Avera St. Mary's Hospital

Avera St. Mary's Hospital, located in Pierre, SD, is your trusted healthcare provider, offering compassionate care and advanced medical services close to home. As part of the Avera Health network, we provide comprehensive healthcare and medical specialties, including emergency services, wound care, diagnostic imaging, and cancer care through the Helmsley Center. Our mission is to positively impact the lives and health of individuals and communities by delivering quality services guided by Christian values. With a commitment to excellence and a patient-centered approach, Avera St. Mary's is dedicated to serving the residents of Pierre and the surrounding areas with exceptional care. Visit us at 801 E Sioux Avenue for quality care.

Identifiers

Hospital Name Avera St. Mary's Hospital
Facility ID 430015

Location

Address 801 E SIOUX
City/Town Pierre
State SD
ZIP Code 57501
County/Parish HUGHES

Health System

Health System Avera Health
Health System Website Domain avera.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 35
Health System Total Beds 1519
Health System Hospital Locations Iowa, Minnesota, Nebraska and South Dakota

Ownership & Characteristics

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

Shantel Krebs

Regional President and CEO, Avera St. Mary's Hospital

Named Regional President and CEO of Avera St. Mary's Hospital in Pierre in October 2023. [2, 9] She had been serving as interim regional president and CEO since March 2023, following the passing of Dr. Mikel Holland. [3, 6] As the top executive in the Avera St. Mary's region, she is responsible for providing leadership, direction, and administration across all aspects of care delivery within the region. [2] She also serves as a member of the Avera senior leadership team. [2, 6] Krebs joined Avera in 2019 as the Administrator of the Avera Academy. [2, 3] She is a lifelong, fourth-generation South Dakotan with leadership experience in healthcare, business, entrepreneurship, and elected offices. [2] Prior to joining Avera, she served in the state legislature and was Secretary of State from 2015 through 2019. [3, 6] She believes in Avera's mission and the team members working in the St. Mary's Hospital Region. [3]

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 60

Staffing & Personnel

FTE Employees on Payroll 429.64
FTE Interns & Residents 2.26

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 2725
Inpatient Days (Title XIX) 1297
Total Inpatient Days 6043
Bed Count 50
Available Bed Days 18250
Discharges (Title V) NA
Discharges (Title XVIII) 650
Discharges (Title XIX) 294
Total Discharges 1431

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1913
Inpatient Days (Title XIX; Adults & Peds) 758
Total Inpatient Days (Adults & Peds) 4001
Bed Count (Adults & Peds) 44
Available Bed Days (Adults & Peds) 16060
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 650
Discharges (Title XIX; Adults & Peds) 294
Total Discharges (Adults & Peds) 1431

Quality Summary

Care Quality Stengths Average overall patient satisfaction. 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 65%

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
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 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
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) 116

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 8.9
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.6
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 9.9
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 7.5
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.9
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 18.1
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.3
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.1
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
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 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 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) 1.567
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) 1.005
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $821
Bad Debt Expense $3,564
Uncompensated Care Cost $1,768
Total Uncompensated Care $4,262

Operating Expenses ($ thousands)

Total Salaries $47,736
Overhead Expenses (Non-Salary) $68,437
Depreciation Expense $5,237
Total Operating Costs $82,464

Charges ($ thousands)

Inpatient Charges $67,861
Outpatient Charges $244,520
Total Patient Charges $312,381

Wage-Related Details ($ thousands)

Core Wage Costs $9,866
Wage Costs (RHC/FQHC)
Adjusted Salaries $47,736
Contract Labor (Patient Care) $3,965
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $-357
Short-Term Investments
Notes Receivable
Accounts Receivable $44,699
Allowance for Doubtful Accounts $-32,651
Inventory $3,554
Prepaid Expenses $779
Other Current Assets
Total Current Assets $16,850

Balance Sheet – Fixed Assets ($ thousands)

Land Value $5,652
Land Improvements Value $952
Building Value $67,305
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $45,751
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $47,479

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $26,870
Other Assets $3,326
Total Other Assets $30,195
Total Assets $94,524

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $2,625
Salaries & Wages Payable $3,391
Payroll Taxes Payable
Short-Term Debt $837
Deferred Revenue
Other Current Liabilities $80
Total Current Liabilities $7,714

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $27,137
Unsecured Loans
Other Long-Term Liabilities $389
Total Long-Term Liabilities $27,526
Total Liabilities $35,240

Balance Sheet – Equity ($ thousands)

General Fund Balance $59,285
Total Fund Balances $59,285
Total Liabilities & Equity $94,524

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $1,553
DRG (Post-Oct 1) $4,910
Outlier Payments
DSH Adjustment $194
Eligible DSH % $0
Simulated MC Payments $120
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $73,581
Outpatient Revenue $276,927
Total Patient Revenue $350,508
Contractual Allowances & Discounts $245,485
Net Patient Revenue $105,023
Total Operating Expenses $116,173
Net Service Income $-11,150
Other Income $7,553
Total Income $-3,597
Other Expenses
Net Income $-3,597

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $4,119
Medicaid Charges $25,188
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No