Annie Jeffrey Memorial County Health Center

Welcome to Annie Jeffrey Memorial County Health Center, a critical access hospital in Osceola, Nebraska. We are dedicated to providing high-quality, personalized, and compassionate healthcare to the residents of Polk County and surrounding areas. Our state-of-the-art facility offers a wide range of services, including emergency care, outpatient services, inpatient medical-surgical care, and rehabilitation. With a focus on community and patient-centered care, our experienced staff strives to serve you with respect in a welcoming environment. We also provide services such as cardiac rehabilitation, anesthesia services, and wellness programs.

Identifiers

Hospital Name Annie Jeffrey Memorial County Health Center
Facility ID 281314

Location

Address P O BOX 428, 531 BEEBE ST
City/Town Osceola
State NE
ZIP Code 68651
County/Parish POLK

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 16
Health System Hospital Locations Nebraska

Ownership & Characteristics

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

Marcus Augustin

CEO

Raised in Osceola and graduated with a bachelor's degree in accounting and finance from the University of Nebraska at Omaha. He has been the CFO for the Annie Jeffrey Health Center since 2012.

Joe Lohrman

Administrator

NA

Mindy Bryan

Pharmacy Director

RN-BSN

Lori Palik

Director of Nurses

NA

Steven J. Peterson

Board of Trustees Chairman

NA

Charles Roberts

Board of Trustees Vice Chair

NA

Karen Stevens

Board of Trustees Secretary

NA

John Girard

Board of Trustees Treasurer

NA

Al Lerch

Board of Trustees member

NA

Susan Chrastil

Foundation Director

NA

Brian Beckner

Foundation for Annie Jeffrey Board Member

NA

Terry Fusco

Foundation for Annie Jeffrey Board Member

NA

Mary Lerch

Foundation for Annie Jeffrey Board Member

NA

Karleen Watts

Foundation for Annie Jeffrey Board Member

NA

Kathy Gabel

Foundation for Annie Jeffrey Board Member

NA

Margie Hayes

Foundation for Annie Jeffrey Board Member

NA

LeRoy Gerrard

Foundation for Annie Jeffrey Board Member

NA

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 16

Staffing & Personnel

FTE Employees on Payroll 45.01
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 228
Inpatient Days (Title XIX) 32
Total Inpatient Days 417
Bed Count 16
Available Bed Days 5840
Discharges (Title V) NA
Discharges (Title XVIII) 62
Discharges (Title XIX) 9
Total Discharges 132

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 147
Inpatient Days (Title XIX; Adults & Peds) 21
Total Inpatient Days (Adults & Peds) 292
Bed Count (Adults & Peds) 16
Available Bed Days (Adults & Peds) 5840
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 62
Discharges (Title XIX; Adults & Peds) 9
Total Discharges (Adults & Peds) 132

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
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) 90

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) 12.7
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) 14.7
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) 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 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 Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $16
Bad Debt Expense $85
Uncompensated Care Cost $105
Total Uncompensated Care $340

Operating Expenses ($ thousands)

Total Salaries $3,747
Overhead Expenses (Non-Salary) $5,098
Depreciation Expense $497
Total Operating Costs $8,364

Charges ($ thousands)

Inpatient Charges $1,263
Outpatient Charges $6,721
Total Patient Charges $7,984

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 $6,413
Short-Term Investments
Notes Receivable
Accounts Receivable $2,236
Allowance for Doubtful Accounts $-1,175
Inventory $174
Prepaid Expenses $83
Other Current Assets $74
Total Current Assets $8,631

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value $430
Building Value $7,747
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $7,287
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $4,598

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets $13,230

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $81
Salaries & Wages Payable
Payroll Taxes Payable $588
Short-Term Debt $435
Deferred Revenue
Other Current Liabilities $7
Total Current Liabilities $1,111

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt $275
Long-Term Notes Payable $934
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities $1,209
Total Liabilities $2,320

Balance Sheet – Equity ($ thousands)

General Fund Balance $10,910
Total Fund Balances $10,910
Total Liabilities & Equity $13,230

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 $1,341
Outpatient Revenue $6,722
Total Patient Revenue $8,063
Contractual Allowances & Discounts $528
Net Patient Revenue $7,534
Total Operating Expenses $8,845
Net Service Income $-1,310
Other Income $817
Total Income $-493
Other Expenses
Net Income $-493

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $394
Medicaid Charges $601
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