Refugio County Memorial Hospital

Refugio County Memorial Hospital, located at 107 Swift Street in Refugio, TX, is your trusted community healthcare provider. As a non-profit Level IV Trauma Center, we are dedicated to providing quality care to the citizens of Refugio County and surrounding areas. Our services include emergency care, surgery, ICU, Med Surg, and rehabilitation, all delivered with a focus on patient-centered care in a welcoming, recently renovated environment. We also operate rural health and specialty clinics to meet your primary healthcare needs. Your welfare is our sacred trust, and we take great pride in the care we deliver.

Identifiers

Hospital Name Refugio County Memorial Hospital
Facility ID 451317

Location

Address 107 SWIFT STREET
City/Town Refugio
State TX
ZIP Code 78377
County/Parish REFUGIO

Health System

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

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 20
Health System Hospital Locations Texas

Ownership & Characteristics

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

Corey Wasicek

Chief Executive Officer

Message from the CEO: expresses gratitude for trust and support, discusses commitment to serving the community, providing best care, prioritizing health and well-being, dedication to high-quality healthcare services, fostering innovation, and expanding capabilities. Mentioned as EMT-P, RN, DC in Medical Staff Team.

Michael Orr

Interim Chief Financial Officer

NA

Chris Ybarra

Director of Nursing

Mentioned as RN, BSN in Medical Staff Team.

Sandra Ermis

Board President

NA

Kenneth Wright

Board Vice President

NA

Harry Lawson

Board Secretary

NA

Lydia Aguirre

Board Member

NA

Brad Gillespie

Board Member

NA

Robert Koonce

Board Member

NA

Richard Shaw

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 20

Staffing & Personnel

FTE Employees on Payroll 112.95
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 344
Inpatient Days (Title XIX) NA
Total Inpatient Days 624
Bed Count 20
Available Bed Days 7300
Discharges (Title V) NA
Discharges (Title XVIII) 46
Discharges (Title XIX) NA
Total Discharges 88

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 139
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 273
Bed Count (Adults & Peds) 20
Available Bed Days (Adults & Peds) 7300
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 46
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 88

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) 100

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) Not Available
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 Not Available
Readmission Group Hospital Return Days for Pneumonia Patients Not Available
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Number of Cases Too Small
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 Not Available
Readmission Group Heart Failure (HF) 30-Day Readmission Rate Not Available
Readmission Group Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide) Not Available
Readmission Group Pneumonia (PN) 30-Day Readmission Rate Not Available

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 Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $1,920
Bad Debt Expense $710
Uncompensated Care Cost $2,212
Total Uncompensated Care $2,212

Operating Expenses ($ thousands)

Total Salaries $6,304
Overhead Expenses (Non-Salary) $10,037
Depreciation Expense $1,109
Total Operating Costs $15,920

Charges ($ thousands)

Inpatient Charges $3,575
Outpatient Charges $31,554
Total Patient Charges $35,129

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 $420
Short-Term Investments $18,172
Notes Receivable
Accounts Receivable $13,529
Allowance for Doubtful Accounts $-10,219
Inventory $339
Prepaid Expenses $730
Other Current Assets $55
Total Current Assets $21,728

Balance Sheet – Fixed Assets ($ thousands)

Land Value $44
Land Improvements Value $249
Building Value $13,818
Leasehold Improvements
Fixed Equipment Value $398
Major Movable Equipment $6,673
Minor Depreciable Equipment $100
Health IT Assets
Total Fixed Assets $9,589

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets $31,317

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $230
Salaries & Wages Payable $381
Payroll Taxes Payable $295
Short-Term Debt
Deferred Revenue $-2,651
Other Current Liabilities $3,656
Total Current Liabilities $1,911

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities $1,911

Balance Sheet – Equity ($ thousands)

General Fund Balance $29,406
Total Fund Balances $29,406
Total Liabilities & Equity $31,317

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 $3,718
Outpatient Revenue $34,007
Total Patient Revenue $37,725
Contractual Allowances & Discounts $26,357
Net Patient Revenue $11,369
Total Operating Expenses $16,341
Net Service Income $-4,973
Other Income $5,143
Total Income $170
Other Expenses $5
Net Income $165

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $100
Medicaid Charges $228
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium CommunityWorks
EHR Version Oracle Health Millennium CommunityWorks
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No