St. Michael's Hospital Avera

St. Michael's Hospital Avera, located in Tyndall, SD, is a 25-bed critical access hospital dedicated to providing accessible, cost-effective, and high-quality healthcare to the residents of Bon Homme County and surrounding areas. As part of the Avera Health network, St. Michael's offers a comprehensive range of services, including emergency care, surgery, diagnostic imaging, rehabilitation, and specialty outreach clinics, all with a strong emphasis on patient safety and comfort. Grounded in Christian values, St. Michael's also sponsors the Bon Homme Family Practice Clinics Avera in Tyndall and Avon, as well as Bon Homme Pharmacy Avera. The mission of St. Michael's Hospital Avera is to care for the sick and elderly in its service communities as if they were caring for Christ Himself.

Identifiers

Hospital Name St. Michael's Hospital Avera
Facility ID 431327

Location

Address 410 W 16TH AVE
City/Town Tyndall
State SD
ZIP Code 57066
County/Parish BON HOMME

Health System

Health System Avera Health
Health System Website Domain avera.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 35
Health System Total Beds 1519
Health System Hospital Locations Iowa, Minnesota, Nebraska and South Dakota

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Government - Local
Ownership Details Avera Health
Emergency Services Yes

Ashli Danilko

Chief Executive Officer

Formerly vice president of administrative services and strategy at Avera Sacred Heart Hospital. She succeeded Carol Deurmier.

Lisa Ronke

Director of Finance

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 55.5
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 785
Inpatient Days (Title XIX) 54
Total Inpatient Days 1107
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 60
Discharges (Title XIX) 1
Total Discharges 90

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 207
Inpatient Days (Title XIX; Adults & Peds) 2
Total Inpatient Days (Adults & Peds) 318
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 60
Discharges (Title XIX; Adults & Peds) 1
Total Discharges (Adults & Peds) 90

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

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
Mortality Group – Death Rate for Pneumonia Patients
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) 119

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients Not Available
Readmission Score Hospital Return Days for Pneumonia Patients Not Available
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.8
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 Not Available
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.4
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Pneumonia Patients Number of Cases Too Small
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 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 Number of Cases Too Small
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 Number of Cases Too Small

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 $22
Bad Debt Expense $190
Uncompensated Care Cost $130
Total Uncompensated Care $220

Operating Expenses ($ thousands)

Total Salaries $5,252
Overhead Expenses (Non-Salary) $7,375
Depreciation Expense $733
Total Operating Costs $9,664

Charges ($ thousands)

Inpatient Charges $3,373
Outpatient Charges $13,145
Total Patient Charges $16,517

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 $9,624
Short-Term Investments
Notes Receivable
Accounts Receivable $3,041
Allowance for Doubtful Accounts $-1,459
Inventory $397
Prepaid Expenses $35
Other Current Assets
Total Current Assets $11,721

Balance Sheet – Fixed Assets ($ thousands)

Land Value $34
Land Improvements Value
Building Value
Leasehold Improvements $7,200
Fixed Equipment Value
Major Movable Equipment $4,706
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $4,232

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $1,084
Other Assets $6,108
Total Other Assets $7,192
Total Assets $23,144

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $206
Salaries & Wages Payable $418
Payroll Taxes Payable $54
Short-Term Debt
Deferred Revenue
Other Current Liabilities
Total Current Liabilities $612

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities $612

Balance Sheet – Equity ($ thousands)

General Fund Balance $22,533
Total Fund Balances $22,533
Total Liabilities & Equity $23,144

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 $4,058
Outpatient Revenue $12,860
Total Patient Revenue $16,918
Contractual Allowances & Discounts $6,662
Net Patient Revenue $10,255
Total Operating Expenses $12,816
Net Service Income $-2,560
Other Income $3,951
Total Income $1,390
Other Expenses
Net Income $1,390

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $371
Medicaid Charges $788
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No