Adventist Health Tillamook

Identifiers

Hospital Name	Adventist Health Tillamook
Facility ID	381317

Location

Address	1000 THIRD STREET
City/Town	Tillamook
State	OR
ZIP Code	97141
County/Parish	TILLAMOOK

Health System

Health System	Adventist Health
Health System Website Domain	adventisthealth.org
Recently Joined Health System (Past 4 Years)	No

Health System Size & Scope

Health System Total Hospitals	26
Health System Total Beds	3713
Health System Hospital Locations	California, Hawaii and Oregon

Ownership & Characteristics

Hospital Type	Critical Access Hospitals
Hospital Ownership	Voluntary non-profit - Church
Ownership Details	Adventist Health
Emergency Services	Yes

Eric Swanson

President

Eric Swanson, MBA, FACHE, NRP, has been named president in Tillamook. [9, 10] He previously served as executive director of strategy and business development and has held a number of clinical roles with Adventist Health Tillamook for 30 years. [9, 10] He has demonstrated a clear commitment to the mission of Adventist Health and a passion for the wellbeing of rural communities throughout Oregon. [9] Swanson began his career as a hospital teen volunteer, then worked as a paramedic, followed by leadership roles across Oregon in public safety and healthcare. [10] He is also a certified Rural Hospital Chief Executive Officer and Patient Care Executive Officer. [3] He has been in the role of president for almost five years. [14] Eric's mother was the only nurse anesthetist when the hospital became an Adventist Hospital, and he would come with her as a child if there was an emergency. [2, 14]

Micah Smith

Finance Officer

Heather Thompson

Chief Nursing Officer

Heather Thompson, RN, received official designation as a certified rural hospital Chief Nursing Officer. [3]

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	339.77
FTE Interns & Residents	NA

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	1737
Inpatient Days (Title XIX)	261
Total Inpatient Days	4220
Bed Count	25
Available Bed Days	9125
Discharges (Title V)	NA
Discharges (Title XVIII)	377
Discharges (Title XIX)	13
Total Discharges	941

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	1273
Inpatient Days (Title XIX; Adults & Peds)	72
Total Inpatient Days (Adults & Peds)	3016
Bed Count (Adults & Peds)	21
Available Bed Days (Adults & Peds)	7665
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	377
Discharges (Title XIX; Adults & Peds)	13
Total Discharges (Adults & Peds)	941

Quality Summary

Care Quality Stengths	High overall patient satisfaction. 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. The hospital is average in every measured mortality rate
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	63%

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	No Different Than National Average
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	-0.5
Readmission Score Hospital Return Days for Pneumonia Patients	-6.8
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	10
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	6.2
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	19.6
Readmission Score Rate of Readmission After Hip/Knee Replacement	4.3
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	15.2
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	Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	Number of Cases Too Small
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	Number of cases too small
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	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	Jan 01, 2022
Fiscal Year End	Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost	$1,030
Bad Debt Expense	$2,671
Uncompensated Care Cost	$2,528
Total Uncompensated Care	$2,528

Operating Expenses ($ thousands)

Total Salaries	$32,185
Overhead Expenses (Non-Salary)	$71,220
Depreciation Expense	$1,016
Total Operating Costs	$100,056

Charges ($ thousands)

Inpatient Charges	$29,511
Outpatient Charges	$127,893
Total Patient Charges	$157,405

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	$54,694
Short-Term Investments
Notes Receivable
Accounts Receivable	$30,219
Allowance for Doubtful Accounts	$-14,569
Inventory	$1,686
Prepaid Expenses	$46
Other Current Assets	$-605
Total Current Assets	$72,263

Balance Sheet – Fixed Assets ($ thousands)

Land Value	$2,737
Land Improvements Value
Building Value	$29,527
Leasehold Improvements
Fixed Equipment Value	$169
Major Movable Equipment	$17,690
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets	$9,243

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets	$2,032
Total Other Assets	$2,032
Total Assets	$83,538

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$4,578
Salaries & Wages Payable	$2,114
Payroll Taxes Payable
Short-Term Debt	$125
Deferred Revenue
Other Current Liabilities	$5,673
Total Current Liabilities	$12,490

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable	$6,023
Unsecured Loans
Other Long-Term Liabilities	$1,431
Total Long-Term Liabilities	$7,454
Total Liabilities	$19,944

Balance Sheet – Equity ($ thousands)

General Fund Balance	$63,593
Total Fund Balances	$63,593
Total Liabilities & Equity	$83,538

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	$32,139
Outpatient Revenue	$146,501
Total Patient Revenue	$178,640
Contractual Allowances & Discounts	$71,948
Net Patient Revenue	$106,693
Total Operating Expenses	$103,405
Net Service Income	$3,287
Other Income	$2,973
Total Income	$6,260
Other Expenses	$860
Net Income	$5,400

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio	$0
Net Medicaid Revenue	$26,598
Medicaid Charges	$37,081
Net CHIP Revenue
CHIP Charges

EHR Information

EHR	Epic
EHR Version	EpicCare Inpatient (not Community Connect)
EHR is Changing	Yes--In Process of Replacing

ERP Information

ERP	Oracle
ERP Version	Fusion 10
EHR is Changing	No