City Hospital Association

What it reported doing in 2024

The organization provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of the organization, it is recognized that not all individuals possess the ability to afford essential medical services and healthcare education. Therefore, in keeping with the organization's commitment to serve all members of the organization's community with free care and/or subsidized care, care provided to persons covered by governmental programs below costs, and health activities and programs to support the community have been considered where the need and an individual's inability to pay exist. These activities include wellness programs, community education programs, and a variety of broad community support activities. The organization provides care to persons covered by governmental programs below cost. Recognizing its mission to the community, services are provided to both medicare and medicaid patients. To the extent reimbursement is below cost, the organization considers these amounts as uncompensated care in meeting its mission in the entire community. The organization is located in east liverpool, Ohio and services the surrounding communities; staffing 120 beds for acute care, intensive care and skilled nursing in the medically undeserved area. During 2023, the organization provided numerous benefits to the surrounding community, including financial support through the community benefit initiative program. Community education and wellness programs - the organization offered the following to the community free or at a nominal charge: health fairs, cpr classes, childbirth classes, garfield elementary wellness program, cover the uninsured, program heartsaver first aid classes, advance cardiac life support, healthcare provider recertification, breast feeding support, pastoral outreach programs, diabetes education, smoking cessation classes, basics in babysitting classes, autism support group, conducted hospital tours for area schools and community groups, served as an observation site for the high school for health professions developed by the public schools, hosted several shadow students from area schools, served as host site for Ohio higher education telecommunication system, operated a physician referral line free to the community, hosted programs for student nurses and radiology technicians in training, provided food to needy families for thanksgiving, and gifts to needy children for christmas to the salvation army day of caring, day of giving program - money and food drive.

Financial Efficiency

• Mission deployment rate: 56.2%; rating input score 56
• Program expense ratio: 65.8%; rating input score 66
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th 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: 58.3%; rating input score 58; 16th 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: 14.3%; rating input score 81; 81st percentile among comparable filings
• Total-asset coverage ratio: 2.16; rating input score 66; 66th percentile among comparable filings
• Liabilities to assets ratio: 0.04; rating input score 90; 90th percentile among comparable filings
• Officer compensation ratio: 2.4%; rating input score 48; 48th percentile among comparable filings

Growth

• Program expense growth: -0.3% per year; rating input score 0; 7th percentile among comparable filings
• Revenue growth: 2.5% per year; rating input score 100; 18th percentile among comparable filings
• Asset growth: 3.4% per year; rating input score 100; 23rd percentile among comparable filings