Niobrara Community Hospital & Clinic

Niobrara Community Hospital & Clinic, located in Lusk, Wyoming, is your trusted source for quality healthcare close to home. As a 24-bed critical access hospital, we offer a wide range of services, including 24/7 emergency care, acute care, and long-term swing bed options. Our dedicated team of professionals provides compassionate, patient-centered care, supported by advanced technology such as our 64-slice CT scanner and comprehensive laboratory services. We also operate the Rawhide Rural Health Clinic, offering primary care services for the entire family.

Identifiers

Hospital Name Niobrara Community Hospital & Clinic
Facility ID 531314

Location

Address 921 SOUTH BALLANCEE AVENUE
City/Town Lusk
State WY
ZIP Code 82225
County/Parish NIOBRARA

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 24
Health System Hospital Locations Wyoming

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Government - Hospital District or Authority
Ownership Details Niobrara County Hospital District
Emergency Services Yes

Dana Gilleland

Chief Executive Officer

Kiffani Skukrud

Radiology Director

Michael Simoneaux

Interim Director of Nursing

Linda Noe

Director of Materials and Management, Pharmacy

Heather Staudenmaier

Human Resources Director Patient Care Coordinator

Shyan Bradfield

Business Officer Supervisor

Steve Hendrickson

IT Director

Eva Ripley

Certified Dietary Manager

Brenda Adler

Laboratory Manager

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 24

Staffing & Personnel

FTE Employees on Payroll 41.85
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 668
Inpatient Days (Title XIX) 2727
Total Inpatient Days 6607
Bed Count 24
Available Bed Days 8760
Discharges (Title V) NA
Discharges (Title XVIII) 65
Discharges (Title XIX) 4
Total Discharges 110

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 154
Inpatient Days (Title XIX; Adults & Peds) 7
Total Inpatient Days (Adults & Peds) 267
Bed Count (Adults & Peds) 24
Available Bed Days (Adults & Peds) 8760
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 65
Discharges (Title XIX; Adults & Peds) 4
Total Discharges (Adults & Peds) 110

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 76%

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) 103

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) 15
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
Readmission Group Hospital Return Days for Heart Attack Patients Not Available
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) Not Available
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 Not Available
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate Not Available
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 $18
Bad Debt Expense $710
Uncompensated Care Cost $816
Total Uncompensated Care $2,097

Operating Expenses ($ thousands)

Total Salaries $3,765
Overhead Expenses (Non-Salary) $6,734
Depreciation Expense $640
Total Operating Costs $10,472

Charges ($ thousands)

Inpatient Charges $4,899
Outpatient Charges $4,421
Total Patient Charges $9,320

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 $7,593
Short-Term Investments
Notes Receivable
Accounts Receivable $1,732
Allowance for Doubtful Accounts $-523
Inventory $297
Prepaid Expenses $26
Other Current Assets $754
Total Current Assets $11,549

Balance Sheet – Fixed Assets ($ thousands)

Land Value $82
Land Improvements Value $391
Building Value $1,205
Leasehold Improvements
Fixed Equipment Value $393
Major Movable Equipment $4,017
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $1,900

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $25
Other Assets
Total Other Assets $25
Total Assets $13,474

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $363
Salaries & Wages Payable $348
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $921
Total Current Liabilities $1,633

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $67
Unsecured Loans
Other Long-Term Liabilities $4,312
Total Long-Term Liabilities $4,379
Total Liabilities $6,012

Balance Sheet – Equity ($ thousands)

General Fund Balance $7,462
Total Fund Balances $7,462
Total Liabilities & Equity $13,474

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 $5,025
Outpatient Revenue $4,789
Total Patient Revenue $9,814
Contractual Allowances & Discounts $476
Net Patient Revenue $9,339
Total Operating Expenses $10,500
Net Service Income $-1,161
Other Income $2,027
Total Income $866
Other Expenses $-8
Net Income $874

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $37
Medicaid Charges $1,173
Net CHIP Revenue
CHIP Charges

EHR Information

EHR athenahealth for Hospitals and Health Systems
EHR Version athenahealth for Hospitals and Health Systems
EHR is Changing No

ERP Information

ERP Community HIS Solution
ERP Version NA
EHR is Changing NA