TY 2013 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	35.00 .......................15.00	X	X	2,227,424	1,370,353
(2) CHARLES SMITH........................................................................ CHAIRMAN	3.00 .......................4.00	X	X	0	0
(3) JACK EBELER........................................................................ VICE CHAIRMAN	2.00 .......................3.00	X	X	0	0
(4) CHARLES BEARD........................................................................ 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) HUGO DAVALOS........................................................................ TRUSTEE	2.00 .......................	X		0	0
(8) PATRICK RHODES........................................................................ TRUSTEE	2.00 .......................3.00	X		0	0
(9) MARK STAVISH........................................................................ TRUSTEE	1.00 .......................3.00	X		0	0
(10) ARSHED CHOUDHRY MD........................................................................ TRUSTEE	2.00 .......................5.00	X		0	0
(11) BETTY HUDSON........................................................................ TRUSTEE	2.00 .......................	X		0	0
(12) MICHAEL FREY........................................................................ TRUSTEE	2.00 .......................	X		0	0
(13) HOOKS JOHNSTON........................................................................ TRUSTEE	2.00 .......................	X		0	0
(14) GERALD HYLAND........................................................................ TRUSTEE	2.00 .......................	X		0	0
(15) DEAN MOREHOUSE........................................................................ TRUSTEE	2.00 .......................	X		0	0
(16) CAROLYN MOSS........................................................................ TRUSTEE	2.00 .......................	X		0	0
(17) PHIL NOLAN........................................................................ 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) MARY SCHMIDT MD........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(19) MARK MOORE........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(20) GEORGE TAWIL MD........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(21) ROBERT TSIEN........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(22) SARITA GOPAL MD........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(23) RICHARD MAGENHEIMER........................................................................ TREASURER	35.00 .......................15.00		X				0	1,082,111	300,834
(24) JOHN GAUL........................................................................ ASST SECRETARY	35.00 .......................15.00		X				548,512	0	141,097
(25) MARK STAUDER........................................................................ PRESIDENT, COO	38.00 .......................12.00		X				0	1,418,431	741,615
(26) PATRICK CHRISTIANSEN........................................................................ EVP CEO IFH	48.00 .......................2.00		X				0	1,062,532	68,886
(27) JOHN NIEDERHUBER........................................................................ CEO ITMI & EVP IHS	40.00 .......................10.00		X				0	1,582,327	54,276
(28) KYLANNE SILVERSTONE........................................................................ EVP CEO INOVA MDG CARE SVC	40.00 .......................10.00		X				0	542,141	54,210
(29) MARSHALL RUFFIN........................................................................ EVP CTO	40.00 .......................10.00		X				0	840,000	181,747
(30) LORING FLINT........................................................................ EVP CHIEF MEDICAL OFFICER	40.00 .......................10.00		X				0	972,630	141,101
(31) GEOFFREY BROWN........................................................................ SVP CIO	40.00 .......................			X			417,325	0	97,190
(32) MARK RUNYON........................................................................ SVP FINANCE	40.00 .......................			X			551,905	0	133,250
(33) MAUREEN SWICK........................................................................ SVP COO IFH AND CNE IHS	40.00 .......................			X			555,364	0	92,144
(34) ANGELA MANNINO........................................................................ SVP HUMAN RESOURCES	40.00 .......................			X			482,014	0	146,714
(35) JOHN FITZGERALD........................................................................ CEO IFOH	40.00 .......................			X			681,211	0	103,381
(36) JAMES SANTRY........................................................................ SVP BUS DEV & MANAGED CARE	45.00 .......................5.00			X			343,508	0	116,677
(37) CHRISTINE CANDIO........................................................................ CEO IAH	35.00 .......................5.00			X			508,833	0	168,366
(38) JAMES ECKLUND........................................................................ PHYSICIAN	40.00 .......................				X		1,174,334	0	73,106
(39) JOHN MOYNIHAN........................................................................ PHYSICIAN	40.00 .......................				X		757,269	0	98,371
(40) GEORGE MAXWELL........................................................................ PHYSICIAN	40.00 .......................				X		635,919	0	38,026
(41) JOSEPH VOCKLEY........................................................................ SVP TRANSLATIONAL RESEARCH	40.00 .......................				X		856,842	0	112,893
(42) ZOBAIR YOUNOSSI........................................................................ VP RESEARCH	40.00 .......................				X		696,033	0	123,045
(43) JAMES KIM........................................................................ FORMER AVP DEPUTY GENERAL	35.00 .......................15.00					X	247,773	0	75,542
(44) HPATRICK WALTERS........................................................................ FORMER SVP STRATEGIC PLANN	5.00 .......................45.00					X	0	606,393	72,061
(45) BARBARA DOYLE........................................................................ FORMER CEO IMVH	40.00 .......................					X	416,784	0	124,715
(46) RONALD EWALD........................................................................ FORMER VP IHS AA FINANCE	40.00 .......................					X	316,912	0	105,911
(47) PATRICIA BYRNES SCHMEHL........................................................................ FORMER VP IFH WOMENS CENTE	40.00 .......................					X	291,944	0	105,332
(48) ROBERT HAGER........................................................................ FORMER AVP SR ADMIN	40.00 .......................					X	224,657	0	93,782
(49) JOSEPH ROCHE........................................................................ FORMER EXEC DIR EAP	40.00 .......................					X	176,874	0	54,007
(50) JOHN AUDETT........................................................................ FORMER CMO IAH	40.00 .......................					X	378,943	0	89,669
(51) TODD LOCKCUFF........................................................................ FORMER AVP ASSOC ADMIN CFO	40.00 .......................					X	262,866	0	53,763
(52) HUGO AGUAS........................................................................ FORMER AVP HR ASSOC ADMIN	40.00 .......................					X	233,847	0	62,605
(53) MARY DIXON........................................................................ FORMER AVP CNO	40.00 .......................					X	224,685	0	53,111
(54) PAMELA MCVEY........................................................................ FORMER DIR NURSING RESOURCES	40.00 .......................					X	224,872	0	35,490

(A) Name and business address	(B) Description of services	(C) Compensation
CARDIAC VASCULAR & THORACIC2921 TELESTAR CTFALLS CHURCHVA22042	MEDICAL	15,252,384
CLINOVATIONS LLC1701 PENNSYLVANIA AVE NW 450WASHINGTONDC20006	CONSULTING	6,730,577
FAIRFAX RADIOLOGICAL CONSULTANTS2722 MERRILEE DRIVE SUITE 230FAIRFAXVA22031	RADIOLOGY	5,747,037
GEORGE WASHINGTON UNIVERSITY2300 I ST NW ROSS 707WASHINGTONDC20037	RESIDENCY PROGRAM	4,048,426
VOICE MEDIA LLC108 B WEST JEFFERSON STFALLS CHURCHVA22046	MEDIA CONSULTING/ADVERTISING	3,608,537
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 276

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 ....	11,209,226	11,209,226
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	797,147,619	646,528,071	150,619,548
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	43,002,550	35,275,569	7,726,981
9	Other employee benefits .......	72,876,659	58,820,535	14,056,124
10	Payroll taxes ...........	55,998,879	45,474,275	10,524,604
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	3,312,143	1,820,140	1,492,003
c	Accounting ...........	1,207,283	15,423	1,191,860
d	Lobbying ...........	229,898	229,898
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) ........	114,298,708	65,916,862	48,381,846
12	Advertising and promotion ....	3,305,291	1,962,943	1,342,348
13	Office expenses .......	2,580,301	1,195,926	1,384,375
14	Information technology ......	27,948,867	3,435,191	24,513,676
15	Royalties ..
16	Occupancy ...........	34,529,251	26,097,118	8,432,133
17	Travel ............	2,491,505	1,543,719	947,786
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	2,292,376	1,348,261	944,115
20	Interest ...........	22,812,689	11,681,342	11,131,347
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	145,957,058	96,219,386	49,737,672
23	Insurance ..............	10,931,618	10,476,223	455,395
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	325,913,945	322,508,053	3,405,892
b	OTHER PURCHASED SERVICE	134,594,754	117,291,674	17,303,080
c	BAD DEBT EXPENSE	101,477,075	101,477,075
d	PHYSICIAN FEES	45,464,129	45,101,452	362,677
e	All other expenses	29,478,277	16,203,503	13,274,774
25	Total functional expenses. Add lines 1 through 24e	1,989,060,101	1,621,831,865	367,228,236	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 or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............		1
2	Savings and temporary cash investments .........	190,876,318	2	203,500,036
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	228,953,166	4	207,650,328
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 .............	11,944,973	7	9,535,940
8	Inventories for sale or use ..............	15,437,830	8	16,871,476
9	Prepaid expenses and deferred charges ..........	50,979,991	9	40,583,119
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,616,519,148
b	Less: accumulated depreciation .....	10b	1,572,154,569	899,369,847	10c	1,044,364,579
11	Investments—publicly traded securities ..........	482,866,538	11	335,679,791
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 ...........	1,778,675,212	15	1,914,112,312
16	Total assets. Add lines 1 through 15 (must equal line 34)......	3,659,103,875	16	3,772,297,581
	17	Accounts payable and accrued expenses .........	276,861,260	17	242,360,478
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	1,397,299,496	20	1,367,676,139
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....................	295,970,734	25	286,202,917
26	Total liabilities. Add lines 17 through 25.........	1,970,131,490	26	1,896,239,534
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	1,688,950,661	27	1,876,036,323
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 ...........	1,688,972,385	33	1,876,058,047
34	Total liabilities and net assets/fund balances ........	3,659,103,875	34	3,772,297,581

