Cherokee Indian Hospital Authority

Cherokee Indian Hospital Authority (CIHA), located in Cherokee, NC, is a modern healthcare facility dedicated to serving the Eastern Band of Cherokee Indians with culturally sensitive, patient-centered care. Our comprehensive services include primary care, emergency services, maternity care, behavioral health, and more. CIHA blends modern medical practices with Cherokee cultural values, creating a healing environment that incorporates artwork, natural materials, and cultural symbols. We are committed to the well-being of the community, offering public health initiatives and promoting healthier lifestyles. Experience quality healthcare tailored to your unique needs at Cherokee Indian Hospital Authority.

Identifiers

Hospital Name Cherokee Indian Hospital Authority
Facility ID 340156

Location

Address CALLER BOX C268
City/Town Cherokee
State NC
ZIP Code 28719
County/Parish SWAIN

Health System

Health System Independent
Health System Website Domain cherokeehospital.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 26
Health System Hospital Locations North Carolina

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Government - Federal
Ownership Details Cherokee Indian Hospital Authority
Emergency Services Yes

Casey Cooper

Chief Executive Officer

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Mary Beth Dorgan

Chief Operating Officer

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Dr. Richard Bunio

Director of Clinical Services

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Janet Medford

Director of Nursing

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Lori Lambert

Chief Financial Officer

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Teri Morris

Director of Quality/Patient Safety

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Beth Greene

Director of Human Resources

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Damon Lambert

Director of Engineering

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Brittney Lofthouse

Director of Development & Community Relations

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Matthew LaMore

Chief Information Officer

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Karen Kennedy

Director of the EBCI Tribal Option

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Dr. Frieda Saylor

Clinical Director of Behavioral Health Services

The CIHA executive leaders are some of the Tribe's best and brightest—and also some of the most caring. Without their careful stewardship of CIHA's budget and resources, our community wouldn't receive the level of care and compassion it enjoys today.

Dr. Carmaleta Monteith

Chair

Responsible for the direction and oversight of the Cherokee Indian Hospital and other health programs that may be assigned to CIHA by Tribal resolution.

Adele Madden

Treasurer

Responsible for the direction and oversight of the Cherokee Indian Hospital and other health programs that may be assigned to CIHA by Tribal resolution.

Casey Cooper

Secretary

Responsible for the direction and oversight of the Cherokee Indian Hospital and other health programs that may be assigned to CIHA by Tribal resolution.

Sunshine Parker

Governing Board Member

Responsible for the direction and oversight of the Cherokee Indian Hospital and other health programs that may be assigned to CIHA by Tribal resolution.

Dr. Frances Owl-Smith

Governing Board Member

Responsible for the direction and oversight of the Cherokee Indian Hospital and other health programs that may be assigned to CIHA by Tribal resolution.

Dr. Pamela Brady

Governing Board Member

Responsible for the direction and oversight of the Cherokee Indian Hospital and other health programs that may be assigned to CIHA by Tribal resolution.

Marsha Hollifield

Governing Board Member

Responsible for the direction and oversight of the Cherokee Indian Hospital and other health programs that may be assigned to CIHA by Tribal resolution.

Ahli-Sha Stephens

Governing Board Member

Responsible for the direction and oversight of the Cherokee Indian Hospital and other health programs that may be assigned to CIHA by Tribal resolution.

Dr. Richard Bunio

Governing Board Member

Responsible for the direction and oversight of the Cherokee Indian Hospital and other health programs that may be assigned to CIHA by Tribal resolution.

Hillane Lambert

Governing Board Member

Responsible for the direction and oversight of the Cherokee Indian Hospital and other health programs that may be assigned to CIHA by Tribal resolution.

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 26

Staffing & Personnel

FTE Employees on Payroll 809
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 884
Inpatient Days (Title XIX) 1693
Total Inpatient Days 3901
Bed Count 34
Available Bed Days 12410
Discharges (Title V) NA
Discharges (Title XVIII) 135
Discharges (Title XIX) 204
Total Discharges 748

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 884
Inpatient Days (Title XIX; Adults & Peds) 1693
Total Inpatient Days (Adults & Peds) 3901
Bed Count (Adults & Peds) 34
Available Bed Days (Adults & Peds) 12410
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 135
Discharges (Title XIX; Adults & Peds) 204
Total Discharges (Adults & Peds) 748

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate
Care Quality Concerns Hospital struggles with high infection rates

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
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 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
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) Not Available

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) 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 Not Available
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.5
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
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) Not Available
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
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) N/A
CAUTI SIR (Standardized Infection Ratio) N/A
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) 0.000
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost
Bad Debt Expense
Uncompensated Care Cost
Total Uncompensated Care

Operating Expenses ($ thousands)

Total Salaries $51,246
Overhead Expenses (Non-Salary) $67,777
Depreciation Expense $4,772
Total Operating Costs $49,778

Charges ($ thousands)

Inpatient Charges $52
Outpatient Charges $865
Total Patient Charges $916

Wage-Related Details ($ thousands)

Core Wage Costs $0
Wage Costs (RHC/FQHC)
Adjusted Salaries $51,246
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances
Short-Term Investments
Notes Receivable
Accounts Receivable
Allowance for Doubtful Accounts
Inventory
Prepaid Expenses
Other Current Assets
Total Current Assets

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable
Salaries & Wages Payable
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities
Total Current Liabilities

Balance Sheet – Long-Term Liabilities ($ thousands)

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

Balance Sheet – Equity ($ thousands)

General Fund Balance
Total Fund Balances
Total Liabilities & Equity

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1) $1,206
Outlier Payments
DSH Adjustment $36
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue
Outpatient Revenue
Total Patient Revenue
Contractual Allowances & Discounts
Net Patient Revenue
Total Operating Expenses $119,023
Net Service Income $-119,023
Other Income
Total Income $-119,023
Other Expenses
Net Income $-119,023

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio
Net Medicaid Revenue
Medicaid Charges
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No