Prairie Lakes Healthcare System

Prairie Lakes Healthcare System, located at 401 9th Avenue NW, Post Office Box 1210, Watertown, SD, is your regional healthcare provider serving northeastern South Dakota and western Minnesota. As an independent, non-profit rural healthcare system, we are dedicated to providing accessible, high-quality, and compassionate care, with a mission to make a positive difference in the health of our patients and communities. With a wide range of medical services and a commitment to exceptional care every day, Prairie Lakes is the keystone of our community's health, offering innovative medicine with a personal touch. We treat you like family because here, you are family.

Identifiers

Hospital Name Prairie Lakes Healthcare System
Facility ID 430005

Location

Address 401 9TH AVENUE NW POST OFFICE BOX 1210
City/Town Watertown
State SD
ZIP Code 57201
County/Parish CODINGTON

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 81
Health System Hospital Locations South Dakota

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Voluntary Nonprofit, Other
Emergency Services Yes

John Allen

President and Chief Executive Officer

John Allen was appointed President and CEO following a nation-wide search and began his role on February 27, 2023. [4] He has 30 years of demonstrated performance in healthcare management, executive leadership, and business. [4] He has an extensive history in strategic service line planning, operations leadership, and partnering with physicians and across organizations. [4] Allen earned a Bachelor of Arts in Economics and Theater from Concordia College and a Master of Business Administrator degree with a focus in finance from the University of Minnesota Carlson School of Management. [4] He relocated to Watertown, SD from Boise, ID, where he previously served as the System Vice President, Enterprise Planning and Decision Support for St. Luke's Health System. [4]

Lynn Severson

Chief Financial Officer

Prairie Lakes Healthcare System welcomed Lynn Severson as Chief Financial Officer in October 2023. [2] Severson provides executive leadership for financial management at PLHS. [2] She grew up in Duluth, MN, and received her accounting degree from the University of Wisconsin Superior and a master's degree in healthcare administration from Concordia University in St. Paul, MN. [2] She has over 20 years of experience in healthcare, most recently as the Chief Operating Officer at Cuyuna Regional Medical Center. [2] Prior to that, she held various financial leadership roles at Essentia Health. [2] Severson is a member of the Healthcare Financial Management Association and is active in United Way. [2]

Shelly Turbak

Chief Nursing Officer

Alison Gilbertson

Vice President of Human Resources

Alison Gilbertson was appointed Vice President of Human Resources in November 2022. [8] She holds a master's degree from the University of South Dakota and her undergraduate degree from South Dakota State University. [8] She has been with Prairie Lakes for 10 years, and 8 years prior, serving in several leadership roles including Director of Human Resources, Executive Director of the Prairie Lakes Healthcare Foundation, Organizational Development Specialist, Medical Staff Liaison and Recruiter, and Outreach Coordinator. [8] Previously, she served as the Executive Director of Golden Living Center in Lake Norden, SD. [8]

Laurie Fieber

Vice President of Operations

Laurie Fieber was appointed to the position of Vice President of Clinic Operations (listed as Vice President of Operations in other mentions) in November 2022. [8, 2] She received her nursing degree from the University of South Dakota and her Master of Science in nursing from Grand Canyon University. [8] She has been with Prairie Lakes for almost 20 years, serving patients in the ER, Same Day Surgery, Home Health/Hospice, and Cath Lab. [8] Fieber previously held the leadership role of Director of General Surgery, ENT Clinic, Outreach Clinics and Central Scheduling. [8]

Tim Pugsley

Chief Information Officer

Prairie Lakes Healthcare System welcomed Tim Pugsley as Chief Information Officer in September 2023. [7] Pugsley provides executive leadership for strategic information technology initiatives at PLHS. [7] He graduated from Bellevue University with a degree in Management of Information Systems and earned a master's in business administration. [7] He is a Fellow with the American College of Healthcare Executives, Health Information Management Systems Society, and College of Healthcare Information Management Executives. [7] Pugsley is also a certified Healthcare CIO and sits on the board of directors for the Minnesota State Health Information Management Systems Society Chapter and the national chapter of the Association for Executives in Healthcare Information Technology. [7] He recently relocated from Mankato, Minnesota, where he had responsibility for technology and analytics teams for a multi-specialty physician group. [7] Before that, he was the CIO at Titus Regional Medical Center in Mount Pleasant, Texas, for seven years and CIO for a physician-owned orthopedic hospital for 10 years. [7]

