# Finley Hospital

42°29′44″N 90°41′12″W﻿ / ﻿42.4955°N 90.6867°W﻿ / 42.4955; -90.6867
UnityPoint Finley Hospital is a 158-bed general hospital located in Dubuque, Iowa, serving the local community and surrounding areas. Certified by the Centers for Medicare & Medicaid Services (CMS), Finley Hospital participates in the CMS Quality Initiative program and accepts Medicare for payment. The hospital offers services such as acute renal dialysis, anesthesia, cardiac catheterization, laboratory services, inpatient and outpatient rehabilitation, obstetrics, emergency and psychiatric care, imaging (CT, MRI, PET, nuclear medicine), and various surgical procedures. Finley also provides specialized care in areas such as pediatric services, neonatal intensive care, and trauma. The hospital is accredited for inpatient and outpatient services and operates an emergency department and intensive care units.
Finley is a non-profit hospital accredited by the Joint Commission on Accreditation of Healthcare Organizations and licensed by the state of Iowa. The NPI number of this hospital, 1942392600, was assigned in September 2006.

## History
### Early history

Dr. Finley was Dubuque's first general physician and the second permanent physician of both Dubuque County and the state of Iowa. He and his wife were active in the Dubuque community, belonging to the early settler's group, helping to organize the Presbyterian Church, and forming the Northwest Medical Society (now the Dubuque County Medical Society).
Dr. John Finley reportedly dreamed of building a hospital. After his death, he bequeathed his property, valued at $80,000, to establish a hospital to be managed by Dubuque physicians. The articles of incorporation for The Finley Hospital Company were adopted on February 21, 1890, and the Finley residence was converted into a twenty-seven-room hospital with forty beds.
The first board of directors consisted of 20 men and 14 women. William Harrison Day Sr. served as president of the Finley hospital board of trustees.
The first patients were admitted in 1890. Finley Hospital sent aged, mentally ill, or chronically ill patients to other facilities. Although it could house 40 patients, conditions were reported to be suboptimal; surgeries were performed in a glass-walled cupola to maximize available light.
In 1896, Abraham Slimmer of Waverly, Iowa, pledged $50,000 to the hospital, contingent on Dubuque raising an equal amount by March 1, 1897. Henry L. Stout contributed $25,000, but local fundraising stalled, prompting appeals in the Dubuque Herald. By the deadline, the community had raised $52,239.36. The trustees allocated $25,000 for a new building and invested the remainder. Plans included repurposing the original building as a nurses' home and establishing a training school to provide affordable staffing and professional opportunities for women.
In 1898, a pavilion addition was constructed at Finley Hospital using funds from the Finley bequest. The hospital, accommodating 70 patients, was opened for public inspection on June 25 and later on September 24, drawing six thousand visitors. The addition featured Dubuque's first patient transfer system using elevators, steam heating to reduce infections, and a third-floor kitchen to prevent cooking odors. Generous contributions furnished rooms and equipment, with Mrs. Fred O'Donnell providing the largest donation, including an electric lighting plant and operating room furnishings. Opening day festivities were organized by the Dorothea Dix Circle, who raised funds in creative ways, such as dressing as streetcar conductors.
In 1898, Finley Hospital established a nurses' training program, the first of its kind in the area outside Chicago. Applicants needed a high school diploma and physical stamina. The program included three months of instruction followed by two years of hospital work, with the first class of four nurses graduating in 1900. By 1902, the graduating class grew to twenty, and the original hospital building was repurposed as a nurses' home.
In the same year, Henry L. Stout donated an ambulance with features such as curtained windows, ventilators, a heated interior, and rubber wheels. The ambulance, stored at Byrne Brothers, could be summoned at any time, with the cost covered by the city council's usual livery fees.

