Community Hospital - HealthLuminate

Identifiers

Hospital Name	Community Hospital
Facility ID	281363

Location

Address	P O BOX 1328, 1301 EAST H ST
City/Town	McCook
State	NE
ZIP Code	69001
County/Parish	RED WILLOW

Health System

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

Health System Size & Scope

Health System Total Hospitals	1
Health System Total Beds	25
Health System Hospital Locations	Nebraska

Ownership & Characteristics

Hospital Type	Critical Access Hospitals
Hospital Ownership	Voluntary non-profit - Other
Ownership Details	The Community Hospital Association (NE)
Emergency Services	Yes

No leaders were identified on Community Hospital's website

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	264.37
FTE Interns & Residents	NA

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	968
Inpatient Days (Title XIX)	178
Total Inpatient Days	1825
Bed Count	25
Available Bed Days	9105
Discharges (Title V)	NA
Discharges (Title XVIII)	258
Discharges (Title XIX)	98
Total Discharges	522

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	819
Inpatient Days (Title XIX; Adults & Peds)	113
Total Inpatient Days (Adults & Peds)	1416
Bed Count (Adults & Peds)	25
Available Bed Days (Adults & Peds)	9105
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	258
Discharges (Title XIX; Adults & Peds)	98
Total Discharges (Adults & Peds)	522

Quality Summary

Care Quality Stengths	Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours.
Care Quality Concerns	Hospital is average for patient mortality except being low in

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
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients	No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients	No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients	Worse 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)	135

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients	Not Available
Readmission Score Hospital Return Days for Heart Failure Patients	-15.9
Readmission Score Hospital Return Days for Pneumonia Patients	1.9
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	14.4
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy	9.5
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	5.4
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery	0.8
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	19.2
Readmission Score Heart Failure (HF) 30-Day Readmission Rate	18.9
Readmission Score Rate of Readmission After Hip/Knee Replacement	Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	14.2
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	17.3
Readmission Group Hospital Return Days for Heart Attack Patients	Not Available
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	No Different than expected
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	No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate	No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement	Number of Cases Too Small
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	$1,527
Bad Debt Expense	$1,961
Uncompensated Care Cost	$2,725
Total Uncompensated Care	$3,659

Operating Expenses ($ thousands)

Total Salaries	$23,025
Overhead Expenses (Non-Salary)	$37,095
Depreciation Expense	$5,391
Total Operating Costs	$52,381

Charges ($ thousands)

Inpatient Charges	$8,119
Outpatient Charges	$74,877
Total Patient Charges	$82,995

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	$17,573
Short-Term Investments
Notes Receivable
Accounts Receivable	$9,301
Allowance for Doubtful Accounts	$-2,096
Inventory	$1,923
Prepaid Expenses	$2,639
Other Current Assets	$1,191
Total Current Assets	$31,161

Balance Sheet – Fixed Assets ($ thousands)

Land Value	$102
Land Improvements Value	$3,688
Building Value	$38,753
Leasehold Improvements
Fixed Equipment Value	$31,426
Major Movable Equipment	$27,363
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets	$43,189

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments	$17,260
Other Assets	$465
Total Other Assets	$17,724
Total Assets	$92,074

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$1,768
Salaries & Wages Payable	$1,917
Payroll Taxes Payable	$651
Short-Term Debt	$802
Deferred Revenue	$17
Other Current Liabilities
Total Current Liabilities	$5,155

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable	$27,544
Unsecured Loans
Other Long-Term Liabilities	$494
Total Long-Term Liabilities	$28,037
Total Liabilities	$33,192

Balance Sheet – Equity ($ thousands)

General Fund Balance	$58,881
Total Fund Balances	$58,881
Total Liabilities & Equity	$92,074

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	$8,514
Outpatient Revenue	$80,691
Total Patient Revenue	$89,205
Contractual Allowances & Discounts	$33,222
Net Patient Revenue	$55,983
Total Operating Expenses	$60,120
Net Service Income	$-4,137
Other Income	$4,178
Total Income	$42
Other Expenses
Net Income	$42

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio	$0
Net Medicaid Revenue	$3,748
Medicaid Charges	$7,418
Net CHIP Revenue
CHIP Charges

EHR Information

EHR	Altera Paragon
EHR Version	Paragon
EHR is Changing	No

ERP Information

ERP	Community HIS Solution
ERP Version	NA
EHR is Changing	NA