Warren Community Hospital Inc

What it reported doing in 2024

North Valley Health Center (NVHC) is a 12-bed acute care health center located in Warren, MN. Our major program service is to provide quality medical services that are accessible to all communities we service. Included in the program services are inpatient and swing bed care, a full-time emergency room, various outpatient services, and family practice clinic where care is provided regardless of a patient's ability to pay for the services provided. North Valley Health Center also manages public health services for Marshall County. During 2024, North Valley Health Center experienced an overall decrease in patient days. Acute inpatient days increased by 28 days, but acute (Continued on Schedule O)swing-bed days decreased 133 days for a total decrease of 105 days. Our full-time emergency room provided care to 1,382 patients, which was an increase of 113 patients over the prior year.Our Rural Health Clinic experienced another year of an increase in total visits. NVHC operated with one half-time Physician, a Physician Assistant, and four Nurse Practitioners throughout most of the fiscal year. Our family practice clinic saw 6,770 patients in 2024 compared to 6,747 patients in 2023, which was an increase of 23 visits. There were no Telemedicine visits in 2024.In 2024, North Valley Health Center provided $26,078 worth of charity care based on established rates of charges foregone. Total direct and indirect costs related to these foregone charges was approximately $18,000 based on an average of ratio of cost to gross charges.NVHC completed its fourth Community Health Needs Assessment in 2022 which complemented the strategic plans established in previous years. As in previous years, NVHC continues to work on the goals identified in the assessment. These goals are described further in Schedule H, part V, line 11

Financial Efficiency

• Mission deployment rate: 78.3%; rating input score 78
• Program expense ratio: 79.3%; rating input score 79
• Fundraising efficiency: $14.88 raised per $1 spent on fundraising; rating input score 49; 49th percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd 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: Pass
  • 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: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 5 of 9 controls in place; rating input score 56
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Fail
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Fail
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 0.5%; rating input score 35; 35th percentile among comparable filings
• Total-asset coverage ratio: 0.82; rating input score 29; 29th percentile among comparable filings
• Liabilities to assets ratio: 0.88; rating input score 11; 11th percentile among comparable filings
• Officer compensation ratio: 10.3%; rating input score 19; 19th percentile among comparable filings

Growth

• Program expense growth: 6.3% per year; rating input score 100; 51st percentile among comparable filings
• Revenue growth: 7.3% per year; rating input score 100; 61st percentile among comparable filings
• Asset growth: 2% per year; rating input score 100; 18th percentile among comparable filings