Adventist Health Tulare

Adventist Health Tulare, located at 869 North Cherry Street in Tulare, California, is a 108-bed acute care medical center. We blend the advanced resources of a large healthcare system with the personalized touch of a community hospital. Our services include cardiology, surgery, family medicine, and women's health. Centrally located in the heart of the Central Valley, we offer comprehensive medical care and are committed to providing quality healthcare to all, regardless of their ability to pay.

Identifiers

Hospital Name Adventist Health Tulare
Facility ID 050784

Location

Address 869 NORTH CHERRY STREET
City/Town Tulare
State CA
ZIP Code 93274
County/Parish TULARE

Health System

Health System Adventist Health
Health System Website Domain adventisthealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 26
Health System Total Beds 3713
Health System Hospital Locations California, Hawaii and Oregon

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Adventist Health
Emergency Services Yes

Jason Wells

President

NA

Heidar Thordarson

Finance Officer

NA

Residency Programs

Allopathic Residency Program No
Dental Residency Program No
Osteopathic Residency Program No
Other Residency Programs Yes
Pediatric Residency Program No

Capacity & Services

Licensed Beds 59

Staffing & Personnel

FTE Employees on Payroll 239.97
FTE Interns & Residents 3.67

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 2480
Inpatient Days (Title XIX) 224
Total Inpatient Days 9035
Bed Count 73
Available Bed Days 26645
Discharges (Title V) NA
Discharges (Title XVIII) 491
Discharges (Title XIX) 62
Total Discharges 2223

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 2258
Inpatient Days (Title XIX; Adults & Peds) 151
Total Inpatient Days (Adults & Peds) 7688
Bed Count (Adults & Peds) 65
Available Bed Days (Adults & Peds) 23725
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 491
Discharges (Title XIX; Adults & Peds) 62
Total Discharges (Adults & Peds) 2223

Quality Summary

Care Quality Stengths Average overall patient satisfaction. The hospital is average in every measured mortality rate
Care Quality Concerns Patients reported concerns with being abel to have quiet rest in the hospital Hospital has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated

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 57%

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 No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate No Different Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate No Different Than National Average
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 No Different Than National Average
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 194

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -13.8
Readmission Score Hospital Return Days for Pneumonia Patients -3.3
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 1.1
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 20.8
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.8
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.1
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Average Days per 100 Discharges
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) Not Available
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery No Different than expected
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 No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement Number of Cases Too Small
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 Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $3,031
Bad Debt Expense $1,279
Uncompensated Care Cost $3,375
Total Uncompensated Care $3,678

Operating Expenses ($ thousands)

Total Salaries $25,422
Overhead Expenses (Non-Salary) $61,788
Depreciation Expense $2,391
Total Operating Costs $75,416

Charges ($ thousands)

Inpatient Charges $246,613
Outpatient Charges $71,009
Total Patient Charges $317,622

Wage-Related Details ($ thousands)

Core Wage Costs $4,554
Wage Costs (RHC/FQHC)
Adjusted Salaries $25,422
Contract Labor (Patient Care) $5,464
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents) $111

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $-77,626
Short-Term Investments
Notes Receivable $1,328
Accounts Receivable $86,676
Allowance for Doubtful Accounts $-70,463
Inventory $1,912
Prepaid Expenses $193
Other Current Assets
Total Current Assets $-49,380

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value $2,591
Building Value $1,006
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $23,346
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $11,963

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $303
Total Other Assets $303
Total Assets $-37,114

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $4,893
Salaries & Wages Payable $2,112
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue $725
Other Current Liabilities $2,369
Total Current Liabilities $14,406

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $42,177
Unsecured Loans
Other Long-Term Liabilities $2,044
Total Long-Term Liabilities $44,222
Total Liabilities $58,627

Balance Sheet – Equity ($ thousands)

General Fund Balance $-95,741
Total Fund Balances $-95,741
Total Liabilities & Equity $-37,114

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $4,378
DRG (Post-Oct 1) $1,352
Outlier Payments
DSH Adjustment $172
Eligible DSH % $0
Simulated MC Payments
Total IME Payments $155

Revenue & Income Statement ($ thousands)

Inpatient Revenue $258,627
Outpatient Revenue $62,668
Total Patient Revenue $321,294
Contractual Allowances & Discounts $271,679
Net Patient Revenue $49,615
Total Operating Expenses $87,211
Net Service Income $-37,595
Other Income $2,231
Total Income $-35,364
Other Expenses
Net Income $-35,364

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $38,030
Medicaid Charges $161,443
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Oracle
ERP Version Fusion 10
EHR is Changing No