Crawford County Memorial Hospital

Crawford County Memorial Hospital, located at 100 Medical Parkway in Denison, Iowa, is a 25-bed critical access hospital dedicated to providing compassionate, quality healthcare. With over 70 years of history, our state-of-the-art facility offers a wide range of inpatient, outpatient, and diagnostic services, including specialized clinics and advanced medical technology. Our skilled and experienced staff of 265 are committed to caring for life and providing a personal touch to every patient. We are also a Level IV Trauma Center, with 24-hour anesthesia services, and serve as a significant economic driver in Crawford County.

Identifiers

Hospital Name Crawford County Memorial Hospital
Facility ID 161369

Location

Address 100 MEDICAL PARKWAY
City/Town Denison
State IA
ZIP Code 51442
County/Parish CRAWFORD

Health System

Health System Methodist Health System
Health System Website Domain methodisthealthsystem.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 8
Health System Total Beds 1190
Health System Hospital Locations Iowa and Texas

Ownership & Characteristics

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

Theresa Sheer

Chief Nursing Officer

Heather Rasmussen

Chief Quality & Ancillary Services Officer

Don Luensmann

Executive Director of Marketing & Development

Rachel Melby

Chief Financial Officer

Erin Muck

Chief Executive Officer

Has served as CEO for three and a half years, with 31 years of experience in healthcare, specifically rural Critical Access Hospitals, as both an administrator and frontline caregiver. Previously served as Chief Nursing Officer for six years at the facility. Registered nurse with expertise spanning nursing, leadership, and business acumen.

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 171
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 840
Inpatient Days (Title XIX) 33
Total Inpatient Days 1595
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 198
Discharges (Title XIX) 12
Total Discharges 434

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 632
Inpatient Days (Title XIX; Adults & Peds) 18
Total Inpatient Days (Adults & Peds) 1211
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 198
Discharges (Title XIX; Adults & Peds) 12
Total Discharges (Adults & Peds) 434

Quality Summary

Care Quality Stengths High overall patient satisfaction. 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. The hospital is average in every measured mortality rate Hospital does a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital.
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 66%

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 No Different Than National Average
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) Not Available

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -1.1
Readmission Score Hospital Return Days for Pneumonia Patients -23.5
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 18
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 20.7
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15.1
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.1
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 Fewer Days Than Average per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
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 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 $156
Bad Debt Expense $1,621
Uncompensated Care Cost $1,159
Total Uncompensated Care $1,159

Operating Expenses ($ thousands)

Total Salaries $19,838
Overhead Expenses (Non-Salary) $19,964
Depreciation Expense $2,603
Total Operating Costs $38,497

Charges ($ thousands)

Inpatient Charges $6,169
Outpatient Charges $55,598
Total Patient Charges $61,767

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 $14,525
Short-Term Investments
Notes Receivable
Accounts Receivable $5,914
Allowance for Doubtful Accounts
Inventory $1,419
Prepaid Expenses $534
Other Current Assets $2,020
Total Current Assets $24,459

Balance Sheet – Fixed Assets ($ thousands)

Land Value $435
Land Improvements Value $2,512
Building Value $8,943
Leasehold Improvements
Fixed Equipment Value $17,858
Major Movable Equipment $19,886
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $13,822

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $6,841
Other Assets $4,169
Total Other Assets $11,010
Total Assets $49,290

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $2,048
Salaries & Wages Payable $1,504
Payroll Taxes Payable $346
Short-Term Debt $1,093
Deferred Revenue
Other Current Liabilities $1,068
Total Current Liabilities $6,060

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $18,308
Unsecured Loans
Other Long-Term Liabilities $11,869
Total Long-Term Liabilities $30,177
Total Liabilities $36,237

Balance Sheet – Equity ($ thousands)

General Fund Balance $13,054
Total Fund Balances $13,054
Total Liabilities & Equity $49,290

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 $6,255
Outpatient Revenue $60,204
Total Patient Revenue $66,458
Contractual Allowances & Discounts $30,085
Net Patient Revenue $36,374
Total Operating Expenses $39,802
Net Service Income $-3,428
Other Income $5,225
Total Income $1,797
Other Expenses
Net Income $1,797

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $8,214
Medicaid Charges $10,691
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