Freestone Medical Center

Freestone Medical Center, located in Fairfield, Texas, is a 37-bed acute care hospital dedicated to serving Freestone County and surrounding communities for over 70 years. As a Level IV Trauma Center, we offer a wide range of medical services, including 24-hour emergency care, lab and imaging services, inpatient care, and cardiopulmonary rehabilitation. Our Freestone Health Clinics provide primary care for all ages, ensuring comprehensive healthcare is available close to home. We combine the latest medical technology with a skilled team of physicians, nurses, and professional staff to deliver high-quality care you can trust.

Identifiers

Hospital Name Freestone Medical Center
Facility ID 450658

Location

Address 125 NEWMAN ST
City/Town Fairfield
State TX
ZIP Code 75840
County/Parish FREESTONE

Health System

Health System Community Hospital Corporation
Health System Website Domain chc.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 5
Health System Total Beds 265
Health System Hospital Locations Louisiana and Texas

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Government - Hospital District or Authority
Ownership Details Community Hospital Corporation
Emergency Services Yes

Melissa Wilson

Chief Executive Officer

Melissa Wilson was selected as the Chief Executive Officer of Freestone Medical Center. [10, 14] She brings over 24 years of healthcare experience, including more than 14 years as a CEO, Administrator, and COO in non-profit rural healthcare, government, and deployed settings. [10, 14] Most recently, she served as CEO for Concho County Hospital in Eden, Texas, and prior, as Chief Operating Officer for Dimmit Regional Hospital. [10] Wilson has a strong track record of improving operational efficiency, enhancing patient care, and driving growth in healthcare organizations. [10, 14] She is also a retired Major from the United States Air Force Medical Service Corps. [10] Wilson is a current doctoral student of Industrial and Organizational Psychology at Keiser University. [10] She began her role on August 19, 2024. [10, 14]

Jennifer Azua

Chief Financial Officer

Nicki Hagen, rn, bsn

Chief Nursing Officer

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 37

Staffing & Personnel

FTE Employees on Payroll 90.79
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 572
Inpatient Days (Title XIX) NA
Total Inpatient Days 1247
Bed Count 37
Available Bed Days 13505
Discharges (Title V) NA
Discharges (Title XVIII) 140
Discharges (Title XIX) NA
Total Discharges 328

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 447
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 1023
Bed Count (Adults & Peds) 37
Available Bed Days (Adults & Peds) 13505
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 140
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 328

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 Hospital struggles with high infection rates

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 80%

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 No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
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 No Different Than National Average
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) 105

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 -15.8
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.8
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 18
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 16.1
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 No Different Than the National Rate
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) N/A
CAUTI SIR (Standardized Infection Ratio) N/A
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) N/A
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $2,400
Bad Debt Expense $1,612
Uncompensated Care Cost $2,817
Total Uncompensated Care $2,817

Operating Expenses ($ thousands)

Total Salaries $7,549
Overhead Expenses (Non-Salary) $9,049
Depreciation Expense $328
Total Operating Costs $15,771

Charges ($ thousands)

Inpatient Charges $9,793
Outpatient Charges $52,515
Total Patient Charges $62,309

Wage-Related Details ($ thousands)

Core Wage Costs $1,175
Wage Costs (RHC/FQHC) $152
Adjusted Salaries $7,556
Contract Labor (Patient Care) $331
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $4,821
Short-Term Investments
Notes Receivable
Accounts Receivable $2,518
Allowance for Doubtful Accounts
Inventory $430
Prepaid Expenses $133
Other Current Assets
Total Current Assets $7,902

Balance Sheet – Fixed Assets ($ thousands)

Land Value $131
Land Improvements Value $8
Building Value $20,922
Leasehold Improvements
Fixed Equipment Value $1,435
Major Movable Equipment $5,937
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $2,196

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $734
Total Other Assets $734
Total Assets $10,832

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $3,052
Salaries & Wages Payable
Payroll Taxes Payable
Short-Term Debt $1,060
Deferred Revenue
Other Current Liabilities
Total Current Liabilities $4,111

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities $4,111

Balance Sheet – Equity ($ thousands)

General Fund Balance $6,721
Total Fund Balances $6,721
Total Liabilities & Equity $10,832

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1) $902
Outlier Payments
DSH Adjustment $11
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $10,999
Outpatient Revenue $51,309
Total Patient Revenue $62,309
Contractual Allowances & Discounts $48,061
Net Patient Revenue $14,248
Total Operating Expenses $16,598
Net Service Income $-2,350
Other Income $2,785
Total Income $435
Other Expenses
Net Income $435

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $1,302
Medicaid Charges
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Unknown
EHR Version NA
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Fusion 10
EHR is Changing No