• Financial data for hospital cost report period ending 12/31/2016 (HCRIS 601270 - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2016 (Final rule MedPAR).
  • Medicare OPPS claims data are not available.
  • Data from other sources and their effective periods are identified within report headers.
  • Errata: Please notify us by email of any corrections or updates.
South Davis Community Hospital
Bountiful, UT  84010
CMS Certification Number: 462003

Identification and Characteristics

Name and Address: South Davis Community Hospital
401 South 400 East
Bountiful, UT  84010
Telephone Number: (801) 295-2361
Hospital Website:
CMS Certification Number: 462003
   
Type of Facility: Long Term
Type of Control: Voluntary Nonprofit, Other
Total Staffed Beds: 160
   
Total Patient Revenue: $40,236,783
Total Discharges: 146
Total Patient Days: 4,651
TPS Quality Score: 0.00
Patient Experience Rating: N/A
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N O T E S
 
     
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Clinical Services

Other Services
Home Health
Hospice
Subprovider Units
Skilled Nursing (SNF)
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Inpatient Utilization Statistics by Medical Service

  Number
Medicare
Inpatients
Average
Length
of Stay
Average
Charges
Medicare
Case Mix
Index (CMI)
Medicine 16 20.75 $48,922 0.8620
Pulmonology 32 20.19 $58,396 1.3453
Total 62 22.56 $59,025 1.1568
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Inpatient Origin for Top 3 Zip Codes

  • Medicare Hospital Market Service Area File for calendar year ending 12/31/2016 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share

Outpatient Utilization Statistics by APC

APC
Number
APC Description Number
Patient
Claims
Average
Charge
Average
Cost

Beds and Patient Days by Unit

  Available Beds Inpatient Days
HOSPITAL
(including swing beds)
   
Routine Services 16 4,651
Special Care 0 0
Nursery 0
Total Hospital 160 50,549
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Financial Statistics

  $ %
Gross Patient Revenue $40,236,783 95.3
Non-Patient Revenue $1,990,528 4.7
Total Revenue $42,227,311  
Net Income (or Loss) $232,424 0.6
 
 
 
 
 
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