North Big Horn Hospital District, located in Lovell, Wyoming, at the foot of the Big Horn Mountains, is dedicated to providing compassionate, high-quality healthcare to enhance the well-being of our community. Our facilities include a 15-bed acute care hospital and the New Horizons Care Center, which offers long-term care and assisted living, including a specialized Alzheimer's unit. We provide a wide range of services, including a 24-hour emergency room, cardiac rehabilitation, surgery, and a Medicare Certified Rural Health Clinic. Our fully trained and certified staff is committed to serving you and your family.
| Hospital Name | North Big Horn Hospital District |
|---|---|
| Facility ID | 531309 |
| Address | 1115 LANE 12 |
|---|---|
| City/Town | Lovell |
| State | WY |
| ZIP Code | 82431 |
| County/Parish | BIG HORN |
| Health System | Billings Clinic |
|---|---|
| Health System Website Domain | billingsclinic.com |
| Recently Joined Health System (Past 4 Years) | No |
| Health System Total Hospitals | 14 |
|---|---|
| Health System Total Beds | 592 |
| Health System Hospital Locations | Montana and Wyoming |
| Hospital Type | Critical Access Hospitals |
|---|---|
| Hospital Ownership | Government - Hospital District or Authority |
| Ownership Details | Government - Hospital District or Authority |
| Emergency Services | Yes |
Native of Bozeman who comes to north Big Horn County from Scobey, Mont., in the far northeast corner of the state, where he was the CEO of Daniels Memorial Healthcare Center, which, like North Big Horn Hospital, is an affiliate of the Billings Clinic. He worked with retiring NBHH CEO Rick Schroeder for two months before Schroeder left his office for the last time in late December. Excited to be starting his position, stating the reason for being in this job is to care about people and connect people to that service mission and get people to be compassionate. [16] Believes healthcare is about brotherly love, compassion, caring for your neighbor, and the golden rule. [16] Message on the website welcomes visitors and states the hospital exists to care for them, providing expert care close to home with care and compassion. Describes the facility as clean and modern with a wide array of healthcare services using the latest technology and techniques, supported by a robust team of outreach physicians. [12]
Reported on the budget for the coming fiscal year in April 2025. [10] Elected president of the Wyoming Chapter of the Healthcare Financial Management Association (WHFMA) in June 2023. [3]
Reported on positive financial news in April 2025. [10]
| Allopathic Residency Program | No |
|---|---|
| Dental Residency Program | No |
| Osteopathic Residency Program | No |
| Other Residency Programs | No |
| Pediatric Residency Program | No |
| Licensed Beds | 18 |
|---|
| FTE Employees on Payroll | 131.16 |
|---|---|
| FTE Interns & Residents | NA |
| Inpatient Days (Title V) | NA |
|---|---|
| Inpatient Days (Title XVIII) | 1781 |
| Inpatient Days (Title XIX) | 21 |
| Total Inpatient Days | 1998 |
| Bed Count | 14 |
| Available Bed Days | 5110 |
| Discharges (Title V) | NA |
| Discharges (Title XVIII) | 138 |
| Discharges (Title XIX) | 5 |
| Total Discharges | 199 |
| Inpatient Days (Title V; Adults & Peds) | NA |
|---|---|
| Inpatient Days (Title XVIII; Adults & Peds) | 496 |
| Inpatient Days (Title XIX; Adults & Peds) | 21 |
| Total Inpatient Days (Adults & Peds) | 668 |
| Bed Count (Adults & Peds) | 14 |
| Available Bed Days (Adults & Peds) | 5110 |
| Discharges (Title V; Adults & Peds) | NA |
| Discharges (Title XVIII; Adults & Peds) | 138 |
| Discharges (Title XIX; Adults & Peds) | 5 |
| Total Discharges (Adults & Peds) | 199 |
| 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 |
| 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 |
| Percent of Patients Who Definitely Recommend the Hospital | 92% |
|---|
