Burgess Health Center

Burgess Health Center, located at 1600 Diamond Street in Onawa, IA, is an award-winning critical access hospital dedicated to improving the quality of life for the communities it serves. We provide excellent healthcare with exceptional patient experiences, offering a 24/7 ER, surgical services, and numerous specialty clinics. Our vision is to be the best rural healthcare system in America, continually striving to meet the evolving needs of our patients. With family clinics and wellness centers, Burgess Health Center is committed to your health and well-being.

Identifiers

Hospital Name Burgess Health Center
Facility ID 161359

Location

Address 1600 DIAMOND STREET
City/Town Onawa
State IA
ZIP Code 51040
County/Parish MONONA

Health System

Health System Independent
Health System Website Domain burgesshc.org
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 Iowa

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Voluntary Nonprofit, Other
Emergency Services Yes

Lynn Wold

President/CEO

Appointed Chief Executive Officer effective early September 2023. [4] Has nearly 30 years of progressive and diverse experience in the healthcare industry. [4] Led the 25-bed critical access hospital in Onawa, three Burgess Family Clinics, and a retail family pharmacy. [4] During his 18-year tenure at UnityPoint Health – St. Luke's, Sioux City, Iowa, Wold led the development of a surgery facility, worked to improve patient satisfaction and employee engagement, oversaw the development and construction of an ambulatory medical plaza, and led the expansion of a Medicare-certified PACE program. [4] Raised in a rural community in SE North Dakota, son of a farmer and medical laboratory technician. [4] Married to Beth, with five children and lives in LeMars, IA. [4]

Jim Gobell

Vice president of finance

NA

Erin Brekke

Vice president of support services

NA

Teresa Butler

Sr. vice president of clinical services

Served as interim CEO. [8] Has proven leadership with Burgess for over 17 years in both clinical and operational settings. [8]

Grady Warner

Vice president of information technology

NA

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 156.16
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1204
Inpatient Days (Title XIX) 216
Total Inpatient Days 1965
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 208
Discharges (Title XIX) 44
Total Discharges 369

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 730
Inpatient Days (Title XIX; Adults & Peds) 168
Total Inpatient Days (Adults & Peds) 1368
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 208
Discharges (Title XIX; Adults & Peds) 44
Total Discharges (Adults & Peds) 369

Quality Summary

Care Quality Stengths Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours.
Care Quality Concerns Hospital is average for patient mortality except being low in

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 76%

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 Worse 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) 121

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -3.3
Readmission Score Hospital Return Days for Pneumonia Patients 6.4
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.6
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 19.3
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 16.4
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) 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 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 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 $160
Bad Debt Expense $380
Uncompensated Care Cost $376
Total Uncompensated Care $376

Operating Expenses ($ thousands)

Total Salaries $16,204
Overhead Expenses (Non-Salary) $19,448
Depreciation Expense $1,841
Total Operating Costs $29,607

Charges ($ thousands)

Inpatient Charges $5,600
Outpatient Charges $43,244
Total Patient Charges $48,844

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 $297
Short-Term Investments $6,528
Notes Receivable
Accounts Receivable $3,350
Allowance for Doubtful Accounts $-228
Inventory $1,234
Prepaid Expenses $552
Other Current Assets
Total Current Assets $11,782

Balance Sheet – Fixed Assets ($ thousands)

Land Value $398
Land Improvements Value $826
Building Value $34,333
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $16,394
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $25,536

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $25,579
Other Assets $126
Total Other Assets $25,705
Total Assets $63,023

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $4,102
Salaries & Wages Payable $1,692
Payroll Taxes Payable
Short-Term Debt $1,010
Deferred Revenue $2
Other Current Liabilities $23
Total Current Liabilities $6,830

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $16,538
Unsecured Loans
Other Long-Term Liabilities $656
Total Long-Term Liabilities $17,194
Total Liabilities $24,024

Balance Sheet – Equity ($ thousands)

General Fund Balance $38,999
Total Fund Balances $38,999
Total Liabilities & Equity $63,023

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 $5,597
Outpatient Revenue $49,838
Total Patient Revenue $55,435
Contractual Allowances & Discounts $24,765
Net Patient Revenue $30,671
Total Operating Expenses $35,652
Net Service Income $-4,981
Other Income $5,834
Total Income $853
Other Expenses
Net Income $853

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $5,287
Medicaid Charges $8,223
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Altera Sunrise
EHR Version Sunrise
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No