Adventist Health · Saint Helena, CA
4 of 5
CMS star rating
141
Beds
3,831
Inpatient discharges a year
$229.2M
Net patient revenue a year
34
In-network payers
Adventist Health St. Helena is a 141-bed voluntary non-profit - private hospital in Saint Helena, CA, affiliated with Adventist Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 185 disclosed rate categories.
The 24 services Adventist Health St. Helena most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CPT 74177
$639 - $4,932
from 3 insurers · median $2,280
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$39,488 - $195,200
from 4 insurers · median $94,440
12 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$523 - $5,346
from 4 insurers · median $3,099
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$69,559 - $501,292
from 4 insurers · median $222,478
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 45380
$797 - $5,361
from 3 insurers · median $4,367
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$5,709 - $14,294
from 4 insurers · median $9,954
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$690 - $6,187
from 4 insurers · median $3,452
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$322 - $910
from 4 insurers · median $728
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$7,175 - $23,728
from 2 insurers · median $15,452
48 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$690 - $2,953
from 2 insurers · median $1,822
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$314 - $5,361
from 4 insurers · median $2,392
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$942 - $13,687
from 3 insurers · median $7,065
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$60 - $723
from 4 insurers · median $353
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,227 - $9,818
from 4 insurers · median $4,940
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,710 - $14,572
from 2 insurers · median $11,641
Typical for a hospital with this service line
CT imaging
CPT 74176
$435 - $3,350
from 3 insurers · median $570
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$8,046 - $18,101
from 2 insurers · median $13,074
48 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93971
$421 - $1,832
from 4 insurers · median $1,170
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$213 - $1,324
from 3 insurers · median $246
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$406 - $2,962
from 4 insurers · median $1,494
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$6,062 - $6,121
from 2 insurers · median $6,091
Typical for a hospital with this service line
Medicine & Surgery
CPT 64483
$4,017 - $5,181
from 2 insurers · median $4,599
Common here, based on CMS Medicare volume
MRI imaging
CPT 72156
$465 - $6,173
from 3 insurers · median $5,983
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,800 - $6,187
from 3 insurers · median $5,787
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 11 | 813% | 6 | 2 |
| Insurer B* | 18 | 574% | 12 | 5 |
| Insurer C* | 24 | 472% | 2 | 18 |
| Insurer D* | 24 | 190% | 4 | 20 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Adventist Health St. Helena, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$229.2M net patient revenue
Ownership and leadership
Owned by Adventist Health System/west
The employer identification numbers (EINs) health plans and networks list for Adventist Health St. Helena in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 94-1279779St Helena Hospital | 59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 54 more | 1720078082 St. Helena Hospital1851381990 St. Helena Hospital1174954689 Western Health Resourcesand 6 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
10 Woodland Road, Saint Helena, CA 94574
(707) 963-3611
How Adventist Health St. Helena compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 10 measures
1 better, 8 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
77%
Higher than 69% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.21
Higher than 90% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
130 min
Lower than 65% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
75%
Higher than 73% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | No different on 4 measures | |
| Readmissions | Mixed on 10 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 77% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.21 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 130 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 75% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Adventist Health St. Helena's inpatient payments for its readmissions, quality and cost results.
-0.21% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.05% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Adventist Health St. Helena, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Adventist Health St. Helena | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 56 cases | 3.9 | 4.1 | 4.075 | Better than 57% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 953 cases | 3.5 | 3.9 | 3.81 | Better than 74% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 201 cases | 11.3 | 11.8 | 11.57 | Better than 66% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.379 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 37 cases | 8.3 | 8.5 | 8.235 | Better than 53% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 152 cases | 11.5 | 11 | 10.29 | Worse than 60% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 126 cases | 13.3 | 15.2 | 14.49 | Better than 78% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 38 cases | 12.5 | 11.6 | 11.57 | Worse than 63% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,008 cases | 0.51 | 0.51 | 0.4818 | No Different Than the National Rate | Better than 49% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 69 cases | 153 | 173 | 171 | No Different Than the National Rate | Better than 83% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,438 cases | 0.27 | 0.2 | 0.21 | No Different Than the National