Dickenson Community Hospital

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Dickenson Community Hospital
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Hospital financial information was originally intended to benefit of large employers and purchasers of care. However, consumers should know that financially healthy hospitals may be better able to provide charity care and invest in infrastructure, and technology.

Rankings on financial measures are found within the Efficiency tab

Financial Information

For Fiscal Year 10/1/2007 - 6/30/2008

Gross inpatient revenueGross inpatient revenue Total established full charges for all hospital services provided to inpatients, including charity care.	$4,517,181
Gross outpatient revenueGross outpatient revenue Total established full charges for all hospital services provided to outpatients, including charity care.	$8,579,587
Gross patient revenueGross patient revenue Total established full charges for all services provided to patients.	$13,096,768
Contractual allowanceContractual allowance The difference between a hospital's established charges and the rates paid by third-party payers under contractual agreements.	$7,519,285
Charity careCharity care Services provided to patients meeting the hospital's criteria for indigent care.	$123,472
Indigent care trustIndigent care trust Payments from the Indigent Care Trust Fund net of payments to the Fund, calculated on an accrual basis. A net payment from the Fund is reported as a negative number.	$0
Net patient revenueNet patient revenue Net patient service revenue is total gross patient service revenue, minus total contractual allowances, minus charity care @100% of poverty, minus charity care @200% of poverty, plus or minus accrued payments from/to the Indigent Care Trust Fund or the disproportionate share program.	$5,454,011
Other operating revenueOther operating revenue Revenue or gains from the hospital’s ongoing or central operations other than patient care. These may include such activities as educational or research programs, sales of goods and services to other than patients, and sales of personal convenience items and services to patients. Operating gains may be difficult to distinguish from non-operating gains. Providers are asked to report other revenue (or other operating revenue) and operating gains as defined per the 1990 AICPA audit guide.	$261,431

Labor expenseLabor expense All expenses related to employment of personnel by the hospital.	$4,482,664
Non-labor expenseNon-labor expense Any expenses that are not related to labor. Excluding capital and capital-related expenses.	$2,381,847
Capital expenseCapital expense Capital expenses are those defined by Medicare as capital expenses. This includes depreciation and interest for capital assets reported as used for patient care, plus Medicare inpatient costs for other capital-related expenses. Medicare inpatient costs for other capital-related expenses including leases, rentals (including license and royalty fees for the use of depreciable assets), insurance expense on depreciable assets, related-organization capital-related costs for assets that are not maintained on the hospital's premises, and taxes on land or depreciable assets used for patient care. Depreciation expenses are calculated on a straight-line basis, using Medicare useful lives. Includes the allocated portion of home office capital expenses. This capital expense amount is not necessarily the same as the Medicare-allowable cost figure.	$691,070
TaxesTaxes/Tax expense All taxes reported on the hospital's income statement, including: state income tax, federal income tax, real estate tax, business property tax, and business license fees. Does not include payroll taxes, which are reported under Labor Expenses.	$8,075
Bad-debt expenseBad-debt expense Bad-debt expense (or provision for bad debts) as reported on the hospital’s income statement.	$173,207
Total operating expenseTotal operating expense The sum of all operating expenses.	$7,736,863
Operating incomeOperating income The net of Net patient revenue plus Other operating income minus Total operating income. This is the value that should be used in the calculation of Operating margin.	($2,021,421)
Net non-operating gainsNet non-operating gains Non-operating gains and losses resulting from transactions incidental or peripheral to the hospital’s central ongoing operations. This may include such items as gifts received, tax support and subsidies, returns on investment of general funds, and gain or loss on sale of properties, as well as other items.	$27,951
Revenue and gains in excess of expensesRevenue and gains in excess of expenses The net amount of change in the net assets of the facility. The sum of Operating income and Non-operating income. Note: In proprietary facilities this is called Net Income. This is the value that should be used in the calculation of Total margin.	($1,993,470)

