Ascension Saint Thomas DeKalb

Ascension Saint Thomas DeKalb, located in Smithville, Tennessee, provides specialty and 24/7 emergency care. We offer a comprehensive range of services, including heart care, orthopedics, and women's health. Our care teams listen to understand your health needs and deliver personalized care, with on-site imaging, lab tests, and rehabilitation services. We offer advanced surgical care for serious injuries and illnesses, with experienced surgeons dedicated to helping shorten your recovery. At Ascension Saint Thomas DeKalb, you are connected to the right follow-up care across Ascension Saint Thomas sites.

Identifiers

Hospital Name Ascension Saint Thomas DeKalb
Facility ID 440148

Location

Address 520 W MAIN ST
City/Town Smithville
State TN
ZIP Code 37166
County/Parish DE KALB

Health System

Health System Ascension
Health System Website Domain ascension.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 84
Health System Total Beds 17222
Health System Hospital Locations Florida, Illinois, Indiana, Kansas, Maryland, Michigan, Oklahoma, NA, Tennessee, Texas and Wisconsin

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Church
Ownership Details Ascension
Emergency Services Yes

Brad Mullinax

Chief Administrative Officer

Previously, Mullinax served as the director of clinical operations at Saint Thomas DeKalb Hospital.

Emily Elrod

Director of Nursing

Previously, Elrod served as director of clinical operations at Saint Thomas Stones River Hospital. She supports both Saint Thomas Stones River and DeKalb Hospitals.

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 71

Staffing & Personnel

FTE Employees on Payroll 54.46
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 382
Inpatient Days (Title XIX) NA
Total Inpatient Days 1676
Bed Count 18
Available Bed Days 6570
Discharges (Title V) NA
Discharges (Title XVIII) 133
Discharges (Title XIX) NA
Total Discharges 388

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 382
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 1676
Bed Count (Adults & Peds) 18
Available Bed Days (Adults & Peds) 6570
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 133
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 388

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 Hospital struggles with high infection rates

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 79%

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 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
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) 112

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 25.5
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.4
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 16.1
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) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
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 Not Available
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) N/A
CAUTI SIR (Standardized Infection Ratio) N/A
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) N/A
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $1,364
Bad Debt Expense $1,442
Uncompensated Care Cost $1,655
Total Uncompensated Care $3,128

Operating Expenses ($ thousands)

Total Salaries $4,387
Overhead Expenses (Non-Salary) $9,930
Depreciation Expense $863
Total Operating Costs $12,935

Charges ($ thousands)

Inpatient Charges $11,407
Outpatient Charges $55,669
Total Patient Charges $67,076

Wage-Related Details ($ thousands)

Core Wage Costs $1,496
Wage Costs (RHC/FQHC)
Adjusted Salaries $4,387
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $4
Short-Term Investments
Notes Receivable
Accounts Receivable $6,333
Allowance for Doubtful Accounts $-4,759
Inventory $275
Prepaid Expenses
Other Current Assets
Total Current Assets $2,103

Balance Sheet – Fixed Assets ($ thousands)

Land Value $1,070
Land Improvements Value
Building Value $4,090
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $4,554
Minor Depreciable Equipment $10
Health IT Assets $1,501
Total Fixed Assets $4,903

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $809
Total Other Assets $809
Total Assets $7,815

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $190
Salaries & Wages Payable $279
Payroll Taxes Payable $19
Short-Term Debt
Deferred Revenue
Other Current Liabilities $400
Total Current Liabilities $2,307

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $59
Total Long-Term Liabilities $59
Total Liabilities $2,366

Balance Sheet – Equity ($ thousands)

General Fund Balance $5,449
Total Fund Balances $5,449
Total Liabilities & Equity $7,815

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1) $18
Outlier Payments
DSH Adjustment $1
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $12,792
Outpatient Revenue $55,280
Total Patient Revenue $68,072
Contractual Allowances & Discounts $57,250
Net Patient Revenue $10,822
Total Operating Expenses $14,317
Net Service Income $-3,495
Other Income $582
Total Income $-2,913
Other Expenses
Net Income $-2,913

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $466
Medicaid Charges $13,149
Net CHIP Revenue $6
CHIP Charges $67

EHR Information

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

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No