Bethany Children's Health Center

What it reported doing in 2024

The Children's Center, Inc. d/b/a Bethany Children's Health Center (Bethany Health Center) is an innovative leader in the field of pediatric rehabilitation and 24-hour complex care. The private, nonprofit hospital, located in Bethany, Oklahoma, offers inpatient and outpatient services for children. The Complex Care Unit provides specialized health care to children with complex medical needs. The patients served in this unit often present with chronic health conditions and require ongoing medical care. The Transitional Care Unit at Bethany Children's Health Center serves children who would benefit from an individualized plan of care for their unique medical and therapy needs. (continued on Schedule O)Each patient in the Transitional Care Program is evaluated by the interdisciplinary team and receives a comprehensive plan to address their specific functional and medical goals. Bethany Health Center offers 24-hour medical care, comprehensive rehabilitative therapies including, but not limited to, physical therapy, occupational therapy, and speech therapy, and can include other specialized services as directed by physicians. Respiratory care, nutritional support, complex respiratory care, complex post-operative care, palliative care support, and special education are offered to meet the medical, nursing and therapy needs of a variety of patients requiring post-acute, inpatient care before the transition home. Bethany Health Center is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) and the Accreditation Commission for Health Care (ACHC).Bethany Children's has firsthand experience with the growing need for outpatient services. In 2017, Bethany Children's outpatient services relocated to the newly constructed tower on campus, enabling significant growth through additional providers and expanded services. In 2024, Bethany Children's outpatient therapy department recorded 13,720 total patient visits, up from 11,466 in 2023, a growth of approximately 20%. The outpatient medical clinic visits increased by 22.5% from 9,130 in 2023, to 11,184 in 2024, and significant growth is expected in 2025 and 2026 as well. As demand for these services continues to grow, the space currently used by outpatient providers will not be sufficient to deliver the level of care and service to which Bethany Children's is committed. With the new outpatient tower scheduled to be open and fully occupied by early 2027, we anticipate serving significantly more children and families across our region. The Bethany Health Center 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 Bethany Health Center does not pursue collection of these amounts, they are not reported as patient service revenue.

Financial Efficiency

• Mission deployment rate: 88.7%; rating input score 89
• Program expense ratio: 92.8%; rating input score 93
• Fundraising efficiency: $8.59 raised per $1 spent on fundraising; rating input score 38; 38th percentile among comparable filings

Transparency & Controls

• Consistency checks: 93.3%; rating input score 93; 21st 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: 9 of 9 controls in place; rating input score 100
  • 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: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 4.4%; rating input score 54; 54th percentile among comparable filings
• Total-asset coverage ratio: 1.37; rating input score 50; 50th percentile among comparable filings
• Liabilities to assets ratio: 0.44; rating input score 41; 41st percentile among comparable filings
• Officer compensation ratio: 3.4%; rating input score 32; 32nd percentile among comparable filings

Growth

• Program expense growth: 12.4% per year; rating input score 100; 82nd percentile among comparable filings
• Revenue growth: 11.9% per year; rating input score 100; 83rd percentile among comparable filings
• Asset growth: 9.8% per year; rating input score 100; 69th percentile among comparable filings