Rate | Worse than 88% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,875 cases | 0.32 | 0.27 | 0.261 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,041 cases | 2.66 | 2.29 | 2.308 | No Different Than the National Rate | Worse than 86% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 550 cases | 2.59 | 1.63 | 1.668 | No Different Than the National Rate | Worse than 97% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 531 cases | 15.08 | 8.88 | 9.555 | Worse Than the National Rate | Worse than 95% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,095 cases | 3.42 | 3.4 | 3.521 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 529 cases | 6.91 | 5.105 | 5.495 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 91 cases | 1.7 | 1.72 | 1.796 | No Different Than the National Rate | Better than 58% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 430 cases | 0.91 | 1.02 | 1.061 | No Different Than the National Rate | Better than 81% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Adventist Health St. Helena | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 236 cases | 37.2 | 4.2 | 11.09 | Worse than 89% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 178 cases | -41 | 1.25 | 7.901 | Better than 93% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 127 cases | -33.9 | 3.85 | 16.67 | Better than 92% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 1,276 cases | 13.5 | 12.9 | 12.91 | No Different Than the National Rate | Worse than 76% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 150 cases | 11.2 | 10.7 | 11.39 | No Different Than the National Rate | Worse than 65% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 150 cases | 5.5 | 5.3 | 5.546 | No Different Than the National Rate | Worse than 58% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 841 cases | 0.9 | 1 | 1.001 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 194 cases | 16 | 14.4 | 14.43 | Worse than 96% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.19 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 32 cases | 19.1 | 19.8 | 19.94 | Better than 81% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 153 cases | 20.1 | 21.3 | 21.41 | Better than 85% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 59 cases | 5.2 | 5.8 | 5.612 | Better than 82% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 116 cases | 17.5 | 17.2 | 17.7 | Worse than 60% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Adventist Health St. Helena | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.028 | 0.172 | 0.2347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.799 | 1.504 | 1.834 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,733 | 1,370 | 5,722 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.762 | 0.9835 | 5.638 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.568 | 0.484 | 0.5696 | No Different than National Benchmark | Worse than 57% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2147 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.628 | 1.392 | 1.749 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,949 | 1,799 | 5,308 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.14 | 1.377 | 6.105 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.273 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.5366 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.32 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.433 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 40 | 61 | 112 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.987 | 1.591 | 2.999 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.368 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.8107 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2606 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.273 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 3 | 38 | 73.49 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.034 | 0.328 | 0.6136 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.5911 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.7863 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3103 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.305 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 15,044 | 14,451 | 52,601 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.788 | 0.567 | 3.111 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.166 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7784 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.061 | 0.127 | 0.1925 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.195 | 0.747 | 0.9502 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 15,044 | 13,646 | 48,317 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.529 | 5.683 | 27.04 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 2 | 2 | 9.99 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.362 | 0.279 | 0.383 | No Different than National Benchmark | Worse than 62% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Adventist Health St. Helena | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 573 cases | 75 | 73 | 72.2 | Better than 56% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 573 cases | 6 | 8 | 8.78 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 573 cases | 19 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 573 cases | 89 | 87 | 86.82 | Better than 66% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 573 cases | 4 | 4 | 3.514 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 573 cases | 79 | 80 | 75.76 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 573 cases | 92 | 91 | 89.84 | Better than 51% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 573 cases | 3 | 4 | 5.713 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 573 cases | 4 | 3 | 2.855 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 573 cases | 18 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 573 cases | 78 | 79 | 75.81 | Worse than 55% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 573 cases | 91 | 91 | 89.11 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 573 cases | 5 | 5 | 7.043 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 573 cases | 3 | 3 | 2.688 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 573 cases | 17 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 573 cases | 59 | 61 | 58.95 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 573 cases | 76 | 77 | 75.75 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 573 cases | 21 | 19 | 21.56 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 573 cases | 2 | 3 | 2.449 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 573 cases | 20 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 573 cases | 85 | 86 | 84.61 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 573 cases | 15 | 13 | 15.03 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 573 cases | 3 | 3 | 3.08 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 573 cases | 85 | 87 | 84.97 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 573 cases | 19 | 14 | 16.39 | Worse than 80% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 573 cases | 81 | 86 | 83.61 | Worse than 80% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 573 cases | 73 | 74 | 70.69 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 573 cases | 7 | 7 | 8.855 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 573 cases | 20 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 573 cases | 78 | 77 | 73.94 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 573 cases | 6 | 6 | 7.637 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 573 cases | 16 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 573 cases | 85 | 85 | 81.99 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 573 cases | 3 | 3 | 4.958 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 573 cases | 12 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 573 cases | 8 | 8 | 10.01 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 573 cases | 17 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 573 cases | 75 | 72 | 67.63 | Better than 62% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 573 cases | 89 | 88 | 86.85 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 573 cases | 4 | 3 | 3.047 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 573 cases | 73 | 74 | 72.06 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 573 cases | 8 | 9 | 10.94 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 573 cases | 19 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 573 cases | 71 | 75 | 71.11 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 573 cases | 5 | 5 | 7.488 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 573 cases | 24 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 573 cases | 78 | 77 | 72.49 | Better than 56% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 573 cases | 3 | 4 | 6.121 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 573 cases | 19 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 573 cases | 88 | 86 | 82.8 | Better than 62% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 573 cases | 2 | 3 | 3.779 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 573 cases | 10 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 573 cases | 34 | 59 | 47.5 | Worse than 99% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 573 cases | 25 | 9 | 17.79 | Worse than 97% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 573 cases | 41 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 573 cases | 68 | 82 | 74.85 | Worse than 98% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 573 cases | 1 | 3 | 2.203 | The lowest rating, shared by 4% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 573 cases | 5 | 5 | 7.623 | Better than 45% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 573 cases | 77 | 71 | 68.6 | Better than 69% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 573 cases | 90 | 87 | 85.85 | Better than 68% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 573 cases | 18 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 573 cases | 4 | 4 | 3.431 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 573 cases | 45 | 47 | 45.33 | Worse than 58% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 573 cases | 33 | 30 | 32.51 | Worse than 62% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 573 cases | 22 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 573 cases | 3 | 3 | 2.859 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 573 cases | 10 | 12 | 13.94 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 573 cases | 90 | 88 | 86.06 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Adventist Health St. Helena | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.289 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.008 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1852 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,164 cases | 88 | 79 | 69.96 | Better than 67% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 437 cases | 136 | 154 | 187 | Better than 65% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 418 cases | 130 | 148 | 182 | Better than 65% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 14 cases | 364 | 247 | 282 | Worse than 83% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 411 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 7,522 cases | 1 | 1 | 2.162 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 75.06 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 64 cases | 92 | 97 | 92.55 | Worse than 72% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 682 cases | 12 | 15 | 13.67 | Better than 69% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 36 cases | 75 | 65 | 68.8 | Better than 73% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 12 cases | 67 | 73 | 76.38 | Worse than 63% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 86.64 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 36 cases | 92 | 82 | 82.89 | Better than 88% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 20 cases | 90 | 94 | 93.98 | Worse than 72% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.4 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 70.68 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 89.93 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 86.9 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 301 cases | 93 | 97 | 94.78 | Worse than 73% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Adventist Health St. Helena | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 8.7 | 5 | 4.959 | Worse than 82% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 8.417 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Adventist Health St. Helena | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.04 | 0.99 | 1.024 | Worse than 75% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Adventist Health St. Helena | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 26.67 | 20 | 30.07 | Better than 63% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 6.667 | 5 | 7.571 | Better than 62% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 16.48 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 4.567 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 40 | 34 | 28.67 | Better than 60% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 10 | 8.75 | 7.519 | Better than 60% of US hospitals | |
| VBP safety domain scoreFY 2026 | 46.67 | 40 | 45.16 | Better than 60% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 11.67 | 10 | 11.79 | Better than 59% of US hospitals | |
| VBP total performance scoreFY 2026 | 28.33 | 29.5 | 30.43 | Worse than 53% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 56 | 60 | 31.67 | 30 | 26.67 |
| VBP clinical outcomes weighted domain score | 14 | 15 | 7.917 | 7.5 | 6.667 |
| VBP efficiency and cost reduction domain score | 20 | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 5 | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 42 | Not Available | 14 | 17 | 40 |
| VBP person and community engagement weighted domain score | 10.5 | Not Available | 3.5 | 4.25 | 10 |
| VBP safety domain score | 53.33 | Not Available | 33.33 | 36.67 | 46.67 |
| VBP safety weighted domain score | 13.33 | Not Available | 8.333 | 9.167 | 11.67 |
| VBP total performance score | 42.83 | Not Available | 19.75 | 20.92 | 28.33 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Adventist Health St. Helena | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 225 cases | 1.036 | 0.9995 | 1.015 | Worse than 72% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9565 | 0.9969 | 1.002 | Better than 85% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 180 cases | 0.9616 | 0.9983 | 1.017 | Better than 74% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.8656 | 0.9916 | 0.9788 | Better than 84% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.8804 | 0.9955 | 1.026 | Better than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9725 | 0.9334 | 0.8969 | 0.94 | 0.9483 | 1.036 |
| READM-30-CABG-HRRP | 1.068 | 0.9794 | 0.9602 | 0.919 | 1.001 | N/A |
| READM-30-COPD-HRRP | 0.9368 | 0.9359 | 0.9345 | 0.9778 | 0.9699 | 0.9565 |
| READM-30-HF-HRRP | 0.9089 | 0.8741 | 0.8952 | 0.9648 | 0.9603 | 0.9616 |
| READM-30-HIP-KNEE-HRRP | 0.9022 | 0.9278 | 0.8582 | 0.9828 | 0.9301 | 0.8656 |
| READM-30-PN-HRRP | 0.8628 | 0.8648 | 0.8991 | 0.9338 | 0.9171 | 0.8804 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Adventist Health St. Helena | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.6114 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.789 | 0.346 | 0.449 | Worse than 91% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.286 | 0.559 | 0.679 | Better than 76% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.875 | 0.6405 | 0.7204 | Worse than 69% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.209 | 0.9628 | 0.9656 | Worse than 90% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.746 | 0.7945 | 0.8116 | Better than 53% of US hospitals | |
| Total HAC scoreFY 2026 | 0.2109 | -0.0453 | 0.02733 | Worse than 66% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | No | N/A | No | Yes | No |
| Total HAC score | 0.5236 | -0.5374 | 0 | 0.2619 | 0.7996 | 0.2109 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2025)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
168
Medicare-certified beds
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Adventist Health St. Helena reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,831
Inpatient discharges
Medicare 47%, Medicaid 17%
21,985
Inpatient days
43% of available bed days used
547
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839051). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Adventist Health St. Helena reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 8,848 | 5,189 | 7,948 | 21,985 |
| Discharges | 1,819 | 653 | 1,359 | 3,831 |
| Average length of stay | 4.9 days | 7.9 days | 5.8 days | 5.7 days |
| Average daily census | 24.2 | 14.2 | 21.8 | 60.2 |
3,042
Medicare Advantage days
428 discharges
2,208
Medicaid managed care days
446 discharges
888
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 129 | 19,411 | 7,592 | 41% |
| Intensive care unit | 12 | 2,574 | 1,256 | 59% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839051, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Adventist Health St. Helena treats Medicare patients for most often, in 2024. 829 Medicare discharges in 33 published DRGs; 44% surgical; 56% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 97 | $151,262 | $19,078 | $22,235 | 1.98 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 82 | $202,217 | $32,471 | $29,726 | 3.24 |
| PsychosesMS-DRG 885, medical | 73 | $81,253 | $12,968 | $11,944 | 1.37 |
