Inova Health Plan Llc

Nonprofit profile at a glance

EIN
201581237
IRS 990 coverage
2014–2020
Forms available
Form 990 2020
Location
Falls Church, VA, USA
Phone
7032892433
Rating confidence
Limited
Sector
Health, General and Financing

Reported finances

Revenue
$0
Expenses
$0
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2020. Amounts in USD.

Leadership & pay

2 people listed

Executive titles in this filing

  • J STEPHEN JONES (CEO)

Highest reported compensation

  • J STEPHEN JONES (CEO): $4,347,744 total reported compensation
  • MARK STAUDER (FORMER OFFICER): $837,187 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2020. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Inova Health Plan's charitable mission is to improve the health of its members, the quality of their health care, and the accessibility of health care services for Medicaid consumers through its broad state-wide network, including primary care and specialist physicians, hospitals, nursing facilities, home health care agencies, and other medical providers who provide medical care as well as assist in the coordination of member care.

What it reported doing in 2020

Inova Health Plan, LLC was a Medicaid managed care health insurance plan licensed by the Commonwealth of Virginia. The Plan served approximately 60,000 Temporary Assistance for Needy Families, Children's Health Insurance Program recipients, and Supplemental Security Income/Aged, Blind and Disabled members through the Medallion 3.0 and Family Access to Medical Insurance Security programs until the plan was sold to United Healthcare effective October 31, 2017. The Plan voluntarily surrendered its insurance license effective December 26, 2018 and had no members and no active business during 2020.

Operating model

Revenue model
No positive adjusted resources. The filing reports no positive adjusted operating resources.
Distribution model
No current program activity. The filing reports no program spending for the current year.

The verdict

- The available evidence is not sufficient to produce an overall rating for this filing. This is not a warning sign.

Rating breakdown

  • Financial Efficiency: NotEnoughData
  • Transparency & Controls: 49
  • Accountability: 37
  • Sustainability: NotEnoughData
  • Growth: 0

Detailed rating inputs

Financial Efficiency

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

Transparency & Controls

  • Consistency checks: 81.8%; rating input score 82; 2nd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: Limited
  • Governance controls: 7 of 9 controls in place; rating input score 88
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Limited
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: Limited
  • Total-asset coverage ratio: Limited
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: Limited

Growth

  • Program expense growth: -40.4% per year; rating input score 0; 12th percentile among comparable filings
  • Revenue growth: -41.3% per year; rating input score 0; 11th percentile among comparable filings
  • Asset growth: -38.1% per year; rating input score 0; 3rd percentile among comparable filings

Details

  • Where the money goes: Financial trends and filed revenue, expense, asset, and liability detail
  • Governance: 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment
  • Leadership: top reported pay $4.3M · 2 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 10 of 11 current checks pass · 1 finding to review
  • Schedules: 6 filed schedules · includes executive pay
  • Filing history: 6 filing years from 2014 to 2020
  • Contacts: How to reach this organization
  • Related organizations: 6 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: CEO compensation review process not reported.
  • High — Growth: Program expense growth scored 0/100.
  • High — Growth: Revenue growth scored 0/100.
  • Moderate — Transparency & Controls: Series filing activity did not reconcile in the filed values.
  • High — Growth: Asset growth scored 0/100.