Valley Health Winchester Medical Center

General Info

Our General Information includes locations, prices, facility size and other information to get you started comparing facilities.
Address:
1840 Amherst Street
Winchester, VA 22601
Get Directions

  (540) 536-8000

Administrator:
Grady (Skip) Philips
President WMC

Medicare Provider Number: 490005

Parent Company: Valley Health System
Tax Status: Not-for-profit

Teaching Status: None

NOTE: FY2019 CON reviewable services for Valley Health Cancer Center was reported under this hospital.

Hospital Stays


For Fiscal year 1/1/2020 - 12/31/2020
Licensed beds495
Licensed COVID beds50
Total Licensed beds545
Staffed beds531
Staffed NICU bassinets37
CON approved levelNone
Patient days111,227
Admissions19,875
Full-time equivalents - Payroll2,591
Full-time equivalents - Contract68

ALSD

In addition to other services offered, this facility reported the following services available during fiscal year ending in 2020 in their Utilization Spread Sheets.

  • Cardiac Catheterization
  • Chemotherapy
  • Chronic Renal Dialysis
  • Cobalt and Linear Accelerator Radiology
  • Hyperbaric Therapy
  • Neonatal Intensive Care
  • Organized Hospice Program
  • Pain Managment Program
  • Wound Clinic
ALSD services is updated on 2/18/2022

Virginia Trauma System

Level II Virginia Designated Trauma Center

Level II trauma centers have an organized trauma response and are also expected to provide initial definitive care, regardless of the severity of injury. The specialty requirements may be fulfilled by on call staff that is promptly available to the patient. Due to limited resources, Level II centers may have to transfer more complex injuries to a Level I center. Level II centers should also take on responsibility for education and system leadership within their region.

Read more at: Virginia Department of Health


Updated on: 12/17/2021

Cardiac Care

About Cardiac Care
Cases Category
(Based on Adjusted Volume)
High Mid-High Mid-Low Low N/A
Medical 1500+ 800-1499 250-799 1-249 0
Invasive 1000+ 250-999 100-249 1-99 0
Open Heart 1000+ 500-999 100-499 1-99 0
Rating
(More hearts are better)
= Less than expected
= As expected
= More than expected
= Too few to calculate (adjusted volume < 30)
No information at this time.

Please contact Deborah Waite at deborah@vhi.org or (804) 643-5573 X307 for more information.

Actual Mortality
The percent of all patients admitted to hospital for a cardiac service line and died during their stay.

Actual Readmission Rate
The percent of all patients admitted to a hospital for a cardiac service line and later readmitted within 30 days to a Virginia hospital for a service related to their prior discharge.

Adjusted Volume (Mortality)
All inpatient hospital discharges excluding 1) hospice patients (shown) 2) patients transferred to another facility (not shown) and 3) patients transferred in with severe risk of mortality and died within 24 hours (not shown).

Adjusted Volume (Readmission)
All inpatient hospital discharges excluding 1) patients transferred to another facility or 2) patients that died.

Cardiac Care Service Lines
Patients may have one of many possible conditions and receive different types of diagnostic or surgical procedures. VHI groups these different conditions and treatments into service lines to better compare care provided.

Cardiac Catheterization
or angiogram is a procedure that identifies possible problems with your heart or its arteries. During a cath, a thin plastic tube, called a catheter, is inserted into a blood vessel in your groin or arm. The catheter is guided up toward your heart. A special dye is injected into the catheter so X-rays can show if you have any artery blockage or other heart problems. www.americanheart.org/ presenter.jhtml?identifier=4491

Cardiology - Invasive
Includes patients with medical conditions generally described in the medical cardiology service line that also had surgery. Surgeries include cardiac catheterization, cardiac pacemaker insertion, balloon angioplasty and placement of cardiac stents.

Cardiology - Medical
Includes diagnosing and therapy for heart disease. Angina, congestive heart failure and acute myocardial infarction (AMI) are all examples of heart conditions. When treatment for these conditions does not include surgery, VHI has grouped them into this service line.

Cardiology - Open Heart Surgery
Includes procedures such as coronary artery bypass surgery (CABG) and cardiac valve procedures.

Cases Category
The number of adjusted cases (discharges) grouped into four categories for easy comparison.

