Nacogdoches Memorial Hospital

Nacogdoches Memorial Hospital, located at 1204 Mound St. in Nacogdoches, TX, is a 231-bed acute care hospital that has been serving the community since 1928. As the only Level III Trauma Center in Deep East Texas, we provide advanced treatment from dedicated specialists close to home. Our comprehensive services include emergency care, surgery, cardiac care, and inpatient rehabilitation at the Cecil R. Bomar Rehabilitation Center, an internationally accredited Center of Excellence. We are committed to your comfort, recovery, and wellness, combining compassionate care with the latest technology to serve everyone who comes to us.

Identifiers

Hospital Name Nacogdoches Memorial Hospital
Facility ID 450508

Location

Address 1204 MOUND ST
City/Town Nacogdoches
State TX
ZIP Code 75961
County/Parish NACOGDOCHES

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 163
Health System Hospital Locations Texas

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Proprietary
Ownership Details Nacogdoches County Hospital District
Emergency Services Yes

Rhonda McCabe

Chief Executive Officer

Lynn Lindsey

Chief Financial Officer

Stacy Garcia

Vice President of Clinical Operations / Chief Nursing Officer

Noella Crayton

Chief Compliance Officer

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 163

Staffing & Personnel

FTE Employees on Payroll 290.96
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 3203
Inpatient Days (Title XIX) 468
Total Inpatient Days 15397
Bed Count 160
Available Bed Days 58400
Discharges (Title V) NA
Discharges (Title XVIII) 635
Discharges (Title XIX) 187
Total Discharges 2821

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1840
Inpatient Days (Title XIX; Adults & Peds) 245
Total Inpatient Days (Adults & Peds) 12319
Bed Count (Adults & Peds) 137
Available Bed Days (Adults & Peds) 50005
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 635
Discharges (Title XIX; Adults & Peds) 187
Total Discharges (Adults & Peds) 2821

Quality Summary

Care Quality Stengths Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does an above-average job of ensuring patients at the hospital do not get infections.
Care Quality Concerns Low overall patient satisfaction. Patients reported significant challenges with transitions between departments in the hospital. Patients report challenges the cleanliness of the hospital. Hospital does not do a good job of treating conditions like pneumonia so that patients don't have to come back to the hospital.

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 60%

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 No Different Than National Average
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 Worse 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) 133

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 24.3
Readmission Score Hospital Return Days for Pneumonia Patients 66.4
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 14.3
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 17.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 20.6
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.2
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 18.5
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients More Days Than Average per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Number of Cases Too Small
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 Number of cases too small
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
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) 1.738
CAUTI SIR (Standardized Infection Ratio) 1.630
SSI SIR (Standardized Infection Ratio) 1.813
CDI SIR (Standardized Infection Ratio) 0.656
MRSA SIR (Standardized Infection Ratio) 0.000

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $10,711
Bad Debt Expense $5,329
Uncompensated Care Cost $11,977
Total Uncompensated Care $12,341

Operating Expenses ($ thousands)

Total Salaries $30,248
Overhead Expenses (Non-Salary) $45,729
Depreciation Expense $2,984
Total Operating Costs $64,441

Charges ($ thousands)

Inpatient Charges $138,730
Outpatient Charges $139,389
Total Patient Charges $278,119

Wage-Related Details ($ thousands)

Core Wage Costs $5,893
Wage Costs (RHC/FQHC)
Adjusted Salaries $30,244
Contract Labor (Patient Care) $1,409
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $230
Short-Term Investments
Notes Receivable
Accounts Receivable $42,530
Allowance for Doubtful Accounts $-23,026
Inventory $979
Prepaid Expenses $385
Other Current Assets
Total Current Assets $23,544

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value $5,215
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $2,659
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $6,612

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $4,872
Total Other Assets $4,872
Total Assets $35,028

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $12,906
Salaries & Wages Payable $2,103
Payroll Taxes Payable $122
Short-Term Debt
Deferred Revenue
Other Current Liabilities $6,000
Total Current Liabilities $21,130

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $15,354
Total Long-Term Liabilities $15,354
Total Liabilities $36,485

Balance Sheet – Equity ($ thousands)

General Fund Balance $-1,457
Total Fund Balances $-1,457
Total Liabilities & Equity $35,028

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $1,547
DRG (Post-Oct 1) $4,965
Outlier Payments
DSH Adjustment $737
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $138,730
Outpatient Revenue $139,426
Total Patient Revenue $278,156
Contractual Allowances & Discounts $215,628
Net Patient Revenue $62,528
Total Operating Expenses $75,977
Net Service Income $-13,449
Other Income $14,274
Total Income $824
Other Expenses $6
Net Income $818

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $8,736
Medicaid Charges $50,534
Net CHIP Revenue $22
CHIP Charges $469

EHR Information

EHR Legacy/Other
EHR Version NA
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No