TY 2015 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	3,180,656	558,953
(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) PRADEEP NAYAK MD...................................................................... TRUSTEE	2.00 .................	X		0	0
(6) STEPHEN KELLER MD...................................................................... TRUSTEE	2.00 .................	X		0	0
(7) HUGO DAVALOS MD...................................................................... TRUSTEE	2.00 .................	X		0	0
(8) PATRICK RHODES...................................................................... TRUSTEE	2.00 ................. 4.00	X		0	0
(9) MARK STAVISH...................................................................... TRUSTEE	2.00 ................. 4.00	X		0	0
(10) ARSHED CHOUDHRY MD...................................................................... TRUSTEE	3.00 ................. 2.00	X		0	0
(11) ROBERT LAFSKY MD...................................................................... TRUSTEE	2.00 ................. 3.00	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) V BALA SUBRAMANIAN MD...................................................................... 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) MARK MOORE........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(19) PJ MADDOX PHD........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(20) ROBERT TSIEN........................................................................ TRUSTEE	2.00 .......................	X					0	0	0
(21) RICHARD MAGENHEIMER........................................................................ TREASURER	35.00 .......................15.00		X				0	1,886,593	495,017
(22) JOHN GAUL........................................................................ ASST SECRETARY	35.00 .......................15.00		X				601,162	0	121,869
(23) MARK STAUDER........................................................................ PRESIDENT, COO	38.00 .......................12.00		X				0	2,723,958	821,565
(24) PATRICK CHRISTIANSEN........................................................................ EVP CEO IFMC	48.00 .......................2.00		X				0	931,698	160,822
(25) JOHN NIEDERHUBER........................................................................ CEO ITMI & EVP IHS	40.00 .......................10.00		X				0	1,829,600	46,515
(26) MARSHALL RUFFIN........................................................................ EVP CTO	40.00 .......................10.00		X				0	927,815	163,954
(27) LORING FLINT........................................................................ EVP CHIEF MEDICAL OFFICER	40.00 .......................10.00		X				0	941,132	171,016
(28) SALLY PAULL........................................................................ EVP CHIEF HR OFFICER	40.00 .......................10.00		X				0	489,114	78,544
(29) SUSAN CARROLL........................................................................ CEO IAH	40.00 .......................			X			610,087	0	117,853
(30) JOHN FITZGERALD........................................................................ CEO IFOH	40.00 .......................			X			567,507	0	112,304
(31) JOHN HAMILTON........................................................................ PHYSICIAN	40.00 .......................				X		1,222,849	0	73,037
(32) JEFF SCHULMAN........................................................................ PHYSICIAN	40.00 .......................				X		900,810	0	70,499
(33) CARY SCHWARTZBACH........................................................................ PHYSICIAN	40.00 .......................				X		904,212	0	22,145
(34) JAMES ECKLUND........................................................................ PHYSICIAN	40.00 .......................				X		1,213,696	0	77,980
(35) ROBERT HYMES........................................................................ PHYSICIAN	40.00 .......................				X		897,878	0	71,750
(36) HPATRICK WALTERS........................................................................ FORMER SVP STRATEGIC PLANN	5.00 .......................45.00					X	0	686,022	68,669
(37) MARK RUNYON........................................................................ FORMER SVP FINANCE	40.00 .......................					X	189,670	0	21,159
(38) MAUREEN SWICK........................................................................ FORMER SVP COO IFH AND CNE IHS	40.00 .......................					X	458,600	0	126,886
(39) JAMES SANTRY........................................................................ FORMER SVP BUS DEV & MANAGED CARE	45.00 .......................5.00					X	0	643,227	84,294
(40) CHRISTINE CANDIO........................................................................ FORMER CEO IAH	35.00 .......................5.00					X	212,570	0	13,480
(41) JOSEPH ROCHE........................................................................ FORMER EXEC DIR EAP	40.00 .......................					X	182,690	0	53,600
(42) TODD LOCKCUFF........................................................................ FORMER AVP ASSOC ADMIN CFO	40.00 .......................					X	276,691	0	39,551
(43) HUGO AGUAS........................................................................ FORMER AVP HR ASSOC ADMIN	40.00 .......................					X	247,807	0	53,556
(44) MARY DIXON........................................................................ FORMER AVP CNO	40.00 .......................					X	253,036	0	30,609
(45) PAMELA MCVEY........................................................................ FORMER DIR NURSING RESOURC	40.00 .......................					X	138,365	0	6,103

(A) Name and business address	(B) Description of services	(C) Compensation
CARDIAC VASCULAR & THORACIC 2921 TELESTAR CT FALLS CHURCH,VA22042	MEDICAL	14,746,991
FAIRFAX RADIOLOGICAL CONSULTANTS 2722 MERRILEE DRIVE SUITE 230 FAIRFAX,VA22031	RADIOLOGY	7,335,989
THE CARDIOVACSULAR GROUP 130 PARK STREET SE SUITE 100 VIENNA,VA22180	MEDICAL	5,055,576
VOICE MEDIA LLC 108 B WEST JEFFERSON ST FALLS CHURCH,VA22046	MEDIA CONSULTING/ADVERTISING	4,671,900
GEORGE WASHINGTON UNIVERSITY 2300 I ST NW ROSS 707 WASHINGTON,DC22037	RESIDENCY PROGRAM	3,418,800
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 344

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

OMB No. 1545-0047

2015

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 (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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

2015

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) 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	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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization INOVA HEALTH CARE SERVICES		Employer identification number 54-0620889

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization INOVA HEALTH CARE SERVICES			Employer identification number 54-0620889
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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) ...........................................	249,843
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................	249,843
d	Other exempt purpose expenditures .........................................................................................	1,863,502,517
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................	1,863,752,360
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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	253,864	229,898	256,133	249,843	989,738

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

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

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 on 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, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2015

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

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the 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 on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	113,780,687		113,780,687
b	Buildings	976,207,020	480,666,677	495,540,343
c	Leasehold improvements	528,616,650	366,228,003	162,388,647
d	Equipment ...	1,286,187,358	852,391,135	433,796,223
e	Other ...	157,233,979	134,004,753	23,229,226
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				1,228,735,126

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) UNAMORTIZED BOND COSTS				445,155
(2) OTHER ASSETS				20,566,129
(3) DUE FROM SUBSIDIARIES AND AFFILIATES				1,877,879,696
(4) PENSION ASSET				52,939,354
(5) CONSTRUCTION IN PROGRESS				512,638,620
(6) INTANGIBLES				4,564,895
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				2,469,033,849

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
THIRD PARTY SETTLEMENTS	39,609,208
NOTES PAYABLE AND OTHER	113,863,428
SELF INSURED LIABILITY	28,590,356
DEFERRED COSTS	210,816,300
POST RETIREMENT/EMPLOYMENT BENEFITS	8,523,983
INTEREST RATE SWAP LIABILITY	22,767,232
INVESTMENT IN SUBSIDIARIES AND JOINT VENTURES	-38,679,034
INTEREST PAYABLE	7,584,162
WORKERS COMPENSATION PAYABLE	15,111,995
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	408,187,630
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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, LHC, and INTotal Health 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) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

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 40000.0000000000 %

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 criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	109,070,517		109,070,517	5.050 %
b	Medicaid (from Worksheet 3, column a) . . . . .	178,192,620	115,063,474	63,129,146	2.920 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	287,263,137	115,063,474	172,199,663	7.970 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	7,777,558	187,000	7,590,558	0.350 %
f	Health professions education (from Worksheet 5) . . .	14,269,948	656,911	13,613,037	0.630 %
g	Subsidized health services (from Worksheet 6) . . . .	11,544,521	3,538,763	8,005,758	0.370 %
h	Research (from Worksheet 7) .	14,631,029	5,320,088	9,310,941	0.430 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1,732,572		1,732,572	0.080 %
j	Total. Other Benefits . .	49,955,628	9,702,762	40,252,866	1.860 %
k	Total. Add lines 7d and 7j .	337,218,765	124,766,236	212,452,529	9.830 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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. ......

32,724,972

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).....

388,585,071

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

486,867,270

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

-98,282,199

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	60.910 %	39.090 %
33 Inova Ambulatory Surgery Center at Lorton LLC	Surgical Services	65.860 %	34.140 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)								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 JOSPEH 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) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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 Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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): www.inova.org/inova-in-the-community/index.jsp

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): www.inova.org/inova-in-the-community/index.jsp

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 400.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

www.Inova.org

The FAP application form was widely available on a website (list url):

www.Inova.org

A plain language summary of the FAP was widely available on a website (list url):
www.Inova.org

