Custom Report Data Elements: Hospital Database Fields

Transcription

1 Custom Report Data Elements: Hospital Database Fields Data Sources: AHA Annual Survey of Hospitals; American Hospital Association membership database; United States Census Bureau; accrediting organizations. Last Updated: November 2014 Note: This list of fields represents the data available in the most current hospital database. Available data in prior year databases may vary. For more information contact us at

2 The Hospital Database in allows you to build unlimited custom reports, within the terms of your license, based on the fields available in the database and listed on the following pages. In addition to the hospital database widely used for market segmentation and analyses; AHA DataViewer has an IT Database, Financial Database, and a variety of other reports and data files available. Contact us for more information. The Hospital Database is categorized into several data types. Within each data type are field groups and the fields themselves. An online glossary is available to define each of the fields present in the database. Data Type Hospital General Information Executive Contacts Beds & Utilization Facilities and Service Lines Insurance Medicare & Medicaid Utilization Financials Supplemental Information Physician Staffing Pages

3 Hospital General Information Address / Contact Info Address 1 (mailing) Hospital General Information Address / Contact Info Address 1 (physical) Hospital General Information Address / Contact Info Address 2 (mailing) Hospital General Information Address / Contact Info Address 2 (physical) Hospital General Information Address / Contact Info AHA ID Hospital General Information Address / Contact Info Area code Hospital General Information Address / Contact Info City Name (mailing) Hospital General Information Address / Contact Info City Name (physical) Hospital General Information Address / Contact Info Fax Number Hospital General Information Address / Contact Info Hospital Name Hospital General Information Address / Contact Info Local telephone number Hospital General Information Address / Contact Info Medicare Provider ID Hospital General Information Address / Contact Info State (mailing) Hospital General Information Address / Contact Info State (physical) Hospital General Information Address / Contact Info Telephone number Hospital General Information Address / Contact Info Web address Hospital General Information Address / Contact Info Zip Code (mailing) Hospital General Information Address / Contact Info Zip code (physical) Hospital General Information Contract Management Contract managed hospital Hospital General Information Contract Management Management organization city Hospital General Information Contract Management Management organization name Hospital General Information Contract Management Management organization state Hospital General Information Designations, Accreditations & Approvals Accreditation Council for Graduate Medical Education residency Hospital General Information Designations, Accreditations & Approvals AMA medical school affiliation Hospital General Information Designations, Accreditations & Approvals American Hospital Association Hospital General Information Designations, Accreditations & Approvals American Osteopathic Association accreditation Hospital General Information Designations, Accreditations & Approvals American Osteopathic Association internship Hospital General Information Designations, Accreditations & Approvals American Osteopathic Association residency Hospital General Information Designations, Accreditations & Approvals Approved cancer program Hospital General Information Designations, Accreditations & Approvals Blue Cross participant Hospital General Information Designations, Accreditations & Approvals Catholic Hospital General Information Designations, Accreditations & Approvals Commission on Accreditation of Rehabilitation Facilities (CARF) Hospital General Information Designations, Accreditations & Approvals Council of Teaching Hospitals of the AAMC Hospital General Information Designations, Accreditations & Approvals Critical Access Hospital Hospital General Information Designations, Accreditations & Approvals DNV accreditation Hospital General Information Designations, Accreditations & Approvals Federation of American Health Care Systems Hospital General Information Designations, Accreditations & Approvals Joint Commission Accreditation Hospital General Information Designations, Accreditations & Approvals Medicare certified Hospital General Information Designations, Accreditations & Approvals National League for Nursing professional nursing school Hospital General Information Designations, Accreditations & Approvals Rural Referral Center Hospital General Information Designations, Accreditations & Approvals Sole Community Provider Hospital General Information Geographical Information 100 largest US cities Hospital General Information Geographical Information CBSA code Hospital General Information Geographical Information CBSA name Health Forum, LLC, an American Hospital Association company 1

4 Hospital General Information Geographical Information CBSA type Hospital General Information Geographical Information Census Bureau codes Hospital General Information Geographical Information Census Bureau county code Hospital General Information Geographical Information Census Bureau state code Hospital General Information Geographical Information Hospital Location Hospital General Information Geographical Information Hospital's County name Hospital General Information Geographical Information Latitude Hospital General Information Geographical Information Longitude Hospital General Information Geographical Information Modified FIPS County Code Hospital General Information National Provider Identification (NPI) Has a new NPI number Hospital General Information National Provider Identification (NPI) NPI number Hospital General Information Network Info Network city Hospital General Information Network Info Network member Hospital General Information Network Info Network name Hospital General Information Network Info Network phone Hospital General Information Network Info Network phone Hospital General Information Network Info Network phone area code Hospital General Information Network Info Network state Hospital General Information Organizational Structure Accountable Care Organization Hospital General Information Organizational Structure Admission restricted to children Hospital General Information Organizational Structure Community hospital designation Hospital General Information Organizational Structure Control / Ownership Type Hospital General Information Organizational Structure ER triage to determine which patients are seen Hospital General Information Organizational Structure Hospital size Hospital General Information Organizational Structure Operates subsidiary corps. Hospital General Information Organizational Structure treatment area description Hospital General Information Organizational Structure type of ER triage system used Hospital General Information Organizational Structure Primary Service Hospital General Information Organizational Structure Registered hospital Hospital General Information Organizational Structure Satellite facilities Hospital General Information Organizational Structure Separate long-term nursing home Hospital General Information Organizational Structure Teaching Affiliation Hospital General Information Purchasing Distributors name Hospital General Information Purchasing GPO Hospital General Information Purchasing GPO city Hospital General Information Purchasing GPO ID Hospital General Information Purchasing GPO name Hospital General Information Purchasing GPO state Hospital General Information Purchasing GPO ZIP Hospital General Information Purchasing Supplies purchased directly Hospital General Information Reporting Beginning date of fiscal year Hospital General Information Reporting Beginning of reporting period Hospital General Information Reporting Days open during reporting period Hospital General Information Reporting End of reporting period Health Forum, LLC, an American Hospital Association company 2

