Mary Breckinridge ARH Hospital

Mary Breckinridge ARH Hospital, located in Hyden, Kentucky, is a 25-bed critical access hospital with a rich history of innovative medical care. Founded by pioneering nurse midwife Mary Breckinridge, our hospital is dedicated to providing compassionate, patient-centered care to the communities of Eastern Kentucky. We offer a range of services, including emergency care, radiology, and cardiovascular services. With a focus on improving the health and well-being of our region, Mary Breckinridge ARH is committed to being a trusted healthcare provider for you and your family.

Identifiers

Hospital Name Mary Breckinridge ARH Hospital
Facility ID 181316

Location

Address 130 KATE IRELAND DRIVE
City/Town Hyden
State KY
ZIP Code 41749
County/Parish LESLIE

Health System

Health System Appalachian Regional Healthcare
Health System Website Domain arh.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 15
Health System Total Beds 1324
Health System Hospital Locations Kentucky and West Virginia

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Appalachian Regional Healthcare
Emergency Services Yes

Mallie S. Napier-Noble

CEO/Administrator

Mallie S. Napier-Noble is the CEO/Administrator of Mary Breckinridge ARH Hospital. She was recognized in relation to the hospital receiving the 2024 KHA Quality Award for Critical Access Hospitals. She is also mentioned in the context of the hospital's Community Health Needs Assessment.

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 124.12
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1236
Inpatient Days (Title XIX) 22
Total Inpatient Days 4653
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 67
Discharges (Title XIX) 7
Total Discharges 219

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 244
Inpatient Days (Title XIX; Adults & Peds) 22
Total Inpatient Days (Adults & Peds) 670
Bed Count (Adults & Peds) 25
Available Bed Days (Adults & Peds) 9125
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 67
Discharges (Title XIX; Adults & Peds) 7
Total Discharges (Adults & Peds) 219

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 80%

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) 14.6
Readmission Score Pneumonia (PN) 30-Day Readmission Rate Not Available
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 Number of Cases Too Small
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
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 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 Not Available
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 Number of Cases Too Small

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 $48
Bad Debt Expense $476
Uncompensated Care Cost $186
Total Uncompensated Care $186

Operating Expenses ($ thousands)

Total Salaries $8,165
Overhead Expenses (Non-Salary) $10,516
Depreciation Expense $473
Total Operating Costs $18,596

Charges ($ thousands)

Inpatient Charges $26,033
Outpatient Charges $50,598
Total Patient Charges $76,631

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 $45
Short-Term Investments
Notes Receivable
Accounts Receivable $1,344
Allowance for Doubtful Accounts
Inventory $350
Prepaid Expenses $10
Other Current Assets
Total Current Assets $2,397

Balance Sheet – Fixed Assets ($ thousands)

Land Value $44
Land Improvements Value $8
Building Value $5,116
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $1,723
Minor Depreciable Equipment
Health IT Assets $-99
Total Fixed Assets $3,221

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets $5,618

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $-18
Salaries & Wages Payable $-4,945
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $3,065
Total Current Liabilities $-1,898

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $-496
Total Long-Term Liabilities $-496
Total Liabilities $-2,393

Balance Sheet – Equity ($ thousands)

General Fund Balance $8,011
Total Fund Balances $8,011
Total Liabilities & Equity $5,618

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 $22,698
Outpatient Revenue $53,936
Total Patient Revenue $76,633
Contractual Allowances & Discounts $55,343
Net Patient Revenue $21,291
Total Operating Expenses $18,681
Net Service Income $2,610
Other Income $4,672
Total Income $7,282
Other Expenses
Net Income $7,282

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $6,579
Medicaid Charges $21,780
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH Expanse
EHR Version Expanse
EHR is Changing No

ERP Information

ERP MEDITECH
ERP Version NA
EHR is Changing No