TY 2012 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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) JKNOX SINGLETON........................................................................ PRESIDENT	20.00 .......................30.00	X	X	3,538,107	644,863
(2) CHARLES H SMITH........................................................................ CHAIRMAN	3.00 .......................4.00	X	X	0	0
(3) LORI MORRIS........................................................................ VICE CHAIRMAN	2.00 .......................	X	X	0	0
(4) CHARLES MANN........................................................................ SECRETARY	2.00 .......................	X	X	0	0
(5) MARY AGEE........................................................................ TRUSTEE	2.00 .......................	X		0	0
(6) ROBERT AHMED MD........................................................................ TRUSTEE	2.00 .......................2.00	X		0	0
(7) MARTHA CALIHAN MD........................................................................ TRUSTEE	2.00 .......................4.00	X		0	0
(8) CHARLES BEARD........................................................................ TRUSTEE	2.00 .......................	X		0	0
(9) MARGARET COLON........................................................................ TRUSTEE	2.00 .......................3.00	X		0	0
(10) MICHAEL FREY........................................................................ TRUSTEE	2.00 .......................	X		0	0
(11) JACK EBELER........................................................................ TRUSTEE	2.00 .......................3.00	X		0	0
(12) ARSHED CHOUDHRY MD........................................................................ TRUSTEE	2.00 .......................4.00	X		0	0
(13) BETTY HUDSON........................................................................ TRUSTEE	2.00 .......................	X		0	0
(14) GERALD HYLAND........................................................................ TRUSTEE	2.00 .......................	X		0	0
(15) HOOKS JOHNSTON........................................................................ TRUSTEE	2.00 .......................	X		0	0
(16) JAMES MCNEIL........................................................................ TRUSTEE	2.00 .......................	X		0	0
(17) DEAN MOREHOUSE........................................................................ TRUSTEE	2.00 .......................	X		0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(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) CAROLYN MOSS........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(19) PHIL NOLAN........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(20) MARY SCHMIDT MD........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(21) JON PETERSON........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(22) DAVID GEHRING MD........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(23) MARK MOORE........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(24) GEORGE TAWILL MD........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(25) ROBERT TSIEN........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(26) SARITA GOPAL MD........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(27) RICHARD MAGENHEIMER........................................................................ TREASURER	24.00 .......................26.00		X				0	980,061	300,965
(28) JOHN GAUL........................................................................ ASST SECRETARY	24.00 .......................26.00		X				600,590	0	89,927
(29) MARK STAUDER........................................................................ PRESIDENT, COO	38.00 .......................12.00		X				0	1,949,318	553,322
(30) LEWIS PASTERNAK........................................................................ EVP CEO IFH	40.00 .......................10.00		X				0	665,670	48,146
(31) JOHN NIEDERHUBER........................................................................ CEO ITMI & EVP IHS	40.00 .......................10.00		X				0	1,748,456	53,427
(32) KYLANNE SILVERSTONE........................................................................ EVP CEO INOVA MDG CARE SVC	40.00 .......................10.00		X				0	725,144	150,258
(33) MARSHALL RUFFIN........................................................................ EVP CTO	40.00 .......................10.00		X				0	854,237	162,975
(34) PATRICK CHRISTIANSEN........................................................................ EVP CEO IFH	49.00 .......................1.00		X				0	639,110	126,573
(35) FLINT LORING........................................................................ EVP CHIEF MEDICAL OFFICER	40.00 .......................10.00		X				0	834,890	180,304
(36) GEOFFREY BROWN........................................................................ SVP CIO	40.00 .......................			X			386,196	0	84,587
(37) MARK RUNYON........................................................................ SVP FINANCE	40.00 .......................			X			499,263	0	115,671
(38) BARBARA DOYLE........................................................................ CEO IMVH	40.00 .......................			X			694,446	0	62,566
(39) MAUREEN SWICK........................................................................ SVP CHIEF NURSING EXEC	40.00 .......................			X			378,109	0	116,909
(40) ANGELA MANNINO........................................................................ SVP HUMAN RESOURCES	40.00 .......................			X			514,061	0	89,328
(41) JOHN FITZGERALD........................................................................ CEO IFOH	40.00 .......................			X			507,582	0	123,213
(42) JAMES SANTRY........................................................................ SVP BUS DEV & MANAGED CARE	40.00 .......................10.00			X			336,644	0	79,061
(43) JAMES ECKLUND........................................................................ PHYSICIAN	40.00 .......................				X		1,188,645	0	71,625
(44) JOSEPH WATSON........................................................................ PHYSICIAN	40.00 .......................				X		669,431	0	52,815
(45) JOHN HAMILTON........................................................................ PHYSICIAN	40.00 .......................				X		644,497	0	67,702
(46) JOSEPH VOCKLEY........................................................................ SVP TRANSLATIONAL RESEARCH	40.00 .......................				X		789,889	0	137,520
(47) ZOBAIR YOUNOSSI........................................................................ VP RESEARCH	40.00 .......................				X		626,242	0	141,253
(48) JAMES KIM........................................................................ FORMER AVP DEPUTY GENERAL	24.00 .......................26.00					X	243,724	0	64,844
(49) HPATRICK WALTERS........................................................................ FORMER SVP STRATEGIC PLANNING	5.00 .......................45.00					X	0	465,097	68,784
(50) RONALD EWALD........................................................................ FORMER VP IHS AA FINANCE	40.00 .......................					X	316,424	0	95,852
(51) PATRICIA BYRNES SCHMEHL........................................................................ FORMER VP IFH WOMENS CENTE	40.00 .......................					X	268,846	0	92,273

(A) Name and business address	(B) Description of services	(C) Compensation
FAIRFAX RADIOLOGICAL CONSULTANTS2722 MERRILEE DRIVE SUITE 230FAIRFAXVA22031	RADIOLOGY	5,809,810
CARDIAC VASCULAR & THORACIC2921 TELESTAR CT SUITE 140FALLS CHURCHVA22042	MEDICAL SERVICES	5,608,953
GEORGE WASHINGTON UNIVERSITY2121 I STREET NWWASHINGTONDC22052	RESIDENCY PROGRAM	4,199,733
WASHINGTON REGIONAL COMMUNITY7619 LITTLE RIVER TURNPIKE 900ANNANDALEVA22003	MEDICAL SERVICES	3,135,100
ATLANTIC BAROMEDICAL SYS INC2501 PARKERS LANEALEXANDRIAVA22306	MEDICAL SERVICES	3,046,194
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 245

