Tri Valley Health System

Tri Valley Health System, located at 1305 West Highway 6/34 in Cambridge, NE, is your trusted local healthcare provider. As a 20-bed critical access hospital, we offer comprehensive and compassionate care, including emergency services, inpatient and outpatient care, a full surgical suite, and rehabilitation services. Our state-of-the-art facility, which includes the Cambridge Memorial Hospital and Medical Clinic, is equipped with advanced technology such as e-emergency, e-pharmacy, and telestroke capability, ensuring you receive the best possible treatment close to home. We also provide wellness programs and specialty clinics to meet all your healthcare needs. Tri Valley Health System is committed to improving the lives of those we serve with high-quality, patient-centered care.

Identifiers

Hospital Name Tri Valley Health System
Facility ID 281348

Location

Address 1305 WEST HIGHWAY 6/34
City/Town Cambridge
State NE
ZIP Code 69022
County/Parish FURNAS

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 Voluntary non-profit - Private
Ownership Details Cambridge Memorial Hospital Inc.
Emergency Services Yes

No leaders were identified on Tri Valley 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 25

Staffing & Personnel

FTE Employees on Payroll 122.73
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 885
Inpatient Days (Title XIX) NA
Total Inpatient Days 1185
Bed Count 20
Available Bed Days 7300
Discharges (Title V) NA
Discharges (Title XVIII) 72
Discharges (Title XIX) NA
Total Discharges 140

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 275
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 400
Bed Count (Adults & Peds) 20
Available Bed Days (Adults & Peds) 7300
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 72
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 140

Quality Summary

Care Quality Stengths 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 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) 130

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 -4.8
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) 14.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.3
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 Average Days per 100 Discharges
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 Number of cases too small
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 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) 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 May 01, 2022
Fiscal Year End Apr 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $11
Bad Debt Expense $653
Uncompensated Care Cost $396
Total Uncompensated Care $969

Operating Expenses ($ thousands)

Total Salaries $10,213
Overhead Expenses (Non-Salary) $16,099
Depreciation Expense $1,887
Total Operating Costs $22,184

Charges ($ thousands)

Inpatient Charges $5,220
Outpatient Charges $31,727
Total Patient Charges $36,947

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 $612
Short-Term Investments
Notes Receivable
Accounts Receivable $5,572
Allowance for Doubtful Accounts $-2,569
Inventory $358
Prepaid Expenses $327
Other Current Assets $256
Total Current Assets $6,454

Balance Sheet – Fixed Assets ($ thousands)

Land Value $113
Land Improvements Value $2,593
Building Value $23,509
Leasehold Improvements
Fixed Equipment Value $1,329
Major Movable Equipment $11,159
Minor Depreciable Equipment
Health IT Assets $978
Total Fixed Assets $10,608

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $10,367
Other Assets $247
Total Other Assets $10,614
Total Assets $27,675

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $1,124
Salaries & Wages Payable $1,055
Payroll Taxes Payable $95
Short-Term Debt $848
Deferred Revenue $52
Other Current Liabilities $42
Total Current Liabilities $3,215

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $11,333
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities $11,333
Total Liabilities $14,548

Balance Sheet – Equity ($ thousands)

General Fund Balance $13,127
Total Fund Balances $13,127
Total Liabilities & Equity $27,675

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 $5,900
Outpatient Revenue $32,909
Total Patient Revenue $38,809
Contractual Allowances & Discounts $14,976
Net Patient Revenue $23,833
Total Operating Expenses $26,311
Net Service Income $-2,478
Other Income $1,467
Total Income $-1,011
Other Expenses $191
Net Income $-1,202

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $1,845
Medicaid Charges $4,028
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