Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
2105 EAST SOUTH BOULEVARD, MONTGOMERY, AL 36116
Phone
(334) 288-2100
Hospital Type
Acute Care
Ownership
Government (District)
Emergency Services
Yes
Birthing Friendly
Yes
1 /5
CMS Overall Rating
p0
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).

CMS Star Rating — Quality Domain Breakdown

CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.

Mortality 7 of 7 measures reported
7
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
1
5
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 11 of 11 measures reported
1
8
2
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 9 of 12 measures reported
9 measures reported (comparative data not available for this domain)
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.

Readmissions — Hospital Readmissions Reduction Program

The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).

This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack) 186 discharges
1.0084 p55
Heart Failure 289 discharges
1.0589 p81
Pneumonia 162 discharges
1.0490 p79
COPD 64 discharges
1.0436 p82
Hip/Knee Replacement
0.9546 p38
CABG Surgery
1.0851 p82
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

29.1 p48
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
6.3 p58
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
7.1 p25
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
10.8 p64
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
5.0 p56
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Penalized
Worst ERR: 1.0851
Value-Based Purchasing
29.1 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 1.0846

Complications & Deaths

30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.

Measure Score vs. National Denominator
COMP_HIP_KNEE 4.30 No Different Than the National Rate 72
Hybrid_HWM 4.10 No Different Than the National Rate 1,003
MORT_30_AMI 12.80 No Different Than the National Rate 171
MORT_30_CABG 1.90 No Different Than the National Rate 69
MORT_30_COPD 8.60 No Different Than the National Rate 61
MORT_30_HF 12.50 No Different Than the National Rate 251
MORT_30_PN 17.40 No Different Than the National Rate 165
MORT_30_STK 16.70 Worse Than the National Rate 270
PSI_03 3.24 Worse Than the National Rate 3,630
PSI_04 194.83 No Different Than the National Rate 110
PSI_06 0.32 No Different Than the National Rate 4,630
PSI_08 0.22 No Different Than the National Rate 4,637
PSI_09 1.62 No Different Than the National Rate 1,393
PSI_10 1.64 No Different Than the National Rate 583
PSI_11 11.71 No Different Than the National Rate 631
PSI_12 6.52 Worse Than the National Rate 1,382
PSI_13 6.43 No Different Than the National Rate 578
PSI_14 1.66 No Different Than the National Rate 151
PSI_15 0.90 No Different Than the National Rate 722
PSI_90 1.98 Worse Than the National Value

Patient Experience (HCAHPS)

Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.

Measure Score Star Rating
H_COMP_1_A_P: Nurses "always" communicated well 76%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 6%
H_COMP_1_U_P: Nurses "usually" communicated well 18%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 82%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 4%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 14%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 74%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 8%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 18%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 73%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 7%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 20%
H_COMP_2_A_P: Doctors "always" communicated well 78%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 6%
H_COMP_2_U_P: Doctors "usually" communicated well 16%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 84%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 4%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 12%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 77%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 18%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 73%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 8%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 19%
H_COMP_5_A_P: Staff "always" explained 63%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 19%
H_COMP_5_U_P: Staff "usually" explained 18%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 3
H_MED_FOR_A_P: Staff "always" explained new medications 75%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 11%
H_MED_FOR_U_P: Staff "usually" explained new medications 14%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 51%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 27%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 22%
H_COMP_6_N_P: No, staff "did not" give patients this information 14%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 86%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 3
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 15%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 85%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 12%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 88%
H_CLEAN_HSP_A_P: Room was "always" clean 70%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 12%
H_CLEAN_HSP_U_P: Room was "usually" clean 18%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 3
H_QUIET_HSP_A_P: "Always" quiet at night 61%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 9%
H_QUIET_HSP_U_P: "Usually" quiet at night 30%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 4
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 9%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 20%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 71%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 6%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 70%
H_RECMND_PY: "YES", patients would probably recommend the hospital 24%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 4
H_STAR_RATING: Summary star rating 3

Healthcare Associated Infections

Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.

