Avera St. Anthony's Hospital

Identifiers

Hospital Name	Avera St. Anthony's Hospital
Facility ID	281329

Location

Address	300 NORTH 2ND ST
City/Town	O'Neill
State	NE
ZIP Code	68763
County/Parish	HOLT

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 - Church
Ownership Details	Avera Health
Emergency Services	Yes

John Kozyra

CEO

John Kozyra became CEO of Avera St. Anthony's Hospital in O'Neill, Nebraska, just over a year ago. [2] He previously served as Executive Director of Operations and Chief Philanthropy Officer at Providence St. Mary Medical Center in Apple Valley, CA. [4] He has experience in non-profit leadership positions dating back to 2012. [4] His passions include contributing to building strong communities and ensuring people can access the care and services they need. [2]

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	163.02
FTE Interns & Residents	NA

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	2058
Inpatient Days (Title XIX)	13
Total Inpatient Days	3091
Bed Count	25
Available Bed Days	9125
Discharges (Title V)	NA
Discharges (Title XVIII)	332
Discharges (Title XIX)	NA
Total Discharges	598

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	1380
Inpatient Days (Title XIX; Adults & Peds)	10
Total Inpatient Days (Adults & Peds)	2062
Bed Count (Adults & Peds)	25
Available Bed Days (Adults & Peds)	9125
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	332
Discharges (Title XIX; Adults & Peds)	NA
Total Discharges (Adults & Peds)	598

Quality Summary

Care Quality Stengths	High overall patient satisfaction. Patients report that nurse communication is excellent. Patients were very positive about the cleanliness of the hospital. 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

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	77%

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
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)	103

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients	Not Available
Readmission Score Hospital Return Days for Heart Failure Patients	-2.3
Readmission Score Hospital Return Days for Pneumonia Patients	3.2
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	9.9
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	4.9
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	19.6
Readmission Score Rate of Readmission After Hip/Knee Replacement	4
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	14.5
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	16.4
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	No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	No Different Than the National Rate
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	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	$293
Bad Debt Expense	$866
Uncompensated Care Cost	$645
Total Uncompensated Care	$1,270

Operating Expenses ($ thousands)

Total Salaries	$17,371
Overhead Expenses (Non-Salary)	$23,346
Depreciation Expense	$1,695
Total Operating Costs	$34,574

Charges ($ thousands)

Inpatient Charges	$17,262
Outpatient Charges	$66,145
Total Patient Charges	$83,407

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	$-341
Short-Term Investments
Notes Receivable
Accounts Receivable	$10,016
Allowance for Doubtful Accounts	$-5,107
Inventory	$1,571
Prepaid Expenses	$240
Other Current Assets
Total Current Assets	$6,378

Balance Sheet – Fixed Assets ($ thousands)

Land Value	$745
Land Improvements Value	$1,095
Building Value	$30,815
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment	$14,042
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets	$18,801

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments	$68,140
Other Assets	$881
Total Other Assets	$69,021
Total Assets	$94,200

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$1,272
Salaries & Wages Payable	$1,366
Payroll Taxes Payable
Short-Term Debt	$375
Deferred Revenue
Other Current Liabilities	$434
Total Current Liabilities	$3,447

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities	$5,917
Total Long-Term Liabilities	$5,917
Total Liabilities	$9,364

Balance Sheet – Equity ($ thousands)

General Fund Balance	$84,836
Total Fund Balances	$84,836
Total Liabilities & Equity	$94,200

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	$17,866
Outpatient Revenue	$69,748
Total Patient Revenue	$87,614
Contractual Allowances & Discounts	$44,810
Net Patient Revenue	$42,804
Total Operating Expenses	$40,717
Net Service Income	$2,087
Other Income	$8,215
Total Income	$10,303
Other Expenses
Net Income	$10,303

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio	$0
Net Medicaid Revenue	$2,260
Medicaid Charges	$6,958
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