Pershing General Hospital, Lovelock, Nevada

April 2014
Pershing General Hospital (PGH)

The dramatic turnaround at Pershing General Hospital (PGH), located in Lovelock, Nevada, began with a top-to-bottom facility assessment by hospital administration of unprofitable service lines and a comprehensive review of community health needs.

Positive Outcomes:

  • Promoted the facility as the first choice for care for community residents, leading to strengthened service utilization and reduced outmigration
  • Implemented objective and understandable financial management tools creating monthly financial reporting, ongoing board education and budget development
  • Fully implemented and utilized the Nevada Rural Hospital Revenue Cycle Initiative, resulting in best practice resource for surrounding state hospitals

Top Accomplishments:

In 2011, a financial audit revealed a net loss of over $100,000 with only three days cash on hand. Following the financial turnaround initiatives, by December 2013, the hospital netted $1 million with 62 days of cash on hand. This financial turnaround not only removed the audit going concern, it also eliminated discussion of a possible takeover of the facility by the state of Nevada. Patty Bianchi, Chief Executive Officer, stated, "Pershing General Hospital is committed to financial stability, which is key to sustaining access to health services for the community, including 24-7 emergency care for the residents of Pershing County."

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,560,000 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.