Inova Health Care Services

“With the exception of the duties and responsibilities that are reserved to the Board of Trustees as required by law, the Executive Committee is appointed by the Board to support the Board of Trustees in the performance of its duties and responsibilities that are time-sensitive and must be addressed before the next regularly scheduled meeting of the full Board.”

“The organization has a single member. The sole member is Inova Health System Foundation, a charitable 501(c)(3) tax-exempt organization which serves as the parent company of the integrated health care delivery system.”

“The sole member of the organization, Inova Health System Foundation, is a charitable 501(c)(3) tax-exempt organization. The sole member elects the members of the governing body of the organization.”

“The sole member of the organization, Inova Health System Foundation, is a charitable 501(c)(3) tax-exempt organization. The sole member holds reserved powers with respect to certain actions, including approval of borrowings, amendments of Articles of Incorporation and Bylaws. In addition to the reserved powers, under the laws of the Commonwealth of Virginia certain extraordinary actions require member approval, such as mergers, consolidations, liquidations and the sale of substantially all of the assets of the organization.”

“The Form 990 is prepared and provided to the Senior Corporate Controller and external tax consultants for initial review. After the review it is given to the CFO of Inova Health System for review and comment. The Form 990 is presented to the Executive Committee of the Board of Trustees for their review. Upon completion of the Executive Committee review, it is provided to the full Board of Trustees.”

“Yes, annually the organization distributes the conflict of interest policy to all directors, officers, trustees, and key employees. The organization requires that each director, officer, trustee, and key employee acknowledge that they have read, understood, and will abide by the policy. Each director, officer, trustee, and key employee is required to complete and submit an annual conflict of interest disclosure. These disclosures are broad and require that the individual list any business relationships or personal relationships with other directors, officers, trustees, and key employees, as well as any relationships with competitors, or current or potential vendors or contractors. Disclosure statements are reviewed by senior management and any potential conflicts are discussed with governing body chairman to ensure that any member who may have a conflict discloses their potential conflict, and is dismissed from related discussions and recused from participation in applicable decisions.”

“Completed by related entity, Inova Health System Foundation: The compensation of all senior management positions is evaluated annually in consideration of each manager's job content, scope and complexity. Compensation levels for executives are reviewed by an independent external consultant to ensure that remuneration is consistent with the organization's compensation philosophy and objectives and competitive with other comparable health systems. The independent compensation consultant reviews national, industry and size specific compensation surveys for benchmarking. In addition, the Inova Health System's CEO's compensation is reviewed along with certain other senior executives and approved annually by an independent governing Board, the Executive Compensation & Talent Committee. General industry market data and IRS Forms 990 peer group data is also utilized for reference only. The job requirements and complexity of all other management positions are evaluated annually using nationally recognized third-party salary surveys to assure that the compensation for such positions is consistent with external market compensation comparisons. Salary ranges are developed for each management position classification to ensure that the compensation levels for these positions are consistent with the organization's compensation philosophy and with competitive market comparisons. Compensation for employed physicians is reviewed and approved by the Provider Contracts Committee. The committee is comprised of executive management of the Clinical Enterprise and Physician Services group. The Fair Market Value (FMV) compensation is based on four nationally recognized industry physician compensation benchmark surveys (MGMA, AMGA, Sullivan & Cotter, Gallagher (formally Integrated)). The committee also utilizes independent consultants to provide FMV opinions for positions that are not readily available in the four published benchmark surveys. The consultants' opinions and compensation survey data are presented to the Provider Contracts Committee for review and approval.”

“Inova Health System makes certain information publicly available. Inova's consolidated financial statements are posted on the Electronic Municipal Market Access's (EMMA) website on a quarterly basis. Inova's governing documents are not currently publicly available. While the conflict of interest policy is not specifically publicly disclosed, Inova's Code of Conduct is on the public website. Section II of the Code of Conduct describes what can constitute a conflict and requires that potential conflicts be reported to management or the Chief Compliance Officer and/or Inova's Legal Department. The Code of Conduct contains the conflict of interest principles, is part of Inova's orientation and annual compliance training, and is available to team members and physicians on Inova's intranet website.”

