Ascension Saint Thomas Hospital West

Ascension Saint Thomas Hospital West, located in Nashville, Tennessee, is a 541-bed facility providing advanced specialty and emergency care. We are dedicated to delivering compassionate, personalized care with a focus on your health and wellness. Our hospital has earned recognition for high-quality care in areas such as heart and vascular, cancer, orthopedics, and stroke care. With 24/7 emergency services, Ascension Saint Thomas Hospital West is ready to provide the care you need when you need it. We are part of Ascension Saint Thomas, the leading faith-based healthcare system in Tennessee.

Identifiers

Hospital Name Ascension Saint Thomas Hospital West
Facility ID 440082

Location

Address 4220 HARDING RD, PO BOX 380
City/Town Nashville
State TN
ZIP Code 37205
County/Parish DAVIDSON

Health System

Health System Ascension
Health System Website Domain ascension.org
Recently Joined Health System (Past 4 Years) No

Health System Size & Scope

Health System Total Hospitals 84
Health System Total Beds 17222
Health System Hospital Locations Florida, Illinois, Indiana, Kansas, Maryland, Michigan, Oklahoma, NA, Tennessee, Texas and Wisconsin

Ownership & Characteristics

Hospital Type Acute Care Hospitals
Hospital Ownership Voluntary non-profit - Private
Ownership Details Ascension
Emergency Services Yes

Harrison Kiser

President and COO

Harrison Kiser has been named president and COO of Ascension Saint Thomas Hospital West, effective Dec. 8, 2024. [2, 4] He has served as chief operating officer for Ascension Saint Thomas Hospital West since 2018. [2, 4] Kiser has over 14 years of progressive leadership experience in healthcare, with expertise in hospital operations, strategic development, and clinical program management. [2] Since 2018, he has overseen daily operations for the 541-bed Ascension Saint Thomas Hospital West, including key departments such as perioperative and cardiac services, transplant, and ancillary services. [2] During his tenure as COO, he was responsible for overseeing capital projects, programmatic expansions, and improvements to the hospital campus experience. [2] He also served as vice president of the cardiovascular service line for Ascension Saint Thomas, where he collaborated with physicians and health system leaders on strategic initiatives and hospital partnerships. [2]

Dr. Shubhada Jagasia

President and CEO, Ascension Saint Thomas Hospital (Midtown and West campuses)

Dr. Shubhada Jagasia is President and CEO of Ascension Saint Thomas Hospital, which includes both the Midtown and West campuses. [3, 4] She has been with Ascension Saint Thomas since May 2021. [9] At the West campus, Dr. Jagasia is focusing on the expansion of the facility's robust cardiovascular, transplant, neurosciences, and critical care programs. [9]

Residency Programs

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

Capacity & Services

Licensed Beds 571

Staffing & Personnel

FTE Employees on Payroll 2988.7
FTE Interns & Residents 63.46

Inpatient Utilization

Inpatient Days (Title V) NA
Inpatient Days (Title XVIII) 46423
Inpatient Days (Title XIX) NA
Total Inpatient Days 206606
Bed Count 643
Available Bed Days 234679
Discharges (Title V) NA
Discharges (Title XVIII) 9077
Discharges (Title XIX) NA
Total Discharges 36938

Adult & Pediatric Subtotal

Inpatient Days (Title V; Adults & Peds) NA
Inpatient Days (Title XVIII; Adults & Peds) 38273
Inpatient Days (Title XIX; Adults & Peds) NA
Total Inpatient Days (Adults & Peds) 141255
Bed Count (Adults & Peds) 457
Available Bed Days (Adults & Peds) 166681
Discharges (Title V; Adults & Peds) NA
Discharges (Title XVIII; Adults & Peds) 9077
Discharges (Title XIX; Adults & Peds) NA
Total Discharges (Adults & Peds) 36938

Quality Summary

Care Quality Stengths Average overall patient satisfaction. Hospital does a good job at treating conditions like heart failure so that patients don't have to come back to the hospital. Hospital does a good job at treating conditions like pneumonia so that patients don't have to come back to the hospital. Hospital does an above-average job of ensuring patients at the hospital do not get infections.
Care Quality Concerns Patients report that the care team can be slow at times in meeting their needs. Patients report challenges the cleanliness of the hospital. Hospital has an long ER wait time. It takes on average over 3 hours for patients to be seen and treated

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 No Different Than National Average
Mortality Group – Death Rate for Heart Attack Patients No Different Than National Average
Mortality Group – Death Rate for CABG Surgery Patients Better Than National Average
Mortality Group – Death Rate for COPD Patients No Different Than National Average
Mortality Group – Death Rate for Heart Failure Patients Better Than National Average
Mortality Group – Death Rate for Pneumonia Patients Better Than National Average
Mortality Group – Death Rate for Stroke Patients No Different Than National Average
Mortality Group – Pressure Ulcer Rate Better Than National Average
Mortality Group – Death Rate Among Surgical Inpatients With Serious Treatable Complications No Different Than National Average
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 No Different Than National Average
Mortality Group – Postoperative Respiratory Failure Rate No Different Than National Average
Mortality Group – Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate No Different Than National Average
Mortality Group – Postoperative Sepsis Rate No Different Than National Average
Mortality Group – Postoperative Wound Dehiscence Rate No Different Than National Average
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 No Different Than National Average

Timely & Effective Care

Timely and Effective Care: Average (Median) Time in the Emergency Department Before Leaving (Lower Is Better) 194

Readmission Scores & Groups

Readmission Score Hospital Return Days for Heart Attack Patients 0.5
Readmission Score Hospital Return Days for Heart Failure Patients -13.2
Readmission Score Hospital Return Days for Pneumonia Patients -15.6
Readmission Score Rate of Unplanned Hospital Visits After Colonoscopy (per 1,000 Colonoscopies) 13.5
Readmission Score Rate of Inpatient Admissions for Patients Receiving Outpatient Chemotherapy 11.7
Readmission Score Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy 5.6
Readmission Score Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery 1.5
Readmission Score Acute Myocardial Infarction (AMI) 30-Day Readmission Rate 13.5
Readmission Score Rate of Readmission for CABG 9.9
Readmission Score Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients 18.6
Readmission Score Heart Failure (HF) 30-Day Readmission Rate 19.5
Readmission Score Rate of Readmission After Hip/Knee Replacement 4.2
Readmission Score Rate of Readmission After Discharge From Hospital (Hospital-Wide) 14.4
Readmission Score Pneumonia (PN) 30-Day Readmission Rate 14.6
Readmission Group Hospital Return Days for Heart Attack Patients Average Days per 100 Discharges
Readmission Group Hospital Return Days for Heart Failure Patients Fewer Days Than Average per 100 Discharges
Readmission Group Hospital Return Days for Pneumonia Patients Fewer Days Than Average 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 No Different Than the National Rate
Readmission Group Rate of Emergency Department (ED) Visits for Patients Receiving Outpatient Chemotherapy No Different Than the National Rate
Readmission Group Ratio of Unplanned Hospital Visits After Hospital Outpatient Surgery Worse than expected
Readmission Group Acute Myocardial Infarction (AMI) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission for CABG No Different Than the National Rate
Readmission Group Rate of Readmission for Chronic Obstructive Pulmonary Disease (COPD) Patients No Different Than the National Rate
Readmission Group Heart Failure (HF) 30-Day Readmission Rate No Different Than the National Rate
Readmission Group Rate of Readmission After Hip/Knee Replacement No Different Than the National Rate
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) 0.687
CAUTI SIR (Standardized Infection Ratio) 0.514
SSI SIR (Standardized Infection Ratio) 0.807
CDI SIR (Standardized Infection Ratio) 0.373
MRSA SIR (Standardized Infection Ratio) 0.790

Fiscal Period

Fiscal Year Begin Jul 01, 2022
Fiscal Year End Jun 30, 2023

Charity & Uncompensated Care ($ thousands)

Charity Care Cost $51,562
Bad Debt Expense $35,577
Uncompensated Care Cost $58,322
Total Uncompensated Care $112,457

Operating Expenses ($ thousands)

Total Salaries $258,699
Overhead Expenses (Non-Salary) $794,528
Depreciation Expense $43,498
Total Operating Costs $932,456

Charges ($ thousands)

Inpatient Charges $3,152,768
Outpatient Charges $2,107,692
Total Patient Charges $5,260,460

Wage-Related Details ($ thousands)

Core Wage Costs $48,699
Wage Costs (RHC/FQHC)
Adjusted Salaries $258,699
Contract Labor (Patient Care) $19,816
Wage Costs (Part A Teaching)
Wage Costs (Interns & Residents)

Balance Sheet – Current Assets ($ thousands)

Cash & Bank Balances $23,447
Short-Term Investments
Notes Receivable
Accounts Receivable $466,401
Allowance for Doubtful Accounts $-305,666
Inventory $22,547
Prepaid Expenses $134
Other Current Assets
Total Current Assets $221,991

Balance Sheet – Fixed Assets ($ thousands)

Land Value $20,279
Land Improvements Value $9,714
Building Value $260,322
Leasehold Improvements $536,631
Fixed Equipment Value $183,088
Major Movable Equipment $296,805
Minor Depreciable Equipment
Health IT Assets
Total Fixed Assets $448,499

Balance Sheet – Other Assets ($ thousands)

Long-Term Investments
Other Assets $59,152
Total Other Assets $59,152
Total Assets $729,642

Balance Sheet – Current Liabilities ($ thousands)

Accounts Payable $20,658
Salaries & Wages Payable $33,126
Payroll Taxes Payable
Short-Term Debt $4,943
Deferred Revenue
Other Current Liabilities $17,613
Total Current Liabilities $235,748

Balance Sheet – Long-Term Liabilities ($ thousands)

Mortgage Debt
Long-Term Notes Payable $295,100
Unsecured Loans
Other Long-Term Liabilities $14,524
Total Long-Term Liabilities $309,624
Total Liabilities $545,372

Balance Sheet – Equity ($ thousands)

General Fund Balance $184,270
Total Fund Balances $184,270
Total Liabilities & Equity $729,642

DRG & Program Payments ($ thousands)

DRG (Non-Outlier)
DRG (Pre-Oct 1) $30,038
DRG (Post-Oct 1) $91,547
Outlier Payments
DSH Adjustment $3,480
Eligible DSH % $0
Simulated MC Payments $101,289
Total IME Payments $5,011

Revenue & Income Statement ($ thousands)

Inpatient Revenue $3,193,159
Outpatient Revenue $2,071,101
Total Patient Revenue $5,264,260
Contractual Allowances & Discounts $4,208,617
Net Patient Revenue $1,055,643
Total Operating Expenses $1,053,227
Net Service Income $2,416
Other Income $58,706
Total Income $61,122
Other Expenses $3,175
Net Income $57,946

Ratios & Program Revenues ($ thousands)

Cost-to-Charge Ratio $0
Net Medicaid Revenue $5,552
Medicaid Charges $415,866
Net CHIP Revenue $5,345
CHIP Charges $46,166

EHR Information

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

ERP Information

ERP Oracle
ERP Version Unknown
EHR is Changing No