Mount St. Mary's Hospital

Mount St. Mary's Hospital, located at 5300 Military Road, Lewiston, NY, has provided comprehensive healthcare to the Niagara County community for over a century. As a designated Stroke Center and certified Chest Pain Center, we offer exceptional services, including a 24/7 EmStar Emergency Department and specialized women's health services. Our Clearview Treatment Center provides confidential inpatient addiction management, reflecting our commitment to holistic care. With primary care clinics and a dedicated team of professionals, Mount St. Mary's is focused on providing quality care and outstanding service close to home.

Identifiers

Hospital Name Mount St. Mary's Hospital
Facility ID 330188

Location

Address 5300 MILITARY ROAD
City/Town Lewiston
State NY
ZIP Code 14092
County/Parish NIAGARA

Health System

Health System Catholic Health System (NY)
Health System Website Domain chsbuffalo.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 4
Health System Total Beds 1163
Health System Hospital Locations New York

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Church
Ownership Details Catholic Health System (NY)
Emergency Services Yes

No leaders were identified on Mount St. Mary's Hospital'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 179

Staffing & Personnel

FTE Employees on Payroll 701.1
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 4581
Inpatient Days (Title XIX) 1403
Total Inpatient Days 35957
Bed Count 175
Available Bed Days 63875
Discharges (Title V) NA
Discharges (Title XVIII) 727
Discharges (Title XIX) 103
Total Discharges 4599

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 3944
Inpatient Days (Title XIX; Adults & Peds) 1291
Total Inpatient Days (Adults & Peds) 32561
Bed Count (Adults & Peds) 163
Available Bed Days (Adults & Peds) 59495
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 727
Discharges (Title XIX; Adults & Peds) 103
Total Discharges (Adults & Peds) 4599

Quality Summary

Care Quality Stengths High overall patient satisfaction. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does an exceptional job of ensuring patients at the hospital do not get infections
Care Quality Concerns Hospital does not do a good job of treating conditions like heart failure so that patients don't have to come back to the hospital. Hospital does not do a good job of treating conditions like pneumonia so that patients don't have to come back to the hospital.

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 No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 164

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 29.8
Readmission Score Hospital Return Days for Pneumonia Patients 29.3
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.7
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 1
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 19
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 20.3
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 18.1
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients More Days Than Average 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 No Different than expected
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 No Different Than the National Rate
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) 0.000
CAUTI SIR (Standardized Infection Ratio) 0.869
SSI SIR (Standardized Infection Ratio) 0.534
CDI SIR (Standardized Infection Ratio) 0.102
MRSA SIR (Standardized Infection Ratio) 0.000

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $958
Bad Debt Expense $1,192
Uncompensated Care Cost $1,572
Total Uncompensated Care $4,302

Operating Expenses ($ thousands)

Total Salaries $57,012
Overhead Expenses (Non-Salary) $72,382
Depreciation Expense $6,998
Total Operating Costs $108,069

Charges ($ thousands)

Inpatient Charges $87,065
Outpatient Charges $112,678
Total Patient Charges $199,744

Wage-Related Details ($ thousands)

Core Wage Costs $11,179
Wage Costs (RHC/FQHC)
Adjusted Salaries $57,576
Contract Labor (Patient Care) $13,152
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $22,033
Short-Term Investments
Notes Receivable
Accounts Receivable $16,236
Allowance for Doubtful Accounts $-2,799
Inventory $2,266
Prepaid Expenses $168
Other Current Assets $1
Total Current Assets $39,658

Balance Sheet – Fixed Assets ($ thousands)

Land Value $3,673
Land Improvements Value $1,722
Building Value $54,181
Leasehold Improvements $10,277
Fixed Equipment Value $15,318
Major Movable Equipment $27,681
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $48,628

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $6,373
Other Assets $29,747
Total Other Assets $36,120
Total Assets $124,406

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $4,893
Salaries & Wages Payable
Payroll Taxes Payable
Short-Term Debt $564
Deferred Revenue $8,800
Other Current Liabilities $39,862
Total Current Liabilities $54,119

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt $49,523
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $21,264
Total Long-Term Liabilities $70,786
Total Liabilities $124,906

Balance Sheet – Equity ($ thousands)

General Fund Balance $-500
Total Fund Balances $-500
Total Liabilities & Equity $124,406

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $5,091
DRG (Post-Oct 1) $1,692
Outlier Payments
DSH Adjustment $604
Eligible DSH % $0
Simulated MC Payments $13,585
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $86,008
Outpatient Revenue $113,735
Total Patient Revenue $199,744
Contractual Allowances & Discounts $107,127
Net Patient Revenue $92,617
Total Operating Expenses $129,395
Net Service Income $-36,778
Other Income $13,989
Total Income $-22,789
Other Expenses
Net Income $-22,789

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $33,631
Medicaid Charges $68,400
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP Infor
ERP Version S3
EHR is Changing No