Littleton Regional Healthcare

Littleton Regional Healthcare, located at 600 St. Johnsbury Road in Littleton, NH, is a non-profit community hospital dedicated to improving the health and quality of life for individuals in Northern New Hampshire. We provide quality, compassionate, and accessible healthcare, including emergency care, inpatient and outpatient services, and surgical procedures. Our expert team offers state-of-the-art orthopedic surgical and medical services through The Alpine Clinic. Littleton Regional Healthcare is committed to delivering exceptional care and being the leading healthcare provider in the region.

Identifiers

Hospital Name Littleton Regional Healthcare
Facility ID 301302

Location

Address 600 ST JOHNSBURY ROAD
City/Town Littleton
State NH
ZIP Code 3561
County/Parish GRAFTON

Health System

Health System Independent
Health System Website Domain lrhcares.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 25
Health System Hospital Locations New Hampshire

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Independent
Emergency Services Yes

No leaders were identified on Littleton Regional Healthcare's website

Residency Programs

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

Capacity & Services

Licensed Beds 25

Staffing & Personnel

FTE Employees on Payroll 413.12
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1824
Inpatient Days (Title XIX) 1
Total Inpatient Days 5033
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 455
Discharges (Title XIX) 1
Total Discharges 1260

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1237
Inpatient Days (Title XIX; Adults & Peds) 1
Total Inpatient Days (Adults & Peds) 3033
Bed Count (Adults & Peds) 21
Available Bed Days (Adults & Peds) 7665
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 455
Discharges (Title XIX; Adults & Peds) 1
Total Discharges (Adults & Peds) 1260

Quality Summary

Care Quality Stengths Overall patient satisfaction is overall very high. Patients report that nurse communication is excellent. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. Patients were very positive about the cleanliness of the hospital. 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

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 No Different Than National Average
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
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
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) 144

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -12.3
Readmission Score Hospital Return Days for Pneumonia Patients -14.7
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.5
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 9.7
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 6.6
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 18.7
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.1
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.8
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.6
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 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 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 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) 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 Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $584
Bad Debt Expense $2,362
Uncompensated Care Cost $1,479
Total Uncompensated Care $5,080

Operating Expenses ($ thousands)

Total Salaries $46,916
Overhead Expenses (Non-Salary) $61,458
Depreciation Expense $3,890
Total Operating Costs $73,676

Charges ($ thousands)

Inpatient Charges $33,014
Outpatient Charges $156,774
Total Patient Charges $189,788

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 $2,380
Short-Term Investments
Notes Receivable
Accounts Receivable $13,456
Allowance for Doubtful Accounts
Inventory $2,008
Prepaid Expenses $10,651
Other Current Assets
Total Current Assets $28,495

Balance Sheet – Fixed Assets ($ thousands)

Land Value $1,981
Land Improvements Value $4,306
Building Value $43,261
Leasehold Improvements $1,303
Fixed Equipment Value $15,695
Major Movable Equipment $41,396
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $33,403

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $52,807
Other Assets $592
Total Other Assets $53,399
Total Assets $115,297

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $10,822
Salaries & Wages Payable $5,606
Payroll Taxes Payable
Short-Term Debt $1,267
Deferred Revenue
Other Current Liabilities $4,644
Total Current Liabilities $25,488

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $19,298
Unsecured Loans
Other Long-Term Liabilities $12,146
Total Long-Term Liabilities $31,444
Total Liabilities $56,932

Balance Sheet – Equity ($ thousands)

General Fund Balance $58,365
Total Fund Balances $58,365
Total Liabilities & Equity $115,297

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 $34,651
Outpatient Revenue $191,209
Total Patient Revenue $225,859
Contractual Allowances & Discounts $127,678
Net Patient Revenue $98,182
Total Operating Expenses $108,373
Net Service Income $-10,192
Other Income $2,658
Total Income $-7,533
Other Expenses $161
Net Income $-7,695

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $8,048
Medicaid Charges $30,006
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium CommunityWorks
EHR Version Oracle Health Millennium CommunityWorks
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No