“Inova Health Care Services (IHCS) Fictitious names: Access of Alexandria Access of Fairfax Access of Reston/Herndon American Medical Collection Bureau Fair Oaks Hospital Fairfax Hospital Inova Behavioral Health Services Inova Blood Donor Services Inova Breast Care Center-Alexandria Inova Breast Care Center-Woodbridge Inova Employee Assistance, Inc. Inova Fair Oaks Hospital Inova Fairfax Hospital Inova Fairfax Hospital Auxiliary Inova Health System Inova HealthPlex Inova HealthSource Inova Mount Vernon Hospital Inova Pathology Associates Inova Pathology Institute Inova Surgery Center Medibill Military to Medicine Mount Vernon Hospital Radiology Imaging Associates, LLC The Fairfax Hospital The Mount Vernon Hospital Treasure Trove Universal Financial Services Virginia Heart Hospital”

“Women's Health: Inova Women's Health Services is the largest program in the Mid-Atlantic region, providing services for 19,628 births in 2024. Obstetric services provided include: delivery, high risk prenatal care, inpatient and outpatient obstetrics/gynecologic surgery, and regular and specialty nursery care. Inova Fairfax Hospital is ranked among the best hospitals in the nation for obstetrics & gynecology by U.S. News & World Report for Gynecology. IFH, IFOH, IAH and ILH provide obstetric services to low-income patients through the Inova Cares for Women with 39,543 encounters in 2024. Inova Alexandria Hospital also works with the Casey Clinic, now run by a healthcare community partner Neighborhood Health, a Federally Qualified Health Center (FQHC) receiving funding from the State of Virginia, the City of Alexandria and the Alexandria Health Department, providing obstetric services to low-income patients. In addition, obstetrical and pediatric services are provided by ILH's hospital-based Natural Birth Center and nursery care. ILH also offers Level IIIA Neonatal ICU specialty services and access to Inova Children's Level IV NICU in Fairfax for higher-level care. Pediatrics: Inova L.J. Murphy Children's Hospital is Northern Virginia's only children's hospital, a regional tertiary and quaternary referral center with 226 licensed acute care beds, providing the highest level of care. Inova L.J. Murphy Children's Hospital is home to the only Pediatric Intensive Care Unit and Pediatric Trauma Center in the region, as well as the region's only Level IV Neonatal ICU (NICU). Inova L.J. Murphy Children's Hospital is consistently ranked among the best hospitals in the nation for neonatology care by U.S. News and World Report and the NICU is the first in the nation to receive The Joint Commission's Gold Seal of Approval for Prematurity. In 2024, Inova Children's Hospital treated nearly 62,000 visits to children in its Pediatric Emergency Department, more than 10,300 admissions in inpatient units, and performed more than 6,400 surgeries. Inova Loudon Hospital operates a dedicated pediatric emergency room that provided 19,648 visits in 2024. In addition, ILH operates a 14-bed pediatric unit that provides for inpatient hospitalizations. Inova Children's Hospital provides a complete range of expert, subspecialized children's services in more than 40 subspecialties, including pediatric cardiac surgery, pediatric cancer care, pediatric orthopedics and sports medicine, pediatric spine surgery, pediatric neurology and neurosurgery. As of December 31, 2024, there are 108 Level IV NICU bassinets. Inova provides a primary care medical home for children of low-income families that are uninsured or have Medicaid through the Inova Cares for Children and Inova Cares for Families. In 2024, the Inova Cares for Children provided 34,716 visits at an unreimbursed cost of $2.7 million. Cancer Care: Inova Schar Cancer Institute (Inova Schar) is a state-of-the-art cancer care destination, offering medical and surgical oncology, radiation therapy services and outpatient infusion clinics in the DC-Metropolitan area. The comprehensive program is designed to meet the needs evolving in the region. The Inova Schar team is comprised of 1,000+ doctors, researchers, nurses, cancer specialists and emotional support experts. The team delivers the nation's highest standard of compassionate, expert, multi-disciplinary and holistic cancer care customized to the needs of each patient. Inova Schar's coordinated model puts the patient at the center, allowing them to see their entire care team in one visit, at one location, improving communication and minimizing travel time. Nationally renowned specialists, surgeons, genetic counselors and leading researchers are backed by the latest in drug discovery, clinical trials, research and advanced treatments. Inova Schar Cancer Institute, a Department of Inova Fairfax Hospital, operates full-service, accredited cancer centers at four”

