Schleicher County Medical Center

Schleicher County Medical Center, located at 102 North US Highway 277 in Eldorado, TX, has been providing progressive healthcare with small-town compassion to Schleicher County residents for over 50 years. As a Level IV Trauma Center, we offer 24/7 emergency care, complemented by telemedicine services through Avera eCare. Our hospital is licensed for 14 inpatient acute care beds, and our campus also includes the Schleicher County Family Clinic, a Rural Health Clinic, and the Schleicher County Nursing Home. We were honored with the 2018 TMF Gold Award for Hospital Quality Improvement.

Identifiers

Hospital Name Schleicher County Medical Center
Facility ID 451304

Location

Address 102 NORTH US HIGHWAY 277
City/Town Eldorado
State TX
ZIP Code 76936
County/Parish SCHLEICHER

Health System

Health System Independent
Health System Website Domain scmchealth.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 14
Health System Hospital Locations Texas

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Proprietary
Ownership Details Schleicher County Hospital District
Emergency Services Yes

Billie Carter

Administrator

Billie brings 27 years of healthcare experience to Schleicher County Medical Center. She began her healthcare career in the front office of a Rural Health Clinic. She then continued to serve as a floor nurse, Pharmacy Tech, Informatic Technology Manager, Business Office Director, COO, Administrator of 3 RHCs, before becoming CEO, of a 25 bed Critical Access Hospital.

Cheryl Forlano, RN

CNO/Section 1557 Coordinator/Civil Rights Coordinator

Cheryl earned her Associate and Bachelors degrees from Angelo State University in San Angelo, Tx. She has over 30 years of experience within a wide range of nursing areas; her passion is Emergency and Trauma nursing. She previously worked at SCMC from 1999 to 2005 and rejoined the team in 2020, moving into the CNO position in March of 2024. Cheryl is married to Dr. Rico Forlano, DC, and they have two daughters.

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 14

Staffing & Personnel

FTE Employees on Payroll 42.63
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 358
Inpatient Days (Title XIX) NA
Total Inpatient Days 469
Bed Count 14
Available Bed Days 5110
Discharges (Title V) NA
Discharges (Title XVIII) 24
Discharges (Title XIX) NA
Total Discharges 38

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 69
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 114
Bed Count (Adults & Peds) 14
Available Bed Days (Adults & Peds) 5110
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 24
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 38

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
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) 88

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 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 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 Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $264
Bad Debt Expense $215
Uncompensated Care Cost $563
Total Uncompensated Care $668

Operating Expenses ($ thousands)

Total Salaries $3,081
Overhead Expenses (Non-Salary) $3,153
Depreciation Expense $687
Total Operating Costs $6,880

Charges ($ thousands)

Inpatient Charges $572
Outpatient Charges $3,342
Total Patient Charges $3,913

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 $879
Short-Term Investments
Notes Receivable
Accounts Receivable $605
Allowance for Doubtful Accounts $751
Inventory $68
Prepaid Expenses $27
Other Current Assets
Total Current Assets $5,963

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $2,808
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $1,119

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets $7,082

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $58
Salaries & Wages Payable $256
Payroll Taxes Payable $0
Short-Term Debt
Deferred Revenue
Other Current Liabilities $19
Total Current Liabilities $2,121

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $3
Total Long-Term Liabilities $3
Total Liabilities $2,124

Balance Sheet – Equity ($ thousands)

General Fund Balance $4,957
Total Fund Balances $4,957
Total Liabilities & Equity $7,082

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 $561
Outpatient Revenue $4,853
Total Patient Revenue $5,414
Contractual Allowances & Discounts
Net Patient Revenue $5,414
Total Operating Expenses $6,234
Net Service Income $-820
Other Income $1,825
Total Income $1,004
Other Expenses $33
Net Income $972

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $333
Medicaid Charges $455
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing No

ERP Information

ERP MEDITECH
ERP Version NA
EHR is Changing No