Tahoe Forest Hospital

Tahoe Forest Hospital, located at 10121 Pine Ave in Truckee, CA, has proudly served the community since 1952 as a not-for-profit rural health care facility. As a designated critical access hospital, we are fully accredited and offer a wide range of high-quality services, including 24-hour emergency care, diagnostic imaging at our state-of-the-art Briner Women's Imaging Center, cancer care at the Gene Upshaw Memorial Tahoe Forest Cancer Center, and comprehensive orthopedic and sports medicine programs. We are committed to clinical excellence and innovation and are recognized as a UC Davis Rural Center of Excellence. Focused on compassionate care, Tahoe Forest Hospital also provides long-term care, home health and hospice services, and family-centered care at the Joseph Family Center for Women and Newborn Care.

Identifiers

Hospital Name Tahoe Forest Hospital
Facility ID 051328

Location

Address 10121 PINE AVE
City/Town Truckee
State CA
ZIP Code 96161
County/Parish NEVADA

Health System

Health System Tahoe Forest Health System
Health System Website Domain tfhd.com
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 2
Health System Total Beds 33
Health System Hospital Locations California and Nevada

Ownership & Characteristics

Hospital Type Critical Access Hospitals
Hospital Ownership Government - Hospital District or Authority
Ownership Details Tahoe Forest Hospital District
Emergency Services Yes

Anna Roth

President & Chief Executive Officer

Anna M. Roth, RN, MS, MPH, has been appointed President and Chief Executive Officer of Tahoe Forest Health System. She was previously CEO of Contra Costa Health for fifteen years, overseeing a $3 billion health system. She is a registered nurse with over 30 years of healthcare experience and holds master's degrees from the University of California, San Francisco, and Harvard University. She is scheduled to begin her new position in March 2025.

Louis Ward

Chief Operating Officer / Administrator, IVCH

Served as Acting Chief Executive Officer.

Jake Dorst

Chief Information/Innovation Officer

NA

Crystal Felix

Chief Financial Officer

NA

Shawni Coll

Chief Medical Officer

NA

Jonathan Laine

Chief of Staff

Jonathan Laine MD FACEP is also a Faculty Member at Tahoe Wilderness Medicine LLC and a Member of the Board of Directors at Sierra Avalanche Center.

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 25

Staffing & Personnel

FTE Employees on Payroll 523.98
FTE Interns & Residents NA

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 1832
Inpatient Days (Title XIX) 316
Total Inpatient Days 5445
Bed Count 25
Available Bed Days 9125
Discharges (Title V) NA
Discharges (Title XVIII) 533
Discharges (Title XIX) 99
Total Discharges 1515

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 1632
Inpatient Days (Title XIX; Adults & Peds) 220
Total Inpatient Days (Adults & Peds) 3730
Bed Count (Adults & Peds) 19
Available Bed Days (Adults & Peds) 6935
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 533
Discharges (Title XIX; Adults & Peds) 99
Total Discharges (Adults & Peds) 1515

Quality Summary

Care Quality Stengths Overall patient satisfaction is overall very high. Patients report that nurse communication is excellent. Patients report that staff was good at responding quickly to their needs. Patients report that staff is excellent in meeting their needs very quickly. Patients were very positive about the quiet atmosphere of the hospital. 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 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 88%

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
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients
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
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) 131

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients Not Available
Readmission Score Hospital Return Days for Heart Failure Patients -16.1
Readmission Score Hospital Return Days for Pneumonia Patients 4.6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) Not Available
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 11.3
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 6.8
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 18.9
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.3
Readmission Score Rate of Readmission After Hip/Knee Replacement 5.1
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.7
Readmission Group Hospital Return Days for Heart Attack Patients Not Available
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) Not Available
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 Not Available
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) 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 $746
Bad Debt Expense $5,153
Uncompensated Care Cost $3,103
Total Uncompensated Care $34,070

Operating Expenses ($ thousands)

Total Salaries $111,510
Overhead Expenses (Non-Salary) $118,585
Depreciation Expense $12,712
Total Operating Costs $213,260

Charges ($ thousands)

Inpatient Charges $77,452
Outpatient Charges $372,494
Total Patient Charges $449,946

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 $33,851
Short-Term Investments
Notes Receivable
Accounts Receivable $93,235
Allowance for Doubtful Accounts $-47,893
Inventory $5,186
Prepaid Expenses $3,516
Other Current Assets $156,146
Total Current Assets $257,615

Balance Sheet – Fixed Assets ($ thousands)

Land Value $9,101
Land Improvements Value $3,847
Building Value $234,715
Leasehold Improvements $7,358
Fixed Equipment Value $6,927
Major Movable Equipment $98,071
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $172,958

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $13,366
Total Other Assets $13,366
Total Assets $443,939

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $9,423
Salaries & Wages Payable $27,713
Payroll Taxes Payable
Short-Term Debt $6,705
Deferred Revenue $0
Other Current Liabilities $8,488
Total Current Liabilities $52,329

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $151,167
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities $151,167
Total Liabilities $203,496

Balance Sheet – Equity ($ thousands)

General Fund Balance $240,443
Total Fund Balances $240,443
Total Liabilities & Equity $443,939

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 $84,702
Outpatient Revenue $439,874
Total Patient Revenue $524,577
Contractual Allowances & Discounts $260,245
Net Patient Revenue $264,332
Total Operating Expenses $230,095
Net Service Income $34,237
Other Income $35,408
Total Income $69,645
Other Expenses $50,464
Net Income $19,181

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $9,938
Medicaid Charges $86,302
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Epic Community Connect
EHR Version EpicCare Community Connect
EHR is Changing No

ERP Information

ERP Workday
ERP Version NA
EHR is Changing No