Powell Valley Health Care Inc

What it reported doing in 2024

Powell valley health care, inc. (hospital) provides quality care regardless of race, creed, sex, national origin, disability, age, or ability to pay. Although reimbursement for services rendered is critical to the operation of the hospital, it is recognized that not all individuals possess the ability to purchase these essential services. It is the hospital's mission to serve the surrounding area by providing health care services and health care education to all community members. During the year ended june 30, 2025, the hospital provided $193,208 of medical services, based on the amounts of charges foregone, under the hospital's charity care policy and guidelines to individuals who were determined unable to purchase such services. In addition to free care and/or subsidized care, care is also provided at below cost rates to persons covered by governmental programs. Recognizing its mission to the community, services are provided to both medicare and medicaid patients. The unreimbursed value (based on cost) of providing care to all patients was $6,253,454 for the year ended june 30, 2025. During the fiscal year ended june 30, 2025, the hospital provided 3,115 days of hospital services, the nursing home provided 15,522 days of resident services, and the assisted living facility provided 7,184 days of resident services. The hospital also provides community care and services through many health activities and programs provided to support the community. These activities include support to one health, a community health center fqhc, wellness program, community education program, special programs for specific purposes, and a variety of community supported activities.

Financial Efficiency

• Mission deployment rate: 88.3%; rating input score 88
• Program expense ratio: 81.2%; rating input score 81
• Fundraising efficiency: $1.22 raised per $1 spent on fundraising; rating input score 3; 3rd percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 1 of 6 controls in place; rating input score 17
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 66.7%; rating input score 67; 19th percentile among comparable filings
• Governance controls: 7 of 8 controls in place; rating input score 88
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: NotApplicable
  • 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: -8.8%; rating input score 9; 9th percentile among comparable filings
• Total-asset coverage ratio: 0.31; rating input score 10; 10th percentile among comparable filings
• Liabilities to assets ratio: 0.35; rating input score 51; 51st percentile among comparable filings
• Officer compensation ratio: 5.2%; rating input score 16; 16th percentile among comparable filings

Growth

• Program expense growth: 6.4% per year; rating input score 100; 52nd percentile among comparable filings
• Revenue growth: 5% per year; rating input score 100; 42nd percentile among comparable filings
• Asset growth: 4.5% per year; rating input score 100; 32nd percentile among comparable filings