TY 2011 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) CHARLES H SMITH CHAIRMAN	3.00	X	X
(2) LORI MORRIS VICE CHAIRMAN	2.00	X	X
(3) CHARLES MANN SECRETARY	2.00	X	X
(4) MARY AGEE TRUSTEE	2.00	X
(5) ROBERT AHMED MD TRUSTEE	2.00	X
(6) MARTHA CALIHAN MD TRUSTEE	2.00	X
(7) CHRISTOPHER CHIANTELLA MD TRUSTEE	2.00	X
(8) MARGARET COLON TRUSTEE	2.00	X
(9) PAULA DARLING TRUSTEE	2.00	X
(10) MICHAEL FREY TRUSTEE	2.00	X
(11) CHARLES BEARD TRUSTEE	2.00	X
(12) JACK EBLER TRUSTEE	2.00	X
(13) MARIA V HOPPER TRUSTEE	2.00	X
(14) BETTY HUDSON TRUSTEE	2.00	X
(15) GERALD HYLAND TRUSTEE	2.00	X
(16) HOOKS JOHNSTON TRUSTEE	2.00	X
(17) AL KHOURY MD TRUSTEE	2.00	X

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JAMES MCNEIL TRUSTEE	2.00	X					0	0	0
(19) DEAN MOREHOUSE TRUSTEE	2.00	X					0	0	0
(20) CAROLYN MOSS TRUSTEE	2.00	X					0	0	0
(21) PHIL NOLAN TRUSTEE	2.00	X					0	0	0
(22) MARY SCHMIDT TRUSTEE	2.00	X					0	0	0
(23) JON PETERSON TRUSTEE	2.00	X					0	0	0
(24) ERIC REINES MD TRUSTEE	2.00	X					0	0	0
(25) ARNOLD ROSENBLATT MD TRUSTEE	2.00	X					0	0	0
(26) JILL STELFOX TRUSTEE	2.00	X					0	0	0
(27) SHIRLEY TRAVIS PHD TRUSTEE	2.00	X					0	0	0
(28) ROBERT TSIEN TRUSTEE	2.00	X					0	0	0
(29) JKNOX SINGLETON PRESIDENT	20.00		X				0	2,116,994	1,315,479
(30) RICHARD MAGENHEIMER TREASURER	24.00		X				0	913,538	132,921
(31) JOHN GAUL ASST SECRETARY	24.00		X				503,853	0	106,101
(32) GREGORY SHIELDS ASST SECRETARY	20.00		X				77,076	0	13,899
(33) MARK STAUDER PRESIDENT, COO	38.00		X				0	1,300,807	314,161
(34) LEWIS PASTERNAK CEO IFH	40.00		X				0	910,105	109,306
(35) JOHN NIEDERHUBER CEO IITRPM & EVP IHS	40.00		X				0	1,173,134	52,918
(36) KYLANNE SILVERSTONE EVP CEO INOVA MDG CARE SVCS	40.00		X				0	589,641	134,455
(37) WAYNE DIEWALD EVP AMBULATORY SVCS & GROW	40.00		X				0	513,363	48,185
(38) MARSHALL RUFFIN EVP CTO	40.00		X				0	516,986	70,398
(39) LORING FLINT EVP CHIEF MEDICAL OFFICER	40.00		X				0	659,652	86,247
(40) JOHN FITZGERALD CEO IFOH	40.00			X			523,337	0	103,619
(41) GEOFFREY BROWN SVP CIO	40.00			X			575,600	0	48,513
(42) PATRICK CHRISTIANSEN SVP COO IFH	40.00			X			440,045	0	110,794
(43) MARK RUNYON SVP FINANCE	40.00			X			682,685	0	53,626
(44) BARBARA DOYLE CEO IMVH	40.00			X			465,681	0	114,536
(45) MAUREEN SWICK SVP CHIEF NURSING EXEC	40.00			X			380,414	0	86,505
(46) ANGELA MANNINO SVP HUMAN RESOURCES	40.00			X			439,121	0	109,278
(47) JAMES ECKLUND PHYSICIAN	40.00				X		1,117,085	0	70,997
(48) JOSEPH WATSON PHYSICIAN	40.00				X		687,650	0	53,086
(49) ROBERT HYMES PHYSICIAN	40.00				X		570,964	0	68,980
(50) CARY SCHWARTZBACH PHYSICIAN	40.00				X		570,766	0	29,432
(51) ALIREZA MALEKZADEH PHYSICIAN	40.00				X		567,181	0	56,282
(52) JAMES KIM FORMER AVP DEPUTY GENERAL COUNSEL	40.00					X	245,276	0	58,608
(53) PAT WALTERS FORMER SVP STRATEGIC PLANNING	40.00					X	0	1,000,989	68,335
(54) RONALD EWALD FORMER VP IHS AA FINANCE	40.00					X	384,487	0	67,202
(55) PATRICIA BYRNES SCHMEHL FORMER VP IFH WOMENS CENTER	40.00					X	252,160	0	84,485
(56) JAMES PIPER FORMER PHYSICIAN	40.00					X	372,527	0	72,757
(57) JOHN HAMILTON FORMER PHYSICIAN	40.00					X	478,243	0	67,328
(58) JOHANN JONSSON FORMER PHYSICIAN	40.00					X	488,868	0	49,101

(A) Name and business address	(B) Description of services	(C) Compensation
CARDIAC VASCULAR & THORACIC 2921 TELESTAR CT SUITE 140 FALLS CHURCH,VA22042	MEDICAL SERVICES	5,602,695
GEORGE WASHINGTON UNIVERSITY 2121 I STREET NW WASHINGTON,DC20052	RESIDENCY PROGRAM	5,313,434
FAIRFAX RADIOLOGICAL CONSULTANTS 2722 MERRILEE DRIVE SUITE 230 FAIRFAX,VA22031	RADIOLOGY	5,309,078
FAIRFAX ANETHESIOLOGY ASSOC 3100 SPRING FOREST ROAD 130 RALEIGH,NC27616	MEDICAL SERVICES	3,013,427
DELOITTE CONSULTING LLP 4022 SELLS DRIVE HERMITAGE,TN37076	CONSULTING	2,913,893
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 204

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	9,823,019	9,823,019
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	649,944,802	544,935,310	105,009,492
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	38,749,900	32,663,617	6,086,283
9	Other employee benefits .......	57,990,254	49,575,391	8,414,863
10	Payroll taxes ...........	46,057,051	39,299,597	6,757,454
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,778,251	1,042,803	1,735,448
c	Accounting ...........	1,312,712	141,352	1,171,360
d	Lobbying ...........	240,480	240,480
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	37,634,999	16,317,553	21,317,446
12	Advertising and promotion ....	2,405,468	1,434,819	970,649
13	Office expenses .......	7,396,789	4,740,728	2,656,061
14	Information technology ......	29,036,188	1,871,861	27,164,327
15	Royalties ..
16	Occupancy ...........	21,836,012	13,224,177	8,611,835
17	Travel ............	2,171,351	1,022,111	1,149,240
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	1,666,522	800,098	866,424
20	Interest ...........	23,415,436	14,607,969	8,807,467
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	94,060,292	64,359,390	29,700,902
23	Insurance ..............	12,385,317	12,005,168	380,149
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	SUPPLIES	274,593,749	270,199,966	4,393,783
b	OTHER PURCHASED SERVICE	63,062,829	37,704,066	25,358,763
c	BAD DEBT EXPENSE	57,752,398	57,752,398
d	PHYSICIAN FEES	32,693,321	32,002,097	691,224
e
f	All other expenses	25,520,894	18,697,668	6,823,226
25	Total functional expenses. Add lines 1 through 24f	1,492,528,034	1,224,461,638	268,066,396	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........		1
2	Savings and temporary cash investments .......	225,557,904	2	229,341,276
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	177,311,252	4	191,243,560
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	8,036,661	7	11,233,523
8	Inventories for sale or use ..............	14,071,409	8	13,716,615
9	Prepaid expenses and deferred charges ............	39,014,942	9	41,607,620
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,852,714,420
b	Less: accumulated depreciation. .....	10b	1,057,809,765	731,920,137	10c	794,904,655
11	Investments—publicly traded securities ..........	211,358,783	11	162,149,926
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..		13
14	Intangible assets .........		14
15	Other assets. See Part IV, line 11 ...........	1,176,702,245	15	1,274,530,304
16	Total assets. Add lines 1 through 15 (must equal line 34)...	2,583,973,333	16	2,718,727,479
	17	Accounts payable and accrued expenses .	199,429,493	17	218,489,932
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........	1,002,093,647	20	979,528,270
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	254,509,253	25	285,038,241
26	Total liabilities. Add lines 17 through 25.....	1,456,032,393	26	1,483,056,443
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	1,127,919,216	27	1,235,649,312
28	Temporarily restricted net assets .....	21,724	28	21,724
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	1,127,940,940	33	1,235,671,036
34	Total liabilities and net assets/fund balances .....	2,583,973,333	34	2,718,727,479

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2011

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) 2011	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2010 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2010 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2011. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2011

