Fostoria Hospital Association

What it reported doing in 2024

Fostoria hospital association (d/b/a promedica fostoria community hospital) 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 states across the country and is one of the nation's leading health systems . 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. Accredited by the joint commission, promedica fostoria community hospital (fch) is a 25-bed, acute care hospital in northwest Ohio. The hospital celebrated 90 years in the community in 2020. In addition to offering emergency care, general surgery, and inpatient care, fch has a broad range of outpatient services that include cardiac and pulmonary rehabilitation; special imaging; radiology and laboratory services; physical, occupational and speech therapies. As a critical access hospital, fch also provides health services that other similarly sized, rural hospitals do not, including a sleep disorder unit, pain management, and a retail pharmacy. Additionally, fch's cancer and infusion center improves patient access and ensures a comfortable setting for cancer patients and their families. The fch diabetes education program is recognized by the american diabetes association in accordance with the national standards and helps patients learn to manage their care and prevent complications from the chronic disease. The hospital received accreditation from the american college of radiology for magnetic resonance imaging. Fch also partners with promedica hospice to provide inpatient hospice care so that patients who are too ill to return home or go to an inpatient hospice facility may continue receiving expert, compassionate care in their local hospital near friends and family. In 2024, fch was recognized with the 2024 performance leadership awards for excellence in outcomes. Compiled by the chartis center for rural health, the performance leadership awards honor top quartile performance (i.e., 75th percentile or above) among rural hospitals in outcomes. In 2024, fch served 651 inpatients and 53,033 outpatients. Additionally, 12,947 individuals sought emergency care at fch. The hospital contributed $12,403,000 in community benefit through community benefit expenditures, financial assistance, and government-sponsored, means-tested health care. Fch provided a significant amount of financial assistance to the community during 2024, of which $2,728,000 represented uncompensated amounts for treatment to those 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. Fch cost of bad debt for 2024 was $3,127,000 . This amount is not included in the community benefit amount of $12,403,000 noted above. Further, fch provided $661,000 of community benefit through costs - not reimbursed by the government - for treating medicaid and other means-tested patients. During 2024, fch provided 151 jobs through direct employment , expending $12,623,000 in net payroll . A total of $827,000 was withheld from hospital employees in state and local taxes .in summary, fch demonstrates promedica'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, we provide these healthcare services; recruit and train healthcare professionals to serve the broader community; provide appropriate financial

Financial Efficiency

• Mission deployment rate: 70%; rating input score 70
• Program expense ratio: 87.6%; rating input score 88
• Fundraising efficiency: Limited

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: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 75%; rating input score 75; 24th 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: 20.1%; rating input score 87; 87th percentile among comparable filings
• Total-asset coverage ratio: 0.6; rating input score 23; 23rd percentile among comparable filings
• Liabilities to assets ratio: 0.39; rating input score 47; 47th percentile among comparable filings
• Officer compensation ratio: 1.9%; rating input score 58; 58th percentile among comparable filings

Growth

• Program expense growth: 1.9% per year; rating input score 100; 15th percentile among comparable filings
• Revenue growth: 1% per year; rating input score 100; 9th percentile among comparable filings
• Asset growth: -7.1% per year; rating input score 0; 1st percentile among comparable filings