Cookeville Regional Medical Center

Cookeville Regional Medical Center, located at 1 Medical Center Boulevard in Cookeville, TN, is the premier healthcare provider in the Upper Cumberland region. As a 269-bed regional referral center, we offer advanced medical and surgical specialties, including heart care, robotic surgery, and world-class imaging. Cookeville Regional is committed to delivering exceptional patient care using state-of-the-art equipment and techniques, reinvesting millions each year to meet the evolving healthcare needs of our community. We are proud to be a member of the Vanderbilt Affiliated Health Network, ensuring access to a wide range of services and expertise. Choose Cookeville Regional Medical Center, where it's more than just healthcare; it's the way we care.

Identifiers

Hospital Name Cookeville Regional Medical Center
Facility ID 440059

Location

Address 1 MEDICAL CENTER BOULEVARD
City/Town Cookeville
State TN
ZIP Code 38501
County/Parish PUTNAM

Health System

Health System Independent
Health System Website Domain crmchealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 269
Health System Hospital Locations Tennessee

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Government - Local
Ownership Details Cookeville Regional Health System
Emergency Services Yes

Buffy Key

CEO

Buffy Key, Chief Executive Officer (CEO) of Cookeville Regional Medical Center (CRMC), has been appointed to the Tennessee Hospital Association's (THA) Board of Directors. [8] Key's career has spanned over 32 years of health care and hospital experience. [8] She was named the CEO of CRMC in Sept. 2023 and was appointed by Governor Bill Lee to serve on the State of Tennessee Lab Board in March 2023. [8] Key has seen health care evolve from the ground up as she started her health care career as a medical laboratory scientist at Vanderbilt University Medical Center while serving in the Army National Guard. [8] She holds a bachelor's degree in medical technology from East Tennessee State University and a master of management in health care from Vanderbilt University. [13] She previously worked in the laboratory at Johnson City Medical Center, CRMC and Vanderbilt. [13] She also worked with the Bayer Corporation as a field service engineer in the diagnostics division and then returned to CRMC as the lab manager and director. [13] Buffy left CRMC to return to Vanderbilt as the administrative director of operations-clinical laboratories where she was responsible for 27 departments. [13] In 2011, Key relocated to her hometown of Cookeville to lead as the senior vice president for quality and operations at CRMC. [8] Key was quickly recognized as a leader in that role as she received the Tennessee Hospital Association's 2016 Patient Safety Leadership Award. [8]

Tommye Rena Wells

Chief Financial Officer

Luke Hill

Chief Legal Counsel

Bruce "DW" Johnson, MD

Chief Medical Officer

Amy Rich

Chief Nursing Officer

Joseph Jestus, MD

Medical Staff President

Tim McDermott

Chief Information Officer

Angel Lewis

Chief Human Resource Officer

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 269

Staffing & Personnel

FTE Employees on Payroll 1826.93
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 20837
Inpatient Days (Title XIX) 9598
Total Inpatient Days 59156
Bed Count 212
Available Bed Days 77380
Discharges (Title V) NA
Discharges (Title XVIII) 4177
Discharges (Title XIX) 1727
Total Discharges 12330

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 17336
Inpatient Days (Title XIX; Adults & Peds) 6013
Total Inpatient Days (Adults & Peds) 46262
Bed Count (Adults & Peds) 168
Available Bed Days (Adults & Peds) 61320
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 4177
Discharges (Title XIX; Adults & Peds) 1727
Total Discharges (Adults & Peds) 12330

Quality Summary

Care Quality Stengths Average overall patient satisfaction. The hospital is average in every measured mortality rate Hospital does an above-average job of ensuring patients at the hospital do not get infections.
Care Quality Concerns Hospital has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated Hospital does not do a good job of treating conditions like heart failure so that patients don't have to come back to the hospital. Hospital does not do a good job of treating conditions like pneumonia so that patients don't have to come back to the hospital.

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 71%

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 No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients No Different Than National Average
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 No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications No Different Than National Average
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 259

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 5.7
Readmission Score Hospital Return Days for Heart Failure Patients 18.6
Readmission Score Hospital Return Days for Pneumonia Patients 38.9
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 11.3
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 11.8
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.8
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.8
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 14.6
Readmission Score Rate of Readmission for CABG 11.8
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 19.7
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 20.8
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.3
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.8
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 19.1
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients More Days Than Average per 100 Discharges
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 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 No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG No Different Than the National Rate
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 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 Worse Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 1.238
CAUTI SIR (Standardized Infection Ratio) 0.813
SSI SIR (Standardized Infection Ratio) 1.100
CDI SIR (Standardized Infection Ratio) 0.467
MRSA SIR (Standardized Infection Ratio) 1.583

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $5,773
Bad Debt Expense $24,591
Uncompensated Care Cost $13,166
Total Uncompensated Care $13,166

Operating Expenses ($ thousands)

Total Salaries $121,761
Overhead Expenses (Non-Salary) $242,891
Depreciation Expense $14,545
Total Operating Costs $334,427

Charges ($ thousands)

Inpatient Charges $456,470
Outpatient Charges $674,287
Total Patient Charges $1,130,757

Wage-Related Details ($ thousands)

Core Wage Costs $31,669
Wage Costs (RHC/FQHC)
Adjusted Salaries $121,704
Contract Labor (Patient Care) $10,912
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $11,883
Short-Term Investments $44,558
Notes Receivable
Accounts Receivable $95,535
Allowance for Doubtful Accounts
Inventory $11,210
Prepaid Expenses $18,643
Other Current Assets $116,079
Total Current Assets $298,861

Balance Sheet – Fixed Assets ($ thousands)

Land Value $17,471
Land Improvements Value $6,019
Building Value $189,709
Leasehold Improvements
Fixed Equipment Value $19,581
Major Movable Equipment $129,200
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $142,428

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $-174,948
Other Assets
Total Other Assets $-174,948
Total Assets $266,341

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $-15,018
Salaries & Wages Payable $-9,745
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $-6
Total Current Liabilities $-15,163

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $-55,265
Unsecured Loans
Other Long-Term Liabilities $-1,036
Total Long-Term Liabilities $-56,301
Total Liabilities $-71,464

Balance Sheet – Equity ($ thousands)

General Fund Balance $194,877
Total Fund Balances $194,877
Total Liabilities & Equity $123,413

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $10,817
DRG (Post-Oct 1) $35,591
Outlier Payments
DSH Adjustment $2,358
Eligible DSH % $0
Simulated MC Payments $35,232
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $454,817
Outpatient Revenue $681,739
Total Patient Revenue $1,136,557
Contractual Allowances & Discounts $764,093
Net Patient Revenue $372,464
Total Operating Expenses $364,652
Net Service Income $7,812
Other Income $-9,586
Total Income $-1,774
Other Expenses
Net Income $-1,774

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $69,034
Medicaid Charges $162,740
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Altera Paragon
EHR Version Paragon
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No