| Heart failure and shock with MCCMS-DRG 291, medical | 52 | $129,508 | $12,886 | $19,038 | 1.28 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 39 | $284,105 | $32,291 | $41,763 | 3.18 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 39 | $241,724 | $49,904 | $35,533 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 33 | $121,429 | $15,406 | $17,850 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 33 | $170,726 | $17,842 | $25,097 | 1.82 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 25 | $87,785 | $12,699 | $12,904 | 1.32 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 22 | $84,516 | $9,274 | $12,424 | 0.98 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 20 | $608,039 | $53,759 | $89,382 | 5.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 19 | $85,521 | $8,746 | $12,572 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 19 | $253,675 | $27,678 | $37,290 | 2.87 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 18 | $117,456 | $16,093 | $17,266 | 1.70 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 17 | $848,636 | $89,543 | $124,749 | 7.71 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 17 | $509,564 | $64,801 | $74,906 | 6.25 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 16 | $126,537 | $12,767 | $18,601 | 1.33 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 16 | $234,889 | $18,695 | $34,529 | 1.88 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $76,098 | $9,848 | $11,186 | 1.03 |
| Major chest procedures with MCCMS-DRG 163, surgical | 14 | $252,720 | $48,353 | $37,150 | 4.71 |
See all 33 Medicare inpatient DRGs at Adventist Health St. Helena
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Adventist Health St. Helena billed Medicare for most in 2024: 2,028 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 626 | 572 | $191,731 | $15,035 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 217 | 216 | $49,598 | $2,978 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 202 | 193 | $209,822 | $28,361 | $21,117 |
| Level 2 Upper GI ProceduresAPC 5302 | 82 | 79 | $21,325 | $1,943 | $1,445 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 79 | 79 | $103,074 | $12,049 | $8,569 |
| Level 2 Urology and Related ServicesAPC 5372 | 79 | 60 | $13,665 | $690 | $502 |
| Level 4 Endovascular ProceduresAPC 5194 | 60 | 48 | $163,503 | $19,769 | $14,606 |
| Level 5 Urology and Related ServicesAPC 5375 | 59 | 58 | $83,840 | $5,290 | $3,918 |
| Comprehensive Observation ServicesAPC 8011 | 57 | 54 | $49,043 | $2,799 | $2,090 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 52 | 49 | $37,528 | $2,905 | $2,141 |
See all 27 Medicare outpatient services at Adventist Health St. Helena
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Adventist Health St. Helena in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 908 in 2020 to 1,780 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 95422 | 240 | 13% | 1,429 | $61.8M | 29% | 25% |
| 95482 | 170 | 10% | 820 | $44.2M | 12% | 6% |
| 94574 | 163 | 9% | 633 | $28.3M | 63% | 45% |
| 94515 | 124 | 7% | 558 | $22.5M | 48% | 37% |
| 95437 | 116 | 7% | 625 | $29.2M | 16% | 3% |
| 95490 | 100 | 6% | 512 | $32.4M | 17% | 4% |
| 94599 | 96 | 5% | 364 | $17.3M | 26% | 12% |
| 94558 | 94 | 5% | 305 | $20.5M | 4% | 2% |
| 95423 | 85 | 5% | 450 | $23.6M | 36% | 32% |
| 95451 | 76 | 4% | 285 | $17.6M | 16% | 12% |
| 95453 | 58 | 3% | 236 | $17.1M | 10% | 7% |
| 95467 | 56 | 3% | 326 | $15.2M | 36% | 36% |
| 94508 | 54 | 3% | 239 | $11.3M | 100% | 59% |
| 95461 | 49 | 3% | 225 | $10M | 42% | 44% |
| 95457 | 38 | 2% | 183 | $9M | 21% | 34% |
| 95470 | 37 | 2% | 217 | $8.7M | 14% | 11% |
| 95454 | 24 | 1% | 115 | $6.6M | 22% | |
| 94559 | 23 | 1% | 71 | $4.1M | 2% | |
| 95458 | 21 | 1% | 121 | $5.8M | 13% | 9% |
| 95426 | 18 | 1% | 95 | $5.1M | 38% | 100% |
| 95460 | 18 | 1% | 67 | $4.6M | 18% | |
| 95428 | 16 | 1% | 73 | $3.6M | 18% | |
| 95464 | 16 | 1% | 64 | $4.3M | 13% | |
| 95476 | 16 | 1% | 107 | $5.8M | 1% | |
| 95540 | 15 | 1% | 69 | $5.2M | 3% |
Source: CMS Hospital Service Area file. Shares are of the 1,780 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Adventist Health St. Helena reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
7
Operating rooms
2
Endoscopy rooms
4
Cardiac catheterization rooms
13
Psychiatric unit beds
11
Off-site locations
10
Off-site emergency departments
Source: CMS Provider of Services file.
288 clinicians who bill Medicare list Adventist Health St. Helena as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Neha Damle, M.D.
Hematology & Oncology Physician
NPI 1124462544
See commercial rates for Neha Damle, M.D.Margaret Schlatter, MD
Neurology Physician
NPI 1063430031
See commercial rates for Margaret Schlatter, MDLinh Chen, MD
Diagnostic Radiology Physician
NPI 1922182385
See commercial rates for Linh Chen, MDGurinder Sidhu, MD
Medical Oncology Physician
NPI 1306031315
See commercial rates for Gurinder Sidhu, MDDaniel Mirda, M.D.
Hematology & Oncology Physician
NPI 1811963317
See commercial rates for Daniel Mirda, M.D.Do-Eun Lee, MD
Endocrinology, Diabetes & Metabolism Physician
NPI 1346339652
See commercial rates for Do-Eun Lee, MDPari Azari, M.D.
Interventional Pain Medicine Physician
NPI 1942442132
See commercial rates for Pari Azari, M.D.Jacqueline Weisbein, D.O.
Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1922275411
See commercial rates for Jacqueline Weisbein, D.O.Patricia Grinnell, NP
Nurse Practitioner
NPI 1538186457
See commercial rates for Patricia Grinnell, NPAnthony Victorio, M.D.
Anatomic Pathology & Clinical Pathology Physician
NPI 1659593606
See commercial rates for Anthony Victorio, M.D.Jason Huffman, M.D.
Orthopaedic Surgery of the Spine Physician
NPI 1144240003
See commercial rates for Jason Huffman, M.D.Randall Reid, MD
Diagnostic Radiology Physician
NPI 1962922823
See commercial rates for Randall Reid, MDJames Lau, MD
Urology Physician
NPI 1811056435
See commercial rates for James Lau, MDEdmund Schumacher, D.P.M.
Podiatrist
NPI 1164451431
See commercial rates for Edmund Schumacher, D.P.M.Daniel Birkbeck, MD
Orthopaedic Hand Surgery Physician
NPI 1265433254
See commercial rates for Daniel Birkbeck, MDAsha Kavali, M.D.
Diagnostic Radiology Physician
NPI 1649488545
See commercial rates for Asha Kavali, M.D.Saif Siddiqi, M.D.