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

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 Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
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 2: INOVA ALEXANDRIA HOSPITAL, - Facility 3: INOVA FAIR OAKS HOSPITAL, - Facility 4: INOVA MOUNT VERNON HOSPITAL
Group A-Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 5:	For 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.
Group A-Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 6a:	Inova Fairfax HospitalInova Mt. Vernon HospitalInova Loudoun HospitalInova Alexandria Hospital
Group A-Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 11:	In the CHNA report conducted in 2013, Inova Fairfax Hospital identified the following significant community health needs: access to health and human services, chronic disease, dental health, health behaviors, maternal and child health, morbidity, the physical environment and social and economic factors.As described in the Implementation Strategy adopted by the Board, Inova Fairfax Hospital indicated that it would address many but not all of the identified needs. The hospital indicated it would not address certain elements that are beyond the scope of the medical campus or are outside of the hospital's expertise including lack of transportation, poor air quality, community safety, basic needs insecurity or poor educational achievement. The hospital also indicated that it would not address other elements that are also important but are being addressed by others, including disparities in chronic liver disease, unsafe sex, high rates of communicable diseases and high rates of Lyme disease. Since the 2013 CHNA was conducted, Inova Fairfax Hospital has addressed all of the significant needs as described in this Implementation Strategy. These needs were addressed by initiatives including the following: providing in-kind and financial support for community organizations seeking to improve community health and meet social services needs, participating actively in community coalitions and on boards, operating the Inova Transitional Care Management Program and Discharge clinics for low-income patients without a medical home, operating InovaCares clinics for Medicaid and uninsured patients, the Inova PACE program, increasing visits for uninsured patients to Inova-affiliated specialists, expanding health promotion and education programs particularly to reduce the prevalence of diet and exercise-related health problems, increasing investment in Inova's SNAP Double Dollars Program which enhances access to healthy food, and increasing services provided by the Inova Juniper Program which is Northern Virginia's largest provider of services for HIV/AIDS patients.Some of the new initiatives in 2015 included a program to help children and their families learn about the importance of healthy eating and physical activity. The program was piloted with families at the Inova Cares Clinic for Children, where family income cannot exceed 300% of the federal poverty guidelines and many of the children receive SNAP benefits (food stamps). Additionally, the FACT Department finalized MOAs with the Fairfax Department of Family Services/Child Protective Services to provide emergency removal examinations for foster care placement, and the Loudoun Adult Detention Center and Loudoun Juvenile Detention Center to work on prison rape elimination.While not identified for expansion of services in the 2013 CHNA, Inova continues to serve the community through many ongoing programs, including the provision of culturally competent and linguistically appropriate services; prevention, education and support through the Inova Fairfax Cancer Center; alcohol and substance abuse treatment at the Inova Comprehensive Addiction treatment Services; Medicaid managed care plans through INTotal Health; and comprehensive mental health services for children and young adults at the Inova Kellar Center.
Group A-Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 13h:	CALCULATE FAMILY SIZE
Group A-Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 15e:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notifications posted in their areas and on Inova's website.
Group A-Facility 1 -- INOVA FAIRFAX HOSPITAL Part V, Section B, line 16i:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notifications posted in their areas and on Inova's website.
Group A-Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 5:	For 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.
Group A-Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 6a:	Inova Fairfax HospitalInova Loudoun HospitalInova Fair Oaks HospitalInova Alexandria Hospital
Group A-Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 11:	In the CHNA report conducted in 2013, Inova Alexandria Hospital identified the following significant community health needs: access to health and human services, chronic disease, dental health, health behaviors, maternal and child health, morbidity, the physical environment and social and economic factors.As described in the Implementation Strategy adopted by the Board, Inova Alexandria Hospital indicated that it would address many but not all of the identified needs. The hospital indicated it would not address certain elements that are beyond the scope of the medical campus or are outside of the hospital's expertise including disparities in infant health outcomes, poor air quality, and basic needs insecurity. The hospital also indicated that it would not address other elements that are also important but are being addressed by others, including disparities in chronic liver disease, unsafe sex and teen pregnancy and high rates of communicable diseases. Since the 2013 CHNA was conducted, Inova Alexandria Hospital has addressed all of the significant needs as described in this Implementation Strategy. These needs were addressed by initiatives including the following: providing in-kind and financial support for community organizations seeking to improve community health and meet social services needs, participating actively in community coalitions and on boards, operating the Inova Transitional Care Management Program and Discharge clinics for low-income patients without a medical home, operating InovaCares clinics for Medicaid and uninsured patients, the Inova PACE program, increasing visits for uninsured patients to Inova-affiliated specialists, expanding health promotion and education programs particularly to reduce the prevalence of diet and exercise-related health problems, increasing investment in Inova's SNAP Double Dollars Program which enhances access to healthy food, and increasing services provided by the Inova Juniper Program which is Northern Virginia's largest provider of services for HIV/AIDS patients.Some of the new initiatives in 2015 included a program to help children and their families learn about the importance of healthy eating and physical activity. The program was piloted with families at the Inova Cares Clinic for Children, where family income cannot exceed 300% of the federal poverty guidelines and many of the children receive SNAP benefits (food stamps). Additionally, the FACT Department finalized MOAs with the Fairfax Department of Family Services/Child Protective Services to provide emergency removal examinations for foster care placement, and the Loudoun Adult Detention Center and Loudoun Juvenile Detention Center to work on prison rape elimination.While not identified for expansion of services in the 2013 CHNA, Inova continues to serve the community through many ongoing programs, including the provision of culturally competent and linguistically appropriate services; prevention, education and support through the Inova Alexandria Cancer Center; alcohol and substance abuse treatment at the Inova Comprehensive Addiction treatment Services; Medicaid managed care plans through INTotal Health; and comprehensive mental health services for children and young adults at the Inova Kellar Center.
Group A-Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 13h:	CALCULATE FAMILY SIZE
Group A-Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 15e:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notifications posted in their areas and on Inova's website.
Group A-Facility 2 -- INOVA ALEXANDRIA HOSPITAL Part V, Section B, line 16i:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notifications posted in their areas and on Inova's website.
Group A-Facility 3 -- INOVA FAIR OAKS HOSPITAL Part V, Section B, line 5:	For 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 is included in the Appendix of the CHNA.
Group A-Facility 3 -- INOVA FAIR OAKS HOSPITAL Part V, Section B, line 6a:	Inova Fairfax HospitalInova Mt. Vernon HospitalInova Fair Oaks HospitalInova Loudoun Hospital
Group A-Facility 3 -- INOVA FAIR OAKS HOSPITAL Part V, Section B, line 11:	In the CHNA report conducted in 2013, Inova Fair Oaks Hospital identified the following significant community health needs: access to health and human services, chronic disease, dental health, health behaviors, maternal and child health, mental health, morbidity, the physical environment and social and economic factors.As described in the Implementation Strategy adopted by the Board, Inova Fair Oaks Hospital indicated that it would address many but not all of the identified needs. The hospital indicated it would not address certain elements that are beyond the scope of the medical campus or are outside of the hospital's expertise including poor air quality, community safety, basic needs insecurity or poor educational achievement. The hospital also indicated that it would not address other elements that are also important but are being addressed by others, including disparities in chronic liver disease, unsafe sex, high rates of Tuberculosis and high rates of Lyme disease. Since the 2013 CHNA was conducted, Inova Fair Oaks Hospital has addressed all of the significant needs as described in this Implementation Strategy. These needs were addressed by initiatives including the following: providing in-kind and financial support for community organizations seeking to improve community health and meet social services needs, participating actively in community coalitions and on boards, operating the Inova Transitional Care Management Program and Discharge clinics for low-income patients without a medical home, operating InovaCares clinics for Medicaid and uninsured patients, the Inova PACE program, increasing visits for uninsured patients to Inova-affiliated specialists, expanding health promotion and education programs particularly to reduce the prevalence of diet and exercise-related health problems, increasing investment in Inova's SNAP Double Dollars Program which enhances access to healthy food, and increasing services provided by the Inova Juniper Program which is Northern Virginia's largest provider of services for HIV/AIDS patients.Some of the new initiatives in 2015 included a program to help children and their families learn about the importance of healthy eating and physical activity. The program was piloted with families at the Inova Cares Clinic for Children, where family income cannot exceed 300% of the federal poverty guidelines and many of the children receive SNAP benefits (food stamps). Additionally, the FACT Department finalized MOAs with the Fairfax Department of Family Services/Child Protective Services to provide emergency removal examinations for foster care placement, and the Loudoun Adult Detention Center and Loudoun Juvenile Detention Center to work on prison rape elimination.While not identified for expansion of services in the 2013 CHNA, Inova continues to serve the community through many ongoing programs, including the provision of culturally competent and linguistically appropriate services; prevention, education and support through the Inova Fair Oaks Cancer Center; alcohol and substance abuse treatment at the Inova Comprehensive Addiction treatment Services; Medicaid managed care plans through INTotal Health; and comprehensive mental health services for children and young adults at the Inova Kellar Center.
Group A-Facility 3 -- INOVA FAIR OAKS HOSPITAL Part V, Section B, line 13h:	CALCULATE FAMILY SIZE
Group A-Facility 3 -- INOVA FAIR OAKS HOSPITAL Part V, Section B, line 15e:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notifications posted in their areas and on Inova's website.
Group A-Facility 3 -- INOVA FAIR OAKS HOSPITAL Part V, Section B, line 16i:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification posted in their areas and on Inova's website.
Group A-Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 5:	For 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 is included in the Appendix of the CHNA.
Group A-Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 6a:	Inova Loudoun HospitalInova Mt. Vernon HospitalInova Fair Oaks HospitalInova Alexandria Hospital
Group A-Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 11:	In the CHNA report conducted in 2013, Inova Mount Vernon Hospital identified the following significant community health needs: access to health and human services, chronic disease, dental health, health behaviors, maternal and child health, mental health, morbidity, the physical environment and social and economic factors.As described in the Implementation Strategy adopted by the Board, Inova Mount Vernon Hospital indicated that it would address many but not all of the identified needs. The hospital indicated it would not address certain elements that are beyond the scope of the medical campus or are outside of the hospital's expertise including disparities in mortality, poor air quality, or basic needs insecurity. The hospital also indicated that it would not address other elements that are also important but are being addressed by others, including high rates of cancer incidence and disparities in cancer mortality, insufficient case/care management for seniors, disparities in chronic liver disease, unsafe sex and teen pregnancy and high rates of communicable diseases. Since the 2013 CHNA was conducted, Inova Mount Vernon Hospital has addressed all of the significant needs as described in this Implementation Strategy. These needs were addressed by initiatives including the following: providing in-kind and financial support for community organizations seeking to improve community health and meet social services needs, participating actively in community coalitions and on boards, operating the Inova Transitional Care Management Program and Discharge clinics for low-income patients without a medical home, operating InovaCares clinics for Medicaid and uninsured patients, the Inova PACE program, increasing visits for uninsured patients to Inova-affiliated specialists, expanding health promotion and education programs particularly to reduce the prevalence of diet and exercise-related health problems, increasing investment in Inova's SNAP Double Dollars Program which enhances access to healthy food, and increasing services provided by the Inova Juniper Program which is Northern Virginia's largest provider of services for HIV/AIDS patients.Some of the new initiatives in 2015 included a program to help children and their families learn about the importance of healthy eating and physical activity. The program was piloted with families at the Inova Cares Clinic for Children, where family income cannot exceed 300% of the federal poverty guidelines and many of the children receive SNAP benefits (food stamps). Additionally, the FACT Department finalized MOAs with the Fairfax Department of Family Services/Child Protective Services to provide emergency removal examinations for foster care placement, and the Loudoun Adult Detention Center and Loudoun Juvenile Detention Center to work on prison rape elimination.While not identified for expansion of services in the 2013 CHNA, Inova continues to serve the community through many ongoing programs, including the provision of culturally competent and linguistically appropriate services; prevention, education and support through the Inova Mount Vernon Cancer Center; alcohol and substance abuse treatment at the Inova Comprehensive Addiction treatment Services; Medicaid managed care plans through INTotal Health; and comprehensive mental health services for children and young adults at the Inova Kellar Center.
Group A-Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 13h:	CALCULATE FAMILY SIZE
Group A-Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 15e:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notifications posted in their areas and on Inova's website.
Group A-Facility 4 -- INOVA MOUNT VERNON HOSPITAL Part V, Section B, line 16i:	Financial Aid Brochures explaining the charity policy are available through out the Hospitals. ER Rooms and waiting rooms have charity notification posted in their areas and on Inova's website.

