Freeman Regional Health Services

Freeman Regional Health Services, located at 510 E 8th Street in Freeman, SD, is dedicated to providing quality healthcare to the residents of Hutchinson, McCook, and Turner Counties. As a comprehensive healthcare facility, we offer a wide range of services including emergency care, clinic services at multiple locations, cardiac rehabilitation, and inpatient and outpatient care. Our dedicated team of professionals embodies Compassion, Attitude, Respect, and Excellence (CARE) in every aspect of our service. We also provide nursing home and assisted living options to meet the long-term care needs of our community. For more information, please call us at 605-925-4000.

Identifiers

Hospital Name Freeman Regional Health Services
Facility ID 431313

Location

Address 510 E 8TH ST POST OFFICE BOX 370
City/Town Freeman
State SD
ZIP Code 57029
County/Parish HUTCHINSON

Health System

Health System Avera Health
Health System Website Domain avera.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 35
Health System Total Beds 1519
Health System Hospital Locations Iowa, Minnesota, Nebraska and South Dakota

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Freeman Regional Health Services
Emergency Services Yes

Courtney Unruh

CEO / Administrator

Began her CEO / Administrator role in January 2021.

Phil Husher

CFO, Assistant Administrator & Corporate Compliance Officer

Has worked as Business Manager at Winner School District and CFO at Winner Regional Healthcare Center.

Alison Goehring

Business Office Coordinator

Cheryl Langle

Purchasing Manager

Amanda Mettler

Senior Living Assistant Administrator & Education Coordinator

Tabitha Schoenwald

Foundation & Marketing Director

Angie Brockmueller

Director of Quality & Infection Control

Michelle Neuharth

Freeman Medical Center Director of Nursing & Cardiac Rehabilitation Coordinator

Originally from Alexandria, SD. Earned associate degree in nursing in 2010 from Dakota Wesleyan University. Started as Community Health Nurse at FRHS in 2013. Assisted as Clinic RN, Cardiac Rehab RN, MDS Nurse at Oakview Terrace nursing home, Emergency Preparedness Coordinator, and Interim Cardiac Rehab Director. Started as Interim Hospital Manager in August 2020 and assumed the role of Director of Nursing at Freeman Medical Center on April 4, 2021. Resides with her family on a farm outside of Freeman, SD.

Julie Crick

Director of Laboratory and Radiology

Tony Miller

Director of Rehabilitation

Karissa Podzimek

Clinic Manager

Started at FRHS as a Certified Nursing Assistant at Oakview Terrace nursing home in 2010 while working on her nursing degree. Has worked as a Hospital RN and Marion Clinic RN. Started her role as the Clinic Lead Nurse in 2018 and assumed the role of Clinic Nurse Manager on April 4, 2021. Resides with her family on a farm outside of Freeman, SD.

Nikki Mehlhaf

Nursing Home and Assisted Living Director of Nursing

Began her role as the Director of Nursing at Oakview Terrace in January 2020. Resides with her family on a farm outside of Menno, SD.

Lindsey Unruh

Director of Social Services

Natalie Arens

Director of Activities (Nursing Home)

Peggy Muchmore

Director of Activities (Assisted Living)

Tim Gudmundson

Director of Nutrition Services (Nursing Home)

Martha Cortes

Director of Nutrition Services (Assisted Living)

Charly Waltner

Director of Facilities

Evan Waltner

Director of Environmental Services

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 81.17
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 889
Inpatient Days (Title XIX) 3
Total Inpatient Days 1027
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 92
Discharges (Title XIX) 2
Total Discharges 107

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 328
Inpatient Days (Title XIX; Adults & Peds) 3
Total Inpatient Days (Adults & Peds) 423
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 92
Discharges (Title XIX; Adults & Peds) 2
Total Discharges (Adults & Peds) 107

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.
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 78%

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
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) 138

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 Not Available
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 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) 14.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
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 Number of Cases Too Small
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 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 Number of Cases Too Small

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 Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $5
Bad Debt Expense $252
Uncompensated Care Cost $149
Total Uncompensated Care $149

Operating Expenses ($ thousands)

Total Salaries $6,189
Overhead Expenses (Non-Salary) $8,220
Depreciation Expense $380
Total Operating Costs $12,537

Charges ($ thousands)

Inpatient Charges $6,828
Outpatient Charges $13,141
Total Patient Charges $19,968

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 $4,935
Short-Term Investments
Notes Receivable
Accounts Receivable $3,680
Allowance for Doubtful Accounts $-1,653
Inventory $159
Prepaid Expenses $85
Other Current Assets $294
Total Current Assets $8,084

Balance Sheet – Fixed Assets ($ thousands)

Land Value $899
Land Improvements Value $363
Building Value $8,921
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $4,783
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $5,808

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $5,561
Other Assets $828
Total Other Assets $6,389
Total Assets $20,282

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $301
Salaries & Wages Payable $393
Payroll Taxes Payable $52
Short-Term Debt $95
Deferred Revenue
Other Current Liabilities $341
Total Current Liabilities $1,182

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $154
Unsecured Loans
Other Long-Term Liabilities $524
Total Long-Term Liabilities $678
Total Liabilities $1,860

Balance Sheet – Equity ($ thousands)

General Fund Balance $18,422
Total Fund Balances $18,422
Total Liabilities & Equity $20,282

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 $6,828
Outpatient Revenue $14,845
Total Patient Revenue $21,673
Contractual Allowances & Discounts $8,257
Net Patient Revenue $13,416
Total Operating Expenses $14,410
Net Service Income $-994
Other Income $1,531
Total Income $537
Other Expenses
Net Income $537

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $336
Medicaid Charges $516
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No