Lafayette Regional Health Center

Lafayette Regional Health Center, located in historic Lexington, Missouri, has been serving the community for over 50 years. We provide quality healthcare close to home, including 24-hour emergency care, a wide range of medical specialties, and a specialty outpatient clinic. Our dedicated staff of primary care physicians and medical specialists is committed to offering compassionate, patient-focused care. By combining our strengths with those of HCA Midwest Health, we deliver exceptional medical services to Lafayette County residents. Access your health records and manage your healthcare through our secure online portal, MyHealthONE.

Identifiers

Hospital Name Lafayette Regional Health Center
Facility ID 261320

Location

Address 1500 STATE STREET
City/Town Lexington
State MO
ZIP Code 64067
County/Parish LAFAYETTE

Health System

Health System HCA
Health System Website Domain hcahealthcare.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 137
Health System Total Beds 39222
Health System Hospital Locations Alaska, California, Colorado, Florida, Georgia, Idaho, Kansas, Kentucky, Louisiana, Missouri, North Carolina, New Hampshire, Nevada, South Carolina, Tennessee, Texas, Utah and Virginia

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Proprietary
Ownership Details HCA
Emergency Services Yes

No leaders were identified on Lafayette Regional Health Center's website

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program Yes
Other Residency Programs No
Pediatric Residency Program No

Capacity & Services

Licensed Beds 25

Staffing & Personnel

FTE Employees on Payroll 166.13
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1101
Inpatient Days (Title XIX) 248
Total Inpatient Days 2767
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 275
Discharges (Title XIX) 69
Total Discharges 790

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 920
Inpatient Days (Title XIX; Adults & Peds) 246
Total Inpatient Days (Adults & Peds) 2414
Bed Count (Adults & Peds) 23
Available Bed Days (Adults & Peds) 8395
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 275
Discharges (Title XIX; Adults & Peds) 69
Total Discharges (Adults & Peds) 790

Quality Summary

Care Quality Stengths High overall patient satisfaction. 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. Patients were very positive about the cleanliness of the hospital. 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.
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 71%

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 No Different Than National Average
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) 124

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 8.5
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.3
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 18.2
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) 15.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 17.2
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 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 Number of cases too small
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 Number of Cases Too Small
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) 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 Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $1,819
Bad Debt Expense $2,025
Uncompensated Care Cost $2,338
Total Uncompensated Care $3,274

Operating Expenses ($ thousands)

Total Salaries $14,102
Overhead Expenses (Non-Salary) $23,247
Depreciation Expense $1,777
Total Operating Costs $31,687

Charges ($ thousands)

Inpatient Charges $24,962
Outpatient Charges $107,395
Total Patient Charges $132,358

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 $8
Short-Term Investments
Notes Receivable
Accounts Receivable $7,585
Allowance for Doubtful Accounts $-3,581
Inventory $471
Prepaid Expenses $99
Other Current Assets
Total Current Assets $4,255

Balance Sheet – Fixed Assets ($ thousands)

Land Value $5
Land Improvements Value $383
Building Value $3,454
Leasehold Improvements $7,415
Fixed Equipment Value $5,905
Major Movable Equipment $6,403
Minor Depreciable Equipment $2,182
Health IT Assets
Total Fixed Assets $10,074

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $3,446
Total Other Assets $3,446
Total Assets $17,776

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $835
Salaries & Wages Payable $1,550
Payroll Taxes Payable $443
Short-Term Debt $17
Deferred Revenue
Other Current Liabilities $531
Total Current Liabilities $3,376

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $57
Unsecured Loans $29,148
Other Long-Term Liabilities $2,991
Total Long-Term Liabilities $32,196
Total Liabilities $35,571

Balance Sheet – Equity ($ thousands)

General Fund Balance $-17,796
Total Fund Balances $-17,796
Total Liabilities & Equity $17,776

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 $24,615
Outpatient Revenue $110,379
Total Patient Revenue $134,994
Contractual Allowances & Discounts $101,133
Net Patient Revenue $33,861
Total Operating Expenses $34,415
Net Service Income $-554
Other Income $164
Total Income $-390
Other Expenses
Net Income $-390

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $3,863
Medicaid Charges $26,496
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No