Hospital

ALTRU HOSPITAL

CCN: 350019 · GRAND FORKS, ND 58201 · GRAND FORKS County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201
Phone
(701) 780-5000
Hospital Type
Acute Care
Ownership
Government (Local)
Emergency Services
Yes
Birthing Friendly
Yes
3 /5
★★★★★
CMS Overall Rating
p30
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
7
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
2
5
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
11
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 11 of 12 measures reported
11 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

✓ This hospital does not have excess readmissions triggering HRRP penalties.
Acute Myocardial Infarction (Heart Attack)
0.8156 p0
Heart Failure 420 discharges
0.9006 p5
Pneumonia 569 discharges
0.9270 p10
COPD 124 discharges
0.9442 p8
Hip/Knee Replacement
— Not reported
CABG Surgery
0.8810 p9
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

11.3 p1
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
3.5 p36
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
5.8 p17
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
2.0 p1
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
0.0 p0
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Not Penalized
Worst ERR: 0.9442
Value-Based Purchasing
11.3 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: -0.0753

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 4.10 No Different Than the National Rate 34
Hybrid_HWM 3.90 No Different Than the National Rate 1,418
MORT_30_AMI 13.20 No Different Than the National Rate 143
MORT_30_CABG 2.40 No Different Than the National Rate 83
MORT_30_COPD 9.00 No Different Than the National Rate 116
MORT_30_HF 11.00 No Different Than the National Rate 377
MORT_30_PN 15.40 No Different Than the National Rate 520
MORT_30_STK 11.80 No Different Than the National Rate 173
PSI_03 1.02 No Different Than the National Rate 4,995
PSI_04 169.96 No Different Than the National Rate 101
PSI_06 0.15 No Different Than the National Rate 5,714
PSI_08 0.34 No Different Than the National Rate 5,858
PSI_09 2.32 No Different Than the National Rate 1,388
PSI_10 1.73 No Different Than the National Rate 430
PSI_11 5.29 No Different Than the National Rate 435
PSI_12 2.56 No Different Than the National Rate 1,506
PSI_13 3.96 No Different Than the National Rate 402
PSI_14 1.57 No Different Than the National Rate 275
PSI_15 0.84 No Different Than the National Rate 1,024
PSI_90 0.91 No Different Than the National Value —

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 72% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6% —
H_COMP_1_U_P: Nurses "usually" communicated well 22% —
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score — —
H_COMP_1_STAR_RATING: Nurse communication - star rating — 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 80% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 3% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 17% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 69% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 7% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 24% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 66% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 8% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 26% —
H_COMP_2_A_P: Doctors "always" communicated well 75% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5% —
H_COMP_2_U_P: Doctors "usually" communicated well 20% —
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score — —
H_COMP_2_STAR_RATING: Doctor communication - star rating — 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 83% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 13% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 73% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 6% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 21% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 67% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 26% —
H_COMP_5_A_P: Staff "always" explained 52% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 26% —
H_COMP_5_U_P: Staff "usually" explained 22% —
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score — —
H_COMP_5_STAR_RATING: Communication about medicines - star rating — 2
H_MED_FOR_A_P: Staff "always" explained new medications 66% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 13% —
H_MED_FOR_U_P: Staff "usually" explained new medications 21% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 39% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 38% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 23% —
H_COMP_6_N_P: No, staff "did not" give patients this information 19% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 81% —
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score — —
H_COMP_6_STAR_RATING: Discharge information - star rating — 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 20% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 80% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 19% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 81% —
H_CLEAN_HSP_A_P: Room was "always" clean 61% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 15% —
H_CLEAN_HSP_U_P: Room was "usually" clean 24% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — 2
H_QUIET_HSP_A_P: "Always" quiet at night 50% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 13% —
H_QUIET_HSP_U_P: "Usually" quiet at night 37% —
H_QUIET_LINEAR_SCORE: Quietness - linear mean score — —
H_QUIET_STAR_RATING: Quietness - star rating — 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 14% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 30% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 56% —
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score — —
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating — 2
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 8% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 53% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 39% —
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score — —
H_RECMND_STAR_RATING: Recommend hospital - star rating — 2
H_STAR_RATING: Summary star rating — 2