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 ....	11,330,319	11,330,319
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	663,471,372	519,992,295	143,479,077
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	38,193,292	28,634,211	9,559,081
9	Other employee benefits .......	62,626,171	49,731,754	12,894,417
10	Payroll taxes ...........	46,990,937	36,800,297	10,190,640
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	4,904,803	1,798,842	3,105,961
c	Accounting ...........	1,210,660	27,896	1,182,764
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	67,601,413	37,957,395	29,644,018
12	Advertising and promotion ....	2,555,844	1,348,689	1,207,155
13	Office expenses .......	2,318,897	1,129,403	1,189,494
14	Information technology ......	27,536,562	1,767,982	25,768,580
15	Royalties ..
16	Occupancy ...........	25,128,730	13,691,718	11,437,012
17	Travel ............	1,837,277	1,118,683	718,594
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	1,545,178	976,032	569,146
20	Interest ...........	20,548,796	18,103,807	2,444,989
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	93,470,694	64,343,216	29,127,478
23	Insurance ..............	10,053,771	9,654,960	398,811
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES	261,977,268	256,619,483	5,357,785
b	BAD DEBT EXPENSE	62,225,440	62,225,440
c	OTHER PURCHASED SERVICE	56,267,269	38,646,265	17,621,004
d	PHYSICIAN FEES	32,413,456	31,955,776	457,680
e	All other expenses	41,861,268	14,066,545	27,794,723
25	Total functional expenses. Add lines 1 through 24e	1,536,069,417	1,201,921,008	334,148,409	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 Check if Schedule O contains a response to any question in this Part X ...............
	1	Cashnon-interest-bearing .............		1
2	Savings and temporary cash investments .........	229,341,276	2	190,876,318
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	191,243,560	4	228,953,166
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............	11,233,523	7	11,944,973
8	Inventories for sale or use ..............	13,716,615	8	15,437,830
9	Prepaid expenses and deferred charges ..........	41,607,620	9	50,979,991
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,322,986,073
b	Less: accumulated depreciation .....	10b	1,423,616,226	794,904,655	10c	899,369,847
11	Investments—publicly traded securities ..........	162,149,926	11	482,866,538
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 ...........	1,274,530,304	15	1,778,675,212
16	Total assets. Add lines 1 through 15 (must equal line 34)......	2,718,727,479	16	3,659,103,875
	17	Accounts payable and accrued expenses .........	218,489,932	17	276,861,260
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	979,528,270	20	1,397,299,496
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other 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....................	285,038,241	25	295,970,734
26	Total liabilities. Add lines 17 through 25.........	1,483,056,443	26	1,970,131,490
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	1,235,649,312	27	1,688,950,661
28	Temporarily restricted net assets ...........	21,724	28	21,724
29	Permanently restricted net assets ...........		29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	1,235,671,036	33	1,688,972,385
34	Total liabilities and net assets/fund balances ........	2,718,727,479	34	3,659,103,875

- 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

2012

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 described in 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. See section 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 - Non-functionally integrated

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 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 monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2012

Page 2

Part II

Support Schedule for Organizations Described in Sections 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2012 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2011 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2012. 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—2011. If the organization did not check a 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—2012. 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—2011. 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) 2012

Page 3

Part III

Support Schedule for Organizations Described in Section 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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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) 2008	(b) 2009	(c) 2010	(d) 2011	(e) 2012	(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.)..

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 2012 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2011 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2011 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2012. 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—2011. 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) 2012

Page 4

Part IV

Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2012

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

2012

Name of the 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization INOVA HEALTH CARE SERVICES

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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization INOVA HEALTH CARE SERVICES

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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

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) (2012)

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

2012

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, Part V, 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 Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2012

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 SchCMd Bullet

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 SchCMd Bullet

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) .......	253,864
c	Total lobbying expenditures (add lines 1a and 1b) ...................	253,864
d	Other exempt purpose expenditures ........................	1,201,921,008
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	1,202,174,872
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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) Total

2a	Lobbying nontaxable 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	152,775	399,550	240,480	253,864	1,046,669

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) 2012

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, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2012

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

2012

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 section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, 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 XIII, 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2012

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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 XIII 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 XIII. Check here if the explanation has been provided in Part XIII ........

Part V

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

		(a)Current year	(b)Prior year	b (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 current year end balance (line 1g, column (a)) 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 XIII 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 .................	85,097,070		85,097,070
b	Buildings ................	741,046,971	373,712,487	367,334,484
c	Leasehold improvements ............	431,252,787	271,570,120	159,682,667
d	Equipment ................	917,134,929	661,365,289	255,769,640
e	Other .................	148,454,316	116,968,330	31,485,986
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				899,369,847

Schedule D (Form 990) 2012

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				7,768,369
(2) OTHER ASSETS				8,684,503
(3) DUE FROM SUBSIDIARIES AND AFFILIATES				1,529,028,459
(4) PENSION ASSET				22,688,113
(5) CONSTRUCTION IN PROGRESS				210,505,768




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,778,675,212

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		48,257,827
NOTES PAYABLE AND OTHER		105,274,597
SELF INSURED LIABILITY		35,596,743
DEFERRED COSTS		24,890,499
POST RETIREMENT/EMPLOYMENT BENEFITS		10,661,319
INTEREST RATE SWAP LIABILITY		62,390,069
INVESTMENT IN SUBSIDIARIES AND JOINT VENTURES		8,899,680


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		295,970,734
2. Fin 48 (ASC 740) Footnote. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................

Schedule D (Form 990) 2012

Page 4

Part XI 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 XIII.) ............	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 XIII.) ...........	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 XII 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 XIII.) ............	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 XIII.) ............	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 XIII

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, line 2; Part XI, lines 2d and 4b; and Part XII, 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, Line 2:	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) 2012

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

2012

Open to Public Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Part I

Financial Assistance 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) as a factor in determining 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 as a factor in determining 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 used factors other than FPG in determining 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, as a factor in determining 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? ......

