Loudoun Medical Group, PC One Group

Loudoun Medical Group, PC One Group. Infinite Possibilities.

Annual Report 2010 An “Evolution to Excellence” Excerpts only – Excludes Confidential Financial Information OFFICE COPY Ten Year Commemorative Edition

LMG Practices and Providers (continued)

General Surgery Loudoun OBGYN Northern Virginia ENT Associates Arshed Choudhry, MD (703) 858-1500 Loudoun Surgical Michael Mellis, MD (703) 729-8080 Brita Kriss, MD (703) 858-3131 Lisa Park, MD (703) 858-1500 Kenneth Bergman, MD (703) 729-8080 Russell McDow, MD (703) 858-3131 Michelle Roberts-Borden, MD (703) 858-1500 Jennifer Thompson, MD (703) 858-1500 Darlene Payne, AUD (703) 729-8080 Surgical Specialists of Northern Virginia Jennifer Hickman, MD (703) 858-1500 Bernard Cross, MD (703) 858-3200 Physical Medicine and Rehabilitation James Lesniewski, MD (703) 858-3200 Occupational Health Janie Orrington-Myers, DO (703) 858-3200 Loudoun Spine and Rehabilitation Corporate Health Center Michael Kuo, MD (703) 443-8110 Carol Currier, MD (703) 444-5656 Breast Care Consultants of Northern Virginia Fernando Mendez, PA-C (703) 443-8110 Elizabeth Courts, CFNP (703) 444-5656 Shannon Lehr, MD (703) 858-3200 Miriam Birmiel, CFNP (703) 444-5656 James Lesniewski, MD (703) 858-3200 Physical Therapy Bernard Cross, MD (703) 858-3200 Orthopaedic Surgery Optimum Physical Therapy and Sports Medicine Gynecology Janie Ellison, PTA (703) 443-2223 Dr. Matthew Gavin Joan Kennedy, PT (703) 443-2223 Loudoun Gynecology Associates Matthew Gavin, MD (703) 777-3262 Melanie Lamb, PT (703) 443-2223 Anne Lowery, PTA (703) 443-2223 Virginia Hackenberg, MD (703) 858-2811 Michelle McGregor, PT (703) 443-2223 Dr. Michael Kavanagh AnneMarie Spooner, MD Nona Phelps, PTA (703) 443-2223 Michael Kavanagh, MD (703) 777-3262 AnneMarie Spooner, MD (703) 858-2811 Andrea Pyle, OTR (703) 443-2223 Anushaya Fitzgerald, PA-C (703) 777-3262 Bryan Spillare, PT (703) 443-2223 Infectious Diseases Shahla Williams, PT (703) 443-2223 Center for Spinal Surgery & Spinal Disorders Infectious Diseases; Tropical Medicine & Travelers Health Ian Wattenmaker, MD (703) 777-1553 Plastic Surgery Sarfraz Choudhary, MD (703) 858-9966 Kimber Hoyler, PA-C (703) 777-1553 Imtiaz Choudhary, MD (703) 313-5060 Mountcastle Plastic Surgery & Vein Institute Timothy Mountcastle, MD (703) 858-3208 Orthopaedic & Spine Surgery Institute

Integrative Family Medicine/Holistic/Nutrition Ali Moshirfar, MD (703) 723-6774 Radiation Oncology

Integrative Family Medicine Center Martha Calihan, MD (703) 669-6118 Otolaryngology Loudoun Radiation Oncology Felix Ma, MD (703) 669-6118 Kin-Sing Au, MD (703) 858-8850 Beth Eckhaus, CCHC (703) 669-6118 Advanced ENT Specialists Mahesh Parameswaran, MD (703) 858-5885 Urology

Obstetrics and Gynecology Nathaniel Stevens, PA-C (703) 858-5885 The Urology Group Kimberly Johnson, AUD (703) 858-5885 G. Neil Foster, M.D. Walter O’Brien, MD (703) 724-1195

G. Neil Foster, MD (703) 858-3070 Kevin O’Connor, MD (703) 724-1195 Metropolitan ENT & Facial Plastic Surgery Nicholas Lailas, MD (703) 724-1195 Loudoun Community Midwives Michael Abidin, MD (703) 313-7700 Gregory Schenk, MD (703) 724-1195 Margaret Brandquist, CNM (703) 726-1300 Tarek Orfaly, MD (703) 313-7700 Darlene Gaynor-Krupnick, MD (703) 724-1195 Wendy Dotson, CNM (703) 726-1300 Iyad Saidi, MD (703) 313-7700 Jennifer Young, MD (703) 724-1195 Julie Spencer, CUNP (703) 724-1195 Paula Senner, CNM (703) 726-1300 Ravi Swamy, MD (703) 313-7700 Kristin Tamburro, CFNP (703) 724-1195 Anne Cockerham, CNM (703) 726-1300 Joy Roberson, PA-C (703) 313-7700 Courtney Marsh, CNM (703) 726-1300 Katie Cage, CFNP (703) 724-1195 Kathryn McGee, AUD (703) 313-7700 Courtney Hasseman, CNM (703) 726-1300 Kristen Seidel, AUD (703) 313-7700 33 Table of Contents Chief Executive Officer and Board of Directors Message: An “Evolution to Excellence”

In June of 2000, LMG began its mission to serve the patients of Loudoun County and nearby communities and provide a foundation for physicians and mid-levels to practice medicine by supporting the administrative functions of the practice pods. Under the leadership of former CEO, James Lapsley, LMG has grown from its initial thirteen pods into the largest physician owned multi-specialty medical group in Northern Virginia. LMG Chief Executive Officer and Board of Director Message 1 currently spans a geographic area of some 65 miles from Berryville to Alexandria, Virginia and employs nearly 700 employees. In the year 2010, LMG had 44 distinct pods in 60 separate locations with 102 physicians and 74 mid-levels providing care to over half a million patients. Organization Chart 2 As we reflect on the past 10 years, LMG has succeeded because of the collective strength of providers and employee dedication, knowledge and medical expertise. It has truly been an “evolution to excellence”. From the 2010 - 2011 Board of Director Members and Medical Director 3 Katrina project to work with the Loudoun Free Clinic and various unsung contributions by our providers, LMG has contributed time and resources when local and national healthcare needs arose.

Shareholders as of January 1, 2011 4-7 We are, however, at a turning point in American health care. Health care costs will inevitably grow, but our nation cannot afford for costs to grow at their current rate. As health care professionals, LMG’s mission is to provide the highest possible quality care to our patients. The underlying challenge to that mission and the Growth Chart 8 unavoidable reality of our world today is how to maintain continued growth, profitability and cash flow and fulfill our mission in an era of general economic downturn, rising health care costs, and uncertainties associated with national health care reform. LMG Employees 9 As the largest multi-specialty medical group in the area, we believe LMG is uniquely positioned to embrace the above challenges. And although we recognize this will not be an easy task, we are confident that LMG has both Practice Profiles 10-30 the leadership and resources to continue our evolution to excellence. Our plans for the coming year include developing a strategic plan encompassing health care reform and to grow LMG – both in primary care as well as in specialty practices. Philanthropic Activities and Charity Support 31 The implementation of the new PULSE electronic health record in the fall of 2011 will allow LMG to participate in the government “meaningful use” program – thereby improving efficiency and patient care coordination. This LMG Practices and Providers 32-33 will then also enable LMG to qualify for government financial incentives as well as develop a comprehensive quality assurance program.

Other initiatives to be undertaken in 2011 include ensuring LMG is properly capitalized; that we continue to receive top reimbursement rates from managed care companies and that we develop new ancillary revenue services within LMG.

We are excited about the coming year and encourage shareholder participation in LMG’s evolution process.

