Northwest Community Day Surgery CENTER

What it reported doing in 2012

Northwest community day surgery center, inc. (day surgery center) is the largest multispecialty ambulatory surgery center in Illinois. Day surgery center is accredited by the joint commission and licensed by the Illinois department of public health. The facility offers ten state of the art surgical suites, private recovery bays and a full-service waiting room with a children's area and wireless internet connection for personal computer use. Eight thousand outpatient surgery cases are performed annually at day surgery center: orthopedics - 30%, ophthalmology - 22%, gynecology - 21%, general - 16%, ent - 7% and other - 4%. The patient population is comprised of people from all age groups. The majority of procedures are performed utilizing minimally invasive techniques which promote shortened recovery time and a quicker healing process. The anesthesiologists and staff rns support a successful post-operative pain management perineural block (pnb) program. The goal of the pnb is to decrease the amount of required anesthetic medications and to decrease the amount of post-operative narcotics administered. Control of post-operative pain decreases the patient's likelihood of developing post-operative nausea and vomiting and/or severe pain which promotes patient satisfaction and healing. Day surgery center staff provide high quality healthcare to the community members they serve. Credentialed physicians are all board certified or board eligible. All rns are advanced cardiac life support (acls) certified and all recovery room rns are also required to be pals certified. Dsc has an established charity care/financial assistance program which provides free or discounted services to patients who have demonstrated an inability to pay. For fiscal year 2013, the estimated cost of charity care provided under this policy was $145,265. The estimated difference between the cost of services provided to medicare and medicaid patients and the reimbursement from these government programs is also monitored. During fy 2013, this unreimbursed cost was $881,383. Dsc is a subsidiary entity of nch. Nch was established to own, operate, control, and otherwise coordinate the delivery of healthcare within the service area of northwest community hospital (hospital) and coordinate the activities of the various corporations affiliated with nch.

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: Limited

Accountability

• Independent voting board: 40%; rating input score 40; 8th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 88
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Limited
  • 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: 8.7%; rating input score 73; 73rd percentile among comparable filings
• Total-asset coverage ratio: 0.97; rating input score 43; 43rd percentile among comparable filings
• Liabilities to assets ratio: 0.29; rating input score 58; 58th percentile among comparable filings
• Officer compensation ratio: 6.1%; rating input score 29; 29th percentile among comparable filings

Growth

• Program expense growth: Limited
• Revenue growth: -3.3% per year; rating input score 0; 16th percentile among comparable filings
• Asset growth: 13.4% per year; rating input score 100; 83rd percentile among comparable filings