Schedule H (Form 990) 2015

Page 8

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

Schedule H (Form 990) 2015

Page 9

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 I, Line 6a:	THE COMMUNITY BENEFIT REPORT IS INCLUDED IN THE CONSOLIDATED INOVA HEALTH SYSTEM REPORT TO THE COMMUNITY ON INOVA.ORG WEBSITE.
Part I, Line 7:	Cost to charge ratio method is used based on table 2 in the instructions. Total operating expense is divided by Total Gross Revenue to arrive at the cost to charge ratio.
Part I, Line 7g:	Cost of Physician Clinic is $5,136,888.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 72,884,124.
Part II, Community Building Activities:	Inova's Office of Sustainability provided community building support focused on environmental improvements. Environmental Mission Statement:Inova Health System is committed to establishing an environmental program that is safer and healthier for our patients, employees, and the community.Community Building Environmental Improvements Waste ManagementInova has been focused on waste reduction strategies including recycling and segregation since 2008. Throughout the hospitals there is a single stream recycling process and there are focused efforts on reducing regulated medical waste. In 2015, Inova was able to provide over 1,300 lbs. of material for medical donation. During this same period Inova recycled over 3 million pounds of materials.Specialized areas recycling (ORs, kitchens): Inova has implemented specialized recycling programs to capture specific materials in areas such as operating rooms and construction sites.EnergyDuring 2015 Inova was very focused on energy reduction by implementing the baseline phases for the strategic energy Management Plan. All 5 hospitals went through a process of sub-metering through a dashboard that allows for real-time energy monitoring of all hospitals. This was started as a pilot project which was rolled out across the entire system in 2015. Work was done to retro-commission Inova's Building Management Systems (BMS). A fine-tuned BMS will allow staff to better regulate energy use. All of these efforts to increase efficiency and resilience reduce Inova's greenhouse gases, carbon footprint and impact on community health.WaterIncorporated native plants and low-impact irrigation systems for landscapingBuildingsContinued LEED construction on Inova Women and Children's Building (IFMC)TransportationPartnered with Fairfax County Department of Transportation to promote alternative commute options for Inova employees; programs such as Employee Commuter Shuttle, reserved parking for carpools/vanpools/hybrids, bike racks, and a pre-tax commuter benefits program help Inova reduce air pollution and traffic congestion in local communitiesFoodExpanded Community Supported Agriculture (CSA) program from Inova Fairfax Hospital to include 11 additional locations, providing direct support to local farmers and bringing fresh, healthy, seasonal foods to our employees. This provided over $27,000 of impact to the local community and over 18,000 pounds of local food to Inova employees.Promoted Sustainable Foods, Healthy Lives Cookbook and free Local Ingredients Guide to educate community around issues of health, wellness, and food; all proceeds from the cookbook go directly to Inova's Double Dollars SNAP Enhancement Program, which matches the first $10 of SNAP benefits spent at select local farmers' marketsSponsor of the Northern Virginia Chapter of Buy Fresh, Buy Local, a nationally recognized program that is dedicated to reintroducing Americans to their food - the seeds it grows from, the farmers who produce it, and the routes that carry it from the fields to their tables. CommunityDistributed over 500 native tree seedlings to be planted within the local community in 2015 in support of Earth DayMentored peer organizations locally and nationally on sustainability efforts, helping them create safer environments for their own patients, employees, and communities
Part III, Line 4:	BAD DEBT FOOTNOTE FROM INOVA HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTSPatient accounts receivable include charges for amounts due from all patients less allowances for the excess of established charges over the payments to be received on behalf of patients covered by Medicare, Medicaid and other insurers. The provision for bad debts is recognized when providing an allowance for uncollectible accounts.All operating entities of IHS treat emergency patients regardless of their ability to pay. A patient is classified as a charity patient based upon established IHS policies that consider patient income levels. Since IHS does not pursue collection of amounts that qualify as charity care, they are deducted from gross revenueCosting MethodologyActual bad debt expense is multiplied by the cost to charge ratio used in computing charity care expense in Part I.The are no estimated amounts for bad debt expense attributable to patients under the organization's charity care policy.
Part III, Line 8:	The organization does not treat any Medicare shortfall as community benefit. The amounts are taken directly from the Medicare Cost Reports as filed using a cost to charge ratio method.
Part III, Line 9b:	Patients who have not applied for Financial Assistance under this policy will be treated as self-pay and subject to Inova's normal billing and collections processes.All patient responsibility portions of Inova's accounts will process through Inova's billing and collection systems for effective in-house collections and within federal guidelines for transitioning to external collection agencies after in-house efforts have been exhausted. Patient responsibility portions will be processed through pre-billing, statement, and follow-up in automated and systematic steps. All collections actions will be in compliance with the Fair Debt Collection Practices Act and ACA International's Code of Ethics and Professional Responsibility.Patients will receive statements for 120 days. After 120 days, with no contact from the patient and without the establishment of acceptable payment terms, accounts will be transferred to a professional collection agency. If continued non-payment occurs beyond a reasonable period of time, legal actions may be undertaken to collect payment.If a patient wishes to make payment arrangements and does not have resources to pay the account in full, payment plans will be offered.No Inova entity or third-party collections agent will impose extraordinary collections actions such as legal actions or adverse credit reporting against any patient, without first making reasonable efforts to determine whether that patient is eligible for Financial Assistance under this policy. These reasonable efforts include:Assuring that no extraordinary collections actions are imposed for at least 120 days from the date of the first billing statement, andProviding a 30-day written notice that includes information about Inova's Financial Assistance Policy and about any intended extraordinary collections actions to be imposed in the event of nonpayment.If a patient is determined to be eligible for Financial Assistance after payment is received or after an extraordinary collections action has been imposed, the account will be adjusted and the collections action will be reversed.
Part VI, Line 2:	Inova Health System (IHS) completed a Community Health Needs Assessment (CHNA) in 2013 to identify priority health status and access issues for particular geographic areas and populations by focusing on the following questions: Who in the community is most vulnerable in terms of health status or access to care?What are the unique health status and/or access needs for these populations?Where do these people live in the community? Why are these problems present?Inova's CHNA considers 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 the community, including those with expertise in public health.The following topics and data are assessed in Inova's CHNA report:Demographics, e.g., numbers and locations of vulnerable people;Economic issues, e.g., poverty and unemployment rates, and impacts of state or local budget changes;Community issues, e.g., homelessness, housing, environmental concerns, crime, and availability of social services;Health status indicators, e.g. morbidity rates for various diseases and conditions, and mortality rates for leading causes of death;Health access indicators, e.g., uninsurance rates, discharges for ambulatory care sensitive conditions (ACSC), and use of emergency departments for non-emergent care;Health disparities indicators; andAvailability of healthcare facilities and resources. The assessment identifies a prioritized list of community health needs.As a result of this work and previous work, Inova's programs expanded to address the identified Community Health Priorities. These goals were re-evaluated and updated to align with the Healthy People 2020 goals and outcomes. Inova has moved forward with developing coordinated efforts within the health system to carry out the designed implementation plans of the Community Health Needs Assessment. The Program Outreach Administrator is coordinating plans with hospital leaders to assure effective plan implementation in each of the respective communities. The Program Outreach Administrator is centralized to the system under the Assistant Vice President of Population Health and thereby assures system coordinated efforts are centralized and reflective of Inova Health System's work across Northern Virginia.Community health needs assessments are currently in progress across Northern Virginia sponsored by the various Health Departments using the framework of the Mobilizing for Action through Planning and Partnerships (MAPP) process. Inova Health System is a participating member of each MAPP process team in each jurisdiction across Northern Virginia. Inova served on the MAPP team's year-long task force for Arlington County, for which the final report was completed in 2008. In 2008, Inova also participated in the first of four assessments being conducted by Fairfax County, having lnova leaders in pivotal leadership roles in this process. This is an ongoing community-driven planning process that is designed to provide information for improving the community's delivery of the 10 essential public health services. Fairfax County has three other assessments to complete the MAPP process. This process brings together a diverse group of key community stakeholders including local government, human service organizations, schools and universities, healthcare consumers, advocacy groups, hospitals, faith institutions, youth development organizations, economic and philanthropic groups, etc. to identify strengths and weaknesses in the ten essential areas to provide a foundation for community health planning. Inova is participating in the continuing local public health needs assessment in the City of Alexandria as well. The information from all the MAPP health needs assessments from all jurisdictions served by Inova Health System will provide the new baseline for the ongoing three-year community needs assessments and were incorporated into the community needs assessment implementation plans that were finalized in 2013. In addition to participating in the MAPP process and the CHNA, Inova is continually garnering feedback on existing programs from program participants through monthly and quarterly satisfaction surveys and focus groups, participating in regional and local health related groups such as the Northern Virginia Access to Health Care Consortium, meeting with various cultural and ethnic groups in the community and using internal utilization and outcomes data, review of best practices and regional and national benchmark data and other external sources such as the Metropolitan Washington Council of Governments (COG) demographic data to develop strategic goals for health improvement activities. Collectively, all this information is utilized in assessing community health needs to guide strategic planning efforts.
