Guam Memorial Hospital Authority

Guam Memorial Hospital Authority, located at 850 Gov. Carlos G. Camacho Road in Tamuning, Guam, is the island's only public hospital. As a community-based facility, we are committed to providing quality healthcare to the people of Guam and neighboring Pacific Islands. With 158 acute care beds and 40 long-term care beds at our Skilled Nursing Facility, we offer a wide range of services to meet the diverse healthcare needs of our community. GMHA is dedicated to improving our organization and enhancing the delivery of excellent patient care.

Identifiers

Hospital Name Guam Memorial Hospital Authority
Facility ID 650001

Location

Address 85O GOV CARLOS G CAMACHO ROAD
City/Town Tamuning
State GU
ZIP Code 96913
County/Parish GUAM

Health System

Health System Independent
Health System Website Domain gmha.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 159
Health System Hospital Locations NA

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Government - Local
Ownership Details Guam Memorial Hospital Authority
Emergency Services Yes

No leaders were identified on Guam Memorial Hospital Authority'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 159

Staffing & Personnel

FTE Employees on Payroll 1179.15
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 13140
Inpatient Days (Title XIX) 15960
Total Inpatient Days 48462
Bed Count 161
Available Bed Days 58765
Discharges (Title V) NA
Discharges (Title XVIII) 1441
Discharges (Title XIX) 2229
Total Discharges 6911

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 11461
Inpatient Days (Title XIX; Adults & Peds) 10985
Total Inpatient Days (Adults & Peds) 34829
Bed Count (Adults & Peds) 138
Available Bed Days (Adults & Peds) 50370
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1441
Discharges (Title XIX; Adults & Peds) 2229
Total Discharges (Adults & Peds) 6911

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 Hospital does not do a good job of treating conditions like heart attacks so that patients don't have to come back to the hospital. Hospital does not do a good job of treating conditions like heart failure so that patients don't have to come back to the hospital. Hospital does not do a good job of treating conditions like pneumonia so that patients don't have to come back to 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

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
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
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) 154

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 50.4
Readmission Score Hospital Return Days for Heart Failure Patients 44.4
Readmission Score Hospital Return Days for Pneumonia Patients 41.1
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.1
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 Not Available
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 14.6
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.3
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 22.4
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 15.7
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 17
Readmission Group Hospital Return Days for Heart Attack Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients More 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 Number of cases too small
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
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 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) 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 Oct 01, 2021
Fiscal Year End Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost
Bad Debt Expense
Uncompensated Care Cost
Total Uncompensated Care

Operating Expenses ($ thousands)

Total Salaries $82,975
Overhead Expenses (Non-Salary) $109,723
Depreciation Expense $4,422
Total Operating Costs $158,439

Charges ($ thousands)

Inpatient Charges $173,471
Outpatient Charges $34,057
Total Patient Charges $207,528

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 $3,514
Short-Term Investments
Notes Receivable
Accounts Receivable $49,505
Allowance for Doubtful Accounts
Inventory
Prepaid Expenses $454
Other Current Assets $532
Total Current Assets $63,634

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value $4,009
Building Value $27,525
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $31,535

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $82,188
Total Other Assets $82,188
Total Assets $177,356

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $24,696
Salaries & Wages Payable $747
Payroll Taxes Payable $1,508
Short-Term Debt $1,864
Deferred Revenue $17,423
Other Current Liabilities $560
Total Current Liabilities $46,798

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans $74,137
Other Long-Term Liabilities $313,929
Total Long-Term Liabilities $388,066
Total Liabilities $434,864

Balance Sheet – Equity ($ thousands)

General Fund Balance $-257,508
Total Fund Balances $-257,508
Total Liabilities & Equity $177,356

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 $173,471
Outpatient Revenue $73,070
Total Patient Revenue $246,541
Contractual Allowances & Discounts $115,362
Net Patient Revenue $131,179
Total Operating Expenses $192,698
Net Service Income $-61,519
Other Income $60,036
Total Income $-1,483
Other Expenses $376
Net Income $-1,859

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue
Medicaid Charges
Net CHIP Revenue
CHIP Charges

EHR Information

EHR MedSphere OpenVista / CareVue EHR
EHR Version MedSphere OpenVista / CareVue EHR
EHR is Changing Yes--In Process of Replacing

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No