INOVA HEALTH CARE SERVICES: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: INOVA HEALTH CARE SERVICES (EIN 54-0620889)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-10
IRS object ID: 201143149349302539
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-10T14:21:29-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	540620889	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	INOVA HEALTH CARE SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	INOV	NameControl
Phone	7032892433	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8110 GATEHOUSE ROAD SUITE 400W	AddressLine1
City	FALLS CHURCH	City
State	VA	State
ZIP Code	22042	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RICHARD MAGENHEIMER	Name
Title	CFO	Title
Phone	7032892433	Phone
Date Signed	2011-11-11	DateSigned

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	J Knox Singleton	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	8110 GATEHOUSE ROAD SUITE 400W	AddressLine1
City	FALLS CHURCH	City
State	VA	State
ZIP Code	22042	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1643413444	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	INOVA.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1956	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	Inova 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 Body	30	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	21	NbrIndependentVotingMembers
Total Nbr Employees	12925	TotalNbrEmployees
Total Nbr Volunteers	1824	TotalNbrVolunteers
Total Gross UBI	7245638	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	12334030	ContributionsGrantsPriorYear
Contributions Grants Current Year	12713325	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1530579746	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1567871629	ProgramServiceRevenueCY
Investment Income Prior Year	75841362	InvestmentIncomePriorYear
Investment Income Current Year	-10518052	InvestmentIncomeCurrentYear
Other Revenue Prior Year	44879013	OtherRevenuePriorYear
Other Revenue Current Year	46234214	OtherRevenueCurrentYear
Total Revenue Prior Year	1663634151	TotalRevenuePriorYear
Total Revenue Current Year	1616301116	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	769419432	SalariesEtcPriorYear
Salaries Etc Current Year	798033934	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	693977921	OtherExpensePriorYear
Other Expenses Current Year	681198101	OtherExpensesCurrentYear
Total Expenses Prior Year	1463397353	TotalExpensesPriorYear
Total Expenses Current Year	1479232035	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	200236798	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	137069081	RevenuesLessExpensesCY
Total Assets BOY	2391147426	TotalAssetsBOY
Total Assets EOY	2583973333	TotalAssetsEOY
Total Liabilities BOY	1394624787	TotalLiabilitiesBOY
Total Liabilities EOY	1456032393	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	996522639	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1127940940	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	IHCS 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 Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1253276662	Expense
Grants	9066437	Grants
Revenue	1604475396	Revenue
Description	Inova Health Care Services (IHCS) is part of the Inova Health System whose mission is to serve the community as a not-for-profit organization through the provision of a full spectrum of high quality and accessible healthcare services. IHCS 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 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, Emergency Care Center of Reston, Emergency Care Center of Fairfax, Springfield Healthplex 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 based on the needs of the community. During 2010, IHCS admissions and observations cases totaled approximately 87,000, outpatient visits totaled approximately 387,000, emergency visits totaled approximately 245,000 and deliveries totaled approximately 14,000. The acute care program services provided by these hospitals are described more fully below.Inova Fairfax Hospital (IFH) 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. The IFH campus includes the Inova Heart and Vascular Institute, Inova Women's Hospital, and Inova Fairfax Hospital for Children, operating as divisions of IFH. The campus is located in central Fairfax County and services the surrounding community. IFH 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. IFH is a teaching hospital providing clinical training through its medical residency, nursing, and paramedical education programs. In 2010, Inova Heart and Vascular Institute (IHVI) earned the Joint Commission's Gold Seal of Approval for treatment of heart attack patients by demonstrating compliance with national standards for healthcare quality and safety. The IHVI at IFH earned Advanced Certification in Heart Failure from the Joint Commission for its exceptional efforts to foster better quality of care and outcomes for heart failure patients. In addition, IFH's Joint Replacement Surgery Program was awarded the Joint Commission's Gold Seal of Approval for healthcare quality. For the fourth year in a row, IFH was named one of America's 50 Best Hospitals by independent quality ratings firm HealthGrades, Inc.Inova Mount Vernon Hospital (IMVH) is a 237-licensed bed, acute-care hospital serving southeastern Fairfax County. IMVH 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). In 2010, IMVH's Hyperbaric Oxygen Unit was granted a four-year accreditation with distinction from the Undersea and Hyperbaric Medicine Society, a recognition earned by less than 20 percent of accredited medical facilities in the country. 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. IFOH 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 including the only inpatient pain management program in northern Virginia; obstetrics and pediatric services; and comprehensive outpatient services including outpatient surgery, physical medicine, wound care and rehabilitation. IFOH is home to a designated Bariatric Surgery Center of Excellence. In 2010, IFOH's Spine and Joint Replacement Surgery Program received the Joint Commission Gold Seal of Approval for healthcare quality. IHCS uses much of its surplus funds to improve the quality of patient care and expand its facilities. IHCS has recently invested significant capital in all three hospital facilities. IHCS is embarking on an $875 million facility development program at the IFH campus over the next four years. This program will expand existing services, renovate the existing patient tower and provide for a new and separate women's hospital facility. The IMVH will be investing in a $46 million expansion to create private rooms and upgrade facilities. Specific acute care programs include:Cardiovascular Care: The Inova Heart and Vascular Institute is the region's first dedicated heart hospital. Open since October 2004, it houses 156 inpatient beds, six cardiovascular operating rooms, 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. In 2010, Inova Heart and Vascular Institute opened its one-of-a-kind hybrid operating room (OR), which includes technology that cannot be found anywhere else in the nation. This innovative OR features all the equipment necessary for cardiac surgeons, electrophysiologists and cardiologists to operate together on the same patient. It reduces surgical time and allows patients to recover more quickly, with fewer complications.Procedures that used to be performed in three separate areas are now consolidated in a single space. These include treatment of cardiac rhythm abnormalities, aortic valve replacement without the use of a heart-lung machine, and treatment for coronary artery blockages combining minimally invasive surgical techniques and catheter-based stenting. In 2010, a total of 26,962 patients were served by the IHCS cardiovascular program. Women's Health: The Womens Health services is the largest such program in the Mid-Atlantic region, providing services for approximately 14,000 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, IFH provides obstetric services to low-income patients through the InovaCares Clinic for Women with 28,981 visits in 2010.Breast Care Institute: In 2009, the Inova Breast Care Institute at IFH and IFOH was 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, which sets the standards for how breast cancer patients receive care. In 2010, the Inova Breast Care Institute at IMVH also earned this three-year accreditation.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Description	Research and Education Services: The Inova Research Center (IRC), including research and academic activities, is centered on the IFH campus. In 2005, the Inova campus of the Virginia Commonwealth University (VCU) School of Medicine opened and a total of 48 third and fourth year medical students now train (receive clinical experience) at IFH. Also located on the IFH campus is the VCU School of Pharmacy which offers the opportunity for 40 students to complete their education and clinical training in Northern Virginia, and recently graduated their first class of "Inova Campus students." Like the VCU Inova campus, the School of Pharmacy Inova Campus is the first branch campus of a pharmacy school to be established in Northern Virginia. In January 2008, the Claude Moore Health Education Center opened on the campus of IFH. 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 addition, the center offers high-tech information technology that allows students who travel or live outside of the region to receive a seamless medical education from anywhere in Virginia. In 2008, a dedicated research floor opened to support the extensive activities of the IRC, where there are numerous active clinical trials, ongoing translational research and outcomes projects, many in partnership with universities and other research entities. Inova Translational Medicine Institute In 2010 the Inova Translational Medicine Institute (ITMI) was created for research activities related to the innovative field of personalized medicine. Personalized medicine emphasizes the customization of healthcare through the use of genetic information. Understanding the genomic makeup of individual patients may well help prevent or manage their diseases. IFH's medical education programs offer a variety of clinical training objectives for medical residents and students, nursing and pharmacy. IFH's residency program has approximately 650 residents/fellows trained throughout the year and 374 medical students from various medical schools. IFH incurs various expenses associated with the medical education programs, 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. Fairfax also provides a center for clinical education and development. The unreimbursed direct cost of these programs in 2010 was $17.8 million.