- 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.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) 2013

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. 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—2012. 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—2013. 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—2012. 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) 2013

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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(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 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. 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—2012. 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) 2013

Page 4

Part IV

Supplemental Information. 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) 2013

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.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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 for 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 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 its Form 990PF, Part I, line 2, 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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

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, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

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) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

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) (2013)

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. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) 2013

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) .......	229,898
c	Total lobbying expenditures (add lines 1a and 1b) ...................	229,898
d	Other exempt purpose expenditures ........................	1,621,831,865
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	1,622,061,763
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) 2010	(b) 2011	(c) 2012	(d) 2013	(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	399,550	240,480	253,864	229,898	1,123,792

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) 2013

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

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.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2013

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. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) 2013

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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	112,531,870		112,531,870
b	Buildings ................	866,839,881	405,480,783	461,359,098
c	Leasehold improvements ............	455,856,243	301,038,123	154,818,120
d	Equipment ................	1,030,851,213	742,490,708	288,360,505
e	Other .................	150,439,941	123,144,955	27,294,986
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				1,044,364,579

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) UNAMORTIZED BOND COSTS				6,796,797
(2) OTHER ASSETS				7,901,903
(3) DUE FROM SUBSIDIARIES AND AFFILIATES				1,592,958,089
(4) PENSION ASSET				54,534,371
(5) CONSTRUCTION IN PROGRESS				251,921,152




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				1,914,112,312

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
THIRD PARTY SETTLEMENTS		46,576,826
NOTES PAYABLE AND OTHER		122,034,928
SELF INSURED LIABILITY		32,775,324
DEFERRED COSTS		27,073,814
POST RETIREMENT/EMPLOYMENT BENEFITS		9,113,564
INTEREST RATE SWAP LIABILITY		22,840,620
INVESTMENT IN SUBSIDIARIES AND JOINT VENTURES		1,557,967
INTEREST PAYABLE		6,901,977
WORKERS COMPENSATION PAYABLE		17,327,897
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		286,202,917
2. Liability for uncertain tax positions 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) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
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

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.

Return Reference	Explanation
Part X, Line 2:	From Inova Health System consolidated financial statements including Inova Health Care Services: The Foundation, IHCS, and LHC, 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.

Return Reference

Explanation

Part X, Line 2:

From Inova Health System consolidated financial statements including Inova Health Care Services: The Foundation, IHCS, and LHC, 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) 2013

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.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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? ......

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	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	94,600,917		94,600,917	5.010 %
b	Medicaid (from Worksheet 3, column a) ....	173,409,186	109,097,448	64,311,738	3.410 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	268,010,103	109,097,448	158,912,655	8.420 %
Other Benefits		15,271,390		15,271,390	0.810 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	15,271,390		15,271,390	0.810 %
f	Health professions education (from Worksheet 5) ..	24,041,791		24,041,791	1.270 %
g	Subsidized health services (from Worksheet 6) ..	8,471,522		8,471,522	0.450 %
h	Research (from Worksheet 7)	6,591,305		6,591,305	0.350 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	328,092		328,092	0.020 %
j	Total. Other Benefits ..	54,704,100		54,704,100	2.900 %
k	Total. Add lines 7d and 7j .	322,714,203	109,097,448	213,616,755	11.320 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

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. ......

43,291,627

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).....

364,104,998

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

426,991,179

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

-62,886,181

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	60.000 %	40.000 %
22 Northern Virginia Surgery Center LLC	Surgical Services	60.900 %	39.100 %
33 Inova Ambulatory Surgery Center at Lorton LLC	Surgical Services	67.390 %	32.610 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

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?4 Name, address, primary website address, and state license number								Facility reporting group
1	INOVA FAIRFAX HOSPITAL 3300 GALLOWS ROAD FALLS CHURCH,VA22046 INOVA.ORG VA H1921	X	X	X	X	X	X	A
2	INOVA ALEXANDRIA HOSPITAL 4320 SEMINARY ROAD ALEXANDRIA,VA22304 INOVA.ORG VA H1859	X	X				X	A
3	INOVA FAIR OAKS HOSPITAL 3600 JOSEPH SIEWICK DRIVE FAIRFAX,VA22033 INOVA.ORG VA H1922	X	X				X	A
4	INOVA MOUNT VERNON HOSPITAL 2501 PARKER LANE ALEXANDRIA,VA22306 INOVA.ORG VA H1923	X	X				X	A

Schedule H (Form 990) 2013

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)

	Facility Reporting Group - A
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility 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....................

Yes

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 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests 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 ....................

Yes

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

Yes

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

Yes

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

Hospital facility’s website (list url): INOVA.ORG

Other website (list url):

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 as of the end of the tax year):

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) 2013

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	Residency
i	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 individual’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 Section C)
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 individual’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 Section C)

Schedule H (Form 990) 2013

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 individuals regarding the individuals’ bills

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

Other (describe in Section C)

