l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586 Return of Organization Exempt From Income Tax OMB No 1545-0047 Form 990 Under section 501 (c), 527, or 4947( a)(1) of the Internal Revenue Code ( except black lung benefit trust or private foundation) 2 00 5_ Department of the Open Iµ The organization may have to use a copy of this return to satisfy state reporting requirements Treasury Inspection Internal Revenue Service A For the 2005 calendar year, or tax year beginning 01 -01-2005 and ending 12-31-2005 C Name of organization D Employer identification number B Check if applicable Please INOVA HEALTH CARE SERVICES 54-0620889 1 Address change use IRS l a b el or Number and street (or P 0 box if mail is not delivered to street address) Room/suite F Name change print or type. See 2990 TELESTAR COURT FOURTH FLOOR TA 1 Initial return Specific E Telep hone number Instruc - City or town, state or country, and ZIP + 4 (703) 289 2433 F_ Final return tions . FALLS CHURCH, VA 22042
(- Amended return rj'
F_ Application pending fl Other ( specify) lµ
* Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable H and I are not applicable to section 527 organizations trusts must attach a completed Schedule A (Form 990 or 990-EZ). H(a) Is this a group return for affiliates? F Yes F No H(b) If "Yes" enter number of affiliates lµ G Website :lr INOVAORG H(c) Are all affiliates included? F Yes F No (If "No," attach a list See instructions ) I Organization type (check only one) lµ ?!+ 501(c) ( 3) -4 (insert no ) (- 4947(a)(1) or F_ 527 H(d) Is this a separate return filed by an organization K Check here lµ F- if the organization's gross receipts are normally not more than $25,000 The covered by a group ruling? (- Yes No organization need not file a return with the IRS, but if the organization received a Form 990 Package in the mail, it should file a return without financial data Some states require a complete return. I Group Exemption Number Ir
M Check lµ F_ if the organization is not required to L Gross receipts Add lines 6b, 8b, 9b, and 10b to line 12 Ir 1,208,441,956 attach Sch B (Form 990 , 990-EZ, or 990-PF) n TI" Revenue . Expenses. and Chances in Net Assets or Fund Balances (See the instructions.) 1 Contributions, gifts, grants, and similar amounts received
a Direct public support la
b Indirect public support lb 4,022,103
c Government contributions (grants) . 1c 6,090,453
10,112,556 d Total (add lines la through 1c) (cash $ 10,112,556 noncash $ ) 1d 2 Program service revenue including government fees and contracts (from Part VII, line 93) 2 1,143,881,917 3 Membership dues and assessments 3
4 Interest on savings and temporary cash investments 4 2,837,510 5 Dividends and interest from securities 5
6a Gross rents 6a 11,888,399
b Less rental expenses 6b 9,098,458
c Net rental income or (loss) (subtract line 6b from line 6a) . 6c 2,789,941
7 Other investment income (describe Ir ) ...... 7 3,793,071
8a Gross amount from sales of assets (A) Securities (B) Other other than inventory 8a Ch b Less cost or other basis and sales expenses 8b c Gain or (loss) (attach schedule) . Sc d Net gain or (loss) (combine line 8c, columns (A) and ( B)) ...... 8d
9 Special events and activities (attach schedule) If any amount is from gaming , check here IrF-
a Gross revenue (not including $ of contributions reported on line 1a) 9a b Less direct expenses other than fundraising expenses . 9b c Net income or (loss) from special events (subtract line 9b from line 9a) . 9c 10a Gross sales of inventory, less returns and allowances . 10a b Less cost of goods sold 10b
c Gross profit or (loss) from sales of inventory (attach schedule) (subtract line 10b from line 10a) 10e
11 Other revenue (from Part VII, line 103) 11 35,928,503
12 Total revenue (add lines 1d, 2, 3, 4, 5, 6c, 7, 8d, 9c, 10c, and 11) ...... 12 1,199,343,498
13 Program services (from line 44, column (B)) ...... 13 973,633,438
14 Management and general (from line 44, column (C)) ...... 14 147,143,764
u 15 Fundraising (from line 44, column (D)) ...... 15 4, 16 Payments to affiliates (attach schedule) 16
17 Total expenses (add lines 16 and 44, column (A)) ...... 17 1,120,777,202 18 Excess or (deficit) for the year (subtract line 17 from line 12) . 18 78,566,296
19 Net assets or fund balances at beginning of year (from line 73, column (A)) 19 584,945,273
20 Other changes in net assets or fund balances (attach explanation) 20 47,354,402 21 Net assets or fund balances at end of year (combine lines 18, 19, and 20) . 21 710,865,971
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions . Cat No 11282Y Form 990 (2005) Form 990 (2005) Page 2 RIEULEM Statement of All organizations must complete column (A) Columns (B), (C), and (D) are required for section Functional Expenses 501(c)(3) and (4) organizations and section 4947(a)(1) nonexempt charitable trusts but optional for others (See the instructions )
Do not include amounts reported on line (B) Program (C) Management ( A) Total (D) Fundraising 6b, 8b, 9b, 1Ob, or 16 of Part I. services and general
22 Grants and allocations (attach schedule) (cash $ noncash $ If this amount includes foreign grants, check here F 22 23 Specific assistance to individuals (attach schedule) 23
24 Benefits paid to or for members (attach schedule) 24
25 Compensation of officers, directors, etc 25 583,973 583,973
26 Other salaries and wages 26 481,910,330 422,164,045 59,746,285
27 Pension plan contributions 27 19,655,832 16,087,538 3,568,294
28 Other employee benefits 28 44,636,369 38,470,179 6,166,190
29 Payroll taxes 29 33,232,004 29,326,020 3,905,984 30 Professional fundraising fees 30
31 Accounting fees 31 702,500 702,500
32 Legal fees 32 1,161,629 497,138 664,491
33 Supplies 33 213,482,486 211,619,273 1,863,213
34 Telephone 34 4,875,439 357,496 4,517,943
35 Postage and shipping 35 2,152,063 1,247,583 904,480
36 Occupancy 36 18,948,035 12,159,994 6,788,041
37 Equipment rental and maintenance 37 4,510,181 4,432,355 77,826
38 Printing and publications 38 4,554,855 3,764,211 790,644
39 Travel 39 1,267,412 760,002 507,410
40 Conferences, conventions, and meetings 40 1,819,288 746,801 1,072,487
41 Interest 41 25,583,810 25,583,810
42 Depreciation, depletion, etc (attach schedule) 42 79,945,959 60,084,615 19,861,344 43 Other expenses not covered above (itemize)
a See Additional Data Table 43a b 43b
c 43c d 43d
e 43e f 43f
g 43g
44 Total functional expenses . Add lines 22 through 43 (Organizations completing columns (B)-(D), carry these totals to lines 13-15) 44 1,120,777,202 973,633,438 147,143,764 0 Joint Costs . Check J* fl if you are following SOP 98-2 Are any joint costs from a combined educational campaign and fundraising solicitation reported in (B) Program services ' I* fl Yes fl No If "Yes," enter ( i) the aggregate amount of these joint costs $ , (ii) the amount allocated to Program services $ (iii) the amount allocated to Management and general $ , and (iv ) the amount allocated to Fundraising $
Form 990 (2005) Form 990 ( 2005) Page 3 UT.TIWi Statement of Program Service Accomplishments (See the Instructions.) Form 990 is available for public inspection and, for some people, serves as the primary or sole source of information about a particular organization How the public perceives an organization in such cases may be determined by the information presented on its return Therefore, please make sure the return is complete and accurate and fully describes, in Part III, the organization's programs and accomplishments
What is the organization's primary exempt purpose's J* TO MAINTAIN AND OPERATE HOSPITALS AND PERFORM Program Service OTHER ACTIVITIES TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY Expenses (Required for 501(c)(3) and All organizations must describe their exempt purpose achievements in a clear and concise manner State the number of clients served, (4) orgs , and 4947(a)(1) publications issued, etc Discuss achievements that are not measurable (Section 501(c)(3) and (4) organizations and 4947(a)(1) nonexempt trusts, but optional for charitable trusts must also enter the amount of grants and allocations to others ) others
a INOVA HEALTH CARE SERVICESREPORT OF PROGRAM AND COMMUNITY SERVICESFOR THE YEAR ENDED DECEMBER 31, 2005Inova Health Care Services ("IHCS", formerly Inova Health System Hospitals) is a not-for-profit corporation and a subsidiary of the parent organization, Inova Health System Foundation (Inova) Inova is a large healthcare system providing healthcare and related services throughout northern Virginia and the greater metropolitan Washington, D C area, including certain contiguous counties of Virginia and Maryland Both IHCS and Inova are operated for charitable, scientific, and educational purposes and are exempt from income tax under Section 501(c)(3) of the Internal Revenue Code IHCS was specifically chartered for the purpose of serving the health care needs of the community by establishing, maintaining, and operating hospital facilities, programs, and other shared service arrangements, carrying on health-related education activities, promoting and carrying on health-related scientific research, and engaging in activities designed and carried on to promote the general health of the community IHCS includes a centralized System Office and the various unincorporated and incorporated subsidiaries which are described below The unincorporated subsidiaries of IHCS include The Fairfax Hospital, Mount Vernon Hospital, Fair Oaks Hospital, ACCESS of Reston, ACCESS of Fairfax, and Springfield Healthplex The Institute of Research and Education is operated as a program ofIHCS Also, American Medical Collections Bureau, a collection service, and Medicredit, a financing service, are included under IHCS IHCS's 2005 tax return and this Report of Program and Community Services include the activities of its centralized System Office and the following facilities and programs oThe Fairfax Hospital (Fairfax)oMount Vernon Hospital (Mount Vernon)oFair Oaks Hospital (FairOaks)oACCESS of Reston and ACCESS of FairfaxoSpringfield Healthplexolnstitute of Research and EducationoAmerican Medical Collections Bureau (AMCB)PROGRAM SERVICESEach ofIHCS's three operating hospitals provide general acute care services, including emergency facilities, inpatient and outpatient services, and a variety of ancillary and specialized services based on the needs of the community Services provided by these hospitals, the ACCESS facilities, and certain other programs ofIHCS are described more fully below The Fairfax Hospital is a 656- licensed bed tertiary care hospital providing comprehensive medical and surgical services which include emergency/trauma, cardiac, transplant, cancer, obstetric, pediatric, neonatal, and extensive outpatient services Fairfax is the home of the nationally-known Virginia Heart Center, the Fairfax Hospital for Children, northern Virginia's top-rated emergency and trauma center, and the state-of-the-art Women's and Children's Center In addition, Fairfax is as a teaching hospital providing clinical training through its medical residency, nursing, and paramedical education programs Fairfax physicians are qualified in all major specialties and subspecialties, and the hospital operates several specialized regional medical referral centers which are described below oThe Virginia Heart Center, established in 1987, provides a full range of advanced medical care, from diagnosis to treatment (including heart and lung transplants) and rehabilitation for cardiac patients of all ages The 110-bed Center provides three operating suites dedicated to cardiovascular surgery, cardiac catheterization and electrophysiology laboratories, and coronary care nursing units oThe Cancer Center of Fairfax Hospital is a 32- bed inpatient medical oncology unit providing comprehensive diagnostic services, inpatient and outpatient surgical services, and nursing care for cancer patients, including specialized care for gynecologic cancer and pediatric patients Five of the Center's beds are available in support of the Center's autologous bone marrow transplant program In addition, the Center provides a full spectrum of support services to its patients, including the Life with Cancer program of educational and support groups The Center also conducts research and participates in studies in conjunction with university hospitals and other cooperative groups SEE ATTACHED GENERAL EXPLANATION FOR CONTINUED PROGRAM SERVICE REPORT
(Grants and allocations $ ) If this amount includes foreign grants, check here J* F- 973,633,438 b
(Grants and allocations $ ) If this amount includes foreign grants, check here J* F- c
(Grants and allocations $ ) If this amount includes foreign grants, check here J* F- d
(Grants and allocations $ ) If this amount includes foreign grants, check here J* F- e Other program services (attach schedule) (Grants and allocations $ ) If this amount includes foreign grants, check here J* F-
f Total of Program Service Expenses (should equal line 44, column (B), Program services) . 1* 973,633,438 Form 990 (2005) Form 990 (2005) Page 4
Balance Sheets (See the instructions.)
