STRATEGY STUDIO / PUBLIC DATA EXPLORER

INOVA HEALTH CARE SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
INOVA HEALTH CARE SERVICES (EIN 54-0620889)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201303169349303555
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T10:27:11-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN540620889EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1INOVA HEALTH CARE SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlINOVNameControl
Phone7032892433Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1
CityFALLS CHURCHCity
StateVAState
ZIP Code22042ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD MAGENHEIMERName
TitleCFOTitle
Phone7032892433Phone
Date Signed2013-11-05DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ Knox SingletonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line18110 GATEHOUSE ROAD SUITE 400WAddressLine1
CityFALLS CHURCHCity
StateVAState
ZIP Code22042ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1681365823GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteINOVA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionInova Health Care Services (IHCS)mission is to maintain and operate hospitals and perform other activities dedicated to providing quality care and improving the health of the diverse communities it serves. To achieve this goal, Inova works in partnership with other organizations, spearheading numerous community health improvement projects.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees12881TotalNbrEmployees
Total Nbr Volunteers2185TotalNbrVolunteers
Total Gross UBI3711020TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12131593ContributionsGrantsPriorYear
Contributions Grants Current Year12501185ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1585686271ProgramServiceRevenuePriorYear
Program Service Revenue CY1612217483ProgramServiceRevenueCY
Investment Income Prior Year-23254457InvestmentIncomePriorYear
Investment Income Current Year930902InvestmentIncomeCurrentYear
Other Revenue Prior Year53552119OtherRevenuePriorYear
Other Revenue Current Year41456621OtherRevenueCurrentYear
Total Revenue Prior Year1628115526TotalRevenuePriorYear
Total Revenue Current Year1667106191TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year802565026SalariesEtcPriorYear
Salaries Etc Current Year822612091SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year689963008OtherExpensePriorYear
Other Expenses Current Year713457326OtherExpensesCurrentYear
Total Expenses Prior Year1492528034TotalExpensesPriorYear
Total Expenses Current Year1536069417TotalExpensesCurrentYear
Revenues Less Expenses Prior Year135587492RevenuesLessExpensesPriorYear
Revenues Less Expenses CY131036774RevenuesLessExpensesCY
Total Assets BOY2718727479TotalAssetsBOY
Total Assets EOY3659103875TotalAssetsEOY
Total Liabilities BOY1483056443TotalLiabilitiesBOY
Total Liabilities EOY1970131490TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1235671036NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1688972385NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionIHCS was specifically chartered for the purpose of serving the health care needs of the community by establishing, maintaining, and operating hospital facilities, programs and other shared service arrangements, carrying on health-related education activities, promoting and carrying on health-related scientific research; and engaging in activities designed and carried on to promote the general health of the diverse community served. IHCS includes a centralized system office and various unincorporated and incorporated subsidiaries. The unincorporated subsidiaries of IHCS include Fairfax Hospital, Mount Vernon Hospital, Fair Oaks Hospital, Emergency Care Center of Reston, Emergency Care Center of Fairfax, and Springfield Healthplex. The Institute of Research and Education is operated as a program of IHCS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1201921008Expense
Revenue1645507335Revenue
DescriptionInova Health Care Services (IHCS) is part of the Inova Health System whose mission is to serve the needs of the community by establishing, maintaining, and operating hospital facilities, programs, and other shared service arrangements; carrying on health-related education activities; promoting and carrying on health-related scientific research; and engaging in activities designed and carried on to promote the general health of the community. IHCS includes a centralized System Office and the various unincorporated and incorporated subsidiaries which are described below.The unincorporated subsidiaries of IHCS include: Inova Fairfax Hospital, Inova Mount Vernon Hospital, Inova Fair Oaks Hospital, ACCESS of Reston, ACCESS of Fairfax, and the Inova Research Center. PROGRAM SERVICESAcute care services are provided on three campuses in Fairfax County, Virginia. Services provided include emergency and trauma facilities, inpatient and outpatient services, and a variety of ancillary and specialized services. During 2012 IHCS admissions and observations cases totaled 86,232, outpatient visits totaled 322,327 emergency visits totaled 229,086 and deliveries totaled 13,435 the acute care program services provided by these hospitals are described more fully below.Inova Fairfax Hospital (IFH) campus includes the Inova Heart and Vascular Institute, Inova Women's Hospital, and Inova Fairfax Hospital for Children. The hospital, located in Central Fairfax County is an 833-licensed bed tertiary care hospital providing comprehensive medical and surgical services which include emergency/trauma, cardiac, transplant, cancer, obstetric, pediatric, neonatal, stroke and extensive outpatient services. Inova Fairfax Hospital is the home of northern Virginia's only level one emergency and trauma center and the state-of-the-art Women's and Children's Center. In addition, Inova Fairfax Hospital is a teaching hospital providing clinical training through its medical residency, nursing, and paramedical education programs.Inova Mount Vernon Hospital (IMVH) is a 237-licensed bed acute-care hospital serving southeastern Fairfax County. Inova Mount Vernon provides a full-service, 24-hour emergency department; broad range of diagnostic, medical and surgical services; inpatient psychiatric services; the Dorothea R. Fischer Wound Healing Center and a specialized hyperbaric oxygen therapy program used to treat conditions requiring increased oxygen flow to body tissues (such as grafts and certain types of burns). The hospital operates the Inova Center for Rehabilitation, a nationally-known accredited program providing inpatient and outpatient rehabilitative services.Inova Fair Oaks Hospital (IFOH) is a 182-licensed bed general acute care hospital, which opened in 1987 to serve the growing communities in western Fairfax County, Virginia. Inova Fair Oaks provides a full-service 24-hour emergency department; a spectrum of diagnostic services and treatment including full-body CT scanning, open MRI and radiation cancer services; inpatient medical and surgical services; obstetrics and pediatric services; and comprehensive outpatient services including outpatient surgery, physical medicine, wound care and rehabilitation. Inova Fair Oaks Hospital is home to a designated Bariatric Surgery Center of Excellence. Specific acute care programs include:Cardiovascular Care: The Inova Heart and Vascular Institute is the region's first dedicated heart hospital. It houses 156 inpatient beds, six cardiovascular operating rooms, an 11-room cardiac catheterization and electrophysiology suite, chest pain unit, 64-slice CT scanner and other diagnostic testing, outpatient clinics, cardiac rehabilitation and educational facilities. Specialty programs include pediatric cardiac surgery, arterial fibrillation, valve disease and heart failure. Women's Health: The Inova Women's Health program is the largest such program in the Mid-Atlantic region, providing services for over 13,400 births each year. Obstetric services provided include delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, and regular and specialty nursery care. In addition, Fairfax provides obstetric services to low-income patients through the InovaCares Clinic for Women with 29,792 visits in 2012.Breast Care Institute: The Inova Breast Care Institute at Inova Fairfax Hospital and Inova Fair Oaks Hospital is the first in the DC region to earn a three-year accreditation in breast care from the National Accreditation Program for Breast Centers (NAPBC), part of the American College of Surgeons. Pediatrics: The Inova Fairfax Hospital for Children (IFHC) is Northern Virginia's regional pediatric referral center with 112 licensed acute care beds and more than 25 sub-specialties including pediatric emergency and trauma care, critical care, infectious disease, pulmonary disease, cardiac surgery, hematology and oncology, neonatology, physical medicine & rehabilitation and speech & hearing therapy. The Fairfax facility includes Northern Virginia's only Level III (highest level) newborn intensive care unit, which is staffed around the clock by neonatology physicians and nurses specially trained in caring for premature and other newborns with medical complications. As of December 31, 2012, total NICU bassinets numbered 75. Inova Fairfax Hospital operates the only pediatric intensive care unit in northern Virginia, providing 24-hour coverage for children with life-threatening illnesses or injuries. Inova Fairfax also has 20 dedicated pediatric emergency room treatment bays, a dedicated hematology/oncology unit and two dedicated operating rooms for pediatric heart surgeries. Inova Fairfax Hospital for Children (IFHC) provides a primary care medical home for children of low income families that are uninsured or on Medicaid through the InovaCares Clinic for Children which in 2012 provided 23,984 visits at an unreimbursed cost of $1 million. The Emergency and Trauma Center at Inova Fairfax Hospital, Northern Virginia's only Level I trauma center, is a state-of-the-art facility. Emergency medical specialists with expertise in trauma care treat every type of illness, injury, or life-threatening trauma. The Inova Center for Rehabilitation, located on the Inova Mount Vernon campus is accredited by the Commission on Accreditation and Rehabilitation Facilities (CARF) and provides comprehensive inpatient and outpatient medical rehabilitation services to patients with severe head injuries, spinal cord injuries, strokes, multiple sclerosis, and other orthopedic and neurological disabilities. These services are staffed by an interdisciplinary team representing