Cascade Valley Hospital - HealthLuminate

Identifiers

Hospital Name	Cascade Valley Hospital
Facility ID	500060

Location

Address	330 S STILLAGUAMISH AVE
City/Town	Arlington
State	WA
ZIP Code	98223
County/Parish	SNOHOMISH

Health System

Health System	Skagit Regional Health
Health System Website Domain	skagitregionalhealth.org
Recently Joined Health System (Past 4 Years)	No

Health System Size & Scope

Health System Total Hospitals	2
Health System Total Beds	282
Health System Hospital Locations	Washington

Ownership & Characteristics

Hospital Type	Acute Care Hospitals
Hospital Ownership	Government - Hospital District or Authority
Ownership Details	Skagit Regional Health
Emergency Services	Yes

No leaders were identified on Cascade Valley Hospital'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	48

Staffing & Personnel

FTE Employees on Payroll	238.51
FTE Interns & Residents	NA

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	2228
Inpatient Days (Title XIX)	133
Total Inpatient Days	8399
Bed Count	48
Available Bed Days	17520
Discharges (Title V)	NA
Discharges (Title XVIII)	326
Discharges (Title XIX)	39
Total Discharges	1625

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	2164
Inpatient Days (Title XIX; Adults & Peds)	100
Total Inpatient Days (Adults & Peds)	6289
Bed Count (Adults & Peds)	42
Available Bed Days (Adults & Peds)	15330
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	326
Discharges (Title XIX; Adults & Peds)	39
Total Discharges (Adults & Peds)	1625

Quality Summary

Care Quality Stengths	The hospital is average in every measured mortality rate
Care Quality Concerns	Low overall patient satisfaction. 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 struggles with high infection rates

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	56%

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	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	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
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate	No Different Than National Average
Mortality Group – Postoperative Sepsis Rate
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)	206

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients	Not Available
Readmission Score Hospital Return Days for Heart Failure Patients	-2.5
Readmission Score Hospital Return Days for Pneumonia Patients	-17.2
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	13
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	0.7
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	Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate	19.3
Readmission Score Rate of Readmission After Hip/Knee Replacement	Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	14.1
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	15.6
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)	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	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	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	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)	0.837
CAUTI SIR (Standardized Infection Ratio)	3.932
SSI SIR (Standardized Infection Ratio)	1.439
CDI SIR (Standardized Infection Ratio)	2.935
MRSA SIR (Standardized Infection Ratio)	N/A

Fiscal Period

Fiscal Year Begin	Jan 01, 2022
Fiscal Year End	Dec 31, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost	$1,165
Bad Debt Expense	$3,380
Uncompensated Care Cost	$1,965
Total Uncompensated Care	$5,552

Operating Expenses ($ thousands)

Total Salaries	$26,409
Overhead Expenses (Non-Salary)	$35,915
Depreciation Expense	$2,217
Total Operating Costs	$60,361

Charges ($ thousands)

Inpatient Charges	$82,829
Outpatient Charges	$177,798
Total Patient Charges	$260,627

Wage-Related Details ($ thousands)

Core Wage Costs	$4,546
Wage Costs (RHC/FQHC)	$196
Adjusted Salaries	$26,409
Contract Labor (Patient Care)	$7,138
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances	$-661
Short-Term Investments	$-3,884
Notes Receivable
Accounts Receivable	$7,688
Allowance for Doubtful Accounts	$-6,002
Inventory	$313
Prepaid Expenses
Other Current Assets	$-327
Total Current Assets	$-2,872

Balance Sheet – Fixed Assets ($ thousands)

Land Value
Land Improvements Value
Building Value	$127
Leasehold Improvements	$-97
Fixed Equipment Value	$138
Major Movable Equipment	$1,778
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets	$139

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments	$216
Other Assets	$350
Total Other Assets	$566
Total Assets	$-2,167

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$-43
Salaries & Wages Payable
Payroll Taxes Payable
Short-Term Debt
Deferred Revenue
Other Current Liabilities	$255
Total Current Liabilities	$213

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities
Total Long-Term Liabilities
Total Liabilities	$213

Balance Sheet – Equity ($ thousands)

General Fund Balance	$-2,380
Total Fund Balances	$-2,380
Total Liabilities & Equity	$-2,167

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)	$2,465
DRG (Post-Oct 1)	$1,018
Outlier Payments
DSH Adjustment	$104
Eligible DSH %	$0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue	$83,922
Outpatient Revenue	$188,030
Total Patient Revenue	$271,952
Contractual Allowances & Discounts	$192,729
Net Patient Revenue	$79,223
Total Operating Expenses	$62,324
Net Service Income	$16,899
Other Income	$752
Total Income	$17,651
Other Expenses
Net Income	$17,651

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio	$0
Net Medicaid Revenue	$11,316
Medicaid Charges	$64,348
Net CHIP Revenue
CHIP Charges

EHR Information

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

ERP Information

ERP	Infor
ERP Version	Cloudsuite
EHR is Changing	Yes--In Process of Replacing