Monroe Community Health Services

What it reported doing in 2024

In july 2023, monroe community health services was sold to a new owner. During 2024, the organization worked to wrap up remaining operations.prior to the sale of the organization's business operations in 2023, monroe community health services (mchs, d/b/a promedica monroe skilled nursing and rehab) provided skilled nursing and rehabilitation services during recovery after hospitalization or surgery. Mchs is part of promedica health system, inc. (promedica), a mission-based, locally owned, nonprofit healthcare organization highly focused on achieving core values. Headquartered in toledo, Ohio, promedica serves 28 states across the country and is one of the nation's leading health systems. Our stewardship of resources has enabled us to wisely invest in patient-centered care, advanced technology, innovative programs, and family-oriented facilities that help to ensure patients and area residents have equal access to high-quality, safe care in the most appropriate setting, regardless of patients' ability to pay. Rehabilitation services at mchs provided patients with the tools they need to live as independently as possible and return to their daily activities. These services include physical and occupational therapy following an accident or surgery, as well as speech therapy to improve verbal communication or help patients manage swallowing disorders associated with some chronic illnesses. Mchs also provided long-term care assistance 24 hours per day to those who have significant care requirements and cannot live independently. Nurses and physicians work collaboratively to manage complex medical conditions, including cardiac conditions, post-surgical recovery, strokes, medical conditions requiring long-term care, and wound care treatment for chronic wounds. An additional comfort care unit provides palliative care services to those facing life-limiting illnesses. Mchs demonstrates promedica's mission and core values by providing high-quality health care to all patients, regardless of their race, creed, sex, national origin, disability, or age. We recognize that not all individuals possess the ability to purchase essential medical care. Therefore, promedica provides these healthcare services; recruits and trains healthcare professionals to serve the broader community; provides appropriate financial assistance; offers services and contributions to other nonprofit organizations that allow them to provide key services to their constituents; and presents free educational classes, health fairs and other activities to our local community to help ensure all members have equal access to care.

Financial Efficiency

• Mission deployment rate: 55.3%; rating input score 55
• Program expense ratio: 97.7%; rating input score 98
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 22nd 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: No; rating input score 0

Accountability

• Independent voting board: 33.3%; rating input score 33; 15th 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: 43.5%; rating input score 89; 89th percentile among comparable filings
• Total-asset coverage ratio: 7.51; rating input score 86; 86th percentile among comparable filings
• Liabilities to assets ratio: 0.31; rating input score 15; 15th percentile among comparable filings
• Officer compensation ratio: Limited

Growth

• Program expense growth: -3.6% per year; rating input score 0; 20th percentile among comparable filings
• Revenue growth: -4.6% per year; rating input score 0; 11th percentile among comparable filings
• Asset growth: 2% per year; rating input score 100; 33rd percentile among comparable filings