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2011

Name of organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2

Name of organization INOVA HEALTH CARE SERVICES
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part I	Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3

Name of organization INOVA HEALTH CARE SERVICES
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Part II	Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions).	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Name of organization
INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2011

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing organization's totals	(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	240,480
c	Total lobbying expenditures (add lines 1a and 1b) ...................	240,480
d	Other exempt purpose expenditures ........................	1,166,709,240
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	1,166,949,720
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2008	(b) 2009	(c) 2010	(d) 2011	(e) Total

2a	Lobbying non-taxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures	30,933	152,775	399,550	240,480	823,738

d	Grassroots nontaxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2011

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	60,241,952		60,241,952
b	Buildings ................	573,276,502	256,628,150	316,648,352
c	Leasehold improvements ............	343,053,700	224,048,367	119,005,333
d	Equipment ................	768,693,628	577,133,248	191,560,380
e	Other .................	107,448,638		107,448,638
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				794,904,655

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) UNAMORTIZED BOND COSTS				5,466,110
(2) OTHER ASSETS				181,862
(3) DUE FROM SUBSIDIARIES AND AFFILIATES				1,256,530,674
(4) INVESTMENT IN SUBSIDIARIES AND JOINT VENTURES				12,351,658





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,274,530,304

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes
THIRD PARTY SETTLEMENTS		44,995,577
NOTES PAYABLE AND OTHER		102,739,519
SELF INSURED LIABILITY		36,409,621
DEFERRED COSTS		16,496,112
POST RETIREMENT/EMPLOYMENT BENEFITS		11,094,413
INTEREST RATE SWAP LIABILITY		73,302,999



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		285,038,241
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8
9	Total adjustments (net). Add lines 4 through 8 .........................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Description of Uncertain Tax Positions Under FIN 48:	Part X:	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.

Schedule D (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the

following was the family income limit for eligibility for discounted care: ............

Yes

200% 250% 300% 350% 400% Other

If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............

Did the organization prepare a community benefit report during the tax year?...........

Yes

If "Yes," did the organization make it available to the public? ...............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

	(c) Total community benefit expense	(e) Net community benefit expense	(f) Percent of total expense
a Financial Assistance at cost (from Worksheet 1) ..	72,969,958	72,969,958	5.090 %
b Medicaid (from Worksheet 3, column a) .....	52,265,671	52,265,671	3.640 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .
dTotal Financial Assistance and Means-Tested Government Programs .....	125,235,629	125,235,629	8.730 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	10,743,708	10,743,708	0.750 %
f Health professions education (from Worksheet 5) ..	14,065,921	14,065,921	0.980 %
g Subsidized health services (from Worksheet 6) ..	10,696,078	10,696,078	0.750 %
h Research (from Worksheet 7)	4,733,480	4,733,480	0.330 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) ....	99,300	99,300	0.010 %
jTotal Other Benefits ...	40,338,487	40,338,487	2.820 %
kTotal. Add lines 7d and 7j. ..	165,574,116	165,574,116	11.550 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011

Schedule H (Form 990) 2011

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense........

27,285,427

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

231,719,258

Enter Medicare allowable costs of care relating to payments on line 5.....

259,440,436

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-27,721,178

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures

(see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 Franconia-Springfield Surgery Center LLC	Surgical Services	60.400 %	39.600 %
22 Northern Virginia Surgery Center LLC	Surgical Services	60.000 %	40.000 %
33 Inova Woodburn Surgery Center LLC	Surgical Services	75.400 %	24.600 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2011

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest) How many hospital facilities did the organization operate during the tax year?3 Name and address		Other (Describe)
1	INOVA FAIRFAX HOSPITAL 3300 GALLOWS ROAD FALLS CHURCH,VA22046	X	X	X	X	X	X
2	INOVA FAIR OAKS HOSPITAL 3600 JOSEPH SIEWICK DRIVE FAIRFAX,VA22033	X	X				X
3	INOVA MOUNT VERNON HOSPITAL 2501 PARKER LANE ALEXANDRIA,VA22306	X	X				X

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

INOVA FAIRFAX HOSPITAL

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13	Yes
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16	Yes
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

INOVA FAIROAKS HOSPTIAL

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):2

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13		No
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16	Yes
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

INOVA MOUNT VERNON HOSPITAL

Name of Hospital Facility:

Line Number of Hospital Facility (from Schedule H, Part V, Section A):3

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet the community health needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Participation in the development of a community-wide community benefit plan
	d	Participation in the execution of a community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. ....		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8	Yes
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........		9	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care?.................		10	Yes
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: 300.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Explained the basis for calculating amounts charged to patients?.................		11	Yes
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12	Yes
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13		No
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......		14	Yes
15	Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
16	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?..........		16	Yes
	If “Yes,” check all actions in which the hospital facility or a third party engaged:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other similar actions (describe in Part VI)
17	Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
	e	Other (describe in Part VI)

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........		18	Yes
	If “No,” indicate why:
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility’s policy was not in writing
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19	Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
	a	The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
	b	The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
	c	The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?.........		20		No
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?...............................		21		No
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2011

Page

Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?11
Name and address		Type of Facility (describe)
1	FRANCONIA SPRINGFIELD EMERGENCY CARE 6355 WALKER LANE ALEXANDRIA,VA22310	EMERGENCY ROOM
2	TECHNICAL DYNAMICS LLC 4231 MARKHAM STREET SUITE 230 ANNANDALE,VA22003	EQUIPMENT REPAIRS
3	EMERGENCY CARE CENTER OF FAIRFAX 4315 CHAIN BRIDGE ROAD FAIRFAX,VA22030	EMERGENCY ROOM
4	INOVA VNA HOME CARE 8003 FORBES PLACE SPRINGFIELD,VA22206	HOME CARE NURSING
5	EMERGENCY CARE CENTER OF RESTON 11901 BARON CAMERON AVENUE RESTON,VA20190	EMERGENCY ROOM
6	FRANCONIA SPRINGFIELD SURGERY CENTER LLC 6355 WALKER LANE SUITE 200 ALEXANDRIA,VA22310	OUTPATIENT SURGERY
7	NORTHERN VIRGINIA SURGERY CENTER LLC 3620 JOSEPH SIEWICK DRIVE FAIRFAX,VA22033	OUTPATIENT SURGERY
8	POTOMAC RADIATION ONCOLOGY 4001 PRINCE WILLIAM PARKWAY WOODBRIDGE,VA22191	RADIATION ONCOLOGY
9	INOVA WOODBURN SURGERY CENTER LLC 3289 WOODBURN ROAD SUITE 100 ANNANDALE,VA22003	OUTPATIENT SURGERY
10	INOVA REHABILITATION WOODBRIDGE 2280 OPITZ BLVD SUITE 120 WOODBRIDGE,VA22191	REHABILITATION
11	INSTITUTE OF RESEARCH AND EDUCATION 8110 GATEHOUSE ROAD FALLS CHURCH,VA22042	RESEARCH FACILITY

