Prairie Du Chien Memorial Hospital Association Inc

What it reported doing in 2024

Prairie du Chien Memorial Hospital Association, Inc., doing business as Crossing Rivers Health (Health Center), in Prairie du Chien, Wisconsin, is a 25-bed acute care hospital serving the general public in the southwestern Wisconsin and northeastern Iowa regions.We persist in our growth and prosperity as a vital regional asset, thanks to the unwavering dedication and contributions of our medical staff, employees, volunteers, donors, and supporters. At Crossing Rivers Health, our primary objective is to deliver high-value care to the communities we serve, continually introducing new services and improving existing ones. In doing so, we ensure that residents throughout our region have convenient access to the best healthcare services available.Routine Services: IP days - 1,229. Hospice Acute days - 19. SB days - 815. Intermediate Care days - 27.Ancillary Inpatient and Outpatient services are provided to the local community that would otherwise require travel to receive care. In addition to the aforementioned services, Prairie du Chien Memorial offers a comprehensive range of healthcare services, including Obstetrical Care, Diagnostics, 24/7 Emergency Services, Urgent Care, Extended Care, Home Oxygen, Home Medical Equipment, Lifeline, Palliative Care, Continence Care, Respite Care, Infusion Services, Outpatient Care, Laboratory Services, Medical Imaging, Rehabilitation Services, Speech and Audiology Therapy, Surgical Services, and an array of Specialty Services such as General Surgery, Allergy/Asthma, Behavioral Health, Ear, Nose, and Throat (ENT), Gynecology, Nutrition Education, Orthopedics, Pain Management, Podiatry, Sleep Medicine, and Urology.Total Patients discharged - 491Total patient days of care - 2,205ER visits - 5,969Urgent care visits - 6,997Surgical procedures - 1,206The Health Center extends care to patients who meet specific criteria outlined in our charity care policy, offering services either free of charge or at rates significantly lower than our established rates. It's important to note that we do not actively pursue the collection of amounts deemed to qualify as charity care, and therefore, these amounts are not recorded as revenue.To assess accounts for charity care classification, the Health Center employs the "exhaust all possible sources" of payment standard, as originally outlined in the Hill Burton program. Despite no longer being under a Hill-Burton obligation, we continue to apply this standard to determine account eligibility for charity care.Our Health Center consistently practices sound business principles and diligently strives to collect outstanding account balances. Consequently, any unpaid balances on which the Health Center has exhausted collection efforts are subsequently categorized as charity care. For the year ending on December 31, 2024, the total charges foregone for services provided under our charity care policies amounted to approximately $1,082,000. Moreover, the total direct and indirect costs associated with these foregone charges for the year ending on December 31, 2024, was calculated at $574,000, based on an average ratio of costs to gross charges.

Financial Efficiency

• Mission deployment rate: 81%; rating input score 81
• Program expense ratio: 85.7%; rating input score 86
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
• Pay-setting controls: 2 of 6 controls in place; rating input score 33
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Pass
  • 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: 77.8%; rating input score 78; 26th 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: 6.1%; rating input score 61; 61st percentile among comparable filings
• Total-asset coverage ratio: 1.64; rating input score 56; 56th percentile among comparable filings
• Liabilities to assets ratio: 0.28; rating input score 59; 59th percentile among comparable filings
• Officer compensation ratio: 6.1%; rating input score 10; 10th percentile among comparable filings

Growth

• Program expense growth: 5.1% per year; rating input score 100; 41st percentile among comparable filings
• Revenue growth: 6% per year; rating input score 100; 52nd percentile among comparable filings
• Asset growth: 6.7% per year; rating input score 100; 49th percentile among comparable filings