Healthcare System Overview

An In-Depth Look into the Healthcare System

A Progressive Community Hospital With Metropolitan Capabilities

Good Shepherd Health Care System stands as a remarkable example of community-focused healthcare: a progressive, nonprofit critical access hospital that blends sophisticated medical capabilities with a personal, mission-driven approach. When you walk through the doors at 610 NW 11th Street in Hermiston, you're entering a 49-licensed-bed facility that defies rural stereotypes. This system brought the region's first da Vinci robotic surgery in 2011, operates a Mako robotic system for advanced orthopedics, maintains Epic electronic medical records, and earned national recognition from the Chartis Center for Rural Health for Excellence in Patient Outcomes—accolades that reflect genuine clinical excellence.

Founded in 1954 by community leaders determined to provide quality care close to home, Good Shepherd opened on March 5, 1954, with 30 beds on West Orchard Avenue—made possible by community fundraising, Hill-Burton Act support, and sponsorship from the Portland-based Lutheran Welfare Association. That origin still defines the hospital today: a nonprofit serving community needs with local accountability through a twelve-member volunteer Board of Trustees.

Modern Facilities Designed for Excellence

The current campus reflects decades of strategic growth and capital investment, purpose-built to support modern technology and efficient workflows across 194,197 square feet of clinical, support, and administrative space. From 24/7 Level III Trauma emergency care to a full-service Family Birth Center, the infrastructure enables comprehensive services delivered safely and efficiently.

You'll practice in ten modern operating rooms equipped with current anesthesia machines, comprehensive monitoring, and robust tech support. Recent expansions created two 800-square-foot ORs for robotics, a new central sterile processing area, and twelve recovery beds—purpose-built suites that facilitate excellent care.

  • 49 licensed beds with 25 staffed beds; capacity aligned with demand
  • Ten ORs including two 800 sq ft robotic-enabled rooms
  • 6,570 total acute days; 3.18 average length of stay
  • 1,846 discharges annually—healthy surgical volume without throughput pressure
  • 65.45% bed utilization—strong census without overcrowding
  • Case mix index 1.47—meaningfully complex cases
  • ~21,642 emergency department visits annually—nearly double typical CAH volumes
  • 24/7 Level III Trauma services for critical stabilization and transfers

Technological Excellence That Attracts Top Practitioners

Good Shepherd invests in cutting-edge technology that advances patient care and attracts top clinicians. The system pioneered the region's da Vinci program in 2011, enabling minimally invasive general, urologic, and gynecologic procedures that reduce recovery time and improve outcomes. Surgeons have completed 100+ Aquablation therapies using the advanced HYDROS robotic system for urology—capabilities rivaling large academic centers.

Orthopedics benefits from the Mako robotic system for knee and hip replacements, delivering precise implant positioning and accelerated recovery. Beyond robotics, advanced imaging includes the Canon Orion MRI, comprehensive CT, digital radiography, and leading breast imaging, all integrated with Epic for seamless diagnostics.

  • Epic Systems EMR (ClinDoc) for integrated, efficient documentation
  • Da Vinci robotic surgery since 2011
  • Mako robotic system for precision joint replacement
  • HYDROS robotics for Aquablation and advanced urologic care
  • Canon Orion MRI plus CT, ultrasound, digital radiography, and advanced breast imaging
  • Modern anesthesia equipment and comprehensive patient monitoring
  • Strong technology breadth ratings and an estimated $2M+ annual IT capital budget

National Recognition for Excellence and Innovation

Recognition comes from respected quality organizations for measurable outcomes and innovation—not marketing badges. Good Shepherd earned the Chartis Performance Leadership Award for Excellence in Patient Outcomes. The ConneXions care coordination program achieved an 8% reduction in ED utilization among high-risk members via community health workers and nurse coordinators.

The hospital is a U.S. Best-in-Class Employer and a Top Workplaces winner (2018, 2019) based on employee surveys. It maintains DNV Healthcare USA accreditation using ISO 9001 quality standards, with three-star HCAHPS and 69% patient recommendation—solid performance for a diverse, growing community.

