january 1 through december 31, 2004 published june...

Cabinet for Health and Family Services

Department for Public Health Division of Epidemiology and Health Planning

Health Policy Development Branch

January 1 through December 31, 2004 Published June 2005

i

2004 ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORT

INTRODUCTION Thank you for your interest in the 2004 Annual Hospital Utilization and Services Report. This report covers the utilization and services activities of licensed Kentucky hospitals for the calendar year, January 1, 2004 through December 31, 2004. The report is divided into six sections: ♦ Hospital Utilization & Services Decade Review ♦ Section I - Hospital Utilization Data by Licensed Bed Type ♦ Section II - Acute Bed Utilization ♦ Section III - Service Utilization ♦ Section IV - Inpatient Utilization Data of Medicare/Medicaid Patients ♦ Appendices-Definitions The Health Policy Development Branch produces a number of utilization and services reports, which can be obtained by contacting our office. In addition to the Annual Hospital Utilization and Services Report, the following reports are available: Long-Term Care Report; Home Health Services Report; Hospice Report; Magnetic Resonance Imaging Report; and the Ambulatory Surgical Services Report. These reports can be downloaded from the following web site: http://chfs.ky.gov/dph/surv.htm. The two Observation data elements in Table 2 continue to be reported. However, there are facilities that have not made arrangements to report these elements. The first element is the number of Observation Patients seen during the calendar year. The second data element is the number of Observation Patients Admitted to the hospital during the calendar year. Many new elements have been added to the 2004 Utilization Report. Section I, Table 3 now contains expanded Psychiatric Bed Utilization. Table 1-A Critical Access Hospitals is now all inclusive. Due to the new Regulation regarding Critical Access Hospitals

ii

the Tables in Section 1 will appear different. Table 1-B Long Term Acute Care Hospital beds is a new addition to the report. Please see Section I notes for complete details regarding all changes to this report. Questions or comments regarding the data contained in this report should be directed to Beth Sanderson at (502) 564-9592, ext. 3954 or e-mail: [email protected]. This report becomes the most recent official data on hospital services utilization published by the Cabinet for Health Services. For additional copies of this report, please submit a request in writing along with a check in the amount of $10 made payable to the Kentucky State Treasurer to:

Health Policy Development Branch

Department for Public Health 275 East Main Street HS2 C-A

Frankfort, KY 40621

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Hardin

Hart

Trigg

Pulaski

Logan

Lewis

Christian

Todd

Graves

Adair KnoxWarren

Barren Harlan

Floyd

Butler Laurel

Casey

AllenWayne

Hopkins

Leslie

Carter

KnottPerry

Owen

Union

Bath

Grayson

Nelson

Whitley

Breathitt

Daviess

Scott

Lee

Bullitt

Estill

Shelby

Lyon

Morgan

Madison

Henry

Marion

Clark

Grant

Calloway

Breckinridge

Larue

Letcher

Lincoln

Meade

GreenTaylor

Fleming

Jefferson

McCreary

Lawrence

Monroe

RowanElliott

Jackson

Henderson

Webster

Caldwell

Greenup

Fayette

Muhlenberg

Wolfe

Boone

RussellMarshall

Martin

Harrison

Ballard

MagoffinMercer

Crittenden

Mason

Bourbon

Fulton

Metcalfe

Boyle

Livingston

Boyd

McLean

Johnson

Garrard

ClintonHickman

Rockcastle

Pendleton

Edmonson

Powell

Simpson

Menifee

Owsley

Franklin

Washington

Carlisle Cumberland

Bracken

Oldham

Spencer

Kenton

Nicholas

Hancock

McCracken

Anderson

TrimbleCarroll

Woodford

Jessamine

Gallatin

Robertson

Campbell

Montgomery

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2004 Annual Hospital Utilization ReportKentucky Hospitals by Type

Kentucky Department for Public HealthDivision of Epidemiology & Health Planning

Helath Policy Development Branch

Legend

®C Critical Access Hospitals

H Hospitals


TABLE OF CONTENTS INTRODUCTION Intro i--ii HOSPITAL UTILIZATION & SERVICES DECADE REVIEW Dec Rev 1-10 SECTION 1: UTILIZATION OF LICENSED BEDS TABLE 1: Acute and Psychiatric Inpatient Utilization by Facility and ADD Page 1---6 TABLE 1A: Critical Access Hospital Utilization (CAH) Page 7---8 TABLE 1B: Long Term Acute Care Hospital (LTACH) Page 9---9 TABLE 2: Nonpsychiatric Acute Care Inpatient Utilization by Facility and ADD Page 10--15 TABLE 3: Psychiatric Care Inpatient Utilization by Facility and ADD Page 16--18 TABLE 3A: Psychiatric Care Inpatient Utilization Ages 0-17 Page 19--20 TABLE 3B: Psychiatric Care Inpatient Utilization Child Age 0-12 Page 21--22 TABLE 3C: Psychiatric Care Inpatient Utilization Adolescent Ages 13-17 Page 23--24 TABLE 3D: Psychiatric Care Inpatient Utilization Adult 18 and Over Page 25--27 TABLE 4: Swing Bed Inpatient Utilization by Facility and ADD Page 28--30 SECTION 2: ACUTE BED UTILIZATION TABLE 5: Chemical Dependency Inpatient Utilization by Facility Page 31--32 TABLE 6: Physical Rehabilitation Inpatient Utilization by Facility Page 33--35 TABLE 7: Inpatient Utilization of Acute Care Beds by Facility and ADD Page 36--40 TABLE 8: Inpatient Utilization of Intensive Care Beds by Facility and ADD Page 41--46 TABLE 9: Newborn Nursery and Neonatal Care by Facility and ADD Page 47--50

SECTION 3: SERVICE UTILIZATION TABLE 10: Operating Rooms and Cystoscopy Rooms by Facility and ADD Page 51--55 TABLE 11: Surgical Operations by Facility and ADD Page 56--61 TABLE 12: Outpatient Utilization by Facility and ADD 2--66 TABLE 13: CT Scan - Head and Body Scans by Facility and ADD Page 67--70 TABLE 14: Adult and Pediatric Transplant Procedures by Facility and ADD Page 71--74

TABLE 15: Therapeutic and Diagnostic Cardiac Catheterization Procedures by Facility and ADD Page 75--78 TABLE 16: Megavoltage Radiation Therapy Services by Facility - Cobalt and Linear Accelerator Page 79--80 TABLE 17: Lithotriptor Procedures by Facility Page 81--83 SECTION 4: MEDICARE/MEDICAID UTILIZATION TABLE 18: Inpatient Hospitalization Days by Facility and Payor Sec IV 1---4 CHART 18.1: Primary Payor, Kentucky Hospital Inpatient Days, 2004 Sec IV -----5 CHART 18.2: Inpatient Days, Primary Payor Vs. Kentucky Hospital ADD, 2004 Sec IV -----6 TABLE 19.1: Leading Twenty-five DRGs, by all Kentucky Hospitals Sec IV -----7 TABLE 19.2: Leading Twenty-five DRGs by ADD of Hospital Sec IV 8--38 Special Note: The data in Section IV came from the Universal Billing Form (UB 92). This data will not match data in other sections of the report. APPENDICES Appendix A: Utilization and Services Definitions Appendix B: Facility Comments

HOSPITAL UTILIZATION

SERVICES DECADE REVIEW

Kentucky Acute and Psychiatric Hospitalizations 1995-2004

Year Admissions Discharges ALOS Occupancy Inpatient Days1995 524,647 527,653 5.3 44.1% 2,794,9281996 537,596 531,575 5.2 46.8% 2,786,4701997 535,354 534,178 5.0 45.6% 2,682,1891998 539,070 536,317 4.9 45.4% 2,672,3881999 542,255 544,397 4.8 45.9% 2,693,0012000 563,643 562,058 4.9 47.0% 2,766,1472001 585,708 587,430 5.0 49.3% 2,903,7742002 607,511 609,148 5.0 50.1% 2,958,2022003 591,958 592,970 4.9 49.8% 2,895,4542004 577,821 589,132 5.1 48.2% 2,874,516

Footnote: These charts do not include state psychiatric hospital utilization. Decade Review does contain Critial Access Hospital data.

Decade Review Page 1


Occupancy RateAcute and Psychiatric Hospitals, 1995-2004

30%

35%

40%

45%

50%

55%

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Year

Occu

panc

y Rate


Average Length of Stay (ALOS)Acute and Psychiatric Hospitalizations, 1995-2004

3.0

4.0

5.0

6.0

7.0

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Year

ALOS

Kentucky Acute Hospitalizations 1995-2004

Year Admissions Discharges ALOS Occupancy Inpatient Days1995 492,308 494,969 4.9 43.2% 2,448,793 1996 505,090 498,658 5.0 46.8% 2,476,102 1997 504,211 503,497 4.7 45.1% 2,356,461 1998 505,724 502,943 4.6 44.8% 2,343,981 1999 510,516 512,193 4.5 45.4% 2,378,782 2000 529,451 528,436 4.6 46.4% 2,416,526 2001 548,255 549,854 4.5 48.1% 2,498,522 2002 568,347 569,936 4.5 49.1% 2,546,766 2003 553,458 554,950 4.5 48.5% 2,500,787 2004 583,703 594,976 4.5 47.8% 3,004,810

Decade Review contains Critical Access Hospital Data.



Occupancy RateAcute Non-Psychiatric Hospitals, 1995-2004

30%

35%

40%

45%

50%

55%

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Year

Occu

panc

y Rate


Average Length of Stay (ALOS)Acute Non-Psychiatric Hospitalizations, 1995-2004

3.0

4.0

5.0

6.0

7.0

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Year

ALOS

Kentucky Psychiatric Hospitalizations 1995-2004

Year Admissions Discharges ALOS Occupancy Inpatient Days1995 32,666 31,089 11.0 50.8% 327,574 1996 32,506 32,917 9.4 46.8% 310,368 1997 31,143 30,681 10.3 49.8% 325,728 1998 33,346 33,374 10.4 50.6% 328,407 1999 31,739 32,204 9.7 50.1% 314,219 2000 34,192 33,622 10.5 52.1% 349,621 2001 37,303 37,386 9.8 56.9% 411,062 2002 38,116 38,125 10.8 56.7% 407,486 2003 38,387 37,815 9.0 59.1% 393,613 2004 36,989 37,510 9.2 59.5% 395,723

Footnote: These charts do not include state psychiatric hospital utilization.



Occupancy RatePsychiatric Hospitalizations, 1995-2004

30%

35%

40%

45%

50%

55%

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Year

Occu

panc

y Rate


Average Length of Stay (ALOS)Psychiatric Hospitalizations, 1995-2004

8.0

9.0

10.0

11.0

12.0

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Year

ALOS


Average Length of Stay (ALOS)Acute and Psychiatric Hospitalizations, 1995-2004

3.0

5.0

7.0

9.0

11.0

13.0

15.0

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Year

ALOS

PsychAcute

Acute & Psych

SECTION I

UTILIZATION OF LICENSED BEDS


SECTION I

UTILIZATION BY LICENSED BED TYPE Combined Acute and Psychiatric inpatient utilization data are in Table 1 as in previous reports. Tables 1, 2 and 4 no longer include Critical Access Hospitals due to regulation changes. Critical Access Hospitals (CAH) are reflected in Table 1-A. In previous years these hospitals were characterized by having no more than 15 acute beds and up to 25 swing beds. The current regulation allows for CAH facilities to have all 25 beds as acute or swing beds. Table 1-A combines the swing and acute care beds. The total bed compliment for CAH is not allowed to exceed 25 beds. Since the Kentucky State Health Plan review criteria and standards consider acute nonpsychiatric and psychiatric beds separately, utilization of these beds is also shown separately. Acute Non-Psychiatric bed data is in Table 2 and Psychiatric in Table 3. Utilization of Swing Beds by long-term care patients is shown in Table 4. Utilization data for licensed long-term care beds is maintained in the Annual Long Term Care Report, which is available from this office. Chemical Dependency and Physical Rehabilitation data are in Tables 5 and 6. Table 1-B Long Term Acute Care Hospitals (LTACH) is new this year. LTACH’s are a hospital within a hospital. The beds are decertified by the host hospital, but not delicensed. These beds are certified as Long Term Acute Care Beds and are then leased to another entity. Table 3 Psychiatric Inpatient Utilization is now broken down into four additional tables. It includes Table 3-A Psychiatric Utilization 0-17, Table 3-B Psychiatric Utilization Child 0-12, Table 3-C Psychiatric Utilization Adolescents 13-17, and Table 3-D Psychiatric Utilization Adults 18 and over. The following utilization indicators are used in this report: Licensed Beds, Beds in Operation, Total Admissions, Total Inpatient Days, Total Discharges, Total Discharge Days, Average Daily Census (ADC), Occupancy Percent, and Average Length of Stay (ALOS). Three of these measures - ADC, Occupancy Percent, and ALOS are the result of calculations. The formulae for calculating these indicators are:

Average Daily Census (ADC) = Total Inpatient Days / Days in the Reporting Period.

Occupancy Percent = [Total Inpatient Days / (Licensed Beds x Days in the reporting Period)]x 100. The occupancy percent is adjusted to account for bed changes during the reporting period.

Average Length of Stay (ALOS) = Total Discharge Days / Total Discharges.

Acute Nonpsychiatric Care, usually known simply as acute care, generally refers to those medical and/or surgical services provided for a period of time not to exceed thirty days. The higher the level of service - primary, secondary, or tertiary - the longer the patient may reside in a facility. Psychiatric Care is provided in psychiatric hospitals or psychiatric units and encompasses a number of conditions. These conditions may require treatment beyond a thirty day period and, in some instances, require frequent follow-up care. Chemical Dependency treatment service is a structured inpatient program providing medical, social, diagnostic, and treatment services to persons who suffer from illnesses related to the misuse or abuse of alcohol and other drugs. The setting of the service may be either in a general hospital itself or a facility devoted solely to providing chemical dependency services. Comprehensive Physical Rehabilitation is the process of treating an individual who, through injury or disability, acquired or congenital, is in need of assistance for attainment of the maximum level of physical, educational, and vocational function.


Licensed Acute Beds

Beds in Operation

Admis-sions

Inpatient Days

Discharges Discharge Days

ADC ALOS Occupancy Percent

Licensed Psych Beds

Total Licensed

Beds

Table 1 - Acute and Psychiatric Care Utilization

ADD

1

Jackson Purchase Medical Center 107 107 4,350 16,336 4,369 16,355 45 3.7 41.7%0107

Lourdes Hospital 331 198 9,373 45,686 9,381 46,703 125 5.0 37.7%45286

Marshall County Hospital 46 46 900 3,135 903 3,142 9 3.5 18.6%046

Murray Calloway County Hospital 140 105 4,813 22,643 4,808 23,082 62 4.8 44.2%0140

Parkway Regional Hospital 50 50 1,646 5,647 1,640 5,625 15 3.4 30.9%050

Western Baptist Hospital 349 288 13,052 65,781 13,100 65,992 180 5.0 51.5%0349

1,023 794 34,134 159,228 34,201 160,89945978 435 4.7 42.5%

2

Crittenden County Hospital 48 50 1,797 5,941 1,800 5,954 16 3.3 33.8%048

FHC Cumberland Hall 48 48 1,164 16,709 1,165 16,413 46 14.1 95.1%480

Jennie Stuart Medical Center Inc 194 139 6,153 28,142 6,146 28,069 77 4.6 39.6%0194

Muhlenberg Community Hospital 90 90 3,050 10,422 3,070 10,447 28 3.4 31.6%090

Regional Medical Center of Hopkins Co 370 231 9,822 42,754 9,660 42,754 117 4.4 31.6%22348

Western State Hospital 495 222 2,404 47,266 2,393 47,662 129 19.9 26.1%4950

1,245 780 24,390 151,234 24,234 151,299565680 413 6.2 33.2%

3

Methodist Hospital 192 184 7,135 33,846 7,155 33,934 92 4.7 48.2%8184

Owensboro Medical Health System 427 303 17,426 64,202 17,517 64,202 175 3.7 41.1%12415

River Valley Behavioral Health 80 80 594 12,003 604 12,205 33 20.2 41.0%800

699 567 25,155 110,051 25,276 110,341100599 301 4.4 43.0%

4

Greenview Regional Hospital 211 211 4,881 20,016 4,889 25,772 55 5.3 25.9%0211

Page 1Acute and Psych

Licensed Acute Beds

Beds in Operation

Admis-sions

Inpatient Days



Licensed Psych Beds

Total Licensed

Beds


ADD

Logan Memorial Hospital 92 57 2,315 9,533 2,329 9,550 26 4.1 28.3%092

Monroe County Medical Center 49 49 2,380 9,570 2,380 9,586 26 4.0 53.4%049

Rivendell Behavioral Health Services 72 72 480 25,647 466 25,178 70 54.0 97.3%720

T J Samson Community Hospital 180 165 8,109 29,940 8,176 30,199 82 3.7 45.4%15165

The Medical Center At Bowling Green 302 302 14,270 70,437 13,967 70,426 192 5.0 63.7%36266

The Medical Center At Scottsville 47 47 500 2,036 499 1,998 6 4.0 11.8%047

953 903 32,935 167,179 32,706 172,709123830 457 5.3 47.9%

5

Flaget Memorial Hospital 40 40 2,473 7,253 2,490 7,369 20 3.0 49.5%040

Hardin Memorial Hospital 285 253 11,978 56,313 12,040 57,369 154 4.8 54.0%15270

Lincoln Trail Behavioral Health System 59 59 917 18,037 904 15,152 49 16.8 83.5%590

Spring View Hospital 65 65 1,582 5,755 1,751 5,540 16 3.2 24.2%065

Twin Lakes Regional Medical Center 75 75 2,519 9,052 2,513 9,125 25 3.6 33.0%075

524 492 19,469 96,410 19,698 94,55574450 263 4.8 50.3%

6

Baptist Hospital East 378 378 24,774 113,705 24,741 112,862 311 4.6 82.2%22356

Baptist Hospital Northeast 90 90 3,100 12,631 3,110 12,673 35 4.1 38.3%090

Caritas Medical Center 298 192 10,565 47,031 10,623 47,356 129 4.5 43.1%0298

Caritas Peace Center 416 227 3,480 72,291 3,456 70,270 198 20.3 47.5%4160

Central State Hospital 192 123 1,237 37,628 1,228 44,299 103 36.1 53.5%1920

Jewish Hospital 412 412 21,619 125,917 21,695 126,780 344 5.8 83.5%0412

Jewish Hospital Shelbyville 70 70 2,818 13,492 2,835 13,514 37 4.8 52.7%070

Kentucky Correctional Psychiatric Ctr 97 97 584 22,944 572 27,537 63 48.1 64.6%970

Kindred Hospital - Louisville 337 337 373 22,460 412 22,395 61 54.4 18.2%0337


Licensed Acute Beds

Beds in Operation

Admis-sions

Inpatient Days



Licensed Psych Beds

Total Licensed

Beds


ADD

Norton Audubon Hospital 432 244 12,803 67,287 12,821 67,235 184 5.2 42.6%0432

Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 955 660 26,646 149,729 26,703 150,447 409 5.6 42.8%60895

Norton Southwest Hospital 127 103 3,356 14,399 3,389 14,089 39 4.2 31.0%0127

Norton Suburban Hospital 343 311 15,021 71,479 15,113 71,304 195 4.7 56.9%0343

Ten Broeck Dupont 54 54 1,387 19,486 1,387 19,941 53 14.4 98.6%540

Ten Broeck Hospital 82 82 1,375 28,401 1,375 28,462 78 20.7 94.6%820

University Of Louisville Hospital 404 291 13,791 88,268 13,806 88,849 241 6.4 59.7%40364

4,687 3,671 142,929 907,148 143,266 918,0139633,724 2,479 6.4 52.9%

7

Northkey Community Care-Intensive Services 51 24 450 6,442 446 6,146 18 13.8 34.5%510

St Elizabeth Medical Center North 201 41 2,689 11,274 2,716 12,124 31 4.5 15.3%8193

St Elizabeth Medical Center South 362 362 22,351 93,543 22,374 95,797 256 4.3 70.6%44318

St Luke Hospital East 251 143 7,028 32,437 6,909 32,025 89 4.6 35.3%0251

St Luke Hospital West 161 161 8,542 37,102 8,333 36,253 101 4.4 63.0%22139

1,026 731 41,060 180,798 40,778 182,345125901 494 4.5 48.1%

8

Fleming County Hospital 52 42 1,805 6,447 1,827 6,306 18 3.5 33.9%052

Meadowview Regional Medical Center 101 86 3,405 10,041 3,421 10,197 27 3.0 27.2%0101

153 128 5,210 16,488 5,248 16,5030153 45 3.1 29.4%

9

Mary Chiles Hospital 63 56 1,848 6,472 1,841 6,431 18 3.5 28.1%756

St Claire Medical Center 139 139 5,155 19,788 5,182 19,935 54 3.8 38.9%20119

202 195 7,003 26,260 7,023 26,36627175 72 3.8 35.5%


Licensed Acute Beds

Beds in Operation

Admis-sions

Inpatient Days



Licensed Psych Beds

Total Licensed

Beds


ADD

10

Kings Daughters Medical Center 342 344 20,609 89,126 20,660 88,997 244 4.3 71.2%27315

Our Lady of Bellefonte Hospital 190 190 9,560 35,461 9,685 36,924 97 3.8 51.0%16174

Three Rivers Medical Center 90 90 4,928 17,603 4,924 17,664 48 3.6 53.4%1971

622 624 35,097 142,190 35,269 143,58562560 388 4.1 62.5%

11

Highlands Regional Medical Center 166 125 6,004 24,853 6,030 24,708 68 4.1 40.9%12154

McDowell ARH Hospital 50 40 1,667 4,264 1,682 4,396 12 2.6 23.3%050

Paul B Hall Regional Medical Center 72 72 4,309 15,712 4,305 15,631 43 3.6 59.6%072

Pikeville Medical Center 221 206 8,353 44,576 8,394 44,865 122 5.3 55.1%0221

Williamson ARH Hospital 113 113 4,290 21,668 4,374 18,949 59 4.3 52.4%0113

622 556 24,623 111,073 24,785 108,54912610 303 4.4 48.8%

12

Hazard ARH Regional Medical Center 288 288 13,206 67,131 13,116 68,718 183 5.2 63.7%100188

Jenkins Community Hospital 60 60 954 2,700 957 2,748 7 2.9 12.3%060

Kentucky River Medical Center 55 55 4,859 13,398 4,879 13,904 37 2.8 66.6%055

Whitesburg ARH Hospital 90 90 4,531 15,804 4,547 15,831 43 3.5 48.0%090

493 493 23,550 99,033 23,499 101,201100393 271 4.3 54.9%

13

Baptist Regional Medical Center 180 180 8,129 40,998 8,138 41,252 112 5.1 62.2%34146

Harlan ARH Hospital 150 130 4,938 22,585 5,390 20,963 62 3.9 41.1%20130

Knox County Hospital 42 42 1,628 5,723 1,638 5,833 16 3.6 37.2%042

Marymount Hospital 89 89 7,047 23,591 7,108 23,458 64 3.3 72.4%089

Memorial Hospital Inc 63 63 3,563 13,393 2,565 15,431 37 6.0 58.1%063


Licensed Acute Beds

Beds in Operation

Admis-sions

Inpatient Days



Licensed Psych Beds

Total Licensed

Beds


ADD

Middlesboro ARH Hospital 96 96 4,075 15,553 4,091 13,572 42 3.3 44.3%096

Pineville Community Hospital 120 120 4,116 18,092 4,100 19,413 49 4.7 41.2%0120

Rockcastle Hospital 26 20 1,363 4,773 1,368 4,849 13 3.5 50.2%026

766 740 34,859 144,708 34,398 144,77154712 395 4.2 51.6%

14

Clinton County Hospital Inc 42 42 2,258 9,561 2,269 9,616 26 4.2 62.2%042

Jane Todd Crawford Memorial Hospital 42 42 1,315 6,832 1,312 6,830 19 5.2 44.4%2022

Lake Cumberland Regional Hospital 195 195 11,226 50,867 11,553 50,867 139 4.4 71.3%34161

Russell County Hospital 45 29 1,244 4,610 1,262 4,718 13 3.7 28.0%045

Taylor County Hospital 90 90 3,614 15,567 3,634 15,567 43 4.3 47.3%090

Wayne County Hospital Inc 30 30 839 2,624 861 2,670 7 3.1 23.9%030

444 428 20,496 90,061 20,891 90,26854390 246 4.3 55.4%

15

Berea Hospital 48 48 1,781 7,924 1,791 7,961 22 4.4 45.1%048

Bourbon Community Hospital 58 58 1,358 6,259 1,363 6,294 17 4.6 29.5%2533

Central Baptist Hospital 371 359 19,011 88,932 19,068 90,373 243 4.7 65.5%0371

Clark Regional Medical Center 75 75 2,707 8,608 2,547 8,114 24 3.2 31.4%075

Eastern State Hospital 323 197 2,241 45,400 2,223 66,825 124 30.1 38.4%3230

Ephraim McDowell Reg Medical Ctr 162 146 7,995 36,509 8,050 36,661 100 4.6 61.6%38124

Frankfort Regional Medical Center 173 134 4,777 18,240 4,800 19,257 50 4.0 28.8%0173

Georgetown Community Hospital 75 60 2,133 6,773 3,027 7,007 19 2.3 24.7%075

Harrison Memorial Hospital 61 61 1,795 6,352 1,805 6,481 17 3.6 28.5%061

Pattie A Clay Regional Medical Ctr 105 95 3,708 14,953 3,708 14,964 41 4.0 38.9%0105

Ridge Behavioral Health System 90 90 2,624 20,355 2,656 20,456 56 7.7 61.8%900


Licensed Acute Beds

Beds in Operation

Admis-sions

Inpatient Days



Licensed Psych Beds

Total Licensed

Beds


ADD

Saint Joseph East 143 143 6,634 24,676 6,639 24,772 67 3.7 47.1%0143

Saint Joseph Hospital 446 446 18,817 95,458 18,857 96,038 261 5.1 58.5%0446

Samaritan Hospital 261 261 6,700 27,729 6,716 27,834 76 4.1 29.0%31230

Shriners Hosp For Children 50 50 1,242 3,947 1,230 4,172 11 3.4 21.6%050

University Of Kentucky Hospital 473 432 19,677 112,575 19,664 117,310 308 6.0 65.0%17456

2,914 2,655 103,200 524,690 104,144 554,5195242,390 1,434 5.3 49.2%

16,373 13,757 574,110 2,926,551 575,416 2,975,923State Total: 2,82813,545 7,996 5.2 48.8%



ADDLicensed

BedsBeds in

OperationAdmissions Inpatient

DaysDischarges Discharge

DaysADC ALOS Occupancy

Percent

Table 1-A CRITICAL ACCESS HOSPITAL UTILIZATION

225 25 1,091 3,588 1,098 3,576Caldwell County Hospital Inc 10 3.3 39.2%

25 25 1,004 3,723 1,010 3,731Livingston Hosp And Healthcare Svcs Inc 10 3.7 40.7%

25 25 479 4,975 477 3,001Trigg County Hospital Inc 14 6.3 54.4%

75 75 2,574 12,286 2,585 10,308 34 4.0 44.8%3

25 25 770 3,228 774 2,736Methodist Hospital Union County 9 3.5 35.3%

25 25 1,422 4,265 1,427 4,265Ohio County Hospital 12 3.0 46.6%

50 50 2,192 7,493 2,201 7,001 20 3.2 40.9%4

25 25 695 2,979 702 2,989Caverna Memorial Hospital 8 4.3 32.6%

25 25 899 4,822 901 4,844The Medical Center At Franklin 13 5.4 52.7%

50 50 1,594 7,801 1,603 7,833 21 4.9 42.6%5

25 25 938 3,970 938 3,976Breckinridge Memorial Hospital 11 4.2 43.4%

25 25 938 3,970 938 3,976 11 4.2 43.4%7

25 25 802 2,999 787 3,198Carroll County Hospital 8 4.1 32.8%

25 25 664 2,737 654 2,714New Horizons Medical Center 7 4.1 29.9%

15 15 626 1,686 622 1,686St Elizabeth Med Ctr-Grant Co 5 2.7 30.7%

65 65 2,092 7,422 2,063 7,598 20 3.7 31.2%

Page 7Critical Access HospitalsNote: Per new regulation CAH's can have all 25 beds as swing or acute.

