Nelson County Health System

Nelson County Health System, located at 200 N Main St, McVille, ND, is a 19-bed Critical Access Hospital dedicated to enhancing the health and quality of life for the communities we serve. We offer 24-hour acute and emergency care, swing bed services, and a range of inpatient and outpatient rehabilitation services. Our skilled and compassionate team of professionals, including physicians, nurses, and therapists, is committed to providing personalized care to meet your healthcare needs. We also offer specialized services such as cardiac rehabilitation, diabetes education, and advanced diagnostic services, including digital mammography and mobile CAT scans. Visit our website at nelsoncountyhealthsystem.org to learn more.

Identifiers

Hospital Name Nelson County Health System
Facility ID 351308

Location

Address 200 N MAIN ST
City/Town Mcville
State ND
ZIP Code 58254
County/Parish NELSON

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 19
Health System Hospital Locations North Dakota

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Voluntary non-profit
Emergency Services Yes

Samantha Harding

Administrator

Steve Forde

CFO

Dr. Erling Martinson

Chief of Medical Staff

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 19

Staffing & Personnel

FTE Employees on Payroll 23.02
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 366
Inpatient Days (Title XIX) 3
Total Inpatient Days 475
Bed Count 19
Available Bed Days 6935
Discharges (Title V) NA
Discharges (Title XVIII) 38
Discharges (Title XIX) 1
Total Discharges 45

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 114
Inpatient Days (Title XIX; Adults & Peds) 3
Total Inpatient Days (Adults & Peds) 133
Bed Count (Adults & Peds) 19
Available Bed Days (Adults & Peds) 6935
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 38
Discharges (Title XIX; Adults & Peds) 1
Total Discharges (Adults & Peds) 45

Quality Summary

Care Quality Stengths 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 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

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
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) 102

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) 14.6
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
Readmission Group Hospital Return Days for Heart Attack Patients Not Available
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 Not Available
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) 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
Bad Debt Expense $72
Uncompensated Care Cost $93
Total Uncompensated Care $760

Operating Expenses ($ thousands)

Total Salaries $4,073
Overhead Expenses (Non-Salary) $4,866
Depreciation Expense $312
Total Operating Costs $8,343

Charges ($ thousands)

Inpatient Charges $4,273
Outpatient Charges $2,004
Total Patient Charges $6,277

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 $1,258
Short-Term Investments
Notes Receivable
Accounts Receivable $2,650
Allowance for Doubtful Accounts
Inventory $131
Prepaid Expenses $46
Other Current Assets $25
Total Current Assets $4,110

Balance Sheet – Fixed Assets ($ thousands)

Land Value $33
Land Improvements Value $3
Building Value $5,703
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $1,545
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $2,257

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $76
Other Assets $139
Total Other Assets $215
Total Assets $6,582

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $355
Salaries & Wages Payable $310
Payroll Taxes Payable $57
Short-Term Debt
Deferred Revenue $173
Other Current Liabilities $3
Total Current Liabilities $622

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $1,632
Total Long-Term Liabilities $1,632
Total Liabilities $2,253

Balance Sheet – Equity ($ thousands)

General Fund Balance $4,328
Total Fund Balances $4,328
Total Liabilities & Equity $6,582

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 $5,152
Outpatient Revenue $2,004
Total Patient Revenue $7,156
Contractual Allowances & Discounts $0
Net Patient Revenue $7,156
Total Operating Expenses $8,939
Net Service Income $-1,783
Other Income $955
Total Income $-828
Other Expenses
Net Income $-828

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $1,924
Medicaid Charges $1,949
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Unknown
EHR Version NA
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No