Current assetsCurrent assets Cash and other assets that are expected to be converted into cash, sold, or consumed within one year.	$1,063,462
Net fixed assetsNet fixed assets The value of property, plant, and equipment, net of accumulated depreciation using the straight-line method.	$1,061,924
Other assetsOther assets The assets, other than fixed assets, that are not expected to be converted into cash, sold, or consumed within one year.	$53,208
Total assetsTotal assets Total assets as reported on the hospital’s balance sheet.	$2,178,594
Current liabilitiesCurrent liabilities Obligations expected to be liquidated within one year.	$1,025,862
Long term liabilitiesLong-term liabilities/debt Obligations not expected to be liquidated within one year.	$7,019,696
Total liabilitiesTotal liabilities The total obligations of the hospital.	$8,045,558
Fund balanceFund balance The end-of –year sum of general, temporarily restricted, and permanently restricted fund balances. This is the net worth of the corporation at year-end.	($5,866,964)

Updated on: 12/10/2009

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2008 Hospital Service Line Report

Service LineService Line Broad categories of care based on 3M's All Patient Refined-Diagnosis Related Groups (APR-DRGs).	Number of CasesNumber of Cases The total number of inpatient inlier and outlier cases.	% of Hospital Total% of Hospital Total The number of cases for that hospital's particular service line divided by the total number of hospital cases multiplied by 100.	% of State Total% of State Total The number of cases for that hospital's particular service line divided by the total number of that service line's cases in Virginia multiplied by 100.
BurnsBurns Damage to skin and tissue due to some element of extreme temperature contact. Burns are classified as first, second or third degree burns. First degree burns are usually superficial and third degree burns have extensive damage to the point of skin or tissue death.	1	0.28%	25.00%
Invasive CardiologyInvasive Cardiology Diagnostic and invasive procedures that includes cardiac catheterizations, percutaneous procedures and angiograms of the heart.	0	0.00%	0.00%
Cardiology - MedicalCardiology - Medical The study of the heart’s action; the medical specialty that deals with the diagnosis and therapy of heart diseases.	62	17.22%	6.54%
Open Heart Surgery Open Heart Surgery A surgical procedure that provides through an incision of the chest cavity a full view of the heart. Procedure may be used for, but is not limited to, cardiopulmonary bypass or heart valve surgery.	0	0.00%	0.00%
DentalDental Medical and/or surgical treatment of the teeth and surrounding structures and oral tissues. The services may or may not include endodontics, oral pathology, maxofacial surgery, orthodontics, periodontics, etc.	0	0.00%	0.00%
DermatologyDermatology The study of the skin’s structure, function and diseases; includes diagnosis and treatment of skin and nail disorders.	2	0.56%	10.00%
EndocrinologyEndocrinology The study and treatment of the ductless organs and structures (glands) that secrete internally and of hormones. Endocrinology typically includes the endocrine glands, the hypothalamus, pituitary and adrenal glands, thyroid and parathyroid glands, pancreatic islet cells, the testes and the ovaries.	16	4.44%	6.53%
Ear, Nose and Throat (ENT) Surgery Ear, Nose and Throat (ENT) Surgery The combined surgical treatment that includes otology (ear), rhinology (nose) and laryngology (larynx/throat). Treatments, including surgery, may involve: · Ears — the exterior and interior portions of the otological system; · Nose — the olfactory system including exterior nasal passages and the anterior nasal cavity; and · Throat — the pharyngeal, naso-pharyngeal or laryngeal areas including tonsils, adenoids and trachea. See Also Otolaryngology	0	0.00%	0.00%
