Marshall Health Services Inc

What it reported doing in 2019

Marshall health services inc. Is organized and operated to provide an integrated health care delivery system that provides quality health care to the public through, (1) physician office-based medical services to various private patients of physician-employees of mhs, (2) hospital-based physician services, (3) primary care services through hospital-based and community-based clinics and (4) other medical services to the community through residency and other educational programs. The communities served by marshall health services (mhs) are mostly rural in nature, the largest city being marshall-population 23,195-in harrison county, Texas which has a total poplulation of 66,661 residents. Centrally located to those who utilize our medical facility, we also serve residents in adjacent marion county to our north, population 10,064 and panola county to our south, population 23,7243 according to the 2015 census estimates, 17.3% of the harrison county population lives in poverty. 16.9% of harrison county residents are age 65 or older. The census bureau reports that only 18.8% of adults hold a college degree or higher level of education. This often impacts the available jobs that can be obtained and whether benefits such as healthcare are provided. In other areas of our service region, marion county has a median annual household income of $36,938, and 22.8% of its residents live in poverty. Panola county has a median annual household income of $49,704 and 15.0% of its residents live in poverty. Unemployment in harrison, panola, and marion counties is currently listed between 3.2 & 3.4%. It is clear that within the area served there are obstacles to overcome. Many find it very difficult to afford the cost of healthcare such as it is today-both in basic prevention and in treatment of existing and chronic illness. Mhs offers primary care gastroenterology, obstetrics, urology, general surgery, otolaryngology, pulmonology, pediatrics, and obstetrics and gynecology services through the employment of approximately 19 healthcare providers. All providers participate in the medicare and medicaid programs as well as other federal, state, and local healthcare reimbursement programs for those in financial need. These programs account for a substantial portion of the marshall health services gross patient revenue. Mhs provided both charity care and unreimbursed services which did not qualify for charity.

Financial Efficiency

• Mission deployment rate: Limited
• Program expense ratio: Limited
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 75%; rating input score 75; 0th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 7.7%; rating input score 8; 17th 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: Limited
• Total-asset coverage ratio: Limited
• Liabilities to assets ratio: Limited
• Officer compensation ratio: Limited

Growth

• Program expense growth: -25.4% per year; rating input score 0; 18th percentile among comparable filings
• Revenue growth: -12.1% per year; rating input score 0; 31st percentile among comparable filings
• Asset growth: -15.3% per year; rating input score 0; 11th percentile among comparable filings