Schedule H (Form 990) 2011

Page

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Identifier	ReturnReference	Explanation
		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 $6,650,025.
		Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 57752398.
		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.
INOVA FAIRFAX HOSPITAL		Part V, Section B, Line 11h: Family Size
INOVA FAIROAKS HOSPTIAL		Part V, Section B, Line 11h: Family size.
INOVA MOUNT VERNON HOSPITAL		Part V, Section B, Line 11h: Family size.
INOVA FAIRFAX HOSPITAL		Part V, Section B, Line 13g: Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification notices posted intheir areas.
INOVA FAIROAKS HOSPTIAL		Part V, Section B, Line 13g: Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification notices posted in their areas.
INOVA MOUNT VERNON HOSPITAL		Part V, Section B, Line 13g: Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification notices posted intheir areas.
INOVA FAIRFAX HOSPITAL		Part V, Section B, Line 16e: Judgements are obtained.
INOVA FAIROAKS HOSPTIAL		Part V, Section B, Line 16e: Judgements are obtained.
INOVA MOUNT VERNON HOSPITAL		Part V, Section B, Line 16e: Judgements are obtained.
INOVA FAIRFAX HOSPITAL		Part V, Section B, Line 19d: All self pay patients receive a 35% self pay discount.
INOVA FAIROAKS HOSPTIAL		Part V, Section B, Line 19d: All self pay patients receive a 35% self pay discount.
INOVA MOUNT VERNON HOSPITAL		Part V, Section B, Line 19d: All self pay patients receive a 35% self pay discount.
		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 assessment with a comprehensive analysis of community health status to determine how community health needs have changed since the prior assessments were completed. This assessment relied on secondary data sources including VDH statistics on births, deaths and diseases; information on hospital finances and utilization from Virginia Health Information Inc; and internal information on hospital utilization and charges from Inova Health System.Study of community Health Impact on Hospital services using population based hospital discharge dataEngaged community leaders from the Alexandria Health Department, Fairfax County School District and a private non-profit. Northern Virginia Family Services provided expert consultation and guidance for the task force on the importance and challenges of establishing partnerships.As a result of this work Inova's programs expanded to address the identified Community Health Priorities. These goals were re-evaluated and updated to align with the Healthy People 200 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. Inova Health System is a participating member of each MAPP process team in each jurisdiction across Northern Virginia. Inova served on the MAPP team's year-long task force for Arlington County, for which the final report was completed in 2008. In 2008 Inova also participated in the first of four assessments being conducted by Fairfax County. This is an ongoing community-driven planning process that is designed to provide information for improving the community's delivery of the 10 essential public health services. Fairfax County has three other assessments to complete the MAPP process. This process brings together a diverse group of key community stakeholders including local government, human service organizations, schools and universities, healthcare consumers, advocacy groups, hospitals, faith institutions, youth development organizations, economic and philanthropic groups, etc. to identify strengths and weaknesses in the ten essential areas to provide a foundation for community health planning. Inova is participating in the continuing local public health needs assessment in the City of Alexandria as well. The information from all the MAPP health needs assessments from all jurisdictions served by Inova Health System will provide the new baseline for the ongoing three-year community needs assessments and will be incorporated into the community needs assessment Inova initiated in 2011 with completion of the assessment as well as implementation plans scheduled for 2013. In addition to participating in the MAPP process, Inova is continually garnering feedback on their existing programs from program participants through monthly and quarterly satisfaction surveys and focus groups, participating in regional and local health related groups such as the Northern Virginia Access to Health Care Consortium, meeting with various cultural and ethnic groups in the community and using internal utilization and outcomes data, review of best practices and regional and national benchmark data and other external sources such as the Metropolitan Washington Council of Governments (COG) demographic data to develop strategic goals for health improvement activities. Collectively, all this information is utilized in assessing community health needs to guide strategic planning efforts.
		Part VI, Line 3: Inova Health System incorporates a multifaceted approach to educate and inform patients and potential patients about the Inova charity care policy. Upon admission to any Inova hospital or nursing home or any visit to outpatient facilities or clinics including our emergency departments, Inova has information posted regarding patient rights and responsibilities. Patients are provided information about our charity care program and referrals to an Inova financial counselor who assists the patients in completing our charity care application. This financial information is reviewed by our patient accounts department and the patient is contacted if any additional information is needed to make a determination. The patient is sent a letter in which they are given the level of charity care for which they are qualified whether it be 100% coverage or a sliding scale payment based upon their income level between 200-300% of the Federal Poverty Guideline. Inova also has Medicaid eligibility workers on-site in all hospitals, in our InovaCares Clinic for Women and Children (clinic for low income families) and in the community as part of our Partnership for Healthier Kids Access to Care program. We partner with schools across our jurisdiction to provide information about state funded health programs for children and contact information to meet with an eligibility worker responsible for enrolling families in state Medicaid programs. These eligibility workers also go out into the community attending community events such as health fairs, faith-based community activities and other family centered community events to proactively meet with families to encourage enrollment in programs for which they are eligible. Inova has a section of our public website dedicated to information about billing and financial coordinators and financial assistance resources. On the site a brochure called "Financial Help for Healthcare Services" can be downloaded and is available in 6 languages to address the needs of our culturally diverse community.
		Part VI, Line 4: Inova Health Care Services (IHCS) is a not-for-profit corporation and a subsidiary of the parent organization, Inova Health System Foundation (Inova). Inova provides healthcare and related services throughout Northern Virginia and the greater metropolitan Washington, D.C. area, including certain contiguous counties of Virginia and Maryland. Northern Virginia is one of the fastest growing urban communities in the United States. With approximately 1,314 square miles, the region is the most densely populated in the Commonwealth of Virginia. Northern Virginia is comprised of several distinct communities, including the cities of Alexandria, Fairfax, Falls Church, Manassas and Manassas Park, and the counties of Arlington, Fairfax, Loudoun, and Prince William. The eastern sections are urbanized with attendant health problems of overcrowding and increasing demand for health services and public programs. Inova Health Cares Services' service area is primarily Fairfax County.The region's population served by IHCS is forecasted to grow 13% over the next decade adding an estimated average of 29,000 persons a year. Population will be spurred by the long-term strength of the region's economy, high rates of in-migration and international immigration. The region's population that is 65 years of age and older is expected to increase by over 50% by 2030, while the number of children will increase by about 24% during the period.Northern Virginia's racial and ethnic diversity is more pronounced than in the rest of the state. With increasing diversity, economically disadvantaged populations and multiple languages, the need for access to culturally appropriate, flexible health care continues to grow. The Northern Virginia geographic region is 45% minority, up from 23.2% in 1990, while the nation as a whole reflects a 36% minority population (U.S. Census Bureau, 2010). Fairfax County, with more than one million residents, is the largest jurisdiction in Northern Virginia and also has the largest minority population. According to the 2010 US Census, Asians, Hispanics, and African Americans represent 17.5 percent, 15.6 percent, and 9.2 percent of Fairfax County's population, respectively. More than one-quarter of the state's Hispanic population reside in Fairfax County.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 Blacks 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 of racial backgrounds other than White, unemployed individuals, part-time workers, and people who work at companies with fewer than 50 employees. Serving this population poses significant cultural and linguistic challenges, and these uninsured citizens are widely distributed in terms of age, geographic region, and health status.
		Part VI, Line 5: Inova Health System's investment in the communities across Northern Virginia is evident given the programs providing access to care for low income, uninsured, underinsured and vulnerable populations; promoting health & wellness and increasing health literacy; providing the support and infrastructure for disaster preparedness; and providing programs to support development of our future healthcare workforce to meet the healthcare needs of the communities served. All Inova healthcare facilities have open medical staffs to provide the maximum access to qualified physicians. A Community Board of Trustees provides fiscal and quality oversight for Inova Health Care Services facilities to ensure the vision and mission of the organization is achieved.Access to Care ProgramsInova's 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 is organized to address the healthcare needs of the community. In addition to the programs already described in the core form program, accomplishments that increase access to healthcare services for the communities served by Inova Health System include the following programs which provide infrastructure support and services focused on vulnerable populations:The Streamlined Eligibility program (SES), launched by the successful implementation of the federally-funded 2001 CAP and 2004 HCAP grants, continues to be funded by Inova. SES provides local safety-net health care providers access to coordinated health care networks to serve the uninsured and underinsured residents of Northern Virginia. A shared database is used to determine a patient's eligibility for services which provides one central intake thereby streamlining and expediting the process. Inova supports the infrastructure and expansion of the program which currently consists of 12 public/private partners serving Fairfax County, City of Alexandria, Loudoun County, Arlington County, and Prince William County. The system currently houses over 285,000 eligibility records of uninsured and Medicaid patients. Inova's Partnership for Healthier Kids (PHK) Access to Care program provides families with comprehensive application and enrollment assistance to connect them with an appropriate and affordable source of health care services. In 2011, PHK assisted over 3,700 children with access to a source of comprehensive health care services such as Medicaid, FAMIS or local safety net providers. Through the provision of two programs, 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. The 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 Prevention 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 2011 the Center provided 78,392 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 2 additional Child and Adolescent Psychiatrist's 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 aged 2 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. Inova Partnering Actively Towards Health (iPATH). The iPATH mission is to provide opportunities for students to engage in health oriented activities within our community, strengthen healthy living amongst adolescents, and expose students to exciting medical careers. The PATHway to Improved Health program is a ten-week program designed to engage selected student leaders that will champion health awareness activities in their schools and communities, empower students to partner with health professionals to assist Inova and their school in developing a new health initiative, and serve as a health ambassador to their families to help achieve the goal of improving the health of the community one family at a time. Congregational Health Partnership (CHP) has resourced and facilitated wellness of spirit, mind, and body through multi-faith communities:Provided more than 102 health education and wellness promotion activitiesDistributed over 12,654 pieces of health education materialsConducted over 3,371 consultations and networking conversationsIncreased the number of new faith communities partnered with CHP with 20 new Faith Congregations contacted this year.InovaCares for Seniors (PACE)InovaCares for Seniors is the submitted trade name for Inova Health System's first Program of All-Inclusive Care for the Elderly (PACE). PACE is an evidenced-based model of care that delivers high quality, cost effective care and is built on the foundation that seniors with complex health care needs should be able to live in the least restrictive environment for as long as possible.Inova's formal application was submitted and accepted under review by CMS on September 7th, 2011 initiating the approval process as a provider of clinical and social services to dual eligible (Medicare/Medicaid) members of our community. Upon approval of the application followed by a formal site review in mid December, InovaCares for Seniors is planning for enrollment of area seniors in the first quarter of 2012. The physical site planned for our first PACE clinic is located at Braddock Glen adult day health center on Olley Lane in Fairfax County, and renovations are nearly complete for the expansion of the clinic and rehab service areas. Health Literacy and Health Equity ProgramsThe goal of the Office of Health Equity (OHE) is to identify and address documented health disparities in Northern Virginia through internal and community initiatives under the Quality, Service and Community Pillars. 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 are the OHE's activities in the areas of staff training/education, services for the Deaf and Hard of Hearing, and Language Services.
		Part VI, Line 6: Organization is part of Inova Health System included in description under Line 5.
	PART VI, LINE 5	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 are limited English proficient (LEP). Medical Interpretation is provided by on site medical interpreters and telephonically via the language line. Through December 2011 the OHE delivered 120,374 interpreter encounters (108,000 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 2011 3,823 interpreted sessions (10,000 hours) have been delivered. Education and TrainingThe OHE facilitates the development of a culturally competent workforce with the implementation of staff education and training programs such as:The 21st Century Leadership Development Program is a nine month program designed to identify and grow future Inova leaders. The program launched in September with 22 participants. Cultural Competence and Diversity Education programs are conducted regularly. Through December 2011, the OHE delivered 56 educational sessions and in-service trainings, reaching a total of 1,600 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 (IAH) to ensure consistent IAH representation on the Committee and to present an in-service for a range of IAH staff, including case managers, social workers, PCD's and additional ED personnel. The goals of this initiative are (1) to reduce readmissions to IAH from the homeless population and (2) to improve IAH's profile in the community.Disaster PreparednessRegional Hospital Coordinating Center - 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.

