SHPBEST

PREMIER PERFORMER

2018 WINNERTOP 5%

PATIENT SATISFACTIONHOME HEALTH

Award Winning Care IN YOUR HOME.

2019 ANNUAL REPORT TO THE COMMUNITY

On behalf of the Floyd Valley Board of Trustees, I want to thank everyone for the continued support of Floyd Valley Healthcare. As the only hospital in Plymouth County, FVH continues to work smart to provide our communities with the highest level of compassionate care with a home-town friendly touch.

With the landscape of Medicare/Medicaid and private insurances continually changing, it takes great skill to keep a Critical Access Hospital (CAH) such as FVH viable. The board and staff work together to balance the needs of making our services affordable while still making a profit. And, as a not-for-profit organization, any positive net profit balance at the end of the year can then be invested into additional equipment and/or services for our patients.

One example of this is our 3D mammography machine. Thanks to the generosity of our community, we were able to purchase this machine this year. Since being installed and tested this spring, over 670 exams have already been performed by our six certified techs. We have received many positive comments on this new technology including increased comfort level in both the room and the test itself.

I am proud to say that Floyd Valley Healthcare was named among the 67 CAHs to Know by Becker’s Healthcare. FVH was one of six facilities recognized in Iowa to be listed based on clinical quality and excellence in care delivery. Floyd Valley Community Health was recognized as a 2018 Premier Performer by SHPBest. This places us in the top 5% nationally and just one of four programs in Iowa to be honored. With that said, we plan on winning more awards in the years to come.

In conclusion, our Board of Trustees is extremely proud of Dustin Wright being named one of the 70 Critical Access CEOs to Know in less than one year on the job with us. This tells our board that our health care organization has an outstanding reputation and work ethic from top to bottom to be able to draw a person of Dustin’s caliber to Le Mars. We have a CEO, management team, and staff in all departments of our hospital which the Ice Cream Capital of the World can all be extremely proud of.

REPORTto the community

BILL YOUNGBoard Chair

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INCOME STATEMENT 2019 2019 2018Patient Service Revenue $ 63,272,258 $ 59,746,618Deductions from Revenue (27,241,029 (24,874,955)Other Operating Revenue 4,367,065 4,162,169 Total Operating Revenue $ 40,398,294 $ 39,033,832

Expenses $ 41,094,416 $ 39,628,398 Salary•Benefits•Supplies Purchased Services Depreciation • OtherIncome/Loss for Operations (696,123) (594,566)Total Non-Operating Revenue 1,812,187 984,788Net Income/Loss $ 1,116,064 $ 390,222

Dollars in Uncompensated Care $1,556,000

Dollars Invested in Equipment/Technology $1,100,000

Total Money Spent with Local Vendors $1,500,000

Annual Operating Budget $41,100,000

Operating Margin ($696,123)

340Total Number of Employees

Total Payroll $20,200,000

It is with great excitement we can release our 2019 Annual Report. As in years past, Floyd Valley Healthcare has much to be proud of. FVH received two separate nominations as a top Critical Access Hospital not only in Iowa but the nation. Floyd Valley Community Health was recognized as a top performer nationally as well. The accolades are great but this only begins to tell the story of how our entire organization places our consumers first. Our emphasis on high quality services while exceeding expectations will continue to drive our growth as an organization serving all of our communities. We are blessed to have a very engaged Board of Trustees, long-standing providers, tenured leaders and care givers through all of our departments. It is not a secret the healthcare industry is going through significant change on many different fronts. FVH is prepared to meet these challenges by following our mission of being a progressive healthcare partner, serving you with compassion, integrity and service excellence. FVH saw growth in many departments over this past year, most notably in outpatient services. Our emphasis on continued growth is evident with new technology purchases such as 3D mammography. It is our goal to keep you healthy; preventative screens such as mammograms are critical to early detection of any future medical issues. Meanwhile, we look forward to further advancements in 2020 to ensure we remain the provider of choice for Plymouth County and beyond. I would like to thank all of our volunteers and auxiliary members for their continued support and dedication to FVH. We are fortunate to have such giving communities not only in volunteer hours but dollars donated to our Foundation. We simply could not maintain and grow without this level of generosity. Personally, it is hard to believe I have been with FVH for almost a year! Not a day goes by that I do not feel blessed and fortunate to be a part of FVH! I am excited for the opportunities that lie ahead of us and thank you for supporting FVH!

Administrative

REPORT

DUSTIN WRIGHTCEO

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96

Obstetric Deliveries

508Inpatient Skilled Care Days

PATIENT STATISTICS

2019578Inpatient Discharges

3.1 DAYS

Average Length of Hospital Stay

150 Inpatient General Surgery

636Outpatient Same Day Surgery

1,521Inpatient Acute Care Days

5,529ER Visits

91,887Outpatient Visits

Research indicates that patients who have a family healthcare provider live longer, healthier lives. They are less likely to be hospitalized or die from chronic illness. And they have a trusted partner that is dedicated to keeping them and their entire family healthy.