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Description	Each 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 2010, Inova provided nearly 200,000 people with health education, prevention and wellness programs, health fairs and screenings, and clinically related services resulting in over 342,000 visits for direct health care services at an unreimbursed cost of approximately $16.7 million. These services and programs are described below.InovaCares Clinic for WomenThe 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 colposcopy 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 2010, the InovaCares Clinic for women had 28,981 visits and a total of 2,987 deliveries at Inova Hospitals (2,496 at IFH, 111 at IFOH and 190 at IAH). The InovaCares Clinic for Women is co-located with InovaCares Clinic for Children.InovaCares Clinic for ChildrenThe 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 that reflect the cultural diversity of the community we serve. The Clinic for Children provides comprehensive pediatric services that include well-child care, immunizations, episodic care (sick visit), and school/sports physicals, immunizations, and nutritional counseling. The InovaCares Clinic for Children is co-located with the InovaCares Clinic for Women. To answer the growing demand for pediatric services in the Reston/Herndon region, InovaCares Clinic for Children opened a satellite clinic in June 2009 serving that area's uninsured and Medicaid population. In 2010, the InovaCares Clinics for Children provided 30,464 visits.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 Northern 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. Clients receive care from a multidisciplinary care team with HIV-specific expertise. The clinical team is comprised of physicians, psychiatrists, pharmacists, physician assistants, nurse practitioners, registered nurses, clinical social workers, a community case manager, a consumer advocate and eligibility workers. Nurses and social workers provide medical case management services in order to coordinate care for clients with complex medical histories, mental health disorders and substance abuse issues. Major accomplishments of IJP for 2010 include almost doubling its census, now serving over 1,400 patients; maintaining a 0% HIV transmission rate from pregnant mothers to their newborn babies and implementing an onsite treatment program to screen and provide treatment to clients co-infected with HIV and Hepatitis C.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 complementary 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.Major accomplishments of Life with Cancer during 2010 include:In October 2010, Life with Cancer launched its first ever webinar, a one-hour education seminar for breast cancer patients and their family members and the website, www.lifewithcancer.org, had reached over 30,000 unique visitors, providing education and support to all those that visit the site through the many resources that are available. The website includes an entire section devoted to all of our Spanish-speaking families. LWC oncology counselors provided individuals with supportive counseling sessions for almost 7,500 contacts in both in- and outpatient settings; 35 stem cell transplant sessions were held.330 support groups were offered in 6 locations, with total of over 3,000 participants.LWC Programs for Children and TeensLife with Cancer's programs for children and teens provide a variety of services for children and families affected by cancer. The program provided services to over 1,200 children, teens and parents. The program for children and teens has four staff that provides services at two pediatric oncology clinics on the pediatric floor of IFHC and at the Life with Cancer Family Center. One part of the program that continues to grow is the art therapy program. A full-time art therapist provided 2,567 hours of art therapy services in 2010. Art therapy is provided to pediatric patients and their families in the outpatient oncology clinic as well as inpatient. There were 37 teen dinners for teens with cancer and 76 support and education groups for children who have cancer, have a family member with cancer or have experienced a cancer-related death. There were 12 monthly Parenting Alone groups for parents who have lost a spouse or partner to cancer and 12 monthly Parent Bereavement groups for parents who have lost a young child to cancer. Both are unique groups where parents meet others and get support and guidance from each other. Lions Eye ClinicAdministered by IFH, 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 2010, the clinic had 2,882 visits.The Center for Facial RehabilitationLocated at IFH, the program is a multi-disciplinary team of plastic and oral surgeons, speech pathologists, and other physicians who treat children and adults with cleft lip and palate or other craniofacial anomalies. Most of the professionals volunteer their time and IFH incurs unreimbursed costs for use of its facilities, parent information and support group which it sponsors. Inova Diabetes CenterThe Inova Diabetes Center provides outpatient diabetes self-management education to over 2,700 adults and children with diabetes each year in the Northern Virginia area. Since 95% of effective diabetes management is the responsibility of the individual with diabetes, this self-management education is vital to reduce the burden of this chronic disease and its complications in our Northern Virginia community. The Inova Diabetes Center has five locations in the Northern Virginia area including IFH, IMVH and IFOH and is the recipient of the American Diabetes Association's Recognition for Diabetes Education Programs. In 2010, the Inova Diabetes Centers provided a total of 3,463 patient visits at an unreimbursed cost of approximately $890,000.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	1253276662	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	0	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	1782	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	12925	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	30	NbrVotingGoverningBodyMembers
Number Independent Voting Members	21	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Inova Health Care Services	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7032892433	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8110 Gatehouse Road Suite 400W	AddressLine1
City	Falls Church	City
State	VA	State
ZIP Code	22042	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (61 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
CHARLES H SMITH
CHAIRMAN	3.00	X	X	0	0	0
LORI MORRIS
VICE CHAIRMAN	2.00	X	X	0	0	0
CHARLES MANN
SECRETARY	2.00	X	X	0	0	0
MARY AGEE
TRUSTEE	2.00	X		0	0	0
ROBERT AHMED MD
TRUSTEE	2.00	X		0	0	0
MARTHA CALIHAN MD
TRUSTEE	2.00	X		0	0	0
CHRISTOPHER CHIANTELLA MD
TRUSTEE	2.00	X		0	0	0
MARGARET COLON
TRUSTEE	2.00	X		0	0	0
PAULA DARLING
TRUSTEE	2.00	X		0	0	0
MICHAEL FREY
TRUSTEE	2.00	X		0	0	0
LAUREN S GARCIA
TRUSTEE	2.00	X		0	0	0
KATHERINE HANLEY
TRUSTEE	2.00	X		0	0	0
MARIA V HOPPER
TRUSTEE	2.00	X		0	0	0
BETTY HUDSON
TRUSTEE	2.00	X		0	0	0
GERALD HYLAND
TRUSTEE	2.00	X		0	0	0
HOOKS JOHNSTON
TRUSTEE	2.00	X		0	0	0
AL KHOURY MD
TRUSTEE	2.00	X		0	0	0
JAMES MCNEIL
TRUSTEE	2.00	X		0	0	0
DEAN MOREHOUSE
TRUSTEE	2.00	X		0	0	0
CAROLYN MOSS
TRUSTEE	2.00	X		0	0	0
JOHN MOYNIHAN MD
TRUSTEE	2.00	X		0	0	0
GARY NAKAMOTO
TRUSTEE	2.00	X		0	0	0
JOHN PETERSON
TRUSTEE	2.00	X		0	0	0
ERIC REINES MD
TRUSTEE	2.00	X		0	0	0
ARNOLD ROSENBLATT MD
TRUSTEE	2.00	X		0	0	0
JOHN RYAN
TRUSTEE	2.00	X		0	0	0
JILL STELFOX
TRUSTEE	2.00	X		0	0	0
SHIRLEY TRAVIS PHD
TRUSTEE	2.00	X		0	0	0
ROBERT TSIEN
TRUSTEE	2.00	X		0	0	0
JKNOX SINGLETON
PRESIDENT	20.00		X	0	4740012	598266
RICHARD MAGENHEIMER
TREASURER	24.00		X	0	931361	74611
JOHN GAUL
ASST SECRETARY	24.00		X	411351	0	64796
GREGORY SHIELDS
ASST SECRETARY	20.00		X	75132	0	13089
MARK STAUDER
PRESIDENT, COO	38.00		X	0	1175263	193807
LEWIS PASTERNAK
CEO IFH	40.00		X	0	872911	163945
TODD STOTTLEMYER
EVP CORPORATE SERVICES	27.00		X	0	752579	136883
JOHN NIEDERHUBER
CEO IITRPM & EVP IHS	40.00		X	0	696664	19349
KYLANNE SILVERSTONE
EVP HEALTH SERVICES	40.00		X	0	612971	137758
WAYNE DIEWALD
EVP AMBULATORY SVCS & GROWTH	40.00		X	0	522800	68556
RODNEY HUEBBERS
EVP, IHS ADMIN IFH/IWC/IVH	40.00		X	0	452736	59808
PAT WALTERS
SVP STRATEGIC PLANNING	40.00			663743	0	68378	X
JOHN FITZGERALD
CEO IFOH	40.00			519426	0	107769	X
GEOFFREY BROWN
SVP CIO	40.00			513186	0	107393	X
PATRICK CHRISTIANSEN
SVP COO IFH	40.00			503948	0	79714	X
MARK RUNYON
SVP FINANCE	40.00			502061	0	120910	X
BARBARA DOYLE
CEO IMVH	40.00			440608	0	123156	X
MAUREEN SWICK
SVP CHIEF NURSING EXEC	40.00			278867	0	33373	X
ANGELA MANNINO
SVP HUMAN RESOURCES	40.00			360572	0	66896	X
JAMES ECKLUND
PHYSICIAN	40.00			818312	0	64793		X
JOSEPH WATSON
PHYSICIAN	40.00			700899	0	51893		X
JOSEPH HALLAL
CMO	40.00			635110	0	20472		X
ROBERT HYMES
PHYSICIAN	40.00			588313	0	67264		X
CARY SCHWARTZBACH
PHYSICIAN	40.00			586480	0	28176		X
JAMES KIM
AVP DEPUTY GENERAL COUNSEL	40.00			246209	0	59657			X
RONALD EWALD
VP IHS AA FINANCE	40.00			306818	0	90720			X
JEFFREY COWART
VP MARKETING AND COMMUNICATIONS	40.00			311882	0	37935			X
PATRICIA BYRNES SCHMEHL
VP IFH WOMENS CENTER	40.00			256970	0	93820			X
ALIREZA MALEKZADEH
PHYSICIAN	40.00			584485	0	55026			X
JAMES PIPER
PHYSICIAN	40.00			461823	0	71228			X
JOHN HAMILTON
PHYSICIAN	40.00			449526	0	66284			X
JOHANN JONSSON
PHYSICIAN	40.00			473042	0	47212			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	10688763	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	10757297	TotalReportableCompFrmRltdOrgs
Total Other Compensation	2992937	TotalOtherCompensation
Number Individuals GT100 K	867	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
FAIRFAX RADIOLOGICAL CONSULTANTS
2722 MERRILEE DRIVE SUITE 230	FAIRFAX	VA	22031	RADIOLOGY	5834733
GEORGE WASHINGTON UNIVERSITY
2121 I STREET NW	WASHINGTON	DC	20052	RESIDENCY PROGRAM	5105764
CARDIAC VASCULAR & THORACIC
2921 TELESTAR CT SUITE 140	FALLS CHURCH	VA	22042	MEDICAL SERVICES	4954580
QUEST DIAGNOSTICS
14255 NEWBROOK DRIVE	CHANTILLY	VA	20151	RADIOLOGY	3194908
DELOITTE CONSULTING LLP
4022 SELLS DRIVE	HERMITAGE	TN	37076	CONSULTING	3142814