5 Hospital General Information Reporting Open 12 full months before end of reporting period Hospital General Information Reporting Response code Hospital General Information Systems Info Degree of centralization of health system Hospital General Information Systems Info System Address Hospital General Information Systems Info System address 2 Hospital General Information Systems Info System City Hospital General Information Systems Info System Contact Title Hospital General Information Systems Info System fax Hospital General Information Systems Info System ID Hospital General Information Systems Info System member Hospital General Information Systems Info System Name Hospital General Information Systems Info System phone Hospital General Information Systems Info System Primary Contact Hospital General Information Systems Info System State Hospital General Information Systems Info System Zip Executive Contacts Chief Administrator Chief Admin. First Name Executive Contacts Chief Administrator Chief Admin. Last Name Executive Contacts Chief Administrator Chief Admin. Middle Name Executive Contacts Chief Administrator Chief Admin. Prefix Executive Contacts Chief Administrator Chief Admin. Suffix Executive Contacts Chief Financial Officer CFO First Name Executive Contacts Chief Financial Officer CFO Full Name Executive Contacts Chief Financial Officer CFO Last Name Executive Contacts Chief Financial Officer CFO Middle Name Executive Contacts Chief Financial Officer CFO Prefix Executive Contacts Chief Financial Officer CFO Suffix Executive Contacts Chief Financial Officer CFO Title Executive Contacts Chief Human Resource CHR First Name Executive Contacts Chief Human Resource CHR Full Name Executive Contacts Chief Human Resource CHR Last Name Executive Contacts Chief Human Resource CHR Middle Name Executive Contacts Chief Human Resource CHR Prefix Executive Contacts Chief Human Resource CHR Suffix Executive Contacts Chief Human Resource CHR Title Executive Contacts Chief Information Officer CIO First Name Executive Contacts Chief Information Officer CIO Full Name Executive Contacts Chief Information Officer CIO Last Name Executive Contacts Chief Information Officer CIO Middle Name Executive Contacts Chief Information Officer CIO Prefix Executive Contacts Chief Information Officer CIO Suffix Executive Contacts Chief Information Officer CIO Title Executive Contacts Chief Medical Officer CMO First Name Executive Contacts Chief Medical Officer CMO Full Name Executive Contacts Chief Medical Officer CMO Last Name Health Forum, LLC, an American Hospital Association company 3

6 Executive Contacts Chief Medical Officer CMO Middle Name Executive Contacts Chief Medical Officer CMO Prefix Executive Contacts Chief Medical Officer CMO Suffix Executive Contacts Chief Medical Officer CMO Title Executive Contacts Chief Nursing Officer CNO First Name Executive Contacts Chief Nursing Officer CNO Full Name Executive Contacts Chief Nursing Officer CNO Last Name Executive Contacts Chief Nursing Officer CNO Middle Name Executive Contacts Chief Nursing Officer CNO Prefix Executive Contacts Chief Nursing Officer CNO Suffix Executive Contacts Chief Nursing Officer CNO Title Executive Contacts Chief Operating Officer COO First Name Executive Contacts Chief Operating Officer COO Full Name Executive Contacts Chief Operating Officer COO Last Name Executive Contacts Chief Operating Officer COO Middle Name Executive Contacts Chief Operating Officer COO Prefix Executive Contacts Chief Operating Officer COO Suffix Executive Contacts Chief Operating Officer COO Title Beds & Utilization Facility & Service Bed Numbers Acute long term care beds Beds & Utilization Facility & Service Bed Numbers Alcohol/drug abuse or dependency inpatient care beds Beds & Utilization Facility & Service Bed Numbers Burn care beds Beds & Utilization Facility & Service Bed Numbers Cardiac intensive care beds Beds & Utilization Facility & Service Bed Numbers Gen. medical/surgical adult beds Beds & Utilization Facility & Service Bed Numbers Gen. medical/surgical pediatric beds Beds & Utilization Facility & Service Bed Numbers Intermediate nursing care beds Beds & Utilization Facility & Service Bed Numbers Medical/surgical intensive care beds Beds & Utilization Facility & Service Bed Numbers Neonatal intensive care beds Beds & Utilization Facility & Service Bed Numbers Neonatal intermediate care beds Beds & Utilization Facility & Service Bed Numbers Obstetric care beds Beds & Utilization Facility & Service Bed Numbers care beds Beds & Utilization Facility & Service Bed Numbers care beds, description Beds & Utilization Facility & Service Bed Numbers intensive care beds Beds & Utilization Facility & Service Bed Numbers intensive care beds, description Beds & Utilization Facility & Service Bed Numbers long-term care beds Beds & Utilization Facility & Service Bed Numbers special care beds Beds & Utilization Facility & Service Bed Numbers special care beds, description Beds & Utilization Facility & Service Bed Numbers Pediatric intensive care beds Beds & Utilization Facility & Service Bed Numbers Physical Rehabilitation care beds Beds & Utilization Facility & Service Bed Numbers Psychiatric care beds Beds & Utilization Facility & Service Bed Numbers Skilled nursing care beds Beds & Utilization Facility & Service Bed Numbers Total hospital beds Beds & Utilization Hospital Unit Numbers Admissions (hospital unit) Beds & Utilization Hospital Unit Numbers Hospital Unit Beds Beds & Utilization Hospital Unit Numbers Inpatient days (hospital unit) Health Forum, LLC, an American Hospital Association company 4

