Harlan County Health System

Harlan County Health System, located at 717 Brown St. in Alma, NE, is a modern 19-bed Critical Access Hospital dedicated to providing high-quality medical care. Serving Harlan and adjacent counties in Nebraska and Kansas, we are committed to maintaining advanced medical skills and technologies in a friendly, community setting. Our mission is to deliver the safest, highest quality healthcare and an exceptional experience for our communities. We offer a range of services, including emergency, outpatient, inpatient, and surgical care, as well as specialty clinics.

Identifiers

Hospital Name Harlan County Health System
Facility ID 281300

Location

Address 717 BROWN ST
City/Town Alma
State NE
ZIP Code 68920
County/Parish HARLAN

Health System

Health System Independent
Health System Website Domain harlancountyhealth.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 19
Health System Hospital Locations Kansas and Nebraska

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Government - Local
Ownership Details Harlan County Health System Board of Trustees
Emergency Services No

No leaders were identified on Harlan County Health System'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 19

Staffing & Personnel

FTE Employees on Payroll 48.76
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 454
Inpatient Days (Title XIX) NA
Total Inpatient Days 604
Bed Count 19
Available Bed Days 6935
Discharges (Title V) NA
Discharges (Title XVIII) 54
Discharges (Title XIX) NA
Total Discharges 65

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 139
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 180
Bed Count (Adults & Peds) 19
Available Bed Days (Adults & Peds) 6935
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 54
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 65

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 67%

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) 106

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) 13.2
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 Not Available
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 Number of cases too small
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
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 Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost
Bad Debt Expense $250
Uncompensated Care Cost $241
Total Uncompensated Care $570

Operating Expenses ($ thousands)

Total Salaries $4,556
Overhead Expenses (Non-Salary) $8,428
Depreciation Expense $708
Total Operating Costs $12,531

Charges ($ thousands)

Inpatient Charges $1,347
Outpatient Charges $11,646
Total Patient Charges $12,993

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 $3,333
Short-Term Investments
Notes Receivable
Accounts Receivable $2,790
Allowance for Doubtful Accounts $-1,564
Inventory $164
Prepaid Expenses $112
Other Current Assets
Total Current Assets $4,878

Balance Sheet – Fixed Assets ($ thousands)

Land Value $65
Land Improvements Value $775
Building Value $7,640
Leasehold Improvements
Fixed Equipment Value $2,401
Major Movable Equipment $5,549
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $6,112

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $1,635
Other Assets $181
Total Other Assets $1,816
Total Assets $12,806

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $417
Salaries & Wages Payable $614
Payroll Taxes Payable
Short-Term Debt $206
Deferred Revenue
Other Current Liabilities $72
Total Current Liabilities $1,308

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $839
Unsecured Loans
Other Long-Term Liabilities $1,101
Total Long-Term Liabilities $1,940
Total Liabilities $3,248

Balance Sheet – Equity ($ thousands)

General Fund Balance $9,558
Total Fund Balances $9,558
Total Liabilities & Equity $12,806

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 $1,388
Outpatient Revenue $11,965
Total Patient Revenue $13,353
Contractual Allowances & Discounts $2,071
Net Patient Revenue $11,283
Total Operating Expenses $13,234
Net Service Income $-1,952
Other Income $932
Total Income $-1,019
Other Expenses $19
Net Income $-1,038

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $645
Medicaid Charges $1,010
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing No

ERP Information

ERP MEDITECH
ERP Version NA
EHR is Changing No