Grant Regional Health Center

What it reported doing in 2025

Grant regional health center, inc. ("grant regional") provides health care services and other support through various programs that are designed, among other matters, to enhance the health of the community, including the health of low-income patients. The organization operates a critical access hospital which provides inpatient acute care and swing bed services; along with an emergency department, which is open twenty-four hours per day; and other outpatient services. Among the services provided are diagnostic care including laboratory and radiology services, obstetrics, rehabilitation, surgical services, and walk-in care. Grant regional also has relationships with regional centers in madison, Wisconsin and dubuque, Iowa who come to the facility on a regular basis to provide specialty services. Grant regional's local and contracted specialty services include, but are not limited to: audiology, ophthalmology, orthopedics, ent, and neurology. During 2025, grant regional had 935 routine med/surg patient days, 1,072 swing bed days, 224 nursery days, 270 obstetric days, and 9 days of routine hospice care for inpatient care and provided 9,265 visits to patients needing emergency or urgent care in the emergency department. In addition to the family practice clinic in lancaster, grant regional also operates three satellite clinics in potosi, fennimore, and cassville. Our four hometown clinics provide important healthcare services for surrounding communities. The close proximity helps those who have difficulty with transportation get the important health care they require with less travel.consistent with the mission of grant regional, care is provided to patients regardless of their ability to pay, including providing services to those persons who are either underinsured or cannot afford health insurance because of inadequate resources. Health care services to patients under government programs, such as medicaid hospital services, are also considered part of grant regional's benefit provided to the community, since a substantial portion of such services are reimbursed at amounts less than the costs of providing care. Patients who meet certain criteria for charity care, based on federal poverty guidelines, are provided care at a significantly reduced rate, determined based on qualifying criteria as defined in grant regional's community care policy, and from applications completed by patients. The amount of charges foregone for services and supplies furnished under this policy for 2025 totaled approximately $470,000. In addition, patient charges to beneficiaries of the Wisconsin medicaid program were reduced by approximately $6,095,000 in discounts in 2025. (see also schedule h to the form 990 for additional information on the cost of providing these medical services to members of the community.)in addition to the various inpatient, outpatient, and charity care services, grant regional provided numerous benefits to its surrounding communities. Grant regional provided education on topics such as breastfeeding, cancer, diabetes, heart disease, and women's health. Health screenings including blood pressure, cholesterol, diabetes, hearing, mammography, and women's health were also provided. (see also schedule h to the form 990 for information on the cost of providing these services in the community and surrounding areas.) grant regional also provides on-the-job education to college students pursuing careers in health care. Students are mentored during their time at the facility by employees of grant regional and grant regional provides practical experience through its care environment for students to use throughout their future careers.

Financial Efficiency

• Mission deployment rate: 75.3%; rating input score 75
• Program expense ratio: 80.4%; rating input score 80
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 66th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 99.6%; rating input score 100; 48th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 88.9%; rating input score 89; 18th 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: 5.6%; rating input score 57; 57th percentile among comparable filings
• Total-asset coverage ratio: 1.46; rating input score 39; 39th percentile among comparable filings
• Liabilities to assets ratio: 0.41; rating input score 48; 48th percentile among comparable filings
• Officer compensation ratio: 8.8%; rating input score 6; 6th percentile among comparable filings

Growth

• Program expense growth: 8% per year; rating input score 100; 59th percentile among comparable filings
• Revenue growth: 8% per year; rating input score 100; 61st percentile among comparable filings
• Asset growth: 7.9% per year; rating input score 100; 57th percentile among comparable filings