Inova Alexandria Hospital

What it reported doing in 2012

Inova alexandria hospital (iah) is part of the inova health system whose mission is to serve the community as a not-for-profit organization through the provision of a full spectrum of high quality and accessible healthcare services. 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. In 2012 the hospital had 16,195 admissions excluding newborns, 3,884 observation cases, and 74,354 patient days excluding newborns. Hospital emergency room visits totaled 109,273 (41,443 of the total ed visits at the healthplex); and there were 102,098 outpatient visits during the year. Specific acute care programs cardiovascular care: the inova heart and vascular institute at iah, opened in october 2004, houses ten inpatient beds, two cardiovascular operating rooms, one cardiac catheterization lab, one electrophysiology lab, three interventional radiology labs, one minor procedure room, outpatient clinics, cardiac rehabilitation and educational facilities. Women's health: iah offers a full range of obstetric services including delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, as well as regular and specialty nursery care. In 2012, iah had 3,781 deliveries at the hospital. There is a prenatal diagnostic center and a 16 bed, level iii nicu.. 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. Cancer care: iah, a community hospital comprehensive cancer program designee, features a full service cancer center including medical and surgical oncology and radiation therapy. Iah cancer services provide a full range of imaging techniques to detect and stage cancer, as well as plan treatment. These include general radiological studies, magnetic resonance imaging (mri), computed tomography (ct) and positron emission tomography (pet). Iah also features the varian trilogy linear accelerator technology, sir-spheres technology and offers prostate seed implants. Charity care all inova facilities, including the iah facilities provide charity care in accordance with inova policies ensuring access to medically necessary care for all individuals. Charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. These policies include the following key provisions:1. Emergency care shall be provided to all persons regardless of their ability to pay.2. Non-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and access facilities to medically indigent patients. "medically necessary care" refers to inpatient and outpatient services defined as medically necessary by the federal medicare program. "medically indigent" is defined as those patients whose income falls at or below 300% of the federal poverty guideline (fpg). In general, free medically necessary care is provided for patients with incomes falling below 200% of the fpg; and discounted care is provided for services rendered to patients with incomes falling between 200% and 300% of the fpg.inova health system utilizes a multifaceted approach to educate and inform patients and the public about inova's charity care policy. Upon admission to any inova hospital, nursing home or any visit to outpatient facilit

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: Limited
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: 6 of 6 controls in place; rating input score 100
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 33.3%; rating input score 33; 9th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 10.9%; rating input score 81; 81st percentile among comparable filings
• Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
• Liabilities to assets ratio: Limited
• Officer compensation ratio: 1.4%; rating input score 66; 66th percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: 7% per year; rating input score 100; 68th percentile among comparable filings
• Asset growth: -71.1% per year; rating input score 0; 0th percentile among comparable filings