Crook County Medical Services District

Crook County Medical Services District (CCMSD), located at 713 Oak Street in Sundance, WY, is committed to providing quality, local healthcare for all ages in Crook County. Established in 1991, CCMSD offers a wide range of services, including primary and pediatric care, emergency services, and long-term care. With clinics in Sundance, Moorcroft, and Hulett, their experienced and friendly medical staff are dedicated to serving the community with compassionate and attentive care. CCMSD prides itself on utilizing advanced technology and procedures, ensuring the community can always count on them for their healthcare needs. Putting patients first, CCMSD's mission is to provide exemplary patient care to meet a variety of healthcare needs.

Identifiers

Hospital Name Crook County Medical Services District
Facility ID 531311

Location

Address 713 OAK STREET
City/Town Sundance
State WY
ZIP Code 82729
County/Parish CROOK

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 16
Health System Hospital Locations Wyoming

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Government - Hospital District or Authority
Ownership Details Independent
Emergency Services Yes

No leaders were identified on Crook County Medical Services District'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 16

Staffing & Personnel

FTE Employees on Payroll 72.2
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1059
Inpatient Days (Title XIX) NA
Total Inpatient Days 1425
Bed Count 16
Available Bed Days 5840
Discharges (Title V) NA
Discharges (Title XVIII) 78
Discharges (Title XIX) 1
Total Discharges 121

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 266
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 364
Bed Count (Adults & Peds) 16
Available Bed Days (Adults & Peds) 5840
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 78
Discharges (Title XIX; Adults & Peds) 1
Total Discharges (Adults & Peds) 121

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate
Care Quality Concerns NA

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
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) 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 22.3
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) 14.9
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 17.6
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) 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 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 Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $86
Bad Debt Expense $657
Uncompensated Care Cost $696
Total Uncompensated Care $696

Operating Expenses ($ thousands)

Total Salaries $7,636
Overhead Expenses (Non-Salary) $6,185
Depreciation Expense $732
Total Operating Costs $13,540

Charges ($ thousands)

Inpatient Charges $6,313
Outpatient Charges $8,273
Total Patient Charges $14,586

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 $888
Short-Term Investments $4,126
Notes Receivable
Accounts Receivable $3,006
Allowance for Doubtful Accounts $-960
Inventory $136
Prepaid Expenses $126
Other Current Assets
Total Current Assets $9,020

Balance Sheet – Fixed Assets ($ thousands)

Land Value $82
Land Improvements Value $125
Building Value $5,503
Leasehold Improvements
Fixed Equipment Value $913
Major Movable Equipment $3,665
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $4,010

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets $13,030

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $361
Salaries & Wages Payable $706
Payroll Taxes Payable $53
Short-Term Debt
Deferred Revenue $1,154
Other Current Liabilities $12
Total Current Liabilities $2,286

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $853
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities $853
Total Liabilities $3,139

Balance Sheet – Equity ($ thousands)

General Fund Balance $9,891
Total Fund Balances $9,891
Total Liabilities & Equity $13,030

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 $6,392
Outpatient Revenue $8,433
Total Patient Revenue $14,825
Contractual Allowances & Discounts $3,410
Net Patient Revenue $11,414
Total Operating Expenses $13,821
Net Service Income $-2,407
Other Income $2,460
Total Income $53
Other Expenses
Net Income $53

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $1,281
Medicaid Charges $1,368
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No