CHI Health Missouri Valley

CHI Health Missouri Valley, located at 631 N 8th St in Missouri Valley, IA, has been dedicated to enhancing the quality of life for Harrison County residents for over 50 years. As a community hospital and recognized as one of the top 20 critical access hospitals in the nation, they are committed to keeping you and your loved ones healthy by offering personalized, compassionate care close to home. CHI Health Missouri Valley provides a wide array of services, including primary care, pediatrics, women's health, emergency services, diagnostic imaging, and rehabilitation services. They collaborate with the community to promote wellness and preventative care, striving to improve the health of southwest Iowa residents of all ages.

Identifiers

Hospital Name CHI Health Missouri Valley
Facility ID 161309

Location

Address 631 N 8TH ST
City/Town Missouri Valley
State IA
ZIP Code 51555
County/Parish HARRISON

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 Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details CommonSpirit Health
Emergency Services Yes

David Jones

President

Brings more than 20 years of leadership and operational strategy to the organization. Holds a MBA and was part of a Healthcare Advisory Fellowship Program in 2012. His background includes healthcare senior leadership in Kansas City and local government, having served for 13 years as a city councilman and mayor in St. Joseph, Mo. A successful team builder, Jones works to exceed patient expectations while meeting budget - all without compromising employee satisfaction. Assumed leadership of CHI Health Missouri Valley on April 19, 2021. Also holds the expanded role of Regional Market President with oversight of all owned and managed regional Critical Access Hospitals as of December 2021.

Nikki Davis

Foundation Development Coordinator and Marketing Lead

Serves CHI Health Missouri Valley and surrounding clinics. Hired in September 2022. Also serves as the Auxiliary liaison and Senior Health Insurance Information Program (SHIIP) liaison. Passionate advocate for bringing more health-related opportunities to Harrison County, and promoting CHI Health's mission, vision and values. Has a passion for networking, allowing her previous employment experiences to assist in promoting and moving forward the programs in which she is involved. Has grown CHI Health Missouri Valley's social media and marketing presence since her start date and hopes to return to school to secure her nonprofit management degree so she can better serve her Foundation, hospital, clinics, and communities. Holds a bachelor's in English on a Creative Writing Track from Creighton University, Omaha, Neb. Is a part-time tumbling instructor at Blair Dance Center in Blair, Neb., and co-owner of Heavy Metal Renaissance, LLC, a custom metal shop in Woodbine, Iowa. Is a member of the Woodbine (Iowa) Kiwanis, where she previously served as president and secretary. Volunteers for her local police department, and for the Woodbine Community School District providing jump and tumbling clinics. Is the co-founder of the Healthy Harrison Coalition and former co-chair, and current member. Also serves as a member of the Patient and Family Advisory Council (PFAC) at CHI Health Missouri Valley. Graduated from the inaugural class of the Leadership Harrison program in 2012. Previously, was a member of the education committee and a Sunday school teacher for the Woodbine United Methodist Church and a Woodbine Main Street Promotions Committee, and was public relations chair for the Town and Country Arts, Woodbine Blue Zones Committee, Modale Fun Days committee and Missouri Valley Kiwanis.

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 93.89
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1042
Inpatient Days (Title XIX) NA
Total Inpatient Days 2428
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 122
Discharges (Title XIX) NA
Total Discharges 212

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 413
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 692
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 122
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 212

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 69%

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) 105

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 Not Available
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.1
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 18.8
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.2
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
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 Number of Cases Too Small
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 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 No Different Than the National Rate
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 Number of Cases Too Small

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 $361
Bad Debt Expense $647
Uncompensated Care Cost $699
Total Uncompensated Care $699

Operating Expenses ($ thousands)

Total Salaries $12,942
Overhead Expenses (Non-Salary) $18,187
Depreciation Expense $801
Total Operating Costs $29,307

Charges ($ thousands)

Inpatient Charges $5,796
Outpatient Charges $47,647
Total Patient Charges $53,443

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 $224
Short-Term Investments
Notes Receivable
Accounts Receivable $4,683
Allowance for Doubtful Accounts $-2,577
Inventory $354
Prepaid Expenses $7
Other Current Assets
Total Current Assets $2,989

Balance Sheet – Fixed Assets ($ thousands)

Land Value $861
Land Improvements Value $146
Building Value $4,642
Leasehold Improvements
Fixed Equipment Value $613
Major Movable Equipment $3,648
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $4,847

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $33,326
Other Assets $879
Total Other Assets $34,204
Total Assets $42,040

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $-30,888
Salaries & Wages Payable $656
Payroll Taxes Payable $0
Short-Term Debt
Deferred Revenue $223
Other Current Liabilities $164
Total Current Liabilities $-25,845

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $277
Total Long-Term Liabilities $277
Total Liabilities $-25,568

Balance Sheet – Equity ($ thousands)

General Fund Balance $67,608
Total Fund Balances $67,608
Total Liabilities & Equity $42,040

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 $5,738
Outpatient Revenue $48,741
Total Patient Revenue $54,479
Contractual Allowances & Discounts $23,419
Net Patient Revenue $31,059
Total Operating Expenses $31,129
Net Service Income $-70
Other Income $3,766
Total Income $3,696
Other Expenses
Net Income $3,696

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $4,289
Medicaid Charges $7,895
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