  • Chartis Performance Leadership Award—Excellence in Patient Outcomes
  • National recognition for ConneXions—innovative population health impact
  • U.S. Best-in-Class Employer designation
  • Top Workplaces (2018, 2019) via employee surveys
  • DNV accreditation with ISO 9001 focus on continuous improvement
  • Three-star HCAHPS; 69% recommend the hospital
  • Three-star telehealth rating; Legacy Health Tele-Baby virtual neonatology partnership

Comprehensive Service Lines Supporting Your Practice

Good Shepherd operates as a fully integrated health system: Good Shepherd Medical Group (primary & specialty care), TLC Home Health, Vange John Memorial Hospice, Clinic Pharmacy locations, and Home Medical Equipment. Integration means coordinated care and smoother workflows through Epic, not siloed operations.

The medical staff includes 138 primary providers across 33 specialties, enabling collaboration with board-certified surgeons and specialists across general, orthopedic, urologic, obstetric-gynecologic, ENT, pediatrics, internal medicine, and more. System partnerships support value-based care, purchasing efficiency, and rapid transport for critical cases.

  • Good Shepherd Medical Group—coordinated primary & specialty care
  • 138 providers / 33 specialties—breadth and depth of expertise
  • Six major operative suites plus four procedural spaces
  • Family Birth Center—birthing suites, Jacuzzi tubs, family-centered care
  • Advanced diagnostics, full laboratory services, and cardiac catheterization
  • Cardiopulmonary rehabilitation programs
  • TLC Home Health and Vange John Memorial Hospice
  • Life Flight Network base on campus for rapid critical care transport
  • CareVan medical transportation across the service area
  • ACO participation with Yamhill County Care Organization; purchasing via Vizient

Financial Stability and Community Investment

As a voluntary nonprofit governed by a community Board of Trustees, Good Shepherd emphasizes transparency and accountability. The system reports $185.9M in net patient revenue, $340.3M in total assets, and provided nearly $8M in charity care last year—mission over margin.

A balanced payor mix and strong regional draw reinforce stability. With 691 employees, Good Shepherd is a major employer. Leadership continuity—73 combined years among six executives (excluding the CEO who joined in 2023)—supports consistent strategy and execution.

  • Voluntary nonprofit with a twelve-member community board
  • $185.9M net patient revenue; $340.3M total assets
  • ~$8M annual charity care—care for all, regardless of ability to pay
  • Payor mix: Medicare 18.4%, Medicaid 22.1%, Commercial/Self-Pay 59.5%
  • 691 employees—regional economic anchor
  • Leadership stability: 73 years combined tenure (excluding current CEO)
  • Active ACO participation; strong cash position (~$9.5M)

Community Impact and Mission Commitment

Good Shepherd serves 22 communities across northeast Oregon, ensuring access without three-hour trips to distant metros. With 24,909 ED visits annually and nearly $8M in free or reduced-cost services, the hospital delivers authentic charitable care and never turns away emergencies.

Beyond the walls, the Good Shepherd Community Health Foundation funds health projects and scholarships. ConneXions deploys community health workers for real-world impact, while Wellness & Education programs offer free assessments, fitness classes, and resources. Strategic growth continues—such as acquiring 61 acres in Boardman and expanding urgent care—reinvesting in community health.

What Practicing at Good Shepherd Really Means

As a CRNA, you'll practice in a mission-driven nonprofit that prioritizes patients and clinician wellbeing, backed by modern technology, stable leadership, and collaborative teams. The culture values quality over sheer throughput, with evidence-based protocols and the equipment you need to deliver outstanding care.

This is community healthcare done right: sophisticated capabilities delivered with genuine compassion, financial stability serving mission, and an organizational culture that values the professionals who make excellent care possible. For CRNAs seeking meaningful practice in an organization worthy of their commitment, Good Shepherd represents genuine excellence in service of an authentic mission.

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