Mary Beth Tamasy, CEO Kevin O’Connor, MD Stephen Napolitano, MD John Andrew, MD John Cook, MD G. Neil Foster, MD Richard Kim, MD Sarfraz Choudhary, MD Geetha Pillai, MD The LMG annual report is not to be distributed without permission from the Susan Furr, CFNP Julie Spencer, CUNP LMG Board of Directors. 1 LOUDOUN MEDICAL GROUP, P.C. – CURRENT ORGANIZATION CHART

LMG SHAREHOLDERS

CHAIRMAN, BOARD OF MEDICAL DIRECTOR DIRECTORS LMG Martha Calihan, MD Kevin O'Connor, MD BOARD OF DIRECTORS QA, Peer Review, Business Development, Provider Relations, Hospital & Community Relations, Malpractice Claims Review Committee Oversite

CHIEF EXECUTIVE OFFICER Mary Beth Tamasy

Information RDO- East RDO - West CBO Project Asst. Credentialing HR Director General Technology Matt Ross Taylor Department Coordinator Comptroller Bonnie Jo Ann Nagell Administration Department Cubbage Treasury Clara Nussbaum Jesse Perloff Kavanagh Parker Engelman- Jan Cursi Real Estate Management, Compliance Smith Services, Budgeting, Practice Marketing, Business Assessments Business Development, Special projects Development, Managed Care Managed Care Contracting Contracting Director of Electronic Payroll Payroll Information Health Processing, Pension Billing & Billing Technology Record Pulse Accounting Profit-Sharing LMG Education Corey Director Department Collections Lisa Jwo Karen Feely Risse Snelgrove Perloff Eric Dawson Primary Care Department & Specialist Pods Practice Pulse Supervising Administrator Administrator Team Leaders Accounting Accounting IT Staff EHR Staff Linda Casciano Melanie Staiman Manager-East Manager-West David Mautone Carol Rohrbaugh Kathy Stephens Dave Tator Lorraine Runski Matthew Sieh Lesha Malam Chris Lee Lisa Cantrell Chris Ott Mandy Ballard Pulse 23 Administrative CBO Assistant Employees Accountants Sheri Gazes Accounts Elaine Hockman Payable Sherry Heuer Jennifer Nail Caroline Guo Lockbox Treasury Coordinator Coordinator Jennifer Lucy Beverly Stickel 2 2010 - 2011 Board of Director Members & Medical Director

Kevin O’Connor, MD Stephen Napolitano, MD John Andrew, MD Chairman Vice Chairman Secretary/Treasurer

John Cook, MD G. Neil Foster, MD Richard Kim, MD Sarfraz Choudhary, MD

Geetha Pillai, MD Susan Furr, CFNP Julie Spencer, CUNP Martha Calihan, MD Medical Director 3 Shareholders as of January 1, 2011 Shareholder Status Date

Theresa Crowley, MD Michele Reilly, DO Linda Coleman, MD Carol Currier, MD G. Neil Foster, MD 6-2-00 6-2-00 6-2-00 6-2-00 6-2-00 Ashburn Pediatrics Ashburn Pediatrics Coleman Primary Care Corporate Health Center Dr. G. Neil Foster

Virginia Hackenberg, MD Martha Calihan, MD Anthony Crowley, MD Thomas Hegerich, MD Scott Nagell, MD 6-2-00 6-2-00 6-2-00 6-2-00 6-2-00 Loudoun Gynecology Associates Integrative Family Medicine Center Leesburg/Sterling Family Practice Leesburg/Sterling Family Practice Leesburg/Sterling Family Practice

Stephen Napolitano, MD Colleen Wright, MD Sarah Fletcher, MD Van Ha, MD Roberta Moreland, MD 6-2-00 6-2-00 6-2-00 6-2-00 6-2-00 Leesburg/Sterling Family Practice Leesburg/Sterling Family Practice Sterling Family Practice Loudoun Dermatology Associates Loudoun Dermatology Associates 4 Shareholders as of January 1, 2011 Shareholder Status Date

John Andrew, MD John Cook, MD Geetha Pillai, MD Rebecca Fox, MD Corinna Schrankel, MD 6-2-00 6-2-00 6-2-00 6-2-00 6-2-00 M.D. VIP M.D. VIP Loudoun Internal Medicine Associates Loudoun Pediatric Associates Loudoun Pediatric Associates

Joseph Lee, MD Nikki Truong, MD Valerie Williamson, MD Nicholas Lailas, MD Walter O’Brien, MD 6-2-00 6-2-00 6-2-00 6-2-00 6-2-00 Potomac Family Practice Potomac Family Practice Potomac Family Practice The Urology Group The Urology Group

Kevin O’Connor, MD Kin-Sing Au, MD Michael Todd, MD Matthew Gavin, MD Sarfraz Choudhary, MD 6-2-00 2-1-07 8-1-07 4-1-08 4-1-08 The Urology Group Loudoun Radiation Skin Cancer Center Dr. Matthew Gavin Infectious Disease: Tropical 5 & Oncology of Northern Virginia Medicine & Traveler’s Health Shareholders as of January 1, 2011 Shareholder Status Date

Robert Hetzel, MD Richard Kim, MD Neven Ujevic, MD Michael Wenzel, MD James Towe, MD 5-1-08 10-1-08 10-1-08 10-1-08 10-1-08 Leesburg/Sterling Family Practice Loudoun Internal Medicine Associates Loudoun Internal Medicine Associates Loudoun Valley Family Practice Loudoun Valley Family Practice

Michael Kavanagh, MD Gregory Schenk, MD C. Bernard Cross, MD James Lesniewski, MD Jonathan Charen, MD 1-1-09 3-1-09 4-1-09 4-1-09 5-1-09 Dr. Michael Kavanagh The Urology Group Surgical Specialists of Northern Virginia Surgical Specialists of Northern Virginia Leesburg/Sterling Family Practice

Amie Beloy, MD Victoria Pierce, MD Maura Carroll, MD Mahesh Parameswaren, MD Michael Mellis, MD 7-21-09 7-21-09 7-21-09 8-1-09 9-1-09 Ashburn Pediatrics Ashburn Pediatrics Ashburn Pediatrics Advanced ENT Northern Virginia ENT 6 Specialists Associates Shareholders as of January 1, 2011 Shareholder Status Date

Thomas Mancini, MD Martin Korkowski, MD Lori Andrew, MD Kimberly Kolb, DO C. Damon Moore, MD 4-1-10 4-1-10 8-1-10 8-1-10 8-1-10 Mancini/Korkowski Mancini/Korkowski Pediatric Healthcare Pediatric Healthcare Pediatric Healthcare

Timothy Mountcastle, MD Brita Kriss, MD John Archer, MD Robert Bencze, MD Lewis Gold, DO 8-1-10 1-1-11 2000 - 2005 2000 - 2007 2000 - 2010 Mountcastle Loudoun Surgical Plastic Surgery Former Shareholders Shareholder Track Physicians Russell McDow, MD Loudoun Surgical Wayne Wu, MD Mitchell, Whittaker & Wu Ian Wattenmaker, MD Center for Spinal Surgery & Spinal Disorders Jeffrey Nekoba, MD Jeffrey Nekoba, MD Annette Hudler, DO MountainView Medical Associates Alan Ansher, MD Digestive Disease Physicians Arshed Choudhry, MD Loudoun OB/GYN Craig Ellison, MD Digestive Disease Physicians Lisa Park, MD Loudoun OB/GYN Robert Hally, MD Digestive Disease Physicians Michelle Roberts-Borden, MD Loudoun OB/GYN Sean Hurley, MD Digestive Disease Physicians Jennifer Thompson, MD Loudoun OB/GYN Vivian Lugo-Eschenwald, MD Family Medicine Associates of Alexandria Michael Abidin, MD Metropolitan ENT Mirela Mircea, MD Family Medicine Associates of Alexandria Tarek Orfaly, MD Metropolitan ENT AnneMarie Spooner, MD Loudoun Gynecology Associates Iyad Saidi, MD Metropolitan ENT Shannon Lehr, MD Breast Care Consultants of Northern Virginia Michael Mitchell, MD Mitchell, Whittaker & Wu Rahib Poonawala, MD Leesburg/Sterling Family Practice Scott Whittaker, MD Mitchell, Whittaker & Wu Mary Cecil, MD Leesburg/Sterling Family Practice 7