7 Beds & Utilization Include/Exclude Utilization Estimates Admissions (est.) Beds & Utilization Include/Exclude Utilization Estimates Births (est.) Beds & Utilization Include/Exclude Utilization Estimates Hospital Unit Admissions (est.) Beds & Utilization Include/Exclude Utilization Estimates Hospital Unit Inpatient Days (est.) Beds & Utilization Include/Exclude Utilization Estimates Inpatient Days (est.) Beds & Utilization Include/Exclude Utilization Estimates Nursing Home Unit Admissions (est.) Beds & Utilization Include/Exclude Utilization Estimates Nursing home unit inpatient days (est.) Beds & Utilization Include/Exclude Utilization Estimates Outpatient Visits Emergency (est.) Beds & Utilization Include/Exclude Utilization Estimates Outpatient Visits (est.) Beds & Utilization Include/Exclude Utilization Estimates Outpatient Visits Total (est.) Beds & Utilization Include/Exclude Utilization Estimates Surgical Operations Inpatient (est.) Beds & Utilization Include/Exclude Utilization Estimates Surgical Operations Outpatient (est.) Beds & Utilization Include/Exclude Utilization Estimates Surgical Operations Total (est.) Beds & Utilization Inpatient Utilization Numbers Admissions Beds & Utilization Inpatient Utilization Numbers Average daily census Beds & Utilization Inpatient Utilization Numbers Bassinets set up and staffed Beds & Utilization Inpatient Utilization Numbers Bed size code Beds & Utilization Inpatient Utilization Numbers Inpatient Days Beds & Utilization Inpatient Utilization Numbers Length of Stay Beds & Utilization Inpatient Utilization Numbers Obstetric unit care level Beds & Utilization Inpatient Utilization Numbers Surgical operations (inpatient) Beds & Utilization Inpatient Utilization Numbers Total births (excluding fetal deaths) Beds & Utilization Nursing Home Numbers Admissions (nursing home) Beds & Utilization Nursing Home Numbers Beds (nursing home) Beds & Utilization Nursing Home Numbers Inpatient days (nursing home) Beds & Utilization Nursing Home Numbers Licensed beds (long term unit) Beds & Utilization Outpatient Utilization Numbers Emergency room visits Beds & Utilization Outpatient Utilization Numbers outpatient visits (non ER) Beds & Utilization Outpatient Utilization Numbers Surgical operations (outpatient) Beds & Utilization Outpatient Utilization Numbers Total outpatient visits Beds & Utilization Total Facility & Adjusted Numbers Adjusted admissions Beds & Utilization Total Facility & Adjusted Numbers Adjusted average daily census Beds & Utilization Total Facility & Adjusted Numbers Adjusted patient days Beds & Utilization Total Facility & Adjusted Numbers Beds (total facility) Beds & Utilization Total Facility & Adjusted Numbers Licensed Beds Beds & Utilization Total Facility & Adjusted Numbers Number of Operating Rooms Beds & Utilization Total Facility & Adjusted Numbers Total surgical operations Facilities & Services Cardiovascular Care Adult cardiac electrophysiology Facilities & Services Cardiovascular Care Adult cardiac surgery Facilities & Services Cardiovascular Care Adult cardiology services Facilities & Services Cardiovascular Care Adult diagnostic catheterization Facilities & Services Cardiovascular Care Adult interventional cardiac catheterization Facilities & Services Cardiovascular Care Cardiac intensive care Facilities & Services Cardiovascular Care Cardiac Rehabilitation Health Forum, LLC, an American Hospital Association company 5

8 Facilities & Services Community Improvement / Outreach Auxiliary Facilities & Services Community Improvement / Outreach Community Health Education Facilities & Services Community Improvement / Outreach Community outreach Facilities & Services Community Improvement / Outreach Enabling Services Facilities & Services Community Improvement / Outreach Fitness center Facilities & Services Community Improvement / Outreach Health Fair Facilities & Services Community Improvement / Outreach Health screenings Facilities & Services Community Improvement / Outreach Immunization program Facilities & Services Community Improvement / Outreach Indigent care clinic Facilities & Services Community Improvement / Outreach Linguistic/translation services Facilities & Services Community Improvement / Outreach Meals on wheels Facilities & Services Community Improvement / Outreach Mobile Health Services Facilities & Services Community Improvement / Outreach Patient education center Facilities & Services Community Improvement / Outreach Transportation to health services Facilities & Services Community Improvement / Outreach Volunteer services department Facilities & Services Emergency, Trauma or Urgent Care Ambulance services Facilities & Services Emergency, Trauma or Urgent Care Certified trauma center Facilities & Services Emergency, Trauma or Urgent Care Emergency Department Facilities & Services Emergency, Trauma or Urgent Care Freestanding/Satellite Emergency Department Facilities & Services Emergency, Trauma or Urgent Care Open 24 hours a day, 7 days a week Facilities & Services Emergency, Trauma or Urgent Care Pediatric Emergency Department Facilities & Services Emergency, Trauma or Urgent Care Pediatric Emergency Department (JV) Facilities & Services Emergency, Trauma or Urgent Care Pediatric Emergency Department (net.) Facilities & Services Emergency, Trauma or Urgent Care Pediatric Emergency Department (sys.) Facilities & Services Emergency, Trauma or Urgent Care Trauma center certified level Facilities & Services Emergency, Trauma or Urgent Care Urgent care center Facilities & Services Endocrinology / Endoscopic services Ablation of Barrett's esophagus Facilities & Services Endocrinology / Endoscopic services Endoscopic retrograde cholangiopancreatography (ERCP) Facilities & Services Endocrinology / Endoscopic services Endoscopic ultrasound Facilities & Services Endocrinology / Endoscopic services Esophageal impedance study Facilities & Services Endocrinology / Endoscopic services Optical Colonoscopy Facilities & Services Extended / Long-term Care Acute long term care Facilities & Services Extended / Long-term Care Adult day care program Facilities & Services Extended / Long-term Care Assisted living services Facilities & Services Extended / Long-term Care Home health services Facilities & Services Extended / Long-term Care Hospice Program Facilities & Services Extended / Long-term Care Hospital-base outpatient care center/services Facilities & Services Extended / Long-term Care Intermediate nursing care Facilities & Services Extended / Long-term Care intensive care Facilities & Services Extended / Long-term Care long-term care Facilities & Services Extended / Long-term Care Retirement housing Facilities & Services Extended / Long-term Care Skilled nursing care Facilities & Services General Medical & Surgical Arthritis treatment center Facilities & Services General Medical & Surgical Burn care Health Forum, LLC, an American Hospital Association company 6