Note : Where required, attached schedules and amounts within the description (A) (B) column should be for end-of-year amounts only. Beginning of year End of year 45 Cash-non-interest-bearing 3 45
46 Savings and temporary cash investments 9,174,101 46 38,786,253
47a Accounts receivable . . . . 47a 399,368,666
b Less allowance for doubtful accounts 47b 234,502,603 171,443,416 47c 164,866,063
48a Pledges receivable . . . . . 48a b Less allowance for doubtful accounts 48b 48c
49 Grants receivable 49 50 Receivables from officers, directors, trustees, and key employees (attach schedule) ...... 50
51a Other notes and loans receivable (attach schedule) ...... 51a ci^ b Less allowance for doubtful accounts 51b 51c
52 Inventories for sale or use 14,870,980 52 12,959,627
53 Prepaid expenses and deferred charges 19,899,436 53 18,729,414
54 Investments-securities (attach schedule) Ir F-Cost F-FMV 54
55a Investments-land, buildings, and equipment basis . . . . . 55a b Less accumulated depreciation (attach schedule) ...... 55b 55c 56 Investments-other (attach schedule) 18,917,482 56 213,146,462
57a Land, buildings, and equipment basis 57a 1,261,716,187 b Less accumulated depreciation (attach 570, 484, 095 schedule) ...... 57b 654, 865, 694 57c 691, 232, 092 58 Other assets (describe Ir ) 593,881,589 58 636,064,533
59 Total assets (must equal line 74) Add lines 45 through 58 . 1,483,052,701 59 1,775,784,444
60 Accounts payable and accrued expenses 231,154,014 60 150,422,537
61 Grants payable 61
62 Deferred revenue 62 63 Loans from officers, directors, trustees, and key employees (attach schedule) ...... 63
64a Tax-exempt bond liabilities (attach schedule) 466,550,651 64a 446,989,569 b Mortgages and other notes payable (attach schedule) 64b
65 Other liablilities (describe Ir ) 200,402,763 65 467,506,367
66 Total liabilities Add lines 60 through 65 ...... 898,107,428 66 1,064,918,473 Organizations that follow SFAS 117, check here Ir and complete lines 67 through 69 and lines 73 and 74 584,923,549 67 710,844,247 CD 67 Unrestricted 68 Temporarily restricted 21,724 68 21,724
69 Permanently restricted 69 Organizations that do not follow SFAS 117, check here Ir F- and LL_ complete lines 70 through 74 Z5 70 Capital stock, trust principal, or current funds 70 71 Paid-in or capital surplus , or land , building , and equipment fund . 71 CD 72 Retained earnings, endowment, accumulated income, or other funds 72 73 Total net assets or fund balances (add lines 67 through 69 or lines 70 through 72, column ( A) must equal line 19, column ( B) must equal line 21) . . . 584,945,273 73 710,865,971
74 Total liabilities and net assets / fund balances Add lines 66 and 73 . 1,483,052,701 74 1,775,784,444 Form 990 (2005) Form 990 (2005) Page 5 Reconciliation of Revenue per Audited Financial Statements With Revenue per Return (See the instructions. ) a Total revenue, gains, and other support per audited financial statements a 1,950,480,000
b Amounts included on line a but not on line 12
1 Net unrealized gains on investments bl 2 Donated services and use of facilities . b2
3 Recoveries of prior year grants b3
4 Other (specify) b4 751,136,502
Add lines blthrough b4 ...... b 751,136,502
c Subtract line bfrom line a ...... C 1,199,343,498 d Amounts included on line 12, but not on line a
1 Investment expenses not included on line 6b . dl
2 Other (specify) d2
Add lines dl and d2 ...... d 751,136,502
e Total revenue (line 12) Add lines cand d ...... J* e 1,199,343,498 Reconciliation of Ex p enses p er Audited Financial Statements With Ex p enses p er Return a Total expenses and losses per audited financial statements a 1,613,011,000 b Amounts included on line a but not on line 17 1 Donated services and use of facilities . bl
2 Prior year adjustments reported on line 20 b2
3 Losses reported on line 20 b3
4 Other (specify) b4 492,233,798
Add lines blthrough b4 ...... b 492,233,798
c Subtract line bfrom line a ...... C 1,120,777,202
d Amounts included on line 17, but not on line a:
1 Investment expenses not included on line 6b . dl
2 Other (specify) d2 Add lines dl and d2 ...... d
e Total expenses (line 17) Add lines cand d ...... J* e 1,120,777,202 Current Officers , Directors , Trustees , and Key Employees (List each person who was an officer, director, trustee, or key employee at any time during the year even if they were not compensated.) (See the
Form 990 (2005) Form 990 (2005) Page 6 Current Officers, Directors , Trustees, and Key Employees (continued) Yes No 75a Enter the total number of officers, directors, and trustees permitted to vote on organization business at board
meetings ...... F 34 b Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships? If "Yes," attach a statement that identifies the individuals and explains the relationship(s) . 75b No
c Do any officers, directors, trustees, or key employees listed in Form 990, Part V -A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent
contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to this organization through common supervision or common control? 95 75c Yes Note . Related organizations include section 509(a)(3) supporting organizations If "Yes," attach a statement that identifies the individuals, explains the relationship between this organization and the other organization(s), and describes the compensation arrangements, including amounts paid to each individual by each related organization d Does the organization have a written conflict of interest policy? ...... 75d Yes Former Officers, Directors, Trustees , and Key Employees That Received Compensation or Other Benefits (If any former officer, director, trustee, or key employee received compensation or other benefits (described below) during the year, list that person below and enter the amount of compensation or other benefits in the appropriate column. See the Instructions.) (D) Contributions to employee benefit plans (E) Expense account and (A) Name and address (B) Loans and Advances (C) Compensation and deferred compensation other allowances plans JOLENE TORNEBENI 2990 TELESTAR COURT 0 0 583,973 0 FALLS CHURCH,VA 22042
LOW Other Information (See the instructions.) Yes No
76 Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed description of each activity 76 N o
77 Were any changes made in the organizing or governing documents but not reported to the IR57 . 77 No
If "Yes," attach a conformed copy of the changes
78a Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return? . 78a Yes b If "Yes," has it filed a tax return on Form 990 -T for this year? 78b Yes
79 Was there a liquidation, dissolution, termination, or substantial contraction during the year? If "Yes," attach a statement , 79 N o 80a Is the organization related (other than by association with a statewide or nationwide organization) through common membership,
governing bodies, trustees, officers, etc , to any other exempt or nonexempt organization? , 80a Yes
b If "Yes," enter the name of the organization 1* See Additional Data Table
and check whether it is fl exempt or fl nonexempt 81a Enter direct or indirect political expenditures (See line 81 instructions 81a b Did the organization file Form 1120 -POL for this year? 1b o
Form 990 (2005) Form 990 (2005) Page 7 LOW Other Information (continued) Yes No 82a Did the organization receive donated services or the use of materials, equipment, or facilities at no charge or at substantially less than fair rental value? 82a No
b If "Yes," you may indicate the value of these items here Do not include this amount as revenue in Part I or as an expense in Part II (See instructions in Part III ) 182b
83a Did the organization comply with the public inspection requirements for returns and exemption applications? 83a Yes b Did the organization comply with the disclosure requirements relating to quid pro quo contributions? 83b Yes
84a Did the organization solicit any contributions or gifts that were not tax deductible? 84a N o b If "Yes," did the organization include with every solicitation an express statement that such contributions or
gifts were not tax deductible? 84b 85 501(c)(4), (5), or(6) organizations, a Were substantially all dues nondeductible by members? . . 85a b Did the organization make only in-house lobbying expenditures of$2,000 or less? 85b If "Yes," was answered to either 85a or 85b, do not complete 85c through 85h below unless the organization received a waiver for proxy tax owed the prior year c Dues assessments , and similar amounts from members ...... 85c
d Section 162 ( e) lobbying and political expenditures 85d
e Aggregate nondeductible amount of section 6033( e)(1)(A) dues notices 85e f Taxable amount of lobbying and political expenditures ( line 85d less 85e) . 85f
g Does the organization elect to pay the section 6033( e) tax on the amount on line 8 5f7 85g
h If section 6033( e)(1)(A) dues notices were sent , does the organization agree to ad d the amount on line 85fto its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year? 85h
86 501 (c)(7) orgs. Enter a Initiation fees and capital contributions included on line 12 86a b Gross receipts , included on line 12, for public use of club facilities . . . . 86b
87 501 (c)(12) orgs. Enter a Gross income from members or shareholders . . . 87a b Gross income from other sources ( Do not net amounts due or paid to other sources against amounts due or received from them ) ...... 87b
88 At any time during the year, did the organization own a 50% or greater interest in a taxable corporation or partnership, or an entity disregarded as separate from the organization under Regulations sections 301 7701-2 and 301 7701-3'' If "Yes," complete Part IX 88 No
89a 501(c)(3) organizations Enter Amount of tax imposed on the organization during the year under section 4911 F , section 4912 F , section 4955 F
b 501(c)(3) and 501(c)(4) orgs. Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year? If "Yes," attach a statement explaining each transaction 89b No c Enter Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958 ...... I* d Enter A mount of tax on line 89c, above, reimbursed by the organization 90a List the states with which a copy of this return is filed J* CA
b N umber of employees employed in the pay period that includes March 12, 2005 (See instructions 90b 10,394
91a The books are in care of 1* Inova Health Care Services Telephone no 1* ( 703) 289-2433
2990 Telestar Ct VA Located at 1* Falls Church, VA ZIP + 4 1* 22042 b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial Yes No account)? 91b N o If "Yes," enter the name of the foreign country J* See the instructions for exceptions and filing requirements for Form TD F 90-22 .1, Report of Foreign Bank and Financial Accounts
c At any time during the calendar year, did the organization maintain an office outside of the United States? 91c 1 1 N o
If "Yes," enter the name of the foreign country J*
92 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 in lieu of Form 1041-Check here . I* F and enter the amount of tax-exempt interest received or accrued during the tax year . . 92
Form 990 (2005) Form 990 (2005) Page 8 Anal sis of Income - Producin g Activities ( See the Instructions. Note: Enter gross amounts unless otherwise indicated. Unrelate d business income Excluded by section 512, 513, or 514 (E) Related or (B) Exclusion exempt function Business Amount Amount code code income 93 Program service revenue a Patient Service Revenue 1,143,881,917
b
c
d
e
f Medicare/Medicaid payments
9 Fees and contracts from government agencies 94 Membership dues and assessments . 95 Interest on savings and temporary cash investments 14 2,837,510 96 Dividends and interest from securities . . 97 Net rental income or (loss) from real estate a debt-financed property b non debt-financed property 16 2,789,941
98 Net rental income or (loss) from personal property 99 Other investment income 14 26,523 3,766,548 100 Gain or (loss) from sales of assets other than inventory 101 Net income or (loss) from special events 102 Gross profit or (loss) from sales of inventory
103 Other revenue a Revenue Incidental I 03 29,233,098
b PHARMACEUTICAL CONTRACT 541700 2,067,795
c LAUNDRY SERVICES 812300 4,499,124
d OTHER HEALTH SERVICES 621990 128,486
e
104 Subtotal (add columns (B), (D), and (E)) 6,695,405 34,887,072 1,147,648,465 105 Total (add line 104, columns (B), (D), and (E)) ...... 1,189,230,942 Note : Line 105 plus line 1d, Part I, should equal the amount on line 12, Part I. Relationshi p of Activities to the Accom p lishment of Exem p t Pur p oses ( See the instructions. ) Line No . Explain how each activity for which income is reported in column (E) of Part VII contributed importantly to the accomplishment t of the organization's exempt purposes (other than by providing funds for such purposes) Patient service revenue generated by performance of exempt medical services enumerated in the Report of Program and 93a Community Services (See Attached)
Information Re g ardin g Taxable Subs idiaries and Disre g arded Entities (See the instructions.)