Yes

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

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	81,391,401	81,391,401	5.520 %
b	Medicaid (from Worksheet 3, column a) ....	50,334,929	50,334,929	3.420 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	131,726,330	131,726,330	8.940 %
Other Benefits		10,740,523	10,740,523	0.730 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	10,740,523	10,740,523	0.730 %
f	Health professions education (from Worksheet 5) ..	18,185,597	18,185,597	1.230 %
g	Subsidized health services (from Worksheet 6) ..	9,846,578	9,846,578	0.670 %
h	Research (from Worksheet 7)	6,397,535	6,397,535	0.430 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	101,092	101,092	0.010 %
j	Total. Other Benefits ..	45,271,325	45,271,325	3.070 %
k	Total. Add lines 7d and 7j .	176,997,655	176,997,655	12.010 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2012

Schedule H (Form 990) 2012

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? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

28,721,250

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

236,752,417

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

267,077,635

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

-30,325,218

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(owned 10% or more by officers, directors, trustees, key employees, and physicians—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	61.240 %	38.760 %
22 Northern Virginia Surgery Center LLC	Surgical Services	62.640 %	37.360 %
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) 2012

Page

Part VFacility Information

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

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	INOVA FAIRFAX HOSPITAL
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

In conducting its most recent CHNA, did the hospital facility take into account input from representatives of the community served by the hospital facility, including those with special knowledge of or expertise in public health? 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 ....................

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	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.
11	Used FPG to determine eligibility for providing discounted care?.................	11	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.
12	Explained the basis for calculating amounts charged to patients?.................	12	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	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 website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	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?.......	15	Yes
16	Check all of the following 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)
17	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?..........	17		No
	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)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

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?..........

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individuals 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? ............................

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	INOVA FAIROAKS HOSPTIAL
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	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.
11	Used FPG to determine eligibility for providing discounted care?.................	11	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.
12	Explained the basis for calculating amounts charged to patients?.................	12	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	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 website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	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?.......	15	Yes
16	Check all of the following 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)
17	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?..........	17		No
	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)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	INOVA MOUNT VERNON HOSPITAL
Name of hospital facility or facility reporting group

For single facility filers only: line Number of Hospital Facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

If “Yes,” indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI................................

Did the hospital facility make its CHNA report widely available to the public? .............

If “Yes,” indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply to date):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	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.
11	Used FPG to determine eligibility for providing discounted care?.................	11	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.
12	Explained the basis for calculating amounts charged to patients?.................	12	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)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	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 website
b	The policy was attached to 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 on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	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?.......	15	Yes
16	Check all of the following 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)
17	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?..........	17		No
	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)

Schedule H (Form 990) 2012

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the patients regarding the patients’ bills

Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Part VI)

Policy Relating to Emergency Medical Care

Yes

If “No,” indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

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.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

If “Yes,” explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individuals an amount equal to the gross charge for any service provided to that individual? .........................

If “Yes,” explain in Part VI.

Schedule H (Form 990) 2012

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) 2012

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; Part V, Section A; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.
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.
8	Facility reporting group(s). If applicable, for each hospital facility in a facility reporting group provide the descriptions required for Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 10, 11, 12h, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22.

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

Schedule H (Form 990) 2012

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

2012

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 of 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 filing organization used 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? ................

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

Cat. No. 50053T

Schedule J (Form 990) 2012

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 (E) amounts for that individual.

(A) Name and Title		(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 and Title		(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 SINGLETONPRESIDENT	(i) (ii)	0 1,166,810	0 2,064,701	0 306,596	0 622,437	0 22,426	0 4,182,970	0 0
(2)RICHARD MAGENHEIMERTREASURER	(i) (ii)	0 605,831	0 248,980	0 125,250	0 279,471	0 21,494	0 1,281,026	0 0
(3)JOHN GAULASST SECRETARY	(i) (ii)	407,543 0	98,500 0	94,547 0	69,829 0	20,098 0	690,517 0	35,023 0
(4)MARK STAUDERPRESIDENT, COO	(i) (ii)	0 917,232	0 404,998	0 627,088	0 534,328	0 18,994	0 2,502,640	0 446,220
(5)LEWIS PASTERNAKEVP CEO IFH	(i) (ii)	0 416,107	0 222,882	0 26,681	0 30,000	0 18,146	0 713,816	0 0
(6)JOHN NIEDERHUBERCEO ITMI & EVP IHS	(i) (ii)	0 968,232	0 739,100	0 41,124	0 37,500	0 15,927	0 1,801,883	0 0
(7)KYLANNE SILVERSTONEEVP CEO INOVA MDG CARE SVC	(i) (ii)	0 445,459	0 242,161	0 37,524	0 135,944	0 14,314	0 875,402	0 0
(8)MARSHALL RUFFINEVP CTO	(i) (ii)	0 583,848	0 228,740	0 41,649	0 121,370	0 41,605	0 1,017,212	0 0
(9)PATRICK CHRISTIANSENEVP CEO IFH	(i) (ii)	0 458,180	0 146,028	0 34,902	0 111,499	0 15,074	0 765,683	0 0
(10)FLINT LORINGEVP CHIEF MEDICAL OFFICER	(i) (ii)	0 563,075	0 183,259	0 88,556	0 147,435	0 32,869	0 1,015,194	0 0
(11)GEOFFREY BROWNSVP CIO	(i) (ii)	293,439 0	68,417 0	24,340 0	68,278 0	16,309 0	470,783 0	0 0
(12)MARK RUNYONSVP FINANCE	(i) (ii)	354,011 0	122,630 0	22,622 0	95,329 0	20,342 0	614,934 0	0 0
(13)BARBARA DOYLECEO IMVH	(i) (ii)	346,891 0	78,386 0	269,169 0	54,500 0	8,066 0	757,012 0	174,082 0
(14)MAUREEN SWICKSVP CHIEF NURSING EXEC	(i) (ii)	299,723 0	54,000 0	24,386 0	96,922 0	19,987 0	495,018 0	0 0
(15)ANGELA MANNINOSVP HUMAN RESOURCES	(i) (ii)	346,918 0	83,733 0	83,410 0	69,012 0	20,316 0	603,389 0	32,584 0
(16)JOHN FITZGERALDCEO IFOH	(i) (ii)	376,534 0	93,394 0	37,654 0	108,987 0	14,226 0	630,795 0	0 0
(17)JAMES SANTRYSVP BUS DEV & MANAGED CARE	(i) (ii)	204,733 0	112,684 0	19,227 0	54,813 0	24,248 0	415,705 0	0 0
(18)JAMES ECKLUNDPHYSICIAN	(i) (ii)	993,153 0	194,250 0	1,242 0	54,500 0	17,125 0	1,260,270 0	0 0
(19)JOSEPH WATSONPHYSICIAN	(i) (ii)	594,057 0	74,564 0	810 0	32,000 0	20,815 0	722,246 0	0 0
(20)JOHN HAMILTONPHYSICIAN	(i) (ii)	495,222 0	148,645 0	630 0	49,000 0	18,702 0	712,199 0	0 0
(21)JOSEPH VOCKLEYSVP TRANSLATIONAL RESEARCH	(i) (ii)	528,107 0	229,160 0	32,622 0	119,026 0	18,494 0	927,409 0	0 0
(22)ZOBAIR YOUNOSSIVP RESEARCH	(i) (ii)	489,563 0	114,200 0	22,479 0	112,216 0	29,037 0	767,495 0	0 0
(23)JAMES KIMFORMER AVP DEPUTY GENERAL	(i) (ii)	203,159 0	30,379 0	10,186 0	46,628 0	18,216 0	308,568 0	0 0
(24)HPATRICK WALTERSFORMER SVP STRATEGIC PLANNING	(i) (ii)	0 441,419	0 0	0 23,678	0 50,465	0 18,319	0 533,881	0 0
(25)RONALD EWALDFORMER VP IHS AA FINANCE	(i) (ii)	239,953 0	50,141 0	26,330 0	80,374 0	15,478 0	412,276 0	0 0
(26)PATRICIA BYRNES SCHMEHLFORMER VP IFH WOMENS CENTE	(i) (ii)	197,655 0	48,198 0	22,993 0	65,854 0	26,419 0	361,119 0	0 0

