Palo Alto County Health System

Palo Alto County Health System (PACHS), located at 3201 1st Street in Emmetsburg, IA, is your home for comprehensive "Lifecare." As a not-for-profit county-owned entity, PACHS is dedicated to serving your wellness needs with respect and compassion, offering a full continuum of primary health care, from obstetrics to end-of-life care. Our modern facility provides 24-hour emergency care, surgical services, therapy and rehabilitation, and diagnostic services, including a vascular lab, mammography, and in-house ultrasound and CT services. More than healthcare, it's lifecare – experience compassionate, convenient, and cost-effective service at PACHS.

Identifiers

Hospital Name Palo Alto County Health System
Facility ID 161357

Location

Address 3201 1ST STREET
City/Town Emmetsburg
State IA
ZIP Code 50536
County/Parish PALO ALTO

Health System

Health System Independent
Health System Website Domain pachs.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 25
Health System Hospital Locations Iowa

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Government - Local
Ownership Details Governmental, County
Emergency Services Yes

No leaders were identified on Palo Alto County Health System'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 25

Staffing & Personnel

FTE Employees on Payroll 142.97
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1012
Inpatient Days (Title XIX) 4
Total Inpatient Days 1691
Bed Count 24
Available Bed Days 8760
Discharges (Title V) NA
Discharges (Title XVIII) 183
Discharges (Title XIX) 37
Total Discharges 338

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 494
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 901
Bed Count (Adults & Peds) 24
Available Bed Days (Adults & Peds) 8760
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 183
Discharges (Title XIX; Adults & Peds) 37
Total Discharges (Adults & Peds) 338

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 54%

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
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) 104

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 -3.5
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.5
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 Not Available
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.9
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.3
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
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 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 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 Number of Cases Too Small
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 Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $118
Bad Debt Expense $514
Uncompensated Care Cost $413
Total Uncompensated Care $1,287

Operating Expenses ($ thousands)

Total Salaries $13,287
Overhead Expenses (Non-Salary) $19,850
Depreciation Expense $2,412
Total Operating Costs $31,262

Charges ($ thousands)

Inpatient Charges $8,249
Outpatient Charges $37,493
Total Patient Charges $45,742

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 $2,827
Short-Term Investments $3,823
Notes Receivable
Accounts Receivable $2,955
Allowance for Doubtful Accounts
Inventory $371
Prepaid Expenses $193
Other Current Assets
Total Current Assets $12,978

Balance Sheet – Fixed Assets ($ thousands)

Land Value $140
Land Improvements Value $1,236
Building Value $32,294
Leasehold Improvements
Fixed Equipment Value $4,238
Major Movable Equipment $12,064
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $15,372

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $25,663
Total Other Assets $25,663
Total Assets $54,012

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $812
Salaries & Wages Payable $2,160
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue $2,298
Other Current Liabilities $83
Total Current Liabilities $5,352

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $5,450
Total Long-Term Liabilities $5,450
Total Liabilities $10,802

Balance Sheet – Equity ($ thousands)

General Fund Balance $43,210
Total Fund Balances $43,210
Total Liabilities & Equity $54,012

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 $8,429
Outpatient Revenue $38,378
Total Patient Revenue $46,807
Contractual Allowances & Discounts $17,881
Net Patient Revenue $28,926
Total Operating Expenses $33,138
Net Service Income $-4,211
Other Income $7,096
Total Income $2,885
Other Expenses $514
Net Income $2,371

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $4,528
Medicaid Charges $7,904
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No