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 individual 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 individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: INOVA FAIRFAX HOSPITAL, - Facility 3: INOVA FAIR OAKS HOSPITAL, - Facility 4: INOVA MOUNT VERNON HOSPITAL, - Facility 2: INOVA ALEXANDRIA HOSPITAL
Facility 3 -- INOVA FAIROAKS HOSPTIAL Part V, Section B, line 3:	IFOH:The hospital interviewed 41 key informants, including external stakeholders (those who represented the broad interests in the community) and internal Inova staff. The interviews were guided by a structured interview guide, and interviewees were encouraged to identify and discuss a wide range of current and emerging issues affecting community health. The hospital also sought input from the public regarding the health of the community through an online survey publicized through mailers and flyers. A detailed listing of the community stakeholders who provided community input are included in the Appendix of the CHNA.
Facility 3 -- INOVA FAIROAKS HOSPTIAL Part V, Section B, line 4:	Inova Fairfax HospitalInova Mt. Vernon HospitalInova Loudoun HospitalInova Alexandria Hospital
Facility 3 -- INOVA FAIROAKS HOSPTIAL Part V, Section B, line 7:	A community health needs assessment (CHNA) survey was conducted by each hospital within Inova Health System in order to better assess each community's unique health needs and to develop an effective implementation strategy to address identified priority needs. Each CHNA was conducted in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. Each CHNA considered multiple data sources, including secondary data (regarding demographics, health status indicators, and measures of health care access), assessments prepared by other organizations in recent years, and primary data derived from a community survey and from interviews with persons who represent the broad interests of each community, including public health officials and experts and hospital-affiliated clinicians, administrators and staff. Interviews were conducted from March through August of 2012. The topics and data assessed in these reports include demographics, economic issues, community issues, health status indicators, health access indicators, health disparities indicators and availability of healthcare facilities and resources. Each CHNA identifies a prioritized list of community health needs. From these reports, each hospital has developed a three-year implementation strategy with measurable objectives to address their unique community benefit service area for calendar (tax) years 2014 through 2016. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. Based on the CHNA recommendations, each hospital has identified as its community benefit priorities those outlined below. Each hospital's 3-year implementation strategy was endorsed by the System's Board of Trustees.Access to Health and Human Services:Insufficient Case/Care Management for Seniors - (Fairfax County, Fairfax City)Lack of Affordable and Accessible Primary and Specialty Care and InsuranceLack of Access to Preventive CareChronic Disease:High Rates of Cancer Incidence and Disparities in Cancer MortalityDental Health:Lack of Access to Dental Care and Poor Dental Health StatusMorbidity:Diet and Exercise - Related Issues
Facility 3 -- INOVA FAIROAKS HOSPTIAL Part V, Section B, line 12i:	Family size.
Facility 3 -- 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.
Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 3:	IMVH:The hospital interviewed 33 key informants, including external stakeholders (those who represented the broad interests in the community) and internal Inova staff. The interviews were guided by a structured interview guide, and interviewees were encouraged to identify and discuss a wide range of current and emerging issues affecting community health. The hospital also sought input from the public regarding the health of the community through an online survey publicized through mailers and flyers. A detailed listing of the community stakeholders who provided community input are included in the Appendix of the CHNA.
Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 4:	Inova Fairfax HospitalInova Loudoun HospitalInova Fair Oaks HospitalInova Alexandria Hospital
Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 7:	A community health needs assessment (CHNA) survey was conducted by each hospital within Inova Health System in order to better assess each community's unique health needs and to develop an effective implementation strategy to address identified priority needs. Each CHNA was conducted in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. Each CHNA considered multiple data sources, including secondary data (regarding demographics, health status indicators, and measures of health care access), assessments prepared by other organizations in recent years, and primary data derived from a community survey and from interviews with persons who represent the broad interests of each community, including public health officials and experts and hospital-affiliated clinicians, administrators and staff. Interviews were conducted from March through August of 2012. The topics and data assessed in these reports include demographics, economic issues, community issues, health status indicators, health access indicators, health disparities indicators and availability of healthcare facilities and resources. Each CHNA identifies a prioritized list of community health needs. From these reports, each hospital has developed a three-year implementation strategy with measurable objectives to address their unique community benefit service area for calendar (tax) years 2014 through 2016. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. Based on the CHNA recommendations, each hospital has identified as its community benefit priorities those outlined below. Each hospital's 3-year implementation strategy was endorsed by the System's Board of Trustees.Access to Health and Human Services:Insufficient Collaboration and Coordination Among Organizations Providing Health and Social ServicesLack of Affordable and Accessible Primary and Specialty Care and InsuranceLack of Access to Preventive CareDental Health:Lack of Access to Dental Care and Poor Dental Health StatusMental Health:Lack of Access to Mental Health Services and Poor Mental Health StatusMorbidity:Diet and Exercise - Related Issues
Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 12i:	Family size.
Facility 4 -- 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.
Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 3:	IAH:The hospital interviewed 25 key informants, including external stakeholders (those who represented the broad interests in the community) and internal Inova staff. The interviews were guided by a structured interview guide, and interviewees were encouraged to identify and discuss a wide range of current and emerging issues affecting community health. The hospital also sought input from the public regarding the health of the community through an online survey publicized through mailers and flyers. A detailed listing of the community stakeholders who provided community input are included in the Appendix of the CHNA.
Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 4:	Inova Fairfax HospitalInova Mt. Vernon HospitalInova Fair Oaks HospitalInova Loudoun Hospital
Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 7:	A community health needs assessment (CHNA) survey was conducted by each hospital within Inova Health System in order to better assess each community's unique health needs and to develop an effective implementation strategy to address identified priority needs. Each CHNA was conducted in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. Each CHNA considered multiple data sources, including secondary data (regarding demographics, health status indicators, and measures of health care access), assessments prepared by other organizations in recent years, and primary data derived from a community survey and from interviews with persons who represent the broad interests of each community, including public health officials and experts and hospital-affiliated clinicians, administrators and staff. Interviews were conducted from March through August of 2012. The topics and data assessed in these reports include demographics, economic issues, community issues, health status indicators, health access indicators, health disparities indicators and availability of healthcare facilities and resources. Each CHNA identifies a prioritized list of community health needs. From these reports, each hospital has developed a three-year implementation strategy with measurable objectives to address their unique community benefit service area for calendar (tax) years 2014 through 2016. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. Based on the CHNA recommendations, each hospital has identified as its community benefit priorities those outlined below. Each hospital's 3-year implementation strategy was endorsed by the System's Board of Trustees.Access to Health and Human Services:Insufficient Collaboration and Coordination Among Organizations Providing Health and Social ServicesLack of Affordable and Accessible Primary and Specialty Care and InsuranceLack of Access to Preventive CareDental HealthLack of Access to Dental Care and Poor Dental Health StatusMorbidityDiet and Exercise - Related Issues
Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 12i:	Family Size
Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 14g:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification notices posted in their areas and on Inova's website.
Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 3:	IFH:The hospital interviewed 45 key informants, including external stakeholders (those who represented the broad interests in the community) and internal Inova staff. The interviews were guided by a structured interview guide, and interviewees were encouraged to identify and discuss a wide range of current and emerging issues affecting community health. The hospital also sought input from the public regarding the health of the community through an online survey publicized through mailers and flyers. A detailed listing of the community stakeholders who provided community input are included in the Appendix of the CHNA.
Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 4:	Inova Loudoun HospitalInova Mt. Vernon HospitalInova Fair Oaks HospitalInova Alexandria Hospital
Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 7:	A community health needs assessment (CHNA) survey was conducted by each hospital within Inova Health System in order to better assess each community's unique health needs and to develop an effective implementation strategy to address identified priority needs. Each CHNA was conducted in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. Each CHNA considered multiple data sources, including secondary data (regarding demographics, health status indicators, and measures of health care access), assessments prepared by other organizations in recent years, and primary data derived from a community survey and from interviews with persons who represent the broad interests of each community, including public health officials and experts and hospital-affiliated clinicians, administrators and staff. Interviews were conducted from March through August of 2012. The topics and data assessed in these reports include demographics, economic issues, community issues, health status indicators, health access indicators, health disparities indicators and availability of healthcare facilities and resources. Each CHNA identifies a prioritized list of community health needs. From these reports, each hospital has developed a three-year implementation strategy with measurable objectives to address their unique community benefit service area for calendar (tax) years 2014 through 2016. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. Based on the CHNA recommendations, each hospital has identified as its community benefit priorities those outlined below. Each hospital's 3-year implementation strategy was endorsed by the System's Board of Trustees.Access to Health and Human ServicesInsufficient Collaboration and Coordination Among Organizations Providing Health and Social ServicesInsufficient Case/Care Management for Seniors - (Fairfax County, Fairfax City)Lack of Affordable and Accessible Primary and Specialty Care and InsuranceLack of Access to Preventive CareDental HealthLack of Access to Dental Care and Poor Dental Health StatusMorbidityDiet and Exercise - Related IssuesSocial and Economic FactorsLack of Health Education
Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 12i:	Family size
Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 14g:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification notices posted in their areas and on Inova's website.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. 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?30
Name and address		Type of Facility (describe)
1	EMERGENCY CARE CENTER OF FAIRFAX 4315 CHAIN BRIDGE ROAD FAIRFAX,VA22030	EMERGENCY ROOM
2	NORTHERN VIRGINIA SURGERY CENTER LLC 3620 JOSEPH SIEWICK DRIVE FAIRFAX,VA22033	OUTPATIENT SURGERY
3	FRANCONIA SPRINGFIELD SURGERY CENTER LLC 6355 WALKER LANE SUITE 200 ALEXANDRIA,VA22310	OUTPATIENT SURGERY
4	INOVA RESTON MRI CENTER LLC 2722 MERRILLE DRIVE SUITE 230 FAIRFAX,VA22031	MRI CENTER
5	EMERGENCY CARE CENTER OF RESTON 11901 BARON CAMERON AVENUE RESTON,VA20190	EMERGENCY ROOM
6	ASSISTED LIVING AT FAIR OAKS 3750 JOSEPH SIEWICK DRIVE FAIRFAX,VA22033	ASSISTED LIVING
7	ASSISTED LIVING AT MCLEAN 8315 TURNING LEAF MCLEAN,VA22102	ASSISTED LIVING
8	ASSISTED LIVING AT RESTON TOWN CENTER 1778 FOUNTAIN DRIVE RESTON,VA20190	ASSISTED LIVING
9	ASSISTED LIVING AT MT VERNON 8033 HOLLAND ROAD ALEXANDRIA,VA22306	ASSISTED LIVING
10	KELLAR 11204 WAPLES MILL ROAD FAIRFAX,VA22030	BEHAVIORAL SERVICES
11	INSTITUTE OF RESEARCH AND EDUCATION 3300 GALLOWS ROAD FALLS CHURCH,VA22042	RESEARCH FACILITY
12	ASSISTED LIVING AT GEORGE MASON 4300 CHAIN BRIDGE ROAD FAIRFAX,VA22030	ASSISTED LIVING
13	POTOMAC RADIATION ONCOLOGY 2296 OPITZ BLVD WOODBRIDGE,VA22191	RADIATION ONCOLOGY
14	INOVA URGENT CARE CENTER - VIENNA 100 MAPLE AVENUE EAST VIENNA,VA22180	URGENT CARE
15	INOVA URGENT CARE CENTER - DULLES SOUTH 24801 PINEBROOK ROAD SUITE 110 CHANTILLY,VA20152	URGENT CARE
16	INOVA URGENT CARE CENTER - CENTREVILLE 6201 CENTREVILLE ROAD SUITE 200 CENTREVILLE,VA20121	URGENT CARE
17	INOVA PHYSICAL THERAPY CENTER - CENTREVI 6201 CENTREVILLE ROAD SUITE 500 CENTREVILLE,VA20121	REHABILITATION
18	INOVA PHYSICAL THERAPY CENTER-WOODBRIDGE 14605 POTOMAC BRANCH DRIVE SUITE 210 WOODBRIDGE,VA22191	REHABILITATION
19	INOVA PHYSICAL THERAPY CTR - SPRINGFIELD 8348 TRAFORD LANE SUITE 100 SPRINGFIELD,VA22152	REHABILITATION
20	INOVA PHYSICAL THERAPY CENTER - ASHBURN 20905 PROFESSIONAL PLAZA SUITE 110 ASHBURN,VA20147	REHABILITATION
21	INOVA PHYSICAL THERAPY CENTER - VIENNA 8320 OLD COURTHOUSE ROAD SUITE 410 VIENNA,VA22182	REHABILITATION
22	INOVA PHYSICAL THERAPY CENTER- MT VERNON 8101 HINSON FARM ROAD SUITE 401 ALEXANDRIA,VA22306	REHABILITATION
23	INOVA PHYSICAL THERAPY CENTER - FAIROAKS 3620 JOSEPH SIEWICK DRIVE SUITE 101 FAIRFAX,VA22033	REHABILITATION
24	INOVA URGENT CARE CENTER - PURCELLVILLE 205 HIRST ROAD SUITE 101 PURCELLVILLE,VA20132	URGENT CARE
25	INOVA PHYSICAL THERAPY CENTER - DULLES 24801 PINEBROOK ROAD SUITE 200 CHANTILLY,VA20152	REHABILITATION
26	INOVA URGENT CARE CENTER - BALLSTON 1005 NORTH GLEBE ROAD SUITE 160 ARLINGTON,VA22201	URGENT CARE
27	WOODBURN SURGERY CENTER 3289 WOODBURN ROAD FALLS CHURCH,VA22003	OUTPATIENT SURGERY
28	INOVA PHYSICAL THERAPY CENTER - BALLSTON 1005 NORTH GLEBE ROAD SUITE 400 ARLINGTON,VA22201	REHABILITATION
29	INOVA AMBULATORY SURGERY CENTER AT LORTO 9321 SANGER STREET LORTON,VA22079	OUTPATIENT SURGERY
30	CATS 3300 GALLOWS ROAD FALLS CHURCH,VA22042	BEHAVIORAL SERVICES

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.