ADDLicensed

BedsBeds in




Percent

Table 1-A CRITICAL ACCESS HOSPITAL UTILIZATION

920 20 876 3,477 873 3,424Morgan County ARH Hospital 10 3.9 47.5%

20 20 876 3,477 873 3,424 10 3.9 47.5%11

25 25 978 4,028 977 4,028Our Lady of The Way Hospital 11 4.1 44.0%

25 25 978 4,028 977 4,028 11 4.1 44.0%12

25 25 886 2,547 882 2,534Mary Breckinridge Hospital 7 2.9 27.8%

25 25 886 2,547 882 2,534 7 2.9 27.8%14

24 24 528 2,048 531 2,049Casey County Hospital 6 3.9 23.3%

25 25 1,420 6,377 1,429 6,380Cumberland County Hospital 17 4.5 69.7%

25 25 1,573 6,950 1,534 6,946Westlake Regional Hospital 19 4.5 76.0%

74 74 3,521 15,375 3,494 15,375 42 4.4 56.8%15

25 25 502 1,470 500 1,470Bluegrass Community Hospital 4 2.9 16.1%

25 25 960 3,165 976 3,240Fort Logan Hospital 9 3.3 34.6%

25 25 918 2,693 911 2,668Marcum And Wallace Memorial Hospital 7 2.9 29.4%

18 18 780 3,050 775 3,038Nicholas County Hospital 8 3.9 46.3%

25 25 782 3,482 782 3,452The James B Haggin Memorial Hospital 10 4.4 38.1%

118 118 3,942 13,860 3,944 13,868 38 3.5 32.1%

527 527 19,593 78,259 19,560 75,945 214 3.9 40.6%State Total:

Page 8Critical Access HospitalsNote: Per new regulation CAH's can have all 25 beds as swing or acute.


Bed Location

Beds in Operation

Admis-sions

Inpatient Days



Licensed Beds

Table 1-B Long Term Acute Hospital Care Beds (LTACH)

ADD

Certification Holder

4

28 71 1,852 62 1,645 5 26.5 18.1Commonwealth Regional Specialty The Medical Center at Bowling Green 28 %

28 71 1,852 62 1,645 5 26.528 18.1%

6

30 214 5,290 187 4,862 14 26.0 48.2Kindred Hospital SatelliteJewish Hospital 30 %

337 373 22,460 412 22,395 61 54.4 18.2Kindred HospitalKindred Hospital 337 %

367 587 27,750 599 27,257 76 45.5367 20.7%

7

20 115 2,727 103 2,060 7 20.0 22.6Cardinal Hill Speciality HospitalSt Luke Hospital East 33 %

20 115 2,727 103 2,060 7 20.033 22.6%

13

25 54 1,158 43 1,053 3 24.5 12.7Oak Tree HospitalBaptist Regional Medical Center 25 %

25 54 1,158 43 1,053 3 24.525 12.7%

15

23 176 4,452 177 4,819 12 27.2 52.9Continuing Care HospitalSaint Joseph East 23 %

41 310 8,720 310 8,760 23 28.3 58.1Select Specialty HospitalSamaritan Hospital 41 %

64 486 13,172 487 13,579 36 27.964 56.2%

504 1,313 46,659 1,294 45,594State Total: 127 35.2517 85.1%

Page 9LTACH


ADDLicensed

BedsBeds in




Percent

Table 2 - Acute Non-Psychiatric Inpatient Utilization by Facility and Region

Observation Patients

Observations Admitted

1107 107 4,350 16,336 4,369 16,355Jackson Purchase Medical Center 45 3.7 41.7% 1,831 0

286 180 8,598 40,945 8,603 41,976Lourdes Hospital 112 4.9 39.1% 3,020 0

46 46 900 3,135 903 3,142Marshall County Hospital 9 3.5 18.6% 146 0

140 105 4,813 22,643 4,808 23,082Murray Calloway County Hospital 62 4.8 44.2% 984 179

50 50 1,646 5,647 1,640 5,625Parkway Regional Hospital 15 3.4 30.9% 134 0

349 288 13,052 65,781 13,100 65,992Western Baptist Hospital 180 5.0 51.5% 5,722 2,120

978 776 33,359 154,487 33,423 156,172 422 4.7 43.2% 11,837 2,299

248 50 1,797 5,941 1,800 5,954Crittenden County Hospital 16 3.3 33.8% 1 0

194 139 6,153 28,142 6,146 28,069Jennie Stuart Medical Center Inc 77 4.6 39.6% 1,016 0

90 90 3,050 10,422 3,070 10,447Muhlenberg Community Hospital 28 3.4 31.6% 1,522 254

348 231 9,822 42,754 9,660 42,754Regional Medical Center of Hopkins Co 117 4.4 33.6% 2,866 813

680 510 20,822 87,259 20,676 87,224 238 4.2 35.1% 5,405 1,067

3184 184 7,135 33,846 7,155 33,934Methodist Hospital 92 4.7 50.3% 4,506 1,395

415 291 16,632 61,660 16,729 61,660Owensboro Medical Health System 168 3.7 40.6% 5,827 0

599 475 23,767 95,506 23,884 95,594 261 4.0 43.6% 10,333 1,395

4211 211 4,881 20,016 4,889 25,772Greenview Regional Hospital 55 5.3 25.9% 2,394 209

92 57 2,315 9,533 2,329 9,550Logan Memorial Hospital 26 4.1 28.3% 513 62

Page 10Acute Non-PsychNote: Several hospitals still have not made arrangements to collect observation data, see notes section.

ADDLicensed

BedsBeds in




Percent




49 49 2,380 9,570 2,380 9,586Monroe County Medical Center 26 4.0 53.4% 1,850 1,162

165 165 8,109 29,940 8,176 30,199T J Samson Community Hospital 82 3.7 49.6% 1,696 0

266 266 13,367 65,350 12,960 64,721The Medical Center At Bowling Green 179 5.0 67.1% 3,208 680

47 47 500 2,036 499 1,998The Medical Center At Scottsville 6 4.0 11.8% 332 21

830 795 31,552 136,445 31,233 141,826 373 4.5 44.9% 9,993 2,134

540 40 2,473 7,253 2,490 7,369Flaget Memorial Hospital 20 3.0 49.5% 1,205 2

270 238 11,240 53,159 11,299 54,198Hardin Memorial Hospital 145 4.8 53.8% 5,867 4,260

65 65 1,582 5,755 1,751 5,540Spring View Hospital 16 3.2 24.2% 686 135

75 75 2,519 9,052 2,513 9,125Twin Lakes Regional Medical Center 25 3.6 33.0% 1,009 331

450 418 17,814 75,219 18,053 76,232 206 4.2 45.7% 8,767 4,728

6356 356 23,728 107,554 23,678 106,650Baptist Hospital East 294 4.5 82.5% 5,758 947

90 90 3,100 12,631 3,110 12,673Baptist Hospital Northeast 35 4.1 38.3% 338 13

298 192 10,565 47,031 10,623 47,356Caritas Medical Center 129 4.5 43.1% 3,489 1,514

412 412 21,619 125,917 21,695 126,780Jewish Hospital 344 5.8 83.5% 5,531 0

70 70 2,818 13,492 2,835 13,514Jewish Hospital Shelbyville 37 4.8 52.7% 1,606 814

337 337 373 22,460 412 22,395Kindred Hospital - Louisville 61 54.4 18.2% 2 0

432 244 12,803 67,287 12,821 67,235Norton Audubon Hospital 184 5.2 42.6% 2,220 275

895 621 25,474 138,045 25,495 137,808Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav

377 5.4 42.1% 7,148 445

127 103 3,356 14,399 3,389 14,089Norton Southwest Hospital 39 4.2 31.0% 1,519 521

343 311 15,021 71,479 15,113 71,304Norton Suburban Hospital 195 4.7 56.9% 1,682 253


ADDLicensed

BedsBeds in




Percent




364 251 12,797 77,306 12,801 77,693University Of Louisville Hospital 211 6.1 58.0% 2,704 865

3,724 2,987 131,654 697,601 131,972 697,497 1,906 5.3 51.2% 31,997 5,647

7193 41 2,689 11,274 2,716 12,124St Elizabeth Medical Center North 31 4.5 16.0% 1,369 782

318 318 20,309 84,427 20,256 86,380St Elizabeth Medical Center South 231 4.3 72.5% 8,374 4,477

251 143 7,028 32,437 6,909 32,025St Luke Hospital East 89 4.6 35.3% 2,664 1,003

139 139 7,104 31,024 6,829 29,896St Luke Hospital West 85 4.4 61.0% 2,921 1,316

901 641 37,130 159,162 36,710 160,425 435 4.4 48.3% 15,328 7,578

852 42 1,805 6,447 1,827 6,306Fleming County Hospital 18 3.5 33.9% 212 152

101 86 3,405 10,041 3,421 10,197Meadowview Regional Medical Center 27 3.0 27.2% 478 60

153 128 5,210 16,488 5,248 16,503 45 3.1 29.4% 690 212

956 56 1,848 6,472 1,841 6,431Mary Chiles Hospital 18 3.5 31.6% 969 748

119 119 4,556 17,860 4,583 18,003St Claire Medical Center 49 3.9 41.0% 2,425 613

175 175 6,404 24,332 6,424 24,434 66 3.8 38.0% 3,394 1,361

10315 317 19,184 81,689 19,141 81,383Kings Daughters Medical Center 223 4.3 70.9% 6,901 1,725

174 174 8,971 33,375 9,023 34,045Our Lady of Bellefonte Hospital 91 3.8 52.4% 1,217 243

71 71 4,236 12,224 4,239 12,268Three Rivers Medical Center 33 2.9 47.0% 868 159

560 562 32,391 127,288 32,403 127,696 348 3.9 62.1% 8,986 2,127


ADDLicensed

BedsBeds in




Percent




11154 113 5,874 23,437 5,899 23,299Highlands Regional Medical Center 64 3.9 41.6% 0 0

50 40 1,667 4,264 1,682 4,396McDowell ARH Hospital 12 2.6 23.3% 1,066 274

72 72 4,309 15,712 4,305 15,631Paul B Hall Regional Medical Center 43 3.6 59.6% 403 112

221 206 8,353 44,576 8,394 44,865Pikeville Medical Center 122 5.3 55.1% 2,700 2,135

113 113 4,290 21,668 4,374 18,949Williamson ARH Hospital 59 4.3 52.4% 1,191 386

610 544 24,493 109,657 24,654 107,140 300 4.3 49.1% 5,360 2,907

12188 188 10,229 40,396 10,165 41,942Hazard ARH Regional Medical Center 110 4.1 58.7% 3,157 2,601

60 60 954 2,700 957 2,748Jenkins Community Hospital 7 2.9 12.3% 522 39

55 55 4,859 13,398 4,879 13,904Kentucky River Medical Center 37 2.8 66.6% 786 23

90 90 4,531 15,804 4,547 15,831Whitesburg ARH Hospital 43 3.5 48.0% 1,125 282

393 393 20,573 72,298 20,548 74,425 198 3.6 50.3% 5,590 2,945

13146 146 6,789 33,183 6,798 33,443Baptist Regional Medical Center 91 4.9 62.1% 2,443 1,214

130 110 4,244 15,749 4,633 13,507Harlan ARH Hospital 43 2.9 33.1% 2,019 1,884

42 42 1,628 5,723 1,638 5,833Knox County Hospital 16 3.6 37.2% 811 366

89 89 7,047 23,591 7,108 23,458Marymount Hospital 64 3.3 72.4% 1,845 1,421

63 63 3,563 13,393 2,565 15,431Memorial Hospital Inc 37 6.0 58.1% 1,128 564

96 96 4,075 15,553 4,091 13,572Middlesboro ARH Hospital 42 3.3 44.3% 1,126 501

120 120 4,116 18,092 4,100 19,413Pineville Community Hospital 49 4.7 41.2% 3,970 2,722

26 20 1,363 4,773 1,368 4,849Rockcastle Hospital 13 3.5 50.2% 156 14


ADDLicensed

BedsBeds in




Percent




712 686 32,825 130,057 32,301 129,506 355 4.0 49.9% 13,498 8,686

1442 42 2,258 9,561 2,269 9,616Clinton County Hospital Inc 26 4.2 62.2% 170 38

22 22 626 2,234 628 2,237Jane Todd Crawford Memorial Hospital 6 3.6 27.7% 120 10

161 161 9,882 42,942 10,178 42,942Lake Cumberland Regional Hospital 117 4.2 72.9% 4,205 929

45 29 1,244 4,610 1,262 4,718Russell County Hospital 13 3.7 28.0% 488 218

90 90 3,614 15,567 3,634 15,567Taylor County Hospital 43 4.3 47.3% 1,986 0

30 30 839 2,624 861 2,670Wayne County Hospital Inc 7 3.1 23.9% 835 244

390 374 18,463 77,538 18,832 77,750 212 4.1 54.3% 7,804 1,439

1548 48 1,781 7,924 1,791 7,961Berea Hospital 22 4.4 45.1% 808 395

33 33 844 2,733 866 2,782Bourbon Community Hospital 7 3.2 22.6% 432 83

371 359 19,011 88,932 19,068 90,373Central Baptist Hospital 243 4.7 65.5% 4,039 120

75 75 2,707 8,608 2,547 8,114Clark Regional Medical Center 24 3.2 31.4% 1,252 281

124 124 7,341 31,212 7,394 31,393Ephraim McDowell Reg Medical Ctr 85 4.2 68.8% 1,665 63

173 134 4,777 18,240 4,800 19,257Frankfort Regional Medical Center 50 4.0 28.8% 2,159 815

75 60 2,133 6,773 3,027 7,007Georgetown Community Hospital 19 2.3 24.7% 1,162 974

61 61 1,795 6,352 1,805 6,481Harrison Memorial Hospital 17 3.6 28.5% 1,465 502

105 95 3,708 14,953 3,708 14,964Pattie A Clay Regional Medical Ctr 41 4.0 38.9% 1,184 877

143 143 6,634 24,676 6,639 24,772Saint Joseph East 67 3.7 47.1% 1,631 1,174

446 446 18,817 95,458 18,857 96,038Saint Joseph Hospital 261 5.1 58.5% 3,043 1,329

230 230 5,083 19,373 5,099 19,478Samaritan Hospital 53 3.8 23.0% 504 16


ADDLicensed

BedsBeds in




Percent




50 50 1,242 3,947 1,230 4,172Shriners Hosp For Children 11 3.4 21.6% 0 0

456 417 18,909 108,016 18,870 112,302University Of Kentucky Hospital 295 6.0 64.7% 5,174 0

2,390 2,275 94,782 437,197 95,701 445,094 1,195 4.7 50.0% 24,518 6,629

13,545 11,739 531,239 2,400,534 532,062 2,417,518 6,559 4.5 48.4%State Total: 163,500 51,154


2004 ANNUAL KENTUCKY HOSPITAL UTILIZATION AND SERVICES REPORT

ADDLicensed

BedsBeds in




Percent

Table 3 - Psychiatric Inpatient Utilization by Facility and Region

1

Lourdes Hospital 45 18 775 4,741 778 4,727 13 6.1 28.9%

45 18 775 4,741 778 4,727 13 6.1 28.8%

2

FHC Cumberland Hall 48 48 1,164 16,709 1,165 16,413 46 14.1 95.4%

Regional Medical Center of Hopkins Co 22 0 0 0 0 0 0 0.0 0.0%

Western State Hospital 495 222 2,404 47,266 2,393 47,662 129 19.9 26.2%

565 270 3,568 63,975 3,558 64,075 175 18.0 30.9%

3

Methodist Hospital 8 0 0 0 0 0 0 0.0 0.0%

Owensboro Medical Health System 12 12 794 2,542 788 2,542 7 3.2 58.0%

River Valley Behavioral Health 80 80 594 12,003 604 12,205 33 20.2 41.1%

100 92 1,388 14,545 1,392 14,747 40 10.6 39.7%

4

Rivendell Behavioral Health Services 72 72 480 25,647 466 25,178 70 54.0 97.6%

T J Samson Community Hospital 15 0 0 0 0 0 0 0.0 0.0%

The Medical Center At Bowling Green 36 36 903 5,087 1,007 5,705 14 5.7 38.7%

123 108 1,383 30,734 1,473 30,883 84 21.0 68.3%

5

Hardin Memorial Hospital 15 15 738 3,154 741 3,171 9 4.3 57.6%

Lincoln Trail Behavioral Health System 59 59 917 18,037 904 15,152 49 16.8 83.8%

74 74 1,655 21,191 1,645 18,323 58 11.1 78.2%

Page 16Psychiatric

ADDLicensed

BedsBeds in




Percent


6

Baptist Hospital East 22 22 1,046 6,151 1,063 6,212 17 5.8 76.6%

Caritas Peace Center 416 227 3,480 72,291 3,456 70,270 198 20.3 47.6%

Central State Hospital 192 123 1,237 37,628 1,228 44,299 103 36.1 53.7%

Kentucky Correctional Psychiatric Ctr 97 97 584 22,944 572 27,537 63 48.1 64.8%

Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 60 39 1,172 11,684 1,208 12,639 32 10.5 53.4%

Ten Broeck Dupont 54 54 1,387 19,486 1,387 19,941 53 14.4 98.9%

Ten Broeck Hospital 82 82 1,375 28,401 1,375 28,462 78 20.7 94.9%

University Of Louisville Hospital 40 40 994 10,962 1,005 11,156 30 11.1 75.1%

963 684 11,275 209,547 11,294 220,516 573 19.5 59.5%

7

Northkey Community Care-Intensive Services 51 24 450 6,442 446 6,146 18 13.8 34.6%

St Elizabeth Medical Center North 8 0 0 0 0 0 0 0.0 0.0%

St Elizabeth Medical Center South 44 44 2,042 9,116 2,118 9,417 25 4.4 56.8%

St Luke Hospital West 22 22 1,438 6,078 1,504 6,357 17 4.2 75.7%

125 90 3,930 21,636 4,068 21,920 59 5.4 47.3%

9

Mary Chiles Hospital 7 0 0 0 0 0 0 0.0 0.0%

St Claire Medical Center 20 20 599 1,928 599 1,932 5 3.2 26.4%

27 20 599 1,928 599 1,932 5 3.2 19.5%

10

Kings Daughters Medical Center 27 27 1,425 7,437 1,519 7,614 20 5.0 75.5%

Our Lady of Bellefonte Hospital 16 16 589 2,086 662 2,879 6 4.3 35.7%

Three Rivers Medical Center 19 19 692 5,379 685 5,396 15 7.9 77.6%

62 62 2,706 14,902 2,866 15,889 41 5.5 65.7%

Page 17Psychiatric

ADDLicensed

BedsBeds in




Percent


11

Highlands Regional Medical Center 12 12 130 1,416 131 1,409 4 10.8 32.3%

12 12 130 1,416 131 1,409 4 10.8 32.2%

12

Hazard ARH Regional Medical Center 100 100 2,977 26,735 2,951 26,776 73 9.1 73.2%

100 100 2,977 26,735 2,951 26,776 73 9.1 73.0%

13

Baptist Regional Medical Center 34 34 1,340 7,815 1,340 7,809 21 5.8 63.0%

Harlan ARH Hospital 20 20 694 6,836 757 7,456 19 9.8 93.6%

54 54 2,034 14,651 2,097 15,265 40 7.3 74.1%

14

Jane Todd Crawford Memorial Hospital 20 20 689 4,598 684 4,593 13 6.7 63.0%

Lake Cumberland Regional Hospital 34 34 1,344 7,925 1,375 7,925 22 5.8 63.9%

54 54 2,033 12,523 2,059 12,518 34 6.1 63.4%

15

Bourbon Community Hospital 25 25 514 3,526 497 3,512 10 7.1 38.6%

Eastern State Hospital 323 197 2,241 45,400 2,223 66,825 124 30.1 38.5%

Ephraim McDowell Reg Medical Ctr 38 22 654 5,297 656 5,268 15 8.0 38.2%

Ridge Behavioral Health System 90 90 2,624 20,355 2,656 20,456 56 7.7 62.0%

Samaritan Hospital 31 31 1,617 8,356 1,617 8,356 23 5.2 73.8%

University Of Kentucky Hospital 17 15 768 4,559 794 5,008 12 6.3 73.5%

524 380 8,418 87,493 8,443 109,425 239 13.0 45.6%

2,828 2,018 42,871 526,017 43,354 558,405State Total: 1,437 12.9 50.8%

Page 18Psychiatric


ADDLicensed

Beds# Psy.

Beds 0-17Admissions Inpatient



Percent

Table 3-A Children 0-17 years of age - Psychiatric Inpatient Utilization by Facility and Region

2FHC Cumberland Hall 48 34 644 12,622 651 12,328 35 18.9 72.0%

48 34 644 12,622 651 12,328 34 18.9 71.8%3


80 80 594 12,003 604 12,205 33 20.2 41.0%4


72 72 480 25,647 466 25,178 70 54.0 97.3%5


59 26 691 16,388 665 13,598 45 20.4 75.9%6

Caritas Peace Center 416 171 1,444 53,160 1,430 51,674 146 36.1 35.0%Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 60 18 376 4,463 388 4,810 12 12.4 20.4%Ten Broeck Dupont 54 32 485 12,566 485 13,061 34 26.9 63.8%Ten Broeck Hospital 82 58 814 22,623 814 22,587 62 27.7 75.6%

612 279 3,119 92,812 3,117 92,132 254 29.6 41.4%7


51 24 450 6,442 446 6,146 18 13.8 34.5%13

Baptist Regional Medical Center 34 12 298 2,021 295 2,001 6 6.8 16.3%

Psychiatric 0-17 Page19

ADDLicensed

Beds# Psy.

Beds 0-17Admissions Inpatient



Percent

Table 3-A Children 0-17 years of age - Psychiatric Inpatient Utilization by Facility and Region

34 12 298 2,021 295 2,001 6 6.8 16.2%15

Bourbon Community Hospital 25 9 192 1,736 177 1,726 5 9.8 19.0%Ridge Behavioral Health System 90 64 1,609 15,138 1,609 15,112 41 9.4 46.1%Samaritan Hospital 31 12 459 3,083 459 3,083 8 6.7 27.2%

146 85 2,260 19,957 2,245 19,921 55 8.9 37.3%

1,102 612 8,536 187,892 8,489 183,509State Total: 513 21.6 46.6%



ADDLicensed

Beds# Child

Psy. BedsAdmissions Inpatient



Percent

Table 3-B Children 0-12 Years of Age - Psychiatric Inpatient Utilization by Facility and Region

2FHC Cumberland Hall 48 10 185 5,106 195 5,010 14 25.7 29.1%

48 10 185 5,106 195 5,010 14 25.7 29.1%3


80 40 280 5,652 284 5,747 15 20.2 19.3%4


72 19 139 6,376 106 4,989 17 47.1 24.2%6

Caritas Peace Center 416 43 446 20,333 451 19,765 56 43.8 13.4%

Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 60 18 376 4,463 388 4,810 12 12.4 20.4%

Ten Broeck Dupont 54 32 485 12,566 485 13,061 34 26.9 63.8%

530 93 1,307 37,362 1,324 37,636 102 28.4 19.3%7


51 14 263 3,865 261 3,598 11 13.8 20.7%13

Baptist Regional Medical Center 34 0 25 158 25 158 0 6.3 1.3%

34 0 25 158 25 158 0 6.3 1.3%15

Ridge Behavioral Health System 90 32 552 6,252 542 6,151 17 11.3 19.0%

Samaritan Hospital 31 6 191 1,361 191 1,361 4 7.1 12.0%


ADDLicensed

Beds# Child

Psy. BedsAdmissions Inpatient



Percent

Table 3-B Children 0-12 Years of Age - Psychiatric Inpatient Utilization by Facility and Region

121 38 743 7,613 733 7,512 21 10.2 17.2%

936 214 2,942 66,132 2,928 64,650State Total: 181 22.1 19.3%



ADDLicensed

BedsBeds in




Percent

Table 3-C Adolescents 13-17 Years of Age - Psychiatric Inpatient Utilization by Facility and Region

2

FHC Cumberland Hall 48 24 459 7,516 456 7,318 21 16.0 42.9%

48 24 459 7,516 456 7,318 21 16.0 42.8%

3


80 40 314 6,351 320 6,458 17 20.2 21.7%

4


72 53 341 19,271 360 20,189 53 56.1 73.1%

5


59 26 691 16,388 665 13,598 45 20.4 75.9%

6

Caritas Peace Center 416 128 998 32,827 979 31,909 90 32.6 21.6%Ten Broeck Hospital 82 58 814 22,623 814 22,587 62 27.7 75.6%

498 186 1,812 55,450 1,793 54,496 152 30.4 30.4%

7


51 10 187 2,577 185 2,548 7 13.8 13.8%

13

Baptist Regional Medical Center 34 12 273 1,863 270 1,843 5 6.8 15.0%

34 12 273 1,863 270 1,843 5 6.8 15.0%


ADDLicensed

BedsBeds in




Percent

Table 3-C Adolescents 13-17 Years of Age - Psychiatric Inpatient Utilization by Facility and Region

15

Bourbon Community Hospital 25 9 192 1,736 177 1,726 5 9.8 19.0%Ridge Behavioral Health System 90 32 1,057 8,886 1,067 8,961 24 8.4 27.1%Samaritan Hospital 31 6 268 1,722 268 1,722 5 6.4 15.2%

146 47 1,517 12,344 1,512 12,409 34 8.2 23.1%

988 398 5,594 121,760 5,561 118,859State Total: 333 21.4 33.7%



ADDLicensed

BedsBeds in




Percent

Table 3-D Adult 18 Years of Age and Over - Psychiatric Inpatient Utilization by Facility and Region

1

Lourdes Hospital 45 18 775 4,741 778 4,727 13 6.1 28.9%

45 18 775 4,741 778 4,727 13 6.1 28.8%

2

FHC Cumberland Hall 48 14 520 4,087 514 4,085 11 7.9 23.3%Regional Medical Center of Hopkins Co 22 0 0 0 0 0 0 0.0 0.0%Western State Hospital 495 222 2,404 47,266 2,393 47,662 129 19.9 26.2%

565 236 2,924 51,353 2,907 51,747 140 17.8 24.8%

3

Methodist Hospital 8 0 0 0 0 0 0 0.0 0.0%Owensboro Medical Health System 12 12 794 2,542 788 2,542 7 3.2 58.0%River Valley Behavioral Health 80 0 0 0 0 0 0 0.0 0.0%

100 12 794 2,542 788 2,542 7 3.2 6.9%

4

Rivendell Behavioral Health Services 72 0 0 0 0 0 0 0.0 0.0%T J Samson Community Hospital 15 0 0 0 0 0 0 0.0 0.0%The Medical Center At Bowling Green 36 36 903 5,087 1,007 5,705 14 5.7 38.7%

