LewisGale Medical Center

LewisGale Medical Center, located in Salem, Virginia, is a 506-bed tertiary facility dedicated to providing high-quality, compassionate healthcare. With over 100 years of service, our hospital is recognized for advanced medical practices and a patient-centered approach, specializing in cardiology, orthopedics, oncology, and women's health. As part of the LewisGale Regional Health System and HCA Healthcare, we offer a comprehensive range of services supported by a team of 700 physicians across multiple locations. We are committed to the care and improvement of human life, delivering exceptional care through a collaborative approach in a safe and service-oriented environment.

Identifiers

Hospital Name LewisGale Medical Center
Facility ID 490048

Location

Address 1900 ELECTRIC ROAD
City/Town Salem
State VA
ZIP Code 24153
County/Parish SALEM CITY

Health System

Health System HCA
Health System Website Domain hcahealthcare.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 137
Health System Total Beds 39222
Health System Hospital Locations Alaska, California, Colorado, Florida, Georgia, Idaho, Kansas, Kentucky, Louisiana, Missouri, North Carolina, New Hampshire, Nevada, South Carolina, Tennessee, Texas, Utah and Virginia

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Proprietary
Ownership Details HCA
Emergency Services Yes

No leaders were identified on LewisGale Medical Center's website

Residency Programs

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

Capacity & Services

Licensed Beds 506

Staffing & Personnel

FTE Employees on Payroll 1155.66
FTE Interns & Residents 122.71

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 25019
Inpatient Days (Title XIX) 2836
Total Inpatient Days 85807
Bed Count 332
Available Bed Days 121180
Discharges (Title V) NA
Discharges (Title XVIII) 4979
Discharges (Title XIX) 405
Total Discharges 16851

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 22800
Inpatient Days (Title XIX; Adults & Peds) 1573
Total Inpatient Days (Adults & Peds) 71078
Bed Count (Adults & Peds) 296
Available Bed Days (Adults & Peds) 108040
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 4979
Discharges (Title XIX; Adults & Peds) 405
Total Discharges (Adults & Peds) 16851

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 Hospital does an above-average job of ensuring patients at the hospital do not get infections.
Care Quality Concerns Low overall patient satisfaction. Patients report significant challenges with Staff responsiveness to their needs. Patients reported concerns with being abel to have quiet rest in the hospital Hospital does not do a good job of treating conditions like heart attacks so that patients don't have to come back to the hospital. 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 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 59%

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 No Different Than National Average
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 No Different Than National Average
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) 107

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 31.2
Readmission Score Hospital Return Days for Heart Failure Patients 32.5
Readmission Score Hospital Return Days for Pneumonia Patients 0.5
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.3
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 12
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 4.9
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.1
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 16.6
Readmission Score Rate of Readmission for CABG 11.7
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.9
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 21.8
Readmission Score Rate of Readmission After Hip/Knee Replacement 5.2
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.6
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.6
Readmission Group Hospital Return Days for Heart Attack Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients More Days Than Average 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 No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
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 Worse Than the National Rate
Readmission Group Rate of Readmission for CABG No Different Than the National Rate
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) 0.713
CAUTI SIR (Standardized Infection Ratio) 0.674
SSI SIR (Standardized Infection Ratio) 0.794
CDI SIR (Standardized Infection Ratio) 0.219
MRSA SIR (Standardized Infection Ratio) 0.737

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $6,781
Bad Debt Expense $11,516
Uncompensated Care Cost $8,145
Total Uncompensated Care $8,145

Operating Expenses ($ thousands)

Total Salaries $90,008
Overhead Expenses (Non-Salary) $230,053
Depreciation Expense $14,053
Total Operating Costs $280,453

Charges ($ thousands)

Inpatient Charges $1,540,281
Outpatient Charges $1,404,752
Total Patient Charges $2,945,034

Wage-Related Details ($ thousands)

Core Wage Costs $16,754
Wage Costs (RHC/FQHC)
Adjusted Salaries $90,008
Contract Labor (Patient Care) $163
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents) $1,660

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $-70
Short-Term Investments $718
Notes Receivable
Accounts Receivable $83,600
Allowance for Doubtful Accounts $-19,683
Inventory $14,457
Prepaid Expenses $1,739
Other Current Assets
Total Current Assets $81,180

Balance Sheet – Fixed Assets ($ thousands)

Land Value $4,896
Land Improvements Value $4,717
Building Value $49,056
Leasehold Improvements $15,972
Fixed Equipment Value $77,668
Major Movable Equipment $119,226
Minor Depreciable Equipment $14,983
Health IT Assets
Total Fixed Assets $111,247

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $17,611
Total Other Assets $17,611
Total Assets $210,038

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $10,072
Salaries & Wages Payable $7,969
Payroll Taxes Payable $3,917
Short-Term Debt $534
Deferred Revenue
Other Current Liabilities $32,278
Total Current Liabilities $54,770

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $1,578
Unsecured Loans $-769,102
Other Long-Term Liabilities $3,396
Total Long-Term Liabilities $-764,128
Total Liabilities $-709,357

Balance Sheet – Equity ($ thousands)

General Fund Balance $919,396
Total Fund Balances $919,396
Total Liabilities & Equity $210,038

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $36,092
DRG (Post-Oct 1) $13,164
Outlier Payments
DSH Adjustment $2,058
Eligible DSH % $0
Simulated MC Payments $34,585
Total IME Payments $9,191

Revenue & Income Statement ($ thousands)

Inpatient Revenue $1,541,760
Outpatient Revenue $1,403,327
Total Patient Revenue $2,945,087
Contractual Allowances & Discounts $2,540,081
Net Patient Revenue $405,006
Total Operating Expenses $350,262
Net Service Income $54,744
Other Income $32,386
Total Income $87,130
Other Expenses
Net Income $87,130

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $53,840
Medicaid Charges $483,641
Net CHIP Revenue $11
CHIP Charges $92

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No