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

Overview

Address
2000 WEST BETHANY HOME ROAD, PHOENIX, AZ 85015
Phone
(602) 249-0212
Hospital Type
Acute Care
Ownership
Physician-Owned
Emergency Services
Yes
2 /5
CMS Overall Rating
p7
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 5 of 7 measures reported
5
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 5 of 8 measures reported
5
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 6 of 11 measures reported
6
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 8 of 12 measures reported
8 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)
— Not reported
Heart Failure
0.9673 p28
Pneumonia 74 discharges
1.0229 p66
COPD
— Not reported
Hip/Knee Replacement 0 discharges
— Not reported
CABG Surgery
— Not reported
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.

23.4 p28
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
8.8 p75
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
12.9 p68
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
1.8 p1
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
0.0 p0
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: 1.0229
Value-Based Purchasing
23.4 TPS
Below national median
HAC Reduction
No Reduction
HAC Score: -0.6584

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
Hybrid_HWM 4.20 No Different Than the National Rate 257
MORT_30_AMI Number of Cases Too Small
MORT_30_CABG
MORT_30_COPD Number of Cases Too Small
MORT_30_HF 11.20 No Different Than the National Rate 36
MORT_30_PN 14.60 No Different Than the National Rate 77
MORT_30_STK 14.00 No Different Than the National Rate 77
PSI_03 0.37 No Different Than the National Rate 960
PSI_04 Number of Cases Too Small
PSI_06 0.20 No Different Than the National Rate 1,118
PSI_08 0.26 No Different Than the National Rate 1,170
PSI_09 2.57 No Different Than the National Rate 148
PSI_10 Number of Cases Too Small
PSI_11 Number of Cases Too Small
PSI_12 4.13 No Different Than the National Rate 157
PSI_13 Number of Cases Too Small
PSI_14 1.73 No Different Than the National Rate 54
PSI_15 1.00 No Different Than the National Rate 241
PSI_90 0.95 No Different 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 68%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 10%
H_COMP_1_U_P: Nurses "usually" communicated well 22%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 1
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 75%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 7%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 18%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 66%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 11%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 23%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 63%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 13%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 24%
H_COMP_2_A_P: Doctors "always" communicated well 64%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 14%
H_COMP_2_U_P: Doctors "usually" communicated well 22%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 1
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 72%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 10%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 18%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 62%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 15%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 23%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 57%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 17%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 26%
H_COMP_5_A_P: Staff "always" explained 53%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 30%
H_COMP_5_U_P: Staff "usually" explained 17%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 1
H_MED_FOR_A_P: Staff "always" explained new medications 66%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 19%
H_MED_FOR_U_P: Staff "usually" explained new medications 15%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 40%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 41%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 19%
H_COMP_6_N_P: No, staff "did not" give patients this information 26%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 74%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 1
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 31%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 69%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 21%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 79%
H_CLEAN_HSP_A_P: Room was "always" clean 61%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 14%
H_CLEAN_HSP_U_P: Room was "usually" clean 25%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 2
H_QUIET_HSP_A_P: "Always" quiet at night 52%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 18%
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 2
H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) 20%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 23%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 57%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 1
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 18%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 51%
H_RECMND_PY: "YES", patients would probably recommend the hospital 31%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 1
H_STAR_RATING: Summary star rating 1

