Hiawatha Hospital Association Inc

What it reported doing in 2024

Hiawatha hospital association, inc. Dba amberwell health hiawatha is a critical access hospital (cah) that provides related inpatient, outpatient, emergency care, and physician services to patients in hiawatha, Kansas and surrounding areas. Hiawatha community hospital's primary goal is to provide quality, modern, affordable healthcare to our community. In 2024, we provided service for 2,277 inpatient days, 71 inpatient surgeries and 714 outpatient surgeries. We delivered 64 babies and provided outpatient services to 65,761 patients. (statement continued on schedule o)by providing services like obstetrics and 24 hour emergency services that not all small rural hospitals provide, even though the programs are not always profitable for the hospital, we strongly feel that these services provide necessary care to address our community's overall health while promoting our mission as a charitable organization.the hospital maintains a financial assistance policy for patients who are financially unable to pay for the healthcare services they receive. It is the policy of the hospital not to pursue collection of amounts determined to qualify as patient financial assistance under the policy. Accordingly, the hospital does not report these amounts in patient service revenue. The hospital determines the costs associated with providing charity care by aggregating the direct and in direct costs, including salaries, benefits, supplies, and other operating expenses, based on an overall cost to charge ratio. The costs of caring for these patients for the year ended december 31, 2024 was approximately $19,000.

Financial Efficiency

• Mission deployment rate: 79.8%; rating input score 80
• Program expense ratio: 83.4%; rating input score 83
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 14th 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: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • 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: 4.8%; rating input score 53; 53rd percentile among comparable filings
• Total-asset coverage ratio: 0.6; rating input score 20; 20th percentile among comparable filings
• Liabilities to assets ratio: 0.36; rating input score 40; 40th percentile among comparable filings
• Officer compensation ratio: 7.1%; rating input score 35; 35th percentile among comparable filings

Growth

• Program expense growth: 2.9% per year; rating input score 100; 25th percentile among comparable filings
• Revenue growth: 3% per year; rating input score 100; 26th percentile among comparable filings
• Asset growth: -1.1% per year; rating input score 0; 7th percentile among comparable filings