Schedule J (Form 990) 2012

Page 3

Part III

Supplemental Information

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

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

Schedule J (Form 990) 2012

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

2012

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	91-1920228	303823FM5	05-12-2005	119,090,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823FR4	05-12-2005	71,520,000	See Part VI		X		X		X
C	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823GL6	04-16-2009	275,374,313	See Part VI	X			X		X
D	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823JH2	12-15-2009	73,433,655	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823JJ8	03-08-2010	95,000,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228		07-29-2011	54,490,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KE7	08-23-2012	382,960,937	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KN7	08-23-2012	145,000,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KS6	12-20-2012	80,991,559	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	12,580,000		47,850,000		200,785,000		9,780,000
2 Amount of bonds legally defeased . . . . . . . . . . .	75,040,000				75,040,000
3 Total proceeds of issue . . . . . . . . . . . . . .	125,531,544		71,520,000		275,374,313		73,433,655
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .	3,604,217		107,241
6 Proceeds in refunding escrows . . . . . . . . . . . .	81,032,980
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				74,595,466		9,698,449
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .	359,244,168				359,244,168		40,402,498
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

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		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%		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%		%		0%		0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0%		0%		0%		0%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 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 the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X	X
c No rebate due? . . . . . . . . . .	X		X		X			X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X			X		X
4a 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

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a 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? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 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?	X		X		X		X

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

Schedule K (Form 990) 2012

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

2012

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	91-1920228	303823FM5	05-12-2005	119,090,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823FR4	05-12-2005	71,520,000	See Part VI		X		X		X
C	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823GL6	04-16-2009	275,374,313	See Part VI	X			X		X
D	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823JH2	12-15-2009	73,433,655	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823JJ8	03-08-2010	95,000,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228		07-29-2011	54,490,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KE7	08-23-2012	382,960,937	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KN7	08-23-2012	145,000,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KS6	12-20-2012	80,991,559	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	12,580,000		47,850,000		200,785,000		9,780,000
2 Amount of bonds legally defeased . . . . . . . . . . .	75,040,000				75,040,000
3 Total proceeds of issue . . . . . . . . . . . . . .	125,531,544		71,520,000		275,374,313		73,433,655
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .	3,604,217		107,241
6 Proceeds in refunding escrows . . . . . . . . . . . .	81,032,980
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				74,595,466		9,698,449
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .	359,244,168				359,244,168		40,402,498
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

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		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%		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%		%		0%		0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0%		0%		0%		0%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 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 the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X	X
c No rebate due? . . . . . . . . . .	X		X		X			X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X			X		X
4a 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

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a 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? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 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?	X		X		X		X

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

Schedule K (Form 990) 2012

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

2012

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	91-1920228	303823FM5	05-12-2005	119,090,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823FR4	05-12-2005	71,520,000	See Part VI		X		X		X
C	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823GL6	04-16-2009	275,374,313	See Part VI	X			X		X
D	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823JH2	12-15-2009	73,433,655	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823JJ8	03-08-2010	95,000,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228		07-29-2011	54,490,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KE7	08-23-2012	382,960,937	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KN7	08-23-2012	145,000,000	See Part VI		X		X		X
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KS6	12-20-2012	80,991,559	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	12,580,000		47,850,000		200,785,000		9,780,000
2 Amount of bonds legally defeased . . . . . . . . . . .	75,040,000				75,040,000
3 Total proceeds of issue . . . . . . . . . . . . . .	125,531,544		71,520,000		275,374,313		73,433,655
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .	3,604,217		107,241
6 Proceeds in refunding escrows . . . . . . . . . . . .	81,032,980
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				74,595,466		9,698,449
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .	359,244,168				359,244,168		40,402,498
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 Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2012

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		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%		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%		%		0%		0%
6 Total of lines 4 and 5 . . . . . . . . . . . . . . .	0%		0%		0%		0%
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If “Yes” to line 8a, enter the percentage of bond-financed property sold or disposed of.	%		%		%		%
c If “Yes” to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 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 the issuer filed Form 8038-T? . . . . .		X		X		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X		X		X
b Exception to rebate? . . . . . . . .		X		X		X	X
c No rebate due? . . . . . . . . . .	X		X		X			X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X		X			X		X
4a 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

Schedule K (Form 990) 2012

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a 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? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 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?	X		X		X		X

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

Schedule K (Form 990) 2012

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, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.