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	194	NumberOfContractorsGT100K
Related Organizations	3646888	RelatedOrganizations
Government Grants	9066437	GovernmentGrants
Total Contributions	12713325	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service Re	900099	1561097038	1561097038
Inova Reston MRI LLC	621400	3611420	3611420
Franconia-Springfield	621400	1859932	1859932
Technical Dynamic, LLC	811000	1686638	1686638
Northern Virginia Surg	621400	794952	794952

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-1178351	TotalRevenueColumn
Related Or Exempt Function Income	-1178351	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	1567871629	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1857461	TotalRevenueColumn
Exclusion	$1,857,461	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	1498345	TotalRevenueColumn
Exclusion	$1,498,345	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	15623279	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	13238470	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2384809	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2384809	TotalRevenueColumn
Exclusion	$2,384,809	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	575306	Securities
Other	13298552	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-575306	Securities
Other	-13298552	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-13873858	TotalRevenueColumn
Exclusion	-$13,873,858	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
COMMUNITY BLOOD SERVIC	900099	8889115	8889115
FOOD SERVICES	900099	5513870	5513870
LAUNDRY SERVICES	812300	4783463		4783463

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	24662957	TotalRevenueColumn
Related Or Exempt Function Income	22200782	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2462175	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	43849405	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1616301116	TotalRevenueColumn
Related Or Exempt Function Income	1604475396	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	7245638	UnrelatedBusinessRevenue
Exclusion	-$8,133,243	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	10805424	Total
Program Services	10805424	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	637843857	Total
Program Services	546266799	ProgramServices
Management And General	91577058	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	40123977	Total
Program Services	31659672	ProgramServices
Management And General	8464305	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	63289141	Total
Program Services	55245118	ProgramServices
Management And General	8044023	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	45971535	Total
Program Services	39994938	ProgramServices
Management And General	5976597	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	4151788	Total
Program Services	2241120	ProgramServices
Management And General	1910668	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1180018	Total
Program Services	71654	ProgramServices
Management And General	1108364	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	399550	Total
Program Services	399550	ProgramServices

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	45357354	Total
Program Services	28262135	ProgramServices
Management And General	17095219	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2250094	Total
Program Services	1450740	ProgramServices
Management And General	799354	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7178821	Total
Program Services	4817904	ProgramServices
Management And General	2360917	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	27729384	Total
Program Services	2352866	ProgramServices
Management And General	25376518	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	19852743	Total
Program Services	12587862	ProgramServices
Management And General	7264881	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1591705	Total
Program Services	956163	ProgramServices
Management And General	635542	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1520574	Total
Program Services	779883	ProgramServices
Management And General	740691	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	22861051	Total
Program Services	22861051	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	103237432	Total
Program Services	67546327	ProgramServices
Management And General	35691105	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	10820641	Total
Program Services	10447130	ProgramServices
Management And General	373511	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	269815944	267655658	2160286
BAD DEBT	57821081	57821081
OTHER PURCHASED SERVICE	42085161	38396266	3688895
PHYSICIAN FEES	32150319	31595768	554551
LOSS ON EXT-DEBT/SWAPS	9285312		9285312

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	21909129	Total
Program Services	19061553	ProgramServices
Management And General	2847576	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1479232035	Total
Program Services	1253276662	ProgramServices
Management And General	225955373	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	170456664	BOY
EOY	225557904	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	165255298	BOY
EOY	177311252	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	8313689	BOY
EOY	8036661	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	14626322	BOY
EOY	14071409	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	29018834	BOY
EOY	39014942	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1743287786	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1011367649	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	726389930	BOY
EOY	731920137	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	228906957	BOY
EOY	211358783	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1048179732	BOY
EOY	1176702245	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2391147426	BOY
EOY	2583973333	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	192598752	BOY
EOY	199429493	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	1021344123	BOY
EOY	1002093647	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	180681912	BOY
EOY	254509253	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1394624787	BOY
EOY	1456032393	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	996500915	BOY
EOY	1127919216	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	21724	BOY
EOY	21724	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	996522639	BOY
EOY	1127940940	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2391147426	BOY
EOY	2583973333	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	137069081	ReconcilationRevenueExpenses
Reconcilation Other Changes	-5650780	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbying

Field	Value	IRS element (for citing)
Filing Organizations Totals	399550	FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	399550	FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	1252877112	FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

Field	Value	IRS element (for citing)
Filing Organizations Totals	1253276662	FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	1000000	FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

Field	Value	IRS element (for citing)
Filing Organizations Totals	250000	FilingOrganizationsTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