Schedule H (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Yes

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) JKNOX SINGLETON	(i) (ii)	0 1,138,073	0 672,455	0 306,466	0 1,291,950	0 23,529	0 3,432,473	0 0
(2) RICHARD MAGENHEIMER	(i) (ii)	0 582,232	0 206,056	0 125,250	0 110,466	0 22,455	0 1,046,459	0 0
(3) JOHN GAUL	(i) (ii)	383,963 0	98,620 0	21,270 0	85,133 0	20,968 0	609,954 0	0 0
(4) MARK STAUDER	(i) (ii)	0 893,927	0 360,000	0 46,880	0 293,405	0 20,756	0 1,614,968	0 0
(5) LEWIS PASTERNAK	(i) (ii)	0 599,240	0 156,724	0 154,141	0 84,432	0 24,874	0 1,019,411	0 64,499
(6) JOHN NIEDERHUBER	(i) (ii)	0 942,010	0 190,000	0 41,124	0 36,700	0 16,218	0 1,226,052	0 0
(7) KYLANNE SILVERSTONE	(i) (ii)	0 428,235	0 123,882	0 37,524	0 119,560	0 14,895	0 724,096	0 0
(8) WAYNE DIEWALD	(i) (ii)	0 384,871	0 95,813	0 32,679	0 30,336	0 17,849	0 561,548	0 0
(9) MARSHALL RUFFIN	(i) (ii)	0 392,253	0 100,000	0 24,733	0 53,200	0 17,198	0 587,384	0 0
(10) LORING FLINT	(i) (ii)	0 545,952	0 25,000	0 88,700	0 60,100	0 26,147	0 745,899	0 0
(11) JOHN FITZGERALD	(i) (ii)	370,909 0	114,774 0	37,654 0	86,946 0	16,673 0	626,956 0	0 0
(12) GEOFFREY BROWN	(i) (ii)	291,950 0	75,924 0	207,726 0	31,443 0	17,070 0	624,113 0	111,767 0
(13) PATRICK CHRISTIANSEN	(i) (ii)	366,843 0	38,300 0	34,902 0	95,121 0	15,673 0	550,839 0	0 0
(14) MARK RUNYON	(i) (ii)	352,233 0	94,158 0	236,294 0	32,322 0	21,304 0	736,311 0	200,637 0
(15) BARBARA DOYLE	(i) (ii)	328,926 0	101,929 0	34,826 0	104,386 0	10,150 0	580,217 0	0 0
(16) MAUREEN SWICK	(i) (ii)	292,924 0	56,699 0	30,791 0	63,863 0	22,642 0	466,919 0	0 0
(17) ANGELA MANNINO	(i) (ii)	325,060 0	63,955 0	50,106 0	83,782 0	25,496 0	548,399 0	0 0
(18) JAMES ECKLUND	(i) (ii)	882,080 0	233,763 0	1,242 0	53,200 0	17,797 0	1,188,082 0	0 0
(19) JOSEPH WATSON	(i) (ii)	595,799 0	91,041 0	810 0	31,200 0	21,886 0	740,736 0	0 0
(20) ROBERT HYMES	(i) (ii)	417,362 0	153,152 0	450 0	47,700 0	21,280 0	639,944 0	0 0
(21) CARY SCHWARTZBACH	(i) (ii)	416,579 0	153,152 0	1,035 0	7,350 0	22,082 0	600,198 0	0 0
(22) ALIREZA MALEKZADEH	(i) (ii)	413,579 0	153,152 0	450 0	31,200 0	25,082 0	623,463 0	0 0
(23) JAMES KIM	(i) (ii)	199,679 0	35,321 0	10,276 0	38,293 0	20,315 0	303,884 0	0 0
(24) PAT WALTERS	(i) (ii)	0 369,704	0 111,855	0 519,430	0 53,200	0 15,135	0 1,069,324	0 0
(25) RONALD EWALD	(i) (ii)	232,341 0	45,678 0	106,468 0	53,086 0	14,116 0	451,689 0	44,447 0
(26) PATRICIA BYRNES SCHMEHL	(i) (ii)	196,596 0	32,571 0	22,993 0	56,876 0	27,609 0	336,645 0	0 0
(27) JAMES PIPER	(i) (ii)	345,233 0	26,466 0	828 0	53,200 0	19,557 0	445,284 0	0 0
(28) JOHN HAMILTON	(i) (ii)	477,613 0	0 0	630 0	47,700 0	19,628 0	545,571 0	0 0
(29) JOHANN JONSSON	(i) (ii)	366,335 0	120,985 0	1,548 0	29,544 0	19,557 0	537,969 0	0 0

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
	Part I, Line 1a	Employee Loring Flint received a temporary housing benefit which was included on the W-2.
	Part I, Lines 4a-b	Severence Pat Walters $422,094 SERP Plan Payments J. Knox Singleton $229,900 Richard Magenheimer $88,500 Lewis Pasternak $114,769 Mark Runyon $213,672 Geoffrey Brown $183,387 Patrick Walters $63,314 Ronald Ewald $80,137 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 J (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
INOVA HEALTH CARE SERVICES

Employer identification number
54-0620889

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	Industrial Development Authority of Fairfax County Virginia	54-1470567	303823FM5	05-12-2005	119,090,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	54-1470567	303823FR4	05-12-2005	71,520,000	See Part VI		X		X		X
C	Industrial Development Authority of Fairfax County Virginia	54-1470567	303823GL6	04-16-2009	350,414,313	See Part VI		X		X		X
D	Industrial Development Authority of Fairfax County Virginia	54-1470567	303823JH2	12-15-2009	73,433,655	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	54-1470567	303823JJ8	03-08-2010	190,000,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	54-1470567		07-29-2011	54,490,000	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	12,580,000		47,850,000		197,085,000		6,410,000
2 Amount of bonds legally defeased . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . .	125,531,544		71,520,000		350,414,313		73,433,655
4 Gross proceeds in reserve funds . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . .	3,604,217		107,241
6 Proceeds in refunding escrows . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . .	367,125		294,292		4,384,313		660,539
8 Credit enhancement from proceeds . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . .	126,470,203				69,055,868
11 Other spent proceeds . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . .	87,475,950
13 Year of substantial completion . . . . . . . . . . .	2007
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X	X			X		X
16 Has the final allocation of proceeds been made? . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X			X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .	X			X		X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .	X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .	X			X	X			X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0%		0%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0%		0%		0%		%
7 Does the bond issue meet the private security or payment test? . . .	X			X	X			X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X			X	X			X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X		X
2 Is the bond issue a variable rate issue?	X		X			X		X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider . . . . . . . .	Morgan Stanley Capital Services
c Term of hedge . . . . . . . .	30.000000000000
d Was the hedge superintegrated? . . . .		X
e Was a hedge terminated? . . . . .		X
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X		X		X
b Name of provider . . . . . .
c Term of GIC . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . . YesNo

Part VI

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
Part I, Column E	Issue Price	Issue price per Form 8038 for 2005A 124,000,000 Refunded bonds- 2005A to 2011 (4,910,000) Part 1, row A, column E 119,090,000 Issue price per Form 8038 for 2005C 99,400,000 Refunded bonds- 2005C to 2011 (27,880,000) Part 1, row B, column E 71,520,000
Part I, Column F	Decription of Purpose	Bond A 1) Renovate and expand certain portions of Inova Alexandria Hospital (IAH), Inova Fairfax Hospital (IFH), Inova Fair Oaks Hospital (IFOH); 2) Acquire certain capital equipment for use in or in connection with IAH, IFH, IFOH, and Inova Mount Vernon Hospital and renovate any space necessary or incidental to the installation of such equipment; 3) Pay issuance costs for Series 2005 A and B; 4) Refund prior bonds issued by the Industrial Development Authority of Loudoun County, Virginia Hospital Revenue Bonds, Series 1995 issued 10/26/1995 and 2002A issued 6/27/2002, and pay issuance costs of Series 2005D; 5) Refund prior bonds Series 2001A, B, C, and D issued 12/11/2001 Bond B 1) Refund prior bonds -1996A issued 4/18/1996; 2) Pay issuance costs of series 2005C bonds Bond C 1) Refund prior bonds - 2008ABC issued 4/17/08; 2) Pay issuance costs of series 2009A and B bonds; 3) Finance the costs of acquisition, construction, renovation, installation and equipping of the 2009 Projects Bond D 1) Refund prior bonds - 1998A issued 3/10/98; 2) Pay issuance costs of series 2009C bonds Bond E 1) Refund prior bonds - 2009B issued 4/16/2009; 2) Pay issuance costs of series 2010A bonds Bond F 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A & 2005C issued 5/12/2005
Part 2, Line 3	Proceeds	Part 2, line 3. 2005A bonds total proceeds 124,000,000 interest income & other deposit 6,441,544 Refunded bonds- 2005A to 2011 (4,910,000) Total 125,531,544 Part 2, line 3. 2010A bonds total proceeds 190,000,000 interest income 1,800,547 Total 191,800,547
Part 2, Line 17		The 2010A bond proceeds have not been fully allocated because the money has not been fully spent. Inova does maintain adequate books and records to be able to support the final allocation of proceeds once the money is fully spent.