LOUDOUN MEDICAL GROUP, P.C. - GROWTH CHART YEAR 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

PRACTICES / PODS ASHBURN PEDS LOUDOUN REHAB DR. SIRLIN MIDWIVES DR. AU DR. GAVIN DR. KAVANAGH PEDIATRIC HC OPTIMUM PT METRO ENT (NOT SITES) 6/2/2000 1/1/2001 7/1/2002 9/1/2003 2/1/2004 4/1/2005 1/1/2006 8/1/2007 3/1/2008 5/1/2009 DR. COLEMAN DR. CROSS MANCINI & KORKOWSKI DR. SPOONER LIMA - MDVIP MITCHELL, WHITTAKER 6/2/2000 6/1/2004 4/1/2005 3/13/2006 5/31/2008 WU 6/1/2009 CORPORATE HEALTH DR. KRISS LMG ICC DR. MOUNTCASTLE DR. WATTENMAKER DR. NEKOBA 6/2/2000 6/1/2004 8/1/2005 7/3/2006 6/1/2008 7/1/2009 DR. FOSTER DR. MCDOW IFMC DR. PARA MOUNTAINVIEW DRS. LUGO & MIRCEA 6/2/2000 6/1/2004 10/1/2005 8/7/2006 7/1/2008 8/1/2009 DR. HACKENBERG WENZEL & TOWE DR. MELLIS LOUDOUN OB DIGESTIVE DISEASE 6/2/2000 8/1/2004 9/1/2006 10/1/2008 8/1/2009 LSFP DR. LESNIEWSKI LMG PRIMARY CARE DR. SHANNON LEHR 6/2/2000 8/2/2004 12/1/2006 8/1/2009 SFP DR. TODD 6/2/2000 8/16/2004 LOUDOUN DERM DR. CHOUDHARY 6/2/2000 11/15/2004 LIMA 6/2/2000 LPA 6/2/2000 NOVA NOVA DR. SIRLIN DRS. ARCHER / THOMAS 6/2/2000 6/2/2005 8/9/2009 8/31/2010 PFP 6/2/2000 UROLOGY 6/2/2000 YEAR 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

POD ADDITIONS 13 1 1 1 8 4 6 1 5 6 0 POD DIVESTITURES 0 0 0 0 0 -1 0 0 0 -1 0 NET ADDITIONS 13 1 1 1 8 3 6 1 5 5 0

CUM. TOTAL PODS 13 14 15 16 24 27 33 34 39 44 44 (49 LOCATIONS) (57 LOCATIONS) (60 LOCATIONS) % YEARLY INCREASE (DECREASE) 7.69% 7.14% 6.67% 50.00% 12.50% 22.22% 3.03% 14.71% 12.82% 0.00% % TOTAL CUM INCREASE (DECREASE) 238%

SPECIALTIES PEDIATRICS PHYSIATRY PEDIATRIC OB/GYN RADIATION ONCOLOGY INTERNAL MEDICINE ORTHOPEDICS PEDIATRICS PHYSICAL THERAPY OTOLARYNGOLOGY FAMILY MEDICINE GASTROENTEROLOGY GENERAL SURGERY ORTHOPEDICS GYNECOLOGY INTERNAL MEDICINE INTERNAL MEDICINE INTERNAL MEDICINE FAMILY MEDICINE FAMILY MEDICINE OTOLARYNGOLOGY ORTHOPEDICS FAMILY MEDICINE DERMATOLOGY DERMATOLOGY INTEGRATIVE FAMILY MEDICINE OB/GYN GASTROENTEROLOGY OB/GYN INFECT. DISEASE & MEDICINE GENERAL & PLASTIC BREAST SURGERY UROLOGY TRAVEL MEDICINE SURGERY CORPORATE MEDICINE 8

YEARS 2000 & 2010 One Group. Infinite Possibilities. NUMBER OF EMPLOYEES Our strength is our employees

664

198

2000 2010

Loudoun Medical

Group, PC 9 Dr. Linda Coleman, a Board-Certified Internist, has been practicing in Loudoun County for over 15 years. Her practice has grown to include two employed physicians and two mid-level providers. Interestingly, Dr. Coleman’s father, Dr. Michele Reilly founded Ashburn Pediatrics in 1994, along with Drs. Theresa Dr. John Coleman, practices part-time in the practice at the age of 82. His goal Crowley and Lewis Gold, who soon joined her in practice. The practice has is to be the oldest practicing Board-Certified Family Physician in the United grown steadily over the years and had the pleasure of treating 9,500 patients in States. 2010 in a warm and loving environment. The founding partners were pleased to welcome Drs. Amie Beloy, Maura Carroll, and Victoria Pierce as pod partners A few years ago, Dr. Linda Coleman expanded her practice to include aesthetic in 2009. Dr. Gold retired from practice in December 2010. and hormone services in addition to the stellar episodic and preventive care already offered by her practice. Dr. Coleman and her team of both Internal Ashburn Pediatrics provides primary pediatric care to infants, children and Medicine & Family Medicine specialists are especially skilled in the adolescents from newborns to college age students. Their message is to provide management of patients who have multi-system disease processes. quality pediatric care to meet the variable needs of the community. Ashburn Pediatrics providers pride themselves on being partners with parents to provide Dr. Coleman’s office is located in the Countryside area of Sterling. The office the knowledge needed to make sound medical, physical, and emotional suite was recently expanded in conjunction with a large remodeling project. decisions for their children. Their primary interest is to ensure healthy children The remodeled suite features hardwood floors, frosted glass, and granite with a healthy future. countertops throughout the suite.

Dr. Michele Reilly has served as chairperson of Loudoun Medical Group’s Dr. Linda Coleman has served on the Managed Care Committee since 2000. Human Resources Committee since June 2000 and was a BOD member for the years 2000 - 2002.

10 G. Neil Foster, M.D.

Dr. Gavin Neil Foster specializes in Obstetrics and Gynecology. He has been practicing since 1989 and is certified by the American Board of Obstetrics and Gynecology. He is in solo practice, and his office is located at the Inova Loudoun Hospital campus – directly across from The Birthing Inn.

Dr. Foster has performed over 3,000 deliveries during his time with LMG and has served Loudoun County since 1994. Upon entering Dr. Foster’s office, one Under the leadership of its Medical Director, Dr. Carol Currier, Corporate can easily become enamored with the walls of his suite, which are covered with Health Center (CHC) has served as one of the major Occupational Health picture of babies delivered by Dr. Foster over the years, as well as pictures of Medicine and Workers Compensation centers in the metropolitan Washington these children as they have grown up. area since 1987. In addition to occupational medicine, CHC offers opiate addiction counseling and rehabilitation services, with 87 active participants at Empowerment is a theme throughout the practice. Dr. Foster and his staff this time. Dr. Currier is a Travel Medicine & Immigration Certified Provider, a believe that women should be empowered by participating fully in their health great benefit to corporations with international projects. care decisions. He and his staff are well-trained, kind, and caring. They care equally about each other as well as all of the patients they serve. The unhurried CHC holds contracts with many large employers in the area, including Loudoun atmosphere lends itself to making patients feel comfortable and confident, County Transportation Department, Orbital Sciences, NiTek, Dulles Transit whether they are considering delivery of their babies or one of many other Partners (the company that is overseeing the Dulles Metrorail project), and the services available. Metropolitan Washington Airports Authority (MWAA). Dr. Foster has been an active member of the LMG Finance Committee since For the first part of her career, Dr. Currier was an Ophthalmologist. She June of 2000 and is the current Chairman of the Governance Committee. He worked in MedEx Urgent Care in Sterling during the 1980’s and 1990’s before has also served on the LMG Board of Directors for 9 years. solely focusing in Occupational Medicine. Dr. Currier is currently Board Certified by the American Board of Preventive Medicine.

Dr. Currier served on the LMG Board of Directors from 2005 to 2006 and is an active member of the Quality Assurance Committee.

11 Virginia Hackenberg, M.D. Loudoun Gynecology

Associates Leesburg Sterling Family Practice (LSFP) was founded by Dr. Stephen Napolitano in 1974. Offering a full spectrum of diagnostic and treatment procedures for maintaining wellness, treating illness and injuries, and dealing with acute needs, LSFP practitioners help patients stay healthy with individualized care plans. In addition, their patient population spans from infants Dr. Hackenberg has served the Loudoun Community for over 20 years and to the elderly and all ages between. currently practices in Lansdowne. She is Board-Certified by the American College of Obstetrics and Gynecology, and her focus is the gynecological LSFP operates offices in Lansdowne, Leesburg, and Purcellville and includes 12 aspect of care delivery. As a matter of fact, Dr. Hackenberg was the first physicians and 9 nurse practitioners. A fourth location will open in Summer female gynecology-only specialist in Loudoun County in 1990. 2011 in the Broadlands Marketplace Shopping Center in Ashburn.