psychiatry, psychology, vocational counseling, physical therapy, occupational therapy, and nursing with treatment tailored to meet the specific needs of each patient. ACCESS of Fairfax, and ACCESS of Reston are 24-hour, free standing emergency centers located in Fairfax City, and Reston, Virginia, respectively. During 2012, ACCESS of Fairfax provided 17,967 emergency room visits and ACCESS of Reston reported 13,661 emergency room visits. IHCS has recently invested significant capital in all three hospital facilities. IHCS has an $875 million facility development program at the Inova Fairfax Hospital campus which was initiated in 2010 and will continue over the next three years. This program will expand existing services, renovate the existing patient tower and provide for a new and separate women's hospital facility. The Inova Mount Vernon Hospital will be investing in a $46 million expansion to create private rooms and upgrade facilities. Charity Care All Inova facilities, including the IHCS facilities provide charity care in accordance with Inova policies which ensure access to medically necessary care for all individuals. Charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. These policies include the following key provisions:1. Emergency care shall be provided to all persons regardless of their ability to pay.2. Non-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and access facilities to medically indigent patients. "Medically necessary care" refers to inpatient and outpatient services defined as medically necessary by the federal Medicare program. "Medically indigent" is defined as those patients whose income falls at or below 200% of the Federal Poverty Guideline (FPG). In general, free medically necessary care is provided for patients with incomes falling below 200% of the FPG; and discounted care is provided for services rendered to patients with incomes falling between 200% and 300% of the FPG.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionResearch and Education Services: The Inova Research Center (IRC), including research and academic activities, is centered on the Inova Fairfax Hospital campus. In 2005, the Inova campus of the Virginia Commonwealth University School of Medicine opened and a total of 48 third and fourth year medical students now spend their clerkship years at Inova Fairfax Hospital. Also located on the Inova campus is the VCU School of Pharmacy, helping 40 students to complete their education and clinical training in Northern Virginia. In 2008, the Claude Moore Health Education Center opened on the campus of Inova Fairfax Hospital. The building features 11,000 square feet of modern space dedicated to the educational needs of medical and nursing students as well as residents and fellows. This state-of-the-art center includes both medical and surgical simulation centers, enabling students to learn through hands-on experience. In 2008, a dedicated research floor opened to support the extensive activities of the Inova Research Center, where there are numerous active clinical trials, ongoing translational research and outcomes projects, many in partnership with universities and other research entities. The unreimbursed cost of these programs in 2012 was $6 million.Inova Translational Medicine InstituteIn 2010, the Inova Translational Medicine Institute (ITMI), a not-for-profit research institute was created for research activities related to the innovative field of personalized medicine. Personalized medicine is a medical model that emphasizes the customization of healthcare to individual patients. It involves the use of genetic information about an individual patient. In 2011, ITMI collaborated with physicians from Fairfax Neonatal Associates to investigate the genetic causes of pre-term delivery. Findings were used to build a reference database of genomic and clinical information which will empower clinical genomic discovery. In 2012, approximately $15 million was provided in operational and capital support for ITMI. Fairfax's medical education programs offer a variety of clinical training objectives for medical residents and students, nursing and pharmacy. Inova Fairfax's residency program has approximately 733 Residents/Fellows trained throughout the year, and 482 Medical Students. Residents and students are primarily from Inova Fairfax Hospital, Georgetown and George Washington Universities. As a teaching facility, Inova Fairfax Hospital incurs typical, additional expenses associated with teaching facilities including physician teaching costs and resident salaries, the cost of maintaining higher levels of technology required to support a teaching program and charges resulting from extra tests ordered for instructional purposes. The unreimbursed cost of these programs in 2012 was $18 million.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionEach year, IHCS designates funds for the development and continuation of identified, accessible direct care programs and services benefiting those most in need in the community. Many of these programs and services are not billed to the patient or are provided at a fee structure below the actual cost of the service. In addition to providing the direct care subsidized service, Inova also provides disease-prevention programs, health and exercise classes, health education and health screenings and other programs within the community in support of the IHCS mission. In 2012, Inova provided over 229,000 people with health education, prevention and wellness programs, health fairs and screenings, and clinically related services resulting in over 115,000, visits for direct health care services at an unreimbursed cost of approximately $21 million. These services and programs are described below.InovaCares Clinic for Women and ChildrenThe InovaCares Clinic for Women was created in 1960 to serve the uninsured women of Fairfax County, offering a wide range of OB/GYN services for those in need. InovaCares Clinic for Women is a service offered to the community in collaboration with the Fairfax County Health Department, serving uninsured and low-income patients up to 300% of the Federal Poverty Guidelines (FPL). The Clinic for Women provides comprehensive outpatient obstetrical services, gynecological care, diabetes management, case management, non-stress testing, LEEP and colonoscopy procedures, cryosurgery, and nutritional counseling all at little to no cost to the patient. In addition, the Clinic for Women runs a high risk obstetrics clinic and a gynecology clinic. In 2012, the InovaCares Clinic for women had 29,792 visits.The Clinic for Children was created in 1993 as a response to the inability of new uninsured or Medicaid mothers to secure an affordable medical home for their children. The mission of the Clinic for Children is to provide a full service medical home for pediatric patients between zero and 21 years of age. The Clinic for Children provides comprehensive pediatric services that includes well-child care, immunizations, episodic care (sick visit), and school/sports physicals, immunizations, and nutritional counseling. In 2012, the InovaCares Clinics for Children provided 23,984 visits and received NCQA level 3 Patient-Centered Medical Home recognition.Inova Juniper Program, HIV Clinical and Education ServicesInova Juniper Program (IJP) provides outpatient primary medical care, mental health therapy, substance abuse treatment, pharmaceutical assistance, nutritional counseling and medical case management services to more than 1,400 persons living with HIV disease in the suburban Virginia region. To maximize accessibility for clients, services are provided at the main location in Springfield, as well as five satellite offices (Dumfries, Manassas, Mt. Vernon, Arlington, and Reston), hospitals, homes and other community locations throughout the region. Major accomplishments of IJP for 2012 include: Almost doubled its census in the past year and now serves over 1,400 patients providing 25,222 visits Maintaining a 0% HIV transmission rate from pregnant mothers to their newborn babies. Received NCQA level 3 Patient Centered Medical Home recognition Conducted 146 education programs reaching 2,492 participants, and provided 151 clinical consultations.Life with CancerThe mission of Life with Cancer (LWC) is to enhance the quality of life of those individuals in our community affected by cancer. The program addresses the specific needs of those affected by cancer by providing individual and family counseling, support groups, educational seminars, workshops on cancer diagnosis and treatment, and a full array of complimentary therapies. Life with Cancer is generously supported by our community; therefore all services are available at no charge to residents of the Washington Metropolitan area. In 2012 Life with Cancer offered 1,327 educational classes, groups, and wellness programs, with more than 10,000 visits. In addition, 10,400 one-on one contacts for counseling & consultations were provided. A total of 30,300 service hours for over 3,300 people in the Northern Virginia area were provided. More than 30 health fairs, presentations, and conferences in which LWC staff and volunteers participated reached another 2,700 people in the community served by Inova. Lions Eye ClinicAdministered by Inova Fairfax Hospital, the Ophthalmology Clinic provides optometry specialty services to the indigent including treatment of glaucoma, retina, and cataracts as well as children's specialty services. The physicians volunteer their services or are paid nominal fees by the State of Virginia or sponsoring community organization. In 2012, the clinic had 2,813 visits.Inova Diabetes CenterThe Inova Diabetes Center provides outpatient diabetes self-management education to over 5,000 adults and children with diabetes each year in the Northern Virginia area. The Inova Diabetes Center has five locations in the Northern Virginia area including Inova Fairfax Hospital, Inova Mount Vernon Hospital and Inova Fair Oaks Hospital and is the recipient of the American Diabetes Association's Recognition for Diabetes Education Programs. In 2012, the Inova Diabetes Centers at Inova Fairfax, Inova Mount Vernon Hospital and Inova Fair Oaks Hospitals, provided a total of 3,251 patient visits.IHCS and its subsidiaries provide many other non-billed and below margin patient services. Case management services are provided to the indigent and assistance is provided with financial paperwork. Inova Mount Vernon participates in the Health Information and Claims Assistance Program by providing assistance with health insurance paperwork problems. In addition, home IV