2025-11-11T13:55:36-06:00 2024-12-24 346565596 ERNST & YOUNG US LLP 221 E 4TH ST SUITE 2900 CINCINNATI OH 45202 990 2024-01-01 541361310 LOUDOUN NURSING AND REHABILITATION CENTER LOUD 7038586000 8095 INNOVATION PARK DRIVE FINANCE FAIRFAX VA 22031 RICARDO TALENTO CFO 7038586000 2025-11-10 1 0 JULIE L SPARKS P01268401 5136121400 2024 2025-03-06 01:10:19Z X SEE SCHEDULE O INOVA LOUDOUN NURSING AND REHABILITATION CENTER J STEPHEN JONES MD 8095 INNOVATION PARK DRIVE FINANCE FAIRFAX VA 22031 396 0 X N/A X 1985 VA LNRC PROVIDED REHABILITATIVE POST ACUTE SKILLED AND LONG TERM INTERMEDIATE CARE TO RESIDENTS. X 3 0 0 0 0 0 0 0 3799627 396 0 0 0 0 3799627 396 0 0 0 0 2303921 2337 0 0 0 1908348 489244 4212269 491581 -412642 -491185 0 0 0 0 0 0 X THE ORGANIZATION'S MISSION WAS TO DELIVER PHYSICAL AND REHABILITATION MEDICAL AND RELATED SERVICES AND SKILLED AND LONG TERM NURSING DEDICATED TO PROVIDING QUALITY CARE AND IMPROVING THE HEALTH OF THE DIVERSE COMMUNITIES IT SERVES. LNRC PROMOTES AND CONDUCTS SPECIFIC RESEARCH AND EDUCATIONAL ACTIVITIES RELATED TO THE CARE OF THE SICK AND INJURED. LNRC DELIVERED SERVICES AS PART OF AN INTEGRATED HEALTH SYSTEM (INOVA HEALTH SYSTEM) AND COORDINATED ITS SERVICES AND ACTIVITIES WITH THE SYSTEM TO MEET THE HEALTHCARE NEEDS OF THE RESIDENTS OF LOUDOUN COUNTY AND THE NEIGHBORING COMMUNITIES. 0 0 414010 396 INOVA LOUDOUN NURSING AND REHABILITATION CENTER (LNRC) WAS PART OF THE INOVA HEALTH SYSTEM (UNDER INOVA HEALTH CARE SERVICES) WHOSE MISSION WAS TO PROVIDE SAFE, PROGRESSIVE, HIGH QUALITY CARE TO RESIDENTS IN A HOMELIKE ENVIRONMENT. THE FACILITY IS A 100-BED NOT-FOR-PROFIT LONG-TERM CARE FACILITY DESIGNED SPECIFICALLY TO MEET THE NEEDS OF THE INCREASING ELDERLY POPULATION WHILE PROMOTING THE RESIDENTS' HIGHEST PRACTICABLE PHYSICAL, MENTAL, AND PSYCHOSOCIAL WELL-BEING. SERVICES AND ACTIVITIES WERE COORDINATED WITH INOVA TO MEET THE HEALTHCARE NEEDS OF THE RESIDENTS OF LOUDOUN COUNTY, VIRGINIA AND THE NEIGHBORING COMMUNITIES.AS OF MARCH 31, 2023, LNRC FINALIZED AN AGREEMENT TO AFFECT THE SALE OF LNRC AND CONCLUDED THEIR SERVICES UNDER INOVA LOUDOUN HOSPITAL. LNRC WAS CLOSED ON DECEMBER 24, 2024. 414010 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X LOUDOUN NURSING AND REHABILITATION CENTER 5714728123 8095 INNOVATION PARK DRIVE FAIRFAX VA 22031 J STEPHEN JONES MD PRESIDENT/CEO 2.00 48.00 X X 0 6505968 73485 JOHN GAUL SECRETARY/CHIEF LEGAL OFFICER 2.00 48.00 X X 0 1679637 108811 ALICE POPE TREASURER/CFO, ENDING 1/1/24 2.00 48.00 X X 0 1125575 73326 RICARDO TALENTO TREASURER/CFO 2.00 48.00 X X 0 702376 174348 SUSAN CARROLL PRESIDENT ILH 10.00 40.00 X 0 1210044 150923 0 11223600 580893 0 0 1 0 0 396 396 396 396 396 0 0 X 2313 1948 365 24 20 4 55 46 9 60820 51223 9597 822 692 130 1168 984 184 BAD DEBT 420613 354240 66373 MEDICAL CLAIMS 3944 3322 622 MEDICAL SUPPLIES 1643 1384 259 TAXES AND LICENSES 179 151 