Community Hospital – Fairfax

What it reported doing in 2024

Community hospital-fairfax (ch-f) prides itself in providing access to healthcare to a region where health services are sparse. With the local physician ratio three times the national benchmark. Emergency services would otherwise be 30 miles or more from the population centers. Community hospital-fairfax provides the northwest Missouri area population of 11,000 in holt, atchison and western nodaway county with a 24-hour emergency room, acute care (including obstetrics) and post-acute care services, primary care services, many outpatient services, surgery, ancillary services, and a full-service therapy department. In addition to serving the health needs of a population that would otherwise not have access to care, community hospital-fairfax continues to invest in a healthy future for the community. Ch-f tries to focus on the greatest health needs in the community which tend to be chronic diseases such as heart disease, copd and asthma, stroke and diabetes. Risk factors for these diseases are obesity, cigarette smoking and physical inactivity. Nearly 30% of the ch-f service population is obese, 35% report physical inactivity and 22% smoke. To educate and provide services to a community where these chronic conditions prevail, the following activities are part of ch-f's response to health needs of the community: ch-f launched a chronic care management program by december 1, 2019. Community hospital-fairfax hired a nurse to begin a chronic care program. For all other activities and strategies related to the chna, see the report and implementation strategy at www.fairfaxmed.com/chha.

Financial Efficiency

• Mission deployment rate: 86.4%; rating input score 86
• Program expense ratio: 83.9%; rating input score 84
• Fundraising efficiency: $10.87 raised per $1 spent on fundraising; rating input score 41; 41st percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Missing
  • 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: Yes; rating input score 100

Accountability

• Independent voting board: 90.9%; rating input score 91; 23rd percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -2.9%; rating input score 21; 21st percentile among comparable filings
• Total-asset coverage ratio: 0.33; rating input score 9; 9th percentile among comparable filings
• Liabilities to assets ratio: 1.01; rating input score 6; 6th percentile among comparable filings
• Officer compensation ratio: 8.8%; rating input score 25; 25th percentile among comparable filings

Growth

• Program expense growth: 6.7% per year; rating input score 100; 54th percentile among comparable filings
• Revenue growth: 6.7% per year; rating input score 100; 57th percentile among comparable filings
• Asset growth: -3.4% per year; rating input score 0; 4th percentile among comparable filings