Form and Line Reference	Explanation
Part V, Section B	Facility Reporting Group A
Facility Reporting Group A consists of:	- Facility 1: INOVA FAIRFAX HOSPITAL, - Facility 3: INOVA FAIR OAKS HOSPITAL, - Facility 4: INOVA MOUNT VERNON HOSPITAL, - Facility 2: INOVA ALEXANDRIA HOSPITAL
Facility 3 -- INOVA FAIROAKS HOSPTIAL Part V, Section B, line 3:	IFOH:The hospital interviewed 41 key informants, including external stakeholders (those who represented the broad interests in the community) and internal Inova staff. The interviews were guided by a structured interview guide, and interviewees were encouraged to identify and discuss a wide range of current and emerging issues affecting community health. The hospital also sought input from the public regarding the health of the community through an online survey publicized through mailers and flyers. A detailed listing of the community stakeholders who provided community input are included in the Appendix of the CHNA.
Facility 3 -- INOVA FAIROAKS HOSPTIAL Part V, Section B, line 4:	Inova Fairfax HospitalInova Mt. Vernon HospitalInova Loudoun HospitalInova Alexandria Hospital
Facility 3 -- INOVA FAIROAKS HOSPTIAL Part V, Section B, line 7:	A community health needs assessment (CHNA) survey was conducted by each hospital within Inova Health System in order to better assess each community's unique health needs and to develop an effective implementation strategy to address identified priority needs. Each CHNA was conducted in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. Each CHNA considered multiple data sources, including secondary data (regarding demographics, health status indicators, and measures of health care access), assessments prepared by other organizations in recent years, and primary data derived from a community survey and from interviews with persons who represent the broad interests of each community, including public health officials and experts and hospital-affiliated clinicians, administrators and staff. Interviews were conducted from March through August of 2012. The topics and data assessed in these reports include demographics, economic issues, community issues, health status indicators, health access indicators, health disparities indicators and availability of healthcare facilities and resources. Each CHNA identifies a prioritized list of community health needs. From these reports, each hospital has developed a three-year implementation strategy with measurable objectives to address their unique community benefit service area for calendar (tax) years 2014 through 2016. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. Based on the CHNA recommendations, each hospital has identified as its community benefit priorities those outlined below. Each hospital's 3-year implementation strategy was endorsed by the System's Board of Trustees.Access to Health and Human Services:Insufficient Case/Care Management for Seniors - (Fairfax County, Fairfax City)Lack of Affordable and Accessible Primary and Specialty Care and InsuranceLack of Access to Preventive CareChronic Disease:High Rates of Cancer Incidence and Disparities in Cancer MortalityDental Health:Lack of Access to Dental Care and Poor Dental Health StatusMorbidity:Diet and Exercise - Related Issues
Facility 3 -- INOVA FAIROAKS HOSPTIAL Part V, Section B, line 12i:	Family size.
Facility 3 -- 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.
Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 3:	IMVH:The hospital interviewed 33 key informants, including external stakeholders (those who represented the broad interests in the community) and internal Inova staff. The interviews were guided by a structured interview guide, and interviewees were encouraged to identify and discuss a wide range of current and emerging issues affecting community health. The hospital also sought input from the public regarding the health of the community through an online survey publicized through mailers and flyers. A detailed listing of the community stakeholders who provided community input are included in the Appendix of the CHNA.
Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 4:	Inova Fairfax HospitalInova Loudoun HospitalInova Fair Oaks HospitalInova Alexandria Hospital
Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 7:	A community health needs assessment (CHNA) survey was conducted by each hospital within Inova Health System in order to better assess each community's unique health needs and to develop an effective implementation strategy to address identified priority needs. Each CHNA was conducted in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. Each CHNA considered multiple data sources, including secondary data (regarding demographics, health status indicators, and measures of health care access), assessments prepared by other organizations in recent years, and primary data derived from a community survey and from interviews with persons who represent the broad interests of each community, including public health officials and experts and hospital-affiliated clinicians, administrators and staff. Interviews were conducted from March through August of 2012. The topics and data assessed in these reports include demographics, economic issues, community issues, health status indicators, health access indicators, health disparities indicators and availability of healthcare facilities and resources. Each CHNA identifies a prioritized list of community health needs. From these reports, each hospital has developed a three-year implementation strategy with measurable objectives to address their unique community benefit service area for calendar (tax) years 2014 through 2016. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. Based on the CHNA recommendations, each hospital has identified as its community benefit priorities those outlined below. Each hospital's 3-year implementation strategy was endorsed by the System's Board of Trustees.Access to Health and Human Services:Insufficient Collaboration and Coordination Among Organizations Providing Health and Social ServicesLack of Affordable and Accessible Primary and Specialty Care and InsuranceLack of Access to Preventive CareDental Health:Lack of Access to Dental Care and Poor Dental Health StatusMental Health:Lack of Access to Mental Health Services and Poor Mental Health StatusMorbidity:Diet and Exercise - Related Issues
Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 12i:	Family size.
Facility 4 -- 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.
Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 3:	IAH:The hospital interviewed 25 key informants, including external stakeholders (those who represented the broad interests in the community) and internal Inova staff. The interviews were guided by a structured interview guide, and interviewees were encouraged to identify and discuss a wide range of current and emerging issues affecting community health. The hospital also sought input from the public regarding the health of the community through an online survey publicized through mailers and flyers. A detailed listing of the community stakeholders who provided community input are included in the Appendix of the CHNA.
Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 4:	Inova Fairfax HospitalInova Mt. Vernon HospitalInova Fair Oaks HospitalInova Loudoun Hospital
Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 7:	A community health needs assessment (CHNA) survey was conducted by each hospital within Inova Health System in order to better assess each community's unique health needs and to develop an effective implementation strategy to address identified priority needs. Each CHNA was conducted in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. Each CHNA considered multiple data sources, including secondary data (regarding demographics, health status indicators, and measures of health care access), assessments prepared by other organizations in recent years, and primary data derived from a community survey and from interviews with persons who represent the broad interests of each community, including public health officials and experts and hospital-affiliated clinicians, administrators and staff. Interviews were conducted from March through August of 2012. The topics and data assessed in these reports include demographics, economic issues, community issues, health status indicators, health access indicators, health disparities indicators and availability of healthcare facilities and resources. Each CHNA identifies a prioritized list of community health needs. From these reports, each hospital has developed a three-year implementation strategy with measurable objectives to address their unique community benefit service area for calendar (tax) years 2014 through 2016. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. Based on the CHNA recommendations, each hospital has identified as its community benefit priorities those outlined below. Each hospital's 3-year implementation strategy was endorsed by the System's Board of Trustees.Access to Health and Human Services:Insufficient Collaboration and Coordination Among Organizations Providing Health and Social ServicesLack of Affordable and Accessible Primary and Specialty Care and InsuranceLack of Access to Preventive CareDental HealthLack of Access to Dental Care and Poor Dental Health StatusMorbidityDiet and Exercise - Related Issues
Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 12i:	Family Size
Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 14g:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification notices posted in their areas and on Inova's website.
Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 3:	IFH:The hospital interviewed 45 key informants, including external stakeholders (those who represented the broad interests in the community) and internal Inova staff. The interviews were guided by a structured interview guide, and interviewees were encouraged to identify and discuss a wide range of current and emerging issues affecting community health. The hospital also sought input from the public regarding the health of the community through an online survey publicized through mailers and flyers. A detailed listing of the community stakeholders who provided community input are included in the Appendix of the CHNA.
Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 4:	Inova Loudoun HospitalInova Mt. Vernon HospitalInova Fair Oaks HospitalInova Alexandria Hospital
Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 7:	A community health needs assessment (CHNA) survey was conducted by each hospital within Inova Health System in order to better assess each community's unique health needs and to develop an effective implementation strategy to address identified priority needs. Each CHNA was conducted in accordance with the guidelines established by the Patient Protection and Affordable Care Act and the Internal Revenue Service. Each CHNA considered multiple data sources, including secondary data (regarding demographics, health status indicators, and measures of health care access), assessments prepared by other organizations in recent years, and primary data derived from a community survey and from interviews with persons who represent the broad interests of each community, including public health officials and experts and hospital-affiliated clinicians, administrators and staff. Interviews were conducted from March through August of 2012. The topics and data assessed in these reports include demographics, economic issues, community issues, health status indicators, health access indicators, health disparities indicators and availability of healthcare facilities and resources. Each CHNA identifies a prioritized list of community health needs. From these reports, each hospital has developed a three-year implementation strategy with measurable objectives to address their unique community benefit service area for calendar (tax) years 2014 through 2016. Priorities were based on community need as determined by quantitative data and community input, as well as on hospital expertise, resources, strengths of existing programming and partnerships, and alignment with national, state, and local health goals. Based on the CHNA recommendations, each hospital has identified as its community benefit priorities those outlined below. Each hospital's 3-year implementation strategy was endorsed by the System's Board of Trustees.Access to Health and Human ServicesInsufficient Collaboration and Coordination Among Organizations Providing Health and Social ServicesInsufficient Case/Care Management for Seniors - (Fairfax County, Fairfax City)Lack of Affordable and Accessible Primary and Specialty Care and InsuranceLack of Access to Preventive CareDental HealthLack of Access to Dental Care and Poor Dental Health StatusMorbidityDiet and Exercise - Related IssuesSocial and Economic FactorsLack of Health Education
Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 12i:	Family size
Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 14g:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification notices posted in their areas and on Inova's website.

