Ascension Borgess-Lee Hospital, located in Dowagiac, Michigan, is a full-service hospital dedicated to providing compassionate, personalized care for you and your family. With 24/7 emergency care and a Level IV Trauma Center, we are prepared to meet your immediate healthcare needs. Our care team offers a wide range of services, from family medicine to specialized outpatient testing, all conveniently under one roof. As a vital part of the Dowagiac community for generations, we are committed to delivering expert care close to home. Ascension Borgess-Lee Hospital is a 25-bed facility that is part of the Ascension Catholic Health Ministry, dedicated to serving all individuals with special attention to those who are poor and vulnerable.
| Hospital Name | Ascension Borgess-Lee Hospital |
|---|---|
| Facility ID | 231315 |
| Address | 420 W HIGH ST |
|---|---|
| City/Town | Dowagiac |
| State | MI |
| ZIP Code | 49047 |
| County/Parish | CASS |
| Health System | Ascension |
|---|---|
| Health System Website Domain | ascension.org |
| Recently Joined Health System (Past 4 Years) | No |
| Health System Total Hospitals | 84 |
|---|---|
| Health System Total Beds | 17222 |
| Health System Hospital Locations | Florida, Illinois, Indiana, Kansas, Maryland, Michigan, Oklahoma, NA, Tennessee, Texas and Wisconsin |
| Hospital Type | Critical Access Hospitals |
|---|---|
| Hospital Ownership | Voluntary non-profit - Church |
| Ownership Details | Ascension |
| Emergency Services | Yes |
Natalie Ryder, MBA-HM, MSN, RN, NE-BC, is a registered nurse and board-certified nurse executive. She served nine years in the United States Army and began her healthcare career in 2013. She held various roles before becoming the administrator for Ascension Borgess-Lee Hospital in 2018. She is also the administrator for Ascension Borgess Allegan Hospital and Ascension Borgess-Pipp Hospital. Ryder has been an active member of the Michigan Center for Rural Health Critical Access Hospital Planning Committee since 2019 and holds certifications in advanced cardiovascular life support, Lean Six Sigma White Belt, progressive care nursing, and geriatric care. She holds degrees from Point Park College, Columbus Technical College, Robert Morris University, and Western Governors University. [3, 5]
| Allopathic Residency Program | No |
|---|---|
| Dental Residency Program | No |
| Osteopathic Residency Program | No |
| Other Residency Programs | No |
| Pediatric Residency Program | No |
| Licensed Beds | 25 |
|---|
| FTE Employees on Payroll | 68.05 |
|---|---|
| FTE Interns & Residents | NA |
| Inpatient Days (Title V) | NA |
|---|---|
| Inpatient Days (Title XVIII) | 629 |
| Inpatient Days (Title XIX) | 51 |
| Total Inpatient Days | 2069 |
| Bed Count | 25 |
| Available Bed Days | 9125 |
| Discharges (Title V) | NA |
| Discharges (Title XVIII) | 118 |
| Discharges (Title XIX) | 16 |
| Total Discharges | 356 |
| Inpatient Days (Title V; Adults & Peds) | NA |
|---|---|
| Inpatient Days (Title XVIII; Adults & Peds) | 413 |
| Inpatient Days (Title XIX; Adults & Peds) | 29 |
| Total Inpatient Days (Adults & Peds) | 1055 |
| Bed Count (Adults & Peds) | 25 |
| Available Bed Days (Adults & Peds) | 9125 |
| Discharges (Title V; Adults & Peds) | NA |
| Discharges (Title XVIII; Adults & Peds) | 118 |
| Discharges (Title XIX; Adults & Peds) | 16 |
| Total Discharges (Adults & Peds) | 356 |
| 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 |
| 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 |
| Percent of Patients Who Definitely Recommend the Hospital | 62% |
|---|
| 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 | No Different Than National Average |
