Coal Country Community Health Center

What it reported doing in 2024

Coal Country Community Health Center is part of a family of over 1,400 health centers nationally that provide care to more than 32 million people in the United States. Community health centers are local, non-profit health care providers serving low income and medically underserved communities. Also known as Federally-Qualified Health Centers (FQHCs), they are located in areas where care is needed, and improve access to care for millions of Americans. Their costs of care rank among the lowest, and their focus on prevention reduces the need for more expensive in-patient and specialty care, saving billions of dollars for taxpayers. (Continued on Schedule O)The focus of the care we provide can be summed up in one word - community. Coal Country is governed by a board of members from the communities we serve, and every decision they make has the best interest of the community in mind. Our medical staff and support staff are also your neighbors, helping us truly understand you and the health care issues that are important to you.The team of providers delivers primary care for the entire community. Funded by a federal grant, our sliding fee scale allows patients to pay according to their individual ability. This and other efforts ensure that no one in the community goes without proper health care services. That's what we're all about.Coal Country Community Health Center, with clinics in Beulah, Center, Hazen, and Killdeer. Furthermore, Coal Country remains a member of health care networks in the region.At Coal Country Community Health Center, our top priority is to provide complete health care services for the entire community.With a background in every area of medicine, our primary care physicians provide continuing and comprehensive care, from preventative care to diagnosis and treatment of health conditions. A full list of services provided by Coal Country Community Health Center can be obtained at www.coalcountryhealth.com

Financial Efficiency

• Mission deployment rate: 85.3%; rating input score 85
• Program expense ratio: 84.8%; rating input score 85
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • 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: -0.5%; rating input score 28; 28th percentile among comparable filings
• Total-asset coverage ratio: 0.93; rating input score 34; 34th percentile among comparable filings
• Liabilities to assets ratio: 0.33; rating input score 43; 43rd percentile among comparable filings
• Officer compensation ratio: 13.8%; rating input score 10; 10th percentile among comparable filings

Growth

• Program expense growth: 8.7% per year; rating input score 100; 65th percentile among comparable filings
• Revenue growth: 8.8% per year; rating input score 100; 69th percentile among comparable filings
• Asset growth: 12.5% per year; rating input score 100; 74th percentile among comparable filings