“Long Term Care Services Assisted Living Facilities IHCS's assisted living facilities provide care and services for adults who need assistance with activities of daily living and 24 hour oversight with 360 units for accommodation. Each community has specialized memory care units and programs. A nursing staff is on-site 24 hours a day. IHCS maintains three assisted living facilities in Reston, Fair Oaks, and Mt. Vernon, Virginia. In addition, IHCS owns a 60% interest in an assisted living joint venture in McLean, Virginia. IHCS owns and Sunrise operates all four assisted living facilities across Fairfax County with total assisted living days in 2024 of 111,835. Physical Therapy Services Inova Physical Therapy Centers IHCS promotes and conducts specific research and educational activities related to rehabilitative care. In 2024, outpatient visits totaled 248,357 with services offered in two locations that are co-located with safety net primary care clinics and at seventeen outpatient centers located throughout Northern Virginia. Areas of specialty include: Physical Therapy (PT) and Occupational Therapy (OT). Urgent Care Centers Inova-GoHealth Urgent Care Centers: IHCS's mission includes serving the community as a not-for-profit organization through the provision of urgent medical care. Inova's joint venture with GoHealth yields a new model of care that provides management services to the centers on a day-to-day basis and delivers expert medical care with Inova-employed providers. Inova-GoHealth's network continues to expand access to care and has rapidly grown from seven to 23 locations since launching in November 2022. In 2024, outpatient visits totaled 226,781 with services being provided seven days a week with no appointment necessary. The Centers provide services for medical conditions that require prompt attention but do not pose an immediate or serious threat to life. Treatment is provided for ailments such as sore throats, ear infections, or minor cuts and bruises. Services offered also include treatment for work-related injuries and worker's compensation cases. Laboratory tests, X-rays, and flu shots are provided on-site. The Centers are staffed by Inova board-certified/board-eligible physicians and nurse practitioners licensed in Virginia. A provider, medical assistant, and radiology technologist are on duty at the Centers during hours of operation. Employee Assistance Programs Inova Employee Assistance (EAP) is part of IHCS providing counseling, work life services and resources to help improve the overall health and wellbeing of employees of companies throughout Northern Virginia, including Inova Health System and its affiliates. EAP was organized to promote health through referral to a wide range of behavioral health, financial, legal and other supportive services. In 2024, EAP supported approximately 180,000 total covered employees around the region, including 25,500 Inova team members with the following services: Confidential Counseling: Short-term counseling services can help find solutions to problems ranging from family or workplace frustrations to alcohol and substance use. Financial & Legal Services: Employees and their household members can speak with a financial and legal professional at no charge regarding such issues as retirement planning, debt consolidation, funding a child's college education, mortgage loan options, and a variety of other financial concerns. Work Life Referral Services: Work Life consultants help assess needs, pinpoint appropriate resources, and suggest guidelines for evaluating those resources. Consultants can locate resources in a variety of areas, including childcare, adoption, eldercare, and convenience services. Behavioral Services IHCS's Behavioral Health (BH) Services are committed to providing intensive, personalized care to help people cope with and overcome, mental health, substance use and emotional problems that prevent them from fully functioning in the community and realizin”

“3. In 2024, the Financial Assistance Policy (FAP) expanded coverage from 6 to 12 months. Inova Health System utilizes a multifaceted approach to educate and inform patients and the public about Inova's Financial Assistance Policy (FAP),sometimes referred to as the Charity Care Policy. Information regarding this policy is widely publicized and is kept up to date on the Inova website and through signage. Upon admission to any Inova hospital or any visit to outpatient facilities or clinics including emergency departments, Inova has information posted regarding patient rights and responsibilities. In addition, Inova provides information about the financial assistance program and referrals to financial counselors who assist patients in completing Inova's financial assistance application. This financial information is reviewed by Inova Patient Financial Services who will contact the patient if additional information is required to make a determination. The patient is subsequently provided a letter notifying them whether or not they qualify for financial assistance. In 2024, IHCS's unreimbursed cost of charity care, including free and discounted services, was $150.9 million. Medicaid Established under Title XIX of the Social Security Act, this program provides assistance for the medically indigent, including those who cannot pay for care despite being able to afford other living expenses. While Virginia Medicaid coverage was expanded in 2022 to increase the number of eligible individuals and include postpartum coverage, the reimbursement that IHCS facilities receive from the Medicaid program routinely falls below the actual cost of services provided. During 2024, IHCS provided care to Medicaid patients at an unreimbursed cost of $200.3 million. Participation in Governmental Programs for Those Without the Ability to Pay Various government programs provide for the indigent, including Medicaid recipients. These programs provide a percentage of reimbursement for qualifying patients; however, payment is typically below the cost of those services. In addition to federal and state programs, the Inova subsidiaries, including IHCS, work with various County governments and agencies in providing certain free services to those residents the County identifies as most in need.”