Part VI, Line 3:	Inova Health System utilizes a multifaceted approach to educate and inform patients and the public about Inova's charity care policy. Upon admission to any Inova hospital 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 the 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 Level). Inova also has Medicaid eligibility workers on-site in all hospitals, in the InovaCares Clinic for Women and Children (clinic for low income families) and in the community as part of the Partnership for Healthier Kids Access to Care program. Inova partners with schools across the jurisdiction to provide information about state funded health programs for children and contact information to meet with an eligibility worker responsible for enrolling families in state Medicaid programs. These eligibility workers also go out into the community attending community events such as health fairs, faith-based community activities and other family centered community events to proactively meet with families to encourage enrollment in programs for which they are eligible. Inova has a section of the public website dedicated to information about billing and financial coordinators and financial assistance resources. On the site, a brochure called "Financial Help for Healthcare Services" can be downloaded and is available in 6 languages to address the needs of the culturally diverse community Inova serves.
Part VI, Line 4:	Inova Health Care Services (IHCS) is a not-for-profit corporation and a subsidiary of the parent organization, Inova Health System Foundation (Inova). Inova provides healthcare and related services throughout Northern Virginia and the greater metropolitan Washington, D.C. area, including certain contiguous counties of Virginia and Maryland. Northern Virginia is one of the fastest growing urban communities in the United States. With approximately 1,314 square miles, the region is the most densely populated in the Commonwealth of Virginia. Northern Virginia is comprised of several distinct communities, including the cities of Alexandria, Fairfax, Falls Church, Manassas and Manassas Park, and the counties of Arlington, Fairfax, Loudoun, and Prince William. The eastern sections are urbanized with attendant health problems of overcrowding and increasing demand for health services and public programs. Inova Health Care Services' service area is primarily the cities of Alexandria, Fairfax and Falls Church and Fairfax County.The region's population served by IHCS is forecasted to grow 14% over the next decade adding an estimated average of 36,000 persons a year. Population will be spurred by the long-term strength of the region's economy, high rates of in-migration and international immigration. The region's population that is 65 years of age and older is expected to grow 65% over the next 10 years, while the number of children will increase by about 7% during the same time period.Northern Virginia's racial and ethnic diversity is more pronounced than in the rest of the state. With increasing diversity, economically disadvantaged populations and multiple languages, the need for access to culturally appropriate, flexible health care continues to grow. The Northern Virginia geographic region in 2014 was 47% minority, up from 28% in 1990, while the nation as a whole reflects a 38% minority population (U.S. Census Bureau). Fairfax County, with more than one million residents, is the largest jurisdiction in Northern Virginia and also has the largest minority population. In Fairfax County in 2014 Asians, Hispanics, and African Americans represented 19.2%, 16.4%, and 10.0% of the county's population, respectively. More than one-quarter of the state's Hispanic population resides in Fairfax County (U.S. Census Bureau).According to the US Census Bureau Small Area Health Insurance Estimates (SAHIE) in 2013 approximately 12.3% of the total population under the age of 65 (about 122,000 people) in Fairfax County lacked healthcare insurance. Of the people living in Fairfax County whose family incomes are at or below 200% of the federal poverty level, SAHIE estimates that 37.7% (about 57,000 people) were uninsured in 2013.Area residents most likely to be uninsured are those whose family incomes are at or below 200% of the poverty level, young adults (age 18-44), people of racial backgrounds other than White, unemployed individuals, part-time workers, and people who work at companies with fewer than 50 employees. Serving this population poses significant cultural and linguistic challenges, and these uninsured citizens are widely distributed in terms of age, geographic region, and health status.
Part VI, Line 5:	evident given through the numerous targeted community programs. These programs provideing access to care for low income, uninsured, underinsured and vulnerable populations; promoting promote health & wellness; and increaseing health literacy; provideing the support and infrastructure for disaster preparedness; and providing provide programs to support development of our future healthcare workforce to meet the healthcare needs of the communities served. All Inova healthcare facilities have open medical staffs to provide the maximum access to qualified physicians. A Community Board of Trustees provides fiscal and quality oversight for Inova Health Care Services' facilities to ensure the vision and mission of the organization is achieved.Access to Care ProgramsInova's Population Health Division is organized to address the a wide-spectrum of community healthcare needs of the community. In addition to the programs already described in the core form program, accomplishments activities that provide infrastructure support and services focused on vulnerable populations to increase access to healthcare services for the communities served by Inova Health System include the following programs: which provide infrastructure support and services focused on vulnerable populations:The Streamlined Eligibility program (SES), launched by the successful implementation of the federally-funded 2001 CAP and 2004 HCAP grants, continues to be funded by Inova. SES provides local safety-net health care providers access to coordinated health care networks to serve the uninsured and underinsured residents of Northern Virginia. A shared database is used to determine a patient's eligibility for services which provides one central intake thereby streamlining and expediting the process. Inova supports the infrastructure and expansion of the program which currently consists of 12 public/private partners serving Fairfax County, City of Alexandria, Loudoun County, Arlington County, and Prince William County. The system currently houses over 300,000 eligibility records of uninsured and Medicaid patients.Inova's Partnership for Healthier Kids (PHK) Access to Care program provides families with comprehensive application and enrollment assistance to connect them with an appropriate and affordable source of health care services. In 2015, PHK assisted over 4,195 children with access to a source of comprehensive health care services such as Medicaid, FAMIS or local safety net providers.Care Connection for Children (CCC) is funded by the Virginia Department of Health. The goal of CCC is to help families coordinate community and educational resources with medical expertise to ensure that children with special healthcare needs can reach their maximum potential. CCC partners with families of children who have chronic healthcare needs to help open doors to needed resources and coordinate quality family-centered care. CCC is committed to helping children maximize their potential in a caring, innovative and culturally sensitive manner. In 2015, CCC served 669 families.Transitional Care Management Inova Transitional Care Management Program (TCM), implemented July 2011, focuses on unmanaged Medicare/ Medicaid, Innovation Health, Aetna Medicare Advantage and uninsured patients diagnosed with heart failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), pneumonia and Acute Myocardial Infarction (AMI). These diseases account for a high proportion of potentially preventable readmissions. For 30 days after discharge from the hospital or emergency room, TCM case managers monitor patients primarily by telephone. They educate patients about their illnesses, ensure they have a follow-up appointment with their primary care physician (PCP), and confirm they have filled any prescriptions and are taking the correct medications and provide intensive care coordination. For those patients that do not have a PCP or cannot be seen by their PCP within an appropriate time frame post hospital discharge, Inova has developed the Inova Transitional Services Discharge Clinics in three locations in which patients are provided a follow-up appointment with a nurse practitioner or physician who will follow the patient until the patient is ready to transition to a permanent Medical Home. Inova Home Health Services also partners with TCM in providing home visits to patients identified by the case managers as needing a home visit. In 2015, there were 4,549 enrollments to the TCM program with almost 4,000 patients being served. In 2015, the Discharge Clinic served 2,994 patients with over 9,000 visit encounters. Inova Kellar CenterInova Kellar Center is a community based behavioral health center and special education school founded by Inova in 1991 with a gift from Fairfax County residents, Art and Betty Kellar, to address a gap in mental health and substance abuse services for children and adolescents. Currently IKC offers a full continuum of mental health services from outpatient therapies and medication management to after school Intensive Outpatient Programs and a full day Partial Hospitalization Program. The Kellar School, a private special education day school for students with emotional, social and behavioral needs provides academic instruction within a therapeutic environment. The Center provided 75,999 hours of programming, treatment and education to children, adolescents, and families in 2015. Health Promotion and Preventative Care ProgramsNorthern Virginia Healthy Kids' Coalition: Tipping the Scales for Better Health. Inova Health System in partnership with Northern Virginia schools, health departments, and government entities have joined together in a multi-year effort to address the childhood obesity epidemic by working to reverse this trend. Inova Health System sponsors this community-based coalition. To prevent and reduce the incidence of nutrition-related diseases, Inova focused on several initiatives to reduce food insecurity and increase food literacy among community members. Specifically, Inova continued to match the purchases made by SNAP customers (formerly food stamps) at farmers markets, allowing low-income individuals to purchase more fresh produce. In 2015 Inova began supporting two new farmers markets and provided nearly $9,000 in grants. Inova also launched a nutrition education and physical activity program at the Inova Cares Clinic for Children, where family income levels are at 400% or below of the federal poverty level. Families learn cooking skills and ways to eat healthier and get more exercise within budget and time constraints. Inova and Wesley Theological Seminary are working on a 3 year partnership to strengthen the faith/health connection in the Mt. Vernon community. Through the creation of health ministries in congregations throughout Mt. Vernon, the partnership supports congregations working to improve health outcomes and reduce hospital readmission rates by providing resources and education. Inova provides Health Ministry and Faith Community Nurse certificate scholarships to those interested in building a health ministry within their congregation.Health Literacy and Health Equity ProgramsThe Office of Health Equity (OHE) identifies and addresses health disparities in northern Virginia through internal and community initiatives. The department is dedicated to the elimination of disparities in the community through community partnership, diversity and cultural competence education, and provision of language services. In support of patient safety and satisfaction, language interpretation and translation services are provided at every Inova facility, to facilitate communication with the 14 percent of Inova's patient population who are limited English proficient (LEP). Medical Interpretation in over 200 languages is provided by on-site medical interpreters and telephonic interpreters. In 2015, Inova delivered 59,048 hours of interpreter services and 13,715 hours of Sign Language interpretation across Inova facilities. Over 572 vital documents were translated into Inova's top languages.
Part VI, Line 6:	Organization is part of Inova Health System included in description under Line 5.

