Tri-City Medical Center

Tri-City Medical Center, located at 4002 Vista Way in Oceanside, CA, has proudly served the coastal communities of North San Diego County for over 60 years. As a full-service, acute-care public hospital, Tri-City offers a wide range of medical specialties, including leading orthopedic, spine, and cardiovascular services. We are also known for our world-class robotic surgery, cancer care, and emergency services, including rapid treatment for heart attacks and strokes. Tri-City Medical Center is dedicated to advancing the health and wellness of our community by providing compassionate, quality care close to home. With over 500 physicians practicing in more than 60 specialties, Tri-City Medical Center is your healthcare safety net.

Identifiers

Hospital Name Tri-City Medical Center
Facility ID 050128

Location

Address 4002 VISTA WAY
City/Town Oceanside
State CA
ZIP Code 92056
County/Parish SAN DIEGO

Health System

Health System Independent
Health System Website Domain tricitymed.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 1
Health System Total Beds 397
Health System Hospital Locations California

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Government - Hospital District or Authority
Ownership Details Tri-City Healthcare District
Emergency Services Yes

No leaders were identified on Tri-City 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 397

Staffing & Personnel

FTE Employees on Payroll 1366.12
FTE Interns & Residents 3.91

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 8946
Inpatient Days (Title XIX) 3000
Total Inpatient Days 42284
Bed Count 310
Available Bed Days 113150
Discharges (Title V) NA
Discharges (Title XVIII) 1766
Discharges (Title XIX) 446
Total Discharges 8142

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 8039
Inpatient Days (Title XIX; Adults & Peds) 2360
Total Inpatient Days (Adults & Peds) 37242
Bed Count (Adults & Peds) 264
Available Bed Days (Adults & Peds) 96360
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 1766
Discharges (Title XIX; Adults & Peds) 446
Total Discharges (Adults & Peds) 8142

Quality Summary

Care Quality Stengths The hospital is average in every measured mortality rate Hospital does a good job at treating conditions like heart attacks so that patients don't have to come back to the hospital.
Care Quality Concerns Very low overall patient satisfaction. Patients report challenges with nurse communication. Patients report that the care team can be slow at times in meeting their needs. Patients report challenges with communication about their medications. Patients reported significant challenges with transitions between departments in the hospital. Patients reported concerns with being abel to have quiet rest in the hospital 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 50%

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 No Different Than National Average
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) 272

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients -23.2
Readmission Score Hospital Return Days for Heart Failure Patients -4
Readmission Score Hospital Return Days for Pneumonia Patients -4.5
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 11.1
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 1.1
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 12.8
Readmission Score Rate of Readmission for CABG Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.2
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.5
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.3
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 13.9
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 16.4
Readmission Group Hospital Return Days for Heart Attack Patients Fewer Days Than Average per 100 Discharges
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 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 Number of Cases Too Small
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 $1,909
Bad Debt Expense $22,783
Uncompensated Care Cost $7,739
Total Uncompensated Care $7,739

Operating Expenses ($ thousands)

Total Salaries $125,958
Overhead Expenses (Non-Salary) $227,659
Depreciation Expense $7,343
Total Operating Costs $316,655

Charges ($ thousands)

Inpatient Charges $627,198
Outpatient Charges $620,346
Total Patient Charges $1,247,544

Wage-Related Details ($ thousands)

Core Wage Costs $33,044
Wage Costs (RHC/FQHC)
Adjusted Salaries $125,958
Contract Labor (Patient Care) $22,700
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $8,402
Short-Term Investments $9,491
Notes Receivable $2,383
Accounts Receivable $102,237
Allowance for Doubtful Accounts $-47,629
Inventory $11,750
Prepaid Expenses $4,086
Other Current Assets $4,080
Total Current Assets $97,647

Balance Sheet – Fixed Assets ($ thousands)

Land Value $15,052
Land Improvements Value $9,604
Building Value $169,436
Leasehold Improvements $10,640
Fixed Equipment Value $57,759
Major Movable Equipment $220,898
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $128,777

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments $11,646
Other Assets $21,390
Total Other Assets $33,036
Total Assets $259,460

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $83,498
Salaries & Wages Payable $14,913
Payroll Taxes Payable $6,200
Short-Term Debt $2,545
Deferred Revenue
Other Current Liabilities $27,374
Total Current Liabilities $135,243

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities $109,920
Total Long-Term Liabilities $109,920
Total Liabilities $245,163

Balance Sheet – Equity ($ thousands)

General Fund Balance $14,298
Total Fund Balances $14,298
Total Liabilities & Equity $259,460

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $6,017
DRG (Post-Oct 1) $19,295
Outlier Payments
DSH Adjustment $1,037
Eligible DSH % $0
Simulated MC Payments $28,601
Total IME Payments $101

Revenue & Income Statement ($ thousands)

Inpatient Revenue $627,198
Outpatient Revenue $620,346
Total Patient Revenue $1,247,544
Contractual Allowances & Discounts $945,153
Net Patient Revenue $302,390
Total Operating Expenses $353,617
Net Service Income $-51,227
Other Income $20,261
Total Income $-30,966
Other Expenses $1,597
Net Income $-32,563

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $80,471
Medicaid Charges
Net CHIP Revenue
CHIP Charges

EHR Information

EHR Oracle Health Millennium
EHR Version Oracle Health Millennium (Not CommunityWorks)
EHR is Changing No

ERP Information

ERP Unknown
ERP Version NA
EHR is Changing No