Dimmit Regional Hospital

What it reported doing in 2024

This year, our specialty clinic significantly expanded the scope of care available to our community. We introduced orthopedic services, giving patients access to expert treatment for joint, bone, and musculoskeletal conditions without needing to travel outside the area, reducing delays in care and easing the financial and logistical burden on patients seeking specialized treatment elsewhere. We also added general surgery services and procedures, allowing patients to receive surgical care closer to home in a familiar setting, supported by our own clinical teams and continuity of care before and after their procedures. To further support these efforts, we implemented a range of ancillary services designed to improve efficiency and quality of care across the board. Our fast track services help reduce overflow in the emergency department by directing lower-acuity cases to a quicker, more appropriate level of care, shortening wait times for all patients and allowing ed staff to focus on higher-acuity needs. We increased our utilization of swingbed services, giving patients recovering from illness or surgery the opportunity to continue their recovery locally, close to family and support systems, rather than being transferred to a distant facility. Finally, we advanced our cerner community works initiatives by leveraging ai-driven tools for patient charting, improving the accuracy and speed of documentation, which in turn supports better care coordination, reduces administrative burden on providers, and ultimately allows clinical staff to spend more time focused on patient care.

Financial Efficiency

• Mission deployment rate: 82.4%; rating input score 82
• Program expense ratio: 77.8%; rating input score 78
• 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: Missing
  • Independent consultant: Pass
  • 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: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 6 of 8 controls in place; rating input score 75
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: NotApplicable
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -5.8%; rating input score 15; 15th percentile among comparable filings
• Total-asset coverage ratio: 0.61; rating input score 21; 21st percentile among comparable filings
• Liabilities to assets ratio: 0.68; rating input score 18; 18th percentile among comparable filings
• Officer compensation ratio: 4.2%; rating input score 57; 57th percentile among comparable filings

Growth

• Program expense growth: 6.9% per year; rating input score 100; 55th percentile among comparable filings
• Revenue growth: 6.8% per year; rating input score 100; 58th percentile among comparable filings
• Asset growth: 13.3% per year; rating input score 100; 76th percentile among comparable filings