Marshall

**Option 1 (Focus on Community):** Marshall Medical Center, nestled in the Sierra Foothills, is your trusted community healthcare provider in Placerville. Since 1959, we've been committed to improving the health of El Dorado County with superior, patient-centered care. Our comprehensive services and dedicated team ensure you receive the quality medical attention you deserve, right here at home. We are proud to be deeply rooted in community, quality care, compassion, and convenience. **Option 2 (Focus on Advanced Care):** Located in Placerville, CA, Marshall Medical Center delivers advanced healthcare with a personal touch. We offer a wide range of services from emergency and cardiac care to cancer treatment, partnering with UC Davis for pioneering cancer care. As a Primary Stroke Center and Level III Trauma Center, Marshall combines advanced technology with a compassionate team to provide exceptional care for you and your family. We are committed to exceeding your expectations. **Option 3 (Focus on Mission):** Marshall Medical Center's mission is to improve the health of our community by offering health services of superior value and quality centered on the goals and needs of our patients. Located in Placerville, CA, we strive to deliver service that exceeds your expectations. We offer comprehensive services, and our dedicated team ensures personalized care, making us a trusted healthcare provider in the Sierra Foothills. We are deeply rooted in the community and focused on compassionate care.

Identifiers

Hospital Name Marshall
Facility ID 050254

Location

Address 1100 MARSHALL WAY
City/Town Placerville
State CA
ZIP Code 95667
County/Parish EL DORADO

Health System

Health System Marshall Medical Center
Health System Website Domain marshallmedical.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 2
Health System Total Beds 136
Health System Hospital Locations California and Tennessee

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Marshall Medical Centers
Emergency Services Yes

No leaders were identified on Marshall'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 111

Staffing & Personnel

FTE Employees on Payroll 1081.91
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 7932
Inpatient Days (Title XIX) 1206
Total Inpatient Days 19058
Bed Count 111
Available Bed Days 40150
Discharges (Title V) NA
Discharges (Title XVIII) 1797
Discharges (Title XIX) 220
Total Discharges 4780

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 6972
Inpatient Days (Title XIX; Adults & Peds) 945
Total Inpatient Days (Adults & Peds) 15996
Bed Count (Adults & Peds) 91
Available Bed Days (Adults & Peds) 32850
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1797
Discharges (Title XIX; Adults & Peds) 220
Total Discharges (Adults & Peds) 4780

Quality Summary

Care Quality Stengths Average overall patient satisfaction. The hospital is average in every measured mortality rate Hospital does a good job at treating conditions like heart failure so that patients don't have to come back to the hospital.
Care Quality Concerns 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 72%

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) 188

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -18.5
Readmission Score Hospital Return Days for Pneumonia Patients -2.4
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 10.7
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 9.6
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.7
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 17.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.3
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.6
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.7
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 15.7
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Fewer Days Than Average 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 Nov 01, 2021
Fiscal Year End Oct 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $1,315
Bad Debt Expense $734
Uncompensated Care Cost $1,544
Total Uncompensated Care $1,544

Operating Expenses ($ thousands)

Total Salaries $113,843
Overhead Expenses (Non-Salary) $189,151
Depreciation Expense $11,900
Total Operating Costs $268,534

Charges ($ thousands)

Inpatient Charges $566,291
Outpatient Charges $745,781
Total Patient Charges $1,312,072

Wage-Related Details ($ thousands)

Core Wage Costs $38,587
Wage Costs (RHC/FQHC) $385
Adjusted Salaries $113,843
Contract Labor (Patient Care) $2,205
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $20,234
Short-Term Investments
Notes Receivable
Accounts Receivable $128,218
Allowance for Doubtful Accounts $-69,186
Inventory $4,717
Prepaid Expenses $2,470
Other Current Assets
Total Current Assets $93,488

Balance Sheet – Fixed Assets ($ thousands)

Land Value $5,928
Land Improvements Value $18,775
Building Value $144,748
Leasehold Improvements $10,638
Fixed Equipment Value $20,092
Major Movable Equipment $94,082
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $104,741

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $87,340
Other Assets $42,494
Total Other Assets $129,835
Total Assets $328,064

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $13,504
Salaries & Wages Payable $18,872
Payroll Taxes Payable $4,230
Short-Term Debt $4,700
Deferred Revenue $-33
Other Current Liabilities $14,055
Total Current Liabilities $55,328

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $100,669
Unsecured Loans
Other Long-Term Liabilities $2,674
Total Long-Term Liabilities $103,343
Total Liabilities $158,671

Balance Sheet – Equity ($ thousands)

General Fund Balance $169,393
Total Fund Balances $169,393
Total Liabilities & Equity $328,064

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $22,983
DRG (Post-Oct 1) $2,023
Outlier Payments
DSH Adjustment $918
Eligible DSH % $0
Simulated MC Payments $9,616
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $568,269
Outpatient Revenue $787,095
Total Patient Revenue $1,355,364
Contractual Allowances & Discounts $1,069,381
Net Patient Revenue $285,983
Total Operating Expenses $302,994
Net Service Income $-17,011
Other Income $-1,698
Total Income $-18,709
Other Expenses $-14,487
Net Income $-4,222

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $36,200
Medicaid Charges $262,843
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