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 0.031 No Different than National Benchmark
HAI_1_CIUPPER 3.063 No Different than National Benchmark
HAI_1_DOPC 1898.000 No Different than National Benchmark
HAI_1_ELIGCASES 1.610 No Different than National Benchmark
HAI_1_NUMERATOR 1.000 No Different than National Benchmark
HAI_1_SIR 0.621 No Different than National Benchmark
HAI_2_CILOWER N/A No Different than National Benchmark
HAI_2_CIUPPER 1.070 No Different than National Benchmark
HAI_2_DOPC 3423.000 No Different than National Benchmark
HAI_2_ELIGCASES 2.800 No Different than National Benchmark
HAI_2_NUMERATOR 0.000 No Different than National Benchmark
HAI_2_SIR 0.000 No Different than National Benchmark
HAI_3_CILOWER N/A No Different than National Benchmark
HAI_3_CIUPPER 2.232 No Different than National Benchmark
HAI_3_DOPC 53.000 No Different than National Benchmark
HAI_3_ELIGCASES 1.342 No Different than National Benchmark
HAI_3_NUMERATOR 0.000 No Different than National Benchmark
HAI_3_SIR 0.000 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 2.000
HAI_4_ELIGCASES 0.014
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER 0.034 No Different than National Benchmark
HAI_5_CIUPPER 3.346 No Different than National Benchmark
HAI_5_DOPC 23623.000 No Different than National Benchmark
HAI_5_ELIGCASES 1.474 No Different than National Benchmark
HAI_5_NUMERATOR 1.000 No Different than National Benchmark
HAI_5_SIR 0.678 No Different than National Benchmark
HAI_6_CILOWER 0.202 Better than the National Benchmark
HAI_6_CIUPPER 0.828 Better than the National Benchmark
HAI_6_DOPC 23623.000 Better than the National Benchmark
HAI_6_ELIGCASES 18.350 Better than the National Benchmark
HAI_6_NUMERATOR 8.000 Better than the National Benchmark
HAI_6_SIR 0.436 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 medium 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 14.0 Electronic Clinical Quality Measure
HH_HYPO 2.0 Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 83.0 Healthcare Personnel Vaccination
OP_18a 176.0 Emergency Department
OP_18b 175.0 Emergency Department
OP_18c 220.0 Emergency Department
OP_18d 157.0 Emergency Department
OP_22 4.0 Emergency Department
OP_23 Emergency Department
OP_29 93.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 7.0 Electronic Clinical Quality Measure
SEP_1 38.0 Sepsis Care
SEP_SH_3HR 33.0 Sepsis Care
SEP_SH_6HR Sepsis Care
SEV_SEP_3HR 62.0 Sepsis Care
SEV_SEP_6HR 88.0 Sepsis Care
STK_02 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 79.0 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 Number of Cases Too Small
EDAC_30_HF -70.60 Fewer Days Than Average per 100 Discharges
EDAC_30_PN 23.30 Average Days per 100 Discharges
Hybrid_HWR 15.40 No Different Than the National Rate
OP_32 13.00 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 0.80 No Different than expected
READM_30_AMI Number of Cases Too Small
READM_30_CABG
READM_30_COPD Number of Cases Too Small
READM_30_HF 19.00 No Different Than the National Rate
READM_30_HIP_KNEE
READM_30_PN 16.30 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
1.08

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.

Download CSV

Show 77 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.08 metrics.cost_to_charge_ratio
Cost Report Current Ratio 4.13 metrics.current_ratio
Cost Report Employees per Bed 2.89 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $120,552,713 metrics.fund_balance
Cost Report Net Income ($) $-3,029,967 metrics.net_income
Cost Report Net Patient Revenue ($) $98,949,959 metrics.net_patient_revenue
Cost Report Operating Margin (%) -5.9% metrics.operating_margin
Cost Report Total Assets ($) $133,795,632 metrics.total_assets
Cost Report Total Costs ($) $90,413,632 metrics.total_costs
Cost Report Total Liabilities ($) $13,242,919 metrics.total_liabilities
Cost Report Total Margin (%) -3.0% metrics.total_margin
Cost Report Uncompensated Care (%) 6.6% metrics.uncompensated_care_pct
General Information Address 2000 WEST BETHANY HOME ROAD Address
General Information City/Town PHOENIX City/Town
General Information Count of Facility MORT Measures 5 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 6 Count of Facility READM Measures
General Information Count of Facility Safety Measures 5 Count of Facility Safety Measures
General Information Count of Facility TE Measures 8 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 5 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 0 Count of READM Measures Better
General Information Count of READM Measures No Different 6 Count of READM Measures No Different
General Information Count of READM Measures Worse 0 Count of READM Measures Worse
General Information Count of Safety Measures Better 0 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 0 Count of Safety Measures Worse
General Information County/Parish MARICOPA County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 030030 Facility ID
General Information Facility Name ABRAZO CENTRAL CAMPUS Facility Name
General Information Hospital overall rating 2 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Physician Hospital Ownership
General Information Hospital Type Acute Care Hospitals Hospital Type
General Information Meets criteria for birthing friendly designation 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 AZ State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (602) 249-0212 Telephone Number
General Information ZIP Code 85015 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.52 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.31 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.35 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 0 measures.ssi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.66 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 1.08 Value
Readmissions (HRRP) Heart Failure — Excess readmission ratio 0.97 0.9983 p28 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.2% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.6% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Number of discharges 0 READM-30-HIP-KNEE-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.02 0.9955 p66 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 15.2% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 74 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 13 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 15.5% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 8.75 5.00 p75 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 1.75 8.75 p1 person_community_score
Value-Based Purchasing Safety 12.92 10.00 p68 safety_score
Value-Based Purchasing Total Performance Score 23.42 29.50 p28 total_performance_score
Methodology

Full methodology →