SUPPORT OF PATIENT SAFETY AND SATISFACTION, LANGUAGE INTERPRETATION AND TRANSLATION SERVICES ARE PROVIDED AT EVERY INOVA FACILITY, TO FACILITATE COMMUNICATION WITH THE 8-10 PERCENT OF INOVA'S PATIENT POPULATION WHO ARE LIMITED ENGLISH PROFICIENT (LEP). MEDICAL INTERPRETATION IN OVER 100 LANGUAGES IS PROVIDED BY ON SITE MEDICAL INTERPRETERS AND TELEPHONIC INTERPRETERS. IN 2012, THE OHE DELIVERED 55,289 HOURS OF INTERPRETER SERVICE ACROSS INOVA FACILITIES. IN 2012, 18,099 HOURS OF SIGN LANGUAGE INTERPRETATION WERE DELIVERED. VIDEO REMOTE INTERPRETING (ON DEMAND, ONLINE INTERPRETING) HAS BEEN EXPANDED TO 24 LOCATIONS THROUGHOUT INOVA."},{"explanation":"PART VI, LINE 6: ORGANIZATION IS PART OF INOVA HEALTH SYSTEM INCLUDED IN DESCRIPTION UNDER LINE 5."}]},"ScheduleJ":{"compensation_process":{"compensation_committee":true,"independent_consultant":true,"form_990_of_other_organizations":true,"written_employment_contract":true,"compensation_survey_or_study":true,"board_or_committee_approval":true},"compensation_arrangements":{"compensation_based_on_revenue_filing_org":false,"compensation_based_on_revenue_related_orgs":false,"compensation_based_on_net_earnings_filing_org":false,"compensation_based_on_net_earnings_related_orgs":false,"nonfixed_payments":false,"initial_contract_exception":false,"severance_payment":false,"supplemental_nonqualified_retirement_plan":true,"equity_based_compensation_arrangement":false},"compensation":[{"person_name":"JKNOX 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