GastroenterologyGastroenterology Specialty involving the study and treatment of the function and disorders of the organs of digestion, the alimentary (or gastrointestinal) tract: the esophagus, the stomach, large intestines (colon and cecum) and small intestines (duodenum, jejunum, ileum), sigmoid colon, rectum, gallbladder, pancreas, liver, spleen, biliary tract and bile duct.	31	8.61%	3.90%
General MedicineGeneral Medicine Treatment for those disorders that can fall under family practice or primary medical needs, which may include internal medicine or the diagnosis or treatment of internal organs, and that are not otherwise grouped into the specialty services listed in this report.	33	9.17%	6.68%
General SurgeryGeneral Surgery Those surgical procedures not otherwise grouped into the specialty services listed in this report.	0	0.00%	0.00%
Gynecological SurgeryGynecological Surgery Surgical treatment of the female reproductive system including ectopic pregnancy and early abortion. See Obstetrics.	0	0.00%	0.00%
GynecologyGynecology The medical specialty focused on the health care of women and on the diseases of the female genital tract, as well as the endocrinology and reproductive function of the female. The breast may be treated except for surgery.	1	0.28%	20.00%
HematologyHematology The scientific medical study of blood and blood-forming tissues, including therapeutics and anatomy, physiology, pathology and symptomatology of blood cells. This category may include the laboratory study of the response of blood cells to radiation or chemotherapy.	1	0.28%	0.97%
Infectious DiseasesInfectious Diseases The clinical study and treatment of those diseases that can be caused by an infection; i.e., any communicable disease. These diseases can be transmitted from human to human, from animal to human, by direct or indirect contact; e.g., fevers of unknown origin, sexually transmitted diseases (including HIV infection), herpes, central nervous system (CNS) infections, measles, rubella, mumps, hepatitis, rabies, and rickettsial infections (such as Rocky Mountain spotted fever). Bacterial infections such as streptococcal and chlamydial infections also fall under this classification, as well as those of spirochetal, protozoal, helminthic and mycotic causes.	28	7.78%	12.61%
NeonatologyNeonatology A branch of medicine, often a part of pediatric medicine, that is practiced for the period of time covering the first 28 days after birth and in which the neonate requires additional treatment or care beyond a normal birth, such as intensive care for a premature infant.	0	0.00%	0.00%
NephrologyNephrology The medical science primarily concerned with the anatomy, physiology and diseases of the kidneys (the renal or nephric system) including treatment by dialysis and transplantation. Note: Not to be confused with urology, which deals primarily with the diseases and treatment of the genitourinary tract.	4	1.11%	4.94%
Neurological SurgeryNeurological Surgery Any of various kinds of surgery of the nervous system. Often included are those procedures designed to restore physiological activity of nerves (functional neurosurgery), psychosurgery and stereotactic surgery.	0	0.00%	0.00%
NeurologyNeurology The field of medicine dealing with the normal or diseased nervous systems (central, peripheral and autonomic, plus the neuromuscular junction and muscle). May include clinical neurology that deals with the diagnosis and treatment of nervous system disorders.	30	8.33%	11.24%
Normal NewbornsNormal Newborns A branch of medicine, often a part of pediatric medicine, that is practiced for the period of time covering the first 28 days after birth and in which the infant experienced a normal delivery.	0	0.00%	0.00%