| Mortality Group – Death Rate for Pneumonia Patients | No Different 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 and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) | 96 |
|---|
| 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 | -14 |
| 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) | 14.5 |
| Readmission Score Pneumonia (PN) 30-Day Readmission Rate | 15.8 |
| 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) | Number of Cases Too Small |
| Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy | Number of Cases Too Small |
| Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy | Number of Cases Too Small |
| Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery | Not Available |
| 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 | 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 | 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 |
| 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 Year Begin | Jul 01, 2022 |
|---|---|
| Fiscal Year End | Jun 30, 2023 |
| Charity Care Cost | $761 |
|---|---|
| Bad Debt Expense | $1,277 |
| Uncompensated Care Cost | $1,366 |
| Total Uncompensated Care | $1,366 |
| Total Salaries | $8,430 |
|---|---|
| Overhead Expenses (Non-Salary) | $13,383 |
| Depreciation Expense | $826 |
| Total Operating Costs | $20,103 |
| Inpatient Charges | $8,523 |
|---|---|
| Outpatient Charges | $31,240 |
| Total Patient Charges | $39,763 |
| Core Wage Costs | $1,098 |
|---|---|
| Wage Costs (RHC/FQHC) | $284 |
| Adjusted Salaries | $8,580 |
| Contract Labor (Patient Care) | |
| Wage Costs (Part A Teaching) | |
| Wage Costs (Interns & Residents) |
| Cash & Bank Balances | $50 |
|---|---|
| Short-Term Investments | |
| Notes Receivable | |
| Accounts Receivable | $8,769 |
| Allowance for Doubtful Accounts | $-6,967 |
| Inventory | $227 |
| Prepaid Expenses | |
| Other Current Assets | $375 |
| Total Current Assets | $3,376 |
| Land Value | $401 |
|---|---|
| Land Improvements Value | $200 |
| Building Value | $6,395 |
| Leasehold Improvements | $7,755 |
| Fixed Equipment Value | $4,180 |
| Major Movable Equipment | $4,218 |
| Minor Depreciable Equipment | |
| Health IT Assets | |
| Total Fixed Assets | $8,017 |
| Long-Term Investments | |
|---|---|
| Other Assets | |
| Total Other Assets | |
| Total Assets | $11,393 |
| Accounts Payable | $324 |
|---|---|
| Salaries & Wages Payable | $455 |
| Payroll Taxes Payable | $9 |
| Short-Term Debt | |
| Deferred Revenue | |
| Other Current Liabilities | $4,602 |
| Total Current Liabilities | $5,391 |
| Mortgage Debt | |
|---|---|
| Long-Term Notes Payable | |
| Unsecured Loans | |
| Other Long-Term Liabilities | $347 |
| Total Long-Term Liabilities | $347 |
| Total Liabilities | $5,737 |
| General Fund Balance | $5,656 |
|---|---|
| Total Fund Balances | $5,656 |
| Total Liabilities & Equity | $11,393 |
| DRG (Non-Outlier) | |
|---|---|
| DRG (Pre-Oct 1) | |
| DRG (Post-Oct 1) | |
| Outlier Payments | |
| DSH Adjustment | |
| Eligible DSH % | |
| Simulated MC Payments | |
| Total IME Payments |
| Inpatient Revenue | $8,990 |
|---|---|
| Outpatient Revenue | $33,637 |
| Total Patient Revenue | $42,627 |
| Contractual Allowances & Discounts | $24,423 |
| Net Patient Revenue | $18,203 |
| Total Operating Expenses | $21,814 |
| Net Service Income | $-3,610 |
| Other Income | $617 |
| Total Income | $-2,994 |
| Other Expenses | |
| Net Income | $-2,994 |
| Cost-to-Charge Ratio | $0 |
|---|---|
| Net Medicaid Revenue | $6,342 |
| Medicaid Charges | $14,503 |
| Net CHIP Revenue | |
| CHIP Charges |
| EHR | Epic |
|---|---|
| EHR Version | EpicCare Inpatient (not Community Connect) |
| EHR is Changing | No |
| ERP | Oracle |
|---|---|
| ERP Version | Fusion 10 |
| EHR is Changing | No |