WinnMed

WinnMed, located at 901 Montgomery Street in Decorah, Iowa, is a leading 25-bed, not-for-profit critical access hospital. As part of the Mayo Clinic Health System, we provide specialized care to the region with a wide array of services and an active medical staff of over 35 physicians. WinnMed has earned The Joint Commission Gold Seal of Approval® for demonstrating compliance with the highest standards of quality and safety in healthcare. With clinics in Decorah, Ossian, and Mabel, Minnesota, WinnMed is committed to providing exceptional healthcare services close to home.

Identifiers

Hospital Name WinnMed
Facility ID 161371

Location

Address 901 MONTGOMERY STREET
City/Town Decorah
State IA
ZIP Code 52101
County/Parish WINNESHIEK

Health System

Health System Mayo Clinic Health System
Health System Website Domain mayoclinic.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 20
Health System Total Beds 4074
Health System Hospital Locations Arizona, Florida, Iowa, Minnesota and Wisconsin

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Government - Local
Ownership Details Board of Trustees
Emergency Services Yes

No leaders were identified on WinnMed's website

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 25

Staffing & Personnel

FTE Employees on Payroll 402.95
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1887
Inpatient Days (Title XIX) 143
Total Inpatient Days 3464
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 391
Discharges (Title XIX) 6
Total Discharges 779

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1248
Inpatient Days (Title XIX; Adults & Peds) 7
Total Inpatient Days (Adults & Peds) 2249
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 391
Discharges (Title XIX; Adults & Peds) 6
Total Discharges (Adults & Peds) 779

Quality Summary

Care Quality Stengths Overall patient satisfaction is overall very high. Patients report that nurse communication is excellent. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. Patients were very positive about the cleanliness of the hospital. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours.
Care Quality Concerns

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital 82%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 128

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 2.3
Readmission Score Hospital Return Days for Pneumonia Patients 3.3
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.6
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10.1
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.6
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.1
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.6
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.5
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.5
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Number of cases too small
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission for CABG Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Number of Cases Too Small
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) NA
CAUTI SIR (Standardized Infection Ratio) NA
SSI SIR (Standardized Infection Ratio) NA
CDI SIR (Standardized Infection Ratio) NA
MRSA SIR (Standardized Infection Ratio) NA

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $397
Bad Debt Expense $1,323
Uncompensated Care Cost $1,019
Total Uncompensated Care $2,631

Operating Expenses ($ thousands)

Total Salaries $29,364
Overhead Expenses (Non-Salary) $48,365
Depreciation Expense $3,022
Total Operating Costs $59,372

Charges ($ thousands)

Inpatient Charges $17,115
Outpatient Charges $109,256
Total Patient Charges $126,371

Wage-Related Details ($ thousands)

Core Wage Costs
Wage Costs (RHC/FQHC)
Adjusted Salaries
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $11,652
Short-Term Investments
Notes Receivable
Accounts Receivable $13,253
Allowance for Doubtful Accounts $-2,774
Inventory $1,372
Prepaid Expenses $988
Other Current Assets
Total Current Assets $26,893

Balance Sheet – Fixed Assets ($ thousands)

Land Value $916
Land Improvements Value $497
Building Value $35,597
Leasehold Improvements
Fixed Equipment Value $2,303
Major Movable Equipment $19,788
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $21,084

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $1,942
Other Assets $25,455
Total Other Assets $27,397
Total Assets $75,374

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $4,367
Salaries & Wages Payable $4,618
Payroll Taxes Payable $584
Short-Term Debt $1,055
Deferred Revenue
Other Current Liabilities $337
Total Current Liabilities $10,961

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt $12,904
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $3,148
Total Long-Term Liabilities $16,053
Total Liabilities $27,014

Balance Sheet – Equity ($ thousands)

General Fund Balance $48,360
Total Fund Balances $48,360
Total Liabilities & Equity $75,374

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $18,253
Outpatient Revenue $147,335
Total Patient Revenue $165,588
Contractual Allowances & Discounts $87,948
Net Patient Revenue $77,640
Total Operating Expenses $77,729
Net Service Income $-89
Other Income $8,405
Total Income $8,317
Other Expenses
Net Income $8,317

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $5,552
Medicaid Charges $15,249
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No