PeaceHealth Peace Island Medical Center

PeaceHealth Peace Island Medical Center, located at 1117 Spring Street in Friday Harbor, WA, is a state-of-the-art, 10-bed critical access hospital providing comprehensive and compassionate care to the San Juan Islands community. As the first hospital in San Juan County, we offer a range of services, including 24/7 emergency care, primary and specialty care clinics, cancer treatment, advanced imaging, and surgical services. We are committed to delivering high-quality, patient-centered healthcare, combining advanced medical expertise with a healing environment. PeaceHealth Peace Island Medical Center seamlessly connects island residents and visitors to comprehensive healthcare solutions, ensuring access to vital medical services close to home.

Identifiers

Hospital Name PeaceHealth Peace Island Medical Center
Facility ID 501340

Location

Address 1117 SPRING STREET
City/Town Friday Harbor
State WA
ZIP Code 98250
County/Parish SAN JUAN

Health System

Health System PeaceHealth
Health System Website Domain peacehealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 10
Health System Total Beds 1439
Health System Hospital Locations Alaska, Oregon and Washington

Ownership & Characteristics

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

Jack Estrada

Chief Administrative Officer

Jack joined PeaceHealth in 2001 as a CT/MRI supervisor and was steadily promoted to manager of diagnostic imaging, and then later director in 2005. He took over as Chief Administrative Office of Peace Island in 2021. Jack holds a master's degree in Management & Leadership from Western Governors University, and a Bachelor of Arts from the University of St. Francis in Joliet, Illinois. He had been acting as interim CAO since Mary Anne Keane departed PeaceHealth in the summer of 2020. He has been in leadership positions at PeaceHealth St. Joseph Medical Center in Bellingham since 2001. He then added respiratory therapy; safety, security & communications; environmental services; and food & nutrition to his leadership portfolio. He has led diagnostic imaging at PeaceHealth Peace Island since the facility opened in the fall of 2005. He is honored and humbled to be selected to serve the patients, community, and caregivers on beautiful San Juan Island in this capacity, and looks forward to carrying the Mission and Values of PeaceHealth and the Sisters forward.

Theresa Loya, MSN, RN

Director of Clinical Services

Theresa joined PeaceHealth in 2019. In 2020 she took on her current role as Director of Clinical Services at Peace Island Medical Center and is responsible for the nursing services in the facility. Theresa is also a Co-Chair of the Hospital Staffing Committee.

Kate Roberts

Nurse Manager, PIMC/ ED/MS, Surgical Services, Infusion

NA

Shannon Davis, RN

Manager - Clinic

NA

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 10

Staffing & Personnel

FTE Employees on Payroll 67.03
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 176
Inpatient Days (Title XIX) NA
Total Inpatient Days 247
Bed Count 10
Available Bed Days 3650
Discharges (Title V) NA
Discharges (Title XVIII) 56
Discharges (Title XIX) NA
Total Discharges 85

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 176
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 247
Bed Count (Adults & Peds) 10
Available Bed Days (Adults & Peds) 3650
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 56
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 85

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

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) 111

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) 12.4
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 11
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 4.9
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) 14.4
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) No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
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 $650
Bad Debt Expense $448
Uncompensated Care Cost $818
Total Uncompensated Care $2,724

Operating Expenses ($ thousands)

Total Salaries $10,757
Overhead Expenses (Non-Salary) $16,496
Depreciation Expense $1,149
Total Operating Costs $24,784

Charges ($ thousands)

Inpatient Charges $1,128
Outpatient Charges $46,778
Total Patient Charges $47,905

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
Short-Term Investments
Notes Receivable
Accounts Receivable
Allowance for Doubtful Accounts
Inventory
Prepaid Expenses
Other Current Assets
Total Current Assets

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable
Salaries & Wages Payable
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities
Total Current Liabilities

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities

Balance Sheet – Equity ($ thousands)

General Fund Balance
Total Fund Balances
Total Liabilities & Equity

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 $1,283
Outpatient Revenue $48,166
Total Patient Revenue $49,448
Contractual Allowances & Discounts $23,380
Net Patient Revenue $26,068
Total Operating Expenses $27,253
Net Service Income $-1,185
Other Income $1,464
Total Income $279
Other Expenses
Net Income $279

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $535
Medicaid Charges $4,776
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No