Schedule H (Form 990) 2013

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, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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....

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

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) 2013

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 1,172,553	0 742,289	0 312,582	0 1,351,053	0 19,300	0 3,597,777	0 0
(2)RICHARD MAGENHEIMERTREASURER	(i) (ii)	0 640,384	0 309,945	0 131,782	0 284,863	0 15,971	0 1,382,945	0 0
(3)JOHN GAULASST SECRETARY	(i) (ii)	416,592 0	110,210 0	21,710 0	121,447 0	19,650 0	689,609 0	0 0
(4)MARK STAUDERPRESIDENT, COO	(i) (ii)	0 936,467	0 434,844	0 47,120	0 722,412	0 19,203	0 2,160,046	0 0
(5)PATRICK CHRISTIANSENEVP CEO IFH	(i) (ii)	0 571,667	0 177,099	0 313,766	0 54,223	0 14,663	0 1,131,418	0 186,366
(6)JOHN NIEDERHUBERCEO ITMI & EVP IHS	(i) (ii)	0 978,862	0 562,341	0 41,124	0 38,300	0 15,976	0 1,636,603	0 0
(7)KYLANNE SILVERSTONEEVP CEO INOVA MDG CARE SVC	(i) (ii)	0 263,824	0 184,950	0 93,367	0 45,739	0 8,471	0 596,351	0 71,718
(8)MARSHALL RUFFINEVP CTO	(i) (ii)	0 590,267	0 212,209	0 37,524	0 165,745	0 16,002	0 1,021,747	0 0
(9)LORING FLINTEVP CHIEF MEDICAL OFFICER	(i) (ii)	0 576,502	0 249,116	0 147,012	0 117,373	0 23,728	0 1,113,731	0 49,918
(10)GEOFFREY BROWNSVP CIO	(i) (ii)	315,240 0	77,730 0	24,355 0	81,374 0	15,816 0	514,515 0	0 0
(11)MARK RUNYONSVP FINANCE	(i) (ii)	355,428 0	121,089 0	75,388 0	113,086 0	20,164 0	685,155 0	8,909 0
(12)MAUREEN SWICKSVP COO IFH AND CNE IHS	(i) (ii)	345,451 0	111,607 0	98,306 0	72,475 0	19,669 0	647,508 0	42,351 0
(13)ANGELA MANNINOSVP HUMAN RESOURCES	(i) (ii)	372,382 0	87,922 0	21,710 0	126,550 0	20,164 0	628,728 0	0 0
(14)JOHN FITZGERALDCEO IFOH	(i) (ii)	381,924 0	112,129 0	187,158 0	87,978 0	15,403 0	784,592 0	98,909 0
(15)JAMES SANTRYSVP BUS DEV & MANAGED CARE	(i) (ii)	253,418 0	67,287 0	22,803 0	92,288 0	24,389 0	460,185 0	0 0
(16)CHRISTINE CANDIOCEO IAH	(i) (ii)	370,225 0	105,986 0	32,622 0	151,896 0	16,470 0	677,199 0	0 0
(17)JAMES ECKLUNDPHYSICIAN	(i) (ii)	993,092 0	179,600 0	1,642 0	55,800 0	17,306 0	1,247,440 0	0 0
(18)JOHN MOYNIHANPHYSICIAN	(i) (ii)	554,179 0	180,786 0	22,304 0	91,399 0	6,972 0	855,640 0	0 0
(19)GEORGE MAXWELLPHYSICIAN	(i) (ii)	524,564 0	110,145 0	1,210 0	31,050 0	6,976 0	673,945 0	0 0
(20)JOSEPH VOCKLEYSVP TRANSLATIONAL RESEARCH	(i) (ii)	530,330 0	187,040 0	139,472 0	92,729 0	20,164 0	969,735 0	44,020 0
(21)ZOBAIR YOUNOSSIVP RESEARCH	(i) (ii)	496,612 0	107,037 0	92,384 0	93,845 0	29,200 0	819,078 0	28,858 0
(22)JAMES KIMFORMER AVP DEPUTY GENERAL	(i) (ii)	205,823 0	31,760 0	10,190 0	55,895 0	19,647 0	323,315 0	0 0
(23)HPATRICK WALTERSFORMER SVP STRATEGIC PLANN	(i) (ii)	0 408,262	0 123,003	0 75,128	0 59,259	0 12,802	0 678,454	0 0
(24)BARBARA DOYLEFORMER CEO IMVH	(i) (ii)	290,417 0	96,405 0	29,962 0	117,204 0	7,511 0	541,499 0	0 0
(25)RONALD EWALDFORMER VP IHS AA FINANCE	(i) (ii)	241,053 0	47,514 0	28,345 0	90,686 0	15,225 0	422,823 0	0 0
(26)PATRICIA BYRNES SCHMEHLFORMER VP IFH WOMENS CENTE	(i) (ii)	198,930 0	70,006 0	23,008 0	79,308 0	26,024 0	397,276 0	0 0
(27)ROBERT HAGERFORMER AVP SR ADMIN	(i) (ii)	174,912 0	37,094 0	12,651 0	75,622 0	18,160 0	318,439 0	0 0
(28)JOSEPH ROCHEFORMER EXEC DIR EAP	(i) (ii)	154,988 0	20,999 0	887 0	32,898 0	21,109 0	230,881 0	0 0
(29)JOHN AUDETTFORMER CMO IAH	(i) (ii)	290,383 0	63,728 0	24,832 0	77,295 0	12,374 0	468,612 0	0 0
(30)TODD LOCKCUFFFORMER AVP ASSOC ADMIN CFO	(i) (ii)	207,978 0	44,103 0	10,785 0	51,281 0	2,482 0	316,629 0	0 0
(31)HUGO AGUASFORMER AVP HR ASSOC ADMIN	(i) (ii)	190,695 0	29,482 0	13,670 0	51,725 0	10,880 0	296,452 0	0 0
(32)MARY DIXONFORMER AVP CNO	(i) (ii)	178,228 0	32,817 0	13,640 0	51,238 0	1,873 0	277,796 0	0 0
(33)PAMELA MCVEYFORMER DIR NURSING RESOURCES	(i) (ii)	183,319 0	33,598 0	7,955 0	28,814 0	6,676 0	260,362 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

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.

Return Reference

Explanation

Part I, Line 4b

SERP Plan Payments Hugo Aguas $13,427 John Audett $38,995 Geoffrey Brown $63,434 Patricia Byrnes Schmehl $44,078 Christine Candio $96,096 Mary Dixon $15,402 Barbara Doyle $61,404 Ronald Ewald $34,537 John Fitzgerald $57,238 Loring Flint $61,571 John Gaul $88,647 Robert Hager $28,445 James Kim $23,451 Todd Lockcuff $19,289 Angela Mannino $76,250 Pamela McVey $22,068 John Moynihan $59,461 Marshall Ruffin $109,945 Mark Runyon $76,160 James Santry $61,100 Mark Stauder $164,784 Maureen Swick $36,163 Joseph Vockley $58,069 Zobair Younossi $38,045 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 45, 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) 2013

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.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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	117,400,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823FR4	05-12-2005	38,580,000	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
	Industrial Development Authority of Fairfax County Virginia	91-1920228		12-04-2013	79,530,000	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	14,270,000		80,790,000		204,795,000		13,015,000
2 Amount of bonds legally defeased . . . . . . . . . . .	75,040,000				75,040,000
3 Total proceeds of issue . . . . . . . . . . . . . .	123,841,544		38,580,000		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 . . . . . . . . . . . .	77,034,279
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		35,037,327
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .	227,775,674				227,775,674		15,144,771
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) 2013

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 . .	1.100 %		1.100 %		0.800 %		0.800 %
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 . . . . . . .	0.700 %				0.700 %		0.700 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	1.100 %		1.100 %		1.500 %		1.500 %
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 the hedge terminated? . . . . . .	X

Schedule K (Form 990) 2013

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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART I, COLUMN E, ISSUE PRICE	Part 1, row A, column E Issue price per Form 8038 for 2005 119,090,000 Refunded bonds - 2005A to 2013 (1,690,000) Part 1, row A, column E 117,400,000 Part 1, row B, column E Issue price per Form 8038 for 2005C 71,520,000 Refunded bonds - 2005C to 2013 (32,940,000) Part 1, row B, column E 38,580,000
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 Bond J 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A and 2005C issued 5/12/2005
PART II, LINE 3, PROCEEDS	Part 2, line 3. 2005A bonds total proceeds 119,090,000 Refunded bonds - 2005A to 2013 (1,690,000) Interest income & other deposit 6,441,544 Total 123,841,544 Part 2, line 3. 2005C bonds Total proceeds 71,520,000 Refunded bonds - 2005C to 2013 (32,940,000) Total 38,580,000 Part 2, line 3. 2012AB bonds Total proceeds 382,960,937 Interest income 1,904,972 Total 384,865,909 Part 2, line 3. 2012C bonds Total proceeds 145,000,000 Interest income 182,098 Total 145,182,098
PART IV, LINE 2C, DATE OF REBATE COMPUTATION	Part 4, line 2C. 2005A 5/12/2010 Part 4, line 2C. 2005C 8/15/2006

Schedule K (Form 990) 2013

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.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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	117,400,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823FR4	05-12-2005	38,580,000	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
	Industrial Development Authority of Fairfax County Virginia	91-1920228		12-04-2013	79,530,000	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	14,270,000		80,790,000		204,795,000		13,015,000
2 Amount of bonds legally defeased . . . . . . . . . . .	75,040,000				75,040,000
3 Total proceeds of issue . . . . . . . . . . . . . .	123,841,544		38,580,000		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 . . . . . . . . . . . .	77,034,279
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		35,037,327
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .	227,775,674				227,775,674		15,144,771
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) 2013

