Profile

  • Financial data for hospital cost report period ending 12/31/2023 (HCRIS - 2010).
  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Final rule MedPAR).
  • Medicare OPPS claims data are for calendar year ending 12/31/2023 (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 1,176
Special Care Beds 339
   
Total Employees 8,579
Total Discharges 74,196
Total Patient Days 377,173
Total Patient Revenue $9,523,079,870
   
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



This map is for general reference and should not be used in seeking medical care.

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

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 11/15/2024 / 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

Components (Medicare Certified)

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

Billing NPIs

  • NPI information last Updated 10/13/2024. / Definitions
  • Medicare IPPS claims data are for 4 quarters ending on 03/31/2024 (Inpatient SAF).
NPI Component Type Claims Name Address Telephone
0000000000 Hospital 3,226 #####################
#####################################		 #################
##########, ##  #####-####		 (###) ###-####
0000000000 Hospital 3,924 #####################
###############		 #################
##########, ##  #####-####		 (###) ###-####
0000000000 Hospital 5,429 #####################
#######################		 ##################
##########, ##  #####-####		 (###) ###-####
0000000000 Hospital 4,310 ####################
##########################		 ###########################
##########, ##  #####-####		 (###) ###-####

Associated NPIs

+ Show 1 Associated NPIs
NPI Name Address Telephone
000000 Sample NPI 2 2462 Main Street
Louisville, KY  36543		 (555) 555-5555
000000 Sample NPI 3 1899 Main Street
Louisville, KY  19517		 (555) 555-5555
000000 Sample NPI 4 1971 Main Street
Louisville, KY  65431		 (555) 555-5555
000000 Sample NPI 5 4911 Main Street
Louisville, KY  22513		 (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 1,176 $588,991,802 56,211 15,602 201,089 272,902
Intensive Care Unit 190 $189,483,103 8,761 4,509 30,288 43,558
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 $220,199,326 0 888 44,790 45,678
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 $18,845,996 N/A 388 14,647 15,035
Total Acute 1,515 $1,017,520,227 64,972 21,387 290,814 377,173
Labor and Delivery * 0 N/A 0 1,963 1,739 3,702
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 1,515 $1,017,520,227 64,972 21,387 290,814 377,173
  • *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 12,185 1,304 60,707 74,196
Average Length of Stay 5.3 16.4 4.8 5.1
Average Daily Census 178.0 58.6 796.8 1,033.4
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 $2,283,605,411 $2,710,760,724 $4,528,713,735 $9,523,079,870

HMO Utilization

  Medicare/Medicaid HMO (included in other and total above)
Medicare Days Medicaid Days Medicare Discharges Medicaid Discharges
HMO Acute 85,838 121,067 13,285 20,202
HMO Inpatient Psychiatric Facility 0 0   0
HMO Inpatient Rehab Facility 0 0   0

Estimated Patient Volumes

Inpatient Surgeries 25,600
Outpatient Surgeries 126,900
Births 8,400
Outpatient Visits 660,400
Emergency Room (Not Admitted) 78,300
Emergency Room (Admitted) 53,800

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
  • CAHSE data are from the Association of American Medical Colleges / Division of Health Care Affairs / Council of Academic Health System Executives (CAHSE)
  • See CAHSE website for more / Last Updated 01/03/2024
  • Teaching status = Yes / Number of interns and Residents = 10 FTEs