When describing her care philosophy, Dr. Hackenberg states, “My approach LSFP Purcellville was recently voted the best place to work in Western Loudoun towards a physician-patient relationship involves giving the patient time to in a poll run by Purcellville Gazette. ask questions and express concerns as well as educating them about their condition and treatment options so they can make informed choices about Dr. Stephen Napolitano has been a member of the LMG Board of Directors, for their own health care.” which he currently serves as Vice-Chair, and the Finance Committee since LMG’s inception. Dr. Tony Crowley chairs the Real Estate Committee and is an Dr. Hackenberg maintains regular hours for both office appointments and active member of the LMG HR Committee. Another LSFP physician who surgical procedures and works collaboratively in the office with the Loudoun donates time to LMG activities is Dr. T.J. Hegerich, who chairs the IT Community Midwives. Committee and has been instrumental in the implementation of LMG’s EHR systems. As chairperson of the Managed Care Committee, Dr. Virginia Hackenberg has contributed to LMG’s success in receiving preferred rates from payors. In addition, Dr. Hackenberg served as a member of the LMG Board of Directors for 6 years.

12 Dr. Sarah Fletcher and her team at Sterling Family Practice operate out of Loudoun Dermatology Associates (LDA) was established in 1998 by Drs. their office in the Cascades area of Sterling. Dr. Fletcher founded Sterling Roberta Moreland and Van Ha. The practice, located in Lansdowne, is Family Practice over 15 years ago and currently employs two physicians, dedicated to delivering the best in dermatological treatments and the highest Drs. Ralph Leon and Elizabeth Zapp, and two Nurse Practitioners, Cynthia quality of patient care. Yew and Jessica Scalzo. In addition to medical care and prevention, LDA physicians also perform Dr. Fletcher maintains a special interest in the diagnosis and treatment of cosmetic services – Botox, Dysport, and Juvederm (Cosmetic Fillers) – as well Lyme Disease and is truly a Lyme Disease expert. She routinely sees over as IPL (Intensed Pulse Light) treatment. LDA offers X-Trac Laser treatments 30 Lyme patients each week. for psoriasis patients. Microdermabrasion, chemical peel treatments, and laser hair removal are performed by LDA’s aesthetician, Tiffany Bogaty. Sterling Family Practice has embraced technology and uses the Medfusion Patient Portal as a complement to the electronic health record (EHR). The Many of LDA's employees have at least 7 years of service or more with the Medfusion Patient Portal allows patients to access their own secure and practice. LDA employees celebrate with an annual “fun day” in the fall as well confidential online personal health record from home. Patients have the as a Christmas dinner. The physicians and staff have shown their support for ability through Medfusion to request appointments, receive test results Loudoun residents by volunteering at the annual Skin Cancer Screening in online, and send and receive secure messages to and from the office. conjunction with Inova Loudoun Hospital. LDA also dedicates time to the community by providing care to patients referred by the Loudoun Free Clinic. Dr. Fletcher served on the Board of Directors from 2003 to 2005 and is currently an active member of the IT and Real Estate Committees. Dr. Moreland has been an active member of the Finance Committee since 2000 and served on the LMG BOD from 2000 - 2002.

13 Loudoun Internal Medicine

Associates Loudoun Pediatric Associates (LPA) has served Loudoun County children and their parents for over 30 years. The practice offers preventive care and same-day sick care for Loudoun Internal Medicine Associates (LIMA) formed when Dr. John Andrew ages newborn through 18. Over the past few years, the joined Dr. Jack Cook in Leesburg in 1986. The practice moved to the current providers at LPA have focused heavily on education and flagship location in Lansdowne in 1997 and has been growing since that point. The prevention, employing Registered Dietitian, as well as Purcellville location opened in 2009. several Certified Lactation Consultants who are also Nurse Practitioners. The owners of LPA are Dr. Rebecca Drs. Cook and Andrew branched out and formed the MDVIP division of LIMA in Fox and Dr. Corinna Schrankel, who recently welcomed 2008. The current owners of LIMA are Drs. Geetha Pillai, Richard Kim, and Dr. Joel Madrid and Dr. Max Lins as pod partners in Neven Ujevic. LIMA was an early supporter of Nurse Practitioners in Internal January 2011. Medicine and currently acts as a training site for local programs. LIMA’s Nurse Practitioners, Kathleen Pelkofski and Robin Woyach, received part of their training The practice sees approximately 40,000 office visits each at the practice. Amy Emery, NP, also joined the group in 2009. year in 15,000 total square feet of office space throughout their Lansdowne, Purcellville, and Berryville offices. Both Drs. Geetha Pillai and Richard Kim are current LMG Board of Directors LPA was the first LMG practice to venture westward into members. In addition, Dr. Kim is the Chairman of the Ancillary Services Clarke County with the expansion to Berryville in Committee, which is currently reviewing centralized laboratory services and point September 2010. of care prescription dispensing. Drs. Pillai and Ujevic are both members of the LMG New Pod Committee. As a member of the LMG Retirement Committee, Dr. In addition to the four owners, the practice employs four Neven Ujevic serves as a Plan Fiduciary for LMG’s retirement plan. He is also an physicians, Dr. Nicole Connolly, Dr. Anya active member of the HR Committee. Roychoudhury, Dr. Keriya Adem, and Dr. Lisa Scott; four Nurse Practitioners, Sharon Corriveau, Tammy Cayou, Marion Shortman, and Lauren Bland; and one Physician Assistant, Suzanne Dahl.

Dr. Rebecca Fox is active on the LMG IT and Real Estate Committees. Additionally, Dr. Corinna Schrankel served on the LMG Board of Directors from 2007 – 2009 and is a member of the LMG Quality Assurance Committee. 14 The Urology Group provides the Washington area and Northern Virginia with the Potomac Family Practice (PFP) was founded in 1994 by finest and most up-to-date urologic care available. The group remains focused on Drs. Valerie Williamson and NhuNga (Nikki) patient care and makes every effort to treat patients compassionately in a Truong. Dr. Joseph Lee later joined them in practice and comfortable setting. Physicians at the Urology Group have been named top is a partner. Loudoun County did not boast numerous doctors in urology in both The Washingtonian and Northern Virginia Magazines. primary care practices in the early 1990s, so the Loudoun community welcomed PFP, with convenient The group offers expertise across all areas of urology, including pediatric urology, locations and a diverse staff, as a haven for new patients urologic oncology, robotic and laparoscopic surgery, as well as female urology in growing areas of the county. and erectile dysfunction. The Northern Virginia Pelvic Continence Care Center is a division of The Urology Group and offers the most current techniques available PFP is committed to improving overall health for their to accurately diagnose and manage female pelvic floor disorders. patients and their families by providing excellent care. The physician owners, along with Physician Assistant, The Urology Group prides itself on doctor-patient interaction and patient Whitney Crawford, and staff members understand the education. All providers select the most advanced urologic techniques to combine importance of patient education, patient participation, with years of experience and then include good old-fashioned bedside manner, and patient care – from infants to elderly individuals. resulting in optimal patient care. PFP maintains its location in the Potomac Falls area of Sterling and also operates a location in Leesburg’s Founded in 1924, The Urology Group has been committed to excellence for over Cornwall Building. 80 years. The partners of The Urology Group are Drs. Kevin O’Connor, Walter O’Brien, Nicholas Lailas, Gregory Schenk and Darlene Gaynor-Krupnick. The Drs. Valerie Williamson and Joseph Lee both served on practice employs three Nurse Practitioners, Julie Spencer, Kristin Tamburro, and the LMG Board of Directors from 2006 – 2008. Dr. Kathleen Cage, and maintains offices in Lansdowne, Reston and Leesburg. Williamson is active on the LMG Governance and Retirement Committees. Dr. Lee also serves on the Dr. O’Connor has served on the LMG Board of Directors for a total of 8 years and Managed Care Committee. is it’s current Chairman. He also is an active member of the Governance Committee. Dr. O’Brien chairs the LMG Retirement Committee and is an active 15 member of the Finance Committee. Loudoun Spine and Rehabilitation Loudoun Community Midwives (LCM) was founded in 2003 by Certified Nurse Midwives, Margie Brandquist and Wendy Dotson, who were the first Certified Nurse Midwives to have privileges at Loudoun Hospital Center.

Loudoun Spine & Rehabilitation (LSR) is an LMG group-owned Pod that Margie, Wendy, and their partners have attended more than 3,000 births at The employs Dr. Michael Kuo and Fernando Mendez, PA-C. Dr. Kuo is Board Birthing Inn since 1999. The Lansdowne based Birthing Inn offers a high-tech Certified in Physical Medicine & Rehabilitation with sub-specialty certifications security system; deep soaking tubs in all labor rooms; wireless, waterproof fetal in Pain Medicine and Electrodiagnostic Medicine. Fernando was educated at the monitoring which allows women to labor in a position comfortable to them; in- George Washington University School of Medicine and Health Sciences and is house anesthesia; in-house neonatology; neonatal intensive care; private certified by the National School of Medicine and Health Sciences. postpartum rooms and lactation consulting services.