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization
INOVA HEALTH CARE SERVICES

Employer identification number
54-0620889

Part I

Bond Issues

(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	(g) Defeased		(h) On Behalf of Issuer		(i) Pool financing
(a) Issuer Name		(b) Issuer EIN	(c) CUSIP #	(d) Date Issued	(e) Issue Price	(f) Description of Purpose	Yes	No	Yes	No	Yes	No
A	Industrial Development Authority of Fairfax County Virginia	54-1470567	303823FM5	05-12-2005	119,090,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	54-1470567	303823FR4	05-12-2005	71,520,000	See Part VI		X		X		X
C	Industrial Development Authority of Fairfax County Virginia	54-1470567	303823GL6	04-16-2009	350,414,313	See Part VI		X		X		X
D	Industrial Development Authority of Fairfax County Virginia	54-1470567	303823JH2	12-15-2009	73,433,655	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	54-1470567	303823JJ8	03-08-2010	190,000,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	54-1470567		07-29-2011	54,490,000	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . .	12,580,000		47,850,000		197,085,000		6,410,000
2 Amount of bonds legally defeased . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . .	125,531,544		71,520,000		350,414,313		73,433,655
4 Gross proceeds in reserve funds . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . .	3,604,217		107,241
6 Proceeds in refunding escrows . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . .	367,125		294,292		4,384,313		660,539
8 Credit enhancement from proceeds . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . .	126,470,203				69,055,868
11 Other spent proceeds . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . .	87,475,950
13 Year of substantial completion . . . . . . . . . . .	2007
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . .		X		X	X		X
15 Were the bonds issued as part of an advance refunding issue? . . . .		X	X			X		X
16 Has the final allocation of proceeds been made? . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .	X			X		X		X

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2011

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .	X			X		X		X
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .	X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .	X			X	X			X
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .	X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0%		0%		0%		%
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0.00000%		0.00000%		0%		%
6 Total of lines 4 and 5 . . .. . . . . . . . .	0%		0%		0%		%
7 Does the bond issue meet the private security or payment test? . . .	X			X	X			X
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2?	X			X	X			X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .		X		X		X		X
2 Is the bond issue a variable rate issue?	X		X			X		X
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X			X		X		X
b Name of provider . . . . . . . .	Morgan Stanley Capital Services
c Term of hedge . . . . . . . .	30.000000000000
d Was the hedge superintegrated? . . . .		X
e Was a hedge terminated? . . . . .		X
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .		X		X		X		X
b Name of provider . . . . . .
c Term of GIC . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .		X		X		X		X
6 Did the bond issue qualify for an exception to rebate? .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X		X

Schedule K (Form 990) 2011

Page 3

Part V

Procedures To Undertake Corrective Action

Part VI

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule K (see instructions).

Identifier	Return Reference	Explanation
Part I, Column E	Issue Price	Issue price per Form 8038 for 2005A 124,000,000 Refunded bonds- 2005A to 2011 (4,910,000) Part 1, row A, column E 119,090,000 Issue price per Form 8038 for 2005C 99,400,000 Refunded bonds- 2005C to 2011 (27,880,000) Part 1, row B, column E 71,520,000
Part I, Column F	Decription of Purpose	Bond A 1) Renovate and expand certain portions of Inova Alexandria Hospital (IAH), Inova Fairfax Hospital (IFH), Inova Fair Oaks Hospital (IFOH); 2) Acquire certain capital equipment for use in or in connection with IAH, IFH, IFOH, and Inova Mount Vernon Hospital and renovate any space necessary or incidental to the installation of such equipment; 3) Pay issuance costs for Series 2005 A and B; 4) Refund prior bonds issued by the Industrial Development Authority of Loudoun County, Virginia Hospital Revenue Bonds, Series 1995 issued 10/26/1995 and 2002A issued 6/27/2002, and pay issuance costs of Series 2005D; 5) Refund prior bonds Series 2001A, B, C, and D issued 12/11/2001 Bond B 1) Refund prior bonds -1996A issued 4/18/1996; 2) Pay issuance costs of series 2005C bonds Bond C 1) Refund prior bonds - 2008ABC issued 4/17/08; 2) Pay issuance costs of series 2009A and B bonds; 3) Finance the costs of acquisition, construction, renovation, installation and equipping of the 2009 Projects Bond D 1) Refund prior bonds - 1998A issued 3/10/98; 2) Pay issuance costs of series 2009C bonds Bond E 1) Refund prior bonds - 2009B issued 4/16/2009; 2) Pay issuance costs of series 2010A bonds Bond F 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A & 2005C issued 5/12/2005
Part 2, Line 3	Proceeds	Part 2, line 3. 2005A bonds total proceeds 124,000,000 interest income & other deposit 6,441,544 Refunded bonds- 2005A to 2011 (4,910,000) Total 125,531,544 Part 2, line 3. 2010A bonds total proceeds 190,000,000 interest income 1,800,547 Total 191,800,547
Part 2, Line 17		The 2010A bond proceeds have not been fully allocated because the money has not been fully spent. Inova does maintain adequate books and records to be able to support the final allocation of proceeds once the money is fully spent.

Schedule K (Form 990) 2011

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(b) Description of transaction	(c) Corrected?
1(a) Name of disqualified person	(b) Description of transaction	Yes	No

Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.

(a) Name of interested person and purpose	(b) Loan to or from the organization?		(c)Original principal amount	(d)Balance due	(e) In default?		(f) Approved by board or committee?		(g)Written agreement?
(a) Name of interested person and purpose	To	From	(c)Original principal amount	(d)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b)Relationship between interested person and the organization	(c)Amount of grant or type of assistance

For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2011

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Arnold Rosenblatt MD	Trustee	102,000	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.		No
(2) Arnold Rosenblatt MD	Trustee	28,698	Fees paid to Dr. Rosenblatt for interpretation of EKGs, and treadmills tests. Services provided at arm's length and customary rates.		No
(3) Eric Reines MD	Trustee	139,992	Dr. Eric Reines, Trustee, is a partner in Alexandria Infectious Disease. Contract fees paid to the practice for Dr. Reines to serve as the Inova Alexandria Hospital Medical Staff President. The Hospital pays $70,000 of this annual amount and the Medical Staff pays the balance. Services provided at arm's length and customary rates.		No
(4) Eric Reines MD	Trustee	44,014	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.		No
(5)					No
(6) Robert Ahmed MD	Trustee	115,000	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.		No
(7) Robert Ahmed MD	Trustee	47,861	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.		No
(8) Mary Schmidt	Trustee	129,167	Mary Schmidt, Trustee, fees paid 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.		No
(9) Mary Schmidt	Trustee	319,114	Mary Schmidt, Trustee, fees Paid to Infectious Disease Physicians. Services provided at arm's length and customary rates.		No
(10) Martha Calihan MD	Trustee	901,773	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.		No
(11) Lewis Pasternak	Officer	52,023	Nancy Pasternak is wife of key employee Reuven Pasternak. Nancy Pasternak is a contractor providing services to Inova Health System.Services provided at arm's length and customary.		No

Part V

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule L (see instructions).