123 36 903 5,087 1,007 5,705 14 5.7 11.3%

5

Hardin Memorial Hospital 15 15 738 3,154 741 3,171 9 4.3 57.6%Lincoln Trail Behavioral Health System 59 33 226 1,649 239 1,554 5 6.5 7.7%

74 48 964 4,803 980 4,725 13 4.8 17.7%

Psychiatric 18 and Over Page25

ADDLicensed

BedsBeds in




Percent


6

Baptist Hospital East 22 22 1,046 6,151 1,063 6,212 17 5.8 76.6%Caritas Peace Center 416 56 2,036 19,131 2,026 18,596 52 9.2 12.6%Central State Hospital 192 123 1,237 37,628 1,228 44,299 103 36.1 53.7%Kentucky Correctional Psychiatric Ctr 97 97 584 22,944 572 27,537 63 48.1 64.8%Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 60 21 796 7,221 820 7,829 20 9.5 33.0%Ten Broeck Dupont 54 22 902 6,920 902 6,880 19 7.6 35.1%Ten Broeck Hospital 82 24 561 5,778 561 5,875 16 10.5 19.3%University Of Louisville Hospital 40 40 994 10,962 1,005 11,156 30 11.1 75.1%

963 405 8,156 116,735 8,177 128,384 319 15.7 33.1%

7

Northkey Community Care-Intensive Services 51 0 0 0 0 0 0 0.0 0.0%St Elizabeth Medical Center North 8 0 0 0 0 0 0 0.0 0.0%St Elizabeth Medical Center South 44 44 2,042 9,116 2,118 9,417 25 4.4 56.8%St Luke Hospital West 22 22 1,438 6,078 1,504 6,357 17 4.2 75.7%

125 66 3,480 15,194 3,622 15,774 42 4.4 33.2%

9

Mary Chiles Hospital 7 0 0 0 0 0 0 0.0 0.0%St Claire Medical Center 20 20 599 1,928 599 1,932 5 3.2 26.4%

27 20 599 1,928 599 1,932 5 3.2 19.5%

10

Kings Daughters Medical Center 27 27 1,425 7,437 1,519 7,614 20 5.0 75.5%Our Lady of Bellefonte Hospital 16 16 589 2,086 662 2,879 6 4.3 35.7%Three Rivers Medical Center 19 19 692 5,379 685 5,396 15 7.9 77.6%

62 62 2,706 14,902 2,866 15,889 41 5.5 65.7%


ADDLicensed

BedsBeds in




Percent


11

Highlands Regional Medical Center 12 12 130 1,416 131 1,409 4 10.8 32.3%

12 12 130 1,416 131 1,409 4 10.8 32.2%

12

Hazard ARH Regional Medical Center 100 100 2,977 26,735 2,951 26,776 73 9.1 73.2%

100 100 2,977 26,735 2,951 26,776 73 9.1 73.0%

13

Baptist Regional Medical Center 34 22 1,042 5,794 1,045 5,808 16 5.6 46.7%Harlan ARH Hospital 20 20 694 6,836 757 7,456 19 9.8 93.6%

54 42 1,736 12,630 1,802 13,264 35 7.4 63.9%

14

Jane Todd Crawford Memorial Hospital 20 20 686 4,593 681 4,588 13 6.7 62.9%Lake Cumberland Regional Hospital 34 34 1,344 7,925 1,375 7,925 22 5.8 63.9%

54 54 2,030 12,518 2,056 12,513 34 6.1 63.3%

15

Bourbon Community Hospital 25 16 322 1,790 320 1,786 5 5.6 19.6%Eastern State Hospital 323 197 2,241 45,400 2,223 66,825 124 30.1 38.5%Ephraim McDowell Reg Medical Ctr 38 22 654 5,297 656 5,268 15 8.0 38.2%Ridge Behavioral Health System 90 26 1,015 5,217 1,047 5,344 14 5.1 15.9%Samaritan Hospital 31 19 1,158 5,273 1,158 5,273 14 4.6 46.6%University Of Kentucky Hospital 17 15 768 4,559 794 5,008 12 6.3 73.5%

524 295 6,158 67,536 6,198 89,504 185 14.4 35.2%

2,828 1,406 34,332 338,120 34,862 374,891State Total: 924 10.8 32.7%



ADDCertified

BedsBeds in




Percent

Table 4 - Swing Bed Inpatient Utilization by Facility and Region

1

Jackson Purchase Medical Center 10 394 2,468 396 2,470 6.7 6.2 67.4%10

Marshall County Hospital 10 116 2,160 111 2,225 5.9 20.0 59.0%10

Parkway Regional Hospital 10 50 434 50 434 1.2 8.7 11.9%10

30 30 560 5,062 557 5,129 13.8 9.2 46.1%

2

Crittenden County Hospital 42 398 1,913 401 1,912 5.2 4.8 12.4%42

42 42 398 1,913 401 1,912 5.2 4.8 12.4%

4

Greenview Regional Hospital 27 459 5,437 463 5,434 14.9 11.7 55.0%27

Logan Memorial Hospital 10 190 1,316 189 1,278 3.6 6.8 36.0%10

37 37 649 6,753 652 6,712 18.5 10.3 49.9%

5

Spring View Hospital 6 42 468 49 593 1.3 12.1 21.3%6

Twin Lakes Regional Medical Center 10 106 841 106 841 2.3 7.9 23.0%10

16 16 148 1,309 155 1,434 3.6 9.3 22.4%

6

Baptist Hospital Northeast 10 0 0 0 0 0.0 0.0 0.0%10

10 10 0 0 0 0 0.0 0.0 0.0%

Page 28Swing Beds

ADDCertified

BedsBeds in




Percent


8

Fleming County Hospital 10 121 932 116 1,099 2.5 9.5 25.5%10

Meadowview Regional Medical Center 15 224 1,171 225 1,198 3.2 5.3 21.3%15

25 25 345 2,103 341 2,297 5.7 6.7 23.0%

9

Mary Chiles Hospital 10 281 659 278 611 1.8 2.2 18.0%10

10 10 281 659 278 611 1.8 2.2 18.0%

10

Three Rivers Medical Center 9 42 260 41 262 0.7 6.4 7.9%9

9 9 42 260 41 262 0.7 6.4 7.9%

11

McDowell ARH Hospital 10 21 182 19 175 0.5 9.2 5.0%10

10 10 21 182 19 175 0.5 9.2 5.0%

12

Whitesburg ARH Hospital 10 9 99 9 99 0.3 11.0 2.7%10

10 10 9 99 9 99 0.3 11.0 2.7%

13

Knox County Hospital 10 28 255 27 244 0.7 9.0 7.0%10

Middlesboro ARH Hospital 10 148 1,239 148 1,240 3.4 8.4 33.9%10

Rockcastle Hospital 6 10 1,711 8 739 4.7 92.4 77.9%6

Page 29Swing Beds

ADDCertified

BedsBeds in




Percent


26 26 186 3,205 183 2,223 8.8 12.1 33.7%

14

Russell County Hospital 16 170 4,068 176 4,936 11.1 28.0 69.5%16

Wayne County Hospital Inc 10 127 888 127 914 2.4 7.2 16.2%15

31 26 297 4,956 303 5,850 13.5 19.3 43.7%

15

Bourbon Community Hospital 10 34 161 32 159 0.4 5.0 4.4%10

Clark Regional Medical Center 10 24 147 23 148 0.4 6.4 4.0%10

Frankfort Regional Medical Center 10 39 276 48 340 0.8 7.1 7.5%10

Harrison Memorial Hospital 10 87 659 89 667 1.8 7.5 18.0%10

Pattie A Clay Regional Medical Ctr 10 0 0 0 0 0.0 0.0 0.0%10

50 50 184 1,243 192 1,314 3.4 6.8 6.8%

301 3,120 27,744 3,131 28,018State Total: 75.8 8.9 24.8%306

Page 30Swing Beds


ADDFacility Licensed

BedsBeds in




Percent

Table 5 - Chemical Dependency Inpatient Utilization by Facility

1Parkway Regional Hospital 10 0 0 0 0 0 0 0.0 0.0%

10 0 0 0 0 0 0 0.0 0.0%

2FHC Cumberland Hall 4 4 98 720 104 773 2 7.4 49.2%

4 4 98 720 104 773 2 7.4 49.2%

5Lincoln Trail Behavioral Health System

18 18 465 5,580 463 5,956 15 12.9 84.7%

18 18 465 5,580 463 5,956 15 12.9 84.7%

6Ten Broeck Dupont 12 12 384 2,993 384 2,980 8 7.8 68.1%

Ten Broeck Hospital 12 12 351 3,815 351 3,731 10 10.6 86.9%

24 24 735 6,808 735 6,711 19 9.1 77.5%

7St Luke Hospital East 28 28 579 3,725 543 3,493 10 6.4 36.3%

28 28 579 3,725 543 3,493 10 6.4 36.3%

10Our Lady of Bellefonte Hospital 24 24 541 1,913 539 1,961 5 3.6 21.8%

24 24 541 1,913 539 1,961 5 3.6 21.8%

* Ten Broeck Hospital and Lincoln Trail Behavioral Health utilizations include psychiatric bed use for chemical dependency patients and patients with dual diagnoses. Page 31CD * Hospitals with zero Occupancy Percent are no longer staffing and utilizing CD beds, but continue to hold the license.

ADDFacility Licensed

BedsBeds in




Percent

Table 5 - Chemical Dependency Inpatient Utilization by Facility

13Baptist Regional Medical Center 15 15 782 3,145 780 3,115 9 4.0 57.3%

15 15 782 3,145 780 3,115 9 4.0 57.3%

14Jane Todd Crawford Memorial Hospital

2 2 9 58 10 64 0 6.4 7.9%

2 2 9 58 10 64 0 6.4 7.9%

15Ridge Behavioral Health System 20 20 649 6,961 640 6,721 19 10.5 95.1%

20 20 649 6,961 640 6,721 19 10.5 95.1%

145 135 3,858 28,910 3,814 28,794 79 7.5 54.5%State Total:

* Ten Broeck Hospital and Lincoln Trail Behavioral Health utilizations include psychiatric bed use for chemical dependency patients and patients with dual diagnoses. Page 32CD * Hospitals with zero Occupancy Percent are no longer staffing and utilizing CD beds, but continue to hold the license.


ADD Beds in Operation

Admissions Inpatient Days



Table 6 - Physical Rehabilitation Inpatient Utilization by Facility

Licensed Beds

1Lourdes Hospital 28 494 7,418 500 7,507 15.0 72.6%28 20

28 494 7,418 500 7,507 20 15.0 72.4%28

2Regional Medical Center of Hopkins Co

20 240 3,295 238 3,295 13.8 45.1%20 9

20 240 3,295 238 3,295 9 13.8 45.0%20

3Methodist Hospital 24 267 3,113 268 3,067 11.4 35.5%24 9

Owensboro Medical Health System

20 357 4,917 335 4,917 14.7 67.4%20 13

44 624 8,030 603 7,984 22 13.2 49.9%44

4Southern Ky Rehab Hsp 60 1,337 19,226 1,335 19,330 14.5 87.8%60 53

60 1,337 19,226 1,335 19,330 53 14.5 87.6%60

5Healthsouth Rehab Hospital of Central Ky

40 716 11,244 715 11,229 15.7 77.0%40 31

40 716 11,244 715 11,229 31 15.7 76.8%40

Page 33Physical Rehab






Licensed Beds

6Baptist Hospital East 29 712 9,657 721 9,862 13.7 91.2%29 26

Frazier Rehab Institute 102 2,064 28,176 2,087 28,311 13.6 75.7%135 77

Gateway Rehab Hsp At Norton Healthcare Pav

40 780 11,240 780 11,240 14.4 77.0%40 31

171 3,556 49,073 3,588 49,413 134 13.8 78.4%204

7Gateway Rehabilitation Hospital at Florence

40 751 8,808 748 8,843 11.8 60.3%40 24

Healthsouth Northern Ky Rehab Hospital

40 726 11,642 721 11,619 16.1 79.7%40 32

80 1,477 20,450 1,469 20,462 56 13.9 69.8%80

9St Claire Medical Center 10 121 1,708 137 1,721 12.6 46.8%10 5

10 121 1,708 137 1,721 5 12.6 46.7%10

10Kings Daughters Medical Center 27 689 8,039 732 8,228 11.2 81.6%27 22

27 689 8,039 732 8,228 22 11.2 81.3%27

11Pikeville Medical Center 20 349 4,466 340 4,295 12.6 61.2%40 12

20 349 4,466 340 4,295 12 12.6 61.0%40







Licensed Beds

12Hazard ARH Regional Medical Center

20 327 3,943 334 3,943 11.8 54.0%20 11

20 327 3,943 334 3,943 11 11.8 53.9%20

13Baptist Regional Medical Center 20 412 5,709 404 5,630 13.9 78.2%20 16

20 412 5,709 404 5,630 16 13.9 78.0%20

14Lake Cumberland Regional Hospital

27 559 7,621 603 7,621 12.6 77.3%27 21

27 559 7,621 603 7,621 21 12.6 77.1%27

15Cardinal Hill Rehabilitation Hospital

108 2,347 32,537 2,307 31,372 13.6 82.5%108 89

108 2,347 32,537 2,307 31,372 89 13.6 82.3%108

675 13,248 182,759 13,305 182,030 13.7 74.0%State Total: 728 499


SECTION II

ACUTE BED UTILIZATION


SECTION II

ACUTE BED UTILIZATION This section shows the distribution of acute and intensive care beds by inpatient service provided. Table 7 covers inpatient services and utilization of acute care beds. The major categories are Medical/Surgical, Obstetrics, and Other (non-classified) services. The category Other (non-classified) services includes neonatal Level II and III beds, intensive care beds, transitional care beds, telemetry beds, etc. Data in these tables should be used with care as some hospitals were unable to submit data that distinguished between categories. Critical Access Hospitals have been removed from this table. Table 8 covers inpatient services and utilization of intensive care beds. The major divisions are ICU, CCU, and Burn Care. Other IC/Special Care beds are no longer included in these tables, since transitional care beds (special care, progressive care, step-down beds, etc.) are not recognized as a special category of intensive care beds. These beds are considered medical/surgical beds. Table 9 shows the utilization of newborn bassinets and Level II and Level III neonatal care beds by facility. Special Note: The utilization of intensive care beds and neonatal care beds is included in Table 7. The data shown are beds in operation and inpatient days. The ICU and CCU data in Table 8 and the Neonatal data in Table 9 represent a subset of the total acute care data presented in Table 7. Therefore, the bed and utilization data from these tables should not be added together to obtain data on the total of acute care beds.


ADD Med/Surg Adult and Ped Beds

Med/Surg Adult and Ped Days

Obstetric Beds

Obstetric Inpatient

Days

Other Beds Other Inpatient

Days

Total Acute Care Beds

Total Acute Care Inpatient

Days

Table 7 - Inpatient Utilization of Acute Care Beds in Operation by Facility and Region

1Jackson Purchase Medical Center 91 14,128 8 1,078 8 1,130 107 16,336

Lourdes Hospital 166 39,128 14 1,817 0 0 180 40,945

Marshall County Hospital 46 3,135 0 0 0 0 46 3,135

Murray Calloway County Hospital 88 19,633 17 3,010 0 0 105 22,643

Parkway Regional Hospital 46 5,335 4 312 0 0 50 5,647

Western Baptist Hospital 261 62,551 27 3,230 0 0 288 65,781

698 143,910 70 9,447 8 1,130 776 154,4872

Crittenden County Hospital 48 5,677 2 264 0 0 50 5,941

Jennie Stuart Medical Center Inc 98 18,110 15 2,344 26 7,688 139 28,142

Muhlenberg Community Hospital 75 8,776 8 754 7 892 90 10,422

Regional Medical Center of Hopkins Co 199 36,511 17 3,694 15 2,549 231 42,754

420 69,074 42 7,056 48 11,129 510 87,2593

Methodist Hospital 149 29,803 20 2,396 15 1,647 184 33,846

Owensboro Medical Health System 256 56,595 35 5,065 0 0 291 61,660

405 86,398 55 7,461 15 1,647 475 95,5064

Greenview Regional Hospital 179 16,113 16 1,426 16 2,477 211 20,016

Logan Memorial Hospital 47 9,075 10 458 0 0 57 9,533

Monroe County Medical Center 49 9,570 0 0 0 0 49 9,570

Page 36Med/Surg



Obstetric Beds

Obstetric Inpatient

Days


Days



Days


T J Samson Community Hospital 152 27,469 13 2,471 0 0 165 29,940

The Medical Center At Bowling Green 207 50,354 22 4,192 37 10,804 266 65,350

The Medical Center At Scottsville 47 2,036 0 0 0 0 47 2,036

681 114,617 61 8,547 53 13,281 795 136,4455

Flaget Memorial Hospital 28 6,233 8 781 4 239 40 7,253

Hardin Memorial Hospital 224 49,497 14 3,662 0 0 238 53,159

Spring View Hospital 55 4,433 10 1,322 0 0 65 5,755

Twin Lakes Regional Medical Center 69 8,165 6 887 0 0 75 9,052

376 68,328 38 6,652 4 239 418 75,2196

Baptist Hospital East 317 97,260 35 9,025 4 1,269 356 107,554

Baptist Hospital Northeast 82 11,575 8 1,056 0 0 90 12,631

Caritas Medical Center 192 47,031 0 0 0 0 192 47,031

Jewish Hospital 412 125,917 0 0 0 0 412 125,917

Jewish Hospital Shelbyville 65 12,563 5 929 0 0 70 13,492

Kindred Hospital - Louisville 337 22,460 0 0 0 0 337 22,460

Norton Audubon Hospital 244 67,287 0 0 0 0 244 67,287

Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 577 128,809 44 9,236 0 0 621 138,045

Norton Southwest Hospital 103 14,399 0 0 0 0 103 14,399

Norton Suburban Hospital 266 54,524 45 16,955 0 0 311 71,479

University Of Louisville Hospital 148 58,088 19 7,603 84 11,615 251 77,306

Page 37Med/Surg



Obstetric Beds

Obstetric Inpatient

Days


Days



Days


2,743 639,913 156 44,804 88 12,884 2,987 697,6017

St Elizabeth Medical Center North 41 11,274 0 0 0 0 41 11,274

St Elizabeth Medical Center South 285 76,821 33 7,606 0 0 318 84,427

St Luke Hospital East 126 30,300 17 2,137 0 0 143 32,437

St Luke Hospital West 123 28,464 16 2,560 0 0 139 31,024

575 146,859 66 12,303 0 0 641 159,1628

Fleming County Hospital 42 6,447 0 0 0 0 42 6,447

Meadowview Regional Medical Center 75 8,513 11 1,528 0 0 86 10,041

117 14,960 11 1,528 0 0 128 16,4889

Mary Chiles Hospital 35 4,928 17 1,032 4 512 56 6,472

St Claire Medical Center 109 16,552 10 1,308 0 0 119 17,860

144 21,480 27 2,340 4 512 175 24,33210

Kings Daughters Medical Center 264 67,734 16 4,296 37 9,659 317 81,689

Our Lady of Bellefonte Hospital 174 33,375 0 0 0 0 174 33,375

Three Rivers Medical Center 62 11,508 9 716 0 0 71 12,224

500 112,617 25 5,012 37 9,659 562 127,28811

Highlands Regional Medical Center 92 21,563 21 1,874 0 0 113 23,437

McDowell ARH Hospital 40 4,264 0 0 0 0 40 4,264

Paul B Hall Regional Medical Center 62 15,010 10 702 0 0 72 15,712

Page 38Med/Surg



Obstetric Beds

Obstetric Inpatient

Days


Days



Days


Pikeville Medical Center 176 39,795 22 2,877 8 1,904 206 44,576

Williamson ARH Hospital 93 21,037 20 631 0 0 113 21,668

463 101,669 73 6,084 8 1,904 544 109,65712

Hazard ARH Regional Medical Center 172 38,965 16 1,431 0 0 188 40,396

Jenkins Community Hospital 60 2,700 0 0 0 0 60 2,700

Kentucky River Medical Center 55 13,398 0 0 0 0 55 13,398

Whitesburg ARH Hospital 76 14,357 14 1,447 0 0 90 15,804

363 69,420 30 2,878 0 0 393 72,29813

Baptist Regional Medical Center 141 31,044 5 2,139 0 0 146 33,183

Harlan ARH Hospital 96 13,363 7 573 7 1,813 110 15,749

Knox County Hospital 42 5,723 0 0 0 0 42 5,723

Marymount Hospital 67 18,411 12 2,017 10 3,163 89 23,591

Memorial Hospital Inc 57 12,620 6 773 0 0 63 13,393

Middlesboro ARH Hospital 87 15,109 9 444 0 0 96 15,553

Pineville Community Hospital 110 17,442 10 650 0 0 120 18,092

Rockcastle Hospital 20 4,773 0 0 0 0 20 4,773

620 118,485 49 6,596 17 4,976 686 130,05714

Clinton County Hospital Inc 42 9,561 0 0 0 0 42 9,561

Jane Todd Crawford Memorial Hospital 22 2,234 0 0 0 0 22 2,234

Lake Cumberland Regional Hospital 130 38,439 31 4,503 0 0 161 42,942

Page 39Med/Surg



Obstetric Beds

Obstetric Inpatient

Days


Days



Days


Russell County Hospital 29 4,610 0 0 0 0 29 4,610

Taylor County Hospital 72 12,783 10 833 8 1,951 90 15,567

Wayne County Hospital Inc 30 2,624 0 0 0 0 30 2,624

325 70,251 41 5,336 8 1,951 374 77,53815

Berea Hospital 48 7,924 0 0 0 0 48 7,924

Bourbon Community Hospital 29 2,539 0 0 4 194 33 2,733

Central Baptist Hospital 306 73,822 53 15,110 0 0 359 88,932

Clark Regional Medical Center 63 7,413 12 1,195 0 0 75 8,608

Ephraim McDowell Reg Medical Ctr 90 25,039 18 2,026 16 4,147 124 31,212

Frankfort Regional Medical Center 95 13,361 19 2,721 20 2,158 134 18,240

Georgetown Community Hospital 44 4,462 10 1,630 6 681 60 6,773

Harrison Memorial Hospital 49 5,024 6 595 6 733 61 6,352

Pattie A Clay Regional Medical Ctr 77 12,987 18 1,966 0 0 95 14,953

Saint Joseph East 128 19,440 15 5,236 0 0 143 24,676

Saint Joseph Hospital 446 95,458 0 0 0 0 446 95,458

Samaritan Hospital 230 19,373 0 0 0 0 230 19,373

Shriners Hosp For Children 0 0 0 0 50 3,947 50 3,947

University Of Kentucky Hospital 391 104,471 26 3,545 0 0 417 108,016

1,996 391,313 177 34,024 102 11,860 2,275 437,197

10,426 2,169,294 921 160,068 392 71,172 11,739 2,400,534State Total:

Page 40Med/Surg


ADD Med/Surg ICU Beds

Med/Surg ICU Inp

Days

Pediatric ICU Beds

Pediatric ICU

Inp Days

Cardiac ICU Beds

Cardiac ICU Inp

Days

Burn ICU Beds

Burn ICU Inp

Days

Total Beds in

Operation

Total Inpatient

Days

Table 8 - Inpatient Utilization of Intensive Care Beds by Facility and Region

1

Jackson Purchase Medical Center 8 1,130 0 0 0 0 0 0 8 1,130

Lourdes Hospital 14 3,031 0 0 12 2,862 0 0 26 5,893

Marshall County Hospital 5 550 0 0 0 0 0 0 5 550

Murray Calloway County Hospital 8 1,951 0 0 0 0 0 0 8 1,951

Parkway Regional Hospital 5 6,374 0 0 0 0 0 0 5 6,374

Western Baptist Hospital 20 3,760 0 0 12 3,624 0 0 32 7,384

60 16,796 0 0 24 6,486 0 0 84 23,2822

Crittenden County Hospital 6 1,009 0 0 0 0 0 0 6 1,009

Jennie Stuart Medical Center Inc 12 2,616 0 0 6 1,320 0 0 18 3,936

Muhlenberg Community Hospital 7 892 0 0 0 0 0 0 7 892

Regional Medical Center of Hopkins Co 20 3,900 6 70 0 0 0 0 26 3,970

45 8,417 6 70 6 1,320 0 0 57 9,8073

Methodist Hospital 16 2,231 0 0 0 0 0 0 16 2,231

Methodist Hospital Union County 1 4 0 0 0 0 0 0 1 4

Ohio County Hospital 4 361 0 0 0 0 0 0 4 361

Page 41ICU


Med/Surg ICU Inp

Days

Pediatric ICU Beds

Pediatric ICU

Inp Days

Cardiac ICU Beds

Cardiac ICU Inp

Days

Burn ICU Beds

Burn ICU Inp

Days

Total Beds in

Operation

Total Inpatient

Days


Owensboro Medical Health System 19 4,398 0 0 15 2,571 0 0 34 6,969

40 6,994 0 0 15 2,571 0 0 55 9,5654

Caverna Memorial Hospital 2 12 0 0 0 0 0 0 2 12

Greenview Regional Hospital 16 2,477 0 0 0 0 0 0 16 2,477

Logan Memorial Hospital 6 932 0 0 0 0 0 0 6 932

T J Samson Community Hospital 10 2,117 0 0 0 0 0 0 10 2,117

The Medical Center At Bowling Green 12 3,072 0 0 12 3,285 0 0 24 6,357

46 8,610 0 0 12 3,285 0 0 58 11,8955

Flaget Memorial Hospital 4 239 0 0 0 0 0 0 4 239

Hardin Memorial Hospital 10 2,641 0 0 10 2,688 0 0 20 5,329

Spring View Hospital 7 656 0 0 0 0 0 0 7 656

Twin Lakes Regional Medical Center 6 863 0 0 0 0 0 0 6 863

27 4,399 0 0 10 2,688 0 0 37 7,0876

Baptist Hospital East 18 5,603 0 0 16 4,762 0 0 34 10,365

Baptist Hospital Northeast 7 1,462 0 0 0 0 0 0 7 1,462

Caritas Medical Center 25 5,262 0 0 0 0 0 0 25 5,262

Page 42ICU


Med/Surg ICU Inp

Days

Pediatric ICU Beds

Pediatric ICU

Inp Days

Cardiac ICU Beds

Cardiac ICU Inp

Days

Burn ICU Beds

Burn ICU Inp

Days

Total Beds in

Operation

Total Inpatient

Days


Jewish Hospital 23 16,910 0 0 24 0 0 0 47 16,910

Jewish Hospital Shelbyville 6 1,395 0 0 0 0 0 0 6 1,395

Kindred Hospital - Louisville 337 22,460 0 0 0 0 0 0 337 22,460

Norton Audubon Hospital 16 5,178 0 0 16 4,934 0 0 32 10,112

Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 20 9,881 12 5,024 10 984 0 0 42 15,889

