Adventist Health Columbia Gorge

Adventist Health Columbia Gorge, located at 1700 E 19th Street in The Dalles, Oregon, is a faith-based, nonprofit healthcare organization dedicated to serving the Columbia River Gorge community. As a Planetree-certified hospital, we emphasize patient-centered care with a wide range of services, including primary care, specialty clinics, and immediate care. Our mission is to inspire health, wholeness, and hope by bringing the best in evidence-based treatments and technology close to home. Founded by local residents for local residents, we are committed to redefining healthcare in the 21st century. Adventist Health Columbia Gorge is recognized for superior clinical outcomes, including the America's 50 Best Hospitals for Outpatient Prostate Care Award.

Identifiers

Hospital Name Adventist Health Columbia Gorge
Facility ID 380001

Location

Address 1700 E 19TH STREET
City/Town The Dalles
State OR
ZIP Code 97058
County/Parish WASCO

Health System

Health System Adventist Health
Health System Website Domain adventisthealth.org
Recently Joined Health System (Past 4 Years) Yes

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 - Other
Ownership Details Adventist Health
Emergency Services Yes

Jayme Thompson

Operations Executive/Administrator

Jayme Thompson, MSN, RN, transitioned into her position Nov. 24, 2024. She was born at The Dalles hospital and has dedicated over 20 years of her career to caring for patients, mentoring nurses and leading teams at Adventist Health Columbia Gorge. Her journey began as an emergency department nurse and progressed through various leadership roles, including serving as the director of emergency services and most recently as patient care executive. Kyle King, Adventist Health Oregon service area president, highlighted her wealth of history and commitment to the community, as well as her passion for building successful teams that promote a collaborative environment. Thompson's experience, clinical expertise, and dedication to fostering a culture of collaboration, safety, and quality are noted as positioning her to be an exceptional leader. She expressed excitement to lead the teams in stabilizing the organization, recruiting talent, and innovating to better serve the community. Outside of work, she is a mother of twin boys and enjoys hiking, fishing, and cheering on her boys at their games. [9, 10]

Camie Overton

Interim Administrator

Camie Overton served as Interim Administrator, filling the role after the retirement of Dennis Knox and before Jayme Thompson transitioned into the Operations Executive/Administrator position. [8, 9, 10] She was also referred to as operations executive for Adventist Health Columbia Gorge. [8]

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 49

Staffing & Personnel

FTE Employees on Payroll 573.93
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 4630
Inpatient Days (Title XIX) 718
Total Inpatient Days 7877
Bed Count 44
Available Bed Days 16060
Discharges (Title V) NA
Discharges (Title XVIII) 690
Discharges (Title XIX) 131
Total Discharges 2016

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 3411
Inpatient Days (Title XIX; Adults & Peds) 154
Total Inpatient Days (Adults & Peds) 5003
Bed Count (Adults & Peds) 27
Available Bed Days (Adults & Peds) 9855
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 690
Discharges (Title XIX; Adults & Peds) 131
Total Discharges (Adults & Peds) 2016

Quality Summary

Care Quality Stengths High overall patient satisfaction. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. 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. 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 had some challengs with infection rates being high.

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
Mortality Group – Death Rate for Heart Attack Patients
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) 147

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -29.9
Readmission Score Hospital Return Days for Pneumonia Patients 3.7
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 14.4
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 4.6
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 0.7
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 18.7
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.6
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 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 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) N/A
CAUTI SIR (Standardized Infection Ratio) 0.000
SSI SIR (Standardized Infection Ratio) 0.770
CDI SIR (Standardized Infection Ratio) 0.627
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 $2,229
Bad Debt Expense $453
Uncompensated Care Cost $2,403
Total Uncompensated Care $9,050

Operating Expenses ($ thousands)

Total Salaries $66,483
Overhead Expenses (Non-Salary) $81,384
Depreciation Expense $4,681
Total Operating Costs $115,983

Charges ($ thousands)

Inpatient Charges $58,603
Outpatient Charges $213,228
Total Patient Charges $271,831

Wage-Related Details ($ thousands)

Core Wage Costs $9,830
Wage Costs (RHC/FQHC) $1,568
Adjusted Salaries $66,483
Contract Labor (Patient Care) $6,764
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $5,443
Short-Term Investments
Notes Receivable $8
Accounts Receivable $32,558
Allowance for Doubtful Accounts $-10,307
Inventory $1,586
Prepaid Expenses $1,347
Other Current Assets $952
Total Current Assets $31,848

Balance Sheet – Fixed Assets ($ thousands)

Land Value $623
Land Improvements Value $542
Building Value $25,330
Leasehold Improvements
Fixed Equipment Value $8,361
Major Movable Equipment $36,262
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $14,686

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $2,312
Other Assets $46,261
Total Other Assets $48,573
Total Assets $95,107

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $6,059
Salaries & Wages Payable $5,930
Payroll Taxes Payable $676
Short-Term Debt
Deferred Revenue $131
Other Current Liabilities $1,764
Total Current Liabilities $14,561

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $47,180
Unsecured Loans
Other Long-Term Liabilities $592
Total Long-Term Liabilities $47,771
Total Liabilities $62,333

Balance Sheet – Equity ($ thousands)

General Fund Balance $32,774
Total Fund Balances $32,774
Total Liabilities & Equity $95,107

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $5,672
DRG (Post-Oct 1) $2,046
Outlier Payments
DSH Adjustment $188
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $65,537
Outpatient Revenue $234,366
Total Patient Revenue $299,903
Contractual Allowances & Discounts $176,691
Net Patient Revenue $123,213
Total Operating Expenses $147,868
Net Service Income $-24,655
Other Income $12,616
Total Income $-12,039
Other Expenses
Net Income $-12,039

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $12,616
Medicaid Charges $45,148
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MEDITECH
EHR Version Unknown
EHR is Changing No

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No