Floyd Valley Healthcare’s providers are all board certified, each with unique interests. They have the education and expertise to address not just one aspect of your health or illness, but everything from a cold or a few stiches to complex, ongoing conditions that affect multiple areas of your life. Even obstetric care and delivery! They coordinate with other providers and departments at the hospital when you need additional care.

The addition of advanced practitioners, including physician assistants and nurse practitioners, benefits patients also. These providers are licensed professionals who provide services that have been offered by doctors in the past. This includes assessing patients, making diagnoses and prescribing medication. Just like physicians, these providers stay current on the latest research, treatments and standards of care and provide patients’ access to the latest treatments and innovations in healthcare.

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Family Med icineAndrew Geha, DO712.546.3680OB & Family CareLe Mars & Marcus

Steven Meis, MD712.546.3660Family Care

Kay Kosters, PA-C712.546.3650Family Care

Geri Lynn Schroeder, ARNP712.546.3615Le Mars & Remsen

Sheila Holcomb, MD712.546.3630OB & Family Care

Ellen Aquino, MD712.546.3610OB & Family Care

Shannon Letsche, ARNP712.376.4181Le Mars & Marcus

Jolene Meis, MD712.546.3645Pediatrician

Cheryl Cronin, PA-C712.546.3625Le Mars & Remsen

Paul Parmelee, DO712.546.3670OB & Family Care

Donald Odens, MD712.546.3685OB & Family CareLe Mars & Remsen

DeeAne Otto, ARNP712.546.3640Pain Services, CLC

Cynthia Wolff, MD712.546.3665Family Care

David Wolff, MD712.546.3655Addiction Medicine

Ashley Powell, DO712.546.3620OB & Family Care

We have all heard stories about getting mammograms. In fact, discomfort or pain are key reasons why many women avoid potentially life-saving mammography exams. In breast care, being proactive can make the difference in a woman’s life. The fact still remains, early detection saves lives!

The new 3D mammography system achieves the highest depth resolution while alleviating many of the fears associated with mammograms by: • Personalized exams with optimal results • Improved design for easier positioning, featuring soft edges for support and high comfort • Quicker exams with less radiation exposure than a 2D system • Sharper images reduce repeat tests and unnecessary steps

What do the experts see with the new 3D system? • Advance screening and diagnostic results – with high diagnostic accuracy • Make the invisible visible • Standardize image quality • Get more than just another view • Rely on exact density assessment • Elevate patient experience – with smart automation • Personalize compression for optimal results • Enhance patient comfort • Reduce unnecessary steps • Innovate care delivery – designed for excellence today and tomorrow • Offer patients certainty by delivering excellent imaging for diagnostic accuracy

If you are over 40 (earlier if there is a family history) and have not had a mammogram, the time to call for your mammogram is now - 712.546.3394! Do it for you and your family!

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WHY 3D MAMMOGRAMS?

Erica Stofferan R.T. (R) (M) (CT)

Through various fundraising efforts, the Floyd Valley Auxiliary was able to donate $45,000 towards the purchase of a BioFire FilmArray System for the hospital lab.

The BioFire FilmArray System has set the standard for molecular diagnostic testing. Integrated sample preparation, amplification, detection and analysis will allow accurate results that can be delivered in about an hour.

For Floyd Valley, this means quicker answers which can lead to shorter length of stay, fewer microbiology tests being sent to an outside lab, improved antibiotic stewardship, and better infection control. Patients will get appropriate medications quicker, if needed, all leading to better patient satisfaction.

6Brenda Kolbeck, Lab Manager • Jenn Stodden, Tech

Quick Results

Most people do not think about their local Emergency Department, that is until they or a loved one need it. Rest assured, at FVH we are always thinking of how we can best serve those that need us!

Located on the east side of our campus, the ED is available 24 hours a day, seven days a week with a dedicated physician and nursing staff to make sure we are there when you need us most. Nurses working in the ED are required to be certified in both ACLS (Advanced Cardiac Life Support) and TNCC (Trauma Nursing Core Course). Most nurses also are certified in PALS (Pediatric Advanced Life Support) and NRP (Neonatal Resuscitation Program). What does all that mean? That the staff that will treat you have the training to deal with a variety of traumatic and emergency events.

Patients should come to the ED if they are experiencing chest pain, shortness of breath, stroke symptoms, sudden and severe pain, loss of consciousness, large cuts, excessive bleeding, broken bones, etc. In case of an emergency, please call 911 to receive advance care while traveling to the hospital.

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EMERGENCIESALWAYS READY

24 HOURS A DAY

7 DAYS A WEEK

Deb Herman, CNA • Bill Rosacker & Greg Gengler, Le Mars Ambulance Mary Jo Clark, BSN • Naomi Renken, RN

Kristi Hargens, BSN • David Steele, MD, Emergency Physician

When many people think therapy, they probably picture athletes recovering from an injury, or even older athletes receiving treatment for injuries back from their glory days. Floyd Valley Therapies can help patients recovering from procedures like hip and knee replacements, that shoulder that acts up when it’s going to rain and wrist or hand fractures/surgeries. Stroke patients may also benefit from therapy services.

However, you don’t have to be “of a certain age” to visit the physical, speech and occupational therapists at Floyd Valley Healthcare. In fact, patients are just as likely to roll into therapy in a stroller as a wheelchair.