Diagnostic Radiology Physician
NPI 1376579433
See commercial rates for Saif Siddiqi, M.D.John Dermody, M.D.
Family Medicine Physician
NPI 1447348966
See commercial rates for John Dermody, M.D.Sergio Manubens, MD
Interventional Cardiology Physician
NPI 1487634879
See commercial rates for Sergio Manubens, MDMartin Paukert, MD
Plastic and Reconstructive Surgery Physician
NPI 1477719326
See commercial rates for Martin Paukert, MDHerkanwal Khaira, MD
Urology Physician
NPI 1073691564
See commercial rates for Herkanwal Khaira, MDMichael Caravelli, M.D.
Orthopaedic Surgery Physician
NPI 1528224441
See commercial rates for Michael Caravelli, M.D.David Jue, MD
Internal Medicine Physician
NPI 1467470468
See commercial rates for David Jue, MDGina Midmore, M.D.
Diagnostic Radiology Physician
NPI 1548484629
See commercial rates for Gina Midmore, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Adventist Health St. Helena reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.7B | 744.0% |
| Inpatient | $823.1M | 359.1% |
| Outpatient | $882.2M | 384.9% |
| Contractual allowances and discounts | -$1.5B | -644.0% |
| Net patient revenue | $229.2M | 100.0% |
| Operating expenses | -$310.3M | -135.4% |
| Operating income from patient care | -$81.1M | -35.4% |
| Other income | $48.5M | 21.2% |
| Investment income | $57,415 | 0.0% |
| Other | $48.4M | 21.1% |
| Other expenses | $74,969 | 0.0% |
| Net income | -$32.5M | -14.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $773.1M | 45.8% |
| Medicaid (including managed care) | $270.6M | 16.0% |
| Other payers and self-pay | $645.4M | 38.2% |
| Total charges | $1.7B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839051, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Adventist Health St. Helena's latest cost report.
-35.4%
Operating margin
Operating income from patient care / net patient revenue
-11.7%
Total margin
Net income / net patient revenue plus other income
-7.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
31% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$66.97
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-25.6%
Return on assets
Net income for a year / total assets
0.13
Current ratio
Current assets / current liabilities
-0.10
Quick ratio
Cash, temporary investments and net receivables / current liabilities
-56 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
43 days
Days in patient receivables
Net patient receivables / daily net patient revenue
235 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.18
Asset turnover
Total revenue for a year / total assets
21.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839051, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Adventist Health St. Helena owned and owed at the end of its reporting period (Dec 2025), across all fund types: $127.1M in total assets and a -$135.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$46.5M | -36.6% |
| Patient receivables, net | $27.3M | 21.5% |
| Inventory | $8.5M | 6.7% |
| Total current assets | $26.2M | 20.6% |
| Property and equipment, net of depreciation | $98.1M | 77.1% |
| Investments and other assets | $2.9M | 2.3% |
| Total assets | $127.1M | 100.0% |
| Current liabilities | $194M | 152.7% |
| Long-term debt | $66M | 51.9% |
| Total liabilities | $262.7M | 206.7% |
| Fund balance (net assets) | -$135.6M | -106.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839051, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Adventist Health St. Helena provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4.4M
Bad debt
Patient bills written off as uncollectible, at charges
$10.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$7.5M
Total unreimbursed and uncompensated care
2.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 839051, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Adventist Health St. Helena's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $153.2M | $225.3M | $233.5M | $236.6M | $263.6M | $229.2M |
| Operating expenses | $233.2M | $287.6M | $309.7M | $314.9M | $334.5M | $310.3M |
| Operating margin | -52.2% | -27.6% | -32.6% | -33.1% | -26.9% | -35.4% |
| Net income | -$21.2M | -$8.6M | -$24.1M | -$15.6M | -$28M | -$32.5M |
| Total assets | $164.5M | $121.3M | $67.5M | $49.8M | $21.5M | $127.1M |