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.109 Better than the National Benchmark
HAI_1_CIUPPER 0.825 Better than the National Benchmark
HAI_1_DOPC 13265.000 Better than the National Benchmark
HAI_1_ELIGCASES 11.692 Better than the National Benchmark
HAI_1_NUMERATOR 4.000 Better than the National Benchmark
HAI_1_SIR 0.342 Better than the National Benchmark
HAI_2_CILOWER 0.196 No Different than National Benchmark
HAI_2_CIUPPER 1.183 No Different than National Benchmark
HAI_2_DOPC 9341.000 No Different than National Benchmark
HAI_2_ELIGCASES 9.366 No Different than National Benchmark
HAI_2_NUMERATOR 5.000 No Different than National Benchmark
HAI_2_SIR 0.534 No Different than National Benchmark
HAI_3_CILOWER 0.473 No Different than National Benchmark
HAI_3_CIUPPER 2.864 No Different than National Benchmark
HAI_3_DOPC 139.000 No Different than National Benchmark
HAI_3_ELIGCASES 3.870 No Different than National Benchmark
HAI_3_NUMERATOR 5.000 No Different than National Benchmark
HAI_3_SIR 1.292 No Different than National Benchmark
HAI_4_CILOWER — —
HAI_4_CIUPPER — —
HAI_4_DOPC 11.000 —
HAI_4_ELIGCASES 0.107 —
HAI_4_NUMERATOR 0.000 —
HAI_4_SIR — —
HAI_5_CILOWER 0.019 No Different than National Benchmark
HAI_5_CIUPPER 1.831 No Different than National Benchmark
HAI_5_DOPC 58509.000 No Different than National Benchmark
HAI_5_ELIGCASES 2.693 No Different than National Benchmark
HAI_5_NUMERATOR 1.000 No Different than National Benchmark
HAI_5_SIR 0.371 No Different than National Benchmark
HAI_6_CILOWER 0.213 Better than the National Benchmark
HAI_6_CIUPPER 0.705 Better than the National Benchmark
HAI_6_DOPC 55504.000 Better than the National Benchmark
HAI_6_ELIGCASES 27.114 Better than the National Benchmark
HAI_6_NUMERATOR 11.000 Better than the National Benchmark
HAI_6_SIR 0.406 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV medium Emergency Department
GMCS — Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented — Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening — Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment — Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan — Electronic Clinical Quality Measure
HH_HYPER — Electronic Clinical Quality Measure
HH_HYPO — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 95.0 Healthcare Personnel Vaccination
OP_18a 174.0 Emergency Department
OP_18b 170.0 Emergency Department
OP_18c 206.0 Emergency Department
OP_18d — Emergency Department
OP_22 2.0 Emergency Department
OP_23 60.0 Emergency Department
OP_29 97.0 Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 14.0 Electronic Clinical Quality Measure
SEP_1 66.0 Sepsis Care
SEP_SH_3HR 82.0 Sepsis Care
SEP_SH_6HR 100.0 Sepsis Care
SEV_SEP_3HR 83.0 Sepsis Care
SEV_SEP_6HR 84.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 94.0 Electronic Clinical Quality Measure
VTE_1 — Electronic Clinical Quality Measure
VTE_2 — Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -29.90 Fewer Days Than Average per 100 Discharges
EDAC_30_HF -23.90 Fewer Days Than Average per 100 Discharges
EDAC_30_PN -11.40 Fewer Days Than Average per 100 Discharges
Hybrid_HWR 13.90 No Different Than the National Rate
OP_32 12.60 No Different Than the National Rate
OP_35_ADM 11.40 No Different Than the National Rate
OP_35_ED 5.20 No Different Than the National Rate
OP_36 1.00 No Different than expected
READM_30_AMI 11.50 No Different Than the National Rate
READM_30_CABG 9.30 No Different Than the National Rate
READM_30_COPD 17.10 No Different Than the National Rate
READM_30_HF 18.10 No Different Than the National Rate
READM_30_HIP_KNEE — Number of Cases Too Small
READM_30_PN 14.90 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.02