OMB No. 1545-0047

2012

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

Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)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 assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2012

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) Robert Ahmed MD	Trustee	131,438	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
(2) Martha Calihan MD	Trustee	1,142,911	Loudoun Medical Group leases medical office space from Inova Health System in several locations in medical office buildings owned by Inova. Space is leased at commercial terms and at fair market value. Services provided at arm's length and customary rates.		No
(3) Arshed Choudhry MD	Trustee	84,792	Medical Director Services. Services provided at arm's length and customary rates.		No
(4) David W Gehring MD	Trustee	77,260	Medical Staff President expenses. Services provided at arm's length and customary rates.		No
(5) Sarota Gopal MD	Trustee	121,500	Fees for physician services. Services provided at arm's length and customary rates.		No
(6) Mary Schmidt	Trustee	129,167	Fees to serve as Medical Staff President. Services provided at arm's length and customary rates.		No
(7) Mary Schmidt	Trustee	622,740	Fees Paid to Infectious Disease Physicians. Services provided at arm's length and customary rates.		No
(8) George Tawill MD	Trustee	140,000	Medical Staff President expenses. Services provided at arm's length and customary rates.		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) 2012

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

2012

Open to Public
Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Identifier	Return Reference	Explanation
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 2012 IHCS's unreimbursed cost of charity care, including free and discounted services, was $80 million. Medicaid Established under Title XIX of the Social Security Act, this program provides assistance for the medically indigent, including those who cannot pay for care despite being able to afford other living expenses. Also included under this program are the blind, the disabled, and crippled children. The reimbursement that IHCS facilities receive from the Medicaid program routinely falls below the actual cost of services provided. During 2012, IHCS provided care to Medicaid patients at an unreimbursed cost of $50 million. Participation in Governmental Programs for Those Without the Ability to Pay Various government programs provide for the indigent, including Medicaid recipients. These programs provide a percentage of reimbursement for qualifying patients; however, payment is typically below the cost of those services. In addition to federal and state programs, the Inova subsidiaries, including IHCS, work with various County governments and agencies and in providing certain free services to those residents the County identifies as most in need.
	Form 990, Part VI, Section B, line 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 JAMES SANTRY, 10 HOURS LEWIS PASTERNAK, 10 HOURS KYLANNE SILVERSTONE, 10 HOURS JOHN NIEDERHUBER, 10 HOURS PATRICK CHRISTIANSEN, 1 HOURS JAMES KIM, 26 HOURS PATRICK WALTERS, 45 HOURS ARSHED CHOUDHRY 4 HOURS MARTHA CALIHAN, 4 HOURS ROBERT AHMED, 2 HOURS CHARLES SMITH, 4 HOURS JACK EBELER, 3 HOURS MARGARET COLON, 3 HOURS
Changes in Net Assets or Fund Balances:	Form 990, Part XI, line 9:	PARTNERSHIP INCOME -17,041,945. CHANGE IN INVESTMENTS BALANCE -14,365,675. PRIOR PERIOD FUND BALANCE -8,502,877. EQUITY IN SUBS 10,786,617. DONATED FUNDS 277,211. CAPITAL REIMBURSEMENT 624,896. OTHER 30,776. FUND BALANCE TRANSFER DUE TO MERGER ON 12/31/12 340,041,975.
NUMBER OF EMPLOYEES	PART V, LINE 2A	The organization falls under a master pay agent and does not file any payroll returns under its own EIN, however all required returns have been filed on time.
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.
MERGER INFORMATION		Mergers Consummated as of 12/31/12: 1. Inova Alexandria Health Services Corporation into Inova Health Care Services (a) Survivor: Inova Health Care Services (b) Target: Inova Alexandria Health Services Corporation (c) Filed: December 27, 2012 (d) Effective: December 31, 2012 at 11:59pm 2. Inova Alexandria Hospital into Inova Health Care Services (a) Survivor: Inova Health Care Services (b) Target: Inova Alexandria Hospital (c) Filed: December 27, 2012 (d) Effective: December 31, 2012 at 11:59pm 3. Inova Health System Services into Inova Health Care Services (a) Survivor: Inova Health Care Services (b) Target: Inova Health System Services (c) Filed: December 27, 2012 (d) Effective: December 31, 2012 at 11:59pm

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2012

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

2012

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" to Form 990, Part IV, line 33.)

(a) Name, address, and EIN (if applicable) 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	2,751,378	80,705,238	INOVA HEALTH CARE SERVICES
(2) SPRINGFIELD HEALTHPLEX CONDOMINIUM DEVELOPMENT LLC 8110 GATEHOUSE ROAD FALLS CHURCH,VA22042 27-4533736	REAL ESTATE	VA	4,055,069	6,868,289	INOVA HEALTH CARE SERVICES

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to 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 entity?
(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 ASSISTANCE 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1916699	EMPLOYEE SERVICES	VA	501(C)(3)	11, I	N/A		No
(11) ALEXANDRIA HOSPITAL FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 51-0241913	FUNDRAISING	VA	501(C)(3)	11, I	N/A		No
(12) LOUDOUN HOSPITAL CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-0525802	HOSPITAL	VA	501(C)(3)	3	N/A		No
(13) 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
(14) LOUDOUN HEALTH SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1555489	SURGERY CENTER	VA	501(C)(3)	9	N/A		No
(15) LOUDOUN HEALTHCARE FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-2011240	FUNDRAISING	VA	501(C)(3)	11, I	N/A		No
(16) LOUDOUN HEALTHCARE INC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1361309	INACTIVE CORPORATION	VA	501(C)(3)	11, I	N/A		No
(17) LHI PROPERTIES INC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1651315	INACTIVE CORPORATION	VA	501(C)(3)	11, I	N/A		No
(18) INTOTAL HEALTH LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 20-1581237	HMO	VA	501(C)(3)	9	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2012

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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	1,899,315	9,903		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	36,334			No		Yes
(3) NORTHERN VIRGINIA SURGERY CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 20-3502477	SURGERY CENTER	VA	N/A	RELATED	2,504,021	2,905,945		No		Yes		62.640 %
(4) FRANCONIA-SPRINGFIELD SURGERY CENTER LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-2018390	SURGERY CENTER	VA	N/A	RELATED	2,790,872	1,687,028		No		Yes		61.240 %
(5) POTOMAC INOVA HEALTHCARE ALLIANCE LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1802733	RADIATION ONCOLOGY	VA	N/A	RELATED	449,287	2,766,525		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	7,935,724	2,176,604		No		Yes		65.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to 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	(i) Section 512(b)(13) controlled entity?
(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	Yes	No

Schedule R (Form 990) 2012

Page 3

Part V

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

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

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 or (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 Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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

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

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

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

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

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

Yes

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

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

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

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

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

Yes

s 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-s)	(c) Amount involved	(d) Method of determining amount involved
(1) INOVA HEALTH SYSTEM FOUNDATION	C	3,501,561	GENERAL LEDGER
(2) INOVA HEALTH SYSTEM FOUNDATION - CASH SWEEP ACCOUNT	R	128,580,144	INTERCOMPANY BALANCE
(3) INOVA HEALTH SYSTEM FOUNDATION	M	4,746,289	GENERAL LEDGER

