Norton Sound Regional Hospital

Norton Sound Regional Hospital, located at 1000 Greg Kruschek Avenue in Nome, Alaska, is dedicated to providing quality health services and promoting wellness within the Bering Strait region. As a critical access hospital with 18 beds, we offer a comprehensive range of services, including emergency care, surgery, acute care, labor and delivery, audiology, eye care, dental, laboratory, physical therapy, and nutrition services. Our dedicated team of board-certified physicians and support staff understand the unique healthcare needs of our diverse community and are committed to delivering world-class treatment. We are tribally owned and operated, providing care with cultural sensitivity and respect for traditional values. Norton Sound Regional Hospital is accredited and focused on serving Nome and the surrounding villages with the latest equipment and technology in our modern, renovated facility.

Identifiers

Hospital Name Norton Sound Regional Hospital
Facility ID 021308

Location

Address 1000 GREG KRUSCHEK AVENUE (P O BOX 966)
City/Town Nome
State AK
ZIP Code 99762
County/Parish NOME

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 21
Health System Hospital Locations Alaska

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Tribal
Ownership Details Norton Sound Health Corporation
Emergency Services Yes

Angie Gorn

President/CEO

Moved to Nome, Alaska in 1997. UW-Madison Graduate, 1997. M.B.A in Health Care Administration. Registered Dietitian (RD). Certified Diabetes Educator (CDE). Licensed Nursing Home Administrator (NHA). Has worked for 13 of the past 20 years in hospital administration, having come to the organization as a nutritionist, and served as CEO and president for five years at the pleasure of the NSHC Board and the 20 tribes that own NSHC (information from 2017-2018).

Kelly Bogart

Vice President of Hospital Services

Raised in Nome and is the daughter of the late Jones Wongittilin of Savoonga and Phyllis Punguk of Nome. She has worked for NSHC since 2014 and became assistant vice president of Hospital Services in 2015 (information from 2018).

Residency Programs

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

Capacity & Services

Licensed Beds 21

Staffing & Personnel

FTE Employees on Payroll 766
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1373
Inpatient Days (Title XIX) 1846
Total Inpatient Days 4010
Bed Count 18
Available Bed Days 6570
Discharges (Title V) NA
Discharges (Title XVIII) 148
Discharges (Title XIX) 391
Total Discharges 745

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 550
Inpatient Days (Title XIX; Adults & Peds) 1615
Total Inpatient Days (Adults & Peds) 2764
Bed Count (Adults & Peds) 18
Available Bed Days (Adults & Peds) 6570
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 148
Discharges (Title XIX; Adults & Peds) 391
Total Discharges (Adults & Peds) 745

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

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 No Different Than National Average
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) 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 1.8
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 19
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.8
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.3
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 Average Days per 100 Discharges
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 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 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 Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $323
Bad Debt Expense $1,012
Uncompensated Care Cost $945
Total Uncompensated Care $6,672

Operating Expenses ($ thousands)

Total Salaries $79,127
Overhead Expenses (Non-Salary) $112,128
Depreciation Expense $13,399
Total Operating Costs $86,951

Charges ($ thousands)

Inpatient Charges $53,480
Outpatient Charges $87,981
Total Patient Charges $141,461

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 $117,781
Short-Term Investments
Notes Receivable
Accounts Receivable $17,490
Allowance for Doubtful Accounts $-12,358
Inventory $2,384
Prepaid Expenses $1,180
Other Current Assets
Total Current Assets $140,180

Balance Sheet – Fixed Assets ($ thousands)

Land Value $6,428
Land Improvements Value $12,048
Building Value $199,685
Leasehold Improvements
Fixed Equipment Value $75,235
Major Movable Equipment $51,484
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $184,647

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $143,275
Other Assets
Total Other Assets $143,275
Total Assets $468,101

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $5,311
Salaries & Wages Payable $7,722
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue $48,743
Other Current Liabilities
Total Current Liabilities $61,776

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities $61,776

Balance Sheet – Equity ($ thousands)

General Fund Balance $406,325
Total Fund Balances $406,325
Total Liabilities & Equity $468,101

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 $59,029
Outpatient Revenue $132,986
Total Patient Revenue $192,015
Contractual Allowances & Discounts $43,333
Net Patient Revenue $148,682
Total Operating Expenses $191,255
Net Service Income $-42,573
Other Income $79,715
Total Income $37,142
Other Expenses $19,599
Net Income $17,543

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $44,667
Medicaid Charges $81,986
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium CommunityWorks
EHR Version Oracle Health Millennium CommunityWorks
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No