Lisa Dahl

Executive Director, Prairie Lakes Healthcare Foundation

Lisa Dahl is the Executive Director of the Prairie Lakes Healthcare Foundation. [6] The Foundation exists to raise funds to support and advance the health services available through Prairie Lakes Healthcare System. [6]

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 81

Staffing & Personnel

FTE Employees on Payroll 458.44
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 4675
Inpatient Days (Title XIX) 1159
Total Inpatient Days 9808
Bed Count 69
Available Bed Days 28437
Discharges (Title V) NA
Discharges (Title XVIII) 1085
Discharges (Title XIX) 178
Total Discharges 2420

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 3398
Inpatient Days (Title XIX; Adults & Peds) 685
Total Inpatient Days (Adults & Peds) 6511
Bed Count (Adults & Peds) 61
Available Bed Days (Adults & Peds) 25517
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1085
Discharges (Title XIX; Adults & Peds) 178
Total Discharges (Adults & Peds) 2420

Quality Summary

Care Quality Stengths Average overall patient satisfaction. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital.
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 67%

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
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) 124

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -10.5
Readmission Score Hospital Return Days for Pneumonia Patients -29.7
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10.3
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.9
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.9
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 14
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.7
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.6
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.1
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.5
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 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 No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different 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 Not Available
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) N/A
CAUTI SIR (Standardized Infection Ratio) 0.719
SSI SIR (Standardized Infection Ratio) 0.318
CDI SIR (Standardized Infection Ratio) 0.162
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $853
Bad Debt Expense $3,996
Uncompensated Care Cost $2,447
Total Uncompensated Care $2,841

Operating Expenses ($ thousands)

Total Salaries $54,984
Overhead Expenses (Non-Salary) $75,021
Depreciation Expense $4,180
Total Operating Costs $95,217

Charges ($ thousands)

Inpatient Charges $48,521
Outpatient Charges $189,698
Total Patient Charges $238,218

Wage-Related Details ($ thousands)

Core Wage Costs $7,439
Wage Costs (RHC/FQHC)
Adjusted Salaries $54,984
Contract Labor (Patient Care) $3,020
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $8,600
Short-Term Investments
Notes Receivable
Accounts Receivable $11,608
Allowance for Doubtful Accounts
Inventory $3,333
Prepaid Expenses $1,524
Other Current Assets
Total Current Assets $25,066

Balance Sheet – Fixed Assets ($ thousands)

Land Value $4,423
Land Improvements Value $2,937
Building Value $86,717
Leasehold Improvements
Fixed Equipment Value $36,914
Major Movable Equipment $38,703
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $71,891

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $73,019
Other Assets $235,005
Total Other Assets $308,024
Total Assets $404,981

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $4,324
Salaries & Wages Payable $7,465
Payroll Taxes Payable
Short-Term Debt $2,315
Deferred Revenue
Other Current Liabilities $4,898
Total Current Liabilities $19,001

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $29,577
Total Long-Term Liabilities $29,577
Total Liabilities $48,579

Balance Sheet – Equity ($ thousands)

General Fund Balance $356,402
Total Fund Balances $356,402
Total Liabilities & Equity $404,981

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $3,530
DRG (Post-Oct 1) $6,656
Outlier Payments
DSH Adjustment $77
Eligible DSH % $0
Simulated MC Payments $974
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $53,227
Outpatient Revenue $222,947
Total Patient Revenue $276,174
Contractual Allowances & Discounts $152,316
Net Patient Revenue $123,858
Total Operating Expenses $135,966
Net Service Income $-12,108
Other Income $-11,532
Total Income $-23,640
Other Expenses
Net Income $-23,640

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $6,193
Medicaid Charges $16,480
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic Community Connect
EHR Version EpicCare Community Connect
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No