Spotsylvania Regional Medical Center

Spotsylvania Regional Medical Center, located at 4600 Spotsylvania Parkway in Fredericksburg, VA, is a 133-bed community hospital dedicated to providing quality healthcare since 2010. As part of HCA Virginia, the Commonwealth's most comprehensive healthcare network, we offer a wide range of advanced inpatient and outpatient services, including 24/7 emergency care, advanced imaging, cancer care, heart and vascular care, and Level III trauma care. Our modern facility features private rooms and a patient-centered environment, with a commitment to serving the diverse healthcare needs of Fredericksburg and surrounding regions. We are proud to be Joint Commission accredited and recognized for our commitment to the community.

Identifiers

Hospital Name Spotsylvania Regional Medical Center
Facility ID 490141

Location

Address 4600 SPOTSYLVANIA PARKWAY
City/Town Fredericksburg
State VA
ZIP Code 22408
County/Parish SPOTSYLVANIA

Health System

Health System HCA
Health System Website Domain hcahealthcare.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 137
Health System Total Beds 39222
Health System Hospital Locations Alaska, California, Colorado, Florida, Georgia, Idaho, Kansas, Kentucky, Louisiana, Missouri, North Carolina, New Hampshire, Nevada, South Carolina, Tennessee, Texas, Utah and Virginia

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Proprietary
Ownership Details HCA
Emergency Services Yes

No leaders were identified on Spotsylvania Regional Medical Center'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 126

Staffing & Personnel

FTE Employees on Payroll 422.1
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 7605
Inpatient Days (Title XIX) 2321
Total Inpatient Days 28694
Bed Count 105
Available Bed Days 38325
Discharges (Title V) NA
Discharges (Title XVIII) 1705
Discharges (Title XIX) 158
Total Discharges 6830

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 7390
Inpatient Days (Title XIX; Adults & Peds) 530
Total Inpatient Days (Adults & Peds) 21299
Bed Count (Adults & Peds) 99
Available Bed Days (Adults & Peds) 36135
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1705
Discharges (Title XIX; Adults & Peds) 158
Total Discharges (Adults & Peds) 6830

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours. Hospital does an exceptional job of ensuring patients at the hospital do not get infections
Care Quality Concerns Very low overall patient satisfaction. Patients report significant challenges with Staff responsiveness to their needs. Patients report challenges with communication about their medications. Patients reported challenges with communication about thei discharge and follow up instructions. Patients reported significant challenges with transitions between departments in the hospital. 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 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 56%

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 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) 142

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients -18.4
Readmission Score Hospital Return Days for Heart Failure Patients 35
Readmission Score Hospital Return Days for Pneumonia Patients 20.4
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.8
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 13.6
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.3
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 23.1
Readmission Score Rate of Readmission After Hip/Knee Replacement 4
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15.1
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.9
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
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 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 Worse 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) 0.301
CAUTI SIR (Standardized Infection Ratio) 0.291
SSI SIR (Standardized Infection Ratio) 0.695
CDI SIR (Standardized Infection Ratio) 0.000
MRSA SIR (Standardized Infection Ratio) 0.905

Fiscal Period

Fiscal Year Begin May 01, 2022
Fiscal Year End Apr 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $4,571
Bad Debt Expense $5,116
Uncompensated Care Cost $5,338
Total Uncompensated Care $5,338

Operating Expenses ($ thousands)

Total Salaries $36,788
Overhead Expenses (Non-Salary) $101,914
Depreciation Expense $7,029
Total Operating Costs $108,158

Charges ($ thousands)

Inpatient Charges $360,318
Outpatient Charges $441,320
Total Patient Charges $801,638

Wage-Related Details ($ thousands)

Core Wage Costs $7,077
Wage Costs (RHC/FQHC)
Adjusted Salaries $36,788
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $3
Short-Term Investments $1,218
Notes Receivable
Accounts Receivable $29,888
Allowance for Doubtful Accounts $-9,413
Inventory $3,993
Prepaid Expenses $957
Other Current Assets
Total Current Assets $26,190

Balance Sheet – Fixed Assets ($ thousands)

Land Value $7,800
Land Improvements Value $10,592
Building Value $59,305
Leasehold Improvements $1,129
Fixed Equipment Value $62,979
Major Movable Equipment $42,651
Minor Depreciable Equipment $9,252
Health IT Assets
Total Fixed Assets $82,122

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $86
Total Other Assets $86
Total Assets $108,398

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $5,364
Salaries & Wages Payable $2,412
Payroll Taxes Payable $1,125
Short-Term Debt $367
Deferred Revenue
Other Current Liabilities $598
Total Current Liabilities $9,866

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $703
Unsecured Loans $208,501
Other Long-Term Liabilities $1,459
Total Long-Term Liabilities $210,663
Total Liabilities $220,529

Balance Sheet – Equity ($ thousands)

General Fund Balance $-112,131
Total Fund Balances $-112,131
Total Liabilities & Equity $108,398

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $6,969
DRG (Post-Oct 1) $10,122
Outlier Payments
DSH Adjustment $667
Eligible DSH % $0
Simulated MC Payments $9,753
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $361,734
Outpatient Revenue $439,903
Total Patient Revenue $801,638
Contractual Allowances & Discounts $655,460
Net Patient Revenue $146,178
Total Operating Expenses $138,515
Net Service Income $7,663
Other Income $589
Total Income $8,252
Other Expenses $154
Net Income $8,099

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $35,336
Medicaid Charges $188,942
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No