Highlands-Cashiers Hospital

Highlands-Cashiers Hospital, located at 190 Hospital Drive in Highlands, NC, is your trusted community healthcare provider. As an accredited Critical Access Hospital, we offer 24/7 emergency care, acute inpatient care, and rehabilitation services. We are dedicated to providing advanced, patient-focused healthcare with compassion. Our services also include long-term care through the Eckerd Living Center. We strive to improve the health of our community by offering high-quality care where it is needed.

Identifiers

Hospital Name Highlands-Cashiers Hospital
Facility ID 341316

Location

Address 190 HOSPITAL DRIVE
City/Town Highlands
State NC
ZIP Code 28741
County/Parish MACON

Health System

Health System Mission Health
Health System Website Domain missionhealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 4
Health System Total Beds 140
Health System Hospital Locations North Carolina

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Mission Health
Emergency Services Yes

Tom Neal

Chief Executive Officer and Chief Nursing Officer

Zach McCluskey

NCDV CAO

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 79.49
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 2248
Inpatient Days (Title XIX) 16
Total Inpatient Days 3706
Bed Count 24
Available Bed Days 8760
Discharges (Title V) NA
Discharges (Title XVIII) 135
Discharges (Title XIX) 4
Total Discharges 481

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 442
Inpatient Days (Title XIX; Adults & Peds) 16
Total Inpatient Days (Adults & Peds) 793
Bed Count (Adults & Peds) 24
Available Bed Days (Adults & Peds) 8760
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 135
Discharges (Title XIX; Adults & Peds) 4
Total Discharges (Adults & Peds) 481

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 87%

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 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 & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 101

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 -16.8
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) 15.1
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.3
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 Number of cases too small
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 No Different Than the National Rate

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 Dec 01, 2021
Fiscal Year End Nov 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $1,231
Bad Debt Expense $659
Uncompensated Care Cost $1,487
Total Uncompensated Care $1,841

Operating Expenses ($ thousands)

Total Salaries $7,663
Overhead Expenses (Non-Salary) $18,923
Depreciation Expense $998
Total Operating Costs $20,203

Charges ($ thousands)

Inpatient Charges $11,397
Outpatient Charges $40,293
Total Patient Charges $51,690

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 $4
Short-Term Investments
Notes Receivable
Accounts Receivable $3,374
Allowance for Doubtful Accounts $-1,448
Inventory $614
Prepaid Expenses $56
Other Current Assets
Total Current Assets $2,660

Balance Sheet – Fixed Assets ($ thousands)

Land Value $3,015
Land Improvements Value $235
Building Value $8,227
Leasehold Improvements $357
Fixed Equipment Value $7,188
Major Movable Equipment $2,267
Minor Depreciable Equipment $1,713
Health IT Assets
Total Fixed Assets $19,863

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $145
Total Other Assets $145
Total Assets $22,668

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $1,863
Salaries & Wages Payable $768
Payroll Taxes Payable $313
Short-Term Debt
Deferred Revenue
Other Current Liabilities $65
Total Current Liabilities $3,008

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans $22,544
Other Long-Term Liabilities $130
Total Long-Term Liabilities $22,675
Total Liabilities $25,683

Balance Sheet – Equity ($ thousands)

General Fund Balance $-3,015
Total Fund Balances $-3,015
Total Liabilities & Equity $22,668

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 $11,365
Outpatient Revenue $40,325
Total Patient Revenue $51,690
Contractual Allowances & Discounts $32,679
Net Patient Revenue $19,011
Total Operating Expenses $26,586
Net Service Income $-7,575
Other Income $243
Total Income $-7,332
Other Expenses $-0
Net Income $-7,332

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $221
Medicaid Charges $1,471
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing No

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No