Three Rivers Health

Three Rivers Health, located in Basin, Wyoming, is your trusted critical access hospital dedicated to providing comprehensive and compassionate care. We offer a wide range of services, including emergency care, diagnostic imaging, rehabilitation therapies, and a walk-in clinic, all close to home. Our team of skilled physicians and caregivers is committed to your health and well-being, ensuring you receive personalized treatment in a comfortable environment. At Three Rivers Health, we're more than a hospital; we're your neighbors, dedicated to building a healthier community. Visit us at 388 US Highway 20 South.

Identifiers

Hospital Name Three Rivers Health
Facility ID 531301

Location

Address 388 US HIGHWAY 20 SOUTH
City/Town Basin
State WY
ZIP Code 82410
County/Parish BIG HORN

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 10
Health System Hospital Locations Wyoming

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Government - Hospital District or Authority
Ownership Details South Big Horn County Hospital District
Emergency Services Yes

Joel Jackson

Chief Executive Officer

Joel Jackson. Chief Executive Officer.

Tamara Sawyer, JD, SHRM-CP

Chief Talent Officer

Tamara Sawyer has been the Chief Talent Officer for Three Rivers Health since 2017. She oversees the human resource department, medical staff coordination, marketing, and compliance. She earned her Juris Doctorate in 2014 from Arizona Summit School of Law, became licensed as an attorney in Arizona in 2015, and earned her certified human resource professional […]

Mark Schlattmann

Director of Facility Operations

Mark Schlattmann joined the organization in June of 2017 as the Director of Plant Operations. He holds a Bachelor of Arts from the University of Wyoming. Mark oversees the operations of the maintenance, housekeeping, dietary and biomed departments. He also manages the construction projects at the facility. Mark is committed to Three Rivers Health because […]

David Black , RN

Director of Nursing

David Black. Director of Nursing.

Kelsey Sullivan , CPC

Director of Clinic & Ancillary Services

Kelsey Sullivan joined the organization in April of 2022 as the Clinic Manager of the Rural Health Clinic. Shortly after, she absorbed additional roles and transitioned into her current role as the Director of Clinic & Ancillary Services. In this role she oversees the operations for the Clinic, Radiology, Laboratory and Pharmacy departments. Additionally, she […]

Michael Garza

Finance Department Manager

Michael Garza began a career in healthcare in the early part of 2022. Prior to that he was a facilities director in local government for 12 years after spending several years in the IT industry. He has several years of experience in management and was able to complete a Bachelor of Science degree in Accounting […]

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 10

Staffing & Personnel

FTE Employees on Payroll 48.96
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 447
Inpatient Days (Title XIX) NA
Total Inpatient Days 656
Bed Count 10
Available Bed Days 3650
Discharges (Title V) NA
Discharges (Title XVIII) 52
Discharges (Title XIX) 9
Total Discharges 118

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 163
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 235
Bed Count (Adults & Peds) 10
Available Bed Days (Adults & Peds) 3650
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 52
Discharges (Title XIX; Adults & Peds) 9
Total Discharges (Adults & Peds) 118

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) 101

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) 14.6
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
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 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 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) No Different Than the National Rate
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 Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $65
Bad Debt Expense $1,104
Uncompensated Care Cost $1,003
Total Uncompensated Care $1,003

Operating Expenses ($ thousands)

Total Salaries $4,168
Overhead Expenses (Non-Salary) $7,562
Depreciation Expense $894
Total Operating Costs $10,891

Charges ($ thousands)

Inpatient Charges $3,104
Outpatient Charges $9,564
Total Patient Charges $12,667

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 $109
Short-Term Investments $255
Notes Receivable
Accounts Receivable $6,713
Allowance for Doubtful Accounts $-1,294
Inventory $277
Prepaid Expenses $51
Other Current Assets
Total Current Assets $6,130

Balance Sheet – Fixed Assets ($ thousands)

Land Value $13
Land Improvements Value
Building Value $12,707
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $7,377
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $11,964

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $3,750
Total Other Assets $3,750
Total Assets $21,844

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $2,329
Salaries & Wages Payable $193
Payroll Taxes Payable $57
Short-Term Debt $232
Deferred Revenue
Other Current Liabilities $50
Total Current Liabilities $3,823

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt $6,218
Long-Term Notes Payable $4,749
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities $10,967
Total Liabilities $14,790

Balance Sheet – Equity ($ thousands)

General Fund Balance $7,054
Total Fund Balances $7,054
Total Liabilities & Equity $21,844

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 $3,072
Outpatient Revenue $11,058
Total Patient Revenue $14,130
Contractual Allowances & Discounts $6,584
Net Patient Revenue $7,546
Total Operating Expenses $11,730
Net Service Income $-4,184
Other Income $2,935
Total Income $-1,249
Other Expenses
Net Income $-1,249

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $378
Medicaid Charges $729
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Unknown
EHR Version NA
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No