9 Facilities & Services General Medical & Surgical Gen. medical/surgical adult care Facilities & Services General Medical & Surgical Gen. medical/surgical pediatric care Facilities & Services General Medical & Surgical Geriatric services Facilities & Services General Medical & Surgical Medical/surgical intensive care Facilities & Services General Medical & Surgical Primary care department Facilities & Services General Medical & Surgical Wound Management Services - hospital Facilities & Services Infectious Diseases Airborne infection isolation room Facilities & Services Infectious Diseases HIV-AIDS services Facilities & Services Infectious Diseases Number of Airborne infection isolation rooms Facilities & Services Mental Health Alcohol/drug abuse or dependency inpatient care Facilities & Services Mental Health Alcohol/drug abuse or dependency outpatient services Facilities & Services Mental Health Crisis prevention Facilities & Services Mental Health Psychiatric care Facilities & Services Mental Health Psychiatric child/adolescent services Facilities & Services Mental Health Psychiatric consultation/liaison services Facilities & Services Mental Health Psychiatric education services Facilities & Services Mental Health Psychiatric emergency services Facilities & Services Mental Health Psychiatric geriatric services Facilities & Services Mental Health Psychiatric outpatient services Facilities & Services Mental Health Psychiatric partial hospitalization program Facilities & Services Mental Health Psychiatric residential treatment Facilities & Services Mental Health Psychiatric residential treatment (JV) Facilities & Services Mental Health Psychiatric residential treatment (sys.) Facilities & Services Mental Health Social work services Facilities & Services Mental Health Support groups Facilities & Services Mental Health Teen outreach services Facilities & Services Oncology Chemotherapy Facilities & Services Oncology Oncology services Facilities & Services Orthopedics Orthopedic services Facilities & Services Facilities & Services Alzheimer Center Facilities & Services Facilities & Services Bariatric/weight control services Facilities & Services Facilities & Services Blood Donor Center Hospital Facilities & Services Facilities & Services Case Management Facilities & Services Facilities & Services Chaplaincy/pastoral care services Facilities & Services Facilities & Services Complementary and alternative medicine services Facilities & Services Facilities & Services Dental services Facilities & Services Facilities & Services Enrollment Assistance Program Facilities & Services Facilities & Services Freestanding outpatient center Facilities & Services Facilities & Services Genetic testing/counseling Facilities & Services Facilities & Services Health research Facilities & Services Facilities & Services Hemodialysis Facilities & Services Facilities & Services Neurological services Facilities & Services Facilities & Services Nutrition program Facilities & Services Facilities & Services Occupational health services Health Forum, LLC, an American Hospital Association company 7

10 Facilities & Services Facilities & Services care Facilities & Services Facilities & Services special care Facilities & Services Facilities & Services Patient representative services Facilities & Services Facilities & Services Rural Health Clinic Facilities & Services Facilities & Services Sleep Center Facilities & Services Facilities & Services Swing bed services Facilities & Services Facilities & Services Tobacco Treatment Services Facilities & Services Pain Management Inpatient palliative care unit Facilities & Services Pain Management Pain Management Program Facilities & Services Pain Management Palliative Care Program Facilities & Services Pain Management Patient Controlled Analgesia Facilities & Services Pediatrics Children's wellness program Facilities & Services Pediatrics Neonatal intensive care Facilities & Services Pediatrics Neonatal intermediate care Facilities & Services Pediatrics Pediatric cardiac electrophysiology Facilities & Services Pediatrics Pediatric cardiac surgery - hospital Facilities & Services Pediatrics Pediatric cardiology services Facilities & Services Pediatrics Pediatric diagnostic catheterization Facilities & Services Pediatrics Pediatric intensive care Facilities & Services Pediatrics Pediatric interventional cardiac catheterization Facilities & Services Physical Medicine & Rehabilitation Assistive technology center Facilities & Services Physical Medicine & Rehabilitation Chiropractic services Facilities & Services Physical Medicine & Rehabilitation Electrodiagnostic services Facilities & Services Physical Medicine & Rehabilitation Physical Rehabilitation care Facilities & Services Physical Medicine & Rehabilitation Physical rehabilitation outpatient services Facilities & Services Physical Medicine & Rehabilitation Prosthetic and orthotic services Facilities & Services Physical Medicine & Rehabilitation Robot-assisted walking therapy Facilities & Services Physical Medicine & Rehabilitation Simulated rehabilitation environment Facilities & Services Physical Medicine & Rehabilitation Sports medicine Facilities & Services Radiology - Diagnostic Computed-tomography (CT) scanner Facilities & Services Radiology - Diagnostic Diagnostic radioisotope facility Facilities & Services Radiology - Diagnostic Electron Beam Computed Tomography (EBCT) Facilities & Services Radiology - Diagnostic Full-field digital mammography Facilities & Services Radiology - Diagnostic Intraoperative magnetic resonance imaging Facilities & Services Radiology - Diagnostic Magnetic resonance imaging (MRI) Facilities & Services Radiology - Diagnostic Magnetoencephalography (MEG) - hospital Facilities & Services Radiology - Diagnostic Multi-slice spiral computed tomography < 64 slice Facilities & Services Radiology - Diagnostic Multi-slice spiral computed tomography 64 + slice Facilities & Services Radiology - Diagnostic Positron emission tomography (PET) Facilities & Services Radiology - Diagnostic Positron emission tomography/ct (PET/CT) Facilities & Services Radiology - Diagnostic Single photon emission computerized tomography (SPECT) Facilities & Services Radiology - Diagnostic Ultrasound Facilities & Services Radiology - Diagnostic Virtual colonoscopy Facilities & Services Radiology - Therapeutic Image-guided radiation therapy Health Forum, LLC, an American Hospital Association company 8