Measure Score (SIR) vs. National
HAI_1_CILOWER 0.563 No Different than National Benchmark
HAI_1_CIUPPER 1.427 No Different than National Benchmark
HAI_1_DOPC 16933.000 No Different than National Benchmark
HAI_1_ELIGCASES 19.544 No Different than National Benchmark
HAI_1_NUMERATOR 18.000 No Different than National Benchmark
HAI_1_SIR 0.921 No Different than National Benchmark
HAI_2_CILOWER 0.459 No Different than National Benchmark
HAI_2_CIUPPER 1.027 No Different than National Benchmark
HAI_2_DOPC 18193.000 No Different than National Benchmark
HAI_2_ELIGCASES 34.243 No Different than National Benchmark
HAI_2_NUMERATOR 24.000 No Different than National Benchmark
HAI_2_SIR 0.701 No Different than National Benchmark
HAI_3_CILOWER 0.559 No Different than National Benchmark
HAI_3_CIUPPER 2.529 No Different than National Benchmark
HAI_3_DOPC 167.000 No Different than National Benchmark
HAI_3_ELIGCASES 5.475 No Different than National Benchmark
HAI_3_NUMERATOR 7.000 No Different than National Benchmark
HAI_3_SIR 1.279 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 73.000
HAI_4_ELIGCASES 0.765
HAI_4_NUMERATOR 2.000
HAI_4_SIR
HAI_5_CILOWER 0.791 No Different than National Benchmark
HAI_5_CIUPPER 2.371 No Different than National Benchmark
HAI_5_DOPC 99263.000 No Different than National Benchmark
HAI_5_ELIGCASES 9.140 No Different than National Benchmark
HAI_5_NUMERATOR 13.000 No Different than National Benchmark
HAI_5_SIR 1.422 No Different than National Benchmark
HAI_6_CILOWER 0.316 Better than the National Benchmark
HAI_6_CIUPPER 0.748 Better than the National Benchmark
HAI_6_DOPC 93785.000 Better than the National Benchmark
HAI_6_ELIGCASES 42.199 Better than the National Benchmark
HAI_6_NUMERATOR 21.000 Better than the National Benchmark
HAI_6_SIR 0.498 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV high Emergency Department
GMCS Electronic Clinical Quality Measure
GMCS_Malnutrition_Diagnosis_Documented Electronic Clinical Quality Measure
GMCS_Malnutrition_Screening Electronic Clinical Quality Measure
GMCS_Nutrition_Assessment Electronic Clinical Quality Measure
GMCS_Nutritional_Care_Plan Electronic Clinical Quality Measure
HH_HYPER Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 94.0 Healthcare Personnel Vaccination
OP_18a 214.0 Emergency Department
OP_18b 209.0 Emergency Department
OP_18c 369.0 Emergency Department
OP_18d Emergency Department
OP_22 2.0 Emergency Department
OP_23 Emergency Department
OP_29 98.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 25.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 13.0 Electronic Clinical Quality Measure
SEP_1 50.0 Sepsis Care
SEP_SH_3HR 61.0 Sepsis Care
SEP_SH_6HR 77.0 Sepsis Care
SEV_SEP_3HR 76.0 Sepsis Care
SEV_SEP_6HR 97.0 Sepsis Care
STK_02 94.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 81.0 Electronic Clinical Quality Measure
VTE_1 Electronic Clinical Quality Measure
VTE_2 Electronic Clinical Quality Measure

Unplanned Hospital Visits

Readmission and ED return rates within 30 days of discharge.

Measure Score vs. National
EDAC_30_AMI -0.10 Average Days per 100 Discharges
EDAC_30_HF 23.40 More Days Than Average per 100 Discharges
EDAC_30_PN 41.90 More Days Than Average per 100 Discharges
Hybrid_HWR 15.00 No Different Than the National Rate
OP_32 12.40 No Different Than the National Rate
OP_35_ADM 10.10 No Different Than the National Rate
OP_35_ED 4.30 No Different Than the National Rate
OP_36 0.90 No Different than expected
READM_30_AMI 13.60 No Different Than the National Rate
READM_30_CABG 11.50 No Different Than the National Rate
READM_30_COPD 19.00 No Different Than the National Rate
READM_30_HF 20.80 No Different Than the National Rate
READM_30_HIP_KNEE 4.60 No Different Than the National Rate
READM_30_PN 16.70 No Different Than the National Rate

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.01

Financial Health (Cost Report — FY 2024)

All Data

Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.