28 491581 414010 77571 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 X -491185 491185 X X 0 1 X 1 0 X 816244 13889 408870 0 0 1239003 10967271 11982926 14634785 3799627 396 41385005 11783515 11996815 15043655 3799627 396 42624008 0 0 0 42624008 11783515 11996815 15043655 3799627 396 42624008 1.00000 1.00000 0.00000 X PART III, SECTION A AS OF MARCH 31, 2023, LNRC FINALIZED AN AGREEMENT TO AFFECT THE SALE OF LNRC AND SUBSEQUENTLY CONCLUDED THEIR SERVICES UNDER INOVA LOUDOUN HOSPITAL. 0 X PART X, LINE 2: FROM INOVA HEALTH SYSTEM FOUNDATION CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDE THE FILING ORGANIZATION: THE FOUNDATION AND IHCS ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN DETERMINED TO BE EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE,THESE ENTITIES WILL NOT INCUR ANY LIABILITY FOR FEDERAL INCOME TAX, EXCEPT FOR POSSIBLE UNRELATED BUSINESS INCOME. INOVA HOLDINGS, INC. AND ITS SUBSIDIARIES ARE TAXABLE ORGANIZATIONS. DEFERRED INCOME TAXES ARE PROVIDED FOR ALL SIGNIFICANT TIMING DIFFERENCES BETWEEN REVENUES AND EXPENSES REPORTED FOR FINANCIAL STATEMENT AND FOR TAX PURPOSES. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRE MANAGEMENT TO EVALUATE UNCERTAIN TAX POSITIONS TAKEN BY THE FOUNDATION. THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION ARE RECOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT REVIEWS ITS TAX POSITION ANNUALLY AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO MATERIAL UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT REQUIRE RECOGNITION IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE FOUNDATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE FOUNDATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THAT FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2020. 0 1 0 0 0 0 0 0 0 J STEPHEN JONES MD PRESIDENT/CEO 0 2203308 0 3718894 0 583766 0 40250 0 33235 0 6579453 0 0 JOHN GAUL SECRETARY/CHIEF LEGAL OFFICER 0 802093 0 578739 0 298805 0 71187 0 37624 0 1788448 0 275872 SUSAN CARROLL PRESIDENT ILH 0 664576 0 397282 0 148186 0 113695 0 37228 0 1360967 0 0 ALICE POPE TREASURER/CFO, ENDING 1/1/24 0 355059 0 766178 0 4338 0 67721 0 5605 0 1198901 0 0 RICARDO TALENTO TREASURER/CFO 0 513514 0 182773 0 6089 0 139121 0 35227 0 876724 0 0 PART I, LINE 3 THE FOLLOWING METHODS WERE USED BY INOVA HEALTH SYSTEM FOUNDATION, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF LNRC'S CEO FOR THE TAX YEAR: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT WRITTEN EMPLOYMENT CONTRACT COMPENSATION SURVEY OR STUDY FORM 990 OF OTHER ORGANIZATIONS APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINE 4B SERP PLAN PAYMENTS FROM INOVA HEALTH CARE SERVICES: J. STEPHEN JONES $521,941 JOHN F GAUL $286,467 SUSAN T CARROLL $144,184 THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IS A NONQUALIFIED RETIREMENT PLAN. EMPLOYEES ELIGIBLE TO