Congestive Heart Failure (CHF)
or heart failure, is a condition in which the heart can not pump enough blood to the body's other organs.

For more information on signs and symptoms, tests, and treatment, visit: www.americanheart.org/ presenter.jhtml?identifier=4585

Coronary Artery Bypass Graft (CABG)
also called coronary artery bypass surgery, heart bypass or bypass surgery is a surgical procedure performed to relieve angina and reduce the risk of death from coronary artery disease. Arteries and/or veins from elsewhere in the patient's body are grafted from the aorta to the coronary arteries to bypass atherosclerotic narrowings and improve the blood supply to the coronary circulation supplying the myocardium (heart muscle).
More info: http://en.wikipedia.org/wiki/Coronary_artery _bypass_surgery

Expected Mortality
The expected mortality rate is calculated based on the 3M APR-DRG risk of mortality index for patients within a hospital compared to similar patients treated in hospitals across Virginia.

Expected Readmission Rate
The expected readmission rate is calculated based on the 3M APR-DRG and severity index for patients within a hospital compared to similar patients treated in hospitals across Virginia.

Hospice Exclusions
All inpatient hospital discharges that were identified as hospice patients. These patients are identified by one of three methods 1) "v66.7" in the first nine diagnosis codes or those submitted by a facility in the tenth or later diagnosis code or 2) discharge status codes indicating hospice care or 3) revenue codes indicating hospice care.

Mortality Rating
This rating indicates whether the mortality (death) rate is more than expected (), as expected (), or less than expected() at a 95% confidence level. A "Less than expected" () rating is generally best.


Too few to calculate means there were fewer than 30 discharges in the service line and/or subgroup--the threshold VHI set for calculating statistical significance.

Mortality Ratio
The actual mortality (death) rate divided by expected mortality (death) rate for a hospital.

Percutaneous Cardiovascular Procedures
These procedures primarily include various types of Coronary Angioplasty. Coronary angioplasty is a medical procedure used to open arteries that have narrowed to the point that they impede blood flow to the heart. This procedure can improve some of the symptoms associated with blocked arteries, such as chest pain and shortness of breath.

Readmission Rating
This rating indicates whether the 30-day related readmission rate is more than expected (), as expected (), or less than expected() at a 95% confidence level. A "Less than expected" () rating is generally best.



Too few to calculate means there were fewer than 30 discharges in the service line and/or subgroup--the threshold VHI set for calculating statistical significance.

Readmission Ratio
The actual readmission rate divided by expected readmission rate for a hospital.

Teaching Status
The hospital facility reported membership or accreditation in the Council of Teaching Hospitals and Health Systems (COTH) and/or the Accreditation Council for Graduate Medical Education (ACGME) or they reported no teaching status (NONE.)

Total Cases
All inpatient hospital discharges by cardiac service lines and/or subgroups.

Compare Cardiac Care Among Multiple Hospitals

Learn more about heart disease and compare the quality of care at Virginia hospitals


2020 data updated on: 2/14/2022

Efficiency Indicators

For Fiscal Year 1/1/2020 - 12/31/2020

Composite Score (Lower is better)
More efficient
1.4 
2.9
Less efficient
 3.7
What are Efficiency Indicators?

Charges

Indicator Description Quartile Rank 1 through 4
1 Gross Revenue Per Adjusted Admission: The average full patient charge based on charge schedules per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 27,661.81 45,971.48
2 45,971.48 56,083.49
3 56,083.49 72,447.09
4 72,447.09 180,912.02
(lower is better)
27,661.81 
38,742.95
.
1
 180,912.02
2 Net Revenue Per Adjusted Admission: The average dollar amount expected to be collected per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 8,416.06 12,430.71
2 12,430.71 14,522.92
3 14,522.92 17,400.59
4 17,400.59 24,729.50
(lower is better)
8,416.06 
16,000.68
.
3
 24,729.50