Schedule R (Form 990) 2012

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to 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) 2012

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	26
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ......	5	12,881
6	Total number of volunteers (estimate if necessary) .............	6	2,185
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,711,020
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) .........	12,131,593	12,501,185
9	Program service revenue (Part VIII, line 2g) .........	1,585,686,271	1,612,217,483
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-23,254,457	930,902
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	53,552,119	41,456,621
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,628,115,526	1,667,106,191
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)	802,565,026	822,612,091
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–24e)....	689,963,008	713,457,326
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,492,528,034	1,536,069,417
19	Revenue less expenses. Subtract line 18 from line 12.......	135,587,492	131,036,774
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,718,727,479	3,659,103,875
21	Total liabilities (Part X, line 26).............	1,483,056,443	1,970,131,490
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,235,671,036	1,688,972,385

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,201,921,008 including grants of $ ) (Revenue $ 1,645,507,335 )
	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 2012 IHCS admissions and observations cases totaled 86,232, outpatient visits totaled 322,327 emergency visits totaled 229,086 and deliveries totaled 13,435 the acute care program services provided by these hospitals are described more fully below.Inova Fairfax Hospital (IFH) campus includes the Inova Heart and Vascular Institute, Inova Women's Hospital, and Inova Fairfax Hospital for Children. The hospital, located in Central Fairfax County is an 833-licensed bed tertiary care hospital providing comprehensive medical and surgical services which include emergency/trauma, cardiac, transplant, cancer, obstetric, pediatric, neonatal, stroke and extensive outpatient services. Inova Fairfax Hospital is the home of northern Virginia's only level one emergency and trauma center and the state-of-the-art Women's and Children's Center. In addition, Inova Fairfax Hospital is a teaching hospital providing clinical training through its medical residency, nursing, and paramedical education programs.Inova Mount Vernon Hospital (IMVH) is a 237-licensed bed acute-care hospital serving southeastern Fairfax County. Inova Mount Vernon provides a full-service, 24-hour emergency department; broad range of diagnostic, medical and surgical services; inpatient psychiatric services; the Dorothea R. Fischer Wound Healing Center and a specialized hyperbaric oxygen therapy program used to treat conditions requiring increased oxygen flow to body tissues (such as grafts and certain types of burns). The hospital operates the Inova Center for Rehabilitation, a nationally-known accredited program providing inpatient and outpatient rehabilitative services.Inova Fair Oaks Hospital (IFOH) is a 182-licensed bed general acute care hospital, which opened in 1987 to serve the growing communities in western Fairfax County, Virginia. Inova Fair Oaks provides a full-service 24-hour emergency department; a spectrum of diagnostic services and treatment including full-body CT scanning, open MRI and radiation cancer services; inpatient medical and surgical services; obstetrics and pediatric services; and comprehensive outpatient services including outpatient surgery, physical medicine, wound care and rehabilitation. Inova Fair Oaks Hospital is home to a designated Bariatric Surgery Center of Excellence. Specific acute care programs include:Cardiovascular Care: The Inova Heart and Vascular Institute is the region's first dedicated heart hospital. It houses 156 inpatient beds, six cardiovascular operating rooms, an 11-room cardiac catheterization and electrophysiology suite, chest pain unit, 64-slice CT scanner and other diagnostic testing, outpatient clinics, cardiac rehabilitation and educational facilities. Specialty programs include pediatric cardiac surgery, arterial fibrillation, valve disease and heart failure. Women's Health: The Inova Women's Health program is the largest such program in the Mid-Atlantic region, providing services for over 13,400 births each year. Obstetric services provided include delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, and regular and specialty nursery care. In addition, Fairfax provides obstetric services to low-income patients through the InovaCares Clinic for Women with 29,792 visits in 2012.Breast Care Institute: The Inova Breast Care Institute at Inova Fairfax Hospital and Inova Fair Oaks Hospital is the first in the DC region to earn a three-year accreditation in breast care from the National Accreditation Program for Breast Centers (NAPBC), part of the American College of Surgeons. Pediatrics: The Inova Fairfax Hospital for Children (IFHC) is Northern Virginia's regional pediatric referral center with 112 licensed acute care beds and more than 25 sub-specialties including pediatric emergency and trauma care, critical care, infectious disease, pulmonary disease, cardiac surgery, hematology and oncology, neonatology, physical medicine & rehabilitation and speech & hearing therapy. The Fairfax facility includes Northern Virginia's only Level III (highest level) newborn intensive care unit, which is staffed around the clock by neonatology physicians and nurses specially trained in caring for premature and other newborns with medical complications. As of December 31, 2012, total NICU bassinets numbered 75. Inova Fairfax Hospital operates the only pediatric intensive care unit in northern Virginia, providing 24-hour coverage for children with life-threatening illnesses or injuries. Inova Fairfax also has 20 dedicated pediatric emergency room treatment bays, a dedicated hematology/oncology unit and two dedicated operating rooms for pediatric heart surgeries. Inova Fairfax Hospital for Children (IFHC) provides a primary care medical home for children of low income families that are uninsured or on Medicaid through the InovaCares Clinic for Children which in 2012 provided 23,984 visits at an unreimbursed cost of $1 million. The Emergency and Trauma Center at Inova Fairfax Hospital, Northern Virginia's only Level I trauma center, is a state-of-the-art facility. Emergency medical specialists with expertise in trauma care treat every type of illness, injury, or life-threatening trauma. The Inova Center for Rehabilitation, located on the Inova Mount Vernon campus is accredited by the Commission on Accreditation and Rehabilitation Facilities (CARF) and provides comprehensive inpatient and outpatient medical rehabilitation services to patients with severe head injuries, spinal cord injuries, strokes, multiple sclerosis, and other orthopedic and neurological disabilities. These services are staffed by an interdisciplinary team representing psychiatry, psychology, vocational counseling, physical therapy, occupational therapy, and nursing with treatment tailored to meet the specific needs of each patient. ACCESS of Fairfax, and ACCESS of Reston are 24-hour, free standing emergency centers located in Fairfax City, and Reston, Virginia, respectively. During 2012, ACCESS of Fairfax provided 17,967 emergency room visits and ACCESS of Reston reported 13,661 emergency room visits. IHCS has recently invested significant capital in all three hospital facilities. IHCS has an $875 million facility development program at the Inova Fairfax Hospital campus which was initiated in 2010 and will continue over the next three years. This program will expand existing services, renovate the existing patient tower and provide for a new and separate women's hospital facility. The Inova Mount Vernon Hospital will be investing in a $46 million expansion to create private rooms and upgrade facilities. Charity Care All Inova facilities, including the IHCS facilities provide charity care in accordance with Inova policies which ensure access to medically necessary care for all individuals. Charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. These policies include the following key provisions:1. Emergency care shall be provided to all persons regardless of their ability to pay.2. Non-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and access facilities to medically indigent patients. "Medically necessary care" refers to inpatient and outpatient services defined as medically necessary by the federal Medicare program. "Medically indigent" is defined as those patients whose income falls at or below 200% of the Federal Poverty Guideline (FPG). In general, free medically necessary care is provided for patients with incomes falling below 200% of the FPG; and discounted care is provided for services rendered to patients with incomes falling between 200% and 300% of the FPG.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	Research and Education Services: The Inova Research Center (IRC), including research and academic activities, is centered on the Inova Fairfax Hospital campus. In 2005, the Inova campus of the Virginia Commonwealth University School of Medicine opened and a total of 48 third and fourth year medical students now spend their clerkship years at Inova Fairfax Hospital. Also located on the Inova campus is the VCU School of Pharmacy, helping 40 students to complete their education and clinical training in Northern Virginia. In 2008, the Claude Moore Health Education Center opened on the campus of Inova Fairfax Hospital. The building features 11,000 square feet of modern space dedicated to the educational needs of medical and nursing students as well as residents and fellows. This state-of-the-art center includes both medical and surgical simulation centers, enabling students to learn through hands-on experience. In 2008, a dedicated research floor opened to support the extensive activities of the Inova Research Center, where there are numerous active clinical trials, ongoing translational research and outcomes projects, many in partnership with universities and other research entities. The unreimbursed cost of these programs in 2012 was $6 million.Inova Translational Medicine InstituteIn 2010, the Inova Translational Medicine Institute (ITMI), a not-for-profit research institute was created for research activities related to the innovative field of personalized medicine. Personalized medicine is a medical model that emphasizes the customization of healthcare to individual patients. It involves the use of genetic information about an individual patient. In 2011, ITMI collaborated with physicians from Fairfax Neonatal Associates to investigate the genetic causes of pre-term delivery. Findings were used to build a reference database of genomic and clinical information which will empower clinical genomic discovery. In 2012, approximately $15 million was provided in operational and capital support for ITMI. Fairfax's medical education programs offer a variety of clinical training objectives for medical residents and students, nursing and pharmacy. Inova Fairfax's residency program has approximately 733 Residents/Fellows trained throughout the year, and 482 Medical Students. Residents and students are primarily from Inova Fairfax Hospital, Georgetown and George Washington Universities. As a teaching facility, Inova Fairfax Hospital incurs typical, additional expenses associated with teaching facilities including physician teaching costs and resident salaries, the cost of maintaining higher levels of technology required to support a teaching program and charges resulting from extra tests ordered for instructional purposes. The unreimbursed cost of these programs in 2012 was $18 million.

