INOVA HEALTH CARE SERVICES

EIN: 540620889 501(c)(3) Health Care

FAIRFAX, VA

Total Revenue
$5,667,336,357
Total Expenses
$5,406,947,957
Total Assets
$7,346,820,217
Net Assets
$4,233,673,162
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Financial Trends

Organization Details

Formation Year
1956
Legal Domicile
VA
Principal Officer
J Stephen Jones MD
Phone
5714728123
Tax Period
2023-01-01 to 2023-12-31

INOVA HEALTH CARE SERVICES, founded in 1956, is a large national nonprofit in the Health Care sector that reported $5.7B in total revenue in fiscal year 2023. Revenue grew 12% year-over-year, indicating healthy expansion. Expenses of $5.4B left a modest 5% surplus.

Mission

IHCS was specifically chartered for the purpose of serving the health care needs of the community by establishing, maintaining, and operating hospital facilities, programs, and other shared service arrangements; carrying on health-related education activities; promoting and carrying on health-related scientific research; and engaging in activities designed and carried on to promote the general health of the community. IHCS includes a centralized System Office and the various unincorporated and incorporated subsidiaries which are described below.The unincorporated divisions 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 Service Accomplishments

Program 1
Expenses: $4,514,850,743 Revenue: $5,483,785,751

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...

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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 conducting scientific research; and engaging in activities designed to promote the general health of the community. Three out of five of Inova Health System's hospitals have been rated with 5 out of 5 stars in the most recent Centers for Medicare & Medicaid Services (CMS) Five-Star Quality Rating System report. A CMS five-star quality rating is based on extensive data that measures patient experience, infection rates, readmissions and mortality.IHCS includes a centralized System Office and the various unincorporated and incorporated subsidiaries. The unincorporated subsidiaries of IHCS include: Inova Fairfax Hospital, Inova Mount Vernon Hospital, Inova Fair Oaks Hospital, Inova Alexandria Hospital, Inova Loudoun 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, one campus in Loudoun 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 2023, IHCS admissions and observations cases totaled 115,049, outpatient visits totaled 684,378, emergency visits totaled 382,533 (29,626 of the total ER visits were at the Springfield Healthplex, 22,622 at the Lorton Healthplex, and 16,480 at the Ashburn Healthplex) and deliveries totaled 16,084. The acute care program services provided by these hospitals are described more fully below. Inova Fairfax Hospital (IFH) includes the Inova Schar Heart and Vascular, Inova Women's Hospital, Inova Fairfax Hospital for Children, and the Inova Schar Cancer Institute. The hospital, located in Central Fairfax County is a 928-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. During 2020, as part of the "Pandemic Response Executive Order 52", IFH shifted 20 beds from IFH to Inova Loudoun Hospital (ILH). During 2023, IFH had an additional 115 beds in service in response to COVID-19 cases. Inova Fairfax Hospital is the home of Northern Virginia's only Level 1 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 medical residency, nursing, and paramedical education programs.Inova Mount Vernon Hospital (IMVH) is a 225 licensed bed acute-care hospital serving Southeastern Fairfax County. Inova Mount Vernon Hospital 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). Inova Mount Vernon Hospital also operates the Lorton Healthplex, a 24-hour free standing emergency facility and the Inova Center for Rehabilitation, a nationally-known accredited program providing inpatient and outpatient rehabilitative services.Inova Fair Oaks Hospital (IFOH) is a top-ranked 174-bed acute care community hospital serving the rapidly growing suburbs of Northern Virginia. Signature service lines include spine, weight loss, joint replacement, and minimally invasive surgery. During 2020, as part of the "Pandemic Response Executive Order 52", IFOH shifted 8 beds from IFOH to ILH. State-of-the-art cancer care and maternity services are also signature offerings. Inova Fair Oaks Hospital is a fully accredited Comprehensive Center for Bariatric Surgery. Inova Alexandria Hospital (IAH) is a 302-licensed bed general acute care hospital, which opened on January 23, 1873. Inova Alexandria Hospital 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. Inova Loudoun Hospital (ILH) is a 211-licensed bed general acute care hospital, which first opened its doors in 1912. During 2020, as part of the "Pandemic Response Executive Order 52", ILH received 20 beds from IFH and 8 beds from IFOH. These were added to bring the total licensed-beds from 183 to 211. ILH is a Level 3 trauma center and provides a full-service 24-hour emergency department as well as two freestanding emergency rooms; 23 intensive care beds; 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, and comprehensive outpatient services including outpatient surgery, physical medicine and rehabilitation services, and radiation therapy. In addition, obstetrical and pediatric services are provided by ILH's Ladies' Board Birthing Inn, a pediatric emergency department and an inpatient pediatric unit. Specific acute care programs include:Cardiovascular CareInova Schar Heart and Vascular ("ISHV") offers a variety of services at all five Inova hospitals and over 50 outpatient locations throughout the Northern Virginia region. Inova Fairfax Hospital is home to ISHV's dedicated heart hospital, which serves as the hub of the system's cardiac, vascular, and pulmonary services. ISHV's clinical capabilities cover the full spectrum of complex cardiovascular and pulmonary care from medical evaluation and diagnostic testing through the most innovative minimally invasive surgical techniques and complex open surgeries, including heart and lung transplantation. ISHV's outstanding performance has been recognized by many measures, including U.S. News & World Report (2023-2024) rankings as "High Performing" in seven cardiac specialties: abdominal aortic aneurysm (AAA) repair, aortic valve surgery, heart attack, heart bypass surgery, heart failure and transcatheter aortic valve replacement (TAVR). ISHV has also achieved recognition from the American College of Cardiology as a "Proven Quality Program" for its participation and performance in the National Cardiovascular Data Registry (NCDR) database, 3-star ratings (the highest rating) from the Society of Thoracic Surgeons, and ratings from Healthgrades as one of "America's 100 Best Hospitals for Cardiac Care", "America's 50 Best Hospitals for Cardiac Surgery and "Pulmonary Care Excellence Award". The AHA recognized ISHV as a Mitral Valve Repair Reference Center Award and Extracorporeal Life Support Organization (ELSO) awarded ISHV as a Platinum Award of Excellence. ISHV is ranked among the nation's top performing hospitals for patient safety, patient satisfaction, and clinical outcomes.ISHV is also a leader in minimally invasive heart valve repair and surgery. Inova Schar Heart and Vascular operates one of the country's busiest structural heart programs in the country, performing minimally invasive transcatheter procedures to treat valvular heart disease and other heart defects. Additionally, ISHV is amongst the top programs in the nation for total number of Heart Transplants, with excellent outcomes, making Inova one of the top heart transplant programs in the country. The ISHV multidisciplinary cardiogenic shock team is a model of excellence having set a new standard for patient survival rates. The robust Cardiology and Advanced Lung Research Programs provide innovative research to keep ISHV on the leading edge of diagnosis and treatment options for the community.The Inova Heart & Vascular Institute had over 753,287 patient encounters in 2023 at its five hospitals, 50+ ambulatory offices, and 20 non-invasive cardiovascular imaging and diagnostic service locations.

