Loudoun Hospital Center Dba Inova Loudoun Hospital

Nonprofit profile at a glance

EIN
540525802
IRS 990 coverage
2014–2019
Forms available
Form 990 2019
Location
Falls Church, VA, USA
Phone
7038586000
Rating
71
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospital, General

Reported finances

Revenue
$391,757,618
Expenses
$316,315,635
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2019. Amounts in USD.

Leadership & pay

28 people listed

Executive titles in this filing

  • J STEPHEN JONES (CEO, PRESIDENT)
  • DEBORAH ADDO (PRESIDENT ILH, SECRETARY)

Highest reported compensation

  • J STEPHEN JONES (CEO, PRESIDENT): $3,391,966 total reported compensation
  • RICHARD MAGENHEIMER (CFO, TREASURER, ENDING 6-4-19): $2,517,437 total reported compensation
  • LORING FLINT (EVP CMO FORMER, ENDING 6-1-19,): $1,455,466 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2019. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Inova loudoun hospital's mission is to provide acute care and other appropriate hospital services dedicated to providing quality care and improving the health of the diverse communities it serves.

What it reported doing in 2019

Inova loudoun hospital (ilh) is part of the inova health system whose mission is to serve the northern Virginia community as a not-for-profit organization through the provision of high quality and accessible healthcare services. Ilh was specifically chartered for the purpose of serving the health care needs of loudoun county, Virginia, by establishing, maintaining and operating hospital facilities, programs and other shared service arrangements; facilitating health-related education activities; and engaging in activities designed to promote the general health of the community. Ilh has been rated with 5 out of 5 stars in the most recent centers for medicare & medicaid services (cms) five-star quality rating system report. Inova loudoun hospital is a 183-licensed bed general acute care hospital, which first opened its doors in 1912. Ilh 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. In 2019, the hospital had 18,934 admissions and observation cases and 52,369 patient days excluding newborns. Emergency room visits totaled 77,190 (12,876 emergency visits were at the ashburn healthplex); and there were 92,597 outpatient visits during the year.specific acute care programswomen's health: ilh offers a full range of obstetrical services including delivery services, high risk prenatal services, inpatient and outpatient obstetrics/gynecologic surgery, a hospital-based natural birth center and nursery care. Ilh delivered 2,394 babies in 2019. Ilh also offers level iii neonatal icu specialty services. In addition, ilh provides obstetric services to low-income patients through its obstetrics/gynecology clinic which had 4,756 visits in 2019. Pediatric care: ilh operates a dedicated pediatric emergency room that provided 15,584 visits in 2019. In addition ilh operates a 14-bed pediatric unit that provides for inpatient hospitalizations. Ilh admitted 415 children to the unit and had 454 outpatient observation cases during 2019.cardiovascular care: the inova heart and vascular institute - schaufeld family heart center opened in 2005. It provides cardiac catheterization and electrophysiology services, a 64-slice ct scanner and other diagnostic testing. The inova heart & vascular institute at loudoun hospital has grown in the last few years to better serve the growing community, adding procedure rooms and capacity. In 2019, 4,512 patients were served by the cardiovascular program at ilh.stroke care: inova loudoun hospital has been certified by the joint commission since 2009 as a primary stroke center. Inova loudoun hospital was re-certified in june 2017 as a joint commission certified advanced primary stroke center. Additionally, the inova emergency room - leesburg and inova emergency room - ashburn were certified as acute stroke ready hospitals (asrh). Certification as an advanced primary stroke center and an acute stroke ready hospital is held by only a small percentage of hospitals nationwide. The ashburn and leesburg facilities are the 2nd and 3rd in the state of Virginia to achieve the asrh designation.cancer care: ilh features a full service cancer center including medical and surgical oncology, radiation therapy services and an outpatient infusion clinic. The inova loudoun radiation oncology center was renovated in 2019 and utilizes the latest technology in radiation therapy. Ilh provided 6,008 radiation therapy treatments to 285 patients in 2019.charity care all inova facilities, including

Operating model

Revenue model
Earned-program. 99% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 68
  • Transparency & Controls: 66
  • Accountability: 87
  • Sustainability: 50
  • Growth: 80

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 70.6%; rating input score 71
  • Program expense ratio: 86%; rating input score 86
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 92.3%; rating input score 92; 11th 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: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 92.9%; rating input score 93; 49th 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: 19.3%; rating input score 89; 89th 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: 1.2%; rating input score 70; 70th percentile among comparable filings

Growth

  • Program expense growth: 5.9% per year; rating input score 100; 58th percentile among comparable filings
  • Revenue growth: 6.3% per year; rating input score 100; 63rd percentile among comparable filings
  • Asset growth: -11% per year; rating input score 0; 1st percentile among comparable filings

Details

  • Where the money goes: 70.6% of revenue deployed · 86% of spending went to programs
  • Governance: 13 of 14 board members independent · 7 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $272M in reported program spending
  • Leadership: top reported pay $3.4M · 28 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $79.7M reported
  • Consistency: 31 of 32 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes major donors, executive pay, and related organizations
  • Filing history: 6 filing years from 2014 to 2019
  • Contacts: How to reach this organization
  • Money network: 9 filed money-flow records
  • Related organizations: 12 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: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • Moderate — Transparency & Controls: Schedule D land buildings reconciliation did not reconcile in the filed values.