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Sample Hospital Louisville, KY 11111 CMS Certification Number: 000000 |
Sample Report | Order Information
Profile |
Identification and Characteristics
- Last updated 09/20/2017. Definitions
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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 |
CNO / Director Nursing: | H.L. Houlihan |
CMO / Chief of Staff: | Dr. Benjamin F. Pierce |
COO / Operations Manager: | Maxwell Q. Klinger |
Purchasing / Materials Manager: | Walter Eugene O'Reilly |
Components (Medicare Certified)
- NPI information last Updated 01/17/2018 / Definitions
Type of Component | Provider Number |
Medicare Payment System |
Medicaid Payment System |
Certified | NPI |
Hospital | 000000 | TEFRA | TEFRA | ||
Hospital-Based CMHC | 000000 | PPS | None | ||
Hospital-Based Health Clinic | 000000 | TEFRA | Other | ||
Hospital-Based Health Clinic FQHC | 000000 | TEFRA | None | ||
Hospital-Based Health Clinic RHC | 000000 | None | TEFRA | ||
Hospital-Based HHA | 000000 | PPS | TEFRA | ||
Hospital-Based Hospice | 000000 | PPS | TEFRA | ||
Hospital-Based NF | 000000 | TEFRA | PPS | ||
Hospital-Based SNF | 000000 | TEFRA | None | ||
Other Component | 000000 | Other | Other | ||
Outpatient Rehab Clinic | 000000 | Other | Other | ||
Psych Subprovider | 000000 | None | Other | ||
Rehab Subprovider | 000000 | None | PPS | ||
Renal Dialysis | 000000 | None | None | ||
Separately Certified ASC | 000000 | None | TEFRA | ||
Subprovider | 000000 | PPS | TEFRA | ||
Swing Beds - NF | 000000 | PPS | None | ||
Swing Beds - SNF | 000000 | None | Other |
Associated NPIs
- NPI information last Updated 01/17/2018 / Definitions
NPI | Name | Address | Telephone |
---|---|---|---|
000000 | Sample NPI 2 | 8499 Main Street Louisville, KY 78108 |
(555) 555-5555 |
000000 | Sample NPI 3 | 8293 Main Street Louisville, KY 83203 |
(555) 555-5555 |
000000 | Sample NPI 4 | 9621 Main Street Louisville, KY 11996 |
(555) 555-5555 |
000000 | Sample NPI 5 | 4515 Main Street Louisville, KY 70144 |
(555) 555-5555 |
Group Purchasing Organizations (GPOs)
- Primary
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2 Main Street, Louisville, KY 11111Phone: 5555555555
Accountable Care Organizations (ACOs)
- Sample ACO
- http://ahd.com
- Sample ACO
- http://ahd.com
Utilization Statistics by Payor
Beds | Revenue | Inpatient Days | ||||
---|---|---|---|---|---|---|
Medicare | Medicaid | Other | Total | |||
Routine Services | 1,061 | $428,131,777 | 78,109 | 2,133 | 178,071 | 258,313 |
Intensive Care Unit | 158 | $155,511,270 | 15,406 | 3,724 | 29,984 | 49,114 |
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 | 142 | $195,943,368 | 0 | 516 | 48,458 | 48,974 |
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 | $14,749,102 | N/A | 115 | 16,110 | 16,225 | |
Total Acute | 1,361 | $794,335,517 | 93,515 | 6,488 | 272,623 | 372,626 |
Labor and Delivery * | 0 | N/A | 15 | 1,520 | 496 | 2,031 |
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 | 1,361 | $794,335,517 | 93,515 | 6,488 | 272,623 | 372,626 |
- * Labor and Delivery figures are distributed among the Acute Utilization figures above. This line is detailed separately for reference.
Discharges / ALOS / ADC | |||||
---|---|---|---|---|---|
Medicare | Medicaid | Other | Total | ||
Acute | Discharges | 17,480 | 1,033 | 50,674 | 69,187 |
Average Length of Stay | 5.3 | 6.3 | 5.4 | 5.4 | |
Average Daily Census | 256.2 | 17.8 | 746.9 | 1,020.9 | |
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 | $1,617,296,327 | $1,586,996,063 | $3,397,725,795 | $6,602,018,185 |
HMO Utilization
Medicare/ Medicaid HMO (not included above) | ||||
---|---|---|---|---|
Medicare Days | Medicaid Days | Medicare Discharges | Medicaid Discharges | |
HMO Acute | 41,553 | 132,965 | 7,093 | 24,898 |
HMO Inpatient Psychiatric Facility | 0 | 0 | 0 | |
HMO Inpatient Rehab Facility | 0 | 0 | 0 |
Estimated Patient Volumes
Inpatient Surgeries: | 25,300 |
Outpatient Surgeries: | 81,800 |
Births: | 6,900 |
Outpatient Visits: | 387,300 |
Emergency Room (Not Admitted): | 69,300 |
Emergency Room (Admitted): | 48,700 |
Clinical Services
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DNV Hospital Accreditation
- DNV Hospital Accreditation from DNV Healthcare Inc.
- Last updated 1/1/2017 / Definitions and Terms of Use
- Accredited for the period: 1/1/2017 - 12/31/2017
Joint Commission Accreditation
- Accreditation status licensed from The Joint Commission
- Last updated 04/01/2018 / Definitions and Terms of Use
- Current Status: 04/01/2018 - Accreditation with Full Standards Compliance
Verified Trauma Program
- Type: Level III Trauma Center
- Type: Level II Pediatric Trauma Center
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 09/29/2016
- Teaching status = Yes / Number of interns and Residents = 10 FTEs