Profile

  • Financial data for hospital cost report period ending 12/31/2022 (HCRIS - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2022 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2022 (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.

Sample Hospital

Louisville, KY  11111
CMS Certification Number: 000000
Sample Report | Order Information

Identification and Characteristics

Name and Address Sample Hospital
1 Main Street
Louisville, KY  11111
Telephone number (555) 555-5555
Hospital Website ahd.com
CMS Certification Number 000000
Operating Status Operating
   
Type of Facility Short Term Acute Care
Sole Community Hospital (SCH) N
Rural Referral Center N
Low Volume Hospital N
Medicare Dependent Hospital N
Participates in 340B Y
Type of Control Voluntary Nonprofit, Other
Health Care System Sample System
Louisville, KY 
System Website ahd.com
   
General Med/Surg Beds 1,136
Special Care Beds 343
   
Total Employees 8,053
Total Discharges 73,881
Total Patient Days 382,975
Total Patient Revenue $9,853,191,157
   
County (FIPS code) KY111 - Jefferson, KY
CBSA (formerly MSA) 31140 - Louisville/Jefferson County, KY-IN
Latitude / Longitude 33°16'N / 104°33'W
Helipad No
   
Medicare Administrative Contractor (MAC) CGS Administrators, LLC
CMS Urban / Rural Designation Urban
Medicare Certified Beds 1,730
Notes



Operational Trends
Use a five-year view of Profile statistics to spot trends
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Profile Compare
Compare Profile information with national averages or designated peer groups.
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System Compare
Enable side-by-side system comparisons with aggregated Profile and Financial information
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Key Contacts

CEO / President / Administrator Sherman T. Potter
CFO / Financial Manager Franklin D. Burns
CIO / IT Manager John Francis Xavier McIntyre
CMO / Chief of Staff Dr. Benjamin F. Pierce
CNO / Director Nursing H.L. Houlihan
COO / Operations Manager Maxwell Q. Klinger
Purchasing / Materials Manager Walter Eugene O'Reilly

Tax ID / EIN

Insurer EIN Associated NPIs
Aetna XX-XXXXXXX 0000000000
Anthem XX-XXXXXXX 0000000000
Cigna XX-XXXXXXX 0000000000
Humana XX-XXXXXXX 0000000000
Kaiser Permanente XX-XXXXXXX 0000000000
Kaiser Permanente XX-XXXXXXX 0000000000
United Healthcare XX-XXXXXXX 0000000000

Board of Directors/Governance Members

  • PECOS information last updated 12/01/2023 / Definitions
Name Role Title
############### Director Board Member
############### Director Board Member
############# Director President & Ceo
############# Director Board Member
########## Director
################ Director Board Member
############ Director Board Member
############ Director Board Member
############### Director Board Member
############ Director Board Member
############### Director Board Member
############ Director Board Member
############## Director Board Member
############ Director Board Member
################# Director Board Member
############## Director Board Member
################# Director Board Member
################## Director Board Member
################ Director Board Member
############# Director Board Member
############## Director Board Member
############### Director Board Member
############# Director Board Member

Components (Medicare Certified)

Type of Component CCN Medicare
Payment System
Medicaid
Payment System
Certified NPI
Hospital 000000  PPS PPS  
Hospital-Based CMHC 000000  TEFRA Other  
Hospital-Based Health Clinic 000000  TEFRA PPS  
Hospital-Based Health Clinic FQHC 000000  TEFRA TEFRA  
Hospital-Based Health Clinic RHC 000000  PPS PPS  
Hospital-Based HHA 000000  PPS TEFRA  
Hospital-Based Hospice 000000  Other None  
Hospital-Based NF 000000  None PPS  
Hospital-Based SNF 000000  None PPS  
Other Component 000000  Other PPS  
Outpatient Rehab Clinic 000000  TEFRA Other  
Psych Subprovider 000000  TEFRA TEFRA  
Rehab Subprovider 000000  PPS None  
Renal Dialysis 000000  None TEFRA  
Separately Certified ASC 000000  Other None  
Subprovider 000000  PPS TEFRA  
Swing Beds - NF 000000  None Other  
Swing Beds - SNF 000000  PPS None  

Billing NPIs

  • NPI information last Updated 01/07/2024. / Definitions
  • Medicare IPPS claims data are for 4 quarters ending on 09/30/2023 (Inpatient SAF).
NPI Component Type Claims Name Address Telephone
0000000000 Hospital 2,992 #####################
###############
#################
##########, ##  #####-####
(###) ###-####
0000000000 Hospital 2,292 #####################
#####################################
#################
##########, ##  #####-####
(###) ###-####
0000000000 Hospital 4,338 #####################
#######################
##################
##########, ##  #####-####
(###) ###-####
0000000000 Hospital 3,093 ####################
##########################
###########################
##########, ##  #####-####
(###) ###-####

Associated NPIs

+ Show 1 Associated NPIs
NPI Name Address Telephone
000000 Sample NPI 2 3363 Main Street
Louisville, KY  94688
(555) 555-5555
000000 Sample NPI 3 4118 Main Street
Louisville, KY  73111
(555) 555-5555
000000 Sample NPI 4 6558 Main Street
Louisville, KY  69130
(555) 555-5555
000000 Sample NPI 5 5228 Main Street
Louisville, KY  63726
(555) 555-5555

Group Purchasing Organizations (GPOs)

Primary
2 Main Street, Louisville, KY  11111
Phone: 5555555555

Accountable Care Organizations (ACOs)

Sample ACO
ahd.com
Sample ACO
ahd.com

Electronic Health Record System (EHR)