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 . .	1.100 %		1.100 %		0.800 %		0.800 %
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 . . . . . . .	0.700 %				0.700 %		0.700 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	1.100 %		1.100 %		1.500 %		1.500 %
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 the hedge terminated? . . . . . .	X

Schedule K (Form 990) 2013

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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART I, COLUMN E, ISSUE PRICE	Part 1, row A, column E Issue price per Form 8038 for 2005 119,090,000 Refunded bonds - 2005A to 2013 (1,690,000) Part 1, row A, column E 117,400,000 Part 1, row B, column E Issue price per Form 8038 for 2005C 71,520,000 Refunded bonds - 2005C to 2013 (32,940,000) Part 1, row B, column E 38,580,000
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 Bond J 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A and 2005C issued 5/12/2005
PART II, LINE 3, PROCEEDS	Part 2, line 3. 2005A bonds total proceeds 119,090,000 Refunded bonds - 2005A to 2013 (1,690,000) Interest income & other deposit 6,441,544 Total 123,841,544 Part 2, line 3. 2005C bonds Total proceeds 71,520,000 Refunded bonds - 2005C to 2013 (32,940,000) Total 38,580,000 Part 2, line 3. 2012AB bonds Total proceeds 382,960,937 Interest income 1,904,972 Total 384,865,909 Part 2, line 3. 2012C bonds Total proceeds 145,000,000 Interest income 182,098 Total 145,182,098
PART IV, LINE 2C, DATE OF REBATE COMPUTATION	Part 4, line 2C. 2005A 5/12/2010 Part 4, line 2C. 2005C 8/15/2006

Schedule K (Form 990) 2013

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.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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	117,400,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823FR4	05-12-2005	38,580,000	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
	Industrial Development Authority of Fairfax County Virginia	91-1920228		12-04-2013	79,530,000	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	14,270,000		80,790,000		204,795,000		13,015,000
2 Amount of bonds legally defeased . . . . . . . . . . .	75,040,000				75,040,000
3 Total proceeds of issue . . . . . . . . . . . . . .	123,841,544		38,580,000		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 . . . . . . . . . . . .	77,034,279
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		35,037,327
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .	227,775,674				227,775,674		15,144,771
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) 2013

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 . .	1.100 %		1.100 %		0.800 %		0.800 %
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 . . . . . . .	0.700 %				0.700 %		0.700 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	1.100 %		1.100 %		1.500 %		1.500 %
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 the hedge terminated? . . . . . .	X

Schedule K (Form 990) 2013

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
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. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART I, COLUMN E, ISSUE PRICE	Part 1, row A, column E Issue price per Form 8038 for 2005 119,090,000 Refunded bonds - 2005A to 2013 (1,690,000) Part 1, row A, column E 117,400,000 Part 1, row B, column E Issue price per Form 8038 for 2005C 71,520,000 Refunded bonds - 2005C to 2013 (32,940,000) Part 1, row B, column E 38,580,000
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 Bond J 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A and 2005C issued 5/12/2005
PART II, LINE 3, PROCEEDS	Part 2, line 3. 2005A bonds total proceeds 119,090,000 Refunded bonds - 2005A to 2013 (1,690,000) Interest income & other deposit 6,441,544 Total 123,841,544 Part 2, line 3. 2005C bonds Total proceeds 71,520,000 Refunded bonds - 2005C to 2013 (32,940,000) Total 38,580,000 Part 2, line 3. 2012AB bonds Total proceeds 382,960,937 Interest income 1,904,972 Total 384,865,909 Part 2, line 3. 2012C bonds Total proceeds 145,000,000 Interest income 182,098 Total 145,182,098
PART IV, LINE 2C, DATE OF REBATE COMPUTATION	Part 4, line 2C. 2005A 5/12/2010 Part 4, line 2C. 2005C 8/15/2006

Schedule K (Form 990) 2013

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.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

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) 2013

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	102,000	Medical Staff President expenses. Services provided at arm's length and customary rates.		No
(2) Hugo Davalos MD	Trustee	102,000	Fees for physician services. Services provided at arm's length and customary rates.		No
(3) Hugo Davalos MD	Trustee	41,143	Family member works as a physical therapist for Inova. Services provided at arm's length and customary rates.		No
(4) Sarota Gopal MD	Trustee	187,271	Fees for physician services. Services provided at arm's length and customary rates.		No
(5) Mary Schmidt	Trustee	541,426	Fees Paid to Infectious Disease Physicians. Services provided at arm's length and customary rates.		No
(6) Knox Singleton	Officer	21,329	Leah Singleton, daughter of Knox Singleton, was employed at IFOH. Services provided at arm's length and customary rates.		No
(7) Knox Singleton	Trustee	22,051	Leslie Singleton, daughter of Knox Singleton, was employed by Inova Informatics. Services provided at arm's length and customary rates.		No
(8) George Tawil MD	Trustee	140,567	Medical Staff President expenses. Services provided at arm's length and customary rates.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2013