Obstetrics/DeliveryObstetrics/Delivery The specialty of medicine concerned with the obstetrical care of a woman and the fetus during pregnancy, childbirth (delivery of the fetus vaginally or by cesarean section, a surgical procedure) and the puerperium (approximately 6 weeks following birth).	0	0.00%	0.00%
OncologyOncology Science/branch of medicine concerned with the study of the physical, chemical and biologic properties and features of abnormal tissue (neoplasm), including the treatment of both malignant and benign tumors.	4	1.11%	6.35%
Oncology SurgeryOncology Surgery Surgical procedures related to diagnostic or treatment of malignant and/or benign tumors.	0	0.00%	0.00%
Ophthalmologic Surgery Ophthalmologic Surgery Surgical treatment of eye and lid disorders, such as cataract removal with lens implantation.	0	0.00%	0.00%
OphthalmologyOphthalmology The study and treatment of the physiology, anatomy and pathology of the eye and surrounding tissues such as the eye lid. This includes ocular infections, refractive errors, glaucoma, cataracts and other ocular disorders.	0	0.00%	0.00%
Orthopedic Surgery Orthopedic Surgery Preservation or restoration from disease or injury by surgical means of the function or condition of the musculoskeletal system, the spine and the extremities.	0	0.00%	0.00%
OrthopedicsOrthopedics Branch of medicine concerned with the prevention and correction of disorders of the locomotor system of the body, including the skeleton, muscles, joints and related tissues.	3	0.83%	2.50%
Other ObstetricsOther Obstetrics Medical care provided by an obstetrician other than delivery; for example, nutrition counseling, immunizations, treatment for spontaneous abortion (miscarriage), prevention of preterm labor and anemia. See Obstetrics; Also see Gynecological Surgery	0	0.00%	0.00%
OtolaryngologyOtolaryngology Branch of medicine concerned with medical and surgical treatment of head and neck, including the ears, nose and throat. See ENT.	1	0.28%	2.33%
Plastic SurgeryPlastic Surgery Surgical procedures related to cosmetic or reconstructive surgery of face and body.	0	0.00%	0.00%
PsychiatryPsychiatry The diagnosis, prevention and treatment of mental disorders by those medical specialists trained in the science of psychiatry.	8	2.22%	16.00%
PulmonaryPulmonary Of or pertaining to lungs/respiratory system, to the pulmonary artery; to aperture leading from right ventricle into the pulmonary artery.	110	30.56%	7.83%
RehabilitationRehabilitation Following a disabling disease, injury or addiction, spontaneous or therapeutic restoration of normal function or in a nearly normal manner.	0	0.00%	0.00%
RheumatologyRheumatology The science and medical study relating to diseases or disorders where inflammation or degeneration of tissue occur in the musculoskeletal system.	0	0.00%	0.00%
Transplant SurgeryTransplant Surgery The procedures that involve the movement of tissue or organs from one part of the body, or from a separate body, for the purpose of treatment by implantation or grafting. Included in this grouping are bone marrow, heart, liver and lung transplants.	0	0.00%	0.00%
Trauma, Multiple SignificantTrauma, Multiple Significant Injury or injuries to the face, head and/or body. Trauma scored for severity and prevalence of injuries are categorized in the service line of Multiple Significant Trauma. Less severe or prevalent injuries may be categorized under a different, specific service line.	1	0.28%	3.57%
Urological SurgeryUrological Surgery Treatment provided by surgical means of urinary and genitourinary tract disorders; for example, tumors of the prostate, bladder, kidney or testis.	0	0.00%	0.00%
UrologyUrology The medical specialty that is concerned with the study, diagnosis and treatment of diseases of the urinary tract in the female and both urinary and genitourinary tract in the male.	24	6.67%	9.76%
Vascular SurgeryVascular Surgery Surgical procedures relating to the blood vessels.	0	0.00%	0.00%

