Lakes Regional Hospital

Lakes Regional Healthcare, located at 2301 Highway 71 in Spirit Lake, IA, is dedicated to improving the health and well-being of the Iowa Great Lakes region through compassionate, quality care. As a community hospital, Lakes Regional Healthcare provides a personal level of service, ensuring patients feel comfortable and can trust their healthcare providers. Proudly serving as a leading healthcare provider in northwest Iowa and southwest Minnesota, Lakes Regional Healthcare offers advanced services such as robotic-assisted orthopedic surgery and comprehensive robotic-assisted surgeries. With a mission to enhance community health, Lakes Regional Healthcare is committed to adapting to new technologies and processes to deliver the best possible care.

Identifiers

Hospital Name Lakes Regional Hospital
Facility ID 160124

Location

Address 2301 HIGHWAY 71
City/Town Spirit Lake
State IA
ZIP Code 51360
County/Parish DICKINSON

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 Acute Care Hospitals
Hospital Ownership Government - Local
Ownership Details Avera Health
Emergency Services Yes

Jason Harrington

President and CEO

M.H.A.'99, featured during a storytelling event about community service and careers at the Iowa Hospital Association annual meeting in October 2022.

Steve Alger

Senior Vice President and CFO

NA

Bryan Williams

Vice President and Chief Nursing Officer

MSN, RN, effective Sept. 26, 2022. Previously served as the Air Med program manager, chief flight nurse, and flight nurse and supervisor for MercyOne North Iowa Medical Center in Mason City. Active on the Midwest-1 Disaster Medical Assistance Team through HHS since 2005 and was a nursing supervisor on disaster response to Hurricane Katrina. Earned Master of Science degree in nursing from Chamberlain University and a Bachelor of Science degree in nursing from the University of Iowa College of Nursing.

Jeremy Bolluyt, D.O.

Chief Medical Officer

NA

Sonja Hamm

VP of Human and Foundation Resources

Recognized at the Iowa Hospital Association's annual meeting for completing a Healthcare Leadership Certification Series.

Jennifer Gustafson

VP of Marketing and Retail Services

NA

Nate McCormick

Vice President of Ancillary, Clinics and Community Services

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 49

Staffing & Personnel

FTE Employees on Payroll 247.82
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 2430
Inpatient Days (Title XIX) 500
Total Inpatient Days 4430
Bed Count 44
Available Bed Days 16060
Discharges (Title V) NA
Discharges (Title XVIII) 595
Discharges (Title XIX) 131
Total Discharges 1133

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 2202
Inpatient Days (Title XIX; Adults & Peds) 315
Total Inpatient Days (Adults & Peds) 3688
Bed Count (Adults & Peds) 41
Available Bed Days (Adults & Peds) 14965
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 595
Discharges (Title XIX; Adults & Peds) 131
Total Discharges (Adults & Peds) 1133

Quality Summary

Care Quality Stengths High overall patient satisfaction. 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 does not do a good job of treating conditions like heart failure so that patients don't have to come back to the hospital. 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 80%

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) 106

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 59.2
Readmission Score Hospital Return Days for Pneumonia Patients 11.2
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 14.3
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 1.2
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 21.6
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.8
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 17.5
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients More Days Than Average 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 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 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) N/A
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) 1.414
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 $190
Bad Debt Expense $1,168
Uncompensated Care Cost $775
Total Uncompensated Care $4,751

Operating Expenses ($ thousands)

Total Salaries $17,624
Overhead Expenses (Non-Salary) $42,467
Depreciation Expense $3,226
Total Operating Costs $52,583

Charges ($ thousands)

Inpatient Charges $25,053
Outpatient Charges $79,301
Total Patient Charges $104,354

Wage-Related Details ($ thousands)

Core Wage Costs $4,436
Wage Costs (RHC/FQHC)
Adjusted Salaries $17,624
Contract Labor (Patient Care) $3,644
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $7,380
Short-Term Investments $28,590
Notes Receivable
Accounts Receivable $9,091
Allowance for Doubtful Accounts $-4,335
Inventory $1,014
Prepaid Expenses $187
Other Current Assets
Total Current Assets $43,773

Balance Sheet – Fixed Assets ($ thousands)

Land Value $919
Land Improvements Value $892
Building Value $48,696
Leasehold Improvements
Fixed Equipment Value $5,877
Major Movable Equipment $22,005
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $33,063

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $1,287
Other Assets $3,597
Total Other Assets $4,884
Total Assets $81,720

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $3,056
Salaries & Wages Payable $1,433
Payroll Taxes Payable $146
Short-Term Debt $1,073
Deferred Revenue
Other Current Liabilities $2,726
Total Current Liabilities $8,434

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $15,244
Unsecured Loans
Other Long-Term Liabilities $9,973
Total Long-Term Liabilities $25,217
Total Liabilities $33,652

Balance Sheet – Equity ($ thousands)

General Fund Balance $48,069
Total Fund Balances $48,069
Total Liabilities & Equity $81,720

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $1,094
DRG (Post-Oct 1) $3,432
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $22,694
Outpatient Revenue $100,216
Total Patient Revenue $122,910
Contractual Allowances & Discounts $66,148
Net Patient Revenue $56,762
Total Operating Expenses $60,091
Net Service Income $-3,329
Other Income $3,225
Total Income $-104
Other Expenses
Net Income $-104

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $2,741
Medicaid Charges $13,330
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 No