Field	Value	IRS element (for citing)
Filing Organizations Totals	0	FilingOrganizationsTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	1000000	CurrentYearMinus3
Current Year Minus2	1000000	CurrentYearMinus2
Current Year Minus1	1000000	CurrentYearMinus1
Current Year	1000000	CurrentYear
Total	4000000	Total

Field	Value	IRS element (for citing)
Lobbying Ceiling	$6,000,000	LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

Field	Value	IRS element (for citing)
Current Year Minus3	75210	CurrentYearMinus3
Current Year Minus2	30933	CurrentYearMinus2
Current Year Minus1	152775	CurrentYearMinus1
Current Year	399550	CurrentYear
Total	658468	Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

Field	Value	IRS element (for citing)
Current Year Minus3	250000	CurrentYearMinus3
Current Year Minus2	250000	CurrentYearMinus2
Current Year Minus1	250000	CurrentYearMinus1
Current Year	250000	CurrentYear
Total	1000000	Total

Field	Value	IRS element (for citing)
Grassroots Ceiling	$1,500,000	GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	44581882	OtherCostOrOtherBasis
Book Value	44581882	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	579959463	OtherCostOrOtherBasis
Depreciation	246374369	Depreciation
Book Value	333585094	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	314960540	OtherCostOrOtherBasis
Depreciation	202007400	Depreciation
Book Value	112953140	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	742024372	OtherCostOrOtherBasis
Depreciation	562985880	Depreciation
Book Value	179038492	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	61761529	OtherCostOrOtherBasis
Book Value	61761529	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	731920137	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
UNAMORTIZED BOND COSTS	6112838
OTHER ASSETS	813139
DUE FROM SUBSIDIARIES AND AFFILIATES	1157393560
INVESTMENT IN SUBSIDIARIES AND JOINT VENTURES	12382708

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1176702245	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
THIRD PARTY SETTLEMENTS	$41,592,850
NOTES PAYABLE AND OTHER	$103,974,516
SELF INSURED LIABILITY	$34,047,415
DEFERRED COSTS	$11,540,277
POST RETIREMENT/EMPLOYMENT BENEFITS	$22,992,925
INTEREST RATE SWAP LIABILITY	$40,361,270

Field	Value	IRS element (for citing)
Total Of Amounts	254509253	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X:	ReturnReference
Explanation	From 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

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	83153657	TotalCommunityBenefitExpense
Net Community Benefit Expense	83153657	NetCommunityBenefitExpense
Percent Of Total Expense	0.05850	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	45863807	TotalCommunityBenefitExpense
Net Community Benefit Expense	45863807	NetCommunityBenefitExpense
Percent Of Total Expense	0.03230	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	129017464	TotalCommunityBenefitExpense
Net Community Benefit Expense	129017464	NetCommunityBenefitExpense
Percent Of Total Expense	0.09080	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7498887	TotalCommunityBenefitExpense
Net Community Benefit Expense	7498887	NetCommunityBenefitExpense
Percent Of Total Expense	0.00530	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13214556	TotalCommunityBenefitExpense
Net Community Benefit Expense	13214556	NetCommunityBenefitExpense
Percent Of Total Expense	0.00930	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9506726	TotalCommunityBenefitExpense
Net Community Benefit Expense	9506726	NetCommunityBenefitExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4623327	TotalCommunityBenefitExpense
Net Community Benefit Expense	4623327	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	93600	TotalCommunityBenefitExpense
Net Community Benefit Expense	93600	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	34937096	TotalCommunityBenefitExpense
Net Community Benefit Expense	34937096	NetCommunityBenefitExpense
Percent Of Total Expense	0.02470	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	163954560	TotalCommunityBenefitExpense
Net Community Benefit Expense	163954560	NetCommunityBenefitExpense
Percent Of Total Expense	0.11550	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$26,152,114	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	239570099	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	266054880	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-26484781	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 Franconia-Springfield Surgery Center LLC
Surgical Services	0.60680	0.39420
2 Northern Virginia Surgery Center LLC
Surgical Services	0.60000	0.40000
3 Inova Woodburn Surgery Center LLC
Surgical Services	0.75400	0.24600

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	3	NumberOfHospitalFacilities

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

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Research FacilityResearchFacility	Er24 HoursEr24Hours
INOVA FAIRFAX HOSPITAL
1	3300 GALLOWS ROAD	FALLS CHURCH	VA	22046	X	X	X	X	X	X
INOVA FAIR OAKS HOSPITAL
2	3600 JOSEPH SIEWICK DRIVE	FAIRFAX	VA	22033	X	X				X
INOVA MOUNT VERNON HOSPITAL
3	2501 PARKER LANE	ALEXANDRIA	VA	22306	X	X				X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	INOVA FAIRFAX HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	11	NumberOfOtherFacilities

Other Facilities OtherFacilities (11 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
FRANCONIA SPRINGFIELD EMERGENCY CARE
6355 WALKER LANE	ALEXANDRIA	VA	22310	EMERGENCY ROOM
TECHNICAL DYNAMICS LLC
4231 MARKHAM STREET SUITE 230	ANNANDALE	VA	22003	EQUIPMENT REPAIRS
EMERGENCY CARE CENTER OF FAIRFAX
4315 CHAIN BRIDGE ROAD	FAIRFAX	VA	22030	EMERGENCY ROOM
INOVA VNA HOME CARE
8003 FORBES PLACE	SPRINGFIELD	VA	22206	HOME CARE NURSING
EMERGENCY CARE CENTER OF RESTON
11901 BARON CAMERON AVENUE	RESTON	VA	20190	EMERGENCY ROOM
FRANCONIA SPRINGFIELD SURGERY CENTER LLC
6355 WALKER LANE SUITE 200	ALEXANDRIA	VA	22310	OUTPATIENT SURGERY
NORTHERN VIRGINIA SURGERY CENTER LLC
3620 JOSEPH SIEWICK DRIVE	FAIRFAX	VA	22033	OUTPATIENT SURGERY
POTOMAC RADIATION ONCOLOGY
4001 PRINCE WILLIAM PARKWAY	WOODBRIDGE	VA	22191	RADIATION ONCOLOGY
INOVA WOODBURN SURGERY CENTER LLC
3289 WOODBURN ROAD SUITE 100	ANNANDALE	VA	22003	OUTPATIENT SURGERY
INOVA REHABILITATION WOODBRIDGE
2280 OPITZ BLVD SUITE 120	WOODBRIDGE	VA	22191	REHABILITATION
INSTITUTE OF RESEARCH AND EDUCATION
8110 GATEHOUSE ROAD	FALLS CHURCH	VA	22042	RESEARCH FACILITY

