Nacogdoches Medical Center

Nacogdoches Medical Center, located at 4920 NE Stallings Drive in Nacogdoches, TX, is a 161-bed acute care facility that has been serving the community for over 40 years. As the anchor of the NMC Health Network, we offer a wide range of services, including emergency care, women's health, cardiovascular services, cancer care, orthopedics, and neurology. Our dedicated team of skilled nurses, experienced physicians, and support staff are committed to providing quality care, utilizing advanced facilities such as our recently opened Surgery Center, which specializes in open-heart programs. We are accredited by the Joint Commission and focused on delivering "big city medicine" close to home. At Nacogdoches Medical Center, you can expect compassionate, patient-centered care.

Identifiers

Hospital Name Nacogdoches Medical Center
Facility ID 450656

Location

Address 4920 NE STALLINGS DRIVE
City/Town Nacogdoches
State TX
ZIP Code 75965
County/Parish NACOGDOCHES

Health System

Health System Tenet Healthcare Corporation
Health System Website Domain tenethealth.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 27
Health System Total Beds 7109
Health System Hospital Locations Arizona, California, Florida, Massachusetts, Michigan, Oklahoma, South Carolina, South Dakota, Tennessee and Texas

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Other
Ownership Details Tenet Healthcare Corporation
Emergency Services Yes

Jeff Patterson

Chief Executive Officer

NA

Randy Slack

Chief Financial Officer

NA

Patti Bennett

Chief Nursing Officer

NA

Teresa Farrell

Chief Human Resources Officer

NA

Diana Luevanos

Compliance Officer

NA

Benjamin Steiner

Associate Administrator

NA

Brady Willis

ASC Administrator

NA

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 140

Staffing & Personnel

FTE Employees on Payroll 289.7
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 6969
Inpatient Days (Title XIX) 1169
Total Inpatient Days 21218
Bed Count 155
Available Bed Days 56575
Discharges (Title V) NA
Discharges (Title XVIII) 1380
Discharges (Title XIX) 92
Total Discharges 4613

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 6167
Inpatient Days (Title XIX; Adults & Peds) 633
Total Inpatient Days (Adults & Peds) 16979
Bed Count (Adults & Peds) 136
Available Bed Days (Adults & Peds) 49640
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1380
Discharges (Title XIX; Adults & Peds) 92
Total Discharges (Adults & Peds) 4613

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 an above-average job of ensuring patients at the hospital do not get infections.
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 65%

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 No Different 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
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate
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) 142

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients -5.5
Readmission Score Hospital Return Days for Heart Failure Patients -10.8
Readmission Score Hospital Return Days for Pneumonia Patients -2.9
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 11.6
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 1.2
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13.5
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 19.4
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 18.7
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.3
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.8
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 15.5
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) Number of Cases Too Small
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) 0.814
CAUTI SIR (Standardized Infection Ratio) 0.191
SSI SIR (Standardized Infection Ratio) 0.587
CDI SIR (Standardized Infection Ratio) 0.601
MRSA SIR (Standardized Infection Ratio) 1.126

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $4,519
Bad Debt Expense $16,443
Uncompensated Care Cost $5,859
Total Uncompensated Care $5,885

Operating Expenses ($ thousands)

Total Salaries $28,075
Overhead Expenses (Non-Salary) $91,992
Depreciation Expense $3,311
Total Operating Costs $86,911

Charges ($ thousands)

Inpatient Charges $560,221
Outpatient Charges $656,199
Total Patient Charges $1,216,420

Wage-Related Details ($ thousands)

Core Wage Costs $5,856
Wage Costs (RHC/FQHC)
Adjusted Salaries $28,075
Contract Labor (Patient Care) $6,969
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $2
Short-Term Investments
Notes Receivable
Accounts Receivable $53,867
Allowance for Doubtful Accounts $-39,253
Inventory $2,367
Prepaid Expenses $3,462
Other Current Assets
Total Current Assets $22,943

Balance Sheet – Fixed Assets ($ thousands)

Land Value $2,612
Land Improvements Value $1,901
Building Value $52,431
Leasehold Improvements $182
Fixed Equipment Value $9,043
Major Movable Equipment $33,699
Minor Depreciable Equipment
Health IT Assets $8,951
Total Fixed Assets $42,701

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $28,728
Total Other Assets $28,728
Total Assets $94,372

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $4,957
Salaries & Wages Payable $1,171
Payroll Taxes Payable
Short-Term Debt $1,092
Deferred Revenue
Other Current Liabilities $1,716
Total Current Liabilities $8,935

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $22,664
Total Long-Term Liabilities $22,664
Total Liabilities $31,599

Balance Sheet – Equity ($ thousands)

General Fund Balance $62,773
Total Fund Balances $62,773
Total Liabilities & Equity $94,372

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $10,334
DRG (Post-Oct 1) $3,582
Outlier Payments
DSH Adjustment $310
Eligible DSH % $0
Simulated MC Payments $11,250
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $562,132
Outpatient Revenue $657,054
Total Patient Revenue $1,219,186
Contractual Allowances & Discounts $1,085,750
Net Patient Revenue $133,436
Total Operating Expenses $117,352
Net Service Income $16,083
Other Income $671
Total Income $16,754
Other Expenses
Net Income $16,754

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $13,493
Medicaid Charges $157,164
Net CHIP Revenue $81
CHIP Charges $1,288

EHR Information

EHR MEDITECH
EHR Version Unknown
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No