Norton Southwest Hospital 14 1,724 0 0 0 0 0 0 14 1,724

Norton Suburban Hospital 16 4,677 0 0 0 0 0 0 16 4,677

University Of Louisville Hospital 34 11,588 0 0 10 3,110 5 1,543 49 16,241

516 86,140 12 5,024 76 13,790 5 1,543 609 106,4977

Carroll County Hospital 4 210 0 0 0 0 0 0 4 210

St Elizabeth Medical Center North 8 1,145 0 0 0 0 0 0 8 1,145

St Elizabeth Medical Center South 20 5,706 0 0 0 0 0 0 20 5,706

St Luke Hospital East 10 2,619 0 0 7 1,345 0 0 17 3,964

St Luke Hospital West 10 2,773 0 0 0 0 0 0 10 2,773

52 12,453 0 0 7 1,345 0 0 59 13,7988

Fleming County Hospital 4 653 0 0 0 0 0 0 4 653

Meadowview Regional Medical Center 6 1,066 0 0 0 0 0 0 6 1,066

Page 43ICU


Med/Surg ICU Inp

Days

Pediatric ICU Beds

Pediatric ICU

Inp Days

Cardiac ICU Beds

Cardiac ICU Inp

Days

Burn ICU Beds

Burn ICU Inp

Days

Total Beds in

Operation

Total Inpatient

Days


10 1,719 0 0 0 0 0 0 10 1,7199

Mary Chiles Hospital 4 512 0 0 0 0 0 0 4 512

St Claire Medical Center 14 2,482 0 0 0 0 0 0 14 2,482

18 2,994 0 0 0 0 0 0 18 2,99410

Kings Daughters Medical Center 24 7,145 0 0 8 1,674 0 0 32 8,819

Our Lady of Bellefonte Hospital 11 2,358 0 0 0 0 0 0 11 2,358

Three Rivers Medical Center 6 1,104 0 0 0 0 0 0 6 1,104

41 10,607 0 0 8 1,674 0 0 49 12,28111

Highlands Regional Medical Center 9 2,171 0 0 0 0 0 0 9 2,171

McDowell ARH Hospital 4 489 0 0 0 0 0 0 4 489

Paul B Hall Regional Medical Center 6 1,867 0 0 0 0 0 0 6 1,867

Pikeville Medical Center 16 5,020 0 0 0 0 0 0 16 5,020

Williamson ARH Hospital 6 1,858 0 0 0 0 0 0 6 1,858

41 11,405 0 0 0 0 0 0 41 11,40512

Hazard ARH Regional Medical Center 8 2,760 0 0 8 2,839 0 0 16 5,599

Jenkins Community Hospital 3 30 0 0 0 0 0 0 3 30

Page 44ICU


Med/Surg ICU Inp

Days

Pediatric ICU Beds

Pediatric ICU

Inp Days

Cardiac ICU Beds

Cardiac ICU Inp

Days

Burn ICU Beds

Burn ICU Inp

Days

Total Beds in

Operation

Total Inpatient

Days


Kentucky River Medical Center 4 1,179 0 0 0 0 0 0 4 1,179

Whitesburg ARH Hospital 6 1,514 0 0 0 0 0 0 6 1,514

21 5,483 0 0 8 2,839 0 0 29 8,32213

Baptist Regional Medical Center 9 1,322 0 0 10 491 0 0 19 1,813

Harlan ARH Hospital 7 1,813 0 0 0 0 0 0 7 1,813

Knox County Hospital 6 378 0 0 0 0 0 0 6 378

Marymount Hospital 10 3,163 0 0 0 0 0 0 10 3,163

Memorial Hospital Inc 6 1,803 0 0 0 0 0 0 6 1,803

Middlesboro ARH Hospital 7 1,613 0 0 0 0 0 0 7 1,613

Pineville Community Hospital 8 1,729 0 0 0 0 0 0 8 1,729

53 11,821 0 0 10 491 0 0 63 12,31214

Clinton County Hospital Inc 4 791 0 0 0 0 0 0 4 791

Lake Cumberland Regional Hospital 15 4,724 0 0 5 1,432 0 0 20 6,156

Russell County Hospital 2 275 0 0 0 0 0 0 2 275

Taylor County Hospital 8 1,951 0 0 0 0 0 0 8 1,951

29 7,741 0 0 5 1,432 0 0 34 9,173

Page 45ICU


Med/Surg ICU Inp

Days

Pediatric ICU Beds

Pediatric ICU

Inp Days

Cardiac ICU Beds

Cardiac ICU Inp

Days

Burn ICU Beds

Burn ICU Inp

Days

Total Beds in

Operation

Total Inpatient

Days


15

Berea Hospital 6 1,021 0 0 0 0 0 0 6 1,021

Bluegrass Community Hospital 2 91 0 0 0 0 0 0 2 91

Bourbon Community Hospital 4 193 0 0 0 0 0 0 4 193

Central Baptist Hospital 36 10,188 0 0 8 2,251 0 0 44 12,439

Clark Regional Medical Center 9 1,692 0 0 0 0 0 0 9 1,692

Ephraim McDowell Reg Medical Ctr 12 4,048 0 0 0 0 0 0 12 4,048

Frankfort Regional Medical Center 10 2,158 0 0 0 0 0 0 10 2,158

Georgetown Community Hospital 6 681 0 0 0 0 0 0 6 681

Harrison Memorial Hospital 6 733 0 0 0 0 0 0 6 733

Pattie A Clay Regional Medical Ctr 8 1,812 0 0 0 0 0 0 8 1,812

Saint Joseph East 8 2,202 0 0 0 0 0 0 8 2,202

Saint Joseph Hospital 39 13,758 0 0 12 3,815 0 0 51 17,573

Samaritan Hospital 12 633 0 0 0 0 0 0 12 633

The James B Haggin Memorial Hospital 4 310 0 0 0 0 0 0 4 310

University Of Kentucky Hospital 40 12,815 12 2,343 8 2,471 4 1,258 64 18,887

202 52,335 12 2,343 28 8,537 4 1,258 246 64,473

1,201 247,914 30 7,437 209 46,458 9 2,801 1,449 304,610State Total:

Page 46ICU


ADD Number of

Bassinets

Total Births

Total Newborn

Days

Neonatal Level II

Beds

Neonatal Level III

Beds

Total Neonatal Inpatient

Total Neonatal

Beds

Table 9 - Newborn Nursery and Neonatal Care by Facility

1

Jackson Purchase Medical Center 10 409 945 0 0 00

Lourdes Hospital 14 432 921 4 0 824

Murray Calloway County Hospital 18 610 1,544 0 0 00

Parkway Regional Hospital 4 108 259 0 0 00

Western Baptist Hospital 36 1,039 2,683 6 0 156

82 2,598 6,352 10 0 97102

Crittenden County Hospital 6 121 241 0 0 00

Jennie Stuart Medical Center Inc 10 728 1,366 6 0 1,1416

Muhlenberg Community Hospital 10 236 582 0 0 00

Regional Medical Center of Hopkins Co 24 970 1,707 9 0 2,5499

50 2,055 3,896 15 0 3,690153

Methodist Hospital 12 690 1,386 15 0 1,65415

Owensboro Medical Health System 34 1,867 4,317 5 0 05

46 2,557 5,703 20 0 1,654204

Greenview Regional Hospital 14 566 1,744 4 0 1994

Logan Memorial Hospital 9 174 422 0 0 00

T J Samson Community Hospital 20 1,063 2,187 4 0 2594

The Medical Center At Bowling Green 19 1,664 3,994 5 0 3185

Page 47Newborn

ADD Number of

Bassinets

Total Births

Total Newborn

Days

Neonatal Level II

Beds

Neonatal Level III

Beds


Total Neonatal

Beds


62 3,467 8,347 13 0 776135

Flaget Memorial Hospital 8 213 432 0 0 00

Hardin Memorial Hospital 26 1,565 2,953 6 0 5536

Spring View Hospital 10 424 994 0 0 00

Twin Lakes Regional Medical Center 10 347 806 0 0 00

54 2,549 5,185 6 0 55366

Baptist Hospital East 36 3,099 7,188 4 0 1,2694

Baptist Hospital Northeast 8 355 797 0 0 00

Jewish Hospital Shelbyville 8 341 747 0 0 00

Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 54 2,747 5,314 47 40 23,45887

Norton Suburban Hospital 45 5,056 10,370 0 10 3,25510

University Of Louisville Hospital 45 1,957 3,917 8 16 8,01924

196 13,555 28,333 59 66 36,0011257

St Elizabeth Medical Center South 38 3,192 5,278 11 0 2,38311

St Luke Hospital East 30 831 1,862 6 0 1626

St Luke Hospital West 12 981 2,061 8 0 3958

80 5,004 9,201 25 0 2,940258

Meadowview Regional Medical Center 10 457 975 0 0 00

10 457 975 0 0 00

Page 48Newborn

ADD Number of

Bassinets

Total Births

Total Newborn

Days

Neonatal Level II

Beds

Neonatal Level III

Beds


Total Neonatal

Beds


9

Mary Chiles Hospital 13 418 870 0 0 00

St Claire Medical Center 10 508 1,076 0 0 00

23 926 1,946 0 0 0010

Kings Daughters Medical Center 25 1,496 2,845 12 1 2,51413

Three Rivers Medical Center 10 160 348 0 0 00

35 1,656 3,193 12 1 2,5141311

Highlands Regional Medical Center 15 629 1,375 0 0 00

Paul B Hall Regional Medical Center 9 160 382 0 0 00

Pikeville Medical Center 22 857 1,564 8 0 1,7768

Williamson ARH Hospital 10 209 551 0 0 00

56 1,855 3,872 8 0 1,776812

Hazard ARH Regional Medical Center 18 430 981 8 0 2128

Whitesburg ARH Hospital 9 536 1,293 0 0 00

27 966 2,274 8 0 212813

Baptist Regional Medical Center 18 581 1,361 5 0 4035

Harlan ARH Hospital 16 224 529 0 0 00

Marymount Hospital 12 731 1,551 0 0 00

Memorial Hospital Inc 8 266 601 0 0 00

Middlesboro ARH Hospital 9 256 645 0 0 00

Page 49Newborn

ADD Number of

Bassinets

Total Births

Total Newborn

Days

Neonatal Level II

Beds

Neonatal Level III

Beds


Total Neonatal

Beds


Pineville Community Hospital 10 227 606 0 0 00

73 2,285 5,293 5 0 403514

Lake Cumberland Regional Hospital 11 1,622 3,208 0 0 00

Taylor County Hospital 10 275 670 0 0 00

21 1,897 3,878 0 0 0015

Central Baptist Hospital 34 3,876 8,484 24 0 6,94524

Clark Regional Medical Center 12 597 1,269 0 0 00

Ephraim McDowell Reg Medical Ctr 18 808 1,864 4 0 994

Fort Logan Hospital 7 189 371 0 0 00

Frankfort Regional Medical Center 20 833 1,919 0 0 00

Georgetown Community Hospital 10 494 1,080 0 0 00

Harrison Memorial Hospital 6 208 463 0 0 00

Pattie A Clay Regional Medical Ctr 14 825 1,966 0 0 00

Saint Joseph East 18 1,488 3,157 4 0 1,6874

University Of Kentucky Hospital 31 1,894 3,904 0 50 13,84750

170 11,212 24,477 32 50 22,57882

985 53,039 112,925 213 117 73,194State Total: 330

Page 50Newborn

SECTION III

SERVICE UTILIZATION


SECTION III

SERVICE UTILIZATION

This section covers the services that hospitals provide to their patients, from the availability of services to the use of specialized services. These tables display data on selected services such as surgical operations, heart surgery, cardiac catheterization, and CT scans. Ambulatory Surgical Services data can be found in Table 11. A complete view of Ambulatory Surgical Services data by all facilities in the state can be found in the 2004 Kentucky Annual Ambulatory Surgical Services Report. To obtain a copy of the Ambulatory Report contact the Commonwealth of Kentucky, Dept of Public Health, Health Policy Development Branch (502) 564-9592. The data can also be found at the following website: http://chfs.ky.gov/dph/surv.htm.


ADD Facility Heart Operating Rooms

Inpatient Operating Rooms

Operating Rooms (non-

exclusive)

Cystoscopy Rooms

Total ORs incl Cysto

Rooms

Table 10 - Operating Rooms and Cystoscopy Rooms by Facility and Region

Ambulatory ORs (exclusive amb

use)

1Jackson Purchase Medical Center 0 0 4 0 40Lourdes Hospital 1 0 7 1 90Marshall County Hospital 0 0 2 0 20Murray Calloway County Hospital 0 0 6 1 70Parkway Regional Hospital 0 1 2 0 30Western Baptist Hospital 1 0 11 1 130

2 1 32 3 380

2Caldwell County Hospital Inc 0 0 2 0 20Crittenden County Hospital 0 0 1 0 10Jennie Stuart Medical Center Inc 0 0 6 1 70Livingston Hosp And Healthcare Svcs Inc 0 0 2 0 20Muhlenberg Community Hospital 0 0 3 1 40Regional Medical Center of Hopkins Co 1 11 9 2 230Trigg County Hospital Inc 0 0 1 0 10

1 11 24 4 400

3Methodist Hospital 0 0 9 1 100Methodist Hospital Union County 0 0 1 0 10Ohio County Hospital 0 0 2 1 30Owensboro Medical Health System 1 0 18 2 210

1 0 30 4 350

4Caverna Memorial Hospital 0 0 1 0 10

Page 51Operating Rooms




exclusive)

Cystoscopy Rooms


Rooms



use)

Greenview Regional Hospital 0 0 9 1 100Logan Memorial Hospital 0 0 3 1 40Monroe County Medical Center 0 0 1 0 10T J Samson Community Hospital 0 0 7 1 80The Medical Center At Bowling Green 1 0 14 1 160The Medical Center At Franklin 0 0 0 0 11The Medical Center At Scottsville 0 0 1 0 10

1 0 36 4 421

5Breckinridge Memorial Hospital 0 0 1 0 10Flaget Memorial Hospital 0 0 2 0 20Hardin Memorial Hospital 1 0 9 1 110Spring View Hospital 0 0 3 0 30Twin Lakes Regional Medical Center 0 0 4 0 40

1 0 19 1 210

6Baptist Hospital East 2 0 21 1 240Baptist Hospital Northeast 0 0 5 1 60Caritas Medical Center 0 0 7 1 80Jewish Hospital 8 0 30 1 390Jewish Hospital Shelbyville 0 0 3 1 40Kindred Hospital - Louisville 0 0 5 1 60Norton Audubon Hospital 3 0 8 1 164Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 2 0 29 3 340Norton Southwest Hospital 0 0 3 1 40Norton Suburban Hospital 0 0 10 1 110University Of Louisville Hospital 0 0 14 1 150





exclusive)

Cystoscopy Rooms


Rooms



use)

15 0 135 13 1674

7Carroll County Hospital 0 0 1 0 10New Horizons Medical Center 0 0 0 0 11St Elizabeth Medical Center North 0 0 5 1 60St Elizabeth Medical Center South 2 0 19 1 264St Luke Hospital East 0 0 10 1 110St Luke Hospital West 0 0 7 1 80

2 0 42 4 535

8Fleming County Hospital 0 0 2 0 20Meadowview Regional Medical Center 0 0 4 0 40

0 0 6 0 60

9Mary Chiles Hospital 0 0 3 1 40St Claire Medical Center 0 0 4 1 50

0 0 7 2 90

10Kings Daughters Medical Center 3 0 10 2 194Our Lady of Bellefonte Hospital 0 0 0 1 87Three Rivers Medical Center 0 0 2 1 30

3 0 12 4 3011

11Highlands Regional Medical Center 0 0 6 1 70McDowell ARH Hospital 0 0 1 0 10Our Lady of The Way Hospital 0 0 1 0 10





exclusive)

Cystoscopy Rooms


Rooms



use)

Paul B Hall Regional Medical Center 0 0 2 1 30Pikeville Medical Center 1 0 11 1 130Williamson ARH Hospital 0 0 4 0 40

1 0 25 3 290

12Hazard ARH Regional Medical Center 1 0 5 1 70Jenkins Community Hospital 0 0 2 0 20Kentucky River Medical Center 1 0 3 1 50Mary Breckinridge Hospital 0 0 1 0 10Whitesburg ARH Hospital 0 0 3 0 30

2 0 14 2 180

13Baptist Regional Medical Center 0 0 5 1 60Harlan ARH Hospital 0 0 4 0 40Knox County Hospital 0 0 0 0 22Marymount Hospital 1 0 4 1 60Memorial Hospital Inc 0 0 2 0 20Middlesboro ARH Hospital 0 0 4 0 84Pineville Community Hospital 0 0 3 1 40Rockcastle Hospital 0 0 1 0 10

1 0 23 3 336

14Clinton County Hospital Inc 0 0 2 1 30Jane Todd Crawford Memorial Hospital 0 0 2 0 20Lake Cumberland Regional Hospital 1 0 8 1 100Russell County Hospital 0 0 2 0 20Taylor County Hospital 0 0 5 1 60





exclusive)

Cystoscopy Rooms


Rooms



use)

Wayne County Hospital Inc 0 0 2 0 20Westlake Regional Hospital 0 0 2 1 30

1 0 23 4 280

15Berea Hospital 0 0 2 1 52Bluegrass Community Hospital 0 0 2 0 20Bourbon Community Hospital 0 0 3 0 30Central Baptist Hospital 3 0 15 1 190Clark Regional Medical Center 0 0 3 1 40Ephraim McDowell Reg Medical Ctr 0 0 6 1 70Fort Logan Hospital 0 0 2 0 20Frankfort Regional Medical Center 0 0 6 1 70Georgetown Community Hospital 0 0 5 0 50Harrison Memorial Hospital 0 0 2 0 20Marcum And Wallace Memorial Hospital 0 0 0 1 21Pattie A Clay Regional Medical Ctr 0 0 5 1 60Saint Joseph East 0 0 7 1 80Saint Joseph Hospital 4 0 15 2 210Samaritan Hospital 0 0 10 2 120Shriners Hosp For Children 0 0 2 0 20The James B Haggin Memorial Hospital 0 0 2 0 31University Of Kentucky Hospital 1 12 17 1 398

8 12 104 13 14912

39 24 532 64 698State Total: 39



ADD Facility Adult Open Heart

Pediatric Open Heart

Total Open Heart

Inpatient Surgical

Operations

Total Inpatient

Operations

Total Ambulatory Operations

Total Surgical Operations

Table 11 - Surgical Operations by Facility and Region

1Jackson Purchase Medical Center 0 0 0 1,226 1,226 4,653 5,879

Lourdes Hospital 271 0 271 2,703 2,974 3,008 5,982

Marshall County Hospital 0 0 0 136 136 836 972

Murray Calloway County Hospital 0 0 0 1,985 1,985 3,465 5,450

Parkway Regional Hospital 0 0 0 218 218 635 853

Western Baptist Hospital 385 0 385 3,692 4,077 7,652 11,729

656 0 656 9,960 10,616 20,249 30,8652

Caldwell County Hospital Inc 0 0 0 67 67 530 597

Crittenden County Hospital 0 0 0 407 407 1,086 1,493

Jennie Stuart Medical Center Inc 0 0 0 1,902 1,902 3,881 5,783

Livingston Hosp And Healthcare Svcs Inc 0 0 0 338 338 1,132 1,470

Muhlenberg Community Hospital 0 0 0 488 488 1,157 1,645

Regional Medical Center of Hopkins Co 206 0 206 7,280 7,486 5,055 12,541

Trigg County Hospital Inc 0 0 0 0 0 59 59

206 0 206 10,482 10,688 12,900 23,5883

Methodist Hospital 0 0 0 1,040 1,040 5,269 6,309

Methodist Hospital Union County 0 0 0 46 46 176 222

Ohio County Hospital 0 0 0 0 0 2,280 2,280

Owensboro Medical Health System 202 0 202 3,851 4,053 8,602 12,655

Page 56Surgery



Total Open Heart

Inpatient Surgical

Operations

Total Inpatient

Operations




202 0 202 4,937 5,139 16,327 21,4664

Caverna Memorial Hospital 0 0 0 0 0 291 291

Greenview Regional Hospital 0 0 0 1,237 1,237 5,145 6,382

Logan Memorial Hospital 0 0 0 345 345 1,922 2,267

T J Samson Community Hospital 0 0 0 2,291 2,291 4,325 6,616

The Medical Center At Bowling Green 334 0 334 4,087 4,421 6,505 10,926

The Medical Center At Franklin 0 0 0 0 0 60 60

The Medical Center At Scottsville 0 0 0 3 3 81 84

334 0 334 7,963 8,297 18,329 26,6265

Breckinridge Memorial Hospital 0 0 0 20 20 415 435

Flaget Memorial Hospital 0 0 0 644 644 2,673 3,317

Hardin Memorial Hospital 196 0 196 2,645 2,841 11,597 14,438

Spring View Hospital 0 0 0 586 586 2,658 3,244

Twin Lakes Regional Medical Center 0 0 0 552 552 3,219 3,771

196 0 196 4,447 4,643 20,562 25,2056

Baptist Hospital East 391 0 391 8,074 8,465 13,127 21,592

Baptist Hospital Northeast 0 0 0 909 909 2,861 3,770

Caritas Medical Center 0 0 0 4,050 4,050 6,715 10,765

Jewish Hospital 1,526 0 1,526 7,485 9,011 17,172 26,183

Jewish Hospital Shelbyville 0 0 0 1,159 1,159 2,618 3,777

Kindred Hospital - Louisville 0 0 0 301 301 718 1,019

Page 57Surgery



Total Open Heart

Inpatient Surgical

Operations

Total Inpatient

Operations




Norton Audubon Hospital 703 0 703 3,152 3,855 9,841 13,696

Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 423 199 622 10,902 11,524 22,221 33,745

Norton Southwest Hospital 0 0 0 618 618 2,134 2,752

Norton Suburban Hospital 0 0 0 3,198 3,198 4,923 8,121

University Of Louisville Hospital 40 0 40 4,498 4,538 3,349 7,887

3,083 199 3,282 44,346 47,628 85,679 133,3077

Carroll County Hospital 0 0 0 0 0 390 390

New Horizons Medical Center 0 0 0 0 0 387 387

St Elizabeth Medical Center South 641 0 641 6,605 7,246 12,368 19,614

St Luke Hospital East 0 0 0 1,428 1,428 4,845 6,273

St Luke Hospital West 0 0 0 1,501 1,501 3,660 5,161

641 0 641 9,534 10,175 21,650 31,8258

Fleming County Hospital 0 0 0 205 205 1,334 1,539

Meadowview Regional Medical Center 0 0 0 826 826 3,904 4,730

0 0 0 1,031 1,031 5,238 6,2699

Mary Chiles Hospital 0 0 0 658 658 2,417 3,075

St Claire Medical Center 0 0 0 981 981 1,838 2,819

0 0 0 1,639 1,639 4,255 5,89410

Kings Daughters Medical Center 726 0 726 12,857 13,583 27,939 41,522

Our Lady of Bellefonte Hospital 0 0 0 1,814 1,814 7,126 8,940

Page 58Surgery



Total Open Heart

Inpatient Surgical

Operations

Total Inpatient

Operations




Three Rivers Medical Center 0 0 0 659 659 1,432 2,091

726 0 726 15,330 16,056 36,497 52,55311

Highlands Regional Medical Center 0 0 0 1,397 1,397 5,132 6,529

McDowell ARH Hospital 0 0 0 24 24 171 195

Our Lady of The Way Hospital 0 0 0 130 130 370 500

Paul B Hall Regional Medical Center 0 0 0 629 629 1,876 2,505

Pikeville Medical Center 167 0 167 2,534 2,701 8,296 10,997

Williamson ARH Hospital 0 0 0 740 740 2,184 2,924

167 0 167 5,454 5,621 18,029 23,65012

Hazard ARH Regional Medical Center 0 0 0 3,687 3,687 5,349 9,036

Jenkins Community Hospital 0 0 0 26 26 275 301

Kentucky River Medical Center 0 0 0 0 0 1,260 1,260

Whitesburg ARH Hospital 0 0 0 656 656 2,149 2,805

0 0 0 4,369 4,369 9,033 13,40213

Baptist Regional Medical Center 0 0 0 1,313 1,313 2,692 4,005

Harlan ARH Hospital 0 0 0 374 374 2,861 3,235

Knox County Hospital 0 0 0 0 0 681 681

Marymount Hospital 142 0 142 1,594 1,736 4,597 6,333

Memorial Hospital Inc 0 0 0 834 834 2,140 2,974

Middlesboro ARH Hospital 0 0 0 268 268 3,096 3,364

Pineville Community Hospital 0 0 0 995 995 2,027 3,022

Page 59Surgery



Total Open Heart

Inpatient Surgical

Operations

Total Inpatient

Operations




Rockcastle Hospital 0 0 0 64 64 516 580

142 0 142 5,442 5,584 18,610 24,19414

Clinton County Hospital Inc 0 0 0 240 240 1,089 1,329

Jane Todd Crawford Memorial Hospital 0 0 0 58 58 852 910

Lake Cumberland Regional Hospital 92 0 92 3,356 3,448 2,772 6,220

Russell County Hospital 0 0 0 216 216 1,348 1,564

Taylor County Hospital 0 0 0 905 905 6,137 7,042

Wayne County Hospital Inc 0 0 0 0 0 845 845

Westlake Regional Hospital 0 0 0 47 47 837 884

92 0 92 4,822 4,914 13,880 18,79415

Berea Hospital 0 0 0 0 0 1,652 1,652

Bluegrass Community Hospital 0 0 0 141 141 600 741

Bourbon Community Hospital 0 0 0 264 264 2,284 2,548

Central Baptist Hospital 1,128 0 1,128 3,818 4,946 4,826 9,772

Clark Regional Medical Center 0 0 0 664 664 2,426 3,090

Ephraim McDowell Reg Medical Ctr 0 0 0 2,798 2,798 5,497 8,295

Fort Logan Hospital 0 0 0 138 138 231 369

Frankfort Regional Medical Center 0 0 0 1,024 1,024 4,073 5,097

Georgetown Community Hospital 0 0 0 1,080 1,080 3,071 4,151

Harrison Memorial Hospital 0 0 0 477 477 1,427 1,904

Marcum And Wallace Memorial Hospital 0 0 0 0 0 594 594

Pattie A Clay Regional Medical Ctr 0 0 0 1,301 1,301 7,559 8,860

Page 60Surgery



Total Open Heart

Inpatient Surgical

Operations

Total Inpatient

Operations




Saint Joseph East 0 0 0 2,566 2,566 6,966 9,532

Saint Joseph Hospital 1,526 0 1,526 5,989 7,515 7,568 15,083

Samaritan Hospital 0 0 0 2,126 2,126 2,113 4,239

Shriners Hosp For Children 0 0 0 829 829 186 1,015

The James B Haggin Memorial Hospital 0 0 0 59 59 683 742

University Of Kentucky Hospital 176 46 222 6,508 6,730 10,432 17,162

2,830 46 2,876 29,782 32,658 62,188 94,846

9,275 245 9,520 159,538 169,058 363,426 532,484State Total:

Page 61Surgery


ADDER Outpatient

VisitsOther

Outpatient Total

Outpatient

Table 12 - Outpatient Utilization by Facility and Region

1

Jackson Purchase Medical Center 20,726 26,460 47,186

Lourdes Hospital 27,848 128,006 155,854

Marshall County Hospital 7,225 5,566 12,791

Murray Calloway County Hospital 17,015 53,017 70,032

Parkway Regional Hospital 5,972 37,382 43,354

Western Baptist Hospital 40,248 135,671 175,919

119,034 386,102 505,136

2

Caldwell County Hospital Inc 9,488 8,215 17,703

Crittenden County Hospital 4,550 15,685 20,235

Jennie Stuart Medical Center Inc 30,522 86,935 117,457

Livingston Hosp And Healthcare Svcs Inc 3,243 6,262 9,505

Muhlenberg Community Hospital 17,078 28,712 45,790

Regional Medical Center of Hopkins Co 22,112 148,211 170,323

Trigg County Hospital Inc 4,631 13,664 18,295

91,624 307,684 399,308

3

Methodist Hospital 22,220 95,467 117,687

Methodist Hospital Union County 8,370 12,222 20,592

Ohio County Hospital 14,042 11,449 25,491

Owensboro Medical Health System 85,573 84,804 170,377

130,205 203,942 334,147

4

Caverna Memorial Hospital 7,238 10,311 17,549

Greenview Regional Hospital 18,668 20,818 39,486

Logan Memorial Hospital 12,094 34,396 46,490

Monroe County Medical Center 7,883 10,101 17,984

T J Samson Community Hospital 23,567 33,877 57,444

Page 62ER and Outpatient

ADDER Outpatient

VisitsOther

Outpatient Total

Outpatient


The Medical Center At Bowling Green 32,446 43,569 76,015

The Medical Center At Franklin 8,556 14,178 22,734

The Medical Center At Scottsville 7,517 17,511 25,028

117,969 184,761 302,730

5

Breckinridge Memorial Hospital 7,102 31,515 38,617

Flaget Memorial Hospital 15,792 17,629 33,421

Hardin Memorial Hospital 43,102 69,757 112,859

Spring View Hospital 14,297 31,249 45,546

Twin Lakes Regional Medical Center 17,147 36,264 53,411

97,440 186,414 283,854

6

Baptist Hospital East 51,624 110,492 162,116

Baptist Hospital Northeast 15,716 25,147 40,863

Caritas Medical Center 32,808 89,809 122,617

Jewish Hospital 52,547 96,896 149,443

Jewish Hospital Shelbyville 16,814 43,005 59,819

Kindred Hospital - Louisville 0 0 0

Norton Audubon Hospital 41,926 83,872 125,798

Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 70,548 104,977 175,525

Norton Southwest Hospital 30,051 19,838 49,889

Norton Suburban Hospital 34,145 87,031 121,176

University Of Louisville Hospital 33,911 152,158 186,069

380,090 813,225 1,193,315

7

Carroll County Hospital 10,326 20,437 30,763

New Horizons Medical Center 4,330 6,600 10,930

St Elizabeth Med Ctr-Grant Co 14,943 40,922 55,865

St Elizabeth Medical Center North 30,796 18,987 49,783

St Elizabeth Medical Center South 56,679 141,595 198,274

St Luke Hospital East 36,199 58,198 94,397


ADDER Outpatient

VisitsOther

Outpatient Total

Outpatient


St Luke Hospital West 39,072 87,067 126,139

192,345 373,806 566,151

8

Fleming County Hospital 7,603 23,636 31,239

Meadowview Regional Medical Center 13,215 36,877 50,092

20,818 60,513 81,331

9

Mary Chiles Hospital 21,247 36,269 57,516

Morgan County ARH Hospital 10,647 7,970 18,617

St Claire Medical Center 28,342 245,115 273,457

60,236 289,354 349,590

10

Kings Daughters Medical Center 68,661 322,818 391,479

Our Lady of Bellefonte Hospital 29,302 36,388 65,690

Three Rivers Medical Center 14,942 10,023 24,965

112,905 369,229 482,134

11

Highlands Regional Medical Center 25,019 34,275 59,294

McDowell ARH Hospital 12,339 39,262 51,601

Our Lady of The Way Hospital 18,168 13,042 31,210

Paul B Hall Regional Medical Center 16,996 13,145 30,141

Pikeville Medical Center 34,173 85,678 119,851

Williamson ARH Hospital 16,095 30,166 46,261

122,790 215,568 338,358

12

Hazard ARH Regional Medical Center 29,663 78,498 108,161

Jenkins Community Hospital 5,607 33,214 38,821

Kentucky River Medical Center 12,856 21,654 34,510

Mary Breckinridge Hospital 10,221 4,509 14,730

Whitesburg ARH Hospital 13,483 30,789 44,272

71,830 168,664 240,494


ADDER Outpatient

VisitsOther

Outpatient Total

Outpatient


13

Baptist Regional Medical Center 32,913 31,109 64,022

Harlan ARH Hospital 19,974 63,238 83,212

Knox County Hospital 16,040 13,609 29,649

Marymount Hospital 28,991 25,014 54,005

Memorial Hospital Inc 17,184 25,066 42,250

Middlesboro ARH Hospital 21,156 64,173 85,329

Pineville Community Hospital 12,224 12,902 25,126

Rockcastle Hospital 8,763 10,918 19,681

157,245 246,029 403,274

14

Casey County Hospital 5,934 5,480 11,414

Clinton County Hospital Inc 7,179 12,954 20,133

Cumberland County Hospital 6,537 18,556 25,093

Jane Todd Crawford Memorial Hospital 5,739 16,967 22,706

Lake Cumberland Regional Hospital 32,922 65,173 98,095

Russell County Hospital 9,875 23,822 33,697

Taylor County Hospital 19,650 46,875 66,525

Wayne County Hospital Inc 9,615 5,194 14,809

Westlake Regional Hospital 10,550 6,619 17,169

108,001 201,640 309,641

15

Berea Hospital 18,818 13,661 32,479

Bluegrass Community Hospital 9,167 12,182 21,349

Bourbon Community Hospital 10,825 16,155 26,980

Central Baptist Hospital 27,290 49,543 76,833

Clark Regional Medical Center 22,619 5,380 27,999

Ephraim McDowell Reg Medical Ctr 27,009 85,700 112,709

Fort Logan Hospital 9,499 8,276 17,775

Frankfort Regional Medical Center 27,958 39,365 67,323

Georgetown Community Hospital 19,838 34,853 54,691

Harrison Memorial Hospital 11,573 21,941 33,514


ADDER Outpatient

VisitsOther

Outpatient Total

Outpatient


Marcum And Wallace Memorial Hospital 10,637 24,300 34,937

Nicholas County Hospital 2,831 5,448 8,279

Pattie A Clay Regional Medical Ctr 28,495 58,946 87,441

Saint Joseph East 23,462 41,770 65,232

Saint Joseph Hospital 37,983 67,182 105,165

Samaritan Hospital 18,607 45,127 63,734

Shriners Hosp For Children 0 14,356 14,356

The James B Haggin Memorial Hospital 7,968 13,215 21,183

University Of Kentucky Hospital 41,047 86,246 127,293

355,626 643,646 999,272

2,138,158 4,650,577 6,788,735State Total:


2004 HOSPITAL UTILIZATION AND SERVICES REPORT

ADD Number of Units Procedures

Table 13 - CT Scans by Facility and Region

1Jackson Purchase Medical Center 1 4,526Lourdes Hospital 2 15,077Marshall County Hospital 1 2,607Murray Calloway County Hospital 1 9,741Parkway Regional Hospital 1 1,192Western Baptist Hospital 3 26,143

9 59,286

2Caldwell County Hospital Inc 1 2,039Crittenden County Hospital 1 1,608Jennie Stuart Medical Center Inc 1 10,788Livingston Hosp And Healthcare Svcs Inc 1 1,418Muhlenberg Community Hospital 1 3,556Regional Medical Center of Hopkins Co 1 11,000Trigg County Hospital Inc 1 621

7 31,030

3Methodist Hospital 2 12,378Methodist Hospital Union County 1 1,679Ohio County Hospital 1 3,600Owensboro Medical Health System 3 27,501

7 45,158

4Caverna Memorial Hospital 1 1,293Greenview Regional Hospital 1 9,776Logan Memorial Hospital 1 2,919Monroe County Medical Center 1 2,865T J Samson Community Hospital 1 9,291The Medical Center At Bowling Green 3 20,196The Medical Center At Franklin 1 1,667The Medical Center At Scottsville 1 1,536

10 49,543

5Breckinridge Memorial Hospital 1 2,007Flaget Memorial Hospital 1 5,589Hardin Memorial Hospital 3 25,218Spring View Hospital 1 2,560

Page 67CT Scans



Twin Lakes Regional Medical Center 1 3,938

7 39,312

6Baptist Hospital East 6 49,618Baptist Hospital Northeast 1 6,139Caritas Medical Center 2 23,347Jewish Hospital 5 48,786Jewish Hospital Shelbyville 1 8,989Kindred Hospital - Louisville 1 1,056Norton Audubon Hospital 2 25,044Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 4 39,785Norton Southwest Hospital 1 7,259Norton Suburban Hospital 2 22,630University Of Louisville Hospital 3 40,837

28 273,490

7Carroll County Hospital 1 1,588New Horizons Medical Center 1 1,718St Elizabeth Med Ctr-Grant Co 1 3,135St Elizabeth Medical Center North 1 5,049St Elizabeth Medical Center South 3 37,445St Luke Hospital East 1 12,809St Luke Hospital West 2 15,518

10 77,262

8Fleming County Hospital 1 3,204Meadowview Regional Medical Center 1 4,437

2 7,641

9Mary Chiles Hospital 1 6,132Morgan County ARH Hospital 1 1,614St Claire Medical Center 1 7,953

3 15,699

10Kings Daughters Medical Center 3 31,850Our Lady of Bellefonte Hospital 2 19,785Three Rivers Medical Center 1 5,057

6 56,692

Page 68CT Scans



11Highlands Regional Medical Center 1 8,520McDowell ARH Hospital 1 1,302Our Lady of The Way Hospital 1 1,821Paul B Hall Regional Medical Center 1 6,203Pikeville Medical Center 3 11,265Williamson ARH Hospital 1 1,744

8 30,855

12Hazard ARH Regional Medical Center 2 16,905Jenkins Community Hospital 1 1,342Kentucky River Medical Center 1 3,772Mary Breckinridge Hospital 1 2,392Whitesburg ARH Hospital 1 7,775

6 32,186

13Baptist Regional Medical Center 2 11,125Harlan ARH Hospital 1 6,741Knox County Hospital 1 2,557Marymount Hospital 1 10,317Memorial Hospital Inc 1 5,449Middlesboro ARH Hospital 1 4,412Rockcastle Hospital 1 1,456

8 42,057

14Casey County Hospital 1 489Clinton County Hospital Inc 1 2,846Cumberland County Hospital 1 975Jane Todd Crawford Memorial Hospital 1 1,991Lake Cumberland Regional Hospital 1 9,427Russell County Hospital 1 3,032Taylor County Hospital 1 7,057Wayne County Hospital Inc 1 2,675Westlake Regional Hospital 1 2,558

9 31,050

15Berea Hospital 1 4,699Bluegrass Community Hospital 1 2,311Bourbon Community Hospital 1 3,200Central Baptist Hospital 4 22,924

Page 69CT Scans



Clark Regional Medical Center 1 6,115Ephraim McDowell Reg Medical Ctr 1 12,483Fort Logan Hospital 1 2,257Frankfort Regional Medical Center 1 10,274Georgetown Community Hospital 1 5,769Harrison Memorial Hospital 1 4,365Marcum And Wallace Memorial Hospital 1 1,997Nicholas County Hospital 1 489Pattie A Clay Regional Medical Ctr 1 8,529Saint Joseph East 1 8,156Saint Joseph Hospital 2 22,221Samaritan Hospital 2 7,303The James B Haggin Memorial Hospital 1 1,707University Of Kentucky Hospital 3 36,719

25 161,518

145 952,779State Total:

Page 70CT Scans

2004 ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORTTable 14 - Adult and Pediatric Transplants by Facility

ADULT TRANSPLANTS PEDIATRIC TRANSPLANTS

Jewish Hospital

Heart 18+: 14Heart 14-17: 0

Heart/Lung 14-17: 0Heart/Lung 18+: 0Lung 14-17: 0Lung 18+: 10Bone Marrow 14-17 0Bone Marrow 18+: 0Kidney 14-17: 0Kidney 18+: 73Liver 14-17: 0Liver 18+: 44Pancreas 14-17: 0Pancreas 18+: 8

Heart 0-13: 0Heart 14-17: 0Heart/Lung 0-13: 0Heart/Lung 14-17: 0Lung 0-13: 0Lung 14-17: 0Bone Marrow 0-13: 0Bone Marrow 14-17: 0Kidney 0-13: 0Kidney 14-17: 0Liver 0-13: 0Liver 14-17: 0Pancreas 0-13: 0Pancreas 14-17: 0

Facility Total: 149

Page 71Transplants

Table 14 - Adult and Pediatric Transplants by FacilityADULT TRANSPLANTS PEDIATRIC TRANSPLANTS

Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav

Heart 18+: 0Heart 14-17: 0



Facility Total: 18

Page 72Transplants


University Of Kentucky Hospital

Heart 18+: 9Heart 14-17: 0



Facility Total: 194

Page 73Transplants


University Of Louisville Hospital

Heart 18+: 0Heart 14-17: 0



Facility Total: 46

Page 74Transplants


ADD Total Therapeutic

Adult

Total Therapeutic

Ped

Total Therapeutic Procedures

Total Diagnostic

Adult

Total Diagnostic

Ped

Total Diagnostic Procedures

Total Procedures

Table 15 - Therapeutic and Diagnostic Cardiac Catheterization Procedures by Facility and Region

Total Number of Cath Labs

1Jackson Purchase Medical Center 0 0 0 146 0 146 1461

Lourdes Hospital 914 0 914 2,241 0 2,241 3,1552

Murray Calloway County Hospital 0 0 0 737 0 737 7370

Western Baptist Hospital 1,668 0 1,668 2,799 0 2,799 4,4673

2,582 0 2,582 5,923 0 5,923 8,5056

2Jennie Stuart Medical Center Inc 0 0 0 118 0 118 1181

Regional Medical Center of Hopkins Co 545 0 545 1,281 0 1,281 1,8262

545 0 545 1,399 0 1,399 1,9443

3Methodist Hospital 0 0 0 270 0 270 2701

Owensboro Medical Health System 2,379 0 2,379 2,625 0 2,625 5,0043

2,379 0 2,379 2,895 0 2,895 5,2744

4Greenview Regional Hospital 8 0 8 313 0 313 3211

T J Samson Community Hospital 62 0 62 636 0 636 6981

The Medical Center At Bowling Green 591 0 591 1,220 0 1,220 1,8112

Page 75Cardiac Cath


Adult

Total Therapeutic

Ped


Total Diagnostic

Adult

Total Diagnostic

Ped


Total Procedures



661 0 661 2,169 0 2,169 2,8304

5Hardin Memorial Hospital 314 0 314 833 0 833 1,1472

314 0 314 833 0 833 1,1472

6Baptist Hospital East 1,705 0 1,705 2,366 0 2,366 4,0714

Caritas Medical Center 14 0 14 4,182 0 4,182 4,1961

Jewish Hospital 2,407 0 2,407 6,023 0 6,023 8,4309

Norton Audubon Hospital 1,314 0 1,314 2,867 0 2,867 4,1814

Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav

1,555 251 1,806 1,993 532 2,525 4,3313

Norton Southwest Hospital 5 0 5 658 0 658 6631

Norton Suburban Hospital 252 0 252 429 0 429 6811

University Of Louisville Hospital 566 0 566 1,663 0 1,663 2,2292

7,818 251 8,069 20,181 532 20,713 28,78225

7St Elizabeth Medical Center South 1,714 0 1,714 4,931 0 4,931 6,6454

St Luke Hospital East 0 0 0 828 0 828 8281

St Luke Hospital West 0 0 0 739 0 739 7391

1,714 0 1,714 6,498 0 6,498 8,2126

Page 76Cardiac Cath


Adult

Total Therapeutic

Ped


Total Diagnostic

Adult

Total Diagnostic

Ped


Total Procedures



8Meadowview Regional Medical Center 3 0 3 231 0 231 2341

3 0 3 231 0 231 2341

9St Claire Medical Center 26 0 26 663 0 663 6891

26 0 26 663 0 663 6891

10Kings Daughters Medical Center 1,720 0 1,720 10,003 0 10,003 11,7235

Our Lady of Bellefonte Hospital 0 0 0 628 0 628 6281

1,720 0 1,720 10,631 0 10,631 12,3516

11Highlands Regional Medical Center 4 0 4 85 0 85 891

Pikeville Medical Center 361 0 361 1,464 0 1,464 1,8252

365 0 365 1,549 0 1,549 1,9143

12Hazard ARH Regional Medical Center 34 0 34 1,196 0 1,196 1,2302

Kentucky River Medical Center 0 0 0 252 0 252 2521

34 0 34 1,448 0 1,448 1,4823

13Baptist Regional Medical Center 123 0 123 467 0 467 5901

Page 77Cardiac Cath


Adult

Total Therapeutic

Ped


Total Diagnostic

Adult

Total Diagnostic

Ped


Total Procedures



Harlan ARH Hospital 0 0 0 243 0 243 2431

Marymount Hospital 1,050 0 1,050 2,158 0 2,158 3,2082

1,173 0 1,173 2,868 0 2,868 4,0414

14Lake Cumberland Regional Hospital 528 0 528 1,339 0 1,339 1,8672

Taylor County Hospital 0 0 0 388 0 388 3881

528 0 528 1,727 0 1,727 2,2553

15Central Baptist Hospital 6,797 25 6,822 3,561 2 3,563 10,3858

Ephraim McDowell Reg Medical Ctr 3 0 3 522 0 522 5251

Frankfort Regional Medical Center 0 0 0 2,770 0 2,770 2,7701

Pattie A Clay Regional Medical Ctr 0 0 0 505 0 505 5051

Saint Joseph East 1,476 0 1,476 2,629 0 2,629 4,1052

Saint Joseph Hospital 7,548 0 7,548 5,917 0 5,917 13,4657

Samaritan Hospital 0 0 0 111 0 111 1111

University Of Kentucky Hospital 300 0 300 3,484 14 3,498 3,7982

16,124 25 16,149 19,499 16 19,515 35,66423

35,986 276 36,262 78,514 548 79,062 115,324State Total: 94

Page 78Cardiac Cath


ADD Linear Acc Units

Linear Acc Procedures

Linear Acc Simulations

Table 16 - Megavoltage Radiation Therapy by Facility and Region

1Murray Calloway County Hospital 1 4,613 529

Western Baptist Hospital 1 8,705 1,768

2 13,318 2,297

2Jennie Stuart Medical Center Inc 1 4,048 265

Regional Medical Center of Hopkins Co 1 5,838 656

2 9,886 921

3Owensboro Medical Health System 1 8,018 1,064

1 8,018 1,064

4The Medical Center At Bowling Green 2 17,422 965

2 17,422 965

5Hardin Memorial Hospital 2 7,000 1,001

2 7,000 1,001

6Baptist Hospital East 2 21,028 2,238

Kindred Hospital - Louisville 1 3,261 382

Norton Audubon Hospital 1 2,986 140

Norton Suburban Hospital 1 5,291 298

University Of Louisville Hospital 5 26,329 2,663

10 58,895 5,721

*Linear Acc Hours and Patient Equivalents have been removed from this Table pending the development of a new standard. Page 79Megavoltage

ADD Linear Acc Units

Linear Acc Procedures

Linear Acc Simulations

Table 16 - Megavoltage Radiation Therapy by Facility and Region

7St Elizabeth Medical Center South 3 21,657 806

St Luke Hospital East 1 13,437 261

4 35,094 1,067

11Pikeville Medical Center 2 15,452 214

2 15,452 214

12Hazard ARH Regional Medical Center 1 6,584 2,485

1 6,584 2,485

14Lake Cumberland Regional Hospital 1 6,927 557

1 6,927 557

15Central Baptist Hospital 2 16,079 393

University Of Kentucky Hospital 3 9,648 2,103

5 25,727 2,496

32 204,323 18,788State Total:

*Linear Acc Hours and Patient Equivalents have been removed from this Table pending the development of a new standard. Page 80Megavoltage


ADD Facility Lithotripter Units Biliary Procedures Renal Procedures

Table 17 - Lithotriptor Procedures by Facility

1

Jackson Purchase Medical Center 0 0 153Lourdes Hospital 0 0 259Murray Calloway County Hospital 1 0 159

1 0 571

2

Jennie Stuart Medical Center Inc 1 0 68Regional Medical Center of Hopkins Co 1 0 145

2 0 213

3

Methodist Hospital 1 0 66Ohio County Hospital 2 0 121Owensboro Medical Health System 0 0 262

3 0 449

4

Greenview Regional Hospital 1 0 113The Medical Center At Bowling Green 1 0 128

2 0 241

5

Hardin Memorial Hospital 1 0 176

1 0 176

*Zero units indicates service provided by a mobile unit Page 81Lithotriptor



6

Baptist Hospital East 1 0 134Norton Hsp/Kosair Chdrn Hsp/Norton Med Pav 1 0 109Norton Suburban Hospital 1 0 4001

3 0 4,244

8

Meadowview Regional Medical Center 1 0 16

1 0 16

9

St Claire Medical Center 1 0 50

1 0 50

10

Our Lady of Bellefonte Hospital 1 536 1623Three Rivers Medical Center 1 0 38

2 536 1,661

11

Highlands Regional Medical Center 1 0 111Pikeville Medical Center 1 0 7Williamson ARH Hospital 1 0 48

3 0 166

12

Hazard ARH Regional Medical Center 1 0 77Kentucky River Medical Center 1 0 28

2 0 105




13

Marymount Hospital 1 0 81

1 0 81

14

Lake Cumberland Regional Hospital 1 0 128

1 0 128

15

Bluegrass Community Hospital 1 0 5Bourbon Community Hospital 1 0 16Ephraim McDowell Reg Medical Ctr 0 157 19Frankfort Regional Medical Center 0 0 57Samaritan Hospital 1 0 320

3 157 417

26 693 8,518State Total:


SECTION IV INPATIENT HOSPITALIZATION

DAYS BY FACILITY AND PAYOR


SECTION IV

MEDICARE (TITLE XVIII)/MEDICAID (TITLE XIX) UTILIZATION TABLE 18: Inpatient Hospitalization Days by Facility and Payor CHART 18.1: Primary Payor, Kentucky Hospital Inpatient Days, 2004 CHART 18.2: Inpatient Days, Primary Payor vs. Kentucky Hospital ADD, 2004 TABLE 19.1: Leading Twenty-five DRGs, All Kentucky Hospitals TABLE 19.2: Leading Twenty-five DRGs by Hospital ADD TABLE 20.1: Selected Category Summary by Quarter, All Kentucky Hospitals TABLE 20.2: Selected Category Summary by Quarter, Hospital ADDs Notes 1) Data in Section IV was compiled from Kentucky hospital inpatient discharge claims as submitted on Universal Billing Form 92 (UB 92) prior to May 1, 2005. These data may not correspond with data in the self-reported survey sections of this report. 2) Tables 20.1 and 20.2 summarize quarterly hospitalizations by residence state, gender, age, source of admission, length of stay and primary payor.

2004 ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORTTable 18 - Inpatient Hospitalization Days by Facility and Payor

(Source: Kentucky Inpatient Discharge Claims)

ADD FACILITY

Medicaid Inpatient

DaysPercent of Total

Medicare Inpatient


Other Payor Inpatient


Total Inpatient

Days

01-PURCHASE JACKSON PURCHASE MEDICAL CENTER 4,639 26.7% 8,867 51.1% 3,840 22.1% 17,346LOURDES HOSPITAL 4,649 8.7% 32,255 60.1% 16,779 31.3% 53,683MARSHALL COUNTY HOSPITAL 147 5.0% 2,531 86.1% 262 8.9% 2,940MURRAY-CALLOWAY COUNTY HOSPITAL 3,729 15.3% 14,151 58.1% 6,484 26.6% 24,364PARKWAY REGIONAL HOSPITAL 1,478 22.4% 3,779 57.2% 1,350 20.4% 6,607WESTERN BAPTIST HOSPITAL 6,361 9.3% 40,131 58.5% 22,064 32.2% 68,556

01-PURCHASE Total 21,003 12.1% 101,714 58.6% 50,779 29.3% 173,496

02-PENNYRILE CALDWELL COUNTY HOSPITAL 242 8.5% 1,964 68.9% 643 22.6% 2,849CRITTENDEN HEALTH SYSTEM 1,348 22.1% 3,754 61.7% 986 16.2% 6,088FHC CUMBERLAND HALL 2,396 21.1% 255 2.2% 8,703 76.7% 11,354JENNIE STUART MEDICAL CENTER 5,170 18.4% 14,986 53.4% 7,913 28.2% 28,069LIVINGSTON HOSPITAL AND HEALTHCARE SERVICES 396 10.6% 2,897 77.2% 460 12.3% 3,753MUHLENBERG COMMUNITY HOSPITAL 2,240 20.4% 5,829 53.0% 2,928 26.6% 10,997REGIONAL MEDICAL CENTER OF HOPKINS COUNTY 7,973 18.4% 22,559 52.2% 12,696 29.4% 43,228TRIGG COUNTY HOSPITAL INC 50 4.7% 857 80.2% 162 15.2% 1,069WESTERN STATE HOSPITAL-HOPKINSVILLE 48 19.8% 33 13.6% 161 66.5% 242

02-PENNYRILE Total 19,863 18.5% 53,134 49.4% 34,652 32.2% 107,649

03-GREEN RIVER METHODIST HOSPITAL 6,578 17.2% 21,490 56.1% 10,220 26.7% 38,288METHODIST HOSPITAL UNION COUNTY 203 8.0% 1,723 67.8% 617 24.3% 2,543OHIO COUNTY HOSPITAL-HARTFORD 360 9.2% 2,654 67.6% 913 23.2% 3,927OWENSBORO MEDICAL HEALTH SYSTEM 10,048 12.9% 42,914 54.9% 25,168 32.2% 78,130

03-GREEN RIVER Total 17,189 14.0% 68,781 56.0% 36,918 30.0% 122,888

04-BARREN RIVER CAVERNA MEMORIAL HOSPITAL INC. 269 11.8% 1,842 80.7% 172 7.5% 2,283GREENVIEW REGIONAL HOSPITAL 2,301 10.8% 11,920 56.2% 6,987 32.9% 21,208LOGAN MEMORIAL HOSPITAL 1,463 17.7% 5,188 62.9% 1,602 19.4% 8,253MONROE COUNTY MEDICAL CENTER 2,579 27.2% 6,309 66.6% 587 6.2% 9,475REGIONAL SPECIALTY HOSPITAL - BOWLING GREEN 0.0% 1,275 99.5% 7 0.5% 1,282RIVENDELL BEHAVIORAL HEALTH SERVICES 10,496 91.7% 0.0% 949 8.3% 11,445SOUTHERN KENTUCKY REHABILITATION HOSPITAL 1,163 6.0% 15,986 82.8% 2,149 11.1% 19,298T J SAMSON COMMUNITY HOSPITAL 5,780 17.8% 18,503 56.9% 8,264 25.4% 32,547THE MEDICAL CENTER AT FRANKLIN 231 5.1% 3,815 84.3% 479 10.6% 4,525THE MEDICAL CENTER/BOWLING GREEN 11,813 16.2% 39,368 54.0% 21,732 29.8% 72,913THE MEDICAL CENTER/SCOTTSVILLE 247 12.3% 1,406 70.2% 350 17.5% 2,003

04-BARREN RIVER Total 36,342 19.6% 105,612 57.0% 43,278 23.4% 185,232

Sec:IV: 1



ADD FACILITY

Medicaid Inpatient


Medicare Inpatient




Total Inpatient

Days

05-LINCOLN TRAIL BRECKINRIDGE MEMORIAL HOSPITAL 228 7.7% 2,270 76.3% 479 16.1% 2,977FLAGET MEMORIAL HOSPITAL 1,230 16.0% 4,376 57.0% 2,069 27.0% 7,675HARDIN MEMORIAL HOSPITAL 8,117 13.4% 33,456 55.3% 18,909 31.3% 60,482HEALTHSOUTH REHABILITATION HOSPITAL OF CENTRAL KENTUCKY 491 4.5% 9,471 87.7% 838 7.8% 10,800LINCOLN TRAIL HOSPITAL 10,650 55.4% 3,822 19.9% 4,758 24.7% 19,230SPRINGVIEW HOSPITAL 182 5.8% 1,489 47.1% 1,489 47.1% 3,160TWIN LAKES REGIONAL MEDICAL CENTER 1,665 15.6% 5,610 52.7% 3,364 31.6% 10,639