therapy services are provided for the indigent. Transportation is provided for indigent patients to and from IHCS facilities and programs. Inova Fairfax provides forensic and medical care to abused adults and children as well as blood alcohol testing for area police departments while coordinating the disposition of deaths with various community organizations. Other services include pastoral care, free living accommodations for out-of-town Inova Fairfax heart and lung transplant patients and their families, and emergency assistance to patients and their families needing medication or transportation. Community Health Education and Promotion As part of Inova's overall health promotion effort, IHCS and its subsidiaries are actively involved in sponsoring programs, activities, and services designed to improve community health and prevent the onset of disease. HealthSourceHealthSource serves the community as the premier provider of health education and prevention services. Our participants engage in prevention activities, receive quality health education, participate in wellness programs and benefit from care management. As a part of our vision, Healthsource targets the community we serve by holding programs throughout the region in environments that are familiar to and convenient for our clients. Seminars, classes, health fairs and screenings are offered at Inova Health System hospitals, community locations and worksites throughout Northern Virginia and the Greater Metropolitan Washington Area. During 2012, HealthSource served 229,093 participants at 5,624 events. Program highlights include:Influenza VaccinationThe Inova HealthSource Fight the Flu Program has provided 43,000 flu shots at 827 immunization clinics so far this year for Inova Health System employees and physicians, employers and the community.The Fight the Flu Program provided over 10,000 flu shots for Fairfax County Public Schools at 190 clinics and 2,000 shots at 17 clinics for Fairfax County Government employees. With Inova foundation funds, free flu shots were provided for 149 children and teachers at Higher Horizons Head Start Program.The Workplace and Community ProgramsThe Workplace and Community Program served 95,032 participants at 2,115 events.The Care Management Programs provided health coaching in weight management, tobacco cessation, back pain management, fitness, pregnancy and breastfeeding at worksites.The City of Alexandria Wellness Program provides development, implementation and evaluation for all City employees. During 2012 this program provided 27 programs for 1,139 participants. Programs include Know Your Numbers, Choose Your Physician, Team Up to Move, Flu Vaccination, Health Fairs and monthly health/prevention awareness campaigns.The Health Education Program: supporting community wellness through health educationHealthSource provided 838 life support classes for 9,640 students at worksites and in the community. 3,093 physicians, nurses, first responders and other health professionals received advanced life support training.Description
FieldValueIRS element (for citing)
Total Program Service Expense1201921008TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
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Lobbying Activities1LobbyingActivities
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Loan To Officer Or DQP0LoanToOfficerOrDQP
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Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961717NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees12881NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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Form990-T Filed1Form990-TFiled
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Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
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Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
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Investment In Joint Venture0InvestmentInJointVenture
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The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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Business Name Line1Inova Health Care ServicesBusinessNameLine1
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Telephone Number7032892433TelephoneNumber

Address US AddressUS

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Address Line18110 Gatehouse Road Suite 400WAddressLine1
CityFalls ChurchCity
StateVAState
ZIP Code22042ZIPCode
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Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (51 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JKNOX SINGLETON
PRESIDENT20.0030.00XX03538107644863
CHARLES H SMITH
CHAIRMAN3.004.00XX000
LORI MORRIS
VICE CHAIRMAN2.00XX000
CHARLES MANN
SECRETARY2.00XX000
MARY AGEE
TRUSTEE2.00X000
ROBERT AHMED MD
TRUSTEE2.002.00X000
MARTHA CALIHAN MD
TRUSTEE2.004.00X000
CHARLES BEARD
TRUSTEE2.00X000
MARGARET COLON
TRUSTEE2.003.00X000
MICHAEL FREY
TRUSTEE2.00X000
JACK EBELER
TRUSTEE2.003.00X000
ARSHED CHOUDHRY MD
TRUSTEE2.004.00X000
BETTY HUDSON
TRUSTEE2.00X000
GERALD HYLAND
TRUSTEE2.00X000
HOOKS JOHNSTON
TRUSTEE2.00X000
JAMES MCNEIL
TRUSTEE2.00X000
DEAN MOREHOUSE
TRUSTEE2.00X000
CAROLYN MOSS
TRUSTEE2.00X000
PHIL NOLAN
TRUSTEE2.00X000
MARY SCHMIDT MD
TRUSTEE2.00X000
JON PETERSON
TRUSTEE2.00X000
DAVID GEHRING MD
TRUSTEE2.00X000
MARK MOORE
TRUSTEE2.00X000
GEORGE TAWILL MD
TRUSTEE2.00X000
ROBERT TSIEN
TRUSTEE2.00X000
SARITA GOPAL MD
TRUSTEE2.00X000
RICHARD MAGENHEIMER
TREASURER24.0026.00X0980061300965
JOHN GAUL
ASST SECRETARY24.0026.00X600590089927
MARK STAUDER
PRESIDENT, COO38.0012.00X01949318553322
LEWIS PASTERNAK
EVP CEO IFH40.0010.00X066567048146
JOHN NIEDERHUBER
CEO ITMI & EVP IHS40.0010.00X0174845653427
KYLANNE SILVERSTONE
EVP CEO INOVA MDG CARE SVC40.0010.00X0725144150258
MARSHALL RUFFIN
EVP CTO40.0010.00X0854237162975
PATRICK CHRISTIANSEN
EVP CEO IFH49.001.00X0639110126573
FLINT LORING
EVP CHIEF MEDICAL OFFICER40.0010.00X0834890180304
GEOFFREY BROWN
SVP CIO40.00386196084587X
MARK RUNYON
SVP FINANCE40.004992630115671X
BARBARA DOYLE
CEO IMVH40.00694446062566X
MAUREEN SWICK
SVP CHIEF NURSING EXEC40.003781090116909X
ANGELA MANNINO
SVP HUMAN RESOURCES40.00514061089328X
JOHN FITZGERALD
CEO IFOH40.005075820123213X
JAMES SANTRY
SVP BUS DEV & MANAGED CARE40.0010.00336644079061X
JAMES ECKLUND
PHYSICIAN40.001188645071625X
JOSEPH WATSON
PHYSICIAN40.00669431052815X
JOHN HAMILTON
PHYSICIAN40.00644497067702X
JOSEPH VOCKLEY
SVP TRANSLATIONAL RESEARCH40.007898890137520X
ZOBAIR YOUNOSSI
VP RESEARCH40.006262420141253X
JAMES KIM
FORMER AVP DEPUTY GENERAL24.0026.00243724064844X
HPATRICK WALTERS
FORMER SVP STRATEGIC PLANNING5.0045.00046509768784X
RONALD EWALD
FORMER VP IHS AA FINANCE40.00316424095852X
PATRICIA BYRNES SCHMEHL
FORMER VP IFH WOMENS CENTE40.00268846092273X
FieldValueIRS element (for citing)
Total Reportable Comp From Org8664589TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs12400090TotalReportableCompFrmRltdOrgs
Total Other Compensation3774763TotalOtherCompensation
Number Individuals GT100 K954NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FAIRFAX RADIOLOGICAL CONSULTANTS
2722 MERRILEE DRIVE SUITE 230FAIRFAXVA22031RADIOLOGY5809810
CARDIAC VASCULAR & THORACIC
2921 TELESTAR CT SUITE 140FALLS CHURCHVA22042MEDICAL SERVICES5608953
GEORGE WASHINGTON UNIVERSITY
2121 I STREET NWWASHINGTONDC22052RESIDENCY PROGRAM4199733
WASHINGTON REGIONAL COMMUNITY
7619 LITTLE RIVER TURNPIKE 900ANNANDALEVA22003MEDICAL SERVICES3135100
ATLANTIC BAROMEDICAL SYS INC
2501 PARKERS LANEALEXANDRIAVA22306MEDICAL SERVICES3046194
FieldValueIRS element (for citing)
Number Of Contractors GT100 K245NumberOfContractorsGT100K
Related Organizations3501561RelatedOrganizations
Government Grants8999624GovernmentGrants
Total Contributions12501185TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Re90009915951755381595175538
Inova Reston MRI LLC62140079357247935724
Franconia-Springfield Surgery Cen62140027908722790872
Northern Virginia Surgery Center62140025040212504021
Technical Dynamic, LLC81100018993151899315

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1912013TotalRevenueColumn
Related Or Exempt Function Income1912013RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1612217483TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1879879TotalRevenueColumn
Exclusion$1,879,879ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column705453TotalRevenueColumn
Exclusion$705,453ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real16977483Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real12521734Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real4455749Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column4455749TotalRevenueColumn
Exclusion$4,455,749ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities83468Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1737898Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1654430Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1654430TotalRevenueColumn
Exclusion-$1,654,430ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
COMMUNITY BLOOD SERVICES90009988834178883417
FOOD SERVICES90009913947461394746
LAUNDRY SERVICES812300247071247071

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column26475638TotalRevenueColumn
Related Or Exempt Function Income23011689RelatedOrExemptFunctionIncome
Unrelated Business Revenue3463949UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue37000872TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1667106191TotalRevenueColumn
Related Or Exempt Function Income1645507335RelatedOrExemptFunctionIncome
Unrelated Business Revenue3711020UnrelatedBusinessRevenue
Exclusion$5,386,651ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total11330319Total
Program Services11330319ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total663471372Total
Program Services519992295ProgramServices
Management And General143479077ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total38193292Total
Program Services28634211ProgramServices
Management And General9559081ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total62626171Total
Program Services49731754ProgramServices
Management And General12894417ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total46990937Total
Program Services36800297ProgramServices
Management And General10190640ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4904803Total
Program Services1798842ProgramServices
Management And General3105961ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1210660Total
Program Services27896ProgramServices
Management And General1182764ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total67601413Total
