• Financial data for hospital cost report period ending 11/30/2017 (HCRIS 625161 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2017 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2017 (Final rule OPPS).
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.
Provident Hospital of Cook County
Chicago, IL  60615
CMS Certification Number: 140300

Identification and Characteristics

Name and Address: Provident Hospital of Cook County
500 East 51st Street
Chicago, IL  60615
Telephone Number: (312) 572-2000
Hospital Website:
CMS Certification Number: 140300
   
Type of Facility: Short Term Acute Care
Type of Control: Governmental, Other
Total Staffed Beds: 25
   
Total Patient Revenue: $201,702,404
Total Discharges: 610
Total Patient Days: 3,036
TPS Quality Score: 71.00
Patient Experience Rating: Not Available
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N O T E S
 
     
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Clinical Services

Emergency Services
Emergency Department
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Rehabilitation Services
Physical Therapy
Wound Care
Wound Care

Joint Commission Accreditation

  • Current Status: 10/14/2017 - Accreditation with Full Standards Compliance

Verified Trauma Program

  • No data are available

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 Update
  • 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 09/29/2016
  • Teaching status = Yes / Number of interns and Residents = 3 FTEs
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Inpatient Utilization Statistics by Medical Service

  Number
Medicare
Inpatients
Average
Length
of Stay
Average
Charges
Medicare
Case Mix
Index (CMI)
Cardiology 40 4.10 $14,674 0.8256
Medicine 16 3.94 $12,873 0.8113
Pulmonology 25 5.96 $18,452 0.8406
Total 86 5.06 $16,954 0.8371
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2017 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share
60637 16 71 $244,233 60.0% 0.7%
60619 15 70 $237,479 -28.6% 0.3%
60628 13 58 $200,401 0.0% 0.3%

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost
5012 Clinic Visits and Related Services 5,887 $181 $101
5491 Level 1 Intraocular Procedures 129 $3,253 $2,404
5024 Level 4 Type A ED Visits 577 $717 $936
8011 Comprehensive Observation Services 55 $765 $999
5023 Level 3 Type A ED Visits 528 $415 $542
5025 Level 5 Type A ED Visits 131 $768 $1,003
5524 Level 4 Imaging without Contrast 132 $1,171 $1,045
5693 Level 3 Drug Administration 255 $124 $111
5492 Level 2 Intraocular Procedures 13 $9,203 $6,802
5522 Level 2 Imaging without Contrast 389 $643 $456
5571 Level 1 Imaging with Contrast 165 $1,119 $793
5521 Level 1 Imaging without Contrast 673 $164 $116
5113 Level 3 Musculoskeletal Procedures 15 $6,589 $4,823
5022 Level 2 Type A ED Visits 282 $311 $406
5373 Level 3 Urology and Related Services 16 $3,965 $2,928
5722 Level 2 Diagnostic Tests and Related Services 102 $271 $243
5691 Level 1 Drug Administration 480 $40 $34
5523 Level 3 Imaging without Contrast 73 $471 $336
5021 Level 1 Type A ED Visits 253 $174 $227
5481 Laser Eye Procedures 30 $1,081 $640

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 25 3,036
Special Care 0 0
Nursery 0
Total Hospital 25 3,036
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Financial Statistics

  $ %
Gross Patient Revenue $201,702,404 99.5
Non-Patient Revenue $1,079,002 0.5
Total Revenue $202,781,406  
Net Income (or Loss) $52,551,762 25.9
 
 
 
 
 
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