Trinity Health Livingston

Trinity Health Livingston is a 66-bed full-service hospital located in Howell, Michigan, dedicated to providing compassionate, high-quality care to the Livingston County community. We offer advanced technology and a highly skilled medical staff, including 24-hour emergency services, inpatient and outpatient surgery (including robotic surgery), and a variety of diagnostic services. As part of Trinity Health Michigan, our patients have seamless access to advanced care at Trinity Health Ann Arbor Hospital when needed. We are also a teaching hospital, providing educational opportunities in Family Medicine and other specialties. Please note that Trinity Health Livingston Hospital will be relocating to the Brighton campus in 2026.

Identifiers

Hospital Name Trinity Health Livingston
Facility ID 230069

Location

Address 620 BYRON RD
City/Town Howell
State MI
ZIP Code 48843
County/Parish LIVINGSTON

Health System

Health System Trinity Health
Health System Website Domain trinity-health.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 35
Health System Total Beds 8691
Health System Hospital Locations Connecticut, Delaware, Florida, Georgia, Iowa, Idaho, Illinois, Indiana, Massachusetts, Maryland, Michigan, North Dakota, New York, Ohio, Oregon and Pennsylvania

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Other
Ownership Details Trinity Health
Emergency Services Yes

John O'Malley

President, Trinity Health Livingston and Trinity Health Medical Center — Brighton

Mentioned as president in relation to the new hospital construction and the sale of the legacy hospital. [8, 11, 12]

Alonzo Lewis

President, Trinity Health Ann Arbor and Livingston

Mentioned in the context of the new hospital groundbreaking and listed on the Trinity Health Michigan leadership team. [3, 7]

David Vandenberg, MD

Chief Medical Officer

Mentioned in the context of the new Trinity Health Livingston hospital groundbreaking ceremony. [3]

Karla Zarb

Chief Nursing Officer

Mentioned in the context of the new Trinity Health Livingston hospital groundbreaking ceremony. [3]

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 136

Staffing & Personnel

FTE Employees on Payroll 645.42
FTE Interns & Residents 31.67

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 4151
Inpatient Days (Title XIX) 290
Total Inpatient Days 11649
Bed Count 42
Available Bed Days 15330
Discharges (Title V) NA
Discharges (Title XVIII) 1103
Discharges (Title XIX) 107
Total Discharges 3397

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 3634
Inpatient Days (Title XIX; Adults & Peds) 212
Total Inpatient Days (Adults & Peds) 10033
Bed Count (Adults & Peds) 34
Available Bed Days (Adults & Peds) 12410
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1103
Discharges (Title XIX; Adults & Peds) 107
Total Discharges (Adults & Peds) 3397

Quality Summary

Care Quality Stengths High overall patient satisfaction. Patients report that nurse communication is excellent. 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 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 71%

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) 156

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -18.4
Readmission Score Hospital Return Days for Pneumonia Patients -6.9
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 14.9
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 11.4
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 6.7
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 17.3
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.1
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.4
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 14.4
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 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 Better 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) N/A
CDI SIR (Standardized Infection Ratio) 0.380
MRSA SIR (Standardized Infection Ratio) N/A

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $916
Bad Debt Expense $8,192
Uncompensated Care Cost $2,605
Total Uncompensated Care $6,331

Operating Expenses ($ thousands)

Total Salaries $58,166
Overhead Expenses (Non-Salary) $111,706
Depreciation Expense $1,982
Total Operating Costs $136,737

Charges ($ thousands)

Inpatient Charges $104,508
Outpatient Charges $596,223
Total Patient Charges $700,731

Wage-Related Details ($ thousands)

Core Wage Costs $11,904
Wage Costs (RHC/FQHC)
Adjusted Salaries $56,750
Contract Labor (Patient Care) $399
Wage Costs (Part A Teaching) $14
Wage Costs (Interns & Residents) $475

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $199
Short-Term Investments
Notes Receivable
Accounts Receivable $68,862
Allowance for Doubtful Accounts $-47,985
Inventory $3,768
Prepaid Expenses $173
Other Current Assets $59
Total Current Assets $624,895

Balance Sheet – Fixed Assets ($ thousands)

Land Value $3,289
Land Improvements Value $1,192
Building Value $73,990
Leasehold Improvements $1,080
Fixed Equipment Value $4,874
Major Movable Equipment $35,338
Minor Depreciable Equipment $1,505
Health IT Assets
Total Fixed Assets $49,736

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $78
Other Assets $16,552
Total Other Assets $16,838
Total Assets $691,469

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $502,058
Salaries & Wages Payable $4,297
Payroll Taxes Payable $160
Short-Term Debt $467
Deferred Revenue
Other Current Liabilities $1,113
Total Current Liabilities $508,095

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $26,304
Total Long-Term Liabilities $26,304
Total Liabilities $534,400

Balance Sheet – Equity ($ thousands)

General Fund Balance $157,070
Total Fund Balances $157,070
Total Liabilities & Equity $691,469

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $2,634
DRG (Post-Oct 1) $6,783
Outlier Payments
DSH Adjustment
Eligible DSH %
Simulated MC Payments $9,903
Total IME Payments $3,338

Revenue & Income Statement ($ thousands)

Inpatient Revenue $106,478
Outpatient Revenue $630,174
Total Patient Revenue $736,653
Contractual Allowances & Discounts $536,221
Net Patient Revenue $200,432
Total Operating Expenses $169,872
Net Service Income $30,560
Other Income $5,739
Total Income $36,299
Other Expenses $-15
Net Income $36,314

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $11,623
Medicaid Charges $78,659
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 Workday
ERP Version NA
EHR is Changing No