North Central Health Services Inc

What it reported doing in 2024

River bend hospital is a licensed inpatient psychiatric hospital providing acute inpatient psychiatric care to the adult population of mid-north Indiana. Care is provided without charge or at amounts less than established rates to patients who meet certain criteria under the hospital's charity care policy. Because the organization does not collect amounts deemed to be charity care, the amounts are not reported as revenue. Of the organization's total health care services expense reported, an estimated $753,000 (at cost) arose from providing services to charity patients during the year ended december 31, 2024. [continued on schedule o]the estimated costs of providing charity services are based on a calculation which applies a ratio of costs to charges to the gross uncompensated charges associated with providing care to charity patients. The ratio of cost to charges, calculated using the IRS guidelines, is 7% for the year ended december 31, 2024.in 2014, the state of Indiana implemented hip 2.0 which expanded the existing medicaid program. As a result of this expansion, a greater number of patients qualified for hip 2.0 which reduced significantly the organization charity care and bad debt expense in the years since the expansion.

Financial Efficiency

• Mission deployment rate: 100%; rating input score 100
• Program expense ratio: 99%; rating input score 99
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 99.9%; rating input score 100; 43rd percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 87.5%; rating input score 88; 19th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • 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: -267.7%; rating input score 0; 0th percentile among comparable filings
• Total-asset coverage ratio: 19.09; rating input score 95; 95th percentile among comparable filings
• Liabilities to assets ratio: 0.04; rating input score 72; 72nd percentile among comparable filings
• Officer compensation ratio: 3.3%; rating input score 67; 67th percentile among comparable filings

Growth

• Program expense growth: 9.5% per year; rating input score 100; 62nd percentile among comparable filings
• Revenue growth: -5.6% per year; rating input score 0; 3rd percentile among comparable filings
• Asset growth: 3.2% per year; rating input score 100; 25th percentile among comparable filings