Spencer Hospital - HealthLuminate

Identifiers

Hospital Name	Spencer Hospital
Facility ID	160112

Location

Address	1200 1ST AVENUE EAST
City/Town	Spencer
State	IA
ZIP Code	51301
County/Parish	CLAY

Health System

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

Health System Size & Scope

Health System Total Hospitals	1
Health System Total Beds	93
Health System Hospital Locations	Iowa

Ownership & Characteristics

Hospital Type	Acute Care Hospitals
Hospital Ownership	Government - Local
Ownership Details	Governmental, City-County
Emergency Services	Yes

No leaders were identified on Spencer Hospital's website

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	93

Staffing & Personnel

FTE Employees on Payroll	388.56
FTE Interns & Residents	NA

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	3059
Inpatient Days (Title XIX)	242
Total Inpatient Days	5842
Bed Count	49
Available Bed Days	17885
Discharges (Title V)	NA
Discharges (Title XVIII)	740
Discharges (Title XIX)	39
Total Discharges	1446

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	2664
Inpatient Days (Title XIX; Adults & Peds)	20
Total Inpatient Days (Adults & Peds)	4842
Bed Count (Adults & Peds)	49
Available Bed Days (Adults & Peds)	17885
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	740
Discharges (Title XIX; Adults & Peds)	39
Total Discharges (Adults & Peds)	1446

Quality Summary

Care Quality Stengths	Overall patient satisfaction is overall very high. Patients report that nurse communication is excellent. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. 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	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	79%

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
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)	110

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients	Not Available
Readmission Score Hospital Return Days for Heart Failure Patients	10.6
Readmission Score Hospital Return Days for Pneumonia Patients	9.5
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	13.2
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy	10.8
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	5.4
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery	0.8
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	17.8
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	16.4
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	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	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	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	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)	1.086
SSI SIR (Standardized Infection Ratio)	1.227
CDI SIR (Standardized Infection Ratio)	0.815
MRSA SIR (Standardized Infection Ratio)	N/A

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost	$329
Bad Debt Expense	$2,282
Uncompensated Care Cost	$1,195
Total Uncompensated Care	$4,867

Operating Expenses ($ thousands)

Total Salaries	$31,493
Overhead Expenses (Non-Salary)	$89,227
Depreciation Expense	$6,799
Total Operating Costs	$94,811

Charges ($ thousands)

Inpatient Charges	$43,016
Outpatient Charges	$203,970
Total Patient Charges	$246,986

Wage-Related Details ($ thousands)

Core Wage Costs	$8,444
Wage Costs (RHC/FQHC)
Adjusted Salaries	$31,493
Contract Labor (Patient Care)	$10,178
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances	$55,024
Short-Term Investments
Notes Receivable
Accounts Receivable	$35,596
Allowance for Doubtful Accounts	$-21,691
Inventory	$4,875
Prepaid Expenses	$1,377
Other Current Assets
Total Current Assets	$77,088

Balance Sheet – Fixed Assets ($ thousands)

Land Value	$3,268
Land Improvements Value	$2,578
Building Value	$68,361
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment	$67,028
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets	$57,919

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments	$1,138
Other Assets	$18,148
Total Other Assets	$19,286
Total Assets	$154,293

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$4,968
Salaries & Wages Payable	$3,611
Payroll Taxes Payable
Short-Term Debt	$1,509
Deferred Revenue
Other Current Liabilities	$1,688
Total Current Liabilities	$12,222

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable	$16,565
Unsecured Loans
Other Long-Term Liabilities	$18,193
Total Long-Term Liabilities	$34,757
Total Liabilities	$46,980

Balance Sheet – Equity ($ thousands)

General Fund Balance	$107,313
Total Fund Balances	$107,313
Total Liabilities & Equity	$154,293

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)	$1,721
DRG (Post-Oct 1)	$5,028
Outlier Payments
DSH Adjustment	$76
Eligible DSH %	$0
Simulated MC Payments	$1,024
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue	$45,141
Outpatient Revenue	$235,447
Total Patient Revenue	$280,588
Contractual Allowances & Discounts	$171,898
Net Patient Revenue	$108,690
Total Operating Expenses	$119,896
Net Service Income	$-11,206
Other Income	$9,799
Total Income	$-1,406
Other Expenses	$749
Net Income	$-2,155

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio	$0
Net Medicaid Revenue	$7,017
Medicaid Charges	$27,607
Net CHIP Revenue	$229
CHIP Charges	$835

EHR Information

EHR	MEDITECH Expanse
EHR Version	Expanse
EHR is Changing	No

ERP Information

ERP	MEDITECH
ERP Version	NA
EHR is Changing	No