Identifier	Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Identifier	Return Reference	Explanation
	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.
	Form 990, Part VI, Section B, line 12c	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 15	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 C, line 18	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 19	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.
HOURS WORKED	PART VII, COLUMN B	THE FOLLOWING INDIVIDUALS HAVE HOURS PER WEEK WORKED ON RELATED ORGANIZATIONS: J. KNOX SINGLETON, 30 HOURS JOHN GAUL, 26 HOURS RICHARD MAGENHEIMER, 26 HOURS LORING FLINT, 10 HOURS MARK STAUDER, 12 HOURS MARSHALL RUFFIN, 10 HOURS WAYNE DIEWALD, 10 HOURS LEWIS PASTERNAK, 10 HOURS KYLANNE SILVERSTONE, 10 HOURS JOHN NIEDERHUBER, 10 HOURS GREG SHIELDS, 20 HOURS JAMES KIM, 26 HOURS PATRICK WALTERS, 40 HOURS CHRISTOPHER CHIANTELLA, 3 HOURS MARTHA CALIHAN, 4 HOURS AL KHOURY, 3 HOURS CHARLES SMITH, 4 HOURS JACK EBLER, 3 HOURS MARGARET COLON, 3 HOURS
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 5:	PARTNERSHIP INCOME -10,837,746. UNREALIZED GAIN ON INTEREST SWAP -11,600,820. CAPITAL RIEMBURSEMENT 1,639,083. EQUITY IN SUBS 8,356,261. DONATED FUNDS 222,789. UNREALIZED GAIN 697,198. PENSION LOSS -14,369,514. OTHER -1,964,647. Total to Form 990, Part XI, Line 5: -27,857,396.
PROGRAM SERVICE ACCOMPLISHMENTS	PART III, LINE 4a	Inova Health System utilizes a multifaceted approach to educate and inform patients and the public about Inova's charity care policy. Upon admission to any Inova hospital, nursing home or any visit to outpatient facilities or clinics including emergency departments, Inova has information posted regarding patient rights and responsibilities. In addition, Inova provides information about our charity care program and referrals to Inova financial counselors who assist patients in completing Inova's charity care application. This financial information is reviewed by the Inova Patient Accounts Department with the patient contacted if additional information is required in order to make a determination. The patient is subsequently provided a letter, notifying them as to the level of charity care for which they are qualified (whether it be 100% coverage or a sliding scale payment based upon their income level between 200-300% of the Federal Poverty Guideline). In 2011 IHCS's unreimbursed cost of charity care, including free and discounted services, was $73 million. Medicaid Established under Title XIX of the Social Security Act, this program provides assistance for the medically indigent, including those who cannot pay for care despite being able to afford other living expenses. Also included under this program are the blind, the disabled, and crippled children. The reimbursement that IHCS facilities receive from the Medicaid program routinely falls below the actual cost of services provided. During 2011, IHCS provided care to Medicaid patients at an unreimbursed cost of $52 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.
PROGRAM SERVICE ACCOMPLISHMENTS	PART III, LINE 4D	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 2011, HealthSource served 246,618 participants at 4,200 events. Program highlights include: Influenza Vaccination The Inova HealthSource Fight the Flu Program has provided 35,000 flu shots at 740 immunization clinics so far this year for Inova Health System employees and physicians, employers and the community. The Fight the Flu Program provided over 9,000 flu shots for Fairfax County Public Schools at 184 clinics and 2,500 shots at 15 clinics for Fairfax County Government employees. Additional clinics were held at 386 worksites vaccinating 22,384 employees. With Inova foundation funds, free flu shots were provided for 94 children and teachers at Higher Horizons Head Start Program. The Workplace and Community Programs The Workplace and Community Program served 13,682 participants at 455 events and added 22 new clients. The Care Management Programs provided health coaching in weight management, tobacco cessation, back pain management, fitness, pregnancy and breastfeeding at worksites. Team Up - In January, Inova HealthSource initiated a healthy, fun, team-oriented challenge program for employers. Team Up programs are multi-week competitions that focus on either weigh loss or activity, with over 2,000 participants completing the program. The City of Alexandria Wellness Programprovides development, implementation and evaluation for all City employees. During 2011 provided 84 programs for 4,552 participants. Programs include Know Your Numbers, Choose Your Physician, Team Up to Move, Flu Vaccination, Health Fairs and monthly health/prevention awareness campaigns. The Health Education Program: supporting community wellness through health education HealthSource provided 684 life support classes for 5,810 students at worksites and in the community. Over 400 parents of infants in the NICU received free CPR training Over 2,000 students received advanced life support training
NUMBER OF EMPLOYEES	PART V, LINE 2A	he organization falls under a master pay agent and does not file any payroll returns under its own EIN, however all required returns have been filed on time.
AUDITED FINANCIAL STATEMENTS	PART XII, LINE 2B AND 2C	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.
A-133 AUDIT	PART XII, LINE 3A	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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) INOVA CAP LLC 8110 GATEHOUSE ROAD FALLS CHURCH,VA22042 27-0927074	INSURANCE CAPTIVE	VA	2,847,566	71,062,498	N/A
(2) SPRINGFIELD HEALTHPLEX CONDOMINIUM DEVELOPMENT LLC 8110 GATEHOUSE ROAD FALLS CHURCH,VA22042 27-4533736	REAL ESTATE	VA	5,798,068	6,047,702

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) INOVA HEALTH SYSTEM FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1071867	FUNDRAISING	VA	501(C)(3)	11,III	N/A		No
(2) INOVA VNA HOME CARE 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1277164	HOME CARE SERVICES	VA	501(C)(3)	9	N/A		No
(3) INOVA HEALTH SYSTEM SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1434144	NURSING HOMES	VA	501(C)(3)	9	N/A		No
(4) IMANCO INC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1340725	PAYROLL CORPORATION	VA	501(C)(3)	11, I	N/A		No
(5) INOVA ALEXANDRIA HEALTH SERVICES CORPORATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 52-1356573	INACTIVE CORPORATION	VA	501(C)(3)	11,I	N/A		No
(6) INOVA PHYSICAL REHABILITATION SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1692089	REHABILITATION SERVICES	VA	501(C)(3)	9	N/A		No
(7) INOVA ALEXANDRIA HOSPITAL 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-0505861	HOSPITAL	VA	501(C)(3)	3	N/A		No
(8) INOVA MEDICAL FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1716343	MANAGED CARE INACTIVE	VA	501(C)(3)	11, I	N/A		No
(9) UMC HOLDINGS INC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1390795	URGENT CARE SERVICES	VA	501(C)(3)	9	N/A		No
(10) INOVA EMPLOYEE ASSISTANACE 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1916699	EMPLOYEE SERVICES	VA	501(C)(3)	11, I	N/A		No
(11) ALEXANDRIA COMMUNITY HEALTHCARE GROUP 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1444341	INACTIVE CORPORATION	VA	501(C)(3)	11, I	N/A		No
(12) ALEXANDRIA HOSPITAL FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 51-0241913	FUNDRAISING	VA	501(C)(3)	11, I	N/A		No
(13) LOUDOUN HOSPITAL CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-0525802	HOSPITAL	VA	501(C)(3)	3	N/A		No
(14) LOUDOUN NURSING AND REHABILITATION CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1361310	REHABILITATION SERVICES	VA	501(C)(3)	9	N/A		No
(15) LOUDOUN HEALTH SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1555489	SURGERY CENTER	VA	501(C)(3)	9	N/A		No
(16) LOUDOUN HEALTHCARE FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-2011240	FUNDRAISING	VA	501(C)(3)	11, I	N/A		No
(17) LOUDOUN HEALTHCARE INC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1361309	INACTIVE CORPORATION	VA	501(C)(3)	11, I	N/A		No
(18) LHI PROPERTIES INC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1651315	INACTIVE CORPORATION	VA	501(C)(3)	11, I	N/A		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) TECHNICAL DYNAMICS LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 43-2041666	EQUIPMENT REPAIRS	VA	N/A	RELATED	1,631,225	9,902		No		Yes		67.220 %
(2) INOVA WOODBURN SURGERY CENTER LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 26-2295023	SURGERY CENTER	VA	N/A	RELATED	85,064	2,114,713		No		Yes		75.400 %
(3) NORTHERN VIRGINIA SURGERY CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 20-3502477	SURGERY CENTER	VA	N/A	RELATED	1,858,920	3,391,252		No		Yes		60.000 %
(4) FRANCONIA-SPRINGFIELD SURGERY CENTER LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-2018390	SURGERY CENTER	VA	N/A	RELATED	2,292,566	1,410,746		No		Yes		60.400 %
(5) POTOMAC INOVA HEALTHCARE ALLIANCE LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1802733	RADIATION ONCOLOGY	VA	N/A	RELATED	816,497	2,691,601		No		Yes		50.000 %
(6) INOVA RESTON MRI CENTER LLC 2722 MERRILEE DRIVE SUITE 230 FAIRFAX,VA22031 26-4587374	MRI SERVICES	VA	N/A	RELATED	4,086,142	2,544,699		No		Yes		65.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) INOVA HEALTH SYSTEM FOUNDATION	C	3,769,427	GENERAL LEDGER
(2) INOVA HEALTH SYSTEM FOUNDATION - CASH SWEEP ACCOUNT	Q	91,826,350	INTERCOMPANY BALANCE
(3) INOVA HEALTH SYSTEM FOUNDATION	L	4,861,462	GENERAL LEDGER
(4)
(5)
(6)

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	29
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	21
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	12,703
6	Total number of volunteers (estimate if necessary) ....	6	2,130
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	7,831,796
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	12,713,325	12,131,593
9	Program service revenue (Part VIII, line 2g) .........	1,567,871,629	1,585,686,271
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-10,518,052	-23,254,457
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	46,234,214	53,552,119
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,616,301,116	1,628,115,526
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	798,033,934	802,565,026
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	681,198,101	689,963,008
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,479,232,035	1,492,528,034
19	Revenue less expenses. Subtract line 18 from line 12.......	137,069,081	135,587,492
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,583,973,333	2,718,727,479
21	Total liabilities (Part X, line 26).............	1,456,032,393	1,483,056,443
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,127,940,940	1,235,671,036