Dr. Kuo and Mr. Mendez maintain a patient approach that encompasses the LCM is located in Lansdowne and offers a wide range of prenatal, labor and whole body, not just the problem area or condition. delivery options, in addition to full-scope gynecological services.

They provide injections, peripheral nerve blocks, and other interventions for The practice consists of four full-time, full-scope Certified Nurse Midwives, patients with chronic pain. The LSR providers maintain special interests and Margie Brandquist, Wendy Dotson, Paula Senner, and Courtney Marsh; two expertise in peripheral joint injections; DeQuervain’s tenosynovitis injections; part-time office Certified Nurse Midwives, Courtney Hasseman and Anne interlaminar and transforaminal cervical, thoracic, and lumbar epidural steroid Cockerham; an ultrasound technician; four clinical staff members; and two injections; provocation discography; and spinal cord stimulation trials – among receptionists. many other services.

Their office is located in the Cornwall building in Leesburg.

16 Surgical Specialists of Loudoun Radiation Northern Virginia Oncology Surgical Specialists of Northern Virginia (SSNV) has been providing care for the community since 1989. Drs. C. Bernard Cross and James Lesniewski offer a wide range of comprehensive, minimally invasive and advanced surgical skills in the fields of General Led by Dr. Kin-Sing Au, Loudoun Radiation Oncology serves the Loudoun Surgery, Breast Care Management, Peripheral and surrounding communities. Trained at Georgetown University and Johns Vascular, and Thoracic. At Surgical Specialists of Hopkins University, Dr. Au has more than 30 years of experience and is Northern Virginia, the goal is to always educate, Board-Certified in both Internal Medicine and Radiation Oncology. Dr. Au, discuss options and help their patients benefit from the who provides services at both Inova Loudoun Hospital and Reston Hospital advances in health care and surgery. Center, is recognized for his bedside manner and compassionate nature when Dr. Cross performed the first laparoscopic hernia dealing with cancer stricken patients. repair at Loudoun Hospital in 1990, and he also performed the first

thorascopic lobectomy at Loudoun Hospital for a lung mass in 1994. In February 2007, Dr. Au became the first physician to join LMG as a non- founding Shareholder. Drs. Cross and Lesniewski’s practice is located adjacent to Inova Loudoun Hospital and is equipped to perform minor excisions and procedures. Dr. Au is a member of the Loudoun Medical Group Real Estate Committee. Hospital in-patient care is at Inova Loudoun Hospital with outpatient surgery performed at Inova Loudoun Hospital and Inova Surgery Center Lansdowne. Dr. Lesniewski has dedicated significant time to administrative duties for Inova Loudoun Hospital by serving as Chief of the Department of Surgery. He also serves actively on LMG’s IT Committee. Dr. Bernie Cross has assisted in revisions to the LMG amended Shareholder Agreement as an active member of the Governance Committee. 17 Loudoun Valley Family Practice (LVFP) was started in 1965 by Dr. James L. Loudoun Surgical is led by Drs. Brita Kriss and Russell McDow. Both Towe. Its motto was and continues to be “Quality healthcare with a hometown specialize in General Surgery, and Dr. McDow also specializes in Thoracic feeling.” and Vascular Surgery. Dr. Kriss was trained at Northeastern Ohio University College of Medicine and is certified by the American Board of Surgery. Dr. Dr. James H. Towe (the son of the practice’s founding physician) graduated McDow was trained at the University of Virginia School of Medicine Health from Eastern Virginia Medical School and is Board-Certified in Family System and is certified by the American Board of Surgery. He too, is an Medicine. Dr. Michael T. Wenzel, also a Board-Certified Family Physician, active member with the American College of Surgeons and sits on various graduated from the Medical College of Virginia. committees at Inova Loudoun Hospital Center. Drs. Wenzel and Towe grew up in the Purcellville area and have the unique Drs. Kriss and McDow have been performing surgery for 17 and 31 years, experience of growing up together and being able to practice medicine respectively. together. They live and practice in the Purcellville community, and they know and are known by the residents of Purcellville. This familiarity and loyalty led Drs. Kriss and McDow perform several hundred surgeries each year, including both physicians to join the elder Dr. Towe’s practice after medical school. services such as hernia repair, gallbladder removal, and mastectomy. LVFP joined LMG in 2004. There is no age limit to their patient base; newborns to geriatric patients help contribute to LVFP’s diversity. Dr. Kriss is LMG’s most recent shareholder, Drs. Towe and Wenzel are skilled at managing patients with multiple chronic attaining the status conditions. in January 2011. In addition to both physicians’ privileges at Inova Loudoun Hospital, Dr. Wenzel has privileges at Valley Health System’s Winchester Medical Center. 18 Infectious Diseases: Tropical Medicine and Traveler’s Health

With offices in Leesburg and Alexandria, Infectious Disease: Tropical Medicine and Travelers Health (Infectious Disease Specialists), led by Dr. Sarfraz Choudhary, educates patients and provides medical The Skin Cancer Center of Northern Virginia specializes in the prevention, guidance to keep them healthy and safe during their diagnosis, and treatment of skin cancer. Dr. Michael Todd, Physician Assistant travels and upon return. Dr. Sarfraz Choudhary is Michael Fraykor, and the skilled staff at SCCNV offer a wide range of surgical Board-Certified in both Internal Medicine and Infectious Disease. and non-surgical treatments for skin cancer, including: Mohs micrographic surgery, standard surgical excision, curettage and topical chemotherapy. The Infectious Disease Specialists offers a wide range of services for the traveler, practices also performs thorough skin cancer screenings for those who need to including medical consultations, on-site immunizations, immigration physicals, have their moles checked. employment physicals, and job-required tests. Corporate accounts and medical and safety products are available as well. Mohs surgery is microscopically controlled surgery used to treat common types of skin cancer. It is one of the many methods of obtaining complete margin Dr. Sarfraz Choudhary, who became an LMG shareholder in April 2008, has control during removal of a malignancy, allowing for the removal of a skin served on the LMG Board of Directors since 2010, and he currently chairs the cancer with a very narrow surgical margin and a high cure rate. New Pod Committee.

Dr. Todd also sponsors a yearly poster contest in the Loudoun community for grades 3 through 5 to promote “Safe & Fun in the Sun,” a valuable Dr. Choudhary’s brother, Dr. educational tool. The Skin Cancer Center is Imtiaz Choudhary, opened the conveniently located near Inova Loudoun Hospital in practice’s Alexandria location Lansdowne, where patients from Virginia, West in the Fall of 2010. Virginia, and Washington D.C. are provided care.

19 Matthew Gavin, M.D.

Serving the Loudoun County, Dr. Matthew Gavin Thomas Mancini, M.D. practices general orthopedics with a special interest in the knee and the shoulder. This involves both sports related and injuries and arthritic conditions. Treatments include Arthroscopic Surgery, Joint Replacement and Sports Martin Korkowski, M.D. Medicine.

Dr. Gavin was trained at Georgetown University and has Drs. Thomas Mancini and Martin Korkowski and Debra Goodwin, PA-C been board certified in Orthopaedic Surgery since 1995. practice internal medicine in Lansdowne. Dr. Mancini was trained at West After completing his fellowship in New York, where he worked with the team Virginia and Penn State Universities and is certified by the American Board of doctor for the New York Knicks, Dr. Gavin returned to DC to practice at the Internal Medicine. Dr. Korkowski, also a Board-Certified Internist, was trained Anderson Clinic. In Loudoun County he found a vibrant, active community. Dr. at the Medical School of Ohio. Debra Goodwin received her training at Kings Gavin is able to apply his skills to people of all ages: from student athletes with College in Pennsylvania and is certified as a Physician Assistant by the broken bones to elderly patients requiring a total knee replacement. As different as NCCPA. these patients may seem - they have one goal in common - to return to their previous level of activity quickly and pain free. Dr Gavin's goal is to protect and Dr. Mancini has received numerous “top doctor” awards. The entire team at repair patients’ bodies from damage that interferes with active lifestyles. Mancini & Korkowski works hard to enhance quality of care and patient satisfaction. Anatomical services include: Shoulder, arm, hand, wrist, knee, foot and ankle. Treatment services include: arthritis, arthroscopic surgery, joint replacement, In addition to preventive care, the providers are well-trained in the evaluation sports medicine and trauma/fractures. and management of patients with multi-system disease processes.