| Discharges | 2,031 | 3,481 | 3,527 | 3,426 | 3,547 | 3,831 |
| Inpatient days | 12,788 | 20,886 | 20,736 | 18,948 | 20,446 | 21,985 |
| Medicare Advantage days | 655 | 1,877 | 2,337 | 2,395 | 3,114 | 3,042 |
| Beds | 151 | 127 | 141 | 141 | 141 | 141 |
| Employees (FTE) | 625 | 648 | 639 | 641 | 696 | 547 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839051, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Adventist Health St. Helena reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $7.7M | $29.7M | $481M | 0.06 | 11,905 |
| Cardiac catheterization | $4.1M | $28.9M | $241.4M | 0.12 | 1,105 |
| Drugs charged to patients | $28.2M | $126M | 0.22 | ||
| Impl. dev. charged to patients | $18.9M | $86.6M | 0.22 | 3,502 | |
| Radiology-therapeutic | $4.3M | $12.2M | $27.8M | 0.44 | 13,417 |
| Emergency | $2.6M | $6.8M | $51M | 0.13 | 4,979 |
| Laboratory | $2.6M | $6.6M | $102.2M | 0.06 | 622 |
| Clinic | $2M | $4.4M | $4.6M | 0.96 | |
| Physical therapy | $165,832 | $3.2M | $11.9M | 0.27 | |
| Respiratory therapy | $1.7M | $2.9M | $30.2M | 0.10 | 52 |
| Recovery room | $1.1M | $2.4M | $35.8M | 0.07 | |
| Observation beds (non-distinct part | $2.2M | $8.2M | 0.27 | ||
| Electrocardiology | $664,546 | $2.1M | $27.2M | 0.08 | 2,226 |
| Ct scan | $534,619 | $2M | $56.8M | 0.04 | |
| Blood storing processing & trans. | $1.8M | $5.8M | 0.31 | ||
| Radiology-diagnostic | $537,310 | $1.7M | $16.7M | 0.10 | |
| Medical supplies charged to patient | $1.5M | $47.6M | 0.03 | 567 | |
| Anesthesiology | $190,571 | $1.1M | $34.9M | 0.03 | |
| Ultra sound | $473,267 | $894,872 | $10.7M | 0.08 | |
| Pulmonary function testing | $110,945 | $825,767 | $33.3M | 0.02 | 1,734 |
| Occupational therapy | $763,485 | $3.5M | 0.22 | ||
| Renal dialysis | $124,199 | $664,037 | $3.6M | 0.19 | |
| Radioisotope | $174,213 | $528,489 | $8.9M | 0.06 | |
| Speech pathology | $431,999 | $3.1M | 0.14 | ||
| Mri | $105,739 | $298,665 | $13.6M | 0.02 | |
| Gi lab | -$2,038 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $20.4M | $50.2M | $167.6M | 0.30 | 26,885 |
| Intensive care unit | $5.1M | $13.5M | $49.3M | 0.27 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $7.2M | $35.6M | 6,584 | ||
| Employee benefits department | $1.7M | $15.7M | 13,251 | $61.15 | 660 |
| Maintenance & repairs | $1.6M | $9.2M | 30,617 | $52.11 | 1,859 |
| Pharmacy | $3.4M | $9.2M | 50,066 | $68.76 | 1,652 |
| Cap rel costs-bldg & fixt | $6.1M | 96,574 | |||
| Nursing administration | $4.4M | $5.8M | 56,539 | $78.06 | 3,459 |
| Cap rel costs-mvble equip | $4.5M | ||||
| Housekeeping | $4.2M | 601 | |||
| Operation of plant | $3.5M | 11,508 | |||
| Dietary | $1.8M | $2M | 30,171 | $35.26 | 390 |
| Central services & supply | $474,952 | $1.1M | 13,470 | $35.57 | |
| Cafeteria | $920,693 | 22,298 | $35.49 | ||
| Ancillary wing | $831,609 | ||||
| Maintenance building | $733,886 | ||||
| Laundry & linen service | $611,138 | ||||
| Medical records & library | $428,323 | 2,717 | |||
| Social service | $345,088 | 150 | |||
| Health center building | $238,646 | ||||
| Lloyd building | $50,735 | ||||
| Icu wing | $40,329 | ||||
| Crystal springs | $16,708 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839051, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Adventist Health St. Helena for an inpatient stay.
2.91
Case mix index
Higher than 97% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
42.5%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,696
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 2.42 | 2.40 | 2.46 | 2.53 | 2.74 | 2.68 | 2.91 |
| Wage index | 1.614 | 1.595 | 1.613 | 1.615 | 1.547 | 1.500 | 1.468 |
| Readmissions adjustment | -0.08% | -0.19% | 0.00% | 0.00% | 0.00% | 0.00% | -0.21% |
| Value-based purchasing adjustment | +0.36% | +0.75% | +0.75% | +2.15% | -0.13% | -0.13% | -0.05% |
| Medicare inpatient stays | 2,117 | 2,117 | 1,201 | 1,524 | 1,468 | 1,469 | 1,696 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Adventist Health St. Helena reports to Medicare as owners or with operational control.
Adventist Health System/west
Operational/managerial control, 100%, since 1980
Sources: CMS Hospital All Owners.
The officers and board members on Adventist Health St. Helena's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 18 of 19 are shown.