Schedule H (Form 990) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

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 on 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 on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

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

Yes

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 in column(B) reported as deferred on 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)
1JKNOX SINGLETONPRESIDENT	(i) (ii)	0 ------------- 1,239,735	0 ------------- 917,834	0 ------------- 1,023,087	0 ------------- 553,000	0 ------------- 5,953	0 ------------- 3,739,609	0 ------------- 687,500
2RICHARD MAGENHEIMERTREASURER	(i) (ii)	0 ------------- 686,647	0 ------------- 455,969	0 ------------- 743,977	0 ------------- 478,579	0 ------------- 16,438	0 ------------- 2,381,610	0 ------------- 603,000
3JOHN GAULASST SECRETARY	(i) (ii)	446,197 ------------- 0	133,255 ------------- 0	21,710 ------------- 0	100,783 ------------- 0	21,086 ------------- 0	723,031 ------------- 0	0 ------------- 0
4MARK STAUDERPRESIDENT, COO	(i) (ii)	0 ------------- 991,051	0 ------------- 588,826	0 ------------- 1,144,081	0 ------------- 801,492	0 ------------- 20,073	0 ------------- 3,545,523	0 ------------- 778,291
5PATRICK CHRISTIANSENEVP CEO IFMC	(i) (ii)	0 ------------- 628,958	0 ------------- 265,216	0 ------------- 37,524	0 ------------- 145,096	0 ------------- 15,726	0 ------------- 1,092,520	0 ------------- 0
6JOHN NIEDERHUBERCEO ITMI & EVP IHS	(i) (ii)	0 ------------- 985,933	0 ------------- 802,543	0 ------------- 41,124	0 ------------- 37,250	0 ------------- 9,265	0 ------------- 1,876,115	0 ------------- 0
7MARSHALL RUFFINEVP CTO	(i) (ii)	0 ------------- 616,222	0 ------------- 272,281	0 ------------- 39,312	0 ------------- 149,236	0 ------------- 14,718	0 ------------- 1,091,769	0 ------------- 0
8LORING FLINTEVP CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 607,509	0 ------------- 296,099	0 ------------- 37,524	0 ------------- 151,048	0 ------------- 19,968	0 ------------- 1,112,148	0 ------------- 0
9SALLY PAULLEVP CHIEF HR OFFICER	(i) (ii)	0 ------------- 400,492	0 ------------- 56,000	0 ------------- 32,622	0 ------------- 58,193	0 ------------- 20,351	0 ------------- 567,658	0 ------------- 0
10SUSAN CARROLLCEO IAH	(i) (ii)	372,218 ------------- 0	91,757 ------------- 0	146,112 ------------- 0	95,373 ------------- 0	22,480 ------------- 0	727,940 ------------- 0	59,276 ------------- 0
11JOHN FITZGERALDCEO IFOH	(i) (ii)	394,469 ------------- 0	133,894 ------------- 0	39,144 ------------- 0	94,865 ------------- 0	17,439 ------------- 0	679,811 ------------- 0	0 ------------- 0
12JOHN HAMILTONPHYSICIAN	(i) (ii)	1,221,607 ------------- 0	0 ------------- 0	1,242 ------------- 0	53,247 ------------- 0	19,790 ------------- 0	1,295,886 ------------- 0	0 ------------- 0
13JEFF SCHULMANPHYSICIAN	(i) (ii)	900,271 ------------- 0	0 ------------- 0	539 ------------- 0	49,250 ------------- 0	21,249 ------------- 0	971,309 ------------- 0	0 ------------- 0
14CARY SCHWARTZBACHPHYSICIAN	(i) (ii)	901,895 ------------- 0	0 ------------- 0	2,317 ------------- 0	0 ------------- 0	22,145 ------------- 0	926,357 ------------- 0	0 ------------- 0
15JAMES ECKLUNDPHYSICIAN	(i) (ii)	991,204 ------------- 0	221,250 ------------- 0	1,242 ------------- 0	55,250 ------------- 0	22,730 ------------- 0	1,291,676 ------------- 0	0 ------------- 0
16ROBERT HYMESPHYSICIAN	(i) (ii)	897,070 ------------- 0	0 ------------- 0	808 ------------- 0	49,250 ------------- 0	22,500 ------------- 0	969,628 ------------- 0	0 ------------- 0
17HPATRICK WALTERSFORMER SVP STRATEGIC PLANN	(i) (ii)	0 ------------- 418,356	0 ------------- 165,533	0 ------------- 102,133	0 ------------- 54,178	0 ------------- 14,491	0 ------------- 754,691	0 ------------- 0
18MARK RUNYONFORMER SVP FINANCE	(i) (ii)	40,937 ------------- 0	146,224 ------------- 0	2,509 ------------- 0	5,277 ------------- 0	15,882 ------------- 0	210,829 ------------- 0	0 ------------- 0
19MAUREEN SWICKFORMER SVP COO IFH AND CNE IHS	(i) (ii)	335,333 ------------- 0	98,365 ------------- 0	24,902 ------------- 0	107,588 ------------- 0	19,298 ------------- 0	585,486 ------------- 0	0 ------------- 0
20JAMES SANTRYFORMER SVP BUS DEV & MANAGED CARE	(i) (ii)	0 ------------- 412,241	0 ------------- 145,248	0 ------------- 85,738	0 ------------- 60,259	0 ------------- 24,035	0 ------------- 727,521	0 ------------- 29,205
21CHRISTINE CANDIOFORMER CEO IAH	(i) (ii)	0 ------------- 0	1,237 ------------- 0	211,333 ------------- 0	0 ------------- 0	13,480 ------------- 0	226,050 ------------- 0	0 ------------- 0
22JOSEPH ROCHEFORMER EXEC DIR EAP	(i) (ii)	154,769 ------------- 0	27,034 ------------- 0	887 ------------- 0	32,056 ------------- 0	21,544 ------------- 0	236,290 ------------- 0	0 ------------- 0
23TODD LOCKCUFFFORMER AVP ASSOC ADMIN CFO	(i) (ii)	209,646 ------------- 0	56,757 ------------- 0	10,288 ------------- 0	37,056 ------------- 0	2,495 ------------- 0	316,242 ------------- 0	0 ------------- 0
24HUGO AGUASFORMER AVP HR ASSOC ADMIN	(i) (ii)	190,744 ------------- 0	29,291 ------------- 0	27,772 ------------- 0	42,419 ------------- 0	11,137 ------------- 0	301,363 ------------- 0	11,806 ------------- 0
25MARY DIXONFORMER AVP CNO	(i) (ii)	143,498 ------------- 0	34,055 ------------- 0	75,483 ------------- 0	29,556 ------------- 0	1,053 ------------- 0	283,645 ------------- 0	0 ------------- 0
26PAMELA MCVEYFORMER DIR NURSING RESOURC	(i) (ii)	121,756 ------------- 0	14,543 ------------- 0	2,066 ------------- 0	0 ------------- 0	6,103 ------------- 0	144,468 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

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, Lines 4a-b

Severance Payments Christine Candio $211,333 Mary Dixon $40,520 SERP Plan Payments Hugo Aguas $14,102 Susan Carroll $115,344 Richard Magenheimer $101,665 James Santry $51,990 Knox Singleton $243,660 Patrick Walters $62,821 Mark Stauder $246,020 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) 2015

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

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

OMB No. 1545-0047

2015

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	124,000,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823FR4	05-12-2005	99,400,000	See Part VI		X		X		X
C	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823GL6	04-16-2009	350,414,313	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	190,000,000	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
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KX5	12-17-2014	209,030,800	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	14,270,000		80,790,000		98,290,000		20,290,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	130,441,544		99,400,000		350,414,313		73,433,655
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	3,604,217		107,241
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	367,125		294,292		4,384,313		660,539
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	126,470,203				385,117,977		50,184,794
11 Other spent proceeds .............	190,000,000		98,998,467		346,030,000		72,773,116
12 Other unspent proceeds .............					78,597,369
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) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X			X	X			X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.860 %		0.860 %		0.650 %		0.650 %
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 .............	0.860 %		0.860 %		1.350 %		1.350 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		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 "Yes" to 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 .........	3000.0000000000 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........	X

Schedule K (Form 990) 2015

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 I, column E, 2005A bonds 2005A, B, D, E bond issue price per form 8038 476,700,000 2005B, D, E bonds refinanced by subsequent issues (352,700,000) Remaining 2005A issue price 124,000,000 Part I, column E, 2009A bonds 2009AB bond issue price per form 8038 540,414,313 2009B bonds refinanced by subsequent issues (190,000,000) Remaining 2009A issue price 350,414,313
PART I, COLUMN F, DESCRIPTION OF PURPOSE	Bond A 1) Renovate and expand certain portions of Inova Alexandria Hospital (IAH), Inova Fairfax Hospital (IFH), Inova Fair Oaks Hospital (IFOH); 2) Acquire certain capital equipment for use in or in connection with IAH, IFH, IFOH, and Inova Mount Vernon Hospital (IMVH) and renovate any space necessary or incidental to the installation of such equipment; 3) Pay issuance costs for Series 2005 A and B; 4) Refund prior bonds issued by the Industrial Development Authority of Loudoun County, Virginia Hospital Revenue Bonds, Series 1995 issued 10/26/1995 and 2002A issued 6/27/2002, and pay issuance costs of Series 2005D; 5) Refund prior bonds Series 2001A, B, C, and D issued 12/11/2001 Bond B 1) Refund prior bonds -1996A issued 4/18/1996; 2) Pay issuance costs of series 2005C bonds Bond C 1) Refund prior bonds - 2008ABC issued 4/17/08; 2) Pay issuance costs of series 2009A and B bonds; 3) Finance the costs of acquisition, construction, renovation, installation and equipping of the 2009 Projects Bond D 1) Refund prior bonds - 1998A issued 3/10/98; 2) Pay issuance costs of series 2009C bonds Bond E 1) Refund prior bonds - 2009B issued 4/16/2009; 2) Pay issuance costs of series 2010A bonds Bond F 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A & 2005C issued 5/12/2005 Bond G 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH Bond H 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH ; 2) refund a portion of 2010A bonds issued 3/8/10 Bond I 1) Advance refund a portion of 2009A bonds issued 4/16/2009 Bond J 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A and 2005C issued 5/12/2005 Bond K 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH
PART II, LINE 3, PROCEEDS	Part II, line 3. 2005A bonds Issue price 124,000,000 Earnings 6,441,544 Total proceeds 130,441,544 Part II, line 3. 2010A bonds Issue price 190,000,000 Earnings 1,511,888 Transferred proceeds 164,510,779 Total proceeds 356,022,667 Part II, line 3. 2012AB bonds Issue price 382,960,937 Earnings 2,157,040 Total proceeds 385,117,977 Part II, line 3. 2012C bonds Issue price 145,000,000 Earnings 184,794 Total proceeds 145,184,794 Part II, line 3. 2014A bonds Issue price 209,030,800 Earnings 450,852 Total proceeds 208,481,652
PART IV, LINE 2C, DATE OF REBATE COMPUTATION	Part 4, line 2C. 2005A 5/12/2010 Part 4, line 2C. 2005C 8/15/2006 Part 4, line 2C. 2009A 4/16/2014

Schedule K (Form 990) 2015

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

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

OMB No. 1545-0047

2015

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	124,000,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823FR4	05-12-2005	99,400,000	See Part VI		X		X		X
C	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823GL6	04-16-2009	350,414,313	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	190,000,000	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
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KX5	12-17-2014	209,030,800	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	14,270,000		80,790,000		98,290,000		20,290,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	130,441,544		99,400,000		350,414,313		73,433,655
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	3,604,217		107,241
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	367,125		294,292		4,384,313		660,539
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	126,470,203				385,117,977		50,184,794
11 Other spent proceeds .............	190,000,000		98,998,467		346,030,000		72,773,116
12 Other unspent proceeds .............					78,597,369
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) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X			X	X			X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.860 %		0.860 %		0.650 %		0.650 %
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 .............	0.860 %		0.860 %		1.350 %		1.350 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		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 "Yes" to 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 .........	3000.0000000000 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........	X