Dr. Gavin is very active in the community. He serves as team physician for many Drs. Mancini and Korkowski joined LMG in April 2005 and became athletic events including polo matches, high school sports, and steeplechases. Dr shareholders in April 2010. Gavin was also asked to serve as team physician for World Cup Soccer. Dr. Gavin, who is an active member of the LMG HR Committee, also serves on the Boards of Inova Loudoun Ambulatory Surgical Center and the Loudoun Free Clinic. He recently organized the Free Clinic's successful Inaugural Charity Race. Dr. Gavin also contributes to a newsletter for Triathlon athletes advising on training and injury prevention. 20 Integrative Family Medicine Center (IFMC) was founded in Leesburg in 2005 The Loudoun Medical Group Immediate Care Center by Dr. Martha Calihan, who previously practiced with Leesburg Sterling (ICC) was formed in 2005. The ICC assumed the Family Practice for 15 years prior to forming IFMC. patients of a neighboring primary care practice and added preventive care services in 2007, becoming the Dr. Calihan, who is Board-Certified in both Family Medicine and Holistic LMG Primary & Immediate Care Center in 2007. Medicine, and her team of health and wellness experts offer patients support in healing by working toward optimal health and well-being through integrative Dr. Jeffrey Martin is the Medical Director of the ICC and offerings of Western and non-traditional medical care. works alongside Dr. Felix Ma and Nurse Practitioner Jill De Castro. IMFC works with patients of all ages and uses a collaborative and holistic approach based in understanding and treating the root cause of illness and The ICC maintains extended hours and is available for treating the whole person. IFMC offers a wide range of services including most acute illnesses and minor injuries, such as acupuncture, nutritional supplementation, health, nutrition and lifestyle respiratory infections, urinary tract infections, counseling, massage therapy and energy work, Yoga, Reiki, and meditation gynecology problems, minor burns, sprains and strains, and many others. coughs and colds, sore throats, ear infections, allergic reactions, fever and flu-like symptoms, and rashes and Dr. Calihan has served as the Medical Director of LMG since its inception, other skin irritations. and she has also contributed to the success of LMG by chairing the Board of Directors from 2000 to 2004. The ICC is open 7 days a week with full-time x-ray services, IV hydration available, short wait times, and a caring, attentive staff.

21 Michael AnneMarie Spooner, Kavanagh, MD MD

Dr. Michael A. Kavanagh, who is certified by the American Board of AnneMarie Spooner, M.D. began her practice with Loudoun Gynecology Orthopaedic Surgery, has practiced orthopedic surgery for over 30 years and Associates in 2006 in the Lansdowne area. She maintains regular office has practiced in Loudoun County since 1989. hours as well as hours for surgical procedures.

Educated at Georgetown University and Dr. Spooner sees patients for teen health; contraception; sexually transmitted trained at Arlington Hospital, the Veterans infections; general gynecological conditions, procedures, and surgeries; Administration Hospital, and Georgetown menopause; sexuality; and bladder conditions. University Hospital, Dr. Kavanagh currently practices in the Cornwall Building in As the daughter of a retired OB/GYN physician, Dr. Spooner has enjoyed an Leesburg with a physician assistant, early exposure to the field and developed a strong interest in gynecology at a Anushaya Fitzgerald, PA-C. young age.

Services provided by Dr. Dr. Spooner, who is on the LMG shareholder track, has two small children Kavanagh and Shaya include and enjoys the flexibility afforded to her by practicing with LMG. treatments for hip, shoulder, arm, hand, wrist, and knee issues.

Dr. Kavanagh’s skill as a surgeon, in addition to his bed side manner, make him one of Loudoun County’s favorite physicians. 22 Dr. Timothy Mountcastle came to the Loudoun area in 2006 and initially shared space with Drs. Cross Dr. Mahesh Parameswaran founded Advanced ENT Specialists in 2006. His and Lesniewski performing both general and plastic current practice also includes an audiologist and a physician assistant. Dr. surgery. Parameswaran, also known as Dr. Para, has been caring for patients of all ages His commitment at Mountcastle Plastic and Reconstructive Surgery is clear; his for nearly ten years. He is dedicated to delivering comprehensive, patient- patients understand that when you look good, you feel good. centered evaluation and treatment for all ENT problems.

Mountcastle Plastic and Reconstructive Surgery is committed to delivering the Advanced ENT Specialists operates from two locations: one in Lansdowne best possible results to the individuals that entrust their care to the practice. A and one in Leesburg in the Cornwall Building. The professional staff is candidate for membership in the American Society of Plastic Surgery, Dr. dedicated to providing the highest standard of care for the ear, nose, and Mountcastle and his highly trained team of professionals offer patients quality throat. Advanced ENT Specialists offers the best and most comprehensive cosmetic surgery that not only meets but exceeds expectations. Mountcastle patient-centered evaluation and treatment for all ENT problems. Younger Plastic and Reconstructive Surgery's goal is to help people look good, feel children, adolescents and adults are evaluated and treated with compassion better, and live healthier. and concern; the ultimate goal being a successful recovery.

The providers at Advanced ENT Specialists also provide hearing aid and sleep Dr. Mountcastle also disorder services. operates a Vein Institute, and is the only physician in Virginia, Maryland, and DC using Veinwave technology, the new, safer alternative to laser and light-based therapies for eliminating spider veins.

23 Northern Virginia ENT Associates

With offices in Leesburg and Sterling, Pediatric Health Care (PHC) has served children ages 0-21 in Loudoun County since 1974, when Dr. Thomas McGorry founded the practice. Drs. Lori Andrew, Damon Moore, Kimberly Kolb, and Jamille Cooper own PHC and practice with three Nurse Practitioners, Suzanne Dr. Michael Mellis has been practicing otolaryngology in the northern Virginia O’Brien, Jan Cantrell, and Elizabeth Choma. area since the early 1990s. His practice, Northern Virginia ENT Associates, includes an employed physician, Dr. Kenneth Bergman, who joined Dr. Mellis The team at Pediatric Health Care is a diverse and dedicated group of health in 2007. Two audiologists, Linda Himler, AUD and Darlene Payne, AUD professionals whose daily mission is to use knowledge, experience & round out the team at Northern Virginia ENT Associates. compassion to provide comprehensive healthcare to all patients.

The practice operates five offices: Lansdowne, Leesburg, Reston, and two The practice uses social media and monthly online newsletters offices in Centreville. to communicate with patients. Families can sign up to receive up to date and urgent information including vaccines, Drs. Mellis and Bergman have a special interest in pediatric otolaryngology, inclement weather and holiday schedules. although they also treat adults. They also provide sleep disorders, hearing aid services and allergy services. In addition, Pediatric Health Care offers unique opportunities for families and individuals such as support Dr. Mellis attained LMG shareholder status in September 2009. groups for new or expectant dads and essential reading lists for families.

24 Optimum Physical Therapy and Sports Medicine is a natural extension of the practices of Drs. Michael Kavanagh, Matthew Gavin, and Ian Medical Doctor Value in Wattenmaker. This Pod has been a part of the LMG family since 2008. Prevention

M.D. VIP (Medical Doctor Value in Prevention) is a uniquely structured The aim of OPT is to enhance and restore practice within LMG. Drs. Cook, Andrew and Greco provide individualized functional ability and quality of life to those with care to their patients through the MDVIP structure in their Leesburg office. physical impairments or disabilities. The One of the cornerstones of the program is that healthcare requires a healthcare professionals at OPT diagnose and partnership between physician and patient. Furthermore, the right type of treat individuals of all ages, from newborns to the support and a compassionate partnership with the physician will yield a elderly. relationship that helps individuals reach their wellness goals and become

advocates for healthy living in the community. Occupational therapy is a recent service line addition that is concerned with promoting health All of the physicians are accessible to their patients through emails or personal and well-being through occupation. The primary cellular phones. House calls are also part of the structure. Though the goal of the occupational therapy program at OPT approach departs from traditional healthcare systems, Drs. Cook, Andrew and is to enable people to participate in the activities Greco get to know their patients, their lifestyles and current health profiles, of everyday life. which allows them to offer carefully developed, comprehensive health plans

with long-term health benefits. The physicians follow up with their patients The practice has grown steadily from one on a regular basis to help prevent any new medical issues from going physical therapist practicing in the Sterling undetected. location, to five physical therapists, Joan