Costs

Indicator Description Quartile Rank 1 through 4
3 Cost Per Adjusted Admission: The average total operating costs (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 6,851.41 12,314.15
2 12,314.15 14,134.83
3 14,134.83 16,820.99
4 16,820.99 24,825.34
(lower is better)
6,851.41 
17,152.27
.
4
 24,825.34
4 Labor Cost Per Adjusted Admission: The average personnel expenses (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 2,033.99 5,151.48
2 5,151.48 6,386.05
3 6,386.05 7,389.83
4 7,389.83 15,326.78
(lower is better)
2,033.99 
6,460.60
.
3
 15,326.78
5 Non-labor Cost Per Adjusted Admission: The average supply, maintenance and non-personnel expenses (adjusted by the wage index) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 3,259.70 5,139.11
2 5,139.11 6,461.70
3 6,461.70 8,010.27
4 8,010.27 11,386.44
(lower is better)
3,259.70 
8,876.86
.
4
 11,386.44
6 Capital Cost Per Adjusted Admission: The average physical facility costs (e.g., expenses for depreciation, amortization, interest, insurance and taxes as related to the acquisition of permanent assets) per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 -857.09 719.75
2 719.75 1,055.36
3 1,055.36 1,423.62
4 1,423.62 4,045.71
(lower is better)
-857.09 
1,814.80
.
4
 4,045.71

Productivity/Utilization

Indicator Description Quartile Rank 1 through 4
7 Full-time Equivalents Per Adjusted Occupied Bed: The number of staff, converted to the average number of employees who work full time, for each occupied bed. The number of occupied beds has been adjusted to account for outpatient service revenue and case mix. The desired direction is toward a lower value.
QuartileMin.Max.
1 0.71 4.31
2 4.31 5.23
3 5.23 6.30
4 6.30 10.30
(lower is better)
0.71 
4.74
.
2
 10.30
8 Paid Hours Per Adjusted Admission: The average number of hours the hospital paid to employees or an agency, per adjusted admission. Admissions are adjusted for case mix and outpatient service revenue. The desired direction is toward a lower value.
QuartileMin.Max.
1 27.87 103.47
2 103.47 135.00
3 135.00 155.89
4 155.89 272.05
(lower is better)
27.87 
151.06
.
3
 272.05
9 Staffed Beds Occupancy: Expressed as a percentage, the average utilization of the average number of beds, excluding long-term care beds and normal newborn bassinets, that are operational to receive patients during the reporting period. The desired direction is toward a higher value.
QuartileMax.Min.
1 99.04 76.81
2 76.81 63.06
3 63.06 49.26
4 49.26 11.31
(higher is better)
99.04 
58.00
.
3
 11.31
10 Licensed Beds Occupancy: Expressed as a percentage, the average utilization of the number of licensed beds reported by the facility, as approved by the Virginia Department of Health. For hospitals, licensed beds exclude normal newborn bassinets, but include neonatal ICU bassinets. The desired direction is toward a higher value.
QuartileMax.Min.
1 79.71 54.27
2 54.27 43.52
3 43.52 27.16
4 27.16 9.40
(higher is better)
79.71 
55.76
.
1
 9.40
11 Special Services Utilization: Expressed as a percentage, the average utilization of high capital-cost services that are subject to Certificate of Public Need (COPN) law. Special services include: ICU/CCU, obstetrics, neonatal ICU, MRI, CT, lithotripsy, cardiac catheterization, radiation therapy and cardiac surgery. The desired direction is toward a higher value.
QuartileMax.Min.
1 92.44 69.37
2 69.37 57.01
3 57.01 45.41
4 45.41 17.53
(higher is better)
92.44 
65.72
.
2
 17.53
12 Case-mix Adjusted Average Length of Stay: The average number of days a patient stays in the hospital, adjusted for case mix using the current version of the 3M APR-DRGs. The desired direction is toward a lower value.
QuartileMin.Max.
1 3.24 5.14
2 5.14 5.83
3 5.83 6.44
4 6.44 14.10
(lower is better)
3.24 
6.34
.
3
 14.10