11 Facilities & Services Radiology - Therapeutic Intensity-Modulated Radiation Therapy (IMRT) Facilities & Services Radiology - Therapeutic Proton beam therapy Facilities & Services Radiology - Therapeutic Shaped beam Radiation System Facilities & Services Radiology - Therapeutic Stereotactic radiosurgery Facilities & Services Surgical Services Ambulatory surgery center Facilities & Services Surgical Services Computer assisted orthopedic surgery Facilities & Services Surgical Services Extracorporeal shock waved lithotripter (ESWL) Facilities & Services Surgical Services Outpatient surgery Facilities & Services Surgical Services Robotic surgery Facilities & Services Transplant Bone Marrow transplant services Facilities & Services Transplant Heart transplant Facilities & Services Transplant Kidney transplant Facilities & Services Transplant Liver transplant Facilities & Services Transplant Lung transplant Facilities & Services Transplant Transplant - hospital Facilities & Services Transplant Tissue transplant Facilities & Services Women's Health Birthing room/ldr room/ldrp room Facilities & Services Women's Health Breast cancer screening/mammograms Facilities & Services Women's Health Fertility Clinic Facilities & Services Women's Health Obstetrics care Facilities & Services Women's Health Womenâ s health center/services Insurance Contracts for provided care under a capitated basis Insurance Does the hospital have a formal written contract with an HMO? Insurance Has formal written contract with a PPO Insurance HMO Insurance HMO (JV) Insurance HMO (net.) Insurance HMO (sys.) Insurance Indemnity fee for service plan Insurance Indemnity fee for service plan (JV) Insurance Indemnity fee for service plan (net.) Insurance Insurance Insurance Insurance Indemnity fee for service plan (sys.) Number of HMO contracts Number of lives covered under a capitated basis Number of PPO Contracts Insurance PPO Insurance PPO (JV) Insurance PPO (net.) Insurance PPO (sys.) Medicare & Medicaid Utilization Include/Exclude Estimates Hospital Unit Medicaid Inpatient Days (est.) Medicare & Medicaid Utilization Include/Exclude Estimates Hospital Unit Medicaid Inpatient Discharges (est.) Medicare & Medicaid Utilization Include/Exclude Estimates Hospital Unit Medicare Inpatient Days (est.) Medicare & Medicaid Utilization Include/Exclude Estimates Hospital Unit Medicare Inpatient Discharges (est.) Medicare & Medicaid Utilization Include/Exclude Estimates Medicaid Inpatient Days (est.) Health Forum, LLC, an American Hospital Association company 9

12 Medicare & Medicaid Utilization Include/Exclude Estimates Medicaid Inpatient Discharges (est.) Medicare & Medicaid Utilization Include/Exclude Estimates Medicare Inpatient Days (est.) Medicare & Medicaid Utilization Include/Exclude Estimates Medicare Inpatient Discharges (est.) Medicare & Medicaid Utilization Include/Exclude Estimates Nursing Home Unit Medicaid Inpatient Days (est.) Medicare & Medicaid Utilization Include/Exclude Estimates Nursing Home Unit Medicaid Inpatient Discharges (est.) Medicare & Medicaid Utilization Include/Exclude Estimates Nursing Home Unit Medicare Inpatient Days (est.) Medicare & Medicaid Utilization Include/Exclude Estimates Nursing Home Unit Medicare Inpatient Discharges (est.) Medicare & Medicaid Utilization Total Facility Numbers Hospital unit Medicaid days Medicare & Medicaid Utilization Total Facility Numbers Hospital unit Medicaid discharges Medicare & Medicaid Utilization Total Facility Numbers Hospital unit Medicare days Medicare & Medicaid Utilization Total Facility Numbers Hospital unit Medicare discharges Medicare & Medicaid Utilization Total Facility Numbers Nursing home Medicaid days Medicare & Medicaid Utilization Total Facility Numbers Nursing home Medicaid discharges Medicare & Medicaid Utilization Total Facility Numbers Nursing home Medicare days Medicare & Medicaid Utilization Total Facility Numbers Nursing home Medicare discharges Medicare & Medicaid Utilization Total Facility Numbers Total Medicaid days Medicare & Medicaid Utilization Total Facility Numbers Total Medicaid discharges Medicare & Medicaid Utilization Total Facility Numbers Total Medicare days Medicare & Medicaid Utilization Total Facility Numbers Total Medicare discharges Financials % of Hospitals Net Patient Revenue Paid on capitated basis Financials % of Hospitals Net Patient Revenue Paid on shared risk basis Financials Employee Benefits Hospital unit employee benefits Financials Employee Benefits Nursing home employee benefits Financials Employee Benefits Total facility employee benefits Financials Include/Exclude Estimates Employee Benefits (est.) Financials Include/Exclude Estimates Hospital total expenses, including bad debt (est.) Financials Include/Exclude Estimates Hospital Unit Employee Benefits (est.) Financials Include/Exclude Estimates Hospital Unit Total Payroll Expenses (est.) Financials Include/Exclude Estimates Nursing home expenses, including bad debt (est.) Financials Include/Exclude Estimates Nursing Home Unit Employee Benefits (est.) Financials Include/Exclude Estimates Nursing Home Unit Total Payroll Expenses (est.) Financials Include/Exclude Estimates Total Expenses (est.) Financials Include/Exclude Estimates Total Payroll Expenses (est.) Financials Payroll Expenses Hospital unit payroll expenses Financials Payroll Expenses Nursing home payroll expenses Financials Payroll Expenses Total facility payroll expenses Financials Accumulated depreciation Financials Financials All Expenses Depreciation expense Financials Hospital total expenses (including bad debt) Financials Interest expense Financials Financials Financials Net property, plant and equipment Nursing home expenses (including bad debt) Property, plant & equipment at cost Health Forum, LLC, an American Hospital Association company 10

