Regional Medical Center

Regional Medical Center (RMC), located at 709 W Main Street in Manchester, IA, is a public, not-for-profit, 25-bed Critical Access Hospital dedicated to providing quality, personalized care. Serving a four-county area, RMC offers 24-hour emergency care, family practice, home care, obstetric services, pain management, physical therapy, a specialty clinic, surgical services, and more. With recent renovations and a commitment to community, RMC provides a welcoming environment and advanced healthcare through its dedicated staff and state-of-the-art electronic charting system. Family practice clinics are also located in surrounding communities. We strive for excellence in serving our patients, their families, visitors, and one another.

Identifiers

Hospital Name Regional Medical Center
Facility ID 161343

Location

Address 709 W MAIN STREET
City/Town Manchester
State IA
ZIP Code 52057
County/Parish DELAWARE

Health System

Health System Independent
Health System Website Domain regmedctr.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 25
Health System Hospital Locations Iowa

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Government - Local
Ownership Details Delaware County
Emergency Services Yes

No leaders were identified on Regional Medical Center'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 286.34
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 940
Inpatient Days (Title XIX) 15
Total Inpatient Days 2959
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 224
Discharges (Title XIX) 7
Total Discharges 712

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 810
Inpatient Days (Title XIX; Adults & Peds) 7
Total Inpatient Days (Adults & Peds) 2058
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 224
Discharges (Title XIX; Adults & Peds) 7
Total Discharges (Adults & Peds) 712

Quality Summary

Care Quality Stengths Overall patient satisfaction is overall very high. Patients report that nurse communication is excellent. Patients were very positive about the cleanliness of the hospital. Patients were very positive about the quiet atmosphere 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 83%

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
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) 133

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -19.8
Readmission Score Hospital Return Days for Pneumonia Patients 6.7
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.5
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.7
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 Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 18.9
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16
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 Number of Cases Too Small
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
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 Number of Cases Too Small
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 $2,875
Bad Debt Expense $1,619
Uncompensated Care Cost $3,691
Total Uncompensated Care $4,014

Operating Expenses ($ thousands)

Total Salaries $31,507
Overhead Expenses (Non-Salary) $35,873
Depreciation Expense $4,179
Total Operating Costs $60,582

Charges ($ thousands)

Inpatient Charges $15,903
Outpatient Charges $103,015
Total Patient Charges $118,918

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 $11,245
Short-Term Investments
Notes Receivable
Accounts Receivable $9,640
Allowance for Doubtful Accounts $-945
Inventory $1,377
Prepaid Expenses $943
Other Current Assets
Total Current Assets $26,212

Balance Sheet – Fixed Assets ($ thousands)

Land Value $730
Land Improvements Value $2,033
Building Value $56,828
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $22,076
Minor Depreciable Equipment
Health IT Assets $3,050
Total Fixed Assets $38,467

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $33,144
Other Assets $12,493
Total Other Assets $45,637
Total Assets $110,316

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $1,467
Salaries & Wages Payable $3,307
Payroll Taxes Payable $646
Short-Term Debt $2,830
Deferred Revenue
Other Current Liabilities $782
Total Current Liabilities $9,032

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt $13,996
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $19,469
Total Long-Term Liabilities $33,465
Total Liabilities $42,497

Balance Sheet – Equity ($ thousands)

General Fund Balance $67,819
Total Fund Balances $67,819
Total Liabilities & Equity $110,316

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 $21,957
Outpatient Revenue $105,308
Total Patient Revenue $127,266
Contractual Allowances & Discounts $60,753
Net Patient Revenue $66,512
Total Operating Expenses $67,285
Net Service Income $-773
Other Income $8,091
Total Income $7,318
Other Expenses $5
Net Income $7,313

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $8,936
Medicaid Charges $18,174
Net CHIP Revenue $395
CHIP Charges $667

EHR Information

EHR Oracle Health Millennium CommunityWorks
EHR Version Oracle Health Millennium CommunityWorks
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No