PARTICIPATE ARE AT LEVEL OF ASSISTANT VICE PRESIDENT AND ABOVE. EACH YEAR, A CERTAIN PERCENTAGE OF EACH PARTICIPANT'S BASE SALARY IS CONTRIBUTED TO THE SERP RANGING FROM 10% TO 25%, DEPENDING ON THE POSITION. VESTING FOR EACH CONTRIBUTION WILL BE THREE YEARS FROM THE AWARD DATE, AND PARTICIPANTS ARE PAID OUT IMMEDIATELY UPON VESTING. AT AGE 62 AND LATER, PARTICIPANTS ARE 100% VESTED AT THE TIME OF EACH ANNUAL AWARD AND PAID OUT IMMEDIATELY UPON VESTING. ANY VESTED BALANCE IS PAID TO PARTICIPANTS AS A TAXABLE EVENT. NO ASSETS WERE DISTRIBUTED 0 0 0 0 0 1 1 1 0 SCHEDULE N, PART I, LINE 3 LNRC HAD NO ASSETS TO DISTRIBUTE. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION WAS INOVA HEALTH CARE SERVICES, A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH IS PART OF THE INOVA HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE MEMBER OF THE ORGANIZATION, INOVA HEALTH CARE SERVICES, WAS A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE SOLE MEMBER OF INOVA HEALTH CARE SERVICES WAS INOVA HEALTH SYSTEM FOUNDATION, A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH SERVES AS THE PARENT COMPANY OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. INOVA HEALTH SYSTEM FOUNDATION ELECTS THE MEMBERS OF THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE SOLE MEMBER OF THE ORGANIZATION, INOVA HEALTH CARE SERVICES, WAS A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION. THE SOLE MEMBER OF INOVA HEALTH CARE SERVICES WAS INOVA HEALTH SYSTEM FOUNDATION, A CHARITABLE 501(C)(3) TAX-EXEMPT ORGANIZATION WHICH SERVES AS THE PARENT COMPANY OF AN INTEGRATED HEALTH CARE DELIVERY SYSTEM. INOVA HEALTH SYSTEM FOUNDATION HOLDS RESERVED POWERS WITH RESPECT TO CERTAIN ACTIONS. IN ADDITION TO THE RESERVED POWERS, UNDER THE LAWS OF THE COMMONWEALTH OF VIRGINIA CERTAIN EXTRAORDINARY ACTIONS REQUIRE MEMBER APPROVAL, SUCH AS MERGERS, CONSOLIDATIONS, LIQUIDATIONS AND THE SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED AND PROVIDED TO THE 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 INOVA HEALTH SYSTEM BOARD OF TRUSTEES FOR THEIR REVIEW. UPON COMPLETION OF THE EXECUTIVE COMMITTEE REVIEW, IT IS PROVIDED TO THE FULL BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE ORGANIZATION DISTRIBUTES THE CONFLICT OF INTEREST POLICY TO ALL DIRECTORS, OFFICERS, TRUSTEES, AND KEY EMPLOYEES. THE ORGANIZATION REQUIRES THAT EACH DIRECTOR, OFFICER, TRUSTEE, AND KEY EMPLOYEE ACKNOWLEDGE THAT THEY HAVE READ, UNDERSTOOD, AND WILL ABIDE BY THE POLICY. EACH DIRECTOR, OFFICER, TRUSTEE, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE AND SUBMIT AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THESE DISCLOSURES ARE BROAD AND REQUIRE THAT THE INDIVIDUAL LIST ANY BUSINESS RELATIONSHIPS OR PERSONAL RELATIONSHIPS WITH OTHER DIRECTORS, OFFICERS, TRUSTEES, AND KEY EMPLOYEES, AS WELL AS ANY RELATIONSHIPS WITH COMPETITORS, OR CURRENT OR