Profile (sample)

Financial data for hospital cost report period ending 09/30/2006.
Inpatient claims data are for federal fiscal year ending 09/30/2006.
Outpatient claims data are for calendar year ending 12/31/2006.
Data from other sources and their effective periods are identified within report headers.
Errata: Please notify us by email of any corrections or updates.

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Identification and Characteristics
 Last updated 06/01/2007. Definitions

Name and Address: SAMPLE HOSPITAL
SOMEWHERE
ST LOUIS, MO  63140
Telephone number: (606) 555-1212
Hospital Website: www.samplehospital.org
Provider Number: 123456
   
Type of Facility: Short Term Acute Care
Type of Control: Voluntary Nonprofit, Other
Health Care System: Sample HealthCare
Santa Fe, NM 
www.samplehospital.org
   
General Med/Surg Beds: 1,019
Special Care Beds: 113
   
Total Employees: 7,575
Total Discharges: 49,117
Total Patient Days: 272,903
Total Patient Revenue: $2,207,350,643
   
County (FIPS code): MO510 - Santa Fe, NM
CBSA (formerly MSA): 41180 - Santa Fe, NM
Longitude / Latitude: 87° E / 40° N
   
Fiscal Intermediary: Mutual of Omaha
Urban / Rural Designation: Urban
Medicare Certified Beds: 1,737
 

N O T E S


 

Key Contacts
Contact information is copyright SK&A and is not included in downloads of this page.
(SK&A contact information last updated 05/15/2008.)

CEO / President / Administrator: Sherman T. Potter
The Most Comprehensive Lists &
Databases of Healthcare Professionals.  <more ...>
CFO / Financial Manager: Franklin D. Burns
CIO / IT Manager: John Francis Xavier McIntyre
CNO / Director Nursing: H.L. Houlihan
CMO / Chief of Staff: Dr. Benjamin F. Pierce
Purchasing / Materials Manager: Walter Eugene O'Reilly


Components (Medicare Certified)
Definitions

Type of Component Provider
Number		 Medicare
Payment System		 Medicaid
Payment System		 Certified
Hospital 260032 PPS Other
Subprovider 26S032 TEFRA Other
Hospital-Based SNF 265439 PPS Other
Hospital-Based NF 265439 Other


Group Purchasing Organizations
 Last updated 05/06/2008 / Definitions

Group Purchasing Organization (primary): Novation
125 E John Carpenter Freeway, Irving 75062
http://www.novationco.com
Group Purchasing Organization (secondary): VHA Inc
220 E Las Colinas Blvd, Irving 75039
http://www.vha.com


Acute Utilization Statistics by Payor
Definitions

 

Beds

Revenue

 Inpatient Days
      Medicare Medicaid Other Total
Routine Services 1,019 $195,622,128 94,490 24,485 109,001 227,976
Intensive Care Unit 29 $15,553,575 3,945 1,359 4,045 9,349
Coronary Intensive Care 15 $7,405,746 2,138 375 1,967 4,480
Burn Intensive Care 0 $0 0 0 0 0
Surgical Intensive Care 24 $12,325,238 2,375 944 3,788 7,107
Psychiatric Intensive Care 0 $0 4,923 1,161 6,389 12,473
Pediatric Intensive Care 0 $0 4,923 1,161 6,389 12,473
Neonatal Intensive Care 45 $21,179,759 4,923 1,161 6,389 12,473
Trauma Intensive Care 0 $0 4,923 1,161 6,389 12,473
Detox Intensive Care 0 $0 4,923 1,161 6,389 12,473
Premature Intensive Care 0 $0 4,923 1,161 6,389 12,473
Nursery 0 $5,181,811 N/A 1,706 9,812 11,518
Total Acute 1,132 $257,268,257 107,871 30,030 135,002 272,903

    Discharges / ALOS / ADC
    Medicare Medicaid Other Total
Discharges   18,226 5,441 25,450 49,117
Average Length of Stay   5.9 5.5 5.3 5.6
Average Daily Census   295.5 82.3 369.9 747.7