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.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Return Reference	Explanation
PART III, LINE 4A	Long Term Care Services Assisted Living Facilities IHCS's assisted living facilities provide care and services for adults who are no longer able to live alone. They provide accommodations for 402 units with on-site behavioral day treatment programs. A nursing staff is on-site 24 hours a day. IHCS maintains four assisted living facilities in Fairfax, Reston, Fair Oaks, and Mt. Vernon, Virginia. In addition, IHCS owns a 60% interest in an assisted living joint venture in McLean, Virginia. IHCS operates five assisted living facilities across Fairfax County with total assisted living days in 2013 of 156,487. InovaCares for Seniors (PACE) InovaCares for Seniors, a Program of All-inclusive Care for the Elderly (PACE) is the first program of its kind in Northern Virginia. PACE is an evidenced-based model of care that delivers high quality, cost effective care that includes medical, dental, vision and social activities. The program is built on the foundation that seniors with complex health care needs should be able to live in the comfort of their home environment for as long as possible. In 2013, PACE had an enrollment of 51 participants and had $2.8 million in unreimbursed expenses. Physical Therapy Services Inova Physical Therapy Centers IHCS promotes and conducts specific research and educational activities related to the care of the sick and injured. In 2013, outpatient visits totaled 87,379 with services offered at ten outpatient centers located throughout Northern Virginia. Areas of specialty include: Physical Therapy (PT) - Promotes healing in people recovering from illness, injury, orthopedic, and sports or neurologic conditions such as stroke. Physical therapy is also key to preventing future injury through strength and flexibility development and patient education. Occupational Therapy (OT) - Provides training in motor skills and teaches compensatory strategies that increase the ability to be as independent as possible. Programs are designed around activities of daily living, assistive device training, body mechanics, neuromuscular retraining and sensory integration. Speech Language Therapy (SLT) - Provides communication and swallowing assessment and treatment for patients of all ages. Services include speech and language treatment, swallowing (dysphasia) evaluation/treatment and cognitive/language rehabilitation. Urgent Care Centers Inova Urgent Care Centers IHCS mission includes serving the community as a not-for-profit organization through the provision of urgent medical care. In 2013 outpatient visits totaled 109,575 with services being provided seven days a week with no appointment necessary at four locations, and Monday through Friday at our seven locations listed below: Inova Urgent Care Center of Vienna Inova Urgent Care Center of Centreville Inova Urgent Care Center of Dulles South Inova Urgent Care Center of Purcellville Inova Urgent Care Center of Woodbridge Inova Urgent Care Center of Ballston Inova Occupational Health Center at Inova Alexandria Hospital The centers provide services for medical conditions that require prompt attention but do not pose an immediate or serious threat to life. Treatment is provided for such ailments as sore throats, ear infections or minor cuts and bruises. Services offered also include treatment for work-related injuries and worker's compensation cases, physical exams including camp, sport, school, pre-employment, immigration medical examinations and travel medicine. Laboratory tests, X-rays, audiometry & vision screening, alcohol & drug testing and flu shots are provided on-site. The centers are staffed by board-certified/board-eligible physicians licensed in Virginia. A physician, nurse, and radiology technologist are on duty at each center during hours of operation. Employee Assistance Programs Inova Employee Assistance (EAP) is part of IHCS providing counseling, work life services and resources to help improve the overall health and well being of the employees of Inova Health System and the employer communities served by Inova and its affiliates. EAP was organized to promote health through referral to a wide range of behavioral health, financial, legal and other supportive services. In 2013 EAP supported 14,030 Inova employees and approximately 125,000 client company employees with the following services: Confidential Counseling: Short-term counseling services can help find solutions to problems ranging from family or workplace frustrations to alcohol or drug abuse. Financial & Legal Services: Employees and their household members can speak with a financial & legal professional at no charge regarding such issues as retirement planning, debt consolidation, funding a child's college education, mortgage loan options and a variety of other financial concerns. Work Life Referral Services: Work Life consultants help assess needs, pinpoint appropriate resources, and suggest guidelines for evaluating those resources. Consultants can locate resources in a variety of areas, including childcare, adoption, eldercare and convenience services. Behavioral Services IHCS's Behavioral Services are committed to providing intensive, personalized care to help people cope with, and overcome, addictions and emotional problems that prevent them from fully functioning in the community. Comprehensive Addiction Treatment Services (CATS) offers help to adults suffering from alcoholism or other chemical dependencies. CATS provide both inpatient and outpatient treatment services which include: intervention, medically supervised detoxification, rehabilitation and follow-up. In 2013, CATS had 4,724 patient days in its inpatient program and 11,549 patient sessions in its outpatient program. Now under Fairfax Hospital The Kellar Center is a comprehensive, behavioral health facility and special education school for children, adolescents and their families. The Kellar Center provides a full continuum of outpatient services for substance abuse, behavioral and emotional issues. Services include assessment, psychological testing, educational testing, medication management, individual, family and group therapy to patients regardless of their ability to pay. Additionally, the Center offers a Partial Hospitalization Program and Intensive Outpatient programs to adolescents who are not being successful in school and their community. The Kellar School of Inova Kellar Center provides special education services to children and adolescents who have not been successful in the public school setting and may be at risk for being removed from the community and placed in more restrictive settings. During 2013, the Kellar Center provided 77,830 hours of programming, treatment and education to children, adolescents and families in the community. The total unreimbursed cost for 2013 was over $1 million dollars.
PART III, LINE 4A	Charity Care All Inova facilities, including the IHCS facilities with the exception of the assisted living facilities, provide charity care in accordance with Inova policies which ensures 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 300% of the Federal Poverty Guideline (FPG). In general, free medically necessary care is provided for patients with incomes falling below 200% of the FPG; and discounted care is provided for services rendered to patients with incomes falling between 200% and 300% of the FPG. Inova Health System utilizes a multifaceted approach to educate and inform patients and the public about Inova's 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 meet with 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 2013 IHCS's unreimbursed cost of charity care, including free and discounted services, was $94.6 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 2013, IHCS provided care to Medicaid patients at an unreimbursed cost of $64.3 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 in providing certain free services to those residents the County identifies as most in need.
PART III, LINE 4D	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. HealthSource HealthSource serves the community as the premier provider of health education and prevention services. Participants engage in prevention activities, receive quality health education, participate in wellness programs and benefit from care management. As a part of the vision, Healthsource targets the community served by holding programs throughout the region in environments that are familiar to and convenient for the clients. Seminars, classes, health fairs, screenings and immunizations are offered at Inova Health System hospitals, community locations and worksites throughout northern Virginia and the Greater Metropolitan Washington Area. During 2013, HealthSource served 273,037 participants at 5,321 events. Program highlights include: Influenza Vaccination The Inova HealthSource Fight the Flu Program provided 44,825 flu shots at 805 immunization clinics for Inova at community and employer sites as well as for Inova employees and physicians. The Fight the Flu Program provided over 11,651 flu shots for Fairfax County Public Schools at 199 clinics and 2,471 shots at 18 clinics for Fairfax County Government employees. Additional clinics were held at 269 worksites vaccinating 17,489 employees. With Inova foundation funds, free flu shots were provided for 194 low income children and parents at a community fair, as well as, children and teachers at Higher Horizons Head Start Program. The Workplace and Community Programs The Workplace and Community Program served 27,113 participants at 960 events that included biometric screenings and health education presentations. The Care Management Programs provided health coaching in weight management, tobacco cessation, back pain management, fitness, pregnancy and breastfeeding. Team Up - HealthSource offers a healthy, fun, team-oriented challenge program for employers. Team Up programs are multi-week competitions that focus on healthy eating, weight loss or activity, with over 3,000 participants completing one of the competitions in 2013. HealthSource provides the Program Manager for The Prince William County Wellness Program. This program delivers a full range of wellness services and programs for county employees. Programs include new employee-only wellness website, Know Your Numbers, Walking Trail, Better Eating series, Health Fairs and health/prevention awareness campaigns. The Health Education Program HealthSource provided 749 life support classes for 9,615 students at worksites and in the community. Over 2,900 students received advanced life support training Over 40,000 community members were served through 1,274 Childbirth Preparation classes. Community members enjoyed about 570 fitness classes at locations throughout the community. Almost all of the classes were multi-session, usually 8-10 weeks. Over 17,750 took part in fitness classes during 2013.
PART V, LINE 2A, NUMBER OF EMPLOYEES	The organization falls under a master pay agent and does not file any payroll returns under its own EIN, however all required returns have been filed on time.
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 are 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.
Form 990, Part XI, line 9:	PARTNERSHIP INCOME -14,933,967. CHANGE IN INVESTMENTS BALANCE 11,091,424. PRIOR PERIOD FUND BALANCE -6,249,923. EQUITY IN SUBS 10,755,188. DONATED FUNDS 17,091. CAPITAL REIMBURSEMENT 318,207. PENSION GAIN 26,244,030.
PART XII, LINE 2B AND 2C, AUDITED FINANCIAL STATMENTS	The company is part of the Inova Health System, a not-for-profit integrated health care delivery system serving Northern Virginia and surrounding areas. The company's financial statements are consolidated in the Inova Health System consolidated financial statements. Inova Health System is audited on an annual basis by a large "Big Four" independent public accounting firm. In addition, they are responsible for the issuance of a management letter encompassing each member of the consolidated group. The Finance and Audit Committee of the Board of Trustees of Inova Health System is responsible for the oversight of the audit, including the hiring of the audit firm, review and approval of audited financial statements and communication with the external auditors at least twice a year without the presence of internal management.
PART XII, LINE 3A, A-133 AUDITT	The company is a subsidiary of the Inova Health System (IHS), a not-for-profit integrated health care delivery system serving Northern Virginia and surrounding areas. IHS receives various federal grants. These grants and awards are audited as part of the consolidated Inova Health System A-133 compliance audit. The Inova Health System's federal grants are audited on an annual basis by a large "Big Four" independent public accounting firm and a "Report on Compliance with Requirements Applicable to Each Major Program and on Internal Controls over Compliance in Accordance with OMB Circular A-133" is issued on a consolidated basis. The Finance and Audit Committee of the Board of Trustees of Inova Health System is responsible for the oversight of the A-133 audit, including the hiring of the audit firm, review and approval of audited financial statements and communications with the external auditors at least twice a year without the presence of internal management.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Part I

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

(a) Name, address, and EIN (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	25,632,533	90,764,566	INOVA HEALTH CARE SERVICES
(2) SPRINGFIELD HEALTHPLEX CONDOMINIUM DEVELOPMENT LLC 8110 GATEHOUSE ROAD FALLS CHURCH,VA22042 27-4533736	REAL ESTATE	VA	2,938,619	8,359,629	INOVA HEALTH CARE SERVICES
(3) FC GATEWAY ASSOCIATES LLC 8110 GATEHOUSE ROAD FALLS CHURCH,VA22042 46-1280044	REAL ESTATE	VA	564,936	53,864	INOVA HEALTH CARE SERVICES

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled 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) PEDIATRIC SPECIALISTS OF VIRGINIA LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 46-1851763	MEDICAL SERVICES FOR CHILDREN	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) INTOTAL HEALTH LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 20-1581237	HMO	VA	501(C)(3)	9	N/A		No
(6) ALEXANDRIA HOSPITAL FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 51-0241913	FUNDRAISING	VA	501(C)(3)	11, I	N/A		No
(7) LOUDOUN HOSPITAL CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-0525802	HOSPITAL	VA	501(C)(3)	3	N/A		No
(8) 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
(9) LOUDOUN HEALTH SERVICES 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1555489	SURGERY CENTER	VA	501(C)(3)	9	N/A		No
(10) LOUDOUN HEALTHCARE FOUNDATION 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-2011240	FUNDRAISING	VA	501(C)(3)	11, I	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI 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 V-UBI 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	2,210,807	30,006		No		Yes		86.360 %
(2) INOVA AMBULATORY SURGERY CENTER AT LORTON LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 46-1955980	SURGERY CENTER	VA	N/A	RELATED	-158,001	4,518,574		No		Yes		67.390 %
(3) NORTHERN VIRGINIA SURGERY CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 20-3502477	SURGERY CENTER	VA	N/A	RELATED	3,442,100	2,971,025		No		Yes		60.900 %
(4) FRANCONIA-SPRINGFIELD SURGERY CENTER LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-2018390	SURGERY CENTER	VA	N/A	RELATED	2,925,088	1,717,495		No		Yes		60.000 %
(5) POTOMAC INOVA HEALTHCARE ALLIANCE LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1802733	RADIATION ONCOLOGY	VA	N/A	RELATED	-983,814	2,896,704		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	6,135,458	3,160,464		No		Yes		65.000 %
(7) SUNRISE INOVA MCLEAN ASSISTED LIVING LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-2022822	ASSISTED LIVING	VA	N/A	RELATED	1,133,519	622,674		No		Yes		60.000 %

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(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) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) INOVA HEALTH SYSTEM FOUNDATION	C	5,418,378	GENERAL LEDGER
(2) INOVA HEALTH SYSTEM FOUNDATION - CASH SWEEP ACCOUNT	R	57,942,561	INTERCOMPANY BALANCE
(3) INOVA HEALTH SYSTEM FOUNDATION	M	6,030,491	GENERAL LEDGER

Schedule R (Form 990) 2013

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

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	24
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	14,991
6	Total number of volunteers (estimate if necessary) .............	6	2,238
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,304,727
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) .........	12,501,185	16,106,059
9	Program service revenue (Part VIII, line 2g) .........	1,612,217,483	2,033,256,557
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	930,902	19,360,072
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	41,456,621	65,851,193
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	1,667,106,191	2,134,573,881
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)	822,612,091	980,234,933
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)....	713,457,326	1,008,825,168
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,536,069,417	1,989,060,101
19	Revenue less expenses. Subtract line 18 from line 12.......	131,036,774	145,513,780
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,659,103,875	3,772,297,581
21	Total liabilities (Part X, line 26).............	1,970,131,490	1,896,239,534
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,688,972,385	1,876,058,047