Floyd Valley Pediatric Therapy is a multidisciplinary department, bringing together physical, speech and occupational therapy teams. The program is led by a pediatrician, supplemented with social services, and works closely with the patient’s referring physician to provide a wide array of treatments and services. Children can benefit greatly from therapy, especially if they encounter developmental challenges or delays. Children may face a unique set of issues that can be addressed with pediatric therapy, allowing them to more fully participate in every aspect of their young lives.

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ALL ABOUT HELPING THE KIDS

Pediatric therapists work with young patients to help facilitate and encourage normal developmental milestones. Whether that’s walking, talking or even eating, therapists take a compassionate and specialized approach with their young patients. Since children often learn through play, therapy is developed with that in mind.

Sensory Room

Jess Martinez MA, CCC-SLP, CLC

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NEED PAIN RELIEF?Does your pain keep you from doing things you like to do? Does your pain interfere with your daily activities?

Does your pain keep you up at night? Do you worry a lot about your pain?

• If you answered yes to any of the above questions, let’s talk about your pain! Our Pain Services Team can discuss your concerns and help those living with chronic pain receive relief.

Our team can treat pain including:

Back pain

Neck pain

Degenerative disk pain

Spinal stenosis

Disk herniation

Hip pain

To discuss your pain situation, please call:

• 712.546.3640 to make an appointment with DeeAne Otto, ARNP

• 712.546.3332 to see Gary Tillman, CRNA or Laura Real, CRNA.

We are excited to announce that Laura, will begin her pain services at the beginning of 2020.

Steven Saulsbury, MD • Gary Tillman, CRNA • Laura Real, CRNA

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A Spark of Creativity

Exploring the arts such as music, theater, dance, creative writing and other arts can offer many life-improving benefits to older adults. Research indicates benefits include improving cognitive and sensory-motor functions, fostering self-esteem and self-awareness, cultivating emotional resilience, enhancing social skills, and reducing and resolving conflicts and distress, according to the American Art Therapy Association.

Residents at Park Place Estates Assisted Living enjoy a variety of activities involving the arts such as weekly piano recitals, attending municipal band concerts at Foster Park during the summer, and monthly craft club. Park Place also partners with the Le Mars Arts Center for various projects using mediums such as ceramics, painting, and mosaics to name a few.

For a tour of Park Place Estates Assisted Living, please call 712546.6793. To learn more about our nationally recognized facility, log on to ParkPlaceEstates.org.

Additional generous giving we are grateful for

• $4245 miscellaneous community/employee event support

• $20,000 Annual Helping Children Benefit golf tourney

• $12,000 by employees for employees, Annual Employee Assistance Campaign

• $111,600 Foundation raised for FVH project needs

• Volunteers provided 15,081.83 hours of service time in 2018,

saving the organization $109,300 in wages.

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Never Underestimate How Meaningful You Are. FLOYD VALLEY FOUNDATION

Amy HarnackFoundation Manager712.546.3348

WE DON’T.

Join Us For …

FLOYD VALLEY FOUNDATION’S

Saturday November 9, 2019

Wine & Craft Beer Tasting

Gourmet Hors d’oeuvres & Desserts

Entertainment by “Crazy Keys” Dueling Pianos

Upper Level Convention Center

2019 Event Proceeds to benefit IV Smart Pump Fund

AN EVENING INTuscany Saturday • November 9, 2019Doors Open at 6 pm

FOR TICKETS:

CALL

AMY HARNACK 712.546.3348

OR

FLOYDVALLEY.ORG

3D MAMMOGRAPHY PROJECT

WAS FUNDED BY

$54,390Wine & Craft Beer Event

$5,800Spring Appeal

$15,186Holiday Appeal

Foundation Executive BoardCraig Bauerly • Janelle Bixenman

Dustin Wright • Kevin Eekhoff • Peggy Sitzmann

Advisory MembersAnn Crosgrove • Advisory Member

Allie Freking • Advisory Member

Randy Kroese • Advisory Member

Shelly Thomson • Advisory Member

Glenda Wiener • Auxiliary Vice President

Katrina Homan • Advisory Member

Brenda Plueger • Internal Giving Co-Chair

Steph Whiddon • Internal Giving Co-Chair

Thank You!

For as long as some of us can remember, the holidays meant it was time for the delicious candy treats handmade fresh by the Floyd Valley Auxiliary. After a one-year break, the FV Auxiliary is excited to announce that the caramels and peanut clusters are back in time to order for the holidays! The candies will again be offered along with the holiday-shaped cookie sales concluding with the annual Goodie Sale.

714 Lincoln Street NELe Mars, IA 51031

FLOYD VALLEY AUXILIARY

Homemade Candy!

CANDY Orders due November 15thPick up December 11th from 2 – 6 p.m.FVH Conference CenterTo order call Cathy 540.0235 or Brenda 541.8357

COOKIES Orders due December 6th Pick up December 11th from 2 – 6 p.m.FVH Conference CenterFor question, call Sandy 539.9584

GOODIE SALE December 11th from 2 – 6 p.m.FVH Conference Center and Gift Shop