Total	360	100.00%	5.19%

Updated on: 12/10/2009

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Efficiency Indicators

For Fiscal Year 10/1/2007 - 6/30/2008

Indicator Description		Value
Charges
1	Gross revenue per adj. admission ($)1 Gross Revenue Per Adjusted Admission The average full patient charge based on charge schedules per adjusted admission. The desired direction is toward a lower value.	9,420.48
2	Net revenue per adj. admission ($)2 Net Revenue Per Adjusted Admission The average dollar amount expected to be collected per adjusted admission. The desired direction is toward a lower value.	3,923.06
3	Cost per adj. admission ($)3 Cost Per Adjusted Admission The average total operating cost per adjusted admission. The desired direction is toward a lower value.	5,565.11
4	Labor cost per adj. admission ($)4 Labor Cost Per Adjusted Admission The average personnel expense per adjusted admission. The desired direction is toward a lower value.	3,224.37
Costs
5	Non-labor cost per adj. admission ($)5 Non-labor Cost Per Adjusted Admission The average supply, maintenance and non-personnel expense per adjusted admission. The desired direction is toward a lower value.	1,713.26
6	Capital cost per adj. admission ($)6 Capital Cost Per Adjusted Admission The average physical plant costs (e.g., purchasing costs, financing costs and capital taxes) per adjusted admission. The desired direction is toward a lower value.	502.89
7	Full-time equiv. per adj. occupied bed7 Full-time Equivalents Per Adjusted Occupied Bed The number of staff, converted to the average number of employees who work full time, for each occupied bed. The number of occupied beds has been adjusted to account for outpatient service revenue and case mix. The desired direction is toward a lower value.	7.93
8	Paid hours per adj. admission8 Paid Hours Per Adjusted Admission The average number of hours the hospital paid to employees or an agency, per adjusted admission. The desired direction is toward a lower value.	122.08
9	Staffed bed occupancy (%)9 Staffed Beds Occupancy Expressed as a percentage, the average utilization of the average number of beds, excluding long-term care beds and normal newborn bassinets that are operational to receive patients during the reporting period. The desired direction is toward a higher value.	36.01
10	Licensed bed occupancy (%)10 Licensed Beds Occupancy Expressed as a percentage, the average utilization of the number of beds reported by the facility, as approved by the Virginia Department of Health. For hospitals, this excludes normal newborn bassinets, but includes neonatal ICU bassinets. The desired direction is toward a higher value.	21.61
11	Special services utilization (%)11 Special Services Utilization Expressed as a percentage, the average utilization of high capital-cost services that are subject to Certificate of Public Need (COPN) law. Special services include: ICU/CCU, obstetrics, neonatal ICU, MRI, CT, lithotripsy, cardiac catheterization, radiation therapy and cardiac surgery. The desired direction is toward a higher value.	31.91
12	Case mix adj. avg. length of stay12 Case-mix Adjusted Average Length of Stay The average number of days a patient stays in the hospital, adjusted for case mix using Version 20.0 of the 3M APR-DRGs. The desired direction is toward a lower value.	3.09
13	Cash debt coverage13 Cash Debt Coverage A measure of the facility's ability to generate cash to cover its long-term debt. The desired direction is toward a higher value.	1.14
14	Total margin (%)14 Total Margin Total margin expresses the difference between total revenue and cost as a proportion of total revenue. The desired direction is towards a higher value.	-34.71
Productivity/Utilization
15	Return on assets (%)15 Return on Assets Expressed as a percentage, the facility's ability to generate cash on its financial resources (e.g., investments, receivables, inventory, physical plant, etc.) The desired direction is toward a higher value.	5.36
16	Fixed asset financing ratio16 Fixed Asset Financing Ratio The percentage of asset value financed by long-term debt. The desired direction is toward a lower value.	6.61
Financial Viability
17	Charity, bad debt, tax (%)17 Charity Care, Bad Debt and Taxes Expressed as a percentage, the amount of charity care (converted to a cost basis,) bad debt and taxes the facility incurred in relation to its total expenses. The desired direction is toward a higher value.	3.27
18	Medicaid participation (%)18 Medicaid Participation Expressed as a percentage, it is the amount of patient days for patients enrolled in the Medicaid program in relation to total patient days. The number of patient days has been adjusted to account for outpatient service revenue. The desired direction is toward a higher value.	11.54

Updated on: 12/10/2009

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Cardiac Care Information

About Cardiac Care InformationAbout Cardiac Care Information
VHI'S CARDIAC CARE INFORMATION will help you learn about heart disease and compare the quality of heart care at Virginia hospitals. (.. Click About Cardiac Care Information to read more ..)

KEY

Cases Category
(Based on Adjusted Volume)

Size	Medical	Invasive	Open Heart
High	1500+	1000+	1000+
Mid-High	800 - 1499	250 - 999	500 - 999
Mid-Low	250 - 799	100 - 249	100 - 499
Low	1 - 249	1 - 99	1 - 99
N/A	0 Cases	0 Cases	0 Cases

Rating (More hearts are better)

- More than Expected

- As Expected

- Less than Expected

- Too Few to Calculate (Adjusted Volume < 30)

- Letter from Facility

Show Detailed View

Service Line	Total Cases	Mortality Rating	Readmission Rating
Cardiology Medical Cardiology - Medical Includes diagnosing and therapy for heart disease. Angina, congestive heart failure and acute myocardial infarction (AMI) are all examples of heart conditions. When treatment for these conditions does not include surgery, VHI has grouped them into this service line.	68
- Heart Failure Congestive Heart Failure (CHF) or heart failure, is a condition in which the heart can not pump enough blood to the body's other organs. For more information on signs and symptoms, tests, and treatment, visit: www.americanheart.org/ presenter.jhtml?identifier=4585	14