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 2012, Inova provided over 229,000 people with health education, prevention and wellness programs, health fairs and screenings, and clinically related services resulting in over 115,000, visits for direct health care services at an unreimbursed cost of approximately $21 million. These services and programs are described below.InovaCares Clinic for Women and ChildrenThe InovaCares Clinic for Women was created in 1960 to serve the uninsured women of Fairfax County, offering a wide range of OB/GYN services for those in need. InovaCares Clinic for Women is a service offered to the community in collaboration with the Fairfax County Health Department, serving uninsured and low-income patients up to 300% of the Federal Poverty Guidelines (FPL). The Clinic for Women provides comprehensive outpatient obstetrical services, gynecological care, diabetes management, case management, non-stress testing, LEEP and colonoscopy procedures, cryosurgery, and nutritional counseling all at little to no cost to the patient. In addition, the Clinic for Women runs a high risk obstetrics clinic and a gynecology clinic. In 2012, the InovaCares Clinic for women had 29,792 visits.The Clinic for Children was created in 1993 as a response to the inability of new uninsured or Medicaid mothers to secure an affordable medical home for their children. The mission of the Clinic for Children is to provide a full service medical home for pediatric patients between zero and 21 years of age. The Clinic for Children provides comprehensive pediatric services that includes well-child care, immunizations, episodic care (sick visit), and school/sports physicals, immunizations, and nutritional counseling. In 2012, the InovaCares Clinics for Children provided 23,984 visits and received NCQA level 3 Patient-Centered Medical Home recognition.Inova Juniper Program, HIV Clinical and Education ServicesInova Juniper Program (IJP) provides outpatient primary medical care, mental health therapy, substance abuse treatment, pharmaceutical assistance, nutritional counseling and medical case management services to more than 1,400 persons living with HIV disease in the suburban Virginia region. To maximize accessibility for clients, services are provided at the main location in Springfield, as well as five satellite offices (Dumfries, Manassas, Mt. Vernon, Arlington, and Reston), hospitals, homes and other community locations throughout the region. Major accomplishments of IJP for 2012 include: Almost doubled its census in the past year and now serves over 1,400 patients providing 25,222 visits Maintaining a 0% HIV transmission rate from pregnant mothers to their newborn babies. Received NCQA level 3 Patient Centered Medical Home recognition Conducted 146 education programs reaching 2,492 participants, and provided 151 clinical consultations.Life with CancerThe mission of Life with Cancer (LWC) is to enhance the quality of life of those individuals in our community affected by cancer. The program addresses the specific needs of those affected by cancer by providing individual and family counseling, support groups, educational seminars, workshops on cancer diagnosis and treatment, and a full array of complimentary therapies. Life with Cancer is generously supported by our community; therefore all services are available at no charge to residents of the Washington Metropolitan area. In 2012 Life with Cancer offered 1,327 educational classes, groups, and wellness programs, with more than 10,000 visits. In addition, 10,400 one-on one contacts for counseling & consultations were provided. A total of 30,300 service hours for over 3,300 people in the Northern Virginia area were provided. More than 30 health fairs, presentations, and conferences in which LWC staff and volunteers participated reached another 2,700 people in the community served by Inova. Lions Eye ClinicAdministered by Inova Fairfax Hospital, the Ophthalmology Clinic provides optometry specialty services to the indigent including treatment of glaucoma, retina, and cataracts as well as children's specialty services. The physicians volunteer their services or are paid nominal fees by the State of Virginia or sponsoring community organization. In 2012, the clinic had 2,813 visits.Inova Diabetes CenterThe Inova Diabetes Center provides outpatient diabetes self-management education to over 5,000 adults and children with diabetes each year in the Northern Virginia area. The Inova Diabetes Center has five locations in the Northern Virginia area including Inova Fairfax Hospital, Inova Mount Vernon Hospital and Inova Fair Oaks Hospital and is the recipient of the American Diabetes Association's Recognition for Diabetes Education Programs. In 2012, the Inova Diabetes Centers at Inova Fairfax, Inova Mount Vernon Hospital and Inova Fair Oaks Hospitals, provided a total of 3,251 patient visits.IHCS and its subsidiaries provide many other non-billed and below margin patient services. Case management services are provided to the indigent and assistance is provided with financial paperwork. Inova Mount Vernon participates in the Health Information and Claims Assistance Program by providing assistance with health insurance paperwork problems. In addition, home IV therapy services are provided for the indigent. Transportation is provided for indigent patients to and from IHCS facilities and programs. Inova Fairfax provides forensic and medical care to abused adults and children as well as blood alcohol testing for area police departments while coordinating the disposition of deaths with various community organizations. Other services include pastoral care, free living accommodations for out-of-town Inova Fairfax heart and lung transplant patients and their families, and emergency assistance to patients and their families needing medication or transportation. Community Health Education and Promotion As part of Inova's overall health promotion effort, IHCS and its subsidiaries are actively involved in sponsoring programs, activities, and services designed to improve community health and prevent the onset of disease. HealthSourceHealthSource serves the community as the premier provider of health education and prevention services. Our participants engage in prevention activities, receive quality health education, participate in wellness programs and benefit from care management. As a part of our vision, Healthsource targets the community we serve by holding programs throughout the region in environments that are familiar to and convenient for our clients. Seminars, classes, health fairs and screenings are offered at Inova Health System hospitals, community locations and worksites throughout Northern Virginia and the Greater Metropolitan Washington Area. During 2012, HealthSource served 229,093 participants at 5,624 events. Program highlights include:Influenza VaccinationThe Inova HealthSource Fight the Flu Program has provided 43,000 flu shots at 827 immunization clinics so far this year for Inova Health System employees and physicians, employers and the community.The Fight the Flu Program provided over 10,000 flu shots for Fairfax County Public Schools at 190 clinics and 2,000 shots at 17 clinics for Fairfax County Government employees. With Inova foundation funds, free flu shots were provided for 149 children and teachers at Higher Horizons Head Start Program.The Workplace and Community ProgramsThe Workplace and Community Program served 95,032 participants at 2,115 events.The Care Management Programs provided health coaching in weight management, tobacco cessation, back pain management, fitness, pregnancy and breastfeeding at worksites.The City of Alexandria Wellness Program provides development, implementation and evaluation for all City employees. During 2012 this program provided 27 programs for 1,139 participants. Programs include Know Your Numbers, Choose Your Physician, Team Up to Move, Flu Vaccination, Health Fairs and monthly health/prevention awareness campaigns.The Health Education Program: supporting community wellness through health educationHealthSource provided 838 life support classes for 9,640 students at worksites and in the community. 3,093 physicians, nurses, first responders and other health professionals received advanced life support training.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,201,921,008