Program Services37957395ProgramServices
Management And General29644018ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2555844Total
Program Services1348689ProgramServices
Management And General1207155ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2318897Total
Program Services1129403ProgramServices
Management And General1189494ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total27536562Total
Program Services1767982ProgramServices
Management And General25768580ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total25128730Total
Program Services13691718ProgramServices
Management And General11437012ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1837277Total
Program Services1118683ProgramServices
Management And General718594ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1545178Total
Program Services976032ProgramServices
Management And General569146ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total20548796Total
Program Services18103807ProgramServices
Management And General2444989ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total93470694Total
Program Services64343216ProgramServices
Management And General29127478ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total10053771Total
Program Services9654960ProgramServices
Management And General398811ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES2619772682566194835357785
BAD DEBT EXPENSE6222544062225440
OTHER PURCHASED SERVICE562672693864626517621004
PHYSICIAN FEES3241345631955776457680

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total41861268Total
Program Services14066545ProgramServices
Management And General27794723ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1536069417Total
Program Services1201921008ProgramServices
Management And General334148409ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY229341276BOY
EOY190876318EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY191243560BOY
EOY228953166EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY11233523BOY
EOY11944973EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13716615BOY
EOY15437830EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY41607620BOY
EOY50979991EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2322986073LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1423616226LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY794904655BOY
EOY899369847EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY162149926BOY
EOY482866538EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1274530304BOY
EOY1778675212EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2718727479BOY
EOY3659103875EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY218489932BOY
EOY276861260EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY979528270BOY
EOY1397299496EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY285038241BOY
EOY295970734EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1483056443BOY
EOY1970131490EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1235649312BOY
EOY1688950661EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY21724BOY
EOY21724EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1235671036BOY
EOY1688972385EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2718727479BOY
EOY3659103875EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses131036774ReconcilationRevenueExpenses
Reconciliation Unrealized Invest10413597ReconciliationUnrealizedInvest
Reconcilation Other Changes311850978ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals253864FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals253864FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals1201921008FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals1202174872FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3152775CurrentYearMinus3
Current Year Minus2399550CurrentYearMinus2
Current Year Minus1240480CurrentYearMinus1
Current Year253864CurrentYear
Total1046669Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis85097070OtherCostOrOtherBasis
Book Value85097070BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis741046971OtherCostOrOtherBasis
Depreciation373712487Depreciation
Book Value367334484BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis431252787OtherCostOrOtherBasis
Depreciation271570120Depreciation
Book Value159682667BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis917134929OtherCostOrOtherBasis
Depreciation661365289Depreciation
Book Value255769640BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis148454316OtherCostOrOtherBasis
Depreciation116968330Depreciation
Book Value31485986BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings899369847TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
UNAMORTIZED BOND COSTS7768369
OTHER ASSETS8684503
DUE FROM SUBSIDIARIES AND AFFILIATES1529028459
PENSION ASSET22688113
CONSTRUCTION IN PROGRESS210505768
FieldValueIRS element (for citing)
Total Book Value Other Assets1778675212TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
THIRD PARTY SETTLEMENTS$48,257,827
NOTES PAYABLE AND OTHER$105,274,597
SELF INSURED LIABILITY$35,596,743
DEFERRED COSTS$24,890,499
POST RETIREMENT/EMPLOYMENT BENEFITS$10,661,319
INTEREST RATE SWAP LIABILITY$62,390,069
INVESTMENT IN SUBSIDIARIES AND JOINT VENTURES$8,899,680
FieldValueIRS element (for citing)
Total Of Amounts295970734TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationFrom Inova Health System consolidated financial statements including Inova Health Care Services: The Foundation, IHCS, AHSC, LHI and IHSS, 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. IHI 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. Management annually reviews its tax positions and has determined that there are no material uncertain tax positions that require recognition in the consolidated financial statements.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense81391401TotalCommunityBenefitExpense
Net Community Benefit Expense81391401NetCommunityBenefitExpense
Percent Of Total Expense0.05520PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense50334929TotalCommunityBenefitExpense
Net Community Benefit Expense50334929NetCommunityBenefitExpense
Percent Of Total Expense0.03420PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense131726330TotalCommunityBenefitExpense
Net Community Benefit Expense131726330NetCommunityBenefitExpense
Percent Of Total Expense0.08940PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense10740523TotalCommunityBenefitExpense
Net Community Benefit Expense10740523NetCommunityBenefitExpense
Percent Of Total Expense0.00730PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense18185597TotalCommunityBenefitExpense
Net Community Benefit Expense18185597NetCommunityBenefitExpense
Percent Of Total Expense0.01230PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense9846578TotalCommunityBenefitExpense
Net Community Benefit Expense9846578NetCommunityBenefitExpense
Percent Of Total Expense0.00670PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense6397535TotalCommunityBenefitExpense
Net Community Benefit Expense6397535NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense101092TotalCommunityBenefitExpense
Net Community Benefit Expense101092NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense45271325TotalCommunityBenefitExpense
Net Community Benefit Expense45271325NetCommunityBenefitExpense
Percent Of Total Expense0.03070PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense176997655TotalCommunityBenefitExpense
Net Community Benefit Expense176997655NetCommunityBenefitExpense
Percent Of Total Expense0.12010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$28,721,250BadDebtExpenseAmount
Amount Reimbursed By Medicare236752417AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare267077635CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-30325218MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 Franconia-Springfield Surgery Center LLC
Surgical Services0.612400.38760
2 Northern Virginia Surgery Center LLC
Surgical Services0.626400.37360
3 Inova Woodburn Surgery Center LLC
Surgical Services0.754000.24600
FieldValueIRS element (for citing)
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24Hours
INOVA FAIRFAX HOSPITAL
13300 GALLOWS ROADFALLS CHURCHVA22046INOVA.ORGXXXXXX
INOVA FAIR OAKS HOSPITAL
23600 JOSEPH SIEWICK DRIVEFAIRFAXVA22033INOVA.ORGXXX
INOVA MOUNT VERNON HOSPITAL
32501 PARKER LANEALEXANDRIAVA22306INOVA.ORGXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresPosted On WebsitePostedOnWebsiteAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsDocumented DeterminationDocumentedDeterminationNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyLowest Negotiated RatesLowestNegotiatedRatesUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
INOVA FAIRFAX HOSPITAL
111200.0000000000001300.0000000000001XXXXXXXX11XXX10XXXX1XX00
INOVA FAIROAKS HOSPTIAL
211200.0000000000001300.0000000000001XXXXXXXX11XXX10XXXX1XX00
INOVA MOUNT VERNON HOSPITAL
311200.0000000000001300.0000000000001XXXXXXXX11XXX10XXXX1XX00

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities11NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
FRANCONIA SPRINGFIELD EMERGENCY CARE
6355 WALKER LANEALEXANDRIAVA22310EMERGENCY ROOM
TECHNICAL DYNAMICS LLC
4231 MARKHAM STREET SUITE 230ANNANDALEVA22003EQUIPMENT REPAIRS
EMERGENCY CARE CENTER OF FAIRFAX
4315 CHAIN BRIDGE ROADFAIRFAXVA22030EMERGENCY ROOM
INOVA VNA HOME CARE
8003 FORBES PLACESPRINGFIELDVA22206HOME CARE NURSING
EMERGENCY CARE CENTER OF RESTON
11901 BARON CAMERON AVENUERESTONVA20190EMERGENCY ROOM
FRANCONIA SPRINGFIELD SURGERY CENTER LLC
6355 WALKER LANE SUITE 200ALEXANDRIAVA22310OUTPATIENT SURGERY
NORTHERN VIRGINIA SURGERY CENTER LLC
3620 JOSEPH SIEWICK DRIVEFAIRFAXVA22033OUTPATIENT SURGERY
POTOMAC RADIATION ONCOLOGY
4001 PRINCE WILLIAM PARKWAYWOODBRIDGEVA22191RADIATION ONCOLOGY
INOVA WOODBURN SURGERY CENTER LLC
3289 WOODBURN ROAD SUITE 100ANNANDALEVA22003OUTPATIENT SURGERY
INOVA REHABILITATION WOODBRIDGE
2280 OPITZ BLVD SUITE 120WOODBRIDGEVA22191REHABILITATION
INSTITUTE OF RESEARCH AND EDUCATION
8110 GATEHOUSE ROADFALLS CHURCHVA22042RESEARCH FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 3c: THE COMMUNITY BENEFIT REPORT IS INCLUDED IN THE CONSOLIDATED INOVA HEALTH SYSTEM REPORT TO THE COMMUNITY ON INOVA.ORG WEBSITE.
Part I, Line 7: Cost to charge ratio method is used based on table 2 in the instructions. Total operating expense is divided by Total Gross Revenue to arrive at the cost to charge ratio.
Part I, Line 7g: Cost of Physician Clinic is $5,221,943.
Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 62225440.