Letter From the Facility Show Normal View

			Mortality					Readmission

Service Line	Total Cases	Hospice Cases	Adj Vol	Act	Exp	Ratio	Rating	Adj Vol	Act	Exp	Ratio	Rating
Cardiology Medical Cardiology - Medical Includes diagnosing and therapy for heart disease. Angina, congestive heart failure and acute myocardial infarction (AMI) are all examples of heart conditions. When treatment for these conditions does not include surgery, VHI has grouped them into this service line.	68	0	54	3.70%	2.45%	1.51		52	11.54%	11.99%	0.96
- Heart Failure Congestive Heart Failure (CHF) or heart failure, is a condition in which the heart can not pump enough blood to the body's other organs. For more information on signs and symptoms, tests, and treatment, visit: www.americanheart.org/ presenter.jhtml?identifier=4585	14	0	13	0.00%	3.18%	0.00		13	23.08%	18.45%	1.25

Letter From the Facility

Updated on: 02/24/2010

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This facility does not perform Obstetrical services

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Patient Satisfaction Survey

Survey results are not available for this reporting period.

· Dickenson Community Hospital's Overall

9 or 10 (high)	7 or 8 (medium)	6 or lower (low)
\|	\|	\|

N/A How do patients rate the hospital overall?

N/A%Patients who gave a rating of 9 or 10 (high)

N/A%Patients who gave a rating of7 or 8 (medium)

N/A%Patients who gave a rating of 6 or lower (low)

63%

27%

10%

66%

24%

10%

Yes, Definitely	Yes, Probably	No
\|	\|	\|

N/A Would patients recommend the hospital to friends and family?

N/A%YES, patients would definitely recommend the hospital

N/A%YES, patients would probably recommend the hospital

N/A%NO, patients would not recommend the hospital (they probably would not or definitely would not recommend it)

66%

28%

68%

26%

· Dickenson Community Hospital's Comfort

Always	Usually	Sometimes/Never
\|	\|	\|

Click here to sort by Hospital Percentage

N/A How often were the patients rooms and bathrooms kept clean?

N/A%Room was always clean

N/A%Room was usually clean

N/A%Room was sometimes or never clean

68%

21%

11%

70%

20%

10%

N/A How often did patients receive help quickly from hospital staff?

N/A%Patients always received help as soon as they wanted

N/A%Patients usually received help as soon as they wanted

N/A%Patients sometimes or never received help as soon as they wanted

61%

26%

13%

63%

26%

11%

N/A How often was patients pain well controlled?

N/A%Pain was always well controlled

N/A%Pain was usually well controlled

N/A%Pain was sometimes or never well controlled

68%

24%

69%

24%

N/A How often was the area around patients rooms kept quiet at night?

N/A%Always quiet at night

N/A%Usually quiet at night

N/A%Sometimes or never quiet at night

56%

31%

13%

57%

31%

12%

· Dickenson Community Hospital's Communication

Always	Usually	Sometimes/Never
\|	\|	\|

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N/A How often did nurses communicate well with patients?

N/A%Nurses always communicated well

N/A%Nurses usually communicated well

N/A%Nurses sometimes or never communicated well

74%

20%

75%

19%

N/A How often did doctors communicate well with patients?

N/A%Doctors always communicated well

N/A%Doctors usually communicated well

N/A%Doctors sometimes or never communicated well

80%

15%

80%

15%

N/A How often did staff explain about medicines before giving them to patients?

N/A%Staff always explained

N/A%Staff usually explained

N/A%Staff sometimes or never explained

57%

19%

24%

59%

19%

22%

Yes	No
\|	\|

N/A Were patients given information about what to do during their recovery at home?

N/A%Yes, staff did give patients this information

N/A%No, staff did not give patients this information

82%

18%

81%

19%

VA State Average & US Average: this number is included so you have

a better idea of what is typical for Virginia or the US
a basis for comparing individual hospital's performance

Survey ResponseSurvey Response
The percentage of patients who completed the survey.: N/A% | Completed SurveyCompleted Survey
Total number of patients who completed a survey.: N/A

Patient Survey Collection Dates: October 2008 - September 2009 , Released in July 2010

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey information obtained
from the Centers for Medicare & Medicaid Services (CMS)

METHODOLOGY

Compare Hospitals' Patient Satisfaction Surveys

Updated on: 07/01/2010

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