### Early 20th century expansions

By 1910, increasing demand led the hospital board to consider expanding facilities. The public toured the new Lull Memorial Home for nurses during National Hospital Day. Finley was one of only thirteen Iowa hospitals with 100+ beds by the 1920s. Significant charity work posed financial challenges. In 1920, free services cost the hospital $17,020.50, with only $4,168.46 offset by the Slimmer charity fund, resulting in a net loss of $12,852.64.
The Women’s Auxiliary played a role at Finley Hospital, hosting annual “fruit showers” to provide patients with jars of fruit and jelly while funding charity work, repairs, and improvements. In 1921, Dr. F. P. McNamara was hired to lead the Pathological Laboratory, eliminating delays caused by sending specimens to other cities. In 1925, the Sunshine Circle held a Better Baby Health Conference, examining children born at Finley under American Medical Society guidelines.
Expansions followed, including a 1950 addition increasing bed capacity, operating rooms, and maternity facilities, and a cobalt therapy unit for cancer treatments in 1961. A $2.875 million expansion in 1973 added further facilities. In 1970, the Dubuque County Medical Society purchased multimedia educational materials for coronary care, benefiting Finley and other local hospitals.

### Modernization and technological advancement

In 1984, Finley Hospital closed its School of Nursing, citing declining enrollment and cost pressures, though current students were allowed to complete the program. In 1987, the hospital received a $1 million gift from the estate of Lester Wendt, to establish the Wendt Regional Cancer Center. Opened on November 13, 1987, the $3 million facility treated up to 60 patients daily. In 1989, Finley introduced Family Birthing Suites, allowing women to experience delivery and recovery in the same room.
In 1990, Finley Hospital employed around 600 people, contributing approximately $100 million to the local economy, with $14 million spent on salaries, benefits, and supplies. It also provided training for local college and technical students. In 1991, Finley introduced a policy allowing acute care patients to be visited by their pets. Due to growth in outpatient services, the hospital began a $1 million parking expansion project.
In 1992, Finley announced an $11.3 million program to expand outpatient care, remodel the emergency center, and expand the health education center. The Babka Outpatient Care Unit was named in honor of Edward and Shirley Babka's contributions.
In August 1993, Finley and Mercy Health Center formed the Dubuque Regional Health System to reduce costs and improve efficiency. However, the U.S. Justice Department filed an antitrust suit, and after litigation, Finley withdrew from the alliance in 1997, with the case eventually dismissed.
In 1994, Finley Hospital expanded with the construction of an intensive-care unit, Babka Outpatient Surgery Wing, and a new entrance. Additional developments included the Delhi Medical Center (2002), Kehl Diabetes Center (2006), and a west wing addition (2008) with all-private rooms. The hospital installed a General Electric Spiral CT Scanner in 1994 and introduced the Kids Count Too program for children with family members battling cancer.
Efforts to unionize began in 1995, and in 1996, Heartland AirMed started transporting patients. In December 1996, the Finley/Mercy Diabetes Center opened. Finley applied for a permanent MRI center in 1997, but the state denied approval. That same year, the hospital became a partner in Iowa Health System, expanding access to medical expertise and economic benefits. New services included a pain management program and the "Convenient Care" after-hours clinic, while Finley was designated a Level II hospital for high-risk pregnancies.
In 1997, Finley and Mercy gained approval to have their own MRI units after changes in the Iowa Department of Public Health's approval process. The Wendt Regional Cancer Center, marking its tenth anniversary, added a new $2 million high-energy accelerator and continued its work with Mayo Clinic's clinical trials. In 1998, Finley merged with Comprehensive Rehab, expanding its therapy services. The hospital also partnered with Hospice of Dubuque for tissue donation from terminally ill patients.
Finley opened the Summit Health Center for Older Adults in 1998, offering specialized care for older patients with psychiatric and cognitive disorders. The hospital launched a weekly wound clinic in 1999 for chronic, non-healing wounds. In 2004, Finley became a provider for John Deere's new healthcare plan.
In 2005, Finley and Mercy absorbed charity-care costs, despite challenges with reimbursements. In 2006, Finley became the first hospital in Dubuque to offer free wireless Internet for patients and visitors.
In January 2008, Finley received a $1,000 grant from the Iowa Sports Foundation to fund the "Lighten Up Iowa" program, a statewide initiative to promote healthier lifestyles. Later that year, Finley purchased the Siegert-Casper Funeral Home property for $2.2 million to build a $42 million, 70,000-square-foot addition to replace the emergency and surgical departments and house a heart center.

