Ascension Seton Hays

Ascension Seton Hays, located at 6001 Kyle Parkway in Kyle, Texas, is a regional hospital offering specialty and emergency care close to home. As a certified Level II Trauma Center and Primary Stroke Center, we provide 24/7 emergency care as well as advanced treatment for severe injuries, heart conditions, and neurological issues. Our campus is known for its comprehensive medical expertise, including heart and vascular health, musculoskeletal care, and neurological and plastic surgery. We take pride in our commitment to patient safety and quality of care, reflected in our 5-star rating from CMS and the "Leapfrog A" award received for the past four years. At Ascension Seton Hays, you can expect compassionate, patient-centered care in a modern and welcoming environment.

Identifiers

Hospital Name Ascension Seton Hays
Facility ID 670056

Location

Address 6001 KYLE PKWY
City/Town Kyle
State TX
ZIP Code 78640
County/Parish HAYS

Health System

Health System Ascension
Health System Website Domain ascension.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 84
Health System Total Beds 17222
Health System Hospital Locations Florida, Illinois, Indiana, Kansas, Maryland, Michigan, Oklahoma, NA, Tennessee, Texas and Wisconsin

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Ascension
Emergency Services Yes

Joan Ross

President

Joan Ross accepted the role of president at Ascension Seton Hays in July 2023. [3, 5] In this role, she provides leadership for overall operations and financial stewardship of the hospital, with oversight of operational effectiveness, performance, and strategic growth, including key programs such as cardiovascular care, trauma, women's services, and neurosciences. [3, 5] Ross joined Ascension Seton in July 2020 as Chief Operating Officer of Ascension Seton Hays. [3, 5] During her time as COO, the hospital expanded operating room, cath lab, and electrophysiology lab services and achieved a Centers for Medicare & Medicaid Services 5 Star rating and Society of Thoracic Surgeons 3 star rating in 2022. [3, 5] She has over 37 years of experience in healthcare operations, clinical programs, talent management, and quality improvement in national organizations. [3, 5] Prior to joining Ascension Seton, she served as Executive Vice President/COO for St. Mary Medical Center, St. Vincent Charity Medical Center, and Bon Secours Health System. [3, 5] She holds a Bachelor of Science in Nursing from Otterbein College and a Master of Science in Management from Troy State University (now Troy University). [3, 5]

Luke Miller

Chief Operating Officer

Luke Miller accepted the position of Chief Operating Officer (COO) at Ascension Seton Hays in July 2023. [3, 5] In this role, he provides leadership for overall operations and financial stewardship of the hospital. [3, 5] Miller is responsible for key programs such as cardiovascular care, neurosciences, and trauma services. [3, 5] He has over a decade of experience and began his career with a pharmacy residency at University of Florida Health Jacksonville. [3, 5] He joined the Ascension Florida Market in 2015 and transitioned to Ascension Texas in 2017, where he served as Director of Pharmacy, Director of Operations, and Interim Chief Operating Officer for Ascension Seton Hays. [3, 5, 7] Miller has led capital and strategic planning, clinical and support services operations, built medical staff partnerships, and was involved in pursuing CMS Five-Star and Leapfrog A Hospital Safety Grade ratings. [3, 5]

Mona Gaw

Chief Nursing Officer

Mona Gaw, DNP, RN, was announced as the new Chief Nursing Officer at Ascension Seton Hays in March 2024. [8] Prior to this role, she served as Vice President and Chief Nursing Officer at Ascension Seton Northwest and Ascension Seton Southwest. [8] According to Joan Ross, President of Ascension Seton Hays, Gaw has broad experience and a strong background in quality and safety. [8] Gaw has received numerous awards and accolades for her leadership and served as the Founding Dean for the College of Nursing at Saint Mary's University in the Philippines. [8] Most recently, she led her nursing team in achieving their initial Pathway to Excellence designation from the American Nurses Credentialing Center (ANCC). [8] She also volunteers with organizations including the Philippine Nurses Association of America, Texas Nurses Association, Central Texas Food Bank, and the Society of Saint Vincent de Paul Ministry. [8]