Financial Viability

Indicator Description Quartile Rank 1 through 4
13 Cash Debt Coverage: A measure of the facility's ability to generate cash to cover its long-term debt. The desired direction is toward a higher value.
QuartileMax.Min.
1 1,775.11 12.04
2 12.04 0.00
3 0.00 0.00
4 0.00 -97,116.65
(higher is better)
1,775.11 
12.04
.
1
 -97,116.65
14 Total Margin: Total margin expresses the difference between total revenue and cost as a proportion of total revenue. The desired direction is towards a higher value.
QuartileMax.Min.
1 1,835.37 17.15
2 17.15 9.95
3 9.95 4.95
4 4.95 -16.09
(higher is better)
1,835.37 
2.82
.
4
 -16.09
15 Return on Assets: Expressed as a percentage, the facility's ability to generate cash on its financial resources (e.g., investments, receivables, inventory, physical plant, etc.) The desired direction is toward a higher value.
QuartileMax.Min.
1 555.16 16.63
2 16.63 8.87
3 8.87 0.00
4 0.00 -336.60
(higher is better)
555.16 
11.78
.
2
 -336.60
16 Fixed Asset Financing Ratio: The percentage of asset value financed by long-term debt. The desired direction is toward a lower value.
QuartileMin.Max.
1 0.00 0.05
2 0.05 0.31
3 0.31 0.99
4 0.99 5.53
(lower is better)
0.00 
1.04
.
4
 5.53

Community Support

Indicator Description Quartile Rank 1 through 4
17 Charity Care, Bad Debt and Taxes: Expressed as a percentage, the amount of charity care (converted to a cost basis,) bad debt and taxes the facility incurred in relation to its total expenses. The desired direction is toward a higher value.
QuartileMax.Min.
1 16.35 7.88
2 7.88 5.33
3 5.33 3.38
4 3.38 1.17
(higher is better)
16.35 
2.98
.
4
 1.17
18 Medicaid Participation: Expressed as a percentage, it is the amount of patient days for patients enrolled in the Medicaid program in relation to total patient days. The number of patient days has been adjusted to account for outpatient service revenue. The desired direction is toward a higher value.
QuartileMax.Min.
1 36.39 23.75
2 23.75 18.72
3 18.72 15.84
4 15.84 0.44
(higher is better)
36.39 
14.63
.
4
 0.44

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Updated on: 12/17/2021

Financial Information

For Fiscal Year 1/1/2020 - 12/31/2020
Why is this important?
Hospital financial information was originally intended to benefit of large employers and purchasers of care.
However, consumers should know that financially healthy hospitals may be better able to provide charity care and invest in infrastructure, and technology. Rankings on financial measures are found within the Efficiency tab.

Revenue

  • Gross patient revenue $1,433,802,000
  • Contractual allowance $797,208,998
  • Charity care $14,305,992
  • Bad Debt $30,132,736
  • Net patient revenue $592,154,274
  • Other operating revenue $63,686,883

Expense

  • Labor$239,094,522
  • Non-labor$328,515,546
  • Capital$67,090,525
  • Taxes$71,800
  • Total expense$634,772,393
  • .
  • Operating income$21,068,764
  • Net non-operating gains (loss)($2,653,811)
  • Revenue and gains
    in excess of expenses and losses$18,414,953

Balance Sheet

  • Current assets$825,368,817
  • Net fixed assets$434,755,598
  • Other assets$29,147,609
  • Total assets$1,289,272,024
  • .
  • Current liabilities$115,168,702
  • Long term liabilities$452,363,460
  • Total liabilities$567,532,162
  • Net worth$721,739,862
Click here for more information on operating and total margins.

Updated on: 12/17/2021

2019 Outpatient Tests and Surgery Report

Tests and Surgery Sub Group Number of Cases Performed in 2019 Cases Median Charge Statewide Median Charge
Colonoscopy Diagnostic 1063 $2,975 $4,307
Colonoscopy Therapeutic 3287 $3,540 $6,074
General Laparoscopic Procedures OTHER 200 $14,411 $29,545
Breast Surgery Repair/Reconstruction/Cosmetic PXS 76 $21,493 $31,099
Breast Surgery Therapeutic 57 $7,222 $14,552
Hernia Repair Children too few to calculate too few to calculate $13,941
Hernia Repair OTHER 131 $10,161 $16,929
Hernia Repair Unspecified Age 231 $9,952 $17,694
Liposuction Upper Extremity too few to calculate too few to calculate $9,023
Knee Surgery (Arthroscopy) Knee Surgery (Arthroscopy) 110 $9,470 $16,881
Other Gynecological Procedures Birth Control 25 $8,906 $20,718
Other Gynecological Procedures D&C/Removal Fibroids 244 $7,996 $19,809
Other Gynecological Procedures Fertility Related too few to calculate too few to calculate $17,305
Other Gynecological Procedures Removal Adhesions 38 $10,678 $25,180
Hysterectomy Hysterectomy 6 $14,488 $44,609
Gallbladder Removal Cholecystectomy 544 $12,271 $24,378
General Laparoscopic Procedures General Laparoscopy 72 $12,467 $23,454

