HSHS Medical Group Inc

What it reported doing in 2024

Hshs medical group is the physician organization of hospital sisters health system ("hshs"), a health care ministry of the catholic church. As a mission-based organization, it is our desire to connect with all who seek care, healing, and hope. Primarily the mission is filled through patient access of primary care providers, including family medicine, internal medicine, and pediatrics. To ensure access to health care for all, a charity care policy has been implemented for all practices of the hshs medical group. The charity care policy helps ensure that all who come to us will receive quality care, and are treated with respect and compassion. The hshs medical group charity care policy provides patients with an opportunity to qualify for financial assistance when receiving non-elective services. The level of charity care assistance for which any person is eligible is based, in part, on their income compared to the current year federal poverty guidelines. To qualify for charity care, a person completes a two-part income test. Part one determines that no other governmental or private insurance is available to the person. Part two follows a process to determine the charity amount in relationship to the person's/family's income. The hshs medical group charity care program is based on the current year federal poverty guidelines ("fpg") issued by the department of health & human services annually and published in the federal register. An fpg and charity allowance table is updated annually by the hshs medical group and is used to determine whether the person qualifies for charity care and, if so, at what level. The amount is determined by multiplying the allowance level specified in the table by total charges calculated using the rate of 150% of the medicare allowable charge for each item or service rendered during the visit based on the applicable medicare locality.

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 88.7%; rating input score 89
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 72.7%; rating input score 73; 22nd 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: -54%; rating input score 1; 1st percentile among comparable filings
• Total-asset coverage ratio: 0.55; rating input score 21; 21st percentile among comparable filings
• Liabilities to assets ratio: 0.42; rating input score 43; 43rd percentile among comparable filings
• Officer compensation ratio: 4%; rating input score 25; 25th percentile among comparable filings

Growth

• Program expense growth: 3.9% per year; rating input score 100; 29th percentile among comparable filings
• Revenue growth: 7.2% per year; rating input score 100; 62nd percentile among comparable filings
• Asset growth: 12.4% per year; rating input score 100; 80th percentile among comparable filings