Sumner Community Club

What it reported doing in 2024

The cmh emergency department served 1,789 patients in 2024. This is a decrease of 34 patient visits from 1,823 visits in 2023. The number of physician hours spent in the emergency department increased from 4,720 in 2023 to 4,924 in 2024.the educational focus for 2024 centered around mock codes/scenarios, education at nursing meetings, and presentation boards. The mock codes/scenarios were completed in partnership with the ed pa and nursing leadership. The subjects educated on with mock codes throughout 2024 were respiratory failure, airway management, farm accident/trauma, pneumothorax and chest tubes, cardiac arrest, drowning, and decontamination. We also participated in the rural trauma team development course to work on our trauma assessment skills and interventions/stabilization. 2024 c.q.i - continuous improvement program projects in the emergency department were having all documenting tetanus review and status, assessing and documenting vital signs within 15 minutes of arrival, and completing callbacks to patients within 72 hours. Cqi projects on the inpatient floor were completing dual skin assessments and completing inpatient callbacks within 72 hours.the cqi projects in the surgery department were completing the gad-7 screening if a pain clinic patient had a positive phq-2 screening, completing a time out prior to the start of a pain procedure, and making sure the anesthesia provider had visited and documented their assessment/notes prior to the patient going back to the or. The cqi goal for the infusion department was assessing and documenting a full set of vitals on each infusion encounter/patient. Nursing initial or recertifications included: bls, moab, hazmat, acls, pals, tncc, and nrp. Education presented at the inpatient nurses' meetings in in 2024 included emtala, code documentation/flowsheet, iv extravasation, trauma alerts, glidescopes and stylets, collecting urine from an indwelling catheter, sepsis, suicide prevention, hospice patients and services, frost bite, and dka/hhs. The surgery team has worked on their own education structure which consists of at least 2 full days of education to help develop the younger surgery nurses. Education consisted of gi scope processing, instruments, sterile processing, patient positioning, and draping. Community memorial hospital spent a week in march where there are many education topics presented, known to the staff as march madness.in 2024 the topics were bipap, vapotherm, glidescope/bronchoscope, needle decompression, chest tubes and drainage system, and interosseous access.

Financial Efficiency

• Mission deployment rate: 90.9%; rating input score 91
• Program expense ratio: 90.2%; rating input score 90
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd 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: Pass
  • Board or committee approval: Missing
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 100%; rating input score 100; 66th 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: -0.9%; rating input score 27; 27th percentile among comparable filings
• Total-asset coverage ratio: 1.53; rating input score 52; 52nd percentile among comparable filings
• Liabilities to assets ratio: 0.56; rating input score 25; 25th percentile among comparable filings
• Officer compensation ratio: 12.3%; rating input score 13; 13th percentile among comparable filings

Growth

• Program expense growth: 5% per year; rating input score 100; 42nd percentile among comparable filings
• Revenue growth: 4.7% per year; rating input score 100; 41st percentile among comparable filings
• Asset growth: 2.2% per year; rating input score 100; 19th percentile among comparable filings