Avera Hand County Memorial Hospital

Identifiers

Hospital Name	Avera Hand County Memorial Hospital
Facility ID	431337

Location

Address	300 W 5TH ST
City/Town	Miller
State	SD
ZIP Code	57362
County/Parish	HAND

Health System

Health System	Avera Health
Health System Website Domain	avera.org
Recently Joined Health System (Past 4 Years)	No

Health System Size & Scope

Health System Total Hospitals	35
Health System Total Beds	1519
Health System Hospital Locations	Iowa, Minnesota, Nebraska and South Dakota

Ownership & Characteristics

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

Matthew Campion

Administrator

Tierney Alpizar

HR/Business Manager

Renae Simons

Assisted Living Nurse Manager

Kristin Kolda

Dietary Manager

Connie Templeton

Ambulance Coordinator

Sarah DeHaai

Director of Patient Care

Sarah DeHaai is involved in the Miller community, serving on the Swim Team board, as a Deacon at the Presbyterian Church, Junior Youth Leader, 4 H Leader, and serves as a Nurse on the ambulance crew.

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	11

Staffing & Personnel

FTE Employees on Payroll	52.6
FTE Interns & Residents	NA

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	790
Inpatient Days (Title XIX)	42
Total Inpatient Days	960
Bed Count	25
Available Bed Days	9125
Discharges (Title V)	NA
Discharges (Title XVIII)	162
Discharges (Title XIX)	5
Total Discharges	200

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	453
Inpatient Days (Title XIX; Adults & Peds)	31
Total Inpatient Days (Adults & Peds)	574
Bed Count (Adults & Peds)	25
Available Bed Days (Adults & Peds)	9125
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	162
Discharges (Title XIX; Adults & Peds)	5
Total Discharges (Adults & Peds)	200

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	92%

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	No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients	No Different Than National Average
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)	113

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients	Not Available
Readmission Score Hospital Return Days for Heart Failure Patients	-15.8
Readmission Score Hospital Return Days for Pneumonia Patients	-14.6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	12.7
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	19
Readmission Score Rate of Readmission After Hip/Knee Replacement	Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	14.4
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	16
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	Not Available
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	No Different Than the National Rate
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)	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	Jul 01, 2022
Fiscal Year End	Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost	$25
Bad Debt Expense	$323
Uncompensated Care Cost	$164
Total Uncompensated Care	$164

Operating Expenses ($ thousands)

Total Salaries	$4,195
Overhead Expenses (Non-Salary)	$4,877
Depreciation Expense	$226
Total Operating Costs	$7,614

Charges ($ thousands)

Inpatient Charges	$4,160
Outpatient Charges	$13,592
Total Patient Charges	$17,752

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	$21
Short-Term Investments
Notes Receivable
Accounts Receivable	$2,528
Allowance for Doubtful Accounts	$-1,063
Inventory	$161
Prepaid Expenses	$114
Other Current Assets
Total Current Assets	$2,852

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value	$145
Building Value	$13
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment	$3,176
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets	$803

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments	$14,806
Other Assets	$2,345
Total Other Assets	$17,151
Total Assets	$20,806

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$115
Salaries & Wages Payable	$182
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue	$-881
Other Current Liabilities	$229
Total Current Liabilities	$-355

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans	$797
Other Long-Term Liabilities	$1,463
Total Long-Term Liabilities	$2,261
Total Liabilities	$1,906

Balance Sheet – Equity ($ thousands)

General Fund Balance	$18,901
Total Fund Balances	$18,901
Total Liabilities & Equity	$20,806

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	$4,156
Outpatient Revenue	$13,824
Total Patient Revenue	$17,981
Contractual Allowances & Discounts	$8,018
Net Patient Revenue	$9,963
Total Operating Expenses	$9,072
Net Service Income	$890
Other Income	$2,719
Total Income	$3,609
Other Expenses
Net Income	$3,609

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio	$0
Net Medicaid Revenue	$387
Medicaid Charges	$519
Net CHIP Revenue
CHIP Charges

EHR Information

EHR	Epic
EHR Version	EpicCare Inpatient (not Community Connect)
EHR is Changing	Yes--In Process of Replacing

ERP Information

ERP	Workday
ERP Version	NA
EHR is Changing	No