Kennedy, Shahla Williams, Michelle McGregor, Dr. Andrew has been an LMG Board of Directors member since LMG’s Bryan Spillare, and Melanie Lamb; four physical inception. He currently serves as Secretary/Treasurer therapist assistants (PTA), Nona Phelps, Ann and Chairman of the Finance Committee. Dr. John Cook Lowery, Janie Ellison, Ta-Ha Abdur-Rahmen; is an active member of the Human Resource Committee and one occupational therapist, Amanda Pyle; and has served on the BOD since 2009. practicing throughout three locations in Loudoun County – Sterling, Leesburg, and Purcellville. 25 Center for Spinal Surgery and Spinal Disorders

Dr. Annette Hudler practiced in the Loudoun area before founding MountainView Medical Associates (MVMA) in 2006 in Round Hill in western Loudoun County. Dr. Hudler was the first physician to practice in the town of Located in Leesburg, Virginia, the Center for Spinal Surgery and Spinal Round Hill in decades. Disorders is led by Dr. Ian Wattenmaker. With over 15 years of experience, Dr. Wattenmaker was trained at the University of Pennsylvania and Harvard Since 2006, the practice has experienced patient base growth and now includes University. He is Board-Certified by the American Board of Orthopaedic Nurse Practitioner, Vivian Paskowski. Surgery and is a member of the North American Spine Society. Dr. Hudler and Vivian treat patients ages 11 and older. In addition to standard Dr. Wattenmaker specializes in spinal surgery, spine disorders and conditions medical services, MVMA offers sports physical examinations, college physical that compress nerves in the lumbar and cervical spine. examinations, and well women visits. Dr. Hudler also sees patients one day a week at Spring Arbor and Meadow Glen, local Skilled Nursing Facilities. Dr. Wattenmaker, who has volunteered time in cycling for the LIVESTRONG organization, joined Loudoun Medical Group in 2008 and is on track to become MountainView Medical Associates has continued to thrive as the practice re- a Loudoun Medical Group shareholder in 2011. located to the Valley Medical Center building in Purcellville in January 2011.

26 With offices in Leesburg and Sterling, Loudoun OBGYN specializes in Dr. Michael Abidin founded his practice as a solo practitioner obstetrics and gynecology. The providers at Loudoun OBGYN offer in 1996. Since then, the practice has thrived. Dr. Abidin has evaluation and management of infertility, gynecologic urology, menopausal welcomed Drs. Iyad Saidi and Tarek Orfaly as partners, and management, endoscopic and laser surgery, medically or surgically employs Dr. Ravi Swamy and Joy Roberson, Physician complicated obstetrics, mammography, and ultrasonography. Their Assistant, as well as audiologists Kathryn McGee, AUD and philosophy is to strive to provide individualized healthcare to women in all Kristen Seidel, AUD. phases of life, from the teen years to menopause, and to educate women to make healthy and informed medical decisions. Metropolitan ENT & Facial Plastic Surgery is a group of dedicated board certified otolaryngologists and facial plastic Dr. Arshed Choudhry founded the practice over 20 years ago and currently surgeons, who specialize in diagnosing and treating a wide practices with partners Dr. Lisa Park, Dr. Michelle Roberts-Borden, and Dr. range of ear, nose and throat disorders, including allergy, Jennifer Thompson. The practice employs one Nurse Practitioner, Susan sinus, and audiology, with a sub-specialty focus in cosmetic Sasner. facial plastic surgery, non-surgical cosmetic treatments, and minimally invasive state-of-the-art procedures. Loudoun OBGYN, which will soon begin performing hysteroscopies in the office, sees about 7,000 patients per year for procedures, obstetrical care, and In addition to standard ENT procedures, Metro ENT strives to deliveries. provide revolutionary techniques. Dr. Abidin has pioneered Hyoid Suspension, a surgical procedure performed to treat obstructive sleep apnea by securing the hyoid bone, the U- shaped bone in the neck, in place instead of allowing it to move around freely. Movement of the hyoid bone increases the risk of airway blockage during sleep and causes symptoms of sleep apnea.

Metropolitan ENT was the first practice to join LMG in the Alexandria expansion of 2009.

27 Drs. Mitchell, Whittaker and Wu Jeffrey K Nekoba, MD

Jeffrey K. Nekoba, MD is a Board-Certified Family Physician, whose practice is located in the Huntsman Shopping Center in Springfield.

Dr. Nekoba has practiced in the area for many years and treats patients of all ages. A phlebotomist obtains specimens for laboratory tests in the office.

Drs. Mitchell, Whittaker and Wu specialize in Internal Medicine. Their With support from a full-time Nurse Practitioner, Rachel Reid, Dr. Nekoba’s practice is in Alexandria and serves Alexandria City, Fairfax County, practice sees an average of more than 50 patients per day. Arlington County, and the surrounding areas. Although only adults are seen, staff and patients alike consistently remark the office has a family feel. Each Both Dr. Nekoba and Rachel are northern Virginia natives, growing up in the exam room is decorated with pictures of the doctors' families. Mt. Vernon area and Woodbridge, respectively. Before completing a residency at the University of California’s Merced Family Practice Residency, Dr. In addition to the personalized care the practice offers, there is the added Nekoba earned his medical degree from the Medical College of convenience of an in-house lab. Patients may be seen and have lab work Virginia. Rachel was educated at George Mason University. completed in one location - during the same encounter. In 2009, Dr. Nekoba participated in Another feature that makes Drs. Mitchell, Whittaker and Wu's practice unique a medical mission trip to Kenya is a culturally diverse staff. Chinese, Spanish, and Russian are among the with his church. Together with languages spoken in the office in addition to English. Dr. Mitchell joined the other medical and non-medical practice in the 1990s, and Drs. Whittaker and Wu joined in 2003. volunteers, the group treated and helped over 2,800 people over a 3 Drs. Mitchell, Whittaker and Wu joined Loudoun Medical Group in June day period. 2009. 28 Family Medicine Associates of Alexandria

Digestive Disease Physicians, located in Family Medicine Associates of Alexandria (FMAA) is comprised of physicians Alexandria, Virginia is a gastroenterology practice and mid-level providers who are committed to continuous, comprehensive, of five board certified gastroenterologists with compassionate and personal care for their patients. Since opening their doors in over 80 years of combined experience devoted to 2001, the practice has focused on the care of men and women of all ages. delivering top quality gastrointestinal health care.

Drs. Vivian Lugo and Mirela Mircea own FMAA and practice with mid-level The physicians perform a broad range of providers Kelly Boom, PA-C; Nancy Bell, CFNP; and Stephanie Wright, PA-C. gastrointestinal procedures, including but not FMAA’s mission is to provide accessible, one-stop primary health care to limited to; colonoscopy, upper endoscopy, ERCP, individuals and families alike. Whether treating acute or long term conditions, capsule endoscopy, and infrared coagulation of FMAA’s providers stress prevention to maintain overall health. hemorrhoids. The focus of the practice is patient- centered care. In addition to proving care for the entire family, FMAA has a special emphasis on women’s health and also offers dermatological and cosmetic procedures, such In 2009, the practice expanded and opened the GI Endoscopy Center of as Botox, Juvederm, Latisse and Nutraceuticals. Dr. Lugo is also certified in the Northern Virginia, a Joint Commission Accredited (JCAHO) ambulatory Creighton Model of natural family planning. surgery center. The GI Endoscopy Center of Northern Virginia, LLC, is a single specialty ambulatory surgery center for the diagnosis, treatment and prevention of Gastrointestinal and Liver diseases. It was designed with the patient’s convenience in mind and to create an optimal environment for care. This center is dedicated solely to the care of Gastroenterology patients and to provide the highest quality of patient care, healing and education in a state of the art facility.

Loudoun Medical Group

Breast Care Consultants of Northern Virginia was founded in 2009 by Dr. Shannon Lehr and is located in the Lansdowne area.

Dr. Lehr completed a Breast Surgical Oncology Fellowship at Washington Hospital Center; a Surgical Oncology Research Fellowship at University of Pennsylvania School of Medicine; and an Anatomic Pathology Student Fellowship at Hospital of the University of Pennsylvania.

Throughout the early 2000s, Dr. Lehr served the country and is a decorated Air Force veteran, earning such distinctions as the Iraq Campaign Medal and the Global War on Terrorism Medal. She also served as an Instructor in Surgery at the F. Edward Hebert School of Medicine at the Uniformed Services University of the Health Sciences in Bethesda, Maryland, from 2004 to 2007.

