Melham Medical Center

Melham Medical Center, located at 145 Memorial Drive in Broken Bow, NE, is your trusted community healthcare provider. We are a 23-bed critical access hospital offering a 24-hour emergency room, a range of medical services, and individualized treatment from professional staff and specialists. Our services include cardiac rehabilitation, CT scanning, MRI, surgery, and specialty clinics. We also offer 20 independent living apartments. Experience our tradition of excellence in care, close to home.

Identifiers

Hospital Name Melham Medical Center
Facility ID 281365

Location

Address 145 MEMORIAL DRIVE
City/Town Broken Bow
State NE
ZIP Code 68822
County/Parish CUSTER

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 23
Health System Hospital Locations Nebraska

Ownership & Characteristics

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

No leaders were identified on Melham 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 23

Staffing & Personnel

FTE Employees on Payroll 89.14
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 690
Inpatient Days (Title XIX) 23
Total Inpatient Days 1049
Bed Count 23
Available Bed Days 8395
Discharges (Title V) NA
Discharges (Title XVIII) 121
Discharges (Title XIX) 9
Total Discharges 188

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 485
Inpatient Days (Title XIX; Adults & Peds) 23
Total Inpatient Days (Adults & Peds) 803
Bed Count (Adults & Peds) 23
Available Bed Days (Adults & Peds) 8395
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 121
Discharges (Title XIX; Adults & Peds) 9
Total Discharges (Adults & Peds) 188

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 74%

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 No Different Than National Average
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) 110

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -20.1
Readmission Score Hospital Return Days for Pneumonia Patients -16.7
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.1
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 18.8
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.2
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.9
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 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 Number of cases too small
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Number of Cases Too Small
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 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 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 Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $58
Bad Debt Expense $318
Uncompensated Care Cost $262
Total Uncompensated Care $262

Operating Expenses ($ thousands)

Total Salaries $6,784
Overhead Expenses (Non-Salary) $11,052
Depreciation Expense $1,455
Total Operating Costs $16,085

Charges ($ thousands)

Inpatient Charges $3,511
Outpatient Charges $19,072
Total Patient Charges $22,583

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 $3,925
Short-Term Investments
Notes Receivable
Accounts Receivable $2,447
Allowance for Doubtful Accounts $-191
Inventory $457
Prepaid Expenses $189
Other Current Assets $430
Total Current Assets $7,617

Balance Sheet – Fixed Assets ($ thousands)

Land Value $70
Land Improvements Value $305
Building Value $30,689
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $8,812
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $16,339

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $30,954
Other Assets $173
Total Other Assets $31,127
Total Assets $55,083

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $490
Salaries & Wages Payable $1,258
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $57
Total Current Liabilities $1,805

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $173
Total Long-Term Liabilities $173
Total Liabilities $1,978

Balance Sheet – Equity ($ thousands)

General Fund Balance $53,105
Total Fund Balances $53,105
Total Liabilities & Equity $55,083

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 $4,694
Outpatient Revenue $19,244
Total Patient Revenue $23,938
Contractual Allowances & Discounts $5,342
Net Patient Revenue $18,596
Total Operating Expenses $17,836
Net Service Income $760
Other Income $1,099
Total Income $1,859
Other Expenses $3,398
Net Income $-1,539

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $1,307
Medicaid Charges $1,792
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