Part II: Inova's Office of Sustainability provided community building support focused on environmental improvements. Environmental Mission Statement: Inova Health System is committed to establishing an environmental program that is safer and healthier for our patients, employees and community.Community Building Environmental Improvements Recycling Commingled recycling: Since 2008 Inova has had a commingled, or single-stream, recycling program. Throughout our facilities, paper, plastics, cardboard, metals and glass are all recycled in the same containers. Specialized materials recycling Specialized areas recycling (ORs, kitchens): We have also implemented specialized recycling programs to capture specific materials in areas such as operating rooms and construction sites.Energy Calculated carbon footprint of Inova hospitals based on energy consumption Energy usage data tracking with Energy Star Portfolio Manager Hired System-level Energy Manager Retuned building management systems Evaluated preventative maintenance strategies nvestigated and installed magnetic bearing chillers at Inova Mount Vernon Hospital Supported energy-saving technologies including motion and daylight sensors, LED and induction lighting and solar panels Supported the procurement of Energy Star and EPEAT desktop electronics and other appliances Water Integrated green technologies: motion sensor faucets, low-flow restroom fixtures Incorporated native plants and low-impact irrigation systems for landscaping Utilized water-efficient sterilization equipment Installed rain cistern in Inova Fairfax Medical Campus' new South Patient Tower Buildings Completed construction on LEED Silver South Patient Tower (IFMC) Installed a 4,000 square foot vegetated roof system that mitigates stormwater runoff and provides nature views to adjacent patient rooms Over 20% of building materials contain recycled content 37% of materials sourced from within 500 miles of the facility Over 70% of wood sourced from sustainably managed forests Recycled construction & demolition waste Implemented integrated pest management practices Applied water-efficient and pest-resistant native landscaping practices and water-efficient irrigation systems
Part III, Line 4: Bad Debt FootnotePatient accounts receivable include charges for amounts due from all patients less allowances for the excess of established charges over the payments to be received on behalf of patients covered by Medicare, Medicaid and other insurers. IHS has a self-insured discount policy whereby uninsured patients receive a 35% discount for services rendered. Discounts to uninsured patients are classified as a deduction from revenue. The provision for bad debts is recognized when providing an allowance for uncollectible accounts.All operating entities of IHS treat emergency patients regardless of their ability to pay. Non-emergency medically necessary care is provided virtually without restriction at all IHS tax-exempt operating entities. A patient is classified as a charity patient based upon established IHS policies that consider patient income levels and available assets. Since IHS does not pursue collection of amounts that qualify as charity care, they are deducted from gross revenue. The provision for bad debts includes unpaid accounts of patients who fail to provide required income and asset documentation to IHS. Guidelines used by IHS in determining charity care may differ from guidelines used by certain state or federal agencies.Costing MethodologyActual bad debt expense is multiplied by the cost to charge ratio used in computing charity care expense in Part I.The are no estimated amounts for bad debt expense attributable to patients under the organization's charity care policy.
Part III, Line 8: The organization does not treat any Medicare shortfall as community benefit. The amounts are taken directly from the Medicare Cost Reports as filed using a cost to charge ratio method.
Part III, Line 9b: Inova Health System strives to comply with the guidelines established by the American Hospital Association (AHA) and the International Code of Ethics and Professional Responsibility (ACA) which require members to engage in honorable, ethical and professional conduct of character not likely to deceive, defraud or harm the public.The policy of Inova Health System is to take legal action, only if there is evidence that the patient or responsible party has income and/or assets in excess of the levels suggested in the financial assistance policy; the patient has failed to provide the information needed to determine eligibility for financial assistance; or the patient is no longer meeting his obligations under an agreed-upon payment plan and has not informed the collections office of a change in financial condition.Staffs who work closely with patients, including those involved in billing and collection, are educated about hospital billing, financial assistance and collection policies and practices.Agencies acting on behalf of Inova Health System may not garnish wages or freeze bank accounts as a means of collecting unpaid hospital bills. Agencies may file liens only against estates. The foreclosure or forced sale of a patient's primary residence to pay an outstanding hospital bill is prohibited. It is not the policy of Inova Health System to file liens related to Medicare, Medicaid, MediCredit FFA or charity accounts.
Part V, Section B, Line 12h: Family SizeINOVA FAIRFAX HOSPITAL
Part V, Section B, Line 12h: Family size.INOVA FAIROAKS HOSPTIAL
Part V, Section B, Line 12h: Family size.INOVA MOUNT VERNON HOSPITAL
Part V, Section B, Line 14g: Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification notices posted intheir areas.INOVA FAIRFAX HOSPITAL
Part V, Section B, Line 14g: Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification notices posted in their areas.INOVA FAIROAKS HOSPTIAL
Part V, Section B, Line 14g: Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification notices posted intheir areas.INOVA MOUNT VERNON HOSPITAL
Part V, Section B, Line 20d: All self pay patients receive a 35% self pay discount.INOVA FAIRFAX HOSPITAL
Part V, Section B, Line 20d: All self pay patients receive a 35% self pay discount.INOVA FAIROAKS HOSPTIAL
Part V, Section B, Line 20d: All self pay patients receive a 35% self pay discount.INOVA MOUNT VERNON HOSPITAL
Part VI, Line 2: Inova Health System (IHS) has used the following methods to determine the healthcare needs of the community:An assessment of community health status based on available morbidity and mortality data from secondary data sources such as Commonwealth of Virginia vital statistics, cancer registries and hospital discharge abstracts;Focus groups and surveys to determine community concerns and expectations related to health issues; Conferences to elicit broad community input and reach consensus on critical health care needs.Periodically updated the community needs assessment with a comprehensive analysis of community health status to determine how community health needs have changed since the prior assessments were completed. This assessment relied on secondary data sources including VDH statistics on births, deaths and diseases; information on hospital finances and utilization from Virginia Health Information Inc; and internal information on hospital utilization and charges from Inova Health System.Study of community Health Impact on Hospital services using population based hospital discharge dataEngaged community leaders from the Alexandria Health Department, Fairfax County School District and a private non-profit. Northern Virginia Family Services provided expert consultation and guidance for the task force on the importance and challenges of establishing partnerships.As a result of this work Inova's programs expanded to address the identified Community Health Priorities. These goals were re-evaluated and updated to align with the Healthy People 2010 goals and outcomes. Community health needs assessments are currently in progress across Northern Virginia sponsored by the various Health Departments using the framework of the Mobilizing for Action through Planning and Partnerships (MAPP) process. Inova Health System is a participating member of each MAPP process team in each jurisdiction across Northern Virginia. Inova served on the MAPP team's year-long task force for Arlington County, for which the final report was completed in 2008. In 2008 Inova also participated in the first of four assessments being conducted by Fairfax County. This is an ongoing community-driven planning process that is designed to provide information for improving the community's delivery of the 10 essential public health services. Fairfax County has three other assessments to complete the MAPP process. This process brings together a diverse group of key community stakeholders including local government, human service organizations, schools and universities, healthcare consumers, advocacy groups, hospitals, faith institutions, youth development organizations, economic and philanthropic groups, etc. to identify strengths and weaknesses in the ten essential areas to provide a foundation for community health planning. Inova is participating in the continuing local public health needs assessment in the City of Alexandria as well. The information from all the MAPP health needs assessments from all jurisdictions served by Inova Health System will provide the new baseline for the ongoing three-year community needs assessments and will be incorporated into the community needs assessment Inova initiated in 2011 with completion of the assessment as well as implementation plans scheduled for 2013. In addition to participating in the MAPP process, Inova is continually garnering feedback on their existing programs from program participants through monthly and quarterly satisfaction surveys and focus groups, participating in regional and local health related groups such as the Northern Virginia Access to Health Care Consortium, meeting with various cultural and ethnic groups in the community and using internal utilization and outcomes data, review of best practices and regional and national benchmark data and other external sources such as the Metropolitan Washington Council of Governments (COG) demographic data to develop strategic goals for health improvement activities. Collectively, all this information is utilized in assessing community health needs to guide strategic planning efforts.
Part VI, Line 3: Inova Health System incorporates a multifaceted approach to educate and inform patients and potential patients about the Inova charity care policy. Upon admission to any Inova hospital or nursing home or any visit to outpatient facilities or clinics including our emergency departments, Inova has information posted regarding patient rights and responsibilities. Patients are provided information about our charity care program and referrals to an Inova financial counselor who assists the patients in completing our charity care application. This financial information is reviewed by our patient accounts department and the patient is contacted if any additional information is needed to make a determination. The patient is sent a letter in which they are given the level of charity care for which they are qualified whether it be 100% coverage or a sliding scale payment based upon their income level between 200-300% of the Federal Poverty Guideline. Inova also has Medicaid eligibility workers on-site in all hospitals, in our InovaCares Clinic for Women and Children (clinic for low income families) and in the community as part of our Partnership for Healthier Kids Access to Care program. We partner with schools across our jurisdiction to provide information about state funded health programs for children and contact information to meet with an eligibility worker responsible for enrolling families in state Medicaid programs. These eligibility workers also go out into the community attending community events such as health fairs, faith-based community activities and other family centered community events to proactively meet with families to encourage enrollment in programs for which they are eligible. Inova has a section of our public website dedicated to information about billing and financial coordinators and financial assistance resources. On the site a brochure called "Financial Help for Healthcare Services" can be downloaded and is available in 6 languages to address the needs of our culturally diverse community.