As northern Virginia’s first practicing surgeon who completed a breast surgical oncology fellowship, Dr. Lehr specializes in all forms of breast issues, including breast excisions, mastectomy, and reconstruction.

Dr. Lehr has been appointed as the Medical Director of Inova Breast Care Institute at Inova Loudoun Hospital, a National Accreditation Program for Breast Centers-accredited facility. Dr. Lehr serves as the Medical Director for Breast Care Consultants of Northern Virginia; a division of Surgical Specialists of Northern Virginia.

10 Years of Excellence 30 Philanthropic Activities and Charities Supported by Loudoun Medical Group and Physicians • Make A Wish Foundation • Loudoun Free Clinic • Interfaith Relief Food Bank • March of Dimes • Doctors Without Borders • Loudoun Youth Shelter • Lower Loudoun Football & Baseball team, • American Cancer Society • Loudoun Abused Women’s Shelter Basketball Team, Lovettsville Dolphin Swim Team, • American Red Cross • Helping Hands Round Hill Red Sox, Catoctin Basketball League & • Physicians without Borders • DeSales Free Clinic Girl’s Travel Soccer Team Sponsorships • Bay St. Louis Katrina Relief • Orphan Foundation of America • Kenya Medical Mission • Animal Rescue /PAWS • Jack & Jill, Inc. • Medical Mission to Ecuador

• Loudoun Food Bank • Loudoun Medical Reserve Corp. • Sunrise Assisted Living • Frederick, MD Hospice • Good Sheppard Alliance • Midwives for Haiti • Jingle Bell Project • Bladder Cancer Advocacy Network • Low income family sports • Christmas Angel Program • National MS Society • School graduation sponsorships physicals • John Archer Golf Memorial Tournament • Adopt a Highway • Breast Cancer Research – Avon • Athletic Booster Club • Loudoun Community Health Center • Hope Africa Ministries, Inc. Breast Cancer Walk & Susan G. Komen • Round Hill Garden Club • Team doctor for Loudoun County High Schools • Round Hill Festival • Global Medical UTAH – Medical Relief in • Relay for Life New Zealand & Peru • Autism Speaks • Free skin cancer screening • Juvenile Diabetes Research Fund • Chesapeake Challenge Walk form MS Society 2011 • Kiwanis Club 31 LMG Practices and Providers Pediatrics

Ashburn Pediatrics Paula Kukulich, CFNP (703) 724-7530 Theresa Crowley, MD (703) 729-7652 Nikki Woodley, CFNP (703) 724-7530 Drs. Mancini and Korkowski Michele Reilly, DO (703) 729-7652 Joy Saari, CFNP (703) 724-7530 Thomas Mancini, MD (703) 858-1395 Amie Beloy, MD (703) 729-7652 Shannon Nicholson, CFNP (703) 724-7530 Martin Korkowski, MD (703) 858-1395 Victoria Pierce, MD (703) 729-7652 Susan Furr, CFNP (703) 724-7530 Debra Goodwin, PA-C (703) 858-1395 Maura Carroll, MD (703) 729-7652 Colleen Donnelly, CFNP (703) 724-7530 Jyotsna Shah, MD (703) 729-7652 Megan Walker, CFNP (703) 724-7530 Loudoun Internal Medicine Associates Susan Weiner, CPNP (703) 729-7652 Rebecca Bates, CFNP (703) 724-7530 Geetha Pillai, MD (703) 858-3220 Kelly Welstead, CPNP (703) 729-7652 Richard Kim, MD (703) 858-3220 Katie Geaneas, CFNP (703) 729-7652 Potomac Family Practice Nevin Ujevic, MD (703) 858-3220

Joseph Lee, MD (703) 444-3302 Kathleen Pelkofski, CANP (703) 858-3220 Loudoun Pediatric Associates Nikki Truong, MD (703) 444-3302 Robin Woyach, CFNP (703) 858-3220 Rebecca Fox, MD (703) 723-7337 Valerie Williamson, MD (703) 444-3302 Amy Emery, CFNP (703) 858-3220 Corinna Schrankel, MD (703) 723-7337

Joel Madrid, MD (703) 723-7337 Sterling Family Practice M.D. VIP-Medical Doctor in Value in Prevention Max Lins, MD (703) 723-7337 Sarah Fletcher, MD (703) 421-7000 John Andrew, MD (703) 777-1146 Nicole Connolly, MD (703) 723-7337 Ralph Leon, MD (703) 421-7000 John Cook, MD (703) 777-1146 Anya Roychoudhury, MD (703) 723-7337 Elizabeth Zapp, MD (703) 421-7000 Judith Greco, MD (703) 777-1146 Keriya Adem, MD (703) 723-7337 Jessica Scalzo, CFNP (703) 421-7000 Sharon Corriveau, CFNP (703) 723-7337 Cynthia Yew, CFNP (703) 421-7000 Mitchell, Whittaker, and Wu Tammy Cayou, CPNP (703) 723-7337 Michael Mitchell, MD (703) 461-0700 Marion Shortman, CPNP (703) 723-7337 Loudoun Valley Family Practice Scott Whittaker, MD (703) 461-0700 Michelle Berman, RD (703) 723-7337 James Towe, MD (540) 338-6101 Wayne Wu, MD (703) 461-0700 Lisa Park, PA-C (703) 723-7337 Michael Wenzel, MD (540) 338-6101

MountainView Medical Associates Pediatric Healthcare LMG-Immediate Care & Primary Care Center Annette Hudler, DO (540) 751-0255 Lori Andrew, MD (703) 444-2100 Jeffrey Martin, MD (703) 450-1125 Vivian Paskowski, CFNP (540) 751-0255 Kimberly Kolb, DO (703) 444-2100 Felix Ma, MD (703) 450-1125 Damon Moore, MD (703) 444-2100 Pamela Johnson, MD (703) 450-1125 Dermatology Jamille Cooper, MD (703) 444-2100 Jill DeCastro, CFNP (703) 450-1125 Jan Cantrell, CPNP (703) 444-2100 Loudoun Dermatology Associates Suzanne O’Brien, CFNP (703) 444-2100 Family Medicine Associates of Alexandria Roberta Moreland, MD (703) 723-7171 Elizabeth Choma, CPNP (703) 444-2100 Vivian Lugo-Eschenwald, MD (703) 370-2400 Van Ha, MD (703) 723-7171

Mirela Mircea, MD (703) 370-2400 Family Medicine Kelley Boom, PA-C (703) 370-2400 Skin Cancer Center of Northern Virginia

Stephanie Stitzel, PA-C (703) 370-2400 Michael Todd, MD (703) 723-5700 Leesburg/Sterling Family Practice Nancy Bell, CFNP (703) 370-2400 Michael Fraykor, PA-C (703) 723-5700 Stephen Napolitano, MD (703) 724-7530 Shara Lee, PA-C (703) 370-2400 Anthony Crowley, MD (703) 724-7530 Digestive Disease/Gastroenterology Scott Nagell, MD (703) 724-7530 Jeffrey Nekoba, MD Thomas Hegerich, MD (703) 724-7530 Jeffrey Nekoba, MD (571) 642-1460 Digestive Disease Physicians Colleen Wright, MD (703) 724-7530 Rachel Reid, CFNP (571) 642-1460 Alan Ansher, MD (703) 751-5763 Robert Hetzel, MD (703) 724-7530 Craig Ellison, MD (703) 751-5763 Jonathan Charen, MD (703) 724-7530 Internal Medicine Robert Hally, MD (703) 751-5763 Rahib Poonawala, MD (703) 724-7530 Sean Hurley, MD (703) 751-5763 Mary Cecil, MD (703) 724-7530 Dr. Linda Coleman and Associates Deborah Brauer, MD (703) 751-5763 Seema Nair, MD (703) 724-7530 Linda Coleman, MD (703) 430-7090 Karen Brothers, CFNP (703) 751-5763 Carole Smarth, MD (703) 724-7530 John Coleman, MD (703) 430-7090 Paria Djafari, MD (703) 724-7530 Haritha Yalamanchilli, MD (703) 430-7090 Debra Ceschin, CFNP (703) 724-7530 Hope Marshall, CANP (703) 430-7090 Melissa Herbert, CFNP (703) 724-7530 Nathan Davidson, CFNP (703) 430-7090 32