1. 1 Board of Supervisors Update April 3, 2012 Inova Loudoun Hospital

2. 2 Inova Loudoun Healthcare - Overview Serving Loudoun since 1912 – 100 th Anniversary Not-for-Profit, Community Hospital Joined Not-for-Profit Inova Health System in 2005 1,593 Employees and 659 Physicians 183 Acute Care Beds (161 Lansdowne, 22 Cornwall) Lansdowne Campus – Comprehensive Acute Care Cornwall campus –100 bed long term care facility –Emergency Center, Diagnostic Imaging –Behavioral Medicine (LAMPS) Urgent Care, Imaging Center in Dulles South Urgent Care in Purcellville

3. 3 ILH Key Statistics - 2011 Hospital Operations2011 Admissions (excl normal newborns)12,010 Outpatient Visits (excl ED visits)94,725 ED Visits (ILH & Cornwall)66,953 Purcellville Urgent Care5,164 Coronary Interventions (PCI)238 Radiation Oncology6,382 Deliveries2,637 OB Clinic Deliveries430

4. 4 ILH Community Benefit – 2011 CategoryTotal Indigent Care$10.5M Unpaid Cost of Medicaid Care 6.8M Bad Debt 4.4M Community Health Programs 3.6M Other Direct Program Support Total Community Benefit.7M $26.0 Million

5. 5 Community Health Programs-2011 $3.6m community health program support helps fund: – 4,833 OB Clinic Visits – 430 OB Clinic Deliveries by OB Hospitalists – 1,085 Specialists paid by Indigent Care Fund –17,896 Mobile Health Van visitors – 6,734 Family and patient education visits – 3,967 Loudoun Free Clinic visits –25,246 Loudoun Community Health Center visits – 1,578 Diabetes Center visits – 141 Children served by Child Advocacy Center

6. 6 ILH Other Program Support - 2011 Over $650,000 in Other Direct Program Support: Loudoun Community Health Center Loudoun County EMS Ambulance Supplies Loudoun Free Clinic Loudoun Child Advocacy Center Loudoun Cares Women’s Infants and Children’s Program (WIC) Loudoun Interfaith Relief Northern Virginia Dental Clinic Loudoun County Public Schools Northern Virginia Community College Northern Virginia Emergency Medical Services

7. 7 Inova Loudoun Hospital Awards & Recognition A two-time recipient of the prestigious Magnet designation Inova Loudoun Hospital received re- designation as a Magnet hospital in October 2011, the highest institutional honor awarded for nursing excellence. Only 5 percent of the 6,000 hospitals in the United States have earned Magnet designation.

8. ICU and Telemetry AACN Beacon Award for critical care excellence First Northern Virginia to receive ARC-ASTRO for radiation oncology Care Award from the International Board of Lactation Consultant Examiners Full Accreditation with Commendation by the Commission on Cancer Named a 2011 Top Performing Hospital in the Premier national Quest collaborative Inova Loudoun Nursing and Rehabilitation Center 5- Star Rating for Excellence CMS 8 Inova Loudoun Hospital Awards & Recognition

9. Antenatal Testing for High-Risk Mothers Opening April 2012 Please join us for an Open House scheduled for April 26, 2012 9

10. Expanding Surgical Options for Knee Replacements 10 Inova Loudoun Hospital is among a select few hospitals in the area to feature the MAKOplasty technology for precise, minimally invasive, partial knee replacement Pictured here: David Johnson, MD; Michael Kavanagh, MD; Matthew Gavin, MD; Nauman Akhtar, MD, MBA Not pictured: Timothy Johnson, MD and Randolph Cook, MD

11. 11 Treating Children and Adults with Concussions The Inova Loudoun Head2Head Concussion Management Program offers baseline testing, post-injury evaluation, treatment/ rehabilitation, medical clearance, and assistance in monitoring for area athletes

12. 12 Leesburg Campus Redevelopment Redevelopment of Leesburg Campus to include: Replacing outer façade of 1974 building New Emergency Department Expanded Diagnostic Imaging New Laboratory New 22 Bed Inpatient Behavioral Medicine Unit New space for Loudoun Free Clinic and Loudoun Child Advocacy Center

13. 13 Leesburg Campus

14. Leesburg Campus Redevelopment

15. Main Front as of March, 2012

16. First Floor West – New ED March, 2012

17. 17 Cornwall Campus Timeline Phase I Construction Start January 2012 Building redevelopment, new clinical and admin spaces Phase I Construction Complete May 2013 Phase II Construction Start May 2013 Demolition of East Wing buildings and Surface parking project Phase II Construction Complete August 2013

18. Lansdowne Campus Master Planning – 2012