Cedar County Memorial Hospital

**Welcome to Cedar County Memorial Hospital, your trusted healthcare provider in El Dorado Springs, Missouri.** We are a critical access hospital dedicated to providing comprehensive medical and surgical care for inpatient, outpatient, and emergency room patients. Our 24/7 emergency services and Level III Stroke Center certification ensure we are prepared to handle life-threatening situations. We are proud to be a team organization caring for our friends, family, and neighbors. Visit us at 1401 South Park Street for compassionate, quality care, close to home.

Identifiers

Hospital Name Cedar County Memorial Hospital
Facility ID 261323

Location

Address 1401 SOUTH PARK STREET
City/Town El Dorado Springs
State MO
ZIP Code 64744
County/Parish CEDAR

Health System

Health System CoxHealth
Health System Website Domain coxhealth.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 6
Health System Total Beds 1165
Health System Hospital Locations Missouri

Ownership & Characteristics

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

Terry Nichols

CEO

As the CEO of Cedar County Memorial Hospital, I consider it a privilege that you have chosen us as your healthcare provider. I have a very successful track record in reviving stressed rural community hospitals over the past 16 years. I am very passionate about my innovativeness in recruiting new physicians and providers, improving quality outcomes in both inpatient and outpatient areas, encouraging community wellness to address preventable illnesses, and I am committed to working with the business community to satisfy their healthcare needs and rebuilding community trust in healthcare. Being a critical thinker and passionate business leader, I have extensive experience designing and implementing business development and expansion plans. I have diversified knowledge regarding restructuring devastated businesses, specifically hospitals and health care centers. I implement the operations, and develop new financial policies and procedures, and improve services in addition to fostering and improving staff and community relationships.

Mandi Jordan

Administration

Mandi Jordan joined CCMH with over 20+ years of healthcare administration experience. She most recently worked as Director of Materials Management for seven years at a small rural community hospital, and also has ten years experience as a hospital Executive Assistant. She is born and raised in this area, graduating from Nevada High School and Cottey College. She is happy to be a part of the small but mighty team at CCMH!

Michaela Robertson

AP/ Payroll

I'm currently in school for accounting. I enjoy solving problems and analyzing data/reporting. I process payroll and accounts payable for Cedar County Memorial Hospital Administration. Outside of work, I enjoy spending time with my husband and our three daughters and we love traveling.

Kee Bausch

Med Staff Credentialing/ Compliance

Credentialing Specialist/Compliance Officer - coordinates Medical Staff activities; establishes and maintains professional communications with the Medical Staff, Administration, and all hospital departments; review and analysis of the ongoing credentialing, privileging, and Medical Staff governance functions; ensures hospital compliance with all federal and state regulations, organizational policies and code of conduct, and accrediting and regulatory agencies. I have an Associates of Applied Science degree in Business Computer Programming. I have worked with the Medical Staff for the last 14+ years.

Pam Tadlock

Insurance Credentialing

Coordinates credentialing data for enrollment, contracting, and onboarding of individual providers with insurance and government payers. Responsible for all provider, hospital and clinic credentialing and re-credentialing; maintenance of Council for Affordable Quality Healthcare (CAQH) account database for providers; responds to internal and external inquiries on enrollment matters; collects and maintains required documentation for providers and maintains a database to track this information; works closely with the Medical Staff Coordinator and the Director of Managed Care for the facility. I have worked in this field for 30+ years.

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 88.18
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 765
Inpatient Days (Title XIX) 63
Total Inpatient Days 1545
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 91
Discharges (Title XIX) 18
Total Discharges 207

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 356
Inpatient Days (Title XIX; Adults & Peds) 63
Total Inpatient Days (Adults & Peds) 821
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 91
Discharges (Title XIX; Adults & Peds) 18
Total Discharges (Adults & Peds) 207

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate Hospital has a low ER wait and treatment time of less than 2 hours
Care Quality Concerns NA

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 65%

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
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) 100

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients Not Available
Readmission Score Hospital Return Days for Pneumonia Patients 2.3
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
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 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 Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.7
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Number of Cases Too Small
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) Number of Cases Too Small
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 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 Number of Cases Too Small
Readmission Group Heart Failure (HF) 30-Day Readmission Rate Number of Cases Too Small
Readmission Group Rate of Readmission After Hip/Knee Replacement Not Available
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 Feb 01, 2022
Fiscal Year End Jan 31, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $51
Bad Debt Expense $994
Uncompensated Care Cost $645
Total Uncompensated Care $645

Operating Expenses ($ thousands)

Total Salaries $5,050
Overhead Expenses (Non-Salary) $12,648
Depreciation Expense $1,218
Total Operating Costs $15,807

Charges ($ thousands)

Inpatient Charges $4,321
Outpatient Charges $21,789
Total Patient Charges $26,110

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 $5,160
Short-Term Investments
Notes Receivable
Accounts Receivable $3,059
Allowance for Doubtful Accounts
Inventory $370
Prepaid Expenses $447
Other Current Assets $169
Total Current Assets $9,235

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value $468
Building Value $11,153
Leasehold Improvements
Fixed Equipment Value $1,014
Major Movable Equipment $7,395
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $5,188

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $2,775
Other Assets $224
Total Other Assets $2,999
Total Assets $17,423

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $612
Salaries & Wages Payable $378
Payroll Taxes Payable $131
Short-Term Debt $84
Deferred Revenue
Other Current Liabilities
Total Current Liabilities $1,205

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $133
Total Long-Term Liabilities $133
Total Liabilities $1,338

Balance Sheet – Equity ($ thousands)

General Fund Balance $16,085
Total Fund Balances $16,085
Total Liabilities & Equity $17,423

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 $4,449
Outpatient Revenue $24,264
Total Patient Revenue $28,713
Contractual Allowances & Discounts $13,644
Net Patient Revenue $15,069
Total Operating Expenses $17,698
Net Service Income $-2,629
Other Income $2,183
Total Income $-447
Other Expenses
Net Income $-447

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $1,990
Medicaid Charges $1,559
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No