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ 1,224,461,638 including grants of $ 8,362,166 ) (Revenue $ 1,623,706,637 )
	Inova Health Care Services (IHCS) is part of the Inova Health System whose mission is to serve the needs of the community by establishing, maintaining, and operating hospital facilities, programs, and other shared service arrangements; carrying on health-related education activities; promoting and carrying on health-related scientific research; and engaging in activities designed and carried on to promote the general health of the community. IHCS includes a centralized System Office and the various unincorporated and incorporated subsidiaries which are described below.The unincorporated subsidiaries of IHCS include: Inova Fairfax Hospital, Inova Mount Vernon Hospital, Inova Fair Oaks Hospital, ACCESS of Reston, ACCESS of Fairfax, and the Inova Research Center. PROGRAM SERVICESAcute care services are provided on three campuses in Fairfax County, Virginia. Services provided include emergency and trauma facilities, inpatient and outpatient services, and a variety of ancillary and specialized services. During 2011 IHCS admissions and observations cases totaled 85,161, outpatient visits totaled 342,126, emergency visits totaled 251,393 and deliveries totaled 13,501 the acute care program services provided by these hospitals are described more fully below.Inova Fairfax Hospital (IFH) campus includes the Inova Heart and Vascular Institute, Inova Women's Hospital, and Inova Fairfax Hospital for Children. The hospital, located in Central Fairfax County is an 833-licensed bed tertiary care hospital providing comprehensive medical and surgical services which include emergency/trauma, cardiac, transplant, cancer, obstetric, pediatric, neonatal, stroke and extensive outpatient services. Inova Fairfax Hospital is the home of northern Virginia's only level one emergency and trauma center and the state-of-the-art Women's and Children's Center. In addition, Inova Fairfax Hospital is a teaching hospital providing clinical training through its medical residency, nursing, and paramedical education programs.Inova Mount Vernon Hospital (IMVH) is a 237-licensed bed acute-care hospital serving southeastern Fairfax County. Inova Mount Vernon provides a full-service, 24-hour emergency department; broad range of diagnostic, medical and surgical services; inpatient psychiatric services; the Dorothea R. Fischer Wound Healing Center and a specialized hyperbaric oxygen therapy program used to treat conditions requiring increased oxygen flow to body tissues (such as grafts and certain types of burns). The hospital operates the Inova Center for Rehabilitation, a nationally-known accredited program providing inpatient and outpatient rehabilitative services.Inova Fair Oaks Hospital (IFOH) is a 182-licensed bed general acute care hospital, which opened in 1987 to serve the growing communities in western Fairfax County, Virginia. Inova Fair Oaks provides a full-service 24-hour emergency department; a spectrum of diagnostic services and treatment including full-body CT scanning, open MRI and radiation cancer services; inpatient medical and surgical services; obstetrics and pediatric services; and comprehensive outpatient services including outpatient surgery, physical medicine, wound care and rehabilitation. Inova Fair Oaks Hospital is home to a designated Bariatric Surgery Center of Excellence. Specific acute care programs include:Cardiovascular Care: The Inova Heart and Vascular Institute is the region's first dedicated heart hospital. It houses 156 inpatient beds, six cardiovascular operating rooms, an 11-room cardiac catheterization and electrophysiology suite, chest pain unit, 64-slice CT scanner and other diagnostic testing, outpatient clinics, cardiac rehabilitation and educational facilities. Specialty programs include pediatric cardiac surgery, arterial fibrillation, valve disease and heart failure. In 2011, a total of 19,126 patients were served by the IHCS cardiovascular program. Women's Health: The Inova Women's Health program is the largest such program in the Mid-Atlantic region, providing services for over 13,500 births each year. Obstetric services provided include delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, and regular and specialty nursery care. In addition, Fairfax provides obstetric services to low-income patients through the InovaCares Clinic for Women with 35,343 visits in 2011.Breast Care Institute: The Inova Breast Care Institute at Inova Fairfax Hospital and Inova Fair Oaks Hospital is the first in the DC region to earn a three-year accreditation in breast care from the National Accreditation Program for Breast Centers (NAPBC), part of the American College of Surgeons. In 2011, 1,440 patients were served by the Breast Care Institute.Pediatrics: The Inova Fairfax Hospital for Children (IFHC) is Northern Virginia's regional pediatric referral center with 112 licensed acute care beds and more than 25 sub-specialties including pediatric emergency and trauma care, critical care, infectious disease, pulmonary disease, cardiac surgery, hematology and oncology, neonatology, physical medicine & rehabilitation and speech & hearing therapy. The Fairfax facility includes Northern Virginia's only Level III (highest level) newborn intensive care unit, which is staffed around the clock by neonatology physicians and nurses specially trained in caring for premature and other newborns with medical complications. As of December 31, 2011, total NICU bassinets numbered 75. Inova Fairfax Hospital operates the only pediatric intensive care unit in northern Virginia, providing 24-hour coverage for children with life-threatening illnesses or injuries. Inova Fairfax also has 20 dedicated pediatric emergency room treatment bays, a dedicated hematology/oncology unit and two dedicated operating rooms for pediatric heart surgeries. Inova Fairfax Hospital for Children (IFHC) provides a primary care medical home for children of low income families that are uninsured or on Medicaid through the InovaCares Clinic for Children. The Emergency and Trauma Center at Inova Fairfax Hospital, Northern Virginia's only Level I trauma center, is a state-of-the-art facility. Emergency medical specialists with expertise in trauma care treat every type of illness, injury, or life-threatening trauma. The Inova Center for Rehabilitation, located on the Inova Mount Vernon campus is accredited by the Commission on Accreditation and Rehabilitation Facilities (CARF) and provides comprehensive inpatient and outpatient medical rehabilitation services to patients with severe head injuries, spinal cord injuries, strokes, multiple sclerosis, and other orthopedic and neurological disabilities. These services are staffed by an interdisciplinary team representing psychiatry, psychology, vocational counseling, physical therapy, occupational therapy, and nursing with treatment tailored to meet the specific needs of each patient. ACCESS of Fairfax, and ACCESS of Reston are 24-hour, free standing emergency centers located in Fairfax City, and Reston, Virginia, respectively. During 2011, ACCESS of Fairfax provided 16,856 emergency room visits and ACCESS of Reston reported 14,350 emergency room visits. IHCS has recently invested significant capital in all three hospital facilities. IHCS has an $875 million facility development program at the Inova Fairfax Hospital campus which was initiated in 2010 and will continue over the next three years. This program will expand existing services, renovate the existing patient tower and provide for a new and separate women's hospital facility. The Inova Mount Vernon Hospital will be investing in a $46 million expansion to create private rooms and upgrade facilities. Charity Care All Inova facilities, including the IHCS facilities provide charity care in accordance with Inova policies which ensure access to medically necessary care for all individuals. Charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. These policies include the following key provisions:1. Emergency care shall be provided to all persons regardless of their ability to pay.2. Non-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and access facilities to medically indigent patients. "Medically necessary care" refers to inpatient and outpatient services defined as medically necessary by the federal Medicare program. "Medically indigent" is defined as those patients whose income falls at or below 200% of the Federal Poverty Guideline (FPG). In general, free medically necessary care is provided for patients with incomes falling below 200% of the FPG; and discounted care is provided for services rendered to patients with incomes falling between 200% and 300% of the FPG.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	The Inova Research Center (IRC), including research and academic activities, is centered on the Inova Fairfax Hospital campus. In 2005, the Inova campus of the Virginia Commonwealth University School of Medicine opened and a total of 48 third and fourth year medical students now spend their clerkship years at Inova Fairfax Hospital. Also located on the Inova campus is the VCU School of Pharmacy, helping 40 students to complete their education and clinical training in Northern Virginia. In 2008, the Claude Moore Health Education Center opened on the campus of Inova Fairfax Hospital. The building features 11,000 square feet of modern space dedicated to the educational needs of medical and nursing students as well as residents and fellows. This state-of-the-art center includes both medical and surgical simulation centers, enabling students to learn through hands-on experience. In 2008, a dedicated research floor opened to support the extensive activities of the Inova Research Center, where there are numerous active clinical trials, ongoing translational research and outcomes projects, many in partnership with universities and other research entities. Inova Translational Medicine InstituteIn 2010, the Inova Translational Medicine Institute (ITMI), a not-for-profit research institute was created for research activities related to the innovative field of personalized medicine. Personalized medicine is a medical model that emphasizes the customization of healthcare to individual patients. It involves the use of genetic information about an individual patient. In 2011, ITMI collaborated with physicians from Fairfax Neonatal Associates to investigate the genetic causes of pre-term delivery. Findings were used to build a reference database of genomic and clinical information which will empower clinical genomic discovery. In 2011, $8,423,540 was provided in operational and capital support for ITMI. Fairfax's medical education programs offer a variety of clinical training objectives for medical residents and students, nursing and pharmacy. Inova Fairfax's residency program has approximately 733 Residents/Fellows trained throughout the year, and 482 Medical Students. Residents and students are primarily from Inova Fairfax Hospital, Georgetown and George Washington Universities. As a teaching facility, Inova Fairfax Hospital incurs typical, additional expenses associated with teaching facilities including physician teaching costs and resident salaries, the cost of maintaining higher levels of technology required to support a teaching program and charges resulting from extra tests ordered for instructional purposes. The unreimbursed cost of these programs in 2011 was $19 million.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	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 2011, Inova provided nearly 200,000 people with health education, prevention and wellness programs, health fairs and screenings, and clinically related services resulting in over 466,000, visits for direct health care services at an unreimbursed cost of approximately $22 million. These services and programs are described below.InovaCares Clinic for Women and ChildrenThe InovaCares Clinic for Women was created in 1960 to serve the uninsured women of Fairfax County, offering a wide range of OB/GYN services for those in need. InovaCares Clinic for Women is a service offered to the community in collaboration with the Fairfax County Health Department, serving uninsured and low-income patients up to 300% of the Federal Poverty Guidelines (FPL). The Clinic for Women provides comprehensive outpatient obstetrical services, gynecological care, diabetes management, case management, non-stress testing, LEEP and colonoscopy procedures, cryosurgery, and nutritional counseling - all at little to no cost to the patient. In addition, the Clinic for Women runs a high risk obstetrics clinic and a gynecology clinic. In 2011, the InovaCares Clinic for women had 35,343 visits.The Clinic for Children was created in 1993 as a response to the inability of new uninsured or Medicaid mothers to secure an affordable medical home for their children. The mission of the Clinic for Children is to provide a full service medical home for pediatric patients between zero and 21 years of age. The Clinic for Children provides comprehensive pediatric services that includes well-child care, immunizations, episodic care (sick visit), and school/sports physicals, immunizations, and nutritional counseling. In 2011, the InovaCares Clinics for Children provided 28,559 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 suburban Virginia region. To maximize accessibility for clients, services are provided at the main location in Springfield, as well as five satellite offices (Dumfries, Manassas, Mt. Vernon, Arlington, and Reston), hospitals, homes and other community locations throughout the region. Major accomplishments of IJP for 2011 include:Almost doubled its census in the past year and now serves over 1,400 patients providing 26,933 visitsMaintaining a 0% HIV transmission rate from pregnant mothers to their newborn babies.Conducted 126 education programs reaching 1,658 participants, and provided 103 clinical consultations.Life with CancerThe mission of Life with Cancer (LWC) is to enhance the quality of life of those individuals in our community affected by cancer. The program addresses the specific needs of those affected by cancer by providing individual and family counseling, support groups, educational seminars, workshops on cancer diagnosis and treatment, and a full array of complimentary therapies. Life with Cancer is generously supported by our community; therefore all services are available at no charge to residents of the Washington Metropolitan area.Adult Patient and Family Support Programs, Counseling and Wellness EducationIn 2011, our Nurse Educators facilitated one-on-one educational consultations for over 1,100 patients and family members. Our nurses also co-facilitated support groups with our oncology counselors, and taught numerous cancer education classes. Programs for Children and TeensLife with Cancer's programs for children and teens has services to over 1,000 children, teens and parents. The program for children and teens has 4 staff that provide services at 2 pediatric oncology clinics, on the pediatric floor of Inova Fairfax Hospital for Children and Inova Loudoun Hospital and at the Life with Cancer Family Center. Art therapy is provided to pediatric patients and their families in the outpatient oncology clinic as well as inpatient, and one on one at the family center and has provided 1,886 art therapy sessions. The counseling staff has provided 2,216 counseling sessions. This year, we have had 15 good grief dinners for teens that have had a cancer related loss. We provided 46 various support and education groups to children who have cancer, have a family member with cancer or have experienced a cancer related death helping them to learn they are not alone and safe ways to express their feelings. There were 9 monthly Parenting Alone Group supports for parents who have lost a spouse or partner to cancer and 9 monthly Parent Bereavement groups for parents who have lost a young child to cancer, both unique groups where parents meet others and get support and guidance from each other. We added several new programs supporting families who have lost a child to cancer in the form of a daylong family workshop and several day programs called "Siblings Share". Lions Eye ClinicAdministered by Inova Fairfax Hospital, the Ophthalmology Clinic provides optometry specialty services to the indigent including treatment of glaucoma, retina, and cataracts as well as children's specialty services. The physicians volunteer their services or are paid nominal fees by the State of Virginia or sponsoring community organization. In 2011, the clinic had 2,789 visits.The Center for Facial RehabilitationLocated at Inova Fairfax Hospital, 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 Inova Fairfax Hospital 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 5,609 adults and children with diabetes each year in the Northern Virginia area. The Inova Diabetes Center has five locations in the Northern Virginia area including Inova Fairfax Hospital, Inova Mount Vernon Hospital and Inova Fair Oaks Hospital and is the recipient of the American Diabetes Association's Recognition for Diabetes Education Programs. In 2011, the Inova Diabetes Centers at Inova Fairfax, Inova Mount Vernon Hospital and Inova Fair Oaks Hospitals, provided a total of 4,347 patient visits.IHCS and its subsidiaries provide many other non-billed and below margin patient services. Case management services are provided to the indigent and assistance is provided with financial paperwork. Inova Mount Vernon participates in the Health Information and Claims Assistance Program by providing assistance with health insurance paperwork problems. In addition, home IV therapy services are provided for the indigent. Transportation is provided for indigent patients to and from IHCS facilities and programs. Inova Fairfax provides forensic and medical care to abused adults and children as well as blood alcohol testing for area police departments while coordinating the disposition of deaths with various community organizations. Other services include pastoral care, free living accommodations for out-of-town Inova Fairfax heart and lung transplant patients and their families, and emergency assistance to patients and their families needing medication or transportation. Community Health Education and Promotion As part of Inova's overall health promotion effort, IHCS and its subsidiaries are actively involved in sponsoring programs, activities, and services designed to improve community health and prevent the onset of disease.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 1,224,461,638