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	8,664,589	12,400,090	3,774,763

				(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		3,501,561
e	Government grants (contributions)1e		8,999,624

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.......			12,501,185
			Business Code
2a	Net Patient Service Re		900099	1,595,175,538	1,595,175,538
b	Inova Reston MRI LLC		621400	7,935,724	7,935,724
c	Franconia-Springfield Surgery Cen		621400	2,790,872	2,790,872
d	Northern Virginia Surgery Center		621400	2,504,021	2,504,021
e	Technical Dynamic, LLC		811000	1,899,315	1,899,315
f	All other program service revenue .			1,912,013	1,912,013
g	Total. Add lines 2a–2f........			1,612,217,483
3	Investment income (including dividends, interest, and other similar amounts).......			1,879,879			1,879,879
4	Income from investment of tax-exempt bond proceeds..			705,453			705,453
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	16,977,483
b	Less: rental expenses	12,521,734
c	Rental income or (loss)	4,455,749
d	Net rental income or (loss).......			4,455,749			4,455,749
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	83,468
b	Less: cost or other basis and sales expenses	1,737,898
c	Gain or (loss)	-1,654,430
d	Net gain or (loss)..........			-1,654,430			-1,654,430
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 SERVICES		900099	8,883,417	8,883,417
b	FOOD SERVICES		900099	1,394,746	1,394,746
c	LAUNDRY SERVICES		812300	247,071		247,071
d	All other revenue ....			26,475,638	23,011,689	3,463,949
e	Total. Add lines 11a–11d ......			37,000,872
12	Total revenue. See Instructions......			1,667,106,191	1,645,507,335	3,711,020	5,386,651


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing .............				1
2	Savings and temporary cash investments .........			229,341,276	2	190,876,318
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			191,243,560	4	228,953,166
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............			11,233,523	7	11,944,973
8	Inventories for sale or use ..............			13,716,615	8	15,437,830
9	Prepaid expenses and deferred charges ..........			41,607,620	9	50,979,991
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,322,986,073
b	Less: accumulated depreciation .....	10b	1,423,616,226	794,904,655	10c	899,369,847
11	Investments—publicly traded securities ..........			162,149,926	11	482,866,538
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 ...........			1,274,530,304	15	1,778,675,212
16	Total assets. Add lines 1 through 15 (must equal line 34)......			2,718,727,479	16	3,659,103,875
17	Accounts payable and accrued expenses .........			218,489,932	17	276,861,260
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			979,528,270	20	1,397,299,496
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other 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....................			285,038,241	25	295,970,734
26	Total liabilities. Add lines 17 through 25.........			1,483,056,443	26	1,970,131,490
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,235,649,312	27	1,688,950,661
28	Temporarily restricted net assets ...........			21,724	28	21,724
29	Permanently restricted net assets ...........				29
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........			1,235,671,036	33	1,688,972,385
34	Total liabilities and net assets/fund balances ........			2,718,727,479	34	3,659,103,875