Cooperstown Medical Center

What it reported doing in 2024

Cooperstown Medical Center is a 9 bed Critical Access Hospital that serves to reduce the need for extended travel by providing essential healthcare services within the local area. Through established affiliations with major medical organizations, the facility is able to deliver a range of clinical capabilities typically associated with larger hospitals. The medical center offers continuous emergency services and maintains access to key diagnostic resources, including x ray, CT imaging, laboratory testing, electrocardiography, and respiratory therapy. Rehabilitation services are available across multiple disciplines, including occupational, physical, and speech therapy, supporting both acute and long term patient needs. Additional specialized services include (continued on Schedule O)cardiac monitoring and telemetry, sleep studies, inpatient hemodialysis, and incontinence management. The organization also provides a continuum of care through swing bed services, respite care, and hospice care, ensuring that patients can receive appropriate support across various stages of treatment and recovery. Overall, Cooperstown Medical Center functions as a comprehensive local healthcare resource, offering a broad scope of services within a rural setting.The organization operates three Rural Health Clinics located in Cooperstown, Lakota, and New Rockford. These clinics collectively serve a primary service area of approximately 1,800 individuals and a secondary service area of an estimated 10,900 individuals. As designated Rural Health Clinics, they provide essential primary and preventive care within underserved rural communities, often functioning as the most accessible point of healthcare for residents. The clinics play a central role in supporting community health by emphasizing preventive medicine and the ongoing management of chronic conditions. Through this focus, they contribute to improved long term health outcomes and help ensure that individuals in rural areas have consistent access to foundational medical services.The twelve assisted living apartments provide a secure, maintenance free residential setting designed to support individuals who require assistance with activities of daily living. Services such as medication management and dressing are available, with additional options including whirlpool bathing and linen services. Residents have access to weekly grocery delivery and benefit from private, accessible living units that promote independence while ensuring appropriate support. Care plans are individualized to address each resident's specific health and functional needs, including assistance with grooming and mobility. Housekeeping services are provided, reducing the responsibilities associated with home maintenance. Residents have access to on site amenities such as dining rooms, exercise spaces, and libraries, along with organized activities, group outings, and communal dining that encourage social engagement and support overall well being. Two meals per day, along with snacks, are provided, and transportation is arranged for medical appointments, shopping, and community events. All assisted living units are two bedroom apartments equipped with full kitchens. They are designed for accessibility and safety, featuring secured common areas, wide doorways, walk in showers, grab bars and safety equipment such as emergency call systems to ensure timely staff response when needed.

Financial Efficiency

• Mission deployment rate: 81.7%; rating input score 82
• Program expense ratio: 81.8%; rating input score 82
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd 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: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd 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: 1.1%; rating input score 38; 38th percentile among comparable filings
• Total-asset coverage ratio: 2.78; rating input score 72; 72nd percentile among comparable filings
• Liabilities to assets ratio: 0.85; rating input score 9; 9th percentile among comparable filings
• Officer compensation ratio: 9.9%; rating input score 30; 30th percentile among comparable filings

Growth

• Program expense growth: 7.7% per year; rating input score 100; 54th percentile among comparable filings
• Revenue growth: 2.6% per year; rating input score 100; 24th percentile among comparable filings
• Asset growth: 19.6% per year; rating input score 100; 83rd percentile among comparable filings