Emma L Bixby Medical Center

What it reported doing in 2024

Emma l. Bixby medical center is an acute care facility providing inpatient and outpatient health care services to the general public. Founded in 1911, emma l. Bixby medical center (d/b/a promedica charles and Virginia hickman hospital continues to meet the healthcare needs of adrian, Michigan and surrounding southeast Michigan communities as the largest acute care facility in lenawee county. It is a member of promedica health system, inc. (promedica), a mission-based, locally owned, nonprofit healthcare organization highly focused on achieving core values. Headquartered in toledo, Ohio, promedica serves 28 counties across northwest Ohio and southeast Michigan. 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 health care in the most appropriate setting, regardless of patients' ability to pay. Promedica charles and Virginia hickman hospital (cvhh) is a 50-bed, full-service, acute care hospital staffed by more than 120 active providers working to meet identified needs of the community. The facility is more than 200,000 square feet, consisting of 40 medical-surgical beds, 10 critical care bed, four operating rooms with three minor procedure rooms, 27 emergency rooms and eight labor and delivery rooms as well as a full array of diagnostic services. The hospital also provides numerous inpatient and outpatient services, with its staff of professionals offering care in general surgery, heart and vascular care, women's health, orthopaedics, pediatrics, family medicine, critical care, and cancer treatment services. In 2024, cvhh served 10,313 inpatients; 80,126 outpatients; and 28,983 emergency center patients. The hickman cancer center is accredited by the american college of surgeons. As part of the promedica cancer institute, hickman cancer center offers diagnostic services, as well as radiation and medical oncology treatment for hundreds of new patients annually. As a member of the toledo community hospital oncology program, hickman cancer center offers patients the opportunity to participate in national cancer trials. Further, the hospital is recognized by the chartis top quartile performers as a performance leadership awardee. Cvhh offers telemedicine service to its inpatient care units to help provide real-time patient diagnosis and treatment from a physician. The service allows a doctor's visit to be conducted with a special computer and internet connection and helps the hospital provide safe, quality care when it's needed during night shifts when fewer physicians may be available. Cvhh has also received the american heart association/american stroke association's get with the guidelines gold plus achievement for its commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized standards of care.the hospital contributed $25,034,000 in community benefit through community benefit expenditures, financial assistance and government-sponsored, means-tested health care in 2024. Through community health services, health professional education, subsidized health services, research activities, cash and in-kind contributions, and community benefit operations, cvhh contributed $596,000 to the community during 2024. Examples of programs serving community include food security programs providing food at discharge and out in the community through promedica, farms, veggie mobile and partnership with the south Michigan food bank; complementary transportation at discharge for patients with transportation and financial barriers; support groups for individuals with chronic diseases, focused on patients' emotional, physiological and psychological needs; childhood and adult immunizations and asthma care; community health and wellness services, which included tobacco cessation programs, nutrition and healt

Financial Efficiency

• Mission deployment rate: 71.7%; rating input score 72
• Program expense ratio: 87.3%; rating input score 87
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th 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: 66.7%; rating input score 67; 19th 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: 17.8%; rating input score 85; 85th percentile among comparable filings
• Total-asset coverage ratio: 1.48; rating input score 53; 53rd percentile among comparable filings
• Liabilities to assets ratio: 0.35; rating input score 51; 51st percentile among comparable filings
• Officer compensation ratio: 0.7%; rating input score 81; 81st percentile among comparable filings

Growth

• Program expense growth: 5.3% per year; rating input score 100; 44th percentile among comparable filings
• Revenue growth: 4.9% per year; rating input score 100; 41st percentile among comparable filings
• Asset growth: 6% per year; rating input score 100; 44th percentile among comparable filings