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	Return ReferenceReturnReference
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 $5,623,131.
Part I, L7 Col(f): Bad Debt Expense subtracted from calculation is $57,821,081
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. Bad debt expense is recognized when providing an allowance for uncollectible accounts. Inova has a self-insured discount program whereby uninsured patients receive a 35% discount for services rendered. Discounts to uninsured patients are classified as a deduction from revenue as opposed to bad debt.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. Unpaid accounts of patients who fail to provide required income and asset documentation to IHS are classified as bad debt expense. Guidelines used by IHS in determining charity care may differ from guidelines used by certain state or federal agencies.
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.
Inova Health System does not follow HFMA Statement 15 with respect to bad debts. The disclosure method followed does not result in materially different results.
Part VI, Line 2: In prior years, 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 reviews with a comprehensive analysis of community health status to determine how community health needs have changed since the prior reviews were completed. This analysis relied on secondary data sources including Virginia Department of Health 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 IHS. Study of community Health Impact on Hospital services using population based hospital discharge data.Engaged community leaders with special knowledge of, or an expertise in, public health, including representatives 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 now 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. IHS is a participating member of the MAPP process teams 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. 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 public health services to provide a foundation for community health planning and improve the community's delivery of these services. Inova is also participating in the continuing local public health needs assessment in the City of Alexandria. The information from all the MAPP health needs assessments from all jurisdictions served by IHS will provide the new baseline for the ongoing three-year community needs assessments and will be incorporated into the community needs assessment Inova has initiated in 2011 to be completed in 2012. 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 of this information is utilized in assessing community health needs to guide strategic planning efforts.
Part VI, Line 3: IHS utilizes a multifaceted approach to educate and inform patients and the public about Inova's financial assistance/charity care policy. Inova has information posted at patient access sites regarding the availability of financial assistance/charity care and patient rights and responsibilities. In addition, Inova provides information about its financial assistance/charity care program and referrals to Inova financial counselors who assist patients in completing Inova's financial assistance/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 financial assistance/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. Inova partners 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 on its 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 six 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. IHCS' service area is primarily Fairfax County.The region's population served by IHCS is forecasted to grow 12% from 2010 through 2020 adding an estimated average of 22,000 persons a year. Population growth will be spurred by the comparative strength of the region's economy and high rates of in-migration from domestic and international locations. The region's population that is 65 years of age and older will more than double from 2000 to 2030, while the number of children will increase by about 30 percent during the period.Northern Virginia's population is more racially and ethnically diverse 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 40.4 percent non-white, up from 23.2 percent in 1990, while the nation as a whole has a 33.9 percent non-white population (U.S. Census Bureau, 2007). Fairfax County, with more than one million residents, has the largest population centers in Northern Virginia and also has the largest non-white populations. At present, Asians, Hispanics, and African Americans represent 17.5 percent, 15.5 percent, and 9.0 percent of Fairfax County's population, respectively. More than one-quarter of the state's Hispanic population, which tripled between 1999 and 2006, reside in Fairfax County, according to a 2008 study by the University of Virginia's Weldon Cooper Center for Public Service.According to the 2007 Virginia Health Care Foundation Health Access Survey, approximately 14.8 percent of the overall Northern Virginia population currently lacks healthcare insurance. Compared to 2.5 percent of Whites in the region who lack health insurance, 39.6 percent of Hispanics, 6.8 percent of Asians, and 6.5 percent of African Americans in Northern Virginia are uninsured. Area residents most likely to be uninsured are those whose family incomes are at or below 200 percent of the poverty level, young adults (age 18-44), people who are non-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 residents have widely divergent age, geographic, and health status characteristics.
Part VI, Line 6: Inova Health System Foundation (IHSF), the parent company of Inova Health System, is a non-stock, not-for-profit corporation exempt from federal income taxes under the provisions of Section 501(c)(3) of the Internal Revenue Code. Inova Health System (Inova) provides healthcare and related services throughout northern Virginia and the greater metropolitan Washington, D.C. area, including certain continuous counties of Virginia and Maryland.Inova Health System's investment in the communities across Northern Virginia is evident by its 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 System's facilities to ensure the vision and mission of the organization are achieved.Access to Care ProgramsInova's commitment to supporting access to healthcare services is evident in the infrastructure created to support the many programs provided for the low income and uninsured population. Inova's Community Safety Net and Community Health Division are organized to address the healthcare needs of the community. In addition to the programs already described in the core Form 990, 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.The Inova Partnership for Healthier Kids works with schools, community organizations, corporations and local governments to keep kids in our community healthy and ready to learn. In 2010, PHK assisted over 3,000 children with access to a source of comprehensive health care services such as Medicaid, FAMIS or local safety net providers.The Inova Access to Care program provides families with comprehensive application and enrollment assistance to connect them to an appropriate and affordable source of health care services. The Access to Care program provides students and families nutrition and physical activity education to increase knowledge and improve skills to make healthy lifestyle choices.Inova Kellar Center provides mental health, substance abuse treatment and special education services to children, adolescents and their families in our community regardless of their ability to pay. The program meets the needs of the children and families of Fairfax County by providing a full continuum of mental health services from outpatient therapy and medication management to Intensive Outpatient After-School Programs and full-day Partial Hospitalization Programs. During 2010 the Center provided 75,710 clinical and educational sessions to children and families. Inova Kellar Center has been involved in the development of a system of care model for the provision of mental health services within the region. Keeping with the goal of having children remain in the community, the Center continues to build capacity to meet the needs of the increasingly challenged population. The $300,000 grant from a private foundation to support the expansion of Kellar Center's system of care services for children has enabled the Center to expand Outpatient Family Services including psychological services and home-based services by underwriting the initial investment and "start up" costs associated with expansions. The Center has doubled its ability to provided ADLD assessments and psychological testing. The recruitment process for two additional child and adolescent psychiatrists has begun. These positions will provide services to over 500 additional patients by 2012.Health Promotion and Preventative Care ProgramsNorthern Virginia Healthy Kids' Coalition: Tipping the Scales for Better Health. Obesity has become an urgent public health problem in Northern Virginia, with over 100,000 children two to 18 years of age being either overweight or at-risk of becoming overweight. 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. The key message for this program is: 9-5-2-1-0 for Health - help children and teens adopt healthy habits which promote healthy weight:9 - Get at least nine hours of sleep per night5 - Eat five servings of fruits and vegetables per day2 - Limit screen time outside of school to no more than two hours per day1 - Get at least one hour of physical activity per day0 - Eliminate or minimize consumption of beverages with sugar addedInova 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. Some key accomplishments are: provided more than 102 health education and wellness promotion activities; distributed over 12,000 pieces of health education materials; conducted over 3,371 consultations and networking conversations; and increased the number of new faith communities partnered with CHP with 20 new Faith Congregations contacted this year. Everyday, Congregational Health Partnership serves vulnerable and marginalized community groups, works to decrease health disparities, stresses assessment, prevention and best practices health promotion, and emphasizes teaching, mentoring, coaching, and providing health information resources.Health Literacy and Health Equity ProgramsThe goal of Inova's Office of Health Equity (OHE) is to identify and address documented health disparities in Northern Virginia through internal and community initiatives with respect to quality, service and community. Guided by an Executive Advisory Committee, the OHE partners with community groups, conducts education and research, and provides services that will contribute to the elimination of disparities in our community. The following discussion presents the OHE's activities in the areas of staff training/education, services for the Deaf and Hard of Hearing, and Language Services.Language Services In support of patient safety and satisfaction, interpretation and translation services are provided at every Inova facility to facilitate communication with the 8-10 percent of Inova's patient population who has limited English proficiency (LEP). Medical Interpretation is provided by on-site medical interpreters and telephonically via the language line. Through December 2010 the OHE delivered 109,515 interpreter encounters (37,414 hours of interpreter service) across Inova facilities.Services for the Deaf and Hard of Hearing have undergone several changes in 2010, including creation of a Scheduler position, and deployment of NexTalk (video remote interpreting) in all Inova emergency departments, to improve our ability to communicate with deaf patients and their families on short notice. Through December 2010, 1,696 interpreted sessions (6,412 hours) have been delivered.
Part VI, Line 7: Organization is part of Inova Health System included in description under Line 5.
Education and TrainingThrough our staff education and training programs, the Office of Health Equity facilitates the development of a culturally competent workforce. In support of this goal, the OHE continues to implement programs such as:The 21st Century Leadership Development Program is a nine-month program designed to identify and grow future Inova leaders. In March 2010, the OHE partnered with Inova's Office of Continuing Education to organize an all-day CME program on Health Disparities. The program featured several nationally-known speakers and had over 237 providers, including physicians, nurses, social workers and psychologists in attendance.Cultural Competence and Diversity Education programs are conducted regularly. In 2010, the OHE delivered 84 educational sessions and in-service trainings, reaching over 1,000 Inova employees. Content included, but was not limited to, providing culturally competent patient care, cross-cultural communication, cultural awareness and sensitivity, cross-cultural conflict resolution, and cross-cultural issues in the childcare setting.OHE is currently working with members of the Alexandria Homeless Services Coordinating Committee (AHSCC) and key staff at Inova Alexandria Hospital to ensure consistent Inova representation on the Committee and to present an in-service for a range of IAH staff, including case managers, social workers, patient care directors and additional emergency department personnel. The goal of this initiative is to reduce readmissions to IAH from the homeless population.A longstanding partnership between Fairfax County Public Library System and Inova Health System, the Health Information Partnership (HIP) is dedicated to increasing Health Literacy throughout Fairfax County. Programs sponsored by and administered through the partnership include Literature in Medicine and Ask Me Three focused on educating the public on optimizing communication with healthcare providers to ensure understanding of healthcare information and treatment provided. In the fall of 2010, the HIP hosted a traveling exhibit from the National Institutes of Health's National Library of Medicine on the topic titled "Changing the Face of Medicine: Celebrating America's Women Physicians."The exhibit tells the extraordinary story of how American women who wanted to practice medicine have struggled over the past two centuries to gain access to medical education and to work in the specialty they chose. It describes women's successful quest to become doctors and introduces audiences to outstanding physicians from across the United States. Interactive kiosks provide educational activities, information about medical careers, and biographies of outstanding women physicians. These interactive elements help the exhibit appeal to those within and outside of the medical community, adults and children, and men and women.Disaster Preparedness - As part of a regional alliance of all hospitals across Northern Virginia to provide a coordinated response in the event of a disaster, Inova Health System has taken a leadership role. Inova funds and provides the site for the Regional Hospital Coordinating Center (RHCC), providing 24/7 coverage for Incident Command and Operations Chief. Inova operates an E-ICU which, during a disaster, facilitates access to and management of all critical care beds within Inova Health System. Workforce ProgramsMilitary to Medicine, a non-profit military service organization of Inova Health System, provides healthcare training and employment opportunity assistance for military spouses, wounded warriors and their caregivers, veterans, members of the National Guard, reservists and their spouses and transitioning service members so they can become productive members of the healthcare workforce. Military to Medicine became a national military service organization in October 2008 when agreements were formalized with the U.S. Army Reserve and the Department of Defense.	PART VI, LINE 5

