Lower Keys Medical Center

Lower Keys Medical Center, located at 5900 College Road in Key West, FL, is dedicated to providing safe, quality, and compassionate healthcare to the Lower Keys community. With over 134,000 patient encounters in 2024, we offer a comprehensive range of services, including emergency care and specialized treatments such as cardiac and cancer care. As an Accredited Chest Pain Center, we are recognized for our commitment to heart care. We also invest in the future of healthcare by supporting the College of the Florida Keys nursing program and providing scholarships to Key West High School students.

Identifiers

Hospital Name Lower Keys Medical Center
Facility ID 100150

Location

Address 5900 COLLEGE ROAD
City/Town Key West
State FL
ZIP Code 33040
County/Parish MONROE

Health System

Health System Community Health Systems
Health System Website Domain chs.net
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 34
Health System Total Beds 6172
Health System Hospital Locations Alaska, Alabama, Arkansas, Arizona, Florida, Georgia, Missouri, Mississippi, New Mexico, Oklahoma, Pennsylvania, Tennessee and Texas

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Proprietary
Ownership Details Community Health Systems
Emergency Services Yes

Drew Bigby

Chief Executive Officer

Drew Bigby is a 29-year Navy veteran with more than 35 years of experience in healthcare administration, including the successful management of major health systems and community hospitals in the U.S. and abroad. Most recently, Bigby served as chief administrative officer of Providence-Swedish Health Services in Seattle. During his military service, Bigby served as CEO of Walter Reed National Military Medical Center in Bethesda, Maryland, CEO of the U.S. Naval Hospital in Yokosuka, Japan, and COO/VP of operations for Fort Belvoir Community Hospital in Fort Belvoir, Virginia. Bigby is a fellow of the American College of Health Executives. He became CEO effective April 28.

Christina Wright

Chief Financial Officer

NA

Rosanna Mullen, MSN, BSN, R.N.

Chief Quality Officer

NA

Michael Hales, MSN, R.N.

Chief Nursing Officer

NA

Leslie G. Gomez

Facility Compliance Officer, Facility Privacy Officer

NA

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs Yes
Pediatric Residency Program No

Capacity & Services

Licensed Beds 167

Staffing & Personnel

FTE Employees on Payroll 323.25
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 3261
Inpatient Days (Title XIX) 599
Total Inpatient Days 9480
Bed Count 99
Available Bed Days 36135
Discharges (Title V) NA
Discharges (Title XVIII) 737
Discharges (Title XIX) 355
Total Discharges 2435

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 2794
Inpatient Days (Title XIX; Adults & Peds) 94
Total Inpatient Days (Adults & Peds) 7453
Bed Count (Adults & Peds) 90
Available Bed Days (Adults & Peds) 32850
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 737
Discharges (Title XIX; Adults & Peds) 355
Total Discharges (Adults & Peds) 2435

Quality Summary

Care Quality Stengths Average overall patient satisfaction. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. 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.
Care Quality Concerns

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 58%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
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
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) 136

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -19.1
Readmission Score Hospital Return Days for Pneumonia Patients 20.4
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 1.6
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 18.1
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 17.3
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.3
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.2
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.6
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Average Days 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 No Different Than the National Rate
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) 0.989
CAUTI SIR (Standardized Infection Ratio) 0.000
SSI SIR (Standardized Infection Ratio) 2.028
CDI SIR (Standardized Infection Ratio) 0.214
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $6,175
Bad Debt Expense $19,681
Uncompensated Care Cost $9,770
Total Uncompensated Care $12,236

Operating Expenses ($ thousands)

Total Salaries $29,404
Overhead Expenses (Non-Salary) $57,665
Depreciation Expense $6,774
Total Operating Costs $83,928

Charges ($ thousands)

Inpatient Charges $201,007
Outpatient Charges $274,037
Total Patient Charges $475,044

Wage-Related Details ($ thousands)

Core Wage Costs $5,710
Wage Costs (RHC/FQHC)
Adjusted Salaries $29,355
Contract Labor (Patient Care) $5,782
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $-6
Short-Term Investments
Notes Receivable
Accounts Receivable $32,552
Allowance for Doubtful Accounts $-22,329
Inventory $2,389
Prepaid Expenses $866
Other Current Assets $183
Total Current Assets $13,655

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value $25,730
Building Value $32
Leasehold Improvements $26,039
Fixed Equipment Value $3,918
Major Movable Equipment $14,021
Minor Depreciable Equipment $6,397
Health IT Assets
Total Fixed Assets $35,883

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $3,058
Total Other Assets $3,058
Total Assets $52,596

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $2,775
Salaries & Wages Payable $2,267
Payroll Taxes Payable
Short-Term Debt $1,415
Deferred Revenue
Other Current Liabilities $2,290
Total Current Liabilities $-188,431

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $5,627
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities $5,627
Total Liabilities $-182,804

Balance Sheet – Equity ($ thousands)

General Fund Balance $235,401
Total Fund Balances $235,401
Total Liabilities & Equity $52,596

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1) $6,675
Outlier Payments
DSH Adjustment $188
Eligible DSH % $0
Simulated MC Payments $1,755
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $201,092
Outpatient Revenue $273,952
Total Patient Revenue $475,044
Contractual Allowances & Discounts $355,542
Net Patient Revenue $119,502
Total Operating Expenses $87,069
Net Service Income $32,433
Other Income $751
Total Income $33,185
Other Expenses
Net Income $33,185

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $4,974
Medicaid Charges $51,668
Net CHIP Revenue $1
CHIP Charges $45

EHR Information

EHR Harris MEDHOST Enterprise Clinicals
EHR Version Harris MEDHOST Enterprise Clinicals
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Fusion 10
EHR is Changing No