Schedule K (Form 990) 2015

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 I, column E, 2005A bonds 2005A, B, D, E bond issue price per form 8038 476,700,000 2005B, D, E bonds refinanced by subsequent issues (352,700,000) Remaining 2005A issue price 124,000,000 Part I, column E, 2009A bonds 2009AB bond issue price per form 8038 540,414,313 2009B bonds refinanced by subsequent issues (190,000,000) Remaining 2009A issue price 350,414,313
PART I, COLUMN F, DESCRIPTION OF PURPOSE	Bond A 1) Renovate and expand certain portions of Inova Alexandria Hospital (IAH), Inova Fairfax Hospital (IFH), Inova Fair Oaks Hospital (IFOH); 2) Acquire certain capital equipment for use in or in connection with IAH, IFH, IFOH, and Inova Mount Vernon Hospital (IMVH) and renovate any space necessary or incidental to the installation of such equipment; 3) Pay issuance costs for Series 2005 A and B; 4) Refund prior bonds issued by the Industrial Development Authority of Loudoun County, Virginia Hospital Revenue Bonds, Series 1995 issued 10/26/1995 and 2002A issued 6/27/2002, and pay issuance costs of Series 2005D; 5) Refund prior bonds Series 2001A, B, C, and D issued 12/11/2001 Bond B 1) Refund prior bonds -1996A issued 4/18/1996; 2) Pay issuance costs of series 2005C bonds Bond C 1) Refund prior bonds - 2008ABC issued 4/17/08; 2) Pay issuance costs of series 2009A and B bonds; 3) Finance the costs of acquisition, construction, renovation, installation and equipping of the 2009 Projects Bond D 1) Refund prior bonds - 1998A issued 3/10/98; 2) Pay issuance costs of series 2009C bonds Bond E 1) Refund prior bonds - 2009B issued 4/16/2009; 2) Pay issuance costs of series 2010A bonds Bond F 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A & 2005C issued 5/12/2005 Bond G 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH Bond H 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH ; 2) refund a portion of 2010A bonds issued 3/8/10 Bond I 1) Advance refund a portion of 2009A bonds issued 4/16/2009 Bond J 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A and 2005C issued 5/12/2005 Bond K 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH
PART II, LINE 3, PROCEEDS	Part II, line 3. 2005A bonds Issue price 124,000,000 Earnings 6,441,544 Total proceeds 130,441,544 Part II, line 3. 2010A bonds Issue price 190,000,000 Earnings 1,511,888 Transferred proceeds 164,510,779 Total proceeds 356,022,667 Part II, line 3. 2012AB bonds Issue price 382,960,937 Earnings 2,157,040 Total proceeds 385,117,977 Part II, line 3. 2012C bonds Issue price 145,000,000 Earnings 184,794 Total proceeds 145,184,794 Part II, line 3. 2014A bonds Issue price 209,030,800 Earnings 450,852 Total proceeds 208,481,652
PART IV, LINE 2C, DATE OF REBATE COMPUTATION	Part 4, line 2C. 2005A 5/12/2010 Part 4, line 2C. 2005C 8/15/2006 Part 4, line 2C. 2009A 4/16/2014

Schedule K (Form 990) 2015

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

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

OMB No. 1545-0047

2015

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	124,000,000	See Part VI		X		X		X
B	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823FR4	05-12-2005	99,400,000	See Part VI		X		X		X
C	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823GL6	04-16-2009	350,414,313	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	190,000,000	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
	Industrial Development Authority of Fairfax County Virginia	91-1920228	303823KX5	12-17-2014	209,030,800	See Part VI		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	14,270,000		80,790,000		98,290,000		20,290,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	130,441,544		99,400,000		350,414,313		73,433,655
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............	3,604,217		107,241
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	367,125		294,292		4,384,313		660,539
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	126,470,203				385,117,977		50,184,794
11 Other spent proceeds .............	190,000,000		98,998,467		346,030,000		72,773,116
12 Other unspent proceeds .............					78,597,369
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) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X			X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X			X	X			X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X		X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.860 %		0.860 %		0.650 %		0.650 %
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 .............	0.860 %		0.860 %		1.350 %		1.350 %
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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		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 "Yes" to 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 .........	3000.0000000000 %
d Was the hedge superintegrated? ......		X
e Was the hedge terminated? ........	X

Schedule K (Form 990) 2015

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 I, column E, 2005A bonds 2005A, B, D, E bond issue price per form 8038 476,700,000 2005B, D, E bonds refinanced by subsequent issues (352,700,000) Remaining 2005A issue price 124,000,000 Part I, column E, 2009A bonds 2009AB bond issue price per form 8038 540,414,313 2009B bonds refinanced by subsequent issues (190,000,000) Remaining 2009A issue price 350,414,313
PART I, COLUMN F, DESCRIPTION OF PURPOSE	Bond A 1) Renovate and expand certain portions of Inova Alexandria Hospital (IAH), Inova Fairfax Hospital (IFH), Inova Fair Oaks Hospital (IFOH); 2) Acquire certain capital equipment for use in or in connection with IAH, IFH, IFOH, and Inova Mount Vernon Hospital (IMVH) and renovate any space necessary or incidental to the installation of such equipment; 3) Pay issuance costs for Series 2005 A and B; 4) Refund prior bonds issued by the Industrial Development Authority of Loudoun County, Virginia Hospital Revenue Bonds, Series 1995 issued 10/26/1995 and 2002A issued 6/27/2002, and pay issuance costs of Series 2005D; 5) Refund prior bonds Series 2001A, B, C, and D issued 12/11/2001 Bond B 1) Refund prior bonds -1996A issued 4/18/1996; 2) Pay issuance costs of series 2005C bonds Bond C 1) Refund prior bonds - 2008ABC issued 4/17/08; 2) Pay issuance costs of series 2009A and B bonds; 3) Finance the costs of acquisition, construction, renovation, installation and equipping of the 2009 Projects Bond D 1) Refund prior bonds - 1998A issued 3/10/98; 2) Pay issuance costs of series 2009C bonds Bond E 1) Refund prior bonds - 2009B issued 4/16/2009; 2) Pay issuance costs of series 2010A bonds Bond F 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A & 2005C issued 5/12/2005 Bond G 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH Bond H 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH ; 2) refund a portion of 2010A bonds issued 3/8/10 Bond I 1) Advance refund a portion of 2009A bonds issued 4/16/2009 Bond J 1) Refund prior bonds - 1988A-D issued 8/4/1988; 2000 issued 3/23/2000; 2005A and 2005C issued 5/12/2005 Bond K 1) Construct, renovate and expand certain portions of IFH, IMVH and IFOH
PART II, LINE 3, PROCEEDS	Part II, line 3. 2005A bonds Issue price 124,000,000 Earnings 6,441,544 Total proceeds 130,441,544 Part II, line 3. 2010A bonds Issue price 190,000,000 Earnings 1,511,888 Transferred proceeds 164,510,779 Total proceeds 356,022,667 Part II, line 3. 2012AB bonds Issue price 382,960,937 Earnings 2,157,040 Total proceeds 385,117,977 Part II, line 3. 2012C bonds Issue price 145,000,000 Earnings 184,794 Total proceeds 145,184,794 Part II, line 3. 2014A bonds Issue price 209,030,800 Earnings 450,852 Total proceeds 208,481,652
PART IV, LINE 2C, DATE OF REBATE COMPUTATION	Part 4, line 2C. 2005A 5/12/2010 Part 4, line 2C. 2005C 8/15/2006 Part 4, line 2C. 2009A 4/16/2014

Schedule K (Form 990) 2015

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

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

OMB No. 1545-0047

2015

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), section 501(c)(4), and 501(c)(29) 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 Benefiting 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) 2015

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) Hugo Davalos MD	Trustee	38,966	Family member employed as physical therapist at Inova Alexandria Hospital. Services provided at arm's length and customary rates.		No
(2)					No
(3) Knox Singleton	Officer	13,690	Family member employed as a receptionist at Inova Informatics. 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) 2015

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 990-EZ 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