| 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 and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) | 84 |
|---|
| Readmission Score Hospital Return Days for Heart Attack Patients | Not Available |
|---|---|
| Readmission Score Hospital Return Days for Heart Failure Patients | -26.7 |
| Readmission Score Hospital Return Days for Pneumonia Patients | -18.9 |
| 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 | 18.8 |
| Readmission Score Rate of Readmission After Hip/Knee Replacement | Not Available |
| Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) | 14 |
| Readmission Score Pneumonia (PN) 30-Day Readmission Rate | 15.8 |
| Readmission Group Hospital Return Days for Heart Attack Patients | Not Available |
| 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) | 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 | 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 | No Different Than the National Rate |
| Readmission Group Rate of Readmission After Hip/Knee Replacement | Number of Cases Too Small |
| 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 |
| 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 Year Begin | Jul 01, 2022 |
|---|---|
| Fiscal Year End | Jun 30, 2023 |
| Charity Care Cost | $248 |
|---|---|
| Bad Debt Expense | $927 |
| Uncompensated Care Cost | $859 |
| Total Uncompensated Care | $859 |
| Total Salaries | $12,948 |
|---|---|
| Overhead Expenses (Non-Salary) | $14,429 |
| Depreciation Expense | $1,181 |
| Total Operating Costs | $25,605 |
| Inpatient Charges | $12,685 |
|---|---|
| Outpatient Charges | $25,749 |
| Total Patient Charges | $38,434 |
| Core Wage Costs | |
|---|---|
| Wage Costs (RHC/FQHC) | |
| Adjusted Salaries | |
| Contract Labor (Patient Care) | |
| Wage Costs (Part A Teaching) | |
| Wage Costs (Interns & Residents) |
| Cash & Bank Balances | $4,666 |
|---|---|
| Short-Term Investments | $70 |
| Notes Receivable | |
| Accounts Receivable | $3,079 |
| Allowance for Doubtful Accounts | |
| Inventory | $475 |
| Prepaid Expenses | $425 |
| Other Current Assets | |
| Total Current Assets | $8,715 |
| Land Value | $96 |
|---|---|
| Land Improvements Value | $160 |
| Building Value | $21,841 |
| Leasehold Improvements | |
| Fixed Equipment Value | |
| Major Movable Equipment | $8,423 |
| Minor Depreciable Equipment | |
| Health IT Assets | |
| Total Fixed Assets | $10,332 |
| Long-Term Investments | $8,023 |
|---|---|
| Other Assets | $99 |
| Total Other Assets | $8,122 |
| Total Assets | $27,169 |
| Accounts Payable | $729 |
|---|---|
| Salaries & Wages Payable | $1,276 |
| Payroll Taxes Payable | $168 |
| Short-Term Debt | |
| Deferred Revenue | |
| Other Current Liabilities | |
| Total Current Liabilities | $2,173 |
| Mortgage Debt | |
|---|---|
| Long-Term Notes Payable | $2,743 |
| Unsecured Loans | |
| Other Long-Term Liabilities | |
| Total Long-Term Liabilities | $2,743 |
| Total Liabilities | $4,916 |
| General Fund Balance | $22,253 |
|---|---|
| Total Fund Balances | $22,253 |
| Total Liabilities & Equity | $27,169 |
| DRG (Non-Outlier) | |
|---|---|
| DRG (Pre-Oct 1) | |
| DRG (Post-Oct 1) | |
| Outlier Payments | |
| DSH Adjustment | |
| Eligible DSH % | |
| Simulated MC Payments | |
| Total IME Payments |
| Inpatient Revenue | $13,218 |
|---|---|
| Outpatient Revenue | $26,531 |
| Total Patient Revenue | $39,749 |
| Contractual Allowances & Discounts | $15,076 |
| Net Patient Revenue | $24,672 |
| Total Operating Expenses | $27,377 |
| Net Service Income | $-2,704 |
| Other Income | $3,984 |
| Total Income | $1,280 |
| Other Expenses | |
| Net Income | $1,280 |
| Cost-to-Charge Ratio | $0 |
|---|---|
| Net Medicaid Revenue | $3,333 |
| Medicaid Charges | $4,644 |
| Net CHIP Revenue | |
| CHIP Charges |
| EHR | Oracle Health Millennium |
|---|---|
| EHR Version | Oracle Health Millennium (Not CommunityWorks) |
| EHR is Changing | No |
| ERP | Oracle |
|---|---|
| ERP Version | Unknown |
| EHR is Changing | No |