Legacy Mount Hood Medical Center

Legacy Mount Hood Medical Center, located at 24800 SE Stark Street in Gresham, Oregon, is a full-service community hospital dedicated to providing advanced medical care with a personal touch. As part of the Legacy Health system, this 115-bed facility offers a wide range of services, including emergency care, maternity, surgery, and specialized treatments such as robotic-assisted surgery and cancer care. Committed to compassionate, community-focused healthcare, Legacy Mount Hood continues to expand its services to meet the growing needs of East County. The hospital has a strong reputation for quality care and has received accolades for patient safety and satisfaction. Visit us to experience award-winning patient care in a warm and welcoming environment.

Identifiers

Hospital Name Legacy Mount Hood Medical Center
Facility ID 380025

Location

Address 24800 SE STARK STREET
City/Town Gresham
State OR
ZIP Code 97030
County/Parish MULTNOMAH

Health System

Health System Legacy Health
Health System Website Domain legacyhealth.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 6
Health System Total Beds 1561
Health System Hospital Locations Oregon and Washington

Ownership & Characteristics

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

No leaders were identified on Legacy Mount Hood Medical Center'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 115

Staffing & Personnel

FTE Employees on Payroll 662.83
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 5502
Inpatient Days (Title XIX) 2260
Total Inpatient Days 27231
Bed Count 99
Available Bed Days 36135
Discharges (Title V) NA
Discharges (Title XVIII) 934
Discharges (Title XIX) 1654
Total Discharges 5213

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 5118
Inpatient Days (Title XIX; Adults & Peds) 1372
Total Inpatient Days (Adults & Peds) 22794
Bed Count (Adults & Peds) 89
Available Bed Days (Adults & Peds) 32485
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 934
Discharges (Title XIX; Adults & Peds) 1654
Total Discharges (Adults & Peds) 5213

Quality Summary

Care Quality Stengths Average overall patient satisfaction. The hospital is average in every measured mortality rate 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 has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated

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 67%

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 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) 180

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients 22.2
Readmission Score Hospital Return Days for Pneumonia Patients -25.4
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 12.3
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 0.9
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 18.1
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.2
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.2
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.6
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 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 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 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) 1.034
CAUTI SIR (Standardized Infection Ratio) 1.829
SSI SIR (Standardized Infection Ratio) 1.223
CDI SIR (Standardized Infection Ratio) 0.651
MRSA SIR (Standardized Infection Ratio) 0.815

Fiscal Period

Fiscal Year Begin Apr 01, 2022
Fiscal Year End Mar 31, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $11,976
Bad Debt Expense $6,139
Uncompensated Care Cost $14,052
Total Uncompensated Care $46,928

Operating Expenses ($ thousands)

Total Salaries $80,559
Overhead Expenses (Non-Salary) $136,848
Depreciation Expense $1,253
Total Operating Costs $208,057

Charges ($ thousands)

Inpatient Charges $256,377
Outpatient Charges $361,436
Total Patient Charges $617,813

Wage-Related Details ($ thousands)

Core Wage Costs $22,504
Wage Costs (RHC/FQHC)
Adjusted Salaries $80,559
Contract Labor (Patient Care) $10,756
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $-272
Short-Term Investments
Notes Receivable
Accounts Receivable $85,151
Allowance for Doubtful Accounts $-61,582
Inventory $2,059
Prepaid Expenses $135
Other Current Assets
Total Current Assets $28,211

Balance Sheet – Fixed Assets ($ thousands)

Land Value $1,495
Land Improvements Value $2,070
Building Value $55,689
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $63,200
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $31,167

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $70,135
Total Other Assets $70,135
Total Assets $129,513

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $2,923
Salaries & Wages Payable $1,327
Payroll Taxes Payable $5,860
Short-Term Debt $902
Deferred Revenue
Other Current Liabilities $3,590
Total Current Liabilities $14,833

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $27,094
Total Long-Term Liabilities $27,094
Total Liabilities $41,927

Balance Sheet – Equity ($ thousands)

General Fund Balance $87,585
Total Fund Balances $87,585
Total Liabilities & Equity $129,513

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $5,607
DRG (Post-Oct 1) $5,826
Outlier Payments
DSH Adjustment $628
Eligible DSH % $0
Simulated MC Payments $20,000
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue $254,563
Outpatient Revenue $372,820
Total Patient Revenue $627,383
Contractual Allowances & Discounts $430,155
Net Patient Revenue $197,228
Total Operating Expenses $217,407
Net Service Income $-20,179
Other Income $8,265
Total Income $-11,914
Other Expenses $89
Net Income $-12,003

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $31,967
Medicaid Charges $194,785
Net CHIP Revenue $1,352
CHIP Charges $5,872

EHR Information

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

ERP Information

ERP Infor
ERP Version S3
EHR is Changing No