POTENTIAL VENDORS OR CONTRACTORS. DISCLOSURE STATEMENTS ARE REVIEWED BY SENIOR MANAGEMENT AND ANY POTENTIAL CONFLICTS ARE DISCUSSED WITH GOVERNING BODY CHAIRMAN TO ENSURE THAT ANY MEMBER WHO MAY HAVE A CONFLICT DISCLOSES THEIR POTENTIAL CONFLICT, AND IS DISMISSED FROM RELATED DISCUSSIONS AND RECUSED FROM PARTICIPATION IN APPLICABLE DECISIONS. FORM 990, PART VI, SECTION B, LINE 15 COMPLETED BY RELATED ENTITY, INOVA HEALTH SYSTEM FOUNDATION: THE COMPENSATION OF ALL SENIOR MANAGEMENT POSITIONS IS EVALUATED ANNUALLY IN 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. FORM 990, PART VI, SECTION C, LINE 19 THE COMPANY IS A PART OF THE INOVA HEALTH SYSTEM, A NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NORTHERN VIRGINIA AND SURROUNDING AREAS. INOVA HEALTH SYSTEM MAKES CERTAIN INFORMATION PUBLICLY AVAILABLE. INOVA'S CONSOLIDATED FINANCIAL STATEMENTS ARE POSTED ON THE ELECTRONIC MUNICIPAL MARKET ACCESS'S (EMMA) WEBSITE ON A QUARTERLY BASIS. INOVA'S GOVERNING DOCUMENTS ARE NOT CURRENTLY PUBLICLY AVAILABLE. WHILE THE CONFLICT OF INTEREST POLICY IS NOT SPECIFICALLY PUBLICLY DISCLOSED, INOVA'S CODE OF CONDUCT IS ON THE PUBLIC WEBSITE. SECTION II OF THE CODE OF CONDUCT DESCRIBES WHAT CAN CONSTITUTE A CONFLICT AND REQUIRES THAT POTENTIAL CONFLICTS BE REPORTED TO MANAGEMENT OR THE CHIEF COMPLIANCE OFFICER AND/OR INOVA'S LEGAL DEPARTMENT. THE CODE OF CONDUCT CONTAINS THE CONFLICT OF INTEREST PRINCIPLES, IS PART OF INOVA'S ORIENTATION AND ANNUAL COMPLIANCE TRAINING, AND IS AVAILABLE TO TEAM MEMBERS AND PHYSICIANS ON INOVA'S INTRANET WEBSITE. FORM 990, PART IX, LINE 11G INTERNAL PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 51,223. MANAGEMENT AND GENERAL EXPENSES 9,597. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,820. FORM 990, PART XI, LINE 9: TRANSFER TO ILH 491,185. PART XII, LINE 2B AND 2C - AUDITED FINANCIAL STATEMENTS THE COMPANY IS PART OF THE INOVA HEALTH SYSTEM, A NOT-FOR-PROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEM SERVING NORTHERN VIRGINIA AND SURROUNDING AREAS. THE COMPANY'S FINANCIAL STATEMENTS ARE CONSOLIDATED IN THE INOVA HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS. INOVA HEALTH SYSTEM IS AUDITED ON AN ANNUAL BASIS BY A "BIG FOUR" INDEPENDENT PUBLIC ACCOUNTING FIRM. IN ADDITION, THEY ARE RESPONSIBLE FOR THE ISSUANCE OF A MANAGEMENT LETTER ENCOMPASSING EACH MEMBER OF THE CONSOLIDATED GROUP. THE FINANCE AND AUDIT COMMITTEE OF THE BOARD OF TRUSTEES OF INOVA HEALTH SYSTEM IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT, INCLUDING THE HIRING OF THE AUDIT FIRM, REVIEW AND APPROVAL OF AUDITED FINANCIAL STATEMENTS AND COMMUNICATION WITH THE EXTERNAL AUDITORS AT LEAST TWICE A YEAR WITHOUT THE PRESENCE OF INTERNAL MANAGEMENT. PART XII, LINE 3A - A-133 AUDIT THE COMPANY IS 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. 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