(A) (B) (C) (D) (E) Name, address, and EIN of corporation, Percentage of End-of-year Nature of activities Total income partnership, or disregarded entity ownership interest assets
Information Regarding Transfers Associated with Personal Benefit Contracts (See the instructions.)
(a) Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a ersonal benefit contract? 1 Yes F No
(b) Did the organization, during the year, pay premiums, directly or indirectly
NOTE : If "Yes" to (b), file Form 8870 and Form 4720 (see instructions). Under penalties of perjury, I declare that I have examined this return, including a and belief, it is true, correct, and complete Declaration of preparer (other than o
Please Sign Signature of officer Here RICHARD MAGENHEIMER CFO Type or print name and title
Date Preparer' s KAISER SCHERER SCHLEGEL PLLC Paid signature Preparer's Firm 's name ( or yours Use if self- employed), address, and ZIP + 4 Only KAISER SCHERER & SCHLEGEL PLLC
1410 SPRING HILL RD SUITE 400
MCLEAN, VA 22102 efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586 OMB No 1545-0047 SCHEDULE A Organization Exempt Under Section 501(c)(3) ( Except Private Foundation ) and Section 501(e), 501(f), 501(k), (Form 990 or 501(n ), or 4947( a)(1) Nonexempt Charitable Trust 990EZ ) Supplementary Information -( See separate instructions.) 200 5 Department of the jk- MUST be completed by the above organizations and attached to their Form 990 or 990-EZ Treasury Internal Revenue Service Name of the organization Employer identification number INOVA HEALTH CARE SERVICES 54-0620889 Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (See page 1 of the instructions. List each one. If there are none, enter "None.") (d) Contributions ( e) Expense (a) Name and address of each employee ( b) Title and average hours to employee benefit ( c) Compensation account and other paid more than $ 50,000 per week devoted to position plans & deferred allowances compensation SAMIR FAKHRY MD CHRMAN-TRAUMA 479,897 95,979 0 2990 TELESTAR COURT 60 00 FALLS CHURCH,VA 22042 GARY MAGRAM MD MEDICAL DRTR 464,988 92,998 0 2990 TELESTAR COURT 60 00 FALLS CHURCH,VA 22042 LINDA SALLEE VP CASE MGMT 438,018 87,604 0 2990 TELESTAR COURT 60 00 FALLS CHURCH,VA 22042 MYUNG NAM MD MEDICAL DRTR 413,467 82,693 0 2990 TELESTAR COURT 60 00 FALLS CHURCH,VA 22042 JAMES PIPER MD MEDICAL DRTR 400,530 80,106 0 2990 TELESTAR COURT 60 00 FALLS CHURCH,VA 22042 Total number of other employees paid over 3,389 $50,000 Compensation of the Five Highest Paid Independent Contractors for Professional Services (See page 2 of the instructions. List each one (whether individual or firms). If there are none, enter "None.") (a) Name and address of each independent contractor paid more than $50,000 ( b) Type of service ( c) Compensation STOCKAMP & ASSOCIATES
CONSULTING 9,608,831 6000 SW MEADOWS ROAD SUITE 300 LAKE OSWEGO,OR 97035 AMERICAN MOBILE NURSES HEALTHCARE
STAFFING 5,530,318 PO BOX 5389 NEWYORK,NY 10087 IDX SYSTEMS CORPORATION
IT SERVICES 4,241,839 PO BOX 845887 BOSTON,MA 02284 FAIRFAX RADIOLOGICAL CONSULTANTS
RADIOLOGY SERVICES 3,782,782 2722 MERRILEE DRIVE SUITE 230 FAIRFAX,VA 22031 FIDELITY INVESTMENTS
INVESTMENT ADVISOR 3,634,521 PO BOX 73307 CHICAGO,IL 60673 Total number of others receiving over $50,000 for 252 professional services 111. 1 Compensation of the Five Highest Paid Independent Contractors for Other Services (List each contractor who performed services other than professional services, whether individual or firms. If there are none, enter "None". See page X for instructions.) (a) Name and address of each independent contractor paid more than $50,000 (b) Type of service ( c) Compensation TURNER CONSTRUCTION
CONSTRUCTION 45,640,109 3868 WILSON BLVD SUITE 300 ARLINGTON,VA 22203 SCOTT LONG CONSTRUCTION
CONSTRUCTION 7,472,408 14170 NEWBROOK DRIVE CHANTILLY,VA 20151 TWIN CONTRACTING CORP
CONSTRUCTION 5,524,352 5700 H GENERAL WASHINGTON DRIVE ALEXANDRIA,VA 22312 SODEXHO INC
DIETARY 5,063,676 PO BOX 905374 CHARLOTTE,NC 28290 VERIZON
PHONE SERVICE 4,641,570 PO BOX 408 COCKEYSVILLE,MD 21030 Total number of other contractors receiving over 51 $50,000 for other services ► For Paperwork Reduction Act Notice , see the Instructions for Form 990 andCat No 11285F Schedule A (Form 990 or 990-EZ) Form 990 - EZ. 2005 Schedule A (Form 990 or 990-EZ) 2005 Page 2
Statements About Activities (See page 2 of the instructions.) Yes No
1 During the year, has the organization attempted to influence national, state, or local legislation, include any attempt to influence public opinion on a legislative matter or referendum? If "Yes," enter the total expenses paid or incurred in connection with the lobbying activities Pk-$ 132,267 (Must equal amounts on line 38, Part VI-A, or line i of Part VI-B ) 1 Yes Organizations that made an election under section 501(h) by filing Form 5768 must complete Part VI-A Other organizations checking "Yes" must complete Part VI-B AND attach a statement giving a detailed description of the lobbying activities 2 During the year, has the organization, either directly or indirectly, engaged in any of the following acts with any substantial contributors, trustees, directors, officers, creators, key employees, or members of their families, or with any taxable organization with which any such person is affiliated as an officer, director, trustee, majority owner, or principal beneficiary? (If the answer to any question is "Yes,"attach a detailed statement explaining the transactions.) a Sale, exchange, or leasing property? 2a No b Lending of money or other extension of credit? F 2b No c Furnishing of goods, services, or facilities? 2c No
d Payment of compensation (or payment or reimbursement of expenses if more than $1,000)7 J 2d Yes e Transfer of any part of its income or assets? 2e No 3a Do you make grants for scholarships, fellowships, student loans, etc '' (If "Yes," attach an explanation of how you determine that recipients qualify to receive payments ) 3a No b Do you have a section 40 3(b) annuity plan for your employees? 3b No c During the year, did the organization receive a contribution of qualified real property interest under section 170(h)7 3c No 4a Did you maintain any separate account for participating donors where donors have the right to provide advice on the use or distribution of funds? 4a No b Do you provide credit counseling, debt management, credit repair, or debt negotiation services? 4b No
Reason for Non-Private Foundation Status (See pages 3 through 6 of the instructions.)