Program 2
Expenses: $38,735,438 Revenue: $28,641,316

Inova Research Center - Medical Students The Inova Research Center (IRC), including research and academic activities, is centered at Inova Fairfax Hospital. In 2023, The Inova Campus of the...

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Inova Research Center - Medical Students The Inova Research Center (IRC), including research and academic activities, is centered at Inova Fairfax Hospital. In 2023, The Inova Campus of the University of Virginia had a total of 47 third year and 36 fourth year medical students who spent their clerkship and fourth year at Inova Fairfax Hospital. In addition, 273 students came to Inova Hospitals for a four-week rotation in 2023.Pharmacy Students and ResidentsAlso 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 numerous pharmacy students each year. In 2023, 53 third and fourth year pharmacy students completed didactic and experiential learning experiences across Northern Virginia with the Inova Health System. Pharmacy practitioners precepted 93 Introductory Pharmacy Practice Experiences (IPPEs) and Advanced Pharmacy Practice Experiences (APPEs) for VCU School of Pharmacy students. Shenandoah School of Pharmacy opened a campus at the Inova Center for Personalized Health (ICPH) in 2017. During 2023, Inova pharmacy practitioners and Shenandoah faculty collectively precepted 10 IPPE's and 62 APPE's.Additionally, Inova has a total of 12 pharmacy post-graduate training opportunities offered across 4 locations. Inova Fairfax Hospital (IFH): 4 PGY-1 Pharmacy Practice Residency 1 PGY-2 Emergency Medicine Pharmacy Practice Residency 0 PGY-2 Critical Care Pharmacy Practice Residency - one-year pause in 2023 Inova Alexandria Hospital (IAH): 2 PGY-1 Pharmacy Practice Residency Inova Mount Vernon Hospital (IMVH): 2 PGY-1 Pharmacy Practice Residency Inova Health System: 1 PGY-2 Ambulatory Care Pharmacy Practice Residency 2 PGY-1 Community Pharmacy Residency 1 PGY-2 Medication-use Safety ResidencyThe Claude Moore Health Education CenterThe 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 features two dedicated research floors to support the extensive activities of the Office of Research at Inova where numerous active clinical trials and ongoing outcomes and laboratory research projects are conducted. Many of these clinical and research opportunities are conducted in partnership with universities and other research entities. The unreimbursed cost of these programs in 2023 was $10.1 million. Residents/FellowsInova sponsors accredited residency training programs in: Family Medicine, Pediatrics, General Surgery, Internal Medicine, OB/GYN, Neurosurgery and Podiatry. In addition, Inova also sponsors accredited fellowships in Surgical Critical Care, Pediatric Emergency Medicine, Pediatric Hospitalist Medicine, Cardiology, Hematology/Oncology, Orthopedic Sports Medicine, Family Sports Medicine, Breast Surgery, Maternal Fetal Medicine and Bariatric surgery. Inova supports training programs from affiliates in Emergency Medicine, Psychiatry, Orthopedics, Ophthalmology, Family Practice, Critical Care, Anesthesia, PM&R and a number of other medical and surgical specialties. Inova also supports integrated fellowships with National Capital Consortium in Vascular Surgery, Female Pelvic Medicine and Reconstructive Surgery, and Gynecology/Oncology. In all, Inova trained 732 individual residents/fellows (271 FTEs) from 34 specialties in 2023. 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 direct cost of these programs in 2023 was approximately $21.9 million.