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	X	HousingAllowanceOrResidence
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (31 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JKNOX SINGLETON
0	1141985	0	564307	0	3033720	0	578200	0	20066	0	5338278	0	0
RICHARD MAGENHEIMER
0	584341	0	228221	0	118799	0	53200	0	21411	0	1005972	0	0
JOHN GAUL
355105	0	35875	0	20371	0	47314	0	17482	0	476147	0	0	0
MARK STAUDER
0	797062	0	334837	0	43364	0	173696	0	20111	0	1369070	0	0
LEWIS PASTERNAK
0	593711	0	242830	0	36370	0	140327	0	23618	0	1036856	0	0
TODD STOTTLEMYER
0	455492	0	263165	0	33922	0	113624	0	23259	0	889462	0	0
JOHN NIEDERHUBER
0	259131	0	325000	0	112533	0	15283	0	4066	0	716013	0	0
KYLANNE SILVERSTONE
0	428357	0	150866	0	33748	0	123438	0	14320	0	750729	0	0
WAYNE DIEWALD
0	352099	0	86267	0	84434	0	51442	0	17114	0	591356	0	0
RODNEY HUEBBERS
0	281065	0	150581	0	21090	0	47535	0	12273	0	512544	0	0
PAT WALTERS
418948	0	147733	0	97062	0	53200	0	15178	0	732121	0	0	0
JOHN FITZGERALD
371084	0	111972	0	36370	0	91743	0	16026	0	627195	0	29596	0
GEOFFREY BROWN
292278	0	197431	0	23477	0	91165	0	16228	0	620579	0	0	0
PATRICK CHRISTIANSEN
331835	0	90676	0	81437	0	65004	0	14710	0	583662	0	25643	0
MARK RUNYON
352494	0	128626	0	20941	0	100651	0	20259	0	622971	0	0	0
BARBARA DOYLE
318637	0	88522	0	33449	0	113376	0	9780	0	563764	0	0	0
MAUREEN SWICK
201494	0	25000	0	52373	0	25304	0	8069	0	312240	0	0	0
ANGELA MANNINO
286194	0	35454	0	38924	0	47374	0	19522	0	427468	0	0	0
JAMES ECKLUND
665077	0	152425	0	810	0	47700	0	17093	0	883105	0	0	0
JOSEPH WATSON
609501	0	90588	0	810	0	31200	0	20693	0	752792	0	0	0
JOSEPH HALLAL
217394	0	56304	0	361412	0	16294	0	4178	0	655582	0	0	0
ROBERT HYMES
417863	0	170000	0	450	0	47700	0	19564	0	655577	0	0	0
CARY SCHWARTZBACH
415445	0	170000	0	1035	0	7350	0	20826	0	614656	0	0	0
JAMES KIM
203170	0	33267	0	9772	0	40922	0	18735	0	305866	0	0	0
RONALD EWALD
232669	0	51636	0	22513	0	76495	0	14225	0	397538	0	0	0
JEFFREY COWART
218675	0	43002	0	50205	0	22344	0	15591	0	349817	0	20072	0
PATRICIA BYRNES SCHMEHL
197097	0	40789	0	19084	0	68441	0	25379	0	350790	0	0	0
ALIREZA MALEKZADEH
414080	0	170000	0	405	0	31200	0	23826	0	639511	0	0	0
JAMES PIPER
345495	0	115500	0	828	0	52715	0	18513	0	533051	0	0	0
JOHN HAMILTON
395496	0	53400	0	630	0	47700	0	18584	0	515810	0	0	0
JOHANN JONSSON
345494	0	126000	0	1548	0	28699	0	18513	0	520254	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 1a

Employee Angela Mannino received a temporary housing benefit which was included on the W-2.

Part I, Lines 4a-b

Severance paid to Joseph Hallal $313,827 SERP Plan Payments: J. Knox Singleton $209,003 Richard Magenheimer $85,051 Patrick Christiansen $48,235 Jeffrey Cowart $30,536 Wayne Diewald $52,002 Joseph Hallal $30,546 Pat Walters $63,314 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)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Industrial Development Authority of Fairfax County Virginia
541470567	303823FM5	2005-05-12	124000000	See Part V	0	0	0
Industrial Development Authority of Fairfax County Virginia
541470567	303823FR4	2005-05-12	99400000	See Part V	0	0	0
Industrial Development Authority of Fairfax County Virginia
541470567	303823GL6	2009-04-16	350414313	See Part V	0	0	0
Industrial Development Authority of Fairfax County Virginia
541470567	303823JH2	2009-12-15	73433655	See Part V	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
6820000	124000000	3604217	367125	120028859	2007	0	0	1	1
15790000	99400000		294292			0	1	1	1
193470000	350414313		4384313	69055868		1	0	1	1
3310000	73433655		660539			1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
1	1	1	1	0.01100	0.00300	0.01400	1
0	0	0	0				0
0	0	1	1	0.01100	0.00300	0.01400	1
0	0	0	0				0