The organization is not a private foundation because it is (Please check only ONE applicable box ) 5 fl A church, convention of churches, or association of churches Section 170(b)(1)(A)(i) 6 fl A school Section 170(b)(1)(A)(ii) (Also complete Part V ) 7 7 A hospital or a cooperative hospital service organization Section 170(b)(1)(A)(iii) 8 fl A Federal, state, or local government or governmental unit Section 170(b)(1)(A)(v) 9 fl A medical research organization operated in conjunction with a hospital Section 170( b)(1)(A)(iii) Enter the hospital's name, city, and state ' 10 fl A n organization operated for the benefit of a college or university owned or operated by a governmental unit Section 170(b)(1)(A)(iv) (Also complete the Support Schedule in Part IV-A) 11a fl An organization that normally receives a substantial part of its support from a governmental unit or from the general public Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A) 11b fl A community trust Section 170(b)(1)(A)(vi) (Also complete the Support Schedule in Part IV-A) 12 fl A n organization that normally receives (1) more than 331/3 % of its support from contributions, membership fees, and gross receipts from activities related to its charitable, etc , functions-subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975 See section 509(a)(2) (Also complete the Support Schedule in Part IV-A 13 fl An organization that is not controlled by any disqualified persons (other than foundation managers) and supports organizations described in (1) lines 5 through 12 above, or (2) sections 501(c)(4), (5), or (6), if they meet the test of section 509(a)(2) Check the box that describes the type of supporting organization ' FType 1 f Type 2 f Type 3 Provide the following information about the supported organizations (see page 5 of the instructions (b) Line number (a) Name(s) of supported organization(s) from above
14 fl An organization organized and operated to test for public safety Section 509(a)(4) (See page 5 of the instructions ) Schedule A (Form 990 or 990 - EZ) 2005 Schedule A (Form 990 or 990-EZ) 2005 Page 3 Support Schedule (Complete only if you checked a box on line 10, 11, or 12 ) Use cash method of accounting. Note : You may use the worksheet in the instructions for converting from the accrual to the cash method of accounting. Calendar year ( or fiscal year beginning in ) ok. (a) 2004 (b) 2003 (c) 2002 (d) 2001 (e) Total 15 Gifts, grants, and contributions received (Do not include unusual grants See line 28 16 Membership fees received 17 Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc , purpose 18 Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975 19 Net income from unrelated business activities not included in line 18 20 Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf 21 The value of services or facilities furnished to the organization by a governmental unit without charge Do not include the value of services or facilities generally furnished to the public without charge 22 Other income Attach a schedule Do not include gain or (loss) from sale of capital assets 23 Total of lines 15 through 22 24 Line 23 minus line 17 25 Enter 1% of line 23
26 Organizations described on lines 10 or 11 : a Enter 2% of amount in column (e), line 24 ► 26a b Prepare a list for your records to show the name of and amount contributed by each person (other than a
governmental unit or publicly supported organization) whose total gifts for 2001 through 2004 exceeded the amount shown in line 26a Do not file this list with your return . Enter the total of all these excess
amounts ► 26b 0 c Total support for section 509(a)(1) test Enter line 24, column ( e) llk^ 26c d Add Amounts from column (e) for lines 18 19 22 26b 26d
e Public support (line 26c minus line 26d total) ► 26e f Public support percentage ( line 26e ( numerator) divided by line 26c (denominator )) ► 26f 27 Organizations described on line 12 : a For amounts included in lines 15, 16, and 17 that were received from a "disqualified person," prepare a list for your records to show the name of, and total amounts received in each year from, each "disqualified person Do not file this list with your return . Enter the sum of such amounts for each year (2004) (2003) (2002) (2001) b For any amount included in line 17 that was received from each person (other than "disqualified persons"), prepare a list for your records to show the name of, and amount received for each year, that was more than the larger of (1) the amount on line 25 for the year or (2) $5,000 (Include in the list organizations described in lines 5 through 11, as well as individuals ) Do not file this list with your return . After computing the difference between the amount received and the larger amount described in (1) or (2), enter the sum of these differences (the excess amounts) for each year (2004) (2003) (2002) (2001)
c Add Amounts from column (e) for lines 15 16
17 20 21 ► 27c d Add Line 27a total and line 27b total 27d e Public support (line 27c total minus line 27d total) 27e f Total support for section 509(a)(2) test Enter amount from line 23, column (e) lk^ 127f g Public support percentage ( line 27e ( numerator ) divided by line 27f (denominator )) 27g h Investment income percentage ( line 18, column ( e) (numerator ) divided by line 27f (denominator )) 27h 28 Unusual Grants: For an organization described in line 10, 11, or 12 that received any unusual grants during 2001 through 2004, prepare a list for your records to show, for each year, the name of the contributor, the date and amount of the grant, and a brief description of the nature of the grant Do not file this list with your return . Do not include these grants in line 15 Schedule A (Form 990 or 990 - EZ) 2005 Schedule A (Form 990 or 990-EZ) 2005 Page 4 IMMMIEUPrivate School Questionnaire (See page 7 of the instructions.) ( To be com p leted ONLY b y schools that checked the box on line 6 in Part IV ) 29 Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws, Yes No other governing instrument, or in a resolution of its governing body? 29 30 Does the organization include a statement of its racially nondiscriminatory policy toward students in all its brochures, catalogues, and other written communications with the public dealing with student admissions, programs, and scholarships? 30 31 Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during the period of solicitation for students, or during the registration period if it has no solicitation program, in a way that makes the policy known to all parts of the general community it serves? 31 If "Yes," please describe, if "No," please explain (If you need more space, attach a separate statement )
32 Does the organization maintain the following a Records indicating the racial composition of the student body, faculty, and administrative staff? 32a b Records documenting that scholarships and other financial assistance are awarded on racially nondiscriminatory basis? 32b c Copies of all catalogues, brochures, announcements, and other written communications to the public dealing with student admissions, programs, and scholarships? 32c d Copies of all material used by the organization or on its behalf to solicit contributions? 32d
If you answered "No" to any of the above, please explain (If you need more space, attach a separate statement
33 Does the organization discriminate by race in any way with respect to
a Students' rights or privileges? 33a
b Admissions policies? 133b
c Employment of faculty or administrative staff? 133c
d Scholarships or other financial assistance? 33d
e Educational policies? 33e
f Use of facilities? 33f
g Athletic programs? 33g
h Other extracurricular activities? 33h
If you answered "Yes" to any of the above, please explain (If you need more space, attach a separate statement
34a Does the organization receive any financial aid or assistance from a governmental agency? 34a
b Has the organization 's right to such aid ever been revoked or suspended? If you answered "Yes" to either 34a orb, please explain using an attached statement
35 Does the organization certify that it has complied with the applicable requirements of sections 4 01 through 4 05 of Rev Proc 75-50, 1975-2 C B 587, covering racial nondiscrimination? If "No," attach an explanation 35 Schedule A (Form 990 or 990-EZ) 2005 Schedule A (Form 990 or 990-EZ) 2005 Page 5 Lobbying Expenditures by Electing Public Charities (See page 9 of the instructions.) (To be completed ONLY by an eligible organization that filed Form 5768) Check ► a 7 if the organization belongs to an affiliated group Check ► b fl if you checked "a" and "limited control" provisions apply (a) (b) Limits on Lobby ing Ex penditures To be completed Affiliated group for ALL electing (The term "expenditures" means amounts paid or incurred totals organizations 36 Total lobbying expenditures to influence public opinion (grassroots lobbying) 36 0
37 Total lobbying expenditures to influence a legislative body (direct lobbying) 37 132,267 132,267
38 Total lobbying expenditures ( add lines 36 and 37) 38 132,267 132,267
39 Other exempt purpose expenditures 39 1,120,644,935 1,120,644,935
40 Total exempt purpose expenditures ( add lines 38 and 39 ) 40 1,120,777,202 1,120,777,202 41 Lobbying nontaxable amount Enter the amount from the following table- If the amount on line 40 is- The lobbying nontaxable amount is- Not over $500,000 20% of the amount on line 40 Over $500,000 but not over $1,000,000 $100,000 plus 15% of the excess over $500,000 Over $1,000,000 but not over $1,500,000 $175,000 plus 10% of the excess over $1,000, 000 41 1,000,000 1,000,000
Over $1,500,000 but not over $17,000,000 $225,000 plus 5% of the excess over $1,500,000 Over $17,000,000 $1,000,000 42 Grassroots nontaxable amount (enter 25% of line 41) 42 250,000 250,000
43 Subtract line 42 from line 36 Enter -0- if line 42 is more than line 36 43 0
44 Subtract line 41 from line 38 Enter -0- if line 41 is more than line 38 44 0
Caution : If there is an amount on either line 43 or line 44, you must file Form 4720. 4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below See the instructions for lines 45 through 50 on page 11 of the instructions )
Lobbying Expenditures During 4-Year Averaging Period
Calendaryear ( or (a) (b ) ( c) (d) (e) fiscal year beginning in ) ► 2005 2004 2003 2002 Total
45 Lobbying nontaxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
46 Lobbying ceiling amount (150% of line 45(e)) 6,000,000
47 Total lobbying expenditures 132,267 50,208 23,539 20,733 226,747
48 Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
49 Grassroots ceiling amount (150% of line 48(e)) 1,500,000
50 Grassroots lobbying expenditures 0 0 0 0 0 Lobbying Activity by Nonelecting Public Charities ( For re p ortin g onl y b y org anizations that did not com p lete Part VI-A ( See p a g e 11 of the instructions. ) During the year, did the organization attempt to influence national, state or local legislation, including any Yes No Amount attempt to influence public opinion on a legislative matter or referendum, through the use of I a Volunteers b Paid staff or management (Include compensation in expenses reported on lines c through h.) c Media advertisements d Mailings to members, legislators, or the public e Publications, or published or broadcast statements f Grants to other organizations for lobbying purposes g Direct contact with legislators, their staffs, government officials, or a legislative body h Rallies, demonstrations, seminars, conventions, speeches, lectures, or any other means i Total lobbying expenditures (Add lines c through h.) If "Yes" to any of the above, also attach a statement giving a detailed description of the lobbying activities Schedule A (Form 990 or 990-EZ) 2005 Schedule A (Form 990 or 990-EZ) 2005 Page 6 Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations (See page 11 of the instructions.) 51 Did the reporting organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 50 1(c)(3) organizations) or in section 527, relating to political organizations? a Transfers from the reporting organization to a noncharitable exempt organization of Yes No (i) Cash 51a(i) No (ii) Other assets a(ii) No b Other transactions (i) Sales or exchanges of assets with a noncharitable exempt organization b(i) No (ii) Purchases of assets from a noncharitable exempt organization b(ii) No (iii) Rental of facilities, equipment, or other assets b(iii) No (iv) Reimbursement arrangements b(iv) No (v) Loans or loan guarantees b(v) No (vi) Performance of services or membership or fundraising solicitations b(vi) No c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c No d If the answer to any of the above is "Yes," complete the following schedule Column (b) should always show the fair market value of the goods, other assets, or services given by the reporting organization If the organization received less than fair market value i n any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received
52a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527' lk^ fl Yes 7 No b If "Yes," complete the following schedule
Schedule A (Form 990 or 990-EZ) 2005 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586 OMB No 1545 - 0172 Depreciation and Amortization Form 4562 ( Including Information on Listed Property) (Rev January 2006) 2005 Department of the Treasury Attachment Internal Revenue Ili- See separate instructions. lk^ Attach to your tax return . Sequence No 67 Service Name(s) shown on return Business or activity to which this form relates Identifying number INOVA HEALTH CARE SERVICES Form 990 Page 2 54-0620889 Election To Expense Certain Property Under Section 179 Note ; If y ou have an y listed p rop erty, complete Part V before y ou comp lete Part I. 1 Maximum amount See the instructions for a higher limit for certain businesses 1 $105,000
2 Total cost of section 179 property placed in service (see instructions ) 2
3 Threshold cost of section 179 property before reduction in limitation 3 $420,000
4 Reduction in limitation Subtract line 3 from line 2 If zero or less, enter -0- 4 5 Dollar limitation for tax year Subtract line 4 from line 1 If zero or less, enter -0- If married filing separately, see instructions 5
(b) Cost ( business use (a) Description of property ( c) Elected cost only) 6
7 Listed property Enter the amount from line 29 7
8 Total elected cost of section 179 property Add amounts in column (c), lines 6 and 7 8
9 Tentative deduction Enter the smaller of line 5 or line 8 9
10 Carryover of disallowed deduction from line 13 of your 2004 Form 4562 10
11 Business income limitation Enter the smaller of business income (not less than zero) or line 5 (see instructions) 11
12 Section 179 expense deduction Add lines 9 and 10, but do not enter more than line 11 12 13 Carryover of disallowed deduction to 2006 Add lines 9 and 10, less line 12 13 Note : Do not use Part II or Part III below for listed p ro p erty . Instead, use Part V. S p ecial De p reciation Allowance and Other De p reciation ( Do not include listed pro rty ) (See instructions 14 Special allowance for certain aircraft, certain property with a long production period, and qualified NYL or GO Zone property (other than listed property) placed in service during the tax year (see instructions)
15 Property subject to section 168(f)(1) election
16 Other depreciation (including ACRS) rT.TZWM MACRS Depreciation ( Do not include listed property.) (See Instructions.) Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2005 17 60,084,615
18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts , check here Section B-Assets Placed in Service During 2005 Tax Year Using the General Depreciation System
(c) Basis for (b) Month and depreciation (a) Classification of (d) Recovery (g)Depreciation year placed in (business/investment (e) Convention (f) Method property period deduction service use only-see instructions) 19a 3-year property b 5-year property c 7-year property d 10-year property e 15-year property f 20-year property g 25-year property 25 yrs S/L h Residential rental 27 5 yrs MM S/L property 27 5 yrs MM S/L i Nonresidential real 39 yrs MM S/L property M M S/L Section C-Assets Placed in Service During 2005 Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12-year 12 yrs S/L c40-year 40 yrs MM S/L 111:M-10 Summar y ( see instructions ) 21 Listed property Enter amount from line 28 21
22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21 Enter here and on the appropriate lines of your return Partnerships and S corporations-see instr 22 60,084,615 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs 23
For Paperwork Reduction Act Notice , see separate instructions . Cat No 12906N Form 4562 (2005) (Rev 1-2006) Form 4562 (2005) (Rev 1-2006) Page 2 Listed Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertainment, recreation, or amusement.) Note : For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A-Depreciation and Other Information (Caution :See the instructions for limits for passenger automobiles.)