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Show 94 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.32 metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.86 metrics.current_ratio
Cost Report Employees per Bed 5.76 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $572,236,902 metrics.fund_balance
Cost Report Net Income ($) $91,333,693 metrics.net_income
Cost Report Net Patient Revenue ($) $679,227,367 metrics.net_patient_revenue
Cost Report Operating Margin (%) -1.1% metrics.operating_margin
Cost Report Total Assets ($) $1,050,714,744 metrics.total_assets
Cost Report Total Costs ($) $601,574,448 metrics.total_costs
Cost Report Total Liabilities ($) $478,477,842 metrics.total_liabilities
Cost Report Total Margin (%) 11.7% metrics.total_margin
Cost Report Uncompensated Care (%) 5.8% metrics.uncompensated_care_pct
General Information Address 2105 EAST SOUTH BOULEVARD Address
General Information City/Town MONTGOMERY City/Town
General Information Count of Facility MORT Measures 7 Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 11 Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 Count of Facility Safety Measures
General Information Count of Facility TE Measures 9 Count of Facility TE Measures
General Information Count of MORT Measures Better 0 Count of MORT Measures Better
General Information Count of MORT Measures No Different 7 Count of MORT Measures No Different
General Information Count of MORT Measures Worse 0 Count of MORT Measures Worse
General Information Count of READM Measures Better 1 Count of READM Measures Better
General Information Count of READM Measures No Different 8 Count of READM Measures No Different
General Information Count of READM Measures Worse 2 Count of READM Measures Worse
General Information Count of Safety Measures Better 1 Count of Safety Measures Better
General Information Count of Safety Measures No Different 5 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 Count of Safety Measures Worse
General Information County/Parish MONTGOMERY County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 010023 Facility ID
General Information Facility Name BAPTIST MEDICAL CENTER SOUTH Facility Name
General Information Hospital overall rating 1 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Government - Hospital District or Authority Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation Y Meets criteria for birthing friendly designation
General Information MORT Group Footnote MORT Group Footnote
General Information MORT Group Measure Count 7 MORT Group Measure Count
General Information Pt Exp Group Footnote Pt Exp Group Footnote
General Information Pt Exp Group Measure Count 8 Pt Exp Group Measure Count
General Information READM Group Footnote READM Group Footnote
General Information READM Group Measure Count 11 READM Group Measure Count
General Information Safety Group Footnote Safety Group Footnote
General Information Safety Group Measure Count 8 Safety Group Measure Count
General Information State AL State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (334) 288-2100 Telephone Number
General Information ZIP Code 36116 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.79 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.40 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 1.14 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 1.51 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.07 measures.ssi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 1.08 total_hac_score
Medicare Spending per Beneficiary End Date 12/31/2024 End Date
Medicare Spending per Beneficiary Measure ID MSPB-1 Measure ID
Medicare Spending per Beneficiary Start Date 01/01/2024 Start Date
Medicare Spending per Beneficiary Value 1.01 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 1.01 0.9995 p55 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 14.2% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of discharges 186 READM-30-AMI-HRRP.num_discharges
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Number of readmissions 27 READM-30-AMI-HRRP.num_readmissions
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 14.3% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.09 1.0000 p82 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 10.7% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 11.6% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.04 0.9969 p82 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.1% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 64 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 16 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 20.0% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.06 0.9983 p81 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.8% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 289 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 68 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 22.1% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.95 0.9916 p38 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 5.7% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 5.4% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.05 0.9955 p79 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.5% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 162 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 33 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 18.3% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 6.25 5.00 p58 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 5.00 2.50 p56 efficiency_score
Value-Based Purchasing Person & Community Engagement 10.75 8.75 p64 person_community_score
Value-Based Purchasing Safety 7.08 10.00 p25 safety_score
Value-Based Purchasing Total Performance Score 29.08 29.50 p48 total_performance_score
Methodology

Full methodology →