“Peterson Life with Cancer is primarily supported by generous donations from the community, and therefore, all services are available at no charge with minimal exceptions, no matter where the patient's cancer treatment is received. Those exceptions include psychiatry, which is billed to insurance, and oncology massage and acupuncture, for which patients may pay for additional sessions beyond what is offered for free. In 2024, philanthropic funds allowed PLWC to offer three free oncology massage sessions and six free acupuncture sessions to Inova cancer patients. By the close of 2024, PLWC had provided 41,553 clinical patient encounters, in-person and via telehealth, which included 2,334 educational classes, groups and wellness programs for adults, children and adolescents with 31,470 participants. Peterson Life with Cancer offered 1,259 exercise/activity programs and PLWC dietitians provided 5,748 nutrition counseling appointments to adults and children with cancer as well as caregivers. The Pediatric Program provided the highest quality pediatric care, education, and support for patients and families through 5,611 clinical encounters. The Peterson Life with Cancer psychiatrist, who provides whole-person, humanistic and patient-centered care conducted 1,173 patient consultations. Inova Cares Lions Eye Clinic Administered by Inova Health System (IHS), the Ophthalmology Clinic has provided ophthalmic specialty services to the indigent including treatment of glaucoma, retina and cataracts for 50 years in partnership with the Virginia Lions Eye Institute Foundation. Inova Cares Lions Eye Clinic provides a part-time ophthalmologist, an ophthalmic technician, and a receptionist for the clinic. The remaining physicians volunteer their services. In 2024, Inova Cares Lions Eye Clinic served 1,701 unique patients with 6,279 visits. Inova Medical House Calls Program The Medical House Calls program is specifically tailored to support elderly patients in their desire to age comfortably at home, aiming to provide primary care to those who have difficulty leaving their homes and promoting their overall health. This initiative is driven by an interdisciplinary team that delivers comprehensive primary care directly to patients in their homes or assisted living facilities. Typically serving patients aged 65 and above who face challenges in attending traditional medical appointments, the program primarily assists individuals managing multiple chronic conditions, coping with changes in functional ability, handling polypharmacy, and dealing with frailty or debility. The primary care services provided through this program involve intensive patient management and meticulous care coordination, with a particular focus on advance care planning. To ensure optimal patient outcomes, the program team establishes robust partnerships with various healthcare entities, including inpatient teams, hospice agencies, skilled nursing facilities, physical therapy, occupational therapy, mental health services, and county support services. In 2024, the program served 1,032 unique patients, with 252 new patients admitted. Additionally, the program completed 7,246 physician/advanced practice provider primary house calls in 48 zip codes across Northern Virginia. Approximately 19,027 nursing and social work case management encounters were provided to support the patient population. ElderLink ElderLink is a non-profit partnership between Inova and the Fairfax Area Agency on Aging. ElderLink provides case management, care coordination, health and wellness programming, and caregiver support to older adults and their caregivers. ElderLink provided service to 567 older adults and their caregivers in 2024. Inova Cares for Families Inova Cares for Families (ICF) provides comprehensive primary care services to patients who reflect the culturally diverse community we serve. The clinics serve as medical homes for patients of all ages who qualify for Medicaid, FAMIS, Inova's Financia”