24a Do you have evidence to support the business / Investment use claimed? rYes rNo 24b If "Yes," is the evidence written? I'Yes rNo
(a) (b) Business/ (d) Basis for depreciation (f) (g) (h) Elected Type of property (list Date placed in investment Cost or other Recovery Method/ Depreciation/ (business/ investment section 179 vehicles first) service use basis period Convention deduction use only) cost percentage 25 Special allowance for for certain aircraft, certain property with a long production period, and qualified NYL or GO Zone property placed in service during the tax year and used more than 50% in a qualified business use (see instructions) 25 26 Property used more than 50 % in a qualified business use
27 Property used 50 % or less in a qualified business use S/ L - S/ L - S/ L - 28 Add amounts in column ( h), lines 25 through 27 Enter here and on line 21 , page 1 28
29 Add amounts in column ( I), line 26 Enter here and on line 7, page 1 29 Section B-Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other more than 5% owner," or related person Tf vnii nrnvided vehirlec to vniir emnlnveec fircf ancwer the niiecfinnc in Section C to cee if vnii meat an eYranfinn to rmmnletinn fhic cectinn for fhnce vehirlec ( a) (b) (c) (d) (e) (f) 30 Total business/investment miles driven during the Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 year ( do not inc l u d e commu t ing mi l es)
31 Total commuting miles driven during the year 32 Total other personal(noncommuting) miles driven
33 Total miles driven during the year Add lines 30 through 32 34 Was the vehicle available for personal use Yes No Yes No Yes No Yes No Yes No Yes No during off-duty hours? 35 Was the vehicle used primarily by a more than 5% owner or related person? 36Is another vehicle available for personal use's Section C-Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons (see instructions)
37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your Yes No employees?
38 Do you maintain a written policy statement that prohibits personal use of vehicles , except commuting , by your employees ? See the instructions for vehicles used by corporate officers, directors , or 1% or more owners . . . 39 Do you treat all use of vehicles by employees as personal use?
40 Do you provide more than five vechicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received?
41 Do you meet the requirements concerning qualified automobile demonstration use? (See instructions .
Note : If your answer to 37, 38, 39, 40, or 41 is "Yes," do not complete Section B for the covered vehicles Amortization
(a) Date A mortization A mortlzable Amortization for Description of costs amortization Code period or amount section this year begins percentage
42 A mortlzatlon of costs that begins during your 2005 tax year (see instructions)
43 Amortization of costs that began before your2005 tax year 43
44 Total . Add amounts in column (f) See the instructions for where to report 44
Form 4562 (2005) (Rev 1-2006) defile GRAPHIC print - DO NOT PROCESS As Filed Data - DLN: 93490319004586
Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing. TY 2005 Compensation Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
I KNOX SINGLETON IMANCO INC 54-1340725 COMMON CONTROL 1,229,886 26,990 49,197
RODNEY HUEBBERS IMANCO INC 54-1340725 COMMON CONTROL 302,077 83,486 14,758
RODNEY HUEBBERS LOUDOUN HOSPITAL CENTER 54-0525802 COMMON CONTROL 575,402 0 0
GREGORY BURFITT IMANCO INC 54-1340725 COMMON CONTROL 700,752 18,645 92,442 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
DOUGLAS CROPPER IMANCO INC 54-1340725 COMMON CONTROL 521,926 91,643 20,621
RICHARD MAGEHNHEIMER IMANCO INC 54-1340725 COMMON CONTROL 703,853 26,990 20,622
JAMES HUGHES IMANCO INC 54-1340725 COMMON CONTROL 580,423 94,977 25,523
PATRICK WALTERS IMANCO INC 54-1340725 COMMON CONTROL 602,300 23,724 22,188 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
ELLEN MENARD IMANCO INC 54-1340725 COMMON CONTROL 445,799 78,348 24,994
SHANNON SINCLAIR IMANCO INC 54-1340725 COMMON CONTROL 352,266 56,057 18,742
JOHN FITZGERALD IMANCO INC 54-1340725 COMMON CONTROL 377,375 70,880 21,960
KENNETH KOZLOFF IMANCO INC 54-1340725 COMMON CONTROL 386,133 60,367 22,070 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
MARK RUNYON IMANCO INC 54-1340725 COMMON CONTROL 275,001 29,230 99,893
SUSAN HERBERT IMANCO INC 54-1340725 COMMON CONTROL 373,661 12,951 11,617
KYLANNE SILVERSTONE IMANCO INC 54-1340725 COMMON CONTROL 307,071 59,684 19,723
OANH PHU NGUYEN INOVA ALEXANDRIA HOSPITAL 54-0505861 COMMON CONTROL 230,306 46,061 0 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
ALESSANDRO GHIDINI INOVA ALEXANDRIA HOSPITAL 54-0505861 COMMON CONTROL 215,671 43,134 0
KATHLEEN J BARRY INOVA ALEXANDRIA HOSPITAL 54-0505861 COMMON CONTROL 212,642 42,528 0
JANICE STOFER INOVA ALEXANDRIA HOSPITAL 54-0505861 COMMON CONTROL 169,925 33,985 0
THOMAS KNIGHT INOVA ALEXANDRIA HOSPITAL 54-0505861 COMMON CONTROL 165,212 33,042 0 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
ANN PLAPP INOVA HEALTH SYSTEM SERVICES 54-1434144 COMMON CONTROL 191,909 38,382 0
DANIELODONNELL INOVA HEALTH SYSTEM SERVICES 54-1434144 COMMON CONTROL 158,464 31,693 0
JOAN SIMPSON INOVA HEALTH SYSTEM SERVICES 54-1434144 COMMON CONTROL 157,314 31,463 0
ROBERT HAGER INOVA HEALTH SYSTEM SERVICES 54-1434144 COMMON CONTROL 149,925 29,985 0 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
EDWARD EDER INOVA HEALTH SYSTEM SERVICES 54-1434144 COMMON CONTROL 145,408 29,082 0
JEAN BRERETON INOVA VNA HOME CARE 54-1277164 COMMON CONTROL 153,925 30,785 0
SHARON ZRIOKA INOVA VNA HOME CARE 54-1277164 COMMON CONTROL 98,524 19,705 0
KAREN BREWER INOVA VNA HOME CARE 54-1277164 COMMON CONTROL 96,370 19,274 0 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
INDI NAMBOODIRI INOVA VNA HOME CARE 54-1277164 COMMON 95,680 19,136 0 CONTROL
MARY BROWN INOVA VNA HOME CARE 54-1277164 COMMON 94,443 18,889 0 CONTROL
ALICE CARSON INOVA PHYSICAL REHABILITATION 54-1692089 COMMON 111,215 22,243 0 SERVICES CONTROL
MARGARET INOVA PHYSICAL REHABILITATION 54-1692089 COMMON 96,302 19,260 0 GUARINO SERVICES CONTROL Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
BARBARA VOGEL INOVA PHYSICAL REHABILITATION 54-1692089 COMMON CONTROL 86,487 17,297 0 SERVICES
KARLA INOVA PHYSICAL REHABILITATION 54-1692089 COMMON CONTROL 81,401 16,280 0 WORTMAN SERVICES
SETH BLEE INOVA PHYSICAL REHABILITATION 54-1692089 COMMON CONTROL 76,527 15,305 0 SERVICES
JOSPEH ROCHE INOVA EMPLOYEE ASSISTANCE 54-1916699 COMMON CONTROL 149,495 29,899 0 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
MINDY RING INOVA EMPLOYEE ASSISTANCE 54-1916699 COMMON CONTROL 66,426 13,285 0
LAVINA COHEN INOVA EMPLOYEE ASSISTANCE 54-1916699 COMMON CONTROL 65,272 13,054 0
KIMBERLY MAGINNIS UMC HOLDINGS INC 54-1390795 COMMON CONTROL 123,843 24,769 0
MARGARET BARTLEY UMC HOLDINGS INC 54-1390795 COMMON CONTROL 82,983 16,597 0 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
JOAN BERNACKI UMC HOLDINGS INC 54-1390795 COMMON CONTROL 66,284 13,257 0
TIFFANY LODGE UMC HOLDINGS INC 54-1390795 COMMON CONTROL 60,521 12,104 0
LANA MCDONOUGH UMC HOLDINGS INC 54-1390795 COMMON CONTROL 60,480 12,096 0
RICHARD BRAGGA INOVA HEALTH SYSTEM FOUNDATION 54-1071867 COMMON CONTROL 121,445 24,289 0 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
JENNIFER GOINS INOVA HEALTH SYSTEM FOUNDATION 54-1071867 COMMON CONTROL 118,279 23,656 0
PIPER DANKWORTH INOVA HEALTH SYSTEM FOUNDATION 54-1071867 COMMON CONTROL 98,994 19,799 0
HAL EPSTEIN INOVA HEALTH SYSTEM FOUNDATION 54-1071867 COMMON CONTROL 94,274 18,855 0
SARAH BURDI INOVA HEALTH SYSTEM FOUNDATION 54-1071867 COMMON CONTROL 88,937 17,787 0 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
LORRAINE HENSLEY ALEXANDRIA HOSPITAL FOUNDATION 51-0241913 COMMON CONTROL 50,104 10,021 0
JOHN GRISH LOUDOUN HOSPITAL CENTER 54-0525802 COMMON CONTROL 369,626 73,925 0
WOODROWTURNER LOUDOUN HOSPITAL CENTER 54-0525802 COMMON CONTROL 328,623 65,725 0
JAMES ROHBRAUGH LOUDOUN HOSPITAL CENTER 54-0525802 COMMON CONTROL 201,036 40,207 0 Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
RODERICK LOUDOUN HOSPITAL CENTER 54-0525802 COMMON 195,528 39,106 0 WILLIAMS CONTROL
JOY CORRIHER LOUDOUN HOSPITAL CENTER 54-0525802 COMMON 177,362 35,472 0 CONTROL
MARGARET GILLIS LOUDOUN NURSING AND REHABILITATION 54-1361310 COMMON 56,083 11,217 0 CENTER CONTROL
MARY PARKINGTON LOUDOUN NURSING AND REHABILITATION 54-1361310 COMMON 50,677 10,135 0 CENTER CONTROL Name Related Organization Relationship Compensation Benefit Plan Expense Account Compensation Description Amount Contributions Name EIN
RALPH RALVO LOUDOUN HEALTH SERVICES 54-1555489 COMMON CONTROL 53,838 10,768 0 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 General Explanation Attachment
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Identifier Return Explanation Reference
2005 FORM 990, Fairfax's obstetric program is the largest such program in the mid-Atlantic region, now providing services for over REPORT PART III 10,000 births each year Obstetric services are provided at Fairfax's state-of-the-art Women and Children's Center OF include delivery services, inpatient and outpatient obstetrics/gynecologic surgery, and regular and special nursery PROGRAM care The Center includes northern Virginia's only Level III (highest level) new born intensive care unit, which is SERVICES staffed around the clock by neonatology physicians and nurses specially trained in caring for premature and other newborns with medical problems In addition, Fairfax provides obstetric services to low-income patients through its Obstetrics/Gynecology Clinic oFairfax Hospital for Children is northern Virginia's only full-service pediatric program and is a regional referral center for more than 25 pediatric specialties and subspecialties, including pediatric emergency and trauma care, critical care, infectious disease, pulmonary disease, cardiac surgery, hematology and oncology, neonatology, peri-natology, infant apnea, physical medicine, and rehabilitation and speech and hearing therapy In addition to its neonatal intensive care unit, Fairfax operates the only pediatric intensive care unit in northern Virginia, providing 24-hour coverage for children with life-threatening illnesses or injuries There also is a facial rehabilitation program for those needing pediatric plastic surgery The Emergency and Trauma Center at Fairfax is state-of-the-art and is northern Virginia's only Level I trauma center Emergency medical specialists with expertise in trauma care treat every type of illness, injury, or life-threatening trauma In addition, Fairfax operates Inova Medical AirCare, a 24-hour emergency helicopter transport service During 2005, Fairfax had admissions of 51,872 and patient days of 271,602 New born deliveries were 11,365 Emergency room visits totaled 74,987 for the year, and there were 24,148 outpatient surgeries There were 14,565 inpatient surgery cases performed during the year Mount Vernon Hospital is a 235-licensed bed, acute-care hospital serving southeastern Fairfax County Mount Vernon provides a full-service, 24-hour emergency department, a broad range of diagnostic services, a cardiac rehabilitation program for victims of heart disease, cardiac catheterization services, inpatient psychiatric services, and a specialized hyperbaric oxygen therapy program used to treat conditions requiring increased oxygen flow to body tissues, such as grafts and certain types of burns In addition, the hospital operates The Inova Center for Rehabilitation, a nationally-known accredited program providing inpatient and outpatient rehabilitative services oThe Inova Center for Rehabilitation provides comprehensive medical rehabilitation services to patients with severe head injuries, spinal cord injuries, strokes, multiple sclerosis, and other orthopedic and neurological disabilities These services are staffed by an interdisciplinary team which includes physiatry, psychiatry, psychology, vocational counseling, physical therapy, occupational therapy, and nursing so that treatment can be individually tailored to meet the specific needs of each patient In 2005, Mount Vernon had 8,716 admissions and 61,147 patient days Emergency room visits totaled 27,288, and there were 4,157 outpatient and 2,596 inpatient surgeries performed during the year Fair Oaks Hospital is a 160-licensed bed general acute care hospital, which opened in 1987 to serve the growing communities in western Fairfax County, Virginia Fair Oaks provides a full-service 24-hour emergency department, a spectrum of diagnostic services, including full-body CT scanning, MRI, and a cardiac catherization laboratory, a variety of inpatient medical, surgical, and orthopedic services, including the only inpatient pain management program in northern Virginia, 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 Identifier Return Explanation Reference
