Mount Carmel Care Continuum Services Corporation

What it reported doing in 2011

Mount carmel care continuum services corporation (mcccs) was established as a cooperative hospital service organization. Mcccs provides medical care to individuals regardless of their race, creed, sex, handicap, national origin or ability to pay. Although reimbursement for services rendered is critical to the operation and stability of mcccs, it is recognized that not all individuals possess the ability to purchase essential medical services. Our mission is to serve the community with respect to providing healthcare services. In keeping with our commitment to serve all members of the community, free care, subsidized care and health activities and programs to support the community have been provided when the need and/or individual's inability to pay exists.mount carmel care continuum services provides care to persons covered by governmental programs at below cost. Recognizing our mission to the community, we provide services to both medicare and medicaid patients. To the extent reimbursement is below cost, mcccs absorbs these costs. Contractual allowances in the current year were $1,407,660mcccs provided healthcare benefits to the community through its hospice services. During the fiscal year ended june 30, 2012, mcccs provided hospice healthcare to the terminally ill via 79,294 home visits. The mission statement for mcccs is as follows: we serve together in trinity health in the spirit of the gospel to heal body, mind, and spirit to improve the health of our communities and to steward the resources entrusted to us.consistent with its mission, mount carmel care continuum services corporation provides medical care to all patients regardless of their ability to pay. In addition, mcccs provides services intended to benefit the poor and underserved, including those persons who cannot afford health insurance or other payments such as copays and deductibles because of inadequate resources and/or are uninsured or underinsured, and to improve the health status of the communities in which it operates.the following summary has been prepared in accordance with the catholic health association of the united states (cha), a guide for planning and reporting community benefit, 2008 edition.the amounts below reflect the quantifiable costs of mcccs' community benefit ministry for the year ended june 30, 2012: ministry for the poor and underserved: charity care at cost $171,049 ministry for the broader community: subsidized health services $182,956 community benefit ministry $345,005mount carmel care continuum services provided a significant amount of uncompensated care to its uninsured and underinsured patients, which was reported as bad debt at cost and not included in the amounts reported above. During the year ended june 30, 2012, mount carmel care continuum services reported bad debt at cost (determined using a cost to charge ratio applied to the provision for bad debts) of $118,480.ministry for the poor and underserved represents the financial commitment to seek out and serve those who need help the most, especially the poor, the uninsured and the indigent. This is done with the conviction that healthcare is a basic human right.ministry for the broader community represents the cost of services provided for the general benefit of the communities in which mount carmel care continuum services operates. Many programs are targeted toward populations that may be poor, but also include those areas that may need special health services and support. These programs are not intended to be financially self-supporting.charity care at cost represents the cost of services provided to patients who cannot afford health care services due to inadequate resources and/or are uninsured or underinsured. A patient is classified as a charity patient in accordance with mount carmel care continuum services' established policies. The cost of charity care is calculated using a cost to charge ratio methodology.subsidized health services are net costs for billed services

Financial Efficiency

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

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 59th 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: Scored; rating input score 0

Accountability

• Independent voting board: 0%; rating input score 0; 3rd 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: 9.2%; rating input score 77; 77th 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: 3.4%; rating input score 48; 48th percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: -1.2% per year; rating input score 0; 27th percentile among comparable filings
• Asset growth: -85.1% per year; rating input score 0; 0th percentile among comparable filings