Dignity Health Sierra Nevada Memorial Hospital

Dignity Health Sierra Nevada Memorial Hospital, located in Grass Valley, CA, is a 104-bed not-for-profit hospital that has been providing compassionate, high-quality care to the community since 1958. As part of the Dignity Health network, we offer a wide range of medical services, including 24-hour emergency care, cancer care, heart and vascular care, orthopedics, and a Family Birth Center. We are a certified Primary Stroke Center and have received awards for our cardiac and pulmonary rehabilitation programs, as well as our commitment to environmental excellence. Experience advanced diagnostic imaging, comprehensive treatment, and a healing environment focused on kindness and compassion at Sierra Nevada Memorial Hospital.

Identifiers

Hospital Name Dignity Health Sierra Nevada Memorial Hospital
Facility ID 050150

Location

Address 155 GLASSON WAY
City/Town Grass Valley
State CA
ZIP Code 95945
County/Parish NEVADA

Health System

Health System CommonSpirit Health
Health System Website Domain commonspirit.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 106
Health System Total Beds 17364
Health System Hospital Locations Arkansas, Arizona, California, Colorado, Georgia, Iowa, Kansas, Kentucky, Louisiana, Minnesota, North Dakota, Nebraska, Nevada, Ohio, Oregon, Tennessee, Texas and Utah

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Other
Ownership Details CommonSpirit Health
Emergency Services Yes

No leaders were identified on Dignity Health Sierra Nevada Memorial Hospital's website

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 124

Staffing & Personnel

FTE Employees on Payroll 569.98
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 8436
Inpatient Days (Title XIX) 867
Total Inpatient Days 17859
Bed Count 104
Available Bed Days 37960
Discharges (Title V) NA
Discharges (Title XVIII) 1788
Discharges (Title XIX) 219
Total Discharges 4082

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 8186
Inpatient Days (Title XIX; Adults & Peds) 743
Total Inpatient Days (Adults & Peds) 16613
Bed Count (Adults & Peds) 100
Available Bed Days (Adults & Peds) 36500
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1788
Discharges (Title XIX; Adults & Peds) 219
Total Discharges (Adults & Peds) 4082

Quality Summary

Care Quality Stengths Average overall patient satisfaction. The hospital is average in every measured mortality rate Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours.
Care Quality Concerns Patients reported concerns with being abel to have quiet rest in the hospital

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 61%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients No Different Than National Average
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 No Different Than National Average
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 No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
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) 160

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -12.1
Readmission Score Hospital Return Days for Pneumonia Patients 8.2
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.4
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 9.5
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 6
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.9
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 18.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 21
Readmission Score Rate of Readmission After Hip/Knee Replacement 5.6
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.4
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16
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) 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 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 No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
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 $3,611
Bad Debt Expense $3,546
Uncompensated Care Cost $4,513
Total Uncompensated Care $4,534

Operating Expenses ($ thousands)

Total Salaries $74,652
Overhead Expenses (Non-Salary) $117,114
Depreciation Expense $8,639
Total Operating Costs $172,795

Charges ($ thousands)

Inpatient Charges $346,623
Outpatient Charges $433,682
Total Patient Charges $780,305

Wage-Related Details ($ thousands)

Core Wage Costs $19,335
Wage Costs (RHC/FQHC)
Adjusted Salaries $74,652
Contract Labor (Patient Care) $9,176
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $-1,738
Short-Term Investments
Notes Receivable
Accounts Receivable $126,879
Allowance for Doubtful Accounts $-101,255
Inventory $3,282
Prepaid Expenses $231
Other Current Assets
Total Current Assets $40,483

Balance Sheet – Fixed Assets ($ thousands)

Land Value $4,182
Land Improvements Value $952
Building Value $58,028
Leasehold Improvements $85
Fixed Equipment Value
Major Movable Equipment $24,048
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $59,024

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $213,594
Other Assets $6,603
Total Other Assets $220,198
Total Assets $319,705

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $4,841
Salaries & Wages Payable $9,071
Payroll Taxes Payable $56
Short-Term Debt $1,554
Deferred Revenue $220
Other Current Liabilities $464
Total Current Liabilities $17,654

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $12,854
Unsecured Loans
Other Long-Term Liabilities $6,041
Total Long-Term Liabilities $18,895
Total Liabilities $36,549

Balance Sheet – Equity ($ thousands)

General Fund Balance $283,156
Total Fund Balances $283,156
Total Liabilities & Equity $319,705

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $18,066
DRG (Post-Oct 1) $7,003
Outlier Payments
DSH Adjustment $749
Eligible DSH % $0
Simulated MC Payments $8,221
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $353,537
Outpatient Revenue $426,768
Total Patient Revenue $780,305
Contractual Allowances & Discounts $597,070
Net Patient Revenue $183,235
Total Operating Expenses $191,766
Net Service Income $-8,531
Other Income $-5,577
Total Income $-14,109
Other Expenses
Net Income $-14,109

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $24,303
Medicaid Charges $137,548
Net CHIP Revenue
CHIP Charges

EHR Information

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

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No