2005 FORM 990, The Maternal and Infant Health Center at Fair Oaks includes a 24-bed obstetric unit and 19-bed nursery The Center REPORT PART III provides obstetric delivery services, obstetric and gynecologic surgery, and infant care Neonatology coverage is OF provided 24-hours per day, and the Center has a Level II special care nursery for newborns with special medical PROGRAM needs During 2005, Fair Oaks had 12,309 admissions and 46,141 patient days There w ere 3,410 new born SERVICES deliveries Emergency room visits were 39,023 for the year In addition, a total of 10,919 inpatient and outpatient surgery cases were performed ACCESS of Fairfax, affiliated with Fair Oaks, and ACCESS of Reston and Springfield Healthplex, affiliated with Fairfax, are 24-hour, free standing emergency centers located in Fairfax City, Reston, and Springfield, Virginia, respectively During 2005, ACCESS of Fairfax provided 18,581 emergency room visits and 16,395 outpatient visits, ACCESS of Reston reported 15,026 emergency room and 13,391 outpatient visits and Springfield Healthplex reported 67,831 emergency room visits The Institute of Research and Education, a program of IHCS, was created in 1991 to expand opportunities for clinical research and education throughout Inova Health System The Institute, which is in close proximity to Fairfax, creates a quality arena for clinical research and professional education and reflects Inova's commitment to setting the pace for changes in medicine and technology The Institute is the largest provider of Continuing Medical Education programs in the region American Medical Collections Bureau is an unincorporated division of IHCS which provides collection services to (nova's hospitals and affiliates COMMUNITY SERVICESIn keeping with the community service mission of Inova, IHCS and its subsidiaries provide a wide range of programs and services which directly benefit the community they serve These programs and services include oProviding the highest quality medical care to all members of the community, regardless of their financial resources oProviding nonbilled and below margin health services to meet the identified needs of targeted community groups, such as the indigent and elderly, victims of cancer, heart disease, and stroke, persons affected by substance abuse, HIV-positive individuals, and others oProviding health education and a variety of other services to the community oEducating the medical community and participating in medical research activities The many types of community services provided by IHCS and its subsidiaries are described more fully below In addition, the estimated unreimbursed cost of providing these services are summarized in the attachment to this report Charity CareCharity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay Each IHCS facility provides charity care in accordance with policies which ensure access to medically necessary care for all individuals These policies include the following key provisions oEmergency care shall be provided to all persons regardless of their ability to pay or place of residence oNon-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and Access facilities to medically indigent patients o"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 w hose income falls at or below 250% of the Federal Poverty Guideline (FPG) In general, free medically necessary care is provided for patients with incomes falling below 125% of the FPG, and discounted care is provided for services rendered to patients with incomes falling between 125 and 250% of the FPG In 2005, the unreimbursed cost of charity care, including free and discounted services, was $33,995,192 This amount does not include the cost of care provided to the medically indigent through participation in governmental programs, which is described below Participation in Governmental Programs for Those Without the Ability to PayVarious government programs provide for the indigent, including Medicaid and Virginia State and Local Hospitalization (SLH) These programs provide some reimbursement for qualifying patients, how ever, payment is typically below the cost of those services In addition to federal and state programs, IHCS subsidiaries work with various County governments and agencies and provide certain free services to those residents the County identifies as most in need Identifier Return Explanation Reference
2005 FORM 990, Medicaid, established under Title XIX of the Social Security Act, provides assistance for the medically indigent, REPORT PART III including those who cannot pay for care despite being able to afford other living expenses Also covered are the OF blind, the disabled, and crippled children The reimbursement that IHCS facilities receive from the Medicaid program PROGRAM routinely falls below the actual cost of services provided During 2005, IHCS hospitals provided 30,496 days of care SERVICES to Medicaid patients at an unreimbursed cost of $31,438,557 Fairfax provided 25,406 days of regular, new born, and neonatal care to Medicaid patients, Mount Vernon provided 3,308 Medicaid days of regular and rehabilitation care, and Fair Oaks provided 1,782 Medicaid days, including regular and newborn care IHCS subsidiaries also provide services to patients covered by the State and Local Hospitalization (SLH) program, which covers similar services as Medicaid, and which is also reimbursed below the cost of the services provided The cost of these services are included in the charity care amount Nonbilled and Below Margin Patient ServicesEach year, IHCS designates funds for the development and continuation of carefully identified programs and services that directly benefit, and provide access to, health care and related services to those most in need in the community Many of these programs and services are not billed to the patient or are provided for fees which are below the actual cost of providing the service During 2005, the unreimbursed cost of nonbilled and below margin patient services was $5,134,983, this amount excludes the cost of medical care provided to charity and medically indigent patients, which is included in previously reported categories Following are descriptions of the various nonbilled and below margin patient services which are provided by IHCS and its subsidiaries oFairfax's Obstetrics and Gynecology Clinic provides comprehensive obstetric and gynecologic services to women of limited income in Fairfax County Services include pregnancy prevention, pregnancy testing, prenatal care, and perinatal care for high-risk pregnancies The Clinic provided 44,024 patient visits in 2005 oThe HIV Center, part of Fairfax's Office of HIV Services, provides case management services to HIV-positive and AIDS patients of Northern Virginia An interdisciplinary approach utilizing RN case managers, hospital social workers, and representatives from community organizations is used to coordinate services required by HIV-infected patients oFairfax's Life with Cancer program provides a complete range of counseling, education, and support services to cancer patients and their families This program is open to all cancer patients in the area, regardless of w here they are being treated for their illness A children's grief support group, My Friend's House, is also part of the program oFairfax operates an Opthamology Clinic which provides optometry specialty services to the indigent including treatment of glaucoma, retina, and cataracts, children's specialty services are also provided The physicians volunteer their services or are paid nominal fees by the State of Virginia or by a sponsoring community organization oThe Inova Pediatric Center was established in 1993 to offer health care to children from low income families The Center is a collaborative effort betw een Inova Health System, several Fairfax County agencies, and Fairfax Hospital pediatricians and family practice physicians who donate their time During 2005, the Clinic saw 12,954 children oThe Center for Facial Rehabilitation at Fairfax Hospital is a multi- disciplinary team of plastic and oral surgeons, speech pathologists, and other physicians who treat children and adults with cleft lip and palate and other craniofacial anomalies Most of the professionals volunteer their time, and Fairfax incurs unreimbursed costs for use of its facilities and for the parent information and support group which it sponsors oThe International Diabetes Center of Virginia provides specialized services for diabetes management, with offices at Fairfax, Mount Vernon, and Fair Oaks hospitals The Center utilizes its staff of nurses, dieticians, and counselors to work with patients and their physicians on team management of diabetes Community services include diabetes education and support groups, supermarket tours, a weight management program, cooking classes, participation at local health fairs, and lectures to community organizations In addition, diabetes management services were provided to Obstetric/Gynecology patients Identifier Return Explanation Reference
2005 FORM 990, Members of the Department of Medicine staff and transitional residents provide free medical services and consulting REPORT PART III to the Bailey's Health Center The center is part of the Fairfax County Affordable Health Care Network which OF provides medical care to uninsured and underinsured patients in the Baileys Crossroads area of Northern PROGRAM Virginia oIHCS and its subsidiaries provide many other nonbilled and below margin patient services Case SERV ICES management services are provided to the indigent, and assistance is provided with financial paperw ork Mount Vernon participates in the Health Information and Claims Assistance Program by providing assistance with health insurance paperwork problems In addition, home IV therapy services are provided for the indigent, and transportation is provided for indigent patients to and from IHCS facilities and programs Fairfax provides forensic and medical care to abused adults and children Fairfax also provides blood alcohol testing for area police departments and coordinates the disposition of deaths with various community organizations Other services include pastoral care, free living accommodations for out-of-town Fairfax heart and lung transplant patients and their families, and emergency assistance to patients and their families needing medication or transportation Community Health Education and PromotionAs part of Inova's overall health promotion effort, IHCS and its subsidiaries are actively involved in sponsoring programs, activities, and services designed to improve community health and prevent the onset of disease oIHCS and its subsidiaries produce and distribute a number of community health newsletters and other publications which include articles on specific health topics and provide information on health services and classes offered to the community Periodic newsletters include "Regarding