CHI Health St. Francis

CHI Health St. Francis, located in Grand Island, Nebraska, has been providing care to the region since 1887. As a regional referral center with over 100 physicians and 1,100 employees, we are committed to building a healthier community by offering high-quality medical care close to home. Our services include comprehensive heart care, cancer treatment, and orthopedic and surgical services. The Joint Commission has certified our Stroke Center as a Primary Stroke Center, and we have received the 2023 Get With The Guidelines® - Stroke GOLD PLUS award.

Identifiers

Hospital Name CHI Health St. Francis
Facility ID 280023

Location

Address 2620 WEST FAIDLEY AVE
City/Town Grand Island
State NE
ZIP Code 68803
County/Parish HALL

Health System

Health System CommonSpirit Health
Health System Website Domain commonspirit.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 106
Health System Total Beds 17364
Health System Hospital Locations Arkansas, Arizona, California, Colorado, Georgia, Iowa, Kansas, Kentucky, Louisiana, Minnesota, North Dakota, Nebraska, Nevada, Ohio, Oregon, Tennessee, Texas and Utah

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Church
Ownership Details CommonSpirit Health
Emergency Services Yes

Steven Schieber

President

Steve Schieber was announced as the new hospital president of CHI Health St. Francis, starting on May 12, 2024. He previously served as Chief Executive Officer for a four-hospital critical access region at Saint Luke's Health System in Kansas City. He has over 25 years in healthcare leadership, owns a Master's degree from Northwest Missouri State, is a Fellow of the American College of Healthcare Executives and the American College of Medical Practice Executives, and is the former president of the Missouri Hospital Association (North District).

Kiley Grzywa

Vice President, Patient Care Services

Kiley Grzywa is the Vice President of patient care services at CHI Health St. Francis.

Residency Programs

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

Capacity & Services

Licensed Beds 130

Staffing & Personnel

FTE Employees on Payroll 438.83
FTE Interns & Residents 3.68

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 6732
Inpatient Days (Title XIX) 384
Total Inpatient Days 16784
Bed Count 101
Available Bed Days 36865
Discharges (Title V) NA
Discharges (Title XVIII) 1347
Discharges (Title XIX) 38
Total Discharges 4014

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 5642
Inpatient Days (Title XIX; Adults & Peds) 342
Total Inpatient Days (Adults & Peds) 13628
Bed Count (Adults & Peds) 77
Available Bed Days (Adults & Peds) 28105
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1347
Discharges (Title XIX; Adults & Peds) 38
Total Discharges (Adults & Peds) 4014

Quality Summary

Care Quality Stengths High overall patient satisfaction. 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. Hospital does an above-average job of ensuring patients at the hospital do not get infections.
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 68%

Mortality Group Indicators

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

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 -18.5
Readmission Score Hospital Return Days for Heart Failure Patients 14.8
Readmission Score Hospital Return Days for Pneumonia Patients 13
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.9
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 1.5
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 17.4
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) 14.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.5
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
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 No Different Than the National Rate
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) 1.142
CAUTI SIR (Standardized Infection Ratio) 0.933
SSI SIR (Standardized Infection Ratio) 3.610
CDI SIR (Standardized Infection Ratio) 0.273
MRSA SIR (Standardized Infection Ratio) 0.371

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $3,357
Bad Debt Expense $7,907
Uncompensated Care Cost $5,750
Total Uncompensated Care $13,016

Operating Expenses ($ thousands)

Total Salaries $38,703
Overhead Expenses (Non-Salary) $95,658
Depreciation Expense $8,633
Total Operating Costs $121,631

Charges ($ thousands)

Inpatient Charges $200,384
Outpatient Charges $202,394
Total Patient Charges $402,778

Wage-Related Details ($ thousands)

Core Wage Costs $10,726
Wage Costs (RHC/FQHC)
Adjusted Salaries $38,703
Contract Labor (Patient Care) $3,542
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $72,515
Short-Term Investments
Notes Receivable
Accounts Receivable $50,265
Allowance for Doubtful Accounts $-31,126
Inventory $5,812
Prepaid Expenses $540
Other Current Assets
Total Current Assets $100,681

Balance Sheet – Fixed Assets ($ thousands)

Land Value $785
Land Improvements Value $3,062
Building Value $102,272
Leasehold Improvements $63
Fixed Equipment Value $59,801
Major Movable Equipment $60,111
Minor Depreciable Equipment $25,926
Health IT Assets
Total Fixed Assets $108,075

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $10,888
Other Assets $413,404
Total Other Assets $424,292
Total Assets $633,048

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $-85,904
Salaries & Wages Payable $2,395
Payroll Taxes Payable $35
Short-Term Debt
Deferred Revenue
Other Current Liabilities $7,499
Total Current Liabilities $-76,170

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans $2,078
Other Long-Term Liabilities $21,806
Total Long-Term Liabilities $23,884
Total Liabilities $-52,286

Balance Sheet – Equity ($ thousands)

General Fund Balance $685,334
Total Fund Balances $685,334
Total Liabilities & Equity $633,048

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $3,507
DRG (Post-Oct 1) $11,271
Outlier Payments
DSH Adjustment $204
Eligible DSH % $0
Simulated MC Payments $5,156
Total IME Payments $252

Revenue & Income Statement ($ thousands)

Inpatient Revenue $204,486
Outpatient Revenue $198,291
Total Patient Revenue $402,778
Contractual Allowances & Discounts $286,288
Net Patient Revenue $116,489
Total Operating Expenses $145,368
Net Service Income $-28,878
Other Income $33,870
Total Income $4,992
Other Expenses
Net Income $4,992

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $12,030
Medicaid Charges $66,911
Net CHIP Revenue
CHIP Charges

EHR Information

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

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No