05-LINCOLN TRAIL Total 22,563 19.6% 60,494 52.6% 31,906 27.8% 114,963

06-KENTUCKIANA BAPTIST HOSPITAL EAST 1,487 1.1% 72,566 55.9% 55,704 42.9% 129,757BAPTIST NORTHEAST HOSPITAL 349 2.6% 6,200 46.1% 6,897 51.3% 13,446CARITAS MEDICAL CENTER 6,169 7.7% 48,501 60.9% 24,995 31.4% 79,665FRAZIER REHABILITATION CENTER-LOUISVILLE 643 2.3% 17,119 61.4% 10,130 36.3% 27,892GATEWAY REHABILITATION HOSPITAL AT NORTON 38 0.3% 9,302 82.9% 1,878 16.7% 11,218JEWISH HOSPITAL - LOUISVILLE 3,443 2.8% 71,242 57.7% 48,746 39.5% 123,431JEWISH HOSPITAL-SHELBYVILLE 199 1.4% 8,878 64.0% 4,793 34.6% 13,870KINDRED HOSPITAL-LOUISVILLE 2,932 22.7% 172 1.3% 9,836 76.0% 12,940KOSAIR CHILDREN'S HOSPITAL 25,499 45.2% 118 0.2% 30,763 54.6% 56,380NORTON AUDUBON HOSPITAL 3,675 5.5% 43,388 64.8% 19,942 29.8% 67,005NORTON HOSPITAL - LOUISVILLE 16,294 16.7% 41,154 42.3% 39,893 41.0% 97,341NORTON SOUTHWEST HOSPITAL - LOUISVILLE 1,461 10.4% 9,055 64.4% 3,546 25.2% 14,062NORTON SUBURBAN HOSPITAL 9,069 11.1% 26,291 32.1% 46,654 56.9% 82,014TEN BROECK HOSPITAL 15,233 48.1% 3,503 11.1% 12,956 40.9% 31,692TEN BROECK HOSPITAL DUPONT 11,610 51.9% 4,111 18.4% 6,661 29.8% 22,382UNIVERSITY OF LOUISVILLE HOSPITAL 22,074 24.6% 1,331 1.5% 66,223 73.9% 89,628

06-KENTUCKIANA Total 120,175 13.8% 362,931 41.6% 389,617 44.6% 872,723

07-NORTHERN KY CARROLL COUNTY MEMORIAL HOSPITAL 33 1.6% 1,443 69.2% 610 29.2% 2,086GATEWAY REHABILITATION HOSPITAL 278 3.1% 7,551 84.3% 1,126 12.6% 8,955HEALTHSOUTH REHABILITATION HOSPITAL OF NORTHERN KENTUCKY 479 4.3% 8,836 79.9% 1,745 15.8% 11,060NEW HORIZONS MEDICAL CENTER 169 11.8% 1,140 79.9% 118 8.3% 1,427ST ELIZABETH MEDICAL CENTER NORTH-COVINGTON 1,457 14.0% 6,743 64.9% 2,189 21.1% 10,389ST ELIZABETH MEDICAL CENTER SOUTH 9,401 9.5% 46,019 46.5% 43,604 44.0% 99,024ST ELIZABETH MEDICAL CENTER-GRANT COUNTY 165 9.9% 1,102 66.4% 393 23.7% 1,660ST LUKE HOSPITAL EAST 4,867 12.4% 22,780 58.0% 11,629 29.6% 39,276ST LUKE HOSPITAL WEST 6,576 17.5% 18,221 48.5% 12,783 34.0% 37,580

07-NORTHERN KY Total 23,425 11.1% 113,835 53.8% 74,197 35.1% 211,457

08-BUFFALO TRACE FLEMING COUNTY HOSPITAL 808 12.9% 4,492 71.9% 945 15.1% 6,245MEADOWVIEW REGIONAL MEDICAL CENTER 2,048 18.7% 5,585 50.9% 3,338 30.4% 10,971

08-BUFFALO TRACE Total 2,856 16.6% 10,077 58.5% 4,283 24.9% 17,216

Sec:IV: 2



ADD FACILITY

Medicaid Inpatient


Medicare Inpatient




Total Inpatient

Days

09-GATEWAY ARH MORGAN COUNTY APPALACHIAN REGIONAL HOSPITAL 326 14.5% 1,686 74.9% 239 10.6% 2,251MARY CHILES HOSPITAL & GATEWAY REGIONAL HEALTH SYSTEM 1,688 26.5% 3,037 47.7% 1,648 25.9% 6,373ST CLAIRE REGIONAL MEDICAL CENTER-MOREHEAD 5,532 24.8% 12,114 54.2% 4,696 21.0% 22,342

09-GATEWAY Total 7,546 24.4% 16,837 54.4% 6,583 21.3% 30,966

10-FIVCO KING'S DAUGHTER'S MEDICAL CENTER 13,461 13.6% 54,468 55.0% 31,185 31.5% 99,114OUR LADY OF BELLEFONTE HOSPITAL 4,885 14.6% 16,101 48.2% 12,384 37.1% 33,370THREE RIVERS MEDICAL CENTER 6,585 41.4% 5,811 36.5% 3,525 22.1% 15,921

10-FIVCO Total 24,931 16.8% 76,380 51.5% 47,094 31.7% 148,405

11-BIG SANDY ARH MCDOWELL APPALACHAIN REGIONAL HOSPITAL 935 22.1% 2,159 51.1% 1,135 26.8% 4,229ARH WILLIAMSON APPALACHIAN REGIONAL HOSPITAL 3,520 18.4% 10,799 56.5% 4,796 25.1% 19,115HIGHLANDS REGIONAL MEDICAL CENTER 2,836 11.7% 13,688 56.4% 7,727 31.9% 24,251OUR LADY OF THE WAY HOSPITAL-MARTIN 413 11.8% 949 27.1% 2,144 61.2% 3,506PAUL B HALL REGIONAL MEDICAL CENTER 4,704 29.9% 8,281 52.7% 2,724 17.3% 15,709PIKEVILLE MEDICAL CENTER 10,055 20.3% 27,739 55.9% 11,789 23.8% 49,583

11-BIG SANDY Total 22,463 19.3% 63,615 54.7% 30,315 26.0% 116,393

12-KY RIVER ARH REGIONAL MEDICAL CENTER - HAZARD 20,324 27.5% 34,754 47.1% 18,750 25.4% 73,828ARH WHITESBURG APPALACHIAN REGIONAL HOSPITAL 4,751 27.9% 8,347 49.0% 3,929 23.1% 17,027JENKINS COMMUNITY HOSPITAL 787 35.0% 1,088 48.4% 372 16.6% 2,247KENTUCKY RIVER MEDICAL CENTER 4,039 30.2% 7,558 56.5% 1,774 13.3% 13,371MARY BRECKINRIDGE HEALTHCARE, INC. 441 25.9% 899 52.9% 361 21.2% 1,701

12-KY RIVER Total 30,342 28.0% 52,646 48.7% 25,186 23.3% 108,174

13-CUMBERLAND VALLEY ARH HARLAN APPALACHIAN REGIONAL HOSPITAL 6,503 31.7% 9,797 47.7% 4,237 20.6% 20,537ARH MIDDLESBORO APPALACHIAN REGIONAL HOSPITAL 4,382 31.1% 7,261 51.6% 2,439 17.3% 14,082BAPTIST REGIONAL MEDICAL CENTER 15,592 30.2% 27,232 52.8% 8,764 17.0% 51,588KNOX COUNTY HOSPITAL 1,300 22.4% 3,473 59.9% 1,027 17.7% 5,800MARYMOUNT MEDICAL CENTER 5,258 21.4% 12,617 51.3% 6,723 27.3% 24,598MEMORIAL HOSPITAL INC. 4,513 32.6% 7,046 50.9% 2,288 16.5% 13,847PINEVILLE COMMUNITY HOSPITAL 5,134 27.8% 10,757 58.2% 2,598 14.1% 18,489ROCKCASTLE HOSPITAL INC 609 13.8% 0.0% 3,805 86.2% 4,414

13-CUMBERLAND VALLEY Total 43,291 28.2% 78,183 51.0% 31,881 20.8% 153,355

Sec:IV: 3



ADD FACILITY

Medicaid Inpatient


Medicare Inpatient




Total Inpatient

Days

14-LAKE CUMBERLAND CASEY COUNTY HOSPITAL 185 12.6% 1,220 82.9% 67 4.6% 1,472CLINTON COUNTY HOSPITAL 2,224 23.1% 6,473 67.3% 918 9.5% 9,615CUMBERLAND COUNTY HOSPITAL 835 18.1% 3,282 71.0% 508 11.0% 4,625JANE TODD CRAWFORD MEMORIAL HOSPITAL 2,459 36.0% 3,335 48.8% 1,041 15.2% 6,835LAKE CUMBERLAND REGIONAL HOSPITAL 13,431 22.4% 34,063 56.9% 12,415 20.7% 59,909RUSSELL COUNTY HOSPITAL 681 13.9% 3,316 67.9% 888 18.2% 4,885TAYLOR REGIONAL HOSPITAL 3,253 19.8% 4,039 24.6% 9,109 55.5% 16,401WAYNE COUNTY HOSPITAL INC 399 15.1% 1,847 70.1% 389 14.8% 2,635WESTLAKE REGIONAL HOSPITAL 940 17.1% 4,308 78.3% 256 4.7% 5,504

14-LAKE CUMBERLAND Total 24,407 21.8% 61,883 55.3% 25,591 22.9% 111,881

15-BLUEGRASS BEREA HOSPITAL 1,219 15.5% 5,168 65.8% 1,469 18.7% 7,856BLUEGRASS COMMUNITY HOSPITAL 77 5.2% 1,031 69.5% 375 25.3% 1,483BOURBON COMMUNITY HOSPITAL 2,342 37.8% 2,187 35.3% 1,665 26.9% 6,194CARDINAL HILL REHABILITATION HOSPITAL 5,510 17.2% 0.0% 26,437 82.8% 31,947CENTRAL BAPTIST HOSPITAL 15,812 16.3% 40,744 41.9% 40,657 41.8% 97,213CLARK REGIONAL MEDICAL CENTER 2,499 26.5% 3,999 42.4% 2,926 31.0% 9,424EASTERN STATE HOSPITAL 0.0% 988 94.4% 59 5.6% 1,047EPHRAIM MCDOWELL REGIONAL MEDICAL CENTER 6,781 17.5% 23,795 61.3% 8,244 21.2% 38,820FORT LOGAN HOSPITAL 867 25.3% 2,015 58.8% 544 15.9% 3,426FRANKFORT REGIONAL MEDICAL CENTER 2,842 14.3% 10,699 53.9% 6,307 31.8% 19,848GEORGETOWN COMMUNITY HOSPITAL 1,638 23.1% 2,096 29.5% 3,370 47.4% 7,104HARRISON MEMORIAL HOSPITAL 1,152 16.5% 4,291 61.4% 1,547 22.1% 6,990JAMES B HAGGIN MEMORIAL HOSPITAL 68 2.9% 1,718 74.3% 526 22.8% 2,312MARCUM & WALLACE MEMORIAL HOSPITAL 409 19.0% 1,473 68.5% 269 12.5% 2,151NICHOLAS COUNTY HOSPITAL 193 9.0% 1,436 67.2% 509 23.8% 2,138PATTIE A CLAY HOSPITAL 2,560 15.7% 8,927 54.6% 4,859 29.7% 16,346RIDGE BEHAVIORAL HEALTH SYSTEM 4,299 63.4% 461 6.8% 2,026 29.9% 6,786SAINT JOSEPH EAST 3,354 11.5% 11,129 38.1% 14,754 50.5% 29,237SAINT JOSEPH HOSPITAL 5,356 6.0% 57,078 63.5% 27,502 30.6% 89,936SAMARITAN HOSPITAL-LEXINGTON 3,089 10.1% 11,873 38.9% 15,529 50.9% 30,491SHRINERS HOSPITAL FOR CHILDREN 0.0% 0.0% 400 100.0% 400UNIVERSITY OF KENTUCKY HOSPITAL 35,813 32.4% 25,560 23.1% 49,306 44.5% 110,679

15-BLUEGRASS Total 95,880 18.4% 216,668 41.5% 209,280 40.1% 521,828

State Total 512,276 17.1% 1,442,790 48.1% 1,041,560 34.8% 2,996,626

Sec:IV: 4

Sec. IV: 5

2004 ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORTChart 18.1: Primary Payor, Kentucky Hospital Inpatient Days


Medicaid17.1%

Medicare48.1%

Other34.8%

Sec IV: 6

2004 ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORTChart 18.2: Inpatient Days, Primary Payor vs. Kentucky Hospital ADD


0%

10%

20%

30%

40%

50%

60%

70%

01-PURCHASE

02-PENNYRIL

E03

-GREEN RIV

ER

04-B

ARREN RIVER

05-L

INCOLN TRAIL

06-K

ENTUCKIANA

07-N

ORTHERN KY

08-B

UFFALO TRACE09

-GATEW

AY10

-FIVCO

11-B

IG SANDY

12-K

Y RIVER

13-C

UMBERLAND VALLEY

14-L

AKE CUMBERLAND15

-BLUEGRASS

Hospital ADD

Pere

cent

of T

otal

Day

s

MedicaidMedicareOther

Statewide AveragesMedicaid (17.1%) Medicare (48.1%)Other (34.8%)

2004 ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORTTable 19.1 - Leading Twenty-five DRGs, All Kentucky Hospitals

(Source: Kentucky Hospital Inpatient Discharge Claims)

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age

999 ALL OTHER 335,432 53.0% 5.2 $20,169 51.9391 NORMAL NEWBORN 38,895 6.1% 2.2 $1,684 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 28,349 4.5% 2.3 $5,181 25.6088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 20,151 3.2% 4.5 $10,509 65.2127 HEART FAILURE & SHOCK 19,556 3.1% 4.9 $12,693 72.8430 PSYCHOSES 19,128 3.0% 8.0 $10,676 38.8089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 18,401 2.9% 5.2 $12,387 69.1371 CESAREAN SECTION W/O CC 13,138 2.1% 3.3 $8,143 27.3182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 12,166 1.9% 3.7 $9,600 59.5209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 11,402 1.8% 4.4 $29,076 67.7143 CHEST PAIN 11,106 1.8% 1.9 $7,785 56.6462 REHABILITATION 10,634 1.7% 13.2 $24,727 68.1359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 8,296 1.3% 2.1 $10,373 42.1527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 8,008 1.3% 2.0 $33,307 62.7174 G.I. HEMORRHAGE W CC 7,785 1.2% 4.3 $12,737 70.5296 NUTRIT & MISC METAB DISOR AGE >17 W CC 7,784 1.2% 4.2 $9,462 68.0416 SEPTICEMIA AGE >17 7,441 1.2% 6.8 $19,442 69.6390 NEONATE W OTHER SIGNIFICANT PROBLEMS 7,025 1.1% 2.6 $3,044 0.0014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 6,714 1.1% 6.1 $18,078 70.8098 BRONCHITIS & ASTHMA AGE 0-17 6,208 1.0% 2.6 $5,086 2.5320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 6,159 1.0% 4.4 $9,726 68.2183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 6,111 1.0% 2.6 $7,618 49.8138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 5,819 0.9% 3.6 $10,241 71.1523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 5,728 0.9% 6.4 $8,162 35.1124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 5,651 0.9% 3.8 $19,023 62.1125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 5,497 0.9% 2.5 $15,858 56.6Grand Total 632,584 100.0% 4.7 $15,850 49.0

Sec IV: 7

2004 ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORTTable 19.2 - Leading Twenty-five DRGs by Hospital ADD


HOSPITAL ADD: 01-PURCHASE

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 20,625 54.9% 4.9 $16,260 55.6391 NORMAL NEWBORN 1,848 4.9% 2.4 $1,285 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 1,382 3.7% 2.3 $3,918 25.6089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 1,217 3.2% 5.8 $10,557 72.2127 HEART FAILURE & SHOCK 1,154 3.1% 5.2 $9,784 74.9088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1,072 2.9% 4.7 $8,515 68.8209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 905 2.4% 4.9 $30,391 69.2182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 864 2.3% 4.2 $8,727 62.6371 CESAREAN SECTION W/O CC 726 1.9% 3.2 $7,300 26.9430 PSYCHOSES 687 1.8% 6.2 $7,258 41.4098 BRONCHITIS & ASTHMA AGE 0-17 659 1.8% 2.7 $3,422 2.5359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 574 1.5% 2.3 $9,681 42.7527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 556 1.5% 2.6 $36,256 64.0143 CHEST PAIN 533 1.4% 2.0 $6,193 59.7014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 506 1.3% 6.1 $13,952 71.8296 NUTRIT & MISC METAB DISOR AGE >17 W CC 504 1.3% 4.5 $7,739 71.1462 REHABILITATION 484 1.3% 15.0 $20,305 68.9183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 449 1.2% 3.1 $7,288 52.7174 G.I. HEMORRHAGE W CC 449 1.2% 4.7 $11,128 72.3416 SEPTICEMIA AGE >17 440 1.2% 6.9 $13,295 72.9390 NEONATE W OTHER SIGNIFICANT PROBLEMS 404 1.1% 2.6 $1,657 0.0125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 400 1.1% 2.6 $13,473 59.0138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 371 1.0% 3.5 $7,631 73.5320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 369 1.0% 4.9 $8,302 72.7124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 339 0.9% 3.9 $14,808 65.2523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 53 0.1% 3.1 $4,801 42.0Grand Total 37,570 100.0% 4.6 $13,446 52.8

Sec. IV: 8



HOSPITAL ADD: 02-PENNYRILE

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 12,899 52.5% 4.7 $12,294 52.3391 NORMAL NEWBORN 1,493 6.1% 2.1 $1,183 0.0088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1,152 4.7% 4.3 $7,596 64.7373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 966 3.9% 2.1 $3,321 23.7089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 961 3.9% 4.7 $8,754 69.9127 HEART FAILURE & SHOCK 911 3.7% 4.4 $8,489 73.3371 CESAREAN SECTION W/O CC 596 2.4% 3.1 $6,528 25.6182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 529 2.2% 3.5 $7,158 62.4359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 507 2.1% 2.1 $7,931 39.8296 NUTRIT & MISC METAB DISOR AGE >17 W CC 505 2.1% 4.1 $6,730 70.6143 CHEST PAIN 435 1.8% 1.8 $5,207 58.9430 PSYCHOSES 389 1.6% 9.1 $7,039 29.1320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 367 1.5% 4.4 $7,394 71.0209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 349 1.4% 4.6 $23,979 68.6014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 342 1.4% 4.9 $11,016 72.2174 G.I. HEMORRHAGE W CC 291 1.2% 4.2 $9,401 72.7416 SEPTICEMIA AGE >17 291 1.2% 6.5 $14,504 69.4098 BRONCHITIS & ASTHMA AGE 0-17 284 1.2% 2.9 $4,191 2.1138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 244 1.0% 3.2 $7,350 72.4390 NEONATE W OTHER SIGNIFICANT PROBLEMS 243 1.0% 2.8 $2,444 0.0462 REHABILITATION 211 0.9% 14.5 $21,615 69.6183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 198 0.8% 2.5 $5,456 53.9125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 172 0.7% 2.1 $8,968 57.5523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 136 0.6% 15.8 $12,273 29.5124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 80 0.3% 3.4 $12,803 60.0527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 21 0.1% 2.8 $30,729 62.9Grand Total 24,572 100.0% 4.4 $9,949 49.9

Sec. IV: 9



HOSPITAL ADD: 03-GREEN RIVER

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 15,183 52.3% 4.5 $13,685 53.3391 NORMAL NEWBORN 1,795 6.2% 2.3 $1,382 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 1,414 4.9% 2.2 $3,940 24.8127 HEART FAILURE & SHOCK 962 3.3% 4.9 $11,742 73.0088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 915 3.2% 4.9 $10,334 66.7089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 873 3.0% 5.4 $11,446 68.6182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 853 2.9% 4.1 $9,169 58.6143 CHEST PAIN 762 2.6% 2.1 $7,376 57.3430 PSYCHOSES 725 2.5% 3.2 $3,536 39.4462 REHABILITATION 635 2.2% 12.8 $14,730 72.1371 CESAREAN SECTION W/O CC 575 2.0% 3.3 $5,960 26.6209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 500 1.7% 3.9 $27,456 67.9183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 435 1.5% 2.9 $6,997 49.4138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 364 1.3% 3.4 $8,507 72.4296 NUTRIT & MISC METAB DISOR AGE >17 W CC 302 1.0% 4.4 $9,062 68.2014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 299 1.0% 5.5 $13,756 71.8174 G.I. HEMORRHAGE W CC 299 1.0% 4.6 $13,175 72.3320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 291 1.0% 5.0 $9,751 70.4390 NEONATE W OTHER SIGNIFICANT PROBLEMS 291 1.0% 2.7 $2,244 0.0098 BRONCHITIS & ASTHMA AGE 0-17 282 1.0% 2.1 $3,014 2.9359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 266 0.9% 2.1 $9,522 42.7523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 237 0.8% 3.3 $3,655 40.6125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 217 0.7% 2.7 $13,738 55.3416 SEPTICEMIA AGE >17 211 0.7% 6.8 $20,829 70.4124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 206 0.7% 3.7 $14,150 61.8527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 117 0.4% 3.3 $32,610 62.0Grand Total 29,009 100.0% 4.2 $11,302 50.1

Sec. IV: 10



HOSPITAL ADD: 04-BARREN RIVER

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 19,286 49.6% 4.9 $14,457 53.4391 NORMAL NEWBORN 2,713 7.0% 2.2 $1,912 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 2,034 5.2% 2.3 $5,133 25.0127 HEART FAILURE & SHOCK 1,375 3.5% 5.2 $10,537 72.9462 REHABILITATION 1,335 3.4% 14.5 $24,722 72.1088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1,212 3.1% 5.2 $9,651 65.0089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 1,123 2.9% 5.5 $10,964 70.3143 CHEST PAIN 1,106 2.8% 2.0 $6,427 55.1182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 806 2.1% 3.9 $8,800 61.3209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 773 2.0% 4.8 $26,604 69.4371 CESAREAN SECTION W/O CC 756 1.9% 2.8 $7,518 27.3430 PSYCHOSES 726 1.9% 6.5 $7,257 39.4296 NUTRIT & MISC METAB DISOR AGE >17 W CC 558 1.4% 4.7 $8,710 70.1174 G.I. HEMORRHAGE W CC 502 1.3% 4.4 $11,682 70.9098 BRONCHITIS & ASTHMA AGE 0-17 500 1.3% 2.4 $3,584 2.0183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 480 1.2% 2.7 $6,856 50.5014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 477 1.2% 6.5 $17,513 71.4359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 475 1.2% 1.9 $9,013 42.1125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 422 1.1% 3.0 $12,766 55.4390 NEONATE W OTHER SIGNIFICANT PROBLEMS 374 1.0% 2.6 $2,622 0.0124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 371 1.0% 3.9 $14,965 61.7138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 367 0.9% 3.6 $8,346 70.1320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 362 0.9% 5.0 $9,791 71.2416 SEPTICEMIA AGE >17 357 0.9% 7.1 $17,784 72.8523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 262 0.7% 18.0 $19,038 22.8527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 128 0.3% 2.8 $28,760 61.1Grand Total 38,880 100.0% 4.8 $12,182 49.9

Sec. IV: 11



HOSPITAL ADD: 05-LINCOLN TRAIL

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 11,575 50.8% 6.1 $12,061 51.9391 NORMAL NEWBORN 1,796 7.9% 2.1 $1,258 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 1,336 5.9% 2.1 $2,998 24.7127 HEART FAILURE & SHOCK 923 4.1% 4.8 $8,774 72.2089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 916 4.0% 5.4 $9,416 69.2430 PSYCHOSES 729 3.2% 7.8 $6,028 35.9088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 705 3.1% 5.0 $9,015 65.7371 CESAREAN SECTION W/O CC 566 2.5% 2.7 $6,147 26.4416 SEPTICEMIA AGE >17 479 2.1% 7.1 $13,680 67.4182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 436 1.9% 3.5 $7,302 59.5209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 396 1.7% 4.6 $20,939 69.6014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 358 1.6% 8.1 $15,360 72.2174 G.I. HEMORRHAGE W CC 357 1.6% 4.4 $10,324 69.9296 NUTRIT & MISC METAB DISOR AGE >17 W CC 312 1.4% 4.5 $8,137 68.5359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 298 1.3% 2.1 $8,158 43.8390 NEONATE W OTHER SIGNIFICANT PROBLEMS 255 1.1% 2.4 $1,869 0.0320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 240 1.1% 4.0 $6,938 68.1143 CHEST PAIN 223 1.0% 1.9 $6,341 58.1183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 215 0.9% 2.8 $6,200 53.1138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 208 0.9% 3.3 $7,120 71.2098 BRONCHITIS & ASTHMA AGE 0-17 182 0.8% 2.3 $3,024 2.1523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 173 0.8% 3.1 $2,709 37.3124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 54 0.2% 4.6 $12,433 63.7527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 25 0.1% 2.9 $29,795 62.9125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 21 0.1% 2.6 $8,995 59.4Grand Total 22,778 100.0% 5.0 $9,570 47.9

Sec. IV: 12



HOSPITAL ADD: 06-KENTUCKIANA

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 87,521 56.0% 6.2 $30,320 50.5391 NORMAL NEWBORN 9,807 6.3% 2.3 $2,155 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 7,349 4.7% 2.4 $5,940 26.5430 PSYCHOSES 5,094 3.3% 11.4 $14,970 37.8127 HEART FAILURE & SHOCK 4,110 2.6% 5.4 $16,657 72.4209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 3,882 2.5% 4.1 $30,307 66.5462 REHABILITATION 3,312 2.1% 12.9 $22,553 66.1371 CESAREAN SECTION W/O CC 3,202 2.1% 3.7 $9,173 28.4089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 2,861 1.8% 5.4 $15,549 68.2088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 2,796 1.8% 4.9 $13,694 64.7182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 2,241 1.4% 3.9 $11,903 58.2143 CHEST PAIN 2,164 1.4% 1.9 $10,735 57.5527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 2,137 1.4% 2.2 $37,509 62.9416 SEPTICEMIA AGE >17 1,988 1.3% 6.9 $22,635 69.4390 NEONATE W OTHER SIGNIFICANT PROBLEMS 1,906 1.2% 2.8 $4,580 0.0174 G.I. HEMORRHAGE W CC 1,746 1.1% 4.6 $15,426 70.1014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 1,678 1.1% 6.5 $24,138 69.5359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 1,659 1.1% 2.3 $11,883 43.2523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 1,556 1.0% 8.5 $11,455 36.9124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 1,555 1.0% 4.2 $23,689 62.1125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 1,536 1.0% 2.7 $20,564 56.7296 NUTRIT & MISC METAB DISOR AGE >17 W CC 1,395 0.9% 4.2 $12,089 65.9138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 1,272 0.8% 3.8 $13,159 69.3320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 1,264 0.8% 4.5 $11,875 69.6183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 1,130 0.7% 2.8 $9,321 48.7098 BRONCHITIS & ASTHMA AGE 0-17 1,029 0.7% 3.3 $9,030 3.5Grand Total 156,190 100.0% 5.6 $23,006 47.7

Sec. IV: 13



HOSPITAL ADD: 07-NORTHERN KY

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 24,621 52.3% 5.4 $20,469 55.1391 NORMAL NEWBORN 3,688 7.8% 1.9 $1,679 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 2,780 5.9% 2.0 $5,578 26.2430 PSYCHOSES 1,505 3.2% 5.1 $6,924 42.8127 HEART FAILURE & SHOCK 1,228 2.6% 5.3 $15,532 74.6371 CESAREAN SECTION W/O CC 1,150 2.4% 3.0 $8,572 27.7088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1,141 2.4% 5.3 $11,927 65.6089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 1,106 2.3% 5.1 $13,198 68.9390 NEONATE W OTHER SIGNIFICANT PROBLEMS 853 1.8% 2.3 $2,749 0.0182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 848 1.8% 4.1 $11,881 58.9523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 813 1.7% 3.1 $3,948 37.6527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 707 1.5% 1.8 $36,276 62.6359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 658 1.4% 2.1 $11,786 41.8209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 646 1.4% 4.1 $32,178 69.0416 SEPTICEMIA AGE >17 634 1.3% 7.3 $21,946 69.0014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 628 1.3% 8.0 $20,311 70.3143 CHEST PAIN 619 1.3% 1.7 $9,460 57.8124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 584 1.2% 3.8 $21,245 63.6174 G.I. HEMORRHAGE W CC 570 1.2% 4.7 $14,629 72.0125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 560 1.2% 2.2 $17,909 56.8183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 418 0.9% 2.6 $9,200 50.9138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 412 0.9% 4.1 $13,112 73.7296 NUTRIT & MISC METAB DISOR AGE >17 W CC 401 0.9% 4.1 $10,836 68.4320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 377 0.8% 4.4 $10,902 68.1098 BRONCHITIS & ASTHMA AGE 0-17 115 0.2% 1.7 $3,248 3.4462 REHABILITATION 4 0.0% 12.0 $22,044 77.8Grand Total 47,066 100.0% 4.5 $15,818 48.9

Sec. IV: 14



HOSPITAL ADD: 08-BUFFALO TRACE

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 2,854 50.5% 3.1 $8,709 54.9089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 364 6.4% 4.4 $10,200 68.4391 NORMAL NEWBORN 337 6.0% 2.1 $1,009 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 269 4.8% 2.0 $3,507 24.7127 HEART FAILURE & SHOCK 242 4.3% 3.4 $8,743 72.9088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 239 4.2% 3.3 $7,815 66.2182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 144 2.6% 2.8 $7,132 62.0296 NUTRIT & MISC METAB DISOR AGE >17 W CC 123 2.2% 3.5 $7,110 68.0371 CESAREAN SECTION W/O CC 109 1.9% 2.6 $7,958 25.9143 CHEST PAIN 108 1.9% 1.2 $4,701 55.9174 G.I. HEMORRHAGE W CC 95 1.7% 3.4 $8,716 70.0359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 94 1.7% 2.1 $12,089 42.8416 SEPTICEMIA AGE >17 89 1.6% 4.9 $12,903 69.0390 NEONATE W OTHER SIGNIFICANT PROBLEMS 87 1.5% 2.4 $1,425 0.0320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 84 1.5% 3.8 $7,460 73.3014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 79 1.4% 4.1 $9,550 78.2209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 77 1.4% 4.6 $22,634 73.4124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 73 1.3% 2.4 $15,460 61.0183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 57 1.0% 1.9 $5,511 47.4138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 51 0.9% 2.4 $7,125 72.0098 BRONCHITIS & ASTHMA AGE 0-17 49 0.9% 2.1 $3,653 1.5125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 15 0.3% 2.0 $15,485 60.6430 PSYCHOSES 3 0.1% 3.0 $6,534 56.3523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 3 0.1% 1.0 $3,412 42.3462 REHABILITATION 1 0.0% 7.0 $8,591 72.0Grand Total 5,646 100.0% 3.0 $8,099 52.2

Sec. IV: 15



HOSPITAL ADD: 09-GATEWAY

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 4,193 48.4% 4.2 $9,391 54.6391 NORMAL NEWBORN 758 8.7% 2.1 $743 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 563 6.5% 2.3 $2,810 24.7088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 350 4.0% 3.1 $6,765 65.6089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 346 4.0% 4.2 $8,760 71.4430 PSYCHOSES 335 3.9% 3.6 $2,793 42.7127 HEART FAILURE & SHOCK 298 3.4% 3.7 $7,835 74.7182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 201 2.3% 3.3 $6,720 62.6143 CHEST PAIN 169 1.9% 1.7 $6,023 60.9416 SEPTICEMIA AGE >17 158 1.8% 5.0 $9,982 69.3523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 136 1.6% 2.5 $2,039 35.8209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 127 1.5% 4.6 $17,849 68.0174 G.I. HEMORRHAGE W CC 121 1.4% 3.3 $7,329 72.4296 NUTRIT & MISC METAB DISOR AGE >17 W CC 112 1.3% 4.1 $6,905 69.3371 CESAREAN SECTION W/O CC 107 1.2% 2.5 $4,662 26.8014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 102 1.2% 4.7 $10,989 72.9390 NEONATE W OTHER SIGNIFICANT PROBLEMS 93 1.1% 2.3 $949 0.0359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 84 1.0% 1.9 $6,174 41.2124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 82 0.9% 2.8 $16,121 65.1320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 82 0.9% 3.6 $6,505 69.1138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 77 0.9% 2.6 $6,134 75.5098 BRONCHITIS & ASTHMA AGE 0-17 64 0.7% 2.2 $2,895 1.4183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 59 0.7% 2.5 $5,542 44.0125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 49 0.6% 2.0 $14,556 57.2462 REHABILITATION 3 0.0% 11.7 $11,255 75.3Grand Total 8,669 100.0% 3.6 $7,401 49.3

Sec. IV: 16



HOSPITAL ADD: 10-FIVCO

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 18,271 51.1% 4.4 $16,645 51.4430 PSYCHOSES 1,629 4.6% 5.7 $6,194 39.4088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1,372 3.8% 4.1 $10,514 63.8127 HEART FAILURE & SHOCK 1,314 3.7% 4.5 $11,292 72.2089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 1,287 3.6% 5.0 $11,399 68.6391 NORMAL NEWBORN 1,270 3.6% 2.1 $1,165 0.0527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 1,001 2.8% 2.1 $27,707 62.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 906 2.5% 2.5 $6,092 24.9182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 854 2.4% 3.4 $8,291 60.3143 CHEST PAIN 746 2.1% 1.6 $6,915 53.5462 REHABILITATION 725 2.0% 11.0 $12,842 70.8523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 579 1.6% 4.1 $3,779 34.1098 BRONCHITIS & ASTHMA AGE 0-17 550 1.5% 2.4 $5,094 2.4125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 544 1.5% 2.4 $11,285 55.7183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 536 1.5% 2.5 $7,157 48.0371 CESAREAN SECTION W/O CC 518 1.4% 3.0 $8,670 26.1209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 501 1.4% 3.7 $24,365 66.9416 SEPTICEMIA AGE >17 494 1.4% 5.8 $15,369 69.8174 G.I. HEMORRHAGE W CC 488 1.4% 4.0 $10,292 70.1359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 428 1.2% 2.0 $11,817 41.2124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 336 0.9% 3.7 $14,207 61.9014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 326 0.9% 4.5 $12,703 70.7138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 325 0.9% 3.6 $9,783 70.3296 NUTRIT & MISC METAB DISOR AGE >17 W CC 293 0.8% 3.8 $9,153 65.4320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 280 0.8% 4.3 $9,435 65.1390 NEONATE W OTHER SIGNIFICANT PROBLEMS 195 0.5% 2.8 $2,584 0.0Grand Total 35,768 100.0% 4.1 $13,467 50.8

Sec. IV: 17



HOSPITAL ADD: 11-BIG SANDY

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 13,678 50.9% 4.6 $19,113 49.7088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 2,150 8.0% 4.7 $12,471 65.9391 NORMAL NEWBORN 1,347 5.0% 2.2 $2,326 0.0089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 1,285 4.8% 5.6 $20,425 68.0127 HEART FAILURE & SHOCK 1,077 4.0% 5.2 $16,407 71.8373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 918 3.4% 2.3 $7,306 24.5143 CHEST PAIN 700 2.6% 2.0 $9,741 54.0182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 695 2.6% 3.5 $12,942 57.0371 CESAREAN SECTION W/O CC 590 2.2% 2.6 $9,957 25.7098 BRONCHITIS & ASTHMA AGE 0-17 549 2.0% 2.3 $6,516 2.2296 NUTRIT & MISC METAB DISOR AGE >17 W CC 463 1.7% 4.3 $12,909 66.2174 G.I. HEMORRHAGE W CC 454 1.7% 4.3 $15,697 68.8183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 334 1.2% 2.1 $8,963 47.5320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 330 1.2% 4.8 $13,561 65.9416 SEPTICEMIA AGE >17 282 1.0% 7.8 $28,047 68.7138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 280 1.0% 3.5 $12,272 69.7390 NEONATE W OTHER SIGNIFICANT PROBLEMS 280 1.0% 2.5 $3,441 0.0359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 250 0.9% 2.2 $15,894 42.1462 REHABILITATION 242 0.9% 12.6 $23,782 70.4014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 224 0.8% 5.8 $19,791 71.0523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 216 0.8% 4.9 $6,642 32.9124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 152 0.6% 3.5 $16,828 59.0209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 150 0.6% 5.2 $32,351 71.0430 PSYCHOSES 80 0.3% 10.0 $10,989 67.5527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 79 0.3% 3.6 $36,654 57.2125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 71 0.3% 2.9 $15,016 52.9Grand Total 26,876 100.0% 4.3 $15,924 49.3

Sec. IV: 18



HOSPITAL ADD: 12-KY RIVER

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 12,109 49.1% 4.1 $15,561 49.9088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 2,070 8.4% 3.8 $12,503 62.6430 PSYCHOSES 1,617 6.6% 10.6 $22,008 40.2127 HEART FAILURE & SHOCK 972 3.9% 4.5 $14,716 69.7089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 957 3.9% 4.7 $14,450 67.7143 CHEST PAIN 774 3.1% 1.6 $7,452 54.8523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 632 2.6% 5.7 $12,053 32.8182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 601 2.4% 3.0 $10,756 55.9391 NORMAL NEWBORN 573 2.3% 2.2 $1,839 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 524 2.1% 2.5 $5,702 23.8296 NUTRIT & MISC METAB DISOR AGE >17 W CC 491 2.0% 3.7 $11,538 65.6174 G.I. HEMORRHAGE W CC 401 1.6% 3.6 $14,611 67.2098 BRONCHITIS & ASTHMA AGE 0-17 381 1.5% 2.2 $5,367 2.3320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 332 1.3% 3.7 $10,791 62.8462 REHABILITATION 326 1.3% 11.9 $35,745 69.2183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 275 1.1% 2.2 $8,748 44.8138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 254 1.0% 3.1 $10,753 69.6124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 231 0.9% 2.8 $20,104 58.8416 SEPTICEMIA AGE >17 220 0.9% 7.0 $29,942 69.1390 NEONATE W OTHER SIGNIFICANT PROBLEMS 201 0.8% 2.5 $2,353 0.0371 CESAREAN SECTION W/O CC 172 0.7% 2.9 $8,298 26.1014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 157 0.6% 5.5 $21,414 72.1359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 134 0.5% 1.9 $10,462 40.0125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 133 0.5% 2.3 $18,557 50.4209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 108 0.4% 5.7 $32,328 72.7Grand Total 24,645 100.0% 4.4 $14,596 50.2

Sec. IV: 19



HOSPITAL ADD: 13-CUMBERLAND VALLEY

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 18,870 50.1% 4.1 $11,761 51.0088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1,935 5.1% 3.9 $8,536 64.3391 NORMAL NEWBORN 1,800 4.8% 2.2 $1,409 0.0430 PSYCHOSES 1,625 4.3% 7.4 $12,699 38.6127 HEART FAILURE & SHOCK 1,611 4.3% 4.6 $11,708 72.1373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 1,331 3.5% 2.2 $5,487 24.1089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 1,287 3.4% 4.6 $10,818 67.8143 CHEST PAIN 1,038 2.8% 1.8 $5,777 54.1182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 956 2.5% 3.6 $8,352 57.6371 CESAREAN SECTION W/O CC 683 1.8% 2.8 $8,133 25.9296 NUTRIT & MISC METAB DISOR AGE >17 W CC 673 1.8% 3.9 $7,836 66.6098 BRONCHITIS & ASTHMA AGE 0-17 650 1.7% 2.2 $4,215 2.5416 SEPTICEMIA AGE >17 623 1.7% 7.1 $17,866 70.2320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 568 1.5% 4.0 $7,943 63.5174 G.I. HEMORRHAGE W CC 541 1.4% 4.6 $12,107 69.9183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 518 1.4% 2.6 $7,147 48.8138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 426 1.1% 3.5 $8,969 71.0124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 414 1.1% 2.9 $17,944 58.8462 REHABILITATION 406 1.1% 13.9 $21,142 72.5390 NEONATE W OTHER SIGNIFICANT PROBLEMS 383 1.0% 2.4 $1,817 0.0359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 316 0.8% 2.4 $9,601 39.4209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 247 0.7% 6.2 $33,029 71.1014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 237 0.6% 6.0 $16,318 71.7523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 192 0.5% 4.6 $7,619 34.1125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 168 0.4% 2.6 $16,698 52.8527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 158 0.4% 1.9 $29,805 60.1Grand Total 37,656 100.0% 4.1 $10,615 49.4

Sec. IV: 20



HOSPITAL ADD: 14-LAKE CUMBERLAND

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 13,078 50.0% 4.3 $13,178 52.2391 NORMAL NEWBORN 1,517 5.8% 2.2 $1,874 0.0430 PSYCHOSES 1,308 5.0% 6.4 $7,516 42.8089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 1,162 4.4% 5.8 $11,332 70.0088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 1,019 3.9% 4.6 $9,302 66.8373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 946 3.6% 2.2 $5,130 24.0127 HEART FAILURE & SHOCK 902 3.4% 4.6 $9,554 75.9182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 638 2.4% 3.5 $6,725 60.3462 REHABILITATION 550 2.1% 12.7 $20,782 74.3371 CESAREAN SECTION W/O CC 493 1.9% 2.6 $8,262 25.3296 NUTRIT & MISC METAB DISOR AGE >17 W CC 452 1.7% 4.2 $7,651 69.8143 CHEST PAIN 448 1.7% 2.1 $7,369 57.4359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 419 1.6% 2.2 $12,316 41.6320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 417 1.6% 4.7 $8,359 69.1098 BRONCHITIS & ASTHMA AGE 0-17 401 1.5% 2.9 $4,070 1.3416 SEPTICEMIA AGE >17 325 1.2% 6.5 $17,565 69.7183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 310 1.2% 2.6 $5,934 51.2125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 274 1.0% 2.6 $16,563 56.1174 G.I. HEMORRHAGE W CC 263 1.0% 4.2 $10,952 73.3138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 243 0.9% 3.9 $8,340 73.0527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 196 0.7% 2.3 $44,870 62.6124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 184 0.7% 3.6 $18,930 64.1390 NEONATE W OTHER SIGNIFICANT PROBLEMS 183 0.7% 2.6 $2,800 0.0014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 152 0.6% 5.4 $14,882 72.8209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 152 0.6% 4.8 $27,801 70.2523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 115 0.4% 4.1 $3,569 37.4Grand Total 26,147 100.0% 4.3 $11,269 50.3

Sec. IV: 21



HOSPITAL ADD: 15-BLUEGRASS

DIAGNOSIS RELATED GROUP (DRG) Hospitalizations Percent of Total Average LOS Average Charge Average Age999 ALL OTHER 60,669 54.6% 5.3 $21,019 51.2391 NORMAL NEWBORN 8,153 7.3% 2.3 $1,489 0.0373 VAGINAL DELIVERY W/O COMPLIC DIAGNOSES 5,631 5.1% 2.4 $5,182 26.2371 CESAREAN SECTION W/O CC 2,895 2.6% 3.6 $8,011 27.9527 PERC CV PROC W DRUG ELUT STENT W/O AM (EFF 10/02) 2,883 2.6% 1.6 $30,434 63.1430 PSYCHOSES 2,676 2.4% 6.4 $7,324 35.0089 SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC 2,656 2.4% 5.1 $10,570 69.5209 MAJ JOINT/LIMB REATTACH PROC, LOW EXTREM 2,589 2.3% 4.6 $30,006 66.7127 HEART FAILURE & SHOCK 2,477 2.2% 4.8 $11,728 72.4462 REHABILITATION 2,400 2.2% 13.6 $35,269 63.9359 UTER&ADNEX PROC FOR NON-MALIG W/O CC 2,134 1.9% 2.1 $9,129 42.3088 CHRONIC OBSTRUCTIVE PULMONARY DISEASE 2,023 1.8% 4.2 $8,474 65.8182 ESPHGITIS,GE,MISC DIG DIS AGE >17 W CC 1,500 1.3% 4.0 $8,951 60.8143 CHEST PAIN 1,281 1.2% 2.0 $7,102 58.5390 NEONATE W OTHER SIGNIFICANT PROBLEMS 1,277 1.1% 2.7 $2,800 0.0174 G.I. HEMORRHAGE W CC 1,208 1.1% 4.1 $11,184 70.4296 NUTRIT & MISC METAB DISOR AGE >17 W CC 1,200 1.1% 4.3 $8,585 69.4014 INTRACRANIAL HEMORR OR CEREBRAL INFARCT (REV 10/04) 1,149 1.0% 5.3 $16,871 69.6124 CIRC DIS EX AMI W CARD CATH & COMPLX DX 990 0.9% 3.8 $17,913 62.5138 CARD ARRHYTHMIA & CONDUCTN DISOR W CC 925 0.8% 3.7 $9,897 70.8125 CIRC DIS EX AMI W CARD CATH WO COMPLX DX 915 0.8% 2.3 $13,233 58.6416 SEPTICEMIA AGE >17 850 0.8% 6.9 $19,688 68.2320 KIDNEY,URIN TRACT INFECT AGE >17 W CC 796 0.7% 4.3 $8,919 67.3183 ESPHGITIS,GE,MISC DIG DIS AGE >17 W/O CC 697 0.6% 2.6 $6,793 51.8523 ALCOH/DRUG ABUSE OR DEP W/O REHAB THER W/O CC (EFF10/01) 625 0.6% 6.1 $6,511 34.6098 BRONCHITIS & ASTHMA AGE 0-17 513 0.5% 2.7 $4,114 2.2Grand Total 111,112 100.0% 4.7 $16,615 47.6

Sec. IV: 22

2004 ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORTTable 20.1 - Selected Category Summary by Quarter, All Kentucky Hospitals


Category Group 1Q04 2Q04 3Q04 4Q04 Grand TotalTotal Hospitalizations

165,816 155,445 155,788 155,535 632,584 State Of Residence

Out of State 10,625 10,321 10,595 9,533 41,074Kentucky 155,191 145,124 145,193 146,002 591,510

GenderF 97,871 92,814 93,079 91,979 375,743M 67,938 62,625 62,703 63,545 256,811U 7 6 6 11 30

Age GroupNewborn 12,421 12,541 13,273 12,911 51,14600 4,441 2,411 2,079 2,610 11,54101-19 11,481 8,954 8,817 10,609 39,86120-64 77,811 75,845 77,644 75,647 306,94765-84 48,354 45,617 44,318 43,915 182,20485-99 11,203 10,007 9,571 9,771 40,552100+ 105 70 86 72 333

Admission TypeNewborn 12,421 12,541 13,273 12,911 51,146Emergency 71,605 65,553 64,803 63,532 265,493Urgent 28,383 25,463 25,560 26,822 106,228Elective 53,220 51,716 51,936 51,711 208,583Trauma Center 44 72 87 110 313Information not available 143 100 129 449 821

Length of Stay (days)0-5 124,174 118,362 119,393 118,111 480,0406-10 27,132 24,354 23,909 24,352 99,74711-30 13,167 11,497 11,426 11,963 48,05331-90 1,236 1,140 1,002 1,050 4,42891-180 81 70 48 53 252181-360 21 14 4 3 42360+ 5 8 6 3 22

Primary PayorOther 19,215 10,163 9,796 10,009 49,183Commercial 38,575 41,802 41,877 41,016 163,270Medicaid 29,414 29,241 30,071 31,130 119,856Medicare 68,655 64,306 63,540 62,304 258,805Other State/Fed'l Program 1,436 1,521 1,644 2,028 6,629Passport MMC 805 840 929 831 3,405Self Pay 6,665 6,416 6,856 7,140 27,077Worker's Comp 1,051 1,156 1,075 1,077 4,359

Sec IV: 23

2004 ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORTTable 20.2 - Selected Category Summary by Quarter, Hospital ADDs


ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total01-PURCHASE

Total Hospitalizations 9,872 9,110 9,212 9,376 37,570

State of ResidenceOut of State 1,255 1,208 1,211 1,167 4,841Kentucky 8,617 7,902 8,001 8,209 32,729

GenderF 5,856 5,344 5,453 5,533 22,186M 4,016 3,766 3,759 3,843 15,384

Age GroupNewborn 628 608 654 642 2,53200 229 116 108 154 60701-19 629 487 451 586 2,15320-64 4,193 4,021 4,107 4,126 16,44765-84 3,301 3,121 3,159 3,079 12,66085-99 886 751 731 783 3,151100+ 6 6 2 6 20

Admission TypeNewborn 628 608 654 642 2,532Emergency 4,951 4,663 4,674 4,651 18,939Urgent 1,728 1,366 1,382 1,449 5,925Elective 2,564 2,467 2,487 2,634 10,152Information not available 1 6 15 22

Length of Stay (days)0-5 7,271 6,756 6,962 7,040 28,0296-10 1,855 1,701 1,599 1,681 6,83611-30 708 607 622 622 2,55931-90 38 46 29 33 146

Primary PayorOther 683 665 737 740 2,825Commercial 2,337 2,122 2,102 2,196 8,757Medicaid 1,578 1,403 1,448 1,577 6,006Medicare 4,823 4,448 4,444 4,418 18,133Other State/Fed'l Program 55 52 58 51 216Self Pay 346 360 381 346 1,433Worker's Comp 50 60 42 48 200

Sec. IV: 24



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total02-PENNYRILE


State of ResidenceOut of State 114 141 128 96 479Kentucky 6,657 5,862 5,660 5,914 24,093

GenderF 4,117 3,636 3,607 3,658 15,018M 2,654 2,367 2,181 2,351 9,553Unknown 1 1


Admission TypeNewborn 470 451 489 498 1,908Emergency 2,800 2,487 2,176 2,297 9,760Urgent 1,152 988 1,063 1,035 4,238Elective 2,345 2,076 2,060 2,179 8,660Information not available 4 1 1 6

Length of Stay (days)0-5 5,320 4,760 4,596 4,760 19,4366-10 1,044 892 812 868 3,61611-30 362 312 340 331 1,34531-90 37 38 38 50 16391-180 3 1 2 1 7181-360 4 4360+ 1 1

Primary PayorOther 640 674 681 729 2,724Commercial 1,023 885 789 774 3,471Medicaid 1,492 1,172 1,288 1,294 5,246Medicare 3,141 2,817 2,612 2,690 11,260Other State/Fed'l Program 135 153 156 189 633Self Pay 299 245 220 281 1,045Worker's Comp 41 57 42 53 193

Sec. IV: 25



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total03-GREEN RIVER


State of ResidenceOut of State 309 316 308 288 1,221Kentucky 7,162 6,952 6,814 6,860 27,788

GenderF 4,472 4,358 4,291 4,256 17,377M 2,999 2,910 2,831 2,892 11,632


Admission TypeNewborn 409 636 653 603 2,301Emergency 3,960 3,747 3,713 3,747 15,167Urgent 1,068 959 854 956 3,837Elective 2,034 1,926 1,902 1,842 7,704

Length of Stay (days)0-5 5,832 5,741 5,644 5,641 22,8586-10 1,114 1,063 1,018 1,035 4,23011-30 488 435 433 438 1,79431-90 37 27 27 34 12591-180 2 2

Primary PayorOther 125 102 158 130 515Commercial 2,290 2,203 2,201 2,108 8,802Medicaid 1,156 1,346 1,354 1,288 5,144Medicare 3,460 3,240 2,978 3,218 12,896Other State/Fed'l Program 29 31 21 30 111Self Pay 376 314 370 350 1,410Worker's Comp 35 32 40 24 131

Sec. IV: 26



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total04-BARREN RIVER



GenderF 6,138 5,857 5,803 5,803 23,601M 4,189 3,571 3,575 3,938 15,273Unknown 2 4 6


Admission TypeNewborn 759 796 856 878 3,289Emergency 4,442 4,024 4,153 4,171 16,790Urgent 1,616 1,378 1,225 1,105 5,324Elective 3,512 3,228 3,144 3,591 13,475Information not available 2 2

Length of Stay (days)0-5 7,718 7,303 7,259 7,261 29,5416-10 1,649 1,430 1,381 1,410 5,87011-30 863 661 691 1,031 3,24631-90 87 32 47 43 20991-180 7 1 8181-360 5 5360+ 1 1

Primary PayorOther 376 989 952 984 3,301Commercial 2,302 1,662 1,770 1,717 7,451Medicaid 2,215 1,894 1,768 2,237 8,114Medicare 4,815 4,425 4,409 4,295 17,944Other State/Fed'l Program 39 37 47 39 162Self Pay 545 384 413 436 1,778Worker's Comp 37 37 19 37 130

Sec. IV: 27



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total05-LINCOLN TRAIL



GenderF 3,809 3,184 3,339 3,396 13,728M 2,485 2,146 2,201 2,218 9,050

Age GroupNewborn 589 490 605 538 2,22200 137 54 32 132 35501-19 537 455 402 439 1,83320-64 2,742 2,354 2,475 2,548 10,11965-84 1,847 1,554 1,653 1,549 6,60385-99 436 419 372 408 1,635100+ 6 4 1 11

Admission TypeNewborn 589 490 605 538 2,222Emergency 2,190 1,868 1,788 1,744 7,590Urgent 1,683 1,250 1,480 1,388 5,801Elective 1,791 1,681 1,617 1,521 6,610Information not available 41 41 50 423 555

Length of Stay (days)0-5 4,612 3,901 4,183 4,274 16,9706-10 1,022 877 841 803 3,54311-30 614 520 485 508 2,12731-90 41 27 27 29 124181-360 3 3 6360+ 2 2 4 8

Primary PayorOther 94 59 61 70 284Commercial 2,053 1,443 1,576 1,673 6,745Medicaid 994 1,078 1,142 1,171 4,385Medicare 2,704 2,347 2,387 2,301 9,739Other State/Fed'l Program 128 110 102 122 462Passport MMC 4 4Self Pay 312 283 256 261 1,112Worker's Comp 9 10 16 12 47

Sec. IV: 28



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total06-KENTUCKIANA



GenderF 23,321 22,400 22,876 22,542 91,139M 16,974 15,934 16,230 15,909 65,047Unknown 4 4

Age GroupNewborn 3,238 3,264 3,431 3,348 13,28100 1,080 795 769 855 3,49901-19 2,748 2,569 2,592 2,760 10,66920-64 19,436 19,088 19,807 19,016 77,34765-84 11,344 10,544 10,473 10,276 42,63785-99 2,432 2,062 2,019 2,174 8,687100+ 17 12 19 22 70

Admission TypeNewborn 3,238 3,264 3,431 3,348 13,281Emergency 17,303 15,323 15,511 15,829 63,966Urgent 3,664 3,225 3,153 3,147 13,189Elective 16,054 16,518 17,002 16,120 65,694Information not available 36 4 13 7 60

Length of Stay (days)0-5 28,306 27,477 28,200 27,660 111,6436-10 7,236 6,506 6,706 6,504 26,95211-30 4,157 3,736 3,701 3,804 15,39831-90 529 550 460 435 1,97491-180 57 53 37 43 190181-360 8 9 4 3 24360+ 2 3 2 2 9

Primary PayorOther 10,433 1,384 1,413 1,486 14,716Commercial 8,815 14,411 14,798 14,204 52,228Medicaid 2,624 4,965 5,017 5,484 18,090Medicare 15,454 14,297 14,225 13,895 57,871Other State/Fed'l Program 127 272 308 308 1,015Passport MMC 804 827 904 809 3,344Self Pay 1,772 1,922 2,174 2,053 7,921Worker's Comp 266 256 271 212 1,005

Sec. IV: 29



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total07-NORTHERN KY



GenderF 7,476 7,248 7,165 6,994 28,883M 4,588 4,525 4,498 4,572 18,183

Age GroupNewborn 1,180 1,263 1,288 1,236 4,96700 112 62 53 64 29101-19 399 361 370 388 1,51820-64 6,015 5,932 6,039 5,870 23,85665-84 3,522 3,345 3,134 3,216 13,21785-99 832 804 774 786 3,196100+ 4 6 5 6 21

Admission TypeNewborn 1,180 1,263 1,288 1,236 4,967Emergency 5,763 5,620 5,429 5,493 22,305Urgent 2,906 2,837 2,838 2,816 11,397Elective 2,215 2,053 2,107 2,021 8,396Information not available 1 1

Length of Stay (days)0-5 9,128 9,107 9,116 8,837 36,1886-10 1,850 1,711 1,600 1,750 6,91111-30 997 892 884 921 3,69431-90 87 61 62 57 26791-180 2 2 1 1 6

Primary PayorOther 1,573 1,643 1,608 1,509 6,333Commercial 3,549 3,390 3,423 3,447 13,809Medicaid 1,561 1,679 1,718 1,741 6,699Medicare 4,951 4,677 4,518 4,560 18,706Other State/Fed'l Program 58 58 68 53 237Self Pay 320 286 295 233 1,134Worker's Comp 52 40 33 23 148

Sec. IV: 30



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total08-BUFFALO TRACE



GenderF 936 829 806 849 3,420M 614 524 516 572 2,226

Age GroupNewborn 130 100 96 116 44200 60 24 13 19 11601-19 109 56 75 90 33020-64 613 556 551 598 2,31865-84 518 496 456 475 1,94585-99 119 120 131 123 493100+ 1 1 2

Admission TypeNewborn 130 100 96 116 442Emergency 666 610 584 614 2,474Urgent 89 99 146 142 476Elective 665 544 496 549 2,254

Length of Stay (days)0-5 1,368 1,196 1,176 1,253 4,9936-10 160 139 117 140 55611-30 20 18 29 28 9531-90 2 2

Primary PayorOther 134 101 110 99 444Commercial 309 253 241 295 1,098Medicaid 336 246 269 275 1,126Medicare 734 704 659 696 2,793Other State/Fed'l Program 5 3 5 1 14Self Pay 28 45 36 54 163Worker's Comp 4 1 2 1 8

Sec. IV: 31



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total09-GATEWAY



GenderF 1,412 1,223 1,213 1,348 5,196M 956 783 824 910 3,473

Age GroupNewborn 243 198 215 239 89500 62 23 6 12 10301-19 109 91 97 111 40820-64 1,047 978 1,005 1,066 4,09665-84 719 546 550 665 2,48085-99 186 169 161 160 676100+ 2 1 3 5 11

Admission TypeNewborn 243 198 215 239 895Emergency 1,062 902 865 839 3,668Urgent 362 299 320 368 1,349Elective 701 607 637 812 2,757

Length of Stay (days)0-5 1,991 1,694 1,731 1,905 7,3216-10 279 223 229 281 1,01211-30 93 84 74 69 32031-90 5 5 3 3 16

Primary PayorOther 5 5 7 11 28Commercial 507 416 398 438 1,759Medicaid 704 601 626 673 2,604Medicare 1,087 907 883 1,027 3,904Other State/Fed'l Program 1 1 9 7 18Self Pay 58 72 108 99 337Worker's Comp 6 4 6 3 19

Sec. IV: 32



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total10-FIVCO



GenderF 5,605 5,363 5,459 4,409 20,836M 4,176 3,835 3,807 3,114 14,932


Admission TypeNewborn 394 400 464 418 1,676Emergency 5,434 5,081 5,033 3,785 19,333Urgent 665 585 593 99 1,942Elective 3,285 3,130 3,175 3,219 12,809Information not available 3 2 1 2 8

Length of Stay (days)0-5 7,651 7,140 7,535 5,974 28,3006-10 1,481 1,513 1,288 1,116 5,39811-30 603 514 420 404 1,94131-90 46 30 23 29 128360+ 1 1

Primary PayorOther 316 290 272 187 1,065Commercial 2,080 1,893 2,009 1,295 7,277Medicaid 2,091 1,834 1,841 1,184 6,950Medicare 4,207 4,143 4,031 3,034 15,415Other State/Fed'l Program 438 394 436 763 2,031Passport MMC 1 4 8 3 16Self Pay 594 588 610 909 2,701Worker's Comp 54 52 59 148 313

Sec. IV: 33



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total11-BIG SANDY



GenderF 4,286 3,922 3,924 3,780 15,912M 3,002 2,716 2,647 2,599 10,964



Length of Stay (days)0-5 5,603 5,146 5,118 4,973 20,8406-10 1,143 1,008 1,005 1,026 4,18211-30 504 441 423 356 1,72431-90 38 43 24 23 12891-180 1 1 2

Primary PayorOther 411 582 597 617 2,207Commercial 1,200 976 1,186 1,184 4,546Medicaid 2,079 1,598 1,635 1,505 6,817Medicare 3,090 2,965 2,706 2,618 11,379Other State/Fed'l Program 73 69 71 81 294Self Pay 310 331 278 284 1,203Worker's Comp 125 117 98 90 430

Sec. IV: 34



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total12-KY RIVER



GenderF 3,658 3,522 3,184 3,316 13,680M 2,954 2,780 2,591 2,640 10,965

Age GroupNewborn 250 217 214 207 88800 190 85 37 85 39701-19 470 379 268 371 1,48820-64 3,501 3,507 3,411 3,323 13,74265-84 1,863 1,775 1,564 1,624 6,82685-99 331 336 280 346 1,293100+ 7 3 1 11

Admission TypeNewborn 250 217 214 207 888Emergency 2,238 2,121 1,946 1,967 8,272Urgent 3,267 3,018 2,801 3,016 12,102Elective 857 946 814 766 3,383

Length of Stay (days)0-5 5,151 5,007 4,407 4,630 19,1956-10 987 863 861 867 3,57811-30 448 401 459 423 1,73131-90 25 30 48 35 13891-180 1 1 2181-360 1 1

Primary PayorOther 595 502 421 438 1,956Commercial 550 516 470 419 1,955Medicaid 2,057 1,956 1,816 1,905 7,734Medicare 2,758 2,702 2,400 2,514 10,374Other State/Fed'l Program 40 30 21 20 111Self Pay 593 578 622 641 2,434Worker's Comp 19 18 25 19 81

Sec. IV: 35



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total13-CUMBERLAND VALLEY



GenderF 5,822 5,589 5,675 5,628 22,714M 4,033 3,503 3,622 3,784 14,942


Admission TypeNewborn 592 556 637 597 2,382Emergency 5,012 4,628 4,704 4,662 19,006Urgent 2,726 2,351 2,303 2,446 9,826Elective 1,519 1,554 1,648 1,701 6,422Information not available 6 3 5 6 20

Length of Stay (days)0-5 7,706 7,201 7,457 7,415 29,7796-10 1,549 1,337 1,317 1,430 5,63311-30 577 527 504 548 2,15631-90 22 26 19 19 8691-180 1 1 2

Primary PayorOther 303 308 287 338 1,236Commercial 1,720 1,671 1,584 1,664 6,639Medicaid 3,331 2,993 3,201 3,184 12,709Medicare 4,030 3,729 3,802 3,775 15,336Other State/Fed'l Program 65 52 66 76 259Passport MMC 1 1Self Pay 371 293 309 338 1,311Worker's Comp 35 46 47 37 165

Sec. IV: 36



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total14-LAKE CUMBERLAND



GenderF 4,106 3,986 3,835 3,925 15,852M 2,800 2,447 2,466 2,582 10,295



Length of Stay (days)0-5 5,201 4,971 4,874 5,061 20,1076-10 1,175 1,052 1,013 1,027 4,26711-30 511 395 398 406 1,71031-90 19 15 14 13 6191-180 2 2

Primary PayorOther 596 478 641 664 2,379Commercial 1,186 1,178 638 711 3,713Medicaid 1,916 1,642 1,734 1,794 7,086Medicare 2,877 2,811 3,064 3,115 11,867Other State/Fed'l Program 32 37 38 42 149Passport MMC 1 6 10 17Self Pay 134 137 148 151 570Worker's Comp 165 149 32 20 366

Sec. IV: 37



ADD Category Group 1Q04 2Q04 3Q04 4Q04 Grand Total15-BLUEGRASS



GenderF 16,857 16,353 16,449 16,542 66,201M 11,498 10,818 10,955 11,621 44,892Unknown 5 6 2 6 19

Age GroupNewborn 2,598 2,710 2,765 2,714 10,78700 626 404 370 427 1,82701-19 1,783 1,355 1,470 2,016 6,62420-64 13,697 13,536 13,747 14,214 55,19465-84 7,916 7,683 7,553 7,333 30,48585-99 1,720 1,481 1,488 1,462 6,151100+ 20 8 13 3 44

Admission TypeNewborn 2,598 2,710 2,765 2,714 10,787Emergency 10,527 9,423 9,248 9,050 38,248Urgent 3,594 3,662 4,141 5,372 16,769Elective 11,545 11,270 11,121 10,914 44,850Trauma Center 44 72 87 110 313Information not available 52 40 44 9 145

Length of Stay (days)0-5 21,316 20,962 21,135 21,427 84,8406-10 4,588 4,039 4,122 4,414 17,16311-30 2,222 1,954 1,963 2,074 8,21331-90 223 210 181 247 86191-180 11 9 5 6 31181-360 2 2360+ 1 1 2

Primary PayorOther 2,931 2,381 1,851 2,007 9,170Commercial 8,654 8,783 8,692 8,891 35,020Medicaid 5,280 4,834 5,214 5,818 21,146Medicare 10,524 10,094 10,422 10,148 41,188Other State/Fed'l Program 211 222 238 246 917Passport MMC 8 10 5 23Self Pay 607 578 636 704 2,525Worker's Comp 153 277 343 350 1,123

Sec. IV: 38

APPENDIX

2004 ANNUAL HOSPITAL UTILIZATION AND SERVICES REPORT APPENDIX A - DEFINITIONS

Admissions: Number of patients, excluding newborns, accepted for inpatient service during the reporting period. Because of internal transfers, hospital admissions may be greater than total facility admissions. Alcoholism/Chemical Dependency Outpatient Services: Hospital services for the medical care and/or rehabilitative treatment of outpatients for whom the primary diagnosis is alcoholism or other chemical dependency. Ambulatory Surgical Services: Scheduled surgical services provided to patients who do not remain in the hospital overnight. The surgery may be performed in operating suites also used for inpatient surgery, specially designated surgical suites for ambulatory surgery, or procedure rooms within an ambulatory care facility. Average Daily Census (ADC): Average number of inpatients, excluding newborns, receiving care each day during the reporting period. Derived by dividing the number of inpatient days by the number of days in the reporting period. Average Length of Stay (ALOS): Average stay of inpatients during the reporting period. Derived by dividing the number of discharge days by the number of discharges. Bassinets: Number of newborn infant bassinets set up and staffed for use at the end of the reporting period. Bassinets are not included in the bed total and do not include isolets or neonatal intensive care units, which are included under beds. Beds: Number of beds, cribs, and pediatric and neonatal bassinets regularly maintained (set up and staffed for use) for inpatients during the reporting period; does not include bassinets for normal newborn infants. Births: Total number of infants born in the hospital and accepted for service in a newborn infant bassinet during the reporting period; excludes stillbirths. Births do not include infants transferred from other institutions and are excluded from the admission and discharge figures. Burn Care Unit: Provides care to severely burned patients that is of a more intensive nature than the usual acute nursing care provided in the medical and surgical units. Beds must be set up and staffed in a unit specifically designated for this purpose. Cardiac Catheterization Laboratory: Facility for special diagnostic and therapeutic procedures necessary for the care of patients

with cardiac conditions. Available procedures must include, but need not be limited to, introduction of a catheter into the interior of the heart by way of a vein or artery or by direct needle puncture. Census: The actual number of inpatients receiving care on any given day during the reporting period; does not include newborns. CT Scanner: Computed tomographic scanner for head and/or whole body scans. Discharge Days: Sum of the Length of Stay (LOS) of those discharged during reporting period. Emergency Department: Organized hospital facility for the provision of unscheduled outpatient services to patients whose conditions require immediate care. Must be staffed 24 hours a day. Inpatient Days: Number of adult and pediatric days of care, excluding newborn days of care, rendered during the entire reporting period. Intensive Care Unit (cardiac care only): Provides patient care of a more specialized nature than the usual medical and surgical care, on the basis of physicians’ orders and approved nursing care plans. The unit is staffed with specially trained nursing personnel and contains monitoring and specialized support or treatment equipment for patients who, because of heart seizures, open-heart surgery, or other life threatening conditions, require intensified, comprehensive observation and care. May include myocardial infarction, pulmonary care, and heart transplant units. Beds must be set up and staffed in a unit or units specifically designated for this purpose. Intensive Care Unit (mixed or other): Provides nursing care to adult and/or pediatric patients of a more intensive nature than the usual medical, surgical, pediatric, and/or psychiatric care on the basis of physicians’ orders and approved nursing care plans. Included are medical-surgical acute, pediatric, and psychiatric (isolation) units. These units are staffed with specially trained nursing personnel and contain monitoring and specialized support equipment for patients who, because of shock, trauma, or life-threatening conditions, require intensified, comprehensive observation and care. These units may also include cardiac care when such services are not provided in a distinct cardiac care unit. Long Term Acute Care Hospital Beds (LTACH): An LTACH is a hospital within a hospital. These beds are decertified licensed beds in host facility that are then certified as LTACH beds to another facility. They contain long term acute care patients. Megavoltage Radiation Therapy: The use of specialized equipment in the supervoltage and megavoltage (above one million volts) ranges for deep therapy treatment of cancer. This would include cobalt units, linear accelerators with or without electron beam

therapy capability, betatrons, and Van de Graff machines. Neonatal Intensive Care Unit: Provides care to newborn infants of a more intensive nature than the usual nursing care provided in newborn acute care units, on the basis of physicians’ orders and approved nursing care plans. Beds must be set up and staffed in a unit specifically designated for this purpose. Obstetrics Unit: Provides care to mothers following delivery, on the basis of physicians’ orders and approved nursing care plans. Beds must be set up and staffed in a unit specifically designated for this purpose. Occupancy: Ratio of total inpatient days to total bed days in the reporting period. Bed days are the number of licensed beds times the number of days in the period, adjusted for changes in the number of beds during the period. Open-Heart Surgery Facility: The equipment and staff necessary to perform open-heart surgery. Organ Transplant: The necessary staff and equipment to perform the surgical removal of a viable human organ, other than the kidney, from either of living donor or a deceased person immediately after death, and the surgical grafting of the organ to the suitably evaluated and prepared patient. Organized Outpatient Department: Organized hospital services (or clinics) for the provision of nonemergency medical and/or dental services for ambulatory patients. Outpatient Visits: Visits by patients who are not lodged in the hospital while receiving medical, dental, or other services. A visit consists of one or more occasions of service. Each test, examination, treatment, or procedure rendered to an outpatient counts as one occasion of service. Pediatric Inpatient Unit: Provides acute care to pediatric patients on the basis of physicians’ orders and approved nursing care plans. Beds must be set up and staffed in a unit specifically designated for this purpose. Physical Therapy Services: Services and use of facilities prescribed by physicians and administered by or under the direction of a qualified physical therapist. Psychiatric Inpatient Unit: Provides acute care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems, on the basis of physicians’ orders and approved nursing care plans. May also

include the provision of medical care, nursing services, and supervision to the chronically mentally ill, mentally disordered, or other mentally incompetent persons. Beds must be set up and staffed in a unit(s) specifically designated for this service. Rehabilitation Inpatient Unit: Provides coordinated multidisciplinary physical restorative services to ambulatory patients under the direction of a physician knowledgeable and experienced in rehabilitative medicine. Surgical Operations: Those surgical operations, whether major or minor, performed in the operating room(s). A surgical operation can involve one or more surgical procedures, but is considered only one surgical operation. Swing Beds: Licensed acute care beds designated to be used alternately for acute or skilled nursing care.

2004 Annual Hospital Utilization And Services ReportFacility Comments By ADD

Appendix B

CommentsADD Section

1Jackson Purchase Medical Center Unable to obtain data regarding the number of observation patients

subsequently admitted.Census

Lourdes Hospital Mobile unit (Modular Devices, Inc.) in service for 7 weeks in 2004 in order to maintain 2 operating labs, while equipment in one of the permanent cath labs was replaced..

CardiacCath

Lourdes Hospital Observation patients shown are patients that were not admitted. Lourdes Hospital does not track patients that were initially observation status and subsequently admitted.

Census

Lourdes Hospital Mobile unit was discontinued in October 2004. Service is now provided in the operating room main suite.

ServiceReport

Marshall County Hospital If an observation patient is admitted, they are reclassified as an original admission.

Census

Parkway Regional Hospital Hospital does not track patients who were subsequently admitted.Census

Western Baptist Hospital December 2003 census included 21 subacute patients.Census

2Crittenden County Hospital No observation patients were subsequently admitted.Census

Crittenden County Hospital Crittenden County Hospital is unable to separate outpatient visits and outpatient labs.

SurgicalServices

Jennie Stuart Medical Center Inc Jennie Stuart Medical Center does not track observation patients.Census

Livingston Hosp And Healthcare Svcs Inc System shows only outpatient and ER visits; lab visits are combined with outpatient visits. Lab stats indicate the number of procedures, not number of visits.

SurgicalServices

Muhlenberg Community Hospital The Other Column in the Utilization Section is intensive care beds.Utilization

Regional Medical Center of Hopkins Co Psych unit closed in 2003.Utilization

CommentsADD Section

Western State Hospital Licensed for 495 beds, 222 beds are staffed and equipped.Utilization

3Methodist Hospital 8 psychiatric care beds are temporarily closed.Utilization

Methodist Hospital Union County Unable to differentiate lab outpatient visits. Methodist Hospital Union County will develop mechanism to capture this data for 2005.

SurgicalServices

Ohio County Hospital Changed to Critical Access Hospital in August 2004. Unable to determine number of observation patients admitted.

Census

Owensboro Medical Health System Currently, not tracking the number of 23-hour observations that were subsequently admitted. This capability will be developed.

Census

4Caverna Memorial Hospital Laboratory outpatient visit statistics are not available.SurgicalServices

Caverna Memorial Hospital Hospital is a Critical Access Hospital; able to use 25 beds for either acute care or as a swing bed.

Census

Monroe County Medical Center Other outpatient visits include lab; these items cannot be differentiated.SurgicalServices

T J Samson Community Hospital Geri Psych unit not open CY 2004.Utilization

T J Samson Community Hospital Unable to provide observation patients admitted.Census

The Medical Center At Bowling Green 28 Acute Beds were certified as 28 LTAC beds on 07-20-04.Census

5Breckinridge Memorial Hospital Bed component prorated between acute and swing bed based on patient

days. Facility allowed to use 25 beds as acute and swing. Observation patients which were subsequently admitted is unknown.

Census

Breckinridge Memorial Hospital Prorated bed component between swing and acute beds is based on patient days.

Utilization

Hardin Memorial Hospital For the CY 2003 survey, Hardin Memorial Hospital reversed the volumes for therapeutic and diagnostic cardiac catheterization procedures.

CardiacCath

Spring View Hospital 6 swing beds certified as of 03-29-04.Utilization

CommentsADD Section

6Baptist Hospital East Other: 4 NNII beds and related stats.Utilization

Baptist Hospital East Baptist Hospital East reports 20 licensed beds.PhysRehab

Baptist Hospital East Number of licensed beds for psychiatry, per L&R, should be 36 as of 01-01-04.

Census

Baptist Hospital East Laboratory outpatient visits reflect only those patients who came in exclusively for a lab test or a series of lab tests. Data does not reflect labortory testing in conjunction with other diagnostic or treatment visits.

SurgicalServices

Baptist Hospital East Total births include NNII that moved to NNII nursery, not normal nursery. Newborn days reflect normal newborns only.

IntensiveCare

Baptist Hospital Northeast Laboratory outpatient visits reflect only those patients who came in exclusively for a lab test or a series of lab tests. Data does not reflect labortory testing in conjunction with other diagnostic or treatment visits.

SurgicalServices

Jewish Hospital Jewish Hospital is unable to extrapolate observation patients subsequently admitted. Jewish Hospital has 442 licensed beds, 30 of those beds are leased to Kindred Hospital for the LTAC unit.

Census

Jewish Hospital ICU and CCU inpatient days are combined.IntensiveCare

Jewish Hospital Hospital has 442 licensed beds, 30 of those beds are leased to Kindred Hospital for the LTACH unit.

Utilization

Jewish Hospital Shelbyville Hospital does not keep data regarding total surgical hours.AmbSurg

Jewish Hospital Shelbyville Hospital does not keep data on total number of surgical hours.SurgicalServices

Kindred Hospital - Louisville Decrease in surgical volume in 2004.AmbSurg

Norton Audubon Hospital Radiation therapy service moved to Norton Suburban -- June 2004.ServiceReport

Norton Southwest Hospital Added 6 ICU beds in 2004.IntensiveCare

Ten Broeck Dupont The outpatient visits are for PHP & IOP.SurgicalServices

Ten Broeck Dupont The 12 beds are both detox & rehab, therefore the numbers are totals for 2004.

Chem2

CommentsADD Section

Ten Broeck Hospital The beds for detox & rehab are the same. The statistics are total for the year.Chem2

Ten Broeck Hospital The outpatient visits are for PHP & IOP services.SurgicalServices

University Of Louisville Hospital Only bone marrow transplants are done at University of Louisville Hospital.TransplantProc

University Of Louisville Hospital Hours of Radiation - 10,687 hours. ServiceReport

University Of Louisville Hospital No operating rooms are intended exclusively for inpatients or outpatients.AmbSurg

University Of Louisville Hospital The University of Louisville Hospital has no licensed physical rehabitation beds.

PhysRehab

7St Luke Hospital East 33 beds have been converted to LTACH and 20 beds are currently in

operation.Utilization

8Fleming County Hospital Inpatient Surgical Operations: 143 OR and 62 Endo. Line E2, Other

Outpatient Utilization: total outpatient visits include lab visits. Fleming County Hospital is not able to differentiate labs only; therefore, labs are included as outpatients.

SurgicalServices

Fleming County Hospital Hospital is licensed for 52 total beds. 10 of these beds operate as swing beds.Utilization

Meadowview Regional Medical Center Swing beds are part of the 101 total beds.Census

9Mary Chiles Hospital Licensed for 7 psychiatric beds, but are not utilized.Utilization

St Claire Medical Center Other outpt visits: includes scopes and non-surgical procedures performed in Outpt. Care Center.

SurgicalServices

St Claire Medical Center Endoscopies performed in procedure rooms were included in other outpatient visits.

AmbSurg

10Kings Daughters Medical Center Operating rooms include 7 non-exclusive rooms in the main facility plus 4

surgical suites in the outpatient surgical center.SurgicalServices

Three Rivers Medical Center Three Rivers Medical Center's licensure copy, effective April 2003, indicates 71 acute and 19 psychiatric beds.

Census

CommentsADD Section

11Highlands Regional Medical Center Highlands Regional Medical Center is incapable of differentiating laboratory

outpatient visits from other outpatient visits.SurgicalServices

Highlands Regional Medical Center 12-31-03 midnight census was incorrectly reported last year at 89; the correct number is 80 (nursing facility and nursery were included). Block # 4 - unable to track patients who were initailly observation patients.

Census

McDowell ARH Hospital Surgical services are elective cases, which are performed only 2 days per week.

AmbSurg

Our Lady of The Way Hospital Unable to track number of patients subsequently admitted.Census

Pikeville Medical Center Other service unit is a medical detox department.Utilization

Pikeville Medical Center Statistics are for hospital outpatient surgical operations.AmbSurg

Pikeville Medical Center Mobile unit in operation through October 2004. Replaced with permanent unit.

CardiacCath

12Hazard ARH Regional Medical Center Beds (188) for January 2005 is incorrect - should be 208 which includes 188

acute, plus a 20-bed Rehabilitation Unit.Census

Mary Breckinridge Hospital Surgical Services were not available during 2004; no surgeon.SurgicalServices

Mary Breckinridge Hospital Critical Access Hospital effective 09-01-03.Census

Mary Breckinridge Hospital Critical Access Hospital effective 09-01-03.Utilization

Mary Breckinridge Hospital Lithotripter and megavoltage radiation therapy services are not provided. The CT Scanner is not a mobile unit.

ServiceReport

Mary Breckinridge Hospital Mary Breckinridge Hospital has 1 operating room, but the room has been closed for 12 months. E-2 includes visits for all ancillary services (laboratory, radiology, respiratory, EKG); unable to differentiate patient type. However, data does not include ER visits or observation stays.

SurgicalServices

Mary Breckinridge Hospital 1 operating room, which has been closed for 12 months. No surgical services provided.

AmbSurg

Mary Breckinridge Hospital Surgery department closed in 2004, no surgeon.AmbSurg

CommentsADD Section

13Baptist Regional Medical Center 25 of 171 licensed beds have been converted to LTACH.Utilization

Harlan ARH Hospital Acute care, other admissions, other discharges and other discharge days were estimated.

Utilization

Knox County Hospital 2003, 24 acute care beds reported. Hospital licensed 42 acute care. 10 are swing beds, 6 are ICU.

Utilization

Middlesboro ARH Hospital Lithotripsy service is no longer available.ServiceReport

14Cumberland County Hospital Unable to differentiate lab visits from total outpatient visits.SurgicalServices

Cumberland County Hospital 2003 Cumberland County Hospital reported acute and swing beds separately.Census

Jane Todd Crawford Memorial Hospital Unable to differentiate labs.SurgicalServices

Lake Cumberland Regional Hospital 2003, Lake Cumberland Regional Medical Center added the CT scan & procedures from the "Imaging Center" to the hospital numbers. The numbers above reflect only those in the hospital.

ServiceReport

Taylor County Hospital Unable to track number of observation patients admitted.Census

Taylor County Hospital Cannot differentiate lab visits.SurgicalServices

Taylor County Hospital Utilization 3: other(s) = ICU.Utilization

15Harrison Memorial Hospital Non-Surgical Procedures: the following procedures were performed in

Harrison Memorials one (1) procedure room in 2004. INPATIENT AND OUTPATIENT PROCEDURES: Bronchoscopy--13, Colonoscopy--603, EGD--350, Sigmoidoscopy--20 and Other--194. Total Procedures: 1180 and Total Cases: 1100

AmbSurg

Harrison Memorial Hospital Swing Beds--License to swing 10 of the 49 acute (Med/Surg, Adults and Peds) beds.

Census

Nicholas County Hospital No longer provide surgical services, except for minor outpatient procedures in the OP treatment room.

SurgicalServices

CommentsADD Section

Nicholas County Hospital Unable to provide observation patients admitted figures. Census

Saint Joseph East 23 of the 166 beds were operated as LTACH. No admissions, inpatient days, discharges or discharge days for these beds were included.

Utilization

Samaritan Hospital Children and Adolescent beds can be interchanged based on the needs of the floor and the configuration of the rooms. 41 licensed beds have been converted to LTACH.

Utilization

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