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 154

Staffing & Personnel

FTE Employees on Payroll 745.76
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 9463
Inpatient Days (Title XIX) 1452
Total Inpatient Days 45887
Bed Count 173
Available Bed Days 63145
Discharges (Title V) NA
Discharges (Title XVIII) 1978
Discharges (Title XIX) 455
Total Discharges 9983

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 5774
Inpatient Days (Title XIX; Adults & Peds) 687
Total Inpatient Days (Adults & Peds) 27369
Bed Count (Adults & Peds) 137
Available Bed Days (Adults & Peds) 50005
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1978
Discharges (Title XIX; Adults & Peds) 455
Total Discharges (Adults & Peds) 9983

Quality Summary

Care Quality Stengths Average overall patient satisfaction. Hospital does an exceptional job of ensuring patients at the hospital do not get infections
Care Quality Concerns Patients report that the care team can be slow at times in meeting their needs. Hospital has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated

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 69%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients No Different Than National Average
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 Better Than National Average
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) 192

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 13.7
Readmission Score Hospital Return Days for Heart Failure Patients -21.3
Readmission Score Hospital Return Days for Pneumonia Patients -3.5
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.5
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 1
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 15.2
Readmission Score Rate of Readmission for CABG 10.2
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.3
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 18.5
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.8
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 17
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
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 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 No Different Than the National Rate
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 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

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 0.645
CAUTI SIR (Standardized Infection Ratio) 0.322
SSI SIR (Standardized Infection Ratio) 0.171
CDI SIR (Standardized Infection Ratio) 0.105
MRSA SIR (Standardized Infection Ratio) 0.247

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $23,355
Bad Debt Expense $44,391
Uncompensated Care Cost $29,040
Total Uncompensated Care $29,423

Operating Expenses ($ thousands)

Total Salaries $72,768
Overhead Expenses (Non-Salary) $153,106
Depreciation Expense $6,087
Total Operating Costs $207,274

Charges ($ thousands)

Inpatient Charges $998,570
Outpatient Charges $669,730
Total Patient Charges $1,668,301

Wage-Related Details ($ thousands)

Core Wage Costs $13,947
Wage Costs (RHC/FQHC)
Adjusted Salaries $72,627
Contract Labor (Patient Care) $3,334
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $7
Short-Term Investments
Notes Receivable
Accounts Receivable $180,458
Allowance for Doubtful Accounts $-146,521
Inventory $5,793
Prepaid Expenses $4
Other Current Assets $2,815
Total Current Assets $68,591

Balance Sheet – Fixed Assets ($ thousands)

Land Value $10,560
Land Improvements Value $5,464
Building Value $129,384
Leasehold Improvements
Fixed Equipment Value $1,634
Major Movable Equipment $59,642
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $113,650

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $2,878
Total Other Assets $2,878
Total Assets $185,120

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $3,761
Salaries & Wages Payable $5,117
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue $7,336
Other Current Liabilities $26,165
Total Current Liabilities $42,379

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $17,722
Total Long-Term Liabilities $17,722
Total Liabilities $60,101

Balance Sheet – Equity ($ thousands)

General Fund Balance $125,019
Total Fund Balances $125,019
Total Liabilities & Equity $185,120

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $5,370
DRG (Post-Oct 1) $17,065
Outlier Payments
DSH Adjustment $689
Eligible DSH % $0
Simulated MC Payments $22,610
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $998,791
Outpatient Revenue $669,754
Total Patient Revenue $1,668,545
Contractual Allowances & Discounts $1,437,478
Net Patient Revenue $231,067
Total Operating Expenses $225,874
Net Service Income $5,193
Other Income $2,927
Total Income $8,120
Other Expenses
Net Income $8,120

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $14,990
Medicaid Charges $144,559
Net CHIP Revenue $64
CHIP Charges $965

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing NA