  • Company: Electronic Health Record Company

Utilization Statistics by Payor

  Beds Revenue Inpatient Days
Medicare Medicaid Other Total
Routine Services 1,136 $491,518,372 59,480 8,321 208,484 276,285
Intensive Care Unit 194 $176,799,001 8,966 5,009 32,932 46,907
Coronary Intensive Care 0 $0 0 0 0 0
Burn Intensive Care 0 $0 0 0 0 0
Surgical Intensive Care 0 $0 0 0 0 0
Psychiatric Intensive Care 0 $0 0 0 0 0
Pediatric Intensive Care 0 $0 0 0 0 0
Neonatal Intensive Care 149 $184,493,892 0 614 44,112 44,726
Trauma Intensive Care 0 $0 0 0 0 0
Detox Intensive Care 0 $0 0 0 0 0
Premature Intensive Care 0 $0 0 0 0 0
Nursery $16,307,731 N/A 327 14,730 15,057
Total Acute 1,479 $869,118,996 68,446 14,271 300,258 382,975
Labor and Delivery * 0 N/A 0 3,552 3,326 6,878
Psychiatric DPU 0 $0 0 0 0 0
Rehabilitation DPU 0 $0 0 0 0 0
Skilled Nursing (SNF) Unit 0 $0 0 0 0 0
Nursing (NF) 0 $0 N/A 0 0 0
Swing Beds - SNF N/A N/A 0 0 0 0
Swing Beds - NF N/A N/A N/A 0 0 0
Other Sub Provider 0 $0 0 0 0 0
Total DPU 0 $0 0 0 0 0
Total Hospital 1,479 $869,118,996 68,446 14,271 300,258 382,975
  • *Days during which a maternity patient is in the labor and delivery room at midnight at the time of census taking, and not included in the census of the inpatient routine care area because the patient has not occupied an inpatient routine bed at some time before admission. These days are not included in the acute care figures above.
  Discharges / ALOS / ADC
Medicare Medicaid Other Total
Acute Discharges 11,806 1,693 60,382 73,881
Average Length of Stay 5.8 8.4 5.0 5.2
Average Daily Census 187.5 39.1 822.6 1,049.2
Psychiatric DPU Discharges 0 0 0 0
Average Length of Stay 0.0 0.0 0.0 0.0
Average Daily Census 0.0 0.0 0.0 0.0
Rehabilitation DPU Discharges 0 0 0 0
Average Length of Stay 0.0 0.0 0.0 0.0
Average Daily Census 0.0 0.0 0.0 0.0
Other DPU Discharges 0 0 0 0
Average Length of Stay 0.0 0.0 0.0 0.0
Average Daily Census 0.0 0.0 0.0 0.0
  Gross Patient Revenue
Medicare Medicaid Other Total
Total Hospital Patient Revenue $2,002,519,400 $2,273,292,344 $5,577,379,413 $9,853,191,157

HMO Utilization

  Medicare/Medicaid HMO (included in other and total above)
Medicare Days Medicaid Days Medicare Discharges Medicaid Discharges
HMO Acute 81,706 127,580 11,828 23,775
HMO Inpatient Psychiatric Facility 0 0   0
HMO Inpatient Rehab Facility 0 0   0

Estimated Patient Volumes

Inpatient Surgeries 25,400
Outpatient Surgeries 121,400
Births 7,500
Outpatient Visits 631,900
Emergency Room (Not Admitted) 74,900
Emergency Room (Admitted) 60,000

Clinical Services

Cardiovascular Services
Cardiac Cath Lab
Cardiac Rehab
Cardiac Surgery
Carotid Stenting
Coronary Interventions
Electrophysiology
Vascular Intervention
Vascular Surgery
Emergency Services
Emergency Department
Pediatric Trauma Center
Trauma Center
Neurosciences
Electroencephalography (EEG)
Sleep Studies
Oncology Services
Chemotherapy
Radiation Therapy
Organ Transplant (Medicare certified)
Heart Transplant
Intestinal Transplant
Kidney Transplant (08/01/1986)
Liver Transplant
Lung Transplant
Pancreas Transplant
Orthopedic Services
Arthroscopy
Joint Replacement
Spine Surgery
Other Services
Helipad
Hemodialysis
Home Health
Hospice
Lithotripsy (ESWL)
Obstetrics
Radiology / Nuclear Medicine / Imaging
Computed Tomography (CT)
Computed Tomography-Angiography (CTA)
Digital Mammography
Intensity-Modulated Radiation Therapy (IMRT)
Magnetic Resonance Angiography (MRA)
Magnetic Resonance Imaging (MRI)
Positron Emission Tomography (PET)
Single Photon Emission Computerized Tomography (SPECT)
Rehabilitation Services
Physical Therapy
Speech Therapy
Special Care
Burn Intensive Care (BICU)
Coronary Intensive Care (CCU)
Detox Intensive Care
Intensive Care Unit (ICU)
Neonatal Intensive Care
Pediatric Intensive Care
Premature Intensive Care
Psychiatric Intensive Care
Surgical Intensive Care (SICU)
Trauma Intensive Care
Subprovider Units
Nursing Facility (NF)
Psychiatric
Rehabilitation
Skilled Nursing (SNF)
Swing Beds - NF
Swing Beds - SNF
Surgery
Inpatient Surgery
Radiosurgery
Robotic Surgery
Wound Care
Hyperbaric Oxygen
Wound Care

DNV Hospital Accreditation

  • Accredited for the period: 1/1/2017 - 12/31/2017

Verified Trauma Program

  • Type: Level III Trauma Center
  • Type: Level II Pediatric Trauma Center

University Affiliation

No university affiliation data is available for this facility.

Teaching Status

  • Data are from multiple sources / Definitions
  • 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 01/03/2024
  • Teaching status = Yes / Number of interns and Residents = 10 FTEs