Health," Bright Beginnings," and "Partners" These new sletters were mailed to over 500,000 community residents several times during 2005 Inova HealthSource, Inova's community education department, was created in 1993 to provide comprehensive services for promoting the health status of the community HealthSource consolidated many of the existing community education classes and other activities offered by IHCS and its subsidiaries and now coordinates these In addition, Inova HealthSource has created a Consumer Resource Library to better respond to the needs of the community by providing materials and services geared to those without medical training During 2005, 86,440 community residents participated in the education programs at HealthSource These programs included the expectant parenting and women and children's programs, tours of Fairfax's new Women and Children's Center, and prenatal education for Obstetric/Gynecology Clinic patients Other classes provided nutrition and fitness education, and provided nutrition counseling to Medicare and Medicaid patients In addition to Inova HealthSource, IHS hospitals provide a number of health classes and support groups to its patients, their family members, and community residents on a wide variety of health topics These topics include diabetes education and treatment, nutrition, weight management, and exercise, heart health, lung disease, breast cancer, cardiac, physical, speech and respiratory therapy, smoking cessation, stress management, and many others In addition, the Institute of Research and Education's "Project CPR" was initiated in 1994 to ensure access to CPR training throughout the Inova community oIHCS subsidiaries provide other community health education and promotion services Health information and healthcare screenings are provided for free or for nominal charges (for cholesterol testing, to cover the cost of supplies) at many IHCS facilities and at local health fairs and other community events Tours of IHCS facilities and programs are provided year-round for many community, school, and civic groups Health talks are provided on a variety of healthcare topics, and an executive speakers bureau is made available to community organizations In addition, IHCS hospitals provide the community with access to its medical libraries and library services Other Community ServiceslHCS and its subsidiaries go beyond their role as providers of health care services, community health education, and medical education and research, to provide other community services as well On an ongoing basis, IHCS contributes its facilities and resources to benefit the community it serves Identifier Return Explanation Reference
2005 FORM 990, Inova Medical AirCare is a unique 24-hour medically-equipped helicopter transport unit which generally operates REPORT PART III within a 150 mile radius of Fairfax hospital, serving IHCS hospitals and other hospitals in the surrounding area The OF service is used primarily for transporting critical patients between hospitals to obtain more advanced medical PROGRAM treatment, patients transported include including critically ill infants, cardiac patients, and other patients who need SERVICES specialized medical and surgical care Occasionally, the helicopter is called to provide patient transport from an accident scene to an appropriate hospital, supplementing Fairfax County's helicopter services oThe local Meals on Wheels program prepares and delivers meals to area residents who cannot prepare their own meals due to their medical condition Fairfax, Mount Vernon, and Fair Oaks hospitals prepare meals for the program, which are delivered by community volunteers During 2005, the hospitals prepared over 120,000 meals oFairfax provides laundry and linen services to the homeless In 2005, laundry and linen were provided to 3,500 homeless people in the area At Fairfax, a staff of Fairfax County Department of Human Resources Eligibility workers is provided to assist patients in completing Medicaid/SLH applications Hospital financial counselors pre-screen patients and refer them to DHS workers olnova promotes employee volunteerism through its employee volunteer program, People-in- Action, which coordinates corporate-sponsored community service activities IHCS and its subsidiaries donate staff salaries, benefits, and other expenses for the administration and collection of funds and goods for sponsored community programs IHCS employees donate their time, personal funds, and other items to sponsored organizations During 2005, IHCS employees participated in the United Way, Adopt-a-Family Christmas Program, clothes and food drives, school partnerships, and a number of other community service programs oOther community services include use of space and services by community groups, contributions and in-kind donations and services, and other services The unreimbursed cost of meeting space includes prorated rental expense, where applicable, and the cost of setup, cleanup, and refreshments, in some cases Also, Fairfax provides system case management which transitions patients from hospital to community services and provides free local phone call for patients and families Medical Community EducationTow ards the goal of improving patient care, IHCS subsidiaries provide a variety of innovative medical education and training programs for medical residents and students, physicians, and other health care professionals oFairfax's medical education programs offer a variety of clinical training for medical residents, nursing students, and other medical students Fairfax's residency program has approximately 255 residents (medical student graduates) at any one time and an average of 350 students are trained each year Residents and students are primarily from Georgetown and George Washington Universities In addition, a graduate-level Nursing Demonstration Program is provided in conjunction with George Mason University, and paramedical education is provided by The School of Medical Technology, a fully-accredited program for training lab technicians As a teaching hospital, Fairfax incurs typical, additional costs associated with those of teaching facilities physician teaching cost and resident salaries, the cost of maintaining higher levels of technology required to support a teaching program, and the cost of extra tests ordered for teaching purposes During 2005, the total cost associated with these medical education programs was $24,272,368 Of this amount, Medicare and Medicaid reimbursed $15,845,545 for these programs, and the hospital incurred $8,426,823 in unreimbursed costs Fairfax also provides a center for clinical education and development This center had 2,231 participants at an unreimbursed cost of $2,554,347 oThe Institute of Research and Education provides quality educational opportunities for physicians and other health professionals which support and enhance the professional's ability to deliver quality patient care by helping them keep pace with medicine and technology developments Each year, through its Education and Conference Services division (ECS), the Institute provides conference management services for more than 50 educational activities covering all medical specialty areas Lectures and workshops planned by Inova physicians feature nationally and internationally recognized experts from within and outside Inova Health System In 2005, the unreimbursed cost of education activities conducted or sponsored by the institute was $186,759 for over 10,000 participants Identifier Return Explanation Reference
2005 FORM 990, oThe goal of the Northern Virginia HIV Resource and Consultation Center, part of the Office of HIV Services at REPORT OF PART III Fairfax, is to increase access to health care for HIV-positive patients The Center addresses this goal by PROGRAM educating and training health care professionals to care for HIV-infected patients and by providing consultation SERVICES and HIV resource materials oIHCS subsidiaries participated in the following other medical education programs in 2005 Mount Vernon provided clinical internships for 3 students in physical therapy, occupational therapy, and speech/language pathology Fair Oaks provided clinical training for 8 laboratory technician and phlebotomy students from Northern Virginia Community College In addition, Fairfax participated in programs with 6 local universities to provide field experience to 8 lab students paramedical students Medical ResearchThe Research Services division of IHCS's Institute of Research and Education provides a variety of essential services to support health-related scientific research Through the Institute, physicians and other Inova health professionals participate in clinical investigations that may lead to advances in medical treatment and patient care Investigators and sponsors are provided access to a range of facilities and clinical specialties one would expect in a university setting The Institute provides technical and administrative support in the design, conduct, and administration of clinical investigational studies, and in contract management During 2005, the Institute conducted over 200 clinical trials at a unreimbursed cost of $4,534,460 Identifier Return Explanation Reference
2005 FORM 990, INOVA HEALTH CARE SERVICES2005 COMMUNITY SERVICE REPORTING COMMUNITY SERVICE SUMMARY REPORT OF PART III TOTALCHARITY AND INDIGENT CARE33,995,192 PARTICIPATION IN GOVERNMENTAL PROGRAMS FOR THOSE PROGRAM WITHOUT THEABILITY TO PAY Unreimbursed Cost of Medicaid Patients 31 , 438,557 NONBILLED AND BELOW SERV ICES MARGIN PATIENT SERV ICES Diabetes Center 520,470 HIV Center 614,676 Obstetrics and Gynecology Clinic 2,254, 062 Pediatric Center 556,644 Child Life 332,742 Fairfax County Detention Program 346,819 Facial Rehabilitation Treatment 123,310 Ophthalmic Specialty Services to the Indigent 314,087 Sexual Assault Nurse Examiner Program 72,173 COMMUNITY HEALTH EDUCATION AND PROMOTIONHealthsource 894,584 Prevention 174,979 Community Access Center 73,846 Partnership for Healthier Kids 355,312 OTHER COMMUNITY SERVICESMedicaid /Slh Eligibility Assistance 451,892 MEDICAL COMMUNITY EDUCATION Institute for Research and Education Conferences 186,759 Fairfax Interns and Residents Program8 ,426,823 Center for Clinical Education and Development2 ,554,347 MEDICAL RESEARCH Institute of Research and Education 4,534,460 OTHER COMMUNITY BENEFITS 1, 525,577 TOTAL 89,747,311 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Investments - Other Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Description Book Value Cost/FMV Held by Bond Trustee & Malpractice trust 138,177,670 C INVESTMENT IN JOINT VENTURES AND SUBS 9,952,966 C FOUNDATION UNRESTRICTED L-T INVESTMENTS 65,015,826 C l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Land etc. Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Category/Item Cost/Other Basis Accumulated Depreciation Book Value LAND AND LAND IMPROVEMENTS 41,783,960 41,783,960 BUILDINGS AND EQUIPMENT 1,219,932,227 570,484,095 649,448,132 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Officer Compensation Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
JOLENE TORNEBENI Compensation EE Benefit Plans Expense Acct Program Services 583,973 Mgmt & General Fundraising l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Other Assets Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Description Beginning of Year Amount End of Year Amount MEDICREDIT NOTES RECEIVABLE 4,184,700 4,750,852 UNAMORTIZED BOND COSTS 4,013,101 6,198,652 OTHER ASSETS 4,824,101 5,488,209 DUE FROM SUBSIDIARIES 580,859,687 619,626,820 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Other Changes in Net Assets Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Description Amount
PARTNERSHIP INCOME -3,793,071
UNREALIZED GAINLOSS -328,005
UNREALIZED GAINLOSS BOND SWAP -776,695
EQUITY IN SUBS 1,592,140
UNRESTRICTED FUND DONATIONS 1,809,966