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Term Of HedgeTermOfHedge	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
Morgan Stanley
0	1	1	Capital Services	30.000000000000	0	0	0	0	0
(no name)
0	1	0					0	0	0
(no name)
0	0	0					0	0	0
(no name)
0	0	0					0	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part I, Column F	Description of Purpose	Bond A 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 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 Refund prior bonds -1996A issued 4/18/1996; 2) Pay issuance costs of series 2005C bonds Bond C 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 Refund prior bonds - 1998A issued 3/10/98; 2) Pay issuance costs of series 2009C bonds Bond E Refund prior bonds - 2009B issued 4/16/2009; 2) Pay issuance costs of series 2010A bonds
Part II, Line 3, Column C	Total Proceeds	Issue price per Form 8038 for 2009AB 540,414,313 Refunded bonds- 2009B to 2010A (190,000,000) Part 1, row C, column E 350,414,313
PART III, LINE 7	COMPLIANCE	Part III relates to PBU and bonds that are required to disclose PBU based on post 2002 issuances (no refi bonds before 2002). So only 2005A, 2009A and 2010A bonds are applicable for this section. The other 2 bonds have NO answers since the section isn't applicable.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Industrial Development Authority of Fairfax County Virginia	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	541470567	IssuerEIN
CUSIP Number	303823JJ8	CUSIPNumber
Date Issued	2010-03-08	DateIssued
Issue Price	190000000	IssuePrice
Description Of Purpose	See Part V	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	190000000	TotalProceeds
Capital Expenditures	47013136	CapitalExpenditures
Amount Unspent	143584270	AmountUnspent
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	1	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.02400	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.02400	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (10 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Arnold Rosenblatt MD
Trustee	97000	Contract fees paid to Dr. Rosenblatt to serve as the Inova Mount Vernon Hospital Medical Staff President. The Medical Staff pays $29,500 of this annual amount. Services provided at arm's length and customary rates.	0
Arnold Rosenblatt MD
Trustee	22400	Fees paid to Dr. Rosenblatt for interpretation of EKGs, and treadmills tests. Services provided at arm's length and customary rates.	0
Eric Reines MD
Trustee	11313	Dr. Eric Reines, Trustee, is a partner in Alexandria Infectious Disease. Fees paid to the practice for Dr. Reines to provide infectious disease contract services and for services provided as a member of the Inova Alexandria Physician CPOE facility adoption committee. Services provided at arm's length and customary rates.	0
Eric Reines MD
Trustee	50250	Dr. Eric Reines, Trustee, is a partner in Alexandria Infectious Disease. Fees paid to the practice under the emergency services charity care program. Services provided at arm's length and customary rates.	0
John Moynihan MD
Trustee	155000	Fees paid to Dr. Moynihan to serve as the Inova Fairfax Hospital / IFH for Children Medical Staff President. The entire amount is paid by the Hospital. Services provided at arm's length and customary rates.	0
Robert Ahmed MD
Trustee	115000	Fees 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
Robert Ahmed MD
Trustee	53538	Fees paid to Dr. Ahmed for trauma call pay and for participation in the CPOE implementation committee. Services provided at arm's length and customary rates.	0
Charles Mann
Trustee	39567	Charles Mann, Trustee, is the former owner of Alliant Merchant Services. Contract fees paid to Alliant for credit card system transaction processing and equipment at Inova Hospitals. Services provided at arm's length and customary rates.	0
Arnold Rosenblatt MD
Trustee	131791	Arnold Rosenblatt, MD, Trustee, is a partner in Mount Vernon Cardiology Associates which leases medical office space from Inova Health System in several locations. Space is leased at commercial terms and at fair market value. Services provided at arm's length and customary rates.	0
Martha Calihan MD
Trustee	958056	Martha Calihan, MD, Trustee, is a partner in Loudoun Medical Group which leases medical office space from Inova Health System in several locations. Space is leased at commercial terms and at fair market value. Services provided at arm's length and customary rates.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Form 990, Part VI, Section B, line 11	The 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.
	Yes, annually the organization distributes the conflict of interest policy to all directors, officers, trustees, and key employees. The organization requires that each director, officer, trustee, and key employee acknowledge that they have read, understood, and will abide by the policy. Each director, officer, trustee, and key employee is required to complete and submit an annual conflict of interest disclosure. These disclosures are broad and require that the individual list any business relationships or personal relationships with other directors, officers, trustees, and key employees, as well as any relationships with competitors, or current or potential vendors or contractors. Disclosure statements are reviewed by senior management and any potential conflicts are discussed with governing body chairman to ensure that any member who may have a conflict discloses their potential conflict, and is dismissed from related discussions and recused from participation in applicable decisions.	Form 990, Part VI, Section B, line 12c
	The 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 B, line 15
	The 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 18
	Inova 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.	Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:	PARTNERSHIP INCOME -6,774,591. UNREALIZED GAIN ON BOND SWAP 6,274,076. CAPITAL RIEMBURSEMENT 609,961. EQUITY IN SUBS 5,215,921. DONATED FUNDS 1,089,630. UNREALIZED GAIN 3,273,951. PENSION LOSS AND OTHER -15,339,728. Total to Form 990, Part XI, Line 5: -5,650,780.	Form 990, Part XI, line 5:
PROGRAM SERVICE ACCOMPLISHMENTS	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 subspecialties 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, 2010, there were a total of 75 NICU bassinets. In addition to its neonatal intensive care unit, IFHC 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. In addition, 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 had 30,464 visits in 2010. With two clinic locations, one in Falls Church and the other in Reston, IFHC serves children from birth to 21 years of age. 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. Emergency Care Center (ECC) of Fairfax, Emergency Care Center of Reston and Springfield Healthplex are 24-hour, free-standing emergency centers located in Fairfax City, Reston, and Springfield, Virginia, respectively. During 2010, ECC of Fairfax reported 15,273 emergency room visits; ECC of Reston reported 12,884 emergency room visits; and Springfield Healthplex reported 35,573 emergency room visits. Financial Assistance/Charity Care All Inova facilities, including the IHCS facilities, provide financial assistance/charity care in accordance with Inova policies which ensure access to medically necessary care for all individuals. Financial assistance/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 300% 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. Inova Health System utilizes a multifaceted approach to educate and inform patients and the public about Inova's financial assistance/charity care policy. Inova has information posted at patient access sites regarding the availability of financial assistance/charity care and patient rights and responsibilities. In addition, Inova provides information about its financial assistance/charity care program and referrals to Inova financial counselors who assist patients in completing Inova's financial assistance/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 financial assistance/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 2010, IHCS' unreimbursed cost of financial assistance/charity care, including free and discounted services, was $83.2 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, as well as adults and children with disabilities, including vision impairments. The reimbursement that IHCS facilities receive from the Medicaid program routinely falls below the actual cost of services provided. During 2010, IHCS provided care to Medicaid patients at an unreimbursed cost of $45.9 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.	PART III, LINE 4a
PROGRAM SERVICE ACCOMPLISHMENTS	Each year a summer camp for children with diabetes is held which provides peer support and a fun learning environment for the children. Community outreach is a key component to the program and, through the Diabetes Connections Project which is partially funded through a grant with the International Diabetes Center, the Inova Diabetes Center worked with Community Safety Net Clinics across Northern Virginia to collaboratively develop a shared, evidence-based set of clinical guidelines for the treatment of diabetes to improve the health status of the low income, uninsured population across Northern Virginia. 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, guardianship services, 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 Wellness As part of Inova's overall health and wellness efforts, IHCS and its subsidiaries are actively involved in sponsoring programs, activities, and services designed to improve community health and prevent the onset of disease. HealthSource HealthSource 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 2010, HealthSource served 195,702 participants. Program highlights include: Prevention and Self Care Program Seasonal and H1N1 Influenza The Inova HealthSource Fight the Flu Program provided a total of 46,431 flu shots through immunization clinics for communities serviced by Inova Health System, as well as its employees and physicians. In the first quarter, demand and attendance at worksite and community clinics was high due to the H1N1 vaccination campaign. During the fall campaign, The Fight the Flu Program provided 9,359 flu shots to Fairfax County Public Schools at 175 clinics. Additional clinics were held at 320 worksites vaccinating 17,532 employees Tobacco Cessation Education Our inpatient tobacco cessation program served 1,690 patients hospitalized for heart failure, heart disease, pneumonia and stroke in all Inova Health System hospitals. In order to provide tobacco cessation education for all adult inpatients, our team worked with all the hospitals to transition a new plan throughout the first half of the year. Through the summer, the program was successfully piloted and implemented. With funding from the Virginia Tobacco State Fund, Life Skills Training, a tobacco prevention program, was offered to 556 students in 15 school-based programs. The Inova Stroke Program IMVH received certification as a primary stroke center. In collaboration with the Inova hospitals, stroke awareness and education was provided to over 600 participants A new stroke awareness and education program, "Stroke Heroes" was launched to increase participation of the community in stroke education. The Workplace and Community Programs Workplace and Community Programs served 16,305 participants at 645 events and added 18 new clients. Inova HealthSource provided 30 automated external defribrillator (AED) machines and education free of charge to community organizations and businesses in the Loudoun area. HealthSource manages the process, identifies organizations, presents AED education to each group and maintains a database of AED locations. The Care Management Programs provided health coaching in weight management, tobacco cessation, back pain management, fitness, pregnancy and breastfeeding at worksites and for community members. . The Health Education Program: Supporting community wellness through health education The HealthSource Life Support Training Center facilitated the training of 23,704 students. Students include community members and Inova employees. For parents who have infants in the NICU, Inova HealthSource provides free CPR training. Over 47,000 people participated in childbirth education programs. Class materials are now provided online as part of Inovas Going Green initiative. This allows new parents to tailor materials to their individual educational requirements. The Healthy Lifestyles program supports the community through a lifespan of fitness and nutrition classes and workshops. From prenatal yoga to senior fitness, Inova HealthSource supports healthy choices in convenient locations all throughout the Northern Virginia area. The Healthy Lifestyles program served over 23,700 class participants in 14 locations in the community and in Inova Hospital facilities.	PART III, LINE 4d
NUMBER OF EMPLOYEES	The organization falls under a master pay agent and does not file any payroll returns under its own EIN, however all required returns have been filed on time.	PART V, LINE 2A
AUDITED FINANCIAL STATEMENTS	The company is part of the Inova Health System, a not-for-profit integrated health care delivery system serving Northern Virginia and surrounding areas. The company's financial statements are consolidated in the Inova Health System consolidated financial statements. Inova Health System is audited on an annual basis by a 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.	PART XI, LINE 2B AND 2C
A-133 AUDIT	The 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.	PART XI, LINE 3A
HOURS WORKED	THE FOLLOWING INDIVIDUALS HAVE HOURS PER WEEK WORKED ON RELATED ORGANIZATIONS: J. KNOX SINGLETON, 30 HOURS JOHN GAUL, 26 HOURS RICHARD MAGENHEIMER, 26 HOURS TODD STOTTLEMYER, 15 HOURS MARK STAUDER, 12 HOURS RODNEY HUEBBERS, 10 HOURS WAYNE DIEWALD, 10 HOURS LEWIS PASTERNAK, 10 HOURS KYLANNE SILVERSTONE, 10 HOURS JOHN NIEDERHUBER, 10 HOURS GREG SHIELDS, 20 HOURS JAMES KIM, 26 HOURS JOHN RYAN, 3 HOURS CHRISTOPHER CHIANTELLA, 3 HOURS MARTHA CALIHAN, 4 HOURS AL KHOURY, 3 HOURS CHARLES SMITH, 2 HOURS LORI MORRIS, 3 HOURS MARGARET COLON, 3 HOURS	PART VII, COLUMN B

