TriStar Horizon Medical Center

TriStar Horizon Medical Center, located at 111 Highway 70 East in Dickson, TN, is a leading regional medical center dedicated to providing advanced and compassionate healthcare. As a fully accredited 158-bed facility, we offer a comprehensive range of services, including cardiology, diagnostic imaging, emergency care, inpatient rehabilitation, oncology, orthopedics, and women's services. TriStar Horizon is recognized as an Accredited Chest Pain Center and a Primary Stroke Center, ensuring advanced emergency heart and stroke care. We are committed to delivering high-quality care, improving our services, and ensuring the safety of our patients and community.

Identifiers

Hospital Name TriStar Horizon Medical Center
Facility ID 440046

Location

Address 111 HIGHWAY 70 EAST
City/Town Dickson
State TN
ZIP Code 37055
County/Parish DICKSON

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 TriStar Horizon Medical Center'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 157

Staffing & Personnel

FTE Employees on Payroll 493.51
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 7008
Inpatient Days (Title XIX) 1469
Total Inpatient Days 26147
Bed Count 96
Available Bed Days 35040
Discharges (Title V) NA
Discharges (Title XVIII) 1492
Discharges (Title XIX) 434
Total Discharges 5799

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 6631
Inpatient Days (Title XIX; Adults & Peds) 1469
Total Inpatient Days (Adults & Peds) 22033
Bed Count (Adults & Peds) 90
Available Bed Days (Adults & Peds) 32850
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1492
Discharges (Title XIX; Adults & Peds) 434
Total Discharges (Adults & Peds) 5799

Quality Summary

Care Quality Stengths Average overall patient satisfaction. 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 a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital. Hospital does an exceptional job of ensuring patients at the hospital do not get infections
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 71%

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
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) 117

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients -2.8
Readmission Score Hospital Return Days for Heart Failure Patients -16.2
Readmission Score Hospital Return Days for Pneumonia Patients -24.6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 14.9
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 1.7
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.9
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 17.9
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.4
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 15.5
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Fewer Days Than Average 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 Worse than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG Number of Cases Too Small
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) 0.000
CAUTI SIR (Standardized Infection Ratio) 0.000
SSI SIR (Standardized Infection Ratio) 0.000
CDI SIR (Standardized Infection Ratio) 0.090
MRSA SIR (Standardized Infection Ratio) 0.395

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $9,475
Bad Debt Expense $9,560
Uncompensated Care Cost $10,443
Total Uncompensated Care $12,040

Operating Expenses ($ thousands)

Total Salaries $38,319
Overhead Expenses (Non-Salary) $81,331
Depreciation Expense $6,288
Total Operating Costs $100,894

Charges ($ thousands)

Inpatient Charges $414,810
Outpatient Charges $662,640
Total Patient Charges $1,077,450

Wage-Related Details ($ thousands)

Core Wage Costs $8,912
Wage Costs (RHC/FQHC)
Adjusted Salaries $38,319
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 $36,342
Allowance for Doubtful Accounts $-15,719
Inventory $3,321
Prepaid Expenses $321
Other Current Assets
Total Current Assets $24,592

Balance Sheet – Fixed Assets ($ thousands)

Land Value $5,506
Land Improvements Value $2,207
Building Value $49,585
Leasehold Improvements $7,715
Fixed Equipment Value $34,006
Major Movable Equipment $28,916
Minor Depreciable Equipment $4,673
Health IT Assets
Total Fixed Assets $57,440

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $17,132
Total Other Assets $17,132
Total Assets $99,164

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $3,913
Salaries & Wages Payable $3,269
Payroll Taxes Payable $760
Short-Term Debt
Deferred Revenue
Other Current Liabilities $494
Total Current Liabilities $8,436

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $307
Unsecured Loans $36,278
Other Long-Term Liabilities $894
Total Long-Term Liabilities $37,479
Total Liabilities $45,915

Balance Sheet – Equity ($ thousands)

General Fund Balance $53,249
Total Fund Balances $53,249
Total Liabilities & Equity $99,164

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $4,993
DRG (Post-Oct 1) $9,145
Outlier Payments
DSH Adjustment $424
Eligible DSH % $0
Simulated MC Payments $14,737
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $412,052
Outpatient Revenue $665,398
Total Patient Revenue $1,077,450
Contractual Allowances & Discounts $936,126
Net Patient Revenue $141,324
Total Operating Expenses $119,650
Net Service Income $21,674
Other Income $1,506
Total Income $23,181
Other Expenses $2
Net Income $23,178

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $16,270
Medicaid Charges $210,206
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No