Other Utilization Statistics by Payor

 

Beds

Revenue

 Inpatient Days
      Medicare Medicaid Other Total
Psychiatric Subprovider 61 $11,515,391 10,542 2,742 5,341 18,625
Rehabilitation Subprovider 0 $0 0 0 0 0
Other Special Care Sub 0 $0 0 0 0 0
Skilled Nursing (SNF) Unit 60 $0 14,451 0 3,255 17,706
Nursing (NF) 10 $529,739 N/A 1,978 1,608 3,586
Swing Beds - SNF N/A N/A 0 0 0 0
Swing Beds - NF N/A N/A N/A 0 0 0
Total Other 131 $12,045,130 N/A 0 0 0
Total Complex 1,263 $269,313,387 N/A 0 0 0

    Gross Patient Revenue
    Medicare Medicaid Other Total
Total Hospital Patient Revenue   519,640,172 294,941,000 1,000,491,966 1,520,132,138


Estimated Patient Volumes
Definitions

Inpatient Surgeries: 17,800
Outpatient Surgeries: 42,400
Births: 3,400
Outpatient Visits: 881,900
Emergency Room (Not Admitted): 20,000
Emergency Room (Admitted): 20,400


Clinical Services
Definitions

Cardiovascular Services
Cardiac Cath Lab
Coronary Interventions
Cardiac Surgery
Vascular Surgery
Vascular Intervention

Emergency Services
Emergency Department
ACS/COT Approved Trauma

Neurosciences
Electroencephalography (EEG)
Sleep Studies

Oncology Services
Radiation Therapy
Chemotherapy
ACS/CoC Approved Cancer Program

Organ Transplant (Medicare certified)
Heart (3/21/95)
Intestinal (11/2/98)
Kidney (8/10/87)
Liver (3/21/95)
Lung (4/2/98)
Pancreas (7/1/99)

Orthopedic Services
Arthroscopy
Joint Replacement
Spine Surgery

Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Computed Tomography Angiography (CTA)
Intensity-Modulated Radiation Therapy (IMRT)
Magnetic Resonance Angiography (MRA)
Magnetic Resonance Imaging (MRI)
Positron Emission Tomography (PET)
Single Photon Emission Computerized Tomography (SPECT)

Rehabilitation Therapies
 Speech Therapy
Physical Therapy

Wound Care
 Hyperbaric Oxygen
Wound Care

Other Services
Hemodialysis
Home Health
Hospice
Inpatient Surgery
Lithrotripsy (ESWL)
Obstetrics

Subprovider Units
Psychiatric
Skilled Nursing (SNF)
Nursing Facility (NF)

Special Care
Intensive Care Unit (ICU)
Burn Intensive Care (BICU)
Coronary Intensive Care (CCU)
Detoxification Intensive Care
Neonatal Intensive Care
Pediatric Intensive Care
Premature Baby Intensive Care
Psychiatric Intensive Care
Surgical Intensive Care (SICU)
Trauma Intensive Care


Joint Commission Accreditation

Accreditation status licensed from The Joint Commission
Last updated 12/06/2007 / Definitions and Terms of Use

Approved Cancer Program

Approval status provided by The American College of Surgeons (ACS) Commission on Cancer (CoC) Approvals Program.
See ACS/CoC website for more / Last updated 06/06/2007 / Definitions

Verified Trauma Program

Verification status provided by The American College of Surgeons (ACS) Committee on Trauma (COT) Verification Program.
See ACS/COT website for more / Last updated 02/14/2008 / Definitions

Teaching Status

Data are from multiple sources / Definitions

ACGME data are from the Graduate Medical Education Database, Copyright 2005, American Medical Association, Chicago, Illinois.
See FREIDA OnLine for more / Last Updated 06/12/2007

COTH data are from the Association of American Medical Colleges / Division of Health Care Affairs / Council of Teaching Hospitals
See COTH website for more / Last Updated 05/12/2008