Memorial Hospital of Boscobel

What it reported doing in 2024

Gundersen boscobel area hospital and clinics ("the organization") provides inpatient, outpatient, emergency health care services and other financial support through various programs that are designed, among other matters, to enhance the health of the community including the health of low-income patients. Services provided to patients include colonoscopies, laparoscopic surgeries, and knee replacements, among others. The organization is affiliated with gundersen health system. This affiliation provides local services in cardiology, neurology, podiatry, dermatology, urology, and vascular medicine as well as many other services. Consistent with the mission of the organization, care is provided to patients regardless of their ability to pay, including providing services to those persons who are either underinsured or who cannot afford health insurance because of inadequate resources. Health care services to patients under government programs, such as the medicaid program, are also considered part of the organization's benefit provided to the community, since a substantial portion of such services are reimbursed at amounts less than the costs of providing care. (see additional information regarding the cost of providing services to medicaid patients in schedule h of the form 990.) patients who meet certain criteria for charity care, generally based on federal poverty guidelines, are provided care at a significantly reduced rate, determined based on qualifying criteria as defined in the organization's charity care policy and form applications completed by patients and their families. (see additional information regarding the cost of providing services to charity care recipients in schedule h of the form 990.) benefits for serving the community also include unpaid costs of treating the elderly, health screenings, community education through seminars and classes, and other health-related services. During fy25, there were 326 medical/surgical inpatient days, 1,435 swing bed days, 3,731 emergency room visits, and 431 surgical outpatient visits.

Financial Efficiency

• Mission deployment rate: 74.7%; rating input score 75
• Program expense ratio: 80.4%; rating input score 80
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 10th 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: 100%; rating input score 100; 72nd percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 57.1%; rating input score 57; 9th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 8%; rating input score 63; 63rd percentile among comparable filings
• Total-asset coverage ratio: 1.42; rating input score 49; 49th percentile among comparable filings
• Liabilities to assets ratio: 0.18; rating input score 62; 62nd percentile among comparable filings
• Officer compensation ratio: 4.4%; rating input score 56; 56th percentile among comparable filings

Growth

• Program expense growth: 8.1% per year; rating input score 100; 62nd percentile among comparable filings
• Revenue growth: 6.7% per year; rating input score 100; 57th percentile among comparable filings
• Asset growth: 10.9% per year; rating input score 100; 68th percentile among comparable filings