13 Financials Financials Financials Supply expense Total Capital Expenditures Total facility expenses (excluding bad debt) Financials Total gross square feet Supplemental Information Hospital has EHR Physician Hospital participates in Closed physician-hospital organization Physician Hospital participates in Equity model participation Physician Hospital participates in Foundation participation Physician Hospital participates in Group practice without walls Physician Hospital participates in Independent practice association Physician Hospital participates in Integrated salary model Physician Hospital participates in Management service organization Physician Hospital participates in Open physician-hospital organization Physician Hospital participates in area of participation Physician Hospital participates in area of participation dscrpt. Physician Intensivists Employment Model Cardiac intensive care Physician Intensivists Employment Model Closed cardiac intensive care Physician Intensivists Employment Model Closed medical surgical intensive care Physician Intensivists Employment Model Closed neonatal intensive care Physician Intensivists Employment Model Closed other intensive care Physician Intensivists Employment Model Closed pediatric intensive care Physician Intensivists Employment Model Intensivists provide care Physician Intensivists Employment Model Medical surgical intensive care Physician Intensivists Employment Model neonatal intensive care Physician Intensivists Employment Model other intensive care Physician Intensivists Employment Model pediatric intensive care Physician Joint Venture Services Ambulatory Surgical Centers (JV) Physician Joint Venture Services Cardiac - Limited Service Physician Joint Venture Services Imaging Centers (JV) Physician Joint Venture Services Limited Service Hospital (JV) Physician Joint Venture Services Orthopedic - Limited Service Physician Joint Venture Services - Limited Service Physician Joint Venture Services Joint Venture Physician Joint Venture Services JV Description Physician Joint Venture Services limited service description Physician Joint Venture Services Surgical - Limited Service Physician Network participates in Closed physician-hospital organization (net) Physician Network participates in Equity model participation (net.) Physician Network participates in Foundation participation (net.) Physician Network participates in Group practice without walls (net.) Physician Network participates in Independent practice association (net.) Physician Network participates in Integrated salary model (net.) Physician Network participates in Management service organization (net.) Physician Network participates in Open physician-hospital organization (net.) Health Forum, LLC, an American Hospital Association company 11

14 Physician Network participates in area of participation (net.) Physician Number of Full-time Intensivists Cardiac intensive care (FT) Physician Number of Full-time Intensivists Intensivists Full-time Total Physician Number of Full-time Intensivists Medical-surgical intensive care (FT) Physician Number of Full-time Intensivists Neonatal care (FT) Physician Number of Full-time Intensivists intensive care (FT) Physician Number of Full-time Intensivists Pediatric intensive care (FT) Physician Number of Hospitalists Hospitalists Full Time Equivalent (FTE) Physician Number of Part-time Intensivitis Cardiac intensive care (PT) Physician Number of Part-time Intensivitis Intensivists Part-time Total Physician Number of Part-time Intensivitis Medical-surgical intensive care (PT) Physician Number of Part-time Intensivitis Neonatal care (PT) Physician Number of Part-time Intensivitis intensive care (PT) Physician Number of Part-time Intensivitis Pediatric intensive care (PT) Physician Number of physicians Closed physician-hospital organization (# of) Physician Number of physicians Equity model participation (# of) Physician Number of physicians Foundation participation (# of) Physician Number of physicians Group practice without walls (# of) Physician Number of physicians Independent practice association (# of) Physician Number of physicians Integrated salary model (# of) Physician Number of physicians Management service organization (# of) Physician Number of physicians Open physician-hospital organization (# of) Physician Number of physicians area of participation (# of) Physician System participates in Closed physician-hospital organization (sys) Physician System participates in Equity model participation (sys.) Physician System participates in Foundation participation (sys.) Physician System participates in Group practice without walls (sys.) Physician System participates in Independent practice association (sys.) Physician System participates in Integrated salary model (sys.) Physician System participates in Management service organization (sys.) Physician System participates in Open physician-hospital organization (sys.) Physician System participates in area of participation (sys.) Physician Hospitalists Provide Care Physician Physician Joint venture with physicians/physician group Medical Home Physician Non-physician organization JV Staffing Advance Practice Nurses Advanced practice nurses Staffing Advance Practice Nurses Advanced practice nurses FT Staffing Advance Practice Nurses Advanced practice nurses FTE Staffing Advance Practice Nurses Advanced practice nurses PT Staffing Advance Practice Nurses Anesthesia services advanced practice nurses Staffing Advance Practice Nurses Case management advanced practice nurses Staffing Advance Practice Nurses Emergency department care advanced practice nurses Staffing Advance Practice Nurses advanced practice nurses Health Forum, LLC, an American Hospital Association company 12