Part VI, Line 4: Inova Health Care Services (IHCS) is a not-for-profit corporation and a subsidiary of the parent organization, Inova Health System Foundation (Inova). Inova provides healthcare and related services throughout Northern Virginia and the greater metropolitan Washington, D.C. area, including certain contiguous counties of Virginia and Maryland. Northern Virginia is one of the fastest growing urban communities in the United States. With approximately 1,314 square miles, the region is the most densely populated in the Commonwealth of Virginia. Northern Virginia is comprised of several distinct communities, including the cities of Alexandria, Fairfax, Falls Church, Manassas and Manassas Park, and the counties of Arlington, Fairfax, Loudoun, and Prince William. The eastern sections are urbanized with attendant health problems of overcrowding and increasing demand for health services and public programs. Inova Health Care Services' service area is primarily Fairfax County.The region's population served by IHCS is forecasted to grow 14% over the next decade adding an estimated average of 31,000 persons a year. Population will be spurred by the long-term strength of the region's economy, high rates of in-migration and international immigration. The region's population that is 65 years of age and older is expected to double by 2030, while the number of children will increase by about 19% during the period.Northern Virginia's racial and ethnic diversity is more pronounced than in the rest of the state. With increasing diversity, economically disadvantaged populations and multiple languages, the need for access to culturally appropriate, flexible health care continues to grow. The Northern Virginia geographic region is 45% minority, up from 23% in 1990, while the nation as a whole reflects a 37% minority population (U.S. Census Bureau, 2013). Fairfax County, with more than one million residents, is the largest jurisdiction in Northern Virginia and also has the largest minority population. In Fairfax County in 2011 Asians, Hispanics, and African Americans represented 18.0 percent, 15.8 percent, and 9.9 percent of the county's population, respectively. More than one-quarter of the state's Hispanic population resides in Fairfax County (U.S. Census Bureau, 2013).According to the US Census Bureau Small Area Health Insurance Estimates (SAHIE) in 2010 approximately 13.0% of the total population under the age of 65 (about 264,000 people) in Northern Virginia lacked healthcare insurance. Of the people living in Northern Virginia whose family incomes are at or below 200% of the federal poverty level, SAHIE estimates that 40% (about 122,000 people) were uninsured in 2010.Area residents most likely to be uninsured are those whose family incomes are at or below 200% of the poverty level, young adults (age 18-44), people of racial backgrounds other than White, unemployed individuals, part-time workers, and people who work at companies with fewer than 50 employees. Serving this population poses significant cultural and linguistic challenges, and these uninsured citizens are widely distributed in terms of age, geographic region, and health status.
Part VI, Line 5: Inova Health System's investment in the communities across Northern Virginia is evident given the programs providing access to care for low income, uninsured, underinsured and vulnerable populations; promoting health & wellness and increasing health literacy; providing the support and infrastructure for disaster preparedness; and providing programs to support development of our future healthcare workforce to meet the healthcare needs of the communities served. All Inova healthcare facilities have open medical staffs to provide the maximum access to qualified physicians. A Community Board of Trustees provides fiscal and quality oversight for Inova Health Care Services' facilities to ensure the vision and mission of the organization is achieved.Access to Care ProgramsInova's Community Safety Net and Community Health Division is organized to address the healthcare needs of the community. In addition to the programs already described in the core form program, accomplishments that increase access to healthcare services for the communities served by Inova Health System include the following programs which provide infrastructure support and services focused on vulnerable populations:The Streamlined Eligibility program (SES), launched by the successful implementation of the federally-funded 2001 CAP and 2004 HCAP grants, continues to be funded by Inova. SES provides local safety-net health care providers access to coordinated health care networks to serve the uninsured and underinsured residents of Northern Virginia. A shared database is used to determine a patient's eligibility for services which provides one central intake thereby streamlining and expediting the process. Inova supports the infrastructure and expansion of the program which currently consists of 12 public/private partners serving Fairfax County, City of Alexandria, Loudoun County, Arlington County, and Prince William County. The system currently houses over 285,000 eligibility records of uninsured and Medicaid patients. Inova's Partnership for Healthier Kids (PHK) Access to Care program provides families with comprehensive application and enrollment assistance to connect them with an appropriate and affordable source of health care services. In 2012, PHK assisted over 4,982 children with access to a source of comprehensive health care services such as Medicaid, FAMIS or local safety net providers. Transitional Care Management Inova Transitional Care Management Program (TCM), implemented July 2011 focuses on unmanaged Medicare/ Medicaid and uninsured patients diagnosed with heart failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), pneumonia and diabetes. These diseases account for a high proportion of potentially preventable readmissions. For 30 days after discharge from the hospital or emergency room, TCM case managers and Health Coaches monitor patients primarily by telephone. They educate patients about their illnesses, ensure they have a follow-up appointment with their primary care physician (PCP), and confirm they have filled any prescriptions and are taking the correct medications. For those patients that do not have a PCP, Inova has developed TCM clinics in collaboration with the Inova Juniper Program in which patients are provided a follow up appointment with a nurse practitioner who will follow the patient until the patient is connected with a Medical Home. Inova Home Health Services also partners with TCM in providing home visits to patients identified by the case managers as needing a home visit. In 2012, 3,567 patients were admitted to the TCM Program.Inova Kellar CenterInova Kellar Center is a community based behavioral health center and special education school founded by Inova in 1991 with a gift from Fairfax County residents, Art and Betty Kellar, to address a gap in mental health and substance abuse services for children and adolescents. Currently IKC offers a full continuum of mental health services from outpatient therapies and medication management to after school Intensive Outpatient Programs and a full day Partial Hospitalization Program. The Kellar School, a private special education day school for students with emotional, social and behavioral needs provides academic instruction within a therapeutic environment. The Center provided 37,679 clinical and 42,402 educational hours to children and families for a total of 80,081 hours in 2012. Health Promotion and Preventative Care ProgramsNorthern Virginia Healthy Kids' Coalition: Tipping the Scales for Better Health. Inova Health System in partnership with Northern Virginia schools, health departments, and government entities have joined together in a multi-year effort to address the childhood obesity epidemic by working to reverse this trend. The Inova Health System sponsors this community-based coalition. Inova Partnering Actively Towards Health (iPATH). The iPATH mission is to provide opportunities for students to engage in health oriented activities within our community, strengthen healthy living amongst adolescents, and expose students to exciting medical careers. The PATHway to Improved Health program is a ten-week program designed to engage selected student leaders that will champion health awareness activities in their schools and communities, empower students to partner with health professionals to assist Inova and their school in developing a new health initiative, and serve as a health ambassador to their families to help achieve the goal of improving the health of the community one family at a time. Congregational Health Partnership (CHP) has resourced and facilitated wellness of spirit, mind, and body through multi-faith communities:Provided more than 102 health education and wellness promotion activities Distributed over 12,654 pieces of health education materials.Conducted over 3,371 consultations and networking conversationsIncreased the number of new faith communities partnered with CHP with 20 new Faith Congregations contacted this year.Health Literacy and Health Equity ProgramsThe Office of Health Equity (OHE) identifies and addresses health disparities in Northern Virginia through internal and community initiatives under the Quality, Service and Community Pillars. The department is dedicated to the elimination of disparities in our community through community partnership, diversity and cultural competence education, and provision of language services. In support of patient safety and satisfaction, language interpretation and translation services are provided at every Inova facility, to facilitate communication with the 8-10 percent of Inova's patient population who are limited English proficient (LEP). Medical Interpretation in over 100 languages is provided by on site medical interpreters and telephonic interpreters. In 2012, the OHE delivered 55,289 hours of interpreter service across Inova facilities. In 2012, 18,099 hours of Sign Language interpretation were delivered. Video remote interpreting (on demand, online interpreting) has been expanded to 24 locations throughout Inova.
Part VI, Line 6: Organization is part of Inova Health System included in description under Line 5.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JKNOX SINGLETON
PRESIDENT0116681002064701030659606224370224260418297000
RICHARD MAGENHEIMER
TREASURER06058310248980012525002794710214940128102600
JOHN GAUL
ASST SECRETARY40754309850009454706982902009806905170350230
MARK STAUDER
PRESIDENT, COO0917232040499806270880534328018994025026400446220
LEWIS PASTERNAK
EVP CEO IFH04161070222882026681030000018146071381600
JOHN NIEDERHUBER
CEO ITMI & EVP IHS096823207391000411240375000159270180188300
KYLANNE SILVERSTONE
EVP CEO INOVA MDG CARE SVC044545902421610375240135944014314087540200
MARSHALL RUFFIN
EVP CTO0583848022874004164901213700416050101721200
PATRICK CHRISTIANSEN
EVP CEO IFH045818001460280349020111499015074076568300
FLINT LORING
EVP CHIEF MEDICAL OFFICER0563075018325908855601474350328690101519400
GEOFFREY BROWN
SVP CIO2934390684170243400682780163090470783000
MARK RUNYON
SVP FINANCE35401101226300226220953290203420614934000
BARBARA DOYLE
CEO IMVH346891078386026916905450008066075701201740820
MAUREEN SWICK
SVP CHIEF NURSING EXEC2997230540000243860969220199870495018000
ANGELA MANNINO
SVP HUMAN RESOURCES34691808373308341006901202031606033890325840
JOHN FITZGERALD
CEO IFOH37653409339403765401089870142260630795000
JAMES SANTRY
SVP BUS DEV & MANAGED CARE20473301126840192270548130242480415705000
JAMES ECKLUND
PHYSICIAN99315301942500124205450001712501260270000
JOSEPH WATSON
PHYSICIAN59405707456408100320000208150722246000
JOHN HAMILTON
PHYSICIAN495222014864506300490000187020712199000
JOSEPH VOCKLEY
SVP TRANSLATIONAL RESEARCH528107022916003262201190260184940927409000
ZOBAIR YOUNOSSI
VP RESEARCH489563011420002247901122160290370767495000
JAMES KIM
FORMER AVP DEPUTY GENERAL2031590303790101860466280182160308568000
HPATRICK WALTERS
FORMER SVP STRATEGIC PLANNING044141900023678050465018319053388100
RONALD EWALD
FORMER VP IHS AA FINANCE2399530501410263300803740154780412276000
PATRICIA BYRNES SCHMEHL
FORMER VP IFH WOMENS CENTE1976550481980229930658540264190361119000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aEmployees Flint Loring and Marshall Ruffin received a temporary housing benefits which were included on their W-2s.