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Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $63,321,186
Program Service Revenue $5,264,468,782
Investment Income $78,470,904
Other Revenue $261,075,485
TOTAL REVENUE $5,667,336,357

Expense Breakdown

Grants Paid $0
Salaries & Benefits $2,929,059,891
Fundraising Expenses $0
Program Expenses $4,553,586,181
Other Expenses $2,477,888,066
TOTAL EXPENSES $5,406,947,957

Year-over-Year Comparison

2023 2022 Change
Revenue $5,667,336,357 $5,068,330,080 +0.1%
Expenses $5,406,947,957 $4,952,842,506 +0.1%
Net Income $260,388,400 $115,487,574 +1.3%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Governance

Voting Members
3
Independent Members
N/A
Employees
27723
Volunteers
1450

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
4
$11,132,130
Total Directors
3
$8,946,342
Key Employees
9
$13,067,993
Highest Compensated
5
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
J STEPHEN JONES MD PRESIDENT/CEO 35.00
Officer Director
$5,480,396 $70,495 $5,550,891
JOHN GAUL SECRETARY 35.00
Officer Director
$1,217,563 $256,021 $1,473,584
ALICE POPE TREASURER-CFO 35.00
Officer Director
$1,619,969 $301,898 $1,921,867
STEPHEN MOTEW CHIEF CLINICAL ENTERPRISE 40.00
Officer
$1,841,518 $344,270 $2,185,788
JOHN MOYNIHAN PRESIDENT SURGICAL SERVICE 40.00
Key Emp
$1,317,222 $91,777 $1,408,999
ANUJ NARANG PRESIDENT IFMC & PEDIATRIC SERVICE 40.00
Key Emp
$1,379,053 $307,996 $1,687,049
NILESH VYAS DIVISION CHIEF 40.00
Key Emp
$1,459,225 $93,320 $1,552,545
ZOBAIR YOUNOSSI PRESIDENT INOVA MEDICINE 40.00
Key Emp
$1,258,858 $92,480 $1,351,338
HARVEY MCDUFFIE SVP PRESIDENT INOVA REALTY 40.00
Key Emp
$1,082,426 $71,974 $1,154,400
SUSAN CARROLL PRESIDENT ILH 40.00
Key Emp
$965,090 $211,214 $1,176,304
TERRI FEELY CHIEF PEOPLE OFFICER IHS 40.00
Key Emp
$1,215,529 $287,161 $1,502,690
TONI ARDABELL CHIEF CLINICAL ENTERPRISE OPERATIONS 40.00
Key Emp
$1,776,758 $71,876 $1,848,634
DAVID QUIRKE EVP CIO 40.00
Key Emp
$1,379,187 $6,847 $1,386,034
JAMES ECKLUND PRESIDENT NEUROSCIENCES 40.00
Highest
$2,749,469 $97,545 $2,847,014
JOHN HAMILTON PHYSICIAN 40.00
Highest
$2,145,419 $102,021 $2,247,440
CHRISTOPHER O'CONNOR PRESIDENT IHVI 40.00
Highest
$1,758,228 $57,302 $1,815,530
JAMES ST LOUIS PHYSICIAN 40.00
Highest
$1,799,324 $74,171 $1,873,495
ROBIN WEST PRESIDENT MUSCULOSKETETAL 40.00
Highest
$1,805,775 $80,465 $1,886,240
CHRISTOPHER CHIANTELLA FORMER CHIEF MEDICAL OFFICER 40.00
$540,706 $89,727 $630,433
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2024 No data No data No data No data
2023 $5,667,336,357 $5,406,947,957 $7,346,820,217 $260,388,400
2022 $5,068,330,080 $4,952,842,506 $7,072,230,197 $115,487,574
2021 $4,432,994,698 $4,216,192,995 $6,535,236,447 $216,801,703
2020 $3,834,513,226 $3,544,490,528 $6,418,021,982 $290,022,698
2019 $3,233,381,886 $3,074,752,381 $5,237,587,498 $158,629,505
2018 $3,058,952,450 $2,893,875,679 $5,112,809,613 $165,076,771
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