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	INOVA CAP LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8110 GATEHOUSE ROAD	AddressLine1
City	FALLS CHURCH	City
State	VA	State
ZIP Code	22042	ZIPCode

Field	Value	IRS element (for citing)
EIN	270927074	EIN
Primary Activities	INSURANCE CAPTIVE	PrimaryActivities
Legal Domicile State	VA	LegalDomicileState
Total Income	6444308	TotalIncome
EOY Assets	64018779	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (18 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
INOVA HEALTH SYSTEM FOUNDATION
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541071867	FUNDRAISING	VA	501(C)(3)	11,III	N/A	0
INOVA VNA HOME CARE
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541277164	HOME CARE SERVICES	VA	501(C)(3)	9	N/A	0
INOVA HEALTH SYSTEM SERVICES
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541434144	NURSING HOMES	VA	501(C)(3)	9	N/A	0
IMANCO INC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541340725	PAYROLL CORPORATION	VA	501(C)(3)	11, I	N/A	0
INOVA ALEXANDRIA HEALTH SERVICES CORPORATION
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	521356573	INACTIVE CORPORATION	VA	501(C)(3)	9	N/A	0
INOVA PHYSICAL REHABILITATION SERVICES
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541692089	REHABILITATION SERVICES	VA	501(C)(3)	9	N/A	0
INOVA ALEXANDRIA HOSPITAL
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	540505861	HOSPITAL	VA	501(C)(3)	3	N/A	0
INOVA MEDICAL FOUNDATION
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541716343	MANAGED CARE INACTIVE	VA	501(C)(3)	11, I	N/A	0
UMC HOLDINGS INC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541390795	URGENT CARE SERVICES	VA	501(C)(3)	9	N/A	0
INOVA EMPLOYEE ASSISTANACE
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541916699	EMPLOYEE SERVICES	VA	501(C)(3)	11, I	N/A	0
ALEXANDRIA COMMUNITY HEALTHCARE GROUP
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541444341	INACTIVE CORPORATION	VA	501(C)(3)	11, I	N/A	0
ALEXANDRIA HOSPITAL FOUNDATION
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	510241913	FUNDRAISING	VA	501(C)(3)	11, I	N/A	0
LOUDOUN HOSPITAL CENTER
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	540525802	HOSPITAL	VA	501(C)(3)	3	N/A	0
LOUDOUN NURSING AND REHABILITATION CENTER
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541361310	REHABILITATION SERVICES	VA	501(C)(3)	9	N/A	0
LOUDOUN HEALTH SERVICES
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541555489	SURGERY CENTER	VA	501(C)(3)	9	N/A	0
LOUDOUN HEALTHCARE FOUNDATION
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	542011240	FUNDRAISING	VA	501(C)(3)	11, I	N/A	0
LOUDOUN HEALTHCARE INC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541361309	INACTIVE CORPORATION	VA	501(C)(3)	11, I	N/A	0
LHI PROPERTIES INC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541651315	INACTIVE CORPORATION	VA	501(C)(3)	11, I	N/A	0

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
TECHNICAL DYNAMICS LLC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	432041666	EQUIPMENT REPAIRS	VA	N/A	RELATED	1686638	9902	0	1	0.67220
INOVA WOODBURN SURGERY CENTER LLC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	262295023	SURGERY CENTER	VA	N/A	RELATED	-1176838	2432061	0	1	0.75400
NORTHERN VIRGINIA SURGERY CENTER
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	203502477	SURGERY CENTER	VA	N/A	RELATED	794952	3389210	0	1	0.60000
FRANCONIA-SPRINGFIELD SURGERY CENTER LLC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	542018390	SURGERY CENTER	VA	N/A	RELATED	1859932	1028582	0	1	0.60680
POTOMAC INOVA HEALTHCARE ALLIANCE LLC
8110 GATEHOUSE ROAD SUITE 400W	FALLS CHURCH	VA	22042	541802733	RADIATION ONCOLOGY	VA	N/A	RELATED	65161	1995474	0	1	0.50000
INOVA RESTON MRI CENTER LLC
2722 MERRILEE DRIVE SUITE 230	FAIRFAX	VA	22031	264587374	MRI SERVICES	VA	N/A	RELATED	3611420	2676280	0	1	0.75000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
INOVA HEALTH SYSTEM FOUNDATION
C	3646888	GENERAL LEDGER
INOVA HEALTH SYSTEM FOUNDATION - CASH SWEEP ACCOUNT
Q	124885601	INTERCOMPANY BALANCE
INOVA HEALTH SYSTEM FOUNDATION
L	5984242	GENERAL LEDGER