Part I, Line 4bPart I, Line 4b: SERP Plan Payments J. Knox Singleton $229,900 Richard Magenheimer $88,500 John Gaul $73,408 Barbara Doyle $231,676 Angela Mannino $61,700 Mark Stauder $580,078 The Supplemental Executive Retirement plan (SERP Plan) is a nonqualified retirement plan. Employees eligible to participate are Executive Directors, Assistant Vice Presidents, Vice Presidents, Senior Vice Presidents, Executive Vice Presidents, CFO, COO, and CEO. Each year, a certain percentage of each participant's base salary is contributed to the SERP Plan. This amount ranges from 5% to 20%, depending on position. After three years of continuous participation, participants vest in 50% of their balance at that time and are paid out the vested balance as a taxable event. After a total of six years participation and after attaining age 50, participants are 100% vested and are paid out their remaining balance as a taxable event. Vesting then reverts to a 3 year rolling schedule until year 12. Thereafter, the annual contribution is paid out to the participant each year as a taxable event.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Industrial Development Authority of Fairfax County Virginia
A911920228303823FM52005-05-12119090000See Part VI000
Industrial Development Authority of Fairfax County Virginia
B911920228303823FR42005-05-1271520000See Part VI000
Industrial Development Authority of Fairfax County Virginia
C911920228303823GL62009-04-16275374313See Part VI100
Industrial Development Authority of Fairfax County Virginia
D911920228303823JH22009-12-1573433655See Part VI000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsCapitalized InterestCapitalizedInterestIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount Bond DefeasedAmountBondDefeased
A12580000125531544360421736712512647020320070011
B47850000715200001072412942920111
C200785000275374313438431374595466101175040000
D9780000734336556605391011

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersTotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI
A0111110.011000.01100001
B0000001
C010110.008000.014000010.00600
D0000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsBusiness Name Line2NameOfHedgeProvider/BusinessNameLine2Term Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
Morgan Stanley
A000111Capital Services30.00000000000000001
(no name)
B000110001
(no name)
C000100001
(no name)
D001000001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PART I, COMUMN BEIN NUMBERSEIN numbers for Series 2005A, 2005C, 2009A, 2009C, and 2011 have been changed from 54-1470567 which are shown on Form 8038 to 91-1920228 due to IRS letter indicating EIN number. EIN numbers for Series 2012AB and 2012C have been changed from 54-1470562 which are shown on Form 8038 to 91-1920228 due to IRS letter indicating EIN number.
PART I, COLUMN EISSUE PRICEPart 1, row A, column E Issue price per Form 8038 for 2010A 190,000,000 Refunded bonds- 2010A1 to 2012C (95,000,000) Part 1, row A, column E 95,000,000 Part 1, row B, column E Issue price per Form 8038 for 2009A 350,414,313 Refunded bonds- 2009A to 2012D (75,040,000) Part 1, row B, column E 275,374,313
PART I, COLUMN FDESCRIPTION OF PURPOSEBond A 1) Renovate and expand certain portions of Inova Alexandria Hospital (IAH), Inova Fairfax Hospital (IFH), Inova Fair Oaks Hospital (IFOH); 2) Acquire certain capital equipment for use in or in connection with IAH, IFH, IFOH, and Inova Mount Vernon Hospital (IMVH) and renovate any space necessary or incidental to the installation of such equipment; 3) Pay issuance costs for Series 2005 A and B; 4) Refund prior bonds issued by the Industrial Development Authority of Loudoun County, Virginia Hospital Revenue Bonds, Series 1995 issued 10/26/1995 and 2002A issued 6/27/2002, and pay issuance costs of Series 2005D; 5) Refund prior bonds Series 2001A, B, C, and D issued 12/11/2001 Bond B 1) Refund prior bonds -1996A issued 4/18/1996; 2) Pay issuance costs of series 2005C bonds Bond C 1) Refund prior bonds - 2008ABC issued 4/17/08; 2) Pay issuance costs of series 2009A and B bonds; 3) Finance the costs of acquisition, construction, renovation, installation and equipping of the 2009 Projects Bond D 1) Refund prior bonds - 1998A issued 3/10/98; 2) Pay issuance costs of series 2009C bonds Bond E 1) Refund prior bonds - 2009B issued 4/16/2009; 2) Pay issuance costs of series 2010A bonds Bond F 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A & 2005C issued 5/12/2005 Bond G 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH Bond H 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH ; 2) refund a portion of 2010A bonds issued 3/8/10 Bond I 1) Advance refund a portion of 2009A bonds issued 4/16/2009
PART II, LINE 3PROCEEDSPart II, line 3. 2005A bonds Total proceeds 119,090,000 Interest income & other deposit 6,441,544 Total 125,531,544 Part II, line 3. 2010A bonds Total proceeds 95,000,000 Interest income 1,963,599 Total 96,963,599 Part II, line 3. 2012AB bonds Total proceeds 382,960,937 Interest income 822,749 Total 383,783,686 Part II, line 3. 2012C bonds Total proceeds 145,000,000 Interest income 100,947 Total 145,100,947
PART IV, LINE 2CDATE OF REBATE COMPUTATION2005A 5/12/2010 2005C 8/15/2006 2009A 4/16/2010

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Industrial Development Authority of Fairfax County Virginia
A911920228303823JJ82010-03-0895000000See Part VI000
Industrial Development Authority of Fairfax County Virginia
B9119202282011-07-2954490000See Part VI000
Industrial Development Authority of Fairfax County Virginia
C911920228303823KE72012-08-23382960937See Part VI000
Industrial Development Authority of Fairfax County Virginia
D911920228303823KN72012-08-23145000000See Part VI000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount UnspentAmountUnspent
A950000009696359919116072120121011
B12108889544900001011
C383783686245395180001359244168
D1451009479698449100140402498

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrsEngage Bond Counsel ContractsEngageBondCounselContracts
A010110.008000.006000.01400001
B011110.011000.011000011
C0000001
D010110.008000.006000.01400001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A010010001
B010000001
C010000001
D010010001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Industrial Development Authority of Fairfax County VirginiaBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN911920228IssuerEIN
CUSIP Number303823KS6CUSIPNumber
Date Issued2012-12-20DateIssued
Issue Price80991559IssuePrice
Description Of PurposeSee Part VIDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds80991559TotalProceeds
Refunding Escrow81032980RefundingEscrow
Current Refunding0CurrentRefunding
Advance Refunding1AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements1AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements1AnyResearchAgreements
Engage Bond Counsel Research1EngageBondCounselResearch
Prcntge Prvt Business Use By Others0.00700PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00600PercentageOfPrvtBusinessReUBI
Total Private Business Use0.01300TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs1NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiled
Rebate Not Due Yet1RebateNotDueYet
Exception To Rebate0ExceptionToRebate
No Rebate Due0NoRebateDue
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Robert Ahmed MD
Trustee131438Fees paid to Dr. Ahmed to serve as the Inova Fair Oaks Hospital Medical Staff President. Half of this annual amount is paid by the Medical Staff. Services provided at arm's length and customary rates.0
Martha Calihan MD
Trustee1142911Loudoun Medical Group leases medical office space from Inova Health System in several locations in medical office buildings owned by Inova. Space is leased at commercial terms and at fair market value. Services provided at arm's length and customary rates.0
Arshed Choudhry MD
Trustee84792Medical Director Services. Services provided at arm's length and customary rates.0
David W Gehring MD
Trustee77260Medical Staff President expenses. Services provided at arm's length and customary rates.0
Sarota Gopal MD
Trustee121500Fees for physician services. Services provided at arm's length and customary rates.0
Mary Schmidt
Trustee129167Fees to serve as Medical Staff President. Services provided at arm's length and customary rates.0
Mary Schmidt
Trustee622740Fees Paid to Infectious Disease Physicians. Services provided at arm's length and customary rates.0
George Tawill MD
Trustee140000Medical Staff President expenses. Services provided at arm's length and customary rates.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSPART III, LINE 4AInova Health System utilizes a multifaceted approach to educate and inform patients and the public about Inova's charity care policy. Upon admission to any Inova hospital, nursing home 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 our charity care program and referrals to Inova financial counselors who assist patients in completing Inova's charity care application. This financial information is reviewed by the Inova Patient Accounts Department with the patient contacted if additional information is required in order to make a determination. The patient is subsequently provided a letter, notifying them as to the level of charity care for which they are qualified (whether it be 100% coverage or a sliding scale payment based upon their income level between 200-300% of the Federal Poverty Guideline). In 2012 IHCS's unreimbursed cost of charity care, including free and discounted services, was $80 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. Also included under this program are the blind, the disabled, and crippled children. The reimbursement that IHCS facilities receive from the Medicaid program routinely falls below the actual cost of services provided. During 2012, IHCS provided care to Medicaid patients at an unreimbursed cost of $50 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 and in providing certain free services to those residents the County identifies as most in need.