St Helena Hospital files the Form 990 for the tax ID insurers list for Adventist Health St. Helena, so these people may lead the wider organization rather than Adventist Health St. Helena alone.
| Name | Title |
|---|---|
| Heinrich Kerry | Dir/chair/ceo |
| Hofheins Todd | Dir/vice Chair/coo |
| Beaman John | Cfo/assistant Secretary |
| Stevens Eric | Pres, Northern California Network |
| Jobe Meredith | Secretary |
| Howe Judson | Pres, North Coast Network Thru 07/24 |
| Herber Steven | President |
| Mock Jeffrey | Treasurer/asst Secr |
| Mensch Deborah | Patient Care Executive |
| Vichi Julie | Finance Officer |
Board members: Freedman John, Newton Bradford, Cherry Robert, Davis Andrew, Innocent Larry, Reiner Richard, Wagner Jack, Woodson Marc, Salazar Velino, Fehr Joy, Beckett Ann, Daggett Jonathan, Jutzy Kenneth, Cress John.
Source: IRS Form 990 Part VII filed by St Helena Hospital (EIN 94-1279779), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2010
340B ID DSH050013, registered as a disproportionate share hospital; 2 registered outpatient sites; 41 active contract pharmacies. Authorizing official: Steven Herber, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
St. helena gero psychiatric unit
CCN 05S013, certified 2016, Medicare prospective payment
St. helena skilled nursing facility
CCN 555491, certified 1992, Medicare not participating
Source: Worksheet S-2 Part I of Adventist Health St. Helena's latest Medicare cost report (HCRIS).
About Adventist Health St. Helena's rates and hospital price transparency.
For MRI of the neck spine, before and after contrast (CPT 72156), published negotiated rates at Adventist Health St. Helena range from $465 to $6,173 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $5,983. The median at nearby comparable hospitals is $907. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Adventist Health St. Helena range from $639 to $4,932 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $2,280. The median at nearby comparable hospitals is $1,510. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Adventist Health St. Helena range from $797 to $5,361 across 3 insurers. Aetna's rate is $4,367. The median at nearby comparable hospitals is $8,973. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Adventist Health St. Helena range from $322 to $910 across 4 insurers. Cigna's rate is $904. The median at nearby comparable hospitals is $548. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Adventist Health St. Helena range from $39,488 to $195,200 across 4 insurers. Aetna's rate is $53,105. The median at nearby comparable hospitals is $58,488. What a patient pays depends on their plan's deductible, coinsurance and network status.
Adventist Health St. Helena has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Adventist Health St. Helena for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Adventist Health St. Helena's base inpatient payments by an estimated 0.21% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (97 discharges), percutaneous and other intracardiac procedures without mcc (82 discharges), psychoses (73 discharges).
Adventist Health St. Helena's Medicare case mix index is 2.91 for fiscal year 2027, higher than 97% of hospitals paid under the inpatient prospective payment system.
Adventist Health St. Helena reported 3,831 inpatient discharges and 21,985 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Adventist Health St. Helena reported 547 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Adventist Health St. Helena reported $229.2M in net patient revenue on $1.7B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -35.4%, and net income of -$32.5M.
Adventist Health St. Helena reported $7.5M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $1.5M of charity care at cost.
Adventist Health St. Helena's Medicare enrollment lists Steven C Herber as President since 2014.
Insurers' price transparency files list Adventist Health St. Helena under employer identification number 94-1279779 (St Helena Hospital). 59 health plans and networks list 94-1279779 for it.
Yes. HRSA's 340B database lists Adventist Health St. Helena (340B ID DSH050013) as a participating disproportionate share hospital since 2010, with 41 active contract pharmacies.
288 clinicians who bill Medicare list Adventist Health St. Helena as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are hospitalist physician (24), internal medicine physician (24), certified registered nurse anesthetist (20).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Adventist Health St. Helena, effective 2025.
In its Medicare enrollment, Adventist Health St. Helena reports Adventist Health System/west as Operational/managerial control (100%).
CMS lists 29 services at Adventist Health St. Helena, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Adventist Health St. Helena came from ZIP codes 95422 (240), 95482 (170), 94574 (163).
Adventist Health St. Helena has 141 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 168 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Adventist Health St. Helena is located at 10 Woodland Road, Saint Helena, CA 94574. Its main phone number is (707) 963-3611.
Adventist Health St. Helena's CMS Certification Number (CCN), also called its Medicare provider number, is 050013.
The National Provider Identifier (NPI) on file for Adventist Health St. Helena is 1720078082.
Adventist Health St. Helena is affiliated with Adventist Health.
Adventist Health St. Helena lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
185 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers