AdventHealth Manchester - HealthLuminate

Identifiers

Hospital Name	AdventHealth Manchester
Facility ID	180043

Location

Address	210 MARIE LANGDON DRIVE
City/Town	Manchester
State	KY
ZIP Code	40962
County/Parish	CLAY

Health System

Health System	AdventHealth
Health System Website Domain	adventhealth.com
Recently Joined Health System (Past 4 Years)	No

Health System Size & Scope

Health System Total Hospitals	34
Health System Total Beds	8772
Health System Hospital Locations	Colorado, Florida, Georgia, Kansas, Kentucky, North Carolina, Texas and Wisconsin

Ownership & Characteristics

Hospital Type	Acute Care Hospitals
Hospital Ownership	Voluntary non-profit - Church
Ownership Details	AdventHealth
Emergency Services	Yes

Nick Bejarano

President and Chief Executive Officer

Jamie Couch

Vice President of Operations

Jesse Kleven

Chief Financial Officer

James Nelson

Chief Nursing Officer

Anita Cornett, MD

Chief Medical Officer

Residency Programs

Allopathic Residency Program	No
Dental Residency Program	No
Osteopathic Residency Program	No
Other Residency Programs	No
Pediatric Residency Program	No

Capacity & Services

Licensed Beds	49

Staffing & Personnel

FTE Employees on Payroll	334.5
FTE Interns & Residents	NA

Inpatient Utilization

Inpatient Days (Title V)	NA
Inpatient Days (Title XVIII)	1907
Inpatient Days (Title XIX)	137
Total Inpatient Days	7895
Bed Count	49
Available Bed Days	17885
Discharges (Title V)	NA
Discharges (Title XVIII)	273
Discharges (Title XIX)	19
Total Discharges	1442

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds)	NA
Inpatient Days (Title XVIII; Adults & Peds)	1378
Inpatient Days (Title XIX; Adults & Peds)	97
Total Inpatient Days (Adults & Peds)	6117
Bed Count (Adults & Peds)	43
Available Bed Days (Adults & Peds)	15695
Discharges (Title V; Adults & Peds)	NA
Discharges (Title XVIII; Adults & Peds)	273
Discharges (Title XIX; Adults & Peds)	19
Total Discharges (Adults & Peds)	1442

Quality Summary

Care Quality Stengths	Hospital has an average ER wait time. Patients are seen and treated on average in 2-3 hours.
Care Quality Concerns	Hospital has multiple significant high-patient-mortality concerns. Hospital does not do a good job of treating conditions like heart failure so that patients don't have to come back to the hospital. Hospital struggles with high infection rates

Hospital Overall Rating

Patient Experience Star Ratings

Nurse Communication – Star Rating
Doctor Communication – Star Rating
Staff Responsiveness – Star Rating
Communication About Medicines – Star Rating
Discharge Information – Star Rating
Care Transition – Star Rating
Cleanliness – Star Rating
Quietness – Star Rating
Overall Hospital Rating – Star Rating
Recommend Hospital – Star Rating

Recommendation Percentage

Percent of Patients Who Definitely Recommend the Hospital	76%

Mortality Group Indicators

Mortality Group – Rate of Complications for Hip/Knee Replacement Patients
Mortality Group – Death Rate for Heart Attack Patients
Mortality Group – Death Rate for CABG Surgery Patients
Mortality Group – Death Rate for COPD Patients
Mortality Group – Death Rate for Heart Failure Patients	No Different Than National Average
Mortality Group – Death Rate for Pneumonia Patients	No Different Than National Average
Mortality Group – Death Rate for Stroke Patients
Mortality Group – Pressure Ulcer Rate	Worse Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications
Mortality Group – Iatrogenic Pneumothorax Rate	No Different Than National Average
Mortality Group – In-Hospital Fall with Hip Fracture Rate
Mortality Group – Postoperative Hemorrhage or Hematoma Rate	No Different Than National Average
Mortality Group – Postoperative Acute Kidney Injury Requiring Dialysis Rate
Mortality Group – Postoperative Respiratory Failure Rate
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate	No Different Than National Average
Mortality Group – Postoperative Sepsis Rate
Mortality Group – Postoperative Wound Dehiscence Rate
Mortality Group – Abdominopelvic Accidental Puncture or Laceration Rate	No Different Than National Average
Mortality Group – CMS Medicare PSI 90: Patient Safety and Adverse Events Composite	Worse Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better)	142

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients	Not Available
Readmission Score Hospital Return Days for Heart Failure Patients	36.7
Readmission Score Hospital Return Days for Pneumonia Patients	22.6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	12.8
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy	Not Available
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	Not Available
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery	0.8
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate	Not Available
Readmission Score Rate of Readmission for CABG	Not Available
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients	Not Available
Readmission Score Heart Failure (HF) 30-Day Readmission Rate	20.8
Readmission Score Rate of Readmission After Hip/Knee Replacement	Not Available
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide)	15.3
Readmission Score Pneumonia (PN) 30-Day Readmission Rate	16.2
Readmission Group Hospital Return Days for Heart Attack Patients	Number of Cases Too Small
Readmission Group Hospital Return Days for Heart Failure Patients	More Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients	Average Days per 100 Discharges
Readmission Group Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies)	No Different Than the National Rate
Readmission Group Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy	Not Available
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy	Not Available
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery	No Different than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate	Number of Cases Too Small
Readmission Group Rate of Readmission for CABG	Not Available
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients	Number of Cases Too Small
Readmission Group Heart Failure (HF) 30-Day Readmission Rate	No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement	Number of Cases Too Small
Readmission Group Rate of Readmission After Discharge From Hospital (Hospital-Wide)	No Different Than the National Rate
Readmission Group Pneumonia (PN) 30-Day Readmission Rate	No Different Than the National Rate

Infection SIRs

CLABSI SIR (Standardized Infection Ratio)	N/A
CAUTI SIR (Standardized Infection Ratio)	0.608
SSI SIR (Standardized Infection Ratio)	N/A
CDI SIR (Standardized Infection Ratio)	0.833
MRSA SIR (Standardized Infection Ratio)	N/A

Fiscal Period

Fiscal Year Begin	Oct 01, 2021
Fiscal Year End	Sep 30, 2022

Charity & Uncompensated Care ($ thousands)

Charity Care Cost	$852
Bad Debt Expense	$1,915
Uncompensated Care Cost	$1,400
Total Uncompensated Care	$10,196

Operating Expenses ($ thousands)

Total Salaries	$37,867
Overhead Expenses (Non-Salary)	$43,160
Depreciation Expense	$3,200
Total Operating Costs	$70,320

Charges ($ thousands)

Inpatient Charges	$68,607
Outpatient Charges	$189,585
Total Patient Charges	$258,191

Wage-Related Details ($ thousands)

Core Wage Costs	$4,389
Wage Costs (RHC/FQHC)	$1,787
Adjusted Salaries	$36,770
Contract Labor (Patient Care)	$1,005
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances	$-3,569
Short-Term Investments
Notes Receivable
Accounts Receivable	$7,556
Allowance for Doubtful Accounts	$-1,406
Inventory	$979
Prepaid Expenses	$600
Other Current Assets	$1,988
Total Current Assets	$7,447

Balance Sheet – Fixed Assets ($ thousands)

Land Value	$92
Land Improvements Value	$2,060
Building Value	$33,291
Leasehold Improvements
Fixed Equipment Value	$12,823
Major Movable Equipment	$15,216
Minor Depreciable Equipment
Health IT Assets	$3,878
Total Fixed Assets	$42,294

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets
Total Other Assets
Total Assets	$49,741

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable	$3,131
Salaries & Wages Payable	$3,294
Payroll Taxes Payable
Short-Term Debt	$2,372
Deferred Revenue	$47
Other Current Liabilities	$12,476
Total Current Liabilities	$23,300

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt	$11,495
Long-Term Notes Payable
Unsecured Loans
Other Long-Term Liabilities	$496
Total Long-Term Liabilities	$11,991
Total Liabilities	$35,291

Balance Sheet – Equity ($ thousands)

General Fund Balance	$14,450
Total Fund Balances	$14,450
Total Liabilities & Equity	$49,741

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1)
DRG (Post-Oct 1)	$2,897
Outlier Payments
DSH Adjustment	$278
Eligible DSH %	$0
Simulated MC Payments
Total IME Payments

Revenue & Income Statement ($ thousands)

Inpatient Revenue	$65,219
Outpatient Revenue	$198,982
Total Patient Revenue	$264,202
Contractual Allowances & Discounts	$191,172
Net Patient Revenue	$73,030
Total Operating Expenses	$81,027
Net Service Income	$-7,997
Other Income	$4,069
Total Income	$-3,928
Other Expenses
Net Income	$-3,928

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio	$0
Net Medicaid Revenue	$13,381
Medicaid Charges	$81,526
Net CHIP Revenue
CHIP Charges

EHR Information

EHR	Epic
EHR Version	EpicCare Inpatient (not Community Connect)
EHR is Changing	No

ERP Information

ERP	Workday
ERP Version	NA
EHR is Changing	Yes--In Process of Replacing