Adventist Health Howard Memorial

Adventist Health Howard Memorial, located in Willits, CA, is a state-of-the-art 74,000 square foot facility with 25 private rooms designed for healing and comfort. We provide comprehensive healthcare services for the whole family, including 24-hour emergency care, surgery, intensive care, orthopedics, diagnostic imaging, and a retail pharmacy. As a leading healthcare facility in northern Mendocino County, we are committed to living God's love by inspiring health, wholeness, and hope. Our mission is to deliver excellent care through compassionate staff, advanced technology, and innovative services. With a five-star rating from CMS, we are proud to be recognized for outstanding patient experience and quality care.

Identifiers

Hospital Name Adventist Health Howard Memorial
Facility ID 051310

Location

Address 1 MARCELA DR
City/Town Willits
State CA
ZIP Code 95490
County/Parish MENDOCINO

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 Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Church
Ownership Details Adventist Health
Emergency Services Yes

No leaders were identified on Adventist Health Howard Memorial's website

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 25

Staffing & Personnel

FTE Employees on Payroll 347.44
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 3559
Inpatient Days (Title XIX) 103
Total Inpatient Days 7021
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 807
Discharges (Title XIX) 34
Total Discharges 1597

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 2537
Inpatient Days (Title XIX; Adults & Peds) 96
Total Inpatient Days (Adults & Peds) 4653
Bed Count (Adults & Peds) 21
Available Bed Days (Adults & Peds) 7665
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 807
Discharges (Title XIX; Adults & Peds) 34
Total Discharges (Adults & Peds) 1597

Quality Summary

Care Quality Stengths High overall patient satisfaction. Patients were very positive about the cleanliness of the hospital. The hospital is average in every measured mortality rate Hospital has a low ER wait and treatment time of less than 2 hours Hospital does a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital.
Care Quality Concerns

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 81%

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
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 No Different Than National Average
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) 104

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 17.2
Readmission Score Hospital Return Days for Pneumonia Patients -44.8
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.5
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 0.8
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 18.5
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.4
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.2
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.9
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 14.7
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 Fewer Days Than Average 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 Number of Cases Too Small
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Number of Cases Too Small
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 $1,590
Bad Debt Expense $4,653
Uncompensated Care Cost $3,103
Total Uncompensated Care $8,645

Operating Expenses ($ thousands)

Total Salaries $29,425
Overhead Expenses (Non-Salary) $59,962
Depreciation Expense $3,899
Total Operating Costs $85,581

Charges ($ thousands)

Inpatient Charges $134,842
Outpatient Charges $141,947
Total Patient Charges $276,789

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 $50,443
Short-Term Investments
Notes Receivable
Accounts Receivable $53,767
Allowance for Doubtful Accounts $-40,368
Inventory $1,138
Prepaid Expenses $68
Other Current Assets
Total Current Assets $73,023

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value $1,784
Building Value $57,678
Leasehold Improvements
Fixed Equipment Value $2,996
Major Movable Equipment $33,576
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $50,850

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $0
Other Assets $60
Total Other Assets $60
Total Assets $123,933

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $4,138
Salaries & Wages Payable $1,803
Payroll Taxes Payable $744
Short-Term Debt $376
Deferred Revenue $0
Other Current Liabilities $2,160
Total Current Liabilities $14,112

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $27,928
Unsecured Loans
Other Long-Term Liabilities $8,795
Total Long-Term Liabilities $36,723
Total Liabilities $50,835

Balance Sheet – Equity ($ thousands)

General Fund Balance $73,098
Total Fund Balances $73,098
Total Liabilities & Equity $123,933

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 $140,981
Outpatient Revenue $159,790
Total Patient Revenue $300,771
Contractual Allowances & Discounts $218,054
Net Patient Revenue $82,717
Total Operating Expenses $89,386
Net Service Income $-6,669
Other Income $5,545
Total Income $-1,123
Other Expenses $842
Net Income $-1,965

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $8,314
Medicaid Charges $76,285
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 Unknown
EHR is Changing No