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,621,831,865 including grants of $ ) (Revenue $ 2,092,036,168 )
	PROGRAM SERVICESAcute care services are provided on three campuses in Fairfax County and one campus in the City of Alexandria in Virginia. Services provided include emergency and trauma facilities, inpatient and outpatient services, and a variety of ancillary and specialized services. During 2013 IHCS admissions and observations cases totaled 111,298, outpatient visits totaled 320,726, emergency visits totaled 311,382 (34,689 of the total ER visits were at the Healthplex) and deliveries totaled 15,939. 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. Inova Alexandria Hospital (IAH) is a 318-licensed bed general acute care hospital, which opened on January 23, 1873. IAH provides a spectrum of diagnostic services, including full-body CT scanning, MRI, and a cardiac catheterization laboratory; a variety of inpatient medical, surgical, and orthopedic services; comprehensive outpatient services, including outpatient surgery, physical medicine, and rehabilitation; and a 24-hour emergency department as well as the Springfield Healthplex, a free standing emergency facility. In addition, specialized obstetric and pediatric services are provided by the hospital's Maternal and Infant Health Center and a children's unit. Specific acute care programs include:Cardiovascular Care: The Inova Heart and Vascular Institute at IFH 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. The Inova Heart and Vascular Institute at IAH, opened in October 2004, houses ten inpatient beds, two cardiovascular operating rooms, one cardiac catheterization lab, one electrophysiology lab, three interventional radiology labs, one minor procedure room, outpatient clinics, cardiac rehabilitation and educational facilities. Women's Health: The Inova Women's Health program is the largest such program in the Mid-Atlantic region, providing services for over 15,000 births each year. Obstetric services provided include delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, and regular and specialty nursery care. IFH provides obstetric services to low-income patients through the InovaCares Clinic for Women with 33,970 visits in 2013. In addition, IAH works with the Casey Clinic, a State health clinic jointly funded by the State of Virginia, City of Alexandria and the Alexandria Health Department, providing obstetric services to low-income patients.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, 2013, total NICU bassinets numbered 88. 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 Hospital 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 2013 provided 24,415 visits at an unreimbursed cost of $1.2 million.Cancer Care: IAH, a Community Hospital Comprehensive Cancer Program designee, features a full service cancer center including medical and surgical oncology and radiation therapy. IAH cancer services provide a full range of imaging techniques to detect and stage cancer, as well as plan treatment. These include general radiological studies, magnetic resonance imaging (MRI), computed tomography (CT) and Positron Emission Tomography (PET). IAH also features the Varian Trilogy linear accelerator technology, SIR-Spheres technology and offers prostate seed implants. 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 2013, ACCESS of Fairfax provided 16,838 emergency room visits and ACCESS of Reston reported 12,227 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.

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 2013 was $6.6 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 2013, approximately $24 million was provided in operational and capital support for ITMI.Inova Fairfax Hospital's medical education programs offer a variety of clinical training objectives for medical residents and students, nursing and pharmacy. Inova Fairfax Hospital'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 2013 was $24 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 2013, Inova provided over 280,000 people with health education, prevention and wellness programs, health fairs and screenings, and clinically related services resulting in over 182,000, visits for direct health care services at an unreimbursed cost of approximately $24 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 2013, the InovaCares Clinic for Women had 33,970 visits.The InovaCares 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 2013, the InovaCares Clinics for Children provided 24,415 visits and is a recognized NCQA level 3 Patient-Centered Medical Home.Inova Alexandria Hospital OB ClinicIAH donates space on the campus to the Casey Clinic, a community health center funded by the State of Virginia, Alexandria Health Department and the City Of Alexandria to provide primary healthcare services to low-income and uninsured children and adults that are residents of the City of Alexandria. IAH funds the clinic physicians who provide OB patient prenatal examinations and delivery at Inova Alexandria Hospital. 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 1,672 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 six satellite clinics (Dumfries, Manassas, Mt. Vernon, Arlington, Leesburg, and Herndon), hospitals, homes and other community locations throughout the region. Major accomplishments of IJP for 2013 include:Now serves over 1,600 patients providing 30,058 visits.Maintaining a 0% HIV transmission rate from pregnant mothers to their newborn babies.Conducted 137 education programs reaching 2,621 participants, and provided 159 clinical consultations.Successfully implemented seven Virginia Department of Health prevention contracts to develop, implement, and evaluate programs to support, motivate, and educate the public and people living with HIV. Programs are targeted to incarcerated men and women, MSM, youth, and the general population. HIV testing, support groups, and patient navigation services are also provided through the prevention programs.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 2013 Life with Cancer offered 1,279 educational classes, groups, and wellness programs, with more than 12,378 visits. In addition, 10,165 one-on one contacts for counseling & consultations were provided. A total of 33,595 service hours for over 4,225 people in the Northern Virginia area were provided. More than 79 health fairs, presentations, and conferences in which LWC staff and volunteers participated and reached another 6,000 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. IFH provides a part-time ophthalmologist. The remaining physicians volunteer their services or are paid nominal fees by the State of Virginia or sponsoring community organizations. In 2013, the clinic had 3,189 visits.Elderlink A cooperative program sponsored with the Fairfax County Area Agency on the Aging and the Alzheimer's Association of Northern Virginia. It provides care management for older adults and their families through assessment and counseling, care planning, and coordination of care giving services. Elderlink had 410 case management cases and a total of 2,669 home visits for all programs during 2013.Inova Diabetes CenterThe Inova Diabetes Center provides outpatient diabetes self-management education to over 4,500 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 Fairfax, Leesburg, Inova Alexandria Hospital, Inova Mount Vernon Hospital and on the grounds of Inova Fair Oaks Hospital and is the recipient of the American Diabetes Association's Recognition for Diabetes Education Programs. In 2013, the Inova Diabetes Centers provided a total of 6,279 patient visits at the five locations in northern Virginia.IHCS and its subsidiaries provide many other non-billed and below margin patient services. Case management services are provided to the indigent and assistance is provided with financial paperwork. Inova Mount Vernon participates in the Health Information and Claims Assistance Program by providing assistance with health insurance paperwork problems. In addition, home IV therapy services are provided for the indigent. Transportation is provided for indigent patients to and from IHCS facilities and programs. Inova Fairfax provides forensic and medical care to abused adults and children as well as blood alcohol testing for area police departments while coordinating the disposition of deaths with various community organizations. Other services include pastoral care, 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.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,621,831,865

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	11,209,226	10,333,989	5,283,270

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		5,418,378
e	Government grants (contributions)1e		10,687,681

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.......			16,106,059
			Business Code
2a	Net Patient Service Revenue		900099	2,018,322,590	2,018,322,590
b	Inova Reston MRI LLC		621400	6,135,458	6,135,458
c	Northern Virginia Surgery Center		621400	3,442,100	3,442,100
d	Franconia-Springfield Surgery Cen		621400	2,925,088	2,925,088
e	Technical Dynamic, LLC		811000	2,210,807	2,210,807
f	All other program service revenue .			220,514	220,514
g	Total. Add lines 2a–2f........			2,033,256,557
3	Investment income (including dividends, interest, and other similar amounts).......			5,935,692			5,935,692
4	Income from investment of tax-exempt bond proceeds..			3,676,982			3,676,982
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	8,855,993
b	Less: rental expenses	7,000,435
c	Rental income or (loss)	1,855,558
d	Net rental income or (loss).......			1,855,558			1,855,558
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	15,141,129
b	Less: cost or other basis and sales expenses	0	5,393,731
c	Gain or (loss)	15,141,129	-5,393,731
d	Net gain or (loss)..........			9,747,398			9,747,398
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	7,997,566	7,997,566
b	FOOD SERVICES		900099	440,729	440,729
c	LAUNDRY SERVICES		812300	209,169		209,169
d	All other revenue ....			55,348,171	50,252,613	5,095,558
e	Total. Add lines 11a–11d ......			63,995,635
12	Total revenue. See Instructions......			2,134,573,881	2,091,947,465	5,304,727	21,215,630


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............				1
2	Savings and temporary cash investments .........			190,876,318	2	203,500,036
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			228,953,166	4	207,650,328
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 .............			11,944,973	7	9,535,940
8	Inventories for sale or use ..............			15,437,830	8	16,871,476
9	Prepaid expenses and deferred charges ..........			50,979,991	9	40,583,119
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,616,519,148
b	Less: accumulated depreciation .....	10b	1,572,154,569	899,369,847	10c	1,044,364,579
11	Investments—publicly traded securities ..........			482,866,538	11	335,679,791
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 ...........			1,778,675,212	15	1,914,112,312
16	Total assets. Add lines 1 through 15 (must equal line 34)......			3,659,103,875	16	3,772,297,581
17	Accounts payable and accrued expenses .........			276,861,260	17	242,360,478
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			1,397,299,496	20	1,367,676,139
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....................			295,970,734	25	286,202,917
26	Total liabilities. Add lines 17 through 25.........			1,970,131,490	26	1,896,239,534
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			1,688,950,661	27	1,876,036,323
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 ...........			1,688,972,385	33	1,876,058,047
34	Total liabilities and net assets/fund balances ........			3,659,103,875	34	3,772,297,581