15 Staffing Advance Practice Nurses specialty care advanced practice nurses Staffing Advance Practice Nurses Patient education advanced practice nurses Staffing Advance Practice Nurses Primary care advanced practice nurses Staffing Full Time Employees All other personnel (FT) Staffing Full Time Employees Laboratory technicians (FT) Staffing Full Time Employees Licensed practical or vocational nurses (FT) Staffing Full Time Employees Medical & dental residents/interns (FT) Staffing Full Time Employees Nursing assistive personnel (FT) Staffing Full Time Employees trainees (FT) Staffing Full Time Employees Pharmacists, licensed (FT) Staffing Full Time Employees Pharmacy technicians (FT) Staffing Full Time Employees Physicians and dentists (FT) Staffing Full Time Employees Radiology technicians (FT) Staffing Full Time Employees Registered nurses (FT) Staffing Full Time Employees Respiratory therapists (FT) Staffing Full Time Employees Total hospital unit personnel (FT) Staffing Full Time Employees Total nursing home personnel (FT) Staffing Full Time Employees Total personnel (FT) Staffing Full Time Equivalent - Calculated All other personnel (FTEC) Staffing Full Time Equivalent - Calculated Hospital unit total personnel (FTEC) Staffing Full Time Equivalent - Calculated Licensed practical or vocational nurses (FTEC) Staffing Full Time Equivalent - Calculated Medical and dental residents/interns (FTEC) Staffing Full Time Equivalent - Calculated Nursing home total personnel (FTEC) Staffing Full Time Equivalent - Calculated trainees (FTEC) Staffing Full Time Equivalent - Calculated Physicians and dentists (FTEC) Staffing Full Time Equivalent - Calculated Registered nurses (FTEC) Staffing Full Time Equivalent - Calculated Total personnel (FTEC) Staffing Full Time Equivalent - Calculated Total trainees (FTEC) Staffing Full Time Equivalent - Reported All other personnel (FTE) Staffing Full Time Equivalent - Reported Laboratory technicians (FTE) Staffing Full Time Equivalent - Reported Licensed practical nurses (FTE) Staffing Full Time Equivalent - Reported Medical & dental residents (FTE) Staffing Full Time Equivalent - Reported Nursing assistive personnel (FTE) Staffing Full Time Equivalent - Reported Nursing home personnel (FTE) Staffing Full Time Equivalent - Reported Nursing home registered nurses (FTE) Staffing Full Time Equivalent - Reported trainees (FTE) Staffing Full Time Equivalent - Reported Pharmacists, licensed (FTE) Staffing Full Time Equivalent - Reported Pharmacy technicians (FTE) Staffing Full Time Equivalent - Reported Physicians & dentists (FTE) Staffing Full Time Equivalent - Reported Radiology technicians (FTE) Staffing Full Time Equivalent - Reported Registered nurses (FTE) Staffing Full Time Equivalent - Reported Respiratory therapists (FTE) Staffing Full Time Equivalent - Reported Total facility personnel (FTE) Staffing Include/Exclude Estimates All Personnel FT (est.) Health Forum, LLC, an American Hospital Association company 13

16 Staffing Include/Exclude Estimates Hospital Unit Total Full Time (est.) Staffing Include/Exclude Estimates Hospital Unit Total Part Time (est.) Staffing Include/Exclude Estimates Laboratory technicians FT (est.) Staffing Include/Exclude Estimates Licensed Practical Nurses FT (est.) Staffing Include/Exclude Estimates Medical & Dental Residents FT (est.) Staffing Include/Exclude Estimates Nursing assistive personnel FT (est.) Staffing Include/Exclude Estimates Nursing Home Unit Total Full Time (est.) Staffing Include/Exclude Estimates Nursing Home Unit Total Part Time (est.) Staffing Include/Exclude Estimates Trainees FT (est.) Staffing Include/Exclude Estimates Part Time All Personnel (est.) Staffing Include/Exclude Estimates Part Time Laboratory technicians (est.) Staffing Include/Exclude Estimates Part Time Licensed Practical or Vocational Nurses (est.) Staffing Include/Exclude Estimates Part Time Medical and Dental Residents (est.) Staffing Include/Exclude Estimates Part Time Nursing assistive personnel (est.) Staffing Include/Exclude Estimates Part Time Trainees (est.) Staffing Include/Exclude Estimates Part Time Pharmacists, licensed (est.) Staffing Include/Exclude Estimates Part Time Pharmacy technicians (est.) Staffing Include/Exclude Estimates Part Time Radiology technicians (est.) Staffing Include/Exclude Estimates Part Time Registered Nurses (est.) Staffing Include/Exclude Estimates Part Time Respiratory therapists (est.) Staffing Include/Exclude Estimates Part Time Total Personnel (est.) Staffing Include/Exclude Estimates Pharmacists, licensed FT (est.) Staffing Include/Exclude Estimates Pharmacy technicians FT (est.) Staffing Include/Exclude Estimates Physician & Dentists FT (est.) Staffing Include/Exclude Estimates Physicians and Dentists PT (est.) Staffing Include/Exclude Estimates Radiology technicians FT (est.) Staffing Include/Exclude Estimates Registered Nurses FT (est.) Staffing Include/Exclude Estimates Respiratory therapists FT (est.) Staffing Include/Exclude Estimates Total Personnel FT (est.) Staffing Number of Intensivists Cardiac intensive care (FTE) Staffing Number of Intensivists Intensivists FTE Total Staffing Number of Intensivists Medical-surgical intensive care (FTE) Staffing Number of Intensivists Neonatal care (FTE) Staffing Number of Intensivists intensive care (FTE) Staffing Number of Intensivists Pediatric intensive care (FTE) Staffing Number of Physicians Not Employed (NE) or Under Contract with Privileges Emergency Medicine (NE) Staffing Number of Physicians Not Employed (NE) or Under Contract with Privileges Hospitalist (NE) Staffing Number of Physicians Not Employed (NE) or Under Contract with Privileges Intensivist (NE) Staffing Number of Physicians Not Employed (NE) or Under Contract with Privileges specialists (NE) Staffing Number of Physicians Not Employed (NE) or Under Contract with Privileges Primary care (NE) Staffing Number of Physicians Not Employed (NE) or Under Contract with Privileges Radiologists/pathologist/anesthesiologist (NE) Staffing Number of Physicians Not Employed (NE) or Under Contract with Privileges Total (NE) Staffing Number of Total Employed (TE) Physicians with Privileges Emergency medicine (TE) Staffing Number of Total Employed (TE) Physicians with Privileges Hospitalist (TE) Health Forum, LLC, an American Hospital Association company 14