2015

Open to Public
Inspection

Name of the organization

INOVA HEALTH CARE SERVICES

Employer identification number

54-0620889

Return Reference	Explanation
PART III, LINE 4A	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 2015, ACCESS of Fairfax provided 15,281 emergency room visits and ACCESS of Reston reported 9,386 emergency room visits. Long Term Care Services Assisted Living Facilities IHCS's assisted living facilities provide care and services for adults who need assistance with activities of daily living and 24 hour oversight. They provide accommodations with 402 units. Each community has specialized memory care units and 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 2015 of 163,156. 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 2015, PACE had an enrollment of 119 participants and had $1.3 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 2015, outpatient visits totaled 104,183 with services offered at eleven outpatient centers located throughout Northern Virginia. Areas of specialty include: Physical Therapy (PT), Occupational Therapy (OT), and Speech Language Therapy (SLT). Urgent Care Centers Inova Urgent Care Centers The IHCS mission includes serving the community as a not-for-profit organization through the provision of urgent medical care. In 2015, outpatient visits totaled 124,507 with services being provided seven days a week with no appointment necessary at nine locations. 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 2015 EAP supported 15,076 Inova employees and approximately 184,799 total employees/household members 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. Inova CATS Program (Comprehensive Addiction Treatment Services) is a leader in providing the highest quality addiction treatment services in Northern Virginia and surrounding areas. A series of structured programs offers effective, compassionate treatment for individuals dealing with all forms of substance abuse disorders, including addiction to alcohol, prescription drugs, heroin, cocaine and other drugs. Services are available to adults ages 18 and older. The range of services includes: Inpatient Medical Detoxification, Partial Hospitalization Program, Intensive Outpatient Program, Outpatient Groups, Medication Assisted Therapy and Substance Use Assessments. In 2015, the CATS Inpatient and Partial Hospitalization Program served 7,309 clients and provided 10,867 Intensive Outpatient Services (7,660 at IFH, 1,858 at ILH and 1,349 at IMG). The Kellar Center is a comprehensive, behavioral health treatment center and special education school for children, adolescents and their families. The Kellar Center provides a full continuum of outpatient services for psychiatric disorders, substance use disorders, and behavioral and emotional issues. Services include assessment, psychological testing, educational testing, psychiatric evaluation, medication management, individual, family and group therapy and Intensive In-Home services. For adolescents who require intense mental health interventions, the Center provides an afterschool Intensive Outpatient Program for mental health and co-occurring disorders and a full day Partial Hospitalization Program for adolescents who are in crisis and unable to attend school. The treatment services and programs are provided to children and families regardless of ability to pay. 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 2015, the Kellar Center provided 75,999 hours of programming, treatment and education to children, adolescents and families in the community. The total unreimbursed cost for 2015 was approximately $1.4 million dollars. 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 Level (FPL). In general, free medically necessary care is provided for patients with incomes falling at or below 200% of the FPL; and discounted care is provided for services rendered to patients with incomes falling between 200% and 300% of the FPL.
PART III, LINE 4A	Inova Health System utilizes a multifaceted approach to educate and inform patients and the public about Inova's charity care policy. Upon admission to any Inova hospital 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 the 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 Level). In 2015 IHCS's unreimbursed cost of charity care, including free and discounted services, was $109.1 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, disabled, pregnant women, very low income parents, children and the elderly. The reimbursement that IHCS facilities receive from the Medicaid program routinely falls below the actual cost of services provided. During 2015, IHCS provided care to Medicaid patients at an unreimbursed cost of $63.1 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. WellAware Plus Inova has provided an employee wellness program for several years. In 2015, Inova provided an expanded version of the 'Know Your Numbers' campaign which consists of blood work, biometric screenings, in-person and telephonic wellness coaching, fitness classes and wellness events in Inova's operating units. It is the goal of the wellness coaches to work with employees to establish realistic wellness goals and to support employees while they work towards optimal health. HealthSource HealthSource serves the community as the premier provider of health education and wellness services. Knowing that each individual requires different kinds of support and services to meet their personal wellness needs, HealthSource offers a variety of wellness programming. Our wellness services include, but are not limited to, personal health coaching and prenatal support, childbirth education, life support recertification and first aid, health fair screenings, seminars, health challenges, fitness classes and immunizations. In order to reach people where they are most comfortable, Healthsource holds programs in community settings, at employer worksites, and other easily accessible locations throughout the Northern Virginia and the Greater Metropolitan Washington Area. During 2015, HealthSource served 204,075 participants. Program highlights include: Influenza Vaccination The Inova HealthSource Immunization Program provided 39,595 flu shots at 805 immunization events. Inova HealthSource provides immunizations for Inova employees and physicians, community members and workplaces throughout the metropolitan area. HealthSource administered over 10,678 flu shots to Fairfax County Public School employees at 199 clinics and 3,272 shots at 18 clinics for Loudoun County Public Schools employees. The Workplace and Community Programs The Workplace and Community Program provided over 350 health events that included biometric screenings, seminars, interactive education stations and respiratory fit testing. Clients were located throughout the DC Beltway area and far west into VA. The Care Management Programs continued to provide personalized support and health coaching to encourage health behaviors related to weight management, tobacco cessation, back pain management, pregnancy and breastfeeding. HealthSource coaching supported both Inova employees, their spouses, and community members. 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 health and wellness seminars and screenings, weekly meditation, a walking challenge, and a video tutorial around healthy supermarket strategies. In 2015, the HealthSource Program Manager touched over 1,500 employee lives at Prince William County. Inova employees are encouraged to participate in the Inova WellAware campaign as a way to foster health behaviors. HealthSource played a significant role in the 2015 WellAware campaign by establishing monthly walk breaks for employees around the system, hosting webinars, and offering unique programs like Not So Fat Tuesday and Sun Safety Dermaview skin screenings. HealthSource also partnered with the Inova Central Lab to conduct employee wellness screenings for over 5,175 Inova employees and spouses. The Health Education Program HealthSource provided life support classes for 9,628 students at worksites and in the community. This program maintains an incredible 92% participant satisfaction score. Over 40,638 community members were served through Childbirth Education classes and maternity tours. Classes include education around breastfeeding, baby care, childbirth preparation and new mom support groups. In 2015, HealthSource supported over 1,200 pregnant and/or breastfeeding Inova employees or spouses through the BabyNET email and telephonic support program. An impressive 97% of respondents to a BabyNET satisfaction survey said they would recommend the program to a co-worker or friend. Community members enjoyed about 512 fitness classes at locations throughout the community. Most of the classes were multi-session, usually 8-10 weeks. Over 16,000 participants took part in fitness classes during 2015.
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 A, line 6	The organization has a single member. The sole member is Inova Health System Foundation, a charitable 501(c)(3) tax-exempt organization which serves as the parent company of the integrated health care delivery system. The sole member elects the trustees of the organization and has certain other reserved powers.
Form 990, Part VI, Section A, line 7a	The sole member of the organization, Inova Health System Foundation, is a charitable 501(c)(3) tax-exempt organization. The sole member elects the members of the governing body of the organization periodically as terms expire. The sole member has the right to remove trustees and fill any vacancies on the board.
Form 990, Part VI, Section A, line 7b	The sole member of the organization, Inova Health System Foundation, is a charitable 501(c)(3) tax-exempt organization. The sole member holds reserved powers with respect to certain actions, including approval of borrowings, amendments of Articles of Incorporation and Bylaws. Approval by the Board of Trustees is required for such actions. In addition to the reserved powers, under the laws of the Commonwealth of Virginia certain extraordinary actions require member approval, such as mergers, consolidations, liquidations and the sale of substantially all of the assets of the organization.
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 IMG Executive Committee. The committee is comprised of executive management of the Inova Medical Group. The Fair Market Value (FMV) compensation is based on four nationally recognized industry physician compensation benchmark surveys (MGMA, AMGA, Sullivan & Cotter, Korn Ferry 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 financial statements are posted on the Electronic Municipal Market Access's (EMMA) website on a quarterly basis. 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 -15,666,753. CHANGE IN INVESTMENTS BALANCE -9,016,700. EQUITY IN SUBS 13,936,682. DONATED FUNDS 34,950. CAPITAL REIMBURSEMENT 762,212. PENSION GAIN 29,510,270.
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) 2015

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	20
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	15,313
6	Total number of volunteers (estimate if necessary) .............	6	2,595
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,728,054
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) .........	17,906,198	18,024,509
9	Program service revenue (Part VIII, line 2g) .........	2,153,984,216	2,318,735,608
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-11,256,062	-7,361,700
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	83,567,150	75,694,095
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	2,244,201,502	2,405,092,512
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)	1,000,484,267	1,124,455,739
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)....	1,068,543,847	1,109,154,209
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	2,069,028,114	2,233,609,948
19	Revenue less expenses. Subtract line 18 from line 12.......	175,173,388	171,482,564
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,121,899,625	4,395,162,498
21	Total liabilities (Part X, line 26).............	2,099,090,130	2,178,566,764
22	Net assets or fund balances. Subtract line 21 from line 20.....	2,022,809,495	2,216,595,734