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	9,823,019	9,695,209	3,757,534

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		3,769,427
e	Government grants (contributions)1e		8,362,166

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			12,131,593
			Business Code
2a	Net Patient Service Re		900,099	1,574,848,525	1,574,848,525
b	Inova Reston MRI LLC		621,400	4,086,142	4,086,142
c	Franconia-Springfield		621,400	2,292,566	2,292,566
d	Northern Virginia Surg		621,400	1,858,920	1,858,920
e	Technical Dynamic, LLC		811,000	1,631,225	1,631,225
f	All other program service revenue .			968,893	968,893
g	Total. Add lines 2a–2f........			1,585,686,271
3	Investment income (including dividends, interest
	and other similar amounts).....			2,604,261			2,604,261
4	Income from investment of tax-exempt bond proceeds..			689,257			689,257
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross rents	17,535,623
b	Less: rental expenses	9,835,666
c	Rental income or (loss)	7,699,957
d	Net rental income or (loss).......			7,699,957			7,699,957
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses	29,816	26,518,159
c	Gain or (loss)	-29,816	-26,518,159
d	Net gain or (loss)..........			-26,547,975			-26,547,975
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	COMMUNITY BLOOD SERVIC		900,099	9,315,987	9,315,987
b	FOOD SERVICES		900,099	5,673,199	5,673,199
c	LAUNDRY SERVICES		812,300	5,161,884		5,161,884
d	All other revenue ....			25,701,092	23,031,180	2,669,912
e	Total. Add lines 11a–11d ......			45,852,162
12	Total revenue. See Instructions....			1,628,115,526	1,623,706,637	7,831,796	-15,554,500


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........				1
2	Savings and temporary cash investments .......			225,557,904	2	229,341,276
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			177,311,252	4	191,243,560
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			8,036,661	7	11,233,523
8	Inventories for sale or use ..............			14,071,409	8	13,716,615
9	Prepaid expenses and deferred charges ............			39,014,942	9	41,607,620
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,852,714,420
b	Less: accumulated depreciation. .....	10b	1,057,809,765	731,920,137	10c	794,904,655
11	Investments—publicly traded securities ..........			211,358,783	11	162,149,926
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........				14
15	Other assets. See Part IV, line 11 ...........			1,176,702,245	15	1,274,530,304
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,583,973,333	16	2,718,727,479
17	Accounts payable and accrued expenses .			199,429,493	17	218,489,932
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........			1,002,093,647	20	979,528,270
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			254,509,253	25	285,038,241
26	Total liabilities. Add lines 17 through 25.....			1,456,032,393	26	1,483,056,443
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			1,127,919,216	27	1,235,649,312
28	Temporarily restricted net assets .....			21,724	28	21,724
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			1,127,940,940	33	1,235,671,036
34	Total liabilities and net assets/fund balances .....			2,583,973,333	34	2,718,727,479