ahd.com

Profile Definitions and Methodology

Identification and Characteristics

HCRIS format
Hospital Name, address, telephone number, website, and system affiliation

Hospital name, address, telephone number, website, and system affiliation are taken from three sources according to the following precedence:

  • Information may be collected and updated as the result of direct communications with hospitals, news items, etc.  Such information has highest precedence over other sources.
  • Information may be collected or updated directly from a hospital's website or from a system's website.
  • Information for hospitals without websites may be taken from their most recent Medicare cost report and/or the Medicare Provider of Services file.  (Data for these hospitals are updated quarterly as new versions of these files become available.  Data from these sources are only used when information is not available from a website or through direct communications.)
Notes

Notes are continually updated to reflect important information regarding mergers, new ownership, changes in operations, etc.

CMS Certification Number

All facilities that participate in the Medicare program are assigned a unique number that identifies the facility and is used for claims processing, cost reporting, etc. This number was originally referred to as the "Medicare Provider Number" but is now known as the CMS Certification Number (CCN).

Type of Facility

The type of facility is determined from the last four digits of its CMS Certification Number:

Short Term Acute Care 0001-0899
Childrens 3300-3399
Critical Access 1300-1399
Long Term 2000-2299
Psychiatric 4000-4499
Rehabilitation 3025-3099
Other none of above
Sole Community Hospital (SCH)
SCH status is taken from a hospital's most recent Medicare Cost Report (W/S S2, Part I, line 120, column 1).
Rural Referral Center
Rural referer center status is taken from a hospital's most recent Medicare cost report (W/S S2, Part I, line 116, column 1).
Low Volume Hospital
Low volume hospital status is taken from a hospital's most recent Medicare cost report (W/S S2, Part I, line 39, column 1).
Medicare Dependent Hospital
Medicare dependent hospital status is taken from a hospital's most recent Medicare cost report (W/S S2, Part I, line 37, column 1).
Type of Control

A hospital's type of control is taken from its most recent Medicare cost report (HCRIS file):

  • Voluntary Nonprofit, Church
  • Voluntary Nonprofit, Other
  • Proprietary, Individual
  • Proprietary, Corporation
  • Proprietary, Partnership
  • Proprietary, Other
  • Governmental, Federal
  • Governmental, City-County
  • Governmental, County
  • Governmental, State
  • Governmental Hospital District
  • Governmental, City
  • Governmental, Other
Health Care System

Hospital affiliations are obtained from websites and other commercial sources. System affiliations are continually monitored and update through industry news sources (i.e. acquisitions, divestitures, etc.).

Beds

Numbers of staffed beds are taken from a hospital's most recent Medicare cost report (W/S S-3, Part I, column 2). Cost report instructions define staffed beds as, "the number of beds available for use by patients at the end of the cost reporting period. A bed means an adult bed, pediatric bed, birthing room, or newborn bed maintained in a patient care area for lodging patients in acute, long term, or domiciliary areas of the hospital. Beds in labor room, birthing room, postanesthesia, postoperative recovery rooms, outpatient areas, emergency rooms, ancillary departments, nurses' and other staff residences, and other such areas which are regularly maintained and utilized for only a portion of the stay of patients (primarily for special procedures or not for inpatient lodging) are not termed a bed for these purposes." Note that beds by unit are reported elsewhere on the Profile and the Departments reports.

  • General Medical/Surgical Beds are the beds used for routine care.
  • Special Care Beds include Intensive Care Units, Coronary Care Units, etc.
Total Employees

The total number of employees is taken from a hospital's most recent Medicare Cost Report (W/S S-3, part I, line 14, column 10).

Total Discharges

The total number of inpatient discharges (all payors) is taken from a hospital's most recent Medicare Cost Report (W/S S-3, part I, line 14, column 8).

Total Patient Days

The total number of patient days (all payors) is taken from a hospital's most recent Medicare Cost Report (W/S S-3, part I, line 14, column 8).

Total Patient Revenue

The total patient revenue (inpatient and outpatient) is taken from a hospital's most recent Medicare Cost Report (W/S G-2, part I, line 28, column 3).

Geographic Information

A hospital's county, Core Based Statistical Area (CBSA), and geographic coordinates (i.e. longitude and latitude) are determined through commercial geocoding based on the hospital's address. Please note that CBSAs replaced Metropolitan Statistical Areas (MSAs) upon implementation of new standards in 2000.

Medicare Administrative Contractors (MACs)

Medicare Administrative Contractors (MACs) are private insurance companies that serve as the federal government's agents in the administration of the Medicare program, including the payment of claims. The name of the MAC is obtained from a hospital's most recent Medicare cost report.

Urban / Rural Designation

Medicare classifies a hospital as either "Urban" or "Rural" based on their Metropolitan Statistical Area. Hospital's can, however, be reclassified from rural to urban if they meet certain criteria. A hospital's designation is taken from its most recent Medicare Cost Report (W/S S-2, part I, line 26, column 1 OR W/S S-2, part I, column 27, line 1).

Medicare Certified Beds

The total number of beds in Medicare and/or Medicaid certified areas within a facility. The total certified beds are reported from the Medicare Provider of Services file.