HCA Florida Twin Cities Hospital

Identifiers

Hospital Name	HCA Florida Twin Cities Hospital
Facility ID	100054

Location

Address	2190 HWY 85 N
City/Town	Niceville
State	FL
ZIP Code	32578
County/Parish	OKALOOSA

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 HCA Florida Twin Cities Hospital'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	65

Staffing & Personnel

FTE Employees on Payroll	191.34
FTE Interns & Residents	NA

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	3959
Inpatient Days (Title XIX)	91
Total Inpatient Days	7798
Bed Count	65
Available Bed Days	23725
Discharges (Title V)	NA
Discharges (Title XVIII)	1044
Discharges (Title XIX)	26
Total Discharges	2139

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	2974
Inpatient Days (Title XIX; Adults & Peds)	65
Total Inpatient Days (Adults & Peds)	5599
Bed Count (Adults & Peds)	57
Available Bed Days (Adults & Peds)	20805
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	1044
Discharges (Title XIX; Adults & Peds)	26
Total Discharges (Adults & Peds)	2139

Quality Summary

Care Quality Stengths	High overall patient satisfaction. 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	78%

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	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	Better 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)	130

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients	Not Available
Readmission Score Hospital Return Days for Heart Failure Patients	21.4
Readmission Score Hospital Return Days for Pneumonia Patients	16.8
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	12.6
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	0.8
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	18.8
Readmission Score Heart Failure (HF) 30-Day Readmission Rate	22.1
Readmission Score Rate of Readmission After Hip/Knee Replacement	4.6
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	15.5
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	18.3
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)	N/A
CAUTI SIR (Standardized Infection Ratio)	0.000
SSI SIR (Standardized Infection Ratio)	0.944
CDI SIR (Standardized Infection Ratio)	0.295
MRSA SIR (Standardized Infection Ratio)	N/A

Fiscal Period

Fiscal Year Begin	Jun 01, 2022
Fiscal Year End	May 31, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost	$3,827
Bad Debt Expense	$4,823
Uncompensated Care Cost	$4,115
Total Uncompensated Care	$6,672

Operating Expenses ($ thousands)

Total Salaries	$15,327
Overhead Expenses (Non-Salary)	$29,076
Depreciation Expense	$3,417
Total Operating Costs	$48,830

Charges ($ thousands)

Inpatient Charges	$280,745
Outpatient Charges	$693,131
Total Patient Charges	$973,876

Wage-Related Details ($ thousands)

Core Wage Costs	$4,307
Wage Costs (RHC/FQHC)
Adjusted Salaries	$15,262
Contract Labor (Patient Care)	$743
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	$13,019
Allowance for Doubtful Accounts	$-5,732
Inventory	$2,264
Prepaid Expenses	$361
Other Current Assets
Total Current Assets	$9,901

Balance Sheet – Fixed Assets ($ thousands)

Land Value	$6,750
Land Improvements Value	$758
Building Value	$14,516
Leasehold Improvements	$4,730
Fixed Equipment Value	$20,427
Major Movable Equipment	$19,425
Minor Depreciable Equipment	$4,135
Health IT Assets
Total Fixed Assets	$42,975

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets	$3,025
Total Other Assets	$3,025
Total Assets	$55,901

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$2,715
Salaries & Wages Payable	$1,502
Payroll Taxes Payable	$1,630
Short-Term Debt	$324
Deferred Revenue
Other Current Liabilities	$153
Total Current Liabilities	$6,325

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable	$652
Unsecured Loans	$-121,060
Other Long-Term Liabilities	$179
Total Long-Term Liabilities	$-120,229
Total Liabilities	$-113,904

Balance Sheet – Equity ($ thousands)

General Fund Balance	$169,805
Total Fund Balances	$169,805
Total Liabilities & Equity	$55,901

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)	$3,053
DRG (Post-Oct 1)	$6,156
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments	$2,441
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue	$280,745
Outpatient Revenue	$693,131
Total Patient Revenue	$973,876
Contractual Allowances & Discounts	$900,249
Net Patient Revenue	$73,626
Total Operating Expenses	$44,395
Net Service Income	$29,232
Other Income	$152
Total Income	$29,384
Other Expenses	$-0
Net Income	$29,384

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio	$0
Net Medicaid Revenue	$1,482
Medicaid Charges	$80,535
Net CHIP Revenue	$12
CHIP Charges	$259

EHR Information

EHR	MEDITECH Expanse
EHR Version	Expanse
EHR is Changing	No

ERP Information

ERP	Unknown
ERP Version	NA
EHR is Changing	No