Chadron Community Hospital and Health Services

Chadron Community Hospital and Health Services, located in Chadron, Nebraska, is your trusted healthcare provider in the Panhandle region. We are a critical access hospital offering comprehensive medical and surgical care, obstetrics and newborn services, 24/7 emergency care, and rehabilitation services. Our mission is to provide and support healthcare and community service programs of excellence. With a wide range of visiting specialists, we bring specialized care closer to home.

Identifiers

Hospital Name Chadron Community Hospital and Health Services
Facility ID 281341

Location

Address 825 CENTENNIAL DRIVE
City/Town Chadron
State NE
ZIP Code 69337
County/Parish DAWES

Health System

Health System Independent
Health System Website Domain chadronhospital.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 25
Health System Hospital Locations Nebraska

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Independent
Emergency Services Yes

Jonathan (Jon) Reiners

Chief Executive Officer

Chadron Community Hospital & Health Services is proud to announce the appointment of Jonathan (Jon) Reiners as Chief Executive Officer. Reiners will officially assume the role on January 6, 2025, bringing a wealth of experience and a deep commitment to rural healthcare and community engagement. A Nebraska native, Reiners began his career in healthcare in 2007, serving as the Director of Materials Management at Community Hospital in McCook, NE. He later transitioned to the role of Director of Strategy, where he spearheaded numerous successful initiatives, including operational improvements, cost reductions, and multiple construction projects. Reiners is an active leader in professional healthcare organizations, including Rocky Mountain Performance Excellence, where he has served as both an examiner and board member. He is also a Senior Member of the American Society for Quality, holding a Certified Six Sigma Black Belt, and a member of the American College of Healthcare Executives (ACHE). These affiliations reflect his dedication to advancing healthcare quality and excellence. Reiners holds a Bachelor of Science in Business Administration from Bellevue University and is currently completing his Master's in Business Administration with a Healthcare Management focus from Chadron State College. Reiners' passion for rural healthcare aligns seamlessly with Chadron Community Hospital's mission to enhance the health and well-being of the community. When he's not working, Reiners enjoys hunting, fishing, playing guitar, riding motorcycles, and disc golf.

Sean Wolfe

Interim Chief Executive Officer

Sean Wolfe serves as the interim CEO at Chadron Community Hospital & Health Services, appointed effective March 27, 2024. [4] He is currently the CFO at Community Hospital in McCook, Nebraska, and brings extensive experience and a commitment to rural healthcare, having worked in public accounting and held leadership positions in McCook for over 15 years.

Jennifer Brown

Chief Financial Officer (CFO)

Jennifer Brown has been with Chadron Community Hospital as CFO for over seven years. [2, 10] She was recently awarded the 2024 Caring Kind Award and continues to play an essential role in the hospital's financial health and operational strategy. [2, 10] Jennifer Brown is a 2000 graduate of Chadron State College and spent 17 years as a CPA and manager with FALCO and its successor GLR before being named CFO of Chadron Community Hospital and Health Services in April 2017.

Brenda Rhembrandt, R.N.

Chief Nursing Officer (CNO) & Vice President of Patient Care Services

Brenda Rhembrandt has 23 years at Chadron Community Hospital & Health Services, having held various roles including CNA, Trauma Nurse Coordinator, Nurse Manager, and recently Interim Clinical Leader. [2] Her leadership contributed to the hospital receiving the Five-Star Award from CMS in 2024. [2] She co-founded Circle of Light, a local organization that supports cancer patients. [2] In recognition of her dedication, she was named the 2023 Caring Kind Employee. [2] Brenda's clinical experience spans emergency care, OB, medical/surgical, and hospice. [2] She holds a BSN from UNMC and has been certified in Chemotherapy/Immunotherapy since 2007. [2] Her vision focuses on providing exceptional care, fostering a culture of self-care and inclusiveness, and growing Chadron's medical services.

Dan Anderson

Vice President of Human Resources & Support Services

Dan Anderson serves as the VP of HR and Support Services at Chadron Community Hospital, where he has contributed for 14 years, following a previous role as IT Director. [2] He is a 2016 graduate of the Nebraska Hospital Association Leadership Institute and the 2012 Caring Kind award winner. [2] A graduate of Chadron State College with a Bachelor of Science in Physics, Dan grew up in Chadron and now resides in Hay Springs, NE.

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 128.54
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1471
Inpatient Days (Title XIX) 251
Total Inpatient Days 2271
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 232
Discharges (Title XIX) 103
Total Discharges 484

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1010
Inpatient Days (Title XIX; Adults & Peds) 180
Total Inpatient Days (Adults & Peds) 1608
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 232
Discharges (Title XIX; Adults & Peds) 103
Total Discharges (Adults & Peds) 484

Quality Summary

Care Quality Stengths High overall patient satisfaction. 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 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 73%

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
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) 99

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 Not Available
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.7
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) 14.5
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 Number of Cases Too Small
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 Not Available
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 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 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 Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $50
Bad Debt Expense $1,114
Uncompensated Care Cost $824
Total Uncompensated Care $1,734

Operating Expenses ($ thousands)

Total Salaries $10,228
Overhead Expenses (Non-Salary) $20,189
Depreciation Expense $1,607
Total Operating Costs $26,102

Charges ($ thousands)

Inpatient Charges $7,664
Outpatient Charges $29,892
Total Patient Charges $37,556

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 $10,148
Short-Term Investments
Notes Receivable
Accounts Receivable $8,647
Allowance for Doubtful Accounts $-2,179
Inventory $614
Prepaid Expenses $214
Other Current Assets
Total Current Assets $17,707

Balance Sheet – Fixed Assets ($ thousands)

Land Value $203
Land Improvements Value $162
Building Value $26,842
Leasehold Improvements $116
Fixed Equipment Value $8,188
Major Movable Equipment $9,570
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $14,554

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $1,559
Other Assets
Total Other Assets $1,559
Total Assets $33,820

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $718
Salaries & Wages Payable $1,138
Payroll Taxes Payable $28
Short-Term Debt $91
Deferred Revenue $9
Other Current Liabilities $934
Total Current Liabilities $2,918

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt $4,453
Long-Term Notes Payable $8,637
Unsecured Loans
Other Long-Term Liabilities $89
Total Long-Term Liabilities $13,179
Total Liabilities $16,097

Balance Sheet – Equity ($ thousands)

General Fund Balance $17,723
Total Fund Balances $17,723
Total Liabilities & Equity $33,820

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 $7,691
Outpatient Revenue $30,219
Total Patient Revenue $37,910
Contractual Allowances & Discounts $10,867
Net Patient Revenue $27,043
Total Operating Expenses $30,417
Net Service Income $-3,374
Other Income $3,977
Total Income $603
Other Expenses
Net Income $603

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $1,973
Medicaid Charges $4,148
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium CommunityWorks
EHR Version Oracle Health Millennium CommunityWorks
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No