Form 990, Part VI, Section B, line 11The Form 990 is prepared and provided to the Chief Accounting Officer and external tax consultants for initial review. After the review it is given to the CFO of Inova Health System for his 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. In this process, the Form 990 has been provided to the Governing Board approximately two weeks prior to the filing of the return.
Form 990, Part VI, Section B, line 12cYes, 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 15The compensation of all senior management positions is evaluated annually in light of each manager's job content, scope and complexity. Compensation levels for Vice Presidents and above 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 large complex health systems. The independent compensation consultant maintains national benchmark compensation databases and surveys and also reviews Forms 990 of comparable healthcare systems to determine market levels of compensation. In addition, the Inova Health System's CEO's compensation is reviewed and approved annually by an independent governing Board. 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 objectives and with competitive market comparisons. Compensation for employed physicians is reviewed and approved by the Inova Health System Physician Compensation Committee. The committee is comprised of executive management of the Inova Health System. The Fair Market Value (FMV) compensation is based on four nationally recognized industry physician compensation benchmark surveys (MGMA, AMGA, Sullivan & Cotter, Hay Group). 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 Physician Compensation Committee for review and approval.
Form 990, Part VI, Section C, line 18The Form 1023, 990T and Form 990 is available at the address listed on page 1 of the Form 990 upon request during regular business hours.
Form 990, Part VI, Section C, line 19Inova Health System makes certain information publicly available. Inova's consolidated annual audited financial statements are posted on the Electronic Municipal Market Access's (EMMA) website. In addition, the quarterly financial statements of the Inova entities that are obligated to service the Inova bonds, called the Inova Health System Obligated Group (which represents the vast majority of Inova's financial results), are posted on the EMMA website within 60 days of each quarter-end, except the 4th quarter which is posted within 150 days after year-end along with Inova's fully consolidated annual audited financial statements (mentioned above). Inova's Form 990s are disclosed on the Guidestar website. 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 III 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. The Code also refers to the conflict of interest policy which is available to staff and physicians on Inova's intranet website.
HOURS WORKEDPART VII, COLUMN BTHE FOLLOWING INDIVIDUALS HAVE HOURS PER WEEK WORKED ON RELATED ORGANIZATIONS: J. KNOX SINGLETON, 30 HOURS JOHN GAUL, 26 HOURS RICHARD MAGENHEIMER, 26 HOURS LORING FLINT, 10 HOURS MARK STAUDER, 12 HOURS MARSHALL RUFFIN, 10 HOURS JAMES SANTRY, 10 HOURS LEWIS PASTERNAK, 10 HOURS KYLANNE SILVERSTONE, 10 HOURS JOHN NIEDERHUBER, 10 HOURS PATRICK CHRISTIANSEN, 1 HOURS JAMES KIM, 26 HOURS PATRICK WALTERS, 45 HOURS ARSHED CHOUDHRY 4 HOURS MARTHA CALIHAN, 4 HOURS ROBERT AHMED, 2 HOURS CHARLES SMITH, 4 HOURS JACK EBELER, 3 HOURS MARGARET COLON, 3 HOURS
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 9:PARTNERSHIP INCOME -17,041,945. CHANGE IN INVESTMENTS BALANCE -14,365,675. PRIOR PERIOD FUND BALANCE -8,502,877. EQUITY IN SUBS 10,786,617. DONATED FUNDS 277,211. CAPITAL REIMBURSEMENT 624,896. OTHER 30,776. FUND BALANCE TRANSFER DUE TO MERGER ON 12/31/12 340,041,975.
NUMBER OF EMPLOYEESPART V, LINE 2AThe 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.
AUDITED FINANCIAL STATEMENTSPART XII, LINE 2B AND 2CThe 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 large "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.
A-133 AUDITPART XII, LINE 3AThe company is a subsidiary of the Inova Health System, a not-for-profit integrated health care delivery system serving Northern Virginia and surrounding areas. The company receives various federal grants. These grants and awards are audited as part of the consolidated Inova Health System A-133 compliance audit. The Inova Health System's federal grants are audited on an annual basis by a large "Big Four" independent public accounting firm and a "Report on Compliance with Requirements Applicable to Each Major Program and on Internal Controls over Compliance in Accordance with OMB Circular A-133" is issued on a consolidated basis. The Finance and Audit Committee of the Board of Trustees of Inova Health System is responsible for the oversight of the A 133 audit, including the hiring of the audit firm, review and approval of audited financial statements and communications with the external auditors at least twice a year without the presence of internal management.
MERGER INFORMATIONMergers Consummated as of 12/31/12: 1. Inova Alexandria Health Services Corporation into Inova Health Care Services (a) Survivor: Inova Health Care Services (b) Target: Inova Alexandria Health Services Corporation (c) Filed: December 27, 2012 (d) Effective: December 31, 2012 at 11:59pm 2. Inova Alexandria Hospital into Inova Health Care Services (a) Survivor: Inova Health Care Services (b) Target: Inova Alexandria Hospital (c) Filed: December 27, 2012 (d) Effective: December 31, 2012 at 11:59pm 3. Inova Health System Services into Inova Health Care Services (a) Survivor: Inova Health Care Services (b) Target: Inova Health System Services (c) Filed: December 27, 2012 (d) Effective: December 31, 2012 at 11:59pm

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
INOVA CAP LLC
8110 GATEHOUSE ROADFALLS CHURCHVA22042270927074INSURANCE CAPTIVEVA275137880705238INOVA HEALTH CARE SERVICES
SPRINGFIELD HEALTHPLEX CONDOMINIUM DEVELOPMENT LLC
8110 GATEHOUSE ROADFALLS CHURCHVA22042274533736REAL ESTATEVA40550696868289INOVA HEALTH CARE SERVICES

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
INOVA HEALTH SYSTEM FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541071867FUNDRAISINGVA501(C)(3)11,IIIN/A0
INOVA VNA HOME CARE
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541277164HOME CARE SERVICESVA501(C)(3)9N/A0
INOVA HEALTH SYSTEM SERVICES
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541434144NURSING HOMESVA501(C)(3)9N/A0
IMANCO INC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541340725PAYROLL CORPORATIONVA501(C)(3)11, IN/A0
INOVA ALEXANDRIA HEALTH SERVICES CORPORATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042521356573INACTIVE CORPORATIONVA501(C)(3)11,IN/A0
INOVA PHYSICAL REHABILITATION SERVICES
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541692089REHABILITATION SERVICESVA501(C)(3)9N/A0
INOVA ALEXANDRIA HOSPITAL
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042540505861HOSPITALVA501(C)(3)3N/A0
INOVA MEDICAL FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541716343MANAGED CARE INACTIVEVA501(C)(3)11, IN/A0
UMC HOLDINGS INC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541390795URGENT CARE SERVICESVA501(C)(3)9N/A0
INOVA EMPLOYEE ASSISTANCE
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541916699EMPLOYEE SERVICESVA501(C)(3)11, IN/A0
ALEXANDRIA HOSPITAL FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042510241913FUNDRAISINGVA501(C)(3)11, IN/A0
LOUDOUN HOSPITAL CENTER
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042540525802HOSPITALVA501(C)(3)3N/A0
LOUDOUN NURSING AND REHABILITATION CENTER
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541361310REHABILITATION SERVICESVA501(C)(3)9N/A0
LOUDOUN HEALTH SERVICES
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541555489SURGERY CENTERVA501(C)(3)9N/A0
LOUDOUN HEALTHCARE FOUNDATION
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042542011240FUNDRAISINGVA501(C)(3)11, IN/A0
LOUDOUN HEALTHCARE INC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541361309INACTIVE CORPORATIONVA501(C)(3)11, IN/A0
LHI PROPERTIES INC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541651315INACTIVE CORPORATIONVA501(C)(3)11, IN/A0
INTOTAL HEALTH LLC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042201581237HMOVA501(C)(3)9N/A0

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
TECHNICAL DYNAMICS LLC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042432041666EQUIPMENT REPAIRSVAN/ARELATED18993159903010.67220
INOVA WOODBURN SURGERY CENTER LLC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042262295023SURGERY CENTERVAN/ARELATED3633401
NORTHERN VIRGINIA SURGERY CENTER
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042203502477SURGERY CENTERVAN/ARELATED25040212905945010.62640
FRANCONIA-SPRINGFIELD SURGERY CENTER LLC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042542018390SURGERY CENTERVAN/ARELATED27908721687028010.61240
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE ROAD SUITE 400WFALLS CHURCHVA22042541802733RADIATION ONCOLOGYVAN/ARELATED4492872766525010.50000
INOVA RESTON MRI CENTER LLC
2722 MERRILEE DRIVE SUITE 230FAIRFAXVA22031264587374MRI SERVICESVAN/ARELATED79357242176604010.65000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
INOVA HEALTH SYSTEM FOUNDATION
C3501561GENERAL LEDGER
INOVA HEALTH SYSTEM FOUNDATION - CASH SWEEP ACCOUNT
R128580144INTERCOMPANY BALANCE
INOVA HEALTH SYSTEM FOUNDATION
M4746289GENERAL LEDGER