Howard County Medical Center

Howard County Medical Center, located at P.O. Box 406, 1113 Sherman St, St. Paul, NE, is a 10-bed critical access hospital dedicated to providing quality and efficient healthcare to central Nebraska since 1955. Our medical staff offers exceptional patient care in both clinic and hospital settings, catering to patients in all stages of life, from newborns to those 55 and over. We provide comprehensive services ranging from emergency care and laboratory work to inpatient acute care in our private rooms. Take charge of your health with our patient portal, where you can easily message your doctor, request appointments, and access your healthcare information. Experience expert care close to home with Howard County Medical Center's specialized services.

Identifiers

Hospital Name Howard County Medical Center
Facility ID 281338

Location

Address P O BOX 406, 1113 SHERMAN ST
City/Town St Paul
State NE
ZIP Code 68873
County/Parish HOWARD

Health System

Health System Independent
Health System Website Domain hcmc.us
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 Nebraska

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Other
Ownership Details Howard County Medical Center
Emergency Services Yes

No leaders were identified on Howard County 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 25

Staffing & Personnel

FTE Employees on Payroll 99.39
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 501
Inpatient Days (Title XIX) 40
Total Inpatient Days 900
Bed Count 10
Available Bed Days 3650
Discharges (Title V) NA
Discharges (Title XVIII) 69
Discharges (Title XIX) 12
Total Discharges 161

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 192
Inpatient Days (Title XIX; Adults & Peds) 26
Total Inpatient Days (Adults & Peds) 410
Bed Count (Adults & Peds) 10
Available Bed Days (Adults & Peds) 3650
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 69
Discharges (Title XIX; Adults & Peds) 12
Total Discharges (Adults & Peds) 161

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) 87

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) 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 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) 14.4
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
Readmission Group Hospital Return Days for Heart Attack Patients Not Available
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) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
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 Not Available
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 $69
Bad Debt Expense $567
Uncompensated Care Cost $488
Total Uncompensated Care $881

Operating Expenses ($ thousands)

Total Salaries $10,383
Overhead Expenses (Non-Salary) $14,044
Depreciation Expense $1,470
Total Operating Costs $22,063

Charges ($ thousands)

Inpatient Charges $2,080
Outpatient Charges $27,306
Total Patient Charges $29,386

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 $12,967
Short-Term Investments
Notes Receivable
Accounts Receivable $3,429
Allowance for Doubtful Accounts $-555
Inventory $354
Prepaid Expenses $272
Other Current Assets $558
Total Current Assets $17,654

Balance Sheet – Fixed Assets ($ thousands)

Land Value $285
Land Improvements Value $373
Building Value $16,018
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $9,505
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $12,168

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $1,982
Other Assets $730
Total Other Assets $2,712
Total Assets $32,534

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $1,906
Salaries & Wages Payable $1,227
Payroll Taxes Payable
Short-Term Debt $593
Deferred Revenue
Other Current Liabilities $3
Total Current Liabilities $3,730

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $1,245
Unsecured Loans
Other Long-Term Liabilities $719
Total Long-Term Liabilities $1,964
Total Liabilities $5,694

Balance Sheet – Equity ($ thousands)

General Fund Balance $26,840
Total Fund Balances $26,840
Total Liabilities & Equity $32,534

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 $2,080
Outpatient Revenue $27,833
Total Patient Revenue $29,913
Contractual Allowances & Discounts $7,884
Net Patient Revenue $22,029
Total Operating Expenses $24,427
Net Service Income $-2,398
Other Income $3,439
Total Income $1,041
Other Expenses $1
Net Income $1,040

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $1,507
Medicaid Charges $2,531
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing No

ERP Information

ERP MEDITECH
ERP Version NA
EHR is Changing No