Orchard Hospital

Orchard Hospital, located in Gridley, CA, is a 45-bed critical access hospital dedicated to serving the communities of Biggs, Gridley, Richvale, and Live Oak. As the sole emergency service provider on Highway 99 between Sacramento and Chico, we offer a wide range of services, including emergency care, cardiopulmonary services, radiology, and skilled nursing care. Our focus is on promoting healthy lifestyles, with specialized services such as obesity prevention and management. With a compassionate and professional staff, Orchard Hospital is committed to providing exceptional care to you and your family. Founded in 1949, we are proud to be a vital part of the community.

Identifiers

Hospital Name Orchard Hospital
Facility ID 051311

Location

Address 240 SPRUCE STREET
City/Town Gridley
State CA
ZIP Code 95948
County/Parish BUTTE

Health System

Health System Independent
Health System Website Domain orchardhospital.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 24
Health System Hospital Locations California

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Independent
Emergency Services Yes

Amy Micheli

Chief Executive Officer

Amy Micheli, a lifelong Northern California resident and proud member of the Live Oak community, began her career as a registered nurse in 1998. Over the past 25 years, she has dedicated much of her time to healthcare management and administration, including 12 years as the director of a large hospice program. In 2015, Amy earned her Family Nurse Practitioner (FNP) certification and a Master's in Nursing Practice, followed by a Doctorate in Nursing Practice in 2017. Clinically, she has served as a Hospitalist Nurse Practitioner since 2015. Amy joined American Advanced Management in February 2018, initially serving as the Chief Operations and Nursing Officer for both Colusa Medical Center and Glenn Medical Center. She was later promoted to Corporate Director of Provider Relations and, more recently, to Corporate Operations. In August, Amy Micheli assumed her current role as CEO of Orchard Hospital.

Kirsten Storne-Piazza

Director of Provider Relations and Psychiatric Program Innovation

NA

Whitney Dubiel

Director of Nursing

NA

Rajvinder Singh

Director of Operations

NA

Clark Redfield

Chairperson

Clark S. Redfield, Chairperson to the Orchard Hospital Board, has lived in Gridley for eight years. Clark served as the Superintendent for the Gridley Unified School District for eight years until his retirement in October, 2011. He received his Bachelors Degree from San Jose State University in 1973, a Master's Degree in Industrial Studies in 1978 and a Master's Degree in Education Administration in 1979.

Dago Candelario

Vice Chairperson

NA

Ben Taylor

Treasurer

NA

JT Kullar

Secretary

NA

Ed Becker

Board Member

NA

Joe Cunha

Board Member

NA

Maggie Daugherty

Board Member

NA

Landon Little

Board Member

NA

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 24

Staffing & Personnel

FTE Employees on Payroll 133.55
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) 29
Inpatient Days (Title XVIII) 3045
Inpatient Days (Title XIX) NA
Total Inpatient Days 4407
Bed Count 24
Available Bed Days 8760
Discharges (Title V) 8
Discharges (Title XVIII) 178
Discharges (Title XIX) NA
Total Discharges 317

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) 29
Inpatient Days (Title XVIII; Adults & Peds) 652
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 1196
Bed Count (Adults & Peds) 24
Available Bed Days (Adults & Peds) 8760
Discharges (Title V; Adults & Peds) 8
Discharges (Title XVIII; Adults & Peds) 178
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 317

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate
Care Quality Concerns NA

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 76%

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
Mortality Group – Death Rate for Heart Failure Patients
Mortality Group – Death Rate for Pneumonia Patients No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
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) Not Available

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients Not Available
Readmission Score Hospital Return Days for Pneumonia Patients -6.8
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 Not Available
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate Not Available
Readmission Score Rate of Readmission After Hip/Knee Replacement Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.2
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.7
Readmission Group Hospital Return Days for Heart Attack Patients Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients Number of Cases Too Small
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 Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Not Available
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 Number of Cases Too Small
Readmission Group Heart Failure (HF) 30-Day Readmission Rate Number of Cases Too Small
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 Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $64
Bad Debt Expense $2,725
Uncompensated Care Cost $1,050
Total Uncompensated Care $9,395

Operating Expenses ($ thousands)

Total Salaries $13,930
Overhead Expenses (Non-Salary) $15,962
Depreciation Expense $649
Total Operating Costs $27,272

Charges ($ thousands)

Inpatient Charges $18,399
Outpatient Charges $56,316
Total Patient Charges $74,715

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 $981
Short-Term Investments
Notes Receivable
Accounts Receivable $3,280
Allowance for Doubtful Accounts
Inventory $444
Prepaid Expenses $127
Other Current Assets
Total Current Assets $9,088

Balance Sheet – Fixed Assets ($ thousands)

Land Value $107
Land Improvements Value $179
Building Value $4,535
Leasehold Improvements
Fixed Equipment Value
Major Movable Equipment $8,692
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $3,167

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $2,642
Other Assets $29
Total Other Assets $2,671
Total Assets $14,926

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $3,846
Salaries & Wages Payable $1,560
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities $8
Total Current Liabilities $5,414

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $1,221
Unsecured Loans
Other Long-Term Liabilities $1,001
Total Long-Term Liabilities $2,222
Total Liabilities $7,636

Balance Sheet – Equity ($ thousands)

General Fund Balance $7,290
Total Fund Balances $7,290
Total Liabilities & Equity $14,926

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 $18,346
Outpatient Revenue $73,858
Total Patient Revenue $92,203
Contractual Allowances & Discounts $66,011
Net Patient Revenue $26,193
Total Operating Expenses $29,892
Net Service Income $-3,699
Other Income $1,393
Total Income $-2,306
Other Expenses
Net Income $-2,306

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $5,087
Medicaid Charges $37,397
Net CHIP Revenue
CHIP Charges

EHR Information

EHR TruBridge Thrive EHR
EHR Version TruBridge Thrive EHR
EHR is Changing No

ERP Information

ERP Community HIS Solution
ERP Version NA
EHR is Changing NA