Ascension Seton Highland Lakes

Ascension Seton Highland Lakes, located in Burnet, TX, is your community hospital dedicated to providing personalized, advanced care close to home. As an acute care hospital and Level IV Trauma Center with a 24/7 Emergency Department, we offer a wide range of services, including an intensive care unit and outpatient specialty care. Our experienced care teams are committed to delivering high-quality, cost-effective care to all, with a focus on emergency services, internal medicine, and specialty care. Nestled in the beautiful Texas Hill Country, we are honored to provide the medical care you need right here in your community.

Identifiers

Hospital Name Ascension Seton Highland Lakes
Facility ID 451365

Location

Address 3201 S WATER ST
City/Town Burnet
State TX
ZIP Code 78611
County/Parish BURNET

Health System

Health System Ascension
Health System Website Domain ascension.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 84
Health System Total Beds 17222
Health System Hospital Locations Florida, Illinois, Indiana, Kansas, Maryland, Michigan, Oklahoma, NA, Tennessee, Texas and Wisconsin

Ownership & Characteristics

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

Karen Litterer

Administrator / CNO, VP-COO SHL

Karen Litterer MSN, RN, NEA-BC, Administrator / CNO is not only a role model for compassion with action and exemplary leadership, but is a true advocate for quality patient care, associate voice and achievement, and for creating a healthy work environment. [12] She creates an environment that fosters collegial relationships, professional empowerment, mutual respect, and teamwork. [12] Karen is a servant leader that works tirelessly to support associates and nurses allowing them to provide high-level care. [12] Karen's leadership consistently raises the standard of care and compassion at Ascension Seton Highland Lakes. [12, 14] One recent example that exudes high-level leadership and Karen's commitment to the patients and all associates was during the February 2021 winter storm. [12] Karen was present each day during the 2021 Winterpocalypse. [12] She immediately addressed the safety of both patient care and staff offering sheltering in place providing hotel access to associates so they could rest well between shifts and get to and from the hospital safely. [12] She also approved meals to be served to staff sheltering in place that were displaced from their homes while eating establishments were closed. [12] Each day Karen worked where needed in various roles offering support and truly leading by example. [12] Not only was she present onsite during the winter weather event, Karen worked in the kitchen cleaning dishes, serving meals and snacks to associates, and even shoveled snow from the walkways. [12] As always, her leadership included both patient and associate advocacy caring for those we serve and those that serve beside us. [12] She assisted in patient flow both into the hospital and out of the ED to other facilities when a patient required a higher level of care. [12] Karen worked with the nurses listening to understand their needs for patient care and proactively offered solutions for unusual situations that arose. [12]

Residency Programs

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

Capacity & Services

Licensed Beds 25

Staffing & Personnel

FTE Employees on Payroll 136.81
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 689
Inpatient Days (Title XIX) NA
Total Inpatient Days 2822
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 167
Discharges (Title XIX) NA
Total Discharges 541

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 452
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 1430
Bed Count (Adults & Peds) 21
Available Bed Days (Adults & Peds) 7665
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 167
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 541

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 No Different Than National Average
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 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) 113

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 -16.6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.8
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 0.8
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 17.8
Readmission Score Heart Failure (HF) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.6
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.5
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16
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 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 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 Number of Cases Too Small
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) 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 $3,752
Bad Debt Expense $5,418
Uncompensated Care Cost $4,863
Total Uncompensated Care $4,867

Operating Expenses ($ thousands)

Total Salaries $15,895
Overhead Expenses (Non-Salary) $37,324
Depreciation Expense $1,057
Total Operating Costs $43,965

Charges ($ thousands)

Inpatient Charges $30,471
Outpatient Charges $204,673
Total Patient Charges $235,144

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 $3
Short-Term Investments
Notes Receivable
Accounts Receivable $27,076
Allowance for Doubtful Accounts $-20,732
Inventory $589
Prepaid Expenses
Other Current Assets $101
Total Current Assets $12,486

Balance Sheet – Fixed Assets ($ thousands)

Land Value $160
Land Improvements Value $851
Building Value $19,443
Leasehold Improvements $31
Fixed Equipment Value $116
Major Movable Equipment $13,191
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $12,470

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $5,461
Total Other Assets $5,461
Total Assets $30,418

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $386
Salaries & Wages Payable $898
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue $2,900
Other Current Liabilities $8,079
Total Current Liabilities $12,263

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $2,016
Total Long-Term Liabilities $2,016
Total Liabilities $14,280

Balance Sheet – Equity ($ thousands)

General Fund Balance $16,138
Total Fund Balances $16,138
Total Liabilities & Equity $30,418

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 $31,254
Outpatient Revenue $211,299
Total Patient Revenue $242,553
Contractual Allowances & Discounts $182,802
Net Patient Revenue $59,751
Total Operating Expenses $53,219
Net Service Income $6,532
Other Income $1,229
Total Income $7,762
Other Expenses
Net Income $7,762

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $651
Medicaid Charges $12,009
Net CHIP Revenue $46
CHIP Charges $115

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Fusion 10
EHR is Changing No