Astria Toppenish Hospital

Astria Toppenish Hospital, located at 502 W Fourth Ave in Toppenish, WA, is a Joint Commission-accredited, 63-bed community hospital dedicated to serving the unique healthcare needs of Toppenish and the surrounding communities, including the Yakama Nation. We offer a full range of inpatient and outpatient services, including a 24/7 Emergency Department with Level IV Trauma Services, an Intensive Care Unit, and specialized services such as inpatient psychiatric care and medical withdrawal management. Our commitment extends to providing advanced diagnostics like CT, MRI, and ECHO cardiography, alongside a full-service laboratory. As a vital part of Eastern Washington's non-profit Astria Health, we are dedicated to providing compassionate, community-focused care.

Identifiers

Hospital Name Astria Toppenish Hospital
Facility ID 500037

Location

Address 502 W FOURTH AVE
City/Town Toppenish
State WA
ZIP Code 98948
County/Parish YAKIMA

Health System

Health System Astria Health
Health System Website Domain astria.health
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 2
Health System Total Beds 88
Health System Hospital Locations Washington

Ownership & Characteristics

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

Cathy Bambrick

MS, FACHE, RHCEOC, Hospital Administrator

Mentioned as hospital Administrator in the context of a behavioral health unit expansion.

Melissa Waggoner

RN, MSN, CNO HSC Co-Chair

Listed as CNO HSC Co-Chair in a staffing charter document.

Raul Garcia-Rodriguez

DO, FACOEP, FACEP, Medical Director

Listed as Medical Director, Astria Toppenish Hospital.

Tyra Villafán

LICSW, CCTP

Residency Programs

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

Capacity & Services

Licensed Beds 63

Staffing & Personnel

FTE Employees on Payroll 198.63
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1327
Inpatient Days (Title XIX) 4104
Total Inpatient Days 9050
Bed Count 47
Available Bed Days 17155
Discharges (Title V) NA
Discharges (Title XVIII) 148
Discharges (Title XIX) 330
Total Discharges 756

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1207
Inpatient Days (Title XIX; Adults & Peds) 3117
Total Inpatient Days (Adults & Peds) 6868
Bed Count (Adults & Peds) 40
Available Bed Days (Adults & Peds) 14600
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 148
Discharges (Title XIX; Adults & Peds) 330
Total Discharges (Adults & Peds) 756

Quality Summary

Care Quality Stengths 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 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 54%

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 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
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) 150

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 21.6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.5
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 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 Not Available
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.5
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.4
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 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 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 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 No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio) 0.000
CAUTI SIR (Standardized Infection Ratio) 1.957
SSI SIR (Standardized Infection Ratio) N/A
CDI SIR (Standardized Infection Ratio) 0.000
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Jan 01, 2022
Fiscal Year End Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $481
Bad Debt Expense $181
Uncompensated Care Cost $540
Total Uncompensated Care $6,877

Operating Expenses ($ thousands)

Total Salaries $21,036
Overhead Expenses (Non-Salary) $43,849
Depreciation Expense $1,388
Total Operating Costs $61,267

Charges ($ thousands)

Inpatient Charges $52,826
Outpatient Charges $152,241
Total Patient Charges $205,067

Wage-Related Details ($ thousands)

Core Wage Costs $3,162
Wage Costs (RHC/FQHC) $1,307
Adjusted Salaries $21,036
Contract Labor (Patient Care) $6,338
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $307
Short-Term Investments
Notes Receivable
Accounts Receivable $54,300
Allowance for Doubtful Accounts $-44,093
Inventory $2,730
Prepaid Expenses $379
Other Current Assets
Total Current Assets $-9,382

Balance Sheet – Fixed Assets ($ thousands)

Land Value $100
Land Improvements Value $477
Building Value $8,244
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $2,264
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $8,028

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets $-1,353

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $3,505
Salaries & Wages Payable $1,495
Payroll Taxes Payable $434
Short-Term Debt
Deferred Revenue
Other Current Liabilities $1,528
Total Current Liabilities $6,962

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $148
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities $148
Total Liabilities $7,110

Balance Sheet – Equity ($ thousands)

General Fund Balance $-8,463
Total Fund Balances $-8,463
Total Liabilities & Equity $-1,353

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $1,041
DRG (Post-Oct 1) $331
Outlier Payments
DSH Adjustment $41
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $53,204
Outpatient Revenue $154,135
Total Patient Revenue $207,339
Contractual Allowances & Discounts $151,944
Net Patient Revenue $55,395
Total Operating Expenses $64,885
Net Service Income $-9,490
Other Income $3,957
Total Income $-5,534
Other Expenses
Net Income $-5,534

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $16,561
Medicaid Charges $81,649
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium CommunityWorks
EHR Version Oracle Health Millennium CommunityWorks
EHR is Changing No

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No