Stoughton Hospital Association

What it reported doing in 2024

Stoughton Hospital Association is an acute care, critical access hospital, fully accredited by DNV, licensed by the state of Wisconsin and a member of the Wisconsin Hospital Association and Rural Wisconsin Health Cooperative. The Hospital provides inpatient and outpatient services to its patients. Inpatient services include medical/surgical, telemetry, intensive care, inpatient rehabilitative care (commonly referred to as swing bed) and geriatric psychiatry care. In 2025, there were 4,581 inpatient days. In addition to inpatient services, the Hospital provides a variety of outpatient services including emergency room care, urgent care, medical imaging (including in-house MRI services), surgical services, ambulatory infusion center, occupational health, rehabilitation services, (Statement continued on Schedule O)breast care services, cardiology, foot care, health screenings, lab, podiatry, sleep disorder services, vein treatment services and wound care services.To fulfill its mission of community service, the Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Revenue from services to these patients is recorded in the accounting system at the established rates, but the Hospital does not pursue collection of the amounts. The resulting adjustments are recorded as adjustments to patient service revenue, depending on the timing of the charity determination.The Hospital provides health care services to patients who meet certain criteria under its charity care policy without charge or at amounts less than established rates. Since the Hospital does not pursue collection of these amounts, they are not reported as revenue. The estimated cost of providing these services was $259,000 for the year ended September 30, 2025, which was determined based on an average ratio of cost to gross charges related to the services provided. Additionally, the Hospital extends discounts to uninsured patients. The estimated costs of providing services related to the discounts was $443,000 for the year ended September 30, 2025, which was determined based on an average ratio of cost to gross charges related to the services provided.In addition, the Hospital provides services to other patients under certain government-reimbursed public aid programs. Such programs pay providers amounts which are less than established charges for the services provided to the recipients, and for some services the payments are less than the cost of rendering the services provided.The Hospital also commits significant time and resources to endeavors and critical services which meet otherwise unfulfilled community needs. Many of these activities are sponsored with the knowledge that they will not be self-supporting or financially viable

Financial Efficiency

• Mission deployment rate: 70.4%; rating input score 70
• Program expense ratio: 82%; rating input score 82
• Fundraising efficiency: $7.59 raised per $1 spent on fundraising; rating input score 34; 34th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th 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: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 83.3%; rating input score 83; 31st 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: 15.4%; rating input score 83; 83rd percentile among comparable filings
• Total-asset coverage ratio: 2.04; rating input score 64; 64th percentile among comparable filings
• Liabilities to assets ratio: 0.16; rating input score 75; 75th percentile among comparable filings
• Officer compensation ratio: 6.1%; rating input score 10; 10th percentile among comparable filings

Growth

• Program expense growth: 4.7% per year; rating input score 100; 37th percentile among comparable filings
• Revenue growth: 5.2% per year; rating input score 100; 44th percentile among comparable filings
• Asset growth: 8.9% per year; rating input score 100; 64th percentile among comparable filings