Greater Regional Medical Center

Greater Regional Health, located at 1700 West Townline Street, Creston, IA, is a leading healthcare provider committed to delivering the highest quality health care and service. As a critical access hospital with 25 beds, we offer a comprehensive range of services, including emergency care, surgery, and rehabilitation, all provided with a hometown feel. Greater Regional is proud to be one of the largest employers in Southwest Iowa, with over 50 service lines and rural health clinics in Corning, Greenfield, Lenox, and Mount Ayr. We strive to be at the forefront of community projects promoting a healthy community and are dedicated to recognizing each individual's specific needs through person-centered care. Greater Regional Health is an affiliate partner with UnityPoint Health.

Identifiers

Hospital Name Greater Regional Medical Center
Facility ID 161365

Location

Address 1700 WEST TOWNLINE STREET
City/Town Creston
State IA
ZIP Code 50801
County/Parish UNION

Health System

Health System UnityPoint Health
Health System Website Domain unitypoint.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 25
Health System Total Beds 3388
Health System Hospital Locations Iowa, Illinois and Wisconsin

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Government - Local
Ownership Details UnityPoint Health
Emergency Services Yes

No leaders were identified on Greater 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 468.99
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1538
Inpatient Days (Title XIX) 14
Total Inpatient Days 3593
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 374
Discharges (Title XIX) 7
Total Discharges 896

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1199
Inpatient Days (Title XIX; Adults & Peds) 6
Total Inpatient Days (Adults & Peds) 2668
Bed Count (Adults & Peds) 21
Available Bed Days (Adults & Peds) 7665
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 374
Discharges (Title XIX; Adults & Peds) 7
Total Discharges (Adults & Peds) 896

Quality Summary

Care Quality Stengths Overall patient satisfaction is overall very high. 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. 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 a low ER wait and treatment time of less than 2 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 70%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
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) 93

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -17.7
Readmission Score Hospital Return Days for Pneumonia Patients -18.7
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 10.1
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.9
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 19.9
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.5
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.6
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.5
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) Not Available
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
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 No Different Than the National Rate
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 $412
Bad Debt Expense $1,213
Uncompensated Care Cost $1,039
Total Uncompensated Care $3,307

Operating Expenses ($ thousands)

Total Salaries $44,552
Overhead Expenses (Non-Salary) $48,751
Depreciation Expense $2,879
Total Operating Costs $77,596

Charges ($ thousands)

Inpatient Charges $20,855
Outpatient Charges $106,380
Total Patient Charges $127,235

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 $5,085
Short-Term Investments $12,054
Notes Receivable
Accounts Receivable $17,707
Allowance for Doubtful Accounts $-8,186
Inventory $1,835
Prepaid Expenses $1,728
Other Current Assets
Total Current Assets $31,892

Balance Sheet – Fixed Assets ($ thousands)

Land Value $607
Land Improvements Value $5,899
Building Value $55,278
Leasehold Improvements
Fixed Equipment Value $15,342
Major Movable Equipment $21,603
Minor Depreciable Equipment $307
Health IT Assets
Total Fixed Assets $42,517

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $24,035
Other Assets $8,747
Total Other Assets $32,782
Total Assets $107,191

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $2,755
Salaries & Wages Payable $3,344
Payroll Taxes Payable $1,228
Short-Term Debt $1,697
Deferred Revenue
Other Current Liabilities $3,956
Total Current Liabilities $12,981

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt $3,600
Long-Term Notes Payable $360
Unsecured Loans
Other Long-Term Liabilities $18,110
Total Long-Term Liabilities $22,070
Total Liabilities $35,051

Balance Sheet – Equity ($ thousands)

General Fund Balance $72,140
Total Fund Balances $72,140
Total Liabilities & Equity $107,191

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 $23,692
Outpatient Revenue $139,384
Total Patient Revenue $163,076
Contractual Allowances & Discounts $73,706
Net Patient Revenue $89,370
Total Operating Expenses $93,303
Net Service Income $-3,933
Other Income $9,556
Total Income $5,623
Other Expenses
Net Income $5,623

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $11,629
Medicaid Charges $22,789
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