PENSION LIABILITY ADJUSTMENT 10,900,757
TRANSFERS 37,949,310 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Other Expenses Included Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Description Amount EXPENSES OF OTHER ENTITIES REPORTED ON AUDIT 492,233,798 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Other Investment Income Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Description Amount FAIR OAKS MEDICAL PLAZA LP 98,014 FAIR OAKS MEDICAL PLAZA LP INTEREST 44 FRANCONIA SPRINGFIELD SURGERY CENTER LLC 1,702,007 AMHS HERITAGE LLC 73,177 FRANCONIA SPRINGFIELD SURGERY CENTER LLC INTEREST 9,658 TDI LLC 1,622,235 TDI LLC INTEREST 16,821 POTOMAC INOVA LLC 271,115 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Other Liabilities Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Description Beginning of Year Amount End of Year Amount THIRD PARTY SETTLEMENTS 13,221,268 18,130,517 NOTES PAYABLE AND OTHER 7,076,736 5,292,710 CURRENT PORTION LT DEBT 143,270,000 363,530,000 SELF INSURED LIABILITY 8,032,415 22,436,043 DEFREED COST 28,802,344 29,111,040 POST RETIREMENT/EMPLOYMENT BENEFITS 29,006,057 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Other Revenues Included Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Description Amount REVENUE OF OTHER ENTITIES REPORTED ON AUDIT 751,136,502 l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Tax-Exempt Bond Liabilities Schedule
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Item No. 1 Name of Issue Purpose 1993A REVENUE REFUNDING BONDS Amount Outstanding 103605000 Unexpeded Bond Proceeds Third Party Use Space Percentage Maturity Date Repayment Terms FIXED 2.75% TO 5.25% SEMIANNUAL Interest Rate Security
Item No. 2 Name of Issue Purpose 1998A HEALTH CARE REVENUE REFUNDING BONDS Amount Outstanding 82835000 Unexpeded Bond Proceeds Third Party Use Space Percentage Maturity Date Repayment Terms FIXED 4.0% TO 5.0% SEMI-ANNUAL Interest Rate Security
Item No. 3 Name of Issue Purpose 2000 VARIABLE RATE DEMAND HEALTH CARE REVENUE BONDS Amount Outstanding 74300000 Unexpeded Bond Proceeds Third Party Use Space Percentage Maturity Date Repayment Terms VARIABLE, MAXIMUM 12% MONTHLY Interest Rate Security Item No. 4 Name of Issue Purpose 2005A VAIRABLE RATE DEMAND OBLIGATION HEALTH CARE REVENUE BONDS Amount Outstanding 124000000 Unexpeded Bond Proceeds Third Party Use Space Percentage Maturity Date Repayment Terms VAIRABLE, MAXIMUM 12% MONTHLY Interest Rate Security
Item No. 5 Name of Issue Purpose 2005B VARIABLE RATE AUCTION HEALTH CARE REVENUE BONDS Amount Outstanding 72300000 Unexpeded Bond Proceeds Third Party Use Space Percentage Maturity Date Repayment Terms VARIABLE, MAXIMUM 15% 7-DAY Interest Rate Security
Item No. 6 Name of Issue Purpose 2005C VARIABLE RATE DEMAND OBLIGATION HEALTH CARE REVENUE BONDS Amount Outstanding 99400000 Unexpeded Bond Proceeds Third Party Use Space Percentage Maturity Date Repayment Terms VAIRABLE, MAXIMUM 12% MONTHLY Interest Rate Security Item No. 7 Name of Issue Purpose 2005D VARIABLE RATE AUCTION HEALTH CARE REVENUE BONDS Amount Outstanding 75200000 Unexpeded Bond Proceeds Third Party Use Space Percentage Maturity Date Repayment Terms VAIRABLE, MAXIMUM 15% 7-DAY Interest Rate Security
Item No. 8 Name of Issue Purpose 2005E VARIABLE RATE AUCTION HEALTH CARE REVENUE BONDS Amount Outstanding 205200000 Unexpeded Bond Proceeds Third Party Use Space Percentage Maturity Date Repayment Terms VARIABLE, MAXIMUM 15% 7-DAY Interest Rate Security
Item No. 9 Name of Issue Purpose LESS CURRENT PORTION AND OID = -389850431 Amount Outstanding Unexpeded Bond Proceeds Third Party Use Space Percentage Maturity Date Repayment Terms Interest Rate Security l efile GRAPHIC p rint - DO NOT PROCESS As Filed Data - DLN: 93490319004586
TY 2005 Self Dealing Statement
Name : INOVA HEALTH CARE SERVICES EIN: 54-0620889
Line Explanation Number 2d Board MemberRelated PayeeDescriptionAmountAlan G. Merten, PhD - PresidentGeorge Mason UniversityFees paid to GMU for 39 nursing scholarships ($383,904) and for classes sponsored by Inova Learning Network.$405,612.00 Alan G. Merten, PhD - PresidentGeorge Mason UniversityFees paid for the interpreter training program that is required by the Hablamos Juntos grant. The training program is provided by GMU.$53,379.00 Alan G. Merten, PhD - PresidentGeorge Mason UniversityFees paid for a survey of driving practices provided by GMU at the request of Inova Fairfax Hospital trauma services.$1,116.00 Alan G. Merten, PhD - PresidentGeorge Mason UniversityFees paid for nursing masters program classes provided for RNs on site at Loudoun Hospital.$77,120.00 William Hazel, MDCommonwealth Ortho & Rehab PCFees paid to the physician practice for Inova Alexandria Hospital indigent care services$6,757.12 William Hazel, MDWilliam Hazel, MDContract fees to serve as the Inova Health System Medical Affairs Council Chairman$60,000.00 F Joseph Hallal, MDF Joseph Hallal, MDContract fees to serve as the Inova Fairfax Hospital / IFH for Children Medical Staff President. 50% of this annual amount is paid by the Medical Staff.$123,875.00 F Joseph Hallal, MDF Joseph Hallal, MDFees paid to cardiologists who teach residents and interns in the Inova Fairfax CCU.$3,337.50 F Joseph Hallal, MDNorthern VA Cardiology Associates, PCContract fees paid for EKG physician interpretation services at Inova Fairfax Hospital.$88,226.05 F Joseph Hallal, MDNorthern VA Cardiology Associates, PCFees paid to the physician practice for cardiac professional services provided under global cardiac billing arrangements in the Cardiac LLC$83,441.63 F Joseph Hallal, MDNorthern VA Cardiology Associates, PCFees paid to the physician practice for cardiac professional services provided under global transplant billing arrangements.$338.27 Barry Rothman, MDBarry Rothman, MDContract fees to serve as the Inova Alexandria Hospital Medical Staff President. The annual contract fee was raised from $85,000 annually to $120,000 annually effective June 1, 2005. The Hospital pays $67,500 of this new annual amount and the Medical Staff pays the balance.$105,416.65 Barry Rothman, MDBarry Rothman, MDTraining stipend paid to Physicians to attend the patient safety train-the- trainer session. Physician agreed to assist in providing mandatory physician safety training to the medical staff. $100 to attend the train-the-trainer; $50 per session for providing training.$100.00 Barry Rothman, MDBarry Rothman, MDTravel Expenses$1,844.27 Glenna R. Andersen, MDGlenna R. Andersen, MDContract fees paid for staffing the OB indigent care clinic. Various physicians cover 24 hour shifts to attend indigent care de liveries.$24,500.00 Howard Lando, MDHoward Lando, MDContract fees to serve as the Inova Mount Vernon Hospital Medical Staff President. The Medical Staff pays $22,000 of this annual amount.$70,000.08 Timothy E. Yarboro, MDTimothy E. Yarboro, MDContract fees to serve as the Inova Fair Oaks Hospital Medical Staff President. The total President stipend is $115,000 per year with half of this amount covered by the Medical Staff. Due to the timing of payments a total of $155,000 was paid during 2004, a portion of which covered 2005.$75,000.00 John RyanJohn RyanTravel Expenses$305.59 Edward BersoffEdward BersoffTravel Expenses$874.78 Additional Data
Software ID: Software Version: EIN: 54 -0620889 Name : INOVA HEALTH CARE SERVICES
Form 990 , Part II, Line 43 - Other expenses not covered above (itemize):
Do not include amounts reported on line (A) Total ( B) Program (C) Management (D) Fundraising 6b, 8b, 9b, 10b, or 16 of Part I. services and general
a Food 43a 6,397,088 6,145,921 251,167
b Physician ' s Fees 43b 23,303 ,562 23,133,634 169,928
c Purchased Goods & Services 43c 38,844 ,239 33,498,787 5,345,452
d Insurance 43d 1,832,212 1,649,083 183,129
e Advertising 43e 2,541,106 1,186,968 1,354,138
f Other ( Misc) 43f 39,322,367 20,137,718 19,184,649
g Taxes & Licenses 43g 919,332 707,973 211,359
h Information System Cost 43h 9,468,574 162,432 9,306,142
i Vehicle Expense 43i 86,759 86 ,091 668
j Investment expense 43j 7,417,806 7,417,806
k Bad Debt 43k 51,621 ,992 51,621,992 Form 990, Part V-A - Current Officers, Directors, Trustees, and Key Employees:
(A) Name and address (B) Title and average ( C) Compensation (D) Contributions to (E) Expense hours per week devoted ( If not paid, enter -0- employee benefit account and other to position .) plans & deferred allowances compensation plans
EDWARD BERSOFF CHAIRMAN 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
KATE HANLEY VICE CHAIRMAN 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
MARGARET FAETH SECRETARY 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
GLENNA ANDERSEN DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
KATHLEEN ANDERSON DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
THOMAS CHAPPLE DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
LAVERN CHATMAN DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
JACK EBELER DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
CAREN DEWITT DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
LAUREN GARCIA DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042 Form 990, Part V-A - Current Officers, Directors, Trustees, and Key Employees:
(A) Name and address ( B) Title and average (C) Compensation (D) Contributions to (E) Expense hours per week devoted (If not paid, enter -0- employee benefit account and other to position .) plans & deferred allowances compensation plans
PENNY GROSS DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
JOSEPH HALLAL DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
KATHERINE HANLEY DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
WILLIAM HAZEL DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
GERALD HYLAND DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
HOWARD LANDO DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
RAFAEL MADAN DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
MARIA HOPPER DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
LORI MORRIS DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
KEVIN OCONNOR DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042 Form 990, Part V-A - Current Officers, Directors, Trustees, and Key Employees:
(A) Name and address (B) Title and average ( C) Compensation (D) Contributions to (E) Expense hours per week devoted (If not paid, enter -0- employee benefit account and other to position .) plans & deferred allowances compensation plans
MARK PACALA DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
JOHN RIBBLE DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
BARRY ROTHMAN DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
JOHN RYAN DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
WAYNE SHELTON DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
SUDHAKAR SHENOY DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
CHARLES SMITH DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
ERNST VOLHENAU DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
ROBERT WRIGHT DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042
TIM YARBORO DIRECTOR 0 0 0 2990 TELESTAR COURT 10 00 FALLS CHURCH,VA 22042 Form 990, Part VI, Line 80b - If "Yes", enter the name of the organization and whether it is exempt or nonexempt:
Name of the Organization Exempt Nonexempt
INOVA HEALTH SYSTEM FOUNDATION X
INOVA HEALTH SYSTEM SERVICES X
IMANCO INC X
INOVA HOME CARE X
INOVA PHYSICAL REHABILITATION SERVICES X
INOVA ALEXANDRIA HOSPITAL X
INTEGRATED PHYSICIAN SERVICES X
INOVA MEDICAL FOUNDATION X
INOVA HOLDINGS INC X
UMC HOLDINGS INC X
INOVA EMPLOYEE ASSISTANCE X
ALEXANDRIA HEALTH SERVICES CORPORATION X
ALEXANDRIA COMMUNITY HEALTHCARE GROUP X
ALEXANDRIA HOSITAL FOUNDATION X
ALEXANDRIA MEDICAL PROPERTIES X
LOUDOUN HOSPITAL CENTER X
LOUDOUN NURSINGAND REHABILITATION CENTER X
LOUDOUN HEALTH SERVICES X
LOUDOUN HEALTHCARE FOUNDATION X
LOUDOUN SERVICES GROUP X