Willis-knighton Medical Center

What it reported doing in 2024

Willis-knighton medical center strives to provide high quality, cost-effective medical care to the communities of northwest Louisiana, northeast Texas, and southwest Arkansas. The medical center offers sophisticated technology and procedures that make it a tertiary care referral center. General the medical center provides 24-hour emergency care, regardless of the patient's ability to pay, at its four hospitals. The medical center provides an organ transplant program, obstetrics, comprehensive heart and cancer programs, extensive surgical options, leading-edge diagnostics as well as a broad network of physicians encompassing most specialties and subspecialties. The medical center provides these services regardless of race, color, creed, religion, gender, national origin, disability or age. The medical center had 50,755 admittances during the year ended september 30, 2025 with a total of 233,204 patient days and 2,258 births. The medical center participates in the medicaid program and administers a charity care policy whereby free or discounted services are available to qualified individuals with limited financial means. During the year ended september 30, 2025, the medical center provided an estimated $30,200,000 in unreimbursed costs attributable to charity care (excluding project neighborhealth). This estimate is based on the medical center's overall cost-to-charge ratio. In addition to these services, willis-knighton project neighborhealth operates two clinics in communities that are economically distressed and/or designated as medically under-served areas with health professional shortages. Regional transplant center the medical center operates the willis knighton john c. Mcdonald regional transplant center. All transplant patients receive transplants without regard to their economic status. The regional transplant center provides kidney, pancreas, and liver transplants. Substantially all the costs of operating the regional transplant center are borne by willis-knighton medical center. During the fiscal year ended september 30, 2025, 105 patients received organ transplants with a combined total of 117 organs being transplanted (94 kidneys, 10 pancreas and 13 livers). Of the 105 patients who received organ tranplantation at the medical center during the year ended september 30, 2025, 81 patients were beneficiaries of the medicare program. As such, these transplants were performed at very little, if any, cost to the patients.emergency care the medical center provides emergency services at four locations on a 24-hour basis staffed by full-time emergency room physicians. Emergency patients are treated regardless of their ability to pay. During the year ended september 30, 2025, the medical center's emergency rooms were visited by 151,125 patients.women and children's health the medical center provides a variety of medical services for women and children, including obstetrics, gynecology, neonatology, maternal/fetal health services for high risk pregnancy, pediatric intensive care and pediatric support services such as pediatric gastroenterology, surgery, and pulmonology. These services include both high-risk and low-risk obstetrics. Maternal transports are accepted. The labor and delivery (l&d) units are directed by board certified ob-gyn physicians and the majority of the nurses are certified by the association of women's health, obstetric & neonatal nurses (awhon). Willis-knighton south contracted with the ob hospitalist group in late 2023 to provide 24/7 ob coverage in the labor and delivery department. The program was fully staffed and supported the obsterical emergency department (obed) opening in january 2025. The obed manages pregnant patients >20 weeks' gestation for all pregnancy-related complications and/or labor and delivery. There were 2,258 births; 2,596 obstetrical visits to the l&d units; during the fiscal year ended september 30, 2025.fitness centers the medical center has five medically-supervised fitness cente

Financial Efficiency

• Mission deployment rate: 77.9%; rating input score 78
• Program expense ratio: 81.6%; rating input score 82
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: 0 of 8 controls in place; rating input score 0
  • Claims monitoring procedures: Fail
  • Requires narrative reports: Fail
  • Conducts field audits: Fail
  • May suspend future funding: Fail
  • Requires financial reports: Fail
  • Conducts site visits: Fail
  • Requires grant agreements: Fail
  • May require repayment: Fail
• Grant itemization coverage: 85.9%; rating input score 86; 20th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Scored; rating input score 0

Accountability

• Independent voting board: 30%; rating input score 30; 10th 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: 4.7%; rating input score 55; 55th percentile among comparable filings
• Total-asset coverage ratio: 2.17; rating input score 66; 66th percentile among comparable filings
• Liabilities to assets ratio: 0.26; rating input score 60; 60th percentile among comparable filings
• Officer compensation ratio: 0.9%; rating input score 76; 76th percentile among comparable filings

Growth

• Program expense growth: 4.8% per year; rating input score 100; 38th percentile among comparable filings
• Revenue growth: 4.6% per year; rating input score 100; 38th percentile among comparable filings
• Asset growth: 9.6% per year; rating input score 100; 68th percentile among comparable filings