Inova Physical Rehabilitation Services

What it reported doing in 2010

Inova Physical Rehabilitation Services (IPRS) is part of the Inova Health System whose mission and vision is to provide world class comprehensive physical rehabilitation and preventative services to the community that is accessible, cost-effective and state of the art. By utilizing evidence-based care and education we aim to improve functional outcomes and quality of life of the diverse population we serve.IPRS promotes and conducts specific research and educational activities related to the care of the sick and injured. In 2010 outpatient visits totaled 104,640 with services offered at twelve outpatient centers located throughout Northern Virginia. Areas of specialty include: Physical Therapy (PT) - Promotes healing in people recovering from illness, injury, orthopedic, and sports or neurologic conditions such as stroke. Physical therapy is also key to preventing future injury through strength and flexibility development and patient education.Occupational Therapy (OT) - Provides training in motor skills and teaches compensatory strategies that increase the ability to be as independent as possible. Programs are designed around activities of daily living, assistive device training, body mechanics, neuromuscular retraining and sensory integration.Speech Language Therapy (SLT) - Provides communication and swallowing assessment and treatment for patients of all ages. Services include speech and language treatment, swallowing (dysphagia) evaluation/treatment and cognitive/language rehabilitation.Financial Assistance/Charity CareAll Inova facilities, including the IPRS facilities, provide financial assistance/charity care in accordance with Inova policies which ensure access to medically necessary care for all individuals. Financial assistance/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 financial assistance/charity care policy. Inova has information posted at patient access sites regarding the availability of financial assistance/charity care and patient rights and responsibilities. In addition, Inova provides information about its financial assistance/charity care program and referrals to Inova financial counselors who assist patients in completing Inova's financial assistance/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 financial assistance/charity care for which they are qualified (whether it be 100% coverage or a sliding scale payment based upon their income level between 200-300% of the Federal Poverty Guideline).In 2010, IPRS' unreimbursed cost of charity care, including free and discounted services, was approximately $230,000, providing treatment for 484 patients.Medicaid Established under Title XIX of the Social Security Act, this program provides assistance for the medically indigent, including those who cannot p

Financial Efficiency

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

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 59th 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: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 33.3%; rating input score 33; 7th 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: 1.3%; rating input score 45; 45th percentile among comparable filings
• Total-asset coverage ratio: 1.1; rating input score 47; 47th percentile among comparable filings
• Liabilities to assets ratio: 0.11; rating input score 70; 70th percentile among comparable filings
• Officer compensation ratio: 11.6%; rating input score 17; 17th percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: Limited
• Asset growth: Limited