Medical Services Inc

What it reported doing in 2024

Tamarack health hayward medical center is a 25-bed critical access hospital, 50 bed nursing home, and 40 apartment rcac facility. The hospital campus also contains two attached primary care clinics; one that is owned and operated by tamarack health hayward medical center and another that is owned and operated by essentia health. These clinics employ approximately 20 full-time physicians, and additional part-time specialty care physicians who do rounds and see patients at the hospital throughout the month. The hospital, nursing home and assisted living employ close to 605 employees. In fy '24-'25 the hospital had 991 inpatient admissions and 2,887 ip days, 776 observation admissions with 16,113 hours of care, and 33 tcu admissions with 338 census days of care. The nursing home had 46 admissions with 13,008 census days, and the assisted living had 13,912 resident days with an average monthly census of 38.12 for the fiscal year with 40 total apartments. The emergency room is staffed by a physician 24/7/365 seeing 10,165 patients. Air and ground ambulances are available for those requiring a higher level of trauma care. As a result of a 2015 community health needs assessment, an urgent care was opened in 2017. It served 6,683 patients during its eighth full fiscal year of operation. The operating room performed 1,573 cases and endoscopy performed 1,139 procedures. The hospital has added several specialty services over the last several years. Orthopedics opened in april 2018 with a sports medicined certified surgeon added in february 2020. Wound care was added in late 2018. Urology was added in august 2019. In fy '20-'21, podiatry, general surgery, and advanced pain management were added. Ear, nose, and throat (ent) was added in fy '22-'23. Our specialty services programs had 10,585 clinic visits and 949 surgeries in fy '24-'25. A family medicine/primary care clinic was opened in may 2022 and was certified as a rural health clinic (rhc) in december 2022. It served 10,644 patients in its second full year of operation. A second family medicine/primary care clinic was opened in august 2024 in cable, Wisconsin. The clinic served 860 patients in its first partial year of operation. Radiology exams total 35,780, and lab exams total 109,775 per year. Hayward medical center performed 158 deliveries last year with 286 newborn days. Hayward is a popular vacation home destination and attracts tourists throughout the year. Hayward is also a popular recreational area attracting mountain bikers, skiers, boating, fishing, and general outdoor activities. Medical professionals are attracted to this popular recreational area by the quality of life they find here.

Financial Efficiency

• Mission deployment rate: 79.6%; rating input score 80
• Program expense ratio: 88.7%; rating input score 89
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st 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: Scored; rating input score 0
• Grant itemization coverage: 62.3%; rating input score 62; 12th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 90.9%; rating input score 91; 39th 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: 9.6%; rating input score 72; 72nd percentile among comparable filings
• Total-asset coverage ratio: 1.62; rating input score 56; 56th percentile among comparable filings
• Liabilities to assets ratio: 0.2; rating input score 68; 68th percentile among comparable filings
• Officer compensation ratio: 5.9%; rating input score 11; 11th percentile among comparable filings

Growth

• Program expense growth: 10% per year; rating input score 100; 74th percentile among comparable filings
• Revenue growth: 8% per year; rating input score 100; 67th percentile among comparable filings
• Asset growth: 8.5% per year; rating input score 100; 62nd percentile among comparable filings