Fairchild Medical Center

What it reported doing in 2024

Fairchild Medical Center provides quality healthcare services regardless of race, creed, sex, national origin, handicap, age, ancestry or ability to pay. Fairchild Medical Center strives to provide for the health needs of its underinsured and uninsured patients. Although reimbursement for services rendered is critical to the operation and financial stability of Fairchild Medical Center, it is recognized that not all individuals possess the ability to purchase essential medical services, and further, that our mission is to serve the community with respect to providing healthcare services and education. Therefore, the Hospital is committed to serving all members of its community through consideration of: free care and/or subsidized care; care provided to persons covered by governmental programs at below cost; health activities and programs to support community; Where the need and/or individuals inability to pay coexists. Other activities include wellness programs, community education programs, elderly programs, physically or mentally challenged, medically under-served, and a variety of broad community support activities.Fairchild Medical Center served 1,339 inpatients and provided more than 125,000outpatient services during 2024.Fairchild Medical Center provides care to persons covered by governmental programs at below cost. Recognizing its mission to the community, services are provided to both MediCare and MediCal patients. The Hospital realized MediCal/CMSP payments below the cost the hospital incurs to provide the service of $7,973,378. To the extent reimbursement is below cost, Fairchild Medical Center recognizes these amounts as a service to the community in meeting its mission.Fairchild Medical Center currently has Medicare reimbursement reduced 2% to anamount below cost. In 2024, reimbursement was reduced $378,422.The Hospital maintains a Charity Care Policy which defines how partial and/or full charity care will be based on the individuals ability to pay as defined by Federal Poverty Income Guidelines utilizing a sliding scale. Confidentiality of information and the individuals dignity are paramount. Charity Care is also provided through many reduced price services and free programs offered throughout the year based on activities and services which Fairchild Medical Center believes will serve a bona fide community health need. These include: Free care for patients who are financially unable to pay for services in total or services in excess of private insurance reimbursement. During 2024, total charges written off for Charity Care were $1,180,722 with a cost associated with charity at $477,926 to a primary service area a little over 24,000 people.Fairchild Medical Center has two Rural Health Clinics that provide care in designated Healthcare Professional Shortage Areas (HPSA) for all who need services. The Rural Health Clinic provides Dental services for indigent patients. Organization and management of the Fairchild Medical Center National Hospital Week. The Hospital maintains a toll-free dedicated telephone number for advice nurse services which supply information regarding access to urgent care services; clinical advice; personal health education; information on prescription and over-the-counter drugs; and mental health referrals, as appropriate. The cost to provide this service to our community is $37,620.Hospital Administration and staff are called upon to speak before community organizations on a variety of healthcare topics.The Hospital remains focused on maintaining accreditation through the Joint Commission on Accreditation of Healthcare Organizations. The Hospital recruited and hired a Performance Improvement Risk Manager to assist in this endeavor. The Manager also focuses on Patient Safety issues within the Hospital.Administration continues to focus attention on Corporate Compliance issues as well as the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Hospitals Hospitalist program co

Financial Efficiency

• Mission deployment rate: 64.3%; rating input score 64
• Program expense ratio: 68.8%; rating input score 69
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 75%; rating input score 75; 24th 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: Pass
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 6.3%; rating input score 61; 61st percentile among comparable filings
• Total-asset coverage ratio: 1; rating input score 39; 39th percentile among comparable filings
• Liabilities to assets ratio: 0.17; rating input score 73; 73rd percentile among comparable filings
• Officer compensation ratio: 2%; rating input score 55; 55th percentile among comparable filings

Growth

• Program expense growth: 4% per year; rating input score 100; 31st percentile among comparable filings
• Revenue growth: 5.7% per year; rating input score 100; 50th percentile among comparable filings
• Asset growth: 9.6% per year; rating input score 100; 68th percentile among comparable filings