“Corporate Wellness and Community Program: Corporate & Community Wellness Initiatives: Engaged in 278 health events, delivering biometric screenings, seminars, and interactive education stations to 8,419 participants. Internal Wellness Events: Conducted 203 wellness events, making 14,273 meaningful connections (including spring and fall wellness fairs). External Wellness Coaching and Nutrition Support: 1,001 external wellness coaching sessions. 350 external registered dietitian nutrition sessions. 1,351 total external HD/RD sessions. Prince William County Wellness Program: Reached 6,000 employees in 2024. Largest Government Client: The lead wellness coach and registered dietitian supported an employee base of 20,000+. The Health Education Program: Life Support Education: Provided crucial life-saving training to 15,772 participants, including 6,800 in-person attendees and 12,300 via RQI. Childbirth Education: Assisted 6,424 community and corporate members with prenatal education. Hosted 206 complimentary new mom and parent support groups, supporting 1,646 participants. Inova Well Baby Program: Offered personalized pregnancy and breastfeeding support to 250 Inova team members and their spouses/partners via email and telephonic outreach. The Fitness Program: Conducted 1,536 fitness classes in 2024 for Inova team members and community participants through in-person and virtual sessions. 8,237 individuals participated in multi-week courses and workshops. Class offerings include: Mind-body sessions: Yoga, tai chi. Cardio/strength classes: Body toning, Zumba. Specialized sessions: Bootcamp, prenatal yoga. Senior fitness: Strength training for seniors, Seniorcize. Massage Therapy: Provided 1,209 appointments featuring deep tissue, Swedish, Thai, prenatal, postpartum, sports, geriatric, and hot stone massages. Personal Training: 1,705 in-person and 160 virtual personal training sessions conducted in 2024. Membership increased from 512 members in January 2024 to 678 by January 2025, totaling 675 active members. Trauma Education Inova Injury Prevention Programs aim to foster both individual and community-based change. Inova offers free educational services, community tabling, and lifesaving devices to the catchment area, guided by trauma registry data, community requests, and the needs of underserved populations. Key Programs and Partnerships: 1 Safe Driving Education: Celebrating 25 years, this program uses hands-on simulations with a portable driving simulator and Fatal Vision Goggles to educate on the consequences of unsafe driving. Inova hosts the Parent-Teen in-hospital program five times annually, reaching over 200 families in 2024 and over 1,200 teens in drivers education classes. The program receives referrals from the Juvenile Court System, aiming to increase visibility and awareness through events like Reality Check. 2. Stop the Bleed Initiative: Collaborates with all Level 1 Trauma Centers in the DMV area to host quarterly meetings and support over 20 injury prevention events annually. 3. Falls Prevention: Inova initiated an internal falls prevention program, distributing educational packets to discharged patients. Offering free classes like SAIL and A Matter of Balance, with weekly sessions, to an average of 80 participants per week. 4. Bike/Pedestrian Safety: In partnership with Safe Routes to School, the program educates families through bike rodeos, distributing free helmets and reflective materials. Inova participates in events like International Walk to School Day and National Bike to Work Day, reaching over 1,000 riders and pedestrians annually. In 2024, Inova assisted with two Bike to Work Day events, reaching over 250 riders, and outfitted over 150 youth with bike helmets. 5. Child Passenger Safety: Collaborates with HeadStart, Arlington Thrive, and Northern VA Child Passenger Safety Network to provide education and inspections, distributing approximately 100 seats to families annually. 6. Pediatric Heatstroke Preventi”

“The organization falls under a master pay agent and does not file any payroll returns under its own EIN, however all required returns have been filed on time.”

“Partnership income -48,408,299. Equity in subs 36,975,562. Investment 1,700,000. Other 5,717,802. Change in restricted net assets 3,311,878.”

“The company is part of the Inova Health System, a not-for-profit integrated health care delivery system serving Northern Virginia and surrounding areas. The company's financial statements are consolidated in the Inova Health System consolidated financial statements. Inova Health System is audited on an annual basis by a "Big Four" independent public accounting firm. In addition, they are responsible for the issuance of a management letter encompassing each member of the consolidated group. The Finance and Audit Committee of the Board of Trustees of Inova Health System is responsible for the oversight of the audit, including the hiring of the audit firm, review and approval of audited financial statements and communication with the external auditors at least twice a year without the presence of internal management.”

“The company is part of the Inova Health System (IHS), a not-for-profit integrated health care delivery system serving Northern Virginia and surrounding areas. IHS receives various federal grants. These grants and awards are audited as part of the consolidated Inova Health System Uniform Guidance compliance audit. The Inova Health System's federal grants are audited on an annual basis by a "Big Four" independent public accounting firm. The Firm issues a "Report of Independent Auditors on Internal Control Over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements Performed in Accordance with Government Auditing Standards". The Firm also issues a "Report of Independent Auditors on Internal Control Over Financial Reporting and on Compliance and Other Matters Based on an Audit of Financial Statements Performed in Accordance with Government Auditing Standards". The Finance and Audit Committee of the Board of Trustees of Inova Health System is responsible for the oversight of the Uniform Guidance audit, including the hiring of the audit firm, review and approval of audited financial statements and communications with the external auditors without the presence of internal management.”