OSF Saint Luke Medical Center

What it reported doing in 2013

Kewanee hospital is a 501(c)(3) not-for-profit corporation licensed asa 25-bed critical access hospital (cah) located in a rural community inillinois. Kewanee hospital strives to provide quality health care toall patients regardless of race, creed, sex, national origin, handicap, age, or ability to pay. Many of the community members would have noaccess to health care without kewanee hospital. The patients and theirfamilies ability to travel 50+ miles to a larger tertiary center iscompromised by a lack of mobility, a lack of income, and a lack oftransportation. Many of the services provided by kewanee hospital are reimbursed at or below the cost to provide care. Kewanee hospital offers a wide variety of services including inpatient acute and critical care, skilled level care through swing beds, diagnostic capabilities including radiology, laboratory and cardiopulmonary, inpatient and outpatient rehabilitation and treatment, inpatient and outpatient surgical services, and primary care services through the family health clinic (fhc). During the six-month reporting period ending march 31, 2014, kewanee hospital provided 606 days of inpatient care and 212 days of swing bed care in the six-month reporting period ending march 31, 2014. Kewanee hospital provided a wide scope of outpatient services which provided care to 17,249 outpatients. The emergency department (ed) is a safety net to the rural community of kewanee and the surrounding area. The ed is staffed 24/7 by dedicated emergency department physicians; during the six-month reporting period ending march 31, 2014 the ed had 5,099 visits. The hospital offers a variety of surgical services including general, orthopedic, ophthalmologic, endoscopy and gastroenterology. In the six-month period ending march 31, 2014 the hospital provided a total of 361 surgical procedures.

Financial Efficiency

• Mission deployment rate: 68.2%; rating input score 68
• Program expense ratio: 72.3%; rating input score 72
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd 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: 100%; rating input score 100; 69th 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; 14th 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: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 1.4%; rating input score 43; 43rd percentile among comparable filings
• Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
• Liabilities to assets ratio: Limited
• Officer compensation ratio: 11%; rating input score 10; 10th percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: -10% per year; rating input score 0; 4th percentile among comparable filings
• Asset growth: -24% per year; rating input score 0; 1st percentile among comparable filings