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,863,752,360 including grants of $ ) (Revenue $ 2,387,223,372 )
	Inova Health Care Services (IHCS) is part of the Inova Health System whose mission is to serve the needs of the community by establishing, maintaining, and operating hospital facilities, programs, and other shared service arrangements; carrying on health-related education activities; promoting and carrying on health-related scientific research; and engaging in activities designed and carried on to promote the general health of the community. IHCS includes a centralized System Office and the various unincorporated and incorporated subsidiaries which are described below.The unincorporated subsidiaries of IHCS include: Inova Fairfax Hospital, Inova Mount Vernon Hospital, Inova Fair Oaks Hospital, Inova Alexandria Hospital, ACCESS of Reston, ACCESS of Fairfax, Inova Research Center, Assisted Living Facilities, Inova Physical Rehabilitation Services, Inova Urgent Care Centers, Inova Employee Assistance, and Behavioral Health and Addiction Treatment.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 2015 IHCS admissions and observations cases totaled 111,714, outpatient visits totaled 325,056, emergency visits totaled 317,400 (33,863 of the total ER visits were at the Healthplex) and deliveries totaled 16,065. 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 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 16,000 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 34,917 visits in 2015. 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.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, 2015, total NICU bassinets numbered 85. 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 2015 provided 23,766 visits at an unreimbursed cost of just under $800,000.Cancer Care: Inova Cancer Services ("ICS") operates full-service cancer centers at Fairfax Hospital, Alexandria Hospital, and Fair Oaks Hospital. Fairfax Hospital is designated by the American College of Surgeons Commission on Cancer as a Teaching Hospital Cancer Program, and Alexandria Hospital has a Community Hospital Comprehensive Cancer Program designation. Other System Hospitals meet the American College of Surgeons Community Hospital Cancer Program standards. The System maintains several programs dedicated to different types of cancer, cancer care and cancer risk assessment, including the Inova Breast Care Institute, the Cancer Genetic Counseling Program (hereditary conditions), the Center for Advanced Endoscopy (digestive tract), the Center for Interventional Oncology (liver, bile duct and pancreas), the Transplant Center's stem cell and bone marrow transplantation services (lymphoma, leukemia or multiple myeloma), the Thoracic Oncology Program (lung and esophageal cancer), and Life with Cancer (support and education to cancer patients). 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.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	Research and Education ServicesThe Inova Research Center (IRC), including research and academic activities, is centered on the Inova Fairfax Hospital campus. In 2015, the Inova campus of the Virginia Commonwealth University School of Medicine had a total of 28 third year and 24 fourth year medical students who spent their clerkship years at Inova Fairfax Hospital. In addition, 500 students came to Inova Fairfax Hospital for a four week rotation in 2015. Also located on the Inova campus is the VCU School of Pharmacy which partners with clinicians and practitioners across Inova and Northern Virginia to help educate and train an increasing number of pharmacy students each year. In 2015, nearly 100 third and fourth year pharmacy students completed didactic and experiential learning experiences across Northern Virginia with the Inova Health System. Pharmacy practitioners precepted nearly 150 Introductory Pharmacy Practice Experiences (IPPEs) and Advanced Pharmacy Practice Experiences (APPEs), with the majority of students from VCU and a smaller contingent from Shenandoah, Butler and the Massachusetts College of Pharmacy.In addition, there are pharmacy post-graduate training opportunities offered at both Inova Fairfax Hospital and Inova Alexandria Hospital. Inova Fairfax Hospital offers 4 PGY-1 Pharmacy Practice Residency positons, as well as a PGY-2 Emergency Medicine Pharmacy Residency position. Inova Alexandria offers 2 PGY-1 Pharmacy Practice Residency positions.The Claude Moore Health Education Center on the campus of Inova Fairfax Hospital features 11,000 square feet of 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. The Center also features a dedicated research floor 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 2015 was $9.3 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 2015, approximately $32.4 million was provided in operational 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 705 Residents/Fellows trained throughout the year, and 552 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 2015 was $13.6 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 2015, Inova provided over 204,000 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 $17.3 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 Level (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 2015, the InovaCares Clinic for Women had 34,917 visits.The InovaCares Clinic for Children was created in 1993 as a response to the inability of 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 2015, the InovaCares Clinics for Children provided 23,766 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 1,638 persons living with HIV disease in the suburban Virginia region. To maximize accessibility for clients, services are provided at the main location in Fairfax, as well as six satellite clinics (Dumfries, Manassas, Mt. Vernon, Arlington/Falls Church, Leesburg, and Herndon), hospitals, homes and other community locations throughout the region. The Inova Juniper Program Arlington clinic relocated to Falls Church in 2015. This relocation brought the clinic closer to a metro stop, making it much more convenient for clients to access. All services offered at the Arlington clinic continue to be offered in Falls Church.Major accomplishments of IJP for 2015 include:Served 1,638 patients, providing 39,167 services.Continues to maintain a 0% HIV transmission rate from pregnant mothers to their newborn babies.Conducted 123 educational programs reaching 1,620 participants, and provided 158 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 Cancer The mission of Life with Cancer (LWC) is to enhance the quality of life of those individuals in the community affected by cancer. The program addresses the specific needs 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 2015, Life with Cancer offered: 2,075 educational classes, groups, and wellness programs, with 11,685 visits. In addition, 11,531 counseling or consultation sessions were provided by oncology nurse navigators and oncology therapists serving 12,513 people. Programs targeting youth served 3,813 children, teens and parents at 3,480 support & education group sessions, counseling sessions and the Conference for the Pediatric, Adolescent and Young Adult (AYA) Cancer.A total of 714 participated in Hispanic programs which included the 6th Annual Hispanic Survivorship Conference -Spanish language cancer support groups, educational sessions (Tomando Control De Su Salud & Luzca Bien Sientase Major), weekly Zumba classes The Hispanic program coordinators navigated and / or counseled 835 clients during 578 sessions. LWC participated in various other Community Outreach activities reaching almost 2,500 people. A total of 34,628 service hours for 30,970 people in the Northern Virginia area were provided. Lions Eye ClinicAdministered by Inova Health System, the Ophthalmology Clinic provides ophthalmic specialty services to the indigent including treatment of glaucoma, retina, and cataracts. IHS provides a part-time ophthalmologist, an ophthalmic technician, and a receptionist for the clinic. The remaining physicians volunteer their services. In 2015, the clinic had 4,185 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 216 case management cases and a total of 1,758 home visits for all programs during 2015.Inova Center for Wellness and Metabolic HealthThe Inova Center for Wellness and Metabolic Health provides endocrinology medical visits, diabetes education and medical nutrition therapy. Endocrinology visits are provided by a Board Certified Endocrinologist and an experienced Nurse Practitioner. The providers see patients for many endocrine issues and are not limited to diabetes.The Center is recognized by the American Diabetes Association for diabetes education which is provided by Registered Nurses and Registered Dieticians. Staff members are either Certified Diabetes Educators or are in the process of achieving this designation. During 2015 the Centers were able to standardize offerings at all of the sites. It was felt that this would be more convenient for participants and that services would be more accessible for those in need. Center locations include: Fairfax, Fair Oaks, and Leesburg. In 2015, the Inova Centers for Wellness and Metabolic Health provided 5,721 participant visits in Fairfax Centers and another 1,399 at the Loudoun site.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 some indigent patients to and from IHCS facilities and programs. Inova Fairfax Hospital 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 Hospital 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 expenses1,863,752,360

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	8,877,630	14,239,815	3,661,730

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	7,350,876
e	Government grants (contributions)		1e	10,673,633

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		18,024,509

		Business Code
2a	Net Patient Service Revenue	900099	2,303,068,855	2,303,068,855
b	Inova Reston MRI LLC	621400	6,692,616	6,692,616
c	Northern Virginia Surgery Center	621400	3,636,472	3,636,472
d	Technical Dynamic, LLC	811000	3,461,237	3,461,237
e	Franconia-Springfield Surgery Cen	621400	2,715,769	2,715,769
f	All other program service revenue.			-839,341	403,491	-1,242,832
g Total.Add lines 2a–2f.....			2,318,735,608

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			406,581			406,581
4 Income from investment of tax-exempt bond proceeds			490,093			490,093
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		10,906,645
b	Less: rental expenses		13,686,742
c	Rental income or (loss)		-2,780,097
d	Net rental income or (loss)......			-2,780,097			-2,780,097
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses		8,258,374
c	Gain or (loss)		-8,258,374
d	Net gain or (loss).....			-8,258,374	-8,258,374
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..
Business Code			Miscellaneous Revenue
11a	OTHER OPERATING REVENUE		900099	71,882,842	69,122,686	2,760,156
b	COMMUNITY BLOOD SERVICES		900099	6,380,620	6,380,620
c	LAUNDRY SERVICES		812300	210,730		210,730
d	All other revenue ....
e	Total. Add lines 11a–11d ......			78,474,192
12	Total revenue. See Instructions......			2,405,092,512	2,387,223,372	1,728,054	-1,883,423

1	Grants and other assistance to domestic organizations and domestic governments. 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 ....	1,778,757	1,778,757
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	927,997,868	777,813,799	150,184,069
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	49,129,095	38,985,379	10,143,716
9	Other employee benefits .......	84,443,442	67,284,168	17,159,274
10	Payroll taxes ...........	61,106,577	51,046,268	10,060,309
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	4,348,936	2,109,952	2,238,984
c	Accounting ...........	2,913,814	69,374	2,844,440
d	Lobbying ...........	249,843	249,843
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)	146,364,847	93,124,038	53,240,809
12	Advertising and promotion ....	13,295,808	3,720,703	9,575,105
13	Office expenses .......	3,352,445	1,398,799	1,953,646
14	Information technology ......	27,178,823	9,245,816	17,933,007
15	Royalties ..
16	Occupancy ...........	38,069,496	31,984,472	6,085,024
17	Travel ............	3,350,058	2,181,103	1,168,955
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	3,861,656	2,239,023	1,622,633
20	Interest ...........	22,337,312	4,137,034	18,200,278
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	146,094,768	101,363,598	44,731,170
23	Insurance ...	11,522,824	11,069,277	453,547
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	358,711,056	357,663,659	1,047,397
b	OTHER PURCHASED SERVICE	148,828,061	147,943,763	884,298
c	BAD DEBT EXPENSE	72,884,125	72,876,045	8,080
d	PHYSICIAN FEES	65,500,527	65,208,051	292,476
e	All other expenses	40,289,810	20,259,439	20,030,371
25	Total functional expenses. Add lines 1 through 24e	2,233,609,948	1,863,752,360	369,857,588	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).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			233,129,597	2	196,855,753
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			202,049,291	4	229,975,018
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 ....			20,374,425	7	14,079,958
8	Inventories for sale or use ........			18,976,793	8	21,785,071
9	Prepaid expenses and deferred charges ......			49,416,166	9	50,968,516
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	3,062,025,694
b	Less: accumulated depreciation	10b	1,833,290,568	1,048,751,535	10c	1,228,735,126
11	Investments—publicly traded securities .			342,652,288	11	183,729,207
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 ...........			2,206,549,530	15	2,469,033,849
16	Total assets. Add lines 1 through 15 (must equal line 34)...			4,121,899,625	16	4,395,162,498

17	Accounts payable and accrued expenses .....	264,778,245	17	262,591,064
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	1,546,428,086	20	1,507,788,070
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	287,883,799	25	408,187,630
26	Total liabilities. Add lines 17 through 25..	2,099,090,130	26	2,178,566,764

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	2,022,787,771	27	2,216,574,010
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 ...........	2,022,809,495	33	2,216,595,734
34	Total liabilities and net assets/fund balances ........	4,121,899,625	34	4,395,162,498

(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	21,958,381	101,370,924	INOVA HEALTH CARE SERVICES
(2) SPRINGFIELD HEALTHPLEX CONDOMINIUM DEVELOPMENT LLC 8110 GATEHOUSE ROAD FALLS CHURCH,VA22042 27-4533736	REAL ESTATE	VA	2,539,396	11,031,463	INOVA HEALTH CARE SERVICES
(3) FC GATEWAY ASSOCIATES LLC 8110 GATEHOUSE ROAD FALLS CHURCH,VA22042 46-1280044	REAL ESTATE	VA	820,886	282,378	INOVA HEALTH CARE SERVICES

(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 3023 HAMAKER COURT FAIRFAX,VA22031 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

(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	3,461,237	29,978		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	-1,114,377	1,612,941		No		Yes		65.470 %
(3) NORTHERN VIRGINIA SURGERY CENTER 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 20-3502477	SURGERY CENTER	VA	N/A	RELATED	3,636,472	3,017,422		No		Yes		60.110 %
(4) FRANCONIA-SPRINGFIELD SURGERY CENTER LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-2018390	SURGERY CENTER	VA	N/A	RELATED	2,715,769	1,270,469		No		Yes		60.400 %
(5) POTOMAC INOVA HEALTHCARE ALLIANCE LLC 8110 GATEHOUSE ROAD SUITE 400W FALLS CHURCH,VA22042 54-1802733	RADIATION ONCOLOGY	VA	N/A	RELATED	119,759	1,652,608		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	6,692,616	4,672,832		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	1,403,432	7,631,692		No		Yes		60.000 %

(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	7,350,876	GENERAL LEDGER
(2) INOVA HEALTH SYSTEM FOUNDATION - CASH SWEEP ACCOUNT	R	185,329,617	INTERCOMPANY BALANCE
(3) INOVA HEALTH SYSTEM FOUNDATION	M	8,939,372	GENERAL LEDGER

(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