Marshall County Healthcare Center Avera

Identifiers

Hospital Name	Marshall County Healthcare Center Avera
Facility ID	431312

Location

Address	413 9TH STREET
City/Town	Britton
State	SD
ZIP Code	57430
County/Parish	MARSHALL

Health System

Health System	Avera Health
Health System Website Domain	avera.org
Recently Joined Health System (Past 4 Years)	No

Health System Size & Scope

Health System Total Hospitals	35
Health System Total Beds	1519
Health System Hospital Locations	Iowa, Minnesota, Nebraska and South Dakota

Ownership & Characteristics

Hospital Type	Critical Access Hospitals
Hospital Ownership	Voluntary non-profit - Private
Ownership Details	Avera Health
Emergency Services	Yes

Nick Fosness

CEO

Nick Fosness is the CEO of Marshall County Healthcare Center Avera. He shared a presentation at the national Centers for Medicare & Medicaid Services (CMS) Quality Conference on how their organization utilizes extensive telehealth services. [6, 10]

Erik Peterson

CFO

Erik Peterson is the Chief Financial Officer at Marshall County Healthcare Center. He has a finance background from St. Alexius in Bismarck and Avera McKennan in Sioux Falls and moved to Britton for the CFO position in May 2022. He enjoys the job and the people and is impressed with the institution's culture and mission. [12]

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	20

Staffing & Personnel

FTE Employees on Payroll	62.14
FTE Interns & Residents	NA

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	707
Inpatient Days (Title XIX)	2
Total Inpatient Days	982
Bed Count	20
Available Bed Days	7300
Discharges (Title V)	NA
Discharges (Title XVIII)	139
Discharges (Title XIX)	1
Total Discharges	175

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	427
Inpatient Days (Title XIX; Adults & Peds)	2
Total Inpatient Days (Adults & Peds)	553
Bed Count (Adults & Peds)	20
Available Bed Days (Adults & Peds)	7300
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	139
Discharges (Title XIX; Adults & Peds)	1
Total Discharges (Adults & Peds)	175

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	86%

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)	103

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)	12.9
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)	14.3
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	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	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	$29
Bad Debt Expense	$287
Uncompensated Care Cost	$186
Total Uncompensated Care	$186

Operating Expenses ($ thousands)

Total Salaries	$5,127
Overhead Expenses (Non-Salary)	$6,692
Depreciation Expense	$813
Total Operating Costs	$9,660

Charges ($ thousands)

Inpatient Charges	$3,623
Outpatient Charges	$14,074
Total Patient Charges	$17,697

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	$1,126
Short-Term Investments
Notes Receivable
Accounts Receivable	$3,030
Allowance for Doubtful Accounts	$-1,645
Inventory	$184
Prepaid Expenses	$39
Other Current Assets
Total Current Assets	$3,250

Balance Sheet – Fixed Assets ($ thousands)

Land Value	$260
Land Improvements Value
Building Value	$10,200
Leasehold Improvements
Fixed Equipment Value	$3,992
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets	$8,485

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments	$4,913
Other Assets	$106
Total Other Assets	$5,019
Total Assets	$16,754

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$205
Salaries & Wages Payable	$407
Payroll Taxes Payable	$64
Short-Term Debt
Deferred Revenue
Other Current Liabilities
Total Current Liabilities	$675

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities	$675

Balance Sheet – Equity ($ thousands)

General Fund Balance	$16,079
Total Fund Balances	$16,079
Total Liabilities & Equity	$16,754

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	$4,728
Outpatient Revenue	$13,273
Total Patient Revenue	$18,001
Contractual Allowances & Discounts	$7,066
Net Patient Revenue	$10,935
Total Operating Expenses	$12,374
Net Service Income	$-1,440
Other Income	$1,582
Total Income	$142
Other Expenses
Net Income	$142

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio	$0
Net Medicaid Revenue	$279
Medicaid Charges	$409
Net CHIP Revenue
CHIP Charges

EHR Information

EHR	Epic
EHR Version	EpicCare Inpatient (not Community Connect)
EHR is Changing	Yes--In Process of Replacing

ERP Information

ERP	Workday
ERP Version	NA
EHR is Changing	Yes--In Process of Replacing