Financial Health (Cost Report — FY 2023)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.29 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 3.52 — metrics.current_ratio
Cost Report Employees per Bed 16.47 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $403,820,642 — metrics.fund_balance
Cost Report Net Income ($) $59,542,526 — metrics.net_income
Cost Report Net Patient Revenue ($) $606,228,574 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -5.1% — metrics.operating_margin
Cost Report Total Assets ($) $1,198,081,068 — metrics.total_assets
Cost Report Total Costs ($) $437,470,854 — metrics.total_costs
Cost Report Total Liabilities ($) $794,260,426 — metrics.total_liabilities
Cost Report Total Margin (%) 8.5% — metrics.total_margin
Cost Report Uncompensated Care (%) 0.6% — metrics.uncompensated_care_pct
General Information Address 1200 S COLUMBIA RD — Address
General Information City/Town GRAND FORKS — City/Town
General Information Count of Facility MORT Measures 7 — Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 — Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 11 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 11 — Count of Facility TE Measures
General Information Count of MORT Measures Better 0 — Count of MORT Measures Better
General Information Count of MORT Measures No Different 7 — Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 — Count of MORT Measures Worse
General Information Count of READM Measures Better 0 — Count of READM Measures Better
General Information Count of READM Measures No Different 11 — Count of READM Measures No Different
General Information Count of READM Measures Worse 0 — Count of READM Measures Worse
General Information Count of Safety Measures Better 2 — Count of Safety Measures Better
General Information Count of Safety Measures No Different 5 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 — Count of Safety Measures Worse
General Information County/Parish GRAND FORKS — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 350019 — Facility ID
General Information Facility Name ALTRU HOSPITAL — Facility Name
General Information Hospital overall rating 3 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Government - Local — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation Y — Meets criteria for birthing friendly designation
General Information MORT Group Footnote — — MORT Group Footnote
General Information MORT Group Measure Count 7 — MORT Group Measure Count
General Information Pt Exp Group Footnote — — Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 — Pt Exp Group Measure Count
General Information READM Group Footnote — — READM Group Footnote
General Information READM Group Measure Count 11 — READM Group Measure Count
General Information Safety Group Footnote — — Safety Group Footnote
General Information Safety Group Measure Count 8 — Safety Group Measure Count
General Information State ND — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (701) 780-5000 — Telephone Number
General Information ZIP Code 58201 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 0.37 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.39 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.64 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.50 — measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.32 — measures.ssi.sir
HAC Reduction Program payment_reduction No — payment_reduction
HAC Reduction Program total_hac_score -0.08 — total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 — End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 — Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 — Start Date
Medicare Spending per Beneficiary Value 1.02 — Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.82 0.9995 p0 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 13.1% — READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 10.7% — READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 0.88 1.0000 p9 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.6% — READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 10.2% — READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 0.94 0.9969 p8 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 18.1% — READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 124 — READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 17 — READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 17.1% — READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.90 0.9983 p5 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.4% — READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 420 — READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 66 — READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 17.5% — READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.93 0.9955 p10 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 16.3% — READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 569 — READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 81 — READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.1% — READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 3.50 5.00 p36 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 2.00 8.75 p1 person_community_score
Value-Based Purchasing Safety 5.83 10.00 p17 safety_score
Value-Based Purchasing Total Performance Score 11.33 29.50 p1 total_performance_score
Methodology

Full methodology →