Gundersen Palmer Lutheran Hospital and Clinics

Gundersen Palmer Lutheran Hospital and Clinics, located in West Union, Iowa, provides comprehensive healthcare for you and your family in Northeast Iowa. As part of the Gundersen Health System, we offer a wide range of primary and specialty care services, including routine checkups, obstetric care, and a 24/7 Emergency Department. Our facilities also host Fayette County Public Health, Home Health, Hospice, and Medical Equipment services. Our 25-bed critical access hospital features a modern birthing center, lab, imaging, rehabilitation, therapy, and surgical services. Experience exceptional care, close to home.

Identifiers

Hospital Name Gundersen Palmer Lutheran Hospital and Clinics
Facility ID 161316

Location

Address 112 JEFFERSON STREET
City/Town West Union
State IA
ZIP Code 52175
County/Parish FAYETTE

Health System

Health System Gundersen Health System
Health System Website Domain gundersenhealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 5
Health System Total Beds 125
Health System Hospital Locations Iowa, Minnesota and Wisconsin

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Gundersen Health System
Emergency Services Yes

No leaders were identified on Gundersen Palmer Lutheran Hospital and Clinics'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 128.23
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1190
Inpatient Days (Title XIX) 193
Total Inpatient Days 1930
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 114
Discharges (Title XIX) 58
Total Discharges 248

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 354
Inpatient Days (Title XIX; Adults & Peds) 107
Total Inpatient Days (Adults & Peds) 685
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 114
Discharges (Title XIX; Adults & Peds) 58
Total Discharges (Adults & Peds) 248

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 80%

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) 104

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -22.2
Readmission Score Hospital Return Days for Pneumonia Patients -23.3
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 Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.6
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 15.5
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 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 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 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 Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $802
Bad Debt Expense $319
Uncompensated Care Cost $1,049
Total Uncompensated Care $3,252

Operating Expenses ($ thousands)

Total Salaries $11,835
Overhead Expenses (Non-Salary) $24,674
Depreciation Expense $1,263
Total Operating Costs $35,984

Charges ($ thousands)

Inpatient Charges $4,831
Outpatient Charges $41,731
Total Patient Charges $46,562

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 $11,899
Short-Term Investments
Notes Receivable
Accounts Receivable $8,329
Allowance for Doubtful Accounts $-2,717
Inventory $813
Prepaid Expenses $109
Other Current Assets
Total Current Assets $18,685

Balance Sheet – Fixed Assets ($ thousands)

Land Value $168
Land Improvements Value $482
Building Value $8,269
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $9,972
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $10,272

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $6,071
Other Assets $708
Total Other Assets $6,779
Total Assets $35,735

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $907
Salaries & Wages Payable $1,651
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities
Total Current Liabilities $5,002

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt $6,965
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $3,085
Total Long-Term Liabilities $10,050
Total Liabilities $15,052

Balance Sheet – Equity ($ thousands)

General Fund Balance $20,683
Total Fund Balances $20,683
Total Liabilities & Equity $35,735

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 $5,830
Outpatient Revenue $52,288
Total Patient Revenue $58,118
Contractual Allowances & Discounts $23,683
Net Patient Revenue $34,434
Total Operating Expenses $36,828
Net Service Income $-2,394
Other Income $4,302
Total Income $1,908
Other Expenses
Net Income $1,908

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $4,957
Medicaid Charges $9,265
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic Community Connect
EHR Version EpicCare Community Connect
EHR is Changing No

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No