ProMedica Charles and Virginia Hickman Hospital

ProMedica Charles and Virginia Hickman Hospital, located at 5640 N Adrian Highway in Adrian, MI, is committed to providing expert medical care with a personal touch. Our state-of-the-art facility features 40 medical-surgical beds, 10 critical care beds, and 27 emergency rooms, along with a comprehensive range of services including women’s health, emergency care, and laboratory services. The Health and Wellness campus includes a YMCA, wellness center, and even a farm. We are dedicated to improving your health and well-being through exceptional care and community partnerships.

Identifiers

Hospital Name ProMedica Charles and Virginia Hickman Hospital
Facility ID 230005

Location

Address 5640 N ADRIAN HIGHWAY
City/Town Adrian
State MI
ZIP Code 49221
County/Parish LENAWEE

Health System

Health System ProMedica
Health System Website Domain promedica.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 8
Health System Total Beds 1705
Health System Hospital Locations Michigan and Ohio

Ownership & Characteristics

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

Julie Yaroch, DO

President, ProMedica Charles and Virginia Hickman Hospital

Julie Yaroch is Senior Vice President, ProMedica Inpatient and Retail Pharmacy and President of ProMedica Charles and Virginia Hickman Hospital. Prior to this appointment, Dr. Yaroch served as president of ProMedica Defiance Regional Hospital. Other positions she's held include vice president of medical affairs at Defiance Regional, Bixby and Herrick Hospitals. Dr. Yaroch is a board-certified internal medicine physician. She earned a Doctorate of Osteopathic Medicine from the University College of Osteopathic Medicine at Midwestern in Illinois. Dr. Yaroch is a member of the American Osteopathic Association.

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 88

Staffing & Personnel

FTE Employees on Payroll 470.63
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 3834
Inpatient Days (Title XIX) 652
Total Inpatient Days 11365
Bed Count 58
Available Bed Days 21170
Discharges (Title V) NA
Discharges (Title XVIII) 1015
Discharges (Title XIX) 66
Total Discharges 3009

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 3085
Inpatient Days (Title XIX; Adults & Peds) 133
Total Inpatient Days (Adults & Peds) 8658
Bed Count (Adults & Peds) 48
Available Bed Days (Adults & Peds) 17520
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1015
Discharges (Title XIX; Adults & Peds) 66
Total Discharges (Adults & Peds) 3009

Quality Summary

Care Quality Stengths High overall patient satisfaction. 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. Hospital does a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital.
Care Quality Concerns

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 66%

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) 168

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -22.5
Readmission Score Hospital Return Days for Pneumonia Patients -21.9
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 14
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 10.3
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.4
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.3
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13.6
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 18.2
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.8
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.9
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 Fewer 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 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 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 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) 0.781
CAUTI SIR (Standardized Infection Ratio) 0.573
SSI SIR (Standardized Infection Ratio) 1.280
CDI SIR (Standardized Infection Ratio) 0.829
MRSA SIR (Standardized Infection Ratio) 0.840

Fiscal Period

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

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $815
Bad Debt Expense $5,462
Uncompensated Care Cost $2,003
Total Uncompensated Care $5,979

Operating Expenses ($ thousands)

Total Salaries $31,349
Overhead Expenses (Non-Salary) $86,477
Depreciation Expense $10,500
Total Operating Costs $107,529

Charges ($ thousands)

Inpatient Charges $117,594
Outpatient Charges $441,537
Total Patient Charges $559,131

Wage-Related Details ($ thousands)

Core Wage Costs $6,788
Wage Costs (RHC/FQHC)
Adjusted Salaries $31,349
Contract Labor (Patient Care)
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $25,152
Short-Term Investments
Notes Receivable
Accounts Receivable $62,322
Allowance for Doubtful Accounts $-44,630
Inventory $2,695
Prepaid Expenses $226
Other Current Assets $464
Total Current Assets $46,506

Balance Sheet – Fixed Assets ($ thousands)

Land Value $1,245
Land Improvements Value $4,573
Building Value $129,954
Leasehold Improvements $24
Fixed Equipment Value
Major Movable Equipment $28,319
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $140,296

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $31,069
Other Assets $4,684
Total Other Assets $35,753
Total Assets $222,555

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $5,515
Salaries & Wages Payable $2,774
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $90,317
Total Current Liabilities $104,455

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $53,725
Total Long-Term Liabilities $53,725
Total Liabilities $158,180

Balance Sheet – Equity ($ thousands)

General Fund Balance $64,375
Total Fund Balances $64,375
Total Liabilities & Equity $222,555

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $6,609
DRG (Post-Oct 1) $2,455
Outlier Payments
DSH Adjustment $236
Eligible DSH % $0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $117,378
Outpatient Revenue $441,391
Total Patient Revenue $558,769
Contractual Allowances & Discounts $434,031
Net Patient Revenue $124,738
Total Operating Expenses $117,826
Net Service Income $6,911
Other Income $6,341
Total Income $13,253
Other Expenses $-3,018
Net Income $16,270

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $8,638
Medicaid Charges $89,854
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic
EHR Version EpicCare Inpatient (not Community Connect)
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No