### Recent developments

In 2010, Finley was named to the "100 Top Hospitals" list by Thomson Reuters for its performance in patient safety, quality, and cost measures. In 2012, the hospital was approved for a cardiac catheterization laboratory to treat cardiovascular disease and introduced the da Vinci robotic system for surgeries.
In 2014, Finley Hospital introduced 3-D mammography, becoming the first in the community to offer the service, with 75% of patients opting for it in the first month. In 2015, Edward and Shirley Babka donated $1 million toward the Grandview Expansion Project, helping raise $3 million of the $5 million campaign goal.
UnityPoint Health, previously Iowa Health System, expanded to include hospitals and clinics in Iowa, Illinois, and Wisconsin. In June 2015, Finley’s Wound and Hyperbaric Center received the Joint Commission’s Gold Seal of Approval for Wound Care Management. The hospital also received a $105,200 grant from the American Heart Association in July 2015 to improve heart attack care through the Mission: Lifeline program, aimed at improving outcomes for STEMI patients.
In November 2015, Finley Hospital launched genetic counseling program to assess cancer risks based on family medical histories, supported by proceeds from the Pink Ribbon Open golf outing. In 2016, a birthing simulator, "MaryBeth," was introduced for nurse training, funded by the families of former Finley nurses. Two new urgent care clinics were also added in 2016, with one opening in August and the other in December, offering extended hours and services at more affordable prices than emergency rooms.
In August 2016, a new 17,000-square-foot emergency room opened as part of the $42 million Grandview Expansion. In 2017, Finley earned an "A" safety rating for preventing medical errors, and in 2020, Grand River Medical Group's oncology clinic relocated to Finley’s Wendt Regional Cancer Center with a $1.6 million renovation. The Title V Doula Project was launched in 2021 to improve maternal health outcomes for Black women in Iowa, providing doula support during pregnancy and delivery.
In October 2022, Dr. Catherine Miller, a neurosurgeon, relocated to Dubuque, filling a need for local care in brain, spinal cord, and peripheral nerve conditions. Her clinic focused on spinal conditions, particularly minimally invasive spine surgery, and she also served on-call in the emergency room. Previously, residents had to travel to other cities for such care.
In 2022, UnityPoint expanded virtual care with the introduction of SmartExam, a service offering treatment plans for common conditions for a $30 fee. Virtual Urgent Care was also available for video consultations with providers.
In March 2023, UnityPoint was named one of the top places to work in healthcare for the second consecutive year by Becker's Healthcare.
On July 9, 2024, it was announced that Chad Wolbers, President and CEO of Finley Hospital, would leave his position in August 2024 to pursue an entrepreneurial venture. Wolbers had previously served as COO and played a role in securing a cardiac catheterization lab and leading a $42 million expansion project before returning as CEO in 2019.

## Accreditations

UnityPoint Health Finley Hospital holds accreditation from the Joint Commission on Accreditation of Healthcare Organizations and is licensed by the State of Iowa. Finley Hospital has been designated as a Primary Stroke Center by the Joint Commission and the American Heart Association/American Stroke Association (AHA/ASA). The alliance was created to educate patients and to recognize hospitals that meet standards to improve outcomes for stroke care.
Finley Hospital is also certified by the Commission on Accreditation of Rehabilitation Facilities (CARF).
Finley Hospital's Sleep Center is the only sleep center in Dubuque to be accredited by the American Academy of Sleep Medicine (AASM).
In 2022, Finley received the Chest Pain - MI Registry Award Silver by the American College of Cardiology, as well as a Primary Stroke Center Certification from DNV.
In 2023, Finley received the American College of Cardiology’s NCDR Chest Pain MI Registry Gold Performance Achievement Award. The hospital also became the third in Iowa to be recognized by the Iowa HHS new Iowa Pediatric Emergency Assessment and Care Recognition Program. Finley also earned the American Heart Association’s Get With The Guidelines® - Stroke GoldPlus quality achievement award and a CMS 5-Star Hospital rating for the third year in a row in 2023.
In 2024, Finley received the American Heart Association’s Get With The Guidelines® - Stroke GoldPlus quality achievement award, alongside the Stroke Honor Roll Elite Award and Type 2 Diabetes Honor Roll. The hospital also earned a certificate of achievement for its participation in the American Heart Association’s Mission: Lifeline Stroke post-acute care initiative. Finley earned a CMS 5-Star Hospital rating for the fourth year in a row and was designated as a Center of Excellence in Oncology Rehabilitation through the Physiological Oncology Rehabilitation Institute (PORi).