Insight Hospital & Medical Center Coldwater

What it reported doing in 2024

Community health center of branch county (d/b/a insight hospital and medical center coldwater) (crh) is a mission-based, nonprofit healthcare organization highly focused on achieving core values. Our stewardship of resources has enabled us to wisely invest in patient-centered care, advanced technology, innovative programs, and family-oriented facilities that help to ensure patients and area residents have equal access to high-quality, safe care in the most appropriate setting, regardless of patients' ability to pay.insight hospital and medical center coldwater (crh) is an 87-bed, critical access, general acute care hospital in coldwater, Michigan. The 290,000-square-foot facility provides healthcare services to residents in the Michigan counties of branch and hillsdale. In december 2024, crh had a new member (firdaus foundation). Crh offers a broad range of services to meet the community's identified healthcare needs, including a 17-bed emergency center, surgical services, inpatient behavioral health care, a full spectrum of orthopedic surgical services, and cancer services connected to the promedica cancer institute, the region's cancer treatment leader. In 2021, crh began offering pain management services as well as orthopedic surgery.women's health services include diagnostic breast mammography and ultrasound, dexa bone density screening, breast mri, and private birthing suites that provide a family-focused birthing experience. Crh also added a new genius 3d mammography technology for improved clinical accuracy and high-resolution 3d images.medical office buildings on the hospital campus include offices for family practice and internal medicine physician groups as well as cardiology and urology practices, an allergy and asthma clinic, general surgery offices, hematology and oncology, and ent. Other services include emergency medicine, cardiac and pulmonary rehab, vascular care, physical and occupational therapy, and podiatry.crh is accredited by the joint commission, and the hospital's wound care center is a center of distinction award winner. In the spring of 2024, crh received an "a" hospital safety grade from the leapfrog group in the spring and a "c" in the fall of 2024, a national nonprofit upholding the standard of patient safety in hospitals and ambulatory surgery centers. Crh also earned a five-star rating from the centers for medicare & medicaid services (cms) as part of its updated overall hospital quality star rating.in 2024, the hospital served 2,275 inpatients and 97,678 outpatients. Additionally, 19,004 people sought care through crh's emergency center in 2024. The hospital contributed to the community through community benefit expenditures, financial assistance, and government-sponsored, means-tested health care.as a community-based hospital, crh hosted various support groups and community outreach activities. In 2024, this included employee donations of more than 250 pounds of food to the branch county food pantry. Cancer center support groups held virtually, including look good, feel better and the survivors support group, community sponsorships, cpr and pals classes, community blood drives, and the branch county united way annual united we read day. Crh also provided financial assistance to the community throughout 2024, of which $3,300,980 represented uncompensated amounts for treatment of patients who did not have the financial resources to pay for hospital services. Financial assistance represents the cost to provide service and does not include the costs for accounts written off to bad debt for patients who do not pay their bills. Coldwater hospital's cost of bad debt for 2024 was $3,888,745.in summary, coldwater hospital demonstrates insight's mission and core values by providing high-quality health care to all patients, regardless of their race, creed, sex, national origin, disability, or age. And we recognize that not all individuals possess the ability to purchase essential medical care. Therefore,

Financial Efficiency

• Mission deployment rate: 87.8%; rating input score 88
• Program expense ratio: 85.7%; rating input score 86
• Fundraising efficiency: $0.98 raised per $1 spent on fundraising; rating input score 2; 2nd percentile among comparable filings

Transparency & Controls

• Consistency checks: 91.7%; rating input score 92; 8th 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: 42.9%; rating input score 43; 12th 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: -2.5%; rating input score 18; 18th percentile among comparable filings
• Total-asset coverage ratio: 0.47; rating input score 17; 17th percentile among comparable filings
• Liabilities to assets ratio: 0.93; rating input score 10; 10th percentile among comparable filings
• Officer compensation ratio: 3.3%; rating input score 34; 34th percentile among comparable filings

Growth

• Program expense growth: 4.4% per year; rating input score 100; 35th percentile among comparable filings
• Revenue growth: 3.9% per year; rating input score 100; 31st percentile among comparable filings
• Asset growth: -9.3% per year; rating input score 0; 1st percentile among comparable filings