Hshs Wisconsin Medical Group Inc

What it reported doing in 2024

Hshs Wisconsin medical group, inc. ("mgwi") is a 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 Wisconsin 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 and part two follows a process to determine the charity amount in relationship to the person's/family's income. The hshs Wisconsin 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 Wisconsin 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. In carrying out its exempt purpose of ensuring patient access to high quality healthcare, mgwi established a medical practice in its western Wisconsin market with oakleaf clinics, inc. An integrated group medical practice consisting of six physician operating divisions. Mgwi's collaboration with oakleaf enables the organization to improve its ability to substantially deliver higher quality, cost effective care to the residents of western Wisconsin, deliver more comprehensive primary and specialty care to patients and be more effective in physician recruitment and the marketing and branding of their health care services, resulting in the ability to expand services provided. The oakleaf clinic discontinued operations as of 3/22/24.

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 80%; rating input score 80
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 90%; rating input score 90; 13th 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: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 72.7%; rating input score 73; 23rd 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: -66.3%; rating input score 25; 25th percentile among comparable filings
• Total-asset coverage ratio: -27.11; rating input score 0; 0th percentile among comparable filings
• Liabilities to assets ratio: Limited
• Officer compensation ratio: 1,010.3%; rating input score 1; 1st percentile among comparable filings

Growth

• Program expense growth: -15.2% per year; rating input score 0; 22nd percentile among comparable filings
• Revenue growth: -24.1% per year; rating input score 0; 16th percentile among comparable filings
• Asset growth: -6.7% per year; rating input score 0; 18th percentile among comparable filings