17 Staffing Number of Total Employed (TE) Physicians with Privileges Intensivist (TE) Staffing Number of Total Employed (TE) Physicians with Privileges specialists (TE) Staffing Number of Total Employed (TE) Physicians with Privileges Primary care (TE) Staffing Number of Total Employed (TE) Physicians with Privileges Radiologists/pathologist/anesthesiologist (TE) Staffing Number of Total Employed (TE) Physicians with Privileges Total (TE) Staffing Number of Total Group Contract (TG) Physicians with Privileges Emergency medicine (TG) Staffing Number of Total Group Contract (TG) Physicians with Privileges Hospitalist (TG) Staffing Number of Total Group Contract (TG) Physicians with Privileges Intensivist (TG) Staffing Number of Total Group Contract (TG) Physicians with Privileges Specialists (TG) Staffing Number of Total Group Contract (TG) Physicians with Privileges Primary care (TG) Staffing Number of Total Group Contract (TG) Physicians with Privileges Radiologists/pathologist/anesthesiologist (TG) Staffing Number of Total Group Contract (TG) Physicians with Privileges Total (TG) Staffing Number of Total Individual Contract (TC) Physicians with Privileges Emergency medicine (TC) Staffing Number of Total Individual Contract (TC) Physicians with Privileges Hospitalist (TC) Staffing Number of Total Individual Contract (TC) Physicians with Privileges Intensivist (TC) Staffing Number of Total Individual Contract (TC) Physicians with Privileges specialists (TC) Staffing Number of Total Individual Contract (TC) Physicians with Privileges Primary care (TC) Staffing Number of Total Individual Contract (TC) Physicians with Privileges Radiologists/pathologist/anesthesiologist (TC) Staffing Number of Total Individual Contract (TC) Physicians with Privileges Total (TC) Staffing Number of Total Privileged (TP) Physicians Emergency medicine (TP) Staffing Number of Total Privileged (TP) Physicians Hospitalist (TP) Staffing Number of Total Privileged (TP) Physicians Intensivist (TP) Staffing Number of Total Privileged (TP) Physicians specialists (TP) Staffing Number of Total Privileged (TP) Physicians Primary care (TP) Staffing Number of Total Privileged (TP) Physicians Radiologists/pathologist/anesthesiologist (TP) Staffing Number of Total Privileged (TP) Physicians Total (TP) Staffing Part Time Employees All other personnel (PT) Staffing Part Time Employees Laboratory technicians (PT) Staffing Part Time Employees Licensed practical or vocational nurses (PT) Staffing Part Time Employees Medical & dental residents/interns (PT) Staffing Part Time Employees Nursing assistive personnel (PT) Staffing Part Time Employees trainees (PT) Staffing Part Time Employees Pharmacists, licensed (PT) Staffing Part Time Employees Pharmacy technicians (PT) Staffing Part Time Employees Physicians and dentists (PT) Staffing Part Time Employees Radiology technicians (PT) Staffing Part Time Employees Registered nurses (PT) Staffing Part Time Employees Respiratory therapists (PT) Staffing Part Time Employees Total hospital unit personnel (PT) Staffing Part Time Employees Total nursing home personnel (PT) Staffing Part Time Employees Total personnel (PT) Staffing Recruiting foreign-educated nurses from Africa Staffing Recruiting foreign-educated nurses from Canada Staffing Recruiting foreign-educated nurses from China Health Forum, LLC, an American Hospital Association company 15

18 Staffing Recruiting foreign-educated nurses from India Staffing Recruiting foreign-educated nurses from Korea Staffing Recruiting foreign-educated nurses from More foreign-educated nurses hired to fill RN vacancies Staffing Recruiting foreign-educated nurses from country Staffing Recruiting foreign-educated nurses from Philippines Staffing Vacancies All other personnel (vac.) Staffing Vacancies Laboratory technicians (vac.) Staffing Vacancies Licensed practical nurses (vac.) Staffing Vacancies Medical & dental residents (vac.) Staffing Vacancies Nursing assistive personnel (vac.) Staffing Vacancies Nursing home RN (vac.) Staffing Vacancies trainees (vac.) Staffing Vacancies Pharmacists, licensed (vac.) Staffing Vacancies Pharmacy technicians (vac.) Staffing Vacancies Physician & dentists (vac.) Staffing Vacancies Radiology technicians (vac.) Staffing Vacancies Registered nurses (vac.) Staffing Vacancies Respiratory therapists (vac.) Staffing Vacancies Total facility personnel (vac.) Staffing Vacancies Total nursing home personnel (vac.) Staffing Number of new RN graduates hired Staffing Physicians in Arrangement with hospital Health Forum, LLC, an American Hospital Association company 16