CHI St. Alexius Health Garrison

CHI St. Alexius Health Garrison, located at 407 3rd Ave SE in Garrison, ND, is a 22-bed critical access hospital dedicated to serving Garrison and surrounding rural communities since 1952. We offer a wide range of services, including 24/7 emergency care, a skilled nursing facility, a rural health clinic, physical therapy, radiology, and cardiac rehabilitation. Our compassionate and skilled staff prioritize patient safety and provide excellent care, ensuring access to quality healthcare close to home. As a National Health Service Corps provider, we ensure that no one is denied access to services due to an inability to pay, offering a sliding fee scale based on family size and income.

Identifiers

Hospital Name CHI St. Alexius Health Garrison
Facility ID 351303

Location

Address 407 3RD AVE SE
City/Town Garrison
State ND
ZIP Code 58540
County/Parish MCLEAN

Health System

Health System CommonSpirit Health
Health System Website Domain commonspirit.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 106
Health System Total Beds 17364
Health System Hospital Locations Arkansas, Arizona, California, Colorado, Georgia, Iowa, Kansas, Kentucky, Louisiana, Minnesota, North Dakota, Nebraska, Nevada, Ohio, Oregon, Tennessee, Texas and Utah

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Church
Ownership Details CommonSpirit Health
Emergency Services Yes

Tod Graeber

CEO

NA

Tod Graeber

Administrator

NA

Dr. Jon Domacke

Chief of Medical Staff

NA

John Giese

Board Chair

NA

Adam Maus

COO

NA

Adam Maus

EP Contact

NA

Greg Stomp

Administrator

NA

Shelly Amdahl

DON/NC

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 22

Staffing & Personnel

FTE Employees on Payroll 41.41
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 383
Inpatient Days (Title XIX) NA
Total Inpatient Days 886
Bed Count 22
Available Bed Days 8030
Discharges (Title V) NA
Discharges (Title XVIII) 33
Discharges (Title XIX) NA
Total Discharges 148

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 111
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 158
Bed Count (Adults & Peds) 22
Available Bed Days (Adults & Peds) 8030
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 33
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 148

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 No Different Than National Average
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) 99

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) Not Available
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) Not Available
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) Not Available
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 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) Number of Cases Too Small
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 $72
Bad Debt Expense $410
Uncompensated Care Cost $443
Total Uncompensated Care $636

Operating Expenses ($ thousands)

Total Salaries $5,124
Overhead Expenses (Non-Salary) $7,013
Depreciation Expense $-4
Total Operating Costs $11,880

Charges ($ thousands)

Inpatient Charges $3,866
Outpatient Charges $9,247
Total Patient Charges $13,113

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 $27,589
Short-Term Investments
Notes Receivable
Accounts Receivable $5,052
Allowance for Doubtful Accounts $-3,577
Inventory $246
Prepaid Expenses
Other Current Assets
Total Current Assets $29,716

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value $1,311
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $1,453
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $402

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $7
Total Other Assets $7
Total Assets $30,125

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $16,573
Salaries & Wages Payable $1,843
Payroll Taxes Payable $-5
Short-Term Debt $42
Deferred Revenue
Other Current Liabilities $74
Total Current Liabilities $18,732

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities $18,732

Balance Sheet – Equity ($ thousands)

General Fund Balance $11,393
Total Fund Balances $11,393
Total Liabilities & Equity $30,125

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 $3,866
Outpatient Revenue $9,391
Total Patient Revenue $13,257
Contractual Allowances & Discounts $3,182
Net Patient Revenue $10,076
Total Operating Expenses $12,137
Net Service Income $-2,061
Other Income $1,657
Total Income $-404
Other Expenses
Net Income $-404

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $447
Medicaid Charges $705
Net CHIP Revenue
CHIP Charges

EHR Information

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

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No