Inova Vna Home Care

What it reported doing in 2020

The mission of inova home health is to provide quality in-home care and improve the health of the diverse community it serves. Services include skilled nursing care (assessment and teaching, medication counseling, telehealth, and procedures), rehabilitation therapy (physical and occupational therapy, speech and language pathology), clinical nursing specialty care (infusion therapy, behavioral health, wound/ostomy care, cancer, cardiac, pulmonary and diabetic care), social work services provided by medical social workers, and personal care provided by home health aides. Care is delivered 24 hours a day, seven days a week across northern Virginia using a team-centered approach to ensure delivery of comprehensive, coordinated health care services.total home health visits for 2020 were 111,113.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" refers to conditions which, if not promptly treated, would lead to an adverse change in the health status of a patient. Free care is provided to uninsured or underinsured individuals with family incomes at or below 400% of the current federal poverty guidelines (fpg).3. In 2020, the fap expanded eligible residency by reducing the time of residency from 9 months to 90 days.inova health system utilizes a multifaceted approach to educate and inform patients and the public about inova's financial assistance policy (fap) or sometimes referred to as the charity care policy. Information regarding this policy is kept up to date on the inova website and through signage. 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 whether or not they qualify for charity care.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. While Virginia medicaid coverage was expanded in 2019 to increase the number of eligible individuals, the reimbursement that ihcs facilities receive from the medicaid program routinely falls below the actual cost of services provided.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 the 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.

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 86.1%; rating input score 86
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd 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: 0%; rating input score 0; 6th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -23.7%; rating input score 13; 13th percentile among comparable filings
• Total-asset coverage ratio: 0; rating input score 1; 1st percentile among comparable filings
• Liabilities to assets ratio: Limited
• Officer compensation ratio: 227.8%; rating input score 0; 0th percentile among comparable filings

Growth

• Program expense growth: -24.5% per year; rating input score 0; 7th percentile among comparable filings
• Revenue growth: -13% per year; rating input score 0; 8th percentile among comparable filings
• Asset growth: -15.3% per year; rating input score 0; 4th percentile among comparable filings