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Updated on: 3/1/2022

2020 Service Line

Service Line Inlier Cases Outlier Cases Number of Cases % of Hospital Total % of Regional Total
Obstetrics/Delivery 2451 74 2525 11.21% 18.39%
Oncology 245 82 327 1.45% 15.58%
Oncology Surgery 21 4 25 0.11% 14.37%
Cardiology - Open Heart Surgery 183 8 191 0.85% 18.69%
Ophthalmology 10 0 10 0.04% 10.64%
Ophthalmologic Surg 2 1 3 0.01% 23.08%
Orthopedic Surgery 962 78 1040 4.62% 13.73%
Orthopedics 178 25 203 0.90% 16.67%
Other Obstetrics 98 12 110 0.49% 14.91%
Otolaryngology 46 8 54 0.24% 11.04%
Plastic Surgery 0 0 0 0.00% 0.00%
Psychiatry 1380 39 1419 6.30% 19.41%
Pulmonary 1943 287 2230 9.90% 21.24%
Rehabilitation 0 0 0 0.00% 0.00%
Rheumatology 62 6 68 0.30% 14.59%
Transplant Surgery 0 0 0 0.00% 0.00%
Urological Surgery 123 8 131 0.58% 14.52%
Urology 715 80 795 3.53% 18.76%
Vascular Surgery 421 19 440 1.95% 21.88%
Burns 1 0 1 0.00% 11.11%
Cardiology - Medical 1467 188 1655 7.35% 18.73%
Dental 5 0 5 0.02% 19.23%
Dermatology 37 5 42 0.19% 18.34%
Endocrinology 449 38 487 2.16% 16.23%
Gynecology 17 0 17 0.08% 20.24%
Hematology 151 16 167 0.74% 14.52%
Infectious Disease 889 244 1133 5.03% 14.03%
Cardiology - Invasive 910 44 954 4.24% 21.08%
Neonatology 238 14 252 1.12% 15.81%
Nephrology 172 28 200 0.89% 17.94%
Neurological Surgery 346 20 366 1.63% 16.91%
Neurology 916 131 1047 4.65% 20.01%
Normal Newborn 2309 19 2328 10.34% 18.88%
ENT Surgery 18 3 21 0.09% 5.92%
Gastroenterology 1342 110 1452 6.45% 17.06%
General Medicine 864 149 1013 4.50% 22.96%
General Surgery 1214 89 1303 5.79% 20.45%
Gynecological Surg 44 2 46 0.20% 9.77%
Trauma 416 39 455 2.02% 21.52%
Total 20,645 1,870 22,515 100% 18.22%

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Updated on: 12/17/2021

Patient Satisfaction Survey

Patient Survey Collection Dates: July 2020 - Mar 2021
Released in Jan 26, 2022
Note: Some quarterly refreshed measures that would have included 1st quarter and/or 2nd quarter 2020 data will not be updated in April 2021 and will continue to display the same data that was reported in October 2020 due to the COVID-19 pandemic. For more information, please reference https://qualitynet.cms.gov/inpatient/notifications (2020-111-IP)

Valley Health Winchester Medical Center's Overall

How do patients rate the hospital overall?
Hospital
Would patients recommend the hospital to friends and family?
Hospital

Valley Health Winchester Medical Center's Comfort

How often were the patients rooms and bathrooms kept clean?
Hospital
How often did patients receive help quickly from hospital staff?
Hospital
How often was the area around patients rooms kept quiet at night?
Hospital
How often did nurses communicate well with patients?
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Valley Health Winchester Medical Center's Communication

How often did doctors communicate well with patients?
Hospital
How often did staff explain about medicines before giving them to patients?
Hospital
Were patients given information about what to do during their recovery at home?
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US
How did patient understood their care when they left the hospital?
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What Did Patients Say About Their Hospitals?

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Updated on: 02/02/2022