St. James Hospital

St. James Hospital, located at 400 S Clark St in Butte, MT, is a cornerstone of community health, providing a healing environment supported by a commitment to quality care. As part of Intermountain Health, we offer compassionate caregivers, clinical excellence, and award-winning care on our beautiful campus. Our patients and families are at the center of everything we do in this healing space. We provide a range of specialties, including 24/7 emergency care, rehabilitation services, and a fast, friendly, and affordable pharmacy.

Identifiers

Hospital Name St. James Hospital
Facility ID 270017

Location

Address 400 S CLARK ST
City/Town Butte
State MT
ZIP Code 59701
County/Parish SILVER BOW

Health System

Health System Intermountain Health
Health System Website Domain intermountainhealthcare.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 34
Health System Total Beds 4861
Health System Hospital Locations Colorado, Idaho, Montana and Utah

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Intermountain Health
Emergency Services Yes

No leaders were identified on St. James 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 98

Staffing & Personnel

FTE Employees on Payroll 393.95
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 5076
Inpatient Days (Title XIX) 2687
Total Inpatient Days 12448
Bed Count 69
Available Bed Days 25185
Discharges (Title V) NA
Discharges (Title XVIII) 1040
Discharges (Title XIX) 622
Total Discharges 2857

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 4435
Inpatient Days (Title XIX; Adults & Peds) 2237
Total Inpatient Days (Adults & Peds) 10391
Bed Count (Adults & Peds) 58
Available Bed Days (Adults & Peds) 21170
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1040
Discharges (Title XIX; Adults & Peds) 622
Total Discharges (Adults & Peds) 2857

Quality Summary

Care Quality Stengths High overall patient satisfaction. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. Patients were very positive about the cleanliness of the hospital. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours.
Care Quality Concerns Hospital does not do a good job of treating conditions like heart attacks so that patients don't have to come back to the hospital. Hospital does not do a good job of treating conditions like pneumonia so that patients don't have to come back to the hospital. 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 73%

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 No Different Than National Average
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 No Different Than National Average
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications No Different Than National Average
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 No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
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 No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 142

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 35.7
Readmission Score Hospital Return Days for Heart Failure Patients -5.9
Readmission Score Hospital Return Days for Pneumonia Patients 30.6
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 11.2
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 6.9
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 14.7
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 19.3
Readmission Score Rate of Readmission After Hip/Knee Replacement 5.3
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.8
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16
Readmission Group Hospital Return Days for Heart Attack Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients More Days Than Average 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 No Different Than the National Rate
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) N/A
CAUTI SIR (Standardized Infection Ratio) 2.907
SSI SIR (Standardized Infection Ratio) 2.583
CDI SIR (Standardized Infection Ratio) 0.813
MRSA SIR (Standardized Infection Ratio) 0.000

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $1,708
Bad Debt Expense $1,892
Uncompensated Care Cost $2,250
Total Uncompensated Care $2,250

Operating Expenses ($ thousands)

Total Salaries $39,876
Overhead Expenses (Non-Salary) $110,356
Depreciation Expense $6,622
Total Operating Costs $120,947

Charges ($ thousands)

Inpatient Charges $160,849
Outpatient Charges $273,250
Total Patient Charges $434,099

Wage-Related Details ($ thousands)

Core Wage Costs $9,264
Wage Costs (RHC/FQHC)
Adjusted Salaries $39,876
Contract Labor (Patient Care) $7,460
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $2
Short-Term Investments
Notes Receivable $368
Accounts Receivable $36,474
Allowance for Doubtful Accounts $-18,368
Inventory $2,972
Prepaid Expenses $446
Other Current Assets $173
Total Current Assets $60,835

Balance Sheet – Fixed Assets ($ thousands)

Land Value $1,245
Land Improvements Value $1,261
Building Value $68,009
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $24,795
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $90,301

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $7,822
Total Other Assets $7,822
Total Assets $158,959

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $7,477
Salaries & Wages Payable $486
Payroll Taxes Payable $-0
Short-Term Debt $10
Deferred Revenue $1,260
Other Current Liabilities $5,059
Total Current Liabilities $14,293

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $1,578
Total Long-Term Liabilities $1,578
Total Liabilities $15,871

Balance Sheet – Equity ($ thousands)

General Fund Balance $143,088
Total Fund Balances $143,088
Total Liabilities & Equity $158,959

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $9,627
DRG (Post-Oct 1) $3,552
Outlier Payments
DSH Adjustment $418
Eligible DSH % $0
Simulated MC Payments $4,501
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $164,958
Outpatient Revenue $309,824
Total Patient Revenue $474,782
Contractual Allowances & Discounts $310,240
Net Patient Revenue $164,542
Total Operating Expenses $177,532
Net Service Income $-12,990
Other Income $21,875
Total Income $8,885
Other Expenses $8,147
Net Income $738

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $10,317
Medicaid Charges $70,474
Net CHIP Revenue $564
CHIP Charges $761

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Workday
ERP Version NA
EHR is Changing Yes--In Process of Replacing